bluuebunny/crossref_metadata_2025 huggingface dataset:
Blood glucose and uric acid increases the risk of hypertension in elderly
Authors: Sofiana Liena , Khusna Arfiani Nur , Pradana Righa
Published: October 2019

Background: Hypertension is still a big challenge in Indonesia. Survey data shows that Yogyakarta province is included in the top five provinces with the most cases of hypertension with a number of 35.8% above the average of all Indonesia, which is 31.7%. Life style changes such as dietary changes lead to ready-to-eat dishes that contain lots of fat, high protein and salt but are low in dietary fiber, bringing consequences as one of the factors developing degenerative diseases such as hypertension. The purpose of this study was to determine the relationship between blood glucose and uric acid with the incidence of hypertension in the elderly at Posyandu Lansia Kauman Yogyakarta.Methods: The study was observational analytic with cross-sectional design. The population in this study were all elderly people living in the Posyandu Lansia Kauman Yogyakarta with a total of 33 people. The instrument used was a checklist sheet and the instrument used was a tensimeter, glucometer and uric acid test. The data analysis technique used is the Fisher's test.Results: There was a significant relationship between blood glucose (p=0.023) and uric acid (p=0.036) with an increased risk of hypertension in the elderly in the Posyandu Elderly Kauman Yogyakarta.Conclusions: There is a relationship between blood glucose and uric acid levels with an increased risk of hypertension in the elderly at the Posyandu Lansia Kauman, Yogyakarta.
A study on prevalence of stress among first year medical students in Trichy SRM Medical College Hospital and Research Centre, Trichy
Authors: S. Pradeepa , B. Ramakrishnan , S. Sakthi Murugan , P. Saravanakumar , R. Sherin Beatrice
Published: October 2019

Background: The stress is an inevitable part of education for medical students at time of their life when they are also involved in issues related to life style and carriers. It is reported that stress during medical education can affect the patient care negatively. The objective of the present study was to estimate the prevalence of stress among first year medical students in Trichy SRM Medical College Hospital and Research Centre, Trichy.Methods: A descriptive cross sectional study using predesigned, semi structured questionnaire for 150 first year medical students of Trichy SRM Medical College for a period of 2 months (October to November 2018).Results: Among 150 study participants 49% (73) were under stress, 49.3% of them are belong to 18 years. Majority of the study participants are females (57.3%) in which females are getting more stress (28.6%) than males (20.1%); among them 33.3% of them with suicidal tendency and 80.7% of them are academically stressed.Conclusions: The greater proportion of students was found to be stressed with academic problems being major cause for stress when compared with non-academic problems. Stress management workshops soft skills development techniques at the entry of medical carrier would be helpful to reduce stress.
A cross sectional overview of digital eye strain: a growing health concern in this digital age in central India (Madhya Pradesh)
Authors: Sanodiya Ishan , Kujur Anubhuti , Sirohi Suraj , Khatri A. K.
Published: October 2019

Background: The physical discomfort and collection of symptoms after digital screen use for longer than two hours at a time is referred by the Vision Council as digital eye strain (DES). Common symptoms of DES are eyestrain, headache, blurred vision, dry eyes and pain in neck and shoulders. This study aims to know about the prevalence; factors associated with and awareness about preventive measures for DES among college students.Methods: A cross-sectional study was conducted for 2 months in 2017 among randomly selected 200 college students of 20 to 30 years of age in Indore city of Madhya Pradesh using a pre-designed semi-structured questionnaire.Results: Mean age of participants was 22.5 years; of which 58% were females. Of the respondents, 89.5% (179 students) reported experiencing DES. Average distance from digital screen, brightness level of digital device, use of digital device before going to sleep and awareness about appropriate distance of digital screen from eyes had statistically significant association with having digital eye strain. 98% of respondents were unaware of the term DES while >60% did not have knowledge about the harmful blue light emitted by digital devices, protective use of digital screen filters, appropriate distance of viewing digital screen and the 20-20-20 rule of taking breaks in between screen time.Conclusions: Since digital device use is a necessary evil; better ergonomic practices to avoid DES should be adopted. Opportunistic health promotion and patient education undertaken by ophthalmologists on an OPD basis is one solution.
Attitude of medical students towards learning communication skills in a medical college in Tamil Nadu
Authors: William Roseline Fathima , Shanmugam Jeevithan , Durairamy Shanmugapriya
Published: October 2019

Background: Effective communication plays a crucial role in establishing strong Doctor patient relationship which plays a dominant role in the treatment. Since Attitude forms the basis for the behaviour, the attitude of the students towards learning communication skills have major impact on developing effective communication skills. The objective of this study is to assess the level of attitude of medical students towards learning communication skills.Methods: A cross sectional study was conducted over 2 months among first to 4th year medical students in Karpaga Vinayaga Institute of Medical College and Research Centre, Kancheepuram using communication skills attitude scale. Data regarding the attitude and various socio demographic profile were collected through self-administered questionnaire. Hierarchical cluster analysis and K mean cluster analysis was done and Chi square test applied to find out association between the attitude and demographic variables.Results: With K mean cluster analysis, 183 students (47.9%) had high and 52.1% had moderate attitude towards learning communication skills. There is no significant association between socio demographic profiles and attitude towards learning communication skills except for the year of study and the gender.Conclusions: Overall all the students showed positive attitude towards learning communication skills, however there was decrease in level of attitude with higher the year of study.
Complementary and alternative medicine use by diabetic patients in rural Bengaluru
Authors: K. R. Vidya , K. Lohit
Published: October 2019

