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1.
Faraday Discuss ; 244(0): 391-410, 2023 Aug 11.
Artigo em Inglês | MEDLINE | ID: mdl-37415486

RESUMO

The study aims to understand the role of the transient bonding in the interplay between the structural and electronic changes in heteroleptic Cu(I) diimine diphosphine complexes. This is an emerging class of photosensitisers which absorb in the red region of the spectrum, whilst retaining a sufficiently long excited state lifetime. Here, the dynamics of these complexes are explored by transient absorption (TA) and time-resolved infrared (TRIR) spectroscopy, which reveal ultrafast intersystem crossing and structural distortion occurring. Two potential mechanisms affecting excited state decay in these complexes involve a transient formation of a solvent adduct, made possible by the opening up of the Cu coordination centre in the excited state due to structural distortion, and by a transient coordination of the O-atom of the phosphine ligand to the copper center. X-ray absorption studies of the ground electronic state have been conducted as a prerequisite for the upcoming X-ray spectroscopy studies which will directly determine structural dynamics. The potential for these complexes to be used in bimolecular applications is confirmed by a significant yield of singlet oxygen production.

2.
J Synchrotron Radiat ; 28(Pt 6): 1985-1995, 2021 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-34738954

RESUMO

The Dual Imaging and Diffraction (DIAD) beamline at Diamond Light Source is a new dual-beam instrument for full-field imaging/tomography and powder diffraction. This instrument provides the user community with the capability to dynamically image 2D and 3D complex structures and perform phase identification and/or strain mapping using micro-diffraction. The aim is to enable in situ and in operando experiments that require spatially correlated results from both techniques, by providing measurements from the same specimen location quasi-simultaneously. Using an unusual optical layout, DIAD has two independent beams originating from one source that operate in the medium energy range (7-38 keV) and are combined at one sample position. Here, either radiography or tomography can be performed using monochromatic or pink beam, with a 1.4 mm × 1.2 mm field of view and a feature resolution of 1.2 µm. Micro-diffraction is possible with a variable beam size between 13 µm × 4 µm and 50 µm × 50 µm. One key functionality of the beamline is image-guided diffraction, a setup in which the micro-diffraction beam can be scanned over the complete area of the imaging field-of-view. This moving beam setup enables the collection of location-specific information about the phase composition and/or strains at any given position within the image/tomography field of view. The dual beam design allows fast switching between imaging and diffraction mode without the need of complicated and time-consuming mode switches. Real-time selection of areas of interest for diffraction measurements as well as the simultaneous collection of both imaging and diffraction data of (irreversible) in situ and in operando experiments are possible.

3.
J Am Chem Soc ; 141(29): 11471-11480, 2019 Jul 24.
Artigo em Inglês | MEDLINE | ID: mdl-31306004

RESUMO

Complexes with weakly coordinating ligands are often formed in chemical reactions and can play key roles in determining the reactivity, particularly in catalytic reactions. Using time-resolved X-ray absorption fine structure (XAFS) spectroscopy in combination with time-resolved IR (TRIR) spectroscopy and tungsten hexacarbonyl, W(CO)6, we are able to structurally characterize the formation of an organometallic alkane complex, determine the W-C distances, and monitor the reactivity with silane to form an organometallic silane complex. Experiments in perfluorosolvents doped with xenon afford initially the corresponding solvated complex, which is sufficiently reactive in the presence of Xe that we can then observe the coordination of Xe to the metal center, providing a unique insight into the metal-xenon bonding. These results offer a step toward elucidating the structure, bonding, and chemical reactivity of transient species by X-ray absorption spectroscopy, which has sensitivity to small structural changes. The XAFS results indicate that the bond lengths of metal-alkane (W-H-C) bond in W(CO)5(heptane) as 3.07 (±0.06) Å, which is longer than the calculated W-C (2.86 Å) for binding of the primary C-H, but shorter than the calculated W-C (3.12 Å) for the secondary C-H. A statistical average of the calculated W-C alkane bond lengths is 3.02 Å, and comparison of this value indicates that the value derived from the XAFS measurements is averaged over coordination of all C-H bonds consistent with alkane chain walking. Photolysis of W(CO)6 in the presence of HSiBu3 allows the conversion of W(CO)5(heptane) to W(CO)5(HSiBu3) with an estimated W-Si distance of 3.20 (±0.03) Å. Time-resolved TRIR and XAFS experiments following photolysis of W(CO)6 in perfluoromethylcyclohexane (PFMCH) allows the characterization of W(CO)5(PFMCH) with a W-F distance of 2.65 (±0.06) Å, and doping PFMCH with Xe allows the characterization of W(CO)5Xe with a W-Xe bond length of 3.10 (±0.02) Å.

