bluuebunny/crossref_metadata_2025 huggingface dataset:
Management of penetrating injury in Jombang Public Hospital district: a case report
Authors: Setiawan Reynard Budy , Sayogo Hanafi , Surahmad Fakhri , Danardono Edwin
Published: April 2020

Background: A penetrating injury is due to the mechanical force which is piercing in nature and caused by sharp-pointed objects. Penetrating trauma from the inguinal region to the thoracic region is a case with high morbidity and mortality when not sufficient early surgical assessment and good management. The penetrating injury needs early medical assessment and proper management, and this can be done in type B hospital.Case Description: Twenty-two years old male came to the emergency department in Jombang Public Hospital District after fell from 4 meters height in a construction project. We found 12 mm metallic foreign body has stabbed from right groin projected to left anterior axillary line ICS 4, and patient hemodynamically was stable without any signs of peritonitis. External genital examination showed bloody urethral discharge. We performed chest X-Ray, FAST sonography, prone and lateral KUB X-Ray, urethrographic and emergency exploratory laparotomy for foreign body extraction.Conclusion: Penetrating injury management involved supportive and surgical management toward damaged organs and extracted foreign body. The recommendation of penetrating injury is to keep the foreign body not to be manipulated since the foreign body can create a tamponade effect that can prevent massive bleeding.
A case evaluation of traumatic brain injury in Wahidin Sudirohusodo Hospital, Makassar during January 2016 - December 2017
Authors: Samma Linda , Widodo Djoko
Published: April 2020

Introduction: Traumatic Brain Injury is a case that is often encountered in emergency care installation and is one of the leading causes of death in the productive age range. Globally, the Traumatic Brain Injury incident increased sharply, mainly due to the increase in motorized vehicle use. In 2020,Â  the WHO estimated that traffic accidents would be the third-largest cause of disease and trauma in the world. In Indonesia, at Cipto Mangunkusumo Hospital Jakarta shows that the mortality rate is high in patients with severe head injuries with a percentage of 35% -50%. This figure is higher than the international literature standard. This study aims to describe the traumatic brain injury case in Wahidin Sudirohusodo Hospital from January 2016 - December 2017.Methods: This descriptive study report the evaluation of cases of traumatic brain injury patients at Wahidin Sudirohusodo Hospital Makassar, from January 2016 - December 2017. The population and sample are 1217 patients (total sampling).Result: FromÂ  1217 samples, most are men (70%), and 30% are women, with age 11-20 years are the most (30%). The most common causes of traumatic brain injury are caused by traffic accidents (89%). The largest group of patients (50%) had a mild head injury (GCS 14-15). From a Head CT scan, the most lesion was epidural hemorrhage (EDH) (26-34%) followed by intracerebral hemorrhage (ICH) (23-28%). About 36% patients were treated by operations and the rest were conservative. Based on the outcomes, about 77% were discharged from a hospital in life and 23% died. Â Conclusion: The highest mortality was in severe head injury, about 87% was died (161 of 186 patients with a severe head injury). From the Head CT Scan, about 95% (19 of 20 patients) with IVH lesions were died and followed by ICH lesions as 39% (122 died from 309 patients). Based on the therapy given both surgery and conservative, patients who were discharged from the hospital in life at 77-79% and died 21-23%.
The functional outcome in short-term follow up after Total Knee Replacement (TKR) in Kandou Hospital, Manado, Indonesia
Authors: Rawung Rangga , Juliandi Tomi
Published: April 2020

Background: The percentage of knee osteoarthritis incidence in Indonesia is quite high. In addition, most cases of knee osteoarthritis patients are performed Total Knee Replacement (TKR). Besides the effectiveness of TKR surgery to overcome the knee osteoarthritis, previous studies showed that almost a third patients reported unfavourable pain outcomes at between 3 months and 5 years after TKR surgery. So, this study aims to evaluate the functional outcome of patients after performed TKR at Prof Dr R.D. Kandou Manado Hospital during January-December 2018 period.Methods: A cross sectional study was carried out among 32 patients who underwent TKR at Prof Dr R.D. Kandou Manado during the study period. Before surgery and 3-month post-surgery, all of patients were evaluated with Knee Society Score questionnaire. The collected data that consisted of knee score and knee function score by American Knee Society Score (AKS), as well as data demographics of respondents, were analyzed with paired T-test using SPSS version 23 for Windows.Results: Most of the patients are in the elderly category of age (â‰¥60 years old) (78.13%) and this disease showed a higher prevalence in women (78.13%) than in men (21.87%). Patients showed a significant improvement in the degree of knee function (p<0,0001) at 3-months after surgery compared to before surgery. Moreover, as many as 21,87% of patients still experience pain 3-months after TKR.Conclusions: A significant improvement was found among patients in the degree of knee function after TKR. However, several patients still experience pain at follow up 3 months after TKR.
Profiles of IgM, IgG and IgE immune responses of mice against p14, p31 and p71 proteins following immunization with crude cystic fluid of Cysticercus bovis
Authors: Oka Ida Bagus Made , Dwinata I Made , Dharmawan I Nyoman Sadra , Damriyasa I Made , Astawa Nyoman Mantik
Published: April 2020

