Direct Entry Research Articles

Collaboration and Gender in Field Practice

Collaboration and Gender in Field Practice

A comparison of the performance of learners transitioning from TVET college and their certificated high-school counterparts

Situated in an Engineering Department at a University of Technology, this quantitative research, traversing the fields of Engineering, Mathematics and Education and using the positivism paradigm or ‘science research’, investigated the efficacy of the National Articulation Policy. According to this policy, learners not gaining direct entry to a University of Technology armed with a Senior Certificate or a National Senior Certificate (SC/NSC) may progress or ‘articulate’ into a chosen Engineering programme after attending a Technical and Vocational Education and Training (TVET) college. Employing statistical analysis on cohorts of learners from TVET colleges, this study was able to determine that there was no statistically significant difference between the performance of the articulating learners and that of their SC/NSC counterparts straight out of high school.

Diverse pre-service midwifery education pathways in Cambodia and Malawi: A qualitative study utilising a midwifery education pathway conceptual framework

ObjectivesEducated and skilled midwives are required to improve maternal and newborn health and reduce stillbirths. There are three main approaches to the pre-service education of midwives: direct entry, post-nursing and integrated programmes combining nursing and midwifery. Within these, there can be multiple programmes of differing lengths and qualifications, with many countries offering numerous pathways. This study explores the history, rationale, benefits and disadvantages of multiple pre-service midwifery education in Malawi and Cambodia. The objectives are to investigate the differences in education, roles and deployment as well as how key informants perceive that the various pathways influence workforce, health care, and wider health systems outcomes in each country. DesignQualitative data were collected during semi-structured interviews and analysed using a pre-developed conceptual framework for understanding the development and outcomes of midwifery education programmes. The framework was created before data collection. SettingThe setting is one Asian and one African country: Cambodia and Malawi. ParticipantsTwenty-one key informants with knowledge of maternal health care at the national level from different Government and non-governmental backgrounds. ResultsApproaches to midwifery education have historical origins. Different pathways have developed iteratively and are influenced by a need to fill vacancies, raise standards and professionalise midwifery. Cambodia has mostly focused on direct-entry midwifery while Malawi has a strong emphasis on dual-qualified nurse-midwives. Informants reported that associate midwifery cadres were often trained in a more limited set of competencies, but in reality were often required to carry out similar roles to professional midwives, often without supervision. While some respondents welcomed the flexibility offered by multiple cadres, a lack of coordination and harmonisation was reported in both countries. Key conclusionsThe development of midwifery education in Cambodia and Malawi is complex and somewhat fragmented. While some midwifery cadres have been trained to fulfil a more limited role with fewer competencies, in practice they often have to perform a more comprehensive range of competencies. Implications for practiceEducation of midwives in the full range of globally established competencies, and leadership and coordination between Ministries of Health, midwife educators and professional bodies are all needed to ensure midwives can have the greatest impact on maternal and newborn health and wellbeing.

Meta-Analysis of Veress Needle Entry Versus Direct Trocar Entry in Gynecologic Surgery

<h3>Study Objective</h3> Although many studies have been performed, no consensus exists as to the ideal entry for laparoscopic gynecologic surgery. We sought out to compare the safety of direct trocar insertion with that of the Veress needle entry technique in gynecologic laparoscopic surgery. This is the largest analysis to date on this subject. <h3>Design</h3> Meta-Analysis. <h3>Setting</h3> Gynecologic laparoscopic surgery. <h3>Patients or Participants</h3> Randomized clinical trials comparing methods of laparoscopic initial entry. <h3>Interventions</h3> Inclusion criteria included women undergoing gynecological laparoscopic surgery, with the intervention of the direct trocar insertion technique compared with Veress needle entry technique. <h3>Measurements and Main Results</h3> The pooled analysis showed that Veress needle entry was associated with a significant increase in the incidences of extraperitoneal insufflation (RR=0.177, 95% Cl[0.094, 0.333], p<0.001), omental injury (RR=0.418, 95% Cl[0.195, 0.896], p<0.001), failed entry (RR=0.173, 95% Cl [0.102, 0.292], p<0.001), and trocar site infection (RR=0.404, 95% Cl[0.180, 0.909], p<0.029). There was no significant difference between the two groups regarding the visceral injury (RR=0.562, 95% Cl[0.047, 6.676], p<0.648). <h3>Conclusion</h3> When excluding all data apart from gynecologic surgery, the Veress needle entry technique may have an increased incidence of some, but not all complications of laparoscopic entry. It may also have a higher incidence of failed entry compared to direct entry techniques. Care should be taken in extrapolating these general results to specific surgeon experience levels.

