4 research outputs found
Π’Π΅Ρ Π½ΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΊΠΎΠ½ΡΠ΅Π½Ρ-ΠΌΠ°ΡΠΊΠ΅ΡΠΈΠ½Π³Π° ΠΊΠ°ΠΊ ΡΡΠ΅Π΄ΡΡΠ²ΠΎ ΠΏΡΠΎΠ΄Π²ΠΈΠΆΠ΅Π½ΠΈΡ Π±ΡΠ΅Π½Π΄Π° Π² ΠΈΠ½ΡΠ΅ΡΠ½Π΅ΡΠ΅
Π ΡΠ°Π±ΠΎΡΠ΅ ΡΠ°ΡΡΠΌΠ°ΡΡΠΈΠ²Π°Π΅ΡΡΡ ΠΊΠΎΠ½ΡΠ΅Π½Ρ-ΠΌΠ°ΡΠΊΠ΅ΡΠΈΠ½Π³ Ρ ΠΏΠΎΠ·ΠΈΡΠΈΠΈ ΠΏΡΠΎΠ΄Π²ΠΈΠΆΠ΅Π½ΠΈΡ Π±ΡΠ΅Π½Π΄Π° Π² ΠΈΠ½ΡΠ΅ΡΠ½Π΅ΡΠ΅, Π΅Π³ΠΎ ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΠΈ, ΡΠΎΡΠΌΠ°ΡΡ, Π²Π»ΠΈΡΠ½ΠΈΠ΅ Π½Π° Π°ΡΠ΄ΠΈΡΠΎΡΠΈΡ ΠΈ ΡΠ²ΡΠ·Ρ Ρ ΡΠ΅ΠΊΠ»Π°ΠΌΠΎΠΉ
Ensuring studentsβ wellness: resources and demands in higher education
New technologies are changing higher education at an unprecedented scale, therefore to get a competitive edge societies round the world are trying to find new ways to meet emerging challenges by optimizing learning outcomes. The aim of the present article is to study the mitigating role of resources available to university students in the relation to demands, evaluate and compare their stress levels during Covid-19 lockdown and in-classroom learning using Demand-Induces Strain Compensation Model at Bryansk State University. Findings showed high stress levels during three months of remote learning, since physical and cognitive demands were poorly counterbalanced with relevant resources. In-person education demonstrated lower stress levels due to fewer demands and better resources in physical and emotional aspects. As to a cognitive aspect, the moderating role of resources was still insufficient, though the rate of cognitive demands was lower, compared to the remote learning. Consequently, it is essential to achieve an equilibrium between demands and matching resources to ensure studentsβ wellness. A range of didactic possibilities has been offered within the blended learning paradigm to enhance interaction, collaboration, confidence of students as independent and active learners. Fading techniques that encourage learners to become autonomous technology users by gradually removing prompts and making tasks more challenging have proved to be successful
Determination of "borderline resectable" pancreatic cancer : a global assessment of 30 shades of grey
Background: Pancreatic ductal adenocarcinoma (PDAC) is an aggressive cancer with a poor prog-nosis. Accurate preoperative assessment using computed tomography (CT) to determine resectability is crucial in ensuring patients are offered the most appropriate therapeutic strategy. Despite the use of classification guidelines, any interobserver variability between reviewing surgeons and radiologists may confound decisions influencing patient treatment pathways. Methods: In this multicentre observational study, an international group of 96 clinicians (42 hepato-pancreatobiliary surgeons and 54 radiologists) were surveyed and asked to report 30 pancreatic CT scans of pancreatic cancer deemed borderline at respective multidisciplinary meetings (MDM). The degree of interobserver agreement in resectability among radiologists and surgeons was assessed and subgroup regression analysis was performed. Results: Interobserver variability between reviewers was high with no unanimous agreement. Overall interobserver agreement was fair with a kappa value of 0.32 with a higher rate of agreement among radiologists over surgeons. Conclusion: Interobserver variability among radiologists and surgeons globally is high, calling into question the consistency of clinical decision making for patients with PDAC and suggesting that central review may be required for studies of neoadjuvant or adjuvant approaches in future as well as ongoing quality control initiatives, even amongst experts in the field