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Effective Communication as a Tool for Achieving Organizational Goal and Objective 有效沟通是实现组织目标的工具
Pub Date : 2024-07-22 DOI: 10.55544/jrasb.3.3.37
Nasir Ahmad Hamkar, Hanifullah Bashar, Hikmatullah Hikmat
Effective communication is essential for providing users with the information needed to achieve specific goals. This study explores the impact of effective communication on organizational performance, focusing on efficiency and profitability. The primary research question investigates the overall influence of effective communication on organizational goals. Sub-questions examine its effects on organizational efficiency and profitability. The main hypothesis posits that effective communication enhances organizational goal attainment, while sub-hypotheses suggest it improves efficiency and profitability. Objectives include understanding the impact of effective communication on organizational goals, efficiency, and profitability. Using purposive sampling, the study involved 40 employees. Secondary data were gathered from previous journals and books. The findings indicate that effective communication contributes to organizational development by enhancing employee productivity through verbal communication, improving performance efficiency through visual communication, and facilitating quick and accurate daily activities. Furthermore, effective communication aids in providing superior customer service, increasing the effectiveness of information systems, and maximizing employee performance benefits within the organization.
有效沟通对于为用户提供实现特定目标所需的信息至关重要。本研究探讨了有效沟通对组织绩效的影响,重点是效率和盈利能力。首要研究问题是调查有效沟通对组织目标的总体影响。子问题则考察其对组织效率和盈利能力的影响。主假设认为有效沟通能促进组织目标的实现,而子假设则认为有效沟通能提高效率和盈利能力。研究目标包括了解有效沟通对组织目标、效率和盈利能力的影响。本研究采用目的取样法,涉及 40 名员工。二手数据收集自以往的期刊和书籍。研究结果表明,有效沟通有助于组织的发展,它通过语言沟通提高员工的工作效率,通过视觉沟通提高工作效率,并促进日常活动的快速和准确。此外,有效沟通还有助于提供优质的客户服务,提高信息系统的有效性,以及最大限度地提高组织内员工的绩效收益。
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引用次数: 0
Effect of Democratic Leadership Styles on Corporate Performance 民主领导风格对企业绩效的影响
Pub Date : 2024-07-22 DOI: 10.55544/jrasb.3.3.36
Hikmatullah Hikmat, Nangyalai Ghorbandi
This study investigated the impact of Democratic Leadership Style on employee business development within the private sector. The primary objective is to assess how Democratic Leadership Style influences organizational behavior. This was further divided into two specific objectives: (1) to explore the influence of Democratic Leadership Style on organizational behavior, and (2) to examine the relationship between Democratic Leadership Style and organizational behavior. The main research question is: "What is the effect of Democratic Leadership Style on organizational behavior?" Sub-questions include: "What is the influence of Democratic Leadership Style on organizational behavior?" and "What is the relationship between Democratic Leadership Style and organizational behavior?" The hypothesis posits that Democratic Leadership Style has a positive effect on organizational behavior, with sub-hypotheses suggesting that this style enhances organizational behavior and establishes a positive relationship between the leadership style and organizational behavior. Data was collected through both primary and secondary methods, including 30 distributed questionnaires and information from relevant books, websites, journals, articles, and magazines. Findings indicate that Democratic Leadership Style positively affects employee business development, skills enhancement, productivity, and morale. This style also allows employees to contribute to daily operations, supports work-life balance, and improves employee retention rates.
