A Comparative Analysis of Registered Nurse Demand in Tennessee Rural and Urban Hospitals and Nursing Homes

The purpose of this study was to compare Registered Nurse (RN) current and future demand between Tennessee rural and urban licensed hospitals and nursing homes. Comparisons of Registered Nurse demand by principal duty or position and by educational level were also undertaken. The educational level of RNs was examined using the proportion of RNs at each of five educational levels: diploma, associate, baccalaureate, master\u27s, and doctorate. The variables examined were 1988 and 1989 vacancy rates and proportion of budgeted positions, change in vacancy rates and proportions from 1988 to 1989, projected changes in positions and proportions from 1988 to 1992 and to 1995. Nurse administrators from one hundred fifty four hospitals (63% response rate) and two hundred twelve nursing homes (72% response rate) were surveyed for responses about current and future RN demand. This study is a secondary analysis of data that were collected as a part of a larger research project conducted by the Tennessee Board of Regents Task Force on Nurse Supply and Demand. The findings were that rural hospitals had significantly higher vacancy rates for total nurse positions in 1988 and general duty positions in 1989. Urban hospital administrators reported higher vacancy rates for RN positions at the diploma level and projected significantly greater changes in clinical specialist and master\u27s level positions for 1992 and 1995. Rural hospitals had a higher proportion of associate degree nurses in 1989, and urban hospitals had a higher percentage of master\u27s prepared RNs for 1988 and 1989. Urban hospitals projected a greater change in the proportion of RNs at the doctoral level for 1995. Rural nursing homes projected higher numbers of associate degree nurses for 1992 and 1995. The major conclusion was that the nursing shortage in Tennessee hospitals was more severe than that reported on the national level and greater in rural hospitals. The shortage in Tennessee nursing homes was reported to be much less acute than the national shortage, and the critical shortages were limited to a few facilities, both rural and urban

Establishing online examination guidelines: Preliminary results from an ACDS Teaching and Learning Project 2022

In recent years, many universities in Australia and worldwide have seen major changes to their teaching and learning delivery. This includes assessment strategies, an example of which are summative final examinations. Historically, closed-book, in-person, paper-based final examinations were commonly used across the sector (Williams & Wong, 2009). However, during the COVID-19 pandemic many universities moved from traditional paper-based examinations to online delivery (Dicks et al., 2020). Online examinations have been delivered in a variety of formats, and with different implementations. Thus, we are at an opportune time to re-evaluate assessment for and of learning to ensure that we make pedagogically informed changes and establish robust procedures moving forward. In this research, funded by an Australian Council of Deans of Science (ACDS) Teaching and Learning Project grant 2022, we present the preliminary results of a multi-institution exploration of first-year undergraduate examinations in STEM subjects comparing end-of-semester examinations from 2019–2021. To determine the pedagogical changes that occurred, we undertook a multi-step analysis of: i) Question type and format; ii) Order of thinking pattern required to respond to questions (Agarwal, 2019); iii) Classification of question according to Bloom’s Taxonomy (Bloom et al., 2001); iv) Level of abstraction. Outcomes from our data analysis will inform practitioners and decision-makers on best practices whilst balancing university and student expectations, with delivering authentic assessment experiences. Our research is enabling us to make meaningful recommendations for best practice in Australian STEM subjects for summative examinations, including design that considers both technological as well as pedagogical aspects required to deliver effective assessments. REFERENCES Agarwal, P. (2019). Retrieval Practice & Bloom’s Taxonomy: Do Students Need Fact Knowledge Before Higher Order Learning? Journal of Educational Psychology, 111(2), 189–209. https://doi.org/10.1037/edu0000282. Bloom, B. S., Airasian, P., Krathwohl, D. R., Cruikshank, K., Mayer, R., Pintrich, P., Raths, J., & Wittrock, M. (2001). A Taxonomy for Learning, Teaching, and Assessing: A Revision of Bloom’s Taxonomy of Educational Objectives, Anderson, L. W., Bloom, B. S., Krathwohl, D. R., (Eds.), Longman: New York. Dicks, A. P., Morra, B., & Quinlan, K. B. (2020). Lessons learned from the COVID-19 crisis: Adjusting assessment approaches within introductory organic courses. Journal of Chemical Education, 97(9) 3406–3412. https://doi.org/10.1021/acs.jchemed.0c00529. Williams, J. B., & Wong, A. (2009). The efficacy of final examinations: A comparative study of closed-book, invigilated exams and open-book, open-web exams. British Journal of Educational Technology, 40(2) 227–236. https://doi.org/10.1111/j.1467-8535.2008.00929.x

