Evidence for the Reliability and Validity of the Arabic Version of the Student Risk Screening Scale for Internalizing and Externalizing Behaviors (SRSS-IE)

School-based universal screening for behavioral/emotional risk is a necessary first step to providing services in an educational setting for students with emotional and behavioral disorders (EBDs). Psychometric properties are critical to making decisions about choosing a screening instrument. The purpose of the present study was to examine the psychometric properties of the student risk screening scale for internalizing and externalizing behaviors (SRSS-IE). Participants included 3145 students and their teachers. Item-level analyses of the current sample supported the retention of all items. The internal consistency of the SRSS items ranged from 0.83 to 0.85. Convergent validity between the SRSS-IE and a well-established screening tool, the strength and difficulties questionnaire (SDQ), was found for the total score (r = 0.70). Additionally, the results of this study demonstrate strong social validity, suggesting the SRSS-IE to be a useful and functional screening tool. We conclude that the SRSS-IE is a valid and reliable instrument for assessing the level of emotional and behavioral difficulties among elementary students.

Meta-analysis of the efficacy of volar plate internal fixation versus closed reduction and external fixation in the treatment of adult distal radius fractures

Objective:To compare the efficacy of open reduction and volar locking plate internal fixation with closed reduction and external fixation in the treatment of distal radius fractures by using meta analysis.Methods:The databases of CNKI,Wanfang,Weipu,Chinese biomedical literature,Pubmed,Embase,and Cochrane Library were retrieved,and the randomized controlled studies that directly compared the efficacy of plate internal fixation and closed reduction external fixation in the treatment of distal radius fractures published publicly from the establishment of the database to April 2023 were collected.The two researchers independently screened the retrieved literature according to the inclusion and exclusion criteria,extracted data,used Cochrane risk bias assessment tool for quality assessment,and used RevMan 5.4 software for meta analysis.Results:A total of 10 randomized controlled trials were included,all of which were in English.There were 1042 patients in total,and 9 of them were rated as low risk.Meta analysis results showed that one year after the treatment of distal radius fracture with volar locking plate internal fixation,DASH score[MD=-5.64,95%CI(-7.21,-4.06),P<0.00001];One year later,PRWE score[MD=-5.90,95%CI(-8.88,-2.92),P=0.001];Palm flexion[MD=5.92,95%CI(1.29,10.55),P=0.01];Pronation[MD=2.48,95%CI(0.59,4.36),P=0.01];Postrotation[MD=4.73,95%CI(2.15,7.31),P=0.0003];Grip strength[MD=0.61,95%CI(0.12,1.10),P=0.02];palmar tilt angle[MD=9.84,95%CI(5.66,14.02),P<0.00001];Radial inclination[MD=4.33,95%CI(2.97,5.69),P<0.00001]was superior to closed reduction plaster or splint external fixation.One year later,the European Five dimensional Health Scale(EQ-5D-5L)score[MD=0.02,95%CI(-0.01,0.05),P=0.27];Back extension[MD=2.22,95%CI(-4.15,8.59),P=0.49];Ulnar deviation[MD=3.49,95%CI(-0.80,7.78),P=0.11];Radial deviation[MD=2.05,95%CI(-2.39,6.50),P=0.37];Ulnar variance[MD=-1.14,95%CI(-3.16,0.88),P=0.27];There was no significant difference in complications[MD=0.77,95%CI(0.54,1.10),P=0.16](P>0.05).Conclusion:Based on the current clinical data,internal fixation with volar locking plate is more conducive to mid-term DASH score and grip strength recovery than closed reduction plaster or splint external fixation,but there is no significant difference in the quality of life and complications of patients.For adult distal radius fractures,surgical indications should be carefully grasped,and non operative treatment should be given priority.

The Method of Combining Internal and External Treatment of Ulcerative Colitis in Chinese Medicine

Traditional Chinese medicine(TCM)believes that the main pathogenesis of ulcerative colitis is spleen deficiency;damp heat in the large intestine as the symptom,the treatment must be warming,clearing,eliminating,tonifying,astringing concurrently.From the concept of combining holism and the local treatment in TCM,idea of combining internal and external treatment is adopted.That is,the external treatment follows the therapeutic principle of using herbs with a bitter and cold nature to eliminate stagnation,and the seven carbon decoction,which can clear heat and dampness,cool the blood,and stop dysentery,is used as a rectal drip to retain the enema.Internal treatment follows the therapeutic principle of warmly tonifying and cultivating vital qi,with oral Chinese herbal medicine named Maodie Tang to strengthen the spleen and tonify the kidney,clearing heat and inducing dampness.

