bluuebunny/crossref_metadata_2025 huggingface dataset:
CHARACTERISTICS OF THE NATURAL MOVEMENT OF THE POPULATION IN REPUBLIC OF NORTH MACEDONIA, 2018
Authors: Rushiti Mireme , Skenderi Fauzi , Hamiti Resul
Published: March 2020

The aim of this study is to analyse the demographic components, with focus on the changes that occur in the number of the population, the density by which is the country populated, the natural flow (movement) of the population, emphasis on the natural growth of the population. As elsewhere in the world, the population in the Republicof North Macedonia as well plays a main role and it is the main factor for the growth and development of the country. However, the population is subject to change and growth depending on various factors such as natural, economical and social factor. The demographic development is expressed through the indicators of the components of the natural movement: natality, fertility, mortality, etc. The number of the population is one of the key factors that is influencing the socio-economic development. As the population is both productive on one side and consumer of material goods on the other, production and consumption depends on the number of the population. Compared to the historical development of human society, in the Republic of North Macedonia, the role of the population in the production process has changed. These changes are most noticeable in the last decades, when the technical-scientific progress has taken a big step, thus significantly affecting the population-production ratios. At the end of the second millennium and the beggining of the third one in North Macedonia's geographic area, significant changes have taken place in the socio-economic plan and especially in the demographic one of its population. Special emphasis is given to the natural movement of the population, which affects the movement of the total population in the Republic of North Macedonia. In this paper we will treat the natural increase of the population in the Republic of North Macedonia for the period from 1994 to the present day, namely its ratio by nationality. Of particular importance in this paper are the spatial and national differences of the natural population movement in the Republic of North Macedonia, and mainly to present more clearly these differences, we have analyzed the latest 2018 data by the Statistical Office of the Republic of North Macedonia for the natural increase of the population of the municipalities, which we have presented in tabular, graphic and cartographic form. Given the differences in natural increase within the country, the expected results are foreseen in the discovery of relevant information about their changes, their trends, and the interaction between the basic indicators obtained by applying relevant statistical parameters and those that portray the development of Republic of North Macedonia over a given period of time. This paper attaches particular importance to the aforementioned demographic features during the period 2003 to 2018 at the state level.
CORRECT BODY POSTURE AND REMEDIATION OF A BAD BODY POSTURE AT PRESCHOOL AGE CHILDREN
Authors: Nikolić Miloš
Published: March 2020

Preschool children are in a period of the most intense growth and development, and this is also a period when physical education can be used more effectively to guide their proper development. On the other hand, if the necessary care is not taken, the occurrence of poor physical development of preschool children of young school age is increasingly emphasized as a problem, primarily as a consequence of the modern way of life, in which the reduced volume of physical activity is particularly emphasized. We want to emphasize that this is an age where the growth and development of children is very intense and accelerated, so the effects of external and internal factors in both directions are very large and this fact should always be taken into consideration by children's institutions, educators, doctors, parents and to give special care to it. The spinal column was especially endangered during this period, as a basis for proper posture and proper growth and development. Today's children spend most of their days at home, growing and developing with the control and influence of computers, mobile phones, video games and the end of the TV screen, so there is very little time to move around. The author, pointing to the problem, encloses the choice of therapeutic exercises with the application of which could be much influenced in order to prevent the occurrence of poor posture and the formation of physical deformities.
ESSENCE AND ALPHABETICS OF ADVERTISING OF MEDICINAL PRODUCTS
Authors: Zhelyazkova Dimitriya , Dimitrova Margarita
Published: March 2020

The article introduces the nature and features of advertising for medicinal products. The requirements for the advertising of medicinal products are determined by an ordinance of the Minister of Health. These are contained in the Law on Medicinal Products in Human Medicine (LMPHM). Pharmaceuticals are part of consumer goods. They are intended to meet precisely defined needs when a particular need arises, in a specific set of situations, and thus they are a kind of special commodity. The subject of alphabetics are the alphabets of the various sign systems. Advertisements for medicinal products are composed of the alphabets of at least five sign systems: verbal, clothing, colour, signs and physical characteristics. There are ads designed only for women, as well as the specific female ads intended for the mother and baby. There are others presenting the masculine position. Typical language strategies in their use are binding them to different types of sentences by speech, their participation in dialogical text structures, in antitheses, in different types of repetitions. The parts of speech used and their specific grammatical features in the realization of the creative are described in detail. The predominant chromatems are also given. The contribution of language takes an important place in the realization of commercial goals in the semiotic realization of ads.
VAULT - „HANDSPRING FWD ON – TUKED SALTO FWD OFF“ - TRAINING IN THE STAGE OF SPORT IMPROVEMENT (AGE 10-11)
Authors: Tankusheva Neli , M. Tankusheva Nikolina
Published: March 2020

From the observations made at international competitions for juniors – European championships (ECh) and European Youth Olympic Games (EYOG) and the first ever World Championship (WCh) for girls - 2019, we found that some of the most commonly performed vaults are “Yurchenko” from IV structural groups. To get to the finals of this apparatus, each gymnast must complete a second vault from a different group. The best gymnasts also perform the Voults from structural group II - “Handsprig fwd”. The present study aims to optimize the training method of training the Vault “Handsprig fwd”, in girls in the stage of sport improvement (age 10-11). Within the period 2018-2019 a sports and pedagogical experiment was conducted in which Bulgarian gymnasts at 10-11 years of age were studied. The experimental methodology is focused in 3 main directions: physical qualities – particularly with regards to vault; jumps from trampoline, preparatory exercises for vault apparatus from II structure group. The study found that the age of 10-11 years is most appropriate for initial training of “Handsprig fwd” vault. The conducted pedagogical experiment confirms the necessity of obligatory inclusion of trampoline and special physical preparation work in the weekly training program cycle, equivalent to the four female apparatuses. Deliberate work on the proposed methodology has led to positive results in the experimental group. The prepared multimedia computer product is designed for the needs of gymnastics.
RESEARCH ON THE KNOWLEDGE OF TERMINOLOGY AND ETIQUETTE IN JUDO OF CHILDREN FROM 7 TO 10 YEARS OF AGE
Authors: Yaneva Anzhelina , Lukanova Valeria
Published: March 2020

