bluuebunny/crossref_metadata_2025 huggingface dataset:
RESEARCH ON CONCENTRATION CHANGE OF H-FABP IN EARLY DIAGNOSIS OF ACUTE MYOCARDIAL INFARCTION
Authors: Giao Thị Thoa , Nguyen La Hieu , Huynh Van Minh
Published: March 2020

Objective: To evaluate the change of H-FABP in patients with Acute Myocardial Infarction at the time of 6 hours previously and 24 hours afterwards. To identify the sensitivity, specificity, positive predictive and negative predictive values, H-FABP cutoff point in comparison with hs troponin T. Methods: prospective study on 84 patients with Acute Myocardial Infarction and 28 healthy volunteers at Da Nang Hospital. The study period lasts from March 2014 to June 2015. Results: The average age of the diseased group is 62.57 ± 12.91 and the control group is 55.43 ± 12.33; a higher percentage of men than women 3 times in the disease group, 2 times compared with women in the control group. Regarding change of H-FABP concentrations in Acute Myocardial Infarction: H-FABP increased within 30 minutes after the onset, increased rapidly in the duration from 0-6 hours, peaked after 6-12 hours with the average concentration of 245.13 ± 452.63 ng/ml and returned to normal state after 36 hours. Meanwhile, hs troponin T appeared slower in blood after 3-6 hours, peaked after 12-24 hours at a concentration of 4.52 ± 3.38 average ng/ml. H-FABP and hs troponin T concentrations had significant difference statistically between the intervals with p <0,05. According to the results of our study: cutoff point of H-FABP was 6.6 ng/ml, sensitivity 88.1%, specificity 82.1%; compared with hs troponin T, the cutoff point was 0.014 ng/ml, sensitivity 82.1%, specificity 96.4%. If combining H-FABP with hs troponin T, the sensitivity will increase to 92.6% and specificity of 82.1%. The sensitivity, specificity, positive predictive and negative predictive values of H-FABP and hs of troponin T in the duration of 0-3 hours, were 89.3%, 82.1%, 93.7%, 69.7% and 53.3 %, 89.3%, 84.3%, 64.1% respectively; in the duration of 3-6 hours were 91.7%, 83.3%, 83.3%, 88.5% and 83.3%, 91.7%, 90.6%, 84.6% respectively; so in the duration of 0-6 hours, the H-FABP sensitivity was higher than that of hs troponin T; If combining H-FABP and hs troponin T, the sensitivity would increase at all time, Specifically, within 0-3 hours, 3-6 hours, 3-12 hours, 12-24 hours, and > 36 hours the sensitive was 92.9%, 95.8%, 94.7%, 96.2%, 90.6%, 85.7% respectively. The area under the ROC curve point of H-FABP 0-3 hours is 0.921 and the hs troponin T was 0.918. Conclusion: The study asserted that H-FABP is a superior biomarker in terms of sensitivity, more superior to hs troponin T in diagnosing myocardial necrosis in the early phase of 0-6 hours, the golden hours of acute MI; which helps make important decisions on treatment methods, risk stratification and prognosis. Keywords: marker, H-FABP (Heart type Fatty Acid Binding Protein), hs troponin T (high sensitive troponin T), acute myocardial infarction.
THE IMPLEMENTATION OF PRINCIPLES OF PRIMARY CARE IN PRACTICE AT COMMUNE HEALTH CENTERS OF THUA THIEN HUE PROVINCE
Authors: Nguyen Minh Tam , Nguyen Thi Hoa , Anselme Derese , Jeffrey Markuns
Published: March 2020

Background: Evidences around the world in the recent time have affirmed the key role in Disease prevention and mortality rate decreasing.WHO in 2008 recommended contries should improve the primary care system and use primary care as a model to achieve the effectiveness and equity in Health. Evaluation of the quality of primary care services at commune health centers has been very crucial. Objectives: To assess the practice of the principles of primary care at commune health centers of Thua Thien Hue province.Subjects and Methods:Cross-sectional descriptive study of 860 adult people used the healh care services at commune health center at 4 districts in Thua Thien Hue province: Phu Loc, Nam Dong, Huong Thuy and Hue. The study used the Primary Care Assessment tools PCAT from John Hopkins University. Results:First Contact - Utilization was the highest score (3.25 ± 0.93), Affiliation (3.17 ± 0.90), Ongoing care (2.87 ± 0.50), Comprehensiveness – services available (2.75 ± 0.52);The low scores included Coordination of care (2.47 ± 0.97), Culture - based access (2.37 ± 1.17), Community - based orientation (2.35 ± 0.82), Comprehensiveness – services provided (2.22 ± 0.84), Coordination of care - Information system (2.03 ± 0.79 );Total average of primary care was 19.00 ± 3.46, and the total average of expanded primary care was 25.75 ± 5.42.

Key words: primary care, principles of primary care, commune health center
STUDY ON POINT MUTATIONS AT POSITIONS 2132 AND 2143 IN 23S RRNA GENE OF HELICOBACTER PYLORI AMONG PATIENTS WITH CHRONIC GASTRITIS
Authors: Ha Thi Minh Thi , Tran Van Huy , Nguyen Viet Nhan , Nguyen Thanh Hoa , Le Phan Tuong Quynh
Published: March 2020

