Generating Self-Shaped 2D Aluminum Oxide Nanopowders.

The thermal-assisted exfoliation phenomena of boehmite particles under moderate heating rates were examined. The exfoliation that generated flakes of 5−6 nm in thickness can be achieved because of the perfect cleavage on the boehmite particles that are stripped when thermal treatments bring about dehydration and γ-Al2O3 formation in sequential phase transformation of boehmite. Examinations of the exfoliation effects were carried out on calcined boehmite single crystal particles, which were about 500 nm in diameter, and obtained at three heating rates 0.5, 1.0, and 2.0 °C/min with the heating schedules. The TEM techniques, BET-N2 measurements, XRD-Scherrer equation, and AFM images were employed in the examination. That the BET values increased as increasing of exfoliated flakes reflected two stages of exfoliation. In the beginning stage, during which the BET values were <40 m2/g, the exfoliation resulted from the stress produced by dehydration. In the second stage, the increased rate of surface area was due to the additional force, which originated from the γ-Al2O3 formation. Exfoliation occurred on the cleavage planes {010}, the side pinacoid of the boehmite particle. The generation of flakes resulted in the thinning of boehmite particles. Some of the flakes preserved the external form of boehmite crystals. From the surface energy evaluations of boehmite and γ-Al2O3, it can be inferred that exfoliation is a natural way of thermal treatment.

Music listening alleviates anxiety and physiological responses in patients receiving spinal anesthesia.

OBJECTIVE: The aim of this study was to explore the effects of listening to music on the anxiety levels and physiological responses of surgical patients receiving spinal anesthesia. METHODS: An experimental design was used in the study with an experimental group (n=50) and a control group (n=50). The experimental group received 30min of musical intervention and routine nursing care in the Post-Anesthesia Care Unit (PACU) while the control group received only routine nursing care. RESULTS: The study found significant differences in both anxiety and physiological indices between the two groups. The mean score of the State-Trait Anxiety Inventory (STAI) in the study group decreased from a pre-test score of 59.0 to a post-test score of 31.20 (t=28.63, p<0.001). Physiological indices such as heart rate (t=2.61, p=0.012), respiration rate (t=2.29, p=0.026), systolic blood pressure (t=2.30, p=0.026), and diastolic blood pressure (t=3.02, p=0.004) decreased significantly as well. Control group was not seeing significant changes from pre-op values. CONCLUSION: Listening to music while in the recovery room may decrease the level of anxiety in surgical patients receiving spinal anesthesia. The results of this study can serve as a reference for PACU nurses in utilizing music listening programs to achieve the goal of holistic care.

The effectiveness of the newly designed thermal gown on hypothermic patients after spinal surgery.

AIMS AND OBJECTIVES: To develop the newly designed thermal gown to test the effectiveness in relieving postoperative hypothermia as compared to traditional cotton cloth. BACKGROUND: Hypothermia is a common problem after spinal surgery. A patient's safety and comfort are significant. Currently, most research is focused on instruments that relieve a patient's hypothermia. Studies have rarely considered a patient's comfort while caring for their body temperature. DESIGN: This study employed an experimental design. The participants were assigned randomly to two groups: the experimental group (N = 50) and the control group (N = 50). METHODS: The experimental group received the newly designed thermal gown intervention. The control group received the standard postanaesthesia care unit re-warming intervention. The material used to collect data included demographic data, postoperative management and comfort level. Nurses measured patients' vital signs and asked for patients' subjective comfort level on admission to the postanaesthesia care unit every 10 minutes until their discharge from the postanaesthesia care unit. RESULT: The accumulated percentage for thermal gown group patients in reaching 36 °C during the first 20 minutes of admission was significantly higher than that of the cotton cloth group. The thermal gown group individuals showed significantly higher comfort levels (score = 4) at 10 minutes, when compared to the cotton cloth group. CONCLUSION: Results suggested that the newly designed thermal gown had effectively improved postoperative temperature and comfort level with an evidence-based intervention. RELEVANCE TO CLINICAL PRACTICE: Maintaining a patient's body temperature is a major task for nurses working in the post-anaesthesia care unit. With the newly designed thermal gown, the duration of a patient's stay in the postanaesthesia care unit was shortened and the patient's comfort was increased.