Chitosan derived efficient and stable Pd nano-catalyst for high efficiency hydrogenation.

The design and development of green and efficient supported catalysts is the frontier direction in the field of green synthesis, which conforms to the strategic concept of green sustainable chemistry and "carbon neutrality". Herein, we used a renewable resource chitosan (CS) derived from seafood wastes of chitin as carriers to design two different chitosan-supported palladium (Pd) nano-catalysts through different activation methods. The Pd particles were firmly and uniformly dispersed on the chitosan microspheres due to the interconnected nanoporous structure and functional groups of chitosan, proved by diverse characterizations. The chitosan supported catalysts (Pd@CS) was applied to hydrogenation of 4-nitrophenol, which showed competitive catalytic activity compared to commercial Pd/C, un-supported nano-Pd and Pd(OAc)2 catalysts, as well as excellent catalytic activity, good reusability, long-life and broad applicability in selective hydrogenation of aromatic aldehydes, suggesting potential of applications in green industrial catalysis.

The relationship between alarm fatigue and burnout among critical care nurses: A cross-sectional study.

BACKGROUND: Alarm fatigue has significant negative impacts on nurses and patient safety. However, the relationship between alarm fatigue and burnout is still unclear. AIMS: This study aimed to explore the relationship between alarm fatigue and burnout among critical care nurses. STUDY DESIGN: A descriptive-analytical cross-sectional study design was used. Data were collected from five hospitals in mainland China between January 2022 and March 2022. A general information questionnaire, the Chinese version of the Intensive Care Unit Nurse Alarm Fatigue Questionnaire, and the Chinese version of the Maslach Burnout Inventory were used. RESULTS: A total of 236 critical care nurses were enrolled in this study. The mean score of alarm fatigue among critical care nurses was 21.11 ± 6.83. The results showed that critical care nurses experienced moderate alarm fatigue levels, and most nurses had moderate to high levels of burnout. The multiple linear regression analyses showed that alarm fatigue was independently associated with emotional exhaustion, depersonalization dimensions, and reduced personal accomplishment dimension. CONCLUSIONS: Alarm fatigue was associated with burnout among critical care nurses. Reducing critical care nurses' alarm fatigue may help to alleviate burnout. RELEVANCE TO CLINICAL PRACTICE: Managers should provide comprehensive training for nurses and promote the application of artificial intelligence technology in alarm management to reduce alarm fatigue and improve burnout among critical care nurses.

Facile fabrication of highly dispersed Pd catalyst on nanoporous chitosan and its application in environmental catalysis.

With the development of society, the problem of environmental pollution is becoming increasingly serious, such as the typical pollution of nitro compounds or dyes in wastewater. An effective strategy to remove these organic pollutants is catalytic conversion, including converting them into more chemically valuable compounds. Herein, a nanoporous chitosan microsphere derived from seafood waste resources of chitin was constructed via sol-gel method, which was used as supports to successfully fabricate a highly dispersed Pd nano-catalyst (mean diameter ~ 1.8 nm) via a facile way based on its interconnected nanoporous structure and rich functional -OH/-NH2 groups. The synthetic catalyst was applied to the hydrogenation of toxic nitro compounds, which could efficiently and selectively catalyze the conversion of nitro compounds. The catalyst was also used for the degradation of some representative dyes, which also showed good activity and stability, suggesting potential of applications in green environmental governance.

The mental health of Chinese healthcare staff in non-epicenter of COVID-19: a cross-sectional study.

BACKGROUND: The COVID-19 is a public health issue all over the world. It is an unprecedented challenge for society. Frontline medical staff are at high risk of mental health problems due to the overwhelming workload, worry of infection, and inadequate protective instruments. The study is to investigate the psychological status of medical staff in a women and children's hospital in non-epicenter of COVID-19 during the early stage of the COVID-19 outbreak. METHODS: A total of 2,143 hospital medical staff participated in a cross-sectional online survey. Psychological response levels were assessed using the Psychological Questionnaire on Emergency Events in Public Health (PQEEPH), and mental health status was measured using the Generalized Anxiety Disorder-7 (GAD-7) scale. RESULTS: Eligible responses were received from 1,890 (90.6%) women and 197 (9.4%) men. In total, 10.3% of respondents rated the psychological impact of the outbreak as moderate or severe, and 4% reported severe anxiety symptoms. CONCLUSIONS: Our findings indicated that the majority of the medical staff are in great level of mental health. The study demonstrates that females, the 31-40 age group, and those who have been widowed experienced greater levels of anxiety and therefore require more support. Furthermore, the cognition of medical workers might affect their emotional reactions. Measures to decrease anxiety during emergency outbreaks should therefore include communication strategies.