University Teaching Research Articles

Outcomes of Dose Escalation of Imatinib in Chronic Myeloid Leukemia Patients: A Retrospective Analysis From an Indian University Teaching Hospital.

Chronic myeloid leukemia (CML) treatment in low- and middle-income countries faces significant financial and logistical constraints. In scenarios where second-line tyrosine kinase inhibitors (TKIs) are unavailable or unaffordable, dose escalation of imatinib provides an alternative. This study evaluates the efficacy, safety, and progression-free survival (PFS) outcomes of dose escalation of imatinib in CML patients who experienced suboptimal response or progression on standard doses. A retrospective analysis of 123 CML patients treated at an Indian university teaching hospital from 2013 to 2016 was conducted. Patients who showed progression on a 400 mg dose of imatinib were escalated to 600 mg, and further to 800 mg if required. Demographic data, progression, and toxicity were analyzed. Out of 123 patients, 78 (63.4%) showed a complete hematologic response after dose escalation. The median PFS was 48 months, with a three-year PFS rate of 67%. Notable toxicities included Grade 3/4 neutropenia in 15% and gastrointestinal disturbances in 12%. Comparatively, studies suggest that switching to a second-line TKI in similar settings results in a higher PFS; however, our findings underscore that dose escalation of imatinib remains a viable alternative when financial constraints limit access to second-line therapies. In resource-constrained settings, dose escalation of imatinib can be an effective strategy for managing CML patients who progress on standard doses.

Predictors of Posture Induced Intraocular Pressure Variations in Normal Subjects and Glaucoma Patients. Evidence from Abakaliki

Background: Intraocular pressure (IOP) is affected by factors like age, gender, body mass index (BMI), and blood pressure among others. Studies have investigated the relationship between IOP and age, gender, BMI, and refractive error (3-5). There has been conflicting results as some studies have reported a correlation between IOP and age, gender, BMI, and refractive error while results from other studies found no such association. Aim: The aim of this study was to determine the relationship between IOP and age, gender, body mass index and refractive status in the primary open angle glaucoma (POAG) and non-glaucomatous eyes. Methods: A case controlled study involving consecutive newly diagnosed POAG and non-glaucomatous patients conducted in the eye clinic of Alex Ekwueme Federal University Teaching Hospital, Abakaliki. Demographic data included age, gender, and occupation. Height and weight were measured using a Standing Scale with calibrated metal rule. BMI was calculated as Weight (kg) / [Height (m)] 2). IOP was measured with Perkins hand-held applanation tonometer. Correlation and regression analysis was used to determine the relationship between IOP and age, gender, BMI and refractive status. Results: There was a direct relationship between age and IOP in non-glaucomatous subjects which was statistically significant (P < 0.001; r = 0.8). Intraocular pressure also increased with increasing age in POAG but this was not statistically significant (P = 0.18; r =0.3). There was no statistically significant difference between mean IOP in males and females of both POAG and non-glaucoma patients, with P = 0.72 and P = 0.50 respectively. BMI had a linear relationship with intraocular pressure which was statistically significant in POAG (P = 0.01; r value = 0.3) but showed no such relationship in non-glaucomatous patients (P = 0.38; r value = 0.1). The relationship between mean IOP and refractive status was not statistically significant in non-glaucomatous (P = 0.19; r = 0.2) and POAG patients (P = 0.5; r = 0.09) respectively. Conclusion: IOP has linear correlation with increasing age in both non-glaucomatous patients and POAG. A statistically significant relationship was found between IOP and BMI in POAG but not in non-glaucomatous eyes. There was no relationship between either the gender, or refractive status and IOP in non-glaucoma and POAG subjects respectively.

Optimization and Three-Dimensional Review of the Reform Path of College English Education System Driven by Information Technology in the New Era

Language learning cannot be separated from the environment, and the environment for second language acquisition is becoming more and more perfect and ideal. It makes the traditional single and limited English learning environment gradually move towards a three-dimensional and diversified learning environment. On the premise of the great development of higher education in China, this study aims to conduct research and discussion on higher English teaching. In combination with other successful or well functioning higher English teaching reforms, it studies and discusses some problems faced in the construction and implementation of vocational English teaching application system in China, and finds solutions and methods. Therefore, this study has practical significance for the reform and development of higher English education in China. This manuscript is based on the design of the college English teaching system module of Web technology to realize the sharing of information resources. In addition, with the deepening understanding of the importance of English teaching in colleges and universities, improving English level and English teaching level is the goal of colleges and universities. English teachers urgently need to understand the factors that affect students’ English level in order to teach students in accordance with their aptitude and find the best teaching methods. The experimental results show that the system realizes the management, query and sharing functions of open level information, and has high security and interactivity. The development of the system conforms to the development trend of network information technology and promotes the informatization and standardization of college English teaching management.

