193 research outputs found
Random raman fiber laser based on a twin-core fiber with FBGs inscribed by femtosecond radiation
Narrowband Raman lasing in a polarization-maintaining two-core fiber (TCF) is demonstrated. Femtosecond point-by-point inscription of fiber Bragg gratings (FBGs) in individual cores produces a half-open cavity with random distributed feedback. The laser linewidth in the cavity with a single FBG inscribed in one core of the TCF reduced by βΌ2 times with respect to the cavity with a fiber loop mirror. It is shown that the inscription of two FBGs in different cores leads to the formation of a Michelson-type interferometer, leading to the modulation of generation spectra near threshold. This technique offers new possibilities for spectral filtering or multi-wavelength generation
Effects of combination antihypertensive therapy on intracardiac hemodynamics and blood vessels in patients with coronary heart disease, post-infarction cardiosclerosis and arterial hypertension
The aim of the work is to assess the effectiveness of prescribing a fixed-dose combination of amlodipine with the ACE inhibitor lisinopril or with the angiotensin 2 receptor blocker valsartan in patients with coronary artery disease, acute coronary syndrome with hypertensive disease regarding the impact on the structural and functional parameters of the heart and extracranial branches of the brachiocephalic arteries.
Materials and methods. General clinical examination of 108 patients with postinfarction cardiosclerosis and hypertension was done within 12 months. The patients were allocated to two groups. Patients in the first group (n = 50) were assigned a fixed-dose combination of lisinopril and amlodipine (20 mg and 5 mg, respectively), and patients in the second group (n = 58) received a fixed-dose combination of valsartan with amlodipine (160 mg and 5 mg, respectively). The patients were monitored for 12 months, including general clinical examinations, measurements of office blood pressure (BP), 24-hour BP monitoring, echo-dopplerographic examination of the heart and brachiocephalic arteries, determination of the composite endpoint. Statistical analysis of the obtained data was performed using Microsoft Excel, IBM SPSS Statistics v.23.
Results. A significant difference in echocardiographic data has been proved (p 0.05) have been found in the first group. When analyzing the indicators of diastolic function in the second group, a highly significant (p < 0.05) decrease in E/A, E/Eβ, IO of the LA has been revealed; data analysis on the morphofunctional state indicators of the extracranial arteries has shown a CIM reduction and a decrease in PSV and RI.
Conclusions. Prescriptions of the fixed-dose combination of amlodipine with the ACE inhibitor lisinopril was more effective in terms of the LV measurements (p < 0.05) and LV diastolic function as evidenced by decreased E/A, E/Eβ and IO of the LA (p < 0.05) as compared to the data in the group of amlodipine with the angiotensin 2 receptor blocker valsartan. Both fixed-dose combinations were effective in reducing the CIM thickness, decreasing PSV and RI when analyzing the morphofunctional state findings of the extracranial arteries