The purpose of this study is to check the knowledge of the judo terminology and judo etiquette of children from 7 to 10 years of age, practicing judo in different sports clubs in Bulgaria. The clubs where the survey is conducted are selected by several indicators:- The coaches of the judo work on the Dan-Kyu system (technical degree in judo) for preparation and promotion;- The coaches work with children aged 7 to 10 years.- There is consent of the parents to conduct the study with the children.Using the method of inquiry and interview, a study was conducted with children practicing judo in five sports clubs at Sofia and two of the province. Two main problems have been investigated:- Knowledge of Judo terminology and its use;- Knowledge of the judo etiquette and its application.The results of the survey are processed by the EXCEL program and presented graphically. The analysis shows that most of the children surveyed know the terminology, but they do not associate it with its Bulgarian meaning. For the etiquette in judo, the knowledge of the children is limited to the basic rules and the meaning and the order of observance are not known.
SUCCESSFUL PERFORMANCE OF BASKETBALL TEAMS DEPENDING ON PERCEPTION OF COACH LEADERSHIP QUALITIES
Authors: Vasileva Polina , Peltekova Iren
Published: March 2020

The subject of the study is the leadership qualities of basketball coaches. The purpose of this study is to determine whether there is a link between the leadership qualities of basketball coaches and the team rankings.The study included 12 women's basketball teams - 6 Italian and 6 Bulgarian. The Italian basketball clubs participate in the Unione Italiana Sport for all (UISP) Championship and the Bulgarian in the National University Championship (NUS). 172 people were examined and were divided into competitors (n = 160) and coaches (n = 12).The final ranking of the teams is the ranking in the respective championships (Lombardy in Italy and Sofia in Bulgaria). The possible successes of the teams after the regional championship phase (for example, participation in a national championship or playoffs) have not been observed.The empirical study was conducted with a specially transformed and modified version of the Multivariate Leadership Questionnaire (MLQ) developed by Bass (Bass & Avolio, 1989). The questionnaire contains a total of 15 questions and five of the questions focus on three types of leadership. The rating includes a scale from 0 to 4 for each item. The questionnaire was translated into Italian and Bulgarian. The tool consists of two parts. The first component is the leader's (coach's) self-esteem with regarding his leadership style, and the second is the assessment made by the followers (players) regarding their perceptions of the leader's (coach's) behavior. The questionnaires were distributed to some teams via the Internet and to others directly at the training site for short-handed completion and returned directly to the researcher. The collection was made simultaneously in Italy and Bulgaria. Correlation analysis and multiple linear regression analysis were used to process the obtained data.The analysis of the results shows that the ranking is aggravated by the growing differences in perceptions of the leader (coach) and followers (players) of the leadership style practiced mainly by the leader. It is observed that participants who receive low values of deviation in perceptions are more efficient. Taking into account external factors, we note that 43% of team rankings are explained by differences in perceptions, age, team years, number of teams changed, and training hours per week. Age factors, team years and the number of teams changed per player have a minor effect on the ranking. The factor that showed more importance for presentation was the weekly training hours.
STRUCTURE OF MOTOR OPPORTUNITIES OF BASKETBALL STUDENTS - WITH DIFFERENT BASKETBALL EXPERIENCE
Authors: Kasabova Larisa
Published: March 2020

The purpose of this investigation is to determine which indicators are directly relevant to the level of physical and special fitness of basketball players with different levels of training - basketball experience. It was accomplished by revealing the factor structure and identifying the main factors of preparation for college basketball students with different basketball experience. The investigation contingent consists of 36 students divided into groups according to their basketball experience - from first and second year basketball practitioners in the "Sport of choice - basketball" groups of (UNWE-Sofia). For the purposes of the study, they were subjected to sports pedagogical tests. 18 indicators carrying information on the level of development of physical and special fitness. Four factors were identified for each group. The most important contributors to the factor structure of Group I are the "Special Coordination" and "Techno - tactical" factors. The third and fourth are the factors "Speed - Strength Preparedness" and „Overall physical fitness " and in the 2nd group, that of the 1st year students is first the factor "Physical fitness", the second factor is "Coordination abilities", the third factor is "Techno - tactical" and the fourth is "Speed - power".The structural differences in the motor abilities of the students from the two groups create prerequisites for differentiating the educational work by relevance.
SPECIAL FEATURES IN DEVELOPMENT OF SPEED-POWER QUALITY AT THE MODERN EDUCATIONAL-TRAINING SYSTEM OF 15 - YEARS-OLD FOOTBALL PLAYERS
Authors: Simeonov Kamen
Published: March 2020

