bluuebunny/crossref_metadata_2025 huggingface dataset:
Namık Kemal Düşüncesinde İlerleme ve Gelenek (Progress and Tradition in Namik Kemal’s Thought)
Authors: Şan Mustafa Kemal , Koçkaya Ayhan
Published: October 2018

“Namık Kemal
Düşüncesinde İlerleme ve Gelenek” ismini taşıyan makale, bir 19. yüzyıl
düşünürü olan Namık Kemal’in gerek yenilikçi gerekse klasik düşüncelerine
odaklanmaktadır. Ağırlıklı olarak Namık Kemal’in yazdığı makaleleri referans
alan makale, Kemal’in Batı uygarlığı karşısında kendisini nasıl
konumlandırdığını ve özellikle kimi Batılı akımlar karşısında nasıl
değerlendirilebileceğini anlamaya çalışmaktadır. Bunun yanı sıra,
İmparatorluğun bir gereklilik olarak gördüğü “İlerleme” perspektifi de, yine Kemal’in
siyasî makalelerinde aranmaktadır. Makalenin son kısmı ise Namık Kemal’in
yerleşik bir takım toplumsal örüntülere yaklaşımını ele almaktadır.
Worksite hypertension as a model of stress-induced arterial hypertension
Authors: Ostroumova O D , Kochetkov A I
Published: October 2018

The review presents a modern view on stress as a risk factor for the development of arterial hypertension (AH). A variety pathogenic mechanisms responsible for increase of blood pressure during stress exposure are described in detail. The importance of the sympathetic activation as a key link in the development of stress-induced AH and initiation of a cascade of pathophysiological reactions that realize their adverse effects at the level of the whole organism is underlined. Particular attention is paid to worksite AH as a variant of stress-induced hypertension due to its wide prevalence and association with an increased risk of cardiovascular complications, primarily myocardial infarction and stroke. Epidemiological data and results of recent metanalysis are presented, indicating the high significance of job strain as a risk factor for adverse cardiovascular events. The actual psychological stress reduction programs are described. Possibilities of using β-blockers in patients with stress-induced hypertension as drugs affecting the central pathogenetic trigger of this disease are considered. The advantages of using bisoprolol as a highly selective β-blocker are considered taking into account the available body of evidence for its effectiveness in patients with worksite AH, as well as its metabolic neutrality and target-organ protective properties.
PCSK9 Inhibitor causes a decrease in the level of oxidatively modified low-density lipoproteins in patients with coronary artery diseases
Authors: Lankin V Z , Tikhaze A K , Viigimaa M , Chazova I E
Published: October 2018

Aim. We study the dynamics of oxidatively modified low-density lipoprotein (ox-LDL) content in blood plasma, as well as changes in the activity of key antioxidant enzymes such as Se-containing glutathione peroxidase (GSH-Px) Cu,Zn-superoxide dismutase (SOD) and catalase in erythrocytes of patients with coronary artery disease during treatment with PCSK9 inhibitor (ewolocumab). Materials and methods. The study included 9 men (59 ± 10 years) with coronary artery disease with atherosclerotic lesion at least one main coronary artery according to coronary angiography. Patients took standard therapy before taking the study, everyone took the maximum tolerated dose of statins. Since the target cholesterol levels of low-density lipoprotein cholesterol (LDL-C) were not achieved during the statin therapy, patients were prescribed lipid-lowering therapy with the inclusion of the inhibitor PCSK9-emocoucumab from Amgen 420 mg once a month. The content of lipid metabolism indices was determined by standard biochemical methods. The level of ox-LDL in the blood plasma was determined by the immunochemical method. The activity of antioxidant enzymes was determined in blood erythrocytes using biochemical techniques Results. Cholesterol-lowering drug of the new type - inhibitor protein convertase subtilisin/kexin type 9 (PCSK9) evolocumab (Amgen) not only effectively lowers the level of cholesterol in low density lipoprotein (LDL), but also significantly reduces the content of oxdatively modified LDL in blood plasma. Unlike statins, the inhibitor of PCSK9 does not cause a decrease in the activity of antioxidant enzymes of the blood. Conclusion. PCSK9 inhibitor has no effect on the parameters of oxidative stress.
Screening of familial hypercholesterolemia among patients in age under 40 years old exposed by duplex scanning of carotid arteries, by the local registry data
Authors: Gaisenok O V , Kurnosov P A , Leonov A S , Zateyshchikov D A
Published: October 2018

The aim of the study - to identify patients with probable FH among Duplex-2013 registry patients under the age of 40 years, to analyze their lipid spectrum and duplex carotid artery data, to evaluate the changes of their lipid spectrum parameters. Materials and methods. The Duplex-2013 registry database was used for this study (n=2550). Patients under the age of 40 years were selected for follow-up analysis (n=192). Results. 20 of them were selected on the basis of Simon Broome criteria as patients with possible FH. The FH group (n=20) and the control group (n=172) had significant differences in age (35.1 ± 4.01 vs. 32.62 ± 5.29, p=0.044), male gender (18 of 20 (90%) vs 92 of 172 (53%), p=0.003), TC (7.64 ± 0.63 vs 5.34 ± 0.91, p=0.0001) and LDL-C cholesterol (5.45 ± 0.62 vs 3.28 ± 0.78, p=0.00001). When comparing the groups by the combined criterion of atherosclerosis (IMT > 1.0 mm and / or atherosclerotic plaque in the carotid artery >20%), it was noted that signs of carotid atherosclerosis were more often recorded in the FH group compared with the control group (40% vs 26%). Repeated laboratory studies of TC and LDL-C in the FH group after 2.5 years showed their significant dynamics (7.64 ± 0.63 vs 6.03 ± 1.04, p=0.007, 5.45 ± 0.63 vs 3.84 ± 1.24, p=0.035). Conclusions. The frequency of detection of FH in the cohort study was 1:10 (11% of all patients). Thus, patients referred for duplex scanning of carotid arteries can be a potential target for screening for FH.
Characteristic of fibrotic myocardial lesions associated with life-threatening ventricular tachyarrhythmias in patients with ischemic and non-ischemic cardiomyopathies
Authors: Shlevkov N B , Zhambeev A A , Gasparyan A Z , Shitov V N , Stukalova O V
Published: October 2018

