bluuebunny/crossref_metadata_2025 huggingface dataset:
DIRECTIONS OF MINIMIZATION OF FINANCIAL SCAMS IN THE FIELD OF PUBLIC PROCUREMENT
Authors: KYRYLENKO Olga , RUSIN Victor
Published: October 2020

Introduction. Ukraine is undergoing an extremely important and complex process of forming a modern and effective public procurement system aimed at creating a competitive environment and further developing fair competition in public procurement, as well as ensuring compliance with international obligations by consistently adapting Ukrainian legislation to EU standards. The task of public procurement reform is to significantly reduce financial fraud in this area and achieve savings in public funds.

The purpose of the article is to analyze the process of reforming the public procurement in Ukraine, focusing on the latest changes, substantiation of proposals for ways to minimize financial fraud in the field of public procurement.

Results. The main milestones of formation and improvement of the public procurement system in Ukraine are considered. Emphasis is placed on the features of the current stage, which are to create better conditions for bidders and prevent financial fraud in public procurement, expanding the list of violations and strengthening penalties. Data on the most common types of violations among procurement customers are given.

Conclusions. The existing risks of unfair competition in procurement are indicated and the ways of minimizing financial fraud in this area are substantiated. Emphasis is placed on the importance of preventive measures that can be used to detect violations before the conclusion of the contract. In the context of strengthening the effectiveness of control measures, it is proposed to introduce a direct rule of criminal liability for violations in the field of public procurement. The implementation of the proposed measures will help increase the effectiveness of public policy in the field of public procurement, which will ultimately allow for more economical and efficient use of public funds.
Factors Affecting the Aggressive Behavior Among Vocational Students in Malaysia
Authors:   University Tun Hussein Onn Malaysia, Parit Raja 86400, Batu Pahat, Johor, Malaysia., Rahim Mohd Bekri , Sumarwati Sri ,   University Tun Hussein Onn Malaysia, Parit Raja 86400, Batu Pahat, Johor, Malaysia., Yunus Faizal Amin Nur ,   University Tun Hussein Onn Malaysia, Parit Raja 86400, Batu Pahat, Johor, Malaysia., Razali Nizamuddin ,   University Tun Hussein Onn Malaysia, Parit Raja 86400, Batu Pahat, Johor, Malaysia., Rahman Khairul Anuar Abdul ,   University Tun Hussein Onn Malaysia, Parit Raja 86400, Batu Pahat, Johor, Malaysia.
Published: October 2020

The purpose of this research is to explore the most common factors affecting aggressive behavior among vocational students in Malaysia. The samples were composed of 400 vocational college students based on the proportional stratified random sampling method. The research design used is the quantitative method of survey. The modified Buss-Perry Aggression Questionnaire was used to identify the level of aggressive behavior among vocational students. A pilot study was conducted to 35 vocational college students in Batu Pahat. Based on the findings of the pilot study, the Cronbach’s Alpha value item overall was 0.853. This indicates that the questionnaire items were valid and reliable to obtain data on the actual survey. A total of 400 students from vocational colleges were selected for this study by the proportional stratified random sampling. The data were analyzed using the Statistical Package for Social Science (SPSS) program version 25. Statistical techniques employed in the analysis of data collection were mean and standard deviation. The results showed that the majority of aggressive behavior of vocational students in Malaysia was at a moderate level. The findings of this study found that bad attitude, parents and electronic media were the factors of a moderate level aggressive behavior. Meanwhile, peer factor was at a high level in affecting aggressive behavior among vocational students in Malaysia. Furthermore, the study is expected to provide valuable information to teachers at vocational colleges to address social problems among the students for developing their character and moral toward excellence.
Home Automation using Esp 8266
Authors:   Electrical and Electronics(EEE), VIT University, Vellore, India., Vispute* Shivani , Nayyar Aakarsh ,   Electrical and Electronics(EEE), VIT University, Vellore, India., Obulesu Prof. Dr. Y.P. ,   Department of Energy and Power Electronics ,School of Electrical Engineering , VIT University, Vellore, India.
Published: October 2020

Home automation is advancing in most sectors of the world, people are finding ways to make their life simpler and more efficient. Most of the home automation devices use raspberry pi and various sensors. Many of the device are inculcated with hand gesture recognition algorithms in order to make them more user friendly. This system is based on Wi-Fi signals and communication takes place over a particular bandwidth of the Wi-Fi. The system takes into usage a Wi-Fi technology thus it provides universal access to the system for automated control of appliance. ESP-8266 is the vital component of this project that helps in communication using Wi-Fi protocol. The main objective that lies behind this project is the inspection of controlling of the home appliances distantly while keeping it cost effective. The motivation behind the project was to enable users to make their home automatic and have distantly unanimous control. The home gadgets controller framework with an operational expense was viewed as fabricated that ought to be transferrable giving removed access controlling plan to the machines. Thus the analysis comprises the working of the Wi-Fi module along with various censors and IC’s. ESP-8266 helps the user to control the device from anywhere around the globe using the mobile application.
Fuzzy Logic Controlled Zeta Converter fed DC-Motor Drive System with reduced Steady-State-error
Authors:   Ph.D. Research Scholar in the Department of Electrical Engineering, Annamalai University. Kumbakonam, India, Niranjana* S. , Baskaran B. ,   Professor Department of Electrical Engineering, Annamalai University. Nagapattinam, India
Published: October 2020

