Interprofessional Team Immersion: Team Resilience

Healthcare practitioners take on the responsibility of helping clients maintain or improve their quality of life. Interprofessional collaboration is a key aspect of treating clients in order to provide them with the best possible care. Each healthcare profession has their own therapeutic process, yet they compliment each other very well. The state of the research shows that high functioning healthcare teams can improve the quality of care provided to clients by decreasing communication failures and reducing medical errors (Babikar, et al., 2014; Rosen et al., 2018; Smith, et al., 2018). The aim of the Interprofessional Team Immersion (IPTI) was to provide University of New England and Rosalind Franklin University students with the opportunity to gain a better understanding of the roles and responsibilities of each healthcare profession and have a chance to practice communication skills in a telehealth setting. The current group included students from occupational therapy, physical therapy, social work, osteopathic medicine, allopathic medicine, dental hygiene, and nursing programs. The immersion consisted of 10 total hours, 80 minutes of which were dedicated to direct patient care with client actors. At the end of IPTI, students concluded that they felt more confident defining the roles and responsibilities of other healthcare professionals. It was evident that communication played a key role in the successful approaches the team took, and having opportunities to get to know one another outside of patient simulations allowed the team to build trust, leadership, and cohesion (Cohen-Konrad et. al, 2014). Students also felt that their motivational interviewing skills and ability to navigate difficult client interactions improved because of the IPTI experience.https://dune.une.edu/cecespring2022/1005/thumbnail.jp

Compact, Portable, Thermal-Noise-Limited Optical Cavity with Low Acceleration Sensitivity

We develop and demonstrate a compact (less than $6$ mL) portable Fabry-P\'{e}rot optical reference cavity. A laser locked to the cavity is thermal noise limited at $2\times10^{-14}$ fractional frequency stability. Broadband feedback control with an electro-optic modulator enables near thermal-noise-limited phase noise performance from $1$ Hz to $10$ kHz offset frequencies. The additional low vibration, temperature, and holding force sensitivity of our design makes it well suited for out-of-the-lab applications such as optically derived low noise microwave generation, compact and mobile optical atomic clocks, and environmental sensing through deployed fiber networks.Comment: 12 pages, 6 figure

Convenient Synthesis of Copper (I) Thiolates and Related Compounds

Copper (I) salts of various anions including thiolates, diethyl dithiocarbamate, diethyl dithiophosphate, trithiocyanurate, 1-cyano-3-methylisothiourea, 2-aminothiazole, and tetrakis(1-imidazolyl)borate are conveniently synthesized by reducing copper (II) sulfate in aqueous ammonia. The addition of phosphine ligands to several of the products is demonstrated, and the crystal structure of [Cu2(MBT)2(DPPE)3] · Et2O (MBT = 2-mercaptobenzothiazolate, DPPE = 1,2-bis(diphenylphosphino)ethane) is reported

Understanding local knowledge and attitudes toward potential reintroduction of a former British wetland bird

Stakeholder acceptance and support is essential for long-term success in species reintroductions, and assessing social feasibility of reintroductions within human-occupied landscapes is an integral component of effective decision-making. The Dalmatian pelican Pelecanus crispus is an extirpated British bird, and possible pelican reintroduction to British wetlands is under discussion. Any reintroduction planning must first assess local community awareness, attitudes, and acceptance of potential pelican arrival and associated habitat management, as part of wider socio-ecological feasibility assessment. Pelicans are distinctive species with potential to increase support for wetland conservation, but might provoke conflict through real or perceived competition with landscape users such as fishers; such conflict is already seen within Britain between fishers and cormorants. We conducted an online survey of 590 respondents in the Somerset Levels and East Anglian Fens, Britain's largest wetland landscapes, to understand local views on pelican reintroduction, other reintroductions and wetland restoration, and to investigate correlates of varying attitudes toward coexistence with pelicans and five other waterbirds (grey heron, Eurasian bittern, little egret, common crane, great cormorant). Respondents had generally positive views about previous reintroductions of other species, and had overall positive attitudes toward all six waterbirds. Two-thirds of respondents supported or strongly supported pelican reintroduction, but both benefits and concerns were identified in relation to its possible reintroduction. Anglers and hunters were more likely to hold negative attitudes toward pelicans, other waterbirds and wetland restoration. However, although anglers raised more concerns, they were not more likely to be unsupportive toward reintroduction. More socio-demographic predictors were associated with negative attitudes toward restoration required to establish pelican habitat, suggesting that positive feelings toward biodiversity are outweighed by concerns around potential exclusion from local landscapes. Our findings suggest pelican reintroduction might be supported by local stakeholders. Attitudes toward cormorants do not represent a blueprint for attitudes toward pelicans, and anglers may support reintroduction if concerns around impacts to fish stocks are addressed. Community engagement for species-specific and landscape-scale actions require separate approaches, with landscape management planning needing to target a wider range of stakeholder groups with separate concerns to those about coexistence with pelicans

