bluuebunny/crossref_metadata_2025 huggingface dataset:
Inclusive Sustainable Development in the Caribbean Region: Social Capital and the Creation of Competitive Advantage in Tourism Networks
Authors: George Babu
Published: October 2020

In the mainstream parlance, tourism is constructed as conspicuous consumption for the exclusively chosen few. Historically, the term “inclusive” in the tourism industry was exclusively used with all-inclusive tourism. All-inclusive tourism is often quite an unethical approach and is probably the antithesis of inclusive development. Likewise, traditional definitions of sustainable tourism, too, did not stress enough of inclusiveness. The focus of sustainable tourism has been to ensure the sustenance of nature and culture and inclusiveness was just one of the conditions that would support this. This paper attempts to blueprint the idea of inclusive, sustainable tourism – which brings inclusion to sustainable development. Inclusion in the cooperative governance framework activates social capital and thereby, tourism businesses can gain lasting competitive advantage. A special mention about the challenges being faced by the Caribbean tourism destinations is given during the discussion. Caribbean tourism is criticized for its powerful thrust for everything that is unsustainable. The “third way” is gaining traction, but it also excludes certain important voices and stakeholders. For the Caribbean region, ending the Sun-Sea-Sand-Sex model of tourism altogether, all of a sudden is not only impractical but also unsustainable. So, the solutions should reform it with more and more inclusivity and sustainability elements. There is still hope, with a new generation of entrepreneurs armed with a combination of idealism survival spirits. Tourism is now at the center of the inclusive economic development paradigm in the Caribbean, more than ever before. During the discussion, certain myths about inclusive, sustainable tourism are demolished, too: say, it is not who controls tourism but how it is controlled which determines inclusiveness and sustainability; also, there is evidence emerging which indicate that even large scale private enterprises could advance inclusiveness and sustainability provided these results in their competitive advantage and increased profitability; finally, inclusiveness does not necessarily mean sustainability or vice versa.

Keywords: Inclusive Sustainable Tourism, Ethics, Social Responsibility, Culture, Competitive Advantage, Cooperative Networks, Policy Framework.
Impact-Investing in The Healthcare in Terms of the New Socially Responsible State Investment Policy
Authors: Yelnikova Julia , Kwilinski Aleksy
Published: October 2020

The article reveals the issue regarding the implementation of impact-investing in the health care system and its comparison with other traditional investment mechanisms. The relevance of the study is to show the destructive impact of the COVID-19 pandemic on investment processes. According to the WHO and the UN, the global pandemic, unpreparedness of the Ukrainian health care system, and the lack of progress in achieving the Sustainable Development Goal 3 calls into question the conclusions of the Voluntary National Review “Sustainable Development Goals Ukraine 2020”. The investment instruments against COVID-19 in 2020 are conceptualized. The private companies’ assistance in this fight is studied. The study defines that most assistance is charitable rather than investing. Given the systematic and integrated practices of socially responsible business support for the health sector in SER companies’ strategy or the implementation of public-private partnerships in this area, such support could be transformed into mutually beneficial investment projects and after overcoming the pandemic impact. The authors prove that impact-investing is a useful tool for building and restoring the economy through a new socially responsible state investment policy. The current state of public investment project implementation in the health care field is assessed. According to the results, it is necessary to improve transparency, investment monitoring of projects and executive discipline in their implementation. Lack of generally accepted standards of transparency, measurement and impact management, along with an unformed system of benchmarks minimizing reputational risks and reducing transaction costs in the market of impact-investing and responsible investment in general (considering data from surveys of the Global Network on impact-investing) are fundamental limitations which hinder its development, in particular in Ukraine. Recommendations are given to develop the impact-investing in the context of new public investment policy to overcome these limitations, regarding the best practices in promoting the impact-investing policy.

