bluuebunny/crossref_metadata_2025 huggingface dataset:
Efficacy of empirical antibiotic prescription for the treatment of community acquired pneumonia
Authors: Akhter Shamima , Kamal SM , Islam Md Farhadul , Mollick Md Khosrul Alam , Islam Md Nazrul
Published: March 2020

Background: Community acquired pneumonia (CAP) is a leading cause of morbidity and mortality in Bangladesh. There is difficulty in identification of the causative organism due to lack of facility of sputum culture and sensitivity test in many hospitals of Bangladesh. So targeted anti microbial therapy is not possible and empirical antibiotic prescription is done. The choice of empirical selection of antibiotic should be the best effective drug for the treatment of CAP. Objective: To assess the efficacy of selected empirical antibiotic selection for the treatment of CAP.

Methods: This prospective observational study involves 82 patients with CAP admitted in medicine ward of Khulna medical college hospital, Khulna, Bangladesh. Patients were selected by inclusion and exclusion criteria. Diagnosis of CAP was confirmed by chest x-ray. Empirical selection of antibiotic was based on clinical experience. Most of the patients were treated with combined antibiotic except a few with monotherapy. Evaluation of the empirical choice of ant biotic was done by the outcome. Data of different parameter were recorded during study in preformed proforma. Statistical analysis was done by using SPSS.

Result: Out of 82 patients 62 (76%) were male and 20 (24%) were female. Mean age was 54.4 (± 9.6) years. Duration of antibiotic treatment was 7 days. No drug related adverse effect was observed. One patient developed paraneumonic effusion and none of the patient developed lung parenchymal damage or lung abscess. All the patient recovered completely.

Conclusion: CAP is treated in many hospitals of Bangladesh by selecting the antibiotic empirically. Improvement of hospital laboratories to perform sputum for culture and sensitivity test is necessary for selecting an effective anti biotic.

Bang Med J (Khulna) 2019; 52 : 25-29
Antibiotic sensitivity pattern of diarrhoeal pathogens in under five children
Authors: Pervin Mst Khashruba , Jhora Sanya Tahmina , Paul Shikha , Naher Akhtarun
Published: March 2020

Background: Different bacterial enteropathogens are responsible for diarrhoea in children less than 5 years of age in Bangladesh. This study aimed to determine the antimicrobial sensitivity pattern of diarrhoeal pathogens that is necessary to know for the specific management of acute bacterial diarrhoea.

Objectives: To find out the bacterial enteropathogens causing diarrhoea and their antimicrobial sensitivity pattern in under 5 children.

Methodology: This was an observational cross sectional study carried out at Microbiology Department of Sir Salimullah Medical College, Dhaka. A total of 217 diarrhoeal patients 0-5 years age, attending Pediatric unit of Sir Salimullah Medical College and Mitford Hospital. Dhaka and Dhaka Shishu Hospital, Dhaka during the period of July, 2015 to June, 2016, were enrolled in the study. For isolation of the common enteric bacteria, diarrhoeal stools were cultured on MacConkey agar media and for Campylobacter spp, diarrhoeal stools were cultured on selective Modified Campy BAP media and nonselective Blood agar media with membrane filter. Positive culture was confirmed by Gram stain morphology and standard biochemical tests. Antimicrobial susceptibility test were used to identify the bacterial sensitivity pattern in the isolates.

Results: Out of 217 diarrhoeal stools, bacteria was isolated from 97 (44.70%) patients by culture. Among 97 culture positive cases Eschericha coli (51- 52.58%), Campylobacter spp. (23-23.71%), Shigella spp. (15-15.46%) and Salmonella spp. (8-8.25%) were isolated. Mecillinam is the most sensitive drug for Escherichia coli, Campylobacter spp., Shigella spp. and Salmonella spp. Among the other antimicrobials, Campylabacter spp. were sensitive to azithromycin, erythromycin and nitrofurantoin. Escherichia coli were sensitive to nitrofurantoin, gentamicin and azithromycin. Shigella spp. were sensitive to ceftriaxone, ciprofloxacin and nitrofurantoin and Salmonella spp. were sensitive to ceftriaxone, cotrimoxazole and gentamicin.

Conclusion: Mecillinam and nitrofurantoin were highly effective against bacteria causing diarrhoea in children.

Bang Med J (Khulna) 2019; 52 : 35-39
Clinical and Endoscopic Characteristics of Medication Induced Esophageal Injury
Authors: Hasan Mohammad Quamrul , Mondal Nelson Taposh , Perveen Irin , Islam MM Shahin Ul , Sarker Md Khalequzzaman
Published: March 2020

Medications can cause several complications in the esophagus and lead to medication-induced esophageal injury. This study was carried out among patients diagnosed as medication-induced esophageal injury from June 2015 to October, 2018 in the Department of Gastroenterology, Enam Medical College and Hospital, Savar, Dhaka to investigate clinical and endoscopic characteristics of medication-induced esophageal injury as well as outcome of these patients with treatment. Patients diagnosed as malignancy, viral or fungal esophagitis, esophageal varix, corrosive and sclerotherapy induced ulcer and GERD were excluded. Clinical and endoscopic characteristics of patients diagnosed as medication-induced injury were analyzed. After given treatment, clinical improvements as well as mucosal healing of oesophageal injury were noted. Thirty seven patients were diagnosed as medication-induced esophageal injury. Their median age was 40; 17 were males and 20 were females. Common symptoms were chest pain (94.6 %), odynophagia (78.4 %) and dysphagia (62.2 %). Symptoms appeared between 3 hours to 15 hours after ingestion of medication. Predisposing factors for 75.67% of the patients were related to taking the medicine with insufficient water or in recumbent position, or both. The main causative agents were antibiotics, Non-steroidal anti-inflammatory drugs (NSAIDs) and Alendronate sodium. Common diseases that required treatment with these drugs were various urinary system diseases, osteoporosis and migraine. During endoscopy, 25 had only ulcer, 7 had only erosion and 5 had both ulcer and erosion. Most of the ulcers and erosions were located at the middle third of the oesophagus with a rate of 70%, and 58.3% respectively. Appearance of the ulcer was oval, circular, kissing and geographical shaped and their sizes vary between 6 mm to 18 mm and single or multiple in numbers. All the patients were treated with proton pump inhibitors (PPIs) or sucralfate, and the causative drugs were discontinued. Symptoms resolution occurred within 5 to 12 days after treatment and mucosal healing were detected in all patients after 4 weeks who were performed endoscopy. Almost every kind of medication, particularly doxycycline, NSAIDs can cause oesophageal ulcer and erosion. It can be successfully treated with PPIs and discontinuation of the causative medication and prevented by warning patients about drinking water sufficiently and sitting up while taking the pill.
Faridpur Med. Coll. J. Jan 2019;14(1): 2-7
Gamificación en el ámbito educativo: Un análisis bibliométrico
Authors: Acosta-Medina Julieth Katherin , Torres-Barreto Martha Liliana , Álvarez-Melgarejo Mileidy , Paba-Medina Maira Camila
Published: March 2020

La gamificación se entiende como la incorporación de elementos propios del juego en contextos que no son lúdicos,con el objetivo de aumentar la concentración y el compromiso, de modo que se alcance una mayor motivación para realizar tareas que a priori pueden parecer poco atractivas. Dada su relevancia, este artículo presenta un análisis bibliométrico acerca del avance que ha tenido el uso de herramientas gamificadas en el ámbito educativo. Para desarrollar esta investigación, se realizó una búsqueda de literatura en Scopus y Web of Science. Los resultados de este ejercicio se analizaron utilizando el software Vantage Point, en términos de tipo de documentos, productividad, análisis léxico y áreas de investigación. Los hallazgos de este estudio indican que la gamificación es una temática cada vez más relevante, lo que se soporta en diferentes investigaciones científicas. Se trata de un campo que puede aplicarse en diversos contextos educativos y que puede generar múltiples beneficios, como aumento de motivación y engagement.
Repositorios y redes sociales académicas para la transferencia del conocimiento abierto (introducción)
Authors: Melero Melero Remedios
Published: March 2020

Contribución de Remedios Melero Melero introduciendo el debate de revista PH sobre Repositorios y redes sociales académicas para la transferencia del conocimiento abierto. En ella plantea la urdimbre de la ruta verde o la vía del depósito o archivo de los resultados de la actividad científica y académica de una comunidad o institución en repositorios de acceso abierto.
Responsive Laws to Support The Tourism Policy Based Local Pluralism
Authors: Isharyanto Isharyanto , Madalina Maria , Kusumo Ayyub Torry Satryo
Published: March 2020

Local pluralism is a driver of tourism policy, with an emphasis on changing the quality of life. Decentralization gives legitimacy to each region to produce or produce various policies that are in accordance with regional needs, including in the field of tourism. In this regard, each region besides having the potential for tourism that is not the same, also competes to optimize local local potential. Considering the implementation of government affairs in the region, including tourism, requires an appropriate legal foundation, an analysis of the relevant laws and regulations is needed. This study confirms that Bali, Surakarta, and Batu endeavor culture as a form of local pluralism to sustain the local tourism policies. However, the three objects of observation in this study have differences in institutionalizing local pluralism in the tourism policy. Regional Regulations in Bali need to be revised, while conversely, in Surakarta and Batu need to make Regional Regulations on Tourism Based on Local Pluralism.

Keywords: tourism; local pluralism; culture; tourism policy
Pengaruh Pengajaran Iman Dan Penderitaan Menurut Filipi 1:29 Terhadap Pertumbuhan Iman Jemaat Bethany Kristus Sabda Benjeng
Authors: Purwanto Ani Teguh
Published: March 2020

This study aims to examine the effect of the teaching of faith and suffering according to Philippians 1: 29 on the growth of the faith of the Bethany Christ of the Benjeng Word. The reason for this research is due to the low growth of the faith of the congregation due to the lack of understanding of the church about the teachings of faith and suffering. The sample of this research was 35 people from Bethany Christ, the Word of Benjeng Gresik, obtained through simple random sampling . The results showed that: 1). there is an influence between the teaching of faith and suffering with the growth of the faith of the church (r = 0.487; R square = 0.237; p = .000); 2). the independent contribution of the teaching of faith and suffering to the dependent variablecongregational faith growth of 23.7%. The implication of this research is that when the teaching of faith and suffering has a positive influence on the growth of the faith of the congregation, the congregation who receives good teachings of faith and suffering is expected to have good faith growth.  

