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Artigos de revistas sobre o assunto "Every students pain"

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Garmy, Pernilla, Erika Hansson, Rúnar Vilhjálmsson e Gudrún Kristjánsdóttir. "Bullying and Pain in School-Aged Children and Adolescents: A Cross-Sectional Study". SAGE Open Nursing 5 (janeiro de 2019): 237796081988755. http://dx.doi.org/10.1177/2377960819887556.

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Bullying is defined as repeated and unwanted aggressive behavior involving a power imbalance and hurt children and adolescents’ socioemotional functioning. The aim is to investigate associations between pain (headache, stomach pain, backache, and neck/shoulder pain) and bullying among school-aged children and adolescents. This cross-sectional school-based survey comes from the Icelandic data set in the international research network Health Behaviour in School-Aged Children. The study population included all Icelandic students in Grades 6, 8, and 10 (ages 11, 13, and 15 years, respectively; participation rate, 84%; n = 10,626). An anonymous standardized questionnaire was distributed and completed by students in their classrooms. About every 8 in 10 bullied students reported weekly pain (79%), compared with little over half of nonbullied students (57%). The prevalence of pain was significantly higher among bullied students compared with their nonbullied peers. Being a bullying victim was associated with an increased frequency of experiencing headaches, stomachaches, and back pain, in addition to neck or shoulder pain. It is important for mental health nurses and health professionals to ask about pain when meeting with children and adolescents as well as to inquire about their peer relationships.
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Cela, Kristi. "Prevalence of non-specific Low back pain on physiotherapy students". Medicus 5, n.º 1 (2021): 39–53. http://dx.doi.org/10.58944/duix6111.

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The prevalence and incidence of LBP is unchangable almost every year worldwide, being described as a pain that causes instability and inability to work, disrupts the quality of life and the reason for more frequent medical visits. The purpose of this study:The purpose of this study is to indetify and study the prevalence of nonspecific Low Back Pain among the Physical Therapy students of the Faculty of Technical Medical Science in the University of Medicine Tirana . Methodology : This is a Cross-sectional study. This study included 80 students (73 females and 7 males) of the Physical Therapy on their Science Master Degree, first year (n=42) and second year (n=38). Students filled a questionnaire and to be participants on this study they must furfill some criteria defined by the study. Results :By the end of the study was discovered that the prevalence of nonspecific Low Back Pain among students was 73% . The mean value of pain intensity according to Visual Analogue Scale was 3.77. Where 36% of the subjects exprerienced a mild pain, 55% e moderated pain and 9% a severe pain. Disability according to the Oswestry Disability Index was 19% (minimal disability) Conclusions In conclusion according to this study Physical Therapy students in Albania have a high prevalence of Low Back Pain among them. Low Back Pain can be an ocupational risk and may cause disability on this student group. Risk factors and the causes of Low Back Pain remain to be studied.
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Kołodziej, Karolina Elżbieta, Michał Plewka e Ewa Borowiak. "Level of knowledge about prehospital management of a patient with chest pain among nursing and midwifery students". Emergency Medical Service 10, n.º 3 (setembro de 2023): 178–82. http://dx.doi.org/10.36740/emems202303107.

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Aim: To assess the level of knowledge about chest pain and the management procedure in patients with chest pain among nursing and midwifery students. Material and methods: The study was conducted in 276 nursing and midwifery students at the Medical University of Lodz, Poland. Results: First-year first-cycle program students constituted the largest group among the respondents (114 people), whereas the smallest group included third-year first-cycle program students. Classes attended in the course of university studies were the most common source of knowledge about chest pain in the surveyed group (62.7%, 173 subjects), whereas 6.9% of the respondents (19 individuals) reported having no knowledge about chest pain. Depending on their age, the surveyed students most often assessed their level of knowledge about prehospital management of a patient with chest pain as satisfac¬tory - 45.3% (125 respondents), and least frequently as very good - 4% (11 respondents). As regards the characteristic symptoms of myocardial infarction pain, the students most often indicated the correct answer, i.e. retrosternal pain (81.8%, 226 respondents), while 18.2% (50) of the students did not know the right answer. Conclusions: Cardiovascular diseases are the main cause of death in Poland, therefore, especially students of every medical field at the beginning of the education cycle should acquire knowledge and skills in the field of pre-hospital management of a patient with chest pain.
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Carneiro, Ana Lucia Basilio, Lindair Alves da Silva, Lincoln Basilio Alves e Semírames Cartonilho de Souza Ramos. "The pain of every day: student health before and during the Covid-19 pandemic". Headache Medicine 13, n.º 4 (28 de dezembro de 2022): 306–7. http://dx.doi.org/10.48208/headachemed.2022.40.

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For 4 years, our team has been monitoring the physical and mental complaints of Federal University of Paraíba (UFPB) students, mainly those from the healthcare field. We have verified oscillations in headache complaints and other psycho-emotional symptoms during this period. In 2022, perhaps as a result of the impacts of the Covid-19 pandemic, complaints of headache and anxiety were above 70%. This public, today, demands integral care appropriate to their socio-cultural reality. We warn about the importance of local diagnosis and respective offer of appropriate social support to each reality to foster, care and accompany these communities.
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Butt, Nauman Ismat, Muhammad Qasim Khan Tareen, Fahmina Ashfaq e Usman Ismat Butt. "Joint Hypermobility and Musculoskeletal Pain in Paramedical Students and Staff at a Tertiary Care Hospital". Pakistan Armed Forces Medical Journal 73, n.º 3 (15 de junho de 2023): 711–14. http://dx.doi.org/10.51253/pafmj.v73i3.7850.

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Objective: to determine the frequency of joint hypermobility in paramedical students and staff at National Hospital Lahore. Study Design: Cross-sectional study. Place and Duration of Study: Department of Rheumatology, National Hospital and Medical Center, Lahore Pakistan, from Mar to Sep 2021. Methodology: Two hundred fifty paramedical students and staff of either gender, aged between 16 years to 35 years were enrolled. Localized Joint Hypermobility was defined as <3 Score and generalized Joint Hypermobility were defined as >4 scores on the Beighton Score Scale. Demographic information was obtained from each participant, and joint hypermobility was assessed by using the Beighton score. Results: Mean age of the study participnats was 26.6±4.6 years with 146(58.24%) females. Mean BMI was 23.9±4.0 kg/m2. Generalized Joint Hypermobility was seen in 51(20.4%), and 31(12.4%) had localized hypermobility. Out of 250 participants, 33 (13.2%) had musculoskeletal pain, while among 51 patients with generalized hypermobility, 12(23.5%) had musculoskeletal pain. Conclusion: One out of every five young healthy paramedics enrolled had generalized joint hypermobility. One-third of subjects had at least one clinically documented hypermobile joint. Almost every fourth person with generalized joint hypermobility has musculoskeletal pain compared to 1 in 10 persons without generalized hypermobility. Keywords: Beighton score scale, Generalized joint hypermobility, Localized joint hypermobility, Musculoskeletal pain.
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Agustini, Ni Komang Tri, e Ida Ayu Ningrat Pangruating Diyu. "Peningkatan Pengetahuan tentang Senam Desminorea untuk Mengurangi Nyeri pada Siswa SMA di Kota Denpasar". Jurnal Pengabdian Pada Masyarakat 4, n.º 4 (16 de dezembro de 2019): 415–20. http://dx.doi.org/10.30653/002.201944.202.

