Apositive Effect Research Articles

The effects of setting astandard in the acute pain therapy on award : Parameters for patient and provider satisfaction and cost structure (STANDAKU)

There is neither a "gold standard" nor commonly approved therapy goals in postoperative pain therapy. In amulti-center study, more than 80% of all patients treated stated that they suffered from postoperative pain. Moreover, patients evaluated the pain therapy as significantly worse than other medical or nursing practices. Therefore, there is aneed for optimization in therapy for acute pain. The goal of our project was to figure out if the introduction of a"pain treatment standard" would increase the satisfaction of patients, physicians, and nurses, and reduce the costs of pain-related medicine. Overall, 2769 patients and 285 providers (202 nurses and 83physicians) were polled. The medication costs in ten areas of the ward were evaluated and compared. The providers were offered atraining course on the "pain standard" and it was officially introduced onto the wards. After some time, the satisfaction of patients and providers and the use of medicine were recorded again. The maximum pain values declared by the patients significantly decreased after the introduction of the "pain standard." The satisfaction with pain therapy significantly increased for the patients and for the providers. The reported minimum pain values of the patients did not change significantly. The costs of pain medicine slightly increased. In general, there was apositive effect of introducing a"pain standard" for patients and providers.

The importance of breastfeeding for the infant

Breastmilk is natural nutrition for infants. In addition to nutrients, breast milk contains avariety of immunomodulatory, anti-inflammatory and antimicrobial substances that help to reduce short- and long-term morbidity risks and positively influence the child's cognitive and psychomotor development. Studies show that breastfed children are at asignificantly lower risk for lower respiratory tract infections, otitis media, and gastroenteritis compared with non-breastfed children. Also, the risk for sudden infant death syndrome is significantly reduced by breastfeeding. Breastfeeding does not have an influence on the risk of allergies, neither in the overall population nor in children with a familial predisposition. However, breastfeeding promotes brain development, especially of the white matter, and is associated with improved intelligence by about 2IQ points. Furthermore, studies show an inverse correlation between breastfeeding and the subsequent risk for obesity, and there is evidence for arisk reduction of type2 diabetes mellitus. Breastfed infants can largely regulate their food intake. This can have apositive effect on later eating behavior and the risk for becoming overweight. In view of the positive health effects of breastfeeding, it is recommended that infants be breast-fed exclusively during the first few months of life and that complementary feeding should be started at the earliest from the beginning of the 5th month and no later than at the beginning of the 7th month. Complementary food should be offered in asuitable form and with consideration of the signals of the child. Overall, breastfeeding can make asignificant contribution to promoting public health and thereby to reducing healthcare costs.

Study on the influence on water ecosystem by a lake inflow filtration system

Abstract. Lakes play important roles in the economic-social sustainable development. However, due to unreasonable development and urbanization in recent years, lake water pollution and ecological degradation have occurred in China. The improvement of the lake inflow water quality is very important. A filtration system includes Gravel filtering system, Aquatic plant area and Ecological bag area was established. The test river is one of the typical lake inflow river and located in the river network in the Chang Dang lake, China. Water quality, zooplankton and phytoplankton in the inflow river were observed form July to mid-August in order to analyze the general process. The average removal rate of NH3-N (ammonia nitrogen) TN (total nitrogen) and TP (total phosphorus) is 28.33, 25.76 and 24.43 %, respectively. The Pantle-Buck method was used to evaluate the water quality and the B∕T index was used to evaluate the nutrition situation. The B∕T values were reduced by 20 % and the SI pollution index was reduced by 11.8 %. Therefore, a positive effect on the water's ecological restoration was achieved by the filtration system.

Nummular headache : Subcutaneous peripheral nerve field stimulation as an individual therapeutic attempt

Subcutaneous peripheral nerve field stimulation (sPNFS) is an established procedure for the treatment of chronic localized neuropathic pain of peripheral origin. The treatment of nummular headache primarily focuses on conservative methods with limited prospects of success. The role of sPNFS in the treatment of nummular headache has not been investigated as yet. Is the sPNFS an option in the management of nummular headache? In addition to a summary of established methods in the treatment of nummular headache, sPNFS as apossible form of therapy is discussed. Apositive effect of sPNFS in terms of the treatment of nummular headache is shown. sPNFS stimulates free subcutaneous nerves and transmits apleasant form of paraesthesia in the area of pain. If regular conservative therapy has already been exhausted, then sPNFS might be an effective new option in the treatment of nummular headache. sPNFS is aminimally invasive and low-risk procedure. However, the high treatment cost and restrictions regarding fitness to undergo MRI are points of criticism. Further studies are needed to define its potential and role in the treatment of nummular headache.

PENGARUH INFLASI, SUKU BUNGA DAN NILAI TUKAR RUPIAH TERHADAP HARGA SSAHAM PERUSAHAAN SEKTOR PROPERTI DAN REAL ESTATE YANG TERCATAT DI BURSA EFEK INDONESIA

Thepurpose of this research is to knowthe influence of inflation,interestrates, and the exchange rate of the rupiah against the stock price. This research wasconducted on 30 companies secto rproperty and real estatelisted onthe IndonesiastockexchangePeriod 2012 – 2014. Data analysis techniques used in research namely OLS (Ordinary Least Square)through the help of multiple software SPSS version 18.0. Research results indicate that simultaneous inflation, interest rates, the rupiah exchanger ateand effect on stock prices. Research partially indicate that inflation is not a negative and apositive effect against the stock price, while the negative effect of interest rates significantly to the stock price and the exchange rate of rupiah apositive significant effect against the stock price.

Therapeutic utilization of stem cells in orthopedics

Stem cells are becoming increasingly more important in the field of regenerative medicine. Adult mesenchymal stem cells (MSCs) are harvested predominantly from bone marrow or adipose tissue, are already being used in the clinical setting and have a low potential for side effects. In orthopedics, experience has been gained in the treatment of bone defects, non-unions, cartilage defects, osteoarthritis and tendon pathologies. The current data are derived from case studies and randomized controlled trials are missing; therefore, there are many open questions concerning the optimal cell source, number of cells, administration technique (e.g. injections and matrices) or combinations with growth factors; however, it is evident from the data that MSCs have apositive effect on tissue regeneration and are safe to use.

Hypospadias : Insights and challenges

Disorders of the ventral tubularization of the urethra, such as the hypospadias, are among the second most frequent congenital childhood malformations. An increasing incidence has been observed suggesting adoubling in the US, which could not be documented for the European area. The underlying causes of this congenital defect remain unidentified. Genetic risk constellations or environmental influences, in particular by so-called endocrine disrupting chemicals (EDCs), are discussed as triggering factors. Boys after in vitro fertilization are more likely to have hypospadias than in nonreproductive-assisted pregnancies. Animal models (especially mice) elicited causal relationships between prenatal hormonal exposure (estrogens, progesterone) and antiandrogens such as flutamide, finasteride, antiandrogenic fungicides (vinclozolin) and phthalates and the formation of hypospadias. An aesthetic and/or functional deficit are indications for surgical correction. The indications and the complications of hypospadias surgery must be in detail and realistically discussed with the parents and patients. Recent publications demonstrated that the risk of complications increases with the increase of the follow-up time. High-volume centers with extensive experience have apositive effect on the complication rate. Competent follow-up to adult age should be ensured.

Kontribusi Religiusitas dalam Perilaku Pengambilan Keputusan Konsumsi

Consequential is one aspect of religiousity, which one is away from anyform imposed by Allah s.w.t. Consumption is forbidden by Allah swt isthe consumption of haram goods. In this study will look at contributionshalalness a product of consumption decisions. This study used fourindependent variables of quality, halal, price and side effects. Thesampling method used was non-probability sampling method using themethod of sampling convenience. Analysis of data has using multiplelinear regression analysis. The findings of the four variables showed apositive and significant effect, the variable side effects are most dominantvariable. While halal variable have the second greatest influence indetermining consumption decisions. This suggests that religiosity variableis a variable that determines the capture market share, in the marketingstrategy

PENGARUH CORPORATE GOVERNANCE DAN RASIO UTANG TERHADAP EARNINGS MANAGEMENT

Earnings management is management actions in the process of preparationof financial statements to affect the level of reported earnings. Earnings managementcan reduce the credibility of the financial statements if it is used to make decisions,because earnings management is a form of manipulation of financial statements.This study aimed to examine the effect of corporate governance and leverage toearnings management. The sample in this study were 81 companies listed on theIndonesian Stock Exchange for the period 2011-2013. Sampling using purposivesampling method. The analysis technique used in this study is factor analysis andmultiple linear regression analysis. The results showed that the variables of corporategovernance negatively affect earnings management. While the variable leverage apositive effect on earnings management.

Effect of a grey hail protection net on the fruit quality of the ‘Bluecrop’ highbush blueberry (Vaccinium corymbosum L.)

