European Journal of Medicine and Natural Sciences最新文献_第9页

Quality Innovation in Healthcare – The Challenge of the Third Era 医疗保健的质量创新——第三时代的挑战

European Journal of Medicine and Natural Sciences Pub Date : 2020-10-15 DOI: 10.26417/303oix63f

Pieter J. Kievit, M. Schoorl, Jeannette Oomes, Piet Bartels

{"title":"Quality Innovation in Healthcare – The Challenge of the Third Era","authors":"Pieter J. Kievit, M. Schoorl, Jeannette Oomes, Piet Bartels","doi":"10.26417/303oix63f","DOIUrl":"https://doi.org/10.26417/303oix63f","url":null,"abstract":"Abstract In the third era of quality assurance in health care, innovation is no longer the exclusive focus area of the individual medical professional dedicated to optimizing patient care nor is it achieved by design thinking by the health delivery organization aiming for economic sustainability. Change platform in the third era is the community of professionals, committed to providing the best possible care within the limits of organizational logic. We aim to clarify the conditions for sustainable quality improvement in health delivery organizations and in doing so to provide a means of improving initial feasibility assessment by identifying critical factors in the cooperation between different parties. We designed a model representing the sources of influence on the process of decision making regarding the selection of innovations and choosing the most effective implementation strategy. These sources are: aspects of legitimacy, core values and change readiness. We tested this model on a project, aimed at improving the efficiency of the OR in a Dutch University Clinic. The example project failed to deliver the projected outcome because of non-disclosed conflicting interpretations of core values and an implicit controversial status shift between medical professionals and OR management. This confirms the explaining power of our model. Successful implementation of quality innovation in health care depends (among other things) on addressing the challenges of differing concepts of legitimacy, conflicting core values and varying change readiness between social systems in complex organizations. Installing a QIC as such does not meet these challenges.","PeriodicalId":11935,"journal":{"name":"European Journal of Medicine and Natural Sciences","volume":"1 1","pages":"79 - 99"},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81235338","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

Changing Health-Related Behaviour Leveraging Data Analytics 利用数据分析改变健康相关行为

European Journal of Medicine and Natural Sciences Pub Date : 2020-10-15 DOI: 10.26417/179kke60g

R. Ranjan, S. Bhargav

引用次数: 0

Effects of Biomimicry on Architecture 仿生对建筑的影响

European Journal of Medicine and Natural Sciences Pub Date : 2020-10-15 DOI: 10.26417/219dlh28l

Elif Gizem Yetkin

{"title":"Effects of Biomimicry on Architecture","authors":"Elif Gizem Yetkin","doi":"10.26417/219dlh28l","DOIUrl":"https://doi.org/10.26417/219dlh28l","url":null,"abstract":"Abstract The sociological, psychological and physiological problems experienced by humanity, which have been exposed to dark offices, high flats and city life far from nature, have been strikingly exposed with researches. In addition, the nature-based design approaches that emerged due to the need to meet the need of humanity for nature and the desire to return to nature have taken their place among the design parameters of the new age in architecture However, concepts where biology and design come together have emerged. Biomimicry is a discipline that explores the best ideas for design processes by imitating nature. It takes all the ecological needs that users expect from architecture directly from the nature. It provides an integration model with the nature that people yearn for, and also creates a model that takes the solutions created by nature in architectural designs as an example. In this period of architectural design turning to nature, biomimicry has the feature of being a pioneer of a new architectural trend by providing designers with a different view of nature. The main purpose of this study is to determine the application areas and basic features of the biomimicry approach in architecture and to create a road map for designer architects. To achieve this goal, a research methodology has been designed to achieve two objectives. First, it will carry out an in-depth research on biomimicry, architecture and environmentally friendly designs with existing literature studies. Secondly, listing the biomimicry designs applied in architecture and classifying them according to their ecological gains to the building. As a result, a guide will be created for the designer architects to provide ease in producing more efficient buildings.","PeriodicalId":11935,"journal":{"name":"European Journal of Medicine and Natural Sciences","volume":"96 1","pages":"100 - 113"},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84969969","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

Calcium, Phosphorus and PTH in Patients with End Stage of Chronic Kidney Disease, Undergoing Hemodialysis 终末期慢性肾病血液透析患者钙、磷和甲状旁腺激素的变化

European Journal of Medicine and Natural Sciences Pub Date : 2020-10-15 DOI: 10.26417/214rmd38q

S. Faja, A. Shoshi

引用次数: 0

Resilience of adolescents diagnosed with anxiety and their parents in clinical sample 临床样本中焦虑青少年及其父母的心理弹性