4.
Chemphyschem ; 15(14): 3049-59, 2014 Oct 06.
Artigo em Inglês | MEDLINE | ID: mdl-25044889

RESUMO

The effects of ceria and zirconia on the structure-function properties of supported rhodium catalysts (1.6 and 4 wt % Rh/γ-Al2O3) during CO exposure are described. Ceria and zirconia are introduced through two preparation methods: 1) ceria is deposited on γ-Al2O3 from [Ce(acac)3] and rhodium metal is subsequently added, and 2) through the controlled surface modification (CSM) technique, which involves the decomposition of [M(acac)x] (M=Ce, x=3; M=Zr, x=4) on Rh/γ-Al2O3. The structure-function correlations of ceria and/or zirconia-doped rhodium catalysts are investigated by diffuse reflectance infrared Fourier-transform spectroscopy/energy-dispersive extended X-ray absorption spectroscopy/mass spectrometry (DRIFTS/EDE/MS) under time-resolved, in situ conditions. CeOx and ZrO2 facilitate the protection of Rh particles against extensive oxidation in air and CO. Larger Rh core particles of ceriated and zirconiated Rh catalysts prepared by CSM are observed and compared with Rh/γ-Al2O3 samples, whereas supported Rh particles are easily disrupted by CO forming mononuclear Rh geminal dicarbonyl species. DRIFTS results indicate that, through the interaction of CO with ceriated Rh particles, a significantly larger amount of linear CO species form; this suggests the predominance of a metallic Rh phase.

5.
Chemphyschem ; 14(15): 3606-17, 2013 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-23943563

RESUMO

The effects of the addition of ceria and zirconia on the structural properties of supported rhodium catalysts (1.6 and 4 wt % Rh/γ-Al2O3) are studied. Ceria and zirconia are deposited by using two preparation methods. Method I involves the deposition of ceria on γ-Al2O3 from Ce(acac)3, and the rhodium metal is subsequently added, whereas method II is based on a controlled surface reaction technique, that is, the decomposition of metal-organic M(acac)x (in which M=Ce, x=3 and M=Zr, x=4) on Rh/γ-Al2O3. The structures of the prepared catalyst materials are characterized ex situ by using N2 physisorption, transmission electron microscopy, high-angle annular dark-field scanning transmission election microscopy, energy-dispersive X-ray spectroscopy, X-ray photoelectron spectroscopy (XPS), and X-ray absorption fine structure spectroscopy (XAFS). All supported rhodium systems readily oxidize in air at room temperature. By using ceriated and zirconiated precursors, a larger rhodium-based metallic core fraction is obtained in comparison to the undoped rhodium catalysts, suggesting that ceria and zirconia protect the rhodium particles against extensive oxidation. XPS results indicate that after the calcination and reduction treatments, a small amount of chlorine is retained on the support of all rhodium catalysts. EXAFS analysis shows significant Rh-Cl interactions for Rh/Al2O3 and Rh/CeOx /Al2O3 (method I) catalysts. After reaction with H2/He in situ, for series of samples with 1.6 wt % Rh, the EXAFS first shell analysis affords a mean size of approximately 30 atoms. A broader spread is evident with a 4 wt % rhodium loading (ca. 30-110 atoms), with the incorporation of zirconium providing the largest particle sizes.