Altered Motoneuron Properties Contribute to Motor Deficits in a Rabbit Hypoxia-Ischemia Model of Cerebral Palsy

Cerebral palsy (CP) is caused by a variety of factors attributed to early brain damage, resulting in permanently impaired motor control, marked by weakness and muscle stiffness. To find out if altered physiology of spinal motoneurons (MNs) could contribute to movement deficits, we performed whole-cell patch-clamp in neonatal rabbit spinal cord slices after developmental injury at 79% gestation. After preterm hypoxia-ischemia (HI), rabbits are born with motor deficits consistent with a spastic phenotype including hypertonia and hyperreflexia. There is a range in severity, thus kits are classified as severely affected, mildly affected, or unaffected based on modified Ashworth scores and other behavioral tests. At postnatal day (P)0–5, we recorded electrophysiological parameters of 40 MNs in transverse spinal cord slices using whole-cell patch-clamp. We found significant differences between groups (severe, mild, unaffected and sham control MNs). Severe HI MNs showed more sustained firing patterns, depolarized resting membrane potential, and fired action potentials at a higher frequency. These properties could contribute to muscle stiffness, a hallmark of spastic CP. Interestingly altered persistent inward currents (PICs) and morphology in severe HI MNs would dampen excitability (depolarized PIC onset and increased dendritic length). In summary, changes we observed in spinal MN physiology likely contribute to the severity of the phenotype, and therapeutic strategies for CP could target the excitability of spinal MNs

Coral reef biofilm bacterial diversity and successional trajectories are structured by reef benthic organisms and shift under chronic nutrient enrichment

© The Author(s), 2021. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Remple, K. L., Silbiger, N. J., Quinlan, Z. A., Fox, M. D., Kelly, L. W., Donahue, M. J., & Nelson, C. E. Coral reef biofilm bacterial diversity and successional trajectories are structured by reef benthic organisms and shift under chronic nutrient enrichment. Npj Biofilms and Microbiomes, 7(1), (2021): 84, https://doi.org/10.1038/s41522-021-00252-1.Work on marine biofilms has primarily focused on host-associated habitats for their roles in larval recruitment and disease dynamics; little is known about the factors regulating the composition of reef environmental biofilms. To contrast the roles of succession, benthic communities and nutrients in structuring marine biofilms, we surveyed bacteria communities in biofilms through a six-week succession in aquaria containing macroalgae, coral, or reef sand factorially crossed with three levels of continuous nutrient enrichment. Our findings demonstrate how biofilm successional trajectories diverge from temporal dynamics of the bacterioplankton and how biofilms are structured by the surrounding benthic organisms and nutrient enrichment. We identify a suite of biofilm-associated bacteria linked with the orthogonal influences of corals, algae and nutrients and distinct from the overlying water. Our results provide a comprehensive characterization of marine biofilm successional dynamics and contextualize the impact of widespread changes in reef community composition and nutrient pollution on biofilm community structure.This work was supported through grants from the National Science Foundation for Biological Oceanography (1923877 to C.E.N. and M.J.D., 1949033 to C.E.N. and 2118687 to L.W.K., and 1924281 to N.J.S.) and the National Fish and Wildlife Foundation (grant no. 44447 to C.E.N.). This paper is funded in part by the National Oceanic and Atmospheric Administration, Project A/AS-1, which is sponsored by the University of Hawaii Sea Grant College Program, SOEST, under Institutional Grant No. NA18OAR4170076 from NOAA Office of Sea Grant, Department of Commerce. This is CSUN marine biology contribution #365, UH Sea Grant contribution UNIHI-SEAGRANT-JC-21-06, and UH SOEST contribution 11435

