Determinants of Jaundice Among Neonates Admitted to Neonatal Intensive Care Unit of Mizan Tepi University Teaching Hospital, Southwest Ethiopia, 2021: Unmatched Case Control Study.

Background. Jaundice is a common problem in the neonatal period, and it is one of multiple factors found in children who die. Despite the majority of pathological jaundice public health consequences, there is no evidence on risk factors of pathological jaundice among neonates in Southwest Ethiopia. Therefore, this study aimed to identify factors associated with jaundice requiring phototherapy management in neonates admitted to the neonatal unit of a university teaching hospital in Southwest Ethiopia (Mizan-Tepi). Methods. Facility-based, unmatched case-control study was conducted among 240 (80 cases and 160 controls) in the Neonatal Intensive Care Unit of Mizan-Tepi University Teaching Hospital. Neonates with pathological jaundice and neonates without pathological jaundice were considered as cases and controls, respectively. Data were collected using a structured questionnaire, and extraction checklist, including information on maternal demographics, obstetrics, and neonatal factors. Simple random sampling techniques were used to select respondents. Bivariate and multivariable analyses were used to examine the association. Finally, statistical significance was declared at a P-value < .05. Results. In this study, 237 mothers with their neonates were included, making a response rate of 98.7%. The mean birth weight of cases and controls was 2330.3 ± 698.9 and 2699.3 ± 686.7 g, respectively. Hypothermia (AOR = 4.28; 95% CI: [1.72-10.67], cesarean delivery (AOR = 4.09; 95% CI: [1.69-9.93]), breast milk feeding (AOR = 2.97; 95% CI: [1.04-8.47]) and being male (AOR = 2.67; 95% CI: [1.17-6.13]) were significantly associated with jaundice. Conclusion. Most of the risk factors of neonatal jaundice were found to be modifiable. Therefore, early prevention and recognition of identified factors are recommended.

Predictive Effect of Grit Personality on Academic Engagement Among Undergraduate Physical Education Students: The Mediating Role of Resilience / Efecto predictivo de la personalidad valiente sobre el compromiso académico entre estudiantes universitarios de educación física: el papel mediador de la resiliencia

The primary objective of this study was to examine the mediating effect of resilience in the relationship between GRIT personality and academic engagement among undergraduate students majoring in physical education. A study was conducted using a non-experimental, cross-sectional, correlational-cause design. The study included a total of 1164 Mexican students, with an average age of 21.21 years (standard deviation = 3.26). The sample consisted of 30.0% female participants, 69.6% male participants, and 0.4% participants who identified as others. The researchers utilised the GRIT personality, resilience, and academic engagement scales in their study and performed a structural equation analysis incorporating latent variables. The findings derived from the structural equation model indicate a positive association between perseverance of effort and both behavioural and emotional academic engagement, while also revealing a negative correlation between perseverance of effort and behavioural disaffection. Moreover, the presence of resilience in students is associated with a notable increase in their behavioural and emotional involvement, while concurrently leading to a decrease in emotional disengagement. The phenomenon of interest consistency has been found to have predictive value for both emotional and behavioural disaffection.(AU)

Case study of a model primary health care program in Nigeria: History, evolution, challenges, and future perspectives.

This short report describes the historical evolution of a pioneer Model PHC programme located in Ogun State, southwest Nigeria, as a direct result of the vision and effort of Professor Olikoye Ransome-Kuti, and his drive to entrench the delivery of primary health care (PHC) in Nigeria. It describes some of the programmes inspired by the PHC philosophy at the Model PHC Centre, some of the challenges faced over the years, and the need to reposition the programme. It exemplifies key principles in PHC and its philosophy that are instructive for health practitioners, policymakers and development practitioners, especially those with interest in resource-poor countries.

ROBOTONT - Open-source and ROS-supported omnidirectional mobile robot for education and research.

In order to achieve visionary concepts such as Society 5.0 and Industry 5.0, there is a growing need for people who are able to create innovative robotic technologies. Training students to become such skilled professionals requires transitioning from often toy-like educational platforms with significant hardware limitations to costly research robots with full ROS (Robot Operating System) support. To aid in this transition, we propose Robotont - an open-source omnidirectional mobile robot platform with both physical hardware and a digital twin. Robotont enables robotics education with professional tools as well as provides researchers with a capable mobility platform for validating and demonstrating scientific results. Robotont has successfully been used for university teaching, professional education, and online courses about ROS and robotics.

