DOES DISTANCE MATTER? AN IS CURRICULUM CHALLENGE

Learning from a distance has become a very popular approach in education. Learning in the 21st century necessitates innovative teaching methods. Distance Learning (DL) is only one method representing this phenomenon. In the past decade, DL has been gradually been replacing traditional instruction methods. In this study we explore the learning outcomes and benefits when employing simulations in a DL environment. Our results indicate that employing simulations in a learning environment can significantly enhance the learning experience. In addition, this method increases the level of satisfaction of both the students and the instructor. Our findings lead us to conclude that modern technology makes it easier to acquire education and in a more enjoyable way. However, we also note that there are still several challenges educators need to address in order to make this experience more applicable in the Information Systems domain

Security Assessment Taxonomy

Learning today has shifted from face-to-face curriculum to distance learning. Recent advances in distance learning bring major changes in education and educators take different roles in teaching courses. As technology offers a great potential for distance learning, many schools have been adopting this innovative approach. This paper explores a project undertaken by a large US university. We examine a security course that employs a distance learning environment and investigate how this environment affects learners and educators. Our findings indicate that distance learning is not considered a superior teaching method; on the contrary, in many cases, students reported on technical difficulties working with an on-line system. We conclude that further study and research of this method is warranted in order to determine the long-term benefits of using distance learning and to address its many challenges

Benefiting From Technology: A Game Approach

The use of technology in the classroom is becoming more and more popular despite the dot com crash earlier this decade. This paper explores a project undertaken by a university business school incorporating a learning technology model. Students in general, and the students from the information technology and computer science departments in particular, felt that this project also helped them develop business skills and gave practical insight into the learning phenomena and the impact of this class. The course was better rated than other courses taught using face-to-face interaction

Approach to Rectal Cancer Surgery

Rectal cancer is a distinct subset of colorectal cancer where specialized disease-specific management of the primary tumor is required. There have been significant developments in rectal cancer surgery at all stages of disease in particular the introduction of local excision strategies for preinvasive and early cancers, standardized total mesorectal excision for resectable cancers incorporating preoperative short- or long-course chemoradiation to the multimodality sequencing of treatment. Laparoscopic surgery is also increasingly being adopted as the standard rectal cancer surgery approach following expertise of colorectal surgeons in minimally invasive surgery gained from laparoscopic colon resections. In locally advanced and metastatic disease, combining chemoradiation with radical surgery may achieve total eradication of disease and disease control in the pelvis. Evidence for resection of metastases to the liver and lung have been extensively reported in the literature. The role of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for peritoneal metastases is showing promise in achieving locoregional control of peritoneal dissemination. This paper summarizes the recent developments in approaches to rectal cancer surgery at all these time points of the disease natural history

Granzyme G is expressed in the two-cell stage mouse embryo and is required for the maternal-zygotic transition

<p>Abstract</p> <p>Background</p> <p>Detailed knowledge of the molecular and cellular mechanisms that direct spatial and temporal gene expression in pre-implantation embryos is critical for understanding the control of the maternal-zygotic transition and cell differentiation in early embryonic development. In this study, twenty-three clones, expressed at different stages of early mouse development, were identified using differential display reverse transcription polymerase chain reaction (DDRT-PCR). One of these clones, which is expressed in 2-cell stage embryos at 48 hr post-hCG injection, shows a perfect sequence homology to the gene encoding the granzyme G protein. The granzyme family members are serine proteases that are present in the secretory granules of cytolytic T lymphocytes. However, the pattern of granzyme G expression and its function in early mouse embryos are entirely unknown.</p> <p>Results</p> <p>Upon the introduction of an antisense morpholino (2 mM) against granzyme G to knock-down endogenous gene function, all embryos were arrested at the 2- to 4-cell stages of egg cleavage, and the <it>de novo </it>synthesis of zygotic RNAs was decreased. The embryonic survival rate was dramatically decreased at the late 2-cell stage when serine protease-specific inhibitors, 0.1 mM 3,4-dichloroisocoumarin (3,4-DCI), and 2 mM phenyl methanesulphonyl fluoride (PMSF), were added to the <it>in vitro </it>embryonic culture medium. Survival was not affected by the addition of 0.5 mM EDTA, a metalloproteinase inhibitor.</p> <p>Conclusion</p> <p>We characterized for the first time the expression and function of <it>granzyme G </it>during early stage embryogenesis. Our data suggest that granzyme G is an important factor in early mouse embryonic development and may play a novel role in the elimination of maternal proteins and the triggering of zygotic gene expression during the maternal-zygotic transition.</p

A review on the recent research progress in the compound parabolic concentrator (CPC) for solar energy applications

