RESUMEN
The remediation of dye pollutants remains a concern in contemporary water management practices. Hence, the need for efficient and cost-effective techniques for dye removal from wastewater. In this study, the epicarp of Raphia hookeri fruits was treated with orthophosphoric acid for enhanced porosity and efficiency in the uptake of Indigo carmine dye (ICD). Treated Raphia hookeri fruit waste (RHPW) presented morphologically distributed pores as well as high porosity with Branneur-Emmet-Teller (BET) surface area of 945.43 m2/g. RHPW displayed functional groups suitable for adsorption. The maximum ICD uptake was observed at pH 5 while the maximum uptake (qmax) was 20.41 mg/g in the concentration range of 2-10 mg/L. Freundlich isotherm and Pseudo-second order kinetics well-described equilibrium and kinetics data respectively. This indicated a multilayered adsorption. The Dubinin-Radushkecich model energy value was 40.82 kJ/mol, indicating chemical adsorption. The ridge regression, the Lasso and the Elastic net statistical models were used to establish a positive relationship between the various adsorption operational parameters studied. Lasso provided the best result based on the estimated mean squared error. The RHPW-ICD adsorption system was more favorable at room temperature, as the removal efficiency decreased with temperature rise. The findings established Raphia hookeri fruit epicarp as an economical and sustainable precursor for the preparation of potent adsorbent for Indigo carmine dye removal. This can find possible application in wastewater treatment.
RESUMEN
In order to focus on and improve key aspects of patient satisfaction in its behavioral health programs, Catholic Health East (CHE) enhanced its measurement methodology. In an effort to be consistent with the federal government's movement from measuring patient advocacy programs to measuring patients' perceptions, CHE transitioned to behavior-based questions. These questions give clear targets for program goals and initiatives by objectively measuring whether certain events and desired staff behaviors occurred during treatment, rather than subjectively ranking attributes of institution-defined service. Through this change in approach, CHE may better align its care and services with patients' wants and needs, as illustrated by four case examples.
Asunto(s)
Medicina de la Conducta , Encuestas de Atención de la Salud/métodos , Satisfacción del Paciente , Humanos , Sistemas Multiinstitucionales , Estudios de Casos Organizacionales , Estados UnidosRESUMEN
This article describes a knowledge-transfer process developed by Catholic Health East (CHE), headquartered in Newtown Square, PA, and focuses on improving resident safety in the skilled nursing or long-term care setting. How the health system customized and implemented an electronic medical event database to identify opportunities for improvement to prevent future occurrences of adverse events is outlined. The database customization and subsequent discussion of results is conducted under the auspices of CHE's quality and patient safety department in collaboration with 18 of CHE's long-term care facilities.
Asunto(s)
Cuidados a Largo Plazo/normas , Errores Médicos/prevención & control , Gestión de Riesgos , Instituciones de Cuidados Especializados de Enfermería/normas , Gestión de la Calidad Total/métodos , Prevención de Accidentes , Algoritmos , Benchmarking , Catolicismo , Humanos , Errores Médicos/clasificación , Sistemas Multiinstitucionales/normas , Cultura Organizacional , PennsylvaniaAsunto(s)
Continuidad de la Atención al Paciente/normas , Cuidados a Largo Plazo/normas , Satisfacción del Paciente , Comunicación , Conflicto Psicológico , Continuidad de la Atención al Paciente/organización & administración , Control de Formularios y Registros , Encuestas de Atención de la Salud , Humanos , Cuidados a Largo Plazo/organización & administración , Negociación , Política Organizacional , Pennsylvania , Rol del MédicoRESUMEN
The National Institute of Justice (NIJ) and the National Aeronautics and Space Administration's (NASAs) Goddard Space Flight Center (GSFC) have teamed up to explore the use of NASA developed technologies to help criminal justice agencies and professionals solve crimes. The objective of the program is to produce instruments and communication networks that have application within both NASA's space program and NIJ programs with state and local forensic laboratories. A working group of NASA scientists and law enforcement professionals has been established to develop and implement a feasibility demonstration program. Specifically, the group has focused its efforts on identifying gunpowder and primer residue, blood, and semen at crime scenes. Non-destructive elemental composition identification methods are carried out using portable X-ray fluorescence (XRF) systems. These systems are similar to those being developed for planetary exploration programs. A breadboard model of a portable XRF system has been constructed for these tests using room temperature silicon and cadmium-zinc telluride (CZT) detectors. Preliminary tests have been completed with gunshot residue (GSR), blood-spatter and semen samples. Many of the element composition lines have been identified. Studies to determine the minimum detectable limits needed for the analyses of GSR, blood and semen in the crime scene environment have been initiated and preliminary results obtained. Furthermore, a database made up of the inorganic composition of GSR is being developed. Using data obtained from the open literature of the elemental composition of barium (Ba) and antimony (Sb) in handswipes of GSR, we believe that there may be a unique GSR signature based on the Sb to Ba ratio.