Faculty Readiness to Integrate Clinical Simulation

Abstract Objective: Nursing education is called for reform in the nursing curriculum to meet the complex health care system of the 21st century. The traditional teaching model is inadequate to meet the current nursing practice and requires innovation in education using technology. Lack of faculty and clinical sites has called for alternative teaching methods such as clinical simulation. Currently, up to 50% of clinicals hours can be replaced by simulation in the prelicensure core nursing courses. However, the readiness of faculty to use the technology as an innovation strategy is not well established. This study aims to assess the readiness of the nursing faculty to integrate clinical simulation into nursing education. Methods: A non-experimental research study design was utilized for this study. A sample of 128 faculty was invited to participate in the survey, of which only 40 faculty consented to partake in the study. A survey questionnaire with demographic information and Technology readiness index (TRI) scale 2.0 by Parasuraman (2000) was utilized to collect the data. The link to the informed consent and survey questionnaire was sent to participants using the institutional email. The faculty had three weeks to complete the survey. The data was available immediately after the survey questionnaire was completed. The TRI index is composed of four subscales such as optimism, innovativeness, discomfort, and insecurity. Results: TRI scale is used as an independent factor to determine the faculty\u27s willingness to integrate HFS into nursing education. Three demographic variables, such as years of nursing experience, years of simulation experience, and participation in simulation workshops or training, are included as independent factors to predict the technology readiness index of the faculty. A binary logistic regression showed there was no significant increase in the odds of faculty\u27s willingness to use HFS per unit of increase in TRI scale score OR = 1.881, 95%, CI: FACULTY READINESS TO INTEGRATE CLINICAL SIMULATION 2 [.502, 7.073] A Kruskal-Wallis test for comparisons of the years of nursing experience and its effect on the technology readiness, indicates there is no significant difference in the technology readiness index between the groups χ2(3) = .884, p = 0.829. A Kruskal-Wallis test for comparisons of the years of simulation experience and its effect on the technology readiness indicates no significant difference in the technology readiness index between the groups χ2(2) = .3.27, p = 0.195. An independent sample t-test results showed there was no significant difference in the scores for faculty who participated (M = 3.3134) SD =. 45127 and faculty who did not participate (M = 3.2243, SD = 45127; t (38) = .523, p = 0.604. in the clinical simulation workshop or training. Conclusion: The results from the study show that years of nursing or simulation experience and participation in clinical simulation workshops were not significant factors to affect the TRI among faculty. There is no significant association between, TRI scale score and the participants\u27 willingness to use High-fidelity simulation in the future for nursing education. This study indicates that the level of technology readiness is not a definite indicator of faculty\u27s motivation to use HFS in nursing education. A clear understanding of other factors that will affect the use of HFS among faculty should be an area for further investigation. Specifically, factors such as administration support, incentives, and personal motivation

Adpative image interpolation

Simple interpolation techniques like nearest neighbor, bilinear, bicubic in the past had gained popularity due to their simplicity and low computational cost. But with the advent of high performing machines, demand for better interpolation methods at the expense of their computational complexity has arised. In this endeavor, myriads of interpolation methods have been introduced. Some of which are based on edge intensity, curvature profile of image, fuzzy logic. While others are optimized for the particular needs like resistance to outliers, performance in real time basis etc. An extensive list of interpolation methods exists in literature. We have reviewed an adaptive interpolation technique based on Newton forward dierence. This difference provides a measure of goodness for grouping of pixels around the target pixel for interpolation

A Strong Proxy Signature Scheme based on Partial Delegation

Proxy signature scheme is an extension of digital signature scheme first introduced by Mambo et al. in 1996, which allows a signer to delegate the signing capability to a designated person, called a proxy signer. There are three types of delegation, namely, full delegation, partial delegation, and delegation by warrant. In early proxy signature schemes, the identity of the proxy signer can be revealed by any trusted authority if needed. How- ever, a secured proxy signature scheme must satisfy various properties, such as, verifiability, strong un-forgeability, nonrepudiation, privacy, and strong identifiability. In this thesis, we propose a strong proxy signature scheme based on two computationally hard assumptions, namely, Discrete Logarithmic Problem (DLP) and Computational Die-Helmann (CDH) problem, which satisfies all the security properties of a standard proxy signature scheme. The property `strong' refers to the fact that only a designated person can only verify the authenticity of the proxy signature

