bluuebunny/crossref_metadata_2025 huggingface dataset:
ACADEMIA DO PEIXE FRITO: PRESENÇA DA INTELECTUALIDADE NO COTIDIANO POPULAR
Authors: Pereira Edvaldo Santos
Published: July 2019

Em abordagem acerca da Academia do Peixe Frito como uma agremiação que congregava a intelectualidade literária de Belém, cuja intenção, além do prazer proporcionado pelo ambiente, era também a observação para a criação artística, este trabalho enfoca o Ver-o-Peso, não como uma feira para atividades comerciais, mas espaço plural e único, evidenciado em muitas obras; de efervescência cultural e confluência de classes sociais, onde se localizava essa Academia. Nossa hipótese é que a escolha do local não foi realizada de modo aleatório, mas em virtude da sua importância cultural para a cidade de Belém. Como suporte teórico tomou-se o pressuposto de Antonio Candido, no seu livro Literatura e Sociedade (2006), de que embora com semelhantes mentalidades, as pessoas se manifestam de diferentes formas, em decorrência das condições do meio social e cultural em que vivem, o que explica a variedade na criação, não só da literatura, mas também de todas as artes. Assim, aponta-se aqui o Ver-o-Peso como o porto de entrada e saída para muitas viagens, com registros de cenas da vida que acontece em Belém, numa demonstração de sua importância para a representação cultural dessa cidade. Nesse sentido, elaborou-se um percurso histórico do espaço e da Academia do Peixe Frito, levando-se em conta sua relevância no contexto social, para dar continuidade à tradição cultural, já que essa atitude proporcionará a aproximação do artista em relação à vivência que poderá ser focalizada em sua obra.
DOBRA BARROCA, DOBRA PÓS-MODERNA: DESLOCAMENTO, REPETIÇÃO E TRANS-HISTORICIDADE NA ARQUITETURA
Authors: Carvalho Nunes Mateus
Published: July 2019

Este trabalho pretende analisar as manifestações do conceito de “dobra”, proposto por Gilles Deleuze (1925-1995) em “Le pli: Leibniz et le Baroque” (1988), no pensamento barroco e pós-moderno e em suas aplicações no campo da arte e da arquitetura. Objetiva explicitar características convergentes nestes dois momentos, abordados tanto como períodos históricos e estilísticos, quanto pensamentos com essências sobreviventes. Discute sobre a complexidade, deslocamento, repetição, subjetividade e movimento em Francesco Borromini (1599-1667) e em Peter Eisenman (n. 1932) a partir da perspectiva trans-histórica de Aby Warburg (1866-1929).
CUIR: EXPOSIÇÃO INDEPENDENTE
Authors: Sampaio Pedro , Moura Simone De Oliveira
Published: July 2019

“CUIR” é uma proposição; uma exposição transviada realizada no Espaço Casulo Cultural  durante maio de 2017, originada do desejo de ação genuína de reconfigurar imagens e possibilitar novos olhares sobre a arte que estava sendo feita em Belém por jovens artistas paraenses, o presente texto apresenta reflexões curatoriais e de ações políticas no campo das artes como possibilidade para discussões relacionadas a gênero e sexualidade. Os trabalhos artísticos apresentados confrontam as estruturas identitárias normativas, e se localizam nesse existir - resistir - que está na fronteira, ou para além dela. Diferente de programas multiculturais bem intencionados, onde as diferenças tanto sexuais, de gênero e raciais são toleradas ou apreciadas como meras curiosidades exóticas, a exposição CUIR estaria inserida muito mais em um processo de apresentação das diferenças como evidência da instabilidade e precariedade das identidades instituídas. Colocando para debate as formas como o outro é constituído, se é questionado as estreitas relações do eu com o outro. “A diferença deixaria de estar lá fora, do outro lado, alheia ao sujeito, e seria compreendida como indispensável para a existência do próprio sujeito: ela estaria dentro, integrando e constituindo o eu” (Louro, 2001. p.550). Ao se falar de uma educação cuir ligada a arte não seria suficiente denunciar a negação e repressão para os que operam fora da norma regente, e sim desconstruir o processo pelo qual alguns sujeitos se tornam normalizados e outros marginalizados. Sendo possível ser utilizada como uma maneira de entender o próprio corpo, construções e afirmações identitárias e suas relações e expressões sociais.Partindo de um relato de experiência do período de maio de 2017 este artigo é uma reconfiguração do artigo defendido para a Graduação em Artes Visuais e Tecnologia da Imagem da UNAMA - Universidade da Amazônia.
Bruxism: methods of application and results of treatment with botulinum neuroprotein (Relatox)
Authors: Orlova O. R. , Soykher M. I. , Soykher M. G. , Mingazova L. R. , Medovnikova D. V. , Soykher E. M. , Konovalova Z. N. , Alekseeva A. Yu.
Published: July 2019

The article substantiates the need for the use of botulinum therapy in the management of bruxism as a movement disorder. We present the technique of injecting a new Russian botulinum neuroprotein Relatox into the masticatory muscles of patients with bruxism. We have the positive clinical effects of botulinum therapy, a decrease in the level of pain on the visual analogue scale, normalization of muscle activity according to the surface electromyography of masticatory muscles, a decrease in number of nocturnal bruxism according to abrasion on the foil surface on Brux Checker are shown.
Optimization of the pre-analytical stage of material processing for histochemical examination of skeletal muscle biopsies in the diagnosis of neuromuscular diseases
Authors: Sycheva A. M. , Nazarova V. D. , Lapin S. V. , Rybakova M. G. , Rudenko D. I.
Published: July 2019