Modern football game is linked to the introduction of science and technical progress, strict laws ofprofessionalism and the increasing mass scale and popularity of the game among teenagers. Modern science has determined that football game occurs based on the idea of ball games, supporting the development and culture of the peoples since ancient times to the present day and history acquired phenomenon in public life. The magic of football game was created in its content dynamics and the uniqueness of the game situation, the possibility individually each playing to manifest in the complex collective interactions to develop thought processes, seekingto realize their abilities for the benefit of the collective idea. Most current task in the modern theory and methods of training at 15 year-old is the optimization of the educational and training process. Management of the multiannual sports training of young players is a purposeful process of impact from the coach regarding a particular facility (team and riders) providing optimal solutions to common and specific tasks of preparing for reliably achieving the strategic objective - bringing the subject to conditions of high sports mastery. The young footballer is a subject of influence which by peculiarities of their behavior (level of preparedness) reflects the effectiveness of impact. Adolescents players in the course of its diverse and targeted training "consume" the training impact and behavior become carriers of feedback on the adequacy between effort and improvement of functions. Management functions coach is perceived as control of the various countries of the preparation of the player and making adjustments for adequate reflection. The main means of education and training of young players are generally developing specially-preparatory exercises and racing. At the stage of specialization cover age period 15-16 years continues specialized work to develop and maintain strength, endurance, agility and quickness types in young players. The aim of this study is to improve speed-strength training 15-year-old through an innovative system of organization and planning of the training process in basic training cycles. As part of this system is developed by our model specifically targeted resources to develop speed-strength qualities of the trainees. This process includes three main points: choice of means and methods of training depending on age morphofunctional features and level of sports training of trainers; clarification of approaches to the application of specially-targeted exercises for speed-power training; strengthening the system for monitoring and evaluation of the physical condition of young players as a whole and its individual components.
Is it possible to programmatically generate Vaporwave?
Authors: Chauhan Navan
Published: March 2020

Vaporwave is an internet mediated musical genre which emerged as an ironical variant of chillwave on internet chat groups. Even though vaporwave started in the early 2000s, it was not until the 2010s when it started gaining momentum. It is defined by its slowing down samples of 1980s songs, excessive use of reverb and choppy nature. This article deals with the blueprint for creating a vaporwave track and concludes with three generated vaporwave tracks. The approach taken in this articles differs from traditional machine learning oriented approaches as vaporwave heavily relies on remixing rather than creating original content.
Lab Manual for Metrology and Machine tools
Authors: Reddy Araveeti C S , Prakash Gnana
Published: March 2020

In this lab course, students can understand different machining processes through laboratory experiments. The students must have a fairly good understanding of the theory underlying the experiments before doing the experiments. The students can perform various tests such as 1. Use of gear teeth vernier callipers for checking the chordal addendum, 2. Machine tool alignment of test on the lathe, 3. Toolmakers microscope and its application, 4. Angle and taper measurement by bevel protractor and sine bar, 5. Use of spirit level and optical flats in ?finding the the flatness of the surface plate, 6. Thread measurement by 2-wire and 3-wire methods, 7. Introduction to general-purpose machine tools- lathe, drilling,milling and shaper machines, 8. Step Turning and aper turning on lathe machine, 9. Thread cutting and knurling on lathe machine, 10. Drilling and tapping operations
Initial Decipherment of Indus script
Authors: Santhakumari Ramkumar Unnipillai
Published: March 2020

A partial decipherment of Indus script is described. Sound values for Indus characters , readings obtained and conclusions derived are explained here. The Indus script seems derived from Protocuneiform script and in turn Brahmi script seems derived from the Indus script. The decipherment seems to indicate that the seals were a form of identification. There is evidence of an early form of caste system prevalent among Dalits in Southern India in these seals. The readings show that the language used was of Dravidian origin
Deep Ensemble Learning-based Smart Teaching
Authors: Chatterjee Rajdeep
Published: March 2020

In the traditional system, a teacher observes its students' attention levels from his/her experience. To date, there is no system that automatically tracks the attention level of the students in a class in real-time (that is while the lecturer delivering his/her lectures or student watching tutorials). This paper aims at improving the lecture delivery mechanism in real-time in a classroom. On the other hand, our proposed system periodically will not only monitor the learning behaviour of the whole class but also track the attentiveness of each student. The proposed system is not meant to identify the non-attentive students and punish them. Rather contrary to the punishment based mechanism, it introduces a counseling based mechanism. This deep learning-based real-time face monitoring system will allow lecturers to improvise his/her delivery either through bringing diversity in the class contents or personal care to those non-attentive students. The concept of deep ensemble learning has been used with convolutional neural networks to predict the percentage of openness of eyes. Separately, the positive facial postures of a student are also recognized using our model of convolutional neural network. Finally, the net learning behaviour of the student has been computed by a weighted average of these two features (that are, eyes openness and facial postures).
Object Localization Using RF Based IEEE 802.11 Frame Transceiving with FER Based RSSI Controlled Calibration
Authors: Gorla Praveen , Sanguankotvhakorn Teerapat , Saengudomlert Poompat
Published: March 2020

This thesis presents an approach of integrating single board computers as an access point and as a short-range object localization system. This is achieved by using open hardware and implementing IEEE 802.11 a/g/p based transceiving on low-cost Adlam Pluto Software Defined Radio (SDR), which operates in the S-band frequency range with Frame Error Rate (FER) controlled calibration. Experiments are conducted to investigate the effect of FER on the Received Signal Strength Indicator (RSSI) of IEEE 802.11 a/g/p transceiving, there by drawing the connection between the RSSI and the FER. Object localization is done based on the referenced RSSI and the real-time RSSI with FER based controlled calibration of RSSI. About 80% of accuracy can be expected from the implemented object localization system.
Violencia contra el personal de salud en el Perú: del discurso a la acción
Authors: Mayta-Tristán Percy , Raa-Ortiz Daniel
Published: March 2020

