Background Among the rare functional pancreatic neuroendocrine tumors, insulinoma is the most common. The tumor is on most cases an intraparenchymal solitary mass. The pathophysiological finding of insulinoma is hypoglycaemia, often severe, manifested with non-specific symptoms, which makes the diagnosis difficult. Hypoglycaemia in insulinoma is organic and confirmed with elevated levels of serum insulin after a prolonged fasting test. Localization of the tumor is the next diagnostic challenge. A combination of tomographic imaging techniques such as MRI and CT scan, endoscopic ultrasonogram and nuclear medicine has improved the preoperative evaluation. The mainstay treatment of insulinoma is surgery, which has evolved from blind pancreatectomy to surgical excision by enucleation. Case presentation The 44 years old female patient was transferred to the Endocrinology Department of “Mother Theresa” University Hospital Tirana, Albania for examining the cause of hypoglycaemia. Following a MRCP with contrast, an insulinoma at the level of the body of pancreas was noted. Its dimensions reach 11mm. The joint staff consult recommended a surgical treatment. Reviewing omental bursa, we find a formation at the level of the body of pancreas.The margins of the pancreas are carefully dissected and simultaneously the pancreatic capsula at the formation level is prepared step by step, ensuring hemostasis and continuity of the ductus of Wirsung. The extirpation of insulinoma is achieved, without damaging the pancreatic duct, as such a complication would require another treatment modality. Discussion The preoperative evaluation of insulinoma patients is a crucial aspect of the successful treatment. Patients should be thoroughly questioned for the lifestyle habits and diet; also, complete hormonal panel and tests should be performed for organic hypoglycaemia. Next step on the correct diagnosis is the imaging and tumor location. It is advised to perform triphasic abdominal Computed Tomography. With the development of Endoscopic Ultrasound, it has cemented its role as a sensitive and reliable examination, capable of fine needle aspiration when indicated. Other procedures include Magnetic Resonance Imaging (MRCP), PET/CT and somatostatin receptor scintigraphy. The surgical approach is dependent on the location of the tumor and its distance to the Wirsung ductus. Some procedures include caudal pancreatectomy, resection of the uncinate process, central pancreatectomy. Enucleation is advised wherever possible to preserve parenchyma. Conclusion When the tumor has been evidenced, the next step for the surgeons to decide the best surgical procedure (excision and parynchyma sparing, or pancreatectomy). The open surgical approach is currently advised as there is no clear consensus on the benefits of the minimal invasive laparoscopic route. On this specific case the abdominal computed tomography was unable to identify the location of the tumor. Other diagnostic options are thus
{"title":"Surgical Treatment of Insulinoma – Case Report","authors":"","doi":"10.7176/jep/14-29-03","DOIUrl":"https://doi.org/10.7176/jep/14-29-03","url":null,"abstract":"Background Among the rare functional pancreatic neuroendocrine tumors, insulinoma is the most common. The tumor is on most cases an intraparenchymal solitary mass. The pathophysiological finding of insulinoma is hypoglycaemia, often severe, manifested with non-specific symptoms, which makes the diagnosis difficult. Hypoglycaemia in insulinoma is organic and confirmed with elevated levels of serum insulin after a prolonged fasting test. Localization of the tumor is the next diagnostic challenge. A combination of tomographic imaging techniques such as MRI and CT scan, endoscopic ultrasonogram and nuclear medicine has improved the preoperative evaluation. The mainstay treatment of insulinoma is surgery, which has evolved from blind pancreatectomy to surgical excision by enucleation. Case presentation The 44 years old female patient was transferred to the Endocrinology Department of “Mother Theresa” University Hospital Tirana, Albania for examining the cause of hypoglycaemia. Following a MRCP with contrast, an insulinoma at the level of the body of pancreas was noted. Its dimensions reach 11mm. The joint staff consult recommended a surgical treatment. Reviewing omental bursa, we find a formation at the level of the body of pancreas.The margins of the pancreas are carefully dissected and simultaneously the pancreatic capsula at the formation level is prepared step by step, ensuring hemostasis and continuity of the ductus of Wirsung. The extirpation of insulinoma is achieved, without damaging the pancreatic duct, as such a complication would require another treatment modality. Discussion The preoperative evaluation of insulinoma patients is a crucial aspect of the successful treatment. Patients should be thoroughly questioned for the lifestyle habits