Verbal Expression and Mother’s Desperation about Their Children with Attention Deficit/Hyperactivity Disorder

Parents who have children with Attention Deficit Hyperactivity Disorder (ADHD) are challenging because these children are special and need special treatment. Because they are challenging, parents need support from their inner or outer circle. One of the strategies to get a support is by expressing what they feel. Feelings can be expressed in various ways, verbal and non-verbal. It can be in a non-formal situation like having a conversation in a community or a home environment. Thus, this research aims to describe the verbal expressions and desperation of the mothers to raise their children with Attention Deficit Hyperactivity Disorder (ADHD). This research uses phenomenological method called Interpretative Phenomenological Analysis (IPA) because this study focuses on interpretive processes in understanding participants’ experiences ideographically. 25 participants are observed and interviewed in-depth regarding their experiences in raising their children with Attention Deficit Hyperactivity Disorder (ADHD). The participants’ verbal expression of desperation are classified into seven themes: Repeating the same instruction or warning over and over, Being different and isolated, Mess things up in the house, Could not stay still and unpredictable, Aggressiveness, irritation and tantrums, Extra effort for visual learner, Child lacks of motivation. The results show that the feeling of desperation persistently happened because it is difficult to understand the characteristics of a child with Attention Deficit Hyperactivity Disorder (ADHD). The also admit that it is difficult to make normal children and mothers to accept their circumstances. Meanwhile, other participants state that they seek more information and knowledge about ADHD by joining a community to get help or support psychologically and medically, practice and more practice at home in order to help their children grow better.

Is There an Association Between Multiple Sclerosis Epidemic and Socioeconomic Status in Iran? - A Descriptive-analytical Cross-sectional Study

Background: Multiple sclerosis (MS) is a key neurogenic cause of disability among young populations. Assessing the parameters affecting MS severity is vital to reduce the disease burden. the objective of this study is to determine the relationship between socioeconomic status (SES) and MS severity among Iranian young adults.Methods: A descriptive-analytical cross-sectional study was conducted by 180 patients (142 females and 38 males) with MS selected by a non-probability and consecutive sampling was conducted during September 2018-2019. The socio-demographic and primary clinical data were collected by a self-developed questionnaire and face-to-face interviews, respectively. The expanded disability status scale (EDSS) was used to assess the physical disability degree and the overall neurological function of patients.Results: The mean age of patients and MS onset was 27.54 and 35.58 years, respectively. The majority of patients were married (68.3%) while were living in cities (74.4%). The mean values of unemployment, homeownership, and monthly income were determined to be 54.4%, 71.7%, and 11,078,330 IRR, respectively. The mean EDSS was 2.80±1.79 points. A weak positive correlation between EDSS and patients' age (P = 0.001, r = 0.246) and number of children (P = 0.001, r = 0.250) was found. There was no significant difference between EDSS and SES factors (i.e., disease onset age, treatment cost, and monthly income).Conclusions: As SES was not related to the MS severity, there is no need to take special treatment measures in patients with poor SES.

Case Reports of Pregnancy-Related Cerebral Venous Thrombosis in the Neurology Department of the Emergency Clinical Hospital in Constanta

Cerebral venous thrombosis accounts for 0.5–1% of all cerebrovascular events and is one type of stroke that affects the veins and cerebral sinuses. Females are more affected than males, as they may have risk factors, such as pregnancy, first period after pregnancy, treatment with oral contraceptives treatment with hormonal replacement, or hereditary thrombophilia. This neurological pathology may endanger a patient’s life. However, it must be suspected in its acute phase, when it presents with variable clinical characteristics, so that special treatment can be initiated to achieve a favorable outcome with partial or complete functional recovery. The case study describes the data and the treatment of two patients with confirmed cerebral venous thrombosis with various localizations and associated risk factors, who were admitted to the neurology department of the Sf. Apostol Andrei Emergency Hospital in Constanta. The first patient was 40 years old and affected by sigmoid sinus and right lateral sinus thrombosis, inferior sagittal sinus, and right sinus thrombosis, associated with right temporal subacute cortical and subcortical hemorrhage, which appeared following a voluntary abortion. The second case was a patient aged 25 who was affected by left parietal cortical vein thrombosis, associated with ipsilateral superior parietal subcortical venous infarction, which appeared following labor. The data are strictly observational and offer a perspective on clinical manifestations and clinical and paraclinical investigations, including the treatment of young patients who had been diagnosed with cerebral venous thrombosis and admitted to the neurology department.

