Follow-up survey of patients with occupational asthma

Abstract Background Occupational asthma (OA) is often associated with a poor prognosis and the impact of a diagnosis on an individual’s career and income can be significant. Aims We sought to understand the consequences of a diagnosis of OA to patients attending our clinic. Methods Using a postal questionnaire, we surveyed all patients attending our specialist occupational lung disease clinic 1 year after having received a diagnosis of OA due to a sensitizer (n = 125). We enquired about their current health and employment status and impact of their diagnosis on various aspects of their life. Additional information was collected by review of clinical records. Results We received responses from 71 (57%) patients; 77% were referred by an occupational health (OH) provider. The median duration of symptoms prior to referral was 18 months (interquartile range (IQR) 8–48). At 1 year, 79% respondents were no longer exposed to the causal agent. Whilst the unexposed patients reported an improvement in symptoms compared with those still exposed (82% versus 53%; P = 0.023), they had poorer outcomes in terms of career, income and how they felt treated by their employer; particularly those not currently employed. Almost all (>90%) of those still employed had been referred by an OH provider compared with 56% of those currently unemployed (P = 0.002)x. Conclusions The negative impact of OA on people’s careers, livelihood and quality of life should not be underestimated. However, with early detection and specialist care, the prognosis is often good and particularly so for those with access to occupational health.

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Kendala Implementasi Pembelajaran Daring Pendidikan Agama Hindu Pada Siswa Kelas V Di SDN Pandawei-1

Cetta: Jurnal Ilmu Pendidikan ◽

10.37329/cetta.v3i3a.574 ◽

2020 ◽

Vol 3 (3a) ◽

Author(s):

Lasmini

Keyword(s):

Qualitative Research ◽

Online Learning ◽

Learning System ◽

Additional Information ◽

Corona Virus ◽

Analysis Technique ◽

The World ◽

Qualitative Descriptive ◽

Almost All ◽

The Impact

Corona virus or covid 19 is a dangerous virus that attacks the human respiratory system. Corona virus able to change the order of almost all of life’s joints in the world of education. In order to break the chain of the covid 19, goverments introduce a pattern of long range learning by means online learning. Application of this learning model certainly brings its own impact to students. The puspose of this study is to know the impact students are experiencing class 5 country primary school Pandawei during the online learning system. The method used was qualitative research methods with data collection techniques thrugh interviews and observations. The analysis technique used is qualitative descriptive. The main find of this research is increased students study habits using this online learning methods because the students are becoming accustomed with technology so they’re easier discovering additional information about the lesson materials received search school.

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Dysphagia after pediatric functional hemispherectomy

Journal of Neurosurgery Pediatrics ◽

10.3171/2013.10.peds13182 ◽

2014 ◽

Vol 13 (1) ◽

pp. 95-100 ◽

Cited By ~ 5

Author(s):

Robert T. Buckley ◽

Tiffany Morgan ◽

Russell P. Saneto ◽

Jason Barber ◽

Richard G. Ellenbogen ◽

...

Keyword(s):

Pediatric Patients ◽

Clinical Symptoms ◽

Intractable Epilepsy ◽

Seizure Freedom ◽

Postoperative Dysphagia ◽

Duration Of Symptoms ◽

Functional Hemispherectomy ◽

Clinical Records ◽

The Impact ◽

New Onset

Object Functional hemispherectomy is a well-recognized surgical option for the treatment of unihemispheric medically intractable epilepsy. While the resultant motor deficits are a well-known and expected consequence of the procedure, the impact on other cortical functions has been less well defined. As the cortical control of swallowing would appear to be threatened after hemispherectomy, the authors retrospectively studied a pediatric population that underwent functional hemispherectomy for medically intractable epilepsy to characterize the incidence and severity of dysphagia after surgery. Methods A retrospective cohort (n = 39) of pediatric patients who underwent hemispherectomy at a single institution was identified, and available clinical records were reviewed. Additionally, the authors examined available MR images for integrity of the thalamus and basal ganglia before and after hemispherectomy. Clinical and video fluoroscopic assessments of speech pathology were reviewed, and the presence, type, and duration of pre- and postoperative dysphagia were recorded. Results New-onset, transient dysphagia occurred in 26% of patients after hemispherectomy along with worsening of preexisting dysphagia noted in an additional 15%. Clinical symptoms lasted a median of 19 days. Increased duration of symptoms was seen with late (> 14 days postoperative) pharyngeal swallow dysfunction when compared with oral dysphagia alone. Neonatal stroke as a cause for seizures decreased the likelihood of postoperative dysphagia. There was no association with seizure freedom or postoperative hydrocephalus. Conclusions New-onset dysphagia is a frequent and clinically significant consequence of hemispherectomy for intractable epilepsy in pediatric patients. This dysphagia was always self-limited except in those patients in whom preexisting dysphagia was noted.