and diet; also, complete hormonal panel and tests should be performed for organic hypoglycaemia. Next step on the correct diagnosis is the imaging and tumor location. It is advised to perform triphasic abdominal Computed Tomography. With the development of Endoscopic Ultrasound, it has cemented its role as a sensitive and reliable examination, capable of fine needle aspiration when indicated. Other procedures include Magnetic Resonance Imaging (MRCP), PET/CT and somatostatin receptor scintigraphy. The surgical approach is dependent on the location of the tumor and its distance to the Wirsung ductus. Some procedures include caudal pancreatectomy, resection of the uncinate process, central pancreatectomy. Enucleation is advised wherever possible to preserve parenchyma. Conclusion When the tumor has been evidenced, the next step for the surgeons to decide the best surgical procedure (excision and parynchyma sparing, or pancreatectomy). The open surgical approach is currently advised as there is no clear consensus on the benefits of the minimal invasive laparoscopic route. On this specific case the abdominal computed tomography was unable to identify the location of the tumor. Other diagnostic options are thus","PeriodicalId":37226,"journal":{"name":"International Journal of Education and Practice","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136199410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Teaching soft skills to higher education students is an essential step towards the integration of their competence into the workplace context. However, the nature of the curriculum students of humanities have questions its efficiency to help them acquire these essential skills. In this context, this paper explores the role of teaching “Introduction to Cultural Studies,” as a case study, to the students of the English Department. Undeniably, Soft skills are referred to as transferrable skills that can be acquired via the experience of employers. Still, many graduates do not have the same opportunity to have adequate experience that can qualify them to have a job in the first place. In this sense, this examines to what extent the assigned curriculum of the English Department can prepare a student for a productive integration into the job market. Keywords: Soft Skill, Students of Humanities, Cultural Studies, Job Market DOI: 10.7176/JEP/14-30-02 Publication date: October 31 st 2023
{"title":"Teaching Soft Skills to Students of Humanities: A Cultural Perspective","authors":"","doi":"10.7176/jep/14-30-02","DOIUrl":"https://doi.org/10.7176/jep/14-30-02","url":null,"abstract":"Teaching soft skills to higher education students is an essential step towards the integration of their competence into the workplace context. However, the nature of the curriculum students of humanities have questions its efficiency to help them acquire these essential skills. In this context, this paper explores the role of teaching “Introduction to Cultural Studies,” as a case study, to the students of the English Department. Undeniably, Soft skills are referred to as transferrable skills that can be acquired via the experience of employers. Still, many graduates do not have the same opportunity to have adequate experience that can qualify them to have a job in the first place. In this sense, this examines to what extent the assigned curriculum of the English Department can prepare a student for a productive integration into the job market. Keywords: Soft Skill, Students of Humanities, Cultural Studies, Job Market DOI: 10.7176/JEP/14-30-02 Publication date: October 31 st 2023","PeriodicalId":37226,"journal":{"name":"International Journal of Education and Practice","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136198653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The usage of Smartphone among students is an emerging trend in Nigeria as higher institutions now incorporates mobile learning devices into their curriculum. This study sets to investigate the effects of smartphones usage on academic performance among higher learning students, using data obtained from 91 students via questionnaire schedules, and analysed using descriptive statistics and logit regression. About 51% of the respondents are males while 49% are females. Also, most of the respondents (89%) used smartphone for both social and academic purposes, and Whatsapp was the most (70%) used of the social networking platforms. Most of the respondents (45%) has CGPA ranging between 2.4-3.49, while only about 1% has CGPA below 2.0. About 6% of the 81 students (89%) who use tablet for both academic and social purposes has CGPA of 4.5 and above while only about 1% has CGPA below 2.0 and in the case of those who utilised their tablets solely for academic purposes, none has CGPA of 4.5 and above but about 33.33% has CGPA of 2.0-4.49. Level of study, and average time spent on studying, are both significant at (p<0.05), while Primary usage was found to be significant at (p<0.1). It was recommended that smartphone usage should be fully incorporated into the educational curriculum in post- secondary and tertiary institution, for enhanced academic performance besides making them readily available at affordable prices at good quality. Educators should be encouraged to be active on social platforms in to enhance students-teacher interactions/engagements. Keywords: Smartphones, Multimedia, Academic performance, Tertiary learners, University of Ilorin. DOI: 10.7176/JEP/14-30-01 Publication date: October 31 st 2023
