bluuebunny/crossref_metadata_2025 huggingface dataset:
El efecto del corto sobre la estructura de tasas de interés
Authors: Castellanos Pascacio Sara Gabriela
Published: October 2020

Realiza un análisis empírico para medir el impacto que tiene la política monetaria del Banco de México, a través de la variación en su objetivo de saldos acumulados en las cuentas corrientes con la banca, sobre la estructura de tasas de interés.
Estabilidad en variables nominales y el ciclo económico: El caso de México
Authors:   Banco de México, Quintero Karla
Published: October 2020

Este artículo documenta las características del ciclo económico en México durante los últimos sesenta años y analiza su relación con la estabilidad de las variables nominales. El análisis se realiza desde una perspectiva empírica y con un énfasis especial en el desempeño de largo plazo de la economía mexicana. De los años cuarenta a los años setenta la economía mexicana experimentó un periodo de crecimiento económico sostenido y de estabilidad en las principales variables nominales. Por el contrario, a partir de los años ochenta se observa una tasa de crecimiento económico menor e inestabilidad en las variables nominales. La inestabilidad nominal no solamente está asociada con un menor crecimiento económico sino que, además, coincide con cambios importantes en las características del ciclo económico. Durante el periodo con estabilidad nominal, el ciclo económico en México es muy similar al de los países industrializados y la relación con el ciclo en Estados Unidos es positiva. Sin embargo, durante el periodo con inestabilidad nominal se encuentran algunas diferencias importantes con respecto a la evidencia de las economías industrializadas y la relación con el ciclo en Estados Unidos es más difícil de identificar. Asimismo, se encuentra que las características del ciclo económico en otros países latinoamericanos, que también han experimentado periodos de inestabilidad nominal, son similares a las observadas en México y, por consiguiente, son diferentes a las observadas en los países industrializados
RECENT TRENDS IN THE HISTOLOGICAL SPECTRUM OF GASTROINTESTINAL POLYPS
Authors: C Sofiya. , Pushpa B. , Veeraraghavan Veeraraghavan
Published: October 2020

INTRODUCTION: Polyps are projections or elevations from the surface of mucosa. Histopathological examination of polyps is very important because of the risk of malignancy associated with certain polyps. The aim of this study is to analyse spectrum of polyps in different locations of Gastrointestinal tract. MATERIALS AND METHODS: This is a descriptive study conducted in Department of Pathology, Government Kilpauk Medical College for a period of 3yrs. 156 cases were included. Polyps were analysed based on age, sex, location, endoscopic appearance and histologic findings. RESULTS: Gastrointestinal polyps are most common in males(61.5%) and in age group of 46.60years(37.8%). Most of the polyps are sessile(73.1%) and occur in the large intestine(41.6%). The most frequent polyps based on locations are Squamous papilloma in esophagus , hyperplastic polyp in stomach, inflammatory polyp in small intestine and adenomatous polyp in large intestine. DISCUSSION AND CONCLUSION: The results were compared with other similar studies. Most of the study results correlated with study by Gurung P et al. Esophageal polyps correlated with study by Patit et al. Inflammatory polyps are the predominant Sessile polyps, Hyperplastic polyps are the predominant diminutive polyp and adenomatous polyps are the predominant pedunculated polyps. This study provides information regarding most frequent polyps based on locations and gross appearance and helps to find the changing trends in the incidence of polyps.
PROGNOSTIC SIGNIFICANCE OF VIRAL MARKER DETECTION IN PROGRESSION OF HIGH RISK HUMAN PAPILLOMA VIRUS ASSOCIATED CANCER CERVIX
Authors: Pal Ananya , Biswas Rajat Kanti
Published: October 2020

The objective was to detect the viral marker HPV16 L1 capsid protein in cervical neoplasia to analyse its association with different grades of cervical lesions and its implication as a prognostic marker. Detection of L1 capsid protein of HPV16 by immunostaining was done using anti-HPV16 mouse monoclonal antibody against L1 fusion protein in cervical scraping or biopsy specimens obtained from the subjects. Total 84 cases of cervical cancerous lesions in a graded spectrum were observed for expression of L1 capsid protein of HPV16, among which 30 cases showed L1 expression and 54 cases did not. The expression rates of L1 protein among ASCUS, ASC-H, LSIL and HSIL were 33.33%, 62.50%, 80% and 36.36% respectively. Among invasive lesions, the L1 expression rates were 23.53%, 14.29% and 7.69% in well, moderately and poorly differentiated SCC respectively. Overall the L1 positivity rate was 35.71%. The expression of L1 proteins decreased with increase in lesion grade. This declining trend of L1 positivity rate with increasing grade of lesion was extremely significant (p value for chi squared for trend is 0.0002). The difference of L1 expression between preinvasive and invasive group was also significant (p<0.0001).Expression of L1 capsid protein of HPV16 was high in lower grade preinvasive lesions and it steadily declined with increasing grade of lesion. Therefore, detection of viral marker HPV16 L1 Protein can be used as a prognostic tool and a marker of immune response against HPV16.
“STUDY OF HEMATOLOGICAL PROFILE IN MALARIAAND DENGUE PATIENTS”
Authors: Chandrakar Jayanti , Neral Arvind , Saluja Anki
Published: October 2020

