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    Course Design in Competency-Based Education: An Approach Based on ADDIE

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    Competency-Based Education (CBE) is transforming current teaching and learning through prioritizing skill mastery over traditional time-based instruction. This shift in teaching and learning attempts to ensure graduates are job-ready and aligned with industry demands. However, many institutions and instructors face challenges in designing effective CBE programs due to a lack of structured instructional design frameworks. This paper proposes the CBE-ADDIE Model, which integrates the well-established ADDIE framework with CBE principles. The newly developed model provides a more robust and systematic approach for competency mapping, assessment design, content development, implementation, and continuous evaluation. By adopting this model, instructional designers and educators can create high-quality, scalable, and industry-aligned CBE programs that enhance learner success and workforce readiness

    Evaluation of the knowledge gaps in the reptile records of northwestern Mexico

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    Mexico hosts a great diversity of reptile species; however, many reptiles are either threatened or endangered. Complete and updated information is required to implement appropriate management and conservation actions; however, species inventories can include taxonomic, geographic, and temporal gaps. Therefore, this study aimed to evaluate the magnitude of these gaps in digitally accessible information on reptiles from the state of Nayarit, located in northwestern Mexico. A database was generated using information from the National Biodiversity Information System (SNIB) of the National Commission for the Knowledge and Use of Biodiversity (CONABIO). The growth rate of new species descriptions was calculated, and the completeness of the inventory was evaluated in 10-km grid cells across various time periods, considering biogeographic and physiographic regions. The species description growth rate was low. In addition, approximately 40% of the surface of Nayarit exhibited information gaps among reptile records, particularly in mountainous and hard-to-reach areas. Notably, the least amount of information was recorded between 1981 and 2000. Our results lay the groundwork for future research and the development of effective strategies to conserve and manage the natural resources of Nayarit

    Lithuania’s Kryžių kalnas [The Hill of Crosses]: Investigating the Layered Histories, Meanings, and Tensions that Chronicle a Nation’s Life

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    Lithuania’s Kryžių kalnas [Hill of Crosses] is a hauntingly beautiful and chaotic site in the northern part of the country, attracting tourists and locals alike. With vague beginnings as a defensive mound in the ninth to fourteenth centuries, to a place of rebellion against the Soviet occupation, and finally, as an official national heritage site recognized by Pope John Paul II, the Hill of Crosses holds historical, religious, cultural, and aesthetic significance within the nation. Throughout its history, the Hill has suffered constant devastation due to abandonment and oppressive regimes, but since Lithuania’s independence in 1990, crosses have accumulated continuously. Hundreds of thousands of crosses cover the site today, mainly thanks to a small market selling religious paraphernalia to visitors. A parking lot, tourism center, and market were constructed near the Hill to accommodate the increase in visitors since the pope’s 1993 visit. These additions have been a topic of debate due to how they facilitate visits as well as concerns over mass-produced crosses overwhelming larger crosses of national cultural heritage significance. In this article, I examine the histories of the Hill and the tensions in maintaining it while also reflecting on the meaning of the chaotic beauty of the Hill as a spontaneous shrine and site of assemblage

    Building Open Education Capacity: Introducing the Canadian Code of Best Practices in Fair Dealing for Open Educational Resources

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    This article builds upon a presentation given at the 2024 ABC Copyright Conference in which the authors outlined the process for adapting the Code of Best Practices in Fair Use for Open Educational Resources (OER) for a Canadian audience. Originally published in 2021, the U.S. Code is an important tool for evaluating common OER use cases, providing a framework of analysis that can guide a creator towards making judiciously defensible fair use decisions. Alongside practical guidance, the Code represents a significant contribution in support of the United Nations Educational, Scientific and Cultural Organization (UNESCO)’s Recommendation on OER, which encourages member states to build capacity concerning exceptions and limitations for the use of copyrighted works for educational and research purposes. Supported by the Canadian Association of Research Libraries, the Canadian Adaptation Working Group began their adaptation process in late 2021 and the final Code was published in early 2024. In addition to providing an overview of the adaptation process, this article offers a comprehensive summary of the legal considerations that informed the writing of the Code and provides examples of how the Code has been operationalized at educational institutions in Canada. 

    Contraceptive Knowledge and Counseling among OB-GYN and Family Medicine Physicians

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    Introduction. Few studies have examined contraceptive knowledge and counseling confidence among primary care residents and physicians. Authors of this study evaluated education, knowledge, and counseling practices related to contraception among physicians in obstetrics and gynecology (OB-GYN) and family medicine (FM).  Methods. In this prospective, cross-sectional study, current OB-GYN and FM residents, as well as program graduates from the past five years at a single institution, were surveyed. The survey assessed demographics, contraception knowledge, provider confidence, counseling practices, and procedural experience. Responses were included in the analysis if at least one knowledge question was completed. Results. The final analysis included 45 respondents (8% response rate): 33.3% (n = 15) from FM and 66.7% (n = 30) from OB-GYN. Average knowledge scores did not differ significantly between FM (60%, 12/20) and OB-GYN physicians (70%, 14/20). Attending physicians’ average scores were significantly higher (85%, 17/20) than residents (60%, 12/20; p = 0.0014). Most respondents (97.8%, n = 44) reported feeling comfortable counseling patients, and 93.3% (n = 42) felt comfortable performing procedures and prescribing contraceptives. OB-GYN physicians reported greater comfort placing levonorgestrel and Paragard® intrauterine devices (IUDs) than FM physicians (93%, n = 14 vs. 61%, n = 11; p = 0.040). More OB-GYN physicians (6.7%, n = 3) reported performing over 80 Nexplanon® insertions compared to FM physicians (0.0%, n = 0; p <0.0001). Conclusions. Contraceptive knowledge did not differ significantly between OB-GYN and FM physicians. However, advanced training was associated with greater comfort in both prescribing and performing contraceptive procedures

    Subclavicular and Suprascapular Placement of Response Neurostimulator Generator: Two Unique Cases

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    Core Muscle Injury Repair: Does Sex Impact Outcomes? A Systematic Review

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