Publications by authors named "K T Paynter"

Importance: Hospital wards are often not conducive to patient sleep, negatively affecting patient health and experience.

Objectives: To assess determinants of in-hospital restfulness and to design and test rest-promoting interventions on the wards in partnership with clinicians, staff, and patients.

Design, Setting, And Participants: This rapid-sequential mixed-methods quality improvement study was performed at a large urban academic hospital in St Louis, Missouri, from May 1, 2021, to December 31, 2022, with follow-up through hospitalization.

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Article Synopsis
  • This study looked at whether remote patient monitoring (RPM) can help patients with heart and lung problems, like congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD), after they leave the hospital.
  • The researchers used special equipment to track vital signs and provided support from nurses for 6 months to see if RPM could reduce deaths, hospital visits, or emergency room trips.
  • Out of 361 patients offered RPM, only 140 signed up, and while the overall hospital visits didn’t change, the RPM group had a lower death rate (6.4%) compared to those who didn’t use it (17%).
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Resource allocation to reproduction is a primary physiological concern for individuals, and can vary with age, environment, or a combination of both factors. In this study we quantified the impact of environment and individual age on the reproductive output of female oysters Crassostrea virginica. We determined the relative fecundity, egg total lipid content, and overall and omega-3/omega-6 (ω3/ω6) fatty acid signatures (FAS) of eggs spawned by female oysters over a 2-year period (n = 32 and n = 64).

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Decline in surf scoter (Melanitta perspicillata) waterfowl populations wintering in the Chesapeake Bay has been associated with changes in the availability of benthic bivalves. The Bay has become more eutrophic, causing changes in the benthos available to surf scoters. The subsequent decline in oyster beds (Crassostrea virginica) has reduced the hard substrate needed by the hooked mussel (Ischadium recurvum), one of the primary prey items for surf scoters, causing the surf scoter to switch to a more opportune species, the dwarf surfclam (Mulinia lateralis).

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The valves of oysters act as a physical barrier between tissues and the external environment, thereby protecting the oyster from environmental stress and predation. To better understand differences in shell properties and predation susceptibilities of two physiologically and morphologically similar oysters, Crassostrea virginica and Crassostrea ariakensis, we quantified and compared two mechanical properties of shells: hardness (resistance to irreversible deformation; GPa) and compressive strength (force necessary to produce a crack; N). We found no differences in the hardness values between foliated layers (innermost and outermost foliated layers), age class (C.

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