Percepção dos alunos sobre as ferramentas do AVA Solar 2.0 no processo de aprendizagem

Dissertação de Mestrado, Educação (Área de Especialidade em Educação e Tecnologias Digitais), Universidade de Lisboa, Instituto de Educação, 2021A tecnologia tem se mostrado cada vez mais presente no dia a dia das pessoas e, com isso, a sociedade tem se adaptado e buscado novas maneiras de realizar suas atividades cotidianas. A educação, portanto, também tem sofrido adaptações, uma vez que a forma com que as pessoas recebem e processam a informação mudou na era digital. Os Ambientes Virtuais de Aprendizagem - AVAs, por sua vez, têm se mostrado uma ferramenta importante no processo de educação a distância, uma vez que disponibilizam um ambiente organizado e que centraliza boa parte dos materiais, atividades e conteúdos de um determinado curso. Tendo isso em mente, este estudo busca analisar e compreender, por meio de uma abordagem metodológica quantitativa exploratória com survey, a percepção dos alunos dos cursos de graduação à distância da Universidade Federal do Ceará sobre as ferramentas oferecidas pelo AVA Solar 2.0 no âmbito do processo de aprendizagem, bem como se tais recursos atendem suas necessidades. Ao todo, foram 63 alunos que responderam ao questionário proposto com 22 questões objetivas e de escala. Os resultados obtidos foram considerados satisfatórios, uma vez que a maioria das ferramentas oferecidas pelo Solar, segundo as respostas obtidas no questionário, atendem as necessidades dos alunos, bem como possuem baixo grau de dificuldade para uso e contemplam as principais características consideradas como necessárias. Foi identificado que é necessário um aprofundamento a respeito da percepção do Chat, que apresentou baixa promoção de aprendizado, quando comparado com os demais recursos. Também identificouse a necessidade de um estudo para aprofundar a análise a respeito da dificuldade no uso das Webconferências, pois, devido a importância associada a ela, vê-se como importante conseguir identificar os fatores que dificultam o seu uso para poder aprimorar a experiência e, consequentemente, o processo de aprendizagem. Por fim, mesmo apresentando bons resultados sobre promoção de aprendizado e atendimento de necessidades, as ferramentas ainda apresentam uma margem possível de aprimoramento, parecendo relevante um estudo para identificar elementos que irão contribuir para esta melhora.Technology has shown itself to be increasingly present in people's daily lives and with that, society has adapted and sought new ways to carry out its daily activities. Education, therefore, has also undergone adaptations, since the way people receive and process information has changed in the digital age. Learning Management System – LMS, in turn, have proven to be an important tool in distance education process, since they provide an organized environment and centralize a good part of the materials, activities and contents of a given course. Bearing this in mind, this study seeks to analyze and understand, through an exploratory quantitative methodological approach with survey, the perception of students of distance education courses at the Federal University of Ceará about the tools offered by Solar 2.0 LMS in the context of the learning process, as well as whether these features meet your needs. In all, 63 students responded to the proposed questionnaire with 22 objective and scale questions. The results obtained were considered satisfactory, since most tools offered by Solar, according to the answers obtained in the questionnaire, meet the needs of students, as well as have a low degree of difficulty in use and contemplate the main characteristics considered necessary. It was identified that it is necessary to deepen the perception of Chat tool, since it presented a low promotion of learning, when compared with the other resources. It was also identified the need for a study to deepen the analysis on the difficulty in using Webconferences, because, due to the importance associated with it, it is seen as important to be able to identify the factors that hinder its use in order to improve the experience and , consequently, the learning process. Finally, even with good results on promoting learning and meeting needs, the tools still have a possible margin for improvement, and a study seems relevant to identify elements that will contribute to this improvement

Residual C-peptide in patients with Type 1 diabetes and multiethnic backgrounds

OBJECTIVE: To evaluate serum C-peptide in 88 patients from a multiethnic population with Type-1 diabetes and variable disease durations. METHOD: Eighty-eight patients with a mean disease duration of 8.1 +7.6 years were included and underwent C-peptide measurement before and after glucagon stimulation. Chi-squared and Mann Whitney U-tests were used to compare the variables between groups (all two-tailed, a = 0.05). Spearmans correlation coefficient was used to test the association between the continuous variables. Logistic regression was used for the multivariate analysis. Twenty-eight (31.8%) individuals had significantly detectable C-peptide levels after stimuli, particularly those with a shorter disease duration (

