The Influence of the Psychological Care on the Psychological Recovery of Mastectomy Patients Case Study of Al-Amal Cancer Center

The current paper is a try to examine the influence of the psychological care on the recovery of the Modified Radical Mastectomy patients. Mainly, the paper aims at understanding the role of having a well-built psychological program to fasten the recovery of modified radical mastectomy patients on more than one level. The sample of the study consisted of nurses of different levels who have a direct access to the patients within Al-Amal cancer center in Jordan. The study took into perspective four levels of psychological fields including (body image, family, support group and surgery). According to the results of the study, as 144 participants answered the questionnaire properly it appeared that the most influential part which should be taken into consideration through the recovery process is the body image, it appeared that the body image is one of the most important aspects that supports the recovery of a woman after the surgery of mastectomy and helps deeply in giving a healthy approach to deal with the patients after the change that took place on their bodies. In addition to that, it appeared that self-perception (body image), unsettling influence, and lower self-empathy were connected with expanded mental trouble among breast cancer survivors. Keywords: Breast Cancer - Breast Mastectomy – post-surgery recover

The Effect of Information and Communications Technologies (ICT) in the Jordanian Universities

This study aimed at identifies the impact of using Information and Communications Technologies (ICT) in the educational process according of teachers, student, principle and parents, the researcher use questionnaire to collect the data sample of the study to (10) professors s and  (10) supervisors were chosen randomly from ten universities in Jordan. The researcher used means, standard deviations the results of the study shows there is impact of using Information and Communications Technologies (ICT) in the educational process on teachers, students, principles and parent

Measurement the marketing performance for the Jordanian pharmaceutical companies by using Balanced Scorecard

This study aimed to try to determine the relationship between the application of Balanced Scorecard axes, the focus of stakeholders and beneficiaries, and internal processes and procedures, education and development, innovation, and finally return on investment, finance, and marketing performance of the pharmaceutical industry in Jordan. To achieve the objectives of the study and test hypotheses soft sample was withdrawn from the study population was composed of all workers in the pharmaceutical industry operating in Jordan for the year 2010, reaching 200 elements. The study found a number of results highlighted that there are weaknesses in the application of the pharmaceutical industry Jordanian activities that reflect the interests and aspirations of the target customers may impact negatively on the performance catalog for these companies, and this side of weakness in refining services provided to external audiences in terms of accuracy and speed, and apply result also the focus of innovation and invention. The financial aspect of these companies, shows that they fully applied when setting goals and financial needs, which has a significant impact in stimulating and activating the catalog performance of these companies. The study recommended finally the need to take advantage of the Balanced Scorecard in the activation of the strategic plans for private pharmaceutical companies, public and private sector, seeking to formulate objectives in the form of specific results quantifiable. Keywords: marketing, marketing performance, balance scorecard

A Process for Providing Environmentally Conscious Housing in the UAE

Housing has become a core theme in the United Arab Emirates (UAE). Recent reports have marked a shortfall in the required supply of middle-income housing, thus suggesting significant efforts to address the current imbalance. It is believed that several reasons have contributed to the current shortage of affordable housing, including the low adoption of prefabricated construction techniques resulting in higher construction costs, as well as lower financial returns; therefore, making such developments less attractive for developers. However, there are several projects that have proven to be successful in utilizing precast concrete towards practical and economical value, in addition to providing a viable solution to meet the expectations for efficient housing delivery with regard to quantity and quality. In this research, we propose a comprehensive process that combines a design and production model to enhance the actual practices and mechanisms of the precast concrete development. This paper proposes various stages of logic design implemented in an architectural process with the aim of reaching the highest level of sustainability in UAE housing while reducing the cost of construction, and the time of delivery

Design and delivery of national housing in the UAE: an alternative approach

The provision of national housing to citizens in the United Arab Emirates (UAE) is considered a crucial topic. Over the past four decades, the process of developing national housing has emerged into multiple housing programs and schemes, all with the same aim of offering affordable and high-quality housing to citizens, in addition to meeting the needs of local families regarding spatial configurations while maintaining cultural values. However, despite all these efforts, the question has always remained: are the offered housing practices suited for family needs, socioeconomic trends, and environmental challenges? This study aims to offer an alternative approach for the design and delivery of national housing practices in the UAE. The proposed process is structured based on the following ethos: first, a conceptual approach for design flexibility toward offering customization while maintaining contextual and cultural qualities for inhabitants; second, a computational design strategy for facade optimization that illustrates the significance of incorporating environmentally conscious design strategies in response to local climatic conditions toward enhancing overall building performance; and third, a hybrid production model that relies on a prefabricated building approach that combines precast concrete systems with 3D printing technology. The efforts described in this article represent a significant phase of an ongoing research endeavor that explores how technological capacities could help rethink national housing in the UAE

The Degree of Practicing of Basic Stage Teachers of E-Learning Skills in Jerash Governorate as Related to Some Variables درجة ممارسة معلمي المرحلة الأساسية لمهارات التعلم الإلكتروني في محافظة جرش وعلاقتها ببعض المتغيرات

