Routine Readings Research Articles

Utility of visual rating scales in primary progressive aphasia

IntroductionDifferential diagnosis among subjects with Primary Progressive Aphasia (PPA) can be challenging. Structural MRI can support the clinical profile. Visual rating scales are a simple and reliable tool to assess brain atrophy in the clinical setting.The aims of the study were to establish to what extent the visual rating scales could be useful in the differential diagnosis of PPA, to compare the clinical diagnostic impressions derived from routine MRI interpretations with those obtained using the visual rating scale and to correlate results of the scales in a voxel-based morphometry (VBM) analysis.MethodPatients diagnosed with primary progressive aphasia (PPA) according to current criteria from two centers—Ospedale Maggiore Policlinico of Milan and Hospital Clínic de Barcelona—were included in the study. Two blinded clinicians evaluated the subjects MRIs for cortical atrophy and white matter hyperintensities using two protocols: routine readings and the visual rating scale. The diagnostic accuracy between patients and controls and within PPA subgroups were compared between the two protocols.ResultsOne hundred fifty Subjects were studied. All the scales showed a good to excellent intra and inter-rater agreement. The left anterior temporal scale could differentiate between semantic PPA and all other variants.The rater impression after the protocol can increase the accuracy just for the logopenic PPA. In the VBM analysis, the scores of visual rating scales correlate with the corresponding area of brain atrophy.ConclusionThe Left anterior temporal rating scale can distinguish semantic PPA from other variants. The rater impression after structured view improved the diagnostic accuracy of logopenic PPA compared to normal readings. The unstructured view of the MRI was reliable for identifying semantic PPA and controls. Neither the structured nor the unstructured view could identify the nonfluent and undetermined variants.

Maulid Diba’ sebagai Peningkat Religiusitas Mahasantri Komplek H Pondok Pesantren Krapyak Yayasan Ali Maksum Yogyakarta

Salawat Maulid Diba' is very popular among the community and Islamic boarding schools of the Nahdlatul Ulama family. The culture of reciting the Maulid Diba salawat has been passed down from generation to generation. Mawlid Diba's routine readings are able to influence the body and soul of the readers, including material and immaterial. This paper discusses Mawlid Diba' as an increase in the religiosity of Mahasantri Complex H Krapyak Ali Maksum Islamic Boarding School. Research Using a qualitative approach. The method used is phenomenology. This type of research is field research. The results of the study show that reading Mawlid Diba' activities can increase the religiosity of Mahasantri Complex H. In general, it can get used to positive activities, improve discipline, especially in managing time. Religiously, it can increase faith in Allah and the Messenger, increase love for Allah and the Messenger, emulate the example of the Apostle, strengthen friendship, make people happy, the mind is calm, and the heart is comfortable.

Estimating trunk fat in children according to sex using basic somatic readings: an opportunity for improving evaluation among girls

BackgroundThe fat mass estimators waist-to-height ratio (WHtR) and relative fat mass—pediatric (RFMp) complement the widely accepted body mass index (BMI) in obesity evaluation. Aims of the Study: Conduct an easy appraisal of trunk fat and the cardiometabolic risk associated with pediatric obesity.MethodsA total of 472 children (39% boys in the total sample) were classified as underweight, normal weight, overweight or obese (nutritional groups, NGs) according to BMI Z-score after initial anthropometric data were obtained and ad hoc exclusion criteria were applied. WHtR and RFMp (% of total fat) were calculated for each group, associations were assessed through multiple linear regression (MLR), and differences between sexes were evaluated (medians, IQR).ResultsThe mean age (mean (95% CI)) was 10.8 y (10.1–11.1). The values in the total sample were as follows: WHtR, 0.5 (0.49–0.51) and RFMp%, 32.3 (31.7–33.0). In the overweight group, the values were as follows: WHtR, 0.51 (0.50–0.52) and RFMp(%), 34.2 (33.3–35.1). In the obese group, the values were as follows: WHtR, 0.56 (0.55–0.57) and RFMp(%), 37.8 (36.9–38.6). The associations were as follows (NG; independent variables): In the NG, adjusted R2 values were between 0.74 and 0.78. In the total sample, the beta coefficient was 3.36 (P < 0.001) for RFMp for girls; for waist circumference (WC), the beta coefficient was 2.97 (P < 0.001), and for WHtR the beta coefficients were − 0.01 (p < 0.001) and 0.03 (p < 0.001),for girls and for WC respectively.The sex differences were as follows: BMI exhibited no differences in the NG (Mann-Whitney U). WHtR (median (IQR)) differed (M vs. F) in the total sample (0.49 (0.45–0.54) vs. 0.52 (0.45–0.56), p < 0.004); in the overweight group (0.51 (0.48–0.53) vs. 0.54 (0.51–0.55), p < 0.001); and in the obese group (0.55 (0.52–0.57) vs. 0.57 (0.54–0.60), p < 0.004). RFMp (%) differed in the total group (29.21 (24.27–32.92) vs. 36.63 (30.2–39.51), p < 0.001); in the overweight group (31.24 (28.35–32.35) vs. 37.95 (35.75–38.82), p < 0.001) and in the obese group (35.89 (32.05–36.15) vs. 40.63 (38.27–42.42), p < 0.001).ConclusionsWHtR and RFMp are simple and reliable indices that do not require centile charts. Their values, including waist circumference, can be used to estimate the different trunk fat components in boys and girls better than BMI, especially if individuals are overweight or obese. RFMp proved to be more reliable as it considers sex. Both should be included in routine anthropometric readings.