Keywords: Impact-investing, Investment Policy, Investors, Sustainable Development Goals, Social Responsibility, State Investment Policy.
Destination Management in Lesvos, Greece. Characteristics, Preferences, Images, Satisfaction, and Overall Experience
Authors: Constantoglou Mary
Published: October 2020

As the tourism sector is continually evolving, touristic destinations and service providers should give close and thoughtful attention to customers’ satisfaction, particularly during the Covid-19 pandemic period. Tourism for Greece represents one of the most valuable pillars of the economy and the impact of the pandemic to the sector and GDP will be significant. In this era, it is evident the importance of the Sustainable Development Goals and effective Destination Management that will take into consideration all aspects of the local communities. Customer satisfaction is crucial to improving strategies that destinations must follow to service quality and satisfaction management strategies. Recent consumer and technological trends make customer satisfaction more important than ever. This paper aims to investigate the characteristics, preferences, images, satisfaction levels, and the overall experience gained by the tourists visiting Lesvos island in the North Aegean Region Greece. Primary research was conducted and the airport of the island during departure in 2019. The useful gathered questionnaires (201) provided helpful information to the island’s DMO related to the visitors’ demographic characteristics, destination perception, awareness and competitiveness, satisfaction and overall experience. The basic research findings were the strong impression of the visitors about the authenticity of the destination. They also believe that prices are excellent and the rate of value for money is high. At the same time, visitors think that the island is not promoted very good and the image/brand of the island is not very clear and well defined. It is the first research conducted to visitors departing from Lesvos island to the authors’ best knowledge. The results and discussion of this study will be useful to the islands’ DMO and the island’s tourism authorities and the North Aegean Region and other similar island destinations, which wish to maximize the benefits of tourism development.

Keywords: Destination Management Organization, Destination Image, Branding, Visitor Satisfaction, Experience.
Hyper-Consumption to Circular Economy in the United Arab Emirates: Discarding the Disposable and Cherishing the Valuable
Authors: Lusk Jeniece , Mook Anne
Published: October 2020

Overconsumption of resources and consumer items is an important driver for environmental degradation and climate change. Malls, shopping, and conspicuous consumption are deeply ingrained in the local values and the global image of the United Arab Emirates (UAE). The UAE has a diverse and international population with over 85% expats and numerous opportunities to reduce environmental impact. Increased participation in a circular economy that aims to reduce resource use by recycling materials, reusing products, extending their lifespan, and maintaining their economic value would be an effective strategy to reduce negative environmental impacts. However, little is known about how much and why UAE citizens and residents participate in the circular economy. Therefore, it is important to examine the factors that predict participation in the circular economy in the UAE. To investigate this question, we surveyed n=163 undergraduate students at an American-curriculum university in the UAE and explored literature-based explanations as predictors for participation in the circular economy, namely gender, nationality, exposure to circular economy initiatives, efforts to reduce ecological footprints, and sustainable consumer behaviors using index-based negative binomial regression models. We also compare differences in ways and levels of participation in the circular economy between UAE citizens and residents with t-tests. Our results suggest that participation in the circular economy does not emerge from concerted efforts to reduce environmental degradation such as lowering ecological footprint and reducing waste, but rather investments in sustainable and durable items. Emirati citizens are more likely to participate in the circular economy, in particular repairing items, than expat residents. These differences are most likely to be explained by the more stable lifestyles of Emirati citizens as opposed to the more itinerant lifestyles of expat residents.