Background: The presence of IgM, IgG and IgE antibodies has been widely used as important markers for the differentiation of acute and chronic infection in many infectious diseases, but limited studies reported on Cysticercus bovis infection are available. This study aimed to determine the IgM, IgG and IgE responses of mice against crude cystic fluid, p14, p31 and p71 antigens as the possible diagnosis of acute and chronic cysticercosis in hosts.Methods: Six mice were immunized four times at 10 days interval with Cysticercus bovis. Individual p14, p31 and p71 proteins were separated by using sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE) and elution of proteins from gel with elution buffer. The crude cystic fluid, p14, p31 and p71 were used as antigens for enzyme-linked immunosorbent assay (ELISA) to measure the IgM, IgG and IgE antibody titers in mice sera before and after the first, the second, the third and the fourth immunizations.Results: No IgM, IgG and IgE against crude cystic fluid, p14, p31, and p71 was detected in sera samples collected before the first immunization. Moderate to high titers of IgM antibodies against crude cystic fluid, p14, p31 and p71 were identified following the first, the second, the third and the fourth immunizations. IgG titers against crude cystic fluid, p14, p31 and p71 was still at a low level following the first immunization and started to increase following the second, the third and the fourth immunization. Generally, low titers of IgE antibodies against crude cystic fluid, p14, p31 and p71 were detected after each immunization. IgE responses only increased slightly against crude cystic fluid and p71 antigens after the third and the fourth immunizations. The IgM, IgG and IgE responses of mice against crude cystic fluid and p71 antigens were higher than those against p31 and p14 antigens.Conclusions: The presence of IgM without IgG and IgE can indicate acute infection, whereas the presence of IgM and IgG with slight increase IgE might indicate a chronic infection of Cysticercus bovis.
Correlation between heart failure score and estimation glomerulus filtration rate based on cystatin C in children
Authors: Sari Linda Silvana , Gunawijaya Eka , Arhana Bagus Ngurah Putu , Yantie Ni Putu Venny Kartika
Published: April 2020

Background: Heart failure is a clinical syndrome due to decreased cardiac output affecting body perfusion, including the kidneys. An acute or chronic relationship between the heart and the kidney is called cardiorenal syndrome. Cardiorenal syndrome worsens the clinical state and prognosis of patients with heart failure. This study aimed to analyse correlation heart failure score and estimate GFR based on cystatin C.Methods: This cross-sectional with a study subject of children aged 0-12 years with a diagnosis of heart failure caused by congenital and acquired heart disease. The data were recruited consecutively in the children emergency room with the period January 2016 to July 2017. The decrease in cardiac output was enforced based on cardiac failure score according to modification of Ross when arrived at the hospital and followed by determining the estimated GFR based on cysC base on formula 75.94/CysC1.178 mg/dl. Correlation between heart failure score and estimated GFR was tested using Spearman correlation.Results: Forty-one subjects were analysed, had median heart failure score 10 (minimum/min 7, maximum/max 12). Median estimate GFR based on cysC 81.65 (min 12.31, max 133.23) ml/minute/1.73m2. There was a moderate negative association between heart failure score and estimated GFR based on cystatin C (r= -0.53; p<0.001).Conclusion: A moderate negative correlation between heart failure score and estimated glomerular filtration rate based on cystatin C levels in children.Â
Graft procedure on urethroplasty, in comparison with flap procedure: a literature review
Authors: Duarsa Gede Wirya Kusuma , Pratama Putu Kurnia Darma , Sabudi I Made Nugraha Gunamanta , Oktavius Donny
Published: April 2020

Urethroplasty is a surgical procedure to reconstruct urethral patency on urethral stricture. There are several options for repairing urethral stricture in general, one of the examples is using graft or flap for augmentation urethroplasty. The indications of augmentation urethroplasty with graft are bulbar or penile urethral stricture, risk of tension on urethral anastomosis, and stricture more than 1 cm. Graft is less reliable because it has to be revascularized, easier to harvest, on the other hand flap has generous blood supply, but it was time-consuming to collect and to dissect. In case of bulbar urethral stricture with intact corpus spongiosum, graft had more advantages rather than flap because the anatomy of the urethra moves proximally giving thicker and more robust ventrally, and makes the graft suitable on vascular bed. Plenty of sites can be used to harvest graft for urethroplasty, there are buccal mucosa, genital skin, extragenital skin, lingual mucosa, bladder mucosa, and colonic mucosal graft. Although the treatment of urethroplasty depends on the length and location of stricture until today the comparison between the use of graft and flap in urethroplasty is still controversy and under debate.Some studies reported higher success rates in grafts than flaps procedure, but only few studies showed statistically significant difference. However, grafts procedure is easier, less operative time, and less morbidity, therefore leading to satisfaction in most of the patients.
The effect of intraarterial heparin flushing to autism symptoms when used to treat the concomitant cerebral venous thrombosis: a case series
Authors: Setiawan Erwin , Soetikno Ristaniah , Risan Nelly Amalia , Shelly Shelly , Ratmono Tugas , Pramono Ardianto , Adiputra Rachmanto Heryawan Surya , Putranto Terawan Agus
Published: April 2020