Aim. To identify the features of myocardial scar and fibrosis associated with the occurrence of malignant ventricular tachyarrhythmias (VTs) in high-risk patients with ischemic (ICMP) and non-ischemic cardiomyopathy (NICMP). Materials and methods. This prospective study included 50 patients (41 men, 9 women), age = 60 ± 13 years, 30 patients of them with ICMP and 20 patients with NICMP, who underwent echocardiography (Echo) and contrast magnetic resonance imaging (MRI) of the heart followed by implantation of cardioverter-defibrillators (ICD) or resynchronizing devices with defibrillator (CPTD) to prevent sudden cardiac death. Results. Sustained VTs were reported in 20/30 (67%) patients with ICMP and in 5/20 (25%) patients with NICMP on follow-up [26 (22-37) months]. Successive univariate and ROC-analyses of Echo and MRI-indices between patients with and without recurrence of VTs found different results for ICMP and NICMP patients groups. In ICMP patients the VTs were associated with wide transmural fibrosis on contrast MRI that covered 3 or more segments of left ventricular. These segments were preferably localized in the middle parts of the inferior and inferolateral segments of the left ventricle. The independent predictors of VTs in NICMP patients were non-transmural fibrosis at 4.5% of the left ventricular mass by contrast MRI as well as low left ventricular ejection fraction (less than 26%) by Echo. Conclusion. To determine the indications for implantation of the ICD and CRTD for primary prevention of sudden cardiac death, it is advisable to take into account not only the value of ejection fraction of left ventricular, but also the features of the fibrosis of the left ventricle by contrast MRI of the heart.
Renal denervation with a resistant arterial hypertension: the results of a five-year follow-up
Authors: Glybochko P V , Svetankova A A , Rodionov A V , Maltseva A S , Sulimov V A , Fomin V V
Published: October 2018

Aim. To evaluate the 5-year results of renal denervation (RDN) in patients with resistant arterial hypertension (AH). Materials and methods. The study included 14 patients to whom, during the 2011-2013 period RDN has been completed. Before and after the intervention, office blood pressure, quality of life indicators according to the EQ-5D questionnaire, mass index bodies, indicators of kidney function were duly assessed. Results. Five years after RDN, office BP decreased from 165/110 to 139/95 mm Hg. Art. (p
Proton pump inhibitors receiving and prognosis of patients after scheduled percutaneous coronary interventions
Authors: Komarov A L , Shakhmatova O O , Muraseeva V , Novikova E S , Guskova E V , Panchenko E P
Published: October 2018

The urgency of the study is determined by the lack of data necessary in order to assess the safety of prolonged use of proton pump inhibitors (PPI) in patients with IHD combined with anti-aggregant therapy. The aim of the study was to study the relationship between the use of PPI and the risk of thrombotic complications in patients undergoing planned procedures of percutaneous coronary interventions (PCI) and receiving dual antiplatelet therapy. Materials and methods. The study is a prospective register of patients who successfully underwent planned percutaneous coronary intervention (PCI). The effect of PPI (omeprazole and pantoprazole) on the frequency of the combined end point cardiovascular death, ACS, AI, TIA, peripheral arterial thrombosis and PE was assessed using the Log-Rank criterion, as well as in a multivariate analysis (Cox proportional risk regression model). Results. A total of 391 patients were included in the study (23.1% women, mean age 61.2 [Symbol] 10.4 years). The median duration of follow-up was 18 months. During this period of time, 34 adverse events were recorded. Log-Rank analysis showed that the proportion of patients without adverse events in the omeprazole group was significantly lower in comparison with patients who did not receive PPI (0.56 vs. 0.84, Log-Rank p=0.003), and for pantoprazole no such pattern was found (0.89 against 0.84, Log-Rank p=0.21). The average level of residual platelet reactivity (ORT), as well as the number of patients with high ORT (> 208 PRU), did not differ significantly between the groups of omeprazole, pantoprazole and the group of patients not receiving PPI. According to multivariate analysis, omeprazole was an independent predictor of thrombotic complications after a planned PCI (OR 3.75, 95% confidence interval 1.72-8.17, p=-0.0009). Conclusion. Long-term use of omeprazole (at least 30 days) is an independent predictor of thrombotic complications in patients who underwent planned PCI.
Dinámica del consumidor que compra a los vendedores ambulantes de la ciudad de Loja
Authors: Cuenca Herrera Whinzon Patricio , Aguirre Mendoza Johvana , Maldonado Quezada José
Published: October 2018

Como parte del proyecto de investigación “ Eficacia de la regulación municipal de las ventas ambulantes en la ciudad de Loja”, estas obedecen a una estructura  de oportunidad, se presenta como una alternativa para el emprendimiento empírico en el Ecuador a la incapacidad que tiene la economía formal para generar fuentes de empleo en cantidad y calidad, que permita suplir las necesidades de las familias especialmente de escasos recursos económicos, esta investigación revisa el corolario de la demanda, al analizar  los factores que inciden en la decisión y calidad de compra de los consumidores que adquieren los productos, y con ello obtener información que tiende a generar soluciones alternativas a la prohibición que se basa en el ornato y la legalidad de las actividades económicas en la ciudad. No se trata de un estudio de mercado sino de una investigación social que articula las dinámicas sociales y económicas, para ello el uso de instrumentos cualitativos y cuantitativos en un enfoque de investigación mixta, parte de un censo basado en la observación directa y se complementa con una encuesta para su validación. El procesamiento de datos se realizó mediante la utilización de técnicas estadísticas, lo cual permite extraer conclusiones de la dinámica comercial como un juego de actores y no sólo de consumidores. Conocer el comportamiento de actores sociales y consumidores permite visualizar soluciones considerando variables geoespaciales: 1. Procedencia. 2. Movilidad. 3. Variedad de productos. 4. Frecuencia de compra. 5. Motivo de compra. 6. Accesibilidad 7. Atención al cliente 8. Moda. 9. Precio cómodo 10. Sensibilidad. 11. Satisfacción, entre otros.
La economía popular y solidaria y las finanzas populares y solidarias en Ecuador
Authors: Auquilla Belema Luis Armijo , Auquilla Ordóñez Álvaro Andrés , Ordóñez Bravo Elsa Flor
Published: October 2018