Femtosecond studies of the iodine–mesitylene charge‐transfer complex

Femtosecond laser studies have been performed to investigate the initial photodissociation reactions of I2–mesitylene charge transfer complexes. Photodissociation occurs along both the I2–mesitylene ‘‘bond’’ and the I–I bond with a branching ratio of 2:3 for the two reaction coordinates. Following excitation at 400 nm, geminate recombination occurs along both reaction coordinates. The reformed I2–mesitylene complexes are formed vibrationally hot and relax on a time scale of 13 ps. The I–mesitylene spectrum is fully developed within 500 fs of the pump pulse. Approximately 40% of the I–mesitylene complexes undergo geminate recombination on a time scale of 14 ps. Most of the remaining complexes recombine with their original partners on a time scale of 400 ps. The initial anisotropy of the photoproduct absorption is 0.09±0.02. This low anisotropy is a direct result of the geometry of the complex and nature of the electronic transition rather than indicative of ultrafast motion toward an asymmetric transition state preceding dissociation. © 1995 American Institute of Physics.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/70671/2/JCPSA6-103-18-7877-1.pd

Effectiveness of tailored lifestyle interventions, using web-based and print-mail, for reducing blood pressure among rural women with prehypertension: main results of the Wellness for Women: DASHing towards Health clinical trial.

Background Lifestyle modification is recommended for management of prehypertension, yet finding effective interventions to reach rural women is a public health challenge. This community-based clinical trial compared the effectiveness of standard advice to two multi-component theory-based tailored interventions, using web-based or print-mailed delivery, in reducing blood pressure among rural women, ages 40–69, with prehypertension. Methods 289 women with prehypertension enrolled in the Wellness for Women: DASHing towards Health trial, a 12-month intervention with 12-month follow-up. Women were randomly assigned to groups using a 1:2:2 ratio, comparing standard advice (30-minute counseling session) to two interventions (two 2-hour counseling sessions, 5 phone goal-setting sessions, strength-training video, and 16 tailored newsletters, web-based or print-mailed). Linear mixed model methods were used to test planned pairwise comparisons of marginal mean change in blood pressure, healthy eating and activity, adjusted for age and baseline level. General estimating equations were used to examine the proportion of women achieving normotensive status and meeting health outcome criteria for eating and activity. Results Mean blood pressure reduction ranged from 3.8 (SD = 9.8) mm Hg to 8.1 (SD = 10.4) mm Hg. The 24-month estimated marginal proportions of women achieving normotensive status were 47% for web-based, and 39% for both print-mailed and standard advice groups, with no group differences (p = .11 and p = .09, respectively). Web-based and print-mailed groups improved more than standard advice group for waist circumference (p = .017 and p = .016, respectively); % daily calories from fat (p = .018 and p = .030) and saturated fat (p = .049 and p = .013); daily servings of fruit and vegetables (p = .008 and p \u3c .005); and low fat dairy (p \u3c .001 and p = .002). Greater improvements were observed in web-based versus standard advice groups in systolic blood pressure (p = .048) and estimated VO2max (p = .037). Dropout rates were 6% by 6-months, 11.4% by 24 months, with no differences across groups. Conclusions Rural women with prehypertension receiving distance-delivery theory-based lifestyle modifications can achieve a reduction of blood pressure and attainment of normotensive status

Adaptation of Australian houses and households to future heat waves

Climate change predictions indicate more extremes in weather conditions in the coming decades with more frequent and severe heat waves in certain locations including Australia. It is likely that the more vulnerable members of the community will be at risk during heat waves in the future from both health and financial perspectives. The trend towards fully air conditioned larger homes has already seen very large peaks in electricity demand during past heat waves with associated system failures. The impact of increased periods of hot weather, electricity price rises and system failure can be addressed in part through household behaviour; however it is concurrently exacerbated by housing designs which limit occupant choice. This paper employs outputs from the thermal analysis of typical Australian housing types to discuss this relationship between behaviour and design in future heat wave scenarios. Particular attention is given to populated regions forecast to experience a significant increase in heat waves in the future. Alterations to existing buildings and modifications of typical new house designs are utilised to demonstrate methods of reducing risks associated with extended periods of hot weather. In conclusion, a summary of the positive environmental and comfort implications of the modified designs is presented.Jasmine Palmer, Helen Bennetts, Stephen Pullen, Jian Zuo, Tony Ma, Nicholas Chilesh