{"title":"Smartphone Incorporated Learning and Its Effects on Academic Performance Among Tertiary Learners: Evidence from University of Ilorin Students","authors":"","doi":"10.7176/jep/14-30-01","DOIUrl":"https://doi.org/10.7176/jep/14-30-01","url":null,"abstract":"The usage of Smartphone among students is an emerging trend in Nigeria as higher institutions now incorporates mobile learning devices into their curriculum. This study sets to investigate the effects of smartphones usage on academic performance among higher learning students, using data obtained from 91 students via questionnaire schedules, and analysed using descriptive statistics and logit regression. About 51% of the respondents are males while 49% are females. Also, most of the respondents (89%) used smartphone for both social and academic purposes, and Whatsapp was the most (70%) used of the social networking platforms. Most of the respondents (45%) has CGPA ranging between 2.4-3.49, while only about 1% has CGPA below 2.0. About 6% of the 81 students (89%) who use tablet for both academic and social purposes has CGPA of 4.5 and above while only about 1% has CGPA below 2.0 and in the case of those who utilised their tablets solely for academic purposes, none has CGPA of 4.5 and above but about 33.33% has CGPA of 2.0-4.49. Level of study, and average time spent on studying, are both significant at (p<0.05), while Primary usage was found to be significant at (p<0.1). It was recommended that smartphone usage should be fully incorporated into the educational curriculum in post- secondary and tertiary institution, for enhanced academic performance besides making them readily available at affordable prices at good quality. Educators should be encouraged to be active on social platforms in to enhance students-teacher interactions/engagements. Keywords: Smartphones, Multimedia, Academic performance, Tertiary learners, University of Ilorin. DOI: 10.7176/JEP/14-30-01 Publication date: October 31 st 2023","PeriodicalId":37226,"journal":{"name":"International Journal of Education and Practice","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136198899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background A gastro-intestinal stromal tumour is a type of cancer that develops in the wall of the digestive tract. Its origin is a debated topic. The most common location in the gastrointestinal tract is the stomach, small intestine, colon esophagus and in rare occasions in the duodenum (approximately 4% incidence). For the most part GISTs may be asymptomatic, as the volume of the tumor grows, so do complications and signs arise. Current protocols support the treatment by resectional surgery and targeted therapy, most commonly with imatinib. As lymph node involvement is uncommon, lymphatic curage is not recommended and a more conservative surgical approach is possible, depending on the location of the tumor. Case presentation Our patient is a 60 years old male admitted to the Gastro-enterology department for the diagnosis of acute gastro-intestinal hemorrhage, manifested with haematochezia. He was treated on the course of 3 days conservatively and resuscitated to correct anaemia. The diagnosis of D4 GIST is confirmed via fibro-gastro-duodenoscopy. The patient is prepared for surgery. Due to clear margins of resection an no involvement of pancreas and superior mesenteric vessels, a segmental resection of D4 and part of D3 is performed, followed by a duodeno-jejunal end-to-end anastomosis. The patient was discharged in good health on the 14 th post-operative day. Discussion Due to the complex anatomy of the duodenum and special relationships with adjacent organs many authors recommend a pancreatico-duodenectomy as clear margins are difficult to attain. Other authors support the local excision of the tumor due to the high morbidity and risk of a Whipple procedure. In cases where local excision is feasible, the defect is closed by primary rraphy or Roux-en-Y duodeno-jejunostomy. On the technical aspect, studies do not support the excision of wider clear margins around the tumor. Local recurrence is a more prominent feature of adenocarcinomas, whereas GISTs do recur in distant locations. Surgical resection of GISTs is guided by tumor size, infiltration and adjacency to other organs, most importantly the papilla Vater. Conclusion Current protocols for D4 or jejunal GISTs support the segmental resection and end-to-end duodeno-jejunal anastomosis or side-to-side anastomosis. In our case the pancreas and the superior mesenteric vessels were not involved and the tumor was 30mm in size. As a result of the non-infiltrative nature of this tumor and relatively small size its resection was successfully performend, followed by end-to-end anastomosis of the duodenum and jejunum. Keywords: General Surgery, Duodenal Cancer, GIST, Duodenal Resection, Duodeno-Jejunal Anastomosis. DOI: 10.7176/JEP/14-29-02 Publication date: October 31 st 2023