La Economía Popular y Solidaria (EPS) y las Finanzas Populares y Solidarias (FPS) surgen en Ecuador con la administración del gobierno conocido como de la Revolución Ciudadana (15 de enero de 2007 - 24 de mayo de 2017), a tal punto que, la EPS se halla inserta en la actual Constitución de la República del Ecuador 2008. A fin de dotarle a la EPS de su marco regulatorio, la Asamblea Nacional Constituyente en 2011 aprobó la Ley Orgánica de la Economía y Popular y Solidaria y del Sector Financiero Popular y Solidario (LOEPS); en esta consta la base legal para que se hayan creado los agentes institucionales: Corporación Nacional de Finanzas Populares y Solidarias (CONAFIPS) en 2011 y Superintendencia de Economía Popular y Solidaria (SEPS) en 2012. A más del que estaba creado Instituto Nacional de Economía Popular y Solidara (IEPS) en 2009, encargado del progreso de la EPS. La CONAFIPS es la que otorga financiamiento a las organizaciones de las FPS, y éstas a la vez, financian el desarrollo de los emprendimientos de la EPS en las parroquias urbanas y rurales del país; y la SEPS, se encarga del control de las organizaciones de la EPS y de las FPS. El objetivo de estos agentes institucionales es, velar por la sostenibilidad de los emprendimientos que se desarrollan en las parroquias urbanas y rurales del país. Sin embargo, no han logrado cumplir el fin para lo que fueron creados, debido a la forma como están organizados actualmente. Los resultados así lo demuestran sobre todo en las parroquias rurales, ya que la pobreza por Necesidades Básicas Insatisfechas (NBI) según el Instituto Nacional de Estadística y Censos (INEC) a diciembre de 2017 alcanzó el 56,1%.
Estimación del nivel de desarrollo sostenible de los territorios rurales del área de biosfera macizo del cajas, a partir de las dimensiones del sistema territorial
Authors: Carchipulla Zhunio Noé Alberto
Published: October 2018

El problema que conduce la investigación, refiere a los vacíos de información cuantitativa y operativa para análisis del nivel de desarrollo sostenible de los territorios rurales del Área de Biosfera Macizo del Cajas, y en consecuencia no permiten tomar decisiones pragmáticas que encaminen a la sostenibilidad.  Estos vacíos de data resulta un imperativo, aún más cuando el modelo de la reserva de biosfera apunta a los principios del desarrollo sostenible. Ante la situación planteada el objetivo marco se determina en el análisis de contraste del nivel de sostenibilidad alcanzado por los gobiernos sub-nacionales rurales pertenecientes a la Biosfera Macizo del Cajas para identificar el grado de desempeño, los desequilibrios entre dimensiones, como patrones de desarrollo territorial, teniendo en cuenta la multidimensionalidad del sistema territorial. En relación directa a los objetivos de la investigación, el autor aplica como marco metodológico para la estimación del nivel de desarrollo sostenible de los territorios rurales del Área de Biosfera Macizo del Cajas (ABMC) la herramienta denominada Índice de Desarrollo Sostenible. En efecto el recurso metodológico y heurístico empleado demanda la elección propia de indicadores de las dimensiones del sistema territorial y que correspondan a las unidades de observación y análisis expresada en los territorios rurales del espacio denominado Biosfera, para esto será preciso iniciar con la construcción de información base que modele este territorio, para seguidamente insumirlo a la metódica de aplicación. Los resultados luego de un tratamiento posterior de los datos determinaron una estimación del nivel desarrollo sostenible del ABMC con un nivel de estado del sistema catalogado como inestable, el valor del Índice es 0,51, así mismo, se determina  territorios con un nivel crítico, inestable y estable.
Influencia de las emociones en las habilidades emprendedoras de los propietarios de servicios turísticos de la ciudad de Puyo
Authors: Manosalvas Vaca Luis Oswaldo , Chávez Brito Génesis Andrea , Guevara Rueda Daniela Yojaira , Manosalvas Vaca Carlos Anibal
Published: October 2018

El emprendimiento es una variable determinante en el desarrollo social, económico y humano de los países y regiones, según los resultados reportados en las investigaciones científicas sobre emprendimiento, existen varios factores que generan influencia sobre el comportamiento emprendedor, entre las características que más han generado interés en el campo científico empresarial son los aspectos personales cognitivos y emocionales que direccionan el comportamiento empresarial, por lo tanto, la presente investigación analiza la relación de las emociones en las habilidades emprendedoras en los propietarios de los diferentes servicios turísticos de la ciudad de Puyo, considerando, que la mencionada ciudad se encuentra en un lugar estratégico de la Amazonía ecuatoriana y que permite el desarrollo empresarial de su región, en especial del sector turístico. Para el desarrollo de este estudio se utilizó una metodología de investigación, cuantitativa, de carácter descriptivo y con un horizonte transversal, se aplicaron técnicas estadísticas descriptivas, inferenciales y multivariantes por medio de un análisis factorial confirmatorio y una relación de ecuaciones estructurales MES. Los resultados demostraron que la Inteligencia Emocional y las dimensiones que miden las emociones tiene influencia significativa con la Autoeficacia Emprendedora, variable que mide la creencia en las propias habilidades emprendedoras, por lo tanto, se evidencia que las creencias en las propias habilidades emprendedoras de los empresarios del sector turístico se relacionan de manera directa y significativa con el manejo de las emociones que poseen. Estos resultados permiten contribuir en el desarrollo personal de los emprendedores de la ciudad de Puyo y de la misma manera, permitirá favorecer el bienestar emocional y desempeño laboral de los actores involucrados en los emprendimientos turísticos.
Verificación del curva de Laffer, caso Ecuador 2016 – 2017
Authors: Mendieta Andrade Patricio Esteban
Published: October 2018

