Sleep-wake pattern of medical students: early versus late class starting time

The sleep-wake cycle of students is characterized by delayed onset, partial sleep deprivation and poor sleep quality. Like other circadian rhythms, the sleep-wake cycle is influenced by endogenous and environmental factors. The aim of the present study was to determine the effects of different class starting times on the sleep-wake pattern of 27 medical students. The data were collected during two medical school semesters having different class starting times. All subjects answered the Portuguese version of the Horne and Östberg Morningness/Eveningness Questionnaire, the Pittsburgh Sleep Quality Index (PSQI) and kept a sleep diary for two weeks during each semester. Better sleep quality (PSQI = 5.3 vs 3.4), delayed sleep onset (23:59 vs 0:54 h) and longer sleep duration (6 h and 55 min vs 7 h and 25 min) were observed with the late schedule. We also found reduced sleep durations during weekdays and extended sleep durations during weekends. This pattern was more pronounced during the semester with the early class schedule, indicating that the students were more sleep deprived when their classes began earlier in the morning. These results require further investigation regarding the temporal organization of our institutions.

Sharing and Learning= Changing. A real story at the Institute of Public Security of Catalonia

The Institute has professionals with extensive experience in training, specifically with experience in the field of police and emergencies training. Moreover, it also has very talented people. But above all, our institution has public professionals with a desire to serve, who love security and emergency responders and want to provide them with the best knowledge to make them every day better professionals. In the quest for continuous training improvement, its during 2009 when e-learning begins to have a presence at the Institute. Virtual training methodology becomes a facilitator for the training of various professionals, avoiding geographical displacement and easing the class schedule.

Relação entre o ciclo sono e vigília e a função cardiorrespiratória em estudantes de medicina

Students, normally, present an irregular sleep pattern characterized by delays in sleep onset and offset from weekdays to weekends, short sleep duration on weekdays and long sleep duration on weekends. The reduction of the necessary sleep and the irregularity in the sleep patterns provoke relevant short- and long-term impairments on performances, for example, in cardiorespiratory function. The cardiorespiratory performance represents, in addition to fitness, traces associated to health conditions and in several studies to pattern and/or individual s sleep quality. The aim of this study was to evaluate the pattern of the sleep-wake cycle and the cardiorespiratory function of medical students under different class schedules. The study was accomplished with two classes of medical students of UFRN, one had classes at 7 am (n = 47) and the second had classes at 8 am (n = 41) during the week. On the first stage of the study all volunteers filled out an anamnesis, the International Physical Activity questionnaire, the Pittsburgh index of sleep quality, the Portuguese version of the Horne and Östberg cronotype questionnaire, the Health and Sleep questionnaire and the Epworth Scale of Somnolence (ESS). On the second stage, 24 students (12 of each class) had their activity rhythm monitored by actimeters set to record activity at a 2-min interval for 14 days concomitant to the completion of the sleep diary. In this same stage, each volunteer performed the effort test (treadmill) only once in the morning period (between 9:00 and 11:00). The students showed an irregular pattern of the sleep-wake cycle and this irregularity is strongly influenced by the class schedules, in addition to the contribution of the academic demand, social activities and endogenous factors. The students who woke up earlier showed greater irregularity in the sleep-wake pattern. The earlier was the class schedule the worse was the sleep quality and the greater was the frequency of students with excessive diurnal somnolence. The classes schedules and the irregular pattern of the sleep-wake cycle did not show effect on the cardiorespiratory performance of the medical students. The performance on the test seems to be affected by other factors, which can be related to the pattern of the sleep-wake cycle or not. Therefore, it is suggested that the late start of classes provokes less irregularity on the pattern of the sleep-wake cycle. However, it was observed that this irregularity and the class schedule seem not to affect the cardiorespiratory performance directly

Avaliação e Projeto Pedagógico: uma relação amorosa na prática da educação de jovens e adultos

