Background: Gastrointestinal conditions are common in hospitalized patients. Decreased mobility, dietary changes, medications and their underlying illness may alter patients’ bowel movements. It’s important for health care providers to be aware of patient’s bowel habits, especially for early identification of Clostridiodies difficile infection (CDI). Prior research has shown that patient modesty may be a barrier to discussing bowel habits with nurses and providers. This can lead to delay in diagnosis of CDI, lack of timely isolation and possible misclassification of community onset CDI cases as hospital onset (HO-CDI). Methods: A Bowel Habits Assessment Tool (BHAT) was developed to assist health care providers in learning skills to assess and document patient bowel habits accurately. The tool provides a structured approach to help clinicians gather relevant information, identify abnormalities, and promote effective communication with patients. The tool was developed by an infectious disease physician and modeled on existing tools utilized to take a sexual history. A team of infectious disease physicians, nurses and a gastroenterologist reviewed the tool and provided feedback. See Table 1. The tool was introduced as a pilot program at a 180 bed academically affiliated Veterans Affairs Hospital. Micro educational sessions were held to provide education about the importance of a bowel habit history, introduce the tool and teach its use in clinical care. The teaching sessions were led by an Infectious Disease physician and a nurse infection preventionist. An anonymous pre and post survey employing a 5-point Likert scale was administered to participants. All participation was voluntary. This project was reviewed and approved as a Quality Improvement by the VA Research Office, Eastern Colorado Health Care System. Results: Twenty nine healthcare personnel participated in the pilot. Participants included nurses (13), resident physicians (13), medical students (2) and nursing assistants (1). 59% of participants stated that they strongly agree with the statement “I am comfortable discussing patient’s bowel habits” on the pre-survey. (Question 1). This increased to 73% after the BHAT educational session. The mean difference between pre and post survey responses for question one was 0.45 (CI 0.08761 to 0.8089, p= 0.0167). All participants found the BHAT related to their work and useful, with 41% strongly agreeing and 52% somewhat agreeing that the BHAT was useful. See figure 1: Survey Responses. Conclusions: The effectiveness of a bowel habit assessment tool was demonstrated using a pre and post survey. BHAT improved clinicians comfort level discussing patient’s bowel habits.

Ultrafast optical probing is a widely used method of underdense plasma diagnostic. In relativistic plasma, the motion blur limits spatial resolution in the direction of motion. For many high-power lasers the initial pulse duration of 30–50 fs results in a 10–15 μm motion blur, which can be reduced by probe pulse post-compression. Here we used the compression after compressor approach [Phys.-Usp. 62, 1096 (2019); JINST 17 P07035 (2022)], where spectral broadening is performed in thin optical plates and is followed by reflections from negative-dispersion mirrors. Our initially low-intensity probe beam was down-collimated for a more efficient spectral broadening and higher probe-to-self-emission intensity ratio. The setup is compact, fits in a vacuum chamber and can be implemented within a short experimental time slot. We proved that the compressed pulse retained the high quality necessary for plasma probing.

Tight focusing with very small f-numbers is necessary to achieve the highest at-focus irradiances. However, tight focusing imposes strong demands on precise target positioning in-focus to achieve the highest on-target irradiance. We describe several near-infrared, visible, ultraviolet and soft and hard X-ray diagnostics employed in a ∼1022 W/cm2 laser–plasma experiment. We used nearly 10 J total energy femtosecond laser pulses focused into an approximately 1.3-μm focal spot on 5–20 μm thick stainless-steel targets. We discuss the applicability of these diagnostics to determine the best in-focus target position with approximately 5 μm accuracy (i.e., around half of the short Rayleigh length) and show that several diagnostics (in particular, 3$\omega$ reflection and on-axis hard X-rays) can ensure this accuracy. We demonstrated target positioning within several micrometers from the focus, ensuring over 80% of the ideal peak laser intensity on-target. Our approach is relatively fast (it requires 10–20 laser shots) and does not rely on the coincidence of low-power and high-power focal planes.