Abstrak Indonesia

Penelitian ini bertujuan untuk menguji pengaruh pengajaran iman dan penderitaan menurut Filipi 1 :29 terhadap pertumbuhan iman jemaat Bethany Kristus Sabda Benjeng. Alasan dari penelitian ini dikarenakan rendahnya pertumbuhan iman jemaat akibat dari kurangnya pemahaman jemaat akan pengajaran iman dan penderitaan. Sampel dari penelitian ini adalah jemaat  Bethany Kristus Sabda Benjeng Gresik sebanyak 35 orang yang diperoleh melalui simple random sampling. Hasil penelitian menunjukkan bahwa : 1). ada pengaruh antara pengajaran iman dan penderitaan  dengan pertumbuhan  iman jemaat  (r = 0.487 ; R square = 0.237;  p = .000); 2). sumbangan independent variabel pengajaran iman dan penderitaan terhadap dependent variabel pertumbuhan iman jemaat sebesar 23,7%. Implikasi dari penelitian ini adalah pada saat pengajaran iman dan penderitaan memiliki pengaruh positif terhadap pertumbuhan iman jemaat maka jemaat yang mendapatakan pengajaran iman dan penderitaan yang baik diharapkan akan memiliki pertumbuhan iman yang baik pula.
Uterine papillary adenocarcinoma in a Pit-bull dog
Authors: MONSEF Yanad , KUTLU Tuncer , KUTSAL Osman
Published: March 2020

The uterus of an 18 month old Pit-bull removed during ovariohysterectomy formed the material of this study. Macroscopically, the uterus was whitish in color and elastic in consistency, the uterine horns were 15 cm long with a 1 cm of diameter. On cut section uterine mucosa showed variable sized cysts and was filled with a yellowish white mucus. Microscopical evaluation demonstrated a proliferation of the glandular component of the endometrium and a migration of these glands into the myometrium. Glands located in both the endometrium and the myometrium formed large cystic structures. The atypical glandular epithelium showed papillary projections into the cystic spaces. The tumor was diagnosed as uterine adenocarcinoma, an extremely rare canine tumor, especially in young dogs.
Управління сферою запобігання соціальному сирітству в Україні у контексті впровадження принципів деінституціалізації
Authors: Лис В. В.
Published: March 2020

Розглянуто питання запобігання соціальному сирітству, розвиток нових та реформування існуючих соціальних послуг для дітей та сімей із дітьми, що стали привертати значну увагу в наукових колах та різноманітних структурах усіх рівнів, які працюють із дітьми. Зазначено, що підвищення якості життя дітей є не лише питанням часу, а його велінням. Проаналізовано прогресивні світові процеси стосовно захисту прав дітей, зумовлені Конвенцією ООН “Про права дитини”, які стимулюють суттєві зміни в законах, політиці та практиці підтримки та захисту дитинства. Зауважено, що такі цілеспрямовані дії суттєво поширюються в багатьох державах світу. Доведено, що на сьогодні Україна робить перші кроки у напрямку деінституціалізації та створення власної моделі формування соціальних послуг, яка стане основою  запобігання соціальному сирітству серед дітей. Проаналізовано існуючу модель управління сферою захисту прав дітей у контексті запобігання соціальному сирітству та впровадження принципів ДІ-реформи.
Євроінтеграційні орієнтири формування екологічної політики в Україні в контексті сталого розвитку регіонів
Authors: Буканов Г. М.
Published: March 2020

Досліджено та визначено євроінтеграційні орієнтири і напрямки формування екологічної політики в контексті сталого розвитку регіонів в Україні. Обґрунтовано, що в контексті децентралізації державного управління посилюється роль місцевого самоврядування в управлінні екологічною сферою, а отже, і формування регіональної екологічної політики. Виокремлено такі євроінтеграційні орієнтири формування екологічної політики в Україні в контексті сталого розвитку регіонів: адаптація і приведення національного екологічного законодавства до європейських стандартів; впровадження європейського досвіду застосування економічних механізмів реалізації екологічної політики, які засновані на принципі “забруднювач платить”; запровадження системи екологічного менеджменту, механізмами якого є екологічний моніторинг, екологічна оцінка, екологічний аудит, екологічне маркування; реалізація концепції екологічного урядування у сфері реалізації екологічної політики. Охарактеризовано євроінтеграційні орієнтири формування екологічної політики в Україні в контексті сталого розвитку регіонів.
Remote Treatment Monitoring on Hospitalization and Technique Failure Rates in Peritoneal Dialysis Patients
Authors: Chaudhuri Sheetal , Han Hao , Muchiutti Carlos , Ryter Jessica , Reviriego-Mendoza Marta , Maddux Dugan , Larkin John W. , Usvyat Len A. , Chatoth Dinesh , Kooman Jeroen P. , Maddux Franklin W.
Published: March 2020

Background

An integrated kidney disease healthcare company implemented a peritoneal dialysis (PD) remote treatment monitoring (RTM) application in 2016. We assessed if RTM utilization associates with hospitalization and technique failure rates.

Methods

We used data from adult (age ≥18 years) patients on PD treated from October 2016 through May 2019 who registered online for the RTM. Patients were classified by RTM use during a 30-day baseline after registration. Groups were: nonusers (never entered data), moderate users (entered one to 15 treatments), and frequent users (entered >15 treatments). We compared hospital admission/day and sustained technique failure (required >6 consecutive weeks of hemodialysis) rates over 3, 6, 9, and 12 months of follow-up using Poisson and Cox models adjusted for patient/clinical characteristics.