Background: Malaria and dengue are the two most common vector borne diseases in India. They are transmitted to human by the bite of mosquito and causes different hematological manifestations. Aim: To investigate the alterations in hematological parameters in malaria and dengue patients and to differentiate hematological parameters in co-infection of dengue with malaria from infections of dengue and malaria alone. Material and method: This cross sectional observational study was done in 483 malaria and/or dengue patients whose blood samples were collected in the department of Pathology and department of Microbiology at Pt. J.N.M. Medical College and associated Dr. B.R.A.M. Hospital, Raipur. The study duration was 1 year from 1st January 2018 to 31st December 2018. Result: Out of 483 cases, 384 were dengue positive, 96 were malaria positive and 3 cases were co-infection. We observed that hematological parameters like WBC count, neutrophil %, RDW and PDW were significantly higher in malaria groups while lymphocyte %, monocyte %, RBC count, hemoglobin, hematocrit, MCH, MCHC, platelet count and plateletcrit were significantly higher in dengue group. Conclusion: This study concluded that all the patients presented with the febrile illness should be tested for both malaria and dengue. These two diseases presented with similar clinical manifestations that is why specific diagnostic testing along with complete blood count is necessary to confirm the diagnosis and to know the severity of the illness.
PREVALENCE AND ANTIMICROBIAL SUSCEPTIBILITY PATTERN OF ACINETOBACTER SPECIES AMONG VARIOUS CLINICAL SAMPLES IN A TERTIARY CARE TEACHING HOSPITAL, SVIMS, TIRUPATHI.
Authors: Sneha P. , Ramakrishna N. , Jayaprada R. , Sharma K.K.
Published: October 2020

Multidrug resistance isolates of Acinetobacter sp. are increasing due to indiscriminate use of antibiotics in health care settings. The incidence of resistance to broad spectrum antibiotics is increasing and thus posing a therapeutic challenge. All samples were processed and isolates were identified as per standard protocol. 5Antibiotic susceptibility of all isolates was determined by the standard Kirby Bauer disc diffusion method as per Clinical laboratory standards institute (CLSI) guidelines 2017.6 Majority of the Acinetobacter sp. were isolated from E.T aspirates (47.3%). In our study A.baumannii (65.3%) was the most common species responsible for the infections. Among 150 Acinetobacter isolates, 68% of isolates were multidrug resistant organisms, 52% were extended spectrum beta-lactamase (ESBL) producers and 44% of isolates were carbapenem resistant. To abate antimicrobial resistance, antimicrobials ought to be prescribed sensibly and observational antimicrobial treatment ought to be resolved for every hospital as per institutional antibiogram. Strict adherence to the antibiotic policy and proper implementation of antibiotic stewardship program in coordination with clinicians can reduce emergence of multidrug resistant Acinetobacter species which is of great concern.
Frammenti di massificazione: le neoavanguardie anglo-germanofone, il cut-up di Burroughs e la pop art negli anni Sessanta e Settanta
Authors: Bacherini Gabriele
Published: October 2020

Frammenti di massificazione: le neoavanguardie anglo-germanofone, il cut-up di Burroughs e la pop art negli anni Sessanta e Settanta analyses the influence of William Seward Burroughs’ cut-up method on British and German-language neo-avant-gardes of the 1960s and 1970s from a comparative point of view, with particular attention to the literary context of the Federal Republic of Germany. In four chapters devoted to a profile of this American intellectual and artist, the origins, stylistic features and reception of the cut-up method, the author investigates the reasons for the success of this process, rediscovered by Burroughs and aiming at a reconstruction of text fragments to build up new textual entities. The last chapter is an overview of the most interesting of the uses of the cut-up method in artistic environments other than literary writing, documenting the transformation of a rebellious technique into a new form of expression, i.e. pop art.
Incidencia de la mayéutica en la pedagogía constructivista
Authors: Aceituno Ramos Axel Hernaldo
Published: October 2020

La mayéutica es el método epistemológico propuesto por Sócrates y que consiste básicamente en dar a luz el propio conocimiento, el mismo, posee características que han sido utilizadas por la pedagogía, principalmente por la teoría constructivista del aprendizaje por descubrimiento de Jerome Bruner. En este artículo se realiza una breve comparación entre ambas propuestas para señalar la incidencia y presencia que posee la filosofía, por medio de la mayéutica en la pedagogía constructivista.
Risk factors of hemorrhagic transformation after thrombolysis in ischemic stroke patients in Tyumen district
Authors:   Tyumen State Medical University, Tyumen, Lebedeva D. I. ,   Regional treatment and rehabilitation center, Tyumen, Elfimova I. V. ,   Tyumen State Medical University, Tyumen, Bychenko S. M. ,   Regional treatment and rehabilitation center, Tyumen, Skorikova V. G. ,   Regional treatment and rehabilitation center, Tyumen, Kravchenko A. V. ,   Regional Clinical Hospital No. 2, Tyumen, Postnikova T. V. ,   Regional Clinical Hospital No. 2, Tyumen, Kustova E. I. ,   Regional Clinical Hospital No. 2, Tyumen, Ponomareva E. A. ,   Regional Clinical Hospital No. 2, Tyumen, Isaeva Zh. A. ,   Regional treatment and rehabilitation center, Tyumen
Published: October 2020

Aim: identification of risk factors of hemorrhagic transformation (HT) after intravenous thrombolytic therapy. Patients and methods: the study included 100 medical records of patients, who underwent thrombolytic therapy. Patients were divided into two groups according to the outcome: 89 patients with HT and 11 patients without HT. Clinical and demographic characteristics of patients were analyzed, including neurological status assessment using NIHSS, Rankin, Rivermead and Waterloo scales. Results: among patients with HT 54.5% were smokers, compared to 29.2% in no HT group (p < 0.05). Significant differences in Rankin, Rivermead and Waterloo scales on admission, after the intervention and at discharge were observed (p < 0.05). Conclusion: smoking is as a significant risk factor of HT, which should be taken into account in the development of thrombolytic therapy programs.
Аssisted reproductive technology: impact on child health
Authors:   Tyumen State Medical University, Tyumen, Vinokurova E. А.
Published: October 2020

