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A new \u3ci\u3eCentruroides\u3c/i\u3e species and first record of \u3ci\u3eC. tapachulaensis\u3c/i\u3e Hoffmann, 1932 (Scorpiones: Buthidae) from Honduras
Full text linkA new species of striped bark scorpions, Centruroides lenca sp. n. is described, based on both sexes, from the Pacayita Volcano Biological Reserve (2,385 m a. s. l.), Ocotepeque Department, in the southwestern Honduras. By its general pattern, the new species resembles C. thorellii (Kraepelin, 1891), from which it clearly differs by having stronger and very darker pedipalp chelae, minute subaculear tubercle and basal pectinal plate with a large central pit in the female, among other diagnostic characters. Also, Centruroides tapachulaensis Hoffmann, 1932 is recorded for the first time from Honduras, on the basis of two observed or collected specimens in the Ocotepeque Department. There are currently 12 species of Centruroides known from Honduras, of which three are known only from this Central American country (two other endemic species are C. terueli Armas & Cubas-Rodríguez, 2023, from Guanaja Island, Islas de la Bahía Archipelago, and C. hirsuticauda Teruel, 2011, from Comayagua and Yoro Departments)
The Implementation of Faculty Development in Providing Effective Feedback Utilizing Simulation
Full text linkBackground
Feedback is important in medical education, but various factors can impact its effectiveness. Feedback frameworks have been created to address these challenges, but simulation-based instruction of these frameworks has not been studied. This study aims to evaluate the effectiveness of instruction utilizing simulation to teach faculty how to deliver feedback.
Methods
Faculty development feedback workshops were held from October 2022 through May 2023 at Charleston Area Medical Center Institute for Academic Medicine. Each workshop consisted of a didactic session and 3 simulated scenarios during which the faculty learner gave feedback to a resident. Surveys were conducted before the workshop, immediately after the workshop, and 3 months later. Specific to the hypothesis of this study, providers’ survey responses before, immediately following, and 3 months after the educational intervention were compared using paired t-tests.
Results
Of the 63 faculty members who participated in the workshop, 42 volunteered to participate in this study; 20 were lost to follow-up and did not complete the 3-month survey. The initial response rate was 66.7%. Three months after the workshop, the survey response rate dropped to 34.9%, with 22 faculty participating. Most faculty participants reported that the simulation scenarios were the most helpful aspect of the workshop (n=14, 35.9%). There was a significant increase in the frequency with which faculty reported consistently using the same format to give feedback between the pre-workshop and the 3-month survey (p=0.002). There was also a significant increase in the number of faculty members who reported having plans for how to give feedback prior to delivery (p=0.030). No significant difference was found in the proportion of faculty who felt anxious about giving feedback (p=0.186).
Conclusion
Implementing a faculty development workshop on giving feedback that utilized simulation led to significant increases in faculty-reported use of a proven feedback framework that included following a consistent format when giving feedback and planning how they would be giving feedback prior to delivery
Current challenges and preliminary morphological reassessment of the genus \u3ci\u3eChaerilus\u3c/i\u3e Simon, 1877 in China (Scorpiones: Chaerilidae)
Full text linkThe genus Chaerilus Simon, 1877 in China is preliminarily revised on a morphological basis, derived from the available literature and newly examined specimens. The robustness of several commonly applied species-level diagnostic criteria are evaluated. Ten species are provisionally recognized for China, including one new morphospecies, Chaerilus herta sp. n., described from 9 females, 40 males, and 2 juvenile females collected in Mêdog County. The current study only reveals and resolves several most elementary issues in the taxonomy of Chinese Chaerilus. Further molecular investigations are warranted until topotypes of certain species become available
Naloxone-atipamezole reversal of acute fentanyl-xylazine intoxication in rats
No full textXYL is becoming more prevalent in opioid intoxication, which not only exacerbates the overdose impact by intensifying the drowsiness and respiratory depression caused by FENT but also increases other toxicities such as cardiovascular and thermoregulatory function. Coexposure to FENT and XYL can have enhanced detrimental effects on human health. In mice, XYL enhances the likelihood of death from FENT exposure. Clinical findings are conflicting as one retrospective study found that patients exposed to both drugs had lower rates of cardiac arrest and coma, but other studies indicate that using XYL together increases the risk of overdose, naloxone administration, and blood levels of Fentanyl. This study examined the effects of α2 antagonist ATI in combination with NLX in reversing XYL-FENT-induced sedation while NLX alone can only partially counteract this effect by targeting on FENT alone. ATI also lessened bradycardia and hyperglycemia, two further consequences of FENT-XYL intoxication and ATI also helped reverse the hypothermia caused by XYL to some extent. This evidence supports the use of the ATI-NLX combination as a safe and effective treatment for FENT and XYL intoxication concurrently
Magnet hospitals and their impact on patient outcomes
Full text linkIntroduction: In the competitive healthcare landscape, patient safety and quality care have remained critical priorities. The Magnet Recognition Program, awarded by the American Nurses Credentialing Center (ANCC), has recognized hospitals that have demonstrated excellence in nursing and improved patient outcomes. Built on five core pillars: transformational leadership, structural empowerment, exemplary practice, innovation, and quality results, this designation has supported professional development and collaborative care. Although only about 10% of U.S. hospitals have been Magnet-designated, they have been linked to reduced hospital mortality, hospital-acquired infections (HAIs), and patient falls.
