This study was done with the aim to comparatively analyze the taxonomic and phytogeographical spectrum of lawns along the Belgrade roads. The analysis was done using the results of a floristic research done in 2001, combined with results of the field research conducted in 2019. A comparative analysis of the obtained results has shown that a lower heterogeneity of the floral elements and plant taxa was recorded in the studied lawns in 2019, when compared to the previous research period. Such a reduction in heterogeneity is the result of more intensive measures of lawn care, and of a stronger anthropogenic influence, which has led to a homogenization of the lawn flora.
Genetic counselling is a complex process that helps people to understand and adopt medical, psychological and genetic aspects of the disease and enable them to make an appropriate decision. In this framework, we revisited all the existing models for decision-making and suggested their use in the process of genetic counselling, which may lead to more equitable and more favourable outcomes. Also, Donabedian's (Structure-Process-Outcome) model for the development of key performance indicators was applied to assess the quality in the process of genetic counselling. Quality indicators at SPO model in the process of genetic counselling were proposed. The social, economic and humanistic outcomes have also been identified. All defined quality indicators together represent a framework for monitoring, evaluation and continuous improvement of the process of genetic counselling. Although the new medical services of genetic counselling tend to be developed as a powerful multidisciplinary field, the implementation of quality management model will certainly help the development of collaborative practice.
Objective. Continued Professional Development (CPD) is one of the most significant precursors to increased competency. Appropriate instruments and support are required for its implementation. This paper demonstrates the attitudes held by pharmacists on the impact of the competency framework on CPD, its acceptance among Serbian pharmacists and potential future application. Furthermore, the motivational impact of the competency framework on CPD as well as the relationship between certain demographic indicators and motivators of CPD are provided. Method. Research on the cross-sectional method throughout 2015-16 included pharmacists working in publicly-owned pharmacies. The survey was anonymous and voluntary. The questionnaires generated for this research contain demographic data on those surveyed and open-ended questions with multiple choice answers and applied a Likert-type scale. Statistical analysis was conducted by applying Microsoft Office 2003 and the Statistical Package for Social Sciences (SPSS) version 22. Results. Among the respondents, the female gender dominated, respondents who had not completed a speciality within their respective field, with an average age of 42 years, and an average of approx. 15 years of service. 26.12% of the respondents had prior experience with the competency framework. Most respondents were of the opinion that these instruments motivated them to actively manage their own PD, to set concrete PD objectives and to review their own competency. Over half intend to apply competency frameworks in future. The statistical Chi-square test indicates it is not possible to determine with certainty that there are differences in terms of motivation in managing PD and in PD goal setting between the groups of variables. Conclusion. The research indicates a positive attitude/opinion of pharmacists towards the competency framework and in recognising these instruments as supportive to CPD.
This chapter provides important empirical evidence to support the role of individual knowledge management processes and separate innovation types within firms. Specifically, knowledge acquisition and knowledge application are analyzed and empirically tested in relation to product and process innovation as well as business performance. The results support the direct impact of product and process innovation on business performance. In addition, the results show the indirect effect of knowledge acquisition and knowledge application on firm business performance through product and process innovation.
Introduction: Anomalous innervations of the extremities are common and influence the interpretation of electrophysiologic studies in normal subjects and those with peripheral nerve lesions. The aim of this study was to describe the most common innervation anomalies in upper and lower extremities and to point out their clinical repercussions. Methods: Article has an analytical character and review of literature, including some personal articles. Results and Discussion: Double innervation and communications among nerves are causes of anomalies of innervation of the skin and muscles. The fact of communications of fibers among nerves is better called “nerve communication” than “nerve anastomosis”. Anomalous innervations of the upper and lower extremities are, therefore, common and influence on the interpretation of neurophysiological parameters during electromyoneurography. Namely, in the course of an electrodiagnostic investigation of a peripheral nerve lesion, the examiner may be confronted with unexpected findings in contradiction with the clinical picture. In this review, a description is given of the most common innervation anomalies in upper and lower extremities: median to ulnar nerve communication (Martin-Gruber anastomosis); ulnar to median nerve communication (Marinacci anastomosis/MA); variations in the innervation of intrinsic muscles of the hand (Riche-Cannieu anastomosis; Berrettini anastomosis); accessory deep peroneal nerve; and tibial to peroneal nerve communication. Conclusion: As anomalous innervations of the extremities are common and influence the interpretation of electrophysiological studies in normal subjests and those with peripheral nerve lesions, detailed anatomical knowledge is essential for accurate interpretation of physical examination, electrophysiological findings, diagnosis, prognosis and reducing the risk of iatrogenic injuries during surgical procedures. If these variations are not given due regard, errors and other consequences will be inevitable.
Background: While the COVID-19 pandemic continues to spread globally, more and more evidences are collected about the presence of psychiatric and neurological manifestations and symptoms associated with this disease. Objective: The aim of this short communication is to present some of psychological consequences and neurological disorders associated with the SARS-CoV-2 infections, Methods: This is cross-sectional study according to psychosocial and neurological manifestations caused by COVID-19 infections published in papers deposited in most influential on-line databases. Results and Discussion: The results show presence of central and peripheral nervous system manifestations related to coronavirus. Neurological manifestations, or NeuroCOVID, are part of the COVID-19 clinical picture, but questions remain regarding the frequency and severity of central nervous system symptoms, the mechanism of action underlying neurological symptoms, and the relationship of symptoms with the course and severity of COVID-19. Conclusion: The review of the published papers shows that although more and more papers are reporting neurological and psyhiatric manifestations associated with COVID-19, many items remain unclear and this uncertainty calls for a global action that requires close co-ordination and open-data sharing between hospitals, academic and public health institutions and the fast establishment of harmonised research priorities to face actual and longterm the NeuroCOVID-19 complications and psychological consequences.
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