Regulatory Mechanisms in Biosystems (E-Journal - Dnipro National University)
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Dr. Hector P. Garcia, Wanda Fusillo Garcia, and their three daughters.
No full textDr. Hector P. Garcia, Wanda Fusillo Garcia, and their three daughters
A Research Framework to Integrate Cross-Ecosystem Responses to Tropical Cyclones
No full textTropical cyclones play an increasingly important role in shaping ecosystems. Understanding and generalizing their responses is challenging because of meteorological variability among storms and its interaction with ecosystems. We present a research framework designed to compare tropical cyclone effects within and across ecosystems that: a) uses a disaggregating approach that measures the responses of individual ecosystem components, b) links the response of ecosystem components at fine temporal scales to meteorology and antecedent conditions, and c) examines responses of ecosystem using a resistance–resilience perspective by quantifying the magnitude of change and recovery time. We demonstrate the utility of the framework using three examples of ecosystem response: gross primary productivity, stream biogeochemical export, and organismal abundances. Finally, we present the case for a network of sentinel sites with consistent monitoring to measure and compare ecosystem responses to cyclones across the United States, which could help improve coastal ecosystem resilience
A quality initiative implementing CDC STAT toolkit to prevent prediabetes progression in primary care
No full textBackground: Untreated prediabetes (pre-DM) has the potential to progress to type 2 diabetes
(T2D). Among the 33.9% of U.S. adults living with pre-DM, 70% are unaware of their
diagnosis. The purpose of this DNP project was to design an evidence-based quality
improvement (QI) project to improve provider adoption of the STAT (Screen/Test/Act Today)
toolkit to prevent progression of pre-DM to T2D. This detailed toolkit was developed to identify,
screen, and refer at-risk patients to community diabetes prevention programs (DPPs). Design and
methods: A quality improvement initiative to determine if the use of the CDC pre-DM STAT
toolkit improved provider adoption of patient screening, testing, management and referral to a
community DPP with the goal of preventing progression of pre-DM to T2D. The EHR triggered
the pre-DM risk assessment at annual visits, PCP reviewed scores with patients with moderate to
high risk, BMI and A1C are measured and patients referred to community DPP. Pretest and
posttest were used to analyze patient knowledge pre and post intervention, while paired t-test
measured changes in AIC and BMI. Findings: Sample included 2 females and 5 males, over 21
and less than 75 years old. During the 3-month implementation, screening and referral rates
doubled with 75% of participants showing an average 3% reduction in A1C from baseline to 3
months. In this primary care setting, the CDC pre-DM STAT toolkit provided an efficient,
detailed clinical reference to increase patient screening for pre-DM, improving referral to DPPs.
Due to COVID-19 barriers, reduced progression of pre-DM to T2D could not be measured in this
QI project’s limited timeframe.Nursing PracticeCollege of Nursing and Health Science
Wanda Fusillo Garcia, sitting on a small ledge in her garden with a flowering pink plant behind her
No full textWanda Fusillo Garcia, sitting on a small ledge in her garden with a flowering pink plant behind he
Wanda Fusillo Garcia, sitting in her garden with pink and yellow flowers behind her
No full textWanda Fusillo Garcia, sitting in her garden with pink and yellow flowers behind he
Pink and purple flowers hanging from Wanda Fusillo Garcia's garden.
No full textPink and purple flowers hanging from Wanda Fusillo Garcia's garden
The Hawaiian Koʻa card: Coral health and bleaching assessment color reference card for Hawaiian corals
No full textCoral reefs are the foundation to our social, cultural, and economic life; however, reefs around the world are currently being threatened by many local and global impacts. Ongoing increases in seawater temperature pose significant threats to the integrity of these valuable ecosystems through extensive coral bleaching events. Therefore, we developed a coral health reference card, the Hawaiian Koʻa (coral) Card, to assess and quantify coral bleaching and to educate the community about its impacts in Hawaii. To accurately quantify the change in coral color during bleaching, controlled laboratory studies followed by Feld validations and surveys were conducted. Colors presented on the Hawaiian Koʻa Card have been linked to physiological state and health (e.g., symbiont density, chlorophyll levels, photosynthetic performance) of common coral species in Hawaii due to bleaching. The Hawaiian Koʻa Card provides a technical solution to inform and improve management of our nearshore resources through collaborative monitoring efforts by community members, educators, researchers, and managers on a state-wide scale, which will assist in determining management efficacy, identifying regions and species of resilience, establishing baselines and focus areas, and developing and executing rapid response plans
A child holding a toddler's hand on the beach, while adults watch in the background
No full textA child holding a toddler's hand on the beach, while adults watch in the backgroun
