Effect of authentic leadership and mindfulness educational program on nursing managers' competencies: a quasi-experimental study.

BACKGROUND: Authentic leadership is an emerging perspective in leadership that focuses on leaders' values and beliefs. while the mindfulness perspective permits nurse managers to be fully present, aware of themselves and their impact on others, and aware of their reactions in stressful situations. so, authentic leadership and mindfulness if combined create nurse managers who have clearer, more focused thinking, and a growth mindset that help subordinates improve and grow. as well as mindfulness-based interventions help them to improve interpersonal relationships with patients and colleagues, and to take better care of themselves and others. AIM: The present study aims to; explore the effect of authentic leadership and mindfulness educational program on nursing managers' competencies in hospital. METHODS: A quasi-experimental design (Quantitative pre-, post-, and follow-up design) was used to conduct the study at Shirbeen General Hospital, Egypt. The study subjects consist of a purposive sample of 70 nurse managers and 226 nurses. Three tools used for data collection consisted of; the authentic leadership questionnaire, the five Facet Mindfulness Questionnaire, and the managerial competencies of Nurse Managers. Data analysis was performed using SPSS version 20, Qualitative categorical variables were compared using the chi-square test. A significant level value was considered when the p-value ≤ 0.05, and Cohen's d was used to measure the effect size which indicated there was a large effect of educational program on post and follow-up knowledge, authentic leadership, mindfulness, and managerial competencies scores. RESULTS: The current study revealed that there were significant differences between nurse managers' knowledge, authentic leadership, mindfulness, and managerial competencies (P = 0.001) pre-, post-, and after 3 months of the program. As determined by Cohen's d test, there was a large effect of educational program on post and follow-up knowledge, authentic leadership, mindfulness, and managerial competencies scores. CONCLUSION: The educational program about authentic leadership and mindfulness had a positive effect on nurse managers' managerial competencies. TRIAL REGISTRATION NUMBER (TRN): The study protocol was approved by the Research Ethics Committee of the Faculty of Nursing, Port Said University, Egypt (code number: NUR 13/3/2022-11).

ZnO/CuSe composite-mediated bandgap modulation for enhanced photocatalytic performance against methyl blue dye.

The removal of toxic dye pigments from the environment is of utmost importance since even trace amounts of these pollutants can lead to harmful impacts on ecosystems. Heterogeneous photocatalysis is a potential technique for eliminating microbiological, inorganic, and organic pollutants from wastewater. Here, we report the band gap alteration of ZnO by making its composites with CuSe to enhance photocatalytic activity. The purpose is to develop metal oxide nanocomposites (ZnO/CuSe) as an effective and efficient material for the photodegradation of methyl blue. The photocatalysts, ZnO nanorods, CuSe, and ZnO/CuSe nanocomposites of different weight ratios were synthesized by the simple and cost-effective technique of precipitation. UV-Vis spectra verified that the ZnO/CuSe photocatalyst improved absorption in the visible region. The optical bandgap of ZnO/CuSe nanocomposites reduced from 3.37 to 2.68 eV when CuSe concentration increased from 10 to 50%. ZnO/CuSe composites demonstrated better photocatalytic activity than ZnO when exposed to UV-visible light. The pure ZnO nanorods could absorb UV light and the nanocomposites could absorb visible light only; this was attributed to the transfer of excited high-energy electrons from ZnO to CuSe.

Influence of tomato waste composts on dry matter and heavy metals content in cucumber and summer squash seedlings.

