A Delphi study to validate competency-based criteria to assess undergraduate midwifery students' competencies in the maternity ward

Background: workplace learning plays a crucial role in midwifery education. Twelve midwifery schools in Flanders (Belgium) aimed to implement a standardised and evidence-based method to learn and assess competencies in practice. This study focuses on the validation of competency-based criteria to guide and assess undergraduate midwifery students’ postnatal care competencies in the maternity ward. Method: an online Delphi study was carried out. During three consecutive sessions, experts from workplaces and schools were invited to score the assessment criteria as to their relevance and feasibility, and to comment on the content and their formulation. A descriptive quantitative analysis, and a qualitative thematic content analysis of the comments were carried out. A Mann-Whitney U-test was used to investigate diferences between expert groups. Findings:eleven competencies and fifty-six assessment criteria were found appropriate to assess midwifery students’ competencies in the maternity ward. Overall median scores were high and consensus was obtained for all criteria, except for one during the first round. Although all initial assessment criteria (N=89) were scored as relevant, some of them appeared not feasible in practice. Little difference was found between the expert groups. Comments mainly included remarks about concreteness and measurability. Conclusion: this study resulted in validated criteria to assess postnatal care competencies in the maternity ward

Nichtokulomotorische Augenbeteiligung bei Möbius-Sequenz

Zusammenfassung: Die Möbius-Sequenz betrifft nicht nur die Okulomotorik, sondern auch die Augen selbst. Das Sehen der Patienten kann durch das Syndrom erheblich beeinträchtigt sein. Daher bedarf es regelmäßiger augenärztlicher Kontrolle

Diagnose und Therapie okulomotorischer Defizite bei Patienten mit Möbius-Sequenz

Zusammenfassung: Der Artikel gibt einen Überblick über das Spektrum möglicher Motilitätseinschränkungen und Stellungsanomalien der Augen bei Patienten mit Möbius-Sequenz. Die augenmuskelchirurgischen Behandlungsoptionen werden diskutiert und es wird ein operatives Stufenschema vorgestell

Associations between coronal mass ejections and interplanetary shocks

Nearly continuous complementary coronal observations and interplanetary plasma measurements for the years 1979-1982 are compared. It is shown that almost all low latitude high speed coronal mass ejections (CME's) were associated with shocks at HELIOS 1. Some suitably directed low speed CME's were clearly associated with shocks while others may have been associated with disturbed plasma (such as NCDE's) without shocks. A few opposite hemisphere CME's associated with great flares seem to be associated with shocks at HELIOS

Effects of windbreak species and mulching on wind erosion and millet yield in the Sahel

In an on-station agroforestry experiment conducted in south-west Niger, the effects of seven windbreak species and of a soil mulch made from crop residue on wind erosion and pearl millet (Pennisetum glaucum) production were monitored. Within a distance of 20 m, strips of the perennial grass, Andropogon gayanus, reduced total annual soil flux by 6–55% and hedges of Bauhinia rufescens 2 m in height reduced soil flux by 47–77% compared with unsheltered control plots. No significant overall windbreak effect on millet stover and grain yields was found. In contrast, erosion reduction and yield increases due to mulch application were highly significant. Soil mulch is a promising alternative to complex windbreak–millet cropping systems in regions where direct economic benefits for farmers are not ensured by windbreak

Pearl millet growth on an erosion-affected soil in the sahel

The residual effects of three years’ mulch application and the associated erosion processes, such as soil loss or deposition, on pearl millet (Pennisetum glaucum) growth have been investigated on a Sahelian sandy soil in field and pot studies. The smallest millet yields were found on unmulched eroded plots despite mineral phosphorus (P) applications, whereas stover mulching or manure and urine consistently resulted in larger yields. Bioassays revealed that aluminium (Al) by itself was not growth-limiting. Neither nematodes nor lack of micronutrients contributed to the small millet yields. On soil from eroded plots, millet dry matter yield tripled after P addition, and increased by a factor of 13.5 when additional nitrogen (N) was applied. High P availability was found to be the key to reversing decline in yields on erosion-affected fields, but the addition of organic material is a prerequisite to prevent acidification.Manure was more effective than straw because of the large amounts of N and P it contained. The addition of small quantities of lime (CaCO3) may partly compensate for organic matter addition by increasing soil pH and reducing P fixation. P-Bray was not a suitable indicator of plant available P on degraded sandy acid soil