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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.

Objective: To describe the profile of the population with Acquired Immunodeficiency Syndrome (AIDS) in Brazil from 2009 to 2019. Methods: This is a descriptive, quantitative study, performed with secondary data from the Sistema de Informação Hospitalar do Sistema Único de Saúde (SIH/SUS). The analyzed data referred to cases diagnosed with Acquired Immunodeficiency Syndrome between 2009 and 2019. The variables evaluated were selected from categories, “year of diagnosis”, “sex”, “age range”, “race/skin color” and “exposure category”. Data were made available in absolute frequency, and relative frequencies were calculated in Microsoft Excel ® 2016 software. Results: It is observed that 91.14% (n=383,531) of Acquired Immunodeficiency Syndrome cases in Brazil occur in the population from 20 to 59 years. Among these, 66.44% (n= 254,840) were male and 33.55% (n=128,691) female. Since 44.97% (n=108,327) were white people; 10.93% (n=26,337) black; 0.48% (n=1.168) yellow; 43.30% (n=104.306) brown; 0.32% (n=772) indigenous. And, 24.03% (n=49,596) from homosexual exposure category; 6.40% (n=13,216) bisexual; 65.27% (n=134,703) heterosexual; 3.70% (n=7,623) UDI; 0.02% (n=48) transfusion; 0.01% (n=14) Biological material accident; 0.54 (n=1,126) vertical transmission; 0.03 (n=53) hemophiliac. Conclusion: Epidemiological profile of Acquired Immunodeficiency Syndrome in Brazil, presents a greater prevalence in male, aged from 20 to 59 years, white, posteriorly the brown race, being of heterosexual exposure category. This knowledge enables contributions to the scientific field and planning of possible public policies for the prevention and treatment of Acquired Immunodeficiency Syndrome.

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.

Knee replacement is a widely performed and very successful procedure for the management of knee arthritis. Nevertheless, it is postulated that a total of 2-5% of primary and revision total knee arthroplasties (TKAs) is infected every year [1,2]. Despite the low incidence, the absolute numbers of prosthetic joint infections (PJIs) are growing, owing to an increased number of replacement surgeries, and are associated with significant morbidity and socioeconomic burden [3,4]. Although several definitions of PJI exist, Musculoskeletal Infection’s Society (MSIS) definition is based on strict criteria and is one of the most used [5]. Patients with certain risk factors have an increased risk to develop PJI [6,7]. Risk factors include presence of systemic or local active infection in an arthritic knee; previous operative procedures in the same knee, diabetes mellitus, malnutrition, smoking, alcohol consumption, co-morbidities, and immunosuppression; end-stage renal disease on hemodialysis, liver disease, intravenous drug abuse, and low safety operative room environment. PJIs are classified according to the depth of infection, to superficial and deep infections. Superficial infections are limited to the incision and superficial tissues, while deep infections, that involve deep layers, may occur up to one year postoperatively, and influence surgical management strategy. Timing of infection is also an important factor in guiding treatment. PJIs are classified to acute postoperative, within a month of the index procedure, acute haematogenous, presenting with acute symptoms in a previously well – functioning joint, and late chronic, where infection develops later than one month postoperatively [8]. Management of PJI’s is mainly surgical, reserving conservative treatment for patients unable to undergo surgery [9]. Surgical options include debridement and retention of the prosthetic implants (DAIR), two – stage exchange revision, single – stage exchange revision, permanent resection arthroplasty, and finally amputation as the last measure [10]. DAIR is a viable option in early…