Es evidente el gran aporte que ha tenido la recaudación tributaria en el Presupuesto General del Estado Ecuatoriano en los últimos años; es por ello, que las autoridades monetarias nacionales han introducido constantemente reformas al marco legal con el afán de optimizar dicho recaudo, a fin de que éste cubra la planificación estatal y se enmarque en la dinámica de crecimiento de la economía nacional. El presente trabajo examina la relación entre la carga tributaria y el ingreso fiscal en nuestro país en los años 2016 y 2017, mediante del reconocimiento empírico de la vigencia de los principios teóricos de la Curva de Laffer, para lo cual se aplicó el análisis estadístico a la serie de datos tanto del PIB, población y niveles de recaudación tributaria obtenidos en las bases de datos de los entes estatales correspondientes, evidenciando, por un lado, el crecimiento de la presión fiscal en el periodo estudiado, y el cumplimiento de los parámetros que establece el modelo teórico; finalmente, se establece la tasa que maximiza el ingreso tributario bajo las especificaciones del modelo econométrico propuesto.
Experiencias sobre la articulación de las funciones sustantivas en Educación Superior
Authors: García Guevara Wilson Clodoveo , Cedillo Armijos María de Lourdes , Jara Saldaña Gabriela Angelita
Published: October 2018

El presente artículo tiene como objetivo presentar las experiencias desarrolladas de los docentes de la Unidad Académica de Educación de la Universidad Católica de Cuenca en el proyecto de investigación denominado Desarrollo de la Unidad de Diagnóstico, Investigación Psicopedagógica y de Apoyo a la Inclusión, este centro brinda un servicio educativo especializado mediante la evaluación integral, asesoramiento, intervención psicopedagógica apoyando a la inclusión educativa de estudiantes que presentan necesidades educativas especiales con o sin discapacidad. Los beneficiarios fueron, estudiantes que presentan necesidades educativas especiales asociadas o no con la discapacidad de los niveles inicial, básica y bachillerato de las instituciones educativas de la provincia del Azuay junto con sus familias; los estudiantes universitarios de las carreras participantes quienes a través de un proyecto de vinculación realizaron el seguimiento y asesoramiento a las comunidades educativas en los procesos de adaptaciones curriculares. En cuanto a la metodología: se trata de una investigación cuanti-cualitativa, observacional, descriptiva, transversal y diagnóstica. Las técnicas empleadas fueron: la observación, la encuesta, técnicas sicométricas y proyectivas; los instrumentos utilizados fueron: fichas, cuestionarios, registros, entre otros, la población que intervino en la investigación está relacionada con estudiantes que presentan necesidades educativas especiales que acudieron a la Unidad; los docentes tutores y los estudiantes que realizaron las prácticas preprofesionales. Las experiencias más significativas han sido poder articular las funciones sustantivas de la Universidad como son la docencia, la investigación y la vinculación a través de este proyecto de investigación que luego se convirtió en un proyecto emblemático de vinculación con la sociedad.
Estudio de las condiciones de emprendimiento en Morona Santiago a través de un modelo basado en informes del Global Entrepreneurship Monitor
Authors: Zabala Guzmán Gelinek Haylis , Morquecho Salto Kevin Jhoshua , Revelo Rivadeneira Dalmari Carolina
Published: October 2018

La presente investigación explora las condiciones bajo las cuales se desarrollan los emprendimientos de la región norte de Morona Santiago, Ecuador, correspondiente a los cantones Huamboya, Pablo Sexto y Palora. Esta investigación tiene el carácter de exploratorio, el cual se fundamenta en el desarrollo y la aplicación de un modelo para el estudio del emprendimiento basado en los informes desarrollados por el Global Entrepreneurship Monitor, y el análisis de una muestra de 280 emprendimientos en referencia a 15 empresas de la región. Los factores evaluados tomados para este modelo corresponden a las áreas: Gubernamental, Educación, Cultura, Tecnología, Infraestructura Física, Infraestructura Comercial y Capital Humano. Estos factores fueron evaluados a través de una entrevista direccionada que consta de 29 preguntas en formato escala de Likert y ocho preguntas politómicas de selección única. Los resultados de la investigación están expresados en índices por región y por área económica conforme a la Clasificación Industrial Internacional Uniforme. Dichos indicadores expresan que los emprendimientos de la región estudiada poseen fuertes limitaciones por parte del área Gubernamental en cuanto a programas y políticas para con el emprendimiento, mientras que en lo Educativo los establecimientos de estudio primario, secundario y de tercer nivel no aportan con los conocimientos y valores necesarios para el desarrollo del emprendimiento. De manera similar, existe un acceso limitado a proveedores, consultores y tecnologías de calidad. Los antecedentes mencionados permiten concluir que muchos de estos emprendimientos no logran convertirse en empresas y por lo tanto requieren del desarrollo de nuevas estrategias mediante la cooperación multilateral entre entidades público-privadas o dentro de procesos comunitarios.
La deuda pública en Ecuador: ¿Se cumplió la regla fiscal?
Authors: Paredes Reyes Gonzalo Jonás , Saltos Sánchez Karolyne Nikole
Published: October 2018

