bluuebunny/crossref_metadata_2025 huggingface dataset:
Análisis del tiempo de entrenamiento y su relación con los episodios de peritonitis
Authors: Aguilera-Flórez Ana Isabel , Sastre-López Aranzazu , Linares-Fano Blanca , Guerra-Ordoñez Juan Ramón , Alonso-Rojo Ana Cristina , Prieto-Velasco Mario
Published: May 2020

Introducción: El entrenamiento es fundamental para garantizar el éxito de la Diálisis Peritoneal. Objetivo: Valorar la relación entre el tiempo de aprendizaje y la aparición del primer episodio de peritonitis, comparando entre pacientes jóvenes y ancianos. Material y Método: Estudio observacional, retrospectivo. Se incluyó a los pacientes entrenados entre el 1 enero 2014 a 31 diciembre 2018, en el Complejo Asistencial Universitario de León. Se estudiaron variables demográficas, nivel de autonomía, tiempo de entrenamiento, primera peritonitis y germen causante. El punto de corte para diferenciar entre jóvenes y ancianos fue 70 años. Los datos se obtuvieron de la base de datos existente en nuestra unidad. Resultados: Se estudiaron 112 pacientes, 68% hombres, edad media 62,68 ±15,69 años, 40% mayores de 70 años, el 82% eran autónomos para realizar la diálisis. La media de horas de entrenamiento fue 14,82±6,55; ancianos 18,13±7,93 horas, jóvenes 12,73±4,27, (p=0,004). El 25% tuvieron peritonitis, 64% por gérmenes Gram+. La media al primer episodio fue 266±283 días. Los ancianos tardan 84 días menos de media en tener peritonitis. Introducción: El entrenamiento es fundamental para garantizar el éxito de la Diálisis Peritoneal. Objetivo: Valorar la relación entre el tiempo de aprendizaje y la aparición del primer episodio de peritonitis, comparando entre pacientes jóvenes y ancianos. Material y Método: Estudio observacional, retrospectivo. Se incluyó a los pacientes entrenados entre el 1 enero 2014 a 31 diciembre 2018, en el Complejo Asistencial Universitario de León. Se estudiaron variables demográficas, nivel de autonomía, tiempo de entrenamiento, primera peritonitis y germen causante.
Impacto de la perfusión hipotérmica pulsativa en el injerto renal de donante subóptimo: nuestra experiencia inicial
Authors: Iglesias-González Estefanía , Torras-Ambros Joan
Published: May 2020

Objetivo: Estudios recientes han demostrado que el mantenimiento de la viabilidad de riñones con criterios expandidos durante su preservación sea un reto. La máquina de perfusión hipotérmica pretende mitigar el efecto del almacenamiento en frío sobre la calidad del órgano cuando el tiempo de isquemia fría es prolongada o el donante subóptimo. Objetivo: Evaluar las complicaciones que presentan los pacientes trasplantados renales con preservación estática fría o perfusión hipotérmica pulsátil. Material y Método: Estudio observacional retrospectivo durante 2010-2012 donde se incluyeron todos los trasplantes renales realizados en un hospital de tercer nivel. Las variables de estudio: estancia hospitalaria, horas de isquemia, necesidad de diálisis y número de sesiones post trasplante y el dispositivo de almacenamiento, edad y patologías asociadas al donante. Resultados: Se realizaron 175 trasplantes donde 70 procedieron de donantes =65 años. Se perfundieron en máquina 30 riñones y en 40 se utilizó la preservación estática. Nuestros hallazgos respecto al uso de la máquina de perfusión conllevan un descenso en la estancia media hospitalaria y una menor necesidad de hemodiálisis postrasplante. Conclusiones: Debido al alto porcentaje de órganos procedentes de donantes de edad avanzada y difíciles de preservar, resulta fundamental buscar técnicas de perfusión intravascular continua para una preservación más efectiva del órgano.
Factores relacionados con el inicio no programado de hemodiálisis en pacientes seguidos en consulta ERCA
Authors: Pelayo-Alonso Raquel , Cagigas-Villoslada Mª José , Martínez-Álvarez Patricia , Cobo-Sánchez José Luis , Ibarguren-Rodríguez Emilio , Sainz-Alonso Rosa Ana
Published: May 2020

Introducción. El inicio programado del tratamiento renal sustitutivo es un objetivo prioritario en el manejo de los pacientes con enfermedad renal crónica, ya que supone un gran impacto para la supervivencia de estos pacientes. Objetivo: Analizar características clínicas implicadas en el inicio no programado de la hemodiálisis en pacientes seguidos en consulta ERCA. Material y Método: Estudio retrospectivo observacional en pacientes incidentes en el periodo 2014-2018. Se recogieron datos clínicos y sociodemográficos de la historia clínica del paciente, tiempo de seguimiento en consulta ERCA, filtrado glomerular al inicio de la consulta ERCA, causa y tipo de inicio (programado o no) de la hemodiálisis, así como el acceso vascular empleado. Resultados: Se incluyeron 168 pacientes incidentes seguidos en consulta ERCA. El 28,6% inició hemodiálisis de forma no programada. Los inicios programados se debieron a causa urémica y los no programados, a insuficiencia cardíaca (92% y 54% respectivamente, p<0,001). Los pacientes con inicio no programado utilizaron un catéter en el 77% de las ocasiones (p<0,001), tenían más edad (69,27±9,4 vs 65,18±12,75 años) y un menor tiempo de seguimiento en la consulta ERCA (15,60±12,37 vs 23,64±20,25 meses) que los pacientes con inicio programado. Conclusiones: Pacientes de mayor edad, con menor tiempo de seguimiento en consulta ERCA tienen más riesgo de iniciar hemodiálisis de forma no programada a través de un catéter venoso central por falta de un acceso vascular definitivo.
Alternativas a la sujeción mecánica en un paciente con demencia vascular avanzada en tratamiento de hemodiálisis
Authors: Del Vas García Marta , Cahuancama Elena , Palomar Carolina , Cerro Montserrat , Quintela Marta , Suárez María del Transito
Published: May 2020