Nuevos Recursos Digitales y 3D en la Enseñanza de Anatomía. Experiencia Internacional Reportada en el "Sectra Users Meeting 2019", Karolinska Institutet, Suecia, antes de la Pandemia de COVID-19 / New Digital and 3D Resources in the Teaching of Anatomy. International Experience Reported in the "Sectra Users Meeting 2019", Karolinska Institutet, Sweden, Before the Pandemic COVID-19

El uso de nuevos recursos tecnológicos en la enseñanza de anatomía ha impulsado la necesidad de adaptar el modelo educativo haciéndolo más centrado en el estudiante, dinámico y participativo mediante herramientas digitales y 3D; orientando los conocimientos hacia su aplicación clínica, pero bajo un ajuste curricular que tiende a cursar menos horas presenciales en aula o laboratorio. Este trabajo describe la experiencia local de una nueva Escuela de Medicina en Chile, reportada el año 2018, además y otros trabajos de centros formadores presentados en el "SECTRA Users Meeting 2019 Estocolmo", Karolinska Institutet, Suecia. Este trabajo describe los reportes orales sobre la aplicación de nuevos recursos digitales como; la mesa de disección digital táctil SECTRA® y modelos anatómicos cadavéricos impresos en 3D Erler-Zimmer®, bases de datos sobre anatomía digital, además, su impacto en el desempeño académico, reportado por usuarios de diferentes países, tales como: Australia, Canadá, Chile, China, Colombia, Estados Unidos de Norteamérica (EUA) y Suecia. Los datos fueron recopilados y analizados a partir de la información reportada en las presentaciones orales y resúmenes entregados por los expositores. La gran mayoría de los países expositores declararon el uso combinado de recursos digitales y 3D sumados a los tradicionales para la enseñanza de anatomía. Sólo el representante de EUA declaró usar exclusivamente recursos digitales (en laboratorio y en línea), experiencia correspondiente a una joven e innovadora escuela de medicina. La mayoría de los centros docentes declaró utilizar la mesa de disección digital en una amplia proporción de sus contenidos curriculares, en asociación a plataformas tipo RIS/PACS como IDS7 portal de SECTRA o las utilizadas por el centro formador. El uso de nuevas tecnologías digitales y 3D ha ganado un importante espacio en el currículum de la enseñanza de anatomía, complementando el uso de los recursos tradicionales.

SUMMARY: The use of new technological resources in the teaching of anatomy has promoted the need to adapt the educational model, making it more student-centered, dynamic, and participatory through digital and 3D tools, directing the knowledge towards its clinical application, but under a curricular adjustment that tends to take fewer contact hours in the classroom or laboratory. This work describes the local experience of a new School of Medicine in Chile, reported in 2018, and other work from training centers presented at the "SECTRA Users Meeting 2019 Stockholm", Karolinska Institutet, Sweden. This work describes the oral reports on the application of new digital resources such as; the SECTRA® digital tactile dissection table and Erler- Zimmer® 3D printed cadaveric anatomical models, databases on digital anatomy, in addition, its impact on academic performance, reported by users from different countries, such as Australia, Canada, Chile, China, Colombia, United States of America (USA) and Sweden. The data was collected and analyzed from the information reported in the oral presentations and summaries delivered by the speakers.The vast majority of the exhibiting countries declared the combined use of digital and 3D resources added to the traditional ones for teaching anatomy. Only the representative from the USA stated that they exclusively used digital resources (in the laboratory and online), an experience corresponding to a young and innovative medical school. Most of the educational centers stated that they used the digital dissection table in a large proportion of their curricular contents, in association with RIS/PACS-type platforms such as the IDS7 SECTRA portal or those used by the training center. The use of new digital and 3D technologies has gained an important space in the anatomy teaching curriculum, complementing the use of traditional resources.

Evaluation of learning outcomes of humanities curricula in medical students. A meta-review of narrative and systematic reviews.

Objectives: To assess the expected learning outcomes of medical humanities subjects in medical studies curricula. To connect those expected learning outcomes with the types of knowledge to be acquired in medical education. Methods: Meta-review of systematic and narrative reviews. Cochrane Library, MEDLINE (Pubmed), Embase, CINAHL, and ERIC were searched. In addition, references from all the included studies were revised, and the ISI Web of Science and DARE were searched. Results: A total of 364 articles were identified, of which six were finally included in the review. Learning outcomes describe the acquisition of knowledge and skills to improve the relationship with patients, as well as the incorporation of tools to reduce burnout and promote professionalism. Programs that focus on teaching humanities promote diagnostic observation skills, the ability to cope with uncertainty in clinical practice, and the development of empathetic behaviors. Conclusion: The results of this review show heterogeneity in the teaching of medical humanities, both in terms of content and at the formal level. Humanities learning outcomes are part of the necessary knowledge for good clinical practice. Consequently, the epistemological approach provides a valid argument for including the humanities in medical curricula.

