bluuebunny/crossref_metadata_2025 huggingface dataset:
Hipertensión en el personal de la universidad estatal a distancia de costa rica
Authors: Arce Espinoza Lourdes , Monge-Nájera Julián
Published: February 2020

La prevalencia de la Hipertensión Arterial (HTA) se ha incrementado en todo el mundo y las accionespreventivas resultan insuficientes, ya que solamente un tercio total de esta población está controlada. La HTAes la primera causa de morbilidad y mortalidad mundial. En este artículo se presenta el primer estudio sobrelos niveles de hipertensión en el personal de una universidad a distancia, mediante el análisis del total deconsultas en la Universidad Estatal a Distancia de Costa Rica al 15 de diciembre del 2007 (1526 expedientesmédicos). La población estudiada se encuentra en edades comprendidas entre los 20 a 70 años, residentes delGran Área Metropolitana, con nivel socioeconómico y preparación académica variable. Se analizó la relaciónentre la HTA y las variables tratamiento, sexo, edad y tipo de trabajo, usando la prueba chi-cuadrado. Solo 45de los pacientes conocían de su problema de hipertensión antes de llegar a consulta en el servicio médicoinstitucional y 136 pacientes reciben tratamientos que incluyen Enalapril e Hidroclorotiazida. La cantidad depacientes hipertensos es máxima entre quienes tienen más de 20 años de trabajar en la institución,especialmente si ocupan altos puestos. No hubo marcadas diferencias entre mujeres y hombres. Se concluyeque la existencia de un servicio médico interno ha permitido que la población de la universidad mantengacontrolada satisfactoriamente su presión arterial.
Efecto del modelo “baile a la salud”, sobre el nivel de actividad física, el tiempo dedicado a mirar televisión, la frecuencia de consumo de alimentos y estadíos de cambio en adolescentes mujeres de noveno año
Authors: Hernández Quesada Óscar , Álvarez Bogantes Carlos
Published: February 2020

El objetivo de este estudio fue determinar la influencia de un programa de promoción de la salud llamado “Del Baile a la Salud” bajo el modelo Transteorético como base en la intervención baile latino (como forma de realización de actividad física) y charlas de alimentación y actividad física, sobre realización, tiempo dedicado a mirar televisión, frecuencia de consumo de alimentos y estadíos de cambio. Participaron 66 mujeres adolescentes, 33 del grupo experimental y 33 del grupo control, con edades entre los 15 y 17 años, estudiantes de secundaria. Este programa tuvo una duración de 12 semanas, con una sesión de 80 minutos por semana. A esa población se le aplicó una evaluación inicial pretest, donde se obtuvo la cantidad en tiempo de la realización de actividad física (CAF), el tiempo dedicado a mirar televisión (TMT), Frecuencia de Consumo de Alimentos (FCA) saludables y no saludables (ENCA 1997-98) y la ubicación dentro de los estadíos de cambio (EC). Al finalizar, se realizó un postest con el objetivo de verificar cuáles fueron los cambios después de la aplicación del tratamiento. Análisis estadístico: para determinar el efecto de la intervención en CAF, TMT, FCA y EC, se utilizó un ANOVA de dos vías, analizado por un paquete estadístico SPSS versión 10. Resultados: con respecto a variable CAF del grupo experimental aumentó significativamente en minutos, entre tanto, el grupo control disminuyó su tiempo de realización de actividad física (p<0.01). Por otro lado, en la variable TMT el grupo experimental disminuyó significativamente, en comparación con el grupo control, el cual aumentó el TMT (p<0.01). En el caso de EC los resultados fueron favorables en términos generales para el grupo experimental, a diferencia del grupo control cuyo comportamiento presentó tendencias negativas. Por último, en la variable FCA, no se observaron cambios significativos en el consumo promedio de los grupos de alimentos analizados. Conclusiones: el programa logró crear cambios conductuales, en las variables de CAF, TMT, FCA y EC.
Factores asociados al perfil de lípidos sanguíneos en los pacientes del área de salud de Montes de Oca, Costa Rica
Authors: Gutiérrez Peña Erick G. , Romero Zúñiga Juan José
Published: February 2020

En este estudio se analiza la asociación entre la exposición a diversos factores —de biotipo, socioeconómicos y patológicos— y la alteración del perfil de lípidos sanguíneos (dislipidemia) en pacientes adscritos al Área de Salud de Montes de Oca. Se realizó un estudio de caso-control, con un total de 135 casos e igual cantidad de controles, entre 20 y 65 años, a los que se les hizo un perfil de lípidos sanguíneos durante el año 2006. Las variables estudiadas fueron: edad, sexo, índice de masa corporal, tipo de aseguramiento, estado de portador de hipertensión arterial, de diabetes mellitus o de ambas patologías crónicas a la vez. Se realizó un análisis univariado, seguido de un análisis multivariado, mediante un modelo logístico múltiple. La única variable asociada con la dislipidemia fue el índice de masa corporal, tanto en el análisis univariado como en el multivariado; las variables restantes no mostraron asociación estadística. Aquellos pacientes con mayor índice de masa corporal presentan un mayor riesgo de tener un perfil alterado de lípidos sanguíneos.
PERUBAHAN KONSTITUSI MELALUI PERJANJIAN INTERNASIONAL DAN DAMPAKNYA TERHADAP KEDAULATAN NEGARA
Authors: Fahmi Khairul
Published: February 2020