Background: Complementary and alternative medicine (CAM) use is common among patients with chronic diseases in developing countries. The rising use of CAM in the management of diabetes is an emerging public health concern given the potential adverse effects, drug interactions and benefits associated with its use. The main objective of this study is to determine the prevalence regarding complementary and alternative medicines among diabetic patients and to assess the perception and factors influencing use of complementary and alternative medicines among diabetic patients.Methods: A community based cross sectional study including diabetic subjects aged more than 18 years was conducted in the rural area of Bengaluru Expecting the prevalence of CAM use to be 67% as with Kumar et al, a minimum of 136 subjects were required to conduct study. Data from 150 diabetic subjects were collected during house to house visit in rural area by using a pre structured questionnaire. Diabetic subjects were randomly selected using multi stage random sampling method.Results: Most of the participants (80%) were aware of CAM and prevalence of CAM use was 54.6%. Significantly the use of CAM was more among females, literates, with diabetic complications and with family history of DM. The common source of information on CAM was friends (45.8%) and neighbors (25.8%). Desire for the quick and additional relief, low cost and easy availability was the prime factors influencing use of complementary and alternative medicines.Conclusions: The prevalence of CAM use among diabetic patients is high. Physicians need to understand CAM better and communicate more with patients.
Assessment of knowledge and health care seeking behaviour for menstrual health among adolescent school girls in urban slums of Bengaluru: a cross sectional study
Authors: S. Mouna H. , L. Hamsa , T. S. Ranganath , N. Vishwanath
Published: October 2019

Background: Adolescent girls are often less informed and less comfortable in accessing reproductive health care and information. Due to taboos and socio-cultural restrictions associated with menstruation and its issues, a culture of silence surrounds it. Every stage of women’s life influences next stage, thus present menstrual health will help the girls to have good reproductive, sexual and maternal health later. Good knowledge and better health care seeking behaviour will help in managing menstruation hygienically and with dignity. Hence the present study was undertaken with the objectives, to assess knowledge about menstruation and to determine health care seeking behaviour for menstrual health among adolescent girls in urban slums.Methods: A cross sectional study was conducted to assess knowledge about menstruation and determine health seeking behaviour for menstrual health among 150 adolescent school girls. Multi stage random sampling with probability proportionate to size sampling technique was used. A pre-tested, semi-structured questionnaire was self administered to assess socio-demographic factors, knowledge and health care seeking behaviour for menstrual health.Results: Among 150 adolescent girls, 102(68.0%) of them had good knowledge. Among girls who had excessive bleeding and irregular menses only half of them sought medical treatment (p<0.05) and though 59.5% had more than one symptoms in a cycle, only 37.3% sought treatment.Conclusions: Health care seeking behaviour for menstrual health among adolescent girls was marginally low, only 34(37.4%) sought treatment.
Morbidity pattern of Kerala flood victims of 2018 in the post flood recovery phase
Authors: Vaithiyalingam Saravanan , Mohan Reenaa , Joseph Abel Arul , Jacobe Mithun George , Purty Anil J.
Published: October 2019

Background: In the year 2018, Kerala experienced natural disastrous due to heavy rainfall and floods due to breakdown of dams. More than five lakhs people were affected and disruption in transportation, communication and damaged health care facilities. Objective of this study was to access the morbidity pattern of flood victims in the post flood recovery phase.Methods: The study was carried out by the investigators along with medical team conducted free camps in seven different locations in the districts of Wayand and Kozhikode in the month of October 2018. Data were obtained in the format designed by the National Centers for Disease Control and Prevention, India.Results: A total of 3123 patients were attended the flood relief camp. The most of the camp people were come up with complaints of myalgia 24.8%, acute respiratory infections 14.6%, skin infections 8.3% and 7.7% had fever.Conclusions: To create awareness to the community about the natural disaster and appropriate action to prevent it through information, education and communication by regular period of intervals. And to provide basic amendments to improve the health care infra structure.
Awareness of biomedical waste management among clinical teaching staff in a private medical college in rural area of Maharashtra
Authors: Naik Qais , Vasantrao Chincholikar Sanjeev , Surendra Kulkarni
Published: October 2019