6.
Inorg Chem ; 52(14): 8171-82, 2013 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-23815225

RESUMO

Mixed-metal iron-vanadium analogues of the 1,4-benzenedicarboxylate (BDC) metal-organic framework MIL-53 have been synthesized solvothermally in N,N'-dimethylformamide (DMF) from metal chlorides using initial Fe:V ratios of 2:1 and 1:1. At 200 °C and short reaction time (1 h), materials (Fe,V)(II/III)BDC(DMF(1-x)F(x)) crystallize directly, whereas the use of longer reaction times (3 days) at 170 °C yields phases of composition [(Fe,V)(III)0.5(Fe,V)0.5(II)(BDC)(OH,F)](0.5-)·0.5DMA(+) (DMA = dimethylammonium). The identity of the materials is confirmed using high-resolution powder X-ray diffraction, with refined unit cell parameters compared to known pure iron analogues of the same phases. The oxidation states of iron and vanadium in all samples are verified using X-ray absorption near edge structure (XANES) spectroscopy at the metal K-edges. This shows that in the two sets of materials each of the vanadium and the iron centers are present in both +2 and +3 oxidation states. The local environment and oxidation state of iron is confirmed by (57)Fe Mössbauer spectrometry. Infrared and Raman spectroscopies as a function of temperature allowed the conditions for removal of extra-framework species to be identified, and the evolution of µ2-hydroxyls to be monitored. Thus calcination of the mixed-valent, mixed-metal phases [(Fe,V)(III)0.5(Fe,V)0.5(II)(BDC)(OH,F)](0.5-)·0.5DMA(+) yields single-phase MIL-53-type materials, (Fe,V)(III)(BDC)(OH,F). The iron-rich, mixed-metal MIL-53 shows structural flexibility that is distinct from either the pure Fe material or the pure V material, with a thermally induced pore opening upon heating that is reversible upon cooling. In contrast, the material with a Fe:V content of 1:1 shows an irreversible expansion upon heating, akin to the pure vanadium analogue, suggesting the presence of some domains of vanadium-rich regions that can be permanently oxidized to V(IV).

7.
Sci Total Environ ; 838(Pt 1): 155908, 2022 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-35588849

RESUMO

Critical to identifying the risk of environmentally driven disease is an understanding of the cumulative impact of environmental conditions on human health. Here we describe the methodology used to develop an environmental burden index (EBI). The EBI is calculated at U.S. census tract level, a finer scale than many similar national-level tools. EBI scores are also stratified by tract land cover type as per the National Land Cover Database (NLCD), controlling for urbanicity. The EBI was developed over the course of four stages: 1) literature review to identify potential indicators, 2) data source acquisition and indicator variable construction, 3) index creation, and 4) stratification by land cover type. For each potential indicator, data sources were assessed for completeness, update frequency, and availability. These indicators were: (1) particulate matter (PM2.5), (2) ozone, (3) Superfund National Priority List (NPL) locations, (4) Toxics Release Inventory (TRI) facilities, (5) Treatment, Storage, and Disposal (TSD) facilities, (6) recreational parks, (7) railways, (8) highways, (9) airports, and (10) impaired water sources. Indicators were statistically normalized and checked for collinearity. For each indicator, we computed and summed percentile ranking scores to create an overall ranking for each tract. Tracts having the same plurality of land cover type form a 'peer' group. We re-ranked the tracts into percentiles within each peer group for each indicator. The percentile scores were combined for each tract to obtain a stratified EBI. A higher score reveals a tract with increased environmental burden relative to other tracts of the same peer group. We compared our results to those of related indices, finding good convergent validity between the overall EBI and CalEnviroScreen 4.0. The EBI has many potential applications for research and use as a tool to develop public health interventions at a granular scale.


Assuntos
Ozônio , Material Particulado , Humanos , Material Particulado/análise , Estados Unidos
8.
J Community Health ; 36(4): 675-83, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21267639

RESUMO

To a great extent, research on geographic accessibility to mammography facilities has focused on urban-rural differences. Spatial accessibility within urban areas can nonetheless pose a challenge, especially for minorities and low-income urban residents who are more likely to depend on public transportation. To examine spatial and temporal accessibility to mammography facilities in the Atlanta metropolitan area by public and private transportation, we built a multimodal transportation network model including bus and rail routes, bus and rail stops, transfers, walk times, and wait times. Our analysis of travel times from the population-weighted centroids of the 282 census tracts in the 2-county area to the nearest facility found that the median public transportation time was almost 51 minutes. We further examined public transportation travel times by levels of household access to a private vehicle. Residents in tracts with the lowest household access to a private vehicle had the shortest travel times, suggesting that facilities were favorably located for women who have to use public transportation. However, census tracts with majority non-Hispanic black populations had the longest travel times for all levels of vehicle availability. Time to the nearest mammography facility would not pose a barrier to women who had access to a private vehicle. This study adds to the literature demonstrating differences in spatial accessibility to health services by race/ethnicity and socioeconomic characteristics. Ameliorating spatial inaccessibility represents an opportunity for intervention that operates at the population level.


Assuntos
Instituições de Assistência Ambulatorial/organização & administração , Neoplasias da Mama/prevenção & controle , Acessibilidade aos Serviços de Saúde/estatística & dados numéricos , Programas de Rastreamento/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Meios de Transporte/estatística & dados numéricos , Adulto , Neoplasias da Mama/diagnóstico , Neoplasias da Mama/etnologia , Etnicidade/estatística & dados numéricos , Feminino , Georgia , Humanos , Mamografia/estatística & dados numéricos , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Características de Residência , Fatores de Tempo , População Urbana/estatística & dados numéricos , Saúde da Mulher
9.
Stud Health Technol Inform ; 164: 82-8, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21335692

RESUMO

BACKGROUND: New data management models are emerging in multi-center clinical studies. We evaluated the incremental costs associated with decentralized vs. centralized models. METHODS: We developed clinical research network economic models to evaluate three data management models: centralized, decentralized with local software, and decentralized with shared database. Descriptive information from three clinical research studies served as inputs for these models. MAIN OUTCOME MEASURES: The primary outcome was total data management costs. Secondary outcomes included: data management costs for sites, local data centers, and central coordinating centers. RESULTS: Both decentralized models were more costly than the centralized model for each clinical research study: the decentralized with local software model was the most expensive. Decreasing the number of local data centers and case book pages reduced cost differentials between models. CONCLUSION: Decentralized vs. centralized data management in multi-center clinical research studies is associated with increases in data management costs.


Assuntos
Sistemas de Informação Hospitalar/economia , Sistemas de Informação Hospitalar/organização & administração , Gestão da Informação/organização & administração , Modelos Organizacionais , Custos e Análise de Custo/métodos
10.
J Phys Condens Matter ; 33(48)2021 Sep 22.
Artigo em Inglês | MEDLINE | ID: mdl-34479225

RESUMO

Small angle x-ray scattering and x-ray absorption fine structure are two techniques that have been employed at synchrotron sources ever since their inception. Over the course of the development of the techniques, the introduction of sample environments for added value experiments has grown dramatically. This article reviews past successes, current developments and an exploration of future possibilities for these two x-ray techniques with an emphasis on the developments in the United Kingdom between 1980-2020.

11.
J Phys Condens Matter ; 33(26)2021 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-33902025

RESUMO

Use ofin situcombined x-ray diffraction and x-ray absorption spectroscopy for the study of the thermal decomposition of zinc peroxide to zinc oxide is reported here. Comparison of data extracted from both x-ray diffraction (XRD) and x-ray absorption spectroscopy (XAS) with thermo gravimetric analysis (TGA) enabled us to follow the nature of the conversion of ZnO2to ZnO. A temperature range between 230 °C and 350 °C appears to show that a very poorly crystalline ZnO is formed prior to the formation of an ordered ZnO material. Both the decrease in white line intensity in the Zn K-edge XANES and resulting lower coordination numbers estimated from analysis of the Zn K-edge data of ZnO heated at 500 °C, in comparison to bulk ZnO, suggest that the ZnO produced by this method has significant defects in the system.

