Financial models used to embed registered nurses in primary health care settings in the United States: A scoping review.

Background: Registered nurses (RNs) are increasingly recognized as key contributors to team-based primary care. However, funding limitations and restrictive reimbursement policies hinder their integration.

Purpose: This scoping review aimed to identify and categorize funding models used to support RN roles in U.

Safety and outcomes of intensive interdisciplinary pain treatment for patients with and without pediatric generalized joint hypermobility: a longitudinal retrospective study.

Intensive interdisciplinary pain treatment (IIPT) effectively treats pediatric patients with highly impairing chronic pain; however, safety and outcomes for patients with comorbid pediatric generalized joint hypermobility (pGJH) have not been rigorously examined. This study assessed the prevalence of injuries and physical and psychosocial outcomes of IIPT for patients with chronic pain with and without pGJH. This study was a retrospective review of patients admitted to an IIPT program providing 40 h of weekly physical and psychological therapies for approximately 4-6 weeks.

Unusual Sperm Morphology in Two Sedentary Songbird Species.

Sperm morphology can differ dramatically among closely related species. Within songbirds, the typical filiform sperm has a slender, corkscrew-shaped head and an elongated midpiece coiled around the flagellum. However, three songbird species are known to have an unusual tadpole-like sperm morphology with a round or ellipsoid head and short, uncoiled midpiece, which may arise developmentally via neoteny.

Perceived Stress, Residential Indoor PM2.5 Concentration, and Motor Vehicle Traffic Exposure Among Adults with Asthma: A Secondary Analysis.

Background: Poorly controlled asthma creates a multitude of health, financial, and quality of life difficulties. The potential influences of environmental factors on the stress levels of people living with asthma-including exposure to fine particulate matter and motor vehicle traffic-are often overlooked.

Purpose: Among a sample of U.

Overwintering and Resident Birds in Qatar: Explorations With DNA Barcoding.

Genetic research is unevenly distributed across the globe, with most research done in temperate zones. To better understand the birdlife in an under-represented, arid subtropical country, Qatar, we blood sampled birds and salvaged tissue from dead birds, then sequenced a mitochondrial marker (cytochrome oxidase subunit I, COI, the "DNA barcoding" gene). We chose the DNA barcoding gene because it has previously proven useful for preliminary explorations of evolutionary history.

Assessing the Impact of Home Environmental Exposures on Allergic Rhinitis Using Real-Time Air Quality Monitoring and Symptom Assessment: Observational Feasibility Study.

Background: Rhinitis is the most common sinonasal condition and poses a significant cost burden. Rhinitis symptom control is associated with exposure to environmental triggers (eg, aeroallergens, pollutants, and irritants). While people spend much of their time at home, studies examining the association of rhinitis symptoms with home environmental exposures, especially in low-income, urban, and racial or ethnic minorities, are limited.

Prevalence of Pain and Effect of Joint Strength on Perceived Physical Function in Pediatric Patients With Ehlers-Danlos Syndrome.

Objective: To identify how pediatric patients with hypermobile-type Ehlers-Danlos syndrome (hEDS) present to physical therapy (PT) and better understand their musculoskeletal dysfunction.

Design: Patients were included in the study if they had a diagnosis of hEDS and at least 1 completed PT evaluation after diagnosis. A chart review was conducted to assess joint strength and pain characteristics at the initial PT assessment.

Selecting and tailoring implementation strategies for deimplementing fall prevention alarms in US hospitals: a group concept mapping study.

Objectives: Many hospitals use fall prevention alarms, despite the limited evidence of effectiveness. The objectives of this study were (1) to identify, conceptualise and select strategies to deimplement fall prevention alarms and (2) to obtain feedback from key stakeholders on tailoring selected deimplementation strategies for the local hospital context.

Methods: Hospital staff working on fall prevention participated in group concept mapping (GCM) to brainstorm strategies that could be used for fall prevention alarm deimplementation, sort statements into conceptually similar categories and rate statements based on importance and current use.

Prevalence of psychiatric and sleep disorders and their impact on quality of life in children with hypermobile Ehlers-Danlos syndrome: an observational study.

Hypermobile Ehlers-Danlos Syndrome (hEDS) is the most common connective tissue disorder. However, few studies exist on psychiatric and sleep disorders in pediatric patients with hEDS. This study aims to describe psychiatric and sleep disorders and evaluate their impact on health-related quality of life (HRQoL) in pediatric patients with hEDS.

Engaging Minoritized Communities in Clinical Trials Through Social Media: Recommendations from Community-Based Participatory Research.

The current study aims to understand what Black and Latino community members know about clinical trials and develop effective messaging to generate interest, improve access, and encourage participation among minoritized populations through social media. Employing community-based participatory research, we formed a community research advisory team and conducted focus group interviews with Black and Latino community members about elements of social media messages that might reduce hesitancy about and increase engagement in clinical trials. From the interview transcripts, we extracted seven key themes: transparency, familiarity, altruism, adaptability, flexibility, recognition, and safety.

Acute Pediatric Mastoiditis Numbers and Related Complications Before During and After the COVID-19 Pandemic.

Objective: To evaluate acute pediatric mastoiditis numbers and associated complications before, during, and after the COVID-19 pandemic.

Methods: A retrospective chart review of all children less than 18 years of age presenting to a pediatric tertiary medical center with acute mastoiditis from January 1, 2017 to October 30, 2023 was completed. Exclusion criteria included history of chronic mastoiditis, cholesteatoma and mastoidectomy.

Validity and Reliability of the Tampa Scale for Kinesiophobia for Adolescents with Heart Disease.

Purpose: To assess the validity and reliability of a newly adapted Tampa Scale for KP for adolescents with HD (TSK-Heart-A).

