Effects of Clinical Competency in Nursing Students following the Implementation of Student-Led Learning

Research and supporting evidence represent a gap identified in didactic learning between students and faculty. This gap shows emotional factors of the nursing curriculum that may suggest negative impacts on nursing students, but also improvements that can be made to increase students’ clinical competency levels. By adhering to strict definitions of student-led learning theory and clinical competency, we were able to create concrete evidence with measurable data that can contribute to the elimination of this gap in learning. Upon inspection of past text, we identified a need for further research on this topic to bring awareness and encourage this method to be implemented in more nursing programs. Past research played a key role in assisting our team to identify factors that contribute to students\u27 emotional impacts of nursing school and aided us in seeing how similar learning methods impacted students who participated. Our findings were gathered through the qualitative analysis of anonymous Google surveys in participants of our student-led skills labs. The survey allowed us to determine that each participant had a substantial improvement in skill level on the topics discussed, as well as an improvement in comfort level. These improvements in clinical competency and emotional influence help create a well-rounded nursing student. This program can be adjusted to encourage further skills practice and improvement in clinical judgment. Factors such as retention of skill and comfort level are continued to be studied and will be analyzed in December of 2023. We recommend there be a leading role as the program grows, ensuring the integrity and advancement of the program. We can say with confidence that our research contributed to past research, further supporting the implementation of student-led learning in the nursing curriculum at Murray State University

The effect of the regular solution model in the condensation of protoplanetary dust

We utilize a chemical equilibrium code in order to study the condensation process which occurs in protoplanetary discs during the formation of the first solids. The model specifically focuses on the thermodynamic behaviour on the solid species assuming the regular solution model. For each solution, we establish the relationship between the activity of the species, the composition and the temperature using experimental data from the literature. We then apply the Gibbs free energy minimization method and study the resulting condensation sequence for a range of temperatures and pressures within a protoplanetary disc. Our results using the regular solution model show that grains condense over a large temperature range and therefore throughout a large portion of the disc. In the high temperature region (T > 1400 K) Ca-Al compounds dominate and the formation of corundum is sensitive to the pressure. The mid-temperature region is dominated by Fe(s) and silicates such as Mg2SiO4 and MgSiO3 . The chemistry of forsterite and enstatite are strictly related, and our simulations show a sequence of forsterite-enstatite-forsterite with decreasing temperature. In the low temperature regions (T < 600 K) a range of iron compounds and sulfides form. We also run simulations using the ideal solution model and see clear differences in the resulting condensation sequences with changing solution model In particular, we find that the turning point in which forsterite replaces enstatite in the low temperature region is sensitive to the solution model. Our results show that the ideal solution model is often a poor approximation to experimental data at most temperatures important in protoplanetary discs. We find some important differences in the resulting condensation sequences when using the regular solution model, and suggest that this model should provide a more realistic condensation sequence.Comment: MNRAS: Accepted 2011 February 16. Received 2011 February 14; in original form 2010 July 2

Simulations of the Boundary Layer Between a White Dwarf and its Accretion Disk

Using a 2.5D time-dependent axisymmetric numerical code we recently developed, we solve the full compressible Navier-Stokes equations (including an alpha-viscosity prescription) to determine the structure of the boundary layer between the white dwarf and the accretion disk in non-magnetic cataclysmic varia ble systems. In this preliminary work, our numerical approach does not include radiation. In the energy equation, we either take the dissipation function (Phi) into account or we assumed that the energy is instantly radiated away (Phi). For a slowly rotating non magnetized accreting white dwarf, the accretion disk e xtends all the way to the stellar surface. There, the matter impacts and spread s towards the poles as new matter continuously piles up behind it. We carried out numerical simulations for different values of the alpha viscosity parameter (alpha), corresponding to different mass accretion rates. In the high viscosity cases (alpha=0.1), the spreading boundary layer sets off a gravity wave in the s urface matter. The accretion flow moves supersonically over the cusp making it s usceptible to the rapid development of gravity wave and/or Kelvin-Helmholtz shea ring instabilities. This BL is optically thick and extends more than 30 degrees to either side of the disk plane after only 3/4 of a Keplerian rotation period (19s). In the low viscosity cases (alpha=0.001), the spreading boundary layer does not set off gravity waves and it is optically thin.Comment: final version, ApJ, in pres

Adaptation of the Tumor Antigen Presentation Machinery to Ionizing Radiation.

