bluuebunny/crossref_metadata_2025 huggingface dataset:
Diagnostic value of ultrasound in comparison with the pathologic results of fine-needle aspiration of thyroid nodules for rapid diagnosis of thyroid malignancies in patients referred to Baqiyatallah Hospital
Authors:   Chemical Injuries Research Center, System biology and  poisoning institute, Baqiyatallah University of medical science,  Tehran, Iran, Khajehpour Hojjatollah , Ebrahimifar Mohammad ,   Student Research Committee, Baqiyatallah University of  Medical Sciences, Tehran, Iran, Naeimi Efat ,   Chemical Injuries Research Center, System biology and  poisoning institute, Baqiyatallah University of medical science,  Tehran, Iran, Movahed Mortaza ,   Chemical Injuries Research Center, System biology and  poisoning institute, Baqiyatallah University of medical science,  Tehran, Iran
Published: April 2022

Background and Aim: Various studies have reported that 4-7 percent of adults with palpable thyroid nodules that 50-70 percent of it’s diagnosed with high-accuracy sonography. Although most thyroid nodules are non-cancerous and do not require treatment, a small percentage of them are associated with a potential risk of malignancy, which is an important early diagnosis by ultrasound or pathology. The present study aimed to compare the ultrasound with the pathologic results of fine-needle aspiration (FNA) of thyroid nodules for the rapid diagnosis of thyroid malignancies in patients referred to Baqiyatallah Hospital. Methods: The study population consisted of 100 (80 female, 20 male) patients with thyroid nodules in the age range of 19-82 years referred to the radiology ward of Baqiyatallah Hospital who were studied by the cross-sectional method. All patients were first scoring by ultrasound, then fine needle aspiration with thyroid nodule ultrasound was performed, and the specimens were referred to the pathology department for further evaluation. Results: The pathologic results from fine-needle aspiration showed that only 8 of the 100 patients studied had malignant nodules that, by ultrasound scoring, 7 patients had 4 scores and 1 patient had 3 scores. However, the other 92 patients with benign nodules 57.60% of patients had score 1, 30.43% of patients had score 2 and 11.97% of patients had score 3. Conclusion: According to the results of this study, it seems that ultrasound scoring is useful in the rapid diagnosis of thyroid nodules and prevent unnecessary thyroid nodule FNA.
Clinicopathological evaluation of Moyamoya disease. Case report and review of literature
Authors:   Oradea Clinical Emergency County Hospital, Clinic of  Anesthesiology and Intensive Care, Romania University of Oradea, Faculty of Medicine & Pharmacy,  Department of Surgical Disciplines, Romania, Popa Nicolae O. , Zaha Dana C. ,   University of Oradea, Faculty of Medicine & Pharmacy,  Department of Preclinical Disciplines, Romania, Pantis Carmen ,   Oradea Clinical Emergency County Hospital, Clinic of  Anesthesiology and Intensive Care, Romania University of Oradea, Faculty of Medicine & Pharmacy,  Department of Surgical Disciplines, Romania, Mekeres Florina ,   University of Oradea, Faculty of Medicine & Pharmacy,  Department of Surgical Disciplines, Romania
Published: April 2022

Moyamoya disease is a rare affliction, which progressively affects cerebral arteries, more frequently those in the circle of Willis and the internal carotid arteries. This condition has a genetic component, but the cause of the disease is unknown. It usually affects children but can affect adults as well, representing a health issue due to its mortality. Not in a few cases, Moyamoya disease has been difficult to recognize as a cause of ischemic or hemorrhagic strokes. In this article, we present the case of a young patient, with a medical history of cerebral hemorrhage, which was diagnosed with Moyamoya disease after clinical and cerebral angiographic corroboration in a specialized vascular center. The patient entered the Emergency Receiving Unit with a sudden comatose state. Paraclinical tests revealed massive intraparenchymal hemorrhage, with movement in the medial line and ventricular flooding.
The synthesis and in vitro testing of symmetric bisquaternary salts with pyridin-isonitrosoacetanilide structure, active in the exposure to neurotoxic chemical agents
Authors:   Army Center for Medical Research, Bucharest, Romania, Secara Cristina A. , Patranichi Bogdan ,   Army Center for Medical Research, Bucharest, Romania, Bicheru Simona ,   Army Center for Medical Research, Bucharest, Romania, Tudosie Mihail S. ,   “Carol Davila” University of Medicine and Pharmacy, Bucharest,  Romania
Published: April 2022

Neurotoxic chemical agents induce complex toxicological effects with major adverse effects for those who are exposed to them. Medical countermeasures include administering atropine, a cholinesterase reactivating oxime and an anticonvulsant. The purpose of this reseach is the optimization of an antidote-based treatment in the intoxication with organophosphates through the synthesis and toxicological testing of new compounds with a pyridin-isonitrosoacetanilide structure and their comparison with obidoxime as reference. The objective of this study was the in vitro/in vivo assessment of the antidote properties and acute toxicity of synthethic oximes active in the exposure to neuroparalytic organophosphates. The CT50 value for obidoxime was estimated, through calculus, to be 3.24 mg/ml and 9.33 ×10 -6 M respectively. The CT50 value for Bis1,3[2-hydroxyimino-N-(pyridyl)acetamide]oxapropandichloride (HIN 2) was estimated to be 2.72 mg/ml and 6.29 ×10 -6 M respectively. The studied compounds showed values close to cellular viability at low and moderate equimolecular concentrations, administered in vitro to a cellular culture of fibroblasts. Bis1,3[2-hydroxyimino-N-(piridyl)acetamide]oxapropandichloride (HIN 2) showed an in vitro cellular viability value smalled than obidoxime at higher equimolecular concentrations, proving itself to be more toxic than obidoxime at high concentrations. Taking into account the close values of CT50, the newly synthethized compound, having this particular characterization from a toxicological standpoint, qualifies for further studies as an antidote.
Serum vaspin and chemerin changes in response to combat physical fitness test in military forces"
Authors:   Exercise Physiology Research Center, Life Style Institute,  Baqiyatallah University of Medical Sciences, Tehran, Iran, Shirvani Hossein , Delpasand Alireza ,   Exercise Physiology Research Center, Life Style Institute,  Baqiyatallah University of Medical Sciences, Tehran, Iran, Bazgir Behzad ,   Exercise Physiology Research Center, Life Style Institute,  Baqiyatallah University of Medical Sciences, Tehran, Iran
Published: April 2022

