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Microbiological Comparative Studies of Crude Aqueous Extracts from Arabica and Robusta Coffee 阿拉比卡和罗布斯塔咖啡水提物微生物学比较研究
Pub Date : 2021-05-15 DOI: 10.26417/742zxx99o
Luiza Caracostea, R. Sîrbu, A. Lepădatu
The aim of the present study was to determine the degree of microbial contamination of aqueous extracts of green and roasted coffee originating in India. The samples used in this analysis were obtained by two extraction methods: hot extraction and cold extraction. If a microbial load of samples was found, the same extracts were filtered using sterile 0.22 μm pore size filters from PES (Polyester) for decontamination. The working methodology was based on the Standard SR EN ISO 21149/2017 which provides general guidelines for counting and detecting mesophilic aerobic bacteria using as a medium for isolation, cultivation and counting of microorganisms (bacteria and fungi) the non-differential environment. The experimental results obtained showed microbial contamination of all samples. The level of microbial contamination is different for the extracts taken under study, depending on the type of coffee used, green or roasted, but also on other conditions, such as wet or dry processing. Roasted coffee is much less contaminated compared to green coffee, due to a thermal (incomplete) sterilization by the roasting procedure. The working conditions used, the temperature of the distilled water used to prepare the extracts, their non-sterile handling, but also the type of coffee used, are the factors that determined the microbial contamination.
本研究的目的是确定原产于印度的生咖啡和烘培咖啡的水萃取物的微生物污染程度。本分析所用样品采用两种提取方法:热提取和冷提取。如果发现样品的微生物负荷,则使用PES(聚酯)的无菌0.22 μm孔径过滤器过滤相同的提取物进行去污。工作方法基于标准SR EN ISO 21149/2017,该标准提供了计数和检测嗜温好氧细菌的一般指南,该细菌用作培养基,用于分离、培养和计数微生物(细菌和真菌)的非差分环境。实验结果表明,所有样品均存在微生物污染。研究中提取的咖啡提取物的微生物污染程度是不同的,这取决于所使用的咖啡类型,是生咖啡还是烘焙咖啡,但也取决于其他条件,如湿加工还是干加工。由于烘焙过程中的热(不完全)灭菌,与生咖啡相比,烘焙咖啡受到的污染要少得多。所使用的工作条件,用于制备提取物的蒸馏水的温度,其非无菌处理,以及所使用的咖啡类型,都是决定微生物污染的因素。
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引用次数: 0
Studies on Chitosan, Chitin and Chitooligosaccharides and Their Biomedical Properties 壳聚糖、几丁质和壳寡糖及其生物医学性能的研究
Pub Date : 2021-05-15 DOI: 10.26417/805xka61j
Alef Ibram
Research in healthcare involves the use of natural resources in the manufacture of pharmaceutical products. Chito-oligosaccharides (CHOS) are described as homo- or heterooligomers of N-acetylglucosamine and D-glucosamine. As a starting material for CHOS production chitin or chitosan can be used. When it comes to the medical field, there are indications that CHOS may be developed and used as drugs against asthma, antibacterial agents, ingredients in wound-dressings and vectors in gene-therapy. The methods of production can rely on enzymatic conversions, chemical methods or combinations of these methods. There is ample literature concerning the biological effects of chitosans, but relatively little is known about the effects of CHOS, and the mechanisms behind observed bioactivities are generally poorly understood. This review is focused on the characterization of chitin and chitosan by presenting the biological properties, and on the enzymatic production of CHOS, and on further separation and purification methods for producing well-defined mixtures and also provides an overview of some of the most promising applications of CHOS.
