BACKGROUND:: The nursing home industry serves one of the most vulnerable populations, and its financial sustainability is a matter of public concern. However, limited empirical evidence exists on the impact of ownership and chain affiliation on nursing home financial performance. PURPOSES:: The aim of this study was to examine the ...

In a nationally representative study of 1,071 nursing home social services directors 80% of social services departments provided resident rights training and 60-70% were involved in abuse training. Departments headed by recent grads and in chain nursing homes or in the northeast were more likely to be involved in training. ...

In its first issue in 1972, JOGNN published a review article reporting surveillance data about abortions in the United States (Bourne, Kahn, Conger, & Tyler, 1972). This historical article predated Roe v. Wade, the U.S. Supreme Court decision legalizing abortion. Since this landmark decision, numerous articles have addressed nurses' role ...

OBJECTIVE: To compare staffing levels and deficiencies of the 10 largest U.S. for-profit nursing home chains with five other ownership groups and chain staffing and deficiencies before and after purchase by four private equity (PE) companies. DATA SOURCES: Facilities for the largest for-profit chains were identified through Internet searches and ...

Scand J Caring Sci; 2011 Experiences of working with induced abortion: focus group discussions with gynaecologists and midwives/nurses Background:  While there exists an extensive amount of research regarding the medical aspects of abortion, there is a great lack of studies investigating staff's views and experiences of working in abortion services. ...

This study examined the ownership, financing, and management strategies of the 10 largest for-profit nursing home chains in the United States, including the four largest chains purchased by private equity corporations. Descriptive data were collected from Internet searches, company reports, and other sources for the decade 1998-2008. Since 1998, the ...

Although allonursing (allowing non-filial offspring to suckle) can be a costly behaviour, it has been reported for many mammals including ungulate species. However, such behaviour is very rare in equids. This is the first report on adoption and allonursing in captive plains zebra (Equus burchellii), recorded in the Dvůr Králové ...

The aim of this study is to arrive at design implications for the digital support of intensive care nurses, with a focus on supporting them in their roles as practitioners, as scholars and in their human response to their work. Seventeen nurses from six different Dutch hospitals were interviewed using ...

This article explores the personal challenges inherent in accepting limitations and a change in self-image. Nurses can assist their clients in moving toward a new vision of self that can better support health and wellness and perhaps a more realistic level of functioning as they age.

The Essential Vitality Program blends holistic nursing, functional medicine, and health coaching to promote lifestyle changes that modify risk factors of costly chronic disease. Karl is a client who experienced enhanced vitality, decreased chronic pain and medications use, and improved meaningful functioning, by partnering with a holistic nurse coach.

A nurse planner is an integral part of a provider unit. The nurse planner is responsible for the quality of individual educational activities offered by the provider unit as well as overall functioning of the provider unit. Selecting the right individual or individuals to be nurse planner(s) significantly impacts the ...

The purpose of this study was to explore relationships between functional status after childbirth and related concepts. The sample consisted of 177 women. The Personal Resource Questionnaire (PRQ) 85-Part 2, the State Trait Anxiety Inventory (STAI), and the Inventory of Functional Status After Childbirth (IFSAC) were used to measure variables. ...

Physical function is a common complication of hospitalized older adults, resulting in increased morbidity, mortality, institutionalization, and cost. Nursing staff play a central role in the hospital experience for older adults, including the promotion of physical function. Although quality geriatric care requires an organizational approach, there are no empirically based ...

PURPOSE: This correlational study examined the relationship between patient trust of nurses, level of postoperative pain, and discharge functional outcome following total knee arthroplasty. SAMPLE: The study included 68 participants. METHODS: Participants completed the Trust subscale of the Patient's Opinion of Nursing Care to assess trust of nursing staff. Numeric ...

It is unclear whether functional status before dialysis is maintained after the initiation of this therapy in elderly patients with end-stage renal disease (ESRD). Using a national registry of patients undergoing dialysis, which was linked to a national registry of nursing home residents, we identified all 3702 nursing home residents ...

OBJECTIVE: To assess interrater reliability of the New York Heart Association/World Health Organization functional classification as applied by clinicians (defined as both physicians and nurses in this article) to patients with pulmonary arterial hypertension (PAH). PATIENTS AND METHODS: Between March 16 and August 31, 2007, a survey that described 10 ...

BACKGROUND: Daily observation by nurses of the cognitive function of patients is of high ecological validity because cognitive functioning is observed in a natural setting around the clock. AIM: To evaluate why and how geriatric nurses observe the cognitive functioning of their patients. DESIGN: Survey. METHODS: A self-developed questionnaire was ...

BACKGROUND: The "Comprehensive ICF Core Set for Rheumatoid Arthritis (RA)" is an application of the International Classification of Functioning, Disability and Health (ICF) and represents the typical spectrum of problems in functioning of patients with RA. OBJECTIVES: The objective of this study was to validate this ICF Core Set from ...

