AN EXAMPLE Research Articles

CHARACTERIZING PHYSICAL STRAIN IN NON-ROUTINIZED CLINICAL WORK THROUGH OBSERVATION: AN EXAMPLE OF ORAL HEALTHCARE PROVIDERS.

The Revised Strain Index (RSI), despite its prevalence in ergonomics field practice, is designed to assess jobs with cyclic and predictable physical and behavioral patterns. The quantification of exertion force, posture, and work task duration is substantially more challenging for non-routinized work in clinical and hospital environments. Using dental hygiene work as an exemplar, we proposed a consolidated method to characterize physical exertion for non-routinized work. We conducted the RSI adaptation process in two phases. In phase one, we characterized exertion in non-routinized work and identified representative intensity and posture patterns. In phase two, we validated the consolidated method using a small subset of dental hygiene video recordings and compared the results to the conventional sampling method.

POST THYMECTOMY: AN EXAMPLE OF IMMUNE DYSREGULATION?

<h3>Introduction</h3> The thymus is essential for creating the T cell repertoire while maintaining self-tolerance. Systemic autoimmune diseases (AD's) such as Rheumatoid Arthritis, Systemic Lupus Erythematous (SLE), and Sjogren's Disease, may unveil many years after thymectomy in patients with Myasthenia Gravis. Immunoglobulin G4-Related Disease (IgG4-RD) characterized by dysregulation of immune system affecting a single or multiple organs, has not been described post thymectomy. <h3>Case Description</h3> Herein a 32-year-old female with history of Myasthenia gravis (MG) s/p thymectomy 24 years ago, SLE, suspected Mixed Connective Tissue Disease, and Chronic rhinosinusitis who, after a right nasal alae ulceration, was found with an anterior nasal septal perforation and subglottic tracheal edema. Biopsy of the nasal mucosa revealed an ulcer with underlying polyclonal plasma cell infiltrate, and immunohistochemistry analysis revealed focally high IgG4/IgG ratio. Total IgG was found at 1959 mg/dL, and Immunoglobulin G subclasses panel showed elevated counts for both IgG1(1271 mg/dL), and IgG4(89.8 mg/dL); other subclasses were within normal range. She was started on Prednisone 60 mg PO daily. The coexistence of multiple AD's raised the concern for a possible immunodeficiency. Nonetheless, Lymphocyte subset panel, and vaccine response were normal. Tuberculin and bacterial cultures were negative. <h3>Discussion</h3> This case portrays a rare presentation of IgG4-RD in a patient with multiple autoimmune conditions. The incidence of numerous AD's has been recognized in thymectomized patients; however, data is scarce regarding IgG4-RD. The role of thymectomy in the development of IgG4-RD remains to be elucidated.

Polscy parlamentarzyści wobec pandemii COVID-19

POLISH MPS’ RESPONSE TO THE COVID-19 PANDEMIC: AN EXAMPLE OF SCIENTIFICATION OF POLITICAL DEBATE? As compared to other complex social processes, scientification of public discourse is a phenomenon which is not well described in social sciences. Frequently, the idea of scientification is understood as methodological changes within social sciences which bring them closer to natural sciences and, in this sense, is related to traditional Positivist approach. In the article, the meaning of the term has been changed in order to describe a situation in which public political discourse is being transformed in such a way that, in effect, it resembles scientific discourse. This change in understanding the meaning of the idea of scientification has been presented on the example of an analysis of Polish MPs’ statements at the beginning of the Covid-19 pandemic in Poland in 2020.

COMMUNITY FOOD RESILIENCE IN THE TIME OF COVID: AN EXAMPLE FROM AN APPALACHIAN COUNTY

ABSTRACT This article explores how Community Based Organizations, in Watauga County, North Carolina, faced a food crisis caused by the Covid-19 pandemic and quickly came together to fill unprecedented local need for food assistance. Existing bodies of literature on Appalachia and resilience provide useful frameworks for disecting how the community reacted to events as they occurred in the Spring of 2020. Interviews with community leaders document their experiences in the early stages of the pandemic. We conclude that an already frayed social safety net contributed to the crises; but local leaders were able to respond because of their strong community ties and years of local experience. These community leaders explain that the food crisis caused by Covid-19 revealed deep cracks that have long existed in the food system.