Exploring Student Experiences and Factors Influencing Teaching and Learning Quality in Inner Mongolian Universities, China

Exploring Student Experiences and Factors Influencing Teaching and Learning Quality in Inner Mongolian Universities, China

Relation between sarcopenia and hepatic encephalopathy in liver cirrhosis - a study in tertiary care hospital

Introduction: Liver cirrhosis is a common medical problem associated with high morbidity and mortality. Consequences of cirrhosis leading to encephalopathy is a neuropsychiatric manifestation requiring hospital admission and poor prognosis. Similarly, sarcopenia in cirrhosis, resulting from multifactorial cause confers prognostic significance. The objective of this study is to find the relation between sarcopenia and hepatic encephalopathy. Methods: A retrospective observational study was conducted and data was taken from electronic medical records of patients admitted with hepatic encephalopathy in department of gastroenterology of Tribhuvan university Teaching hospital. A total of 96 cirrhotic patients were included during one and half year study duration. Sarcopenia was assessed using assessment tool like hand grip strength, chair stand test and CT measurement of either skeletal muscle area (SMA) or skeletal muscle index (SMI). Hepatic encephalopathy was graded according to West Haven criteria among admitted patients. Results: Among 96 patients with cirrhosis, 85 patients (88.5%) were found to have sarcopenia. Prevalence of sarcopenia was higher among female compared to male (97% vs 84%). Similarly, sarcopenia was found to be higher in patients with HE-2 and HE-3 compared to HE-1 ( 91% vs 93% vs 79% respectively). Conclusion: Sarcopenia is commonly associated with hepatic encephalopathy. Bangladesh J Medicine 2024; 35: 195-199

Vaginal candidiasis prevalence, associated factors, and antifungal susceptibility patterns among pregnant women attending antenatal care at bule hora university teaching hospital, Southern Ethiopia

BackgroundVulvovaginitis is common in women of reproductive age group characterized by purulent white discharge. The incidence of vulvovaginitis has risen recently due to the resistance of Candida species to commonly used antifungal agents and recurrent infections.ObjectiveThe study aimed to determine the prevalence, associated factors, and antifungal susceptibility patterns of vaginal candidiasis among pregnant women attending Bule Hora University Teaching Hospital.MethodsA hospital-based cross-sectional study was conducted from May 2023 to August 2023. Using systematic random sampling, 317 pregnant women participated in the study. Sabouraud Dextrose Agar and Chromogenic Candida Differential Agar were used to isolate and identify Candida species from clinical samples. Antifungal susceptibility was performed using a modified disc diffusion method. Epi data version 4.6 was used for data entry and Statistical Packages for Social Sciences version 25 was used for statistical analysis. A P-value < 0.05 was declared statistically significant.ResultThe prevalence of vaginal candidiasis was 26.8% (95%, CI 21.9–31.72%). History of using contraceptives (AOR = 5.03, 95%CI, 1.21–11.37), past vaginal candidiasis (AOR = 6, 95%CI, 1.61–12.92), pregnant women infected with human immunodeficiency virus (HIV) (AOR = 4.24, 95%CI, 1.23–14.14), diabetic mellitus (AOR = 2.17, 95%CI, 1.02–4.64), history of antibiotic use (AOR = 3.55, 95%CI, 1.67–12.75), pregnant women in third trimester (AOR = 8.72, 95%CI, 1.30–23.07), were the significantly associated factors for vaginal candidiasis. The study revealed that itraconazole, amphotericin B, and miconazole were the most effective antifungal drugs for all Candida isolates.ConclusionThe present study has identified a high prevalence of vaginal candidiasis among pregnant women. The isolated Candida species showed resistance to fluconazole, ketoconazole, and clotrimazole. Therefore, healthcare providers should increase awareness of the risks of Candida infections to reduce Candida species among pregnant women. Physicians should prescribe suitable medications based on antifungal drug test outcomes to treat pregnant women with vaginal candidiasis.