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INCREASED KNOWLEDGE ABOUT DESMINOREA GYMNASTICS TO REDUCE PAIN IN HIGH SCHOOL STUDENTS IN DENPASAR CITY. Menstrual pain or dysmenorrheal is a physical disorder that is often felt by women every menstruation. Dysmenorrheal is often reported to interfere with daily activities. The incidence of dysmenorrheal shows that the experience of dysmenorrheal is mostly experienced by adolescents, including adolescent in high school. To reduce the menstrual pain every menstruation requires sufficient knowledge and understanding of the actions that can be done to reduce menstrual pain, one of them is dysmenorrheal exercises. This activity aims to provide education about dysmenorrheal exercises used to reduce menstrual pain. The method used is to provide health education about menstrual pain and training about dysmenorrheal exercise. Before and after counseling pre test and post test. The results of counseling showed an increase in teenagers understanding of dysmenorrheal exercise to reduce menstrual pain, from 52.5% to 80%. Based on these results it is expected that teenagers are able to practice dysmenorrheal exercises to reduce menstrual pain.
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Sulistyowati, Dwi Wahyu Wulan, e Ani Media Harumi. "Determinants of Dysmenorrhea Pain Levels of in Adolescents". Aloha International Journal of Health Advancement (AIJHA) 3, n.º 1 (30 de dezembro de 2019): 1. http://dx.doi.org/10.33846/aijha30101.

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Menstrual pain sometimes makes women unable to move normally so that quality deteriorates in their daily lives. Complaints that appear vary in intensity and are different for each person. Some women only feel mild pain, but others feel very severe pain, stomach like squeezing, vomiting, discomfort in the stomach, pain in the breast, even fever and headaches. The design of this study was cross-sectional. The population used in this study were all middle school and vocational high school students who experienced dysmenorrhea every time menstruation in the last 2 months period as many as 190 students and a sample of 130 female students. Sampling used was a simple random technique, namely the determination of samples taken randomly. The dependent variable was dysmenorrhea pain levels, while the independent variable were anxiety, activity, age, and nutritional status. The instrument used was a questionnaire and checklist. The analysis technique used was the multiple linear regression test. From the results of the study, there was a strong influence of anxiety, age, and nutritional status on the dysmenorrhea pain levels. Whereas there was no influence of activity on dysmenorrhea pain levels. Keywords: dysmenorrhea; pain; anxiety; nutrtional; activity; age
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Septadina, Indri Seta, Wardiansyah Wardiansyah, Msy Rulan Adnindya e Tri Suciati. "PREVENTION OF LOW BACK PAIN COMPLAINTS TO STUDENTS DURING ONLINE LEARNING IN THE TIME OF THE COVID-19 PANDEMIC". Conferences of Medical Sciences Dies Natalis Faculty of Medicine Universitas Sriwijaya 3, n.º 1 (9 de dezembro de 2021): 110–16. http://dx.doi.org/10.32539/confmednatalisunsri.v3i1.77.

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Low back pain is a widespread health problem worldwide and the leading cause of disability. Low back pain or lower back pain is a Musculoskeletal disorder caused by strenuous physical activity, and It causes muscle spasms and back stiffness. This complaint occurs because the muscles receive pressure due to workload continuously without getting relaxation opportunities. The incidence of low back pain in the world each year varies wildly, reaching 15 - 45%. According to WHO (2013), shows that 33% of the population in persistent pain develops. Data for LBP sufferers in Indonesia is unknown but is estimated to vary between 7.6% to 37% of the total population. LBP is not caused by organic disorders but by the wrong body position at work. With the issuance of a work from home policy for workers and online at students and students, there is a shift in low back pain at a young age. Low back pain continues to increase 5% every year. The intensity of physical movement, work and study so that laptops and smartphones are increasing. The increase in the duration of media use causes various kinds of effects, including influencing how students and workers learn.
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Grimmer, K., L. Nyland e S. Milanese. "Repeated Measures of Recent Headache, Neck and Upper Back Pain in Australian Adolescents". Cephalalgia 26, n.º 7 (julho de 2006): 843–51. http://dx.doi.org/10.1111/j.1468-2982.2006.01120.x.

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The epidemiological and clinical literature identifies strong associations between adult headache, cervical and thoracic spine dysfunction and spinal posture. This paper reports on the prevalence and incidence of headache, neck and upper back pain which occurred in the previous week, in urban Australians aged 13–17 years. Commencing in 1999, we followed a cohort of South Australian students through 5 years of secondary schooling. Of our commencing cohort of students, 132 (30±) provided data on bodily pain every year. For both girls and boys, there was a significantly decreasing prevalence of headache over the study period, while neck pain and upper back pain increased. There was a significantly increasing trend over time for boys with upper back pain. Twenty percent of girls and boys consistently reported headache, neck pain or upper back pain over 5 years. The progression of early adolescent headaches to mid-adolescent neck and upper back pain potentially reflects the adolescents’ biomechanical responses to intrinsic and extrinsic imposts. This requires further investigation to understand the causes of adolescent headache, neck and upper thoracic pain.
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Rostina Pohan. "PENGARUH MINUMAN JAHE MERAH TERHADAP PERUBAHAN NYERI DISMINORHEA". Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 17, n.º 3 (30 de dezembro de 2022): 581–85. http://dx.doi.org/10.36911/pannmed.v17i3.1510.

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Menstruation is a natural occurrence that occurs every month for a woman. Almost all women must have experienced menstrual pain with different levels. To overcome dysmenorrhea, analgesic or anti-inflammatory drugs can be given or herbal therapy with traditional medicines that are believed to have efficacy derived from plant materials. One of the therapies to overcome dysmenorrhea is to use traditional medicine, only ginger (ginger). Ginger is as effective as mefenamic acid and ibuprofen for reducing dysmenorrhea. This study aims to determine the effect of giving red ginger to changes in dysmenorrhea pain in students at SMP. Negeri 13 Tanjungbala as many as 32 students. The method used in this study used an experimental research design with a quasi-experimental study design Pretest-posttest Non Equivalent Control Group Design. analysis of this study using the Wilcoxon test. Results: From the analysis of changes in dysmenorrhea pain before and after being given red ginger, the results were p = 0.000 (p <0.05). Conclusion: Giving red ginger has an effect on reducing dysmenorrhea pain in female students at SMP Negeri 13 Tanjungbalai City
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Livros sobre o assunto "Every students pain"

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Pain Of Every Student. Amazon, 2023.