本研究调查了民主领导风格对私营部门员工业务发展的影响。首要目标是评估民主领导风格如何影响组织行为。这又分为两个具体目标:(1) 探讨民主领导风格对组织行为的影响,(2) 研究民主领导风格与组织行为之间的关系。主研究问题是:"民主领导风格对组织行为的影响是什么?子问题包括"民主领导风格对组织行为的影响是什么?"以及 "民主领导风格与组织行为之间的关系是什么?"假设认为民主领导风格对组织行为有积极影响,子假设认为这种风格会增强组织行为,并在领导风格和组织行为之间建立积极关系。数据收集采用了主要方法和次要方法,包括发放 30 份调查问卷,以及从相关书籍、网站、期刊、文章和杂志中获取信息。研究结果表明,民主领导风格对员工的业务发展、技能提高、生产率和士气有积极影响。这种风格还能让员工为日常运营做出贡献,支持工作与生活的平衡,并提高员工保留率。
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引用次数: 0
Organizational Culture and Its Effect on Employee Motivation 组织文化及其对员工激励的影响
Pub Date : 2024-07-22 DOI: 10.55544/jrasb.3.3.38
Khowaja Abdul Jawad Siddiqi, Ahmad Zamir Jamal
Organizational culture plays a critical role in addressing these demands by maintaining the stability of the social system within the organization and minimizing individual differences. It fosters a sense of identity and belonging among employees, which is directly related to employee turnover and workplace harmony. The primary objective of this research is to examine the impact of organizational culture on employee motivation. Sub-objectives include assessing the impact of organizational culture on employee retention and organizational performance. The main research questions are: How does organizational culture affect employee motivation? How does it influence employee retention? And how does it impact organizational performance? Corresponding hypotheses posit that organizational culture positively affects employee motivation, retention, and organizational performance. For this study, data were collected using both primary and secondary methods. Primary data were gathered through a 30-question questionnaire distributed to 30 employees at Jahan University, while secondary data were sourced from relevant journals, books, and websites. The aim of this research is to elucidate the effects of organizational culture on employee motivation.
组织文化通过维护组织内部社会体系的稳定和最大限度地减少个体差异,在满足这些需求方面发挥着至关重要的作用。它培养了员工的认同感和归属感,而这种认同感和归属感与员工流失和工作场所和谐直接相关。本研究的首要目标是考察组织文化对员工激励的影响。次级目标包括评估组织文化对员工保留率和组织绩效的影响。主要研究问题有组织文化如何影响员工激励?组织文化如何影响员工保留率?组织文化如何影响组织绩效?相应的假设认为,组织文化会对员工激励、留任和组织绩效产生积极影响。本研究采用主要和次要方法收集数据。第一手数据通过向嘉汉大学的 30 名员工发放 30 个问题的调查问卷来收集,第二手数据则来自相关期刊、书籍和网站。本研究旨在阐明组织文化对员工激励的影响。
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引用次数: 0
Impact of Conflict Management Practices on Employee Performance in Organizations 冲突管理实践对企业员工绩效的影响
Pub Date : 2024-07-22 DOI: 10.55544/jrasb.3.3.39
Rafiullah Safi, Mujtaba Khairkhwa
This study examines the relationship between conflict management and employee performance within an organization, defining organizational conflict as a dispute arising from incompatible interests, goals, or values among individuals or groups. The primary research question investigates the effect of conflict management on employee performance, with sub-questions exploring the importance of conflict management on employee productivity and its consequences on organizational dynamics. The main hypothesis posits that conflict management positively affects employee performance, supported by a sub-hypothesis suggesting similar positive impacts on organizational management. Utilizing a qualitative research methodology, data were collected from secondary sources including journals, books, and websites. The findings highlight both positive and negative impacts of conflict management on organizational outcomes. The study addresses the extent of the relationship between conflict management strategies and employee performance, as well as the perceptions of employees and management regarding the effectiveness of these strategies.
本研究探讨了组织内冲突管理与员工绩效之间的关系,将组织冲突定义为个人或团体之间因利益、目标或价值观不一致而产生的争端。首要研究问题是冲突管理对员工绩效的影响,次要研究问题是冲突管理对员工生产力的重要性及其对组织动态的影响。主假设认为冲突管理会对员工绩效产生积极影响,副假设则认为冲突管理对组织管理也会产生类似的积极影响。研究采用定性研究方法,从期刊、书籍和网站等二手资料中收集数据。研究结果强调了冲突管理对组织成果的积极和消极影响。本研究探讨了冲突管理策略与员工绩效之间的关系程度,以及员工和管理层对这些策略有效性的看法。
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引用次数: 0
A Detailed Study of Glaucoma in Adults, Its Pathogenesis, Diagnosis and Management 成人青光眼及其发病机制、诊断和管理的详细研究
Pub Date : 2024-07-21 DOI: 10.55544/jrasb.3.3.34
P. P. Sarwade, Madhav Kumar Mishra, Harpreet Kaur, C. M. Latha, S. H. Sherief, Kavita Narayan, Rapborlang Khongshei, Parmar Hemantbhai Natubhai, Shikshan Maharshi, Guruvarya R. G. Shinde Mahavidyalaya, Paranda Dist, India Dharashiv M.S
