bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cultura de los Derechos y Patologías Funcionales de los Sistemas Jurídicos Contemporáneos
Authors: Sarlo Oscar 
Published: November 2018

Se observa críticamente el rumbo actual de la cultura jurídica, especialmente en torno a la llamada cultura de los derechos. La cultura jurídica tiene que ver con funciones simbólicas, que pueden exhibir patologías. Se repasan brevemente las funciones simbólicas del derecho, las cuales, a mi juicio, se ven obstaculizadas o anuladas por el desarrollo de algunas que considero tendencias patológicas en el derecho contemporáneo, que conducen a una disfuncionalidad cada vez más profunda del derecho. En todo ello, la enseñanza del derecho juega un papel central.
THE EFFECTS OF AGOMELATINE ON HEART RATE VARIABILITY IN PATIENTS WITH ANXIETY-DEPRESSIVE DISORDERS WHO SUFFERED ACUTE CORONARY SYNDROME
Authors: Poponina T. M. , Gunderina K. I. , Poponina Yu. S. , Soldatenko M. V. 
Published: November 2018

Aim: to study the changes in heart rate variability (HRV) in patients with anxiety and depressive disorders who suffered acute coronary syndrome (ACS) and to determine the effects of antidepressant agomelatine on HRV and sleep quality during six-month follow up.Material and Methods. The study included 54 people with ACS, anxiety, and depressive disorders. Patients were randomly assigned to two groups. Antidepressant agomelatine 25 mg/day was administered to patients of group 1 in addition to standard therapy for ACS; group 2 received placebo. Twenty four-hour Holter ECG monitoring, HRV study, mental status monitoring, and sleep quality assessment were performed during hospitalization and at six-month follow up.Results. Patients of both groups had clinically significant anxiety, subclinical depression, and insomnia of varying severity. According to Holter monitoring data, all patients had decline in HRV parameters. After six months, anxiety and depression significantly improved in patients administered with agomelatine; these patients had sleep normalization and improved HRV. The comparison group did not have similar changes.Conclusion. Additional administration of agomelatine 25 mg/day to patients with anxiety and depressive disorders after ACS resulted in improvement of mental status, heart rate variability, and sleep quality. Due to the absence of pro-arrhythmogenic effects, administration of agomelatine allows to correct anxiety-depressive disorders in patients with ACS.
CONCOMITANT PROCEDURE OF ATRIAL FIBRILLATION ABLATION WITH AND WITHOUT LEFT ATRIOPLASTY DURING SURGICAL CORRECTION OF THE MITRAL VALVE DISEASE: PROSPECTIVE, RANDOMIZED TRIAL
Authors: Bogachev-Prokophiev A. V. , Zheleznev S. I. , Ovcharov M. A. , Afanasyev A. V. , Sharifulin R. M. , Lavinukov S. O. 
Published: November 2018

Objective. Main objective of this prospective randomized study was to assess safety and efficiency of the combined approach for the left atrial ablation in combination with and without reduction left atrioplasty in patients with mitral valve disease.Material and Methods. The study was performed from September, 2014 to February, 2017. A total of 120 patients with mitral valve disease, permanent atrial fibrillation (AF), and left atriomegaly were enrolled in the study. Patients were randomized to two groups: group I comprised patients who received correction of mitral valve disease in combination with AF ablation and without reduction atrioplasty of the left atrium (MV+MAZE); group II (n=60) comprised patients with correction of mitral valve disease in combination with AF ablation and with reduction atrioplasty of the left atrium (MV+MAZE+AP). Patient characteristics did not differ between groups.Results. There were no significant differences between groups in the early mortality rates (2 patients in group I versus 5 patients in group II, p=0.64); bleeding rates (total 5 cases including 2 patients in group I and 3 patients in group II, p=0.34), and the rates of AF recurrence in the early postoperative period. Permanent pacemakers were implanted in 8 patients (13.3%) of group I and in 4 patients (6.7%) of group II. Total long-term mortality was 4 patients including 1 and 3 patients in group I and II, respectively, which did not significantly differed. The rates of one-year freedom from AF were 84.8 and 86.2% in group I and II, respectively. No new onsets of atrial fibrillation were observed for 36 months in both groups. The rates of freedom from thromboembolic events during the time of observation were 88.6% in group I and 96.5% in group II. Conclusion. The left atrial reduction concomitant with the left atrial ablation and correction of mitral valve disease is safe and effective procedure. However, this procedure did not impact the rates of long-term freedom from AF.
Manejo Quirúrgico de Pacientes Adultos con Anomalías Vasculares: Serie de Casos
Authors: Danilla Stefan , Dominguez-Contreras Carlos , Valenzuela Diego , Cisternas-Vera Juan Pablo , Erazo-Cortes Cristian , Gac-Espinoza Patricio , Vargas-Hudson Patricio , Andrades Patricio , Sepulveda Sergio 
Published: November 2018