13.
Aust Health Rev ; 34(4): 458-66, 2010 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21108908

RESUMO

OBJECTIVES: To explore and compare beliefs about healthcare and treatment of four ethnic groups attending a Melbourne emergency department (ED), and the corresponding perceptions held by emergency clinicians. METHOD: Prospective survey of ED doctors and patients from Greek, Italian, Vietnamese and Anglo-Saxon backgrounds. RESULTS: Vietnamese patients were least likely to believe their ethnic group received the best available care but less likely to believe in the existence of ethnic healthcare disparities. They were most likely to have an ethnically concordant GP and preferred most strongly to raise sensitive issues with an ethnically concordant doctor. Anglo-Saxon patients placed less importance on family support and older Anglo-Saxons were less likely than other groups to turn to God for comfort. Doctors perceived the existence of ethnic healthcare disparity, which was not perceived by the ethnic groups themselves. They underestimated the extent of patient-perceived disease control, external supports for coping, or use of complementary practitioners. Doctors overestimated patient perceived importance of doctor-patient ethnic concordance for Anglo-Saxons but underestimated the importance this has for Vietnamese patients. They also underestimated importance of clinician-demonstrated cultural understanding. CONCLUSIONS: Beliefs about healthcare and treatment differ across the four major ethnic groups attending a Melbourne ED. Doctors' misperceptions of patients' beliefs suggest that cultural competence amongst ED doctors could be improved.


Assuntos
Atitude do Pessoal de Saúde , Atitude Frente a Saúde/etnologia , Competência Cultural , Disparidades em Assistência à Saúde/etnologia , Adulto , Comparação Transcultural , Serviço Hospitalar de Emergência , Grécia/etnologia , Pesquisas sobre Atenção à Saúde , Humanos , Itália/etnologia , Reino Unido/etnologia , Vitória , Vietnã/etnologia
14.
ACS Omega ; 5(23): 13664-13671, 2020 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-32566831

RESUMO

The formation of silver and Au@Ag core@shell nanoparticles via reduction of AgNO3 by trisodium citrate was followed using in situ X-ray absorption near-edge structure (XANES) spectroscopy and time-resolved UV-visible (UV-vis) spectroscopy. The XANES data were analyzed through linear combination fitting, and the reaction kinetics were found to be consistent with first-order behavior with respect to silver cations. For the Au@Ag nanoparticles, the UV-vis data of a lab-scale reaction showed a gradual shift in dominance between the gold- and silver-localized surface plasmon absorbance bands. Notably, throughout much of the reaction, distinct gold and silver contributions to the UV-vis spectra were observed; however, in the final product, the contributions were not distinct.

15.
J Synchrotron Radiat ; 16(Pt 6): 818-24, 2009 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-19844019

RESUMO

The design and performance of the microfocus spectroscopy beamline at the Diamond Light Source are described. The beamline is based on a 27 mm-period undulator to give an operable energy range between 2 and 20.7 keV, enabling it to cover the K-edges of the elements from P to Mo and the L(3)-edges from Sr to Pu. Micro-X-ray fluorescence, micro-EXAFS and micro-X-ray diffraction have all been achieved on the beamline with a spot size of approximately 3 microm. The principal optical elements of the beamline consist of a toroid mirror, a liquid-nitrogen-cooled double-crystal monochromator and a pair of bimorph Kirkpatrick-Baez mirrors. The performance of the optics is compared with theoretical values and a few of the early experimental results are summarized.


