Adequate Result Research Articles

Surgical treatment of primary and recurrent pterygium

Purpose: to study the results of surgical treatment and the course of healing of primary and recurrent pterygium.Material and methods. 97 patients (117 eyes) with varying degrees of pterygium, of which 58 were men and 39 women, were clinically observed for 1 to 3 years. The patients, aged 51.5 ± 4.2 on average, were divided into 3 groups depending on the degree of pterygium, the frequency of relapses and the type of surgical treatment.Results. It was shown that primary pterygium of the I degree should best be operated according to McReynolds method, pterygium of the II degree or higher should optimally be removed with conjunctival plastics by a free flap grafting, while for recurrent pterygium of the III degree or higher, combined treatment is recommended: removal of the pterygium using brachytherapy.Conclusion. For an adequate functional result of surgery, an individual approach is required for each case depending on pterygium proliferation stage.

Classification of Macronutrient Deficiencies in Maize Plant using Machine Learning

Detection of nutritional deficiencies in plants is vital for improving crop productivity. Timely identification of nutrient deficiency through visual symptoms in the plants can help farmers take quick corrective action by appropriate nutrient management strategies. Manual checking of plant nutrient deficiency does not give adequate result as naked eye observation is old method and requires more time for deficiency recognition, and also need expert person. which is very costly for farmers hence it is non-effective. To overcome disadvantages of traditional eye observing technique, we used the application of computer vision and machine learning techniques offers new prospects in nondestructive field-based analysis for nutrient deficiency detection. In the proposed system, we are using unsupervised machine learning algorithm, which learns features on its own from given dataset. Initially, we perform preprocessing on image to be tested. preprocessing includes image enhancement, image restoration, image segmentation. classifier predicts the result based on the image we passed. The system will provide the definite result about a nutrient deficiency along with disease if any and also provide solution for nutrient deficiency.

Devising a procedure for substantiating the type and volume of redundant structural-functional elements of reconnaissance-firing systems

This paper proposes an algorithm for substantiating the type and volume of redundant structural and functional elements of reconnaissance-firing systems, taking into consideration the operational patterns of such systems. Underlying this algorithm is the combination of survivability assessment methods and reliability assessment methods. Such an arrangement aimed to improve the efficiency of the application of these methods and reduce uncertainty in the calculations. The results from calculating an example of the application of a procedure for substantiating the type and volume of redundant structural and functional elements of reconnaissance-firing systems have been analyzed. The analysis of the results shows that the set task is fulfilled, in particular the specified probability of trouble-free functioning of a reconnaissance-firing system, with a combined type of redundancy. Moreover, it implies giving preference to passive redundancy, using active one only to critical elements – individual functional elements of the control subsystem. The advantage of a mixed type of redundancy over a passive redundancy is 28 %. In addition, it has been established that the multiplicity of redundancy, for accepted conditions, should not be lower than 2. A procedure for substantiating the type and volume of redundant structural and functional elements of reconnaissance-firing systems has been devised, taking into consideration the operational patterns of such systems. The specified procedure includes an algorithm, as well as methods for assessing survivability and methods for assessing the reliability of functioning. This procedure was tested for feasibility by considering an example of justifying the type and volume of redundant structural and functional elements of reconnaissance-firing systems that produced an adequate result. The result has been confirmed by the practical application of reconnaissance-firing systems in recent armed conflicts

Detection of surface deformation in opak fault Yogyakarta using quasi persistent scatter interferometry synthetic aperture radar

The Opak Fault is an active fault located in Yogyakarta. As an active fault, it leads to natural disasters, one of them being the Yogyakarta earthquake in 2006. Since then, Opak Fault surface deformation has not reoccured; hence measurement to detect this movement is essential. A widely used method in surface deformation measurement is Persistent Scatter Interferometry Synthetic Aperture Radar. A refined version of the PSI technique, the QPSI method, allows identifying and estimating targets undergoing movement through the reflectivity and amplitude stability of SAR waves. This study analyzed multi temporal Sentinel-1 Ascending and Descending data to analyze the Quasi-PSI performance in detecting surface deformation surrounding the Opak Fault. Results showed subsidence of the Opak Fault with a displacement accumulation up to -50mm throughout a period of 6 years. A majority of the surface deformation occurring in the area of interest lies at the border between Bantul Graben and the highlands of Gunung Kidul. Some of the surface displacements implied the presence of ongoing slope activity. In the area with a velocity displacement of -7 to -10 mm/year, a cumulative displacement greater than -50 mm was found. Furthermore, areas with a -2.5 to -5.5 mm/year velocity displayed a cumulative displacement ranging from -30 mm to – 40 mm. Surface deformation in the study area expressed an adequate result with a few sparse zones. Nonetheless, results from the ascending and descending modes present dissimilarity between results from several locations.

