2,711 research outputs found
Diversity characteristics and the experiences of nursing students during clinical placements: A qualitative study of student, faculty and supervisors' views
Background: Little is known about which diversity characteristics if any, impact on nursing students' clinical placements or how these may affect the quality of their learning experiences. There is therefore a need to better understand these effects not only from the student's perspective but also from the perspective of the staff who supervise them, in order to ensure students obtain maximal benefit from their placements. Aim: To describe the clinical experiences of nursing students and the diversity characteristics that affect this learning experience. Methods: Data were collected from a series of open-ended questions embedded within a larger anonymous web-based survey, from August 2011 to March 2012. Participants included first, second and third year undergraduate Bachelor of Nursing students (N = 704) and faculty members involved in the clinical learning environment (N = 165) from seven Australian universities. Findings: Qualitative findings were clustered into three main themes: differences, difficulty and discrimination, each with three subthemes. Conclusion: Findings suggest a need to offer appropriate support for nursing students who feel different because of diversity characteristics. Whilst some of the participant perceptions are confronting they provide valuable insights for universities developing curricula and the clinical placement facilities where students obtain their experience
FMRI resting slow fluctuations correlate with the activity of fast cortico-cortical physiological connections
Recording of slow spontaneous fluctuations at rest using functional magnetic resonance imaging (fMRI) allows distinct long-range cortical networks to be identified. The neuronal basis of connectivity as assessed by resting-state fMRI still needs to be fully clarified, considering that these signals are an indirect measure of neuronal activity, reflecting slow local variations in de-oxyhaemoglobin concentration. Here, we combined fMRI with multifocal transcranial magnetic stimulation (TMS), a technique that allows the investigation of the causal neurophysiological interactions occurring in specific cortico-cortical connections. We investigated whether the physiological properties of parieto-frontal circuits mapped with short-latency multifocal TMS at rest may have some relationship with the resting-state fMRI measures of specific resting-state functional networks (RSNs). Results showed that the activity of fast cortico-cortical physiological interactions occurring in the millisecond range correlated selectively with the coupling of fMRI slow oscillations within the same cortical areas that form part of the dorsal attention network, i.e., the attention system believed to be involved in reorientation of attention. We conclude that resting-state fMRI ongoing slow fluctuations likely reflect the interaction of underlying physiological cortico-cortical connections
Non-equilibrium Dynamics of O(N) Nonlinear Sigma models: a Large-N approach
We study the time evolution of the mass gap of the O(N) non-linear sigma
model in 2+1 dimensions due to a time-dependent coupling in the large-
limit. Using the Schwinger-Keldysh approach, we derive a set of equations at
large which determine the time dependent gap in terms of the coupling.
These equations lead to a criterion for the breakdown of adiabaticity for slow
variation of the coupling leading to a Kibble-Zurek scaling law. We describe a
self-consistent numerical procedure to solve these large- equations and
provide explicit numerical solutions for a coupling which starts deep in the
gapped phase at early times and approaches the zero temperature equilibrium
critical point in a linear fashion. We demonstrate that for such a
protocol there is a value of the coupling where the gap
function vanishes, possibly indicating a dynamical instability. We study the
dependence of on both the rate of change of the coupling and
the initial temperature. We also verify, by studying the evolution of the mass
gap subsequent to a sudden change in , that the model does not display
thermalization within a finite time interval and discuss the implications
of this observation for its conjectured gravitational dual as a higher spin
theory in .Comment: 22 pages, 9 figures. Typos corrected, references rearranged and
added.v3 : sections rearranged, abstract modified, comment about Kibble-Zurek
scaling correcte
Shock waves in strongly coupled plasmas
Shock waves are supersonic disturbances propagating in a fluid and giving
rise to dissipation and drag. Weak shocks, i.e., those of small amplitude, can
be well described within the hydrodynamic approximation. On the other hand,
strong shocks are discontinuous within hydrodynamics and therefore probe the
microscopics of the theory. In this paper we consider the case of the strongly
coupled N=4 plasma whose microscopic description, applicable for scales smaller
than the inverse temperature, is given in terms of gravity in an asymptotically
space. In the gravity approximation, weak and strong shocks should be
described by smooth metrics with no discontinuities. For weak shocks we find
the dual metric in a derivative expansion and for strong shocks we use
linearized gravity to find the exponential tail that determines the width of
the shock. In particular we find that, when the velocity of the fluid relative
to the shock approaches the speed of light the penetration depth
scales as . We compare the results with second
order hydrodynamics and the Israel-Stewart approximation. Although they all
agree in the hydrodynamic regime of weak shocks, we show that there is not even
qualitative agreement for strong shocks. For the gravity side, the existence of
shock waves implies that there are disturbances of constant shape propagating
on the horizon of the dual black holes.Comment: 47 pages, 8 figures; v2:typos corrected, references adde
A Continental-Wide Perspective: The Genepool of Nuclear Encoded Ribosomal DNA and Single-Copy Gene Sequences in North American Boechera (Brassicaceae)
