Nursing Students Challenges at Educational and Clinical Environment

Introduction: Nursing students are facing a series of challenges progressively in the clinical practices as well as in education system. The influence of these challenges is on their learning skills. Gape between theoretical leaning and its implementation during the course of training has impact on nursing student’s empowerment. Nursing students have emphasizes on education which taught by preceptor during their training but afterword in their practice and but clinical experience has been totally difference. Nursing students conduct their clinical practice in various kinds of clinical settings. The clinical learning environment is essential for students to most likely accomplish desired learning outcomes.Methods: Descriptive cross sectional study design was used. Study conducted on nursing students and total population for this research work 160 nursing students of Allama Iqbal Medical College at Jinnah Hospital, Lahore.Results: The findings of this research indicated that from the participant’s point of views were follow as, the most important challenge in the educational environment were educator follow traditional ways of teaching in their nursing care (97.1%),no application of theoretical aspects of the nursing process in practice  (69.6%), there is a gap between practice and education system (98.1%), the use of practice were follow as :there is a major difference what they were taught in class is similar what they practice at clinical environment  (95.8%), student not received  constructive feedback from nurse educator/clinical facilitator during accompaniment (96.2%).Conclusions: The gap between the theory and practice was an important finding. Practical-orientation and traditional view of educators, students and nurses about clinical competency based on practical skills that reduced the need of practice based on knowledge and research.  Efforts to reduce the problems between the theory and practice in academic and clinical environment are needed to improve training of student nurses. Also education of professionalism and action based on work environment may be useful. Keywords- Challenges, Nursing students, Educational environment, Clinical environment DOI: 10.7176/JHMN/62-06 Publication date:May 31st 201

Design of an integrated sub-6 ghz and mmwave mimo antenna for 5g handheld devices

The reported work demonstrates the design and realization of an integrated mid-band (sub-6 GHz) and mmWave multiple input, multiple output (MIMO) antenna for 5G handheld devices. The proposed prototype consists of the two-port MIMO configuration of the mid-band antenna placed at the top and bottom of the substrate, while the 4-port mmWave MIMO antenna is placed sideways. The MIMO configuration at the top and bottom consists of a two-element array to achieve high gain at the mid-band spectrum, while the antennas placed sideways are optimized to cover the 5G-mmWave band spectrum. The overall dimensions of the board were selected the same as the of smartphones, i.e., 151 mm x 72 mm. The mid-band antenna has an operational bandwidth of 2.73 GHz, whereas the mmWave antenna has an impedance bandwidth of 3.85 GHz with a peak gain of 5.29 and 8.57 dBi, respectively. Furthermore, the design is analyzed for the various MIMO performance parameters; it was found that the proposed antennas offer high performance in terms of envelop correlation coefficient (ECC), diversity gain (DG), mean effective gain (MEG) and channel capacity loss (CCL) within operational range. A fabricated prototype was tested and measured results show strong agreement with predicted results. Moreover, the proposed work is compared with state-of-the-art work for the same applications to demonstrate its potential for targeted application

Voice Cloning Using Artificial Intelligence and Machine Learning: A Review

This paper represents a thorough method for integrating emotions, texttospeech conversion, and state of the art voice cloning. The paper focuses on novel background noise adaptation, emotional voice synthesis, and multi-speaker voice cloning for better speech synthesis. The synthesis of emotive voices, multi-speaker voice cloning, and creative methods for modifying background noise to improve speech synthesis quality are among the topics covered in this study. Additionally, the study explores the domain of emotional artificial intelligence by adding a variety of emotions to artificial voices, improving user engagement through sympathetic reactions. The study also looks at how background noise can be altered to change it from a disturbing to a silent, non-disruptive state. The texttospeech systems usability in noisy conditions is greatly enhanced by this improvement. By integrating these components, the project makes a substantial contribution to text to speech, emotional AI, and voice cloning, creating new avenues for human-computer connection

The impact of boron seed priming on seedling establishment, growth, and grain biofortification of mungbean (Vigna radiata L.) in yermosols

Boron-deficiency in Yermosols is among the major constraints to mungbean productivity and grain biofortification in Pakistan. However, agronomic strategies such as boron (B) seed priming have potential to improve mungbean yield and grain biofortification. Moreover, deficiency to toxicity range for B is very narrow; therefore, it is pre-requisite to optimize its dose before field evaluation. A wire house experiment was planned out to reconnoiter the impact of seed priming with B on growth and quality of two cultivars of mungbean, i.e., ‘NM-2011’ and ‘NM-2016’. Four different B levels were used as seed priming, i.e., 0.01%, 0.05%, 0.1% and 1.0% B, (borax Na2B4O7.10H2O, 11.5% B) were tested, whereas hydropriming was regarded as control. Seed priming with 0.01% B significantly (p≤0.05) lowered time taken to start germination and time to reach 50% emergence, whereas improved mean emergence time, emergence index, final emergence percentage, number of leaves, dry and fresh weight of root, shoot, and total weight, root length, plant height, chlorophyll contents, number of pods and 100-grain weight, seeds per plant, grain yield per plant, B concentrations in stem and grain, grain protein, carbohydrate and fiber in both cultivars. Boron seed priming proved beneficial under a specific range; however, deficiency (hydropriming) and excess (above 0.01% B) of B were detrimental for mungbean growth and productivity. The cultivar ‘NM-2016’ had significantly (p≤0.05) higher yield due to prominent increase in yield related traits with 0.01% B priming as compared to ‘NM-2011’. In conclusion, B seed priming (0.01% B) seemed a feasible choice for improving mungbean growth, yield related traits and grain-B concentration of mungbean on Yermosols