The development of the association of modern states increasingly influences how the constitutional norms of the country are guarded and maintained. Inter-state relations in the economic, social, political, and security sectors established through various treaties have influenced the existence of the constitution because of the impact on multiple changes. Furthermore, it also affects the integrity of the country's sovereignty, especially when there is a conflict between the international legal system and the constitution. In this connection, the problem discussed is how constitutional changes occur through international treaties and how the impact of constitutional changes through international conventions on the existence of state sovereignty placed in the hands of the people. This study concludes, Firstly, the 1945 Constitution as a constitution has not only changed through formal changes in accordance with Article 37 of the 1945 Constitution but has also been changed in an informal manner through the ratification of international treaties. Second, amending the constitution through international treaties can reduce the existence of the constitution as the embodiment of the country's supreme power, which is placed by the people.
Evaluation of Assessment Method to Incorporate Graduate Attributes in Building Surveying Module
Authors: Sandeep Chowdhry  , Celine Garnier
Published: February 2020

This study aims at finding out whether an alternate assessment strategy in Sustainable Developments module to improve the student’s employability skills and qualities. The exploratory studies, quantitative and qualitative questions acted as a data gathering instruments. The findings showed a need to change the current assessment strategy for Sustainable Developments module, proposed a new assessment approach and evaluated it. The research infers the studied institution should encourage academic staff to get familiar with the effective learning strategies, students learning styles and how to assess an assessment plan with graduate attributes model. A suggested direction for further research is to create an assessment model based on the students learning styles, assessment strategies and the workload information.
Comparative Analysis of Cloud Simulators and Authentication Techniques in Cloud Computing
Authors: Ashima Mehta  , S. N. Panda
Published: February 2020

Cloud computing is the concern of computer hardware and software resources above the internet so that anyone who is connected to the internet can access it as a service or provision in a seamless way. As we are moving more and more towards the application of this newly emerging technology, it is essential to study, evaluate and analyze the performance, security and other related problems that might be encountered in cloud computing. Since, it is not a practicable way to directly examine the behavior of cloud on such problems using the real hardware and software resources due to its high costs, modeling and simulation has become an essential tool to withstand with these issues. In this paper, we retrospect, analyse and compare features of the existing cloud computing simulators and various location based authentication and simulation tools.
Skyscrapers: Origin, History, Evolution and Future
Authors: Pinak Ray  , Subham Roy
Published: February 2020

From humble cottages to super tall structures, human beings have progressively developed the living and working space with time. This paper describes the origin and growth of modern skyscrapers, the subsequent challenges faced, and the way it was outdone. Research papers and case studies have been thoroughly studied and important excerpts from them have been explained to show how the modern structures have been evolved. The sources and causes of evolution is debatable among researchers, this paper has taken into account 7 most vital milestones in the growth of current generation skyscrapers and their contribution to the construction industry and concludes with the ideas and scopes where growth is still possible and challenges need to be solved.
A Survey on Identification of Motifs and Ontology in Medical Database
Authors: B. Lavanya  , T. Madhumitha
Published: February 2020

Motifs and ontology are used in medical database for identifyingand diagnose of the disease. A motif is a pattern network used for analysis of the disease. It also identifies the pattern of the signal. Based on the motifs the disease can be predicted, classified and diagnosed. Ontology is knowledge based representation, and it is used as a user interface to diagnose the disease. Ontology is also used by medical expert to diagnose and analyse the disease easily. Gene ontology is used to express the gene of the disease.
Using the Technology Acceptance Model to Understand the Use of Bring Your Own Device (BYOD) to Classroom
Authors: Deepshikha Aggarwal
Published: February 2020

In today’s world, the technology has been embedded in all aspects of human life. The education sector has been at the forefront of technology adoption. Technology-enhanced learning (TEL) is a system of education that promotes the application of information and communication technology for teaching and learning and the concept of “bring your own device” (BYOD) supports this. BYOD is particularly beneficial for the education sector due to cost saving and comfort of using personal devices. Researchers believe that inclusion of technology must be supported by the user acceptance and the most popular framework to predict user acceptance of technology is the Technology Acceptance Model (TAM) proposed by Davis. The paper describes the study conducted for the purpose of predicting the acceptance and utilization of BYOD by the college students based on TAM variables of perceived ease of use, perceived usefulness, attitude towards using, and behavioral intention to use. Additional external variables of teachers’ influence, facilitating conditions and peer influence are adopted to study the user acceptance of BYOD. A questionnaire based on the TAM variables was developed and used to gather information from students of a post graduate course in information technology of an Indian university. The results of analysis suggest that the considered variables have an impact on the overall behavioral intention to use BYOD and thus support the original findings of TAM.
The Effects of Nicotine on Development
Authors: McGrath-Morrow Sharon A. , Gorzkowski Julie , Groner Judith A. , Rule Ana M. , Wilson Karen , Tanski Susanne E. , Collaco Joseph M. , Klein Jonathan D.
Published: February 2020