{"title":"D4 Duodenal GIST Presenting with Acute GI Hemorrhage – Case Report","authors":"","doi":"10.7176/jep/14-29-02","DOIUrl":"https://doi.org/10.7176/jep/14-29-02","url":null,"abstract":"Background A gastro-intestinal stromal tumour is a type of cancer that develops in the wall of the digestive tract. Its origin is a debated topic. The most common location in the gastrointestinal tract is the stomach, small intestine, colon esophagus and in rare occasions in the duodenum (approximately 4% incidence). For the most part GISTs may be asymptomatic, as the volume of the tumor grows, so do complications and signs arise. Current protocols support the treatment by resectional surgery and targeted therapy, most commonly with imatinib. As lymph node involvement is uncommon, lymphatic curage is not recommended and a more conservative surgical approach is possible, depending on the location of the tumor. Case presentation Our patient is a 60 years old male admitted to the Gastro-enterology department for the diagnosis of acute gastro-intestinal hemorrhage, manifested with haematochezia. He was treated on the course of 3 days conservatively and resuscitated to correct anaemia. The diagnosis of D4 GIST is confirmed via fibro-gastro-duodenoscopy. The patient is prepared for surgery. Due to clear margins of resection an no involvement of pancreas and superior mesenteric vessels, a segmental resection of D4 and part of D3 is performed, followed by a duodeno-jejunal end-to-end anastomosis. The patient was discharged in good health on the 14 th post-operative day. Discussion Due to the complex anatomy of the duodenum and special relationships with adjacent organs many authors recommend a pancreatico-duodenectomy as clear margins are difficult to attain. Other authors support the local excision of the tumor due to the high morbidity and risk of a Whipple procedure. In cases where local excision is feasible, the defect is closed by primary rraphy or Roux-en-Y duodeno-jejunostomy. On the technical aspect, studies do not support the excision of wider clear margins around the tumor. Local recurrence is a more prominent feature of adenocarcinomas, whereas GISTs do recur in distant locations. Surgical resection of GISTs is guided by tumor size, infiltration and adjacency to other organs, most importantly the papilla Vater. Conclusion Current protocols for D4 or jejunal GISTs support the segmental resection and end-to-end duodeno-jejunal anastomosis or side-to-side anastomosis. In our case the pancreas and the superior mesenteric vessels were not involved and the tumor was 30mm in size. As a result of the non-infiltrative nature of this tumor and relatively small size its resection was successfully performend, followed by end-to-end anastomosis of the duodenum and jejunum. Keywords: General Surgery, Duodenal Cancer, GIST, Duodenal Resection, Duodeno-Jejunal Anastomosis. DOI: 10.7176/JEP/14-29-02 Publication date: October 31 st 2023","PeriodicalId":37226,"journal":{"name":"International Journal of Education and Practice","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136198905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The study aimed to investigate the extent to which students’ epistemological beliefs in the dimension of certainty of knowledge acquisition relate to performance in physics. The study used a mixed-methods research approach that included philosophical analysis, a descriptive survey, and a correlational analysis. The sample size comprised 310 form two students, 60 physics teachers, and 20 heads of the science department. Quantitative data was analyzed using descriptive and inferential statistics. Qualitative data was analyzed through a thematic approach. The study revealed a positive correlation between sophisticated beliefs in the certainty of knowledge and performance in physics. The researcher concluded that sophisticated beliefs in certainty of knowledge contribute towards better performance in physics. The study suggests the implementation of strategies aimed at fostering the development and adoption of sophisticated epistemological beliefs in the certainty of knowledge among students to enhance their performance in physics. The outcome of this study can inform educational policymakers, curriculum developers, and teachers in Kenya to design interventions that promote the development of students’ epistemological beliefs in certainty of knowledge to stimulate performance in physics. Keywords: Certainty of knowledge, Epistemological belief, Knowledge acquisition, Physics performance, Secondary school DOI: 10.7176/JEP/14-28-02 Publication date: October 31 st 2023
