E-learning and e-modules, employed in medical education, have yielded positive learning outcomes across all learner groups and various educational contexts. E-learning and e-modules, while possessing numerous benefits, have not yet fully realized their potential in Indian medical education. Through an appreciative inquiry lens (SOAR – Strengths, Opportunities, Aspirations, Results), this study seeks to gauge the perceptions of undergraduate students regarding e-learning and e-modules, as well as pinpointing the hurdles and challenges.
A longitudinal study was performed involving three successive groups (n = 250 each) of first-year medical students and two successive cohorts (n = 100 each) of first-year dental students. A purposive sampling technique was used to select the sample group. Utilizing the modified Zhou's Mixed Methods Model, this investigation developed two structured and validated questionnaires: the 'Knowledge, Attitude and Practice' (KAPQ) specifically for e-learning and the feedback questionnaire (FBQ) on e-modules. Questionnaires were given to participants both before and after the introduction of e-modules, using MOODLE or a physical copy, depending on the occasion. The qualitative analysis of student perspectives on e-learning and e-modules, spanning three years and involving a large sample, resulted in a tabulation of key strengths, potential opportunities, probable aspirations, and anticipated outcomes.
Students representing 766% of the population completed both questionnaires, specifically, six hundred and ninety. The Strengths domain identified nine themes: regular knowledge updates, innovative learning, availability of resources, sharing of knowledge, an abundance of information, accessibility to knowledge, knowledge as a source, creativity, and increased engagement. Eleven themes within the Opportunities domain were highlighted, specifically: Clinical Skills training, Timesaving, Flexibility, Creativity, Increased engagement, Standardized content, Capacity building for students, Capacity building for faculty, Skills training, and Self-assessment. Thirteen themes were found under the Aspirations domain, concentrating on three key areas: sustaining and amplifying current strengths, enlarging possibilities, and overcoming the impediments and hindrances outlined in the KAPQ and FBQ questionnaire. The investigated impediments, encompassing four key themes, comprised eye strain, distractions, a leaning towards conventional methods, and problems with internet connectivity.
This qualitative study's findings stem from the feedback received from first-year medical and dental students attending a private university in Chennai, India. In this student population, e-learning, implemented as a blended model utilizing structured and interactive e-modules, could promote higher engagement and support 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.
Data collected from first-year medical and dental students at a private university in Chennai, India, served as the basis for the findings of this qualitative study. Implementation of e-learning as a blended approach, employing structured and interactive e-modules, could lead to increased student engagement and support self-directed learning (SDL) in this student group. Blended learning, with e-modules as a crucial part of curriculum development, could potentially enhance the achievement of Competency-Based Medical Education (CBME) goals within the Indian context.

