Evidence-based nursing care for patients from different cultures with a fractured wrist in a plaster cast

A broken arm or wrist is usually caused by a fall onto an outstretched arm. It usually takes six to eight weeks to heal in adults, and less time in children. The aim of this study sought to describe how nurses can care for patients from different cultures with a fractured wrist in a plaster of paris cast. Qualitative content analysis was used to analysis the findings. The findings from the literature reviewed were grouped into three themes: nursing care for wrist fractures, providing cultural nursing care and communication. The nurse assesses (airway, breathing, circulation, disability and exposure or pain assessment), plans, implements and evaluates care using evidenced-based practice. Communication and language are very essential in providing nursing care for patients from different cultural backgrounds. The nurse must understand and know the cultural background of the patient and care for them. The nurse makes sure to give the information (verbally or written) to the patient and ensure it is culturally relevant, so the patient will understand it and carry out

Optimization of the Collection Efficiency of a Hexagonal Light Collector using Quadratic and Cubic B\'ezier Curves

Reflective light collectors with hexagonal entrance and exit apertures are frequently used in front of the focal-plane camera of a very-high-energy gamma-ray telescope to increase the collection efficiency of atmospheric Cherenkov photons and reduce the night-sky background entering at large incident angles. The shape of a hexagonal light collector is usually based on Winston's design, which is optimized for only two-dimensional optical systems. However, it is not known whether a hexagonal Winston cone is optimal for the real three-dimensional optical systems of gamma-ray telescopes. For the first time we optimize the shape of a hexagonal light collector using quadratic and cubic B\'ezier curves. We demonstrate that our optimized designs simultaneously achieve a higher collection efficiency and background reduction rate than traditional designs.Comment: 9 pages, 9 figure

Aplicação da PCR na identificação de Enterococcus faecium e Enterococcus faecalis em queijos artesanais.

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Living Environment Field Trips in Wyoming and Genesee Counties, New York

The purpose of field trips is to engage students in hands on or real world learning opportunities. Science fairs and field trips are two examples of how students can experience out of classroom activities. Through these activities, students may understand or practice an aspect of a topic as experienced in the real world, outside of the school setting (Tal, et. al., 2014); exploring skills and physical beings, having discussions with historians or scientists, and synthesizing or analyzing information (Rohlf, 2015). Especially in science, new technology and knowledge is ever changing. Field trips allow students to practice or use technology that many schools or organizations are unable to purchase for student use. Many students’ families cannot provide or support students’ learning by taking them to outside learning events or activities (DeSouza, 2016). Through expeditionary learning, or field trips, that are available to students in school or through after school programs, all students are able to experience how individuals of all races and backgrounds can work together to form a successful scientific environment. By having students attend field trips, they not only are learning about science, but are practicing other life skills such as communication (Bozdogan, 2012). Students not only need to communicate with each other during tasks or about observations, but often need to communicate teachers or research guides. Communication skills are essential for all students whether they enter the science field after the completion of high school or not. Furthermore, field trips allow students to pursue areas of interest and may influence their entrance into the STEM field post- high school (Schmidt & Kelter, 2017). Field trips allow students to experience aspects of learning that are not able to be practiced in the classroom setting (Rohlf, 2015). Although all of the aforementioned are beneficial for students and their learning, field trips are often still questioned for their integrity. Learning, balanced with fun, is the basis of the concern; do students actually learn on field trips or does the fun atmosphere overtake student learning

Quorum sensing em cepas de enterococcus faecium, enterococcus faecalis e bacillus cereus isoladas do processamento de ricota

The quorum sensing phenomenon is a process of intra- and inter-species microbial communication involving the production and detection of extracellular signaling molecules. The autoinducer AI-2 has been proposed to serve as a ‘universal signal’ for interspecies communication. This study aimed to evaluate the capability of Enterococcus faecium, Enterococcus faecalis, and Bacillus cereus strains isolated from ricotta processing to produce quorum sensing signalling molecules (AI-2). The strains were evaluated for the presence of the luxS gene using the polymerase chain reaction. AI-2 quorum sensing signalling molecules were measured in relative light units (RLUs) using a luminometer. A total of 74% of E. faecium, 91% of E. faecalis, and 95% of B. cereus isolates were positive for luxS gene. In addition, the induced bioluminescence in Vibrio harveyi BB170 was observed in all strains, indicating the presence of the AI-2 autoinducer482FUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULO - FAPESP2010/10507-7O fenômeno quorum sensing corresponde a um processo de comunicação intra e interespécies microbianas e é mediado por sinais químicos extracelulares, denominados moléculas sinalizadoras ou auto indutoras (AI). A molécula AI2 está envolvida na comunicação interespécies, denominada sistema “universal” de comunicação. Este estudo teve como objetivo avaliar a capacidade de Enterococcus faecium, Enterococcus faecalis e Bacillus cereus isolados do processamento de ricota em produzir moléculas sinalizadoras de Quorum sensing (AI-2). Os isolados foram avaliados quanto à presença do gene luxS utilizando a reação em cadeia da polimerase (PCR). As moléculas sinalizadoras (AI-2) foram medidas em unidades relativas de luz (RLU) através de um luminômetro. Um total de 74% dos isolados de E. faecium, 91% de E. faecalis e 95% de B. cereus foram positivos para o gene luxS. Além disso, todos os isolados apresentaram capacidade de induzir o fenômeno de bioluminescência em Vibrio harveyi BB170, indicando a presença de auto indutores AI-