Keywords: sustainability, circular economy, consumption, Middle East, ecological footprint, recycling.
The Global Crisis And Crime: A Look Into Manufacturing Firms
Authors: Kaya Halil D. , Lumpkin-Sowers Nancy L.
Published: October 2020

In this study, we examine how the 2007-2009 Global Crisis affected manufacturing firms’ security spending and losses due to property crime (i.e. theft, robbery, vandalism, and arson) in Eastern Europe and Central Asia. Although we are currently experiencing a new global crisis due to the coronavirus, we cannot examine this current period yet since the current crisis is still ongoing. This article pulls together different literatures on the aftermath of the 2007-2009 Global Crisis in middle income economies, the influence of crisis on global supply chains, and the connections between unemployment and crime, to provide an empirical investigation of the trends in security spending within manufacturing firms across time. We find that fewer firms paid for security after the crisis has passed. On the other hand, the firms that spent money on security after the crisis ended actually spent a larger proportion of their sales on security. Our results indicate that, after the crisis, although fewer firms experienced losses due to crime, certain types of firms changed their spending on security. More of the smallest and largest firms, fewer of the firms with no female owner and fewer of the firms with a male top manager spent money on security after the crisis. Also, the firms with one or more female owner or a male top manager spent more money on security after the crisis. Overall, we find that there is a “gender effect” on security spending. Male and female owners’ spending patterns are different. Also, male and female top managers’ spending patterns are different. Also, our results show that manufacturing firms viewed crime as a much lower obstacle in the business environment after the financial crisis, and most firm-types reported lower losses due to crime after the financial crisis had passed. We are hoping that these findings will guide manufacturing firms with respect to their operational spending. Although an economic crisis may cause crime rates to go up initially, over time, this trend reverses. Therefore, firms may want to recognize this cycle in responding to the next crisis. Keywords: crime, manufacturing, Global Crisis, financial crisis.
STUDY OF PECULIARITIES OF LAND RELATIONS THROUGH THE PRISM OF ECONOMIC THEORIES
Authors: Moroz Vasyl
Published: October 2020

The paper defines the essence of the notion “land relations” and outlines their main peculiarities, based on the analysis of scientific works of classics of the world economic thought, study of the historical experience and consideration of practical aspects of lands resource use in economy. Negative results of the influence of the neoliberalism theory on the formation of land relations in Ukraine and the former USSR countries after getting independence are substantiated. Attention is accented on a necessity of taking into account national interests at reforming land relations.
The aim of the paper is to study peculiarities of land relations through the prism of economic theories, taking into account their development evolution, and formation of the complex approach to defining the essence of the notion “land relations” as an object of financial-economic regulation.
The methods of empirical and retrospective analysis of the world and native economic thought was used in the paper for separating fundamental bases of land relations; the methods of generalization and comparison of scientific approaches as to defining the essence of land relations and their elements; system approach for substantiating the economic base of land relations, determination of their elements and principles.
Key peculiarities of land relations, complexly discovering their essence, taking into account a necessity to create an effective economic-legal mechanism of their regulation within the conflict of the neoliberal economic ideology and national interests have been formulated. There has been offered a wide approach to understanding an object of land relations that is land resources; it has been proved, that realization of all legal actions with land resources results from a necessity to observe the factor of lands suverenization; the economic base of land relations has been substantiated; principles of land relations, resulting from a necessity of the rational land use, observance of national interests and guaranteeing of food safety of the state, have been outlined.
IMPLEMENTATION OF NATIONAL HIGHER EDUCATION STANDARD IN ELECTRONICS: STUDENTS’ PERCEPTIONS OF LEARNING OUTCOMES
Authors: Pavlenko Olha
Published: October 2020

Recently, Ukrainian higher education institutions (UHEI) have undergone major changes in revising and implementing new policies, concerning the outcome-oriented reform in the national higher education standards (NHES). This paper describes research, conducted in Ukraine to collect the data on how new NHES in Electronics and program-based outcomes are perceived by undergraduate engineering students’ in terms of achieving their learning outcomes. The results of the study suggest that while the importance of implementing outcome-oriented initiative is highly supported and documented by the UHEI, students do not see the clear relation of program-based outcomes to the acquired knowledge and skills. Regardless of their apparent unawareness of program-based outcomes, students claim to be able to demonstrate their acquired knowledge and skills in practice, which is supported by self-assessment of their progress as well as the data on students’ average grades. Additionally, the study shows that program-based outcomes are rarely used to assess students’ performance as the outcomes do not align with the assessment criteria. The study indicates that students’ awareness of higher education learning outcomes, based on NHES in Electronics Engineering (EE) programmes, is generally underestimated both by students and course developers. The results unveil the need to introduce a professional development program in order to train EE course developers to adequately implement NHES outcomes in designing EE courses as well as make existing assessment criteria outcome-oriented.
SUALTI ARKEOLOJİSİ VE MARMARA DENİZİ
Authors: GÜNDÜZ Serkan
Published: October 2020