Descripción del caso: Varón de 90 años en tratamiento de hemodiálisis desde el año 2009 a través de Fistula arteriovenosa autológa en brazo izquierdo. En el 2018 comienza con deterioro cognitivo que finalmente diagnostican como demencia vascular avanzada. En las sesiones de hemodiálisis presenta desconexión del medio, agitación psicomotriz llegando en ocasiones a agresiones verbales e intentos de extracción de las agujas. Descripción del plan de cuidados: Se realiza una valoración focalizada inicial para determinar la comorbilidad, mortalidad, el estado cognitivo y el grado de dependencia para las actividades de la vida, posteriormente aplicamos los diagnósticos de enfermería según la taxonomía NANDA con sus respectivos NIC y NOC. Evaluación del plan: Durante el mes de diciembre del 2018 y enero de 2019, se valoró durante 24 sesiones el estado del paciente, para priorizar el uso de sujeción física o abordaje terapéutico alternativo, recurriendo a la musicoterapia, acompañamiento emocional, escucha activa y distracción audiovisual para disminuir la agitación psicomotriz. Las medidas alternativas a la sujeción física disminuyeron los episodios de agitación psicomotriz durante el tratamiento hemodiálisis. Conclusiones: El papel de enfermería es fundamental para evitar sujeción física innecesarias. La única indicación para el uso de sujeción física se debería contemplar cuando existe el riesgo de interrupción del tratamiento, comprometiendo la seguridad del paciente. En el caso clínico presentado, las intervenciones alternativas a la sujeción física disminuyeron la agitación psicomotriz durante las sesiones de HD.
СОЗДАНИЕ В ПЕДАГОГИЧЕСКОМ ВУЗЕ АДАПТИВНОЙ СРЕДЫ ДЛЯ ОБУЧЕНИЯ СТУДЕНТОВ С НАРУШЕНИЯМИ ЗРЕНИЯ
Authors: Grigoryeva Elena , Nikolaeva Elena , Semenova Elena
Published: May 2020

В статье подробно рассматривается современный научный задел по проблеме создания адаптивной среды для слабовидящих и незрячих студентов педагогического вуза. Авторы приводят психофизиологические характеристики слабовидящих и незрячих лиц. Анализируются данные опроса преподавателей по проблеме обучения слабовидящих и незрячих студентов. Приводятся программные и аппаратные средства обучения слабовидящих и незрячих, позволяющие в значительной степени облегчить процесс обучения студентов с нарушениями зрения, описывается опыт их применения и выявляются наиболее эффективные из них.

The article gives detailed consideration of modern scientific research made on the problem of creation of adaptive environment for visually impaired students in teacher training universities. The authors give psychophysiological features of blind and partially sighted persons. The research also analyses the results of the survey conducted among teachers which is based on the problem of teaching blind and partially sighted students, describes different types of software and hardware used for teaching visually impaired students and which allow to facilitate teaching process of such students, outlines practice of implementation of the described soft- and hardware and reveals the most efficient kinds.
ЛИНГВОКУЛЬТУРОЛОГИЧЕСКИЙ АНАЛИЗ УЧЕБНИКА РУССКОГО ЯЗЫКА ДЛЯ ГАБОНСКИХ СТУДЕНТОВ-ФИЛОЛОГОВ
Authors: Ndjelassili Bouang
Published: May 2020

В статье рассмотрено значение русского языка в современной международной коммуникации, проанализированы основные составляющие элементы, которые наиболее приемлемо использовать в структуре учебника русского языка как иностранного. Проводится обоснование целесообразности включения определенных фонетических элементов в ориентированный на габонских студентов учебник. Данные элементы выделены в соответствии с портретом языковой личности обучающегося из Габона и отражены в принципах изучения русского языка согласно компетенции языковой личности. Изложены и обоснованы основные функции учебника русского языка как иностранного, которые должны быть учтены при его создании.

The article considers the importance of the Russian language in modern international communication, analyzes the main constituent elements that are most appropriate to use in the structure of the textbook of Russian as a foreign language; substantiates the rationale for the inclusion of certain phonetic elements in the textbook for Gabon students. The portrait of the linguistic personality of the Gabon student determined those elements. The elements are reflected in the principles of studying the Russian language in accordance with the competence of the linguistic personality. The paper also justifies the basic functions that should be taken into account when creating a textbook of Russian as a foreign language.
ДЕТСКИЕ РАДИОПЕРЕДАЧИ «РАДИО ЧУВАШИИ» СОВЕТСКОГО И СОВРЕМЕННОГО ПЕРИОДОВ В СРАВНИТЕЛЬНОМ АСПЕКТЕ
Authors: Vasilyeva Lyudmila , Khoraskina Galina , Studentsov Oleg , Savirova Marina
Published: May 2020

Статья посвящена развитию детских радиопередач «Радио Чувашии» (ГТРК «Чувашия»), их современному состоянию, жанровой и тематической специфике. Внимание акцентируется на роли детских радиопередач в обучении и воспитании подрастающего поколения. В основу работы легли методы эмпирического исследования, а также метод литературного анализа (содержательного, структурного) произведений с учетом специфики звучащего материала. Проанализированы архивные записи детских радиопередач разных лет, изучены личные воспоминания радиожурналистов В. Эльби, В. Минеевой, Г. Вастрюковой. Объем детского вещания сократился с 70 мин. в неделю в советский период до 20-25 мин. в настоящее время. Из эфира исчезли такие формы, как детские радиожурналы и радиогазеты. Указывается на необходимость поиска новых тем и форм подачи материала. Данное исследование должно восполнить пробел в изучении детской радиожурналистики Чувашии.