Background: Clarithromycin resistance in Helicobacter pylori has been found to be associated with point mutations at positions 2142 and 2143 in 23SrRNA gene. The aims of this study were: (1) to determine the rates of point mutations A2143G, A2142G and A2142C in 23SrRNA gene of H. pylori among patients with chronic gastritis by PCR-RFLP technique; and (2) to assessthe association between these mutations and some clinical, endoscopic and histopathological characteristics of chronic gastritis. Patients and methods: two hundreds and twenty six patients with H. pylori-positive chronic gastritis were determined A2143G, A2142G and A2142C mutations by PCR-RFLP technique with DNA extracted from endoscopic biopsy specimens of gastric mucosa. Results: The rate of point mutations at positions 2142 and 2143 in 23S rRNA gene of H. pylori was 35.4% in total, the A2143G and A2142G mutationsaccounted for 92.5% and 7.5% of all point mutations, respectively. No A2142C mutation was found. These mutations were not associated with age, gender,distribution of gastritis, and the presence of atrophic gastritis. The rate of A2143G mutation in groups with and without a history of clarithromycin treatment were 44.9% and 24.8%, respectively (p = 0,0065). The A2142G mutation was associated with intestinal metaplasia and/or dysplasia. Conclusion: The point mutations at positions 2142 and 2143 in 23S rRNA gene were found at a high rate in H. pylori strains amongpatients with chronic gastritis, with the absolute predominance of A2143G mutation. The A2143G mutation was associated with a history of clarithromycin treatment. Key words: 23S rRNA gene, Helicobacter pylori, A2143G, A2142G, A2142C mutation, clarithromycin resistance, chronic gastritis.
PANCREATICOJEJUNOSTOMY OR PANCREATICOGASTROSTOMY ANATOMOSIS AFTER FOLLOWING PANCREATICODUODENECTOMY
Authors: Ho Van Linh , Dang Ngoc Hung , Duong Xuan Loc , Nguyen Thanh Xuan , Pham Anh Vu , Ho Huu Thien , Phan Hai Thanh , Pham Như Hiep , Hoang Trong Nhat Phuong , Le Manh Ha , Le Loc , Bui Đuc Phu
Published: March 2020

Background: The comparing the pancreaticojejunostomy with the pancreaticogastrostomy after pancreaticoduodenectomy operation in terms morbidity, pancreatic fistula and mortality. Patients and Methods: including retrospective 136 patients with diseases of the pancreas underwent pancreaticoduodenectomy operating at the Hue centre Hospital from January 2000 to anuary 2015. Results: morbidity rate of the pancreaticojejunostomy versus the pancreaticogastrostomy was (16%) and (15%). Numbers of patients of multiple compliations of the pancreaticojejunostomy group versus the pancreaticogastrostomy was 13 and 10. The pancreatic fistula and mortality rate of the pancreaticojejunostomy were (6.4%) and (1,3%), whereas those of the pancreaticogastrostomy were (5,0%) and (3,4%) respectively. Conclusions: there was no significant difference between the to groups with regard to pancreatic fistula, morbidity and mortality rate. key word: pancreaticoduodenectomy, pancreaticojejunostomy, pancreaticogastrostomy.
STUDY THE DYSLIPIDEMIA AND THE EFFECTIVENESS OF TREATMENT IN PATIENT AFTER RENAL TRANSPLANTATION AT HUE CENTRAL HOSPITAL
Authors: Vo Tam , Nguyen Thi Thuy Linh , Nguyen Thi Loc , Nguyen Thanh Minh
Published: March 2020

Objectives: Survey proportion of dyslipidemia and related factors in after kidney transplantation. Assess the efficancy and side effects of atorvastatin in hyperlipidemia after renal transplantation. Materials and Methods: 43 patients received a kidney transplantation at Hue central Hospital from 06/2013-08/2015.And 26 hyperlipidemia renal transplant recipents was administered with atorvastatin 10mg/day for a period of 2 months base on guideline treatment of NCEC 1991 (National Cholesterol Education Council). A Cross-sectional and prospective study. Results: new-onset dyslipidemia incidence after renal transplantation was 97.7%. Dyslipidemiatreatement base on recommend NCECwas 60.5%.The regimen 1(Neoral+ Cellcept+Prednisolon) and 2 (Prograf+ Cellcept+Prednisolon) have similar effect on change serum lipid before and after transplantation 1 month (p<0.05).On average, serum total cholesterol and serum LDL cholesterol and triglyceride significantly decreased after atorvastatin therapy (p<0.05). Whereas, serum HDL cholesterol also decreased. Renal function, creatinin clearance, transamina, creatinin phosphokinase, CRP, fasting glucose, urine protein without significant changes during the period on atorvastatin. Adverse effects were reported in three cases (2 case increase transamin and 1 case increase creanin phosphokinase). But there was no evidence of myopathy, including myalgia. All events were mild and treatment did not need to be discontinued in any of the case. Elevated transamina and CK spontaneous resolution, even the Atorvastatin is continued. Conclusion: Dyslipidemia met with high rates after transplant and showed no difference in the regimens using immunosuppressive drugs cause this disorder. Treatment with atorvastatin 10 mg / day has remarkable effect of dyslipidemia in patients after renal transplantation. Key words: renal transplantation, immunosuppressive drugs, dyslipidemia.
EVALUATION OF RESULT OF ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION WITH USE OF SEMITENDINOUS AND GRACILIS TENDON AT HUE UNIVERSITY HOSPITAL
Authors: Nguyen Van Thanh , Le Nghi Thanh Nhan
Published: March 2020

Background: Anterior cruciate ligament (ACL) rupturecauses knee instability and secondary injuries at meniscus, cartilage and the other ligaments. Therefore, ACL reconstruction is necessary. The aim of the study is to evaluate the results of ACL reconstruction with autogenous semitendinous and gracilis tendons at the Hue University Hospital. Methods: A prospective study of 40 patients with ACL ruptures treated with arthroscopically assisted reconstruction with autogenous semitendinous and gracilis tendons. Knee stability and functional Lysholm scores were recorded at each visit, including preoperatively and at the third and sixth month of follow-up. Results: Forty patients (male : female = 1,6) with a mean age of thirty years) were involved in the study. The main cause of ACL rupture is trafic accident (62,5%). All of patients had positive Lachman test and thirdty two (80%) of the patients had positive drawtest. Mean knee functional Lysholm score was 56 points. Follow-up to six months, resulting in a ﬁnal study of thirty one patients, Lachman test was negative in 93,6%. The mean Lysholm scores improved to 83 points at third month and 89 points at sixth month. Conclusions: We believe that, semitendinous and gracilis tendon graft was effective and safety technique for recovery of knee stability and function.
THE PREVALENCE OF HEPATITIS B REACTIVATION (HBV) IN CANCER PATIENTS TREATING WITH CHEMOTHERAPY
Authors: Phung Phuong , Nguyen Thi Thuy
Published: March 2020

