Integrating the Scholarship of Practice into the Nurse Academician Portfolio

Many nurse academicians are also advanced practice nurses (APNs) in the United States (U.S.). Such faculty are often involved in clinical practice activities which require specific competencies for meeting legal responsibilities and standards for safety. Maintaining practice expectations often takes away the time necessary to address traditional scholarship expected by U.S. institutions for advancement and promotion, and securing tenured academic positions. Scholarship activities for APNs should encompass broad and essential criteria during review and promotional processes; especially important is documentation for the scholarship of application as it applies to APN clinical practice. Nursing faculty who practice as APNs should become adept at documenting scholarship of practice. Appropriate recognition for valid non-traditional types of scholarship activities is essential. According to the Position Statement of the American Association of the Colleges of Nursing (AACN) on Defining Scholarship for the Discipline of Nursing, there are four different dimensions of scholarship. These expand upon the seminal work of Boyer (1990) and consist of: (a) the Scholarship of Discovery, (b) the Scholarship of Teaching, (c) the Scholarship of Application, and (d) the Scholarship of Integration. The purpose of this article is to describe each of the four types of scholarship and demonstrate how the APN/ nurse academician’s clinical practice is an application of scholarship. APN practice is multidimensional and an important basis for review and promotion in academic and/or health care settings

Addition of multiple limiting resources reduces grassland diversity

Niche dimensionality provides a general theoretical explanation for biodiversity—more niches, defined by more limiting factors, allow for more ways that species can coexist1. Because plant species compete for the same set of limiting resources, theory predicts that addition of a limiting resource eliminates potential trade-offs, reducing the number of species that can coexist2. Multiple nutrient limitation of plant production is common and therefore fertilization may reduce diversity by reducing the number or dimensionality of belowground limiting factors. At the same time, nutrient addition, by increasing biomass, should ultimately shift competition from belowground nutrients towards a one-dimensional competitive trade-off for light3. Here we show that plant species diversity decreased when a greater number of limiting nutrients were added across 45 grassland sites from a multi-continent experimental network4. The number of added nutrients predicted diversity loss, even after controlling for effects of plant biomass, and even where biomass production was not nutrient-limited. We found that elevated resource supply reduced niche dimensionality and diversity and increased both productivity5 and compositional turnover. Our results point to the importance of understanding dimensionality in ecological systems that are undergoing diversity loss in response to multiple global change factors

Crommet Creek Conservation Area Management Plan

The Crommet Creek Conservation Area comprises the largest block of natural lands in the immediate Great Bay watershed, and in New Hampshire’s North Atlantic Coast Ecoregion. It includes the entire watershed of two tidal creeks that flow directly into the Great Bay Estuary. The area has been identified by the Great Bay Resource Protection Partnership as a protection priority due to the size of the natural area; the diversity of habitats and wildlife it supports; and it’s integral role in protecting the regional water quality and resources within the Great Bay Estuary. The Conservation Area includes headwater wetlands, and the entire spectrum of freshwater and estuarine wetland and aquatic communities along both Lubberland and Crommet creeks. The Great Bay is a shallow inland tidal estuary of national importance for migratory birds. The Great Bay supports 29 species of waterfowl, 27 species of shorebirds, 13 species of wading birds, osprey and bald eagle. The Estuary is unique in that it is recessed 9 miles from the ocean along the Piscataqua River. Although development is increasing in the watershed, it remains one of the more healthy and viable estuarine ecosystems on the North Atlantic coast

Autotransporters and Their Role in the Virulence of Burkholderia pseudomallei and Burkholderia mallei

Burkholderia pseudomallei and Burkholderia mallei are closely related Gram-negative bacteria responsible for the infectious diseases melioidosis and glanders, respectively. Autotransporters (ATs) comprise a large and diverse family of secreted and outer membrane proteins that includes virulence-associated invasins, adhesins, proteases, and actin-nucleating factors. The B. pseudomallei K96243 genome contains 11 predicted ATs, eight of which share homologs in the B. mallei ATCC 23344 genome. This review distils key findings from in silico, in vitro, and in vivo studies on the ATs of B. pseudomallei and B. mallei. To date, the best characterized of the predicted ATs of B. pseudomallei and B. mallei is BimA, a predicted trimeric AT mediating actin-based motility which varies in sequence and mode of action between Burkholderia species. Of the remaining eight predicted B. pseudomallei trimeric autotransporters, five of which are also present in B. mallei, two (BoaA and BoaB), have been implicated in bacterial adhesion to epithelial cells. Several predicted Burkholderia ATs are recognized by human humoral and cell-mediated immunity, indicating that they are expressed during infection and may be useful for diagnosis and vaccine-mediated protection. Further studies on the mode of secretion and functions of Burkholderia ATs will facilitate the rational design of control strategies

A Short Non-Saline Sprinkling Increases the Tuber Weights of Saline Sprinkler Irrigated Potatoes

© 2017 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).Previous work has shown that a short non-saline sprinkling, following saline sprinkling, increased crop growth. We incorporated this finding into an investigation of two approaches to the conjunctive use of saline and non-saline water sources for sprinkler irrigation of potatoes viz., (i) mixing waters prior to application, and (ii) keeping waters temporally separate, that is commencing each irrigation with saline water and finishing it with non-saline sprinkling. The latter approach delayed canopy senescence and increased tuber weight by at least 150%. Under both approaches, soil salinities and leaf and tuber concentrations of Na+ and Cl− were similar. Thus, the advantages of a non-saline sprinkling cannot be explained in terms of its effect on either soil osmotic potential or bulk tissue concentrations of putatively toxic ions Na+ and Cl−. We propose that the positive effect of finishing irrigations with a non-saline sprinkling may be attributed to either dilution, and hence increase in osmotic potential, of the water film that remains on the leaf after each irrigation or its effect on the distribution of the putatively toxic ions Na+ and Cl− within tissue. View Full-Tex

How long do ecosystems take to recover from atmospheric nitrogen deposition?

