Articles de revues : « Centre for Advanced Study in Mass Communication »

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Inshakova, Elena. « Socio-Economic Development of the Southern Russia Regions in the Industry 4.0 : Achievements, Problems, Priorities ». Regionalnaya ekonomika. Yug Rossii, n^o 2 (août 2020) : 93–109. http://dx.doi.org/10.15688/re.volsu.2020.2.10.

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The article provides the comparative analysis of the current positions of the regional economic systems of the Southern Federal District (SFD) under the first phase of the fourth industrial revolution in Russia in the following key aspects: socio-economic situation, level of scientific, technological and innovative development, and digital transformation. The broad empirical basis of the study involves the reports of the European Commission, the World Economic Forum, the International Institute for Management Development, the World Intellectual Property Organization, official data from the Rosstat, the Ministry of Economic Development, the Ministry of Digital Development, Communications and Mass Media of the Russian Federation, the specialized studies of Russian and foreign analytical companies, research divisions of the Higher School of Economics, the Moscow School of Management Skolkovo, the Leontief Center - AV Group Consortium, specialized associations, public organizations, which are summarized in the ranking tables with their subsequent analytical interpretation. The research concluded that, in line with the global trends, achieving high competitiveness by the SFD leading regions and keeping their advanced socio-economic position is supported by their advanced scientific, technological and innovative development, high level of digitalization in all spheres of life, broad application of information and communication technologies by households and organizations, and development of digital skills. In this regard, the author substantiates the necessity of forming a complementary system of human, material and natural, technical and technological, institutional, organizational and informational factors in all the SFD regions to provide the regional economy development in the context of the Industry 4.0 priorities.

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Moturi, Krishna, Kaia Adams, Qian-Yun Zhang et Charles E. Foucar. « Enhancing Bone Marrow Biopsy Sample Quality : A Comprehensive Quality Improvement Study at UNM Cancer Center ». Blood 142, Supplement 1 (28 novembre 2023) : 7295. http://dx.doi.org/10.1182/blood-2023-191016.

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Introduction Adequate samples from bone marrow biopsies are required for pathologists to diagnose and monitor hematologic conditions accurately. These biopsies involve the extraction of bone marrow samples in two main forms: an aspirate and a core biopsy. In some cases, additional molecular testing may be conducted for the purposes of diagnosis and classification. The journey of a bone marrow sample from the patient's bedside to the laboratory is a complex process that involves the collaboration of numerous participants and interconnected systems to ensure the integrity and accuracy of the results. At our cancer center, we initiated a quality improvement (QI) project to assess the baseline success rate of bone marrow sample collection, identify areas for improvement in collection, form and implement targeted interventions, and then measure the project's success. Methods In this QI study, we utilized an A3 model which included 1) assessing the current state of bone marrow biopsy samples at our institution 2) reviewing the current process of collection 3) analysis to identify the root causes affecting quality 4) Identifying our goal state 5) implementing interventions to improve the quality and 6) follow up to evaluate the effectiveness of our interventions against the stated goal. To identify the current state, we assessed the quality of 101 bone marrow biopsy samples collected from May to October 2022, focusing on the aspirate, clot, and biopsy sections. Two pathologists reviewed 20 of these samples at random to re-read them and defined inadequate aspirate and clots as those which were ‘aspicular’ or ‘paucispicular’ and inadequate trephine biopsies as those that were reported as ‘limited’ or ‘inadequate’ for interpretation. This limited analysis was hypothesis generating and we relied on descriptions of aspirate quality and core length in the biopsy reports for the remaining samples. We observed different providers and technicians performing bone marrow biopsies to understand the current process of collection across our institution. Our system analysis identified the following issues: Non-standardized collection technique, communication errors between technicians and providers in terms of core length and aspirate adequacy, and technician proficiency in identifying spicules and core length To address these issues, we wrote a guideline outlining the recommended standard technique and performed a training for all providers. This guideline included a standard communication guideline between technicians and providers. Technicians underwent additional training in terms of identifying spicules and measuring core length. We set a pre-defined goal of success as 70% adequacy for bone marrow biopsy aspirates and 90% adequacy for core biopsies. Following our interventions, we started collecting post-intervention bone marrow biopsies in May 2023 and plan to evaluate the adequacy of 100 bone marrow samples Results Samples were categorized as those performed by interventional radiology (IR) providers and non-IR providers (advanced practice providers, attendings, and fellows).At baseline, the adequacy rates for aspirate, clot, and biopsy sections were 35%, 36%, and 87%, respectively, for IR providers, and 63%, 70%, and 67%, respectively, for non-IR providers. (Table 1)We plan to evaluate 100 samples post-intervention and to date, we have evaluated 20 samples. Among IR cases, adequacy rates for aspirate, clot, and biopsy sections were 69%, 85%, and 92%, respectively. For non-IR cases, adequacy rates were 86%, 100%, and 86%, respectively. (Table 2) Although additional samples are needed to confirm our results, there is thus far a noticeable improvement in the rate of adequate sample collection for both IR and non-IR providers. While not included in the current analysis, we plan to add patient factors that may affect sample collection such as Body Mass Index or use of sedation in our final analysis to address potential confounders. Conclusion Through our QI study, we aimed to enhance the quality of bone marrow biopsy samples at our institution. Preliminary results demonstrate improvements in the rate of adequate sample collection for aspirate and core biopsies following our quality interventions. Future studies will explore the impact of patient and disease factors on sample quality and also assess whether the improved outcomes are sustained at a later point in time with additional follow up.

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Colle, Royal D., et M. P. Saxena. « The Centre of Advanced Studies in Agricultural Communication : A Case Study of Institution Building in India ». Media Asia 13, n^o 3 (janvier 1986) : 137–43. http://dx.doi.org/10.1080/01296612.1986.11726220.

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Noureen, Aqdus, Ayesha Javed, Riaz Hussain Siddiqui et Fatima Tuz Zahra Shakir. « Correlation between stages of breast cancer and BMI in females : a multi-centre study ». Journal of the Pakistan Medical Association 73, n^o 3 (4 mars 2023) : 467–70. http://dx.doi.org/10.47391/jpma.5443.

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Objective: To determine the link between breast cancer and obesity in women by using body mass index at the time of diagnosis. Method: The cross-sectional study was conducted from October 2019 to April 2020 at Pakistan Ordinance Factories Hospital, Wah Cantt, and Islamabad Medical Complex National Engineering and Scientific Commission Hospital, Islamabad, Pakistan. The sample comprised women aged 40-70 years with a recent diagnosis of breast cancer. Patients' body mass index values were calculated after they were diagnosed and additional staging examinations were carried out. Data was analysed using SPSS 21. Results: There were 100 cases with a mean age of 52.24±7.47 years. There was a significant link between obesity and breast cancer (p=0.002), with higher body mass index carrying a higher risk of advanced breast cancer. Conclusion: Obesity may contribute to postmenopausal breast cancer in women. Key Words: Breast cancer, Obesity, BMI.

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Yuliarso, M. Zulkarnain. « PERILAKU KOMUNIKASI IBU RUMAH TANGGA DALAM MENINGKATKAN PENGETAHUAN KETAHANAN PANGAN : STUDI PADA RUMAH TANGGA NELAYAN DI KOTA BENGKULU ». Jurnal AGRISEP 9, n^o 2 (20 septembre 2010) : 175–83. http://dx.doi.org/10.31186/jagrisep.9.2.175-183.

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This research aimed at identifying the communication behavior of the household wife toward food security’s knowledge. This communication behaviour includes information searching and transmissionboth its frequency and quality (communication level),gathered from mass media and interpersonal communication. This study was survey research with 30 people was selected using simple random sampling. Data analyzed using descriptive qualitative analysis based on frequency tabulation. Diversification, stabilitation, and food intake information are favourable towardsand much communicated by respondents. Communication level ranges from only small talk, interdependent to interactive communication. Respondents gained their information from PKK and Posyandu cadres, nurse and private doctor, and community healts centre crew. Mass media were not used as information sources, but it is more likely entertainment media.Key words : Communication Behavior, Food Security, Housewife

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Dewi, Irma Kusuma, et Farid Farid. « Strategi Komunikasi Pemasaran Radjawali Semarang Cultural Center (RSCC) di Masa Pandemi ». Kiwari 2, n^o 4 (5 décembre 2023) : 578–83. http://dx.doi.org/10.24912/ki.v2i4.27229.

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The Covid-19 pandemic, which has spread to several countries, finally entered and attacked Indonesia in March 2020. The Government's Policy to Enforce Restrictions on Community Activities (PPKM) has made the Radjawali Semarang Cultural Center (RSCC) an art building in The city of Semarang is not free in raising its name. In an increasingly sophisticated and advanced life like today, social media is able to become a place for activities that cannot be carried out during the Covid-19 pandemic. So a Live in Theater event was created which is a collaborative program between building providers, namely the Radjawali Semarang Cultural Center (RSCC) and artists, to produce a work of art that is shown via Youtube, by exploring all the facilities owned by the RSCC. The purpose of this research is to find out the marketing communication strategy of the Radjawali Semarang Cultural Center (RSCC) through live in theater activities during the Covid-19 pandemic. In this study using a qualitative approach to the case study method. The research subject is the Radjawali Semarang Cultural Center (RSCC), and the research object is marketing communication strategies through Live in Theater activities on social media. Data collection is done by means of interviews, observation, and documentation. By utilizing and applying aspects of new media theory, the Radjawali Semarang Cultural Center (RSCC) is able to achieve marketing communication objectives, namely informing, persuading and reminding. Pandemi Covid-19 yang sudah menyebar ke beberapa negara, akhirnya masuk dan menyerang Indonesia pada bulan Maret 2020. Kebijakan Pemberlakuan Pembatasan Kegiatan Masyarakat (PPKM) yang di terbitkan oleh pemerintah, semakin membuat Radjawali Semarang Cultural Center (RSCC) yang merupakan sebuah gedung kesenian di Kota Semarang tidak leluasa dalam mengibarkan namanya. Di kehidupan yang semakin canggih dan maju seperti saat ini, media sosial mampu menjadi wadah kegiatan yang tidak bisa dilakukan selama dalam masa pandemi Covid-19. Maka dibuatlah acara Live in Theatre yang merupakan program kolaborasi antara penyedia gedung, yaitu Radjawali Semarang Cultural Center (RSCC) dengan para seniman, untuk menghasilkan sebuah karya seni yang dipertunjukkan melalui Youtube, dengan mengeksplore segala fasilitas yang dimiliki oleh RSCC. Tujuan dilakukannya penelitian ini adalah untuk mengetahui strategi komunikasi pemasaran Radjawali Semarang Cultural Center (RSCC) melalui kegiatan live in theatre pada masa pandemi Covid-19. Dalam penelitian ini menggunakan pendekatan kualitatif dengan metode studi kasus. Subjek penelitiannya adalah Radjawali Semarang Cultural Center (RSCC), dan objek penelitiannya ialah strategi komunikasi pemasaran melalui kegiatan Live in Theatre di media sosial. Pengumpulan data dilakukan dengan cara wawancara, observasi, dan dokumentasi. Dengan memanfaatkan dan menerapkan aspek-aspek dalam teori new media, Radjawali Semarang Cultural Center (RSCC) mampu mencapai tujuan komunikasi pemasaran, yaitu informing, persuading, dan reminding.