ackground and Objectives: Nowadays, the incidence of cancer is constantly increasing in the world as well as in Vietnam. The treatment of cancer is based on multimodality principle. Among those principal modalities, chemotherapy is widely used for different purposes such as neoadjuvant, andjuvant and palliation. However, chemotherapy can induce activation of latent infections, including hepatitis B. Vietnam is in the endemic region of hepatitis B so the reactivation of hepatitis B on cancer patients with chemotherapy has emerged a concerned problem. However, few interests were gained on this problem in the aspect of clinical setting or researching. Aims: to determine the prevalence of hepatitis B reactivation (HBV) in cancer patients treating with chemotherapy and to detect some risks factors of this situation. Subjects and methods: descriptive prospective. The study included 33 cancer patients with inactive HBV infection who are treating with chemotherapy. We define HBV reactivation by ALT > 3 ULN and HBV DNA copies > 10 positive control limit. Results: We found 6 patients with reactivated HBV, accounting for 18.18 %. Among reactivated HBV patients, age less than 60 accounts 83,33%. Rate of reactivated HBV in males was 25,00% while this rate in females was 14,28%. Rate of reactivated HBV in lymphoma, lung cancer and breast cancer was 33,33%, 25% và 22,22% respectively. Clinial manifestation of reactivated HBV includes jaundice (33,33%), fulminant hepatic failure (6%) and death (5%). The reactivated rate was higher in patients got high dose of corticoid (28,57%) vs low dose (15,38%). This rate was 29,41% in patients treated with anthracyclines which was higher than in group without anthracyclines. The reactivated rate of HBV was dramatically higher in patients treated with rituximab (75%). Conclusion: the reactivation of hepatitis B on cancer patients with chemotherapy is common. We found 6 patients with reactivated HBV of 33 subjects of the study which accounts 18.18 %. We recognized that reactivated HBV rate was higher subgroups of age < 60 years old, males, patients with lymphoma, lung cancer, breast cancer. Reactivated HBV may be more prevalent in patients with high-dose corticotherapy, anthracyclines and Rituximab. Key words: HBV reactivation, chemotherapy, cancer, hepatitis B
KNOWLEDGE,ATTITUDE AND PRACTICE IN PREVENTION WITH GENITAL UNDER TRACT INFECTION OF 15-49 YEAR-OLD KHMER WOMEN IN CAN THO
Authors: Phan Trung Thuan , Tran Dinh Binh , Dinh Thanh Hue , Dinh Phong Son , Truong Kieu Oanh
Published: March 2020

Objective: to understand the problems in relation to the knowledge, attitude and practice in prevention in genital under tract infection of 15-49 year-old Khmer women at Can Tho.
Methods: Cross-sectional study of Khmer women in Can Tho city. To conduct directly interviews to collect data through questions about the relevant con.
Results: The average age of Khmer women participating is 35.6 ± 10.5 (min 15, max 49). The rate of graduated in high school older is 12,1%; 44.6% living with family. Rating good knowledge 31.2%, Only 37.2% Khmer women in interview have the right attitude about the prevention of genital under tract infection, Good Practices (565 women, accounting for 60%). In particular, Good menstrual hygiene is 93.5%, Good hygiene in sex accounts for 83.5%; Using clean water is hygienic (81.1%); toilet is standard (82.6%). There is a relationship between knowledge, attitude, practice with their family situation, age group, place of residence, education, occupation, the family economy, living with family, marital situation.
Conclusion: Need to plan and conduct communication interventions for the prevention of genital under tract infection. Focus on the factors that have been identified and related to genital under tract infection of Khmer women in local. Keywords: genital under tract infection, Khmer women, Knowledge, attitude, practice.
COST ANALYSIS OF EXPANDED PROGRAM ON IMMUNIZATION AT BASIS HEALTH LEVEL IN THUA THIEN HUE PROVINCE, VIETNAM
Authors: Nguyen Hoang Lan , Nguyen Thi Tinh
Published: March 2020

Background: In Vietnam, expanded program on immunization (EPI) has vaccinated freely 8 vaccines to children under one year old to protect from tuberculosis, diphtheria, pertussis, tetanus, hepatitis B, polio, measles and pneumonia/ meningitis caused by Hib. The study aims to 1) identify total cost and cost items of EPI at basis health level of Thua Thien Hue province within the first 6 months of the year 2014 and 2) estimate average cost of vaccine delivery per dose and cost per fully vaccinated child (FVC).
Materials and method: This is a descriptive cross sectional study. Costs were analyzed on the basis of perspective of health service providers. A direct allocation method was used to estimate average cost of vaccine delivery per dose and cost per FVC. Data of the program within the first 6 months of the year 2014 was collected in provincial preventive medicine center, 3 district health centers and 9 CHCs in TT Hue province to estimate cost. The price of capital assets was adjusted by inflation with time and was annualized using a discount rate of 3%. One-way sensitivity analyses investigated the impact of cost items and wastage ratio on cost of vaccine delivery.
Results: The total cost of EPI within 6 months in 9 CHCs was 452.947.417 VND (US$ 21.532) in which vaccine price shared the largest component cost (41.3%). The average cost per FVC was 456.059VND (US$ 21.68) that is higher than of US$ 15 per FVC only for 6 vaccines as recommendation of WHO. The cost was sensitive to wastage ratio of vaccines.
Conclusion: The cost of US$ 21.68 per FVC preventing from 8 dangerous infected diseases found in this study is higher than that of threshold of WHO per FVC only for 6 vaccines of EPI in some developing countries.