Recently, there has been a significant increase in the use of noncombustible nicotine–containing products, including electronic cigarettes (e-cigarettes). Of increasing popularity are e-cigarettes that can deliver high doses of nicotine over short periods of time. These devices have led to a rise in nicotine addiction in adolescent users who were nonsmokers. Use of noncombustible nicotine products by pregnant mothers is also increasing and can expose the developing fetus to nicotine, a known teratogen. In addition, young children are frequently exposed to secondhand and thirdhand nicotine aerosols generated by e-cigarettes, with little understanding of the effects these exposures can have on health. With the advent of these new nicotine-delivery systems, many concerns have arisen regarding the short- and long-term health effects of nicotine on childhood health during all stages of development. Although health studies on nicotine exposure alone are limited, educating policy makers and health care providers on the potential health effects of noncombustible nicotine is needed because public acceptance of these products has become so widespread. Most studies evaluating the effects of nicotine on health have been undertaken in the context of smoke exposure. Nevertheless, in vitro and in vivo preclinical studies strongly indicate that nicotine exposure alone can adversely affect the nervous, respiratory, immune, and cardiovascular systems, particularly when exposure occurs during critical developmental periods. In this review, we have included both preclinical and clinical studies to identify age-related health effects of nicotine exposure alone, examining the mechanisms underlying these effects.
RATIONALE OF TECHNOLOGY FOR THE COMMON AND HULLED WHEAT PROCESSING INTO WHOLE GRAIN FLOUR
Authors: Zhygunov D. , Voloshenko O. , Khorenzhy N. , Marchenkov D. , Batashchuk A.
Published: February 2020

The article is devoted to rationale the need of expand the range of flour products and increase its nutritional and biological value by the whole wheat flour production. The article shows the main tasks and problems facing the modern grain processing industry: increasing the utilization rate of grain; reducing the energy intensity of grain processing technological process; and to expand the range of end-products with increased nutritional and biological value. The production of whole grain flour (WGF) will allow expanding the range and increasing the nutritional value of the finished products. Ukraine's state standards for WGF are absent today. DSTU 46.004-99 named «Wheat flour. Specifications» applies only to high-grade flour and dark flour. The studying of Ukrainian WGF quality indicators showed that some manufacturers are guided by DSTU 46.004-99 in the WGF production, other manufacturers control the quality of flour with their own local specifications. Depending on such indicators as ash and particle size, some of WGF manufacturers adhere to the principle of almost 100% entry of all anatomical grain components into end-products. Despite of this, the particle size may vary by the level of the particle size of the dark flour or significantly differ from it. It depends either on the type of grinding machines (millstones or roller mill) or also on the usage of additional bran grinding in the technological scheme. Other manufacturers, in forming WGF to improve its baking properties, adhere to the principle of eliminating a certain amount of shell particles (in bran form). Such flour has an ash content much lesser comparing to the grain, but also its size depends on different structure and modes of grinding process. The purpose of the work is to substantiate the structure of the technological scheme and optimal modes while making WGF. During the research, a number of laboratory grindings of common wheat and spelta wheat into whole-grain flour were conducted. It is established that for the production of WGF it is most expedient to use combined technological schemes with the use of roller machines as grinding equipment on the main systems of technological process and millstones on the last stage systems for the final grinding of intermediate products. Due to the research, it is possible to recommend a scheme consisting of 3-4 roller mill systems and 1-2 millstone systems. The requirements determined for the wheat WGF particle size: top on sieve No. 067 – less than 2.0% and passage through sieve No. 38 – more than 50%.
Sertoli Cell Tumors of the Testes: Systematic Literature Review and Meta-Analysis of Outcomes in 435 Patients
Authors: Grogg Josias , Schneider Kym , Bode Peter Karl , Kranzbühler Benedikt , Eberli Daniel , Sulser Tullio , Lorch Anja , Beyer Joerg , Hermanns Thomas , Fankhauser Christian Daniel
Published: February 2020

Background

Sertoli cell tumors (SCTs) of the testes are rare, and the literature provides only weak evidence concerning their clinical course and management. The objective of this study was to summarize evidence on SCTs’ clinical presentation, clinicopathological risk factors for malignancy, treatment options, and oncological outcomes.

Materials and Methods

Data sources included Medline, Embase, Scopus, the Cochrane Database of Systematic Reviews, and Web of Science. Published case reports, case series, and cohorts were included. Data on clinicopathological variables, treatment of local or metastatic disease, site of metastasis, or survival were extracted from each study considered in this paper, and associations between clinicopathological variables and metastatic disease were analyzed. Whenever feasible, data on individual patients were collected.

Results

Of the 435 patients included, only one (<1%) showed local recurrence after testis-sparing surgery (TSS). Three patients underwent adjuvant retroperitoneal lymphadenectomy. Fifty patients presented with metastases, located in the retroperitoneal lymph nodes (76%), lungs (36%), and bones (16%); median time to recurrence was 12 months. Risk factors for metastatic disease included age, tumor size, necrosis, tumor extension to the spermatic cord, angiolymphatic invasion, and mitotic index. Patients with metastases had a median life expectancy of 20 months. In six patients, metastasectomy resulted in complete remission.

Conclusion

Our findings suggest that few local recurrences result after TSS, and no adjuvant therapy can be regarded as a standard of care. Several risk factors are predictive of metastatic disease. Surgery leads to remission in metastatic disease, whereas systemic treatment alone does not result in long-term remission.

Implications for Practice

Testicular Sertoli cell tumors usually present without metastatic disease and show low local recurrence rates after testis-sparing surgery; no adjuvant therapy option can be regarded as a standard of care. Patients with risk factors should undergo staging investigations. Those with metastatic disease have poor prognoses, and metastasectomy may be offered in selected cases.
Effect of crude-oil-contaminated soil on the geotechnical behaviour of piles foundation
Authors: Alfach Mohanad Talal , Wilkinson Stephen
Published: February 2020

This paper presents a detailed analysis of the effect of oil contamination on the geotechnical behaviour of bridge pile foundations, focusing on the influence of soil type, oil-contamination intensity and oil-contamination depth. A thorough parametric study of these dominant parameters was carried out through numerical analyses that were performed using Flac3D software. The analyses were designed using three types of soils: poorly graded sand (SP), silty sand (SM) and kaolinite clay. Oil contamination degrades the geotechnical behaviour of bridge pile foundations. Soil type has a clear effect on the internal forces induced in the piles, with maximum normal forces occurring in SP, the maximum bending moment in kaolinite clay and maximum shear forces in SM. The variation of oil-contamination intensity in the soil changes the induced internal forces in the piles by ratios increasing to 40, 34 and 20% of the bending moment, the shear forces and the normal forces, respectively. However, the alterations in the displacements of the soil and the piles are more significant, with ratios up to 150%. In contrast, the oil-contamination depth has a limited effect on the internal force of the pile (up to 4%) but has a considerable effect on the displacement of the foundation.
Book review
Authors: de Brito Jorge
Published: February 2020

ICE Themes Low Carbon Concrete
Agony and the Collapse of Semenov
Authors: Gordeev Nikolay
Published: February 2020

The journal Russian-Chinese Studies (iss. 3–4(3), 2018) published an extensive article by V.I. Mertsalov Political “Face” of Chieftain Semenov (the History of the Civil War in the Far East). The author having analyzed a wide range of literature traced the evolution of political views of the chieftain and made a number of fundamental conclusions. According to the author, with all the diversity of views and actions of Semenov, they were consistently anti-Soviet and anti-communistic which is clearly reflected in the thesis formulated by the ataman: “…Where there is bolshevism, there is no Russia”. We can’t but agree with this author's argument. And yet, with all the variety of scientific publications on this issue, it is useful to continue the historical research, fully revealing all the criminal activities of the chieftain. Especially in recent years when among the representatives of the TRANS-Baikal “white” Cossacks and some local historians propaganda has intensified to reconsider the verdict of the USSR Military Board of the Supreme Court to chieftain Semenov and his subsequent rehabilitation. The reason for this is the “newly discovered circumstances” — declassified documents that allegedly indicate that “the charges against the chieftain are absurd, and the investigation and trial against him were conducted in violation of the law”. Therefore, “reviewing the Semenov case would play a positive role in reconciling Russian society”. Proponents of rehabilitation deliberately hide that during his life the chieftain got the infamous nickname “bloody” for what he did to the country. What kind of “reconciliation” — whom and with whom — can we talk about? In this regard, the author of this article offers his own vision of the chieftain case referring to his previous published research in scientific journals and the media.
Cooperation of Russia and China in the Arctic
Authors: Leonov Sergey
Published: February 2020

Currently, the Arctic is becoming part of a complex system of political and economic relations both within and outside the region. Although not an Arctic nation, China seeks to obtain the maximum benefit from the exploitation of potential natural resources and Arctic transport routes on the planet. To achieve these goals, China is trying to actively cooperate with the Russian Federation, which has the world's largest Arctic shelf and controls the Northern sea route (NSR), which is the shortest sea transport artery from Asia to Europe. An example of the collaboration between the two countries in the Arctic is the Yamal LNG liquefied gas project, the willingness of Chinese investors to invest in the construction of a new deep-water port in Arkhangelsk and the Belkomur railway. The article considers the prerequisites for the activation of China's activities in the Arctic zone of the planet, identifies the problems facing the Russian Federation in terms of the implementation of a coordinated state policy throughout the Arctic zone of Russia, the development of the icebreaker fleet and improving the transport accessibility of the Arctic, assesses the consequences of a potentially possible situation where Russian positions on the NSR may weaken, due to external or internal reasons.
Ketone body supplement label claims: what supplement has been supplemented?
Authors: Da Costa D , Bangalee V , Subban K , Naidoo R
Published: February 2020

Background: There is a keen interest in performance-enhancing supplementation and the associated benefits, despite reports of incorrect label claims made by manufacturers and the questionable efficacy of the supplements. The use of ketone body supplements as a source of fuel during exercise and sporting performance, in particular, is of interest to sportspeople. By increasing blood ketone body levels, with an accompanying decrease in blood glucose, may indicate a state of nutritional ketosis, whereby the body no longer relies on glucose metabolism but rather the metabolism of ketone bodies. This could be beneficial for long, slow steady-state endurance exercise.

Discussion: There are numerous ketone body supplements on the market manufactured in South Africa and internationally. However, unlike medicines, the sports supplementation industry is poorly regulated. Furthermore, ketone body supplementation with regard to its effects on improving exercise and athletic performance is still unconvincing.

Conclusion: Within the ever-changing sports supplementation industry, ketone body supplements are being used despite controversies regarding the accuracy and scientific merit of label claims. The ingredients and their quantities, as well as the performance benefits, need to be objectively validated.
A review of the biomechanical determinants of rugby scrummaging performance
Authors: Green Andrew , Coopoo Yoga , Tee Jason Cameron , McKinon Warrick
Published: February 2020