El objetivo de este trabajo es analizar el cumplimiento de la normativa vigente con respecto al “techo” del endeudamiento público en el Ecuador. La pregunta de investigación es: ¿las autoridades económicas inobservaron lo establecido en el código de finanzas públicas para determinar el monto de la deuda pública, y su límite en el período de 2010 al 2017? La sostenibilidad del endeudamiento está interrelacionada con la política fiscal, y al manejo de la cuenta corriente, lo que exige una revisión de la gestión de las finanzas públicas estatales desde lo conceptual, hasta los alcances de su metodología. La importancia de esta investigación radica en precisar uno de los indicadores más relevantes para la evaluación de la sostenibilidad macroeconómica, y la capacidad de pago de un país. Para llevar a cabo esta investigación se realizó un análisis comparativo entre la ley de finanzas públicas del 2010, y el marco legal vigente anterior a esta última. Además, se revisó cada uno de los cuerpos legales vinculados a la estimación del monto de la deuda pública, así como las diferentes visiones y/o enfoques sobre esta cuantificación. Por lo tanto, se desarrolló un enfoque de investigación cualitativo, que implica una revisión documental. Se concluyó que las autoridades económicas respetaron el límite legal del endeudamiento público al situarse por debajo del umbral del 40\%, la legislación secundaria hizo cumplir lo que dispone el código de finanzas públicas y la Constitución de la República y, la cuantificación estuvo de acuerdo a lo que recomienda el manual del Fondo Monetario Internacional (FMI).
“Life Goes On – Live your Skin!”: Um Projeto de Solidariedade Social
Authors: Monteiro Ana Filipe , Rato Margarida , Martins César
Published: October 2018

Introdução: As lesões cutâneas pré-malignas, o cancro cutâneo e a xerose cutânea são patologias cuja incidência continua a aumentar na nossa população mais envelhecida. No âmbito do prémio “Dermatologist from the Heart” atribuído pela Fondation La Roche Posay no ano de 2015, foi posto em prática o projeto vencedor “Life goes on, Live your skin!”. O seu principal intuito foi a prestação de cuidados de saúde diferenciados e prevenção de cancro e xerose cutânea numa amostra de doentes com idade superior a 65 anos residente em instituições de solidariedade social no distrito de Santarém.Material e Métodos: Entre fevereiro 2016 e abril 2017, uma equipa médica constituída por um especialista e duas internas de formação específica de Dermatovenereologia deslocou-se a oito instituições criteriosamente selecionadas na área de influência do Hospital de Santarém.Resultados: Foram observados 301 utentes verificando-se uma prevalência elevada de queratoses actínicas (42,8%) e xerose cutânea (34,2%). Seguiu-se o carcinoma basocelular (9,3%), as lesões pigmentadas suspeitas (3,7%) e o carcinoma espinocelular (1,7%).Conclusão: Este projeto permitiu-nos prestar cuidados de saúde em locais distantes, numa amostra de população dificuldade de acesso a cuidados de saúde especializados aumentando a sua qualidade de vida, obter valores reais sobre a prevalência de patologias frequentes em idosos, rastrear um elevado número de utentes, tratar lesões pré-malignas evitando a sua evolução para patologia mais complexa, e estabelecer programas de prevenção primária e secundária nas instituições.
Tendências do carcinoma espinocelular cutâneo no Hospital de Gaia (2004-20013)
Authors: Costa Campos Manuel António , Fernandes Massa António , Varela Paulo , Moreira Ana , Sanches Agostinho , Pópulo Helena , Soares Paula , Baptista Armando
Published: October 2018

Introdução: O carcinoma espinocelular cutâneo é o segundo cancro cutâneo mais comum e a sua incidência tem crescido. O objetivo do nosso estudo foi realizar uma análise descritiva e analítica dos carcinoma espinocelular cutâneo excisados no Centro Hospitalar Vila Nova de Gaia e Espinho (CHVNGE) num período de 10 anos e estabelecer tendências (incidência, sobrevida e mortalidade).Materiais e Métodos: A informação foi retrospetivamente recolhida nos Registos Oncológico e Histológico do CHVNGE entre o período de Janeiro de 2004 e Dezembro de 2013. O objetivo do nosso estudo foi descrever as características e tendências (incidência, associação a queratoses actínicas e carcinomas basocelulares, sobrevida e mortalidade) do carcinoma espinocelular cutâneo.Resultados: Foram removidas 485 lesões em 380 pacientes (56,1% homens e 43,9% mulheres). 361 pacientes apresentavam doença invasora e 124 doença in situ. O serviço de Dermatologia removeu a maioria das lesões (70,4%), seguido pelo serviço de Cirurgia Plástica (16,4%) e Cirurgia Geral (4,7%). A faixa etária ≥ 75 anos foi a mais atingida por carcinoma espinocelular cutâneo em ambos os sexos (p < 0,001). A média de idades dos pacientes com carcinoma espinocelular cutâneo invasor foi de 76,7anos (± 11,5), sendo mais elevada no sexo feminino (79,0 vs 74,0 anos, p < 0,001). A face foi a localização topográfica mais comum (42,1%) nos dois sexos (p = 0,002). Houve um aumento da taxa de incidência ajustada à idade em ambos os sexos, particularmente no último período do estudo (16,2/100 000 pessoas). A sobrevida aos 5 anos foi de 98,7%. A idade média do carcinoma espinocelular cutâneo in situ foi inferior à da doença invasora (75,5 anos ± 11,3). Dos doentes com carcinoma espinocelular cutâneo in situ, 20,6% tinham antecedentes de carcinoma basocelular e as mulheres apresentaram mais queratoses actínicas (p = 0,040). A face foi o local mais comum (30,8%). A taxa de incidência de carcinoma espinocelular cutâneo in situ aumentou, sendo maior nas mulheres e na faixa etária ≥75 anos.Conclusão: Este estudo demonstra um rápido aumento da incidência do carcinoma espinocelular cutâneo numa população portuguesa envelhecida e realça a necessidade de melhorar os registos oncológicos em Portugal.
Terapêutica Sistémica no Melanoma Avançado Systemic Therapy in Advanced Melanoma
Authors: Moura Cecília
Published: October 2018

