Assertiveness and Stress among Undergraduate Nursing Students at Menoufyia University

Assertiveness has emerged as an effective moderator of stress for the nursing student population. Being assertive means that you express yourself effectively and stand up for your point of view, while also respecting the rights and beliefs of others. Stress is the emotional and physical response you experience when you perceive an imbalance between demands placed on you and your resources at a time when coping is important .The aim of this study was to assess assertiveness and stress levels among second year and fourth nursing students at Meofiya University. Design: descriptive comparative research design was used. Setting: Study was carried out at Nursing College, Meofiya University. Subjects of the study were (176) students from second year and (141) students from fourth year. Three tools for data collection were used: (1) questionnaire for socio demographic data. (2) Assertiveness behavior scale (Clarck and Shea 1979). (3) Student nurse stress index (SNSI) (Jones and Johnston, 1999).  The findings indicated that second year nursing students have higher mean scores of assertiveness than fourth year students. Highest percentage of both groups reported high level of stress.  There was a statistical significant positive correlation between assertiveness and stress levels. In conclusion the results of this study revealed that both assertiveness and stress levels were higher among both academic years' students. That indicated a positive correlation between assertiveness and stress levels.  Recommendations: Introduction of specific courses aiming to enhance the acquisition of assertiveness skills, including stress management and coping strategies in curricula. Role play and role model are important in facing stress and being assertiveness. Future research is needed to large number of students. Key words: Assertiveness, stress and nursing student

A nontraditional method for reducing thermoelastic stresses of variable thickness rotating discs

Funding Open access funding provided by The Science, Technology & Innovation Funding Authority (STDF) in cooperation with The Egyptian Knowledge Bank (EKB). This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.Peer reviewedPublisher PD

Energy scales in 4f1 delafossite magnets: crystal-field splittings larger than the strength of spin-orbit coupling in KCeO2

Ytterbium-based delafossites with effective S=1/2 moments are investigated intensively as candidates for quantum spin-liquid ground states. While the synthesis of related cerium compounds has also been reported,many important details concerning their crystal, electronic, and magnetic structures are unclear. Here we analyze the S=1/2 system KCeO2, combining complementary theoretical methods. The lattice geometry was optimized and the band structure investigated using density functional theory extended to the level of a GGA+U calculation in order to reproduce the correct insulating behavior. The Ce 4f1 states were then analyzed in more detail with the help of ab initio wave-function-based computations. Unusually large effective crystal-field splittings of up to 320 meV are predicted, which puts KCeO2 in the strong field coupling regime. Our results reveal a subtle interplay between ligand-cage electrostatics and the trigonal field generated by the extended crystalline surroundings, relevant in the context of recent studies on tuning the nature of the ground-state wave function in 4f triangular-lattice and pyrochlore compounds. It also makes KCeO2 an interesting model system in relation to the effect of large crystal-field splittings on the anisotropy of intersite exchange in spin-orbit coupled quantum magnets.Comment: 6 pages, 2 figures, and 3 table

Protein synthesis levels are increased in a subset of individuals with fragile X syndrome.

Fragile X syndrome (FXS) is a monogenic form of intellectual disability and autism spectrum disorder caused by the absence of the fragile X mental retardation protein (FMRP). In biological models for the disease, this leads to upregulated mRNA translation and as a consequence, deficits in synaptic architecture and plasticity. Preclinical studies revealed that pharmacological interventions restore those deficits, which are thought to mediate the FXS cognitive and behavioral symptoms. Here, we characterized the de novo rate of protein synthesis in patients with FXS and their relationship with clinical severity. We measured the rate of protein synthesis in fibroblasts derived from 32 individuals with FXS and from 17 controls as well as in fibroblasts and primary neurons of 27 Fmr1 KO mice and 20 controls. Here, we show that levels of protein synthesis are increased in fibroblasts of individuals with FXS and Fmr1 KO mice. However, this cellular phenotype displays a broad distribution and a proportion of fragile X individuals and Fmr1 KO mice do not show increased levels of protein synthesis, having measures in the normal range. Because the same Fmr1 KO animal measures in fibroblasts predict those in neurons we suggest the validity of this peripheral biomarker. Our study offers a potential explanation for the comprehensive drug development program undertaken thus far yielding negative results and suggests that a significant proportion, but not all individuals with FXS, may benefit from the reduction of excessive levels of protein synthesis

Targeting N-myristoylation for therapy of B-cell lymphomas

N-myristoyltransferases (NMTs) target many signaling proteins to membranes. Here the authors show an NMT inhibitor named PCLX-001 selectively kills lymphoma cells by shutting down their main survival signaling pathway and offers an additional treatment strategy for lymphoma patients

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially