scholarly journals Late-Onset Presentation of the Jejunal Web: A Case Report and Review of the Literature

2021 ◽  
Vol 12 (2) ◽  
Author(s):  
Aliakbar Sayyari ◽  
Amirali Soheili ◽  
Muhammadhosein Moradi ◽  
Amirhossein Hosseini ◽  
Naghi Dara ◽  
...  
Keyword(s):  
Small Bowel ◽  
Late Onset ◽  
Failure To Thrive ◽  
Intestinal Atresia ◽  
Late Presentation ◽  
Type I ◽  
Subsequent Increase ◽  
Recurrent Vomiting ◽  
Long Time

Introduction: The congenital intestinal web is a rare cause of small bowel obstruction classified as type I intestinal atresia. The second portion of the duodenum is the most prevalent site for these webs, whereas the jejunal web is rare. Case presentation: In this study, we present a very uncommon late presentation of the jejunal web in an 18-month-old girl complaining of chronic recurrent vomiting, constipation, and failure to thrive (FTT). After thorough investigations, the diagnosis was confirmed by the small bowel follow-through. The surgical procedure resulted in a significant improvement in patient’s quality of life, given the subsequent increase in her weight and height. Conclusions: Vomiting that occurs at any age is pathologic and requires careful history taking thorough clinical examination and evaluation, especially in patients treated with proton pump inhibitors such as omeprazole for a long time with a diagnosis of gastroesophageal reflux disease (GERD) without any response. In these patients, gastrointestinal abnormalities, including complete or incomplete obstructions such as malrotation and web, should be made in the differential diagnosis.

scholarly journals Congenital Short Bowel Syndrome

2019 ◽  
Vol 18 (1) ◽  
pp. 35-37
Author(s):  
Amar Kumar Saha ◽  
Sheikh Sayidul Haque ◽  
Sunil Kumar Biswas ◽  
Md Barkot Ali
Keyword(s):  
Small Bowel ◽  
Parenteral Nutrition ◽  
Short Bowel Syndrome ◽  
Failure To Thrive ◽  
Favorable Outcome ◽  
Mortality And Morbidity ◽  
Short Bowel ◽  
Recurrent Vomiting ◽  
High Degree ◽  
Significant Mortality

Congenital short bowel syndrome (SBS) is a rare congen.it.al disease, Only about 37 cases were reported. Infants usually present with failure to 'thrive, recurrent vomiting and or diarrhoea. It is associated with significant mortality and morbidity, High degree of suspicion is necessary to diagnose this condition promptly. Early initiation of parenteral nutrition or surgery may result in a favorable outcome. We treated a case of infant aged eight-weeks presented with recurrent bilious vomiting and failure to thrive. On Laparotomy it was found that the baby had very short small bowel with malrotation. This case was reported and reviewed. Journal of Surgical Sciences (2014) Vol. 18 (1) : 35-37

Tingkat Pemahaman Kompetensi Guru Pada Mahasiswa Pendidikan Geografi Sebagai Calon Guru Geografi

2020 ◽  
Vol 21 (1) ◽  
pp. 102-117
Author(s):  
Novia Zalmita ◽  
Muhajirah Muhajirah ◽  
Abdul Wahab Abdi
Keyword(s):  
Prospective Teachers ◽  
Prospective Teacher ◽  
Quantitative Description ◽  
Population Data ◽  
Geography Education ◽  
Teacher Competence ◽  
Education Department ◽  
Long Time

One that influences human resource indicators is education. The teacher is a profession as a job of academic specialization in a relatively long time in college. Understanding related to teacher competence is very important to have by a prospective teacher because it can affect the quality of performance as a professional teacher. The teacher's competence is known as pedagogic, professional, social and personality competencies. The issue in this study is how the competency of the teacher of the Department of Geography Education FKIP Unsyiah as a prospective teacher of geography? The purpose of this study was to determine the competence of teachers in the Department of Geography Education FKIP Unsyiah as prospective geography teachers. Quantitative description approach is used in this study to find answers to the issue. The population in this study were students of the Department of Geography Education FKIP Unsyiah class of 2015 and 2016 who had been declared to have passed the Micro Teaching and Magang Kependidikan 3 course totaling 50 people. Because the population is small and can be reached, the determination of the sample using total sampling techniques so that the sample in this study is the whole population. Data collection is done by distributing test questions to respondents. The data was analyzed using the descriptive statistics percentage formula. The results of the study indicate that the level of teacher competence of Geography Education Department students as prospective teachers is in the moderate category, namely as many as 22 respondents (44%). A total of 12 respondents (24%) were in the high category, 15 respondents (30%) were in the low category and 1 respondent (2%) were in the very low category.