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Soil Degradation Assessment in Europe, A Review of Status, Interaction and Remediation

Proceedings ◽

10.3390/proceedings2019030018 ◽

2019 ◽

Vol 30 (1) ◽

pp. 18

Author(s):

Jannes Stolte ◽

Gudrun Schwilch

Keyword(s):

Ecosystem Services ◽

Soil Degradation ◽

Expert Knowledge ◽

Negative Impact ◽

Natural Capital ◽

Soil Functions ◽

Soil Biodiversity ◽

Wide Range ◽

Almost All ◽

The Impact

As soil formation is an extremely slow process, soil can be considered a non-renewable resource. Soils should thus be adequately protected and conserved to ensure that soil functions are not lost or diminished. Soil functions are, however, threatened by a wide range of processes. Europe’s soil resources may continue to degrade due to changes in climate, land use and other human activities. The challenge is to prevent degradation and its adverse effects on soil functions and ecosystem services, and even improve the ability of soil to perform its functions. The soil degradation processes are complex and all parts of Europe are affected by one or more soil threats to some degree. There is a lack of knowledge on, a large uncertainty in, and lack of quantitative information on understanding the interrelationships between soil threats, soil threat and soil functions, and soil and ecosystem services. A major challenge in clarifying these relationships is how to integrate information and to analyse the key interactions. To bridge this gap, we have made an approach based on a review and expert knowledge to understand and describe those interrelations. This has been described in qualitative terms, and showed that the soil functions biomass production is affected by almost all threats, whereas the threat biodiversity decline has a major negative impact on all functions. It also showed that both soil biodiversity and soil erosion are more or less affected by almost all other soil threats. In the RECARE project, various prevention and remediation measures were trialed. Changes in manageable soil and other natural capital properties were measured and quantified, and a methodology to assess changes in ecosystem services was developed. Overall, the results showed positive on the impacts of the measures on ecosystem services. Although methodological challenges remain, the assessment served as an input to a stakeholder valuation of ecosystem services at local and sub-national levels. Although these activities are steps towards a soil remediation strategy, there is a need for further research on the mentioned issues in order to achieve an improved overview of existing information on soil degradation at the European scale, their interactions, and effects on ecosystem services. In addition, the lack of legally binding targets limits the impact that existing policies have on reducing soil threats and protecting soil function, although various EU policy instruments have shown positive impacts even in absence of binding targets for Member States.

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The impact of COVID-19 on obstetrics and gynaecology trainees; how do we move on?

Facts, Views and Vision in ObGyn ◽

10.52054/fvvo.13.1.004 ◽

2021 ◽

Vol 13 (1) ◽

pp. 7-12

Author(s):

R. Mallick ◽

F. Odejinmi ◽

M. Sideris ◽

E. Egbase ◽

M. Kaler

Keyword(s):

Surgical Training ◽

Clinical Training ◽

Negative Impact ◽

Well Being ◽

Mental Wellbeing ◽

Training Experience ◽

Obstetrics And Gynaecology ◽

Negative Impacts ◽

Almost All ◽

The Impact

Background: Obstetrics and Gynaecology (O&G) is an evolving specialty that encompasses women’s health at its core. The COVID-19 pandemic has caused significant patient care challenges, however simultaneously it has resulted in the interruption of clinical training and cessation of all elective work. Our primary aim was to assess the impact of the pandemic on the experiences of O&G trainees. Methods: An email invite was sent to all 127 O&G trainees in Kent, Surrey and Sussex (KSS), inviting them to participate in an anonymous 33-question survey. The survey data was collected and analysed over a 4-week period. Results: Of the 127 trainees sent the survey, 87 responded (69%). 39% and 75% of trainees agreed that the pandemic had a negative impact on their overall physical and mental wellbeing respectively. 43% agreed that the COVID-19 pandemic had adversely affected their obstetric training experience whilst almost all trainees stated a significant negative impact on benign gynaecology surgical training. Reassuringly, over 80% were positive they would recover from the negative impacts of COVID-19. Conclusions: It is evident that COVID-19 has impacted O&G trainees in several ways. Whilst we face uncertain times, we must firstly ensure the physical and mental well-being of all trainees. It is encouraging that non-emergency consultations and benign surgery are being restarted nationwide and whilst this will inevitably help with re-booting surgical training, we must also think “outside” the box and utilise other modes of teaching and training to safeguard learning whilst mitigating against the negative impacts of subsequent waves.