ODP516 Subacute Thyroiditis due to SARS-CoV-2 Vaccine

Abstract Background Coronavirus disease 2019 (COVID-19) is a disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that resulted in a pandemic in 2019, causing systemic complications including endocrine system diseases. Subacute thyroiditis (SAT) of COVID-19 infection is believed to be due to direct virus entry into cells and cell destruction, cellular dysfunction due to inflammation and immune/antibody-mediated hormonal dysfunction. Here we present a case of SAT after the SARS-CoV-2 vaccine (Pfizer-BioNTech). Clinical Case A 39-year-old male healthcare worker presented with four weeks history of symptoms: fullness of the anterior neck, odynophagia, enlarged cervical lymph nodes, palpitations, anxiety and weight loss. Onset of symptoms was two days the second dose of Pfizer-BioNTech vaccine. There was no recent history of upper respiratory system infection or COVID-19 infection. Vital signs and physical exam findings were unavailable, as it was a telephone encounter. Initial workup was significant for a TSH of 0. 020 uIU/mL (n 0.45-5.330 uIU/mL), free T4 of 2.42 ng/mL (n 0.45-1.80 ng/mL) and total T3 225.4 pg/mL (n 87-179 pg/mL). There was no evidence of leukocytosis. Ultrasound of the thyroid gland was unremarkable for nodules or hyperemia. Autoimmune thyroid disease was ruled out with negative levels of thyroid stimulating immunoglobulin, thyroid receptor antibody and anti-microsomal antibody. Thyroid scintigraphy was significant for abnormally low uptake, consistent with SAT. Clinical and biochemical improvements (TSH 4.193 uIU/mL; free T4 0.98 ng/dL) were seen after 5 months. Conclusion Subacute thyroiditis (SAT) is an acute inflammatory disorder of the thyroid usually related to a viral infection. It was described in total of 27 patients of COVID-19 infection (3) . There are only a handful of cases related to COVID-19 vaccine and most of them are due to the inactivated vaccine (1,2) . To our knowledge, there are only three documented cases of subacute thyroiditis after receiving the Pfizer mRNA vaccine (1) . The pathophysiology in generating an autoimmune response is believed to be due to molecular mimicry and cross recognition between the coronavirus spike protein targeted with the mRNA vaccine and healthy thyroid cell antigens (1,2) . Clinicians should be alert and consider the possibility of SARS-CoV-2 vaccine as an etiology when evaluating patients for subacute thyroiditis.

Smooth Transitions: Enhancing Interprofessional Collaboration when Planned Community Births Transfer to Hospital Care.

In Washington state, planned community births are attended by direct entry licensed midwives (LMs) and certified nurse-midwives (CNMs). The most recently published vital statistics data from 2018 reported that 3.6% of the 84,648 births in Washington occurred at home or in freestanding birthing centers. Approximately 16.2% of planned home birth and birth center clients experience intrapartum or early postpartum transfer to the hospital, while 1.8% of their newborns do. The safety of and satisfaction with these types of referrals depends on multisystem processes performed by a variety of health care professionals. Smooth Transitions is a quality improvement (QI) initiative in Washington state that was developed to enhance interprofessional collaboration between community-based midwives, emergency medical services (EMS), and hospital personnel to improve the quality of hospital transfers from planned community settings. Key interventions to date have included (1) information sharing to dispel misconceptions and provide context regarding community births and midwives; (2) co-creation of transfer guidelines; (3) regularly held interprofessional meetings to review transfers and build relationships; and (4) ongoing review of qualitative feedback that captures the perspectives of all involved. Responses on questionnaires and audits indicate that Smooth Transitions has had a positive impact on provider, staff, and patient experiences with hospital transfers. Future endeavors will include strengthening quantitative data collection processes to measure safety indicators, expanding relationships with EMS, and building a case review process that is legally protected. By engaging representatives of all stakeholder groups and addressing community-to-hospital transfers as a multisystems issue, replication of the Smooth Transitions QI Program nationally could promote increased community midwifery integration by enhancing the referral experience for both patients and caregivers.