BACKGROUND: Understanding the quality loss implications of short staffing is essential in maintaining service quality on a limited budget. OBJECTIVES: For elaborate financial control on staffing decisions, it is necessary to quantify the cost of the incidental quality loss that a given workload and staffing level entail. DESIGN: We develop ...

Security of the conventional Fourier-based double-random-phase encryption (DRPE) technique is prone to impulse attacks, as the Fourier transform (FT) of a delta function results in a unity function. To negate such an attack, the phase factors of the lenses are modified by multiplying these with random-phase functions. Owing to this ...

Hel308 is an SF2 (superfamily 2) helicase with clear homologues in metazoans and archaea, but not in fungi or bacteria. Evidence from biochemistry and genetics implicates Hel308 in remodelling compromised replication forks. In the last 4 years, significant advances have been made in understanding the biochemistry of archaeal Hel308, most ...

We report aerobic eukaryotic microbial life in the dimly lit anoxic water layer of a small freshwater lake. The microbial eukaryote is the ciliated protozoon Histiobalantium natans. Electron microscopy of thin sections shows that the cytoplasm of the ciliate harbours sequestered chloroplasts and sequestered mitochondria. The sequestered chloroplasts are attached ...

Galectin-1 (Gal-1) and galectin-3 (Gal-3) are widely expressed galectins with immunoregulatory functions in animals. To explore their glycan specificity, we developed microarrays of naturally occurring glycans using a bifunctional fluorescent linker, 2-amino-N-(2-aminoethyl)-benzamide (AEAB), directly conjugated through its arylamine group by reductive amination to free glycans to form glycan-AEABs (GAEABs). Glycans ...

We demonstrate mass-producible, tetherless microgrippers that can be remotely triggered by temperature and chemicals under biologically relevant conditions. The microgrippers use a self-contained actuation response, obviating the need for external tethers in operation. The grippers can be actuated en masse, even while spatially separated. We used the microgrippers to perform ...

We investigate the convergent validity of the DSM-IV Axis V Global Assessment of Relational Functioning Scale (GARF; American Psychiatric Association, 1994). This study included 79 patients at a university-based outpatient treatment clinic. We examined clinician-rated GARF and the relationship to self-reported (Inventory of Interpersonal Problems; IIP-C; Horowitz et al. 2000) ...

Using observational and interview approaches, we evaluated the usability of a web-based communication tool that allows managers to announce open work shifts and staff to request work shifts. We used Morae software to record screen shots and study participants' (4 Nurse Managers, 3 Registered Nurses and 3 Patient Care Technicians) ...

Boradiazaindacene dyes were converted into phenylethynyl-BODIPY oligomers via a cycle of reactions, notably including Sonogashira couplings. As expected, as the number, n, of repeating units increases, peak absorption and emission wavelengths are shifted to the red end of the visible spectrum, albeit with smaller increments as n increases. Decyl groups ...

The pharyngeal jaws of moray eels function exclusively to transport prey from the oral jaws into the esophagus. This functional innovation in the moray pharyngeal jaw system occurred through the loss of some ancestral functions that presumably included prey processing. Therefore, the oral jaws of morays are used to capture ...

Surprisingly little is known about how people plan and control everyday physical actions, such as walking along and picking up objects. In order to explore this topic, we conducted an experiment in which university students were asked to pick up a common object (a child's beach bucket) that stood on ...

The sphincter of Oddi is located at the distal end of the pancreatic and bile ducts and regulates the outflow of bile and pancreatic juice. A common channel can be so long that the junction of the pancreatic and bile ducts is located outside of the duodenal wall, as occurs ...

A series of mono-, di- and tri-valent iminosugars based on oligoethylene scaffolds and N-substituted deoxynojirymicin epitopes have been synthesized by "click chemistry" to study the effect of multivalency on glycosidase inhibition. Biological evaluation evidenced differences in the inhibition trends as a function of the enzyme nature. The results demonstrate that ...

The septation initiation network (SIN) regulates the timing of septum formation in Schizosaccharomyces pombe. However, whether and how the SIN functions in contractile ring formation has remained unclear. In this issue of Genes & Development, Hachet and Simanis (3205-3216) demonstrate that the SIN acts downstream from the Plo1 kinase to ...

Recently, square root 5 -refinement hierarchical sampling has been studied and square root 5-refinement has been used for surface subdivision. Compared with other refinements, such as the dyadic or quincunx refinement, square root 5-refinement has a special property that the nodes in a refined lattice form groups of five nodes ...

We present a toolbox for quickly interpreting and illustrating 2D slices of seismic volumetric reflection data. Searching for oil and gas involves creating a structural overview of seismic reflection data to identify hydrocarbon reservoirs. We improve the search of seismic structures by precalculating the horizon structures of the seismic data ...

Harlequin ichthyosis is a congenital scaling syndrome of the skin in which affected infants have epidermal hyperkeratosis and a defective permeability barrier. Mutations in the gene encoding a member of the ABCA transporter family, ABCA12, have been linked to harlequin ichthyosis, but the molecular function of the protein is unknown. ...

