scholarly journals Health-Care Delay in Malignant Melanoma: Various Pathways to Diagnosis and Treatment

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Senada Hajdarevic ◽  
Åsa Hörnsten ◽  
Elisabet Sundbom ◽  
Ulf Isaksson ◽  
Marcus Schmitt-Egenolf
Keyword(s):  
Health Care ◽  
Malignant Melanoma ◽  
Clinical Pathways ◽  
Diagnosis And Treatment ◽  
Lead Times ◽  
Time Interval ◽  
Initial Contact ◽  
Time Intervals ◽  
Unselected Population

We aimed to describe and compare patients diagnosed with malignant melanoma (MM), depending on their initial contact with care and with regard to age, sex, and MM type and thickness, and to explore pathways and time intervals (lead times) between clinics from the initial contact to diagnosis and treatment. The sample from northern Sweden was identified via the Swedish melanoma register. Data regarding pathways in health care were retrieved from patient records. In our unselected population of 71 people diagnosed with skin melanoma of SSM and NM types, 75% of patients were primarily treated by primary health-care centres (PHCs). The time interval (delay) from primary excision until registration of the histopathological assessment in the medical records was significantly longer in PHCs than in hospital-based and dermatological clinics (Derm). Thicker tumors were more common in the PHC group. Older patients waited longer times for wide excision. Most MM are excised rapidly at PHCs, but some patients may not be diagnosed and treated in time. Delay of registration of results from histopathological assessments within PHCs seems to be an important issue for future improvement. Exploring shortcomings in MM patients’ clinical pathways is important to improve the quality of care and patient safety.

scholarly journals Constructing Geographic Dictionary from Streaming Geotagged Tweets

2019 ◽  
Vol 8 (5) ◽  
pp. 216 ◽  
Author(s):  
Jeongwoo Lim ◽  
Naoko Nitta ◽  
Kazuaki Nakamura ◽  
Noboru Babaguchi
Keyword(s):  
Geographic Information ◽  
Time Interval ◽  
Specific Time ◽  
Time Intervals ◽  
Text Format ◽  
Short Text ◽  
Spatial Locality ◽  
Content Similarity ◽  
Types Of Information

Geographic information, such as place names with their latitude and longitude (lat/long), is useful to understand what belongs where. Traditionally, Gazetteers, which are constructed manually by experts, are used as dictionaries containing such geographic information. Recently, since people often post about their current experiences in a short text format to microblogs, their geotagged (tagged with lat/long information) posts are aggregated to automatically construct geographic dictionaries containing more diverse types of information, such as local products and events. Generally, the geotagged posts are collected within a certain time interval. Then, the spatial locality of every word used in the collected geotagged posts is examined to obtain the local words, representing places, events, etc., which are observed at specific locations by the users. However, focusing on a specific time interval limits the diversity and accuracy of the extracted local words. Further, bot accounts in microblogs can largely affect the spatial locality of the words used in their posts. In order to handle such problems, we propose an online method for continuously update the geographic dictionary by adaptively determining suitable time intervals for examining the spatial locality of each word. The proposed method further filters out the geotagged posts from bot accounts based on the content similarity among their posts to improve the quality of extracted local words. The constructed geographic dictionary is compared with different geographic dictionaries constructed by experts, crowdsourcing, and automatically by focusing on a specific time interval to evaluate its quality.

“Why Come for Treatment?” Clients’ and Therapists’ Accounts of the Presenting Problems When Seeking Mental Health Care

2018 ◽  
Vol 28 (6) ◽  
pp. 916-926 ◽  
Author(s):  
Ora Nakash ◽  
Michal Cohen ◽  
Maayan Nagar
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychiatric Symptoms ◽  
Interpersonal Problems ◽  
Initial Contact ◽  
Physical Problems ◽  
Raising Awareness ◽  
Depth Interviews

Although identification of main problems is the foundation for treatment planning, limited research has examined reasons for seeking mental health care. We identified reasons for seeking mental health care as reported by clients and therapists upon initial contact with mental health services. We conducted in-depth interviews with clients and their therapists immediately following the intake. We analyzed 117 therapist and 112 client interviews using thematic analysis. Overall interrater reliability among three raters who coded the interviews was high (kappa = 0.72). Our findings suggest that, overall, clients and therapists report similar main area problems that bring clients to care. Emotional distress and other psychiatric symptoms as well as interpersonal problems were most prevalent. Therapists tended to ignore some problem areas that clients highlighted, including physical problems and socioeconomic strains. Raising awareness to potential gaps in perception of main problems that bring clients to care will promote a shared understanding and improve quality of care.

scholarly journals The effect of increasing intakes of plant protein on the protein quality of Canadian diets

