GPs' opinions of discharge summaries generated by advanced nurse practitioners in emergency care settings.

Aim: Clinical handover at the point of discharge is critically important. It generally occurs through a written document, usually in the form of a discharge summary. Hospital discharge summaries contribute to continuity of care for patients who leave hospital and who may require care in the community provided by their GP.

Insights into the Societal Risk of Nuclear Power Plant Accidents.

The elements of societal risk from a nuclear power plant accident are clearly illustrated by the Fukushima accident: land contamination, long-term relocation of large numbers of people, loss of productive farm area, loss of industrial production, and significant loss of electric capacity. NUREG-1150 and other studies have provided compelling evidence that the individual health risk of nuclear power plant accidents is effectively negligible relative to other comparable risks, even for people living in close proximity to a plant. The objective of this study is to compare the societal risk of nuclear power plant accidents to that of other events to which the public is exposed.

Polarization dependent high energy resolution X-ray absorption study of dicesium uranyl tetrachloride.

Dicesium uranyl tetrachloride (Cs2UO2Cl4) has been a model compound for experimental and theoretical studies of electronic structure of U(VI) in the form of UO2(2+) (uranyl ion) for decades. We have obtained angle-resolved electronic structure information for oriented Cs2UO2Cl4 crystal, specifically relative energies of 5f and 6d valence orbitals probed with extraordinary energy resolution by polarization dependent high energy resolution X-ray absorption near edge structure (PD-HR-XANES) and compare these with predictions from quantum chemical Amsterdam density functional theory (ADF) and ab initio real space multiple-scattering Green's function based FEFF codes. The obtained results have fundamental value but also demonstrate an experimental approach, which offers great potential to benchmark and drive improvement in theoretical calculations of electronic structures of actinide elements.

140 H/D isotopomers identified by long-range NMR hyperfine shifts in ruthenium(III) ammine complexes. Hyperconjugation in Ru-NH3 bonding.

(1)H NMR spectra of the paramagnetic cyanide-bridged mixed-valence compound [(η(5)-C5H5)Fe(CO)2(μ-CN)Ru(NH3)5](CF3SO3)3 (I) have been obtained in several solvents. When traces of partially deuterated water are present, instead of a single cyclopentadienyl (Cp) resonance shifted by the hyperfine interaction, numerous well-resolved resonances are observed. The spectra were simulated satisfactorily by giving the appropriate statistical weight to 140 possible H/D isotopomers formed by deuteration in the five ruthenium(III) ammine ligands.

Solvent and metal dependent (1)H NMR hyperfine shifts in paramagnetic pentaamminemetal cyanide-bridged mixed-valence complexes.

(1)H NMR resonances, in several aprotic solvents, are reported for axial and equatorial ammonias coordinated to a single spin paramagnetic centre in the Robin-Day Class II cyanide-bridged mixed-valence cations [(OC)(5)Cr(μ-CN)M(NH(3))(5)](2+) (M = Ru, Os) as well as in the complex [(OC)(5)Re(μ-CN)Ru(NH(3))(5)](3+), whose synthesis and properties are reported herein. Using the appropriate isotropic hexaammine complex as a reference, the chemical shift difference between the ammonia protons, δ(ax) - δ(eq), is found to be very sensitive to the paramagnetic metal (M), the remote diamagnetic metal (Cr or Re) and also to the donor properties of the solvent (as well as the counter-ion) as a result of hydrogen bonding interactions. The difference varies linearly with the MMCT energy, and in [(OC)(5)Re(μ-CN)Ru(NH(3))(5)](3+) can be tuned from positive (δ(ax) > δ(eq)) to negative (δ(ax) < δ(eq)) through zero (δ(ax) = δ(eq)) by the choice of solvent.