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- 검색키워드
- 저자 : Suresh K Subedi (검색결과 2 건)
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Pradeep Adhikari,Sthir Babu Subedi,Suresh Rai 제주대학교 교육과학연구소 2017 교육과학연구 Vol.19 No.1
In this global era, developing and developed countries in the world are facing numerous challenges of environmental protection, resource conservation, sustainable development, climate change adaptation, and global warming mitigation. As such, environmental education (EE) has been necessary in school education for the production of conscious, knowledgeable, and skilled young generations to resolve environmental problems. This study is an attempt to appraise the status of EE in school education of Nepal. We collected the earlier and current curriculums and textbooks of the Basic Education (Grade 1-8) and Secondary Education (Grade 9-10) and determined the subject matters of EE providing in school. We found the curriculum and textbooks deal present environmental issues such as pollution control, prevention from natural disasters, conservation of the ecosystem, natural resources, and wildlife, in both earlier and current curriculum. In addition, the current curriculum included global Environmental issues such as climate change, global warming, and sustainable development. The secondary information was collected to check the learning achievement of EE, which revealed students are knowledgeable, aware, and participates in environment protection activities. Proper implementation of designed curriculum and involvement of student’s in environment protection activities are required to accomplish the desired goal of EE.
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Ramkaji Baniya,Sunil Upadhaya,Jahangir Khan,Suresh K Subedi,Tabrez S Mohammed,Balvant K Ganatra,Ghassan Bachuwa 대한소화기내시경학회 2017 Clinical Endoscopy Vol.50 No.5
Background/Aims: Endoscopic submucosal dissection (ESD) with air insufflation is commonly used for the staging and treatment of early gastric carcinoma. However, carbon dioxide (CO2) use has been shown to cause less post-procedural pain and fewer adverse events. The objective of this study was to compare the post-procedural pain and adverse events associated with CO2 and air insufflation in ESD. Methods: A systematic search was conducted for randomized control trials (RCTs) comparing the two approaches in ESD. The Mantel-Haenszel method was used to analyze the data. The mean difference (MD) and odds ratio (OR) were used for continuous and categorical variables, respectively. Results: Four RCTs with a total of 391 patients who underwent ESD were included in our meta-analysis. The difference in maximal post-procedural pain between the two groups was statistically significant (MD, -7.41; 95% confidence interval [CI], -13.6 – -1.21; p=0.020). However, no significant differences were found in the length of procedure, end-tidal CO2, rate of perforation, and post-procedural hemorrhage between the two groups. The incidence of overall adverse events was significantly lower in the CO2 group (OR, 0.51; CI, 0.32–0.84; p=0.007). Conclusions: CO2 insufflation in gastric ESD is associated with less post-operative pain and discomfort, and a lower risk of overall adverse events compared with air insufflation.
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