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EN
Introduction. Gastroesophageal reflux disease (GERD) is a common disease with the highest prevalence in North America. Up to 40% of patients report persistent gastroesophageal reflux disease (GERD) symptoms despite proton pump inhibitor (PPI) therapy. Aim. The aim of this article is to complete discuss the GERD characterized by heartburn and/or regurgitation symptoms. Material and methods. We discuss here the evidence for medical therapy for PPI nonresponsive GERD. Analysis of the literature. GERD may present with a variety of other symptoms, including water brash, chest pain or discomfort, dysphagia, belching, epigastric pain, nausea, and bloating. In addition, patients may experience extraesophageal symptoms like cough, hoarseness, throat clearing, throat pain or burning, wheezing, and sleep disturbances. Conclusion. There has been an increase in GERD prevalence. GERD is one of the most common gastrointestinal disorders managed by gastroenterologists and primary care physicians.
EN
Introduction. There is a need to develop a new imaging technique in medicine. Gastroenterology is the branch of medicine focused on the digestive system and its disorders therefore for this branch is needed to detect all problems affecting the gastrointestinal tract. Aim. The aim of this article is to complete discuss the possibility of the new fluorescent imaging technics in gastrology to use innovative screening to identify individuals at an early stage. Material and methods. We discuss here imaging techniques such as include x-rays, computed tomography, scans, and magnetic resonance imaging in gastrology. Spectroscopy is the study of the formation and interpretation of spectra resulting from the interaction of all types of radiation on matter understood as a community of atoms and molecules. Various spectroscopic techniques are obtained by combining different types of radiation with different ways of its interaction with the test sample. They provide the opportunity to obtain detailed information about the tested substance – from its atomic composition, through its chemical structure, to its surface structure. Analysis of the literatue. The tissue fluorescence spectrum can be obtained by: (1) autofluorescence, or natural or primary fluorescence, i.e. by direct irradiation of the tissue with laser radiation (laser-induced fluorescence – LIF) and (2) photodynamic diagnosis (PDD), where spectrum analysis is preceded by systemic or local administration of the photosensitizer. Conclusion. The use of fluorescence imaging in colon cancer patient has potential to improve quality of treatment and diagnosis.
EN
This paper presents an analysis methodology for establishing the demand stability of the planning environment faced by a company and the impact on the stability from changes to sales order. The methodology focuses on three critical planning parameters derived from customer orders: product mix, volume, and order sizes. Furthermore, the methodology links the delivery performance of a company to the changes made to sales orders. Based on a test case application of the methodology, it is concluded that by accepting changes, the demand faced by the case company has become more unstable on product mix, volume, and the number of order lines per period, while some added stability has been achieved with regards to the order size distributions. Ultimately, by applying the methodology to the case company, it is found that by changing the sales orders, the company does not improve the delivery performance.
EN
The article deals with the most popular software used by various categories of users and determining the way of increasing the effectiveness of the work with the text processor Microsoft WORD. It is stressed that the development of information technologies, the widespread use of information resources, which are the product of intellectual activity of the most qualified part of the working population of the society, determines the need to prepare not only the younger generation, but also improving the quality and performance of the teachers. For this reason, it becomes urgent to develop specific methodological approaches to the use of new information technologies for the implementation of the ideas of developmental education and personal development. One more important task is providing psycho-pedagogical and methodological developments aimed at identifying optimal conditions of the use of means of new information technologies with the purpose of the educational process intensification, increase of its efficiency and quality. The results of the study showed that 48 people aged from 15 to 62 used in their work text editor Microsoft Word. This is due to the fact, that it contains the most important options for creating a text document: typing; correcting typed text in the usual way, i.e. changing letters, words; cutting fragments of the text, remembering them during the current session, as well as in separate files; inserting fragments in the desired location of the text; changing one word by another partially or fully throughout the text; text formatting, i.e. giving it a certain type in the following parameters: width of the text column, paragraph, margins on both sides, top and bottom margins, line spacing, alignment, edge lines; highlighting a part of the text in bold, italic or underlined font; switching the program to work with another alphabet. The study showed that the level of effectiveness of the work with the text processor directly affects the level of the user’s competence, the possession of fundamental knowledge and skills in the field of information technology, the level of motivation and the vision of specific results. There is an opinion among people that the quality of ICT use in the professional activity is directly influenced by basic education and chronological age, but as this study has shown this statement is not true.
