Journal articles on the topic 'Determined examinations'
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Panova, I. V., O. E. Chernov, and V. F. Pfaf. "Mandatory medical examinations as a method of prevention." Russian Journal of Occupational Health and Industrial Ecology, no. 9 (March 19, 2020): 717. http://dx.doi.org/10.31089/1026-9428-2019-59-9-717.
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Currently, the normative acts do not define the priority and order of interaction (routing) between various types of medical examinations (examinations) working during mandatory, preventive medical examinations and medical examination. The order of action of doctors in the diagnosis of diseases at various stages of the examination has not been determined.
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Meyl, Tobias Philipp, Anne Berghöfer, Tobias Blatter, Johannes T. Heverhagen, Maximilian de Bucourt, and Martin H. Maurer. "Software-Based Evaluation of Optimization Potential for Clinical MRI Scanners in Radiology." RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren 194, no. 04 (October 22, 2021): 391–99. http://dx.doi.org/10.1055/a-1659-8821.
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Objective The aim of the study was to use a software application to analyze the examination times and changeover times of two clinically highly applied MRI scanners at a university hospital for radiology and to evaluate whether this could result in optimization potential for examination planning in the daily clinical routine of MRI diagnostics. Materials and Methods Based on the newly developed software application “Teamplay Usage” (Siemens Healthineers, Germany), the examinations carried out on two MRI scanners (1.5 T and 3 T) were investigated within an analysis period of 12 months with regard to the type of examination and its duration. In addition, compliance with the previously defined planning time (30, 45, 60 min.) was checked and deviations were analyzed. In addition, the changeover times between the examinations were determined and a possible influence due to the exchange of MRI coils was investigated for a selection of change combinations. Results For the total of 7184 (1.5 T: 3740; 3 T: 3444) examinations included in the study, the median examination time was 43:02 minutes (1.5 T: 43:17 min.; 3 T: 42:45 min.). The ten most frequent types of examinations per MRI scanner were completed within the predefined plan time of 54.5 % (1.5 T) and 51.9 % (3 T), taking into account a previously defined preparation and post-processing time of 9 minutes per examination. Overall, more time was spent on examinations with a planned time of 30 minutes, whereas the majority of the examinations planned with 45 minutes were also completed within this time. Examinations with a planned time of 60 minutes usually took less time. A comparison between the planned time and the determined examination duration of the most common types of examinations showed overall a slight potential for optimization. Coil exchanges between two examinations had a small, but statistically not significant effect on the median changeover time (p = 0.062). Conclusion Utilizing a software-based analysis, a detailed overview of the type of examination, examination duration, and changeover times of frequently used clinical MRI scanners could be obtained. In the clinic examined, there was little potential for optimization of examination planning. An exchange of MRI coils necessary for different types of examination only had a small effect on the changeover times. Key Points: Citation Format
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Tyrer, S. P., W. C. Leung, J. Smalls, and C. Katona. "The relationship between medical school of training, age, gender and success in the MRCPsych examinations." Psychiatric Bulletin 26, no. 7 (July 2002): 257–63. http://dx.doi.org/10.1192/pb.26.7.257.
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Aims and MethodFactors leading to success in the MRCPsych Part I and Part II examinations, including age, gender and original medical school of training, were examined in the 1999 MRCPsych examination entrants to determine how far they are associated with the results. The ethnic breakdown of examiners of the MRCPsych examinations was also determined and compared with the origin of all consultant psychiatrists.ResultsYounger age at taking the examination and training at a British or Irish medical school were found to be highly significant predictors of success in the MRCPsych examinations. When allowance was made for confounding variables, the gender of candidates did not contribute to success. There was no difference in ethnic background of examiners compared with consultant psychiatrists overall.Clinical ImplicationsFactors affecting trainees wishing to undertake a psychiatric career need to be more closely examined. To ensure fairness and transparency in future examinations the ethnicity of candidates taking the examination needs to be addressed.
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Gordon, Stuart R., and Timothy B. Gardner. "T1441: Interobserver Agreement for Pancreatic EUS Determined by Back-to-Back Examinations." Gastrointestinal Endoscopy 71, no. 5 (April 2010): AB278. http://dx.doi.org/10.1016/j.gie.2010.03.654.
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Ojuka, Daniel, Nyaim Elly, Kiptoon Dan, and Ndaguatha Peter. "Objective Structured Clinical Examination Tests: Comparison with Traditional Clinical Examinations in Surgery." Annals of African Surgery 17, no. 2 (May 21, 2020): 55–59. http://dx.doi.org/10.4314/aas.v17i2.3.
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Background: Examination methods change over time, and audits are useful for quality assurance and improvement. Objective: Comparison of traditional clinical test and objective structured clinical examination (OSCE) in a department of surgery.
Methods: Examination records of results of the fifth year MBChB examinations for 2012–2013 (traditional) and 2014–2015 (OSCE) were analyzed. Using 50% as the pre-agreed pass mark, the pass rate for the clinical examinations in each year was calculated and these figures were subjected to t-test to determine any significant differences in each year and in type of clinical test. P value of <0.05 determined significant statistical differences in the test score.
Results: We analyzed 1178 results; most (55.6%) did OSCE. The average clinical scores examinations were 59.7% for traditional vs 60.1% for OSCE examination; basic surgical skills were positively skewed.
Conclusion: OSCE in the same setting of teaching and examiners may give more marks than the traditional clinical examination, but it is better at detecting areas of inadequacies for emphasis in teaching.
Keywords: Clinical examination, Traditional, OSCE, Comparison
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Or, M. E., A. Kayar, Ç. Parkan, R. Gönül, T. Morkoç, and H. T. Dodurka. "Clinical approach to discoloration in body hair in a Rottweiler dog." Veterinarski glasnik 59, no. 5-6 (2005): 655–61. http://dx.doi.org/10.2298/vetgl0506655o.
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Micanfin (Biocan-M?, Bioveta) is a new veterinary drug used successfully in the treatment and prophylaxis of dermetomycosis in dogs and cats. In this study, leukotrichia was determined after administration of Micanfin and the objective was to determine the diagnosis and treatment protocol of the case. The case was a male Rottweiler dog, aged four, weighing 35 kg, presented with alopecia at a special veterinary clinic. A routine clinical examination, skin scraping, and antibiogram-mycologic examination of the body fluids were performed. A hematological examination and the levels of some serum parameters were determined. At the end of mycologic examinations, while there was no reproduction, it was found that the serum zinc level was very low. It was detected after other laboratory examinations that the case was hypothyroidism. All the body hair, except for a small area locally returned to the original colour, decreased activity reported by the animal owner disappeared at the end of the zinc applications and the treatment performed for the hypothyroidism (Biocan-M?). In conclusion, it was determined that the Micanfin vaccine application had not caused any side effects such as leukotrichia and the case was hypothyroidism.
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Puhachenko, Olha, Svetlana Kosenko, and Maxim Babii. "Organization of Forensic Examinations and Expert Research on Economic Issues." Central Ukrainian Scientific Bulletin. Economic Sciences, no. 6(39) (2021): 115–30. http://dx.doi.org/10.32515/2663-1636.2021.6(39).115-130.