INNOVATIONS ON REGIONAL AIRPORTS DEVELOPMENT AS AN EXAMPLE OF UK

INNOVATIONS ON REGIONAL AIRPORTS DEVELOPMENT AS AN EXAMPLE OF &nbsp;UK Farid Mehdi Associate Professor of Economics, PhD, Doctoral student of Azerbaijan State Oli and Industry University, Azerbaijan Republic, Baku &nbsp; Before going t

The Directorship Vision in Epic Drama Shows " AWNI KROMI AS AN EXAMPLE"

The theory of the epic theater has received wide attention by filmmakers around the world because of its great impact on the artistic work of the theater and its relationship with societies, and among these directors the Iraqi directors have been influenced by the epic theater and its applications in the show.In order to find out the effectiveness of these influences on the Iraqi director, I found the need to do this study, which was divided into an introduction and a theoretical framework that included two topics. The first topic (Philosophical References and the Intellectual Foundations of the Epic Theater Theory) deals with the philosophical foundations that crystallized the epic theory of Burch and the mechanism of working in shows The epic theater. As for the second topic (procedural concepts in epic theater), it dealt with the most important concepts that were employed in the theory of epic theater, and then put the most important indicators from which the theoretical framework emerged. As for the research procedures, the researchers adopted an intentional research sample represented by the presentation of the play (Good Man) directed by Dr. Awni Karumi.Then the results of the research, including: The play dealt with historical events, but not for the sake of historical accuracy, but rather to drop the issues of the present on them.

ANALYSES OF PREVENTIVE CARE MEASURES WITH INCOMPLETE HISTORICAL DATA IN ELECTRONIC MEDICAL RECORDS: AN EXAMPLE FROM COLORECTAL CANCER SCREENING.

The calculation of quality of care measures based on electronic medical records (EMRs) may be inaccurate because of incomplete capture of past services. We evaluate the influence of different statistical approaches for calculating the proportion of patients who are up-to-date for a preventive service, using the example of colorectal cancer (CRC) screening. We propose an extension of traditional mixture models to account for the uncertainty in compliance, which is further complicated by the choice of various screening modalities with different recommended screening intervals. We conducted simulation studies to compare various statistical approaches and demonstrated that the proposed method can alleviate bias when individuals with complete prior medical history information were not representative of the targeted population. The method is motivated by and applied to data from the National Cancer Institute-funded consortium Population-Based Research Optimizing Screening through Personalized Regiments (PROSPR). Findings from the application are important for the evaluation of appropriate use of preventive care and provide a novel tool for dealing with similar analytical challenges with EMR data in broad settings.