Nursing Work Ergonomics Knowledge Relating to Musculoskeletal Complaints in Inpatient Room RSD Mangusada

Musculoskeletal disorders (MSDs) are disorders of the musculoskeletal system. Musculoskeletal disorder complaints are caused by incorrect ergonomics. Knowledge or cognitive about ergonomics is a very important domain for the formation of a person's behavior or actions. This study aimed to determine the correlation between associate nurses’ knowledge about working ergonomics with musculoskeletal disorders in inpatient ward of Mangusada Regional Hospital, Badung Regency. This study used an observational analytical research design with cross sectional approach. The number of samples was 51 respondents with purposive sampling technique. Data was collected using knowledge questionnaire about working ergonomics and the Nordic Body Map sheet. Data was analyzed using the Spearman’s rho test. It showed adequate result of associate nurses' knowledge about the working ergonomics were mostly 30 respondents (58.8%) and moderate musculoskeletal disorders of nurses in inpatient ward was (58.8%). The analysis of the correlation between associate nurses’ knowledge about working ergonomics with musculoskeletal disorders obtained p-value <0,000. It can be concluded that there was a correlation between associate nurses’ knowledge about working ergonomics with musculoskeletal disorders in inpatient ward of Mangusada Regional Hospital, Badung Regency. The recommendation of this study is expected to be an input for nurses in working using ergonomics guidelines.

SENSITIVITY OF SWINE CORONAVIRUS TO ACTION OF DIFFERENT TEMPERATURES

Coronavirus infections are currently receiving a lot of attention due to the emergence of the covid-19 pandemic in the world. The search for models with which it is possible to obtain an adequate result to identify the properties of coronaviruses is intensive. For comparison with the results of our experiments, the article also presents data on the duration of preservation of the infectious properties of the SARS-Cov-2 virus by contamination of surfaces made of different materials and at different temperatures.
 We studied the long-term effect on coronavirus, the causative agent of transmissible swine gastroenteritis (TGE), a number of temperatures: + 4ºC, + 25ºC, minus 13ºC, minus 20ºC and thirteen-fold change in temperature, which was in the range of 31-33ºC. It was found that both vaccine and epizootic strains of TGE coronavirus after long-term storage reduce the infectious properties, but when in contact with a sensitive biological system (in vitro) quickly enough (in the case of successive passages in this system) restore them. We proved that the TGE coronavirus during storage for more than two years reduced, but did not lose infectious properties at temperatures minus 13ºC, minus 20ºC, which were restored during subsequent passage in sensitive biological systems in vitro. The same trend was observed for storage of the virus for 8 years at a temperature of + 4ºC. The fastest decrease in coronavirus titer occurred at a temperature of + 25ºC, but more stable under these conditions was the epizootic strain of the virus, which requires attention when working with field isolates of coronavirus.
 The general tendency of animal and human coronaviruses to decrease the survival time of the pathogen with increasing exposure temperature has been established. Resistance of the virus to repeated sharp changes in temperature (from minus 13 ± 0.5°C to room temperature) without loss of infectious properties was revealed.

Clinical Outcome of Percutaneous IntramedullaryFixationfor Midshaft ClavicularFractures Using Elastic Stable Nails.