{"title":"Certainty of Knowledge and Performance of Physics among Secondary School Students in Tharaka-Nithi County, Kenya","authors":"","doi":"10.7176/jep/14-28-02","DOIUrl":"https://doi.org/10.7176/jep/14-28-02","url":null,"abstract":"The study aimed to investigate the extent to which students’ epistemological beliefs in the dimension of certainty of knowledge acquisition relate to performance in physics. The study used a mixed-methods research approach that included philosophical analysis, a descriptive survey, and a correlational analysis. The sample size comprised 310 form two students, 60 physics teachers, and 20 heads of the science department. Quantitative data was analyzed using descriptive and inferential statistics. Qualitative data was analyzed through a thematic approach. The study revealed a positive correlation between sophisticated beliefs in the certainty of knowledge and performance in physics. The researcher concluded that sophisticated beliefs in certainty of knowledge contribute towards better performance in physics. The study suggests the implementation of strategies aimed at fostering the development and adoption of sophisticated epistemological beliefs in the certainty of knowledge among students to enhance their performance in physics. The outcome of this study can inform educational policymakers, curriculum developers, and teachers in Kenya to design interventions that promote the development of students’ epistemological beliefs in certainty of knowledge to stimulate performance in physics. Keywords: Certainty of knowledge, Epistemological belief, Knowledge acquisition, Physics performance, Secondary school DOI: 10.7176/JEP/14-28-02 Publication date: October 31 st 2023","PeriodicalId":37226,"journal":{"name":"International Journal of Education and Practice","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136199133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Educational corruption has both short-and-long term effects on the educational system, and the society at large. It has many ways of manifesting, one of which is examination malpractice. This paper conceptualizes examination malpractice and considers its types, causes and effects. It further puts forward a number of specialized ICT tools that, if well utilized, will help checkmate examination malpractice in our educational institutions to include biometric machine, Closed Circuit Television (CCTV), body scanner, metal detector, signal detector, among others. Keywords: Engaging, specialized Information and Communication Technology (ICT) tools, combating, examination malpractice, educational institutions. DOI: 10.7176/JEP/14-29-06 Publication date: October 31 st 2023
{"title":"Engaging Specialized Information and Communication Technology (ICT) Tools in Combating Examination Malpractice in Educational Institutions","authors":"","doi":"10.7176/jep/14-29-06","DOIUrl":"https://doi.org/10.7176/jep/14-29-06","url":null,"abstract":"Educational corruption has both short-and-long term effects on the educational system, and the society at large. It has many ways of manifesting, one of which is examination malpractice. This paper conceptualizes examination malpractice and considers its types, causes and effects. It further puts forward a number of specialized ICT tools that, if well utilized, will help checkmate examination malpractice in our educational institutions to include biometric machine, Closed Circuit Television (CCTV), body scanner, metal detector, signal detector, among others. Keywords: Engaging, specialized Information and Communication Technology (ICT) tools, combating, examination malpractice, educational institutions. DOI: 10.7176/JEP/14-29-06 Publication date: October 31 st 2023","PeriodicalId":37226,"journal":{"name":"International Journal of Education and Practice","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136198907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