Este artigo instiga uma reflexão sobre a avaliação no sentido de conhecer o educando para qualificar suas atitudes, habilidades e conhecimentos tendo como objetivos a tomada de decisões sobre o que, como e quando re-planejar e planejar as ações pedagógicas. Avaliar com a disposição de acolher o outro no seu ser e no seu modo de ser, como o outro está para a partir daí, decidir o que fazer. Refletir sobre as possibilidades de atividades que emergem das atividades do dia a dia buscando através do diálogo os profundos sentidos da linguagem-pensamento e realidade, cuja transformação trará novas necessidades de expressão. O Projeto Pedagógico se inicia quando nos permitimos dialogar com a comunidade para conhecê-la, o nosso plano de aula terá a proposta dialogada e refletida com os educandos fazendo emergir o tema gerador e a sua problematização. Os conteúdos curriculares serão os conhecimentos sócio/culturais desenvolvidos pela humanidade por necessidades históricas.

Guerra e o desenvolvimento científico: uma superaula interdisciplinar e investigativa construída em torno de um experimento central

This research presents the description of the assembly, development and execution of an experiment and of an interdisciplinary and student research activity built by some undergraduates from Biological Sciences, Physics, Mathematics and Chemistry PIBID subprojects of the Faculty of Science, FC - UNESP, Bauru/SP Campus. These subprojects are part of a single interdisciplinary group, which has as its main activity the Superclass, which consists of an intervention of the PIBID members during the class schedule, with an interdisciplinary and student research didactic sequence, applied by four groups of ten members, in two local State Schools. The experiment treated in this assignment was a miniature cannon (minicannon), and it was used in a Superclass that had the War and Science Development as its theme, wherein the knowledge of all areas were built from the analysis of the multiple variables involved on the cannon shots. These variables were surveyed with the students through the experiment research, during the Superclass, being focused on three of them: the shot and the explosives; the trajectory; and the target. The experiment was extremely successful, because it could instigate the students, who were interested, questioning and debaters for several times during the class. The minicannon made possible the interdisciplinary and the student research work among the four areas of science involved. Despite it has been a laborious experiment in its construction, it has proven to be innovative, and its use has transformed the students‟ ingenuous curiosity into epistemological curiosity, a key factor in the construction of scientific knowledge, wherein the dialogue established in the Superclass explored this new curiosity

Arati Phaenomena et diosemea : quibus subiiciuntur Eratosthenis Catasterismi. Dionysii Orbis terrarum descriptio /

Text in Greek.

Examining the needs for student services of adult learners in continuing higher education

The primary purpose of this study was to examine the availability and quality of student services offered to adult learners in selected continuing education programs in Dade County, Florida. The two basic research questions addressed in this study were: 1) What are the student services being provided to adult learners by the selected colleges and universities? 2) What is the quality of these services being provided as perceived by administrators and adult learners at their institutions? Two groups comprised the population for this study. One group sample of adult learners enrolled in credit courses being offered by the continuing education unit. The second group sample was comprised of administrators in the areas of Admissions, Financial Aid, Registration, Student Services and Continuing Education at each of the five colleges and universities in Dade County, Florida. Data were collected from 107 students and 25 administrators using the Continuing Education Student Services Questionnaire (CESSQ) developed by the researcher in a pilot study. The questionnaire, one for administrators and a similar one for adult learners, consisted of two parts. One consisted of eight demographic items and the second one of twenty items describing student services. An overview of responses by institutions showed that only the following services received a 100% response as available at one or more institutions: 1) Admissions Information, 2) Convenient Hours for Registration, 3) Assistance in Class Registration, 4) Assistance in Planning a Class Schedule, 5) Access to the Library in Evening and Weekends, 6) Parking and Security, 7) Food Services, 8) Bookstore and 9) Access to Computers.

