Interprofessional Collaboration Between Occupational Therapists and Registered Nurses in Acute Care Settings: An Exploratory Study

Background. Collaboration between occupational therapists and nurses is key to a positive prognosis for their patients. Currently, there is a gap in the research on professional relationships between occupational therapists and registered nurses in acute care settings. Purpose. To examine interprofessional collaboration between registered nurses and occupational therapy in an acute care setting. Methods. A phenomenological, qualitative design with use of semi-structured interviews was used. Interviewees were four occupational therapists and four registered nurses who currently work in acute care settings in Northern California and were recruited through a snowball, convenience and purposive sampling. Themes and subthemes that emerged from the data answered the research questions. Findings. The key factors preventing collaboration were: Time constraints, role confusion and overlap, personality factors, and lack of occupational therapy advocacy. Implications. This study may guide the development of interprofessional education to improve the collaborative relationship between occupational therapists and nurses to ultimately improve quality of care

Interprofessional Collaboration Between Occupational Therapists and Registered Nurses in Acute Care Settings: An Exploratory Study

Background. Collaboration between occupational therapists and nurses is key to a positive prognosis for their patients. Currently, there is a gap in the research on professional relationships between occupational therapists and registered nurses in acute care settings. Purpose. To examine interprofessional collaboration between registered nurses and occupational therapy in an acute care setting. Methods. A phenomenological, qualitative design with use of semi-structured interviews was used. Interviewees were four occupational therapists and four registered nurses who currently work in acute care settings in Northern California and were recruited through a snowball, convenience and purposive sampling. Themes and subthemes that emerged from the data answered the research questions. Findings. The key factors preventing collaboration were: Time constraints, role confusion and overlap, personality factors, and lack of occupational therapy advocacy. Implications. This study may guide the development of interprofessional education to improve the collaborative relationship between occupational therapists and nurses to ultimately improve quality of care.https://scholar.dominican.edu/ug-student-posters/1005/thumbnail.jp

Naturally occurring highly pathogenic avian influenza virus H5N1 clade 2.3.4.4b infection in three domestic cats in North America during 2023

The Eurasian strain of highly pathogenic avian influenza (HPAI) H5N1 is a devastating pathogen for birds that also has the capacity to infect mammals. This report describes the presentation, clinical case findings (including haemogram and serum biochemistry), gross and microscopic lesions and virus detection in three HPAI H5N1-infected domestic cats from the USA in 2023. All three cats presented with neurological abnormalities and were euthanized due to a poor prognosis within 2 days (two cats) or 10 days (one cat) of known clinical disease onset. Necropsy consistently revealed pulmonary congestion and oedema, and cerebrocortical malacia with haemorrhage was also seen in the cat that survived for 10 days. On histology, all cats had necrotizing encephalitis and interstitial pneumonia with pulmonary congestion, oedema, vasculitis and vascular thrombosis. One cat also had microscopic multifocal necrosis in the liver, pancreas and an adrenal gland. To our knowledge, this report is the first to detail pathological findings in HPAI H5N1 naturally-infected cats during the widespread outbreak in North America beginning in 2021, and that describes a cat surviving for 10 days after onset of HPAI H5N1 encephalitis

Interpreting nonverbal cues to deception in real time

When questioning the veracity of an utterance, we perceive certain non-linguistic behaviours to indicate that a speaker is being deceptive. Recent work has highlighted that listeners' associations between speech disfluency and dishonesty are detectable at the earliest stages of reference comprehension, suggesting that the manner of spoken delivery influences pragmatic judgements concurrently with the processing of lexical information. Here, we investigate the integration of a speaker's gestures into judgements of deception, and ask if and when associations between nonverbal cues and deception emerge. Participants saw and heard a video of a potentially dishonest speaker describe treasure hidden behind an object, while also viewing images of both the named object and a distractor object. Their task was to click on the object behind which they believed the treasure to actually be hidden. Eye and mouse movements were recorded. Experiment 1 investigated listeners' associations between visual cues and deception, using a variety of static and dynamic cues. Experiment 2 focused on adaptor gestures. We show that a speaker's nonverbal behaviour can have a rapid and direct influence on listeners' pragmatic judgements, supporting the idea that communication is fundamentally multimodal

