Choice of tactics of combined treatment of patients with malignant diseases of colon

2021 ◽  
pp. 25-28
Author(s):  
L. N. Kostyuchenko ◽  
G. G. Varvanina ◽  
G. S. Mikhailyants ◽  
M. A. Danilov

The aim. To determine the definition of nutritional extinction and its characteristics in various phases of carcinogenesis, to show the role of nutritional counseling in the selection of personalized metabolic correction programs.Materials and methods. 107 patients with pancreatic head adenocarcinoma (T3 and T4). In addition to traditional methods, the nutritional status was assessed according to the parameters of the well-known personalized alimentary-volemic diagnosis and the main common metabolic syndromes (inflammatory, hypermetabolism-hypercatabolism, toxic-anemic, anorexia-cachexia).Results. The phases of nutritional extinction are identified, in accordance with which the original schemes of metabolic correction are developed. The effectiveness of the programs used, calculated according to the degree of well-being, was significantly higher in comparison with standard solutions. The feasibility of using this tactic was confirmed (in addition to traditional tests) by measuring the metabolism in lysosomes (according to the analysis of the level of cathepsin L using ELISA in the blood serum of the considered groups of patients).Conclusions. 1) When determining the tactics of nutritional treatment of cancer patients, it is advisable to distinguish the phases of nutritional extinction, on the basis of which to carry out a differentiated metabolic correction. 2) The role of nutritional counseling (along with consulting with a surgeon and an anesthesiologist) allows you to clarify the strategy of treatment of patients with oncological pathology, and in some cases, make adjustments to the choice of the nature of the surgical aid.

2018 ◽  
Vol 7 (3.20) ◽  
pp. 291
Author(s):  
Azham Hussain ◽  
Emmanuel O.C. Mkpojiogu ◽  
Fa’alina Hassan

The introduction and rapid growth of mobile learning applications (m-learning apps) has improved the role of teachers in facilitating the learning process especially among children. The learning experiences of children are enhanced and enriched with the use of m-learning apps for children. There are several m-learning apps developed for children in the market today, however, some of these apps do not succinctly support and adequately assist in the learning process and educational endeavors and quest of these young minds. In this paper, a systematic review of literature was conducted to assess past research and studies on usability dimensions and sub-dimensions utilized in evaluating children’s m-learning apps. The systematic literature review consisted of the following approach: the definition of search strategy, selection of primary studies, data extraction, and implementation of synthesis strategy and lastly, the presentation of findings. The result of the review reveals that effectiveness, efficiency, learnability, and user satisfaction (with their corresponding sub-dimensions) were the top four usability dimensions used in the evaluation of m-learning apps for children. In addition, the works reviewed showed that usability evaluation is prominent only during the implementation phase of the applications’ development.  


2021 ◽  
Author(s):  
Ligiana Pires Corona ◽  
Flavia Cristina Drummond Andrade ◽  
Tiago Silva Alexandre ◽  
Tábatta Renata Pereira Brito ◽  
Daniella Pires Nunes ◽  
...  

Abstract Background Anemia is the most common hematological abnormality among older adults, and it is associated with decreased physical performance. But the role of hemoglobin in the absence of anemia remains unclear. Thus, this study aimed to assess the impact of hemoglobin levels on physical performance in Brazilian older adults without anemia. Methods The study is longitudinal in that it relies on two waves of the Saúde, Bem-Estar e Envelhecimento (SABE; Health, Well-being, and Aging) study: 2010 and 2015–2016. Mixed-effects linear regression was used to determine the effects of the hemoglobin concentrations on the Short Physical Performance Battery-SPPB over time among the 1,020 who had complete data and did not have anemia in 2010. In the follow-up, there were 562 without anemia. Analyses were stratified by sex. Results In analyses adjusted for age, education, grip strength, comorbidities, and body mass index, hemoglobin levels were positively associated with physical performance scores among older women (β = 0.15, p < 0.05) and men (β = 0.18, p < 0.05) without anemia. Conclusion Our study demonstrates that higher hemoglobin levels were associated with better physical performance among older men and women without anemia. This finding is important because, in clinical practice, most health professionals focus on the World Health Organization definition of anemia. Our study suggests the importance of hemoglobin levels among older adults, even those without anemia.