The results suggest that the addition of adjuvant chemotherapy after surgery for non-small cell lung cancer (NSCLC) in the elderly led to an improvement in survival rates. oropharyngeal infection We planned to assess the applicability and efficacy of alternate-day S-1, an oral fluoropyrimidine, as adjuvant chemotherapy for the elderly with completely resected non-small cell lung cancer, ranging from pathological stage IA (tumor diameter exceeding 2 cm) to IIIA (according to the UICC TNM Classification of Malignant Tumours, 7th edition).
Elderly patients in a one-year adjuvant chemotherapy study were randomly assigned to one of two arms: Arm A, receiving oral S-1 (80 mg/m2/day) every other day, for four days per week; or Arm B, receiving the same drug daily for two weeks, then resting for a week. 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%.
S-1 treatment was given to ninety-seven of the one hundred and one enrolled patients. Treatment completion rates at six months were 694% for Arm A and 646% for Arm B. These figures did not differ significantly (p = 0.067). Treatment completion rates in Arm B were observed to be lower than Arm A's, a disparity that became more substantial throughout the extended treatment periods of 9 and 12 months. Arm A's performance at 12 months, in terms of RDI of S-1 and complete S-1 administration without dose reduction or delay, was substantially better than Arm B's, as indicated by statistically significant differences (p = 0.0026 and p < 0.0001, respectively). In a comparative analysis of adverse events between Arm B and Arm A, anorexia, skin manifestations, and lacrimation exhibited significantly higher incidences in Arm B (p = 0.00036, 0.0023, and 0.0031, respectively). Arm A's 5-year recurrence-free survival rate was 569%, whereas Arm B's was 657%. This disparity was statistically significant (p = 0.022). In terms of five-year overall survival rates, Arm A saw 686%, and Arm B, 820% (p = 0.11).
The elderly NSCLC patients with complete resection, treated with S-1, demonstrated the feasibility of both daily and alternate-day oral administrations, with a comparatively reduced incidence of adverse effects observed in Arm A.
UMIN unique identification number UMIN000007819, dated April 25, 2012, has details available at https://center6.umin.ac.jp/cgi-open-bin/ctr e/ctr view.cgi?recptno=R000009128. Clinical trial jRCTs061180089, registered on March 22, 2019, in Japan under the Clinical Trials Act, is structured to target a particular clinical trial focus. For the full details, please visit this link: 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. Trial jRCTs061180089, registered in Japan on March 22, 2019, under the Clinical Trials Act, aims to adapt its focus toward a specific type of clinical trial. For details, visit: https://jrct.niph.go.jp/en-latest-detail/jRCTs061180089.

The relationship between infrastructure and university technology transfer has been disregarded in prior studies. High-speed rail, a defining element of China's infrastructure, has profoundly impacted the nation's economic and social fabric. skin biopsy Leveraging high-speed rail infrastructure development as a quasi-experimental setting and a broad selection of Chinese universities spanning the 2007-2017 period, this study examines the effect of high-speed rail on the transfer of university technologies. High-speed rail's favorable impact on university technology transfer is demonstrably supported by our detailed evidence. The finding's validity has withstood a comprehensive battery of robustness tests. High-speed rail, as revealed by mechanism tests, is a catalyst for university-enterprise interaction, thus leading to better technology transfer and a heightened demand for university technologies by businesses. Further examination reveals that enhanced intellectual property safeguards augment the influence of high-speed rail on academic technology transfer, and the correlation between high-speed rail and university technology transfer is particularly pronounced in regions with less-developed technology transaction marketplaces. Our research suggests that the presence of high-speed rail systems has a substantial impact on the movement of technology from universities.

Samgyeopsal, a dish previously less known, has become a common and cherished cuisine in the Philippines, starting in 2014. Trolox The widespread availability of Samgyeopsal showcases its growing global appeal, extending its reach to countries including the United States, along with regions of Northern and Southern Asia. This study analyzed the intention to consume Samgyeopsal during the COVID-19 pandemic via structural equation modeling and a random forest classification technique. Online surveys yielded 1014 responses, revealing a strong correlation between utilitarian and hedonic motivations, Korean influence, and consumer attitudes, resulting in high actual purchase behavior for east Samgyeopsal in the Philippines. Intention to actual behavior was significantly influenced by the interplay of subjective norms, perceived behavioral control, and intention itself. In conclusion, the COVID-19 safety protocol demonstrated the least impactful results. The Philippines' first study on COVID-19 consumer intentions regarding Samgyeopsal consumption is presented here. Korean BBQ restaurants can leverage the insights from this study to refine their marketing strategies and expand their reach internationally. The model's capacity developed in this study is applicable to examining consumer eating patterns and preferences toward a broader selection of worldwide cuisines and food types.

Abdominal pregnancy, a less common form of ectopic pregnancy, displays a reported incidence of roughly one case for every 10,000 live births. This condition is significantly correlated with high rates of fetal and maternal morbidity and mortality. The trauma activation of a 25-year-old primigravida female, accompanied by acute hypotension, arose from blunt abdominal trauma, uncovering a viable abdominal pregnancy with placental abruption. Given the patient's hypotension and the unfavorable fetal heart rate, a decision was made for an immediate exploratory laparotomy and cesarean delivery in the operating room.