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Background: Collaboration and decision making among nursing students are essential competencies in nursing education. However, how students collaborate and make decisions in simulation is a complex phenomenon and not well understood. This study aimed to develop a framework that describes peer collaborative clinical decision making (PCCDM) among nursing students in simulation., Method: Charmaz's constructivist grounded theory method was used. The sample included 32 participants (16 dyads) from two nursing programs., Results: The PCCDM framework described three interrelated functional domains (cognition, behavior, and emotion) experienced through three interrelated processes (awareness, communication, and regulation), alternating between individual and collaborative spaces and changing across time according to the simulation's acuity levels., Conclusion: The PCCDM framework provides a model that reflects how these processes unfold over time in simulations, which can be applied in nursing simulation, classroom, and clinical settings that require students to make collaborative decisions. [ J Nurs Educ . 2024;63(7):435-443.] .

Objectives: The aim of this systematic review was to synthesize research completed between 2011 and 2021 to report the current state of the science on the use of standardized patients (SPs) to teach communication skills. The research question that guided this study was, "Among health care professionals, does the use of SP methodology as a means of teaching communication skills result in improved learner knowledge, skills, attitudes, and/or patient outcomes when compared with other simulation methodologies?", Design: This review was reported in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).Data SourcesFour databases (CINAHL, Ovid Embase, Ovid Medline, and Scopus) were searched using a combination of medical subject headings, or Mesh terms, as well as keywords to retrieve nonindexed citations.Review MethodsThe inclusion criteria were broad to complete a comprehensive search of the literature. To be eligible for inclusion, a study had to be original research that compared simulation using an SP to another simulation methodology. The study had to evaluate communication knowledge, skill, attitude, and/or patient outcome with an academic or practicing health care professional., Results: The initial database search strategy yielded 8058 citations. These results were narrowed down to 18 studies through an in-depth analysis of each article using identified inclusion criteria. The SPs were superior to role play in 1 (33%, n = 3) study where knowledge was evaluated, 6 (75%, n = 8) studies where skills were evaluated, and 1 (20%, n = 5) study where attitude was evaluated. The SPs were compared with a manikin in 5 studies. The SPs were superior to a manikin in 3 (60%, n = 5) studies where knowledge was measured and in 1 (100%, n = 1) study where attitude was measured. No study measured the outcome knowledge of an SP to a manikin. Finally, SPs were compared with a virtual SP in 3 studies. When knowledge was evaluated, SPs were superior to a virtual SP in 1 study (100%, n = 1). When skills were evaluated, SPs were superior to a virtual SP in 1 study (50%, n = 2), and when attitude was evaluated, SPs were superior to a virtual SP in no study (0%, n = 2). No study evaluated patient outcomes in the comparison of an SP to another simulation methodology., Conclusions: Studies show a weak indication that SP-based education is superior to other simulation methodologies in most contexts. However more rigorous studies with larger sample sizes, validated instruments, and effects on patient outcomes are needed to definitively determine the optimal method/modality for teaching communication to health care professionals., Competing Interests: The authors declare no conflict of interest., (Copyright © 2023 Society for Simulation in Healthcare.)

Purpose: Transanal total mesorectal excision (TaTME) has been proposed to overcome surgical difficulties encountered during rectal resection, especially for patients having high body mass index or low rectal cancer. The aim of this study was to evaluate oncologic outcomes following TaTME., Methods: This retrospective study included all consecutive patients with rectal cancer who had a TaTME from 2013 to 2019. The main outcome was the incidence of locoregional recurrence by the end of the follow-up period., Results: Among a total of 81 patients, 96.3% were male, and their mean age was 63±9 years. The mean body mass index was 30.3±5.7 kg/m2, and the median distance from tumor to anal verge was 5.0 cm (interquartile range [IQR], 4.0-6.0 cm). Most patients had a low anterior resection performed (n=80, 98.8%) with a diverting ileostomy (n=64, 79.0%). Distal and circumferential resection margins were positive in 2.5% and 6.2% of patients, respectively. Total mesorectal excision was complete or near complete in 95.1% of patients. A successful resection was achieved in 72 patients (88.9%). After a median follow-up of 27.5 months (IQR, 16.7-48.1 months), 4 patients (4.9%) experienced locoregional recurrence. Anastomotic leaks were observed in 21 patients (25.9%). At the end of the follow-up, 69 patients (85.2%) were stoma-free., Conclusion: TaTME was associated with acceptable oncological outcomes, including low locoregional recurrence rates in selected patients with low rectal cancer. Although associated with a high incidence of postoperative morbidities, the use of TaTME enabled a high rate of successful sphincter-saving procedures in selected patients who posed a technical challenge.