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DEVELOPMENT OF CONCEPTUAL BASIS OF RISK MANAGEMENT IN THE OCCUPATIONAL HEALTH AND SAFETY

JOURNAL of Donetsk mining institute ◽

10.31474/1999-981x-2020-2-101-110 ◽

2020 ◽

pp. 101-110

Author(s):

Аndrii Bochkovskyi ◽

Keyword(s):

Risk Management ◽

Occupational Health ◽

Negative Impact ◽

Practical Importance ◽

Health And Safety ◽

Occupational Health And Safety ◽

International Standards ◽

Theoretical Understanding ◽

Risk Management Process ◽

The Impact

Purpose. Improve existing theoretical understanding of the mechanisms of risks occurrence and their minimization in the occupational health and safety. Method. The following research methods were used in the work: analysis of scientific and technical literature and international standards for risk management in the occupational health and safety – to improve the set of basic terms and concepts, as well as the risks classification; general logical methods – to establish and substantiate the mechanisms of risks occurrence to life and health of the employee in the “man – machine – environment” systems and the principles of their minimization. Results. The basic concepts and terms for objective and comprehensive implementation of the risk management process in accordance with the purpose and tasks of the functioning of occupational health and safety management systems at enterprises were substantiated and proposed for application. The factors impacting on the level of residual risk of occupational dangers occurrence, as well as the theoretical possibilities of achieving the minimum possible level of its values within the functioning of “man – machine – environment” systems were determined and substantiated. The main factors that have a negative impact on the state of functioning of “man – machine – environment” systems and their nature were described. Mechanisms of the occurrence and minimization of risks to the life and health of the employee in these systems were established and substantiated, resulting in improving the principles of their management. Scientific novelty. The principles of risk management in the occupational health and safety, which were needed to identify and eliminate vulnerabilities (within the implementation of the Schuhart-Deming cycle), which are always formed during employee interaction with elements of “man – machine – environment” system under the impact of stochastic and non-stochastic negative factors were improved. Practical importance. The results of the research can be used to improve the international regulatory framework for risk management in the occupational health and safety, in particular the standards of the series ONSAS, ILO-OSH, ISO and others.

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The Evolution of the Socio-cultural and Religious Characteristics of Cancer Patients in Morocco: Case of the National Institute of Oncology Rabat

10.21203/rs.3.rs-50765/v1 ◽

2020 ◽

Author(s):

Fahd Elkhalloufi ◽

Saber Boutayeb ◽

Fouzia Mamouch ◽

Latifa Rakibi ◽

Sanae Elmajjaoui ◽

...

Keyword(s):

Body Image ◽

Cancer Patients ◽

Negative Impact ◽

Point Of View ◽

Healthcare Team ◽

Economic Point ◽

Chisquare Test ◽

To Come ◽

Almost All ◽

The Impact

Abstract Background: In 2018, Morocco recorded more than 52,783 new cases of cancer and more than 32,962 cases of death (IARC, 2018). Cancer is always accompanied by socially constructed, differentiated and contingent interpretations and practices according to the socio-cultural and religious characteristics of each region. The aims of this study is describing the evolution of the socio-cultural and religious aspects of Moroccan cancer patients followed at the National Institute of Oncology (NIO) of RABAT between 2010 and 2020.Methods: We have prospectively studied all cancer cases diagnosed at the National Oncology Institute (NIO), Rabat in 2019. We have collected 1102 cases. The data collected was compared with the results of the study carried out in 2010 (1600 cases). Statistical analysis has been assessed by SPSS 20 software and the correlations between socio-cultural characteristics were examined using a chisquare test.Results: from a socio-economic point of view, almost all patients claim that cancer is a costly disease as well as a disease that leads to a drop in income and the inevitable impoverishment of Moroccan patients. The illiteracy rate is higher than in subsequent studies 42.4%. On the psychological level, the damage to body image has a negative impact on the marital relationship. The number of female patients who are victims of spousal divorce and separation is very high. Damage to body image (alopecia) can lead to stigmatizing behaviour. Concerning the spiritual aspect, in the Arab-Berber-Muslim culture, the impact of the occurrence of cancer is very particular, and the repercussions are assessed differently depending on the degree of conviction. for practicing believers, cancer is considered a divine trial, but for non-practicing believers, cancer is regarded as a divine punishment coming from outside. New behaviours reported by this research concern the use of ROKIA as an anti-cancer remedy, 42% of patients use ROKIA.Conclusion: It is important to take these data into account in the therapeutic management of patients in order to better relieve them, which sometimes proves difficult for the healthcare team. The main relief seems to come from the deep religious beliefs that help.

