A family of higher-order single layer plate models meeting Cz0C^0_z -- requirements for arbitrary laminates

In the framework of displacement-based equivalent single layer (ESL) plate theories for laminates, this paper presents a generic and automatic method to extend a basis higher-order shear deformation theory (polynomial, trigonometric, hyperbolic, ...) to a multilayer $C^0_z$ higher-order shear deformation theory. The key idea is to enhance the description of the cross-sectional warping: the odd high-order $C^1_z$ function of the basis model is replaced by one odd and one even high-order function and including the characteristic zig-zag behaviour by means of piecewise linear functions. In order to account for arbitrary lamination schemes, four such piecewise continuous functions are considered. The coefficients of these four warping functions are determined in such a manner that the interlaminar continuity as well as the homogeneity conditions at the plate's top and bottom surfaces are {\em a priori} exactly verified by the transverse shear stress field. These $C_z^0$ ESL models all have the same number of DOF as the original basis HSDT. Numerical assessments are presented by referring to a strong-form Navier-type solution for laminates with arbitrary stacking sequences as well for a sandwich plate. In all practically relevant configurations for which laminated plate models are usually applied, the results obtained in terms of deflection, fundamental frequency and local stress response show that the proposed zig-zag models give better results than the basis models they are issued from

Requirements for artificial muscles to design robotic fingers

International audienceThis work is part of the ProMain project that concerns the modeling and the design of a soft robotic hand prosthesis, actuated by artificial muscles and controlled with surface Electromyography (EMG) signals. In a first stage, we designed a robotic finger based on the equivalent mechanical model of the human finger. The model takes into account three phalangeal joints, flexion and extension movements are studied. The robotic finger has three Degrees of Freedom (DoF). The finger is designed to be under-actuated and driven by tendons, i.e. only one servo motor actu-ates the whole finger, and the motor is coupled to the finger mechanism through two flexible wires. As the aim is to design a robotic hand prosthesis that uses artificial muscles, we propose and carry out two experiments to characterize the specifications of the actuator. The first experiment measures the pinch force of the human finger, and the second measures the achieved force using our robotic finger and five different servo motors. It allows us to enhance experimental results with the mathematical model of the finger, to identify the requirements of the artificial muscle

Comparison of the Conceptual Map and Traditional Lecture Methods on Students’ Learning Based on the VARK Learning Style Model: A Randomized Controlled Trial

Developing skills and knowledge in nursing education remains a considerable challenge. Nurse instructors need to be aware of students' learning styles so as to meet students' individual learning preferences and optimize knowledge and understanding. The aim of this study was to compare the effects of the conceptual map and the traditional lecture methods on students' learning based on the VARK learning styles model. In this randomized controlled trial, 160 students from nursing, nurse anesthetics, and midwifery disciplines with four different learning styles of visual, auditory, reading/writing, and kinesthetic were selected using the convenience sampling method. Participants were randomly assigned to the intervention (conceptual map method) or control (traditional lecture method) groups. A medical-surgical nursing course was taught to the students in both groups over 6 weeks. Data collection tools consisted of the VARK questionnaire and pre-and postassessments. Data were analyzed using descriptive and inferential statistics via the SPSS software. Teaching using the conceptual map method had different effects on the students' learning outcomes based on their learning styles. The conceptual map method had a statistically significant impact on the students' learning in the intervention group compared with the control group in the students with a visual learning style (p ¼ .036). No statistically significant differences were reported between the groups in other three learning styles. Nurse instructors should assess students' learning styles based on the VARK model before the application of a particular teaching method to improve the quality of nursing education and facilitate deeper learning