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An, Ekaterina, Erica Wennberg, Rinat Nissim, Christopher Lo, Sarah Hales et Gary Rodin. « Death talk and relief of death-related distress in patients with advanced cancer ». BMJ Supportive & ; Palliative Care 10, n^o 2 (2 août 2017) : e19-e19. http://dx.doi.org/10.1136/bmjspcare-2016-001277.

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ObjectivesThe circumstances of advanced cancer heighten the need for affected individuals to communicate mortality-related concerns, although there may be obstacles to such communication. Managing Cancer and Living Meaningfully(CALM) is a supportive-expressive therapy designed to address such barriers and to facilitate communication of mortality-related concerns in patients and caregivers facing advanced disease. This study explores death-related distress in patients with advanced cancer and the perceived influence of CALM therapy on overcoming barriers to communication of this distress.MethodsSemistructured interviews were conducted with a subset of patients with advanced cancer (n=17) participating in a CALM phase III trial at a large urban regional cancer centre. Interviews were transcribed, and qualitative data were analysed using thematic analysis.ResultsDeath-related distress was experienced in terms of three key themes: diffuse and overwhelming fear, fear of uncertainty and fear of suffering. The perceived barriers to communicating such distress were as follows: reluctance of loved ones to discuss mortality-related issues and the participants´ own reluctance to discuss death-related concerns to protect their loved ones or themselves from distress. CALM therapists were perceived to facilitate discussions on dying and death in sessions and to support patients´ communication of death-related distress with healthcare providers and loved ones.ConclusionsPatients with advanced cancer perceive barriers to effective communication of death distress to be related to their own reluctance, as well as reluctance of their loved ones to address such fears. CALM therapy may help patients with advanced cancer to overcome obstacles to communication and to alleviate death-related distress.Trial registration numberNCT01506492.

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Sathia Moorthy, Shantasaroopini, Parthiban Sivasamy et Balamurugan Tangiisuran. « DETERMINANT FACTORS OF SARCOPENIA AMONG PRE-DIALYSIS OUTPATIENTS IN A MALAYSIAN TERTIARY CARE CENTRE ». Malaysian Journal of Public Health Medicine 23, n^o 1 (25 avril 2023) : 227–37. http://dx.doi.org/10.37268/mjphm/vol.23/no.1/art.1780.

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Sarcopenia is an ageing condition characterised by a progressive and generalised loss of skeletal muscle mass and function. However, sarcopenia is not always related to advanced age in chronic kidney disease (CKD) but rather a consequence of accelerated protein catabolism. This study aimed to identify the prevalence of sarcopenia and its associated risk factors in pre-dialysis CKD patients. This cross-sectional study was conducted among 250 pre-dialysis CKD patients aged 18 years or older who attended the outpatient Renal Clinic in a tertiary hospital between April to November 2019. It was found that 59.2% of pre-dialysis CKD patients had slow gait speed, 52% had low handgrip strength, and 5.2% had low appendicular skeletal muscle mass index. The prevalence of sarcopenia in the studied group based on AWGS criteria was 5.2%, for which CKD stage 3-5 accounts for 0.4%, 0.8%, and 4% of the prevalence, respectively. Body mass index (AOR: 0.39, 95% CI: 0.166-0.912) and Modified Barthel Index score (AOR: 0.64, 95% CI: 0.470-0.884) were significantly associated with sarcopenia.to conclude, sarcopenia is prevalent in advanced-stage CKD and is related to low body mass index and a lack of functional independence. Controlling these two factors may delay sarcopenia progression in CKD patients. Given this, there is an urgent need to develop preventative and therapeutic approaches given the detrimental effects of sarcopenia on significant health outcomes in the CKD population. The effectiveness of dietary and exercise therapies to prevent sarcopenia in CKD should be explored.

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Obama, Kyoko, Maiko Fujimori, Masako Okamura, Midori Kadowaki, Taro Ueno, Narikazu Boku, Masanori Mori et al. « Effectiveness of a facilitation programme using a mobile application for initiating advance care planning discussions between patients with advanced cancer and healthcare providers : protocol for a randomised controlled trial (J-SUPPORT 2104) ». BMJ Open 13, n^o 3 (mars 2023) : e069557. http://dx.doi.org/10.1136/bmjopen-2022-069557.

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IntroductionTimely implementation of the discussion process of advance care planning (ACP) is recommended. The communication attitude of healthcare providers is critical in ACP facilitation; thus, improving their communication attitudes may reduce patient distress and unnecessary aggressive treatment while enhancing care satisfaction. Digital mobile devices are being developed for behavioural interventions owing to their low space and time restrictions and ease of information sharing. This study aims to evaluate the effectiveness of an intervention programme using an application intended to facilitate patient questioning behaviour on improving communication related to ACP between patients with advanced cancer and healthcare providers.Methods and analysisThis study uses a parallel-group, evaluator-blind, randomised controlled trial design. We plan to recruit 264 adult patients with incurable advanced cancer at the National Cancer Centre in Tokyo, Japan. Intervention group participants use a mobile application ACP programme and undergo a 30 min interview with a trained intervention provider for discussions with the oncologist at the next patient visit, while control group participants continue their usual treatment. The primary outcome is the oncologist’s communication behaviour score assessed using audiorecordings of the consultation. Secondary outcomes include communication between patients and oncologists and the patients’ distress, quality of life, care goals and preferences, and medical care utilisation. We will use a full analysis set including the registered participant population who receive at least a part of the intervention.Ethics and disseminationThe study protocol was reviewed and approved by the Scientific Advisory Board of the Japan Supportive, Palliative and Psychosocial Oncology Group (Registration No. 2104) and the Institutional Review Board of the National Cancer Centre Hospital (registration No. 2020-500). Written informed consent is obtained from the patients. The results of the trial will be published in peer-reviewed scientific journals and presented at scientific meetings.Trial registration numbersUMIN000045305,NCT05045040.

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Carlyle, A. V., P. C. Ching et A. M. Cyna. « Communication during Induction of Paediatric Anaesthesia : An Observational Study ». Anaesthesia and Intensive Care 36, n^o 2 (mars 2008) : 180–84. http://dx.doi.org/10.1177/0310057x0803600207.

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We aimed to identify and categorise advanced communication skills used by experienced consultant paediatric anaesthetists to facilitate the induction of paediatric anaesthesia. The communication techniques were both verbal and non-verbal. Communications with potentially negative effects were also noted. Eighty-three inductions were observed over a three-month period. The 12 anaesthetists observed were all senior consultants at a tertiary referral paediatric centre. The mean age of patients was 6.1 years SD±4.8. There were 53 males (63.9%) and 30 females (36.1%). A first anaesthetic was administered to 43 patients (56%) and sedative premedication to six (8%). Inhalational inductions were observed in 59 patients (71%). The remainder received an intravenous induction. Anaesthesia was induced in the operating room on 68 occasions (82%), in the induction room on 11 (13%) and in the radiology department on 4(5%). The most common communication techniques used were: voice change in 60 (72%); distraction in 49 (59%); direct commands in 39 (47%); repetition in 34 (41%); imagery in 21 (25%) and focused attention 21 (25%). Other techniques used were seeding of ideas, utilisation, non-verbal cues, double-binds, story-telling, indirect suggestion, dissociation and reversed effect. Sabotage by parents or staff, such as inadvertent negative suggestions, was observed on 14 occasions (17%). Paediatric anaesthetists utilise a wide range of communication techniques in a highly flexible manner when inducing anaesthesia in children. Many of these communications can be characterised as hypnotherapeutic. Our observations suggest that formal structured training in communication skills and further research is warranted.

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Sheikh, A. A., A. Gharajeh, S. J. Hotte, J. H. Pinthus et A. Kapoor. « Neoadjuvant temsirolimus in high-risk renal cell carcinoma : Results from a single-center prospective study. » Journal of Clinical Oncology 29, n^o 7_suppl (1 mars 2011) : 387. http://dx.doi.org/10.1200/jco.2011.29.7_suppl.387.

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387 Background: The current first-line treatment for advanced renal cell carcinoma (RCC) includes targeted therapy with or without cytoreductive radical nephrectomy. There is a paucity of data as to the effectiveness of adjuvant and neoadjuvant treatment before radical nephrectomy for localized high-risk or advanced disease. We initiated a trial of neoadjuvant Temsirolimus before radical nephrectomy for locally advanced and metastatic RCC examining tumor response and survival. Methods: Patients who presented with advanced RCC were offered enrolment into a prospective, single-centre, ethics approved trial with 12 weeks of temsirolimus before radical nephrectomy. Biopsy tissue was obtained at enrollment and at time of cytoreductive nephrectomy for diagnosis. Patients were administered 25 mg in temsirolimus on a weekly basis for 12 weeks, and then underwent radical nephrectomy. Computed tomography scans and biomarkers were obtained on enrolment, 6 weeks and 12 weeks (before nephrectomy). Ongoing outcome and survival data were analyzed. Results: Eight patients were enrolled into the trial. Patient #1 (10-cm renal mass with bulky adenopathy T2N2M0) had no evidence of disease (NED) at 6 months post-nephrectomy. Patient #2 (9-cm renal mass, bulky adenopathy, pulmonary metastases T2N2M1) also had NED at 6 months postnephrectomy. Patients #3 and #4 experienced regression of the primary mass and have recently undergone uneventful surgery with follow-up pending. Patients #5 and #6 expired prior to the full course of therapy, but had diagnoses other than RCC. Patient #7 experienced disease progression, however, this patient's nephrectomy was delayed by 3 months due to an unrelated myocardial infarct. Patient #8 experienced adverse events. Conclusions: Our findings suggest that neoadjuvant temsirolimus before radical nephrectomy for advanced RCC may improve disease regression post-surgery, and may lead to disease resolution in patients with low-volume disease. Randomized studies with longer term follow-up is necessary to assess overall progression-free survival and overall survival. [Table: see text]

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Hoon, Siao Nge, Katrina Fyfe, Carolyn J. Peddle-McIntyre, Samantha Bowyer, Felicity Hawkins, Emily Jeffery, Hui Jun Chih, Jenette Creaney, Anna Nowak et Fraser Brims. « Randomised placebo-controlled cross-over study examining the role of anamorelin in mesothelioma (The ANTHEM study) : rationale and protocol ». BMJ Open Respiratory Research 7, n^o 1 (mars 2020) : e000551. http://dx.doi.org/10.1136/bmjresp-2019-000551.