Diagnosis of neuromuscular diseases is complicated by the variety of clinical manifestations and requires the use of additional methods, an important place among which is the pathomorphological study of skeletal muscle biopsy. Despite the fact that the procedure for taking a muscle biopsy is not technically difficult, to obtain informative material a multitude of conditions must be observed at the stages of pre-analytical processing of the obtained tissue samples. Violation of the technology of taking, storing and fixing the material contributes to the formation of artifacts that limit the possibilities for further analysis of the morphological changes in tissue biopsy. A comparison was made of the effectiveness of various methods for cryoprocessing of muscle tissue samples and the manufacture of histological specimens with a subsequent assessment of morphological changes. As a result, the main causes of artifacts were identified. The optimal method for processing muscle biopsy specimens is indicated, which makes it possible to prevent the appearance of artifacts as much as possible and to ensure the preservation of tissue for research.
Late-onset Pompe disease: preliminary results of enzyme replacement therapy
Authors: Smertina L. P. , Ausheva F. I. , Gryaznov A. V. , Svetlakov D. A. , Kolbasin L. N.
Published: July 2019

Pompe disease is an orphan hereditary accumulation disease associated with a deficiency of the lysosomal enzyme alglucosidase alpha. Manifestations of the disease are associated with pathological deposition of glycogen in body tissues as a result of GAA gene mutation and subsequent reduction in the activity of the enzyme alglucosidase alpha or acid maltase. The variety of phenotypic forms and varying degrees of damage to the skeletal and respiratory muscles, cardiomyocytes and internal organs greatly complicates the diagnosis and treatment of patients with Pompe»s disease. This article describes the clinical case of late-onset Pompe disease, which was followed by a course of enzyme replacement therapy, as well as an assessment of the condition before and after treatment and preliminary results.
The desire to hasten death in advanced cancer patients at a Mexican palliative care service
Authors: Rodríguez-Mayoral Oscar , Ascencio-Huertas Leticia , Verástegui Emma , Delgado-Guay Marvin O. , Allende-Pérez Silvia
Published: July 2019

Introduction. The desire to hasten death (DHD) might be present in patients with advanced cancer. Multiple distressing physical and psychosocial symptoms may be related to it. There is limited literature about the characteristics of these patients in México. Objective. To describe the prevalence and factors associated with DHD in advanced cancer patients evaluated by a palliative care psychiatrist. Method. We conducted a cross-sectional study, including all patients referred to psychiatric assessment at the Servicio de Cuidados Paliativos of the Instituto Nacional de Cancerología in Mexico City, from January to December 2016. DHD was defined as the presence of death ideas, suicidal ideation, and/or request for euthanasia or medically assisted suicide. Patients with delirium, dementia, psychosis, or uncontrolled physical symptoms were excluded. Results. Sixty-four patients were included in the study. Most of them were women (59%); the mean age was 49 years old (SD = 16). Of them, 64% met criteria for a major depressive disorder, 64% for generalized anxiety disorder and/or panic disorder, and 11% for substance use disorders. 44% expressed DHD. In a multivariate regression analysis predicting DHD, only one factor emerged: clinical depression (OR = 13.5, p = .002, 95% CI [02.562, 71.726]). Discussion and conclusion. The desire to hasten death is a frequent issue for the patients evaluated at the psychiatric palliative care clinic. Depression and other distressing psychiatric pathologies were associated with DHD. Interdisciplinary interventions are needed to treat DHD. More research is warranted in order to understand the factors associated with the expression of DHD.
Psychometric properties of the resilience scale in Mexican patients with chronic hemodialysis
Authors: Lerma Abel , Ordónez Gabriela , Mendoza Lubia , Salazar-Robles Elihud , Rivero Jesús , Pérez-Granados Emmanuel , Pérez-Grovas Héctor , Ruiz-Palacios Patricia , Ibarra Armando , Lerma Claudia
Published: July 2019

Introduction. Resilience consists of a series personalized skills to cope with adverse situations and overcome them, and even emerge strengthened. Resilience in patients with chronic renal insufficiency (CRI) treated with hemodialysis (HD) has been evaluated with general questionnaires that are not specific for this population. Objective. To evaluate the psychometric properties of a resilience questionnaire in patients treated with chronic HD. Method. The study included 280 patients with CRI (aged 18 to 85, 44% women) treated with HD for at least two months in six hemodialysis units in Mexico, who completed Beck’s depression and anxiety inventories, an inventory of cognitive distortions, and the Mexican Resilience Measurement Scale (RESI-M). Results. Owing to the duplication of more than one factor, two of the 43 items were eliminated in the exploratory factor analysis. We confirmed five factors that explained 63.4% of the total variance, with a Cronbach’s alpha of .96 (the alpha ranges in the five factors from .85 to .95). The confirmatory analysis showed a theoretical structural model that fits the empirical data in an acceptable, balanced, and parsimonious way. The five factors correlate positively with each other and negatively with anxiety and depression symptoms and distorted thoughts. Discussion and conclusion. The RESI-M scale is valid and reliable for assessing resilience in patients treated with chronic HD. Resilience factors evaluated with RESI-M are a potential therapeutic target to reduce depression and anxiety symptoms in these patients.
Presence of depressive symptoms in medical students in a Mexican public university
Authors: Tadeo-Álvarez Marco Antonio , Munguía-Ortíz Claudia Daniela , Benítez-López Valeria , Valles-Medina Ana María , Delgadillo-Ramos Guadalupe , Flores-Castillo Paola Michelle , Romo-Guardado Marcela
Published: July 2019