医疗保健研究涉及利用自然资源生产医药产品。壳寡糖(CHOS)被描述为n -乙酰氨基葡萄糖和d -氨基葡萄糖的同聚或异聚物。甲壳素或壳聚糖可作为生产CHOS的原料。在医学领域,有迹象表明,CHOS可能被开发用于治疗哮喘的药物、抗菌剂、伤口敷料的成分和基因治疗的载体。生产方法可以依靠酶转化、化学方法或这些方法的组合。关于壳聚糖的生物学效应有大量的文献,但对CHOS的影响知之甚少,所观察到的生物活性背后的机制通常知之甚少。本文综述了甲壳素和壳聚糖的生物学特性、壳聚糖的酶法合成及其分离纯化方法,并对壳聚糖最有前景的应用进行了综述。
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引用次数: 1
Spectrophotometric Studies of Indolic Compounds from Vinca Minor L. 小长春花中吲哚类化合物的分光光度法研究。
Pub Date : 2021-05-15 DOI: 10.26417/200exd50h
Ana-Maria Dumitrescu(Neculai), G. Stanciu, R. Sîrbu
The most medically representative plant in the Apocynaceae family is Vinca minor. Vinca minor is a perennial, herbaceous plant, commonly known as Saschiu. In the present research we aimed to isolate the indole compounds from Vinca minor L. and to carry out some physico-chemical studies on these compounds: UV-VIS spectroscopy and the determination of the polyphenols content using Folin-Ciocâlteu method. The spectrophotometric study of the alcoholic plant extracts obtained from the leaf and stem of Vinca minor was performed using the UV-VIS spectrophotometric method and a VWR UV-630PC double beam spectrophotometer. Both samples of plant alcoholic extracts obtained from the leaf and from the stem of Vinca minor L. had the specific absorption maxima detected in the range 225-350 nm and the absorbance maximum in both cases was 3.5 (u.a- absorbency units). The total content of polyphenols was determined by the Folin-Ciocâlteu method from alcoholic extracts of different concentrations: 40 percent, 70 percent, 96 percent (T40, T70, T96, F40, F70, F96) obtained from the leaf and stem of Vinca minor plant using the spectrophotometer model JASCO- 550 UV VIS. Regarding the alcoholic extracts obtained from the leaf of Vinca minor L., the concentrations of polyphenols were between 812.50 mg / 100g pv and 1737.50 mg / 100g pv and and in the case of alcoholic extracts obtained from the strain, the results were between 1525.00-3962.50 mg GAE / 100 g pv, results that were in accordance with the literature.
夹竹桃科中最具医学代表性的植物是小长春花。小长春花是一种多年生草本植物,俗称长春花。本研究旨在从蔓长春花中分离吲哚类化合物,并对其进行理化性质的研究:紫外-可见光谱法和folin - cioc lteu法测定其多酚类化合物的含量。采用紫外-可见分光光度法和VWR UV-630PC双光束分光光度仪对小长春花叶和茎的酒精植物提取物进行了分光光度法研究。从小长春花叶和茎中提取的植物酒精提取物在225 ~ 350 nm范围内均检测到比吸收最大值,吸光度最大值均为3.5 (μ a-吸收单位)。采用folin - cioc lteu法测定不同浓度乙醇提取物中总多酚的含量:T70, 40%、70%、96% (T40 T96, F40, F70, F96)从长春花小植物的叶和茎获得使用分光光度计模型JASCO - 550紫外粘度有关酒精提取获得从长春花的叶小L。,多酚的浓度在812.50毫克/ 100克光伏和1737.50毫克/ 100克的pv和酒精提取得到的应变,结果在1525.00 pv GAE -3962.50毫克/ 100克、结果与文献一致。
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引用次数: 2
Public health strategies to combat opioid crisis in the United States 美国抗击阿片类药物危机的公共卫生战略
Pub Date : 2021-05-15 DOI: 10.26417/568wsf34o
F. Balidemaj
Abstract Background: The opioid epidemic in the United States is a national public health crisis. Driven by an increase in availability of pharmaceutical opioids and by an increase in their consumption, specifically, for pain treatment, more so in the past twenty years, it has led to an economic cost of prescription opioid abuse, overdose, and dependence in the United States estimated to be 78.5 billion USD. Methods: A thorough evaluation of the relevant extracted literature has been used to answer the question of the most effective ways to regulate health markets to decrease the opioid crisis in the United States, using keywords and phrases such as opioid epidemic in the US, prescription drug abuse, prescription medication abuse in US, medication misuse, cost-effective ways to health market regulation, drug monitoring programs, prescriber continuing education, provider continuing education, and pain management optimization. Results: Overcoming this epidemic nationwide requires improvement in patient utilization of and access to safe and effective treatment options for opioid abuse and overdose, addressing the stigma correlated with opioid use, considering appropriate use of abuse deterrent formulations (ADF) along with patient education, and improving prescribing practices via utilization of drug monitoring programs, CDC opioid prescribing guidelines and provider continuing education. Conclusion: Utilizing and implementing the aforementioned steps has shown to be a challenge. Further and repeated attempts are needed, while at the same time considering possible new steps that could help reinforce their utilization further.
