The purpose of this study was to establish factors that lead to poor integration of Information and communication technology （ICT） for teaching and learning in schools in Kenya, despite comprehensive policy, institu...The purpose of this study was to establish factors that lead to poor integration of Information and communication technology （ICT） for teaching and learning in schools in Kenya, despite comprehensive policy, institutional, infrastructural frameworks and capacity building by the Ministry of Education. The subject of this study was administered by use of questionnaires in three categories of public schools： national school, provincial schools and district schools. The respondents were students from each level that is from one, two, three and four and teachers based on the most offered subjects in the secondary schools. The computer assisted learning facilities were classified into computers, internet and content in optical media. In national school Internet based research, optical media content provided by Kenya Institute of Curriculum Development and Cyber School program for science subjects was used in learning. In provincial school, it lacks adequate computers, reliable Internet and content in optical media. In district school, it lacks adequate computer, no internet connection and content in optical media. A learner management system which can be accessed by all learners by use of any internet access devices like mobile phone access will be an ideal tool with over 4,000,000 mobile phone subscribers currently in Kenya.展开更多
Optimal therapy for early carcinoma of the gastroesophageal junction remains uncertain. Treat- ment alternatives discussed today reach from endoluminal techniques to radical esophagectomy with 2- or 3-?eld lymphadenec...Optimal therapy for early carcinoma of the gastroesophageal junction remains uncertain. Treat- ment alternatives discussed today reach from endoluminal techniques to radical esophagectomy with 2- or 3-?eld lymphadenectomy. In this context, the Merendino procedure with preservation of the vagal innerva- tion to the stomach appears as an interesting therapeutic alternative. This paper summarizes indications, operative technique, and functional results with respect to postoperative quality of life, based upon 2 cases operated in our department.展开更多
文摘The purpose of this study was to establish factors that lead to poor integration of Information and communication technology （ICT） for teaching and learning in schools in Kenya, despite comprehensive policy, institutional, infrastructural frameworks and capacity building by the Ministry of Education. The subject of this study was administered by use of questionnaires in three categories of public schools： national school, provincial schools and district schools. The respondents were students from each level that is from one, two, three and four and teachers based on the most offered subjects in the secondary schools. The computer assisted learning facilities were classified into computers, internet and content in optical media. In national school Internet based research, optical media content provided by Kenya Institute of Curriculum Development and Cyber School program for science subjects was used in learning. In provincial school, it lacks adequate computers, reliable Internet and content in optical media. In district school, it lacks adequate computer, no internet connection and content in optical media. A learner management system which can be accessed by all learners by use of any internet access devices like mobile phone access will be an ideal tool with over 4,000,000 mobile phone subscribers currently in Kenya.
文摘Optimal therapy for early carcinoma of the gastroesophageal junction remains uncertain. Treat- ment alternatives discussed today reach from endoluminal techniques to radical esophagectomy with 2- or 3-?eld lymphadenectomy. In this context, the Merendino procedure with preservation of the vagal innerva- tion to the stomach appears as an interesting therapeutic alternative. This paper summarizes indications, operative technique, and functional results with respect to postoperative quality of life, based upon 2 cases operated in our department.
