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1.
The authors suggest that academic institutions build business-oriented policies and practices into the development of any nurse-run clinic to set the stage for financial independence when special or development funding ends. One university-affiliated program that provides 4,000 to 5,000 annual visits drastically changed its strategies when threatened with closure after free rent and other subsidies were withdrawn. The growing emphasis on ambulatory care roles for nurses at all levels makes such clinics critical to the success of the broad-based curricula of nursing education programs, as well as the clinic's value to communities they serve. Funding difficulties frequently threaten the existence of such nurse-run clinics once the initial grant funding is no longer available. This has caused a new emphasis on running such clinics in a business-wise manner. Among the strategies initiated were: direct full-pay at the time of service; a realistic business management plan; aggressive planned marketing; contracts and agreements with other agencies; obtaining provider status with selected HMOs. 相似文献
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Lorena Cuenca-Bermejo Elisa Pizzichini Valeria C. Gonalves María Guilln-Díaz Elena Aguilar-Moino Consuelo Snchez-Rodrigo Ana-María Gonzlez-Cuello Emiliano Fernndez-Villalba María Trinidad Herrero 《International journal of molecular sciences》2021,22(9)
The diurnal rodent Octodon degus (O. degus) is considered an attractive natural model for Alzheimer’s disease and other human age-related features. However, it has not been explored so far if the O. degus could be used as a model to study Parkinson’s disease. To test this idea, 10 adult male O. degus were divided into control group and MPTP-intoxicated animals. Motor condition and cognition were examined. Dopaminergic degeneration was studied in the ventral mesencephalon and in the striatum. Neuroinflammation was also evaluated in the ventral mesencephalon, in the striatum and in the dorsal hippocampus. MPTP animals showed significant alterations in motor activity and in visuospatial memory. Postmortem analysis revealed a significant decrease in the number of dopaminergic neurons in the ventral mesencephalon of MPTP animals, although no differences were found in their striatal terminals. We observed a significant increase in neuroinflammatory responses in the mesencephalon, in the striatum and in the hippocampus of MPTP-intoxicated animals. Additionally, changes in the subcellular expression of the calcium-binding protein S100β were found in the astrocytes in the nigrostriatal pathway. These findings prove for the first time that O. degus are sensitive to MPTP intoxication and, therefore, is a suitable model for experimental Parkinsonism in the context of aging. 相似文献
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Luis Fernando Crdoba Wolfgang M.H. Sachtler Consuelo Montes de Correa 《Applied catalysis. B, Environmental》2005,56(4):269-277
A series of sulfated zirconia supported Pd/Co catalysts was synthesized by the sol–gel method and examined for NOx reduction by methane. The NO conversion increased up to a Co/S ratio of 0.43, and then decreased at a higher Co loading (Co/S = 0.95). Sulfate content was also essential for obtaining high selectivity to molecular nitrogen. A catalyst loaded with 0.06 wt.% Pd, 2.1 wt.% Co and 2.1 wt.% S (Pd/Co-SZ-2) exhibited remarkable performance under lean conditions and displayed stability in a long-term durability test using a synthetic reaction mixture containing 10% water vapor. This catalyst exhibited the highest sulfur retention most probably as cobalt sulfide. Besides, the catalytic oxidation of NO to NOy groups was confirmed by FT-IR, in agreement with the general mechanism for the SCR of NO by hydrocarbons. In the absence of oxygen in the feed stream, the catalyst was highly active for NO reduction with methane. IR stretching bands assigned to N2O and adsorbed nitro groups were identified upon adsorbing NO on Pd/Co-SZ-2. This indicates that under rich conditions disproportionation of NO to N2O and NO2 occurs and confirms that the formation of NO2 species is an essential step for NO reduction by CH4. 相似文献
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Consuelo Montes de Correa H. Ai´da Luz Villa 《Applied catalysis. B, Environmental》1996,10(4):313-323
The effect of Pd-loading on Pd-NaZSM-5 and Pd-NaMordenite catalysts prepared by ion exchange was studied for methane combustion with excess oxygen (1% CH4, 18% O2, balance N2) in the temperature range 40–500°C. Fresh and calcined samples (3 h, 450°C) showed methane conversions proportional to Pd-loading on Pd-NaZSM-5 catalysts, while conversions decreased with Pd-loading on calcined Pd-NaMordenite catalysts. TOF (number of methane molecules converted per second per Pd2+ ion) for over exchanged Pd-NaZSM5-116 was low as compared to under exchanged Pd-NaZSM5-80 and Pd-NaZSM5-58 samples. Close TOF's were found for the last two samples at 330°C. TOF differences in Pd-NaMordenite catalysts demonstrate the heterogeneity of Pd+2 sites due to structurally nonidentical locations of cations. TOF's appear to be related to Na/Pd ratios in both catalyst types. Apparent activation energies for Pd-NaZSM-5 materials are higher than those for Pd-NaMordenite catalysts. 相似文献
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Dirk Obergfell Bahman Azarhoushang Andrés Fabián Lasagni 《Advanced Engineering Materials》2023,25(19):2300757
Due to its high corrosion resistance and mechanical properties, stainless steel is commonly used in various industrial applications. Although different types of stainless steel are similar in their chemical composition, they can differ significantly in their thermal diffusivity. This property is relevant in the ability of a material to conduct heat and thus, in laser processing. In this frame, this study compares the ablation efficiency and characteristics of polished stainless steel samples of the alloys AISI 304, AISI 420, and AISI 316Ti. They are irradiated with single ultrashort pulses having pulse durations between 250 fs and 10 ps as well as using GHz burst modii. The goal is to investigate the differences in both the ablation threshold and the ablation rate to improve the ablation efficiency. The results show that shorter pulse durations lead to a more efficient ablation process. On the other hand, GHz bursts are found to be, in general, less efficient. In addition, there is a significant difference in the surface morphology depending on the process parameters. The differences in the thermal diffusivity do not significantly influence the ablation threshold fluence but surface morphology and the ablation rate. 相似文献
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Preparation and swelling properties of homopolymeric alginic acid fractions/poly(N‐isopropyl acrylamide) graft copolymers
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Graft copolymers of crosslinked poly(N‐isopropyl acrylamide) (PNIPAAm) and homopolyguluronic acid (GG) and homopolymannuronic acid (MM) fractions of alginic acid were synthesized. MM and GG block fractions were obtained by partial acid hydrolysis of the alkaline extract from the brown seaweed Macrocystis pyrifera. The conjugation of these block fractions with the synthetic polymer was achieved by amidation with crosslinked PNIPAAm functionalized with an amino group at the end of the polymer chain. The structure of conjugates was determined by Fourier transform infrared and NMR spectroscopy. Atomic force microscopy of the graft copolymer GG‐g‐PNIPAAm showed a regular porous pattern, whereas the MM‐g‐PNIPAAm graft copolymer showed a regular netlike structure. Aqueous solutions of the synthesized graft copolymers afforded hydrogels by stirring with 0.1M CaCl2. The hydrogels showed a well‐defined stimulus–response to temperature and pH. The swelling, thermal, and pH characterizations demonstrated the superior properties of the GG‐g‐PNIPAAm hydrogel over the MM‐g‐PNIPAAm hydrogel. © 2015 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2015 , 132, 42398. 相似文献
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