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Background: The balance between lessons prepared to challenge the talented students and students who find the courses difficult is a recurrent dilemma in the Danish nurse education. Challenging talented students while pitching the learning appropriately for less able students is a recurring dilemma in education. In Danish nursing courses, the gap between these two kinds of student becomes particularly obvious in fifth semester theoretical courses., Method: To provide knowledge of students' experiences of challenging courses a phenomenological approach was adopted. Nine fifth semester nursing students participated. Data were generated through photo-elicitation, which proceeded in two steps. Firstly, nursing students were invited to take photos of NO-situations, i.e. situations they considered to be boring, difficult, annoying or confusing, and YES-situations, which they considered to be cool, awesome, interesting, exciting, encouraging, etc. Secondly, the students presented their photos at a workshop, where they described the background of the photos. In reflecting teams, they reflected on the stories and discussed whether they recognised the situations and could relate them to their own experiences. The stories, reflections and discussions were audio recorded and transcribed., Findings: A phenomenological analysis revealed three themes. The first theme It is hard to crack the code was characterised by a feeling of insecurity in facing unknown words and concepts that were far from what they normally associated with nursing. The second theme When the students succeeded in cracking the code was characterised by the feeling of joy and relief when they grasped the meaning and understood the links to nursing practice. The third theme Sources of irritation and frustration was characterised by various disturbances, lack of mutual respect and practical challenges. The paper also adds to the field of elicitation methods the combination of photo-elicitation and reflecting teams., (Copyright © 2019 Elsevier Ltd. All rights reserved.)

In a one-year prospective investigation in 1985, all bicycle accidents in Denmark were registered. The circumstances of the accident were recorded. All injuries were classified in the AIS and the ISS scales. After one year, the patients were contacted and sick leave and sequelae were registered. A total of 576 patients (320 men and 256 women), were treated after bicycle accidents. Bicycle accidents were seen most frequently in the ages from 5 to 19 years. The accidents were distributed uniformly over the week and occurred most frequently in the summer. 392 of the accidents were single-accidents, and the majority had used a bicycle-track if possible. Collision with other road users and bad road conditions were responsible for 41%, and defects in the bicycle for 9%, mainly on handlebars, front fork, front wheel, gear and chain. Two were admitted dead, and 114 were admitted to hospital (20%) for median four days. Eleven per cent had sustained serious lesions (fractures or lesions of the head). 556 had an AIS-score less or equal to three and un 387 the AIS-score was one. 561 had an ISS-score less than ten, five between ten and 75 and two had 75. Eight patients could not be classified. The patients AIS score is determined as the highest score of an injured region. AIS score of 6 is fatal. The ISS score is the addition of the square of the 3 highest AIS values. ISS of 75 is fatal. AIS is thus a value of the most serious lesion and ISS is a value of how traumatized the patient is.(ABSTRACT TRUNCATED AT 250 WORDS)

In a one year prospective investigation, the circumstances and sequelae of 75 moped accidents were registered. The patients were aged mainly between 14 and 18 years and the accidents happened mainly in the afternoon hours. The majority of the injuries were on the head and the extremities. Twenty-one of the patients were admitted to hospital for median 4.8 days, 50 were treated as outpatients and four were dead on admission. The patients were contacted one year after the accident and one had severe sequelae and five had minor sequelae.