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[A Case of Multiple Kidney Carcinomas using 3 Diverse Subtypes].
Assessment literacy is increasingly recognized as an important concept to consider when developing assessment strategies for courses and programs. Assessment literacy approaches support students in their understanding of assessment expectations and help them both understand and optimize their performance in assessment. In this teaching tip, a model for assessment literacy that builds on the well-known Miller's Pyramid model for assessment in clinical disciplines is proposed and contextualized. The model progresses thinking from assessment methods themselves to consideration of the activities that need to be built into curricula to ensure that assessment literacy is addressed at each level of the pyramid. The teaching tip provides specific examples at each of the levels. Finally, the relevance of this work to overall curriculum design is emphasized.Clinical rounds sessions and patient admissions are valued opportunities for teaching and learning in veterinary teaching hospitals. Although using the rounds format to discuss inpatient or recent patients is common, using a similar format prior to receiving cases can improve learner preparation, expand teaching and modeling opportunities, and improve service receiving efficiency. This article describes pre-receiving rounds sessions, perceived benefits and limitations, and tips for effective implementation.Although errors can be a powerful impetus for learning, conventional pedagogy often emphasizes error-avoidance strategies that reward correct answers and disfavor mistakes. Error management training (EMT) takes an explicitly positive approach to errors, using them to create an active and self-directed learning environment. Using a surgical knot-tying model, we aimed to determine the efficacy of EMT among veterinary students with no prior surgical experience. We hypothesized that EMT would result in improved performance in unfamiliar scenarios (adaptive transfer) compared with an error-avoidance method. In this prospective double-blinded study, 42 students were equally divided between error avoidance training (EAT) and EMT groups. Performance in instrument- and hand-tied knots was evaluated for technique, time, number of attempts, and, when applicable, knot-leaking pressure. All participants demonstrated significant improvement between a pre-test and an analogous test 48 hours after training for all six outcomes (Wilcoxon matched pairs; two-tailed ps ≤ .013). An adaptive transfer test found no significant differences between EMT and EAT at 48 hours (ps ≥ .053). All participants demonstrated a significant performance decline in six of eight outcomes at 7 weeks post-training (ps ≤ .021). This decline was not significant for four of six EMT outcomes yet significant for five of six EAT outcomes. These data suggest that students trained in both EMT and EAT experience comparable gains in short-term performance, including adaptive transfer. Compared with EAT, EMT may help attenuate performance decline after a sustained period of quiescence. Educators may consider actively incorporating EMT into veterinary curricula.Shale gas fracturing flowback fluid contains various degradation difficulty organic compounds after hydraulic fracturing. A hybrid treatment method was developed for treating flowback and produced water (FPW) using pre-treatment (NaClO) followed by the expanded granular sludge bed (EGSB) and moving bed biofilm reactor (MBBR). Gas chromatography-mass spectrometry (GC-MS) was employed to detect organic composition in the FPW, the pre-treated FPW, EGSB and MBBR effluent. FPW had high chemical oxygen demand (COD) (3278 mg/L) and the majority of organic compounds in the FPW composed of alkanes and heteroatomic compounds with polymers and polarity. 20% COD removal was achieved after adding 5 g/L of NaClO in FPW (pH = 7, stirring for 20 mins) as pre-treatment and > C30 alkanes in FPW were decomposed a lot in the pre-treatment process. The pre-treated FPW was diluted (volumetric ratio of 20%/50%) with synthetic wastewater/pure water. In the final stage of operation, Cl- and COD concentration of influent to EGSB-MBBR system was around 7000 ± 100 mg/L and 3000 mg/L. EGSB-MBBR system achieved 93.84% COD removal rate, in which EGSB dominated COD removal (>80%). According to the GC-MS results, EGSB had an increase of C11-C30 compounds and a decrease of less C1-C10 content due to the consumption of  > C30 compounds and low molecular weight (LWM) compounds. Meanwhile, aerobic microorganisms in MBBR metabolized LWM organics which contributed a lot to the COD removal (25.06∼68. 22%). The results indicated that the pre-treatment and biological EGSB-MBBR system could be an efficient option used for FPW treating.The phosphate fertilizer and phosphoric acid industries increase phosphogypsum levels in the aquatic environment leading to various disturbing effects. TG003 research buy In the present work, we investigated the bio-uptake of heavy metals following the exposure of Ruditapes decussatus to three concentrations of phosphogypsum, 10, 20 and 40 g kg-1, under laboratory conditions. The amounts of Zn, Cd and Pb in several organs of the clam Ruditapes decussatus was determined using inductively coupled plasma optical emission spectroscopy (ICP-OES). Phosphogypsum acts on the behaviour of R. decussatus by increasing filtration rates. The most treatments showed significantly higher metal concentration in all tissues than the controls. Excavation behaviour was altered in treated bivalves compared to controls. The filtration rate (FR) of clams was significantly affected by exposure to phosphogypsum. Indeed, FR increased in clams exposed to phosphogypsum. Phosphogypsum has decreased SOD, CAT and MDA activities in the gills, digestive gland, gonad and muscles according to the concentration indicating a defense against oxidative stress. AChE was significantly inhibited in clams from all the sampling sites compared to controls. The considered parameters could be useful biomarkers for the evaluation of phosphogypsum toxicity in threatened biota. This study was conducted as part of a further investigation into the use of a comprehensive approach combining chemical and biological parameters to assess the health status of the Gabes gulf population. It provides the first database referring to phosphogypsum contamination and its biological effect in this ecosystem. The present study fills in a needed gap in the literature.
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