Sualtı Arkeolojisi 20. yüzyılın başlarında keşfedilen sanat eserleri taşıyan batıkların keşfiyle dikkat çekmeye başlamıştır. 1960 yılında gerçekleştirilen Gelidonya Batığı kazısı ile ise bilimsel kimlik kazanmıştır. Zaman içinde popülaritesini arttıran arkeolojik sualtı çalışmaları Anadolu kıyılarında gün geçtikçe artmış ve keşfedilen Uluburun Batığı ve Antalya Batığı gibi batıklar ile Anadolu kıyılarındaki denizcilik tarihini değiştirmiştir. Uzun yıllar Akdeniz ve Ege kıyılarında yoğunlaşan arkeolojik sualtı çalışmalarının Marmara Denizi’ne ulaşması ancak 1980’lerde olmuştur. Marmara Denizi, Neolitik Dönem’de çevresinde kurulan yerleşimler için besin kaynağı olarak oldukça önemli bir konumdadır. Birinci bin içindeki kolonizasyon hareketleri esnasında kıyılarına birçok yeni koloni kenti kurulduğu bilinmektedir. Fakat, Marmara Denizi’nin denizcilik tarihi büyük oranda gizemini korumaktadır. Geç Roma Dönemi ve Bizans Dönemi’ne tarihlenen batıkların çokluğu başkente ev sahipliği yapan Marmara Denizi’nde artan denizcilik faaliyetlerine işaret etmektedir. Bu çalışmanın amacı, Marmara Denizi’ne dikkatleri çekmektir. Yenikapı Kazıları buluntu grubu bakımından Sualtı Arkeolojisi konusuna girse de kullanılan teknik farklılığı nedeniyle çalışma kapsamına dâhil edilmemiştir.
Social Well-Being of the Rural Khakas People
Authors: Lushnikova Olga
Published: October 2020

The Khakas people are mainly rural. As a result, the preservation of the indigenous population of the Republic of Khakassia depends on the social well-being of its village dwellers. The migration flow from rural to urban areas is currently increasing because the village is going through a crisis. However, the ethnic community is responsible for the "reverse" migration. Urban experience changes attitudes, habits, and lifestyle, thus affecting the social well-being. The article attempts to compare the social well-being of the Khakas people with some urban experience and those with no such experience. The ex-urban residents proved unsatisfied with rural living conditions but demonstrated a more conscious life attitude and optimistic expectations. The rural old timers appeared less satisfied with their lives and more pessimistic. However, they were more willing to improve their living conditions, which might help to preserve the indigenous rural population of Khakassia.
Practice-Oriented Technologies in the Educational Process as the Basis for the Economic Development of Society
Authors: Klimashina Yuliya , Shipunova Vera , Sabanova Liudmila
Published: October 2020

The research objective was to determine the main vector of education development based on the analysis of Russian and foreign experience in using various methods of active learning. This vector is directed at a stable interaction between the real sector of the economy and the state in the educational process in order to improve the quality of education in general. The modern digital environment of higher education should create conditions for comprehensive development and new opportunities for students to receive high quality education based on modern practice-oriented technologies. Modern society needs education to preserve its fundamental nature. However, education reforms change its content, e.g. by reducing classroom hours, focusing on independent learning, etc. The article describes the main problems and prospects of personnel training in higher education and the necessary competences of all participants of educational process aimed at sustainable economic development of society in the context of global digitalization. The authors developed and described the mechanism of interaction between the participants of system science – business – production – state – society, integrated in the educational process. The mechanism uses practice-oriented technologies in order to increase the competitiveness of university graduates in the labor market and the quality of education in general. This mechanism will help to involve students in the educational process and face the modern realities of changing society, whose main priority is to adapt to rapidly changing working conditions.
Evaluation of Availability of Online Financial Services to the Population of the Kemerovo Region (Kuzbass)
Authors: Lubkova Elmira , Ermolaeva Galina , Shilova Anna
Published: October 2020