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VAUGHN, STECK. Steck-Vaughn Pair-It Books Foundation: Individual Student Edition Every Body. STECK-VAUGHN, 2000.

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Farquhar-Smith, Paul, Pierre Beaulieu e Sian Jaggar, eds. Landmark Papers in Pain. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198834359.001.0001.

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Landmark Papers in Pain offers a comprehensive inventory of over 80 key studies in pain medicine from the last 100 years. Pain medicine, a relatively new specialty, has proven increasingly relevant to medical practitioners in every field. The specialism of pain has emerged over the past 50 years, largely due to the persistence of experts and new medical evidence that points to its necessity. Today, it is a distinct and integral part of global medical practice. Each paper in this book is accompanied by a concise commentary on the significance of the original findings written by an expert in pain. The reviews discuss how the papers influenced the development of the speciality and how the findings have advanced our global comprehension of pain. Together, the selected papers and reviews chart the growth of an embryonic field into the modern speciality of pain medicine. Complied by leading specialists in the field, the papers included in this book are significant for any student, researcher, clinical practitioner, or medical historian interested in pain medicine. Organized into eight distinct topics and cross-referenced by topics and author of original paper, the book is comprehensive in its coverage and easy to use. A review of the contemporary and historical research that shaped the speciality of pain, Landmark Papers in Pain is essential reading for all medical practitioners with an interest in pain medicine and pain research.
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VAUGHN, STECK. Steck-Vaughn Pair-It Premier: Student Reader Grade 1 Biggest Sandwich Ever. STECK-VAUGHN, 2009.

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Nitardy, Nancy. Get Paid to Play: Every Student Athlete's Guide to Over $1 Million in College Scholarships. Kaplan Publishing, 2007.

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Get paid to play: Every student athlete's guide to over $1 million in college scholarships. New York: Kaplan Pub., 2007.

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Atkins, Peter. Reactions. Oxford University Press, 2011. http://dx.doi.org/10.1093/oso/9780199695126.001.0001.

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Illustrated with remarkable new full-color images--indeed, one or more on every page--and written by one of the world's leading authorities on the subject, Reactions offers a compact, pain-free tour of the inner workings of chemistry. Reactions begins with the chemical formula almost everyone knows--the formula for water, H2O--a molecule with an "almost laughably simple chemical composition." But Atkins shows that water is also rather miraculous--it is the only substance whose solid form is less dense than its liquid (hence ice floats in water)--and incredibly central to many chemical reactions, as it is an excellent solvent, being able to dissolve gases and many solids. Moreover, Atkins tells us that water is actually chemically aggressive, and can react with and destroy the compounds dissolved in it, and he shows us what happens at the molecular level when water turns to ice--and when it melts. Moving beyond water, Atkins slowly builds up a toolkit of basic chemical processes, including precipitation (perhaps the simplest of all chemical reactions), combustion, reduction, corrosion, electrolysis, and catalysis. He then shows how these fundamental tools can be brought together in more complex processes such as photosynthesis, radical polymerization, vision, enzyme control, and synthesis. Peter Atkins is the world-renowned author of numerous best-selling chemistry textbooks for students. In this crystal-clear, attractively illustrated, and insightful volume, he provides a fantastic introductory tour--in just a few hundred colorful and lively pages - for anyone with a passing or serious interest in chemistry.
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Stavans, Ilan, ed. Latina Writers. Greenwood Publishing Group, Inc., 2008. http://dx.doi.org/10.5040/9798400677052.

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Latina literature is one of the fastest growing areas of American literature today, and the impact Latina writers have had on the literary scene is undeniable. This volume features the most significant articles including peer-review essays, interviews, and reviews to bring together the best scholarship on Latina writers ever compiled. Learn about these authors' lives and extraordinary careers, as well as the social and political issues their works address. 10 signed articles, essays, and interviews are included in the volume, which encourage readers to examine Latina writers from a wide variety of theoretical perspectives, including feminism, postmodernism, postcolonialism, gender, border, linguistic, and pan-American studies. Also featured is an introduction by Ilan Stavans, one of the foremost authorities on Latino culture, to provide historical background and cultural context and suggestions for further reading to aid students in their research.
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Thomas, Clive S. Research Guide to U.S. and International Interest Groups. Praeger, 2004. http://dx.doi.org/10.5040/9798216007821.

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Interest groups influence every government around the world, but what exactly are they, and how do they go about their work? This compilation of the major research, literature, and possible future directions of the study of interest groups is an excellent introductory resource for scholars and students in political science and related fields. Thoroughly cross-referenced and thematically organized, more than 200 entries detail the main topics of interest group activity in the United States and around the world. Following an introductory chapter that explains the format and content of the book, and a review of the development of interest group research, the entries are organized into 14 distinct chapters, each of which focuses on an area of significant research on various facets of group activity. A number of chapters deal with how interest groups form, dissolve, and work. More theoretically oriented chapters provide a wealth of information about the greater role interest groups play in society, and the various stances on whether those roles benefit or harm political life. Uniquely, special attention is paid to interest group activity in other countries, and to group activity that crosses international boundaries and political systems. A comprehensive bibliography concludes this useful volume.
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Buckingham, Robert W., e Peggy A. Howard. Understanding Loss and Grief for Women. ABC-CLIO, LLC, 2017. http://dx.doi.org/10.5040/9798216029571.

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This book can enhance everyone's understanding of how women experience loss and grief, and how they transition to resolution. It is an invaluable resource to women and everyone who supports them―spouses, partners, and family members as well as community and government. Women's grief is often a complex phenomenon―a natural, normal experience, but one that can seriously impact everyone―female or male―at every stage of life. Understanding Loss and Grief for Women: A New Perspective on Their Pain and Healing provides a way to look at how women experience loss through the lens of their socially constructed roles, and in light of the theories and practice of grief therapy and support. The book begins by explaining the social construction of women's traditional, transitional, and modern/postmodern roles, and then addresses the social construction of grief theory and practice in past eras and modern society. Several case studies enable readers to see how social constructs shape women's responses to various causes of grief, such as the death of a spouse or partner, child, marriage (divorce), and career (retirement). The final section of the book examines the health impacts of grief, offers suggestions to ameliorate negative health impacts, and emphasizes how loss and grief for women can be used as opportunities for self-growth. This book serves all members of the general population as well as educators, academics, scientists, and students of disciplines such as psychology, psychotherapy, medicine, sociology, and women's studies. It will enable all women to better understand, deal with, and heal from their loss and grief experience. Male readers will empathize with what their spouses/partners, mothers, grandmothers, siblings, and friends are experiencing in loss and grief and understand how to support healthy transition through grief to resolution. The community at large and care providers will learn how to create a more nurturing and supportive environment for women's grief response.
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Capítulos de livros sobre o assunto "Every students pain"

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Reséndiz, Laura, e David Block Sevilla. "“Necklaces”: A Didactic Sequence for Missing-Value Proportionality Problems". In Teaching Multiplication with Lesson Study, 215–39. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-28561-6_9.