Poor fluorinated graphene sheets carboxymethylcellulose polymer composite mode locker for erbium doped fiber laser
We report poor fluorinated graphene sheets produced by thermal exfoliation embedding in carboxymethylcellulose polymer composite (GCMC) as an efficient mode locker for erbium doped fiber laser. Two GCMC mode lockers with different concentration have been fabricated. The GCMC based mode locked fiber laser shows stable soliton output pulse shaping with repetition rate of 28.5MHz and output power of 5.5 mW was achieved with the high concentration GCMC, while a slightly higher output power of 6.9 mW was obtained using the low concentration GCMC mode locker
Physical-Mechanical Properties of Ξ³-Irradiated SiC Ceramics for Radioactive Wastes Immobilization
The interest in silicon carbide (SiC-based) ceramics and composites as matrix material for nuclear waste immobilization is grown up. Long-term chemical durability and radiation resistance of SiC are important factors for radionuclides immobilization. Advantages of SiC-based ceramics as structural materials in nuclear applications are the high-temperature properties, high density and reduced neutron activation. The use of radiation resistant materials is a strong requirement for safe and environmentally beneficial energy system. The SiC ceramics stability under irradiation for temperatures up to 1273 K is also very important for nuclear power applications. The SiC matrices doped by additives of Cr, Si were fabricated using High Speed Hot Pressing Method. Additives content was in the range from 0.5 to 3Β wt %. Microstructural characteristics of silicon carbide ceramics were analyzed by X-ray diffraction (XRD), scanning electron microscopy (SEM), energy-dispersive X-ray spectroscopy (EDX), and infra-red spectroscopy (IR) methods. The results of microcracking under indentation conditions were revealed the lack of cracks in the SiC ceramics with Cr additives before and after irradiation process. In addition, it was demonstrated that samples of SiC with alloying additives Cr and Si possess high mechanical parameters under Ξ³-irradiation process. The strength of ceramics increases with the uniform and fine-grained structure formation. The modification of phase composition and mechanical properties of the SiC ceramics with Cr and Si additives under Ξ³-irradiation were analyzed for further development of radiation resistant and matrix materials for radioactive wastes immobilization
Diagnostic Efficiency of Adsorbed Anthrax Vegetative Fluorescent Immunoglobulins Demonstrated in the Medical Trials
Studied is the diagnostic efficiency (specific activity, sensitivity, specificity, reproducibility) of anthrax vegetative fluorescent immunoglobulins. Based on the data, received in medical trials, this preparation is recommended for registration as a product for medical application in the Russian Federation
NETIMIS: Dynamic Simulation of Health Economics Outcomes Using Big Data
