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  • 1
    In: Teacher Education and Curriculum Studies, Science Publishing Group
    Type of Medium: Online Resource
    Language: English
    Publisher: Science Publishing Group
    Publication Date: 2023
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  • 2
    In: Teacher Education and Curriculum Studies, Science Publishing Group
    Type of Medium: Online Resource
    Language: English
    Publisher: Science Publishing Group
    Publication Date: 2023
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  • 3
    Online Resource
    Online Resource
    SAGE Publications ; 2023
    In:  Palliative Care and Social Practice Vol. 17 ( 2023-01), p. 263235242311768-
    In: Palliative Care and Social Practice, SAGE Publications, Vol. 17 ( 2023-01), p. 263235242311768-
    Abstract: Studies have highlighted how advanced prostate cancer causes biographical disruption and presents challenges to masculine identities for men. This article draws on a wider study that focused on the experiences of men living with advanced prostate cancer and their caregivers. Although men’s experience of advanced illness is not overlooked in the literature, only a small body of work has taken an in-depth look at men’s experiences with advanced prostate cancer and their caregivers in a non-Westernised cultural and social context. Objective: To explore how advanced prostate cancer impacts on men’s masculine identity from the perspective of patients and their caregivers. Methods: A qualitative study of men living with advanced prostate cancer ( n = 23) and family caregivers ( n = 23) in Ghana. We used the Consolidated Criteria for Reporting Qualitative Studies (COREQ) as the reporting guideline. Results: The findings from this study highlight profound challenges for most men to their masculine identities, from both the treatment and the symptoms of advanced prostate cancer within a non-Westernised, patriarchal society. Four main themes were developed. These were the impact on masculinity in terms of: (1) physical changes, (2) sexual ability, (3) socio-economic roles and (4) expressing emotions. Changes in physical appearance, feeling belittled, having no active sexual life and the inability to continue acting as provider and protector of the family made some men describe their situation as one of moving out of the ‘frying pan into the fire’. Conclusion: This study revealed the impact of advanced prostate cancer on masculine identity. These narratives add a new dimension to what is already known about the impacts on men’s masculine identities when dealing with advanced prostate cancer. This knowledge can help improve the care provided to men with advanced prostate cancer with emphasis on the cultures, beliefs and aspirations of these men and their caregivers.
    Type of Medium: Online Resource
    ISSN: 2632-3524 , 2632-3524
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 3015875-8
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  • 4
    In: Abstract and Applied Analysis, Hindawi Limited, Vol. 2022 ( 2022-11-21), p. 1-24
    Abstract: Meningitis is an inflammation of the meninges, which covers the brain and spinal cord. Every year, most individuals within sub-Saharan Africa suffer from meningococcal meningitis. Moreover, tens of thousands of these cases result in death, especially during major epidemics. The transmission dynamics of the disease keep changing, according to health practitioners. The goal of this study is to exploit robust mechanisms to manage and prevent the disease at a minimal cost due to its public health implications. A significant concern found to aid in the transmission of meningitis disease is the movement and interaction of individuals from low-risk to high-risk zones during the outbreak season. Thus, this article develops a mathematical model that ascertains the dynamics involved in meningitis transmissions by partitioning individuals into low- and high-risk susceptible groups. After computing the basic reproduction number, the model is shown to exhibit a unique local asymptotically stability at the meningitis-free equilibrium E † , when the effective reproduction number R 0 〈 1 , and the existence of two endemic equilibria for which R 0 † 〈 R 0 〈 1 and exhibits the phenomenon of backward bifurcation, which shows the difficulty of relying only on the reproduction number to control the disease. The effective reproductive number estimated in real time using the exponential growth method affirmed that the number of secondary meningitis infections will continue to increase without any intervention or policies. To find the best strategy for minimizing the number of carriers and infected individuals, we reformulated the model into an optimal control model using Pontryagin’s maximum principles with intervention measures such as vaccination, treatment, and personal protection. Although Ghana’s most preferred meningitis intervention method is via treatment, the model’s simulations demonstrated that the best strategy to control meningitis is to combine vaccination with treatment. But the cost-effectiveness analysis results show that vaccination and treatment are among the most expensive measures to implement. For that reason, personal protection which is the most cost-effective measure needs to be encouraged, especially among individuals migrating from low- to high-risk meningitis belts.
