In this study, the interrelated components of a Community of Inquiry teaching, social, and cognitive presences are analyzed in the context of four online nurse practitioner learning activities that used different teaching strategies to promote critical reflection and dialogue: asynchronous discussion; synchronous presentations; collaborative projects; and VoiceThread.
Web conferencing systems can facilitate synchronous presentations via the Internet.
However, peri-operative chemotherapy is a widely accepted strategy, in particular for synchronous presentations, or metachronous presentations occurring soon after treatment of the primary tumour.
Multivariate Cox PH regression analysis was used to adjust for confounders such as gender, age, number of metastatic sites, metachronous versus synchronous presentation (whether patients presented with stage I III disease and subsequently developed metastases, versus metastatic disease at presentation), number of lines of chemotherapy, and the number of lines of TT received.
The results showed that synchronous presentation for combined visual and auditory stimulation facilitated responses, and shorter reaction times and higher response accuracies were obtained.
Lynch syndrome (LS), caused by an autosomal-dominant hereditary germline mutation in one of the MMR genes MSH2, MLH1 and MSH6, in decreasing order [21] predisposes to early onset of multiple cancer types, including colon, endometrial and ovarian ones, sometimes with synchronous presentation [22, 23].
For example, it may be that hearing sounds produces a transient improvement in performance by increasing vigilance e.g., [33], although such effects generally require synchronous presentation [34].
Patients with synchronous presentation also had significantly higher median prostate-specific antigen (PSA) value, p < 0.01 (Table 1).
Synchronous presentation of more than one germ cell tumors (GCTs) in the same patient is considered to be quite rare.
Synchronous presentation of more than one germ cell tumours of different histology in the same patient is considered to be very rare.
A number of factors are known to influence the prognosis of patients with colorectal liver metastases such as stage of primary disease, synchronous presentation, number of metastases, and carcinoembryonic antigen level [ 2, 3].