Introduction. There are still no definite therapeutic strategies for Autism Spectrum Disorder (ASD) other than behavioural interventions and few FDA approved behaviour control drugs. In this study, we found a co-existence medical condition of ASD & Cerebral Vein Thrombosis (CVT) in the paediatric population. Based on these findings, a new therapeutic approach, a catheter-directed anticoagulant therapy termed as IAHF (Intra Arterial Heparin Flushing) was performed on this population of patients.Methods. This paper aims to describe a series of 10 cases of IAHF procedure performed to treat CVT on children with ASD from 2018 through 2019 at Cerebrovascular Center RSPAD Gatot Soebroto Jakarta-Indonesia. The children diagnosed with ASD by the multidisciplinary team but also had CVT findings on their brain magnetic resonance imaging studies when performed as the series of comprehensive diagnostic examination. IAHF were conducted by delivering heparin through a modified DSA technique into the occluded vessels. Subject Autism status was assessed with the ChildhoodÂ AutismÂ Rating Scale (CARS) before and one month after IAHF procedures.Results. The measurement of CARS Score after IAHF shows a relatively positive result. Eight patients showed a decreased in total CARS Score after the procedure, while only two patients had no improvement. One subject shows a decrease of nine points, the most significant changes, and improved the status from moderate to mild autism.Conclusion. In children who have ASD and also accompanied by CVT findings in their imaging studies, IAHF treatment showed clinical improvement of the autism symptoms.Â
Penile glans necrosis following penile sclerosing lipogranuloma repair: a rare case
Authors: Soebhali Boyke
Published: April 2020

Background: Ischemia or necrosis of the penile glans is a rare condition, commonly as a result of trauma, diabetes mellitus, circumcision, vasculitis and vasoconstrictive solutions administration. Sclerosing lipogranuloma of the penis is mainly a complication arising from injection of oil-based liquid to the subcutaneous tissue of the penis.Â  No previously reported case of penile glans necrosis has been reported as the result of penile sclerosing lipogranuloma repair. Case Description: We report a 45-year-old man presented with a hardened penile skin after injection of unknown liquid material to his penile skin 10 years earlier. The abnormality made him difficult to perform sexual activities because of pain during sexual intercourse. The suprapubic area was also affected, with a tender mass similar to the penile skin. First stage penile reconstruction using Cecilâ€™s two stage technique was performed. After seven days, the patient noticed his penile glans was blackened, and he complained about less sensation on the glans. In the fourteenth day, debridement of the necrotic glans surface performed, and healthy glans tissue was found beneath the necrotic tissue. After six months, the second stage reconstruction was performed with a satisfying result.Conclusion: Necrosis of the penile glans is a rare condition after reconstruction of sclerosing lipogranuloma of the penis. Debridement of the necrotic tissue and glans resurfacing can be a good choice to correct this problem.
Association between expression of ALDH1 and TGFb2 genes, histological and clinical findings in breast cancer
Authors: Sadeghian Yasan , Samizadeh Esmaeil , Mohammadi-vajari Mohammad Ali Ali , Lashkari Mohammad Hossein , Sadeghian Ehsan , Hosseini Seyedeh Nasim , Jafari Mehdi , Sorbi Tahereh
Published: April 2020

Background: Breast cancer is one of the most common malignancies. The relationship between the pathogenesis of breast tumours and their invasive behaviour is an important issue that has been discussed recently. ALDH1 and TGFb2 genes can be mentioned among the most crucial signalling and molecular pathways that play an active role in tumour invasive behaviour. The aim of this study was to determine the expression level of ALDH1 and TGFb2 genes in breast cancer and its relationship with histology in breast cancer patients.Method and material: This cross-sectional study was done on 65 breast cancer patients who had been referred to the Army 501 hospital during the years of 1992-1994. Data was collected using the patient records, and the results of immunohistochemically staining were obtained in the laboratory. Data were analyzed by SPSS software using t-test, Chi-square and Fisher tests. The level of significance was considered to be 0.05.Results: In this study, we assessed the expression of these genes in tissue samples of 65 patients with breast cancer and its relation with the histology and clinical progress. The expression of ALDH1 in the malignant breast tissue was 83.5% (55 out of 65 samples) and the expression of TGFb2 gene showed 54 samples (83.1%) were positive. There was a significant relationship between lymphatic drainage and ALDH1 expression. Conclusion: There was a significant relationship between ALDH1 expression, tumour size, neuronal invasion, tumour grade, metastasis, and lymph node involvement. There was also a significant relationship between TGFb2 expression and tumour size, metastasis, tumour grade, and lymph node involvement. There was no significant relationship between the expression of ALDH1, TGFb2, and the type of pathology and history of chemotherapy
Effect of Drilling Speed on Dental Implant Insertion Torque
Authors: Varghai Kaveh , Eppell Steven J. , Wang Russell
Published: April 2020