THE IMPORTANCE OF PLAY WHILE LEARNING TO HONE INTELLIGENCE MOTORCYCLES IN THE MIDDLE OF THE COVID-19 PANDEMIC AT TABRIYATUL AITAM ORPHANAGE, MOJOSARI MOJOKERTO

The targets and objectives of this activity are the foster children of the Tarbiatul Aitam orphanage who need basic leadership training to shape the character and personality of the child. So it is hoped that by participating in these activities, they can hone their motor intelligence by playing while learning. The foster children of the Tarbiatul Aitam orphanage are very compact, especially in terms of togetherness. Foster children of the Tarbiatul Aitam orphanage put more emphasis on the religious side such as memorizing the holy verses of the Koran, prayer, banzaria, routine readings, annual circumcision etc. This proves that Tarbiatul Aitam orphanage children have a lot of potential to support activities in the orphanage. The problem faced is that there are still many children who feel insecure, at least they have an achievement and many are still ashamed of the slow pace and spontaneity of their activities. The method used is lectures, and direct practice with games where each has its own purpose and meaning. The program carried out is fostering children through learning while playing activities, the participants are orphans with a total of 22 men and women. Participants or orphans would like to thank the academic community of Unimas Mojokerto for providing useful knowledge to orphans in order to foster leadership motivation, courage and confidence in socializing in the orphanage and community. And hope there will be ongoing activities with different themes.

Distribution of the National Early Warning Score (NEWS) in care home residents.

Backgroundthe National Early Warning Score (NEWS) is a tool based on vital signs that aims to standardise detection of, and response to, clinical deterioration in adults. NEWS has been adopted in hospitals but not adapted for other settings. This study aimed to explore the feasibility of measuring the NEWS in care homes and describe the distribution of NEWS readings amongst care home residents.Methodsdescriptive analysis of all NEWS readings recorded in a 30-month period (2016–19) across 46 care homes in one Clinical Commissioning Group in England. Comparisons were made between measurements taken as a routine reading and those prompted by concern about acute illness.Resultsa total of 19,604 NEWS were recorded from 2,424 older adults (≥65 years; mean age 85). Median NEWS was 2. Two thirds (66%) of residents had a low NEWS (≤2), and 28% had a score of 0. Of the total NEWS readings, 6,277 (32%) were known to be routine readings and 2,256 (12%) were measured because of staff concerns. Median NEWS was 1 for routine and 2 for concern recordings. Overall, only 12% of NEWS were high (≥5), but a higher proportion were elevated when there were concerns about acute illness (18%), compared with routine recordings (7%).Conclusionsuse of NEWS in care homes appears to be feasible. The majority of NEWS were not elevated, and the distribution of scores is consistent with other out-of-hospital settings. Further work is required to know if NEWS is triggering the most appropriate response and improving care home resident outcomes.