The availability of online financial services is becoming increasingly relevant in the context of the digital economy. On the one hand, they are easily assessable and not time-consuming. On the other hand, there is insufficient financial literacy and incomplete Internet coverage of remote areas – the obstacles that have to be overcome. The research objective was to evaluate availability of online financial services in remote access. The study featured the relationship between consumers and financial institutions in the process of implementing financial services in remote access. It was based on empirical, monographic, and abstract-logical research methods. An analysis of empirical data showed that most respondents could choose remote banking services. Fewer respondents had access to online services of insurance companies and other financial institutions. Respondents complained about various problems in obtaining remote access to financial services. The authors believe that the research can help improve regional financial programs and encourage further studies of local financial availability by increasing financial literacy, full Internet coverage, and confidence in financial institutions.
Stroke and air pollution. a worldwide public health problem
Authors:   University Hospital of Dijon, 2 Boulevard du Maréchal de Lattre de Tassigny, 21000, Dijon, France, Giroud M. , Reis J. ,   University of Strasbourg, 3 rue du loir, Oberhausbergen, Strasbourg, 67205, France
Published: October 2020

After myocardial infarction, stroke is now associated with air pollution. From local data and literature, we report the strength of the association between air pollution and stroke. We try to understand the biological mechanisms between exposure to air pollutants and stroke risk. The association between air pollution and stroke is strong, confirmed and real. Air pollution and small particulate matter are the most toxic. Patients with classical neuro-vascular risk factors or a history of stroke or transient ischemic attack are at risk of stroke induced by air pollution. Air pollution is a serious modifiable risk factor for stroke and a silent killer inducing stroke. This new neuro-vascular risk factor is useful for public health policies.
Developing methodical approaches to substantiating average annual maximum permissible concentrations of hazardous substances in ambient air in settlements as per acceptable health risk
Authors:   Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, 82 Monastyrskaya Str., Perm, 614045, Russian Federation, Zaitseva N.V. , Shur P.Z. ,   Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, 82 Monastyrskaya Str., Perm, 614045, Russian Federation, Chetverkina K.V. ,   Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, 82 Monastyrskaya Str., Perm, 614045, Russian Federation, Khasanova A.A. ,   Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, 82 Monastyrskaya Str., Perm, 614045, Russian Federation
Published: October 2020