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AbstractThis research presents a sequence of didactic situations involving a proportionality relationship in which every value in a set (a number of necklaces) is mapped to a pair, a triad, or a quartet of values (numbers of blue beads, red beads, green beads, etc., required to make that number of necklaces) from another set. The sequence includes relatively simple multiplication and division problems, as well as more complex “missing-value” problems. This paper also presents the results of applying the sequence with a group of 4th grade students in a Mexican primary school (9 and 10 years old).
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Adiyasuren, Amarjargal, e Ulziisaikhan Galindev. "Effective Teaching in Mongolia: Policies, Practices and Challenges". In Effective Teaching Around the World, 245–55. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-31678-4_11.

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AbstractThis chapter describes the contextual background of teacher and teaching quality in Mongolia through exploring teacher policies, and practices and challenges surrounding the teacher, followed by how curriculum sets the parameters for teaching behaviour. Students must finish a four-year teacher education program in Mongolia to become teachers. The government policy aims to increase the percentage of teachers who hold master’s degrees up to 70% by 2024; 15.8% of primary and secondary education teachers held a master’s degree as of 2020. The government requires teachers to attend mandatory training in their first, fifth and tenth teaching year. Besides these centralized trainings, the government is also reinforcing teachers’ professional development policies in the direction that supports and encourages local and school-based professional development based on teachers’ learning needs. Recently there has been a regulation of school self-monitoring and evaluation, including setting criteria on lesson management and quality to use for evaluation of teachers’ teaching skills and behaviour, via lesson observations. Teacher behaviour and pedagogical methods are articulated in the curriculum documents as well. The most recent education reform was aimed at a principle that is called the change of ‘Each and every child’. This was followed by curriculum revision with key concepts of inquiry-based learning, differentiating teaching (based on students’ developmental differences) and assessment of progress and learning skills. These changes, needless to say, require teachers to improve their pedagogical skills. Research shows that Mongolian teachers still have difficulty with devising differentiated activities for students at different levels of learning. In terms of context, it should be understood that teaching is regarded as a low paid profession in Mongolia. The government takes measures such as: offering scholarships to attract good students into teaching profession; and providing salary supplements and local subsidies.
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Miller, Casey James. "Men Are Containers (男人是容器)". In Platinum Bible of the Public Toilet, 117–28. Duke University Press, 2024. http://dx.doi.org/10.1215/9781478059066-007.

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This playful and exuberant story describes the antics of the residents of the foreign student apartments at Square City University. A new mixed residence policy is instituted in which every foreign student is required to share their single room (and a double bed) with one domestic student, each of whom is nicknamed after a type of fruit. After initially opposing the new policy, the students quickly warm to the new arrangement, and a series of gender-bending and homoerotic entanglements ensue. A cheeky and libidinous meditation on the productive and contradictory nature of binary oppositions and attractions, including foreign and local, sadness and arousal, pain and pleasure, empty and full, the story advances a queer “container theory” that overflows and transcends familiar categories and expectations of gender and sexuality.
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Bennett, Peggy D. "My word!" In Teaching with Vitality. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780190673987.003.0041.

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Name- calling and use of offensive words appear to be increas­ingly acceptable in our communities and in our entertain­ment venues. Offensive words have no place in schools. Yet how do we know what is offensive, especially across diversities of age, family values, and ethnicity? We can become immune to com­monly used expletives, even when teachers hold themselves to a higher standard than the general public. The intent in questioning some words and sayings here is two­fold: to make us aware of our sometimes automatic responses and to encourage attention to and reconsideration of words and phrases we may be using in schools. • Inflammatory words may be so commonly overused that they lose their shock effect: “loser,” “jerk,” “bully,” “predator,” “troublemaker,” “dumb,” “harasser,” “racist.” Nonetheless, name- calling is risky, hurtful, and confrontational. • Slogans and sayings that at one time were novel and clever can be overused and lose their potency. When phrases become too repetitive and too predictable, students can be repelled by them rather than attentive to them. One example was a junior high school principal who, during every school assem­bly, would step to the microphone and drone, “We’re waiting on you!” The too- predictable admonition was rarely, if ever, effective. Other examples could be “Crisscross applesauce” when we want students to sit cross- legged on the floor, “I’m the teacher, you’re the listener,” and “No pain, no gain.” • Offensive words can sometimes be defused by probing a bit about what a student or teacher means: “What does that word mean?” “Can you tell me why you’re using that word?” “That word produces a strong reaction in me.” It is natural and valuable to react to language. We can hardly pre­vent it. It is our primary and primal avenue for communication. Yet it is good for us as teachers to pay attention. It is smart to reflect on the meaning and the impacts of the words we say and hear. It is wise to be informed and purposeful with our vocabu­lary in schools.
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"Think–Pair–Share–write". In Smuggling Writing: Strategies That Get Students to Write Every Day, in Every Content Area, Grades 3-12, 217–24. 2455 Teller Road, Thousand Oaks California 91320: Corwin, 2016. http://dx.doi.org/10.4135/9781506332482.n31.

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Tabassum, Sameena. "MANAGING MIXED-ABILITY CLASSROOMS". In Futuristic Trends in Social Sciences Volume 3 Book 28, 34–41. Iterative International Publishers, Selfypage Developers Pvt Ltd, 2024. http://dx.doi.org/10.58532/v3baso28ch4.

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One of the challenges commonly confronted by many teachers all over the world is the effective management of mixed-ability classrooms. Mixed-ability classes are found in every educational institution, irrespective of its location and type. Teachers must not treat the whole class as a uniform group of the same abilities. All students have their own way of learning. It becomes problematic when the teacher does not recognize the necessity for a novel approach to manage the mixed-ability classroom. Research has proved that teachers must employ a multitude of strategies in mixed-ability classes. The teacher’s positive attitude, efficient lesson planning, differentiation in teaching, use of technology, student-centered activities, increasing learners’ autonomy, continuous discussions and feedback, pair work, group work, and positive relationship between teachers and students can pave the path for an effective management of the mixed-ability classes.
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Bate, Jonathan. "A Language That Is Ever Green". In William Wordsworth’s, 377–402. Oxford University PressNew York, NY, 2006. http://dx.doi.org/10.1093/oso/9780195180916.003.0014.

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Abstract During h is highly p r oductive residence at Racedown in Dorset and then at Alfoxden in Somerset, Wordsworth worked on ‘The Ruined Cottage’, a poem Coleridge took to be one of the most beautiful in the language. Over the last twenty years this poem has come to look absolutely central to Wordsworth’s achievement, and its narrative is now highly familiar to students: owing to failed harvests and high prices, Margaret’s husband enlists as a paid recruit; he does not return, Margaret and her family decline and die, nature reencroaches upon her cottage plot until all that is left is an overgrown ruin. For the poet and the character— originally called the Pedlar, later the Wanderer—who narrates Margaret’s tragedy, the ruined cottage provides an image of consolation. Wordsworth tells of how he traced with milder interest That secret spirit of humanity Which, ‘mid the calm oblivious tendencies Of nature, ‘mid her plants, her weeds, and flowers, And silent overgrowings, still survived.
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Atkinson, Martin E. "The cranial nerves". In Anatomy for Dental Students. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199234462.003.0026.