The mechanisms responsible for maintaining genomic methylation imprints in mouse embryos are not understood. We generated a knockout mouse in the Zfp57 locus encoding a KRAB zinc finger protein. Loss of just the zygotic function of Zfp57 causes partial neonatal lethality, whereas eliminating both the maternal and zygotic functions of ...

Since the discovery of ordered mesoporous silica M41S in 1992, a variety of ordered mesoporous materials have been synthesized by using the template technique. In this work, aminosilane-modified SBA-15 nanoparticles were prepared by incorporating various aminosilanes on original SBA-15 via post synthesis method. These aminosilanes were 3-aminopropyltriethoxysilane, N-2(-aminoethyl)-3-aminopropyl trimethoxysilane and ...

Bacteria and archaea use distinct pathways for salvaging exogenous cobinamide (Cbi), a precursor of adenosylcobalamin (coenzyme B(12)). The bacterial pathway depends on a bifunctional enzyme with kinase and guanylyltransferase activities (CobP in aerobic adenosylcobalamin synthesizers) to convert adenosylcobinamide (AdoCbi) to AdoCbi-guanosine diphosphate (AdoCbi-GDP) via an AdoCbi-phosphate intermediate. Archaea lack CobP, ...

Microbially mediated anaerobic oxidation of methane (AOM) moderates the input of methane, an important greenhouse gas, to the atmosphere by consuming methane produced in various marine, terrestrial, and subsurface environments. AOM coupled to sulfate reduction has been most extensively studied because of the abundance of sulfate in marine systems, but ...

We investigated the relationships between functional genetic variants of the 5-HT(2C) receptor and multidrug-resistant protein (MDR1), coding for P-glycoprotein, and second generation antipsychotic (SDA)-induced weight gain among 108 female schizophrenic patients treated with olanzapine or risperidone for up to 4 months. No significant differences in -759C/T allelic and genotype variants ...

BACKGROUND: Data on the impact of gastroesophageal reflux disease (GERD) on health-related quality of life (HRQL) in Asian countries are scarce. AIM: This study evaluated the impact of GERD on HRQL in Shanghai, China. SUBJECTS: One thousand two hundred adult inhabitants of Shanghai, selected using randomized cluster sampling. METHODS: Participants ...

We perform a systematic examination on the dependence of the calculated nuclear magnetic shielding constants on the chosen geometry for a selective set of density functional methods of B3LYP, PBE0, and OPBE. We find that the OPBE exchange-correlation functional performs remarkably well when either the optimized geometries or the experimental ...

A lossy data compression scheme for uniformly biased Boolean messages is investigated via statistical mechanics techniques. We utilize a treelike committee machine (committee tree) and a treelike parity machine (parity tree) whose transfer functions are nonmonotonic. The scheme performance at the infinite code length limit is analyzed using the replica ...

BACKGROUND: Patients with cystic fibrosis (CF) can become colonized by aspergillus, which can act as an allergen and cause allergic bronchopulmonary aspergillosis (ABPA). OBJECTIVE: To determine the rate of aspergillus colonization and ABPA in a population of Irish patients with CF. METHODS: In 50 consecutive patients with CF who presented ...

The kinematic center (KC)-defined by coinciding jaw-opening/-closing and protrusion-retrusion trajectories-has been proposed in the literature as a reference point to represent TMJ movements. In this study, we tested whether the KC lies in a peculiar anatomical point and whether its trajectory reflects intra-articular distance. In 11 asymptomatic individuals (seven females, ...

BACKGROUND: The multiple sclerosis functional composite (MSFC) includes the Paced Auditory Serial Addition test (PASAT) as a measure of cognition. OBJECTIVES AND METHODS: We compared the MSFC incorporating the Symbol Digit Modalities test (SDMT) (MSFC [sdmt]) to the usually applied MSFC (MSFC [pasat]) in a sample of 46 ptients with ...

We demonstrate the self-assembly through fluorophilic interactions of a blend of perfluorocarbon (RF) end-functionalized polystyrene and the corresponding RF-polybutylmethacrylate into optically transparent materials that retain domain characteristics typical of the component polymers but show well-defined lamellar nanostructured morphologies that qualitatively resemble that of the corresponding block copolymers.

This study describes the posthospital recovery of physical function among 131 older adults after lower extremity surgery in a short-stay skilled nursing facility (SNF), and identifies admission factors predicting physical function at discharge. Multiple regression analyses found that older adults with low baseline physical function, pressure ulcer, malnutrition, memory loss ...

Thiol-acrylate photopolymers often contain pendant, unreacted thiol groups even following complete reaction of the acrylate functional groups. The results presented herein demonstrate a high throughput method for quantifying pendant thiol group concentrations using FTIR spectra of thiol-acrylate microspot arrays. Using this technique, more than 25% of the original thiol groups ...

Organotrifluoroborates are generating increased interest because of their ease of preparation and purification and indefinite shelf life. Herein we report the preparation of organotrifluoroborates bearing functional groups that can be manipulated at different stages of the synthetic route, exploiting the inertness of their carbon-boron bonds. The alkylation of 2,2-dicyanoethyltrifluoroborate with ...