Introduction: The scrum is a physical contest unique to the game of rugby union, is important for determining match outcomes.
Objectives: This review will describe the current understanding of the kinetic and kinematic determinants of successful scrum performance to support coaching interventions and inform future research.
Methods: Literature review
Results: Individual and combined scrumming forces increase with playing level, but there is no concurrent increase in body mass or player strength. There is very little variation in individual kinematics between individuals and across levels of play suggesting that there are limited possible techniques for successful scrummaging. Live scrum contests are dynamic and require constant adjustments to body positions in response to increased compressive force and exaggerated the lateral and vertical force components. Skilled performers are able to exert high levels of horizontal force while maintaining effective body positions within this dynamic environment.
Conclusions: Success in scrummaging depends on optimisation of joint angles and force production at the individual level, and co-ordination of effort at a team level. Analysis presented here demonstrates that producing large scrum-specific forces and achieving the optimal ‘body shape’ are essential for scrum performance.
Problem-Based Learning Model Assisted by Lift The Flap Book: Enhancing on Reading Motivation of 3rd Grade Students
Authors: TRİYANTO Yuli , MUSTADİ Ali
Published: February 2020

The development of language, especially
reading, needs to develop starting from early grade students in primary schools
because it is one of the language skills. The purpose of this research was to
determine the effect of the model of problem-based learning assisted by the
lift flap book on the ability to tell of first-grade students in primary
schools. The design chosen is quasi-experimental with a non-equivalent control
group. The experimental group was given treatment, while the control group was
without treatment. The population used in this research is third-grade students
of Group 5 of Puren Public Primary School in Depok sub-district. The research
subjects are 54 students with the details of 28 control class students and 26
experimental class students. Third-grade students at Puren Public Primary
School and Ngringin Public Primary School are as research samples. Sampling
uses a purposive sampling technique because sampling is based on certain
objectives. Data were obtained through direct observation to school with
observations of reading motivation which was analyzed with the t-test variants.
The results show that the tarithmetic is 3.488, ttable
with reference to the formula (a/2); (df) equals (0.05/2); (54) equals 0.025;
54, then the value of ttable = 2.00488, thus tarithmetic >
ttable 3.814 > 2.005. Therefore, Ho is rejected while Ha is
accepted, meaning that learning with problem-based learning assisted by the
lift flap book influences students' reading motivation.
Water Sanitation & Hygiene (WASH) Tool Box plus for rapid assessment of Healthcare facilities: Experiences from India v1
Authors: Patel Krupali , Yasobant Sandul , Trivedi Poonam , Kalpana Pachillu , Bhavsar Priya , Saxena Deepak
Published: February 2020

Optimal Water, Sanitation and Hygiene (WASH) in Healthcare Facilities (HCFs) is essential to provide quality universal healthcare to all as mentioned in the goal 6 of SDGs. However, the method of measuring the quality of WASH standards in individual HCFs seems to be impractical due to complicated guidelines and lack of trained WASH experts to assess the same at the facility level. This paper aims to set the simple scoring tool on how hospital manager themselves can assess the WASH status in healthcare facilities even at the departmental level, which might assist them to take the need-based steps to improve the WASH status within different departments of HCFs. The analytical hierarchical process (AHP) and decision-tree analysis were used to develop “WASH Tool Box (+)” and to identify the appropriate technique of WASH assessment. For that four-steps includes listing, ranking, scoring and analyzing the WASH indicators were followed. The results suggest that 50 indicators under the four criteria water, sanitation, hygiene and biomedical waste management can be triangulated to identify AHP. By using two different techniques, all50 indicators were ranked (prioritizing rank & Likert scale) and scored (2-1-0 & (+1)-0-(-1)) and the sensitivity analysis was conducted, which suggest that prioritized ranking and positive weighted scoring method is better than Likert rank and negative scoring. Results also suggest that rank methods and weighted scoring will be a better method for estimation of WASH, than unranked and unweighted scores. Thus, WASH Tool Box (+) can be used with operational ease for quick WASH assessment at either facility level or department wise.
METABOLİK SENDROM VE EREKTİL DİSFONKSİYON İLİŞKİSİ
Authors: ŞAHİN Murat
Published: February 2020

Metabolik sendrom insülin direnci, hiperinsülinemi, hipertansiyon, obezite
ve dislipidemi ile karakterize bir metabolik bozukluktur. Erektil disfonksiyon başarılı
bir cinsel ilişki sağlamak için ereksiyonun başlatılamaması yada
sürdürülememesi olarak tanımlanmaktadır. Hem erektil disfonksiyon hem metabolik
sendrom endotelyal disfonksiyon ve ateroskleroza yol açan ortak risk
faktörlerine sahiptirler.
SINTOMAS MUSCULOESQUELETICOS EN EL PERSONAL DE SERVICIOS GENERALES DE LA CLINICA BONNADONA PREVENIR DEL DISTRITO DE BARRANQUILLA AGOSTO 2017/ JUNIO 2018
Authors: Muñoz Lobo Luz , Queruz Florez Betty , Torres Rodríguez Katia , Arrazola David Mónica
Published: February 2020

