536 research outputs found
Medication Management Skills of Nursing Students: Comparing the Students and Their Instructors' Evaluation in two Universities
Background: Nurses have critical roles in the process of medication. Evaluating the process of medication helps nursing educators and students to determine the present status and then, improve the quality of care.
Objective: The current study was conducted to compare the self-evaluation of nursing students in their own medication skills with the evaluation done by clinical instructors, in Qom’s Azad University and Arak University of Medical Sciences, in 2011.
Materials and Methods: A descriptive study was conducted. Data gathered using a self-report questionnaire and an observation checklist. A total of 141 students and 10 instructors participated in the study. SPSS software (version 13) was employed to analyze the data. Descriptive statistics and Wilcoxon rank test were used.
Results: The mean scores for the domain of medication preparation were 2.51 ± 0.55 and 2.58 ± 0.57 based on the students’ self-evaluation and the instructors' evaluation of the students, respectively. No significant difference was observed between the total mean scores of ‘medication preparation’ in the two evaluation methods (P > 0.05). The highest mean score was achieved in the domain of drug administration both in the self-evaluation and evaluation by the instructors. A significant difference was observed between the total mean scores of ‘drug administration’ in the two evaluation methods (P < 0.05). The domain ‘post medication nursing care’ has got the lowest mean score among the three domains both from the perspective of the students and that of the instructors. The mean scores of different domains of medication management were close in the two universities.
Conclusions: The present study showed that the nursing students are not quite competent in the process of medication therapy both from their own and their clinical instructors’ perspectives. This finding shows the urgent need to implement some actions to strengthen the students’ skills in medication therapy
Controlling the quantum stereodynamics of ultracold bimolecular reactions
Chemical reaction rates often depend strongly on stereodynamics, namely the
orientation and movement of molecules in three-dimensional space. An ultracold
molecular gas, with a temperature below 1 uK, provides a highly unusual regime
for chemistry, where polar molecules can easily be oriented using an external
electric field and where, moreover, the motion of two colliding molecules is
strictly quantized. Recently, atom-exchange reactions were observed in a
trapped ultracold gas of KRb molecules. In an external electric field, these
exothermic and barrierless bimolecular reactions, KRb+KRb -> K2+Rb2, occur at a
rate that rises steeply with increasing dipole moment. Here we show that the
quantum stereodynamics of the ultracold collisions can be exploited to suppress
the bimolecular chemical reaction rate by nearly two orders of magnitude. We
use an optical lattice trap to confine the fermionic polar molecules in a
quasi-two-dimensional, pancake-like geometry, with the dipoles oriented along
the tight confinement direction. With the combination of sufficiently tight
confinement and Fermi statistics of the molecules, two polar molecules can
approach each other only in a "side-by-side" collision, where the chemical
reaction rate is suppressed by the repulsive dipole-dipole interaction. We show
that the suppression of the bimolecular reaction rate requires quantum-state
control of both the internal and external degrees of freedom of the molecules.
The suppression of chemical reactions for polar molecules in a
quasi-two-dimensional trap opens the way for investigation of a dipolar
molecular quantum gas. Because of the strong, long-range character of the
dipole-dipole interactions, such a gas brings fundamentally new abilities to
quantum-gas-based studies of strongly correlated many-body physics, where
quantum phase transitions and new states of matter can emerge.Comment: 19 pages, 4 figure
Influence of shock wave propagation on dielectric barrier discharge plasma actuator performance
Interest in plasma actuators as active flow control devices is growing rapidly due to their lack of mechanical parts, light weight and high response frequency. Although the flow induced by these actuators has received much attention, the effect that the external flow has on the performance of the actuator itself must also be considered, especially the influence of unsteady high-speed flows which are fast becoming a norm in the operating flight envelopes. The primary objective of this study is to examine the characteristics of a dielectric barrier discharge (DBD) plasma actuator when exposed to an unsteady flow generated by a shock tube. This type of flow, which is often used in different studies, contains a range of flow regimes from sudden pressure and density changes to relatively uniform high-speed flow regions. A small circular shock tube is employed along with the schlieren photography technique to visualize the flow. The voltage and current traces of the plasma actuator are monitored throughout, and using the well-established shock tube theory the change in the actuator characteristics are related to the physical processes which occur inside the shock tube. The results show that not only is the shear layer outside of the shock tube affected by the plasma but the passage of the shock front and high-speed flow behind it also greatly influences the properties of the plasma