Ionizing radiation (IR) can reprogram proteasome structure and function in cells and tissues. In this article, we show that IR can promote immunoproteasome synthesis with important implications for Ag processing and presentation and tumor immunity. Irradiation of a murine fibrosarcoma (FSA) induced dose-dependent de novo biosynthesis of the immunoproteasome subunits LMP7, LMP2, and Mecl-1, in concert with other changes in the Ag-presentation machinery (APM) essential for CD8+ T cell-mediated immunity, including enhanced expression of MHC class I (MHC-I), β2-microglobulin, transporters associated with Ag processing molecules, and their key transcriptional activator NOD-like receptor family CARD domain containing 5. In contrast, in another less immunogenic, murine fibrosarcoma (NFSA), LMP7 transcripts and expression of components of the immunoproteasome and the APM were muted after IR, which affected MHC-I expression and CD8+ T lymphocyte infiltration into NFSA tumors in&nbsp;vivo. Introduction of LMP7 into NFSA largely corrected these deficiencies, enhancing MHC-I expression and in&nbsp;vivo tumor immunogenicity. The immune adaptation in response to IR mirrored many aspects of the response to IFN-γ in coordinating the transcriptional MHC-I program, albeit with notable differences. Further investigations showed divergent upstream pathways in that, unlike IFN-γ, IR failed to activate STAT-1 in either FSA or NFSA cells while heavily relying on NF-κB activation. The IR-induced shift toward immunoproteasome production within a tumor indicates that proteasomal reprogramming is part of an integrated and dynamic tumor-host response that is specific to the stressor and the tumor and therefore is of clinical relevance for radiation oncology

Radiative forcing in the 21st century due to ozone changes in the troposphere and the lower stratosphere

Radiative forcing due to changes in ozone is expected for the 21st century. An assessment on changes in the tropospheric oxidative state through a model intercomparison ("OxComp'') was conducted for the IPCC Third Assessment Report (IPCC-TAR). OxComp estimated tropospheric changes in ozone and other oxidants during the 21st century based on the "SRES'' A2p emission scenario. In this study we analyze the results of 11 chemical transport models (CTMs) that participated in OxComp and use them as input for detailed radiative forcing calculations. We also address future ozone recovery in the lower stratosphere and its impact on radiative forcing by applying two models that calculate both tropospheric and stratospheric changes. The results of OxComp suggest an increase in global-mean tropospheric ozone between 11.4 and 20.5 DU for the 21st century, representing the model uncertainty range for the A2p scenario. As the A2p scenario constitutes the worst case proposed in IPCC-TAR we consider these results as an upper estimate. The radiative transfer model yields a positive radiative forcing ranging from 0.40 to 0.78 W m(-2) on a global and annual average. The lower stratosphere contributes an additional 7.5-9.3 DU to the calculated increase in the ozone column, increasing radiative forcing by 0.15-0.17 W m(-2). The modeled radiative forcing depends on the height distribution and geographical pattern of predicted ozone changes and shows a distinct seasonal variation. Despite the large variations between the 11 participating models, the calculated range for normalized radiative forcing is within 25%, indicating the ability to scale radiative forcing to global-mean ozone column change

Amelioration of age-related cognitive decline and anxiety in mice by Centella asiatica extract varies by sex, dose and mode of administration

