bluuebunny/crossref_metadata_2025 huggingface dataset:
SANCTIONS FOR ILLEGAL CONDUCT WITH POISONOUS AND DRASTIC SUBSTANCES OR POISONOUS AND DRASTIC PHARMACEUTICAL DRUGS
Authors:   State Research Institute of the Ministry of Internal Affairs of Ukraine, Bondarenko Maryna
Published: October 2020

The article is devoted to the investigation of criminal legal norm, namely, to one of its parts – sanction. In this aspect, a brief overview of general theoretical problems is made, their importance and prospects in further study for science and practice are shown. The aim of the article: to analyze the general concept of criminal legal sanction, to investigate the sanctions of norms provided by Art. 321 of the CC of Ukraine, to identify the shortcomings of their design and to suggest ways of their improvement. The research methodology: historical-legal, comparative-legal, logical ones, the method of analysis and synthesis. The definition of the concept of sanction is described, as well as what types of sanctions exist, which prevail in the norms of the law of Ukraine on criminal liability, etc. In addition, the peculiarities of the sanction design, in particular in comparison with foreign criminal legislation, and the existing shortcomings in the domestic criminal law are provided. In total, this provided an opportunity to analyze Art. 321 of the Criminal Code of Ukraine (hereinafter – the CC of Ukraine), and to formulate ways to improve it. The main results: to apply the experience of foreign criminal law, which provides the gradation of even each type of punishment, the use of arithmetic rules to increase and decrease the amount of punishment in case of existence of mitigating or aggravating circumstances, etc., at least for the most common crimes.
PROCEDURES FOR PUBLIC CONTROL OF REPRESENTATIVE AUTHORITIES IN THE WORLD AND IN UKRAINE
Authors:   Odessa Regional Institute for Public Administration of the National Academy for Public Administration under the President of Ukraine, Kuleshov Volodymyr
Published: October 2020

In today's world, one of the indicators of the level of development of democracy is the level of organization and exercise of public control over public authorities. It should be noted that in Ukraine there is no special law, which establishes the law and determines the mechanism of exercising civil control over the activities of representative authorities, which significantly complicates the procedure for its implementation. Scholars consider the legal basis of public control in the context of legislative and regulatory acts, pointing out their imperfection and expediency of making changes. At the same time, there is no definition of public control in legal documents, and accordingly, the methodology of public control is not defined and therefore there are no methods of its implementation. In scientific and applied publications on the organization of public control of representative authorities in the context of decentralization, it is considered as a component of public participation. The aim of the article: to generalize and systematize foreign scientific and applied research on effective procedures for public control of representative authorities in comparison with the domestic practice. The object of research: implementation of the procedure for public control of representative authorities in foreign countries and in Ukraine. The research methodology: review of foreign and Ukrainian literary sources on the implementation of the procedure for public control of representative authorities in the world and in Ukrainian practice. The obtained results: an analysis of the procedures for public control of representative bodies of power in the countries of the world demonstrates the diversity of approaches to its implementation; forms of public control are enshrined in legal norms and are reflected in the legislation in the form of governmental documents, programs, strategies, standards, or are effectively used without governmental support through e-platforms, panels, etc. As for the Ukrainian scientists, there is no established opinion about the procedures for public control: some identify them with forms of control, others - with the conditions of its effectiveness, some authors place components (stages) of the control process (observation, evaluation, analysis, forecasting) as its methods. The practical significance: adoption of a special law will enable to define general principles of the procedure for public control of representative authorities, and a clear definition will make it possible to determine the nature and set of forms and methods for its implementation.
THE ORGANIZATION OF MEDICAL EDUCATION IN ELISAVETGRAD REGION IN THE SECOND HALF OF THE XIX CENTURY
Authors:   Volodymyr Vynnychenko Central Ukrainian State Pedagogical University, Vasiutynska Olena
Published: October 2020

The article reveals the history of the origin and organization of educational institutions for the training of medical workers in Elisavetgrad region in the second half of the XIX century. It was found that the history of medical education was a prominent page in the history of Elisavetgrad region of the pre-revolutionary period. In medical schools, in particular in the Elisavetgrad Medical and Surgical School (1787-1797), which was one of the best medical institutions in the Russian Empire and the first higher medical school in the empire of the historical period, which used original approaches to the educational process, effectively solved educational problems. The aims of the article are to reveal the history of the origin and organization of educational institutions for the training of medical workers in Elisavetgrad region in the second half of the XIX century. The publication uses a historical-retrospective method, which allows a retrospective analysis of the history of Elisavetgrad Medical and Surgical School in the study period and highlights its contribution to the development of medical education in the region. Historiographical review of the problem revealed that there are currently no scientific studies that would systematically and fully analyze the historiography of medical education in Elisavetgrad in the period under study, so the development of medical education in the second half of the nineteenth century needs further study. Analysis and systematization of research on this issue has further development. The accumulated experience of regional medical education in the outlined historical period can be useful at the stage of revival and development of medical education in Ukraine.
TRAINING FUTURE PRIMARY SCHOOL TEACHERS FOR ECONOMIC UPBRINGING OF PUPILS IN THE CONTEXT OF GLOBALIZATION PROCESSES
Authors:   Pavlo Tychyna Uman State Pedagogical University, Chuchalina Yuliia
Published: October 2020