EN
This paper aims to briefly introduce the main idea behind the fuzzy approach and to identify the areas and problems encountered in the humanities that might profit from using this approach. Based on a short overview of selected applications of fuzzy in psychology we identify key areas in which the fuzzy approach has already been applied, and propose a list of general types of problems that the fuzzy approach may provide solutions for in psychology and the humanities in general. These types of problems are illustrated using practical examples. The benefits and possible shortcomings of using the fuzzy approach compared to classical approaches in use today are discussed. The goal of this paper is to indicate areas in research and practice in the humanities, where modern mathematical tools-in this case linguistic fuzzy modeling-have already been used or might prove promising.
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Handwriting in diagnostic perspective

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EN
This article deals with applied psychology of handwriting, in particular with the use of graphology. In addition to a basic summary of contemporary approaches in the area, selected researches and foreign studies are evaluated. The article also presents results of the PORP research (Projection of Personality Traits in Handwriting, University of South Bohemia 2007) aimed at the evaluation of psychodiagnostic potential of handwriting analysis using 5-factor personality model (Big Five) and comments upon graphological methodology PORP-GRAF and possibilities of further development of the method within psychodiagnostical disciplines.
EN
The performing knowledge (knowledge of the peculiarities of articulation, phrasing, pedaling etc. in the works of different styles, forms and genres) is of prominent importance for the future teachers of musical art. However, the practice of musical and pedagogical training, the analysis of existing standards and programmes indicate insufficient attention to the content component and diagnostics in the given sphere of musical knowledge. On the basis of analysis of the practice of musical and pedagogical training, existing standards and programmes on the discipline «Major Musical Instrument (piano)»as well as the principles of the National Framework of qualifications it has been determined that acquisition of performing skills and habits has to be achieved within acquisition of the performing knowledge which functions as one of the main components of professional competence of any graduate specializing in Music and Pedagogy. The article generalizes the new data on the problem under research and determines the principles of modular organization of teaching that present the orientation allowing for students’ performing knowledge diagnostics including daily and final testing. Much attention is given to determining the spheres of performing knowledge testing and it is stressed that to carry out objective assessment every student should undergo testing according to the programme they complete. It is substantiated that a specific piece of music of a certain form, style and genre serves as a programme structural element of the discipline «Major Musical Instrument (piano)». Every subsequent structural element of the programme of studies presents a logical sequence within the training framework and promotes deepening of knowledge about the discipline, acquisition of new techniques, introduces to new musical forms and genres, makes the emotional potential of a student wider etc. Thus, every structural element of the programme requires that all introduced notions or principles are logically elaborated on the basis of theory of music data and other relevant sources revealing theoretical and performance foundations of music as an art.
EN
Objectives: The aim of the study was to assess the function of semicircular canal in videonystagmography head impulse test (VHIT) in the patients with vertigo and balance disorders. Material and Methods: The study was performed in 135 patients (86 women and 49 men) aged 22–79 years, who were divided into 2 groups: I (study group) – 73 patients with vertigo of peripheral, central or mixed origin, II (control group) – 62 patients without vertigo (healthy individuals). The function of canal was determined on the basis of GAIN and expressed as DG/RH×100% (where DG is deviation of gaze and RH is rotation of head). Results: In the study group the semicircular canal injuries were found in 37 (50.69%) patients, including 24 (32.87%) patients with 1 injury and 13 (17.8%) patients with 2 or more injuries in semicircular canal. The injured anterior semicircular canal was reported 13 times; the lateral – 9 times and the posterior – 31 times. Conclusions: In the study group, in the VHIT, injuries in semicircular canals were reported in peripheral vertigo, mixed vertigo with non-compensated and compensated function of the labyrinth in 50.68% cases, whereas in the caloric test dysfunction of the labyrinth was found in 58.49% cases.