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The cranial nerves are the most important neural structures relevant to dental students and practitioners. The cranial nerves are the nerve supply to all the structures in the head and neck and underpin of the anatomy and function of these regions—the head and neck will not work without them. In a wider context, correct functioning of the cranial nerves is a very good indicator of the health or otherwise of the CNS; it may be necessary to test the function of some, or even all, of the cranial nerves at times to assess neural function. In addition, many of the cranial nerves may be involved in various diseases of the head and neck. As outlined in Chapter 3, 12 pairs of cranial nerves arising from the brain form one major component of the peripheral nervous system, the 31 pairs of spinal nerves forming the other. Each pair of cranial nerves has a name and number. Conventionally, they are numbered using the Roman numerals I to XII. The nerves are numbered from one to 12, according to their origin from the brain; nerves with the lowest numbers arise from the most anterior aspect of the brain (the forebrain) whereas those with highest numbers arise from the lowest part (the medulla). Several aspects of any nerve anywhere in the body are required to d escribe its anatomy and function in complete detail: • Its origins and terminations in the CNS; • Its neuronal components—are they motor, sensory, or autonomic? • Its course to and from its target tissues; • Its distribution to specific areas and structures through specific branches; • Its overall functions and specific functions of its component parts. In addition, if the clinical significance is going to be appreciated, we w ill also need to consider: • The effects of damage or disease on the nerve; • Its important relationships to other structures; • How to test whether the nerve is functioning correctly. Given that there are 12 pairs of nerves, does a competent dentist need to know everything in the two lists about every cranial nerve? The answer, you will be relieved to hear, is ‘no’.
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Lovegrove, Jane. "Hand Hygiene and Infection Control". In Nursing OSCEs. Oxford University Press, 2012. http://dx.doi.org/10.1093/oso/9780199693580.003.0011.

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Each year hundreds of millions of people contract an infection while in the receipt of heath care. At any time 1.4 million people worldwide are suffering from an infectious complication associated with health care (WHO 2005). Health care acquired infections not only lead to pain discomfort, disability, and possible death for the recipient but also place a huge emotional and physical burden on relatives and carers. In England and Wales an average of one in 11,000 people die of a hospital acquired infection (HAI) each year; this figure rises to 1 in 300 for patients over the age of 80 (Bandolier 2006). Hospital admission is now a major risk factor for health care related infection (Gould 2009). In 2007 around 9,000 people in England died with an MRSA bloodstream infection or related Clostridium difficile infection (National Audit Office 2009). These figures do not include deaths from other HAIs so in fact the number of deaths from HAIs could be greater. In addition, it is also believed that many people die from a health care acquired infection which is not identified on the death certificate. In England, health care related infections have been estimated to cost a billion pounds annually (WHO 2005). The World Health Organization has identified hand hygiene as the primary measure to reduce infections (WHO 2009). Everyone involved in the provision of health care must be trained in effective hand decontamination (NICE 2003). Unclean hands move microorganisms from one place to another. Transmission of infection by hands has been identified with recent hospital outbreaks of MRSA and Clostridium difficile. Good hand hygiene is one of the most effective methods of reducing hospital acquired infections. Hand decontamination removes transient bacteria acquired from recent contact with an infected item or person. While hand decontamination is advocated before contact with every patient regardless of setting, patients in hospital are at greatest risk of acquiring an infection. In the UK 7.6% of patients admitted to hospital become infected. In England the figure is even higher at 8.19% (Nazarko 2008). It is essential for health care students to not only be able to perform effective hand washing, but also understand the principles of the procedure, as well as the possible physical, emotional and financial consequences of failing to perform hand hygiene.
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Dettling, Lisa J., Sarena F. Goodman e Sarah J. Reber. "Saving and Wealth Accumulation among Student Loan Borrowers". In Real-World Shocks and Retirement System Resiliency, 120–52. Oxford University PressOxford, 2024. http://dx.doi.org/10.1093/oso/9780198894131.003.0007.

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Abstract Borrowing for education has increased rapidly in the past several decades, such that the majority of non-housing debt on US households’ balance sheets is now student loan debt. This chapter analyzes the implications of student loan borrowing for later-life economic wellbeing, with a focus on retirement preparation. It demonstrates that families holding student loan debt later in life have less savings than their similarly educated peers without such debt. However, these comparisons are misleading if the goal is to characterize the experience of the typical student borrower, as they fail to account for student borrowers who already paid off their debt. Strategies are developed to locate families that ever financed their education with student loans in two large datasets which enables us to draw more meaningful comparisons. The chapter finds that student loan borrowers roughly follow the earnings, saving, and wealth trajectories of other college-educated families into late-career ages and are much better off financially than those that did not attend college.
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Trabalhos de conferências sobre o assunto "Every students pain"

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Jayanti, Ova, e Rosmawati Lubis. "Murottal Music on Dysmenorrhea Pain Among Students in Madrasah Aliyah Sultan Hasanudin, South Jakarta". In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.05.05.

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ABSTRACT Background: The incidence of dysmenorrhea is more than 50% among women in every country. In the United States, an average of 60% with the highest prevalence of dysmenorrhea is among adolescent girls, 15% of whom have severe dysmenorrhea. Dysmenorrhea that is not treated properly can interfere with daily activities. Non-pharmacological handling by listening to murottal music can cause the brain to emit theta waves which cause a sense of calm. This study aimed to examine the murottal music on dysmenorrhea pain among students in Madrasah Aliyah Sultan Hasanudin, South Jakarta. Subjects and Method: This was an experimental study with one group pretest-posttest designs. Total of 32 students were enrolled in this study. The dependent variable was dysmenorrhea pain. The independent variable was murottal music. The data were analyzed using Wilcoxon Test. Results: Before the murottal music intervention, 16 students (50%) had mild pain, 12 students (37.5%) felt moderate pain, and 4 students (12.5%) felt severe pain. After the murottal music intervention, 29 out of 32 students felt pain decreased, the intensity felt was in a state of not pain to moderate pain, and it was statistically significant (p<0.001). Conclusion: The murottal music decrease the dysmenorrhea pain among students in Madrasah Aliyah Sultan Hasanudin, South Jakarta. Keywords: adolescents, dysmenorrhea, murottal music Correspondence: Ova Jayanti. Department of Health Sciences, Universitas Nasional Jakarta, Indonesia. DOI: https://doi.org/10.26911/the7thicph.05.05
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Pirc, Anja, Vanja Hribar, Monika Katančič, Martina Lenko, Ana Otoničar, Manca Podmiljšak, Vesna Simonič et al. "LABOUR PAIN MANAGEMENT IN SLOVENIA". In 14. kongres zdravstvene in babiške nege Slovenije,11. in 12. maj 2023, Kongresni center Brdo, Brdo pri Kranju. Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, 2023. http://dx.doi.org/10.14528/asae9754.6.