IntroducciónLas anomalías vasculares son un grupo heterogéneo de patologías, que considera tanto tumores como malformaciones vasculares. Habitualmente de diagnostico y menejo durante la infancia, algunas lesiones persisten hasta la edad adulta. El tratamiento habitual considera terapias poco invasivas, siendo la alternativa resecctiva un opcion infrecuenteObjetivoEl objetivo de este estudio es presentar el manejo quirúrgico de pacientes portadores de anomalías vasculares realizado por el equipo de Cirugía Plástica y Reconstructiva del Hospital Clínico de la Universidad de Chile.Material y MétodosSerie de casos retrospectiva de pacientes con diagnóstico de anomalias vasculares, sometidos a manejo quirúrgico por el equipo de Cirugía Plástica y Reconstructiva del Hospital Clínico de la Universidad de Chile. Se incluyó todos los pacientes adultos con diagnostico de anomalías vasculares intervenidos entre los años 2010 – 2016. Se realizó una revisión del historial clínico de cada paciente elaborando un análisis descriptivo.ResultadosSerie de 9 pacientes, 6 (66,6%) de sexo femenino, con edad promedio de 34,88±15,70 años. De los cuales 5(55,56%) presentaron malformaciones vasculares y 3(33,33%) tumores vasculares. Se observo compromiso de cabeza en 6(66,67%) casosy 2(22,22,%) genital. Se utilizo colgajos locales de avance en 6 (66,66%) y colgajos de transposición en 2(22,22%) casos.ConclusionesEl manejo quirurgico es una alternativa terapeutica segura que ofrece resultados buens a la lesiones complejas. Y por tanto creemos es necesario un trabajo multidisciplinario entre pediatras, dermatólogos, radiólogos y cirujanos para poder ofrecer mejores resultados a nuestros pacientes.
Gender and Educational Differences in the Association between Lifestyle and Cognitive Decline over 10 Years: The Doetinchem Cohort Study
Authors: Deckers Kay , Nooyens Astrid , van Boxtel Martin , Verhey Frans , Verschuren Monique , Köhler Sebastian 
Published: November 2018

Background: Several modifiable risk factors for cognitive decline have been identified, but whether differences by gender and educational level exist is unclear. Objective: The present study aims to clarify this by prospectively investigating the relationship between health and lifestyle factors and cognitive functioning in different subgroups defined by gender and educational level. Methods: 2,347 cognitive healthy individuals (mean age = 54.8, SD = 6.8, range: 41–71; 51.8% female; 26.2% low education) from the Doetinchem Cohort Study were examined for cognitive function at baseline, and at 5- and 10-year follow-up. Health- and lifestyle factors were captured by a poly-environmental risk score labelled ‘LIfestyle for BRAin Health’ (LIBRA). This score consists of 12 modifiable risk and protective factors for cognitive decline and dementia, with higher scores indicating greater risk (range: –2.7 to +12.7). Heterogeneity in associations between LIBRA and decline in verbal memory, cognitive flexibility, and mental speed between males and females and individuals with different levels of education were assessed in linear mixed models. Results: Overall, higher LIBRA scores predicted faster decline in verbal memory, cognitive flexibility, and mental speed over 10 years. Higher LIBRA scores were further associated with increased risk for incident cognitive impairment (one-point increase in LIBRA: HR = 1.09, 1.04–1.14, p = 0.001). In general, these effects were similar across gender and educational level. Conclusion: A composite risk score comprising unhealthy lifestyle and relatively poor health in midlife is significantly associated with a worse course of cognition 10 years later. These associations were for the most part unrelated to gender or educational differences.
Dementia Primary Prevention Policies and Strategies and Their Local Implementation: A Scoping Review Using England as a Case Study
Authors: Collins Rachel , Silarova Barbora , Clare Linda 
Published: November 2018