As the second most prevalent cause of blindness in the world, after cataracts, glaucoma diagnosis and treatment are crucial topics for general physicians to know. Glaucomas can often be categorised based on three key factors: the extent to which the anterior chamber angle is open or closed, the intensity of the onset (acute or chronic), and the underlying cause (primary or secondary). Most cases of glaucoma are primary, indicating the absence of any comorbidities. Nevertheless, secondary glaucomas may arise from a range of visual illnesses as their root cause. Individuals who are susceptible to developing chronic glaucoma should undergo regular eye examinations in order to detect the condition at an early stage and prevent the progressive deterioration of vision that may occur prior to diagnosis. Glaucoma leads to impairments in both central and peripheral vision fields due to damage to the optic nerve and the retinal nerve fibre layer. All current treatments, including drugs, lasers, and procedures, aim to reduce intraocular pressure (IOP) because it is the only factor that can be changed and is crucial in the progression of the condition. Pharmacotherapy is the usual first-line treatment, although its effectiveness is constrained by noncompliance, adverse effects, and cost. While laser and surgical methods offer the ability to effectively lower intraocular pressure (IOP) for extended periods and at a lower cost compared to medicine, they come with increased risks during the process and a higher likelihood of treatment not being successful. Various modern minimally invasive glaucoma operations have replaced conventional incisional therapies because they offer improved safety and reduced efficacy decreases. While the long-term success of minimally invasive glaucoma surgeries still needs to be determined by large-scale randomised trials, these methods have greatly transformed the surgical treatment of glaucoma.
作为仅次于白内障的全球第二大致盲原因,青光眼的诊断和治疗是普通医生必须了解的重要课题。青光眼通常可根据三个关键因素进行分类:前房角开放或关闭的程度、发病强度(急性或慢性)以及潜在病因(原发性或继发性)。大多数青光眼病例都是原发性的,表明没有任何并发症。然而,继发性青光眼的根本原因可能是一系列视力疾病。容易患上慢性青光眼的人应定期进行眼科检查,以便及早发现病情,防止在确诊前视力逐渐恶化。由于视神经和视网膜神经纤维层受损,青光眼会导致中心和周边视野受损。目前所有的治疗方法,包括药物、激光和手术,都旨在降低眼压(IOP),因为眼压是唯一可以改变的因素,也是影响病情发展的关键因素。药物疗法是常用的一线治疗方法,但其有效性受到不依从性、不良反应和费用的限制。虽然激光和手术方法能够长期有效地降低眼内压(IOP),而且与药物治疗相比成本更低,但治疗过程中的风险也随之增加,治疗不成功的可能性也更高。各种现代微创青光眼手术取代了传统的切口疗法,因为它们提高了安全性,降低了疗效。虽然微创青光眼手术的长期成功与否仍有待大规模随机试验来确定,但这些方法已大大改变了青光眼的手术治疗。
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引用次数: 0
Cubosomes; An Approach to Sustain and Improve the Ocular Delivery for Glaucoma Treatment: Box Benhken Optimization, Formulation, In Vitro Characterization and Ex Vivo Permeation Study 立方体;持续和改进青光眼治疗眼部给药的一种方法:方框本肯优化、配方、体外表征和体内渗透研究
Pub Date : 2024-07-21 DOI: 10.55544/jrasb.3.3.33
Shubhangi Aher, Bharati Nimase
Introduction: In glaucoma, acetazolamide (ACZ) is used to lower intraocular pressure (IOP). Low aqueous solubility and decreased corneal permeation are two characteristics of ACZ. This research intends to enhance the ocular delivery of ACZ. Materials and Methods: Using a Box-Behnken design, cubosomes loaded with acetazolamide were made using the Melt dispersion emulsification and sonication method. The independent variables included Glyceryl monoolein (GMO), polyvinyl alcohol (PVA) and Poloxamer 407 (P407. The prepared formulations underwent evaluation for polydispersity index (PDI), particle size and entrapment efficiency. Thermal analysis, in vitro characterisation and permeation were among the additional tests performed on the developed formulation. Results: Optimized formulation showed PDI of 0.23 ± 0.03, mean particle size of 243 ± 4.2 nm, zeta potential of -26.1 ± 0.6 mV, entrapment efficiency of 73.99% and cubic structure under TEM. Drug penetration through goat cornea has increased, according to an ex vivo permeation study. The prepared cubosome safety, stability and ability to be delivered through the cornea were confirmed by the ocular irritation test. Conclusion: The optimized cubosomal formulation has the potential to improve glaucoma treatment and be regarded as promising for ocular delivery of ACZ.
