scholarly journals Genital endometriosis: controversial issues and alternative approaches to diagnosis and treatment

2021 ◽  
Vol 51 (3) ◽  
pp. 103-112
Author(s):  
L. V. Adamyan ◽  
E. L. Yarotskaya
Keyword(s):  
Immune System ◽  
Diagnostic Criteria ◽  
Diagnosis And Treatment ◽  
Controversial Issues ◽  
Medical Sciences ◽  
Scientific Center ◽  
Biochemical Genetic ◽  
Histological Characteristics ◽  
Alternative Approaches ◽  
Traditional Approaches

On the basis of the Department of Operative Gynecology of the Scientific Center for Obstetrics, Gynecology and Perinatology of the Russian Academy of Medical Sciences from 1992 to 2002. examination, treatment and monitoring of 1234 patients with endometriosis was carried out, which served as material for the study of morphofunctional, endocrine, immune, biochemical, genetic aspects of endometriosis. Our clinical and scientific experience allowed us to determine our own positions and a circle of discussion questions corresponding to the main directions of further research on this problem, which are: is endometriosis a disease or not ?; development mechanisms; classification; diagnostic criteria; features of histological characteristics; endometriosis and genetics; endometriosis and the immune system; endometriosis and adenomyosis; retrocervical endometriosis; endometriosis and pelvic pain; endometriosis and adhesions; endometriosis and infertility; traditional and non-traditional approaches to diagnosis and treatment.

scholarly journals Digitizing practical production work for high-stakes assessments / La numérisation de travaux pratiques de production pour les évaluations à enjeux élevés / La numérisation de travaux pratiques de production pour les évaluations à enjeux élevés

2014 ◽  
Vol 40 (2) ◽  
Author(s):  
Paul Newhouse ◽  
Pina Tarricone
Keyword(s):  
Digital Technologies ◽  
Creative Expression ◽  
Practical Work ◽  
Viable Alternative ◽  
Validity And Reliability ◽  
High Stakes ◽  
External Assessment ◽  
Digital Representations ◽  
Alternative Approaches ◽  
Traditional Approaches

High-stakes external assessment for practical courses is fraught with problems impacting on the manageability, validity and reliability of scoring. Alternative approaches to assessment using digital technologies have the potential to address these problems. This paper describes a study that investigated the use of these technologies to create and submit digital representations of practical production work and forms of creative expression for summative high-stakes assessment. The study set out to determine the feasibility of students creating and submitting these digital representations for assessment and to identify which of analytical or comparative pairs scoring generated the more reliable scores. This paper proposes that scoring digital representations of creative practical work submitted by students is a viable alternative to traditional approaches to assessment. L’évaluation externe à enjeux élevés dans les cours pratiques se heurte à des problèmes qui se répercutent sur la gestion, la validité et la fiabilité de la notation. Des approches différentes de l'évaluation utilisant des technologies numériques ont le potentiel de remédier à ces problèmes. Cet article décrit une étude consacrée à l'utilisation de ces technologies pour créer et soumettre des représentations numériques de travaux pratiques de production et de création pour une évaluation sommative à enjeux élevés. L'étude visait à déterminer si la création de ces représentations numériques par les étudiants et leur soumission pour évaluation étaient réalisables. Elle visait aussi à identifier quel système de notation de groupe, analytique ou comparatif, générait les scores les plus fiables. Cet article soutient que noter les représentations numériques de travaux pratiques soumis par les étudiants offre un choix viable aux approches traditionnelles d'évaluation.

The Role of Management Accounting Systems in Public Hospitals and the Construction of Budgets

2016 ◽  
pp. 366-389
Author(s):  
Carla Marina Pereira de Campos ◽  
Lúcia Lima Rodrigues ◽  
Susana Margarida Faustino Jorge
Keyword(s):  
Management Accounting ◽  
Health Sector ◽  
Public Hospitals ◽  
Public Funds ◽  
Accounting Systems ◽  
The Public ◽  
Management Accounting Systems ◽  
Alternative Approaches ◽  
Traditional Approaches

The role of management accounting systems (MAS) in the construction of budgets in the public health sector has been one of the least studied topics in the international literature. Furthermore, several studies have confirmed the loss of relevance of traditional approaches to budgeting due to the need to implement techniques that are more performance-oriented. Since public hospitals are organisations that depend significantly on public funds, with substantial impacts on governments' budgets, the pressure for reducing expenditures is strong, causing increased difficulties in hospital management. In order to analyse the role of MAS in the preparation of hospital budgets, this chapter presents a literature review on this topic. This review allows to understand the loss of relevance of traditional budgeting techniques and to present alternative approaches. In this process, the implementation of different kinds of budgeting is heavily influenced by governments and professionals. Nevertheless, the research on this topic is still very scarce, evidencing the need to continue studying it.