The relationships between regional Quaternary uplift, deformation across active normal faults and historical seismicity in the upper plate of subduction zones: The Capo D’Orlando Fault, NE Sicily

In order to investigate deformation within the upper plate of the Calabrian subduction zone we have mapped and modelled a sequence of Late Quaternary palaeoshorelines tectonically-deformed by the Capo D’Orlando normal fault, NE Sicily, which forms part of the actively deforming Calabrian Arc. In addition to the 1908 Messina Strait earthquake (Mw 7.1), this region has experienced damaging earthquakes, possibly on the Capo D’Orlando Fault, however, it is not considered by some to be a potential seismogenic source. Uplifted Quaternary palaeoshorelines are preserved on the hangingwall of the Capo D’Orlando Fault, indicating that hangingwall subsidence is counteracted by regional uplift, likely because of deformation associated with subduction/collision. We attempt to constrain the relationship between regional uplift, crustal extensional processes and historical seismicity, and we quantify both the normal and regional deformation signals. We report uplift variations along the strike of the fault and use a synchronous correlation technique to assign ages to palaeoshorelines, facilitating calculation of uplift rates and the fault throw-rate. Uplift rates in the hangingwall increase from 0.4 mm/yr in the centre of the fault to 0.89 mm/yr beyond its SW fault tip, suggesting 0.5 mm/yr of fault related subsidence, which implies a throw-rate of 0.63 ± 0.02 mm/yr, and significant seismic hazard. Overall, we emphasise that upper plate extension and related vertical motions complicate the process of deriving information on the subduction/collision process, such as coupling and slip distribution on the subduction interface, parameters that are commonly inferred for other subduction zones without considering upper plate deformation

Consensus based recommendations for diagnosis and medical management of Poland syndrome (sequence)

Background Poland syndrome (OMIM: 173800) is a disorder in which affected individuals are born with missing or underdeveloped muscles on one side of the body, resulting in abnormalities that can affect the chest, breast, shoulder, arm, and hand. The extent and severity of the abnormalities vary among affected individuals. Main body The aim of this work is to provide recommendations for the diagnosis and management of people affected by Poland syndrome based on evidence from literature and experience of health professionals from different medical backgrounds who have followed for several years affected subjects. The literature search was performed in the second half of 2019. Original papers, meta-analyses, reviews, books and guidelines were reviewed and final recommendations were reached by consensus. Conclusion Being Poland syndrome a rare syndrome most recommendations here presented are good clinical practice based on the consensus of the participant experts

Cetuximab continuation after first progression in metastatic colorectal cancer (CAPRI-GOIM): A randomized phase II trial of FOLFOX plus cetuximab versus FOLFOX

Background: Cetuximab plus chemotherapy is a first-line treatment option in metastatic KRAS and NRAS wild-type colorectal cancer (CRC) patients. No data are currently available on continuing anti-epidermal growth factor receptor (EGFR) therapy beyond progression. Patients and methods: We did this open-label, 1:1 randomized phase II trial at 25 hospitals in Italy to evaluate the efficacy of cetuximab plus 5-fluorouracil, folinic acid and oxaliplatin (FOLFOX) as second-line treatment of KRAS exon 2 wild-type metastatic CRC patients treated in first line with 5-fluorouracil, folinic acid and irinotecan (FOLFIRI) plus cetuximab. Patients received FOLFOX plus cetuximab (arm A) or FOLFOX (arm B). Primary end point was progressionfree survival (PFS). Tumour tissues were assessed by next-generation sequencing (NGS). This report is the final analysis. Results: Between 1 February 2010 and 28 September 2014, 153 patients were randomized (74 in arm A and 79 in arm B). Median PFS was 6.4 [95% confidence interval (CI) 4.7-8.0] versus 4.5 months (95% CI 3.3-5.7); [hazard ratio (HR), 0.81; 95% CI 0.58-1.12; P = 0.19], respectively. NGS was performed in 117/153 (76.5%) cases; 66/117 patients (34 in arm A and 32 in arm B) had KRAS, NRAS, BRAF and PIK3CA wild-type tumours. For these patients, PFS was longer in the FOLFOX plus cetuximab arm [median 6.9 (95% CI 5.5-8.2) versus 5.3 months (95% CI 3.7-6.9); HR, 0.56 (95% CI 0.33-0.94); P = 0.025]. There was a trend in better overall survival: median 23.7 [(95% CI 19.4-28.0) versus 19.8 months (95% CI 14.9-24.7); HR, 0.57 (95% CI 0.32-1.02); P = 0.056]. Conclusions: Continuing cetuximab treatment in combination with chemotherapy is of potential therapeutic efficacy in molecularly selected patients and should be validated in randomized phase III trials