简介:在青光眼中,乙酰唑胺(ACZ)用于降低眼内压(IOP)。低水溶性和角膜渗透性降低是乙酰脞胺的两个特点。本研究旨在提高 ACZ 的眼部给药效果。材料与方法:采用方框-贝肯设计法,利用熔融分散乳化和超声法制成了装有乙酰唑胺的立方体。自变量包括甘油单油脂(GMO)、聚乙烯醇(PVA)和聚羟胺 407(P407)。制备的制剂进行了多分散指数(PDI)、粒度和包埋效率的评估。此外,还对所开发的制剂进行了热分析、体外表征和渗透性测试。结果显示优化配方的 PDI 为 0.23 ± 0.03,平均粒径为 243 ± 4.2 nm,zeta 电位为 -26.1 ± 0.6 mV,夹带效率为 73.99%,在 TEM 下呈立方体结构。体内外渗透研究表明,药物在山羊角膜中的渗透率有所提高。眼刺激试验证实了所制备立方体的安全性、稳定性和通过角膜给药的能力。结论优化后的立方体制剂具有改善青光眼治疗的潜力,有望用于 ACZ 的眼部给药。
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引用次数: 0
The Effects of Different Seed Rates on Yield and Economical Feasibility of Mustard (Brassica juncea) 不同播种率对芥菜产量和经济可行性的影响
Pub Date : 2024-07-21 DOI: 10.55544/jrasb.3.3.32
W. A. Sarhadi, Mir Zaman Naybkhil, Wahida Yousofzai, Shamsurahan Shams
Rapeseed-mustard plant (Brassica juncea)” is any one of several plant species in the genera Brassica, Rhamphospermum and Sinapis in the family Brassicaceae (the mustard family). Mustard seed is used as a spice. Grinding and mixing the seeds with water, vinegar, or other liquids creates the yellow condiment known as prepared mustard. The seeds can also be pressed to make mustard oil, and the edible leaves can be eaten as mustard greens. Many vegetables are cultivated varieties of mustard plants; domestication may have begun 6,000 years ago. Mustard is a popular condiment, commonly it is a popular condiment made from the seeds of the mustard plant. It can be prepared using white/yellow mustard, brown mustard, or black mustard seeds mixed with liquids, salt, and other flavorings to create a paste or sauce. Mustard pairs well with meats, vegetables, and cheeses and is commonly used in sandwiches, hamburgers, and hot dogs. It is also used in dressings, glazes, sauces, and marinades around the world. The word "mustard" has origins in Latin and French, and archaeological evidence suggests mustard cultivation dates back to ancient civilizations like the Indus Valley. Mustard has a long history of culinary use, with the Romans likely being the first to experiment with mustard as a condiment. In France, Dijon became a renowned center for mustard making, and Dijon mustard is still highly regarded today. Mustard has various uses, such as a condiment, an ingredient in sauces and soups, and an emulsifier in dishes like Hollandaise sauce. The flavor and heat of mustard depend on the seed type and preparation method. Mustard offers nutritional benefits such as vitamins, minerals, and omega-3 fatty acids. Mustard plants is used for producing edible oil for human, oil-cake for feeding animals, sauce, spices, medicine and other purposes   in Afghanistan.Mustard has a long history in Afghanistan and is mostly cultivated in the Northern provinces such as Baghlan, Kunduz, Thakkar, Samangan and etc. For the above-mentioned importance of Mustard, we decided to apply a research on seed rates to fine the desirable seed rate of mustard crop for Afghan Mustard growers. Seed rates are one of the important factors, which the suitable seed rates prevent from the economic loss of farmers.  