This study investigated the clinical outcomes of fixation of displaced middle-third clavicular fractures using percutaneous elastic stable intramedullary nails. This study included sixty patients with a mean age of 26.40 ± 8.91 years (16-53 years) presented with a displaced middle third fracture of the clavicle. According to the Robinson classification, 48 cases (80%) were type 2B1, 9 cases (15%) type 2B2 and 3 case (5%) 2A1. All cases were treated by elastic intramedullary nails and followed up for at least 12 months. At the end of the twelve months' follow-up period, the mean Constant Shoulder score was 95.70 ± 13.55, ranging from 48 to 100. 54 patients (90%) had excellent results, 3 patients (5%) had an adequate result and 3 patients (5%) had a poor result. There was a statistically significant relationship between the final score and age and associated medical conditions. 1. Elastic Stable Intramedullary Nailing is an image-dependent procedure indicated best for young medically free athletes with simple 2-part middle third clavicle fracture. 2. Hammering is not recommended to avoid dorsolateral cortex perforation. 3. The most common complication is medial skin irritation because of the subcutaneous position of the clavicle as well as the sharp end of the cut nail.

Usefulness of the Duke Activity Status Index to Select an Optimal Cardiovascular Exercise Stress Test Protocol

Exercise testing represents the preferred stress modality for individuals undergoing evaluation of suspected myocardial ischemia. Patients with limited functional status may be unable to achieve an adequate exercise stress, thus influencing the diagnostic sensitivity of the results. The Duke Activity Status Index (DASI) is a clinically applicable tool to estimate exercise capacity. The purpose of the current study was to assess the utility of the DASI to identify patients unable to achieve an adequate exercise stress result. Patients referred for exercise stress testing were administered the DASI pre-exercise. Baseline characteristics and exercise variables were evaluated including DASI-metabolic equivalents (DASI-METs), peak METs, exercise time (ET), and %-predicted maximal heart rate (%PMHR). Criteria for determining adequate exercise stress was defined as ≥85%PMHR or ≥ 5-METs at peak exercise. In 608 cardiovascular stress tests performed during the study period; 314 were exercise stress. The median DASI-METs (8.4 [interquartile range; 6.7 to 9.9]) was associated with estimated peak exercise METs (R=0.50, p <0.001), ET (R=0.29, p <0.001), and %PMHR (R=0.19, p = 0.003). DASI-METs were different between those with < or ≥85%PMHR (7.9 [6.6-9.0] vs. 8.9 [7.1-9.9], P=0.025) and those with < or ≥5-METs (5.8 [4.6 to 6.6] versus 8.9 [7.3-9.9], p <0.001). Receiver operating characteristic curve analysis identified a DASI-MET threshold of ≤/>7.4 to optimally predict adequate exercise stress (sensitivity=93%, specificity=71%). In conclusion, the DASI correlates with peak METs, ET, and %PMHR among patients referred for exercise testing and can be used to identify patients with an increased likelihood of an inadequate stress test result.

ЛІНГВОПРАГМАТИЧНИЙ АСПЕКТ ПЕРЕКЛАДУ АНГЛОМОВНИХ ТЕЛЕСЕРІАЛІВ МЕДИЧНОЇ СПРЯМОВАНОСТІ УКРАЇНСЬКОЮ МОВОЮ

The research is devoted to the study of the peculiarities of the lingvo-pragmatic aspect of translation and is presented on the example of an English-language television series of medical focus called “House, M. D.” and its translation, analysis of various types of transformations, definition of the specifics of the translation and its sequence. The relevance of the topic presented is based on the need for a detailed study of the lexical, grammatical, syntactic, extralinguistic, paralinguistic features of the translation of English-language films. This topic is important for both Ukrainian and foreign translators, because it is necessary to know the basic subtleties and unforeseen situations in the translation process in order to overcome them as best as possible and achieve a highquality and adequate result. Also, the relevance of this topic contributes to the improvement of the level of professional activity of both interpreters and translators. The aim of the study is to evolve the specifics of the use of translation aids and translation operations for adequate reproduction of English-language medical films. The studied type of the text is characterized, certain difficulties in translation are highlighted, the difference between the texts of the English and Ukrainian languages from a grammatical point of view, lexical inequality are noted, various ways of revealing emotionality and expressiveness as an auxiliary tool of human communication are noted. The expediency of using translation transformations has been determined and the most common of them are quantitatively presented.

