Is the Pass/Fail System Applicable to a Medical School in Korea?

To determine whether a pass/fail system is more appropriate for medical education instead of a grade-based system, a survey of medical students and faculty members of Hallym University, Korea, was taken. A questionnaire was delivered to 54 junior students and 36 faculty members from a medical school in Korea and analyzed. Of these participants, 37.7% of students and 36.1% of faculty agreed to the pass/fail system, while 28.3% of students and 52.8% of faculty objected to it. The most frequent reason for objection was the potential decrease in learning achievement. A pass/fail system should be considered after persuasion of the students and faculty to think positively of this system

Some Identities on the High-Order -Euler Numbers and Polynomials with Weight 0

We construct the th order nonlinear ordinary differential equation related to the generating function of -Euler numbers with weight 0. From this, we derive some identities on -Euler numbers and polynomials of higher order with weight 0

Keeping Customers Shopping in the Store: Interrelationships among Store Attributes, Shopping Enjoyment, Place Attachment, and Store Loyalty

With consumers shifting to Internet and mobile shopping, the demand for brick and mortar store shopping has decreased and in response, several major U.S. retail chains have downsized the number of their physical retail operations (Farfan, 2013). Yet, retailers have not completely said good bye to stores. Indeed there may be several key store attributes that retailers’ can focus on and continue to develop if they are interested in keeping customers shopping and buying in brick and mortar stores

Clinical outcomes in post-epikeratophakic eyes after removal of epikeratoplasty lenticule

Background Assessment of the optical outcome and adverse events in post-epikeratopathic eyes after removal of the epikeratoplasty lenticule (EKPL). Methods This was a retrospective case-series study of patients who underwent EKPL removal between 2002 and 2020. Ten eyes were included in the analysis. We compared the clinical characteristics of the patients before surgery, 6 months after surgery, before lenticular removal, and after removal, and reported optical or ocular surface complications. Results We removed EKPL due to the lenticular opacity in five eyes (50%), intraocular lens (IOL) insertion (n = 4, 40%) after cataract surgery (n = 3) or in aphakic eyes (n = 1), and lenticule-induced irregular astigmatism in one eye (10%). After EKPL removal, the mean refractive power of the cornea (Km) revealed a tendency to increase. Out of nine cases, six cases showed corneal steepening and three cases revealed corneal flattening. When the keratometric readings of pre-epikeratoplasty and post-lenticular removal were compared within the same case, the average difference was 5.1 D ± 4.0 (n = 8). Complications were observed in 3 of 10 cases (excessive corneal flatness, ectatic change, and abnormal epithelial cell ingrowth) after removal. Conclusions The surgeon should expect the corneal refractive power to steepen or flatten in some cases with abnormal astigmatism and irregularity. Epikeratophakic eyes may exhibit serious ectatic changes, and abnormal epithelial cell ingrowth after removal of epikeratophakic lenticules

The avian-specific small heat shock protein HSP25 is a constitutive protector against environmental stresses during blastoderm dormancy

ArticleScientific Reports. 6: 36704 (2016).journal articl

Development of multifocal nodular lesions of a liver mimicking hepatic metastasis, following resection of an insulinoma in a child

Insulinoma, which arises from insulin-producing pancreatic beta cells, is a rare tumor in children. Only 5%-10% of insulinomas are malignant and undergo metastasis. We report a case of an 11-year-old girl who experienced hypoglycemia-related seizures induced by an insulinoma; after resection of the primary tumor, she developed hepatic focal nodular hyperplasia (FNH). Laboratory test results indicated marked hypoglycemia with hyperinsulinemia. Abdominal ultrasonography (US) and computed tomography results were normal; however, magnetic resonance imaging (MRI) showed a solid mass in the pancreatic tail. Therefore, laparoscopic distal pancreatectomy was performed. Two months after the surgery, an abdominal MRI revealed multiple nodular lesions in the liver. An US-guided liver biopsy was then performed, and histological examination revealed FNH without necrosis or mitotic activity. The patient has been free of hypoglycemia for 2 years, and recent MRI studies showed a decrease in the size of FNH lesions, without any evidence of metastasis. Even though no metastatic lesions are noted on imaging, close observation and follow-up imaging studies are required in a child with insulinoma that has malignant potential on histopathologic findings

6,7-Bis(bromo­meth­yl)-2,11,18,21,24,27-hexa­oxatetra­cyclo­[26.4.0.04,9.012,17]dotriaconta-1(28),4,6,8,12(17),13,15,29,31-nona­ene dichloro­methane monosolvate

The title 20-crown-6 unit, C28H30Br2O6·CH2Cl2, consisting of three benzo groups and triethyl­ene glycol was prepared from the reaction of 1,2,4,5-tetra­kis­(bromo­meth­yl)benzene and bis­phenol in the presence of sodium hydride. In the crystal, one O atom of the central ethyl­ene glycol in the triethyl­ene glycol unit exhibits an exo conformation as a result of intra­molecular C—H⋯O hydrogen bonds. The crown unit and the solvent mol­ecule are linked by weak C—H⋯O hydrogen bonds