Defining Kawasaki disease and pediatric inflammatory multisystem syndrome-temporally associated to SARS-CoV-2 infection during SARS-CoV-2 epidemic in Italy: results from a national, multicenter survey

Background: There is mounting evidence on the existence of a Pediatric Inflammatory Multisystem Syndrome-temporally associated to SARS-CoV-2 infection (PIMS-TS), sharing similarities with Kawasaki Disease (KD). The main outcome of the study were to better characterize the clinical features and the treatment response of PIMS-TS and to explore its relationship with KD determining whether KD and PIMS are two distinct entities. Methods: The Rheumatology Study Group of the Italian Pediatric Society launched a survey to enroll patients diagnosed with KD (Kawasaki Disease Group - KDG) or KD-like (Kawacovid Group - KCG) disease between February 1st 2020, and May 31st 2020. Demographic, clinical, laboratory data, treatment information, and patients' outcome were collected in an online anonymized database (RedCAP®). Relationship between clinical presentation and SARS-CoV-2 infection was also taken into account. Moreover, clinical characteristics of KDG during SARS-CoV-2 epidemic (KDG-CoV2) were compared to Kawasaki Disease patients (KDG-Historical) seen in three different Italian tertiary pediatric hospitals (Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste; AOU Meyer, Florence; IRCCS Istituto Giannina Gaslini, Genoa) from January 1st 2000 to December 31st 2019. Chi square test or exact Fisher test and non-parametric Wilcoxon Mann-Whitney test were used to study differences between two groups. Results: One-hundred-forty-nine cases were enrolled, (96 KDG and 53 KCG). KCG children were significantly older and presented more frequently from gastrointestinal and respiratory involvement. Cardiac involvement was more common in KCG, with 60,4% of patients with myocarditis. 37,8% of patients among KCG presented hypotension/non-cardiogenic shock. Coronary artery abnormalities (CAA) were more common in the KDG. The risk of ICU admission were higher in KCG. Lymphopenia, higher CRP levels, elevated ferritin and troponin-T characterized KCG. KDG received more frequently immunoglobulins (IVIG) and acetylsalicylic acid (ASA) (81,3% vs 66%; p = 0.04 and 71,9% vs 43,4%; p = 0.001 respectively) as KCG more often received glucocorticoids (56,6% vs 14,6%; p < 0.0001). SARS-CoV-2 assay more often resulted positive in KCG than in KDG (75,5% vs 20%; p < 0.0001). Short-term follow data showed minor complications. Comparing KDG with a KD-Historical Italian cohort (598 patients), no statistical difference was found in terms of clinical manifestations and laboratory data. Conclusion: Our study suggests that SARS-CoV-2 infection might determine two distinct inflammatory diseases in children: KD and PIMS-TS. Older age at onset and clinical peculiarities like the occurrence of myocarditis characterize this multi-inflammatory syndrome. Our patients had an optimal response to treatments and a good outcome, with few complications and no deaths

Search for dark matter produced in association with bottom or top quarks in √s = 13 TeV pp collisions with the ATLAS detector

A search for weakly interacting massive particle dark matter produced in association with bottom or top quarks is presented. Final states containing third-generation quarks and miss- ing transverse momentum are considered. The analysis uses 36.1 fb−1 of proton–proton collision data recorded by the ATLAS experiment at √s = 13 TeV in 2015 and 2016. No significant excess of events above the estimated backgrounds is observed. The results are in- terpreted in the framework of simplified models of spin-0 dark-matter mediators. For colour- neutral spin-0 mediators produced in association with top quarks and decaying into a pair of dark-matter particles, mediator masses below 50 GeV are excluded assuming a dark-matter candidate mass of 1 GeV and unitary couplings. For scalar and pseudoscalar mediators produced in association with bottom quarks, the search sets limits on the production cross- section of 300 times the predicted rate for mediators with masses between 10 and 50 GeV and assuming a dark-matter mass of 1 GeV and unitary coupling. Constraints on colour- charged scalar simplified models are also presented. Assuming a dark-matter particle mass of 35 GeV, mediator particles with mass below 1.1 TeV are excluded for couplings yielding a dark-matter relic density consistent with measurements