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MULTIPLE TROMBOSIS IN CHILD WITH POST COVID-19 INFECTION COVID-19感染后儿童的多发性血栓
Pub Date : 2022-05-18 DOI: 10.36962/piretc19022022-51
Nonkulovski D., Zhivkovska L., Duma F., Sofijanova A. Nonkulovski D., Zhivkovska L., Duma F., Sofijanova, Kirovski I , Muaremoska-Kanzoska L., Alili-Ademi L. Kirovski I , Muaremoska-Kanzoska L., Alili-Ademi L
Introduction: SARS CoV-2 infection can cause acute, as well as chronic damage to the cardiovascular system. Blood vessel dysfunction and clot formation, as suggested by elevated D-dimer levels, are thought to play a significant role in morbidity, as well as in mortality in Covid-19 patients, leading to clots causing pulmonary embolisms and ischemic events within the brain1.Aim: To confirm the correlation between SARS CoV-2 infection and possibility for vascular complication, including thrombotic brain lesion.Materials: Detailed patient’s history, physical examination particularly noting the neurological status and locomotor skills, as well as blood analysis with hemostasis and d-dimers, serology for SARS CoV-2 IgG antibodies and PCR swab were all part of the diagnostic process for this patient.Methods: Computed tomography and brain MRI with angiography were main imaging tools used in the diagnostic process.Results: Thrombosis of the left middle cerebral artery was confirmed on brain MRI with angiography in a patient recovered from SARS CoV-2 infection, noted with high levels of IgG antibodies to the particular virus and elevated D-dimer levels, presenting with symptomatic right sided hemiparesis.Conclusion: Some of the patients recovered from SARS CoV 2 infection can develop ischemic stroke. This link is confirmed by elevated levels of IgG antibodies in patient’s serum against SARS CoV-2. This kind of vascular post viral complication can cause different kind of disability, presented with neurological impairment and coagulation disorders. The prognose is improving with anticoagulant and physical therapy started early.2Keywords: Thrombosis, SARS Cov-2, Brain, Hemiparesis
SARS - CoV-2感染可对心血管系统造成急性和慢性损害。d-二聚体水平升高表明,血管功能障碍和凝块形成被认为在Covid-19患者的发病率和死亡率中起着重要作用,导致凝块导致肺栓塞和脑内缺血事件1。目的:探讨SARS - CoV-2感染与血栓性脑损伤等血管并发症的相关性。资料:详细的患者病史,体格检查,特别是注意神经状态和运动技能,以及止血和d-二聚体的血液分析,SARS CoV-2 IgG抗体的血清学和PCR拭子都是该患者诊断过程的一部分。方法:计算机断层扫描和脑磁共振血管造影是诊断过程中的主要影像学工具。结果:1例SARS - CoV-2感染后康复的患者,经脑MRI血管造影证实左大脑中动脉血栓形成,特异性病毒IgG抗体水平高,d -二聚体水平升高,表现为症状性右侧偏瘫。结论:部分SARS冠状病毒感染者可发生缺血性脑卒中。患者血清中抗SARS - CoV-2的IgG抗体水平升高证实了这一联系。这种血管病毒后并发症可引起不同类型的残疾,表现为神经功能障碍和凝血功能障碍。早期抗凝治疗和物理治疗可改善预后。关键词:血栓形成,SARS -2,脑,偏瘫
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引用次数: 0
POST-COVID 19 ENCEPHALITIS IN PATIENT WITH DE NOVO MUTATION IN THE SCN1A GENE, A CASE REPORT scn1a基因从头突变患者的covid - 19后脑炎1例报告
Pub Date : 2022-03-10 DOI: 10.36962/pahtei18012022-06
Nonkulovski D., Duma F., Nonkulovski D., Duma F.,, Sofijanova A., Muaremoska-Kanzoska L. Sofijanova A., Muaremoska-Kanzoska L., Adili-Ademi L., Zhivkovska L., Adili-Ademi L., Zhivkovska L.,, Koskarova Malinkova E. Koskarova Malinkova E.