The main focus of our study was to investigate effects of the modified microclimate under a grey hail protection net (HPN) on biometrical fruit characteristics (fruit weight, index of fruit shape, and seed number per fruit) and nutritional value (soluble solid content - SSC, titratable acidity - TA, total anthocyanins - TACY, total phenolics - TPH and total antioxidant capacity - TAC) of the ?Bluecrop? highbush blueberry (Vaccinium corymbosum L.). The study was conducted in the ?Bluecrop? highbush blueberry plantation located in Mladenovac (Serbia) during two consecutive years (2013, 2014). The orchard was established using two-year-old nursery trees in spring 2011, at a planting density of 3,300 bushes per ha. The grey polyethylene net (SILVERLUX?, Helios Group, Lurano, Italy) with a Leno wave structure and a mesh size of 2.8 x 8 mm was used. During the research period, light intensity was measured weekly at 12.00 hr using a digital lux-meter ?Peak teck? PT-5025 (Germany). Air temperature and relative humidity within the canopy were recorded using climate dataloggers (type DT-171, Shenzhen Flus Technology Co., Ltd, China) both under HPN and in the open field (OF). Twelve readings per treatment were taken at 2-hour intervals every day in each season. In both years of observation, light was reduced by 5-20% under HPN, whereby daily maximum temperature was 2.4?C lower causing 4% higher daily minimum relative air humidity than in OF. ?Bluecrop? had significantly higher average fruit weights under HPN ranging from 1.93 g (2013) to 1.86 g (2014) in comparison to those observed in OF. The SSC did not differ between the treatments in 2014, whereas a significantly higher mean value was registered in the fruits harvested under HPN (12.8%) compared to those from OF in 2013. The mean TA was higher under HPN in 2014 (0.57%), whereas in 2013 a significantly higher TA content was found in OF (0.87%). HPN showed a positive effect on the TPH content (7.12 mg GA/g FW), but an almost 2-fold higher value was registered in 2013. Similar to this, TAC was 2.5-fold higher in 2013, without a significant effect of HPN in both experimental years.

Environmental Performance Analysis of Mining Companies in Indonesia with SEM-PLS

This study aims to determine the pattern of relationship of environmental performance, environmental disclosure and financial performance. Environmental performance measured by using PROPER, Environmental disclosure measured based on the use of 34 items disclosure by G3 GRI (2006) and financial performance measured by using ROA, ROE and NPM indicators. The sample of this research is mining company listed in Indonesia Stock Exchange in 2011-2015. The statistical method used in this research is Structural Equations Modeling - Partial Least Square (SEM-PLS). The analysis used in SEM-PLS is the outer model (Confirmatory Factor Model, Explanatory Factor Analysis) and Inner Model with boostrapping methods. Outer model in this study using Confirmation Factor Analysis (CFA). CFA results indicate that indicators that are able to measure the financial performance of mining companies in Indonesia is ROA and ROE. Meanwhile, environmental disclosure and environmental performance variables are not analyzed using Confirmatory Factor Analysis because they are measured with one indicator. Results of this study indicates that hypothesis 1 is accepted. In other word, environmental disclosure has a positive effect to financial performance. Hypothesis 2 is accepted, environmental performance has a positive effect on the disclosure of the environment. Moreover, hypothesis 3 is accepted, environmental performance has a financial performance. Hypothesis 4 is accepted, that is, environment disclosure has a mediation effect on the relationship of environmental performance and financial performance.

Neoadjuvent Radiotherapy: Health Education and Quality of Life for Patients with Rectal Cancer

Aim: This study aimed to evaluate the effects of health education on quality of life for patients with rectal cancer undergoing neoadjuvant radiotherapy. Methods: A quasi experimental design was used for the conduction of this study in the Radiotherapy and Nuclear Medicine Department and Surgical Outpatients` Clinics at El Demerdash Hospital affiliated to Ain Shams University Hospitals . A purposive sample composed of 70 adult curative patients from both sexes with rectal cancer undergoing radiotherapy were recruited from the above mentioned settings. Tools: (1) Patients' interviewing questionnaire to assess knowledge of patients about radiotherapy sessions (pre/post health education ). (2) Quality of Life Scale to assess the impact of radiotherapy on the following dimensions: physical, psychological, social and spiritual (pre/post health education ). 3) An observation checklist to evaluate the practice of patients as regards radiotherapy sessions (pre/post health education ). (4) Psychometric assessment: Pain, anxiety and fatigue levels (pre/post health education). Results: There were statistical significant differences between pre/post health education program as regards studied patients` knowledge, practice and quality of life domains , whereas more improvement was noticed post program. Moreover, significant reduction was indicated in the anxiety, pain and fatigue levels post health education program, added to an obvious improvement post radiotherapy sessions. Conclusion: Overall, the study has indicated that health education program had a positive effect on the improvement of quality of life for patients with rectal cancer undergoing radiotherapy, which is attributable to better effect of patients` condition . Recommendations: Further studies should be done to assess the long term success of radiotherapy and follow - up patients` quality of life.