A methodological basis for providing chemical safety for population is obtained via fixing safe concentrations of hazardous substances, including those in ambient air, as it allows absence of unacceptable risks for people’s life and health. In the Russian Federation average daily maximum permissible concentrations (MPC av.d.) are applied to prevent chronic effects on human health produced by hazardous substances that are present in ambient air. But in world practice it is conventional to apply average annual concentrations when assessing chronic exposure to hazardous substances as it allows applying existing acceptable health risks as assessment criteria. We propose an algorithm for substantiating average annual MPC of chemicals in ambient air as per health risks criteria; the algorithm is harmonized with international approaches and takes into accounts research results taken from previous research works that have been published in relevant scientific sources. The algorithm also involves accomplishing toxicological and/or epidemiologic examinations solely aimed at obtaining missing data. The proposed algorithm envisages selecting starting points for substantiating a hygienic standard and uncertaintyfactors. Proposed methodical approaches have a distinctive feature that is verification of obtained standards as per acceptable (permissible) carcinogenic risk criteria and assessment of safety under exposure equal to MPC av.an. during the whole life span. Development and implementation of average annual maximum permissible concentrations of hazardous substances in ambient air will promote harmonization of the domestic regulatory base with hygienic standards and norms accepted in world practice.
Exposure assessment and risk characterization of n-nitrosodimethylamine (ndma) in the diet of children from 6 to 36 months in Hanoi, Vietnam
Authors:   National Institute for Food Control, 65 Pham Than Duat Str., Hanoi, Vietnam, Son Tran Cao , Lam Nguyễn Thị Thanh ,   National Institute for Food Control, 65 Pham Than Duat Str., Hanoi, Vietnam, Tu Vu Ngoc ,   National Institute for Food Control, 65 Pham Than Duat Str., Hanoi, Vietnam, Dong Bui Quang ,   National Institute for Food Control, 65 Pham Than Duat Str., Hanoi, Vietnam, Hao Le Thi Hong ,   National Institute for Food Control, 65 Pham Than Duat Str., Hanoi, Vietnam, Toản Lưu Quốc ,   anoi University of Public Health, 1A Duc Thang Road, Hanoi, Vietnam, Lebedeva-Neservia N.A. ,   Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, 82 Monastyrskaya Str., Perm, 614045, Russian Federation,   Perm State University, 15 Bukireva Str., Perm, 614990, Russian Federation
Published: October 2020

N-Nitrosodimethylamine (NDMA) is a highly hepatotoxic compound and classified as group 2A according to IARC, which is probably carcinogenic to humans. The habit of consumption of grilled meat-based foods may lead to a health risk, especially in children. In this study, a food consumption survey was conducted in 4 districts (2 in urban and 2 in suburban areas) in Hanoi, Vietnam. Food samples in the diet of children from 6 to 36 months was collected and tested for NDMA by GC-MS/MS method. Total exposure dose was calculated and compared to the proposed tolerable daily intake (TDI) to characterize the risk. Among the food tested, NDMA was detected in canned puree, grilled meat and sausage. The average contents of NDMA were 1.50 μg/kg, 1.18 μg/kg and 0.20 μg/kg in grilled meat, sausage and puree, respectively. The average total daily exposure dose of NDMA was 8.23 ng/kg bw/day in all studied group, which were within the upper recommended TDI (9.3 ng/kg bw/day). With a certain assumption, the cancer risk caused by exposure to NDMA were higher than the recommended value of WHO.
Analysis of individual occupational health risks for workers with basic occupations typical for oil processing enterprises
Authors:   The Orenburg State Medical University, 6 Sovetskaya Str., Orenburg, 460000, Russian Federation, Setko N.P. , Movergoz S.V. ,   The Orenburg State Medical University, 6 Sovetskaya Str., Orenburg, 460000, Russian Federation, Bulycheva E.V. ,   The Orenburg State Medical University, 6 Sovetskaya Str., Orenburg, 460000, Russian Federation
Published: October 2020

At present a systemic approach based on occupational risk assessment methodology is a key to adequate detection of cause-and-effect relations between a disease and working conditions. Our research goal was to calculate and assess individual occupational health risks for operators and drivers employed at an oil processing enterprise. Our research object were parameters revealed via special assessment of working conditions and data obtained via periodical medical examinations performed on 198 operators and 160 drivers employed at an oil processing enterprise. A procedure for calculating individual occupational health risks took into account working conditions, individual health, working experience, and workers’ age. Influence exerted by working experience duration on health of workers from the examined occupational groups was estimated in three groups: working experience shorter or equal to 5 years; working experience equal to 6–10 years; working experience being longer than 10 years. Integral assessment of working conditions was obtained taking into account impacts exerted by occupational factors with different hazard categories, assessed risks of injuries and assessment of workers’ protection with individual protection means. We calculated integral parameters of working conditions assessment, hazard parameters at workplaces, and one-number integral values of individual occupational risks. We determined that 91 % drivers and 34.9 % operators ran high and extremely high occupational risks of diseases; those risks changed individually depending on hazard occupational factors at workplaces, age, working experience, and a worker’s health. It was shown that high individual occupational risks were much more frequent among drivers and operators with long working experience (6–10 years and longer) who had III–IV health groups and worked under hazardous conditions.
Primary CNS tumors in adults and environmental factors: an update
Authors:   Uppsala University Hospital, SE-751 85, Uppsala, Sweden, Berntsson S.G.
Published: October 2020