SOME OF THE CONCEPTUAL AND REGULATORY LEGAL PROBLEMS OF SCIENTIFICRESEARCH ACTIVITIES IN THE REPUBLIC OF KAZAKHSTAN

The subject of article was the discussion by the scientific community of the country of the draft Law of the Republic of Kazakhstan "On Science and Technology Policy" and, in this regard, to try to find a solution to some of the problems existing in research activities. The authors of the article discuss concepts that are an important basis for the form and content of the future law, because the conceptual documents outline in detail the priorities of the development of science in important spheres of life of the Kazakh society, substantiate the demand for the adoption of this law. The authors of the article, for example, see the main problem as the lack of communication between the scientific self-supporting centers of the university and teaching staff, who should be interested in commercializing their scientific product. The characteristics of the state of legal regulation through comparative analysis should show the advantages of foreign law enforcement practice and how to properly use their positive experience for the development of legislation in their own country. The future Law on Science and Technology Policy should radically change approaches and generate trends. Of interest are the problems raised by the author in the field of science and technological development, the preparation of scientific research in higher educational institutions, the transformation of many universities in the country into research universities, the involvement of teaching staff in collective scientific activity in the form of grant research, and of course, the issues of commercialization of Kazakh science. The final provisions of the authors of the study boil down to the fact that the new Law on Science should work only if the vector is changed towards the integration of science and business, where business structures will really help scientists achieve the highest results in the implementation of commercialization projects, by involving university teaching staff in research activities, so that they implement their scientific results in education, in the future they opened new production facilities, in order to organize new jobs, tax revenues to the budget, there must be implement a real "reset" of their system in favor of the "human-centric" component.

Asymptomatic Group B Streptococcal infection, Antibiotic Sensitivity, Risk Factors and Pregnancy Outcome among Pregnant Women at the Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria

Background Streptococcus agalactiae or group B streptococcus (GBS), although a normal commensal, it is a leading cause of both maternal and neonatal sepsis. Objectives The study assessed the prevalence and sensitivity pattern of Group B Streptococcus, as well as the risk factors for infection and pregnancy outcome among pregnant women at the department of Obstetrics and Gynaecology of the Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. Methods A prospective study among 152 pregnant women at the antenatal care clinic of Usmanu Danfodiyo University Teaching Hospital, Sokoto, selected by simple random sampling technique and relevant information was obtained using semi structured interviewer questionnaire. Swab samples were collected from the vagina and rectum for culture and further evaluation. The data was managed using SPSS software version 26 and the variables were analysed using descriptive and inferential statistics, and P- value &lt; 0.05 was considered statistically significant. Result The prevalence of Group B Streptococcal infection among respondents was 4.6%. The mean age was 26.97± 5.6 with a range of 16 to 39 years. The organism was 100 % sensitive to Levofloxacin, Gentamycin and Clindamycin, but 57.1 %, 28.6 % and 14.3 % sensitive to Erythromycin, Augmentin and Penicillin respectively. The spousal educational status was statistically associated with GBS infection at a P- Value 0.04. There was 1(0.7%) each of spontaneous miscarriage and a preterm birth at 36 weeks’ gestation. Conclusion Group B Streptococcal infection is relatively common in our environment, with a contrary susceptibility pattern. It is association with spousal educational status.

An Audit of Post-neonatal Infant Morbidity and Mortality from Admissions in an Emergency Unit of a Tertiary Hospital in Sokoto, Northwest Nigeria

