bluuebunny/crossref_metadata_2025 huggingface dataset:
Miniinvasive multivessel coronary grafting through left anterior thoracotomy
Authors: O. D. Babliak  , V. M.  Demianenko  , E. A.  Melnyk  , K. A. Revenko  , L. V. Pidhayna  , O. S. Stohov
Published: May 2018

The aim — to describe personal experience of miniinvasive multivessel coronary grafting through left anterior mini­thoracotomy with the application of artificial bloodcirculation and hyperkalemic blood cardioplegia; to assess the results of surgery in the first group patients.Materials and methods. The method was performed for 29 patients. All patients underwent complete myocardium revascularization with 2 — 5 grafts (3.37 ± 0.82 per patient). Left internal mammary artery was used in all patients, right internal mammary artery — in 4 patients, radial artery — in 5 patints, vein grafts — in 23 patients. Complete arterial revascularization was performed in 6 patients.Results and discussion. We had no fatal outcomes. Mean aortic crossclamp time was 75.8 ± 21 min (range 48 — 146 min). Mean cardiopulmonary bypass time was 145.5 ± 38.37 min (range 103 — 296 min). Total surgery duration was 180 — 495 min. (mean 287.4 ± 61.7). Postoperatively, total drainage in the first 12 hours was 456.55 ± 214.39 ml, the post surgery grafts were left for 48 hours. Ventilation time was 7.6 ± 15.6 hours, ICU stay was 2.58 ± 1.21 days.Conclusions. Miniinvasive coronary bypass grafitng is effective and safe surgical method for miocardium revascularization. Complete revascularization could be performed regardless the number of grafts, left ventricle ejection fraction, quality and size of coronary vessels, age of patient.
The influence of the treatment recommendations completeness on the first day of myocardial infarction with the Q wave of the left ventricle with expansion to the right ventricle on the clinical course of the disease
Authors: V. Y. Tseluyko  , T. A. Lozova
Published: May 2018

The aim — to determine the correlation between the implementation completeness of the recommendations for treatment on the first day of the Q­IM of the left ventricle (LV) posterior wall (PW) with expansion to the right ventricle (RV) on the clinical course of the disease.Materials and methods.155 patients with Q­MI of the PWLV with expansion to the RV aged 64.11 ± 2.42 years, 103 (66.5 %) men and 52 (33.5 %) women were examined. Patients were divided into two groups: the 1st group — 29 (18.7 %) patients, who demonstrated severe hemodynamic complications (cardiogenic shock (CS) and Killip III); the 2nd group — 126 (81.3 %) patients with a stable hemodynamics. The quality of therapy was evaluated in the first 24 hours of MI treatment.Results and discussion. Severe hemodynamic complications were more common in women (p = 0.0016) and were associated with later hospitalization (p < 0.05), and with a low frequency of the ECG RV3—RV4 (p = 0.00001) recording at the prehospital stage. The development of CS and Killip III in patients with Q­IM of the PWLV with expansion to the RV was associated with low frequency of adequate doses of antiplatelet drugs prescription (p = 0.001), anticoagulants (p = 0.00002) and statins (p = 0.037) in the prehospital stage. The correlation between the development of severe hemodynamic disorders and the insufficient use of infusion solutions for the purpose of preload restoration on the RV (p = 0.011) and the high frequency of drugs with vasodilator properties application, in particular, ACE/ARA (p = 0.0004), nitrates (89 7 %, p = 0.0005), diuretics (62.1 %, p = 0.0012) and MgSO4 (51.7 %, p = 0.002) was established.Conclusions. In patients with Q­IM PWLV with expansion to the RV, the development of life­threatening hemodynamic complications, in particular, CS and Killip III, is significantly associated with a low level of diagnosis of the RV MI and non­compliance with the requirements of treatment recommendations on the first day of MI.
Revascularization of lower limbs in the conditions of the risk development of reperfusion complications
Authors: I. K. Venher  , S. Ya. Kostiv  , A. Ya. Hospodarskiy  , O. B. Kolotilo  , O. I. Zarudna  , O. I. Kostiv  , M. O. Husak
Published: May 2018

The aim — to prevent the development of reperfusion complications in patients with atherosclerotic occlusion of the major arteries of the lower extremities with high risk of reperfusion complications.Materials and methods. The work involved 52 patients with a high risk of reperfusion complications. The risk of reperfusion complications was assessed by the level of C­reactive protein, lactate, and the degree of endogenous intoxication syndrome. Preoperative preparation included prolonged epidural anesthesia, leukapheresis sessions, intravenous administration of hydroxyethyl starch, alprostadil, corvettin. The revascularization of the arterial bed was carried out using a number of techniques and methods of surgical intervention.Results and discussion. Following the above principles, 52 patients were operated. During the analysis of the course of the postoperative period, 7 (13.5 %) cases of reperfusion syndrome manifestations were diagnosed in patients.Conclusions. Pathogenetically grounded preoperative preparation and the use of surgical procedures and surgical interventions in the reconstructive interventions of atherosclerotic multilevel occlusion of the major arteries of the lower extremities in patients with high risk of reperfusion complications have made it possible to prevent the development of a number of reperfusion and thrombotic complications.
Influence of oxygenator treatment with adaptive composition on changes of blood cells during by-pass surgery
Authors: P. O. Topolov  , I. S. Dyorday  , L. A. Sobanska  , Ya. V. Kurilenko  , N. I. Belemets  , O. M. Lazarenko  , G. O. Lazarenko  , T. A. Aleksyeyeva  , V. G. Gurianov
Published: May 2018