背景:阿片类药物在美国的流行是一个全国性的公共卫生危机。在阿片类药物可用性的增加和消费的增加的推动下,特别是在过去的二十年中,特别是在疼痛治疗方面,它导致美国处方阿片类药物滥用,过量和依赖的经济成本估计为785亿美元。方法:对提取的相关文献进行全面评估,以回答监管卫生市场以减少美国阿片类药物危机的最有效方法的问题,使用关键词和短语,如美国阿片类药物流行,处方药滥用,美国处方药滥用,药物滥用,卫生市场监管的成本效益方式,药物监测方案,处方者继续教育,提供者继续教育,疼痛管理优化。结果:在全国范围内克服这一流行病需要改善患者对阿片类药物滥用和过量的安全有效治疗方案的利用和获取,解决与阿片类药物使用相关的耻辱感,考虑适当使用滥用威慑配方(ADF)以及患者教育,并通过利用药物监测方案、疾病预防控制中心阿片类药物处方指南和提供者继续教育来改善处方实践。结论:利用和实施上述步骤已被证明是一个挑战。需要进行进一步和反复的尝试,同时考虑可能采取的有助于进一步加强其利用的新步骤。
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引用次数: 0
The Value of Communities of Practice as a Learning Process to Increase Resilience in Healthcare Teams 实践社区的价值作为一个学习过程,以提高医疗团队的弹性
Pub Date : 2021-05-15 DOI: 10.26417/763xzb78s
Janet Delgado, S. Siow, J. Groot
This paper addresses the role that communities of practice (CoP) can have within the healthcare environment when facing uncertainty and highly emotionally impactful situations, such as the current COVID-19 pandemic. The starting point is the recognition that CoPs can contribute to build resilience among their members, and particularly moral resilience. Among others, this is due to the fact that they share a reflective space from which shared knowledge is generated, which can be a source of strength and trust within the healthcare team. Specifically, in extreme situations, the CoPs can contribute to coping with moral distress, which will be crucially important not only to facing crisis situations, but to prevent the long-term adverse consequences of working in conditions of great uncertainty. The purpose of this paper is to analyze how CoP can support healthcare professionals when building moral resilience. To support that goal, we will first define CoP and describe the main characteristics of communities of practice in healthcare. Subsequently, we will clarify the concept of moral resilience, and establish the relationship between CoP and moral resilience in light of the current COVID-19 pandemic. Finally, we analyze different group experiences that we can consider as CoP which emerged in the midst of the COVID-19 pandemic to navigate moral problems that arose.
