首页 > 最新文献

Dwight's Journal of Music最新文献

英文 中文
Contralateral Axillary Metastasis in Breast Cancer : case report 乳腺癌对侧腋窝转移1例
Pub Date : 2020-04-01 DOI: 10.26505/djm.18014720609
Samya Jalal Wrmzyar
Background:Contralateral axillary metastasis is a rare presentation in breast cancer, normally treated as a systemic disease. New researches shows that it may represent a locally advanced disease due to altered lymphatic drainage or it may be the only presentation of a contralateral primary occult breast cancer . Many recent publications have proposed aggressive surgical treatment with benefits to the patients in terms of survival. Case report: We present a case with a history of unilateral breast cancer, presented with contralateral axillary metastasis without any evidence of distant metastasis or new primary contralateral breast cancer. Conclusion: There is limited evidence of the correct management of contralateral axillary metastasis, and individualized multidisciplinary management is the best option for these patients , and it is proposed to be treat it as a loco regional disease for best survival benefit of the patient.
背景:对侧腋窝转移是乳腺癌中一种罕见的表现,通常被视为全身性疾病。新的研究表明,它可能是一种局部晚期疾病,由于淋巴引流改变,或者它可能是对侧原发性隐匿性乳腺癌的唯一表现。许多最近的出版物提出积极的手术治疗,有利于患者的生存。病例报告:我们提出一个单侧乳腺癌病史的病例,表现为对侧腋窝转移,没有任何证据表明远处转移或新的原发性对侧乳腺癌。结论:对侧腋窝转移的正确治疗证据有限,个体化多学科治疗是对侧腋窝转移患者的最佳选择,建议将其作为局部区域疾病治疗,以获得患者的最佳生存效益。
{"title":"Contralateral Axillary Metastasis in Breast Cancer : case report","authors":"Samya Jalal Wrmzyar","doi":"10.26505/djm.18014720609","DOIUrl":"https://doi.org/10.26505/djm.18014720609","url":null,"abstract":"Background:Contralateral axillary metastasis is a rare presentation in breast cancer, normally treated as a systemic disease. New researches shows that it may represent a locally advanced disease due to altered lymphatic drainage or it may be the only presentation of a contralateral primary occult breast cancer . Many recent publications have proposed aggressive surgical treatment with benefits to the patients in terms of survival. Case report: We present a case with a history of unilateral breast cancer, presented with contralateral axillary metastasis without any evidence of distant metastasis or new primary contralateral breast cancer. Conclusion: There is limited evidence of the correct management of contralateral axillary metastasis, and individualized multidisciplinary management is the best option for these patients , and it is proposed to be treat it as a loco regional disease for best survival benefit of the patient.","PeriodicalId":11442,"journal":{"name":"Dwight's Journal of Music","volume":"1 1","pages":"21-25"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90281319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of Women’s Satisfaction Regarding MCH Services Provided in Health Care Centers with High Maternal and Infant Mortality Rate in Wassit Governorate 评价妇女对瓦西特省母婴死亡率高的保健中心提供的妇幼保健服务的满意度
Pub Date : 2020-04-01 DOI: 10.26505/djm.18014800717
Ahmed Thani Sadoon, Basim Hussein Bahir
Background: As client opinion is useful to improve MCH service delivery, evaluation of client satisfaction should be undertaken periodically. Objective: To determine the level of satisfaction of pregnant women and mothers regard health care services provided in the MCH units in Wassit Governorate. Patients and Methods: A cross-sectional study, with a convenient sample of mothers and pregnant women who were attending to the MCH clinics. The study was conducted in three sectors with high maternal and infant mortality rate which include 28 health care centers in Wassit Governorate. Data were collected through the period starting on 16 December 2018 and ending on 31 March 2019, using a specially designed questionnaire. Results: The important inference of this study is the quality of care from the pregnant women and mothers perspective that reflected in client satisfaction. This study has revealed that (67.5%) of pregnant women were fairly satisfied, while 67.1% of mothers were fairly satisfied with health care services provided in MCH units at different PHC centers in Wassit city. Conclusion: This study revealed that the majority of pregnant women and mothers were fairly satisfied with health care services provided by the MCH unit in the Wassit Governorate and the quality of antenatal care and care for children less than 5 years provided at studied MCH centers need to be improved in all activities.
