Identifying priority ecosystem services in tidal wetland restoration.

Classification systems can be an important tool for identifying and quantifying the importance of relationships, assessing spatial patterns in a standardized way, and forecasting alternative decision scenarios to characterize the potential benefits (e.g., ecosystem services) from ecosystem restoration that improve human health and well-being.

Connecting stakeholder priorities and desired environmental attributes for wetland restoration using ecosystem services and a heat map analysis for communications.

Framing ecological restoration and monitoring goals from a human benefits perspective (i.e., ecosystem services) can help inform restoration planners, surrounding communities, and relevant stakeholders about the direct benefits they may obtain from a specific restoration project.

Supporting neurodivergent nursing students in their practice placements.

Neurodivergent conditions such as autism, attention deficit hyperactivity disorder (ADHD), dyslexia, dyspraxia, dyscalculia and Tourette's syndrome are common, and it is highly likely that practice assessors and supervisors will be asked to support neurodivergent nursing students in their practice learning environments. This article details the strengths that neurodivergent students can bring to nursing, as well as some of the challenges they may experience in practice settings. It outlines how practice assessors and supervisors can develop neuro-inclusive learning environments where neurodivergent students can thrive, as well as how to support them if they are not meeting their required proficiencies.

Ecosystem Services Profiles for Communities Benefitting from Estuarine Habitats along the Massachusetts Coast, USA.

The Massachusetts Bays National Estuary Partnership is one of 28 programs in the United States Environmental Protection Agency's National Estuary Program (NEP) charged with developing and implementing comprehensive plans for protecting and restoring the biological integrity and beneficial uses of their estuarine systems. The Partnership has recently updated their comprehensive management plan to include restoration targets for coastal habitats, and as part of this effort, the program explored how to better demonstrate that recovery of ecological integrity of degraded ecosystems also provides ecosystem services that humans want and need. An essential step was to identify key stakeholders and understand the benefits important to them.

Synthesis of Two Decades of US EPA's Ecosystem Services Research to Inform Environmental, Community, and Sustainability Decision Making.

A conceptual framework is helpful to understand what types of ecosystem services (ES) information is needed to support decision making. Principles of structured decision making are helpful for articulating how ES consideration can influence different elements in a given decision context resulting in changes to the environment, human health, and well-being. This article presents a holistic view of an ES framework, summarizing two decades of the US EPA's ES research, including recent advances in ES, those ES that provide benefits directly to people.

Ecosystem services consideration in the remediation process for contaminated sites.

In 2009, the U.S. Environmental Protection Agency's Science Advisory Board recommended activities to advance consideration of ecosystem services (ES) to enhance existing remediation and redevelopment processes in the U.

Integrated stakeholder prioritization criteria for environmental management.

It is widely recognized that stakeholder engagement can lead to improved decision making. However, decision makers must identify and engage appropriate stakeholder groups. This can be challenging when there is a wide and diverse range of potential stakeholders, often the case in environmental management.

The ecosystem service of property protection and exposure to environmental stressors in the Gulf of Mexico.

Environmental stressors such as sea-level rise, erosion, and increased storm frequency and intensity are exposing coastal properties to greater amounts of damage. Coastal habitats like beaches, dunes, seagrasses, and wetlands can help reduce exposure and property damage. Using InVEST's Coastal Vulnerability Model, an exposure index value was calculated for every 250 m2 segment along the coastline in Escambia and Santa Rosa counties in Florida, USA.

A student-centered intervention program to educate and retain knowledge in stroke education and healthy habits.

The goal of the stroke intervention programs was to increase knowledge in stroke awareness and healthy habits. Most of the existing school-based didactic stroke education intervention programs have not been very effective in improving learned information. We developed a student-centered or active learning educational pedagogy to improve the retention of learned knowledge on stroke issues and healthy habits.

Short-Term Outcomes Predict Long-Term Satisfaction in Patients Undergoing Laparoscopic Magnetic Sphincter Augmentation.

Introduction: Laparoscopic magnetic sphincter augmentation (MSA) has been shown to be efficacious therapy for gastroesophageal reflux disease (GERD) refractory to maximal medical management. Herein, we present our experience with this procedure and an analysis of our outcomes.

Materials And Methods: Medical records were retrospectively reviewed of 98 patients who underwent laparoscopic MSA for GERD at a single institution from 2012 to 2016.

Strategies for surgical remediation of the multi-fundoplication failure patient.

Background: Outcomes are not well studied in patients undergoing remediation for multi-fundoplication failure, that is, two or more prior failed fundoplications. Re-operation must balance reflux control and restoration of the ability to eat with the challenge of reconstructing a distorted hiatus and GE junction. The purpose of this study is to present our experience with surgical remediation for multi-fundoplication failure.

Linking People to Coastal Habitats: A meta-analysis of final ecosystem goods and services on the coast.

Coastal ecosystem goods and services (EGS) have steadily gained traction in the scientific literature over the last few decades, providing a wealth of information about underlying coastal habitat dependencies. This meta-analysis summarizes relationships between coastal habitats and final ecosystem goods and services (FEGS) users. Through a "weight of evidence" approach synthesizing information from published literature, we assessed habitat classes most relevant to coastal users.

Laparoscopic repair of giant paraesophageal hernia: are there factors associated with anatomic recurrence?

Background: Repair of giant paraesophageal hernia (PEH) is associated with a favorably high rate of symptom improvement; however, rates of recurrence by objective measures remain high. Herein we analyze our experience with laparoscopic giant PEH repair to determine what factors if any can predict anatomic recurrence.

Methods: We prospectively collected data on PEH characteristics, variations in operative techniques, and surgeon factors for 595 patients undergoing laparoscopic PEH repair from 2008 to 2015.