Entanglement and Timing-Based Mechanisms in the Coherent Control of Scattering Processes
The coherent control of scattering processes is considered, with electron
impact dissociation of H used as an example. The physical mechanism
underlying coherently controlled stationary state scattering is exposed by
analyzing a control scenario that relies on previously established entanglement
requirements between the scattering partners. Specifically, initial state
entanglement assures that all collisions in the scattering volume yield the
desirable scattering configuration. Scattering is controlled by preparing the
particular internal state wave function that leads to the favored collisional
configuration in the collision volume. This insight allows coherent control to
be extended to the case of time-dependent scattering. Specifically, we identify
reactive scattering scenarios using incident wave packets of translational
motion where coherent control is operational and initial state entanglement is
unnecessary. Both the stationary and time-dependent scenarios incorporate
extended coherence features, making them physically distinct. From a
theoretical point of view, this work represents a large step forward in the
qualitative understanding of coherently controlled reactive scattering. From an
experimental viewpoint, it offers an alternative to entanglement-based control
schemes. However, both methods present significant challenges to existing
experimental technologies
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Overview of the results of the organics PET Study of the cometary samples returned from comet Wild 2 by the Stardust mission
This presenation will provide an overview of the efforts and results produced by the Organics Preliminary Examination Team during their studies of the samples returned from comet Wild 2 by the Stardust spacecraft
Investigating the mechanisms behind extensive death in human cancer cells following nanoparticle assisted photo-thermo-radiotherapy
We have recently reported the synthesis and characterization of gold-coated iron oxide nanoparticle and demonstrated such a nanoparticle (Au@Fe2O3 NP) was able to significantly enhance the lethal effects of photo-thermo-radiotherapy. The purpose of this study was to determine the mechanisms behind such an enhancement by investigating the changes induced in cancer cell viability, proliferation, and morphology as well as monitoring the alteration of some genes which play important role in the process of cell death. Using MTT assay and transmission electron microscopy (TEM), the KB cells viability and morphology were assessed after treating with various combinations of NPs, photothermal therapy (PTT), and radiotherapy (RT). Clonogenic assay was used to assess the proliferation ability of treated KB cells. Nanoparticle internalization into the cells was investigated by TEM and inductively coupled plasma (ICP). During the treatment procedures, temperature changes were monitored using an IR-camera. Furthermore, the changes occurred in Bax, BCL2 and HSP70 genes expression level were measured using real-time PCR. The results showed that combination of NP, PTT, and RT caused more cell death compared to PTT or RT alone. Following such a combination therapy, massive cell injury was detected. We also observed an extensive increase in Bax/Bcl2 ratio and HSP70 expression for the KB cells treated by combination therapy procedure. Our results showed that massive cell injury and apoptosis induction are the main reasons of extensive cell death observed in cancer cells when a nanoparticle assisted photo-thermo-radiotherapy procedure is applied. © 2019 Elsevier B.V
Robust Detection of Hierarchical Communities from Escherichia coli Gene Expression Data
Determining the functional structure of biological networks is a central goal
of systems biology. One approach is to analyze gene expression data to infer a
network of gene interactions on the basis of their correlated responses to
environmental and genetic perturbations. The inferred network can then be
analyzed to identify functional communities. However, commonly used algorithms
can yield unreliable results due to experimental noise, algorithmic
stochasticity, and the influence of arbitrarily chosen parameter values.
Furthermore, the results obtained typically provide only a simplistic view of
the network partitioned into disjoint communities and provide no information of
the relationship between communities. Here, we present methods to robustly
detect coregulated and functionally enriched gene communities and demonstrate
their application and validity for Escherichia coli gene expression data.
Applying a recently developed community detection algorithm to the network of
interactions identified with the context likelihood of relatedness (CLR)
method, we show that a hierarchy of network communities can be identified.