Práctica investigativa en docentes de las ciencias médicas en Cuba

Introducción: La práctica investigativa corresponde a un ejercicio sistemático que conlleva el planteamiento propio y original de un problema de investigación contextuado, relevante disciplinar y socialmente, con soporte teórico y cuyo desarrollo se ajusta metodológicamente a la naturaleza del fenómeno en estudio. Se realizó una búsqueda de la práctica investigativa en revistas científicas de las bases de datos: Scielo, PubMed, Scopus, Redalyc y el repositorio de tesis doctorales de Infomed de los últimos 10 años, así como normativas vigentes para la educación superior en el curso 2022. Las palabras clave utilizadas fueron: educación, investigación, docencia universitaria, educación médica y sus equivalentes en inglés. Inicialmente fueron seleccionados 102 artículos. Luego se obtuvieron 34 artículos que cumplían los criterios de inclusión. Objetivo: Valorar las características de la práctica investigativa en docentes de las ciencias médicas en Cuba. Desarrollo: Se han vislumbrado deficiencias evidentes referentes a la producción científica de docentes; así como escasas acciones que favorezcan su incremento. Se reflejaron variables relacionadas de forma positiva con estas tareas, como el número de proyectos de investigación realizados y años trabajados en la universidad. Conclusiones: Se valoran insuficiencias en la práctica investigativa de docentes en el ámbito de las ciencias médicas en Cuba, así como factores involucrados a tener en cuenta para la elaboración e implementación de estrategias y modelos en el campo de las ciencias médicas que contribuyan a impulsar la investigación en los educadores, conforme a las exigencias del país.

Introduction: The investigative practice corresponds to a systematic exercise that entails the proper and original approach of a contextualized research problem, disciplinary and socially relevant, with theoretical support and whose development is methodologically adjusted to the nature of the phenomenon under study. A search of the investigative practice was carried out in scientific journals of the databases: Scielo, PubMed, Scopus, Redalyc and the Infomed doctoral theses repository of the last 10 years, as well as current regulations for higher education in the course 2022 The keywords used were: education, research, university teaching, medical education and their equivalents in English. Initially, 102 articles were selected. Then, 34 articles that met the inclusion criteria were obtained. Objective: To assess the characteristics of the investigative practice in teachers of medical sciences in Cuba. Development: Obvious deficiencies regarding the scientific production of teachers have been glimpsed; as well as a few actions that favor its increase. Variables positively related to these tasks were reflected, such as the number of research projects carried out and years worked at the university. Conclusions: Insufficiencies in the investigative practice of teachers in the field of medical sciences in Cuba are valued, as well as factors involved to take into account for the elaboration and implementation of strategies and models in the field of medical sciences that contribute to promote the research on educators, according to the demands of the country.

Influence of sociodemographic factors on academic performance in the subject of human gross anatomy / Influencia de los factores sociodemográficos en el rendimiento académico en la asignatura de anatomía macroscópica humana

SUMMARY: It has been demonstrated that the teaching and learning process of human anatomy is influenced by different external factors that can affect, in the short and long term, the academic and professional performance of medical students. In this sense, the present work aims to determine the relationship between sociodemographic factors and the academic performance of students belonging to the program of Medicine and Surgery of the Universidad del Valle, in Cali-Colombia, who were enrolled in the course of Human Gross Anatomy. Based on the organization of the course plan, the average grades obtained by the students in the different exams taken in the course were compared. Through a survey, sociodemographic data that have been reported as influential factors in academic performance were asked. The first stage of the analysis consisted of identifying the characteristics of the variables, then the correlation of the sociodemographic variables with the students' academic performance, and finally, a multiple linear regression model was implemented. Although the results did not show statistically significant correlations between the variables analyzed, a close relationship was observed with the sex and place of origin of the students, obtaining that women and students from other towns and cities presented lower academic performance compared to their peers. This highlights the importance of including activities to strengthen the learning process, as well as guiding support programs to maintain academic performance and reduce the inequality gap.