The aim —  to assess the method of adaptation of the oxygenator’s contact surface based on recepient’s blood serum albumin to the patient’s blood cells changes.Materials and methods. On the basis of the Surgical Center of SS «RPC PCM» SAD at the period from November 2016 to March 2017, 42 patients with AAH were operated. Patients were divided into two groups. Patients of the 1st group (30 patients, 24/6 person/women, respectively) were treated with AAH without processing adaptive composition (AdC). For patients of the 2nd group (12 patients — 9/3 patients/women respectively), AdC treatment of oxygenator was performed. The effectiveness of AdC treatment was monitored by a general blood analyzes and red blood cell state.Results and discussion. The use of AdC for treatment contact surface of oxygenator reduces the body’s response to it — a slight increase in WBC, a decrease in % of lymphocytes and granulocyte content in comparison with untreated version. In addition, in these cases, the absence of echinocytes and microcytes indicates adequate oxygen supply of red blood cells.Conclusions. Treatment AdC the contact surface of the oxygenator results in a decrease in the body’s response to it and increases the number of erythrocytes that contact with the gas exchange membrane.
Assessment of life quality of patients with trophic ulcer of venous genesis
Authors: I. D. Duzhiy  , V. M. Popadynets  , O. V. Kravets  , A. S. Nikolaienko
Published: May 2018

The aim — to assess life quality of patients with trophic ulcers of venous genesisMaterials and methods. A survey of 85 patients who are on inpatient treatment for venous trophic ulcers was conducted. According to the CEAP classification all patients had chronic venous insufficiency of the C4—C6 stages. The mean age of the patients was 74 years. The duration of the ulcer was at least 1 year. To assess the patients’ life quality with varicose veins, the CIVIQ scale was chosen. The total score was from 20 to 100, and the higher the value the worse the life quality.Results and discussion. After the questioning, the scoring was carried out. When comparing two groups of patients, it was found that the living standard in the main group was 45.7 in the standard group, and 23 in the control group. Thus, the presence of chronic venous insufficiency, and, as a consequence, of trophic ulcers, worsens the life quality almost 2­fold.Conclusions. Complicated forms of varicose veins significantly impair the patients’ life quality, and cause both physical and moral discomfort for a long time.
Infarction mask of aortoarteritis
Authors: O. E. Zaytseva  , L. G. Karpovich  , O. I. Nishkumay
Published: May 2018

Arteritis Takayasu (AT) belongs to the group of systemic vasculitis with a predominant lesion of vessels of large diameter. This disease is characterized by granulomatous inflammation of the aorta and its main branches. Complications of AT can be myocardial infarction, strokes, heart failure, which develop in young people with intact vessels. AT is a difficult for diagnosis and treatment disease. And, since its progression can lead to a fatal outcome, timely diagnosis and adequate therapy improves prognosis. Therefore, the presented clinical case may be of interest to clinicians.
Modern methods for diagnosis and treatment of abdominal compartment syndrome
Authors: I. A. Kryvoruchko  , V. V. Lesnoy  , N. M. Goncharova  , S. M. Teslenko  , A. V. Sivozhelezov  , M. O. Sykal  , M. V. Suplichenko  , A. G. Drozdova  , A. S. Lesnaya
Published: May 2018

The aim — to study the effect of intraabdominal hypertension on the treatment outcome in patients with acute abdominal pathology and analyze modern methods for the treatment of abdominal compartment syndrome.Materials and methods. The work is based on the analysis of the treatment results in 33 patients urgently operated during the period from 2014 to 2016. All patients underwent preoperative and postoperative measurements of intra­abdominal pressure by indirect measurement of the bladder pressure using a closed system of Unometer Abdo­Pressure. In case when the pressure increased for more than 35 mm Hg, decompression laparotomy was performed.Results and discussion. In the postoperative period, an increase in intraabdominal pressure was diagnosed in 25 (75.8 %) patients. I degree of intraabdominal pressure was found in 7 (28 %) patients, II degree in 9 (36 %) patients, III degree in 5 (20 %) patients, IV degree of intraabdominal hypertension was noted in 4 (16 %) patients. At I — II degrees of intraabdominal pressure no lethal cases were observed. At grade III — IV, the disease ended in a lethal outcome in 5 (20 %) patients. The application of flat vacuum drains in the laparotomic wound allowed to stabilize the condition for two programmed abdominal sanitizations in 6 (24 %) patients, for three — in 3 (12 %) patients, which allowed to close the laparotomic wound.Conclusions. The incidence of intraperitoneal hypertension in patients operated on acute abdominal pathology was 25 (75.8 %) patients, and in 9 (36 %) patients, there was a need for decompression relaparotomy. The application of nasointestinal decompression, vacuum assisted laparotomy in the complex treatment of abdominal compartment syndrome allowed to stabilize the abdominal cavity, laparotomy wound for 7.0 ± 1.2 days and reduce mortality down to 20 %.
Rotation of mammary implants one year after the primary augmentic mammary plastic surgery
Authors: V. G. Mishalov  , V. V. Khrapach  , L. Yu. Markulan  , O. V. Khrapach  , O. I. Zakhartseva
Published: May 2018