The article considers published sources of domestic and foreign research concerning the quality of health of children of various age groups born after in vitro fertilization.
Clinical and laboratory factors of unfavorable prognosis of the disease in patients with cirrhosis of the liver
Authors:   Tyumen State Medical University, Tyumen, Kuzmina Yu. S. , Zhmurov V. A. ,   Tyumen State Medical University, Tyumen, Mishchenko T. A. ,   Tyumen State Medical University, Tyumen, Zhmurov D. V. ,   Tyumen State Medical University, Tyumen, Osipenko K. A. ,   Medical hospital “Neftyannik”, Tyumen, Nurtdinova N. S. ,   Medical hospital “Neftyannik”, Tyumen, Rogozkina Yu. A. ,   Tyumen State Medical University, Tyumen
Published: October 2020

Aim. To study clinical and laboratory parameters that determine the unfavorable outcome of the disease among patients with cirrhosis of the liver. Materials and methods. The study involved 124 patients with cirrhosis of the liver, 64-the main group, among which a fatal outcome was recorded and 60 people with a favorable outcome of the disease. All patients underwent a complete clinical and laboratory study. Research result. The study revealed that predictors of an unfavorable outcome of liver cirrhosis are: previous alcoholism, non-compliance with recommended treatment measures, late medical treatment, overweight, more pronounced indicators of hepatic cell failure, cytolysis, as well as more pronounced anemia, hypoproteinemia, coagulopathy and higher creatinine levels. Conclusion. Clinical and laboratory indicators that can be used as predictors of an unfavorable outcome of liver cirrhosis were identified.
Systemic and intravesical treatment of post-radiation cystitis: the role of hyaluronic acid
Authors:   Regional Clinical Hospital No. 2, Tyumen, Gutrova E. I. , Petrov D. I. ,   Tyumen State Medical University, Tyumen, Grigorenko T. B. ,   Medical center «Medical city», Tyumen, Simonov A. A. ,   Medical center «Medical city», Tyumen, Petrova Yu. A. ,   Tyumen Industrial University, Tyumen
Published: October 2020

The data presented in the review indicate that despite modern advances in chemotherapy, hormonal therapy, targeted therapy, and immunotherapy of neoplasms, radiation therapy is a common method of treating malignant tumors of various localization. The most compelling evidence of efficacy exists for systemic therapy with TCDO / WF10, cranberry capsules, hyperbaric oxygen therapy, and intravesical instillation of hyaluronic acid preparations. The presence of many methods of treatment of radiation-induced cystitis described in the literature: systemic, local with the use of physical methods, combinations of different methods – indicates the absence of a single concept for the prevention and treatment of this severe complication of radiation therapy justifies the relevance of further study of treatment protocols from the standpoint of evidence-based and personalized medicine.
Historical aspects of the teaching of acute coronary syndrome
Authors:   Regional Clinical Hospital No. 1, Tyumen, Stognii N. Y. , Tsiryateva S. B. ,   Tyumen State Medical University, Tyumen, Krasheninin D. V. ,   Regional Clinical Hospital No. 1, Tyumen, Tkachenko G. F. ,   Regional Clinical Hospital No. 1, Tyumen, Prints Y. S. ,   Regional Clinical Hospital No. 1, Tyumen, Kremneva L. V. ,   Tyumen State Medical University, Tyumen
Published: October 2020

The milestones of evolution of acute coronary syndrome doctrine were summarized in the literature review. The contribution of national and foreign scientists in understanding of pathogenetic mechanisms of this disease was introduced. The role of emergency medical services, intensive cardiac care units, reperfusion interventions and up to date pharmacotherapy in reducing the mortality rate of acute coronary syndrome patients was highlighted.
The effect of ethanol on the development of oxidative stress and endothelial dysfunction
Authors:   Tyumen State Medical University, Tyumen, Chernov I. A. , Kirillov Yu. A. ,   Research Institute of Human Morphology, Moscow,   Tyumen State Medical University, Tyumen, Areshidze D. A. ,   Moscow Region State University, Moscow, Kozlova M. A. ,   Moscow Region State University, Moscow, Makartseva L. A. ,   Moscow Region State University, Moscow, Shtemplevskaya E. V. ,   Research Institute of Human Morphology, Moscow
Published: October 2020

The review focuses on the pathogenetic mechanisms of ethanol influence on the development of oxidative stress (OS) and endothelial dysfunction (ED). It is shown that both in acute and chronic alcohol intoxication, the intake of ethanol in the body initiates the development of OS, the formation of reactive oxygen species, causes a decrease in the content of endothelium-derived relaxing factors (nitric oxide (NO), prostacyclin, endothelium-derived hyperpolarization factor (EDHF)), an increase in the concentration of endothelium-derived constricting factors (endothelin, angiotensin-II), thereby causing the development of ED. When alcohol is consumed in small doses by healthy non-drinkers, ethanol can act as an antioxidant, cause the neutralization of reactive oxygen species, promote the formation of NO, and prevent the formation of ED. Currently used methods for evaluating ED allow us to characterize the functional state of the endothelium. Structural changes in the blood vessel wall as a manifestation of ED in alcoholic disease are not sufficiently described, which indicates the need to study them using modern histological, histochemical, immunohistochemical and electron microscopic methods.
Research in the field of analysis of the soft dosage form «Metroterbinazol» used in medical practice
Authors:   Tyumen State Medical University, Tyumen, Zamaraeva A. I. , Bessonova N. S. ,   Tyumen State Medical University, Tyumen, Kobeleva T. A. ,   Tyumen State Medical University, Tyumen, Sichko A. I. ,   Tyumen State Medical University, Tyumen
Published: October 2020

