Evaluation of a New Technical Technical Support Process for Patients and Providers in the Virtual Setting

A growing body of evidence suggests that care delivered by the virtual platform can be safe and effective. However, digital health solutions need to be integrated into the patient pathway for optimal support as well as improving the patients experience. The findings provided the evaluator an opportunity to learn what is working well for outcome effectiveness and what areas need improvement to achieve better outcomes, particularly with patient and provider satisfaction, access to care, and the overall usage of virtual follow-up among diverse patient populations. The usefulness of the program evaluation can facilitate the critical integration of the nursing leadership role to advancing and delivering goal-concordant care in the virtual setting. In regard to nursing implications, the utility of oncology providers are very instrumental and capable in providing collaborative leadership strategies. In addition, nursing leaders are well-poised to incorporate the role of technology in inter-professional practice. Future program evaluation should allow for dissemination with a robust use of program evaluation tools to other areas within the organization for process improvement initiatives.https://openworks.mdanderson.org/acif23/1007/thumbnail.jp

First record of Grapevine Pinot gris virus infecting Vitis vinifera in the United Kingdom

Grapevine Pinot gris virus (GPGV) is a member of the genus Trichovirus, and was first identified in grapevine (Vitis vinifera) cv. Pinot Gris in Italy in 2012 (Giampetruzzi et al., 2012). Since then GPGV has been reported in several European countries as well as Australia, Canada, China, Korea and the USA (Bertazzon et al., 2016). In April 2017, a survey of four geographically separated vineyards in the UK was done to investigate the presence of GPGV. A dormant cane was sampled at random from each of the four locations (Pinot Noir clones 119, 336, 792 and 924, reciprocally grafted upon Gravesac, SO4 or 3309 Couderc rootstocks)

First report of Grapevine fanleaf virus infecting grapevine in the United Kingdom

The UK wine industry is a fast-growing sector and in 2015 an area of c. 2,000 hectares had been planted with vines from which over five million bottles of wine were produced (Wine and Spirit Trade Association Market Overview, 2016). It is important to monitor the phytosanitary status of vines to ensure the sustainability of the industry in the UK

Effect of Potassium Fertilization and New Corn Hybrids on Yield and Potassium Uptake in Continuous Corn

A three-year study was conducted at this farm to evaluate the effects of potassium fertilization and new corn hybrids resistant to rootworm on grain yield and potassium uptake in continuous corn. New corn hybrids may increase yield and change potassium (K) uptake or fertilization needs through improved traits that increase yield and root efficiency. Therefore, this study was planned to test this hypothesis by comparing continuous corn yield and response to K fertilization of hybrids with and without the rootworm resistant trait

Evaluation of a New Technical Support Process for Patients and Providers in the Virtual Setting

Clover Patterson pictured.https://openworks.mdanderson.org/aprn-week-22/1016/thumbnail.jp

Observations of Detailed Structure in the Solar Wind at 1 AU with STEREO/HI-2

Heliospheric imagers offer the promise of remote sensing of large-scale structures present in the solar wind. The STEREO/HI-2 imagers, in particular, offer high resolution, very low noise observations of the inner heliosphere but have not yet been exploited to their full potential. This is in part because the signal of interest, Thomson scattered sunlight from free electrons, is ~1000 times fainter than the background visual field in the images, making background subtraction challenging. We have developed a procedure for separating the Thomson-scattered signal from the other background/foreground sources in the HI-2 data. Using only the Level 1 data from STEREO/HI-2, we are able to generate calibrated imaging data of the solar wind with sensitivity of a few times 1e-17 Bsun, compared to the background signal of a few times 1e-13 Bsun. These images reveal detailed spatial structure in CMEs and the solar wind at projected solar distances in excess of 1 AU, at the instrumental motion-blur resolution limit of 1-3 degree. CME features visible in the newly reprocessed data from December 2008 include leading-edge pileup, interior voids, filamentary structure, and rear cusps. "Quiet" solar wind features include V shaped structure centered on the heliospheric current sheet, plasmoids, and "puffs" that correspond to the density fluctuations observed in-situ. We compare many of these structures with in-situ features detected near 1 AU. The reprocessed data demonstrate that it is possible to perform detailed structural analyses of heliospheric features with visible light imagery, at distances from the Sun of at least 1 AU.Comment: Accepted by Astrophysical Journa

Cutaneous melanoma and sentinel lymph node biopsy; An epidemiology study of population level data

Aims: Cutaneous melanoma accounts for 90% of all melanoma cases diagnosed. In addition, the incidence of cutaneous melanoma is increasing by approximately 3-7% yearly, and it is the most rapidly increasing cancer diagnosed in white populations worldwide. The aim of this study is to assess the survival benefit of Sentinel Lymph Node Biopsy (SLNB) in cutaneous melanoma in an Irish population. Methods: Population based data was obtained from the National Cancer Registry of Ireland (NCRI) on all patients with a cutaneous melanoma diagnosed over a 20-year period 1994-2014 and predictors of Overall Survival (OS) were assessed. Results: 13302 patients were identified with a melanoma diagnosis between 1994-2014. OS varied with gender, age, smoking and marital status, anatomical location and TMN stage. 2196 (17%) patients underwent SLNB, which included 710 patients in the stage 1 melanoma category (<11% of this group). Undergoing a SLNB was not an independent predictor of improved OS (p=0.440). However, a positive SLNB result was an independent predictor of OS (0.001). Conclusion: This Irish population-based data re-affirms demographic indicators of poorer survival. A positive SLNB result indicates poorer survival; however, the precedent itself is not a predictor of OS