The article is devoted to the history of children’s radio programmes on «Radio Chuvashia» (STRBC «Chuvashia»), their current state, analysis of their genre and thematic specifics. The paper focuses on the role of children’s radio programmes in education and upbringing of the rising generation. The analysis is based on the methods of empirical research. The paper also employs the method of literary analysis (the analysis of content and structure) of works regarding the specifics of the sound material. The authors analyzed the archival records of children’s radio programmess, studied the personal archives of radio journalists V. Elbie, V. Mineeva, G. Vastryukova. The authors conclude that children’s broadcasting time has reduced from 70 minutes (the Soviet period) to 20-25 minutes a week (the present time); stress that radio magazines and radio newspapers for children have disappeared at all; point out the necessity to look for the new topics and forms of presentation of material; intend that the current research paper is to fill the gap in the study of children’s radio journalism in Chuvashia.
ФОРМИРОВАНИЕ НАВЫКОВ ЧТЕНИЯ У БУДУЩИХ УЧИТЕЛЕЙ ИНОСТРАННОГО ЯЗЫКА С ИСПОЛЬЗОВАНИЕМ ФРАНЦУЗСКИХ СКАЗОК В УЧЕБНОМ ПРОЦЕССЕ
Authors: Zeynutdinova Elvira
Published: May 2020

Статья посвящена проблеме формирования навыков чтения у будущих учителей иностранного языка на основе применения французских сказок в учебном процессе. Обращается внимание на то, что теоретические и практические вопросы, связанные с обучением иностранному языку на основе сказок, остаются недостаточно разработанными. Представлена структура и содержание учебно-методической разработки, составленной на материале сказки Ш. Перро «Красная Шапочка». Установлено, что практическая реализация учебно-методических разработок с использованием французских сказок в учебном процессе приводит к существенному повышению уровня владения навыками чтения у будущих учителей иностранного языка.

This article is devoted to the problem of formation of reading skills among future foreign language teachers based on the use of French fairy tales in the learning process; stresses the fact that theoretical and practical issues related to teaching a foreign language based on fairy tales remain insufficiently developed. The structure and content of the educational-methodical development compiled on the basis of the material of the fairy tale by S. Perrault “Little Red Riding Hood” is presented. It is established that the practical implementation of educational and methodological developments using French fairy tales in the educational process leads to a significant increase in the level of reading skills of future teachers of a foreign language.
ОСОБЕННОСТИ ПЕРЕДАЧИ ПРОСТОРЕЧНОЙ ЛЕКСИКИ ПРИ ПЕРЕВОДЕ НА АНГЛИЙСКИЙ ЯЗЫК РОМАНА Ф. М. ДОСТОЕВСКОГО «ИДИОТ»
Authors: Kormilina Natalia , Shugaeva Natalya
Published: May 2020

В данной статье рассматривается проблема передачи просторечий при переводе на английский язык романа Ф. М. Достоевского «Идиот». На примере трех вариантов перевода указанного романа на английский язык изучаются подходы разных переводчиков к передаче просторечной лексики при переводе произведения в зависимости от времени создания перевода, а также от целей самих переводчиков. Рассмотрены три варианта перевода романа, при этом основное внимание сконцентрировано на анализе способов перевода просторечной лексики. В статье дается анализ степени сохранения стилистической окраски и специфического национального колорита просторечной лексики при переводе.

This article deals with the problem of the transfer of vernacular vocabulary when translating novel «Idiot» by F. M. Dostoevsky into English. Using the example of three versions of the translation of novel «Idiot» into English, we study the approaches of different translators to the transfer of vernacular vocabulary when translating a novel, depending on the time of creation of the translation, as well as on the goals of the translators themselves. The article considers three variants of the novel’s translation, while the main attention is focused on the analysis of ways of the vernacular vocabulary translation. The article analyzes the degree of preservation of the stylistic coloration and specific national color of vernacular vocabulary in translation.
ПРОБЛЕМЫ ПРЕПОДАВАНИЯ ДЕКЛАРАТИВНЫХ ЯЗЫКОВ ПРОГРАММИРОВАНИЯ
Authors: Oblomov Igor , Rzhavin Vyacheslav , Krasnov Vitaly , Fadeeva Klara
Published: May 2020

Статья посвящена анализу проблем организации обучения логическому и функциональному языкам программирования и путей их решения. Авторами рассмотрены взгляды исследователей на изучение декларативных языков программирования. Обозначены актуальные проблемы преподавания декларативных языков программирования в высшей школе. Решение этих проблем существенно повышает уровень подготовленности будущего специалиста, расширяет его кругозор и совершенствует его навыки разработки сложных программных проектов в различных областях, в том числе в искусственном интеллекте.

The article is devoted to the analysis of problems of organization of teaching logical and functional programming languages and the ways for the solution of those problems. The authors considered the views of the researchers on the study of declarative programming languages; identified the current problems of teaching declarative programming languages at universities; stated that the solution of the discussed problems increases the level of readiness of future specialists, expands their outlook and develops the skills of development of complex programming projects in various fields, including artificial intelligence.
ГЕРОИ И АНТИГЕРОИ ПРОИЗВОДСТВЕННОГО РОМАНА (НА ПРИМЕРЕ РОМАНА «СОТЬ» Л. ЛЕОНОВА)
Authors: Paul Dmitry , Gaganova Anna
Published: May 2020

В статье рассмотрены персонажи произведения «Соть» Л. Леонова, которое советская критика относила к жанру производственного романа. Авторы анализируют систему персонажей и выдвигают гипотезу, соответствующую жанровому канону производственного романа о воспитании личности. В процессе анализа текста обнаруживается, что жанровые установки типичного производственного романа в «Соти» не реализованы и он расширяет рамки жанрового канона. Строительство бумажного комбината на реке Соть разделило людей на два враждующих лагеря - сторонников и противников индустриализации крестьянской глубинки. Предприятие, которое главный герой И. Увадьев считает «фабрикой по производству новых людей» из «человеческой глины», в реальности становится доминантой топоса их «сортировки», а не перевоспитания. Строительство комбината как «моста в будущее» для И. Увадьева и С. Потемкина становится одновременно социальным творчеством, которому сопротивляются крестьяне деревни Макариха и старообрядцы скита. Преобразование географического пространства подразделяет всех на героев и антигероев. Авторы статьи приходят к выводу о том, что само по себе урбанизированное пространство не переделывает людей; изменение мировоззрения и воспитание личности возможны лишь посредством включения ее в соответствующую деятельность.

The article considers the system of characters in the novel «The Sot» by L. Leonov. The Soviet critics attributed this novel to the genre of «production novel». The authors analyze the system of characters, and put forward a hypothesis corresponding to the genre of production novel on the education of the human personality. The analysis of the text revealed that genre statements of the typical production novel are not implemented in «The Sot». Thus, the discussed novel expands the genre canon. The construction of a paper mill on the river Sot divided people into two warring camps, supporters and opponents of the industrialization of the peasant hinterland. The paper mill, the creator of which Ivan Uvadyev considers «a factory to serve the production of new people» in practice is not able to «educate» a person of a new type, but only conducts a rigid selection, sorting of people into carriers of the «industrial» and «peasant» mentality. The image of the future for Ivan Uvadyev and Sergey Potemkin becomes social creativity, which the residents of Makarikha and the old believers of the monastery resist. The transformation a geographical space divides the characters into heroes and anti-heroes. The authors conclude that the urbanized environment does not transform the people; a change in philosophy and education of the person is only possible through the inclusion into relevant activity.
СПЕЦИФИКА ФОРМИРОВАНИЯ ПЕРЦЕПТУАЛЬНОГО ПРОСТРАНСТВА И ВРЕМЕНИ В РАССКАЗЕ И. С. ТУРГЕНЕВА «СОН»
Authors: Skudnyakova Elena
Published: May 2020

В статье рассматривается специфика формирования перцептуального пространства и времени в рассказе И. С. Тургенева «Сон». Автор доказывает, что специфика обусловлена присутствием в произведении категории фантастического и особого типа личности главного героя, который является носителем фантастического (таинственные сны). Установлено, что пространственно-временные искажения перцептуальной сферы происходят в его сознании и подсознании. В ходе анализа выявлено, что сфера перцептуального пространства-времени сначала расширяется (фантастический сон - сон-галлюцинация - сон наяву), а потом органично включается в реальную действительность. Подчеркивается особая значимость сна-галлюцинации, который активизирует динамику последующего событийного ряда.

The article discusses the formation of perceptual space and time in the story of I. S. Turgenev «Dream». The author proves that the specificity is due to the presence of the category of fantastic in the work and a special type of personality of the main character, who is the bearer of the fantastic (mysterious dreams). It has been established that the spatio-temporal distortions of the perceptual sphere occur in the consciousness and subconscious of the protagonist. The analysis revealed that the sphere of perceptual space-time first expands (a fantastic dream - a dream-hallucination - a dream in reality), and then it is naturally included in reality. The author stresses the significance of sleep-hallucination which activates the dynamics of the subsequent series of events.
И. Я. ЯКОВЛЕВ О ВОСПИТАТЕЛЬНОМ ЗНАЧЕНИИ ТЕАТРА
Authors: Gimaliev Vagiz
Published: May 2020

В статье отражены взгляды И. Я. Яковлева на театр и музыку как средства духовно-нравственного и эстетического воспитания личности. Оособое внимание уделено деятельности Симбирской чувашской учительской школы по формированию духовных потребностей и эстетической культуры учащихся путем использования разнообразных видов музыкального и театрального искусств: художественного чтения, исполнения по ролям басен И. А. Крылова, спектаклей по произведениям классиков русской литературы, хорового пения, игры на музыкальных инструментах и др.; проведения различных мероприятий в школе и на концертных площадках г. Симбирска: народных игр с хороводами, литературно-музыкальных вечеров, вечеров литературы и поэзии, театрализованных представлений, посещений городского театра, участия хора и оркестра школы на торжествах по разным случаям в здании Симбирской городской думы и зале Симбирского дворянского собрания, Симбирском епархиальном училище, выступления обучающихся с номерами сокольской гимнастики в сопровождении духового оркестра на городской площади и т. д. Кратко освещена деятельность воспитанников Симбирской чувашской учительской школы и потомков И. Я. Яковлева в области театрального и музыкального искусств.