Development of Simple and Advanced Adult Proximal Tibia Simulators for a Decentralized Simulation-Based Education Model to Teach Paramedics-in-Training the Intraosseous Infusion Procedure.

Introduction During the COVID-19 pandemic, public health had advised practicing social distancing which led to the temporary shutdown of simulation laboratories or centralized simulation-based education model, shared spaces that healthcare workers such as paramedicsuse to train on important hands-on clinical skills for the job. One such skill is intraosseous (IO) access and infusion, the delivery of fluids and medication through the marrow or medullary cavity of the bone which provides fast and direct entry into the central venous system. This skill is critical in emergencies when peripheral access is not immediately available. To continue the training of paramedics in life-saving skills like IO infusion in the post-pandemic era, a decentralized simulation-based education (De-SBE) model was proposed. The De-SBE relies on the availability of inexpensive and flexible simulators that can be used by learners outside of the simulation laboratory. However, to date, there is a paucity of simulation design methods that stimulate creativity and ideation, and at the same time, provide evidence of validity for these simulators. Our exploratory research aimed to test a novel approach that combines components of development-related constraints, ideation, and consensus(CIC) approachto develop and provide content validity for simulators to be used in a De-SBE model. Materials and methods The development of the IO simulators was constrained to follow a design-to-cost approach. First, a modified design thinking session was conducted with three informants from paramedicine and medicine to gather ideas for the development of two IO simulators (simple and advanced). Next, to sort through, refine, and generate early evidence of the content validity of the simulators, the initial ideas were integrated into a two-round, modified Delphi process driven by seven informants from paramedicine and medicine. In addition, we surveyed the participants on how well they liked the CIC approach. Results The CIC approach generated a list of mandatory and optional features that could be added to the IO simulators. Specifically, six features (one mandatory and four optional) for the existing simple IO simulator and eight (three mandatories and five optional) for the advanced IO simulators were identified. Following a design-to-cost approach, the features classified as mandatory for the simple and advanced IO simulators were integrated into the final designs to maintain the feasibility of production for training purposes. The surveys with the participants showed that the CIC approach worked well in the group setting by allowing for various perspectives to be shared freely and ending with a list of features for IO simulator designs that could be used in the future. Some improvements to the approach included flagging for potential users to determine what works best concerning the mode of delivery (online or in person), and duration of the stages to allow for more idea generation. Conclusion The CIC approach led to the manufacturing of simple and advanced IO simulators that would suit a training plan catered to teach the IO access and infusion procedure decentrally to paramedics-in-training. Specifically, they have been designed in a manner that allows them to be made easily accessible to the trainees i.e., low costs and high mobility, and work cohesively with online learning management systems which further facilitates the use of a De-SBE model.

Cross-Cultural Integration through the Lens of Loneliness: a Study of Chinese Direct Entry Students in the United Kingdom

This study explores cross-cultural integration of Chinese top-up students in a UK university from the perspective of loneliness. Existing research on integration has underplayed loneliness. This study used semi-structured interviews to collect data at three key transition points during the top-up year. The findings suggest that students experienced loneliness both within and beyond their group, notwithstanding a number of reasons why they might be expected to be less lonely than other international students. Loneliness seemed to have a significant impact on cross-cultural integration, and participants were also unable to form strong bonds within their cohort of Chinese top-up students, and unable to experience healthy solitude. There are implications for the pre-departure preparation of such students, for the institutions hosting such students, and for responses to the social and emotional challenges they experience.