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The article studies the organization of forensic examinations and expert research on economic issues. The objective of the article is to study the peculiarities of the organization of forensic examinations and expert research on economic issues, including practical activities of Kirovohrad State Research Forensic Centre of the Ministry of Internal Affairs of Ukraine. The study was conducted on the basis of the systematic approach using methods of analysis, generalization, grouping and comparison. The method of graphical representation was used for better perception of information about the organization of forensic examinations and expert research on economic issues. It was found that forensic examination and expert research on economic issues is appointed on general grounds in compliance with the Law of Ukraine "On Forensic Examination", Instruction on appointment and conduct of forensic examinations and expert research and Scientific and methodological recommendations on preparation and appointment of forensic examinations and expert research and procedural law. Forensic economic examination includes: examination of accounting documents, tax accounting and reporting; examination of documents on economic activity of enterprises and organizations; examination of documents of financial and credit transactions. Judicial expertise and expert research on economic issues are subordinated to the Ministry of Justice of Ukraine and expert services of the Ministry of Internal Affairs of Ukraine, the Ministry of Defense of Ukraine, the Security Service of Ukraine and the State Border Guard Service of Ukraine. In general, the procedure for the appointment and conduct of forensic examinations and expert research on economic issues, as well as the rights, duties and responsibilities of forensic experts in procedural law are similar. It is established that the basis for the forensic examination is the relevant court decision or the decision of the pre-trial investigation body, or a contract with an expert or expert institution if the examination is conducted at the request of others. It is determined that in Ukraine, in accordance with the procedural legislation of Ukraine, experts perform primary, additional, repeated, commission and complex examinations, and expert examinations are performed in the manner prescribed for examinations. The peculiarities of the organization of complex and commission forensic economic examination are generalized. Prospects for further research are seen in the analysis of the existing procedure for documenting the results of examinations and expert studies, features of the choice of research methods and methods of forensic economic examinations, as well as in improving regulations and normative documents on the organization of forensic examinations and expert research on economic issues.
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Olds, Kelly, Michael Rodriguez, and Neil Langlois. "Can trends in coronial post-mortem examinations be determined from the ncis database?" Pathology 48 (February 2016): S93. http://dx.doi.org/10.1016/j.pathol.2015.12.259.
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MOORE, E., and M. G. O'CALLAGHAN. "Helminths of dogs and cats determined by faecal examinations in Adelaide, South Australia." Australian Veterinary Journal 62, no. 6 (June 1985): 198–99. http://dx.doi.org/10.1111/j.1751-0813.1985.tb07297.x.
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Djokovic, Radojica, and Horea Samanc. "Lipid and glycogen contents in liver of high-yield dairy cows in peripartal period." Veterinarski glasnik 58, no. 1-2 (2004): 77–83. http://dx.doi.org/10.2298/vetgl0402077d.
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Liver tissue samples were taken by biopsy from Holstein cows in advanced stages of gravidity and in early lactation for pathological-histological examinations. Lipid content in hepatocytes was determined using the stereometric method by calculating volume density, and of glycogen using semi-quantitative microscopic examination of sections stained according to the method of Best. Pathological-histological examinations of liver tissue samples in healthy animals, gravid or peripartal cows did not reveal lipid infiltration or cell degeneration, and hepatocytes were completely or partly filled with glycogen. In ketotic cows, pathological-histological examinations of liver tissue samples showed lipid infiltration and hepatocyte degeneration of different intensity. In only one ketotic cow, we determined a slight degree of lipid infiltration, there was a medium degree of lipid infiltration and degeneration in six cows, and three cows were found to have a grave form of fatty liver. The quantity of glycogen in hepatocytes is in negative correlation with the degree of lipid infiltration and degeneration. In severe cases of fatty liver, glycogen is completely absent from hepatocyte cytoplasm.
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Nowicki, Andrzej. "Safety of ultrasonic examinations; thermal and mechanical indices." Medical Ultrasonography 22, no. 2 (May 11, 2020): 203. http://dx.doi.org/10.11152/mu-2372.
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This review article combines the reports on the biophysical effects in ultrasonography and provides the rationale behind the mechanical index (MI) and thermal index (TI) complying with the Output Display Standard (ODS). Safe ultrasonic doses are determined according to specific rules, and the screen displays the associated quantities MI and TI. The introduced indices MI and TI take into account the physical mechanism of interaction between ultrasounds and biological tissue, which depends on the temporal and spatial parameters of the acoustic field generated by ultrasound transducers. The predicted temperature increase is determined using three different tissue models: homogeneous, layered and bone/tissue interface.
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Hadinata, I. Made Hendra, and Ni Nyoman Rupiasih. "Monitoring the Absorption Dose of X-ray Radiation on the Thoracic Examination." BULETIN FISIKA 21, no. 1 (February 3, 2020): 8. http://dx.doi.org/10.24843/bf.2020.v21.i01.p02.
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The study of monitoring the absorption dose of X-ray radiation received by thoracic examination patients has been conducted. The absorbance dose received by the patient is calculated from the exposure factor data consisting of electric voltage (kV), current (mA), time (s), and examination distance (m). Data were obtained from 130 male patients and 60 female patients, who performed thoracic examinations in a Posterior Anterior (PA) position. The absorbed dose received by male and female patients is compared with the maximum absorbed dose determined by BAPETEN for thoracic examinations on adult patients, which is 0.4 mGy. Differences in the absorbed dose received by male and female patients were identified by the T-test of two free samples with a significance level of 0.05. The results showed that the dose of X-ray radiation received by male and female patients was still below the maximum absorbed dose determined by BAPETEN, and the results of the T-test showed no significant difference in the absorbed dose received by male and female patients.
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Tkachenko, T. B., and Yulia D. Garipova. "The main reasons for applying to the courts of patients who received orthodontic care in Saint Petersburg (retrospective analysis)." Russian Journal of Dentistry 24, no. 4 (December 16, 2020): 262–65. http://dx.doi.org/10.17816/1728-2802-2020-24-4-262-265.
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This article presents a retrospective analysis regarding the reasons for patients to undergo a forensic examination, while receiving orthodontic treatment in Saint Petersburg. The number of forensic examinations in orthodontics among all the dental complaints over the past decade has been determined, and the structure of these complaints and the conclusions of the expert commission have also been studied.
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Gardner, Timothy B., and Stuart R. Gordon. "Interobserver Agreement for Pancreatic Endoscopic Ultrasonography Determined by Same Day Back-to-Back Examinations." Journal of Clinical Gastroenterology 45, no. 6 (July 2011): 542–45. http://dx.doi.org/10.1097/mcg.0b013e3181f42d69.
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Yoshida, Koji, Lucian Krille, Steffen Dreger, Lars Hoenig, Hiltrud Merzenich, Kiyotaka Yasui, Atsushi Kumagai, et al. "Pediatric computed tomography practice in Japanese university hospitals from 2008–2010: did it differ from German practice?" Journal of Radiation Research 58, no. 1 (January 1, 2017): 135–41. http://dx.doi.org/10.1093/jrr/rrw074.
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Abstract Computed tomography (CT) is an essential tool in modern medicine and is frequently used to diagnose a wide range of conditions, particularly in industrial countries, such as Japan and Germany. However, markedly higher doses of ionizing radiation are delivered during CT imaging than during conventional X-ray examinations. To assess pediatric CT practice patterns, data from three university hospital databases (two in Japan and one in Germany) were analyzed. Anonymized data for patients aged 0 to 14 years who had undergone CT examinations between 2008 and 2010 were extracted. To assess CT practice, an interdisciplinary classification scheme for CT indications, which incorporated the most common examination types and radiosensitive tissues, was developed. The frequency of CT examinations was determined according to sex, age at examination, and indications. A total of 5182 CT examinations were performed in 2955 children. Overall, the frequency of CT examinations at the Japanese university hospitals did not differ significantly from that at the German hospital. However, differences were detected in the age distribution of the patients who underwent CT examinations (the proportion of patients <5 years of age was significantly higher in Japan than in Germany) and in the indications for CT. Substantial practice differences regarding the use of CT in pediatric health care were detected between the three hospitals. The results of this study point towards a need for approaches such as clinical guidelines to reduce unwarranted medical radiation exposures, particularly abdominal and head CT, in the Japanese health system.