Analysis of the Internal and External Factors Involved in Second Language Acquisition

Materialist dialectics holds that internal causes are the basis of change and the external causes are the condition of change, and that external causes become operative through internal causes. This law can be applied into SLA. The internal causes and external causes influence SLA greatly. This paper mainly discusses the factors involved in SLA process.

Current status of laparoscopic and robotic ventral mesh rectopexy for external and internal rectal prolapse

External and internal rectal prolapse with their affiliated rectocele and enterocele, are associated with debilitating symptoms such as obstructed defecation, pelvic pain and faecal incontinence. Since perineal procedures are associated with a higher recurrence rate, an abdominal approach is commonly preferred. Despite the description of greater than three hundred different procedures, thus far no clear superiority of one surgical technique has been demonstrated. Ventral mesh rectopexy(VMR) is a relatively new and promising technique to correct rectal prolapse. In contrast to the abdominal procedures of past decades, VMR avoids posterolateral rectal mobilisation and thereby minimizes the risk of postoperative constipation. Because of a perceived acceptable recurrence rate, good functional results and low mesh-related morbidity in the short to medium term, VMR has been popularized in the past decade. Laparoscopic or robotic-assisted VMR is now being progressively performed internationally and several articles and guidelines propose the procedure as the treatment of choice for rectal prolapse. In this article, an outline of the current status of laparoscopic and robotic ventral mesh rectopexy for the treatment of internal and external rectal prolapse is presented.

Nonlinear Dynamic Analysis of Coupled Gear-Rotor-Bearing System with the Effect of Internal and External Excitations

Extensive studies on nonlinear dynamics of gear systems with internal excitation or external excitation respectively have been carried out. However, the nonlinear characteristics of gear systems under combined internal and external excitations are scarcely investigated. An eight-degree-of-freedom（8-DOF） nonlinear spur gear-rotor-bearing model, which contains backlash, transmission error, eccentricity, gravity and input/output torque, is established, and the coupled lateral-torsional vibration characteristics are studied. Based on the equations of motion, the coupled spur gear-rotor-bearing system（SGRBS） is investigated using the Runge-Kutta numerical method, and the effects of rotational speed, error fluctuation and load fluctuation on the dynamic responses are explored. The results show that a diverse range of nonlinear dynamic characteristics such as periodic motion, quasi-periodic motion, chaotic behaviors and impacts exhibited in the system are strongly attributed to the interaction between internal and external excitations. Significantly, the changing rotational speed could effectively control the vibration of the system. Vibration level increases with the increasing error fluctuation. Whereas the load fluctuation has an influence on the nonlinear dynamic characteristics and the increasing excitation force amplitude makes the vibration amplitude increase, the chaotic motion may be restricted. The proposed model and numerical results can be used for diagnosis of faults and vibration control of practical SGRBS.

Internal fixator vs external fixator in the management of unstable pelvic ring injuries:A prospective comparative cohort study

BACKGROUND Reconstruction of the pelvic ring anatomy in unstable anterior pelvic ring injuries is a significant step to reduce the mortality rate associated with these injuries efficiently.There is a debate on using either an anterior subcutaneous pelvis internal fixator(INFIX)or an anterior supra-acetabular external fixator(EXFIX)to manage an unstable anterior pelvic ring fracture.AIM To compare the functional and radiological outcomes and complications of INFIX vs EXFIX in managing unstable pelvic ring injuries.METHODS A prospective cohort study included 54 patients with unstable pelvic ring fractures.The patients were divided into two groups;the INFIX group,in which 30 cases were fixed by INFIX,and the EXFIX group,in which 24 patients were treated by EXFIX.The average age in the EXFIX group was 31.17 years(16-57 years),while in the INFIX group,it was 34.5 years(17-53 years).The study included 20(66.7%)males and 10(33.3%)females in the INFIX group and 10(41.7%)males and 14(58.3%)females in the EXFIX group.The radiological outcomes were evaluated using Matta and Tornetta's score,and the functional outcomes using the Majeed score.RESULTS The results revealed a statistically significant difference between both groups(P=0.013)regarding radiological outcomes,according to Matta and Tornetta's score in favor of the INFIX group.Sitting,standing,and walking abilities were measured at a 3-mo follow-up visit using Majeed score modules.It was significantly better among the INFIX group than the EXFIX group in all three modules.At the final follow-up,both groups had no statistically significant difference according to the Majeed score;92.35 in the INFIX group and 90.99 in the EXFIX group(P=0.513).A lower surgical site infection rate was noticed in the INFIX group(P=0.007).CONCLUSION Anterior subcutaneous pelvis INFIX is associated with better radiological outcomes and a lower infection rate than anterior supra-acetabular EXFIX in managing patients with unstable anterior pelvic ring fractures.