Compound parabolic concentrator (CPC) has been gaining ever-increasing attention from academic researchers and industrial developers owing to its stationary feature for solar energy collection with a higher efficiency. As a low concentration concentrator with a larger acceptance angle and without a tracking requirement, it is an attractive solution to improve the system performance and reduce the cost of photovoltaic (PV) system, solar thermal system, daylighting and lighting systems, etc. This study will present a comprehensive and up-to-date review of its design principles for miscellaneous configurations, applications, performance predictions and technological advances. Numerous technically focused studies since 2000 will be introduced and summarized. Finally, the outlook focusing on CPC designs and improvements will be proposed

Does the principle of minimum work apply at the carotid bifurcation: a retrospective cohort study

<p>Abstract</p> <p>Background</p> <p>There is recent interest in the role of carotid bifurcation anatomy, geometry and hemodynamic factors in the pathogenesis of carotid artery atherosclerosis. Certain anatomical and geometric configurations at the carotid bifurcation have been linked to disturbed flow. It has been proposed that vascular dimensions are selected to minimize energy required to maintain blood flow, and that this occurs when an exponent of 3 relates the radii of parent and daughter arteries. We evaluate whether the dimensions of bifurcation of the extracranial carotid artery follow this principle of minimum work.</p> <p>Methods</p> <p>This study involved subjects who had computed tomographic angiography (CTA) at our institution between 2006 and 2007. Radii of the common, internal and external carotid arteries were determined. The exponent was determined for individual bifurcations using numerical methods and for the sample using nonlinear regression.</p> <p>Results</p> <p>Mean age for 45 participants was 56.9 ± 16.5 years with 26 males. Prevalence of vascular risk factors was: hypertension-48%, smoking-23%, diabetes-16.7%, hyperlipidemia-51%, ischemic heart disease-18.7%.</p> <p>The value of the exponent ranged from 1.3 to 1.6, depending on estimation methodology.</p> <p>Conclusions</p> <p>The principle of minimum work (defined by an exponent of 3) may not apply at the carotid bifurcation. Additional factors may play a role in the relationship between the radii of the parent and daughter vessels.</p

Standards of Practice in Acute Ischemic Stroke Intervention: International Recommendations

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Endovascular Thrombectomy for Ischemic Stroke Increases Disability-Free Survival, Quality of Life, and Life Expectancy and Reduces Cost

Background: Endovascular thrombectomy improves functional outcome in large vessel occlusion ischemic stroke. We examined disability, quality of life, survival and acute care costs in the EXTEND-IA trial, which used CT-perfusion imaging selection. Methods: Large vessel ischemic stroke patients with favorable CT-perfusion were randomized to endovascular thrombectomy after alteplase versus alteplase-only. Clinical outcome was prospectively measured using 90-day modified Rankin scale (mRS). Individual patient expected survival and net difference in Disability/Quality-adjusted life years (DALY/QALY) up to 15 years from stroke were modeled using age, sex, 90-day mRS, and utility scores. Level of care within the first 90 days was prospectively measured and used to estimate procedure and inpatient care costs (US$reference year 2014). Results: There were 70 patients, 35 in each arm, mean age 69, median NIHSS 15 (IQR 12-19). The median (IQR) disability-weighted utility score at 90 days was 0.65 (0.00-0.91) in the alteplase-only versus 0.91 (0.65-1.00) in the endovascular group (p = 0.005). Modeled life expectancy was greater in the endovascular versus alteplaseonly group (median 15.6 versus 11.2 years, p = 0.02). The endovascular thrombectomy group had fewer simulated DALYs lost over 15 years [median (IQR) 5.5 (3.2-8.7) versus 8.9 (4.7-13.8), p = 0.02] and more QALY gained [median (IQR) 9.3 (4.2-13.1) versus 4.9 (0.3-8.5), p = 0.03]. Endovascular patients spent less time in hospital [median (IQR) 5 (3-11) days versus 8 (5-14) days, p = 0.04] and rehabilitation [median (IQR) 0 (0-28) versus 27 (0-65) days, p = 0.03]. The estimated inpatient costs in the first 90 days were less in the thrombectomy group (average US$15,689 versus US$30,569, p = 0.008) offsetting the costs of interhospital transport and the thrombectomy procedure (average US$10,515). The average saving per patient treated with thrombectomy was US$4,365. c Conclusion: Thrombectomy patients with large vessel occlusion and salvageable tissue on CT-perfusion had reduced length of stay and overall costs to 90 days. There was evidence of clinically relevant improvement in long-term survival and quality of life.Peer reviewe

Angiopoietin-1 promotes functional neovascularization that relieves ischemia by improving regional reperfusion in a swine chronic myocardial ischemia model

10.1007/s11373-006-9082-xJournal of Biomedical Science134579-59