Many healthcare organizations are now making good use of electronic health record (EHR) systems to record clinical information about their patients and the details of their healthcare. Electronic data in EHRs is generated by people engaged in complex processes within complex environments, and their human input, albeit shaped by computer systems, is compromised by many human factors. These data are potentially valuable to health economists and outcomes researchers but are sufficiently large and complex enough to be considered part of the new frontier of βbig dataβ. This paper describes emerging methods that draw together data mining, process modelling, activity-based costing and dynamic simulation models. Our research infrastructure includes safe links to Leeds hospitalβs EHRs with 3 million secondary and tertiary care patients. We created a multidisciplinary team of health economists, clinical specialists, and data and computer scientists, and developed a dynamic simulation tool called NETIMIS (Network Tools for Intervention Modelling with Intelligent Simulation; http://www.netimis.com) suitable for visualization of both human-designed and data-mined processes which can then be used for βwhat-ifβ analysis by stakeholders interested in costing, designing and evaluating healthcare interventions. We present two examples of model development to illustrate how dynamic simulation can be informed by big data from an EHR. We found the tool provided a focal point for multidisciplinary team work to help them iteratively and collaboratively βdeep diveβ into big data
Improvement of microstructure and mechanical properties of high dense SiC ceramics manufactured by high-speed hot pressing
Non-oxide ceramics possess high physical-mechanical properties, corrosion and radiation resistance, which can be used as a protective materials for radioactive wastes disposal. The aim of the present study was the manufacturing of high density SiC ceramics with advanced physical and mechanical parameters. The high performance on the properties of produced ceramics was determined by the dense and monolithic structure. The densified silicon carbide samples possessed good mechanical strength, with a high Vickers micro hardness up to 28.5 GPa.ΠΠ΅Π·ΠΊΠΈΡΠ½Π΅Π²Ρ ΠΊΠ΅ΡΠ°ΠΌΡΡΠ½Ρ ΠΌΠ°ΡΠ΅ΡΡΠ°Π»ΠΈ Π΄Π΅ΠΌΠΎΠ½ΡΡΡΡΡΡΡ Π²ΠΈΡΠΎΠΊΡ ΡΡΠ·ΠΈΠΊΠΎ-ΠΌΠ΅Ρ
Π°Π½ΡΡΠ½Ρ Π²Π»Π°ΡΡΠΈΠ²ΠΎΡΡΡ, ΠΊΠΎΡΠΎΠ·ΡΠΉΠ½Ρ ΡΠ° ΡΠ°Π΄ΡΠ°ΡΡΠΉΠ½Ρ ΡΡΡΠΉΠΊΡΡΡΡ, ΡΠΎ ΡΠΎΠ±Π»ΡΡΡ ΡΡ
ΠΏΠ΅ΡΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΠΈΠΌΠΈ ΠΊΠ°Π½Π΄ΠΈΠ΄Π°ΡΠ°ΠΌΠΈ Π΄Π»Ρ Π²ΠΈΠΊΠΎΡΠΈΡΡΠ°Π½Π½Ρ Π² ΡΠΊΠΎΡΡΡ Π±Π°Ρ'ΡΡΠ½ΠΈΡ
ΠΌΠ°ΡΠ΅ΡΡΠ°Π»ΡΠ² Π΄Π»Ρ Π·Π°Ρ
ΠΎΡΠΎΠ½Π΅Π½Π½Ρ ΡΠ°Π΄ΡΠΎΠ°ΠΊΡΠΈΠ²Π½ΠΈΡ
Π²ΡΠ΄Ρ
ΠΎΠ΄ΡΠ². ΠΠ΅ΡΠΎΡ ΡΡΡΡ ΡΠΎΠ±ΠΎΡΠΈ Π±ΡΠ»ΠΎ ΠΎΡΡΠΈΠΌΠ°Π½Π½Ρ Π²ΠΈΡΠΎΠΊΠΎΡΡΠ»ΡΠ½ΠΎΡ SiC-ΠΊΠ΅ΡΠ°ΠΌΡΠΊΠΈ Π· Π²Π΄ΠΎΡΠΊΠΎΠ½Π°Π»Π΅Π½ΠΈΠΌΠΈ ΡΡΠ·ΠΈΡΠ½ΠΈΠΌΠΈ Ρ ΠΌΠ΅Ρ
Π°Π½ΡΡΠ½ΠΈΠΌΠΈ Π²Π»Π°ΡΡΠΈΠ²ΠΎΡΡΡΠΌΠΈ. ΠΠΈΡΠΎΠΊΡ ΠΏΠ°ΡΠ°ΠΌΠ΅ΡΡΠΈ ΠΎΡΡΠΈΠΌΠ°Π½ΠΎΡ ΠΊΠ΅ΡΠ°ΠΌΡΠΊΠΈ Π²ΠΈΠ·Π½Π°ΡΠ°ΡΡΡΡΡ ΡΠΎΡΠΌΡΠ²Π°Π½Π½ΡΠΌ Π²ΠΈΡΠΎΠΊΠΎΡΡΠ»ΡΠ½ΠΎΡ Ρ ΠΌΠΎΠ½ΠΎΠ»ΡΡΠ½ΠΎΡ ΡΡΡΡΠΊΡΡΡΠΈ. ΠΠ΅ΡΠ°ΠΌΡΠΊΠ° ΠΊΠ°ΡΠ±ΡΠ΄Ρ ΠΊΡΠ΅ΠΌΠ½ΡΡ ΠΌΠ°Ρ ΠΏΠΎΠ»ΡΠΏΡΠ΅Π½Ρ ΠΌΠ΅Ρ
