The Feasibility and Outcome of Integra® Bilayer Matrix in the Reconstruction of Oral Cavity Defects.

Objective: To evaluate the feasibility, safety, and failure rate of Integra® Bilayer Wound Matrix (Integra) in the reconstruction of oral cavity defects.

Study Design: Retrospective cohort study.

Setting: All study information was collected from a single academic tertiary care hospital.

Management of Complicated Nasal Defects.

The nose is the most common site for nonmelanoma skin cancer. Fortunately, most skin cancer lesions on the nose are discovered early and their timely diagnosis and excision result in superficial defects that can be reconstructed with minimal impact on the aesthetics and function. Reconstruction of full-thickness defects of the nose remains a challenging endeavor for reconstructive surgeons.

Expanding a Foot Care Education Program for Nurses: A Quality Improvement Survey.

Faculty of a foot care continuing education program in the Midwest sought to determine current practice and interest in expanding the current program, both didactic and clinical, to meet expanded requirements in certification criteria. An electronic e-mail survey with both quantitative and qualitative questions was developed and sent to 445 past participants who completed the Foot and Nail Care: Education for Nurses Program hosted by the University of Wisconsin-Eau Claire Continuing Education over the past 5 years. There were 99 responses for a response rate of 22%.

Collaborating for Competency-A Model for Single Electronic Health Record Onboarding for Medical Students Rotating among Separate Health Systems.

Background: Use of the electronic health record (EHR) is widespread in academic medical centers, and hands-on EHR experience in medical school is essential for new residents to be able to meaningfully contribute to patient care. As system-specific EHR training is not portable across institutions-even when the same EHR platform is used-students rotating across health systems are often required to spend time away from clinical training to complete each system's, often duplicative, EHR training regardless of their competency within the EHR.

Methods: We aimed to create a single competency-based Epic onboarding process that would be portable across all the institutions in which our medical students complete clinical rotations.

Tongue retaining devices for obstructive sleep apnea: A systematic review and meta-analysis.

Objective: Tongue Retaining Devices (TRD) anteriorly displace the tongue with suction forces while patients sleep. TRD provide a non-surgical treatment option for patients with Obstructive Sleep Apnea (OSA). Our objective was to conduct a systematic review of the international literature for TRD outcomes as treatment for OSA.

Nursing strategies to reduce length of stay for persons undergoing total knee replacement: integrative review of key variables.

Decreasing the length of stay for persons undergoing total knee replacement surgery can improve patient and organizational outcomes while reducing health care costs. This integrative review examined selected nurse-driven variables that assist the interdisciplinary team to reduce length of stay. Findings suggest that a targeted clinical pathway including comprehensive preoperative patient education, physical therapy on the day of surgery, multimodal pain control, and proactive discharge planning may provide the best practice with this patient population.

Teaching motivational interviewing to nurse practitioner students: a pilot study.

Purpose: This quasi-experimental study examined the outcomes of a brief educational module for graduate nursing students as to using motivational interviewing (MI)-consistent counseling skills.

Data Sources: Pre- and posttest narrative and video-taped data, surveys, and self-report.

Conclusions: Significantly fewer closed questions, more open questions, and less advice-giving without permission were noted in the narratives completed after the education.

Health coaching to improve healthy lifestyle behaviors: an integrative review.

Objective: Chronic diseases account for 70% of U.S. deaths.

Making nursing research "real": an experiential approach.

Research can be a challenging subject for nursing students at all levels. Although a research course was a prerequisite for admittance to our masters of science in nursing program at Viterbo University, faculty found that students had varying levels of expertise with the content as well as differing attitudes toward research in practice. To initiate "research thinking" early in the program, 2 faculty members integrated research concepts across 2 of the core courses, one being the nursing research course.

Sense of coherence and illness appraisal in older women's quality of life.

The purpose of this descriptive, correlational study was to test a conceptual model of proposed relationships between physical health limitation, the sense of coherence, illness appraisal, and quality of life in a sample of 137 older women. The typical respondent was 76, widowed, with an income less than $12,000, and several health problems. Hierarchical multiple regression analysis indicated that physical health limitation, particularly symptom bother and functional health, had a significant negative influence on quality of life.