Results

Among 6343 patients, 65% were nonusers, 11% were moderate users, and 25% were frequent users. Incidence rate of hospital admission was 22% (incidence rate ratio [IRR]=0.78; P=0.002), 24% (IRR=0.76; P<0.001), 23% (IRR=0.77; P≤0.001), and 26% (IRR=0.74; P≤0.001) lower in frequent users after 3, 6, 9, and 12 months, respectively, versus nonusers. Incidence rate of hospital days was 38% (IRR=0.62; P=0.013), 35% (IRR=0.65; P=0.001), 34% (IRR=0.66; P≤0.001), and 32% (IRR=0.68; P<0.001) lower in frequent users after 3, 6, 9, and 12 months, respectively, versus nonusers. Sustained technique failure risk at 3, 6, 9, and 12 months was 33% (hazard ratio [HR]=0.67; P=0.020), 31% (HR=0.69; P=0.003), 31% (HR=0.69; P=0.001), and 27% (HR=0.73; P=0.001) lower, respectively, in frequent users versus nonusers. Among a subgroup of survivors of the 12-month follow-up, sustained technique failure risk was 26% (HR=0.74; P=0.023) and 21% (HR=0.79; P=0.054) lower after 9 and 12 months, respectively, in frequent users versus nonusers.

Conclusions

Our findings suggest frequent use of an RTM application associates with less hospital admissions, shorter hospital length of stay, and lower technique failure rates. Adoption of RTM applications may have the potential to improve timely identification/intervention of complications.
Čudovišnost Bogočovjeka
Authors: Petrušić Hrvoje
Published: March 2020

U našem radu analiziramo Žižekovo ateističko-materijalističko razumijevanje Hegelove filozofije Božjega utjelovljenja. Usredotočujemo se na pojmove čudovišnosti Krista i objave Božje smrti na križu. Pritom ističemo kristološki problematične točke takvog pristupa koji počiva kako na neutemeljenoj psihologizaciji sadržaja teologije, tako i na protuslovlju između unutarbožanskog/esencijalnog i ekonomijskog/spasenjskog poimanja Trojstva.
Usporedba
biblijskih citata iz Divkovićevih Besjeda s Kašićevom Biblijom
Authors: Horvat Marijana , Radošević Andrea
Published: March 2020

Matija Divković svoje je najopsežnije djelo ‘Besjede’ sastavio prema četirima latinskim zbirkama propovijedi. Iako nastalo u 17. stoljeću, ono većim dijelom slijedi retoričke i strukturne značajke srednjovjekovnih tematskih propovijedi koje su se u dobroj mjeri oslanjale na biblijski tekst, ali i na brojne komentare biblijskih knjiga. U ovom radu istražit će se Divkovićev odnos prema prevođenju biblijskih citata koji u ‘Besjedama’ imaju različite funkcije u skladu s načelima ‘ars praedicandi’. U svrhu analize njegovih interveniranja u biblijski tekst, čime je ponajprije pridonosio prenošenju jasne, utemeljene i ispravne moralne pouke, njegov će se prijevod usporediti s Vulgatom i Kašićevom Biblijom koja je po vremenu i okolnostima nastanka najbliža ‘Besjedama. Osim toga, takva usporedba pridonosi poznavanju razmjera Divkovićeva utjecaja ne samo na franjevačku književnost 17. i 18. stoljeća nego i na isusovca Bartola Kašića, autora prvoga prijevoda Biblije na hrvatski jezik. Vrijednost je tog prijevoda, među ostalim, i u tome što pokazuje da se Kašić koristio jezično-stilskim svojstvima starijih prevoditelja nabožnih djela i biblijskih tekstova. Osim analize Divkovićevih tumačenja biblijskih navoda i njihova stilskog obilježavanja, naša je namjera usporedbom s Kašićevom Biblijom pokazati da je na jezično-stilskoj razini postojala uporabna norma koju su nabožni pisci slijedili, tj. literarna koine koja je povezivala hrvatsku književnost dalmatinsko-dubrovačkoga kruga s bosanskofranjevačkim, a koja je utjecala na širenje štokavštine u pisanoj praksi i procese standardizacije hrvatskoga jezika na štokavskoj osnovici.
Bacterial Template Synthesis of Multifunctional Nanospindles for Glutathione Detection and Enhanced Cancer-Specific Chemo-Chemodynamic Therapy
Authors: Bao Yan-Wen , Hua Xian-Wu , Zeng Jia , Wu Fu-Gen
Published: March 2020

Biological synthetic methods of nanoparticles have shown great advantages, such as environmental friendliness, low cost, mild reaction conditions, and enhanced biocompatibility and stability of products. Bacteria, as one of the most important living organisms, have been utilized as bioreducing nanofactories to biosynthesize many metal nanoparticles or compounds. Here, inspired by the disinfection process of KMnO
4
, we for the first time introduce bacteria as both the template and the reducing agent to construct a novel tumor microenvironment-responsive MnO

x

-based nanoplatform for biomedical applications in various aspects. It is found that the bacterium/MnO

x

-based nanospindles (EM NSs) can efficiently encapsulate the chemotherapeutic agent doxorubicin (DOX), leading to the fluorescence quenching of the drug. The as-formed DOX-loaded EM NSs (EMD NSs) are proven to be decomposed by glutathione (GSH) and can simultaneously release DOX and Mn
2+
ions. The former can be utilized for sensitive fluorescence-based GSH sensing with a limit of detection as low as 0.28 
μ
M and selective cancer therapy, while the latter plays important roles in GSH-activated magnetic resonance imaging and chemodynamic therapy. We also demonstrate that these nanospindles can generate oxygen in the presence of endogenous hydrogen peroxide to inhibit P-glycoprotein expression under hypoxia and can achieve excellent tumor eradication and tumor metastasis inhibition performance. Taken together, this work designs a multifunctional bacterially synthesized nanomissile for imaging-guided tumor-specific chemo-chemodynamic combination therapy and will have implications for the design of microorganism-derived smart nanomedicines.
Novel ways of vacuum therapy application in burn injury medicine
Authors: Bogdanov S. B. , Marchenko D. N. , Polyakov A. V. , Karakulev A. V. , Bogdanova Yu. A.
Published: March 2020

Aim.To develop and improve new ways of surgical treatment for deep burn injuries and their consequences with use of vacuum therapy and cell technologies.