Pressão de sono e perfil acadêmico de estudante de medicina do 1º período da UFRN

Academic demands, new social context, new routines and decrease of the parental control, are factors that may influence the sleep pattern of freshman students at the University. Medical students from the Federal University of Rio Grande do Norte (UFRN) have a full-time course, subjects with high-level content, and, at the first semester, classes begin at 7 a.m. This group composed by young adults who still suffering with delayed sleep phase, common in adolescence, indicating that this class schedule can be inappropriate at this age. The reduction of nocturnal sleep during school days, and the attempt to recover sleep on free days – social jet lag (JLS), suggests that in the first semester, students suffer from high sleep pressure. High sleep pressure may reflect on cognitive tasks and performance. Therefore, the aim of this study was to investigate the relationship between sleep pressure and the academic profile of medical students from the first semester of UFRN, characterizing this population socio-demographically and investigating possible impacts on therestactivity rhytm and academic performance. A sample of 88 students, healthy men and women awswered the following questionnaires: Pittsburgh Sleep Quality (PSQI), Epworth Sleepiness Scale (ESS), Horne & Ostberg Chronotype (HO), Munich Chronotype (MCTQ) and “Health and Sleep” adapted. Actigraphy was used during 14 days to make actogramas and obtain non-parametric variables of the rest-activity rhythm and the grades of the morning schedule were used as academic performance. The JLS was used as a measure of sleep pressure. Statistics significance level was 95%. The population was sociodemographic homogeneous. Most students have healthy lifestyle, practice physical activity, use car to go to the university and take between 15 and 30 minutes for this route. Regarding CSV, most were classify as intermediate (38.6%) and evening (32%) chronotypes, needs to nap during the week, suffer daytime sleepiness and have poor sleep quality. 83% of the sample has at least 1h JLS, which led us to divide into two groups: Group <2h JLS (N = 44) and Group ≥ 2h JLS (N = 44). The groups have differences only in chronotype, showing that most evening individuals have more JLS, however, no differences were found in relation to sociodemographic aspect, rest-activity rhythm or academic performance. The homogeneity of the sample was limited to compare the groups, however, is alarming that students already present in the first half: JLG, poor sleep quality and excessive daytime sleepiness, which can be accentuated through the university years, with the emergence of night shifts and increased academic demand. Interventionsaddressingthe importance of good sleep habits and the change of the class start time are strategies aimed to improve student’s health.

RTOG 0525: Exploratory Subset Analysis from a Randomized Phase III Trial Comparing Standard (std) Adjuvant Temozolomide (TMZ) with a Dose-dense (dd) Schedule for Glioblastoma (GBM)

Purpose/Objective(s): RTwith TMZ is the standard for GBM. dd TMZ causes prolongedMGMTdepletion in mononuclear cells and possibly in tumor. The RTOG 0525 trial (ASCO 2011) did not show an advantage from dd TMZ for survival or progression free survival. We conducted exploratory, hypothesis-generating subset analyses to detect possible benefit from dd TMZ.Materials/Methods: Patients were randomized to std (150-200 mg/m2 x 5 d) or dd TMZ (75-100 mg/m2 x 21 d) q 4 weeks for 6- 12 cycles. Eligibility included age.18, KPS$ 60, and. 1 cm2 tissue for prospective MGMTanalysis for stratification. Furtheranalyses were performed for all randomized patients (''intent-to-treat'', ITT), and for all patients starting protocol therapy (SPT). Subset analyses were performed by RPA class (III, IV, V), KPS (90-100, = 50,\50), resection (partial, total), gender (female, male), and neurologic dysfunction (nf = none, minor, moderate).Results: No significant difference was seen for median OS (16.6 vs. 14.9 months), or PFS (5.5 vs. 6.7 months, p = 0.06). MGMT methylation was linked to improved OS (21.2 vs. 14 months, p\0.0001), and PFS (8.7 vs. 5.7 months, p\0.0001). For the ITT (n = 833), there was no OS benefit from dd TMZ in any subset. Two subsets showed a PFS benefit for dd TMZ: RPA class III (6.2 vs. 12.6 months, HR 0.69, p = 0.03) and nf = minor (HR 0.77, p = 0.01). For RPA III, dd dramatically delayed progression, but post-progression dd patients died more quickly than std. A similar pattern for nf = minor was observed. For the SPT group (n = 714) there was neither PFS nor OS benefit for dd TMZ, overall. For RPA class III and nf = minor, there was a PFS benefit for dd TMZ (HR 0.73, p = 0.08; HR 0.77, p = 0.02). For nf = moderate subset, both ITT and SPT, the std arm showed superior OS (14.4 vs. 10.9 months) compared to dd, without improved PFS (HR 1.46, p = 0.03; and HR 1.74, p = 0.01. In terms of methylation status within this subset, there were more methylated patients in the std arm of the ITT subset (n = 159; 32 vs. 24%). For the SPT subset (n = 124), methylation status was similar between arms.Conclusions: This study did not demonstrate improved OS for dd TMZ for any subgroup, but for 2 highly functional subgroups, PFS was significantly increased. These data generate the testable hypothesis that intensive treatment may selectively improve disease control in those most likely able to tolerate dd therapy. Interpretation of this should be considered carefully due to small sample size, the process of multiple observations, and other confounders.Acknowledgment: This project was supported by RTOG grant U10 CA21661, and CCOP grant U10 CA37422 from the National Cancer Institute (NCI).