Background: Biomedical waste has become a serious health hazard in many countries, including India. The waste produced in the course of health care activities carries a higher potential for infection and injury than any other type of waste. The main aims and objectives of this study are to assess the knowledge, attitude and practices among the clinical teaching staff of a private medical college regarding biomedical waste management.Methods: An observational, cross-sectional study was conducted among the clinical teaching staff of a private medical college regarding biomedical waste management. All the clinical teaching staff members enrolled on the roll muster were included. The data collection was done by interview technique using a pretested, structured questionnaire.Results: Awareness about the number of categories of segregation of biomedical waste was found in 99% of the respondents. However 94% participants among them knew correctly the colour code of segregation but parcentage  details of these categories varied from 49% to 90%. Percentage of actual practice of biomedical waste management varied from 57% to 77%.Conclusions: The staff had exemplary knowledge of basic questions like number of categories of BMW segregation; however details of these categories were known to a somewhat fewer people. Awareness was much more in in clinicians who are having experience of less than 5 years. There is a need of organization of seminars to update their knowledge regarding biomedical waste management.
Model and finite element methods for studing insulating lining of space module compartments
Authors: Popov Pavel , Kuznetsov Aleksandr , Igolkin Aleksandr , Murtazin Vilsur
Published: October 2019

At design of the space-rocket equipment the prediction problem of acoustic action on elements of the launch vehicle design and payload. The sources of such impact are the engines operating at the start and the incoming air flow acting on the launch vehicle at the start and on the active part of the flight in the earth's atmosphere. However, the solution of the problem, complications of the impossibility of testing in bench conditions. Check the adequacy of the selection process only when the launch vehicle. Therefore, it is important to develop a methodology for calculating the minimum sound insulation based on the physical parameters of the material and the geometric parameters of the structures. The calculation of these parameters was carried out on models of structures, in connection with which the proposed approach was called model. The simulation is carried out by the finite element method while simplifying the initial structure to a similar rigidity. The results were compared with experimental data.
Mathematical simulation of electrohydraulic control device flow characteristics accuracy determination with proceeding data verification on the basis of experimental studies at the test bench
Authors: Berestovitskij Ehrlen , Pyalov Nikolaj , Solovyev Michael
Published: October 2019

For the modern steam generator feed water flow control systems and new generation products requirements for vibrating characteristics and hydrodynamic noise are significantly increased. Currently, control devices meet the requirements of regulatory documents on vibration noise characteristics developed in 1980-ies. To solve the problem of compliance with modern requirements previously flat (two dimensional 2D) statement of problem was widely used. This approach does not give a complete and adequate picture of the physical fields of electro-hydraulic equipment. Therefore, it is necessary to gradually complicate the task and goes into a three-dimensional area. We have done joint work with a number of computational companies that distribute or produce the various types of code for computational fluid dynamics (CFD) in order to determine ways of improving the acoustic quality of our products by the means of three-dimensional mathematical modeling with obtaining physical field parameters. On the basis of received information we made out the subsequent verification of experimental studies of the valve model, which had been previously analyzed in CFD, at the test bench.
Controlling the vibration process of vibration protection systems with dynamic damping
Authors: Chernyshev Vladimir , Fominova Olga
Published: October 2019

The article deals with theoretical aspects of controlling the oscillation process in vibration protection systems with a dynamic damping based on the use of modern information technologies. The justification of the principle of minimum and minimax procedure for the formation of optimal control of oscillation processes is given. It is shown that a direct method of integrating the equations of state, when observing the minimax procedure, allows us to find the values of the components of the optimal control vector directly at each integration step. The minimax procedure algorithm of the minimum principle is used to solve the optimization problem of dynamic damping of oscillations. A synthesizing control function is found that allows eliminating resonant phenomena and providing attenuation of transient processes within a single period of kinematic action.
Planning of works to introduce the active noise and vibration control methods for shipbuilding
Authors: Bykov Andrey , Kitanov Mikhail , Maizel Alexander , Nikishov Sergei
Published: October 2019

The main provisions of the theory of active damping of noise and vibration are described using the adaptive suppression algorithm. Provides an overview of some successful foreign models of similar system used in various industries. Formulated the basic requirements for advanced system of active suppression, the creation of which will be in demand in shipbuilding.
Suppression of wave instability in broad-area lasers by the external optical injection
Authors: Anchikov Dmitry , Krents Anton , Molevich Nonna , Yarunova Elizaveta
Published: October 2019

We theoretically investigate suppression of travelling wave instability in the transverse section of broad-area lasers. We investigate influence of the detuning between injected signal and generated radiation. The synchronization conditions were obtained under which the effective suppression of the wave instability occurs. Numerical simulation of the spatiotemporal dynamics of a broad-area laser with injection of external optical signal is carried out.
Free vibration frequencies of damped rotor mechanism
Authors: Volkova Natalya , Golovanov Vladimir , Igolkin Aleksandr
Published: October 2019

The influence of the rotating rotor on the free vibration frequencies of the damped mechanism is considered. Under the assumption of absolute rigidity of both the body of the mechanism and its rotor, a system of differential equations for determining the free oscillation frequencies is obtained. The analysis of this system shows that the spectrum of natural frequencies is determined not only by the static characteristics of the mechanism (mass and moments of inertia) and its depreciation, but also by the speed of rotation of the rotor.
The influence of initial radial deformations on the residual stresses distribution in the hardened layer
Authors: Sazanov Vyacheslav , Pavlov Valentin , Vakulyuk Vladimir , Pismarov Andrej
Published: October 2019