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KEJADIAN AKSI TERORIS DAN DAMPAKNYA PADA PERFORMA NILAI TUKAR DOLAR AMERIKA SERIKAT DAN PERFORMA IHSG

Jurnal Muara Ilmu Ekonomi dan Bisnis ◽

10.24912/jmieb.v3i1.3415 ◽

2019 ◽

Vol 3 (1) ◽

pp. 141

Author(s):

Vincentia Wahju Widajatun ◽

Nugi M Nugraha ◽

Sakina Ichsani

Keyword(s):

Exchange Rate ◽

Literature Review ◽

Stock Price ◽

Negative Impact ◽

Middle Level ◽

Terrorist Attacks ◽

Or Groups ◽

The Exchange Rate ◽

Almost All ◽

The Impact

Makalah ini berisi tinjauan komprehensif terhadap literatur tentang dampak kejadian terorisme terhadap performa IHSG. Terorisme merupakan suatu kejadian yang dilakukan oleh individu atau kelompok untuk melakukan serangan-serangan yang telah terkoordinasi dan bertujuan membangkitkan perasaan takut atau cemas terhadap sekelompok masyarakat yang mengakibatkan kerugian di suatu Negara. Dalam melakukan aksinya, pelaku terorisme seringkali menggunakan cara kekerasan ataupun militer untuk menyebarkan ketakutan atau teror pada masyarakat atau suatu Negara. Terjadinya serangan terorisme akan memberi dampak pada sektor investasi dan perekonomian di suatu Negara. Karena setelah terjadinya serangan terorisme tersebut, akan muncul ketidakstabilan politik dan keamanan di Negara tersebut. Penelitian ini bertujuan untuk meninjau hubungan terjadinya bencana dengan dampaknya terhadap performa nilai tukar terutama nilai tukar rupiah terhadap dolar Amerika Serikat dan performa pasar modal yang diwakili oleh IHSG. Makalah ini menggunakan penelitian deskriptif dan pendekatannya menggunakan literature review. Pada berbagai literatur menyebutkan aksi terorisme memiliki dampak ekonomi yang cukup luas terutama di Indonesia yang berdasarkan data Global Terorism Index 2017, skala dampak terorisme di Indonesia berada di level menengah dengan skor 4,55 dari skor tertinggi 10. Hasil review ini menunjukkan bahwa dari seluruh kejadian terorisme yang terjadi di Indonesia, hampir seluruhnya memberikan dampak negatif pada performa Indeks Harga Saham Gabungan (IHSG) dan nilai tukar rupiah terhadap mata uang asing. This paper contains a comprehensive review of the literature on the impact of terrorism incidents on CSPI performance. Terrorism is an event carried out by individuals or groups to carry out attacks that have been coordinated and aim to arouse feelings of fear or anxiety towards a group of people that result in losses in a country. In carrying out its actions, terrorists often use violence or the military to spread fear or terror to the community or a State. The occurrence of terrorist attacks will have an impact on the investment sector and the economy in a country. Because after the terrorist attacks, political and security instability in the country will emerge. This study aims to review the relationship between the occurrence of disasters and their impact on the performance of the exchange rate, especially the exchange rate of the rupiah against the US dollar and the capital market performance represented by the CSPI. This paper uses descriptive research and its approach uses literature review. In various literatures mention terrorism has quite a broad economic impact especially in Indonesia which based on 2017 Global Terorism Index data, the scale of the impact of terrorism in Indonesia is at the middle level with a score of 4.55 from the highest score of 10. The results of this review indicate that of all incidents terrorism that occurred in Indonesia, almost all had a negative impact on the performance of the Composite Stock Price Index (CSPI) and the exchange rate of the rupiah against foreign currencies.

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Impact of the COVID-19 Pandemic on Cancer Diagnoses in General and Specialized Practices in Germany

Cancers ◽

10.3390/cancers13030408 ◽

2021 ◽

Vol 13 (3) ◽

pp. 408

Author(s):

Louis Jacob ◽

Sven H. Loosen ◽

Matthias Kalder ◽

Tom Luedde ◽

Christoph Roderburg ◽

...

