scholarly journals Regional Organization of the Rehabilitation Service in Coronavirus Epidemic

2021 ◽  
Vol 20 (1) ◽  
pp. 13-20
Author(s):  
Iuly Treger ◽  
Lena Lutsky Treger
Keyword(s):  
Positive Impact ◽  
Professional Staff ◽  
Point Of View ◽  
University Hospital ◽  
Rehabilitation Service ◽  
Rehabilitation Process ◽  
Organizational Challenges ◽  
Local Experience ◽  
Rehabilitation System ◽  
Public Rehabilitation

The COVID-19 pandemics has dramatically changed the organization of public rehabilitation services around the world. Rehabilitation managers and doctors have faced different challenges at all stages of patient management from acute departments to home, especially in the periphery of the country. Aim. To analyze and present the regional experience of rehabilitation system reorganization during pandemics. Materials and methods. The Southern region of Israel is a big part of the country with about one million of population. The Physical Medicine and Rehabilitation department at the Soroka University Hospital is a part of the regional rehabilitation network, and was forced to find optimal solutions to all kinds of organizational challenges from the first days of the crisis. Most of those solutions, which, in our opinion, showed their effectiveness in managing our patients in this confused situation are presented and discussed in the article. Results. COVID-19 pandemics crisis had mostly a negative input on the whole system organization. The normal regular flow of multistage rehabilitation process was interrupted, serious part of professional staff was out of system due to quarantine and pandemic restrictions. The whole system was forced to change the management algorithms very quickly, sometimes as an immediate response to everyday changes. However, some changes that have occurred in response to the changed conditions may have a positive impact on the work of the rehabilitation system in the future and will also be discussed in the article. Conclusion. Our regional professional situation, of sure, is a combination of local rehabilitation organization and characteristics of Israeli health system, and from that point of view it is quite unique. But the problems of periphery are almost the same in every country so our local experience can help professionals in other regions.

An Ultrastructural Study of the Proliferation Patterns of the Reserve Cells of the Human Cervix Uteri

1972 ◽  
Vol 30 ◽  
pp. 80-81
Author(s):  
Takanori Sohda ◽  
Hiroshi Saito ◽  
Goro Asano ◽  
Katsunari Fukushi ◽  
Katsuya Suzuki ◽  
...  
Keyword(s):  
Ultrastructural Study ◽  
Age Groups ◽  
Point Of View ◽  
University Hospital ◽  
Cervix Uteri ◽  
Morphological Aspect ◽  
Functional Aspect ◽  
Pathological Conditions ◽  
Human Cervix ◽  
Morphological Patterns

Recently, the functional aspect as well as morphological aspect of the reserve cells in the cervix uteri drew much attention in view of the carcinogenesis in squamocolumunar junction. In this communication, the authors elucidate the ultrastructural features of the reserve cells in patients of various age groups visiting our university hospital and affiliated hospital.From conventional light microscopic point of view, the reserve cells tend to be pronounced in various pathological conditions, such as the persisting inflammation, proliferative disorders and irritation of hormones. The morphological patterns of the reserve cells from various stage and degree of irritation were observed.

Model Knowledge Management System Konseling Mahasiswa Berbasis Cloud Computing

CCIT Journal ◽  
2019 ◽  
Vol 12 (2) ◽  
pp. 138-148
Author(s):  
H. Abdul Hamid Arribathi ◽  
Dedeh Supriyanti ◽  
Lusyani Sunarya
Keyword(s):  
Information Technology ◽  
Cloud Computing ◽  
Knowledge Management ◽  
Management System ◽  
Positive Impact ◽  
Professional Staff ◽  
Knowledge Management System ◽  
Literature Study ◽  
Student Counseling ◽  
The World

Information technology is increasingly developing and has a positive impact on the world of education. The implementation of student counseling with a Knowledge Management System is one of the contributions of information technology in the world of education. Many benefits provided by the Student Counseling Knowledge Management System, in managing the knowledge needed by the counselor section to document student consultations. The development and implementation of a KMS counseling system costs more to employ professional staff to maintain and improve; KMS student counseling application; For this reason, it is necessary to design a Cloud Computing-based Student Counseling Knowledge Management System. The research method carried out in the first stage is to collect data and information about Knowledge Management and Student Counseling, and how to use it to create a Knowledge Management System Application, Student Counseling Based on cloud computing. Furthermore, conducting a literature study and literature review, system design is in the form of data architecture compounding, process design, network design, and user interface design. The design results of this system can facilitate educational institutions in conducting online cloud computing-based student counseling

METHODS OF ASSESSMENT THE LEVEL OF ENVIRONMENTAL AND ECONOMIC EFFECT DUE TO THE USING OF LOW-SPEED INDIVIDUAL VEHICLES, BY THE EXAMPLE OF THE TOWN OF SERPUKHOV