Steady Magnetohydrodynamic Micropolar Casson Fluid of Brownian Motion Over a Solid Sphere with Thermophoretic and Buoyancy Forces: Numerical Analysis

The impact of heat transfer in micropolar fluid may be developed due to its various promising applications in engineering, bio-medical sciences, geo-thermal progression, spherical storage tanks, nuclear power plants, automobile sectors etc. Motivated by such significance, the current study is to expound the influences of micropolar Casson fluid flow over a solid sphere with Brownian motion, thermophoretic force and buoyancy force surrounded by porous medium. The adopted model having complex PDE’s are reduced to dimensionless ODE’s by utilizing proper similarity solutions. A numerical approach have been carried out for velocity, micro rotation, temperature and concentration, the solutions are procured by Matlab Bvp4c code and plotted graphs for diverse involved parameters. An adequate result is acquired by an assessment with earlier available work. The effects of key parameters on surface drag coefficient, surface thermal flux and particles concentration flux are examined and displayed in tabular form. Grash of number raises the profiles of thermal flux and concentration flux where the buoyancy force is more dominant. Further, the obtained results indicate that the angular velocity is elevated near the surface of the sphere, and they behaves asymptotically far away from the surface due to the effect of micropolar parameter. Moreover, temperature and molar species concentration are enriched with upper values of micropolar factor. It is perceived that, augmented values of Casson parameter amplifies the velocity outline.

Bond behavior investigation of ordinary concrete-rebar with hinged beam test and eccentric pull-out test

In this study, bond behavior of ordinary concrete and rebars with different diameters and development length was investigated by using Hinged Beam Test (HBT) and Eccentric Pull-Out Test (EPT) comparatively. For this purpose, three different rebar size and development length depending on rebar diameter were chosen as variables. Three specimens were produced for each series of specimens and totally 54 specimens were tested. At the end of the tests it was observed that obtained results for both tests were quite similar. On the other hand, increased bar size, especially for the specimen with 14 mm bar size and 14 development length (lb), caused shear failure of test specimens. This situation infers that when bigger bar size and lb are used in such test, dimensions of test specimens should be chosen bigger and stirrups should be used for producing of test specimens to obtain more adequate result by preventing shear failure. Also, a nonlinear regression analysis was employed between HBT and EPT results. There was a high correlation between the EPT values, lb, rebar diameters and estimated theoretical HBT. In addition, at the end of the study an equation was suggested to estimate bond strength for HBT by using EPT results.

A STUDY OF THE TRANSLATION OF GOOGLE TRANSLATE

ABSTRACT&#x0D; This study is intended to analyze errors made by Google Translate in translating Eliza Riley’s Return to Paradise short story. The method is qualitative descriptive. The data are collected by comparing the translation of Google Translate with that of a professional translator. The errors are analyzed based on Mossop’s revision parameters. The findings show that Google Translate failed to recognize idiomatic expressions which caused fatal errors in the target text; errors in word choice that caused word translated out of context; and illogical sentence at the target text caused by cultural difference. As a conclusion, Google Translate may be useful to help translate few words, phrase, and particular sentence in general, and also gives a general comprehension in translating text. However, it may not give an adequate result as a fine translation product.&#x0D; Keyword: google translate, error analysis, Mossop’s revision parameters

Devising the set of abnormalities for a given defeasible rule

Devising adaptive logics usually starts with a set of abnormalities and a deductive logic. Where the adaptive logic is ampliative, the deductive logic is the lower limit logic, the rules of which are unconditionally valid. Where the adaptive logic is corrective, the deductive logic is the upper limit logic, the rules of which are valid in case the premises do not require any abnormalities to be true. In some cases, the idea for devising an adaptive logic does not relate to a set of abnormalities, but to one or more defeasible rules, and perhaps also to one of the deductive logics. Defeasible rules are not universally valid, but are valid in ‘normal situations’ or for unproblematic parts of premise set. Where the idea is such, the set of abnormalities has to be delineated in view of the rules. The way in which this task may be tackled is by no means obvious and is the main topic studied in the present paper. The outcome is an extremely simple and transparent recipe. It is shown that, except for very special cases, the recipe leads to an adequate result.

MODELING THE STATISTICAL CHARACTERISTICS OF A MEMBRANE PNEUMATIC VALVE IN MATLAB

To create static models of actuators, linear or polynomial equations are used. Such models do not provide the necessary accuracy for the entire system, although they give an adequate result in a specific area of the process under consideration. In addition, the technical values of the coefficients in polynomial equations cannot always be explained. Analytical modeling of the static characteristics of the object allows us to analyze the influence of the parameters of the object on the overall model. After the model structure is built, the experimental determination of its coefficients ensures that an adequate model can be achieved faster. In this work, a static model of a membrane pneumatic actuator is constructed by the analytical method. The coefficients of the model parameters were determined experimentally. The model and actual results of the process were comparatively analyzed.

Model Pembelajaran Kooperatif Tipe Numbered Head Together dalam Pembelajaran IPA di SDK St. Maria Imaculata Ende 8 Kabupaten Ende

All teachers expect that any teaching and learning process achieve adequate results to its learners. To achieve such an adequate result, it is lucid that the role of the teachers is urgent and essential. Teachers are required to possess initiatives and creativities in exploring various models, strategies, and methods of teaching and learning. Another characteristic required from a teacher is the ability to read, comprehend, analyze, and apply appropriate models, strategies, and methods in every instructional activity. The present research study aims to explore one cooperative learning model named Numbered Head Together (NHT). This learning model is offered as an alternative learning model and expected to create comfortable instructional environment in order to assure maximum learning achievement for the students. The Numbered Head Together explored in this research study was conducted in four phases namely numbering, raising questions, thinking together, and answering the questions. The application of such a model of NHT, as indicated, could increase the learning achievement of the students investigated in this study. In pre-cycle stage the percentage of the students complete the topic was only 13%, meaning that the other 87% was not complete. When such a model was applied, however, the significant increase was shown by the students. In Cycle 1 the average of the students complete the topic was 60.9%, indicating that only 39.1% was not complete. In Cycle 2, the average of the complete students reached 91.3% and only 8.7% of the students were not complete. By the last cycle of the application of NHT model, the average peaked at 100%, indicating that all of the students were complete to finish the topic of the lesson. Based on the findings of the study, it is concluded that the application of Numbered Head Together (NHT) cooperative learning model is advantageous in increasing the learning achievement of the four graders at St. Maria Imaculata Catholic Primary School of Ende 8.

Model of infrastructure development of housing and utilities

Theoretical premises of sustainable development of the housing-and-municipal complex (HAMC) in a perspective of harmonious functioning of a triad of influence: economic-social-ecological (ESE) influencing factors are presented. The mechanism of implementation of technological innovations and creation of digital doubles, by object digitization of JKK with forming of a virtual system of vital maintenance is developed. The example of calculation with a different object combination of a system is presented to JKK showing complexity of obtaining adequate result without application of simulation models. It is proved that developing forecast model of the separate period of functioning it is necessary to represent risk scenario “a tree of events”, with simulation of result of adaptive adaptation to the changing conditions and assessment of coherence of elements of a triad of ESE.

Skin-Sparing Mastectomy Using a Lower Dermal Flap 'Spira Technique', an Option in Large Breasts to Avoid Implanting a Biological Mesh.

Background: Our goal is to apply a surgical technique of subcutaneous mastectomy (SPIRA technique), skin sparing and free graft of areola complex, in patients with ptosis, using the lower flap of dermal tissue for immediate reconstuction with prosthesis. Obtaining an adequate aesthetic result and above all a good oncological result.

