“You Want Me to Come to Your Office?!”: Student experiences of Moving from Failure to Success in a Nursing Course

The experiences of undergraduate nursing students facing and overcoming failure in their coursework must be understood in order for nurse educators to effectively engage and provide supportive strategies to their students. A student-centred learning perspective and interpretive phenomenological approach to research frames this study of ten students’ accounts of their experiences from failure to success in a second year nursing course. Central themes include: Feeling Uncomfortable, Finding Confidence, and Cultivating a New Identity. Seeking feedback and building study habits and central to the students\u27 pursuit of confidence and new identity formation. Implications for nurse educators’ proactive engagement with students identified as being ‘at risk’ are discussed and strategies proposed. Individualized, student-centred, and focused feedback forged from trusted student-instructor relationships appear to be central strategies to assist the transition between failure and success. Résumé La compréhension des expériences des étudiants en sciences infirmières de premier cycle qui ont été confrontées à un échec dans un cours et qui l’ont surmonté permettrait aux infirmières enseignantes de soutenir efficacement et de fournir des stratégies d’apprentissage à leurs étudiantes. Développée selon une perspective d’apprentissage centrée sur l’étudiante et menée grâce à une approche de recherche phénoménologique interprétative, cette étude porte sur le récit de dix étudiantes de deuxième année en sciences infirmières de leurs expériences d’échec puis de réussite d’un cours. Les thèmes centraux suivants ont été identifiés: se sentir mal à l\u27aise, trouver la confiance en soi et cultiver une nouvelle identité. Chercher à obtenir de la rétroaction et construire des habitudes d’études sont au cœur de la quête des étudiantes d’une confiance en soi et d’une formation d’une nouvelle identité. Les implications pour un engagement proactif des infirmières enseignantes auprès des étudiantes considérées comme étant « à risque » sont discutées et des stratégies sont proposées. Basée sur la relation de confiance entre l’étudiante et l’enseignante, la rétroaction ciblée, personnalisée et centrée sur l’étudiante est au cœur des stratégies essentielles pour faciliter la transition entre l’échec et la réussite

Evaluation of Index Properties of Lateritic Soils in Ado Ekiti Metropolis South Western, Nigeria

The aim of this research is to evaluate the index properties of lateritic soils in Ado Ekiti Area of Ekiti State, Nigeria. The areas will be divided into Five Zone viz:: Ado-poly,Ado-Ikere, Ado-Housing, Ado-Ilawe and Ado-Adebayo respectively for the sampling process. Eighteen soils samples were collectedto cover Ado-Ekiti and environs in Ado Ekiti suburbs. The research comprise field data collections. ArcGIS 10.1 will be used for quantitative analysis of the field data. Measurement of depth at sample collection points will be taken using GIS, the geographic coordinate and other details using Global Positioning System (GPS) handheld instrument (Garmin 76). Laboratory test such as: Natural Moisture Content (NMC) , Specific gravity, Grain size analysis, Liquid Limit , Plastic Limit, Linear Shrinkage. The visual soil profile description of all trial pits investigated, reveal little variation within the soil strata. The laboratory results indicated that the particle size gradation for gravel ranged from 1 to 44 %, sand ranged from 26 to 77% and fines ranged from 8 to 46%; natural moisture content ranged from 1.1 to 18.7%; specific gravity ranged from 2.23 to 2.79; the bulk density ranged from 1134. to 1625. kg/m3, ; the liquid limit ranged from 25 to 65%, plastic limit ranged from 17 to 43%, plasticity index ranged from 10 to 30%; linear shrinkage ranged from 3.6 to 15.5%;According to America Association of State Highway and Transport Officials (AASHTO) soil classification and Unified Soil Classification System (USCS), all the samples can be classified as follows for all the five zone investigated : A-2-4, A-2-6,A-6 ,A-7-5 for (AASHTO) and CL,MH and CH materials. This research work has provided data for engineers, designers and contractor for the use of this lateritic soils materials for construction work and has prevented possible difficulties, delays and additional expenses during construction due to inadequate geotechnical information within this metropolis It is recommended that all contractors should ensure that the testing and quality control of lateritic materials and project site within this area is done before the commencement of work on sit

Eff ect of a congregation-based intervention on uptake of HIV testing and linkage to care in pregnant women in Nigeria (Baby Shower): a cluster randomised trial