EN
The article discusses the diagnostics and correction of computer game addiction among pupils of younger teenage age. The experience of work in the Belgorod region is described. To solve the problem in Belgorod region it was launched a project aimed at prevention of game addiction among teenagers. In the frames of the project the monitoring of identification of children’s game addiction was conducted. Monitoring helped to identify potential project participants – city schools, rural and village: rural schools Tavrovsky, Yakovlevskoye village school, and school №43 in Belgorod. Among the teachers of these educational establishments it was conducted a study to identify the characteristics of the socio-cultural environment of the education institution. The diagnostic tool for pupils of younger teenage age was selected. In preparation for diagnostics a training seminar for school administrators, deputy directors on educational work, teachers-psychologists, social teachers, teachers of educational organizations was held. Pilot study involved 878 people (parents, teachers, students in their early teenage years (5–7-th classes), among them 480 children. The study showed that more than half of the surveyed younger adolescent students have expressed different degrees of symptoms depending on computer games, as evidenced by the parents’ questionnaires. School education programmes are not effective enough in terms of working with children with addictions, teachers do not fully use the technology of work with such students. The analysis of the results and perspectives of the study is made. In order to prevent game addiction special work not only with students, but also with teachers and students’ parents should be organized. For teachers and parents training materials should be developed in the form of answers to the most frequently asked questions that they ask teachers on the subject of game addiction of children. For teenagers training materials should be developed in the form of advice for the teenager who is interested in a computer game.
EN
The author characterizes structural and logical components of systems approach to intra-firm staff development. Two groups of components of this system have been selected. The first group consists of those items that can be called systems: the organization as a whole; separate organizational unit (department, laboratory, division); permanent or temporary employees engaged in certain activities; each individual employee. The second group is associated with organizational values, projections, goals, expected results, stages for their achievement and implementation, production processes and technologies, corporate culture. Some stages that create the system of education, are presented: definition of learning objectives, diagnostics of the level of personnel development, identifying the expectations of employees, preparation of individual training and development plans, selection of types and methods, coordination of individual plans, making the budget of training, adjusting of training plans.
PL
Według raportu WHO, nowotwory są jedną z głównych przyczyn śmiertelności na świecie i odpowiadają za około 13% wszystkich zgonów (z 7,6 milionów zgonów) [1]. Jednym z powodów jest późna wykrywalność choroby nowotworowej. Obecnie wydaje się, że dobrym rozwiązaniem tego problemu, mogą być biosensory. Są to urządzenia składające się z dwóch podstawowych elementów: biologicznego, reagującego z badaną substancją oraz analitycznego, generującego i przetwarzającego sygnał. W tym opracowaniu omówiono najpopularniejsze rodzaje biosensorów i metodykę ich działania. Wskazano także przykłady zastosowania biosensorów, skupiając się na perspektywach ich wykorzystania w diagnostyce choroby nowotworowej.
EN
According to WHO report, cancer is one of the leading reasons of human death worldwide, accounting for around 13% of all deaths (7,6 million all deaths)[1]. One of the causes is late diagnosis of cancer. Recently, biosensors seem to be a good solution to help solve that problem. Biosensors are devices consisting of two components: a biological one, which reacts with analyzed substance, and an analitical component, which generates and transduces the signal. The paper is discussing about the most popular biosensor types and the way they work. It also shows examples of use, with impact on perspectives concerning cancer diagnosis.
CS
The incidence of stroke in the Czech Republic is increasing. Approximately one-third of people after stroke develop aphasia, manifesting various symptoms in speech production, understanding, reading and writing. In acute stage of disease, screening tools are used to detect aphasia. The aim of this article is to present and describe Afaziologický screeningový test (ASTcz) to determine the presence or absence of aphasia. This Czech version is an adaptation of the original German Aphasie-Schnell-Test. In the process of validating the adapted instrument, persons without aphasia and persons with aphasia in acute and chronic stages of the disease were tested. The results of testing the psychometric properties of the test (i.e. validity, reliability and discriminatory ability) are described and commented on. They indicate a very good applicability for clinical practice.