2. IR as an Academic Subject

2018 ◽  
pp. 33-66
Author(s):  
Robert Jackson ◽  
Georg Sørensen ◽  
Jørgen Møller
Keyword(s):  
International Political Economy ◽  
First World War ◽  
Good Theory ◽  
World War ◽  
The Third ◽  
Academic Subject ◽  
The First World War ◽  
Alternative Approaches ◽  
Traditional Approaches ◽  
First World

This chapter examines how thinking about international relations (IR) has evolved since IR became an academic subject around the time of the First World War. The focus is on four established IR traditions: realism, liberalism, International Society, and International Political Economy (IPE). The chapter first considers three major debates that have arisen since IR became an academic subject at the end of the First World War: the first was between utopian liberalism and realism; the second between traditional approaches and behaviouralism; the third between neorealism/neoliberalism and neo-Marxism. There is an emerging fourth debate, that between established traditions and post-positivist alternatives. The chapter concludes with an analysis of alternative approaches that challenge the established traditions of IR, and with a discussion about criteria for good theory in IR.

2. IR as an Academic Subject

2015 ◽  
Author(s):  
Robert Jackson ◽  
Georg Sørensen
Keyword(s):  
Political Economy ◽  
International Political Economy ◽  
First World War ◽  
World War ◽  
The Third ◽  
Academic Subject ◽  
The First World War ◽  
Alternative Approaches ◽  
Traditional Approaches ◽  
First World

This chapter examines how thinking about international relations (IR) has evolved since IR became an academic subject around the time of the First World War. The focus is on four established IR traditions: realism, liberalism, International Society, and International Political Economy (IPE). The chapter first considers three major debates that have arisen since IR became an academic subject at the end of the First World War: the first was between utopian liberalism and realism; the second between traditional approaches and behaviouralism; the third between neorealism/neoliberalism and neo-Marxism. There is an emerging fourth debate, that between established traditions and post-positivist alternatives. The chapter concludes with an analysis of alternative approaches that challenge the established traditions of IR.

scholarly journals Update on the Diagnosis and Treatment of Idiopathic Intracranial Hypertension

2019 ◽  
Vol 39 (06) ◽  
pp. 682-691
Author(s):  
Sarah R. Ahmad ◽  
Heather E. Moss
Keyword(s):  
Clinical Trials ◽  
Intracranial Hypertension ◽  
Diagnostic Criteria ◽  
Surgical Management ◽  
Idiopathic Intracranial Hypertension ◽  
Diagnosis And Treatment ◽  
Evidence Based ◽  
Diagnosis And Management

AbstractAdvances in ophthalmic diagnostics and results of interventional clinical trials are shifting diagnosis and management of idiopathic intracranial hypertension (IIH) to be more technology- and evidence-based. In this article, the evidence supporting current diagnostic criteria, evaluation, and medical and surgical management of IIH are reviewed.

scholarly journals Evaluation of radiologic diagnostic criteria and treatment options in skeletal muscle hydatid cysts

2019 ◽  
Vol 27 (3) ◽  
pp. 230949901988121 ◽  
Author(s):  
Hasan U Oğur ◽  
Rana Kapukaya ◽  
Özgür Külahçı ◽  
Cengiz Yılmaz ◽  
Kemal Yüce ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Diagnostic Criteria ◽  
Diagnosis And Treatment ◽  
Alternative Methods ◽  
Muscular Tissue ◽  
Hydatid Cysts ◽  
Mri Findings ◽  
Cyst Excision ◽  
Soft Tissue Involvement ◽  
The Mean