Background The first year of life is a critical period of adaptation for a young infant during which the child becomes exposed to a lot of infectious agents and other environmental problems as its immune systems and other organs are developing. Magnitude of deaths within the first year of life is a significant socioeconomic index of any population. Challenges can also be brought to the forefront which can be tackled by appropriate authorities. Objectives To assess the causes of morbidity and mortality amongst infants aged 29 days to 12 months admitted in the emergency Paediatric unit (EPU) of Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto over a 5- year period. Materials and Methods The admission records of children aged 29 days to 12 months were retrieved. Information extracted included socio-demographic data, diagnosis and outcome of admission. These were entered into a study proforma and analysed with SPSS version 23. Results Total admissions were 1776 in the five-year review. Majority were males accounting for 1030 (58%) with M:F ratio of 1.38:1. 972 (55.4%) were aged 6 to 12 months. Top causes of admissions were diarrhoea disease 328 (18.5%), pneumonia 280 (15.8%), sepsis 211 (11.9%), malaria 202 (11.4%) and malnutrition 154 (8.7%). Mortalities were 223 (12.6%). Highest fatalities out of 223 were from sepsis 47 (21.1%), pneumonia 40 (17.9%), malaria 27 (12.1%), malnutrition 25 (11.2%) and diarrhoea disease 20 (9.0%). Higher proportion of the mortalities were in females 14.5% vs 11.2% (X2 = 4.3; p=0.038). Sepsis mortality was high throughout likewise pneumonia but mortality pattern of other disease conditions varied throughout infancy. Conclusion Post-neonatal admissions were mainly due to infections, likewise mortality of which the top causes varied throughout infancy. Females were more proportionately affected by mortality. These insights on the morbidity and mortality patterns calls for more concerted efforts on child survival strategies and targeting this group of infants is imperative.

Arthroscopic Debridement and Proximal Fibular Osteotomy in the management of knee Osteoarthritis: A Descriptive Longtudinal Study

Introduction: Knee osteoarthritis commonly occurs in the medial compartment. Arthroscopic debridement eases pain by irrigating debris and inflammatory cytokines. Proximal fibular osteotomy shifts the loading force more laterally from the medial compartment, eliminating pain and delaying degenerative progression. This study aims to evaluate pain relief by combining both procedures in knee osteoarthritis of the medial compartment. Methods: The study was conducted in Nepal Medical College Teaching Hospital from November 2021 to December 2022 after the ethical approval from institutional review committee (IRC Ref. No. 025-078/079). The outcome was assessed by visual analog score and knee society scores, who underwent a combined procedure of arthroscopic debridement and proximal fibular osteotomy during a study period of 12 months.Results: Diagnostic arthroscopy was done in 32 patients, out of which, 27 patients underwent combined procedure with arthroscopic debridement and proximal fibular osteotomy. The mean visual analog score in combined procedure was 6.89 ± 0.93 initially and 3.11 ± 0.69 at 12 months follow up. The mean knee society score in combined procedure was 46.85 ± 6.1 preoperatively and 84.26 ± 8.27 postoperatively at 12 months follow up. Common peroneal nerve neuropraxia was observed in 8 (29.62%) patients, which resolved spontaneously during 6 months of time period. Conclusions: Combined arthroscopic debridement and proximal fibular osteotomy procedure is effective in treating knee osteoarthritis of the medial compartment, as it decreases pain and improves knee society score.

Endoscopic Push-Through Technique Myringoplasty in Tympanic Membrane Perforations; An Institutional Experience in Kathmandu, Nepal

Background Push-through technique cartilage perichondrium composite graft myringoplasty involves placing the graft beneath the freshened perforation by endoscopic approach without elevating tympanomeatal flap. The aim of this study is to assess the graft uptake and hearing after push-through myringoplasty at our institution. MethodsThis prospective study was conducted in Otorhinolarynology Department of Nepal Medical College Teaching Hospital from November 2022 to October 2023 after obtaining ethical clearance from Research and Ethical Sub Committee (RESC). All patients aged 20 years and above with inactive type of chronic otitis media mucosal disease with conductive hearing loss underwent myringoplasty by push-through technique using cartilage perichondrium composite graft. Pure tone audiograms of the patients were done before and after surgery. Graft uptake and hearing results were evaluated at 12 weeks using SPSS. Paired t test was used to assess hearing improvement.ResultsThe success rate among the participants who underwent endoscopic push through myringoplasty regarding graft uptake was 84.8% (78 of 92). The mean preoperative bone conduction threshold was 13.6±4.1 dB as compared to 13.1±4.0 dB postoperatively. Similarly, the mean preoperative air conduction threshold was 45.2±7.3 dB, with the postoperative value being 30.9±7.6 dB. The mean preoperative air-bone gap was 30.6±7.5 dB, while the air-bone gap postoperatively was 17.8±6.7 dB. Paired t-test comparing the means of the preoperative to postoperative air-bone gap showed a significant difference post-surgery with a p value of less than 0.001. Conclusions Push through technique myringoplasty can be used to repair perforations with good results in terms of graft uptake and improved hearing.

