These continuing

disparities suggest possible perception bias. More research is needed to confirm this disparity and explore the underpinnings.”
“BACKGROUND: Unplanned extubation represents a threat to patient safety, and risk factors and prevention strategies for unplanned extubation have not been fully explored. OBJECTIVES: To define high-risk patients for unplanned extubation and determine clinicians’ beliefs on perceived risks for unplanned extubation METHODS: With a Web-based survey instrument we surveyed critical care clinician members of the American Association for Respiratory Care, the American Association of Critical BKM120 manufacturer Care Nurses, and the Society of Critical Care Medicine. RESULTS: Surveys were completed by 1,976 clinicians, including 419 respiratory therapists, 870 critical care nurses,

and 605 critical care physicians. The majority of respondents considered an outward migration of the endotracheal tube (by 3 cm, 2 cm if an air leak is present) to represent a risk for unplanned extubation. Respondents considered the following as high risk for unplanned extubation: absence of physical restraints (72% of respondents), a nurse/patient ratio of 1/3 (60%), trips out of the intensive care unit (59%), light sedation (43%), and bedside portable radiograph (29%). In addition, most respondents considered accidental removal of the nasogastric tube (71%) or tugging Selleckchem HM781-36B on the endotracheal tube (87%) by the patient to be risk factors for unplanned extubation. The selleck chemical rank order of the perceived risks was related to the respondents’ primary discipline. CONCLUSIONS: We identified perceived risk factors and defined “near misses” for unplanned extubation. Our findings should inform strategies for prevention of unplanned extubation.”
“A

new mesoporous silicotitaniumphosphate material has been synthesized by using a non-conventional phosphorous source trimethyl phosphite with the aid of Pluronic F127 as structure directing agent (SDA). The mesopores are generated due to the slow hydrolysis of the reactant materials in the presence of supramolecular-assembly of non-ionic surfactant under the evaporation induced self-assembly (EISA) process. The material has been characterized by powder XRD, N-2 sorption, TEM, SEM-EDS, TG-DTA, FT-IR, XPS, Si-29, P-31 MAS NMR and UV-vis spectroscopic techniques. This new mesoporous material has considerably high BET surface area (379 m(2) g(-1)) and narrow pore size distribution with a peak pore width of 5.4 nm. The material showed good catalytic activity in the liquid phase Friedel-Crafts benzylation reaction suggesting strong acidity on its surface. It can also be used as good adsorbent for the removal of toxic metal ions As(III/V), Cd(II) and Hg(II) from the contaminated water. (C) 2010 Elsevier B.V. All rights reserved.