Paraconsistent annotated logic applied to industry assets condition monitoring and failure prevention based on vibration signatures

In this study, we introduced an expert system (ESvbrPAL2v), responsible for monitoring assets based on vibration signature analysis through a set of algorithms based on the Paraconsistent Annotated Logic – PAL. Being a non-classical logic, the main feature of the PAL is to support contradictory inputs in its foundation. It is therefore suitable for building algorithmic models capable of performing out appropriate treatment for complex signals, such as those coming from vibration. The ESvbrPAL2v was built on an ATMega2560 microcontroller, where vibration signals were captured from the mechanical structures of the machines by sensors and, after receiving special treatment through the Discrete Fourier Transform (DFT), then properly modeled to paraconsistent logic signals and vibration patterns. Using the PAL fundamentals, vibration signature patterns were built for possible and known vibration issues stored in ESvbrPAL2v and continuously compared through configurations composed by a network of paraconsistent algorithms that detects anomalies and generate signals that will report on the current risk status of the machine in real time. The tests to confirm the efficiency of ESvbrPAL2v were performed in analyses initially carried out on small prototypes and, after the initial adjustments, tests were carried out on bearings of a group of medium-power motor generators built specifically for this study. The results are shown at the end of this study and have a high index of signature identification and risk of failure detection. These results justifies the method used and future applications considering that ESvbrPAL2v is still in its first version.

Quality Assurance Methods Applied For Exposed-Aggregate Concrete Pavement Construction

The exposed aggregate pavement technology for construction of concrete highways is used in European countries, including Poland, mostly for heavy trafficked roads. It is mainly a two-lift slip-form technology with a special treatment of the top surface after the final smoothing operation. This is a demanding technology that leaves a little margin for mistakes. When properly done the pavement layer with exposed aggregates ensures designed skid resistance for vehicle wheels even in adverse weather conditions without excessive traffic noise. The challenge is to provide its cost-effective long term performance including both the adequate roughness and the desired smoothness of the pavement. The paper presents tools and methods for construction quality assurance specific for exposed aggregate concrete pavements. Required monitoring of the stability of concrete mix properties is discussed. The importance of concrete curing is analyzed in respect to the long term durability in wet-freeze regions with heavy use of deicing salts. Macrotexture assessment at the early stage of pavement construction is seen as the key factor for assurance of the proper skidding resistance. Local evaluation of smoothness is also a useful approach to assure the target IRI. Examples of quality assurance efforts applied on concrete highways recently constructed in Poland are presented.

Education Services for Special Intelligent and Talent Children in Elementary School

Special intelligent children and special talents require special treatment and handling in the world of education. This study aims to describe the educational services for special intelligent children and special talents at Baptist Elementary School Palembang. This study used a qualitative method with a field research approach. Data collection techniques were observation, interviews, recording and documentation. The data source used the primary data source because the researchers took the data directly in the field, namely Elementary School Baptist Palembang. Respondents in this study were 8 people that were 1 person as the head of Palembang Baptist Elementary School, 2 accompanying teachers for special intelligent and special talent children and 5 students who are categorized as special intelligent children and special talents. The findings obtained are 1) the process of educational services for special intelligent children and special talents at Baptist Elementary School Palembang. 2) Factors inhibiting and supporting the learning process of special intelligent children and special talents at Baptist Elementary School Palembang. 3) The teacher's strategy in dealing with special intelligent children and special talents at Palembang Baptist Elementary School

The phenomenon of reversible myometrial dysfunction and delayed rehabilitation of uterine contractive ability

The author introduces the conception o f potentially reversible myometrial dysfunction with unaffected main physiological function o f myometrium (viability o f myometrium). This dysfunction is connected with the disturbances o f uterine haemodynamics. The phenomenon o f reversible myometrial dysfunction reflects the process o f prolonged decreased contractile ability o f the uterus.The therapy o f reversible myometrial dysfunction phenomenon should be directed to blood flow restoration under the conditions o f uterine hypoperfusion.The special treatment is not required fo r myometrium with reserved main physiological functions (tonus, excitability) because restoration o f myometrial contractile ability improves spontaneously in case o f blood flow restoration.With the aim o f prophylaxis o f myometrial dysfunction and delayed rehabilitation o f the uterine contractile function administration o f Ca antagonists, beta-adrenomymetics, antioxidants and preparations, which improve myometrial metabolic processes, is recommended before the expected delivery.

