Proper Management
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2021 ◽  
Vol 6 (2) ◽  
pp. 43-49
Young Jung Kim ◽  
Joung-Ho Han

Pancreatic cystic lesions (PCLs) are being identified increasingly because of recent advancements in abdominal imaging technologies, presenting a number of challenges in clinical practice. Although most PCLs are benign, some carry a significant risk of malignant degeneration. Accurate diagnosis of PCLs is important for proper management and follow-up. Endoscopic ultrasound (EUS) is useful for the characterization of PCLs with high sensitivity and accuracy. Additional information can be obtained using EUS for indeterminate lesions on computed tomography or magnetic resonance imaging. In this review, we introduce the relevant EUS findings for the diagnosis of relatively common PCLs.

2021 ◽  
Vol 3 (2) ◽  
pp. 64-75
Abiodun Bada ◽  
Loyiso Jita

Physics, a major branch of science requires adequate implementation of its theoretical and practical components. The critical role played by the use of laboratory in realising this goal cannot be overemphasized hence, the need for proper management of laboratory resources. This study investigated the rating of physics laboratory resources management in tertiary institution and its implications for STEM subjects using student’s voice. The investigation adopted a descriptive-survey research design which comprised 596 students taking physics-related courses in six tertiary institutions in Ondo State. A questionnaire with 19 item statements was designed titled ‘Questionnaire on Physics Laboratory Resources Management’ (QPLRM) and used to collect data for this study. The data collected were analysed using mean scores and ranking. Inadequate funding to carry out managerial plans and lackadaisical attitude on the part of lecturers were rated highest to have hindered the proper management of physics laboratory resources for improving STEM subjects. The study concludes that adequate funding and improved positive attitude on the part of lecturers and support staff are important to guarantee proper teaching of STEM subjects. The study recommends that government through its agencies should provide more funds for the adequate implementation of STEM subjects.

Ms. Blessy Mathew

Abstract: In pursuing the aim of abating health problems and enhancing the quality of care, healthcare facilities inevitably create waste that may itself be hazardous to health. Proper management of such waste is not only a legal, but also a social responsibility of the hospitals. Segregation at the site of waste generation is the first and foremost important step in healthcare waste management. It is emphasized as a means of ensuring that hazardous healthcare risk waste and healthcare general waste are separated and stored in appropriate containers. The importance of segregation is highlighted by the mere fact that only 10% to 25% of waste generated in health facilities is hazardous. Failure of this vital step turns non-hazardous waste into hazardous. Segregation also enables those who handle the containers outside the hospital wards to identify and treat them appropriately. There has been a sharp increase in the amount of waste generated from both health facilities and households. It is estimated that 0.5 to 2.0 kg per bed per day hospital waste is generated in India. Therefore, Biomedical waste must be properly managed and disposed of to protect the environment, general public and workers, especially healthcare and sanitation workers who are at risk of exposure to biomedical waste as an occupational hazard. Objectives 1-To assess the level of knowledge among the GNM students regarding Biomedical waste in selected hospital of Vrindavan. 2- To correlate the knowledge of GNM students regarding Biomedical waste with selected demographic variables Methodology: This study was conducted to assess knowledge among the GNM students regarding Biomedical waste in selected Hospital in Vrindavan, Mathura and the descriptive study design was selected. Population selected was GNM students and sample size were 70. The consent was taken from samples. The subjects were selected by convenient sampling technique. The structured questionnaires were distributed to the students to assess their level of knowledge regarding Biomedical waste management after obtaining an informed consent. Data was collected by using Structured Knowledge Questionnaire. Results: The study revealed that the level of knowledge among the students who has inadequate knowledge was 12.85% those who have moderate knowledge is 67.15% and adequate 20%. The chi-square test revealed that there was significant association with age, and training attended by students on Biomedical waste management and there is no significant association with year, source of information, area of working. Keywords: Biomedical waste, Management, knowledge

Plant Disease ◽  
2021 ◽  
Rui Liu ◽  
Hongqing Yin ◽  
Lin Li ◽  
Kaiwei Huang ◽  
Huixia Li ◽  