Background: Understanding the policy context and how policy is implemented at the local and clinical level is an important precursor to developing preventive strategies focusing on dementia risk reduction in primary healthcare settings. Objective: Using England as a case study, we review policies and strategies relevant to dementia prevention from the national to local level and how these are translated into primary healthcare services. Methods: We conducted a scoping review covering: 1) identification of national, regional, and local policies and strategies that include dementia prevention; 2) identification of national guidelines for implementing dementia prevention at the clinical level; and 3) evaluation of the implementation of these at the clinical level. Results: Dementia prevention is addressed in national policy, and this filters through to regional and local levels. Focus on dementia prevention is limited and variable. Reference to modifiable risk factors is associated with other non-communicable diseases, placing less emphasis on factors more dementia specific. Evidence of implementation of dementia prevention policies at the clinical level is limited and inconsistent. Available evidence suggests messages about dementia prevention may best be delivered through primary healthcare services such as the National Health Service (NHS) Health Check. Conclusion: The limitations identified in this review could be addressed through development of a national policy focused specifically on dementia prevention. This could provide a platform for increasing knowledge and understanding among the general population and healthcare professionals. It would be important for such a policy to cover the full range of modifiable risk factors relevant to dementia.
Influences on the electromagnetic torque and rotor force of different faults in squirrel-cage induction motors
Authors: Lombard Patrick , Fireteanu Virgiliu , Constantin Alexandru-Ionel 
Published: November 2018

Based on the scalar 3D formulation and the step by step in time domain finite element solution of the electromagnetic field in a squirrel-cage induction motor, the time dependence and harmonics of the electromagnetic torque and rotor unbalanced force are computed. The results for different faulty states of motor operation are compared with those for the healthy motor. In comparison with the healthy state, when the imposed speed motion model for loaded motor operation is considered, only the broken bar fault has a consistent influence on the mean value of the motor torque. Important influences on the mean values of the rotor unbalanced force are in decreased order the broken bar fault, the rotor eccentricity fault and the stator short-circuit fault. All the three faults generate specific harmonics of the motor torque and of the rotor force.
Proposal of a TEM to TE01 mode converter for a microwave nondestructive inspection of axial flaws appearing on the inner surface of a pipe with an arbitrary diameter
Authors: Katagiri Takuya , Sasaki Kota , Song Haicheng , Yusa Noritaka , Hashizume Hidetoshi 
Published: November 2018

This study discusses the characteristics of a mode converter to generate microwaves in the TE01 mode for the long-range inspection of pipes. Numerical analysis was conducted to evaluate the effect of the pipe diameter and the number of coaxial cables inserted into the pipe on the efficiency of converting microwaves from the coaxial TEM mode to the circular TE01 mode. The results reveal that the most efficient frequency range for TE01 mode propagation strongly depends on the number of cables and pipe diameter. Subsequent experiments were performed using brass pipes with a length of 5 m and diameters of 39.0 and 74.0 mm. The results of these experiments are consistent with the results of the numerical analysis: the pipe with a diameter of 39.0 mm showed a clear signal from an axial slit 1.5 m away from the mode converter and the pipe with a diameter of 74.0 mm showed almost no difference between signals with or without the slit.
Analysis of high speed permanent magnet synchronous motor rotor supported by air foil bearings
Authors: Lin Hao , Geng Haipeng , Du Tingchen , Xu Xiangming , Zhang Yanyan , Cheng Wenjie , Yu Lie 
Published: November 2018

The electromagnetism and rotor dynamics have been drawing great research interest due to their significance in the design of the high speed permanent magnet synchronous motor. However, it is challenging but essential to study the rotor supported by air foil bearings with cylindrical permanent magnet. Here the approach is reported to analyze a high speed PMSM rotor at the rating of 28.5 kW and 96,000 rpm. Through the analytic method and the finite element simulation, the expression for the magnetic flux density is obtained. Based on the rotor-bearing system discrete model, the critical speed is calculated by Campbell diagram. It comes to the conclusion that the radius and length of cylindrical permanent magnet is reciprocally related to the magnetic flux density and critical speed values. Finally, results of the PMSM experimental device operating at 96,000 rpm are represented by rotor frequency spectrum and orbit diagram.
Design and fabrication of a novel porous titanium dental implant with micro/nano surface
Authors: Xiong Yinze , Gao Ruining , Zhang Hang , Li Xiang 
Published: November 2018

A novel titanium (Ti) dental implant with pore architecture and enhanced structure was designed and fabricated using selective laser melting (SLM). Aimed at adding micro/nano structures on the porous Ti implant, alkali heat treatment was proposed. The fully interconnected porous part was in the midsection of the implant. The reinforced strut was embedded in the center of the porous part. The mechanical properties and surface morphology of the porous Ti implant were characterized. The desired micro/nano surface was obtained after alkali heat treatment. Mechanical test results showed that the ultimate strength was about 715 MPa, enough to withstand normal occlusal force and the stiffness of the Ti dental implant was about 26 GPa. This novel porous titanium dental implant with micro/nano surface may be promising to repair missing teeth.
Comparative analysis of radiation dose and image quality between organ dose modulation and 3D smart mA modulation during head-neck CT angiography
Authors: Zhao Yongxia , Xu Yize , Bao Yunfeng , Geng Xue , Zhang Tianle , Li Dongxue 
Published: November 2018