Seizures are defined as a transient occurrence of signs and symptoms due to an abnormal, excessive or synchronous neuronal activity in the brain, characterized by abrupt and involuntary skeletal muscle activity. The presence of cephalgic syndrome, infectious-toxic encephalopathy, hypo- and anosmia and ageusia are pathognomonic conditions in COVID-19 infected patients. Post-Covid 19 encephalitis develops to encephalopathy in children with epilepsy. Based on the clinical appearance and the parameters that showed past Covid-19 infection, a diagnosis of post-COVID19 encephalopathy was confirmed. To confirm the diagnosis, clinical examinations, MRI of the brain, electroencephalography, lumbar puncture, laboratory tests (including CBC, CRP, basic metabolic panel, liver panel, hemostasis with D-dimer) are necessary. Based on the brain changes registered on the EEG record, the physical findings and the presence of SARS CoV 2 IgG antibodies, it was concluded that a child with an initial diagnosis of epilepsy, developed encephalopathy after asymptomatic COVID 19 infection.Keywords: Post-COVID19 complications, encephalitis, Dravet syndrome, epilepsy, de novo mutation, children
癫痫发作被定义为由于大脑中异常、过度或同步的神经元活动而引起的体征和症状的短暂发生,其特征是突然和不自主的骨骼肌活动。脑病综合征、传染性中毒性脑病、嗅觉减退和衰老是COVID-19感染患者的典型症状。covid - 19后脑炎在癫痫患儿中发展为脑病。结合临床表现及既往感染参数,诊断为后冠状病毒脑病。为了确认诊断,临床检查、脑MRI、脑电图、腰椎穿刺、实验室检查(包括CBC、CRP、基础代谢组、肝脏组、d -二聚体止血)是必要的。根据脑电图记录记录的大脑变化,体格检查和SARS CoV 2 IgG抗体的存在,得出结论,一名初步诊断为癫痫的儿童在无症状感染COVID - 19后发展为脑病。关键词:covid - 19后并发症,脑炎,德拉韦综合征,癫痫,新生突变,儿童
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引用次数: 0
ISSUES OF IMPLEMENTATION OF SYSTEM OF CONTROL IN SUSTAINABLE FINANCIAL AND ECONOMIC MANAGEMENT OF INDUSTRIAL ENTERPRISES 工业企业可持续财务经济管理中实施控制制度的问题
Pub Date : 2022-03-10 DOI: 10.36962/piretc18012022-16
Karim Seyidrza Karim Seyidrza, Bakhtiyar Ismayilov Bakhtiyar Ismayilov, Mexmer Teymurova Mexmer Teymurova
In recent years, pondium problems in many countries around the world have created a financial crisis, negatively affecting the macroeconomic performance of many countries, which has led to a decline in gross domestic product (GDP) as well as greater problems in economic development. The globalization of economic processes in the world has increased the uncertainty of the external environment in the national economy of both individual and national economies as a whole, creating the need to develop scientifically based methods and approaches to effective management of industries.Today, the formation of an effective management system of the economic system must be based on the principles of sustainable development. Management should be carried out in order to achieve the level of financial sustainability of the enterprise, on the one hand, and on the other hand, in accordance with the strategic objectives of the actual situation of the business entity. This is because the existence of objective uncertainty in the external environment of the enterprise and the subjectivity of decisions make it necessary to develop a control system for the stability of the enterprise, which should allow the formation of optimal management decisions aimed at increasing financial and economic stability. Thus, the stability of an economic system based on scientific methods of modeling and optimization in a dynamic environment, based on preventive measures and the principles of adaptive management.Keywords: sustainable, system, management, enterprise, model, function, purpose, uncertainty.