背景:由于客户意见对改善妇幼保健服务提供有用,因此应定期进行客户满意度评估。目的:了解瓦西特省妇幼保健单位提供的保健服务对孕妇和母亲的满意度。患者和方法:一项横断面研究,方便的母亲和孕妇参加妇幼保健诊所的样本。这项研究是在产妇和婴儿死亡率高的三个地区进行的,其中包括瓦西特省的28个保健中心。数据收集始于2018年12月16日至2019年3月31日,使用专门设计的问卷。结果:本研究的重要推论是孕妇和母亲角度的护理质量反映在客户满意度上。该研究表明,(67.5%)的孕妇对瓦西特市不同初级保健中心的妇幼保健单位提供的保健服务相当满意,而67.1%的母亲对卫生保健服务相当满意。结论:这项研究表明,大多数孕妇和母亲对瓦西特省妇幼保健单位提供的保健服务相当满意,所研究的妇幼保健中心提供的产前保健和5岁以下儿童保健的质量需要在所有活动中得到改善。
{"title":"Evaluation of Women’s Satisfaction Regarding MCH Services Provided in Health Care Centers with High Maternal and Infant Mortality Rate in Wassit Governorate","authors":"Ahmed Thani Sadoon, Basim Hussein Bahir","doi":"10.26505/djm.18014800717","DOIUrl":"https://doi.org/10.26505/djm.18014800717","url":null,"abstract":"Background: As client opinion is useful to improve MCH service delivery, evaluation of client satisfaction should be undertaken periodically. Objective: To determine the level of satisfaction of pregnant women and mothers regard health care services provided in the MCH units in Wassit Governorate. Patients and Methods: A cross-sectional study, with a convenient sample of mothers and pregnant women who were attending to the MCH clinics. The study was conducted in three sectors with high maternal and infant mortality rate which include 28 health care centers in Wassit Governorate. Data were collected through the period starting on 16 December 2018 and ending on 31 March 2019, using a specially designed questionnaire. Results: The important inference of this study is the quality of care from the pregnant women and mothers perspective that reflected in client satisfaction. This study has revealed that (67.5%) of pregnant women were fairly satisfied, while 67.1% of mothers were fairly satisfied with health care services provided in MCH units at different PHC centers in Wassit city. Conclusion: This study revealed that the majority of pregnant women and mothers were fairly satisfied with health care services provided by the MCH unit in the Wassit Governorate and the quality of antenatal care and care for children less than 5 years provided at studied MCH centers need to be improved in all activities.","PeriodicalId":11442,"journal":{"name":"Dwight's Journal of Music","volume":"46 1","pages":"35-47"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90818283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Conservative Management of Modified Moderate Alvarado Score(4-7) in Acute Appendicitis 改良Alvarado中度评分(4-7)保守治疗在急性阑尾炎中的作用
Pub Date : 2020-04-01 DOI: 10.26505/djm.18014820721
Nawshirwan H. Abdulkarim, F. H. Faraj
Background: Reginald Fitz described appendicitis in 1886.1From then the term appendicitis has been used. Acute appendicitis is the Commonest cause of abdominal surgical intervention with a prevalence of nearly 1 in 7 people[2].It is related to occasional mortality and high morbidity. Regarding conservative management an initial non-operative management for acute appendicitis was tried in the 1950s but was not accepted at that time[16] .Conservative management of acute appendicitis is safe and associated with reduced rate of operation ,complication and reduced costs of treatment[17-18]. Treatment include bowel rest, intravenous antibiotic with3rd generation Cephalosporine and Metronidazole .Datas show successful result in 90% of patients in whom appendicitis was confirmed by CT however 1/4 of patients may require surgical intervention within one year [19]. Objective: To assess the role of conservative management of acute appendicitis in patients with Modified Moderate Alvarado Score of (4-7). Patients and Methods: This is a prospective study conducted in Sulaymanya Teaching Hospital from December 2017 to December 2018 .A total number of 100 cases of acute appendicitis who were admitted in the emergency department with Modified Moderate Alvarado score (4-7)had been included. All the cases of the study were collected and all these patients received treatment and they divided into two groups according to the response and failure of treatment . Group A consist of ( 59%) patients in whom conservative treatment had been succeeded group B included (41%) patients in whom conservative treatment had been failed . The two groups were comparable according to age, gender and comorbidity . Inclusion crieteria include patients with Alvarado score ( 4-7). Exclusion crieteria include patients with high and low Alvarado Score , Appendicular Abscess, Appendicular mass, Fecolith, pregnant ladies, ectopic pregnancy and ovarian cyst. Results: Finally a total 100 patient were included in this study the success rate of conservative treatment of Acute Appendicitis was 59 % the failure rate was 41 %. Conclusion: in this study the result indicate that Conservative management of acute appendicitis of Modified Moderate Alvarado Score (4-7) is safeand reduces the rate of non-indicated surgery and reduces the rate of morbidity related to operation from those selected patients, and in this study the result also indicates that conservative management is successful in cases with Modified Moderate Alvarado score(4-7).