The special requirements of old age in terms of dying

It is expected that the rising average life expectancy will leave ever more people with chronic progressive diseases of the body and brain. This then means not only having to deal with increasingly longer periods of care, but also possibly distinct neurocognitive disorders in the years prior to death and dying. The aim of this study is to report epidemiological data on the causes of death, as well as on the places of death. In addition, the attitudes and behaviour towards death and dying, as well as the different places of death will be discussed. Expecting support in the process of dying, as well as factors that have amore conducive effect on the internal processing of dying, are mentioned. At the same time, the attitudes and behaviours in respect of the accompaniment of dying people, which can be seen in the staff in clinical inpatient facilities, are addressed. Personal intense grappling with dying and death actually has apositive effect on these behaviours and attitudes. Finally, the contribution turns to the question of to what extent the theory of compression of morbidity may be perceived as valid, especially in view of the rising average life expectancy. It is emphasised that chronic diseases, even when no functional loss is present, place not only great demands on the patient, but also on the care system and financial resources. Furthermore, it is demonstrated that frailty can often cause mental disorders. Specific requirements with aview to the care of people with dementia are given.

Effects of rates of nitrogen on yield and yield components of winter triticale

Due to the high genetic potential for yield and favourable nutritional value, triticale is a promising plant species. For achieving high and stable yields, it is necessary to have favorable agroclimatic conditions of the locality, variety and advanced agricultural techniques, with special emphasis on fertilizing. This study examines the effect of increasing rates of nitrogen on yield and yield components of five cultivars of winter triticale: Odisej, Kg-20, Triumph, Rtanj and Tango. The three-year trial (2009-2012), which was set up in a randomized block system with three replications, included control and three different doses of nitrogen fertilization (0, 60, 90 and 120 kg ha-1). In all variants of fertilization, 80 kg ha-1 P2O5 and K2O were added beside nitrogen. The obtained results showed that the use of nitrogen had a positive effect on yield and yield components in all variants and in all cultivars. The variety Tango had the highest average grain yield, while the variety Kg-20 had the lowest. Also, Tango had the highest value of the 1000 grain mass and the number of grains per spike, while Triumph had the highest value of hectoliter weight. The application of fertilizers led to a very large and significant increase of yield compared with the control. Accordingly, all studied cultivars had the highest yield with the highest quantities of nitrogen (120 kg ha-1). Considering that triticale is intended mainly for feeding livestock, the results of these studies would be valuable in terms of its growing as a forage crop as well as in terms of its breeding for grain quality and productivity.

Using Demographics to Predict Mathematics Achievement Development and Academic Ability and Job Income Expectations

This study investigated how demographics predict mathematics achievement development and how such development predicts academic ability and job income expectations. A hypothesis model was examined through growth modeling with data collected from students studying in grades 7, 9, 11, and 12 in Taiwan (n = 4163). Data analysis revealed that the hypothesis model exhibited a good fit to the data. Compared with girls, boys exhibited higher mathematics achievement in both the start and growth of mathematics achievement. Parental education and speaking Mandarin and Taiwanese Hokkien at home played roles in both the start and growth of mathematics achievement. Speaking English at home exerted a positive effect on the start but not the growth of mathematics achievement. Speaking other foreign languages and Formosan languages at home exerted negative effects on both the start and growth of mathematics achievement. Family income and urban residence exerted a positive effect on the start but not the growth of mathematics achievement. Remote residence exerted a negative effect on the start but a positive effect on the growth of mathematics achievement. Both the start and growth of mathematics achievement played a role in students’ expectations of academic ability and job income.

PENGARUH REPUTASI KLINIK DOKTER GIGI TERHADAP REKOMENDASI DAN LOYALITAS PASIEN

The purpose of this paper is to highlight the influence reputation of dental clinic torecommendations and patient loyalty..The objectives of this research was : (a) the positiveeffect of perceived value to customer satisfaction, (b) the positive effect of customer satisfactionto loyalty, (c) the positive effect of customer satisfaction to reputation, (d) the positive effectof customer satisfaction to recommendation, (e) the positive effect of reputation to loyalty, (f)the positive effect of reputation to recommendation, The design of this research applies aquestionnaire toward of patient as a customer in Dentist and Dentists dental clinic for testinghypothesis. Meanwhile the required data consist of five variables; perceived value, customersatisfaction, reputation, recommendation, and loyalty. The aggregate numbers of customerbeing respondent of the study are 100. Data analysis used in this research was consists ofSmart Partial Least Square Regretion as software. The result of this research conclude thatvariable of perceived value had a positive effect to customer satisfaction, variable of satisfactionhad a positive effect to loyalty, reputation, recommendation and variable of reputation had apositive effect to recomendation but reputation had negatif effect to loyalty.Keywords : Reputation, Recommendation, Loyalty