2021 ◽  
Author(s):  
Christopher P.F. Marinangeli ◽  
Hrvoje Fabek ◽  
Mavra Ahmed ◽  
Diana Sanchez-Hernandez ◽  
Samara Foisy ◽  
...  
Keyword(s):  
Amino Acid ◽  
Protein Quality ◽  
Protein Digestibility ◽  
Canadian Community Health Survey ◽  
Plant Protein ◽  
Time Interval ◽  
Time Intervals ◽  
Plant Foods ◽  
Protein Consumption

The 2015 Canadian Community Health Survey was used to investigated the protein content and protein quality of the diets consumed by adults (≥ 19 years) when plant protein is increased. Individuals (n=6498) were allocated to quartiles of increasing proportions of protein from plant foods (Q1:0-24.9%; Q2:25%-49.9%; Q3:50-74.9%; Q4:75-100%). The Protein Digestibility Corrected Amino Acid Score (PDCAAS) of diets were estimated using indispensable amino acid concentrations of foods and an assumed digestibility coefficient of 0.8. Corrected protein intakes were determined by aggregating foods consumed over 24hrs and as the sum of corrected protein consumed at eating events within six, four-hour time intervals. Most individuals (51%) consumed 25-49.9% of protein from plant foods. Cereal-based foods represented the majority of plant protein consumed. PDCAAS of diets remained ≥0.87 for Q1-3, but decreased (p<0.0001) to 0.71±0.018 in Q4 vs. Q2 (0.96±0.004). Corrected protein intakes in Q2 (80.66±1.21 g/day; 1.07±0.03 g protein/kg BW) decreased to 37.13±1.88 g/day (0.54±0.03 g/kg BW) in Q4 (p<0.0001). Aggregated daily corrected protein intake strongly correlated (r=0.99; p<0.001) with the sum of corrected protein consumed within time intervals. Intra-time interval analysis revealed that the relative proportions of animal and plant proteins changed at eating events over 24hrs; and did not reflect the allocation to quartiles based on the daily proportion of plant protein consumption. Various tools should be explored and developed to assist Canadians in effectively incorporating plant protein foods into dietary patterns. Novelty: ●Corrected protein intakes decreased as plant protein consumption increased. ●PDCAAS was ≥0.87 for diets with ≤74.9% plant protein.

scholarly journals Cornea Procurement and Processing up to 72 Hours: No Risk for Cornea Transplant Quality

2020 ◽  
pp. 1-9
Author(s):  
Nicola Hofmann ◽  
Ilka Wittmershaus ◽  
Anna-Katharina Salz ◽  
Martin Börgel
Keyword(s):  
German Society ◽  
Cardiovascular Death ◽  
Quality Parameters ◽  
Time Interval ◽  
Corneal Tissue ◽  
Tissue Quality ◽  
Time Intervals ◽  
Cardiovascular Arrest ◽  
Made In

<b><i>Background:</i></b> The realization of tissue donations is bound to a tight timeframe. Depending on the type of tissue, time limits are specified within which the donation must be procured and processed. Otherwise, there is a risk of tissue quality loss with increasing time intervals from cardiovascular arrest. According to the European Directorate for the Quality of Medicines and HealthCare (EDQM) guide, cornea must be procured and processed within 72 h after death. The question arises whether this time interval has an influence on the quality of transplanted tissues and how it affects the accomplishment of tissue donations. <b><i>Methods:</i></b> In order to obtain information on this, the numbers of tissue donations in the network of the German Society for Tissue Transplantation (DGFG) were evaluated as a function of the death to retrieval time (DRT) as well as the death to preservation time (DPT). For this purpose, 21,454 database entries of cornea donations made in the period from 2014 to 2018 were included. <b><i>Results:</i></b> The results show that nearly 50% of donations realized in the DGFG network could be processed only 48 h or later after cardiovascular death due to the opt-in regulation in Germany. For these donations, there seems to be a higher discard rate compared to donations taken earlier. Nevertheless, there is a transplantation rate for these grafts of more than 65%, which is comparable to average transplantation rates stated in the literature. <b><i>Conclusion:</i></b> All corneas finally selected for transplantation must meet the specified quality parameters. Since this naturally also applies to transplants that could only be procured at later time points, it can be concluded that DPT up to 72 h for corneal tissue is adequate and has no influence on the quality of corneas that are ultimately transplanted.

scholarly journals Measuring the Quality of Health Services in the Benghazi Center for diagnosis and treatment of diabetes، from the Point of View Reviewers: تقييم جودة الخدمات الصحية المقدمة بمركز بنغازي لتشخيص وعلاج السكري من وجهة نظر المترددين

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Fatma Abdalla Omar, Faten Ali Qatrani, Hager M. Abeid
Keyword(s):  
Health Care ◽  
Health Services ◽  
Point Of View ◽  
Diagnosis And Treatment ◽  
Physical Factors ◽  
Cross Sectional ◽  
Effective Measure ◽  
Treatment Of Diabetes ◽  
Quality Of Health Services