The aim — to evaluate the incidence and degree of rotation in a one year period after the primary augmentic mammary plastic surgery.Materials and methods. 94 patients with hypomasty were selected during the period from February of 2013 till December 2015. The average age of women was 29.1 ± 0.5 years (19 to 40 years). Patients were operated on at various facilities. All implants (94 pairs (188) of implants by Natrelle 410 style (Allergan PLC, Dublin, Ireland), with smooth texture, high or middle profile) were inserted sub­muscularly via submammary access. Volumes of implants were defined by standard measurement methods and patient’s preferences.Results and discussion. The high (82.4 %) incidence of implant rotation was discovered. This may be due to 30 — 60 rotation degrees, that is usually asymptomatic and occurs in 69.1 % of patients, specifically in 90.9 % of all rotations. The rotation of mammary gland prostheses can occur in different directions in the same woman, and the ratio of rotation angles may be different.Conclusions. Rotation is observed in 82.4 % cases of implants after one year after augmentic mammary plastic surgery with anatomical prosthesis, including unilateral rotation in 39 cases (42.9 %), bilateral rotation in 52 (57.1 %) patients (p = 0.17). The frequency of prostheses rotation on the right and left mammary glands was not statistically different — 69 (48.3 %) and 74 (51.7 %), respectively (p = 0.738). The angle of prosthesis rotation is from 30 to 180 °, most often 30 and 60 ° (respectively, 89 (62.2 %) and 41 (28.7 %) cases). There were no statistically significant differences in the rotation degree of the right and left breast prostheses (p = 0.720). The same degree of prostheses rotation in both mammary glands was noted in 43 (45.7 %) women, different — in 47 (50.0 %). Lateral mammary prosthesis rotation appeared more often than the medial one — 84 (58.7 %) compared with 59 (41.3 %) cases (p = 0.045).
Pulmonary sequestration in children. postnatal course, diagnosis and surgical treatment
Authors: D. Yu. Krivchenya  , Ye. O. Rudenko
Published: May 2018

The aim — to optimize the diagnostic and treatment of pulmonary sequestration in children on the basis of clinical and diagnostic data and treatment results study.Materials and methods. The study included 14 patients aged 8 days to 17 years, 3 of which were newborns, 4 — from 1 to 12 months, 3 — from 1 to 3 years, 2 — 7­8 years, and 2 — 15 — 17 years old. There were 8 (57.1 %) boys and 6 (42.9 %) girls. Postnatal diagnosis was based on contrast computed tomography or angiography. In all cases the surgical treatment was performed. In 5 cases, the diagnosis of pulmonary sequestration was established intraoperatively during the surgery for mediastinal tumor, congenital diaphragmatic hernia or polycystic lung.Results and discussion. Ten (71.4 %) patients had intralobar sequestration and another 4 (28.6 %), extralobar one (p = 0.099), left­side localization was in 9 (64.3 %) cases, right­side in 5 (35.7 %). Associated malformations were found in 7 (50.0 %) patients and included polycystic lung (n = 3), lung hypoplasia (n = 2), diaphragmatic hernia (n = 2), pericardial defect (n = 1), thoracic dystopia of kidney (n = 1), Waardenburg syndrome (n = 1). Twelve (85.7 %) patients had a symptomatic disease presented with respiratory or hemodynamic disorders, signs of inflammation and hemophtysis. Lobectomy (n = 4), segmental lung resection (n = 4) or division of aberrant vessels (n = 2) were used in cases of intralobar disease depending on the extent of lesion while sequesterectomy (n = 4) was performed in extralobar sequestration. Simultaneous diaphragmoplasty, including that with use of bounded autopericardial flap (n = 1) was performed in 2 cases of associated diaphragmatic hernia. There were no postoperative complications and mortality. Late follow­up examination within the period from 4 to 22 years after the operation showed positive results in all 100 % of cases.Conclusions. Pulmonary sequestration, since the diagnosis is established, is subject to compulsory surgical correction, the effectiveness of which reaches 100 %. Correction of intralobar sequestration consists of lobectomy or segmental resection of the lungs, in the case of extralobar disease sequesterectomy is indicated. Associated congenital diaphragmatic hernia can be effectively corrected by diaphragmoplasty, including that with use of autopericardium.
Diagnosis and treatment of esophageal leiomyoma. Case study
Authors: V. V. Vasylkivskyi  , V. G. Getman
Published: May 2018

The article presents the case of a rare pathology — esophageal leiomyoma. Features of clinical course, problems of early diagnosis and histological confirmation of this type of esophageal tumors are highlighted. The possible approaches to treatment and the difficulty in the appropriate tactics choice have been revealed.
Historic drought and salinity intrusion in the Mekong Delta in 2016: Lessons learned and response solutions
Authors:   National High-Level Expert on Water Resources, Nguyen Ngoc Anh ,   Former Director, Southern Institute for Water Resources Planning
Published: May 2018

During the dry season of 2015-2016, the Mekong Delta had suffered the worst historic drought and salinity intrusion occurrence on record, causing heavy damages to nine coastal provinces (in total 13 provinces) of the Mekong River Delta. Just after the drought and salinity intrusion occurred, the media offered some different opinions suggesting possible solution which offer effective responses and stable development to coastal regions. The author suggests that in order to have sustainable development for the Mekong Delta in general and for the coastal zones in particular, Vietnam needs to have some basic short-term and long-term solutions, for each region as well as the whole delta, including drought-salinity intrusion and flooding programs, structural and non-structural works, and coverage for both the Mekong Delta and the whole Mekong River Basin.
Classification of Land Cover by Using Aerial Photo At CV. Alaska Prima Coal, Cooling Village, Sanga-Sanga Sub-district, Kutai Kartanegara District, East Kalimantan Province
Authors: Sofyan Agus
Published: May 2018

Remote sensing can be done visually and digitally. one of the advantages of airborne photography data generated by drone (phantom-3) compared to satellite imagery with optical sensitivity is its ability to obtain cloud-free images and freedom of recording time and the displayed area shows clearly defined objects corresponding to land cover. characteristics. To limit the object-based area of this research method applied is Object Based Image Analysis (OBIA).This study aims to classify land cover using highly resolved aerial photography with the help of Object Based Image Analysis (OBIA) technique and calculate the accuracy and accuracy, land cover classification by using Objeck Based Image (OBIA) analysis through examination of field conditions.classifying land cover, the classification includes shrubs, young shrubs, plantations (oil palms), shrubs, mines, open land, roads and water bodies with Accuracy of Overcome 0.86.
SUHU DAN KELEMBABAN TANAH PADA LAHAN REVEGETASI PASCA TAMBANG DI PT ADIMITRA BARATAMA NUSANTARA, PROVINSI KALIMANTAN TIMUR
Authors: Karyati Karyati , Putri Rani Octaviani , Syafrudin Muhammad
Published: May 2018