The article considers I. Yakovlev’s views on theater and music as means of spiritual and moral, and also aesthetic education of the individual; pays particular attention to the activities of Simbirsk Chuvash Teachers’ School in the formation of spiritual and aesthetic culture at students through the use of various types of musical and theatrical arts: declamation, dramatization of Krylov’s fables, performances based on the works of classics of the Russian literature, choir singing, playing different musical instruments etc.; various events at school and at concert venues in the city of Simbirsk: folk games, dances, literary and musical events, literature and poetry parties, theatrical performances, visiting the theatre, participation of the school choir and orchestra in celebrations on various occasions in Simbirsk town hall and in the hall of Simbirsk Nobility Assembly, at Simbirsk Diocesan School, students’ Sokol gymnastics performances accompanied by a brass band in the town square. The article briefly covers the activities of the students of Simbirsk Chuvash Teachers’ School and I. Yakovlev’s descendants in the field of the theatrical and musical art.
Awareness of health care managers about organization of the medical rehabilitation
Authors: Chernyakhovskij O.B. , Kochoubey V.V. , Salamadina G.E. , Kalinina O.A.
Published: May 2020

Objective: determine the level of knowledge about the organization of medical rehabilitation among the heads of medical institutions. Materials and methods: A survey of 216 people studying in continuing education courses in the specialty "Organization of Health Care and Public Health" was conducted. The questionnaire included group characteristics data (work experience as the head of the institution, place of work, the presence of a specialized department) and test questions. A frequency analysis, calculation of the average score, a comparative analysis of percentages and means in the selected groups, a correlation analysis of the experience and awareness of the respondents were performed. Results: the average score in the general group is 2.4 ± 0.18, in the group of outpatient institutions managers 2.3 ± 0.29, hospital managers 2.6 ± 0.21. There is no significant difference between the average scores of the two groups (t= -0.78, p=0.44); 4 (1.9%) of the respondents answered correctly for all of the test questions; 52 (24.1%) of the respondent gave no correct answer. A significant relationship between the health management experience and the average rating was not found in the general group (p = 0.44), in the group of outpatient institutions managers (p=0.13), hospital managers (p=0.56). We found a correlation between the average score and the presence of a rehabilitation department: in the general group (t = -13.6, p <0.05) and in individual groups: t = -16.3, p <0.05, t = -9, 1, p <0.05. Conclusion: low awareness of health care managers about the organization of medical rehabilitation was found.
Spa-therapy can improve quality of life in chronic musculoskeletal disorder subjects: a narrative review
Authors: Maccarone M.C. , Magro G. , Solimene U. , Masiero S.
Published: May 2020

Chronic Musculoskeletal Disorders (MSDs) are age-related conditions, linked to functional impairment and decreased quality of life (QoL). As a result of the increased life expectancy in Europe, great attention has been focused on investigating the impact of these diseases on QoL. Thermal environment is a suitable place for providing interventions (mud therapy, bath, exercise, etc.) for chronic MSD patients. Our narrative review aims to assess if Spa therapy may improve QoL in patients with chronic MSDs. We searched randomized clinical trials and clinical trials screening PubMed and Google Scholar databases from 2016 up to March 2020. We included 14 trials testing Spa therapy interventions concerning osteoarthritis, rheumatoid arthritis, chronic shoulder pain and fibromyalgia. In conclusion, even though limitations must be considered, evidence shows that Spa therapy, especially in combination with rehabilitation approach, can significantly improve QoL of patients with chronic MSDs.
The effectiveness of mechanotherapeutic methods for spine deep stabilization system training in patients with osteoporotic vertebral fractures
Authors: Makarova E.V. , Marchenkova L.A. , Eremushkin M.A. , Styazkina E.M. , Chesnikova E.I. , Razvalyaeva D.V. D.V.
Published: May 2020

The aim of the study was to estimate the effect of new physical rehabilitation complex using of mechanotherapeutic methods on spine muscle strength in patients with osteoporosis (OP) and vertebral fractures (VF). Material and methods: Study comprised of 90 osteoporotic patients aged 50-80 years old (65.4±9.1 years) with OP VFs who were randomized as 2:1 into intervention group (group1, n=60) and control group (group2, n=30). Patients in group 1 received an intensive rehabilitation course including back muscle training with mechanical loads #10; sensorimotor training on double unstable platform #10; kinesohydrotherapy in a pool #15; physical exercises in a gym #10. Group 2 was prescribed only physical exercises in a gym #15. All patients undergo tenzodynamometry on BackCheck diagnostic unit (Dr. Wolff, Germany) at baseline, in 3 weeks at the end of rehabilitation course and in a month of follow-up. Results: In group 1 after the rehabilitation course muscle strength improved in trunk extensors (TE) from 15.8±10.1 to 21.7±13.1 kg (p<0.001), trunk flexors (TF) from 14.5±9.1 to 18.9±10.2 kg (p<0.001), left lateral flexors (LLF) from 12.8±7.2 to 17.5±9.6kg (p<0.001) and right lateral flexors (RLF) from 13.2 ± 7.1 to 17.8 ± 9.2 kg (p<0.01). Strength deficiency significantly decreased in all muscles (p<0.001 for TE and TF, p<0.05 for LLF, p<0.01 for RLF). The achieved effect lasted for a month of follow-up. In group 2 positive dynamics of strength was observed after 3 weeks only in TE and TF (p<0.05), however, after a month of observation, the strength of all the studied muscles did not differ from the baseline (p>0.05). Conclusion: The new 3-week complex of physical rehabilitation using of mechanotherapeutic methods lead to increase of spine muscle strength and improvement of muscle strength deficiency in patients with osteoporotic VFs. Rehabilitation effect lasts for at least a month after the treatment completion.
Internal Control Systems Implementation and Fraud Mitigation Nexus among Deposit Taking Saccos in Kenya
Authors: Wanjala Kevin , Riitho David
Published: May 2020

