Follow-up Strategies in Focal Liver Lesions and Treatment Methods

Today, advances in cross-sectional imaging have led to the detection and early recognition of incidental/focal liver lesions (FCL). In approximately 17,000 cases of chest CT, incidental liver lesions were found in 6% [1]. In general, FCL consists of hepatocytes, biliary epithelium, mesenchymal tissue, connective tissue, or metastasized cells from distant sites. Most incidental lesions are benign, some may require careful management and treatment. In evaluating the lesion, the patient's clinical history, underlying disease and age factor should be considered. FCL can be detected at a rate of 10-30% in normal healthy and chronic liver disease patients, and even in oncology patients with malignancy, FCLs can be highly benign (50-80%)

Wpływ sztucznej inteligencji na pracę biur rachunkowych

The article is theoretical and methodological. It describes the concept of artificial intelligence. It has been outlined how over the years AI is slowly replacing human work. Artificial intelligence is new technologies that appear in every area of human life. You don’t have to look far for examples, digital network operator, smart air conditioning, online shopping, connected vacuum cleaners, robots used in factories. The aim of the work is to show how dangerous artificial intelligence can be for humans. It may lead to the fact that in a few or a dozen years or so some professions will disappear. Where human work is a repetitive activity, it will be replaced by a machine. Technological development has transformed the typewriter into a computer, we already have ma- chines that can learn. It would be necessary to ask what will happen in a dozen or so years, how far will this avalanche of technological progress go. New technologies require careful management. The paper describes how new technologies affect the work of accounting offices. It has been indicated which accounting activities can be completely taken over by the machines. Several hypotheses are presented in the paper. The first is the recognition that data entry into accounting systems will be automated and taken over by new technologies. The second thesis assumes that the profession of accountant will change, it will change but will not disappear. Another one assumes that new technologies in the public law circulation will create the basis for calculating taxes by the tax administration.

Conservation and Management of the Culture of Bears

ABSTRACT: Culture is widely accepted as an important social factor present across a wide range of species. Bears have a culture as defined as behavioral traditions inherited though social learning usually from mothers to offspring. Successful bear cultures can enhance fitness and resource exploitation benefits. In contrast, some bear cultures related to response to humans and human-related foods can be maladaptive and result in reduced fitness and direct mortality. In environments with minimal human influence most bear culture has evolved over generations to be beneficial and well adapted to enhance fitness. However, most bears across the world do not live in areas with minimal human influence and in these areas, bear culture is often changed by bear interactions with humans, usually to the detriment of bear survival. We highlight the importance of identifying unique bear cultural traits that allow efficient use of local resources and the value of careful management to preserve these adaptive cultural behaviors. It is also important to select against maladaptive cultural behaviors that are usually related to humans inorder to reduce human-bear conflicts and high bear mortality. We use examples from Yellowstone National Park to demonstrate how long-term management to reduce maladaptive bear cultures related to humans has resulted in healthy bear populations and a low level of human-bear conflict in spite of a high number of Park visitors in close association with bears.

Management and Analysis of Large Qualitative Data Sets: Lessons Learned From Daily Journals for a Behavioral RCT

As part of a national RCT of a resourcefulness skills training intervention, 342 grandmother caregivers, completed daily online journals for 4 weeks, reporting “challenges or difficulties you faced today with your grandchildren or other family members and how you handled them.” In this paper, we describe the challenges and benefits of using an entirely online design for the distribution and collection of daily journals. We used NVIVO-12 Plus to perform directed content analysis to assess intervention enactment fidelity and compare content between intervention (trained in and prompted to discuss skills) and control groups. Over 92%(n=317) of participants completed daily journals. There was variation in reporting of skill use between groups: 36% of controls spontaneously used the skill “seek professional help” whereas only 4% of the control group reported the skill “change from usual reaction”. With careful management, qualitative data from large samples can be obtained and effectively analyzed for fidelity.

Admission criteria in critically ill COVID-19 patients: A physiology-based approach

Introduction The COVID-19 pandemic required careful management of intensive care unit (ICU) admissions, to reduce ICU overload while facing limitations in resources. We implemented a standardized, physiology-based, ICU admission criteria and analyzed the mortality rate of patients refused from the ICU. Materials and methods In this retrospective observational study, COVID-19 patients proposed for ICU admission were consecutively analyzed; Do-Not-Resuscitate patients were excluded. Patients presenting an oxygen peripheral saturation (SpO2) lower than 85% and/or dyspnea and/or mental confusion resulted eligible for ICU admission; patients not presenting these criteria remained in the ward with an intensive monitoring protocol. Primary outcome was both groups’ survival rate. Secondary outcome was a sub analysis correlating SpO2 cutoff with ICU admission. Results From March 2020 to January 2021, 1623 patients were admitted to our Center; 208 DNR patients were excluded; 97 patients were evaluated. The ICU-admitted group (n = 63) mortality rate resulted 15.9% at 28 days and 27% at 40 days; the ICU-refused group (n = 34) mortality rate resulted 0% at both intervals (p < 0.001). With a SpO2 cut-off of 85%, a significant correlation was found (p = 0.009), but with a 92% a cut-off there was no correlation with ICU admission (p = 0.26). A similar correlation was also found with dyspnea (p = 0.0002). Conclusion In COVID-19 patients, standardized ICU admission criteria appeared to safely reduce ICU overload. In the absence of dyspnea and/or confusion, a SpO2 cutoff up to 85% for ICU admission was not burdened by negative outcomes. In a pandemic context, the SpO2 cutoff of 92%, as a threshold for ICU admission, needs critical re-evaluation.

