Use of a standardized asthma severity score to determine emergency department disposition for paediatric asthma: A cohort study.

Background: We recently introduced a clinical practice pathway for the management of asthma that uses the Pediatric Respiratory Assessment Measure (PRAM) to guide emergency department (ED) treatment and disposition. The pathway recommends discharge for patients who achieve improvement to PRAM <4 at 1 hour after the last bronchodilator. We evaluated practice variation and patient outcomes associated with PRAM-directed disposition recommendations.

Columnar organization of head-to-tail self-assembled Pt4 rings.

Coordination of Pt(2+) to a family of tunable Schiff base proligands directs the 12-component self-assembly of disk-shaped Pt(4) rings in a head-to-tail fashion. Aggregation of these S(4) symmetric Pt(4) macrocycles into columnar architectures was investigated by dynamic and static light scattering, NMR spectroscopy, powder X-ray diffraction, and transmission electron microscopy. Data from these experiments support the formation of columnar architectures for all of the structures studied except when bulky tris(4-tert-butylphenyl)methyl substituents were present.

Redox reactions between phosphines (R3P; R = nBu, Ph) or carbene (iPr2IM) and chalcogen tetrahalides ChX4 (iPr2IM = 2,5-diisopropylimidazole-2-ylidene; Ch = Se, Te; X = Cl, Br).

The reactions between chalcogen tetrahalides (ChX(4); Ch = Se, Te; X = Cl, Br) and the neutral donors (n)Bu(3)P, Ph(3)P, or the N-heterocyclic carbene, 2,5-diisopropylimidazole-2-ylidene ((i)Pr(2)IM), have been investigated. In cases involving a phosphine, the chemistry can be understood in terms of a succession of two-electron redox reactions, resulting in reduction of the chalcogen center (e.g.