Clinical Profile and Outcome of Twin Babies Delivered at a Tertiary Care Center in Eastern Nepal

Introduction: Twin pregnancies are often associated with higher risks of complications for both the mother and the neonates, particularly in resource-limited settings. This study was conducted at a tertiary care center in Eastern Nepal to assess the clinical profile and outcomes of twin pregnancies. Methods: A descriptive cross-sectional study was carried out in the department of Pediatric and neonatology at Nobel Medical College Teaching Hospital, Biratnagar, Nepal over the period of 6 month (December 2023 to May 2024). Total of 32 twin pregnancies of gestational age of ≥28 weeks, where both twins were alive at delivery were included. Data were collected on maternal and neonatal characteristics, including birth weight, gestational age, Apgar scores, and clinical outcomes. Statistical analyses were performed to compare the outcomes between the first and second twins. Results: In the present, study total of 32 eligible twin were analyzed. The majority of twins were (53.1%) delivered between 32 to &lt;37 weeks of gestation rest 46.87% delivering between 28 to &lt;32 weeks. The average Apgar scores were 6.5 at 1 minute and 8.6 at 5 minutes. The most common clinical feature seen in twin neonates was lethargy which was seen in 32 neonates (50%). NICU admission was required for 70.3% of the neonates. There were no significant differences between groups twin 1 and twin 2 in most health indicators, such as clinical symptoms, hemoglobin, PCV, serum calcium level, jaundice, TTTS, chest X-ray findings, NICU admissions, or overall outcomes (P &gt; 0.05). However, twin 1 had a higher rate of neonatal sepsis (P = 0.048). notable difference was observed in the incidence of neonatal sepsis between the first and second twins, with the first twin being more affected. Neonatal mortality rate in twin in the present study was 7.8%. Conclusion: Twin pregnancies have high incidence of preterm delivery and low birth weight. Requirement of NICU care is more in case of first twin.

Sustainable and inclusive; transforming residential undergraduate fieldtrips in an age of the climate crisis

ABSTRACT The Higher Education sector has a critical role to play in shaping our global response to “wicked problems” and nowhere is this more evident than in university research, teaching, and public engagement on sustainability that seeks to tackle the increasingly perilous environmental situation. However, despite this critical civic mission, the Global North HE sector faces growing scrutiny and critique over the mechanisms, cultural norms and practices in which staff, students, research partners, and others operate. This paper explores one facet of this scrutiny by focusing on the recent internationalisation of residential undergraduate fieldtrips within geography, earth, and environmental science programmes. Using a UK Department as a case study, it will document the significant carbon emissions and necessary offsetting costs associated with residential undergraduate fieldtrips, particularly those overseas. It will finish by discussing the Department’s revision to its fieldtrip design through the creation of a value-based fieldtrip framework grounded in the twin agendas of sustainability and Equity, Diversity and Inclusivity (EDI). This “sustainable and inclusive” fieldtrip framework becomes an important way for the Department to reduce the environmental impacts of this teaching activity and strengthen its accessibility and social justice work, thereby ensuring that the Global North HE sector leads by example.

Enhancing Care For Nursing Home Residents Through A Specialised Geriatrician-led Acute Care Team

Abstract Background Nursing home residents (NHRs) represent one of the most vulnerable groups of older adults, requiring complex and comprehensive care due to their multiple comorbidities and intricate healthcare needs. The establishment of a specialised Geriatrician-led Acute Care Team specifically for NHRs can provide better clinical outcomes over traditional care models. These services are designed to address the unique needs of this population, providing appropriate treatment in settings conducive to their well-being and aiming to mitigate adverse consequences associated with unnecessary hospitalizations. Methods In 2023, 343 NHRs were admitted to acute care via Emergency Department in a University Teaching Hospital. Of these, 227 (66%) were admitted under the care of this specialized geriatrician-led team, with an average length of stay of 7 days, totalling 376 bed days, and a readmission rate of 15%. In contrast, 112 NHRs admitted under other non-medical services (surgical specialities) had an average length of stay of 9 days, totalling 849 bed days, and a readmission rate of 11%. Results The primary advantage of this specialist team lies in the personalized attention and expertise provided by gerontologically attuned practitioners. These professionals have a profound understanding of age-related changes, complex health conditions, and psychosocial aspects affecting older adults. By tailoring care plans to individual needs and preferences, they optimize treatment outcomes and enhance quality of life for NHRs. Conclusion In conclusion, the establishment of a specialised acute care team specifically for NHRs represents a significant advancement in addressing the complex needs of this cohort. By leveraging the expertise of gerontologically attuned practitioners and emphasizing person-centred care approaches, these services offer a holistic and tailored solution to improve outcomes and enhance the quality of life for this vulnerable population. Continued investment in developing and expanding such services is crucial for advancing care standards for older adults and promoting a more age-friendly healthcare system.

