Development of a Virtual Pediatric Holistic Comfort Care Clinic.

Background: Guided by the tenets of Kolcaba's holistic comfort theory, we developed, implemented, and evaluated a simulated online pediatric advanced practice health center. The Pediatric Comfy Care Clinic (PCCC) was created to enhance person-centered diagnostic reasoning and holistic advanced management skills for family nurse practitioner students.

Methods: Our interprofessional team used a standardized approach to online design and development while integrating essential holistic comfort theory concepts for student engagement and assessment of learning.

When Life-Supporting Interventions Lead to Moral Distress.

Moral distress can impact nurses and the care team significantly. A profession dedicated to the principles of caring and compassion is often subjected to patients receiving futile treatment. With the proliferation of extreme life-prolonging measures come the difficulties in the withdrawal of those medical modalities.

Temporal changes in mental response and prevention patterns, and their impact from uncertainty stress during the transition in China from the COVID-19 epidemic to sporadic infection.

An epidemic of a highly lethal disease can overwhelm people emotionally and physically. Little is known about how public mental and preventive patterns changed during the transition from the COVID-19 epidemic to sporadic infection. This study examined changing trends of metal response and behavioral variables, and their impact from uncertainty stress in this process in China.

Nursing Faculty Informatics Competencies.

It is essential that nurses can use technology and accurately record and interpret clinical data to deliver efficient and effective patient care. The purpose of this study was to determine the level of nursing faculty informatics competencies and to learn about barriers faculty find in teaching informatics. Using a cross-sectional design, faculty were surveyed about their knowledge and comfort in teaching informatics using the Self-Assessment of Informatics Competency Scale for Health Professionals instrument.

Methodological recommendations for assessing scleractinian and octocoral recruitment to settlement tiles.

Quantifying recruitment of corals is important for evaluating their capacity to recover after disturbances through natural processes, yet measuring recruitment rates is challenging due to the minute size of the study organism and the complexity of benthic communities. Settlement tiles are widely used in studies of coral recruitment because they can be viewed under a microscope to enhance accuracy, but methodological choices such as the rugosity of tiles used and when and how to scan tiles for recruits post-collection may cause inconsistencies in measured recruitment rates. We deployed 2,880 tiles with matching rugosity on top and bottom surfaces to 30 sites along the Florida Reef Tract for year-long saturations during a three year study.

Prototype Development and Usability Evaluation of a Clinical Decision Support Tool for Pharmacogenomic Pharmacy in Practice.

Pharmacogenetics, a subset of precision medicine, provides a way to individualize drug dosages and provide tailored drug therapy to patients. This revolution in prescribing techniques has resulted in a knowledge deficit for many healthcare providers on the proper way to use pharmacogenetics in practice. This research study explored the potential adoption of clinical decision support system mobile apps by clinicians through investigating the initial usability of the PGx prototype application in an effort to address the lack of such tools used in practice.

A systematic review of spatial habitat associations and modeling of marine fish distribution: A guide to predictors, methods, and knowledge gaps.

As species distribution models, and similar techniques, have emerged in marine ecology, a vast array of predictor variables have been created and diverse methodologies have been applied. Marine fish are vital food resources worldwide, yet identifying the most suitable methodology and predictors to characterize spatial habitat associations, and the subsequent distributions, often remains ambiguous. Our objectives were to identify knowledge gaps in fish guilds, identify research themes, and to determine how data sources, statistics, and predictor variables differ among fish guilds.

Selecting Media to Support Online Learning: An Interdisciplinary Approach.

Nursing students in an online degree completion program experienced challenges using a video platform to complete a two-part applied learning assignment in a learning management system. This article describes an interdisciplinary approach to selecting the video platform that required the least technical support for students and therefore was most likely to keep their focus on learning. An interdisciplinary team consisting of a nurse faculty member, technology applications specialist, instructional designer, and learning management system administrator collaborated to redesign the assignment and evaluate three video platforms.

Violent Injuries Among College Students in China: An Exploration of Gender Mental Stress Model.

The purpose of this study was to explore the gender-specific mental stress model of violent injuries among Chinese college students. A cross-sectional, multistage sampling process was employed to recruit a total of 5025 college students from 22 universities in China. Survey respondents reported their exposure to violent injuries and noted individual and environmental factors that could relate to violent injuries.

Generation Z Students in the Online Environment: Strategies for Nurse Educators.

Background: Student enrollment in online learning is increasing. Generation Z students are now enrolled in higher education, including in online nursing courses. Faculty teaching in the online environment should consider best practices and learner characteristics to address the needs of this student generation.

Steps to Develop a Mobile App for Pain Assessment of Cancer Patients: A Usability Study.

Health-related mobile apps have the potential to allow patients and providers to proactively and responsibly manage pain together. However, there is a gap between the science of pain and current mobile apps. To develop a prototype science-based pain assessment mobile app (PainSmart) for Android smartphones, pain assessment tasks were extracted from a clinical guideline.

Improved Accuracy of Saxitoxin Measurement Using an Optimized Enzyme-Linked Immunosorbent Assay.