本文讨论了在面临不确定性和高度情感影响的情况下,例如当前的COVID-19大流行,实践社区(CoP)在医疗保健环境中可以发挥的作用。首先要认识到,缔约方会议可以促进其成员建立复原力,特别是道德复原力。其中,这是因为他们共享一个反思空间,从中产生共享知识,这可以成为医疗团队内部力量和信任的来源。具体来说,在极端情况下,cop可以帮助应对道德困境,这不仅对面对危机情况至关重要,而且对防止在极不确定的条件下工作的长期不利后果至关重要。本文的目的是分析CoP如何在建立道德弹性时支持医疗保健专业人员。为了实现这一目标,我们将首先定义CoP并描述医疗保健实践社区的主要特征。随后,我们将明确道德弹性的概念,并结合当前COVID-19大流行建立CoP与道德弹性的关系。最后,我们分析了在2019冠状病毒病大流行期间出现的不同群体的经验,我们可以将其视为缔约方会议,以应对出现的道德问题。
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引用次数: 3
Total Carotenoid, Flavonoid and Phenolic Compounds Concentration in Willowleaf Cotoneaster (Cotoneaster Salicifolius Franch.) Fruits 柳叶白杨(Cotoneaster Salicifolius Franch.)中总类胡萝卜素、类黄酮和酚类化合物的含量水果
Pub Date : 2021-05-15 DOI: 10.26417/257pkg75z
D. Popoviciu, T. Negreanu-Pîrjol, R. Bercu
Willofleaf cotoneaster (Cotoneaster salicifolius Franch.) is a low, prostrate shrub, grown in Romania as an ornamental plant. Its fruits are small, ovoid pomes. Fruit tissues were analyzed for total carotenoid content (through acetone extraction and spectrophotometry), flavonoid content (methanol extraction and spectrophotometry) and total concentration of phenolic and polyphenolic compounds (methanol extraction and spectrophotometric Folin-Ciocâlteu method). C. salicifolius fruits analyzed contained an average of 311.50 mg/kg DW carotenoids (heat-dried fruits – only 100.25 mg/kg). Average flavonoid concentration was 9,777.62 mg/kg in fresh frozen fruits and 4,574 mg/kg in dried ones. 25,056.09 mg/kg GAE was the average concentration of total phenolics in fresh fruits, while dry fruit powder contained 5,271 mg/kg GAE. These concentrations of bioactive compounds are comparable, or even have a higher than in pomes belonging to related species, including domestic cultivars of rowanberry (Sorbus sp.), wild Sorbus species, firethorns (Pyracantha sp.), or other studied cotoneasters. This shows a significant potential for these pomes, requiring further investigation. However, heat-drying was found to be an unsuitable processing method for these fruits, since it led to a 53.22-78.94 percent decrease in bioactive compounds concentrations.
是一种低矮、匍匐的灌木,生长在罗马尼亚,是一种观赏植物。它的果实小,卵球形。对果实组织进行类胡萝卜素总含量(丙酮提取和分光光度法)、类黄酮含量(甲醇提取和分光光度法)、酚类和多酚类化合物总浓度(甲醇提取和分光光度法folin - cioc lteu法)分析。所分析的水杨柳果实平均含有311.50 mg/kg DW类胡萝卜素(热干果仅为100.25 mg/kg)。新鲜冷冻水果的平均类黄酮浓度为9777.62 mg/kg,干燥水果的平均类黄酮浓度为4574 mg/kg。新鲜水果中总酚类物质的平均含量为25,056.09 mg/kg,干果粉中总酚类物质的平均含量为5,271 mg/kg。这些生物活性化合物的浓度与属于相关物种的球团相当,甚至更高,包括国内栽培的蔓越莓(Sorbus sp.),野生Sorbus物种,火棘(Pyracantha sp.)或其他研究的棉花。这显示了这些球的巨大潜力,需要进一步的研究。然而,热干燥被发现是一种不适合处理这些水果的方法,因为它导致生物活性化合物浓度下降53.22- 78.94%。
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引用次数: 4
A Mind Genomics Cartography of Shopping Behavior for Food Products during the Covid -19 Pandemic Covid -19大流行期间食品购物行为的思维基因组学制图
Pub Date : 2021-05-15 DOI: 10.26417/334zce51h
Ariola Harizi, B. Trebicka, A. Tartaraj, H. Moskowitz
Abstract The study presents a new approach to understand the mind of the persons in order to drive desired action in crisis situation, specifically the COVID-19 pandemic. Understand the mind of the shopper in a pandemic situation, with massive uncertainty, should provide direction for governments and the retail trade to adopt practices and communications which will reassure their customers. This study investigates the nature of what people will do to reassure themselves in the pandemic, and has been executed during the period of the pandemic, making the study relevant to the actual events taking place. The focus of the study is on the likelihood of buying ordinary food, given certain descriptions. The study revealed three mind-sets, clusters of individuals who respond to the pandemic in one of three ways. These are: Mind-Set 1: Focus on sanitation & supply; Mind-Set 2: Focus on budget for lifestyle; Mind-Set 3: Focus on shopping, personal needs, consumption. These mind-sets are distributed through the population, and are not limited to specific age or gender. The paper closes with the PVI, personal viewpoint identifier, to assign a new person to one of the three mind-sets.
