Simulation as Staff Development for Competency in Nursing Care of Patients with Chest Tubes

There is an estimated 98,000 to 400,000 hospital errors that result in patient harm or death annually (David, Gunnarsson, Waters, Horblyuk and Kaplan, 2013; James 2013). As a member of the health care team nurses coordinate and provide continual care to the hospitalized patient (American Association of Colleges of Nursing, 2011; Parker, 2014). Patient safety is promoted when nurses are competent in their knowledge, skills, attitude, and performance related to evidence-based practice, protocols, and standards of care (; American Nurses Association, n.d; Schroeter, 2009). The purpose of this evidence-based project was to promote patent safety by developing and maintaining competency and skills performance in the nursing care of patients with respiratory compromise requiring management of chest tubes. Twenty-three Registered Nurses participated in the project and completed the simulation in nine groups. Individual chest tube knowledge was significantly increased following the simulation. Group scores showed competency in care of patients with a chest tube, and the individual satisfaction with simulation as learning modality was high. The simulation offered the participants the opportunity to increase knowledge and maintain competency in care of patients with a chest tube and offers an experience that helps to provide safe care when they are required to care for a patient with chest tubes

Self-enhancement motivational bias in attributions of causality and responsibility to a target other : situational and dispositional determinants

Prior research has shown that people often self-enhance to protect their self-concept from harm. The present research was designed to investigate situational and dispositional determinants of people\u27s tendency to make self-enhancing attributions to a partner to whom they either do or do not feel psychologically connected to. In Experiment 1, participants who had been induced to self-extend to a partner made greater attributions of causality to the partner when the partner\u27s fate was positive than when it was negative. Experiment 2 provided evidence for a dispositional component of self-extension, and indicated that perceivers\u27 attributions to a partner are further influenced by the perceivers\u27 contribution to a joint outcome. The results of the two studies provide support for a self-enhancement bias in evaluations of a connected target other, and offer evidence that these biased evaluations do in fact play a role in determining behavior towards the target of the evaluation

Exposure to Televised Alcohol Ads and Subsequent Adolescent Alcohol Use

Objective: To assess the impact of televised alcohol commercials on adolescents, alcohol use. Methods: Adolescents completed questionnaires about alcohol commercials and alcohol use in a prospective study. Results: A one standard deviation increase in viewing television programs containing alcohol commercials in seventh grade was associated with an excess risk of beer use (44%}, wine/liquor use (34%}, and 3-drlnk episodes (26%} in eighth grade. The strength of associations varied across exposure measures and was most consistent for beer. Conclusions: Although replication is warranted, results showed that exposure was associated with an increased risk of subsequent beer consumption and possibly other consumption variables

A Comprehensive Molecular Interaction Map for Rheumatoid Arthritis

Computational biology contributes to a variety of areas related to life sciences and, due to the growing impact of translational medicine - the scientific approach to medicine in tight relation with basic science -, it is becoming an important player in clinical-related areas. In this study, we use computation methods in order to improve our understanding of the complex interactions that occur between molecules related to Rheumatoid Arthritis (RA).Due to the complexity of the disease and the numerous molecular players involved, we devised a method to construct a systemic network of interactions of the processes ongoing in patients affected by RA. The network is based on high-throughput data, refined semi-automatically with carefully curated literature-based information. This global network has then been topologically analysed, as a whole and tissue-specifically, in order to translate the experimental molecular connections into topological motifs meaningful in the identification of tissue-specific markers and targets in the diagnosis, and possibly in the therapy, of RA.’

Contact structures in the poultry industry in Great Britain: Exploring transmission routes for a potential avian influenza virus epidemic

Background: The commercial poultry industry in United Kingdom (UK) is worth an estimated £3.4 billion at retail value, producing over 174 million birds for consumption per year. An epidemic of any poultry disease with high mortality or which is zoonotic, such as avian influenza virus (AIV), would result in the culling of significant numbers of birds, as seen in the Netherlands in 2003 and Italy in 2000. Such an epidemic would cost the UK government millions of pounds in compensation costs, with further economic losses through reduction of international and UK consumption of British poultry. In order to better inform policy advisers and makers on the potential for a large epidemic in GB, we investigate the role that interactions amongst premises within the British commercial poultry industry could play in promoting an AIV epidemic, given an introduction of the virus in a specific part of poultry industry in Great Britain (GB). Results: Poultry premises using multiple slaughterhouses lead to a large number of premises being potentially connected, with the resultant potential for large and sometimes widespread epidemics. Catching companies can also potentially link a large proportion of the poultry population. Critical to this is the maximum distance traveled by catching companies between premises and whether or not between-species transmission could occur within individual premises. Premises closely linked by proximity may result in connections being formed between different species and or sectors within the industry. Conclusion: Even quite well-contained epidemics have the potential for geographically widespread dissemination, potentially resulting in severe logistical problems for epidemic control, and with economic impact on a large part of the country. Premises sending birds to multiple slaughterhouses or housing multiple species may act as a bridge between otherwise separate sectors of the industry, resulting in the potential for large epidemics. Investment into further data collection and analyses on the importance of industry structure as a determinant for spread of AIV would enable us to use the results from this study to contribute to policy on disease control

