Reflecting on diagnosis: The Metacognitive Diagnostic Reasoning Model ©.

Background: Diagnostic reasoning is a complex cognitive process that requires intuitive, heuristic processing from knowledge and experience, as well as deliberate and reflective thinking. Evidence on interventions to improve diagnostic reasoning is inconsistent, in part because different terms and models are used to guide research.

Purpose: To present a model of the factors of diagnostic reasoning in Advanced Practice Registered Nurses (APRNs), based on a review of the literature supporting the Metacognitive Diagnostic Reasoning (MDR) Model © .

Dysphagia Aortica: A Rare Presentation of Infrarenal Abdominal Aortic Aneurysm in an Elderly Patient.

This article explores the challenges in diagnosing dysphagia aortica through the case of an 89-year-old man with a medical history of hypertension, ischemic heart disease, and chronic kidney disease. Over a three-month period, the patient experienced progressively worsening dysphagia and indigestion. On the day of presentation, his condition further deteriorated, marked by hypotension.

Fear of COVID-19 and mental health status among the medical students of a selected medical college in Bangladesh.

Background: COVID-19 pandemic and mental health of people are related to each other.

Aims: To assess the relationship between fear of COVID-19 (FCOV) and the psychological status of medical students of Bangladesh.

Methods: A total of 967 medical students and intern doctors of Sher-E-Bangla Medical College participated in this cross-sectional study.

Night Eating Syndrome Among University Students in Bangladesh: Investigation of Prevalence and Associated Factors.

Objective: Night eating syndrome (NES) has been associated with psychological issues and academic performance among university students in several countries, yet research on NES in Bangladesh remains limited. Therefore, the purpose of the study was to examine the prevalence and factors associated with NES among university students in the country.

Methods: This cross-sectional study included 500 students from five public universities in Bangladesh.

POLD3 haploinsufficiency is linked to non-syndromic sensorineural adult-onset progressive hearing and balance impairments.

Hearing impairment (HI) is a significant health concern globally, influenced by genetic and environmental factors. We had identified a homozygous pathogenic variant in POLD3 in a Lebanese patient with an autosomal congenital recessive syndromic hearing loss (MIM#620869). This variant was found at heterozygous state in the parents, who developed progressive hearing impairment around age 40.

From Diagnosis to Resolution: A Case Study of Myxopapillary Ependymoma Survival.

Myxopapillary ependymoma (MPE) is a rare, slow-growing tumor that commonly arises in the lumbosacral region of the spinal cord, within the filum terminale and cauda equina. The frequent presentation of MPE is back, sacral, or leg pain. The tumor's size, site, and extension usually influence these symptoms.

Trends and inequalities in neonatal mortality rate in Bangladesh: Evidence from cross-sectional surveys.

Background And Aims: Given the significance of addressing neonatal mortality in pursuing the 2030 Sustainable Development Goal on child health, research focus on this area is crucial. Despite the persistent high rates of neonatal mortality rate (NMR) in Bangladesh, there remains a notable lack of robust evidence addressing inequalities in NMR in the country. Therefore, this study aims to fill the knowledge gap by comprehensively investigating inequalities in NMR in Bangladesh.

Hematological and neurological impact studies on the exposure to naturally occurring radioactive materials.

Naturally Occurring Radioactive Materials (NORM) contribute to everyone's natural background radiation dose. The technologically advanced activities of the gas and oil sectors produce considerable amounts of radioactive materials as industrial by-products or waste products. The goal of the current study is to estimate the danger of long-term liability to Technologically Enhanced Naturally Occurring Radioactive Materials (TE-NORM) on blood indices, neurotransmitters, oxidative stress markers, and β-amyloid in the cerebral cortex of rats' brains.

Alleviating chromium-induced oxidative stress in Vigna radiata through exogenous trehalose application: insights into growth, photosynthetic efficiency, mineral nutrient uptake, and reactive oxygen species scavenging enzyme activity enhancement.