背景:Reginald Fitz于1886.1年描述了阑尾炎,从那时起阑尾炎一词就被使用了。急性阑尾炎是腹部手术干预的最常见原因,患病率近七分之一。它与偶尔死亡和高发病率有关。关于保守治疗,20世纪50年代曾尝试过急性阑尾炎的非手术治疗,但当时未被接受。急性阑尾炎的保守治疗是安全的,并且可以减少手术率、并发症和治疗费用[17-18]。治疗方法包括肠道休息,第三代头孢菌素和甲硝唑静脉注射抗生素。资料显示,90%的阑尾炎患者CT确诊成功,但1/4的患者可能需要在一年内手术干预。目的:探讨保守治疗在改良Alvarado评分为(4-7)的急性阑尾炎患者中的作用。患者与方法:本研究是2017年12月至2018年12月在Sulaymanya教学医院进行的前瞻性研究,共纳入100例急诊就诊的急性阑尾炎患者,修改中度Alvarado评分(4-7)。收集本研究的所有病例,并对所有患者进行治疗,根据治疗效果和治疗失败情况分为两组。A组包括(59%)保守治疗成功的患者,B组包括(41%)保守治疗失败的患者。两组在年龄、性别和合并症方面具有可比性。纳入标准为Alvarado评分(4-7)的患者。排除标准包括Alvarado评分高低、阑尾脓肿、阑尾肿块、粪石、孕妇、异位妊娠、卵巢囊肿。结果:本研究共纳入100例急性阑尾炎患者,保守治疗成功率为59%,失败率为41%。结论:本研究结果表明,改良中度阿尔瓦拉多评分(4-7)的急性阑尾炎保守治疗是安全的,并且在所选患者中减少了非指状手术的发生率和手术相关的发病率,本研究结果也表明改良中度阿尔瓦拉多评分(4-7)的病例中保守治疗是成功的。
{"title":"The Role of Conservative Management of Modified Moderate Alvarado Score(4-7) in Acute Appendicitis","authors":"Nawshirwan H. Abdulkarim, F. H. Faraj","doi":"10.26505/djm.18014820721","DOIUrl":"https://doi.org/10.26505/djm.18014820721","url":null,"abstract":"Background: Reginald Fitz described appendicitis in 1886.1From then the term appendicitis has been used. Acute appendicitis is the Commonest cause of abdominal surgical intervention with a prevalence of nearly 1 in 7 people[2].It is related to occasional mortality and high morbidity. Regarding conservative management an initial non-operative management for acute appendicitis was tried in the 1950s but was not accepted at that time[16] .Conservative management of acute appendicitis is safe and associated with reduced rate of operation ,complication and reduced costs of treatment[17-18]. Treatment include bowel rest, intravenous antibiotic with3rd generation Cephalosporine and Metronidazole .Datas show successful result in 90% of patients in whom appendicitis was confirmed by CT however 1/4 of patients may require surgical intervention within one year [19]. Objective: To assess the role of conservative management of acute appendicitis in patients with Modified Moderate Alvarado Score of (4-7). Patients and Methods: This is a prospective study conducted in Sulaymanya Teaching Hospital from December 2017 to December 2018 .A total number of 100 cases of acute appendicitis who were admitted in the emergency department with Modified Moderate Alvarado score (4-7)had been included. All the cases of the study were collected and all these patients received treatment and they divided into two groups according to the response and failure of treatment . Group A consist of ( 59%) patients in whom conservative treatment had been succeeded group B included (41%) patients in whom conservative treatment had been failed . The two groups were comparable according to age, gender and comorbidity . Inclusion crieteria include patients with Alvarado score ( 4-7). Exclusion crieteria include patients with high and low Alvarado Score , Appendicular Abscess, Appendicular mass, Fecolith, pregnant ladies, ectopic pregnancy and ovarian cyst. Results: Finally a total 100 patient were included in this study the success rate of conservative treatment of Acute Appendicitis was 59 % the failure rate was 41 %. Conclusion: in this study the result indicate that Conservative management of acute appendicitis of Modified Moderate Alvarado Score (4-7) is safeand reduces the rate of non-indicated surgery and reduces the rate of morbidity related to operation from those selected patients, and in this study the result also indicates that conservative management is successful in cases with Modified Moderate Alvarado score(4-7).","PeriodicalId":11442,"journal":{"name":"Dwight's Journal of Music","volume":"58 1","pages":"48-57"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75969054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Autonomic Nervous System Disorder Due to Exposure RF Jamming 射频干扰引起的自主神经系统紊乱
Pub Date : 2020-04-01 DOI: 10.26505/djm.18015051103
Ibrahim T Ibrahim, Suad M Al-Deen, A. Hassan
Background: The study of Heart rate is very important the body heart is directly related to heart rate ,the autonomic cardiovascular examination provides necessary information about function of the autonomic nervous system as well functional capacities of effectors heart and vessels and other associated part with radiation . Objective: To study the effect of jammer on autonomic nervous system as measured by heart rate. Patients and Methods: Heart rates of 10 males (age 21-51 years), and 10 females (age 20-54 years) were measured and recorded before, during using jammer for 15 minutes, 30 minutes, and 45 minutes, and one hour after shutting down the device . Results: The results clearly indicate that jammer radiation induced high fluctuations in heart rate variability of recovery period (after15 minutes using jammer) and show that the change of heart rate variability signal during jammer exposure is not permanent. There was no statistically significant difference observed in heart rate. Conclusion: The heart rate flection resulting from exposure to radiofrequencies of jammer are depending on the orientation of both electric &magnetic field of the electromagnetic radiation, the greater increase in heart rate that occurred during E orientation irradiation.