Se ha demostrado que en el proceso de enseñanza y aprendizaje de la anatomía humana inciden diferentes factores externos que pueden afectar, a corto y largo plazo, el desempeño académico y profesional de los estudiantes de Medicina. En este sentido, el presente trabajo tiene como objetivo determinar la relación existente entre los factores sociodemográficos y el rendimiento académico de los estudiantes que pertenecen al programa de Medicina y Cirugía de la Universidad del Valle, en Cali-Colombia, matriculados en la asignatura de Anatomía Macroscópica Humana. A partir de la organización del plan del curso, se comparó el promedio de las notas obtenidas por los estudiantes en los diferentes exámenes realizados en la asignatura. A través de una encuesta, se preguntaron algunos datos sociodemográficos que han sido reportados como factores influyentes en el rendimiento académico. La primera etapa del análisis consistió en identificar las características de las variables, a continuación, la correlación de las variables sociodemográficas con el desempeño académico de los estudiantes y, finalmente, se implementó un modelo de regresión lineal múltiple. Si bien los resultados no arrojaron correlaciones estadísticamente significativas entre las variables analizadas, sí se observó una estrecha relación con el sexo y el lugar de procedencia de los estudiantes, obteniendo que las mujeres y los estudiantes foráneos presentaron menor rendimiento académico en comparación con los demás compañeros. Esto resalta la importancia de incluir actividades que permitan fortalecer el proceso de aprendizaje, así como guiar programas de apoyo para mantener el rendimiento académico y disminuir la brecha de desigualdad.

Teaching the Modeling of Human-Environment Systems: Acknowledging Complexity with an Agent-Based Model.

Agent-based modeling is a promising tool for familiarizing students with complex systems as well as programming skills. Human-environment systems, for instance, entail complex interdependencies that need to be considered when modeling these systems. This complexity is often neglected in teaching modeling approaches. For a heterogeneous group of master's students at a German university, we pre-built an agent-based model. In class, this was used to teach modeling impacts of land use policies and markets on ecosystem services. As part of the course, the students had to perform small research projects with the model in groups of two. This study aims to evaluate how well students could deal with the complexity involved in the model based on their group work outcomes. Chosen indicators were, e.g., the appropriateness of their research goals, the suitability of the methods applied, and how well they acknowledged the limitations. Our study results revealed that teaching complex systems does not need to be done with too simplistic models. Most students, even with little background in modeling and programming, were able to deal with the complex model setup, conduct small research projects, and have a thoughtful discussion on the limitations involved. With adequate theoretical input during lectures, we recommend using models that do not hide the complexity of the systems but foster a realistic simplification of the interactions. Supplementary Information: The online version contains supplementary material available at 10.1007/s10956-022-10022-z.

The prevalence of low back pain and risk factors in academic teaching staff at King Abdulaziz University Jeddah:\\ A cross-sectional study.

BACKGROUND: Low back pain (LBP) is one of the most common musculoskeletal disorder symptoms affecting adults' health in the workplace including academic settings. OBJECTIVE: To estimate the prevalence of LBP among academic teaching staff at King Abdulaziz University, as well as to identify its socio-demographic and work-related risk factors. METHODS: A cross-sectional study design was used to estimate the prevalence of LBP and the risk factors in 123 academic teaching staff members at King Abdulaziz University. Data on LBP history and disability using Oswestry Disability Index (ODI), work-related and socio-demographic characteristics of study participants were collected using a semi-structured questionnaire. The prevalence of low back pain data was analyzed using frequency and percentage descriptive statistics, and Chi-square was used to identify group differences. RESULTS: A total of 123 academic teaching staff with a mean age of 37.5 years old of whom 79 (64.2%) were females and 44 (35.8%) were males completed a self-administrative questionnaire. Using a self-rating scale, approximately a quarter of academic teaching staff had moderate disability 25.2%; 4.9% had a severe disability; only one subject 0.8% was crippled. There has been a significant relationship between the number of years of experience and the extent of low back disability (P < 0.05). The Chi-square test revealed 56.3% of takes part with 11-15 years of experience have moderate disability relative to those with 0-5 years of experience (11.1%). There was a trend towards significance among academic teaching staff for the effect of the faculty stream on low back disability (P = 0.077, Chi-square test revealed teaching staff in the medical stream had the highest percentage of participates with minimal disability (78.7%) whereas in the scientific stream had the lowest percentage of minimal disability (52%). CONCLUSION: The findings of this study have shown that there is a major problem of low back pain among academic staff at King Abdulaziz University and that the situation in other higher education institutions in Saudi Arabia is changing.

Digital ergonomics and digital work planning in university education: experiences from Germany and Austria.