Aim: To investigate the diagnosis and treatment methods of soft tissue involvement of hydatid cysts (HCs). Materials and Methods: Eleven patients who were diagnosed as having HC with muscular tissue (soft tissue) involvement between 2010 and 2016 were evaluated retrospectively. Seven patients had typical HC magnetic resonance imaging (MRI) and four patients had cysts with an unusual appearance. We evaluated how to diagnose the cysts using imaging methods, their characteristic radiologic images, and treatment alternatives against the disease. The patients were treated with antihelminthic chemotherapy preoperatively and postoperatively. Results: Of the 11 patients who underwent treatment, 7 were diagnosed using MRI and 4 were diagnosed with histopathologic examinations. The mean follow-up period was 16 (range, 6–24) months, and the mean age was 39.4 (range, 24–56) years. In seven patients, multivesicular appearance with specific MRI findings, T2-hypointense rim appearance, double-rim sign, membrane dissociation, and appearance of daughter cysts were identified as diagnostic criteria. Two patients underwent ultrasound assisted percutaneous aspiration–injection–reaspiration (PAIR) treatment. Seven patients underwent total pericystectomy, and two patients underwent subtotal pericystectomy with serum saline injection into the cyst. Two patients showed signs of mild anaphylaxis, one during the diagnosis and one during treatment. Conclusion: There may be difficulties in the diagnosis and treatment of HCs of the musculoskeletal system. It should be known that there are alternative methods in the treatment (cyst excision and PAIR treatment). Clinical, serologic, and radiologic findings should be used in the diagnosis. To avoid complications during the histopathologic diagnosis, MRI should be examined in detail. It is thought that atypical cysts can be diagnosed (double-layer appearance and peripheral rim sign) in addition to typical cysts (detached membrane and multivesicular appearance), and diagnosis and treatment can be planned without anaphylactic complications.

A Profile of Patients Seen by Fly-in Clinical Psychologists at a Non-Urban Facility and Implications for Training and Future Services

2009 ◽  
Vol 39 (3) ◽  
pp. 289-299 ◽  
Author(s):  
Anthony L. Pillay ◽  
Molelekoa J. Kometsi ◽  
Evy-Terressah B. Siyothula
Keyword(s):  
Mental Health ◽  
Secondary School ◽  
Urban Communities ◽  
Metropolitan Areas ◽  
Clinical Psychologists ◽  
Secondary School Education ◽  
Alternative Approaches ◽  
Traditional Approaches ◽  
The Unemployed ◽  
Outlying Area

With the serious mental health services deficits in non-urban communities, there is a need to evolve alternative approaches to facilitate access to care. Considering clinical psychology services are largely concentrated in the metropolitan areas, we describe a relatively unusual approach to providing services in an outlying area. The majority of patients attended to in this service are children and adolescents, and most patients have less than secondary-school education. The commonest diagnoses are mental retardation, mood and anxiety disorders, with the last two conditions mainly found in scholars and the unemployed. Fractured families are almost the norm, with four out of five children living with only one or no parents. Over half the patients are from families receiving a state grant. The majority of patients travel great distances to get to the clinical psychologists. The findings point to the need for clinical psychologists to seriously consider developing newer models for providing care, and the need for working outside of traditional approaches.

Defining and Diagnosing Involuntary Emotional Expression Disorder

CNS Spectrums ◽  
2006 ◽  
Vol 11 (S6) ◽  
pp. 1-11 ◽  
Author(s):  
Jeffrey L. Cummings ◽  
David B. Arciniegas ◽  
Benjamin R. Brooks ◽  
Robert M. Herndon ◽  
Edward C. Lauterbach ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Traumatic Brain Injury ◽  
Amyotrophic Lateral Sclerosis ◽  
Brain Injury ◽  
Diagnostic Criteria ◽  
Emotional Expression ◽  
Diagnosis And Treatment ◽  
Neurological Conditions ◽  
Lateral Sclerosis

AbstractUncontrollable episodes of emotional expression occur in a variety of neurological conditions. This emotional disinhibition syndrome is characterized by episodes of crying or laughing that are unrelated to or out of proportion to the eliciting stimulus. This syndrome is common among patients with amyotrophic lateral sclerosis, multiple sclerosis, stroke, and traumatic brain injury and a variety of terms and definitions have been used to describe it. The confusing nomenclature has been a barrier to understanding, diagnosis, and treatment of this disorder. The authors propose a unifying term, involuntary emotional expression disorder (IEED), and provide diagnostic criteria for this disorder.

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