Locus of Control & Motivation Strategies for Learning Questionnaire: Predictors of Student Success on the ATI Comprehensive Predictor Exam & NCLEX-RN Examination

ABSTRACT The two purposes of this study were to determine whether locus of control (LOC) was predictive of how a student would perform on the ATI Comprehensive Predictor Exam and the NCLEX-RN, and if the Motivated Strategies for Learning Questionnaire (MSLQ) provided information that would help determine predictors of success on these two exams. The study examined additional variables prominent in the literature including but not limited to, the number of Cs a person earned while in nursing school, and grades in courses such as pharmacology, pathophysiology, and medical/surgical nursing. The influence of a job was also investigated. It was believed that an individual with an internal locus of control (LOC) would be more likely to be successful on the ATI Comprehensive Predictor Exam and the NCLEX-RN. Internal LOC was found to be statistically significant related to the NCLEX-RN. Using logistic regression a student with an internal LOC when entered into the model with the ATI Comprehensive Predictor Exam was 6.7 times more likely to pass the NCLEX-RN. Using regression analysis this was not found to be true in relationship to the ATI Comprehensive Predictor. The model that was the best predictor of a student's success on the ATI exam included the MSLQ subscales of Test Anxiety, Organization, Self-Regulation, Pharmacology course, the first Medical/Surgical class, Job not healthcare related, and the ATI Medical/Surgical Content Mastery Exam. These seven variables were the best at predicting success. A sub-hypothesis related to student performance on the ATI Medical/Surgical Content Mastery Exam believed that a student with an internal LOC would be more successful, this did not prove to be true. The students with an external LOC had pass rate of 50% on the exam at a Level two proficiency compared to 45.28% passing with an internal LOC. The number of students in the sample that were determined to have an external LOC was very small (n=12) while the results in this study were not statistically significant it is possible that a sample with a larger sample of students with an external LOC may produce different results. An additional finding was a student working in a healthcare related job or not working scored 2.278 points higher on the ATI Comprehensive Predictor Exam than those working in a non-healthcare related job. The second hypothesis examined the MSLQ subscales that were predictive of success on the two exams. In terms of the ATI Comprehensive Predictor Exam the subscales that entered into the model were test anxiety, organization, and self-regulation. When determining the MSLQ subscales that were important related to success on the NLCEX, control of learning beliefs and organization were the only two subscales in the model. Those subscales statistically significant in terms of a student achieving Level 2 proficiency on the ATI Medical/Surgical Content Mastery Exam were test anxiety, rehearsal, organization, and peer learning. When evaluating test anxiety it was determined that as the MSLQ test anxiety score increased for the individual, the odds of passing decreased. Of the individuals with a test anxiety subscale score of 2.9 (scale of 1-7) or less all were successful on the NCLEX-RN. Results indicated that of those students with a test anxiety subscale score of 5.0 or higher, ten students failed the ATI Comprehensive Predictor Exam and four students failed the NCLEX-RN. An additional hypothesis stated that a student's results on the ATI Medical/Surgical Content Mastery Exam would be predictive of his or her performance on the ATI Comprehensive Predictor Exam. This hypothesis was found to be true. A student scoring at Level II proficiency (mastery of content per ATI Faculty Resource Guide, 2007) was likely to score 4.391 points higher than a student at Level 1 proficiency. As the level of proficiency increased so did the percentage of passing the NCLEX-RN. A student who scored below level one had a 58.33% pass rate on NCLEX-RN compared to a level two proficiency pass rate of 92.68%. When looking at student grades in the first medical/surgical course only 70.59% of the students obtaining the letter grade of C passed the NCLEX-RN. The percentage improved with the second medical/surgical course, 80.77% of students with a C passed. Of those students earning a C in pharmacology only 75% of the students passed the NCLEX-RN

Planting Food or Fuel: Developing an Interdisciplinary Approach to Understanding the Role of Culture in Farmers’ Decisions to Grow Second-Generation Biofuel Feedstock Crops

Recent interest in biofuels as an alternative energy source has spurred considerable changes in agricultural practice worldwide. These changes will be more pronounced as second-generation biofuels, such as switch grass, gain prominence; this article examines the cultural factors associated with the decisions U.S. farmers face in targeting crops for fuel production instead of food. Through an interdisciplinary assessment of the dynamics of farmers' behavior, developed herein is a theoretical framework to analyze how farmers grapple with shifting expectations of their function.National Science Foundation EPS-0903806, KU-Transportation Research Institut

Our future in the Anthropocene biosphere

The COVID-19 pandemic has exposed an interconnected and tightly coupled globalized world in rapid change. This article sets the scientific stage for understanding and responding to such change for global sustainability and resilient societies. We provide a systemic overview of the current situation where people and nature are dynamically intertwined and embedded in the biosphere, placing shocks and extreme events as part of this dynamic; humanity has become the major force in shaping the future of the Earth system as a whole; and the scale and pace of the human dimension have caused climate change, rapid loss of biodiversity, growing inequalities, and loss of resilience to deal with uncertainty and surprise. Taken together, human actions are challenging the biosphere foundation for a prosperous development of civilizations. The Anthropocene reality—of rising system-wide turbulence—calls for transformative change towards sustainable futures. Emerging technologies, social innovations, broader shifts in cultural repertoires, as well as a diverse portfolio of active stewardship of human actions in support of a resilient biosphere are highlighted as essential parts of such transformations. © 2021, The Author(s)