The incidence of adult primary brain tumors is increasing in some European countries. High-dose ionizing irradiation, rare genetic syndromes, and genetic predisposition in 5 % of families are a few established environmental risk factors for brain tumor. Mobile phone use that causes near brain exposure to radiofrequency electromagnetic waves and thus creates risks of CNS tumors has been the focus of many studies. Nine meta-analyses were available on this subject. The Interphone multi-center case-control study is the largest one to date; it included 2.708 glioma and 2.409 meningioma cases and matched controls in 13 countries. Studies exploring metals (cadmium, lead), pesticides, outdoor pollution, virus, and risk of glioma created by exposure to them were reviewed. Interphone study did not show increased risk of glioma or meningioma in mobile-phone users. One recent meta-analysis in 2017 found that prolonged exposure i.e.,> 10 years of all phone types was associated with increased risk of ipsilateral CNS tumor locations. In another meta-analysis, long-term use of mobile-phones was found to be a risk factor for low-grade glioma. In case of all durations regarding mobile phone use and both sides of the head, the results of pooling data were more discordant. A large prospective study in 2014 showed that long term use vs never use increased risks of acoustic neurinoma (10+ years: RR = 2.46, 95 % CI = 1.07–5.64, P = 0.03), but not of glioma or meningioma. Studies of other risk factors showed no/weak/contradictory association with brain tumor risk. In the absence of robust and consistent evidence, a causal relation between radiofrequency exposure and CNS tumors was not found. Large prospective studies of this kind regarding a disease with low incidence require a high number of participants and a long follow-up period.
Tensões do SAEB e do IDEB para a educação de qualidade como direito
Authors: Ribeiro de Mello Liliane , Helena Bertagna Regiane
Published: October 2020

A avaliação da educação básica no Brasil tem uma trajetória histórica já consolidada, a qual sempre se pontuou a articulação com a busca do poder público pela melhoria da qualidade. Este artigo tem por objetivo destacar as políticas de avaliação externa nacional, analisando o Sistema de Avaliação Nacional da Educação Básica (SAEB) e o Índice de Desenvolvimento da Educação Básica (IDEB), para deflagrar a concepção de qualidade educacional subjacente a estas políticas e problematizar a garantia do direito à educação pública de qualidade. Foi realizada uma pesquisa qualitativa a partir de levantamento e análise documental das portarias e relatórios do Ministério da Educação (MEC) e do Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira (INEP), em diálogo com referencial teórico. Apresentamos as políticas de avaliação externa nacional, analisamos as concepções de qualidade defendendo o princípio da formação humana e apontamos a problematização das políticas de avaliação para garantia do direito à educação pública de qualidade.
Políticas públicas, gênero e currículo
Authors: Alves Cláudio Eduardo Resende
Published: October 2020

Este artigo tem como objetivo refletir sobre gênero, currículo e políticas públicas na experiência de elaboração do Plano Municipal de Equidade Gênero de Belo Horizonte. No contexto nacional de retrocesso nas políticas públicas de gênero, a área de educação tem sido duramente afetada, apesar de sua relevância na promoção da cidadania e no enfrentamento às violências sexistas. O texto analisa o Plano e os silenciamentos de gênero a partir dos estudos teóricos pós-críticos que destacam a dimensão relacional e discursiva de gênero em interface com o currículo. Para isso, foram selecionados e problematizados quatro relatos do diário de campo como norteadores da pesquisa teórica e empírica. Os resultados evidenciam convergências e divergências na concepção de políticas públicas de gênero entre poder público, movimento social, sociedade civil e academia. O estudo aponta que o Plano pode ser tomado como uma forma de existência e resistência no campo da equidade de gênero.
Application of Carbon Nanotubes In Drug Delivery of Non-cancerous Diseases: A Review
Authors: Khan Shahebaaz , Jawlikar Puja , Lahoti Swaroop , Bhusnure Omprakash , Chitlange Sohan , Sangshetti Jaiprakash
Published: October 2020

