Рентгенометрический анализ кинематики L4-L5 И L5-S1 позвоночных сегментов в III стадии дегенеративного процесса

ПОЗВОНОЧНИКА БОЛЕЗНИОСТЕОХОНДРОЗОСТЕОХОНДРИТГРЫЖА МЕЖПОЗВОНОЧНОГО ДИСКАМЕЖПОЗВОНКОВОГО ДИСКА СМЕЩЕНИЕРЕНТГЕНОГРАФИ

Особенности оказания хирургической помощи пациентам с травмами брюшной полости в УЗ "ВГКБСМП"

БРЮШНОЙ ПОЛОСТИ ТРАВМЫ /ХИРАБДОМИНАЛЬНЫЕ ТРАВМЫРАНЫ И ТРАВМЫ /ХИРАБДОМИНАЛЬНАЯ ХИРУРГИЯМЕДИЦИНСКОЙ ПОМОЩИ КАЧЕСТВОЗДРАВООХРАНЕНИЕ РЕСПУБЛИКИ БЕЛАРУС

Effect of the degree of high power impulse magnetron sputtering utilisation on the structure and properties of TiN films

TiN films were deposited using high power impulse magnetron sputtering (HIPIMS) enabled four cathode industrial size coating system equipped with HIPIMS power supplies. The standard version of this system allows control over the ion bombardment during coating growth by varying the strength of the electromagnetic field of the unbalancing coils and bias voltage applied to the substrate. The coatings were produced in different coating growth conditions achieved in combined HIPIMS — direct current (dc) unbalanced magnetron sputtering (HIPIMS/UBM) processes where HIPIMS was used as an additional tool to manipulate the ionisation degree in the plasma. Four cathode combinations were explored with increasing contribution of HIPIMS namely 4UBM (pure UBM), 1HIPIMS + 3UBM, 2HIPIMS + 2UBM and 2HIPIMS (pure HIPIMS) to deposit TiN coatings. Optical emission spectroscopy (OES) measurements were carried out to examine the plasma generated by the various combinations of HIPIMS and UBM cathodes. The micro-structural study was done by scanning electron microscopy (SEM). X-ray diffraction (XRD) technique was used to calculate the residual stress and texture parameter. It has been revealed that the residual stress can be controlled in a wide range from − 0.22 GPa to − 11.67 GPa by intelligent selection of the degree of HIPIMS utilisation, strength of the electromagnetic field of the unbalancing coils and the bias voltage applied to the substrate while maintaining the stoichiometry of the coatings. The effect of the degree of HIPIMS utilisation on the microstructure, texture and residual stress is discussed. Combining HIPIMS with dc-UBM sputtering is also seen as an effective tool for improving the productivity of the deposition process

Scholars’ open debate paper on the World Health Organization ICD-11 gaming disorder proposal

Concerns about problematic gaming behaviors deserve our full attention. However, we claim that it is far from clear that these problems can or should be attributed to a new disorder. The empirical basis for a Gaming Disorder proposal, such as in the new ICD-11, suffers from fundamental issues. Our main concerns are the low quality of the research base, the fact that the current operationalization leans too heavily on substance use and gambling criteria, and the lack of consensus on symptomatology and assessment of problematic gaming. The act of formalizing this disorder, even as a proposal, has negative medical, scientific, public-health, societal, and human rights fallout that should be considered. Of particular concern are moral panics around the harm of video gaming. They might result in premature application of diagnosis in the medical community and the treatment of abundant false-positive cases, especially for children and adolescents. Second, research will be locked into a confirmatory approach, rather than an exploration of the boundaries of normal versus pathological. Third, the healthy majority of gamers will be affected negatively. We expect that the premature inclusion of Gaming Disorder as a diagnosis in ICD-11 will cause significant stigma to the millions of children who play video games as a part of a normal, healthy life. At this point, suggesting formal diagnoses and categories is premature: the ICD-11 proposal for Gaming Disorder should be removed to avoid a waste of public health resources as well as to avoid causing harm to healthy video gamers around the world

A stage structured mosquito model incorporating effects of precipitation and daily temperature fluctuations

An outbreak of dengue fever in Guangdong province in 2014 was the most serious outbreak ever recorded in China. Given the known positive correlation between the abundance of mosquitoes and the number of dengue fever cases, a stagestructured mosquito model was developed to investigate the cause of the large abundance of mosquitoes in 2014 and its implications for outbreaks of the disease. Data on the Breteau index (number of containers positive for larvae per 100 premises investigated), temperature and precipitation were used for model fitting. The egg laying rate, the development rate and the mortality rates of immatures and adults were obtained from the estimated parameters. Moreover, effects of daily fluctuations of temperature on these parameters were obtained and the effects of temperature and precipitation were analyzed by simulations. Our results indicated that the abundance of mosquitoes depended not only on the total annual precipitation but also on the distribution of the precipitation. The daily mean temperature had a nonlinear relationship with the abundance of mosquitoes, and large diurnal temperature differences can reduce the abundance of mosquitoes. In addition, effects of increasing precipitation and temperature were interdependent. Our findings suggest that the large abundance of mosquitoes in 2014 was mainly caused by the distribution of the precipitation. In the perspective of mosquito control, our results reveal that it is better to clear water early and spray insecticide between April and August in case of limited resources