Augusto, Ingrid, Monteiro, Douglas, Girard-Dias, Wendell, dos Santos, Thaisa Oliveira, Rosa Belmonte, Simone Leticia, Pinto de Oliveira, Jairo, Mauad, Helder, da Silva Pacheco, Marcos, Lenz, Dominik, Stefanon Bittencourt, Athelson, Valentim Nogueira, Breno, Lopes dos Santos, Jorge Roberto, Miranda, Kildare, and Guimaraes, Marco Cesar Cunegundes
PLoS ONE. August 15, 2016, Vol. 11 Issue 8, e0161184
Technology application, Biology -- Study and teaching, Biology -- Models, High school students -- Education, Sciences education -- Technology application, and Sciences education -- Study and teaching
Author(s): Ingrid Augusto 1,7, Douglas Monteiro 7, Wendell Girard-Dias 7, Thaisa Oliveira dos Santos 1, Simone Leticia Rosa Belmonte 6, Jairo Pinto de Oliveira 1, Helder Mauad 2, Marcos da [...] The cell biology discipline constitutes a highly dynamic field whose concepts take a long time to be incorporated into the educational system, especially in developing countries. Amongst the main obstacles to the introduction of new cell biology concepts to students is their general lack of identification with most teaching methods. The introduction of elaborated figures, movies and animations to textbooks has given a tremendous contribution to the learning process and the search for novel teaching methods has been a central goal in cell biology education. Some specialized tools, however, are usually only available in advanced research centers or in institutions that are traditionally involved with the development of novel teaching/learning processes, and are far from becoming reality in the majority of life sciences schools. When combined with the known declining interest in science among young people, a critical scenario may result. This is especially important in the field of electron microscopy and associated techniques, methods that have greatly contributed to the current knowledge on the structure and function of different cell biology models but are rarely made accessible to most students. In this work, we propose a strategy to increase the engagement of students into the world of cell and structural biology by combining 3D electron microscopy techniques and 3D prototyping technology (3D printing) to generate 3D physical models that accurately and realistically reproduce a close-to-the native structure of the cell and serve as a tool for students and teachers outside the main centers. We introduce three strategies for 3D imaging, modeling and prototyping of cells and propose the establishment of a virtual platform where different digital models can be deposited by EM groups and subsequently downloaded and printed in different schools, universities, research centers and museums, thereby modernizing teaching of cell biology and increasing the accessibility to modern approaches in basic science.
Plaisance, Ariane, Witteman, Holly O., LeBlanc, Annie, Kryworuchko, Jennifer, Heyland, Daren Keith, Ebell, Mark H., Blair, Louisa, Tapp, Diane, Dupuis, Audrey, Lavoie-Berard, Carole-Anne, McGinn, Carrie Anna, Legare, France, and Archambault, Patrick Michel
PLoS ONE. Feb 15, 2018, Vol. 13 Issue 2, e0191844
Technology application, CPR (First aid) -- Study and teaching, Practice guidelines (Medicine) -- Evaluation, Medical personnel -- Training, and Medical personnel -- Technology application
Author(s): Ariane Plaisance 1,2,3, Holly O. Witteman 4,5,6, Annie LeBlanc 3,6, Jennifer Kryworuchko 7, Daren Keith Heyland 8,9, Mark H. Ebell 10, Louisa Blair 3, Diane Tapp 11,12, Audrey Dupuis [...] Background Upon admission to an intensive care unit (ICU), all patients should discuss their goals of care and express their wishes concerning life-sustaining interventions (e.g., cardiopulmonary resuscitation (CPR)). Without such discussions, interventions that prolong life at the cost of decreasing its quality may be used without appropriate guidance from patients. Objectives To adapt an existing decision aid about CPR to create a wiki-based decision aid individually adapted to each patient's risk factors; and to document the use of a wiki platform for this purpose. Methods We conducted three weeks of ethnographic observation in our ICU to observe intensivists and patients discussing goals of care and to identify their needs regarding decision making. We interviewed intensivists individually. Then we conducted three rounds of rapid prototyping involving 15 patients and 11 health professionals. We recorded and analyzed all discussions, interviews and comments, and collected sociodemographic data. Using a wiki, a website that allows multiple users to contribute or edit content, we adapted the decision aid accordingly and added the Good Outcome Following Attempted Resuscitation (GO-FAR) prediction rule calculator. Results We added discussion of invasive mechanical ventilation. The final decision aid comprises values clarification, risks and benefits of CPR and invasive mechanical ventilation, statistics about CPR, and a synthesis section. We added the GO-FAR prediction calculator as an online adjunct to the decision aid. Although three rounds of rapid prototyping simplified the information in the decision aid, 60% (n = 3/5) of the patients involved in the last cycle still did not understand its purpose. Conclusions Wikis and user-centered design can be used to adapt decision aids to users' needs and local contexts. Our wiki platform allows other centers to adapt our tools, reducing duplication and accelerating scale-up. Physicians need training in shared decision making skills about goals of care and in using the decision aid. A video version of the decision aid could clarify its purpose.