BackgroundStudies have shown the importance of metacognition in medical education. Metacognitive skills consist of two dimensions: knowledge of metacognition and regulation of metacognition.AimThis study hypothesizes that the knowledge and regulation of metacognition is significantly different at the beginning and end of the academic year, and a correlation exists between the two dimensions of metacognitive skills with academic performance.MethodsThe Metacognitive Skills Inventory comprising 52 Likert-scale items was administered to 159 first-year medical students at the University of Malaya. Students’ year-end results were used to measure their academic performance.ResultsA paired sample t-test indicated no significant difference for knowledge of metacognition at the beginning and end of the academic year. A paired sample t-test revealed significant difference for regulation of metacognition at the beginning and end of the academic year. A very strong correlation was found between the two dimensions of metacognition. The correlation between knowledge and regulation of metacognition with students’ academic result was moderate.ConclusionsThe improvement in students’ metacognitive regulation and the moderate correlation between knowledge and regulation of metacognition with academic performance at the end of the academic year indicate the probable positive influence of the teaching and learning activities in the medical program.

No abstract

Alkaline water electrolysis (AWE) holds great promise for a truly sustainable energy future if it can be driven by renewable energy sources such as solar and wind. The main challenge arises from the serious partial loading issue when intermittent and unstable renewable energy is coupled to water electrolyzers. An energy storage device can mitigate this incompatibility between water electrolyzer and renewable energy sources. Herein, an AWE device driven by solar photovoltaic (PV) through a full cell of lithium‐ion battery (LIB) as an energy reservoir is demonstrated (PV−LIB−AWE). Stable power output from LIB drives the water electrolyzer for steady hydrogen production, and thus overcomes the partial loading issue of AWE. Moreover, a multifunctional hierarchical material, porous nickel oxide decorated nitrogen‐doped carbon (NC) support, with excellent electrochemical performances for LIBs, oxygen evolution reaction (OER), and hydrogen evolution reaction (HER) for the PV−LIB−AWE system is developed. Density functional theory calculations show that the strong interaction between metal oxide and NC tailors the electronic structure and then optimizes activation energy of OER process. PV−LIB−AWE integrated system demonstrated here offers an alternative approach to drive water electrolysis with intermittent renewable energy for a truly sustainable energy future.

The standard extracts of Hypericum perforatum L. (SEHP), a well-known medicinal plant, are used for the treatment of depression, exhibited upgrading and significant protective effects on the trauma of PC12 cells induced by 200 microM H2O2 in a dose-dependent manner within 24-hour treatment. Cell viability was assessed by the MTT method, and in situ cellular hydrogen peroxide (H2O2)-induced oxidative stress was examined by measurement of reactive oxygen species (ROS) formation using CDCFH procedures. Intra- and extra-cellular ROS levels decreased significantly to 71.9% and 50.0% of the control at a moderate concentration of 20 microg/ml, respectively, suggesting that SEHP could easily enter the cells and play important roles in reducing ROS levels. Our results were proved by detection of DNA fragmentation and inspection of cell morphology of PC12 cells. SEHP can obviously block DNA fragmentation and prevent the cells from shrinking and turning round of H2O2-induced apoptosis in PC12 cells at concentrations of 10 approximately 100 microg/ml. This data suggests SEHP may be a candidate for application in neurodegenerative diseases such as Alzheimer's disease or Parkinson's disease.

Mutations in LMNA, the gene encoding A-type lamins, cause laminopathies—diseases of striated muscle and other tissues. The aetiology of laminopathies has been attributed to perturbation of chromatin organization or structural weakening of the nuclear envelope (NE) such that the nucleus becomes more prone to mechanical damage. The latter model requires a conduit for force transmission to the nucleus. NE-associated LINC complexes are one such pathway. Using CRISPR to disrupt the Nesprin-1 KASH domain, we identified this LINC complex protein as the predominant nuclear envelope anchor for microtubule cytoskeleton components, including nucleation activities and motor complexes, in mouse cardiomyocytes. Loss of Nesprin-1 LINC complexes resulted in loss of microtubule cytoskeleton proteins at the nucleus and changes in nuclear morphology and positioning in striated muscle cells, but with no overt physiological defects. Disrupting the KASH domain of Nesprin-1 suppresses Lmna-linked cardiac pathology, likely by reducing microtubule cytoskeleton activities at the nucleus. Nesprin-1 LINC complexes thus represent a potential therapeutic target for striated muscle laminopathies.