Effectiveness of interprofessional education by on-field training for medical students, with a pre-post design

open3noBACKGROUND: Interprofessional Education (IPE) implies how to achieve successful teamwork, and is based on collaborative practice which enhance occasions for relationships between two or more healthcare professions. This study evaluates the effectiveness of IPE in changing attitudes after a training recently introduced to medical education for second-year students at the University of Padova, Italy. METHODS: All medical students following a new program for IPE were enrolled in this study. The Interdisciplinary Education Perception Scale (IEPS) was administered before and after training, according to observation-based and practice-based learning. Data were analysed with Student's paired t-test and Wilcoxon's signed rank test. RESULTS: 277 medical students completed both questionnaires. Statistically significant improvements were found in students' overall attitudes as measured by the IEPS and four subscale scores. Gender-stratified analyses showed that improvements were observed only in female students in subscale 4 ("Understanding Others' Values"). Students who had a physician and/or health worker in their family did not show any improvement in subscales 2 ("Perceived need for cooperation") or 4 ("Understanding Others' Values"). CONCLUSIONS: Our results indicate that IPE training has a positive influence on students' understanding of collaboration and better attitudes in interprofessional teamwork. More research is needed to explore other factors which may influence specific perceptions among medical students.openZanotti, Renzo; Sartor, Giada; Canova, CristinaZanotti, Renzo; Sartor, Giada; Canova, Cristin

Hybrid (bolted/bonded) joints applied to aeronautic parts : analytical one-dimensional models of a single-lap joint

The load transfer in hybrid (bolted/bonded) single-lap joint is complex due to the association of two different transfer modes (discrete and continuous) through elements with different stiffness. Analytical methods exist for these two different modes, when considered separately. In this paper two one-dimensional elastic analytical models are presented for the determination of the load transfer in single lap configuration. The first one is developed by using the integration of the local equilibrium equations. From this first method an elastic-plastic approach is presented. The second one uses the Finite Element Method, introducing a new element called “bonded-bar”. These models are robust, easy to use and provide the same results. They allow to analyze the load transfer and to evaluate different geometric and mechanical parameters’ influence. Thus they represent the first step for the design of a hybrid joint able to replace its bolted equivalent used on aircraft

Emulating and evaluating hybrid memory for managed languages on NUMA hardware

Non-volatile memory (NVM) has the potential to become a mainstream memory technology and challenge DRAM. Researchers evaluating the speed, endurance, and abstractions of hybrid memories with DRAM and NVM typically use simulation, making it easy to evaluate the impact of different hardware technologies and parameters. Simulation is, however, extremely slow, limiting the applications and datasets in the evaluation. Simulation also precludes critical workloads, especially those written in managed languages such as Java and C#. Good methodology embraces a variety of techniques for evaluating new ideas, expanding the experimental scope, and uncovering new insights. This paper introduces a platform to emulate hybrid memory for managed languages using commodity NUMA servers. Emulation complements simulation but offers richer software experimentation. We use a thread-local socket to emulate DRAM and a remote socket to emulate NVM. We use standard C library routines to allocate heap memory on the DRAM and NVM sockets for use with explicit memory management or garbage collection. We evaluate the emulator using various configurations of write-rationing garbage collectors that improve NVM lifetimes by limiting writes to NVM, using 15 applications and various datasets and workload configurations. We show emulation and simulation confirm each other's trends in terms of writes to NVM for different software configurations, increasing our confidence in predicting future system effects. Emulation brings novel insights, such as the non-linear effects of multi-programmed workloads on NVM writes, and that Java applications write significantly more than their C++ equivalents. We make our software infrastructure publicly available to advance the evaluation of novel memory management schemes on hybrid memories

Andalucía, un puente hacia América

Tomo II ; págs. 1-1