Purpose: This paper analyses the relationship between the implementation of internal control and fraud mitigation among the savings and credit cooperatives societies (Saccos) in Kenya.

Methodology: To achieve the objective, specific variables were formulated based on the five components of internal control model. Particularly, the research focuses on the effect of control environment, control activities, monitoring, information and communication, and risk assessment, on fraud mitigation. Data was collected through the use of a structured questionnaire. Ordinary Least Square Regression approach was used for analysis. 

Results: The data analysis found that all the mentioned variables significantly affect fraud mitigation among Saccos in Kenya.

Implications: The analysis highlighted that there is a need for Saccos to strive and implement internal control systems to a higher extent to cure the persistent problem of fraud that they grapple with. The analysis also recommends that Saccos should institute proper mechanisms to provide adequate checks during staff recruitment, install adequate security, provide regulation of valuable information access, they should also conduct regular monitoring of third party links with personnel as measures to mitigate fraud.
A FRAMEWORK FOR EVALUATING AN INTEGRATED BIM ROI BASED ON PREVENTING REWORK IN THE CONSTRUCTION PHASE
Authors: Lee Myungdo , Lee Ung-Kyun
Published: May 2020

Construction firms attempt to estimate building information modeling (BIM) return on investment (ROI)
to confirm whether BIM effects are sufficiently positive to satisfy decision-makers. Previous studies have presented the ROI
in various ways, but a more definitive answer is required to consider possible various effects. Therefore, this study proposes
a framework for an integrated BIM ROI, a simple, easy-to-understand, and practical tool that is established from substantive
requirements from experts in the construction field. The framework consists of a three-phase process including a total of 11
steps. These phases are assessment planning, primary BIM ROI based on preventing rework, and integrated BIM ROI. Based on the
proposed framework, an actual effect analysis of BIM project was conducted and the suitability of the methodology was discussed.
The results of applying the framework showed that the primary ROI based on prevented rework costs was about 167.8% and the integrated
BIM ROI to consider the overall effect of applying BIM was about 476.72%. In addition, the expert’s discussion confirmed that
the framework can be employed as a practical means to evaluate BIM performance. This framework can be provided as a guideline
to present an integrated BIM effect and assist to efficiently BIM application.
The Gemini Planet Imager View of the HD 32297 Debris Disk
Authors: Duchêne Gaspard , Rice Malena , Hom Justin , Zalesky Joseph , Esposito Thomas M. , Millar-Blanchaer Maxwell A. , Ren Bin , Kalas Paul , Fitzgerald Michael P. , Arriaga Pauline , Bruzzone Sebastian , Bulger Joanna , Chen Christine H. , Chiang Eugene , Cotten Tara , Czekala Ian , De Rosa Robert J. , Dong Ruobing , Draper Zachary H. , Follette Katherine B. , Graham James R. , Hung Li-Wei , Lopez Ronald , Macintosh Bruce , Matthews Brenda C. , Mazoyer Johan , Metchev Stan , Patience Jennifer , Perrin Marshall D. , Rameau Julien , Song Inseok , Stahl Kevin , Wang Jason , Wolff Schuyler , Zuckerman Ben , Ammons S. Mark , Bailey Vanessa P. , Barman Travis , Chilcote Jeffrey , Doyon Rene , Gerard Benjamin L. , Goodsell Stephen J. , Greenbaum Alexandra Z. , Hibon Pascale , Ingraham Patrick , Konopacky Quinn , Maire Jérôme , Marchis Franck , Marley Mark S. , Marois Christian , Nielsen Eric L. , Oppenheimer Rebecca , Palmer David , Poyneer Lisa , Pueyo Laurent , Rajan Abhijith , Rantakyrö Fredrik T. , Ruffio Jean-Baptiste , Savransky Dmitry , Schneider Adam C. , Sivaramakrishnan Anand , Soummer Rémi , Thomas Sandrine , Ward-Duong Kimberley
Published: May 2020

We present new H-band scattered light images of the HD 32297 edge-on debris disk obtained with the Gemini Planet Imager. The disk is detected in total and polarized intensity down to a projected angular separation of 0.″15, or 20 au. On the other hand, the large-scale swept-back halo remains undetected, likely a consequence of its markedly blue color relative to the parent body belt. We analyze the curvature of the disk spine and estimate a radius of ≈100 au for the parent body belt, smaller than past scattered light studies but consistent with thermal emission maps of the system. We employ three different flux-preserving post-processing methods to suppress the residual starlight and evaluate the surface brightness and polarization profile along the disk spine. Unlike past studies of the system, our high-fidelity images reveal the disk to be highly symmetric and devoid of morphological and surface brightness perturbations. We find the dust scattering properties of the system to be consistent with those observed in other debris disks, with the exception of HR 4796. Finally, we find no direct evidence for the presence of a planetary-mass object in the system.
Precision Photometric and Astrometric Calibration Using Alternating Satellite Speckles
Authors: Sahoo Ananya , Guyon Olivier , Lozi Julien , Chilcote Jeffery , Jovanovic Nemanja , Brandt Timothy , Groff Tyler , Martinache Frantz
Published: May 2020