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Kaverina, Elina. "FEATURES OF THE METHODOLOGY FOR THE RESEARCH OF THE Fulfillment of OBLIGATIONS TO CALCULATE THE INCOME TAX OF ORGANIZATIONS." Russian Journal of Management 10, no. 1 (April 19, 2022): 16–20. http://dx.doi.org/10.29039/2409-6024-2022-10-1-16-20.
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The article is devoted to the peculiarities of the methodology for the production of judicial tax examinations. The issues of tax examinations are very little covered by specialists. The article discusses the main and additional elements of expert studies of the fulfillment of obligations on corporate income tax. Differences in the procedure for the production of tax examinations and tax audits for income tax are determined. As a result, the features of the methodology that affect the discrepancies in the amount of unpaid income tax determined by the tax authorities and forensic experts are highlighted.
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Prusakova, Ksenia V., and Pavel V. Gavrilov. "Long-term broncocele anamnesis, triggered by typical carcinoid." Digital Diagnostics 2, no. 2 (August 10, 2021): 223–30. http://dx.doi.org/10.17816/dd70922.
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The paper presents a case of a single bronchocele (bronchogenic retention cyst) caused by a typical carcinoid that was observed for a long time. During the initial complex examination, including computed tomography with intravenous contrast, fibrobronchoscopy, and immunological and bacteriological examinations of tuberculosis, there were no changes for the oncological and infectious nature. The changes were interpreted as the result of a postponed nonspecific inflammatory process. Most of them were monitored using chest X-ray and the changes were stable. After 15 years, a control chest X-ray revealed an increase in the size of the compaction in the lung and the appearance of a mass with calcification in the medial sections of the compaction zone. Additional examination, including computed tomography with biopsy, determined that the obstruction of the bronchus was caused by a neoplasm [according to histological examination (typical carcinoid)].
It should be noted that the initial detection of negative study results requires oncological alertness and periodic examinations in dynamics.
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Rubis, Lyudmila V., and Yuriy M. Markelov. "Evaluation of the efficiency of preventive examinations of the adult population, aimed at early tuberculosis diagnosis." Medical Journal of the Russian Federation 27, no. 3 (May 15, 2021): 227–35. http://dx.doi.org/10.17816/0869-2106-2021-27-3-227-235.
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BACKGROUND: In Russia, compared with other countries, at least 65% of the population must undergo an annual fluorographic examination for early tuberculosis detection.
AIM: This study aimed to assess the impact of mass fluorographic examinations of the adult population on the main epidemiological factors and indicators of prompt tuberculosis detection.
MATERIALS AND METHODS: The morbidity and mortality from tuberculosis have been analyzed along with the efficiency of its detection during preventive examinations, the proportion of destructive forms of the disease, and the 1-year mortality rate in four federal districts from 2014 to 2019.
RESULTS: For all districts, low efficiency of preventive examinations was registered (1 patient per 2,0005,000 people examined), as well as its strong correlation with morbidity and, in case of its absence, with the coverage of examinations. The change in morbidity and mortality rates over time was independent of the mass screening volume of the adult population. The relative risk indicators of increased morbidity and mortality with a decreased number of examinations were 0.4 and 0.3, respectively. The increased coverage of the population with examinations was not accompanied by an improved indicator of detection timeliness, namely a decreased incidence of destructive forms and 1-year mortality rate. The incidence of tuberculosis is determined by socioeconomic factors, which influence the level and living conditions of the population.
CONCLUSIONS: This study established the low efficiency of mass fluorographic examinations of the population, lack of influence of coverage with examinations on the epidemiological situation, and the timeliness of tuberculosis detection.
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Dickenson, Edward, Imran Ahmed, Miguel Fernandez, Philip O'Connor, Philip Robinson, Robert Campbell, Andrew Murray, et al. "Professional golfers’ hips: prevalence and predictors of hip pain with clinical and MR examinations." British Journal of Sports Medicine 50, no. 17 (April 22, 2016): 1087–91. http://dx.doi.org/10.1136/bjsports-2016-096008.
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AimsThis study aimed to determine the prevalence of hip pain in professional golfers, comparing the lead (left hip in right-handed golfer) and trail hips, and to establish what player characteristics predicted hip symptoms.MethodsMale elite professional golf players were invited to complete questionnaires and undergo clinical and MR examinations while attending the Scottish Hydro Challenge 2015. Questionnaires determined player demographics, self-reported hip pain and an International Hip Outcome Tool 12 (iHOT12) score (hip-related quality of life). Clinical examinations determined hip range of motion and the presence of a positive impingement test. MR scans determined the presence of labral pathology and player hip morphology with measures of α angle (cam), acetabular depth (pincer) and femoral neck antetorsion.ResultsA total of 109 (70% of tournament field) of players completed questionnaires, 73 (47%) underwent clinical examination and 55 (35%) underwent MR examination. 19.3% of players reported of hip pain. 11.9% of lead and 9.1% of trail hips were painful (p=0.378), iHOT12 scores were lower in the lead (94.1) compared to the trail hip (95.3) (p=0.007). Stepwise multiple linear regression modelling was able to predict 20.7% of the variance in iHOT12 scores with mean α angles between 12 and 3 o'clock, and increasing age-significant variables (R2=0.207, p<0.001; β=−0.502, p<0.001 and β=−0.399, p=0.031, respectively).Conclusions19.3% of male professional golfers reported hip pain. The presence of an increasing α angle and increasing age were significant predictors of reduced hip-related quality of life.
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LOZA, Tetiana. "Evaluation of the expert's opinion in the criminal process." Economics. Finances. Law 3, no. - (April 11, 2022): 5–8. http://dx.doi.org/10.37634/efp.2022.3.1.
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Introduction. One of the factors negatively affecting the quality of the investigation of crimes is the improper use of the results of forensic examinations in the process of proving and their incorrect assessment. In most cases, the investigator, the investigating judge, the prosecutor and the court regard the expert's opinion as a fundamental truth, which is crucial for substantiating the procedural decision. At the same time, the case law shows that experts often make mistakes both in choosing the methods of examination and in expert assessment. The purpose of the paper is studying some issues of the main properties of the assessment of the expert's opinion in criminal proceedings. Results. Evaluation of the expert's opinion – one of the stages of the formation of the expert's opinion as evidence, during and as a result of which is determined, in fact, its probative value; the appropriateness of the expert's opinion is determined by its content, it determines the suitability of the opinion to serve as a means of establishing circumstances relevant to criminal proceedings; the admissibility of the expert's opinion is determined mainly by compliance with the procedural procedure and requirements for forensic examinations; the reliability of the expert's opinion is determined by the completeness and correctness of the substantive and scientific approaches used by the expert in establishing a specific fact during the expert study. Conclusion. Evaluation of the expert's opinion is essentially a time-consuming task, the content of which is to carefully study the opinion. Without the involvement of relevant specialists, the investigator, investigating judge, prosecutor, court, using their knowledge and being legal practitioners, can easily identify inconsistencies in the conclusion of the formal requirements prescribed by law. As for the content of the conclusion, it causes significant difficulties.
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Kolotov, S. M. "Evaluation and Use the Forensic Financial and Economic Expertise’s Results of Operations with Digital Assets." Courier of Kutafin Moscow State Law University (MSAL)), no. 2 (May 9, 2022): 143–49. http://dx.doi.org/10.17803/2311-5998.2022.90.2.143-149.
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The article considers the problem of assessment and use of the results of forensic financial and economic examination of transactions with digital assets, including those created using blockchain technology. The problems of assessing the competence of the forensic expert, as well as the peculiarities of assessing the expert opinion of the forensic financial and economic examination of transactions with digital assets created using blockchain technology were determined. The issue of suitability of objects used by the forensic expert in the course of these examinations is considered.
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Grebinichenko, G. O., I. Y. Gordienko, and O. M. Tarapurova. "Methodology of prenatal ultrasound examinations in congenital diaphragmatic hernia." Український радіологічний та онкологічний журнал 29, no. 4 (December 23, 2021): 119–33. http://dx.doi.org/10.46879/ukroj.4.2021.119-133.