The study of the initial radial deformations influence on the residual strained state components distribution through the hardened layer thickness under various types of surface hardening has been conducted. Chemical thermal machining (CTM) and shot blasting (SB) have been examined on the example of smooth solid steel cylindrical specimens with diameters D=10 mm and D=25 mm under a linear distribution of initial deformations through the hardened layer thickness (the maximum value is on the surface and zero on the maximum depth of hardening). The calculation has been conducted with use of the program complex PATRAN/NASTRAN. The solution has been carried out in axial symmetric positing by thermo elasticity method. On study results its been stated that the radial stresses through the hardened layer thickness under CTM and SB are positive. Incidentally the radial component of initial deformations under chemical thermal machining and shot blasting doesnt exercise essential influence on the radial and axial residual stresses distribution through the hardened layer thickness. Hence the initial radial deformations havent much significance at the evaluation of the residual strained stress state influence on the hardened parts endurance limit increment calculated by the average integral residual stresses criterion.
Method of calculation dynamics roller bearings pinion differential gear
Authors: Kurushin Mikhail , Ossiala Venceslas
Published: October 2019

In this paper, the method of calculating the dynamics of roller bearings of satellites of differential turbo-screw reducers is briefly considered. The distribution of forces on the rolling elements is found and their durability on the contact stresses. Determines the thickness of the lubricant layers in the contacts of the rolling elements with the rings of with the separator jumpers, as well as in the contact of the separator with the centering surfaces of the bearing rings; determines the sliding speed in the contacts and, as a consequence, assess the danger of jamming.
AGE DYNAMICS OF DENTAL AND LABORATOREY HEALTH INDICATORS IN YEKATERINBURG CHILDREN (5-6, 12, 15 YEARS)
Authors: Насретдинова Наталья , Nasretdinova Natal'ya , Мандра Юлия , Mandra Yuliya , Полушина Лариса , Polushina Larisa , Базарный Владимир , Bazarnyy Vladimir , Мандра Екатерина , Mandra Ekaterina , Болдырев Юрий , Boldyrev Yuriy , Власова Мария , Vlasova Maria , Димитрова Юлия , Dimitrova Yulia
Published: October 2019

Subject. The health status of children and adolescents is one of the most acute medical and social problems. It is known, that with dental diseases, changes occur not only in the immunological profile of the oral fluid, but also in morphology of the oral tissues. New approaches to the traditional cytological study of buccal epithelium such as analysis of the cytogram with the isolation of various types of cells, as well as the detection of cytological abnormalities of cells, allows us to evaluate the reactivity of the oral mucosa in pathological processes. According to WHO recommendations (2013), groups of children 5-6, 12, 15 years of age are the global indicator age groups for monitoring disease trends and comparisons on an international scale.

The objective of the study is to assess the health status of children age 5-6, 12, 15 with non-invasive methods. It is based on the results of a clinical and laboratory examination of 179 children, attending organized children's groups. Children underwent a comprehensive dental examination, which included a questionnaire according to the WHO method, an external examination of the maxillofacial region, an examination of the oral cavity, identification of pathology of hard tooth tissues.

Methodology. We studied the change in the dental status of patients, indicators of oral fluid and basal epithelium with age, in order to prognostically use non-invasive assessment methods in a comprehensive health examination, planning and evaluating the effectiveness of prevention programs.

Results. It was noted that the dental health status of children 5-6, 12, 15 years old can be assessed as satisfactory, while dental, laboratory and cytological health indicators worsen with age. Non-invasive methods for assessing the dental status of patients can be used in a comprehensive examination of children's health, planning and evaluating the effectiveness of prevention programs.
THE ANALYSIS OF EMG VALUES IN PATIENTS USING REMOVABLE IMPLANT-RETAINED OVERDENTURES FOR A LONG PERIOD OF TIME
Authors: Дубова Любовь , Dubova Lyubov , Ожигов Евгений , Ozhigov Evgeniy , Ступников Алексей , Stupnikov Aleksey , Тагильцев Денис , Nagiltsev Denis
Published: October 2019

Subject. The state of the stomatognathic system in patients who used removable implant-retained overdentures for a period more than 4 years was analyzed by evaluating the bioelectrical activity of temporal and masticatory muscles.

Objectives ― to analyze the influence of long-term usage of removable implant-retained overdentures on the dynamic parameters of the stomatognathic system by evaluating the bioelectrical activity of temporal and masticatory muscles.

Methods. Clinical studies of bioelectrical activity and symmetry of the temporal and masticatory muscles using surface electromyography were carried out. Electromyography was carried out in five probes: physiological rest, occlusion, natural swallowing, clench and clench on rolls.

Results. It was revealed that in a state of physiological rest and occlusion, the absolute electromyography indicators were elevated. During natural swallowing, the bioelectric activity of the muscles in patients who used removable implant-retained overdentures was characterized as reduced. During clenching and clenching on rolls, the indicators were at the level of the lower limit of the norm. It was also found that the symmetry of the temporal and masticatory muscles was below the normal level.