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Introduction: Every woman experiences birth pain in a different way. Birth pain is defined as an »excellent model of acute pain,« but unlike other acute pain usually associated with injury or illness, it is part of the normal physiological process. Birth pain also has an important function in the physiological process itself, producing hormones such as endorphins and oxytocin. In developed countries, various methods are used to relieve birth pain, which may be pharmacological and/or non-pharmacological. The aim of our study was to investigate the methods of relieving birth pain (pharmacological, non-pharmacological)in Slovenian maternity hospitals. Methods: A descriptive and causal non-experimental method of empirical research was used, based on an online survey, i.e., a questionnaire. The survey was conducted among midwives in Slovenian maternity hospitals. It was conducted by 3rd year midwifery students from the Faculty of Health Sciences, University of Ljubljana. The data were analysed based on descriptive statistics using frequency and percentage calculations. Results: Survey data indicated that women in Slovenian maternity hospitals have 6 pharmacological methods available to relieve labour pain. These include epidural analgesia (71 %), nitrous oxide (53 %), and petidine (47 %). Data from the study indicate that 9 nonpharmacologic methods are available to women in Slovenian maternity hospitals to relieve labour pain. Position changes (93 %), massage/massage balls (78 %), warm/cold compresses (47 %), and aromatherapy (45 %) are used most frequently. Farmacologic methods are most used in the first stage of birth (73 %) and nonpharmacologic methods in the first and second stage of birth (56 %). Discussion and conclusion: In Slovenia, women have a wide choice of pharmacological and non-pharmacological methods to relieve labour pain. Pharmacological methods of pain relief are more frequently represented, which in our estimation could be more frequently supplemented by non-pharmacological methods.
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Samkharadze, Sophio, Marika Zurmukhtashvili, Eka Kokhreidze, Elene Kharashvili e Sesili Beriashvili. "Availability of Dental Services for Medical Students in Georgia". In Socratic Lectures 8. University of Lubljana Press, 2023. http://dx.doi.org/10.55295/psl.2023.ii5.

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Oral health is important issue in field of public health and can be negatively affected by psycho-emotional factors. Foreign medical students can be subjected to oral disease risk factors and therefore be in significant need for regular dental care, but there is a lack of in-formation how good students access the dental clinics. Study aimed to evaluate the acces-sibility to dental care for foreign medical students in Georgia. We conducted an online survey in duration of two weeks in October – November 2022. Study sample were medical undergraduate students, they answered 12 questions about frequency and type of dental visits, about availability and quality of dental care they received in Georgia. Overall from 270 medical undergraduate students aged between 18-45 years, 70% were male and 30% female. 70% were from Jordan, Iran - 15%, Egypt - 4%; Great Britain - 4%, France - 4% and Rwanda - 4%. In their countries 50% of students used to visit dental clinics every 6 months for regular check-up (70%); professional cleaning (31%) and dental pain (27%). 81.48% of interviewed students have never visited a dental clinic in Georgia. Among them who vis-ited, the purpose was check-up (65%) and dental pain (30%). For the source of information about dental clinics the students named internet (60%). Access to dental care was rated as medium (37.50%), while overall satisfaction was rated as normal (47.62%). The study showed very low rate of referral to the dentist. However, among those who visited the clin-ic, their evaluations were satisfactory. We can estimate the lack of information as an im-portant barrier for students. In addition, some students arrived in Georgia only a few months before the study started, so there might be no need to visit dentist in the time inter-val studied. Further research is needed to clearly identify possible barriers for dental care for medical students. Keywords: Oral health; Dental care; Accessibility of dental care; Medical students
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Mekonnen, Samuel, Tebello Pusetso, Hui Lyu e Ugwueke Emmanuel. "Anthropometric-based school furniture design for Ethiopian secondary school students". In 14th International Conference on Applied Human Factors and Ergonomics (AHFE 2023). AHFE International, 2023. http://dx.doi.org/10.54941/ahfe1003405.

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Students take part in one of the most sedentary occupations. They spend an average of 5-8 hours in school daily. About 80% of this time, they sit in the classroom doing activities such as reading, writing, and communicating. It has been suggested that schools are places where students develop their permanent sitting habits (M. S. Parvez, et al, 2018). The mismatch between students and school furniture dimensions has been associated with adolescent low back pain (Milanese & Grimmer, 2004). Therefore, suitable and comfortable school furniture for students is necessary. Although many developed countries have proposed school furniture dimension guidance, developing countries and most least-developed countries still lack the support of an anthropometric database for school furniture design. Therefore, this study aims to fill this gap by establishing an anthropometric database of secondary school students in Addis Ababa, Ethiopia, investigating the mismatch between students' anthropometric dimensions and current school furniture dimensions, and providing recommendations for secondary school furniture dimensions.MethodSample selection Two hundred secondary school students (85 (42.5%) male and 115 (57.5%) female) from two secondary schools in Addis Ababa, Ethiopia, were recruited in this study. Every 25 subjects were randomly selected from each grade in each secondary school using the cluster sampling method. The mean ± SD age and body height were 17 ± 1.4 years and 5.4 ft ± 0.3 ft respectively. The sample size was set according to suggestions from World Health Organization that 200 is the minimum sample size used for building reference standards (WHO, 1995). Before testing, all subjects were instructed about the contents of the experiment and provided their consent.Data treatment and Analysis Body dimensions, including stature, sitting height, knee height, popliteal height, and thigh clearance, were measured using metallic tape. Data were presented with mean, standard deviation, and percentile base for the 5th, 50th, and 95th percentile values. Based on the percentile values of anthropometric dimensions of subjects and furniture dimensions, combinational formulas of furniture dimensions were set. The mismatch is determined if the calculated value of the critical dimensions is outside the interval quantity (Gouvali et al., 2006).ResultThe results of this study show that the chairs and tables of secondary schools in Addis Ababa were poorly designed without considering the anthropometric features of students. Most students sit in chairs with a seat that is too tight and without a backrest, which may cause health problems such as back pain in the long term. Therefore, we proposed three sets of acceptable furniture dimension range for the secondary school students in Addis Ababa, which may be helpful as a reference for school furniture design, and subsequently improve students’ comfort and health in school.
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Chieh Wu, Yi. "Applying Service Design to Online Learning to Increase User Experience". In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002415.