2019 June Volume 20, No. 2 THEOLOGY- PHILOSOPHY OF CATHOLIC EDUCATION: AN EXAMPLE FROM THE “ DUTCH CATECHISM ”

2019 June Volume 20, No. 2 THEOLOGY- PHILOSOPHY OF CATHOLIC EDUCATION: AN EXAMPLE FROM THE “ DUTCH CATECHISM ”

ANALYSIS OF REMOTE SENSING TECHNOLOGY APPLIED ON HYDROLOGY AND WATER RESOURCES –TAKING WEIHE’S ECOLOGY AS AN EXAMPLE

ANALYSIS OF REMOTE SENSING TECHNOLOGY APPLIED ON HYDROLOGY AND WATER RESOURCES –TAKING WEIHE’S ECOLOGY AS AN EXAMPLE

HEALTH TOURISM AND AN EXAMPLE OF PRIVATE HEALTHCARE SOLUTION

Turkey has been one of the popular destinations in world in terms of tourism. Its geographical position, climate and natural resources made it a plausible destination for tourism for several decades. Turkish health care sector attracts international patients both to private and public health facilities. Between 2008 and 2014, roughly 75 % of the patients preferred private hospitals in Turkey. After 2014, there is a decline in total number of international patients in the following years and the percentages of the private institutions starts to decline as well. As of today, Turkey has 46 JCI (Joint Commission International) accredited hospitals and healthcare facilities, making it one of the leading countries in medical tourism. US citizens, by receiving treatment in Turkey can save up to 65 % of their medical costs. Turkish Government has declared in its 10thDevelopment Plan that Turkey targets to have USD 20 billion income from health tourism by 2023, of which USD 5,6 billion will generated by only medical tourism.One of the private healthcare groups in Turkey, Acibadem Health Group, has implemented an international patient oriented application which helps them to get the best care in Turkey, which is called “Acibadem Health Point”, which helps international patients in every possible step of international healthcare tourism. Acibadem Health Group has regional representative offices in more than 30 countries to provide patients with information about local hospitals, doctors etc., and organizes their visit to their healthcare facilities. They host almost 30thousand patients, annually from 5 continents and 47 different countries in 90 different branches and their International Patient Center staffed by a team of 150, providing comprehensive 360 degrees of healthcare services, from scheduling patients treatment at Acibadembefore arrivalto assisting their travel back home. Sustainable quality approach is indispensable concept in health tourism. We also must rapidly increase the number of best practices in our country such as “health point”. As the level of international healthcare standard increases, the level of satisfaction of foreign patients and user loyalty will also increase. We should never forget that as a health manager.

AN EXAMPLE OF CALCULATION OF A FAULT TREE WITH LOGIC LOOPS

Aim. In the course of fault tolerance analysis of complex technical systems using the method of fault tree-based methods, logic loops may occur when, from the point of view of fault tree structure, the system sustains itself. The recursion in the fault tree structure disrupts the logical equation and does not allow performing the calculation and associated analysis. A complex system is understood as one performing a multitude of functions, fault tolerant through a number of redundancy techniques, having intersystem communications and high level of integration of hardware and software components. This paper looks into a particular case of solving the problem of logical recurrence of a fault tree that occurred during an aircraft’s power supply system analysis for compliance with airworthiness requirements and aviation regulations.Method. The paper reviews known ways of solving the set task (both manual and automatic), describes the advantages and disadvantages, applicability and ultimately provides a comparative evaluation based on the results of calculation of occurrence probability of certain aircraft power supply system failures. The method of solving the problem of fault tree recurrence presented in this paper is based on identifying recursive elements in the tree’s structure with subsequent reduction of the cyclic connections to a converging spiral by modelling the initial state of the analyzed system.Results. The calculation of the fault tree under consideration is performed both by means of the method presented in this paper, and the most applicable in the particular case known methods of resolving recurrence. Additionally, comparative results of calculation of other special situations are shown. They are not considered in this paper but demonstrate the distinctive features of different methods. The calculations show that the methods yield the most diverging results in cases when the system is redundant and has feedbacks.Conclusions. The method presented in the paper has been tested as part of an aircraft’s power supply system fault tolerance analysis. The developed method in some cases enables manual resolution of the logic loop problem in the fault tree without a significant increase of computational resources while preserving the analytical solution (minimum fault tree cross sections). On the other hand, this solution may cause a fast growth of the fault tree size in cross-system analysis. In special cases, antithetical events like «operability» and «failure» may become mixed-up in the fault tree structure, which will entail the requirement to use complementary operator inversion and subsequently a manifold increase of the computation time. Another limitation of the method may stem from situations when it is impossible to identify the «initial» and «normal» states of the system under analysis. Given the above, the author classifies the presented method as an engineering method of limited applicability.

