Investigating Adult ESL Students\u27 Experiences with Learning English Online During the COVID-19 Pandemic

The outbreak of COVID-19 forced the world population to find new ways to improve their productivity. It also significantly changed the course of education and instruction entirely. Like many students worldwide, adult English as a Second Language (ESL) students have been dramatically impacted by the sudden switch to online courses due to the COVID-19 outbreak. Blended Online Learning (BOL) was considered an innovative transition for adult ESL students due to the fact that it allows the learner to view the classroom as a social learning environment, thereby strengthening their connection to the language. This dissertation aimed to investigate the online learning experiences of a group of ESL students and their instructor through online zoom classes during COVID-19. The study employed a qualitative case study research methodology. This case study utilized purposeful sampling to focus on the experiences of adult ESL students and their course instructor with learning and teaching online during the pandemic. The target population for this study was a group of 8 international adult students and their respective course instructor. Data were collected from ten field observations, nine semi-structured interviews through Zoom, field notes, and document analysis. Findings revealed that participants showed positive experiences with online learning as it had provided students with new communication forms. Breakout rooms, group discussions, and discussion boards were methods the majority of students agreed were helpful for participation while facilitating social interaction. Students preferred to communicate with each other through online platforms as they feel safer and less shy to express their opinions. Conversely, participants showed negative experiences with the lack of reliable internet connectivity, especially in rural areas, which affected the students\u27 ability to access online courses. Based upon the dissertation\u27s findings, there are several practical implications for students, instructors, institutions, and administrators. Recommendations for additional research are needed to provide various observations and solutions to promote online platforms, including offering instructors training to guide students through these platforms expertly and merging synchronous and asynchronous learning to ensure a holistic learning environment for adult ESL learners

Photovoice as an Act of Agency to Decenter Whiteness in P-12 Classrooms

Given the lack of diversity in the P–12 teaching force, we contend that white normativity is prevalent and remains mostly unchallenged in these settings. Acknowledging such inequities requires an intentional focus on equity in teacher education programs. The project described here facilitated in-service teachers’ growth in becoming culturally competent and critically conscious by using Photovoice in P–12 classrooms. Photovoice is a participatory action research method that uses photography to examine the lived experiences of participants. Photovoice was used to examine school-based practices that erased and silenced students while offering an inflection point from which the in-service teachers could develop and exhibit critical consciousness. They moved beyond examining the system of inequity and toward actions to counter the culture of whiteness

ANURIA SECONDARY TO HOT WEATHER-INDUCED HYPERURICAEMIA: DIAGNOSIS AND MANAGEMENT

There is little information on the management of anuria secondary to severe volume depletion or as a rare manifestation of heat stroke in areas of the world with very hot summers. We present our experience with hot weather-induced hyperuricaemia in Kuwait

ANURIA SECONDARY TO HOT WEATHER-INDUCED HYPERURICAEMIA: DIAGNOSIS AND MANAGEMENT

There is little information on the management of anuria secondary to severe volume depletion or as a rare manifestation of heat stroke in areas of the world with very hot summers. We present our experience with hot weather-induced hyperuricaemia in Kuwait

Varicocelectomy: Modified loupe-assisted versus microscopic technique – A prospective comparative study

Abstract objective: To compare our novel loupe-assisted varicocelectomy (LV) technique to the ‘gold standard’ demanding microscopic varicocelectomy (MV) technique for the management of varicoceles. Patient and methods: Our LV technique, featuring testicular delivery and proximal spermatic cord occlusion using a tourniquet, has not been used before nor to our knowledge has it been reported in the literature. In the LV group, inguinal incision was done prior to testicular delivery and spermatic cord occlusion. Pampiniform and gubernacular veins were identified then tackled. Proximal spermatic cord occlusion helped in identifying those veins, and not confusing them with other cord structures that should be preserved. In all, 95 infertile men were included in this prospective, comparative study; and divided into LV and MV groups. They were followed-up for 1 year, pregnancy achievement, improvements in semen parameters, and complication rates were assessed. Results: Both groups had statistically significant pregnancy rates and negligible complication rates. However, LV cost 33% less than MV and was quicker to perform. We did not find that the MV technique was better than our simple, more cost-effective, less time-consuming LV technique. Conclusion: Our novel LV technique has similar success and complication rates as the ‘gold standard’ MV technique for the management of varicoceles, and is more cost-effective and less time consuming

Relative contribution of digital rectal examination and transrectal ultrasonography in interpreting serum prostate-specific antigen values for screening prostate cancer in Arab men

Background: This study was conducted to determine the utility of digital rectal examination (DRE), transrec-tal ultrasonography (TRUS) and serum prostate-specific antigen (PSA) in the diagnosis of prostate cancer in men in Arabia, an area of the world with a relatively low incidence of this disease. Patients and Methods: 329 patients suspected of having prostate cancer on account of raised serum PSA level (> 4 ng/ml), DRE or TRUS findings, underwent TRUS-guided prostate biopsy. Raised PSA individually as well as combined, or a lesion suspicious of carcinoma on DRE or TRUS was recorded as PSA (+), DRE (+) or TRUS (+), respectively. The contribution of DRE, TRUS and serum PSA to the diagnosis of prostate cancer was analysed. Results: Of the 329 patients who had prostate biopsies 109 cases (33.1%) had PCa. Of these 109 patients 56 (51 %) had DRE (+), 77 (42%) had TRUS (+) and 49 ( 66%) had both DRE (+) and TRUS (+). Statistical analysis revealed that DRE (+) tripled the probability for cancer. PSA over a range of 10-50 ng/mL demonstrated an in-creasing cancer probability ranging from 2 to 3 fold. TRUS (+) was only significantly associated with cancer risk if PSA was elevated. The presence of all three factors increased the cancer probability by 6 to 7 fold. Conclusion: TRUS findings are dependent on PSA for interpretation while DRE (+) with elevated PSA makes PCa more likely