Photometric and astrometric calibration of high-contrast images is essential for the characterization of companions at small angular separation from their stellar host. The main challenge to performing accurate relative photometry and astrometry of high-contrast companions with respect to the host star is that the central starlight cannot be directly used as a reference, as it is either blocked by a coronagraphic mask or saturating the detector. Our approach is to add fiducial incoherent faint copies of the host star in the image plane and alternate the pattern of these copies between exposures. Subtracting two frames with different calibration patterns removes measurement bias due to static and slowly varying incoherent speckle halo components, while ensuring that calibration references are inserted on each frame. Each calibration pattern is achieved by high-speed modulation of a pupil-plane deformable mirror to ensure incoherence. We implemented the technique on-sky on the Subaru Coronagraphic Extreme Adaptive Optics instrument with speckles which were of the order of 103 times fainter than the central host. The achieved relative photometric and astrometric measurement precisions for 10 s exposure were respectively 5% and 20 milliarcsecond. We also demonstrate, over a 540 s measurement span, that residual photometric and astrometric errors are uncorrelated in time, indicating that residual noise averages as the inverse square root of the number of exposures in longer time-series data sets.
Curious Changes in Association of Complex Sunspot Groups with X-Ray Flares (≥M1) in Solar Cycles 22–24
Authors: Gao P. X.
Published: May 2020

We investigate the variations in the probabilities of complex sunspot groups (SGs)—large, asymmetric, or δ-type SGs—producing X-ray flares (≥M
1) in solar cycles (SCs) 22, 23, and 24 based on the SG data collected by the United States Air Force/Mount Wilson Observatory and the flare data recorded by Geostationary Operational Environmental Satellites. The following are the main findings. (1) For complex SGs in the whole disk as well as the northern and southern hemispheres during SC 22, their numbers and probabilities of producing flares change almost synchronously. (2) For complex SGs during SC 23, probabilities of producing flares during the early declining phase in the whole disk do not decrease with decreasing complex SG number; in the northern hemisphere, the probability of producing flares during the declining phase is significantly higher than that during the maximum phase; in the southern hemisphere, there is no definite variation trend in the probabilities of producing flares during the maximum and declining phases. (3) For complex SGs during SC 24, the probabilities of producing flares during the later rising and early declining phases are significantly higher than or comparable to those during the maximum phase no matter how their numbers change; in the northern hemisphere, the probability of producing flares during the rising phase is significantly higher than or at least comparable to that during the maximum phase; in the southern hemisphere, there is no definite variation trend in the probabilities of producing flares during the maximum and declining phases.
State-of-the-art of Esophagectomy for Cancer: From Open to Laparoscopic and Robotic Technique
Authors: Coco Danilo , Leanza Silvana
Published: May 2020

INTRODUCTION: The results for the meta-analytical review, which contrasted laparoscopic or robotically assisted esophagectomy for cancer against open esophagectomy (OE), indicated feasibility and safety associated with the robotic method.
AIM: The objective of this study is to review the current literature on MIE (Laparo-thoracoscopic and Robotic approach) and open approach and check the state-of-the-art of esophagectomy for cancer.
MATERIALS AND METHODS: The comparison of studies which contrasted laparoscopic or robotically assisted esophagectomy for cancer against open esophagectomy (OE).
RESULTS: This review represented the largest sequence of mini-invasive esophagectomy (MIE) to date and the results appear to be comparable to those attained by the traditional open approach. MIE constitutes a safe procedure with a learning curve of around 36 cases.
CONCLUSION: The studies did not reveal variations in mortality and morbidity rate, conversion rate, intensive care unitstay, 1-month mortality, and post-operative complications between the mini-invasive esophagectomy cohort and OE cohort.
Measles Outbreak in Pediatric Oncology Patients at Hue Central Hospital
Authors: Kiem Hao Tran , Kim Hoa Nguyen Thi
Published: May 2020

AIM: Measles outbreak in the immunocompromised population is a big challenge to interrupt endemic transmission. This study aimed to investigate of measles in pediatric oncology patients and find the reason behind the outbreak.
METHODS: A descriptive study was conducted on 11 pediatric oncology patients with measles. We collected demographic, epidemiological, and clinical data. Most of suspected measles cases were done measles immunoglobulin M test and clinical data were followed up and analyzed by SPSS.
RESULTS: From April 20, 2018, to July 10, 2019, a total of 11 patients with malignancies were notified to develop measles in Hue. Of these 11 patients with the median age of 4.0 years (range: 1–9 years), two patients had not received any dose of measles vaccine, five patients received two doses, and four patients had received 1 dose of measles vaccine; all patients had fever with the median fever of 39°C (range: 38.5–39.5), the median fever duration was 7 days. All patients had cough and rash, three patients had pneumonia complication and two patients had elevated liver transaminase levels. All patients had hospital visits or were hospitalized before measles onset, with the median time: 10 days (range: 7–24 days); all patients were likely to expose each other. All 11 patients recovered.
CONCLUSIONS: The measles outbreak was occurred among children with cancer, especially for children without prior measles vaccine or without two prior doses. Moreover, even children received two prior dose vaccine, their immunocompromised status caused them to be infected. There was not a different area for outpatient and inpatient in the hospital, so measles transmission occurred.
Outlooks for development of silicon nanoparticle memory cells
Authors: Talyzin Igor V. , Samsonov Vladimir M.
Published: May 2020

