Estilos de vida de los pacientes con diabetes mellitus tipo 2 atendidos en Centro de Salud Bellavista, Sullana 2017.

La presente investigación se realizó, con el Objetivo: Determinar los estilos de vida de los pacientes con diabetes mellitus tipo 2 atendidos en centro de salud Bellavista. Sullana 2017. Material y Métodos: El método de investigación de enfoque cuantitativo, de tipo descriptivo, transversal y retrospectivo. La muestra fue de 29pacientes con Diabetes Mellitus tipo 2. La técnica utilizada fue la Entrevista, y El instrumento de recolección de datos fue diseñado, validado y utilizado por Guzmán y Tupa (2016), y adaptado por la autora del presente estudio. Los datos fueron procesados con el programa estadístico SPSS versión 20. Resultados: Las características sociodemográficas de los pacientes con diabetes mellitus tipo 2, la edad, la mayoría tienen 40 a 59 años, de sexo masculino. Los estilos de vida de los pacientes con diabetes mellitus tipo 2 atendidos en centro de salud Bellavista, el 79,3% presentan estilos de vida inadecuada y el 20,7% estilos de vida adecuados. Los estilos de vida según dimensiones: alimentación, el 86,2% es inadecuado y el 13,8% adecuado. Actividad física, es inadecuado el 79,3% y adecuado el 20,7%. Consumo del tabaco el 31% es inadecuado y el 69% es adecuado. Consumo de bebidas alcohólicas, el 65,5% es inadecuado y el 34,5% es adecuado. Información, es inadecuado el 69% y adecuado el 31%. Manejo del estrés, el 69% es inadecuado y el 31% adecuado. Adherencia al tratamiento, inadecuado el 79,3% y adecuado el 20,7%. En ambos cuadros de relación de variables, estas guardan significancia según el programa estadístico Chi cuadrado de Pearson porque tienen una frecuencia esperada inferior a 5. Conclusiones: Los estilos de vida de los pacientes con diabetes mellitus tipo 2 atendidos en centro de salud Bellavista, el 79,3% presentan estilos de vida inadecuada y el 20,7% estilos de vida adecuados. Recomendaciones: Mejorar los procesos educativos del paciente con diabetes que acude al centro de Salud de Bellavista, de manera que se promueva el autocuidado y apoyo en el tratamiento por parte del paciente, al ampliar el abanico de conocimientos sobre los estilos de vida que permitan prevenir complicaciones.Tesi

The Influence of Land Use/Land Cover on Climatological Values of the Diurnal Temperature Range

The diurnal temperature range (DTR) at weather observation stations that make up the U.S. Historical Climatology Network was evaluated with respect to the predominant land use/land cover associated with the stations within three radii intervals (100, 1000, and 10 000 m) of the stations. Those stations that were associated with predominantly rural land use/land cover (LULC) usually displayed the greatest observed DTR, whereas those associated with urban related land use or land cover displayed the least observed DTR. The results of this study suggest that significant differences in the climatological DTR were observed and could be attributed to the predominant LULC associated with the observation stations. The results also suggest that changes in the predominant LULC conditions, within as great as a 10 000 m radius of an observation station, could significantly influence the climatological DTR. Future changes in the predominant LULC associated with observation sites should be monitored similar to the current practice of monitoring changes in instruments or time of observation at the observations sites

Extradural hemorrhagic spinal cavernous angioma in a paucisymptomatic child: A rare case with review of the current literature

Background: Cavernous angiomas, also referred to as cavernous hemangiomas or cavernomas (CMs), are vascular malformative benign neoplasms that may develop in any part of the central nervous system. Spinal CMs are uncommon (overall incidence rate of 0.04-0.05%). Pure epidural CMs account for 1-2% of all spinal CMs and 4% of all spinal epidural tumors. Diagnosis is extremely rare in the pediatric age. To the best of our knowledge, only 10 cases have been described so far. The treatment of choice is microsurgical resection. Case description: We describe here the rare case of a cervicothoracic hemorrhagic spinal epidural cavernoma in a paucisymptomatic, 8-year-old female Bangladeshi child. C7-T2 laminectomy with excision of a scarcely defined, capsulated dark red lesion was performed with good recovery. Conclusion: Spinal epidural cavernomas are rare. Childhood presentation is even rarer. The reason could be found in a greater "compliance" and to a rarer occurrence of acute bleeding in children, thus resulting in a delayed diagnosis. Surgical excision is the gold standard of treatment