Książki z serii „Biblioteka Młodych Miczurinowców” jako przykład łączenia popularyzacji wiedzy i ideologizacji młodego pokolenia w latach 50. XX wieku

BOOKS FROM THE “BIBLIOTEKA MŁODYCH MICZURINOWCÓW” SERIES AS AN EXAMPLE OF HOW POPULARISATION OF KNOWLEDGE WAS COMBINED WITH IDEOLOGISATION OF YOUNG PEOPLE IN THE 1950SIn the article the author discusses the Biblioteka Młodych Miczurinowców Young Michurinist Library — a series of popular science books about nature for children and young people published in post-war Poland in 1953–1956. She explores the specificity of the books from the series, which — in addition to information about plants, animals and their amateur husbandry — also provided their readers with elements of the communist ideology. They were to disseminate the idea of Michurinism launched by the famous Soviet biologist and experimenter Ivan Michurin. School gardens and farms were used to teach pupils how to cultivate crops and use generally available plants to the maximum, and how to enrich their diet with farm animals that were easy to manage. The simple, largely fictionalised stories about nature, featuring a basic end matter, were to help teachers develop children’s and young people’s socialist worldview, and teach the contents recommended by the ministry.

SATISFACTION WITH PERFORMANCE EVALUATION SYSTEMS APPLIED TO HEALTH PERSONNEL WORKING IN PRİVATE HOSPITALS AND AN EXAMPLE APPLICATION

SATISFACTION WITH PERFORMANCE EVALUATION SYSTEMS APPLIED TO HEALTH PERSONNEL WORKING IN PRİVATE HOSPITALS AND AN EXAMPLE APPLICATION

„Żyć dalej...” Ruth Klüger jako przykład późnej literatury „ocaleńców”

STILL ALIVE BY RUTH KLUGER AS AN EXAMPLE OF THE SURVIVORS LATE LITERATURE The article focuses on the literary works of Ruth Kluger, a Jewish writer from Vienna, living in the USA since the mid-1940s, Still Alive in particular. Still Alive , as a late testimony of a Holocaust survivor, eludes the process of generational change in the literature on the Shoah. Kluger has to face not only her trauma but also the memory of her near and dear who did not survive; she also confronts her individual experience with the institutionalized and collective memory of the Shoah and war. An important issue in her work is the reflection on the German language: the language which Kluger writes in and which is the language of the Holocaust perpetrators, in addition to the difficult questions about the Jewish identity of a woman assimilated into German culture, forced to abandon her home town and native language.

Donor Intervention Research.

Donor Intervention Research.