Material and methods.In the present article clinical examples of vacuum therapy application for two groups of patients are given. In the first group there were patients with total deep burn injuries of the body, the second group included patients with multiple scarry deformations of hands. In both groups during surgical treatment patients underwent autodermoplasty of wound defects with the subsequent imposing of vacuum dressings, in the first group the cell cultures of the frozen dermal allofibroblasts were also used.

Results.We achieved sufficient clinical outcomes in both groups.

Conclusion.Vacuum therapy creates optimal conditions for engraftment of autodermotransplantats and reduces terms of wound preparation for autoplasty.
Parathyroid hormone-related protein as predictor of urolithiasis disease development
Authors: Budanov A. A. , Medvedev V. L. , Kurzanov A. N. , Basov A. A. , Palaguta G. A. , Rusinova T. V.
Published: March 2020

Background. The present article studies a possible role of parathyroid hormone-related protein (PTHrP) in urolithiasis pathogenesis.

Aim. To consider PTHrP level as a predictor of the urolithiasis development.

Material and methods. We presented an analysis of treatment in 79 patients with primary and recurrent nephrolithiasis that had underwent surgical treatment in the Uronephrological Center of Scientific Research Institute – Ochapovsky Regional Clinical Hospital #1, Krasnodar from 2017 to 2019. All observed patients were divided in two groups: patients with primary and recurrent nephrolithiasis. A group of 10 relatively healthy people was included in the study as well. All patients and conditionally healthy people had a test for blood parameters; in particular, the level of parathyroid hormone-related protein was assessed in order to compare the indicators in all three groups.

Conclusions. The PTHrP level was showed to be statistically significantly different in patients with urolithiasis from the group with relatively healthy people. Groups with primary and recurrent nephrolithiasis show not difference in the level of PTHrP. Further studies are necessary to consider this protein as one of the predictors of urolithiasis and study its role in the pathogenesis of nephrolithiasis.
Risk stratification of thromboembolic complications development in surgical patients
Authors: Popandopulo K. I. , Porhanov V. A. , Karipidi G. K. , Vagin I. V. , Bazlov S. B. , Popov A. Yu.
Published: March 2020

Aim.Creating a mathematically based scale of risk stratification of thromboembolic complications in patients with acute abdominal organs pathology requiring urgent surgical treatment.

Material and methods.This work is based on data from 185 case reports of patients with acute surgical diseases of the abdominal organs that had undergone emergency operations. Clinical and statistical analyses were carried out and the most significant risk factors for venous thromboembolic complications were identified. By digitally estimating the specific gravity of each of the factors, the method of sequential probability ratio criterion was applied to the obtained data.

Results and discussion.Based on a retrospective analysis of clinical records, 13 most informative prognostic criteria for thromboembolic complications formed in the prognostic table were identified. Each sign, depending on its value, had a specific gravity. For the convenient using of the prognostic scale in practice, the indicators of natural logarithms are translated into arbitrary units (points). The results are checked on available archival records. The overall forecast reliability was 97%.

Conclusion.The proposed prognostic scale made it possible to optimize the likelihood of a feasibility study in patients with acute diseases of the abdominal organs.
Clinical efficiency of POEM operation in patients with achalasia of cardias
Authors: Gabriel S. A. , Dynko V. Yu. , Bespechny M. V. , Guchetl A. Ya. , Tlekhuray R. M.
Published: March 2020

In Regional Clinical Hospital #2 POEM was performed in 47 of these patients: 24 men, 23 women aged 18 to 80 years (average age = 54.4 ± 13.8 years) for 2017–2019. According to the severity of achalasia, the patients were divided as follows: with I–II degree – 12 patients (25.5%), with II–III degree – 20 patients (42.5%), with III–IV degree – 10 patients (21, 3%), with IV degree – 5 patients (10.6%). POEM results: 42 (88.4%) patients had a positive result, and 5 (11.6%) patients had a negative result.
Description of rare clinical case of AA-amyloidosis with involvement in pathological process of heart and lungs
Authors: Tatarintseva Z. G. , Kosmacheva E. D.
Published: March 2020

