Neuro-ophthalmic outcomes after carotid intervention for ocular symptoms.

Background: The long-term neuro-ophthalmic outcomes after carotid intervention in patients presenting with preoperative visual symptoms vary widely based on the underlying etiology of retinal ischemia and are not well understood.

Methods: We performed a retrospective review of consecutive patients presenting with retinal ischemia who subsequently underwent carotid intervention from January 2018 to December 2022. Patients were classified into three groups (group I: amaurosis fugax/vascular transient monocular vision loss, group II: ocular ischemic syndrome [OIS], and group III: central/branch retinal artery occlusion).

Clinical Adjudication of Outpatient Complications Reported in the U.S. News and World Report's Urology Rankings.

Objective: To assess whether the US News and World Report (USNWR) Urology specialty ranking methodology accurately captures and classifies complications following elective outpatient urology procedures.

Methods: We conducted electronic health record chart review of n = 80 elective, outpatient urology procedures with complications from 2019-2023 across 4 hospitals in our integrated US health system. We used the Solventum AM-PPC software and USNWR methodology to determine eligibility and measure complications.

Time-Dependent Extension of Grimme's Continuous Chirality Measure for Electronic Chirality Flips in Femto- and Attosecond Time Domains.

Grimme's Continuous Chirality Measure ( ) was developed for comparisons of the chirality of the electronic wave functions of molecules, typically in their ground states. For example, , and for alanine, hydrogen-peroxide, and for achiral molecules, respectively. Well-designed laser pulses can excite achiral molecules from the electronic ground state to time-dependent chiral superposition states, with chirality flips in the femto- or even attosecond (fs or as) time domains.

Improve Advance Care Planning: A Brief Report Discussing Goals of Care Interventions to Improve Communication Among Health Care Teams and Patients Maximizing the Use of the Electronic Health Record Tools.

A key element of advance care planning (ACP) is the goals of care (GOC) conversation between the provider and the patient. The value of meaningful GOC conversations for the patient, provider, and health care institution is well documented. However, if the GOC documentation is buried in the medical record, not well defined, or poorly documented, that value is squandered.

Evolution of Fetal Growth in Symptomatic Sars-Cov-2 Pregnancies.

Introduction: SARS-CoV-2 is a viral disease with potentially devastating effects. Observational studies of pregnant women infected with SARS-CoV-2 report an increased risk for FGR. This study utilizes data from a prospective SARS-CoV-2 registry in pregnancy, investigating the progression of fetuses to fetal growth restriction (FGR) at birth following maternal SARS-CoV-2 and evaluating the hypothesis of whether the percentage of SGA at birth is increased after maternal SARS-CoV-2 taking into account the time interval between infection and birth.

From chiral laser pulses to femto- and attosecond electronic chirality flips in achiral molecules.

Chirality is an important topic in biology, chemistry and physics. Here we show that ultrashort circularly polarized laser pulses, which are chiral, can be fired on achiral oriented molecules to induce chirality in their electronic densities, with chirality flips within femtoseconds or even attoseconds. Our results, obtained by quantum dynamics simulations, use the fact that laser pulses can break electronic symmetry while conserving nuclear symmetry.

Expanding the Role of the Surgical Preoperative Evaluation Clinic: Impact on Risk and Quality Outcome Measures.

Objective: To prove that inpatient-adjusted surgical risk and quality outcome measures can be considerably impacted by interventions to improve documentation in the preoperative evaluation (POE) clinic.

Patients And Methods: We designed a quality improvement project with a multidisciplinary team in our POE clinic to more accurately reflect surgical risk and impact expected surgical quality outcomes through improved documentation. Interventions included an improved patient record acquisition process and extensive POE provider education regarding patient comorbidities' documentation.

Ultrafast laser induced charge migration with de- and re-coherences in polyatomic molecules: A general method with application to pyrene.

We develop a general method to study ultrafast laser induced charge migration in molecules, which includes both electronic and nuclear dynamics. The method can be applied to relatively large systems. A detailed analysis of charge migration in pyrene is performed.

Nutritional composition, heavy metal contents and lipid quality of five marine fish species from Cameroon coast.

The nutritional value, heavy metal content and lipid quality of five marine fishes from, Cameroon coast were be investigated. Fish samples from Ilisha africana, Sardinella, maderensis, , Arius parkii and Ethmalosa fimbriata were collected at, the Douala sea port, carried to the laboratory, washed with distilled water and, processed. Proximal composition, minerals, lipid quality and heavy metal analyses, were performed using AOAC standard methods.