The roles of herbal remedies in survival and quality of life among long-term breast cancer survivors - results of a prospective study

<p>Abstract</p> <p>Background</p> <p>Few data exist on survival or health-related quality of life (QOL) related to herbal remedy use among long-term breast cancer survivors. The objective of this report is to examine whether herbal remedy use is associated with survival or the health-related QOL of these long-term breast cancer survivors.</p> <p>Methods</p> <p>In 1999-2000, we collected the information of herbal remedy use and QOL during a telephone interview with 371 Los Angeles Non-Hispanic/Hispanic white women who had survived more than 10 years after breast cancer diagnosis. QOL was measured using the Medical Outcomes Study Short Form-36 (SF-36) questionnaire. Patients were followed for mortality from the baseline interview through 2007. 299 surviving patients completed a second telephone interview on QOL in 2002-2004. We used multivariable Cox proportional hazards methods to estimate relative risks (RR) and 95% confidence intervals (CI) for mortality and applied multivariable linear regression models to compare average SF-36 change scores (follow-up - baseline) between herbal remedy users and non-users.</p> <p>Results</p> <p>Fifty-nine percent of participants were herbal remedy users at baseline. The most commonly used herbal remedies were echinacea, herbal teas, and ginko biloba. Herbal remedy use was associated with non-statistically significant increases in the risks for all-cause (44 deaths, RR = 1.28, 95% CI = 0.62-2.64) and breast cancer (33 deaths, RR = 1.78, 95% CI = 0.72-4.40) mortality. Both herbal remedy users' and non-users' mental component summary scores on the SF-36 increased similarly from the first survey to the second survey (<it>P </it>= 0.16), but herbal remedy users' physical component summary scores decreased more than those of non-users (-5.7 vs. -3.2, <it>P </it>= 0.02).</p> <p>Conclusions</p> <p>Our data provide some evidence that herbal remedy use is associated with poorer survival and a poorer physical component score for health-related QOL among women who have survived breast cancer for at least 10 years. These conclusions are based on exploratory analyses of data from a prospective study using two-sided statistical tests with no correction for multiple testing and are limited by few deaths for mortality analysis and lack of information on when herbal remedy use was initiated or duration of or reasons for use.</p

Provision of obstetrics and gynaecology services during the COVID-19 pandemic:a survey of junior doctors in the UK National Health Service

Objective: The COVID-19 pandemic is disrupting health services worldwide. We aimed to evaluate the provision of obstetrics and gynaecology services in the UK during the acute-phase of the COVID-19 pandemic. Design: Interview-based national survey. Setting: Women’s healthcare units in the National Health Service. Population: Junior doctors in obstetrics and gynaecology. Methods: Participants were interviewed by members of the UKARCOG trainees’ collaborative between 28th March and 7th of April 2020. We used a quantitative analysis for closed-ended questions and a thematic framework analysis for open comments. Results: We received responses from 148/155 units (95%), majority of the participants were in years 3-7 of training (121/148, 82%). Most completed specific training drills for managing obstetric and gynaecological emergencies in women with COVID-19 (89/148, 60.1%) and two-persons donning and doffing of Personal Protective Equipment (PPE) (96/148, 64.9%). The majority of surveyed units implemented COVID-19 specific protocols (130/148, 87.8%), offered adequate PPE (135/148, 91.2%) and operated dedicated COVID-19 emergency theatres (105/148, 70.8%). Most units reduced face-to-face antenatal clinics (117/148, 79.1%), and suspended elective gynaecology services (131/148, 88.5%). The two-week referral pathway for oncology gynaecology was not affected in half of the units (76/148, 51.4%), while half reported a planned reduction in oncology operating (82/148, 55.4%). Conclusion: The provision of obstetrics and gynaecology services in the UK during the acute phase of the COVID-19 pandemic seems to be in line with current guidelines, but strategic planning is needed to restore routine gynaecology services and ensure safe access to maternity care on the longterm

Women write the rights of woman: The sexual politics of the personal pronoun in the 1790s

This article investigates patterns of personal pronoun usage in four texts written by women about women's rights during the 1790s: Mary Wollstonecraft's A Vindication of the Rights of Woman (1792), Mary Hays' An Appeal to the Men of Great Britain (1798), Mary Robinson's Letter to the Women of England (1799) and Mary Anne Radcliffe's The Female Advocate (1799). I begin by showing that at the time these texts were written there was a widespread assumption that both writers and readers of political pamphlets were, by default, male. As such, I argue, writing to women as a woman was distinctly problematic, not least because these default assumptions meant that even apparently gender-neutral pronouns such as I, we and you were in fact covertly gendered. I use the textual analysis programme WordSmith to identify the personal pronouns in my four texts, and discuss my results both quantitatively and qualitatively. I find that while one of my texts does little to disturb gender expectations through its deployment of personal pronouns, the other three all use personal pronouns that disrupt eighteenth century expectations about default male authorship and readership. Copyright © 2007 SAGE Publications