Background Few eff ective community-based interventions exist to increase HIV testing and uptake of antiretroviral therapy (ART) in pregnant women in hard-to-reach resource-limited settings. We assessed whether delivery of an intervention through churches, the Healthy Beginning Initiative, would increase uptake of HIV testing in pregnant women compared with standard health facility referral. Methods In this cluster randomised trial, we enrolled self-identifi ed pregnant women aged 18 years and older who attended churches in southeast Nigeria. We randomised churches (clusters) to intervention or control groups, stratifi ed by mean annual number of infant baptisms (<80 vs ≥80). The Healthy Beginning Initiative intervention included health education and on-site laboratory testing implemented during baby showers in intervention group churches, whereas participants in control group churches were referred to health facilities as standard. Participants and investigators were aware of church allocation. The primary outcome was confi rmed HIV testing. This trial is registered with ClinicalTrials.gov, identifi er number NCT 01795261. Findings Between Jan 20, 2013, and Aug 31, 2014, we enrolled 3002 participants at 40 churches (20 per group). 1309 (79%) of 1647 women attended antenatal care in the intervention group compared with 1080 (80%) of 1355 in the control group. 1514 women (92%) in the intervention group had an HIV test compared with 740 (55%) controls (adjusted odds ratio 11·2, 95% CI 8·77–14·25; p<0·0001). Interpretation Culturally adapted, community-based programmes such as the Healthy Beginning Initiative can be eff ective in increasing HIV screening in pregnant women in resource-limited settings

The γδ variant of T cell large granular lymphocyte leukemia is very similar to the common αβ type: report of two cases

The vast majority of cases of T cell large granular lymphocyte (T-LGL) leukemia have a CD3+, CD4−, CD8+ phenotype and express the αβ T cell receptor. Whether the rare γδ variant should be included in the same diagnostic category is currently unclear. Two well-characterized cases of γδ T-LGL leukemia were identified by our laboratory in 2007. These two cases and other reports of γδ T-LGL leukemia were compared with the common αβ variant. Other than more often being negative for both CD4 and CD8 (in about 35% to 40% of cases), the γδ variant of T-LGL leukemia is similar to the common αβ type in virtually all respects and should be included in the general category of T-LGL leukemia. However, it is important to exclude other more aggressive γδ T cell lymphoproliferative disorders

Potentials of 3D extrusion‐based printing in resolving food processing challenges: A perspective review

Three-dimensional (3D) printing has promising application potentials in improving food product manufacturing, increasingly helping in simplifying the supply chain, as well as expanding the utilization of food materials. To further understand the current situation of 3D food printing in providing food engineering solutions with customized design, the authors checked recently conducted reviews and considered the extrusion-based type to deserve additional literature synthesis. In this perspective review, therefore, we scoped the potentials of 3D extrusion-based printing in resolving food processing challenges. The evolving trends of 3D food printing technologies, fundamentals of extrusion processes, food printer, and printing enhancement, (extrusion) food systems, algorithm development, and associated food rheological properties were discussed. The (extrusion) mechanism in 3D food printing involving some essentials for material flow and configuration, its uniqueness, suitability, and printability to food materials, (food material) types in the extrusion-based (3D food printing), together with essential food properties and their dynamics were also discussed. Additionally, some bottlenecks/concerns still applicable to extrusion-based 3D food printing were brainstormed. Developing enhanced calibrating techniques for 3D printing materials, and designing better methods of integrating data will help improve the algorithmic representations of printed foods. Rheological complexities associated with the extrusion-based 3D food printing require both industry and researchers to work together so as to tackle the (rheological) shifts that make (food) materials unsuitable.info:eu-repo/semantics/publishedVersio

Gene content evolution in the arthropods

Arthropods comprise the largest and most diverse phylum on Earth and play vital roles in nearly every ecosystem. Their diversity stems in part from variations on a conserved body plan, resulting from and recorded in adaptive changes in the genome. Dissection of the genomic record of sequence change enables broad questions regarding genome evolution to be addressed, even across hyper-diverse taxa within arthropods. Using 76 whole genome sequences representing 21 orders spanning more than 500 million years of arthropod evolution, we document changes in gene and protein domain content and provide temporal and phylogenetic context for interpreting these innovations. We identify many novel gene families that arose early in the evolution of arthropods and during the diversification of insects into modern orders. We reveal unexpected variation in patterns of DNA methylation across arthropods and examples of gene family and protein domain evolution coincident with the appearance of notable phenotypic and physiological adaptations such as flight, metamorphosis, sociality, and chemoperception. These analyses demonstrate how large-scale comparative genomics can provide broad new insights into the genotype to phenotype map and generate testable hypotheses about the evolution of animal diversity

The possible role of local air pollution in climate change in West Africa

The climate of West Africa is characterized by a sensitive monsoon system that is associated with marked natural precipitation variability. This region has been and is projected to be subject to substantial global and regional-scale changes including greenhouse-gas-induced warming and sea-level rise, land-use and land-cover change, and substantial biomass burning. We argue that more attention should be paid to rapidly increasing air pollution over the explosively growing cities of West Africa, as experiences from other regions suggest that this can alter regional climate through the influences of aerosols on clouds and radiation, and will also affect human health and food security. We need better observations and models to quantify the magnitude and characteristics of these impacts

Medical Evidence of Human Rights Violations against Non-Arabic-Speaking Civilians in Darfur: A Cross-Sectional Study

Alexander Tsai and colleagues review medical records from the Amel Centre, Sudan, to assess consistency between recorded medical evidence and patient reports of human rights violations by the Government of Sudan and Janjaweed forces