该研究提出了一种新的方法来了解人们的思想,以便在危机情况下,特别是COVID-19大流行中推动所需的行动。在大流行的情况下,了解购物者的想法,存在巨大的不确定性,应该为政府和零售业采取能够让客户放心的做法和沟通提供方向。这项研究调查了人们在大流行期间会做些什么来安抚自己的本质,并在大流行期间执行,使研究与正在发生的实际事件相关。这项研究的重点是在给定特定描述的情况下购买普通食品的可能性。这项研究揭示了三种心态,即以三种方式之一应对大流行的人群。它们是:思维模式1:专注于卫生和供应;思维模式2:注重生活预算;心态3:关注购物、个人需求和消费。这些心态分布在人群中,并不局限于特定的年龄或性别。本文以个人观点标识符PVI结束,将一个新人分配到三种心态中的一种。
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引用次数: 5
Correlation of Society Stringency/Openness Measures with Timely Trend of COVID-19 Cases - Case Study – Albania Versus Italy 社会严格/开放措施与COVID-19病例及时趋势的相关性研究——以阿尔巴尼亚与意大利为例
Pub Date : 2021-05-15 DOI: 10.26417/164rms38v
G. Koduzi, F. Cenko
Following the WHO declaration for COVID-19 as a pandemic, this disease has caused an international crisis with a severe impact on economic and health care systems. After the first cases reported in China, the disease has progressively widespread worldwide where all affected countries has adapted specific safety protocols and tried to find new therapies in order to face this new disease. The final objective is to evaluate the overall impact of stringency measures taken from Albanian and Italian governmental authorities in relation to daily cases of COVID-19 in each country. This is a descriptive paper where the data collected in Albania and Italy according to authority-based stringency measures were compared with their output; temporary trend of daily cases. Officially Albania reported the first COVID-19 case in 8th of March in an Albanian citizen just arrived from Italy, meanwhile in Italy the first cases dated January 31st were a Chinese couple in Rome who had travel from Wuhan City. Both governments took action by applying different closer measures; thereby Blavatnik School of Government has introduced the Oxford COVID-19 Government Response Tracker (OxCGRT) in order to quantifying numerically these actions. According to OxCGRT, Albania and Italy present similar level of stringency indicator, but epidemiological curve of daily cases is totally different in shape. Italian curve corresponds to a typical outbreak, while Albania curve seem like any endemic disease in the population. In front of this pandemic, the Albanian curve might be cut off as a result a small number of tests carried out by Albania authorities, 6906 tests/million population, which is far lower than tests performed by Italian authorities, which is 11 times fold (79908 test/million population). Toward end of May the number of COVID-19 were dropped so both governments planned to relief closure measures by opening most of public and economic activities. In front of the fear that COVID-19 could rise up again, as a result of virus transmission amongst people that was observed in Albania, while in Italy continued with the low and decreasing trend of disease cases. Data and their comparison though different indicators or index, shows that stringency measures could contribute on a temporary diminution of new cases of COVD-19, but if not are accompanied with individual protection measures, and/or special vulnerable groups it might be a missing opportunity because the general population might lose