As a model of China’s political documents, the three volumes of Xi Jinping: The Governance of China is not only of great and profound thoughts, but its language is also very beautiful and highly expressive. This thesis takes as the research object the allusions in Xi Jinping: The Governance of China . Such allusions fall into the five categories of proverbs, aphorisms, buzzwords, two-part allegorical sayings as well as classical Chinese poems and essays. Besides, the thesis analyzes the rhetorical features of the five types of allusions and discusses factors affecting the translation of allusions from the aspects of rhetoric and culture. It is found that the corresponding, omission-based, addition-based and supplementary translation strategies used in the English version contribute to the successful reproduction of President Xi Jinping’s language style and charm, which adds to the construction of China’s international discourse system. This study not only helps the English learners learn about translation strategies and methods, but it also helps them to better understand the connotation and significance of important political documents such as Xi Jinping: The Governance of China . Keywords: Xi Jinping: The Governance of China ; allusions; translation strategies DOI: 10.7176/JEP/14-30-03 Publication date: October 31 st 2023
{"title":"A Study of the Translation of Allusions in Xi Jinping: The Governance of China","authors":"","doi":"10.7176/jep/14-30-03","DOIUrl":"https://doi.org/10.7176/jep/14-30-03","url":null,"abstract":"As a model of China’s political documents, the three volumes of Xi Jinping: The Governance of China is not only of great and profound thoughts, but its language is also very beautiful and highly expressive. This thesis takes as the research object the allusions in Xi Jinping: The Governance of China . Such allusions fall into the five categories of proverbs, aphorisms, buzzwords, two-part allegorical sayings as well as classical Chinese poems and essays. Besides, the thesis analyzes the rhetorical features of the five types of allusions and discusses factors affecting the translation of allusions from the aspects of rhetoric and culture. It is found that the corresponding, omission-based, addition-based and supplementary translation strategies used in the English version contribute to the successful reproduction of President Xi Jinping’s language style and charm, which adds to the construction of China’s international discourse system. This study not only helps the English learners learn about translation strategies and methods, but it also helps them to better understand the connotation and significance of important political documents such as Xi Jinping: The Governance of China . Keywords: Xi Jinping: The Governance of China ; allusions; translation strategies DOI: 10.7176/JEP/14-30-03 Publication date: October 31 st 2023","PeriodicalId":37226,"journal":{"name":"International Journal of Education and Practice","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136199125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Intraabdominal abscesses are collections of pus or infected material, surrounded by inflammatory tissues in the abdominal cavity. Clinically they are manifested with fever, abdominal pain, malaise, weakness, change in bowel habits, etc. On physical examination a palpable, swollen and tender mass of the abdomen may be noted. Blood tests may show an elevated number of leucocytes with the predominance of neutrophiles. Also, inflammation markers such as CRP, ESR and procalcitonin may be elevated. Diagnosis of an abdominal abscess is confirmed, but not limited to Computed Tomography, Ultrasound, MRI. Antibiotic therapy may be of use treating the cause of the abdominal abscess, however once the abcess is formed, antibiotics lose their effectiveness. Percutaneous drainage, laparoscopic or open surgery are the options for the definite treatment of intraabdominal abscesses. Case presentation Our patient is a 70 years old male with a past surgical history of a laparoscopic cholecystectomy 5 years prior to the current events. He presents to the surgical department for a lumbar region abscess which had been drained three times for the past 6 months. On clinical examination a considerable reddish tumefaction on the right lumbar region evacuates upon incision a moderate amount of odourless pus. An abdominal CT shows a subphrenic and subhepatic abscess with a communicating trajectory from the abscess to the skin opening in the lumbar region. Contrast MRI confirms the presence of numerous stones inside the subhepatic collection. The abscess was drained via open surgery and residual gallstones were removed. The patient recovers well. Discussion Only after the development of laparoscopic technique, cases of abdominal abscesses due to residual stones have started to appear in the literature, hence the name “disease of medical progress”. Studies show that between 5-40% of laparoscopic cholecystectomies are complicated by gallbladder perforation and stone spillage, more commonly in acute inflammation cases. 15-50% of the spilled stones are not retrieved and may migrate and cause significant complications. Most of the abdominal abscesses from residual gallstones form in the first year after cholecystectomy, or many years later. Compliances rate following gallstone spillage vary widely from 0.04% to 19%. Cases of acute cholecystitis, male sex, old age, number of lost stones greater than 15, diameter over 15mm and perihepatic localization are predictors of severe morbidity. Conclusion There is no clear consensus on the treatment and management of lost gallstones during cholecystectomy, but every attempt should be made to collect spilled stones. Surgeons should document cases of lost and unretrievable gallstones and inform patients, as complications may be rare but severe and demand more often than not open surgery. Keywords: General Surgery, Laparoscopic Cholecystectomy, Residual Gallstones, Perihepatic Abscess. DOI: 10.7176/JEP/14-29-04 Publication date: Oct
