The nursing workforce shortage demands comprehensive, innovative solutions across academic and clinical settings. Beginning in 2019, a strategic partnership was created between a large Midwestern university school of nursing and its associated academic health center to address workforce challenges and implement targeted initiatives. Key initiatives included student apprenticeships to support new graduate nurses, the development of functional teams to ease critical workforce shortages during Covid-19, and the implementation of 'red carpet clinicals' to facilitate student experiences in the clinical arena.
View Article and Find Full Text PDFCamb Prism Coast Futur
January 2025
Wetlands in hypersaline environments are especially vulnerable to loss and degradation, as increasing coastal urbanization and climate change rapidly exacerbate freshwater supply stressors. Hypersaline wetlands pose unique management challenges that require innovative restoration perspectives and approaches that consider complex local and regional socioecological dynamics. In part, this challenge stems from multiple co-occurring stressors and anthropogenic alterations, including estuary mouth closure and freshwater diversions at the catchment scale.
View Article and Find Full Text PDFThis pilot, randomized, double-blind, placebo-controlled trial investigated the effects of branched-chain amino acids (BCAAs)-provided in a 2:1:1 ratio of leucine:isoleucine: valine-combined with exercise on fatigue, physical performance, and quality of life in older adults. Twenty participants (63% female; BMI: 35 ± 2 kg/m; age: 70.5 ± 1.
View Article and Find Full Text PDFBackground: A major challenge in lung transplantation is the shortage of viable donor lungs. Ex vivo lung perfusion (EVLP) has emerged as an effective assessment and conditioning tool to expand the donor lung pool. This systematic review sought to establish the contribution of large animal models to EVLP development and application, particularly focusing on assessing the risk of bias and the certainty of evidence.
View Article and Find Full Text PDFBackground: People living with HIV (PLWH) suffer from chronic inflammation even with effective antiretroviral therapy (ART). A high-fat, low-fiber western-type diet has been linked with inflammation, in part through gut microbiome changes. In sub-Saharan Africa (SSA), a region with high HIV burden, urbanization has been linked with a shift from traditional agrarian towards westernized diets, and with changes in food security.
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