The study aimed to investigate serum vaspin and chemerin changes in response to combat physical fitness tests in military forces. In a semi-experimental design with pretest and posttest, twenty volunteers were engaged to participate in the study. Combat Physical Fitness Test consisted: (1) 25-yard(yd) sprint to J-hook, to 25-yd crawl, and 25-yd run through cones to 75-yd line; split (2) 75-yd casualty drag; split (3) ammo can run to grenade toss (75-yd); (4) ammo can run to end (75-yd); and (5) 650-yard endurance run. Pre-test and the post-test blood sample was gained. The data were analyzed by SPSS version 24. Serum chemerin did not change significantly compared to the pre-test whereas Serum vaspin was significantly higher after the test (p = 0.018). Afterward, a direct correlation was observed between serum chemerin and serum vaspin (p = 0.034, r=0.335). It is suggested that serum vaspin is responsive to short-term maximal power output activity required in the combat fitness test and positively correlates with chemerin. However, it appears that 3 to 4 minutes of high-intensity exercise induce comparatively moderate post-exercise serum vaspin increment, which appears to be inadequate to stimulate chemerin secretion.
The use of IPACK and the continuous adductor canal block in the perioperative management of total knee prosthesis
Authors:   Anesthesiology and Intensive Care Department – Emergency University Hospital of Bucharest, Bucharest, Romania, Bratu Angelica ,   „Carol Davila” University of Medicine and Pharmacy,  Bucharest, Romania, Cursaru Adrian ,   „Orthopedics and Traumatology Department – Emergency University Hospital of Bucharest, Bucharest, Romania; „Carol Davila” University of Medicine and Pharmacy,  Bucharest, Romania, Dumitrașcu Oana ,   Anesthesiology and Intensive Care Department – Emergency University Hospital of Bucharest, Bucharest, Romania; „Carol Davila” University of Medicine and Pharmacy,  Bucharest, Romania, Comănelea Adina ,   Anesthesiology and Intensive Care Department – Emergency University Hospital of Bucharest, Bucharest, Romania, Crețu Bogdan ,   „Orthopedics and Traumatology Department – Emergency University Hospital of Bucharest, Bucharest, Romania; „Carol Davila” University of Medicine and Pharmacy,  Bucharest, Romania, Șerban Bogdan ,   „Orthopedics and Traumatology Department – Emergency University Hospital of Bucharest, Bucharest, Romania; „Carol Davila” University of Medicine and Pharmacy,  Bucharest, Romania, Iordache Sergiu ,   „Orthopedics and Traumatology Department – Emergency University Hospital of Bucharest, Bucharest, Romania; „Carol Davila” University of Medicine and Pharmacy,  Bucharest, Romania, Cîrstoiu Catalin ,   „Orthopedics and Traumatology Department – Emergency University Hospital of Bucharest, Bucharest, Romania; „Carol Davila” University of Medicine and Pharmacy,  Bucharest, Romania
Published: April 2022

Background: Although locoregional anesthesia techniques in total knee arthroplasty (TKA) have progressed steadily, the emergence of the adductor canal block representing a step forward for postoperative evolution in preservation of the quadriceps muscle strength, analgesia of the posterior territory of the knee still remains a challenge. The emergence of IPACK, in association with earlier techniques, offers promising preliminary results in terms of its contribution to a favourable evolution and to the satisfaction of TKA patients. Materials and methods: Prospective trial performed on a group of 28 patients undergoing a total knee arthroplasty intervention; analgesia control in the postoperative period was performed either with opioid and nonopioid systemic analgesics, or by associating the continuous adductor canal block with IPACK and systemic analgesics. The primary objective is pain control at rest/on mobilization, while the secondary purpose is analysis of opioid use, their side effects and recovery of joint mobility. Results: There is a significantly better pain control in the group of patients with locoregional anesthesia, both at rest and on mobilization.
Planning a hospital to respond to the COVID-19 outbreak: experience from a Romanian reference unit
Authors:   Clinic of Obstetrics and Gynecology, Diakonie Klinikum, Schwäbisch Hall, Germany, Hofer Gabriela , Petrescu Dodu G. ,   Clinic of Obstetrics and Gynecology, Diakonie Klinikum, Schwäbisch Hall, Germany, Purcărea Victor L. ,   Department of Marketing and Medical Technology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Published: April 2022

During the COVID outbreak, many hospitals were nominated as a support hospital for the treatment of positive tested patients infected with SARS CoV-2 virus. “Dr. Nicolae Ruşdea” Pneumophtiziology Hospital Baia Mare carried out an exceptional activity compared to the previous year considering the current epidemiological context. Major changes were made in strategies, procedures and protocols. The staff had to adapt to the new epidemiological situation through dedication and devotion. In 2020, there were no COVID outbreaks within the unit, as separate compartments were made, intended to protect the medical personnel, but also to ensure the health of the patients.
Correlation between FibroScan and AST/ALT ratio and splenic size in NASH patients in a tertiary care center
Authors:   Department of General Medicine, Amrita Institute of Medical Sciences and Research Center, Kochi, Somakumar Varsha , Srikanth V.S ,   Command Hospital Air Force, Bengaluru, Manoharan Cibi ,   Department of General Medicine, Amrita Institute of Medical  Sciences and Research Center, Kochi, Marwaha Vishal ,   Department of General Medicine, Amrita Institute of Medical  Sciences and Research Center, Kochi, Mujeeb V.R. ,   Command Hospital Air Force, Bengaluru, Pillai M.G.K. ,   Department of General Medicine, Amrita Institute of Medical Sciences and Research Center, Kochi
Published: April 2022