The paper focuses on one of the issues of training highly qualified specialists of the modern school that is training future primary school teachers for the economic upbringing of younger pupils in the context of globalization processes. The author emphasizes the significant gap between the real state of affairs in general secondary education, higher education institution and today’s challenges, as well as the lack of coordination between them which does not allow one to provide the economic component of professional teacher training. The article aims to justify pedagogical conditions and means ensuring effective training of prospective primary school teachers for economic education of pupils. The systemic-functional method allowed one to identify the areas in the training of prospective primary school teachers for economic education and the systemic-structural method to identify and justify practical recommendations. The study and generalization of pedagogical experience became possible due to the empirical method. Primary school teachers play an essential role in solving this particular issue. Their purposeful training depends on the quality of training and upbringing of young people, as well as full inclusion in life and effective work under modern conditions of social development. Thus, one can conclude that professional training of future primary school teachers is not focused on the development of economic knowledge in younger pupils. In this case, economic self-study presented to younger pupils based on their life experience is likely to have negative results since it does not offer pupils different approaches to solving this or that issue. The introduction of primary school counselling, didactic and economics in the curricula for training future primary school teachers should have a positive impact on their expertise and ability to provide quality education and upbringing of pupils.
FOREIGN LANGUAGE COMPETENCE OF TEACHERS
Authors:   KZ ", Voloshina Olga ,   Kirovohrad Regional Institute of Postgraduate Pedagogical Education named after Vasyl Sukhomlynsky
Published: October 2020

This article considers the problem of connection between the foreign language communicative and professional competence of a teacher. The purpose of the article is to clarification of the level of the teacher's foreign language communicative competence is; determination of the main criteria and indicators that affect the level of the teacher's foreign language communicative competence. The research methodology includes the use of the following methods: mathematical and statistical methods of data, analysis. It has been established that professional competence is understood as the unity of his theoretical and practical readiness for professional activity, has a communicative orientation, characterizes a set of professionally important qualities and characteristics. It was found that foreign language communicative competence is a complex of knowledge, abilities and skills, as well as the experience of their use, which gives the teacher the opportunity to effectively and productively use a foreign language for professional activities. The level of foreign language communicative competence of teachers was clarified. It is proved that foreign language communicative competence is an important and integral part of the professional competence of a foreign language teacher.
PROGNOSTIC FACTORS OF CHRONIC CORONARY SYNDROME IN PATIENTS WITH CONCOMITANT TYPE 2 DIABETES MELLITUS
Authors: Nyshchuk-Oliinyk Nataliya , Fedorov Sergiy
Published: October 2020

Introduction: Chronic coronary syndrome (CCS) with concomitant type 2 diabetes mellitus (T2DM) is still a major cause of disability and mortality. That is why studying the prognostic factors of combination of these diseases is very relevant. There are many researches regarding the inflammation component of the development of atherosclerosis in patients with CCS and T2DM. It is still unknown how exactly does chronic systemic inflammation influences cardiac remodeling in such patients.
The Aim: Considering the aforementioned, the aim of our study was to asses the prognostic role of serum sST2, highsensitive C-reactive protein (hs-CRP) and TMAO as markers of chronic systemic inflammation and ins insulin resistance
in patients with CCS and T2DM.
Material and methods: 90 patients were enrolled, among them 30 patients with CCS: stable angina, class ІІ-ІІІ (group І) and 60 patients with CCS: stable angina, class ІІ-ІІІ and T2DM, non-insulin-requiring (group ІІ). The study was performed in Ivano-Frankivsk Central City Hospital and City Hospital No 1 (Ukraine) in accordance with the Helsinki Declaration and Good Clinical Practice Guideline. All patients gave written informed consent and the local ethics committee approved the study protocol. The patients were tested for the following: glycated hemoglobin (НbА1c), total plasma cholesterol (TC), triglycerides (TG), high density lipoproteins (HDL), low and very low density lipoproteins (LDL and VLDL), TMAO, sST2, hs-CRP.
Results and discussion: Patients with CCS and concomitant T2DM have higher levels of markers of systemic inflammation response, including TMAO by 8.5 times, sST2 by 2.2, hs-CRP by 19.1, compared with healthy individuals.
Conclusions: Patients with CCS and concomitant T2DM have more “atherogenic” dyslipidemia compared with the patients with isolated CCS, including statistically significant higher levels of triglycerides (р<0.05), VLDL (р<0.05),
and atherogenicity index of plasma (AIP) (р<0.05), and lower level of HDL(р<0.05). Results of this study suggest the possible use of ST2 as diagnostic and prognostic marker in patients with stable angina, including patients with concomitant T2DM. ST2 level > 35 ng/mL is negative prognostic marker concerning the development of chronic heart failure and testament for the need of more thorough examination of such patients. The level of TMAO can also be another credible predictor of negative prognosis of CCS.
PARENTERAL VIRAL HEPATITIS INFECTION RISK ASSESSMENT BY TEENAGERS
Authors: Medvedovska Natalia V. , Bugro Valerii I. , Kasianenko Ivan I.
Published: October 2020