Dual Axis Solar Tracker With Automated Cleaning System

Photovoltaic panels are fundamental in the generation of renewable energy both on a local scale and a utility scale. The mounting systems for such panels can be costly, require large amounts of maintenance, and miss out on energy savings. Manual cleaning and single axis tracking systems leave more to be desired from such systems. In this paper, we propose, research, test and manufacture a two axes solar tracking system with integrated water cleaning to obtain the most energy savings possible from a single PV panel. Our work shows that two axis tracking combined with an automated cleaning system can provide more energy savings compared to a fixed panel system requiring manual cleaning. We have shown technical feasibility of a two axis tracking system as well as demonstrated simple design, testing, and construction of a water based cleaning system using a small water pump and PVC piping. As a result of such manufacturing and in order to improve efficiency, it is our future recommendation to integrate water and electrical home connections, create a customer experience mobile or web based application, and complete large scale long term testing

Time Course of Acute Hip Adduction Range of Motion Changes Following Foam Rolling

# Background With the increased popularity of foam rolling (FR), it is important to establish the exact manner in which the practice is useful. # Purpose The purpose of this study was to examine the impact of FR the iliotibial (IT) band on hip adduction range of motion (ROM) and the short-term time course of any ROM changes that may occur. # Method In a within-subject design, 34 subjects (21 female, 13 male) (female mean age 24.67 ± 8.6 yrs, height 161.4 ± 9.8 cm, mass 67.3 ± 12.3 kg; male mean age 22 ± 2.5 yrs, height 170.2 ± 8.2 cm, mass 76.3 ± 21.9 kg) underwent a baseline Ober’s test to measure hip adduction ROM prior to the FR and control conditions. Subjects rolled the lateral portion of each thigh for 3 bouts of 20 seconds. A tempo of 3 seconds down and 3 seconds up the leg was maintained across FR bouts. A 5-minute walk served as the control condition. The Ober’s test was repeated at less than 1 minute, 3 minutes, 10 minutes, 15 minutes, and 20 minutes following the FR bouts and the control to assess changes in hip adduction ROM over time. A blinded clinician conducted the Ober’s test. A two-way analysis of variance was used to assess differences by condition and time. # Results No differences in hip adduction ROM were found at baseline between FR and CON within subjects (27.9 cm ± 7.5 vs. 27.7 cm ± 6.6, *p* > .05). Ober’s test ROM was significantly greater in FR compared to CON immediately post-treatment (24.2 cm ± 6.3 vs. 28.2 cm ± 6.3, *p* = .00, *d* = .59), and 3 minutes post (24.6 cm ± 7.6 vs. 28.3 cm ± 5.9, *p* = .00, *d* = .56). No differences were observed 10 minutes post, 15 minutes post, or 20 minutes post FR or CON (*p* > .05). # Discussion Compared to walking, FR the IT band significantly increased hip adduction ROM as measured by the Ober’s test. These increases appear to dissipate between 3 and 10 minutes post-FR. # Conclusion An acute bout of 3 sets of 20 seconds of FR may be effective for transiently increasing ROM. Whether these short-term increases have implications for chronic flexibility changes is unclear. # Level of evidence

Global rural temperature trends

Using rural/urban land surface classifications derived from maps and satellite observed nighttime surface lights, global mean land surface air temperature time series were created using data from all weather observing stations in a global temperature data base and from rural stations only. The global rural temperature time series and trends are very similar to those derived from the full data set. Therefore, the well-known global temperature time series from in situ stations is not significantly impacted by urban warming

Global rural temperature trends

Using rural/urban land surface classifications derived from maps and satellite observed nighttime surface lights, global mean land surface air temperature time series were created using data from all weather observing stations in a global temperature data base and from rural stations only. The global rural temperature time series and trends are very similar to those derived from the full data set. Therefore, the well-known global temperature time series from in situ stations is not significantly impacted by urban warming