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5. A global model to forecast coastal hardening and mitigate associated socioecological risks

Author

Mitchell Chandler, Ana B. Bugnot, Javier Atalah, Robert Major, Lisa Floerl, Oliver Floerl, Anastasija Zaiko, and Katherine A. Dafforn

Subjects
Global and Planetary Change, Ecology, Renewable Energy, Sustainability and the Environment, business.industry, Geography, Planning and Development, Environmental resource management, Marine habitats, Predictor variables, Management, Monitoring, Policy and Law, Global model, Natural (archaeology), Urban Studies, Geography, Urbanization, Ecosystem, business, Nature and Landscape Conservation, Food Science
Abstract

Around the world, coastal urbanization continues to replace natural marine habitats with engineered structures, resulting in wholesale changes to shallow-water ecosystems and associated socioecological impacts. This process is expected to continue over the coming decades. The development of meaningful strategies to minimize future impacts requires an understanding of the rate at which ‘coastal hardening’ will take place regionally. Here we show that coastal infrastructure has replaced more than half (52.9 ± 4.9%) of the coastline associated with 30 global urban centres. The regional extent of coastal hardening is explained by eight predictor variables associated with shipping, boating, regional economies, populations and coastline length. Using a case study approach, we forecasted a 50–76% expansion of coastal infrastructure over a 25-year period. Our model can aid decision-makers to anticipate increases in coastal hardening, supporting identification and management of future threats to coastal ecosystems alongside social, economic and cultural objectives. The world’s coasts are increasingly covered with built structures, such as piers and seawalls. This study finds that coastal infrastructure has replaced more than half of the coastline associated with 30 urban centres and forecasts future hotspots using New Zealand as a case study.

Published
2021

8. Symptom Burden and Shared Care Planning in an Oncology Nurse-Led Primary Palliative Care Intervention (CONNECT) for Patients with Advanced Cancer.

Author

Mitchell, Chandler J., Althouse, Andrew, Feldman, Robert, Arnold, Robert M., Rosenzweig, Margaret, Smith, Kenneth, Chu, Edward, White, Doug, Smith, Tom, and Schenker, Yael

Subjects
*ONCOLOGY nursing, *WELL-being, *PATIENT participation, *MEDICAL protocols, *ADVANCE directives (Medical care), *HUMAN services programs, *NURSE-patient relationships, *DECISION making, *NURSES, *RESEARCH funding, *CANCER fatigue, *DESCRIPTIVE statistics, *INTERPROFESSIONAL relations, *TUMORS, *PALLIATIVE treatment, *CANCER patient medical care, *SECONDARY analysis, *EATING disorders, *SYMPTOMS
Abstract

Purpose: Primary palliative care (PPC) interventions are needed to address unmet symptom needs within standard oncology care. We designed an oncology nurse-led PPC intervention using shared care planning to facilitate patient engagement. This analysis examines the prevalence and severity of symptoms reported by patients and how symptoms were addressed on shared care plans (SCPs). Methods: Secondary analysis of a cluster randomized PPC intervention trial. Adult patients with metastatic solid tumors whose oncologist "would not be surprised if the patient died within a year" were included. Twenty-three oncology nurses received PPC training and conducted up to three monthly visits with patients. Symptom prevalence and severity were assessed before each visit using the Edmonton Symptom Assessment Scale (ESAS). Nurses collaboratively developed treatment strategies with patients, targeting the most bothersome symptoms for improvement. Results: Among 571 nurse-led PPC visits with 235 patients, the most prevalent and severe symptoms were tiredness (reported at 86% of visits; ESAS ≥4 in 55% of visits), low sense of wellbeing (78%; ESAS ≥4 in 38%), and poor appetite (69%; ESAS ≥4 in 42%). Moderately severe symptoms were addressed on SCPs ranging from 4% (drowsiness) to 35% (tiredness) of the time. Symptom management plans developed by PPC-trained oncology nurses primarily focused on nonpharmaceutical interventions (70%) compared with pharmaceutical interventions (30%). Conclusion: The symptoms that patients report most frequently and as most severe on SCPs were addressed less frequently than expected. Further research is needed to understand how PPC interventions can be designed to more effectively target and improve bothersome symptoms for patients with advanced cancer. Clinical Trial Registration: ClinicalTrials.gov identifier: NCT02712229 [ABSTRACT FROM AUTHOR]

Published
2023
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10. Symptom burden and shared care planning in an oncology nurse-led primary palliative care intervention (CONNECT) for patients with advanced cancer

Author

Mitchell, Chandler Jonathan, primary, Althouse, Andrew, additional, Feldman, Robert, additional, Resick, Judith M., additional, Arnold, Robert M., additional, Rosenzweig, Margaret, additional, Smith, Kenneth, additional, Chu, Edward, additional, White, Doug, additional, Smith, Tom, additional, and Schenker, Yael, additional

Published
2022
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12. The Fiordland Current, southwest New Zealand: mean, variability, and trends

Author

Robert O. Smith, Mitchell Chandler, and Melissa Bowen

Subjects
0106 biological sciences, geography, geography.geographical_feature_category, Ecology, 010604 marine biology & hydrobiology, Fjord, 010501 environmental sciences, Aquatic Science, Geostrophic velocity, 01 natural sciences, Boundary current, Current (stream), Oceanography, Ecology, Evolution, Behavior and Systematics, Geology, 0105 earth and related environmental sciences, Water Science and Technology
Abstract

The mean, interannual variability, decadal variability, and longer-term trends in the across-track geostrophic velocity of the poleward-flowing boundary current along the Fiordland coast (the Fiord...