An Evaluation of The Older Persons Presentation To The Emergency Department (ED) Following A Fall/Syncope/Presyncope

Abstract Background Falls events are a leading reason for presentations to the ED, particularly in older adults. Often these events are unwitnessed and unexplained. Therefore, there is strong consensus that the management of unexplained falls should be evaluated in a similar fashion to syncope as outlined by the World Falls and European Society of Cardiology guidelines. Methods The aim of this study was to evaluate adherence with current falls/syncope guidelines. Consecutive patients over the age of 75 who presented with a fall or syncope to a university teaching hospital in October 2023 were included. Data was collected on diagnostics completed (ECG, CT Brain, Carotid Doppler Ultrasound, EEG, pro BNP, Troponin, Echocardiogram, and External loop recorder), whether specialist falls review was performed, and readmission within 6 months. Completion of diagnostic tests were compared between those who were and were not reviewed by a specialist service using the Chi squared test. Results Falls/syncope/presyncope comprised 17.5% (160/913) of presentations of older people to the ED. Overall, 43% (n=68) had an ECG completed, 15% (n=23) had a pro BNP, and 24% (n=38) had a troponin level measured, 11% (n=17) had an Echo performed, and 10% (n=16) had prolonged cardiac monitoring (R test), 47% (n=74) had a CT Brain performed. Among those who were reviewed by a specialist falls service, (39% n= 62) completion of recommended investigations was significantly higher; ECG (69% v 26%, p&amp;lt;0.01), pro BNP (24% v 8.3%, p&amp;lt;0.01), echocardiogram (21% v 4.2%, p&amp;lt;0.01), cardiac monitoring (18% v 5.2%, p&amp;lt;0.01). Conclusion Falls and syncope are common presentations to the ED among older adults. Patients who were seen by a specialist falls team were more likely to have the appropriate diagnostics complete. Therefore, a specialist falls/syncope pathway led by a specialist falls service in the ED could result in better outcomes for patients.

An Audit Of Post Fall Medical Reviews In Older Hospital Inpatients

Abstract Background After an older person falls in hospital, the post-fall medical review is critical to assess injury and to put a plan in place to prevent further falls. We performed an audit to assess the post fall medical review and management of patients ≥65 years in a large university teaching hospital compared to national standard “Service User Falls: A Practical Guide for Review” and NICE Guidelines. Methods In a consecutive cohort of patients with falls, the post-fall medical review note was examined for crucial details from the history (mechanism, head/hip strike, loss of consciousness, pain) and examination (confusion, vital signs, joint assessment). In addition, we audited if there was an indication for CT Brain and compared to NICE criteria. Results 49 post fall medical review notes were audited (Mean age 79 years, range 66-96). 27% of patients who fell had a CT Brain. 6% (3/49) of patients who fell met NICE criteria for CT Brain, but it was not performed. Conclusion A significant proportion of post fall medical reviews omit important details that could help diagnostically and to inform a plan to prevent further falls. There is limited guidance for clinicians as to when to order a CT Brain for inpatient falls. We plan to introduce a post fall medical review pro forma/checklist and to standardise a CT Brain decision tool. We will then re-audit post introduction of these to assess for quality improvement.