La violencia, en cualquiera de sus formas, es un acto inaceptable caracterizado por la pérdida elemental del respeto por la dignidad e integridad de la persona humana. Cuando esta agresión se dirige contra el personal de salud en funciones, quienes se exponen diariamente en la loable labor de asistir, curar y acompañar a una persona que necesita de ellos para recuperar o mantener su salud, no debe ser tolerada y se tiene que buscar los mecanismos necesarios para protegerlos [1]. Lamentablemente, la violencia contralos trabajadores de la salud es cada vez más frecuente, diversos reportes en Estados Unidos [2], China [3], India [4], España [5], Bélgica [6] estiman que al menos uno de cada dos médicos ha tenido una experiencia de violencia en el lugar de trabajo en su vida, la cual puede ser verbal, psicológica, física o sexual.
Alanina aminotransferasa como marcador en el diagnóstico de síndrome metabólico y riesgo cardiovascular en niños con obesidad
Authors: Cabrera Ysel , Martínez Melissa , Cabello Almendra , Cabello Almendra , Pereyra Samuel , Villafuerte Susan , Cabello Emilio
Published: March 2020

Objetivo: Evaluar la alanina aminotransferasa (ALT) como marcador en el diagnóstico de síndrome metabólico (SM) y riesgo cardiovascular (RCV) en niños con obesidad exógena.Materiales y métodos: Estudio transversal. Se incluyeron niños con obesidad exógena de 2 a 14 años, atendidos en la Unidad de Endocrinología Pediátrica del Hospital NacionalCayetano Heredia, entre el 2014 al 2018. Se definió enfermedad hepática no alcohólica (EHNA) considerando dos puntos de corte de ALT; en mujeres: >22,1U/L y >44U/L, en varones: >25,8U/L y >50U/L. Se definió SM según la Academia Americana de Pediatría y RCV con TG/HDL-C ≥3,5. Aplicamos Chi cuadrado, considerándose significativo p<0,05. Estimamos sensibilidad(S), especificidad (E) y likelihood ratios (LR). Resultados: Se incluyeron 347 niños obesos (54,7% varones). La frecuencia de EHNA fue de 23,1%. La sensibilidad y especificidad para el diagnóstico de SM con ALT >22,1U/L y >25,8U/L fue 79,4% y 37,6% respectivamente y, con ALT>44U/L y >50U/L fue 28,6% y 83,3%. La ALT con punto de corte mayor en conjunto con TG/HDL-C≥3,5 mostró una especificidad del 96,9% y un likelihood ratio + (LR+) de 6,7. Conclusión: La ALT con un punto de corte >44U/L en mujeres y >50U/L en varones, es un marcador bioquímico útil en la identificación de SM y riesgo cardiovascular en niños con obesidad exógena desde los primeros años de vida.
Factores asociados al incumplimiento del despistaje oportuno con papanicolaou en la detección temprana del cáncer de cérvix en un centro poblado rural
Authors: Aldave-Zamora Antonio , Apolaya-Segura Moises
Published: March 2020

Objetivo: Determinar los factores asociados al incumplimiento del despistaje oportuno con Papanicolaou (PAP) en la detección temprana de cáncer de cérvix. Materiales y métodos:Se realizó estudio transversal analítico, en mujeres entre 21 a 29 años atendidas en un Centro de Salud de la zona rural de Lima, Perú. Se evaluaron variables sociodemográficas,percepciones de cáncer de cérvix e incumplimiento de realizarse la prueba de PAP (falta de PAP en últimos tres años). Resultados: Se estudiaron a 130 mujeres de 25,4 ± 2,9 años,donde el 53,85% (N=70) eran incumplidas en PAP. Los factores asociados al incumplimiento de PAP fueron la percepción de susceptibilidad de desarrollar cáncer de cérvix (RP [razónde prevalencias]: 0,15; IC 95%: 0,04 – 0,49), percepción de barreras para realizarse el PAP (RP: 3,95; IC 95%: 1,34 – 11,60), y la percepción de realizarse el PAP (RP: 9,22; IC 95%: 2,78– 30;51). Conclusiones: Existe una frecuencia elevada de incumplimiento de PAP, los cuales están principalmente asociadas a las percepciones sobre el cáncer de cérvix.
Factores asociados al síndrome de fragilidad en adultos mayores que acuden a consulta externa de Geriatría del Hospital Nacional Hipólito Unanue, Lima-Perú
Authors: Chuquipoma-Quispe Lizeth I. , Lama-Valdivia Jaime E. , De la Cruz-Vargas Hony A.
Published: March 2020

