scholarly journals Pediatric cardiovascular care in Uganda: Current status, challenges, and opportunities for the future

2017 ◽  
Vol 10 (1) ◽  
pp. 50 ◽  
Author(s):  
TwalibOlega Aliku ◽  
Sulaiman Lubega ◽  
Judith Namuyonga ◽  
Tom Mwambu ◽  
Michael Oketcho ◽  
...  
2015 ◽  
Vol 5 ◽  
Author(s):  
Felipe Macías

As part of the celebration of 2015 as the International Year of Soils, a review of the current status of soil science is presented, in particular on the future challenges of this discipline, such as the fight against hunger, the improvement of quality of life, and the need for increasing  scientific understanding of our environment. The most recent contributions of soil science offering interesting prospects are also presented.


2017 ◽  
Vol 84 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Ramanitharan Manikandan ◽  
Oscar Rodriguez ◽  
Rubén Parada ◽  
Joan Palou Redorta

Purpose Nonmuscle-invasive bladder cancer (NMIBC) is a challenging disease to manage primarily due to its varied clinical course. The management of NMIBC has witnessed a widespread change with respect to its diagnosis and treatment. Although transurethral resection (TUR) and adjuvant bacillus Calmette–Guerin (BCG) stills remain the cornerstone, newer protocols has come into vogue to achieve optimal care. On the basis of a literature review, we aimed to establish ‘what changes has already occurred and what is expected in the future’ in NMIBC. Methods A Medline search was performed to identify the published literature with respect to diagnosis, treatment and future perspectives on NMIBC. Particular emphasis was directed to determinants such as the quality of TUR and the newer modifications, Re-TUR, current status of newer macroscopic and microscopic imaging, role of urinary biomarkers, clinical, histologic and molecular predictors of high-risk disease, administration of intravesical agents, salvage therapy in BCG recurrence and the current best practice guidelines were analyzed. Results and Conclusions Optimal TUR, restaging in select group, incorporation of newer endoscopic imaging and judicious administration of intravesical chemo-immunotherapeutic agents can contribute to better patient care. Although there is a plethora of urinary markers, there is insufficient evidence for their use in isolation. The future probably lies in identification of genetic markers to determine disease recurrence, nonresponders to standard treatment and early institution of alternative/targeted therapy.


Author(s):  
Tae-eun Kim ◽  
Amit Sharma ◽  
Morten Bustgaard ◽  
William C. Gyldensten ◽  
Ole Kristian Nymoen ◽  
...  

AbstractThe COVID-19 pandemic has brought unprecedented challenges to the maritime supply chain and called for accelerated adoption of digital technologies in various aspects of maritime operations, including the area of maritime education and training (MET). This paper aims to discuss the current maritime simulator-based training and educational practices that forms an integral part in seafarer training and competency development. The study provides a review of the existing simulators in use in MET, and discusses upon the technological and pedagogical advancement of maritime simulator-based training interventions with predictions regarding the future MET practices with use of virtual reality and cloud-based simulators. This study—by focusing on ship’s bridge operations—highlights the characteristics of various types of simulators and also discusses the role of instructors, challenges, and opportunities involving future simulator-based MET due to accelerated adoption of digital technologies and the need to comply with pandemic-related restrictions for MET institutes. The analysis generated in the paper may contribute to the ongoing discussion regarding the future of simulator-based MET and the fulfillment of the UN Sustainable Development Goal (SDG) 4 in the maritime sector.


Author(s):  
Claudio R. Brito ◽  
Melany M. Ciampi ◽  
Maria Feldgen ◽  
Osvaldo Clua ◽  
Henrique D. Santos ◽  
...  

2021 ◽  
Vol 143 ◽  
pp. 110909
Author(s):  
Dongming Fan ◽  
Yi Ren ◽  
Qiang Feng ◽  
Yiliu Liu ◽  
Zili Wang ◽  
...  

2010 ◽  
Vol 143-144 ◽  
pp. 67-71 ◽  
Author(s):  
Dong Ping Li ◽  
Zhi Ming Qu

The networking approach to the World Wide Web is defined not only by the exploration of architecture, but also by the confirmed need for interrupts. Given the current status of authenticated archetypes, steganographers dubiously desire the analysis of scatter/gather I/O. the focus in this position paper is not on whether Moore's Law can be made concurrent, distributed, and pervasive, but rather on proposing an analysis of 32 bit architectures (Grange). It is concluded that, using probabilistic and interactive information and based on relational modality, the machine system and kernels are verified, which is widely used in the future.


2018 ◽  
Vol 15 (3) ◽  
pp. 306-346 ◽  
Author(s):  
Vaibhav Chaudhary ◽  
Rakhee Kulshrestha ◽  
Srikanta Routroy

PurposeThe purpose of this paper is to review and analyze the perishable inventory models along various dimensions such as its evolution, scope, demand, shelf life, replenishment policy, modeling techniques and research gaps.Design/methodology/approachIn total, 418 relevant and scholarly articles of various researchers and practitioners during 1990-2016 were reviewed. They were critically analyzed along author profile, nature of perishability, research contributions of different countries, publication along time, research methodologies adopted, etc. to draw fruitful conclusions. The future research for perishable inventory modeling was also discussed and suggested.FindingsThere are plethora of perishable inventory studies with divergent objectives and scope. Besides demand and perishable rate in perishable inventory models, other factors such as price discount, allow shortage or not, inflation, time value of money and so on were found to be combined to make it more realistic. The modeling of inventory systems with two or more perishable items is limited. The multi-echelon inventory with centralized decision and information sharing is acquiring lot of importance because of supply chain integration in the competitive market.Research limitations/implicationsOnly peer-reviewed journals and conference papers were analyzed, whereas the manuals, reports, white papers and blood-related articles were excluded. Clustering of literature revealed that future studies should focus on stochastic modeling.Practical implicationsStress had been laid to identify future research gaps that will help in developing realistic models. The present work will form a guideline to choose the appropriate methodology(s) and mathematical technique(s) in different situations with perishable inventory.Originality/valueThe current review analyzed 419 research papers available in the literature on perishable inventory modeling to summarize its current status and identify its potential future directions. Also the future research gaps were uncovered. This systemic review is strongly felt to fill the gap in the perishable inventory literature and help in formulating effective strategies to design of an effective and efficient inventory management system for perishable items.


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