Background: Non-Alcoholic Steatohepatitis (NASH) is an aggressive form of Non-Alcoholic Fatty Liver disease (NAFLD), with liver inflammation and scarring. Due to a lack of clinical biomarkers and asymptomatic nature, NASH is often under-diagnosed. It is the most common cause of chronic liver disease in the USA. Liver biopsy is the gold standard to diagnose NASH, but it is invasive and life-threatening and histologic evaluation of a liver biopsy sample is imperfect as a reference because of sampling variability due to the irregular distribution of fibrosis. Aim: Validating AST/ALT ratio as a stand-alone scoring system in NASH is scarce and so this study aims to establish a correlation between FibroScan values and AST/ALT ratio. Methodology: All NASH patients, who underwent FibroScan were included. Their demographics, FibroScan, AST, ALT values were recorded in M S Excel and Pearson correlation between FibroScan values and AST/ALT ratios of 150 NASH patients was calculated using SPSS. Results: Out of 150 NASH patients, 72% were males and 57.33% belonged to 40-50 years age group. FibroScan values and AST/ALT ratio showed positive Pearson correlation of 0.245, (p value=0.003). FibroScan values and splenic size also showed a positive Pearson correlation of 0.289 (p value<0.001). Conclusion: Males of 40-50 years age group had higher distribution of NASH, so middle aged males should be screened routinely as they are at a higher risk. FibroScan value with AST/ALT ratio and splenic size showed a positive correlation, thus showing that AST/ALT ratio and splenic size increases with increase in liver stiffness.
Verification Study of Food Packaging Materials Recoverable Through Composting and Biodegradation
Authors:   Wimpey Laboratories, Chandrajith A.V.
Published: April 2022

Biodegradable packaging has the potential to reduce water usage, solid waste, electricity, and emissions compared to conventional packaging processes. Biodegradable plastics created from renewable sources (cellulose or starch) have novel functionalities and processibilities. The European Union standard EN 13432:2006, “Requirements for packaging recoverable through composting and biodegradation – Test scheme and evaluation criteria for the final acceptance of packaging,” solves this issue by explaining clearly how a material becomes biodegradable as well as compostable. The present work is a verification study of EN 13432:2006 using food packaging materials, which were categorized as biodegradable. Spectroscopic analysis of the samples, inoculum, and compost were performed used Fourier transform infrared spectroscopy and inductively coupled plasma atomic emission spectrometry. The aerobic and anaerobic degradation of the samples was conducted in accordance with ISO 14855-1 and ASTM D5511, respectively. An ecotoxicity study using the compost of the samples was performed as per OECD 208 guidelines. The nature of carbon dioxide evolution and biogas accumulation in biodegradability studies was on par with the ISO as well as ASTM standards. The quality of the compost and the ecotoxicity studies using the samples meet the requirements as stipulated by OECD 208 guidelines. The results proved the material possesses the characteristics recommended by EN 13432:2006; so, the material is undoubtedly biodegradable plastic.
Inscribing Indian Indentureship in the Creolised Caribbean: The Homing Desire in V.S. Naipaul’s A House For Mr. Biswas
Authors: Fernández Jiménez Mónica
Published: April 2022

This article argues that the novel A House for Mr. Biswas (1961), by Nobel-prize winner V.S. Naipaul reflects, through the metaphor of the house, characteristically Caribbean concerns regarding the meanings of home. Therefore, is it argued that the Indo-Caribbean community should be accounted for in theories of creolisation which, until recently, have ignored this community in favour of a unified Afro-creole identity that was to support the struggle for independence and other rights. The aim of this article is to understand creolisation by taking into account the interactions between the diverse diasporas that have created the contemporary Caribbean. As such, the novel unveils the conflicts that arise when there is a neglect of such negotiation. With its ending, even if not openly, A House for Mr. Biswas emphasises the immanence of lived experience in the perception of identity. The home in the novel eventually transitions into Avtar Brah’s homing desire, a concept that challenges essentialism in the apprehension of diasporic identities. Reading the novel through this lens reconsiders the meanings of home in the context of the Caribbean in general and the Indo-Caribbean community in particular.
A God Who Can Laugh: Aspects of Hinduism in the Works of E.M Forster and Edward Thompson
Authors: Malhotra Meenakshi
Published: April 2022

The article explores aspects of Hinduism in some writings by British writers E.M.Forster and Edward Thompson in the early twentieth century, and tries to read nuance into the Orientalist project of mapping India. Unlike some writers like Kipling who wrote in the period of high imperialism and created colonial and racial stereotypes, Forster and Thompson seem to be aware of the complexities of Hinduism, of a God who can laugh and play. This article discusses Forster and Thompson’s understanding of and views on Hinduism.
Analysis of Nursing Care Documentation on the Performance of Nurses in the Inpatient Room of Muhammadiyah Hospital Ahmad Dahlan Kediri
Authors: Ningtyas Dwi Wulan , Efendy Muhamad As'ad
Published: April 2022