Author(s):  
Ahraou wafa ◽  
◽  
Abdallah FARHI ◽  
Hynda Boutabba ◽  
◽  
...  

The study includes four chapters, the first is devoted to reviewing the research problem, its importance, objectives and limitations in addition to defining terms. The second chapter contains the theoretical introduction that includes a definition of optical art and its impact on highlighting features of urbanidentity. The third chapter examines several models in optical formation, where several architectural designs were discussed by its role in highlighting the features of urbanidentity. The fourth chapter includes the results and observations of the role of art and opticalformation in highlighting the urbanidentity. This is because it adds an aesthetic touch and an expression of various creative and unfamiliar ideas to the designer in a waythat occurs a fundamental change in the fixed rules of the viewer and his/her expectations for designs where the creative touch is in the overlay, communication, separation, penetration, segmentation of shapes and colors, and selection of materials needed to implement these designs have the biggest role in highlighting the features of urbanidentity. Where we found that the optical formation of its various types is the main component of architecture that it boasts of, and with what it contains creative ideas that express the reality of urbanidentity.


2021 ◽  
Vol 9 (2) ◽  
pp. 142-149
Author(s):  
Jihan Nabilah CS ◽  
Tesi Hermaleni

The studies show that culture and family functioning have a contribution to the well-being of youth. Ethnic Minang with matrilinear culture and collective owned, of course, also plays a role in teenagers’ lives. Researchers aim to test the role of a family’s functioning towards adolescents’ subjective well-being in the Minang ethnicity. The design of this study is quantitative with the selection of samples in the form of purposive sampling. Participants in the study were 315 ethnic Minang adolescents who had filled out questionnaires containing Family Assessment Device and subjective well-being scales. A simple linear regression analysis test shows that family functioning contributes to subjective well-being in ethnic Minang youth (R2 = 0.177, F=67.347, p=0.000). That is, family functioning as a predictor variable contributed 17.7% to subjective well-being. The more optimal the functioning of a family, the more its members feel prosperous.


2018 ◽  
Author(s):  
G Bernabé-Valero ◽  
C Moret-Tatay ◽  
T Navarro-Sancho

In this work, we define gratitude, paying attention to interpersonal gratitude and its relationship with dispositional debt. We examined the disposition to feel indebted through analysis of convergence and divergence, exploratory and confirmatory analysis of the most used measurement instrument. The Revised Indebtedness Scale depicted a four factor solution interrelated with a high consistency of content, which allows their labeling and describing. To do this, two samples of university students were selected; one of the sample sizes had 229 Spanish participants and the other 200 participants. Subsequently, a mediation model was tested in which the “Self-sufficiency and discomfort in receiving help” factor mediates the relationship between interpersonal gratitude and the “Positive relations with others” dimension of the Wellbeing scale. The results are discussed in relation to the need for conceptual definition of the constructs in Positive Psychology.


Author(s):  
Raymond A. R. MacDonald ◽  
Graeme B. Wilson

With a focus on music, this book outlines what improvisation is and why it is an important creative and social activity. Drawing on the emerging psychological literature in this area, as well as evidence from authors’ research with musicians, this text outlines innovative ideas on what defines improvisation and the psychological, creative, and social processes involved. It explores the role of specialist skills, the importance of musical identities and the nature of understanding in improvised interaction and between improvisers. It discusses how we develop as improvisers and the role of improvisation within therapeutic applications of music. Each chapter proceeds from discussion of an illustrative instance of musical improvisation. Providing fresh and provocative insights for anyone interested in playing, studying, teaching, or listening to improvised music, the authors offer suggestions for approaching this practice in new ways at any level, and identify potential developments in cross-disciplinary improvising. Asserting that everyone can and should improvise, the book provides a resource for courses teaching improvisation in contemporary practice, and has strong relevance for those applying musical improvisation in community and therapeutic contexts. The book deals with such questions as: What constitutes improvisation? Do all forms of improvisation represent the same thing? Faced with myriad possibilities, how do improvisers decide what to play? How does an improviser in a group know what the others will do? How might improvisation influence our well-being? In response to such questions, a definition of improvisation based on its unique behavioural features is set out as an exciting context for psychological investigation.