近年来,世界上许多国家的货币问题造成了金融危机,对许多国家的宏观经济表现产生了负面影响,导致国内生产总值(GDP)下降,经济发展中出现了更大的问题。世界经济进程的全球化增加了个别国民经济和整个国民经济的外部环境的不确定性,因此需要发展以科学为基础的有效管理工业的方法和途径。今天,形成有效的经济体系管理体系必须以可持续发展的原则为基础。管理一方面要以达到企业财务可持续性水平为目标,另一方面要根据企业实体实际情况的战略目标进行管理。这是因为企业外部环境存在客观的不确定性和决策的主观性,因此有必要制定企业稳定的控制系统,该系统应允许形成旨在增加财务和经济稳定的最优管理决策。因此,经济系统的稳定性基于科学的建模方法和动态环境中的优化,基于预防措施和适应性管理原则。关键词:可持续,系统,管理,企业,模式,功能,目的,不确定性。
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引用次数: 0
Key Aspects of Analysis of Profit and Profitability of Georgian Winemaking on the Example of JSC “Badagoni” 格鲁吉亚酿酒利润与盈利能力的关键分析——以“巴达尼”JSC为例
Pub Date : 2021-03-25 DOI: 10.36962/ecs104/1-2/2021-145
Bezhan Shereshashvili Bezhan Shereshashvili, Levan Sabauri Levan Sabauri
Profit is the main goal and the ultimate financial result of the business. Profit is an absolute indicator of the business operations of an enterprise and the main source of formation of its financial resources. Profit provides a characterization of the economic result obtained by enterprise as a result of its activities and, as a key indicator for assessing the activities of the enterprise, profit contributes to an increase in production, sales and product quality. The analysis of profit indicators allows us to draw important conclusions, but does not show the level of use of economic resources by the company. It is noteworthy that the starting point of a company's financial conditions and its stable business development largely depends on the efficient use of the economic resources. For these purposes, the relative rate of return – profitability - is used, which is calculated on different bases, for example: indicators of operating expenses, total expenses, average annual value of assets, capital employed, etc. The profitability analysis improves the results of the performance analysis, since it is the profitability ratios that characterize the level of efficiency of the resources used. Considering all the above, we can say that profitability is also a strong indicator of the quality of the assessment of the management of enterprise, since it determines how purposefully the management uses the economic resources of the company. Thus, the main task of management is to guide and control the indicators of the profit and profitability. In this article, a study of the main issues of the analysis of profit and profitability was carried out on the basis of the audited financial statements of the JSC “Badagoni” for the production of Georgian wine for 2018-2019. The document outlines the directions for improving the company's financial results and outlines measures for increasing profitability. Keywords: Profit; Earnings, Operating Profit; Advanced Capital; Profitability, Profitability Factor Analysis
利润是企业的主要目标和最终财务结果。利润是企业经营活动的绝对指标,是企业财务资源形成的主要来源。利润是企业经营活动所取得的经济成果的表征,是评价企业经营活动的关键指标,利润有助于提高生产、销售和产品质量。对利润指标的分析使我们能够得出重要的结论,但并不能显示公司对经济资源的利用水平。值得注意的是,企业财务状况的起点和业务的稳定发展在很大程度上取决于经济资源的有效利用。为了这些目的,使用了相对收益率- -利润率,它是根据不同的基础计算的,例如:营业费用指标、总费用、资产的平均年价值、所使用的资本等。盈利能力分析改进了绩效分析的结果,因为是盈利能力比率表征了所使用资源的效率水平。综上所述,我们可以说,盈利能力也是评价企业管理质量的一个强有力的指标,因为它决定了管理层如何有目的地使用公司的经济资源。因此,管理的主要任务是引导和控制利润和盈利能力的指标。在本文中,根据JSC“Badagoni”2018-2019年格鲁吉亚葡萄酒生产的经审计财务报表,对利润和盈利能力分析的主要问题进行了研究。该文件概述了改善公司财务业绩的方向,并概述了提高盈利能力的措施。关键词:利润;收益、营业利润;先进的资本;盈利能力,盈利能力因素分析
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