Introduction. During their professional training, medical students are subject to diverse stress-causing factors such as academic demands and a highly competitive environment which may threaten their mental health. Objective. Identify the presence of depressive symptoms in medical students in a public university in Mexico. Method. Descriptive cross-sectional study of a random sample of 203 medical students at the Universidad Autónoma de Baja California from February to April 2018. The PHQ - 9 scale was used, and a cut-off score of ≥ 10 was employed as positive for depressive symptoms. Basic descriptive statistics were utilized to analyze sociodemographic variables such as gender, academic advancement, stage of training (basic science vs. clinical), and the prevalence of the five different categories of the scale. Results. Of the medical students surveyed, 20.2% were found positive for depressive symptoms and 7.9% (16) had severe or moderately severe symptoms. Female gender increased the risk of presenting symptoms (OR = 3.5, 95% CI [1.6, 7.6]). Discussion. Despite the fact that the prevalence of depressive symptoms encountered was similar to that reported worldwide, it is troubling that one fifth of the surveyed students presented depressive symptoms. These results may justify implementation of preventive strategies by academic authorities to improve student mental health, and maybe even for early detection of risk of major depressive disorder.
Internal consistency and confirmatory validity of the parenting practices inventory in a Mexican population sample
Authors: Soriano Rodríguez Alejandra , Caraveo Anduaga Jorge , López Jiménez Jorge Luis , Carreño-García Silvia , Juárez García Francisco
Published: July 2019

Introduction. Parenting practices refer to specific behaviours used by parents and caretakers of children to guide childhood development and socialization goals. These practices are associated with children’s health, psychological, and physical development. Objective. To determine the psychometric properties of the Parenting Practices Inventory (PPI) among a group of child caregivers in Mexico City. Method. The PPI was applied to 443 caregivers of children and adolescents, who attended a general health care centre in Mexico City. For the psychometric evaluation of the instrument, the full distribution and discrimination of the items was analysed first. Then, the validity of the construct was tested through an exploratory factor analysis and a confirmatory analysis with structural equation modelling. Results. The internal consistency of the PPI showed α = .867 and 41.25% of variance explained for all four dimensions of interest. The confirmatory factor analysis showed that the model had goodness of fit. It included twenty-four items with adequate consistency and validity indices. Discussion and conclusion. The PPI is therefore a potentially useful psychometric measure for evaluating parenting practices among this type of population and could have major implications for the development of interventions and preventive programmes. It provides scientific bases for diagnostic decision-making and primary health care from the moment of initial contact to specialized medical care.
IMPORTANCIA DE LA VIGILANCIA EPIDEMIOLÓGICA EN EL CONTROL DE LAS INFECCIONES ASOCIADAS A LA ATENCIÓN EN SALUD
Authors: Barahona Nayide , Rodriguez Marena , De Moya Yurina
Published: July 2019

Antecedentes: Las infecciones asociadas a la Atención en salud (IAAS) son un flagelo que azota a las instituciones prestadoras de servicio de salud a escala Mundial, se considera uno de los mayores problemas para la seguridad del paciente, afectando directamente la calidad en la prestación de servicios. Objetivo: Profundizar en los principales aspectos epidemiológicos de la IAAS,  los factores de riesgo relacionados, el impacto que tiene este problema a nivel mundial y local y la importancia de un programa de vigilancia epidemiológica hospitalaria como una de las medidas para su prevención y control.   Metodología: El presente documento es el resultado de una revisión bibliográfica de artículos científicos consultados en bases de datos Pubmed, Scielo, Proquest, Ovid, Google Académico, de los últimos 10 años, publicados en español y en inglés. Para la selección de la bibliografía se consideró el siguiente grupo de palabras claves: infección Asociada a la atención de la salud; infección intrahospitalaria; control de infecciones, vigilancia epidemiológica, sistema nacional de vigilancia hospitalaria. Conclusión: Con la revisión actual se evidenció que la prevalencia de IAAS se mantiene a través de los años, e incluso ha aumentado en instituciones de nivel intermedio de atención en salud, resaltando la importancia de incrementar las unidades notificadoras de IAAS y resistencia bacteriana, así como la creación de programas de vigilancia epidemiológica o Sistema Nacional de información de estos eventos de manera  más eficiente, considerándose un componente clave de cualquier sistema de salud para mejorar los indicadores de la calidad en los servicios prestados en beneficio del paciente. La Vigilancia Epidemiológica es importante no solo por contribuir de manera significativa en el control y prevención de las IAAS sino para determinar los pasos a seguir en el momento de registrar y difundir debidamente, a las autoridades encargadas del análisis de dicha problemática en sus diferentes esferas de acción, apoyando de esta manera la toma de decisiones, la ejecución y evaluación de dichas enfermedades.
Relación entre el índice de masa corporal y actividad física en universitarios de la ciudad de Barranquilla en el semestre 2018-2, Universidad del Atlántico
Authors: Nieto Ortiz Dolores , Torrenegra Ariza Silvia
Published: July 2019

Antecedentes: En el contexto colombiano, las cifras con respecto a la obesidad y el sobrepeso, suponen una situación alarmante de salud pública; según la 3ra Encuesta Nacional de Situación Nutricional para Colombia (ENSIN), más del 27% de la población adulta padece de sobrepeso, mientras que un 19% tiene obesidad.