Huge quantities of agricultural waste are available annually in Saudi Arabia, which are not well exploited, leading to large environmental pollution and health problems. The use of different proportions of tomato waste compost (TWC) mixed with commercial peat-moss as a natural, economical, cheap and environmentally friendly fertilizer for fertilizing vegetables is very important, therefore, this study is concerned with investigating and evaluating the dry matter content (DM) and the accumulated heavy metal contents (HMs) in the root and leaf seedlings tissues of cucumber and summer squash plants as a result of using this fertilizer. Five ratios of mixtures (vermiculite: peat moss: TWC by weight) used in the experiment, and the TWC in the mixture represents 0, 5, 10, 15 and 20% (by wieght). The results indicated that, the DM contents in the root and leaf tissues were relatively close between cucumber and summer squash seedlings. However, they were higher in the root than in leaf tissues, particularly under 20% TWC. A TWC application ratio of 20% reduced concentrations of the most HMs in the two vegetable species seedlings due to high EC and pH levels. The amounts of HMs in vegetable species were not high, which proves the that transfer of HMs from the TWC substrate to the seedlings is determined chiefly by metal bioavailability and by a vegetable species. DM, mineral and nutritional quality of vegetable seedlings showed that substrates containing 5% and 10% TWC appeared to be the most suitable growing medium for economic vegetable seedlings; and it is recommended for use in the nursery production. Implications: The idea of this research revolves around the use of different proportions of tomato waste compost in fertilizing cucumber and summer squash seedlings and investigate the effect of this compost on dry matter (DM) and heavy metal (HMs) contents in the root and leaf tissues of the seedlings, and fruit quality of cucumber and summer squash plants.

Geochemical and remote sensing integrated with satellite gravity data of Darhib and Atshan talc deposits, South Eastern Desert, Egypt.

The current contribution conducted new geochemical, remote sensing integrated with gravity detailed studies of talc deposits to identify the talc protolith as well as its extension, depth, and structures. There are two examined areas, distributed from north to south, Atshan and Darhib and both belong to the southern sector of the Egyptian Eastern Desert. They occur as individual lenses or pocket bodies in ultramafic-metavolcanics following NNW-SSE and E-W shear zones. Geochemically, among the investigated talc, Atshan samples have high contents of SiO2 (av. 60.73 wt.%), and higher concentrations of transition elements such as Co (av. 53.92 ppm), Cr (781 ppm), Ni (av. 1303.6 ppm), V (av. 16.67 ppm), and Zn (av. 55.7 ppm). Notably, the examined talc deposits contain low contents of CaO (av. 0.32 wt.%), TiO2 (av. 0.04 wt.%), SiO2/MgO (av. 2.15), and Al2O3 (av. 0.72 wt.%), which is comparable with ophiolitic peridotite and forearc setting. False color composite (FCC), principal component analysis (PCA), minimum noise fraction (MNF), and band ratio (BR) have been used to distinguish talc deposits in the investigated areas. Two new proposed band ratios were created to separate talc deposits. FCC band ratios (2/4, 4/7, 6/5) and (4 + 3/5, 5/7, 2 + 1/3) have been derived to focus on talc deposits in two case studies, Atshan and Darhib areas. The application of regional, residual, horizontal gradient (HG), and analytical signal (AS) techniques to gravity data are used in interpreting the structural directions of the study area. The analysis of this technique displays several notable faults trending in NW-SE, NE-SW, NNW-SSE, and E-W directions. Two techniques of gravity depth calculation were applied in the study areas, namely source parameter image (SPI), and Euler deconvolution (EU). The analysis of these techniques reflects that the depth of subsurface sources ranges between 383 and 3560 m. Talc deposits may be attributed to greenschist facies metamorphism or to a magmatic solution that is (associated with granitic intrusions) interacted with the surrounding volcanic rocks forming metasomatic minerals.

The impact of Cu-polluted and organic soil on the fibrous plant; insights into plant growth promotion, antioxidant defences system, and oxidative stress.

