Timing and dosing of chemical venous thromboembolism (VTE) prophylaxis in brain injury is controversial. Risk of bleeding while using high dose unfractionated heparin (UFH) in overweight patients to prevent VTE is also unknown. The purpose of this study was to describe the use of subcutaneous heparin 7500 units for VTE prophylaxis in overweight patients. This was a retrospective study comparing patients over 100 kg who received either 7500 units Q8 h (n = 141) (high dose group, HDG), or 5000 units Q8 h (n = 257) (traditional dose group, TDG), of UFH subcutaneously. Both groups had similar rates of bleeding complications. The incidence of drop in hemoglobin by two points in any 24 h was 14 % (20/141) HDG versus 11 % (28/257) TDG; P = 0.33. Hemoglobin drop by two points from baseline was 57 % (81/141) HDG versus 51 % (132/257) TDG; P = 0.24. The need for pRBC transfusion was 26 % (36/141) HDG versus 20 % (52/257) TDG; P = 0.22. An increase in aPTT from baseline by two times was 4 % (5/141) HDG versus 4 % (9/257) TDG, P = 0.59. Discontinuation of heparin therapy for association with progressive bleeding was not documented in any patients. No differences in minor bleeding complications were observed. There was no difference in the incidence of VTE: 5.7 % (8/141) HDG versus 9.3 % (24/257) TDG; P = 0.2. In univariate and multivariable logistic regression analysis, only the time of the initiation of heparin after admission was associated with the occurrence of VTE (median, IQR) 46 h (17-86) HDG versus 105 h (56-167) TDG; OR 1.2 (1.1-1.3); P < 0.001. High dose subcutaneous UFH was not associated with an increased risk of bleeding, nor did it decrease the incidence of VTE in overweight patients.

In 16 Flying Start early childhood education and care (ECEC) settings within a Local Authority in Wales, observations of adult-child interactions, using the Sustained Shared Thinking and Emotional Wellbeing Scale (SSTEW), highlighted that interactions that support children's problem solving, curiosity, concept development, and higher-order thinking were the least well developed aspects of practice. A two-day professional learning intervention 'Talking Science', underpinned by a socio-cultural understanding of science learning in ECEC was designed. The intervention was delivered via a collaborative, socio constructive model of delivery en masse to all 64 practitioners in the 16 Flying Start settings. This qualitative mixed method research project adopted an interpretivist paradigm; the aim was to better understand ECEC practitioners' perceptions of science and how these perceptions both shaped provision and supported children's concept development in their settings. Data collection took the form of scribed notes from group discussions, feedback from practitioners during discussions and evaluation feedback about 'Talking Science'. The experiential professional learning programme with a focus on science in everyday practice appeared to be supportive of practitioners' developing confidence and subsequent engagement with science provision for young children. 'Talking Science' also provides a model which may have wider implications when designing ECEC professional learning.

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In this paper, we report a first hand study of plasmon-enhanced photocurrent observed in hybrid nanostructures based heterojunction solar cell. The heterojunction solar cell was fabricated, using chemically synthesized narrow gap, IV-VI group semiconductor nanoparticles (PbS) of 3∼6nm diameter, wide gap semiconductor ZnO nanowires of 500nm∼1 μm length and ∼50nm diameter, and gold nanoparticles (∼5nm to 30nm), by spin-coating (∼20cycles) onto FTO glasses, in ambient conditions (25°C, 1atm). The synthesized nanostructures were characterized by XRD, UV-VIS absorption, SEM, TEM, solar simulator, etc. Nanostructures of variant sizes were integrated in to the heterojunction devices to study the effects on photocurrent and solar cell performance. The sizes, lengths, thickness of nanostructures were optimized to have best solar cell devices. The effects of fabrication conditions (such as growth temperature, growth time, anneal temperature, ligand treatments, in air or in N2, etc.) on device performance were also studied. The architecture of film stack, i.e., the positions of Au nanoparticles and PbS nanoparticles were also studied. It was confirmed that introducing Au nanopartiles with proper size would lead to the increase of photocurrent. The key challenges were to minimize the trap states and optimize the interface of nanostructures.

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