Amyloidosis is a unique group of disorders caused by the insoluble protein fibers accumulation known as amyloid fibrils in extracellular tissue and organ spaces. The involvement of different organs and tissues in amyloidosis is often the cause of missed or delayed diagnosis, and amyloidosis remains a major clinical problem as it is associated with 1/1,000 deaths in developed countries. We present a case of a 59-year-old female patient with complaints of breath shortness while talking, a sense of air lack in the horizontal position, swelling of the lower limbs, reduction of blood pressure to a minimum of 70/50 mm Hg, weight reduction by 7 kg in 6 months, dizziness. The patient was hospitalized to the Cardiology Department of Scientific Research Institute – Ochapovsky Regional Clinical Hospital #1 with heart failure. The electrocardiogram revealed left ventricular hypertrophy. Echocardiography showed biventricular myocardial hypertrophy with a maximum interventricular septum thickness of 16 mm, nonuniform ventricular myocardial structure and reduction of global left ventricular comparability to 38%. Computer tomography of chest organs demostrated interstitial swelling of parenchyma of both lungs. The infection during the further examination. For the final morphological verification of the diagnosis, it was necessary to perform peripheral transbronchial biopsy S 3, 4, 5 of the left lung and myocardial biopsy with specific staining on amyloid-congo – red. In the lung and myocardial biopsy, the colour of the congo red is positive. An immunohistochemical study of the lung tissue and myocardial sample revealed Amyloid AA expression. This case represents a rare cause of heart failure in a woman. A feature of this observation is the rare involvement in the pathological process of both pulmonary tissue and myocardium with AA-amyloid deposition.
'From These Youth Has Gone': Population Decline in the Lachlan Region of New South Wales, 1920-1947
Authors: Tierney Robert , Parton Kevin
Published: March 2020

This article analyses major events during the 1920s, 1930s, and 1940s affecting the Lachlan region, in New South Wales, in order to assess their relative impact on population change. The analysis juxtaposes the demographic changes taking place against the economic context of the time. The Lachlan region is compared with the four other wheatsheep regions of New South Wales and with the State generally. The paper demonstrates that population decline in the Lachlan region in the 1930s and 1940s was substantially greater than that of other wheat-sheep regions and of the State of New South Wales generally, and sets out to explain this anomaly. The Depression, the Second World War, drought over a sequence of years, and changing technology are shown, in combination, to be the underlying causes of substantial change that heralded the long-term drift of population from regional and rural NSW; especially so in the Lachlan region.
A preceptoria em saúde em diferentes cenários de prática
Authors: Junqueira Simone Rennó , Oliver Fatima Correa
Published: March 2020

Buscou-se instigar pós-graduandos a refletir sobre o reconhecimento do ensino em cenários de prática por meio de intervenção pedagógica realizada durante uma disciplina de mestrado. A partir das experiências pregressas na graduação e daquelas em desenvolvimento como profissionais em cenários de prática no Sistema Único de Saúde, foram problematizadas as potências e fragilidades das condições institucionais, profissionais e pessoais para favorecer o ensino no ambiente de trabalho, considerando-se os três níveis de atenção à saúde. Simultaneamente, estudos da literatura orientaram a reflexão sobre a importância da articulação entre instituições formadoras e os serviços tendo as necessidades de saúde como orientadoras da atenção e do ensino e entre diferentes atores implicados no cotidiano assistencial. Foi valorizada a preceptoria como fator essencial para acolher, estruturar e desenvolver o processo de ensino-aprendizagem. Nesta disciplina, todos foram estimulados ao pensamento crítico e à capacidade de análise e decisão sobre a preceptoria e a pesquisa desenvolvida.
A High Performance Kinetic Gas Molecule Optimization (KGMO) Based ADPLL for Induction Motors Control Applications
Authors:   Department of Electronics and Communication Engineering, Jeppiar SRR Engineering College, Chennai, India., Dwibedi Mr. Rajat Kumar , Logashanmugam* Dr.E. ,   Department of Electronics and Communication Engineering, Sathyabama Institute of Science and Technology, Chennai, India.
Published: March 2020

Nowadays control applications play a major role in different applications such as industrial automation, robotics, automobiles, power systems etc. The all-digital phase-locked loop (ADPLL) is a digital controller can be used commonly for all kind of control applications based on the application requirement. In the work, KGMO based ADPLL is proposed to perform the rotation control of an induction motor (KGMO-ADPLL-IMSC) under various load conditions by the varying current. The proposed ADPLL is tested in an induction motor (IM) to control the rotation of the motor under certain load conditions. Various parameters such as speed, torque, phase, amplitude and offset values are considered to generate the control signal. Root mean square error (RMSE) is considered as the objective function for the KGMO algorithm. Least error is considered for the best fitness function for the better performance. In this work, the current control technique is used to perform the rotation control of the induction motor. Various performance such as torque, speed and stability are measured under various load conditions. KGMO-ADPLL-IMSC design is implemented in an integrated MATLAB/SIMULINK environment under various inbuild and custom libraries. Experiments show that the KGMO-ADPLL-IMSC strategy is altogether improved the performance in terms of all performance evaluation graphs.
Health Monitoring System Based o n Foot Print u sing High End Processor
Authors:   Associate Professor, Department of ECE, Saveetha School of Engineering, SIMATS, , Chennai, India., Reji M. , Irfan A. Mohammed ,   UG Scholar, Department of ECE, Saveetha School of Engineering, SIMATS, Chennai, India.
Published: March 2020

