Revisiting the Merits of a Mandatory Large Group Classroom Learning Format: an MD-MBA Perspective

The role of classroom learning in medical education is rapidly changing. To promote active learning and reduce student stress, medical schools have adopted policies such as pass/fail curriculums and recorded lectures. These policies along with the rising importance of the USMLE (United States Medical Licensing Examination) exams have made asynchronous learning popular to the detriment of classroom learning. In contrast to this model, modern day business schools employ mandatory large group classes with assigned seating and cold-calling. Despite similar student demographics, medical and business schools have adopted vastly different approaches to the classroom. When examining the classroom dynamic at business schools with mandatory classes, it is evident that there’s an abundance of engaging discourse and peer learning objectives that medical schools share. Mandatory classes leverage the network effect just like social media forums such as Facebook and Twitter. That is, the value of a classroom discussion increases when more students are present to participate. At a time when students are savvy consumers of knowledge, the classroom is competing against an explosion of study aids dedicated to USMLE preparation. Certainly, the purpose of medical school is not solely about the efficient transfer of knowledge – but to train authentic, competent, and complete physicians. To accomplish this, we must promote the inimitable and deeply personal interactions amongst faculty and students. When viewed through this lens, mandatory classes might just be a way for medical schools to leverage their competitive advantage in educating the complete physician

Specifying and Verifying Concurrent Algorithms with Histories and Subjectivity

We present a lightweight approach to Hoare-style specifications for fine-grained concurrency, based on a notion of time-stamped histories that abstractly capture atomic changes in the program state. Our key observation is that histories form a partial commutative monoid, a structure fundamental for representation of concurrent resources. This insight provides us with a unifying mechanism that allows us to treat histories just like heaps in separation logic. For example, both are subject to the same assertion logic and inference rules (e.g., the frame rule). Moreover, the notion of ownership transfer, which usually applies to heaps, has an equivalent in histories. It can be used to formally represent helping---an important design pattern for concurrent algorithms whereby one thread can execute code on behalf of another. Specifications in terms of histories naturally abstract granularity, in the sense that sophisticated fine-grained algorithms can be given the same specifications as their simplified coarse-grained counterparts, making them equally convenient for client-side reasoning. We illustrate our approach on a number of examples and validate all of them in Coq.Comment: 17 page

Posterior Arthroscopic Subtalar Arthrodesis: Clinical and Radiologic Review of 19 Cases

Arthroscopic subtalar arthrodesis has recently gained popularity in the treatment of primary subtalar or post-traumatic arthritis, coalition, or inflammatory diseases with subtalar arthritis. The present study reports the clinical and radiologic results of 19 patients (19 feet) who underwent posterior arthroscopic subtalar arthrodesis using 2 posterior portals. A total of 19 posterior arthroscopic subtalar arthrodeses (minimum follow-up of 24 months) performed without a bone graft and with 2 parallel screws were prospectively evaluated. The fusion rate was 94% (mean time to fusion 9.8 weeks). Modified American Orthopaedic Foot and Ankle Society ankle-hindfoot scale score (maximum 94 points) improved significantly from 43 to 80 points and the visual analog scale for pain score improved from 7.6 to 1.2. The 12-item short-form physical and mental scores at the last follow-up point were 52.5 and 56.4, respectively. One (5.3%) patient underwent open repeat fusion for nonunion, 2 (10.5%) patients required a second procedure for implant removal, and 1 (5.3%) experienced reversible neuropraxia. In conclusion, posterior arthroscopic subtalar arthrodesis is a safe technique with a good union rate and a small number of complications in patients with no or very little hindfoot deformity.info:eu-repo/semantics/publishedVersio

Mapeamento da expansão agrícola no estado do Mato Grosso em 11 anos a partir de técnica baseada em séries temporais de imagens de NDVI.

O objetivo deste estudo foi aplicar uma metodologia baseada na análise espectro-temporal de imagens do índice de vegetação NDVI (Normalized Difference Vegetation Index), adquiridas do sensor MODIS (Moderate Resolution Imaging Spectroradiometer), com resolução espacial de 250 metros, para a geração de mapas da agricultura anual no estado do Mato Grosso nas safras 2000/2001 e 2011/2012, de modo a especializar o processo de expansão da agricultura neste período.SBSR 2013

