71 research outputs found

    Complex-valued fractional derivatives on time scales

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    We introduce a notion of fractional (noninteger order) derivative on an arbitrary nonempty closed subset of the real numbers (on a time scale). Main properties of the new operator are proved and several illustrative examples given.Comment: This is a preprint of a paper whose final and definite form will appear in Springer Proceedings in Mathematics & Statistics, ISSN: 2194-1009. Accepted for publication 06/Nov/201

    Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

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    This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

    Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

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    Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P < 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P < 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk

    Primary school students' conflict resolution strategies in Turkey

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    This study examined conflict resolution strategies (CRSs) resorted to by sixth, seventh, and eighth grade primary school pupils in Turkey and identified gender differences in the resolution strategies typically resorted to. In addition, the study aimed to find out what actual conflicts students asked assistance for from teachers and what strategies students thought teachers used in dealing with their conflicts. The data for this research were collected via a questionnaire involving mostly open-ended items. Results supported the notion that three main groups of strategies (problem-solving, avoiding and aggressive) typically get implemented in solving conflicts. Problem-solving strategies were observed to be most frequently employed by the participants. There was a significant gender difference in terms of the use of CRSs, in that girls were more likely to use problem-solving strategies than boys. The majority of the participants tended not to ask for assistance from teachers in resolving their conflicts. However, students from low SES schools were more likely to ask for teacher assistance than students from middle and high SES schools. The participants also stated that teachers typically used two main strategies in helping them resolve their conflicts: problem-solving and aggressive strategies. © Springer Science+Business Media, LLC 2007
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