Background: The relationship between learning modalities and nursing students' sleep quality during the coronavirus disease (COVID-19) pandemic is unknown., Purpose: This study examined the relationships between remote learning and the sleep quality of nursing students during the COVID-19 pandemic., Methods: Using a cross-sectional descriptive design, 890 nursing students were surveyed online to identify sleeping habits and learning modalities., Results: There were no significant correlations between remote learning hours, self-reported sleep hours, and sleep quality. The asynchronous-only group reported better sleep quality than the in-person and online hybrid group after controlling for health conditions and grade point average. Students who reported that remote learning had impacted their sleep had poorer sleep quality., Conclusions: This study provides insight into how different learning modalities impact nursing students' sleep quality during the pandemic., Competing Interests: The authors declare no conflicts of interest., (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)

To investigate the dissemination of ESBL/pAmpC-producing E. coli within the food distribution system of Ho Chi Minh City (HCMC), Vietnam, the prevalence of ESBL/pAmpC-producing E. coli strains in chicken meat, pork, beef, and fish/shrimp samples obtained from slaughterhouses, a wholesale market, and supermarkets was examined. Among the total of 330 collected food samples, ESBL/pAmpC-producing E. coli was detected in 150 samples (45.5%). The highest prevalence of these isolates was in chicken meat (76/82, 92.7%), followed by pork (32/92, 34.8%), beef (18/74, 34.3%), and fish/shrimp (24/82, 29.3%). A total of 342 strains of ESBL/pAmpC-producing E. coli were isolated from 150 positive food samples. The most prevalent genes responsible for ESBL or pAmpC activity belonged to the CTX-M-9 (110/342, 31.2%), CTX-M-1 (102/342, 29.8%), and CIT (118/342, 34.5%) groups. To our knowledge, this is the first report of the high occurrence of pAmpC (37.1%) in animal-based food in Vietnam. Among the 342 total ESBL/pAmpC-producing E. coli isolates, 276 (80.7%) were resistant to at least 6 antibiotic agents. Notably, high percentages of resistance to ciprofloxacin and fosfomycin were found in isolates from chicken (80.5% and 50.8%, resp.). These findings demonstrate that animal-based food products in HCMC represent a major reservoir of ESBL/pAmpC-producing E. coli.

Background: The accuracy and precision of any instrument should not be taken for granted. While there is an international standard for checking focimeters, there is no report of any study on their performance., Method: A sample set of 51 focimeters (11 brands), were used to measure the spherical power of a set of lenses and the prismatic power of two lenses complying with ISO 9342-1:2005 and other calibrated prismatic lenses and the spherical power of some grey filters., Results: The mean measured spherical power corresponded very closely with the calibrated values; however, the spread of results was substantial and 10 focimeters did not comply with ISO 8598:1996. The measurement of prism was much more accurate and precise and all the focimeters complied easily. With the grey filters, about one-third of the focimeters either showed erratic reading or an error with the equivalent of category 4 sunglasses. On the other hand, nine focimeters had stable and accurate reading on a filter with a luminous transmittance of 0.5 per cent., Conclusions: These results confirm that, in common with all other measurement instruments, there is a need to ensure that a focimeter is reading accurately and precisely over the range of refractive powers and luminous transmittances. The accurate and precise performance of an automated focimeter over its working life cannot be assumed. Checking before purchase with a set of calibrated lenses and some dark sunglass tints will indicate the suitability of a focimeter. Routine checking with the calibrated lenses will inform the users if a focimeter continues to indicate accurately., (© 2014 The Authors. Clinical and Experimental Optometry © 2014 Optometrists Association Australia.)

Green and efficient production of biodiesel (FAME) from waste grease containing high amount of free fatty acid (FFA) was achieved by using novel magnetic nanobiocatalyst aggregates (MNA). Thermomyces lanuginosus Lipase (TLL) and Candida antarctica Lipase B (CALB) were covalently immobilized on core-shell structured iron oxide magnetic nanoparticle (80 nm), respectively, followed by freeze-dry to give MNA (13-17 μm) with high yield (80-89%) and high enzyme loading (61 mg TLL or 22 mg CALB per gram MNA). MNA TL showed the best performance among immobilized enzymes known thus for the production of FAME from grease (17 wt.% FFA) with methanol, giving 99% yield in 12 h (3.3 wt.% catalyst). MNA TL was easily separated under magnetic field and reused, retaining 88% productivity in 11th cycle. MNA CA converted >97% FFA in grease (17 wt.% FFA) to FAME in 12 h (0.45 wt.% catalyst), being useful in two-step transformation of grease to biodiesel., (Copyright © 2012 Elsevier Ltd. All rights reserved.)