Objetivo: Determinar los factores asociados al síndrome de fragilidad (SF) en los adultos mayores atendidos en el consultorio externo de Geriatría del Hospital Nacional Hipólito Unanue (Lima-Perú) durante el mes de febrero del 2019. Materiales y métodos: se realizó un estudio observacional, analítico, transversal. Para la detección del SF se empleó el cuestionario de FRAIL. Se recogieron datos demográficos y clínicos, se realizó una valoración funcional, cognitiva, afectiva, nutricional y social, de los pacientes incluidos en el estudio, utilizando los componentes de la valoración geriátrica integral. Se obtuvieron medidas de frecuencia, de asociación y de significancia estadística, entre la variable dependiente SF y las variables independientes. Se calcularon los OR con IC al 95%, considerándose un valor p < 0,05 como estadísticamente significativo. Resultados: de 180 pacientes estudiados, 34 (18,9%) fueron frágiles, 100 (55,6%) pre frágiles y 46 (25,5%) robustos. En el análisis multivariado se identificaron como factores asociados con el SF: edad > 80 años (OR = 11,65; IC 95%: 3,64-37,24, p < 0,001), deterioro cognitivo (OR = 9,23; IC 95%: 2,48-34,27, p = 0,001), depresión (OR = 3,37; IC 95%: 1,22-9,29, p = 0,010) y desnutrición (OR = 2,97; IC 95%: 1,05 – 6,55, p = 0,023). Conclusiones: el SF es una condición frecuente en la consulta externa de Geriatría y en nuestro estudio se asoció con una edad mayor de 80 años, deterioro cognitivo, depresión y desnutrición. Un grupo significativo de pacientes tuvo la condición de prefrágiles.
Parálisis residual posoperatoria tras anestesia general sin monitorización neuromuscular objetiva: un estudio observacional en el Hospital Regional Docente de Cajamarca, Perú
Authors: NSilas Vela-Vásquez Rolando , Hurtado-Tello María Maribel
Published: March 2020

Objetivo: Determinar la incidencia y severidad de la parálisis residual en pacientes sin monitorización neuromuscular intraoperatoria. Materiales y métodos: Se realizó un estudioprospectivo y observacional en 236 pacientes adultos ASA I-III intervenidos bajo anestesia general sin monitorización neuromuscular intraoperatoria. A su llegada a la Unidad de Cuidados Post-Anestesia (UCPA) se realizó la monitorización neuromuscular mediante aceleromiografía del músculo aductor del pulgar. La incidencia de parálisis residual con TOF ratio (TOFr) < 0,9 y TOFr < 0,7 fueron valorados. Resultados: La incidencia de parálisis residual en la UCPA con TOFr < 0,9 fue de 81,36% (IC 95%: 76,39-86,33) y con TOFr < 0,7 fue de 33,9% (IC 95%: 27,86- 39,94). La neostigmina fue utilizada para revertir el bloqueo neuromuscular solamente en el 48,3% de los casos. La incidencia de parálisis residual con TOFr < 0,7 fue significativamente mayor entre los que no recibieron antagonistas del bloqueo neuromuscular y los que sí lo recibieron (42,62% vs. 24,56%, p=0.003). Conclusiones: La incidencia y severidad de la parálisis residual posoperatoria en pacientes sin monitorización neuromuscular fue elevada en nuestra institución, probablemente favorecida por una dosificación no guiada de los relajantes musculares, la escasa utilidad de los criterios subjetivos para valorar la recuperación de la función neuromuscular y la falta de reversión rutinaria del bloqueo neuromuscular.
Características epidemiológicas de los traumatismos oculares en un instituto oftalmológico de referencia regional, Trujillo Perú, 2016 - 2017
Authors: Díaz-Mendoza Jerson J. , Chirinos-Saldaña Magda P. , Uribe-Villarreal José , Hilario-Vargas Julio , Adrianzén Rosa E.
Published: March 2020

Objetivo: Describir las características epidemiológicas de los traumatismos oculares atendidos en el Instituto Regional de Oftalmología (IRO). Materiales y métodos: Estudio descriptivo y prospectivo, en el cual se aplicó un protocolo estandarizado de registro de datos demográficos y clínicos de pacientes con traumatismos oculares que acudieron al servicio de emergencia del IRO, entre enero 2016 y abril 2017. Resultados: Un total de 1 288 pacientes cumplieron los criterios de selección, la edad promedio fue de 37 años, en su mayoría los afectados fueron varones (84,7 %) y el grupo etario más afectado fue el de 21 a 40 años (46,7 %). Los accidentes laborales fueron la causa más frecuente (63,7 %), ocurriendo principalmente en trabajadores de metalmecánica, construcción y albañilería; seguido de los accidentes domésticos (19,2 %). El 95,4 % fueron traumatismos cerrados, predominantemente con compromiso unilateral, ocupando el primer lugar los cuerpos extraños corneales (73,4 %), seguido de las contusiones (16,2 %). El 56,2 % de traumatismos abiertos fueron penetrantes restringiéndose el daño principalmente a la córnea (64,9 %). El 52,6 % de pacientes con traumatismo abierto terminaron con agudeza visual entre 4/200 y no percepción de luz. Conclusiones: Los traumatismos oculares cerrados fueron los más frecuentes y afectaron a pacientes jóvenes, de sexo masculino que laboraban en industria metalmecánica y construcción; siendo los cuerpos extraños corneales metálicos el principal tipo. La mayoría de los traumatismos abiertos tuvieron un pobre pronóstico visual luego de su reparación quirúrgica.
Mucormicosis diseminada en un paciente diabético: un reporte de caso
Authors: Vargas Herrera Natalia , Saavedra Velasco Marcos , Contreras Calero Elías , Ramos Castillo Wilder , Mendo Urbina Fernando , Pichardo Rodriguez Rafael
Published: March 2020

