Teachers’ Perceptions of the Impact of Rapid Transition to Online Learning as a Result of COVID-19 in Spring of 2020

The purpose of this qualitative case study is to better understand K-12 teachers' lived experiences and challenges as they made a rapid shift to online delivery in response to state and federal regulations relating to the COVID-19 outbreak in the spring of 2020. Aside from that, the purpose of this study is to determine whether or not instructors believe that online instruction is a feasible delivery option for achieving the district's goal of retaining students' engagement with and knowledge of assigned curricular content in K-12 education. Undoubtedly, the teacher is the first to feel this in their class and when teaching their students. Their procedural research builds confidence and promotes the teacher’s ideas and creativity. It also boosts the teacher’s thinking skills, ambitions, and aspirations, creating a productive knowledge generation to compete locally and globally. The effects of this pandemic on schools and how the experience may inspire an overhaul of the American education system are essential to consider

Success of development and extent of feeding damage of stored-product insects in cultivars of sorghum and millet

Call number: LD2668 .T4 1986 S56Master of ScienceEntomolog

Evaluating the levels of vitamins E, C, Malondialdehyde and some hematological parameters and gamma glutamyl transferase in patients with leukemia

Leukemia is one of the most common cancer prevalent worldwide in both gender, and all races regardless of the level of living. It affects blood-forming tissues especially the bone marrow. Due to the importance of this disease and its risks, the study was carried out to evaluate the oxidative stress status and detect the effect of leukemia on some hematological parameters. Estimate gamma glutamyle transferase (GGT). A study was conducted between August 2016 till February 2017 in the center for Hematology/ Yarmouk Hospital. The blood samples were collected from 70 Iraqi patients with leukemia and 37 normal persons as control group, their ages ranged from (6-68 years). The statistical analysis of malondialdehyde (MDA) showed significant increase (P≤ 0.05) in patients with leukemia in compared to healthy. While there was significant decrease in Vitamin C and E concentration in patients (7.10 ± 0.49; 8.75 ± 0.65 µmol/L respectively) in compared with healthy group (18.83 ± 0.67; 25.83 ± 0.88 µmol/L respectively). The results of gamma glutamyle transferase (GGT) showed significant increase (P≤ 0.05) in patients with leukemia compared to healthy group. The results of hematological parameters showed significant decrease (P≤ 0.05) in each of packed cell volume (PCV) in patients with leukemia compared to healthy group, and hemoglobin concentration in patients compared to healthy group, while there was a significant increase (P≤ 0.05) in total leukocytes count in patients with leukemia when compared to healthy group. The results of the study showed a positive correlation between GGT and WBC

LYMPHOMA: EXPLORING AWARENESS IN LEBANON

In 2012, 14.1 million patients were diagnosed with cancer worldwide of which 385,700 estimated new cases of non-Hodgkin lymphoma (NHL). Also, 81,080 new cases of lymphoma were reported in the United States (US) among both genders in 2016. In Lebanon, Lymphoma represents the fifth most frequent cancer, nonetheless, little is known regarding its epidemiological attributes. This study aims to determine the current knowledge of the Lebanese people living in Lebanon about Lymphoma. About 400 participants were approached in public places, universities, hospitals or work places in different regions across Lebanon. A survey including questions about lymph nodes, cancer and lymphoma as well as demographic characteristics was given to all eligible participants. The data was collected and analyzed using SPSS and p value \u3c 0.05 was considered significant. When asked about the types of cancers they knew, the majority of participants (93.5%) were able to identify breast cancer, while less than half of (30.67%) identified lymphoma as a cancer. Enlargement of the lymph nodes (LN) was the most common recognized symptom (93.4%) whereas 76.42% thought that family history of lymphoma was the most frequent risk factor for lymphoma. Among those who claim to know about lymphoma (30%), true in-depth knowledge about lymphoma was still lacking. The results of this independently conducted survey reveal the lack of awareness about lymphomas among the Lebanese population and highlight the need for campaigns to increase the knowledge and awareness

Vagus Nerve Acupucture-Like Transcutanious Electrical Nerve Stimulation on Immunity After Liver Resection

Objective: To find out the therapeutic impact of acupuncture like-transcutaneous electrical nerve stimulation of vagus nerve on immunity after liver resection. Methods This was a single-blind randomized controlled trial. A total of sixty individuals who had undergone liver resection at the National Liver Institute Hospital at Menofiea University were randomly divided into two groups: study group A (n=30) and control group B (n=30). The study group had vagus nerve stimulation with acupuncture like-TENS parameters include low-frequency (2–10Hz), pulse width (100–40

The Impact of Branding in Building and Enhancing Customer Loyalty for Banking Services: an Applied Study of Commercial Bank Customers in Jordan