Π°Π½ΡΡΠ½Ρ ΠΌΡΡΠ½ΡΡΡΡ Ρ Π²ΠΈΡΠΎΠΊΡ ΡΠ²Π΅ΡΠ΄ΡΡΡΡ ΠΏΠΎ ΠΡΠΊΠΊΠ΅ΡΡΡ ΠΏΠΎΡΡΠ΄ΠΊΠ° 28,5 ΠΠa.ΠΠ΅ΡΠΊΠΈΡΠ»ΠΎΡΠΎΠ΄Π½ΡΠ΅ ΠΊΠ΅ΡΠ°ΠΌΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ Π΄Π΅ΠΌΠΎΠ½ΡΡΡΠΈΡΡΡΡ Π²ΡΡΠΎΠΊΠΈΠ΅ ΡΠΈΠ·ΠΈΠΊΠΎ-ΠΌΠ΅Ρ
Π°Π½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠ²ΠΎΠΉΡΡΠ²Π°, ΠΊΠΎΡΡΠΎΠ·ΠΈΠΎΠ½Π½ΡΡ ΠΈ ΡΠ°Π΄ΠΈΠ°ΡΠΈΠΎΠ½Π½ΡΡ ΡΡΠΎΠΉΠΊΠΎΡΡΡ, Π΄Π΅Π»Π°ΡΡΠΈΠ΅ ΠΈΡ
ΠΏΠ΅ΡΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΡΠΌΠΈ ΠΊΠ°Π½Π΄ΠΈΠ΄Π°ΡΠ°ΠΌΠΈ Π΄Π»Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΡ Π² ΠΊΠ°ΡΠ΅ΡΡΠ²Π΅ Π±Π°ΡΡΠ΅ΡΠ½ΡΡ
ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»ΠΎΠ² Π΄Π»Ρ Π·Π°Ρ
ΠΎΡΠΎΠ½Π΅Π½ΠΈΡ ΡΠ°Π΄ΠΈΠΎΠ°ΠΊΡΠΈΠ²Π½ΡΡ
ΠΎΡΡ
ΠΎΠ΄ΠΎΠ². Π¦Π΅Π»ΡΡ Π½Π°ΡΡΠΎΡΡΠ΅ΠΉ ΡΠ°Π±ΠΎΡΡ Π±ΡΠ»ΠΎ ΠΏΠΎΠ»ΡΡΠ΅Π½ΠΈΠ΅ Π²ΡΡΠΎΠΊΠΎΠΏΠ»ΠΎΡΠ½ΠΎΠΉ SiC-ΠΊΠ΅ΡΠ°ΠΌΠΈΠΊΠΈ Ρ ΡΡΠΎΠ²Π΅ΡΡΠ΅Π½ΡΡΠ²ΠΎΠ²Π°Π½Π½ΡΠΌΠΈ ΡΠΈΠ·ΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ ΠΈ ΠΌΠ΅Ρ
Π°Π½ΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ ΡΠ²ΠΎΠΉΡΡΠ²Π°ΠΌΠΈ. ΠΡΡΠΎΠΊΠΈΠ΅ ΠΏΠ°ΡΠ°ΠΌΠ΅ΡΡΡ ΠΏΠΎΠ»ΡΡΠ΅Π½Π½ΠΎΠΉ ΠΊΠ΅ΡΠ°ΠΌΠΈΠΊΠΈ ΠΎΠΏΡΠ΅Π΄Π΅Π»ΡΡΡΡΡ ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ Π²ΡΡΠΎΠΊΠΎΠΏΠ»ΠΎΡΠ½ΠΎΠΉ ΠΈ ΠΌΠΎΠ½ΠΎΠ»ΠΈΡΠ½ΠΎΠΉ ΡΡΡΡΠΊΡΡΡΡ. ΠΠ΅ΡΠ°ΠΌΠΈΠΊΠ° ΠΊΠ°ΡΠ±ΠΈΠ΄Π° ΠΊΡΠ΅ΠΌΠ½ΠΈΡ ΠΎΠ±Π»Π°Π΄Π°Π΅Ρ ΡΠ»ΡΡΡΠ΅Π½Π½ΠΎΠΉ ΠΌΠ΅Ρ
Π°Π½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΏΡΠΎΡΠ½ΠΎΡΡΡΡ ΠΈ Π²ΡΡΠΎΠΊΠΎΠΉ ΡΠ²Π΅ΡΠ΄ΠΎΡΡΡΡ ΠΏΠΎ ΠΠΈΠΊΠΊΠ΅ΡΡΡ ΠΏΠΎΡΡΠ΄ΠΊΠ° 28,5 ΠΠa
Substantiation of complex therapy "dry eye" syndrome according to pharmacoeconomic analysis and experimental model
This study researched the clinical symptoms of postoperative βdry eye syndrome" and laboratory parameters: total production of the tear fluid, the rate of tear film stability, indicators of local immune resistance in patients with dry eye syndrome and experimental animal models (rabbits) under general anesthesia in the combined use of the derinat, emoxipine stillavit and accompanied by traditional therapy of dry eye syndrome. The research revealed, that this scheme increases lacrimal glands function, tear film stability, as well as enhances the local immune defense in these patients in the experiment. Pharmacoeconomic analysis revealed greater efficiency schemes with derinat, emoxipine and solcoseryl.Π Π΄Π°Π½Π½ΠΎΠΉ ΡΠ°Π±ΠΎΡΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½Ρ ΡΠΈΠΌΠΏΡΠΎΠΌΡ ΠΈ Π»Π°Π±ΠΎΡΠ°ΡΠΎΡΠ½ΡΠ΅ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΠΈ ΠΏΠΎΡΠ»Π΅ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ ΡΠΈΠ½Π΄ΡΠΎΠΌΠ° Β«ΡΡΡ
ΠΎΠ³ΠΎ Π³Π»Π°Π·Π°Β» (Π‘Π‘Π): ΡΡΠΌΠΌΠ°ΡΠ½Π°Ρ ΠΏΡΠΎΠ΄ΡΠΊΡΠΈΡ ΡΠ»Π΅Π·Π½ΠΎΠΉ ΠΆΠΈΠ΄ΠΊΠΎΡΡΠΈ, ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΠΈ ΠΌΠ΅ΡΡΠ½ΠΎΠΉ ΠΈΠΌΠΌΡΠ½Π½ΠΎΠΉ ΡΠ΅Π·ΠΈΡΡΠ΅Π½ΡΠ½ΠΎΡΡΠΈ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΈ ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΠΎΠΉ ΠΌΠΎΠ΄Π΅Π»ΠΈ ΠΆΠΈΠ²ΠΎΡΠ½ΡΡ
(ΠΊΡΠΎΠ»ΠΈΠΊΠΎΠ²) Π² ΡΡΠ»ΠΎΠ²ΠΈΡΡ
ΠΎΠ±ΡΠ΅ΠΉ Π°Π½Π΅ΡΡΠ΅Π·ΠΈΠΈ ΠΏΡΠΈ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠΈ Π΄Π΅ΡΠΈΠ½Π°ΡΠ°, ΡΠΌΠΎΠΊΡΠΈΠΏΠΈΠ½Π° ΠΈ ΡΠΎΠ»ΠΊΠΎΡΠ΅ΡΠΈΠ»Π° Π² ΡΠΎΠΏΡΠΎΠ²ΠΎΠΆΠ΄Π΅Π½ΠΈΠΈ ΡΡΠ°Π΄ΠΈΡΠΈΠΎΠ½Π½ΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ Π‘Π‘Π. ΠΡΡΠ²Π»Π΅Π½ΠΎ, ΡΡΠΎ ΡΠΊΠ°Π·Π°Π½Π½Π°Ρ ΡΡ