Keyword(s):

Public Health ◽

Cancer Diagnosis ◽

Negative Impact ◽

Age Groups ◽

Newly Diagnosed ◽

Health Measures ◽

Significant Negative Impact ◽

Almost All ◽

The Impact ◽

Nose And Throat

The aim of this retrospective study was to investigate the impact of the coronavirus disease 2019 (COVID-19) pandemic on cancer diagnosis in general and specialized practices in Germany. This study included a total of 102,009 patients aged ≥18 years newly diagnosed with cancer in 1660 practices in Germany from January to May 2019 and from January to May 2020. Practices included general, gynecology, ear, nose, and throat (ENT), dermatology, and urology practices. New cancer diagnoses included all types of cancer and corresponded to cancers not previously documented in the database for a given patient. The number of new cancer diagnoses per general practice decreased significantly between March and May 2020 compared with the same period in 2019 (March: −12.0%, April: −27.6%, and May: −23.4%). A similar trend was observed in specialized practices, and this trend was more pronounced in April 2020 (dermatology: −44.4%, gynecology: −32.0%, and ENT: −28.2%). In addition, there was a significant decrease in almost all sex and age groups in April and May 2020 compared with the same period in 2019. Finally, the decrease in the number of new cancer diagnoses was particularly pronounced among cancers of the skin and the respiratory and intrathoracic organs. Together, these data show that the COVID-19 pandemic had a significant negative impact on cancer diagnosis in Germany, highlighting the need for public health measures improving the management of cancer in this country during this ongoing pandemic.

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IFRS 16 Leases: Standard's novation and the impact of the COVID-19 pandemic on the accounting and reporting information disclosure

International Accounting ◽

10.24891/ia.23.9.962 ◽

2020 ◽

Vol 23 (9) ◽

pp. 962-980

Author(s):

M.A. Vakhrushina

Keyword(s):

Financial Reporting ◽

Information Disclosure ◽

Service Industry ◽

Negative Impact ◽

Theory And Practice ◽

International Accounting Standards ◽

Distinctive Features ◽

Additional Information ◽

Logical Method ◽

The Impact

Subject. This article discusses the methodological features of the present-day accounting for rental transactions and disclosure of the relevant reporting information in accordance with IFRS, taking into account the impact of the COVID-19 pandemic on organizations' activities. Objectives. The article aims to argue the present-day interpretation of rental transactions and their reflection in accounting and reporting in connection with the entry into force of IFRS 16 Leases, based on an analysis of the content of IFRS 16 amendments published by the International Accounting Standards Board (IASB) in May 2020 in connection with the COVID-19 pandemic. The article also intends to systematize the basic requirements for disclosure of additional information in financial statements in connection with the negative impact of the COVID-19 pandemic on the activities of Russian organizations, and define promising directions of the development of the theory and practice of accounting of rental operations in accordance with the existing paradigm of IFRS development. Methods. For the study, I used content analysis, systematization, and classification techniques, and the abstract-logical method. Results. The article describes the distinctive features of the new methodological approaches to disclosure in accordance with IFRS 16 compared to the previous standard. The article also identifies possible approaches to the financial reporting of lease-related concessions considering COVID-19. Conclusions. The impact of the COVID-19 pandemic has been particularly devastating for the service industry concerning rental operations. The article arrives at the conclusion that it is necessary and possible for tenants to disclose the associated additional reporting information.

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Covid-19 pandemic and global tourism

Menadzment u hotelijerstvu i turizmu ◽

10.5937/menhottur2002079l ◽

2020 ◽

Vol 8 (2) ◽

pp. 79-88

Author(s):

Stevan Luković ◽

Dragan Stojković

Keyword(s):

Global Economy ◽

Negative Impact ◽

Relevant Literature ◽

Tourism Industry ◽

Crisis Events ◽

Important Health ◽

Global Tourism ◽

Research Goal ◽

Almost All ◽

The Impact

The tourism industry represents a significant part of the global economy. However, tourism demand is very sensitive to crisis events, such as economic crises, epidemics, pandemics, natural disasters and terrorist attacks. Regarding this, the primary research goal of the paper is to analyze the impact of the Covid-19 disease on global tourism. During 2020, in order to prevent further spread of this contagious disease, almost all countries in the world have introduced a ban on movement, closing of borders and other important health measures. The review of the relevant literature provided in the paper shows that the introduced measures have a negative impact on the global hospitality, travelling and tourism industry.

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