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Advanced Internet development and the impact of COVID-19 have made online learning the most convenient way for learners to acquire knowledge. Online courses enable learners to communicate directly with teachers one-on-one and achieve mutual learning and real-time interaction. However, some instructors and learners might encounter operational difficulties during online learning. For example, learners might suffer from a frustrating emotion after failing to complete a series of tasks by operating the online learning platform since they are worried about making mistakes during the class. Moreover, not every person is familiar with the online learning software; it is imperative to establish guidelines for teachers and students to realize the software operation pattern before the class starts and improve students' self-confidence during the online course. Therefore, this article aimed to understand learners' pain points while using the online communication software-Google Meet during the online course and applied design services approaches to ideate the problems and conclude the suggested operational guideline. Accordingly, this article applied service design tools, including user journey map, how might we (HMWs) method to improve user experience and ultimately achieve an obstacles-free online learning environment.
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Hossain, Khondoker Mokaddem, e Mahbuba Nasreen. "A Study on the Role of Learning Management System to support the Distance Education in Bangladesh during Covid-19: The Case of Bangladesh University of Professionals and Bangladesh Open University". In Tenth Pan-Commonwealth Forum on Open Learning. Commonwealth of Learning, 2022. http://dx.doi.org/10.56059/pcf10.4518.

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The COVID-19 pandemic has led to the devastating disruption of face-to-face education system ever. In order to overcome the situation, Bangladesh University of Professionals (BUP) and Bangladesh Open University (BOU) has introduced different teaching and learning methods by integrating Learning Management System (LMS) In line with this, BUP and BOU have also applied technology supported LMS for its students and faculties. The study investigates how the LMS supports the application of software for administering, documenting, tracking, reporting and delivering of courses, conducting examinations, setting questions, evaluating examination scripts and publishing results to facilitate student to accustomed with e-learning system, getting access to online classes, and support student and faculty activities during classes delivered through Zoom, and/or Google Meet/Google Classroom. This study further investigates the effects of LMS on student’s and faculties teaching and learning during the COVID19 pandemic in the academic year 2020–2021, in which the distance education framework was implemented. The study followed both qualitative and quantitative research methods. For better understating the access to LMS by students and faculties, the study selected the samples from both urban and rural Bangladesh by drawing respondents from different socio-economic and ethnic groups. The findings of the study will help the planners, researchers, development practitioners, administrators and policy implementers for better applications of LMS for distance education.
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Owolabi, Janet Iyabode, e Josiah Owolabi. "Evaluating Gender Differences on the Impact of Moodle and Edmodo Learning Management System Platforms on Students’ Achievement in Word Processing". In Tenth Pan-Commonwealth Forum on Open Learning. Commonwealth of Learning, 2022. http://dx.doi.org/10.56059/pcf10.300.

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Word Processing skills are required today by every business education student on graduation. Acquisition of necessary skills in word processing, is therefore non-negotiable. This study sought to evaluate gender differences on the impact of Moodle and Edmodo platforms on mean achievement scores in Word processing skills among business education students in South-West, Nigeria. The study adopted the non-randomized pretest and posttest, control group, quasi experimental design using 3 x 2 involving intact classes for the treatments. Three null hypotheses were postulated and tested for significance at 0.05 level. The sample comprised 249 National Certificate in Education (NCE) business education students in three federal colleges of education in South-West, Nigeria. Data was collected using the Word processing achievement test (WPAT) whose reliability index was found to be 0.770. Analysis of data was done using descriptive statistics and Analysis of Covariance. Findings revealed a significant main effect of Moodle (LMS) platform on post achievement scores of participants. Two-way interaction effects of treatment and gender on achievement scores in word processing skills was not statistically significant. It was recommended among others that the use of Moodle platform be employed to improve on male and female business education students’ achievement in word processing skills.
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Kamonjo, Florence, e David Ngatia. "University Students’ Preferences, Perception and Challenges of Online Learning. A Case of University of Kabianga, Kenya". In Tenth Pan-Commonwealth Forum on Open Learning. Commonwealth of Learning, 2022. http://dx.doi.org/10.56059/pcf10.6074.

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An online class is a system where students can learn, discuss issues with fellow students, clarify doubts with teachers, share material and assess academic progress through the help of computer and internet-oriented technologies. Online learning (OL) had been ignored in many parts of developing countries due to challenges such as lack of access and affordability of Information Communication Technology (ICT). Since the breakout of Covid–19 pandemic in 2020, lockdowns became a challenging situation for everyone and in every sector of the economy, education included. As a result online classes are gaining so much importance all over the world, and has shifted the thought of educators that “Online class is Optional” to “Online class is necessary”. This study looked at students’ preferences, perception and challenges during newly introduced OL at University of Kabianga (UoK). The study is anchored on connectivism theory of learning. Descriptive quantitative and qualitative research design was used and was conducted through an online survey. Study population was 600 2nd year student at UOK, who were taking OL for their first time due to Covid-19 pandemic. Sample size was 240 2nd year students randomly selected. Data was analyzed using descriptive and inferential statistics. Findings indicate that learners preferred smart phones as their learning device, and blended OL. Learners have positive perception towards OL despite citing a number of challenges experienced during OL, such as lack of digital devices, poor and unreliable internet, and power connectivity, unconducive OL environment at campus and lack of digital skills needed for OL.
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Đorđević, Srđan. "Usluga visokog obrazovanja i problem vremenskog roka za završetak doktorskih akademskih studija". In XVI Majsko savetovanje. University of Kragujevac, Faculty of Law, 2020. http://dx.doi.org/10.46793/upk20.611dj.

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Legislative solutions to higher education in Serbia carry with them problems that may cause problems in practice. We have witnessed in recent years that, almost every start of the new academic year, tensions arise in the student public regarding the rules on the time limit for the completion of studies for those students who have enrolled in faculties the so-called old program. In the research conducted so far, regarding the temporal dimension of the validity of certain provisions of the Higher Education Law, no special attention was paid to the prescribed deadline for completion of PhD studies. In this paper, this is done on the basis of an analysis of the relevant provisions of the legal regulations, with a concluding opinion on the need for appropriate changes.The aim of such a conclusion is to ensure and protect the credibility of the PhD study program, as well as to protect the interests of PhD students.
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Al-Tawil, Rima. "Electronic Nonverbal Cues (eNVC) and the Deeper Learning Tapestry". In Tenth Pan-Commonwealth Forum on Open Learning. Commonwealth of Learning, 2022. http://dx.doi.org/10.56059/pcf10.8321.