Key words: Expanded program on immunization, vaccine, cost items, basis health level
CHRONIC HELICOBACTER PYLORI GASTRITIS: THE ERADICATION EFFICACY&NBSP;OF THE&NBSP;BISMUTH-CONTAINING QUADRUPLE REGIMEN (EBMT)
Authors: Dang Ngoc Quy Hue , Tran Van Huy , Nguyen Thanh Hai
Published: March 2020

Background: there has not been yet any research on the effectiveness of H. pylori eradication of bismuth-containing quadruple regimen on chronic gastritis patients in our country.
Objective: to evaluate H. pylori eradication rate of bismuth-containing quadruple regimen according to intention to treat (ITT), per protocol (PP) analysis, the rate of side effects and medication compliance.
Subjects and Methods: from March 2014 to January 2016 we used bismuth-containing quadruple regimen (EBMT) 10 days for H. pylori eradication therapy for 166 chronic gastritis patients diagnosed based on clinical, endoscopic, rapid urease test, histology and culture. Patients were evaluated side effects and medication compliance at the end of treatment (day 11-14). To assess the eradication, repeating endoscopy with both rapid urease test and histological examination were performed at 4 to 8 weeks after stopping treatment course.
Results: H. pylori eradication rates on ITT and PP analysis overall, for naïve patients, after one and more two eradication failures were respectively: 80.72-89.33%, 79.51-90.65%, 91.67-91.67% and 75.00-78.95%. Medication adherence rate was 96.99%. The rates of patients experiencing moderate, severe and very severe side effects were: 19.88%, 0.60% and 1.81%.
Conclusion: the EBMT 10-day regimen attained high eradication rates in chronic gastritis patients with rare serious side effects and the high compliance rate. We should apply bismuth-containing quadruple regimen in H. pylori eradication therapy for naïve patients or after one eradication failure. Key words: bismuth-containing quadruple regimen, EBMT, eradication, chronic Helicobacter pylori gastritis
Application of Article 90 of the Russian Code of Criminal Procedure
at the Present Stage
Authors: Azaryonok Nikolay
Published: March 2020

Application of Article 90 of the Code of Criminal Procedure «Prejudice» raises a number of diffiulties in practice, which are due to changes introduced by the Federal Law of 29.12.2009. Since that time,
the so-called incontrovertible, intersectoral prejudice operates in domestic criminal proceedings. It obliges
the law enforcement offiial to recognize the circumstances established by the court’s decision made
in the framework of civil, arbitration, administrative or criminal proceedings. This allows unscrupulous
participants in criminal proceedings, using differences in proving in criminal and civil cases, to obtain
court decisions in the civil litigation procedure and with their help to inflence the proceedings in
a criminal case. This problem is discussed by the author.
Article 90 of the Code of Criminal Procedure was the subject of consideration of the Constitutional
Court of the Russian Federation. In its decision, the Court suggested using a sequence of actions in
case a judgment is based on false evidence. At the same time, there are a number of obstacles that make
it diffiult to implement the rulings formulated by the Court. The analysis of judicial practice carried out
in the article allows the author to conclude that the courts mainly use intra-branch prejudice. This is due
to the fact that it corresponds to both the type of modern domestic legal proceedings and to the provisions
of evidentiary right.
NATIONAL REGIME IN IMPLEMENTATION OF PUBLIC PROCUREMENT AS A FACTOR FOR ENSURING NATIONAL INTERESTS
Authors: KVANINA VALENTINA
Published: March 2020

Introduction: under the conditions of economic sanctions imposed by foreign countries against Russia, the issue of import substitution was sharply raised. Its mechanisms are stipulated, among other things, in the Article 14 of the Federal Law «On the contract system in the procurement of goods, works, services for the provision of state and municipal needs» (hereinafter – Federal Law
No. 44): prohibitions, restrictions and conditions for admission of foreign goods, works, services on the territory of the Russian Federation. These mechanisms find reflection and development in the decisions of the Government of the Russian Federation, which create difficulties in their application by business entities. The article makes an attempt to analyze the legal framework on this issue, to identify problems and suggest ways to solve them.

Methods: the general scientific methods of research (formal and dialectical logic, systemic) and private-science methods (comparative legal, formal-legal) were used in the article. This allowed to determine, on the basis of analysis of international legal acts, Russian legislation and law-enforcement practice, the limits of restrictions, prohibitions and conditions for admission of foreign goods, works, services to the Russian market.

Analysis: the article analyzes the institution of national public procurement regimes enshrined in international legal acts, regulatory legal acts of the Russian Federation, including resolutions of the Government of the Russian Federation in which prohibitions, restrictions and conditions for admission of foreign goods, works, services in the territory of the Russian Federation are established; the problems that are caused by the unsystematic nature of Russian legislation are revealed.

Results: the analysis of the legal framework on the national regime of public procurement made it possible to come to a conclusion about its imperfection and the need for carrying out its comprehensive expertise that would identify all the problematic aspects in this area and suggest ways of eliminating them. Moreover, it is necessary to develop a single set of issues that should be reflected in all decisions of the Government of the Russian Federation on prohibitions, restrictions, conditions for admission of foreign goods, works and services within the framework of the national public procurement regime.
Ekstremitet s tijesnom obujmicom
Authors: Šomođi Željko , Zdraveva Emilija , Pavlović Željka
Published: March 2020

Dijelovi tijela katkad su komprimirani tijesnom odjećom, obućom, zavojima i slično. Pritom je važno uravnotežiti funkcionalnost i udobnost te izbjeći negativan utjecaj na zdravlje. Za analizu pritiska uslijed tijesne navlake treba uzeti u obzir mehanička svojstva same navlake, kao i tkiva. Teorija debelostjene cijevi prilagođena je za slučaj kompozitnog cilindra s krutom jezgrom, kao približnog modela ruke
ili noge, primjenom odgovarajućih rubnih uvjeta. Rezultati upućuju na utjecaj pripijenosti i elastičnih svojstava tkiva i obujmice na razinu i
karakter naprezanja u tkivu.
Optimizacija energetskih ušteda u procesu proizvodnje potplata za cipele
Authors: Špelić Ivana , Mihelić-Bogdanić Alka , Budin Rajka
Published: March 2020

