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Purpose The current emphasis within education is on collaboration, data-driven decision-making, and assessment driven accountability. Medical education is now being oriented to guarantee patient-centered care. Having appropriate data from student outcomes is crucial for decision making on both educational and health care institutions. This paper describes the development of a mobile app to assess the clinical competencies of medical students for timely and quality feedback. Design The app development included 4 phases. The conceptual model was designed on collaborative and multidisciplinary focus groups with clinicians, information technology professionals, hospital directors, and change managers. The prototype was an app with functional and friendly features to assess students with Patient-Centered Learning perspectives. Innovative features included student profiles, multiple examiners, customizable instruments, and data reports. The pilot started with faculty training and monitoring by information technology professionals. For a broader implementation, detailed rubrics were applied to assess the clinical competencies on bedside (ambulatory care, surgical procedures and emergency skills) and non-bedside learning moments (case discussions and rounds). Findings Non-bedside learning moments had the highest frequency (55.3 vs 28.8 per cent) of the records. Case discussions represented 40.7 per cent of assessments while rounds accounted for 14.6 per cent. In contrast, regarding the bedside learning moments, the emergency department had the lowest figures (3.5 per cent). It seems that faculty prefers to grade students on academic activities rather than complex student patient encounters. Originality Obtaining multiple results from real-time feedback promoted awareness of patient centeredness on medical students. Both the medical school and the hospital now have accountable information for decision making.

La tesis titulada: “Sistema de información para mejorar el proceso de seguimiento de egresados de la Universidad Nacional Agraria de la Selva (UNAS) - Tingo María 2021”, analiza la problemática sobre el deficiente desempeño del proceso de seguimiento de egresados de la UNAS, entendiendo la importancia de este proceso como indicador clave de medición de la calidad al final del proceso formativo, por lo que se planteó el problema: ¿Cuál es la influencia del uso de un sistema de información en el proceso de seguimiento de egresados de la UNAS?; también se estableció como objetivo: “Determinar la influencia del uso de un sistema de información en el proceso de seguimiento de egresados de la UNAS”, el tipo de investigación se planteó como aplicada-tecnológica de diseño pre experimental y nivel explicativo-longitudinal en el cual se aplicó el método deductivo. La investigación consistió en estudiar el proceso de seguimiento de egresados que realiza la Oficina de Gestión de la Calidad de la UNAS para lo cual se evaluó el desempeño del proceso a través de un cuestionario estructurado validado por 3 expertos, así mismo la evaluación se complementó con la aplicación de una encuesta realizada a los egresados de todos los programas de estudios de la UNAS comprendidos entre los años 2018-2020 (n=116), esto para medir el nivel satisfacción sobre el proceso, la encuesta fue validada mediante una prueba piloto de 30 egresados obteniendo un Alfa de Cronbach (0.873); la evaluación del proceso de seguimiento de egresados se realizó antes (Pre test) y después (Post test) de la implementación del sistema de información, esto fue validado por 3 expertos a través de la aplicación de listas de cotejo en cada una de las dimensiones del sistema de información: Organización, Tecnología de Información y Administración. Se aplicó el estadígrafo paramétrico T-Student para muestras relacionadas en todas las pruebas de hipótesis donde los resultados indican que el sistema de información implementado influye significativamente en el proceso de seguimiento de egresados de la UNAS con un nivel de confianza del 95%; el proceso de seguimiento de egresados presentó inicialmente (Pre Test) un desempeño de 29,55% y posteriormente (Post Test) de 71,64%, representando una mejora del 42,09%.

Tratamos neste trabalho de um tema quase esquecido no direito brasileiro: a inconsistente interação entre antitruste e política de emprego na ação administrativa do CADE. Nesse contexto, o problema que se enfrenta é a falta de transparência do Conselho quanto às razões jurídicas para o abandono de antigas preocupações com nível de emprego no controle de concentrações. A questão que propomos responder é a seguinte: como o CADE deveria justificar seu definitivo distanciamento da regulação do mercado de trabalho? Em resposta, defendemos a tese normativa de que a utilização da análise econômica para justificar o rompimento da interação entre antitruste e política de emprego produziria uma forma de argumentação inaceitável do ponto de vista lógico. Diante da questão posta acima, este trabalho busca oferecer um juízo de valor acerca da plausibilidade de argumentos baseados em teoria econômica eventualmente adotados pelo CADE como justificativa para o abandono de suas preocupações com nível de emprego. Para tanto, tomamos o direito concorrencial como uma forma de discurso produzido por raciocínios práticos, dentro do qual a análise econômica do direito torna-se uma técnica de argumentação consequencialista. This masters thesis deals with an almost forgotten topic in Brazilian competition law: the inconsistency in CADE decision-making as to the interactions between antitrust and employment policy. In this context, we face the problem of lack of transparency regarding the legal reasons for the Council to abandon its concerns with employment level in merger control. The research question to be answered is the following one: how should CADE justify its decision to definitively withdraw from the regulation of labor markets? In response, our claim is that the use of economic analysis to justify the broken interaction between antitrust and employment policy could lead to a form of argumentation logically unacceptable. In view of the question above, this thesis offers a plausibility evaluation of arguments derived from economic theory that CADE may further in support of its decision to give up concerns with employment level. To do so, we take competition law as a discourse produced by practical reasoning, in which the economic analysis of law becomes a technique for consequentialist argumentation.

Desde o século XIX há lutas ambientalistas. Essa afirmação aparentemente anacrônica toma sentido a partir das análises dos conflitos ambientais distributivos sob a perspectiva da ecologia popular. Podem não existir os jargões, o repertório, ás vezes, pode ser mais religioso do que técnico, mas o conteúdo dos posicionamentos das populações tradicionais é, sem dúvida, ecológico. Dessa perspectiva, Joan Martínez Alier apresenta seu livro e fundamenta sua tese. Muitos veios interessantes podem ser percorridos com o instrumental apresentado a partir da economia ambiental e da ecologia política. Teórica e praticamente., Centro de Estudios Históricos Rurales

Hydrological features are a fundamental element of the whole “geoheritage” of a site. It is, indeed, possible to identify the “water heritage” part related to the value of water and its phenomena. Recent studies were carried out in the San Lucano Valley (Belluno, Italy) and its geological, geomorphological and hydrological observations can help to perceive some natural occurrences as “hydrological heritage”. They are a solid background that helps us to analyse and bring into evidence the exceptionality of the hydrogeological features of this site. San Lucano Valley thanks to its numerous springs and to its particular morphology characterized by steep slopes and crest rising up above the valley floor, represents a unique “window” in the core of a karst carbonatic aquifer. This peculiar topographical setting enables a 3D view of the groundwater flow, from the recharge areas to the spring and alpine stream from its headwaters to where it becomes a tributary of a bigger river. To classify the springs of the valley and to underline their peculiar hydrogeological features, several surveys were performed, discharge in streams and springs was regularly measured using current meters, and the water level was monitored on site in reference cross sections (this activity is still in progress). In order to assess the stream hydromorphology, the geomorphic method of Rosgen (Catena 22:166–199, 1994) (RSC) has been adopted collecting a series of detailed survey datasets along the entire watercourse. Following the path indicated by Simić et al. (Carpathian J Earth Environ Sci 9(4):19–30, 2014), adapted to the specific case, the whole hydrological and hydromorphological system has been assessed. For all the above reasons, San Lucano Valley could be proposed as a Hydrological Heritage Site “valuable” for geo-tourism in the Dolomite’s UNESCO Area 3.