Developing an ESP Curriculum : English for Medical Clinics

The article is an attempt to (i) develop an ESP curriculum specifically related to medical secretary English, (ii) implement in a classroom, and (iii) examine whether it would be helpful for learners. In this regard, employing a theoretical model of ESP materials\u27 design, first a need analysis is conducted to decide the contents of a syllabus. In view of the syllabus, materials are designed following the instructions given in the model. Lastly, the effectiveness of the curriculum is argued based on the ESP learning theories and feedback comments given by the course participants. Implications are discussed as regards how the curriculum can be used for a wider range of English required in medical offices such as English for nurses, nurse-teacher-training staff, dental assistants and welfare office secretaries

A Simplified Curriculum and Methodology for Study Abroad Programs

日本の大学や学部等に留学のプログラムを提供する取り組みとして、100万ドル～200万ドル（1億ないし2億円）の財政補助金を増額するという文部科学省の支援策について、本論文では補助金よりも教育の中身や方法について、特に留学生のための英語に関連するカリキュラムを開発し、教室内での実践をとおしてそれが学生のための支援になるかどうかを検証することである。この点に関してはESPデザインの理論モデルを用いることにする。先ず、ESPデザインの「必要不可欠な分析」（Need Analysis）で、シラバスの内容を決めることが必要である。そのシラバスを見ることで、本質的な内容がそのモデルに与えられた指示に従って設計される。最後に、カリキュラムの有効性は、留学プログラムの参加者によって与えられた理論とフィードバックのコメント等に基づいたもので証明される（ことになる）

Numerical performance of thermal conductivity in Bioconvection flow of cross nanofluid containing swimming microorganisms over a cylinder with melting phenomenon

This study investigates the effects of melting phenomena and non-linear thermal radiation in Cross nanofluid bioconvection flow with motile microorganisms with a convective boundary over a cylinder. Brownian motion and thermophoresis diffusion are also taken into account in this mathematical model. A governing partial differential equation is used to represent the given flow phenomena. The proper dimensionless transformation is then employed to convert the PDE controlling system into an ordinary one. Bvp4c numerically solves redesigned ODE problems using a shooting strategy in the computational tool MATLAB. Figures versus velocity, temperature distribution, nanoparticle concentration, and microbe concentration profiles are used to analyze and expound on the notably involved aspects thoroughly. It has been demonstrated that increasing the estimates of a mixed convection parameter can enhance velocity. By increasing the Prandtl number, the temperature and concentration of nanoparticles decrease. A high Peclet value lowers the microorganism\u27s profile

Time-Lapse Electrical Resistivity Investigations for Imaging the Grouting Injection in Shallow Subsurface Cavities

The highway of Yongweol-ri, Muan-gun, south-western part of the South Korean Peninsula, is underlain by the abandoned of subsurface cavities, which were discovered in 2005. These cavities lie at shallow depths with the range of 5∼15 meters below the ground surface. Numerous subsidence events have repeatedly occurred in the past few years, damaging infrastructure and highway. As a result of continuing subsidence issues, the Korean Institute of Geosciences and Mineral Resources (KIGAM) was requested by local administration to resolve the issue. The KIGAM used geophysical methods to delineate subsurface cavities and improve more refined understanding of the cavities network in the study area. Cement based grouting has been widely employed in the construction industry to reinforce subsurface ground. In this research work, time-lapse electrical resistivity surveys were accomplished to monitor the grouting injection in the subsurface cavities beneath the highway, which have provided a quasi-real-time monitoring for modifying the subsurface cavities related to ground reinforcement, which would be difficult with direct methods. The results obtained from time-lapse electrical resistivity technique have satisfactory imaged the grouting injection experiment in the subsurface cavities beneath the highway. Furthermore, the borehole camera confirmed the presence of grouting material in the subsurface cavities, and hence this procedure increases the mechanical resistance of subsurface cavities below the highway

Reconstruction of soft tissue defects in Fournier’s gangrene at a tertiary care centre

Background: Fournier’s gangrene is an acute and potentially lethal multi-bacterial necrotizing infection that primarily involves the scrotum but may extend beyond its confines to perineum and abdominal wall. The disease may result in sepsis and death if treatment is delayed. Management consists of timely diagnosis, aggressive debridement, broad-spectrum antibiotics followed by reconstruction which still remains a surgical challenge.Methods: It is a prospective study conducted from Jan 2006 to Dec 2015 on 29 patients of Fournier’s gangrene who were referred to the department of Plastic and Reconstructive Surgery, Sheri-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, for reconstruction after initial debridement by general surgeon/urologist. The patient’s age, predisposing factors, site and the size of the defects, reconstructive options used and outcome were evaluated. Assessment of testicular function was done at 6 months by sperm count and morphology.Results: A total of 29 patients of Fournier’s gangrene consisting of 28 males and one female were included in the study. The mean age was 37 years and the most common comorbidity was diabetes mellitus in 18 patients (62%). Wounds were allowed to heal by secondary intension in 8 patients. Scrotal advancement flap was done in seven patients. Split thickness skin grafting (STSG) of extensive wounds was done in 11 patients and testes were placed in medial thigh subcutaneous pocket in one patient. Two elderly diabetic patients succumbed to sepsis and multi organ failure. Overall complication rate was 18.5%.Conclusions: Thorough debridement and early wound cover are essential in the management of Fournier’s gangrene for successful rehabilitation. Various reconstructive options are available with no conclusive evidence to support flap rather than skin graft and most of the procedures result in preservation of testicular function in the long term

Surface modification for osseointegration of Ti6Al4V ELI using powder mixed sinking EDM

Biomedical implant rejection due to micromotion and inflammation around an implant leads to osteolysis and eventually has an implant failure because of poor osseointegration. To enhance osseointegration, the implant surface modification both at the nano and micro-scale levels is preferred to result in an enhanced interface between the body tissue and implant. The present study focuses on the modification of the surface of Titanium (α+β) ELI medical grade alloy using powder-mixed electric discharge machining (PMEDM). Pulse current, on/off time, and various silicon carbide (SiC) powder concentrations are used as input parameters to comprehend desired surface modifications. Powder concentration is considered as the most important factor to control surface roughness and recast layer depth. A significant decrease in surface fracture density and roughness is observed using a 20 g/l concentration of SiC particles. Elemental mapping analysis has confirmed the migration of Si and the generation of promising surface texture and chemistry. Oxides and carbides enriched surface improved the microhardness of the re-solidified layer from 320 HV to 727 HV. Surface topology reveals nano-porosity (50–200 nm) which enhances osseointegration due to the absorption of proteins especially collagen to the surface