European Journal of Medicine and Natural Sciences Pub Date : 2020-09-13 DOI: 10.31234/osf.io/f2ux8

Törő Kd, S. Takács, G. Csikós

{"title":"Resilience of adolescents diagnosed with anxiety and their parents in clinical sample","authors":"Törő Kd, S. Takács, G. Csikós","doi":"10.31234/osf.io/f2ux8","DOIUrl":"https://doi.org/10.31234/osf.io/f2ux8","url":null,"abstract":"Introduction: Anxiety disorder is the most frequent psychiatric problem among children and adolescents. Research proved that resilience can be a protective factor in coping with psychological difficulties. Our research focuses on these aspects of resilience. Aims: We aimed to investigate the resilience and anxiety level of families with adolescents who were diagnosed with anxiety disorders. Method: The clinical sample included 40 adolescents who were diagnosed with anxiety disorders and who received ambulant treatment. (18 boys and 22 girls; age: M=13.37 years, SD=1.46). Members of the control group were recruited from schools and they were normally developing adolescents without any psychiatric diagnosis. (18 boys and 19 girls, age: M=13.7 years; SD=1.56) DASS-21, Ten items Connor-Davidson Resilience Scale and self-made demographic sheet were used. Results: Regarding the resilience, a Significant difference was found between the clinical and the sample group both among the mothers and their children. However, in the case of fathers, no discrepancy was found. Our results suggest that there is a significant, moderate positive relationship between the resilience of the mother and their children. Nevertheless, similar mechanisms in the fathers’ case cannot be registered. In the control group, the fathers’ perception of their child’s resilience proved to be the strongest predictive factor (beta=0,495). On the contrary in the clinical group, the maternal perception was more accurate. (beta=0,06). Conclusions: Resilience can serve as a protective factor against anxiety. Our results can be useful for practitioners and draw attention to the importance of intrafamily mechanisms in coping with anxiety and mood disorders.","PeriodicalId":11935,"journal":{"name":"European Journal of Medicine and Natural Sciences","volume":"59 35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90844659","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

Bioactive Compounds from Three Green Algae Species along Romanian Black Sea Coast with Therapeutically Properties 罗马尼亚黑海沿岸三种绿藻的生物活性化合物及其治疗特性

European Journal of Medicine and Natural Sciences Pub Date : 2020-05-15 DOI: 10.26417/720mnv73y

R. Sîrbu, T. Negreanu-Pîrjol, M. Mirea

{"title":"Bioactive Compounds from Three Green Algae Species along Romanian Black Sea Coast with Therapeutically Properties","authors":"R. Sîrbu, T. Negreanu-Pîrjol, M. Mirea","doi":"10.26417/720mnv73y","DOIUrl":"https://doi.org/10.26417/720mnv73y","url":null,"abstract":"During the past years, it became obvious that the ecosystem presents a marine algae excedent, which should be utilized in one way or another. In the marine world, algae have been intensely studied, but the Black Sea seaweeds are not sufficiently harnessed. To survive in such various diverse and extreme environments, macroalgae produce a variety of natural bioactive compounds and metabolites, such as polysaccharides, polyunsaturated fatty acids, and phlorotannins. In the Black Sea there are three species of green algae: Ulvae lactuca sp., Enteromorpha intestinalis and Cladophora sp. The superior exploitation of the marine biomass represents a highly important resource for the pharmaceutical industry, supplying raw material for the extraction of bioactive substances (vitamins, polysaccharides, sterols, phenols and amino-acids) and various other substances. The purity of this compounds is strongly connected to the state of the marine ecosystem. In the present paper are presented the main bioactive compounds existing in the chemical composition of the green algae in the Black Sea studied. The details of the therapeutic properties of the green algae generated by their chemical compositions.","PeriodicalId":11935,"journal":{"name":"European Journal of Medicine and Natural Sciences","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81279968","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: 6

Antioxidant Activity Correlated with Chlorophyll Pigments and Magnesium Content of Some Green Seaweeds 几种绿海藻抗氧化活性与叶绿素色素和镁含量的关系

European Journal of Medicine and Natural Sciences Pub Date : 2020-05-15 DOI: 10.26417/393qel95l

