Implementation and Evaluation of a High-Fidelity, Interprofessional Simulation Project Using Standardized Patients to Address Aggression in a Psychiatric Emergency Department.

Introduction: Increased aggression in a regional Comprehensive Psychiatric Emergency Program (CPEP) led to a significant rise in physical assaults, restraints, and use of security personnel. Root cause analysis revealed a need for more extensive training on de-escalation, teamwork and communication.

Aims: This quality improvement project evaluated the impact of an interprofessional, high-fidelity simulation project on interdisciplinary collaboration to manage de-escalation and aggression safely and effectively.

Macro- and micronutrient effects on phytoplankton in Green Bay, Lake Michigan, and the western basin of Lake Erie.

Efforts to reduce the frequency, extent, and toxicity of harmful algal blooms (HABs) require knowledge about drivers of algal growth, toxin production, and shifts in phytoplankton community composition to cyanobacterial dominance. Although labile nitrogen (N) and phosphorus (P) fuel primary production, micronutrients also play roles as the enzymatic engines that facilitate rapid and efficient growth and toxin production. Macro- and micronutrient availability can shape community composition and function by selecting for particular taxa.

Determinants of pivot kinematics in posterior stabilized total knee arthroplasty.

Background: Restoring medial knee pivot kinematics post-total knee arthroplasty is widely recognized to enhance patient satisfaction. Our study investigates the kinematics of patients who received posterior stabilized implants via robotic-arm assisted surgery, specifically analyzing effects of implant alignment and soft tissue balance on pivot location.

Methods: Twelve high-functioning patients with unilateral posterior stabilizing knee implants underwent CT-guided robotic-arm assisted surgery.

Nascently generated microplastics in freshwater stream are colonized by bacterial communities from stream and riparian sources.

The purpose of this study was to examine bacterial colonization of different types of microplastics through time in a freshwater ecosystem. Microplastics are persistent pollutants in aquatic ecosystems. Bacteria readily colonize microplastic surfaces and may contribute to their degradation, but the taxa involved, and their degradative abilities, differ based on factors such as microplastic chemistry, plastic age, and specific ecosystem types.