bluuebunny/crossref_metadata_2025 huggingface dataset:
Molecular and Serological Prevalence of Leptospira spp. in Feral Pigs (Sus scrofa) and their Habitats in Alabama, USA
Authors: Poudel Anil , Hoque Md Monirul , Madere Steven , Bolds Sara , Price Stuart , Barua Subarna , Adekanmbi Folasade , Kalalah Anwar , Kitchens Steven , Brown Vienna , Wang Chengming , Lockaby B. Graeme
Published: October 2020

Leptospirosis is a widespread zoonosis and has been recognized as a re-emerging infectious disease in humans and a variety of wild and domestic animal species. In order to understand the prevalence and diversity of Leptospira spp. in feral pig populations of Alabama, we trapped 315 feral pigs in Bullock County east-central Alabama, and collected 97 environmental samples from riparian areas in Bullock County and Macon County east-central Alabama. Two previously published PCRs followed by DNA sequencing and BLASTn were performed to identify pathogenic Leptospira species in the kidney of feral pigs (3.2%, 10/315) as well as environmental samples collected from the habitats of feral pigs (2.1%, 2/97), but not in the whole blood samples (n = 276) or spleen (n = 51). An ELISA determined that 44.2% of serum samples (122/276) were antibody-positive for Leptospira. The identification of two pathogenic Leptospira species from environmental samples and the high sero-positivity in feral pigs suggests potential pathogen shedding from feral pigs to environments, and to humans and domestic animals. In order to better understand the risk to human health associated with feral swine presence, further studies are warranted to explore the interrelationship between Leptospira spp. shedding in the urine of feral pigs and bacterial culture to explore pathogenicity. Multi-locus sequencing typing (MLST) and microscopic agglutination tests (MAT) should be performed in future studies to make a definite determination of pathogenic Leptospira in feral pigs in Alabama.
Phenotypic Variability and Genetic Diversity of Phragmites australis in Quebec and Kashmir Reveal Contrasting Population Structure
Authors: Wani Gowher A. , Shah Manzoor A. , Tekeu Honoré , Reshi Zafar A. , Atangana Alain R. , Khasa Damase P.
Published: October 2020

The origin of differences in traits influencing competitive success between invasive and native wild populations of alien species is subject of debate. Herbarium-based information sources from 2005 onwards about nativity and distributional range of Phragmites australis were used to survey putative native populations of the species in Quebec, and chloroplast DNA (cpDNA) PCR-RFLP analyses identified only one native population, whereas the same analyses revealed that the Kashmir populations are invasive. We compared the native population of P. australis in Quebec (QN), ten populations invasive to Quebec (QE), and five populations invasive in Kashmir, India (KE) using morphometric traits. Using nine cpDNA microsatellite loci, we also compared nine KE populations, ten QE populations, and the QN population. Phenotypic variation was observed among and within populations. Only dry mass of flowers varied across regions. Characterization of morphotypes defined three distinct haplotypes. A bimodal distribution of stem diameter (SD), internode length (IL), leaf length (LL), and leaf width (LW) suggests that a major gene may control growth traits or occurrence of co-selection. High genetic differentiation was observed between populations (RST = 0.353) and haplotypes (RST = 0.133 to 0.418), indicating limited gene flow and probable local adaptation. Principal coordinates analysis and the neighbor-joining phylogenetic tree clearly distinguished the three haplotypes. Among-populations phenotypic difference (PST) was lower than overall RST for plant height, SD, and fresh and dry mass of flowers and seeds, whereas PST estimates for LL and LW exceeded among-populations RST, suggesting divergent selection, while local adaptation might have occurred in IL, LL, and flower masses. Genetic drift probably influenced among-populations IL differences.
In Silico Analyses of Autophagy-Related Genes in Rapeseed (Brassica napus L.) under Different Abiotic Stresses and in Various Tissues
Authors: Eshkiki Elham Mehri , Hajiahmadi Zahra , Abedi Amin , Kordrostami Mojtaba , Jacquard Cédric
Published: October 2020

The autophagy-related genes (ATGs) play important roles in plant growth and response to environmental stresses. Brassica napus (B. napus) is among the most important oilseed crops, but ATGs are largely unknown in this species. Therefore, a genome-wide analysis of the B. napus ATG gene family (BnATGs) was performed. One hundred and twenty-seven ATGs were determined due to the B. napus genome, which belongs to 20 main groups. Segmental duplication occurred more than the tandem duplication in BnATGs. Ka/Ks for the most duplicated pair genes were less than one, which indicated that the negative selection occurred to maintain their function during the evolution of B. napus plants. Based on the results, BnATGs are involved in various developmental processes and respond to biotic and abiotic stresses. One hundred and seven miRNA molecules are involved in the post-transcriptional regulation of 41 BnATGs. In general, 127 simple sequence repeat marker (SSR) loci were also detected in BnATGs. Based on the RNA-seq data, the highest expression in root and silique was related to BnVTI12e, while in shoot and seed, it was BnATG8p. The expression patterns of the most BnATGs were significantly up-regulated or down-regulated responding to dehydration, salinity, abscisic acid, and cold. This research provides information that can detect candidate genes for genetic manipulation in B. napus.
A Self-Healing Model for QoS-aware Web Service Composition
Authors: Elsayed Doaa , Nasr Eman , El Ghazali Alaa , Gheith Mervat
Published: October 2020

In the Web Service Composition (WSC) domain, Web Services (WSs) execute in a highly dynamic environment, as a result, the Quality of Service (QoS) of a WS is constantly evolving, and this requires tracking of the global optimization overtime to satisfy the users’ requirements. In order to make a WSC adapt to such QoS changes of WSs, we propose a self-healing model for WSC. Self-healing is the automatic discovery, and healing of the failure of a composite WS by itself due to QoS changes without interruption in the WSC and any human intervention. To the best of our knowledge, almost all the existing self-healing models in this domain substitute the faulty WS with an equivalent one without paying attention to the WS selection processes to achieve global optimization. They focus only on the WS substitution strategy. In this paper, we propose a self-healing model where we use our hybrid approach to find the optimal WSC by using Parallel Genetic Algorithm based on Q-learning, which we integrate with K-means clustering (PGAQK). The components of this model are organized according to IBM’s Monitor, Analyse, Plan, Execute, and Knowledge (MAPE-K) reference model. The PGAQK approach considers as a module in the Execute component. WS substitution strategy has also been applied in this model that substitutes the faulty WS with another equivalent one from a list of candidate WSs by using the K-means clustering technique. K-means clustering is used to prune the WSs in the search space to find the best WSs for the environment changes. We implemented this model over the NET Framework using C# programming language. A series of comparable experiments showed that the proposed model outperforms improved GA to achieve global optimization. Our proposed model also can dynamically substitute the faulty WSs with other equivalent ones in a time-efficient manner
Synthesizing Conjunctive & Disjunctive Linear Invariants by K-means++ and SVM
Authors: Ren Shengbing , Zhang Xiang
Published: October 2020

The problem of synthesizing adequate inductive invariants lies at the heart of automated software verification. The state-of-the-art machine learning algorithms for synthesizing invariants have gradually shown its excellent performance. However, synthesizing disjunctive invariants is a difficult task. In this paper, we propose a method k++ Support Vector Machine (SVM) integrating k-means++ and SVM to synthesize conjunctive and disjunctive invariants. At first, given a program, we start with executing the program to collect program states. Next, k++SVM adopts k-means++ to cluster the positive samples and then applies SVM to distinguish each positive sample cluster from all negative samples to synthesize the candidate invariants. Finally, a set of theories founded on Hoare logic are adopted to check whether the candidate invariants are true invariants. If the candidate invariants fail the check, we should sample more states and repeat our algorithm. The experimental results show that k++SVM is compatible with the algorithms for Intersection Of Half-space (IOH) and more efficient than the tool of Interproc. Furthermore, it is shown that our method can synthesize conjunctive and disjunctive invariants automatically
Wrapper based Feature Selection using Integrative Teaching Learning Based Optimization Algorithm
Authors: Allam Mohan , Malaiyappan Nandhini
Published: October 2020

The performance of the machine learning models mainly relies on the key features available in the training dataset. Feature selection is a significant job for pattern recognition for finding an important group of features to build classification models with a minimum number of features. Feature selection with optimization algorithms will improve the prediction rate of the classification models. But, tuning the controlling parameters of the optimization algorithms is a challenging task. In this paper, we present a wrapper-based model called Feature Selection with Integrative Teaching Learning Based Optimization (FS-ITLBO), which uses multiple teachers to select the optimal set of features from feature space. The goal of the proposed algorithm is to search the entire solution space without struck in the local optima of features. Moreover, the proposed method only utilizes teacher count parameter along with the size of the population and a number of iterations. Various classification models have been used for finding the fitness of instances in the population and to estimate the effectiveness of the proposed model. The robustness of the proposed algorithm has been assessed on Wisconsin Diagnostic Breast Cancer (WDBC) as well as Parkinson’s Disease datasets and compared with different wrapper-based feature selection techniques, including genetic algorithm and Binary Teaching Learning Based Optimization (BTLBO). The outcomes have confirmed that FS-ITLBO model produced the best accuracy with the optimal subset of features
Psychosocial Impact of COVID-19 Pandemic on Patients with End-Stage Kidney Disease on Hemodialysis
Authors: Lee Jacqueline , Steel Jennifer , Roumelioti Maria-Eleni , Erickson Sarah , Myaskovsky Larissa , Yabes Jonathan G. , Rollman Bruce L. , Weisbord Steven , Unruh Mark , Jhamb Manisha
Published: October 2020

Background

The coronavirus disease 2019 (COVID-19) may have a negative effect on the mental and social health of patients with ESKD on chronic in-center hemodialysis (HD), who have a high burden of psychologic symptoms at baseline and unavoidable treatment-related COVID exposures. The goal of our study was to assess the effect of the COVID-19 pandemic on the psychosocial health of patients on chronic in-center HD.

Methods

Participants enrolled in the ongoing Technology Assisted Collaborative Care (TĀCcare) trial in Western Pennsylvania and New Mexico were approached for participation in a phone survey in May 2020. Data on the pandemic’s effects on participants’ physical and mental health, symptoms (such as anxiety, mood, loneliness, sleep, and stress), and food and housing security were collected.

Results

Surveys were completed by 49 participants (mean age 56 years; 53% men, 18% Black, 20% American Indian, and 22% Hispanic). Almost 80% of participants reported being moderately to extremely worried about the pandemic’s effects on their mental/emotional health and interpersonal relationships. More than 85% of the participants were worried about obtaining their dialysis treatments due to infection risk from close contact in the dialysis facility or during transportation. Despite this, 82% of participants reported being not at all/slightly interested in trying home dialysis as an alternative option. Overall, 27% of the participants had clinical levels of depressive symptoms but only 12% had anxiety meeting clinical criteria. About 33% of participants reported poor sleep quality over the last month. Perceived stress was high in about 30% of participants and 85% felt overwhelmed by difficulties with COVID-19, although 41% felt that things were fairly/very often going their way.

Conclusions

Our study provides preliminary insights into the psychosocial distress caused by the COVID-19 pandemic among a diverse cohort of patients receiving chronic HD who are participating in an ongoing clinical trial.
NEURAL FUZZY NETWORK FOR ASSESSING TECHNOLOGICAL SOLUTIONS FOR FOREST ROADS
Authors: Pobedinskiy Vladimir , Buldakov Sergey , Berstenev Andrey , Anastas Elena
Published: October 2020

The article is devoted to the problem of improving road construction technologies, in particular, technological solutions for logging roads. As you know, in road construction, the choice and justification of technological solutions for the road surface is one of the first stages of design, the efficiency of which affects further project as a whole, timing and costs of construction. The solution to such a problem is extremely difficult and, first of all, due to the many interrelated parameters, factors, as well as the uncertainties of data in the problem. The task becomes much more complicated when it is also necessary to take into account the economic indicators of road construction project. But it is in this form that it is of the greatest interest, since these characteristics are often the most important in practice. For these reasons, the problem remains completely unsolved. Therefore, requires further research, as noted, taking into account the uncertainties in the problem. Intelligent systems based on the theory of fuzzy sets, neural networks and their hybrid solutions are proposed for this class of problems, as a result of modern achievements in the field of mathematics and information technologies. Thus, the purpose of this research was to develop a neural network for evaluating technological solutions for logging roads. The result of the research was the development of an adaptive neuro-fuzzy network such as ANFIS, which allows calculating the cost of the road surface depending on the main technological and initial financial parameters. The neural network can be recommended for the design of forest roads, as well as for rapid assessment of the effectiveness of various technological solutions during competitive (tender) selection.
BIOGEOCHEMISTRY OF NICKEL DURING IRRIGATION
Authors: Kramareva Tat'yana , Gorbunova Nadezhda , Gromovik Arkadi , Kulikova Elena
Published: October 2020

The geochemical feature of the study area is the enrichment of soil-forming and underlying rocks with Ni, and, as a consequence, a high metal content in groundwater and surface sources, the water of which is used for irrigation. The regular supply of the element with irrigation water leads to an increase in the total content of Ni and its exchange compounds in the upper humus horizons of the studied leached chernozems. Irrigation contributes to the accumulation of Ni in grain and phytomass of crop production. It is shown that long-term irrigation leads to the transformation of organic matter, a change in the pH of the soil solution and the values of hydrolytic acidity.
Smart Dental Card Game Model as An Effort to Improve Behavior of Health Care For Elementary School Students
Authors: Ningsih Lely Surya , Santoso Bedjo , Wiyatini Tri , Fatmasari Diyah , Rahman Waljuni A
Published: October 2020

Correct teeth brushing behavior in elementary school children in Indonesia is 2.8%, and in Central Java, 1.7%. The influencing factor is the lack of information sources, so it is essential to carry out dental and oral health education, "Smart dental card game model" provides learning to children through game methods so that the learning process is more exciting and enjoyable. To produce a gamification-based dental and oral health education model called "Smart dental card game model" to increase dental health maintenance knowledge and decrease the debris index score in elementary school children. Research and development (R&D) and model trials using quasi-experiment pre-test and post-test with control sample design groups were divided into two groups, 28 intervention group students and 28 control group students. The dependent variable is the knowledge and debris index of elementary school students; the independent variable is the Smart dental card game model. The sample size was calculated by using the slovin formula. Data were tested using the interclass correlation coefficient test, Anova, Wilcoxon, Mann Whitney. The smart dental card game was appropriate as a guideline in the learning process to increase elementary school students' knowledge of 2,304 ± 9.07 and reduce the debris index of 0.419 ± 0.68 compared to the control group flipchart media and dental phantom. Smart dental card game is useful to increase dental health maintenance knowledge of elementary school students
Working Capacity Research of Parts of Valve Timing Gear
of Motor-and-Tractor Diesel Engines
Authors: Антропов Б.С. , Гумённый В.В. , Рудаков А.А. , Генералов В.А.
Published: October 2020

Проанализирована работоспособность деталей механизмов газораспределения (МГР) на основе обобщения многолетней эксплуатации двигателей ЯМЗ-236, 238 и их модификаций на автотракторной технике. Установлено, что возникающие неисправности и дефекты в МГР связаны в основном с нарушением эксплуатации и технического обслуживания указанных двигателей. При соблюдении норм эксплуатации и технического обслуживания согласно требованиям руководства по эксплуатации двигателей завода-изготовителя (недопущение «перекрутки» двигателя по частоте вращения коленчатого вала, применение качественных моторных масел, своевременный контроль и регулировка тепловых зазоров) детали МГР обеспечивают работоспособность двигателей до капитального ремонта. Указанный вид ремонта связан с ремонтом или заменой базовых деталей двигателя (блока цилиндров или коленчатого вала).

The working capacity of details of mechanisms of valve timing gear (VTG) on the basis of generalization of long-term operation of YaMZ-236, 238 engines and their modifications on the motor-and-tractor equipment is analyzed. It was established that the resulting malfunctions and defects in VTG are mainly associated with a breakdown of service of the operation and maintenance of these engines. If the operating and maintenance standards are met in accordance with the requirements of the maker's engine operations manual (prevention of engine "twisting" by crankshaft speed, use of high-quality motor oils, timely monitoring and adjustment of expansion gaps), the VTG parts ensure the engines working capacity before overhaul. This type of repair is associated with the repair or replacement of basic engine parts (cylinder block or crankshaft).
1968: Victorian anti-war movement gets an injection
Authors: Butler Nicholas
Published: October 2020

When the 'baby-boomers' had reached university age, their understandings, habits and behaviours often collided with the political discourse of their parents' generation. By 1968, the Monash University Labor Club, fresh from its campaign to raise money for the National Liberation Front of South Vietnam (NLF), had discarded the mantle of Labor reformism and set itself on a path of a radical communist activism that scorned the efforts of the Communist Party (CPA) to contain its enthusiasm. In concert with similarly leaning student clubs at the other two Victorian universities it turned its attention to the protest movement outside the university, against conscription and the Vietnam Wm: That brought the inevitable clash with the older established anti war movement led by a loose blend of ALP, CPA, church groups and unions. This process led, in Scalmer's classification of protest actions, to the mode of political demonstrations leaping radically from 'staging' to 'disruption.'
Introduction
Authors: Reeves Keir
Published: October 2020

The start of a new academic journal is always an exciting initiative for all involved and it is with great pleasure I am able to introduce Before/Now. In doing so it is important or me to formally acknowledge the tireless work of the founding editorial collective who have been working on this new scholarly publication for almost two years at Federation University Australia. Can I also acknowledge the support of the School of Arts in en­abling this initiative. Before/Now is a welcome addition to the postgraduate journal landscape in Australia where postgraduate history journals have enjoyed something of a recent revival against broader trends in publishing
Adaptasi dan Kebiasaan Baru Human Resource Department di Masa Pandemik Covid-19
Authors: PERDANA REGY CITRA , AGUSTINO MUHAMMAD RISQI , HARTAWAN DEDI , SUYOSO YOSART ADI , SARI RATNA
Published: October 2020

Abstract- This study aims to determine the adaptation and new habits of the company's HRD during the Covid-19 pandemic and to find out what policies are to anticipate the company's sustainability. The research method used is a qualitative method by conducting interviews with respondents in accordance with the requirements. The technique used is the documentation technique to collect data from various sources and information. The type of data is secondary data from the results of previous studies and information sourced from the media and news. It was found that since the spread of Covid-19 to the increase in the number of positive exposures in July 2020 the government made a PSBB policy and emphasized strict health protocols. This shift has an impact on the way HRD works in the company. Some large companies adapt and implement new normal habits as one of the policies to survive, and a small number of companies make a delay and cancel the work agenda.

 

 

Abstrak- Penelitian ini bertujuan untuk mengetahui adaptasi dan kebiasaan baru yang dilakukan HRD perusahaan dimasa pandemik Covid-19 serta untuk mengetahui kebijakan-kebijakan apa saja untuk mensiasati keberlangsungan perusahaan. Metode penelitian yang digunakan adalah metode kualitatif dengan melakukan wawancara kepada responden yang sesuai dengan persyaratan. Teknik yang digunakan yaitu teknik dokumentasi untuk mengumpulkan data dari berbagai sumber dan informasi. Jenis data berupa data sekunder hasil penelitian terdahulu dan informasi yang bersumber dari media dan berita. Ditemukan bahwa sejak terjadinya persebaran Covid-19 hingga melonjaknya jumlah paparan positif dibulan Juli 2020 pemerintah membuat kebijakan PSBB dan menekankan protokol kesehatan dengan ketat. Adanya pergeseran ini berdampak pada cara kerja HRD di perusahaan. Beberapa besar perusahaan melakukan adaptasi dan mengimplementasi kebiasaan baru sebagai salah satu kebijakan untuk bertahan, dan sebagian kecil perusahaan melakukan penundaan dan pembatalan agenda pekerjaan.
THE STUDY OF HR PRACTICES IN SMES DURING THE BUFFETED COVID19 TIMES IN INDIA
Authors: Bajpai Divya , Gandhi Rachna
Published: October 2020

The catastrophe brought by COVID – 19 a global pandemic is a ruthlessly evident fact, which is not only confined to one sphere of earth but seems omnipresent. Small, medium enterprise in India are facing the wrath of the situation and blatantly insensitive are employers, employees and the daily wage earners to the situation. The manufacturing sector of SMEs is at the knell bell of submergence, Human Relation practices are soft solution to the sinking boat of SMEs and will help in rebounding of human relation trust at workplace. SMEs being the most important part of economy, their bouncing back can help the dwelling national operations. Innovative HR practices will boost employee’s morale and will wipe the tears of labourers. This paper therefore will help in bottoming the situation of recurrent losses witnessed by SMEs and HR practices will help in promoting, encourage thinking of kick start of the exit strategies. SMEs that are in the war of survival and will definitely prove the scourge of covid-19 a boon for Indian economy.
A CLINICAL STUDY OF PRIMARY PTERYGIUM AND ITS MANAGEMENT USING AUTO CONJUNCTIVAL IN SITU GRAFT – A NOVEL TECHNIQUE
Authors: Waghmare Sneha .P. , Khan Sohel Irfan Mohd. , Sahasrabudhe Vivek
Published: October 2020

Pterygium is a degenerative condition of subconjunctival tissue which proliferates as vascularized granulation tissue to invade cornea destroying superficial layers of stroma and bowman’s membrane, the whole being covered by conjunctival epithelium. This study was conducted to learn clinical aspects primary pterygium and its management using autoconjunctival insitu graft. In this study total 95 eyes of 95 patients were included in the study. A detailed history and clinical examination, slit lamp examination and autoref-keratometry was done. After detailed examination, and taking fitness for surgery, patients were taken for excision of pterygium with auto-conjunctival insitu graft. After surgery, patients were followed up after a period of one week, 1 month and 3 months for post-operative complications and recurrence. The average refractive astigmatism (± SD) preoperatively in 67 cases was 2.94 ± 1.27 at axis 100.89 degree and in rest 28 cases it could not be calculated due to large-sized pterygium and this change was statistically significant.
Recurrence rate seen in this study with conjunctival in situ graft was 4.27% which is comparable to standard autoconjunctival graft
GENERAL HEALTH OF SEXUALLY ABUSED FEMALE ADOLESCENT CHILDREN IN SOUTHERN INDIA - A CAREGIVER PERSPECTIVE
Authors: Swetha Swetha , K Suja M.
Published: October 2020

This research aims to study the “General Health of Sexually Abused female adolescent children from the perspective of Caregiver’s. Survey research design was used for the study. The universe consisted of the caregivers of the children in the rehabilitation centres in two districts of Kerala, India. The sampling technique used for this study was Census Sampling. The sample size was 32. The tool used for the study was semi- structured interview schedule with reference to general health scale of (Rory C. Reid 2007). The findings of the study reveal that physical and mental health of sexually abused female adolescent children are affected in various ways. Children show signs of behaviour problems, sleep disturbances, loneliness and depressive traits. Many suffer from asthma which may be psychosomatic.
La mostra “Fiorentina Primaverile” del 1922
Authors: Greco Emanuele
Published: October 2020

Inaugurated in Florence in 1922, the “Fiorentina Primaverile” was an important exhibition of Italian contemporary art, conceived by the writer Sem Benelli. This exhibition remains unique to Florence because of the number (more than three hundred) and the importance of the participants (from Andreotti and Wildt, to Conti and Bacci; from macchiaioli masters like Lega and Signorini to the young artists of «Valori Plastici») as well as for the moment when it took place: a fruitful period for artistic events, like the great exhibition of the Italian Paintings from the 17th and 18th Centuries. Analyzing the archival documents of the exhibition, that have been unpublished until now, this text aims to reconstruct in a historical and critical manner, for the first time, the “Fiorentina Primaverile”, in order to identify the true nature of the exhibition and, most of all, which kind of idea of Italian contemporary art was intended to be offered to the public.
Il sistema mantico ittita KIN
Authors: Warbinek Livio
Published: October 2020

The present dissertation is concerned with the KIN oracle, a symbolic divination technique produced by the Hittite in the 2nd mill. B.C. and developed only in the Hittite cultural milieu. Like other omens of the Ancient Near East, the Hittite oracles were considered to be messages from the gods. The Hittite solicited omens included Extispicy, Augury, the Bed Oracle, the ḪURRI-Bird Oracle, the Snake Oracle, and the KIN Oracle. Although many studies have already explained how the different divination systems worked, the KIN oracle frame still remains difficult to understand in all of its features. In this research the KIN cuneiform sources and its oracular structure have been analyzed in all respects and enriched with tables, patterns, and pictures in order to better understand the work carried out. As far as the KIN is concerned, this research provides several different analytic implications both for Hittite and divination studies.
Estresse ocupacional e comportamentos de saúde de enfermeiros de um hospital terciário de Fortaleza – Ceará
Authors: Ariclene Oliveira Francisco , Moura Melo Dayanna Cynthia , Lima Menezes dos Santos Ana Paula , Da Silva Ribeiro Menezes Cláudia Patrí­cia , Braga Sales Tamara , Leite de Freitas Maí­ra Maria , Rodrigues Afonso Lucélia
Published: October 2020

Objetivo: Identificar os fatores de estresse ocupacional e os comportamentos de saúde de enfermeiros de um hospital terciário de Fortaleza-CE. Método: Trata-se de um estudo transversal, desenvolvido em uma unidade hospitalar de atenção terciária de Fortaleza, no perí­odo de outubro de 2018 a março de 2019. Resultado: A amostra constituiu-se de 134 enfermeiros que foram recrutados por meio de amostragem por conveniência. Utilizou-se um questionário estruturado, pré-codificado, com 12 questões fechadas de múltipla escolha. Verificou-se que 26,1% (n=35) dos profissionais fazem uso de substâncias psicoativas e 61,9% (n=83) apresentaram de 1 a 5 sinais/sintomas de estresse. Conclusão: Destarte, este estudo será útil para que os gestores reflitam sobre os fatores que influenciam a qualidade de vida dos enfermeiros, contribuindo para implementação de ações que melhorem as condições de trabalho e favoreçam a proteção do trabalhador.
Atenção í saúde de homens e mulheres transexuais brasileiras: uma evidência de pesquisa
Authors: Do Nascimento Moreira Sabrina , Viera Paz Fernanda , Lengruber de Azevedo Albert , Do Carmo Neves Keila , Januário Giesteira Alessandra , Pereira de Azevedo Taiana Daniella , Rodrigues da Costa Elaine Cristina
Published: October 2020

Introdução: A transexualidade se caracteriza pelo reconhecimento da pessoa ao gênero diferente do seu nascimento. Quando essa não consegue se perceber e conviver saudavelmente com o seu corpo biológico, inúmeras podem ser as repercussões geradas em sua vida, reproduzidas, quase sempre, pelo preconceito da sociedade. Objetivo: descrever as evidências de pesquisa sobre a atenção í  saúde de homens e mulheres transexuais. Metodologia: Revisão integrativa da literatura, nas bases de dados LILACS, BDENF e MEDLINE, com artigos no idioma português, publicados entre 2009 a 2019. Resultados: Foram encontrados 284 estudos, sendo 06 incluí­dos para a análise. Conclusão: A promoção da saúde apresentou-se como fundamental para homens e mulheres transexuais, isso porque melhora a inclusão social, favorece o ví­nculo, a conquista da autonomia, da autoestima e do autocuidado. Colocá-la em prática requer dos profissionais de saúde um olhar centrado na pessoa, não no seu corpo, seu gênero e sua sexualidade.
Conhecimento dos responsáveis sobre a importância da vacina em uma unidade básica de saúde da Zona Oeste, Rio de Janeiro
Authors: Bernardo da Silva Maria Regina , Dias de Araujo Ramado Angela , De Andrade Jane Gregorio , Silvano Frutuoso Conceição Aline , Silva de Araujo Mendes Rosangela , Coelho Marques Louise , Baptista Silva Fernanda
Published: October 2020

Objetivou-se compreender o conhecimento dos responsáveis de menores de 6 anos sobre a imunização em uma Unidade Básica de Saúde. Trata-se de uma pesquisa de campo, de caráter exploratório-descritivo, com uma abordagem qualitativa que foi conduzido em uma Clinica da Famí­lia na Zona Oeste do Rio de Janeiro. Foram feitas 16 entrevistas, 81% foram mães, somente 1 pai e a faixa etária de 18 a 60 anos. Quanto í  escolaridade, 56% estudou ní­vel médio completo, 81% recebe um salário mí­nimo, 56% ocupa-se de atividades do lar e somente 19% é de beneficiários do Bolsa Famí­lia. O estudo mostrou que os responsáveis, apesar das diversificadas opiniões, demonstravam preocupação quanto í  vacinação dos menores e que o projeto do Bolsa Famí­lia não influenciou na busca pelo imunubiológico, garantindo uma eficaz cobertura vacinal. Notou-se a dificuldade na compreensão quanto í  leitura do cartão de vacina e maior intensificação pós-vacinal, evidenciando a necessidade de orientações na sala de imunização pelos profissionais de enfermagem e, assim, disseminando saberes para os responsáveis, garantindo uma assistência qualificada e eficaz e maior divulgação na mí­dia das mudanças de faixa etaria vacinal.
Atitudes e Práticas face í Exposição Solar dos Carteiros do Municí­pio de Juazeiro do Norte-CE
Authors: Natércia Albuquerque Oliveira Séphora , Leite Rolim Neto Modesto , Castro Lacaz Francisco Antônio
Published: October 2020

As doenças relacionadas ao trabalho podem ser enquadradas como Problema de Saúde Pública (PSB), pois acometem um importante número de indiví­duos e são passí­veis de se tornarem objeto de ações individuais ou coletivas para sua prevenção e controle em termos populacionais. OBJETIVO: Analisar as atitudes e práticas face í  exposição solar dos carteiros do Municí­pio de Juazeiro do Norte-CE. MÉTODO: Estudo de coorte transversal com enfoque na abordagem quantitativa. RESULTADOS: Os carteiro se expoem ao sol em horários indevidos e que a maioria dos entrevistados fazem exposição ao sol por volta das 13:00 í s 17:00 horas, perí­odo do dia que as radiações UVA e UVB estão mais incidentes. CONCLUSíO: Constatamos que os carteiros da cidade do Juazeiro do Norte- CE constituem um grupo susceptí­vel a doenças de pele, a exemplo do câncer de pele, pois na sua maioria, em relação ao fototipo cutâneo, foram avaliados como possuidores de peles do Tipo II e III.
DIFFERENCES BETWEEN END-TIDAL CARBON DIOXIDE OBTAINED IN RIGHT AND LEFT LATERAL DECUBITUS POSITIONS IN A PATIENT WITH A PULMONARY EMBOLISM – A CONCEPT FOR USAGE IN EMERGENCY MEDICINE
Authors: Zyśko Dorota , Gogolewski Grzegorz , Chourasia Goutam , Wizowska Joanna , Guziński Maciej , Jagielski Dariusz , Timler Dariusz , Nadolny Klaudiusz
Published: October 2020

The aim: To diagnose patients with suspected pulmonary embolism is to assess eTCO2 in two lateral decubitus positions
and to compare them between each other and with PaCO2.
Material and methods: An approval of the bioethics commission was obtained to study eTCO2 in different positions in patients
with suspected PE (583/2019). Consecutive ED patients referred for computed tomography pulmonary angiography (CTPA) due
to a suspicion of pulmonary artery embolism are asked to take part in the study. Exclusion criteria are the inability to give informed
consent, shock or hypotension, inability to change position (an elevation of the upper body to 30 degrees is allowed). The other
available laboratory data like D-dimer concentration, troponin, arterial blood gases analysis, creatinine, sodium, potassium,
NT-proBNP, hemoglobin, C-reactive protein, and glycemia are noted. CTPA in the case of pulmonary embolism is assessed to
determine differences between embolism to both lungs.
Results: The difference between eTCO2 on the left lateral decubitus position was found. Contrary to this finding in
a healthy person there was no differences between eTCO2 obtained in both lateral positions. Stress tests are known
methods for examining patients whose underlying conditions are normal or inconclusive. In the case of capnography,
such a load could be a change in body position, which is a simple procedure that does not require much physical effort.
Conclusions: Intensifying efforts to disseminate knowledge on the use of eTCO2 in clinical practice and to find new applications
for this study seems particularly important.
THE IMPACT OF CHANGES ON THE EFFICIENCY OF THE HOSPITAL EMERGENCY DEPARTMENT IN RYBNIK
Authors: Kuczera Piotr
Published: October 2020

The aim: The continuous development of medical sciences, the progress of aging of the population, and the increase in the
number of accidents constantly force the management of emergency departments (ED) to adopt the conditions in the ward
by focusing on the effective protection of patients presenting to the hospital. The subject undertaken in this work was to
determine the effectiveness of changes in the daily functioning of the hospital ED in Rybnik from 2017.
Material and methods: The research used numerous literature items as well as normative acts defining the legal conditions
of the State Emergency Medical Service (EMS) system. Unpublished materials, owned by the Provincial Specialist
Hospital No. 3 in Rybnik, played an important role. In addition, the method of diagnostic survey was applied with the use of
the survey technique (a questionnaire): the direct survey conducted among employees of the hospital ED.
Results: In the survey, respondents assessed changes in the work organization of the hospital ED, including the introduction
of 24-hour duty for emergency medicine specialists, the introduction of a scheduled admission room as well as the introduction
of patient’s initial assessment with a separate room for the initial assessment of children. Most of the respondents’
assessments were above the average.
Conclusions: This information is optimistic and expresses the positive attitude of the employees of the ED in Rybnik to the
changes introduced in the unit, and thus to increasing the efficiency of the daily work of the hospital ED in Rybnik.
TRIAGE AND EMERGENCY MEDICAL MANAGEMENT OF THE ACUTE RADIATION SYNDROME
Authors: Trzos Arkadiusz , Kudła Wiktoria , Łyziński Karol
Published: October 2020

Introduction: Medical personnel of the state Emergency Medical Services (EMS) will be the first element involved
in providing assistance to victims of radiation incidents. Triage, initial diagnosis and further patient medical management
will depend on their actions. In many radiation incidents, initial radiation triage and early diagnostics will be
carried out in the emergency department (ED) or trauma center (TC). Extended triage, diagnosis of ARS and proper
treatment will be continued in specialist centers.
The aim: To present a model of patient medical management including initial triage and early diagnosis of ARS that
can be carried out at the ED and TC.
Material and methods: The initial medical procedures prepared by expert groups were presented. The choice of
procedures was made in terms of the possibility of their application by the EMS teams in Poland. Particular attention
was paid to the method of initial triage, based on the clinical condition and laboratory diagnostics.
Results: Based on the material collected, the path of the initial medical procedure was presented. Variants of the
radiation triage, interpretation of clinical parameters and results of laboratory tests are presented. The methods of
initial treatment and the method of qualification for specialist treatment, and new methods of treating patients were
also described.
Conclusions: An adequate evaluation of radiation incidents, determining the absorbed dose of ionising radiation and
ARS, as well as initial triage seem to be crucial skills of the EMS workers.
PROGNOSTIC MODEL OF SKIN CANCER RISK ASSESSMENT
Authors: Оshyvalova Оlena О. , Ziukov Oleg L. , Gurianov Vitaliy G.
Published: October 2020

Introduction: Early detection of people at risk of skin cancer will reduce the incidence of disease, lower the cost of health technologies and decrease anxiety level in patients.
The aim of the work is to create a prognostic model for identifying people at increased risk of skin cancer development.
Material and methods: We used the results of our previous research on identifying risk factors in patients with actinic keratosis (AK), squamous cell carcinoma in situ (SCCis)
and cutaneous squamous cell carcinoma (cSCC), who were under dynamic observation at the State Institution of Science “Research and Practical Centre of Preventive and Clinical
Medicine” State Administrative Department (hereinafter SIS) in 2014-2017.
Results: The prognostic model is valid, AUC = 0.97 (95% CI 0.96 – 0.99) showing a significant association of the risk of skin cancer development with the following factors:
patient’s age, sunburns, using skin sunscreens, exposure to the sun in recent times, exposure to radiological materials, drug administration (antiarrhythmic drugs, antihypertensive
medications, hormonal contraceptives, antibiotics), burdened family history (melanoma, squamous cell cancer). Model sensitivity was 95.1% (95% CI 91.6% - 97.4%), specificity
– 88.5% (95% CI 84.6% - 91.8%).
Conclusions: The developed and analysed mathematical risk prediction system made it possible to identify 11 factors which are significantly associated with risk of skin cancer
development. The prognostic model might be offered for specialists in taking decision at the stage of primary and secondary prevention of skin cancer.
STUDY OF THE LIFESTYLE OF ECONOMICALLY ACTIVE POPULATION OF THE CHERNIVTSI REGION: THE PREVALENCE OF RISK FACTORS AMONG BUSINESS ENTITIES IN THE MARKET
Authors: Vlasyk Lyubov Y. , Ryngach Natalia O. , Vlasyk Leonid I. , Stupnytska Hanna Y.
Published: October 2020

Introduction: To reduce the burden of non-communicable diseases (NCDs) and premature mortality, it is necessary to influence the risks of their occurrence at all stages of life.
Economically active population, which can be more at risk, is required the special attention.
The aim of the study is to investigate the prevalence for risk factors of major NCDs among the economically active population of the Chernivtsi region in the example of business
entities in the market.
Materials and methods: The survey of the Chernivtsi business entities (n = 633) conducted in 2017-2018 on the territory of ME CSC (the Municipal Enterprise City Shopping
Complex) “Kalynivskyi market” has been used in the research.
Results: There is the high level of the prevalence of the main risk factors for NCDs (unhealthy diet, lack of physical activity, smoking) among those working in the territory of the
market. Only 17% consume a sufficient amount of fruit and fish. Only 35% of respondents systematically do physical exercises and special physical exercises. The most common
unhealthy diet has been found among young men (25-44 years), in this group, about 40% are smoking. An acute problem of female smoking (25%) among market workers has
been revealed. It is shown that, in general (taking into account passive smoking), 65% of respondents suffer from harmful effects of tobacco.
Conclusions: The established features of the lifestyle of workers indicate the need to make maximum efforts to focus on improving medical literacy and the formation of
motivation to preserve health.
INTERNATIONAL EXPERIENCE OF LEGAL REGULATION OF THE PROCEDURE OF TATTOOING SERVICES’ PROVISION AND ITS IMPLEMENTATION IN UKRAINE
Authors: Milevska Alona O. , Lyubchik Alexander A. , Chorna Alina N. , Khimich Olha M. , Opatskyi Roman M.
Published: October 2020

Introduction: The fashion for tattoos in Ukraine and in the world is becoming massive among young people and middle-aged people. The existence of a great demand and
the lack of standards that would establish a procedure for the provision of such services in Ukraine lead to the realization of such activities by persons who are not sufficiently knowledgeable about the safety, contraindications and risks of such activities for the health of a client. The realities of the present time indicate that the unregulated tattoo services can trigger the outbreak and spread of dangerous infectious diseases, and also pose a threat to public health.
The aim: The objective of this article is to comprehensively analyze and study the main tendencies in the legal regulation of the provision of tattoo services in the EU countries
and the US. The main task of the paper is to distinguish and generalize the positive experience of legal regulation of the provision of tattooing services, to formulate propositionsfor their implementation in Ukraine.
Materials and methods: The authors during the research have used theoretical methods (analysis, synthesis, generalization, systematization, etc.) and empirical methods (observation, classification, etc.). The systematization and analysis of national and international legislation in the field of regulation of tattooing services has been carried out.
Review: The authors of the article have analyzed the tendencies of legal regulation of the provision of tattooing services in the EU countries and the US. Analysis, systematization and generalization of legal regulation of tattooing in these countries made it possible to find out that the safety of the provision of such services for public health can only be achieved through comprehensive legal regulation that combines sanitary requirements, vocational training and licensing requirements, infection control and control of chemical composition of paints for tattoos.
Conclusions: The necessity of introduction of positive experience in legal regulation of tattooing services in Ukraine has been established. It will protect the population from
the spread of dangerous infectious diseases and will promote the health of the youth who massively address for such services.
FAMILIAL HETEROZYGOUS HYPERCHOLESTEROLEMIA: A CASE REPORT
Authors: Zhdan Vyacheslav М. , Kitura Yevdokiia М. , Babanina Maryna Yu. , Kitura Oksana Ye. , Tkachenko Maksym V.
Published: October 2020

Іntroduction: Familial hypercholesterolemia (FH) is an autosomal dominant disorder, caused by the defect of the gene, encoding the structure and function of the receptor
for the apoprotein B/E. Patients with FH are predisposed to premature development of atherosclerosis and clinically manifested forms of cardiovascular diseases, in particular coronary heart disease (CHD).
The aim of our article is informing the general practitioners about the diagnosis and management of patients with familial heterozygous hypercholesterolemia.
Materials and methods: The data of domestic and foreign literature were analyzed. The case report of familial heterozygous hypercholesterolemia (FHH) was present in this
article. Diagnostic criteria, current approaches to the management of patients with hereditary disorders of lipid metabolism are considered.
Conclusions: Familial heterozygous hypercholesterolemia is one of the most common genetic disorders, but this pathology is not well-known to practitioners and is often
underdiagnosed. Early diagnosis and aggressive contemporary hypolipidemic therapy is crucial for patients with signs of hereditary lipid disorders.