背景:心率的研究非常重要,人体心脏与心率直接相关,自主心血管检查提供了自主神经系统功能、效应器心脏和血管功能以及其他与辐射相关部位的必要信息。目的:研究干扰器对自主神经系统心率测量的影响。患者和方法:测量并记录10名男性(21-51岁)和10名女性(20-54岁)在使用干扰器前、15分钟、30分钟和45分钟以及关闭干扰器后1小时的心率。结果:结果清楚地表明,干扰机辐射引起恢复期(使用干扰机15分钟后)心率变异性的高波动,并表明干扰机暴露期间心率变异性信号的变化不是永久性的。两组的心率差异无统计学意义。结论:电磁干扰器射频辐射对心率的影响与电磁场方向有关,其中电磁干扰器射频辐射对心率的影响更大。
{"title":"Autonomic Nervous System Disorder Due to Exposure RF Jamming","authors":"Ibrahim T Ibrahim, Suad M Al-Deen, A. Hassan","doi":"10.26505/djm.18015051103","DOIUrl":"https://doi.org/10.26505/djm.18015051103","url":null,"abstract":"Background: The study of Heart rate is very important the body heart is directly related to heart rate ,the autonomic cardiovascular examination provides necessary information about function of the autonomic nervous system as well functional capacities of effectors heart and vessels and other associated part with radiation . Objective: To study the effect of jammer on autonomic nervous system as measured by heart rate. Patients and Methods: Heart rates of 10 males (age 21-51 years), and 10 females (age 20-54 years) were measured and recorded before, during using jammer for 15 minutes, 30 minutes, and 45 minutes, and one hour after shutting down the device . Results: The results clearly indicate that jammer radiation induced high fluctuations in heart rate variability of recovery period (after15 minutes using jammer) and show that the change of heart rate variability signal during jammer exposure is not permanent. There was no statistically significant difference observed in heart rate. Conclusion: The heart rate flection resulting from exposure to radiofrequencies of jammer are depending on the orientation of both electric &magnetic field of the electromagnetic radiation, the greater increase in heart rate that occurred during E orientation irradiation.","PeriodicalId":11442,"journal":{"name":"Dwight's Journal of Music","volume":"19 4","pages":"124-132"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91477518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Seroprevalence of Helicobacter Pylori Infection among Patients with Gastroduodenal Disorders in Erbil City 埃尔比勒市胃十二指肠疾病患者幽门螺杆菌感染的血清阳性率
Pub Date : 2020-04-01 DOI: 10.26505/djm.18014880818
Pshtewan D. Majeed, K. Khoshnaw
Background: More than half of the world's population is influenced by Helicobacter pylori infection. The infection is commonly obtained during childhood but may stay asymptomatic, with long-term clinical consequences such as gastritis, peptic ulcer illness, and stomach cancer. Objective: To determine the prevalence rate of Helicobacter pylori infection and related variables such as age, gender, residency, blood group, Rhesus factors and previous infection among patients presenting with gastroduodenal disorders in Erbil city. Patients and Methods: Out of 240 blood samples from patients with gastroduodenal disorders admitted to Rzgary Teaching Hospital in Erbil, Iraq from July to August 2019 were collected and screened for anti-Helicobacter pylori antibodies by rapid immunochromatographic assay, and blood groups of patients were determined by using hemagglutination test. For each study subject, a questionnaire sheet was prepared and used. Results: The overall prevalence rate of Helicobacter pylori infection among 240 patients with gastroduodenal disorders was 128 (53.3%). A significant relationship between Helicobacter pylori infection and gender (male 43.75% and female 59.72%) was recorded (P<0.05). The highest rate of Helicobacter pylori infection was founded among the age group over 50 years, but there were no significant differences between them (P>0.05). Prevalence was significantly higher among rural areas (60.4%) than the urban areas (48.6%) (P<0.05). There was a significant association between Helicobacter pylori infection and ABO blood group phenotypes (P<0.05), but there is no significant association between Helicobacter pylori infection and the type of Rhesus factor (P>0.05). Prevalence was significantly higher among the previous infection (78.5%) than non-previous infection (23.6%) (P<0.05). Conclusion: We found that in Erbil city, the seropositivity of anti-Helicobacter pylori antibody was high among patients with the gastroduodenal disorder. The high prevalence of Helicobacter pylori was founded in the women, elderly, rural area, O blood group, positive Rhesus factor and patients with the previous infection.