Open innovation to bolster research and development for neglected and emerging infectious diseases

Infections remain a significant cause of disease, disability, and death in developing countries. Unfortunately, many of these infections, including centuries-old neglected diseases such as malaria and newly emerging and re-emerging diseases such as Ebola virus disease (EVD), have limited products available to prevent, diagnose, and treat them. One barrier that hinders the development of these products is neglected and emerging disease experts’ limited access to the biopharmaceutical industry’s small molecules, technologies, and know-how. Conversely, the biopharmaceutical industry’s lack of attention to and expertise in these diseases impedes the development of much-needed products. Organisations are addressing these challenges by developing platforms through which disease experts can access industry’s knowledge and assets. Strategic partnerships are applying a synergistic approach to leverage respective strengths of academia and industry. The following article describes two open innovation platforms, the Pool for Open Innovation against Neglected Tropical Diseases (POINT) and WIPO Re:Search, and two strategic, cross-sector collaborative efforts to develop therapeutics for EVD

Flame temperatures saturate with increasing dead material in Ulex europaeus, but flame duration, fuel consumption and overall flammability continue to increase

A key determinant of wildfire behaviour is the flammability of constituent plants. One plant trait that influences flammability is the retention of dead biomass, as the low moisture content of dead material means less energy is required to achieve combustion. However, the effect of the dead-to-live ratio of fuel on plant flammability has rarely been experimentally quantified. Here we examine the nature of the relationship between dead fuel accumulation and flammability in Ulex europaeus (common gorse). Shoots with varying proportions of dead material were ignited in a purpose-built plant-burner. Three components of flammability were measured: sustainability (flame duration), consumability (proportion burnt biomass) and combustibility (maximum temperature). While flame duration and proportion burnt biomass had a positive linear relationship with the proportion of dead material, the response of maximum temperature was positive but non-linear. All three flammability components were reduced to a single variable using principal components analysis; this had a non-linear relationship with the proportion of dead material. The response of maximum temperature to dead material plateaued at 39%. These findings have implications for the management of habitats invaded by gorse; to mitigate fire hazard associated with gorse, stands should be kept at a relatively young age when dead fuel is less prevalent

Near-Infrared H2 and Continuum Survey of Extended Green Objects

The Spitzer GLIMPSE survey has revealed a number of "Extended Green Objects" (EGOs) which display extended emission at 4.5 micron. These EGOs are potential candidates for high mass protostellar outflows. We have used high resolution (< 1") H2 1-0 S(1) line, K, and H-band images from the United Kingdom Infrared Telescope to study 34 EGOs to investigate their nature. We found that 12 EGOs exhibit H2 outflows (two with chains of H2 knotty structures; five with extended H2 bipolar structures; three with extended H2 lobes; two with pairs of H2 knots). In the 12 EGOs with H2 outflows, three of them exhibit similar morphologies between the 4.5 micron and H2 emission. However, the remaining 9 EGOs show that the H2 features are more extended than the continuum features, and the H2 emission is seldom associated with continuum emission. Furthermore, the morphologies of the near-infrared continuum and 4.5 micron emission are similar to each other for those EGOs with K-band emission, implying that at least a part of the IRAC-band continuum emission of EGOs comes from scattered light from the embedded YSOs.Comment: accepted for publication in ApJ

The Ursinus Weekly, November 20, 1975

Sub-stantial lunch presented by Union • Dorm visitation reform urged • The Party\u27s over • Explosive evidence • Student letter sent to Board • New Student Affairs subcommittee formed • Editorial: Communication before tragedy • Letters to the editor: Reactions • Grad. School crunch etc. • ProTheatre puts best foot forward • Coffeehouse reviewed • State of the Union • New service at Myrin • Forum review: Lindsay on energy • Photo exhibit opens • 1-6-1 And something must be done! • Ursinus\u27 women\u27s hockey starlets repeat success! • Wrestler\u27s preview • Manning\u27s men • C. C. team • NBA preview part IIhttps://digitalcommons.ursinus.edu/weekly/1047/thumbnail.jp