Necrolytic erythema migrans in celiac disease

Erythema migrans necrolytica is a red, blistering rash that spreads over the skin. It particularly affects the skin around the mouth and distal extremities, but can also be found on the lower abdomen, buttocks, perineum and groin. It is strongly associated with glucagonoma, a glucagon-producing tumor of the pancreas, but is also seen in a number of other conditions, including liver disease and intestinal malabsorption such as celiac disease. We present a case of a patient with a history of poorly followed celiac disease presenting with a clinical picture of ENM. This rare case adds to our understanding of the clinical presentation of NME, as well as highlights the importance of acting in a timely manner to avoid the most redoubtful complications.

Depressive disorders in childhood

Depression is one of the main psychiatric disorders that prevails during childhood and adolescence. The causes are multifactorial, of which the following stand out: traumatic events, the social development environment, genetics and brain chemistry accompanied by some anatomical and functional alterations. The consequences can be serious in the long term and can even contribute to the problem if it is not identified and referred promptly or lead to suicide, once the diagnosis has not been effective. The treatment for depression is complex and includes drugs and cognitive-behavioral therapy. This article aims to help first contact physicians to diagnose in a timely manner to act in situations that may endanger the patient with this condition, and therefore refer to specialists.

Evaluating the Importance of Patient Blood Management During COVID-19 Pandemic

: Due to the COVID-19 pandemic, the demand for blood products may decrease as the health care system shifts toward treating the increased number of patients afflicted with COVID-19 and delaying selective surgeries and emergency procedures. One of the most important problems for blood transfusion services during COVID-19 pandemic is the reduction in the number of donors and a decrease in blood stocks. This happens due to the limitations of attendance of donors in blood centers, lack of awareness, misinformation, fear of being infected while donating blood, and restricting the freedom of blood collection teams to attend public places. Blood transfusion services should be prepared and well-responded in a timely manner. In this regard, appropriate use of blood, diminishing unnecessary transfusions, and implementation of patient blood management (PBM) principles are considered as significant measurements. PBM can help maintain blood supply throughout the crisis and reduce the pressure on blood demand. As a result, blood products can be saved for patients who need it urgently. PBM focuses on the patient, as well as the conditions that make patients transfuse blood, such as blood loss, coagulopathy, platelet dysfunction, and anemia. Thus, the majority of health systems in different countries have made recommendations to the PBM in hospitals.

Monitoring of neck activity for early warning of cervical spondylosis

<abstract> <p>Wireless body area networks (WBANs) is a new research hotspot with great development prospects. The non-contact sensing based on radio frequency signal can solve the issues of personal comfort and privacy. Detection of cervical motion range and cervical strain in time are important in diagnosis and prevention of cervical spondylosis. In this paper, channel state information is used to achieve smart perception and monitoring, timely and efficient detection of different postures and abnormal bending of the neck. It provides an efficient way for protecting cervical health, and also some help for doctors to understand the causes of cervical vertebral disease in a timely manner. The classification accuracy of the four activities reached 99.4%, 99.7%, 99.5% and 99.3%, respectively.</p> </abstract>

Robots and Economics

Robotization will eventually transform the nature of doing business and economics in general. Therefore, the aim of this chapter is to provide a broader perspective on economic repercussions of robotization covering both microeconomic and macroeconomic aspects as well as other closely related sociological aspects. This broad perspective is needed for researchers, policy makers, as well as managers while contemplating changes as stirring as robotization. Further, the chapter deals with the issue of education of future economists in the context of robotization. In that sense, it emphasizes the need to make future economists more flexible, observant, and consequently, more efficient, regardless of their position on labor market. In that sense, the chapter serves as an alarm since existent (economic) lag between countries may become even bigger if it is not addresses in a timely manner.

Compartmentalisation of molecular catalysts for nonorthogonal tandem catalysis

The development of nonorthogonal tandem catalysis enables the use of a combination of arbitrary catalysts to rapidly synthesize complex products in a sustainable, efficient, and timely manner.

Analisis Faktor-Faktor yang Mempengaruhi Keterlambatan Laporan Audit

This study aims to determine the factors that affect delay of audit report. The population of research are companies listed in Indonesia Stock Exchange in 2016 – 2020. The sampling technique used purposive sampling method with 1870 annual report processed. The data analysis technique of this research uses multiple regression and assisted by SPSS software and Eviews software. The result of this research showed that audit opinion and profitability is significantly negative to audit delay, and firm size is significantly positive to audit delay, whereas audit effort, public accounting firm size, debt and ownership concentration have no effect to audit delay. The results of this study are expected to contribute to strengthening agency theory in safeguarding the interests of agents and principals by submitting financial statements in a transparent and timely manner to prevent information asymmetry, as well as strengthening signal theory in explaining the factors for the spread of good news and bad news of companies to investors. In addition, practical contributions for company management can be used as a source of information to find solutions to improve the timeliness of submitting financial reports, for auditors it is expected to be a guide in preparing audit procedures that are more effective in overcoming factors that cause delays in audit reports, and for service authorities. The financial statements are expected to be the basis for policies to strengthen supervision of companies listed on the IDX in submitting annual reports in a timely manner.

Contemporary Theoretical Understandings About Education

An important role in upbringing and educational work is played by the application of adequate methods and means and knowledge and respect for the principles of educational work. The chapter will elaborate the most frequently represented methods of upbringing and educational work used so far, the advantages and limitations in their application, and the conditions that must be considered during their application in educational work. The methods of upbringing should be known by all educators (parents, preschool educators, teachers, and others), and also the personality of each educator should be known and used accordingly. The application of adequate methods and means of educational work in a timely manner is the best guarantee for the prevention of undesirable behaviors and other forms of sociopathological manifestations. The chapter will also present the means of educational work that can be used as well as principles that should be known and adhered to by all educators engaged in education and educational work.

Relationships between mental workload, job burnout, and organizational commitment

The business environment has becoming exceptionally unsteady and competitive recently. Information technology advancements and ever changing customer preferences has played a substantial role in an increase of the significance of highly productive, committed and loyal employees. These changes bring both advantages and challenges need to be addressed. The more challenges accelerate, the more issues come up to solve in timely manner. For any organizations, not only taking care of the customers but also employees of the organization should be treated equally taking a better care about their psychological and physical health as well as creating a healthy work environment. The objective of the current research is to study correlations of workload, job burnout and organizational commitment in the case of nurses working in the Health Center of Selenge aimag, Mongolia. According to the results, an increase of mental workload nurses by one unit results in job burnout increases by 0.578 (beta) unit and leads to the decrease of the organizational commitment by 0.437 (beta) unit. Moreover, one-unit increase of job burnout leads to decrease of the organizational commitment by 0.301 (beta) unit.

The Knowledge Based View of Embedding Strategy for Platforms Enterprises

Dialectically linking with heterogenous suppliers, manufacturers, consumers and resources, emerging e-commerce platforms achieve and maintain competitive advantage. Based on different levels of innovation network content and structure, YEATION and YOUPIN, two typical ecommerce platforms, adopt different strategies involving the promotion of value-seeking. Many decisions concern how companies perceive the innovation environment and how to engage in the innovation network. Knowledge base view provides useful theoretical lens to understand the network embedding approach for electric business platform enterprises. To put forward, enterprises with wide breadth should adopt structural strategy give priority to relational embeddedness, on the other hand, enterprises of which the depth of knowledge base is deep and width of insufficient shall adopt strategy give priority to the embedding of structure. It is also proposed that platform enterprises should not adopt a single embeddedness strategy but should adopt auxiliary embeddedness strategy in a timely manner.