Origins and movement of fluids during deformation and metamorphism in the canadian cordillera.

Stable isotope data from quartz veins in the Canadian Cordillera indicate that crustal fluids were heterogeneous in terms of sources and flow paths during Mesozoic-Cenozoic metamorphism and deformation. In regions of strike-slip and extensional faulting, the fluid regime to depths of at least 15 kilometers was dominated by convected, chemically evolved meteoric water. In contrast, in thrust faulted regions, the fluid regime was dominated by fluids derived from metamorphic devolatilization reactions.

Components of female sex pheromone of spotted bollworm,Earias vittella F. (Lepidoptera: Noctuidae): Identification and field evaluation in Pakistan.

Ovipositor washings from virgin femaleEarias vittella (F.) (Lepidoptera: Noctuidae) moths were examined by gas chromatography (GC) linked to electroantennography (EAG). Six components were detected by the male moth.

Sex pheromones of rice moth,Corcyra cephalonica Stainton : II. Identification and role of female pheromone.

Laboratory investigations of mating behavior in the rice moth,Corcyra cephalonica Stainton (Lepidoptera: Pyralidae; Galleriinae) showed that male moths are attracted at short range to live, virgin female moths and to female abdominal-tip extract. Volatiles collected from virgin female moths contained one component eliciting an electroantennographic (EAG) response from the male moth, and the chemical, spectroscopic, and Chromatographic data on this component were consistent with that of synthetic 6,10,14-tri-methyl-2-pentadecanol. This compound caused an EAG response from the male moth and attracted male moths in the bioassay.

Sex pheromones of rice moth,Corcyra cephalonica Stainton : I. Identification of male pheromone.

Behavioral observations of the rice moth (Corcyra cephalonica, Pyralidae, Galleriinae) in the laboratory have shown that a male wing-gland pheromone induces attraction of female moths. This pheromone was identified as a blend of (E,E) and (Z,E)-farnesal. Wing-gland extracts or synthetic compounds were shown to be attractive to females by inducing walking.

The female sex pheromone of sugarcane stalk borer,Chilo auricilius identification of four components and field tests.

Four pheromonal components have been detected in ovipositor washings and volatiles from female sugarcane stalk borers,Chilo auricilius Dudgeon (Lepidoptera: Pyralidae), using combined gas chromatography-electroantennography. The components have been identified as (I) (Z)-7-do-decenyl acetate, (II) (Z)-8-tridecenyl acetate, (III) (Z)-9-tetradecenyl acetate, and (IV) (Z)-10-pentadecenyl acetate by comparison of their gas chromatographic behavior with that of synthetic standards. In field tests carried out in northern India during 1982-1984, a combination of II, III, and IV in their naturally occurring ratio (8∶4∶1) was shown to provide a highly attractive synthetic source for trap use.

Components of female sex pheromone of cocoa pod borer moth,Conopomorpha cramerella.

The cocoa pod borer,Conopomorpha cramerella (Snellen) (Lepidoptera: Gracillariidae), is the most serious pest of cocoa in Southeast Asia. Analyses of ovipositor washings and entrained volatiles from virgin female moths by gas chromatography (GC) linked to electroantennography (EAG), and comparison of EAG responses from the male moth to synthetic compounds indicated the presence of theE,Z,Z andE,E,Z isomers of 4,6,10-hexadecatrienyl acetate and the corresponding alcohols, and of hexadecyl alcohol. Amounts of pheromone produced were less than 0.

ON THE PRESENCE OF CHOLIN AND NEURIN IN THE INTESTINAL CANAL DURING ITS COMPLETE OBSTRUCTION : A RESEARCH ON AUTOINTOXICATION.

My experiments lead me to believe that complete occlusion of the small intestine at its lower end will give rise to the occurrence of cholin, neurin and perhaps other bases, provided the food taken contains any considerable quantity of lecithin. It is not improbable that still other poisons are formed by bacterial action from other constituents of the food in cases of intestinal obstruction. While cholin would have to be absorbed in relatively large amounts to exert a marked toxic action in human beings it is otherwise with neurin, which is many times more intense in its action and must be classed with the exceedingly active poisons.