what was achieved during national quarantine. On the other hand, taking in consideration low public spending per capita in Albania (307 USD, 2014), moving from “hummer” toward “dance” phase, managing and supporting health system is critical. Public health services should be mainly the entitled authorities to monitor data and come up with specific and efficient measures in order to prevent an increase of cases on the overall population.Keywords: Albania, Italy, stringency index, epidemic, COVID-1
在世卫组织宣布COVID-19为大流行之后,这种疾病引发了一场国际危机,对经济和卫生保健系统产生了严重影响。在中国报告了第一例病例之后,该病已逐渐在世界范围内广泛传播,所有受影响的国家都已调整了具体的安全规程,并试图找到新的治疗方法,以应对这种新疾病。最后的目标是评估阿尔巴尼亚和意大利政府当局就各自国家的每日COVID-19病例采取的严格措施的总体影响。这是一篇描述性论文,其中根据基于当局的严格措施在阿尔巴尼亚和意大利收集的数据与其产出进行了比较;每日病例的临时趋势。阿尔巴尼亚官方于3月8日报告了第一例COVID-19病例,患者是一名刚从意大利抵达的阿尔巴尼亚公民,同时在意大利,1月31日的第一例病例是一对从武汉市前往罗马的中国夫妇。两国政府采取了不同的措施;因此,布拉瓦尼克政府学院推出了牛津COVID-19政府响应跟踪器(OxCGRT),以便对这些行动进行数字量化。根据OxCGRT,阿尔巴尼亚和意大利的严格指标水平相似,但每日病例的流行病学曲线形状完全不同。意大利曲线对应于典型的爆发,而阿尔巴尼亚曲线似乎是人口中的任何地方病。在这次大流行之前,阿尔巴尼亚的曲线可能会被切断,因为阿尔巴尼亚当局进行了少量测试,6906次/百万人口,远低于意大利当局进行的测试,后者是前者的11倍(79908次/百万人口)。随着5月末新冠肺炎确诊病例的减少,两国政府计划通过开放大部分公共和经济活动来缓解封锁措施。由于阿尔巴尼亚观察到病毒在人群中传播,人们担心COVID-19可能再次抬头,而在意大利,疾病病例继续保持低水平和下降趋势。数据及其通过不同指标或指数的比较表明,严格措施可能有助于暂时减少新发病例,但如果不同时采取个人保护措施和/或特殊弱势群体,可能会失去机会,因为一般人群可能会失去在国家隔离期间取得的成就。另一方面,考虑到阿尔巴尼亚人均公共支出较低(2014年为307美元),从“悍马”阶段转向“舞蹈”阶段,管理和支持卫生系统至关重要。公共卫生服务部门应主要是有权监测数据并提出具体和有效措施的当局,以防止总体人口中病例的增加。关键词:阿尔巴尼亚、意大利;严格指数;疫情;大流行;
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引用次数: 1
Determination of Caffeine Content in Arabica and Robusta Green Coffee of Indian Origin 印度产阿拉比卡和罗布斯塔绿咖啡中咖啡因含量的测定
Pub Date : 2021-05-15 DOI: 10.26417/425qba31z
Luiza Caracostea, R. Sîrbu, F. Busuricu
The coffee tree belongs to the Rubiaceae family, genus Coffea. Although more than 80 species of coffee have been identified worldwide, only two are economically important. Coffea Arabica, also known as Arabica coffee, is responsible for about 70 percent of the world coffee market, and Coffea Canephora or Robusta coffee represents the rest. Due to the strong physiological effects of caffeine on human physiology, the caffeine content is a very important quality parameter of processed coffee. Routine analysis of caffeine in the food industry can be facilitated using fast and reliable tests. In this article, we quantitatively determined the caffeine content using the chloroform isolation method and we also performed the qualitative determination of caffeine in green coffee of Indian origin by the UV-VIS spectrophotometric method. Following the analysis of caffeine isolate with chloroform, we obtained a caffeine content of 182 mg / 100 g for the Robusta green coffee sample and 154 mg / 100 g for the Arabica green coffee sample. Thus we can confirm the presence of a higher caffeine content in the Robusta India green coffee sample than in the Arabica India green coffee sample. In the spectrophotometric analysis we used 4 coffee samples obtained by extraction with hot distilled water and by extraction with cold distilled water. The spectral analysis confirms the presence of caffeine in both studied coffee species and agrees with the data in the literature.
