An observational study was conducted at airline departure gates in several U.S. and European countries. Thirty-second observations were randomly made of 1360 different individuals ranging in age from infants to the elderly, although 79% of the travelers were adults. Most of the individuals were traveling with someone, except for adults who were more often traveling alone (58% vs. 42% time). Of the different types of social interaction and social media observed, cell phone texting/scrolling was significantly more frequently observed (at 53% time) than cell phone talking (13 % time), face-to-face interaction (13% time), on computer (7%) and touching (4%) which was the least frequently observed behavior. Significantly more cell phone texting/scrolling time occurred when adults were traveling alone (58% time). These data suggest that airline travelers are spending significantly more airport departure gate time on social media (specifically cell phone texting/scrolling) than face-to-face interaction or touching. Unfortunately, the observations that were made by professors and students were from too great a distance (10 feet away) in order to be unobtrusive but unable to code the precise type of cell phone texting/scrolling that was occurring.
Introduction After mastectomies, we do our reconstruction, either immediately or delayed. In both ways of reconstruction for post mastectomies defect, the most commonly performed reconstruction is by using breast prosthesis . For many years, surgeons have been trying to find out any solution to reduce the rate of implant exposure and develop some new techniques and modifications. However, once the infection develops or implant expose the only permanent solution is to remove the implant [2-3]. Although there is less evidence found in the literature regarding the salvage of implant once the infection occurs and when implant becomes expose in implant-based reconstruction . Radiation also plays additional role in post-operative complication rates following implant-based breast reconstruction, as it is well documented that the incidence of complications is to be higher in radiated breasts compare to similar non-radiated breasts . With the new advancement in radiation therapy the number of patients have been increasing who are receiving radiation therapy after immediate breast reconstruction . Description of the Technique For more than 15 years we have been reconstructing the breasts deformities after different types of mastectomies, ranging from skin sparing, nipple areola sparing to different types of lumpectomies, by immediate insertion of breast implants. The main problem which we face during post-reconstruction, is the exposure of implant in addition to infection. With the advent of ADM (Artificial Dermal Matrix) , serratus anterior muscle , rectus fascial flap  and inferior dermal flaps  although they do an addition to thickness of skin envelop over the implant after mastectomy, but still the rate of implant exposure has not changed noticeably. It has been well understood that of ADM expose in air it dries immediately which later on results in implant exposure. Meanwhile we have developed a novel tech- nique to augment the soft tissue…
A rare case of adult ileo-colic intussusception: Hamartomatous polyp as a lead point with concurrent appendiceal neurofibroma in Neurofibromatosis Type 1
Intussusception is a rare cause of adult intestinal obstruction and unlike in children, adult intussusception is commonly caused by a lead point, requiring surgical intervention in most cases. Hamartomatous polyp is a non-neoplastic growth of tissue containing mature cells, distributed in an abnormal manner. It is often associated with intestinal polyposis syndromes such as Peutz-Jeghers syndrome and Juvenile polyposis. In the current case, we report an extremely rare case of ileo-colic intussusception secondary to a lead point of an isolated ileal hamartomatous polyp in an elderly gentleman with Neurofibromatosis type-1. Patient was successfully treated with ileo-colic resection involving the intussuscepted segment of bowel. There was an incidental finding of a nodule in the appendix and the histology confirmed this as a neurofibroma. Post-operative recovery of the patient was unremarkable.