Copper (Cu) is an abundant essential micronutrient element in various rocks and minerals and is required for a variety of metabolic processes in both prokaryotes and eukaryotes. However, excess Cu can disturb normal development by adversely affecting biochemical reactions and physiological processes in plants. However, organic soil is rich in micronutrients and can assist plants to tolerate toxicity by promoting growth and biomass. This study explored the potential of organic and Cu-contaminated soil on fibrous jute (Corchorus capsularis ). Plants were grown in the organic soil, natural soil (normal soil) and Cu-contaminated soil for 60days, and we studied different growth, physiological and ultra-structure alterations in the plant. Results showed that the addition of organic acid in the soil showed a remarkable increase in seed germination, plant height, fresh biomass, photosynthetic pigment and gas exchange parameters, and decreased the malondialdehyde (MDA) concentration in the tissues when compared to the plants grown in the natural soil. In contrast, plants grown in the Cu-contaminated soil significantly (P <0.05) decreased the seed germination, plant height, fresh biomass, photosynthetic pigment and gas exchange parameters, and increased MDA content, proline concentration and the activities of various antioxidant compounds; i.e. peroxidase (POD) and superoxidase dismutase (SOD). In addition, Cu toxicity also destroyed many membrane bounded organelles especially the chloroplast, which was revealed from transmission electron microscopy (TEM). We concluded that Cu toxicity affected growth and physiological attributes in C. capsularis , while addition of organic soil increased plant growth and biomass.

Upper airway multilevel radiofrequency under local anesthesia can improve CPAP adherence for severe OSA patients.

OBJECTIVE: To evaluate the effect of upper airway radiofrequency (RF) tissue reduction under local anesthesia (LA) in severe obstructive sleep apnea (OSA) patients using continuous positive airway pressure (CPAP) in order to improve their compliance and adherence. DESIGN: Thirty (30) patients were included in this randomized clinical trial, suffering from severe OSA seeking medical advice for better upper airway management while using CPAP. Multilevel RF tissue reduction at tongue base, soft palate and inferior nasal turbinates was done under LA in multiple sessions. The Apnea hypopnea index (AHI), arousal index, lowest SpO2, CPAP pressure, and CPAP using time were recorded pre-operatively and six months after the last RF session. RESULTS: Post-operatively, there were significant reduction in AHI (86.03 ± 20.5 vs. 54.65 ± 16.6 p < 0.001), arousal index (71.14 ± 17.7 vs. 35.90 ± 11.8 p < 0.001), and CPAP Pressure (17.13 ± 1.7 vs. 10.97 ± 1.5 p < 0.001). Also there was a significant increase in the lowest SpO2 (60.2 ± 0.2 vs. 75 ± 0.1 p < 0.001), and CPAP using time in hours (1.57 ± 0.56 vs. 3.75 ± 0.41 p < 0.001). Visual analogue scale (VAS) for pain was recorded showing that all patients reported throat pain mainly in the first five post-operative days which was well controlled on analgesia. CONCLUSION AND RELEVANCE: Upper airway multilevel RF tissue reduction of tongue base, soft palate and inferior nasal turbinates under local anesthesia significantly improves the tolerance and adherence of severe OSA patients using CPAP.

Digenic inheritance of IL-36RA and SEC61A1 mutations underlies generalized pustular psoriasis with hypogammaglobulinemia.

We report a female patient presenting with generalized pustular psoriasis and hypogammaglobulinemia due to digenic mutations in IL-36RA and SEC61A1. The patient presented with recurrent fevers, elevated inflammatory markers, hepatosplenomegaly, and recurrent sinopulmonary infections in the context of hypogammaglobulinemia which improved on immunoglobulin replacement. This report demonstrates how digenic inheritance leads to complex phenotypes, and illustrates the importance of following an unbiased approach to identifying variants, especially in patients with atypical clinical presentations.

Efficient Use of Graphene Oxide and Silica Fume in Cement-Based Composites.

Incorporation of graphene oxide (GO) and silica fume (SF) to cement composites enhances their mechanical properties if suitable proportional amounts of GO and SF are used. This study presents a simplified approach to determine experimentally the optimum GO and SF contents that should be added to the cementitious mixture to obtain a proper and stable dispersion of GO sheets within the cement matrix. Composite mortar specimens with different GO and SF contents were designed and tested under flexural and compression loading. The phase formation and the microstructure of selected samples were also investigated to give an in-depth interpretation of the test results. The main criterion to determine the GO and SF contents was the ultimate strength required of the GO-cement composite. It was found that there was a composite interaction between the SF and GO contents in the cementitious mixture, which an envelope surface could describe if all other mix design parameters are kept constant.