Background: A water extract (CAW) of the Ayurvedic plant Centella asiatica administered in drinking water has been shown to improve cognitive deficits in mouse models of aging and neurodegenerative diseases. Here the effects of CAW administered in drinking water or the diet on cognition, measures of anxiety and depression-like behavior in healthy aged mice are compared.Methods: Three- and eighteen-month-old male and female C57BL6 mice were administered rodent AIN-93M diet containing CAW (0, 0.2, 0.5 or 1% w/w) to provide 0, 200 mg/kg/d, 500 mg/kg/d or 1,000 mg/kg/d CAW for a total of 5 weeks. An additional group of eighteen-month-old mice were treated with CAW (10 mg/mL) in their drinking water CAW for a total of 5 weeks to deliver the same exposure of CAW as the highest dietary dose (1,000 mg/kg/d). CAW doses delivered were calculated based on food and water consumption measured in previous experiments. In the fourth and fifth weeks, mice underwent behavioral testing of cognition, anxiety and depression (n = 12 of each sex per treatment group in each test).Results: Aged mice of both sexes showed cognitive deficits relative to young mice while only female aged mice showed increased anxiety compared to the young female mice and no differences in depression were observed between the different ages. CAW (1,000 mg/kg/d) in the drinking water improved deficits in aged mice in learning, executive function and recognition memory in both sexes and attenuated the increased measures of anxiety observed in the aged female mice. However, CAW in the diet only improved executive function in aged mice at the highest dose (1,000 mg/kg/d) in both sexes and did so less robustly than when given in the water. There were no effects of CAW on depression-like behavior in aged animals regardless of whether it was administered in the diet or the water.Conclusions: These results suggest that CAW can ameliorate age-related changes in measures of anxiety and cognition and that the mode of administration is important for the effects of CAW on resilience to these age-related changes

Distribution, variability and sources of tropospheric ozone over south China in spring: intensive ozonesonde measurements at five locations and modeling analysis

We examine the characteristics of the spatial distribution and variability of tropospheric ozone (O3) by analysis of 93 ozonesonde profiles obtained at five stations over south China (18–30 N) during a field campaign in April–May 2004. We use a global 3-D chemical transport model (GEOS-Chem) to interpret these characteristics and to quantify the sources of tropospheric O3 over south China during this period. The observed tropospheric O3 mixing ratios showed strong spatiotemporal variability due to a complex interplay of various dynamical and chemical processes. A prominent feature in the upper and middle troposphere (UT/MT) was the frequent occurrence of high O3 mixing ratios shown as tongues extending down from the lower stratosphere or as isolated layers at all stations. The model largely captured the observed pattern of day-to-day variability in tropospheric O3 mixing ratios at all stations, but often underestimated those tongues or isolated layers of O3 enhancements observed in the UT/MT, especially at low-latitude stations. We found that tropospheric O3 along the southeast China coast was mainly produced within Asia. Lightning NOx emissions (over South Asia and equatorial Africa) and/or stratospheric influences were responsible for major events of high O3 observed in the UT/MT at all stations. Underestimated contributions of these sources likely led to the model’s underestimate in the low-latitude UT/MT O3. This study emphasizes the need for improved understanding of lightning NOx emissions and stratospheric influences over the Eurasian and African continents and for better representation of these processes in current global models

Global modeling of aerosol dynamics: Model description, evaluation, and interactions between sulfate and nonsulfate aerosols

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/95258/1/jgrd12001.pd

Tropical cyclones and permanent El Niño in the early Pliocene epoch

Tropical cyclones (also known as hurricanes and typhoons) are now believed to be an important component of the Earth’s climate system1, 2, 3. In particular, by vigorously mixing the upper ocean, they can affect the ocean’s heat uptake, poleward heat transport, and hence global temperatures. Changes in the distribution and frequency of tropical cyclones could therefore become an important element of the climate response to global warming. A potential analogue to modern greenhouse conditions, the climate of the early Pliocene epoch (approximately 5 to 3 million years ago) can provide important clues to this response. Here we describe a positive feedback between hurricanes and the upper-ocean circulation in the tropical Pacific Ocean that may have been essential for maintaining warm, El Niño-like conditions4, 5, 6 during the early Pliocene. This feedback is based on the ability of hurricanes to warm water parcels that travel towards the Equator at shallow depths and then resurface in the eastern equatorial Pacific as part of the ocean’s wind-driven circulation7, 8. In the present climate, very few hurricane tracks intersect the parcel trajectories; consequently, there is little heat exchange between waters at such depths and the surface. More frequent and/or stronger hurricanes in the central Pacific imply greater heating of the parcels, warmer temperatures in the eastern equatorial Pacific, warmer tropics and, in turn, even more hurricanes. Using a downscaling hurricane model9, 10, we show dramatic shifts in the tropical cyclone distribution for the early Pliocene that favour this feedback. Further calculations with a coupled climate model support our conclusions. The proposed feedback should be relevant to past equable climates and potentially to contemporary climate change.National Science Foundation (U.S.)United States. Dept. of Energy. Office of ScienceDavid & Lucile Packard FoundationNational Energy Research Scientific Computing Center (U.S.