2019 ◽  
pp. 81-90
Author(s):  
Olga Leptiukhova ◽  
Marija Utkina
Keyword(s):  
Positive Impact ◽  
Economic Effect ◽  
Economic Benefits ◽  
Point Of View ◽  
Operational Parameters ◽  
Public Authorities ◽  
Low Speed ◽  
Standards Of Living ◽  
Complex Criterion ◽  
Electric Bicycle

For more than half a century bicycle transport demonstrates its effectiveness as one of the elements of the transport network of the city. Currently, vehicles with low-power motors such as electric bicycle, electric scooter, gyrometer, segway, wheelbarrow, scooter motor and others are gaining people's attention. These vehicles can be combined into a group of low-speed individual vehicles (hereinafter - NITS) with similar re-quirements for the operational parameters of urban infrastructure. From the urban point of view, the interest in NITC is that the number of its users has increased significantly in recent years. The article presents the results of a sociological survey of residents of Serpukhov, allowing to assess the current and potential readi-ness of the population to use NITC. The growing popularity of NITC has led to an increase in the environmen-tal and economic effect, which is manifested at a particular level of development of the movement on NITC. The ecological and economic effect of the use of NITC has an extremely positive impact on the improvement of the urban environment. This article provides a list of indicators that reflect the growth in the standards of living of society from movement by the NITC, and the calculation of one of them - the increase in entrepre-neurial activity on the streets with increased traffic to the NITC. Indicators are necessary for calculation of complex criterion of efficiency and safety of street network due to development of the movement by NITC. The result will allow public authorities authorized to make decisions on the strategy of transport policy of cities to quantify the ratio of economic benefits from the development of infrastructure of the NITC with the cost of its construction and operation.

508 Conservative Management of Small Bowel Obstruction: A Local Experience

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Gonzalez ◽  
M Aker ◽  
P Manjunath ◽  
A Mishra ◽  
N Ward
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Positive Impact ◽  
Statistical Significance ◽  
Water Soluble ◽  
Abdominal Adhesions ◽  
Initial Management ◽  
Local Experience ◽  
Immediate Surgery

Abstract Introduction Post-operative intra-abdominal adhesions remain the leading cause of small bowel obstruction (SBO) representing one of the main diagnoses warranting emergency laparotomies. The National Audit in Small Bowel Obstruction advocates the use of water-soluble contrast agents (WSCA) as initial management of SBO. We aim to assess the role and outcomes of WSCA and its rate in successfully managing SBO non-operatively. Method We conducted a 2-year retrospective analysis including all patients admitted with adhesive SBO. Outcomes of patients who received WSCA were compared to those who hadn’t. Results 118 patients were included, 27(23%) of which required immediate surgery while 91(77%) were initially managed conservatively. From the latter group, 53(58.2%) received WSCA whilst 38(41.8%) didn’t. Of the group that received WSCA, 36(39.5%) were successfully managed non-operatively, compared to 26(28.5%) that didn’t, this however lacked statistical significance. LOS didn’t differ between these two groups (5 days vs. 5.5 days, p = 0.805). 32% of the patients required eventual surgical intervention needing longer LOS regardless of receiving WSCA (6.6 days vs. 13.6 days p < 0.001). Conclusions Adhesive SBO can be managed conservatively in up to two-thirds of patients. WSCA usage has a positive impact but needs further assessment in larger studies.

Contribution of Rehabilitation Counsellors in the Rehabilitation of Persons with Acquired Brain Injury

1995 ◽  
Vol 1 (1) ◽  
pp. 23-32 ◽  
Author(s):  
Ross Crisp
Keyword(s):  
Brain Injury ◽  
Service Delivery ◽  
Case Management ◽  
Therapeutic Relationship ◽  
Systems Approach ◽  
Acquired Brain Injury ◽  
Rehabilitation Service ◽  
Rehabilitation Process ◽  
Counselling Practice ◽  
Vocational Evaluation

Recent rehabilitation counselling literature has pointed to major developments in the contribution of rehabilitation counsellors to acquired brain injury (ABI) rehabilitation. Rehabilitation counsellors have widened their skill base in case management, vocational evaluation, and in the therapeutic relationship between counsellor and client. It is evident, however, that better methods of ABI rehabilitation service delivery, including those services provided by rehabilitation counsellors, continue to be sought. Strategies needed to ensure the advancement of rehabilitation counselling practice and research in ABI rehabilitation are discussed, and involve the adoption of a systems approach, a shift away from dominant clinical psychological analyses in favour of psychosocial frameworks, and the co-participation of persons with ABI in the rehabilitation process.