RTOG 0525: A randomized phase iii trial comparing standard adjuvant temozolomide (tmz) with a dose-dense (dd) schedule in newly diagnosed glioblastoma (gbm)

Radiotherapy with concomitant and adjuvant TMZ is the standard of care for newly diagnosed GBM. MGMT methylation status may be an important determinant of treatment response. This trial, conducted by the RTOG, EORTC, and NCCTG, determined if intensified TMZ improves survival (OS) or progression free survival (PFS) in all patients or specific to MGMT status. Eligibility criteria included age . 18 yrs, KPS ≥ 60, and existence of a tissue block with . 1cm2 tumor for prospective MGMT and retrospective molecular analysis. Patients were randomized to Arm 1: standard TMZ (150-200 mg/m2 x 5 d) or Arm 2: dd TMZ (75-100 mg/m2 x 21 d) q 4 wks for 6-12 cycles. Symptom burden, quality of life (QOL), and neurocognition were prospectively and longitudinally assessed in a patient subset. 833 patients were randomized (1173 registered). Inadequate tissue (n ¼ 144) was the most frequent reason for nonrandomization.No statistical difference was observed between Arms 1 and 2 for median OS (16.6, 14.9 mo, p ¼ 0.63), median PFS (5.5, 6.7 mo, p ¼ 0.06), or methylation status. MGMT methylation was associated with improved OS (21.2, 14 mo, p , 0.0001), PFS (8.7, 5.7 mo, p , 0.0001), and treatment response (p ¼ 0.012). Cox modeling identifiedMGMT status and RPA class as significant predictors of OS; treatment arm and radiation technique (EORTC vs. RTOG) were not. There was increased grade ≥ 3 toxicity in Arm 2 (19%, 27%, p ¼ 0.008), which was mostly lymphopenia and fatigue. This study did not demonstrate improved efficacy for dd TMZ for newly diagnosed GBM regardless of methylation status. However, it confirmed the prognostic significance of MGMT methylation in GBM, demonstrated the feasibility of tumor tissue collection, molecular stratification, and collection of patient outcomes in a large transatlantic intergroup trial, thereby establishing a viable clinical trial paradigm. Support: NCI U10 CA 21661 and U10 CA37422.

Radical Verses: Aku Päiviö's Literary Influence on the Finnish Working-Class

Aku Päiviö was one of the most influential voices of the Finnish labor movement in North America—a poet who also wrote plays and novels, and an editor who worked for a variety of newspapers across the United States and Canada. During the height of the Finnish socialist movement from around 1904-1916, Päiviö published a number of poems that identified with the actions and ideologies of the working-class. He also edited for newspapers such as Kansan Lehti and Raivaaja, further extending his literary reach. Despite his prodigious publications and influence, however, little of Päiviö’s writing has been translated into English. This paper celebrates Päiviö’s legacy with some English translations of his poems, specifically those commemorating the 1913-14 Michigan Copper Strike, and illuminates how various thematic and structural relationships in these poems relate to the ideologies and movements of the time.

