In the past decade, improvements have been made to the environments used for introductory programming education, including by the introduction of visual programming languages such as Squeak and Scratch. However, migration from these languages to text-based programming languages such as C and Java is still a problem. Hence, using the OpenBlocks framework proposed at the Massachusetts Institute of Technology, we developed a system named BlockEditor, which can translate bidirectionally between Block (the block language used here) and Java. We conducted an empirical study of this system in an introductory programming course taken by approximately 100 university students not majoring in computer science. When students were given opportunities to select the language to solve their programming assignments, we traced their selection by tracking working time with BlockEditor or Java for each individual student. The results illustrate the nature of the seamless migration from Block to Java, and show that there is great diversity in the timing and speed of migration to Java by each individual. Additionally, we found that students with low selfevaluation of their skill chose to use Block at a significantly higher rate than did students with high self-evaluation. This suggests that BlockEditor can act as scaffolding for students by promoting mixed programming between Block and Java in their migration phase.
We herein report a case of a hilar tumor with extensive invasion to the proper hepatic artery, which was successfully treated with a radical resection in a 57-year-old female patient after a stepwise hepatic arterial embolization. She underwent right colectomy and partial hepatectomy for advanced colon cancer two years ago and radiofrequency ablation therapy for a liver metastasis one year ago, respectively. A recurrent tumor was noted around the proper hepatic artery with invasion to the left hepatic duct and right hepatic artery 7 mo previously. We planned a radical resection for the patient 5 mo after the absence of tumor progression was confirmed while he was undergoing chemotherapy. To avoid surgery-related liver failure, we tried to promote the formation of collateral hepatic arteries after stepwise arterial embolization of the posterior and anterior hepatic arteries two weeks apart. Finally, the proper hepatic artery was occluded after formation of collateral flow from the inferior phrenic and superior mesenteric arteries was confirmed. One month later, a left hepatectomy with hepatic arterial resection was successfully performed without any major complications.
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