咖啡树属于咖啡科,咖啡属。虽然全世界已经发现了80多种咖啡,但只有两种具有重要的经济价值。阿拉比卡咖啡(Coffea Arabica),也被称为阿拉比卡咖啡(Arabica coffee),占据了世界咖啡市场约70%的份额,而Canephora咖啡或罗布斯塔咖啡(Robusta coffee)则占据了剩下的份额。由于咖啡因对人体生理有很强的生理作用,因此咖啡因含量是加工咖啡非常重要的质量参数。使用快速可靠的测试可以促进对食品工业中咖啡因的常规分析。本文采用氯仿分离法定量测定了咖啡中的咖啡因含量,并采用紫外-可见分光光度法对印度产绿咖啡中的咖啡因进行了定性测定。用氯仿分析分离咖啡因后,我们得到罗布斯塔绿咖啡样品的咖啡因含量为182毫克/ 100克,阿拉比卡绿咖啡样品的咖啡因含量为154毫克/ 100克。因此,我们可以确认罗布斯塔印度绿咖啡样品中的咖啡因含量高于阿拉比卡印度绿咖啡样品。在分光光度分析中,我们用热蒸馏水和冷蒸馏水分别提取的4种咖啡样品进行分析。光谱分析证实了咖啡因在两种被研究的咖啡物种中的存在,并与文献中的数据一致。
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引用次数: 10
The Views of Directors of Health Institutions Relating to the Current Situation of the Healthcare System in the Republic of Macedonia and Their Expectations for the Future 卫生机构主管对马其顿共和国卫生保健系统现状的看法及其对未来的期望
Pub Date : 2021-05-15 DOI: 10.26417/928sxk63o
Valdrina Fetai
Health institutions as an integral part of the healthcare system operate in a dynamic and complex environment in which they are constantly faced with numerous shocks from the economic, technical, technological, political, socio-cultural and demographic changes of the uncontrolled external environment that are expected to be much more challenging in the next decade. The purpose of this paper is to identify how the top management of health care institutions assess the current state of the health system and how they prepare for the future of this system. This research is conducted through an anonymous annual survey of responsible persons of the decision-making hierarchy in the public health institutions. Directors of health institutions predict that in the future the new model of value-based healthcare will reformulate and change the future of healthcare. The technological advancement is the one that will significantly improve future healthcare by making the services more accessible, information more transparent as well as prepare the doctors and other medical staff to be able to provide a better healthcare. It can be concluded that healthcare managers feel great uncertainty about the dynamic and complex environment they are operating in, the overall economic situation and the possibility of increasing income. They are focused mainly on the implementation of contemporary technology for creating new values in new forms, developing new and dynamic partnerships and reducing the spending.
卫生机构作为卫生保健系统的一个组成部分,在一个动态和复杂的环境中运作,在这种环境中,它们不断面临来自经济、技术、技术、政治、社会文化和人口变化的无数冲击,这些变化是不受控制的外部环境,预计在未来十年将更具挑战性。本文的目的是确定卫生保健机构的高层管理人员如何评估卫生系统的现状,以及他们如何为该系统的未来做准备。本研究通过对公共卫生机构决策层负责人的匿名年度调查进行。医疗机构负责人预测,未来以价值为基础的医疗保健新模式将重新制定并改变医疗保健的未来。技术进步将显著改善未来的医疗保健,使服务更容易获得,信息更透明,并使医生和其他医务人员能够提供更好的医疗保健。可以得出结论,医疗保健管理者对他们所处的动态和复杂的环境,整体经济形势和增加收入的可能性感到很大的不确定性。它们主要侧重于采用现代技术,以新形式创造新价值,发展新的和有活力的伙伴关系,并减少开支。
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European Journal of Medicine and Natural Sciences
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