Flash in the Pan: Cross-Class Cooperation in 1916 Iron Range Strike

In the Iron Range Strike of 1916, working-class wives picketed alongside their husbands in a conflict-ridden and dangerous setting. Mine deputies abused immigrant women on the picket lines and in their homes, with several disquieting reports receiving statewide attention in Minnesota. Many middle-class reformers in the Twin Cities grew sympathetic to the plight of northern mining families and became controversially involved the labor struggle. Some middleclass women worked alongside working-class wives and radical organizers from the Industrial Workers of the World (IWW). At the center of this gendered analysis is the cross-class cooperation between an upper-middle class woman, Lenora Austin Hamlin, a radical reformer, Elizabeth Gurley Flynn, and the story of a working-class housewife, Mikla Masonovich. This study will ask how authentic, prevalent, and unproblematic their stories of cross-class cohesive action actually were. In answering this, it will address and identify those factors that impeded women’s potential for unity. “Flash in the Pan” argues that as a result of both real and perceived differences, these networks of women remained isolated, inhibiting each from gaining sufficient power to work cohesively, and marginalizing their influence. Drawing upon a variety of sources, including media representations in newspapers, and archives of social, labor and women’s organizations, this regional study lends state-level insight into the larger gender-labor historiography.

Effect of positioning on the accuracy of decision making of association football top-class referees and assistant referees during competitive matches

The aim of this study was to examine the effect of positioning on the correctness of decision making of top-class referees and assistant referees during international games. Match analyses were carried out during the Fe´de´ration Internationale de Football Association (FIFA) Confederations Cup 2009 and 380 foul play incidents and 165 offside situations were examined. The error percentage for the referees when indicating the incidents averaged 14%. The lowest error percentage occurred in the central area of the field, where the collaboration of the assistant referee is limited, and was achieved when indicating the incidents from a distance of 11–15 m, whereas this percentage peaked (23%) in the last 15-min match period. The error rate for the assistant referees was 13%. Distance of the assistant referee to the offside line did not have an impact on the quality of the offside decision. The risk of making incorrect decisions was reduced when the assistant referees viewed the offside situations from an angle between 46 and 608. Incorrect offside decisions occurred twice as often in the second as in the first half of the games. Perceptual-cognitive training sessions specific to the requirements of the game should be implemented in the weekly schedule of football officials to reduce the overall error rate.