Post-Acute Admission Mortality Rates for Nursing Home Residents

Abstract Background Nursing home residents (NHRs) constitute a vulnerable demographic with intricate healthcare requirements, often burdened by multiple comorbidities. A specialised geriatrician-led acute care team for NHRs was established in a University Teaching Hospital. This service prioritises the unique needs of NHRs, delivering tailored treatments in environments conducive to their well-being, while also striving to mitigate the adverse effects associated with avoidable hospitalizations. Methods An analysis of NHR admissions to a University Teaching Hospital in 2023, showed that 307 out of 343 (89.5%) were discharged back to the community. All discharged NHRs were followed up. Their 3 and 6 month mortality rate post discharge was 8% (n=24) and 13% (n=40) respectively. Majority of these frail NHRs survived beyond six months following hospital admissions, indicative of the potential impact of a specialized gerontological care follow-up. Results This specialist team has a post-discharge follow-up protocol for all admitted NHR residents, aimed to detect potential deteriorations and offer alternative avenues of review, minimizing unnecessary emergency department visits, particularly in non-urgent cases. Interventions such as the FastTrack Fracture service, direct ED reviews, and facilitating outpatient appointments were instrumental in this endeavour. Conclusion In summary, the establishment of this specialised geriatrician-led acute care team for NHRs marks a substantial stride in addressing the multifaceted needs of frail older adults in nursing homes. By leveraging the expertise of gerontologically attuned practitioners and emphasizing person-centered care approaches, these services provide a holistic and individualized solution to enhance outcomes and elevate the quality of life for this vulnerable population. Sustained investment in the development and expansion of such services is paramount for advancing care standards for older adults and fostering a more age-friendly healthcare milieu.

The Impacts and Challenges of ChatGPT on Translation Teaching in Universities

ChatGPT, as an artificial intelligence tool, has played an important role in various fields, especially in the field of education. However, there are still shortcomings in translation teaching in universities. This paper analyzes firstly the impacts and challenges of ChatGPT in translation teaching in universities and concludes that ChatGPT can help reduce teachers' teaching burden, provide a rich corpus, and improve translation efficiency. But at the same time, this paper also finds out that the abuse of ChatGPT will bring certain risks, such as causing alienation of the relationship between teaching subjects, and students' excessive reliance on it is not conducive to the cultivation of innovative and critical consciousness, ChatGPT will also lead to academic misconduct such as cheating and plagiarism. Based on this, this paper puts forward the following suggestions: Establish two correct tripartite relationships, cultivate students' innovative consciousness, and formulate more perfect laws and regulations to regulate the use of ChatGPT.

Current Situation and Countermeasures of Guzheng Teaching in Universities

The purpose of this paper is to discuss the current situation and existing problems of guzheng teaching in universities, and to put forward corresponding countermeasures and suggestions. Firstly, through analysing the background and significance of guzheng education in universities, the important position of guzheng teaching in university music education is emphasized. Then, the current situation of guzheng teaching in universities is analysed in detail, including curriculum, teaching content, teaching mode and method, teaching staff and teaching facilities and resources. On this basis, this paper reveals the problems of university guzheng teaching, such as the imperfection of the curriculum and teaching content, the lagging behind of the teaching mode and method, the uneven level of the teaching staff, and the insufficiency of teaching facilities and resources, etc. In order to improve these problems, this paper puts forward a proposal for the improvement of guzheng teaching in universities. In order to improve these problems, this paper puts forward a series of countermeasures and suggestions, including improving the curriculum and teaching content, innovating the teaching mode and method, improving the level of teachers, and strengthening the construction of teaching facilities and resources. Finally, this paper summarises the whole article and points out the importance of university guzheng teaching and the future development prospect.

EXAMINING UNIVERSITY TEACHERS’ AND STUDENTS’ AWARENESS &amp; ACCEPTANCE ABOUT CULTURALLY RESPONSIVE TEACHING

This research examines awareness and acceptance of culturally responsive teaching (CRT) amid university teachers and students, aiming to elucidate its implications for educational practice and policy. This qualitative study seeks to explore the awareness and acceptance of CRT among university teachers and students, shedding light on the nuances of their perceptions and experiences. Through thematic analysis of participant interviews, this study explores how CRT is understood &amp; integrated into teaching practices across diverse disciplines. Findings show that varying levels of awareness among educators, highlighting importance of professional development &amp; institutional support in promoting effective CRT implementation. Student viewpoint underline effect of culturally related pedagogy on engagement and academic performance of teachers. Ultimately, research underscores CRT's potential to foster inclusive learning environments &amp; prepare students for diverse global contexts, leading to debates on equity and social justice in education. Thus, by exploring knowledge, acceptance and execution of CRT in educators &amp; students of university, this research pinpoint strengths and weaknesses of implementing CRT principles into university teaching and learning endeavors.