Nurses’ identification and reporting of medication errors

Aims and objectives To investigate hospital nurses' involvement in the identification and reporting of medication errors in Turkey. Background Medication safety is an international priority, and medication error identification and reporting are essential for patient safety. Design A descriptive survey design consistent with the STROBE guidelines was used. Methods The participants were 135 nurses employed in a university hospital in Turkey. The survey instrument included 18 sample cases and respondents identified whether errors had been made and how they should be reported. Descriptive statistics were analysed using the chi-square and Fisher's exact tests. Results The sample case of "Patient given 10 mg morphine sulphate instead of 1.0 mg of morphine sulphate" was defined as a medication error by 97% of respondents, whereas the sample case of "Omitting oral/IV antibiotics because of the need to take the patient out for X-rays for 3 hr" was defined as a medication error by only 32.1%. It was found that eight sample cases (omitting antibiotics, diluting norodol drops with saline, giving aspirin preprandially, injecting clexane before colonoscopy, giving an analgesic at the nurse's discretion, dispensing undiluted morphine, preparing dobutamine instead of dopamine and administering enteral nutrition intravenously) were assessed as errors and reported, although there were significant statistical differences between the identification and reporting of these errors. Conclusion Nurses are able to identify medication errors, but are reluctant to report them. Fear of the consequences was the main reason given for not reporting medication errors. When errors are reported, it is likely to be to physicians. Relevance to clinical practice The development of a commonly agreed definition of a medication error, along with clear and robust reporting mechanisms, would be a positive step towards increasing patient safety. Staff reporting medication errors should be supported, not punished, and the information provided used to improve the system

Where do graduates Develop their Enterprise Skills? The Value of the Contribution of Higher Education Institutions’ Context

This study investigates the value of the contribution of HEIs’ context in developing graduates enterprise skills. HEIs are under pressure to develop more enterprising graduates, particularly with the increasing numbers of graduates seeking employment and the growing dissatisfaction of employers. This study explores where graduates develop enterprise skills through investigating the impact of HE and employment contexts on their development. The paper draws on a qualitative study in the social constructionist paradigm within the pharmacy context, where interviews were conducted with pharmacy academics and employers. Results show that ability to demonstrate skills in one context does not necessarily mean ability to demonstrate them in another since the development and demonstration of enterprise skills is impacted by the contexts in which they are developed and demonstrated. The study adds value by highlighting the significant role of both HE and employment contexts in developing enterprise skills, while emphasising that these skills become more transferable through exposure to more contexts

EPUAP classification system for pressure ulcers: European reliability study

‘The definitive version is available at www3.interscience.wiley.com .' Copyright Blackwell PublishingPeer reviewe

The relationship between attitudes, beliefs and physical activity in older adults with knee pain: secondary analysis of a randomised controlled trial

Objective To investigate how attitudes and beliefs about exercise relate to physical activity behavior in older adults with knee pain attributable to osteoarthritis (OA). Methods We conducted secondary data analyses of a randomized controlled trial of exercise interventions (ISRCTN: 93634563). Participants were adults ≥45 years old with knee pain attributable to OA (n = 514). Crude and adjusted cross‐sectional and longitudinal associations between baseline Self‐Efficacy for Exercise (SEE), Positive Outcome Expectations for Exercise (POEE), Negative Outcome Expectations for Exercise scores, and physical activity level, at baseline, 3 months, and 6 months (measured by self‐report using the Physical Activity Scale for the Elderly [PASE]), and important increases in physical activity level (from baseline to 6‐month followup) were investigated using multiple linear and logistic regression. Results Cross‐sectional associations were found between SEE and PASE scores (β = 4.14 [95% confidence interval (95% CI) 0.26, 8.03]) and POEE and PASE scores (β = 16.71 [95% CI 1.87, 31.55]), adjusted for sociodemographic and clinical covariates. Longitudinal associations were found between baseline SEE and PASE scores at 3 months (β = 4.95 [95% CI 1.02, 8.87]) and 6 months β = 3.71 (0.26, 7.16), and baseline POEE and PASE at 3 months (β = 34.55 [95% CI 20.13, 48.97]) and 6 months (β = 25.74 [95% CI 11.99, 39.49]), adjusted for baseline PASE score and intervention arm. However, no significant associations with important increases in physical activity level were found. Conclusion Greater exercise self‐efficacy and more positive exercise outcome expectations were associated with higher current and future physical activity levels. These may be targets for interventions aimed at increasing physical activity