Aim. Development of a method of analysis of metronidazole and terbinafine in ointment «Metroterbinazol» using spectrophotometry. Materials and methods. A soft dosage form containing 0.1 g of metronidazole, terbinafine and 9.8 g of Tizol gel was used as the object of research. Pharmacopoeia reagents and the method of spectrophotometry were used for experimental work. Measurements were carried out on the SF-2000 spectrophotometer in the near ultraviolet region (λ = 210-340 nm). Results. To achieve this goal, we studied the electronic absorption spectra and optical characteristics of metronidazole and terbinafine in the substance, ethanol solution and in the presence of Tizol gel. The curve of ε (terb) – ε (met) to the wavelength observed a maximum at a wavelength of 223 nm, which corresponds to the maximum of absorption of terbinafine and is close to a less pronounced first absorption maximum of metronidazole (226 nm), also pronounced minimum at a wavelength of 312 nm, which is similar to the second maximum of absorption of metronidazole. The results obtained suggest that the optimal wavelengths are 223 nm and 312 nm. On an artificial mixture with a similar concentration of ingredients according to the prescription, testing was conducted for the analysis of drugs in the joint presence. As a result of experiments, it was found that the mass of metronidazole, found by the Firordt method and the simplified system of equations, is in the limit of 0.0959-0.1053 g, terbinafine – 0.1072-0.1110 g, which corresponds to the permissible deviations. Based on the research, a method for the spectrophotometric analysis of terbinafine and metronidazole in «Metroterbinazole» ointment has been developed that allows quantifying them within the permissible deviations provided for in the regulatory documentation. Conclusion. A method of spectrophotometric quantitative determination of terbinafine and metronidazole is proposed, which allows analyzing medicinal products with a relative error of ± 1.49-1.50% and establishing the quality of manufacturing of «Metroterbinazole» ointment within acceptable standards of deviations.
Human embryonic organocomlexes formation and their structures dynamics
Authors:   Tyumen State Medical University, Tyumen, Solovyev G. S. , Shidin V. A. ,   Tyumen State Medical University, Tyumen, Nikityuk D. B. ,   Federal Research Center for Nutrition, Biotechnology and Food Safety, Moscow, Morozova E. V. ,   Tyumen State Medical University, Tyumen, Guzenkov D. N. ,   Tyumen State Medical University, Tyumen, Ivanov I. V. ,   Tyumen State Medical University, Tyumen, Solovyeva O. G. ,   Tyumen State Medical University, Tyumen, Spirina Yu. S. ,   Tyumen State Medical University, Tyumen, Cherkasova S. P. ,   Tyumen State Medical University, Tyumen, Akhmatov A. V. ,   Tyumen State Medical University, Tyumen
Published: October 2020

Complex structures are formed in the human embryo – embryonic organocomplexes. They are the rudiments of two or more organs and are the source of divergence. Embryonic organocomplexes appear in the embryonic and early fetal period of the organism’s development.
The crippling dental phobia as one of the phenomena of modern dentistry
Authors:   Tyumen State Medical University, Tyumen, Orlova E. S. , Bragin A. V. ,   Tyumen State Medical University, Tyumen, Orlova I. S. ,   Tyumen State Medical University, Tyumen
Published: October 2020

Aim. To study the features of determining different levels of dental anxiety in young people living in Tyumen. Materials and methods. This study involved 56 men and 205 women. The age of patients who sought dental care varied and averaged 23.7 ± 7.69 years. We used a search method, questionnaires, instrumental, clinical and statistical methods. Results. Analysis of the results of primary diagnostics for Korah showed that more than half (58.2%) of young people in Tyumen experience mental and physical discomfort of varying degrees of severity when contacting a dentist, which is generally assessed as a conditionally negative or negative attitude to dentistry. Conclusion. For the first time, a study of the causes of dental anxiety among the young population of Tyumen and the dominant negative behavior at a dental appointment was conducted.a high prevalence of various forms of dentophobia with a predominance in the structure of mild severity, especially depending on subjectively determined etiological factors, was revealed.
Varicose veins with Hallux valgus
Authors:   Tyumen State Medical University, Tyumen, Komarova L. N. ,   Clinical Hospital RRW-Medicine, Tyumen, Zvezda S. A. ,   Tyumen State Medical University, Tyumen, Agafonova E. N. ,   Tyumen State Medical University, Tyumen, Kolodkina E. S. ,   Tyumen State Medical University, Tyumen, Duboshinsky R. I. ,   Tyumen State Medical University, Tyumen
Published: October 2020

Our research is dedicated to the combined pathology of musculoskeletal system – Hallux valgus with varicose veins of lower extremities that are common in the surgical practice. This study allowed us to estimate frequency of hallux valgus and varicose veins combined with each other and also to identify main factors that contribute to these diseases progression. Methods and principles of the research. To diagnose the combined pathology instrumental investigation (foot X-ray in two planes) was performed in 40 (36,7%) patients out of 109 that were under treatment in the surgical unit of the General Surgery department in “Private Healthcare Institution Clinical Hospital Russian Railways– Medicine”, Tyumen in 2019 and had varicose veins treated previously. A questionnaire was developed for conducting a sociological study. Results. The main reason of these diseases occurring is the congenital connective tissue defect and the veins wall weakening caused by the genetic predisposition. The acquired factors are: lifestyle and type of work (frequent and protracted static muscle load, wearing uncomfortable footwear), obesity. It is identified that the combined pathology (Varicose veins and Hallux Valgus) occur in every third patient, suffering from varicose veins. According to the results of the survey, 28 (70%) patients have genetic factors. Prolonged static load prevails among acquired factors, obesity takes the second position and it is diagnosed in 16 cases (11 women and 5 men). Conclusion. The frequency of these diseases occurring together was 36,7% in our study. Systemic approach allows to comprehensively assess various pathological changes in the blood and lymph circulation. “Combined pathology of musculoskeletal system” booklet was developed and implemented into the practical healthcare (among municipal polyclinics of Tyumen).
Suffering As Mysterium Iniquitatis And Mysterium Salutis Jon Sobrino And Jean-Marc Éla On Suffering And Liberation
Authors: Irawan Paulus Bambang
Published: October 2020

