878 research outputs found
Meiotic nuclear divisions in budding yeast require PP2ACdc55-mediated antagonism of Net1 phosphorylation by Cdk
During meiosis, one round of deoxyribonucleic acid replication is followed by two rounds of nuclear division. In Saccharomyces cerevisiae, activation of the Cdc14 early anaphase release (FEAR) network is required for exit from meiosis I but does not lead to the activation of origins of replication. The precise mechanism of how FEAR regulates meiosis is not understood. In this paper, we report that premature activation of FEAR during meiosis caused by loss of protein phosphatase PP2ACdc55 activity blocks bipolar spindle assembly and nuclear divisions. In cdc55 meiotic null (cdc55-mn) cells, the cyclin-dependent kinase (Cdk)–counteracting phosphatase Cdc14 was released prematurely from the nucleolus concomitant with hyperphosphorylation of its nucleolar anchor protein Net1. Crucially, a mutant form of Net1 that lacks six Cdk phosphorylation sites rescued the meiotic defect of cdc55-mn cells. Expression of a dominant mutant allele of CDC14 mimicked the cdc55-mn phenotype. We propose that phosphoregulation of Net1 by PP2ACdc55 is essential for preventing precocious exit from meiosis I
Utilizing the Boston Syncope Observation Management Pathway to Reduce Hospital Admission and Decrease Adverse Outcomes
Introduction: In an age of increasing scrutiny of each hospital admission, emergency department (ED) observation has been identified as a low-cost alternative. Prior studies have shown admission rates for syncope in the United States to be as high as 70%. However, the safety and utility of substituting ED observation unit (EDOU) syncope management has not been well studied. The objective of this study was to evaluate the safety of EDOU for the management of patients presenting to the ED with syncope and its efficacy in reducing hospital admissions.
Methods: This was a prospective before-and-after cohort study of consecutive patients presenting with syncope who were seen in an urban ED and were either admitted to the hospital, discharged, or placed in the EDOU. We first performed an observation study of syncope management and then implemented an ED observation-based management pathway. We identified critical interventions and 30-day outcomes. We compared proportions of admissions and adverse events rates with a chisquared or Fisher’s exact test.
Results: In the “before” phase, 570 patients were enrolled, with 334 (59%) admitted and 27 (5%) placed in the EDOU; 3% of patients discharged from the ED had critical interventions within 30 days and 10% returned. After the management pathway was introduced, 489 patients were enrolled; 34% (p\u3c0.001) of pathway patients were admitted while 20% were placed in the EDOU; 3% (p=0.99) of discharged patients had critical interventions at 30 days and 3% returned (p=0.001).
Conclusion: A focused syncope management pathway effectively reduces hospital admissions and adverse events following discharge and returns to the ED. [West J Emerg Med. 2019;20(2)250–255.
Communication organizational orientations in an instructional setting
This study sought to determine if the organizational orientations of upward mobility, ambivalence, and indifference applied to students in the instructional setting. The McCroskey, Richmond, Johnson, and Smith (2004) Organizational Orientation Measure was adapted to a classroom setting to measure student orientations, and then the relationships between student orientations and student perceptions of teacher credibility, teacher nonverbal immediacy, student trait motivation, student state motivation, student beliefs and attitudes toward college, student affective learning, and student cognitive learning. Results indicate upward mobility had significant positive correlations with the dependent variables except cognitive learning while ambivalent and indifferent orientations had significant negative correlations with the dependent variables except cognitive learning
Necessity of a Cardiopulmonary Resuscitation Refreshment Course Among Registered Nurses
Abstract
Aims and objective: To (1) examine the level of comfort in performing CPR skills among registered nurses, and (2) assess the need for supplemental education between periods of recertification.
Background: While Cardiopulmonary Resuscitation (CPR) and other Basic Life Support (BLS) skills are pivotal for patients experiencing life-threatening arrhythmias and cardiopulmonary arrest, there are limited studies assessing the comfort of registered nurses in performing these necessary skills.
Design. A descriptive survey design was used to determine the comfort level of Registered Nurses performing CPR and perceived need for a CPR refresher course over the 24-month interval of CPR certification in registered nurses.
Method: An online quantitative survey consisting of thirteen items was used to assess comfort, the need for supplemental education, and demographic variables in participating registered nurses.