PERAN PEMUDA MEMBANGUN DESA: PENGABDIAN TERHADAP REMAJA ISLAM WATUALANG

Abstract: This article discusses the results of the village youth Watualang dedication engaged in the field ofreligion as an effort to counter radicalism and improve the quality through education. Islamic Youth Watualang(Riswa) formed on 16 September 2016 the village youth organizations who continue to make innovation andcreativity to uphold the values of peace, brotherhood and unity. The existence of this youth group as well ascontemporary teen mediator associations that give a new color on the style propaganda comfortable. To get to thebottom of what makes this group is born, then formulated some formulation of the problem in ease of discussionand analysis in this article. First, how is the phenomenon of radicalism and terrorism threaten the younggeneration in Indonesia ?. Second, how does the existence of the Islamic Youth Watualang in proselytizing toshield themselves from the dangers of radicalism and terrorism. The method used is descriptive qualitative bypresenting source data from the journal and the results of previous studies, as well as some documentation ofdevotion to Riswa. The results obtained in this devotion is actively carrying out routine readings Riswa Maulidurmessengers in Tadarus Poetry Night event (Matapu), smeinar-seminars, educational outbound, and some otherforms of propaganda.

Measuring Blood Pressure in the Office: The Argument for Wider Clinical Use of Automated Devices

Objective: Accurate measurement of blood pressure (BP) remains a fundamental step in diagnosing and managing hypertension. The aim of this study is to evaluate the accuracy of office BP measurement using an automated office blood pressure (AOBP) device (BpTRU®) performed in a 5-minute cycle. Participants and methods: 117 consecutive patients (mean age 55 ± 17 years, 60% women) referred for management of hypertension over a nine-month period are included in this study. BP readings with the BpTRU® device (BP recorded five times in five minutes), mean awake ambulatory blood pressure (ABP), and routine BP readings taken in the patient’s primary care physician (PCP) office were compared. Results: Average of 5 BP readings for mean blood pressure using the AOBP device was similar to the mean awake ABP (systolic BP 133 ± 4 mmHg vs.135 ± 3 mmHg; (p = 0.2) and diastolic BP 80 ± 2 mmHg vs. 79 ± 2 mmHg; (p = 0.7)). Both systolic AOBP and awake ABP values were significantly lower than the systolic BP recorded in PCP office (144 ± 5 mmHg) (p < 0.001). The coefficient of correlation between the systolic/diastolic AOBP and the average of awake ABP (r = 0.70/0.72) was highly significant (p < 0.001). With the AOBP device, the first systolic reading was significantly higher than the average of the 2nd to 6th systolic readings (141 ± 2 mmHg vs. 133 ± 4 mmHg, p < 0.001). Conclusion: BP measurement performed with the AOBP device in a 5-minute cycle more accurately measures BP in a physician office setting when compared to single BP measurement. Relying on the1st BP measurement or a single reading may lead to over estimation of BP.

Association between epistaxis and hypertension: A one year follow-up after an index episode of nose bleeding in hypertensive patients

Association between epistaxis and hypertension is controversial. In this study, we evaluated in hypertensive patients the incidence of epistaxis according to stages of hypertension and compared blood pressure (BP) readings in these episodes to routine readings. Thirty-six patients admitted to the Emergency Department (ED) with epistaxis were enrolled and divided into 3 groups according to hypertension severity (JNC-VI criteria). BP readings were obtained weekly (routine BP) and in the setting of a new episode of epistaxis (epistaxis BP). No difference in the incidence of epistaxis was found: patients with hypertension stage 1 had 7.6 ± 4.1 episodes/year, those in stage 2 had 8.0 ± 4.0 and in stage 3 the incidence was 8.2 ± 3.9 ( p = ns). The average SBP for all 36 patients was 154 ± 19 mmHg on routine readings and 157 ± 22 mmHg on epistaxes episodes ( p = ns). No difference was also observed regarding DBP: 104 ± 18 mmHg vs. 105 ± 18 mmHg ( p = ns). In conclusion, epistaxis incidence in hypertensive patients is not associated to hypertension severity. Moreover, BP readings in the setting of epistaxis are similar to readings obtained in routine situations.

The Risks and Benefits of Searching for Incidental Findings in MRI Research Scans

We weigh the presumed benefits of routinely searching all research scans for incidental findings (IFs) against its substantial risks, including false-positive and false-negative findings, and the possibility of triggering unnecessary, costly evaluations and perhaps harmful treatments. We argue that routinely searching for IFs may not maximize benefits and minimize risks to participants.