Purpose:  The aim of this study is to examine the impact of branding in building and enhancing customer loyalty for banking services.   Theoretical framework: branding dimensions are the first factors, which affect a customer’s opinion of the quality and features a particular product, including brand recognition, mental image, trust, satisfaction, market value, and perceived quality. A large number of studies indicate that customer loyalty influences brand value (Janghyeon & Yuksel, 2011).   Design/methodology/approach:  The research reports on field study that operationalizes a theoretical framework to examine the impact of branding in building and enhancing customer loyalty for banking services.   Findings:  Evidence from the study indicates that the dimensions of branding have a statistically significant impact in building and enhancing customer loyalty for banking services in Jordan   Research, Practical & Social implications: the study suggests improving customer trust in their brand and banking services, because such trust is one of the most important dimensions that enhances customer satisfaction, and persuades them to have the desired level of loyalty for these services.   Originality/value:  The results indicate the role of the branding can build and enhance customer loyalty for banking services in commercial bank in Jordan.Este estudio tiene como objetivo identificar el impacto de la marca en la construcción y mejora de la lealtad del cliente para los servicios bancarios. La muestra del estudio consta de 400 encuestados que fueron seleccionados al azar entre clientes de bancos comerciales en Jordania durante el período de estudio. Se desarrolló un cuestionario para recopilar datos de los encuestados. Se utilizaron métodos descriptivos para analizar los datos y la hipótesis se probó mediante un análisis de regresión lineal múltiple. La evidencia del estudio indica que las dimensiones de la marca tienen un impacto estadísticamente significativo en la construcción y mejora de la lealtad del cliente para los servicios bancarios en Jordania.A la luz de los resultados, el estudio presenta una serie de recomendaciones, la más destacada de las cuales es que los bancos comerciales de Jordania deberían aumentar la confianza de los clientes en sus servicios bancarios aumentando el conocimiento de la marca. La confianza es una de las dimensiones más importantes de la marca que aumenta la satisfacción del cliente y, como resultado, aumenta la lealtad. Además, los bancos deben reconocer la importancia de las dimensiones de la marca, ya que todas contribuyen a construir y mejorar la lealtad del cliente.Este estudo tem como objetivo identificar o impacto do branding na construção e fidelização de clientes para serviços bancários. A amostra do estudo consiste em 400 entrevistados que foram selecionados aleatoriamente entre clientes de bancos comerciais na Jordânia durante o período do estudo. Um questionário foi desenvolvido para coletar dados dos entrevistados. Métodos descritivos foram usados para analisar os dados, e a hipótese foi testada por meio de análise de regressão linear múltipla. As evidências do estudo indicam que as dimensões da marca têm um impacto estatisticamente significativo na construção e aumento da fidelidade do cliente para serviços bancários na Jordânia.À luz dos resultados, o estudo apresenta uma série de recomendações, a mais importante das quais é que os bancos comerciais na Jordânia devem aumentar a confiança do cliente em seus serviços bancários, aumentando o conhecimento da marca. A confiança é uma das dimensões mais importantes da marca que aumenta a satisfação do cliente e, como resultado, aumenta a lealdade. Além disso, os bancos devem reconhecer a importância das dimensões da marca, pois todas elas contribuem para construir e aumentar a fidelidade do cliente

Assessment of Albumin Usage Patterns and Appropriateness in a Comprehensive Cancer Centre: A retrospective study in Jordan

Objectives: Albumin is commonly used for various indications; however, there is conflicting data regarding its appropriate use in different clinical cases. This study aimed to determine the pattern and appropriateness of albumin use among cancer patients at the King Hussein Cancer Center in Jordan. Methods: A retrospective analysis was conducted on adult cancer patients who were prescribed albumin between January 2019 and July 2020 in both outpatient and inpatient settings. Data collected included demographics, prescribing services, indications and dosing regimens. A literature review was performed using PubMed to assess the appropriateness of albumin indications and dosing regimens against current guidelines, drug information resources and the package insert. Results: Albumin was prescribed to 1,361 patients during the study period. Each patient received an average of 74.4 ± 89 g of albumin for an average of 2.6 ± 1.8 days. Albumin use was deemed appropriate in 69% of the patients. The critical care service accounted for the highest albumin consumption, with 37% of prescriptions for septic shock. Inappropriate use of albumin was most prevalent in the medical solid tumour services (40.8% of prescriptions), primarily for edema (28%). Conclusion: To the best of the author’s knowledge, this study is the first to evaluate albumin use in a large cohort of oncology patients. Approximately one-third of the albumin prescriptions were considered inappropriate. Continuous education on appropriate usage and regular evaluations of guideline adherence are essential to ensure proper utilisation of albumin in cancer care

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Background: Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. // Methods: We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung's disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. // Findings: We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung's disease) from 264 hospitals (89 in high-income countries, 166 in middle-income countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in low-income countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. // Interpretation: Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between low-income, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P &lt; 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p&lt;0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p&lt;0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised