The Effectiveness of Using E-learning, Blended Learning and Traditional Learning on Students' Achievement and Attitudes in a Course on Islamic Culture: an Experimental study

This study is mainly concerned with establishing the benefits of e-learning (studying through an asynchronous classroom only) and blended learning (studying through an asynchronous virtual classroom in addition to a traditional learning) as compared to traditional learning (attending classroom lectures) in terms of their effects on students’ attitudes and achievement featuring the Islamic Culture course (101) at Umm Al-Qura University in Saudi Arabia. However, to reach that end the researcher had to find out as to whether there is a statistically significant difference between the above three methods of teaching. For this purpose an ethics unit drawn from an Islamic culture course (101) has been electronically designed using a learning and content management system programme known as Moodle, based on the ADDIE model. Two experimental groups together with a control group have been involved. The three groups have been randomly selected and assigned with the first and second experimental groups consisting of 43 and 55 participants respectively, and the control group consisting of 50 participants. After verifying their reliability and validity pre-achievement and post-achievement tests as well as attitude scale supported by interviews have been used as instruments for assessing students’ achievement and attitudes in the different groups. The results of the study have revealed that there is a statistically significant difference (at the 0.05 level) between the three methods in terms of students’ achievement favouring blended learning method, while no statistically significant differences exist (at the 0.05 level) between e-learning and traditional learning in terms of students’ achievement. Yet, in terms of attitude, the results of this study have indicated that there is a statistically significant difference (at the 0.05 level) between the two experimental groups on the one hand and control group on the other hand favouring the former, while no statistically significant difference (at the 0.05 level) exist between blended learning and e-learning in terms of students’ attitude. However, based on these results the researcher has managed to put forward a number of recommendations and suggestions

Revisional Bariatric Surgery

Metabolic surgery is considered a valuable tool in treating obesity compared to the non-surgical approach. Its effectiveness is evident in the form of weight loss, eliminating obesity-related comorbidities, and improving quality of life. Hence, the rate of metabolic surgery conducted worldwide has risen dramatically, parallel to the increasing rates of obesity. Unfortunately, there are drawbacks to metabolic surgeries. Weight regain/insufficient weight loss is feared by the patient and bariatric surgeon and can occur with nonadherence to a healthy lifestyle and dietary habits. Long-term complications related to metabolic surgery are possible following any metabolic surgery (e.g., chronic reflux, malnutrition, and fistula). Revisional surgery is the most effective approach to combat these drawbacks, and therefore a bariatric surgeon should be familiar with it. This chapter will discuss the indication of revisional surgery, the preoperative workup, the surgical techniques, and the outcome of revisional surgery. The chapter will focus on the most commonly performed metabolic surgery, that is, laparoscopic adjustable gastric band, laparoscopic sleeve gastrectomy, laparoscopic Roux-en-Y gastric bypass, and laparoscopic one anastomosis gastric bypass. By the end of this chapter, the reader will be able to: (1) Define metabolic surgery failure and indications of the revision. (2) Be able to approach the patient preoperatively and formulate a plan. (3) Be knowledgeable about the main operative steps. (4) Be aware of the predicted outcome of revisional surgery

Surgical Management of Thermal Injury: Narrative Review

Extensive burn care advanced over the past few decades to the point where burn victims can now often live. The goal of treating a severely burned patient nowadays is to help them return to their communities, families, and places of employment as fully participating members of society, rather than only preserving their life and ability to function. Burns are a common and difficult critical care issue. Specialized hospitals prioritize achieving optimal functional recovery, infection prevention, and patient stabilization. Over the past few decades, researches on burns have attracted a lot of attention. A number of significant discoveries have improved patient stability and reduced mortality, particularly in the case of younger patients and those with intermediate-degree burns. The presence of dead tissue over a burn wound hinders the healing process and serves as a breeding ground for bacteria. Consequently, clearing the eschar as soon as possible and getting a clean wound bed as soon as possible, can be regarded as the main objective to initiate the process of wound healing, either through autografting or spontaneous epithelization. This review article provides a comprehensive overview of the surgical management of thermal injuries. The article also discusses the importance of early surgical intervention, including debridement, skin grafting, and other surgical techniques. Additionally, it explores the latest advancements in surgical management and the potential future directions in this field. Overall, this review aims to provide a valuable resource for healthcare professionals involved in the care of patients with thermal injuries

Students’ achievement and opinions on the implementation of e-learning for phonetics and phonology lectures at Airlangga University

Abstract The demand of e-learning at higher education has increased significantly in the past several years. In Indonesia, the implementation of e-learning has been encouraged by the government since 2011. However, universities are still looking for the most appropriate e-learning system, and unsure of the effectiveness of e-learning program. This paper discusses the implementation of e-learning system at Airlangga University, one of the top five state-owned universities in Indonesia. The e-learning system implemented in this university follows the Seven Principles of Good Practice in Undergraduate Education, i.e. encourage contacts between student and faculty; develop reciprocity and cooperation among students; use active learning techniques; give prompt feedback; emphasize time on task; communicate high expectations; and respect diverse talents and ways of learning. The e-learning platform at this university is called AULA (Airlangga University e-Learning Application). The respondents of this study were the students who took the General Linguistics course, particularly for the lectures on Phonetics and Phonology. Based on the t-test calculation of the exam scores, we conclude that there is no significant difference between the results of the e-learning and those of the classroom learning. The results of questionnaires show that 85% of the students are satisfied with the implementation of e-learning as they think that the e-learning makes it easier for them to understand the materials, it is fun, and is convenient to access. For further implementation, the students suggested the additions of podcasts and games, more time for the quizzes, and improvement of the e-learning platform

Overview On Surgical Management Of Overactive Bladder

Overactive bladder syndrome is a persistent and incapacitating disorder that has profound medical, psychological, and social implications, greatly impacting the wellbeing of countless individuals globally. A significant number of individuals experience urine urgency, which can be extremely bothersome. The primary indicator of overactive bladder (OAB) is a sense of urgency, often accompanied by increased urine frequency and nocturia. After ruling out other medical conditions with similar symptoms, the initial approach to managing OAB is providing guidance on fluid consumption and bladder training. If needed, antimuscarinic medicines may be added as a supplement. If patients have significant distress from OAB symptoms even after maximizing medicinal treatment, they may choose to undergo invasive procedures. There is currently a limited understanding of the hierarchical structure of central nervous system control. However, the use of functional imaging is starting to reveal the difficulties that need to be addressed in this area. Current research is exploring the use of botulinum neurotoxin-A injection, oral β3-adrenergic agonists, and innovative methods for nerve stimulation as potential therapies. The inherent subjectivity of urine urgency, the absence of animal models, and the complex pathophysiology of overactive bladder (OAB) pose substantial obstacles to achieving effective clinical therapy

Healthcare Management In Promoting Role Of Paramedics And Nurses In Critical Care; Review

Healthcare unit managers play a crucial role in promoting the importance of paramedics and nurses in critical care. They are responsible for ensuring the health and well-being of nurses and paramedics, as well as maintaining high-quality care. However, there is a lack of research focused on the actions and organizational strategies employed by healthcare unit managers to support nurses, as well as the specific working environments that facilitate such support. This paper utilizes a mixed methods approach, combining qualitative interviews and quantitative surveys with healthcare unit managers and nurses. The findings highlight the crucial role of healthcare unit managers\u27 accessibility to their nursing staff in promoting nurses. Additionally, the study emphasizes the importance of responsive support from the care unit managers\u27 superiors, administration, and managerial colleagues in creating favorable working conditions. The care unit manager\u27s own support was highly supported by the superior manager, and this support was positively connected with nurses

A unique presentation of renal cell transformation into renal cell carcinoma in subcutaneous fatty tissue post twenty year old healing gun-shot wound: A case report

Introduction: Renal cell carcinoma (RCC) is the most common malignancy in the genitourinary tract, and is among the 10 most common cancers in both males and females. Presentation of case: We report a case of a 61-year-old male who presented with a cutaneous lesion on his left back side at a site where he had undergone several surgeries – including Left nephrectomy – twenty years ago for a gun-shot wound he sustained which penetrated his abdomen. Discussion: At that time pathology reports turned out to be normal, specially left kidney pathology report which was negative for any malignancy. Twenty years later, patient presented with a clear fluctuating painless cutaneous mass of 1–2 cm on his left back side, which grew gradually over time. Histopathologically, the incisional biopsy showed trabecular & papillary clear cells with prominent vascularity and hemosiderin deposition in the stroma, consistent with a malignant Renal cell Carcinoma (RCC). Immunohistochemically, it stained positive for Vimentin, CD10, PAX-8. Labs revealed positive renal cell carcinoma antibody. CT scans, urine tests, and bone scans failed to reveal the site of the primary lesion. Furthermore, the patient reports minimal constitutional symptoms and is grossly well. Conclusion: The authors have reported an interesting case of an RCC presenting in a healed gun-shot wound in a previously nephrectomized patient. To the best of authors’ knowledge, such a case hasn’t been reported in the literature before, with it being unique in its time course, preceding events, and absence of primary lesions