Quality in Acute Stroke Care (QASC): process evaluation of an intervention to improve the management of fever, hyperglycemia, and swallowing dysfunction following acute stroke.

Background: Our randomized controlled trial of a multifaceted evidence-based intervention for improving the inpatient management of fever, hyperglycemia, and swallowing dysfunction in the first three-days following stroke improved outcomes at 90 days by 15%. We designed a quantitative process evaluation to further explain and illuminate this finding.

Methods: Blinded retrospective medical record audits were undertaken for patients from 19 stroke units prior to and following the implementation of three multidisciplinary evidence-based protocols (supported by team-building workshops, and site-based education and support) for the management of fever (temperature ≥37·5°C), hyperglycemia (glucose >11 mmol/l), and swallowing dysfunction in intervention stroke units.

Educational outreach visits to improve nurses' use of mechanical venous thromboembolism prevention in hospitalized medical patients.

Venous thromboembolism (VTE) is a significant cause of morbidity and mortality in hospitalized medical patients. Evidence-based guidelines exist for preventing VTE; unfortunately, these guidelines are not always adhered to by clinicians. The aim of this study was to evaluate the acceptability, utility and clinical impact of an educational outreach visit (EOV) on nurses' provision of mechanical prophylaxis to hospitalized medical patients using a prospective, uncontrolled, before-and-after design.

Wells-Dawson cages as molecular refrigerants.

Five clusters with the general formula [Ni6Gd6(μ3-OH)2(μ2-OAc)2(O3PR)6(O2C(t)Bu)16], where R = methyl (1), phenyl (2), n-hexyl (3), benzyl (4), n-octyl (5), have been prepared. All of the clusters have a {Ni6Gd6P6} core that can be related to the Wells-Dawson ion. We have also prepared analogues where the gadolinium is replaced with diamagnetic yttrium: [Ni6Y6(μ3-OH)2(μ2-OAc)2(O3PR)6(O2C(t)Bu)16] (R = methyl (6), n-hexyl (7), benzyl (8), n-octyl (9)), allowing the magnetic exchange within the {Ni3} units to be analyzed by modeling as the sum of two noninteracting isosceles triangles.

Management of fever, hyperglycemia, and swallowing dysfunction following hospital admission for acute stroke in New South Wales, Australia.

Background: Fever, hyperglycemia, and swallow dysfunction poststroke are associated with significantly worse outcomes. We report treatment and monitoring practices for these three items from a cohort of acute stroke patients prior to randomization in the Quality in Acute Stroke Care trial.

Method: Retrospective medical record audits were undertaken for prospective patients from 19 stroke units.

Coherent electron spin manipulation in a dilute oriented ensemble of molecular nanomagnets: pulsed EPR on doped single crystals.

Doping a Cr7Zn molecular nanomagnet into a diamagnetic and isostructural host allows pulsed X-band EPR on single crystals, including relaxation and nutation experiments on the S = 3/2 ground state.

Investigating characteristics of collaboration between nurse practitioners and medical practitioners in primary healthcare: a mixed methods multiple case study protocol.

Aim: To investigate characteristics of collaboration between nurse practitioners and medical practitioners in the primary healthcare setting in Australia.

Background: Recent definitions of collaboration in the literature describe it as being based on communication, shared decision-making and the respect and equality of team members. However, research demonstrates a tension between this theoretical ideal and how collaboration between nurse practitioners and medical practitioners occurs in practice.

The coordination chemistry of tartronic acid with copper: magnetic studies of a quasi-equilateral tricopper triangle.

The coordination chemistry of tartronic acid, , with copper(ii) has been investigated. Structures of two complexes are reported containing respectively the complex [Cu(-2H)2Cl](3-) where acts as a bidentate ligand through carboxylates, and [Cu3(-3H)3](3-) where the alcohol function is deprotonated to bridge two coppers in a triangular trinuclear complex. The latter species undergoes facile oxidation leading to carbon-carbon bond formation.

Educational outreach visits to improve venous thromboembolism prevention in hospitalised medical patients: a prospective before-and-after intervention study.

Background: Despite the availability of evidence-based guidelines on venous thromboembolism (VTE) prevention clinical audit and research reveals that hospitalised medical patients frequently receive suboptimal prophylaxis. The aim of this study was to evaluate the acceptability, utility and clinical impact of an educational outreach visit (EOV) on the provision of VTE prophylaxis to hospitalised medical patients in a 270 bed acute care private hospital in metropolitan Australia.

Methods: The study used an uncontrolled before-and-after design with accompanying process evaluation.

Synthesis and magnetothermal properties of a ferromagnetically coupled Ni(II)-Gd(III)-Ni(II) cluster.

A linear trimeric cluster of molecular formula [Ni2Gd(L(-))6](NO3) (1) (L(-) = (C14H12NO2) has been isolated with its structure determined via single crystal X-ray diffraction. Magnetic susceptibility measurements of 1 show that the nickel and gadolinium ions are coupled ferromagnetically, with a ground total spin state (S) of 11/2. Best fit spin Hamiltonian parameters obtained for 1 are J(1(Ni-Gd)) = +0.

An electrostatic model for the determination of magnetic anisotropy in dysprosium complexes.

Understanding the anisotropic electronic structure of lanthanide complexes is important in areas as diverse as magnetic resonance imaging, luminescent cell labelling and quantum computing. Here we present an intuitive strategy based on a simple electrostatic method, capable of predicting the magnetic anisotropy of dysprosium(III) complexes, even in low symmetry. The strategy relies only on knowing the X-ray structure of the complex and the well-established observation that, in the absence of high symmetry, the ground state of dysprosium(III) is a doublet quantized along the anisotropy axis with an angular momentum quantum number mJ=±(15)/2.

Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care - an integrative review.

Background: This integrative review synthesises research studies that have investigated the perceptions of nurse practitioners and medical practitioners working in primary health care. The aggregation of evidence on barriers and facilitators to working collaboratively and experiences about the processes of collaboration is of value to understand success factors and factors that impede collaborative working relationships.

Methods: An integrative review, which used systematic review processes, was undertaken to summarise qualitative and quantitative studies published between 1990 and 2012.

Magnetic relaxation pathways in lanthanide single-molecule magnets.

Single-molecule magnets are compounds that exhibit magnetic bistability caused by an energy barrier for the reversal of magnetization (relaxation). Lanthanide compounds are proving promising as single-molecule magnets: recent studies show that terbium phthalocyanine complexes possess large energy barriers, and dysprosium and terbium complexes bridged by an N2(3-) radical ligand exhibit magnetic hysteresis up to 13 K. Magnetic relaxation is typically controlled by single-ion factors rather than magnetic exchange (whether one or more 4f ions are present) and proceeds through thermal relaxation of the lowest excited states.

A dense metal-organic framework for enhanced magnetic refrigeration.

The three-dimensional metal-organic framework Gd(HCOO)3 is characterized by a relatively compact crystal lattice of weakly interacting Gd(3+) spin centers interconnected via lightweight formate ligands, overall providing a remarkably large magnetic:non-magnetic elemental weight ratio. The resulting magnetocaloric effect per unit volume is decidedly superior in Gd(HCOO)3 than in the best known magnetic refrigerant materials for liquid-helium temperatures and low-moderate applied fields.

Isolation and characterization of a uranium(VI)-nitride triple bond.

The nature and extent of covalency in uranium bonding is still unclear compared with that of transition metals, and there is great interest in studying uranium-ligand multiple bonds. Although U=O and U=NR double bonds (where R is an alkyl group) are well-known analogues to transition-metal oxo and imido complexes, the uranium(VI)-nitride triple bond has long remained a synthetic target in actinide chemistry. Here, we report the preparation of a uranium(VI)-nitride triple bond.

Magnetic cooling at a single molecule level: a spectroscopic investigation of isolated molecules on a surface.

A sub-monolayer distribution of isolated molecular Fe14 (bta)6 nanomagnets is deposited intact on a Au(111) surface and investigated by X-ray magnetic circular dichroism spectroscopy. The entropy variation with respect to the applied magnetic field is extracted from the magnetization curves and evidences high magnetocaloric values at the single molecule level.

The nature of the U=C double bond: pushing the stability of high-oxidation-state uranium carbenes to the limit.

