scholarly journals Gastrointestinal Disorders in Peritoneal Dialysis Patients

2018 ◽  
Vol 48 (5) ◽  
pp. 319-325 ◽  
Author(s):  
George Kosmadakis ◽  
Julie Albaret ◽  
Enrique da Costa Correia ◽  
Frederic Somda ◽  
Didier Aguilera
Keyword(s):  
Peritoneal Dialysis ◽  
Gastroesophageal Reflux ◽  
Abdominal Hernia ◽  
Diagnostic Tools ◽  
Special Role ◽  
Peptic Ulcers ◽  
Instrumental Methods ◽  
Very High

Background: Gastrointestinal (GI) disorders in peritoneal dialysis (PD) patients are relatively understudied in the literature, even though they have a serious impact in the morbidity parameters and the quality of life for this group of patients. Various diagnostic tools have been used, including instrumental methods and questionnaires, invariably validated in comparative studies. Summary: The prevalence of GI disorders is very high in PD patients. Compared to the haemodialysis patients they present a higher prevalence of reflux, eating dysfunction, gastroesophageal reflux, intestinal obstruction or adhesions and abdominal hernia. They may be divided into Gastric disorders (Gastroesophageal reflux disease, pathological Gastric emptying, Dyspepsia, Helicobacter pylori infection, peptic ulcers) and Intestinal disorders (Peritonitis, Diverticulosis, Constipation). Key Messages: The current paper is a review of the literature involving GI disorders in PD patients. This special group of patients with a special role of the peritoneal cavity and the GI motility in the physiology of their dialysis merit a larger number of studies dealing with the interrelation of the GI tract and the PD physiological, functional and pathophysiological parameters.

Gastroesophageal Reflux Disease: A Gastroenterologist's Perspective

2011 ◽  
Vol 21 (3) ◽  
pp. 89-99
Author(s):  
Michael F. Vaezi
Keyword(s):  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Best Practice ◽  
Clinical Care ◽  
Diagnostic Testing ◽  
Diagnostic Tools ◽  
Swallowing Function ◽  
Atypical Symptoms

Gastroesophageal reflux disease (GERD) is a commonly diagnosed condition often associated with the typical symptoms of heartburn and regurgitation, although it may present with atypical symptoms such as chest pain, hoarseness, chronic cough, and asthma. In most cases, the patient's reduced quality of life drives clinical care and diagnostic testing. Because of its widespread impact on voice and swallowing function as well as its social implications, it is important that speech-language pathologists (SLPs) understand the nature of GERD and its consequences. The purpose of this article is to summarize the nature of GERD and GERD-related complications such as GERD-related peptic stricture, Barrett's esophagus and adenocarcinoma, and laryngeal manifestations of GERD from a gastroenterologist's perspective. It is critical that SLPs who work with a multidisciplinary team understand terminology, diagnostic tools, and treatment to ensure best practice.

CERAMICS BASED ON ORGANOSILICON POLYMERS-PRECURSORS: MICROSTRUCTURE AND PROPERTIES (review). Part 2

2021 ◽  
pp. 22-32
Author(s):  
A.M. Shestakov ◽  
Keyword(s):  
Electron Microscopy ◽  
Nmr Spectroscopy ◽  
Material Properties ◽  
Structural Organization ◽  
Ceramic Materials ◽  
Special Role ◽  
Correct Interpretation ◽  
Instrumental Methods ◽  
Organosilicon Polymers

Shows the scientific approaches of various authors to the study of the microstructure of ceramics, the purpose of which is to elucidate its structural organization at the micro- and nanoscale, as well as the influence of the microstructure on the complex of material properties. Various instrumental methods for studying ceramics (NMR spectroscopy, electron microscopy, х-ray structural analysis, etc.) are considered, the permissible capabilities of research methods and analysis of the results obtained with their correct interpretation are shown. The special role of theoretical modeling in understanding the structure of the considered ceramic materials is noted.

scholarly journals Metallic Nanoparticles Obtained via “Green” Synthesis as a Platform for Biosensor Construction

2019 ◽  
Vol 9 (4) ◽  
pp. 720 ◽  
Author(s):  
Galina Gayda ◽  
Olha Demkiv ◽  
Nataliya Stasyuk ◽  
Roman Serkiz ◽  
Maksym Lootsik ◽  
...  
Keyword(s):  
Green Synthesis ◽  
Metallic Nanoparticles ◽  
Alcohol Oxidase ◽  
Inorganic Ions ◽  
Special Role ◽  
Graphite Electrodes ◽  
Fluorescent Markers ◽  
Extracellular Metabolites ◽  
Very High

