scholarly journals A Process-Centered Approach to the Description of Clinical Pathways—Forms and Determinants

2019 ◽  
Vol 16 (15) ◽  
pp. 2638
Author(s):  
Marek Szelągowski ◽  
Justyna Berniak-Woźny
Keyword(s):  
Process Management ◽  
Clinical Pathways ◽  
Therapeutic Process ◽  
Descriptive Analysis ◽  
Medical Knowledge ◽  
Point Of View ◽  
Survey Study ◽  
Survey Sample ◽  
Main Determinants ◽  
Selection Of

The aim of the study is to indicate the need for variability in the presentation of clinical pathways, in various phases of their implementation, and to define the forms of presentation of clinical pathways required by physicians in both the Hospital Information Systems (HIS) and Electronic Medical Records (EMR) Systems, as well as the determinants of the selection of the forms of description, in relation to the performed medical actions. The results of the study are a significant lead-in towards further research on the required form of the user interface in systems supporting dynamic business process management (dynamic BPM). The research is a pilot of a survey study, conducted to ascertain the usefulness and feasibility of the adopted methodology, for a wider project on the determinants of the form of description of clinical pathways. An exploratory pilot survey, in a large multi-specialization hospital in Poland, was conducted. The survey sample consisted of 28 purposely selected heads of all hospital departments, and the medical team of the pediatric ward. Descriptive analysis was carried out on the data collected. The results of the study have unambiguously supported the claim that physicians require the form of presentation of clinical pathways to change, depending on the particular phase of the diagnostic–therapeutic process, as well as establishing the main determinants thereof. This pilot study is one of the first attempts to establish the factors determining the choice of clinical pathway presentation in HIS/EMR systems. While not conclusively decisive in terms of the forms of presentation or the determinants of their choice, it indicates the directions of further research, both from the point of view of ergonomics and the usability of HIS/EMR systems, as well as the management of medical knowledge, as part of the dynamic management of clinical pathways.

scholarly journals NOVEL ANAK RASIAH KODEU BINER KARYA DADAN SUTISNA SEBAGAI BAHAN PEMBELAJARAN APRESIASI SASTRA DI SMP (Analisis Strukturalisme dan Etnopedagogik)

LOKABASA ◽  
2019 ◽  
Vol 8 (1) ◽  
pp. 30
Author(s):  
Euis Siti Fatimah
Keyword(s):  
Descriptive Analysis ◽  
Moral Values ◽  
Point Of View ◽  
Learning Material ◽  
The Novel ◽  
Story Content ◽  
Alternative Material ◽  
Third Person ◽  
Teaching Learning ◽  
Selection Of

Tujuan penelitian ini adalah untuk mendeskripsikan unsur struktural dan etnopedagogik novel Rasiah Kodeu Biner sebagai alternatif bahan pengajaran apresiasi sastra. Metode yang digunakan dalam penelitian ini adalah metode deskriptif analisis, sedangkan teknik yang digunakan adalah teknik telaah pustaka, analisis data, dan teknik interpretasi. Hasil penelitian ditemukan tema novel tentang usaha sekelompok anak memecahkan rahasia surat yang menggunakan bilangan biner. Alur yang digunakan alur campuran. Jumlah tokoh 43 orang. Latar yang ditemukan dalam penelitian ini diantaranya latar tempat, waktu, dan sosial. Judul telah mewakili isi cerita. Pengarang menggunakan sudut pandang orang ketiga. Bahasa yang digunakan bahasa sehari-hari. Novel Rasiah Kodeu Biner memiliki banyak nilai etnopedagogik moral kemanusiaan. Novel ini bisa dijadikan alternatif bahan pembelajaran apresiasi sastra karena memenuhi kriteria pemilihan bahan ajar serta mengandung nilai moral kemanusian sesuai kepribadian siswa. ABSTRACTThe purpose of this study is to describe the structural and ethnopedagogic elements of Rasiah Kodeu Biner novel as an alternative of literature appreciation teaching-learning material. The method used in this research is descriptive analysis method, while the techniques used are literature review techniques, data analysis, and interpretation techniques. The results of the study revealed that the novel theme is about the effort of group of children to solve the secret letter using binary numbers. The sequel used is mixed sequel. Numbers of characters are 43 people. The backgrounds found in this study include setting place, time, and social. The title has represented the story content. The author uses a third-person point of view. Language used is common language. Rasiah Kodeu Biner novel has many ethnopedagogic moral values of humanity. This novel can be used as an alternative material in teaching-learning literature appreciation, as it meets the criteria of the selection of teaching-learning materials and contains the moral values of humanity suitable with the students’ personality.

