Activity

29, p = 0.020) were significant predictors of considering leaving. The direct effect of moral distress on considering leaving was not significant, but the indirect effects mediated by burnout (B = 0.32, 95% confidence interval [CI] [0.147-0.611]) and the hospital ethical climate (B = 0.19, 95% CI [0.085-0.382]) were significant.

The support of NICU nurses considering leaving should include preventing and resolving moral distress, managing burnout, and enriching the ethical climate of the hospital. check details This support may reduce psychological distress in NICU nurses and maintain or enhance the standard of care for sick newborns.

The support of NICU nurses considering leaving should include preventing and resolving moral distress, managing burnout, and enriching the ethical climate of the hospital. This support may reduce psychological distress in NICU nurses and maintain or enhance the standard of care for sick newborns.A calcium phosphate (CaP)-based scaffold used as synthetic bone grafts, which smartly combines precise dimensions, controlled porosity and therapeutic functions, presents benefits beyond those offered by conventional practices, although its fabrication is still a challenge. The sintering step normally required to improve the strength of the ceramic scaffolds precludes the addition of any biomolecules or functional particles before this stage. This study presents a proof of concept of multifunctional CaP-based scaffolds, fabricated by additive manufacturing from an innovative ink composition, with potential for bone regeneration, cancer treatment by local magnetic hyperthermia and drug delivery platforms. Highly loaded inks comprising iron-doped hydroxyapatite and β-tricalcium phosphate powders suspended in a chitosan-based solution, in the presence of levofloxacin (LEV) as model drug and magnetic nanoparticles (MNP), were developed. The sintering step was removed from the production process, and the integrity of the printed scaffolds was assured by the polymerization capacity of the ink composite, using genipin as a crosslinking agent. The effects of MNP and LEV on the inks’ rheological properties, as well as on the mechanical and structural behaviour of non-doped and iron-doped scaffolds, were evaluated. Magnetic and magneto-thermal response, drug delivery and biological performance, such as cell proliferation in the absence and presence of an applied magnetic field, were also assessed. The addition of a constant amount of MNP in the iron-doped and non-doped CaP-based inks enhances their magnetic response and induction heating, with these effects more pronounced for the iron-doped CaP-based ink. These results suggest a synergistic effect between the iron-doped CaP-based powders and the MNP due to ferro/ferrimagnetic interactions. Furthermore, the iron presence enhances human mesenchymal stem cell metabolic activity and proliferation.Water pollution abatement is a problem in today’s society that requires urgent attention. Moreover, photocatalysts are an effective method to treat environmental pollution, and SnO2/reduced graphene oxide composite photocatalysts have been extensively studied in recent years. The synthesis parameters for these photocatalysts significantly affect their morphologies, structures, and properties. In this study, we investigated the effects of annealing temperatures on the properties of SnO2/reduced graphene oxide nanocomposites, which were hydrothermally fabricated at 180 °C for 24 h and annealed at 200 °C-800 °C. The structural characteristics of the fabricated nanocomposites were studied via x-ray diffraction, field emission scanning electron microscopy, and Raman scattering analyses. The observed results indicated that increasing the annealing temperature from 200 °C to 800 °C increased the average SnO2 nanoparticle size from 4.60 nm to 9.27 nm; in addition, the Raman scattering peaks of the SnO2 increased, and those of the reduced graphene oxide significantly decreased as the annealing temperature was increased. Furthermore, the specific surface area of the samples decreased due to the increase in calcination temperature. The amount of reduced graphene oxide content in all the samples was measured using thermo-gravimetric analysis. The optical properties of the samples were studied using ltraviolet-visible absorption spectra, and their photocatalytic activity was evaluated by decomposing methylene blue under visible light using the samples as catalysts. In particular, the photocatalytic properties of nanocomposites decreased significantly with increasing annealing temperature. Among the samples, the photocatalytic activity of that annealed at 200 °C is most satisfactory as it has the smallest particle size and the largest specific surface area. The results of our research could facilitate the production of efficient catalysts with suitable properties.Randomness is common in biological and artificial systems, resulting either from stochasticity of the environment or noise in organisms or devices themselves. In locomotor control, randomness is typically considered a nuisance. For example, during dynamic walking, randomness in stochastic terrain leads to metastable dynamics, which must be mitigated to stabilize the system around limit cycles. Here, we studied whether randomness in motion is beneficial for strenuous locomotor tasks. Our study used robotic simulation modeling of strenuous, leg-assisted, winged ground self-righting observed in cockroaches, in which unusually large randomness in wing and leg motions is present. We developed a simplified simulation robot capable of generating similar self-righting behavior and varied the randomness level in wing-leg coordination. During each wing opening attempt, the more randomness added to the time delay between wing opening and leg swinging, the more likely it was for the naive robot (which did not know what coordination is best) to self-right within a finite time. Wing-leg coordination, measured by the phase between wing and leg oscillations, had a crucial impact on self-righting outcome. Without randomness, periodic wing and leg oscillations often limited the system to visit a few bad phases, leading to failure to escape from the metastable state. With randomness, the system explored phases thoroughly and had a better chance of encountering good phases to self-right. Our study complements previous work by demonstrating that randomness helps destabilize locomotor systems from being trapped in undesired metastable states, a situation common in strenuous locomotion.