Introduction: Our investigation aimed to discover the benefits of performing cholecystectomy in patients who had a positive or negative HIDA scan result, presented with either typical or atypical biliary pain. Methods: We performed a retrospective analysis of medical records of patients who had a HIDA scan at Peninsula Health between 2012 and 2017, those who had a HIDA scan and cholecystectomy for biliary pain were selected for this study, and prospective analysis of patient reported outcome post cholecystectomy included. Results: In the past five years, 190 patients had had a HIDA scan to investigate biliary pain without a structural cause. Of those 190, 65 had a positive HIDA result and 20 of these patients went on to have a cholecystectomy. Of the latter, 17 who reported typical biliary pain had their pain resolved post-surgery but 2 out of 3 patients with atypical biliary pain had ongoing pain despite surgery (1 did not respond). Of the 125 patients with a negative HIDA scan, 14 proceeded with a cholecystectomy. Twelve patients had pre-operative typical biliary pain and 5 of these continued to have pain post-operatively. Finally, 1 of the 2 patients with atypical pain continued to have ongoing pain post-surgery. Conclusion: In summary, in patients without a structural cause for biliary pain HIDA scans and patient’s symptoms greatly aid in the decision-making process whether to proceed with a cholecystectomy, as a negative scan should prompt further clinical investigation before proceeding with surgery.

We report the case of a 69 year old female who presented with mild cognitive impairment and difficulty mobilising in the setting of profound hypothyroidism secondary to Hashimoto’s thyroiditis with associated elevated creatine kinase (CK), hyponatraemia, anaemia, renal impairment, hypercholesterolaemia and hypertryglyceridaemia. On initial investigations the patient had a thyroid stimulating hormone (TSH) of 49 mU/L, free T4

The research looked at the woman with regenerative potentials and how reliable mentors they are to the benefit of society using Ama Darko’s Faceless. The purpose of the study was to use Ama Darko’s Faceless to showcase the position of the woman with regenerative potential irrespective education because though Education empowers women to have regenerative potentials other women who are uneducated also exhibit such traits in our societies. A qualitative approach was employed to look at views related to the African woman with regenerative potential and also adopted the traditional library research approach through the use of books, articles, journals and publications in as much as they contribute to the worth of the study. It was in-formed by the stiwanist theory. The main findings of the study indicate that the woes of irresponsible mothers who do not responsibly take care of the results of their pleasure with men are being disapproved. This disapproval is as a result of the pitiful portrayal of women with destructive potential as against positive up lifting portrayal of women with regenerative potential and making them reliable mentors of society. This change has come about as a result of women’s quest to assert themselves through education and contribute towards freeing their families from cultural and societal dogmas in which women were treated to subjugation and marginalization. A remarkable observation was the intentionality of ascribing to female characters more respectable roles in novels by various writers as the years go by. A conclusion drawn from the study is that education is still a major weapon of enhancing assertiveness in women but it is not the ultimate.

Objective: To determine the predictors of in-hospital mortality in critically ill older patients. Participants and Methods: A prospective cohort study including 305 critically ill older adults (age ≥60 years) who were admitted to High Dependency Units (HDUs) in a tertiary care university hospital from March 22, 2019 to January 4, 2020. Demographic, clinical and laboratory data of participants were collected thought a review of medical records and clinical observation at HDUs till either death or discharge alive. Statistical analysis included univariate analysis of selected potential predictors such as various comorbidities, C- reactive protein / Albumin ratio (CAR), Neutrophil-lymphocyte ratio (NLR), Red cell distribution width (RDW), Po2/Fio2 ratio (PFR), Simplified acute physiology score II (SAPS II), Charlson comorbidity index (CCI) and multidrug-resistant Gram-negative bacterial (MDR-GNB) infection to ascertain their association with mortality, followed by multivariable logistic regression to derive the final prediction model. The discriminative ability of the model was evaluated by using the receiver operating characteristic (ROC) curve. RESULTS: Overall mortality was 53.1%. Multivariate regression analysis revealed independent predictors of mortality including dementia in clinical history with an odds ratio (OR) of 4.86 (95% CI: 1.28-18.34), total protein with an OR of .53 (95% CI: .30-.95) and the use of mechanical ventilation (MV) and/or intravenous cardiovascular support with an OR of 148.34 (95% CI: 34.28-641.77), formulating a novel prognostic model with an area under the ROC curve of .93 (95% CI: .89-.96, P.000). CONCLUSION: History of dementia, total protein and the use of MV and/or intravenous cardiovascular support are predictors of mortality in critically ill geriatric patients. It provides a novel prognostic model which needs validation in other multicenter prospective studies.