Assuntos
Próteses e Implantes/efeitos adversos , Síncrotrons/instrumentação , Titânio/efeitos adversos , Espectroscopia por Absorção de Raios X/métodos , Corrosão , Humanos
16.
Aust Health Rev ; 33(1): 136-43, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19203343

RESUMO

An analytical, cross-sectional survey of 270 emergency department patients and 92 staff undertaken in three tertiary referral hospital emergency departments was completed to compare the perceptions of patients and staff regarding the use of health smart cards containing patient medical records. The study recorded data on a range of health smart card issues including awareness, privacy, confidentiality, security, advantages and disadvantages, and willingness to use. A significantly higher proportion of staff had heard of the card. The perceived disadvantages reported by patients and staff were, overall, significantly different, with the staff reporting more disadvantages. A significantly higher proportion of patients believed that they should choose what information is on the card and who should have access to the information. Patients were more conservative regarding what information should be included, but staff were more conservative regarding who should have access to the information. Significantly fewer staff believed that patients could reliably handle the cards. Overall, however, the cards were considered acceptable and useful, and their introduction would be supported.


Assuntos
Atitude do Pessoal de Saúde , Sistemas Computadorizados de Registros Médicos/instrumentação , Corpo Clínico Hospitalar , Sistemas de Identificação de Pacientes , Satisfação do Paciente , Austrália , Estudos Transversais , Feminino , Humanos , Armazenamento e Recuperação da Informação , Masculino , Pessoa de Meia-Idade , Miniaturização
17.
Artigo em Inglês | MEDLINE | ID: mdl-31083298

RESUMO

African Americans, other minorities and underserved populations are consistently under- represented in clinical trials. Such underrepresentation results in a gap in the evidence base, and health disparities. The ABC Cardiovascular Implementation Study (CVIS) is a comprehensive prospective cohort registry that integrates social determinants of health. ABC CVIS uses real world clinical practice data to address critical gaps in care by facilitating robust participation of African Americans and other minorities in clinical trials. ABC CVIS will include diverse patients from collaborating ABC member private practices, as well as patients from academic health centers and Federally Qualified Health Centers (FQHCs). This paper describes the rationale and design of the ABC CVIS Registry. The registry will: (1) prospectively collect socio-demographic, clinical and biospecimen data from enrolled adults, adolescents and children with prioritized cardiovascular diseases; (2) Evaluate the safety and clinical outcomes of new therapeutic agents, including post marketing surveillance and pharmacovigilance; (3) Support National Institutes of Health (NIH) and industry sponsored research; (4) Support Quality Measures standards from the Center for Medicare and Medicaid Services (CMS) and Commercial Health Plans. The registry will utilize novel data and technology tools to facilitate mobile health technology application programming interface (API) to health system or practice electronic health records (EHR). Long term, CVIS will become the most comprehensive patient registry for underserved diverse patients with cardiovascular disease (CVD) and co morbid conditions, providing real world data to address health disparities. At least 10,000 patients will be enrolled from 50 sites across the United States.


Assuntos
Negro ou Afro-Americano/estatística & dados numéricos , Determinantes Sociais da Saúde/estatística & dados numéricos , Populações Vulneráveis/estatística & dados numéricos , Georgia , Humanos , Estudos Prospectivos , Sistema de Registros
18.
Ethn Dis ; 29(Suppl 1): 135-144, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30906162

RESUMO

The Research Centers in Minority Institutions (RCMI) program was established by the US Congress to support the development of biomedical research infrastructure at minority-serving institutions granting doctoral degrees in the health professions or in a health-related science. RCMI institutions also conduct research on diseases that disproportionately affect racial and ethnic minorities (ie, African Americans/Blacks, American Indians and Alaska Natives, Hispanics, Native Hawaiians and Other Pacific Islanders), those of low socioeconomic status, and rural persons. Quantitative metrics, including the numbers of doctoral science degrees granted to underrepresented students, NIH peer-reviewed research funding, peer-reviewed publications, and numbers of racial and ethnic minorities participating in sponsored research, demonstrate that RCMI grantee institutions have made substantial progress toward the intent of the Congressional legislation, as well as the NIH/NIMHD-linked goals of addressing workforce diversity and health disparities. Despite this progress, nationally, many challenges remain, including persistent disparities in research and career development awards to minority investigators. The continuing underrepresentation of minority investigators in NIH-sponsored research across multiple disease areas is of concern, in the face of unrelenting national health inequities. With the collaborative network support by the RCMI Translational Research Network (RTRN), the RCMI community is uniquely positioned to address these challenges through its community engagement and strategic partnerships with non-RCMI institutions. Funding agencies can play an important role by incentivizing such collaborations, and incorporating metrics for research funding that address underrepresented populations, workforce diversity and health equity.


