bluuebunny/crossref_metadata_2025 huggingface dataset:
Nesne tabanlı görüntü analizinde yeni trend - ontoloji
Authors: ŞENER Zeynep , UZAR Melis
Published: October 2019

Kent yönetiminde, yaşam alanlarına ait
problemlerin çözümü, sağlıklı ve sürdürülebilir kentlerin oluşturulması, akıllı
şehirlerin altyapısının kurulması gibi amaçlar için mekânsal bilgi içeren
verilerden yararlanılmaktadır. Bu sebeple mekansal verilerin toplanması,
işlenmesi, değerlendirilmesi ve bilgiye dönüştürülmesi kent yöneticilerinin hızlı
ve doğru kararların verilebilmesi için önem arz etmektedir. Son yıllarda, mekansal
verilerin değerlendirilmesi çalışmalarında, obje çıkarım tekniklerinin
geliştirilmesi ve optimize edilmesi için farklı yöntem ve algoritmalar geliştirilmiştir.
Ancak bu çalışmalarda kullanılan mekansal veriler, çoğunlukla farklı veri
kaynaklarından elde edilmesi sebebiyle farklı teknik özelliklere (geometrik,
radyometrik, zamansal çözünürlük, vb.) sahip veriler olduğundan, mekansal
semantik kavramı özelinde heterojen bir yapı göstermektedir. Bu heterojen yapı uzman
bilgisinin kavramsallaştırılması, birlikte çalışabilirlik ve yeniden
kullanılabilirlik konularında problemler oluşturmaktadır. Ontoloji, uzman bilgisinin
kavramsallaştırılarak semantik olarak tam açıklanmış ve birbirleri ile bağlı
bir yapı sunması sebebi ile obje çıkarımı çalışmalarında heterojenlikten
kaynaklanan sorunların giderilmesinde güncel araştırma konusu haline gelmiştir.
Bu çalışmada, Kırklareli ili, Evrencik bölgesine ait LiDAR sistem verileri
kullanılarak ontoloji destekli obje çıkarımı hedeflenmiştir. Bu amaç
doğrultusunda obje tabanlı görüntü analiz yöntemi, bulanık mantık ile
sınıflandırma kullanılarak obje çıkarımı yapılmış ve kavramsal sınıf tanımları,
obje ve veri ilişkileri, kurallar ve aksiyomlar tanımlanarak semantik altyapı
modeli kurulmuştur. Bu çalışmanın sonucunda doğruluk analizi ve görüntü
objelerinin ontoloji ile entegrasyonu yapılmıştır.
A CLEC-based Study on the Spatial Metaphor of HIGH Collocations
Authors: Zhang Huiying , Zhou Weijie
Published: October 2019

Metaphor is conceived as understanding and experiencing one kind of thing in terms of another. Metaphor is pervasive not just in language, but also in our thoughts and actions. The conceptual system is metaphoric in nature. Previous studies on metaphor are done through linguistic researchers’ intuitive analysis. Few quantitative studies have been done to metaphor from corpus and the perspective of learners in second or foreign language learning. This paper, based on CLEC corpus, attempts to explore the relationship between spatial metaphor and second language acquisition and learning. Using ‘HIGH’ as a spatial measurement adjective, the paper hopes to understand different types of metaphorical collocations of HIGH in CLEC—a Chinese EFL learners' corpus, and to indicate the relationship of metaphor output ability with learners’ language proficiency. The studies have demonstrated eight types of HIGH collocations from Chinese EFL learners and the metaphor output ability is directly related to the learners’ language proficiency.
Teachers’ and Learners’ Perceptions toward Using Social Media for Developing Oral Proficiency
Authors: Namaziandost Ehsan , Nasri Mehdi , Keshmirshekan Mohammad Hossein
Published: October 2019

Social media is one of the most important sources of communication in this technological age which enables the people to share their views and thoughts with other friends, relatives, colleagues, class fellows, and teachers without any problem of distance. Therefore, the main purpose of this study was to highlight the role of social media, and to compare the views of teachers and learners regarding the use of various social media sources in English language learning proficiency at university level. The data for this descriptive study was collected through self-made questionnaire. The participants of this study were two hundred (200) university level English learners and teachers (100 learners and 100 teachers). The outcome of the study showed that the frequent usage of Social media by EFL students as well as teachers constitutes a significant impact on both users. It has also reflected the teachers’ readiness to integrate Social media in EFL context by means of a convenient pedagogy. The result of this study showed that both teachers and learners had positive attitude toward using social media in oral proficiency at university level.
Multidimensional Reading of Snow White in China
Authors: Yang Haixia , Kang Liqing
Published: October 2019

To introduce Chinese scholars' reading of the American novel, Snow White, to the outside world, three representative analyses, among others—to which the theoretical vehicles of deconstruction, intertextuality and cognitive narratology are applied—are individually presented in detail. In the progress of their analyses they take the novel's ancient counterpart, the fairy tale (Snow White and the Seven Dwarfs), as object for deconstruction, benchmark and background respectively. The old story thus remains an indispensable source to decipher the multiple layers of meaning of the postmodern novel.
Prospective trial comparing open approach of Lichtenstein tension-free mesh with laparoscopic transabdominal preperitoneal approach for repair of inguinal hernia: tertiary center experience
Authors: Helmy Ahmed M. , Aldardeer Ahmed A. , Redwaan Alaa A.
Published: October 2019

Background: The introduction of various open mesh and laparoscopic techniques has increased the interest in inguinal hernia surgery. But still controversy persists about the most effective inguinal hernia repair. The aim of this study was to compare the results of open Lichtenstein tension-free mesh technique and laparoscopic transabdominal preperitoneal (TAPP) repair for inguinal hernia.Methods: We considered 55 patients were enrolled between. Patients were divided into two groups, group A had open mesh repair and group B had laparoscopic TAPP repair of groin hernia. Time to full recovery and return to work, operative time, postoperative pain, hospital postoperative stay, complications and recurrence rate were recorded in both groups.Results: Significant difference was observed in the median time to return to normal activities in TAPP group versus in open approach. The mean hospital postoperative stay was 1-2 days in both groups. On follow up of our patients we found that in group A 3 patients had seroma, no haematoma discovered among our patients, 3 patients had wound infection, all previous complications were managed conservatively, in group B none of all 30 patients develop seroma, haematoma or infection. In group A 4 patients who were had bilateral hernia develop recurrence, while in group B we had no recurrence among the patients.Conclusions: Laparoscopic (TAPP) approach to inguinal hernia repair is considered safe and effective as excellent alternative to conventional surgery repair. It is associated with less postoperative pain, hospital postoperative stay, postoperative complications, and recurrence, earlier return to normal activities.
A study on laparoscopic cholecystectomy, indications, complications and conversion to open in a tertiary care hospital
Authors: Chandramouli N.
Published: October 2019

Background: Disease of gall bladder, especially the stones, is one of the most common health problems leading to surgical intervention. Laparoscopic cholecystectomy is the gold standard operation for gall stone disease with a good safety profile. The aim of the study was to discuss the indications, complications encountered and open conversion rate of laparoscopic cholecystectomy in a tertiary care hospital.Methods: It was a prospective study, conducted at Sri Adichunchanagiri Hospital and Research Center, B.G. Nagara, Karnataka after the approval from institutional ethics committee (IEC). This study included 30 patients who presented to the ER or OPD with pain abdomen, from October 2018 to March 2019, and diagnosed to have gall stone disease with or without inflammation. All the patients were worked up as per standard institutional protocol. Patients clinical characteristics, ultrasonogram (USG) findings, surgical management and complications were recorded.Results: Mean age was 41.1±6.06. The indications for cholecystectomy in gall stone disease at our institute during the aforementioned timeline were symptomatic gall stones (60%) and calculus cholecystitis (40%). All underwent laparoscopy and 2 patients were converted to open surgery intra-operatively in view of difficulty in dissection of Calot’s triangle. 3 patients had post-operative complications and treated conservatively.Conclusions: Laparoscopic cholecystectomy is a standardised, efficacious procedure for the treatment of gall stone disease whether symptomatic or infected. Complications are minimal but a thorough knowledge of open procedure is also essential in case of intra-operative conversion.
Graded therapeutic approach to fissure in ano: study of 50 cases
Authors: Vagholkar Ketan
Published: October 2019

Background: Fissure in ano is one of the commonest disease affecting all age groups. The condition is quite painful leading to interference in activities of daily living. A wide variety of modalities ranging from medical to surgical approaches have been proposed. However no single modality can be called the gold standard of treatment. Hence the need to develop an optimum graded approach to manage the condition.Methods: Fifty consecutive cases of fissure in ano presenting in an acute state were studied prospectively to develop a therapeutic algorithm for rational treatment of the painful condition.Results: Conservative treatment was commenced in all cases. Eighteen required anal dilatation while out of these eighteen patients, ten required sphincterotomy despite anal dilatation. Four patients had recurrence of symptoms despite all surgical treatments.Conclusions: Conservative treatment still has a significant and positive outcome in fissure in ano. Anal dilatation and sphincterotomy are the next options of treatment. Therefore a graded multimodal approach is therapeutic in treating fissure in ano.
Laparoscopic total extraperioneal mesh hernioplasty is a novel approach for inguinal hernia: our experience over 7 years
Authors: Kalwaniya Dheer Singh , Mahadevan Ranjith , Arya Satya V. , Bajwa Jaspreet Singh , Gowda Gowtham K. , Narayan Akshay , M. Vignesh
Published: October 2019

Background: Inguinal hernia surgery is the most common performed surgery all over the world. Among them laparoscopic totally extra-peritoneal (TEP) mesh repair fulfils all the requirements with better clinical outcomes than other procedures.Methods: Data was collected from the inpatient and out-patient records of 60 patients who underwent laparoscopic TEP for unilateral or bilateral inguinal hernia in a single unit in the Department of General Surgery during May 2012-June 2019 including the two years of follow-up. 3D mesh was used for application and was fixed with tackers. Then patients were followed up in outpatient department after 1 week, 2 week, and 3 months, 6 months and yearly up to two years. In every visit post-operative pain (assessed by visual analogue scale), local wound complication (hematoma, seroma, wound infection) and recurrence were noted. The data was collected and evaluated and the results shown.Results: All patients were men, with average age of 36.5 years (range 32-58). On categorization 53 (88.3%) of them had unilateral inguinal hernia and 7 (11.6%) of them had bilateral inguinal hernia. Intra operatively 12 (20%) of them had direct inguinal hernia and 48 (80%) of them had indirect inguinal hernia. Haematoma was seen in 1 patients, surgical emphysema in 3, seroma in 5 and recurrence in 2 patients.Conclusions: Laparoscopic TEP mesh repair was effective and safe tool for hernia repair, in terms of lesser postoperative painless number of hospital days, early recovery and lesser wound complications. However recurrence rates are comparable with other methods of hernia repair.
Quality of life assessment in patients of bladder cancer with radical cystectomy and ileal conduit
Authors: Gupta Vikas , Srinivas Vardachary
Published: October 2019

Background: Bladder cancer, a lethal disease accounts for 3% of cancer deaths. With possibility of various urinary diversion options after bladder removal having comparable cancer control and complications, quality of life becomes an important factor in deciding the type of urinary diversion.Methods: Retrospective observational study with statistically appropriate sample size of 50. Patients of radical cystectomy and ileal conduit given validated Functional Assessment Of Chronic Illness Therapy for Bladder Cancer ( FACT-Bl ) Questionnaire to answer about post-operative quality of life in terms of five parameters i.e., physical, mental, social, emotional and cancer specific well-being after 1 year of surgery.Results: Results analysed by FACIT-Bl questionnaire analysis methods statistically, in terms of total scores and sub-scores. In our study the mean scores of physical well-being (PWB) subscale is 24.08±4.67 (range o-28), social well-being (SWB) subscale is 23.52±4.35 (range 0-28) , emotional well-being (EWB) subscale is 20.06±5.09, functional well-being (FWB) subscale is 21.84±6.01 (range 0-28), bladder cancer subscale is 36.44±5.72 (range 0-48). While mean trial outcome index score is 82.16±3.5 (range 0-104), FACT- General (G) score is 89.50+ 15.88 and mean FACT-Bl total score is 125.94±19.04.These scores provides the quantitative assessment of the quality of life and higher scores indicates better quality of life.Conclusions: Assessing quality of life for a particular type of urinary diversion, with questionnaires, gives surgeons and patients, guidance regarding diversion of choice.
Evaluation of gall bladder mucosal changes in patients undergoing laparoscopic cholecystectomy
Authors: Singh Harpreet , Kaul Roop Kishan , Singh Naveen Kumar , Gupta Aviral , Yadav Vikram Singh
Published: October 2019

Background: Histopathological changes induced by gall stone disease or cholelithiasis are diverse including acute inflammation, chronic inflammation, glandular hyperplasia, granulomatous inflammation, cholesterosis, dysplasia and carcinoma. Hence, this study was planned to assess gallbladder mucosal changes in patients undergoing laparoscopic cholecystectomy (LC) and it’s correlation with number and types of stone.Methods: A total of 50 patients with symptomatic cholelithiasis scheduled to undergo laproscopic cholecystectomy (LC) after written and informed consent from October 2015 to October 2018 at Teerthanker Mahaveer Medical College and Research Centre, Moradabad were followed prospectively. Preoperative biochemical profile and ultrasonography of whole abdomen of all the patients was obtained. LC was done under the hands of the skilled and experienced surgeons. Morphologic profile of gallstones was recorded and analysed. Gallbladder mucosal tissues were sent to general pathology department for analysis. Histopathological typing of all the gallbladder mucosal specimens was done and was correlated with the number and type of gallstones.Results: In majority (76%) cases, cholecystitis was found. Hyperplasia was seen in 10% patients. Cholecystitis with metaplasia in 10 percent of the cases and carcinoma in 2 percent of the cases. While correlating the gallbladder mucosal response with the number and type of stones, non-significant results were obtained.Conclusions: There might be some association between gall bladder mucosal changes and gall stone. We cannot say an etiologic and effective correlation from the results of this study; possible mechanism may be gall stone erodes gall bladder wall constantly over a period of time which may constitute a risk. While correlating gallbladder mucosal response with the number and type of stones, non-significant results were obtained.
Acute mesenteric venous thrombosis after laparoscopic sleeve gastrectomy: a case report and a literature review
Authors: Sedik Alaa , Aleashed Fawaz , Fathi Ahmed
Published: October 2019

Over the last decade, laparoscopic sleeve gastrectomy has become an increasingly popular surgical procedure for morbid obesity. Moreover, post-laparoscopic sleeve gastrectomy mesenteric venous thrombosis is very rarely reported. The presentation varies from mild non-speciﬁc abdominal symptoms to life threatening surgical emergency. Superior mesenteric vein thrombosis after bariatric surgery is a difficult diagnosis that needs a high index of suspicion. We report a case of thrombosis of the superior mesenteric vein, who presented as acute emergency to emergency room, shortly after sleeve gastrectomy. Patient underwent laparotomy and offered a resection of 60 cm of infarcted proximal jejunum with restoration of bowel continuity later. Patient subsequently recovered and followed several times in our outpatient and was free of symptoms.
Concomitant primary peritonitis, septic shock and empyema thoracis in a young girl: a rare case report
Authors: Singh Scott Arockia , Jeyasekharan D. Devaprasath , Jeyasekharan S. Sabu , Vidhyasagar P. Bala , Nithila C. , Devaprasath Renu , Perumal S. Nishal , Chandrika Katla Vishnu
Published: October 2019

Primary peritonitis is a condition in which there is no intraabdominal source of infection demonstrated during laparotomy. It is uncommon and can affect any age group from childhood to the elderly. We report here a case of Primary peritonitis with septic shock as a presenting feature, associated with empyema thoracis. This combination was not reported previously in the literature. Our patient was a 15-yr old girl with a ten day history of fever, cough, dyspnea, abdominal pain and loose stools initially treated elsewhere. She was brought to the emergency in a gasping state, bradycardia, hypotension, tachypnoea and a distended abdomen. She was intubated, resuscitated and a bedside ultrasound revealed free fluid present all over peritoneal cavity. Emergency laparotomy under general anesthesia showed extensive thick yellow coloured nonfoul-smelling purulent fluid all over the peritoneal spaces with distended bowel loops. A thorough search confirmed no evidence of hollow-viscus perforation, peritoneal lavage, appendicectomy and laparostomy were done. Postoperatively she was ventilated electively and managed in a high dependency care unit with broad spectrum antibiotics and respiratory supportive measures. However she continued to have high fever, tachycardia, tachypneic and developed left massive pyothorax. Thoracoscopic drainage of the flakes of pus in the pleural cavity with extensive decortication done. Then, once her sepsis was well controlled, underwent laparostomy closure. However, post laparostomy-closure had signs of LV dysfunction with respiratory failure and managed with cardiac drugs. She had a turbulent postoperative course, gradually recovered, and was discharged home after nine weeks of admission.
The approach to a neonate with suspected intestinal obstruction: the pediatric surgical perspective
Authors: Sarma Vivek Parameswara , Menon Sunil S.
Published: October 2019

In this article, the possible pitfalls while evaluating a new-born with intestinal obstruction are reviewed and a diagnostic algorithm is proposed. The difficulties include the finding of an otherwise well child in most of the surgical problems and the fact that many signs are subtle. The diagnosis of distal bowel obstruction rests on proper radiological interpretation. The new-born with features of intestinal obstruction poses a diagnostic challenge to the neonatologist and paediatric surgeon. But, the systematic interpretation of history, physical examination, radiograph and contrast imaging in select cases will enable a proper and timely diagnosis.
Knowledge and attitudes of mothers about nutrition status for infants and toddlers in Tuksono, Sentolo, Kulonprogo
Authors: Ayu Suci Musvita , Sofiana Liena , Halimatusa’diyah Thoharoh
Published: October 2019

Background: Nutrition is one of the factors that can be used as a determinant of the quality of human resources. The number of malnourished sufferers in the world reaches 104 million children. The prevalence of underweight children based on weight and age indicators is 19.6% which consists of 5.7% toddlers with poor nutrition and 13.9% of them with under nutrition. Based on data from the District Health Office of Kulon Progo (2014), the number of toddlers with under nutrition was 10.13%.Methods: This study was an observational analytic cross-sectional design. It was conducted in July, 2019. The study population was mothers who had babies and or toddlers in Kalisoko. The sampling was carried out using random sampling with inclusion criteria of mothers who have babies and or toddlers residing in Kalisoko. Exclusion criteria in this study were mothers who were not willing to be sampled and mothers who did not have babies and or toddlers. Based on the established inclusion and exclusion criteria, a sample of 30 was obtained. The research instrument was a questionnaire. Statistical tests were performed using chi-square test.Results: Chi-square test results showed a significant value of 0.072 (p<0.05), which means that there is no relationship between maternal knowledge of maternal attitudes about nutritional status in infants and toddlers in Kalisoko, Tuksono, Sentolo, Kulonprogo 2019. The risk prevalence value is 2.303 (>1) and the CI value between 1.083 and 4.897 so that it does not exceed 1, meaning that the knowledge of mothers which is not really good is at risk of 2.303 times compared to mothers who have good knowledge.Conclusions: Knowledge is a risk factor for maternal attitudes about nutritional status in infants and toddlers but it is not statistically significant.
Relationship between history of household contact and rate of leprosy in Central Jakarta area in 2017
Authors: Putri Lika Iriana Risda , A. R. Bubakar Ahmad Haykal , Setiasih Nenden Lilis
Published: October 2019

Background: Leprosy is a disease whose mode of transmission is not known with certainty. It is based solely on the classic notion that it is transmitted through prolonged and close direct contact between the skin and inhalation because Mycobacterium leprae can live several days in a droplet. The objectives of this research are to find out whether or not there is a relationship between household contact and leprosy and to find out how the relationship between household contact and leprosy.Methods: This is an observational descriptive research that applies a case control design. The samples were taken using a simple random sampling method that obtained 34 people.Results: The research results obtained a p-value of 0.003 which is smaller than the value of α=(5%). It shows that there is a significant relationship between the history of household contact and leprosy in the Central Jakarta area in 2017.Conclusions: The relationship that occurs between the history of household contact and leprosy shows a negative correlation that a person who has a history of household contact with a person affected by leprosy does not all suffer from leprosy. Meanwhile, there are many people who do not have a history of household contact who suffer from leprosy.
Clinical profile and geographical distribution of malaria patients attending a tertiary care centre in Mangaluru, South India
Authors: H. Pavithra , Ismail Imaad Mohammed , Kahar Ayisha , Bhargav Sai , Bharadhwaj M. G. Samanth , Kumar M. Arun , Rajeev Vishnu
Published: October 2019

Background: Around 0.84 million people contracted malaria in India in the year 2017 and it resulted in 194 deaths. This study was conducted to describe the demographic and clinical profile as well as the geographical distribution of malaria patients attending a tertiary care hospital in Mangaluru.Methods: It was a record based descriptive study. All the malaria cases which were admitted from 1st May 2017 till 30th April 2018 were included in the study. QGIS software was used to plot the cases geographically.Results: A total of 97 malaria cases were present, of which 74.2% were males. The mean age of the participants was 33.4 years. Fever and chills were the most common presenting complaints (94.8% and 85.6% respectively) and thrombocytopenia was the foremost complication. Diagnosis was done using blood smear in 45 cases and rapid diagnostic kit in 59 cases. 8 patients were detected positive by both the tests. Plasmodium vivax (69%) was the most common infection. QGIS plotting of address showed that 61.4% were from Mangaluru block. Rest of the cases were from other parts of Karnataka, Kerala and Bihar.Conclusions: Malaria has a male preponderance and usually affects the economically productive age group. Thrombocytopenia was a common complication, thus necessitating close vigilance on platelet counts in malaria patients. Thick and thin blood smear is recommended to be performed to every case irrespective of their rapid diagnostic kit results. Mangaluru block accounted for 60 cases out of 97 cases which necessitates intensification of preventive measures in the block.
Consumption of the trans fats and fats in adult females in urban and rural areas of Ludhiana: a population-based study
Authors: Maakhni Govind , Singh Shavinder , Kamra Deepshikha
Published: October 2019

Background: In India, fast foods are becoming part of our daily lifestyle. Foods prepared in restaurants are very high in trans fats (TFs). Also, alarmingly about 400,000 tonnes of snacks, which are largely prepared in TFs are consumed every year. According to recent studies, TFs levels are 5 to 12 times higher in the oils consumed in India as compared to the world standard. The WHO recommends that TFs intake be less than 1 percent of total caloric intake. The objective of the study was to assess the consumption of TFs and fats in foods by the population in urban and rural areas.Methods: This was a community-based cross-sectional study. All adult females above 18 years of age who took an active part in kitchen were interviewed. Their dietary patterns were assessed. The sampling was done using a systematic random sampling technique and 200 participants each in rural and urban areas were selected.Results: 12 percent participants in the urban area and 9 percent participants in the rural area were exceeding WHO limit of less than 1 percent TFs consumption. The median value of TFs consumption was higher in urban area (0.575 grams/day) than in rural area (0.427 grams/day).Conclusions: The study concludes that 12 percent participants in the urban area and 9 percent participants in the rural area were exceeding TFs consumption. Therefore, a proactive approach to ensure that these WHO regulations have the full intended effect needs to be taken.
How good are we in detecting and screening for diabetes? Results from community-based survey in rural Puducherry, South India
Authors: Boovaragasamy Chithra , Sarathamani Sinthu , Anbazhagan Suguna , Anbazhagan Surekha , Thekkur Pruthu
Published: October 2019

Background: Early diagnosis is the mainstay for reducing complications associated with diabetes. Though blood sugar testing was made freely available, there is gap in utilization of the same. Hence, the current study was conducted to assess the detection gap in diabetes compared to regional estimates. Also, to assess the extent of screening and factors associated with not getting screened.Methods: A community based cross-sectional analytical study was conducted in the selected rural areas of Puducherry. House to house enumeration survey was conducted in the purposively selected rural areas during September-2016 to February-2017. Information on diabetes status, status of screening in last one year was collected from individuals aged more than eighteen years. Data was entered in Epidata 3.1 and analyzed using Stata 12 software. Percentages with 95% CI were used to estimate the detection gap in diabetes on comparing with regional estimates given by IDF (8.6%). Generalized Linear Models were used to assess the individual level characteristics associated with not screening for diabetes.Results: Of the total 1844 enumerated individuals, 1423 (78.6%) were above 18 years of age. The detection gap for diabetics based on IDF was 39% and based on DLHS-4 was 69.8%. Of the eligible individuals for screening 81.9% (95% CI: 79.7%-83.9%) were not screened for diabetes in last one year.Conclusions: With high detection gap and low utilization of screening, there is need for developing innovative strategies like task shifting, ICT utilization for screening and targeted screening.
Prevalence of iodine deficiency disorders among school student of Purba Medinipur, 2018: a cross sectional study
Authors: Biswas Dilip Kumar , Bhunia Rama , Mukherjee Abhijit
Published: October 2019

Background: Iodine deficiency disorder is one of the preventable public health diseases in India. Prevalence of goiter is also still prevalence at sub-Himalayan region of West Bengal. Study was conducted to assess prevalence of goiter among school students between 6 and 12 years age, to find out urinary excretion of iodine and iodine content in salt sample and to recommend for consuming iodized salt.Methods: We conducted the study among the school students aged 6 to 12 years during the month of June 2018 in Purba Medinipur district, West Bengal, India. Multistage cluster sampling method was conducted for selecting the study population. Clinical examination was done by medical officer to detect goiters. Salt and urine samples were taken from the selected students and were sent to State Iodine Monitoring Laboratory, Kolkata for examination of iodine content in household salt samples and urine samples.Results: Total 2821 students were examined for survey. Over all prevalence of goiter was 3.75% (109/2821). Girls had more prevalence 4.63% than boys 3.18%. Average urinary iodine excretion (UIE) level is 184.74% in 30 clusters of 339 urine samples. Only 5.60% showed UIE level ≤100 microgram/liter. Total 541 household salt samples were tested for iodine and average iodine content was 22.85%. Among them 91.5% (495) had iodine ≥15 ppm indicating adequate iodine contents in salt samples.Conclusions:Purba Medinipur may be considered a non-endemic district. We recommended continuing use of iodized salt.
Assessment of vaccine wastage in an immunization clinic of a tertiary care hospital, Kolkata, West Bengal
Authors: Chakraborty Nabanita , Joardar Gautam Kumar
Published: October 2019

Background: Universal Immunization Programme was launched by Government of India in 1985 with the aim of immunizing all children and pregnant women across the country free of cost. However high vaccine wastage and lack of proper vaccine management could not meet the demand and increased the cost.Methods: A descriptive record based study was conducted in the immunization clinic of KPC Medical College and Hospital. Vaccination records of all children and pregnant women attending clinic from 1st July 2018 to 30th June 2019 was retrieved from the immunization registers.Results: Wastage rate was found to be highest for bacillus Calmette–Guérin vaccine vaccine (68.9%) and lowest for oral polio vaccine (27.7%). Wastage rate was higher for 10 dose vial vaccine compared to 5 dose vial and 20 dose vial vaccine and the differences were statistically significant (p<0.00001).The wastage rate was higher for lyophilized vaccine compared to liquid vaccine and for injectable vaccine compared to oral vaccine. These differences were also statistically significant (p<0.00001).Conclusions: Thus regular monitoring of immunization sessions should be done to estimate the vaccine wastage in each session. Reducing wastage is expected to increase the quality and efficiency of the programme and also reduce the cost without compromising the coverage.
Instability and self-oscillations in electro-hydraulic servo drive
Authors: Sunarchin Robert , Mashkov Maksim , Matrosov Artem
Published: October 2019

One of important problems of closed-loop hydraulic systems is ability of self-oscillations. Linear simulation shows unlimited growth of amplitude, but self-oscillations appear in a real hydraulic drive because of wastages, limits of endurance and oscillation energy. Main purpose of the research is to make a numerical simulation to correspond main parameters of self-oscillations of electro-hydraulic servo drive with characteristics of drive. Results of numerical simulation could be improved with transition to nondimensional variables. In this case several nondimensional complexes present whole hydraulic system instead of many variables and parameters in case of dimensional model. Main result is stability and amplitude of self-oscillations of electro-hydraulic servo drive depends of nondimensional variable Sh, if hydraulic time constant is more than mechanical time constant, then less oscillation energy applies to drive. Simulation model in this research is quite far from real electro-hydraulic servo drive, so improvement of simulation is purpose for the future researches.
Application of holographic interferometry for study rotor stator interaction in turbomachines
Authors: Seleznev Valeriy Grigor'evich , Golovchenko Ivan Yur’evich
Published: October 2019

In article take up two examples application of holographic interferometry for investigation modes vibrations spinning bladed discs of engines and analysis vibrations taking into account rotor stator interaction.In the first example blade vibration measurement on operating compressor were carried out to investigate the extent of blade excitation of impeller. Interesting responses of the radial blades to the excitation were obtained with the compressor with the cambered vane diffuser. Unusual and unexpected significant resonance peaks of blade were observable when rotating frequency is near 18000 rpm with maximum stress amplitudes. A vibration test at rest using holographic interferometry was carried out by taking an interferogram of the impeller with one diameter and circle.In present paper for the first example was shown that strong impeller vibration excited by the diffuser vanes is due to interaction between impeller and diffuser vanes and spinning impeller oscillated with mode one diameter and circle.In the second example vibrations wheel of turbine was investigated on holographic test stand and during spinning test. At work turbine wheel consisting of stage was find out that dangerous stresses with frequency about 8000 Hz arise from the action of 28 harmonic. At investigation of this wheel on the holographic stand was find mode with 7 diameters on the frequency 7893 Hz.Strong turbine vibration excited stator vines is due to interaction between turbine wheel and stator vines. As a result spinning turbine wheel oscillated with mode 7 diameters.
The Role of Investigator in Applying Diversion to Children in Conflict with the Law in the Jurisdiction of Padang City Police
Authors: Saputra Andre Dwijaya , Danilm Elwi , Yoserwan Yoserwan
Published: October 2019

The objectives of this study are to: 1) find out and analyze the role of investigator of the Women and Child Protection Unit in applying diversion to children in conflict with the law, 2) determine and analyze the implementation of diversion carried out by the Women and Child Protection Unit against children in conflict with law, 3) identify and analyze the obstacles of investigators of the Women and Child Protection Unit in applying diversion to children in conflict with the law. This research employs the sociological juridical method, a research in the discipline of law that is based on the reality that occurs in society where the type of study in this study is specifically descriptive. The results of this study found that: 1) the implementation of diversion in Padang City Police had been going well where there were 14 (fourteen) cases that were successfully resolved through diversion channels throughout 2015-2017, 2) the implementation of diversion in Padang City Police was guided by the Law on the Criminal Justice System for Children (UU SPPA), Secret Telegram of the Head of the Criminal Investigation Agency of the Republic of Indonesia Police TR/1124/XI/2006 and TR/395/DIT,VI/2008, and Government Regulation No. 65 of 2015, 3) in applying the diversion, Padang City Police investigators faced several obstacles such as: the victim felt that his/her rights were not protected because the suspect was given privileges in the legal process and the victim or his/her family considered the law to be biased and favored the suspect. It is the reason for the failure of deliberation regarding diversion. To anticipate this failure, there are a number of suggestions in which human resources in the Children’s Criminal Justice Unit (PPA) of Padang City Police should be given training in collaboration with the Ministry of Social Affairs in the framework of developing human resource competencies. It is better if the internal police regulations relating to the implementation of diversion are revised and adjusted to the applicable laws and regulations.
SYSTEM APPROACH TO THE PROBLEM OF FORECASTING THE CARIES OF TEETH
Authors: Скрипкина Галина , Skripkina Galina , Екимов Еегений , Ekimov Evgeniy , Митяева Татьяна , Mityaeva Tatyana
Published: October 2019

Background. At the present stage of development of scientific knowledge, to know the etiology and pathogenesis of dental diseases is impossible without a systematic approach to this problem. Currently, the problem of forecasting and the formation of “risk groups” at the stages of disease development and determining the boundary values of background indicators of diagnostic criteria in order to prevent the development of pathology and take preventive measures is relevant. In order to process the information received, elements of applied mathematics are increasingly being used, namely cluster and factor analyzes for processing the data from physiological parameters to the onset of pathology. These methods of applied mathematics are a component of modern computer software packages and are used for mathematical modeling of the clinical situation. The goal ― is to create and test a model for predicting dental caries in children in the pediatric dentistry clinic with the help of a systematic approach using elements of applied mathematics. Methods. 1158 caries-resistant children of pre-school and school age were examined for the study of dental status and the formation of a regional data bank. Results. The applied system approach with the use of elements of applied mathematics allowed introducing into practical public health computer processing of data of clinical and laboratory diagnostics of the dental status of caries resistant children of preschool and school age in order to predict the risk of developing a carious process in each individual. Findings. Predicting the risk of a carious process will increase the effectiveness of primary preventive measures, save public funds allocated in the amount of compulsory health insurance to provide dental care for children in the region, maintains caries resistance in each individual and, subsequently, will reduce the incidence of caries among the children's population at populations.
CLINICAL EVALUATION OF COBALT-CHROMIUM-BASED FIXED DENTURES
Authors: Керимова Арзу , Kerimova Arzu
Published: October 2019

Subject. Ceramic-metal prostheses are distinguished by high wear resistance, resistance to deformation, and tight fit to the gums. However, there are relatively large differences in determining the success / survival of cobalt chromium based restorations. The article presents the results of a study of cobalt-chromium fixed dentures.

Objectives — evaluate the effectiveness of cobalt-chromium fixed dentures made using the direct metal laser sintering (DMLS) technique.

Material and methods. 32 patients (mean age 41.8 ± 2.46 years) were found to have 54 fixed cobalt-chromium fixed bridges made using direct laser sintering of metals. Dentures were evaluated between 6, 12, 24, 36 months according to G. Ryge criteria. The survival rate of restorations is calculated according to Kaplan-Meyer.

Results. Assessment of fixed prostheses revealed the absence of criteria C and D in all 3 categories. A comparative analysis of prostheses showed no change in the period 6, 12, 24 months. After 36 months, chips that did not violate the function of the prosthesis were revealed in 5.5 % of cases, visible signs of a cleft in the category of “marginal adaptation” in 1.8 % of cases, edge discoloration of the surface in 3.7 % of cases. Radiographically, 1 patient showed signs of incipient proximal caries and periapical changes, respectively. During the study period of 6-24 months. survival rate was 1.0. The survival of the restoration over a 3-year period was 88.9 %.

Conclusion. The frequency of cleavage was 5.5 %, which is comparable to the usual performance of ceramic-metal restorations. The visible signs of a cleft in the regional adaptation was 1.8 %, and the regional color mismatch was 3.7 %. 1.8 % of restoration was detected. Signs of incipient proximal caries were 1.8 %, periapical changes — 1.8 %. Survival was 88.9 %.
ESTIMATION OF THE COMPOSITION OF MICROBIOTES OF PERIIMPLANT FURROWS IN THE PROCESS OF OSTEOINTEGRATION OF DENTAL IMPLANTS
Authors: Махмудов Тофик , Mahmudov Tofik
Published: October 2019

Background. The necessity of studying the microbiota of the oral cavity, as one of the main causes of complications after the installation of dental implants, is considered. In the dynamics of osseointegration of dental implants (1-6-12 months), a study was made of the species and quality composition of the microbiota of peri-implant and gingival furrows. Objectives ― to study the composition of microbiota in the gingival sulcus of an adjacent healthy tooth and the peri-implant sulcus of the implant in the process of osseointegration of dental implants. Methods. A microbiological study of the composition of the microbiota of the studied biotopes — the peri-implant sulcus and gingival sulcus of an adjacent healthy tooth in the process of osseointegration of dental implants in 83 patients was carried out. The total number of bacteria was detected by real-time polymerase chain reaction. Results. 1 month after the installation of dental implants and fixation of the Treponema denticola gingival former in the samples from the gingival sulcus of the tooth was 16.03 %, and the number of Tannerella forsythensis was 5.52 % higher than in the samples from the peri-implant sulcus. After 6 months, the total bacterial mass in the peri-implant sulcus was 12.7 % less. The amounts of Prevotella intermedia, Treponema denticola, Tannerella forsythensis and Porphyromorans gingivalis in the peri-implant groove decreased by 2.9, 6.1, 5.2 and 11.6 %, respectively. After 12 months, a statistically significant decrease in Porphyromorans gingivalis was observed 2.7 times (p <0.01) and 2.6 times (p <0.01), respectively, in the peri-implant and gingival sulcus. Conclusions. In the process of osseointegration of dental implants, the total bacterial mass (p <0.01), Porphyromorans gingivalis (p <0.01) decreased dynamically, statistically significantly, the number of Tannerella forsythensis increased (p <0.05). Also dynamically, but slightly, a decrease in Candida albicans was observed. After 12 months, an accumulation of Prevotella intermediaries was observed at the implantation sites.
ANALYSIS OF COMPLEX FORENSIC-MEDICAL EXPERTISE IN THE DRAWBACKS AND UNFAVORABLE OUTCOMES OF ENDODONTIC TREATMENT OF TEETH
Authors: Борисова Элеонора , Borisova Eleonora , Грига Эллина , Griga Ellina , Федичкина Марина , Fedichkina Marina , Канноева Марина , Kannoeva Marina
Published: October 2019

Subject. One of the urgent problems of modern health care is to provide quality and effective dental care. The percentage of complications as a result of deficiencies in the provision of dental care, leading to the development of serious pathologies and deteriorating the quality of life of patients is growing every year. High rates of emergence of new technologies in dentistry, new dental materials and equipment do not always allow each practicing dentist to achieve a high professional level of assistance when working with new methods and means of treatment of caries and its complications. In this regard, endodontic care is not provided at the proper level. Goal. A retrospective analysis of medical documentation (comprehensive examinations) was conducted to identify the incidence of medical care deficiencies and adverse outcomes in endodontic dentistry. Methodology. A retrospective analysis of 19 complex forensic examinations was carried out to identify the frequency of deficiencies in medical care and adverse outcomes in endodontic treatment of teeth. Results. It was found that the most common shortcomings in the endodontic treatment of teeth are the lack of x-rays before and after endodontic treatment, removal of filling material for the apex of the tooth, non-compliance with the rules of asepsis and antiseptics in the treatment of patients, unjustified removal of dental pulp. Findings. A retrospective analysis of adverse outcomes in endodontic dentistry according to comprehensive examinations revealed significant deficiencies at the stages of diagnosis and treatment, which led to medical errors and further legal proceedings.
THE EFFECTIVENESS OF CONSERVATIVE THERAPY IN CHILDREN
Authors: Наронова Наталья , Naronova Natalia , Молвинских Вера , Molvinskikh Vera , Белоконова Надежда , Belokonova Nadezhda , Ольшванг Ольга , Olshvang Olga
Published: October 2019

Subject. Saliva plays the main role in the mineralization of enamel after eruption, as it consists of inorganic and organic compounds, as well as hormones and vitamins that regulate this process. The aim is to quantify calcium and phosphorus in mixed saliva in children and to assess the effect of remineralizing agents on these indicators over time. Methods. The mixed saliva of 18 children aged 3 to 11 years, as well as saliva of 39 people aged 17 to 20 years was analyzed. The content of calcium and phosphorus in mixed saliva was determined using spectrophotometry, according to standard methods. The normal range for calcium in saliva is 40-80 mg/l, the phosphorus content in saliva is 60-200 mg/l. The analysis of experimental data of the analyzed samples of mixed saliva has shown that the calcium content is 25.1±0.49 mg/l, in 80 % of cases there is calcium deficiency. The phosphorus content is 51.4±0.95 mg/l, in 65 % of cases there is phosphorus deficiency. Results. When using Belagel, it was found that the Ca/P ratio in saliva in adults has not changed, and in children, on the contrary, it has increased almost 2 times. After 2 weeks, the Ca/P ratio in children and adults using R.O.C.S. increased 2 times, and, when using Belagel, it increased only 1.5 times in adults, and even decreased in children by 25 %. Conclusion. In children groups, the content of calcium and phosphorus can be replenished when using remineralizing agents: Belagel Ca/P increases phosphorus content, and R.O.C.S. medical minerals increases calcium content in comparison with the control group.