The specific aim of this study was to examine whether slow drilling speeds (15 rpm) produce pilot holes that result in different implant insertion torques than pilot holes made with higher speed drilling (1500 rpm). To accomplish this, a new method is presented for transferring samples from a drilling machine onto an implant insertion torque measuring apparatus while maintaining the same center of rotation. Simulated bone blocks of polyurethane were used with 2 densities of foam to mimic trabecular and cortical bone. Pilot holes drilled using both drilling methods were morphologically characterized at macro and micro scales. Nobel Biocare Nobel Active implants were then placed. Profilometer and optical imaging were used to determine changes in the pilot hole morphology. Recorded insertion torque measurements were used to quantitatively contrast implants inserted into holes drilled using the 2 speeds. Although there were slight qualitative and quantitative differences between the low- and high-speed drilled pilot holes, the differences were insufficient to cause a statistically significant change in insertion torque.
The Effect of Parathyroid Hormone Analogues When Added to Mineralized Bone Xenografts
Authors: Emam Hany , Leach Daniel , Sun Zongyang , Tee Boon Ching , Karatas Berfin , Kim Do-Gyoon , Jatana Courtney
Published: April 2020

Implants can be a treatment option when there is sufficient quantity and quality of bone to provide support for long-term success. In the reconstruction of defects, autogenous bone remains the gold standard for its osteogenic and compatibility properties. However, the disadvantage of secondary surgery and the associated donor site morbidity prompts researchers to develop the ideal bone substitute for optimum bone reconstruction. Parathyroid hormone (PTH1-34) has provided a new option for improvement in bone regeneration. This study used a pig model to evaluate the effectiveness of parathyroid hormone when added to a xenograft, Bio-Oss, in reconstructing mandible defects. Six domestic pigs were used to create 3 posterior mandibular defects measuring 2 × 1-cm bilaterally with a total of 36 defects to simulate tooth extraction sites in humans. The defects were grafted in random order and divided into 3 groups as follows: control (no graft), Bio-Oss without PTH, and Bio-Oss with PTH. Defects were assessed with cone beam computerized tomography (CBCT), micro computerized tomography (microCT), nanoindentation, and histology. Results showed that adding PTH1-34 significantly enhanced the graft construct. CBCT showed a significant increase in the degree of bone mineralization. Nanoindentation showed increased hardness of regenerated bone and accelerated bone mineralization with PTH. MicroCT analysis revealed a trend toward higher bone regeneration and mineralization. The histological analysis showed a positive trend of the increase in cortical bone thickness and mineral apposition rate. In conclusion, the local addition of PTH1-34 to a xenograft has shown promising results to enhance bone regeneration in the reconstruction of mandibular defects.
Facial Gingival Changes With and Without Socket Gap Grafting Following Single Maxillary Anterior Immediate Tooth Replacement: One-Year Results
Authors: Yuenyongorarn Pakpoom , Kan Joseph Y. K. , Rungcharassaeng Kitichai , Matsuda Hiroyuki , Roe Phillip , Lozada Jaime L. , Caruso Joseph
Published: April 2020

This 1-year prospective study evaluated horizontal and vertical facial gingival tissue changes after immediate implant placement and provisionalization (IIPP) with and without bone graft in the implant-socket gap (ISG). During IIPP, 10 patients received bone graft material in the ISG (G group), while the other 10 patients did not (NG group). The implants were evaluated for implant stability quotient (ISQ), modified plaque index (mPI), modified bleeding index (mBI), marginal bone level (MBL), facial gingival level (FGL), and facial gingival profile (FGP) changes. The mean ISQ value at 9-month follow-up was statistically significantly greater than on the day of implant surgery (P < .05). The mPI and mBI scores demonstrated that patients were able to maintain a good level of hygiene. There were no statistically significant differences in the mean MBL changes between the G and NG groups (P > .05). There were statistically significant differences in FGL changes between the G (-0.77 mm) and NG (-1.35 mm) groups (P = .035). There were no statistically significant differences in FGP changes between the G and NG groups (P > .05). However, statistically significant differences were noted in FGP change between the 3–12 and 0–12 month intervals in both groups (P < .05). Within the limitations of this study, although no significant differences were noted in FGP changes between groups, G group experienced significantly less FGL changes than NG group. Bone graft material placement into ISG seems to be advantageous for tissue preservation during IIPP. However, future long-term studies, with larger sample size, are needed to validate the efficacy of such procedure
Modernization of Economy in Russia: Features and Mechanisms of Implementation (Based on National Projects)
Authors: Sapozhnikova Anna , Gaishun Evgeny
Published: April 2020