Feasibility of a Curvature-based Enhanced Display System for Detecting Cerebral Aneurysms in MR Angiography

To assess the feasibility of a curvature-based enhanced display system for detecting cerebral aneurysms in MR angiography. MR angiography studies of 18 patients (eight male and 10 female, average age 65.7, age range 50 to 75 years old) with 23 known aneurysms were evaluated with a curvature-based display system. The two curvature features-the volumetric shape index and curvedness values-were calculated at each voxel. These were displayed independently on a workstation, overlaid on volume-rendered images. Two neuroradiologists evaluated the images for visibility and diagnosis of the cerebral aneurysms. The diagnostic results were compared with the original reports. The calculation time for each curvature index was 30 to 40 s for 120 to 140 slices of original MR angiography data. Shape index images emphasized smooth and round aneurysms more than aneurysms with irregular surfaces. Curvedness images revealed aneurysms well when the aneurysms had diameters that differed from those of the surrounding vessels. The computer-assisted-detection method detected 24 aneurysms, three of which were not pointed out in the initial report. Our results show that the curvature-based display system we have developed is feasible and that it may help to detect small aneurysms that are prone to be overlooked in routine readings.

Exile and dissonance: the poetry of Naanaam (Hossein Fazeli)

Naanaam's Poems Represent One Of The Most Subversive, Eclectic, and marginal styles of contemporary Persian poetry written by exiled Iranians. His knowledge of contemporary world poetry as well as classical Persian poetry provides him with solid grounds for a peculiar style that is at once thoughtful and playful, serious and sarcastic, engaged and apathetic, violent and kind. He jolts his readers out of routine readings in a variety of ways: he uses English words in the middle of Persian writings; he parodies the well-known lines by the dominant figures of contemporary Persian poetry; he splendidly highlights the ironies and contradictions of everyday life experiences that we normally tend to take for granted; he antagonizes and subverts all that is dominant, be it poetic style, linguistic norm, Logic, or Truth.

Chest x ray films from construction workers: International Labour Office (ILO 1980) classification compared with routine readings.

The extent of agreement between International Labour Office (ILO) and clinical readings of chest x ray films from construction workers was studied. From a survey of 5898 workers 258 subjects with a profusion of small opacities of > or = 1/1 and a stratified sample of subjects with profusion < 1/1 were selected. Only 41% of the films classified as ILO profusion category > or = 1/1 were clinically recorded as non-normal for the parenchyma. The proportion of films recorded as pneumoconiotic (or possibly so) was especially low for irregular opacities (22%), but increased with the profusion category (both rounded and irregular) as well as with the size of rounded opacities (p 3/11, q 12/25, r 3/4). Only with the profusion category > or = 2/1 were most of the films recorded as pneumoconiotic. The specificity and sensitivity were highest in the geographical areas where a few clinical readers had assessed many films each. The proportion of false negative clinical reports was low for circumscribed pleural thickening of the chest wall (9%) and diaphragmatic pleural thickening (6%). For calcified pleural changes and for the combination of diffuse pleural thickening and obliteration of the costophrenic angle, false negative reports were absent. The present study shows an unsatisfactory sensitivity for clinical compared with ILO readings as a means for screening the parenchyma of workers with a risk of pneumoconiosis.

Prediction of Anode Effects in Aluminum Reduction Cells

In this paper an algorithm is described which, when implemented on a process control computer, can be used to infer from the electrical readings whether the alumina concentration in a cell is approaching the level at which an anode effect will occur. Unlike some techniques proposed elsewhere, the algorithm described here is simple and robust and requires very little data storage capacity. It is based on the Holt-Winters forecasting algorithm. An example is given of its application to routine electrical readings from an industrial cell in normal operation.

Bibliography of Seismology

WE have just received vol. 12, No. 18 of this valuable work, and hope that collaborators in many other countries where seismological work is being done will soon come forward. The U.S.S.R., the Balkan States, and South America, to mention only three, and this time even Germany have no representative. It is pleasing to note that Italian papers are represented, and there is a very full list of American publications. It might be suggested that periodical publications of observatories throughout the world be noticed as, in addition to routine readings of seismograms, the more fortunate observatories find time to investigate shocks local to the station. There is a full list of seismological notes from NATURE.