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IntroductionCachexia is common in malignant mesothelioma (MM); half of patients have malnutrition and low skeletal muscle mass. Malnourished patients have worse quality of life (QoL). Weight loss is strongly associated with poor survival. Anamorelin is an oral ghrelin receptor agonist that improves appetite, body weight and QoL in advanced cancer. The aim of this study is to examine the efficacy of anamorelin in improving appendicular skeletal muscle mass (ASM) and patient-reported outcomes in patients with MM with cachexia.Methods and analysisA single-centre, phase II, randomised, placebo-controlled cross-over pilot study with 28-day treatment periods and 3-day washout. Forty patients will be randomised. Primary outcome is change in ASM relative to height measured by dual energy X-ray absorptiometry at end of period 1. Secondary outcomes include cancer-specific and cachexia-related QoL, objective physical activity, dietary intake and adverse events. Eligible patients will have confirmed MM, Eastern Cooperative Oncology Group 0–2, expected survival >3 months and cachexia (defined as >5% weight loss in 6 months or body mass index <20 kg/m2 with weight loss >2%).Ethics and disseminationEthical approval has been granted. Results will be reported in peer-reviewed publications.Trial registration numberAustralian New Zealand Clinical Trials Registry (U1111-1240-6828).

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Dumas, Lucy, Emma Lidington, Laura Appadu, Philippa Jupp, Olga Husson et Susana Banerjee. « Exploring Older Women’s Attitudes to and Experience of Treatment for Advanced Ovarian Cancer : A Qualitative Phenomenological Study ». Cancers 13, n^o 6 (10 mars 2021) : 1207. http://dx.doi.org/10.3390/cancers13061207.

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Older women with ovarian cancer more often receive less intensive treatment and early discontinuation compared to younger women. There is little understanding of older women’s treatment experience and whether this contributes to declining intensive treatment. We aimed to explore the lived experience of older patients with advanced ovarian cancer undergoing chemotherapy, their treatment preferences and treatment burden. We conducted a phenomenological qualitative study with 15 women who had completed at least three cycles of first-line chemotherapy for advanced epithelial ovarian cancer, aged 65 years or older at the first cycle, at one tertiary cancer centre. We conducted interviews and focus groups and analysed the transcripts using inductive thematic analysis. Women reported a strong preference for active treatment despite treatment burden and toxicities. Participants undertook treatment to lengthen their lives for themselves and their families. Participants did not see age as a barrier to treatment. Patients expressed determination not to let cancer interfere with daily life. Women felt overwhelmed with information and struggled with daily tasks due to fatigue. Logistical issues, such as transportation and ineffective communication between healthcare providers, caused substantial distress. Despite these logistical burdens and toxicities, participants were positive about their care experience and desire for anticancer treatment. Older women may benefit from additional support to facilitate effective communication during the early stages of treatment.

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Cruise, A. M. « Gravitational wave science from space ». AVS Quantum Science 4, n^o 2 (juin 2022) : 025301. http://dx.doi.org/10.1116/5.0072851.

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The success of ground based gravitational wave detectors has opened up new fields of astrophysical study with signals directly from black hole binaries and black hole-neutron star mergers providing the first data on the demography of stellar mass black holes. Other frequency ranges, both higher and lower than the 20–2000 Hz Laser Interferometer Gravitational-Wave Observatory (LIGO)-Virgo detections, will provide access to studies of the supermassive black holes in the center of galaxies and advance the search for intermediate mass black holes as well as exploring possible new physics. The possibility of very high signal to noise measurements of signals from such simple, two-body sources could allow a range of very high precision tests of general relativity, probing the nature of gravity itself. This communication outlines the science potential of space borne gravitational wave observatories and the variety of missions now under consideration for launch in the new few decades.

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Adegbiji, Waheed Atilade, Shuaib Kayode Aremu, Ganiyu Olusola Akanbi et John Adetunji Omotayo. « Clinicoepidemiological Presentation of Sinonasal Mass in A Nigerian Tertiary Health Care Centre ». International Journal of Biomedical Science 15, n^o 3 (15 septembre 2019) : 84–90. http://dx.doi.org/10.59566/ijbs.2019.15084.

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Background: Sinonasal masses are common worldwide with clinical entity ranges from simple sinonasal polyps to malignancy. This study aimed at determining the prevalence, Sociodemographic features, clinical characteristics, clinical presentation, and management outcome of sinonasal masses. Materials and Methods: This was a retrospective study of patients with sinonasal masses in ear, nose and throat department of our center over a period of ten years (from November 2008 to October 2018). Data were retrieved from the clinic register and hospital medical record. Information on sociodemographic features, the clinical presentation of presentation, examination findings, CT Scan findings, diagnosis and treatment outcomes were retrieved. Data obtained were collated and analysed by using SPSS version 18.0. Results: The total number of patients seen over the studied period was 4,678 Male accounted for 62.9% with male to female ratio of 1.7:1. Sinonasal masses were bilateral in 44.3%, left-sided in 32.0% and right-sided in 23.7. Multiple grapelike sinonasal masses accounted for 50.5% while single sinonasal masses accounted for 49.5%. Commonest anatomical origin was ethmoid sinuses in 50.5%. Main clinical features were nasal blockage 83.5% and nasal discharge 63.9%. Masses extension was into 52.6% Intranasal/sinuses and 34.0% orbital extension. Main histological diagnosis were ethmoidal (simple) nasal polyps in 49.5%, squamous cell carcinoma in 17.5%, antrochoanal polyp in 9 3% and inverted papilloma in 9.3%. Histological examination showed simple inflammatory nasal polyps in 58.8%, benign tumour in 13.4% and malignant tumour in 23.7%. Patients were managed by 76.3% surgery, 16.5% surgery and radiotherapy and 7.2% chemoradiotherapy. Recurrent masses and death from malignancy were 8.2% and 2.1% respectively. Conclusions: Sinonasal masses are perceived and presented as a simple disorder with nasal obstructions and discharge. It consists of polyps and malignant tumour. Nasal Polyps are commoner than the neoplastic tumour. The commonest origin of the sinonasal masses was ethmoid sinuses which may be because polyps are the most common causes of sinonasal masses as shown in our study. Further evaluation revealed that majority of the unilateral sinonasal masses were neoplastic. They are poorly managed and presented in advanced stage to the otorhinolaryngologist, head and neck surgeon. Late presented patients had palliative treatment with resultant high recurrence and fatality. Thus Health education, serial and early screening are highly recommended.

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Das, Ganesh. « Attitude of the Farm Women Towards Farm Science Centre Scientists in India ». Indian Research Journal of Extension Education 22, n^o 4 (1 octobre 2022) : 82–88. http://dx.doi.org/10.54986/irjee/2022/oct_dec/82-88.

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Attitude is an important component of human being which is infl uence the acceptability or rejection of the any new technology or information. Scientifi c agricultural technology dissemination in the grassroots level might be failed due to negative attitude of the farmers or farm women on extension workers or organization. In this study farm women attitude on farm science centre scientist were identifi ed and a further study was conducted on infl uence of the predictors’ variables of the respondents on their attitude on farm science centre scientist. Ex-post facto research design and both purposive and random sampling method were used for selection of sample respondents. It is found from the study that the variable educational level, size of family, house type, annual income, type of land, irrigated area, livestock possession, material possession, association of the respondents with diff erent organization, social participation, scientifi c orientation, economic orientation, communication skill, mass media exposure, farm science centre exposure, sources of information, information seeking behavior, information exchange, decision making ability and agricultural knowledge had positively and signifi cantly correlated with the attitude of the farm women towards farm science centre scientist. It is concluded from the study that the predictor variables agricultural knowledge, scientifi c orientation, information seeking behavior and farm science centre exposure had positively and signifi cantly infl uenced on attitude of the farm women towards farm science centre scientist.

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Kääb, A., C. Nuth, D. Treichler et E. Berthier. « Brief Communication : Contending estimates of early 21st century glacier mass balance over the Pamir-Karakoram-Himalaya ». Cryosphere Discussions 8, n^o 6 (25 novembre 2014) : 5857–74. http://dx.doi.org/10.5194/tcd-8-5857-2014.

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Abstract. We present glacier thickness changes over the entire Pamir-Karakoram-Himalaya arc based on ICESat satellite altimetry data for 2003–2008. The strongest thinning (< −1 m yr−1) is observed for the East Nyainqêntanglha Shan. Conversely, glaciers of the West Kunlun Shan are slightly gaining volume, and Pamir and Karakoram seem to be on the western edge of an anomaly rather than its centre. For the Ganges, Indus and Brahmaputra basins, the glacier mass change reaches −22 ± 3 Gt yr−1, about 10% of the current glacier contribution to sea-level rise. For selected catchments over the study area we estimate glacier imbalance contributions to river runoff from a few percent to far over 10%. We highlight the importance of C-band penetration for studies based on the SRTM elevation model. To the very east and west of our study area, this penetration seems to be of larger magnitude and variability than previously assumed.

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Brown, Loraine, Marina Efthymiou et Caroline McMullan. « Recovering from a Major Aviation Disaster : The Airlines’ Family Assistance Centre ». Sustainability 14, n^o 7 (29 mars 2022) : 4040. http://dx.doi.org/10.3390/su14074040.

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An aviation disaster with mass fatalities can overwhelm an organisation and impact the lives of thousands. The response to such crises can determine the future of the organisation and, more importantly, it can have a lasting effect on the victims’ friends and families. This paper identifies and analyses airlines’ legal requirements and duty of care in relation to the operation of a family assistance centre (FAC). The case study of flight MH370 was used, and interviews with key figures in the aviation industry who have experienced disaster first-hand were conducted. The study highlighted that subtle differences in response significantly impact the quality of care provided. The research also outlined the importance of training and preparedness. Choosing the right people to work in the FACs and to care for friends and families is integral. The study concluded that the speed and accuracy of communication with friends and family are critical factors in the success of any response.

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Budiharto, Wikan Indrianingdyah, Dwi Nowo Martono et Sri Wahyuno. « Mass Balance Analysis of Integrated Municipal Solid Waste Management : The Jakarta Recycle Center Program Case Study ». International Journal of Multidisciplinary : Applied Business and Education Research 4, n^o 1 (25 janvier 2023) : 289–96. http://dx.doi.org/10.11594/ijmaber.04.01.27.

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With the amount of waste increasing and landfill space becoming critical, the government has undertaken numerous measures to reduce waste, including creation of Integrated Solid Waste Management system through Jakarta Recycle Centre (JRC) Program. An integrated and sustainable waste management system will depend on both the physical and the governance components, with the physical aspect focusing on technical problems. To evaluate the physical aspect of JRC, the flow of the waste needs to be monitored and evaluated to see the success of waste separation and recycling system. This study employs mass balance analysis using data of waste in JRC facilities from January to December 2022. According to the study's findings, JRC system has a significant recycling rate which is around 46,43%. To improve the recycling rate, communication to residents about waste sorting process need to be enhanced. In order to reduce residue from sorting outcomes, it is also crucial to increase the ability and expertise of personnel in waste sorting.