Introducción: Variados estudios avalan que los síntomas musculo esqueléticos son un problema que afecta a todos los sectores económicos y ocupaciones. Es importante saber que los síntomas musculo esqueléticos se encuentran entre los problemas más importantes de la seguridad y salud en el trabajo actualmente. Objetivo: Identificar los síntomas Musculo esqueléticos en el personal de servicios generales de la Clínica Bonnadona del Distrito de Barranquilla. Metodología: Se presenta un estudio descriptivo transversal, La población estuvo conformada por 50 personas, al ser una población finita y cuantificable no hubo muestreo probabilístico, sino que se trabajó con toda la población; se utilizó el Cuestionario nórdico de Kuorinka en el que se registran síntomas músculo- esqueléticos. Resultados: Los síntomas más frecuentes en el personal de servicios generales fueron dolor en la espalda baja (88%), seguidamente el (44%) nunca/cuello, tobillo pie (24%) Muslo/Rodilla/Pierna (22%); muñeca (20%), Espalda alta (14%); de la totalidad de la población encuestada el 94% presento algún síntoma musculoesquelético, y la mayoría de ellos refirió dolor en más de una región anatómica. Con respecto al origen del dolor, presentaron un dolor mecánico, es decir, que sus síntomas tendían a aumentar con las actividades laborales y cesaba en el reposo. Discusión: Se encontró similitud de sintomatología por área anatómica al compararlos con otros estudios similares. Conclusión: Se evidencio que el 94% de las personas evaluadas presentaron algún nivel de Sintomatología Musculoesqueléticas, por lo cual Se recomienda hacer seguimiento a los programas de vigilancia epidemiológica.
La diversificación del grupo empresarial Macri en el sector automotriz durante la última dictadura militar en Argentina
Authors: Perez Almansi Bruno Sebastian , Gaggero Alejandro
Published: February 2020

El objetivo de este artículo es analizar la diversificación del grupo empresarial Macri entre fines de la década 1970 y principios de la de 1980, enfocándose en un hito central en la historia de la organización: su desembarco en la producción automotriz a través de la adquisición de la automotriz Sevel, fabricante de Fiat y Peugeot. La estrategia exitosa de este grupo fue posible debido a tres procesos que se dieron en aquellos años: la reestructuración que estaba desarrollando Fiat a nivel global, la reconversión de la producción automotriz argentina a partir del giro en la política económica que se produjo durante la dictadura militar, y la expansión que había experimentado Macri en la industria de la construcción en el periodo previo a la adquisición. Se utilizan como fuente principal entrevistas a exgerentes, artículos de revistas empresariales y estadísticas sectoriales.
Avaliação do conhecimento de alunos de graduação em Odontologia sobre avulsão dentária
Authors: Lemos Talita Silva , Campos Luis Claudio , Silva Heloisa Regina Carlos da , Prado Maíra
Published: February 2020

Objetivo: avaliar, através de um questionário, o conhecimento dos alunos de graduação do curso de Odontologia na Universidade Veiga de Almeida sobre avulsão dentária. Material e métodos: um questionário estruturado com formação acadêmica, experiências prévias no assunto, e questões de múltipla escolha sobre o conhecimento de avulsão dentária foi aplicado nos alunos do 2° ao 8° período. Resultados: verificou-se que 98,2% sabem o que é avulsão dentária e 54,5% já estudaram ou tiveram algum tipo de instrução sobre o assunto, 92% responderam que o reimplante dental é o melhor procedimento em caso de avulsão. No entanto, apenas 31% sabem como proceder e o correto cuidado com o dente avulsionado (41%). Em relação ao armazenamento do dente, 61% armazenariam em frasco com leite fresco. 81% dos participantes acreditam que o dente avulsionado, após reimplantado, deve ser imobilizado. Conclusão: os alunos de graduação em Odontologia da Universidade Veiga de Almeida apresentam conhecimento sobre a definição de avulsão dentária e que o reimplante é a melhor opção para o tratamento. Porém observa-se que diante dos cuidados com o dente avulsionado e o protocolo de atendimento, o conhecimento dos alunos é escasso
Prevalencia de tabaquismo en una población de embarazadas en el Hospital Universitario San Vicente de Paúl en Medellín (Colombia)
Authors: Cortés-Yepes Hernán
Published: February 2020

Objetivo: determinar la prevalencia del tabaquismo durante el embarazo y sus factores asociados.Materiales y métodos: estudio de corte transversal en pacientes gestantes a quienes se les realizó una encuesta en el servicio de Medicina Materno Fetal del Hospital Universitario de la Fundación San Vicente de Paúl en Medellín, en el período de septiembre de 2009 a noviembre de 2010. Se realizó un muestreo secuencial consecutivo estricto. Se evaluó la prevalencia del consumo de tabaco, el porcentaje de suspensión durante la gestación, la edad y el número de hijos.Resultados: se realizaron 2171 encuestas. La prevalencia de tabaquismo fue de 7,3%, (IC 95% 6,3 - 8,5), de éstas el 56% (90gestantes) dejaron de fumar cuando se enteraron de su embarazo. En las 70 pacientes que continuaron fumando el promedio de consumo fue de 7,2 cigarrillos al día.Conclusión: el consumo de cigarrillo durante el embarazo es un problema que afecta a nuestras gestantes. Se deben hacer nuevos estudios de tipo poblacional de mayor cobertura para evaluar con mayor precisión la magnitud del problema.
Morbilidad materna extrema en cuidados intensivos obstétricos. Cartagena (Colombia) 2006 - 2008
Authors: Rojas José A. , Cogollo Marysabel , Miranda Jezid E. , Ramos Enrique C. , Fernández Juan C. , Bello Ana M.
Published: February 2020