{"title":"Perihepatic Abscess due to Remnant Gallstones Post-Cholecystectomy – Case Report","authors":"","doi":"10.7176/jep/14-29-04","DOIUrl":"https://doi.org/10.7176/jep/14-29-04","url":null,"abstract":"Background Intraabdominal abscesses are collections of pus or infected material, surrounded by inflammatory tissues in the abdominal cavity. Clinically they are manifested with fever, abdominal pain, malaise, weakness, change in bowel habits, etc. On physical examination a palpable, swollen and tender mass of the abdomen may be noted. Blood tests may show an elevated number of leucocytes with the predominance of neutrophiles. Also, inflammation markers such as CRP, ESR and procalcitonin may be elevated. Diagnosis of an abdominal abscess is confirmed, but not limited to Computed Tomography, Ultrasound, MRI. Antibiotic therapy may be of use treating the cause of the abdominal abscess, however once the abcess is formed, antibiotics lose their effectiveness. Percutaneous drainage, laparoscopic or open surgery are the options for the definite treatment of intraabdominal abscesses. Case presentation Our patient is a 70 years old male with a past surgical history of a laparoscopic cholecystectomy 5 years prior to the current events. He presents to the surgical department for a lumbar region abscess which had been drained three times for the past 6 months. On clinical examination a considerable reddish tumefaction on the right lumbar region evacuates upon incision a moderate amount of odourless pus. An abdominal CT shows a subphrenic and subhepatic abscess with a communicating trajectory from the abscess to the skin opening in the lumbar region. Contrast MRI confirms the presence of numerous stones inside the subhepatic collection. The abscess was drained via open surgery and residual gallstones were removed. The patient recovers well. Discussion Only after the development of laparoscopic technique, cases of abdominal abscesses due to residual stones have started to appear in the literature, hence the name “disease of medical progress”. Studies show that between 5-40% of laparoscopic cholecystectomies are complicated by gallbladder perforation and stone spillage, more commonly in acute inflammation cases. 15-50% of the spilled stones are not retrieved and may migrate and cause significant complications. Most of the abdominal abscesses from residual gallstones form in the first year after cholecystectomy, or many years later. Compliances rate following gallstone spillage vary widely from 0.04% to 19%. Cases of acute cholecystitis, male sex, old age, number of lost stones greater than 15, diameter over 15mm and perihepatic localization are predictors of severe morbidity. Conclusion There is no clear consensus on the treatment and management of lost gallstones during cholecystectomy, but every attempt should be made to collect spilled stones. Surgeons should document cases of lost and unretrievable gallstones and inform patients, as complications may be rare but severe and demand more often than not open surgery. Keywords: General Surgery, Laparoscopic Cholecystectomy, Residual Gallstones, Perihepatic Abscess. DOI: 10.7176/JEP/14-29-04 Publication date: Oct","PeriodicalId":37226,"journal":{"name":"International Journal of Education and Practice","volume":"135 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136198900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study focused on identifying Vietnamese English as a foreign language (EFL) students’ perception of their challenges in doing the IELTS reading test and corresponding strategies to cope with these challenges. The study involved eighty-nine English majors at Can Tho University, and data were collected via a questionnaire administered to all participants and interviews conducted with 10 random students. The results showed that Vietnamese EFL students encountered a number of challenges in doing IELTS reading tests, among which lack of vocabulary and time constraint for the tests were two most noticeable difficulties. The results also revealed that the students in the study frequently employed text related, question related, and general practical strategies for doing the reading test in IELTS. Based on the findings, more opportunities to expose students to tests as well as an integration of instruction on test-taking strategies were suggested. Keywords: EFL Vietnamese students, IELTS reading test, reading strategies, test-taking techniques DOI: 10.7176/JEP/14-28-03 Publication date: October 31 st 2023