Upaya revegetasi pada lahan pasca tambang diharapkan dapat memperbaiki sifat-sifat tanah, memulihkan kesuburan tanah, dan memperbaiki iklim mikro tanah. Tujuan penelitian ini adalah menganalisis karakteristik suhu dan kelembaban tanah pada lahan revegetasi berbeda umur. Suhu dan kelembaban tanah diukur pada kedalaman 10 cm dan 20 cm pada revegetasi pasca tambang umur 3, 4, 5, 6, dan 7 tahun. Hasil menunjukkan bahwa suhu tanah tertinggi pada kedalaman 10 cm dan 20 cm masing-masing sebesar 27,7ºC dan 26,6ºC pada revegetasi umur 3 tahun. Sedangkan suhu tanah terendah pada revegetasi umur 7 tahun pada kedalaman 10 cm dan 20 cm berturut-turut sebesar 26,1ºC dan 24,9ºC. Kelembaban tanah tertinggi adalah 87,8% (pada kedalaman 10 cm) dan 88,0% (pada kedalaman 20 cm) pada lahan revegetasi umur 7 tahun. Ditambahkan, kelembaban tanah terendah pada kedalaman 10 cm (81,3%) dan 20 cm (81,5%) adalah pada kawasan revegetasi umur 3 tahun. Perbedaan umur tanam berpengaruh terhadap fluktuasi iklim mikro, termasuk suhu dan kelembaban tanah pada kedalaman tanah berbeda.
Effect of Tanijau Organic Fertilizer and SMS Agrobost Organic Fertilizer on the Growth and Production of Green Eggplant (Solanummelongena L) F1 RatihHijau Hybrid
Authors: Budiyarto Eko Nur , Helda Syahfari Abdul Patah,
Published: May 2018

The purpose of this research is to know the effect of Tanijau organic fertilizer and organic fertilizer SMS Agrobost and its interaction with green eggplant growth and yield.The research method using Completely Randomized Design (RAL) in a 4x4 factorial experiment, with two treatment factors, was repeated as many as 4 repetitions. Factor I is the dose of Tanijau organic fertilizer (t), consisting of 4 levels, that is: without organic fertilizer Tanijau or control (t0), 2kg / polybag (t1), 4kg / polybag (t2), and 6kg / polybag (t3) . Factor II is the concentration of organic fertilizer SMS Agrobost (a), consisting of 4 levels, namely: without organic fertilizer SMS Agrobost or control (a0), 5ml / liter water (a1), 10ml / liter water (a2), and 15ml / liter of water (a3).The results showed that Tanijau organic fertilizer (t) was very different on plant height 15 days after planting, 30 days after planting, 45 days after flowering age, harvest age, weight per fruit, fruit weight per plant and the amount of fruit per plant is most achieved in the treatment of organic fertilizer Tanijau 6kg / polybag (t3) is1.519.56gr, while the least fruit cultivation is achieved at the treatment of t0 (without the dosage of Tanijau organic fertilizer) that is1.082,93gr.The effect of organic fertilizer SMS Agrobost differed significantly on plant height of planting age, flowering age, harvest age, number of fruits per plant, average weight per fruit, fruit weight per plant, fruit length per plant and fruit diameter per plant and number of fruit per plant. Treatment interaction was significantly different to fruit weight per plant, but was not significantly different from plant height 15, 30 and 45 days after planting.
The Influence of Various Varieties and Various Liquid Organic Fertilizer to Papaya Plant Seed Growth (Carica papaya L.)
Authors: Arsela Primadiyanti
Published: May 2018

The main goal of the study was to determine the effect of various  Papaya varieties and liquid organic fertilizer on the growth of Papaya seedlings(Carica papaya L.). The research used Randomized Block Design (RAK) with two factors factorial experimental. The first factor is Variety (V) consists of 3 Papaya varieties: v1= bangkok , v2= red lady , v3= sunrise. The second factor is Fertilizer (C) consists of 3 brands: c1= Em4 10 ml, c2= Green Tonic 10ml, c3= Nasa 10ml. This study has 3 treatment levels consisting of 9 combinations and  repeated 3 times. The results of the study are treatment of various varieties (V) had significant effect on stem diameter and root number. The effect of various liquid organic fertilizer (C) had significant effect on the root length parameters. The interaction all treatment had a very significant effect on the root length and the root number parameter.
Clinical Engineering/Health Technology Management 2015 Global Update
Authors: Judd Thomas , Hernandez Antonio , Gentles William , Calil Saide Jorge
Published: May 2018

Medical device systems Clinical Engineering (CE)/Health Technology Management (HTM) strategies and best practices are now well established in most first world and many developing countries (DC).Progress is being made to address identified gaps in DC CE/HTM, such as appropriate equipment selection and lifecycle management. One contributor to this progress is the 25 years of CE/HTM Seminars provided by WHO-PAHO, ACCE, and more recently, IFMBE CED, to 80 countries. There is also a new emerging challenge; the requirement for medical device (clinical data) integration (MDI) into electronic health records (EHRs) to improve care quality and safety (aka CE-IT).This study will review CE/HTM progress, gaps, and new challenges since the last study in 2011. It will provide a framework to direct the global CE/HTM movement forward in collaborative fashion, alongside other initiatives in 2015, such as the 1st International CE-HTM Congress and the Global CE Summit held in Hanzhou, China, in October, 2015.
Planning Medical Technology Management in a Hospital
Authors: David Yadin , Jahnke Ernest Gus
Published: May 2018