Conclusions. The obtained data is a sign of the modified dynamic state of the stomatognathic system in patients who used removable implant-retained overdentures. In addition to changes of the bioelectric activity of the muscles, a significant violation of the symmetry of the muscles has been revealed.
STUDY OF AREA OF OCCLUSIVE DENTAL SURFACE IN RECONSTRUCTIVE THERAPY
Authors: Ломиашвили Лариса , Lomiashvili Larisa , Погадаев Дмитрий , Pogadaev Dmitriy , Михайловский Сергей , Mikhailovsky Sergey , Симонян Лаура , Simonyan Laura
Published: October 2019

Background. The study of the area of the crown part of the tooth, especially its occlusal surface, as well as the degree of differentiation and reduction are of great importance when conducting reconstructive therapy, but unfortunately, these studies caused technical difficulties for researchers, it was not possible to mathematically determine the specifics of the surface and calculate it. In this study, we performed a morphometric study of tooth areas using modern methods of computer diagnostics and recording the data on electronic media. Objectives ― measuring the area of the occlusal surface of intact molars and human premolars with varying degrees of differentiation using modern scanning capabilities of complex surfaces. Methods. The object of the study was 200 teeth of intact teeth of individuals of the Caucasian race, aged 18 to 30 years (50 molars of the upper jaw, 50 molars of the upper jaw, 50 molars of the lower jaw, 50 molars of the lower jaw ), removed according to orthodontic and surgical (fracture of the jaw) indications. A morphometric study of tooth areas was carried out using modern methods of computer diagnostics, the Avantis 3D program and recording the data on electronic media. Results. Using modern methods of scanning human teeth, information has been obtained on the area of the occlusal surface of molars and premolars. Knowledge of the anatomical and topographic features of teeth, taking into account their individual microarchitectonics, is of great importance when conducting reconstructive therapy. Conclusions. The ability to restore the occlusal surface of the teeth with a different degree of differentiation will allow dentists to improve the technology of restoration of tooth crowns based on the principles of biomimetics, taking into account the morphofunctional features of the human dentition.
ANTICORRUPTION COMPLIANCE: INTERNATIONAL EXPERIENCE IN LEGAL REGULATION AND INNOVATION FOR UKRAINE
Authors: Lutsenko Оlena
Published: October 2019

Purpose: To explore and to analyze the global experience in anticorruption compliance management and to highlight exceptional importance of the anticorruption compliance system to be implemented in Ukraine for fighting corruption; to determine necessary steps to involve workers to the local anticorruption program; to offer specific recommendations for reforming the existing anticorruption compliance system in Ukraine.

Methodology: The study was conducted with general scientific (formalization, abstraction, analysis, and synthesis) and specific scientific (formal and legal, comparative and legal, and legal forecasting) cognitive methods applied.

Result: Upon thorough investigation of the issue, the author concluded that the anticorruption compliance system should be approved upon discussion with public officials, offered a new form of this discussion to be effective and to function in fighting against corruption offenses in domestic practice, and noticed that compliance management should involve professional standards, powers distribution regulation, and ethics rules determination.

Applications: The study is known to be innovative in Ukraine and the results might be interesting and useful for domestic legislators and public administration subjects at the building of the highly effective anticorruption compliance system.

Novelty/Originality: The study is believed to cast some light on the gaps in this issue which needed to be clarified since previous poor efforts seem still contradictory. The subject of the study is considered in Ukraine for the first time. The results of the study are obtained based on the independent investigation of the current anticorruption program in the public service and might be promising for effective application.
La Superioridad Aérea en el contexto geoestratégico del Estado colombiano
Authors: Baquero Valdés Fabio
Published: October 2019

El presente artículo de reflexión es resultado de un proyecto de investigación relacionado con la importancia de la Superioridad Aérea y su contribución a los fines del Estado colombiano en el siglo XXI. El aporte académico elaborado bajo la metodología de análisis documental, plantea una mirada geoestratégica de la superioridad aérea la que políticamente se vincula a través del poder aéreo como valor dentro del interés nacional. El propósito de esta investigación, es evidenciar cómo la superioridad aérea es entendida más allá que una capacidad militar, puesto que esta condición adquiere una dimensión geoestratégica, por el espectro de actuación en los dominios del aire, el espacio y el ciberespacio del interés nacional. De igual forma, cómo la superioridad aérea genera vínculos entre los problemas estratégicos militares por conducto del poder aéreo con factores geográficos y recursos vinculados a los objetivos geopolíticos de la Nación. Lo anterior, implica un planeamiento comprensivo, en donde la asignación de medios apropiados permite alcanzar las metas nacionales y asegurar activos de importancia militar o política. Dejando como resultado, la utilidad de observar de manera integral el contexto geoestratégico del Estado Colombiano, en relación con el interés geopolítico nacional y la necesidad de alcanzar una condición real de Superioridad Aérea como parte del valor estratégico Nacional.
Informe de vigilancia tecnológica en equipos de manipulación y transporte de misiles
Authors: Uribe Taborda Abdón Estibenson , Mesa Palacio Leonardo de Jesús , Muñoz Morales Diego Alexander
Published: October 2019

