Across diverse educational settings and learner types, the implementation of e-learning and e-modules in medical education has demonstrably improved learning outcomes. Despite the strengths of e-learning and e-modules, their full potential in medical instruction in India has not yet been completely achieved. Using an appreciative inquiry method (SOAR – Strengths, Opportunities, Aspirations, Results), the objective of this study is to examine undergraduate student perceptions of e-learning and e-modules, and to identify any related impediments.
Medical students (n = 250 per batch, 3 batches) and dental students (n = 100 per batch, 2 batches) were studied longitudinally over a set period. The sample selection process employed a purposive sampling method. To underpin this study, two questionnaires were developed, based on the modified Zhou's Mixed Methods Model: the 'Knowledge, Attitude, and Practice' (KAPQ) questionnaire specifically for e-learning and the feedback questionnaire (FBQ) on e-modules. Questionnaires, distributed before and after the e-module implementation, were completed via MOODLE or physical copies, correspondingly. From a qualitative analysis of the perceptions of a large student sample collected over three years, a tabulation of identified strengths, potential opportunities, probable aspirations, and likely results for e-learning and e-modules was constructed.
Following submission of both questionnaires by six hundred and ninety students, a response rate of 766% was calculated. Nine distinct strengths themes arose from the review: regular knowledge updates, innovative learning approaches, resource availability, knowledge sharing, plentiful information, easy access, knowledge sources, creativity, and heightened engagement. The Opportunities domain was analyzed, revealing eleven significant themes. These themes are: Clinical Skills training, Timesaving, Flexibility, Creativity, Increased engagement, Standardized content, Capacity building for students, Capacity building for faculty, Skills training, and Self-assessment. The Aspirations domain yielded thirteen distinct themes, three of which stand out: enhancing existing competencies, cultivating new opportunities, and overcoming obstacles as revealed in the KAPQ and FBQ survey data. The investigated impediments, encompassing four key themes, comprised eye strain, distractions, a leaning towards conventional methods, and problems with internet connectivity.
Qualitative insights in this study about first-year medical and dental students at a private university in Chennai, India, are derived from their responses. Employing structured, interactive e-modules within a blended e-learning framework in this student population might increase engagement and facilitate self-directed learning (SDL), either directly or indirectly. Curriculum planning that includes e-modules, as a component of blended learning, could potentially enhance the attainment of Competency-Based Medical Education (CBME) objectives in the Indian context.
Responses from first-year medical and dental students at a private university in Chennai, India, were instrumental in establishing the qualitative study's findings. The integration of e-learning, specifically as a blended learning approach utilizing structured and interactive e-modules, is likely to enhance student engagement and facilitate self-directed learning (SDL) in this student population. Curriculum planning for blended learning, particularly when utilizing e-modules, may prove advantageous in fulfilling Competency-Based Medical Education (CBME) goals in India.