A comparative study of intracervical Foley’s catheter and intracervical PGE2 gel for pre-induction cervical ripening

Background: Induction of labor is a common procedure in obstetrics. It is usually performed when risk of continuing a pregnancy is more than benefit of delivery. Cervical ripening has got a close relationship with the success rate of delivery. Although there are many methods for cervical ripening, in this study Foley’s catheter and intra-cervical PGE2 gel are compared for labor induction and cervical ripening.Methods: This is a prospective randomized comparative study, undertaken in the department of obstetrics and gynecology, Tata Main Hospital, Jamshedpur. 70 cases in which labor was induced with Foley’s catheter were compared to other 70 cases who were induced with PGE2 gel.Results: The commonest indication for induction in Foley’s and PGE2 gel group was pregnancy induced hypertension. There was significant increase in the post induction Bishop’s score in both the groups. The induction to delivery interval was significantly lower in Foley’s group as compared to PGE2 group (p<0.0001). Neonatal outcomes were comparable in both groups. Incidence of side effects were more in PGE2 group.Conclusions: Foley’s catheter is safe and effective method for induction of labor compared to PGE2 gel with significant improvement in Bishop’s score and shorter induction delivery interval

A Remote Electricity Billing System

Electric power distribution is the most valuable part of electrical power system in the process of delivering electricity to consumer. Electric power companies are now-a-days adopting some advanced systems such as computer aided monitoring control and management of electric power, so that it can provide better services to electric consumers. This project results an approach to automate the electricity billing system. The concept of prepaid is one of the emerging fields for the paid service providers. The concept is becoming so popular because it has so many advantages. The services like electricity, gas, water telephone etc are now days get privatized. The service provider company some time incurs heavy losses due to non collection of bills. These service items cannot be recovered from the user after providing, so the concept of prepaid reduce risk and increase profitability. Also the bill collection infrastructure is not necessary which intern increase improve the efficiency of the service providing companies. The concept of prepaid starts in the manual form by receiving advance deposits but now due to the revolution of IT and electronics industry the manual recharging process is replaced with automatic and electronic recharging. The recharging methods can be with wire based like telephone line and also by using wireless technology like radio and bluetooth communication. The prepaid system is designed with a smart technology using microcontroller and the recharging process is by some method of communication. The Mobile based recharging is very attractive recharging system. The recharging can be done from any remote place without accessing the energy meter physically. This concept of remote charging makes the system more flexible

Correlation between serum ferritin level and severity of dengue fever in a tertiary care center: an observational study

Background: Serum ferritin is an acute phase protein and elevated levels of ferritin have been associated with the pathogenesis of many inflammatory infectious viral diseases. Dengue is a mosquito-borne tropical infection that caused by the dengue virus. TNFα and interleukin 1α, another proinflammatory cytokine, transcriptionally induce the H-chain of ferritin. Therefore, serum ferritin can be used as a prognostic marker for dengue severity.Methods: This is a case control study conducted between July 2017 to December 2018.Results: On the 3rd day of fever, the median values of serum ferritin in dengue, fever without warning signs, with warning signs, and severe dengue were 513.5 ng/ml, 1002 ng/ml and 2352.4 ng/ml respectively. On the 7th day of fever, the median values were 474 ng/ml, 900 ng/ml, and 2949 ng/ml respectively. Serum ferritin 1247 ng/ml on day 3 has a sensitivity of 96.4% and specificity of 91% for prediction of severity. Area under the curve for serum ferritin on day 3 was 0.963 (95% confidence limit: 0.934-0.991). Serum ferritin 1050 ng/ml on day 7 has a sensitivity of 98.2 % and specificity of 93% for prediction of severity. Area under the curve for serum ferritin on day 7 was 0.977 (95% confidence limit: 0.957-0.998).Conclusions: Elevation of serum ferritin was significantly seen in those with severe dengue. Serum ferritin can be used as a prognostic marker for dengue severity. Day 3 serum ferritin can be used as a prognostic marker for dengue severity