Paralytic shellfish poisoning (PSP) is precipitated by a family of toxins produced by harmful algae, which are consumed by filter-feeding and commercially popular shellfish. The toxins, including saxitoxin, neosaxitoxin, and gonyautoxins, accumulate in shellfish and cause intoxication when consumed by humans and animals. Symptoms can range from minor neurological dysfunction to respiratory distress and death.

Integration of Informatics Content in Baccalaureate and Graduate Nursing Education: An Updated Status Report.

Background: The American Association of Colleges of Nursing identified informatics and health care technology as an essential component of baccalaureate, master's, and doctoral education, but schools still struggle to effectively deliver this core knowledge.

Purpose: The purpose of this study was to provide an update of the 2013 status report on the integration of informatics in nursing education.

Method: The top twenty-five 2018 US News & World Report Best Online Nursing Programs were reviewed for courses with technology, computers, informatics, statistics, or research in the title.

RN-to-BSN Students' Intent to Become Faculty: A Multisite Study.

Background: A nursing faculty shortage means fewer nurses, exacerbating nursing shortages.

Purpose: The purpose was to determine RN-to-BSN students' intent for a future nurse faculty role. A secondary purpose was to evaluate differences between students who indicated high and low intent to pursue a faculty role.

Testing the relationship between microbiome composition and flux of carbon and nutrients in Caribbean coral reef sponges.

Background: Sponges are important suspension-feeding members of reef communities, with the collective capacity to overturn the entire water column on shallow Caribbean reefs every day. The sponge-loop hypothesis suggests that sponges take up dissolved organic carbon (DOC) and, via assimilation and shedding of cells, return carbon to the reef ecosystem as particulate organic carbon (POC). Sponges host complex microbial communities within their tissues that may play a role in carbon and nutrient cycling within the sponge holobiont.

Not all electric shark deterrents are made equal: Effects of a commercial electric anklet deterrent on white shark behaviour.

Personal shark deterrents offer the potential of a non-lethal solution to protect individuals from negative interactions with sharks, but the claims of effectiveness of most deterrents are based on theory rather than robust testing of the devices themselves. Therefore, there is a clear need for thorough testing of commercially available shark deterrents to provide the public with information on their effectiveness. Using a modified stereo-camera system, we quantified behavioural interactions between Carcharodon carcharias (white sharks) and a baited target in the presence of a commercially available electric anklet shark deterrent, the Electronic Shark Defense System (ESDS).

The global school-based student health survey as a tool to guide adolescent health interventions in rural Guatemala.

Background: Adolescents from rural areas in low-middle income countries face increasing physical and mental health challenges that are not well characterized or addressed due to resource limitations. We used the Global School-based Student Health Survey (GSHS) to describe adolescent health behaviors, and to inform prioritization of health promotion efforts in a resource-limited, rural, agricultural region in Guatemala.

Methods: In July 2015, a group of volunteers administered the GSHS to students from seven schools in four communities in the southwest Trifinio region of Guatemala.

Genetic diversity, connectivity and gene flow along the distribution of the emblematic Atlanto-Mediterranean sponge Petrosia ficiformis (Haplosclerida, Demospongiae).

Background: Knowledge about the distribution of the genetic variation of marine species is fundamental to address species conservation and management strategies, especially in scenarios with mass mortalities. In the Mediterranean Sea, Petrosia ficiformis is one of the species most affected by temperature-related diseases. Our study aimed to assess its genetic structure, connectivity, and bottleneck signatures to understand its evolutionary history and to provide information to help design conservation strategies of sessile marine invertebrates.

A phylogenomic framework and timescale for comparative studies of tunicates.

Background: Tunicates are the closest relatives of vertebrates and are widely used as models to study the evolutionary developmental biology of chordates. Their phylogeny, however, remains poorly understood, and to date, only the 18S rRNA nuclear gene and mitogenomes have been used to delineate the major groups of tunicates. To resolve their evolutionary relationships and provide a first estimate of their divergence times, we used a transcriptomic approach to build a phylogenomic dataset including all major tunicate lineages, consisting of 258 evolutionarily conserved orthologous genes from representative species.

In situ organism-sediment interactions: Bioturbation and biogeochemistry in a highly depositional estuary.

Organic matter (OM) production and degradation is important in coastal estuaries, and OM fate is strongly influenced by the coupled interactions of bioturbation and biogeochemistry. From April to September 2013 sediment cores and a benthic observing system, Wormcam, were used to investigate the in situ relationship of biogeochemistry and macrofauna bioturbation in Cape Lookout Bight North Carolina. Wormcam imagery provided a vivid depiction of macrofauna functioning in an environment not previously observed, and affirmed the importance of fine-scale temporal observations of the benthic environment in situ.

High diversity and unique composition of gut microbiomes in pygmy (Kogia breviceps) and dwarf (K. sima) sperm whales.

Mammals host diverse bacterial and archaeal symbiont communities (i.e. microbiomes) that play important roles in digestive and immune system functioning, yet cetacean microbiomes remain largely unexplored, in part due to sample collection difficulties.