These communities significantly enrich for gene ontology (GO) terms, consistent
with them representing biologically meaningful groups. Further, analysis of the
most significantly enriched communities identified several candidate new
regulatory interactions. The robustness of our methods is demonstrated by
showing that a core set of functional communities is reliably found when
artificial noise, modeling experimental noise, is added to the data. We find
that noise mainly acts conservatively, increasing the relatedness required for
a network link to be reliably assigned and decreasing the size of the core
communities, rather than causing association of genes into new communities.Comment: Due to appear in PLoS Computational Biology. Supplementary Figure S1
was not uploaded but is available by contacting the author. 27 pages, 5
figures, 15 supplementary file
Genetic determinants of cortical structure (thickness, surface area and volumes) among disease free adults in the CHARGE Consortium
Cortical thickness, surface area and volumes (MRI cortical measures) vary with age and cognitive function, and in neurological and psychiatric diseases. We examined heritability, genetic correlations and genome-wide associations of cortical measures across the whole cortex, and in 34 anatomically predefined regions. Our discovery sample comprised 22,824 individuals from 20 cohorts within the Cohorts for Heart and Aging Research in Genomic Epidemiology (CHARGE) consortium and the United Kingdom Biobank. Significant associations were replicated in the Enhancing Neuroimaging Genetics through Meta-analysis (ENIGMA) consortium, and their biological implications explored using bioinformatic annotation and pathway analyses. We identified genetic heterogeneity between cortical measures and brain regions, and 160 genome-wide significant associations pointing to wnt/β-catenin, TGF-β and sonic hedgehog pathways. There was enrichment for genes involved in anthropometric traits, hindbrain development, vascular and neurodegenerative disease and psychiatric conditions. These data are a rich resource for studies of the biological mechanisms behind cortical development and aging
Which phenotypic traits of resistance should be improved in cattle to control paratuberculosis dynamics in a dairy herd: a modelling approach
Qualitative analysis of Adenomatous Polyposis Coli promoter: Hypermethylation, engagement and effects on survival of patients with esophageal cancer in a high risk region of the world, a potential molecular marker
<p>Abstract</p> <p>Background</p> <p>Squamous cell carcinoma of esophagus (SCCE) occurs at a high incidence rate in certain parts of the world. This feature necessitates that different aspects of the disease and in particular genetic characteristics be investigated in such regions. In addition, such investigations might lead to achievement of molecular markers helpful for early detection, successful treatment and follow up of the disease. Adenomatous Polyposis Coli (<it>APC</it>) promoter hypermethylation has been shown to be a suitable marker for both serum and solid tumors of adenocarcinoma of esophagus. We investigated the status of <it>APC </it>promoter hypermethylation in Iranian patients, compared the results with the former studies, and evaluated its applicability as a candidate molecular marker by examining association between survival of SCCE patients and <it>APC </it>promoter methylation.</p> <p>Methods</p> <p>For evaluating the status of <it>APC </it>promoter hypermethylation and its association with SCCE, a qualitative methylation specific PCR (MSP) was used. DNA was extracted and digested with an appropriate restriction enzyme, treated with sodium bisulfite in agarose beads and amplified in two-step PCR reaction by applying either methylated or unmethylated promoter specific primers. Universally methylated DNA and methylase treated blood DNA of healthy donors were used as positive controls as well. Survival of patients was followed up for two years after treatment and survival rate of patients with methylated <it>APC </it>promoter was compared with that of unmethylated patients.</p> <p>Results</p> <p>Assessment of <it>APC </it>promoter methylation revealed that normal tissues were unmethylated, while twenty out of forty five (44.4%) tumor tissues were hypermethylated either in one or both alleles of <it>APC</it>. Among the tissues in which methylation was detected, seven were hypermethylated in both alleles while the other thirteen were hypermethylated in one of the two alleles of <it>APC</it>. Analyzing two-year survival rate of patients with respect to promoter hypermethylation showed a lower rate of survival for patients with methylated <it>APC </it>promoter following their treatment. Further investigation into the association between promoter hypermethylation and tumor differentiation status indicated that patients with well differentiated tumors were more likely to develop promoter hypermethylation.</p> <p>Conclusion</p> <p>Observing similar level of <it>APC </it>promoter hypermethylation in patients with SCCE in this high risk region and comparing it with other parts of the world could support the hypothesis that a common molecular mechanism might be involved in tumorigenesis of SCCE. In addition, the higher rate of two-year survival for patients with unmethylated <it>APC </it>promoter as well as its relationship with tumor differentiation would suggest that this tumor suppressor could be an appropriate candidate molecular marker for evaluating tumor malignancy and predicting survival of patients subsequent to treatment.</p
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