Objetivo: Establecer la relación entre el IMC y los niveles de actividad física en una muestra de estudiantes de la Universidad del Atlántico en edades de 18 a 25 años en el semestre 2018-2 que se encontraban cursando la cátedra Deporte Formativo.

Materiales y métodos: Diseño cuantitativo, de tipo correlacional y corte transversal, aplicados a una muestra de 207 estudiantes de la Universidad del Atlántico de edades entre 18 y 25 años (M= 20,5), 52% de sexo masculino (M=20,7) y 42% de sexo femenino (M=20,3), a quienes se les tomó medidas antropométricas para determinar su índice de masa corporal, como también la aplicación del International Physical Activity Questionnaire (IPAQ). Resultados: Se evidencian diferencias considerables entre los tipos de IMC asociados a obesidad y sobrepeso con respecto al bajo peso y normal, habiendo en los primeros una mayor frecuencia hacia las categorías de actividad física sentado y caminando; entre tanto, en el bajo peso y normal se observa mayor tendencia hacia la categoría vigorosa y modera; en cuanto a la valoración por sexos en los tipos de IMC y las categorías de actividad física, no se observan diferencias estadísticas considerables. Conclusión: En la muestra se identificaron problemas importantes de malnutrición e inactividad física. De estos hallazgos surge la necesidad de intensificar las acciones por parte de los docentes de la cátedra Deporte Formativo en pos de promover estilos de vida saludable.
Sonographic assessment of fetal head deflexion using occiput: spine angle measured during first stage of labour and its role in predicting the mode of delivery among nulliparous women
Authors: Somu Keerthi , S. Sujatha B. , Hebbar Shripad , G. Shyamala , Pai Muralidhar V.
Published: July 2019

Background: The attitude of the fetal head during labour significantly influences the progress and outcome of delivery and is mainly diagnosed by vaginal examination during labour. The aim of the study was to quantify the extent of deflexion of the fetal head by measuring the fetal occiput spine angle (OSA) through transabdominal ultrasonography in the first stage of labour and to determine whether the fetal OSA can predict the mode of delivery.Methods: We conducted a prospective observational study on 145 nulliparous uncomplicated singleton pregnant women without occiput-posterior position of the fetus during active labour. The OSA was measured as the angle between the two tangential lines to the occipital bone and the vertebral body of the first cervical spine, during active labour and monitored until delivery. Intra- and interobserver reproducibility of the OSA measurement and the correlation between the OSA and mode of delivery were also evaluated.Results: For the study population, the mean value of the OSA measured in the active phase of the first stage was 124.2±11.5⁰. The OSA measurement showed excellent intraobserver agreement (r = 0.82; 95% confidence interval [95% CI] 0.70-0.80) and fair-to-good interobserver agreement (r = 0.62; 95% CI 0.51-0.71).  The mean OSA was significantly less for the group of patients who required conversion to cesarean section due to labour arrest (n=32) as compared to those who had vaginal delivery (n=113) (116.25±9.2⁰ versus 126.53±11.1⁰, P<0.01). An OSA of ≥121° was associated with vaginal delivery in 80.5% (91/113) of women, whereas 87.5% (28/32) of the women who delivered by cesarean section had an OSA <121⁰.Conclusions: Measurement of the OSA, by sonography is feasible, reproducible and an objective tool to assess the degree of fetal head deflexion during labour and to predict the mode of delivery.
A study on maternal near miss cases in Government Medical College Shivpuri, India
Authors: Jain Uma
Published: July 2019

Background: Obstetrics near miss is an important indicator that reflects the quality of obstetrics care in a health facility. It assesses and monitors the activities aimed for prevention of maternal mortality. The aim and objective of this study was to find out the incidence, the prevalence and causes of maternal near miss due to severe obstetric complications and to identify the gapes and contextualize corrective measures to be taken in our facility.Methods: This is a retrospective study done in department of Obstetrics and Gynecology in GMC associated with DHS Shivpuri MP. The study was done during a period from 1st January 2018 to 30 April 2019.Results: In this study the hospital maternal near miss incidence ratio was 14.34%. In our study we found the most common morbidity was (30.18%) hypertensive disorder of pregnancy. These 159 near miss diagnoses were comprised of (30.18 %) cases of Hypertensive disorder of pregnancy, (27.67%) cases of major obstetric hemorrhage, (6.91) Severe systemic infection or sepsis, (4.40%) Labour related disorders. In Medical disorders very Severe Anemia, (1.88%) was most common cause of near miss. The most common cause of death was post-partum hemorrhage 37.5% and most of the patients referred from periphery in very critical condition.  The median time taken to get clinical intervention among cases was 20-40 minutes after admission.Conclusions: Hemorrhage and hypertension disorders are the leading causes of MNM. Prompt diagnosis and adequate management of near miss cases can reduce mortality rates.
Transcatheter closure of patent ductus arteriosus using duct occluder: an eleven-year experience from a single tertiary cardiac center
Authors: Sarkar Achyut , Rani Neha , Kumar Prashant , Chaudhary Shyam Sundar , Chatterjee Suman
Published: July 2019