Argentine Universities: Problems, COVID-19, ICT &amp; Efforts

In this paper the general objective was determine the situation of Argentine universities: Problems, COVID-19, ICT &amp; efforts. Methodology, in this research, 36 documents have been selected, carried out in the period 2016 - 2021; including: scientific articles, review articles and information from websites of recognized organizations. The keywords used in the searches were: Argentine universities, COVID-19 and ICT. Results, Argentine universities have many difficulties, like other Latin American universities. The pandemic has reduced access to economic resources. However, Argentine universities are making many efforts to fulfill their social role. Conclusions, the oldest university in Argentina is the National University of Córdoba, founded in 1613. Higher education in Argentina is primarily public, where direct entry is offered to students. The professional careers preferred by Argentine students are engineering, law and administration. There are also very internationally recognized private universities. Many universities are struggling to quickly set up their virtual platforms, before classes start. The difficult economic situation that the country is going through for several years, the health emergency and social isolation due to the pandemic, have paralyzed public and private university activity. It is important and urgent that Argentine universities strengthen the adoption of ICT and also promote innovation.

Oro-mucosal administration of oxytocin using medicated lollipops alters social attention, similar to intranasal and lingual routes: Implications for therapeutic use.

A key functional effect of intranasal administration of the neuropeptide oxytocin is on top-down control of social attention. However, an oro-mucosal administration route may be better tolerated for chronic therapeutic use and evidence suggests that some functional effects of oxytocin can be mediated via peripheral routes. The current study investigated if oxytocin administered orally using medicated lollipops can both increase blood oxytocin concentrations and influence social attention and state anxiety. In a randomized, double-blind, clinical trial adult male participants received oral oxytocin (24IU) or placebo 30-min before completing a well-established anti-saccade paradigm which can assess treatment effects on both top-down and bottom-up attention. Oxytocin administration modulated top-down social attentional processing by increasing anti-saccade error rates on both social and non-social stimuli although it only increased response latencies for social cues. Anti-saccade errors were also positively associated with the proportionate increase in plasma oxytocin concentrations. A comparison analysis showed that oral oxytocin administration increased blood concentrations to a similar degree as given by lingual spray, although less than when given intranasally. Importantly, attentional and anxiolytic effects of oxytocin in the anti-saccade task were similar across intranasal, lingual, and oral administration routes. These findings demonstrate that oral administration of oxytocin, similar to via intranasal and lingual routes, can modulate top-down social attention and state anxiety and support its potential for therapeutic use. They also provide further evidence that functional effects of exogenously administered oxytocin can be mediated indirectly either by crossing the blood brain barrier or producing receptor mediated vagal stimulation, as opposed to via direct entry into the brain.

Copper-Catalyzed Three-Component Aminofluorination of Alkenes and 1,3-Dienes: Direct Entry to Diverse β-Fluoroalkylamines.

Rapid and efficient access to structurally diverse β-fluoroalkylamines is in high demand, with their wide presence and great importance in medicinal chemistry and drug development. Direct 1,2-aminofluorination of alkenes offers an ideal strategy for one-step entry to β-fluorinated amines from readily available starting materials. Yet the synthesis of valuable β-fluorinated alkylamines remains an unsolved challenge, due to the inherent incompatibility between electrophilic fluoride sources and the electron-rich alkylamines. We report an unprecedented, catalytic, three-component aminofluorination of diverse alkenes and 1,3-dienes, which has been achieved by an innovative copper-catalyzed electrophilic amination strategy using O-benzoylhydroxylamines as alkylamine precursors. The use of Et3N·3HF is also critical, not only as a commercially available and inexpensive fluoride source to enable effective fluorination but also as an acid source for the formation of aminyl radical cations for electrophilic amination. Mechanistic experiments suggest the involvement of aminyl radical species and carbon-radical intermediates under reaction conditions. This method features high regioselectivity and good tolerance of diverse functional groups and provides a practical and direct entry to a broad range of β-fluorinated electron-rich alkylamines. Synthetic applications of this method have also been highlighted by its use for the rapid entry to β-fluoridated amine-containing pharmaceuticals, natural products, and bioactive compounds.

Design, fabrication and computational simulation of a bio-kinetic façade inspired by the mechanism of the Lupinus Succulentus plant for daylight and energy efficiency

Designing a facade that is able to keep the balance between the daylight, view out and energy load is a challenge. The present paper aims to use the sun’s radiant energy utilizing the facade as the outer skin, which is in contact with the surroundings to reduce nonrenewable energy consumption and provide comfort to occupants. Using bionic science, a kinetic facade prototype was designed and fabricated with Lupinus Succulentus plants’ movement mechanism, a type of sun-tracking plant. This kinetic façade has been simulated by Grasshopper on the facade of the Southern side of an open office in Tehran. Accordingly, this study is to investigate a bio-kinetic facade, using the integration among kinetic architecture, biomimicry and occupants’ visual and thermal comfort. Bio-kinetic façade not only causes cooling load reduction by approximately 7% but also prevents the direct light entry, resulting in electric lighting load’s reduction by about 48%, which was calculated by Honey bee and Ladybug plugins.