Recent losses of seagrass beds have resulted in a decrease in seagrass-associated fishes, highlighting the need for the improved management of such habitats and resources. Analyses of feeding patterns of fish associated with seagrass habitats are useful for understanding their habitat dependence, which contributes to achieving their effective conservation. The gut contents of 61 fish species were examined to clarify the food habits of subtropical seagrass fishes in Nagura Bay, Ishigaki Island, southern Japan. A cluster analysis based on dietary overlaps showed that the seagrass fish assemblage comprised six trophic groups (small crustacean, large crustacean, detritus, plant, fish and zooplankton feeders). Small and large crustacean feeders were the most abundant, followed by detritus, plant and fish feeders. Zooplankton feeders were represented by only two species. Ontogenetic changes in food preference were recognized in four species, including Lutjanus fulviflamma, Ostorhinchus ishigakiensis, Gerres oyena and Siganus fuscescens. Small individuals of the four species generally fed on small crustaceans or detritus, subsequently switching to other larger prey items with growth (e.g. crabs, shrimps and seagrass fronds). The most important food items for the assemblage comprised harpacticoid copepods, shrimps, crabs and detritus, representing high cumulative gut volumes for all fishes. Some species showed diets remarkably different from those determined for fishes in other seagrass beds off a nearby neighbouring island, evidence of the food-use patterns of seagrass fishes varying on a small spatial scale. Such dietary flexibility may increase the adaptability of fishes to seagrass beds characterized by significant variations in available food resources.

We report on the design and characterization of the plasma mirror system installed on the J-KAREN-P laser at the Kansai Photon Science Institute, National Institutes for Quantum Science and Technology. The reflectivity of the single plasma mirror system exceeded 80%. In addition, the temporal contrast was improved by two orders of magnitude at 1 ps before the main pulse. Furthermore, the laser near-field spatial distribution after the plasma mirror was kept constant at plasma mirror fluence of less than 100 kJ/cm2. We also present the results of investigating the difference and the fluctuation in energy, pulse width and pointing stability with and without the plasma mirror system.

We used Fourier-transform infrared (FTIR) spectroscopy to analyze 4 carbapenem-resistant Acinetobacter baumannii outbreaks. FTIR distinguished between isolates from different hospitals and uncovered the relatedness between isolates from acute-care hospitals and a post–acute-care hospital. Using higher cutoffs reveals more distant relationships and lower cutoffs support analyses of recent events.

We have experimentally improved the temporal contrast of the petawatt J-KAREN-P laser facility. We have investigated how the generation of pre-pulses by post-pulses changes due to the temporal overlap between the stretched pulse and the post-pulse in a chirped-pulse amplification system. We have shown that the time at which the pre-pulse is generated by the post-pulse and its shape are related to the time difference between the stretched main pulse and the post-pulse. With this investigation, we have found and identified the origins of the pre-pulses and have demonstrated the removal of most pre-pulses by eliminating the post-pulse with wedged optics. We have also demonstrated the impact of stretcher optics on the picosecond pedestal. We have realized orders of magnitude enhancement of the pedestal by improving the optical quality of a key component in the stretcher.

This study aimed to compare the expression of genes regulating follicles development, survival and steroid hormones secretion in oocytes and granulosa cells (GCs) and study the correlation between their expression and follicular fluid (FF) levels of progesterone (P4) in pregnant and non-pregnant camels. In total, 138 ovarian pairs from slaughtered camels were used. Gene expression and hormonal assay were determined using real-time polymerase chain reaction (PCR) and enzyme-linked immunosorbent assay (ELISA), respectively. The obtained results revealed that the number of follicles (3–8 mm) was significantly (P < 0.05) lower in pregnant, compared with non-pregnant, camels. P4 level in the FF was significantly (P < 0.05) higher in pregnant, compared with non-pregnant, camels. However, no significant (P > 0.05) difference was noticed in the oestradiol (E2) level. STAR, PTEN, IGF1 and BCL2 mRNA levels were significantly higher in GCs and significantly lower in oocytes of pregnant, compared with non-pregnant, camels. However, follicle-stimulating hormone receptor (FSHR) mRNA level was significantly lower in GCs and oocytes, and the BMP15 mRNA level was significantly lower in oocytes of pregnant, compared with non-pregnant, camels. P4 level in FF was positively correlated with STAR, PTEN, IGF1 and BCL2 mRNA levels in GCs and negatively correlated with BMP15 mRNA levels in oocytes and FSHR mRNA levels in GCs and oocytes of pregnant camels. It could be concluded that pregnancy-induced variations in oocytes and GC expression of BMP15, IGF1, FSHR, STAR, BCL2, and PTEN genes might be associated with a decrease in the number of follicles and an increase in the FF level of P4.