Therapeutic and evolutionary characteristics of Diabetic ketosis decompensations after a decade at the University Hospital of Cotonou, Benin

2021 ◽  
Vol 5 (2) ◽  
pp. 01-05
Author(s):  
Gninkoun Jules
Keyword(s):  
Metabolic Diseases ◽  
Positive Impact ◽  
University Hospital ◽  
Glucose Levels ◽  
Diabetic Ketosis ◽  
Blood Glucose Levels ◽  
Compliance To Treatment ◽  
The University ◽  
Improving Patient Care ◽  
Length Of Hospitalization

Aim: To evaluate the therapeutic and evolutionary aspects of diabetic ketosis decompensation, a decade after its previous report in our center. Materials and Method: This was a 3-year retrospective study, including all patients admitted from June 1, 2016 to May 31, 2019 for DKA at the Endocrinology and Metabolic Diseases Department of the National and University Hospital Hubert Koutoukou Maga (CNHU-HKM). Ketosis was defined by the presence of at least 2 acetone crosses on the urine strip. Results: A total of 196 patients were included. The mean age was 43.73 years ± 16.2 years with a sex ratio of 0.96. The prevalence of DKA was 28.99%. The main precipitating factors of DKA were infections (67.86%) and non-compliance to the treatment (29.59%). The most common infections were urogenital (23.30%), respiratory (18.04%) and malaria (32.33%). The mortality was 2.55%. Male subjects (84.36%) had blood glucose levels above 3g/L with a higher mean dose of insulin used (84.71 IU versus 54.29 IU for women p=0.008). Duration of recovery (p=0.008) and length of hospitalization (p=0.006) were statistically longer for men. Conclusion: The prevalence of ketosis decompensations remains high. The main decompensation factors found were infections and non-compliance to treatment. Improving patient care over the past decade had produced a positive impact on mortality, recovery time and length of hospitalization.

The Crisis of Contemporary Culture: A View from the History of Russian Philosophy: (Fedotov – Weidle – Landau – Bicilli) Materials of the “round table”

2021 ◽  
pp. 184-212
Author(s):  
Boris I. Pruzhinin ◽  
◽  
Aleksandr V. Antoshchenko ◽  
Tanya N. Galcheva ◽  
Inna V. Golubovich ◽  
...  
Keyword(s):  
Round Table ◽  
Point Of View ◽  
Russian Philosophy ◽  
Contemporary Culture ◽  
Philosophy Of Culture ◽  
Local Experience ◽  
The Social ◽  
History Of ◽  
Social Organism ◽  
As If

On August 26, 2021, with the support of “Voprosy filosofii” was held a “round table”, the participants of which considered it meaningful and relevant to address the legacy of experiencing and philosophical reflection of critical epochs by peo­ple who have fully endured the “breakdown” of being and an anthropological crisis – for comprehending the disturbing changes taking place in modern soci­ety. In this regard, the intellectual biographies of thinkers who felt a colossal shock in the 1920s and who tried to comprehend their local experience as a global are exceptional. In the authors’ focus are ideas and arguments of the philosophers of the Russian Abroad about the crisis of their contemporary culture (Fedotov – Weidle – Landau – Bicilli). The “round table” is an attempt to correlate their experience with the modern reality of the anthropological crisis. The studying intellectuals underlined the death of culture as the main threat to the life of the social organism. The salvation of culture, first of all, depends on the spiritual efforts of people. From this point of view, philosophy has to com­prehend the principles that make it possible to resist the processes of cultural de­struction. And in this regard, the personality of the philosopher is of exceptional importance, his willingness to live and work “as if history would never end, and at the same time, as if it ended today” (G.P. Fedotov). The philosophy of culture forms the ideal of personal choice as a free submission to universal human goals. The relevance of the intellectual and spiritual search of the “Russian Abroad” thinkers can't be overestimated since this crisis continues today, entering ever new, previously unpredictable phases. The struggle for culture continues. There­fore, the intellectual searches of the "Russian Abroad" thinkers are essential to­day. The core of the discussions was three actual topics in the context of their comprehension by the philosophers: 1. The crisis of religious consciousness; 2. The crisis of scientific rationality; 3. Crisis of cultural identity.