Results: Forty-one registered nurses (RNs) completed the online survey. Ninety percent (n=37) of the RNs responding indicated that they would feel comfortable performing CPR in an emergency situation, leaving 10% (n=4) of nurses who would not feel comfortable. Although the majority reported they would feel comfortable performing CPR, 63.2% (n=24) expressed an interest in taking a refresher course to improve their comfort. When asked about the motivation leading the need to refresh their CPR skills, 37.21% (n=16) reported due to a lack of practice, 30.23% (n=13) reported as the drive to become proficient, and 18.6% (n=8) because of their experience with witnessing/participation in cardiac arrest situations.
Limitations: A small sample size (Comfort, n=41 & Need Assessment, n=24) and our tool of measurement was not previously validated. This can serve as a pilot for further research, although we would like to continue to have the survey open so as to increase the sample size and then recalculate and analyze the data.
Conclusions. Ninety percent (90%) of registered nurses indicated that they felt comfortable in performing CPR, however, more than half expressed an interest in taking a refresher course to improve their comfort.
Relevance to clinical practice. Providing frequent refresher courses between recertification periods is suggested as a way to increase the level of comfort among registered nurses in emergency situations where those skills are required.
Key words: cardiopulmonary resuscitation, refresher course, comfort, need assessment, registered nurse
The seasonal dynamics of coastal Arctic lagoons in Northwest Alaska
Thesis (M.S.) University of Alaska Fairbanks, 2018Lagoons are zones of habitat transitions between freshwater and marine ecosystems, providing safe and productive feeding habitats for whitefishes in Northwest Alaska, important to subsistence users in the region. However, many important lagoon processes are not understood. Therefore, the goal of this thesis was to gain a baseline understanding of two important seasonal processes of lagoons in Northwest Alaska. First, I attempted to identify environmental processes correlated with Arctic lagoon breaching for three indicator lagoons that represent a range of environmental characteristics using generalized linear models (GLM) in an information theoretic approach and model averaging. Second, I developed a habitat suitability (HS) model to identify the range of physical conditions that whitefishes may experience if overwintering under ice of these lagoons during the Arctic winter, for the same three lagoons. The GLM model suggested that lagoon breaching day of year was slightly negatively related to day of year of river break-up, but other unconditional confidence intervals for the covariate parameters overlapped zero indicating considerable uncertainty in these estimates. Further data collection and monitoring in the region is needed to improve and verify lagoon breaching modelling results. The HS model indicated that lagoons have reduced suitability as whitefish habitat in winter due to loss of habitat due to the presence of bottomfast ice and a reduction of liquid water quality due to cold temperatures, high salinities and low dissolved oxygen levels. Importantly, small lagoons without freshwater inputs were potential sinks for fish populations. The results from this research will help the National Park Service and the Native Village of Kotzebue in a joint effort to understand and manage these important habitats that are critical for subsistence fisheries as the Arctic faces an uncertain future with climate change, oil spill threats, and increased coastal development.The Biomedical Learning and Student Training group, National Park Service, Wildlife Conservation Society and the College of Fisheries and Ocean Science
What is the Agricultural Problem
51 pagesNo apology for a paper on agricultural economics in the United
States is necessary. It is a recognized problem area. But there seems
to be some confusion as to the nature of the agricultural problem. The
purpose of this paper is to determine as nearly as possible, exactly what
the problems in agriculture are. Before analyzing the economic problems of any area, it would be
best to state the goals of the economy. For what economic conditions
are we striving? Two main goals can be identified; efficiency and
equity. Efficiency is concerned with the allocation of resources. Resources should be distributed in such a manner that the largest amount
of goods and services are delivered at the least cost. If a shifting of
factors of production is possible which will either increase production
or lower costs, or both, the concept of efficiency would suggest that
the shift be made
Exploring the constraint profile of winter sports resort tourist segments
Many studies have confirmed the importance of market segmentation both theoretically and empirically. Surprisingly though, no study has so far addressed the issue from the perspective of leisure constraints. Since different consumers face different barriers, we look at participation in leisure activities as an outcome of the negotiation process that winter sports resort tourists go through, to balance between related motives and constraints. This empirical study reports the findings on the applicability of constraining factors in segmenting the tourists who visit winter sports resorts. Utilizing data from 1,391 tourists of winter sports resorts in Greece, five segments were formed based on their constraint, demographic and behavioral profile. Our findings indicate that such segmentation sheds light on factors that could potentially limit the full utilization of the market. To maximize utilization, we suggest customizing marketing to the profile of each distinct winter sports resort tourist segment that emerge
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