Abstract: Jon Sobrino and Jean-Marc Éla provide unique contributions for theological ethics in reflecting suffering as mystery of evil (mysterium iniquitatis) and suffering as the driving force for liberation (mysterium salutis).  As a proponent of liberation theology, Sobrino  focuses  on structural problem of evil. In this regard, Éla gives his unique voice by analyzing suffering from its socio-cultural perspectives. Putting Sobrino and Éla in dialog shows the need for interdisciplinary approach in doing theological ethics. This interdisciplinary reflection  on suffering on the one hand will bring a more holistic view on the complexity of the problem of suffering. On the other hand, it brings a more contextual understanding on the meaning of discipleship in a violent world.

 

Keywords: Saffering, evil, liberation, resocialization, structural & socio- cultural approach, discipleship.

 

Abstrak: Jon Sobrino dan Jean-Marc Éla memberikan sumbangan yang khas bagi refleksi teologis etis tentang kompleksitas problem penderitaan sebagai misteri  kejahatan (mysterium iniquitatis) namun sekaligus menawarkan daya  dorong bagi kesetiaan menapaki jalan pembebasan (mysterium salutis).  Sobrino yang menekankan analisa  struktural atas kejahatan membutuhkan analisa sosio-kultural dari Éla sehingga aneka upaya “memberi nama” dan melawan problem kejahatan mendapatkan pijakannya pada praktik-praktik kultural dalam komunitas lokal. Dialog Sobrino dan Éla juga menunjukkan bahwa teologi mesti membuka diri pada kajian interdisipliner dengan ilmu lain sehingga, di satu sisi, misteri penderitaan dapat didekati secara  lebih  utuh dan,  di  sisi lain,  jalan kemuridan yang  muncul karena tanggapan atasnya menjadi lebih kontekstual.

 

Kata-kata kunci: Penderitaan, kejahatan, pembebasan, resosialisasi, pendekatan struktural, pendekatan sosio-kultural, kemuridan.
Fluoroscopy-Guided Placement of Endobronchial Blockers: A Case Series
Authors: Zerona Nicholas , Patel Priyesh , Haddadin Ihab
Published: October 2020

Three cases from a single institution are presented demonstrating a novel technique of endobronchial blocker insertion under fluoroscopic guidance in patients with massive hemoptysis. This article discusses advantages and limitations compared with bronchoscopic and blind insertion techniques. In all three cases, fluoroscopic guidance demonstrated successful insertion with technically appropriate positioning, allowing for hemodynamic stabilization and more definitive interventional treatment. In one case, endobronchial blocker tamponade, itself, was definitive treatment, without recurrence of hemoptysis during the patient's hospital course. All patients had resolution of their hemoptysis and were eventually discharged from the hospital. Fluoroscopy-guided endobronchial blocker insertion was demonstrated to be both technically feasible and effective in these cases of massive hemoptysis. Moving forward, this can be a valuable tool when emergent endobronchial control of hemoptysis is required in certain instances.
A Pilot Study of Patients With COVID–19-Related Respiratory Failure Utilizing Airway Pressure Release Ventilation (APRV)
Authors: Joseph D'Andrea K. , Baltazar Gerard A. , Jacquez Ricardo A. , Islam Shahidul , Stright Adam , Divers Jasmin , Brathwaite Collin E.M. , Petrone Patrizio
Published: October 2020

Background

Pneumonia leading to acute respiratory distress syndrome (ARDS) is one of the devastating consequences of coronavirus disease 2019 (COVID-19). Airway pressure release ventilation (APRV) has been described as beneficial in acute lung injury and ARDS. We hypothesized that utilizing APRV would be advantageous in the COVID-19 ARDS population.

Methods

Prospective, observational, single-center study. Data were extracted on demographics, vasopressors, sedatives, analgesics, and oxygenation (PaO2/FiO2). A generalized linear mixed models analysis was performed to compare low tidal volume ventilation (LTV) with APRV for patients who required intubation due to ARDS from COVID-19 and who were managed with at least 48 consecutive hours of APRV in our surgical intensive care unit (SICU).

Results

Twelve patients met criteria; two were on APRV mode from admission to the SICU and were not included in the study. Ten patients were analyzed and were primarily male (70%), average age of 64.5 ± 12.9 years, and 70% were obese (average body mass index of 30.6 ± 8.0 kg/m2). There were no smokers in the sample, but two patients presented with underlying lung pathology. APRV was shown to significantly increase the PaO2/FiO2 ratio by 30% (5% to 61%) (p = 0.05) and was associated with up to a 12% (−26% to 5%) reduction in the level of FiO2 and reduction in the use of vasopressor support (−59% [−83% to −2%]), sedatives (−15% [−29% to 2%]), and analgesics (−16% [−38% to 12%]).