Objetivo: el presente estudio tiene como objetivo establecer la incidencia de la morbilidad materna extrema (MME), sus características clínicas y hacer una primera aproximación a los indicadores de calidad de la atención obstétrica en la unidad de cuidados intensivos (UCI).Materiales y métodos: estudio de cohorte, retrospectivo de pacientes obstétricas con MME que ingresaron a la UCI de la Clínica de Maternidad Rafael Calvo de Cartagena entre el período del 1 de enero de 2006 al 31 de diciembre de 2008. Se registraron las características sociodemográficas, ginecoobstétricas, criterios de MME y los indicadores de calidad de la atención obstétrica. Para el análisis de resultados se utilizaron medidas de tendencia central y dispersión, porcentajes, tablas de frecuencia y razones estandarizadas de morbilidad con intervalos de confianza (IC) al 95%.Resultados: la incidencia de MME fue de 12,1 por 1000 nacimientos. El 27,2% (88 pacientes) eran adolescentes y el 61,6% multigestantes (199 pacientes). El principal diagnóstico asociado a la MME fue el trastorno hipertensivo del embarazo, 49,5% (160 pacientes), seguido por las hemorragias del embarazo, 22,6% (73 pacientes). Las principales disfunciones orgánicas fueron respiratorias, 38,1% (123 casos), hepáticas, 15,2% (49 casos) e inmunológicas, 14,6% (47 casos). La transfusión fue la intervención más común, 22,6% (73 pacientes). Durante los años de estudio la incidencia de MME y la razón de casos de MME: muerte materna (MM) aumentaron, mientras que el índice de mortalidad disminuyó.Conclusiones: se encontró una incidencia de MME del 12,1 por 1000 nacimientos. Se presentaron los indicadores de calidad como medición basal, lo que servirá de comparación para futuras mediciones.
Papel de la cistoscopia en el estudio de las pacientes con dolor pélvico crónico: estudio observacional
Authors: Villegas-Echeverri Juan Diego , López-Jaramillo José Duván , León-Avellaneda José William , Restrepo-Santa Lina Marcela
Published: February 2020

Objetivo: este estudio busca describir los hallazgos cistoscópicos en un grupo de pacientes con dolor pélvico crónico (DPC) que consultaron a una clínica de referencia en Pereira (Colombia).Materiales y métodos: es un estudio de corte transversal en mujeres que consultaron la clínica en el período comprendido entre julio de 2006 y octubre de 2008, por dolor pélvico crónico a una institución hospitalaria de 4° nivel y centro de remisión; y que fueron sometidas a laparoscopia y cistoscopia. Por medio de un formulario se extrajeron los datos de las historias clínicas. También se describe la prevalencia de cistitis intersticial y trigonitis crónica.Resultados: 115 mujeres con DPC fueron sometidas a laparoscopia y cistoscopia bajo anestesia general. El 59% de las pacientes tenían hallazgos cistoscópicos de cistitis intersticial. Los síntomas de frecuencia urinaria aumentada, disuria y nicturia tuvieron una correlación estadísticamente significativa con los hallazgos anormales en la cistoscopia. El principal signo hallado en el examen físico fue el dolor al palpar la vejiga. El test de cloruro de potasio tuvo una sensibilidad del 71%, una especificidad del 44%, un Valor Predictivo Positivo (VPP) del 60% y un Valor Predictivo Negativo (VPN) del 57%.Conclusiones: en pacientes con dolor pélvico crónico y síntomas urinarios se encuentra una alta prevalencia de cistitis intersticial y trigonitis crónica.
Pentalogía de Cantrell en el primer gemelo de un embarazo gemelar monocigótico: presentación de un caso y revisión de la literatura
Authors: Pachajoa Harry
Published: February 2020

Introducción: la Pentalogía de Cantrell (PC) se compone de cinco anomalías: defecto superior de pared abdominal, defecto esternal inferior, defecto diafragmático anterior, defecto pericárdico diafragmático y anormalidades del corazón. Cerca de 250 casos han sido reportados, solo 6 involucran gemelos, y de estos 4 describen discordancia de esta anomalía.Objetivo: realizar la presentación de un caso de PC asociado a embarazo gemelar y la revisión de la literatura de esta asociación con énfasis en el diagnóstico prenatal y la etiología.Materiales y métodos: se presenta un caso de Pentalogía de Cantrell que afecta solo al primer gemelo de un embarazo gemelar monocigótico, se realizó una búsqueda de la información en las bases de datos SciELO y PubMed con la terminología MeSH "Pentalogy of Cantrell", "twin" y en español "Pentalogía de Cantrell" y "gemelar".Conclusión: la PC puede ser sospechada ecográficamente por ectopia cordis y defecto toracoabdominal. La presentación de un caso en un embarazo gemelar es una asociación poco frecuente.
Many Faces of Lattice Tolerances
Authors: Grygiel Joanna
Published: February 2020

Our aim is to overview and discuss some of the most popular approaches to the notion of a tolerance relation in algebraic structures with the special emphasis on lattices.
IMMUNOCHROMATOGRAPHIC TEST FOR DETECTION OF FECAL OCCULT BLOOD
Authors: Nikitina Anna Viktorovna , Akinshina Y. A. , Nishchakova N. E. , Amelina E. A. , Mardanly S. G.
Published: February 2020

The developing and evaluating results of the diagnostic characteristics of an immunochromatographic test for the detection of fecal occult blood (hemoglobin) were presents in the article. The test was approved samples without hemoglobin and model samples containing of standardized preparation of hemoglobin in various concentrations. The developed test system identified hemoglobin in concentrations higher 5 μg/g feces in 97.6% cases, the specificity of the analysis was 100%. The immunochromatographic FOB-test can be used for rapid analysis in the primary screening of colorectal cancer.
THE QUANTITATIVE DETERMINATION METHOD OF COVALENTLY CLOSED CIRCULAR DNA HBV IN PUNCTURE BIOPSY SPECIMENS OF THE LIVER
Authors: Ostankova Yu. V. , Semenov A. V. , Totolian Areg A.
Published: February 2020