Biometrics is used for identification in this article. This paper also describes how biometrics can leverage the boundless computational resources of the cloud and the striking properties of flexibility, scalability, and cost reduction to reduce the cost of the biometric system requirements of different computational resources (i.e. processing power or data storage) and to improve the performance of the processes of the biometric systems (i.e. biometric matching). The human footprint is known to have the new characteristics that could be used to identify the criteria for determining an individual's identity. The main objective is to develop image processing algorithms capability on a limited computing platform. We created the embedded framework that recognizes and accepts a person's identity. The paper's main purpose is to update the characteristics of the details, needs, and reports of the patient behind the implementation of a real-time base system. The foot picture of the human is segmented, and its key points are placed. The foot is arranged and trimmed, clipped according to key points, created and dimensioned. Colour establishes a crucial role in numerous footprint recognition applications. Due to the drawback of real-time software and Raspberry Pi technology, this effort based on lightweight methodology was primarily used.
An Intellectual Individual Performance Abnormality Discovery System i n Civic Surroundings
Authors:   Assistant Professor, Department of Computer Science and Engineering, IFET College of Engineering, Villupuram, India, David* Dr. D. Stalin
Published: March 2020

Each year the computerized visual investigation of behavior gives a few key building pieces towards an mental vision framework. The capacity to see individuals and their activities by vision may be a key for a machine to interface vigorously and effectively with a human-computer association world. Due to various conceivable basic applications, "watching people" is at show a standout among the foremost energetic application spaces in vision. One of the foremost applications of visual investigation is peculiarity location in human exercises. An irregularity can show up in different shapes they speak to the different levels of human security issues. The location and following of bizarre exercises in observation have propelled an expanding level of concentration in computer vision.A novel approach to screen an variation from the norm within the open environment, here a generalized system is created for following the deviation by extricating the neighborhood highlights utilizing traits as neighborhood thickness and movement vector. In this moderate highlight movement is affected by typical behavior of people and quick include movement affected by the unusual behavior of people, for way better discovery it includes in computing the movement outline for flow of movement vectors within the scene by coordination the movement and appearances. The test investigation illustrates the viability of this approach in comparison with classifiers which is proficient to run and accomplishes 96% execution, in any case, for compelling approval of the framework is tried with standard UMN datasets and claim datasets.
Diabetes Mellitus Prediction using Classification Techniques
Authors:   Department of Information Technology & Engineering Vellore Institute of Technology (VIT) Tamil Nadu, India., Hassan Abdulhakim Salum , Malaserene I. ,   Department of Information Technology & Engineering Vellore Institute of Technology (VIT) Tamil Nadu, India., Leema A. Anny ,   Department of Information Technology & Engineering Vellore Institute of Technology (VIT) Tamil Nadu, India.
Published: March 2020

Diabetes is a metabolic disease affecting people in almost every country and it may lead to severe problems like stroke, kidney failure or premature death if it is not predicted at the early stage. To mitigate this many researchers are working to predict the diabetes at early stage using several methods. Different accessible conventional techniques are carried out to diagnose diabetes depend on physical and substance tests. Several d ata mining methods were designed to overcome these uncertainties. Classification techniques like Decis ion Tree, K Nearest Nei ghbors, and Support Vector Machines are used to classify the patients with diabetes mellitus. The performance of the se applied techniques are determined using the factors precision, a ccuracy, Sensitivity, and Specificity. The results obtained proved that SVM outperforms decision tree and KNN with highest accuracy of 90.23%. Performance analysis of these classification methods helps us to decide which appropriate technique to choose in future for analysing the given dataset
An Automatic BJT Characteristic Extraction Device
Authors:   Department of Electronics and Communication Engineering, Vidyvardhaka College of Engineering, Mysuru, Karnataka, India., J.* Rakshith , H. Deepika C. ,   Department of Electronics and Communication Engineering, Vidyvardhaka College of Engineering, Mysuru, Karnataka, India., M. Lavanya ,   Department of Electronics and Communication Engineering, Vidyvardhaka College of Engineering, Mysuru, Karnataka, India., K. Chethan ,   Department of Electronics and Communication Engineering, Vidyvardhaka College of Engineering, Mysuru, Karnataka, India.
Published: March 2020

Bipolar Junction transistor (BJT) is one of the widely used electronic component which act as a switch or amplifier where the input, output characteristics indicates the proper functionality of its operation. Firstly this paper gives a brief review of existing methodologies and also various devices available in the industries to obtain transistor characteristics. Furthermore a system to automatically extract the input, output characteristics is proposed.
Assessment of Composites u sing Waste S ugarcane B agasse F ibre and Wood D ust P owder
Authors:   Assistant Professor, Department of Mechanical Engineering, Mahendra Engineering College, Namakkal - 637 503, India., R* Ramkumar , P Saravanan ,   Professor, Department of Mechanical Engineering, Mahendra Engineering College, Namakkal - 637 503, India.
Published: March 2020

The present work aims to investigate relating to natural fibre-based epoxy composites. This study is dealt with the fabrication and chemical treatment evaluation of waste sugarcane bagasse fibre and wood dust powder composite. Sugarcane bagasse fibre and wood dust powder found to be good bonding owing to its properties like light-weight, high specific strength, bio-degradability and so on. The sugarcane shells are collected from local juice job and then it is chemically treated along with removal of sugar, and then dried in open atmosphere in the presence of sunlight. It is then pulverized to particle sizes of 1.0 mm, 1.5 mm, 2.0 mm and with a weight ratio of 75:25, the epoxy resins are mixed through which the fibres with 6 mm thick mould composites are made with different flat-shape. As per ASTM standards, specimens are made for conducting the experiments such as density determination, moisture absorption and mechanical tests. The sugarcane bagasse/epoxy composites (SB/EC) with wood dust powder were chemically treated with benzoic acid and sodium hydroxide for obtaining the mechanical properties. The results show that chemically treated composites have more flexural and tensile strength as compared with untreated sugar-free SB/EC. Alkali (NaoH) treatment obtains the highest flexural and tensile strength as compared with benzoic acid treatment. Both flexural and tensile strength of synthetically(chemical) treated composites, in any case, discovered lower than those of untreated sugarcane bagasse filled composite when unwashed sugarcane bagasse which contained sugar. Thus without additional chemical treatment, sugarcane bagasse perhaps used as a reinforcing agent since sugar contributes to the mechanical properties of the composites.
Fake Comment Detection of Products
Authors:   Assistant Professor (S.G) in the Department of Computer Science and Engineering at SRM Institute of Science and Technology. Chennai, Tamil Nadu, Manoranjitham* T. , Ankit Kumar ,   pursuing Bachelor of Technology in Computer Science and Engineering at SRM Institute of Science and Technology. Chennai, Tamil Nadu
Published: March 2020