Novel nanomaterials, including metallic nanoparticles obtained via green synthesis (gNPs), have a great potential for application in biotechnology, industry and medicine. The special role of gNPs is related to antibacterial agents, fluorescent markers and carriers for drug delivery. However, application of gNPs for construction of amperometric biosensors (ABSs) is not well documented. The aim of the current research was to study potential advantages of using gNPs in biosensorics. The extracellular metabolites of the yeast Ogataea polymorpha were used as reducing agents for obtaining gNPs from the corresponding inorganic ions. Several gNPs were synthesized, characterized and tested as enzyme carriers on the surface of graphite electrodes (GEs). The most effective were Pd-based gNPs (gPdNPs), and these were studied further and applied for construction of laccase- and alcohol oxidase (AO)-based ABSs. AO/GE, AO-gPdNPs/GE, laccase/GE and laccase-gPdNPs/GE were obtained, and their analytical characteristics were studied. Both gPdNPs-modified ABSs were found to have broader linear ranges and higher storage stabilities than control electrodes, although they are less sensitive toward corresponding substrates. We thus conclude that gPdNPs may be promising for construction of ABSs for enzymes with very high affinities to their substrates.

scholarly journals METHOD OF EVALUATION OF FUNCTIONAL SECURITY OF INFORMATION TECHNOLOGIES FOR CREATION OF WARRANTY AUTOMATED SYSTEMS

2020 ◽  
Vol 3 (7) ◽  
pp. 153-164 ◽  
Author(s):  
Hennadii Hulak
Keyword(s):  
Information Technologies ◽  
Linear Equations ◽  
Point Of View ◽  
Automated System ◽  
Special Role ◽  
Automated Systems ◽  
Systems Of Linear Equations ◽  
Method Of Evaluation

The components of ensuring the warranty of automated systems, which are subject to increased requirements in connection with their use in many sensitive areas of public activity, including national security and defense, critical industrial technologies, energy and communications, banking, environmental protection , technologies of legitimate distance learning, etc. Certain components can significantly affect the quality and reliability of information services in regulatory conditions. In particular, the special role of the functional security of the cryptographic subsystem in terms of supporting the performance of the automated system for its tasks and functions in general, as well as in terms of ensuring the confidentiality and integrity of information. The components of the cryptographic subsystem have been identified, the poor or incorrect operation of which negatively affects the security of these subsystems. The types of the most dangerous attacks on these subsystems are analyzed, their classification from the point of view of possibility of realization in modern scientific and technical conditions and depending on capacity of available computing means and technologies on the basis of which the most real and dangerous variant of realization of remote attacks on software implementation of cryptographic subsystem is defined. . Based on the analysis, a method for evaluating the quality of cryptographic transformations based on a modified algorithm for solving the problem of finding solutions of systems of linear equations with distorted right-hand parts using the so-called decoding based on "lists" of first-order "shortened" Reed-Muller codes is proved. the correctness of the proposed algorithm.

scholarly journals ESQ Dalam Kepemimpinan Pendidikan

FIKROTUNA ◽  
2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Ali Ridho
Keyword(s):  
Human Resources ◽  
Cultural Values ◽  
Education System ◽  
Modern Human ◽  
Intellectual Ability ◽  
National Education ◽  
National Education System ◽  
Very High

Education which is a system in the perspective of anthology is an attempt to humanize humans by an appropriate manner to achieve very high humane values as an attempt to change as well as to move the cultural values to any individual in society. But this view is difficult to achieve when the belief that a person's success will occur due to the efforts started early in order to organize their future without having an education. This paper will provide a breakthrough through leadership of education that is not only based on good intellectual ability, but also good emotional and spiritual. With the result that it will contribute qualified modern human resources. Modern human Resources is a human being who has the potential of ad equated intellectual quality. However, sometimes the potential is empty because it is not matched by the quality of the good faith or emotional. In the fact, they (modern humans) have good reasoning capability. However, the success which is useful in the future whether for themselves, the community, the nation and the state are not only enough by having logical thought only. But, it also requires EQ Emotional Quotient (level of emotional or personality) , CQ Creativity Quotient (level of creativity) and SQ Spiritual Quotient (level religiosities or faith and devotion to God. Thus , the national education system must be able to provide a solution- which is able to break of the empty circle of values and morals happening in education system around us . the empty circle we must combine as well as put the intellectual intelligence , emotional intelligence , and spiritual intelligence known as ESQ in order to get balance between the fulfillment of rights and vertical or horizontal obligations. ESQ is a role of the leadership of its resources which include Human Resources and Natural Resources with the organization as a model of leadership in education. ESQ if applied in educational leadership level, it would be beneficial along with the growth and development of the educational organization with the growth of moral values.