Duty of treatment and duty of care, and scope of insurance coverage in medical liability insurance

2019 ◽  
Vol 1 (98) ◽  
pp. 68-81
Author(s):  
Małgorzata Serwach
Keyword(s):  
Therapeutic Process ◽  
Insurance Coverage ◽  
Medical Knowledge ◽  
Civil Liability ◽  
Point Of View ◽  
Liability Insurance ◽  
Medical Liability ◽  
Duty Of Care ◽  
Insurance Cover ◽  
Medical Liability Insurance

The subject of this publication is the duty of treatment and the duty of care, a breach of which may lead to civil liability of a physician. These duties are considered from the point of view of their scope, meaning for the responsible entity and for the insurer under civil liability insurance. The duty of care is no less important. It applies to the entire diagnostic and therapeutic process, both to the action and omission of a physician, individual medical procedures, the use of current medical knowledge, the use of medical devices or medicinal products. The point is to exercise care and diligence required of a professional (art. 355 § 2 of the [Polish] Civil Code). There is no doubt that a breach of the dutyof treatment or the duty of care falls under the scope of insurance cover in civil liability insurance. The problem arises,however, when a certain action or omission of the doctor leads to an infringement of the patient's right, but no personal injury occurs.Then, it has not been clearly resolved whether the mere breach of the obligation of treatment leads to the liability of the civil liability insurer. This issue is gaining more and more practical meaning.

Tauchnitz for Translators. The Circulation of English-language Literature in Finland

2019 ◽  
Vol 16 (2-3) ◽  
pp. 161-179
Author(s):  
Outi Paloposki
Keyword(s):  
Foreign Language ◽  
English Language ◽  
Book History ◽  
Language Skills ◽  
Point Of View ◽  
Book Production ◽  
German Publisher ◽  
Language Literature ◽  
Selection Of

The article looks at book production and circulation from the point of view of translators, who, as purchasers and readers of foreign-language books, are an important mediating force in the selection of literature for translation. Taking the German publisher Tauchnitz's series ‘Collection of British Authors’ and its circulation in Finland in the nineteenth and early twentieth century as a case in point, the article argues that the increased availability of English-language books facilitated the acquiring and honing of translators' language skills and gradually diminished the need for indirect translating. Book history and translation studies meet here in an examination of the role of the Collection in Finnish translators' work.

COMBINATORIAL POLYNOMIALLY COMPUTABLE CHARACTERISTICS OF SUBSTITUTIONS AND THEIR PROPERTIES

2020 ◽  
Vol 7 (2) ◽  
pp. 34-41
Author(s):  
VLADIMIR NIKONOV ◽  
◽  
ANTON ZOBOV ◽  
Keyword(s):  
Mathematical Expectation ◽  
Point Of View ◽  
Small Range ◽  
Computational Point ◽  
Wide Range ◽  
Bijective Function ◽  
The Difference ◽  
Element Base ◽  
Selection Of

The construction and selection of a suitable bijective function, that is, substitution, is now becoming an important applied task, particularly for building block encryption systems. Many articles have suggested using different approaches to determining the quality of substitution, but most of them are highly computationally complex. The solution of this problem will significantly expand the range of methods for constructing and analyzing scheme in information protection systems. The purpose of research is to find easily measurable characteristics of substitutions, allowing to evaluate their quality, and also measures of the proximity of a particular substitutions to a random one, or its distance from it. For this purpose, several characteristics were proposed in this work: difference and polynomial, and their mathematical expectation was found, as well as variance for the difference characteristic. This allows us to make a conclusion about its quality by comparing the result of calculating the characteristic for a particular substitution with the calculated mathematical expectation. From a computational point of view, the thesises of the article are of exceptional interest due to the simplicity of the algorithm for quantifying the quality of bijective function substitutions. By its nature, the operation of calculating the difference characteristic carries out a simple summation of integer terms in a fixed and small range. Such an operation, both in the modern and in the prospective element base, is embedded in the logic of a wide range of functional elements, especially when implementing computational actions in the optical range, or on other carriers related to the field of nanotechnology.