Supporting the transition to practice: preceptor behaviors that foster a positive student preceptorship experience.

Objectives: Preceptors support nursing students when transitioning to the professional nursing role. This study explored student perceptions of preceptor characteristics that promoted or hindered learning.

Methods: A Likert-scale survey including two open-ended questions was sent to 571 nursing students completing a preceptorship experience.

Gestational diabetes mellitus and COVID-19: results from the COVID-19-Related Obstetric and Neonatal Outcome Study (CRONOS).

Background: Gestational diabetes mellitus is one of the most frequent pregnancy complications with a global prevalence of 13.4% in 2021. Pregnant women with COVID-19 and gestational diabetes mellitus are 3.

Maternal and neonatal outcomes of pregnancies with COVID-19 after medically assisted reproduction: results from the prospective COVID-19-Related Obstetrical and Neonatal Outcome Study.

Background: Severe acute respiratory syndrome coronavirus type 2 infections in pregnancy have been associated with maternal morbidity, admission to intensive care, and adverse perinatal outcomes such as preterm birth, stillbirth, and hypertensive disorders of pregnancy. It is unclear whether medically assisted reproduction additionally affects maternal and neonatal outcomes in women with COVID-19.

Objective: To evaluate the effect of medically assisted reproduction on maternal and neonatal outcomes in women with COVID-19 in pregnancy.

Assessing Student Performance in a Dedicated Education Unit: Validity of the Creighton Competency Evaluation Instrument.

In dedicated education units (DEUs), nurses serving as clinical teaching partners (CTPs) provide formative feedback about student performance. The Creighton Competency Evaluation Instrument (C-CEI) has demonstrated validity and reliability by faculty in both the simulated and clinical environments. The purpose of this pilot study was to determine the content validity of the C-CEI in the direct patient care environment when used by staff nurses functioning as CTPs in the DEU setting.

Laser-Induced Electron Symmetry Restoration in Oriented Molecules Made Simple.

Electron symmetry determines many important properties of molecules, from selection rules for photoelectron spectroscopy to symmetry selection rules for chemical reactions. The original electron symmetry is broken if a laser pulse changes the initial state, typically the ground state , to a superposition of and an excited state with different irreducible representations (IRREPs). Quantum dynamics simulations for two examples, the oriented benzene and LiCN molecules, show that the original electron symmetry can be restored by means of a reoptimized π-laser pulse which transfers the component in the excited state to another state ', or to several others with the same IRREP as the ground state.

Addressing the Perioperative Nursing Shortage Via a Perioperative Nursing Preceptorship for Baccalaureate Nursing Students.

A growing demand for perioperative nurses, insufficient interest in the perioperative nursing specialty, and nurse retirements have resulted in a perioperative nursing workforce shortage. Undergraduate nursing students' limited exposure to perioperative content, along with facility hiring practices that exclude recently graduated nurses, further contribute to this shortage. To address these concerns, a large health care system in the midwestern United States partnered with a college of nursing to institute a perioperative preceptorship for baccalaureate nursing students during their final semester.

Calling for Openness to the Study of Cannabis Use in Chronic Pelvic Pain.

Chronic pelvic pain affects women across all demographics. Its management is complex and requires a multimodal approach. Cannabis has been legal for medical purposes for many years; however, its pharmacokinetics are just beginning to be understood, as are its analgesic effects and other benefits, such as improved sleep quality and reduced nausea and vomiting.

Attosecond Charge Migration Can Break Electron Symmetry While Conserving Nuclear Symmetry.

Charge migration moves electrons from one molecular site to another, in a typical time domain from few hundred attoseconds to few femtoseconds. On this timescale, the nuclei stand practically still, implying that the nuclear point group symmetry is conserved. Because electrons move ultrafast, this can lead to a surprising effect, namely, breaking the spatial symmetry of the electron density in spite of the conservation of nuclear framework symmetry.

Timing the recoherences of attosecond electronic charge migration by quantum control of femtosecond nuclear dynamics: A case study for HCCI.

This work suggests an approach to a new target of laser control of charge migration in molecules or molecular ions. The target is motivated by the fact that nuclear motions can not only cause decoherence of charge migration, typically within few femtoseconds, but they may also enable the reappearance of charge migration after much longer times, typically several tens or even hundreds of femtoseconds. This phenomenon is called recoherence of charge migration, opposite to its decoherence.

De- and Recoherence of Charge Migration in Ionized Iodoacetylene.

During charge migration, electrons flow rapidly from one site of a molecule to another, perhaps inducing subsequent processes (e.g., selective breaking of chemical bonds).