Revamping of Chronic Respiratory Diseases in Low- and Middle-Income Countries

Low- and middle-income countries (LMICs) endure an asymmetrically high burden of worldwide disease and death caused by chronic respiratory diseases (CRDs), i.e., asthma, emphysema, bronchiectasis, and post-tuberculosis lung disease (PTLD). CRDs are firmly related with indigence, infectious diseases, and other non-communicable diseases (NCDs) and add to complex multi-disease with great impact on the lives and livelihood of those affected. The pertinence of CRDs to health and demographic wellbeing is relied upon to increment in the long time ahead, as expectations of life rise and the contending dangers of right on time youth mortality and irresistible infections level. The WHO has distinguished the counteraction and control of NCDs as an earnest improvement issue and crucial for the sustainable development goals (SDSs) by 2030. In this review, we center on CRDs in LMICs. We examine the early life roots of CRDs, challenges in their avoidance, identification and administration in LMICs, and the pathways to resolve for accomplish valid widespread wellbeing inclusion

Substantial and sustained reduction in under-5 mortality, diarrhea, and pneumonia in Oshikhandass, Pakistan : Evidence from two longitudinal cohort studies 15 years apart

Funding Information: Study 1 was funded through the Applied Diarrheal Disease Research Program at Harvard Institute for International Development with a grant from USAID (Project 936–5952, Cooperative Agreement # DPE-5952-A-00-5073-00), and the Aga Khan Health Service, Northern Areas and Chitral, Pakistan. Study 2 was funded by the Pakistan US S&T Cooperative Agreement between the Pakistan Higher Education Commission (HEC) (No.4–421/PAK-US/HEC/2010/955, grant to the Karakoram International University) and US National Academies of Science (Grant Number PGA-P211012 from NAS to the Fogarty International Center). The funding bodies had no role in the design of the study, data collection, analysis, interpretation, or writing of the manuscript. Publisher Copyright: © 2020 The Author(s).Peer reviewedPublisher PD

Epidemiology and antimicrobial resistance trends of Acinetobacter species in the United Arab Emirates: a retrospective analysis of 12 years of national AMR surveillance data

Introduction: Acinetobacter spp., in particular A. baumannii, are opportunistic pathogens linked to nosocomial pneumonia (particularly ventilator-associated pneumonia), central-line catheter-associated blood stream infections, meningitis, urinary tract infections, surgical-site infections, and other types of wound infections. A. baumannii is able to acquire or upregulate various resistance determinants, making it frequently multidrug-resistant, and contributing to increased mortality and morbidity. Data on the epidemiology, levels, and trends of antimicrobial resistance of Acinetobacter spp. in clinical settings is scarce in the Gulf Cooperation Council (GCC) and Middle East and North Africa (MENA) regions. Methods: A retrospective 12-year analysis of 17,564 non-duplicate diagnostic Acinetobacter spp. isolates from the United Arab Emirates (UAE) was conducted. Data was generated at 317 surveillance sites by routine patient care during 2010-2021, collected by trained personnel and reported by participating surveillance sites to the UAE National AMR Surveillance program. Data analysis was conducted with WHONET. Results: Species belonging to the A. calcoaceticus-baumannii complex were mostly reported (86.7%). They were most commonly isolated from urine (32.9%), sputum (29.0%), and soft tissue (25.1%). Resistance trends to antibiotics from different classes during the surveillance period showed a decreasing trend. Specifically, there was a significant decrease in resistance to imipenem, meropenem, and amikacin. Resistance was lowest among Acinetobacter species to both colistin and tigecycline. The percentages of multidrug-resistant (MDR) and possibly extensively drug-resistant (XDR) isolates was reduced by almost half between the beginning of the study in 2010 and its culmination in 2021. Carbapenem-resistant Acinetobacter spp. (CRAB) was associated with a higher mortality (RR: 5.7), a higher admission to ICU (RR 3.3), and an increased length of stay (LOS; 13 excess inpatient days per CRAB case), as compared to Carbapenem-susceptible Acinetobacter spp. Conclusion: Carbapenem-resistant Acinetobacter spp. are associated with poorer clinical outcomes, and higher associated costs, as compared to carbapenem-susceptible Acinetobacter spp. A decreasing trend of MDR Acinetobacter spp., as well as resistance to all antibiotic classes under surveillance was observed during 2010 to 2021. Further studies are needed to explore the reasons and underlying factors leading to this remarkable decrease of resistance over time

Financial market development, global financial crisis and economic growth : evidence from developing nations

Emerging and frontier markets in Africa have witnessed various economic and financial reforms aimed at integrating the domestic markets into the global financial market to attract investment. Whether these reforms promote high economic growth remains inconclusive. The paper applies the pooled mean group estimation technique to empirically re-investigate the link between financial market development, global financial crisis, and economic growth in selected African economies. The results strongly support our hypotheses that stock market and banking sector development promotes economic growth in the selected countries. Moreover, financial crisis reduce the positive effects of both the stock market and banking sector developments on economic growth. The study suggests that both the banking sector and stock market are important to deliver the long-run economic growth that the African region desired. Moreover, effort should be made to enact policy measures that would ensure development of the stock market which has received inadequate attention.info:eu-repo/semantics/publishedVersio