Der Sommer und Herbst 2003 aus phänologischer Sicht | Summer and autumn 2003 from a phenological point of view

2004 ◽  
Vol 155 (5) ◽  
pp. 142-145 ◽  
Author(s):  
Claudio Defila
Keyword(s):  
Time Series ◽  
New Record ◽  
Point Of View ◽  
Late Spring ◽  
Mean Deviation ◽  
Leaf Shedding ◽  
The Mean ◽  
Very High ◽  
Selection Of

The record-breaking heatwave of 2003 also had an impact on the vegetation in Switzerland. To examine its influences seven phenological late spring and summer phases were evaluated together with six phases in the autumn from a selection of stations. 30% of the 122 chosen phenological time series in late spring and summer phases set a new record (earliest arrival). The proportion of very early arrivals is very high and the mean deviation from the norm is between 10 and 20 days. The situation was less extreme in autumn, where 20% of the 103 time series chosen set a new record. The majority of the phenological arrivals were found in the class «normal» but the class«very early» is still well represented. The mean precocity lies between five and twenty days. As far as the leaf shedding of the beech is concerned, there was even a slight delay of around six days. The evaluation serves to show that the heatwave of 2003 strongly influenced the phenological events of summer and spring.

Design of Inhibitors for Glyceraldehyde-3-phosphate Dehydrogenase (GAPDH) Enzyme of Leishmania mexicana

2020 ◽  
Vol 16 (6) ◽  
pp. 784-795
Author(s):  
Krisnna M.A. Alves ◽  
Fábio José Bonfim Cardoso ◽  
Kathia M. Honorio ◽  
Fábio A. de Molfetta
Keyword(s):  
Molecular Dynamics ◽  
Molecular Dynamics Simulations ◽  
Binding Site ◽  
Point Of View ◽  
New Drugs ◽  
Leishmania Mexicana ◽  
Receptor Complexes ◽  
Starting Point ◽  
Dynamics Simulations ◽  
Selection Of

Background:: Leishmaniosis is a neglected tropical disease and glyceraldehyde 3- phosphate dehydrogenase (GAPDH) is a key enzyme in the design of new drugs to fight this disease. Objective:: The present study aimed to evaluate potential inhibitors of GAPDH enzyme found in Leishmania mexicana (L. mexicana). Methods: A search for novel antileishmanial molecules was carried out based on similarities from the pharmacophoric point of view related to the binding site of the crystallographic enzyme using the ZINCPharmer server. The molecules selected in this screening were subjected to molecular docking and molecular dynamics simulations. Results:: Consensual analysis of the docking energy values was performed, resulting in the selection of ten compounds. These ligand-receptor complexes were visually inspected in order to analyze the main interactions and subjected to toxicophoric evaluation, culminating in the selection of three compounds, which were subsequently submitted to molecular dynamics simulations. The docking results showed that the selected compounds interacted with GAPDH from L. mexicana, especially by hydrogen bonds with Cys166, Arg249, His194, Thr167, and Thr226. From the results obtained from molecular dynamics, it was observed that one of the loop regions, corresponding to the residues 195-222, can be related to the fitting of the substrate at the binding site, assisting in the positioning and the molecular recognition via residues responsible for the catalytic activity. Conclusion:: he use of molecular modeling techniques enabled the identification of promising compounds as inhibitors of the GAPDH enzyme from L. mexicana, and the results obtained here can serve as a starting point to design new and more effective compounds than those currently available.

Analysis of the Most Valued Organization to Work for in Spain, According to Nationality and Location

2019 ◽  
Vol 5 (2) ◽  
pp. 83-99
Author(s):  
Francisco Jesús Ferreiro Seoane ◽  
Manuel Octavio Del Campo Villares
Keyword(s):  
Work Environment ◽  
Talent Management ◽  
Point Of View ◽  
Added Value ◽  
Quantitative Character ◽  
Autonomous Communities ◽  
Professional Performance ◽  
Significant Relationships ◽  
Pearson Correlations ◽  
Selection Of