This research accomplished in the title of “The effects of different seed rates on yield and growth components of mustard (Brassica juncea)” The research was designed in a complete block design (RCBD) with three replications and five treatments. The data were collected from growth parameters such as plant height, number branches plant-1, number of leaves plant-1 as well as yield parameters such as number of pods plan-1, number of seeds plant-1, seed yield kg ha-1, dry matter kg ha-1 and biological yield kg ha-1. The collected data were analyzed using excel, OPSTAT online testing program, statistical tool for agricultural research (STAR). Based on the statistical analysis the significant diff
油菜-芥菜(Brassica juncea)"是芥菜科芸薹属(Brassicaaceae)中芸薹属(Brassica)、芸薹属(Rhamphospermum)和芸薹属(Sinapis)中的多个植物品种之一。芥菜籽可用作香料。将种子碾碎并与水、醋或其他液体混合,可制成黄色调味品,即调制芥末。种子还可以压榨成芥子油,可食用的叶子可以作为芥菜食用。许多蔬菜都是芥菜的栽培品种;驯化可能始于 6000 年前。芥末是一种广受欢迎的调味品,通常是用芥末植物的种子制成的。它可以用白/黄芥末、褐芥末或黑芥末种子与液体、盐和其他调味料混合制成糊状或酱状。芥末酱可以与肉类、蔬菜和奶酪搭配,常用于制作三明治、汉堡包和热狗。在世界各地,它还被用于调味料、釉料、酱汁和腌泡汁。芥末 "一词起源于拉丁语和法语,考古证据表明,芥末的种植可以追溯到印度河流域等古代文明。芥末的烹饪历史悠久,罗马人可能是最早尝试将芥末作为调味品的人。在法国,第戎成为著名的芥末制作中心,第戎芥末至今仍备受推崇。芥末有多种用途,如调味品、酱汁和汤的配料,以及荷兰酱等菜肴的乳化剂。芥末的味道和热量取决于种子的种类和制作方法。芥末具有营养价值,如维生素、矿物质和欧米茄-3 脂肪酸。在阿富汗,芥菜植物可用于生产食用油、饲养动物的油饼、调味汁、香料、药物和其他用途。芥菜在阿富汗有着悠久的历史,主要种植在北部省份,如巴格兰、昆都士、塔卡尔、萨曼甘等。鉴于芥菜的上述重要性,我们决定对种子率进行研究,以确定阿富汗芥菜种植者理想的芥菜作物种子率。播种率是重要因素之一,合适的播种率可以避免农民的经济损失。 这项研究的题目是 "不同播种率对芥菜(Brassica juncea)产量和生长成分的影响"。研究采用完全区组设计(RCBD),有三个重复和五个处理。收集的数据包括植株高度、植株分枝数-1、植株叶片数-1 等生长参数以及荚果数-1、植株种子数-1、种子产量公斤/公顷-1、干物质公斤/公顷-1 和生物产量公斤/公顷-1 等产量参数。收集的数据使用 excel、OPSTAT 在线测试程序和农业研究统计工具(STAR)进行分析。根据统计分析,在 P≥0.05 时,所有参数都存在显著差异。采用最小显著性差异(LSD)对处理进行比较。生长和产量参数之间也呈正相关。主要是第三处理(15 厘米)的行间距比其他处理的影响大。我们建议开展更多研究,以找到植株与植株、行与行之间的最佳间距。目前,阿富汗农民可以在他们的田地里利用这项研究成果来获得芥菜的高产。
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引用次数: 0
Rifaximin: A Comprehensive Review of Structure, Uses, Mechanisms of Action, and Assay Methods 利福昔明:结构、用途、作用机制和检测方法综述
Pub Date : 2024-07-15 DOI: 10.55544/jrasb.3.3.31
Shibani Raut, Geetanjali Amat, Akshya Kumar Mishra
Rifaximin, a derivative of rifamycin, has emerged as a promising therapeutic tool in gastroenterology. This review explores rifaximin's intricate molecular structure and pharmacokinetic properties, highlighting its minimal systemic absorption and targeted action within the gut. The multifaceted mechanisms of action, including direct antibacterial effects and modulation of gut microbiota, are discussed. The review then examines the efficacy of rifaximin in treating various gastrointestinal disorders like traveler's diarrhea, Irritable Bowel Syndrome with Diarrhea (IBS-D), and Small Intestinal Bacterial Overgrowth (SIBO). Dosage recommendations and the well-tolerated safety profile of rifaximin are presented. Finally, the importance of quality control measures using techniques like HPLC and spectroscopy is emphasized to ensure the drug's effectiveness and safety.