Assuntos
Pesquisa Comportamental , Pesquisa Biomédica , Grupos Minoritários , Saúde das Minorias , Pesquisa Translacional Biomédica , Pesquisa Comportamental/métodos , Pesquisa Comportamental/organização & administração , Pesquisa Biomédica/métodos , Pesquisa Biomédica/organização & administração , Diversidade Cultural , Etnicidade/educação , Etnicidade/estatística & dados numéricos , Disparidades nos Níveis de Saúde , Humanos , Grupos Minoritários/educação , Grupos Minoritários/estatística & dados numéricos , Saúde das Minorias/educação , Saúde das Minorias/etnologia , Pesquisadores , Apoio à Pesquisa como Assunto , Pesquisa Translacional Biomédica/métodos , Pesquisa Translacional Biomédica/organização & administração , Estados Unidos , Recursos Humanos
19.
Prev Chronic Dis ; 5(3): A96, 2008 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-18558046

RESUMO

An Internet mapping application is being introduced in conjunction with the release of the second version of the Community Health Status Indicators (CHSI) Report. The CHSI Geographic Information Systems (GIS) Analyst is an easy-to-use Web-based mapping application that provides new opportunities for the visualization, exploration, and understanding of the indicators. Indicators can be mapped and compared visually to other areas, including peer counties and neighboring counties. The Web site is accessible from a link on the CHSI Report Web site or directly from an Internet Web browser. In this paper, we discuss the conceptualization and implementation of this public health mapping application.


Assuntos
Planejamento em Saúde Comunitária/métodos , Sistemas de Informação Geográfica , Indicadores Básicos de Saúde , Informática em Saúde Pública , Bases de Dados Factuais , Humanos , Internet , Análise de Pequenas Áreas , Estados Unidos
20.
Heart Lung Circ ; 17(4): 305-12, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18296118

RESUMO

BACKGROUND: Acute shortness of breath (SOB) is a common symptom and a potentially significant marker of cardiorespiratory disease. The subjective and unmeasurable nature of breathlessness can make its clinical evaluation difficult. This study aimed to investigate the convergent validity of a verbal 0-10 rating scale for SOB. METHODS: This prospective observational study used a convenience sample of patients presenting for cardiac stress tests. Objective and subjective breathlessness parameters were collected before, during and after stress test exercise. Objective measures included respiratory rate (RR), oxygen saturation (S(a)O2), heart rate (HR), systolic blood pressure (SBP) and the subjective breathlessness parameter was verbal dyspnea scores (VDS) for present dyspnea obtained using the SOB rating scale question, "On a scale from 0-10, how bad is your SOB, with zero being no SOB and ten the worst SOB you could ever imagine?" RESULTS: Within subjects, VDS correlated significantly with RR (mean r=0.95, CI: 0.93-0.97), HR (mean r=0.90, CI: 0.86-0.93) and SBP (mean r=0.95, CI: 0.93-0.97); p<0.05. Between subjects, correlations were significant at all time points for RR only (r=0.45-0.65, p<0.05), indicating high individual variability in dyspnea perception.. CONCLUSIONS: A verbal numerical rating scale is a valid measure of breathlessness and may provide useful insight into a prognostically significant symptom.


Assuntos
Dispneia/diagnóstico , Teste de Esforço/métodos , Tolerância ao Exercício/fisiologia , Índice de Gravidade de Doença , Adulto , Idoso , Idoso de 80 Anos ou mais , Dispneia/classificação , Humanos , Pessoa de Meia-Idade , Participação do Paciente , Estudos Prospectivos , Respiração
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