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Stallings, Taylor L., Jennifer S. Temel, Tamar A. Klaiman, Michael K. Paasche-Orlow, Margarita Alegria, Ann O’Hare, Nina O’Connor, Laura M. Dember, Scott D. Halpern et Nwamaka D. Eneanya. « Integrating Conservative kidney management Options and advance care Planning Education (COPE) into routine CKD care : a protocol for a pilot randomised controlled trial ». BMJ Open 11, n^o 2 (février 2021) : e042620. http://dx.doi.org/10.1136/bmjopen-2020-042620.

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IntroductionPredialysis education for patients with advanced chronic kidney disease (CKD) typically focuses narrowly on haemodialysis and peritoneal dialysis as future treatment options. However, patients who are older or seriously ill may not want to pursue dialysis and/or may not benefit from this treatment. Conservative kidney management, a reasonable alternative treatment, and advance care planning (ACP) are often left out of patient education and shared decision-making. In this study, we will pilot an educational intervention (Conservative Kidney Management Options and Advance Care Planning Education—COPE) to improve knowledge of conservative kidney management and ACP among patients with advanced CKD who are older and/or have poor functional status.Methods and analysisThis is a single-centre pilot randomised controlled trial at an academic centre in Philadelphia, PA. Eligible patients will have: age ≥70 years and/or poor functional status (as defined by Karnofsky Performance Index Score <70), advanced CKD (estimated glomerular filtration rate<20 mL/min/1.73 m2), prefer to speak English during clinical encounters and self-report as black or white race. Enrolled patients will be randomised 1:1, with stratification by race, to receive enhanced usual care or usual care and in-person education about conservative kidney management and ACP (COPE). The primary outcome is change in knowledge of CKM and ACP. We will also explore intervention feasibility and acceptability, change in communication of preferences and differences in the intervention’s effects on knowledge and communication of preferences by race. We will assess outcomes at baseline, immediately post-education and at 2 and 12 weeks.Ethics and disseminationThis protocol has been approved by the Institutional Review Board at the University of Pennsylvania. We will obtain written informed consent from all participants. The results from this work will be presented at academic conferences and disseminated through peer-reviewed journals.Trial registration numberThis trial is registered at ClinicalTrials.gov under NCT03229811.

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Sirohi, Bhawna, Vipul Sheth, Ashish Singh, Reena Engineer, Mukta Ramadvar, Mahesh Goel et Shailesh V. Shrikhande. « Neoadjuvant therapy in Indian patients with locally advanced gall bladder cancer : Tata Memorial Centre (TMC) experience. » Journal of Clinical Oncology 32, n^o 3_suppl (20 janvier 2014) : 379. http://dx.doi.org/10.1200/jco.2014.32.3_suppl.379.

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379 Background: Gemcitabine/platinum (Gem-P) is currently the standard of care for patients with advanced biliary tract cancers based on the ABC02 study. Pts usually present in locally advanced (LA) stage in India and as surgery remains the only curative option- neoadjuvant (NA) strategy needs to be explored. Methods: This is retrospective analysis of the prospectively maintained database of 38 patients with LA GB cancer treated at TMC between Feb 2009 to May 2013. Aim of the study was to assess resectability rate in patients with LA GB cancer (defined as GB mass invading liver > 2cm without porta hepatis / vascular invasion, GB mass adherent to duodenum and hepatic flexure, coeliac/gastrohepatic adenopathy/portocaval and peripancreatic nodes). Pts received cisplatin 25 mg/m2 and gemcitabine 1000 mg/m2 on D1 and D8 of 21d cycle, for gem-oxaliplatin, pts received gemcitabine 1000mg/m2 D1 and oxaliplatin 100mg/m2 D2 every 14 days. Response was assessed after 3-4 cycles. Results: Of the 38 pts (median age 54 y,30-71; 11M, 29F, median CA19.9 19 (<2-74605), 33patients were treated with Gem-P (25 oxaliplatin, 8 cisplatin; 1cetuximab-Gem-P) based therapy and 5 pts received chemoradiotherapy (CTRT) with wkly gemcitabine 300mg/m2. Site of disease was liver in 22 pts, nodal in 12, adjacent organ in 9 & other in 3 pts. Median number of chemotherapy cycles given were 4 (1-12). Response rate to NA therapy was 5 (13%) complete response (CR), 17(45%) partial response (PR), 9 stable disease (SD), 5 (13%) progressive disease and not assessed in 2 patients (1 pt died post CTRT and 1 was inoperable at surgery). Overall clinical benefit rate (CR+PR+SD) was 82%. Of the 24 pts who underwent surgery, 21 (87%) had curative resection and 3 were inoperable. Of 9 pts with SD, 6 received 2nd –line NA therapy as they were not downstaged enough to undergo surgery– 4 CTRT, 1 gemcitabine-cape, 1 cape-Ox. Perioperative morbidity (biliary leak) was higher post CTRT. Overall, 7 pts have relapsed. Conclusions: This is the first report of the use of neoadjuvant chemotherapy in patients with LA GB cancer. We conclude that preoperative chemotherapy is feasible with acceptable toxicity and perioperative morbidity.

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Kaleri, Rameez Raja, Hubdar Ali Kaleri, Asma Kaleri, Rashid Ali Shah, Rajesh Kumar, Deepesh Kumar, Abdul Rashid et Gul Muhammad Marri. « Short Communication Correlation and Regression Coefficient Estimates between some Growth Performance Traits of Harnai Sheep ». Biological Sciences - PJSIR 61, n^o 2 (28 août 2018) : 112–14. http://dx.doi.org/10.52763/pjsir.biol.sci.61.2.2018.112.114.

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Present investigation was carried out to estimate the correlation and regression coefficientestimates between some growth performance traits of Harnai sheep. The available data was collected andmaintained at Multipurpose Sheep Research Centre Yetabad, District Loralia, Balochistan, Pakistan. Thedata regarding growth traits including birth weight, yearling weight, weaning weight and fleeces weightwas analysed for the estimation of correlation and regression coefficient. In present study the results forcorrelation and regression coefficient estimates were observed low to positive between some growthperformance traits of Harnai sheep. Due to low results for correlation and regression coefficient, it isconcluded that mass selection is advisable for achieving better performance in growth traits of Harnaisheep.

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Huang, Ya-Ling, Shou-Yu Wang, Chun-Chih Lin, Fred Arne Thorberg et Chiung-Jung (Jo) Wu. « Adults' perspectives of experiences and preferences for end-of-life care ». International Journal of Palliative Nursing 29, n^o 12 (2 décembre 2023) : 588–96. http://dx.doi.org/10.12968/ijpn.2023.29.12.588.

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Background: Decisions about end-of-life care often raise clinical and ethical challenges, especially when the person's capacity to contribute in the decision making at the end of life is limited. Aim: This study aimed to explore Taiwanese adults' preferences associated with communication, healthcare planning, life-sustaining treatments and palliative care and experiences of end-of-life care. Methods: Semi-structured interviews were conducted with 16 adults aged 20 years and above. The sampling approach was a convenience strategy in a community centre located in a metropolitan area in the Southern region of Taiwan. A qualitative content analysis approach was used to elicit key themes from the data. Results: Significant findings related to the two main themes of adults' experiences, including the observed distress of those who were dying and the distress experienced by the family. Other key findings pertain to personal preferences for end-of-life care, such as preferred end-of-life communication, preparing for the end-of-life and maintenance of quality of life. Conclusions: This exploratory study offers insight into 16 Taiwanese community-dwelling adults' views of preferences regarding end-of-life communication, preparation for the end of life and maintenance of quality of life, as well as their experiences of end-of-life care. A further exploration is suggested to elicit how personal end-of-life experiences shape individuals' health practices in advance care planning for end-of-life care.

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Fujimori, Maiko, Ayako Sato, Sayaka Jinno, Takuji Okusaka, Takuhiro Yamaguchi, Masafumi Ikeda, Makoto Ueno et al. « Integrated communication support program for oncologists, caregivers and patients with rapidly progressing advanced cancer to promote patient-centered communication : J-SUPPORT 1904 study protocol for a randomised controlled trial ». BMJ Open 10, n^o 9 (septembre 2020) : e036745. http://dx.doi.org/10.1136/bmjopen-2019-036745.

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IntroductionCommunication is an essential aspect of care for patients with progressive serious illnesses. This study aims to evaluate the efficacy of a new, integrated communication support program for oncologists, patients with rapidly progressing advanced cancer and their caregivers.Methods and analysisThe proposed integrated communication support programme is in the randomised control trial stage. It comprises a cluster of oncologists from comprehensive cancer centre hospitals in a metropolitan area in Japan. A total of 20 oncologists, 200 patients with advanced pancreatic cancer and the patients’ caregivers are enrolled in this study as of the writing of this protocol report. Oncologists are randomly assigned to the intervention group (IG) or control group (CG). Patients and caregivers are allocated to the same group as their oncologists. The IG oncologists receive a 2.5-hour individual communication skills training, and patients and caregivers receive a half-hour coaching intervention to facilitate prioritising and discussing questions and concerns; the CG participants do not receive any training. Follow-up data will be collected quarterly for 6 months for a year and then annually for up to 3 years. The primary endpoint is the intergroup difference between before-intervention and after-intervention patient-centred communication behaviours during oncology visits.Ethics and disseminationThis study is conducted in accordance with the ethical guidelines for clinical studies published by Japan’s Ministry of Education, Cultural, Sports, Science and Technology, the Ministry of Health, Labour and Welfare, and the ethical principles established for research on humans stipulated in the Declaration of Helsinki and further amendments thereto. The protocol was approved by the Institutional Review Board of National Cancer Center, Japan on 4 July 2018 (ID: 2017-474).Trial statusThis study is currently enrolling participants. Enrolment period ends 31 July 2020; estimated follow-up date is 31 March 2023.Trial registration numberUMIN Clinical Trial Registry (UMIN000033612); pre-results.

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Din, Aisha Muhammad, et Sadia Jabeen. « Scenario-based Assessment Exercises and the Perceived Learning of Mass Communication Students ». Asian Association of Open Universities Journal 9, n^o 1 (1 septembre 2014) : 93–103. http://dx.doi.org/10.1108/aaouj-09-01-2014-b009.

