zation. The first-choice treatment was percutaneous femoral retrieval. However, if not technically possible, alternative treatment options are thoracotomy or follow-up with anticoagulant therapy.The focus of this research was on the catalytic reduction of nitrate to nitrogen gas for the water conservation. Zero-valent iron (Fe0) with bimetallic catalyst that carrier supported palladium (Pd) and copper (Cu) was innovatively applied in this study. https://www.selleckchem.com/products/rmc-9805.html First, XPS (X-ray photoelectron spectroscopy) analyses and experiments were conducted to study the mechanism of the catalytic reduction of nitrate. In the catalytic reaction, which is regarded as a stepwise process, Fe0 was the electron provider; Pd and Cu supported on carrier played indispensable but distinct roles. The kinetics suggested that the process was better reflected by first-order kinetics of the Langmuir-Hinshelwood model. Additionally, first-order kinetics of the catalytic reaction under the effect of catalysts with different carriers (SiO2, silica gel, kaolin, diatomite, γ-Al2O3, graphene) were further studied. Pd-Cu/graphene catalyst showed higher catalytic performance compared with other catalysts.To investigate the reduction of side effects of commercial antitumor drugs such as cisplatin, two new platinum and palladium complexes with a formula of [M(DACH)(tertamyl.dtc)]NO3 were synthesized (DACH is 1R, 2R-diaminocyclohexane, tertamyl-dtc is tertpentyl dithiocarbamate, and M is palladium or platin ionic metals) and characterized by spectroscopic methods. The in vitro cytotoxicity of these compounds against HT29 and Panc1 cell lines showed that the IC50 values against Panc1 cell line of [Pt(DACH)(tertamyl.dtc)]NO3 and [Pd(DACH)(tertamyl.dtc)]NO3 were 263.1 and 198.7 µM, and also against HT29 cell line were 241.9 and 258.2 µM, respectively. They were similar to the value obtained for oxaliplatin and lower than cisplatin value. Thermal stability and circular dichroism results demonstrated that both metal complexes could bind to DNA via electrostatic bonds. Due to electrostatic interaction, the configuration of B-DNA to C-DNA changed, though the possibility of groove interaction may be strengthened. Furthermore, molecular docking simulation showed higher negative docking energy for [Pd(DACH)(tertamyl.dtc)]NO3 complex with a higher tendency for DNA interaction. In vitro cytotoxicity of two new Pt and Pd compounds have been studied against two cell lines (HT29 and Panc 1), which are almost equal to the value obtained for oxaliplatin and they are lower than cisplatin value. Thermal stability studies and CD results demonstrated that both complexes bind to DNA via electrostatic bonds. Further, molecular docking showed higher negative docking energy for [Pd(DACH)(tertamyl.dtc)]NO3 complex with a higher tendency for interaction.Communicated by Ramaswamy H. Sarma.This film review examines the documentary Witness Theater directed by Oren Rudavsky. The film follows a one-year project of sixteen Brooklyn high schoolers and eight aging Holocaust survivors. The project utilizes weekly workshops, interviews, footage and animations that lead to a performance telling and showing the survivors' experiences during WWII. Facilitated by Sally Shatzkes, a drama therapist, in a safe environment, multiple interventions connect between the generations as the relationships between the participants deepen. The documentary can serve social workers and educators working with trauma survivors while processing their experiences towards recovery and as a tool to teach about the long-life consequences of the Holocaust and other genocides. It presents an example of intervention with aging trauma survivors and teenage kids, while providing directions to work that aims to bridge the generational gap, process life stories and promote gerotranscendence.
Low-birthweight (LBW) infants (<2500g) are at greatest risk of mortality in the neonatal period, particularly in low- and middle-income countries. Timely access to quality healthcare averts adverse outcomes.

To explore caregiver experiences and healthcare provider perspectives of accessing healthcare for LBW infants in rural Kenya.

This qualitative study was undertaken in Homa Bay County of in rural western Kenya in June 2019. In-depth interviews with eleven caregivers and four healthcare providers were conducted by a trained research assistant. All interviews were transcribed verbatim, and transcripts in the local languages were translated into English. A thematic framework was used to analyse the data.

At the community and individual level,community misconceptions about LBW infants, inadequate infant care practices after discharge, lack of maternal support networks, long distances from healthcare facilities and lack of financial support were key challenges. In addition, long hospital waiting times, healthcare worker strikes and the apparent inadequate knowledge and skills of healthcare providers were disincentives among caregivers. Among healthcare providers, health system deficiencies (staff shortages and inadequate resources for optimal assessment and treatment of LBW infants) and maternal illiteracy were key challenges. Education by staff during antenatal visits and community support groups were enablers.

Accessing healthcare for LBW infants in this community is fraught with challenges which have implications for their post-discharge outcome. There is an urgent need to develop and test strategies to address the barriers at the community and health system level to optimise outcome..
Accessing healthcare for LBW infants in this community is fraught with challenges which have implications for their post-discharge outcome. There is an urgent need to develop and test strategies to address the barriers at the community and health system level to optimise outcome..Hospital at Home (HaH) provides acute, hospital-level care at home and post-discharge follow-up. Through a review of 293 HaH admissions conducted by an urban, multidisciplinary HaH program from 2014 to 2017, we find that the social worker is involved in 71% of admissions and plays a crucial role in pre-emergency department discharge home care and safety screening, home intake, follow-up support, and transition of care to primary care providers and community-based services. We describe the social work activities involved in this model of care and present composite case studies for further illustration.