An Exploratory Study of the Impact of Hypermedia-Based Approach and Science-In-Fiction Approach for Instruction on the Polymerase Chain Reaction.

Exploration of meaningful learning of the polymerase chain reaction (PCR) followed instruction by a researcher-developed hypermedia computer program that incorporated human constructivist principles and a science-in-fiction chapter of a novel that described PCR. Human constructivism is the Ausubel-Novak-Gowin (1997) meaningful learning theory that supports science learning through graphic representations and multiple examples. Science-in-fiction is a new genre of fiction introduced by the prominent scientist, Carl Djerassi, to engender an appreciation for science, and its ethical dilemmas. Chapter 19 of Djerassi\u27s 1994 novel, The Bourbaki Gambit, was placed into hypermedia format to standardize the presentation. As part of a clinical microbiology course in the medical technology curriculum at a major medical center in the Deep South, 10 undergraduates participated in this study. Each first read The Bourbaki Gambit, and then half of the participants experienced the human constructivist approach first (the PCR group) while the others first encountered the science-in-fiction approach (the Chapter 19 group). For the rest, the order of presentation was reversed, so that all experienced both programs. Students\u27 explanations while using the computer were videotaped. Students were tested and interviewed before experiencing either program, after their first instructional session, and again after the second instructional session. These students were also assessed on their knowledge of the nature of science by taking the Nature of Science Questionnaire, before and after instruction (Roach, 1993) and interviewed as a cross-check on its reliability. Students\u27 preferred learning approaches were determined using Schmeck\u27s Inventory of Learning Processes (Schmeck, Ribich, & Ramanaiah, 1977). Data were collected and analyzed both qualitatively and quantitatively using appropriate verbal analysis techniques (Chi, 1997). All but three students reached a structural level of PCR biological literacy. A mean of 79% of the concepts identified as necessary was attained by participants after experiencing both approaches. The Chapter 19 science-in-fiction group scored slightly better than those who experienced the PCR program first, indicating that the chapter served as an advance organizer when used first, but inhibited mastery when used second. Significant conceptual change about the nature of science was not detected, even though most students demonstrated deep and/or elaborative learning styles

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

Summer Light and Shade

https://engagedscholarship.csuohio.edu/curious_case_2017/1005/thumbnail.jp

Summer Light and Shade

https://engagedscholarship.csuohio.edu/curious_case_2017/1005/thumbnail.jp

Cooperative Learning Effects On Teamwork Attitudes In Clinical Laboratory Science Students

OBJECTIVE: To evaluate clinical laboratory science (CLS) student attitudes toward teamwork when using cooperative learning (CL) as compared to individual learning (IL) in a course and to determine if learning method affects student attitudes toward the course itself. DESIGN/SETTING/PARTICIPANTS: This was a multi-institutional study involving eight classrooms in seven states. The effects of CI and IL on student attitudes were compared for 216 student participants. INTERVENTION: One group of students learned the course material through a CI approach while a second group of students learned via a traditional IL approach. For each course, the instructor, class material, and examination content was identical for the CI and IL students; the only variable was learning method. MAIN OUTCOME MEASURE: Student attitudes toward teamwork and toward the course were evaluated with a 35-item Attitude Questionnaire administered as a post-test. Mean scores for the CI and IL groups were compared using the Student t-test for independent samples. RESULTS: No significant difference was seen between the CI and IL students when assessing the first 30 questions on student attitudes toward teamwork (means = 98.42 and 98.22, respectively) when all institutions were combined. Comparable results were seen for each of the eight institutions. For the five questions comparing attitudes toward the course itself, there usually was no significant difference in attitude between CI and IL students. The only classrooms where CI students had more positive attitudes were those with instructors who had more than 10 years experience with CL. CONCLUSION: Results suggest that CI produces similar student attitudes toward teamwork and toward a CLS course as does IL

The Staphylococcus aureus Network Adaptive Platform Trial Protocol: New Tools for an Old Foe (vol 75, pg 2027, 2022)

10.1093/cid/ciac730CLINICAL INFECTIOUS DISEASES75111532-153