Influence of tomato waste compost ratios on plant growth and fruit quality of cucumber and summer squash.

Peat-moss (Sphagnum spp.), is currently an expensive material and a nonrenewable resource with variable properties. Therefore, its use should be gradually reduced. Hence, there are numerous attempts aiming to reduce the use of peat-moss as a bulk substrate and to search for high-quality, locally available and low-cost alternatives to peat-moss. Therefore, the main objective of this research is to investigate the effect of partial replacing of peat-moss with tomato waste compost (TWC) on plant growth, productivity, fruit quality, and morphological features of two types of economic cucurbits species under greenhouse conditions. The plants were planted into pots containing different proportions of TWC (0%, 5%, 10%, 15%, 20% and 30%) with peat-moss, sand and clay as growing substrates. The results indicated that the plant height and the leaves number of both plants were significantly influenced by different substrate treatments. TWC ratios of 15% and 20% increased the amount of cucumber and summer squash fruit yield more than the commercial peat media but they had insignificant differences. Also, they were significantly improved fruit quality characteristics, particularly total soluble solid (TSS) and titratable acidity (TA) of crop fruits more than commercial peat-moss treatment.Implications: Because of the high price of peat-moss and that it is a non-renewable material, farmers resorted to using other alternatives, including green residue compost. Thus, the aim of this work is to reduce the use of peat-moss by replacing it with the use of lokw percentages of TWC. When tomato plant residues return to the soil by converting them into compost, this is a valuable agricultural practice to improve soil fertility and increase the organic matter of the soil as well as increase the source of nitrogen (N) that supports the growth of beneficial microorganisms.

Maturity and stability assessment of composted tomato residues and chicken manure using a rotary drum bioreactor.

The efficiency of the composting process for tomato residues and chicken manure was estimated after monitoring of the rotary composting system. Physicochemical parameters and Compost Quality Index were evaluated. The tomato residues (leaves, stems, and some green and damaged fruits) were collected, cut into small pieces, moistened approximately (60-65%), and mixed with 20% chicken manure then distributed into three rotary drum bioreactors. The obtained results showed that, the temperature above 50°C was maintained for more than two days. Carbon: nitrogen (C:N) ratio was reduced from 30:1 to 19.13:1. The pH value ranged between 7 and 8.80 during the composting process, while the electrical conductivity (EC) ranged between 2.67 to 4.53 dS/m. Both compost quality parameters (Dewar and germination index) and (Solvita-CO2 and Solvita-NH3) indicated that, the final compost is stable and mature.Implications: The idea of this research revolves around assessing the maturity and stability of the compost resulting from mixing tomato residues with chicken manure, using a rotary drum bioreactor which is characterized by reducing the time of the active phase to several hours or days instead of weeks or months. Several tests related to the maturity and stability of mixture have been used to judge its quality. Also, many parameters related to this topic were monitored and discussed with many previous researches to determine the importance of benefiting from mixing the different wastes together and obtaining a good fertilizer ready for application as an agricultural substrate or a soil conditioner.

Experimental Behavior of Cracked Reinforced Concrete Columns Strengthened with Reinforced Concrete Jacketing.

Reinforced concrete (RC) columns often need to be strengthened or rehabilitated to allow them to carry the loads applied to them. In previous studies, RC columns have been strengthened by jacketing, without considering the occurrence of cracking. In this study, the behavior of RC columns strengthened externally by jacketing after cracking is analyzed. The accuracy of the existing models was verified by analyzing the performance of fifteen RC columns with different cross-sections to determine the effect of new variables, such as the column size, amount of steel reinforcement, and whether the column was cracked or not, on the effectiveness of strengthening. The analysis demonstrated that this strengthening technique could effectively improve both the ductility and strength of RC column cross-sections. The results indicate that the model suggested by the ACI-318 code can predict the ultimate load capacity of RC columns without strengthening, or strengthened by RC jacketing before or after cracking, with higher accuracy and material efficiency. The RC columns without strengthening met the safety limit of the ACI-318 model. However, for strengthened columns, a reduction coefficient must be used to enable the columns to meet the safety limit, with values of 94% and 76% for columns strengthened before and after cracking, respectively. Furthermore, strengthening after cracking affects the ultimate load capacity of the column, with 15.7%, 14.1%, and 13.5% lower loads for square, rectangular, and circular columns than those strengthened before cracking, respectively.