Background: The objective of this article is to analyse if there are significant relationships between the most valuable companies operating in Spain regarding professional performance, according to nationality and location within their Autonomous Communities or any superior aggrupation. To do that, a sample of 100 companies has been selected. Methods: The methodology followed is based on the selection of the 100 highestvalued companies from the point of view of Human Resources’ policy for the period 2013-2016 and through the measurement of six factors: Talent Management, Retribution, Work environment, CSR, Training and Employees’ perception, and classified by nationality and location. The study was based on 12 hypotheses, using the Unifactorial Variance’s Analysis, Pearson correlations and regressions. One limitation could be the fact that this study refers to a particular period, focusing on Spain and the variables mentioned, based on questionnaires. The added value of this work lies on the newness as it has a quantitative character, and on the fact that most of the hypotheses do not comply. Results and Conclusion: This allows to deny certain beliefs that affirm that European and American companies operating in Spain are more attractive than the Spanish or the Mediterranean ones.

scholarly journals The Use of Statistical Functions for the Selection of Laser Texturing Parameters

2020 ◽  
Vol 10 (1) ◽  
pp. 454-461
Author(s):  
Piotr Sęk
Keyword(s):  
Surface Texturing ◽  
Point Of View ◽  
Laser Surface Texturing ◽  
Machining Parameters ◽  
Textured Surfaces ◽  
Surface Layers ◽  
Adhesion Properties ◽  
Machine Elements ◽  
Selection Of ◽  
Statistical Functions

AbstractLaser surface texturing is currently the most developed technique for producing fully reproducible microcavities on the surfaces of machine elements. From the point of view of texture technology, an important aspect is the proper selection of process parameters to obtain texture elements with desirable and repetitive geometries and physicochemical properties. Surface texturing improves mottling and fretting resistance and is also used wherever the adhesion properties of surface layers (printing techniques, bonding materials, biological and chemical activity, coatings, etc.) are important. The article shows the possibility of applying statistical functions to the selection of appropriate machining parameters to obtain microgeometry useful in the application of textured surfaces [1].

scholarly journals The Effect of Socialization, Sanction, and E-Filing on Annual SPT Reporting

2019 ◽  
Vol 125 ◽  
pp. 22001
Author(s):  
I Nyoman Simpen ◽  
Muhammad Nur Abdi ◽  
Mochammad Fahlevi ◽  
Rinto Noviantoro ◽  
Muhtar
Keyword(s):  
Sampling Method ◽  
Annual Report ◽  
Descriptive Analysis ◽  
Linear Analysis ◽  
Primary Data ◽  
Survey Method ◽  
Questionnaire Data ◽  
Collection Method ◽  
Random Manner ◽  
Selection Of

Understanding to fill the tax return, annual report tax return individual is still lacking, many taxpayers did not understand how to fill out an annual tax return, especially the tax year 2014. The objective was to investigate the influence of socialization Tax, Tax Penalties and Tax e-filing of the tax return reporting annual individual taxpayer. Sampling was done by purposive sampling method and selection of non-random manner convenience. The primary data collection method used is survey method using a questionnaire. Data were analyzed using multiple linear analysis, descriptive analysis and to test hypotheses.

The Comparison Between Therapeutic Effects of Different Classes of Antidepressant Drugs in Treatment of Genetical and Reactional Depression

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
P. Molavi ◽  
M. Karimollahi ◽  
M. Faridi
Keyword(s):  
Antidepressant Drugs ◽  
Response Speed ◽  
Point Of View ◽  
Block Type ◽  
Therapeutic Effects ◽  
Response Type ◽  
Analysis Method ◽  
Dsm Iv ◽  
Selection Of ◽  
Analyze Data

Background:Depression as a common psychiatric disorder can occur in two types: Endogenous or genetic and exogenous or Reactional. These two types of depression, from the point of view of response speed to treatment and type of appropriate drug for treatment are different. This study has been executed to compare therapeutic effects of different classes of anti-depressant drugs in treatment of genetic and Reactional depression.Materials and methods:Present survey is a clinical-trial study, a completely randomly block type, that has performed on 30 patients (male and female). Selection of study sample accomplished randomly among unipolar depressed patients that has referred to Ardabil’s psychiatry clinic diagnosed based on DSM-IV criteria. Researcher - Made questionnaire, Beck, and Catelle depression test were used to collect data. To analyze data, for completely randomly blocked designs, two-factor variance analysis method and F test were used.Results:This study showed that Genetical depression does not response treatment Rapidly and its response type is not good and persistent. From the point of view of time, Reactional depression has a delaying response but its response type is good and persistent. In addition, no difference was observed in efficacy of different classes of drugs for treatment of these two types of depression. The results of this research showed that there is no difference between treatment response of two types of depression (Genetical and Reactional).Conclusions:There is no preference in efficacy of different classes of drugs in treatment of these two types of depression.

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