An assessment of the role of eco-schools in achieving whole school development through sustainability education

The Johannesburg World Summit on Sustainable Development in 2002 reaffirmed the school as the centre of change and as critical for promoting sustainable education. The purpose of this research was to assess, firstly, how the Eco-Schools Programme can achieve whole school development by implementing sustainability education, and secondly, the feasibility of its incorporation into the formal school system. It examined what impact the South African Eco-Schools Programme, since 2003, has had on the implementation of sustainable education through whole school development. The qualitative evaluation research design was used and data was collected through interviews, questionnaires and narratives that included all role players. It noted the strengths of the programmes already in place and identified the challenges that still need to be addressed. The outcome of the study proves that the Eco-Schools Programme does achieve whole school development by implementing sustainability education and should be incorporated into the formal education system.Further Teacher EducationM.A. (Education

Web-based phosphine fumigation monitoring with active sensor validation confirms lethality in stored grains: Presentation

The predominant measurement technologies for fumigation gases over the past 60 years include colorimetric tubes, photoionization detectors, and electrochemical sensors. Their limitations and inaccuracies are well documented. Spectros Instruments has shown non-dispersive infrared monitoring (NDIR) to be a superior analytical tool for the practical measurement of fumigation gases as shown in Table 1. Any compliant fumigation monitor must be accurate, reliable and affordable. Stored Product Protection has additional requirements in remote regions such as Central China and Western Australia. In these cases, the value of real time access via the internet to fumigation data collected with NDIR Technology from a remote location adds heretofore unknown benefits. Allocation of manpower and materials resources are optimized by access to information about fumigant gas levels in grain storages via the internet. Data is automatically transferred to a central database that can be accessed in real-time from any location with internet access. Intelligent monitors with built-in diagnostics tracking barometric pressure, temperature, sample flows and detector voltages are described. This data collection, data warehousing and reporting platform maintains measurement traceability to certified compliance with secure, encrypted electronic notebook format. Knowing REAL phosphine concentrations allows informed decisions to be made to achieve required CxT and avoid situations leading to target pest phosphine resistance.The predominant measurement technologies for fumigation gases over the past 60 years include colorimetric tubes, photoionization detectors, and electrochemical sensors. Their limitations and inaccuracies are well documented. Spectros Instruments has shown non-dispersive infrared monitoring (NDIR) to be a superior analytical tool for the practical measurement of fumigation gases as shown in Table 1. Any compliant fumigation monitor must be accurate, reliable and affordable. Stored Product Protection has additional requirements in remote regions such as Central China and Western Australia. In these cases, the value of real time access via the internet to fumigation data collected with NDIR Technology from a remote location adds heretofore unknown benefits. Allocation of manpower and materials resources are optimized by access to information about fumigant gas levels in grain storages via the internet. Data is automatically transferred to a central database that can be accessed in real-time from any location with internet access. Intelligent monitors with built-in diagnostics tracking barometric pressure, temperature, sample flows and detector voltages are described. This data collection, data warehousing and reporting platform maintains measurement traceability to certified compliance with secure, encrypted electronic notebook format. Knowing REAL phosphine concentrations allows informed decisions to be made to achieve required CxT and avoid situations leading to target pest phosphine resistance

The Impact of Crohn's Perianal Fistula on Quality of Life: Results of an International Patient Survey

Lay Summary Results from an online survey completed by patients with Crohn's disease (CD) and perianal fistulas showed the presence of perianal fistulae has a greater negative impact as compared to CD-only patients. These results may help practitioners address patient burden.Background Crohn's perianal fistula is a disabling manifestation of Crohn's disease. However, the additional burden of perianal fistula on patients with only Crohn's disease remains to be addressed. This patient-reported survey considered outcomes of two domains: "diagnosis" (eg, symptoms) and "living with the disease" (eg, quality of life, well-being, and relationships). Methods Patients with perianal fistula and Crohn's disease completed an online, self-selective, anonymous, 46-item survey available in 11 languages hosted on the European Federation of Crohn's & Ulcerative Colitis Associations and national patient association websites. The survey was conducted between July and December 2019 in Europe and other regions. Likert scales and closed questions were used to assess outcomes. Results Of the 820 respondents with Crohn's disease (67.2% women; median age, 40.0 years), 532 (64.9%) reported the presence of perianal fistula. Patients with perianal fistula reported a greater impact on overall quality of life (P < .001), well-being (P < .001), relationships (P < .001), social life (P = .001), and work life (P = .012) than patients with only Crohn's disease. Conclusions Perianal fistulas impact several domains of the life of patients with Crohn's disease. These results may help healthcare practitioners plan therapeutic strategies that address the symptomatic and psychological burden experienced by patients with perianal fistulizing Crohn's disease