Od 1970-ih godina najpopularnĳi potplati cipela jesu EVA potplati, napravljeni od etilen vinil acetata, kopolimera koji se sastoji od etilena i vinil acetata. Duromeri i elastomeri (gume), među koje ubrajamo i EVA polimere, čine oko 30% ukupne proizvodnje u tonama svih proizvedenih sintetskih polimera, pri čemu gume sintetskog podrĳetla premašuju količinom proizvodnju guma prirodnog podrĳetla. Imajući tu činjenicu na umu, energetske uštede u tvornicama proizvodnje gume iznimno su važne, a ovaj rad analizira potencĳale energetskih ušteda u proizvodnji potplata za cipele napravljenih od etilen vinil acetata (EVA). EVA potplati za cipele jesu lagani, jednostavni za modeliranje, vodootporni i vlagootporni, jako elastični, amortiziraju udarce, dobri su toplinski izolatori, iznimno su otporni itd. Energetske uštede povratom topline procesnoga kondenzata prezentirane su u procesu proizvodnje potplata za cipele. Povrat topline kondenzata rezultira smanjenom potrošnjom pojne vode, znatnim uštedama goriva potrebnog za proizvodnju pare i rezultiraju smanjenom potrošnjom kemikalĳa potrebnih u
proizvodnom procesu. Povrat vreloga procesnoga kondenzata u kotao rezultira smanjenjem potrošnje nafte 14,9 %. Također se smanjuje toplinsko zagađenje 95,3 %, dok se volumen ispušnih plinova smanjuje od 17,11 m3FG/kgNEC do 14,57 m3FG/kgNEC ili 14,8 %. Ovakav sustav omogućuje
istodobnu uštedu nafte i smanjenje toplinskog zagađenja. Usporedbom procesa s povratom topline dimnih plinova u odnosu prema procesu bez povratka topline dimnih plinova, pokazuje uštede od 18,76 %, uz smanjenje temperature dimnih plinova sa 221° C na 137,39° C, pri čemu se
volumen dimnih plinova smanjuje na 13,90 m3FG/kgP.
Materials for production of protective boots for workers in forestry
Authors: Mikulčić Miroslav , Kovačević Stana , Skenderi Zenun
Published: March 2020

The effectiveness of forestry boots depends primarily on the materials of which they are made, the manner and location of incorporation. The use of highly sophisticated materials, highly developed technological processes and knowledge-based development provide a good basis for the production of quality forestry boots. This paper gives an overview of the technological phases of manufacturing forestry boots that meet the standards defining full human protection against mechanical and other injuries when using motor saws and possible crushing. The complexity of the manufacturing process of forestry boots is reflected in the use of special high-quality materials, their functions, and how to incorporate them into in the boot. To achieve full protection of the foot and lower leg, the forestry boot contains multi-layered advanced composite materials, appropriately processed leather, fabrics, steel, non-woven textiles, and waterproof and vapour-permeable membranes.
3D scanner application in the function of digital foot antropometry (FootSABA 3D Foot Scanner)
Authors: Baksa Sarajko , Baksa Ines , Mijović Budimir
Published: March 2020

The personalization of footwear in terms of dimension and shape is of the utmost importance and is nowadays considered vitally important by interdisciplinary professions (medical, footwear, ergonomics ...), since inadequately manufactured footwear inevitably results in unwanted pathological conditions of the feet.The aim of this study is to scientifically determine the application of automated 3D digitization of spatial anthropometric foot measurement in relation to the frequency of incorrectly selected footwear based on traditional methods of measurement and selection.Among the examined individuals, both male and female, it was found that more than two thirds of people wear footwear that ergonomically does not fit the basic anthropometric footwear measurements, both in width and length of their feet.There is medical evidence that wearing inappropriate footwear is closely related to pain and wounds on the feet, and that prolonged wearing leads to pathological changes of the feet, such as foot and toe deformation.In the scope of taking measures, traditional methods of determining foot morphology are not sufficient to accurately define the shape and size, in contrast to the modern approach of using 3D scanners and digital methods of measuring virtual 3D models, which enable a very accurate and quick personalization of a large amount of anthropometric data concerning foot morphology.
CIA Raporlarında Filistinliler ve Filistin Siyaseti
Authors: ÇINKARA Gökhan , BÖLÜKOĞLU İsmail Doğukan
Published: March 2020

Bu çalışmada istihbarat raporlarının güncel jeopolitik ve siyasal gelişmelere yaklaşımının bir örneği olarak Diasporadaki Filistin siyaseti ele alınmıştır. Filistinlilerin 1948 sonrası tüm Ortadoğu’ya yayılması sonucunda bölgede önemli pozisyonlarda yer alan Filistinli bir elit tabakanın oluştuğu görülmektedir. Filistinli elitlerin siyasi, sosyal ve iktisadi sermayelerini derinleştirip genişletmeleri, bölge siyasetinde önemli bir aktör olmalarını da sağlamıştır. Bu süreçte Amerika Birleşik Devletleri’nde 1983-1987 yılları arasında Filistinli mültecilerle alakalı bir dizi istihbarat raporu düzenlenmiştir. “Körfez’de Filistinlilerin Varlığı” isimli birinci raporda, Körfez ülkelerinde Filistinlilerin toplumsal ve siyasal konumlarına değinilmektedir. “Lübnan: Filistinlilerin Büyüyen Güçleri” isimli ikinci raporda ise 1982 yılında İsrail’in Lübnan’ı işgal etmesi sonrasında Filistinli elitlerin Lübnan’da yarattığı toplumsal huzursuzluğun genel çerçevesinden bahsedilmiştir. “Moskova ve FKÖ’deki Kriz” başlıklı son raporda ise SSCB yönetiminin Filistin Kurtuluş Örgütü’nde kendine müzahir gruplar yaratma konusunda gösterdiği iradeye ve buna yönelik attığı adımlara odaklanılmıştır..
An overview of Deepwater Horizon restoration progress in Alabama
Authors: Kraft Bethany , Hunter Amy
Published: March 2020