The publication presents an overview of the use of digital human models (DHM) in academic education at five exemplary universities in Germany and Austria. In addition to the presentation of different human models, the integration of them into the respective lectures is discussed. The teaching concepts of the individual courses of the universities, exercise examples and scenarios are presented. Experience shows that the active and independent use of digital ergonomics tools gives students pleasure and motivates them to deal intensively with complex tasks in terms of time and content. Feedback is consistently positive over all the involved lectures and universities. As a consequence of the recent Covid-19 pandemic, universities significantly increased online and blended learning. Based on the experience with the use of digital human models, the paper derives recommendations for future developments. Practical Relevance To sustain global value chains, companies are increasingly planning trans-regionally adapted products and production processes. Tools for digital ergonomics contribute to increasing competitiveness by using prospective working methods. Companies increasingly need experts with the corresponding know-how. Firmly anchoring the topic of digital ergonomics in relevant subjects of university teaching is therefore a prerequisite for this transfer of trained graduates.

La educación bilingüe en la enseñanza médica superior, actualidad y necesidades / Bilingual education in higher medical education, current affairs and needs

La educación médica superior se enfrenta a un proceso de constantes transformaciones dada por los adelantos científico-técnicos que vienen sucediendo en el campo de la salud. Estos adelantos concluyen en un volumen gigantesco de información en forma de publicaciones científicas que reúnen información valiosa sobre nuevos avances, esquemas terapéuticos y otros elementos relacionados con la enfermedad. La academia y práctica de la medicina se orienta al uso de la medicina basada en evidencia, por lo que los docentes y estudiantes tendrán una preparación y formación con elevado rigor científico, según las exigencias del contexto médico actual. Sin embargo, uno de los mayores problemas a los que se enfrenta la docencia médica universitaria se relaciona directamente con el dominio del idioma inglés, ya que una parte importante de estos documentos se publica en ese idioma. La educación bilingüe, a pesar de estar incluida dentro del proceso docente educativo como uno de los requisitos a vencer por los estudiantes, continúa siendo un desafío para poder lograr una mayor actualización científica que resulte en una mejor preparación profesional. El objetivo de esta investigación es exponer la situación actual de la educación bilingüe en la educación médica superior y cuáles son las necesidades actuales en este sentido(AU)

Higher medical education faces a process of constant transformations given by the scientific-technical advances that have been taking place in the field of health. These advances conclude in a gigantic volume of information that is expressed in the form of scientific publications that gather valuable information on new advances, therapeutic schemes and other elements related to the disease. The academy and practice of medicine is oriented towards the use of Evidence-Based Medicine; Therefore, teachers and students will have preparation and training with a high level of scientific rigor, according to the demands of the current medical context. However, one of the biggest problems faced by university medical teaching is directly related to the command of the English language, since a significant part of these documents are published in English. Bilingual education, despite being included within the educational teaching process as one of the requirements to be met by students, is presented as a current need in order to achieve a greater scientific update that results in better professional preparation. The objective of this research is to expose the current situation of bilingual education in higher medical education and what are the current needs in this regard(AU)

A systematic review on lecturing in contemporary university teaching.

Introduction: Articles published in scientific journals, concerning the present and future of the lecture format in university education in the twenty-first century are framed within organizational settings that drive teaching methodologies in line with educational policies. The following two research questions have arisen from articles in which debate the continuity of this teaching modality and propose improvements of a different nature: (1) Is there an interest in renovating the lecture format among the international research community whose remit is university teaching methods? and (2) What improvements to the lecture format do the reviewed articles suggest, within the framework of the communicative matrix of interactive learning? Method: We have carried out a systematic review guided by the PRISMA approach, emphasizing the interest in methodological conceptual commitment, paying attention to documents published in journals with an impact factor. The search strategy was applied homogeneously in three databases: ERIC, PsycInfo, and Web of Science, following the systematic process of inclusion/exclusion. Results: Forty-five articles were selected with a range of 0-78 quotations, from different fields of knowledge and five continents; 12 articles are from journals with a JCR impact factor. The journal articles cover communicative (21), cognitive (13) and active-practical perspectives (11); the predominant governing aim of the analyzed improvements is connected with the attendees' academic performance results (24); the reviewed studies belong mainly to the quantitative paradigm (42). The considerations derived from the results (45) cover formative, technical and/or critical aspects. Discussion and conclusions: Whilst positively valuing all these efforts promoted by the European Higher Education Area, we have also verified the lack of contributions in line with our concerns that embrace the need to develop an in-depth conceptualization, supported by a methodology that is sensitive to the complexity of the oral communication format between an expert actor and non-specialized actors who wish to connect and collaborate with the expert in the production of knowledge.

