Amyloidosis is a systemic disorder produced by the deposition of insoluble protein fibrils that fold and deposit in the myocardium. Patients with amyloidosis and cardiac involvement have higher mortality than patients without cardiac involvement. The two most prevalent forms of amyloidosis associated with cardiac involvement are AL amyloidosis, due to the deposition of immunoglobulin light chains, and ATTR amyloidosis, due to the deposition of the transthyretin (TTR) protein in mutated or senile form. This article aims to review the different cardiac imaging modalities (echocardiography, cardiac magnetic resonance imaging, nuclear medicine and tomography) that allow to determine the severity of cardiac involvement in patients with amyloidosis, the type of amyloidosis and its prognosis. Finally, we suggest a diagnostic algorithm to determine cardiac involvement in amyloidosis adapted to locally available diagnostic tools, with a practical and clinical approach.
This article delves into the controversial practice of utilizing a student’s first language (L1) as a teaching resource in second language (L2) learning environments. Initially, strategies such as code-switching/code-mixing and translanguaging were considered signs of poor linguistic ability. There was a strong push towards using only the target language in foreign language education, aiming to limit the first language’s interference and foster a deeper immersion in the new language. However, later research has shown the benefits of incorporating the first language in bilingual education and language learning processes. It’s argued that a student’s knowledge in their native language can actually support their comprehension of a second language, suggesting that transferring certain linguistic or conceptual knowledge from L1 to L2 can be advantageous. This perspective encourages the strategic use of this knowledge transfer in teaching methods. Moreover, the text points to positive results from various studies on the positive impact of L1 usage in L2 classrooms. These insights pave the way for further exploration into the application of the first language in adult English as a Second Language (ESL)/English as a Foreign Language (EFL) education, particularly regarding providing corrective feedback.
The transportation sector is currently experiencing a significant transformation due to the influence of digital technologies, which are revolutionizing travel, goods transportation, and interactions with transportation systems. This study delves into the possibilities and obstacles presented by digital transformation in the realm of sustainable transportation. Moreover, it identifies the most effective methods for implementing digital transformation in this sector. Furthermore, our analysis sheds light on the potential impacts of digital transformation on sustainable development and environmental performance indicators within transportation systems. We discover that digital transformation can contribute to reduced greenhouse gas emissions, improved air quality, and increased resource efficiency, among other benefits. Nevertheless, we emphasize the potential risks and uncertainties associated with digital transformation, including concerns regarding data privacy, security, and ethics. Collectively, our research provides valuable insights into the opportunities and challenges presented by digital transformation in sustainable transportation. It also identifies best practices for successfully implementing digital transformation in this sector. The implications of our findings are significant for policymakers, businesses, and other stakeholders who aspire to drive the future of sustainable transportation through digital transformation.
In this paper, we examine a possible application of ordered weighted average (OWA for short) aggregation operators in the insurance industry. Aggregation operators are essential tools in decision-making when a single value is needed instead of a couple of features. Information aggregation necessarily leads to information loss, at least to a specific extent. Whether we concentrate on extreme values or middle terms, there can be cases when the most important piece of the puzzle is missing. Although the simple or weighted mean considers all the values there is a drawback: the values get the same weight regardless of their magnitude. One possible solution to this issue is the application of the so-called Ordered Weighted Averaging (OWA) operators. This is a broad class of aggregation methods, including the previously mentioned average as a special case. Moreover, using a proper parameter (the so-called orness) one can express the risk awareness of the decision-maker. Using real-life statistical data, we provide a simple model of the decision-making process of insurance companies. The model offers a decision-supporting tool for companies.
Plastic products, including plastic packaging, were products whose increasing demand continued because the community still needed plastic as packaging. On the other hand, plastic waste, which was increasingly high and difficult to decompose, was a problem that needed to be solved together. This study aims to understand how plastic company packaging implements TQM, its environmental impact, and how plastic packaging companies are taking steps towards green manufacturing. This research used a qualitative phenomenological method to understand the problem based on the actor’s perspective. The data collection method was in-depth interviews with informants from 3 plastic companies in East Java, Indonesia, followed by observation and FGD. We carried out Triangulation, member checking, and professional involvement to determine the data’s validity, reliability, and trustworthiness. The results of this study indicated a management system that promotes quality as a business strategy and is oriented towards customer satisfaction by involving all members of the organization. TQM emphasized continuous improvement, customer satisfaction, and employee involvement. By implementing aspects of TQM, plastic packaging companies could improve their production processes and reduce waste, increasing efficiency and profitability. In addition, TQM could also contribute to the company’s green performance by promoting environmentally friendly practices, including using electric machines to replace hydraulic machines, thereby reducing the use of electrical energy and CO2 emissions. The use of solar panels was a step towards green manufacturing. Companies that adopt TQM principles are more likely to implement environmentally friendly initiatives such as reducing energy consumption and using recyclable materials and can demonstrate a commitment to corporate social responsibility. The company’s membership in EcoVadis and SMETA further strengthens the company’s direction towards Green Manufacturing and competitive advantage.
The Yangjiabu Kite Festival, originating over 2000 years ago in Shandong Province, China, stands as a testament to the enduring cultural heritage and artistic traditions of kite flying. This research explores the historical origins, cultural symbolism, festival format, community engagement, and international exposure of the Yangjiabu Kite Festival, shedding light on its evolution and impact over time. Findings reveal the festival’s deep roots in ancient Chinese traditions, its role as a platform for showcasing cultural diversity and craftsmanship, and its significance in promoting tourism, cultural exchange, and soft power projection for Shandong Province. Lessons learned from the Yangjiabu Kite Festival offer valuable insights for cross-cultural application, event management, cultural diplomacy, and community development. Suggestions for future research include comparative studies, longitudinal assessments, audience research, and policy analysis to further explore the dynamics and implications of cultural festivals in a global context. Overall, the research underscores the importance of cultural festivals as vehicles for cultural preservation, tourism promotion, and intercultural dialogue, fostering mutual understanding and appreciation across borders.
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