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One of the biggest challenges faced by online learning systems is the absence of opportunities for the practical exposure of the students, especially in professional degree programmes. The theoretical knowledge they gain is undoubtedly more refined and enriched, but it is quite difficult to provide an e-learner with occasions where he/she can actually apply the concepts in real-time situations,as student and teacher are at a great distance from each other. This shortcoming can be overcome by giving scenario-based assignments to the students during their study programme. A hypothetical situation is created in scenario-based assignments where students are required to apply their theoretical knowledge according to the scenario given. In this way, students are actively involved in brainstorming rather than merely reproducing bookish knowledge. In this regard, the Virtual University of Pakistan has adopted advanced methodologies for learning and evaluation of its students. For this purpose, the researchers have aimed to measure the perceived learning of the students of the BS Mass Communication programme. The main objectives of this study were to determine the effectiveness of online scenario-based exercises on student learning and comprehension; and to enhance their analytical abilities and the mode of student-instructor interaction. For this purpose, five scenario-based assignments on various mass communication courses in the autumn 2012 semester were selected; and an online survey of all enrolled students in five subjects was conducted. The tool used in this study was derived from Renda-Tanali's (2012) research on security studies. For data analysis,descriptive statistics, a one-sample t-test, an independent sample t-test and regression analysis were applied. The results of the study indicated a positive student response towards e-scenario-based exercises. The two prominent outcomes identified by students were their improvement in decision-making skills and deepened understanding of real life situations. In the light of the findings of the study, it can be concluded that students' learning in the context of scenario-based exercises was very encouraging for Mass Communication subjects.

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Hobenu, Kafui Abra, et Florence Naab. « Accessing specialist healthcare : experiences of women diagnosed with advanced cervical cancer in Ghana ». British Journal of Healthcare Management 28, n^o 2 (2 février 2022) : 1–11. http://dx.doi.org/10.12968/bjhc.2021.0054.

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Background/Aims Cervical cancer is a leading cause of death in women in Ghana, and is often only diagnosed at the advanced stage. This study explored the experiences of women diagnosed with advanced cervical cancer as they access specialist healthcare in Ghana. Methods The study was conducted at a radiotherapy centre in a teaching hospital in Ghana. Purposive sampling technique was used to select 15 women aged between 33 and 67 years with advanced cervical cancer. Face-to-face in-depth interviews were conducted to gather information from participants regarding their experiences of services. Interviews were audio recorded with participants' consent. Data were analysed using content analysis. Results Content analysis revealed three themes: diagnostic process, information concerns and healthcare staff's attitudes. The following subthemes were also identified: delays, misdiagnosis, information gaps, perceived lack of knowledge from healthcare staff, positive attitudes from healthcare staff and breaking bad news. Conclusions The findings highlight the need to educate healthcare professionals about the symptoms of cervical cancer to allow early and accurate diagnosis. Training is also needed to equip healthcare staff with the therapeutic communication skills and strategies required for communicating bad news to patients.

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Nurhanifah et Zulfan Kurniadi. « The Role of Public Relations in Communication Psychology in Government of Provincial North Sumatra ». Konfrontasi : Jurnal Kultural, Ekonomi dan Perubahan Sosial 9, n^o 1 (25 février 2022) : 1–6. http://dx.doi.org/10.33258/konfrontasi2.v9i1.186.

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Communication is a basic thing for humans, since baby we are able to speak or expressing. Communication is an exchange of verbal and non-verbal language between the informant and the recipient of information in order to understand each other for a particular purpose. In this era of advanced and rising technology, every government and commercial institution must be able to keep up with the times, especially in improving the reputation and to broadcast the information. By maintaining good communication and image, the public can see the quality of performance and it affects the work programs implemented by the government. Therefore, this study aims to assess the public relations performance of the North Sumatra Provincial Government in conveying information to the public. This study uses qualitative research methods and through observation techniques. The results of this study indicate that in carrying out its role, the Public Relations of North Sumatra Province carries out two-way communication. Public Relations disseminates the policies and programs of the North Sumatra Provincial Government using communication channels in the form of mass media, both outdoor media in the form of billboards and posters, speeches and presentations, websites, special publications and digital catalogues as well as in connection with other mass media. Public Relations also made efforts to get a response from the public on the performance of the North Sumatra Provincial Government.

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Katz, Yaron. « Technology Use in the Religious Communities in Israel : Combining Traditional Society and Advanced Communications ». Journal of Religion, Media and Digital Culture 1, n^o 2 (6 décembre 2012) : 1–30. http://dx.doi.org/10.1163/21659214-90000014.

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The technological development of the electronic media and the changes in their role create a process of transition to using alternative modes of communication, which combine mass media and inter-personal communication. These means are alternative to traditional media; they serve segments of the population which do not receive a suitable expression in the institutionalized media, and provide them with information and advertisement which bypass the limitations imposed on the media. The largest alternative activity taking place in Israel is targeted to the orthodox and Haredi (ultra-orthodox) population, mainly through advanced technological means, such as the internet and satellite transmissions. This study explores the ideological dilemma of using advanced communications technology by the religious public, while trying to avoid its cultural hazards and still using it effectively. It examines the characteristics of technology consumption and the use of new media among the religious target group in Israel.

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Gandhi, Anitha, Sundaram Shanmugasundaram et Deepa Shunmugam. « Deciphering the diagnostic dilemma of abdominopelvic tuberculosis and advanced ovarian cancer ». Panacea Journal of Medical Sciences 11, n^o 2 (15 août 2021) : 305–8. http://dx.doi.org/10.18231/j.pjms.2021.062.

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Abdominopelvic tuberculosis often poses a diagnostic challenge due to its bizarre clinical features and inconclusive imaging features. Most such patients were categorized under advanced ovarian cancer and undergo radical cytoreductive surgery with its associated morbidity, which would otherwise resolve spontaneously with medical management. This is a retrospective study of ten patients referred to the Department of Surgical Oncology between November 2015 to October 2018 in a tertiary care centre at south Tamil Nadu, India as advanced ovarian cancer and later diagnosed to have tuberculosis.In 10 patients, the mean age was 34 years; mean CA125 was 496.6 IU/ml. abdominal pain and distension, loss of weight were seen in 70% of cases, respectively.Only one patient had a prior history of tuberculosis. The imaging findings were complex adnexal mass in 9 patients (90%), ascites in 6 patients (60%) and omental stranding in 6 patients (60%). Abdominal paracentesis was done in 6 patients (60%) and all had lymphocyte rich effusion. The diagnosis is established by laparotomy and biopsy in seven patients (70%), diagnostic laparoscopy in two patients (20%) and image-guided trucut biopsy in one patient (10%) with histopathology revealing caseating granulomas. With our patients' experience, a high index of suspicion is always needed whenever we encounter young women presenting with ascites, adnexal mass and elevated serum CA125 even when the routine investigations for tuberculosis reveal negative findings. The biopsy is the gold standard for establishing the diagnosis and to commence therapy.

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Bozler, Julian, Hans Juergen Herpel, Jan Johansson, Wahida Gasti et Olivier Mourra. « Advanced data handling architecture for earth observation satellites ». it - Information Technology 63, n^o 4 (20 août 2021) : 199–208. http://dx.doi.org/10.1515/itit-2020-0036.

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Abstract In this paper we describe how commercial open standards for embedded systems could affect the architecture of future satellite data handling systems. Traditionally, satellite data handling systems are based on the principles of a federated architecture, i. e. one function is implemented as one box. Each box has its own housing and power supply. In the paper we describe the transition path from the traditional federated architecture to a centralized but modular architecture based on adapted industrial standards. In the presented approach functional modules like on-board computer, Global Navigation Satellite System receiver, interface boards, etc. are combined in a rack communicating via a standard backplane using standardized communication links. The analysis performed during the Advanced Data Handling Architecture study showed that this approach contributes significantly to mass and power reduction (approx. 20 %) of a typical satellite data handling system. Another major point highlighted in the Advanced Data Handling Architecture study is the simplification of Assembly, Integration and Test activities. All this will help space industry to handle increasing system complexity while keeping costs at an acceptable level.

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Ibrahim, Ateya Megahed, et Shereen Ahmed A. Qalawa. « Nutritional indicators among patients with liver transplantation : A cross sectional study ». Journal of Nursing Education and Practice 11, n^o 1 (17 janvier 2021) : 78. http://dx.doi.org/10.5430/jnep.v11n1p78.

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Background and objective: The trouble of nutritional state is considered as a prophet of morbidity and mortality in patients with advanced liver disease. The severity of nutritional disorder increases with diminished liver function. The aim of this study was to explore the nutritional indicators among patients with liver transplantation patients in Egypt.Methods: Outlined is a descriptive cross-sectional research design using a convenience sampling of 210 patients following liver transplantation from the outpatient of transplantation centre the Mansura university Hospital, Wady el-Nile Hospital, International Military Medical centre, Almady Military Hospital. Data were collected using an adapted four parts tool that gathered sociodemographic data of patients; data about patient dietary habits and dietary balance and an assessment of patients physical and anthropometric measurements as nutritional predictor’s.Results: There is a highly significant relation between nutritional status, gender and sociodemographic characteristics among patients with liver transplantation. As well, educational levels and occupation point to difference between physical and nutritional indicators parameter and sociodemographic characteristics. As well, high body mass indicators (BMI) vary between physical and nutritional indicator parameters.Conclusions: There are noticeable needs for instructional schemes to be offered on simple media to increase awareness of patient’s nutritional requirements post transplantation. Implications for Nursing and Health policy: There is a growing demand for strategies and programs that take into consideration all the needs of liver transplantation patients. Efforts should be carried out to design and implement interventions that suit the patients following liver transplantation using simple media and suitable language.

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Mukherjee, Bijoya. « STUDY ON OVARIAN TUMORS IN PEDIATRIC AND ADOLESCENT GIRLS IN A TERTIARY CARE CENTRE ». International Journal of Advanced Research 10, n^o 02 (28 février 2022) : 508–14. http://dx.doi.org/10.21474/ijar01/14232.

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Background of study: International treatment guidelines dedicated to children and adolescents are not yet established, hence need for such studies like ours is required to throw light on demographic variations of ovarian tumors and developing specific guidelines for their management. Materials and Methods: It is a descriptive longitudinal study undertaken in the Department of Obstetrics &Gynaecology from Feb 2018 to July 2019. According to prevalence in our setup, 50 cases of adolescent girls and children were taken for study and subjected to thorough clinical assessment and investigations. After proper diagnosis, surgery was performed in all cases and depending upon histopathology and cytology, adjuvant chemotherapy was given in selected cases. Patients were followed up till 6 months after discharge. Results: The most common symptom was found to be abdominal pain (42%) , most common sign abdominal mass (38%). Out of 50 cases, 12% were found to be malignant, all of germ cell origin. Epithelial tumors were found to be the most common ovarian tumors(52%) up to 20 years of age, out of which benign tumors had 48% epithelial origin. However, up to 10 years of age, germ cell tumors were found to be the most common (75%). Only 1 malignant case expired, belonging to mixed germ cell variety of advanced stage. Conclusion: Ovarian neoplasm is highly challenging, especially in adolescents and children due to the need for fertility preservation. Early detection, optimal therapy and intense follow up with psychological support to patients and families are the mainstay of treatment.