XVI VE XVII. YÜZYIL FRANSIZ YAZININDA DİN SAVAŞLARI VE AGRİPPA D’AUBİGNÉ’NİN LES TRAGIQUES ÖRNEĞİ

Fransa’da din savaslari ancak 1789 Fransiz Ihtilali sonrasinda varilan toplumsal uzlasma sonucunda XVIII. yuzyilda sona erer, ancak bu doneme gelinceye kadar sayisiz yikim ve yillarca suren savaslara tanik olunur. Zaman zaman Fransiz yazininda, kanli savaslari ve felaketle sonuclanan olaylari anlatma gorevi yazar ya da sairlere duser. XVI. yuzyildaki -yuzyilin ortasinda baslayip 1598 tarihinde sona eren- sekiz din savasi Protestan ve Katolik olmak uzere Fransa’yi iki kampa boler. Les Tragiques adli yapiti araciligiyla savas meydanlarinin sefalet ve yanginlarini anlatmak sirasi bu kez Agrippa d’Aubigne’nindir. Agrippa d’Aubigne, aldigi humanist egitime karsin, insan unsurunun Tanri adina verdigi yargi ve gerceklestirdigi eylemleri sonucu basi kesilerek idam edilen cok sayidaki Protestan liderin ocunu almakla gudulenmis, yasamini Katolik-Protestan catismalarinda gecirmis, defalarca olumcul yaralar almis olmasina karsin savas meydani disinda yasamini yitirmis bir yazardir. Yedi bolum halinde duzenledigi siirsel yapiti Les Tragiques ’de bizlere, XVI. yuzyilin ikinci yarisinda Fransa’da gerceklesen sekiz Katolik ve Protestan catismasinin sonucu insanligi surukledigi sefaletten, mutsuzluklardan, krallarin takindiklari acimasiz tutumlardan, yaldizli buro ve saraylari icindeki yargi insanlarinin icinde bulunduklari yozlasmadan, savasin yol actigi korkunc tablolardan, intikam pesinde kosan taraflardan soz eder ve son bolumunde gercek adaleti ancak Tanrinin, Kiyamet Gununde saglayacagi vurgusunu yaparak yapitini tamamlar. Calismada, genel olarak XVI ve XVII. yuzyil Fransa’sindaki din savaslari, ardindan da Agrippa d’Aubigne’nin dunya gorusu ve yapittaki bicemi ele alinmistir. Anahtar Sozcukler : Agrippa d’Aubigne, Les Tragiques , Din Savasi, Intikam, Insanlik, Katolik, Protestan HOLY WARS IN THE 16TH AND 17TH CENTURY FRENCH LITERATURE, LES TRAGIQUES BY AGRIPPA D’AUBIGNE AS AN EXAMPLE Abstract: Holy wars came to an end in the 18th century in France as a result of the social compromise reached after French Revolution in 1789, but till that period society witnessed numerous destructions and wars through ages. Time to another, in French literature, the narration of bloody wars and catastrophic events, is the duty of writers and poets. The eight religious wars of the sixteenth century, started from the middle of the XVI century and finished in 1598, divide France into two camps as a Protestant and Catholic. It is the turn of Agrippa d'Aubigne to tell the miseries and wars spaces fires through his work The Tragic, written in verse. Although having received a humanist education, Agrippa d’Aubigne was motivated by taking the revenge of a great number of Protestant leaders who were executed as a result of their judgements and their actions that they performed in the name of God. He led his life through a Catholic and Protestant conflict, and, though he was heavily wounded several times, he did not die on a battlefield. In his poetical work Les Tragiques, which was arranged in seven parts, Agrippa d’Aubigne mentioned poverty, misery, cruel attitudes of kings, judgements in gilded bureaus and palaces, corruption in society, terrible picture created by the war, the sides who were seeking for revenge in the second half of the 16 th Century France and he completed his work by emphasizing substantial justice was going to be secured by God on the day of judgement. In this article, we studied, firstly generally holy wars in the sixteenth and seventeenth century, and then the world view and style of Agrippa d'Aubigne. Keywords : Agrippa d’Aubigne, Les Tragiques , Holy War, Revenge, Humanity, Catholic, Protestant