scholarly journals PERAN MAKSUD DIDALAM DISONANSI KOGNITIF PESERTA PELATIHAN VOKASIONAL RENCANA USAHA DAN MANAJEMEN KEUANGAN KSM BINAAN BDC SRIWIJAYA PALEMBANG

2019 ◽  
Vol 15 (2) ◽  
pp. 90-105
Author(s):  
Ellys Thoyib ◽  
Lily Rahmawati Harahap ◽  
R.Y. Effendi
Keyword(s):  
Cognitive Dissonance ◽  
Financial Management ◽  
Vocational Training ◽  
Strong Predictor ◽  
Active Role ◽  
Positive Intention ◽  
Foster Father ◽  
Very High

This study aims to determine the role of intention in cognitive dissonance among 70 participants in vocational training on business plan and financial management of micro small entrepreneurs in independent community groups (KSM) producers of pempek, kemplang kerupuk, jumputan, tajung, blongket and songket. The hope is to change the mindset of participants in traditional financial management into accountable financial management. This knowledge is a stimulus that will stimulate the intention, to be a strong predictor of forming attitudes and expected behavior. It turns out that after 4 months of training, only 5% of the participants implemented this material, while 95% did not. The results of the study of the authors obtained data that the positive intention in the cognitive system of participants is very high, ranging from 74% to 97%. There has been a cognitive dissonance in the participants' attitudes and behavior.So it can be concluded that positive intentions can be in line with attitudes and behaviors but may not, this can happen because there is no strong role from external elements, such as limited market prospects and channeling around them, capital and financial management have not been effective, quality of management and HR is not yet committed, the role of BDC as a coach is not optimal, it should be able to play an active role as the foster father of KSM.

scholarly journals High prevalence of campylobacter excretors among Liberian children related to environmental conditions

1988 ◽  
Vol 100 (2) ◽  
pp. 227-237 ◽  
Author(s):  
Kåre Mølbak ◽  
Niels Højlyng ◽  
Knud Gaarslev
Keyword(s):  
Environmental Contamination ◽  
Environmental Conditions ◽  
High Intensity ◽  
Bacterial Pathogen ◽  
Urban Slum ◽  
Pathogenic Role ◽  
High Prevalence ◽  
Very High

SUMMARYCampylobacter was the bacterial pathogen most prevalent in 850 children, aged 6–59 months, examined in a house-to-house diarrhoea survey in two Liberian communities. 44·9% of the children from an urban slum and 28·4% from a rural area were excretors. Since the prevalence of diarrhoea was very high and consequently many convalescent carriers were found, it was not possible to evaluate the pathogenic role of campylobacter.The excretor rate increased with ago and was significantly correlated to the uso of supplementary feeding, inversely correlated to the quality of the water supply, and also associated with helminthic infestation. Results from re-examination of 172 children suggested a high intensity of transmission.The findings all indicate the existence of a heavy environmental contamination with campylobacter, probably of both human and animal faecal origin.

scholarly journals Role of high dose octreotide LAR for the treatment of GEP-NETs

2009 ◽  
Vol 3 (1) ◽  
pp. 7-14
Author(s):  
Giulia M. Franchi ◽  
Chiara Cappelletti ◽  
Valentina V. Villa ◽  
Emanuele Bosi ◽  
Marco F. Manzoni
Keyword(s):  
Quality Of Life ◽  
Tumour Growth ◽  
Neuroendocrine Tumours ◽  
Clinical Symptoms ◽  
Standard Dose ◽  
Diagnostic Tools ◽  
High Dose ◽  
Octreotide Lar

Neuroendocrine Tumours (NETs) are a heterogeneous group of rare neoplasms that account for 0,5% of all malignancies. The increased incidence observed in the last few decades may be accounted for by increased awareness, improved diagnostic tools and a revision in the definition. The main primary sites are the gastro-entero-pancreatic (GEP) tract (62-67%), and the lung (22-27%). In patients with GEP-NETs, the strongest predictor of 5-years survival is the staging. An adequate clinical management of GEP-NETs should be multidisciplinary and should aim at assuring a good quality of life. Somatostatin (sst) analogues are widely used in these tumours, which often express sst receptors, since they are demonstrated to reduce clinical symptoms and tumour growth. Herein we explore the usefulness of doubling octreotide LAR dose in selected patients after escaping from symptoms control and/or tumour stabilization in course of treatment with standard dose.