Atividade Física e Exercício Físico: Especificidades no Doente Cardíaco

A atividade física é atualmente um comportamento de grande importância para a promoção de um estilo de vida saudável, contudo vários estudos têm demonstrado elevada prevalência de inatividade e comportamentos sedentários nas pessoas com doença cardiovascular. Uma prática regular de atividade física e de exercício físico em níveis adequados assegura diversos benefícios para a pessoa com doença cardiovascular. Programas de reabilitação cardíaca e de prevenção secundária têm como um dos principais objetivos o incentivo à adoção de estilos de vida mais ativos. Neste artigo de revisão, os conceitos e recomendações sobre a atividade física e o exercício físico estruturado em pessoas com doença cardiovascular, vão ser abordados

Hydrogen production from sodium borohydride: the role of Ni-Ru supported catalysts

ABSTRACT: Nowadays, the concerns about greenhouse-gas emissions from fossil fuel sources are generating a demand for clean and abundant energy. Since early 2000’s the chemical hydrides, in particular sodium borohydride (NaBH4), hydrolysis reaction attracted much attention as a hydrogen carrier due to its high hydrogen storage capacity, safe handling and fast kinetics of hydrogen release. Although, during the last decades, several studies have been focused on sodium borohydride hydrolysis improvement, the reaction kinetics is not fully understood. Thus, the performance of nickel-ruthenium supported catalysts was studied both in alkaline hydrolysis (x = 16) and alkali-free hydrolysis (x = 2) reactions. The results present high hydrogen generation rates, at uncontrolled room temperature, that compete directly with the rates previously obtained with a nickel-ruthenium unsupported catalyst, which are advantages for an on demand low/medium power NaBH4-H2-PEMFC system.N/

plano Ambiental Inter-Sectorial - Ambiente e Pesca

Cabo Verde é um país ecologicamente frágil e de fracos recursos naturais. A satisfação das necessidades básicas do Homem exige que sejam bem definidas orientações estratégicas de aproveitamento e uma aplicação optimizada dos recursos naturais a favor do desenvolvimento de actividades económicas. Desde a independência, os sucessivos Governos Cabo-verdianos têm-se mostrado preocupados com a questão da preservação dos ecossistemas e com o enquadramento dos organismos vocacionados para a gestão ambiental. Na estratégia expressa nas Grandes Opções para do Desenvolvimento (2002), o ambiente é um dos temas mais importantes. Projecta-se uma sociedade dotada de um sentimento profundo para o ambiente e de uma consciência ecológica desenvolvida sendo as medidas de preservação encaradas de forma sistémica e transversal, pretendendo-se que sejam equitativas. O segundo Plano de Acção Nacional para o Ambiente (PANA II) constitui a concretização destas políticas e define as orientações estratégicas de aproveitamento dos recursos naturais bem como os seus efeitos sobre a gestão sustentável das actividades económicas. É um documento orientador de um processo continuo caracterizado por uma dinâmica própria e que nos próximos 10 anos (2004-2014), servirá de base de trabalho, permitindo um desenvolvimento Cabo-verdiano sustentável e harmonioso, garantindo um ambiente sadio. A elaboração do PANA II foi um processo complexo com o objectivo de assegurar o envolvimento dos parceiros e estabelecer as respectivas interligações entre os vários níveis. Incluído neste processo esteve a elaboração dos nove Planos Ambientais Intersectoriais (PAIS). Esses PAIS incluem as preocupações e planos de todos os ministérios e agências envolvidas em subsectores específicos. Assim resultarão em programas e actividades coerentes, transversais e com uma visão clara sobre o desenvolvimento sustentável. Este documento apresenta os resultados dos trabalhos e planificação dos parceiros no sector Ambiente e Pescas

Power outage detection methods for theoperation of a shunt active power flter as energy backup system

This paper presents the study of power outage detection methods that can be applied to a Shunt Active Power Filter (SAPF) with energy backup capability. SAPFs can successfully compensate Power Quality problems related with distorted or unbalanced currents and low power factor. Future Smart Grids will combine devices, control strategies and functionalities to increase the grid reliability and the power management capability. One of the main tools necessary to enable these features is the information of what is occurring in all the smart grid parts. In this context the fast detection of power outages is critical, so this paper also contributes for the discussion of the best ways to extract information in the context of future smart grids. The combination of information and flexible devices in a smart grid will enable the implementation of collective awareness systems, which can deal with different electrical grid problems and situations in an organic manner.This work is financed by FEDER Funds, through the Operational Programme for Competitiveness Factors – COMPETE, and by National Funds through FCT – Foundation for Science and Technology of Portugal, under the projects FCOMP 01-0124-FEDER-022674 and PTDC/EEA-EEL/104569/2008. Bruno Exposto is supported by the doctoral scholarship SFRH/BD/87999/2012 granted by FCT – Foundation for Science and Technology of Portugal. 0info:eu-repo/semantics/publishedVersio