    Type of Medium: Online Resource
    ISSN: 1687-0409 , 1085-3375
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2022
    detail.hit.zdb_id: 2064801-7
    SSG: 17,1
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  • 5
    In: Current Pharmaceutical Biotechnology, Bentham Science Publishers Ltd., Vol. 24 ( 2023-03-30)
    Abstract: Tankyrases (TNKS) are homomultimers existing in two forms, viz. TNKS1 and TNKS2. TNKS2 plays a pivotal role in carcinogenesis by activating the Wnt//β-catenin pathway. TNKS2 has been identified as a suitable target in oncology due to its crucial role in mediating tumour progression. The discovery of 5-methyl-5-[4-(4-oxo-3H-quinazolin-2-yl) phenyl] imidazolidine-2,4-dione, a hydantoin phenylquinazolinone derivative which exists as a racemic mixture and in its pure enantiomer forms, has reportedly exhibited inhibitory potency towards TNKS2. However, the molecular events surrounding its chirality towards TNKS2 remain unresolved. background: Tankyrases (TNKS) are homomultimers existing in two forms, viz. TNKS1 and TNKS2. TNKS2 plays a pivotal role in carcinogenesis by activating the Wnt//β-catenin pathway. As such, TNKS2 has been identified as a suitable target in oncology due to its crucial role in mediating tumour progression. The discovery of 5-methyl-5-[4-(4-oxo-3H-quinazolin-2-yl) phenyl] imidazolidine-2,4-dione, a hydantoin phenylquinazolinone derivative which exists as a racemic mixture and in its pure enantiomer forms, has reportedly exhibited inhibitory potency towards TNKS2. However, the molecular events surrounding its chirality towards TNKS2 remain unresolved. Methods:: Herein, we employed in silico methods such as molecular dynamics simulation coupled with binding free energy estimations to explore the mechanistic activity of the racemic inhibitor and its enantiomer forms on TNK2 at a molecular level Results:: Favourable binding free energies were noted for all three ligands propelled by electrostatic and van der Waals forces. The positive enantiomer demonstrated the highest total binding free energy (-38.15 kcal/mol), exhibiting a more potent binding affinity to TNKS2. Amino acids PHE1035, ALA1038, and HIS1048; PHE1035, HIS1048 and ILE1039; and TYR1060, SER1033 and ILE1059 were identified as key drivers of TNKS2 inhibition for all three inhibitors, characterized by the contribution of highest residual energies and the formation of crucial high-affinity interactions with the bound inhibitors. Further assessment of chirality by the inhibitors revealed a stabilizing effect of the complex systems of all three inhibitors on the TNKS2 structure. Concerning flexibility and mobility, the racemic inhibitor and negative enantiomer revealed a more rigid structure when bound to TNKS2, which could potentiate biological activity interference. The positive enantiomer, however, displayed much more elasticity and flexibility when bound to TNKS2. Conclusion:: Overall, 5-methyl-5-[4-(4-oxo-3H-quinazolin-2-yl) phenyl] imidazolidine-2,4-dione and its derivatives showed their inhibitory prowess when bound to the TNKS2 target via in silico assessment. Thus, results from this study offer insight into chirality and the possibility of adjustments of the enantiomer ratio to promote greater inhibitory results. These results could also offer insight into lead optimization to enhance inhibitory effects. other: These results could also offer insight into lead optimization to enhance inhibitory effects.
    Type of Medium: Online Resource
    ISSN: 1389-2010
    Language: English
    Publisher: Bentham Science Publishers Ltd.
    Publication Date: 2023
    SSG: 15,3
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  • 6
    Online Resource
    Online Resource
    Sciencedomain International ; 2022
    In:  Asian Journal of Research in Computer Science ( 2022-10-20), p. 46-65
    In: Asian Journal of Research in Computer Science, Sciencedomain International, ( 2022-10-20), p. 46-65
    Abstract: This study harnesses the useful number properties of the residue number system (RNS) to minimise energy consumption in a wireless sensor network. In a traditional cluster-based wireless sensor network, large bit representations of aggregated packets are transmitted to the base station. However, large bit patterns of packets are slower compared to smaller bits. The proposed approach splits aggregated data into a pre-specified number of transmission channels using a moduli set. Cheap energy cost routes from the cluster heads are computed to deliver the chunked aggregated data to the base station. Forward and reverse converters are proposed to encode data into RNS and decode the RNS data that reaches the base station. MATLAB simulation is used to implement the proposed data splitting method and to evaluate network performance. The experimental results suggest that the proposed method is more effective at minimising transmission energy when compared with traditional approaches in which complete packets are transmitted.