scholarly journals THE STAKEHOLDERS’ AWARENESS AND PERCEPTION OF MALAYSIAN COMPETITION ACT 2010 AND THE ROLE PLAYED BY THE MALAYSIAN COMPETITION COMMISION

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Hasnah Haron ◽  
Ishak Ismail ◽  
Yuvaraj Ganesan ◽  
Sasikala Sankaran ◽  
Idris Gautama So
Keyword(s):  
Stakeholder Group ◽  
Trade Associations ◽  
Outreach Programs ◽  
Baseline Study ◽  
Level Of Knowledge ◽  
Business Entities ◽  
Very High ◽  
Awareness Level

The Malaysian Competition Commission (MyCC) was mandated in 2010 to provide and engaged with stakeholders across all levels in promoting the Competition Act 2010 (CA 2010). This study aroused from the need to conduct a comparative study to its earlier 2013 Baseline Study in ascertaining MyCC’s effectiveness in carrying out its role in advocacy work. Therefore, the study’s main objective is to examine whether the level of awareness and perception of CA 2010 has increased over time. Other issues examined were (i) quality of advocacy and outreach of MyCC, (ii) the level of awareness and knowledge of the various stakeholders of the CA 2010 and of the role of MyCC and (iii) the perception of stakeholders on the effectiveness (quality) of enforcement of MyCC. 463 respondents participated through e-survey. 48 participated in four FGDs that took place nationwide. Results indicated overall level of knowledge on the existence of MyCC and CA 2010 is very high among SMEs compared to 2013 Baseline Study. SMEs are also the highest stakeholder group in acknowledging on the quality of MyCC’s advocacy and outreach programs. Practitioners (lawyers and economists) show the highest awareness level of CA 2010. Consumers/Trade Associations show the highest awareness level of MyCC’s role. SMEs, the highest stakeholder group in acknowledging the effectiveness (quality) of MyCC’s enforcement. Practitioners(law & economists) acknowledged that Malaysia businesses are run by only a few large players with not enough competition. The business entities (MNCs, SMEs and GLCs) indicate having good and positive practices, attitude and culture of Compliance with the CA 2010. In summary, it shows that the effectiveness of MyCC role in promoting he CA 2010 to the Malaysians.

scholarly journals Peran Perawat Dalam Meningkatkan Kualitas Pasien Peritonial Dialisis

2007 ◽  
Vol 11 (1) ◽  
pp. 25-29
Author(s):  
Krisna Yetti
Keyword(s):  
Peritoneal Dialysis ◽  
Care Provider ◽  
End Stage Renal Disease ◽  
The Other ◽  
Stage Renal Disease ◽  
End Stage ◽  
And Function ◽  
Role And Function

AbstrakContinuous Ambulatory Peritoneal Dialysis (CAPD) merupakan salah satu terapi pengganti pada Penyakit Ginjal Tahap Akhir (PGTA). Empat area yang menjadi tanggung jawab perawat CAPD adalah predialisis, rawat inap, sebelum dan selama pelatihan CAPD, serta pada saat pasien di rumah. Merujuk pada empat peran perawat, yaitu sebagai praktisi, pengelola, peneliti, dan pendidik, maka peran perawat CAPD mempunya peran dan fungsi yang berbeda pula pada masing-masing area ini. Tujuan utama peran dan fungsi perawat di setiap area ini adalah agar layanan keperawatan yang diterima oleh pasien menjadi prima. Pada artikel ini dibahas peran perawat sebagai praktisi dan pengelola pelayanan keperawatan. Sedangkan dua peran lagi yaitu pendidik dan peneliti tidak dibahas. AbstractContinuous Ambulatory Peritoneal Dialysis (CAPD) is one of replacement therapy of End Stage Renal Disease (ESRD). CAPD nurse takes the responsibility in four areas. Those are pre-dialysis stage, during hospitalization, before and during peritoneal dialysis training, and patient at home. Refer to the roles of the nurses, as a care provider, manager, educator and researcher, CAPD nurse has a comprehensible role and function. This comprehensible role and function is also applied in this each area in order to get the better quality of life of the CAPD patients. In this article the role of care provider and manager are discussed. However, the other two, educator and researcher roles are not discussed.

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