Barbed Reposition Pharyngoplasty in Indian Population: A New Palatal Surgery for OSAS.

Obstructive sleep apnoea (OSA) is a common problem affecting almost 4% of the population. Although continuous positive airway pressure (CPAP) is considered the standard of care, the patient compliance for long term use is poor. Clinicians have explored surgical options for cure with varying success. Uvulopalatopharyngoplasty was considered as a standard of surgical care but long-term results were not satisfactory. Surgical researchers have explored newer techniques to improve outcomes in the past decade with less morbidity and better quality of life outcomes. One of such development is Barbed Reposition Pharyngoplasty (BRP). We would like to discuss the technique of BRP for OSA patients step by step.

Ramadan Fasting in Kidney Transplant Recipients: A Single-Centre Retrospective Study.

BACKGROUND: Fasting during the lunar month of Ramadan is mandatory to all healthy adult Muslims. Renal transplant recipients are often worried about the impact of fluid and electrolyte deprivation during fasting on the function of their allograft. We aimed to examine the effect of fasting Ramadan on the graft function in renal transplant recipients. METHODS: This retrospective cohort study included patients who underwent kidney transplantation in our tertiary referral center. Baseline pre-Ramadan estimated glomerular filtration rate (eGFR), mean arterial pressure (MAP), and urinary protein excretion were compared to those during and after Ramadan within and between the fasting and non-fasting groups. RESULTS: The study population included 280 kidney transplant recipients who chose to fast during the Ramadan month (June-July 2014) and 285 recipients who did not fast. In the fasting group, baseline eGFR did not change from that during or post-Ramadan (72.6 ± 23.7 versus 72.3 ± 24.5 mL/min/1.73 m2, P = 0.53; and 72.6 ± 23.7 versus 72 ± 23.2 mL/min/1.73 m2, P = 0.14, respectively). Compared to baseline, there were no significant differences between the fasting and the non-fasting groups in terms of mean percent changes in eGFR, MAP, and urinary protein excretion. CONCLUSION: Fasting during the month of Ramadan did not have significant adverse effects on renal allograft function.

Comparison of survival between dialysis patients with incident high-flux hemodialysis versus on-line hemodiafiltration: A single center experience in Saudi Arabia.

Conventional hemodialysis (HD) is the most common treatment modality used for renal replacement therapy. The concept of HD is based on the diffusion of solutes across a semipermeable membrane. Hemofiltration (HF) is based on convective transport of solutes; hemodiafiltration (HDF) is based on combined convective and diffusive therapies. Data about survival benefit of on-line HDF (OL-HDF) over high-flux HD (HF-HD) is conflicting. We conducted this study to investigate if there is a survival difference between the two treatment modalities. This study is a retrospective, single-center study in which 78 patients were screened; 18 were excluded and 60 patients were analyzed. The study patients were aged 47.5 ± 20.7 years, 33 patients (55%) were on HF-HD, and 27 patients (45%) were on OL-HDF. A total of 24 patients (40%) of both groups were diabetic and, the mean duration on dialysis was 43.5 ±21.3 months in the HF-HD group and 41.2 ± 22.0 months in the OL-HDF group. The mean substitution volume for OL-HDF was 22.3 ± 2.5 L. Survival was 73% [95%, confidence interval (CI) 60-84] in the HF-HD group and 65% (95%, CI 54-75) in the OL-HDF group by the end of the study period. The unadjusted hazard ratio (HR) with 95% CI comparing HF-HD to high-volume postdilution OL-HDF was 0.78 (0.10-5.6; P = 0.810). Kaplan-Meier analysis for patient survival over five years showed no significant difference between the two modalities. Prospective controlled trials with a larger number of patients will be needed to assess the long-term clinical outcome of postdilution OL-HDF over HF-HD.

