Fostering metacognitive engagement with CBM for competence-based programs

Projecte: PID2020-UB/043Presentamos resultados del proyecto de innovación docente (PID2020-UB/043). En la evaluación de la experiencia por parte del estudiantado (cohorte completa del máster de formación del profesorado de educación secundaria), constatamos una buena aceptación de la estrategia innovadora. Asimismo constatamos una mejora en la autocompetencia final entre aquellos alumnos con más oportunidades de práctica con el sistema CBM para autoevaluación del aprendizaje. A pesar de los esfuerzos del profesorado, la afectación emocional de la estrategia hace que los estudiantes prefieran hacer un uso individual de la misma. En ocasiones futuras se deberá poner atención sobre este punto

Management of Small Aortic Root during Aortic Valve Replacement

Background: Concomitant aortic root enlargement (ARE) increases the risk of aortic valve replacement (AVR). The objectives of this study were to identify the patients who needed aortic root enlargement and compare the outcomes and the risk of adding ARE to AVR. Methods: We retrospectively reviewed 62 patients who underwent isolated mechanical aortic valve replacement between 2017 and 2019. We divided the patients into two groups: group A included patients with small aortic root who had AVR with one of the different surgical strategies for small aortic annulus (n= 32) and group B, which included patients with a normal aortic annulus and underwent conventional AVR (n= 30). Group A was further sub-divided based on the surgical strategy into 4 categories; patients who had supra-annular implantation of size 19 mm St. Jude prosthetic valve (n= 11; 34.4%), Nicks procedure (n= 13 40.6%), Manougian procedure (n= 4; 12.5%), Konno procedure (n= 4; 12.5%).  Results: Group A patients were significantly younger (26.16 ± 11.49 vs. 34.63 ± 8.9 years; p< 0.001) and had lower body weight (55.09 ± 21.41 vs. 69.80 ± 19.20; p= 0.01). Group A had significantly smaller valves (p = 0.03), and total cardiopulmonary bypass (148.65 ± 44.09 vs. 97.46 ± 20.90 minutes; p<0.001) and aortic cross-clamp times (118.13 ± 36.70 vs. 78.06 ± 16.01 minutes; p < 0.001) were significantly longer in group A. There was no significant difference in operative complications between groups. Among patients with small aortic root; Konno procedure had the longest bypass time (236.3 ± 19.70 minutes; p<0.001); cross-clamp time (192.5 ± 22.2 minutes; p <0.001); mechanical ventilation (4.75 ± 0.50 hours; p<0.001) and intensive care unit stay (6.50 ± 0.57 days; p <0.001). Patients with supra-annular implantation of the St. Jude valve had a significantly higher postoperative pressure gradient (14.64 ± 6.84 mmHg; p= 0.02). No difference in procedure complications was observed among aortic root enlargement procedures. Conclusion: Patients who had aortic root enlargement procedure were younger, with lower weight and body surface area. Surgical procedures used to manage small aortic root had comparable early results, and no technique was superior to the others

Chest wall reconstruction still has place in Today’s modern practice:" a tertiary center experience"

Background: The key factor following chest wall resection is the preservation of the stability and integrity of the chest wall to support the respiration and protect the underlying organs. The present study aims to evaluate the use of the available grafts and prosthetic materials at our center in chest wall reconstruction with adherence to the proper surgical techniques, good perioperative and postoperative care to obtain good results. Methods: This is a retrospective single center study that concludes all patients underwent chest wall reconstruction for a variety of defects resulting from resection of tumors, trauma due to primarily firearms or motor car accidents, resection of radio necrotic tissues, infection and dehiscence of median sternotomy wounds after cardiac surgery.  Results: Study population consisted of 30 patients between January 2015and may 2018, among them were 20 male (70%) and 10 female patients (30%), with a median age of 43 ± 16.3 years, resection and reconstruction was performed in 23 cases (15 neoplastic,5 infective and  3 firearm cases) while reconstruction alone was performed in 7 (traumatic flail chest)  cases. Eighteen patients, underwent rib resection with an average 4.18 ± 2.2 ribs (range 2-6). Associated lung resection was performed in 5 patients (27.8 %): diaphragmatic resection was done in 2 cases in addition total sternal resection was performed in 5 cases. Most of the patients (96.7%) had primary healing of their wounds. there was one death (3.3%) in the early postoperative period. The average length of hospital stay for all patients was 8.7 days (range: 5–15). Respiratory complications occurred in three cases in the form of atelectasis and pneumonia at the ipsilateral side of reconstruction. Three cases suffered wound seroma which successfully managed by daily dressing and antibiotic coverage. Conclusions: according to our study and the analysis of similar studies, adequate perioperative preparation of patient undergoing chest wall resection and reconstruction with adherence to effective surgical techniques allowed us to use the available materials at our center for chest wall reconstruction with good and effective results without adding burden in terms of cost on the patient