Background: The behavior of a nurse related to performance is related to nursing tasks that must be carried out, this is the importance of recording nursing care documentation and improving nurse performance in health services. Method: This study aims to identify the analysis of nursing care documentation on the performance of nurses in the inpatient room at RSM Ahmad Dahlan, Kediri. The sampling technique used stratified random sampling to obtain a sample of 56 respondents. This type of research is quantitative using the Spearman rank test. Data collection using a questionnaire. Results: The results showed that of the 56 respondents, most of them had adequate nursing care documentation, 44 respondents (79%), most of them had good nurse performance as many as 32 respondents (57%). Conclusion: The results of the Spearman Rho statistical test have a significance value of <0.05 with a significance result of 0.038, which means that it can indicate that there is a relationship between nursing care documentation and the performance of nurses in the inpatient room at RSM Ahmad Dahlan Kediri
Knowledge of Supplementary Foods on Behavior in Infants 0-6 Months in Sigenti Village, Parigi Mautong Regency Central Sulawesi Province
Authors: Mardjengi Ririn A , Retnangtyas Erma
Published: April 2022

Background: One of the problems that are often encountered in the community is the provision of additional food to infants before the baby is 6 months old. There is a community habit to give rice, bananas at the age of a few days, there is a danger, because the digestive tract in infants is not yet perfect. Method: The design of this research is correlational research with cross sectional approach. Respondents were taken by accidental sampling technique. The population studied were all mothers of infants 0-6 months in Sigenti Village with a sample of 30 mothers. Results: The results were analyzed using the Spearman Rank statistical test. The results showed that knowledge about food additives was known to almost all respondents in the Good category as many as 25 (83%) respondents. Behavior in Infants 0-6 Months, it is known that almost all respondents are in the Good category as many as 23 (77%) respondents. The results of data analysis show that the significance level is 0.000 < = 0.05 so that H0 is rejected and H1 is accepted. Conclusion: There is a Relationship between Knowledge of Supplementary Food and Behavior in Infants 0-6 Months in Sigenti Village, Parigi Mautong Regency, Central Sulawesi Province
The Effectiveness of Providing Health Education on Mother's Knowledge and Interests About Integrated healthcare center Toddlers In Parakan Village, Trenggalek District, Trenggalek Regency
Authors: Ciputri Gesytra Asmeranda Cahyaning , Natalia Shanty
Published: April 2022

Background: The function of the toddler integrated healthcare center is important in monitoring the growth and development of children, but there are still many mothers of toddlers who do not regularly visit the integrated healthcare center. This can be influenced by various factors, including the low level of knowledge and interest of mothers in integrated healthcare center. Method: The design of this study was pre-experimental with a one-group pre-post test approach. The population of all mothers of toddlers aged 3-5 years in Parakan Village amounted to 132 people, with a probability sampling technique obtained a sample of 33 respondents. The independent variable of health education with the dependent variable of knowledge and interest, the results were analyzed by the Wilcoxon signed rank test at = 0.05. Results: The results showed that most of the respondents prior to receiving health education had sufficient knowledge category, namely 20 respondents (60.6%) and had moderate interest category, namely 18 respondents (54.5%). After health education, it was known that almost all respondents had good knowledge, namely 27 respondents (81.8%) and most of them had high interest categories, namely 21 respondents (63.6%). Conclusion: The provision of information stimulus can increase knowledge and trigger interest in making regular visits so that it is hoped that there will be ongoing health education activities to maintain maternal visits to integrated healthcare center
The Relationship of Participation in Early Childhood Education Activities at the Integrated Healthcare Center Park with the Development of Toddler Children in NgadiRenggo Village, Pogalan District, Trenggalek Regency
Authors: Qamaria Aziza Ainur , Hidajaturrokhmah Nur Yeny
Published: April 2022

Background: Integrated healthcare center park is a government effort in optimizing Integrated healthcare center activities so that they do not only carry out monitoring functions but are also promotive efforts to stimulate child growth and development better, but in fact there are still many children who have not participated in Taman Integrated healthcare center either due to limited facilities and there are still many parents who doubt the benefits. Method: The design of this study was observational with a cross sectional approach. The population of this study were all toddlers in Ngadirenggo Village, Pogalan District-Trenggalek totaling 399 toddlers, with a proportioned random sampling technique obtained a sample of 40 respondents. The independent variable is the participation of Taman Integrated healthcare center with the dependent variable being child development. Data analysis using Spearman rank test at=0.05. Results: The results showed that all respondents who participated in Taman Integrated healthcare center had the appropriate category development, namely 8 respondents (100.0%) and most of the respondents who did not participate in Taman Integrated healthcare center had development in the appropriate category, namely 22 respondents (55.0%). The results of the analysis showed that there was a relationship between participation in Early Childhood Education Programs activities at the Integrated healthcare center Park with the development of children under five in Ngadirenggo Village, Pogalan District, Trenggalek Regency (p = 0.005 < = 0.05). Conclusion: Children who participate in the integrated healthcare center park will get better monitoring of growth and development, besides that they will also get developmental stimulation through group activities. Existing play and learning activities are useful in honing children's development so that children who participate in Integrated healthcare center parks tend to have more appropriate developments
Overview of Night Promiscuity Behavior on Students Who Often Play Motorcycle Racing: Literature Review
Authors: Saputrodewo David Rhesy , Kusumawati Prima Dewi
Published: April 2022