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Background. Congenital diaphragmatic hernia is a complex malformation with high anatomical and clinical variability. Prenatal ultrasound examinations allow one to assess the severity of pathological process in a particular case in order to determine the management of pregnancy, labor and neonatal period. However, the rarity of this pathology and some features of ultrasound imaging can lead to low informative value of the examination. Purpose – to present a detailed methodology of prenatal ultrasound examinations in fetal congenital diaphragmatic hernia, taking into account anatomical variants of pathology and features of US imaging at different terms of pregnancy, and to characterize the preconditions for diagnostic errors. Materials and methods. The data on prenatal ultrasound examinations of 265 high-risk pregnant women with fetal diaphragmatic hernia conducted during the period of 2007–2020 in the Department of Fetal Medicine of State Institution «Institute of Pediatrics, Obstetrics and Gynecology named after Academician O.M. Lukyanova of National Academy of Medical Sciences of Ukraine», were systemized. US examinations were performed on systems HDI 4000, ACCUVIX V20EX-EXP, ACCUVIX V10LV-EX. Isolated anomaly was detected in 192 (72.5 %) cases, associated congenital malformations in 65 (24.5 %), chromosomal pathology in 8 (3.0 %). Left-sided hernia was diagnosed in 85.7 % of cases (n = 227), right-sided – in 12.1% (n = 32), central in 1.1 % (n = 3), bilateral in 1.1 % (n = 3). Location of abdominal, retroperitoneal and thoracic organs was determined, as well as specifics of their US imaging in different terms of pregnancy. Results. Methodology of prenatal ultrasound examination of fetuses with congenital diaphragmatic hernia was developed taking into account the specifics of pathological anatomy and ultrasound imaging. Typical and rare variants of thoracic and abdominal organs’ localization in the standard cross section plane at the level of the four chambers of the heart were characterized, preconditions and variants of diagnostic errors were determined. The methods of correct measurement of the thorax, lungs, liver, and also methods of prognostic indices’ calculation for determining the degree of pulmonary hypoplasia and the degree of liver herniation were presented. Conclusions. Prenatal ultrasound semiotics of congenital diaphragmatic hernia is characterized by considerable variability, and contains significant risks of diagnostic errors. The presented methodology of unified ultrasound examinations allows for systematic assessment, which results in correct prenatal diagnosis, determination of the pathology severity, and prognosis – for the correct choice of pregnancy and labor management.
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N. V. Gubin. "Problem questions of medicolegal examination of traumas of the organs of the respiratory system in live persons." Bukovinian Medical Herald 17, no. 3 (67) p.1 (August 2, 2013): 49–50. http://dx.doi.org/10.24061/2413-0737.xvii.3.67.2013.128.
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On the basis of studying archival medicolegal materials, a content-analysis of medicolegal expert examinations has been carried out by determining the severity level of the physical injuries connected with traumas of the organs of the respiratory system. Problem questions of medico-legal diagnostics of this particular kind of trauma have been detected. Ways of improving a forensic-medical examination of traumas of the organs of the respiratory system of live persons have been determined.
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Yadav, Satish Chandra, and Dev Shankar Yadav. "Parameters determining the severity of acute pancreatitis." International Journal of Clinical Case Reports and Reviews 10, no. 4 (February 7, 2022): 01–06. http://dx.doi.org/10.31579/2690-4861/192.
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Early determination of the severity of pancreatitis can help in guiding the mode of treatment and predicting the disease outcomes. The severity of acute pancreatitis can be determined by history, physical examination, laboratory markers, and radiological examinations. Among these parameters CRP, Ranson, Glasgow are simple and cost-effective test, which is useful in clinical practice. APACHE II score, Balthazar score, BISAP score and cytokines are the best parameters to determine the severity and disease outcomes.
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Bagher Farahdost, Mohammad, and Parviz Saeedi. "Performance measurement and accountability in government." Journal of Management and Accounting Studies 6, no. 03 (September 29, 2020): 17–21. http://dx.doi.org/10.24200/jmas.vol6iss03pp17-21.
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Objective: Performance examination (measurement) of the public-sector organizations and its accuracy plays a significant role in their achievements once the performance examinations is inappropriate, then the achieved goals or behaviors are un suitable inevitably. The examinations system has been many years prevalent in the public sector among most of the developed as well as some developing countries. Some states introduce performance examination and reportage as the accountability technology. Methodology: The rhetorical analyses acknowledge that the performance examination call be determined in another way. Results: In the performance measurement, if we analyze the state account ability properly as the account ability technique. We will observe that instead of being effective, measuring performance can be more misleading which separates the people and government in the communication of people with the state processes. Conclusion: Introduction of the commitment accounting in the government provides the possibility of the perorcement measurement of the program through presenting the details of the cost price of the programs the possibility of the financial status evaluation through showing the all resources and commitments.
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JESTCZEMSKI, F., H. BOLTERAUER, and M. SERNETZ. "COMPARISON OF THE SURFACE DIMENSION AND THE MASS DIMENSION OF BLOOD VESSEL SYSTEMS." Fractals 04, no. 02 (June 1996): 123–32. http://dx.doi.org/10.1142/s0218348x96000170.
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The arterial blood vessel system of kidneys is known to be fractal with a global mass dimension of 2.2 to 2.3. The global mass dimensions were determined by the mass-radius method.1 We support these results of the mass correlation analysis with an examination of the surface, which is in good approximation with the "true mass" of the border between the tissue (parenchyma) and the blood. We applied the Minkowski cover to the vessel surfaces and determined their scaling behavior, which yielded the surface global dimension. The examinations on kidney arteries1 are supplemented with new data of placentoma arteries2 and a comparison is made between their surface and mass dimensions.
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Porоdenko, V. A., S. A. Anuprienko, N. A. Garkusha, K. A. Grigoryan, M. N. Yashchenko, and G. V. Potemkin. "Dynamics and Structure of Expert Panel Examinations in Medical Malpractice Cases in the Krasnodar Krai (2010–2018)." Kuban Scientific Medical Bulletin 26, no. 4 (September 15, 2019): 66–75. http://dx.doi.org/10.25207/1608-6228-2019-26-4-66-75.
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Aim. The paper analyses the dynamics and structure of forensic medical examinations conducted by an expert panel in cases involving medical malpractice in the Krasnodar Krai (2010– 2018).Materials and methods. The authors studied the annual reports along with the archived copies of expert panel reports on the cases of medical malpractice submitted in 2010–2018 by the Department for Complex and Expert Panel Examinations (Bureau for Forensic Medical Examination, Krasnodar). The obtained results were processed using Microsoft Excel 2010 and SPSS Statistics Data Editor v.17.0. In this study, the authors employed the following methods: retrospective, comparative and analytical.Results. In 2010–2018, a total of 1,023 expert panel examinations were conducted in cases involving medical malpractice. A steady increase in the number of examinations (from 36 in 2010 to 245 in 2018) is associated with the growing number of citizens complaining about the poor quality of medical care, the interest of judicial and investigation authorities in looking into such offences, etc. A direct cause-and-effect relationship between imperfect and erroneous healthcare delivery and ensuing adverse effects was established in 212 cases, whereas indirect or no relationship was determined in 130 and 644 cases, respectively. The number of examinations pertaining to criminal cases amounted to 29.1%, showing an increase by 3.5 times (from 16 in 2010 to 57 in 2018); while the number of examinations related to civil cases and those conducted during pre-investigation checks came to 18.2% and 52.7%, respectively.Conclusion. The study shows a steady increase in the number of examinations related to medical malpractice (including criminal cases), which reveal a direct cause-and-effect relationship between errors in healthcare delivery and clinical outcomes
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Sorge, Ina, Franz Wolfgang Hirsch, Dirk Voit, Jens Frahm, Matthias Krause, Christian Roth, Peter Zimmermann, and Daniel Gräfe. "Decreased Need for Anesthesia during Ultra-Fast Cranial MRI in Young Children: One-Year Summary." RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren 194, no. 02 (October 13, 2021): 192–98. http://dx.doi.org/10.1055/a-1561-2430.