The 2010 Deepwater Horizon (DWH) oil spill caused extensive damage to the northern Gulf of Mexico ecosystem, and resulted in numerous fines and penalties that will be available in the coming years for environmental restoration and economic recovery. These funds are jump-starting recovery and restoration efforts across the Gulf region, including in Alabama where more than $720 million has been approved for projects to date. The Alabama Department of Conservation and Natural Resources (ADCNR) oversees many aspects of this restoration effort in the state, leveraging existing planning and stakeholder investments to maximize efficiencies and take advantage of local expertise. This paper provides an overview of a selection of planning tools Alabama utilizes to support DWH restoration efforts and highlights several of the ongoing restoration projects that will benefit coastal habitats and wildlife.
Statistical optimization of an acid protease production by a local Aspergillus niger MH109542 using a medium based on decommissioned dates
Authors: Benkahoul Malika , Bramki Amina , Belmessikh Aicha , Mechakra-Maza Aicha
Published: March 2020

The production of an acid protease by liquid fermentation is performed on a medium based on decommissioned dates by a local mold isolated from an extreme environment. The used mold is isolated from the thermal soil in Hammam Safsaf of Teleghma (Algeria). Phenotypic and molecular identification has shown that it is Aspergillus niger. This fungi strain exhibited exo-protease activity on milk agar. The fermentation medium based on decommissioned dates is enriched by other factors according to a statistical method; the plan of Plackett and Burman. This method (N = 8 experiments and N-1 factors) allowed the optimization of the enzyme production and the growth of the mold. The statistical analysis of the obtained results shows an increased enzyme activity (650.20U), in the presence of yeast extract and salts with probabilities p = 0.239 for the first and p = 0.190 for the second. Furthermore, the corn-steep-liquor (p = 0.229) and yeast extract (p = 0.053) present a significant effect on mold growth. In conclusion, the culture of A. niger on optimized medium gives good yields of biomass and proteolytic activity compared to the basal medium. These results are encouraging. In fact, the use of a cheap and available substrate such as decommissioned dates saves the cost price of fermentation on an industrial scale.
Anadolu Mandası Dışkılarından İzole Edilen Termofilik Campylobacter Türlerinin Moleküler Karakterizasyonu
Authors: GÜLHAN Timur , SEZENER Merve Gizem , AKGÖZ Serhan , ERGÜDEN Volkan , FİNDİK Arzu , ÇİFTCİ Alper
Published: March 2020

Mandaların diğer hayvanlarda olduğu gibi bazı hastalıkların duyarlı hayvan popülasyonlarına ve insanlara bulaştırılmasında rol oynadıkları ortaya konulmuştur. Bu çalışmada Amasya ili ve ilçelerinde yetiştiriciliği yapılmakta olan Anadolu Mandalarından toplanan 140 dışkı örneği termofilik campylobacter türleri açısından incelendi. Dışkı örneklerinden termofilik campylobacter türlerinin izolasyonu amacıyla standart selektif zenginleştirme tekniği kullanıldı. Campylobacter şüpheli izolatların cins ve tür düzeyinde identifikasyonları PCR ile yapıldı. 140 dışkı örneğinden 13 (%9.3) termofilik campylobacter cins düzeyinde identifiye edildi. İdentifiye edilen 13 izolatın 2 (%15.4)’si C. jejuni, 1 (%7.7)’i C. coli olarak isimlendirilirken, geriye kalan 10 izolat Campylobacter spp. olarak tanımlandı. C. jejuni izolatlarında ctx (cytolethal distenting toxin) genlerinin (cdtA, cdtB ve cdtC) tespiti mPCR ile gerçekleştirildi. İzolatların hiç birinde cdt geni saptanamadı. Bu araştırma ile bölgemizde ilk kez Anadolu Mandalarından sağlanan dışkı örnekleri termofilik campylobacter türleri yönünden incelendi. Araştırmadan elde edilen verilerin, yöremizde yapılacak benzer çalışmalara kaynak teşkil edebileceği kanısına varıldı.
PENGARUH TRANSVERSE FRICTION TERHADAP SKALA NYERI PADA KASUS TENNIS ELBOW DI RSU SEMBIRING DELI TUA
Authors: Rudianto Rudianto , Sinuhaji Simson
Published: March 2020

Data were obtained from Sembiring Deli Tua Hospital in Medan indicates that the number of patients with tennis elbow in January – June 2015 as many as 30 people suffering from tennis elbow on the elbow as a result of uncontrolled movement that lead to pain in the elbow area. The purpose of this study was to determine the effect of the transverse friction due to tennis elbow pain scale of the Elisabeth Hospital in Medan. This type of research is descriptive with the entire patient population that numbered 30 people tennis elbow, samples 23 people, the received data is primary data obtained directly from the respondents. Data were analyzed descriptively by looking at the percentage of the collected data. From the result of this study showed that in the entire sample frequency distribution of respondents by sex that many have tennis elbow is the female gender with a number of 15 people (65.2%), while the distribution of the samples by age that many have tennis elbow is the age of 30-35 years old (43.5%), while the distribution of the samples based on the job that many have tennis elbow is a housewife with a number of 10 people (43.5%).Based on this study it can be concluded that there is the influence of transverse friction in patients with tennis elbow.
HUBUNGAN PENGENDALIAN NYERI ( PAIN CONTROL ) DENGAN INTENSITAS NYERI PADA PASIEN KANKER DI RSUD DELI SERDANG LUBUK PAKAM TAHUN 2018
Authors: Tarigan Herri Novita , Sari Astuti
Published: March 2020