Introduction: Developing strategy of parenteral viral hepatitis prevention among adolescents and youth is becoming an urgent issue.
The aim of the research was to study the available data on the risk factors and ways of parenteral viral hepatitis transmission among adolescents and youth, as well as their
attitude toward the problem of infection process spread by parenteral way and awareness of the personal risk of contamination.
Materials and methods: Primary source of research became the data of anonymous sociologic studies (questionnaire) among teenagers in the Kirovograd Region. The following
methods were used to reach the set goals: systemic approach, medico-statistical, sociological (questionnaire).
Results: The sociologic research showed a low level of awareness of the threat of personal infection with parenteral viral hepatitis in a teenage environment. It actualizes the
need for development of systemic measures to prevent the infection of adolescents by parenteral way, since informing only is insufficient.
Conclusions: Alertness to the spread of parenteral viral hepatitis and the risk of personal infection remains immature among teenagers and adolescents. The obtained results
prove the expediency of the scientific substantiation of the cross-sectoral complex approach to solving the problem of preventing the spread of parenteral viral hepatitis among
adolescents at the regional level.
ORAL HEALTH ABNORMALITIES IN CHILDREN BORN WITH MACROSOMIA ESTABLISHED DURING MIXED DENTITION PERIOD
Authors: Garmash Olga V.
Published: October 2020

Introduction: The prevalence of soft tissue and hard tooth tissuediseases in the oral cavity and the morphofunctional disorders of craniofacial complex, require attention
ofspecialistsin various branches of medicine. Scientists began to pay attention to metabolic and other violations that have occurred in the fetal development and led to the
occurrence of certain changes in the dental status of the child.
The aim of thisresearch is to study the features of the dental health condition in the children of Northeast of Ukraine, who were born with macrosomia during the period of mixed
dentition. The study takes into account intrauterine body length growth acceleration, intrauterine obesity or well-balanced acceleration of both the body weight and length gain.
Materials and methods: Thirty 6.5–11-year-old children with fetal macrosomia were examined (MainGroup). A Comparison Group was comprised of sixteen children, whose
weight-height parameters at birth were normal (fetal normosomia). All children in the Main group were split into four subgroups in accordance with weight-height parameters
at birth using the V. I. Grischenko and his co-authors’ harmonious coefficient. The evaluation of the hygiene status of the oral cavity, the dental caries intensity evaluation, and
the quantitative analysis of minor salivary gland secretion have been performed. The prevalence of dentoalveolar abnormalities was evaluated.
Results: The highest values of caries intensity were recorded in macrosomic-at-birth children born with harmonious (well-balanced) intrauterine development, with intrauterine
obesity and increased body length, or with intrauterine obesity and an average body length. Macrosomic children have reduced number of minor salivary glands per unit area
in comparison with the normosomic-at-birth children. The saliva secretion of minor salivary glands in macrosomic children is reliably, by 16,5% on average, reduced. Children
born with fetal macrosomia have long narrow faces and high palates more frequently than normosomic-at-birth children. Children born macrosomic have a significantly higher
percentage (100% versus 73%)of dentoalveolar abnormalitiesin comparison with the normosomic-at-birth children.
Conclusions: The processes causing fetal macrosomia have a great impact on the dental status of children in the period of mixed dentition.
OPTIMIZATION OF SURGICAL-ORTHODONTIC TREATMENT TACTICS IN PATIENTS WITH IMPACTED TEETH
Authors: Tkachenko Pavlo I. , Dmytrenko Maryna I. , Cholovskyi Mykola O.
Published: October 2020

Introduction: Impacted teeth is complex anomaly of teeth eruption that requires a balanced approach not only in the differential diagnosis of its forms, but choice of rational methods of treatment.
The aim: Optimization of the tactics of orthodontic-surgical treatment of patients with impacted teeth based on the development and implementation of computed tomographic indices (KT) and photometric indices (FM) of opening of surgical access (OSA) to crowns of impacted teeth Materials and methods: The results of treatment of 48 patients with delay of permanent teeth eruption have been analyzed. For an objective assessment of treatment results,
a group of 24 (aged from 9 to 19 years old ) was formed. All 24 patients had typical clinical situation.
Results: Orthodontic correction of patients envisaged, first of all, the elimination of obstacles in the way of teeth eruption, if necessary to provide space in dental arch and
simultaneous treatment of associated bite malocclusions. Surgical exposure of impacted tooth crown was carried out and at the same time a triangular shaped guiding channel
was formed, base of channel was at the impacted tooth and its angle finished into the dental arch. Precise dimensions and depth of the channel were preliminary planed on
computed tomography slices with 3D reconstruction.
Mean values of CT width (7,13±0,54mm), and length (6,42±0,78mm) of OSA and CT index (130,79±8,19%) of OSA to impacted teeth crowns were determined.
Conclusion: To improve the quality of diagnosis and optimization of methodological approaches to treatment of patients with teeth impaction, we have proposed CT and FM OSA indices to the crowns of impacted teeth. The developed indices serve as specific reference points for optimization of diagnostic process, for reducing of probability of repeated surgical interventions and choosing the optimal path for instrumental orthodontic treatment of patients with impacted teeth
COMPARISON OF METABOLIC PROFILE OF OBESE NON-DIABETIC PATIENTS WITH CORONARY ARTERY DISEASE DEPENDING ON ATORVASTATIN DOSE
Authors: Maksymets Tetiana , Sorochka Maria , Bondarenko Olha , Karpyshyn Natalia , Bochar Olesia , Sklyarov Yevhen
Published: October 2020

