The Role of Handheld Computing in Facilitating Resilience Through Problem Solving

Becoming an effective teacher that thrives not only survives involves much more than finishing a licensing higher education program. This study explored problem-solving strategies that student teachers used during their internship semester to cope with professional challenges and to develop resilience. The research questions in this study included: What strategies support the development of resilience? How are teachers approaching the professional dilemmas encountered? How can handheld devices facilitate reflective problem-solving? Six student teachers from early childhood education, special education, and science education used mobile computing devices for a variety of professional and personal purposes and reflected upon and documented uses. Data was analyzed using a case study approach. Major themes included risk factors such as low self-confidence, and protective factors such as strong motivation to teach, and critical reflection skills. Mobile technology devices proved to be easy to use and very helpful in the problem solving process

Die von den HI-LO- und Aerobic-Tanz-Programmen bewirkten Veränderungen in motorischen Fähigkeiten und morphologischen Eigenschaften bei jungen Frauen

In previous studies a number of authors have already demonstrated the positive changes in certain dimensions of the anthropological status of female aerobic dancers induced by various treatments of modern aerobic dance programmes. Changes in motor space have been, however, rarely investigated. The authors have attempted in the present paper to define the potential differential training effects of the step (N = 24) and hi-lo (N = 23) aerobic dance programmes and to analyse the changes in the morphological (variables assessing voluminosity of the body and skinfold thickness) and motor (coordination, flexibility, movement frequency) measures of college-aged female participants. The entire programme consisted of a total of 25 separate aerobics training sessions (three times a week; each session of 60 min). Each session encompassed cardio-section routines, which consisted of the experimental aerobic dance programmes (35 min), strength- developing exercises (15 min) and stretching exercises (10 min). The results, obtained by means of ANOVA and discriminant analysis, suggest both programmes resulted in reduced skinfold measures and in improved measures of flexibility, coordination in rhythm and, to a lesser extent, measures of movement frequency. No differential influence of the two programmes of aerobic dance was confirmed.Uvod Programi suvremene aerobike danas su jedan od najpopularnijih oblika rekreativnog tjelesnog vježbanja. U dosadašnjim istraživanjima autori su ukazali na pozitivne promjene pojedinih dimenzija antropološkog statusa vježbaČica pod utjecajem tretmana suvremene aerobike (primjerice, Kravitz i sur., 1993). Međutim, promjene u motoričkim sposobnostima rijetko su se istraživale. Ovaj rad pokušao je ukazati na potencijalne diferencijalne učinke programa step (N = 24) i hi-lo aerobike (N = 23), ali i analizirati promjene u morfološkim (varijable za procjenu voluminoznosti i debljine kožnih nabora) i motoričkim mjerama (koordinacija, fleksibilnost, frekvencija pokreta) u sudionica programa. Metode Ukupan tretman sastojao se od 25 pojedinačnih treninga aerobike (3 puta tjedno). Svaki pojedini trening uključivao je: cardio sekciju koja je sadržavala eksperimentalne programe aerobike (35 minuta), vježbe snage (15 minuta) i vježbe istezanja (10 minuta). Za obradu rezultata korištena je diskriminacijska analiza, kojom je utvrđena značajnost razlika između skupina u motoričkom i morfološkom prostoru u inicijalnom i finalnom mjerenju. Analizom varijance utvrđene su razlike između inicijalnog i finalnog mjerenja za svaku pojedinu skupinu. Rezultati, rasprava i zaključak Diskriminacijskom nalizom nije utvrđena značajnost razlika u motoričkom prostoru u inicijalnom mjerenju (Wilks lambda = 0.45; p > 0.05) ni u finalnom mjerenju (Wilks lambda = 0.42; p > 0.05). Razlike među skupinama nisu uočene ni u morfološkom prostoru, ni u inicijalnom (Wilks lambda = 0.64; p > 0.05) ni u finalnom mjerenju (Wilks lambda = 0.76; p > 0.05). Analiza varijance ukazala je na značajne promjene u morfološkim varfijablama i to u pogledu smanjenja kožnih nabora, ali su izostale značajne promjene u mjerama opsega tjelesnih regija. Iste su promjene uočene i u eksperimentalnoj skupini koja je provodila program step aerobike, kao i u eksperimentalnoj skupini koja je provodila program hi-lo aerobike. U motoričkim su varijablama značajna poboljšanja rezultata uočena u mjerama fleksibilnosti donjih ekstremiteta (u obje grupe), ali ne i u mjerama fleksibilnosti ramenog pojasa. Te se promjene mogu pripisati učincima vježba istezanja koje su se izvodile na kraju svake trenažne jedinice. Nadalje, u mjerama frekvencije pokreta također je došlo do značajnih poboljšanje rezultata, što se vjerojatno može pripisati utjecaju smanjenja potkožnog masnog tkiva na motoričke manifestacije koje se izvode u testiranju frekvencije pokreta. U mjerama koordinacije, a naročito u mjerama koordinacije u ritmu također su uočena značajna poboljšanja rezultata koja su, prema mišljenju autora, nastala zbog interakcijskog djelovanja slijedećih faktora: ● utjecaja promjena morfološke strukture ispitanica na promjene u motorickim manifestacijama koordinacije u ritmu; ● stvarnog napretka u koordinaciji u ritmu. Naime, vrlo je vjerojatno da su promjene u navedenim motoričkim sposobnostima dijelom uvjetovane prvim, a dijelom drugim faktorom. U ovom trenutku ne može se utvrditi koliko je koji faktor doprinio utvrđenim razlikama između inicijalnog i finalnog mjerenja, tim više što je diferencijalnost utjecaja i u ovom pogledu izostala. Odgovore na ova pitanja mogla bi dati daljnja istraživanja koja bi se provela na manje selekcioniranim uzorcima ispitanica. U tom slučaju moguće je da bi veći inicijalni varijabilitet rezultata u pojedinim mjerama omogucio definiranje određenog diferencijalnog utjecaja. U tom bi slučaju bilo moguće, u određenoj mjeri, eliminirati utjecaj morfoloških promjena na promjene motoričkih sposobnosti i time objektivnije definirati promjene u motoričkom prostoru, nastale pod utjecajem različitih programa aerobike.In vielen bisherigen Forschungen wiesen die Autoren auf positive im modernen Aerobic-Training entstandenen Veränderungen einzelner Abmessungen im anthropologischen Status der Aerobic-Tänzerinnen hin, wobei die Veränderungen in motorischen Eigenschaften dagegen selten untersucht wurden. In dieser Arbeit ist man bemüht, die potentiell unterschiedlichen Auswirkungen von Step- (N=4) und HI-LO-Aerobicprogrammen (N=23) festzustellen, aber auch die Veränderungen in morphologischen Eigenschaften (Variablen zur Feststellung von Hörperumfängen und von Dicke der Hautfalten) und motorischen Fähigkeiten (Hoordination, Gelenkigkeit, Bewegungsfrequenz) bei den Programmteilnehmerinnen, die 18 – 21 Jahren alt waren, zu untersuchen. Das Gesamtprogramm bestand aus 25 Trainingseinheiten (3mal wöchentlich je 60 Minuten die Dauer). Jede Trainingseinheit schloss das Cardio-Training ein, das aus experimentalen Aerobic- Tanz-Programmen (35 Minuten), Hraftübungen (15 Minuten) und Dehnungsübungen (10 Minuten) bestand. Die mittels der Varianz- und Diskriminanzanalyse erhaltenen Resultate weisen darauf hin, dass beide Programme sowohl zur Abnahme von Maßzahlen der Hautfalten als auch zur Verbesserung in der Gelenkigkeit und Rhythmus-Hoordination führen aber die Bewegungsfrequenzen nur gering beeinflussen. Heine differenzier- baren Einflüsse zwischen den beiden Aerobic-Tanz-Programmen wurden festgestellt