The cost of consent: why healthcare providers must be compliant with the Montgomery principles

2020 ◽  
Vol 102-B (5) ◽  
pp. 550-555
Author(s):  
Nick Birch ◽  
Nick V. Todd
Keyword(s):  
Positive Impact ◽  
Healthcare Providers ◽  
International Comparisons ◽  
Point Of View ◽  
Public Healthcare ◽  
Health Board ◽  
Malpractice Claim ◽  
The Usa ◽  
The Uk ◽  
The Cost

The cost of clinical negligence in the UK has continued to rise despite no increase in claims numbers from 2016 to 2019. In the US, medical malpractice claim rates have fallen each year since 2001 and the payout rate has stabilized. In Germany, malpractice claim rates for spinal surgery fell yearly from 2012 to 2017, despite the number of spinal operations increasing. In Australia, public healthcare claim rates were largely static from 2008 to 2013, but private claims rose marginally. The cost of claims rose during the period. UK and Australian trends are therefore out of alignment with other international comparisons. Many of the claims in orthopaedics occur as a result of “failure to warn”, i.e. lack of adequately documented and appropriate consent. The UK and USA have similar rates (26% and 24% respectively), but in Germany the rate is 14% and in Australia only 2%. This paper considers the drivers for the increased cost of clinical negligence claims in the UK compared to the USA, Germany and Australia, from a spinal and orthopaedic point of view, with a focus on “failure to warn” and lack of compliance with the principles established in February 2015 in the Supreme Court in the case of Montgomery v Lanarkshire Health Board. The article provides a description of the prevailing medicolegal situation in the UK and also calculates, from publicly available data, the cost to the public purse of the failure to comply with the principles established. It shows that compliance with the Montgomery principles would have an immediate and lasting positive impact on the sums paid by NHS Resolution to settle negligence cases in a way that has already been established in the USA. Cite this article: Bone Joint J 2020;102-B(5):550–555.

scholarly journals Rurality, Ethnicity, and Gender Patterns of Cultural Continuity during the “Great Disjuncture” in the R.M. of Hanover, 1945-1961

2006 ◽  
Vol 4 (1) ◽  
pp. 161-182
Author(s):  
Royden Loewen
Keyword(s):  
World War Ii ◽  
Social Relations ◽  
Point Of View ◽  
Cultural Continuity ◽  
Local Experience ◽  
German Speaking ◽  
Dialectical Relationship ◽  
Gender Patterns ◽  
And Gender ◽  
Ethnicity And Gender

Abstract Rural Canadian communities underwent profound changes as they adapted to the economic and social context after World War II. Those changes, may be described, using John Shaver's phrase, as a "Great Disjuncture". From a "centrist" point-of-view Canadian farms became more fully mechanized, products commodified and farm goals integrated with government policy. This paper focuses on the "local experience" of the "Great Disjuncture". Its subject is the Rural Municipality of Hanover in Manitoba, an ethnic community, dominated by Low German-speaking Mennonites. In Hanover traditional social relations, both on the primary level affecting gender and on the community level affecting the very idea of rurality, entered a dialectical relationship with the forces for change to create a particular localized culture. Here was an instance of cultural re-creation.

scholarly journals Comparison of Morphological, Antidiabetic and Antioxidant Properties of Goji Fruits

2020 ◽  
Vol 24 (1) ◽  
pp. 1-14
Author(s):  
Arleta Kruczek ◽  
Ireneusz Ochmian ◽  
Marcelina Krupa-Małkiewicz ◽  
Sabina Lachowicz
Keyword(s):  
Antioxidant Activity ◽  
Positive Impact ◽  
Antioxidant Properties ◽  
Total Content ◽  
Point Of View ◽  
Bioactive Substances ◽  
Health Promoting ◽  
Berry Fruits ◽  
North Western ◽  
Nitrite Content

AbstractThere is a growing public interest in fruits labeled as „superfood” (functional food). A “superfood” should have a high content of bioactive substances with a positive impact on human health. Seven different cultivars of goji berry fruits (Lycium chinense Mill.) grown in north-western Poland were evaluated for its physicochemical parameters, antidiabetic and antioxidant activity, and polyphenol content. The length of 1-year-old shoots ranged from 36 cm (‘Big Lifeberry’) to 82 cm (‘Korean Big’). Cultivars from the group of Big were characterized by the biggest fruits (17.3-24.2 mm) with the greatest weight of 100 fruits (96.7­122.1 g). ‘Big Lifeberry’ contained high amounts of L-ascorbic acid (408 mg 1000/g) and provitamin A (190 mg 1000/g) and showed high antidiabetic (α-amylase IC50=33.4 mg/mL; α-glucosidase IC50=9.9 mg/mL) and antioxidant activity (ABTS·+ 6.21 and FRAP 5.58 mmol T/100 g). ‘Big Lifeberry’ was also characterized by a high total content of polyphenols (43.64 mg 100/g). Furthermore, the nitrite content in all the cultivars tested was at a relatively low level. Among the examined cultivars, the most attractive one concerning the consumers’ point of view of the size, weight and high content of health-promoting compounds is ‘Big Lifeberry’.

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