Medical education is changing at a fast pace. Students attend medical school with a high degree of technological literacy and a desire for a diverse educational experience. As a result, a growing number of medical schools are incorporating technologyenhanced active learning and multimedia education tools into their curriculum.Gamified training platforms include educational games, mobile medical apps, and virtual patient scenarios. We provide a systematic review of what is meant by gamification in this era. Specific educational games, mobile apps, and virtual simulations that may be used for preclinical and clinical training have been discovered and classified. The available data were presented in terms of the recognized platforms for medical education's possible benefits. Virtual patient simulations have been shown to enhance learning results in general. Gamification could improve learning, engagement, and cooperation by allowing for real-world application. They may also help with promoting risk-free healthcare decision-making, remote learning, learning analytics, and quick feedback. We account for Preclinical training which included 5 electronic games and 4 mobile apps, while clinical training included 5 electronic games, 10 mobile applications, and 12 virtual patient simulation tools. There were additionally nine more gamified virtual environment training products that were not commercially accessible. Many of these studies have shown that utilizing gamified media in medical education may confer advantages.
After an orthodontic treatment, restoring the enamel surface to its pretreatment condition without inducing any iatrogenic damage after debonding is a clinical challenge. Residual resin removal through proper means ensures a smooth surface, and, hence, a plaque-free environment. Finishing requires as much planning and execution as planned for the fixed therapy itself.
It has been more than fifteen years since the term Internet of Things (IoT) was introduced. However, despite the efforts of research groups and innovative corporations, still today it is not possible to say that the IoT is upon us. This is mainly due to the fact that a unified IoT architecture has not yet been clearly defined and there is no common agreement in defining communication protocols and standards for all the IoT parts. The framework that current IoT platforms use consists mostly in technologies that partially fulfill the IoT requirements. While developers employ existing technologies to build the IoT, research groups are working on adapting protocols to the IoT in order to optimize communications. In this paper, we present and compare existing IoT application layer protocols as well as protocols that are utilized to connect the "things" but also end-user applications to the Internet. We highlight IETF's CoAP, IBM's MQTT, HTML 5's Websocket among others, and we argue their suitability for the IoT by considering reliability, security, and energy consumption aspects. Finally, we provide our conclusions for the IoT application layer communications based on the study that we have conducted.
Urban poor, Household food insecurity, Slums,
The studies on tribal population is limited. Therefore, this study investigated the dietary patterns and nutritional health of the Mishmi tribespeople; and evaluated the cultural beliefs surrounding food and their potential impact on nutritional health. It also explored the degree of nutrition transition among the tribal community. Qualitative data collection on four relevant health and nutrition topics was completed using diet recalls, anthropometry, focus groups and key informant interviews. Trained moderators conducted interviews using a pre-tested, structured interview schedule. Focus group interviews and diet recalls were noted, transcribed and translated. Standard analysis was done using different relevant software. It was found that tribal people were consuming a two-meal pattern diet with high carbohydrate, low fat content, poor in vitamin A, thiamin, riboflavin, niacin, B12, vitamin C, calcium, and iron. Anthropometric analysis showed one-fourth of children 2-9 year old were underweight and 7% were stunted. Many cultural beliefs existed around foods avoided during pregnancy such as papaya, pineapple, twin-fruit, and iron supplementation. Colostrum was considered as bad milk. Appropriate age for introduction of complementary foods was not clear to the mothers. Chronic diseases such as diabetes and hypertension were perceived to be high among tribal people. Based on their dietary patterns, physical activity and health status, Idu Mishmi tribes' appears to be in pattern 3 of the nutrition transition: characterized by labor-intensive work; starchy, low variety, low fat diet; nutritional inadequacies and an absence of obesity. Thus, it can be concluded that little nutrition transition was found among the Idu Mishmi tribe but there were several potentially harmful dietary practices and beliefs followed. Thus, nutrition education is key to increase intake of micronutrients rich food, types and amount of food required by pregnant women, importance of colostrum for infant's health, timely introduction of complementary foods for infants, and reinforce healthy dietary and lifestyle choices to prevent obesity and development of non-communicable, chronic diseases.
Present research was conducted to understand the coping strategies adopted by urban poor in threecountries: The United States (US), Belize and India. Additionally, the coping strategies were classified into those common to the three countries and those which were unique to a particular country as well. Research was crosssectional based on convenience sampling of families receiving care at selected health centers and clinics. Total sample size was 219 (US, n=53, Belize, n=61; Indian=105). A semi-structured interview was used to collect data on household food security, coping mechanisms, health status and demography. Additionally, the participants were measured for weight. Standard univariate analysis was conducted using SPSS (version-16).The US had highest prevalence of food insecure families (83%), followed by Belize (62.3%), and India (57.1%). A total of 146 food insecure respondents were interviewed on coping strategies. Common coping strategies adopted by households from all three countries included relying on low-cost cheap foods/seasonal foods, decreasing portion size or number of meals consumed in a day, relying on help from relatives, neighbors and friends during food scarcity, use of resources or savings, pawning, use of government programs, migration of one or more family member, and buying foods on discounts. Strategies unique to a specific country, included praying/ believing in God for help, having back gardens, relying on soup kitchens or religious institutions for food distribution, purchasing food on credit from local grocery shops, starting part-time work to supplement regular employment, freezing food to be consumed during need, and bulk purchase of food items. In conclusion, people were found to adopt coping strategies as an expression of negotiated decisions to minimize the impact of food insecurity. The strategies which are common could be used as foundation to develop interventions to alleviate hunger. Positive, unique strategies could be used to develop interventions which are culturally appropriate, wherever possible.
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