Methods: The TSK-Heart-A survey consists of 17 Likert scale items, producing a summary score (SS) ranging from 17 (low KP) to 68 (high KP). Following content and face validity, adolescents (age 12-18 yr) with arrhythmia disorders or Fontan palliation were recruited.

Impacts of zero-fare transit policy on health and social determinants: protocol for a natural experiment study.

Population-level efforts are needed to increase levels of physical activity and healthy eating to reduce and manage chronic diseases such as obesity, cardiovascular disease, and type 2 diabetes. Interventions to increase public transit use may be one promising strategy, particularly for low-income communities or populations of color who are disproportionately burdened by health disparities and transportation barriers. This study employs a natural experiment design to evaluate the impacts of a citywide zero-fare transit policy in Kansas City, Missouri, on ridership and health indicators.

Sperm as a speciation phenotype in promiscuous songbirds.

Sperm morphology varies considerably among species. Sperm traits may contribute to speciation if they diverge fast in allopatry and cause conspecific sperm precedence upon secondary contact. However, their role in driving prezygotic isolation has been poorly investigated.

Cardiovascular, autonomic symptoms and quality of life in children with hypermobile Ehlers-Danlos syndrome.

Objectives: Hypermobile Ehlers-Danlos syndrome is a connective tissue disorder characterized by joint hypermobility and other systemic manifestations. Cardiovascular, autonomic symptoms and dysautonomia are frequently reported in adults with hypermobile Ehlers-Danlos syndrome and have been shown to have a negative impact on quality of life. However, there is scant literature on autonomic symptoms in pediatric patients with hypermobile Ehlers-Danlos syndrome.

COVID-19 venous thromboembolism prophylaxis guidelines in pediatrics.

Introduction: SARS-CoV-2 (COVID-19) infection and multisystem inflammatory syndrome in children (MIS-C) are risk factors for venous thromboembolism (VTE). Guidelines for VTE prophylaxis were established at our institution at the beginning of the pandemic. Patients who had any VTE risk factors in addition to COVID-19 met criteria for anticoagulation prophylaxis.

Nurses' moral distress and leadership communication in hospitals serving Black patients during COVID-19.

Background: Poorer leadership communication during COVID-19 may have contributed to the moral distress of nurses in hospitals where Black patients predominantly access their care (BSH).

Purpose: To compare nurse moral distress and leadership communication during the COVID-19 pandemic in hospitals that serve disproportionately many or few patients of Black race.

Methods: In a national hospital sample (n = 90), nurse survey data were collected (March 2021).

Health-related needs of survivors of hypertensive disorders of pregnancy: implications for health communication interventions.

Background: Hypertensive disorders of pregnancy (HDP) are key contributors to maternal morbidity, mortality, and future risk of cardiovascular disease. This exploratory study aimed to unearth the health-related needs of women with a reported history of HDP by inquiring about preferences for care.

Method: Deductive, qualitative analysis was conducted of HDP survivors' retrospective 'wishes' about the care received.

Alarm with care-a de-implementation strategy to reduce fall prevention alarm use in US hospitals: a study protocol for a hybrid 2 effectiveness-implementation trial.

Background: Fall prevention alarms are commonly used among US hospitals as a fall prevention strategy despite limited evidence of effectiveness. Further, fall prevention alarms are harmful to healthcare staff (e.g.

Normal joint range of motion in children with Down syndrome.

Down syndrome (DS) is one of the most common chromosomal conditions that results in intellectual disability. Children with DS have many different inflammatory and noninflammatory conditions that can affect joint mobility leading to arthralgia and altered joint range of motion (ROM), and it is important to have normal reference values for comparison to determine the degree of impairment. The objective of this study was to establish normative joint ROM values, using a standardized measurement approach, for upper and lower joints of healthy children of both genders with DS.

Early exposure to added sugars via infant formula may explain high intakes of added sugars during complementary feeding beyond maternal modeling.

Background: Research has shown that early exposure to added sugars from table food is related to increased intake of added sugars in later childhood. The earliest window of exposure to added sugars may be in infancy via infant formula. However, beyond the well-established factors of maternal lifestyle and modeling, there is a lack of research examining how exposure to added sugars from infant formula influences infant/toddler added sugar intakes from table foods and sugar sweetened beverages (SSB).

Modernizing Measure of the Nurse Work Environment.

Background: Research has established a relationship between favorable nurse work environments and better nurse, patient, and organizational outcomes. However, the instrument most frequently used to measure the nurse work environment, the Practice Environment Scale of the Nursing Work Index (PES-NWI), has not had its items significantly re-evaluated since the 1980s.

Objective: We sought to examine the psychometric properties of an updated PES-NWI and create an instrument suitable for further testing and refinement to measure the present-day nurse work environment.

Individual and Organizational Factors Associated With Nurse Manager Success.

Objective: The aim of this study was to synthesize previous findings and provide practical guidance for maximizing nurse manager and nurse performance.

Background: Two recent studies have linked nurse manager job design factors and individual differences to a variety of valued outcomes, but practical implications remain unclear.

Methods: A large US sample of nurse managers was divided on the basis of nurse and patient outcomes.

Measuring the Work Environment: The Voice of the Staff Nurse.

Objective: The aims of this study were to obtain direct care hospital nurse input on the relevance of the Practice Environment Scale of the Nursing Work Index (PES-NWI) and to determine whether additional items are needed to measure the contemporary nursing work environment (NWE).

Background: Instruments accurately measuring the NWE are essential due to the NWE's association with nurse, patient, and organizational outcomes. However, the most frequently used instrument for measuring the NWE has not been scrutinized by today's practicing direct care nurses to ensure its current relevancy.