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Purpose Rapid volume coverage sequences based on real-time MRI allow for scanning of the entire brain within a few seconds. Movements of children become almost irrelevant due to the ultra-fast acquisition of 30 ms per slice. The adoption of these sequences in a real-time cranial MRI protocol (RT-cMRI) is expected to reduce the frequency of examinations requiring anesthesia in infants and toddlers. The aim of the study was to quantify the reduction in the number of anesthesia examinations in young children after the implementation of the new RT-cMRI protocol. Materials and Methods All cMRI studies of children up to 6 years in the first 12 months after the establishment of the RT-cMRI 2019/2020 were retrospectively compared to a matched group of the same period in 2017/2018. The frequency of examinations under anesthesia vs. non-sedation examinations was analyzed. In addition, the number of follow-up examinations and the effectiveness of RT-cMRI was determined. Results The launch of RT-cMRI led to a significant decrease in the proportion of cMRI under anesthesia from 92 % to 55 %. Only 2 % of the RT-cMRI failed and required conventional MRI under sedation in the follow-up. The speed and ease of use of RT-cMRI increased the number of follow-up examinations from 1.3 to 1.4 examinations per child. Conclusion This innovative real-time MRI examination allows a drastic reduction in the number of studies under anesthesia for suitable cranial pathologies in children under 6 years. However, cautious selection of indications as well as adjustments to the workflow in the radiological department are required. Key Points: Citation Format
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Milošević, M., N. Pejić, Ž. Čupić, S. Anić, and Lj Kolar-Anić. "Examinations of Cross-Linked Polyvinylpyridine in Open Reactor." Materials Science Forum 494 (September 2005): 369–74. http://dx.doi.org/10.4028/www.scientific.net/msf.494.369.
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Macroporous cross-linked copolymer of 4-vinylpyridine and 25% (4:1) divinylbenzene is analyzed under open conditions, that is in a continuous well-stirred tank reactor (CSTR). With this aim the appropriate bifurcation diagram is found and the behavior of the system with and without polymer in the vicinity of the bifurcation point is used for the polymer examinations. Two different granulations of polymer are considered. Moreover, some physicochemical characteristics of the polymer, such as specific surface area, skeletal and particle density, are determined.
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Shetty, Jyothi, Vinod Aahir, Deeksha Pandey, Prashanth Adiga, and Asha Kamath. "Fetal Head Position during the First Stage of Labor: Comparison between Vaginal Examination and Transabdominal Ultrasound." ISRN Obstetrics and Gynecology 2014 (March 27, 2014): 1–5. http://dx.doi.org/10.1155/2014/314617.
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Introduction. Recent evidence indicates that clinical examination, for determination of fetal head position, is subjective and inaccurate. Present study was aimed to compare transabdominal ultrasound for fetal head position with vaginal examination during first stage of labor. Material and Methods. This prospective study was performed at a tertiary center during a two-year period. Before or after clinically indicated vaginal examinations, transverse suprapubic transabdominal real-time ultrasound fetal head position assessment was done. Frequencies of various ultrasound depicted fetal head positions were compared with position determined at vaginal examination. Results. In only 31.5% of patients, fetal head position determinations by vaginal examinations were consistent with those obtained by ultrasound. Cohen’s Kappa test of concordance indicated a poor concordance of 0.15. Accuracy of vaginal examination increased to 66% when fetal head position at vaginal examination was recorded correct if reported within +45° of the ultrasound assessment. Rate of agreement between the two assessment methods for consultants versus residents was 36% and 26%, respectively (P=0.17). Conclusion. We found that vaginal examination was associated with a high error rate in fetal head position determination. Data supports the idea that intrapartum transabdominal ultrasound enhances correct determination of fetal head position during first stage of labor.
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Ojagbemi, Akin, Robin Emsley, and Oye Gureje. "Proposing the short Neurological Evaluation Scale." Acta Neuropsychiatrica 29, no. 4 (October 24, 2016): 236–43. http://dx.doi.org/10.1017/neu.2016.55.
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ObjectivesThe time required in completing the 26 items of neurological examinations in the standard Neurological Evaluation Scale (NES) may limit its utility in pragmatic clinical situations. We propose the Short Neurological Evaluation Scale (S-NES) for use in busy clinical settings, and in research.MethodsUsing confirmatory factor analyses, we identified 12 items of neurological examination showing significant overlap with previously reported theoretical and empirical categories of neurological soft signs (NSS) in schizophrenia. This provided justification for the development of a shorter version of the NES based on the empirically identified NSS. In the present study, we relied on existing data to present an initial validation of the S-NES against the referent standard 26-item NES. We determined sensitivity, specificity, and likelihood ratios. Posterior-test probability was estimated using a Bayesian nomogram plot.ResultsUsing data derived from 84 unmedicated or minimally treated patients with first-episode schizophrenia, 12 empirically determined items of neurological examinations showed high agreement with the 26 items in the standard NES battery (sensitivity=96.3%, specificity=100%, and posterior-test probability=100%).ConclusionsWithin limitations of validity estimates derived from existing data, the present results suggest that the design of the S-NES based on empirically identified 12 items of neurological examination is a logical step. If successful, the S-NES will be useful for rapid screening of NSS in busy clinical settings, and also in research.
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Potemkin, B. E., and A. A. Tkachenko. "Assessment of the complexity of outpatient forensic psychiatric examinations." V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY, no. 1 (May 15, 2019): 93–101. http://dx.doi.org/10.31363/2313-7053-2019-1-93-101.
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The authors discuss the issue of objective assessment of complexity in forensic psychiatric evaluation. The complexity of expert assessment is determined by a combination of factors hampering clinical diagnosis and making it difficult to assess the legal significance of a mental disorder. There have been four groups of complexity of examinations in civil cases and three groups of complexity of expertise in criminal cases singled out.
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Baranov, Alexander A., Leila S. Namazova-Baranova, Rimma N. Terletskaya, Elena V. Antonova, Natalya V. Ustinova, Elena N. Baibarina, and Olga V. Chumakova. "Results of routine medical examinations of the children’s population of the russian federation in 2014." Pediatrician (St. Petersburg) 8, no. 1 (March 15, 2017): 33–39. http://dx.doi.org/10.17816/ped8133-39.
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The relevance of this research was determined by the need for enhancement and increase in the efficiency of routine medical examinations of minors in the Russian Federation. The information and statistical materials of medical examination of the children’s population in 2014 in terms of the health of various age groups in a section of federal districts and subjects were studied. The following indicators were studied: coverage of the children’s population by routine medical examination; level and structure of the revealed general and primary morbidity; frequency of dispensary registration; need for additional consultations; and researches and treatment in an outpatient clinic, a day hospital, a hospital with round-the-clock services, and sanatorium organizations as well as coverage by these medical services. A high level of coverage of minors by routine medical examinations was registered. More than one-third of the healthy children’s population passed the medical examination. The revealed general and primary morbidity of the children’s population in more than one-third of subjects is above mean Russian levels. Diseases of the respiratory organs, bone, and muscular and nervous systems are the most common among children, whereas diseases of the bone and muscular system, eyes, and respiratory organs are common among teenagers. Despite the high prevalence of chronic diseases among the children’s population, recommendations for treatment and rehabilitation were given insufficiently during routine medical examinations. Regional characteristics of the medical examination results, which allowed for the identification of the most disadvantaged areas and defects in its organization and the lack of continuity between medical institutions providing this type of service, have been established.