Background: There are so many kinds of acquaintances with teenagers and one of the most troubling in recent times is motorcycling students who have various deviant behaviors and engage in various kinds of behavior such as racing, brawls, and drinking alcohol. This is because teenagers who are members of motorcycle gangs do not only commit violations that disrupt public order, such as offenses leading to crimes that can endanger the community, such as robbery, persecution that takes the lives of others. This study aimed to explain the assistance of parents with students who often play motorcycle racing at night. Method: The method of searching for articles in several databases using certain keys in the 2015-2020 period. The results of the search found 8 journal articles that met the inclusion and exclusion criteria. Results: The habit of racing among teenagers is a form of juvenile delinquency. The teenagers involved were jockeys, spectators and mechanics. The reason for wild racing is because it is a hobby, channeling automotive talent and stress relief. The reason for racing is because it is a hobby, channeling automotive talent and stress relief. The resulting impact: disturbing the peace of the residents, damaging public facilities when an accident occurs, and the loss of self-ethics of teenagers on the road. Conclusion: There is a relationship between student social behavior and motor racing.
Association between Molecular Subtype of Invasive Breast Carcinoma with grade, lymphovascular invasion and lymph node metastasis in the Department of Anatomic Pathology FKUI/RSCM 2019
Authors: Bethania Kristina Anna , Rustamadji Primariadewi
Published: April 2022

BackgroundBreast cancer is classified into molecular subtypes: luminal A, luminal B, HER2 enriched and triple negative breast cancer based onits immunohistochemical profile. This study aims to assess the relationship between histologic grade, lymphovascular invasion andlymph node metastasis with molecular subtypes in invasive breast carcinoma at Cipto Mangunkusumo Hospital from January 1,2019 to December 31, 2019.MethodsA descriptive, cross-sectional study was conducted in Anatomical Pathology Department, FKUI/RSCM over a period of January toDecember 2019. A total of 652 histologic specimens with a diagnosis of invasive breast carcinoma which were immunostained withER, PR, HER2, and Ki67 were reviewed, then grouped into the appropriate molecular subtypes. A Chi-square test was performed toassess the association between histologic grade, lymphovascular invasion and regional lymph node metastases with molecularsubtypes.The p-value <0.05 was statistically significant.ResultsThe molecular subtypes of breast cancer, from the highest to the least number, were luminal A (40.2%), luminal B (37.7%), TNBC(13.6%), and HER2 enriched (8.6%). There was a significant association between grade and molecular subtypes of breast cancer.(p=<0.001). There was a significant association between lymph node metastasis and molecular subtypes of breast cancer(p=0.038).ConclusionThe most common molecular subtype of invasive breast cancer found was Luminal A. There was a significant association betweenlymph node grade and metastasis and the molecular subtype of breast cancer.
I Must Be Qualified — After All, I Got the Job
Authors: Zismer Daniel , Schwartz Gary
Published: April 2022

You applied for or were recruited to an important physician leadership position and you got the job! You may believe that because you were selected for the job, you are destined for success. You might be right, but to minimize the risks of being wrong, stop and ask yourself, "How do I best prepare myself for success as an organization’s new leader?"
Making the Business Case for Quality
Authors: Priore Richard , Beauvais Bradley
Published: April 2022

This first article in a four-part series presents a deliberate approach for making the business case for quality using a proven method that includes defining the opportunity, estimating the cost of waste, and quantifying the cost of the proposed solution and its anticipated financial impact.
Assessing Organization Vulnerability
Authors: Greeter Aimee , Reiboldt Max
Published: April 2022

As with most every aspect of running a healthcare organization, preplanning, documentation and training of staff and related parties will significantly mitigate the challenges of any crisis a healthcare organization may face.
Surgery to preserve the spleen with cardiac involvement in hydatid cyst diseases
Authors: Jain Parag , Singh Puneet Pal
Published: April 2022

Background: Despite the fact that hydatid illness affects several organs in the body most commonly seen in the liver (50-70%) and lungs (20-30%), intracardiac hydatid cyst localization occurring in only 0.02 - 2% of cases of Cardiac involvement can occur as a result of systemic or pulmonary circulation. The left ventricle is the most often affected location (75%), followed by the right ventricle (15%), the interventricular septum (5-9%), the left atrium (8%), the pericardium (8%), the pulmonary artery (7%), and the right atrium (3 -4%). on the other hand, splenic hydatid accounts for only 0.8-4% of all human echinococcosis cases. Splenectomy was the standard surgical treatment for splenic hydatid until recently. Since 1980, there has been a growing trend toward using conservative treatment options to treat such pathology.
Aim of the study: In a single institutional study, we wanted to assess our experience with open splenic-preserving surgery for splenic hydatid and it is crucial to detect cardiac involvement early and provide surgical intervention as soon as possible.
Patient and methods: In retrospective research, ten patients with splenic hydatid were operated on in our medical center between August 2013 and January 2018. In 7 cases, the spleen was affected alone, in 3 cases, the liver and spleen were both afflicted, and one of them also showed intraperitoneal cyst affection. Ultrasonography was used to confirm the diagnosis. It required computed tomography (CT) and magnetic resonance imaging (MRI) in some circumstances. All patients got a chest X-ray to rule out pulmonary hydatid. The most important diagnostic method includes serologic testing cardiac imaging by echo-cardiography, CT and MR imaging to detect cardiac involvement in hydatid diseases. The surgical procedure was used as an open one. Isolation of the field, aspiration of cystic fluid and injection of 1% cetrimide solution, re-aspiration, endocystectomy, and suturing of cystic margins over the intracystic tube drain. All surgeries were performed with albendazole (15 mg/kg/day) as a pre-and post-operative treatment.
Results: There were no major intraoperative or postoperative problems. There was no need for a second procedure. 3-5 days in the hospital after a (1-3) year follow-up, there was no recurrence. Three patients, however, failed to follow up after two years and as for cardiac hydatid cysts, it can induce deadly consequences such as rupture and embolization, surgical resections combined with medicinal therapy are the best therapeutic option.
Conclusion: Our experience with splenic hydatid motivates us to employ splenic-preserving surgery rather than splenectomy if appropriate. Cardiac hydatid cyst illness can occasionally produce a fistula between the coronary and pulmonary arteries. Therefore, to provide best possible treatment cardiac cyst must be investigated in endemic countries as early as possible.
Using Audio Visual Screencast-O-Matic Media to Improve Learning Outcomes for PKN Class IV Pkn Students at SDN 05 Botumoito, Boalemo Regency
Authors: Binggo Fandi H. , Adipu Ismail
Published: April 2022

