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Additionally, students who participated in the international SLE cited more barriers (e.g., cost) than in the domestic SLEs.
DPT students participating in domestic vs international SLEs appear to have different perceptions of SLE. Further research is needed to examine the perspective of other stakeholders involved in domestic and international SLEs.
DPT students participating in domestic vs international SLEs appear to have different perceptions of SLE. Further research is needed to examine the perspective of other stakeholders involved in domestic and international SLEs.
In a baccalaureate degree program in respiratory care, the first 2 years of the program are spent completing liberal arts and elective requirements. The last 2 years are comprised of respiratory care core courses and the clinical phase of the program. The purpose of this investigation was two-fold Did students truly understand what the major entailed during the first 2 years of the curriculum, and secondly, did the preclinical math and science courses prepare them to be successful in completing the clinical phase of the curriculum during the last 2 years? The primary goal of this project was to identify if these two factors, combined or separately, can be linked to attrition in the program.
Third- and fourth-year respiratory care students in the university answered a 10-question survey via SurveyMonkey. Fifty-seven students from 2018-2019 were surveyed with a return rate of 63% (n=36).
Survey results revealed that 75% of students felt prepared entering the clinical phase of the program. Moreover, 78% fere an introduction course during the freshman and sophomore year to introduce the respiratory care profession and provide an overview of the major and the curriculum. Increased knowledge of the profession of respiratory care, during the early stages of having enrolled in this major, could reduce student attrition.Despite the importance of clinical education in the education of health science professionals, securing clinical placements and access to willing clinical educators has become increasing difficult in recent years. Clinicians are being asked to do more, with less resources and time, creating an overwhelming and demanding work environment that is discordant to providing quality student education. In this study, we examined the prevalence of moral injury in clinical educators to determine if a relationship exists between the moral distress, burnout, and their roles as clinical educators. Health science professionals, occupational and physical therapists, speech language pathologist, and social workers who serve in the role of clinical educator completed anonymous surveys, consisting of a demographics questionnaire, the Moral Distress Scale-Revised-Occupational Therapist Adult Setting (MDS-R-OT[A]), and the Maslach Burnout Inventory Human Services Survey Medical Personal [MBI-HSS (MP)]. Descriptive statistics, Pearson correlations, post-hoc analyses using Bonferroni multiple comparison tests, and ANOVA were used to compare each dimension of the MBI-HSS (MP) to the MDS-R-OT[A]. Data from 75 completed surveys revealed that clinical educators identify as having moral distress and burnout, with a strong relationship between emotional exhaustion and depersonalization (p less then 0.01). A statistically significant negative correlation was found when comparing the number of students per year and the MBI-HSS (MP) depersonalization dimension (p less then 0.01). These findings elucidate the need for strategies to minimize sources of moral distress and burnout of clinicians to allow for engagement in clinical education.There has been a dramatic expansion in the development of models and methods for interprofessional education (IPE) in health and social care. This achievement calls for a corresponding development of methods to critically examine the unique organizational contexts of academic institutions that are critical for designing strategies to promote and sustain IPE. Organizational theories and their application to IPE have become increasingly important in providing new perspectives on how to promote it, and particularly approaches that uncover underlying factors and forces in the academic setting. This discussion first develops an integrated analytic framework based on both political and moral economy and force field analysis crucial for understanding the drivers and barriers for IPE. Secondly, it explores the IPE academic arena and how conflicting forces have shaped efforts to promote IPE in higher educational institutions. Thirdly, it reviews how universities in the US have been shaped by the growing corporatization of higher education and the specific implications for IPE. Finally, to put theory into practice, reflections and conclusions based on the framework for promoting and sustaining IPE within educational systems are offered.
To assess whether our introductory TeamSAFE (Team Simulation and Fearlessness in Education) program improved student knowledge of effective teamwork skills; impacted their perception of their own teamwork skills and preparedness for teamwork in clinical practice; and augmented their understanding of the roles and responsibilities of different healthcare team members.
Students completed an online learning module, then attended a simulation-based workshop to practice patient safety and teamwork skills. A pre-post-test design was used to assess knowledge of TeamSTEPPS® concepts and perception of teamwork skills among 959 students from 7 health professions. We conducted a qualitative analysis of student responses to open-ended questions about their perceptions of teamwork skills.
Qualitative analysis revealed three themes 1) put patients first; 2) recognize that the whole is greater than the sum of its parts; and 3) embrace the unknown. Quantitative analysis suggested that students gained knowledge from the workshop. Item analysis using item response theory showed that items have difficulty and discrimination in the lower range.