Sagitol C, a new cytotoxic pyridoacridine alkaloid from the sponge Oceanapia sp.

AbstractA new pyridoacridine alkaloid named sagitol C (2) together with two known compounds; kuanoniamine C (1) and sagitol (3) were isolated from the EtOAc fraction of the Indonesian sponge Oceanapia sp. Their chemical structures were established on the basis of physical and spectroscopic methods 1D and 2D NMR, in addition to mass spectrometry and comparison with literature data. Sagitol C was found to exhibit cytotoxic activity when tested against different cancer cell lines

El sistema CBM como instrumento diagnóstico de necesidades formativas profesionalizadoras.

Projecte: PID2020-UB/043Este documento recoge las notas de soporte a la presentación oral realizada en la sesión monográfica SM5, dentro del congreso CIDUI-2023. En la sesión aportamos reflexiones acerca de la alta utilidad que identificamos en el sistema CBM como herramienta diagnóstica y sobre todo auto-diagnóstica para el propio estudiantado, con miras a desarrollar competencias profesionales de toma de decisiones fundamentadas.PID2020-UB/04

Challenging the traditional grading scheme for metacognitive engagement at teacher education.

Projecte: PID2020-UB/043Poster que presenta resultados del proyecto PID2020-UB/043, sobre cohorte completa de estudiantes del máster de formación del profesorado en la UB. En contraste con literatura previa, encontramos en nuestros resultados algunas diferencias entre sexos en relación con la confianza (o autocompetencia) manifestada por el alumnado participante.PID2020-UB/04

Emotional reactions and metacognitive engagement in a blended learning program through CBM

Projecte: PID2020-UB/043Analizamos el efecto de la implementación del sistema CBM sobre las emociones declaradas por los estudiantes de la cohorte del máster de formación del profesorado de educación secundaria. Encontramos diferencias significativas en las emociones reportadas por los estudiantes en función del sexo y de la edad/estudios previos (solo grado previo o máster previo).PID2020-UB/04

Investigating Fourteen Countries to Maximum the Economy Benefit by Using Offline Reconfiguration for Medium Scale PV Array Arrangements

Over the past few years, electricity demand has been on the rise. This has resulted in renewable energy resources being used rapidly, considering the shortage as well as the environmental impacts of fossil fuel. A renewable energy source that has become increasingly popular is photovoltaic (PV) energy as it is environmentally friendly. Installing PV modules, however, has to ensure harsh environments including temperature, dust, birds drop, hotspot, and storm. Thus, the phenomena of the non-uniform aging of PV modules has become unavoidable, negatively affecting the performance of PV plants, particularly during the middle and latter duration of their service life. The idea here is to decrease the capital of maintenance and operation costs involved in medium-and large-scale PV power plants and improving the power efficiency. Hence, the present paper generated an offline PV module reconfiguration strategy considering the non-uniform aging PV array to ensure that this effect is mitigated and does not need extra sensors. To enhance the economic benefit, the offline reconfiguration takes into account labor cost and electricity price. This paper proposes a gene evolution algorithm (GEA) for determining the highest economic benefit. The proposed algorithm was verified using MATLAB software-based modeling and simulations to investigate fourteen countries to maximize the economic benefit that employed a representative 18-kW and 43-kW output and the power of 10 × 10 PV arrays in connection as a testing benchmark and considered the electricity price and workforce cost. According to the results, enhanced power output can be generated from a non-uniformly aged PV array of any size, and offers the minimum swapping/replacing times to maximize the output power and improve the electric revenue by reducing the maintenance costs