Strategies to Reverse Endothelial Progenitor Cell Dysfunction in Diabetes

Bone-marrow-derived cells-mediated postnatal vasculogenesis has been reported as the main responsible for the regulation of vascular homeostasis in adults. Since their discovery, endothelial progenitor cells have been depicted as mediators of postnatal vasculogenesis for their peculiar phenotype (partially staminal and partially endothelial), their ability to differentiate in endothelial cell line and to be incorporated into the vessels wall during ischemia/damage. Diabetes mellitus, a condition characterized by cardiovascular disease, nephropathy, and micro- and macroangiopathy, showed a dysfunction of endothelial progenitor cells. Herein, we review the mechanisms involved in diabetes-related dysfunction of endothelial progenitor cells, highlighting how hyperglycemia affects the different steps of endothelial progenitor cells lifetime (i.e., bone marrow mobilization, trafficking into the bloodstream, differentiation in endothelial cells, and homing in damaged tissues/organs). Finally, we review preclinical and clinical strategies that aim to revert diabetes-induced dysfunction of endothelial progenitor cells as a means of finding new strategies to prevent diabetic complications

The skill of nursing students trained in the evaluation of electrocardiographic trace: a comparison with emergency nurses

Background and aim of the work: Cardiovascular diseases represent the main cause of death in Italy. Early recognition of pathological electrocardiographic (ECG) trace is an important skill for nurses. The theo- retical knowledge and the practical skills on the recognition of pathological ECG trace of trained nursing students were compared with those of emergency nurses. Methods: The study involved 35 nursing students and 41 nurses from the emergency room, emergency medicine and ambulance service. Students were previously trained through a theoretical and practical ECG course. The data were collected using two questionnaires aimed at evaluating in the two groups the ability to recognize electrocardiographic signs. The tools were up- loaded to an online platform and remotely administered. Results: Both the students and the nurses showed a satisfactory theoretical knowledge of the ECG trace, with a statistically significant difference in favor of the nurses. Regarding practical skills, both groups showed difficulty in recognizing pathological electrocardio- graphic signs, particularly blockages and acute coronary syndromes. Conclusions: Nursing students’ knowledge of ECG did not differ much from that of nurses. Training through simulation probably played a key role in improving the skill of ECG evaluation among students. More theoretical and practical courses on ECG should be recommended in Nursing Programme

The use of electronical devices and relative levels of Nomophobia within a group of Italian nurses: an Observational Study

Background: In healthcare, the use of smartphones and other electronical devices are becoming important tools among health professionals. Thanks to these devices, there are new methods of assistance. However, if used incorrectly, they may cause distraction during clinical practice. The excessive use of such devices has generated a new form of addiction in the workplace named nomophobia, a phobia still little explored in literature. We reported an analysis of the frequency and method of use of these electronical devices. The primary aim of the research was to investigate the level of dependence on electronic devices (nomophobia) and the digital habits of nurses. Secondary aim of the study was to evaluate the possible association between nomophobia and distraction in the workplace. Methods: A transversal multicenter study was conducted on a sample of Italian nurses, using the Nurses’ Use of Personal Communication Devices Questionnaire and the Nomophobia Questionnaire (NMP-Q). Results: 34.1% of the sample (n=184) declared that they used smartphones and other electronical devices a moderately during working hours. 20.2 % (n=109) used them frequently and 8.9% (n=48) uses devices during working hours constantly. However, 44.0% (n=222) never uses health apps for patient medical assistance, the 32.9% (n=166) never uses learning apps or apps for professional development. 16.6% (n=87) admit that the use of these devices negatively affected their working performance (mean 80.5; SD 40.1). Study participants showed moderated levels of nomophobia (media=50.34; SD=29.0). Conclusion: The results of the study demonstrate the scares use of such electronical tools to implement adequate care among Italian nurses. Nomophobia can have significant impact on the risk of making mistakes. Future studies should examine not only nurses but also other help professionals and support staff, to bring out an underestimated dimension

Attitudes, knowledge and Practices of Nurses towards HIV/AIDS Patients. An Observational, Cross Sectional, Multicenter study

Background. Attitudes, knowledge and practices of nurses towards HIV/AIDS patients are of continuous interest, especially in developing countries. However, in Italy, this topic is still scarcely debated. Materials and methods. An observational, cross sectional, multicentre study was conducted on a sample of 144 nurses in two Italian Hospitals of the Puglia Region ("Vito Fazzi" Hospital in Lecce and "San Giuseppe da Copertino" Hospital in Copertino (Le)). Results. A large part of the sample (97.2%, n=140) stated that they never refused to take care of a patient with AIDS. Only 22.9%, (n=33), of the sample had attended a training course and almost half (63.2%, n=91) used the gloves regularly when performing blood samples or when administering therapy to patients. With regard to the assessment of HIV knowledge, the percentage of nurses who know the meaning of the terms " seropositive" (83.3%, n=120), "HIV-positive person" (91.7%, n=132) and "window period" (47.9%, n=69) decreased. Conclusions. The results of the study show that a non-negligible percentage of nurses could be considered at risk of infection due to non-routine use of gloves, incorrect handling of the patient's biological samples and not knowing how to decontaminate a surface with potentially infected blood