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Kozlovsky, D. V. « Evidentiality in the Age of Multimodal Communication : a Linguosynergetic Analysis of Mass Media Texts ». Professional Discourse & ; Communication 5, n^o 2 (1 juin 2023) : 10–30. http://dx.doi.org/10.24833/2687-0126-2023-5-2-10-30.

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In modern mass media texts, the modus category of evidentiality plays a crucial role in conveying the author’s message and shaping the reader’s perception of the information presented. The use of multimodal means, including nonverbal components of communication, visual modus, and hyperlinks, intensifies and expands evidential semantics, influencing the reader’s judgment of the relevance, reliability, and truthfulness of the information and its source. This study employs linguosynergetic analysis and a range of quantitative, functional-semantic, and contextual-situational methods to investigate how multimodal means contribute to the expression of various shades of evidential meaning, such as reflections, doubts, confidence, statements, and citations. The research material includes discursive contexts from advanced informational, scientific, general research, and practical-analytical articles, as well as definitions from electronic versions of dictionaries of the modern English language. The results suggest that multimodal means serve as valuable additional resources for updating evidential semantics, highlighting the possibility of combining them with various linguistic indicators of the category of evidentiality to achieve the author’s communicative intentions. The article sheds light on the intricacies of evidentiality in mass media discourse and provides insights into the role of multimodal means in conveying meaning beyond words.

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Raunkiær, Mette, Jahan Shabnam, Kristoffer Marsaa, Geana Paula Kurita, Per Sjøgren et Mai-Britt Guldin. « When and how to stop palliative antineoplastic treatment and to organise palliative care for patients with incurable cancer ». International Journal of Palliative Nursing 29, n^o 10 (2 octobre 2023) : 499–506. http://dx.doi.org/10.12968/ijpn.2023.29.10.499.

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Background: Improving the organisational aspects of the delivery of palliative care in order to support patients throughout their disease trajectory has received limited attention. Aim: To investigate the opportunities and barriers related to organising palliation for people with terminal cancer and their families. Methods: An explorative interview study was conducted among 31 nurses and three physicians concerning an intervention facilitating a fast transition from treatment at a cancer centre at a university hospital to palliation at home. A thematic analysis was conducted. Findings: This article presents three out of seven themes: 1) improvement in the cessation of antineoplastic treatment in palliation; 2) improvement in organisations delivering palliation; and 3) improvement in multidisciplinary and cross-sectoral collaboration. Conclusions: The results demonstrate the demand for flexible, family-centred and integrated palliation at all levels, from communication and the collaborative relationship between healthcare professionals and families to service sectors.

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Tu, Chen, Siqi Lai, Zhiwei Huang, Guixing Cai, Kai Zhao, Jiawen Gao, Zhiyong Wu et Zhaoming Zhong. « Accumulation of advanced oxidation protein products contributes to age-related impairment of gap junction intercellular communication in osteocytes of male mice ». Bone & ; Joint Research 11, n^o 7 (1 juillet 2022) : 413–25. http://dx.doi.org/10.1302/2046-3758.117.bjr-2021-0554.r2.

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Aims Gap junction intercellular communication (GJIC) in osteocytes is impaired by oxidative stress, which is associated with age-related bone loss. Ageing is accompanied by the accumulation of advanced oxidation protein products (AOPPs). However, it is still unknown whether AOPP accumulation is involved in the impairment of osteocytes’ GJIC. This study aims to investigate the effect of AOPP accumulation on osteocytes’ GJIC in aged male mice and its mechanism. Methods Changes in AOPP levels, expression of connexin43 (Cx43), osteocyte network, and bone mass were detected in 18-month-old and three-month-old male mice. Cx43 expression, GJIC function, mitochondria membrane potential, reactive oxygen species (ROS) levels, and nicotinamide adenine dinucleotide phosphate (NADPH) oxidase activation were detected in murine osteocyte-like cells (MLOY4 cells) treated with AOPPs. The Cx43 expression, osteocyte network, bone mass, and mechanical properties were detected in three-month-old mice treated with AOPPs for 12 weeks. Results The AOPP levels were increased in aged mice and correlated with degeneration of osteocyte network, loss of bone mass, and decreased Cx43 expression. AOPP intervention induced NADPH oxidase activation and mitochondrial dysfunction, triggered ROS generation, reduced Cx43 expression, and ultimately impaired osteocytes’ GJIC, which were ameliorated by NADPH oxidase inhibitor apocynin, mitochondria-targeted superoxide dismutase mimetic (mito-TEMPO), and ROS scavenger N-acetyl cysteine. Chronic AOPP loading accelerated the degradation of osteocyte networks and decreased Cx43 expression, resulting in deterioration of bone mass and mechanical properties in vivo. Conclusion Our study suggests that AOPP accumulation contributes to age-related impairment of GJIC in osteocytes of male mice, which may be part of the pathogenic mechanism responsible for bone loss during ageing. Cite this article: Bone Joint Res 2022;11(7):413–425.

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Aghimien, Osaronse Anthony, et Osasumwen Aghimien-Osaronse. « Determination of the influence of body mass percentile on mandibular canine calcification stages among 5-17 years old Northern Nigerian children ». South African Dental Journal 77, n^o 06 (10 octobre 2022) : 323–29. http://dx.doi.org/10.17159/2519-0105/2022/v77no6a1.

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Dental calcification is a biological phenomenon used to estimate the maturation status of growing children. The effect of body mass index percentile (BMI-percentile) on this process appears contentious among researchers. To determine the predictive effect of body mass percentile on mandibular canine calcification. A prospective descriptive cross-sectional study. This was a prospective cross sectional descriptive study comprising of eighty four participants (5-17 years) who visited the Child Health Dental Clinic of Federal Medical Centre, Keffi, Nigeria between January and September, 2021. Mandibular canine calcifications of the study participants were staged using the Demirjian method while the World Health Organisation growth chart specific for age and gender was used to classify the BMI-percentile. The effect of BMI-percentile on the mandibular canine calcifications was determined using multinomial logistic regression. Chronological age had a significant predictive effect on the mandibular canine calcification (P=0.002) as against gender and BMI-percentile. A one-percentile increase in the BMI-percentile increases the likelihood of healthy children of having to present in stage D by 3.454 compared to obese children, but this effect was not statistically significant (P= 1.000). Obese children have a tendency of having advanced mandibular canine calcification than healthy children. Female participants were likely to be in advanced mandibular canine calcification stage. Early intervention is therefore suggested for obese children.

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Hasanpour, Marzieh, Mamak Tahmasebi, Masoud Mohammadpour, Batool Pouraboli et Fahimeh Sabeti. « Challenges of paediatric palliative care in the intensive care unit during the COVID-19 pandemic ». International Journal of Palliative Nursing 27, n^o 6 (2 août 2021) : 303–15. http://dx.doi.org/10.12968/ijpn.2021.27.6.303.

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Background: The integration of paediatric palliative care into the Iranian health system is essential. Aims: The aim of this study was to identify the challenges of palliative care in the paediatric intensive care unit during COVID-19 through the experiences of healthcare providers. Methods: A qualitative study with content analysis approach was conducted. Fifteen physicians and nurses were selected by purposeful sampling. The semi-structured, in-depth interviews were applied in the data collection. Findings: Ten main categories were extracted from data analysis, including ‘caring in COVID-19’, ‘communication and family centre care’, ‘breaking bad news’, palliative care training’, ‘pain and symptom management’, ‘support of the child, family and clinical team’, ‘physical environment’, ‘guidelines’, ‘specialised staff’ and ‘home based palliative care’. Conclusion: Palliative care in the PICU faces several challenges, especially during COVID-19, but the clinical team are making every attempt to improve the comprehensive care of children and their families. Telehealth is important in COVID-19, and education is also a key component to improve palliative care in the PICU in Iran.

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Kroon, Anne C., Damian Trilling, Toni G. L. A. van der Meer et Jeroen G. F. Jonkman. « Clouded reality : News representations of culturally close and distant ethnic outgroups ». Communications 45, s1 (18 novembre 2020) : 744–64. http://dx.doi.org/10.1515/commun-2019-2069.

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AbstractThe current study explores how the cultural distance of ethnic outgroups relative to the ethnic ingroup is related to stereotypical news representations. It does so by drawing on a sample of more than three million Dutch newspaper articles and uses advanced methods of automated content analysis, namely word embeddings. The results show that distant ethnic outgroup members (i. e., Moroccans) are associated with negative characteristics and issues, while this is not the case for close ethnic outgroup members (i. e., Belgians). The current study demonstrates the usefulness of word embeddings as a tool to study subtle aspects of ethnic bias in mass-mediated content.

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Omorczyk, Jarosław, Leszek Nosiadek, Robert Staszkiewicz, Przemysław Bujas et Ewa Puszczałowska-Lizis. « Comparison of Back Handspring Technique Performed by Advanced Artistic Gymnasts – A Case Study ». Polish Journal of Sport and Tourism 24, n^o 2 (27 juin 2017) : 86–90. http://dx.doi.org/10.1515/pjst-2017-0009.

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Abstract Introduction. The aim of this case study was to compare selected kinematic parameters that characterise the back handspring technique performed by advanced artistic gymnasts. Material and methods. Three elite gymnasts with varied training experience were examined in the study. The athletes performed back handsprings video-recorded at a frequency of 120 Hz. The values of selected kinematic parameters were determined using SkillSpector v.1.3.2 computer software. Results. The most substantial differences between athletes were found in the values of the horizontal velocity of the centre of mass (CoM) at the end of the back handspring. The athlete with the longest training experience achieved values which were three times higher (1.04 m/s) than those obtained by the other two athletes with shorter experience (Gymnast 2: 0.36 m/s; Gymnast 3: 0.37 m/s). The horizontal CoM velocity at the end of the back handspring declined for all the gymnasts, with the smallest decrease observed for the athlete with the longest training experience (two-fold decrease from 1.95 to 1.04 m/s) and the biggest one found for the athlete with the shortest training experience (six-fold decrease from 2.18 to 0.37 m/s). The vertical CoM velocity increased in all the athletes in the consecutive phases of the back handspring; this increase was the biggest for the athlete with the longest training experience (five-fold increase from 0.71 to 3.42 m/s) and the lowest for the athlete with the shortest training experience (three-fold increase from 1.08 to 3.24 m/s). Conclusions. The results obtained in this study demonstrated both similarities and substantial differences in the technique of performing the back handspring in artistic gymnasts with many years of training experience. In most cases, the directions of linear CoM velocities and angular velocities were similar in the joints analysed. Very similar values of angular positions were also obtained. Furthermore, the values which turned out to be the most varied were those recorded for angular velocity.

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Goc, Mieczysław. « An intelligent system for handwriting biometric forgery detection – communication from the research project implementation ». Ius et Administratio 50, n^o 1 (30 mars 2023) : 16–28. http://dx.doi.org/10.15584/iuseta.2023.1.2.