2014 ◽  
Vol 3 (3) ◽  
pp. 78-88
Author(s):  
Shilpi Gupta

Economic growth and green environment has a direct relation with health, habitat and well being of our society which depends largely on the natural environment. But on the other side the society is neglecting and often ignoring the benefits that nature provides for economic prosperity. This paper studies the role of environment in economic growth, the role of environmental policy in achieving improved environmental results, closely examine the evidence of decoupling production from environmental damages and discuss decoupling in the context of global economy. In order to study these aspects, we explored our comparative research with special reference to selected eight OECD nations namely-France, Germany, Ireland, Japan, Portugal, Turkey, UK and USA with coverage period of 1990-2010. The selection of the countries is based on their prominence in industrialised world and their close economic bounding with each other over a considerable period. The coverage period in the study is 20 years because some of the emission data are available till 2013 and some only up to 2010. In order to do a comparative research on various dimensions we take in to our study period between1990-2010. DOI: http://dx.doi.org/10.3126/ije.v3i3.11065 International Journal of Environment Vol.3(3) 2014: 78-88


1993 ◽  
Vol 4 (4) ◽  
pp. 215-220 ◽  
Author(s):  
Lee Roy Beach

Decision theory and research have focused almost exclusively on choice—the selection of the best option from a choice set containing two or more options. Largely overlooked is the question of how those particular options got there in the first place—why them and not others? This article describes a theory, called image theory, about how prechoice screening of options governs the contents of the set from which a choice is made and summarizes empirical tests of the theory. The research results suggest that screening plays a far more important role in decision making than is generally appreciated and that our view of decision making must be broadened accordingly.


1997 ◽  
Vol 14 (2) ◽  
pp. v-vii
Author(s):  
AbdulHamid A. AbuSulayman

This issue of the American Journal of Islamic Social Sciences is thesecond in a series dedicated to a single theme. Presently our topic focuseson Islamic economics. The reader will find that the five featm articlescover a broad range of economic topics ranging from the role ofgovernment to the spiritual significance of jihad. We find that Islamcompells society to integrate ethics and economics. Indeed, the Muslimfinds that every aspect of life is sacred and that nothing is outside therealm of the Absolute; no aspect of life is profane because everything isattached to God. Consequently, trade-offs between the spiritual and thenonspiritual are out of the question and, therefore, there can be no theoryof choice without the introduction of ethics. The science of neoclassicaleconomics, on the other hand, takes its elements and observations outof their a priori Divine context and reduces the process of choice to aquantitative cornprison of utility, thereby denying the existence of qualitativedifferences requiring ethical choice. We have selected the title“Economics as Applied Ethics” because of the the underlying theme thatargues against this secular reduction of quality to quantity.The first article, “The Role of the Government in the IslamicEconomy” by Muhammad Akram Khan discusses the need for theIslamic government to secure social welfare. Detailing the areas in whichthe government has a duty to act, it goes on to discuss the Islamic justificationof its role in each area. According to Khan the fundamentalShari’ah requirement for government action is maslahah (lit. “benefit” or“interest”). Al-Ghazzali applies this as a legal indicator for securing benefitsor preventing harms that conform to the objective of the Shari’ah,namely, the protection of the five “essential values”-religion, life, intellect,lineage, and property. This Islamic definition of welfare is objectiveand opposes the modem, subjective concept of welfare defined in termsof “utility,” meaning, fulfilling people’s desires. According to this secularexplanation of welfare, something is good because it is desirablerather than being desirable because it is good- the latter constituting theIslamic concept of maslahah. Therefore, the modem conception of utilitycould be defined in terms of a utilitarianism for the nafs al-‘ammarah,not for the well-being of the entire person. Khan argues that it is ...


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