Π΅ΠΌΠ° ΠΏΠΎΠ²ΡΡΠ°Π΅Ρ ΡΡΠ½ΠΊΡΠΈΡ ΡΠ»Π΅Π·ΠΎΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΡ ΠΈ ΠΌΠ΅ΡΡΠ½ΡΡ ΠΈΠΌΠΌΡΠ½Π½ΡΡ Π·Π°ΡΠΈΡΡ Ρ Π΄Π°Π½Π½ΠΎΠΉ ΠΊΠ°ΡΠ΅Π³ΠΎΡΠΈΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΈ Π² ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ΅. ΠΡΠΈ ΡΠ°ΡΠΌΠ°ΠΊΠΎΡΠΊΠΎΠ½ΠΎΠΌΠΈΡΠ΅ΡΠΊΠΎΠΌ Π°Π½Π°Π»ΠΈΠ·Π΅ ΠΎΡΠΌΠ΅ΡΠ΅Π½Π° Π½Π°ΠΈΠ±ΠΎΠ»ΡΡΠ°Ρ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΡΡ
Π΅ΠΌΡ Ρ Π΄Π΅ΡΠΈΠ½Π°ΡΠΎΠΌ, ΡΠΌΠΎΠΊΡΠΈΠΏΠΈΠ½ΠΎΠΌ ΠΈ ΡΠΎΠ»ΠΊΠΎΡΠ΅ΡΠΈΠ»ΠΎΠΌ
Magnetometric Studies of Catalyst Refuses in Nanocarbon Materials
It is shown that magnetometry can be employed as an effective tool to control the content of a ferromagnetic constituent in nanocarbon materials. We propose a thermochemical treatment protocol to achieve extensive cleaning of the source nanocarbon materials from ferromagnetic refuses
Evaluation of an online interactive Diabetes Needs Assessment Tool (DNAT) versus online self-directed learning: a randomised controlled trial
<p>Abstract</p> <p>Background</p> <p>Methods for the dissemination, understanding and implementation of clinical guidelines need to be examined for their effectiveness to help doctors integrate guidelines into practice. The objective of this randomised controlled trial was to evaluate the effectiveness of an interactive online Diabetes Needs Assessment Tool (DNAT) (which constructs an e-learning curriculum based on individually identified knowledge gaps), compared with self-directed e-learning of diabetes guidelines.</p> <p>Methods</p> <p>Health professionals were randomised to a 4-month learning period and either given access to diabetes learning modules alone (control group) or DNAT plus learning modules (intervention group). Participants completed knowledge tests before and after learning (primary outcome), and surveys to assess the acceptability of the learning and changes to clinical practice (secondary outcomes).</p> <p>Results</p> <p>Sixty four percent (677/1054) of participants completed both knowledge tests. The proportion of nurses (5.4%) was too small for meaningful analysis so they were excluded. For the 650 doctors completing both tests, mean (SD) knowledge scores increased from 47.4% (12.6) to 66.8% (11.5) [intervention group (n = 321, 64%)] and 47.3% (12.9) to 67.8% (10.8) [control group (n = 329, 66%)], (ANCOVA p = 0.186). Both groups were satisfied with the usability and usefulness of the learning materials. Seventy seven percent (218/284) of the intervention group reported combining the DNAT with the recommended reading materials was "<it>very useful"/"useful"</it>. The majority in both groups (184/287, 64.1% intervention group and 206/299, 68.9% control group) [95% CI for the difference (-2.8 to 12.4)] reported integrating the learning into their clinical practice.</p> <p>Conclusions</p> <p>Both groups experienced a similar and significant improvement in knowledge. The learning materials were acceptable and participants incorporated the acquired knowledge into practice.</p> <p>Trial registration</p> <p>ISRCTN: <a href="http://www.controlled-trials.com/ISRCTN67215088">ISRCTN67215088</a></p
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