Junior nursing students\u27 experiences of vertical violence during clinical rotations

Horizontal violence is a form of workplace violence, a phenomenon that is prevalent in the nursing profession. Research has revealed a variety of negative peer-to-peer behaviors that lower morale and lead to turnover. However, little research has been conducted on “eating our young” (violence occurring between individuals with unequal power, such as staff nurse and student). We propose “vertical violence” as the appropriate term when abusive registered nurse (RN) behavior is directed towards students. We report a content analysis of stories written by junior nursing students about incidents of injustice perpetrated by staff RNs during their clinical experiences. Four levels of injustice were described. Nursing leadership, both in hospitals and educational institutions, must become engaged in efforts to eradicate vertical violence towards students

A Double-Thermostad Warm-Core Ring of the Gulf Stream

An unusual double-thermostad warm-core ring of the Gulf Stream was discovered in the Slope Sea, south of Georges Bank, during the R/V Endeavor cruise 578 in May 2016. The ring’s stratification was peculiar as it included two thermostads at, respectively, 100–200 m (core T = 18.14°C, S = 36.52) and 250–500 m (core T= 16.70°C, S = 36.35). Extensive use of satellite data (SST imagery and SSH maps) allowed the life history of this ring to be reconstructed, with independent SST and SSH data mutually corroborating each other. The double-thermostad ring was formed by vertical alignment of two preexisting warm-core anticyclonic rings of the Gulf Stream. The first ring spawned by the Gulf Stream in February has cooled by ~2°C before merging in April with the second ring spawned by the Gulf Stream in March. During vertical alignment of these rings, the warmer ring overrode the colder ring, thereby forming the double-thermostad ring surveyed in May 2016. From ADCP sections through the ring, the upper and lower thermostads had different core relative vorticities of −0.65f and −0.77f, respectively, where f is the local Coriolis parameter. An in-depth literature survey has confirmed that this is the first report of a double-thermostad warm-core ring of the Gulf Stream and one of the best-documented cases of vertical alignment of two eddies ever observed in the World Ocean

Metal and metalloid exposure and oxidative status in free-living individuals of Myotis daubentonii

Metal elements, ubiquitous in the environment, can cause negative effects in long-lived organisms even after low but prolonged exposure. Insectivorous bats living near metal emission sources can be vulnerable to such contaminants. Although it is known that bats can bioaccumulate metals, little information exists on the effects of metal elements on their physiological status. For example, oxidative status markers are known to vary after detoxification processes and immune reactions. Here, for two consecutive summers, we sampled individuals from a natural population of the insectivorous bat, Myotis daubentonii, inhabiting a site close to a metal emission source. We quantified metals and metalloids (As, Ca, Cd, Co, Cu, Mn, Ni, Pb, Se, Zn) from individual fecal pellets. We measured enzymatic antioxidants (GP, CAT, SOD), total glutathione (tGSH) and ratio between reduced and oxidized glutathione (GSH:GSSG) from their red blood cells together with biometrics, hematocrit and parasite prevalence. In general, metal concentrations in feces of M. daubentonii reflected the exposure to ambient contamination. This was especially evident in the higher concentrations of Cd, Co, Cu and Ni close to a smelter compared to a site with less contaminant exposure. Annual differences were also observed for most elements quantified. Sex-specific differences were observed for calcium and zinc excretion. SOD and CAT enzymatic activities were associated with metal levels (principal components of six metal elements), suggesting early signs of chronic stress in bats. The study also shows promise for the use of non-invasive sampling to assess the metal exposure on an individual basis and metal contamination in the environment.Peer reviewe

Metabolic and haemodynamic effects of oral glucose loading in young healthy men carrying the 825T-allele of the G protein β3 subunit

BACKGROUND: A C825T polymorphism was recently identified in the gene encoding the β3 subunit of heterotrimeric G-proteins (GNB3). The T-allele is significantly associated with essential hypertension and obesity. In order to further explore a possible pathogenetic link between the T-allele and impaired glucose tolerance we studied metabolic and haemodynamic responses to oral glucose loading in young, healthy subjects with and without the 825T-allele. METHODS: Twelve subjects with and 10 without the 825T-allele were investigated at rest and following glucose ingestion (75 g). Blood glucose, serum insulin and haemodynamics were determined prior to and over 2 hours following glucose ingestion. We non-invasively measured stroke volume (SV, by impedance-cardiography), blood pressure (BP), heart rate (HR), and systolic-time-intervals. Cardiac output (CO) was calculated from HR and SV. Total peripheral resistance was calculated from CO and BP. Metabolic and haemodynamic changes were quantified by maximal responses and by calculation of areas under the concentration time profile (AUC). Significances of differences between subjects with and without the T-allele were determined by unpaired two-tailed t-tests. A p < 0.05 was considered statistically significant. RESULTS: Metabolic and haemodynamic parameters at baseline were very similar between both groups. The presence of the T-allele did not alter the response of any metabolic or haemodynamic parameter to glucose loading. CONCLUSIONS: In conclusion, this study does not support the hypothesis that the C825T polymorphism may serve as a genetic marker of early impaired glucose tolerance

Bioethics: Health Case Law and Ethics

This book provides a rich body of materials for courses in bioethics and law. Primary legal sources, including judicial opinions, statutes, regulations and institutional policies, will give students insight into the strategies used by courts, legislatures, agencies and health care providers in addressing bioethics issues. The book also draws from interdisciplinary research in medicine, ethics, and law to provide students diverse critiques of legal and public policy issues in bioethics. Materials in this text are tightly edited and designed to create high quality and focused classroom discussion, and, the text includes classroom tested problems that will engage students more deeply on each issue.Bioethics: Health Care Law and Ethics begins with accessible introductory material on how to do ethics analysis. It then provides separate chapters on Reproduction and Birth (including current issues relating to abortion and contraception and issues related to assisted reproductive technologies); Legal, Social, and Ethical Issues in Genetics; Life and Death Decision-making; Regulation of Research Involving Human Subjects; Distributive Justice and Organ Transplantation; and Current Controversies in Public Health (including issues related to immunization practice).https://digitalrepository.unm.edu/law_facbookdisplay/1009/thumbnail.jp

Teacher\u27s Manual to Accompany Health Law: Cases, Materials and Problems

Copyright page and Table of Contents only.https://digitalrepository.unm.edu/law_facbookdisplay/1014/thumbnail.jp

International Encyclopaedia of Medical Laws (Supplement 14 United States of America)

Relating to the practice of medicine in the large sense, this subset of the IEL covers national and international medical law. Each national monograph contains, besides a general introduction, a description for the country in question of: the law related to the medical profession, such as access to the medical profession, illegal practice of medicine and control over the practice of medicine; the physician-patient relationship (the rights and duties of physicians and patients) and specific issues such as abortion and euthanasia; and, the national law dealing with the physician in relation to his colleagues, to other health care providers and the health care system.https://digitalrepository.unm.edu/law_facbookdisplay/1027/thumbnail.jp

Health Law (Practitioner Treatise Series)

Volume One of Two Volume Set. This desk reference explores and interprets the important details of every major issue in health care today. You\u27ll find in-depth discussion of tax, corporate, and organizational issues, as well as governmental initiatives in the areas of cost control, access to health care, anti-competitive activities, fraud, and abuse. The legal and ethical issues involving highly sensitive issues, such as death, reproductive rights, and medical research, are also covered Copyright page and Table of Contents only. Two volume set.https://digitalrepository.unm.edu/law_facbookdisplay/1013/thumbnail.jp