Conclusions

This pilot study showed that APRV was associated with decreases in FiO2, vasopressors, sedatives, and analgesic requirements with an increase in PaO2/FiO2 ratio. In the current pandemic, where providers are grappling with ways to manage COVID-19 ARDS, APRV may be the optimal ventilator mode. Prospective randomized studies are required to validate whether use of APRV in the COVID-19 population leads to improved oxygenation and a subsequent decrease of ventilator days and length of stay.
Graphic method for assessing the margins of resistance to acoustic vibrations in the chambers of rocket engines by combustion noise
Authors: Tsarapkin R.A. , Ivanov V.N. , Biryukov V.I.
Published: October 2020

An experimental method is proposed for estimating the damping decrements of pressure fluctuations in the combustion chambers of forced rocket engines. The method is based on the statistical processing of noise pressure pulsations in the vicinity of natural resonance frequencies for normal modes of acoustic vibrations of the reaction volume and the subsequent prediction of the instability of the combustion process relative to acoustic vibrations. Based on the theory of statistical regression for multidimensional experimental data, the problem of predicting unknown parameters of sample distributions is solved by asymptotic determination of the correlation coefficient of the damping decrement of pressure vibrations through optimal linear predictors and the Kolmogorov distribution.
Keywords
rocket engine, combustion chamber, acoustic vibrations, combustion noise, spectral characteristics, Kolmogorov criterion, damping decrement.
KniaZ988@mail.ru
REALITIES: THE VIEWS OF SCIENTISTS
Authors: Mohira Umarova  , Shakhnoza Yakubova
Published: October 2020

This article defines the term “reality” as the functionality of words in this particular category as components necessary to convey the national identity of texts in different languages.
Summarizing the experience of foreign linguists, the authors come to the conclusion that realities are lexical units that name unique objects and phenomena characteristic of life, everyday life, culture, social and historical development of one people and alien to another people, that is, they are the verbal expression of specific features of national cultures. Realities do not have clear correspondence in another language and require a special approach in translation.
The authors of the article conclude that there is currently no single approach to classifying facts, as in the definition of the concept. The basic principle of all existing classifications of facts is the method of grouping realities according to a thematic principle.
KEYWORDS: reality, linguistic, non-equivalent vocabulary, Acquaintances (vocabulary), object, concept, phenomenon.
Spatial analysis of damage caused by strong winds and gales in the Czech lands since ad 1500
Authors: Dobrovolný Petr , Keprtová Kateřina
Published: October 2020

The aim of this article is an analysis of the spatial distribution of places with damage done by gales and windstorms in Czechia in the course of the last 500 years. Descriptive documentary data derived from historical climatology are used for this analysis and the specific features contained within these data are mentioned. Using ArcGIS tools, thematic maps of the locations damaged by gales for each century are presented and the spatial distribution of the places is characterized. This spatial distribution is connected to a large degree with the quantity and quality of available historical sources. However, spatial analysis enables the characterization of the most affected localities and also the most significant cases, "the windstorms of the century".
UPAYA PENINGKATAN HASIL TANAMAN SAYURAN DENGAN PUPUK ORGANIK DI DESA ARISAN JAYA KECAMATAN PEMULUTAN BARAT KABUPATEN OGAN ILIR
Authors: Hayati Renih
Published: October 2020

Kegiatan ini dilaksanakan di Desa Pulau Semambu KecamatanÂ  Indralaya Utara Kabupaten Ogan Ilir Propinsi Sumatera Selatan.Â  Tujuan pengabdianÂ  padaÂ  masyarakat tersebut antara lain 1]. Memberikan informasi pengetahuan tentang teknik pemanfaatan lahan dengan Â menggunakan sistem pola tanam ganda, dan 2]. Meningkatkan potensi produksi sayuran di Desa Tanjung Seteko melalui penerapan sistem pola tanam ganda dan meningkatkan pendapatan petani. Sedangkan Â manfaat yang diharapkan dari kegiatan ini adalah 1]. Meningkatnya pengetahuan petani khususnya di Desa Pulau Semambu mengenai sistem pola tanam, dan 2]. Petani mau merubah sistem pola tanam yang biasa mereka gunakan, yaitu dari monokultur ke polikultur (pola tanam ganda) sehingga dapat meningkat produksiÂ  baik dari segi kualitas maupun kuantitas dan akhirnya dapat meningkatan pendapatan mereka. Penyuluhan mengenai pola tanam yang tepat diharapkan dapat menambah pengetahuan petani tentang keuntungan dan kerugian dari masing-masing pola tanam sehingga mereka dapat menentukan pola tanam yang akan digunakan. Desa Pulau Semambu merupakan salah satu desa penghasil tanaman sayur-sayuran yang ada di Kecamatan Inderalaya Utara. Tanaman sayuran yang dikembangkan antara lain tanaman bayam, sawi, kangkung, kacang panjang dan timun. Kebanyakan dari mereka menanam secara monokultur, keuntungan yang diperoleh dari pola ini apabila harga tinggi pada saat panen. Tetapi, kerugiaannya bila harga turun serta tingginya seranganÂ  hama penyakit.
SOSIALISASI TATA CARA MENGHEMAT PENGGUNAAN ENERGI LISTRIK PADA PENGELOLAAN PERALATAN DAN RUANG PADA BEBERAPA SEKOLAH DI SEKITAR INDERALAYA KABUPATEN OGAN ILIR
Authors: Kadir Muhammad Zahri
Published: October 2020