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The aim of this study is to discuss the main assumptions and goals of the “Rękopis” project, as well as to present the achieved results in the current phase of its implementation. The study is divided into two parts. The first part introduces the issue of handwriting in terms of its biometric properties and evaluates the possibilities of utilizing both classical methods and more advanced technologies in the analysis of original manuscripts to determine the technique of their application to a document surface, either manually or mechanically using a CNC device. In the second part, the applied research procedures and techniques will be presented, along with the obtained results of utilizing the characteristics of handwritten script, with particular emphasis on its biometric properties, in achieving the project goal mentioned above. Project “Rękopis” with the number DOB-SZAFIR/06/A/042/01/2020 titled “Intelligent System for Handwriting Biometric Forgery Detection” is funded by the National Centre for Research and Development (NCBR), within the framework of the SZAFIR program, Competition No. 1/SZAFIR/2020. The project is carried out by a consortium composed of the Central Forensic Laboratory of the Police (leader), the Criminalistics Institute of the Polish Forensic Association Ltd., and JAS Technologies Ltd. The project implementation is planned for 48 months from 2020 to 2024.

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Romaniuk, O., et I. Kovalenko. « Information Means of Warfare ». Visnyk of Kharkiv State Academy of Culture, n^o 63 (26 juin 2023) : 7–18. http://dx.doi.org/10.31516/2410-5333.063.01.

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The relevance of the paper is determined by the fact that the information component plays the most important role in the hybrid war that Russia is conducting against Ukraine today. In the conditions of Russia’s full-scale aggression against Ukraine, the study of the informational factor of hybrid wars is an urgent problem of both military and political sciences, as well as the social communications science. The purpose of this article is to highlight the information factor of warfare in the context of the development of mass communication. The methodology is based on the use of systemic, structural-functional, comparative analysis methods for the process of developing the information factor of warfare. The conclusions. The informational component has been inherent in wars since ancient times, but its intensity, forms and methods were determined by the development of mass communication tools, which took place on the basis of scientific and technological progress. Originating as rumors spread by word of mouth in the enemy’s camp, information methods of warfare were transformed into printed propaganda materials with the advent of printing. However, they reached their greatest flowering with the advent of audiovisual media and communication. During the First World War, documentary films were used for propaganda purposes, but mainly for the mobilization of the own population. Radio, having drastically broken the barriers of information dissemination, significantly strengthened the role of an information factor in the Second World War and, later, in the Cold War. The advent of satellite television relegated radio to the background, as visual illustrations of information diversions made them accessible to the mass consciousness. But the greatest opportunity for the use of mass communication in war came with the advent of the Internet, because it is less censored than other media; it can be used through various electronic devices, informational influence with its help can be carried out covertly. The development of technical means of information transmission does not mean that more advanced means completely supplant less advanced ones. The matter lies only in the priorities of their use. The spread of the information factor in the conducting of wars has led to the appearance of such a variety of them as hybrid wars, in which the information factor plays a leading role in their preparation and an overriding role in their conduct.

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Khan, U., A. N. Barkun, E. I. Benchimol, M. Salim, J. J. Telford, R. A. Enns, R. Mohamed et al. « A272 THE CANADIAN DIRECT OBSERVATION OF PROCEDURAL SKILLS (CANDOPS) TOOL FOR ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY : A MULTI-CENTRE PROSPECTIVE STUDY ». Journal of the Canadian Association of Gastroenterology 3, Supplement_1 (février 2020) : 149–50. http://dx.doi.org/10.1093/jcag/gwz047.271.

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Abstract Background Previous studies have demonstrated that many graduating trainees may not have all of the skills needed to independently practice endoscopic retrograde cholangiopancreatography (ERCP) safely and effectively. As a part of competency-based learning curriculum development, it is essential to provide formative feedback to trainees and ensure they acquire the knowledge and skills for independent practice. Aims To assess the performance of advanced endoscopy trainees across Canada using the Canadian Direct Observation of Procedural Skills (CanDOPS) ERCP assessment tool. Procedural items evaluated include both technical (cannulation, sphincterotomy, stone extraction, tissue sampling, and stent placement) and non-technical (leadership, communication and teamwork, judgment and decision making) skills. Methods We conducted a prospective national multi-centre prospective study. Advanced endoscopy trainees with at least two years of gastroenterology training or five years of general surgery in North America and minimal experience performing ERCPs (less than 100 ERCP procedures) were invited to participate. The CanDOPS tool was used to measure every fifth ERCP performed by trainees over a 12-month fellowship training period. ERCPs were evaluated by experienced staff endoscopists at each study site under standard clinical protocol. Cumulative sum (CUSUM) analyses were used to generate learning curves. Results The data from five Canadian sites and 11 trainees participated in the study. A total of 261ERCP evaluations were completed. Median number of evaluations by site and trainee was 49 (IQR 31–76) and 15 (IQR 11–45). Median number of cases trainees performed prior to their ERCP training was 50 (IQR 25–400). There was a significant improvement in almost all scores over time, including selective cannulation, sphincterotomy, biliary stenting and all non-technical skills (P<0.01). CUSUM analyses using acceptable and unacceptable failure rates of 20% and 50% demonstrated trainees achieved competency for most measures in their final month of their training. Competency in tissue sampling was not achieved within a one-year training period. Conclusions This is the first ERCP performance evaluation tool that examines multiple technical and non-technical aspects of the procedure. Although trainee ERCP skills do improve during their training period, there exists a notable variability in time to competency for the different skills measured using the CanDOPS tool. Large prospective research is required to determine if competency is achieved using more stringent definitions of ERCP competency and to determine factors associated with reaching competency. Funding Agencies None

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ASLAM, Junaid, Abdul MUJIB et Mahendra Prasad SHARMA. « Somatic Embryos in Catharanthus roseus : A Scanning Electron Microscopic Study ». Notulae Scientia Biologicae 6, n^o 2 (10 juin 2014) : 167–72. http://dx.doi.org/10.15835/nsb629337.

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Catharanthus roseus (L.) G. Don is an important medicinal plant as it contains several anti-cancerous compounds, like vinblastine and vincristine. Plant tissue culture technology (organogenesis and embryogenesis) has currently been used in fast mass propagating raw materials for secondary metabolite synthesis. In this present communication, scanning electron microscopic (SEM) study of somatic embryos was conducted and discussed. The embryogenic callus was first induced from hypocotyls of in vitro germinated seeds on which somatic embryos, differentiated in numbers, particularly on 2,4-D (1.0 mg/L) Murashige and Skoog (MS) was medium. To understand more about the regeneration method and in vitro formed embryos SEM was performed. The SEM study revealed normal somatic embryo origin and development from globular to heart-, torpedo- and then into cotyledonary-stage of embryos. At early stage, the embryos were clustered together in a callus mass and could not easily be detached from the parental tissue. The embryos were often long cylindrical structure with or without typical notch at the tip. Secondary embryos were also formed on primary embryo structure. The advanced cotyledonary embryos showed prominent roots and shoot axis, which germinated into plantlets. The morphology, structure and other details of somatic embryos at various stages were presented.

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Vitus Kajerero, Frank Bright, Orgeness J. Mbwambo, Alfred K. Mteta, Patrick Amsi, Jasper S. Mbwambo et Bartholomeo N. Ngowi. « Clinical- pathological features and surgical outcome of renal cell carcinoma : Experience from a zonal referral hospital-northern of Tanzania ». World Journal of Advanced Research and Reviews 12, n^o 2 (30 novembre 2021) : 434–40. http://dx.doi.org/10.30574/wjarr.2021.12.2.0585.

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Background: Renal cell carcinoma (RCC) is the most common primary malignant tumour of kidney in adults. Recent studies from developed countries have shown that most renal tumour are currently diagnosed incidentally during screening for other disease which leads to better prognosis while few studies done in Africa still shows significant proportion of patients present with classic triad ( >10%) which is a sign of advanced disease. Objectives: This study aimed at determining clinical pathological feature and outcome of RCC in Northern zone of Tanzania. Patients and Methods: This was a hospital based descriptive retrospective cohort study conducted at Kilimanjaro Christian Medical (KCMC) from January 2002 to December 2017. Data were analysed using statistical package for social science (SPSS) version 16. 0 and summarized in tables and figures. Results: Forty three patients (43) underwent radical nephrectomy for RCC during the study period. Male to female ratio was1. 7: 1 with mean age of 53+/- 12 years. Flank pain (84%), abdominal mass (76%) and hematuria (44%) were the most common clinical presentation while classical triad was found in 40%. The most common clinical tumor stage was T3(72. 1%) whilst clear cell carcinoma was the commonest histological pattern. Five years survival length for T1, T2, T3 and T4 were 100%, 62. 5%, 32. 3% and 0% respectively. Conclusion: The most common presenting symptom of RCC in our centre is flank pain, and abdominal mass. Majority of the patients presented with advanced disease with less than five year survival rate. Clear cell type was the predominant histological type.

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Parikh, Ravi B., William Ferrell, Jonathan Wakim, Joelle Williamson, Neda Khan, Michael Kopinsky, Mohan Balachandran et al. « Patient and clinician nudges to improve symptom management in advanced cancer using patient-generated health data : study protocol for the PROStep randomised controlled trial ». BMJ Open 12, n^o 5 (mai 2022) : e054675. http://dx.doi.org/10.1136/bmjopen-2021-054675.

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IntroductionPatients with advanced cancers often face significant symptoms from their cancer and adverse effects from cancer-associated therapy. Patient-generated health data (PGHD) are routinely collected information about symptoms and activity levels that patients either directly report or passively record using devices such as wearable accelerometers. The objective of this study was to test the impact of an intervention integrating remote collection of PGHD with clinician and patient nudges to inform communication between patients with advanced cancer and their oncology team regarding symptom burden and functional status.Methods and analysisThis single-centre prospective randomised controlled trial randomises patients with metastatic gastrointestinal or lung cancers into one of three arms: (A) usual care, (B) an intervention that integrates PGHD (including weekly text-based symptom surveys and passively recorded step counts) into a dashboard delivered to oncology clinicians at each visit and (C) the same intervention as arm B but with an additional text-based active choice intervention to patients to encourage discussing their symptoms with their oncology team. The study will enrol approximately 125 participants. The coprimary outcomes are patient perceptions of their oncology team’s understanding of their symptoms and their functional status. Secondary outcomes are intervention utility and adherence.Ethics and disseminationThis study has been approved by the institutional review board at the University of Pennsylvania. Study results will be disseminated using methods that describe the results in ways that key stakeholders can best understand and implement.Trial registration numbersNCT04616768 and 843 616.

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ROY, Rakesh. « Role of palliative care department in modifying ICU admissions for patients with advanced cancer : A study. » Journal of Clinical Oncology 30, n^o 15_suppl (20 mai 2012) : e19517-e19517. http://dx.doi.org/10.1200/jco.2012.30.15_suppl.e19517.

