Los Zapatos

Mi objeto es el zapato. La Palabra zapato es muy interesante y siempre me ha gustado decir zapato por el sonido de la palabra. No hay muchas palabras que empiezan con una z y eso hace que la palabra sea más única. Tiene tres silabas, y dos a . Zapatos siempre vienen en pares, como hay dos a en la palabra

Evaluation of a Sepsis Teaching Rounds Simulation for Pharmacy Students

Background and purpose The goal of this prospective, observational cohort study was to determine if simulated interdisciplinary teaching rounds improved student perceptions of confidence and attitudes towards working as part of a team. The secondary objective of this study was to investigate changes in student knowledge of the management of sepsis. Educational activity and setting Students participated in a traditional sepsis lecture followed by a simulated interdisciplinary rounding experience. Confidence and collaborative attitudes were assessed using a 5-point Likert scale (1 = strongly disagree, 5 = strongly agree). Changes in knowledge were measured using multiple choice questions. Students completed these tools at three points in time: pre-lecture, post-lecture, and post-simulation. Findings Student confidence and attitudes related to interdisciplinary rounds improved following the simulation (2 of 4 items, p = 0.003; 2 of 5 items, p \u3c 0.05). Also, most students agreed or strongly-agreed that the simulation reinforced knowledge gained from lecture (94.7%), that lecture followed by a simulation was the most effective way to learn about sepsis (94.7%), and that the simulation helped reinforce critical-thinking skills (94.7%). Knowledge improved between the didactic lecture and the simulation, but these differences were not found to be statistically significant. Summary A simulated interdisciplinary rounding experience may increase student confidence during teaching rounds and improve attitudes towards working alongside other healthcare professionals. Incorporating rounding simulations into pharmacy curricula may be beneficial towards student success on rounds

Assessing the Effects of a Paired TBL Session and Patient Simulation on Pharmacy Student HIV Treatment Knowledge

Description of the Problem: Pharmacists can play a crucial role in monitoring, counseling, and providing adherence checks across practice pharmacy settings; but they may not gain experience in this area until after graduating from pharmacy school. Statement of Innovation: Students participated in an intentionally aligned team-based learning session followed by completion of an HIV patient treatment worksheet and an HIV patient care simulation. This sequence was assessed using the HIV Treatment Knowledge Scale. Description of the Innovation: Second-year pharmacy students (N=48, 98% response rate) participated in a baseline knowledge assessment before a four-hour HIV team-based learning (TBL) session, which included the use of an online HIV Patient Management Simulator. Students were administered the scale again post-session. Three days before the simulation, students had access to an HIV patient treatment worksheet that was required to be completed before the simulation. Ten days after the initial assessment, students participated in an HIV patient simulation where they proposed a new antiretroviral plan while also addressing monitoring, barriers, and maximizing adherence for the patient. Post-simulation, students were again administered the scale. Data were analyzed using descriptive statistics, Wilcoxon and paired t-tests, as appropriate. Critical Analysis: A total of 48 second-year pharmacy students participated. HIV knowledge increased significantly post-TBL (p \u3c 0.001). Post-simulation, scores improved, but not significantly (p = 0.291). Knowledge on 15 of the 21 items on the HIV Treatment Knowledge Scale significantly improved from pre-TBL to post-simulation (p ≤ 0.025). Next Steps: Future investigation should focus on the impact that HIV simulation training has on skills, abilities, confidence, and empathy

Air and Steam Gasification of Almond Biomass

Experiments were performed on a laboratory scale fluidized bed gasifier to characterize the gasification products of almond shell and hull removed in nut processing operations and to determine the effect of gasifying media on bed agglomeration. The higher heating value of syngas during air gasification of almond biomass ranged from 4 to 6 MJ m(-3) while gas concentrations ranged from 14 to 18% H-2, 3-4% CH4, 43-50% N-2, 16-19% CO, and 16-17% CO2. For steam gasification, higher heating value was 10-12 MJ m(-3) and gas concentrations were 35-40% H-2, 5-7% CH4, 17-21% N-2, 18-21% CO, and 16-18% CO2. The high level of potassium in the almond shells led to strong corrosion and bed agglomeration due to flue gas transport of potassium compounds. These resulting pervasive kalsilite reactions were significantly worse under air gasification than under steam gasification. As a result of prolonged duration and elevated temperature approaching 1,000 degrees C, the corrosinal reaction changes to formation of an adhesive potassium distillate melt locally forming strong bonds. This latter is interpreted as a result of aerosol transported of melt particles.California Energy Commission [PIR-07-002, PIR-11-008]; Almond Board of California; USDA-NIFA/UC Agricultural Experiment Station; California Almond Hullers and Processors AssociationThis work was supported by the California Energy Commission [PIR-07-002 and PIR-11-008]. We also acknowledge the generous support of the Almond Board of California, the California Almond Hullers and Processors Association, and USDA-NIFA/UC Agricultural Experiment Station