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Tworek, Joseph A., David S. Wilkinson, and Molly K. Walsh. "The Rate of Manual Microscopic Examination of Urine Sediment: A College of American Pathologists Q-Probes Study of 11 243 Urinalysis Tests From 88 Institutions." Archives of Pathology & Laboratory Medicine 132, no. 12 (December 1, 2008): 1868–73. http://dx.doi.org/10.5858/132.12.1868.
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Abstract Context.—The manual microscopic examination (MME) of the urine sediment is an imprecise and labor-intensive procedure. Many laboratories have developed rules from clinical parameters or urinalysis results to limit the number of these examinations. Objective.—To determine the rate of urinalysis specimens on which an MME of the urine sediment was performed, document how various rules influence this rate, and determine whether any new information was learned from the MME. Design.—Participants selected 10 random urinalysis tests received during each traditional shift and determined if an MME was performed until a total of 50 urinalysis tests with an MME were reviewed. Participants recorded the rules that elicited an MME and any new information learned from such an examination. Results.—The MME rate for the median institution was 62.5%. An MME of urine was most frequently done for an abnormal urinalysis result and often resulted in new information being learned, irrespective of the rule that elicited the MME. The median institution learned new information as a result of the manual examination 66% of the time. The use of an automated microscopic analyzer was associated with fewer manual examinations (P = .005), whereas the ability of a clinician to order a manual examination was associated with more manual examinations (P = .004). Conclusions.—The use of an automated microscopic analyzer may decrease the number of MMEs. An MME when triggered by an abnormal macroscopic appearance of urine, a physician request, or virtually any positive urinalysis result often resulted in new information.
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Gusieva, V. O. "Appointment of forensic examinations during the investigation of violence against a law enforcement officer: problems and ways to solve." Law and Safety 82, no. 3 (September 29, 2021): 102–12. http://dx.doi.org/10.32631/pb.2021.3.11.
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The aim of the study was to identify common mistakes made by investigators during the appointment of forensic examinations in criminal proceedings initiated in connection with the commission of violence against law enforcement officers, and possible ways to solve them. To achieve this goal, special research methods were used, namely: the method of system analysis, comparative legal method, system and structural and forecasting method, as well as statistical methods, including methods of grouping and analysis of quantitative indicators. It has been established that forensic examinations play an important role in the investigation of violence against law enforcement officers. It is determined that the subject of forensic examination of living persons (establishing the severity of injuries) is to determine a set of issues regarding the type of injuries, their number, nature and location, age and sequence of infliction, determining their severity etc. It is established that on average during the investigation of crimes of this category two examinations are appointed.
On the basis of the performed analysis the possibilities of forensic medical examinations in criminal proceedings of the specified category are defined, and also the typical mistakes which investigators make at their appointment during investigation are identified. The scientific position is substantiated that the typical mistakes are: appointment of several examinations to address the same issues, incorrect definition of the type of examination, failure to provide sufficient medical data needed by the expert to address a number of issues, including criminal proceedings, late appointment of forensic examinations, incorrect posing questions to the expert. Recommendations for preventing certain mistakes are formulated.
It is emphasized that the most effective ways to eliminate the typical mistakes of investigators are to provide systematic training with investigators with the participation of practicing forensic experts. It is proved that the solution of certain problems is possible only by making appropriate changes in the current criminal procedure legislation.
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O’Flynn, J., T. G. Dinan, and J. R. Kelly. "Examining stress: an investigation of stress, mood and exercise in medical students." Irish Journal of Psychological Medicine 35, no. 1 (October 9, 2017): 63–68. http://dx.doi.org/10.1017/ipm.2017.54.
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ObjectivesStress is an event that threatens homoeostasis and thus causes physiological and behavioural responses to reinstate equilibrium. Excessive and/or chronic stress can be psychologically and physiologically detrimental. Examinations can represent a significant source of stress for students. The hypothalamic–pituitary–adrenal axis (HPA) is the core endocrine stress system. Investigations into the HPA response to examinations have yielded inconsistent results. The aim of this study is to further explore the relationship between examination stress, HPA axis activity, mood, sleep and exercise in students undergoing a naturalistic examination period stressor.MethodsIn total, 16 medical students participated. Students completed self-reported stress, anxiety, mood, sleep and physical activity questionnaires, and provided saliva samples during an examination-free period and an examination period 1 month later. The cortisol awakening response, representative of HPA activity, was determined from saliva samples by enzyme-linked immunosorbent assay.ResultsAnxiety levels increased (p=0.04) and mood decreased (p=0.05) during the examination period. There was concomitant decease in physical activity levels (p=0.02). There was no significant increase in HPA activity during the examination period (p=0.29). Sleep quality did not significantly worsen (p=0.55) during the examination period.ConclusionsExamination periods are associated with increased anxiety levels, lower mood and decreased physical activity. Future studies incorporating examination results and cognitive function may help to identify potential protective interventional strategies, while optimising performance.
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Ring, György, Eszter Bognár, and János Dobránszky. "Coronary Stents’ Materials and Examinations of Surface and Expansion Features." Materials Science Forum 537-538 (February 2007): 449–56. http://dx.doi.org/10.4028/www.scientific.net/msf.537-538.449.
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In our study we summarise the materials and manufacturing technologies of coronary stents used nowadays. Different testing methods for stent’s features are presented and main expansion features such as recoil and foreshortening are determined. The most frequent failures caused by the expansion of the coronary stents are also shown.
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Safiullina, A. A., A. A. Zainullina, and A. R. Gajnutdinov. "Clinical and Neurophysiological Criteria for Evaluation of Effectiveness of Osteopatic Treatment of Myofascial Pain." Russian Osteopathic Journal, no. 3-4 (December 30, 2017): 31–39. http://dx.doi.org/10.32885/2220-0975-2017-3-4-31-39.
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Goal of research - the study aims to examine the clinical and neurophysiological criteria for evaluating the effectiveness of osteopathic treatment for patients with myofascial pain.Materials and methods. The authors conducted a complex clinical and instrumental examination of 40 people of working age with myofascial pain syndrome of the humeroscapular region. The control group included 20 presumably healthy volunteers of the same age and sex as the main group of subjects of the study. Each patient was subjected to clinical and neurological examinations, neuro-orthopedic and osteopathic examinations, and psychological testing. The electro-neurophysiological part of the work consisted in the study of somatosensory evoked potentials, and polysynaptic refl ex excitability.Results. The authors determined a correlation between the data of the psychological study, the parameters of the blinking refl ex and somatosensory evoked potentials.Conclusion. The data obtained from the complex clinical and neurophysiological examination allow substantiating the pain syndrome before and after treatment. The data can be used as one of the criteria for diagnosis and effectiveness of the treatment of myofascial, in particular, humeroscapular, pain syndrome.
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Konopka, Z., A. Chojnacki, A. Chojnacki, M. Łągiewka, and A. Zyska. "The Influence of Home Scrap on Porosity of MgAl9Zn1 Alloy Pressure Castings." Archives of Foundry Engineering 17, no. 1 (March 1, 2017): 99–102. http://dx.doi.org/10.1515/afe-2017-0018.
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Abstract The work presents the results of examinations concerning the influence of various amounts of home scrap additions on the porosity of castings made of MgAl9Zn1 alloy. The fraction of home scrap in the metal charge ranged from 0 to 100%. Castings were pressure cast by means of the hot-chamber pressure die casting machine under the industrial conditions in one of the domestic foundries. Additionally, for the purpose of comparison, the porosity of specimens cut out directly of the MgAl9Zn1 ingot alloy was also determined. The examinations consisted in the qualitative assessment of porosity by means of the optical microscopy and its quantitative determination by the method of weighting specimens in air and in water. It was found during the examination that the porosity of castings decreases with an increase in the home scrap fraction in the metal charge. The qualitative examinations confirmed the beneficial influence of the increased home scrap fraction on the porosity of castings. It was concluded that the reusing of home scrap in a foundry can be a good way of reduction of costs related to the production of pressure castings.