OBJECTIVE: To assess the difference in absorbed organ dose and image quality for head-neck CT angiography using organ dose modulation compared with 3D smart mA modulation in different body mass indices (BMIs) using an adaptive statistical iterative reconstruction (ASiR-V) algorithm. METHODS: Three hundred patients underwent head-neck CTA were equally divided into three groups: A (18.5 kg/m2≦BMI < 24.9 kg/m2), B (24.9 kg/m2≦BMI < 29.9 kg/m2) and C (29.9 kg/m2≦BMI≦34.9 kg/m2). The groups were randomly subdivided into two subgroups ( n = 50): A1-A2, B1-B2 and C1-C2. The patients in subgroups A1, B1 and C1 underwent organ dose modulation with the ASiR-V algorithm, while other patients underwent 3D smart mA modulation. The signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) of all head-neck CT angiography images were calculated. Images were then subjectively evaluated. Mean values of several indices including dose-length product (DLP) were computed. The DLP was converted to the effective dose (ED). SNR, CNR and ED in groups A, B, and C were compared in statistical data analysis. RESULTS: SNR, CNR, and subjective image scores show no statistical differences in three groups ( P  >  0.05). However, there is significant difference of ED values ( P  <  0.05) . For example, in subgroup A1 mean ED values are 15.30% and 23.66% lower than those in subgroup A2 at thyroid gland and eye lens, respectively. Similar patterns also exist in groups B (B1 vs. B2) and C (C1 vs. C2). CONCLUSIONS: Using organ dose modulation and applying the ASiR-V algorithm can more effectively reduce the radiation dose in head-neck CT angiography than using 3D smart mA modulation, while maintaining image quality. Thus, using organ-based dose modulation has the additional benefit of reducing dose to the thyroid gland and eye lens.
ANALISA KERUSAKAN PERKERASAN LENTUR JALAN NIKI-NIKI - OENLASI
Authors: Conterius Yosefus 
Published: November 2018

Kinerja jalan sebagai prasarana transportasi darat merupakan faktor yang sangat penting dalam bidang perhubungan terutama untuk kesinambungan distribusi barang dan jasa. Kinerja infrastruktur jalan yang baik akan memberikan manfaat yang berarti bagi proses perkembangan wilayah, guna mencapai kinerja jalan dalam kondisi baik, salah satu upaya yang dilakukan yakni melakukan peningkatan infrastruktur jalan. Pengukuran sifat kerataan lapis permukaan jalan akan bermanfaat dalam usaha menentukan program rehabilitasi dan pemeliharaan jalan. Ruas Jalan Niki - niki - Oenlasi adalah ruas jalan yang berstatus Jalan Provinsi dengan fungsi menghubungkan Ibukota Kabupaten Timor Tengah Selatan dengan Kecamatan lainnya yang ada di Kabupaten Timor Tengah Selatan di antaranya Kecamatan Ki'E, Kecamatan Amanatun Selatan, Kecamatan Boking, Kecamatan Noebana, Kecamatan Fautmolo, Kecamatan Nunkolo. Hal ini tentu mengindikasikan bahwa ruas jalan tersebut merupakan prasarana transportasi darat yang menunjang tingkat perekonomian masyarakat pada daerah tersebut yang harus selalu memberikan pelayanan yang optimal bagi pengguna jalan, dalam arti harus selalu dalam kondisi baik dan mantap. Ruas Jalan Niki - niki - Oenlasi sebagai penghubung Kota Oenlasi (Ibu kota Kecamatan Amanatun Selatan, TTS) dengan Kota Niki - niki (Ibu kota Kecamatan Amanuban Tengah, TTS), saat ini tidak mampu lagi memberikan pelayanan yang optimal bagi pengguna jalan. Perlu tindakan untuk mengembalikan kondisi tingkat pelayanannya, salah satu upaya adalah melalui rekonstruksi dengan perkerasan baru dengan pertimbangan, dengan dibangunnya jalan tersebut diharapkan ruas jalan mampu melayani lalu lintas selama umur rencana dan dapat menghubungkan Kota Niki - niki ke Kota Oenlasi melalui ruas jalan tersebut. Dari hasil perhitungan dengan menggunakan metode Analisa Komponen pada ruas jalan Niki - niki - Oenlasi (KM04 S/D KM05) Kecamatan Amanuban Tengah di Kabupaten TTS maka diperoleh: a.) Tebal lapis Perkerasan HRS-Base adalah 5 cm. b) Tebal aggregat kelas A (pondasi atas) adalah 18 cm, c) Tebal aggregat kelas B (pondasi Bawah) adalah 10 cm. Hasil analisa perkiraan biaya pembangunan ruas jalan Niki - niki - Oenlasi (KM 04 S/D KM 05) Kecamatan Amanuban Tengah di Kabupaten TTS adalah sebesar Rp. 2.661.370.000- (Dua Milyar Enam Ratus Enam Puluh Satu Juta Tiga Ratus Tujuh Puluh Ribu Rupiah).
Pengaruh pola konsumsi zat besi terhadap status anemia gizi besi ibu hamil trimester III di Kabupaten Musi Banyuasin
Authors: Horia Horia , Malahayati Nura , Ngudiantoro Ngudiantoro 
Published: November 2018