Triple Arthrodesis with Internal and External Fixation: Technique Paper

Background: The triple arthrodesis was described early by Myerson in 1923 and has been the gold standard surgical procedure for various conditions with the goal to reduce pain, improve deformity and facilitate function. Methods: The procedure consists of fusion of the subtalar joint, talonavicular joint and calcaneocuboid joint [1]. The procedure is traditionally done with internal fixation, however, Marinet al. has shown it to be performed with external fixation [2]. Dr. Marin and the associates have developed an alternative technique to perform a triple arthrodesis using internal and external fixation. This paper describes a step-by-step technique to perform a triple arthrodesis with both internal and external fixation. It will demonstrate the use of the prefabricated arches on the footplate for more precise and accurate placement of transosseous wires using arch-wire technique [3]. Results/Conclusion: We believe this technique will not only help increase the ability to achieve fusion with a less chance of non-union, but may also decrease healing time, which may allow patients to be mobile from the first week post-operatively and may diminish the risks associated with being non-weightbearing.

Operational definitions and measurement of externalizing behavior problems:An integrative review including research models and clinical diagnostic systems

Measurement of externalizing disorders such as antisocial disorders,attentiondeficit/hyperactivity disorder or borderline disorder have relevant implications for the daily lives of people with these disorders.While the Diagnostic and Statistical Manual of Mental Disorders(DSM)and the International Classification of Diseases(ICD)have provided the diagnostic framework for decades,recent dimensional frameworks question the categorical approach of psychopathology,inherent in traditional nosotaxies.Tests and instruments develop under the DSM or ICD framework preferentially adopt this categorical approach,providing diagnostic labels.In contrast,dimensional measurement instruments provide an individualized profile for the domains that comprise the externalizing spectrum,but are less widely used in practice.Current paper aims to review the operational definitions of externalizing disorders defined under these different frameworks,revise the different measurement alternatives existing,and provide an integrative operational definition.First,an analysis of the operational definition of externalizing disorders among the DSM/ICD diagnostic systems and the recent Hierarchical Taxonomy of Psychopathology(HiTOP)model is carried out.Then,in order to analyze the coverage of operational definitions found,a description of measurement instruments among each conceptualization is provided.Three phases in the development of the ICD and DSM diagnosis systems can be observed with direct implications for measurement.ICD and DSM versions have progressively introduced systematicity,providing more detailed descriptions of diagnostic criteria and categories that ease the measurement instrument development.However,it is questioned whether the DSM/ICD systems adequately modelize externalizing disorders,and therefore their measurement.More recent theoretical approaches,such as the HiTOP model seek to overcome some of the criticism raised towards the classification systems.Nevertheless,several issues concerning this model raise mesasurement challenges.A revision of the instruments underneath each approach shows incomplete coverage of externalizing disorders among the existing instruments.Efforts to bring nosotaxies together with other theoretical models of psychopathology and personality are still needed.The integrative operational definition of externalizing disorders provided may help to gather clinical practice and research.

The Internal and External Factors That Help to Push English into a Popular World Language

It is well known that English is the world language nowadays, and it is an official language in most countries. It is also currently the language most often taught as a foreign language. The reasons of the popularity lie in both internal factors and external factors. In this paper, the author will analyze the factors that help to push English into a popular world language.

A Research for Regional Contribution Rate of Internal Source and External Source of PM_(2.5) Based on Set Pair Analysis Method

A problem of the air pollution control in China is getting to know a regional contribution rate of internal and external source of PM2.5. In this paper,Set Pair Analysis（ SPA） method is proposed to calculate the contribution rate of PM2.5in Dongguan City. Due to geographic,meteorological factors and the low concentration of air pollutants in Qingxi area,the PM2.5in this place is mainly contributed by the regional transport of air pollutants from other inside areas of Dongguan,and less affected by the outside of Dongguan. So the concentration of PM2.5in Qingxi area can reflect the Dongguan＇s basic background concentration of PM2.5. On the basis of the basic background concentration,firstly the concentration of each pollutant components is divided into the internal part and the mixed part. Secondly using the source apportionment samples of five monitoring sites in Dongguan we can respectively construct a sample set A and an evaluation set B. Thirdly the SPA is operated onto the mixed part in terms of set B.At last the connection degree between the concentration of each pollutant components and external source and internal source will be calculated,that is the contribution rate. The research reveals that the contribution rate of internal source and external source of PM2.5in Dongguan City is 83%and 17% respectively,which roughly met expectations. This method is simple and effective and it can provide a reference for the government taking reduction measures to control PM2.5pollutants emission.