Electrical Damage Due to Low Energy Plasma Processing of GaAs Structures

1991 ◽  
Vol 223 ◽  
Author(s):  
Hans P. Zappe ◽  
Gudrun Kaufel
Keyword(s):  
Chemical Processes ◽  
Low Energy ◽  
Electrical Behavior ◽  
Rapid Thermal Anneal ◽  
High Temperature Anneal ◽  
Significant Damage ◽  
Low Energies ◽  
Long Time ◽  
Physical Plasma

ABSTRACTThe effect of numerous plasma reative ion etch and physical milling processes on the electrical behavior of GaAs bulk substrates has been investigated by means of electric microwave absorption. It was seen that plasma treatments at quite low energies may significantly affect the electrical quality of the etched semiconductor. Predominantly physical plasma etchants (Ar) were seen to create significant damage at very low energies. Chemical processes (involving Cl or F), while somewhat less pernicious, also gave rise to electrical substrate damage, the effect greater for hydrogenic ambients. Whereas rapid thermal anneal treatments tend to worsen the electrical integrity, some substrates respond positively to long-time high temperature anneal steps.

Health-related quality of life one year after surgical treatment of the type I chronic aortic dissection

2019 ◽  
Vol 38 (1) ◽  
Author(s):  
Oksana Kamenskaya ◽  
Asya Klinkova ◽  
Irina Loginova ◽  
Alexander Chernyavskiy ◽  
Dmitry Sirota ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Aortic Dissection ◽  
Type I ◽  
Health Related Quality ◽  
Chronic Aortic Dissection ◽  
Related Quality ◽  
Health Related ◽  
One Year

The concept of motivation for effective credit risk management

2020 ◽  
Vol 26 (11) ◽  
pp. 2567-2593
Author(s):  
M.V. Pomazanov
Keyword(s):  
Risk Management ◽  
Economic Modeling ◽  
Type I ◽  
Credit Risk Management ◽  
Curve Modeling ◽  
Business Functions ◽  
The Common ◽  
Lending Decisions ◽  
The One

Subject. The study addresses the improvement of risk management efficiency and the quality of lending decisions made by banks. Objectives. The aim is to present the bank management with a fair algorithm for risk management motivation on the one hand, and the credit management (business) on the other hand. Within the framework of the common goal to maximize risk-adjusted income from loans, this algorithm will provide guidelines for ‘risk management’ and ‘business’ functions on how to improve individual and overall efficiency. Methods. The study employs the discriminant analysis, type I and II errors, Lorentz curve modeling, statistical analysis, economic modeling. Results. The paper offers a mechanism for assessing the quality of risk management decisions as opposed to (or in support of) decisions of the lending business when approving transactions. The mechanism rests on the approach of stating type I and II errors and the corresponding classical metric of the Gini coefficient. On the ‘business’ side, the mechanism monitors the improvement or deterioration of the indicator of changes in losses in comparison with the market average. Conclusions. The study substantiates the stimulating ‘rules of the game’ between the ‘business’ and ‘risk management’ to improve the efficiency of the entire business, to optimize interactions within the framework of internal competition. It presents mathematical tools to calculate corresponding indicators of the efficiency of internally competing entities.

PEMBENAHAN TERHADAP LEMBAGA PEMASYARAKATAN DAPAT MENIADAKAN OPSI HUKUMAN MATI BAGI NARAPIDANA DI INDONESIA (THE IMPROVEMENT OF QUALITY OF PENITENTIARY CAN ELIMINATE THE DEATH PENALTY OPTIONS OF CONVICTED CRIMINALS IN INDONESIA)

2020 ◽  
Vol 10 (2) ◽  
pp. 175
Author(s):  
Nomensen Freddy Siahaan
Keyword(s):  
Death Penalty ◽  
Deterrent Effect ◽  
Criminal Cases ◽  
Psychological Burden ◽  
The Real ◽  
The Public ◽  
Good Citizen ◽  
The People ◽  
Long Time