Food sharing among captive gibbons ( Hylobates lar )

A captive family group of gibbons engages in food sharing during consistently patterned sequences of behaviors in which begging gestures are employed. The predominant occurrence of the behavior involves the juvenile female begging from her older, adult sister who acted as her “surrogate mother”. An examination of the variables potentially affecting the behavior, such as hunger, the availability and accessibility of preferred foods, the inability to forage individually, and the social relationships between members of the family, indicates that food sharing may assist the young in acquiring appropriate food habits, supplement their foraging capabilities, and may serve to reinforce the social bonds between adult and immature members of the family group.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/41598/1/10329_2006_Article_BF02383142.pd

Consensus statement from the 2014 International Microdialysis Forum.

Microdialysis enables the chemistry of the extracellular interstitial space to be monitored. Use of this technique in patients with acute brain injury has increased our understanding of the pathophysiology of several acute neurological disorders. In 2004, a consensus document on the clinical application of cerebral microdialysis was published. Since then, there have been significant advances in the clinical use of microdialysis in neurocritical care. The objective of this review is to report on the International Microdialysis Forum held in Cambridge, UK, in April 2014 and to produce a revised and updated consensus statement about its clinical use including technique, data interpretation, relationship with outcome, role in guiding therapy in neurocritical care and research applications.We gratefully acknowledge financial support for participants as follows: P.J.H. - National Institute for Health Research (NIHR) Professorship and the NIHR Biomedical Research Centre, Cambridge; I.J. – Medical Research Council (G1002277 ID 98489); A. H. - Medical Research Council, Royal College of Surgeons of England; K.L.H.C. - NIHR Biomedical Research Centre, Cambridge (Neuroscience Theme; Brain Injury and Repair Theme); M.G.B. - Wellcome Trust Dept Health Healthcare Innovation Challenge Fund (HICF-0510-080); L. H. - The Swedish Research Council, VINNOVA and Uppsala Berzelii Technology Centre for Neurodiagnostics; S. M. - Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico; D.K.M. - NIHR Senior Investigator Award to D.K.M., NIHR Cambridge Biomedical Research Centre (Neuroscience Theme), FP7 Program of the European Union; M. O. - Swiss National Science Foundation and the Novartis Foundation for Biomedical Research; J.S. - Fondo de Investigación Sanitaria (Instituto de Salud Carlos III) (PI11/00700) co-financed by the European Regional Development; M.S. – NIHR University College London Hospitals Biomedical Research Centre; N. S. - Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico.This is the final version of the article. It first appeared from Springer via http://dx.doi.org/10.1007/s00134-015-3930-

Development of a Management Algorithm for Post-operative Pain (MAPP) after total knee and total hip replacement: study rationale and design.

BACKGROUND: Evidence from clinical practice and the extant literature suggests that post-operative pain assessment and treatment is often suboptimal. Poor pain management is likely to persist until pain management practices become consistent with guidelines developed from the best available scientific evidence. This work will address the priority in healthcare of improving the quality of pain management by standardising evidence-based care processes through the incorporation of an algorithm derived from best evidence into clinical practice. In this paper, the methodology for the creation and implementation of such an algorithm that will focus, in the first instance, on patients who have undergone total hip or knee replacement is described. METHODS: In partnership with clinicians, and based on best available evidence, the aim of the Management Algorithm for Post-operative Pain (MAPP) project is to develop, implement, and evaluate an algorithm designed to support pain management decision-making for patients after orthopaedic surgery. The algorithm will provide guidance for the prescription and administration of multimodal analgesics in the post-operative period, and the treatment of breakthrough pain. The MAPP project is a multisite study with one coordinating hospital and two supporting (rollout) hospitals. The design of this project is a pre-implementation-post-implementation evaluation and will be conducted over three phases. The Promoting Action on Research Implementation in Health Services (PARiHS) framework will be used to guide implementation. Outcome measurements will be taken 10 weeks post-implementation of the MAPP. The primary outcomes are: proportion of patients prescribed multimodal analgesics in accordance with the MAPP; and proportion of patients with moderate to severe pain intensity at rest. These data will be compared to the pre-implementation analgesic prescribing practices and pain outcome measures. A secondary outcome, the efficacy of the MAPP, will be measured by comparing pain intensity scores of patients where the MAPP guidelines were or were not followed. DISCUSSION: The outcomes of this study have relevance for nursing and medical professionals as well as informing health service evaluation. In establishing a framework for the sustainable implementation and evaluation of a standardised approach to post-operative pain management, the findings have implications for clinicians and patients within multiple surgical contexts