Social inclusion as a perspective for the validation of the "DigCompEdu Check-In" questionnaire for teaching digital competence.

Making use of digital technologies and all the possibilities that benefit education is one of the objectives of the European Framework for the Digital Competence of Educators, as well as their potential for personal development and social inclusion, among other aspects. The aim of this study was to validate the «DigCompEdu Check-In¼ scale as an instrument for the self-reflection of educators regarding their digital competence from the perspective of social inclusion. This questionnaire provides a more accurate view of the digital competence framework and allows self-evaluating the strengths and weaknesses/needs of educators in digital learning. Exploratory and confirmatory factor analyses were performed, using structural equations. The study sample consisted of 2,262 faculty members from different public universities of Andalusia (Spain). The obtained results show the reliability and validity of the instrument and allow generating accurate scientific knowledge for the improvement of education quality and social inclusion, in both university and non-university institutions.

An innovative approach to using an intensive field course to build scientific and professional skills.

This paper reports on the design and evaluation of Field Studies in Functional Ecology (FSFE), a two-week intensive residential field course that enables students to master core content in functional ecology alongside skills that facilitate their transition from "student" to "scientist." We provide an overview of the course structure, showing how the constituent elements have been designed and refined over successive iterations of the course. We detail how FSFE students: (1) Work closely with discipline specialists to develop a small group project that tests an hypothesis to answer a genuine scientific question in the field; (2) Learn critical skills of data management and communication; and (3) Analyze, interpret, and present their results in the format of a scientific symposium. This process is repeated in an iterative "cognitive apprenticeship" model, supported by a series of workshops that name and explicitly instruct the students in "hard" and "soft" skills (e.g., statistics and teamwork, respectively) critically relevant for research and other careers. FSFE students develop a coherent and nuanced understanding of how to approach and execute ecological studies. The sophisticated knowledge and ecological research skills that they develop during the course is demonstrated through high-quality presentations and peer-reviewed publications in an open-access, student-led journal. We outline our course structure and evaluate its efficacy to show how this novel combination of field course elements allows students to gain maximum value from their educational journey, and to develop cognitive, affective, and reflective tools to help apply their skills as scientists.

Intervención educativa para la consolidación de habilidades y destrezas en el idioma inglés / Educational intervention for the consolidation of abilities and skills in the management of the English language

Introducción: La consolidación de destrezas y habilidades en el dominio del idioma inglés constituye una de las prioridades en el perfil de graduado de los estudiantes de la carrera de Nutrición. Objetivo: Consolidar las destrezas y habilidades de los estudiantes de la carrera de Nutrición en el dominio del idioma inglés. Métodos: Se desarrolló una investigación aplicada, con diseño cuasiexperimental, enfoque mixto y alcance descriptivo. El universo estuvo compuesto por 151 estudiantes de la carrera de Nutrición de la Escuela Superior Politécnica de Chimborazo entre septiembre 2021 y marzo 2022; de los cuales 110 formaron parte de la muestra del estudio y a quienes se le aplicó una intervención educativa. La intervención estuvo orientada, en un primer momento, a identificar las falencias relacionadas con el dominio del idioma inglés; a partir de los resultados se trazó la estrategia y después de terminada la intervención se realizó una evaluación. Se empleó la prueba de McNemar para identificar cambios significativos en el nivel de destrezas y habilidades de los estudiantes. Resultados: Al inicio de la investigación se registraron bajos niveles de destreza en todas las habilidades del idioma inglés. Después de terminar la intervención se elevó considerablemente el dominio del idioma inglés en los estudiantes. Se evidenció una mejoría significativa en cuanto a la comprensión, habla, interpretación y escritura. Conclusiones: La intervención educativa aplicada mejoró el nivel de destreza de los estudiantes de la carrera de Nutrición con respecto a las habilidades relacionadas con el dominio del idioma inglés(AU)

Introduction: The consolidation of skills and abilities in the management of the English language constitutes one of the priorities in the graduate profile of the students of the nutrition career of the Higher Polytechnic School of Chimborazo. Objective: To consolidate the skills and abilities of the students of the nutrition career, in the management of the English language. Methods: an applied research was developed, with a quasi-experimental design, a mixed approach and a descriptive scope. The universe was made up of 151 students of the nutrition career of the Polytechnic Higher School of Chimborazo; of which 110 were part of the study sample and to whom an educational intervention was applied. The intervention was oriented, at first, to identify the shortcomings related to the use of the English language; from the results was plotted. After the intervention ended, an evaluation was carried out and the McNemar test was used to identify significant changes in the level of skills and abilities of the students. Results: At the beginning of the investigation, low skill levels were recorded in all English language skills. After finishing the intervention, the command of the English language in the students increased considerably. A significant improvement was evidenced in terms of comprehension, speaking, interpretation and writing. Conclusions: The educational intervention applied improved the skill level of the students of the nutrition career around the skills related to the command of the English language(AU)