After a long time was not heard to the public area, lately death penalty toward the criminal cases that classified as extraordinary crime are appear. The author discovers electronic article about the execution of the death penalty which is the prosecutor prepares to execute death penalty toward the drugs dealer. The president of Republic of Indonesia stated that it is necessary to give a deterrent effect to the convicted  criminal and keep the morality of Indonesian teenagers. According to my opinion, the author argues that it will be better and wiser if we discuss about renovating all of the Penitentiary in Indonesia than debating whether death penalty could be done in Indonesia or not, because it will be displeasure many parties, death penalty infringed the human rights of the convicted criminals and cause psychological burden to them, families, the executor of the death penalty, and other parties. Because if we have to improve the quality of the Penitentiary, if the function of Penitentiary for fostering moralily has been optimal or properly enough to the convicted criminals, Indonesia will be no longer need the death penalty option as sanction to the convicted crimanals including for the extraordinary crime (especially for drugs trafficking in our country). Penitentiary is one of the public services which aims for fostering the people that initially have bad habits (commited to the crime), so that they will have the awareness to change their bad attitude into the be better ones, will not harm others, and positively contributed to the society. Already Penitentiary’s conditions should be designed in such a way and as good as possible, so that the inmates feels like at their own home (like having a second home after his own home), and feel humaner to spend their days in the Penitentiary. The author believes that if the Penitentiary has been improved and optimized its function well, then the real purpose of Penitentiary will definitely achieved. As stated in Law Number 12 Year 1995 regarding to Penitentiary Article 2 which states "sanction system are organized in order to fostering the convicted criminals in order to be the real man, aware of their fault, improve themselves, and not to repeat the criminal act so that they can be friendly received by the community, can actively participated in the development of our country, and can socialize themselves as good citizen."Article 3 on this regulation also intensifies the function of Penitentiary "the function of Penitentiary is to prepare convicted criminals to be able to properly integrated to the society, so they can be accepted again as members of the public who are free and responsible ones." 

Effectiveness of the Chiari Health Index for Pediatrics instrument in measuring postoperative health-related quality of life in pediatric patients with Chiari malformation type I

2020 ◽  
pp. 1-6
Author(s):  
Georgina E. Sellyn ◽  
Alan R. Tang ◽  
Shilin Zhao ◽  
Madeleine Sherburn ◽  
Rachel Pellegrino ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Type I ◽  
Health Related Quality ◽  
Health Index ◽  
Chiari Malformation Type I ◽  
Related Quality ◽  
Health Related ◽  
Over Time

OBJECTIVEThe authors’ previously published work validated the Chiari Health Index for Pediatrics (CHIP), a new instrument for measuring health-related quality of life (HRQOL) for pediatric Chiari malformation type I (CM-I) patients. In this study, the authors further evaluated the CHIP to assess HRQOL changes over time and correlate changes in HRQOL to changes in symptomatology and radiological factors in CM-I patients who undergo surgical intervention. Strong HRQOL evaluation instruments are currently lacking for pediatric CM-I patients, creating the need for a standardized HRQOL instrument for this patient population. This study serves as the first analysis of the CHIP instrument’s effectiveness in measuring short-term HRQOL changes in pediatric CM-I patients and can be a useful tool in future CM-I HRQOL studies.METHODSThe authors evaluated prospectively collected CHIP scores and clinical factors of surgical intervention in patients younger than 18 years. To be included, patients completed a baseline CHIP captured during the preoperative visit, and at least 1 follow-up CHIP administered postoperatively. CHIP has 2 domains (physical and psychosocial) comprising 4 components, the 3 physical components of pain frequency, pain severity, and nonpain symptoms, and a single psychosocial component. Each CHIP category is scored on a scale, with 0 indicating absent and 1 indicating present, with higher scores indicating better HRQOL. Wilcoxon paired tests, Spearman correlations, and linear regression models were used to evaluate and correlate HRQOL, symptomatology, and radiographic factors.RESULTSSixty-three patients made up the analysis cohort (92% Caucasian, 52% female, mean age 11.8 years, average follow-up time 15.4 months). Dural augmentation was performed in 92% of patients. Of the 63 patients, 48 reported preoperative symptoms and 42 had a preoperative syrinx. From baseline, overall CHIP scores significantly improved over time (from 0.71 to 0.78, p < 0.001). Significant improvement in CHIP scores was seen in patients presenting at baseline with neck/back pain (p = 0.015) and headaches (p < 0.001) and in patients with extremity numbness trending at p = 0.064. Patients with syringomyelia were found to have improvement in CHIP scores over time (0.75 to 0.82, p < 0.001), as well as significant improvement in all 4 components. Additionally, improved CHIP scores were found to be significantly associated with age in patients with cervical (p = 0.009) or thoracic (p = 0.011) syrinxes.CONCLUSIONSThe study data show that the CHIP is an effective instrument for measuring HRQOL over time. Additionally, the CHIP was found to be significantly correlated to changes in symptomatology, a finding indicating that this instrument is a clinically valuable tool for the management of CM-I.