Background: Patent Ductus Arteriosus (PDA) is a common congenital disorder. As an isolated lesion, PDA constitutes 6 to 11% of all congenital heart disease. PDA needs closure to eliminate pulmonary over circulation leading to volume overload of left ventricle, pulmonary vascular obstructed disease.Methods: This retrospective study was carried out in pediatric cardiology unit of Institute of Postgraduate Medical Education and Research, Kolkata from September 2005 to August 2016, which included 503 patients.Results: Device closure was attempted in 492 patient’s Procedural success was achieved in 85% cases on table, in who check aortogram revealed complete closure of PDA. In 15% cases, residual shunt was present. In 12% of cases, residual shunt disappeared during follow-up echocardiogram over 6-month follow-up. In 3% cases, small shunt remained at 6-month and 1-year follow up.Conclusion: Transcatheter closure of PDA by duct occluder is safe and effective with good mid-term outcome. The optimum assessment of ductul size and anatomy is crucial for optimum device size, which prevents residual shunt, device embolization and protrusion.
The dilemma of using physical restraint in delirium tremens: a case report
Authors: Malik Yogender Kumar , Basu Debasish , Naskar Chandrima
Published: July 2019

Delirium tremens (DT) is a common presentation in tertiary care hospitals. Refractory DT, though not very common, is a dreaded presentation in any clinical setting. Usually, patients with DT respond to standard doses of benzodiazepines, but sometimes we encounter patients requiring higher than the usual dose. Also, due to the high level of agitation, confusion and hallucinatory behaviour, physical restraint is frequently used in these patients. We hereby report a case of refractory DT in whom the dilemma of using physical restraint and need for higher doses of Benzodiazepine has been highlighted.
A rare case of Poland: Mobeius syndrome in an infant
Authors: Gupta Arohi
Published: July 2019

Mobius syndrome is a rare condition of unclear origin, characterized by a unilateral or bilateral congenital facial weakness with impairment of ocular abduction, which is frequently associated with limb anomalies. Poland Syndrome is a rare condition that is evident at birth (congenital). Associated features may be extremely variable from case to case. However, it is classically characterized by absence (aplasia) of chest wall muscles on one side of the body (unilateral) and abnormally short, webbed fingers (symbrachydactyly) of the hand on the same side (ipsilateral). In those with the condition, there is typically unilateral absence of the pectoralis minor and the sternal or breastbone portion of the pectoralis major. In females, there may be underdevelopment or absence (aplasia) of one breast and underlying (subcutaneous) tissues. In some cases, associated skeletal abnormalities may also be present, such as underdevelopment or absence of upper ribs; elevation of the shoulder blade (Sprengel deformity); and/or shortening of the arm, with underdevelopment of the forearm bones (i.e., ulna and radius). Other associated abnormalities may include dextrocardia, diaphragmatic hernia and renal anomalies etc. Poland Syndrome affects males more commonly than females and most frequently involves the right side of the body. The exact cause of the condition is unknown. The combination of Poland-Mobius syndrome is rare, with an estimated prevalence 1:500 000.
Short stature as a significant marker in celiac disease
Authors: Bohra Jasraj , Gupta Virendra K. , Gupta Ashok
Published: July 2019

Background: Celiac disease (CD) is a genetically determined gluten-sensitive enteropathy resulting in nutrient malabsorption, can have extra gastrointestinal tract (GIT) presentations, short stature may be the only presenting clinical feature, even in the absence of gastrointestinal symptoms. The aim and objective of this study was toMethods: This cross-sectional study was performed on 1000 children between ages 5 to 10 year of different schools, in Jaipur, district of Rajasthan. An anthropometric measurement (height, weight) was done for all children. Serum samples were analyze for IgA antibodies to human tissue transglutaminase (tTG) with lower detection limit of 1.0 U/ml and 15 U/ml. Positive samples for tTG antibodies were reanalyzed human endomysial autoantigens (EmA).Results: Out 1000 children screened, six were seropositive, of those four were females and two were males. The serological proportion of CD in this population was 1:166. These Six seropositive group tends to have lower height, weight than the seronegative group, but the difference was only significant for height (P=<0.01).Conclusions: Although gastrointestinal manifestations are important presentation of celiac disease, nevertheless short stature alone or in combination with other symptoms of celiac disease has been present.
An aging simulation game’s impact on the attitudes of nursing students
Authors: Nova Fernandes Carla Sílvia Neves da , Couto Germano , Afonso Andreia
Published: July 2019

Background & Aim: The aging of the population poses new challenges, among others, a greater concern with the teaching of geriatrics and gerontology, especially to future health professionals. The simulation game "Aging Nursing Game" ® was used with the objective of evaluating the impact of an aging simulation game on nursing students' attitudes towards the elderly.
Methods & Materials: A pre-test and post-test type quasi-experimental study was performed, without control group. The research was developed between February and July 2018. The subjects of this study were second-year undergraduate nursing students. A game was used as an intervention. To measure the effectiveness of the game, a questionnaire was applied before and after the intervention. The data collection instrument consisted of a questionnaire composed of two parts, the first part for sociodemographic characterization, and another consisting of the Portuguese version of the Kogan Scale (KAOP).
Results: The sample consisted of 45 undergraduate nursing students from the 2nd year corresponding to 75% of the population. The attitude towards the elderly person improved significantly before and after the intervention. Of the 34 items on the Kogan Scale (KAOP), 21 improved significantly.
Conclusion: The simulation game has proven to be effective in teaching students changing attitudes towards the elderly (p <0.05).
Application of the Theory of Planned Behavior to Predict Drug Abuse-Related Behaviors among Adolescents
Authors: Mazloomy Mahmoodabad Seyed Saeed , Sadeghi Saeedeh , Jadgal Mohammad Saeed , Yooshany Nooshin , Agh Atabay Rabee , Movahed Ehsan , Alizadeh Somayeh
Published: July 2019

Introduction:  Drug abuse is one of the important challenges in the field of mental health and adolescence health promotion. Due to the social and medical costs of drug abuse and its consequences among the youth, it is necessary to deal with this issue effectively. Therefore, in this theoretical study, the predictability of the Theory of Planned Behavior on drug abuse related behaviors was explained among adolescents.
Methods: This cross-sectional study was conducted in Chabahar City in 2015 among 300 male adolescents, recruited randomly. All data were collected using a researcher-made questionnaire with confirmed reliability and validity. The data were analyzed by independent t- test and pearson correlation. 
Results: we found that 77% of the participants had no history of parental drug abuse. Furthermore, 72% of participants reported a history of using industrial drugs in their friends. The Chi-square test showed that adolescent's smoking had a significant relationship with father's education, family size, history of using industrial drugs in parents , history of using industrial drugs in friends, and the participants' business o (P˃0.000). However, the level of maternal education (P = 682) and living with parents (P = 729) had no significant relationship with the adolescents' smoking rate.
Conclusions: since knowledge and attitude had the highest correlation and predictability with industrial drug abuse among the adolescents, theory of planned behavior can be used properly and effectively to plan and implement  prevention programs among the adolescents.
The Relationship between Breast Self-examination and the Disease Stage in Detection Time among Patients with Breast Cancer in Yazd
Authors: Morowatisharifabad Mohammad Ali , Seifi Masumeh , Dehghani Arefe , Kargar Saeid , Mortazavizadeh Seyed Mohammad Reza
Published: July 2019

Introduction: breast cancer, as the most common cancer among women, is controllable if it is diagnosed at the early stages. Breast self- examination is a simple method for early detection. One of the most important effective factors on the cancer-related mortality is the defection stage. This study was conducted to determine the relationship between breast self-examination and the disease stage with regard to the detection time among patients with breast cancer in Yazd.
Method: this cross-sectional study was carried out on 159 women with breast cancer, who referred to medical centers in Yazd. Data collection tool was a questionnaire with two parts. The first part was the demographic information and the second part dealt with the patients' breast self-examination before the detection of their disease. The disease stage in the detection time was determined based on the results of the pathology test. Data were analyzed using χ2 and other description tests by SPSS.
Result: A statistically signification relationship was observed between disease stage at the defection time and breast self-examination. The disease was detected earlier in individuals who reported a higher frequency of breast self-examination in comparison with those who did not.
Conclusion: Breast self-examination affects the early detection of breast cancer and those who were educated had better practice. So, the results show the importance of educational programs in this regard.
The Effect of Education on Knowledge, Attitude, and Practice of Hospital Personnel in Preventing Hospital Infections
Authors: Hosseini Motahareh Sadat , Mazidi Sharafabadi Faeze , Islami Hadi , Jalili Mahrokh , Afkhami Aghda Mohammad
Published: July 2019

Introduction: Hospital infections are a common problem in hospitals worldwide. Nosocomial infections have increasingly resulted in patients' death and imposed high costs over the individuals. Members of the medical team, especially nurses, play an important role in prevention and control of the nosocomial infections. Thus, this research was conducted to evaluate the effect of education on the infection control knowledge, attitude, and practice of nurses in Abarkuh Hospital affiliated to University of Medical Sciences .
Methods: This descriptive-analytic study was conducted in Abarkuh in 2017. The research population consisted of all personnel of Abarkuh Hospital. Data were collected using a questionnaire and analyzed by t-test, ANOVA, and Pearson correlation coefficient in SPSS 20.
Results: The average knowledge scores of nurses increased from 3±3.82 to 32±6.29 after education. Moreover, the practice scores of participants increased from 14.68±4.63 to 17.20±4.25. No significant relationship was found between characteristics of nurses and their knowledge after education (p>0.05). No significant relation was seen between academic degree, marital status, and gender of participants and their average scores of knowledge and practice after the educational workshop.
Conclusion: It seems that education has a positive effect on improving the knowledge and practice of nurses about infection control. Therefore, expanding the theoretical and practical courses of education is essential to improve the knowledge and quality of service presentation.
The Effect of Scheduling on Operating Room Utilization at an Affiliated Hospital of Shahid Sadoughi University of Medical Sciences in Yazd
Authors: Tabibi Seyed Jamaledin , Delgoshaei Bahram , Nikfard Maryam
Published: July 2019

Introduction: Resource management and efficiency analysis assist the hospitals in controlling the expenses and optimum utilization. Operating room (OR) is one of the most critical and expensive resources in a hospital. Operating room utilization is a measure calculated as a ratio between the available time and the used actual minutes. In the current study, we aimed to measure OR utilization in Yazd Shahid Sadoughi Hospital.
Methods: This is a descriptive cross-sectional study in which all the surgeries performed in ORs of Shahid Sadoughi Hospital were investigated during a 15-day period. Data were collected from four randomly-selected rooms in the surgical unit in January 2013 using some pre-designed checklists.
Results: A total of 151 surgeries were conducted during a 53-day period in four ORs. We found that OR utilization was 68% for the Orthopedics, 61% for the Ophthalmology, 89% for the General Surgery, and 86% for the ear, nose and throat (ENT) ORs. Total adjusted utilization was 77% and raw utilization rate was 70%. Of the 19080 minutes dedicated for surgeries, 13400 minutes were spent on surgeries and 1215 minutes were used for the turn-over-time or the delay between two surgeries. Of 53 days, the ORs were used efficiently for 7 days, under-utilized for 27 days, and over-utilizedfor 19 days.
Conclusion: Data analysis showed that the Orthopedics and Ophthalmology ORs were under-utilized; whereas, the General Surgery room was over-utilized. The ENT utilization was in an appropriate range. The lowest utilization rate in a day was recorded for the Orthopedics OR (17%), while the highest rate was 158% for ENT. Further studies are recommended to measure OR utilization in a longer period of time and use the research findings to have accurate  scheduling for the ORs leading to their efficiency improvement.
High-Voltage-Gain Integrated Boost-Sepic DC-DC Converter for Renewable Energy Applications
Authors: Assis Bruno G. de , Braga Eduardo P. C. , Nascimento Claudinor B. , Júnior Eloi Agostini
Published: July 2019

This paper presents the analysis of a non-isolated high-voltage-gain single-switch dc-dc converter based on the integration of the boost and SEPIC topologies. The converter employs a voltage multiplier at the output of the SEPIC stage, which is connected in series with the output of the boost stage, aiming a high step-up ratio operation with limited duty cycle values. An accurate steady state analysis considering the influence of the leakage inductance of the SEPIC coupled inductor in the energy transfer process is detailed in the paper. The several theoretical results are then used to derive a design methodology for the circuit. Experimental results for a 500 W, 48 V input voltage, 400 V output voltage, 96.3% peak efficiency and 100 kHz switching frequency prototype are provided to demonstrate the feasibility of the proposed scheme and to validate the mathematical analysis carried out.
Non-Linear Constitutive Equations for Transversely Isotropic Materials Belonging to the С∞ and С∞h Symmetry Groups
Authors: Tsvetkov S.V.
Published: July 2019

Transversely isotropic materials feature infinite-order symmetry axes. Depending on which other symmetry elements are found in the material structure, five symmetry groups may be distinguished among transversely isotropic materials. We consider constitutive equations for these materials. These equations connect two symmetric second-order tensors. Two types of constitutive equations describe the properties of these five material groups. We derived constitutive equations for materials belonging to the C∞ and C∞h symmetry groups in the tensor function form. To do this, we used corollaries of Curie's Symmetry Principle. This makes it possible to obtain a fully irreducible form of the tensor function.
Thermochemistry of Fullerene C60 Solutions in Toluene, o-Xylene and o-Dichlorobenzene
Authors: Gurov A.A. , Krusheva M.A. , Solovev S.N. , Oreshkina O.A.
Published: July 2019

In hermetic highly sensitive calorimeter with an isothermal shell, the enthalpies of dissolution of fullerene C60 in toluene, o-xylene and o-dichlorobenzene were measured at temperatures of 288.15 K and 308.15 K at various concentrations of the dissolved substance. On the basis of the measured values and literature data, standard thermodynamic functions of the dissolution of C60 in the above mentioned solvents have been found at the indicated temperatures. The fact of the change in the sign of the dissolution enthalpy for all three systems under study at a transition to a temperature of 308.15 K has been revealed. A negative value of the dissolution entropy indicates the presence of a constant interaction in these liquid systems, which decreases sharply at 308.15 K.
Parametric study of convective heat transfer with supersonic airflow around a blunted cone
Authors: Arefiev K.Yu. , Abramov M.A. , Miroshnichenko S.A. , Meteleshko L.I.
Published: July 2019

The paper focuses on a mathematical model for the parametric calculation of convective heat transfer on the surface of a blunted cone with the supersonic airflow around it. We compared the computational data with the known experiments on the cone airflow with Mach number М∞ = 8, and found the parameters of the computational grid, which allow us to have less deviation in calculation results from the experimental data. Taking into account the recommendations developed for the selection of the computational grid, we carried out the parametric study of the supersonic airflow around cones with the different half - angels in the range of Mach numbers from 4 to 10. According to the findings of the study, we made the database that describes the influence of the parameters on the coefficient of heat transfer from the supersonic airflow to the cone surface. The data obtained can be used to optimize the geometric configuration and flight modes of high-speed aircraft.
ISS robotic systems. Flight operation of the Russian segment robotic systems
Authors: Savin L.A.
Published: July 2019

The paper gives a brief review of existing robotic systems of the American segment and the planned robotic systems of the Russian segment of the International Space Station. We compared the robotic systems of the two segments in terms of the composition and the problems being solved and considered some aspects of flight operation of Russian segment robotic systems. Within the research, we pointed out the subtasks in solving of which significant practical experience has been gained, as well as the new subtasks which are analogous to the existing ones and to those which are regularly solved in flight operation of on-board systems. Moreover, we emphasized new subtasks which have no analogy and require the solutions determined at the stage of preparation for robotic systems flight tests. As a result, we give our vision of important directions for further development of ISS Russian robotic systems.
Features of construction and possible use of powerful nuclear power plants of advanced spacecraft
Authors: Akimov V.N. , Zakharenkov L.E. , Karevskiy A.V. , Kuvshinova E.Yu. , Semenkin A.V. , Solodukhin A.E.
Published: July 2019

The purpose of the study was to examine the use of spacecraft based on a nuclear power propulsion system in performing long-term tasks in space. The system uses a nuclear power plant to generate electrical energy, and electric propulsion engines to create thrust and control the apparatus. The study shows the advantages of using nuclear power plants when organizing missions in the near and outer space. First, we formulate the requirements for the characteristics of spacecraft with a nuclear power plant designed to perform various missions. Then, we consider the composition and principle of operation of a nuclear power plant and assess the effectiveness of the use of a space tug on the basis of a powerful nuclear power unit when solving problems of cargo transportation in space. Finally, we give recommendations for the construction, control algorithms and experimental development of a nuclear power plant.
Planning the mission of an Earth remote sensing spacecraft based on open source data
Authors: Zapletin M.P. , Zhakypov A.T.
Published: July 2019

The paper introduces a non-profit program designed to improve the efficiency in the study of the Earth’s surface. The program is designed to build the orbit of an Earth remote sensing satellite, to evaluate the plan and the possibilities of surveying a region of interest on the Earth's surface. Using this program, the user can visualize the orbit of any available commercial Earth remote sensing satellite in the required period of time, evaluate and plan a survey of the certain area by a specific spacecraft. The computational part of the program is based on the SGP4 model, which uses publicly available TLE data for Earth remote sensing satellites, on spherical trigonometry formulas and heuristic methods of computational shortcut. The program is implemented as a web application in the programming languages JavaScript and PHP using the Bootstrap, JQuery and Cesium libraries.
The Digital Transformation of the Product Management Process: Conception of Digital Twin Impacts for the Different Stages
Authors: Hofbauer Günter , Sangl Anita , Engelhardt Sonja
Published: July 2019

In this paper the potential impact of digital transformation in general and digital twin applications on the Product Management Process (PMP) in particular will be investigated. The object is to figure out the potential benefits of digital twin utilization. Methodologically, a conceptual and analytical approach are applied in using statistical data, surveys, latest literature and logical conclusions. Thus, the approach is twofold: from the conceptual point of view the different types of digital twins are introduced; from the analytical point of view different applications in different stages of the PMP will be subject to investigation. So, this paper can be categorized as conceptual paper based on an extensive literature research. The findings of research revealed that the digital transformation can offer various benefits for the PMP. It can be summarized that in all phases of the PMP potential benefits can be identified. The most important is saving time and money, avoiding waste of physical resources and simultaneously raising quality, reliability and competitive advantage. Regarding the originality value it can be stated that this is the first comprehensive examination of the entire PMP with regard to digital transformation in order to identify sources of potential benefits.
The assessment of Mevlana Exchange Program: The case of Morocco
Authors: Tasar Haci Huseyin
Published: July 2019

Mevlana Exchange Program is a program that helps to exchange students and academics between the Turkish universities and foreign higher education institutes in Turkey and other countries. The aim of this study is to determine the views and recommendations of exchange students Adiyaman University, who went to Morocco within the scope of Mevlana Exchange Program. This study has been designed to be a case study which is patterned on a basis of qualitative research. Within the research, the opinions of the participants were gathered with a â€˜structured interview formâ€™ which was developed by the researcher through taking expertâ€™s opinion. The research is limited with the pieces of information that were provided by the students who went to Morocco. The vast majority of students who have gone to the country in question have expressed that they were not satisfied with the services, such as health, alimentation, sheltering and security and experienced huge problems.

Keywords: Adiyaman University, higher education, Mevlana Exchange Programme.
Self-esteem, hopelessness and communication skills in preschool teacher candidates: A mediation analysis
Authors: Uyanik Balat Gulden , Sezer Turker , Bayindir Dilan , Yilmaz Elif
Published: July 2019

The goal of this study is to investigate the relation of self-esteem, hopelessness and communication skill; while testing self-esteem as an intermediary variable. The research, designed in survey model, has been conducted with preschool teacher candidates. The research group comprises 305 teacher candidates that volunteered for the research. According to the findings of the research, teacher candidatesâ€™ self-esteem is negatively correlated with their level of hopelessness and positively correlated with their communication skills. On the other hand, the relation between their level of hopelessness and communication skill is a negative correlation. According to the results of regression analysis, hopelessness, along with self-esteem, explain 31.6% of communication skill. Furthermore, another very important finding of the regression analysis is that teacher candidatesâ€™ self-esteem plays a complete intermediary role in the relation between their level of hopelessness and their communication skill. Implications of the findings are discussed in the light of the related literature.

Keywords: Self-esteem, hopelessness, communication skills, preschool teacher candidates