Este artículo detalla una búsqueda sistemática y organizada en la nube a través de diferentes bases de datos a nivel mundial, con el propósito de identificar tecnologías existentes con relación a procesos de transporte e instalación de armamento en aeronaves del sector militar y de defensa, así como los principales proveedores o fabricantes de dichas tecnologías. Se cita un compilado de patentes e imágenes de dichos sistemas que describen especificaciones técnicas tales como: peso, capacidad de carga, velocidad, funciones específicas, tipo de mecanismo, tipo de aeronave para la que fue diseñado, entre otros. Al final del documento se plantean una serie de conclusiones respecto a la búsqueda realizada, resaltando cuáles son los principales fabricantes de sistemas de transporte e instalación de munición, así como los países que mayor número de patentes generan al respecto, cual es el propósito de los principales fabricantes al diseñar equipo de soporte terrestre; información que servirá de base para diseñar un sistema de soporte terrestre que se acople a las necesidades puntuales de la Fuerza Aérea Colombiana, específicamente para la flota del AH60L.
Estudio para la implementación de un laboratorio de meteorología aeronáutica con equipos reincorporados como herramienta de enseñanza práctica
Authors: Sierra Giraldo Ingrid Tatiana , Gómez Gómez Edgar Leonardo , Varón Castro Jonathan Fernando
Published: October 2019

Este artículo presenta los resultados de un proyecto de investigación cuyo objetivo es evaluar la viabilidad de implementar un laboratorio meteorológico con equipos reutilizados, en las instalaciones del Centro de Estudios Aeronáuticos (CEA), con el fin de utilizarlo como herramienta que refuerza el proceso de aprendizaje de los estudiantes que cursan programas académicos que involucran temáticas meteorológicas. Esto se puede lograr por medio de la experiencia didáctica que puede ofrecer una estación de trabajo implementada con equipos reincorporados, que son capaces de simular las condiciones reales de trabajo de un operador de estación meteorológica, la cual recopilará datos meteorológicos en tiempo real a través de una red de sensores especializados que en este caso también son reutilizados. Como metodología de desarrollo se evalúan las condiciones operativas de todos los equipos dados de baja en diferentes locaciones a lo largo del país, y en el antiguo Centro Nacional de Análisis y Pronóstico de la Aeronáutica Civil, debido a la migración de este servicio al Centro de Gestión Aeronáutico de Colombia (CGAC). Se estudia la viabilidad de emplazarlos en las instalaciones físicas del CEA, obteniendo así los datos que nos indican la viabilidad de implementar este laboratorio, sentando las bases para su desarrollo. Se espera que la implementación de este laboratorio beneficie enormemente los procesos de capacitación del personal que brinda los Servicios a la Navegación Aérea entre otros, aportando así al cumplimiento de las funciones del CEA y por ende del personal que allí es capacitado y sus instituciones.
Fortalezas de carácter como predictoras de resiliencia en adultos mexicanos
Authors: Ruvalcaba Romero Norma Alicia , Orozco Solis Mercedes Gabriela , Alfaro Beracoechea Laura Nadhielii , Bravo Andrade Héctor Rubén
Published: October 2019

En la Psicología positiva el estudio del buen carácter concibe las virtudes como rasgos centrales considerados como valores universales, mientras que las fortalezas son las características psicológicas valoradas moralmente que componen esas virtudes. La resiliencia, por su parte, comprende un proceso dinámico de adaptación exitosa a situaciones adversas a partir de recursos internos y externos. El objetivo del presente estudio fue analizar el valor predictivo de las fortalezas humanas sobre los componentes de la resiliencia en población mexicana. Se aplicó el Inventario de Fortalezas y Virtudes (IVyF), así como la versión validada para México de la Escala de Resiliencia para adultos (RSA) a 590 personas residentes de Guadalajara, Jalisco. Mediante análisis de regresiones lineales, se encontró que las fortalezas de carácter que mejor predicen los factores de la resiliencia son: gratitud, inteligencia social y perspectiva. Los resultados se contrastan con estudios previos y se discuten implicaciones y sugerencias para nuevos estudios.
Chromogranin A and serotonin for evaluation of treatment efficacy of neuroendocrine tumors
Authors: Lyubimova N. V. , Timofeev Yu. S. , Churikova T. K. , Markovich A. A. , Emelianova G. S. , Stilidi I. S. , Kushlinskii N. E.
Published: October 2019