Let's know from our patients: PPOPS score for palate surgery evaluation/a pilot study.

AIM: To introduce a questionnaire that can be used to assess the post-operative perception of the patients after palatal surgery. The questionnaire was named: Palate Post-Operative Problems Score (PPOPS). STUDY DESIGN: Pilot study. PATIENTS AND METHODS: The study was performed at Morgagni-Pierantoni hospital, Forli. Forty patients suffering from obstructive sleep apnea (OSA) who performed either expansion sphincter pharyngoplasty (ESP) or barbed reposition pharyngoplasty (BRP) in our hospital were divided into two groups, 20 patients per group. The patients' answers to the PPOPS questionnaire were recorded and their total scores were compared in addition to each item separately. PPOPS questionnaire consists of 12 items scored from 0 to 3 with a total score from 0 to 36. RESULTS: The overall average scores between both groups were similar being 4.05 for the BRP and 4.35 for the ESP with P value 0.4. From the results of the questionnaire, the patients favoured choosing BRP than ESP although some items showed better results among ESP patients and the difference between both techniques is not statistically significant. Every item score was separately compared and described in details later in the results. CONCLUSION: PPOPS questionnaire can be an additional useful tool for the assessment of any kind of palatal surgery through detailed analysis of the patients' perception for their surgery. BRP and ESP are similar procedures in the idea and results.

Evolution of soft palate surgery techniques for obstructive sleep apnea patients: A comparative study for single-level palatal surgeries.

OBJECTIVES: To compare the results of tissue preservation techniques of soft palate surgeries including expansion sphincter pharyngoplasty (ESP) and barbed reposition pharyngoplasty (BRP) for patients suffering from obstructive sleep apnoea (OSA) with the traditional uvulopalatopharyngoplasty (UPPP). DESIGN: Interventional comparative study. SETTING: Morgagni-Pierantoni Hospital. PARTICIPANTS: Seventy-five patients were included in the study, divided into three groups with 25 patients per group: UPPP, ESP or BRP. MAIN OUTCOMES MEASURES: Polysomnography was carried out for all patients pre- and postoperatively; the postoperative results were recorded at least 6 months after surgery. All patients were assessed preoperatively using drug-induced sleep endoscopy. Epworth Sleepiness Scale and body mass index (BMI) were registered for all patients before and after surgery. RESULTS: The mean of pre- and postoperative differences of apnoea-hypopnoea index values was higher in BRP group than ESP: 15.76 ± 14.5 Vs 10.13 ± 5.3; P < .05 and UPPP groups: 15.76 ± 14.5 vs 6.08 ± 5.5; P < .0005. The mean of differences of oxygen desaturation index values was higher in BRP group than UPPP group: 15.09 ± 17.6 vs 7.13 ± 6.8; P < .0005, but not significantly higher than ESP group: 15.09 ± 17.6 vs 6.48 ± 7.9; P > .05. The mean of differences of ESS values was higher in BRP group than ESP group: 5.52 ± 4.1 vs 4.84 ± 3.3; P < .005 and UPPP groups: 5.52 ± 4.1 vs 1.36 ± 1.9; P < .005. Finally, the pre- and postoperative means of differences of lowest oxygen saturation values were not statistically significant among the three groups (P > .05). CONCLUSION: Barbed reposition pharyngoplasty (BRP) can be considered an effective procedure on the basis of the postoperative outcomes. ESP still proves to be a good technique especially when performed by experienced surgeons. Both techniques proved to be superior to UPPP.

Acute hepatitis C infection in a renal transplant recipient: primacy of the liver or kidney?

We present a case where a renal transplant recipient contracted chronic hepatitis C virus (HCV) infection post-transplantation. The disease progressed and deteriorated leading to fibrosing cholestatic hepatitis that mandated treatment. Treatment with pegylated interferon α-2a and ribavirin was successful in salvaging the liver and eradicating the virus but as a consequence lead to treatment-resistant acute rejection and loss of the renal allograft.