.
Nurse Managersâ€™ Utilization of Fayolâ€™s Theory in Nursing
Authors: Acob Joel Rey Ugsang
Published: October 2018

The main aim of this paper is to appreciate and evaluate human resource management practice of nurse managers utilizing Henri Fayolâ€™s theory. The study being conducted to health facilities in Southern Leyte purposively employed sixteen respondents qualified based on the inclusion criteria such as having supervisory experience of atleast five years, either male or female and with permanent employment status. The study utilized descriptive-evaluative research design in order to collect information without manipulating or changing study subjects and its environment.  Demogrpahic data were tabulated using simple percentage. Weighted mean was also used to establish different management practice delivered and implemented by nurse managers. Based from the findings, most of the nurse managers are female (87%), aging 40-47 years old, with an average gross individual monthly income of 17,000 to 25,000 thousand pesos. All of them did not have units of graduate degrees, however underwent trainings parallel to nursing practice. Education and supervisory-related trainings were acquired through shadowing and peer-coaching. Nurse Managers identified that the fast turnover of staff nurses is the leading factor affecting human resource management due to low salary rate of staff nurses. On the other hand, planning and controlling were the least among the five managerial roles delivered by nurse managers. The study recommends enhancement of these management components to effectively deliver care among clientele.
Diabetes Burnout Syndrom With Self Care Agency Diabetes Mellitus Type 2 Patient
Authors: Nuari Nian Afrian
Published: October 2018

Management of Diabetes Mellitus requires commitment and not infrequently makes the patient feel saturated and discouraged. This psychological disorder can result in the management of diet and its treatment. The purpose of this study was to investigate the relationship between Diabetes Burnout Syndrome and Self Care Agency Type 2 Diabetes Mellitus Patients. The study was a cross-sectional study that used Diabetes mellitus type 2 patients using a purposive sampling technique. This study used an instrument in the form of a Diabetes Burnout Syndrom questionnaire measured by an SMBM questionnaire. The Self Care Agency variable was measured using the SCDA (Summary of Self Care Diabetes Activities) questionnaire. Based on the results of this study indicated that most of the respondents have aged 51 to 60 years, male sex, educational background of primary school and have a history of Diabetes Mellitus disease for 1 to 5 years. Based on the research obtained almost all respondents have a low category of Diabetes Burnout Syndrome and have a Self Care Agency enough category. Spearman rho test results obtained relationship between Diabetes Burnout Syndrome with Self Care Agency (p = 0,000, cc = -0,875). It can be concluded that the lower the rate of Diabetes Burnout Syndrome the better the level of Self Care Agency Diabetes Mellitus Patients. Diabetic patients should be able to manage and minimize burnout syndrome that appears to improve independence in treatment and control of blood sugar.
Liquid Waste Content Based on Chemical Parameters at Animal Slaughterhouseâ€™s Inlet and Outlet
Authors: Sari Evi Dwi Atika , Moelyaningrum Anita Dewi , Ningrum Prehatin Trirahayu
Published: October 2018

Animal Sluaghterhouse (RPH) liquid waste contains organic matter, suspended solids, and colloid materials such as fat, protein, and cellulose with high concentrations that fall into the category of complex wastewater. RPH X is a RPH that uses Water Waste Treatment Plant (WWTP) in treating wastewater, although it has been equipped with WWTP there are still some problems in RPH X. The purpose of this research is to describe wastewater treatment and content of BOD, COD, TSS, NH3-N, pH and fatty oil at waste water in inlet and outlet of IPAL RPH X, Jember District. This research is a descriptive research. Technique of data collecting done by observation, interview, and laboratory test. The average of wastewater content test result in RPH X Jember Regency at inlet and outlet of IPAL is at safe limit of quality standard according to East Java Governor Regulation Number 72 Year 2013 except COD parameter at inlet that is equal to 277,6 mg / L. The average percentage of content in liquid waste in RPH X decreases from inlet to WWTP outlet except the pH parameter.
Heterosexual Transmission as a CRF01_AE HIV-1 Spread Factor in Mimika Papua
Authors: Widiyanti Mirna , Ubra Reynold , Iriani Evi
Published: October 2018

The HIV epidemic has particular characteristic on each region. The genetic diversity of HIV-1 would affect variability of HIV virus that could potentially most virulent, pathogenic and high transmission rate. Thus it triggers the disease progresivity more rapidly and caused  a new pandemic of HIV infection. The aim of the study is determine the genetic characteristics of HIV-1 on patient with heterosexual transmission based on gene fragment encoding the glycoprotein-41 (gp41) of HIV envelope. Descriptive analytic method and cross sectional design were attended on VCT clinic Mitra Masyarakat Mimika in March-May 2015. Samples of blood plasma from patient with HIV-1 sexual transmission wer amplified using RT-PCR and nested PCR. Genetic characteristics were analyzed with DNA Sequencing using software Bioedit and Mega 5. Identification using sequence analysis  showed two subtypes of HIV patient in Mimika, which were CRF01_AE and B subtypes. There were 40 patients (87%) identified as having genetic characteristics CRF01_AE. Subtypes B was also identified in 6 heterosexual patients. This study suggest that CRF01_AE have heterosexual transmission risk higher than subtype B. Predominance of CRF01_AE contribute to the rapid spread of the HIV epidemic in Mimika
The Differences in the Result of Examination of Adolescent Hemoglobin Levels Using Sahli And Digital Methods (Easy Touch GCHb)
Authors: Kusumawati Estri , Lusiana Nova , Mustika Ika , Hidayati Sri , Andyarini Esti Novi
Published: October 2018