利福昔明是利福霉素的一种衍生物,已成为胃肠病学中一种前景广阔的治疗工具。这篇综述探讨了利福昔明错综复杂的分子结构和药代动力学特性,强调了其极少的全身吸收和在肠道内的靶向作用。文章讨论了利福昔明的多重作用机制,包括直接抗菌作用和肠道微生物群调节作用。然后,综述探讨了利福昔明治疗旅行者腹泻、腹泻性肠易激综合征(IBS-D)和小肠细菌过度生长(SIBO)等各种胃肠道疾病的疗效。此外,还介绍了利福昔明的剂量建议和耐受性良好的安全性特征。最后,强调了使用高效液相色谱和光谱等技术进行质量控制的重要性,以确保药物的有效性和安全性。
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引用次数: 0
Research on the Development of Architectural Conditions for Civil Repairs in Afghanistan 关于阿富汗民用建筑维修条件发展的研究
Pub Date : 2024-07-14 DOI: 10.55544/jrasb.3.3.30
Saied Hamayon Shah Akbari
During the formation of fidalism, the culture of urbanization, which was considered the necessary link in the slave society, decreased, but the Centers of Buddhist culture in Afghanistan continued to operate even after the Arab conquests in the 7th century AD. At the beginning of the 5th century, from the depths of Central Asia, the Gochhanda Yaftali tribes invaded the territory of Afghanistan, which eventually led to the extinction of the Kushan Empire. Coexistence and interaction with neighbors in a peaceful and sometimes non-peaceful way of agricultural units with nomadic tribes is one of the main features of the historical development of the people of Afghanistan and Asia. By settling in the lands of Afghanistan and accepting the local culture and enriching it with their tribal traditions, the nomadic tribes helped a lot in the emergence of the process of a new social and cultural nature in the country. The conquests of the Arab caliphs, which began in the seventh century, and as a result of the interaction of their culture with the cultural traditions of the local people, led to the creation of a new culture.  And Islamic religion replaced Buddhism and other religious beliefs. Buildings for worship were built called mosques, Eidgah’s, schools and caravanserais. The formation of large commercial and handicraft cities, which took place in the development of literary and architectural sciences, which took place in the middle of the centuries of the feudal period. The Ghaznavid dynasties (10th-12th centuries) and the Ghurids, the "king of the mountains" in the 12th century, had a significant impact on the history of the early Middle Ages. In the engineering of the cities of the Ghaznavid period, the buildings of the city (Ghazni, Qala-e-Bast, Lashkargah) and also in the engineering of most of the buildings of the Ghurid dynasty (a minaret in the mountainous region of Jam), the ideological characteristics of that era have been expressed in the language of engineering. In the modern era, after the wars and the destruction of cities and places in the country, the migrations that took place as a result of the civil wars and the return to the country, brought different cultures to the country. Also, by mixing new cultures with local traditions, it caused cities and places to take a new shape. Thus, it influenced the development of Afghan architecture and the growth of modern architecture. This will be of particular importance with the combination of local architectural culture and traditions in Afghanistan.
在伊斯兰教的形成过程中,被视为奴隶社会必要环节的城市化文化逐渐衰落,但阿富汗的佛教文化中心仍在继续运作,甚至在公元 7 世纪阿拉伯人征服阿富汗之后也是如此。5 世纪初,戈昌达-雅夫塔利部落从中亚深处入侵阿富汗领土,最终导致贵霜帝国灭亡。农业单位与游牧部落以和平方式(有时是非和平方式)与邻国共存和互动,是阿富汗和亚洲人民历史发展的主要特征之一。游牧部落定居在阿富汗的土地上,接受当地文化,并用自己的部落传统丰富当地文化,对阿富汗新的社会和文化性质的形成过程起到了很大的推动作用。阿拉伯哈里发的征服始于七世纪,由于他们的文化与当地人民的文化传统相互影响,导致了新文化的产生。 伊斯兰教取代了佛教和其他宗教信仰。人们建造了清真寺、开斋节教堂、学校和商队营地等宗教建筑。在封建时代中期,随着文学和建筑科学的发展,形成了大型商业和手工业城市。加兹纳维王朝(10 至 12 世纪)和 12 世纪的 "山中之王 "古里王朝对中世纪早期的历史产生了重大影响。在加兹纳维王朝时期的城市工程、城市建筑(加兹尼、Qala-e-Bast、Lashkargah)以及古里王朝大部分建筑(贾姆山区的一座尖塔)的工程中,都用工程语言表达了那个时代的意识形态特征。到了近代,在经历了战争和城市与地方的破坏之后,由于内战和回国而发生的移民给国家带来了不同的文化。同时,新文化与当地传统文化的融合,也使城市和地方的面貌焕然一新。因此,它影响了阿富汗建筑的发展和现代建筑的成长。这对于阿富汗当地建筑文化与传统的结合尤为重要。