Atmospheric nitrogen (N) deposition is a considerable threat to biodiversity and ecosystem function globally. Many experimental N additions and studies using gradients of ambient deposition have demonstrated impacts on plant species richness, diversity and composition in a broad range of habitats together with changes in soil biogeochemistry. In the last two decades levels of N deposition have begun to decline in some parts of Europe but it is currently difficult to assess the extent to which reductions in N deposition will result in recovery within semi-natural habitats. There have been a number of investigations using the cessation of N additions in long-term experiments, monitoring in areas where ambient deposition has declined, transplants to situations with lower N inputs and roof experiments where rain is collected and cleaned. This review collates evidence from experiments in grasslands, forests, heathlands and wetlands where N additions have ceased or where N inputs have been reduced to assess how likely it is that habitats will recover from N deposition. The results of the majority of studies suggest that vegetation species composition, below-ground communities and soil processes may be slow to recover whereas some soil variables, such as nitrate and ammonium concentrations, can respond relatively rapidly to reductions in N inputs. There are a number of barriers to recovery such as continued critical load exceedance and lack of seed bank or local seed source, and there is the potential for vegetation communities to reach an alternative stable state where species lost as a consequence of changes due to N deposition may not be able to recolonise. In these cases only active restoration efforts can restore damaged habitats

Miniature standoff Raman probe for neurosurgical applications

Removal of intrinsic brain tumors is a delicate process, where a high degree of specificity is required to remove all of the tumor tissue without damaging healthy brain. The accuracy of this process can be greatly enhanced by intraoperative guidance. Optical biopsies using Raman spectroscopy are a minimally invasive and lower-cost alternative to current guidance methods. A miniature Raman probe for performing optical biopsies of human brain tissue is presented. The probe allows sampling inside a conventional stereotactic brain biopsy system: a needle of length 200 mm and inner diameter of 1.8 mm. By employing a miniature stand-off Raman design, the probe removes the need for any additional components to be inserted into the brain. Additionally, the probe achieves a very low internal silica background while maintaining good collection of Raman signal. To illustrate this, the probe is compared with a Raman probe that uses a pair of optical fibers for collection. The miniature stand-off Raman probe is shown to collect a comparable number of Raman scattered photons, but the Raman signal to background ratio is improved by a factor of five at Raman shifts below ∼500  cm−1. The probe’s suitability for use on tissue is demonstrated by discriminating between different types of healthy porcine brain tissue

The role of Mce proteins in Mycobacterium avium paratuberculosis infection

Mycobacterium avium subspecies paratuberculosis (MAP) is the causative agent of Johne's Disease, a chronic granulomatous enteritis of ruminants. MAP establishes an infection in the host via the small intestine. This requires the bacterium to adhere to, and be internalised by, cells of the intestinal tract. The effector molecules expressed by MAP for this purpose remain to be fully identified and understood. Mammalian cell entry (mce) proteins have been shown to enable other Mycobacterial species to attach to and invade host epithelial cells. Here, we have expressed Mce1A, Mce1D, Mce3C and Mce4A proteins derived from MAP on the surface of a non-invasive Escherichia coli to characterise their role in the initial interaction between MAP and the host. To this end, expression of mce1A was found to significantly increase the ability of the E. coli to attach and survive intracellularly in human monocyte-like THP-1 cells, whereas expression of mce1D was found to significantly increase attachment and invasion of E. coli to bovine epithelial cell-like MDBK cells, implying cell-type specificity. Furthermore, expression of Mce1A and Mce1D on the surface of a previously non-invasive E. coli enhanced the ability of the bacterium to infect 3D bovine basal-out enteroids. Together, our data contributes to our understanding of the effector molecules utilised by MAP in the initial interaction with the host, and may provide potential targets for therapeutic intervention.</p

Empowering junior doctors: a qualitative study of a QI programme in South West England

Aim To explore how the South-West Foundation Doctor Quality Improvement programme affected foundation year 1 (F1) doctors’ attitudes and ability to implement change in healthcare. Methods Twenty-two qualitative interviews were carried out with two cohorts of doctors. The first F1 group before and after their participation in the QI programme; the second group comprised those who had completed the programme between 1 and 5 years earlier. Qualitative data were analysed using thematic analysis techniques. Results Prior to taking part in the QI programme, junior doctors’ attitudes towards QI were mixed. Although there was agreement on the importance of QI in terms of patient safety, not all shared enthusiasm for engaging in QI, while some were sceptical that they could bring about any change. Following participation in the programme, attitudes towards QI and the ability to effect change were significantly transformed. Whether their projects were considered a success or not, all juniors reported that they valued the skills learnt and the overall experience they gained through carrying out QI projects. Participants reported feeling more empowered in their role as junior doctors, with several describing how they felt ‘listened to’ and able to ‘have a voice’, that they were beginning to see things ‘at systems level’ and learning to ‘engage more critically’ in their working environment. Conclusions Junior doctors are ideally placed to engage in QI. Training in QI at the start of their medical careers may enable a new generation of doctors to acquire the skills necessary to improve patient safety and quality of care