Lisa Clubley and Lorraine Harper examine the treatment provided to a patient who had cardiac surgery and developed complications that resulted in the development of an extensive open sternal wound. The consultant surgeon responsible for the care made a decision to use negative pressure therapy (vacuum-assisted closure) despite such therapy for a wound of this nature being contraindicated in the manufacturer's clinical guidelines
Objective: This study examined the longitudinal development of metacognitive skills and clinical decision-making abilities in nursing students, focusing on the interactions between metacognitive processes, situational factors, and individual differences.
Methods: A longitudinal, quantitative design was employed, following 185 third-year nursing students from a major university in China over one academic year. Data were collected at six time points using the Metacognitive Awareness Inventory, Nursing Decision-Making Instrument, and custom-designed clinical scenario assessments.
Aims: The purpose of this study was to investigate the prevalence of sexual harassment among operating room nurses, and to analyze the influencing factors.
Background: Sexual harassment in the healthcare field has a high incidence and nurses are the main victims; sexual harassment not only leads to physical and mental problems, but also undermines nurses' performance and affects the quality of medical care.
Methods: A multi-center cross-sectional study was conducted using an online survey to investigate the sexual harassment experiences of 483 operating room nurses.
Temperate mixed forests are currently experiencing severe drought conditions and face increased risk of degradation. However, it remains unclear how critical tree physiological functions such as sap flow density (SFD) and tree water deficit (TWD, defined as reversible stem shrinkage when water is depleted), respond to extreme environmental conditions and how they interact under dry conditions. We monitored SFD and TWD of three co-occurring European tree species (Fagus sylvatica, Fraxinus excelsior and Acer pseudoplatanus) in dry conditions, using high temporal resolution sap flow, dendrometer, and environmental measurements.
Introduction: Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis characterized by rapidly enlarging, painful ulcers with undermined borders. The management of PG is challenging due to the lack of standardized evidence-based treatments.
Areas Covered: This review examines recent efforts to establish standardized outcomes for clinical trials to facilitate the drug development process for PG.
The effective population size ( ) is a key parameter in conservation and evolutionary biology, reflecting the strength of genetic drift and inbreeding. Although demographic estimations of are logistically and time-consuming, genetic methods have become more widely used due to increasing data availability. Nonetheless, accurately estimating remains challenging, with few studies comparing estimates across molecular markers types and estimators such as single-sample methods based on linkage disequilibrium or sibship analyses versus methods based on temporal variance in allele frequencies.