Cancer is an abnormal cell growth which tend to be attack the surrounding tissue and spread to other organs which is far away. The cause of cancer is uncontrolled cell proliferation. Whereas the complaints that often appear on patients with cancer is pain. Cancer pain is one result of the most feared cancer patients. In fact, pain is the most recent cancer symptom. When according to the intensity that the patient feel subjectively. This research aimed to analyzed the relationship between pain control with pain intensity on cancer patients. With descriptive correlation research design. Data collection started from February to April 2018. With the number of 96 respondents by using total samplingas the research instrument that used as method of sample collecting, demographic data, pain control questionnaires and observation sheets. The result of the research showed that the sign value is 0,005 which showed the correlation between pain control score with pain intensity is significant correlation value is -0,284. With a negative direction. Wherees the better of pain control means the lower of pain intensity. The correlation between pain control with pain intensity is two way relationship. Suggestion : Hopefully this research can be useful in the future in controlling of pain cancer patients.
INCENTIVE SPIROMETRY AND DEEP BREATHING EXERCISE PREFER TO PREVENT DECREASED OF LUNG VITAL CAPASITY AS GOOD AS DEEP BREATHING EXERCISE POST CORONARY ARTERY BYPASS GRAFT PHASE I
Authors: Berampu Sabirin , Alamsyah Indra
Published: March 2020

Coronary artery bypass graft (CABG) is a procedure to remove the blood vessels from internal mammary artery, radial artery or vein saphenus and to the surface of the heart to create a bypass in coronary artery narrowing. Data taken from the patients with heart disease from medical department of rehabilitation H.Adam Malik Medan who undergoing coronary bypass graft surgery. From 73 patients with post-cardiac surgery who were referred to the Medical Rehabilitation, 49 people were post-CABG (in 2010), and 57 people in 2011. General anesthesia, diaphragmatic dysfunction, abdominal distension, changes in chest wall, surgical wound, pleural effusion, pain and dysfunction of the respiratory muscles, may lead to reduction in lung vital capasity of up to 55% post operative. Intervention were incentive spirometry and breathing exercise. The purposes of this study is knowing whether the intervention incentive spirometry and breathing exercise can more minimize the decline in lung capasity than breathing exercise intervention only on post-CABG in phase I. Experimental research with non-probability sampling two group pre test and post test design . Subjects of group I (n = 9) receive incentive spirometry (IS) and deep breathing exercises (DBE), while group II (n=9) receive only a deep breathing exercise. Data analysis with paired samples t-test suggested the mean value of vital capasity (VC) from group I (IS and DBE) was 73.78% (pre op) after 6 days postoperatively decreased to 59.56, average decline in 14.22, P = 0.002. While the VC on group II (DBE) was 74.11 after 6 days postoperatively decreased to 55.78. Average reduction was 18, 33, p value = 0.0001. There was no significantly differences between group I and group II from statistical analysis Independent t-test, with p-value = 0.512 (p>0.05). Conclusions of this study: There was a significant effect of incentives spirometry and deep breathing exercises in preventing the decrease of lung vital capasity in post-CABG patients, There was a significant influence provision of deep breathing exercises in preventing the decrease of lung vital capasity, There were no significant differences between treatment combinations of incentive spirometry and deep breathing exercises with deep breathing exercises only in preventing the decrease of lung vital capasity in post-CABG, with a p-value = 0.512
HUBUNGAN GAYA HIDUP PENDERITA DIABETES MELLITUS DENGAN KOMPLIKASI PENYAKIT DIABETES MELLITUS DI PUSKESMAS TANJUNG MORAWA KABUPATEN DELI SERDANG TAHUN 2017
Authors: Hutagalung Meta Rosaulina , Girsang Rostiodertina
Published: March 2020

Lifestyle is the lifestyle of a person in the world expressed in his activities, interests, and opinions. The purpose of this study was to determined the lifestyle relationship of people with diabetes mellitus with complications of diabetes mellitus. This research was conducted by descriptive correlative research method with cross sectional approach. The sampling technique used purposive sampling with 104 respondents in accordance with researcher desire. Then the data obtained by using the questionnaire and observation were analyzed bivariate using chi square test with ?: 0,05. The result of the researcher and the statistic test that the DM patient about there are no complication that most lifestyle good as many as 24 respondents (23,1%) while DM patient there are complication that most lifestyle not good as much 65 respondent (76%). The result of calculation of statistical test obtained ?: 0,000.Research result Ha accepted which means there is a significant relationship between lifestyle of DM patient with the occurance of complication of DM patient. Suggestion It is recommended to health workers to increase the frequency of counseling for DM patients about complications of DM in order to know and do prevention with complications.
An Insight into the global ‘spreading’ of a disease amid an epidemic with ‘mutation’ and ‘prevention’ parameters
Authors: Bhattacharjee Deep
Published: March 2020

