The production and deployment of an on-line video learning bank in a skills training environment

This paper describes the introduction of videos as aids in clinical skills teaching. Although the process explored focuses on a nursing clinical skills environment it is relevant to many other disciplines. With the introduction of the pre-registration degree in nursing in Ireland in 2002, the formerly hospital-based schools of nursing amalgamated into larger programmes with their affiliated higher education institutes (HEIs). The result was a considerable increase in class sizes. The current average annual cohort in the School of Nursing, Dublin City University (DCU) is 240 students. This has resulted in a need to review the way we teach clinical skills on campus. These skills form a large part of the programme and are taught to students in the school-based simulated nursing environment to prepare them for their practical experience in the clinical environment. Until 2006 the skills had been taught to groups of 25-30 students using a demonstration and practice technique. This teaching method has posed a number of problems: •Learning experiences vary depending on the mix of demonstration and practice in each session. •It can be difficult for students to absorb all of the information presented in a single demonstration. •It is highly resource intensive. It was decided that video technology incorporating a large scale deployment of skills videos over a video web server, in conjunction with a shift in emphasis in the teaching contact sessions could offer a useful tool to aid the teaching process. This paper will discuss the production process, the implementation of the project in the teaching environment and the evaluation findings

Ireland’s Trading Potential with Central and Eastern European Countries - A Gravity Study

Using a gravity model, we estimate the magnitude of potential trade flows between Ireland and the five CEEC countries which are currently negotiating accession to the EU. We find that Irish exports were already close to their “normal” level in 1994, but that imports from the CEECs were still less than half of their potential size. The value of estimated potential trade corresponds to 0.8 per cent of Irish GNP. The actual share in 1994 was 0.5 per cent. EU enlargement would raise Ireland-CEEC trade to 1.2 per cent of GNP. The short-term scope for trade expansion therefore appears to be modest. Stronger potential for trade growth emerges in the “long-term” scenario, which assumes partial income convergence of the EU and the CEECs. According to our upper-limit estimate in the convergence scenario, the value of Irish trade with the CEECs could reach 8.3 per cent of Irish GNP in 2020.

The experience of qualified nurses in assessing student nurses' clinical skills

The purpose of this study was to explore the experience of qualified nurses in assessing student nurses’ clinical skills. The writer’s interest in this area arose from the findings of reports in the UK and Ireland. These reports suggested that nurses do not feel adequately prepared for their roles in clinical assessment. The literature reviewed for this study highlights some of the difficulties surrounding assessment. Two areas identified are: lack of preparation for a role in assessment and the subjective interpretation of competence. A constructivist approach underpinned this study, using a combination of methods to gather and analyse the data. Focused interviews were conducted with a purposive sample of four experienced clinical nurses. A questionnaire was distributed to 108 qualified nurses, using a convenience sample. The interview data were analysed using Colaizzi’s seven-step method and the questionnaire analysed using SPSS 8.0 for Windows. The responses to both instruments suggest that nurses believe clinical staff have an important role in clinical assessment. However, the need for support from managerial and educational staff was identified. Changes in the nurse education programme and uncertainty regarding what constitutes ‘competence’ have contributed to difficulties with assessing student nurses’ clinical skills. Lack of preparation for a role in assessment compounds these difficulties. Taking cognisance of these factors, recommendations are made for an approach to a new clinical assessment strategy, with reference to the An Bord Altranais (2000) Domains of Competence

The production and deployment of an on-line video learning bank in a skills training environment

Context and Background: Nursing students are taught many skills to prepare them for their practical experience in the clinical environment. To date these skills have been taught to students using a demonstration and practice technique. This teaching method has a number of disadvantages: - it is highly resource intensive - learning experiences vary depending on the mix of demonstration and practice in each session - it can be difficult for students to absorb all of the information presented in a single demonstration. It was decided that video technology incorporating the deployment of a skills video bank over a web server, in conjunction with a shift in emphasis in the teaching contact sessions could provide a useful tool to aid the teaching process. Aim of the paper The aim of the paper is to disseminate our experiences of producing a large scale audiovisual learning package. The Production Process The first step involved the production of a video demonstrating a particular clinical skill, aseptic technique. This replaced the demonstration element of the skills session. Students viewed it online before the skills session and then spent the time allotted to this skill practising it under supervision. It was evaluated positively by students and the lecturer involved. As a result, a bank of 17 more videos focussing on fundamental skills within one first year module was developed in-house. The main focus of this paper will be on the production processes involved in this and its introduction into teaching practice