Eliza Wharton’s Scraps of Writing: Dissipation and Fragmentation in The Coquette

THIS HUMBLE STONE, IN MEMORY OF ELIZA WHARTON, IS INSCRIBED BY HER WEEPING FRIENDS, TO WHOM SHE ENDEARED HERSELF BY UNCOMMON TENDERNESS AND AFFECTION. ENDOWED WITH SUPERIOR ACQUIREMENTS, SHE WAS STILL MORE DISTINGUISHED BY HUMILITY AND BENEVOLENCE. LET CANDOR THROW A VEIL OVER HER FRAILTIES, FOR GREAT WAS HER CHARITY TO OTHERS. SHE SUSTAINED THE LAST PAINFUL SCENE, FAR FROM EVERY FRIEND; AND EXHIBITED AN EXAMPLE OF CALM RESIGNATION. HER DEPARTURE WAS ON THE 25TH DAY OF JULY, A.D.--, IN THE 37TH YEAR OF HER AGE, AND THE TEARS OF STRANGERS WATERED HER GRAVE The engraved tombstone of Eliza Wharton offers readers of The Coquette a brief moral for her tale of gaiety and seduction. Reproduced in the last letter of Hannah Webster Foster's 1797 epistolary novel, the tombstone closes the narrative with a heavy-handed attempt by Eliza's friends to communicate a final lesson. This record of Eliza's life and death provides narrative, emotional, and instructive closure for one of the most affectively provocative records of seduction in the late eighteenth century. Eliza's friends emphasize her honorable character, the superior acquirements, and uncommon tenderness that distinguish her; the inscription provides a well-intentioned perspective, but the commemoration also makes Eliza's life legible according to commonplace didactic and sentimental conventions (169). (1) In contrast, near the end of her life Eliza moves herself out of the spotlight and communicates using fragments of writing that include partial letters, abbreviated messages, and miscellaneous reflections (162). After Reverend Boyer rejects Eliza's offer of love and Major Sanford successfully seduces her (a seduction concealed from Eliza's correspondents), she further conceals herself via her silence, her self-imposed social alienation, and her retreat from day-to-day interactions. Eliza's subsequent fragmented writings diverge from the sentimental discourse--exemplified by the description on the tombstone--that constructs her experiences as open and comprehensible. Throughout The Coquette, Foster explores how Eliza absents herself from a legible epistolary network as a result of her community's relentless persecution. Even though I begin the essay by presenting the inscription of Eliza's friends, I will attempt to give Eliza a burial that conforms to her own hidden and fragmented self-representations. It is not only Eliza's friends who injure her memory. By disregarding Foster's criticism of the totalizing perspective of the tombstone, literary critics continue to reenact the community's problematic interpretive methods in their scholarship. Two main trajectories govern criticism on The Coquette; one argues for the novel's insistence on female autonomy, while the other approach argues for Foster's codification of conservative gender relations. Both these approaches share the mistake of historical anachronism, since they seek to locate Eliza at the opening of a long, later history of gender relations and feminism. The former approach--taken by critics like Sharon M. Harris, Claire C. Pettengill, and C. Leiren Mower--lauds female self-mastery as the primary lesson of Eliza's downfall (Mower 336). (2) According to these critics, Eliza's withdrawal from social relations at the end of the novel functions as an emancipatory escape that transcendently looks from late eighteenth-century history to the larger ideology of feminism in the nineteenth, twentieth, and twenty-first centuries. Ironically, this approach to the novel threatens to replicate the constrictive gender ideologies that initially lead to Eliza's effacement as the plot progresses; by reading self-mastery into Eliza's absence, self-negation, and fragmentation, these critics affirm and impose their own version of the history of women's rights without looking at the way Foster depicts Eliza's response to the traumatic events of her life. Taking Eliza's withdrawal from the gaiety of her social and family life as a radical feminist claim, particularly without looking at the form of Eliza's protest, this sort of reading fails to take her story at face value. …

Drenagem e acumulação de ar frio em noites de arrefecimento radiativo. Um exemplo no vale de Barcarena (Oeiras)

THE COLD AIR DRAINAGE DURING CALM CLEAR NIGHTS: AN EXAMPLE IN HE BARCARENA VALLEY (OEIRAS, PORTUGAL) - The cold air drainage system is a recent climatological field research in Portugal. In the valley of Barcarena, a few kilometres westward from Lisbon, it was possible to detect the intermittent flow of the cold air drainage during two calm clear nights. We came to the conclusion that the cold air lakes are formed in situ by the irradiation process and also by the accumulation of the cold air drained along the valley slopes. The rugosity of the surface and the slow down of the cold air along the slope could be responsible for the oscillations of the cold air lakes thickness

O485 SRI LANKA IS AN EXAMPLE TO REDUCE MATERNAL MORTALITY WITH MINIMAL COST

International Journal of Gynecology & ObstetricsVolume 119, Issue S3 p. S433-S433 Free communication (oral) presentations O485 SRI LANKA IS AN EXAMPLE TO REDUCE MATERNAL MORTALITY WITH MINIMAL COST M. Najimudeen, M. NajimudeenSearch for more papers by this author M. Najimudeen, M. NajimudeenSearch for more papers by this author First published: 22 October 2012 https://doi.org/10.1016/S0020-7292(12)60915-1AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume119, IssueS3Abstracts of XX FIGO World Congress of Gynecology and ObstetricsOctober 2012Pages S433-S433 RelatedInformation

“R”Shiver me timbers: clinicians doing statistics! A novel approach to data analysis and data visualisation in modern medicine, an example using chronic lymphocytic leukaemia (CLL) data

“R”Shiver me timbers: clinicians doing statistics! A novel approach to data analysis and data visualisation in modern medicine, an example using chronic lymphocytic leukaemia (CLL) data