Appropriate deployment of technological innovation contributes to improvement in the quality of health care delivered, the containment of cost, and access to health care services. Hospitals have been allocating a significant portion of their resources to procuring and managing capital assets; they are continuously faced with demands for newer medical technology and are challenged to interoperate and manage legacy and newer generation of inventory simultaneously. To objectively manage this investment over it life cycle, hospitals are adopting medical technology management programs that need pertinent information and planning methodology for integrating new equipment into existing operations as well as for optimizing costs of ownership of all equipment. Clinical engineers can identify technological solutions based on the matching of new medical equipment with the hospital’s objectives. They can review their institution’s overall technological position, determine strengths and weaknesses, develop equipment-selection criteria, supervise installations, train users and monitor post procurement performance to assure meeting of goals. This program, together with cost accounting analysis, will objectively guide the capital assets decision-making process. Cost accounting analysis is a multivariate function that includes determining the amount, based upon a strategic plan and financial resources, of funding to be allocated periodically for medical equipment acquisition and replacement. Often this function works closely with clinical engineering to establish equipment’s useful lifespan, prioritization of acquisition, upgrade, and replacement of inventory within budget confines and without conducting time-consuming, individual financial capital project evaluations. The clinical engineer’s skills and expertise are needed to facilitate the adoption of an objective methodology for implementing the program, thus improving the match between the hospital’s needs and budget projections, equipment performance and cost of ownership. Systematic planning and execution will result in a program that assures appropriate inventory level at the lowest life-cycle costs at optimal performance.
Building a Reliable Wireless Medical Device Network
Authors: Hoglund David , Varga Vince
Published: May 2018

How to design and test the most effective and secure wireless medical device connectivity applications that will provide the true mobility experience that is needed in the 2018 healthcare marketplace. Today’s medical devices will need to be connected to provide the data to the electronic medical record. This connectivity will be either real time or on a non real time basis. In either case; the majority of this data transfer will move toward a wireless medium from a legacy wired connection. The following will discuss best practices for wireless network design based upon application requirements; but also the protection of any data regarding cybersecurity requirements. The author has over three decades of medical device knowledge sense but also two decades of wireless and security integration knowledge sense. The take away is to understand the best practices and how to apply this to product design and the overall enterprise implementation into the healthcare ecosystem of connected devices.
Bipolar Bozukluğu olan Hastalarda Uyku Kalitesi, Biyolojik Ritim Örüntüsü ve Yaşam Kalitesinin Tedavi Uyumuyla İlişkisi
Authors: Yıldız Muhammed , Ünal Ahmet
Published: May 2018

Bu çalışmada bipolar bozukluğa sahip tedavi
uyumu olan hastalarla olmayan hastaların uyku kalitesi, biyolojik ritim
örüntüsü ve yaşam kalitesinin karşılaştırılması amaçlandı. Gaziantep
Üniversitesi Tıp Fakültesi Şahinbey Araştırma ve Uygulama Hastanesi Psikiyatri
Polikliniği tarafından DSM-IV-TR tanı ölçütlerine göre bipolar bozukluk tanısı
almış ötimik durumdaki onam veren, polikliniğe ardışık olarak gelen 102 hastaya
Hamilton Depresyon Derecelendirme Ölçeği (HDDÖ), Young Mani Derecelendirme
Ölçeği (YMDÖ), tedavi uyumu için Morisky Tedaviye Uyum Ölçeği (MTUÖ), uyku
kalitesi için  Pittsburg Uyku Kalitesi Ölçeği (PUKÖ), biyolojik ritim
örüntüsü için Biyolojik Ritim Değerlendirme Görüşmesi (BRDG), yaşam kalitesi
için Yaşam Kalitesi Ölçeği (YKÖ), Sosyodemografik ve Klinik Veri Formu
uygulandı. Tedavi uyumu olan ve olmayan hastaların, uyku kaliteleri, biyolojik
ritim örüntüleri ve yaşam kaliteleri arasında ilişki olup olmadığına bakıldı. Tedavi uyumu olan hastaların
daha iyi uyku kalitesine sahip olduğu, daha az uyku bozukluğu yaşadıkları,
sosyal yaşamlarında daha işlevsel oldukları, biyoritimlerinin daha düzenli
olduğu saptandı.
Şiddet Türleri ve Kişilik Özellikleri
Authors: Güneri Yöyen Elif
Published: May 2018