PL
Zespół słabości (kruchości) związany jest z progresywnym zmniejszeniem rezerw fizjologicznych, a także zwiększoną podatnością na czynniki stresogenne i dotyczy osób w podeszłym wieku. Częstość jego występowania zwiększa się z wiekiem i dotyczy około 30% osób w 80. roku życia. Ze względu na brak jednolitej definicji występują poważne trudności w diagnozowaniu omawianego syndromu, który w znaczący sposób utrudnia codzienne funkcjonowanie seniorów. Pacjentom ze zdiagnozowanym zespołem słabości należy poświęcić szczególną uwagę, ponieważ występuje u nich zwiększone ryzyko niesprawności, które prowadzi do częstej hospitalizacji, objawia się gorszym rokowaniem po leczeniu operacyjnym oraz osłabioną reakcją organizmu na zastosowane leczenie i zwiększonym ryzykiem śmierci.
EN
Weakness syndrome (frailty syndrome) is associated with progressive reduction of physiological reserves and increased susceptibility to stressors. The frequency of its occurrence increases with age and concerns about 30% of people in 80 years of age. Due to the lack of a uniform definition, there are serious difficulties in diagnosing this syndrome, which significantly hampers the daily functioning of seniors. Patients with diagnosed with frailty syndrome should be given special attention as they have an increased risk of disability leading to frequent hospitalisations, worse prognosis after surgery and a weakened response to treatment and an increased risk of death.
EN
The article summarizes for the first time the results of scientific and experimental research of the diagnostics and evaluation of the results of the use of innovative technologies of heuristic teaching of students and senior pupils. Diagnostic approach to the course and learning outcomes as a common heuristic activity of a teacher and pupils, a teacher and students is based on an innovative interpretation of the purpose and content of education in general and certain types of educational work in particular. Quantitative and qualitative indices of educational products form the main purpose of heuristic learning as the most effective method of self-cognitive and creative skills of pupils and students. So the diagnostic providing with heuristic mastering the Humanities is specially studied: a careful working out together with colleagues, pupils, students, testing and practical application of scientific criteria and indices of progress and results of heuristic learning. Besides, the main results of this study are distinguished – its external and internal products. The external products are compositions, reports, stories, projects, articles, reviews of subjects, solving by students and future teachers of various cognitive-creative, professional-creative tasks etc. Internal products of learning and creative self-realization are the formed leading personal characteristics of the cognitive and creative self-realization of senior pupils and students of humanities: motivation for independent creation, creative interactive cooperation between subjects of education; using the mechanisms of heuristic activity and diagnostic skills; dynamics of cognitive and creative independence as an integrative criterion of self-realization. The approved and experimentally tested the completed complexes of criteria and indices for each of the external and internal products of heuristic learning activities are used for the first time. It is revealed that a complex of interconnected diagnostically measured didactic conditions promotes the successful cognitive and heuristic activity of senior pupils and students: organization of productive interactive cooperation; profound and prolonged immersion of learning subjects in meaningful for them an independent cognitive and creative work; support for the process and results of learning activity with scientific reasonable diagnostic tools. Experimental results showed important positive changes in the dynamics of self-realization of basic cognitive and creative qualities of senior pupils and students. The number of pupils and students of experimental classes and groups who have achieved a high and a sufficient level of motivation for independent creation have increased by 2 times. Significant changes have occurred in the possession of the mechanisms of creative activity: if at the beginning of the experimental work only a quarter of pupils and students had high and sufficient levels of possessing the necessary mechanisms of creation and use them in creating of an educational product and at the end of the experiment their number increased by more than 2.5 times and amounted to 68 %. 80 % of pupils in the course of experimental work formed the sufficient diagnostic ability to measure and assess their own educational products.