{"title":"IELTS Reading: Perceived Challenges and Strategies by Vietnamese University English Majors","authors":"","doi":"10.7176/jep/14-28-03","DOIUrl":"https://doi.org/10.7176/jep/14-28-03","url":null,"abstract":"This study focused on identifying Vietnamese English as a foreign language (EFL) students’ perception of their challenges in doing the IELTS reading test and corresponding strategies to cope with these challenges. The study involved eighty-nine English majors at Can Tho University, and data were collected via a questionnaire administered to all participants and interviews conducted with 10 random students. The results showed that Vietnamese EFL students encountered a number of challenges in doing IELTS reading tests, among which lack of vocabulary and time constraint for the tests were two most noticeable difficulties. The results also revealed that the students in the study frequently employed text related, question related, and general practical strategies for doing the reading test in IELTS. Based on the findings, more opportunities to expose students to tests as well as an integration of instruction on test-taking strategies were suggested. Keywords: EFL Vietnamese students, IELTS reading test, reading strategies, test-taking techniques DOI: 10.7176/JEP/14-28-03 Publication date: October 31 st 2023","PeriodicalId":37226,"journal":{"name":"International Journal of Education and Practice","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136199407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The attitude and behaviour of individuals toward national development today would determine how prepared we are for the future and how the environment will respond to us in the future. Hence this study sought to examine pre-service science education teachers’ awareness of STEM education and attitude towards it. The research adopted the descriptive survey of the correlation type, and 400 pre-service teachers were randomly selected for the study. The questionnaire was distributed to 400 pre-service teachers in three colleges of education in Oyo State, Nigeria with 310 duly filled and returned. Mean, Multiple Regression and t-tests were used for data analysis. Findings revealed that pre-service teachers in the colleges of education have a high level of awareness level of STEM education, they also found that the pre-service teachers had favourable attitudes toward STEM education for national development. The study, therefore, recommended among others that the schools where teachers are trained for the future should restructure their curriculum to incorporate STEM education that informs the trainee teachers of the significant roles, they can play in achieving national development through STEM and most importantly promote its knowledge in their classroom. Keywords: Pre-service Science Teachers, STEM Education, Attitude, National Developments DOI: 10.7176/JEP/14-29-05 Publication date: October 31 st 2023
{"title":"Pre-Service Teachers’ Awareness and Attitude Toward STEM Education as a Panacea for National Development","authors":"","doi":"10.7176/jep/14-29-05","DOIUrl":"https://doi.org/10.7176/jep/14-29-05","url":null,"abstract":"The attitude and behaviour of individuals toward national development today would determine how prepared we are for the future and how the environment will respond to us in the future. Hence this study sought to examine pre-service science education teachers’ awareness of STEM education and attitude towards it. The research adopted the descriptive survey of the correlation type, and 400 pre-service teachers were randomly selected for the study. The questionnaire was distributed to 400 pre-service teachers in three colleges of education in Oyo State, Nigeria with 310 duly filled and returned. Mean, Multiple Regression and t-tests were used for data analysis. Findings revealed that pre-service teachers in the colleges of education have a high level of awareness level of STEM education, they also found that the pre-service teachers had favourable attitudes toward STEM education for national development. The study, therefore, recommended among others that the schools where teachers are trained for the future should restructure their curriculum to incorporate STEM education that informs the trainee teachers of the significant roles, they can play in achieving national development through STEM and most importantly promote its knowledge in their classroom. Keywords: Pre-service Science Teachers, STEM Education, Attitude, National Developments DOI: 10.7176/JEP/14-29-05 Publication date: October 31 st 2023","PeriodicalId":37226,"journal":{"name":"International Journal of Education and Practice","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136198911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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