Influence of biostimulators on germination parameters and early growth of sunflower seedling

The aim of this paper was to examine the influence of biostimulators, with or without the use of fungicides, on seed quality parameters and early growth of sunflower seedling. Testing was conducted at the Institute of Field and Vegetable Crops in Novi Sad on cytoplasmic male sterile sunflower line HA-26-PR. The experiment included six treatments: Slavol S (25%), Slavol S (25%) + fungicide (a.m. metalaxyl-M), Bioplant Flora (2%), Bioplant Flora (2%) + fungicide (a.m. metalaxyl-M), Slavol S (25%) + Bioplant Flora (2%), Slavol S (25%) + Bioplant Flora (2%) + fungicide (a. m. metalaxyl-M) and control. Results of the research showed that treating the seed with biostimulators prior to sowing has a significant influence on seed germination parameters and early growth of sunflower seedling. The individual application of fertilizers, with or without the use of fungicide, gave a positive effect, while their combination led to a negative effect. The individual application of fertilizers, with or without combination with fungicide, may increase germination energy by 5%, germinability by 6%, but may also reduce the time of seed germination. Likewise, their use has a positive effect on early growth of sunflower seedling.

The effect of addition of organic selenium on pheasant production characteristics

The effect of organic selenium as feed additive contained in the feed was investigated, applied in concentrations of 0.3 and 0.4 mg Se/kg mixture on production characteristics pheasant. The study was conducted on a total of 45 common pheasant individuals Phasianus colchicus, six weeks old, divided into three equal groups of 15 individuals for 60 days. The control pheasants group was fed with a standard mixture without addition of selenium during the experiment, while the mixture of group I contained 0.15 g/kg and pheasants group II had 0.20 g/kg additives with organic selenium. The results showed that different amounts of organic selenium presence in pheasants? feed had a positive effect on analyzed productivity indicators of pheasants? growth rate, both their final body weight and weight gain (p<0.05). Among examined groups of pheasant, gained differences in average feed conversion and total production index were not statistically significant (p> 0.05). The best production results were achieved by individual II group, which also had the highest selenium content in muscle tissue of the pectoral muscles, drumstick and thigh (p <0.05).

The effect of microbial inocula on the growth of black locust, Siberian elm and silver maple seedlings

Growth and development of forest plants depend mostly on the soil microbial activity since no mineral or organic fertilizers are applied. Microbial processes can be activated and conditions for plants development improved with the introduction of selected microorganisms in the soil. With the aim of obtaining quality planting material in a shorter period of time, the effects of Azotobacter chroococcum and Streptomyces sp. on the early growth of black locust (Robinia pseudoacacia), Siberian elm (Ulmus pumila) and silver-leaf maple (Acer dasycarpum) were investigated in this study. Microorganisms were applied individually and in a mixture (1:1). Plant height was measured on the 90th, 120th and 180th day after planting. Plant diameter, as well as the number of actinomycetes and azotobacters was measured at the end of the vegetation period (180 days after planting). Applied microorganisms had a positive effect on the seedling height in all three plant species, with the best effect found in the black locust. Effectiveness of applied microorganisms on seedling diameter was the highest in the silver-leaf maple. The largest number of azotobacters was found in the rhizosphere of black locust. Number of microorganisms from both groups was increased in the inoculated variants.

Fostering Awareness and Acceptance of Disability in Mexican Mothers of Autistic Children

The arrival of a disabled child is overwhelming to any family; it is often a shocking event that impacts the life cycle of the family. Several studies highlight the support that must be provided to parents of children with disabilities. In Mexico, this support is not often promoted in a successfully way neither in official nor private institutions. The purpose of this study was to assess the effect of a special assistance program carried out with five autistic children’ mothers, aged between 28 and 43 years (Mage = 35.4). Attention was focused on: family functioning, knowledge and acceptance of disability. We used a mixed design with a concurrent triangulation; the study was non-experimental, ex post facto, descriptive, and cross-cutting. The main findings show that this program had a positive effect on mothers and several changes regarding the studied variables were observed. It was important to highlight that there was one unexpected result: the personal and group empowerment that enabled the participants, on the one hand, to acknowledge themselves as women in a couple relationship and not only as mothers of their disabled child, and, on the other hand, to form a network of mothers who can look for legal and administrative protection for their autistic children.