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Need to Ignite Entrepreneurial Skills Among the Rural Youth: A Study in Madhya Pradesh 需要激发农村青年的创业技能:中央邦的一项研究
Q4 Environmental Science Pub Date : 2020-04-15 DOI: 10.31901/24566608.2020/70.1-3.3242
M. Uddin
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引用次数: 1
Selection and Use of Textbooks in Lesson Planning of Mathematics for Grade 4 Learners in East London Education District 东伦敦教育区四年级数学教案教材的选择与使用
Q4 Environmental Science Pub Date : 2020-03-02 DOI: 10.31901/24566608.2020/70.1-3.3219
E. Adu
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引用次数: 0
Perceptions in the management of colorectal peritoneal metastases: A bi-national survey of colorectal surgeons. 对结肠直肠腹膜转移瘤治疗的看法:一项针对两国结直肠外科医生的调查。
IF 1.4 Q4 Environmental Science Pub Date : 2019-10-30 eCollection Date: 2019-12-01 DOI: 10.1515/pp-2019-0022
Vignesh Narasimhan, Satish Warrier, Michael Michael, Jacob McCormick, Robert Ramsay, Craig Lynch, Alexander Heriot

Background: There is great variability in the uptake of cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) in the management of colorectal peritoneal metastases (CRPM) in Australia and New Zealand. This study aims to provide a snapshot of perceptions among colorectal surgeons in the management of CRPM.

Methods: A structured ten-question online survey was sent to all colorectal surgeons, with three questions on clinical experience and demographics, one on health economics and six on hypothetical clinical scenarios. Scores were collated and reported based on Likert scales.

Results: Eighty-one respondents (36.2%) completed the survey. Most surgeons (66.7%) strongly disagreed with offering CRS and HIPEC at all hospitals. The majority (87.7%) agreed that CRS and HIPEC offered a higher survival benefit than systemic chemotherapy in pseudomyxoma peritonei (PMP), and 69.1% in CRPM (comparators: 60.5% ovarian cancer, 14.8% gastric cancer). There were mixed strategies in managing low-volume, isolated peritoneal recurrences. The majority did not recommend second-look laparoscopy, but favoured operative management of Krukenberg tumours. In the presence of incidental peritoneal metastases, only 29.6% favoured biopsy only and referring the patient to a peritoneal disease centre.

Conclusions: Response rate was relatively low. In Australia and New Zealand, colorectal surgeons see a strong role for CRS and HIPEC in the management of PMP and CRPM. The role of "second look" surgery in high-risk cases is controversial and not supported. Krukenberg tumours are viewed as surgical disease. Regular updates and collaboration with peritoneal centres may help surgeons stay abreast with latest evidence in the field.

背景:在澳大利亚和新西兰,在结直肠腹膜转移瘤(CRPM)的治疗中,采用热腹腔化疗(HIPEC)进行细胞切除手术(CRS)的比例存在很大差异。本研究旨在了解结直肠外科医生对 CRPM 治疗的看法:向所有结直肠外科医生发送了一份包含十个问题的结构化在线调查,其中三个问题涉及临床经验和人口统计学,一个问题涉及卫生经济学,六个问题涉及假设性临床情景。根据李克特量表整理并报告得分:81名受访者(36.2%)完成了调查。大多数外科医生(66.7%)强烈反对在所有医院提供 CRS 和 HIPEC。大多数人(87.7%)认为,在假性腹膜瘤(PMP)中,CRS 和 HIPEC 比全身化疗的生存率更高;在 CRPM 中,CRS 和 HIPEC 的生存率为 69.1%(比较对象:60.5% 卵巢癌、14.8% 胃癌)。在处理低量、孤立的腹膜复发方面,各方的策略不尽相同。大多数人不建议进行二次腹腔镜检查,但倾向于对克鲁肯贝格肿瘤进行手术治疗。在出现偶然腹膜转移的情况下,仅有29.6%的人倾向于只进行活组织检查,并将患者转诊至腹膜疾病中心:结论:响应率相对较低。在澳大利亚和新西兰,结直肠外科医生认为 CRS 和 HIPEC 在治疗 PMP 和 CRPM 方面发挥着重要作用。在高风险病例中,"二次观察 "手术的作用存在争议,未得到支持。克鲁肯贝格肿瘤被视为外科疾病。定期更新并与腹膜中心合作可帮助外科医生了解该领域的最新证据。
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引用次数: 0
Determinants Influencing the Academic Achievement in Statistics Module: A Case Study of Undergraduate Students at the University of Fort Hare, South Africa 统计模块中影响学业成绩的决定因素:以南非黑尔堡大学本科生为例
Q4 Environmental Science Pub Date : 2019-10-08 DOI: 10.31901/24566608.2019/68.1-3.3138
R. Mutambayi
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引用次数: 1
Investigating the Effects of Amalgamation of Municipalities on Organisational Culture in Raymond Mhlaba Local Municipality in the Eastern Cape 东开普省Raymond Mhlaba地方市政当局合并对组织文化影响的调查
Q4 Environmental Science Pub Date : 2019-10-08 DOI: 10.31901/24566608.2019/68.1-3.3180
Akeem Adewale
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引用次数: 0
Impact of Discontinuation of Tobacco Cultivation in a Village in Andhra Pradesh 安得拉邦一个村庄停止烟草种植的影响
Q4 Environmental Science Pub Date : 2019-10-08 DOI: 10.31901/24566608.2019/68.1-3.3183
C. K. Kumar
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引用次数: 0
Bioaccumulation of Heavy Metals from Mining Effluents in the Tissues of Fish Puntius narayani 采矿废水中重金属在凤尾鱼组织中的生物积累
Q4 Environmental Science Pub Date : 2019-10-08 DOI: 10.31901/24566608.2019/68.1-3.3181
Nandini Vaz Fernandes
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引用次数: 0
Spatial Structure and Cultural Symbol: A Case Study of China’s Dong Ethnic Group Settlement Patterns 空间结构与文化符号——以中国侗族聚落格局为例
Q4 Environmental Science Pub Date : 2019-10-08 DOI: 10.31901/24566608.2019/68.1-3.3196
Jiang Youchun
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引用次数: 0
An Analysis of the Factors Influencing Participation by Smallholder Farmers in Indigenous Leafy Vegetables (ILVs) Production: A Case of Mapuzi Village, Eastern Cape Province of South Africa 影响小农参与乡土叶菜生产的因素分析——以南非东开普省马普兹村为例
Q4 Environmental Science Pub Date : 2019-10-08 DOI: 10.31901/24566608.2019/68.1-3.3162
A. Mayekiso
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引用次数: 1
Obstacles Confronting Rural Entrepreneurs in Eastern Cape Province of South Africa 南非东开普省农村企业家面临的障碍
Q4 Environmental Science Pub Date : 2019-10-08 DOI: 10.31901/24566608.2019/68.1-3.3194
Gebregziabher Gebreyesus Fiseha
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引用次数: 2
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Journal of Human Ecology
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