Radiophysical methods in the study of physicochemical properties of liquids

Relevance: The creation of new express methods for the qualitative and quantitative analysis of solutions and suspensions and biological liquids, as well as the development of technical means for their implementation, are urgent tasks in various fields of science and technology, in particular, in biotechnology and biomedicine. Also, the relevance of the work is due to the need to optimize technological processes for the production and synthesis of nanomaterials. The purpose of the work is to verify theoretically and experimentally the possibility of using radiophysical methods to assess the physicochemical parameters of solutions and suspensions. Another purposes are optimization of the technological process of laser ablation and solution of the physicochemical problem of the synthesis of iron nanoparticles in magnetite shells. Materials and methods: The paper presents a comparative analysis of methods for calculating the effective parameters of the system dielectric – metal inclusions using the mixing formulas of Maxwell–Garnett, Bruggeman and the finite element method. It is shown that in the case of metallic inclusions, the Bruggeman formula gives a more adequate result, which is consistent with the experimental results. The analysis of aqueous suspensions of metal nanoparticles was carried out by the method of impedance spectroscopy. Results: A simple method has been developed for the synthesis of iron nanoparticles with a magnetite shell based on the reaction of controlled oxidation of iron nanoparticles by ozone. A microscopic analysis of the obtained particles was carried out and the rate of formation of the magnetic shell was determined. The method of impedance spectroscopy for measuring the concentration of metal nanoparticles in the process of laser ablation has been tested. It is shown that the state of sedimentation equilibrium of the suspension corresponds to a specific value of electrical conductivity. Conclusion: It is shown that the method of impedance spectroscopy can be used as an indirect method for assessing the qualitative and quantitative physicochemical parameters of solutions and suspensions. The simulation of the influence of the distribution of metal particles in a dielectric matrix on the electrophysical parameters of the suspension is carried out.

P1461 Concomitant potential cardioembolic sources in a patient with an acute ischemia of the limb

Abstract Introduction Transesophageal echocardiography (TEE) is the gold standard exam to look for a cardioembolic source in a patient with an otherwise unexplained suspected systemic ischemic event. Purpose: This clinical case aims to illustrate the importance of a thorough TEE evaluation in the presence of a suspected systemic emboli, and to not neglect thoracic aorta evaluation when a potential intracardiac cause has been detected. Case presentation: We present the case of a 55-year-old man, obese (BMI 30kg/m2), active smoker, with no past medical history or medication, and whose father died from an unspecified cardiovascular cause at 45 years-old. He was admitted to the hospital because of an acute ischemia of the right lower limb, for which he underwent urgent percutaneous femoral embolectomy of the limb, with success. During hospitalization, he was referred for a TEE, which showed valves and cavities with no evidence of potential embolic sources. However, he had a thin and hypermobile atrial septum, with no obvious defect after color flow mapping, but with a patent foramen oval (PFO) that was detected after agitated saline injection associated with a Valsalva maneuver, with the passage of 5-25 microbubbles (grade 2/4 shunt) and an atrial septum aneurysm (ASA), with an excursion of the fossa ovalis towards the left atrium of 10.1mm (Figure 1). The ascending aorta was normal, but the descending aorta depicted 2 hypermobile masses, 1 starting at 35cm from the dental arch (transversal area: 0,52cm2), the longest (7cm) starting at 32cm and ending at the aortic arch (transversal area: 1,76cm2). An angio-CT was immediately performed, which depicted an atheromatous calcified plaque in the terminal portion of the aortic arch, giving rise to the image suggestive of thrombus, and extending for about 6cm to the medium third of the descending thoracic aorta. The remaining portions of the aorta and iliac arteries depicted diffuse atheromatous and partially calcified plaques (Figure 2). The patient was submitted to an urgent thoracic endovascular aortic repair with a 26x10cm prosthesis implantation with occlusion of the left subclavian artery and an adequate final clinical result. Syphilis and auto-immune disease were excluded and a diffuse atheromatous disease of the aorta was assumed as the cause of the thrombus and the embolic event. After 16 days, he was discharged asymptomatic and with no signs of chronic ischemia, treated with oral anticoagulation with rivaroxabano, high-dose statin and strict smoking cessation. Conclusion: Cardioembolic source is a heterogeneous entity. In this patient, 2 potential cardioembolic sources were detected: while the PFO and ASA are minor or unclear risk sources of emboli, TEE also allowed for the detection of a large thrombus arising from an atherosclerotic calcified plaque in the thoracic aorta, which was considered a major risk source, thus implying urgent surgery to obviate the risk of further embolic events. Abstract P1461 Figure. Fig.1.POF and ASA;Fig.2.Aortic Thrombus

Improving timely analgesia administration for musculoskeletal pain in the emergency department

Delays to adequate analgesia result in worse patient care, decreased patient and provider satisfaction and increased patient complaints. The leading presenting symptom to emergency departments (EDs) is pain, with approximately...