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Tonkopi, Elena, Cupido Daniels, Mary J. Gale, Stephanie C. Schofield, Vicki A. Sorhaindo, and Jeanne L. VanLarkin. "Local Diagnostic Reference Levels for Typical Radiographic Procedures." Canadian Association of Radiologists Journal 63, no. 4 (November 2012): 237–41. http://dx.doi.org/10.1016/j.carj.2011.02.004.
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Purpose To establish local diagnostic reference levels (DRL) for typical radiographic examinations in a fully digital imaging institution. Methods The initial survey included 6 standard radiographic projections performed in 19 computed radiography (CR) and digital radiography (DR) rooms. Because of the expected difference in the performance, the local reference levels were analysed separately for those 2 modalities. Data of 226 average size adult patients were included in the analysis. Entrance surface dose (ESD) was calculated from the recorded radiographic techniques and tube radiation output measurements. After observing wide variations in the results of the patient survey, the examinations were repeated by using anthropomorphic phantoms. Initial efforts to understand the reasons for dose variations were focused on CR chest, abdomen, pelvis, and lumbar spine examinations. Results The average size patient doses for similar examinations were lower in the DR rooms than in the CR rooms by factors that ranged from 1.2 to 3, with the exception of the chest examination. Standardization of the CR exposure index value allowed us to decrease ESD by 21%-30%. Detector sensitivity had an insignificant effect (2%) on ESD; proper collimation lowered the dose by 17%. However, the major effect, up to 46% difference, was found because of antiscatter grids cutoff. Conclusion Modality specific local diagnostic reference levels for standard examinations have been established in a large digital imaging department with hybrid modalities. Typically the local reference values were lower than those recommended in Safety Code 35, except for CR chests. Factors that affect the dose variations have been investigated and determined.
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Humeniuk, Ewa, Olga Dąbska, Katarzyna Pawlikowska-Łagód, Anna Goś, and Małgorzata Matuska. "Interest in screening examinations among cancer patients." Pielegniarstwo XXI wieku / Nursing in the 21st Century 16, no. 3 (September 26, 2017): 5–11. http://dx.doi.org/10.1515/pielxxiw-2017-0021.
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Abstract Aim. To determine the influence of socio-demographic variables on attendance rate at screening examinations in cancer patients. Material and methods. The research group comprised of 100 cancer patients. The method applied in the research was a diagnostic survey. The research instrument was the authors‘ own questionnaire specially compiled to measure cancer patients‘ interest in screening examinations. The research material was analysed with the statistical packet STATISTICA 12 and Microsoft Office Excel software. Significance level was assumed at p<0.05 to determine statistically significant differences and dependencies. A Chi2 test was used in the research. Results. The surveyed patients mostly did not participate in screening examinations aimed at diagnosing cancer (66%). Their Age (p=0.05), gender (p=0.003) and place of residence (p=0.04) determined their participation rate in screening tests. The patients‘ marital status (p=0.47), education (p=0.85) and economic status (p=0.13) did not affect their willingness to attend screening examinations. Conclusions. The process of cancer incidence and death rate limitation requires greater participation of the population in prevention programmes.
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Anjum, Armghan, Haseeb Anwar, Muhammad Umar Sohail, Syed Muhammad Ali Shah, Ghulam Hussain, Azhar Rasul, Muhammad Umar Ijaz, Jaweria Nisar, Naveed Munir, and Asif Shahzad. "The association between serum cortisol, thyroid profile, paraoxonase activity, arylesterase activity and anthropometric parameters of undergraduate students under examination stress." European Journal of Inflammation 19 (January 2021): 205873922110008. http://dx.doi.org/10.1177/20587392211000884.
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Stress caused due to examinations during any degree program and at any educational level has been observed at all levels so the present study was conducted to investigate the stress related to final examination in undergraduate students with reference to their academic performance. Fifty-four volunteers were divided into three groups, ( n = 18), according to their academic performance, that is, Group A with low CGPA (⩽2.99), Group B with average CGPA (⩾3.00–3.59) and Group C with high CGPA (⩾3.60) and blood samples (3 ml) were taken at three-time intervals, that is, pre-examination, during examination and post examination time interval, at the Department of Physiology, Government College University, Faisalabad. Anthropometric parameters like height, weight, blood pressure, heart rate and body mass index (BMI) were also determined. Blood cortisol and thyroid hormones (triiodothyronine, T3; thyroxine, T4) and thyroid stimulating hormone (TSH)) were measured using ELISA based technique. Arylesterase activity (ARE) and paraoxonase activity (PON-1) were also measured using colorimetric method. The results showed that overall cortisol level was increased at pre-examination and during examination time intervals as compared to the post examination time interval while PON-1 and ARE were significantly ( p < 0.05) decreased. With regards to T4 and TSH, a non-significant ( p < 0.05) difference was observed in pre and post examination time interval. It could be concluded from the current study that semester system examinations significantly ( p < 0.05) imposed stress in all students group at pre-examination interval as compare to post examination interval and this examination related stress was find more in the students already obtained low CGPA as compared to the other studied groups. Although, a correlation between academic performance and examinations stress in semester system was found but a large scale trial in multiple institutions throughout the Pakistan is required to exclude any socioeconomic factors because Pakistan belongs to developing country.
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Zarakovitis, Dimitrios, Dimitrios Tsoromokos, Nikolaos Tsaloukidis, and Athina Lazakidou. "Mobile Application for Patients' Waiting Time Control and Management of Diagnostic Imaging Examinations." International Journal of Reliable and Quality E-Healthcare 7, no. 4 (October 2018): 20–33. http://dx.doi.org/10.4018/ijrqeh.2018100102.
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Geographic information systems (GIS) are useful informative systems for reducing the waiting time of diagnostic imaging examinations. ArcGIS software is used to develop a digital questionnaire which is used as a data collection tool. The information concerns the patients' personal information, type of examination required and medical history. Data is collected in real time and through GPS capabilities, the patients' exact coordinates are determined. GIS applications are used to create digital maps which display the average waiting time for performing imaging tests. Questionnaire data and interactive maps are uploaded to a digital platform. Through this application, it is possible to locate patients who actually need diagnostic imaging examinations in real time. Observing the location of patients on digital maps makes it easier to redirect them to the nearest health care units with the shortest waiting time. Data can also be acquired by mobile phones.
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Yildar, Murat, Omer Faruk Ozkan, Kasım Caglayan, Faruk Ozkul, Faruk Cavdar, and İsmail Saygın. "An Unusual Cause of Right Lower Quadrant Pain: The Caecum Diverticulitis." Case Reports in Surgery 2012 (2012): 1–4. http://dx.doi.org/10.1155/2012/789397.
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Purpose. In the study presented, preoperative examinations and surgical methods were discussed along with literature, regarding two cases who were operated with the prediagnosis of acute appendicitis and for whom caecum diverticulitis was determined.Case 1. 21 years old male patient who had applied to hospital with complaint of abdominal pain, underwent an operation with a prediagnosis of acute appendicitis. Right hemicolectomy was performed with mass perioperatively determined in caecum. Histopathological examination revealed necrosis and inflammation in diverticulum wall.Case 2. 36 years old female patient applied to emergency department with abdominal pain and underwent an operation with a prediagnosis of acute appendicitis. Appendectomy and diverticulectomy were performed for whom inflame diverticula in caecum was determined perioperatively. Histopathological examination was revealed acute inflammation in diverticulum wall.Conclusion. Although solitary caecum diverticulitis is a rarely encountered disease, it must be considered in the differential diagnosis of right lower abdomen pain.