Abstract: This study aimed at identifying at the degree of practicing of basic stage teachers of e-learning skills in Jerash Governorate from their point of view, the study followed the descriptive methodology. To collect data, a questionnaire was developed, consisting of (30) items, the validity and reliability of the instrument have been verified through applying on a sample of (185) teachers chosen by using stratified random sample method. The results of the study showed that the degree of practicing of basic stage teachers of e-learning skills in Jerash Governorate from their point of view as a whole was medium, The results indicated that there were no statistically significant differences at level (α ≤ 0.05) between the average responses of the estimates of the individuals of the study sample in the degree of practicing of basic stage teachers of e-learning skills to variables of sex, and years of experience in the total score, and for all fields. In light of the results, the study recommended a set of recommendations, the most important of which are: Integrating the skills of the e-learning, especially e-learning management skills in the into in-service training programs for teachers. ملخص: هدفت الدِّراسة التعرف إلى درجة ممارسة معلمي المرحلة الأساسية لمهارات التعلم الإلكتروني في محافظة جرش من وجهة نظرهم، واتبعت الدراسة المنهج الوصفي، ولجمع بيانات الدراسة تم تطوير استبانة مكونة من (30) فقرة، وقد تم التأكد من صدقها وثباتها، وتكونت عينة الدراسة من (185) معلماً ومعلمة تم إختيارهم بالطريقة الطبقية العشوائية. وأشارت نتائج الدراسة إلى أن درجة ممارسة معلمي المرحلة الأساسية لمهارات التعلم الإلكتروني في محافظة جرش من وجهة نظرهم كانت متوسطة، وأظهرت النتائج عدم وجود فروق ذات دلالة إحصائية عند مستوى دلالة (α ≤0.05) بين متوسطات تقديرات أفراد عينة الدراسة لدرجة ممارسة معلمي المرحلة الأساسية لمهارات التعلم الإلكتروني في محافظة جرش تعزى لمتغيرات الجنس والخبرة للدرجة الكلية، وللمجالات جميعها. وفي ضوء النتائج أوصت الدراسة بمجموعة من التوصيات من أهمها: دمج مهارات التعلم الإلكتروني في برامج التدريب في أثناء الخدمة للمعلمين وخاصة مهارات إدارة التعلم الإلكتروني

Surgical training model and safe implementation of robotic pancreatoduodenectomy in Japan: a technical note

Background Growing evidence for the advantages of robotic pancreatoduodenectomy (RPD) has been demonstrated internationally. However, there has been no structured training program for RPD in Japan. Herein, we present the surgical training model of RPD and a standardized protocol for surgical technique. Methods The surgical training model and surgical technique were standardized in order to implement RPD safely, based on the Dutch training system collaborated with the University of Pittsburgh Medical Center. Results The surgical training model included various trainings such as basic robotic training, simulation training, biotissue training, and a surgical video review. Furthermore, a standardized protocol on the surgical technique was established to understand the tips, tricks, and pitfalls of RPD. Conclusions Safe implementation of RPD can be achieved through the completion of a structured training program and learning surgical technique. A nationwide structured training system should be developed to implement the program safely in Japan

Initial Results of a Prospective Study of Adjuvant Pancreatic Stereotactic Body Radiation Therapy for Close or Positive Margins

Purpose: Patients with close or positive margins after surgery for pancreatic carcinoma are at a high risk for recurrence. Stereotactic body radiation therapy (SBRT) allows for safe dose escalation with great conformity and short duration of treatment. Herein, we report the initial results of a prospective observational study that evaluated the efficacy and safety of this treatment option. Methods and Materials: Patients eligible for the study had pathologically proven T1-4N0-1M0 pancreatic adenocarcinoma with a positive margin (≤ 1 mm) or a close margin defined as \u3c 2.5 mm. Patients were treated with either neoadjuvant or adjuvant chemotherapy, if eligible for systemic therapy. All patients received 36 Gy in 3 fractions to the close or positive margin site. Results: From February 2013 to January 2018, 50 patients were enrolled with 49 patients treated on protocol and included in the analysis. The median age was 71 years. The median clinical target volume was 11.3 cc and median planning target volume 22.0 cc. The median overall survival was 23.7 months (95% confidence interval, 13.6-33.8). Local progression-free survival at 1 and 2 years was 85% and 77%, respectively. Regional progression-free survival at 1 and 2 years was 73% and 73%, respectively. Distant metastases-free survival was 57% and 49% at 1 and 2 years, respectively. Grade 3+ radiation toxicity was only 4.1% and occurred in 2 patients. Conclusions: Adjuvant pancreatic SBRT was shown to be a safe and feasible treatment option for patients with high-risk pancreatic adenocarcinoma and close or positive margins. This is the first prospective study of SBRT in high-risk postoperative pancreatic cancer. Our results yielded significant local and regional control with low rates of acute toxicity. This technique does not interrupt the administration of systemically dosed multiagent chemotherapy and can be safely interdigitated between cycles because SBRT is only 1 week of treatment