Background: Australian/New Zealand Standard 1337.6 deals with prescription eye protection and has been in place since 2007. There have been many standards marking licences granted since then. The issue of the worst-case situations for assessment in a certification scheme, in particular -1.50 m(-1) lenses, has been the subject of discussion in Standards Australia/Standards New Zealand Committee SF-006. Given that a body of data from testing exists, this was explored to advise the Committee., Methods: Data from testing 40 sets of prescription eye protectors were analysed retrospectively for compliance with the impact and refractive power requirements in 2010-11. The testing had been carried out according to the methods of AS/NZS 1337.6:2007 under the terms and conditions of the accreditation of the Optics & Radiometry Laboratory by the National Association of Testing Authorities., Results: No eye protector failed the low-impact resistance test. Failure rates of 1.6 per cent (two of the 40 sets) to the medium impact test and 1.6 per cent (three of the sets) to the medium impact test in the elevated temperature stability test were seen. These are too small for useful statistical analysis. Only -1.50 m(-1) lenses were in all failing sets and these lenses were over-represented in the failures and borderlines, especially compared with the +1.50 D lenses. Failures in prismatic power were equally distributed over all prescriptions. This over-representation of -1.50 m(-1) lenses was not related to the ocular/lens material or to the company manufacturing the eye protectors., Conclusions: The proposal is made that glazing lenses tightly to ensure they are retained in the frame on impact may result in unwanted refractive power in those lenses most prone to flex. These data support the proposal that -1.50 m(-1) lenses should form part of a worst-case testing regime in a certification scheme., (© 2012 The Authors. Clinical and Experimental Optometry © 2012 Optometrists Association Australia.)

A novel concept and efficient method for producing biodiesel (FAME) from grease (15-40wt% free fatty acid, FFA) were developed by using tandem lipases for one-pot esterification of FFA and transesterification of triglyceride with methanol in a solvent-free system. Combining immobilized Candida antarctica lipase B (CALB) (Novozyme 435) favoring the esterification and immobilized Thermomyces lanuginosus lipase (TLL) (Lipozyme TLIM) preferring the transesterification at 2:8 (wt/wt) gave FAME in 80% yield, being better than that with Novozyme 435 or Lipozyme TLIM. Recombinant Escherichia coli (Calb/Tll) co-expressing CALB and TLL was engineered as a more efficient tandem-lipases system. Using wet or dry cells (4wt%) gave FAME in 87% or 95% yield, which is much better than that with E. coli cells expressing either CALB or TLL alone. Cells of E. coli (Calb/Tll) were recycled for five times and retained 75% productivity, thus being practical for producing biodiesel from grease., (Copyright © 2012 Elsevier Ltd. All rights reserved.)

A whole-cell based solvent-free system was developed for efficient conversion of waste grease to biodiesel via one-pot esterification and transesterification. By isolation and screening of lipase-producing strains from soil, Serratia marcescens YXJ-1002 was discovered for the biotransformation of grease to biodiesel. The lipase (SML) from this strain was cloned and expressed in Escherichia coli as an intracellular enzyme, showing 6 times higher whole-cell based hydrolysis activity than that of wild type strain. The recombinant cells were used for biodiesel production from waste grease in one-pot reactions containing no solvent with the addition of methanol in several small portions, and 97% yield of biodiesel (FAME) was achieved under optimized conditions. In addition, the whole-cell biocatalysts showed excellent reusability, retaining 74% productivity after 4 cycles. The developed system, biocatalyst, and process enable the efficient, low-cost, and green production of biodiesel from waste grease, providing with a potential industrial application., (Copyright © 2012 Elsevier Ltd. All rights reserved.)