The Research of Xi Jinping’s Thought of a Community of Human Destiny from the Perspective of Chinese Culture
Xi Jinping is a great leader who knows Chinese history and Chinese culture, and he is also a firm supporter of the excellent traditional Chinese culture. The dialectical absorption and criticism of Xi Jinping’s thought of a community with a shared future for mankind integrates the essence of the Chinese culture, and contains the profound heritage of Chinese culture. Deeply understanding and grasping the rich connotation of Chinese culture and the value of the times will help provide useful reference for the world, provide cultural accumulation and support for Xi Jinping’s thought of a community with a shared future for mankind, and create a new era for the ideal new era of harmony and harmony in the community with a shared future for mankind. Xi Jinping, with his profound historical accumulation and national studies, actively explores the positive ways of life and governance in the Chinese Hehe culture, and resonates with the contemporary era, and proposes a new concept and initiative of a community with a shared future for mankind, and promotes the construction of global politics and security, Economy, culture, and ecology. A community of shared future to promote the building of a world of lasting peace, universal security, common prosperity, openness, inclusiveness, clean and beautiful world, so as to realize the beauty of permanent and peaceful development of mankind that “open peace for all generations” and “seek great harmony for the world” Vision. The proceeding from his profound accumulation of Chinese studies, Xi Jinping shows the unique charm of the Chinese culture to the world through the telling of “Chinese stories”, and pro-motes the “peaceful development, harmonious coexistence, and win-win cooperation of different civilizations” by advocating the tolerance and mutual learning of different civilizations “, forming an important idea to promote the construction of a community with a…
Introduction: Intramucosal esophageal dissection (IED) is an uncommon disorder, described as the separation of the mucosa and/or submucosa from deeper muscular layers due to abrupt increase in intraesophageal pressure. Case presentation: The first case il that of a 52 – years old female patient who underwent an esophagogastroduodenoscopy for control. After the procedure an extensive subcutaneous emphysema of the neck and a massive pneumomediastinum occurred. The patient was successfully treated with a conservative approach. The second case is that of a 43-years old male patient affected by Down’s Syndrome, who underwent an esopagogastroduodenoscopy because of persisting dysphagia. The endoscopic showed the presence of a serrated stricture at 20 centimeters from dental arcade. After the procedure he fell dysphagia. A neck-chest TC-SCAN showed superior and posterior pneumomediastinum and subcutaneous emphysema, without signs of mediastinitis. The patient was successfully treated with conservative approach. After a few days, a new chest CT-SCAN showed the presence of an anomalous right subclavian artery arising from the descending part of the aortic arch, causing dysphagia lusoria. Discussion: The causes of IED include iatrogenic instrumentation, hemostatic applications, mucosal injuries from ingestion of sharp foreign body, or spontaneous. A fluoroscopic upper gastrointestinal series or upper gastrointestinal endoscopy has been widely used to diagnose IED. CT and magnetic resonance are useful for differential diagnosis. In the absence of signs of mediastinitis management is conservative. Conclusion: CT SCAN should be the first exam to perform in the suspicion of IED. The first line treatment should be conservative. In case of the onset of complications and in patients who are refractory to conservative management, endoscopic or surgical treatment are indicated.
Paget´s disease of bone is a disorder characterized by disorganized bone remodeling. It´s occurrence in patients with end-stage kidney disease on renal replacement therapy is rare. Here we report a case of Paget´s disease of bone in an 80-year-old male on peritoneal dialysis that presented a high level of alkaline-phosphatase with a mildly elevated parathyroid hormone level and typical imaging findings localized to the pelvis. This is the fourth reported case of Paget´s disease in a patient on peritoneal dialysis and the first treated with denosumab.
In this study, we investigated the learning style preferences of college students with different majors and the relationship between learning styles and the majors. In total, 120 English as a foreign language college students with different majors from Taiwan participated. Descriptive statistical analysis and the chi-square test results indicated that learners across majors generally preferred the visual learning style. However, business and information technology majors preferred the auditory learning style and design majors preferred the haptic learning style. Nevertheless, although learning background may play a vital role in the development of a student’s learning style, the differences between learning style preferences and educational background were non-significant. Learning style preferences may also relate to other variables and may change over time, across contexts, and between different tasks.
In recent years, as the information technology becomes mature gradually and the modernized agriculture develops rapidly, the important role of agricultural mechanization in the development of the Internet era has gradually become prominent. As an important part of modernized agriculture development, the agricultural mechanization is also facing management problems caused by the information technology in the Internet era. The information shows new characteristics in the development of agricultural mechanization in the Internet era, such as rapid increase in the amount of information, faster data transmission and processing, more diverse data acquisition and processing methods, more and more complex technologies involved in information processing, and more and more extensive fields. As the information becomes diversified, complex and massive, the traditional agricultural machinery service management model shows greater limitations, such as low management efficiency, backward management methods, and low quality levels, etc.. The GIS technology has brought unprecedented development opportunities for the development of agricultural informatization. It plays an important role in promoting the improvement of agricultural machinery informatization to develop the agricultural machinery IoT service system by using the GIS technology.
This is a case of upper limb deep vein thrombosis in a HIV positive patient who had also been diagnosed of Non-Hodgkins Lymphoma. This case highlights the importance of thromboprophylaxis and thrombotic risk assessment in all HIV positive as well as cancer patients particularly in low resource setting which are at risk of increased morbidity and mortality.
Throughout recent history there has been progress toward social equality specifically within the nuclear family. Unfortunately, occurring currently with this social progress has been a movement which has exploited woman and fostered the total rationalization of the emotional family member’s psyco-social emotional being. This effort will exam the Nuclear family from opposite Sociological perspectives: Marx’s Alienated Labor and Parsons’ Functionalist view of the nuclear family.