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This poster illustrates the findings of my recent qualitative study that adopted a reflexive narrative methodology to explore whether electronic nonverbal cues (eNVC) can contribute to deeper learning through interaction and engagement in the online course discussion forums. The rationale for focusing on asynchronous discussions emanates from their absence from the list of instructional strategies used during the pandemic-forced pivot to remote teaching. Although discussion forums constitute the primary tool for distance education offered online, studies to date suggest that instructors not only rely on video technologies for emergency teaching, but also anticipate continued use of video conferencing tools post-pandemic. Narratives gathered throughout this study suggest that such tools can add to the frustrations of students facing various challenges such as: needing more time to process information before responding, having limited access to electricity and internet connection, or living in a crowded/noisy physical space that prevents them from focusing. While discussion forums can address some of these issues by liberating the learning environment from its spaciotemporal constraints, they are often perceived as lacking the level of interaction embedded in nonverbal cues exchanged during face-to-face communication. However, an examination of the categories of nonverbal cues reveals that some of them can infiltrate asynchronous, text-based communication as eNVC, including but not limited to: chronemics, absence or pauses in communication, and visual expressions. These eNVC are interwoven with written words like strands in a tapestry, and they have the potential of influencing the learners’ and instructor’s interaction and engagement that promote deeper learning. In the last decade, the term deeper learning emerged as an umbrella term for desirable attributes of twenty-first-century secondary education that prepare learners to succeed in education, career, and civic life. Scholars also describe deeper learning as an ever-evolving spiral that emerges at the intersection of mastery, identity, and creativity. The spiral analogy is pivotal to this study, along with the symbolism of the tapestry. The poster visually represents these imageries, connecting them with the participants’ recommendations for providing every student with opportunities to experience deeper learning through interaction and engagement in the online course asynchronous discussions.
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Relatórios de organizações sobre o assunto "Every students pain"

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MacFarlane, Andrew. 2021 medical student essay prize winner - A case of grief. Society for Academic Primary Care, julho de 2021. http://dx.doi.org/10.37361/medstudessay.2021.1.1.

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As a student undertaking a Longitudinal Integrated Clerkship (LIC)1 based in a GP practice in a rural community in the North of Scotland, I have been lucky to be given responsibility and my own clinic lists. Every day I conduct consultations that change my practice: the challenge of clinically applying the theory I have studied, controlling a consultation and efficiently exploring a patient's problems, empathising with and empowering them to play a part in their own care2 – and most difficult I feel – dealing with the vast amount of uncertainty that medicine, and particularly primary care, presents to both clinician and patient. I initially consulted with a lady in her 60s who attended with her husband, complaining of severe lower back pain who was very difficult to assess due to her pain level. Her husband was understandably concerned about the degree of pain she was in. After assessment and discussion with one of the GPs, we agreed some pain relief and a physio assessment in the next few days would be a practical plan. The patient had one red flag, some leg weakness and numbness, which was her ‘normal’ on account of her multiple sclerosis. At the physio assessment a few days later, the physio felt things were worse and some urgent bloods were ordered, unfortunately finding raised cancer and inflammatory markers. A CT scan of the lung found widespread cancer, a later CT of the head after some developing some acute confusion found brain metastases, and a week and a half after presenting to me, the patient sadly died in hospital. While that was all impactful enough on me, it was the follow-up appointment with the husband who attended on the last triage slot of the evening two weeks later that I found completely altered my understanding of grief and the mourning of a loved one. The husband had asked to speak to a Andrew MacFarlane Year 3 ScotGEM Medical Student 2 doctor just to talk about what had happened to his wife. The GP decided that it would be better if he came into the practice - strictly he probably should have been consulted with over the phone due to coronavirus restrictions - but he was asked what he would prefer and he opted to come in. I sat in on the consultation, I had been helping with any examinations the triage doctor needed and I recognised that this was the husband of the lady I had seen a few weeks earlier. He came in and sat down, head lowered, hands fiddling with the zip on his jacket, trying to find what to say. The GP sat, turned so that they were opposite each other with no desk between them - I was seated off to the side, an onlooker, but acknowledged by the patient with a kind nod when he entered the room. The GP asked gently, “How are you doing?” and roughly 30 seconds passed (a long time in a conversation) before the patient spoke. “I just really miss her…” he whispered with great effort, “I don’t understand how this all happened.” Over the next 45 minutes, he spoke about his wife, how much pain she had been in, the rapid deterioration he witnessed, the cancer being found, and cruelly how she had passed away after he had gone home to get some rest after being by her bedside all day in the hospital. He talked about how they had met, how much he missed her, how empty the house felt without her, and asking himself and us how he was meant to move forward with his life. He had a lot of questions for us, and for himself. Had we missed anything – had he missed anything? The GP really just listened for almost the whole consultation, speaking to him gently, reassuring him that this wasn’t his or anyone’s fault. She stated that this was an awful time for him and that what he was feeling was entirely normal and something we will all universally go through. She emphasised that while it wasn’t helpful at the moment, that things would get better over time.3 He was really glad I was there – having shared a consultation with his wife and I – he thanked me emphatically even though I felt like I hadn’t really helped at all. After some tears, frequent moments of silence and a lot of questions, he left having gotten a lot off his chest. “You just have to listen to people, be there for them as they go through things, and answer their questions as best you can” urged my GP as we discussed the case when the patient left. Almost all family caregivers contact their GP with regards to grief and this consultation really made me realise how important an aspect of my practice it will be in the future.4 It has also made me reflect on the emphasis on undergraduate teaching around ‘breaking bad news’ to patients, but nothing taught about when patients are in the process of grieving further down the line.5 The skill Andrew MacFarlane Year 3 ScotGEM Medical Student 3 required to manage a grieving patient is not one limited to general practice. Patients may grieve the loss of function from acute trauma through to chronic illness in all specialties of medicine - in addition to ‘traditional’ grief from loss of family or friends.6 There wasn’t anything ‘medical’ in the consultation, but I came away from it with a real sense of purpose as to why this career is such a privilege. We look after patients so they can spend as much quality time as they are given with their loved ones, and their loved ones are the ones we care for after they are gone. We as doctors are the constant, and we have to meet patients with compassion at their most difficult times – because it is as much a part of the job as the knowledge and the science – and it is the part of us that patients will remember long after they leave our clinic room. Word Count: 993 words References 1. ScotGEM MBChB - Subjects - University of St Andrews [Internet]. [cited 2021 Mar 27]. Available from: https://www.st-andrews.ac.uk/subjects/medicine/scotgem-mbchb/ 2. Shared decision making in realistic medicine: what works - gov.scot [Internet]. [cited 2021 Mar 27]. Available from: https://www.gov.scot/publications/works-support-promote-shared-decisionmaking-synthesis-recent-evidence/pages/1/ 3. Ghesquiere AR, Patel SR, Kaplan DB, Bruce ML. Primary care providers’ bereavement care practices: Recommendations for research directions. Int J Geriatr Psychiatry. 2014 Dec;29(12):1221–9. 4. Nielsen MK, Christensen K, Neergaard MA, Bidstrup PE, Guldin M-B. Grief symptoms and primary care use: a prospective study of family caregivers. BJGP Open [Internet]. 2020 Aug 1 [cited 2021 Mar 27];4(3). Available from: https://bjgpopen.org/content/4/3/bjgpopen20X101063 5. O’Connor M, Breen LJ. General Practitioners’ experiences of bereavement care and their educational support needs: a qualitative study. BMC Medical Education. 2014 Mar 27;14(1):59. 6. Sikstrom L, Saikaly R, Ferguson G, Mosher PJ, Bonato S, Soklaridis S. Being there: A scoping review of grief support training in medical education. PLOS ONE. 2019 Nov 27;14(11):e0224325.
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