We are all connected globally. Communication, transportation and convenience have made the notion of distance very small irrespective of large barriers through space and time. However, the time has come for the humans to realize the ‘pitfall’ of this global connectedness as this opens a doorway paving the humans vulnerable to a lot of deadly diseases some of which can be triggered into a new human by just a tiny touch or physical contact. Humans should be aware of this connectedness as because it is this connectedness which can ensure the spreading of deadly diseases unbounded. Irrespective of checking every means of physical communications, it has been found that its quite difficult to control the spreading of diseases globally and this results in an epidemic with uncontrolled deaths and sickness. In this paper what exactly I have been trying to show is that, a simple numerical calculation yields the spread and flow of diseases as well as a means of control of the same if can be implemented correctly. However, I’m saying that this is not totally accurate but accurate to some extent which is within the boundary of implementation of human beings. Therefore, the main objective of this paper lies in a mere mathematical extent of the physical world of the spreading of diseases showing how a ‘non-exponential growth’ can lead to ‘exponential growth’ which again subsides to ‘non-exponential growths’ in a particular duration of time. The prevention parameters have also been computed mathematically at the end. Amid an outbreak, it has been the ability of a virus to mutate over time by resisting against the known medicines and immunities. Therefore, the virus can jump from ‘one level’ to a ‘higher level’, if the epidemic lasts for long. Therefore, in case of mutation, there are probabilities or ‘more probabilities’ of the virus getting stronger in time, however we can’t ignore the idea of 2 similar probabilities that the virus can ‘either remain in a same state or level, or may become weaker’ in time. This needs to be addressed while writing a paper about ‘an outbreak amid an epidemic and its parameters for precautions’ and this will be reflected in this paper as a probability functions.
On Preparedness of the Children Attending Municipal Preschool Educational Institutions
in Rural Areas of the Krasnodar Region to Systematic Schooling
Authors: Batrakova L.V. , Nefedov P.V.
Published: March 2020

Background. Preparation for school is the most important task of preschool education, and its solution can provide a high level of health, harmonious development of the child, and formation of a holistic personality. Our objective was to assess preparedness for systematic schooling of children attending kindergartens in rural areas of the Krasnodar Region. Materials and methods. The studies were conducted in 6 kindergartens attended by 179 preschool children aged 6–7, a year before school admissions and just before entering school. Results. We established that 37% of 6-year-old children were considered to be prepared for systematic schooling, while the rest were either conditionally ready (19%) or not ready at all (44%). In a year, the number of children ready for school increased to 69%, while the percentage of those who were conditionally ready or not ready dropped to 26% and 4.5%, respectively. The parents of those preschoolers who were not ready for school were given appropriate recommendations. Conclusion. The positive dynamics of children’s preparedness for school testifies to the efficiency of activities held in preschool educational institutions during the year.
Circulation of Vancomycin-Resistant Enterococci in Health Facilities
of the Karachay-Cherkess Republic
Authors: Batchaev Kh.Kh. , Pilipenko T.D. , Sereda L.G. , Petryuk T.A.
Published: March 2020

Introduction. Gram-positive enterococci are an integral part of the normal intestinal microflora. However, if they get into wounds or sterile cavities of the body, they may induce various diseases including wound infections, urethritis, peritonitis, sepsis, pyelonephritis, or damage other organs. These microorganisms also induce nosocomial infections and are among the causative agents of health care-associated infections (HAIs); thus, it is critical to control the spread of enterococci. Our purpose was to monitor circulation of vancomycin-resistant enterococci (VRE) in health facilities of the Karachay-Cherkess Republic (KCR) in 2016-2018. Materials and methods. We studied VRE strains isolated in the Microbiological Laboratory of the Center for Hygiene and Epidemiology in the Karachay-Cherkess Republic. During three years, the total of 281 strains of vancomycin-resistant enterococci were isolated from various biological materials received from obstetric, surgical, pediatric, and therapeutic hospitals and from outpatients undergoing treatment in polyclinics of the Karachay-Cherkess Republic. Results. According to our data, VRE rates per 100 examined patients were 2.34 in 2016, 3.4 in 2017, and 3.03 in 2018, and were comparable to the rates registered in the Russian Federation in the range of 3% to 22.7%. Discussion. When analyzing circulation of vancomycin-resistant enterococci, we established that the highest VRE rate (4.24 per 100 examined patients) was observed in maternity hospitals, while the lowest rate of 0.67% was observed in therapeutic departments. When studying sensitivity of 281 isolated VRE strains to eight antibacterial drugs, no strain resistant to all antibiotics was revealed. Sensitivity to linezolid, ampicillin, and penicillin was observed in 92.6%, 79.0%, and 66.2% of strains. Sensitivity to ciprofloxacin, gentamicin, tetracycline, and nitrofurantoin was 50% or less. VRE were mainly isolated from urine and discharge from the cervical canal and pharynx.
HUBUNGAN POLA BERMAIN DENGAN PERKEMBANGAN KOGNITIF ANAK USIA PRA SEKOLAH DI TAMAN KANAK-KANAK KENCANA KECAMATAN TOBADAK KABUPATEN MAMUJU TENGAH
Authors: Saputri Ilyas Asmiana
Published: March 2020

Anak-anak merupakan generasi penerus pembangunan negara dan investasi Indonesia menuju negara maju yang dapat diperhitungkan di tingkat global. Salah satu penentu negara ini memiliki investasi sumber daya manusia yang berkualitas adalah pertumbuhan dan perkembangan anak-anak Indonesia. Bermain memberi efek relaksasi bagi anak. Tujua penelitian untuk mengetahui hubungan pola bermain dengan perkembangan kognitif anak usia prasekolah di Taman Kanak-Kanak Kencana Kecamatan Tobadak Kabupaten Mamuju Tengah. Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian survey analisis dengan pendekatan cross sectional study. Teknik pengambilan sampel dengan Total Sampling sebanyak 30 siswa. Instrumen yang digunakan adalah lembar kuesioner. Data dianalisis menggunakan bantuan komputerisasi dengan uji stastistik Chi-Square dan tingkat kemaknaan ρ Value < 0,05. Berdasarkan hasil analisis tentang hubungan pola bermain dengan perkembangan kognitif bahwa ada hubungan hubungan pola bermain dengan perkembangan kognitif, hal ini didasarkan dari hasil uji chi square menunjukkan bahwa α < 0,05 dengan nilai α = 0,033. Kesimpulan penelitian ini ada hubungan hubungan pola bermain dengan perkembangan kognitif di Kanak-Kanak Taman Kanak-Kanak Kencana Kecamatan Tobadak Kabupaten Mamuju Tengah. Diharapkan dapat meningkatkan kualitas pola asuh anak dan menambahkan pola bermain anak