OS CAMINHOS DAS ÁGUAS NO MUNICÍPIO DE CARIRÉ, CEARÁ, BRASIL

2019 ◽  
Vol 21 (2) ◽  
pp. 564-580
Author(s):  
Eloiza Rocha Queiroz ◽  
José Falcão Sobrinho
Keyword(s):  
Water Resources ◽  
Potable Water ◽  
Field Trips ◽  
Central Theme ◽  
Northeast Region ◽  
Brazilian Semiarid ◽  
Long Time ◽  
Short Rains ◽  
Two Stages

A região Nordeste do Brasil vem sendo alvo de medidas do Estado a mais de um século, na tentativa de solucionar o problema da falta de água em época de secas. O Estado do Ceará, por sua vez, apresenta boa parte de seu território inserido no semiárido brasileiro, uma região caracterizada pelo clima seco, com poucas chuvas e elevada evapotranspiração. A problemática da água existe há bastante tempo, principalmente o acesso em quantidade e qualidade suficientes para atender a população. O presente trabalho tem como tema central a questão dos recursos hídricos, com enfoque no abastecimento humano do município de Cariré, localizado na região noroeste do Ceará. Nosso objetivo consiste em apresentar um panorama de como atualmente a população carireense tem acesso à água potável. A metodologia adotada constitui-se em duas etapas: na primeira, realizamos levantamento de material bibliográfico e a segunda diz respeito a parte prática realizada em saídas a campo. Segundo a ONU, a água é um bem comum e que deve ser de acesso a todos, é um direito humano. Nesta perspectiva, o gerenciamento adequado dos recursos hídricos é essencial para a manutenção da qualidade de vida. Palavras-chave: Recursos Hídricos; Abastecimento Humano; Cariré-Ce. ABSTRACTThe pnortheast region from Brazil has been subject of measures for more than a century in attempts to solve the problems lack of water in dry season. The state of Ceará has a good part of its territorial inserted in Brazilian semiarid, a region characterized by dry climate, short rains and high evapotranspiration. The water issue has existed for a long time, mainly in a sufficient access of quantity and quality to serve the population. Then, this article has as a central theme the water resources focusing on water supply of the Cariré localized at Northeast region from Ceará. Therefore the purpose of the paper is to present a study about how the Carire’s population has had access to potable water currently. The methodology adopted to this research consists of two stages: Firstly it was carried out a survey of bibliographical material and secondly it concerned the practical part carried out in the field trips. In accordance to United nations, water is a commom good and it has to be available to everyone, it is a human rights. In that sense, the proper management of water resources is essential to keep the quality of life.Key-words: Human supply; Water resources; Cariré – Ce. RÉSUMÉLa région du nord-est du Brésil est la cible de mesures prises par l’État depuis plus d’un siècle pour tenter de résoudre le problème de la pénurie d’eau en saison sèche. L’État du Ceará, en revanche, présente une bonne partie de son territoire inséré dans le semi-aride brésilien, région caractérisée par un climat sec, avec peu de pluies et une forte évapotranspiration. Le problème de l'eau existe depuis longtemps, principalement l'accès en quantité et qualité suffisantes pour satisfaire la population. Le travail actuel a pour thème central la question des ressources en eau, en mettant l'accent sur l'approvisionnement humain de la municipalité de Cariré, située dans la région nord-ouest du Ceará. Notre objectif est de présenter un aperçu de la façon dont la population carioca a actuellement accès à l’eau potable. La méthodologie adoptée comporte deux étapes: dans le premier, nous procédons à une enquête sur le matériel bibliographique et le second à la partie pratique réalisée lors des visites sur le terrain. Selon l'ONU, l'eau est un bien commun et doit être accessible à tous, c'est un droit humain. Dans cette perspective, la gestion adéquate des ressources en eau est essentielle au maintien de la qualité de la vie.Mots-clés: Ressources en eau; Approvisionnement humain; Cariré-Ce.

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