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e19517 Background: Admission of cancer patients are on the rise in the Intensive Care Unit due to advancement in healthcare facilities. But limited number of ICU beds, health resources and lack of structured Palliative Care services are a matter of concern. Methods: A retrospective study was conducted in an Indian tertiary cancer centre from Jan – Jun 2010 to find out total number and cause of ICU admission of advanced cancer patients when a Palliative Care Department did not exist. Information source were case files and interviews after appropriate consent. Exclusion criteria - age < 18 years, post operative care, complications arising from a major surgery, established oncological emergencies, patients with curative intent. With a 24 hr Palliative Care department under operation from Aug 2010 - another similar study was performed from Jan – Jun 2011. Results: Jan – Jun 2010: Total admissions 542. 297 patients matched the exclusion criteria. Of the remaining 245 patients (45.2%) considered for the study 35 patients (14.2%) died. 11 patients (4.4%) were put on ventilator. Average occupancy of bed 5 days. Commonest cause was respiratory distress. Review of the case notes revealed 54 patients (22%) were admitted due to lack of Palliative Care service. Study was repeated from Jan – Jun 2011 after the initiation of a Palliative care Department from Aug 2010. Out of 487 patients, 195 patients (40%) were considered for study. 18 (9.2%) died. 6 patients (3%) were put on ventilator. The average duration of stay was 4 days. Components of Palliative Care like good communication, early consent from patients as to where they wish to die, do not resuscitate policy for some patients in the background of ethical issues, 24 hour Palliative care service, emergency helpline, home based care, good psychological counselling etc were identified as the key reasons for reduced admissions. Conclusions: Effective round the clock Palliative care service can increase ICU bed turnover, reduce misery of the patients and their family members, save resources, giving patients with longer survival chances a hope to live longer.

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Kumari, Neeta, Deepak Kumar Verma et B. K. Binawara. « A study to assess the future 10-year cardiovascular and 8-year diabetic risk by using Framingham heart scale in prediabetic subjects ». INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine) 18, n^o 5 (29 août 2022) : 245–50. http://dx.doi.org/10.22141/2224-0721.18.5.2022.1182.

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Background. Prediabetes is a state characterized by impaired fasting glucose or impaired glucose tolerance. This implies that prediabetes bears an increased risk of cardiovascular complications. Various risk factors are the reason of the progression of cardiovascular diseases and type 2 diabetes mellitus (T2DM) in prediabetics if factors are not overt. Hence, the present study was undertaken to determine the future 10-year cardiovascular and 8-year diabetic risk by using Framingham heart scale in prediabetic subjects. Materials and methods. Present cross-sectional study was carried out at Department of Physiology, S.P. Medical College & Hospital in collaboration with Diabetic Research Centre P.B.M. Hospital Bikaner (Rajasthan). Prediabetic subjects were identified from first-degree relatives of T2DM patients, enrolled in Diabetic Research Centre P.B.M. Hospital Bikaner. Prediabetics (impaired fasting glucose) subjects were identified on the basis of fasting blood glucose of 100 to 125 mg/dl and HbA1c (5.7 to 6.4 %) as per American Diabetes Association 2011 guidelines. Consecutive sampling was conducted till sample size satisfied during the period of study. Subjects of age group 20–74 years who had fasting blood glucose of 100–125 mg/dl, HbA1c of 5.7 to 6.4 % and gave informed written consent were included in study. Pre-structured performa was used to collect general information, sociodemographic information, baseline physical characteristics, personal habits, biochemical analysis, and for blood parameters. Future 10-year cardiovascular and 8-year diabetic risk were assessed by using Framingham heart scale. Results. Age, occupation, body mass index, diet, smoking, alcohol, truncal obesity and family history of diabetes were significantly associated with the prevalence of T2DM/prediabetes whereas gender and literacy were not. Conclusions. In the present study, it was observed that advanced age, occupational changes, body mass index, substance abuse like smoking, central obesity, exercise, blood pressure and family history of diabetes were highly associated with future risk of T2DM and cardiovascular diseases among prediabetic subjects of first-degree relatives.

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Domanico, Emily. « Map Use in Transit Control Centers : Mapping geographic information flows ». Abstracts of the ICA 1 (15 juillet 2019) : 1–2. http://dx.doi.org/10.5194/ica-abs-1-65-2019.

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Abstract. Public transit is an essential part of individual mobility in dense urban environments, and the facilitation of these systems requires the coordination and synchronization of people, objects, and technology through space and time (Fisch 2018). Behind the scenes, control centers are sites where information is reported, synthesized and operationalized. In these environments, maps and diagrams play a central role in the work done to coordinate movement. We present findings from a user-centered study of map use in transit control centers which positions the work done in control centers as a case study for the study of map use in a dynamic, real-time environment. As such, the control center offers an opportunity to study how users navigate the presentation of information interfaces that visualize movement and location information in context of often messy and unpredictable daily workflows. The work of train controllers and dispatchers has changed dramatically with advances in rail signalling, GPS outputs, and automation; however, the study of control center information displays as cartographic products has not kept up with the changing technology (Heath & Luff 1992). Increasingly, train dispatchers are asked to navigate denser information displays to coordinate the orientation of signals and the safe movement of trains. We traced how map users understand dynamic, continuously updating visualizations in situ during their daily work. Drawing from ethnographic methods, this study intentionally moves outside of the controlled laboratory, highlighting that maps exist through instances of their use. We constructed a qualitative user study in a three-part methodology that triangulates the process of map use through archival work, participant observation, and survey-based data collection. Further, we developed a body of codes to identify and characterize instances of map use, map communication strategies, and the corresponding information source tied to different behaviors. These codes facilitate the analysis of diverse data sources from descriptions and observations of control centers, interviews with dispatchers, and document analysis. We employed these methods to characterize how map-based interfaces and surrounding technology perform in the socially situated context of the control center where the scope of the map is never limited to an isolated information interface. The control center is an environment saturated with geographic information. We developed an archive of photographs and videos to characterize the control center environment and identify instances of map use within this space. Inside the modern control center, we find that relative position of train is represented as visual information usually mirrored on large overhead video walls while interaction of the system happens on personal computer monitors (Figure 1). Throughout the space, schematic line diagrams represent the state of signals throughout the entire rail network, designed to be read at a glance. Where visual information sources are used to communicate predictable positional data, audio-based communication—such as radio to train operators and discussion and planning between dispatchers– supplement what the visual fails to display. Within rail transit visual displays trend to use dynamic, continuously updating schematics to represent states of the transit network, rather than the working history or institutional memory. Visual schematic maps within the control center prioritize the representation of states of the system rather than an accumulated working history of a day’s traffic. The recent history of the daily traffic is pushed onto working memory and verbal communication practices within the dispatching teams which have developed over time. However, the emphasis on visualizing instantaneous states promotes a tendency for dispatchers to view their actions as reflexes rather than strategic responses. Increasingly, GPS outputs bring more precise real-time train locations in addition to the block-based signaling traditional schematics represent. With the additional information, dispatchers are being asked to work across geographic and schematic representations of space when planning train movements and assessing the speed and flow of trains through the network. Dispatchers identify the importance of aligning information displays and engaging with the information before them as productive for planning efficient maneuvers or spotting unsafe alignments. Maps and schematics take many forms. It is important for cartographers to study not only how to present geographic information, but also how users respond to these interfaces during the design process but also during the practice of daily use. We argue for the importance of studying maps through instances of their use in context, highlighting the importance of both the physical environment and the social community of users who create and enact the workflows that the geographic displays are designed to support. Often referred to as ‘nerve centers,’ control centers are places within transit networks where remotely sensed geographic information is visualized, monitored, and employed to support time-critical decisions. In these environments, maps and diagrams play a central role in the work done to coordinate the safe movements of trains, support staff, and passengers. Within the rail transit control centers, spatial information is presented heterogeneously, where maps take the form of system diagrams, schematic analytical interfaces, layouts of video monitors, and geographic tiled web maps. As such, we position the control center as a case study for the use of dynamic, real-time, map-based information. Within a control center, daily tasks of train controllers and dispatchers are multiple; they monitor movements, direction, speed, flow, scheduling, and routing, making time-critical decisions at a distance. For the controllers, maps are an interface to the system. We propose that the control center offers a potential space for cartographers to study how users navigate complex, dynamically updating displays that move between abstracted schematics to more traditional geographic maps.

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Bouziane, Abdelmajid, et Rachid Elaasri. « Morocco e-Readiness Assessment : University Contribution ». English Studies at NBU 5, n^o 2 (30 décembre 2019) : 203–19. http://dx.doi.org/10.33919/esnbu.19.2.2.

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The main purpose of this study is to explore the critical issues that impede an effective implementation of information communication technology (ICT) as related to higher education (HE) in Morocco. An e-readiness survey based on Harvard e-readiness assessment framework is administered in order to check the role of university in getting Morocco e-ready. First, a diagnosis is done at the level of preparedness of Moroccan institutions in networked areas of access, society, economy and policy. The data was collected from the annual reports of Moroccan Telecommunications regulations agency (ANRT), reports from the International Telecommunication Union (ITU), Global Information Technology Report (NRI), quantitative and qualitative surveys from previous research studies, and statistical websites. The findings reveal that Morocco has, apart from networked economy and local digital content, a fairly advanced e-readiness status in other indicators in the model of Harvard Centre of International Development. Ironically, such findings show that it is the Moroccan university that needs to catch up with society.

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Mukherjee, Bijoya, et Anindya Kumar Das. « Ovarian tumors in patients aged upto 20 years : a longitudinal study conducted in a tertiary care centre, West Bengal, India ». International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, n^o 10 (27 septembre 2021) : 3851. http://dx.doi.org/10.18203/2320-1770.ijrcog20213849.

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Background: International treatment guidelines dedicated to children and adolescents are not yet established, hence need for such studies like ours is required to throw light on demographic variations of ovarian tumors and developing specific guidelines for their management.Methods: It was a descriptive longitudinal study undertaken in the Department of Obstetrics and Gynaecology from February 2018 to July 2019. According to prevalence in our setup, 50 cases of adolescent girls and children were taken for study and subjected to thorough clinical assessment and investigations. After proper diagnosis, surgery was performed in all cases and depending upon histopathology and cytology, adjuvant chemotherapy was given in selected cases. Patients were followed up till 6 months after discharge.Results: The most common symptom was found to be abdominal pain (42%), most common sign abdominal mass (38%). Out of 50 cases, 12% were found to be malignant, all of germ cell origin. Epithelial tumors were found to be the most common ovarian tumors (52%) up to 20 years of age, out of which benign tumors had 48% epithelial origin. However, up to 10 years of age, germ cell tumors were found to be the most common (75%). Only 1 malignant case expired, belonging to mixed germ cell variety of advanced stage.Conclusions: Ovarian neoplasm is highly challenging, especially in adolescents and children due to the need for fertility preservation. Early detection, optimal therapy and intense follow up with psychological support to patients and families are the mainstay of treatment.

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