Influence of blade aerodynamic model on prediction of helicopter rotor aeroacoustic signatures

Brown’s vorticity transport model has been used to investigate how the local blade aerodynamic model influences the quality of the prediction of the high-frequency airloads associated with blade–vortex interactions, and thus the accuracy with which the acoustic signature of a helicopter rotor can be predicted. The vorticity transport model can accurately resolve the structure of the wake of the rotor and allows significant flexibility in the way that the blade loading can be represented. The Second Higher-Harmonic Control Aeroacoustics Rotor Test was initiated to provide experimental insight into the acoustic signature of a rotor in cases of strong blade–vortex interaction. Predictions of two models for the local blade aerodynamics are compared with the test data. A marked improvement in accuracy of the predicted high-frequency airloads and acoustic signature is obtained when a lifting-chord model for the blade aerodynamics is used instead of a lifting-line-type approach. Errors in the amplitude and phase of the acoustic peaks are reduced, and the quality of the prediction is affected to a lesser extent by the computational resolution of the wake, with the lifting-chord model producing the best representation of the distribution of sound pressure below the rotor

Ecological insights into abyssal bentho-pelagic fish at 4000 m depth using a multi-beam echosounder on a remotely operated vehicle

Ecological and behavioral data on mobile, low density, benthopelagic animals is difficult to collect in the abyssal environment. However, these species occupy an important position in the abyssal food chain. At-depth ROV-mounted echosounder studies provide a powerful tool to gather in-situ information on abyssal benthopelagic assemblages and discern their distribution, behavior and habitat associations. This study presents a new perspective on mobile benthopelagic assemblages at the long-term study site, Station M (∼4000 m), using a Seabat T20-S MBES mounted on the ROV Doc Ricketts. The targets (∼45 m off the seafloor) are believed to be the abyssal grenadier of the species Coryphaenoides armatus or C. yaquinae, species known to dominate the mobile benthopelagic fauna at Station M. The swimming behavior of the targets indicated little evidence of avoidance or attraction to the slowly moving ROV and demonstrates the effectiveness of this platform to collect data on benthopelagic fish. The information on targets in close (<1 m) association with the seafloor from the MBES corresponded well to target densities recorded by the video transects. However, in addition the MBES resolved the distribution of targets up to 45 m above the seafloor. Target density had a small peak close to the seafloor (<1 m) but increased in density with height above the seafloor, exceeding the maximum near-bottom density by ∼50 times. ROV-mounted MBES surveys can effectively provide data on the distribution and behavior of benthopelagic fish and further understanding of the pelagic-benthic links in the abyssal deep-sea.acceptedVersio

Influence of blade aerodynamic model on the prediction of helicopter high-frequency airloads

Brown’s vorticity transport model has been used to investigate the influence of the blade aerodynamic model on the accuracy with which the high-frequency airloads associated with helicopter blade–vortex interactions can be predicted. The model yields an accurate representation of the wake structure yet allows significant flexibility in the way that the blade loading can be represented. A simple lifting-line model and a somewhat more sophisticated liftingchord model, based on unsteady thin aerofoil theory, are compared. A marked improvement in the accuracy of the predicted high-frequency airloads of the higher harmonic control aeroacoustic rotor is obtained when the liftingchord model is used instead of the lifting-line approach, and the quality of the prediction is affected less by the computational resolution of the wake. The lifting-line model overpredicts the amplitude of the lift response to blade–vortex interactions as the computational grid is refined, exposing the fundamental deficiencies in this approach when modeling the aerodynamic response of the blade to interactions with vortices that are much smaller than its chord. The airloads that are predicted using the lifting-chord model are relatively insensitive to the resolution of the computation, and there are fundamental reasons to believe that properly converged numerical solutions may be attainable using this approach

Racemose neurocysticercosis.