Background: The utility of biochemical markers in the monitoring of treatment efficacy in patients with neuroendocrine tumors (NETs) goes beyond any doubt. However, there are still no clear criteria for the assessment of clinically significant abnormalities of the main NET biomarkers chromogranin A (CgA) and serotonin. Aim: To evaluate the value of serial measurement of serum CgA and serotonin in the monitoring of the treatment effect in NET patients. Materials and methods: Serum CgA and serotonin levels were measured in 107 patients with NETs at baseline and at 3–4 weeks after the end of treatment (chemotherapy, biotherapy), as well as in 60 healthy controls. We used enzyme immunoassay based on Chromogranin A NEOLISA (Euro Diagnostica) and Serotonin ELISA (IBL International GmbH) test systems. Results: There was an association between CgA levels and the efficacy of chemotherapy in NET patients. With progression of the disease, median CgA increased significantly from 412 to 2679 ng/mL (p = 0.012), whereas in the patients with partial response it decreased from 811 to 254 ng/mL (p = 0.023). The ROC analysis showed the 33% cut-off for significant CgA changes for progression, with sensitivity of 80.0% and specificity of 95.6%. A decrease (of more than 33% compared to baseline levels) or absence of significant CgA changes was associated with stabilization of the disease or with partial response to treatment. Significantly decreased CgA levels were found in 75.0% cases of partial response and 43.48% of stabilized patients, whereas the absence of any significant changes in 25 and 66.7%, respectively. There was no association between serotonin levels and the disease behavior under treatment.Conclusion: CgA could be used as a sensitive marker of NET progression on chemotherapy.
Hüseyin Rauf (Orbay) Bey’in Hindistan Seyahati ve Faaliyetleri
Authors: ÇELİK Recep
Published: October 2019

Hint
Müslümanlarının Türklere olan muhabbeti Rauf Orbay’ın Hindistan seyahati ile
zirveye çıkmıştı. Rauf Bey bu seyahatinde Türk-Hint dostluğuna vurgu yapmıştı.
Kendisi Hindistan’da gittiği her yerde coşku ve sevinç gösterileriyle
karşılanmıştı. Siyasi nedenlerle yurt dışında yaşamak zorunda kalan Rauf Bey’in
siyaset dışında kalması dikkat çekicidir. Seyahatte gündemin en önemli hususu
hilafet meselesiydi. Rauf Bey hilafetin Türkler için artık taşınamayacak kadar
ağır bir yük olduğunu belirtmiş ve kaldırılmasının haklı nedenlerini ortaya
koymuştu. Rauf Bey’in muarızları kendisini halifeci-sultancı bir şahsiyet
olarak görürken Rauf Bey beyanatlarıyla bunun aksi bir portre çizmiştir.
Hintliler Rauf Bey’i Mustafa Kemal Paşa’dan daha üstün görmüş ancak O bunu
kabul etmemiştir. Aleyhte propagandalara rağmen Türkiye Cumhuriyeti’nin
itibarını düşürecek söylemlerden uzak durmuştur.
On the solvability of causal functional inclusions with infinite delay
Authors: Kulmanakova Marina M. , Ulianova Elena L.
Published: October 2019

In the present article we develop the results of works devoted to the study of problems for functional differential equations and inclusions with causal operators, in case of infinite delay. In the introduction of the article we substantiates the relevance of the research topic and provides links to relevant works A. N. Tikhonov, C. Corduneanu, A. I. Bulgakov, E. S. Zhukovskii, V. V. Obukhovskii and P. Zecca. In section two we present the necessary information from the theory of condensing multivalued maps and measures of noncompactness, also introduced the concept of a multivalued causal operator with infinite delay and illustrated it by examples. In the next section we formulate the Cauchy problem for functional inclusion, containing the composition of multivalued and single-valued causal operators; we study the properties of the multiopera-tor whose fixed points are solutions of the problem. In particular, sufficient conditions under which this multioperator is condensing on the respective measures of noncompacness. On this basis, in section four we prove local and global results and continuous dependence of the solution set on initial data. Next the case of inclusions with lower semicontinuous causal multioperators is considered. In the last section we generalize some results for semilinear differential inclusions and Volterra integrodifferential inclusions with infinite delay.
PENGEMBANGAN MODUL PERAWATAN KESEHATAN MENTAL BERBASIS HOME CARE
Authors: - Tati , Jubaedah Yoyoh , Yusup Ayu Khairunnissa
Published: October 2019

Development of Mental Health Nursing Care Module with Home Care Based

Abstract

The purpose of this study was to produce a Home care Based Mental Health Nursing Care Module. The method used was Research and Development with the ADDIE approach. However, the research was only carried out until the development stage. Modules were designed using expert judgment validation by experts to assess the feasibility of the modules that have been designed. The aspects assessed in the validation are aspects of the feasibility of the content and feasibility of the module. The final result of the validation carried out by experts in the field of elderly services and experts in the field of modules/media is the Home care Mental Health Care Mentoring Module Based on Home care stated that it is very feasible to use or implement. Recommendations of this research are shown to assistants, expected to be used as learning materials and reference materials in the Home care mental health care mentoring process. For further researchers, it is expected that research can be continued at the implementation stage can be carried out on family members who are elderly assistants at home.

