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This paper explores sustainable energy systems in ecovillages based on the concept of the Zero Energy Building. The cases discussed in this paper include BedZED in the United Kingdom and Masdar City in the Middle East. These two communities contain features characterized by the sustainable principles of the ecovillage concept by using renewable energy and reclaimed materials to reach a low/zero energy system in buildings. The creation of more ecovillages and the growth of current ecovillages play an important role in positively solving environmental and social problems. The low energy buildings in the ecovillages also act as a model for communities wishing to implement sustainable development.

Learning and teaching in higher education institutions around the world have been heavily affected by the outbreak of COVID-19 since the fall of 2019. Teachers were suddenly told to convert their classes online and to be prepared to teach virtually. An online focus group (n=9) was conducted during the initial period of lockdown in the UK at the end of March 2020 to find out about their teaching experiences of transition into online education. A number of challenges were identified in both synchronous and asynchronous teaching processes, including unfamiliarity with the learning management system, privacy concerns, student engagement, preparation time and technological issues. A set of best practices was developed for instructors teaching online during the COVID-19 pandemic.

Background: Effective communication between health care professionals and Deaf and Hard of Hearing (D&HH) patients remains a challenge. Literature regarding health professionals’ knowledge of the D&HH community and their barriers toward health care access is limited in Puerto Rico and suggests a need for research. Therefore, this descriptive study aims to evaluate future physician’s knowledge about the Deaf culture and community in a student cohort at San Juan Bautista School of Medicine (SJBSM), with the objective of guiding our results toward improving our curriculum. Methods: Medical students answered a survey to evaluate their knowledge of D&HH patients. The survey consisted of 3 parts testing awareness, exposure, and knowledge of the Deaf community. Responses from the Knowledge section were graded using an answer key, and correct answers were added to create an overall continuous sum score per participant, with higher scores meaning higher knowledge. Participants were also asked to write in possible issues deaf patients may face when hospitalized, apart from communication problems. All data were recorded and used for descriptive analysis. Results: 158 (68%) medical students participated. 63% reported exposure to D&HH people, and 80% were aware of the Deaf culture. 21% of students answered to have attended an American Sign Language (ASL) class, and 86% expressed interest in taking an ASL class. The overall percentage of correct answers from all the medical groups evaluated was 39%, with increasing percent knowledge as medical student year increased. The most frequently listed problem by respondents that deaf patients may face when hospitalized was dealing with an emergency in the hospital, such as the fire alarm. Conclusion: Students from clinical years (MSIII & MSIV) showed a better understanding of the Deaf culture than students in pre-clinical years (MSI & MSII). Nevertheless, the knowledge was limited in all groups. The information generated is not only valuable for our school but the healthcare community as well. The literature related to Deaf culture, particularly in the medical setting in Puerto Rico, is limited. Therefore, there exists a need to continue investigating ways to improve medical students’ education of the Deaf culture and community.

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