Published
2019

16. Nanodiamond ensemble-based temperature measurement in living cells and its limitations.

Author

An, Haechan, Yin, Zechuan, Mitchell, Chandler, Semnani, Abbas, Hajrasouliha, Amir R, and Hosseini, Mahdi

Subjects
TEMPERATURE measurements, CELL culture, ENDOTHELIAL cells, NANODIAMONDS, CELLS
Abstract

We consider incubation of nanodiamonds (NDs) in endothelial culture cells as a way to measure their temperature with sub-Kelvin sensitivity. We discuss limitations of ND temperature sensing in living cells, how to overcome the limitations and potential applications of such measurements. [ABSTRACT FROM AUTHOR]

Published
2021
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19. Proteopedia entry: G-protein coupled receptors

Author

Jeremy Johnson, R., primary, Applegarth, Jacob, additional, Bennett, Steven, additional, Caskey, Sydney, additional, Coatney, Connor, additional, Corsbie, Kurt, additional, Cotter, Allison, additional, Cotter, Daniel, additional, Coulis, Alexis, additional, Hansen, Heather, additional, Hart, Whitney, additional, Koehler, Cutter, additional, Koelper, Andrew, additional, Kuhlman, Stephanie, additional, Mitchell, Chandler, additional, Moskal, Blake, additional, Murfield, Olivia, additional, Paton, Allie, additional, Schemenauer, Daniel, additional, Stankavich, Brittany, additional, Taylor, Clayton, additional, Waibel, Brent, additional, and Williams, L. Dean, additional

Published
2016
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20. Genome Sequences of Cluster G Mycobacteriophages Cambiare, FlagStaff, and MOOREtheMARYer

Author

Pope, Welkin H., primary, Augustine, David A., additional, Carroll, Daniel C., additional, Duncan, Julia C., additional, Harwi, Kyle M., additional, Howry, Rachel, additional, Jagessar, Bhavita, additional, Lum, Brandon A., additional, Meinert, Justin W., additional, Migliozzi, Jeffrey S., additional, Milliken, Katherine A., additional, Mitchell, Chandler J., additional, Nalatwad, Akanksha S., additional, Orlandini, Kaila C., additional, Rhein, Michael J., additional, Saravanan, Vishmayaa, additional, Seese, Brett A., additional, Schiebel, Johnathon G., additional, Thomas, Kayla B., additional, Adkins, Nancy L., additional, Cohen, Karen L., additional, Iyengar, Varun B., additional, Kim, Hannah, additional, Kramer, Zachary J., additional, Montgomery, Matthew T., additional, Schafer, Claire E., additional, Wilkes, Kellyn E., additional, Grubb, Sarah R., additional, Warner, Marcie H., additional, Bowman, Charles A., additional, Russell, Daniel A., additional, and Hatfull, Graham F., additional

Published
2015
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21. Continuous Care: A Home Hospice Benefit

Author

Amy Newman, Janeen Thompson, and E. Mitchell Chandler

Subjects
End stages, business.industry, education, Continuity of Patient Care, Middle Aged, medicine.disease, Home Care Services, Hospice Care, Nursing, Actual practice, Humans, General Earth and Planetary Sciences, Medicine, Female, Medical emergency, business, Home Hospice, General Environmental Science
Abstract

Hospice professionals are aware of the difficult transition that occurs when patients and their loved ones arrive at the end stages of metastatic cancer and desire to reach the end of life in their home. However, the actual practice of caring for someone who is dying at home requires specific skills and support from those trained in end-of-life care.

Published
2013

22. Proteopedia entry: G-protein coupled receptors.

Author

Jeremy Johnson, R., Applegarth, Jacob, Bennett, Steven, Caskey, Sydney, Coatney, Connor, Corsbie, Kurt, Cotter, Allison, Cotter, Daniel, Coulis, Alexis, Hansen, Heather, Hart, Whitney, Koehler, Cutter, Koelper, Andrew, Kuhlman, Stephanie, Mitchell, Chandler, Moskal, Blake, Murfield, Olivia, Paton, Allie, Schemenauer, Daniel, and Stankavich, Brittany

Subjects
G protein coupled receptors, CELL membranes, LYSOPHOSPHATIDIC acid receptors
Published
2017
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