This study shows that the learning outcomes of students in the PKN subject are still in the low category. This is indicated by the low learning activity of students at the time of initial observation, with a percentage level of 33.33% of the 24 students. Therefore the researcher took action using the audio-visual screencast-O-matic learning media of diversity material. From the results of research conducted on student learning outcomes, there was an increase of 41.66% in the first cycle of the first meeting, 50% of the first cycle of the second meeting and 62.5% of the first cycle of the third meeting. Whereas in the second cycle of the first meeting the increase in learning outcomes reached 70.83% and in the second cycle the second meeting had increased up to 87.5%. Based on research conducted in cycle I and cycle II, it can be concluded that by using audio-visual screencast-O-matic media, diversity material can improve student learning outcomes in PKN learning in class IV SDN 5 Botumoito, Boalemo Regency, this is in terms of increasing learning outcomes. students from 33.33% rose to 87.5%.
Deep Breath Relaxation Training to Reduce Dysmenorrhoea Pain in Nursing Students, University of Muhammadiyah Gorontalo
Authors: Muhamad Zuriati , Yunus Pipin
Published: April 2022

Dysmenorrhoea is one of the most common gynecological problems affecting more than 50% of women and causes an inability to perform daily activities for 1 to 3 days each month. One of the management of pain during menstruation is by relaxing deep breaths, namely by teaching clients how to do deep breaths and how to exhale slowly so as to reduce pain intensity and also increase lung ventilation and increase blood oxygenation. The purpose of this community service is to provide training to nursing students on deep breathing relaxation which can reduce menstrual pain (dysmenorrhoea). Deep breath relaxation training is carried out through the pretest stage, the training stage and the post test. There are 42 students who were given training in community service, namely nursing students from the 2016 and 2017 Muhammadiyah University of Gorontalo. The degree of dysmenorrhoea pain at the time of the pre test was mild pain 0% moderate pain as much as 81.0% and severe pain 19.0%. 9% and severe pain 19.0%. Based on the results of the training, it showed that most female students stated that this training was very useful because they gained knowledge and understanding of overcoming menstrual pain, after doing deep breathing relaxation students felt a decrease in dysmenorrhoea pain.
Positive Affirmation Exercises Against Reducing Anxiety In Facing Vaccination Covid-19
Authors: Firmawati Firmawati , Biahimo Nur Uyuun I. , Hasan Cindra Umar , Ibrahim Yunitro , Yunus Yulianti
Published: April 2022

Vaccination is a process that occurs in the human body that will become immune or can be protected from various diseases. Since the establishment of COVID-19 as a pandemic, there have been various changes in the pattern of human life. This impact can trigger stress in society. Coupled with the emergence of some Vaccine related misinformation that hinders preventive measures. Anxiety is a natural psychological condition felt by individuals when they feel a threat to things that are not clear. Many methods have been used to reduce anxiety, one of which is the positive affirmation technique. Positive affirmations are hopes, prayers, aspirations to help form a picture in one's thinking power or self-acceptance statements (Abdurrahman, 2012). The people who were given community service training were the people of the village of Bulota, Talaga Jaya sub-district. Based on the results of the training, it shows that most of the community stated that this training was very useful because they gained knowledge and understanding of dealing with anxiety when administering the covid-19 vaccine
Prawne i ekonomiczne spojrzenie na podatek przez
doradcę podatkowego
Authors: Iwin-Garzyńska Jolanta
Published: April 2022

Z dużej zmienności i niepewności norm prawa podatkowego wynika, że ekonomiczne skutki podatku mogą być
odmiennie postrzegane przez przedstawicieli prawa podatkowego, ale doradca podatkowy powinien móc dostrzec
obie strony monety podatkowej – prawną i ekonomiczną. Celem opracowania jest wskazanie na istotę podatku
jako podstawową materię pracy doradcy podatkowego, uwypuklenie ekonomicznej istoty prawa podatkowego, a
także odniesienie prawnej teorii podatku do elementarnych teorii ekonomii.
Niniejsza publikacja dotyka problemu prawnego i ekonomicznego postrzegania podatku przez doradcę podatkowego.
Rozumienie kategorii podatku przez prawników i ekonomistów odzwierciedla obraz podatku. Obraz, który
jest zapisany w normach prawnych odczytywanych przez teoretyków i praktyków prawa podatkowego, a także
ekonomistów badających wpływ płatności podatkowych na przepływy pieniężne i sytuację finansową podatników.
Ważne jest, aby w odczytywaniu istoty podatku dostrzegać podmiotowość podatnika i ukazywać prawo podatkowe
w korespondencji ze zjawiskami finansowymi. Zadanie to jest p rzypisane doradcy podatkowemu.
Podatkowy pakiet dla innowacyjnej gospodarki. Analiza
prawno-porównawcza ulg fiskalnych mających wspierać
technologiczną transformację przedsiębiorstw
Authors: Szymczyk Przemysław
Published: April 2022