    Seen patient satisfaction as a source of information and an effective measure to evaluate the true and judgment on the level and the reality of health care provided to them، as well as an important tool in the field of management research and planning health care and policy-related. This study aimed to measure the quality of provided health services at the Benghazi Center for diagnosis and treatment of diabetes from the point of view patients، also the study suggested some of recommendations that contribute to the improvement and development of the reality of services in health centers and reduce the negative effects So as to achieve benefit for the management of the center and the beneficiaries. METHODOLOGY: Study Design: This is a quantitative research study (cross-sectional، descriptive study. Setting: This study conducted in the Benghazi Center for diagnosis and treatment of diabetes. Participants: this study included (378) Diabetes The sample size was determined using Epilno7 at 95% confidence Step 80% and the percentage of error of 5%.instrument: the study collected data by using a questionnaire that consisting of two parts: a part of the data relating to the description of the sample members، the second part of the collection of data related to the evaluation of the services provided by the center، Of 22 questions divided into 5 dimensions of quality (6) questions of melody (5) questions of reliability (3) questions of response (4) questions of safety and confidence (4) questions of empathy.. RESULTS:. the study found the Benghazi center for the diagnosis and treatment of diabetes medical service dimensions are available in it in terms of responsiveness، empathy، tangible، and safety and confidence level of the average acceptance except for - reliability dimension from the point of view and reviewers، The equivalent of (3.3) recorded for both response and empathy dimensions (3.1) for tangibility dimension (3.5) safety and confidence dimensions while the reliability dimension recorded approximately (2.8).The study concluded to Work to raise the quality of health services provided to patients by focusing on the following: Conducting lectures on education and awareness on an ongoing and periodic basis on diabetes mellitus. Providing various specialities، especially as it is known to link diabetes with several complications that require the existence of different specialities. There are several physical factors stand without providing a good quality service and acceptable to patients، including the difficulty of access to the center because of the signatory must، therefore، be the decision-makers and officials to establish other centers for patients diagnosed with diabetes to reduce the burden on patients and achieve the desired benefit.    

scholarly journals Effect of Milking Time Intervals on Production and Quality of Friesian Holstein

2020 ◽  
Vol 5 (2) ◽  
pp. 52-57
Author(s):  
Tedi Akhdiat ◽  
Hilman Permana ◽  
Nilawat Widjaja ◽  
Raden Febrianto Christi ◽  
Dini Elsa Alfiani
Keyword(s):  
Water Content ◽  
Milk Production ◽  
Dairy Cow ◽  
Milk Fat ◽  
Cow Milk ◽  
Time Interval ◽  
Time Intervals ◽  
Effect Of Treatment ◽  
Holstein Dairy Cow

Milking is the act of removing milk from the udder on purpose to get maximum milk production. A reasonable milking interval will affect the amount of milk production. This research aims to know the extent of the milking time interval affecting Friesian Holstein dairy cow milk production and the interval of milking time that produces the best production and quality of Friesian Holstein.  The research method was an experiment using a completely rand randomized with four treatments, namely: treatments 1 was 16:8 hours time delivery interval (TDI) dairy cow; treatments 2: time delivery interval (TDI) 15:9 hours; treatment 3: delivery time interval (TDI) 14:10 hours; treatment 4: time delivery interval (TDI) 13:11 hours.  The observed variables are milk production and milk quality.  The data were analyzed using verbal if any effect of treatment was done Duncan's distance test. Based on the results and discussion, the milking time interval significantly impacts milk production and water content. Still, it has no significant effect on the density, protein content, and milk fat content, 13:11 hours milking interval time produces the most milk and water content.

scholarly journals THE FORMATION OF FIBRILS FROM COLLAGEN SOLUTIONS

1961 ◽  
Vol 9 (1) ◽  
pp. 193-209 ◽  
Author(s):  
M. K. Keech
Keyword(s):  
Fiber Formation ◽  
Time Interval ◽  
Electron Microscopic ◽  
Time Intervals ◽  
Human Dermis ◽  
Varying Length ◽  
Kinetics Of ◽  
Rna And Dna ◽  
Soluble Components