The incidence of anemia is the ten most significant health problems today. The prevalence of anemia in an adolescent is still quite high, ranging from 40-88%. Anemia is a medical condition with a red blood cell count or hemoglobin level <12 gram/100ml. Hemoglobin levels can be determined in various ways, including visual methods and digital methods usingGCHb easy touch. The purpose of this study was to identify differences in the results of adolescent hemoglobin (Hb) examination using Hb Sahli and Easy Touch GCHb at Sunan Ampel State Islamic University Surabaya. The research method used is descriptive comparative, with purposive sampling technique. The results of Hb level examination with Hb Sahli method, it is known that 86,7% (52 respondents) experienced anemia while the results of the test using the easy touch GCHb method by 15% (9 respondents) experienced anemia. There are differences in the results of Hb level examination with the Sahli method and the Easy Touch GCHb with a significance value of 0,000.
Assessment of Radon Concentrations in the Soil of South Baghdad Suburbs
Authors: Amin Sahar Ahmed , Al-Khateeb Mukdad Abd Al-Wahaab , Al Shammari Talib Abd
Published: October 2018

Measurements of radon gas concentrations were carried out for 12 soil samples at 3 sampling depths (surface, 5 cm and 10 cm) collected from (4) locations in south Baghdad suburbs (Bu'aitha) using solid state nuclear track detector CR-39 and sealed can technique. Radon concentrations for surface samples were ranged from 402.2 to 1538.4 Bq.m-3 with an average 994.4 Bq.m-3. Whereas, radon concentration was ranged from 813.1to 2050.4 Bq.m-3 and from 1309.8 to 4626. 1Bq.m-3 with an average values of 1359.8 Bq.m-3 and 2338.3 Bq.m-3 for 5 cm and 10 cm depths respectively. Maximum radon level was found at the location near to the river (site S4) while the minimum radon level was found at residential area (site S2). Radium contents were ranged from 0.42 to 1.62 Bq.kg-1, from 0.85 to 2.15 Bq.kg-1 and from 1.38 to 4.86 Bq.kg-1 with average values of 1.04, 1.43 and 2.46 Bq.kg-1 for surface, 5 cm and 10 cm depths respectively. Radon exhalation rates as a function of area and mass were also obtained. Surface exhalation rate ranged from 0.05 to 0.18 Bq.m-2.h-1, from 0.09 to 0.24 Bq.m-2.h-1 and from 0.15 to 0.53 Bq.m-2.h-1 with average values 0.11, 0.16 and 0.27 Bq.m-2.h-1 for surface, 5 cm and 10 cm depths respectively. Mass exhalation rate ranged from 0.02 to 0.06 Bq.kg-1.h, from 0.03 to 0.08 Bq.kg-1.h and from 0.05 to 0.18 Bq.kg-1.h with average values 0.04, 0.05 and 0.09 Bq.kg-1.h for surface, 5 cm and 10 cm depths respectively. The results obtained from this study indicate that the region background radiation levels are within the natural limits.
Cryptography with Dynamic DNA Depending on Edge Detection
Authors: Al-Saffar Amna
Published: October 2018

Making the data secure is more and more concerned in the communication era. This research is an attempt to make a more secured information message by using both encryption and steganography. The encryption phase is done with dynamic DNA complementary rules while DNA addition rules are done with secret key where both are based on the canny edge detection point of the cover image. The hiding phase is done after dividing the cover image into 8 blocks, the blocks that are used for hiding selected in reverse order exception the edge points. The experiments result shows that the method is reliable with high value in PSNR
Solving Capacitated Vehicle Routing Problem (CVRP) Using Tabu Search Algorithm (TSA)
Authors: Ibrahim Obaid Omar
Published: October 2018

This paper investigates the capacitated vehicle routing problem (CVRP) as it is one of the numerous issues that have no impeccable solutions yet. Numerous scientists in the recent couple of decades have set up various explores and utilized numerous strategies with various methods to deal with it. However, for all researches, finding the least cost is exceptionally complicated. In any case, they have figured out how to think of rough solutions that vary in efficiencies relying upon the search space. Furthermore, tabu search (TS) is utilized to resolve this issue as it is fit for solving numerous complicated issues. The algorithm has been adjusted to resolve the exploration issue, where its methodology is not quite the same as the normal algorithm. The structure of the algorithm is planned with the goal that the program does not require a substantial database to store the data, which accelerates the usage of the program execution to acquire the solution. The algorithm has demonstrated its accomplishment in resolving the issue and finds a most limited route.
Network Performance Analysis Based on Network Simulator NS-2.
Authors: Y. Anad Alsaleem Maan , Y. Anad Alsaleem Naors , Ali Zakar Nawfal
Published: October 2018

NS-2 is a tool to simulate networks and events that occur per packet sequentially based on time and are widely used in the research field. NS-2 comes with NAM (Network Animator) that produces a visual representation it also supports several simulation protocols. The network can be tested end-to-end. This test includes data transmission, delay, jitter, packet-loss ratio and throughput. The Performance Analysis simulates a virtual network and tests for transport layer protocols at the same time with variable data and analyzes simulation results based on the network simulator NS-2.
Two Derivative Spectrophotometric Methods for the Simultaneous Determination of 4-AminoAntipyrine in Presence of Its Acidic Products
Authors: Fahmi Abbas Ruba
Published: October 2018