University employees work schedule

The aim of this project is to create a website which is useful both employees and students of a university, so employees can add information, if they log in with username and password access, and students can view this information . Employees may modify and display information such as title, room, or their faculty (from a list defined by the administrator), and most importantly, their schedule, whether class, tutoring, free time, or any of tasks that the administrator define. There will be a manager, responsible for managing employees, the availables faculties and the types of tasks that employees can use on their schedule. Students may see the employees schedules and rooms on the homepage. They differentiate between differents tasks of employees, because these are in different colors. They can also filter information for faculty, employee or day. To achieve our goal, we decided to program in Java using Servlets, which we will use to generate response to requests coming from users from the website. We will also use JSP, allowing us to create different websites files. We use JSP files and not HTML, because we need that the pages are dynamic, since not only want to show specific information, we like that information can change depending on user requests. The JSP file allows us to generate HTML, but also using JAVA language, which is necessary for our purpose. As the information we store is not fixed. We want this information can be modified at any time by employees and admin, so we need a database, which can be accessed from anywhere. We decided SQLite databases because are integrated quite well in our application, and offer a quick response. To access the database from our program, we simply connect it to the database, and with very few lines of code, add, delete or modify entries in different tables that owns the database. To facilitate the initial creation of the database, and the first tables, we use a Mozilla Firefox browser plugin, called SQLite Manager, which allows us to do so from a more friendly interface. Finally, we need a server that supports and implements specifications Servlets and JSP. We decided on the TomCat server, which is a container Servlets, because is free, easy to use, and compatible with our program. We realized all the project with Eclipse environment, also free program that allows integrating database, server and program the JSP and Servlets. Once submitted all the tools we used, we must first organize the structure of the web, relating each Servlets with JSP files. Next, create the database and the different Servlets, and adjust the database accesses to make sure we do it right. From here simply is to build up the page step by step, showing in each place we need, and redirect to different pages. In this way, we can build a complex website, free, and without being an expert in the field. RESUMEN. El objetivo de este proyecto, es crear una página web que sirva tanto a empleados como a alumnos de una universidad, de tal manera que los empleados podrán añadir información, mediante el acceso con usuario y contraseña, y los alumnos podrán visualizar está información. Los empleados podrán modificar y mostrar información como su título, despacho, facultad a la que pertenecen (de entre una lista definida por el administrador), y lo más importante, sus horarios, ya sean de clase, tutorías, tiempo libre, o cualquiera de las tareas que el administrador defina. Habrá un administrador, encargado de gestionar los empleados existentes, las facultades disponibles y los tipos de tareas que podrán usar los empleados en su horario. Los alumnos, podrán visualizar los horarios y despacho de los empleados en la página principal. Diferenciarán entre las distintas tareas de los profesores, porque estas se encuentran en colores diferentes. Además, podrán filtrar la información, por facultad, empleado o día de la semana. Para conseguir nuestro objetivo, hemos decidido programar en Java, mediante el uso de Servlets, los cuales usaremos para generar respuesta antes las peticiones que llegan de los usuarios desde la página web. También usaremos archivos JSP, que nos permitirán crear las diferentes páginas webs. Usamos archivos JSP y no HTML, porque necesitamos que las diferentes páginas sean dinámicas, ya que no solo queremos mostrar una información concreta, si no que esta información puede variar en función de las peticiones de usuario. El archivo JSP nos permite generar HTML, pero a la vez usar lenguaje JAVA, algo necesario para nuestro cometido. Como la información que queremos almacenar no es fija, si no que en todo momento debe poder ser modificada por empleados y administrador, necesitamos una base de datos, a la que podamos acceder desde la web. Nos hemos decidido por bases SQLite, ya que se integran bastante bien en nuestra aplicación, y además ofrecen una rápida respuesta. Para acceder a la base de datos desde nuestro programa, simplemente debemos conectar el mismo a la base de datos, y con muy pocas líneas de código, añadir, eliminar o modificar entradas de las diferentes tablas que posee la base de datos. Para facilitar la creación inicial de la base de datos, y de las primeras tablas, usamos un complemento del navegador Mozilla Firefox, llamado SQLite Manager, que nos permite hacerlo desde una interfaz más amigable. Por último, necesitamos de un servidor que soporte e implemente las especificaciones de los Servlets y JSP. Nos decidimos por el servidor TomCat, que es un contenedor de Servlets gratuito, de fácil manejo, y compatible con nuestro programa. Todo el desarrollo del proyecto, lo realizamos desde el entorno Eclipse, programa también gratuito, que permite integrar la base de datos, el servidor y programar los JSP y Servlets. Una vez presentadas todas las herramientas que hemos utilizado, primero debemos organizar la estructura de la web, relacionando cada archivo JSP con los Servlets a los que debe acceder. A continuación creamos la base de datos y los diferentes Servlets, y ajustamos bien los accesos a la base de datos para comprobar que lo hacemos correctamente. A partir de aquí, simplemente es ir construyendo la página paso a paso, mostrando en cada lugar lo que necesitemos, y redirigiendo a las diferentes páginas. De esta manera, podremos construir una página web compleja, de manera gratuita, y sin ser un experto en la materia.