Health Care Providers' Knowledge, Attitude and Practice Toward Counterfeit Medicines in Mizan-Tepi University Teaching Hospital, South West Ethiopia: A Cross-Sectional Study.

There is a paucity of evidence-based information regarding healthcare professionals' awareness and views toward counterfeit medicines in developing countries. Therefore; this is aimed to assess health care providers' knowledge, attitude, and practice toward counterfeit medicines in Mizan-Tepi University Teaching Hospital, South West Ethiopia. A cross-sectional study was conducted among health care providers working in Mizan-Tepi University Teaching Hospital from December 2020 to January 2021. A total of 171 health care providers participated in the study. Data were collected through self-administered structured questionnaires developed by reviewing similar surveys with some modifications. The data analyzed using a Statistical Package for Social Sciences (SPSS, version 21). Variables with P value <.05 were considered as statistically significant. Large proportions of the study participants (84.2%) have information on counterfeit drugs and 15.8% of them described counterfeit medicine as product with toxic impurities. 50.3% of them were able to distinguish a counterfeit drug from the genuine drug. 8.2% of the participants demonstrated that counterfeit medicine can be identified by physical observation of labeling, color appearance and packaging. 61.4% of the study respondents revealed that strong legal action can prevent circulation of counterfeit medicine. Professional distribution was significantly associated with the attitude of health care providers toward counterfeit medicines (P < .05). Accordingly, public health officers and midwifery health care providers were more likely to have poor attitude toward counterfeit medicines (AOR = 6.09, CI (1.798-20.69) and (AOR = 3.98(1.54-10.25)) respectively as compared to nurses. This study demonstrated the importance of awareness creation to all health care providers. Drug regulatory bodies and concerning bodies must play an active role in designing appropriate program and policy to enhance health professionals' knowledge and attitude toward CFM. There is also a need of empowering the practitioners in identifying counterfeit drugs by simple observations.

Clients' satisfaction of maternity care at a public referral teaching hospital, in Rwanda: case of University Teaching Hospital of Butare (CHUB).

Introduction: maternal satisfaction is the key in health facilities utilization and so improving the birth outcome and reducing maternal morbidity and mortality. The main objective of this study was to assess women´s satisfaction with perinatal care provided in maternity at CHUB with its associated factors. Methods: a cross-sectional study was done at maternity of CHUB on clients´ satisfaction of maternity care. With a sample size of 422 mothers who were admitted for labor and delivery from July 1st to October 31st 2020. Data were collected using a structured questionnaire and client's satisfaction (eight questions (CSQ-8). Every respondent had to answer all questions under guidance of a data collector. Excel, Stata and SPSS were used for data entry and data analysis. Chi-squared and multivariate regressions were used for analysis of the association. Results: eighty-nine point thirty four (89.34%) percent of our respondents reported that services they received helped them to deal more effectively with their problems; and they were most satisfied with a mean score of 3.9 (97.5%) and least satisfied with the fact that they were not allowed to decide themselves in their management, with a mean score of 3.1 (77.5%). The overall satisfaction of our respondent's equals to the mean score is 28.4/32= 88.75%. Factors found to affect mothers´ satisfaction were respecting mother´s privacy & values and allowing them to take decision and consenting before procedure. Conclusion: the majority of mothers were satisfied with received services. Respecting patients´ privacy and allowing them to participate in decision-making were two factors associated with high satisfaction.

Attitude and practice toward traditional medicine among hypertensive patients on follow-up at Mizan-Tepi University Teaching Hospital, Southwest Ethiopia.

