scholarly journals Endoscopic Extraperitoneal Transvesicocapsular Adenomectomy of Prostate (EETAP): A New Operative Method with an Innovative Learning Protocol for Its Performance

Prostatectomy ◽  
2019 ◽  
Author(s):  
Genadiev Tsvetin Trifonov
2019 ◽  
Vol 1 (1) ◽  
pp. 108-114
Author(s):  
I Made Wirta

The main objective of the present study is to investigate the effect of implementing innovative learning approaches upon English students’ achievement. The study was quasi experimental study using the post-test only control group design involving 35 students altogether selected using census sampling technique. The instrument which is used to gather data in the study was test. There were two tests used to gather intended data. They were linguistic test and student achievement test. The obtained data were analyzed statistically using descriptive and inferential analysis. The analysis of covariance was conducted to test the hypotheses.


Author(s):  
Nyimas Ayu Dillashandy ◽  
Nurmala K Panjaitan

Mount Merapi eruption has occurred several times in Indonesia and the biggest eruption that last occurred in 2010. The community were suffered losses and were affected by eruptions. The purposes of this research are to analyze community resilience, to analyze the level of vulnerability, and to analize the community adaptive capacity. The research using a quantitative approach supported by qualitative data. Simple random sampling technique is used as the sampling method and the informant was taken purposively. The results of this research showed that when the eruption occurred the community has a high vulnerability. The adaptive capacity is also high with innovative learning based on institutional memory and supported by the connectedness. Communities achieve resilience and can adapt to changes with high adaptive capacity.  Keywords: adaptive capacity, community resilience, eruption, vulnerability ABSTRAK Erupsi Gunung Merapi sudah terjadi beberapa kali di Indonesia dan erupsi terbesar yang terjadi terakhir kalinya yaitu pada tahun 2010. Komunitas mengalami berbagai kerugian dan terkena dampak dari erupsi. Tujuan dari penelitian ini adalah untuk menganalisis resiliensi komunitas, menganalisis tingkat kerentanan komunitas, dan menganalisis kapasitas adaptasi komunitas. Penelitian ini dilaksanakan dengan menggunakan pendekatan kuantitatif yang didukung oleh data kualitatif. Pemilihan responden dilakukan dengan teknik sampel acak sederhana sedangkan pemilihan terhadap informan dilakukan secara sengaja. Hasil penelitian ini menunjukkan bahwa saat erupsi terjadi komunitas memiliki kerentanan yang tinggi. Kapasitas adaptasi komunitas tinggi dengan adanya innovative learning yang didasari oleh pengetahuan dan pengalaman dan didukung oleh jaringan yang dimiliki. Komunitas berhasil mencapai resiliensi dan dapat beradaptasi dengan perubahan-perubahan dengan kapasitas adaptasi yang tinggi.Kata kunci : kapasitas adaptasi, kerentanan, erupsi, resiliensi komunitas


Author(s):  
Francesco Vergani ◽  
◽  
Luisa Collina ◽  
Giulia Gerosa ◽  
Andrea Manciaracina ◽  
...  
Keyword(s):  

Author(s):  
Francesco Vergani ◽  
◽  
Luisa Collina ◽  
Giulia Gerosa ◽  
Andrea Manciaracina ◽  
...  
Keyword(s):  

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S592-S593
Author(s):  
Lucille K Kohlenberg ◽  
Muriel J Solberg ◽  
Fatima N Ali-Mirza ◽  
Sheela Shenoi ◽  
Saad Omer

Abstract Background The COVID-19 pandemic has posed a unique challenge to undergraduate medical education. Medical schools postponed student participation in direct patient care in mid-March 2020, creating the need for rapidly-designed, virtual, and innovative learning experiences. Methods Utilizing Kern’s six-step approach to curriculum development, faculty and medical student liaisons rapidly designed a six-week online and interactive course for clerkship-year students and above, launched on March 30th, 2020. “Patients, Populations, and Pandemics: Responding to COVID-19” emphasized honing higher level skills of Bloom’s taxonomy, namely evaluating, synthesizing, and creating. Following weekly faculty-led lectures, student groups identified research questions, analyzed literature, presented data, critiqued peer presentations, and created infographics for the public. Results We aimed to maintain quality and interactiveness despite challenges posed by our timeframe, the evolving COVID-19 literature, and the virtual setting. We recruited frontline faculty and designed the course to facilitate discussion, thereby promoting real-time exploration of public health and clinical challenges. Encouraging student participation, we incorporated group synthesis sessions and instructed use of video, hand-raising, and chat features. In a survey administered at the end of the first week, 85.7% (18/21) of students strongly agreed or agreed that small group presentations successfully enabled synthesis of new and emerging data. Among the 29 enrolled students, 82.8% (24/29) of students completed final course evaluations, with 87.5% (21/24) agreeing that the learning activities “usually” or “always” helped meet the learning objectives identified at the beginning of the course. The course was rated as “excellent” or “very good” by 83.3% (20/24) of students. Conclusion Lessons learned include providing students with increased direction on critically reviewing peer presentations and imparting guidance on best practices for data synthesis. This course model will be disseminated throughout our institution and beyond to address challenges in remote learning and to serve as a paradigm during future health crises. Disclosures All Authors: No reported disclosures


BMJ ◽  
1952 ◽  
Vol 2 (4790) ◽  
pp. 941-942
Author(s):  
R. R. Foote

2017 ◽  
Vol 36 (02) ◽  
pp. 080-090 ◽  
Author(s):  
Mohammad Nikdad ◽  
Farshid Farhan ◽  
Milad Shafizadeh ◽  
Atefeh Mirmohseni ◽  
Mohsen Afarideh ◽  
...  

Objective Glioblastoma multiforme (GBM) is an aggressive primary tumor with frequent recurrences that leaves patients with a short survival time and a low quality of life. The aim of this study was to review the prognostic factors in patients with glioblastoma multiforme. Material and Methods The focus of this retrospective study was a group of 153 patients with supratentorial GBM tumors, who were admitted to a tertiary-care referral academic center from 2005 to 2013. The factors associated with survival and local recurrence were assessed using the hazard ratio (HR) function of Cox proportional hazards regression and neural network analysis. Results Out of the 153 patients, 99 (64.7%) were male. The average age of the patients was 55.69 ± 15.10 years. The median overall survival (OS) and progression-free survival (PFS) rates were 14.0 and 7.10 months respectively. In the multivariate analysis, age (HR = 2.939, p < 0.001), operative method (HR = 7.416, p < 0.001), temozolomide (TMZ, HR = 11.723, p < 0.001), lomustine (CCNU, HR = 8.139, p < 0.001), occipital lobe involvement (HR = 3.088, p < 0.001) and Karnofsky Performance Status (KPS, HR = 4.831, p < 0.001) scores were shown to be significantly associated with a higher OS rate. Furthermore, higher KPS (HR = 7.292, p < 0.001) readings, the operative method (HR = 0.493, p = 0.005), the use of CCNU (HR = 2.047, p = 0.003) and resection versus chemotherapy (HR = 0.171, p < 0.001) were the significant factors associated with the local recurrence of the tumor. Conclusion Our findings suggest that the use of CCNU and TMZ, the operative method and higher KPS readings are associated with both higher survival and lower local recurrence rates.


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