Shift Work and Heart Rate Variability Coherence: Pilot Study Among Nurses.

This study used ambient heart rate monitoring among health care workers to determine whether a novel measure of heart rate variability (HRV), as well as sleep disturbances, fatigue, or cognitive performance differed among non-rotating night shift nurses relative to those working permanent day shifts. Continuous ambulatory HRV monitoring was performed among night nurses (n = 11), and a comparison group of permanent day nurses (n = 7), over a 36-h period coinciding with the last two 12-h shifts of each participant's work week. Symptoms and psychomotor vigilance were assessed at the end of the ambient HRV monitoring period, and no differences between shifts were observed. Day nurses exhibited an increase in hourly mean HRV coherence ratios during their sleep period, suggesting a circadian pattern of cardiorespiratory phase coupling, whereas night nurses had no increase in HRV coherence ratios during their sleep period. The HRV coherence patterns were similar to high frequency HRV power among nurses on the same shift. To the authors knowledge, this study was the first to quantify patterns of the HRV coherence ratio among shiftworkers in a non-experimental (work/home) setting. The results suggest a pattern of autonomic dysregulation among night workers during their sleep period relative to those working day shifts. The HRV coherence ratio may serve as a novel indicator of HRV dysregulation among shift workers.

Closing the Trauma and Critical Care Gap: A Paradigm Shift through Virtual Reality and Augmented Reality.

A nationwide surgeon shortage, particularly with general surgeons and trauma surgeons, continues to plague the civilian and military systems readiness. To fill this shortcoming, we provide a narrative review describing current and potential uses of augmented reality and virtual reality (AR/VR) for synthetic training environments which could significantly improve the Army's wartime medical readiness through improved skills of surgeons and non-surgeon providers. Multiple studies demonstrate the potential benefits of AR/VR in cost, time, and critical medical skills for enhanced care delivery. While encouraging, the novelty and relative youth of AR/VR platforms requires further prospective validation as the data for its use as a training adjunct is limited. Nevertheless, state of the art simulated training platforms like AR/VR which mimic surgical trauma cases and review critical surgical skills could help enable a transformation of non-surgeon providers to quickly augment current surgeon personnel shortages.

Influence of salinity on prevalence of the parasite Loxothylacus panopaei in the xanthid Panopeus obesus in SW Florida.

This study was conducted to examine the potential influence of salinity, a proxy for freshwater inflow, on the prevalence of the castrator parasite Loxothylacus panopaei on saltmarsh mud crabs Panopeus obesus on SW Florida oyster reefs. Spatial and seasonal patterns of the presence of potential host crabs and the prevalence of the parasite were assessed in the Caloosahatchee, Estero, and Faka Union estuaries. Lift nets (1 m2) containing 5 1 of oyster clusters were deployed on intertidal reefs at 3 sites along the salinity gradient of each estuary. Nets were deployed during 3 seasonally dry and 3 seasonally wet months for a period of 30 d. P. obesus densities tended to increase downstream in higher salinity waters, with crabs being absent from the upper station in the Caloosahatchee during both seasons and absent from the upper station of the Faka Union during wet months. Parasite prevalence was reduced upstream in each estuary during wet months compared to dry months, and for those estuaries that experienced higher relative levels of freshwater inflow. Furthermore, parasite prevalence was positively correlated with the mean salinity of capture of host crabs. Based on the distribution of P. obesus and the above patterns related to salinity, it appears that freshwater inflow and seasonal rains might regulate the prevalence of this parasite in SW Florida by creating spatiotemporal, low salinity refuges for its host.

Stimulation of defense factors for oysters deployed to contaminated sites in Pensacola Bay, Florida.

A positive association between chemical contaminants and defense factors has been established for eastern oysters (Crassostrea virginica) from Florida, but it is unknown whether such factors can be stimulated through short-term exposure to contaminants in the field. Hatchery oysters were deployed at two contaminated sites and one reference site near Pensacola, Florida, during spring and summer in 1998. Putative defense measurements, notably hemocyte count and bactericidal activity, were significantly elevated after 12-week deployment during summer at the most contaminated site. This site exhibited a dramatic increase in chemical concentrations in oyster tissue relative to both the initial concentrations in hatchery oysters and to oysters deployed at the reference site. Hemocyte activity was not stimulated after 16-week deployment of hatchery oysters in spring, despite similar increases in tissue chemical concentrations, so defense activation by short-term exposure may covary with other unmeasured environmental or physiological parameters. Using the converse approach, Pensacola Bay oysters were collected from two contaminated sites and deployed at the reference site for 16 weeks during spring. Results from this converse deployment were ambiguous; serum lysozyme concentrations were reduced for oysters transplanted from both sites, but hemocyte activities were not significantly changed. The principal outcome from this study was the demonstration of enhanced defense activities for oysters upon short-term summer deployment at a contaminated site.

Ovacystis-like condition in the eastern oyster Crassostrea virginica from the northeastern Gulf of Mexico.

Histological examination of the eastern oyster Crassostrea virginica from a study in Pensacola Bay, Florida, revealed 2 cases of abnormally large, basophilic ova that resembled cells characteristic of ovacystis disease previously reported in oysters from Maine and Long Island. The hypertrophied gametes measured up to 250 pm in diameter, had scant cytoplasm and contained granular nuclear-masses of Feulgen-positive material. Electron microscopy of reclaimed tissue revealed these masses to consist of virus-like particles (average 46 nm) similar to those reported in cases of ovacystis.