La mucormicosis es una infección fúngica altamente mortal que se presenta en pacientes con algún grado de inmunosupresión, siendo la forma rinocerebral la más común. Es el primer reporte en el Perú de mucormicosis diseminada con compromiso multisistémico en un paciente con cetoacidosis diabética. Se presenta el caso de un varón de 47 años diabético procedente de la selva peruana con cuadro de insuficiencia respiratoria en ventilación mecánica. A su ingreso presenta leucocitosis, acidosis metabólica anion gap elevado, hiperglicemia e hipoalbuminemia. Posteriormente, es intervenido quirúrgicamente en tres oportunidades por presentar abdomen agudo con hallazgos en la patología de necrosis y perforación de varios órganos, falleciendo a los pocos días. Paciente se encontraba recibiendo su quinta dosis de anfotericina B deoxicolato. Se observaron hifas con angulación recta compatible con mucormicosis en estómago, intestino y pulmón.
Mieloma múltiple con metástasis cutáneas y testiculares recurrente después trasplante autólogo de médula ósea: relato de caso
Authors: Brandenburg Thaís B. , Zanini Júlio C. , Schossler-Loss Francisco
Published: March 2020

Se relata el caso de un paciente masculino de 56 años con mieloma múltiple (MM) y presencia de plasmocitomas en tejido celular subcutáneo y en testículo. El paciente tenía el antecedente de MM tratado con quimioterapia y trasplante autólogo de médula ósea y que después de 4 años de remisión de la enfermedad presentó recidiva ósea, la misma que fue tratada con quimioterapia e inmunoterapia. No hubo respuesta satisfactoria a los primeros ciclos del tratamiento con progresión de la enfermedad ósea y surgimiento de nódulos en dorso, puño y testículo sospechosos de recidiva de la enfermedad. Se procedió a resección de las lesiones en el dorso y puño que, en el examen anatomopatológico, fueron compatibles con neoplasia maligna y la prueba de inmunohistoquímica confirmó que se trataba de metástasis del MM. Se optó por la continuidad del tratamiento hasta completar los 12 ciclos propuestos, pero no hubo mejoría de las lesiones además de la aparición de nuevas lesiones en tejido celular subcutáneo y región perianal, con empeoramiento clínico. El paciente falleció después de dos meses de cuidados paliativos.
Síndrome Sapho: reporte de caso
Authors: Villar Anghelina , Montes Martín , Bravo-Puccio Francisco , Málaga Germán
Published: March 2020

El síndrome SAPHO es una enfermedad inflamatoria de origen multifactorial que incluye una asociación entre manifestaciones dermatológicas y osteoarticulares. La presencia de osteítis e hiperostosis definen la enfermedad. No existe un tratamiento estándar, pero se usan AINES como primera línea. Se presenta el caso de un varón de 18 años con acné severo en dorso, pecho, barbilla y zona retroauricular, asociado a fiebre alta y placas eritematosas en ambas piernas. La gammagrafía presenta hipercaptación en tibia derecha, con relación a osteítis no infecciosa. Tuvo evolución favorable con antibióticos y corticoide oral.
Modelo de licenciamiento de los programas de pregrado de Medicina en el Perú
Authors: Zegarra Rojas Oswaldo
Published: March 2020

La Ley Universitaria N° 30220, crea la Superintendencia Nacional de Educación Superior Universitaria – SUNEDU, estableciendo dentro de sus funciones la de aprobar o denegar lassolicitudes de licenciamiento tanto a universidades como a programas de estudio en forma obligatoria. La SUNEDU luego de avanzar en el proceso de licenciamiento institucional deuniversidades, inicia el licenciamiento de los programas de pregrado de medicina, como primer programa priorizado, por ser considerado de necesidad para la población asegurar que las instituciones que imparten esta carrera cumplan con las condiciones básicas de calidad en forma adecuada. Luego de un largo proceso, que conllevó socializar la propuesta del modelo con las instituciones académicas, formadoras y organizaciones afines a la medicina se aprobó el modelo de licenciamiento de los programas de medicina en el Perú, que es el que presentamos en este artículo.
Encuesta Healthcare Management Americas 2018 sobre la cultura de seguridad del paciente en el Perú
Authors: Arrieta Alejandro , Hakim Galed , Pérez-Zárate Cory , Siu-Guillén Hugo , Neves-Catter Cesar
Published: March 2020

En el año 2016 presentamos en esta revista los resultados de la primera encuesta de cultura de seguridad del paciente en el país [1,2]. La encuesta de Healthcare Management Americas (HMA) que se aplicó a más de 1 600 profesionales de salud reveló serias deficiencias en los establecimientos de salud públicos y privados en términos de seguridad del paciente. En este documento presentamos los resultados de la segunda ronda de la encuesta HMA aplicada en el año 2018. Nuestros resultados son desalentadores. En dos años no se han observado cambios significativos que indiquen una mejora en la cultura de seguridad del paciente en hospitales peruanos.
Relación de Revisores del Año 2019
Authors: Mayta-Tristán Percy
Published: March 2020

El Comité Editor de la revista Acta Médica Peruana (AMP) agradece a cada uno de los destacados profesionales, expertos en sus respectivas áreas, quienes han colaborado de forma desinteresada y con celeridad en la revisión de los manuscritos que les fueron enviados para su evaluación.
KECERDASAN EMOSI DAN ORGANIZATIONAL CITIZENSHIP BEHAVIOR PADA PERAWAT
Authors: Mubarok Ary Fajar , Sedjo Praesti , Prabawati Ira Norma
Published: March 2020

