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Acting As (act + as)
Selected AbstractsThe Emergency Medical Treatment and Labor Act as a Federal Health Care Safety Net ProgramACADEMIC EMERGENCY MEDICINE, Issue 11 2001W. Wesley Fields MD Abstract Despite the greatest economic expansion in history during the 1990s, the number of uninsured U.S. residents surpassed 44 million in 1998. Although this number declined for the first time in recent years in 1999, to 42.6 million, the current economic slow-down threatens once again to increase the ranks of the uninsured. Many uninsured patients use hospital emergency departments as a vital portal of entry into an access-improverished health care system. In 1986, Congress mandated access to emergency care when it passed the Emergency Medical Treatment and Labor Act (EMTALA). The EMTALA statute has prevented the unethical denial of emergency care based on inability to pay; however, the financial implications of EMTALA have not yet been adequately appreciated or addressed by Congress or the American public. Cuts in payments from public and private payers, as well as increasing demands from a larger uninsured population, have placed unprecedented financial strains on safety net providers. This paper reviews the financial implications of EMTALA, illustrating how the statute has evolved into a federal health care safety net program. Future actions are proposed, including the pressing need for greater public safety net funding and additional actions to preserve health care access for vulnerable populations. [source] Can Electrophilicity Act as a Measure of the Redox Potential of First-Row Transition Metal Ions?CHEMISTRY - A EUROPEAN JOURNAL, Issue 33 2007Jan Moens Abstract Previous contributions concerning the computational approach to redox chemistry have made use of thermodynamic cycles and Car,Parrinello molecular dynamics simulations to obtain accurate redox potential values, whereas this article adopts a conceptual density functional theory (DFT) approach. Conceptual DFT descriptors have found widespread use in the study of thermodynamic and kinetic aspects of a variety of organic and inorganic reactions. However, redox reactions have not received much attention until now. In this contribution, we prove the usefulness of global and local electrophilicity descriptors for the prediction of the redox characteristics of first row transition metal ions (from Sc3+|Sc2+ to Cu3+|Cu2+) and introduce a scaled definition of the electrophilicity based on the number of electrons an electrophile ideally accepts. This scaled electrophilicity concept acts as a good quantitative estimate of the redox potential. We also identify the first solvation sphere together with the metal ion as the primary active region during the electron uptake process, whereas the second solvation sphere functions as a non-reactive continuum region. [source] Solvothermal Synthesis, Crystal Structures, and Properties of New Selenidoantimonates [Ln(en)4(SbSe4)] (Ln = La, Nd) and [Sm(en)4]SbSe4·0.5en: The First Example of an SbSe43, Anion Acting as a Ligand to a Lanthanide ComplexEUROPEAN JOURNAL OF INORGANIC CHEMISTRY, Issue 14 2006Ding-Xian Jia Abstract Three new lanthanide selenidoantimonates [Ln(en)4(SbSe4)] [Ln = La (1), Nd (2)] and [Sm(en)4]SbSe4·0.5en (3) (en = ethylenediamine) were first synthesized by treating LnCl3, Sb, and Se in a stoichiometric ratio with en under mild solvothermal conditions. Compounds 1 and 2 are isostructural. The Ln3+ ion has a nine-coordinate environment involving eight N atoms from four en ligands and one Se atom from the SbSe43, anion forming a distorted bicapped pentagonal bipyramid. [La(en)4(SbSe4)] and [Nd(en)4(SbSe4)] are the first examples of solvothermally synthesized selenidoantimonates with an SbSe43, anion acting as a ligand in a lanthanide complex. The crystal structure of 3 contains an isolated bicapped trigonal-prismatic coordinated [Sm(en)4]3+ cation, a tetrahedral SbSe43, anion, and half a free en molecule in its asymmetric unit. The bandgaps of 2.22 eV for 1, 2.33 eV for 2, and 2.54 eV for 3 have been derived from optical absorption spectra. Compound 1 loses the en ligands in one step, whereas compound 2 loses them in two steps. (© Wiley-VCH Verlag GmbH & Co. KGaA, 69451 Weinheim, Germany, 2006) [source] What is the perceived nature of parental care and support for young people with cystic fibrosis as they enter adult health services?HEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 1 2010Nicola Iles RN MSc Abstract The majority of those diagnosed with cystic fibrosis (CF) now live to adulthood. In response to increased survival age, transition services have been developed to ensure smooth transfer from paediatric to adult specialist healthcare, although the majority of treatment and care continues to be delivered in the home. However, little is known about how young adults and staff conceptualise the nature of the parental role after young people have left paediatric care. The aim of this study is to explore the nature of parental support that is perceived to be available at this time. As part of a larger study of transitional care, semi-structured interviews were conducted with 50 young people with CF aged 13,24 years (32 with experience of transition and/or adult CF services) and 23 specialist healthcare professionals (14 working in adult care) across two CF centres in Southeast England. Interviews took place in young people's homes or within CF services, using a topic guide and were recorded, transcribed and analysed thematically. Four domains of perceived parental support were identified by the young people interviewed, with varying degrees of continuity into adult care: (1) Providing non-clinical practical and emotional support; (2) Acting as ,troubleshooters' in times of health-related crisis; (3) Working in partnership with offspring in ongoing disease management in the home and clinic; (4) Acting as ,protectors' of their children. Young people and service staff expressed tensions in managing parental involvement in post-paediatric consultations and the degree to which parents should be aware of their offspring's deteriorating health and social concerns. Parental anxiety and over-involvement was perceived by many young people and staff as unsupportive. We suggest that although health and social care providers are mindful of the tensions that arise for those leaving paediatric services, the place of parental support in adult care is currently contentious for these ,new' ageing populations. [source] Long-Lived Radical Cations of Monocyclic Arenes at Room Temperature Obtained by NbF5 Acting as an Oxidizing Agent and Counterion Precursor,ANGEWANDTE CHEMIE, Issue 31 2010Fabio Marchetti Dr. Das Salz der Erde: Eine Reaktion, in der Niobpentafluorid als Oxidationsmittel (Bildung von NbF4) und als Fluoridakzeptor (Bereitstellung des Gegenions [Nb2F11],) fungiert, lieferte Radikalkationensalze von monocyclischen Arenen, einschließlich Benzol (siehe Bild). Anion-,-Wechselwirkungen sind entscheidend für die einzigartige Inertheit der Radikalkationen. [source] ChemInform Abstract: First Evidence of Proline Acting as a Bifunctional Catalyst in the Baylis,Hillman Reaction Between Alkyl Vinyl Ketones and Aryl Aldehydes.CHEMINFORM, Issue 29 2008Michelangelo Gruttadauria Abstract ChemInform is a weekly Abstracting Service, delivering concise information at a glance that was extracted from about 200 leading journals. To access a ChemInform Abstract of an article which was published elsewhere, please select a "Full Text" option. The original article is trackable via the "References" option. [source] Syntheses and Crystal Structures of [Mg(HF)2](SbF6)2 and [Ca(HF)2](SbF6)2: New Examples of HF Acting as a Ligand to Metal Centers.CHEMINFORM, Issue 32 2003Alenka Turicnik Abstract For Abstract see ChemInform Abstract in Full Text. [source] | |||||||||||||