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Igbinedion University 2022/2023 Admission form is Out Call the Admin Office ☎️ 07066280862–07066280862 PROF MRS JUDITH Direct entry form, Transfer form, Change of course Form are all out Call on {+2347066280862 } on how to purchase the form and register online, For Admission Process on how to be admitted and mode of payment of School Fee And Acceptances Fee Contact

2022/2023 Chrisland University Admission form is Out Call the Admin Office ☎️ 07066280862–07066280862 PROF MRS JUDITH Direct entry form, Transfer form, Change of course Form are all out Call on {+2347066280862 } on how to purchase the form and register online, For Admission Process on how to be admitted and mode of payment of School Fee And Acceptances Fee Contact

2022/2023 Chrisland University Admission form is Out Call the Admin Office ☎️ 07066280862–07066280862 PROF MRS JUDITH Direct entry form, Transfer form, Change of course Form are all out Call on {+2347066280862 } on how to purchase the form and register online, For Admission Process on how to be admitted and mode of payment of School Fee And Acceptances Fee Contact

Mental health nursing capability development: Perspectives of consumers and supporters.

Mental health nursing requires a specialist range of capabilities and values. In Australian contexts, the preparation of nurses to work in mental health settings has attracted criticism from government reviews, academics, and graduate nurses. Insufficient mental health content and clinical placement experience in undergraduate nursing courses have been central to this criticism. The study aim was to identify the areas and modalities of capability development of graduate mental health nurses, from the perspectives of end point users. In order to meet the aim, a four-item cross-sectional online survey with three additional and open-ended questions was developed. The questions were co-designed with consumer academics and reviewed by consumer and carer organizations. The survey was widely distributed across Australian consumer and carer organizations, with 95 useable responses. Findings indicated strong support for lived experience being integrated into teaching teams for nurses, as well as support for undergraduate direct entry for mental health nursing. Themed content from open-ended responses reflected the survey outcomes as well as prioritizing skill development to support better therapeutic relating and nurse self-care. Key findings included strong support for greater lived experience input into mental health nurse education, specialist undergraduate preparation and a focus on developing relational capabilities in the mental health nurse workforce.

Acute kidney injury and electrolyte disorders in COVID-19.

Acute kidney injury (AKI) and electrolyte disorders are important complications of hospitalized coronavirus disease 2019 (COVID-19) patients. AKI is thought to occur due to multiple pathophysiological mechanisms, such as multiple organ dysfunction (mainly cardiac and respiratory), direct viral entry in the renal tubules, and cytokine release syndrome. AKI is present in approximately one in every ten hospitalized COVID-19 patients. The incidence rates of AKI increase in patients who are admitted to the intensive care unit (ICU), with levels higher than 50%. Additionally, renal replacement therapy (RRT) is used in 7% of all AKI cases, but in nearly 20% of patients admitted to an ICU. COVID-19 patients with AKI are considered moderate-to-severe cases and are managed with multiple interdisciplinary conducts. AKI acts as a risk factor for mortality in severe acute respiratory syndrome coronavirus 2 infection, especially when RRT is needed. Electrolyte disorders are also common manifestations in hospitalized COVID-19 patients, mainly hyponatremia, hypokalemia, and hypocalcemia. Hyponatremia occurs due to a combination of syndrome of inappropriate secretion of antidiuretic hormone and gastrointestinal fluid loss from vomiting and diarrhea. When it comes to hypokalemia, its mechanism is not fully understood but may derive from hyperaldosteronism due to renin angiotensin aldosterone system overstimulation and gastrointestinal fluid loss as well. The clinical features of hypokalemia in COVID-19 are similar to those in other conditions. Hypocalcemia is the most common electrolyte disorder in COVID-19 and seems to occur because of vitamin D deficiency and parathyroid imbalance. It is also highly associated with longer hospital and ICU stay.