Introduction: Cardiovascular diseases (CVD) are one of the most important medical-biological and social problems in Ukraine and in the world because coronary artery disease (CAD) is a major cause of death and disability. Overweight and obesity are risk factor of CVD and type 2 diabetes mellitus (T2DM). Although statins have been shown to be beneficial in secondary prevention of CVD in a number of trials, current reports of increased risk of T2DM with statin use raise concerns.
The aim: To compare the metabolic profile and therapeutic targets of non-diabetic obese patients with CAD depending on the dose of atorvastatin.
Materials and methods: The study included 107 patients (82 men and 25 women) with CAD and abdominal obesity. Patients were divided into two groups: those taking
20 mg and 40 mg of atorvastatin daily correspondingly. Glucose, insulin, HbA1c, HOMA-IR, lipids, hs-CRP and anthropometric parameters were measured for each subject.
Results: For patients with CAD and obesity, who had taken atorvastatin in a 40-mg dose, we observed a significant increase in insulin resistance and impaired fasting glucose. Also we found a reliable correlation between the carbohydrate and lipid spectrum. These parameters reflect the mechanism of the formation of metabolic disorders as a result of intensive statin therapy.
Сonclusions: Despite of the beneficial reductions in LDL and total cholesterol, atorvastatin treatment on a dose 40 mg resulted in significant increase of fasting glucose, insulin levels and insulin resistance pertaining to those patients.
MODERNIZATION OF STATE ADMINISTRATION SYSTEM IN THE HEALTH CARE SPHERE OF UKRAINE
Authors: Knysh Serhii V. , Gusarov Sergiy M. , Shelukhin Nikolay L. , Kharaberiush Ivan F. , Bila Viktoriia R.
Published: October 2020

Introduction: A new medical reform started in Ukraine from January 1, 2018, new bills were drafted and the current legislation was amended. The legislator began
to gradually abandon organizational and legal ways to improve the functioning of medical institutions in order to develop the market of medical services, as well as to
ensure the protection of patients’ rights. The main issue of health care reform was the improvement of state administration, in particular the creation of new mechanisms
for financing medical institutions.
The aim: The objective of the article is to conduct theoretical study of the specific features of state administration in the health care sphere in Ukraine and to substantiate practical recommendations for its improvement taking into account the European integration processes.
Materials and methods: The author of the article has used the methods of analysis and synthesis, as well as a comparative legal method. The analysis of the current legislation
and world experience in reforming the medical sector assisted to determine the problematic issues of this publication, as well as to formulate the author’s point of view on the
ways to improve state administration through the health care system under conditions of medical reform in Ukraine.
Review: The author has studied the directions for the modernization of state administration by the health care system in the context of medical reform in Ukraine.
Conclusions: It has been emphasized that the management reform by its nature does not pay enough attention to ensuring the medical rights of citizens, as evidenced
by the legislation’s provisions regulating the access to a patient data. Improving public administration of the health care sphere is possible through the involvement
of a group of international experts from among the EU Member States to determine the optimal mechanism for transitioning to the system of compulsory state
health insurance.
PSYCHOLOGICAL ASPECTS OF EXAMINATION OF OPHTHALMIC PATIENTS WITH DIABETIC RETINOPATHY
Authors: Bezkorovayna Anna O. , Nakonechnyi Denys O. , Bezkorovayna Iryna M.
Published: October 2020

Introduction: Nowadays there are a number of questionnaires with a score assessment of mental disorders. However, they are not adapted to the specific manifestations of
DRP and require additional correction.
The aim: To determine the criteria of necessity of psychological help for the patient with DRP.
Materials and methods: 96 patients with DRP. The methods of the study were as follows: functional diagnostic examinations (visometry without correction and with optimal correction, direct and indirect ophthalmoscopy, optical coherent tomography of the retina and the optic disc); the assessment of mental state of patients using original and adapted tests.
Results: The criteria of necessity of specialized psychological help for the patient with DRP are: level of fatigue manifestations in points is higher than 33 for patients with
NPDRP, 49 with PPDRP and 56 with PDRP (according to the mean values of the total score of MFI at the corresponding stage of DRP); veracity of at least 2 statements from the additional questions and/or high values (>12) of at least 2 MFI subscales; changes in cognitive function, classified as severe or moderate.
Conclusions: The integrated, modified questionnaire for patient’s mental condition assessment, based on MFI for fatigue manifestations, MMSE for cognitive impairment and the additional questions provides a reliable way to determine the criteria for specialized psychological help necessity.
COMPARATIVE ANALYSIS OF THE DYNAMICS OF MODIFIED RISK FACTORS OF NON-COMMUNICABLE DISEASES AMONG THE POPULATION OF CHINA AND UKRAINE
Authors: Zhdan Vyacheslav M. , Holovanova Iryna A. , Khorosh Maksim V. , Tovstiak Mariia M. , Zinchuk Andriy M.
Published: October 2020

Introduction: In the modern world, the problem of non-communicable diseases, which nowadays constitute the main cause of social and economic losses, is extremely topical: the main causes of disability and mortality of the working population are caused by non-communicable diseases.
The aim is a comparative analysis of the prevalence and dynamics of the risk factors of the NCDs, and the overall mortality rate between the economically developed country
- China and the developing country - Ukraine.
Materials and methods: To achieve the set goal, the method of data analysis was used - the alignment of dynamic rows with the definition of increasing rates, the determination of reliability between two unrelated aggregates, triangulation. Material: annual reports of the State Statistics Service of Ukraine and the National Bureau of Statistics of China.
Review: As a result of the study, it was found that with the tendency to reduce the mortality rate, the mortality rate in Ukraine exceeds the rate in China, especially among men (2.5-3 times); the percentage of smoking is 6 times higher among Ukrainian women; an increase in malnutrition is observed in Ukraine, while in China it is constantly decreasing; in both countries there is an increase in the frequency of obesity in both sexes, but in Ukraine the prevalence is 4-6 times higher.
Conclusions: Thus, using the obtained data, one can conclude that, despite the difference in the level of economic development between countries, behavioral risk factors remain an extremely important problem.
CHARACTERISTICS OF THE INTERVENTION OF EMERGENCY MEDICAL TEAMS IN THE SOUTHERN PART OF POLAND IN 12-MONTH OBSERVATION
Authors: Wierzbik-Strońska Magdalena , Nadolny Klaudiusz , Grabarek Beniamin Oskar , Boroń Dariusz
Published: October 2020