Reversible clusters of nanobiocatalysts are developed via non-covalent interaction among enzyme-bound iron oxide magnetic nanoparticles. Dissociation of the clusters by shaking during biotransformation enables high catalytic performance, and re-clustering by stopping shaking after reaction allows for easy magnetic separation. The novel concept is demonstrated with alcohol dehydrogenase RDR for the enantioselective reduction of 7-methoxy-2-tetralone., (This journal is © The Royal Society of Chemistry 2012)

Purpose: Tolerances required for ophthalmic lenses are set down in national and international standards. It appears that the compliance of manufactured lenses has not been reported previously. Assembling a statistical quantity of lenses of a single prescription is usually an expensive process. It was, secondary to a lens impact study, possible to assemble a large number of plano lenses. In the assessment of the fracture velocity of lenses approximately 20 plano lenses of each material and thickness are required. Prior to using lenses for the impact study, they were checked for prescription. The results of the prescription measurements are reported here and the results of the impact study are reported in a separate paper., Methods: Using an automated focimeter, 679 plano lenses in stock thickness, typical occupational eye protector thickness and up to 3.5 mm thick were measured. There were 21 combinations of material/thickness/coating from seven suppliers. The power was evaluated against Australian Standard 2228.1-1992, as the lenses were supplied in Australia. The permitted tolerances are ±0.09 D sphere and ±0.06 D cylinder., Results: When assessed for material/thickness/coating combination, failure rates varied from <0.0001 per cent to 77.5 per cent (with a further 17.3 per cent classified as borderline, because they were within the uncertainty of measurement of the required limit). Grouped by supplier, the failure rates ranged from <0.0001 per cent to 7.6 per cent (with a further 12.3 per cent borderline). To improve understanding of the result, it may be easier to quote the figures without considering uncertainties. When assessed by supplier, the failure rate varies from <0.0001 per cent to 12.6 per cent., Conclusions: Compliance of plano lenses should be among the easiest of tasks for a laboratory. While we know of no defined or required acceptance rates for prescription lenses, a failure rate for a laboratory of 12.6 per cent, which includes a failure rate of 88 per cent in 2.8 mm thick refractive index = 1.53 hard coated lenses (n = 20) cannot be considered satisfactory and is a strong indication of a failure to check lenses before they leave the laboratory., (© 2011 The Authors. Clinical and Experimental Optometry © 2011 Optometrists Association Australia.)

Purpose: The Optics and Radiometry Laboratory (ORLAB) provides a testing service for the Australian sunglass industry to assist its compliance with the mandatory Consumer Product Safety Standard. In doing so, a number of sunglasses carrying the CE mark (in effect a claim of compliance with the European Union Personal Protective Equipment Directive) have been tested. Since there is no mandatory testing in Europe (the sunglass industry is deemed self regulating), evaluating their performance will give an insight into compliance with the Directive., Methods: Consecutive submissions to ORLAB over a period of 18 months were examined for CE marked sunglasses. The results for 646 CE marked pairs of sunglasses tested during 2003 and first half 2004 were examined and evaluated for compliance with EN 1836 (the European sunglass standard) on the basis of refractive power, prismatic power, transmittance (visible, UV and coloration) and polarization., Results: A total of 17.3% failed EN 1836 and 3.3% were borderline (i.e. within our uncertainties of measurement of the requirement). The failures comprised: 0.9% lens defect; 12.5% polarization alignment error; 2.7% excessive vertical prism; 22.3% excessive horizontal prism; 27.7% excessive spherical power; 14.3% excessive cylindrical power; 1.8% excessive UV transmittance; and 23.2% transmittance difference between lenses (always gradient tints)., Conclusion: With up to 20% non-compliance, self regulation is not working particularly well in providing the public with complying sunglasses.

We have investigated the quality factors of silicon-based photonic crystal nanocavities using the photoluminescence of a single layer of Ge/Si self-assembled islands as an internal source. We focus on membrane-type L3 elongated cavities with or without their lateral edge air holes shifted in position. The photoluminescence measurements are performed at room temperature. We show that the quality factor of the fundamental mode observed at a normalized frequency u = a/lambda~&#95; 0.25 is strongly dependent on the incident pump power. This dependence is associated with the free-carrier absorption of the photogenerated carriers. The slope of the quality factor vs. incident pump power gives access to the carrier recombination dynamics in these Si-based nanocavities. The measurements indicate that the carrier dynamics is controlled by nonradiative recombination associated with surface recombinations. A surface recombination velocity of 4.8 x 10(4) cm/s is deduced from the experiments. The spectral red-shift of the cavity modes as a function of incident pump power is correlated to the temperature rise due to thermo-optic effects. The measured temperature rise, which can reach 190 K, is correlated to the value estimated by a thermal analysis.