W artykule autor prezentuje kierunki zmian wprowadzonych od początku 2022 r. w zakresie podatkowego wsparcia
innowacyjności przedsiębiorstw. Analizowany pakiet polega na uzupełnieniu dotychczasowego ekosystemu
zachęt fiskalnych o dalsze preferencje podatkowe. Ich przewodnim celem jest zachęcenie przedsiębiorców do
podejmowania ambitnych projektów transformacji procesów produkcyjnych przy wykorzystaniu najnowszych
osiągnięć technologicznych, co w założeniu ustawodawcy powinno ułatwić transformację krajowej gospodarki w
kierunku przemysłu 4.0, czyli gałęzi ekonomii o największym potencjale i najwyższej wartości dodanej. Pierwszy
element pakietu przewiduje możliwość zmniejszenia w określonych warunkach zaliczek płaconych przez pracodawcę
z tytułu zatrudnienia innowacyjnych pracowników. Następny etap to znana już podatnikom ulga na badania
i rozwój (B+R), której rozszerzenie stanowi proponowana ulga na prototyp. Ma ona wspierać koszty próbnej produkcji
nowego produktu i wprowadzenia go do użytku, a więc przeniesienie pomysłu na język praktyki. Kolejna
korzyść obejmuje ulgę na robotyzację wspierającą produkcję. Na samym końcu, w przypadku czerpania dochodów
z praw własności intelektualnej, możliwe stanie się symultaniczne korzystanie z ulgi na działalność badawczo-
-rozwojową przez podatnika objętego reżimem IP Box. Wprowadzenie powyższych rozwiązań należy ocenić pozytywnie,
to dopiero praktyka pokaże jednak, czy przedsiębiorcy będą z nich korzystać i w jakim zakresie, a to zależy
przede wszystkim od podejścia organów fiskalnych.
Wybrane uwagi do uchwalonego zakazu świadczenia
przez doradcę podatkowego usług dla organów
podatkowych
Authors: Lachowicz Marcin
Published: April 2022

W trakcie ostatniego Krajowego Zjazdu Doradców Podatkowych została przyjęta uchwała, która wprowadza zakaz
świadczenia przez doradcę podatkowego usług na rzecz organów podatkowych w związku z rozstrzyganiem indywidualnych
spraw podatników. Uchwała ta budzi szereg wątpliwości odnośnie do jej zgodności z obowiązującym
prawem. Interesujący jest dalszy los tej uchwały i skutki jej e wentualnego stosowania w praktyce.
Novi iskorak Industrije 4.0 u transportu i logistici
Authors: Lindov Osman , Kosovac Amel , Omerhodžić Adnan
Published: April 2022

Današnje doba neraskidivih veza fizičkih i digitalnih komponenti zahtijeva velike količine informacija i podataka za generisanje adekvatnih odluka i postizanje efikasnijih sistema upravljanja. Doba Četvrte industrijske revolucije poznate kao Industrija 4.0 prvenstveno ističe digitalnu tehnologiju usmjerenu na integraciju sa Internetom stvari (IoT), pristup velikim količinama korisnih podataka u realnom vremenu i uvođenje sajber-fizičkih sistema. Industrija 4.0 fokusirana je na kreiranje rješenja kojima se omogućava digitalizacija i automatizacija procesa. Zbog toga rješenja Industrije 4.0 imaju značajne mogućnosti i pogodnosti za primjenu u transportu i logistici sa ciljem da obezbijede visokokvalitetne procese lanca opskrbe, te poboljšaju konkurentnost na tržištu eliminacijom troškova.
Pametni i održivi sektor prerade hrane integracijom pojmova tehnologija koje proizilaze iz Industrije 4.0
Authors: Bratovčić Amra
Published: April 2022

Cilj ovog preglednog rada je procijeniti mogućnosti primjenepojmova industrije 4.0 uključujući optimizaciju velikih podataka, integraciju senzora, umjetne inteligencije, Internet stvari (IoT) što dovodi do najnižih mogućih troškova i najvećeg mogućeg učinka putem pametne kontrole procesa, održive proizvodnje i praćenja. Senzori su vitalne komponente industrije 4.0 i različite vrste detektora i senzora se koriste u industriji pakiranja hrane za prenošenje informacija o kvaliteti hrane i povećanje sigurnosti hrane. Ovdje će se diskutirati o vremensko-temperaturnim indikatorima, vizualnim (u boji) indikatorima, indikatorima O2 i CO2, indikatorima svježine, pH indikatorima, indikatorima otrova i indikatoru radio frekvencije koji automatski otkriva i prati proizvod. Na temelju korištenja kreditne kartice moguće je otkriti ponašanje kupaca i potrošača. Virtualne trgovine popularne su za uredske radnike. Korištenjem umjetne inteligencije moguće je izraditi robotsku kuhinju koja može kuhati prema željama korisnika, a za rezanje hrane u određenim oblicima koristi se tehnologija 3-D printanja.
Integration of artificial intelligence in Industry 4.0: challenges, paradigms and applications
Authors: Banjanović-Mehmedović Lejla , Jahić Jasmin
Published: April 2022

Artificial intelligence (AI) is a very disruptive technology, which combined with powerful computational hardware have opened new possibilities for world-wide technological progress in industry. There is an urgent need for systematic development and implementation of AI to see its real impact in the next generation of industrial systems, namely Industry 4.0. Organisations that do not do so will fail to maintain their competitiveness. This paper provides an insight into the main paradigms of AI technologies used in Industry 4.0, by giving emphasis to the key enabling digitalization technologies and their challenges. In addition, we present an overview of AI current state and the most important AI algorithms used in Industry 4.0. Finally, we discuss trends related to adoption of AI in the context of software embedded applications and software architectures for embedded systems.
Wahrnehmungswelten
Authors: Gloy Karen
Published: April 2022