Energi merupakan kebutuhan dasar untuk menggerakkan sektor ekonomi dan sosial masyarakat. Oleh karena itu, kebutuhan energi meningkat bagi suatu negara setara dengan pertumbuhan penduduk dan ekonomi. Salah satu upaya adalah penghematan pemakaian energi agar cadangan energi yang ada saat ini dapat dimanfaatkan secara lebih efisien dan bijaksana untuk pembangunan Indonesia berkelanjutan. Energi dalam bentuk listrik merupakan energi yang mudah untuk dimanfaatkan pada seluruh kegiatan, khususnya untuk peralatan (seperti televisi, radio, kulkas, tata udara) dan penerangan ruangan (lampu) dalam sebuah gedung. Di awal sosialisasi terlihat masih minimnya pengetahuan peserta tentang tata cara penghematan energi listrik dan setelah sosialisasi diketahui kemampuan peserta meningkat 100 % dalam upaya penghematan energi listrik termasuk menghitung biaya yang dikeluarkan setiap bulan.
PENINGKATAN PRODUKSI JAGUNG MELALUI PENGGUNAAN MIKORIZA DAN PUPUK HAYATI DI DESA BAKUNG KECAMATAN INDRALAYA UTARA KABUPATEN OGAN ILIR SUMATERA SELATAN
Authors: Aidil Fitri Siti Nurul
Published: October 2020

Penggunaan pupuk hayati untuk meningkatkan produksi jagung tidak pernah dilakukan di sekitar Desa Bakung Kecamatan Indralaya Utara Kabupaten Ogan Ilir, karena petani di lapangan jarang melakukan pemupukan untuk budidaya tanaman pangan. Petani hanya menggunakan pupuk kandang untuk budidaya tanaman sayuran. Pemanfaatan pupuk kandang yang berasal dari kotoran ternak terutama ternak unggas, banyak tersedia di sekitar lokasi pengabdian tetapi harga nya cukup mahal sehingga petani hanya menggunakan pupuk ini dalam jumlah yang sangat sedikit. Pemberian pupuk hayati untuk tanaman pangan terutama jagung, belum pernah dilakukan. Oleh karena itu pengadaan demplot bagi petani peserta sangat memberikan kontribusi dalam meningkatkan minat petani dalam rangka menggunakan pupuk hayati ini, apalagi aplikasi pupuk hayati dapat menggantikan posisi pupuk kandang yang harganya relatif mahal. Petani sangat antusias dalam kegiatan pengabdian ini, mereka sangat mengharapkan adanya kontinuitas kegiatan penyuluhan sehingga mereka bisa menerapkan ipteks di kawasan petani ini.
PROMOSI KESEHATAN PENCEGAHAN PENULARAN PENYAKIT MALARIA PADA MASYARAKAT DI DESA IBUL BESAR I
Authors: Purba Imelda Gernauli
Published: October 2020

Desa Ibul Besar I terletak di daerah lahan berawa dan ditumbuhi banyak semak yang memungkinkan untuk tempat berkembangbiaknya vektor malaria. Selain faktor lingkungan yang mendukung perkembangbiakan nyamuk, juga perilaku masyarakat seperti kebiasaan keluar rumah pada malam hari, tidak menggunakan kelambu sewaktu tidur,.menjadi risiko penularan penyakit malaria di desa Ibul besar. Bertolak dari permasalahan ini perlu dilakukan promosi kesehatan untuk meningkatkan pengetahuan masyarakaat terhadap pencegahan penularan malaria.Hasil kegiatan penyuluhan menunjukkan adanya peningkatan pengetahuan masyarakat tentang penyakit malaria dan cara pencegahan penularan penyakit malaria di Desa Ibul Besar I  secara umum meningkat cukup baik. Pengetahuan yang baik tentang pencegahan penularan malaria berperan penting dalam menimbulkan perilaku yang baik dalam pencegahan penularan malaria. Kurangnya tingkat pengetahuan masyarakat tentang pencegahan penularan penyakit malaria dapat  menjadi faktor risiko terjadinya penyakit malaria. Dengan adanya kegiatan penyuluhan ini diharapkan dapat meningkatkan pengetahuan masyarakat tentang cara pencegahan penularan penyakit malaria..Kesimpulan dari kegiatan pengabdian ini bahwa pengetahuan masayarakat tentang penyakit malaria, risiko penularan, dan upaya-upaya pencegahan penularan malaria meningkat, Pengetahuan yang baik terhadap suatu substansi dalam hal ini pencegahan penularan malaria, akan menjadi pendorong terhadap timbulnya sikap dan prilaku masyarakat yang baik akan upaya pencegahan malaria dan masalah kesehatan lainnya.Disarankan agar perangkat desa atau instansi terkait khususnya instansi kesehatan untuk dapat menyelenggarakan kegiatan promotif dan preventif bagi masyarakat di Desa Ibul Besar I dalam mencegah penyakit malaria dan masalah kesehatan lainnya, sehingga status kesehatan masyarakat Ibul Besar I meningkat.
PENDAMPINGAN KETERAMPILAN PENCEGAHAN DAN PENANGANAN DIARE DI TINGKAT RUMAH TANGGA
Authors: - Safyudin
Published: October 2020