74 of the currently accepted 111 taxa of the North American genus Boechera (Brassicaceae) were subject to pyhlogenetic reconstruction and network analysis. The dataset comprised 911 accessions for which ITS sequences were analyzed. Phylogenetic analyses yielded largely unresolved trees. Together with the network analysis confirming this result this can be interpreted as an indication for multiple, independent, and rapid diversification events. Network analyses were superimposed with datasets describing i) geographical distribution, ii) taxonomy, iii) reproductive mode, and iv) distribution history based on phylogeographic evidence. Our results provide first direct evidence for enormous reticulate evolution in the entire genus and give further insights into the evolutionary history of this complex genus on a continental scale. In addition two novel single-copy gene markers, orthologues of the Arabidopsis thaliana genes At2g25920 and At3g18900, were analyzed for subsets of taxa and confirmed the findings obtained through the ITS data
Relationship between PPI and baseline startle response
Prepulse inhibition (PPI) of the startle response to a sudden noise is the reduction in startle observed when the noise is preceded shortly by a mild sensory event, which is often a tone. A part of the literature is based on the assumption that PPI is independent of the baseline startle. A simple model is presented and experimental validation provided. The model is based on the commonly accepted observation that the neuronal circuit of PPI differs from that of startle. But, by using a common output, the measures of both phenomena become linked to each other. But, how can we interpret the numerous experimental data showing PPI to be independent of the startle level? It is suggested that in a number of such cases the baseline startle would have been stabilized by a ceiling effect in the startle/PPI neuronal networks. Reducing the startle level, for example in a PPI evaluation procedure, may disclose properties of startle masked by this ceiling effect. Disclosure of habituation to the startle eliciting noise produced an increase of PPI along its initial measurements. Taken together, even if the neuronal process that sustains startle and PPI are distinct, separating them experimentally requires careful parametric methods and caution in the interpretation of the corresponding observations
Identification of Residues in the Heme Domain of Soluble Guanylyl Cyclase that are Important for Basal and Stimulated Catalytic Activity
Nitric oxide signals through activation of soluble guanylyl cyclase (sGC), a heme-containing heterodimer. NO binds to the heme domain located in the N-terminal part of the β subunit of sGC resulting in increased production of cGMP in the catalytic domain located at the C-terminal part of sGC. Little is known about the mechanism by which the NO signaling is propagated from the receptor domain (heme domain) to the effector domain (catalytic domain), in particular events subsequent to the breakage of the bond between the heme iron and Histidine 105 (H105) of the β subunit. Our modeling of the heme-binding domain as well as previous homologous heme domain structures in different states point to two regions that could be critical for propagation of the NO activation signal. Structure-based mutational analysis of these regions revealed that residues T110 and R116 in the αF helix-β1 strand, and residues I41 and R40 in the αB-αC loop mediate propagation of activation between the heme domain and the catalytic domain. Biochemical analysis of these heme mutants allows refinement of the map of the residues that are critical for heme stability and propagation of the NO/YC-1 activation signal in sGC
Diversity Effects on Productivity Are Stronger within than between Trophic Groups in the Arbuscular Mycorrhizal Symbiosis
The diversity of plants and arbuscular mycorrhizal fungi (AMF) has been experimentally shown to alter plant and AMF productivity. However, little is known about how plant and AMF diversity interact to shape their respective productivity.We co-manipulated the diversity of both AMF and plant communities in two greenhouse studies to determine whether the productivity of each trophic group is mainly influenced by plant or AMF diversity, respectively, and whether there is any interaction between plant and fungal diversity. In both experiments we compared the productivity of three different plant species monocultures, or their respective 3-species mixtures. Similarly, in both studies these plant treatments were crossed with an AMF diversity gradient that ranged from zero (non-mycorrhizal controls) to a maximum of three and five taxonomically distinct AMF taxa, respectively. We found that within both trophic groups productivity was significantly influenced by taxon identity, and increased with taxon richness. These main effects of AMF and plant diversity on their respective productivities did not depend on each other, even though we detected significant individual taxon effects across trophic groups.Our results indicate that similar ecological processes regulate diversity-productivity relationships within trophic groups. However, productivity-diversity relationships are not necessarily correlated across interacting trophic levels, leading to asymmetries and possible biotic feedbacks. Thus, biotic interactions within and across trophic groups should be considered in predictive models of community assembly
Consensus review of best practice of transanal irrigation in adults
Study design: Review article.
Objectives: To provide a consensus expert review of the treatment modality for transanal irrigation (TAI).
Methods: A consensus group of specialists from a range of nations and disciplines who have experience in prescribing and monitoring
patients using TAI worked together assimilating both the emerging literature and rapidly accruing clinical expertise. Consensus was
reached by a round table discussion process, with individual members leading the article write-up in the sections where they had particular expertise.
Results: Detailed trouble-shooting tips and an algorithm of care to assist professionals with patient selection, management and follow-up was developed.
Conclusion: This expert review provides a practical adjunct to training for the emerging therapeutic area of TAI. Careful patient selection, directly supervised training and sustained follow-up are key to optimise outcomes with the technique. Adopting a tailored, stepped approach to care is important in the heterogeneous patient groups to whom TAI may be applied.
Sponsorship: The review was financially supported by Coloplast A/S.
Spinal Cord (2013) 51, 732–738; doi:10.1038/sc.2013.86; published online 20 August 201
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