The aim: The aim of this study was to characterize the general characteristics of the completed interventions by the Voivodeship Rescue Service of Katowice in the time period from 1st January 2018 to 31 December 2018.
Material and methods: Analysis of the characteristics of the trips was done based on the information contained in the dispatch order cards and medical emergency services
cards. In the statistical analysis the Chi-Square (p<0.05) test was utilized.
Results: The total number of interventions was 211,548 cases. It is also worth observing, that the general number of interventions out of town amounted to 20,344 interventions, whereas, in town, there were 191,204 interventions. It can be observed that the most common decision made by the Emergency Medical Team was the decision to directly transported and received by the emergency department (126,553 cases; p<0.05). The definite most common reason for symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (ICD-10 code : R; p<0.05).
Conclusion: The largest number of interventions completed by the Voivodeship Rescue Service in Katowice in 2018 was due to injuries and poisonings, symptoms, diseases
features and incorrect results of diagnostic tests, and in third place were cardiovascular diseases.
INFLUENCE OF POSITIVE AND NEGATIVE FACTORS ON THE UNIVERSITY STUDENTS’ HEALTH
Authors: Griban Grygoriy P. , Dikhtiarenko Zoia M. , Yeromenko Eduard A. , Lytvynenko Andrii M. , Koval Alla A. , Ramsey Irina V. , Muzhychok Vadym O.
Published: October 2020

The aim is to analyze the factors that affect the students’ health both positively and negatively and to evaluate the real health status of Ukrainian student youth.
Materials and methods: The research was conducted at Zhytomyr Ivan Franko State University and University of State Fiscal Service of Ukraine, 647 students of the 1st – 4th
years of study were examined. To study both negative and positive factors, we conducted a survey of the students of different genders of several education departments, using original questionnaires. To analyze the results of the students’ self-assessment of their health state, the methodology of V. P. Voitenko, which contains 27 questions that characterize the most important aspects of well-being, mood, activity, sleep quality, pain senses and lifestyle of students, was applied.
Results: It was determined that the most important factors for the preservation of health included nutrition, physical activity, active leisure, sleep, love and sex. 56.3 % of male students and 49.9 % of female ones indicated that motor activity is of great importance for health care. The students stated that the most dangerous health factors included drug use, radioactive contamination of the environment, smoking, alcohol abuse, stress, etc. It was found that the highest percentage of students had satisfactory and poor health levels – 44.8-54.9 % and 17.8-29.5 % respectively.
Conclusions: A wide range of specific components of the educational process and the healthy lifestyle of students can have different effects on life. Lifestyle is one of the many factors that affect students’ health. The students’ self-assessment of their health state lets to manage the educational process of physical education efficiently, allocate physical activity and apply individual tasks rationally.
THE ROLE OF THE PERIOPERATIVE NURSING CARE IN THE SATISFACTION OF PATIENTS AFTER LARGE JOINT REPLACEMENTS
Authors: Morawik Iwona , Gospodarek Monika , Turżańska Karolina , Zarębska Aneta , Serefko Anna , Jabłoński Mirosław
Published: October 2020

The medical services market is inevitably changing. Competition among health care institutions is growing, patients’ health awareness and expectations regarding the quality of health services are increasing. This translates directly into, among others, to the patient’s choice of medical facility. “Satisfaction” defined as “general satisfaction accompanying the consumption of products or services” is an important aspect affecting the position of a healthcare institution on the health services market. While in the hospital, the patient carefully observes and remembers many details of behaviors and reactions he encounters. Opinions of patients about a medical facility are usually subjective and relate mainly to satisfaction with the treatment process, therefore the lack of proper care in terms of patients’ needs may result in the loss of the hospital’s reputation. A very important aspect of the assessment of any medical service is the direct relationship between the patient and medical staff, mainly nurse. Among the factors affecting the level of patient satisfaction during a hospital stay are, inter alia, the availability of a doctor, nursing care, conditions in the ward, the possibility of patient participation in the treatment process, providing the patient with information in a clear and reliable manner, and improved health. Factors related to nursing care that have the greatest impact on the patient’s level of satisfaction comprise the nurse’s individual approach to the patient, time devoted to him, providing professional information, patient education and scrupulous nursing activities.
The aim: The aim of the paper was to assess the role of perioperative nursing care in the satisfaction of patients after hip and knee joint replacements.
PENGARUH BUDAYA KERJA TERHADAP PENINGKATAN PRESTASI KERJA PADA PT.TELKOM INDONESIA,Tbk PEMATANGSIANTAR
Authors: Wahyu Wiranda  , Tarigan Vitryani
Published: October 2020