User Engagement Associated with Web-Intervention Features to Attain Clinically Meaningful Weight Loss and Weight Maintenance in Rural Women

Objective: Purely web-based weight loss and weight-loss maintenance interventions show promise to influence behavior change. Yet, little is known about user engagement with features of web-based interventions that predict clinically meaningful weight loss (≥5% bodyweight loss). This study examines level of website feature engagement with the likelihood of attaining ≥5% bodyweight loss after 6 and 18 months participation in a web-based intervention, among rural women at high risk of obesity-related diseases and disability. Methods: In this secondary analysis of clinical trial data of 201 rural women, we examined weight change and user engagement, measured as clicks on specific web-based intervention features (messaging and self-tracking), as associated with clinically meaningful weight loss (baseline to 6 months) and weight-loss maintenance (6 to 18 months). Results: Generalized estimating equations, adjusted for age, intervention group, and intervention phase, revealed high engagement with messaging predicted whether women achieved ≥5% weight loss at 6 months and at 18 months. There was no effect of self-tracking. Conclusions: Being engaged with messages was associated with attaining clinically meaningful short-term and longer-term weight loss. This trial is registered with NCT01307644

The ultrafast ground and excited state dynamics of cis-hexatriene in cyclohexane

One- and two-color kinetics have been combined with broadband ultraviolet transient absorption spectroscopy in the 265–300 nm region to elucidate the photophysics of cis-hexatriene in cyclohexane solvent. The lowest singlet excited state, the 2 1A121A1 state, is observed to have a lifetime of 200±50 fs. The ground-state hexatriene is produced vibrationally hot. The excess vibrational energy permits ultrafast isomerization around the C–C single bonds in hexatriene. This results in a dynamic equilibrium of the three cis-hexatriene rotamers, which then relaxes multiexponentially to the room-temperature distribution in which the di-s-trans-Z-hexatriene form predominates. The peak of the mono-s-trans (cZt-HT) population is estimated to be ∼50%. Vibrational cooling results in trapping of a small amount, ∼8%, of cZt-HT that relaxes on a much longer time scale as the barrier to isomerization becomes important. An estimate of the absorption spectrum of cZt-HT is deduced from analysis of the spectral data at 50 ps. © 1997 American Institute of Physics.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/70051/2/JCPSA6-107-13-4985-1.pd

The ultrafast photochemical ring-opening reaction of 1,3-cyclohexadiene in cyclohexane

The ring-opening reaction of 1,3-cyclohexadiene in cyclohexane solution and the subsequent photoproduct cooling dynamics have been investigated by using two-color transient absorption kinetic measurements and novel time-resolved absorption spectroscopy in the 260–300 nm spectral region. The initial photoproduct in this reaction, s-cis,Z,s-cis-1,3,5-hexatrienes-cis,Z,s-cis-1,3,5-hexatriene (cZc-HT) is formed on a ∼ 250 fs∼250fs time scale. Spectra deduced for time delays very close to zero, as well as calculated Rice–Ramsperger–Kassel–Marcus unimolecular reaction rates, provide strong evidence that the quantum yield for the reaction is determined before any relaxation occurs on the ground state. Upon formation, the vibrationally excited hexatriene photoproduct is able to isomerize around C–C single bonds freely. As a result, the evolution observed in the transient absorption measurements represents a combination of rotamer population dynamics and thermalization due to energy transfer to the solvent. Three distinct time scales for relaxation are observed. These time scales correspond approximately to the development of an evolving equilibrium of Z-HT rotamers (1–5 ps), vibrational cooling and thermal equilibration with the surroundings (10–20 ps), and activated isomerization of trapped cZt-HT to tZt-HT (≫100 ps).(≫100ps). © 1998 American Institute of Physics.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/70793/2/JCPSA6-108-2-556-1.pd

CHEMISTRY DISCIPLINE MEETING

The tertiary sector has been rocked to its core by the COVID-19 pandemic and the subsequent shift to online teaching. One of the areas most impacted has been how we assess our students and the associated challenges relating to academic integrity, quality, and logistics. The 2021 ACSME Chemistry Discipline Day workshop will focus on these challenges and aims to crowdsource ideas for solutions at both an individual and institutional level. This conversation is an extension of a recent workshop at the RACI Chemistry Education Division Symposium and outcomes from this workshop will inform discussions held by our representatives with the Australian Council of Deans of Science (ACDS)