Purpose of the Study: The purpose of this research was to evaluate the impacts of Magnet designated hospitals and how they affect patient mortality, hospital-acquired infections (HAIs), and patient falls compared to non-Magnet designated hospitals.
Methodology: The methodology for this qualitative study involved a comprehensive literature review supplemented by a semi-structured interview with an emergency room nurse from a Magnet-designated hospital having been approved by an institutional review board. Research was conducted across five databases, initially identifying 40 sources. After applying inclusion criteria, 33 sources were deemed relevant, with 12 selected to support the findings presented in the results section.
Results:The literature review revealed that Magnet hospitals demonstrated significantly lower patient mortality rates, reduced hospital-acquired infections, and decreased patient falls compared to non-Magnet hospitals. The semi-structured interview with an emergency room (ER) nurse at a Magnet-designated hospital corroborated these findings, highlighting specific measures such as two-person procedural protocols and enhanced fall risk screening that contributed to improved outcomes. Quantitative studies further supported the idea that Magnet hospitals exhibited better infection control and safer patient environments.
Discussion/Conclusion: This study confirmed that Magnet designation contributed to superior patient safety outcomes, driven by improved nursing education, leadership, and shared governance. The integration of structured protocols and continuous professional development appeared instrumental in reducing adverse events such as infections and falls. Although limited by the scope and sample size, the findings reinforce the value of Magnet status in promoting higher standards of care and suggest that healthcare organizations should prioritize achieving and maintaining this designation to enhance patient outcomes
League of Women Voters of the Huntington Area Newsletter, February, 2025
Full text linkThe periodical is published by the League, which is a nonpartisan political organization that encourages the informed and active participation of citizens in government and influences public policy through education and advocacy.https://mds.marshall.edu/lowv_newsletter_2020-2029/1049/thumbnail.jp
Planetary [] Appalachia: Editor’s Introduction
Full text linkEditor\u27s Introduction to Volume 4 Issue
Towards an Indigenous Climate Epistemology: Bringing the Newa literary tradition of the Swasthani Vrata Katha in conversation with the festival tradition of the Macchindra Nath Jatra
Full text linkThis paper brings into conversation two Newa cultural traditions to articulate notions of climate adaptation, resilience, and mitigation, to illustrate how ways of knowing, ways of being, and ways of governing are inherently linked. These articulations offer a framework for developing what the author calls an Indigenous Climate Epistemology. The two cultural traditions reviewed include: a 17th century Newa literary tradition that advocates for keeping oil in the ground, and that instructs ordinary people to engage in ritual acts seemingly designed to develop personal and community resilience; and a 1700 year old annual community festival designed to avert catastrophes and to cater to the well-being of the global community. The discussion of the Swasthani Vrata Katha is based the author’s autoethnographical account of the tradition as well as textual analysis of the Brihad Swasthani text in Devanagari from annual readings completed during 2020-2024; the analysis of the Machchhindra Nath Jatra is based on ethnographic research conducted by the author in 2024. It is argued that the two traditions are linked and that the sustenance of the public facing tradition depends on the survival of a resource governance institution called the guthi.
The cultural, ecological, and spatial knowledge practiced within this South Asian linguistic and place-based community are significant from the point of view of climate mitigation, adaptation, and resilience. Given the lingering presence and commemoration of historic climatic events in their cultural practices and narratives, understanding the traditional knowledge systems and practices of the ancient Newa civilization of the Kathmandu valley may offer lessons for ecological resilience and sustainability that would complement a largely Eurocentric paradigm of climate adaptation and resilience that is on offer today
A redescription of \u3ci\u3eLeiurus libycus\u3c/i\u3e (Birula, 1908), stat. n. (Scorpiones: Buthidae)
Full text linkButhus quinquestriatus libycus was described by Birula (1908) from the Libyan Desert, based on a subadult male specimen. This taxon was later synonymized with Leiurus quinquestriatus (Ehrenberg, 1828) by Vachon (1949). In this study, we re-evaluate this taxon and recognize it as Leiurus libycus (Birula, 1908), stat. n., providing a redescription based on the holotype. The type locality of this species is clarified as western Egypt (between Alexandria and Fayum). We synonymize Leiurus aegyptiacus Lourenço & El-Hennawy, 2021 with L. libycus, stat. n., syn. n