PL
Wstęp. Stwardnienie rozsiane (SM) jest przewlekłą, nabytą chorobą demielinizacyjną ośrodkowego układu nerwowego. Patogeneza choroby nadal pozostaje nieznana, chociaż modele eksperymentalne dostarczają dowodów na temat podłoża zapalno- demielinizacyjnego. Szacowana częstość występowania SM wynosi 3.6 przypadków na 100 000 osobolat wśród kobiet oraz 2.0 u mężczyzn. Około 10% chorych doświadcza pierwszych objawów przed 18. rokiem życia. Diagnoza SM u osób dorosłych opiera się na kryteriach McDonalda, które obejmują objawy kliniczne, ocenę zmian w badaniach neuroobrazowych (MR głowy i rdzenia kręgowego), obecność prążków oligoklonalnych w płynie mózgowo-rdzeniowym oraz nieprawidłowe potencjały wywołane. Te kryteria są mniej przydatne w populacji dziecięcej, we wczesnych stadiach choroby. Postawienie prawidłowej diagnozy u młodszych pacjentów stanowi problem diagnostyczny, ponieważ objawy kliniczne mogą sugerować inną chorobę zapalno-demielinizacyjną lub neurometaboliczną. Cel pracy. Celem pracy była retrospektywna analiza obrazu klinicznego oraz wyników badań dodatkowych u dzieci z rozpoznanym stwardnieniem rozsianym w odniesieniu do aktualnie obowiązujących kryteriów. Materiał i metody. Grupę badaną stanowiło 29 dzieci w wieku od 5 do 17 lat (wiek średni: 15lat) hospitalizowanych w Klinice Pediatrii i Neurologii Wieku Rozwojowego SUM w Katowicach w latach 2005–2010. Wyniki. U wszystkich dzieci rozpoznano postać rzutowo-remisyjną stwardnienia rozsianego. Najczęściej występującymi pierwszymi objawami były zaburzenia ruchowe i czuciowe (52%). U 91% dzieci stwierdzono obecność prążków oligoklonalnych. 58% pacjentów spełniało kryteria McDonalda z 2005 r., 90% – kryteria McDonalda z 2010 r., natomiast 17%pacjentów 3 z 4 kryteriów Barkhofa.
EN
Background. Multiple sclerosis (MS) is a chronic, acquired demyelinating disease affecting central nervous system. The pathogenesis of the disorder is still unclear, although experimental models provide evidences of autoimmune and inflammatory basis of the disease. The estimated occurence of MS is 3.6 cases per 100,000 person-years in women and 2.0 in men. Up to 10% of patients experiences their first symptoms before the age of 18. The diagnosis of MS in adults is based on Mc Donald criteria, that include clinical symptoms, magnetic resonance imaging (MRI) of the brain and spinal cord, the presence of oligoclonal bands in cerebrospinal fluid (CSF) and abnormal visual evoked potentials. These criteria are less useful in early stages of the disease in children. The exact diagnosis in young patients is even more difficult because of clinical presentation which may suggest other inflammatory-demyelinating and neurometabolic diseases. Aim. The authors analyze a group of 29 children (clinical presentation and additional examinations) in reference to current diagnostic criteria. Material and methods. The analyzed group consisted of 27 children hospitalized in Child Neurology Department of Medical University of Silesia in Katowice in the years 2005- 2010. The average age at diagnosis was 15 years, the range was 5 to 17 years. Results. All children exhibited relapsing, remitting multiple sclerosis. In the analyzed group, patients presented with initial symptoms concerning predominantly sensory and motor symptoms - 52 %. The oligoclonal bands were present in 91% of examined children. 58% of patients fulfill the 2005 McDonald criteria, revised 2010 McDonald criteria 90%. 17 children presented three out of four Barkhof magnetic resonance imaging criteria.
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EN
The advances in the diagnostics of eye diseases have been presented in the work including the optic coherence tomography, confocal microscopy, ultrabiomicroscopy and perimetry. Introduction: The advances in the diagnostics of eye diseases during the last decade of the 20th century and in 21st century is incomparable with the corresponding, earlier periods of development of that discipline. This can be attributed, inter alia, to the pace of the development of imaging techniquesat present at the level close to the histological picture. Objective: The latest methods of diagnosis of changes of the front and back of the eye have been presented in the paper. Material and method: The overview of the current national and foreign literature has been done, mainly for over 10 last years. The following databases have been searched: PubMed and Polska Bibliografia Lekarska.
PL
W pracy przedstawiono postępy w diagnostyce chorób oczu, uwzględniając optyczną koherentną tomografię, mikroskopię konfokalną, ultrabiomikroskopię oraz perymetrię. Wstęp: Postęp w dziedzinie diagnostyki okulistycznej w ostatniej dekadzie XX wieku oraz w XXI wieku jest nieporównywalny z analogicznymi, wcześniejszymi okresami rozwoju tej dyscypliny. Wynika on między innymi z tempa rozwoju technik obrazowania – obecnie już na poziomie zbliżonym do obrazu histologicznego. Cel: W pracy przedstawiono najnowsze metody diagnozowania zmian przedniego i tylnego odcinka oka. Materiał i metoda: Dokonano przeglądu aktualnego piśmiennictwa krajowego i zagranicznego, głównie z ostatnich 10 lat. Przeszukano następujące bazy danych: PubMed i Polska Bibliografia Lekarska.