Budaya kerja adalah cara pandang yang menumbuhkan keyakinan atas dasar nilai - nilai yang diyakini pegawai untuk mewujudkan prestasi kerja terbaik, dan pikiran untuk menghasilkan barang-barang atau jasa - jasa dengan memperoleh imbalan prestasi tertentu. Prestasi kerja adalah perwujudan dari hasil kerja seseorang yang akan menentukan perkembangan kariernya pada masa yang akan datang. Untuk menentukan sejauh mana perlu melakukan perubahan, langkah pertamanya adalah menganalisis budaya yang hidup dalam satuan kerja atau organisasi untuk memutuskan apa saja yang perlu diubah. Kedua adalah mengembangkan dan mengimplementasikan strategi perusahan. Namun seringkali pula ketika perubahan budaya dilakukan, kinerja yang dihasilkan tidak sesuai yang diharapkan. Bahkan akan mengganggu dan merusak budaya kerja sebelumnya.
Berdasarkan analisa dan evaluasi yang telah dilakukan dari hasil penelitian terhadap 35 orang responden diperoleh bahwa secara rata-rata dari budaya kerja yang terdiri dari kejujuran adalah sebesar 0,245%, ketekunan sebesar0,429%, kreatifitas sebesar 0,060%, kedisiplinan sebesar 0,021%,iptek sebesar 0,035% sedangkan prestasi kerja sebesar 38,71% berdasarkan dari hasil analisa budaya kerja terhadap lima factor budaya kerja yang lebih dominan mempengaruhi adalah ketekunan dengan nilai persentase sebesar 0,429% maka dari itu dapat disimpulkan bahwa prestasi kerja masih jauh lebih besar dari budaya kerja.
koefisien determinasi (adjusted R2) yang diperoleh sebesar 0,802 dipangkatkan dua (0,8022) maka didapat 0,564 atau 56,4%. Hal ini menunjukkan bahwa persentase sumbangan variabel independen (budaya kerja yang terdiri dari kejujuran, ketekunan, kreatifitas, kedisiplinan dan iptek) terhadap variabel dependen (prestasi kerja) sebesar 56,4% dengan variasi variabel independen yang digunakan dalam model (budaya kerja dan prestasi kerja) mampu menjelaskan 56,4% variabel dependen (prestasi kerja), sedangkan sisanya sebesar 43,6% dipengaruhi atau dijelaskan oleh variabel lain yang tidak dimasukkan dalam model penelitian ini
The Paleotechnology of Telephones and Screens
Authors: Pint Kris
Published: October 2020

This article argues that the essentials of the complex relationship between interiority and exteriority, and the mediating role of teletechnology, are already present in the interiors of Paleolithic caves. As philosopher Maxine Sheets-Johnstone argues in The Roots of Thinking (1990), cave art emerged from the primal fascination with ‘being inside.’ Yet at the same time, these first interiors were most likely created to establish a form of communication with an exterior, the ‘augmented reality’ of the spirit world, made possible through rudimentary technological and biological extensions. It also required a specific use of the spatial qualities of these caves, both sensory and atmospheric. This complex hybrid constellation of interior space, the human body and (psycho)technology created a permeability between different human and non-human actors. According to prehistorian Jean Clottes in Pourquoi l’art préhistorique (2011), the ‘permeability’ between inner and outer worlds is indeed one of the concepts that are crucial to understanding the Paleolithic human outlook on the environment, and is a concept which is still relevant today. 
Ever since these animistic Paleolithic works of art, teletechnology reveals what philosopher and literary theorist Jennifer Gosetti-Ferencei calls, in The Ecstatic Quotidian: Phenomenological Sightings in Modern Art and Literature (2007), the ‘ecstatic’ side of the quotidian. In this article, I follow the traces of this animistic, ecstatic experience in literature, in Walter Benjamin’s Berlin Childhood around 1900 (1932-8) and Marcel Proust’s In Search of Lost Time (1913-1927), and in cinematography, in Maya Deren’s Meshes of the Afternoon (1943) and David Cronenberg’s Videodrome (1983). The imagination of now outdated technologies creates a kind of anachronistic, defamiliarizing perspective that helps to grasp the animistic, mythical dimension of our daily domestic immersion in contemporary teletechnologies (from video chats to ASMR-videos). These anachronistic experiences we find in art allow us to better reflect on the ecstatic role of media-technology in relation to our spatial and psychological interiors, and the (psycho)technological conditions of contemporary dwelling in the interiors of the communication age.
INCIDÊNCIA E PERFIL DE CASOS DE PRÉ-ECLÂMPSIA REGISTRADOS EM UM HOSPITAL PÚBLICO DO INTERIOR DE PERNAMBUCO E SEU IMPACTO NA EFETIVIDADE DO ACOMPANHAMENTO DAS GESTANTES
Authors: Fragoso Cavalcante José Luis Guilherme , Fragoso de Souza Carlos Alberto , da Rocha Ane Elizabete , Carvalho da Cunha Caio César , Alves Ferreira Lins Micherllaynne
Published: October 2020