背景:世界上一半以上的人口受到幽门螺杆菌感染的影响。这种感染通常发生在儿童时期,但可能没有症状,但会产生长期的临床后果,如胃炎、消化性溃疡疾病和胃癌。目的:了解埃尔比勒市胃十二指肠疾病患者幽门螺杆菌感染率及年龄、性别、居住地、血型、恒河因子、既往感染等相关因素。患者与方法:收集2019年7 - 8月在伊拉克埃尔比勒市Rzgary教学医院住院的胃十二指肠疾病患者240例血液样本,采用快速免疫层析法筛查幽门螺杆菌抗体,采用血凝试验确定患者血型。对于每个研究对象,准备并使用了一份调查问卷。结果:240例胃十二指肠疾病患者中幽门螺杆菌总感染率为128例(53.3%)。幽门螺杆菌感染与性别(男性43.75%,女性59.72%)有显著相关性(P0.05)。农村地区的患病率(60.4%)明显高于城市地区(48.6%)(P0.05)。有感染史者患病率(78.5%)显著高于无感染史者(23.6%)(P<0.05)。结论:埃尔比勒市胃十二指肠疾病患者血清幽门螺杆菌抗体阳性率较高。妇女、老年、农村、O型血、恒河因子阳性及既往感染患者中幽门螺杆菌患病率较高。
{"title":"Seroprevalence of Helicobacter Pylori Infection among Patients with Gastroduodenal Disorders in Erbil City","authors":"Pshtewan D. Majeed, K. Khoshnaw","doi":"10.26505/djm.18014880818","DOIUrl":"https://doi.org/10.26505/djm.18014880818","url":null,"abstract":"Background: More than half of the world's population is influenced by Helicobacter pylori infection. The infection is commonly obtained during childhood but may stay asymptomatic, with long-term clinical consequences such as gastritis, peptic ulcer illness, and stomach cancer. Objective: To determine the prevalence rate of Helicobacter pylori infection and related variables such as age, gender, residency, blood group, Rhesus factors and previous infection among patients presenting with gastroduodenal disorders in Erbil city. Patients and Methods: Out of 240 blood samples from patients with gastroduodenal disorders admitted to Rzgary Teaching Hospital in Erbil, Iraq from July to August 2019 were collected and screened for anti-Helicobacter pylori antibodies by rapid immunochromatographic assay, and blood groups of patients were determined by using hemagglutination test. For each study subject, a questionnaire sheet was prepared and used. Results: The overall prevalence rate of Helicobacter pylori infection among 240 patients with gastroduodenal disorders was 128 (53.3%). A significant relationship between Helicobacter pylori infection and gender (male 43.75% and female 59.72%) was recorded (P<0.05). The highest rate of Helicobacter pylori infection was founded among the age group over 50 years, but there were no significant differences between them (P>0.05). Prevalence was significantly higher among rural areas (60.4%) than the urban areas (48.6%) (P<0.05). There was a significant association between Helicobacter pylori infection and ABO blood group phenotypes (P<0.05), but there is no significant association between Helicobacter pylori infection and the type of Rhesus factor (P>0.05). Prevalence was significantly higher among the previous infection (78.5%) than non-previous infection (23.6%) (P<0.05). Conclusion: We found that in Erbil city, the seropositivity of anti-Helicobacter pylori antibody was high among patients with the gastroduodenal disorder. The high prevalence of Helicobacter pylori was founded in the women, elderly, rural area, O blood group, positive Rhesus factor and patients with the previous infection.","PeriodicalId":11442,"journal":{"name":"Dwight's Journal of Music","volume":"42 1","pages":"91-101"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86621102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Evaluation of Urine Dipstick For Leukocyte Esterase Test For Diagnosis of Urinary Tract Infection 白细胞酯酶检测尿试纸对尿路感染诊断价值的评价
Pub Date : 2020-04-01 DOI: 10.26505/djm.18014830721
Shaima’a R. Al-Salihy
Background:General urine examination (GUE) and urine culture are the most requested tests by clinicians for patients with symptoms suggestive of urinary tract infections (UTI). However, they are laborious methods. So dipstick probably become rapid diagnostic alternative. Objective: To determine the sensitivity, specificity, positive and negative predictive values of dipstick for leukocyte esterase (LE) test compared with gold standard urine culture for diagnosis of UTI. Patients and Methods: A total of 150 mid-stream urine samples were collected from adult patient with clinically diagnosed or suspected UTI, during the period from 1 st September to 1 st December, 2018. Urine culture, general urine examination (GUE) and dipstick for LE were performed for each sample. Results: In the 150 urine samples, 126 (84%) were culture positive, and the prevalence of UTI among female (84.13%) was significantly higher than the prevalence among males (15.87%). Approximately, half of urine culture grew E.coli 70 (46.67%) followed by Klebsiella spp. 55 (36.67%), and Staphylococcus aureus 1(0.67%). The sensitivity, specificity, positive and negative predictive values of dipstick for LE test were 86.5%, 87.5%, 97.3% and 55.25%, respectively. However, the values can be enhanced by combination with GUE. Conclusion: Both general urine examination (GUE) and dipstick for leukocyte esterase (LE) methods are with predictive value in diagnosis of UTI. Because urine culture is an expensive and delayed test, rapid test could be a good substitution to reduce the workload and a good screening method.
