263 research outputs found
Solving the oscillating pipe flow problem by the boundary integral equations method
In the work, a solution to a problem of oscillatory flow of viscous incompressible liquid in a rectilinear pipe of circular section, completely filled with the liquid was presented. The way of solving flow generated by pressure pulsation and the pipe oscillation to the flow direction was also-discussed. The behaviour of the liquid for the selected spectrum of its frequency and viscosity-was further analysed
Solving the unsteady heat transeer problem with periodic boundary condition by the boundary integral equations method
In the paper, a solution of unsteady heat transfer problem with periodic boundary condition by means of boundary integral equations method was presented. Also was presented the results of numerical simulation of heat transfer in two dimensional area with oscillating temperature on the boundary
Algorithmization and modeling of multicoordinate mechatronic systems
A large quantity of meehatronie systems is based on trajectory constructing on topological manifolds (particularly on curves and surfaces) with given accuracy [1]. For automated
control of these systems it is preferable for trajectory planning to be given in the form of
finite equation or system of equations. These systems with the behavior which is established
with exactness up to variety intersection are related to the class of meehatronie systems [2]
Benchmarking as an effective tool for managing the quality of nursing care
The aim of the study – to analyze the work quality of the average medical staff of the day hospital, to develop and implement proposals for improving the management of the nursing care quality and methods for conducting benchmarking research in a private medical organization.Цель исследования – проанализировать качество работы среднего медицинского персонала дневного стационара, разработать и внедрить предложения по совершенствованию управления качеством медицинской сестринской помощи методам проведения бенчмаркингового исследования в частной медицинской организации
Aplicarea sistemului de hidrochirurgie și a plasmajetului în debridarea toracoscopică a cavității pleurale la copii cu fibrinotorax
Toracoscopia a devenit o modalitate favorizată în tratamentul empiemului pleural la copii. Cu toate acestea, factorii care afectează
rezultatul administrării toracoscopice rămân neclari.
Scopul studiului este de a demonstra eficiența sistemului de hidrochirurgie "Versajet" și a unității de plasmă "Plasmajet" în
tratamentul toracoscopic al copiilor cu complicații pleurale ale pneumoniei.
MATERIALE SI METODE. În perioada 2015-2017, la Spitalul de Copii Speransky din Moscova, 377 copii cu pneumonie au fost
tratați, la 62 pacienți (16,45%) din 377 am efectuat drenajul cavității pleurale, 14 pacienți cu vârste cuprinse între 1,6 și 15 ani (în
medie, 3,2 ± 3,8 ani) cu empiem pleural au fost operați. S-a efectuat decorticarea pulmonară toracoscopică cu sistem de
hidrochirurgie (Versajet-2). Sistemul hidrochirurgical este un instrument chirurgical bazat pe impactul jetului de apă de mare viteză
asupra țesuturilor necrotice și inflamate, combinând avantajele debridării țesuturilor moi și evacuarea acestora prin pulsarea jetului
de apă. Designul tubului de evacuare și apropierea acestuia de jetul lichid creează un vacuum local, care îndepărtează efectiv fibrina
și conținutul lichid prin efectul Bernulli. Consimțământul informat a fost obținut de la toți părinții înainte de operare, iar procedura
însăși a fost aprobată de comitetul de etică locală.
REZULTATE. Recuperarea și reabilitarea fără particularități au fost în 13 cazuri. La un pacient cu empiem al cavității pleurale pe
dreapta și leziune organică severă a sistemului nervos central a perioadei postoperatorii după o toracoscopie convențională
complicată de recurența empiemului pleural.Retoracoscopia cu debridarea cavității pleurale de către sistemul de hidrochirurgie
efectuată la șase zile după operația inițială, a avut rezultate satisfăcătoare. În cazul hemoragiei intraoperatorii, a fost efectuată
coagularea plasmei de argon, obținându-se aerostasie completă la 2 pacienți și hemostază - la 1 pacient. Durata medie de funcționare
a fost de 90 de minute (± 15 minute). Drenajul cavității pleurale este eliminat în ziua a 3-a sau a 4-a după operație. Copiii externați
în ziua a 10-a (± 1,2 zile). Examinarea cu ultrasunete și cu raze X la patru luni după intervenția chirurgicală a confirmat absența
inflamației în parenchimul pulmonar și reexpansarea plină pulmonară la toți pacienții.
CONCLUZIE. Aplicarea sistemului hidrochirurgical în timpul toracoscopiei asigură o debridare sigură și eficientă a cavității
pleurale, decorticările plămânului fiind fără deteriorarea severă a parenchimului pulmonar și crearea condițiilor pentru reabilitarea
precoce a plămânilor compromiși.Thoracoscopy became a favored modality in pediatric pleural empyema treatment. However, factors affecting outcome of thoracos- copic management remain unclear. The purpose of the study is to demonstrate efficiency of hydrosurgery system "Versajet" and
plasma unit "Plasmajet" in thoracoscopic treatment of children with pleural complications of pneumonia.