A pré-eclâmpsia é uma das complicações mais frequentes inerentes identificadas na gestação que leva a grandes repercussões maternas e fetais, podendo gerar complicações como convulsões e morte e que deve ser mais bem compreendida. O estudo teve como objetivo analisar a incidência e o perfil de casos de pré- clâmpsia registrados em um hospital publico do interior de Pernambuco e seu impacto na efetividade do acompanhamento das gestantes. É um estudo de natureza observacional, transversal retrospectivo, analítico de modo qualitativo e quantitativo. No estudo obteve-se 24 casos de pré-eclâmpsia, distribuídos em pré-eclâmpsia (5), pré-eclâmpsia grave (3) e pré-eclâmpsia não especificada (12), a coleta de dados foi realizada através de planilha previamente elaborada segundo as variáveis (idade, escolaridade, prossão, estado civil, gravidez atual, se realizou pré-natal e gestação anterior). Foi verificada que a maior frequência de casos de pré-eclâmpsia nas gestantes com idade entre 17 e 19 anos e 25 a 27 anos de idade. Foi observado que dentre as mulheres que desenvolveram pré-eclampsia a maior frequência eram nuliparas. Em relação à média de consultas obtidas foi de quatro (04) consultas de acompanhamento. Dentre os 24 casos de Pré-eclampsia 68% destas receberam sulfato de magnésio (MgSO4). Evidenciou-se uma deciência na assistência ao pré-natal, no que se refere à busca ativa dessas gestantes na atenção básica e com isso a necessidade de identificar precocemente os fatores de risco, uma vez que a assistência efetiva faz com que estes casos sejam resolvidos ainda na assistência primaria à saúde escassear os gastos públicos.
EFEITOS DA CINESIOTERAPIA NO PÓS-OPERATÓRIO DE LIGAMENTOPLASTIA DE LESÃO DE LIGAMENTO CRUZADO ANTERIOR (LCA)
Authors: Pereira Santos Lopes Geanne , Landim Alves Luzângela , Caldeira Ramos Diogo
Published: October 2020

A lesão de ligamento cruzado anterior, geralmente ocorre devido a uma hiperextensão associada ao movimento de rotação externa da tíbia, com o pé fixo no solo. Seu tratamento pode ser cirúrgico, no qual é realizada a reconstrução ligamentar ou conservador. Sendo que mesmo após o procedimento cirúrgico, é essencial o tratamento fisioterapêutico para restabelecer a funcionalidade da articulação do joelho. Esse estudo teve como objetivo abordar a atuação sioterapêutica através da cinesioterapia no tratamento das lesões do ligamento cruzado anterior. Trata-se de uma revisão sistemática sobre protocolosde tratamento sioterápico em ligamento cruzado anterior (LCA) após ligamentoplastia, publicados nos últimos 14 anos, nas bases PubMed, SciELO e LILACS. As buscas foram realizadas entre abril e maio de 2019. Após serem aplicados os critérios de inclusão e exclusão, obtivemos um total de 26 artigos os quais foram utilizados para compor este estudo. Dos 26 artigos encontrados, apenas 2 apresentavam ensaios clínicos controlados, e buscavam testar protocolos, tendo um bom grau de evidências (5/5). Os artigos selecionados tinham a finalidade de buscar mostrar a eficácia da fisioterapia, após a ligamentoplastia do LCA. A cinesioterapia demonstrou através dos resultados apresentados nesse estudo, benefícios após a ligamentoplastia, como a melhora da força muscular, propriocepção, restabelecimento do arco de movimento e funcionalidade, além da reinserção do indivíduo às atividades esportivas, no caso de atletas.
A IMPORTÂNCIA DA COMUNICAÇÃO TERAPÊUTICA ENTRE OS ENFERMEIROS OBSTETRAS E AS PARTURIENTES DURANTE O TRABALHO DE PARTO, PARTO E PÓS-PARTO, EM UM HOSPITAL PÚBLICO DO MUNICÍPIO DE SERRA TALHADA
Authors: Dos Santos Pereira Sínthia Millena , Alves Ferreira Lins Micherllaynne
Published: October 2020

Por meio da comunicação terapêutica o enfermeiro obstetra compreende a parturiente, a maneira como a mesma sente, percebe e age no mundo, dessa forma, o enfermeiro conseguirá identicar os problemas da parturiente e o significado que esta lhes atribui, e dessa forma estabelecer uma comunicação para uma ação terapêutica. Este estudo tem como objetivo compreender a importância da comunicação terapêutica entre os enfermeiros obstetras e as parturientes durante o trabalho de parto, parto e pós-parto, em um hospital público de Município de Serra Talhada-PE. Trata-se de um estudo descritivo transversal, prospectivo com abordagem quanti-qualitativa, no Hospital Professor Agamenon Magalhães, incluindo mulheres que estão em trabalho de parto, que pariram ou que estão no pós-parto. Os enfermeiros estavam na faixa etária entre 28 e 39 anos com tempo de trabalho executado na obstetrícia entre 1 a 5 anos. Foi possível perceber que esses profissionais possuem um papel fundamental durante todo o processo de parturição, através um atendimento humanizado, dando suporte emocional e técnico, incentivando o parto natural, diminuindo medos, angústias, dores, através da comunicação terapêutica, assim como técnicas para o alívio da dor, banho terapêutico, respiração adequada, exercício na bola suíça, deambulação, alimentação adequada, massagens terapêuticas, musicoterapia, preparo da parturiente para o momento das contrações e posição livre para o tipo de parto. Enquanto as puérperas, em sua maioria, consideraram essas práticas humanizadas excelentes, pois algumas já possuíam experiências traumáticas, e então foram muito bem tratadas desde a triagem até o momento da alta, sendo elas orientadas em todos os momentos.
O EXERCÍCIO DO PROFISSIONAL DE CONTABILIDADE Á FRENTE DAS EXIGÊNCIAS DO TSE NAS CAMPANHAS ELEITORAIS
Authors: Vieira de Albuquerque Joselânia , Inácio de Melo Ana Cristina
Published: October 2020