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Rybalskiy, O. V., V. I. Solovyov, S. S. Chernyavskiy, V. V. Zhuravel, and V. K. Zheleznyak. "Probabilistic approach to near acceptance of expert decisions on examinations of difficult objects." Proceedings of the National Academy of Sciences of Belarus, Physical-Technical Series 64, no. 3 (October 6, 2019): 359–65. http://dx.doi.org/10.29235/1561-8358-2019-64-3-359-365.
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The aim of the article is to ground the probabilistic approach to the acceptance of expert decisions on examinations of difficult objects with the use of the information technologies conducted on the basis of the used methodologies of realization of examinations. Criminalistics identification researches of difficult objects are conducted by comparison of the identification signs got from debatable (investigated) and exemplary (experimental) identifying objects. For comparison at first it is necessary to measure them, and already after it to compare inter se, i.e. to find the measure of closeness between the compared identification signs. And here are two aspects of estimation of authenticity of results of comparison. First from them belongs to determination of probability of complete coincidence of parameters of identification signs of two different objects. In other words, it is the aspect of proof of strict individuality of descriptions of the investigated objects, confessed in the whole world and allowing to use the categorical form of formulation of conclusion of expert. The calculation of probability of coincidence of fingerprint cards of two different personalities belongs exactly to this aspect. The second aspect is related to probabilistic character of processes of both origin of identification signs in difficult objects and their selection, measuring and comparison during realization of criminalistics researches. Exactly he is related to the probabilistic going near the estimation of results of criminalistics researches of difficult objects. It is shown that the result of any examination of difficult object, related to measuring of concrete sizes, is characterized by the presence of random constituent and its result must be presented in a probabilistic form. There are three separate random values determined by probability, characterizing examination and tool intended for identification researches of difficult objects At creation of tool for realization of examinations of difficult objects and its introduction into practice, the curves of values of probability errors of І and ІІ family must be made and its minimum efficiency must be determined. Exactl efficiency of tool must serve as a criterion for its suitability for realization of expert researches.
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Goregen, Mustafa, Ozkan Miloglu, Mustafa Cemil Buyukkurt, Fatma Caglayan, and Ayse Esin Aktas. "Median Rhomboid Glossitis: A Clinical and Microbiological Study." European Journal of Dentistry 05, no. 04 (October 2011): 367–72. http://dx.doi.org/10.1055/s-0039-1698907.
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ABSTRACTObjectives: The purpose of this study was to investigate the relationship between median rhomboid glossitis (MRG) and Candida and bacteria species, prevalence and possible association with age, gender, smoking, denture wearing, and diabetes mellitus. Methods: Tongue examinations were performed on 4244 consecutive patients. Of all the examined patients, 30 diagnosed with MRG were selected as the study group and another 30 patients were selected as the control group, and these 2 groups were compared in terms of age and gender. Tongue cultures from these 60 patients were subjected to bacterial and mycological examinations. Results: MRG frequency was detected to be 0.7%. In mycological examination, Candida species were determined in 90.0% of the MRG patients and in 46.6% of the control group. This difference was statistically significant. Multivariate logistic regression indicated that diabetes mellitus and 20–39 years of age were significantly related to MRG. However, the association between MRG, gender, smoking, and 40–69 years of age was not statistically significant. Conclusions: It was determined that although there was a significant association between MRG, Candida and diabetes mellitus, the possible risk factors such as gender, smoking, and denture wearing for oral candidiasis were invalid for MRG. (Eur J Dent 2011;5:367-372)
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Hardi, Tamás, and Irén Szörényiné Kukorelli. "Complex gravity zones and the extension of labour catchment areas in North Transdanubia." Dela, no. 42 (December 1, 2014): 95–114. http://dx.doi.org/10.4312/dela.42.95-114.
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The goals of this study are the identification of the centres of gravity of the Northern-Transdanubian cities, including Győr, by using a gravitation model and, based on empirical examination, the definition of manpower catchment areas. Then, we are going to analyze the impact fields determined by two methods and seek explanations for the overlaps and differences of the two delineations, which are also going to be analyzed with the consideration of geographic, social and economic factors. Both examinations were carried out at two dates, covering a timeframe of 10 years.
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Hardi, Tamás, and Irén Szörényiné Kukorelli. "Complex gravity zones and the extension of labour catchment areas in North Transdanubia." Dela, no. 42 (December 1, 2014): 95–114. http://dx.doi.org/10.4312/dela.42.1.95-114.
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The goals of this study are the identification of the centres of gravity of the Northern-Transdanubian cities, including Győr, by using a gravitation model and, based on empirical examination, the definition of manpower catchment areas. Then, we are going to analyze the impact fields determined by two methods and seek explanations for the overlaps and differences of the two delineations, which are also going to be analyzed with the consideration of geographic, social and economic factors. Both examinations were carried out at two dates, covering a timeframe of 10 years.
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Lukova, Olha. "Expert Verification of Accounting Information on Financial Instruments for Solving Economic Crimes." Accounting and Finance, no. 1(91) (2021): 101–14. http://dx.doi.org/10.33146/2307-9878-2021-1(91)-101-114.
Full textAbstract:
Accounting data on transactions with financial instruments is an important source of information when conducting economic examinations to uncover economic crimes, the share of which is steadily growing every year. The purpose of the article is to determine the methodological components of expert verification of accounting information on financial instruments for solving economic crimes. The study used internal materials of the Kiev Scientific Research Institute of Forensic Expertise. It has been proved that the cause of an offense in the use of financial instruments can be not only selfish motives, but also insufficient professional knowledge of accounting rules, which determines the relevance of expert verification of accounting for such objects. The analysis of the dynamics of requests for expertise was performed. The structure of the circumstances was detected under which the expertise of issues related to the accounting of transactions of agricultural enterprises with financial instruments was initiated. The subject structure of the conducted examinations was revealed. The sources of obtaining information used for the examination of accounting of transactions of agricultural enterprises with financial instruments have been identified. The procedures for the examination of accounting of transactions of agricultural enterprises with financial instruments have been systematized. Typical deviations have been determined that can be identified as a result of the examination of accounting for transactions of agricultural enterprises with financial instruments. The implementation of the methodological components of the expert verification of accounting information on financial instruments indicated by the author ensures the formation of more substantiated conclusions about the legality of transactions with financial instruments, and respectively, it contributes to the disclosure of economic crimes.
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Mohammadbeigi, Ahmad, Karim Khoshgard, Abbas Haghparast, and Mohammad Taghi Eivazi. "LOCAL DRLS FOR PAEDIATRIC CT EXAMINATIONS BASED ON SIZE-SPECIFIC DOSE ESTIMATES IN KERMANSHAH, IRAN." Radiation Protection Dosimetry 186, no. 4 (April 24, 2019): 496–506. http://dx.doi.org/10.1093/rpd/ncz056.
Full textAbstract:
Abstract Due to the radiosensitivity of paediatric patients to X-ray, it is necessary to survey the paediatric DRLs using size-specific dose estimates (SSDE). In the present study, we determined the local diagnostic reference levels (DRLs) for paediatric chest, head and abdomen-pelvis CT examinations and their Surview scans in Kermanshah city, Iran. For ≤1 year, 1–5 years, 5–10 years and 10–15 years the DRLs (mGy) based on SSDE were determined N/A, 6.00, 6.25, 8.27 for abdomen-pelvis, and 8.74, 7.45, 11.15, 10.45 for chest and 19.05, 18.33, 18.22, 20.14 for head examinations, respectively. The differences between body size and default phantom defined in CT scanners are significant and should be considered when determining the DRLs. Based on our findings, use of CTDIv and SSDE parameters for determining DRLs leads to significant different results in children; thus SSDE is suggested as a more accurate index than CTDIV for establishing DRLs in paediatric CT examinations.