MATERIALS AND METHODS. During the period of 2015-2017 at the Speransky Children’s Hospital in Moscow 377 children with
pneumonia were treated, in 62 patients (16.45%) of 377 we perform drainage of pleural cavity, 14 patients from 1.6 to 15 years of
age (on average, 3.2 ± 3.8 years old) with pleural empyema were operated. Thoracoscopic lung decortication with hydrosurgery system (Versajet-2) was performed. Hydrosurgery system is a surgical instrument based on impact of high-speed jet of water on necrotic
and inflamed tissues, combining the advantages of soft tissues debridement and evacuation them by pulsating water jet. Design of the
evacuation tube and its proximity to liquid jet creates a local vacuum, which effectively removes fibrin and liquid contents by Ber- nulli effect. Informed consent was obtained from all parents before operation, and procedure itself received approval from the local
ethics committee.
RESULTS. Recovery and rehabilitation was uneventful in 13 cases. In one patient with empyema of right pleural cavity and severe organic lesion of central nervous system postoperative period after conventional toracoscopy complicated by recurrence of pleural
empyema. Rethoracoscopy with debridement of pleural cavity by hydrosurgery system performed six days after initial operation,
with satisfactory results. In the event of intraoperative air leak or hemorrhage, application of argon plasma coagulation had been
performed achieving complete aerostasis in 2 patients and hemostasis - in 1 patient. Average operation time was 90 minutes (± 15
minutes). Drainage of the pleural cavity removed on the 3rd or 4th day after surgery. Children discharged from the hospital on 10th
PO day (± 1.2 days). Ultrasound and X-ray examination four months after surgery confirmed the absence of inflammation in the lung
parenchyma and full lung reexpansion in all patients.
CONCLUSION. Application of hydrosurgycal system during thoracoscopy provides safe and effective debridement of pleural cavity,
decortications of the lung without severe damage to the lung parenchyma and create conditions for early rehabilitation of compro- mised lung
Features of laboratory parameters in children with multisystem inflammatory syndrome associated with SARS-CoV-2
Multisystem inflammatory syndrome (MIS-C) is a new childhood disease associated with coronavirus SARS-CoV-2 that manifests itself 3–4 weeks after infection. The development of MIS-C is possible, despite the asymptomatic course of coronavirus infection. The pathogenetic features of MIS-C remain unclear. The aim of the study was to investigate the state of peripheral blood parameters in children with multisystem inflammatory syndrome associated with SARS-CoV-2 upon admission to a hospital. Material and methods. We examined 52 children with MIS-C from 1 to 14 years old, hospitalized in Children`s Clinical Hospital No. 3 in Novosibirsk in October–December 2020. Testing for the isolation of SARS-CoV-2 RNA in scrapings from the nasopharynx and oropharynx was carried out using real time PCR (test systems of DNA-Technology, Russia). The presence of specific IgM and IgG antibodies to SARS-CoV-2 in blood serum was determined by ELISA using Vector-Best kits (Russia). Results and discussion. It was noted that SARS-CoV-2 virus RNA was found only in 12.8 % of cases, while specific IgG antibodies in blood serum were detected in 100 % of children. IgM to SARS-CoV-2 antigens were detected in the blood serum only in 53.85 % of children with MIS-C. It has been established that unexpressed leukocytosis was found both in children under the age of 7 and in children of 8–14 years old. However, the leukocytes content in children of the older age group was significantly lower than in children aged 1–7 years. At the same time, in both age groups, some children had extremely low values of the indicator. The causes of severe leukopenia against the background of excessive inflammation remain unclear. Age groups (1–7 and 8–14 years) do not differ statistically significantly in the relative content of lymphocytes and neutrophils. In the study of individual values of the relative content of lymphocytes within the age groups, it was noted that only some children had lymphopenia of varying severity. Conclusions. Against the background of minor leukocytosis in children with MIS-C, upon admission to the hospital, there is a tendency to develop both relative and absolute lymphopenia, regardless of age. The study noted an extremely pronounced variability of individual values of the evaluated peripheral blood parameters, regardless of age, which, with similar clinical symptoms, characterized as MIS-C, requires further study in dynamics, taking into account the initial values of the indicators.There is no pronounced relationship between the leukocytes content and specific IgM antibodies to SARS-CoV-2 antigens in the blood
Анализ методов электронной компенсации опорного сигнала в целевом канале полуактивного когерентного бистатического DVB-T2 радара
This paper provides an overview of different electronic compensation methods of a reference signal. An algorithm for electronic compensation of the DVB-T2 direct signal in a semi-active coherent radar has been proposed. A filter that provides direct signal suppression of at least 50 dB has been developed. The results of experimental studies on the detection of low-speed target with low effective scattering surface in the presence of a powerful reference signal have been presented.В статье проанализированы различные методы электронной компенсации опорного сигнала в целевом канале. Предложен алгоритм электронной компенсации прямого сигнала DVB-T2 в полуактивном когерентном радаре. Разработан фильтр, обеспечивающий подавление прямого сигнала не менее 50 дБ. Представлены результаты экспериментальных исследований по обнаружению низкоскоростной цели с малой эффективной поверхностью рассеяния при наличии мощного опорного сигнала