    Type of Medium: Online Resource
    ISSN: 2581-8260
    Language: Unknown
    Publisher: Sciencedomain International
    Publication Date: 2022
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  • 7
    In: Journal of Palliative Medicine, Mary Ann Liebert Inc
    Type of Medium: Online Resource
    ISSN: 1096-6218 , 1557-7740
    Language: English
    Publisher: Mary Ann Liebert Inc
    Publication Date: 2023
    detail.hit.zdb_id: 2030890-5
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  • 8
    In: Nursing Open, Wiley, Vol. 9, No. 3 ( 2022-05), p. 1515-1535
    Abstract: To synthesize evidence on the concept of reassurance in nursing practice. Design Integrative review. Review Method PubMed, OVID MEDLINE, CINAHL and PsycINFO were searched from their inception to the 30 May 2020. The search results were screened. We assessed the quality of primary studies using the Mixed Method Appraisal Tool. Included studies were analysed using narrative synthesis. The review protocol was pre‐registered (PROSPERO‐CRD42020186962). Results Thirty‐two papers out of the 2,771 search results met our inclusion criteria. The synthesis of evidence generated three intricate themes, namely “antecedents of reassurance,” “defining attributes of reassurance” and “outcomes of reassurance.” Emotional distress was the main antecedent of reassurance. The three sub‐themes identified under defining attributes of reassurance include self‐awareness, emotional connectedness and verbal and non‐verbal techniques. Ultimately, reposing the confidence of patients and their families in healthcare professionals and the care delivery process to enable them to overcome their challenges constitutes the outcomes of reassurance.
    Type of Medium: Online Resource
    ISSN: 2054-1058 , 2054-1058
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 2809556-X
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  • 9
    Online Resource
    Online Resource
    SAGE Publications ; 2021
    In:  International Journal of Qualitative Methods Vol. 20 ( 2021-01), p. 160940692110606-
    In: International Journal of Qualitative Methods, SAGE Publications, Vol. 20 ( 2021-01), p. 160940692110606-
    Abstract: Narrative research methods invite people to share their experiences via storytelling. There is increasing interest as to how qualitative narrative inquiry can provide greater understanding into the lived experience around health and illness, particularly within the field of dementia. Narrative research is concerned with how humans make sense of and engage with the changes and disruptions of everyday life. However, narrative research is an emerging and evolving field with no single clearly defined approach to data analysis. In this article, we provide a methodological exemplar by applying Murray’s four levels of narrative analysis to longitudinal narrative interviews completed with couples living with Lewy body dementia. We describe how to analyse connections between the four levels and how to articulate this across different interview time points. This analysis process contributes to methodological knowledge by providing a strategy to connect the personal, interpersonal, positional and societal levels of analysis. The time taken for in-depth analysis of a co-created, dyadic longitudinal narrative approach requires careful consideration, but ultimately, it can provide a richer understanding of the lived experience, allowing for deeper social, clinical and academic insight.
    Type of Medium: Online Resource
    ISSN: 1609-4069 , 1609-4069
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2021
    detail.hit.zdb_id: 2135788-2
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  • 10
    In: International Journal of Qualitative Methods, SAGE Publications, Vol. 23 ( 2024-01)
    Abstract: Qualitative data collection using online focus groups is increasing in popularity. However this may change the way discussion is created and steered by the participants and facilitators in these focus groups and so potentially influence the data collected. In a focus group study exploring end of life family conversations in African and Caribbean heritage communities, two focus groups were held face-to-face and a further three took place online using the online video conference software, Microsoft teams. Sociograms and an interaction questionnaire were used to analyse participant interactions in each group. The study involved 21 participants across the five groups. The use of sociograms showed that direct participant to participant interactions were rarer in the online groups, most interactions went via the facilitator who as a result retained more power over the direction of the conversation. Participants responses analysed using the interaction questionnaire showed that participants were stimulated by the experiences of others in both contexts. The facilitator found it harder to create rapport in the online groups than in the face-to-face groups where conversation between participants seemed to flow more smoothly. The observer notes suggested that non-verbal communication was less evident in the online groups. In larger groups people made more use of turn taking using the hands-up function and chat box than in smaller groups where all participants could see each other more easily on screen. Researchers need to be aware of the impact of different delivery modalities on group interactions and how this may change the power dynamics of who is controlling the narrative and therefore the data generated. Group facilitators may need find it useful to develop skills needed to maximise the conversational element of online forms of data collection.
    Type of Medium: Online Resource
    ISSN: 1609-4069 , 1609-4069
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2024
    detail.hit.zdb_id: 2135788-2
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