T. Negreanu-Pîrjol, R. Sîrbu, M. Mirea

{"title":"Antioxidant Activity Correlated with Chlorophyll Pigments and Magnesium Content of Some Green Seaweeds","authors":"T. Negreanu-Pîrjol, R. Sîrbu, M. Mirea","doi":"10.26417/393qel95l","DOIUrl":"https://doi.org/10.26417/393qel95l","url":null,"abstract":"The complex valorification of seaweed biomass represents a highly important resource for the pharmaceutical and dermo-cosmetic industry, supplying raw material for the extraction of bioactive substances such as, polysaccharides, vitamins, sterols, aminoacids, polyphenols and minerals. Marine algae represent an indefatigability resource of therapeutic active principles for diseases treatment of magnesium deficiency. The presence of chlorophyll pigments in the green algae confirms the magnesium existence, as central element in molecular structures. The main green algae, as Ulva lactuca and Enteromorpha intestinalis present on the Romanian Black Sea Coast, belong to Chlorophyta sp. In this paper we present a study of antioxidant activity correlated with magnesium content and chlorophyll pigments of the green algae Enteromorpha intestinalis and Ulva rigida (syn. Ulva lactuca) hydroalcoholic extracts. For chlorophyll pigments determination, the UV-Vis spectrometry was used. Magnesium content had been determined by absorption atomic spectrometry method, using HR-CS- AAS ContraA 700 apparatus, Analytik Jena and for total antioxidant capacity of green algae extracts, the photochemiluminescence method had been applied, using Photochem Analytik Jena apparatus. The comparative studies on two marine green algae extracts confirm the high magnesium content correlated with a high level of total antioxidant capacity for both species. The results obtained emphasize the possibility to enlarge the options to use these natural vegetal resources from Black Sea Coast, in different degenerative diseases therapy.","PeriodicalId":11935,"journal":{"name":"European Journal of Medicine and Natural Sciences","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81962792","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

Harmonization of the National Legislation on Cosmetic Products in the Context of the Standardization of the European Legislation in the Field 在欧洲化妆品领域立法标准化背景下各国化妆品立法的协调

European Journal of Medicine and Natural Sciences Pub Date : 2020-05-15 DOI: 10.26417/935wqz80s

C. Erimia

引用次数: 0

The Plasmid Differences in Multi-Drug Resistant Opportunistic Pathogenic Soil Strains of Pseudomonas and Stenotrophomonas 假单胞菌和窄养单胞菌多重耐药条件致病性土壤菌株的质粒差异

European Journal of Medicine and Natural Sciences Pub Date : 2020-05-15 DOI: 10.26417/181efp62c

B. Babayan

{"title":"The Plasmid Differences in Multi-Drug Resistant Opportunistic Pathogenic Soil Strains of Pseudomonas and Stenotrophomonas","authors":"B. Babayan","doi":"10.26417/181efp62c","DOIUrl":"https://doi.org/10.26417/181efp62c","url":null,"abstract":"Abstract The antibiotic resistance and especially mult-idrug resistance is one of the most important factors for any microorganism survival in nature. In a majority of cases the resistance to antibiotics, as a property is being defined by several genes which are localized in plasmids, transposons and in other mobile genetical elements. As a result, it has been found out that in some native opportunistic pathogenic soil strains of Pseudomonas and Stenotrophomonas, the resistance to different antibiotics is caused by simultaneous presence of different plasmids in cells. Besides, the genes of resistance to various classes of antibiotics of I, II, III generations. They can be localized on one plasmid or in more than one plasmids of current bacterial cell. These plasmids of researched strains of Pseudomonas and Stenotrophomonas are able to stabile replication not only in cells permanently contacting with compatible antibiotic molecules in environment, but also in case of long-term cultivation of bacteria on synthetic media without any antibiotic. The antibiotic resistance of researched Pseudomonas and Stenotrophomonas strains, which is caused by mobile genetical elements, can be transferred among the microorganisms both in frames of one species and in interspecific and intergeneric gene transfer processes. The plasmids with the presence of genes of resistance to different antibiotics can be transferred to different microorganisms independently, with the forming of new resistant strains, which are differing in resistance to natural antimicrobial organic acidcs as well as their synthetic derivatives and it has a significant ecological and medical importance.","PeriodicalId":11935,"journal":{"name":"European Journal of Medicine and Natural Sciences","volume":"14 1","pages":"64 - 72"},"PeriodicalIF":0.0,"publicationDate":"2020-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91160318","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

The Identification of Vitamins from Marine Algae of Black Sea by Spectrodcopic Methods 光谱法鉴定黑海海藻中维生素的含量

European Journal of Medicine and Natural Sciences Pub Date : 2020-05-15 DOI: 10.26417/832lpl20d

Emin Cadâr, A. Tomescu

引用次数: 0