BACKGROUND: Neurocysticercosis (NCC) is an invasive parasitic infection of the central nervous system caused by the larval stage of the tapeworm Taenia solium. The clinical manifestations of NCC depend on the parasitic load and location of infection, as well as the developmental stage of the cysticerci and host immune response, with symptoms ranging from subclinical headaches to seizures, cerebrovascular events, and life-threatening hydrocephalus. Racemose NCC represents a particularly severe variant of extraparenchymal NCC characterized by the presence of multiple confluent cysts within the subarachnoid space and is associated with increased morbidity and mortality, as well as a decreased response to treatment. Albendazole is the preferred drug for the treatment of racemose NCC due to its superior cerebrospinal fluid penetration compared to praziquantel and the ability to be used concomitantly with steroids. CASE DESCRIPTION: In this report, we describe a 39-year-old man recently emigrated from Mexico with racemose NCC and hydrocephalus successfully treated with prolonged albendazole treatment, high-dose dexamethasone, and ventriculoperitoneal shunt placement for the relief of obstructive hydrocephalus. CONCLUSIONS: Treatment of racemose NCC represents a significant clinical challenge requiring multimodal intervention to minimize infectious- and treatment-related morbidity. We review the clinical, diagnostic, and therapeutic features relevant to the management of this aggressive form of NCC

Perineuronal Nets Suppress Plasticity of Excitatory Synapses on CA2 Pyramidal Neurons

Long-term potentiation of excitatory synapses on pyramidal neurons in the stratum radiatum rarely occurs in hippocampal area CA2. Here, we present evidence that perineuronal nets (PNNs), a specialized extracellular matrix typically localized around inhibitory neurons, also surround mouse CA2 pyramidal neurons and envelop their excitatory synapses. CA2 pyramidal neurons express mRNA transcripts for the major PNN component aggrecan, identifying these neurons as a novel source for PNNs in the hippocampus. We also found that disruption of PNNs allows synaptic potentiation of normally plasticity-resistant excitatory CA2 synapses; thus, PNNs play a role in restricting synaptic plasticity in area CA2. Finally, we found that postnatal development of PNNs on CA2 pyramidal neurons is modified by early-life enrichment, suggesting that the development of circuits containing CA2 excitatory synapses are sensitive to manipulations of the rearing environment

Ionospheric ion temperature climate and upper atmospheric long-term cooling

It is now recognized that Earth's upper atmosphere is experiencing a long-term cooling over the past several solar cycles. The potential impact of the cooling on societal activities is significant, but a fundamental scientific question exists regarding the drivers of the cooling. New observations and analyses provide crucial advances in our knowledge of these important processes. We investigate ionospheric ion temperature climatology and long-term trends using up-to-date large and consistent ground-based data sets as measured by multiple incoherent scatter radars (ISRs). The very comprehensive view provided by these unique observations of the upper atmospheric thermal status allows us to address drivers of strong cooling previously observed by ISRs. We use observations from two high-latitude sites at Sondrestrom (invariant latitude 73.2°N) from 1990 to 2015 and Chatanika/Poker Flat (invariant latitude 65.9°N) over the span of 1976–2015 (with a gap from 1983 to 2006). Results are compared to conditions at the midlatitude Millstone Hill site (invariant latitude 52.8°N) from 1968 to 2015. The aggregate radar observations have very comparable and consistent altitude dependence of long-term trends. In particular, the lower F region (<275 km) exhibits dayside cooling trends that are significantly higher (−3 to −1 K/yr at 250 km) than anticipated from model predictions given the anthropogenic increase of greenhouse gases. Above 275 km, cooling trends continue to increase in magnitude but values are strongly dependent on magnetic latitude, suggesting the presence of significant downward influences from nonneutral atmospheric processes.National Science Foundation (U.S.) (Awards AGS-1042569 and AGS-1343056