Zeta-converter finds a way between DC-source and DC-Motor to step-up and match the motor-voltage. This work proposes QBC between the DC source and DCM. The DC output is boosted by ZCS. The DC yield of ZC is provided to the DC-Motor. In-this-work, different-control-strategies for Zeta-Converter fed DC-Motor (ZC--DCM) such as ‘fractional-order-PID(FO--PID) controller’, ‘Hysteresis-controlle r(HC)’ & ‘-Fuzzy-logic- controller(F-LC)’ is exploited to sustain the constant yield-speed of the ZC--DCM. Also, the load disturbance is introduced to analyze the performance of ZC--DCM driven by different controllers. “-The-simulation of ZC--DCM has been done utilizing -MATLAB/-Simulink-software”. The objective of the present work is to enhance the closed-loop response of ZC--DCM using suitable-controller. Outcome reveals that the F-L-based ZC--DCM has good-performance, when compared to the FO--PID &Hysteresis-controller based ZC--DCM.
Simulation of the Nanoscale Joint Surrounding Gate SOI MOSFET Characteristics
Authors:   is leader researcher of Federal State Institution “Federal Scientific Center Research Institute of System Researches”, Moscow, Russian, Masalsky Nikolae V.
Published: October 2020

In order to solve the current problem of increasing the efficiency of modern electronic circuits, the applicability of a nanoscale joint surrounding gate MOSFET with oval work area is discussed. The design and principle of its operation are considered. This concept involves of jointing the working areas of n-channel and p-channel MOSFETs. In fact, the JSMOSFET consists of two "glued" along the halves of MOSFETs: one - nchannel and the other - p-channel, but with one common gate. We analyze the applicability of the design of an oval-shaped protected area. In our case, the contact of two heterogeneously doped regions occurs in the plane passing through the small axis of the oval. The main channels are formed in zones associated with the large axis of the oval. This achieves the main goalincreasing the number of charge carriers. At the same time, the efficiency of short-channel effect suppression is maintained and a high current level of the transistor is provided in the strong inversion mode. By the developed TCAD model of a nanoscale joint surrounding gate MOSFET with an oval work area the electrophysical characteristics of several prototypes with different transverse dimensions were numerically calculated at a supply voltage of 0.5 V. From the simulation results, it follows that all prototypes are low-voltage devices that can function at voltages below 0.5 V in the gigahertz frequency range with a high gain. The proposed devices perform the function of inverting the input signal without distortion. From the comparison of modeling data, the scope scaling capabilities are determined. The obtained results create prerequisites for the development of the proposed transistor architecture, since electronic chips created on their basis will differ in low power supply voltage, high performance, and minimal occupied area, which meets modern requirements for transistors for analog and digital applications.
Maritime A utonomous Surface Ship Operation near Small Traditional Wooden and Fishing Boat
Authors:   Doctorate of Computer Science, Bina Nusantara University, Jakarta, 11480, Indonesia, Saputra* Diaz , Soeparno Haryono ,   Department of Computer Science, Bina Nusantara University, 11480, Jakarta, Indonesia, Napitupulu Togar Alam ,   Department of Computer Science, Bina Nusantara University, 11480, Jakarta, Indonesia
Published: October 2020

The advancement of IoT and the dream of having transportation mode where there is no human presence on board comes true . We have proceed in to the stage where artificial intelligence (AI) technology bring s efficiencies in almost all sector s. Maritime Autonomous Surface Ship ( is availabl e now and soon it is expected to be a marine mode of transportation that can sail all over the world. It may visit a place where there is so much difference in culture and custom with the place where it built . While there are several ships with difference of technology used meet on the same layer of sea surface at the same time .The difficulties in interacting for those type of ships with different technology may exist The worst condition is that collision accident may occur if one could not detect the pres ence of other. Present technology of radar detection is still having weakness of detecting small wooden boat . Especially during bad weather and rough seas. The nature of fishing boat fleet where mostly stay still in the middle of ocean during fishing perio d might bring the risk of collision if they are not detected properly by the passing MASS T his paper is highlight ing the risk of collision between these type of vessel s , the options to prevent the risk of collision accidentthat can be implemented both for MASS and Small Traditional Wooden and Fishing Boat are proposed . There are several model s that can be used to solve that problem with pros and cons of each option. At the end of the paper, it will be proposed the most effective and effi cient method that can be used to prevent such accident.
DIS-NV Functions for the Recognition of Emotions in Spoken Dialogue
Authors:   CSE Department, Jagan Nath University, Jaipur, India., Gupta* Divya , Bansal Poonam ,   CSE department, GGSIPU University Delhi India., Choudhary Kavita ,   Jagan Nath University, Jaipur India
Published: October 2020

We present our studies on the use of characteristics that describe the occurrences of DISfluence and nonverbal vocalization (DIS-NV) in spoken expressions for the recognition of emotions in 0"turn" to denote the continuous speech made by one speaker without interrupting the other speaker. Note that each speaker tower can contain one or more declarations, and consecutive speaker declarations may or may not belong to the same speaker tour. Here, our definition of speaker tower focuses on feeling and integrity in speech production, which differs from "tower" in the context of a tower system, which focuses on the transition between different speakers. We carried out experiments in the spontaneous dialogue database AVEC2012 to study the effectiveness of the proposed work. Our results show that our DIS-NV functions offer better performance than LLD or PMI functions in predicting all emotional dimensions. The DIS-NV characteristics are particularly predictive of the emotional dimension Waiting linked to the speaker's uncertainty and allow the best reported result to be obtained. The emotion recognition model using only the 5 DIS-NV functions achieved overall performance linked to the best reported result obtained by a multimodal emotion recognition model using thousands of audiovisual and lexical functionalities. These results confirmed that the proposed characteristics of DIS-NV are predictive of emotions in spontaneous dialogue.
Finite Element Computation of Crown Deflection of Cracked Concrete Gravity Dam under Effect of Creep in Fracture Process Zone
Authors:   Associate Professor, Department of Civil Engineering, Indian Institute of Technology (BHU) Varanasi-221005 India, Pandey* K. K. , Kumar V. ,   Professor, Department of Civil Engineering, Indian Institute of Technology (BHU) Varanasi-221005 India, Singh* G. J. ,   Assistant Professor, Department of Civil Engineering, National Institute of Technology Patna-800005 India
Published: October 2020

The concrete dams contain micro-cracks and flaws, developed during the hardening of concrete. Under the influence of static and dynamic loads, tensile stress at the crack's end causes the crack to grow, leading to structural failure. In the present study, a Finite Element (FE) computation is present to account for an effect of creep and non-linear stress-strain behavior in the fracture process zone (FPZ) for analyzing the horizontal deflection of the crown of a dam. The model test was perform for an old existing concrete dam for deflection of the dam's crown for a single crack and the results were compare with field data. The present model successfully simulates the effects of non-linear stress and creep in FPZ on the horizontal dam-crown deflection. It concludes that the analysis of dam stability in conventional methods must include the stress field behavior in FPZ.
Role of Emotional Intelligence Dimensions in Stress Detection
Authors:   M.Phil. (C.S.), Department of CS & IT, Dr. Babasaheb Ambedkar Marathwada University, Aurangabad MS (India), Swami* Sarika K. , Dhopeshwarkar Mukta G. ,   Assistant Professor, Department. of CS and IT, Dr. Babasaheb Ambedkar Marathwada University, Aurangabad MS (India)
Published: October 2020

Emotional Intelligence plays a vital role in our day to day life. EI helps to manage our emotions in positive ways. The objective of the present research paper is to study all the Intra PA, Inter PA, Intra PM, Inter PM dimensions of gathered dataset regarding EI and its impact on stress detection. The goal of this paper is to make the gender smart comparative evaluation on nowadays society for this the dataset is created for the same by way of the usage of psychometric test via the statistical analysis on the identical self-created database it has been discovered that female should improve her EI Dimensions to overcome stress & by using t-test it proves that there may be a statistically huge difference between male and female close to normal strain however it can be different if there is another parameter is becoming a member of.
Low Code Coding Approach for ofdm Systems Coded with the Progressive Transmission
Authors:   EECE, GITAM University, Hyderabad, India., Xavier* S. Francis , Babu S. Hari ,   EECE, GITAM University, Hyderabad, India., Rajesh A. ,   EECE, GITAM University, Hyderabad, India., Sk Jammer Basha ,   EECE, GITAM University, Hyderabad, India.
Published: October 2020

Orthogonal Frequency Division Multiplexing (OFDM) offers several benefits such as flexible wrapping, mail sign interference, reduced complexity and more. The only way to match parallel channels is to have genetic diversity in multipath channels. Various coded of OFDM systems reported using some form of channel coding or pre-coding to improve system performance. The execution of irrational orthogonal frequency division multiplexing (OFDM) on blurred channels is usually better than introducing some coding. Various coding schemes for off-OFDM have been reported in the literature.
A BIST Methodology to test CLB Resources on an SRAM-Based FPGA using Complementary Gates Configuration
Authors:   Assistant Professor, Department of EECE, GITAM Hyderabad., A Mr. Rajesh , SK Mr. Jameer Basha ,   Assistant Professor, Department of EECE, GITAM Hyderabad., Xavier Mr. Francis ,   Assistant Professor, Department of EECE, GITAM Hyderabad., Babu S Mr. Hari ,   Assistant Professor, Department of EECE, GITAM Hyderabad.
Published: October 2020

This paper primarily focuses on designing a new Built in self test (BIST) methodology to test the configurable logic blocks (CLBs) which is the heart of field programmable gate array (FPGA). The proposed methodology targets stuck-at-0/1 faults on a RAM cell in an LUT which constitutes about 90% of the total faults in the CLBs. No extra area overhead is needed to accommodate the test pattern generators (TPGs) and output responses analyzers (ORAs) as they are realized by the already existing configurable resources on the FPGA.A group of CLBs chosen as block under test (BUT) are configured as complementary gates (AND/NAND, OR/NOR, XOR/XNOR) to successfully test the aforementioned faults. The proposed BIST structure when implemented on Xilinx Virtex-4 FPGA proved 100% fault coverage and minimized test configurations.
Effect of Web Inclination on Box Girder Bridges
Authors:   Department of Civil Engineering, SKN Sinhgad College of Engineering, Pandharpur, Ahilyadevi Holkar Solapur University,, More Akash B. , Kadam Shriganesh S. ,   Assistant Professor Department of Civil Engineering, SKN Sinhgad College of Engineering, Pandharpur, Ahilyadevi Holkar Solapur University,
Published: October 2020

Bridge is a key element in any transportation system which provides easy access over physical obstacles like road, valley, water bodies etc. without closing the way underneath. Among various types, use of box girder type bridges are gaining popularity in bridge engineering because of its better stability, serviceability, economy, aesthetics, structural efficiency and rigidity in torsion. In this study, a box girder is analyzed by changing its web inclination angle to the horizontal (90°, 83°, 76°, 69°, 62°) using finite element based software CSi Bridge. Finite element models are developed keeping material properties, span length, boundary conditions as constant parameters. All these models are analyzed for self-weight, including load of wearing coat and crash barrier, and live loads specified by Indian Road Congress (IRC) namely IRC Class 70R and IRC Class-A loading. Responses in terms of torsional moment, longitudinal moment, support reactions, displacement and stresses are determined.
Tracking Footprints in a Swarm: Information-Theoretic and Spatial Centre of Influence Measures
Authors: Hepworth Adam , yaxley Kate , Baxter Daniel , Joiner Keith , Abbass Hussein
Published: October 2020

Boids (bird-oids) is a widely used model to mimic the behaviour of birds. Shoids (sheep-oids) rely on the same boids rules with the addition of a repulsive force away from a sheepdog (a herding agent). Previous work assumed homogeneous shoids. Real-world observations of sheep show non-homogeneous responses to the presence of a herding agent. We present a portfolio of information-theoretic and spatial indicators to track the footprints of shoids with different parameters within the shoid flock. The portfolio is named the Centre of Influence to indicate that the aim is to identify the influential shoids with the highest impact on flock dynamics. We use both synthetic simulation-driven data and measurements collected from live sheep herding trials by an unmanned aerial vehicle (UAV) to validate the proposed measures. The resultant measures will allow us in our future research to design more efficient control strategies for the UAV, by polarising the attention of the machine learning algorithm on those shoids with influence footprints, to drive the flock to improve the herding of sheep.
Imatinib-Induced Keratosis Pilaris in a Patient with Chronic Myeloid Leukemia
Authors: F Maruma
Published: October 2020

We discuss the case of a 23 years old female with chronic myeloid leukemia. This patient developed keratosis pilaris nearly three months after she was treated with imatinib mesylate for her chronic myeloid leukemia. She was then referred to our dermatology outpatient clinic for assessment of the skin lesions. Prior to initiating the tyrosinase kinase inhibitor, the patient had no skin lesions at all. The skin lesions were widespread and diffuse in distribution and featured a primary morphology of follicular keratotic papules. This clinical picture was in keeping with keratosis pilaris. The further histological evaluation also confirmed features compatible with this diagnosis. The tyrosine kinase inhibitors are considered first-line therapy for the treatment of chronic myeloid leukemia. Imatinib mesylate belongs to the first generation of oral tyrosine kinase inhibitors and has a long-term control on the chronic myeloid leukemia and good safety profile. Most cases of keratosis pilaris are reported to arise from the second generation of tyrosine kinase inhibitors such as Nilotinib. We report a case of keratosis pilaris associated with imatinib mesylate in a patient with chronic myeloid leukemia.
Ricci Solitons on Multiply Warped Product Manifolds
Authors: Açıkgöz Kaya Dilek , Onat Leyla
Published: October 2020

In the last years, many researchers focused to Einstein metrics and some similar structures that are called Einstein type metrics. One of the most famous among these are Ricci solitons. On the besides this, there is a special interest on the relation between warped product
manifolds and Ricci solitons. So, in this paper, we study Ricci solitons with the structure of multiply warped product manifolds. We also study Ricci solitons equipped with the concurrent vector fields on multiply warped product manifolds.
Prague brownfields: Opportunity and threat for the development of the metropolis
Authors: Sýkorová Ivana
Published: October 2020

Brownfields belong to the major urban problems in Czechia. These derelict areas are characterized by decayed, abandoned buildings and sometimes by contaminated land. This article provides an analysis of brownfields in Prague. First, I introduce brownfields as declining areas that have at the same time a great growth potential for the city development. Second, I present the main characteristics of Prague brownfields based on findings from a field survey conducted in 2005-6. The paper concludes by a brief summary and assessment of advantages and drawbacks of brownfields existence and of their potential regeneration for the contemporary urban development in Prague. The capital city of Prague has not suffered as much as other cities and regions in the Czech Republic due to its different structure of economy, its position as the national control and command centre and a gateway linking the country with the world economy.
Makespan Minimizing on Multiple Travel Salesman Problem With a Learning Effect of Visiting Time
Authors: Colombaroni Chiara , Mohammadi Mostafa , Rahmanifar Golman
Published: October 2020

The multiple traveling salesman problem (MTSP) involves the assignment and sequencing procedure simultaneously. The assignment of a set of nodes to each visitors and determining the sequence of visiting of nodes for each visitor. Since specific range of process is needed to be carried out in nodes in commercial environment, several factors associated with routing problem are required to be taken into account. This research considers visitors’ skill and category of customers which can affect visiting time of visitors in nodes. With regard to learning-by-doing, visiting time in nodes can be reduced. And different class of customers which are determined based on their potential purchasing of power specifies that required time for nodes can be vary. So, a novel optimization model is presented to formulate MTSP, which attempts to ascertain the optimum routes for salesmen by minimizing the makespan to ensure the balance of workload of visitors. Since this problem is an NP-hard problem, for overcoming the restriction of exact methods for solving practical large-scale instances within acceptable computational times. So, Artificial Immune System (AIS) and the Firefly (FA) metaheuristic algorithm are implemented in this paper and algorithms parameters are calibrated by applying Taguchi technique. The solution methodology is assessed by an array of numerical examples and the overall performances of these metaheuristic methods are evaluated by analyzing their results with the optimum solutions to suggested problems. The results of statistical analysis by considering 95% confidence interval for calculating average relative percentage of deviation (ARPD) reveal that the solutions of proposed AIS algorithm has less variation and Its’ confidence interval of closer than to zero with no overlapping with that of FA. Although both proposed metaheuristics are effective and efficient in solving small-scale problems, in medium and large scales problems, AIS had a better performance in a shorter average time. Finally, the applicability of the suggested pattern is implemented in a case study in a specific company, namely Kalleh.
The first record of Archiclaviger in continental Asia, with description of a new species from China (Coleoptera: Staphylinidae: Pselaphinae)
Authors: Yin Zi-Wei , Hlaváč Peter , Cuccodoro Giulio
Published: October 2020

The monospecific clavigerite genus Archiclaviger Heller, 1936 (Coleoptera: Staphylinidae: Pselaphinae), previously only known from Java, is reported to occur in China. A new species, A. gaofani sp. nov., was collected in nests of Nylanderia Emery, 1906 ants (Hymenoptera: Formicidae) in Jiangsu Province, and is described here. The new species can be separated from A. overbecki Heller, 1936 by different proportions of the antennomeres, and much sparser setae at the apex of the elytra and base of the abdomen. A revised diagnosis of Archiclaviger is provided, and a lectotype is designated for A. overbecki.
Adaptation to average duration
Authors: Corbett Jennifer E. , Aydın Berfin , Munneke Jaap
Published: October 2020

There has been a recent surge of research examining how the visual system compresses information by representing the average properties of sets of similar objects to circumvent strict capacity limitations. Efficient representation by perceptual averaging helps to maintain the balance between the needs to perceive salient events in the surrounding environment and sustain the illusion of stable and complete perception. Whereas there have been many demonstrations that the visual system encodes spatial average properties, such as average orientation, average size, and average numerosity along single dimensions, there has been no investigation of whether the fundamental nature of average representations extends to the temporal domain. Here, we used an adaptation paradigm to demonstrate that the average duration of a set of sequentially presented stimuli negatively biases the perceived duration of subsequently presented information. This negative adaptation aftereffect is indicative of a fundamental visual property, providing the first evidence that average duration is encoded along a single visual dimension. Our results not only have important implications for how the visual system efficiently encodes redundant information to evaluate salient events as they unfold within the dynamic context of the surrounding environment, but also contribute to the long-standing debate regarding the neural underpinnings of temporal encoding.
Dawn of a new era in industrial photochemistry: the scale-up of micro- and mesostructured photoreactors
Authors: Kayahan Emine , Jacobs Mathias , Braeken Leen , Thomassen Leen CJ , Kuhn Simon , van Gerven Tom , Leblebici M Enis
Published: October 2020

Photochemical activation routes are gaining the attention of the scientific community since they can offer an alternative to the traditional chemical industry that mainly utilizes thermochemical activation of molecules. Photoreactions are fast and selective, which would potentially reduce the downstream costs significantly if the process is optimized properly. With the transition towards green chemistry, the traditional batch photoreactor operation is becoming abundant in this field. Process intensification efforts led to micro- and mesostructured flow photoreactors. In this work, we are reviewing structured photoreactors by elaborating on the bottleneck of this field: the development of an efficient scale-up strategy. In line with this, micro- and mesostructured bench-scale photoreactors were evaluated based on a new benchmark called photochemical space time yield (mol·day−1·kW−1), which takes into account the energy efficiency of the photoreactors. It was manifested that along with the selection of the photoreactor dimensions and an appropriate light source, optimization of the process conditions, such as the residence time and the concentration of the photoactive molecule is also crucial for an efficient photoreactor operation. In this paper, we are aiming to give a comprehensive understanding for scale-up strategies by benchmarking selected photoreactors and by discussing transport phenomena in several other photoreactors.
El apoyo familiar y la adherencia en el tratamiento de hipertensión arterial
Authors: Alba-Leonel Adela , Fajardo-Ortiz Guillermo , Papaqui-Hernández Joaquín
Published: October 2020

Introducción: La hipertensión arterial es un factor de riesgo para las enfermedades cardiovasculares; es un problema de salud que se incrementa cuando el paciente no cuenta con apoyo familiar.
Objetivo: Conocer cómo influye el apoyo familiar en el cumplimiento o adherencia del tratamiento de hipertensión arterial.
Metodología: Se realizó un estudio transversal en pacientes hipertensos que acudieron al Instituto Nacional de Cardiología (INCICh) de la ciudad de México, la recolección de la información fue a través de un cuestionario ex profeso que contempló dos secciones una para los pacientes y otro para los familiares de los pacientes.
Resultados: Se estudiaron 234 pacientes hiper­tensos del INCICh de más 20 años de edad, el 64% son casados, el 47.7% cohabita con su cónyuge y el 33% con su hija(o); el 88% tiene una familia nuclear; 131 (56%) son pacientes descontrolados (47% del género femenino y 57% masculino) 103 (44%) controlados (54% del género femenino y 46% masculino). Con respeto al apoyo familiar el 84% vive con un familiar y sólo el 79% está en contacto diario con el paciente, en cuanto al apego far­macológico, el 56% le recuerda que debe tomar el medicamento, el 82% de la administración del medicamento la realiza el paciente mismo y el 76% le ayuda a su familiar a entender las indica­ciones del médico. Las variables de apoyo familiar en las que se encontró una asociación estadísti­camente significativa fue que el hipertenso debe medirse la tensión arterial en la casa y debe llevar su dieta y cuando el enfermo no la sigue lo amenaza de los riesgos que implica.
Discusión: El apego al tratamiento se vincula de forma directa con el apoyo que los familiares le otorguen al enfermo.
Conclusiones: El éxito del tratamiento depende fundamentalmente del apego, sin embargo el apoyo familiar juega un papel importante.
Estilo de vida y autoestima en personas diabéticas de una comunidad suburbana
Authors: Cheverría-Rivera Sofía , Landeros-López Martha , Betancourt-Esparza María Candelaria , Orozco-Medina Rina , Hernández-Cruz Raúl
Published: October 2020

Introducción. Los estilos de vida y la autoestima repercuten en las conductas de salud de la persona con Diabetes Mellitus tipo 2 (DM2) para mantener un control.
Objetivo: Identificar la relación entre estilo de vida y autoestima de personas DM2.
Material y métodos: Estudio descriptivo-transversal y correlacional en 81 personas de una comunidad suburbana en San Luis Potosí, México. Se inclu­yeron adultos y adultos mayores, ambos sexos con DM2 que aceptaron participar. Fueron aplicados: a) Instrumento para medir el estilo de vida en dia­béticos (IMEVID) con 25 ítems que pondera como favorable, poco favorable y desfavorable); b) Escala de autoestima con 10 ítems (muy de acuerdo a muy en desacuerdo) ponderándose alta, media y baja. El procesamiento y análisis fue en SPSS versión 20, se obtuvo estadística descriptiva y asociación mediante correlación de Pearson.
Resultados: La media de edad fue 57.9 años, y predominio femenino. La autoestima alta se en­contró en 62.9% y el estilo de vida en 51.7% de poco favorable a desfavorable, estadísticamente no se asociaron como en otros estudios.
Conclusiones: Es necesario promover el estilo de vida favorable, y aunque no se asociaron las va­riables, la autoestima media-alta es una fortaleza para el control de la enfermedad.
Control glucémico, autocuidado y estrés en pacientes con Diabetes Mellitus Tipo 2 residentes de Monterrey, México
Authors: Guevara Valtier Milton Carlos , Gallegos Cabriales Esther Carlota , Arias Gonzalez Abraham , Paz Morales María de los Angeles , Valenzuela Suazuo Sandra , Landeros-Olvera Erick Alberto
Published: October 2020

Introducción: La diabetes mellitus es una enfer­medad crónica de alta prevalencia en México en quienes la padecen el autocuidado de la enfer­medad y el manejo del estrés influyen en el auto control de dicha patología.
Objetivo: Conocer el control glucémico, au­tocuidado y estrés en pacientes con diabetes mellitus tipo 2 en una muestra de pacientes que acuden a un centro especializado en Diabetes Mellitus ubicado en la ciudad de Monterrey, México.
Metodología: Se utilizó un diseño descriptivo, la muestra se conformo por un total de 122 pacientes que acudieron a un centro especializado en el cuidado de la diabetes. Se recurrió a la medición de cintura e índice de masa corporal, se aplicaron cuestionarios de lápiz y midió la glucosa en sangre periférica.
Resultados: Se identificaron valores medios de cintura en hombres y mujeres de 96,45 y 88,65 (DE = 10,83 y 17,01; respectivamente), índice de masa corporal de 29,57 (20,42 – 53,75), estrés percibido 42,76 (12,34), estrés en diabetes 44,31 (24,74) y en cuanto a las acciones de autocuida­do en diabetes la media identificada fue de 42,01 (18,64).
Conclusiones: La mayoría de los participantes demostraron un buen control de la enfermedad, aunque su nivel de autocuidado es bajo. En cuanto al estrés percibido y en diabetes los niveles fueron bajo y moderado respectivamente.
Valoración del estado cognitivo en el adulto mayor: áreas más afectadas
Authors: Rayón Rayón Sharon Jaqueline , Juárez Romero Tania , Muggenburg Rodriguez Vigil María Cristina
Published: October 2020

Introducción: La alteración del estado cognitivo vuelve al adulto mayor dependiente, limita su autocuidado y genera cuidados a largo plazo.
Objetivo: Valorar el estado cognitivo del adulto mayor, identificar las capacidades cognitivas más afectadas según género, edad y escolaridad.
Metodología: Se realizó un estudio descriptivo transversal no probabilístico con enfoque cuan­titativo en una casa de rehabilitación y reposo en México D.F. La población fue de 78 adultos mayores de 60 años (41 mujeres y 37 hombres). Se valoró el estado cognitivo con ayuda del (Mini-Mental) cuyo objetivo es establecer un diag­nóstico presuntivo de las funciones cognitivas. Se utilizaron cuatro variables: estado cognitivo, género, edad y escolaridad.
Resultados: De las 78 personas el 47.4% fueron hombres y el 52.6% mujeres, el 40.5% tienen de 60 a 69 años, el 32.1% obtuvo un título universitario, el 23.1% de la población mostro deterioro severo, el 44.9% deterioro leve. Las áreas más afectadas fueron: abstracción (cálculo) con 46.2% de dete­rioro severo, memoria a corto plazo con 47.4% de deterioro severo y lenguaje con 11.5% de deterioro.
Conclusiones: Evaluar y detectar alteraciones cognitivas permitirá concientizar a la familia, buscar modelos de atención y cuidado fortaleciendo el bienestar del adulto mayor.
Coordinación clínica; avance y estrategias en la calidad
Authors: Zamora Ruíz Patricia
Published: October 2020

El profesional de enfermería hoy en día se enfrenta con un mundo globalizado donde la ciencia, la tecnología, el trabajo en equipo, el uso de modelos teóricos, el conocimiento de leyes, normas, reglamentos , procesos e indicadores entre otros de emisión nacional e internacional la orillan a perfeccionar sus procesos de trabajo; con la finalidad no sólo de proporcionar, sino de garantizar cuidados de alta calidad en cada uno de los escenarios en los que atiende a las personas, familias y comunidades y que éstos “indicadores” al emitir una evaluación en la satisfacción, nos de elementos donde se refleje el binomio cuidado-satisfacción objetivo primordial del sector de cuidados en un proceso de mejora continua.
Efecto de una intervención educativa en la estructuración y registro de diagnósticos de enfermería
Authors: Jiménez Gutiérrez Marcio , López Herrera Javier Ricardo , Romero Quechol Guillermina , Martínez Olivares Marilin , Bermúdez Martínez Marisela , Cruz Ojeda Gabriela Adriana , Consejo Y Chapela Carolina , Gordillo Avila Ana María
Published: October 2020

Introducción: Se define como diagnóstico de enfermería al juicio clínico sobre las experiencias/ respuestas de una persona. Mediante ellos se identifican necesidades y constituyen la base de las intervenciones proporcionadas.
Objetivo: Evaluar el efecto de una intervención educativa en la estructuración y registro de diagnósticos de enfermería.
Material y Métodos: Diseño Cuasi Experimental. Se diseñó una intervención educativa basada en la corriente educativa constructivista que se aplicó al grupo experimental (GE) del Hospital A en contraste con el grupo control (GC) del Hospital B quienes no recibieron la intervención. Para medir el nivel de conocimientos se usó un instrumento validado por expertos 2/3 con alfa de Cronbach 0.845; para medir la estructuración y registro de diagnósticos se empleó el instrumento “Quality of Nursing Diagnosis” (QOD) previamente validado. Para el análisis estadístico se utilizó la prueba t de Student.
Resultados: Después de la intervención en el GE existieron cambios significativos en la estructuración y registro de diagnósticos (p 0.004). En el GC no existieron cambios significativos.
Conclusiones: La aplicación de intervenciones educativas incrementa el nivel de conocimientos y tiene un efecto positivo en la estructuración y registro de diagnósticos enfermeros.
La objeción de conciencia del personal de salud ante la voluntad anticipada: reflexiones para una muerte digna
Authors: Osuna Suárez Elliug , Balseiro-Almario Lasty
Published: October 2020

El presente ensayo tiene por objeto motivar en los profesionales de la salud a la reflexión sobre la Objeción de Conciencia ante la Voluntad Anticipada de los pacientes. Para ello, se han desarrollado lo siguientes apartados: en un primer lugar se analizan los conceptos de la Objeción de Conciencia y de Voluntad Anticipada, así como los antecedentes de la Objeción de Conciencia, los valores éticos derivados de la autonomía de la conciencia individual, los aspectos legales de la Objeción de Conciencia y la muerte digna. Con todos estos antecedentes, se analizan en un segundo momento, los derechos humanos fundamentales, la objeción y los conflictos, la toma de decisiones en la práctica médica y en la enfermería, especialmente en el contexto de los enfermos terminales, el estado de coma de los pacientes o un estado de sufrimiento irreversible. Finaliza este ensayo con las reflexiones entre la vida y la muerte y la posibilidad de intervenir con métodos y tecnologías avanzadas para prolongar o terminar la vida. En la práctica de la enfermería son necesarias estas reflexiones en apego irrestricto al respeto y la protección de los derechos de la dignidad humana de los pacientes.
Enseñanza en enfermería educación, capacitación y desarrollo
Authors: Alejandro Escobar Silvia
Published: October 2020

El proceso educativo es continuo, dinámico y se puede llevar a cabo en diferentes tiempos y espacios. De acuerdo a la Constitución Política de los Estados Unidos Mexicanos, las empresas estarán obligadas a proporcionar capacitación o adiestramiento para el trabajo a sus empleados, mismo que se ve reflejado en la Ley Federal del trabajo, Articulo 153 que se refiere a la Capacitación y Adiestramiento para el trabajo.
Publicación científica de docentes de enfermería universitaria: ENEO, FES Iztacala y FES Zaragoza, de la UNAM
Authors: Balseiro-Almario Lasty , Ponce-Gómez Gandhy , Acevedo Peña Margarita , Crespo Knopfler Silvia , González Velázquez Ma. Susana , Agama Sarabia Adiel , Vázquez Lira Giordano Sandro
Published: October 2020

Introducción: La publicación científica es considerada el producto final de una investigación y constituye el instrumento idóneo para caracterizar la producción del quehacer científico.
Objetivos: El objeto de esta investigación fue diagnosticar el estatus de la publicación científica de los docentes de la Enfermería Universitaria.
Material y Métodos: Estudio de carácter cuantitativo, no experimental, prolectivo, con pre test y post test, longitudinal, descriptivo y diagnóstico. En la primera fase se plantea un diagnóstico situacional de la publicación científica de los docentes, en la segunda, lograr una intervención educativa y en la tercera, evaluar el impacto de la intervención en la publicación científica. Este reporte da cuenta del pre test.
Resultados: De los 44 docentes encuestados, el 65.90% “nunca” ha impartido cursos de Teoría del conocimiento, el 22.70% “la mayoría de las veces” ha impartido cursos de Metodología de la investigación, el 86.40% “nunca” ha impartido talleres de Elaboración de libros, el 81.80% tampoco ha impartido seminarios para elaborar Artículos de revisión, el 77.30% no ha impartido seminarios para elaborar Ensayos, el 63.60% no ha impartido cursos de Estadística descriptiva, el 54.50% no ha impartido cursos de Investigación Cuantitativa, el 21.40% ha publicado un artículo en el último año, el 19.00% ha publicado 2 artículos originales en revistas nacionales.
Conclusiones: La publicación científica de la Enfermería Universitaria es todavía escasa, los esfuerzos de algunos profesores en materia de publicación científica se han visto reducidos por la falta de capacitación y motivación.
Prevención de alteraciones ambientales que inciden en el neurodesarrollo de los neonatos en la UCIN: Intervenciones de Enfermería Especializada
Authors: Balseiro-Almario Lasty , de la Luz Salinas Luz María , Romero Gómez Ariadna Lizet , Vázquez Lira Giordano Sandro
Published: October 2020

El objeto de esta revisión fue identificar las principales intervenciones que la Enfermera Especialista del Neonato, debe realizar en el cuidado preventivo de las alteraciones ambientales de la Unidad de Cuidados Intensivos Neonatales (UCIN) en los neonatos fisiológicos y patológicos.
Marco teórico: El medio ambiente de una UCIN está diseñado para sostener médicamente al frágil recién nacido prematuro, pero contrasta ampliamente en el pacífico medio intrauterino, ya que interfiere con el desarrollo de los prematuros en la capacidad de desarrollar respuestas adaptativas a un medio ambiente agresivo para él.
Metodología: Se realizó una búsqueda sistematizada en las bases de datos CINAHL, Medline, Lilacs y Scielo para identificar las alteraciones ambientales de la UCIN y con base en este diagnóstico se proponen las intervenciones de enfermería especializada.
Resultados: El personal Especializado de Enfermería cumple una función fundamental en la prevención de las alteraciones ambientales que inciden en el neurodesarrollo de los neonatos en la UCIN. Por ello, se fundamentan y proponen intervenciones especializadas para lograr un cuidado humanizado en los neonatos.
Metodologías y herramientas para la seguridad del paciente
Authors: Benítez Ramos Stefany Itzel , Brito Carbajal Carlos Emmanuel , Domínguez Miguel Abigail , Luna García Mirna Nallely , Reyes Bautista Sara , Espinal García María Del Pilar , Zárate Grajales Rosa Amarilis
Published: October 2020

Trabajar en la calidad y seguridad de la atención, aumenta la satisfacción del paciente en los servicios de salud, reduce costos y salva vidas. La preocupación por la seguridad del paciente aunque no es tema nuevo, requiere seguir trabajando en la imple­mentación de las metodologías y herramientas de la gestión de riesgos y documentar los resultados y las experiencias obtenidas. La poca evidencia científica documentada en México, propone una gran área de oportunidad para que los profesionales de enfermería contribuyan a través de la imple­mentación de la gestión de riesgos, la investigación, y la documentación de los hallazgos, en el fortalecimiento de la práctica en enfermería y de esta manera al desarrollo de ésta como ciencia.
El cuidado de la fibromialgia en la mujer y la importancia de la práctica deportiva
Authors: Hernández Falcón Julio , Alba-Leonel Adela
Published: October 2020

Introducción: la fibromialgia suele agravarse con el esfuerzo físico, la fatiga, la humedad ambiental, cambios climáticos e incluso por algunos factores laborales que tiene que ver con la postura durante el trabajo.
Objetivo: conocer si la práctica deportiva es una estrategia viable para disminuir las manifestaciones clínicas de la fibromialgia.
Metodología: se realizó una revisión sistemática, tomando como palabras claves fibromialgia, deporte, cuidado y mujer, en los últimos diez años
Resultados: existen evidencias del efecto positivo de la práctica deportiva, del ejercicio aeróbico en las manifestaciones de la fibromialgia, además de ser un efecto positivo en el estado de ánimo relacionado con la incidencia de fibromialgia.
Conclusiones: la práctica deportiva es una estrategia viable para disminuir las manifestaciones clínicas de la fibromialgia.
Cuidados al adulto postoperado en la administración de insulina
Authors: Leonardo Cruz Itzel , Cadena-Estrada Julio César
Published: October 2020

Introducción: Los pacientes adultos postoperados de cirugía cardiaca (POCC), con o sin diabetes mellitus tipo 2 (DM T2), comúnmente presentan descontrol glucémico, favoreciendo la presencia de complicaciones que aumentan la morbimortalidad.
Objetivo: Describir cuidados de enfermería al paciente adulto POCC con o sin DM T2 en la administración de insulina.
Metodología: Revisión sistematizada con metodología integradora. Pasos de la enfermería basada en la evidencia: pregunta clínica; descriptores en ciencias de la salud; atención de enfermería, administración y dosificación, insulina regular humana e insulina isófana humana en español, inglés y portugués; búsqueda de la evidencia científica (SciELO, CINAHL, PubMed, LILACS, CUIDEN), artículos en texto completo publicados del 1 enero 2012 a 31 marzo 2017; lectura y evaluación de la evidencia científica con tabla de evidencia; y análisis de contenido a profundidad para integración de la evidencia.
Resultados: se encontraron 20 artículos que cumplieron con los criterios de inclusión. Prevalecieron los estudios con nivel de evidencia observacionales III/C, publicados en países anglosajones en inglés del área médica. Se identificaron cinco dimensiones: valoración de enfermería, medición de la glucosa en sangre, control glucémico, las complicaciones por hipoglucemia o hiperglucemia, y recomendaciones o seguimientos para enfermería.
Conclusiones: los cuidados de enfermería basados en la evidencia, pueden mejorar el control metabólico y prevenir las complicaciones por hipoglucemia e hiperglucemia.