Adjuvant chemotherapy after surgery for non-small cell lung cancer (NSCLC) in the elderly cohort showed a positive correlation with improved survival. endothelial bioenergetics To explore the applicability and efficacy of alternate-day S-1, an oral fluoropyrimidine, for adjuvant chemotherapy in elderly patients with completely resected non-small cell lung cancer (NSCLC) at pathological stages IA (tumor diameter greater than 2 cm) through IIIA (as categorized by the UICC TNM Classification of Malignant Tumours, 7th edition), was our objective.
For one year, elderly patients were randomly categorized into two arms for adjuvant chemotherapy: Arm A, receiving oral S-1 (80 mg/m2/day) every other day, four days per week; and Arm B, receiving daily oral S-1 (80 mg/m2/day) for two weeks, followed by a seven-day rest period. The primary endpoint, feasibility, was defined by the treatment completion rate. This rate represented the proportion of patients who completed the six-month intervention with a relative dose intensity (RDI) of at least 70%.
Ninety-seven patients, out of a total of one hundred and one enrolled, were given S-1 treatment. At the six-month mark, treatment completion rates were 694% in Arm A and 646% in Arm B; the difference between these rates was statistically insignificant (p = 0.067). Arm B experienced a lower rate of treatment completion, particularly when the treatment period spanned 9 and 12 months, in comparison to the rate in Arm A. Arm A exhibited significantly better RDI of S-1 at 12 months, and complete S-1 administration without dose reduction or delay at 12 months, compared to Arm B, as evidenced by p = 0.0026 and p < 0.0001, respectively. A substantial increase in anorexia, skin reactions, and tear production was detected in Arm B compared to Arm A; this difference was statistically significant (p = 0.00036, 0.0023, and 0.0031, respectively). A noteworthy difference (p = 0.022) was found in the 5-year recurrence-free survival rates between Arm A (569%) and Arm B (657%). The overall survival rates over five years for Arm A and Arm B were 686% and 820%, respectively (p = 0.11).
Elderly patients with complete resection of NSCLC were shown to tolerate both daily and alternate-day oral S-1 administrations, the lower incidence of adverse effects being observed in Arm A.
On April 25, 2012, UMIN issued the unique identifier UMIN000007819. More information is located at: https://center6.umin.ac.jp/cgi-open-bin/ctr e/ctr view.cgi?recptno=R000009128. Registered under the Japanese Clinical Trials Act on March 22, 2019, trial jRCTs061180089 is structured around a designated clinical trial focus. Full details can be found at the following URL: https://jrct.niph.go.jp/en-latest-detail/jRCTs061180089.
The registration of UMIN000007819, a unique identifier issued by UMIN, occurred on April 25, 2012, as indicated by the online resource at https://center6.umin.ac.jp/cgi-open-bin/ctr e/ctr view.cgi?recptno=R000009128. jRCTs061180089, a trial registered under the Clinical Trials Act in Japan on March 22, 2019, is geared towards a specific clinical trial goal. For more information, refer to https://jrct.niph.go.jp/en-latest-detail/jRCTs061180089.

University technology transfer studies have, in the past, failed to consider the consequences of infrastructure. High-speed rail, a defining element of China's infrastructure, has profoundly impacted the nation's economic and social fabric. cytotoxicity immunologic We analyze the influence of high-speed rail on university technology transfer, employing high-speed rail construction as a quasi-experimental approach and a significant sample of Chinese universities over the 2007-2017 period. High-speed rail's positive effect on university technology transfer is supported by our extensive documentation. After undergoing a battery of robustness tests, the finding remains valid. Mechanism tests show that high-speed rail fosters interaction between universities and enterprises, driving technology transfer and escalating businesses' demand for technological expertise from universities. Comparative study reveals that better intellectual property protections amplify the effect of high-speed rail on the transference of university technologies, and the link between high-speed rail and the transfer of university technologies is more pronounced in regions with undeveloped technology trading sectors. Our research reveals that high-speed rail is a significant contributing factor in the transfer of technological knowledge from universities.

Samgyeopsal's popularity has surged in the Philippines, a culinary phenomenon since 2014. EPZ004777 ic50 The international success of Samgyeopsal is mirrored by its accessibility in diverse locales, including the United States, and regions of Northern and Southern Asia. This study sought to investigate the inclination towards consuming Samgyeopsal during the COVID-19 pandemic, employing structural equation modeling and a random forest classifier. East Samgyeopsal consumption in the Philippines exhibited exceptionally high actual behavior, as evidenced by 1014 online survey responses, which highlighted the significant impact of utilitarian and hedonic motivations, Korean influence, and consumer attitudes. Subsequently, the impact of subjective norms, perceived behavioral control, and intention was demonstrably consequential, shaping the trajectory from intention to real-world actions. Last but not least, the COVID-19 safety protocol's impact was the least substantial. During the COVID-19 pandemic in the Philippines, this study uniquely examines consumer intentions related to Samgyeopsal consumption. The findings from this study can help Korean BBQ restaurateurs refine their marketing strategies, leading to improvements in their international operations. In future investigations, this study's model construction can be extended to understand consumer food preferences related to a broader array of global cuisines and food varieties.

Abdominal pregnancies, a rare type of ectopic pregnancy, are estimated to occur in about one out of every 10,000 live births. This condition is significantly correlated with high rates of fetal and maternal morbidity and mortality. This 25-year-old, pregnant for the first time, arrived at the hospital as a trauma activation, displaying acute hypotension following blunt force trauma to her abdomen, revealing a live abdominal pregnancy complicated by placental detachment. Due to hypotension and concerning fetal heart tones, an immediate exploratory laparotomy and cesarean section were performed in the operating room.