Mammalian sperm have to undergo capacitation to be fertilization competent. Capacitated sperm in vitro show hyperpolarization of the membrane potential. It has been reported that in mouse membrane hyperpolarization is necessary for the acrosome reaction. We recently found that the fluid of the hamster oviduct, where fertilization occurs, contained a high potassium (K+) concentration (~20 mEq/l). This high K+ concentration could depolarize the membrane potential and prevent the acrosome reaction/fertilization. Conversely, some beneficial effects on capacitation of high K+ concentration or a high K/Na ratio were also reported. In the present study, we investigated the effects of oviduct high K+ concentration on hamster sperm capacitation-associated events and fertilization. The present study confirmed that, in hamster sperm, membrane potential was hyperpolarized upon in vitro capacitation, indicating that capacitation-associated hyperpolarization is a universal phenomenon among mammalian species. An increase in KCl concentration in the medium to 20 mM significantly depolarized the membrane potential and suppressed hyperpolarization when in the presence of >101 mM NaCl. However, an increase in the KCl concentration to 20 mM did not significantly affect the percentage of motile sperm, hyperactivation or the acrosome reaction. No effect of 20 mM KCl on in vitro fertilization was observed. In addition, no correlative changes in hyperactivation and the acrosome reaction with K/Na ratio were observed. These results suggested that in hamsters the oviduct K+ concentration suppressed hyperpolarization but had no effect on capacitation and in vitro fertilization. Our results raised a question over the physiological significance of capacitation-associated hyperpolarization.

This study investigates the influence of the condensation coefficient of vapour on the collapse of a bubble composed of condensable gas (vapour) and non-condensable gas (NC gas). We simulated vapour and NC gas flow inside a bubble based on the molecular gas dynamics analysis in order to replicate the phase change (viz., evaporation and condensation) precisely, by changing the initial number density ratio of the NC gas and vapour, the initial bubble radius and the value of the condensation coefficient. The results show that the motion of the bubble is unaffected by the value of the condensation coefficient when that value is larger than approximately 0.4. We also discuss NC gas drift at the bubble wall during the final stage of the bubble collapse and its influence on the condensation coefficient. We conclude that vapour molecules can behave as NC gas molecules when the bubble collapses, owing to the large concentration of NC gas molecules at the gas–liquid interface. That is, the condensation coefficient reaches almost zero when the bubble collapses violently.

Geochemical characteristics and rare-earth element (REE)-bearing minerals of calc-alkaline granites in southern Myanmar were investigated to identify the minerals controlling fractionation between light and heavy REE (LREE and HREE) during magmatic differentiationand weathering. The granites were classified on the basis of the mineral assemblages into two contrasting groups: allanite-(Ce)- and/or titanite-bearing granites; and more HREE-enriched granites characterized by hydrothermal minerals including synchysite(Y), parisite-(Ce), bastnäsite-(Ce),xenotime-(Y), monazite-(Ce), Y-Ca silicate, waimirite-(Y) and fluorite. This suggests that allanite-(Ce) and titanite are not stable in differentiated magma and HREE are eventually preferentially incorporated into the hydrothermal minerals. The occurrence of the REE-bearing mineralsis constrained by the degree of magmatic differentiation and the boundary of two contrasting granite groups is indicated by SiO2 contents of ∼74 wt.% or Rb/Sr ratios of ∼3–8. Fractionation between LREE and HREE during weathering of the granites is influencedby weathering resistance of the REE-bearing minerals, i.e. allanite-(Ce), titanite, the REE fluorocarbonates and waimirite-(Y) are probably more susceptible to weathering, whereas zircon, monazite-(Ce) and xenotime-(Y) are resistant to weathering. Ion-exchangeable REEin weathered granites tend to be depleted in HREE relative to the whole-rock compositions, suggesting that HREE are more strongly adsorbed on weathering products or that HREE remain in residual minerals.

This study sought the views of 22 Victorian rehabilitation counsellors (RC's) about what they do to try and engage reluctant clients, the behaviour such clients exhibit, whether RC's discuss the reluctance and the mandatory nature of participating in rehabilitation with their clients, and how RC's choose to respond to reluctance. RC's reported that reluctance was most often a result of clients' emotional adjustment difficulties, and that the most difficult clients to engage were those who were passively disengaged rather than those who were initially angry or hostile. Engagement relied on RC's uncovering the clients' own goals for participating in rehabilitation. Implications of the findings for practice, and the need for a model of client reluctance in rehabilitation are discussed.