Keywords: elderly, module, mentoring, mental health care

Abstrak

Tujuan dari penelitian ini yaitu untuk menghasilkan Modul Pendampingan Lanjut Usia Berbasis Home care dalam Perawatan Kesehatan Mental. Metode yang digunakan yaitu Research and Development dengan pendekatan ADDIE. Pengembangan modul dilakukan melalui validasi expert judgment oleh ahli untuk menilai kelayakan modul yang telah dirancang. Aspek yang dinilai dalam validasi adalah aspek kelayakan isi dan kelayakan modul. Hasil akhir dari validasi yang dilakukan oleh ahli di bidang pelayanan lansia dan ahli di bidang modul adalah Modul Pendampingan Lanjut Usia Berbasis Home care dalam Perawatan Kesehatan Mental dinyatakan sangat layak untuk digunakan atau diimplementasikan.  Rekomendasi dari peneitian ini ditunjukkan bagi pendamping, diharapkan dapat digunakan sebagai bahan belajar dan bahan acuan dalam proses pendampingan lanjut usia berbasis Home care dalam perawatan kesehatan mental. Bagi peneliti selanjutnya, diharapkan penelitian dapat dilanjutkan pada tahap implementasi dapat dilakukan pada anggota keluarga yang menjadi pendamping lanjut usia di rumah

Kata Kunci: Modul, Pendampingan, Lanjut Usia, Perawatan Kesehatan Mental
Outcomes and Complications in the Management of Distal Radial Fractures in the Elderly
Authors: DeGeorge Brent R. , Van Houten Holly K. , Mwangi Raphael , Sangaralingham Lindsey R. , Larson A. Noelle , Kakar Sanjeev
Published: October 2019

Background:

The purpose of the present study was to identify trends in management and to compare the outcomes and complications following nonoperative and operative management (including external fixation, closed reduction and percutaneous pinning, and open reduction and internal fixation) for distal radial fractures in patients ≥65 years of age.

Methods:

We performed a retrospective analysis, with use of the OptumLabs Data Warehouse database, of patients ≥65 years of age who had been managed for a distal radial fracture between 2009 and 2014 (as indicated by diagnosis codes according to the International Classification of Diseases, Ninth Revision, Clinical Modification). Ninety-day and 1-year complication rates per 1,000 fractures were analyzed overall and by treatment modality.

Results:

Thirteen thousand, seven hundred and thirteen distal radial fractures were analyzed. The overall 90-day complication rate was 36.5 per 1,000 fractures, and the 1-year upper-extremity-specific complication rate was 236.2 and 307.5 per 1,000 fractures for nonoperative and operative management, respectively. Overall, post-injury stiffness was the most common 1-year upper-extremity-specific complication (incidence, 11.5%). There was no significant difference between operative and nonoperative management in terms of 90-day complication rates. However, operative management had a higher 1-year complication rate than nonoperative management (307.5 versus 236.2 per 1,000 fractures). Overall, the 5 most common upper-extremity-specific complications following operative treatment of distal radial fracture were stiffness (16.0%), chronic regional pain syndrome (9.9%), median neuropathy (8.0%), implant-related complications (3.8%), and tendon-related complications (2.8%). Stiffness was significantly more frequent following operative management (16.0% versus 9.8%; p < 0.01).

Conclusions:

Operative management of a distal radial fracture should be carefully considered when discussing treatment options with patients ≥65 years of age.

Level of Evidence:

Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Projected Cartilage Area Ratio Determined by 3-Dimensional MRI Analysis
Authors: Hyodo Akinobu , Ozeki Nobutake , Kohno Yuji , Suzuki So , Mizuno Mitsuru , Otabe Koji , Katano Hisako , Tomita Makoto , Nakagawa Yusuke , Koga Hideyuki , Kiuchi Shinji , Suzuki Kenji , Itai Yoshinori , Masumoto Jun , Sekiya Ichiro
Published: October 2019

Background:

We have developed 3-dimensional (3D) magnetic resonance imaging (MRI) analysis software that allows measurement of the projected cartilage area ratio with a particular thickness intended to allow quantitation of the cartilage in the knee. Our aims in this study were to validate the projected cartilage area ratio in both pig and human knees and to examine the ratio in patients reporting knee pain.

Methods:

After 3D MRI reconstruction, the femoral cartilage was projected onto a flat surface. The projected cartilage area was determined in pig knees using our 3D MRI analysis software, and was compared with the area obtained with other software. The projected cartilage area ratio (for cartilage thickness ≥1.5 mm) at 4 segments was also validated in human knees. Finally, changes in the projected cartilage area ratio were examined in 8 patients with knee pain who had undergone 2 MR images at 3 to 21-month intervals.

Results:

The projected cartilage areas determined with our 3D MRI analysis software were validated in pig knees. The projected cartilage area ratio at each segment in human knees had an intraclass correlation coefficient (ICC) of 0.87 to 0.99 (n = 16) between readers and 0.76 to 0.99 (n = 20) between measurements on repeat MR images. The projected cartilage area ratio (for cartilage thickness ≥1.5 mm) at the most affected segment in 8 human patients significantly decreased between the pairs of MR images obtained at intervals of 3 to 21 months.

Conclusions:

We proposed a novel evaluation method using 3D MRI to quantify the amount of cartilage in the knee. This method had a low measurement error in both pig and human knees.

Clinical Relevance:

The projected cartilage area ratio based on a particular thickness may serve as a sensitive method for assessing changes in cartilage over time.