EN
Zespół słabości (ZS) jest dynamicznym stanem charakteryzującym się zmniejszeniem fizjologicznych rezerw organizmu, osłabieniem odporności na czynniki stresogenne oraz zaburzeniami funkcjonowania układów ciała. W ZS dochodzi do zmniejszenia masy ciała i siły mięśniowej, problemów z poruszaniem się, utrzymaniem równowagi oraz do zmniejszenia aktywności fizycznej. Wyróżniamy trzy stadia zespołu słabości: wczesny ZS (pre- -frail), zespół słabości (frail) oraz powikłania zespołu słabości. Głównym czynnikiem ryzyka wystąpienia ZS jest wiek podeszły, ale znaczenie mają również czynniki genetyczne, środowiskowe, styl życia oraz choroby współistniejące. Do rozpoznania ZS stosuje się m.in. skalę Frieda, Rockwooda oraz GF I (Groningen Frailty Index). Podstawą profilaktyki ZS jest regularna aktywność fizyczna, łącząca ćwiczenia aerobowe, siłowe i rozciągające. Podkreśla się także rolę diety zawierającą produkty bogate w białko, witaminy, zwłaszcza witaminę D oraz leucynę i kwasy omega-3. Poza tym należy zwrócić uwagę na suplementację witaminy D, leczenie chorób współistniejących oraz wykonywanie szczepień ochronnych zapobiegających chorobom zakaźnym. Ogromną rolę w profilaktyce i zapobieganiu powikłaniom tej choroby odgrywa rodzina i opiekunowie osób w wieku podeszłym, którzy powinni zwrócić uwagę na pierwsze jej symptomy oraz podjąć działania minimalizujące ryzyko wystąpienia ZS oraz spowalniające przebieg choroby. null
EN
Lyme disease (LD) is caused by Borrelia burgdorferi, transferred by infected ticks Ixodus ricinus. LD occurs endemically in Europe, America and Northern regions of Asia. In Poland, LD is the most frequent tick borne disease, which causes serious epidemiological problems. The main health hazard of LD occurs on the forested areas of Podlasie, Maritime province, the West Poland lake district, and Carpathians. The highest incidence 114.0 per 100 000 was registered in Podlaskie province. The infectious cycle of Borrelia burgdorferi includes: nymph moulds to adult, eggs laid by female, eggs hatch to larva, larva feeds on first host, fully fed larva drops to ground, larva moulds to nymph, nymph attaches to and feeds on the second host. LD is a chronic disease attacking many organs, including the skin, heart, brain and joints. LD is divided into three stages based on clinical symptoms: I - limited infection (Erythema migrans and Borrelia lymphoma), II - disseminated infection (numerous erythema migrans, early neuro-borreliosis, joint inflammation, Lyme carditis), III - late borreliosis (chronic atrophic limbs infla-mmation, late neuroborreliosis, chronic joint infla-mmation). At present, the best diagnostic method for LD is a labor- and time consuming two-stage serological method. First-line antibiotics in the treatment of Lyme disease are doxycycline, amoxicillin, cefuroxime axetil, ceftriaxone, cefo-taxime, and penicillin G. The best method of avoiding Borrelia burgdorferi infection is to avoid biting from ticks carrying spirochetes. Early removal of ticks, protects against spirochaetal infection.
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EN
Nagios and Icinga are very popular IT infrastructure monitoring systems. Several commercial systems are also based on or evaluated from them. The paper presents the experiences with Icinga in the Institute of Computer Science WUT. Practical usage revealed some system shortages related to many worthless plugins, configuration problems and the Icinga modules itself. They are addressed in this paper by some extensions developed towards deeper diagnostic analysis of the monitored systems and mobile and Internet of Things systems monitoring support.
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