Cardamine violifohia is an economically-important medicinal plant, and also a valuable plant for strong ability to accumulate selenium (Se) (Ebba et al. 2020). It is not only be used to extract selenium protein and selenium polysaccharide, but also widely used to develop selenium-supplement reagent. In September 2020, root-knot nematodes (RKN; Meloidogyne spp.) infection experiments showed that galls and egg masses were observed on the roots of numerous C. violifolia plants in Enshi (30°32′25.67″ N; 109°48′48.46″ E), Hubei Province, China. Meanwhile, the overground plants of C. violifohia were stunted and leaves were yellow. Almost 5% C. violifohia plants were affected by the disease. The roots with galls were collected, and nematodes were dissected and extracted (Fig. S1). Based on phytopathological clinic, the number of galls on each plant was 91.87 ± 19.01, and egg masses was 15.27 ± 5.36 (n = 15). Nematodes and galls were collected from soil and infected roots (Barker 1985). The morphological diagnostic of the nematode species was measured as follows. Measurements of adult females (n=20), body length = 628.15 ± 73.69 μm, width = 356.77 ± 36.72 μm, stylet length = 15.58 ±0.93 μm. Meanwhile, a high and trapezoidal dorsal arch with thick striations was observed in the perineal region of females. Second-stage juveniles (J2s) (n=20): body length = 377.09 ± 18.19 μm, body width = 15.64 ± 1.24 μm, stylet length = 13.31 ± 1.04 μm, tail length = 42.49 ± 4.64 μm, hyaline tail terminus = 12.35 ± 2.02 μm and presented well developed esophageal glands. Eggs (n=20): length = 80.81 ± 3.47 μm, and width = 37.09 ± 2.98 μm. All the morphological characteristics of the identified species were consistent with the descriptions of Meloidogyne incognita (Kofoid & White, 1919) Chitwood, 1949 (Whitehead, 1968). Molecular identification was carried out by PCR with the M. incognita-specific primers Mi-F/Mi-R (Meng et al. 2004) and 28S rDNA D2/D3 region primers MF/MR (Hu et al. 2011). The target fragments of 955 bp and 478 bp amplified by of the primer pairs Mi-F/Mi-R and MF/MR were observed under a UV light, which confirmed that these nematodes collected from C. violifohia were M. incognita (Fig. S2). Fragments were, sequenced (MZ596342 and MZ566843, respectively) and aligned with available sequences on NCBI, which were 100% identical to the MK410954, MN728679, and MK410953, MF177882 M. incognita sequences, respectively. Pathogenicity testing was conducted to perform Koch’s postulates in a greenhouse by inoculation of 500 J2s from the original population into C. violifohia seedlings (n = 30, 5-6 leaves stage). After 7 weeks, all inoculated plants exhibited the same symptoms that observed in the field initially. Different life stages of M. incognita were observed in dissected galled tissues. The average reproductive factor was 37.30 ± 6.13, which is considered as the pathogenicity of M. incognita to C. violifohia. Therefore, C. violifohia is a suitable host for M. incognita in China. The growers should be informed of the current findings to avoid serious economic losses that might be caused by this pathogenic nematode, and prepare for proper management action. To our knowledge, this is the first report of M. incognita infecting C. violifohia in China.

2021 ◽  
Vol 22 (2) ◽  
pp. 453-461
Andrea Bencsik ◽  
Ali Shujahat ◽  
Tímea Juhász

Research on generations examine and analyse the similarities and differences between various age groups, and their opportunities for cooperation in the labour market, from various perspectives. According to the research, the behaviour and preparedness of each generation are different, the coordination and proper management of which poses challenges for all organisations. This is especially true when staff from national cultures with very distant values work together. The recognition of this problem was the pretext to the present research. The aim of the research is to examine the perception of the under 30 age group socialised and employed in two largely different cultures (Hungarian–Pakistani). Contrary to our assumption, the results of the quantitative research based on an online questionnaire confirm that the respondents do not perceive differently the behaviour, attitudes, expectations regarding work, workplace and employers of Pakistani and Hungarian young people at work. Employers’ perceptions of this age group play a significant role in choosing the tools that affect their retention in the workplace. In this respect, the employees of the studied cultures find similar solutions expedient.

2021 ◽  
Vol 4 (2) ◽  
pp. 36
Arofi Kurniawan ◽  
An’nisaa Chusida ◽  
Lyvia Vanessa Satigi ◽  
Ajeng Dyah Romadhoni ◽  
Muhammad Raihan Liandro ◽  

Background: A dentist is responsible for promoting oral health and disease prevention to make the world a better place in terms of oral health. Besides, the dentist also plays an important role in the forensic field and law enforcement. Forensic odontology is an area of dentistry that deals with the proper management and investigation of dental evidence, which aids in identifying people and the presentation of dental evidence in the interest of justice. Purpose: This article discussed the role and responsibilities of dentists in human identification. Review: The world continues to deteriorate as time passes with much criminality and disasters that cannot be prevented. In many cases, the identification process can be done through the unique characteristics of dentition. Various information such as age, sex, and ethnicity are recorded in the tooth. Forensic dentists are responsible to manage and evaluate tooth evidence. Conclusion: Forensic odontology plays an essential role in determining individual identity. The unique features of dentition provide accurate results in identification if all procedures are correctly employed. With the advancement of science and technology, dentistry may now assist in the identification and investigation of forensic cases.