背景:尿常规检查(GUE)和尿培养是临床医生对提示尿路感染(UTI)症状的患者要求最多的检查。然而,它们是费力的方法。所以试纸可能会成为快速诊断的替代品。目的:比较白细胞酯酶(LE)试验试纸与金标准尿培养诊断尿路感染的敏感性、特异性及阳性、阴性预测值。患者与方法:于2018年9月1日至12月1日收集临床诊断或疑似尿路感染的成人患者中游尿液样本150份。每个样本进行尿培养、尿常规检查(GUE)和LE试纸。结果:150份尿样中培养阳性126份(84%),女性尿路感染患病率(84.13%)明显高于男性(15.87%)。大约一半的尿液培养物生长大肠杆菌70(46.67%),其次是克雷伯氏菌55(36.67%)和金黄色葡萄球菌1(0.67%)。试纸检测LE的敏感性为86.5%,特异性为87.5%,阳性预测值为97.3%,阴性预测值为55.25%。然而,通过与GUE结合,这些值可以得到增强。结论:尿常规检查(GUE)和白细胞酯酶试纸法(LE)对尿路感染的诊断均有一定的预测价值。由于尿液培养是一种昂贵且延迟的检测方法,快速检测可以作为一种很好的替代方法来减少工作量和一种很好的筛查方法。
{"title":"Evaluation of Urine Dipstick For Leukocyte Esterase Test For Diagnosis of Urinary Tract Infection","authors":"Shaima’a R. Al-Salihy","doi":"10.26505/djm.18014830721","DOIUrl":"https://doi.org/10.26505/djm.18014830721","url":null,"abstract":"Background:General urine examination (GUE) and urine culture are the most requested tests by clinicians for patients with symptoms suggestive of urinary tract infections (UTI). However, they are laborious methods. So dipstick probably become rapid diagnostic alternative. Objective: To determine the sensitivity, specificity, positive and negative predictive values of dipstick for leukocyte esterase (LE) test compared with gold standard urine culture for diagnosis of UTI. Patients and Methods: A total of 150 mid-stream urine samples were collected from adult patient with clinically diagnosed or suspected UTI, during the period from 1 st September to 1 st December, 2018. Urine culture, general urine examination (GUE) and dipstick for LE were performed for each sample. Results: In the 150 urine samples, 126 (84%) were culture positive, and the prevalence of UTI among female (84.13%) was significantly higher than the prevalence among males (15.87%). Approximately, half of urine culture grew E.coli 70 (46.67%) followed by Klebsiella spp. 55 (36.67%), and Staphylococcus aureus 1(0.67%). The sensitivity, specificity, positive and negative predictive values of dipstick for LE test were 86.5%, 87.5%, 97.3% and 55.25%, respectively. However, the values can be enhanced by combination with GUE. Conclusion: Both general urine examination (GUE) and dipstick for leukocyte esterase (LE) methods are with predictive value in diagnosis of UTI. Because urine culture is an expensive and delayed test, rapid test could be a good substitution to reduce the workload and a good screening method.","PeriodicalId":11442,"journal":{"name":"Dwight's Journal of Music","volume":"30 1","pages":"70-76"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90827633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mathematical reasoning abilities: The Impact of Novick's Learning and Somatic, Auditory, Visual, Intellectual Learning Styles 数学推理能力:诺维克学习与躯体、听觉、视觉、智力学习风格的影响
Pub Date : 2020-01-31 DOI: 10.24042/djm.v3i1.4907
M. Yasin, Nasiroh Nasiroh, A. Fadila, Sitti Hartinah, Novalia Novalia
Every life needs a very important role especially the role in education. Improving the quality of education can be pursued by the use of appropriate learning models so as to improve students' reasoning abilities. The purpose of this study was to determine the differences in the influence of Novick's learning model and the learning model that is centered on educators on students' mathematical reasoning abilities, Knowing the interaction between learning models and SAVI learning styles (Somatic, Auditory, Visualization, Intelectually) on mathematical reasoning abilities learners. This research uses the Quasy Experiment Design method. The results obtained from this study are that learning by using Novick's learning model is more effective against mathematical reasoning for students, there is no interaction between Novick's learning model and SAVI learning style on mathematical reasoning abilities.