To analyze the method HBV covalent-closed circular DNA quantitative determination in liver puncture biopsies and evaluate its significance in identifying HBsAg-negative viral hepatitis B. In this work, samples of liver tissue biopsy material were used from 128 patients living in St. Petersburg, in various regions of the Russian Federation, as well as in the Republic of Uzbekistan. For quantitative analysis of HBV covalently closed circular DNA in a biopsy material a method was developed based on real-time PCR using TaqMan probes for the target fragment and for the endogenous reference gene, based on the detecting ccc HBV DNA method of Pollicino T. et al. When quantifying ccc DNA HBV in liver tissue of 18 moderately HBV activity with HBV DNA PCR positive results patients and 16 inactive HBsAg carriers, the ccc DNA HBV content was significantly different between groups (p<0.034) and in terms 1 copy of the β-globin gene among moderate activity HBV patients amounted to 1.71±1.32 copies/cell, and for inactive HBsAg carriers 0.15±0.14 copies/cell. In the group of patients with severe liver fibrosis and cirrhosis, the amount of ccc DNA HBV in liver tissue in patients with HBV averaged 2.5±0.4 copies/cell, in patients with HBV + D on average 0.7±0.25 copies/cell, in patients with HCV + HBV co-infection 0.45±0.07 copies/cell, in patients with a preliminary diagnosis of chronic hepatitis C hepatitis, on average 0.12±0.04 copies/cell, in patients with cryptogenic hepatitis 0.2± 0.05 copies/cell. A significant difference was shown between the group of patients with chronic hepatitis B with marked fibrosis and cirrhosis of the liver with other patients groups, except for the group of 18 moderate activity chronic hepatitis B patients. The values of Student’s t-test when compared with other groups were respectively: for patients with a HCV preliminary diagnosis t=5,92 p<0,05 f = 19, patients with cryptogenic hepatitis t=5,71 p<0,05 f = 18, with «inactive HBsAg carriage» t=5,55 p<0,05 f = 29, with HCV + HBV co-infection t=5,05 p<0,05 f = 15 and HBV + D co-infection t=3,82 p<0,05 f = 17. The covalently closed circular DNA HBV quantitative assessment method in liver puncture biopsies allows identifying HBsAg-negative chronic viral hepatitis B forms and also reflects the virus replication activity, which, in turn, makes it possible to assume further disease progression and evaluate the antiviral therapy effectiveness.
An evaluation on instructional systems design
Authors: Uzunboylu Huseyin , Kosucu Emine
Published: February 2020

Instructional design and instructional systems design concepts different from the direction of the field lead to confusion as it includes similar use cases from time to time. Instructional design models have different characteristics, and in different areas, in line with the needs of nature according to the purpose of alternating the use of different models, it affects the efficiency. Each model is developed that fixing the underlying spots is the best way to a need for designs designed which varies depending on the model. Some models of the objectives underlying the selection and use of different models have the highest level while improving strategies constitute a more important structure. With this assessment, the instructional design, instructional systems design, systems approach and instructional system design models, by examining the historical development of these models and their distinctive features, will be explained in connection with curriculum development. Thus, referring to the different points of each model and specific model, with respect to instructional systems design, the difference in instructional design, space and design process is studied.

Keywords: Instructional systems design, instructional design, instructional design models.
Evaluation of social studies teaching textbooks
Authors: Demir Burak
Published: February 2020

This study is aimed to examine social studies textbooks of Turkish Republic of Northern Cyprus of sixth and seventh grade students in terms of content analysis. The population of the research model is constituted by social studies textbooks of sixth and seventh grades of five secondary schools that were found appropriate by Republic of Turkey Ministry of National Education Board of Education and the Turkish Republic of Northern Cyprus Ministry of Education Board of Education. The books were evaluated on the Likert scale using the content analysis evaluation scale. The rating of the scale was calculated as ‘yes – option 2 points’, ‘partially – option 1 point’ and ‘no – option 0 points’. The data were evaluated by scoring between 1 and 10. As a result, it was determined that the seventh grade social studies textbook of Republic of Turkey received the highest rate. The lowest rate was observed in the seventh grade taught in the Turkish Republic of Northern Cyprus.
Keywords: Textbook, Social Studies Teaching, Content Analysis Scale, Education, Learning
Konstruksi Makna Informasi Risiko Penyakit bagi Penyandang Filariasis
Authors: Purwanti Hadisiwi
Published: February 2020

Informasi mengenai filariasis adalah bagian dari komunikasi risiko kesehatan yang dapat berdampak negatif jika tidak dikelola sesuai dengan prinsip-prinsip komunikasi risiko yaitu, interaktif, melibatkan pihak-pihak lain yang kredibel, akurat, jujur, dengan penjelasan yang ilmiah. Penelitian menggunakan metode kualitatif dengan pendekatan fenomenologi ini bertujuan untuk mengetahui makna informasi filariasis dari berbagai sumber, yang dikonstruksi oleh penyandang filariasis di Kabupaten Bandung. Melalui informan penelitian yang berjumlah 10 penyandang filariasis yang ditentukan secara purposif, terungkap bahwa informasi yang disampaikan langsung oleh dokter di Puskesmas dengan data dan gambar yang jelas, dimaknai dengan terpercaya, sedangkan informasi yang searah, penyebutan nama penyakit yang tidak akurat tidak menyebutkan nama penyakit, dimaknai sebagai membingungkan.