A STUDY ON THE CHARACTERISTICS OF INTERNAL ANDEXTERNAL WALL SURFACE TEMPERATUREIN THE URBAN AREA

Internal and external wall surface temperatures (Tws) in April, August and December in Kunming, a city in low latitude plateau, were investigated. Results showed that the Tws in April were of the highest among the three, followed by August and December. The Tws differences among walls with different orientation were higher in April and December when the weather tends to be sunny, and lower in August with more cloudy days in the time. In April and August, Tws of E-wall was the highest, followed by S- and N-wall. But in December Tws of S-wall might be sometimes higher than E one. Diurnal range of internal Tws was usually smaller than that of the external, with also a time lag for the occurrence of its maximum and minimum. The results can serve as a basis for further research on building microclimate and urban architecture designs. It also gives suggestions for similar studies in other areas.

EXTERNALIZATION AND INTERNALIZATION OF CARDIAC ENDOTHELIN RECEPTORS DURING DIFFERENT PHASES OF SEPSIS IN RAT

To study the redistribution of endothelin- 1 (ET- 1) receptors in two subcellular organelles , the sarcolemmal membrane and the light vesicle, of rat heart during the progression of sepsis. Methods. Sepsis was induced by cecal ligation and puncture (CLP). ET1 receptor was assayed by using [125I]- ET1 binding. Marker enzyme activities, protein yield, and dry- to- wet weight ratio of cardiac membranes were measured. Results. Septic rat heart exhibited two distinct phases: an initial hyperdynamic phase( 9h after CLP; early stage of sepsis) followed by a hypodynamic (18h after CLP, late stage of sepsis) phase. [125I]- ET1 binding study showed that during early stage of sepsis, the Bmax of ET1 receptors was increased by 30％ in sarcolemma but decreased by 19％ in light vesicles, while during late stage of sepsis, the Bmax was decreased by 24％ in sarcolemma but increased by 38％ in light vesicles.The total binding of sarcolemma and light vesicles was increased by 25％ during early stage of sepsis but decreased by 17％ during late stage of sepsis. Conclusions. These data indicated that ET1 receptors in the rat heart were externalized from light vesicles to sarcolemmal membranes during early hyperdynamic phase while internalized from surface membranes to intracellular compartment during late hypodynamic phase of sepsis.

Exploring the Internal and External Factors that Influence Chinese EFL Students' Speaking Performance: A Case Study

This case study on one Chinese EFL learner examined both the internal and external factors that affect Chinese EFL learner's speaking performance. Three interviews and three tests have been conducted in the whole process, and the findings revealed:(1) interference from first language is the most influential factor that hinders speaking performance;(2) learner attitude significantly affects speaking performance;(3) learning strategies and practicing help improving performance.

Challenges of Internal and External Variables of Consumer Behaviour towards Mobile Commerce

The Mobile Commerce (m-commerce) becomes very powerful tool in the competitive business markets. Companies started to use this technology to attract their customers and catch their attention. Usage of Mobile commerce applications spreaded around different countries and became very popular. Different communication protocols and security techniques are designed for business use of m-commerce. Mobile Commerce, likewise the e-commerce brought significant difference in the market. People start to use this technology by feeling the freedom of having transactions at anywhere and anytime. However, consumers face lot of difficulties while using this technology which is consumer-based or service provider based. This research exposes the impact of determinants that influences mobile commerce application users’ attitudes by classifying and investigating the internal and external variables in a case study of Cyprus Research Centre.