每个人的生活都需要一个非常重要的角色,尤其是教育角色。通过使用合适的学习模式来提高教学质量,从而提高学生的推理能力。本研究的目的是确定诺维克学习模式和以教育者为中心的学习模式对学生数学推理能力的影响差异,了解学习模式和SAVI学习风格(躯体、听觉、视觉、智力)对学生数学推理能力的影响。本研究采用Quasy实验设计方法。本研究结果表明,诺维克学习模式对学生数学推理能力的学习效果更好,诺维克学习模式与SAVI学习风格对数学推理能力的影响不存在交互作用。
{"title":"Mathematical reasoning abilities: The Impact of Novick's Learning and Somatic, Auditory, Visual, Intellectual Learning Styles","authors":"M. Yasin, Nasiroh Nasiroh, A. Fadila, Sitti Hartinah, Novalia Novalia","doi":"10.24042/djm.v3i1.4907","DOIUrl":"https://doi.org/10.24042/djm.v3i1.4907","url":null,"abstract":"Every life needs a very important role especially the role in education. Improving the quality of education can be pursued by the use of appropriate learning models so as to improve students' reasoning abilities. The purpose of this study was to determine the differences in the influence of Novick's learning model and the learning model that is centered on educators on students' mathematical reasoning abilities, Knowing the interaction between learning models and SAVI learning styles (Somatic, Auditory, Visualization, Intelectually) on mathematical reasoning abilities learners. This research uses the Quasy Experiment Design method. The results obtained from this study are that learning by using Novick's learning model is more effective against mathematical reasoning for students, there is no interaction between Novick's learning model and SAVI learning style on mathematical reasoning abilities.","PeriodicalId":11442,"journal":{"name":"Dwight's Journal of Music","volume":"74 1","pages":"83-88"},"PeriodicalIF":0.0,"publicationDate":"2020-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91294982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
How Mathematical Reasoning Abilities can be improved? : A Study Case at Islamic Boarding School 如何提高数学推理能力?:伊斯兰寄宿学校的个案研究
Pub Date : 2020-01-23 DOI: 10.24042/djm.v3i1.5320
Syamsul Huda, Haya Nadirah Kharisma, Isti Qoma., K. Jermsittiparsert
The development of mathematical reasoning ability of students affect the process of settlement of problems exiting in the process og learning matheatics. This study has the objective to determine the learning model that is effective between the Problem Based Learning models and the Learning Cycle 5E models. This study using quantitative study, data analysis techniques using T-test. The study results obtained it can be concluded that, mathematical reasoning ability of students has increased more effectively when the learning proces apply the Problem Based Learning models.
学生数学推理能力的发展影响着数学学习过程中存在问题的解决过程。本研究的目的是确定基于问题的学习模型和学习周期5E模型之间的有效学习模型。本研究采用定量研究,数据分析技术采用t检验。研究结果表明,在学习过程中采用基于问题的学习模式,学生的数学推理能力得到了更有效的提高。
{"title":"How Mathematical Reasoning Abilities can be improved? : A Study Case at Islamic Boarding School","authors":"Syamsul Huda, Haya Nadirah Kharisma, Isti Qoma., K. Jermsittiparsert","doi":"10.24042/djm.v3i1.5320","DOIUrl":"https://doi.org/10.24042/djm.v3i1.5320","url":null,"abstract":"The development of mathematical reasoning ability of students affect the process of settlement of problems exiting in the process og learning matheatics. This study has the objective to determine the learning model that is effective between the Problem Based Learning models and the Learning Cycle 5E models. This study using quantitative study, data analysis techniques using T-test. The study results obtained it can be concluded that, mathematical reasoning ability of students has increased more effectively when the learning proces apply the Problem Based Learning models.","PeriodicalId":11442,"journal":{"name":"Dwight's Journal of Music","volume":"100 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2020-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76279953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Odd Harmonious Labeling on Edge Amalgamation from Double Quadrilateral Graphs 双四边形图边合并的奇调和标记
Pub Date : 2020-01-23 DOI: 10.24042/djm.v3i1.5712
Fery Firmansah, Tasari Tasari
A graph that has odd harmonious labeling properties is called an odd harmonious graph. The purpose of this research is to obtain a new class graphs construction which is a family of odd harmonious graphs. The research method used consisted of several stages, namely research preparation, research investigation and verifivation of research results. The results of this study, we will give a line amalgamation construction of n double quadrilateral graphs DQ, denoted by *DQ(n) with n>= 1 and graph obtained by connecting between two graphs *DQ(n) with line graph L2, denoted by *(DQ(n),L2,DQ(n)). It has  further been proven that *DQ(n) and *(DQ(n),L2,DQ(n)) have odd harmonious labeling properties, such that all of them are odd harmonious graphs.