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引用次数: 0
A Comprehensive Review on Hepatic Encephalopathy: Pathophysiology, Symptoms, Epidemiology, Classification, Diagnosis and Treatment 肝性脑病综合综述:病理生理学、症状、流行病学、分类、诊断和治疗
Pub Date : 2024-07-08 DOI: 10.55544/jrasb.3.3.27
Sandip Tejpal, Saajan Kumar Sharma, Astha Sharma, Sachit Sharma
The condition known as hepatic encephalopathy (HE) is a state of impaired brain function that can be reversed and is experienced by patients who are suffering from severe liver diseases. Neurotoxins, decreased neurotransmission as a result of metabolic anomalies in liver failure, changes in brain energy metabolism, systemic inflammatory response, and alterations of the blood brain barrier are the primary hypotheses that are still being explored in relation to the precise pathophysiology of hepatic encephalopathy (HE). There is a wide spectrum of severity regarding the neurological and mental symptoms that can be brought on by HE. For the purpose of diagnosing limited HE, abnormal psychometric tests are utilised. Alterations in personality, altered states of consciousness, gradual spatial and temporal disorientation, lethargy, stupor, and coma are some of the characteristics of HE that are clinically noticeable. For the purpose of diagnosis, specific testing is not required outside of clinical studies. HE is classified according to the underlying disease, the severity of symptoms, the length of time it has been present, and whether or not there are triggers that cause it to occur. Hepatic encephalopathy refers to a collection of neuropsychiatric illnesses that can be treated and are characterised by the presence of symptoms in individuals who have liver disease or who have undergone portosystemic shunting. Entephalopathy, a disabling result of cirrhosis, affects thirty-five percent to forty-five percent of cirrhotic patients. Before recently, the treatment choices for HE that were available in hospitals were depending on anecdotal evidence, the availability of medication, and the norms of the relevant institutions. An increasing number of randomised controlled trials (RCTs) are providing further confirmation of the central significance of the basic HE therapy techniques (lactulose, branched-chain amino acids, and rifaximin), as well as the rising body of evidence showing the large beneficial advantages associated with these strategies. The liver transplantation and embolisation of large PSSs are two treatments that have proven to be effective for a select group of patients who have been carefully selected. Not only does it have a significant influence on the day-to-day lives of patients and carers, but it is also associated with increased rates of sickness and death and consumes a significant amount of resources in the healthcare system. In this article, we examine the history of hepatic encephalopathy, as well as the current understanding of the condition and the potential treatments for it.
肝性脑病(HE)是一种可以逆转的大脑功能受损状态,严重肝病患者会出现这种症状。关于肝性脑病(HE)的确切病理生理学,目前仍在探索的主要假说包括:神经毒素、肝功能衰竭导致的代谢异常引起的神经传递减少、脑能量代谢的变化、全身炎症反应以及血脑屏障的改变。肝性脑病可引起的神经和精神症状严重程度不一。为了诊断局限性肝性脑病,需要使用异常心理测试。人格改变、意识状态改变、逐渐的时空错乱、嗜睡、昏迷和昏迷是高血压在临床上明显的一些特征。就诊断而言,在临床研究之外不需要进行特定的检测。肝性脑病可根据潜在疾病、症状严重程度、病程长短以及是否有导致其发生的诱因进行分类。肝性脑病指的是一系列可以治疗的神经精神疾病,其特点是肝病患者或接受门静脉分流术的患者会出现症状。头痛病是肝硬化导致的一种致残性疾病,有 35% 至 45% 的肝硬化患者会患上头痛病。在此之前,医院提供的头痛治疗选择主要取决于传闻证据、药物供应情况以及相关机构的规范。越来越多的随机对照试验(RCTs)进一步证实了基本肝病治疗技术(乳果糖、支链氨基酸和利福昔明)的重要意义,越来越多的证据也显示了这些策略的巨大优势。肝移植和大型 PSS 的栓塞这两种治疗方法已被证明对经过严格筛选的特定患者有效。它不仅对患者和照护者的日常生活产生重大影响,还与疾病和死亡率的增加有关,并消耗医疗系统的大量资源。在本文中,我们将探讨肝性脑病的历史,以及目前对该病的认识和可能的治疗方法。
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