The formation of the spectrum of global economic and political challenges for Russia is a factor in returning the issues of economic modernization to the public administration agenda, taking into account the current state and development trends of the country’s economy as a whole and its regions. As a research tool, the system method and the method of statistical observations are used. In Russia, the role of the state in regulating economic processes and its predominance in the structure of Russian economy remains significant. All this makes it necessary to consider the participation of the state in the process of modernization transformations. The article discusses the historical experience of modernization in developed countries with significant state participation, as well as modern Russian goals of state participation in economy, the role of the relevant policy in achieving the goals of modernization (on the example of the “May Decree” of the President of the Russian Federation of May 7, 2018), its contingency with the practices and role of big business as an integral part of the modernization process. The paper suggests ways to optimize public policy in the direction of modernization, taking into account the priorities formulated for the management system.
Typologization of Regions of the Russian Federation on Reasons of Refusal from Using Electronic Government Services
Authors: Bylina Svetlana
Published: April 2020

Today, the right choice of public policy mechanisms based on identifying pressing needs of users for realizing the economic, social and cultural benefits of introducing information and communication technology (ICT) tools when interacting with government bodies seems very relevant. However, regional differentiation of the level of development of information society requires the development of differentiated mechanisms for implementing electronic government projects. On the basis of the empirical analysis of regional features of objective reasons for the refusal by the rural population to use information and communication technology to get state and municipal services, a typology of the Russian regions for the share of the population that refused to use public services in electronic form for objective reasons is built. Based on the assessment of regression models, including indicators of the level of economic development of the regions, as well as the level of the ICT infrastructure development, factors that have the greatest influence on the objective reasons for the refusal of the rural population to use ICT tools to get state and municipal services for Russia as a whole and for different types of regions are identified. The paper establishes that the effectiveness of government measures to introduce e-government services and reduce the degree of differentiation of Russian regions on the use of this type of service depends on increasing investment in information and communication technologies, on reducing the cost of connecting and maintaining the ICT infrastructure for the rural population, as well as on the wide information work among the population about the benefits of using e-government services. It is also established that in terms of a sufficiently developed ICT infrastructure, the role of human capital is increasing in the number of factors influencing the objective reasons for non-use of the Internet to get state and municipal services.
Imperatives of the Economic Integration of the Eurasian Economic Union Countries
Authors: Orlova Olga
Published: April 2020

The development of integration of the Eurasian Economic Union (EAEU) countries is limited by the system of imperatives that includes challenges and threats to the interests and existence of the integration block and its members. The article identifies challenges to the development of the EAEU: liberal globalization, transition to the sixth technological order, global digital transformation, challenges associated with the emergence of new development centers and a new system of international redistribution of economic growth factors. It was established that external and internal challenges that do not receive well-timed and adequate answers are transformed into a system of threats. The paper provides a list of external threats to the Eurasian integration: threats, coming from western “partners” aimed at deterring and preventing integration processes in the EAEU, threats of a military nature, as well as threats of forming alternative integration projects. The author presents the analysis of internal threats: ethnic conflicts, changing foreign policies of the participating countries, conflicts of economic and political interests, problems of the financial and payment systems, limited mutual trade and investment relations, insufficient development of the transport infrastructure, the threat of “erosion” of a single economic and transit space of EAEU if the Unit is constructed on terms of “continental” integration. It is concluded that it is necessary to counteract the listed threats with measures of an economic, military-political or other nature.
Variable Forecasting of the Socio-Economic Development of the Region
Authors: Titova Irina , Glotova Anastasia
Published: April 2020

The purpose of the article is to develop an algorithm for forming a forecast image of the region on a variable basis, which will allow a comprehensive analysis of the socio-economic development of the region, develop scenarios for the development of the region and evaluate each of the options, studying its structural features and possible consequences of its implementation. To achieve this goal, a comprehensive assessment of the socio-economic development of Belgorod region was carried out. On the basis of the correlation and regression analysis, the factors that have the strongest influence on the resulting indicators were identified. As such, the authors suggest using the gross regional product per capita and the average per capita income of the population. The information base of the study is the data on Belgorod region for 2000–2017. The obtained regression equations of the relationship between the proposed resulting indicators and other considered indicators are statistically significant, which gives reason to use them as predictive models and to form different variants of the region’s development: optimistic, pessimistic and realistic. This algorithm can be used as a tool for analyzing and forming a forecast image of the region on a variable basis, taking into account scenario conditions. Thus, the study focuses on the need for scenario forecasting and modeling, which take into account the influence of major external and internal factors on the development of the regional economy and allow to get forecasts that reflect alternative development options.
CALCULATION OF EXPLOSIVE ZONES IN EMERGENCY EMISSION OF AMMONIA
Authors: L. V. Amelina  , O. V. Berlov  , M. H. Maliuhin  , Z. M. Yakubovska
Published: April 2020

Purpose. This work involves the development of a mathematical model for the calculation of hazardous areas during emergency ammonia emissions. As an example emergency ammonia emissions at the pumping station are considered. Methodology. To solve this problem, we used the equation for the flow of ideal liquid – the equation for the velocity potential. The numerical solution of this three-dimensional equation is carried out using the Richardson method. After determining the velocity potential, the air velocity field is calculated. To predict explosive zones, a numerical solution of the three-dimensional equation of the ammonia mass transfer is used. When using this mathematical model, the non-uniform field of the wind flow velocity, the change in the vertical coefficient of atmospheric diffusion with height, the intensity of ammonia emission, and the place of release of the chemically hazardous substance are taken into account. To numerically solve the equation of ammonia transport in atmospheric air, a difference splitting scheme is used. At each step of the splitting, the unknown value of ammonia concentration is determined by the explicit formula of the point-to-point computation. Findings. Based on the developed mathematical model, a computational experiment was conducted to assess the dynamics of the formation of explosive zones in the territory of a pumping station that pumps ammonia. Information was obtained on the formation of chemical contamination zones at the pumping station. Originality. A mathematical model has been developed that allows you to quickly calculate the dynamics of the formation of explosive zones in the territory of a chemically hazardous object in case of emergency. The developed mathematical model can be used to assess the risk of toxic damage to people at a chemically hazardous facility in case of emergency. Practical value. On the basis of the developed numerical model a computer program was created, which allows to carry out serial computational experiments to determine the formation dynamics of the chemical contamination zones of atmospheric air. Standard input data are required to use the developed program. The developed numerical model can be used for serial calculations in the development of the emergency response plan for chemically hazardous facilities.
MOBILE POLLUTION SOURCES EMISSION FACTORS IN THE TASKS OF AIR QUALITY MANAGEMENT OF LARGE CITIES
Authors: V. І. Nochvai
Published: April 2020

Purpose. Increasing the traffic intensity in large cities requires the implementation of plans to improve the air quality in accordance with the Procedure for the implementation of state monitoring in the field of atmospheric air protection. To develop and justify the measures to reduce air pollution and negative impact on the environment and public health in decision-making information systems, it is necessary to process large amounts of available heterogeneous information and use mathematical decision-making models. The paper proposes a mathematical decision-making model for evaluating the effectiveness of air quality management plans in cities with high emissions of mobile pollution sources. Methodology. For air quality management problems in cities, a methodology is used for constructing mathematical models of decision-making under emission parameters uncertainty due to incomplete data on vehicles` emissions and their distribution over the city. The structure of data flows in the information system is considered in accordance with the requirements of modern environmental decision support systems, during which the management bodies have the opportunity to take into account different social and economic criteria. Findings. Analysis of national statistics showed an increase in the contribution of mobile sources to the structure of urban air pollution. Information technologies and optimization models are considered that make it possible to quickly assess the impact of vehicles and their traffic on atmospheric air quality in cities and make strategic decisions on planning measures to improve it. Originality. The structure of an information system and a decision-making model for air quality management are proposed based on the multi-criteria optimization of emission parameters using the construction of “source – receptor” matrix in the network area for modelling air pollution of a city’s territory with motor vehicle emissions. Practical value. The model could be used at the stage of designing municipal environmental monitoring systems and developing plans for improving atmospheric air quality in urban agglomerations.
Dyslipidemia prevalence in adolescents in public schools
Authors: Bauman Claudiana Donato , Bauman José Mansano , Mourão Daniella Mota , Pinho Lucinéia de , Brito Maria Fernanda Santos Figueiredo , Carneiro André Luíz Gomes , Silveira Marise Fagundes , Silva Carla Silvana de Oliveira e
Published: April 2020

ABSTRACT Objective: To evaluate the prevalence of dyslipidemia in adolescents enrolled in the state public education system of the city of Montes Claros, state of Minas Gerais, and compare to a Brazilian population-based study. Method: This is an epidemiological, cross-sectional, and analytical study with a population of 77,833 students from 63 schools, representing four geographic areas of the city. After a sample calculation, information on 635 adolescents from 10 to 16 years of age was assessed and blood collection was conducted for the analysis of biochemical parameters of total cholesterol, triglycerides, LDL-c, and HDL-c. Results: Among the adolescents, 26.8% showed high levels of total cholesterol, 15.7% of triglycerides, and 6.5% of LDL-c, and 40.8% had low HDL-c levels. Conclusion: Except for HDL-c levels, dyslipidemia prevalence and means in adolescents from Montes Claros, Minas Gerais, were above the levels found in the Brazilian population-based study used as parameter.
Freedom-deprived women: social representations of prison, violence, and their consequences
Authors: Scherer Zeyne Alves Pires , Scherer Edson Arthur , Santos Manoel Antonio dos , Souza Jacqueline de , Pillon Sandra Cristina , Scherer Nikolas Pires
Published: April 2020

ABSTRACT Objective: To understand the social representations that women deprived of their freedom have of imprisonment, violence, and their consequences. Method: An exploratory-descriptive qualitative study with 15 women from a female penitentiary in the State of São Paulo, Brazil. Semistructured interview was used. Data submitted to thematic content analysis and interpreted under Social Representations. Results: Categories identified: “Enclosed and abandoned in the prison environment”: loss of contact with relatives, difficulties living in prison, and right to be reinserted into society. “Imprisoned in a cycle of social inequality”: lack of support, access to education and employment opportunities, leading them to engage in new illicit activities and consequent imprisonment. Final considerations: The social representations of prisoners suggest that they perceive themselves to be doubly “imprisoned”, either from the objective point of view, as an individual deprived of freedom; or subjective, as citizens who have their rights disrespected and their possibilities of rehabilitation limited by the prison system.
Documentary analysis in the study of architectural designs of a hospital in the city of São Paulo
Authors: Draganov Patricia Bover , Sanna Maria Cristina
Published: April 2020

ABSTRACT Objectives: to report the experience of using architectural designs of a hospital for a historical documentary research. Methods: report of the experience of the methodological route of using architectural designs of a model hospital from 1974 to 2002. Results: after being spread on a worksheet, the projects of interest were selected, enabling the data arrangement, where the analytical chart was applied, containing: context; authorship; authenticity/ reliability; nature of the text and preliminary analysis. The findings were grouped by pertinence and similarity, resulting in the construction of categories of analysis. Final Considerations: architectural design is a challenging source, both for its pursuit, since it took two and a half years until it was legally licensed, as well as for involving specific terminologies and symbology of its own. A special attention should be given to the selection criteria, organization and analysis of the document, and sharing the access of unusual sources with the health area, like this one, so as to stimulate the development of research.
Mothers mothering in prison: an experience report of the nursing care project
Authors: Fochi Maria do Carmo Silva , Melo Luciana de Lione , Mendes-Castillo Ana Márcia Chiaradia , Lopes Maria Helena Baena de Moraes
Published: April 2020

ABSTRACT Objectives: to report the experience of designing and implementing the nursing care project with mothers and babies in prison. Methods: this is an experience report about the nursing care project with mothers and children in prison, having as a guiding axis Winnicottian concepts about the mother-baby relationship. Results: nursing consultations were held in childcare, thematic conversation circles and the manufacture of artifacts to encourage child development, as well as women’s health care. The positive impact of the project has made it a health education program. Final Considerations: elaborating the nursing care project encouraged other ways of providing care and implementing it, using Winnicottian concepts. It is recommended that training institutions consider the prison and the individuals there as a field in the learning process of health professionals.
Health in the school: perceptions of being adolescent
Authors: Faial Ligia Cordeiro Matos , Silva Rose Mary Costa Rosa Andrade , Pereira Eliane Ramos , Faial Cidllan Silveira Gomes
Published: April 2020

ABSTRACT Objectives: to understand adolescents’ perceptions on school health. Methods: qualitative and descriptive research grounded on Maurice Merleau-Ponty’s phenomenology, which was developed with 90 adolescent students from a federal school of the state of Rio de Janeiro. Data were produced by gathering answers to the following question: what is your perception on school health? Those who chose to write their answer to the guiding question deposited the manuscripts in polls. Results: school health is linked to hygienist practices and to the hegemonic assistentialist model. Nevertheless, we assigned senses and meanings to the practice of physical activity and health education by integrating and expanding behavioral strategies and healthy habits. Final Considerations: a healthy school environment implies the protagonism of adolescents in school health promotion actions.
Reflections on equity and its applicability to the nursing work process
Authors: Silva Nair Chase da , Oliveira Hadelândia Milon
Published: April 2020

ABSTRACT Objectives: to reflect on the principle of equity from the perspective of social justice and its applicability in the dimensions of the nursing work process. Methods: theoretical essay on the challenges for the practice with equity in the dimensions of the Nursing work process: teaching, care, research, political participation and administration. Results: the principle of equity should: in education be transversal in the training of future professionals; in assistance to occur without privilege or discrimination, treating the unequal unequally and the equals equally; in research be the target in the creation of new knowledge; in political participation to count on the contribution of social movements; and in the administration to count on the creation of specific executable policies. Final Considerations: there are still inequalities in access to services by part of the Brazilian population. Nursing should promote in its work process the implementation of equity promotion policies with a view to social justice.
Professores no Facebook: explorações sobre a gestão da distância e da proximidade diante do público escolar
Authors: Santos Tiago Ribeiro , Valle Ione Ribeiro
Published: April 2020

Resumo A presença de redes sociais virtuais nas interações entre professores e alunos permite interrogar o trabalho coletivo de gestão da proximidade e da distância. A partir de registros orais de professores extraídos de um videodocumentário, se procura compreender aqui práticas de gestão das relações escolares no Facebook. Os relatos são analisados à luz de duas categorias de análise que, organizadas de modo a apreender situações cotidianas, reúnem as impressões que os professores apresentam quando discorrem sobre o uso do Facebook. A primeira aponta para o que nomeamos aqui de “ajuntamento de círculos sociais diferenciados”, permitindo reconhecer a singularidade de um espaço como o Facebook com relação à gestão da proximidade e da distância do professor diante do público escolar. A segunda se distingue pelas “condições técnicas de discrição”, sinalizando margens de manobras de que os professores podem se servir na rede social on-line, estabelecendo uma forma ideal de interação com seus alunos. Estas categorias resultam em uma realidade em que os professores gestam tanto suas relações com o público escolar (e com a tecnologia) quanto suas imagens pessoais e os possíveis (des)créditos educacionais vinculados a elas.
A comunidade científica de Alagoas: um olhar a partir dos seus grupos de pesquisa
Authors: Silva Camila Ferreira da , Lopes Rodrigo de Macedo
Published: April 2020

Resumo No contexto da expansão e diversificação do Ensino Superior brasileiro, o presente texto busca aproximar-se de um tema parcamente explorado na literatura nacional: a relação entre a dilatação deste grau de ensino e a construção e o fortalecimento das comunidades científicas nos estados da federação. O caso alagoano é tomado à análise, com vistas a compreender o desenvolvimento de sua comunidade científica nas duas últimas décadas. Trabalhamos, para tanto, com dados compilados e difundidos pelo Diretório de Grupos de Pesquisa do Conselho Nacional de Desenvolvimento Científico e Tecnológico, com os quais elaboramos uma caracterização capaz de oferecer suporte para a objetivação da prática da pesquisa e da formação de novos pesquisadores. A experiência alagoana expressa, pois, questões nacionais e locais de forma concomitante, de maneira que seu estudo implica um olhar relacional sobre as reconfigurações recentes do desenvolvimento da ciência no país.
Alfabetização na Base Nacional Comum Curricular (BNCC)
Authors: Gontijo Cláudia Maria Mendes , Costa Dania Monteiro Vieira , Perovano Nayara Santos
Published: April 2020

Resumo Este artigo tem por objetivo analisar como a alfabetização é articulada na Base Nacional Comum Curricular (BNCC) aprovada pelo Conselho Nacional de Educação em dezembro de 2017. Adota, como metodologia de estudo, a pesquisa documental, pois analisa documentos/textos produzidos por órgãos diretores e encarregados da educação, respectivamente, no Brasil e no mundo. Conclui que o modelo de alfabetização funcional adotado pela Organização das Nações Unidas para a Educação, a Ciência e a Cultura para subsidiar programas e projetos de alfabetização de adultos, compatível com a noção de competência adotada na BNCC, reduz a alfabetização ao desenvolvimento da consciência fonológica, à aprendizagem da técnica da escrita com o objetivo de formar pessoas adaptadas à ordem social e ao modelo produtivo vigentes.
O Professor de Medicina da UFSM no Contexto do Mal-Estar Docente
Authors: Souza Filho Olmiro Cezimbra de , Naujor Maria Inês
Published: April 2020

Resumo: Este estudo foi realizado com 44 professores médicos do curso de Medicina da Universidade Federal de Santa Maria - RS (UFSM), com o objetivo de identificar possíveis indicadores de mal-estar docente no grupo avaliado. A amostra foi composta por docentes com vinculo efetivo que estavam em atividade docente por ocasião da contribuição dos questionários, sendo 33 homens e 11 mulheres. O maior número de professores (13) pertencia ao departamento Clínica Médica, 79% do total se declararam casados, tinham idade média de 48 anos e tempo serviço médio de 19 anos. Cerca de 25% eram adjuntos em relação à progressão funcional, 75% eram especialistas quanto ao nível de formação e responsáveis por 32 disciplinas distinta A análise dos dados demonstrou que havia indicadores de mal-estar docente em relação avaliação do projeto profissional, do valor das metas profissionais, das expectativas tanto eficácia como de controle, das atribuições causais de fracassos tanto na dimensão locus como dimensão estabilidade, e das estratégias de coping. Cabe destacar que 100% dos pesquisados não tinham a intenção de atuar como professores.
As Contribuições da Medicina Psicossomática à Formação Médica
Authors: Tavares Felipe de Medeiros
Published: April 2020

Resumo: O autor reviu as principais contribuições que a medicina Psicossomática oferece à formação do estudante de medicina. Destaca os conceitos envolvidos nas relações humanas no contexto médico, com enfoque na relação médico-paciente. Enfatiza a importância do estudo dos fenômenos envolvidos nas relações professor-aluno e aluno-paciente como meio de prevenção da ocorrência de iatrogenias, citando as maneiras pelas quais isso pode ser abordado no âmbito da Educação Médica, à luz das concepções psicossomáticas.
Estresse nos Estudantes de Medicina da Universidade Federal do Ceará
Authors: Souza Fábio Gomes de Matos e , Menezes Maria da Glória Carneiro
Published: April 2020

Resumo: O objetivo deste estudo é avaliar o nível de estresse em estudantes de Medicina da Universidade Federal do Ceará. A amostra constituiu-se de 562 estududantes distribuídos nos semestres de I a IX. O instrumento utilizado foi o General Health Questionnaire (GHQ), no qual o estresse foi definido com escore maior que 3, além de uma ficha com dados pessoais. A prevalência de distúrbios psicológicos em estudantes de Medicina foi de 35,4% (n = 199). As mulheres apresentaram um nível de estresse maior do que os homens, compondo 54,64% do grupo de estudantes estressados (n = 199). O semestre V (n = 60) foi o que apresentou maior percentagem de estresse 51,7% (n = 31). Estes dados sugerem que o curso de Medicina, da maneiro como está estruturado, associa-se a uma alta prevalência de estresse nos estudantes.