具有奇调和标记性质的图称为奇调和图。本研究的目的是得到一种新的类图构造,即奇调和图族。所采用的研究方法包括研究准备、研究调查和研究结果验证几个阶段。在本研究的结果中,我们将给出n个双四边形图DQ的线合并构造,用*DQ(n)表示,且n>= 1,两个图之间连接得到的图*DQ(n)与线形图L2,用*(DQ(n),L2,DQ(n))表示。进一步证明了*DQ(n)和*(DQ(n),L2,DQ(n))具有奇调和标记性质,使得它们都是奇调和图。
{"title":"Odd Harmonious Labeling on Edge Amalgamation from Double Quadrilateral Graphs","authors":"Fery Firmansah, Tasari Tasari","doi":"10.24042/djm.v3i1.5712","DOIUrl":"https://doi.org/10.24042/djm.v3i1.5712","url":null,"abstract":"A graph that has odd harmonious labeling properties is called an odd harmonious graph. The purpose of this research is to obtain a new class graphs construction which is a family of odd harmonious graphs. The research method used consisted of several stages, namely research preparation, research investigation and verifivation of research results. The results of this study, we will give a line amalgamation construction of n double quadrilateral graphs DQ, denoted by *DQ(n) with n>= 1 and graph obtained by connecting between two graphs *DQ(n) with line graph L2, denoted by *(DQ(n),L2,DQ(n)). It has  further been proven that *DQ(n) and *(DQ(n),L2,DQ(n)) have odd harmonious labeling properties, such that all of them are odd harmonious graphs.","PeriodicalId":11442,"journal":{"name":"Dwight's Journal of Music","volume":"2 1","pages":"65-72"},"PeriodicalIF":0.0,"publicationDate":"2020-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79028978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
The Influence of Classroom Flipped Model and Heuristic Vee on Students' Understanding of Mathematical Concepts 课堂翻转模式与启发式教学对学生数学概念理解的影响
Pub Date : 2020-01-23 DOI: 10.24042/djm.v3i1.5689
M. Syahrul, U. Kalsum, C. Putri, Lilis Mardiyana, Jutamat Sutduean
We already know that, there are many learning models that are used to improve the ability to understand mathematical concepts. In this study, researchers will use two learning models that have been previously studied. But this study is different from previous studies, this study aims to find a better model in improving the ability to understand students' mathematical concepts through test results by applying the flipped classroom and heuristic vee models. The method used in this study is quasi-experimental (quasi-experimental) and testing using the T and N-Gain test. Based on the results of the data analysis conducted, it can be concluded that increasing the ability to understand mathematical concepts of students who use the flipped classroom learning model is far better than vee heuristics.
我们已经知道,有很多学习模型被用来提高理解数学概念的能力。在这项研究中,研究人员将使用之前研究过的两种学习模型。但本研究不同于以往的研究,本研究旨在通过翻转课堂和启发式v模型的应用,寻找更好的通过测试结果来提高学生对数学概念理解能力的模式。本研究使用的方法是准实验(quasi-experimental),并使用T和N-Gain测试进行测试。根据所进行的数据分析结果,可以得出结论,使用翻转课堂学习模式的学生对数学概念的理解能力的提高远远优于使用启发式学习模式的学生。
{"title":"The Influence of Classroom Flipped Model and Heuristic Vee on Students' Understanding of Mathematical Concepts","authors":"M. Syahrul, U. Kalsum, C. Putri, Lilis Mardiyana, Jutamat Sutduean","doi":"10.24042/djm.v3i1.5689","DOIUrl":"https://doi.org/10.24042/djm.v3i1.5689","url":null,"abstract":"We already know that, there are many learning models that are used to improve the ability to understand mathematical concepts. In this study, researchers will use two learning models that have been previously studied. But this study is different from previous studies, this study aims to find a better model in improving the ability to understand students' mathematical concepts through test results by applying the flipped classroom and heuristic vee models. The method used in this study is quasi-experimental (quasi-experimental) and testing using the T and N-Gain test. Based on the results of the data analysis conducted, it can be concluded that increasing the ability to understand mathematical concepts of students who use the flipped classroom learning model is far better than vee heuristics.","PeriodicalId":11442,"journal":{"name":"Dwight's Journal of Music","volume":"88 1","pages":"27-36"},"PeriodicalIF":0.0,"publicationDate":"2020-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84147697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
期刊
Dwight's Journal of Music
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1