The effect of post-harvest storage on the weight of Golden Delicious apples

Apples, like other fruits, are exposed to stress during their growth and development in the field, also during harvest and the postharvest environment (processing, storage, and transportation). The refrigeration system allows for bulk handling of food products from harvest to market, ensuring that food products are maintained in their freshness and integrity for an extended period through careful management of storage temperature and humidity. This study investigated the effects of storage on the weight loss of apples (Golden Delicious fruits harvested at maturity), under refrigerated conditions at a temperature of 5±0.5°C and relative humidity of 82% and under ambient storage at a temperature of 25 ±0.5 °C and relative humidity of 60 %, over 3 months. The findings revealed that the two groups of apples experienced weight reduction at different levels. Apples placed at cold storage presented a loss of weight between 3.31g and 4.49g; however, apples stored at ambient temperature showed a significant loss of weight between 21.9g and 31.76g.

Eimeria piriformis live-attenuated vaccine is successfully lower clinical coccidiosis of rabbits raised in tropic

Livestock can sustain expected levels of productivity if the disease is controlled successfully. Rabbit coccidiosis is the major disease-causing high mortality and morbidity. Since no vaccine is available, the eradication is primarily based on careful management combined with medication in feed or water. Chemical coccidiostat is not only raising antibiotic resistance. It also adds environmental contamination since antibiotic is secreted onto land and water. In this report, we attenuate Eimeria piriformis and used it as the vaccine candidate for New Zealand rabbits in Yogyakarta, Indonesia. 90% of rabbits immunized with live attenuated E. piriformis showed no severe signs when challenged with wild type containing 5 x 105 oocyst. The use of live-attenuated E. piriformis is promising as coccidiosis prevention and control program. The strategy would reduce the continuous usage of chemoprophylactic substances in rabbit husbandry and therefore contribute in reducing environmental contamination of antibiotics

Characteristics of retinal detachment associated with atopic dermatitis

Background To examine the characteristics of rhegmatous retinal detachment (RRD) associated with atopic dermatitis. Method Medical records of 2257 patients who underwent RD surgery at this clinic between 2008 and 2018 were retrospectively reviewed. Among them, 61 patients who were diagnosed as AD were assigned into the experimental group and 100 patients who did not have AD were randomly selected and assigned into the control group. Demographics, characteristics of detachment, initial operative method, and prognosis after surgery were investigated as main outcomes. Additionally, in pseudophakic RD patients, the period between the cataract surgery and onset of RD was measured. Result Postoperative VA and prognosis were significantly worse and bilateral involvement of RD was more common in the atopy group than in the control group. (P value = 0.005, 0.001 each) Characteristics of retinal breaks were different between the two groups. Additionally, the risk of developing RD within 1 year after cataract surgery was significantly higher in pseudophakic patients of the atopic group than in the control group. (P value = 0.013) However, there was no significant difference in mean preoperative VA or refractive index between the two groups. Conclusion Our results show that in atopic patients, RD occurs at a young age with different characteristics compared to non-atopic patients. Atopic RD has a poor visual prognosis. Thus, it requires careful management. Furthermore, the risk of developing RD within 1 year after cataract surgery is higher in atopic patients. Therefore, it is important to perform regular and extensive check-up after cataract surgery for atopic patients.

Trauma-Induced Rupture of Liver Hydatid Cyst: A Rare Cause of Anaphylactic Shock

Hydatid disease is rare; nevertheless, several areas of the world are endemic. Lebanon is one of the endemic countries. This disease requires careful management, as its diagnosis is tough, and its complications are severe and can lead to sudden death. These complications include fistulas, infection, and rupture. Rupture of a hydatid cyst can mimic acute abdomen and show an array of nonspecific symptoms. It could be mistaken for hemorrhagic shock, trauma, or injury to an intra-abdominal organ. The diagnosis of ruptured hydatid cyst should be kept in mind in cattle-raising countries. We report the case of a polytrauma patient who was suspected to have severe intra-abdominal bleeding and hemorrhagic shock, but imaging and laparotomy showed the rupture of a liver hydatid cyst that drove the patient into anaphylactic shock. This article reviews similar cases in the literature and discusses the diagnostic tools, appropriate management, and expected complications.

Cyber-risk management: identification, prevention, and mitigation techniques

Cyber-attacks on critical infrastructure, as well as the possibility of cyber-terrorism and even cyberwarfare, pose a threat to societies on a larger scale. Stakeholders are vulnerable to information theft,service disruptions, privacy and identity theft, fraud, espionage and sabotage. This article provides abrief overview of risk management, with a particular emphasis on cyber security and cyber-riskassessment. This article provides an overview of risk management, with a particular emphasis oncyber security detection, prevention, and mitigation techniques. We showed how organizations couldmitigate their cyber risk with careful management.