Dancing on the edge: International students' transformative journeys in the United States of America.

This study explored international students' experiences of studying in the United States, including the motives that brought them to the United States, the challenges they confronted, and the learning and development opportunities that arose. The theoretical framework of the study was embedded in theories of adult learning and development, chaos and complexity, and transformative learning. The qualitative methodology aimed to gain an understanding of the lived experiences of these international students, and to capture and represent their meaning making and their learning journeys. Data were collected primarily from two in-depth interviews with eighteen participants, and analyzed qualitatively following the guidelines of interpretivism.The findings revealed that the journeys of these participants studying in the United States comprised a process of cultural crossing, in which four major themes were identified that, in turn, addressed the research questions. These included seizing opportunities to determine their destinies, confronting difficulties and disequilibrium, navigating between home and host cultures, and being and becoming authentic. The major elements that contributed to these participants' adjustment and success were their personal capacities, relationships with others including their new living environments, and their capabilities to engage in transformative learning. Out of the research findings, a conceptual schema of being and becoming was introduced to capture these participants' change and growth during the process of cultural crossing.Implications and recommendations arising from this study include the need for: (1) American universities to undertake further research, conduct needs assessments, and provide cultural learning training programs; (2) staff, faculty members, and classmates to perform active listening and share their know-how with international students; (3) international students to befriend others, form learning communities, and open themselves to learning. Finally, researching the corresponding impacts, challenges, and difficulties that American counterparts may experience while interacting with international students may further contribute to both domestic and international students' change and growth. Confronting challenges and difficulties leads these participants to dance on the edge of disequilibrium and re-equilibrium in a foreign land; however, their lives and the lives of those around them will never be the same

Software Evaluation and Maintenance Cost,

This paper tries to explore the relationship between software evaluation and maintenance cost. A research model and hypotheses are proposed. Field study methodology will be used to collect data. Future research is needed to validate the research model

RBC volume deficiency in patients with excessive orthostatic decrease in cerebral blood flow velocity

AbstractBackgroundOrthostatic intolerance (OI) is common but heterogeneous. There is a subgroup of OI patients who have excessive decrease in cerebral blood flow velocity (CBFV) of bilateral middle cerebral arteries (MCAs) during head-up tilt without systemic blood pressure change. This study evaluated the role of blood volume reduction in such patients.MethodsPatients with idiopathic OI who had excessive orthostatic decrease (>20% of the supine level) in mean CBFV of bilateral MCAs and who also received blood volume determination were collected. The chromium (51Cr) dilution method was used for red blood cell (RBC) volume determination in these patients. The blood volume was expressed as a percentage of the expected volume. These patients were further divided into two groups, those with postural tachycardia syndrome (POTS group) and those without (non-POTS group). The data of RBC volume were compared between the two groups. Besides, we used multivariate linear regression to evaluate the factors that predict RBC volume.ResultsTwenty-five patients (13 females, median age = 28 years) were enrolled in this study. Nine of these patients had POTS (5 females, median age = 26 years) and 16 did not (8 females, median age = 29.5 years). Compared with the expected volume, the RBC volume was significantly reduced in all patients (median = 82% of the expected volume). Moreover, the RBC volume was significantly lower in the POTS group than that in the non-POTS group (78% vs. 85% of the expected volume, p = 0.013). The orthostatic decrease of MCA flow velocity was 28.3% in the POTS group and 32.5% in the non-POTS group (p = 0.140). The orthostatic pulsatility index increment was 15.4% in the POTS group and 20.5% in the non-POTS group (p = 0.438). Moreover, basic demography and hemoglobin levels were not different between the two groups. After multivariate linear regression (dependent variables including age, sex, body surface, and groups), only the presence of POTS significantly predicted the RBC volume (p = 0.006).ConclusionThe results of our study indicated that low RBC volume may play an important role in the pathophysiology of OI in this group of patients. Moreover, its role seems even more relevant in patients with POTS than in those without. Further studies for mechanistic evaluation are needed in the future

Oral Health Status of Chinese Paediatric and Adolescent Oncology Patients with Chemotherapy in Hong Kong: a Pilot Study

Aim: To study the oral health status of Chinese children and adolescents undergoing chemotherapy in Hong Kong. Method: All Chinese children and adolescent oncology patients aged 18 or below attending the Children's Centre for Cancer and Blood Disease at a hospital for chemotherapy were invited and parental consent was sought before they were accepted into the study. The study comprised of 1) a parental questionnaire, 2) the collection of medical history and 3) a clinical examination for tooth decay (caries) and mucosal status. Results: A total of 69 patients were invited, and they all participated in this study. Their mean age was 9.2±5.0 and 44 (64%) were males. Twenty-six patients (38%) had no caries experience (DMFT and/or dmft = 0). Higher caries experience was detected in participants that were not born in Hong Kong, had completed active chemotherapy, participated in school dental care service and whose parents had low educational levels. There were 41 patients with active chemotherapy, 24 of whom were diagnosed with acute leukaemia, 5 with haematological malignancies other than leukaemia and 11 with solid tumours. Antimetabolites, cytotoxic antibiotics, alkylating agents and plant alkaloids were administered in 49%, 32%, 24% and 22% of them, respectively. Twenty-six (63%) patients showed no mucosal complications. The most common oral complication was oral mucositis (24%) followed by petechiae (10%). Conclusion: About two-thirds of paediatric and adolescent cancer patients had caries experience, which was more common among those who had completed chemotherapy. Oral mucositis followed by petechiae were the two most common complications of receiving chemotherapy.published_or_final_versio

A Neural Network Decision Method for Software Maintenance Life Cycle Identification

The software maintenance life cycle concept is a powerful model in helping software maintenance planning. The operationalization of the life cycle concept requires a heuristic decision method. Although the heuristic decision method works most of the time, the method requires integration of different tools and sometimes leads to errors. In this paper, we propose a neural network decision method, which combines data smoothing and maintenance stage identification into one unit

Advances and perspectives of using stable isotope probing (SIP)-based technologies in contaminant biodegradation

Stable isotope probing (SIP) is a powerful tool to study microbial community structure and function in both nature and engineered environments. Coupling with advanced genomics and other techniques, SIP studies have generated substantial information to allow researchers to draw a clearer picture of what is occurring in complex microbial ecosystems. This review provides an overview of the advances of SIP-based technologies over time, summarizes the status of SIP applications to contaminant biodegradation, provides critical perspectives on ecological interactions within the community, and important factors (controllable and non-controllable) to be considered in SIP experimental designs and data interpretation. Current trend and perspectives of adapting SIP techniques for environmental applications are also discussed