Simple, economic and sensitive mathematical spectrophotometric methods were developed for the estimation 4-aminoantipyrine in presence of its acidic product. The estimation of binary mixture 4-aminoantipyrine and its acidic product was achieved by first derivative and second derivative spectrophotometric methods by applying zero-crossing at (valley 255.9nm and 234.5nm) for 4-aminoantipyrine and (peak 243.3 nm and 227.3nm) for acidic product. The value of coefficient of determination for the liner graphs were not less than 0.996 and the recovery percentage were found to be in the range from 96.555 to 102.160. Normal ratio spectrophotometric method 0DD was used 50 mg/l acidic product as a divisor and then measured at 299.9 nm with correlation coefficient 0.998 and limit of detection 0.04098. ratio derivative methods 1DD and 2DD; are based on measuring the first derivative and second derivative for normal ratio spectrum at (peak 290.7 nm and valley 310 nm) for 1DD and (peak 286, valley 301 and peak 316nm) for 2DD the correlation coefficient for linearity graph not less than 0.997 and the recovery percentage were found to be in the range from 99.64 to 100.11.
Synthesis Characterization and Analytical Applications of New Chelating Resin of Formaldehyde-condensed Phenolic Schiff base.
Authors: Abas Omran Khalida , Omran Lafta Shayma
Published: October 2018

A new chelating phenolic Schiff base containing phthalate imide pendant group resin was synthesized by three steps. The first step includes synthesis of 2-(4-aminobiphenyl-4-ylcarbamoyl) benzoic acid (1), Via reaction of pthalic anhydride with benzidine. In the second lines, the compound that we obtained in the first step was reacted with o-hydroxybenzaldehyde to obtain phenolic Schiff base 2-(4'-(2-hydroxybenzylideneamino) bephenyl-4-yl carbamoyl) benzoic acid (2) The third step includes prepared resin during intensification Schiff base derived with formaldehyde inan alkaline middle. Thepthale amice acid, Schiff base and resin were characterized by various instrumental techniques like FT-IR, 1HNMR ,13CNMR and elemental analysis, thermal behavior of the polymer was investigated by DSC and TGA.SEM analysis of polymer shows the amorphous structure of polymer. The chelating behaviors was examined against Ni (á´¨), Cd (á´¨), Cr(Ñˆ)and Pb(á´¨). using patch method in different conditions like treatment time and pH at room temperature. The resin shows a good loading capacity
BASIC LIFETIME MODEL FOR REENTRY TIME PREDICTION OF ARTIFICIAL SPACE OBJECTS
Authors: Rachman Abdul , Priyatikanto Rhorom
Published: October 2018

The identification of space debris and the prediction of its orbital lifetime are two important things in the initial mitigation processes of threat from falling debris. As a part of the development of related decision support system, this study focuses on developing a basic lifetime model of artificial space object based on a well-known theory and prediction scheme in the field of satellite reentry research. Current implemented model has not accounted atmospheric oblateness or other correcting factors, but it has a reasonably good performance in predicting reentry time of several objects with various initial eccentricities. Among 30 predictions conducted to 10 objects that reentered the atmosphere from 1970 to 2012, there are 13 calculations that yield prediction time with accuracy of < 30% relative to the actual reentry time. In addition, 11 calculations yields prediction time which were more accurate compared to the outputs from SatEvo software that is currently used in the decision support system on the falling debris operated by Space Science Center LAPAN. These results were considered satisfying and can be developed further by adopting the updated atmospheric model and by calculating other relevant correcting factors.
Analisis Model Estimasi Tinggi Muka Air Tanah Menggunakan Indek Kekeringan
Authors: Febrianti Nur , Murtilaksono Kukuh , Barus Baba
Published: October 2018

The Ground Water Level plays an important role in determining the greenhouse gas emission and, in turn, in regulating global climate system. Information on existing water levels is still using field measurements. The purpose of this study was to evaluate the best approximation model for estimating water level using drought index. This study utilizes Landsat 8 data to calculate Normalized Difference Water Index and Visible and Shortwave infrared Drought Index for 3 months (March, April and June 2016). The best estimation model is selected by the Akaike Information Criteria correction method and validated using K-Fold cross-validation. The results of this study indicate that the estimation of water level is affected by both drought indices with the TMA (mm) equation= -439,47 – 1639,7 * NDWI_Maret – 640,23 * NDWI_April + 477 * VSDI_Maret. Estimated water level began to detect hotspots ranging from 64,35 ± 36,9 6 cm (27 - 101 cm). The critical point for KHG Sei Jangkang - Sei Liong is 27 cm, thus the water level depth should be maintained less than that to avoid fire in peatlands.ABSTRAKTinggi muka air tanah lahan gambut atau secara teknis dikenal dengan kedalaman muka air tanah memegang peran penting dalam menentukan emisi gas rumah kaca dan mengatur sistem iklim global. Informasi tentang tinggi muka air yang ada saat ini masih menggunakan hasil pengukuran lapangan. Tujuan penelitian ini adalah mengevaluasi model aproksimasi terbaik untuk estimasi tinggi muka air dengan menggunakan indeks kekeringan. Penelitian ini memanfaatkan data Landsat 8 untuk menghitung Normalized Difference Water Index dan Visible and Shortwave infrared Drought Index selama 3 bulan (Maret, April dan Juni 2016). Model estimasi terbaik dipilih dengan metode koreksi Kriteria Informasi Akaike dan divalidasi menggunakan validasi silang K-Fold. Hasil penelitian ini menunjukkan bahwa estimasi tinggi muka air dipengaruhi oleh kedua indeks kekeringan tersebut dengan persamaan TMA (mm) = - 439,47 – 1639,7 * NDWI_Maret – 640,23 * NDWI_April + 477 * VSDI_Maret. Estimasi tinggi muka air mulai terdeteksi adanya hotspot berkisar antara 64,35±36,9 6 cm (27 – 101 cm). Titik kritis untuk KHG Sei Jangkang – Sei Liong adalah 27 cm, dengan demikian kedalaman tinggi muka air harus dipertahankan kurang dari itu untuk menghindari terjadinya kebakaran di lahan gambut.