Trehalose serves as a crucial osmolyte and plays a significant role in stress tolerance. The influence of exogenously added trehalose (1 and 5 mM) in alleviating the chromium (Cr; 0.5 mM) stress-induced decline in growth, photosynthesis, mineral uptake, antioxidant system and nitrate reductase activity in Vigna radiata was studied.

Intrinsic Factors and Psychological Safety Among Nursing Students During Simulation-Based Learning-A Correlational Design.

Introduction: Well-designed simulation-based learning (SBL) experiences enhance students' self-confidence, self-efficacy, clinical judgment, and psychomotor skill development. An emerging concept in SBL research is psychological safety. There is currently no research on factors influencing psychological safety specifically related to the SBL environment, nor is there any literature found to determine whether intrinsic student characteristic, such as self-compassion and resilience, contributes to SBL learning outcomes.

Assessment of preventive practices towards hepatitis B infection among nursing students in Bangladesh: role of knowledge, attitudes and sociodemographic factors.

Background: Globally, hepatitis B infection (HBI) poses a substantial public health concern and healthcare workers, including nursing students, are at a higher risk of contracting this disease. Thus, the study aimed to assess how knowledge, attitudes, and sociodemographic factors are associated with HBI prevention among a sample of Bangladeshi nursing students.

Methods: A cross-sectional survey was performed among 737 nursing students from the nursing institutes of Khulna and Barishal divisions in Bangladesh from January to April 2023.

Skipping breakfast and its association with sociodemographic characteristics, night eating syndrome, and sleep quality among university students in Bangladesh.

Introduction: Skipping breakfast has become more common, and it can significantly affect a person's health, performance, mood, and other physiological and psychological factors. In Bangladesh, university students often encounter unhealthy dietary habits, which raises questions about why many university students choose to skip breakfast. The purpose of this study was to investigate the prevalence of skipping breakfast among university students in Bangladesh and explore the contributing factors.

Current practices for assessing clinical judgment in nursing students and new graduates: A scoping review.

Objective: To map current assessment practices for learning outcomes related to nurses' clinical judgment from undergraduate education to entry to practice.

Design: Scoping review using the Joanna Briggs Institute guidelines and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).

Data Sources: Electronic databases-Cumulative Index of Nursing and Allied Health Literature (CINAHL Complete; EBSCOhost), EMBASE (Ovid), MEDLINE (Ovid), PsycINFO (Ovid), and Web of Science (Social Sciences Citation Index, Citation Index Expanded)-using a combination of descriptors and keywords related to nursing students, newly graduated nurses, clinical judgment and related terms (e.

Internet addiction, depressive symptoms, and anxiety symptoms are associated with the risk of eating disorders among university students in Bangladesh.

The risk of developing an eating disorder among university students is higher than the general population in Bangladesh. Since psychiatric disorders (such as depression and anxiety) and addictive behaviors (e.g.

Prevalence and predictors of binge eating disorder symptoms among a sample of university students in Bangladesh: A cross-sectional survey.

Background And Aims: There is a dearth of information about binge eating disorder (BED) among Bangladeshi university students, who may be more susceptible to BED due to the rise in unhealthy lifestyles and food habits. Therefore, the purpose of this study was to assess the prevalence and associated factors of BED symptoms among Bangladeshi university students.

Methods: Students ( = 525) from three public universities in Bangladesh participated in this cross-sectional study between November 2022 and March 2023.

Exposure to secondhand smoke is associated with poor sleep quality among non-smoking university students in Bangladesh: a cross-sectional survey.

Although secondhand smoke (SHS) exposure is predominant in Bangladesh, the adverse effect of SHS exposure on health-related behaviors, such as sleep quality, have remained an under-investigated area of the country's public health landscape. Therefore, the purpose of this study was to examine the association between SHS exposure and poor sleep quality among non-smoking university students in Bangladesh. A cross-sectional survey was carried out between May and September 2022.