O referido artigo aborda o papel do profissional contador na prestação de contas eleitorais após às mudanças ocorridas no processo eleitoral que determinou a obrigatoriedade de sua contratação. Nesse contexto, foram consideradas as normas estabelecidas pelo Tribunal Superior Eleitoral (TSE) no sentido de dar maior transparência às prestações de contas eleitorais e evitar que a manipulação de recursos influencie o resultado das eleições. Diante disso, a investigação se propôs a responder o seguinte questionamento: qual a importância do profissional da contabilidade nas campanhas eleitorais mediante as exigências do Tribunal Superior Eleitoral? O estudo tem como objetivo explorar acerca da atuação do profissional de contabilidade nas prestações de contas no período das eleições. Para a construção do aporte teórico face aos objetivos e problemática, utilizou-se o método bibliográfico, bem como consulta em documentos legais, tal quais como: Normas, Decretos Federais e a Constituição Federal de 1988. De forma geral concluiu-se que sem a participação de um profissional qualificado, com conhecimento na prestação de contas, não se terão as garantias de que todos os registros estarão de acordo com os princípios da contabilidade e tempestivamente informados à Justiça Eleitoral. Assim sendo, é válido afirmar que houve um grande avanço e valorização dessa categoria nos últimos tempos, de modo que os serviços desse profissional tornou-se uma importante recurso também no combate a corrupção, posto seu papel de demonstrar informações de cunho financeiro e patrimonial de ordem social de forma exata e transparente.
ANÁLISE DA QUALIDADE DE VIDA DOS PACIENTES COM NEOPLASIA DO CÓLON NO MUNICIPIO DE PETROLINA-PE
Authors: Carvalho da Cunha Caio Cesar , Marques de Sá Isabela Rafaelli , Fragoso Cavalcante José Luis Guilherme , Inácio da Silva Felipe Mourato , Alves Ferreira Lins Micherllaynne
Published: October 2020

O câncer colorretal é uma neoplasia que ocorre no trato gastrointestinal e a terceira causa de câncer associada à morte no mundo. No Brasil, o ele é o terceiro mais frequente nos homens e o segundo nas mulheres. O presente trabalho teve como objetivo de avaliar as alterações na qualidade de vida geral dos pacientes que estão diagnosticado com câncer colorretal. Os dados foram coletados através de 02 questionários, um baseado e adaptado do instrumento de avaliação de qualidade de vida da Organização Mundial da Saúde (WHOQOL), e o outro com os dados sociodemográficos. Foram entrevistados 20 pacientes, dentre os quais 12 mulheres (60%) e 8 homens (40%). Quanto à faixa etária, 9 (45%) tem a idade acima de 60 anos. 12 (60%) pacientes eram casados. Quanto a ocupação 13 (65%) eram aposentados. Acerca do nível de escolaridade 6 (35%) tinham o ensino médio completo e 19 (95%) eram católicos. Observou-se que o domínio com escore mais elevado foi domínio psicológico (76,33/3.81) e o domínio com mais comprometimento o social (55,1/2,75). Em relação à qualidade de vida geral foi observado que os participantes avaliam sua qualidade de vida (Q1) de forma positiva bem como, por outro lado, a satisfação com à saúde (Q2) de forma negativa.
ANTI-HER2 ANTIBODIES IN COMBINATION WITH CHEMOTHERAPY OR CHEMOTHERAPY-FREE REGIMENS TARGETING HER2-POSITIVE BREAST CANCER: A SYSTEMATIC REVIEW
Authors: Nur Husna Siti Muhamad , Hussain Faezahtul Arbaeyah , Yahya Maya Mazuwin , Dyhl-Polk Anne , Wong Kah Keng
Published: October 2020

Breast cancer is the leading cause of cancer-related death in female worldwide. Human epidermal growth factor receptor 2 (HER2) amplification is observed in approximately 20% of breast cancer cases and is associated with poor clinical outcomes. Dual HER2 blockade without chemotherapy represents an attractive therapeutic approach, and it remains unresolved if anti-HER2 therapeutic antibodies are sufficient to replace chemotherapy regimens. In this review, we discuss the approved therapeutic monoclonal antibodies (pertuzumab and trastuzumab) and antibody-drug conjugate (trastuzumab emtansine or T-DM1) for the treatment of HER2-positive breast cancer patients. In summary, phase II and III clinical trials have demonstrated that dual HER2 blockade (pertuzumab and trastuzumab) plus chemotherapy regimens confer better efficacy compared with dual HER2 blockade alone, or anti-HER2 antibody monotherapy, in HER2-positive breast cancer patients. Dual HER2 blockade (pertuzumab and trastuzumab) combined with chemotherapies (5-fluorouracil, epirubicin, cyclophosphamide and docetaxel) yield superior response. Moreover, dual HER2 blockade (T-DM1 and pertuzumab) in combination with docetaxel represents a promising treatment regimen containing T-DM1. Ongoing clinical trials are assessing the optimal chemotherapy of choice with anti-HER2 antibodies combinations. In conclusion, improved outcomes are attributable to selection for the optimal chemotherapy regimen in combination with anti-HER2 antibodies instead of replacing chemotherapy altogether with the current line of anti-HER2 therapeutic antibodies.
“Ecological Humanism” As A Universal Spiritual And Moral Value
Authors:   Phd Of Philosophical Science, Department Of Civil Society And Law Education, Faculty Of Social Sciences, National University Of Uzbekistan Named After Mirzo Ulugbek, Tashkent, Uzbekistan, Tilavov Uktamjon Gulomovich
Published: October 2020

This article reveals that ecological humanism has the status of a universal spiritual and moral value. Its content is based on the concretization of universal: social, economic, political, spiritual, ideological ecological relations. In the context of the ecological crisis, the issue of improving environmental thinking is put forward by placing the problem of humanism in the spotlight of the scientific community.