Findings suggest that the workshop was effective in improving knowledge of teamwork skills, improving student self-perception of teamwork skills and practice readiness, increasing understanding of the roles and responsibilities of students from different health professions, and understanding the importance of patient safety.
Findings suggest that the workshop was effective in improving knowledge of teamwork skills, improving student self-perception of teamwork skills and practice readiness, increasing understanding of the roles and responsibilities of students from different health professions, and understanding the importance of patient safety.The conversion of light alkanes into bulk chemicals is becoming an important challenge as it effectively avoids the use of prefunctionalized alkylating reagents. The implementation of such processes is, however, hampered by their gaseous nature and low solubility, as well as the low reactivity of the C-H bonds. Efforts have been made to enable both polar and radical processes to activate these inert compounds. In addition, these methodologies also benefit significantly from the development of a suitable reactor technology that intensifies gas-liquid mass transfer. In this review, we critically highlight these developments, both from a conceptual and a practical point of view. The recent expansion of these mechanistically-different methods have enabled the use of various gaseous alkanes for the development of different bond-forming reactions, including C-C, C-B, C-N, C-Si and C-S bonds.The synthetic approaches for the preparation of trans(NO,OH)-cis(NO2,NO2)-[RuNO(L)2(NO2)2OH], where L = ethyl nicotinate (I) and methyl nicotinate (II), are reported. The structures of the complexes are characterized by X-ray diffraction and analyzed by Hirshfeld surface analysis. Both compounds show a nitric oxide release reaction under 445 or 532 nm irradiation of dimethyl sulfoxide (DMSO) solutions, which is studied by combined ultraviolet-visible- (UV-vis), infrared- (IR), and electron paramagnetic resonance (EPR) spectroscopy and density functional theory (DFT) calculations. The charge transfer from the OH-Ru-NO chain and nitrite ligands to the antibonding orbitals of Ru-NO is responsible for the photo-cleavage of the ruthenium-nitrosyl bond. The elimination of NO leads to a side reaction, namely the protonation of the parent hydroxyl compound. The cytotoxicity and photo-induced cytotoxicity investigations of both compounds on the breast adenocarcinoma cell line MCF-7 reveal that (I) and (II) are cytotoxic with IC50 values of 27.5 ± 2.8 μM and 23.3 ± 0.3 μM, respectively. selleck chemicals Moreover, (I) shows an increase of the toxicity after light irradiation by 7 times (IC50 = 4.1 ± 0.1), which makes it a prominent target for deeper biological investigations.Electrical stimulation (ES) via rigid electrodes near the wound is one of the promising approaches for chronic wound treatment, but it is unable to stimulate the whole wound area and treat infected wounds. In this study, a tough conductive hydrogel was prepared by the copolymerization of N-acryloyl glycinamide (NAGA) with quaternized chitosan-g-polyaniline (QCSP). The hydrogel showed a similar conductivity to the human skin and robust mechanical properties due to the dual hydrogen bonding motifs. The grafted polyaniline segments and functionalized quaternary ammonium groups showed intense antimicrobial activity against Pseudomonas aeruginosa and Staphylococcus aureus biofilms. The in vivo assay in diabetic rats proves that the ES via the conductive hydrogel was more effective in promoting the healing of infected wounds than the conventional ES via rigid electrodes. Due to the excellent flexibility and antibacterial properties, this conductive hydrogel shows great promise for infected chronic wound treatment.A large world population resides at moderate altitude. In the Valley of Mexico (2,240 m above sea level), its inhabitants, breathe approximately 29% more on average and have 10% increased hemoglobin concentrations compared to sea level residents, among other differences. These compensations reduce but not eliminate the impact of altitude hypoxemia. The objective of the manuscript is to review and describe the information available on health and disease at moderate altitudes, mainly with data in Spanish language from Latin-American countries. Young adults in Mexico City have an SaO2 between 92% and 94% versus 97% at sea level, frequently decreasing below 90% during sleep and intense exercise. It is likely that among the population living at this altitude, lung growth, and development during pregnancy and infancy are enhanced, and that after residing for several tens of thousands of years, more important adaptations in oxygen transport and utilization have developed, but we are not certain about it. For patients with respiratory diseases, residing at moderate altitudes implies increased hypoxemia and clinical deterioration, unless supplementary oxygen is prescribed or patients move to sea level. Hyperventilation increases exposure of residents to air pollutants compared to those living in cities with similar concentrations of pollutants, although at sea level. Humans evolved at sea level and lack the best-known adaptations to reside at moderate or high altitudes. Residents of moderate altitudes breathe deeply the city´s air with all its pollutants, and more often require supplementary oxygen.
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