Treatment of [K(BIPM(Mes)H)] (BIPM(Mes)={C(PPh2NMes)2}(2−); Mes=C6H2-2,4,6-Me3) with [UCl4(thf)3] (1 equiv) afforded [U(BIPM(Mes)H)(Cl)3(thf)] (1), which generated [U(BIPM(Mes))(Cl)2(thf)2] (2), following treatment with benzyl potassium. Attempts to oxidise 2 resulted in intractable mixtures, ligand scrambling to give [U(BIPM(Mes))2] or the formation of [U(BIPM(Mes)H)(O)2(Cl)(thf)] (3). The complex [U(BIPM(Dipp))(μ-Cl)4(Li)2(OEt2)(tmeda)] (4) (BIPM(Dipp)={C(PPh2NDipp)2}(2−); Dipp=C6H3-2,6-iPr2; tmeda=N,N,N′,N′-tetramethylethylenediamine) was prepared from [Li2(BIPM(Dipp))(tmeda)] and [UCl4(thf)3] and, following reflux in toluene, could be isolated as [U(BIPM(Dipp))(Cl)2(thf)2] (5).

Molecular amino-phosphonate cobalt-lanthanide clusters.

The use of 1-amino-1-cyclohexyl phosphonic acid, a functionalised phosphonate, leads to the synthesis of two new structural types for 3d-4f phosphonate cages with unusual structural cores and which show high magnetocaloric effects.

A triamido-uranium(V) inverse-sandwich 10π-toluene tetraanion arene complex.

Reduction of [U(Ts(Tol))(Cl)(μ-Cl)U(Ts(Tol))(THF)2] [2, Ts(Tol) = HC(SiMe2NAr')3; Ar' = 4-MeC6H4)] with KC8 in toluene afforded the new arene-bridged diuranium complex [{U(Ts(Tol))}2(μ-η(6):η(6)-C6H5Me)] (3); combined structural, spectroscopic, magnetic, and computational analyses unambiguously confirm that the uranium centres in 3 are in the +5 oxidation state and the toluene is a 10π-tetraanion.

The Incidence of Lymphoplasmacytic Gastritis in the Fundus and Antrum of Cynomolgus Monkey ( Macaca fascicularis ) Stomachs.

Lymphoplasmacytic gastritis is a concern for toxicological pathologists reading preclinical, non-human primate toxicity studies because subtle gastric changes which could be treatment-related may be masked and gastritis lesions may be confused with treatment-related effects and thus a gastric finding may be incorrectly assigned as a treatment-related lesion. This paper discusses the incidence of lymphoplasmacytic gastritis in cynomolgus monkeys at a contract research organization. The incidence of lymphoplasmacytic gastritis in the fundus and antrum of control cynomolgus monkeys on 18 non-gastric compound studies, was scored.

Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ.

Background: The syntheses of multiple qualitative studies can pull together data across different contexts, generate new theoretical or conceptual models, identify research gaps, and provide evidence for the development, implementation and evaluation of health interventions. This study aims to develop a framework for reporting the synthesis of qualitative health research.

Methods: We conducted a comprehensive search for guidance and reviews relevant to the synthesis of qualitative research, methodology papers, and published syntheses of qualitative health research in MEDLINE, Embase, CINAHL and relevant organisational websites to May 2011.

Peri-operative nurses' knowledge and reported practice of pressure injury risk assessment and prevention: A before-after intervention study.

Background: Patients are at risk of developing pressure injuries in the peri-operative setting. Studies evaluating the impact of educational interventions on peri-operative nurses' knowledge and reported practice are scarce. The purpose of this study was to evaluate the effect of a multifaceted intervention on peri-operative nurses' (a) knowledge of pressure injury risks, risk assessment and prevention strategies for patients in the operating suite; and (b) reported practice relating to risk assessment practices and implementation of prevention strategies for patients in the operating suite.

A classification of spin frustration in molecular magnets from a physical study of large odd-numbered-metal, odd electron rings.

The term "frustration" in the context of magnetism was originally used by P. W. Anderson and quickly adopted for application to the description of spin glasses and later to very special lattice types, such as the kagomé.

A self-assembled Cu(II)4 [2 × 2] grid with organic radicals.

A novel multitopic, two-pocket ligand HL(nit), containing the nitronyl nitroxide radical, has been designed for a self-assembled [2 × 2] grid system. HL(nit) is not stable in methanol and slowly undergoes a disproportionation, during which the nitronyl nitroxide radical converts to the diamagnetic amidino oxide. In situ reaction of HL(nit) with Cu(BF(4))(2) in methanol depending on the reaction time affords self-assembled [2 × 2] grids (L(nit))(2)(L)(2)Cu(II)(4)(BF(4))(4)·CH(3)OH (1) or (L(nit))(0.