Pre and postharvest characteristics of var. pinnata, cav. As affected by SiO and CaCO nanoparticles under two different planting dates.

Agriculture faces many challenges because of climate changes. The nutrients present in nano-sized form improve plant productivity, especially when used at the appropriate planting time. Field experiments were conducted as a factorial experiment for evaluating two planting dates (20th September and 20th October) foliar application with nanoparticles (NPs) including silica nanoparticles (SiO-NPs) at 1.

Crystal structure of 4-[(4-methyl-benz-yl)-oxy]-'-(4-nitro-benzyl-idene)benzohydrazide: a new hydrazone derivative.

The mol-ecular structure of the title compound, CHNO, shows a non-coplanar conformation, with dihedral angles between the phenyl rings of 73.3 (1) and 80.9 (1)°.

Food neophobia and its association with sociodemographic factors and food preferences among Bangladeshi university students: Evidence from a cross-sectional study.

Food neophobia, described as a reluctance to eat and or avoid new food, is a personality trait that affects food choice. Despite its potential influence on an individual's food intake, food neophobia has been poorly investigated in Bangladesh. This cross-sectional study was designed to evaluate food neophobia and its association with sociodemographic factors and food preferences in a sample of Bangladeshi university students.

Factors influencing and changes in childhood vaccination coverage over time in Bangladesh: a multilevel mixed-effects analysis.

Introduction: This study aimed to investigate the associated factors and changes in childhood vaccination coverage over time in Bangladesh.

Methods: Bangladesh's Demographic and Health Surveys from 2011, 2014, and 2017-18 provided data for this study on vaccination coverage among children aged 12 to 35 months. For three survey periods, multilevel binary logistic regression models were employed.

Analytical and Numerical Investigation of Nanowire Transistor X-ray Detector.

Recently, nanowire detectors have been attracting increasing interest thanks to their advantages of high resolution and gain. The potential of using nanowire detectors is investigated in this work by developing a physically based model for Indium Phosphide (InP) phototransistor as well as by performing TCAD simulations. The model is based on solving the basic semiconductor equations for bipolar transistors and considering the effects of charge distribution on the bulk and on the surface.

Exogenous IBA stimulated adventitious root formation of Zanthoxylum beecheyanum K. Koch stem cutting: Histo-physiological and phytohormonal investigation.

Poor rooting performance of Chinese pepper (Zanthoxylum beecheyanum K. Koch) shrub is a restriction for its commercial production. This investigation was carried out to assess the effectiveness of the exogenous application of indole-3-butyric acid (IBA) on adventitious root (AR) formation and some morpho-physiological, biochemical, and histological alterations associated with rhizogenesis events.

Crystal structures of 4-[(4-methyl-benz-yl)-oxy]benzohydrazide and its '-[(thio-phen-2-yl)-methyl-idene]- derivative.

The mol-ecular and crystal structures of a benzoyl-hydrazine bearing an ether group, 4-[(4-methyl-benz-yl)-oxy]benzohydrazide, CHNO, (I), and of the corresponding '-[(thio-phen-2-yl)-methyl-idene]- derivative, 4-[(4-methyl-benz-yl)-oxy]-'-[(thio-phen-2-yl)-methyl-idene]benzohydrazide, CHNOS, (II), are described. The supra-molecular structures of both compounds are governed by N-H⋯N and N-H⋯O hydrogen-bonding inter-actions. The hydrazine compound (I) shows a crystal packing with a more complex hydrogen-bonding scheme because of the NH-NH entity, forming a di-periodic supra-molecular structure extending parallel to (100).

Fractional CO laser in the treatment of nail psoriasis: how can it help?

Treating nail psoriasis is often a time-consuming challenge with an unsecure outcome. Response to the treatment is variable and relapses are common. Systemic treatments have multiple systemic side effects and lack of the patient compliance makes intra-lesional therapies not the best choice for treatment of nail psoriasis.