2021 ◽  
Vol 13 (13) ◽  
pp. 19964-19975
Mehedi Hasan Mandal ◽  
Arindam Roy ◽  
Giyasuddin Siddique

The present study attempts to assess the impact of human intervention on the population, distribution, and habitat perspectives of the water birds found in and around Chariganga and Arpara ‘Beel’ wetlands, leftover channels of the River Bhagirathi. The point count method was adopted during field surveys conducted from April 2019 to March 2020. These wetlands are the natural habitats for 37 species of wetland birds belonging to 18 families and 11 orders, of which 26 species are residents, three are summer migrants, and eight are winter immigrants. The wetlands also harbour 10 bird species whose population is globally declining over the last few decades. Relative Diversity index unveils that among waterfowls Ardeidae is the dominant family. Species richness reaches its peak in winter, and is least during the monsoon. Empirical observation documented one Vulnerable (Greater Adjutant) and one Near Threatened (Black-Headed Ibis) species residing on the banks and adjoining paddy fields. Indiscriminate extraction of wetland products by local people, along with agricultural expansion towards the waterfront of the wetlands, has deteriorated the health of those wetlands and threatened the existence of waterbirds, especially shorebirds. Populations of 22 species living in water edge areas has changed conspicuously owing to cultural and economic activities of neighboring human groups. We suggest improving the ecological balance of the wetlands and restraining further degradation through proper management to preserve avian diversity. 

2021 ◽  
Vol 6 (1) ◽  
pp. 28-31
Hyung Il Kim

Hemorrhagic shock can develop due to severe bleeding, such as after major trauma, postpartum or gastrointestinal bleeding. At least two peripheral intravenous routes with large-bore catheters are recommended to reverse hemorrhagic shock, and such functional intravenous routes are essential for the proper management of other concurrent diseases as well. Conditions during helicopter transportation are different from those seen in-hospital, and the primary concerns are to maintain aseptic conditions, protect patient’s privacy, and prevent infection risk, especially during pandemics, such as the ongoing COVID-19. Herein, I describe two recent experiences of improper management during helicopter transport due to intravenous line malfunction. Subsequently, based on my experience, I suggest the use of multiple intravenous routes or preemptive central catheterization in patients requiring helicopter transportation.

2021 ◽  
Vol 61 (6) ◽  
pp. 343-9
Hikari Ambara Sjakti ◽  
Gatot Djajadiman ◽  
Pustika Amalia Wahidiyat ◽  
Agus Kosasih ◽  
Iswari Setianingsih

Background Risk stratification for acute myeloid leukemia (AML) in children is a must in treatment strategy. This stratification is based on cytogenetic profiles, which are needed to determine proper management to gain better outcomes and reduce side effects of treatment. There is no such risk stratification available in Indonesia until now. Objective To evaluate the association between cytogenetic profiles of t(8,21) and inv(16) mutations with the complete response to induction phase of chemotherapy in pediatric AML. Methods A prospective study was conducted between year 2018 and 2020, involving children with AML from 4 pediatric oncology centers in Jakarta. Subjects were evaluated for cytogenetic profiles, especially t(8,21) and inv(16), as the favorable predictors for AML. Bone marrow remission was evaluated after 2 cycles of induction phase. The results were evaluated for remission rate and survival analysis. Results  Karyotype data of 18 subjects were obtained. Translocation t(8;21) detected in 1 subject, and inv(16) mutation in 4 subjects. These two variables had no significant correlation with complete remission after induction phase. Nevertheless, favorable group had more tendencies to achieved remission than unfavorable group. Complete remission achieved in 61% subjects, 90% of theme had a relapse period with an average time 43 weeks. The relapse period in favorable group was shoter than in unfavorable group (34 weeks and 44 weeks, respectively). Conclusions This study shows that cytogenetic profiles of t(8;21) and inv(16) mutation can not be used as prognostic factors for complete remission after induction phase of chemotherapy in pediatric AML.

Diversity ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 610
Godfred Bempah ◽  
Changhu Lu ◽  
Yoonjung Yi

In recent times, the diet and foraging behaviors of wild animals are influenced by anthropogenic foods since they often share their natural habitats with humans. We investigated the composition, preferred food item, contribution of anthropogenic food at garbage dump sites, and the seasonal effects on the diet of Lowe’s monkeys (Cercopithecus lowei) in the Duasidan Monkey Sanctuary, Ghana. We found that Lowe’s monkeys fed on 13 plant species, as well as anthropogenic foods and invertebrates. The composition of plant diet changed seasonally: Lowe’s monkeys relied more on buds in the dry season while they consumed more fruits in the wet season. However, anthropogenic food was a major component of the diet for both wet (34.8%) and dry seasons (41.3%), suggesting that the monkeys consistently rely on anthropogenic food throughout the year. Nevertheless, we did not observe any conflict between monkeys and local people. The results suggest that Lowe’s monkeys heavily rely on anthropogenic food at human garbage dumps while they maintain a part of their foraging activities in the wild, indicating a need for the proper management of garbage as well as the protection of the natural habitats of Lowe’s monkeys in the Duasidan Monkey Sanctuary, Ghana.

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