Theoretical Quantization of Exact Wave Turbulence in Exponential Oscillons and Pulsons

In a preceding paper, the theoretical and experimental, deterministic and random, scalar and vector, kinematic structures, the theoretical and experimental, deterministic-deterministic, deterministic-random, random-deterministic, random-random, scalar and vector, dynamic structures have been developed to compute the exact solution for wave turbulence of exponential pulsons and oscillons that is governed by the nonstationary three-dimensional Navier-Stokes equations. The rectangular, diagonal, and triangular summations of matrices of the turbulent kinetic energy and general terms of numerous sums have been used in the current paper to develop theoretical quantization of the kinetic energy of exact wave turbulence. Nested structures of a cumulative energy pulson, a deterministic energy pulson, a deterministic internal energy oscillon, a deterministic-random internal energy oscillon, a random internal energy oscillon, a random energy pulson, a deterministic diagonal energy oscillon, a deterministic external energy oscillon, a deterministic-random external energy oscillon, a random external energy oscillon, and a random diagonal energy oscillon have been established. In turn, the energy pulsons and oscillons include deterministic group pulsons, deterministic internal group oscillons, deterministic-random internal group oscillons, random internal group oscillons, random group pulsons, deterministic diagonal group oscillons, deterministic external group oscillons, deterministic-random external group oscillons, random external group oscillons, and random diagonal group oscillons. Sequentially, the group pulsons and oscillons contain deterministic wave pulsons, deterministic internal wave oscillons, deterministic-random internal wave oscillons, random internal wave oscillons, random wave pulsons, deterministic diagonal wave oscillons, deterministic external wave oscillons, deterministic-random external wave oscillons, random external wave oscillons, random diagonal wave oscillons. Consecutively, the wave pulsons and oscillons are composed of deterministic elementary pulsons, deterministic internal elementary oscillons, deterministic-random internal elementary oscillons, random internal elementary oscillons, random elementary pulsons, deterministic diagonal elementary oscillons, deterministic external elementary oscillons, deterministic-random external elementary oscillons, random-deterministic external elementary oscillons, random external elementary oscillons, and random diagonal elementary oscillons. Symbolic computations of exact expansions have been performed using experimental and theoretical programming in Maple.

Simulated patient methodology as a“gold standard”in community pharmacy practice:Response to criticism

The simulated patient methodology(SPM)is considered the“gold standard”as covert participatory observation.SPM is attracting increasing interest for the investigation of community pharmacy practice;however,there is criticism that SPM can only show a small picture of everyday pharmacy practice and therefore has limited external validity.On the one hand,a certain design and application of the SPM goes hand in hand with an increase in external validity.Even if,on the other hand,this occurs at the expense of internal validity due to the trade-off situation,the justified criticism of the SPM for investigating community pharmacy practice can be countered.

Dynamical modeling and non-planar coupled behavior of inclined CFRP cables under simultaneous internal and external resonances

A dynamic model for an inclined carbon ?ber reinforced polymer(CFRP)cable is established, and the linear and nonlinear dynamic behaviors are investigated in detail. The partial differential equations for both the in-plane and out-of-plane dynamics of the inclined CFRP cable are obtained by Hamilton's principle. The linear eigenvalues are explored theoretically. Then, the ordinary differential equations for analyzing the dynamic behaviors are obtained by the Galerkin integral and dimensionless treatments.The steady-state solutions of the nonlinear equations are obtained by the multiple scale method(MSM) and the Newton-Raphson method. The frequency-and force-response curves are used to investigate the dynamic behaviors of the inclined CFRP cable under simultaneous internal(between the lowest in-plane and out-of-plane modes) and external resonances, i.e., the primary resonances induced by the excitations of the in-plane mode,the out-of-plane mode, and both the in-plane mode and the out-of-plane mode, respectively. The effects of the key parameters, e.g., Young's modulus, the excitation amplitude,and the frequency on the dynamic behaviors, are discussed in detail. Some interesting phenomena and results are observed and concluded.

Balanced Development of Internal and External Trade

The CMC International and Domestic Trade Division under the China National Machinery Import & Export Corporation has, in accordance with the CMC’s strategic goals, worked out the following business guidelines: internal trade is the basis of external trade, and external trade is a supplementary to internal trade; domestic and overseas markets and resources should be used effectively, and internal trade and external trade should be coordinated and handled in a unified way. The Division’s business concept is to conduct trade-dominated business backed by

An Expected Patch Log Likelihood Denoising Method Based on Internal and External Image Similarity

Nonlocal property is an important feature of natural images,which means that the patch matrix formed by similar image patches is low-rank.Meanwhile,learning good image priors is of great importance for image denoising.In this paper,we combine the image self-similarity with EPLL(Expected patch log likelihood)method,and propose an EPLL denoising model based on internal and external image similarity to improve the preservation of image details.The experiment results show that the validity of our method is proved from two aspects of visual and numerical results.