Bis heute stehen wir, was die Wahrnehmungstheorie betrifft, in der Tradition des cartesianischen Reduktionismus, der die Gegenstände nach ihren reinen Sachqualitäten betrachtet. Alle anderen Begegnungsweisen, die in und mit der Wahrnehmung auftreten, die praktische, die emotional-ästhetische, die religiöse, werden ignoriert. Karen Gloy entwickelt gemäß der strukturellen Methode die Totalität möglicher übereinandergeschichteter Wahrnehmungswelten und zeigt damit die Defizite fest eingeschliffener traditioneller Vorstellungsgewohnheiten. Die Verschiedenheit der Wahrnehmungswelten wird anhand von Beispielen veranschaulicht. Diese reichen von den Tlingit-Keulen aus Alaska über Goethes Farbenlehre bis zur Wahrnehmung im Cyberspace mittels Datenhelm und Datenhandschuh.
Leib oder Körper
Authors: Linck Gudula
Published: April 2022

Gudula Linck untersucht in dieser komplett überarbeiteten Neuausgabe des Buches aus dem Jahr 2001 die traditionellen Vorstellungen von Leib und Körper in China, indem sie mit Hilfe des Ansatzes von Hermann Schmitz die Verhältnisse von „Leib und Körper“, „Leib und Gefühl“ und „Mensch und Welt“ analysiert. Herausgearbeitet werden dabei im Selbst- und Weltverständnis sowohl die monistische Grundhaltung als auch dualistische Einflüsse, die das vormoderne China prägen. Von daher wird auch gefragt, inwieweit eine unmittelbarere Leiberfahrung und ein ganzheitlicheres Erleben in der chinesischen Tradition beobachtet werden können. Zur Sprache kommen in diesem Zusammenhang u.a. die Bedeutung des Herzens für das chinesische Menschenbild, die Macht der Gefühle, Techniken der Leibbeherrschung und die Beziehung des menschlichen Körpers zum Kosmos.
Logos und Lethe
Authors: Flatscher Matthias
Published: April 2022

Den Ausgangspunkt der Überlegungen zum Sprachverständnis im Spätwerk von Heidegger und Wittgenstein bildet die gemeinsame Stoßrichtung gegen die Insuffizienz der tradierten Philosophie, Sprache lediglich von einem anthropozentrischen und instrumentellen Gesichtspunkt aus zu betrachten. In einer umfassenden Weite genommen, gestaltet sich die Frage nach Sprache nicht als eine unter vielen, sondern in ihr zeigt sich das gesamte Welt- und Selbstverständnis des Menschseins überhaupt - ein Menschsein, das sich nicht mehr als über die Sprache souverän verfügend versteht, sondern sich als ein solches erfährt, das immer schon antwortend in das Geflecht der Sprache eingelassen ist, die es mit anderen teilt. Das vermeintlich Eigenste des Menschen - die Sprache, die ihn auszeichnet und seine Identität gewährt - besitzt er nun gerade nicht, sondern sie ist ihm so gegeben, indem sie sich entzieht und ihm so seine Seinsweise gewährt. Dieser konstituierende Entzug im Eigenen beinhaltet Konsequenzen für das menschliche Selbstverständnis: Sprache erweist sich als Gabe, die nie restlos in den menschlichen Verfügungsbereich überzuführen ist. Vielmehr zeigt sich in ihr ein uneinholbarer Abgrund in der Proprietät des Menschseins, das immer schon durch die sprachliche Unverfügbarkeit eines (vor)ursprünglichen Außer-sich-seins geprägt ist und auf dieses immer schon responsiv bezogen ist. Wie sich aus der Besinnung auf Sprache zeigt, besagt Menschsein gerade ein vorgängiges Hinausgehaltensein und beinhaltet einen verhältnishaften Bezug zu einer die eigene Identität konstituierenden Alterität.
Phänomenologie des Lebendigen
Authors: Kessel Thomas
Published: April 2022

Die Frage nach dem Wesen des Lebendigen ist keine Episode in Heideggers Denken, welche durch die Schriften Max Schelers und Helmuth Plessners motiviert wurde, sondern sie beschäftigte bereits den jungen Heidegger seit 1909/10. Im größeren Umfang wird diese Frage in seiner Vorlesung „Die Grundbegriffe der Metaphysik“ des WS 1929/30 behandelt. Angeregt wurde das als Lehrstück phänomenologischer Forschungspraxis anzusehende Werk Heideggers von Jakob v. Uexkülls gewagtem methodischen Neuansatz innerhalb der Biologie, von dem aus Heidegger eine kategoriale Bestimmung des Lebendigen gelang, die sich kontrovers zum Mechanismus (Wilhelm Roux) und zum Vitalismus (Hans Driesch) verhielt. Ausgehend von der kategorialen Fassung des Lebendigen lässt sich in der vorliegenden Untersuchung die Leiblichkeit innerhalb der Heideggerschen Philosophie angemessen verstehen und erstmals verorten. Denn im Moment der „Phänomenologischen Privation“ des Lebendigen von der Welthabe des Daseins aus, bricht die eigene Leiblichkeit in die Untersuchung hinein. Privation des Lebendigen ließe sich niemals ohne die Faktizität des Daseins durchführen. Denn jede vom Lebendigen vollzogene Bewegung ist eine leiblich vollzogene Bewegung und dem Dasein nur aufgrund seiner ihm eigenen Leiblichkeit einerseits und seines Seinsverständnisses andererseits möglich. So bedarf die Bestimmung der Leiblichkeit sowohl der Eröffnung ihrer organismischen Dimension als auch ihrer Interpretation von der Daseinsanalytik her. Und damit gelangt die Arbeit an einen Punkt, die Möglichkeit der von Heidegger angekündigten Metontologie hermeneutisch anzuzeigen. Der bekannte Vorwurf von Löwith und Plessner an Heideggers Leib- und Lebensvergessenheit kann damit zurückgewiesen werden. So drängt die Untersuchung zu neuen Überlegungen hinsichtlich Heideggers Bedeutung im Bereich der philosophischen Anthropologie.