Millions of people all over the world use various kind of websites all over the world, be it Facebook, Twitter or the different shopping websites. They have impacted our life in a great way and specifically the shopping websites have made our life so much easier. To buy different products we don’t need to go anywhere. We can just sit at home and access these websites and order any item that we want to buy and it will be delivered at our home. Now one thing that all of us do before buying any product online is that we see the reviews of that product to know if the product is actually good or not. People used to do it long before the internet was even accessible. Then they used to take reviews directly from other people. This has been going on for a long time. Nowadays people browse thousands reviews available online before finally buying any product and they buy the product only if most of the reviews about the product are positive. It has happened with all of us that we want to buy a product but when we see that it has got many negative reviews , then we do not buy that particular product. Now the sellers know about this mind set of the people and they tend to play with it. What they do is that they hire people for writing fake reviews. These fake reviews can be of two types: 1) Good reviews using which their own product can be sold in big quantity. 2) Bad review so that they can defame some other product which is giving them competition. Many companies hire people so that they can write fake reviews and pay them good amount of money. Fake reviews weather a positive one or a negative one is bad and should not be entertained as it misleads the customer and it may also cause loss to the sellers. So we would like to know about these fake reviews and the people who write them so that we can protect people as well as the sellers from any kind of financial losses.
Behaviour of Partially Infilled Frames using Finite Element
Authors:   Civil Engineering Department, Anurag Group of Institutions, Hyderabad, India., Palvadi* Sai Avinash , Yadali Prathyusha ,   Civil Engineering Department, Anurag Group of Institutions, Hyderabad, India., Rachamalla Sai Kiran ,   Civil Engineering Department, Anurag Group of Institutions, Hyderabad, India.
Published: March 2020

This paper presents an explicit behaviour of Reinforced Concrete frame by considering the masonry infill wall material fully and partially in the structure. A two storey 2D frames of six different cases and 10 storey 3D building of four different cases with fully and partially assignment of infill masonry walls. Analysis was performed in E-TABS software for all the 10 cases by generating synthetic earthquake matched time history with response spectrum. The study was carried out the effect of infill wall on the behaviour of column. The results were discussed and maximum storey displacements were taken in to consideration to study the behavior of the structure. The Storey displacements for the ten cases were taken in to account and revealed that higher displacements were observed in the cases with the partial infill and effect on column due to the partial or absence of infill wall adjacent to the column.
Universal Design and Diminished Reality
Authors:   MIREA – Russian Technological University, Moscow,Russia., Zhigunova A.I. , Milchakova* N.E. ,   MIREA – Russian Technological University, Moscow,Russia., Sokolova M.L. ,   MIREA - Russian Technological University, Moscow,Russia.
Published: March 2020

The article describes such a state of the subject-spatial environment as diminished reality. The correlation of the principles of universal design with examples of diminished reality is analyzed. The formation of diminished reality is a promising area of activity for designers following the concept of universal design, because diminished reality contributes to a more comfortable human interaction with technology. The connection of diminished reality with mediaasceticism is analyzed: both of these phenomena are aimed at optimizing the operation of various devices and objects in the most comfortable way for the user, cutting off unnecessary functions, getting rid of unwanted interactions.
Use of Hot Stamping Technology in Packaging for the Blind and Visually Impaired
Authors:   MIREA - Russian Technological University, Moscow, Russia., Dryukova* A.E. , Chumakova S.A. ,   MIREA - Russian Technological University, Moscow, Russia.
Published: March 2020

Nowadays the principles of universal design are used practically in every sphere of design, but there is one particular direction of packaging design where those principles and rules are much needed. Typically, packaging includes different types of visual information, both graphic and text, such as list of ingredients, contained portions and illustrations. But this information is not available to all categories of the population, especially those who are blind and visually impaired. While Braille is only used on packaging of important drugs and drugs used by blind and visually impaired people it can and should be used to label food and other categories of goods. Conducted by a informational portal survey concluded that without help or escort visually impaired and blind people are not always able to navigate stores and understand what they are buying, especially when a lot of food of the same category use same shaped packaging. While it is possible to label packaging in Braille not every manufacturer decides to do so, partly to avoid designing and redesigning problems. Different design works show that it is possible to find a compromise, using blocks of tactile text, but also using various embossed symbols, drawings and ornaments to help blind people. It shows that it is possible to incorporate symbols in packaging design, using auxiliary elements as decoration, or tactile text itself as a design element. Braille font can perform as not only main informational function, but also artistic, as it is used as an element of decoration.