Chip-Based Laser with 1 Hertz Integrated Linewidth

Lasers with hertz-level linewidths on timescales up to seconds are critical for precision metrology, timekeeping, and manipulation of quantum systems. Such frequency stability typically relies on bulk-optic lasers and reference cavities, where increased size is leveraged to improve noise performance, but with the trade-off of cost, hand assembly, and limited application environments. On the other hand, planar waveguide lasers and cavities exploit the benefits of CMOS scalability but are fundamentally limited from achieving hertz-level linewidths at longer times by stochastic noise and thermal sensitivity inherent to the waveguide medium. These physical limits have inhibited the development of compact laser systems with frequency noise required for portable optical clocks that have performance well beyond conventional microwave counterparts. In this work, we break this paradigm to demonstrate a compact, high-coherence laser system at 1548 nm with a 1 s integrated linewidth of 1.1 Hz and fractional frequency instability less than 10$^{-14}$ from 1 ms to 1 s. The frequency noise at 1 Hz offset is suppressed by 11 orders of magnitude from that of the free-running diode laser down to the cavity thermal noise limit near 1 Hz$^2$/Hz, decreasing to 10$^{-3}$ Hz$^2$/Hz at 4 kHz offset. This low noise performance leverages wafer-scale integrated lasers together with an 8 mL vacuum-gap cavity that employs micro-fabricated mirrors with sub-angstrom roughness to yield an optical $Q$ of 11.8 billion. Significantly, all the critical components are lithographically defined on planar substrates and hold the potential for parallel high-volume manufacturing. Consequently, this work provides an important advance towards compact lasers with hertz-level linewidths for applications such as portable optical clocks, low-noise RF photonic oscillators, and related communication and navigation systems

Micro-fabricated mirrors with finesse exceeding one million

The Fabry&ndash;Perot resonator is one of the most widely used optical devices, enabling scientific and technological breakthroughs in diverse fields including cavity quantum electrodynamics, optical clocks, precision length metrology, and spectroscopy. Though resonator designs vary widely, all high-end applications benefit from mirrors with the lowest loss and highest finesse possible. Fabrication of the highest-finesse mirrors relies on centuries-old mechanical polishing techniques, which offer losses at the parts-per-million (ppm) level. However, no existing fabrication techniques are able to produce high-finesse resonators with the large range of mirror geometries needed for scalable quantum devices and next-generation compact atomic clocks. In this paper, we introduce a scalable approach to fabricate mirrors with ultrahigh finesse (&ge;106</p

Photonic chip-based low noise microwave oscillator

Numerous modern technologies are reliant on the low-phase noise and exquisite timing stability of microwave signals. Substantial progress has been made in the field of microwave photonics, whereby low noise microwave signals are generated by the down-conversion of ultra-stable optical references using a frequency comb. Such systems, however, are constructed with bulk or fiber optics and are difficult to further reduce in size and power consumption. Our work addresses this challenge by leveraging advances in integrated photonics to demonstrate low-noise microwave generation via two-point optical frequency division. Narrow linewidth self-injection locked integrated lasers are stabilized to a miniature Fabry-P\'{e}rot cavity, and the frequency gap between the lasers is divided with an efficient dark-soliton frequency comb. The stabilized output of the microcomb is photodetected to produce a microwave signal at 20 GHz with phase noise of -96 dBc/Hz at 100 Hz offset frequency that decreases to -135 dBc/Hz at 10 kHz offset--values which are unprecedented for an integrated photonic system. All photonic components can be heterogeneously integrated on a single chip, providing a significant advance for the application of photonics to high-precision navigation, communication and timing systems