Physico-dosimetric aspects of radiotherapy treatment of breast cancer patients with an established tissue expander

According to the data for 2019, breast cancer occupies a leading position among malignant neoplasms in the female population in the Russian Federation. Currently, there is an increase in the number of young breast cancer patients. In this regard, the requirements for the quality of life of patients, in particular the aesthetic results of special treatment, are increasing, which contributes to the introduction of methods of reconstructive surgery in oncomammology. The two-stage installation of a silicone breast implant is the most common method of breast reconstruction in oncological practice, in which a tissue expander is installed in patients at the first stage after mastectomy, and at the second stage it is replaced with a permanent implant. At the same time, the issue of radiotherapy in patients who have undergone the surgical stage of breast cancer treatment with reconstructive plastic surgery remains relevant to date. As is known, radiotherapy plays an important role in the combined and complex treatment of breast cancer, increasing, in general, locoregional control in operated patients. On the other hand, it may increase the risk of late complications of breast reconstruction, such as the development of capsular contractures and protrusions. It should also be emphasized that at present, the impact of hypofractive radiotherapy regimes, which are the most promising in clinical development, primarily on endoprostheses in patients during two-stage reconstruction, remains insufficiently studied. This article presents a brief analysis of the physical and dosimetric planning of radiotherapy in patients with breast cancer after the installation of a tissue expander who were treated on the basis of the RNCRR.

Get vaccinated when it is your turn and follow the local guidelines

The nurse has an important role caring for the patient infected with the coronavirus disease (COVID- 19). It is an infectious disease caused by the SARS-CoV-2 virus. The virus can spread from the mouth or nose of an infected person in small liquid particles when they cough, sneeze, speak, sing, or breathe. These particles range from larger respiratory droplets to smaller aerosols. It is important to practice respiratory etiquette, for example coughing into a flexed elbow, and to stay home and self-isolate until you recover if you feel unwell. Most people infected with the virus will experience mild to moderate respiratory illness and will recover without requiring special treatment. Older people and people with underlying medical conditions such as cardiovascular disease, diabetes, chronic respiratory disease, or cancer are more likely to develop serious illnesses. The goal of the research is to propose the best way to prevent and slow down transmission is to be well informed about the disease and how the virus spreads. Protect yourself and others from infection by staying at least 1 meter away from others, wearing a well-fitting mask, and washing your hands or using an alcohol-based rub frequently.

Interview with Vladimir M. Alpatov

This paper is an interview with Vladimir M. Alpatov, Doctor of Philology, full member of the Russian Academy of Sciences, distinguished linguist, and expert on Japanese studies. The focus of the interview is intercultural communication and the problems associated with translating languages and cultural realities. The difference between cultures makes it necessary to provide extensive commentaries to make the text comprehensive to foreign readers. Though, Vladimir M. Alpatov notes, the comments depend on the purposes and types of translation, such as academic or literary translation. Symbols are part of a greater symbolic and cultural system. Often it is not the symbol but one’s attitude towards the object that causes misunderstanding and requires clarification. Vladimir A. Alpatov gives many examples of how the Japanese view and treat life differently from Russian people. Many discrepancies come from domestic life and economic practices: the Japanese are less knowledgeable about cattle than many other nations. At the same time, insects that are found all around the world receive special treatment and admiration. Vladimir A. Alpatov makes a critical point on the absence of a proper method of studying cultural differences. We observe and list numerous cultural differences, but explanations and theories we come up with have no solid methodological basis. Another topic discussed is machine translation and AI Linguistics used to be considered exact science that implied the possibility of machine translation not assisted by humans. However, it did not happen yet, and the need for human-to-human translation or post-editing is obvious. With literary translation and translation from unrelated languages, the case against AI is stronger — human intuition in translating cultural specifics is indispensable, and various translations rather than a single canonic one should be welcome. Differentiation of sciences brought about cultural studies and linguistic-cultural studies that finally embraced the study of language as one of the vital elements of culture. Today many students study foreign languages and are interested in intercultural communication. They need to learn that we can overcome bias and prejudices through personal contact. One more way to promote a different vision of one’s culture and country — is to speak about it in an understandable language, for example, on the Internet.