Phase change memory is based on changes in the optical, electrical or other properties of materials during phase transitions, e.g. an amorphous to crystalline transition. Currently existing and potential applications of this memory are primarily based on multicomponent alloys of metals and semiconductors. However single-component nanoparticles including Si ones are also of interest as promising nanosized memory cells. The potential for developing this type of memory cells is confirmed by the fact that the optical absorption index of bulk amorphous silicon is of the same order of magnitude as that of crystalline silicon. Certainly this phenomenon can hardly be implemented with a single nanoparticle the size of which is within light wavelength. Using molecular dynamics and the Stillinger-Weber potential we have studied the regularities of melting and the conditions of crystallization of silicon nanoparticles containing within 105 atoms. We have shown that cooling of nanosized silicon drops at a 0.2 TK/s rate or higher rates causes their amorphous transition whereas single-component nanosized metallic drops crystallize in molecular dynamics experiments even at a 1 TK/s rate. Further heating of amorphous silicon nanoparticles containing above 5 ∙ 104 atoms causes their crystallization in a specific temperature range from 1300 to 1400 K. We have concluded that there is a possibility of developing phase change memory cells on the basis of the above phase transitions. An amorphous transition of a nanoparticle can be achieved by its melting and further cooling to room temperature at a 0.2 TK/s rate whereas a crystalline transition, by its heating to 1300–1400 K at a 0.2 TK/s rate followed by cooling. Results of molecular dynamics experiments suggest there is a minimum silicon nanoparticle size for which the development of phase change memory cells becomes theoretically impossible at a given temperature change rate. For a 0.2 TK/s temperature change rate this minimum size is 12.4 nm (number of atoms approx. 5 ∙ 104).
Le voyage de K ou l’expérience d’une trajectoire de soin
Authors: Carton Annabelle , Rousseau Isabelle , Vandenbussche Fabrice , Rosenfeld Boris
Published: May 2020

Une attention croissante a été accordée ces dernières années à la question de la continuité des soins pédopsychiatriques tant du point de vue des patients, de leurs proches, que des différents secteurs impliqués dans le parcours de vie des jeunes. La mise en place des réseaux de santé mentale dans toutes les provinces de Belgique vise à répondre à ces besoins. C’est dans ce contexte que certains groupes cibles particulièrement vulnérables ont été identifiés afin que des offres thérapeutiques nouvelles et intégratives puissent leur être accessibles. Notre équipe mobile s’occupe des jeunes en transition vers l’âge adulte et nous avons voulu illustrer, à travers une situation clinique complexe, certains enjeux institutionnels soulevés par ces nouveaux dispositifs. Étant donné que notre travail nous invite à prendre en compte simultanément nos missions, les besoins des jeunes et de leurs proches, ainsi que les attentes du réseau auquel nous appartenons, nous avons voulu mettre en évidence les différentes visions entre les acteurs de la situation (du réseau et des proches) concernant notamment la prise en charge, le diagnostic, les soins donnés et reçus, la collaboration et le vécu expérienciel.
Opioid Consumption and Time to Return to Work After Percutaneous Osteotomy in Foot Surgery
Authors: Chan Jimmy J. , Guzman Javier Z. , Nordio Andrea , Chan Jesse C. , Cirino Carl M. , Vulcano Ettore
Published: May 2020

Surgeries involving the foot and ankle are painful procedures, with many patients unwilling to discontinue prescribed narcotics at 3 months postoperatively. Percutaneous techniques allow for smaller incisions and minimal soft tissue disruption. Fifty consecutive patients underwent outpatient percutaneous foot surgery. Data were collected on pain medication taken and time to return to work. A mean of 3.3 tablets of oxycodone were consumed during the first 2 weeks. No patient was taking narcotics after 2 weeks. Mean time to return to work was 18.9 days. Percutaneous foot and ankle surgery led to a significant reduction in narcotic consumption. [
Orthopedics
. 2020;43(4):e334–e337.]
Combined Procedure Allowing Atlantoaxial and Atlanto-Occipital Joint Motion for Complex Injuries in the Upper Cervical Spine
Authors: Zhao Wei , Sun Yi , Xu Gongping , Yan Jinglong
Published: May 2020

This study was performed to explore an ideal limited fixation method for the treatment of unstable atlantoaxial fractures that can preserve the range of motion of the occipital and atlantoaxial joints and restore the stability of the upper cervical spine. A 64-year-old man was diagnosed with a complicated injury of the upper cervical spine. The anterior and posterior approach was used to reconstruct the stability of the upper cervical spine while preserving the range of motion of the occipital and atlantoaxial joints. Preoperative imaging and neurologic examinations were performed. Follow-up lasted 24 months. The patient clinically improved after undergoing this novel procedure. Seven days postoperatively, the patient's visual analog scale score was 3. Follow-up contrast computed tomography showed good reduction and fixation in the upper cervical spine. Two weeks postoperatively, the patient displayed good cervical vertebral activity, with no restriction during flexion, extension, rotation, or other movements. No intraoperative or postoperative complications occurred. This modified procedure for restoration of cervical stability may be an improvement over traditional posterior fusion because atlantoaxial motion is preserved. [
Orthopedics
. 2020;43(4):e329–e333.]