Kompleksitas tugas perawat saat bekerja di rumah sakit menuntut kestabilan emosi serta kejernihan pikiran dalam menjalaninya. Hal ini perlu dilakukan untuk meminimalisasi konflik psikologis dan tekanan kerja karena beratnya tugas yang harus dilakukan perawat saat bekerja. Tujuan dari penelitian ini adalah untuk mengetahui hubungan kecerdasan emosi dan organization citizenship behavior (OCB) pada perawat. Penelitian ini menggunakan metode kuantitatif. Sampel penelitian ini adalah 104 perawat. Teknik pengambilan sampel penelitian ini menggunakan purposive sampling. Diketahui bahwa hipotesis diterima yang berarti terdapat hubungan positif yang signifikan antara kecerdasan emosi dan OCB pada perawat. Hal tersebut menunjukan bahwa semakin tinggi kecerdasan emosi maka semakin tinggi OCB, atau sebaliknya, semakin rendah kecerdasan emosi maka semakin rendah OCB.
PERAN HARGA DIRI TERHADAP PROKRASTINASI AKADEMIK PADA MAHASISWA YANG BERORGANISASI
Authors: Nuramaliana Ratna Ningtiyas , Harsanti Intaglia
Published: March 2020

Penelitian ini bertujuan untuk mengetahui apakah terdapat pengaruh harga diri terhadap prokrastinasi akademik pada mahasiswa yang mengikuti organisasi. Penelitian ini menggunakan metode kuantitatif. Pengambilan data dilakukan dengan menggunakan kuesioner harga diri dan prokrastinasi akademik Sampel dari penelitian ini adalah mahasiswa yang aktif mengikuti organisasi. Teknik sampling yang digunakan dalam penelitian ini adalah purposive sampling dengan jumlah sampel sebanyak 100 responden. Berdasarkan analisis yang telah dilakukan dengan analisis regresi sederhana dapat diketahui bahwa hipotesis diterima yang berarti bahwa terdapat pengaruh yang signifikan harga diri terhadap prokrastinasi akademik pada mahasiswa yang mengikuti organisasi. Harga diri memberikan pengaruh sebesar 4% terhadap prokrastinasi akademik dimana sisanya 96% merupakan faktor lain yang mempengaruhi di luar penelitian.
ANALISIS NILAI OVERALL EQUIPMENT EFFECTIVENESS (OEE) UNTUK MENINGKATKAN PERFORMA MESIN EXUDER DI PT PRALON
Authors: Hamda Pahmi
Published: March 2020

Mesin merupakan salah satu peranan penting dalam keberhasilan suatu perusahaan dalam memenuhi permintaan konsumen. PT Pralon perusahaan industri yang bergerak dibidang pembuatan pipa pelastik. Produk yang dihasilkan salah satunya adalah pipa berbahan pelastik jenis HDPE. Permasalahan yang terjadi adalah rendahnya efisiensi produksi pipa tersebut terutama dalam penggunaan mesin yang disebabkan tidak tercapainya produktivitas mesin. Mesin produksi yang digunakan sering mengalami breakdown terutama pada mesin exuder tipe HDPE No.4 dengan besar persentase breakdown sebesar 17,432%. Berdasarkan permasalahan tersebut maka dilakukan analisis Total Productive Maintenance (TPM) dengan menggunakan metode Overall Equipment Effectivenes (OEE) dan dilakukan analisis diagram sebab akibat untuk usulan perbaikan. Hasil analisis menunjukkan Overall Equipment Effectivenes (OEE) untuk mesin exuder diperoleh rata-rata sebesar 37,129%, dimana dengan aktivitas yang diukur pada indeks ketersediaan sebesar 94,618%, kinerja sebesar 39,321%, dan kualitas sebesar 99,845%. Perbaikan yang diusulkan yang pertama adalah menjalankan perawatan pencegahan berdasarkan jadwal perawatan yang telah direncanakan serta membuat laporan diakhir kegiatan perawatan. Usulan berikutnya adalah meningkatkan manajemen pemasaran untuk dapat meningkatkan permintaan setiap periodenya sehingga mengurangi waktu mesin mengganggur. Usulan ketiga mengenai pengadaan spare part harus lebih aktif agar tidak terlalu lama apabila terjadi masalah pada mesin yang diharuskan mengganti komponen mesin.
Emphasis on Maintenance as Traffic Increasing Every Years -Ports
Authors:   scholar, Department of Mechanical Engineering, Andhra University, Visakhapatnam, Andhra Pradesh, India., Babu* G. Vara Prasad , Devi Prof. M. Pramila ,   Principal, women’s college of engineering, Andhra university, Visakhapatnam, Andhra Pradesh, India,
Published: March 2020

Maintenance plays a very pivotal role in the availability of the equipment’s, by eliminating of failure defects, forestall rapid wear of components, enhance performance level, reduce idle hours due to component malfunctioning, reduces the cost factor by identifying the fatigue in the early stage, by the early stage of detection the wear out can be drastically reduced and maximising the operational efficiency and prevent break down during operational working hours. The proper maintenance schedules yields minimisation of downtime by which the availability of the system improves and extends the useful life of the equipment and safety of the personnel working in the site conditions be secured optimistically. As the loose cargo and container shipments increasing in every years progressively the emphasis in the availability and probability of restoration of a failed equipment to operational effectiveness within a specified period of time, mean time to repair, mean time between failures parameters will certainly increases the customer satisfaction.
Sensitivity of the General Linear Model to Assumptions
Authors:   Department of Chemistry at University at Buffalo, Buffalo, NY 14260, USA., Jabbar M. , Ghorbaniparvar H. ,   University at Buffalo, Buffalo, NY 14260, USA., Ghorbaniparvar F. ,   Electrical Engineering Department at Iran University of Science and Technology Tehran, Iran.
Published: March 2020