Differential-phase-shift quantum key distribution using heralded narrow-band single photons

published_or_final_versio

On the topology of adiabatic passage

We examine the topology of eigenenergy surfaces characterizing the population transfer processes based on adiabatic passage. We show that this topology is the essential feature for the analysis of the population transfers and the prediction of its final result. We reinterpret diverse known processes, such as stimulated Raman adiabatic passage (STIRAP), frequency-chirped adiabatic passage and Stark-chirped rapid adiabatic passage (SCRAP). Moreover, using this picture, we display new related possibilities of transfer. In particular, we show that we can selectively control the level which will be populated in STIRAP process in Lambda or V systems by the choice of the peak amplitudes or the pulse sequence

Recent Emergence of Bovine Coronavirus Variants with Mutations in the Hemagglutinin-Esterase Receptor Binding Domain in U.S. Cattle

Bovine coronavirus (BCoV) has spilled over to many species, including humans, where the host range variant coronavirus OC43 is endemic. The balance of the opposing activities of the surface spike (S) and hemagglutinin-esterase (HE) glycoproteins controls BCoV avidity, which is critical for interspecies transmission and host adaptation. Here, 78 genomes were sequenced directly from clinical samples collected between 2013 and 2022 from cattle in 12 states, primarily in the Midwestern U.S. Relatively little genetic diversity was observed, with genomes having \u3e98% nucleotide identity. Eleven isolates collected between 2020 and 2022 from four states (Nebraska, Colorado, California, and Wisconsin) contained a 12 nucleotide insertion in the receptor-binding domain (RBD) of the HE gene similar to one recently reported in China, and a single genome from Nebraska collected in 2020 contained a novel 12 nucleotide deletion in the HE gene RBD. Isogenic HE proteins containing either the insertion or deletion in the HE RBD maintained esterase activity and could bind bovine submaxillary mucin, a substrate enriched in the receptor 9-O-acetylated-sialic acid, despite modeling that predicted structural changes in the HE R3 loop critical for receptor binding. The emergence of BCoV with structural variants in the RBD raises the possibility of further interspecies transmission

Biotic and stable-isotope characterization of the Toarcian Ocean Anoxic Event through a carbonate–clastic sequence from Somerset, UK

This study focuses on a condensed sequence of alternating carbonate–clastic sediments of the Barrington Member, Beacon Limestone Formation (latest Pliensbachian to early Toarcian) from Somerset (SW England). Abundant ammonites confirm (apart from the absence of the Clevelandicum and Tenuicostatum ammonite subchronozones) the presence of Hawskerense Subchronozone to Fallaciosum–Bingmanni subchronozones. Well-preserved, sometimes diverse assemblages of ostracods, foraminifera, nannofossils and lowdiversity dinoflagellate assemblages support the chronostratigraphic framework. Stable-isotope analyses demonstrate the presence of a carbon isotope excursion, relating to the Toarcian Oceanic Anoxic Event, within the early Toarcian. Faunal, geochemical and sedimentological evidence suggest that deposition largely took place in a relatively deep-water (subwave base), mid-outer shelf environment under a well-mixed water column. However, reduced benthic diversity, the presence of weakly laminated sediments and changes in microplankton assemblage composition within the Toarcian Oceanic Anoxic Event indicates dysoxic, but probably never anoxic, bottom-water conditions during this event. The onset of the carbon isotope excursion coincides with extinction in the nannofossils and benthos, including the disappearance of the ostracod suborder Metacopina. Faunal evidence indicates connectivity with the Mediterranean region, not previously recorded for the UK during the early Toarcian

Endothelial cyclooxygenase-1 paradoxically drives local vasoconstriction and atherogenesis despite underpinning prostacyclin generation

Endothelial cyclooxygenase-1–derived prostanoids, including prostacyclin, have clear cardioprotective roles associated with their anti-thrombotic potential but have also been suggested to have paradoxical pathological activities within arteries. To date it has not been possible to test the importance of this because no models have been available that separate vascular cyclooxygenase-1 products from those generated elsewhere. Here, we have used unique endothelial-specific cyclooxygenase-1 knockout mice to show that endothelial cyclooxygenase-1 produces both protective and pathological products. Functionally, however, the overall effect of these was to drive pathological responses in the context of both vasoconstriction in vitro and the development of atherosclerosis and vascular inflammation in vivo. These data provide the first demonstration of a pathological role for the vascular cyclooxygenase-1 pathway, highlighting its potential as a therapeutic target. They also emphasize that, across biology, the role of prostanoids is not always predictable due to unique balances of context, products, and receptors