The Grizzly, September 30, 2004

USGA has Second Thoughts • Campus Philly Kick-off Week • Lights Out at UC • Where Will You go? UC Study Abroad Programs • Andrew Sullivan to Speak at Ursinus • Easy Access to Social Security Numbers Causes Some Concerns • The Aid Game • Why Study Abroad? • Opinions: Appealing to a Younger Demographic; Experiencing the Miss America Pageant Live; MTV Generation of Choosers and Losers; Ready Maim Fire • Baseball Preview • Women\u27s Soccer Defeats Immaculata • Women\u27s Rugby Claws way to Victoryhttps://digitalcommons.ursinus.edu/grizzlynews/1566/thumbnail.jp

The Grizzly, September 9, 2004

Make a Difference: How to Register to Vote • Computer Thefts Under Investigation • Republicans say Yes to Four More Years with Bush • A Costly Look at Carelessness • STAR Sponsors One Night • Turnpike Tolls Increase for Commuters • Insider\u27s Tips to Undergraduate and Graduate Awards • Been to Synagogue Lately? • Safety First • Segregation by Letter? • The Pop-up Problem • UC Fringe Festival Opens Wednesday • Parking at Ursinus Robs Convenience • Opinions: Is Technology Making Life Easier or Lazier?; Life During Wartime; Lick it, Stamp it, Mail it and then Rock the Vote • 2004 Bears Football Outlook • UC Hires new Cross Country / Track & Field Coach • Now that Stanton is Gone: Men\u27s Basketball Preview • Bearcox Preview • Olympic Games: Competitive or Controversial?https://digitalcommons.ursinus.edu/grizzlynews/1563/thumbnail.jp

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat