Evaluating an Overall Experience of Virtual Learning in Meeting the Continuing Education Needs of Rural Nurses in North Carolina

Background. Rural nurses in North Carolina (NC) face several barriers to accessing face-to-face continuing education (CE) opportunities. Objective. The purpose of the project is to connect to rural nurses in NC by designing accessible and flexible CE programming that includes virtual learning activities. Methods. System Usability Scale (SUS) and the Usability Metric for User Experience short version (UMUX-Lite) tools were used. to predict whether participants will use or adopt a new technology following a North Carolina Area Heath Education Center (NC AHEC) hosted virtual conference. Findings. Of the 103 participants who attended the CE conference, 93 completed the program evaluation survey. The average overall SUS score was statistically significant at 75.9 out of 100, falling above the average of 68 (Yes: 77.3, No: 64.1; p=.004). The average overall UMUX-Lite score was statistically significant at 82.8 out of 100, falling above the average of 68 (Yes: 83.7, No: 75; p=.025). Conclusion. The rural nurses indicated high perceived usability of Zoom virtual platform overall. Although close to half of the rural nurses from this conference preferred obtaining CE through virtual learning, 31% of the participants would rather attend in person. Further study is recommended to learn more about the attitude and values of faceto- face CE learning than virtual learning related to knowledge retention and other benefits associated with different types of learning modalities

The Role of Culture, Family Processes, and Anger Regulation in Korean American Adolescents’ Adjustment Problems

Using an ecologically informed, developmental psychopathology perspective, the present study examined contextual and intrapersonal predictors of depressive symptoms and externalizing problems among Korean American adolescents. Specifically, the role of cultural context (selfconstruals), family processes (family cohesion and conflict), and anger regulation (anger control, anger suppression, and outward anger expression) were examined. Study participants were N = 166 Korean American adolescents ranging from 11-15 (M = 13.0; SD = 1.2) years old. Results showed that depressive symptoms were significantly associated with lower levels of perceived family cohesion, higher levels of perceived family conflict intensity, and higher levels of anger suppression. Externalizing problems were associated with male gender, a weaker interdependent self-construal, higher levels of perceived family conflict, lower levels of anger control, and higher levels of outward anger expression. The distinction between specific vs. common factors associated with depressive symptoms and externalizing problems was discussed with an eye towards prevention or intervention strategies targeting specific coping mechanisms (e.g., generating alternatives to anger suppression) or developing psychoeducational approaches to facilitate family processes

Factors associated with uptake of influenza vaccine in people aged 50 to 64 years in Hong Kong: a case-control study.

BACKGROUND: In Hong Kong, people aged 50-64 years were added as a recommended priority group (recommended group) for influenza vaccination by the Department of Health (DH) starting from 2011/12 onwards. The coverage rate of influenza vaccination for this age group was suboptimal at 8.5 % in 2012/13. This study investigates the factors associated with the uptake of influenza vaccination among adults in Hong Kong aged 50-64 years. METHODS: A case-control study was conducted in communities by street intercept interviews from 17 July to 15 August 2013. Cases were adults aged 50-64 years who had received the influenza vaccine in 2011/12 or 2012/13, while controls were the same as the cases, except they had not received the influenza vaccine in 2011/12 or 2012/13. Multiple logistic regression analysis was performed on the data to explore the associations between vaccination status and the variables. RESULTS: Six hundred and four respondents in total were interviewed and included in the analysis. There were 193 cases (vaccinated) and 411 controls (non-vaccinated), with a case-to-control ratio of 1:2.1. The following were strongly associated with vaccination compared to other factors: 'eligible for free government vaccine' (OR6.38, 95 % CI, 3.43-11.87, p 80 %) were willing to be vaccinated if it was free. CONCLUSIONS: Factors related to free and convenient vaccination, the perception of the severity of symptoms when contracting influenza had a comparatively strong association with influenza vaccination uptake amongst 50-64 year olds, compared to other factors

The Hybrid Space of Collaborative Location-Based Mobile Games and the City: A Case Study of Ingress

Structural changes in the way we live and interact in cities are occurring due to advances in mobile communication technologies affecting everyday practices. One such practice, at the forefront of digital technology adoption, is digital gaming or play. Location-based mobile games (LBMGs), such as Pokémon Go and Ingress have surged in popularity in recent years through their introduction of a new mode of play, employing mobile GPS and internet-enabled technology. Distinguished by their embedded GIS, LBMGs can influence how people play, interact with and perceive the city, by merging urban and virtual spaces into ‘hybrid realities.’ Despite the popularity of such games, studies into how LBMGs affect urban dweller interactions with each other and the city have been limited. This article examines how the digital interface of the large-scale collaborative LBMG Ingress affects how players experience and use the city. Ingress is a collaborative hybrid or location-based game that uses GPS location information from smartphones, Google maps, and Google POI to create virtual gameplay environments that correspond to and interact with other players and the city. The methodology cross-references the MDA framework from game studies (Mechanics-Dynamics-Aesthetics) within the urban mobility, sociability and spatiality characteristics of the hybrid realities theoretical framework. In this article, we explore how Ingress (re)produces hybrid space through deliberate design of interface game elements. By applying this analytical approach, we identify the game mechanics and their role in producing a hybrid gameplay environment with impacts on social and mobility practices altering the perception of and engagement with the city

Chandra Observations of the Radio Galaxy 3C 445 and the Hotspot X-ray Emission Mechanism

We present new {\it Chandra} observations of the radio galaxy 3C 445, centered on its southern radio hotspot. Our observations detect X-ray emission displaced upstream and to the west of the radio-optical hotspot. Attempting to reproduce both the observed spectral energy distribution (SED) and the displacement, excludes all one zone models. Modeling of the radio-optical hotspot spectrum suggests that the electron distribution has a low energy cutoff or break approximately at the proton rest mass energy. The X-rays could be due to external Compton scattering of the cosmic microwave background (EC/CMB) coming from the fast (Lorentz factor $\Gamma\approx 4$) part of a decelerating flow, but this requires a small angle between the jet velocity and the observer's line of sight ($\theta\approx 14^{\circ}$). Alternatively, the X-ray emission can be synchrotron from a separate population of electrons. This last interpretation does not require the X-ray emission to be beamed.Comment: 9 pages, 5 figures, ApJ, in pres

Sustainability and the tourism and hospitality workforce : a thematic analysis

This paper is about the position of workforce and employment considerations within the sustainable tourism narrative. It addresses the relative neglect of this area within discussion of sustainable tourism and highlights reference to it within the UN's 2030 Agenda for Sustainable Development. Discussion follows of the merging field of sustainable HRM and the contribution that this can make to meeting both the sustainable development goals and to enhancing recognition of workforce and employment issues within related debate in tourism. The body of the paper consists of examples of how key dimensions of work and employment in tourism where sustainability is of increasing consequence and significance. The paper concludes by drawing together the implications of these 'mini-cases' and locating them within key principles of the 2030 Agenda for Sustainable Development

Analysis of tall fescue ESTs representing different abiotic stresses, tissue types and developmental stages

<p>Abstract</p> <p>Background</p> <p>Tall fescue (<it>Festuca arundinacea </it>Schreb) is a major cool season forage and turf grass species grown in the temperate regions of the world. In this paper we report the generation of a tall fescue expressed sequence tag (EST) database developed from nine cDNA libraries representing tissues from different plant organs, developmental stages, and abiotic stress factors. The results of inter-library and library-specific <it>in silico </it>expression analyses of these ESTs are also reported.</p> <p>Results</p> <p>A total of 41,516 ESTs were generated from nine cDNA libraries of tall fescue representing tissues from different plant organs, developmental stages, and abiotic stress conditions. The <it>Festuca </it>Gene Index (FaGI) has been established. To date, this represents the first publicly available tall fescue EST database. <it>In silico </it>gene expression studies using these ESTs were performed to understand stress responses in tall fescue. A large number of ESTs of known stress response gene were identified from stressed tissue libraries. These ESTs represent gene homologues of heat-shock and oxidative stress proteins, and various transcription factor protein families. Highly expressed ESTs representing genes of unknown functions were also identified in the stressed tissue libraries.</p> <p>Conclusion</p> <p>FaGI provides a useful resource for genomics studies of tall fescue and other closely related forage and turf grass species. Comparative genomic analyses between tall fescue and other grass species, including ryegrasses (<it>Lolium </it>sp.), meadow fescue (<it>F. pratensis</it>) and tetraploid fescue (<it>F. arundinacea var glaucescens</it>) will benefit from this database. These ESTs are an excellent resource for the development of simple sequence repeat (SSR) and single nucleotide polymorphism (SNP) PCR-based molecular markers.</p

Sex Differences in Mortality After Transcatheter Aortic Valve Replacement for Severe Aortic Stenosis

ObjectivesThe aim of this study was to examine sex differences in outcome after transcatheter aortic valve replacement (TAVR) with real-world data from 2 large centers in Canada.BackgroundTranscatheter aortic valve replacement is an effective alternative to surgical valve replacement in symptomatic patients with severe aortic stenosis, but the impact of sex on outcomes remains unclear. The PARTNER (Placement of Aortic Transcatheter Valves) 1A trial demonstrated greater benefit of TAVR over surgery in women, but whether this was due to the poorer surgical outcome of women or better TAVR outcome, compared with men, is unknown.MethodsConsecutive patients (n = 641) undergoing TAVR in Vancouver and Quebec City, Canada, were evaluated. Differences in all-cause mortality were examined with Kaplan-Meier estimates, adjusted logistic regression, and proportional hazards models.ResultsWomen comprised 51.3% of the cohort. Balloon-expandable valves were used in 97% of cases, with transapical approach in 51.7 % women and 38.1% men. Women had more major vascular complications (12.4% vs. 5.4%, p = 0.003) and borderline significantly more major/life-threatening bleeds (21.6% vs. 15.8%, p = 0.08). At baseline, women had higher aortic gradients and worse renal function but better ejection fractions. Men had more comorbidities: prior myocardial infarction, prior revascularization, and chronic obstructive pulmonary disease. The adjusted odds ratio for 30-day all-cause mortality favored women, 0.39 (95% confidence interval: 0.19 to 0.80; p = 0.01), and this benefit persisted for 2 years, hazard ratio 0.60 (95% confidence interval: 0.41 to 0.88; p = 0.008).ConclusionsFemale sex is associated with better short- and long-term survival after TAVR. Added to the PARTNER 1A findings, these results suggest TAVR might be the preferred treatment option for elderly women with symptomatic severe aortic stenosis