Bu araştırma
şiddet türleri ve kişilik özellikleri arasındaki ilişkiyi incelemek amacıyla
gerçekleştirilmiştir. Araştırma verileri 2016-2017 eğitim-öğretim yılında
İstanbul Gelişim Üniversitesi’nde eğitim görmekte olan yaşları 18-23 arasında
değişkenlik gösteren, üniveriste 1-4.sınıf öğrencileri arasından çalışmaya
gönüllü olarak katılmayı kabul eden ve rastgele yöntemle seçilen toplam 420
öğrenciden toplanmıştır. Araştırma verileri “Uluslararası Kişilik Envanteri
Kısa Formu” ile “Buss Perry Agresyon Ölçeği” kullanılarak toplanmış ve veriler
SPSS 23.0 paket programı ile Tanımlayıcı İstatistiksel Metotlar (Frekans,
Yüzde, Ortalama, Standart sapma), Pearson Korelasyon Analizi  ve Lineer Regresyon analizi ile çözümlenmiş,
sonuçlar % 95 güven aralığında, p<0,05 anlamlılık düzeyinde
değerlendirilmiştir. Araştırma sonucunda “şiddet türleri” ile “kişilik
özellikleri” arasında istatistiksel olarak anlamlı bir ilişkinin bulunduğu,
şiddet türlerinin kişilik özellilerini yordayabildiği saptanmıştır: Buna göre şiddet türlerinden sözel saldırganlık;
kişilik özelliklerinden dışadönüklüğü anlamlı ve pozitif yönlü,  içedönüklüğü ise anlamlı ve negatif yönlü;
şiddet türlerinden dolaylı saldırganlık; kişilik özelliklerinden dışadönüklük,
düşmanlık ve  dağınıklığı anlamlı ve
pozitif yönlü, kişilik özelliklerinden 
sorumluluk ve duygusal dengesizliği anlamlı ve negatif yönlü; şiddet türlerinden
düşmanlık; kişilik özelliklerinden içedönüklük, düşmanlık, sorumluluk, duygusal
dengesizlik ve yeniliğe kapalı olmayı anlamlı ve pozitif, dışadönüklüğü ise
anlamlı ve negatif yönlü; şiddet türlerinden öfke; kişilik özelliklerinden
içedönüklük, dağınıklık, duygusal dengesizlik ve gelişime açık olmayı anlamlı
ve pozitif yönlü; şiddet türlerinden fiziksel saldırganlık; kişilik
özelliklerinden yumuşakbaşlılık ve gelişime açık olmayı anlamlı ve negatif
yönlü yordamıştır. Bu sonuçlar her
geçen gün artarak ve yıkıcılığını daha çok hissettirerek çoğalan şiddet
olgusunda,  gerek klinik ve gerekse
klinik dışı çalışmalarda, şiddetin türü ile kişilik özellikleri arasındaki
ilişkinin anlaşılması, açıklayıcılık gücünün belirlenmesi, elde edilen
bilgilerin toplumdaki şiddet olgusunun azaltılmasında multidisipliner
yaklaşımlarının artırılması amacıyla 
kullanılmasında önem arz etmektedir.
Psikanalitik Yönelimli Psikoterapi ile Takip Edilen Olgunun Projektif Testlerle Değerlendirilmesi: Terapi Öncesi ve Sonrası Uygulamaları.
Authors: Okray Zihniye
Published: May 2018

Projektif Testler özellikle Rorschach ve TAT (Tematik
Algı Testi) personel seçiminden, psikiyatrik hastalara tanı koymaya, çocuk
danışmanlık birimlerinden, askeri personelin değerlendirilmesine ve bunların yanı
sıra uygulanan bir terapi programının işlevselliği ile ilgili birçok alanda
başvuru yapan bireylerin kişiliklerinin psikodinamik özelliklerini ortaya
çıkarmada ve uygulanacak terapi sürecinin ya da müdahalenin ne yönde olması
gerektiğine karar vermeye yardımcı olan psikometrik teknikler
arasındadır(Deabler, 1947, Weiner, 1997, Tunaboylu-İkiz, 2001, 2002,
2010,2011,  Anzieu & Chabert, 2011).
Bu çalışmada 2 yıl süre ile psikanalitik yönelimli psikoterapi ile takip edilen
olgunun terapi öncesi ve sonrasındaki değerlendirmeleri Rorschach ve TAT ile
yapılmıştır. Olguya yapılan ilk uygulamada Rorschach Testi’nde elde edilen
bulgular arasında olgunun kendini dış dünyadan gelen tehlikelere karşı koruma
çabası içerisinde olduğu vermiş olduğu Detay yanıtlarının çokluğundan
görülmekteydi. Diğer taraftan verilen yanıt sayısı ile içeriklerin sürekli aynı
temalar üzerinde olması yine kendini koruma çabası olarak değerlendirilmiştir.
Olgunun kendilik tasarımı, kimlik, özdeşim ve cinsler arası fark ve nesne
ilişkileri konularında yaşadığı sorunsallar değerlendirilmiştir. TAT Testinde
ise olgunun benzer bir şekilde kendilik, karşı cinsle ilişkiler ve nesne
kaybıyla ilgili hikâyeler anlattığı görülmüştür. Olguya 2 yıl sonra terapi
sonlandırıldığında yapılan ikinci uygulamada ise olgunun bilinçdışı materyale
kendini rahatça bıraktığı görülmüştür. Hastanın dil yapısında labilite tespit
edilmemiştir. Bilişsel süreçlere bakıldığında, düşünce içeriği zengin,
sözelleştirme kapasitesi iyi düzeydedir. Hasta bilinçdışı süreçlere daha açık,
cinsel içerikli uyaranlar daha entellektüalize edilerek ortaya çıkmıştır.
Tereddütler bu uygulamada karşımıza çıkmamıştır. Çatışmanın dinamiğine
bakıldığında düşünce süreçlerinin ön planda olmasına rağmen affektif
boşalmaların da mevcut olduğu ve kontrol altına alındığı görülmektedir. Yapılan
bu iki uygulama ve değerlendirmelerin ardından hastanın 2 yıllık terapötik
süreçten fayda sağladığı, düşünce süreçlerine yaptığı yatırımın devam etmesine
rağmen ilk uygulama sırasından bu güne dış dünyayı o kadar da tehditkâr olarak
algılamamaya başladığı, dürtü ve düşüncelerini daha kontrollü bir şekilde
yaşadığı değerlendirmesi yapılabilir. Hastanın cinsler arası fark ve özdeşimler
konusunda ilk uygulama sırasında yaşadığı güçlükler ikinci uygulamada daha az
göze çarpmakta ve cinsler arası fark ve özdeşleşme daha normal düzeye gelmiş
olduğu görülmektedir. Kimlik sorunsalı da iki yıllık terapötik süreç sonucunda
biraz daha netlik kazanmış ve hasta ilk gelişinden bu yana yaşamını daha
işlevsel bir şekilde sürdürmektedir
Psikolojik Danışman Adaylarının Lisans Eğitimi Sonunda Özel Gereksinimli Bireylere Yönelik Tutumlarındaki Değişimin İncelenmesi
Authors: Vural Batık Meryem
Published: May 2018