2022/2023 Landmark University LMU Post UTME / Direct Entry (DE) Screening/admission Form call [09134234770][09134234770] to apply, Predegree form,Remedial form,Pgd/Phd form, admission list check and admission ptocessing call [09134234770][09134234770] for assistance.

2022/2023 Landmark University LMU Post UTME / Direct Entry (DE) Screening/admission Form call [09134234770][09134234770] to apply, Predegree form,Remedial form,Pgd/Phd form, admission list check and admission ptocessing call [09134234770][09134234770] for assistance.

Assessment of biosafety and biorisk management practices among medical laboratory students in two institutions in Uganda

Medical laboratory workers handle clinical specimens, which are a threat of exposure to infectious agents. Notably, medical laboratory science students report for internships with only theoretical knowledge of biosafety and biorisk management practices, predisposing them to a higher risk of laboratory hazards. In this study, we assessed the influence of entry-level students' adherence to practices and attitudes towards biosafety and biorisk management during the Internship. An online survey tool was used to explore the practices and attitudes towards laboratory biosafety and risk management. Of the 96 students, 60 (62.5%) anonymous responses were received, and of these, 60.3% were direct entrants, and 32.8% were diploma entrants. Most (91.7%) of the students attended hospital internships, with 60.2% in Biosafety Level (BSL)-2 laboratories and 70.2% rotating in all the core areas of laboratory medicine. The 8.3% who did not attend any internship were under the direct entry category. Exposure to biohazards was not significantly associated with laboratory safety level and student entry category (P> 0.05). Recommended laboratory biosafety practices were not significantly associated with the safety level of the laboratory and student entry category (P> 0.05). Poor attitudes towards certain laboratory biosafety practices were not significantly associated with the biosafety level of the training laboratory (P> 0.05), whereas training (P = 0.021) and clean-up procedures (P = 0.048) were associated with laboratory safety levels, respectively. The direct entrants had no access to BSL-3 laboratories, and this category of students had a negative attitude towards internship attendance. Therefore, there is a need to create a multi-channel full range laboratory biosafety and biorisk management teaching reforms based on practical application, real case studies, and laboratory simulation to be incorporated into the curriculum to benefit the direct entrant.

Afe Babalola University (ABUAD) Post UTME Screening Admission Form for 2022/2023 is Officially out 09134234770 for more details on how to apply and register online. Direct-Entry Form,Predegree Form,Ijmb form Remedial form call 09134234770 sales of the Admission form. And also the sales of direct entry form and diploma Programme. contact the school Admin. Dr(Mrs) Grace A.A on 09134234770 for more

Afe Babalola University (ABUAD) Post UTME Screening Admission Form for 2022/2023 is Officially out 09134234770 for more details on how to apply and register online. Direct-Entry Form,Predegree Form,Ijmb form Remedial form call 09134234770 sales of the Admission form. And also the sales of direct entry form and diploma Programme. contact the school Admin. Dr(Mrs) Grace A.A on 09134234770 for more

Comparison of length of stay between direct entry and emergency admission in acute care geriatric unit after hotline regulation

Development of the geriatric care allows direct hospitalization and avoid unnecessary emergency admissions. In Clermont-Ferrand, a specific hotline regulates direct entry from home and emergencies in the geriatric acute care unit. The aim of this study was to evaluate the impact of the entry mode (home or emergency) on the length of stay of patients hospitalized in acute care geriatric unit. We have retrospectively collected data on hospitalization of patients over 75 years in the Geriatric Acute care unit from January to March 2019. We also collected socio-demographic data, autonomy score, MMS, co-morbidity score, exit mode, previous year’s hospitalization and polymedication on hospitalization reports. We included 88 patients in the “direct” group and 184 patients in the “emergency” group. The characteristics of the two groups were comparable. The median length of stay for the “emergency” group was 14 days [9.5; 20] versus 12 [8.5; 18] for the “direct” group (p=0.03). In multivariate analysis, ADL score and home lifestyle were correlated with duration of stay. The development of direct entrance pathways into the geriatric short-stay department by establishing specific hotlines decreases length of stay.