The kinetics of collagen reprecipitation from solutions of salt-extracted calf dermis in the presence of small amounts of mucopolysaccharide and nucleic acids (0.005 per cent in the final reaction mixture) has been reported by Wood (1960). The present paper is a parallel study using the same materials, and describes the electron microscopic (EM) morphology of the collagen precipitates replicated after 24 hours at room temperature. Satisfactory, uncontaminated EM preparations were obtained which showed that all the deposits were fibrous and bore the 640 A cross-banding characteristic of collagen except some narrow, background fibrils 200 to 1000 A wide precipitated in the presence of heparin. These exhibited fine striations about 220 A apart. Chondroitin sulfate greatly increased the rate of precipitation to give a deposit of low optical density consisting of narrow, rigid, discrete fibrils resembling fresh dermis. In contrast, heparin prevented macroscopic gelation, delayed precipitation, and only produced a scanty deposit of abnormal, short, wide, striated tactoids and compound fibers of varying length. The control preparations and the deposits formed in the presence of hyaluronic acid were intermediate between these two extremes. Delayed precipitation was associated with a coarser deposit and aggregation of the fibrils. A duplicate series of deposits precipitated in the presence of RNA and DNA, together with their controls, were examined after ½, 1, 1½, 3, 9, and 24 hours. One set employed an acetic extract of whole calf dermis and the other salt-extracted dermis. The presence of 0.005 per cent DNA in the reaction mixture markedly delayed collagen precipitation with the slow formation of abnormal, short, wide tactoids and compound fibers. RNA also interfered with the quantity and quality of the deposits which contained far less collagen resembling unfixed, normal, adult human dermis, than the controls at the corresponding time intervals. Comparison of the experiments employing whole calf dermis with those employing the salt-extracted material demonstrated that at every time interval in all the experiments the deposits were retarded when salt-extracted dermis was used. This suggests that the salt-soluble components of the dermis play a part in fiber formation.

scholarly journals PENGARUH KONSENTRASI DAN INTERVAL WAKTU PEMBERIAN PUPUK ORGANIK CAIR TERHADAP HASIL TANAMAN PAKCOY (Brassica rapa L.) DENGAN SISTEM HIDROPONIK DFT

2019 ◽  
Vol 2 (1) ◽  
pp. 34
Author(s):  
Ilham Budi Susilo
Keyword(s):  
Agricultural Land ◽  
Organic Fertilizer ◽  
Cattle Dung ◽  
Time Interval ◽  
Plant Canopy ◽  
Fresh Weight ◽  
Time Intervals ◽  
Concentration Interval ◽  
Per Capita

ABSTRACT Demand for mustard in Indonesia continues to increase while the amount of agricultural land per capita in Indonesia is still low. One effort to increase the productivity and quality of an efficient pakcoy can be done with hydroponics. The number of rabbits that are potential to be processed into rabbit urine-based POC. POC rabbit has an uns N content of 2.72%, P 1.1%, K 0.5% higher compared to some cattle dung. Research is needed regarding rabbit urine POC concentrations and appropriate time intervals for pakcoy plants. This research uses RAL method compiled by factorial consisting of 2 factors applied to the pakcoy pakcoy plant which is repeated 3 times. Factor 1 is the concentration of POC rabbits consisting of P0: 0 ml / liter, P1: 10 ml / liter, P2: 15 ml / liter, P3: 20 ml / liter. Factor 2 is the time interval for rabbit POC administration consisting of W1: 4 days, W2: 5 days, W3: 6 days. The best concentration was the POC concentration of 20 ml / l and the time interval was once every 6 days with an average fresh weight of 190.67 g / plant canopy. Keywords : Pakcoy, Liquid Organic Fertilizer rabbit, concentration, interval tume, hydroponic. ABSTRAK Permintaan sawi di Indonesia terus mengalami peningkatan sedangkan jumlah luas lahan pertanian perkapita di Indonesia masih rendah. Salah satu usaha peningkatan produktivitas dan kualitas pakcoy yang efisien dapat dilakukan dengan hidroponik. Jumlah kelinci yang banyak menjadi potensi untuk diolah menjadi POC berbasis urin kelinci. POC kelinci memiliki kandungan unsur N 2.72%, P 1.1%, K 0,5% yang lebih tinggi dibandingkan dengan beberapa kotoran ternak. Perlu dilakukan penelitian mengenai konsentrasi POC urin kelinci dan interval waktu yang tepat untuk tanaman pakcoy. Penelitian ini menggunakan metode RAL yang disusun secara faktorial yang terdiri dari 2 faktor perlakuan yang diaplikasikan pada tanaman pakcoy pakcoy yang diulang 3 kali. Faktor 1 yaitu konsentrasi POC kelinci yang terdiri dari P0: 0 ml/ltr, P1: 10 ml/ltr, P2:15 ml/ltr, P3:20 ml/ltr. Faktor 2 yaitu interval waktu pemberian POC kelinci terdiri dari W1: 4 hari sekali, W2: 5 hari sekali, W3: 6 hari sekali. Perlakuan terbaik yaitu pada Konsentrasi POC 20 ml/l dan interval waktu 6 hari sekali dengan rerata berat segar tajuk 190,67 g/tanaman. Kata kunci: pakcoy, POC urin kelinci, konsentrasi POC, interval Waktu POC, Hidroponik.

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