Psikolojik danışmanların çalıştıkları kurumlarda
öğrenim gören özel gereksinimli çocuklara, ailelerine ve öğretmenlerine
yönelik çalışmalar yürütmeleri beklenmektedir. Psikolojik danışmanların okullarda özel gereksinimli
öğrencilere yönelik sunulan hizmetlerdeki rolü dikkate alındığında, psikolojik
danışman adaylarının da özel gereksinimli bireylere yönelik olumlu tutumlara
sahip olması ve lisans eğitimleri boyunca özel gereksinimli bireylere yönelik
olumlu tutumlar geliştirmeleri önem taşımaktadır. Bu doğrultuda, araştırmada
psikolojik danışman adaylarının özel gereksinimli bireylere yönelik
tutumlarının lisans eğitimi süresince değişip değişmediğini belirlemek
amaçlanmıştır. Araştırmanın çalışma grubunu, Ondokuz
Mayıs Üniversitesi Psikolojik Danışmanlık ve Rehberlik Anabilim Dalında 2012- 2013 eğitim öğretim yılı güz döneminde
kayıt olan ve dört yıl boyunca eğitim alıp 2015- 2016 eğitim öğretim yılı bahar
döneminde mezun olan 104 psikolojik danışman adayı oluşturmaktadır. Özel gereksinimli bireylere yönelik tutumları belirlemek amacıyla “Engellilere
Yönelik Tutum Ölçeği” (EYTÖ) kullanılmıştır. Ölçekler psikolojik danışman adaylarına birinci sınıfın başında
ve dördüncü sınıfın sonunda uygulanmıştır. Psikolojik danışman adaylarının özel gereksinimli bireylere yönelik
tutumlarının lisans eğitimi süresince değişip değişmediğini belirlemek amacıyla
yapılan İlişkili Örneklemler İçin T Testi sonucunda, psikolojik danışman
adaylarının lisans eğitiminin başında ve sonunda EYTÖ’den
aldıkları puanlar arasında anlamlı düzeyde fark tespit edilmiştir.  Psikolojik danışman adaylarının özel
gereksinimli bireylere yönelik tutum puanlarının lisans eğitimi başında yüksek
olduğu; lisans eğitimi sonunda ise orta düzeyde olduğu görülmüştür. Diğer bir
deyişle danışman adaylarının dört yıllık lisans eğitimi sonunda özel
gereksinimli bireylere yönelik tutumları anlamlı düzeyde daha olumsuz olmuştur.
Elde edilen bulgular ilgili alanyazın
ışığında tartışılmış ve öneriler sunulmuştur.
Small Object Detection in Optical Remote Sensing Images via Modified Faster R-CNN
Authors: Ren Yun , Zhu Changren , Xiao Shunping
Published: May 2018

The PASCAL VOC Challenge performance has been significantly boosted by the prevalently CNN-based pipelines like Faster R-CNN. However, directly applying the Faster R-CNN to the small remote sensing objects usually renders poor performance. To address this issue, this paper investigates on how to modify Faster R-CNN for the task of small object detection in optical remote sensing images. First of all, we not only modify the RPN stage of Faster R-CNN by setting appropriate anchors but also leverage a single high-level feature map of a fine resolution by designing a similar architecture adopting top-down and skip connections. In addition, we incorporate context information to further boost small remote sensing object detection performance while we apply a simple sampling strategy to solve the issue about the imbalanced numbers of images between different classes. At last, we introduce a simple yet effective data augmentation method named ‘random rotation’ during training. Experimental results show that our modified Faster R-CNN algorithm improves the mean average precision by a large margin on detecting small remote sensing objects.
Class Imbalance Ensemble Learning Based on the Margin Theory
Authors: Feng Wei , Huang Wenjiang , Ren Jinchang
Published: May 2018

The proportion of instances belonging to each class in a data-set plays an important role in machine learning. However, the real world data often suffer from class imbalance. Dealing with multi-class tasks with different misclassification costs of classes is harder than dealing with two-class ones. Undersampling and oversampling are two of the most popular data preprocessing techniques dealing with imbalanced data-sets. Ensemble classifiers have been shown to be more effective than data sampling techniques to enhance the classification performance of imbalanced data. Moreover, the combination of ensemble learning with sampling methods to tackle the class imbalance problem has led to several proposals in the literature, with positive results. The ensemble margin is a fundamental concept in ensemble learning. Several studies have shown that the generalization performance of an ensemble classifier is related to the distribution of its margins on the training examples. In this paper, we propose a novel ensemble margin based algorithm, which handles imbalanced classification by employing more low margin examples which are more informative than high margin samples. This algorithm combines ensemble learning with undersampling, but instead of balancing classes randomly such as UnderBagging, our method pays attention to constructing higher quality balanced sets for each base classifier. In order to demonstrate the effectiveness of the proposed method in handling class imbalanced data, UnderBagging and SMOTEBagging are used in a comparative analysis. In addition, we also compare the performances of different ensemble margin definitions, including both supervised and unsupervised margins, in class imbalance learning.
Agreement Technologies for Coordination in Smart Cities
Authors: Billhardt Holger , Fernández Alberto , Lujak Marin , Ossowski Sascha
Published: May 2018