Anemia gizi besi (AGB) adalah anemia yang disebabkan kurang zat besi. Selain kurang zat besi, faktor yang mempengaruhi AGB adalah rendahnya asupan besi dan protein, konsumsi penghambat absorpsi zat besi dan konsumsi pembantu penyerapan zat besi. Anemia gizi dapat mengakibatkan kematian janin di dalam kandungan, abortus, cacat bawaan, berat badan lahir rendah (BBLR), prematur, anemia pada bayi yang dilahirkan. Penelitian bertujuan untuk mendapatkan prevalensi anemia gizi besi pada ibu hamil trimester III dengan menggunakan pendekatan kuantitatif desain Cros sectional. Sampel penelitian adalah ibu hamil trimester III yang terpilih melalui prosedur pemilihan sampel dengan metode proporsional random sampling. Jumlah sampel adalah 31 ibu hamil trimester III. Variabel terikat adalah kadar Hb ibu hamil trimester III yang diukur dengan metode portable Hemocue B - hemoglobin photometer. Hasil penelitian menunjukkan menunjukkan LILA (OR: 3,188), waktu konsumsi TTD (OR: 3,222)dan konsumsi penghambat absorpsi zat besi (OR: 0,198). Saran penelitian adalah perlu dilakukan peningkatan pengetahuan ibu hamil tentang pola konsumsi penghambat absorpsi zat besi sehingga konsumsi penghambat absorpsi zat besi saat kehamilan dapat dihindari dan penyerapan zat besi menjadi lebih baik.
Faktor – faktor yang mempengaruhi kepatuhan bidan terhadap standar pelayanan antenatal di kota palembang
Authors: Wahyuningsih Sri , Yuwono Yuwono , Lionardo Andries 
Published: November 2018

Kinerja tenaga kesehatan yang baik akan berdampak pada kualitas pelayanan pemeriksaan pada ibu hamil, termasuk kinerja bidan sebagai penyedia pelayanan kesehatan maternal dan neonatal.. Apabila proses kehamilan, persalinan dan nifas dapat dilalui oleh seorang perempuan dengan aman, maka Angka Kematian Ibu di Indonesia dapat ditekan.Penelitian ini bertujuan untuk mengetahui faktor – faktor yang memoengaruhi kepatuhan bidan terhadap standar pelayanan Antenatal diKota Palembang. Penelitian menggunakan rancangan data cross sectional dengan populasi bidan di Kota Palembang sebanyak 270 orang sedangkan sampelnya menggunakan proportional stratified random sampling jumlah sampel 126 bidan di kota palembang. Pengumpulan data dengan kuesioner dan ceklis tentang standar pelayanan Antenatal. Data dianalisis dengan uji regresi logistik. Hasil penelitian dengan uji regresi linier berganda variabel yang paling berpengaruh terhadap kepatuhan bidan terhadap standar pelayanan Antenatal adalah usia dan masa kerja. Kekuatan hubungan dapat dilihat dari nilai OR (Exp B). Kekuatan hubungan yang terbesar ke yang terkecil adalah usia (OR = 9,270), masa kerja (OR = 6,387)., persamaan regresi didapatkan bahwa probabilitas terhadap ketidakpatuhan bidan dalam standar pelayanan ANC adalah 70,72%. Kesimpulan dari penelitian ini adalah ada hubungan antara pengetahuan, sikap, motivasi usia dan amasa kerja terhadap standar pelayanan Antenatal dan tidak ada hubungan antara pelatihan dengan standar pelayanan antenatal. Saran dalam penelitian ini adalah agar dapat digunakan untuk melakukan penelitian lanjutan tentang pelaksanaan standar pelayanan Antenatal.