Management of early blight of potato using bio control agents and plant extracts

The early blight of potato is mainly controlled by using chemical fungicides but chemical fungicides have got some adverse effect on environment as well as human beings. Keeping this in mind an experiment was conducted to test the efficacy of four plant extracts (tea, garlic, onion and neem leaf extract) and four bio-control agents (Trichoderma viride, Pseudomonas fluorescence, Streptomyces graseoviridis and Bacillus substilis) in controlling early blight of potato under field and in in vitro condition. These antifungal compounds were applied 3 times at 7days interval after first appearance of the disease in the field. Among the bio control agents T. viride was found highly effective in per cent disease reduction (52.39%) of disease over control treatment. The tuber yield (25.51 t/ ha.) was also highest in this treatment compared to control treatment (19.53 t/ha). This was followed by treatment T2 i.e. P. fluorescens where per cent incidence and intensity of disease were (65.00%) and (19.10%) respectively with 38.97% reduction of disease over control with tuber yield 23.65 t/ha. It was followed by S. graseoviridis where per cent incidence and intensity of disease were (68.00%) and (22.90%) respectively with 26.30% reduction of disease over control with tuber yield 21.07 t/ha. Among plant extracts, only neem leaf extract exhibited per cent reduction of disease (33.18%) over control treatment in field condition and inhibition of radial growth (59.85%) and spore germination (81.95%) in in vitro condition. Therefore both T. viride and neem can be used for managing the early blight of potato

Biochemical estimation and cultivation of Agaricus bisporus (Lange) Imbach on different casing materials and bio-inoculant Pseudomonas putida

This study was carried out during 2012-2014 to determine the effect of locally available casing materials with association of bio-inoculant Pseudomonas putida. Six different combinations of casing mixtures were amended for evaluating its effect on yield, biological efficiency, protein and carbohydrate contents of Agaricus bisporus. A mixture of FYM + GLS + Vermi-compost + P. putida gave higher mushroom yield, biological efficiency, protein and carbohydrate content. It gave better yield (1306 g), biological efficiency (28.7%), protein (34.07%) and carbohydrate content (5.07%) respectively when compared with other treatments. In addition, waste tea leaves took minimum period (33.00 days) for initiation of pin head when compared with others. Locally available casing materials along with P. putida incorporated in the casing soil can be an important factor to obtain maximum and assured yield in mushroom cultivation

Efficacy of different fungicides for management of early blight disease of potato

The early blight of potato may be controlled by using bio-control agents and plant extracts but not effectively and rapidly. But using of chemical fungicides the disease can be controlled easily and losses of yield will be reduced compare to above mentioned both control measures. Keeping this in mind an experiment was conducted to test the efficacy of seven different fungicides (difenoconazole, propiconazole, hexaconazole, propineb 61% + iprov-alicarb 5.25%, propineb, carbendazim and metalaxyl 8% + mancozeb 64%) for controlling early blight of potato un-der in vivo as well as in vitro condition. These antifungal compounds were applied 3 times at 7days interval after first appearance of the disease in the field. Highest percent disease reduction (57.88%) and highest yield of tuber (27.03 t/ha) was recorded in plot sprayed with propiconazole @1 ml/lit followed by propineb and propineb 61% + iprovalicarb 5.25%, with percent disease reduction 55.98%, 51.90% and yield 26.30 t/ha and 24.53 t/ha respectively. Simultaneously in vitro efficacy of these fungicides were also tested against Alternaria solani where propiconazole and propineb exhibited highest percent inhibition(100%) in radial growth and in case of spore germination inhibition in spite of these two fungicides difenoconazole, hexaconazole and propineb 61% + iprovalicarb 5.25% exhibit same result i.e. 100% inhibition compared to control as well as other treatments. Therefore it may be suggested that propiconazole and propineb can be used successfully in controlling of this disease