Many challenges in today’s society can be tackled by distributed open systems. This is particularly true for domains that are commonly perceived under the umbrella of smart cities, such as intelligent transportation, smart energy grids, or participative governance. When designing computer applications for these domains, it is necessary to account for the fact that the elements of such systems, often called software agents, are usually made by different designers and act on behalf of particular stakeholders. Furthermore, it is unknown at design time when such agents will enter or leave the system, and what interests new agents will represent. To instil coordination in such systems is particularly demanding, as usually only part of them can be directly controlled at runtime. Agreement technologies refer to a sandbox of tools and mechanisms for the development of such open multiagent systems, which are based on the notion of agreement. In this paper, we argue that agreement technologies are a suitable means for achieving coordination in smart city domains, and back our claim through examples of several real-world applications.
Effect of Carrier Localization on Recombination Processes and Efficiency of InGaN-Based LEDs Operating in the “Green Gap”
Authors: Karpov Sergey Yu.
Published: May 2018

A semi-empirical model of carrier recombination accounting for hole localization by composition fluctuations in InGaN alloys is extended to polar and nonpolar quantum-well structures. The model provides quantitative agreement with available data on wavelength-dependent radiative and Auger recombination coefficients in polar LEDs. Comparison of calculated internal quantum efficiencies of polar and nonpolar LEDs enables an assessment of the roles of carrier localization, quantum-confined Stark effect, and native material properties for the efficiency decline in the “green gap”.
Parallel Improvements of the Jaya Optimization Algorithm
Authors: Migallón Héctor , Jimeno-Morenilla Antonio , Sanchez-Romero Jose-Luis
Published: May 2018

A wide range of applications use optimization algorithms to find an optimal value, often a minimum one, for a given function. Depending on the application, both the optimization algorithm’s behavior, and its computational time, can prove to be critical issues. In this paper, we present our efficient parallel proposals of the Jaya algorithm, a recent optimization algorithm that enables one to solve constrained and unconstrained optimization problems. We tested parallel Jaya algorithms for shared, distributed, and heterogeneous memory platforms, obtaining good parallel performance while leaving Jaya algorithm behavior unchanged. Parallel performance was analyzed using 30 unconstrained functions reaching a speed-up of up to 57.6 x using 60 processors. For all tested functions, the parallel distributed memory algorithm obtained parallel efficiencies that were nearly ideal, and combining it with the shared memory algorithm allowed us to obtain good parallel performance. The experimental results show a good parallel performance regardless of the nature of the function to be optimized.
Detection and Quantification of Damage in Metallic Structures by Laser-Generated Ultrasonics
Authors: Liu Yongqiang , Yang Shixi , Liu Xuekun
Published: May 2018

The appearance of damage on metallic structures is inevitable due to complex working environments. Non-destructive testing (NDT) of these structures is critical to the safe operation of the equipment. This paper presents a non-destructive damage detection, visualization, and quantification technique based on laser-generated ultrasonics. The undamaged and damaged metallic structures are irradiated with laser pulses to produce broadband input ultrasonic waves. Damage to the structures plays the role of a nonlinear radiation source of new frequencies. Usually these new frequencies are too weak to be detected directly. Here, the state space predictive model is proposed to address the problem. Based on the recorded responses in the time domain, the state space attractors are reconstructed. Damage to the structures is shown to change the properties of the attractors. A nonlinear damage detection feature called normalized nonlinear prediction error (NNPE) is extracted from the state space to identify the changes in the attractors—and hence the damage. Furthermore, the damage is visualized and quantified using the NNPE values extracted from the entire area by using a laser scanning technique. Experimental results validate that the proposed technique is capable of detecting, visualizing and quantifying artificial damage to aluminum alloy plates and actual fatigue cracks to a twin-screw compressor body.
Refractive Index Variation of Magnetron-Sputtered a-Si1−xGex by “One-Sample Concept” Combinatory
Authors: Lohner Tivadar , Kalas Benjamin , Petrik Peter , Zolnai Zsolt , Serényi Miklós , Sáfrán György
Published: May 2018

Gradient a-Si1−xGex layers have been deposited by ”one-sample concept” combinatorial direct current (DC) magnetron sputtering onto one-inch-long Si slabs. Characterizations by electron microscopy, ion beam analysis and ellipsometry show that the layers are amorphous with a uniform thickness, small roughness and compositions from x = 0 to x = 1 changing linearly with the lateral position. By focused-beam mapping ellipsometry, we show that the optical constants also vary linearly with the lateral position, implying that the optical constants are linear functions of the composition. Both the refractive index and the extinction coefficient can be varied in a broad range for a large spectral region. The precise control and the knowledge of layer properties as a function of composition is of primary importance in many applications from solar cells to sensors.
A Comparative Study on the Statutory and Technical Regulations for Controlling Indoor Volatile Organic Compounds in Taiwan and Japan
Authors: Tsai Wen-Tien
Published: May 2018

The objective of this paper was to offer a comparative analysis of currently implemented statutory and technical regulations in Taiwan and Japan for volatile organic compounds (VOC) in indoor atmospheres. The findings should help to manage indoor air quality (IAQ) based on public and occupational health considerations. The first part of the present study summarizes the Indoor Air Quality Management Act in Taiwan and related regulations for building materials. We further highlight that Taiwan became the second country in the world to enact an IAQ management law in 2011. In addition, the permissible exposure limits (PEL) are also addressed to recognize safe levels of VOC concentrations below which adverse health effects are not expected to occur in the workplace environment. In the second part of the paper, the statuses of statutory and voluntary regulations for IAQ issues in Japan are compiled from the official websites of the central ministries, including the Ministry of Education, Culture, Sports, Science and Technology, the Ministry of Land, Infrastructure, Transport and Tourism, and the Ministry of Health, Labor and Welfare. This analysis shows that both countries have adopted similar processes to establish the IAQ standard/guideline values and low-emission building materials, despite slight differences in their methods and central ministries. In contrast, the VOCs regulated by these regulations differ completely, with the exception of formaldehyde. Although the IAQ standards in Taiwan seem to be more stringent than those in Japan, Japan’s longer experience shows a diversity of management tools and regulations based on the guideline values.