Развитие цифровой экономики Казахстана
This article considers the concept of «digital economy», which many countries of the world are interested in creating. The characteristics of the digital economy, which is based on trade using the Internet, are clarified. The role of the digital economy as a factor of investment and innovation growth is revealed. Special emphasis is placed on the development of the digital economy of modern Kazakhstan. Kazakhstan’s approaches to the development of the digital economy are identified, and the ways of its creation in Kazakhstan are analyzed. Considerable attention is paid to the study of indicators of the current state of digitalization of Kazakhstan in accordance with the indicators of annual international ratings. The problems hindering the digitalization of the country’s economy are highlighted.Рассматривается понятие «цифровая экономика», интерес созданию которой проявляют многие государства мира. Уточнена характеристика цифровой экономики, основу которой оставляет торговля с помощью Интернета. Выявлено роль цифровой экономика, как фактора инвестиционного и инновационного роста. Особый акцент сделан на развитии цифровой экономики современного Казахстана. Выявлены подходы Казахстана к развитию цифровой экономики, проанализированы пути ее создания в Казахстане. Значительное внимание уделено исследованию показателей современного состояния циф-ровизации Казахстана в соответствии с показателями ежегодных международных рейтингов. Выделены проблемы, препятствующие цифровизации экономики страны
ОСНОВНЫЕ МОДИФИКАЦИИ РАСТВОРОБЕТОННЫХ УЗЛОВ БЛОЧНО-МОДУЛЬНОЙ КОМПОНОВКИ
The paper considers a new BNTU development that is concrete complexes having modular-block design. The modular-block approach presupposes to divide the whole technological chain for production of concrete and mortar mixes into separate sections (modules), each of which performs specific functions and can be used separately and independently of others. Then it is necessary to select such set of modules that ensure production of concrete and mortars. The paper presents designs of main modules in the technological chain for preparation of concrete mixes: a concrete mixing module, a storage and supply module of inert materials, a storage and supply module of cement and a number of additional auxiliary modules (a concrete supply module, a module for preparation of chemical additives, an operator module and a module for preparation and supply of air).Two main modifications of ready mix concrete stations developed on the basis of modular-block principle using basic modules are given in the paper. The first modification is a stationary concrete-mortar complex characterized by high productivity, large reserves of aggregates and cement, ability to be operated in winter due to heat insulation and water heating system and inert materials. The second modification is a transportable option that permits to transport the station from place to place due to reduction of time required for its installation and removal and execute production of concrete mixtures in the vicinity of the object construction. This options provides the possibility to reduce expenses on concrete transportation to the place of its deposit and decrease the probability of deterioration of consumer properties of the concrete mix that in its turn entails reduction in final cost of the object construction and improves quality of the construction.Рассмотрена новая разработка БНТУ – растворобетонные комплексы блочно-модульной конструкции. Блочномодульный принцип состоит в том, чтобы разбить всю технологическую цепочку по производству бетонных и растворных смесей на отдельные участки (модули), каждый из которых выполняет отдельные функции и может использоваться независимо от других. Далее набирают комплект таких модулей для обеспечения производства бетонов и растворов. Представлены конструкции основных модулей технологической цепочки по приготовлению бетонных смесей: бетоносмесительный модуль, модуль хранения и подачи инертных материалов, модуль хранения и подачи цемента, а также ряд дополнительных вспомогательных модулей (подачи бетона, приготовления химических добавок, операторской, подготовки и подачи воздуха).Приведены две основные модификации растворобетонных узлов, разработанных по блочно-модульному принципу с использованием основных модулей. Одна является стационарным вариантом растворобетонного комплекса, обладающего высокой производительностью, значительными запасами инертных материалов и цемента, возможностью работы в зимний период за счет утепления и системы подогрева воды и инертных материалов. Вторая – это перебазируемый вариант, позволяющий перевозить установку с места на место за счет сокращения времени монтажа и демонтажа и наладить производство бетонных смесей в непосредственной близости к объекту строительства. Это дает возможность сократить расходы на транспортирование бетона к месту укладки, а также уменьшить вероятность ухудшения потребительских свойств бетонной смеси, что в свою очередь снижает окончательную стоимость и повышает качество объекта строительства
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