Introduction: Traditional medicine has been used for the management of common mild conditions such as headache, diarrhea, and common cold as well as in the treatment of chronic diseases including hypertension. The usage of this medicine is regarded as acceptably safe with most Ethiopian people. Attitude and practices toward traditional medicine are crucial elements of hypertension control and its favorable outcome expectation. This study aimed at assessing the attitude and practice toward traditional medicine among hypertensive patients on follow-up at Mizan-Tepi University Teaching Hospital, Southwest Ethiopia. Method: Facility-based cross-sectional study was conducted from 1st December 2020 to 30th December 2020 among 173 hypertensive patients. A consecutive sampling technique was used to select study participants. Data were collected through interviewer-administered structured questionnaire and analyzed using Statistical Package for the Social Sciences software version 23. Multivariable logistic regression analysis was done to identify the independent predictors of patients' attitude toward traditional medicine and their traditional medicine use at a p value ⩽0.05. Results: Eighty-seven (50.29%) of the total 173 approached patients were found to have good attitude toward traditional medicine. Ninety-seven (56.07%) participants had used traditional medicine at least once in their lifetime and 45 (46.39%) patients used traditional medicine and modern medicine concomitantly. Participants' residence (adjusted odds ratio = 2.79, confidence interval = 1.01-7.74, p-value = 0.049) and educational status (adjusted odds ratio = 1.76, confidence interval = 1.61-5.09, p-value = 0.032) had significant association with attitude toward traditional medicine, while patients' age (adjusted odds ratio = 1.43, confidence interval = 1.32-4.96, p-value = 0.039), residence (adjusted odds ratio = 2.18, confidence interval = 1.10-4.32, p-value = 0.025), and occupation (adjusted odds ratio = 3.38, confidence interval = 1.55-7.38, p-value = 0.002) had significant association with their traditional medicine use. Conclusion: Half of the study participants had good attitude toward traditional medicine, and nearly, one-fourth of the participants had practiced traditional medicine along with modern medicine. Health service providers should be aware of traditional medicine use and advise patients on the dosing of traditional medicine.

Universidade e docência na contemporaneidade: o sentido da formação universitária no campo da Educação Física em tempos de crises / University and teaching in contemporary times: the meaning of university formation in the field of Physical Education in times of crisis / Universidad y docencia en la contemporaneidad: el sentido de la formación universitaria en el campo de la Educación Física en tiempos de crisis

O estudo tematiza uma possível forma de pensar, analisar e desenvolver a formação universitária em Educação Física em tempos de crises. O enfoque consiste em um ensaio teórico crítico-hermenêutico, tendo em vista a análise e a reflexão sobre os (des) caminhos históricos da Universidade e da Educação Física, em seu sentido reflexivo. Desdobra-se desse entendimento, uma forma especial de perceber a crise em que vivemos na atualidade, a partir da ampliação dos autoritarismos, do desemprego, da discriminação, da violência, e da destruição ambiental. Tem-se o entendimento de que um projeto de formação universitária em Educação Física, precisaria se ocupar em desenvolver novas formas de racionalidade, as quais estariam diametralmente ligadas com outras vias possíveis de se educar e viver corporalmente. Essas vias guardam vínculos com um projeto de democracia, que está sempre em processo e em reconstrução. Isso configura novos desafios em relação à docência universitária em Educação Física

The study thematizes a possible manner of thinking, analyzing and developing university formation in Physical Education in times of crisis. The approach consists of a critical-hermeneutic theoretical essay, which focuses on the analysis and reflection on the historical ups and downs of the University and Physical Education, in its reflexive sense. From this understanding, a special way of perceiving the crisis in which we live nowadays, based on the expansion of authoritarianism, unemployment, discrimination, violence, and environmental destruction, unfolds. It is understood that a university education project in Physical Education would need to engage in developing new forms of rationality, which would be diametrically linked to other possible ways of educating and living bodily. These ways are linked to a project of democracy, which is always in process and under reconstruction. This configures new challenges in relation to university teaching in Physical Education.

Este estudio tematiza una posible forma de pensar, analizar y desarrollar la formación universitaria en Educación Física en tiempos de crisis. El enfoque consiste en un ensayo teórico críticohermenéutico, considerando el análisis y la reflexión sobre los (des)caminos históricos de la Universidad y de la Educación Física, en su sentido reflexivo. Desde esa comprensión, se desdobla una forma especial de percibir la crisis que vivimos en la actualidad, a partir de la expansión de los autoritarismos, del desempleo, de la discriminación, de la violencia y de la destrucción ambiental. Se entiende que un proyecto de formación universitaria en Educación Física tendría que preocuparse por desarrollar nuevas formas de racionalidad, que estarían diametralmente ligadas a otras posibles formas de educarse y vivir corporalmente. Esas guardan vínculos con un proyecto de democracia, que siempre está en proceso y en reconstrucción. Esto plantea nuevos desafíos en relación a la docencia universitaria en Educación Física.