Non-Gaussian noise often causes in significant performance abatement for systems which are designed using Gaussian assumption. This report challenges the question of General Linear Model with White Gaussian Noise assumption in order to define the sensitivity of the performance of an optimal estimator. Gaussian noise models provide an important role in many signal processing applications. The Laplacian and Uniform signal are two worthy examples of noise that can be compared to the White Gaussian Noise, though the sensitivity which can be compared with any non-Gaussian. White Gaussian Noise has been considered for General Linear Models and deviation from whiteness would affect on our estimates under different circumstances. Moreover, new assumptions have been considered to generate different type of signals in order to evaluate the sensitivity of the General Linear Model.
Integral Backstepping Control of Three phase Grid Connected Photovoltaic Systems for Power Optimization
Authors:   Department of Electrical Engineering department, Mohammadia School of Engineers, Mohamed V University, Rabat, Morocco., Skik* Noureddine , Abbou Ahmed ,   Department of Electrical Engineering, Mohammadia School of Engineers, Mohamed V. University, Rabat, Morocco.
Published: March 2020

We propose in this paper a nonlinear controller to optimize the operation of a photovoltaic device consisting of a PV generator, a three-phase inverter, and an LCL filter. Unlike traditional systems, this system is reliable and is not expensive, thanks to the absence of the DC-DC converter. In reality, we are trying to achieve two goals: (i) Search track and extract the maximum power from the PV generator (MPPT requirement); (ii) Inject this power into the network in the form of an alternating current which has the same pulsation as that of the network (UPF requirement). To achieve these objectives, the proposed controller was designed using non-linear design techniques, based on the nonlinear modeling of the photovoltaic system. Numerical simulation and its results showed the performance of the nonlinear controller and its ability to confront the challenges described in this article (MPP and UPF requirement), external disturbances and abrupt climatic changes.
Technology of Physics Learning Media Based on Software Macromedia Flash to Enhance Problem Solving Capability in Passive Electronics Topics
Authors:   Lecture in Department of Physics Education, Universitas Halu Oleo, Kendari, Indonesia., Abdin*  , Hunaidah  ,   Lecture in Department of Physics Education, Universitas Halu Oleo, Kendari, Indonesia., Sukariasih Luh ,   Lecture in Department of Physics Education, Universitas Halu Oleo, Kendari, Indonesia., Takda Amiruddin ,   Lecture in Department of Physics Education, Universitas Halu Oleo, Kendari, Indonesia., Sahara La ,   Lecture in Department of Physics Education, Universitas Halu Oleo, Kendari, Indonesia.
Published: March 2020

The purpose of this research is to provide innovations to physics education lecturers in using physics learning media based on Macromedia Flash applications in lectures as a learning medium and students can improve their problem-solving abilities in solving problems in other fields.. Also, motivating physics education lecturers to use technology in conducting lectures in the room. The target of this research is in the form of products resulting from the development of learning media based on Macromedia Flash applications. The resulting product is expected to: (a) improve the ability of problem-solving in students, (b) motivate physics education lecturers to use technology in conducting lectures in the room. This research method is Reseach and Development by using a development model that consists of five stages : (1) preliminary investigation, (2) design, (3) realization/construction, (4) test, evaluation, and revision. Preliminary results of this study are the feasibility of developing learning media based on Macromedia Flash applications to improve students' problem-solving abilities on the subject matter of passive electronics can be seen based on the assessment or validity of the material experts obtained a mean score of 3.55 with a valid category. For the assessment or validity of the media, experts obtained an average of 3.63 with a valid category. The effectiveness of the results of the development of learning media based on Macromedia flash applications to improve students' problem-solving abilities on the subject matter of passive electronics can be seen based on inferential analysis using the test paired t–test was obtained tcount = 10.60 dan ttable = 2.05 with a significant level of 5%, df = 29. The results of these calculations show that tcount > ttable which means that the difference is due to the provision of different behaviours every time they conduct a pre-test evaluation before there is treatment and post-test after there is a treatment.
899 Retrieval Number: D1560029420/2020©BEIESP DOI: 10.35940/ijitee.D1560.039520 Journal Website: www.ijitee.org Published By: Blue Eyes Intelligence Engineering & Sciences Publication Rooftop Solar and Wind Power Based Hybrid Energy Storage System for AC Railway Traction
Authors:   Lecturer, Government Polytechnic Awasari College, Pune, India., Jadhav Ms. Nilam Ganpat , Bakre Dr. Shashikant Madhukar ,   Professor, Department of Electrical Engineering, AISSMS Institute of Information Technology College, Pune, Maharashtra, India., Shiralkar Mrs. Ashpana ,   Head, Department of Electrical Engineering, AISSMS’s Institute of Information Technology, College, Pune, Maharashtra, India., Devarkar Ms. Nilambari V ,   Lecturer, Government Polytechnic, Awasari College, Pune, India., Bhangale Dr. S. V. ,   H.O.D, Department of Electrical, Government polytecnic awasari khurd, India.
Published: March 2020

The conventional AC/DC Railway Traction Systems are undergoing number of improvements. Thanks to modern technologies such as Renewable Energy Systems (RES), Energy Storage Systems (ESS) and Hybrid Energy Storage Systems (HESS). At present the traction transformers cater electric supply to traction motors and auxiliary loads which may not be adequate enough to meet demands. Furthermore in the event of failure of traction supply, the alternative source of supply is required. This papers suggests a noval method of feeding auxiliary loads through the integration of RES and ESS. Solar and Wind power are vital renewable energy sources. The pros and cons of proposed method are also discussed in this paper.