Penyakit diare merupakan masalah kesehatan masyarakat di negara berkembang seperti Indonesia, karena morbiditas dan mortalitasnya tinggi. Salah satu langkah dalam pencapaian target MDG’s adalah menurunkan kematian anak menjadi 2/3 bagian dari tahun 1990 sampai 2015. Studi mortalitas dan riset kesehatan dasar dari tahun ke tahun diketahui bahwa diare masih menjadi penyebab utama kematian balita di Indonesia. Penyebab utama kematian akibat diare adalah tata laksana yang tidak tepat baik di rumah maupun di sarana kesehatan.Penyuluhan kesehatan diharapkan dapat memberikan perubahan pengetahuan dan sikap ibu dalam penatalaksanaan balita dengan diare. Sehingga dapat menurunkan kematian balita akibat diare. Kegiatan berupa penyuluhan mengenai informasi tanda-tanda diare, penyebab diare, pencegahan dan penanganan diare. Selain itu diberikan brosur mengenai tanda-tanda bahaya diare serta pencegahannya. Selanjutnya dilakukan diskusi untuk mengevaluasi hasil penyuluhan.Sebanyak empat puluh dua warga dan tiga kader kesehatan mengikuti acara ini. Sebagian besar kader memiliki pengetahuan yang baik tentang diare dan penanganannya. Setelah dilakukan penyuluhan, semua warga semakin memahami cara pencegahan dan penanganan diare di rumah tangga. Warga juga memiliki kemampuan untuk mengenali tanda dan komplikasi diare, cara pencegahan diare dengan mencuci tangan menurut WHO dan cara pembuatan larutan gula garam serta cara pemberiannya.
A review: Smart Distribution Grid Management using Agents
Authors: Esmail Ehab M. , Elsadd Mahmoud A. , Elkalashy Nagy I. , Kawady Tamer
Published: October 2020

This paper focuses on the main features of the smart distribution grid (grid management using agents). The fault management is consisting of three stages including faulted section identification, faulted section isolation, and restoration. The probable control strategies utilized in the smart grid are either centralized, decentralized, or autonomous control. Multi-Agent System (MAS) based model uses both centralized and decentralized strategies. The fault management process is usually carried out based on MAS. A literature survey on fault management control schemes is investigated. Furthermore, the reliability is estimated for both centralized, decentralized, autonomous, and modified centralized control strategies. This paper presents reliability modeling and analysis of all considered control strategies. In this paper, comprehensive detailed reliability models of considered control strategies are developed. Using this equivalent reliability model, various reliability indices are calculated.
On Some Controversial Issues In The Field Of Speech Culture
Authors:   Candidate Of Philological Sciences, Uzbekistan State Institute Of Arts And Culture, Uzbekistan, Hosiljonovich Islamov Utkurjon
Published: October 2020

The article describes issues related to speech culture and the author analyzes the researches and views of scientists-researchers on the interpretation on the problem. The field of speech culture should always be developed in accordance with its maximum function as a process of educating cultural speech of the whole nation. This should be the great ideal of the field of speech culture. It is possible to talk about such an ideal today, but its realization, that is, the desire of all members of society to master the literary language and speak correctly and fluently, culturally and expressively in another language, can come true in the future.
Experience of designing and implementing Current Research information System in National Research Center for Hematology
Authors:   National Research Center for Hematology of the Ministry of Health of the Russian Federation, Zaytcev D. A. , Garmaeva T.Ts. ,   National Research Center for Hematology of the Ministry of Health of the Russian Federation, Konovalova A. A. ,   National Research Center for Hematology of the Ministry of Health of the Russian Federation, Kulikov S. M. ,   National Research Center for Hematology of the Ministry of Health of the Russian Federation, Mendeleeva L. P. ,   National Research Center for Hematology of the Ministry of Health of the Russian Federation
Published: October 2020

Informatization and automation of the processes of collecting, storing, handling, analyzing data on the results of research activities is of paramount importance for the implementation of effective planning, control, administrative decision-making, scientific and methodological guidance. The article presents the experience of designing and implementing Current Research information System in National Research Center for Hematology.
Evaluation of the effectiveness of the implementation of speech recognition technology for the preparation of radiological protocols
Authors:   Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Kudryavtsev N. D. , Sergunova K. A. ,   Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Ivanova G. V. ,   Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Semenov D. S. ,   Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Khoruzhaya A.N. ,   Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Ledikhova N. V. ,   Research and Practical Clinical Center for Diagnostics and  Technologies of the Moscow Health Care Department, Vladzymyrskyy A. V. ,   Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department, Morozov S. P. ,   Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department
Published: October 2020

Speech recognition technology was tested to prepare protocols for radiological examinations. A method to evaluate the efficiency of speech recognition technology implementation for the preparation of radiological examination protocols has been developed. A time-study was conducted to confirm the effectiveness of voice input. The commitment of radiologist to using innovative technologies in their work practices was evaluated.
Automation of the regional register of persons needing palliative medical care in Krasnodar region
Authors:   SBHI “Clinical Oncology Dispensary № 1” under the Ministry of Healthcare of Krasnodar region, Kardashova N. V. , Korogod M. A. ,   SBHI “Medical Centre for Information and Analysis” under the Ministry of Healthcare of Krasnodar region, Koshkarov A. A. ,   SBHI “Clinical Oncology Dispensary № 1” under the Ministry of Healthcare of Krasnodar region, Murashko R. A. ,   SBHI “Clinical Oncology Dispensary № 1” under the Ministry of Healthcare of Krasnodar region, Penner D. V. ,   SBHI “Medical Centre for Information and Analysis” under the Ministry of Healthcare of Krasnodar region, Rubcova I. T. ,   SBHI “Medical Centre for Information and Analysis” under the Ministry of Healthcare of Krasnodar region
Published: October 2020

The relevance of improving the management of the palliative care system in the Krasnodar region, the direct provision of medical care and the interaction of public health authorities is due to the processing of large amounts of data on the need for pain relief and equipment. In each municipality of the Territory, registers of patients suffering from chronic pain syndrome are maintained. The purpose of the article is to develop a methodology for integration municipal registers into a single register of people needed palliative care, and automation of management at the regional level. The paper discusses approaches to create a unified database (registers) of patients suffering from chronic pain syndrome receiving palliative care in order to assess the compliance of medical care with modern clinical guidelines. The possibilities of a unified information system for extracting and dispensing preferential recipes for the implementation of the technology for automated management of the regional registry along with the registers of federal and regional beneficiaries, orphan diseases are shown.