Carbon Nanotubes (CNT) are the allotropes of carbon in nanosize dimension and are popular in
medicinal field. These nano-based technologies are gaining high interest in the recent years for the treatment of
diseases that are previously considered to be impossible to cure. CNTs have gained significance in the treatment
of the majority of disorders such as Malaria, Alzheimer’s disease, Infectious disease, and Asthma. Moreover,
patient’s responsiveness also increased in cardiovascular and pulmonary diseases. To date, a number of reviews
are available in the literature covering applications of CNT in cancer. However, the purpose of this review
is to focus on the use of CNTs in drug delivery of non-cancerous diseases. The novelty of this review is
that it is focused on the applicability of CNT in the various non-cancerous diseases. Detailed information was
collected from the literature which will guide and encourage researchers to explore the applicability of CNT in
various non-cancerous diseases in the future.
Treatment for Lysosomal Storage Disorders
Authors: Sheth Jayesh , Nair Aadhira
Published: October 2020

Lysosomal storage disorders comprise a group of approximately 70 types of inherited diseases resulting
due to lysosomal gene defects. The outcome of the defect is a deficiency in either of the three: namely,
lysosomal enzymes, activator protein, or transmembrane protein, as a result of which there is an unwanted accumulation
of biomolecules inside the lysosomes. The pathophysiology of these conditions is complex affecting
several organ systems and nervous system involvement in a majority of cases. Several research studies have well
elucidated the mechanism underlying the disease condition leading to the development in devising the treatment
strategies for the same. Currently, these approaches aim to reduce the severity of symptoms or delay the disease
progression but do not provide a complete cure. The main treatment methods include Enzyme replacement therapy,
Bone marrow transplantation, Substrate reduction therapy, use of molecular chaperones, and Gene therapy.
This review article presents an elaborate description of these strategies and discusses the ongoing studies for the
same.
Evaluasi Sistem Pengelolaan Limbah Medis dan Zat Berbahaya di RS XXX
Authors: . Muflikun
Published: October 2020

Rumah Sakit adalah institusi pelayanan kesehatan yang berpotensi menghasilkan limbah cukup banyak. Limbah rumah sakit mencakup semua buangan yang berasal dari kegiatan rumah sakit dalam bentuk padat, cair, pasta (gel) maupun gas yang mengandung mikroorganisme, bahan kimia beracun, dan bersifat radio aktif. Pengelolaan limbah di setiap rumah sakit mengacu pada Kemenkes RI No.1204/Menkes/SK/X/2004. Pengelolaan dimulai sejak pemilahan, pengangkutan dan pemusnahan. Untuk mengevaluasi sistem pengolahan sampah dan bahan berbahaya di rumah sakit XXX. Penelitian ini kuantitatif dengan pendekatan observasi. Populasi yang digunakan dalam penelitian ini yaitu pimpinan dan seluruh petugas pengelola sampah. Sampel penelitian ini ialah seluruh populasi yang mempunyai peran dalam pengelolaan sampah. Analisis yang digunakan adalah data hasil dari wawacara dan checklist hasil observasi. Pelaksanaan prosedur pengolahan limbah sebagian besar sudah dilakukan semua. Pada tahap pemilihan, pengumpulan, pengangkutan dan penyimpanan limbah medis benda tajam, pengolahan dan pemusnahan, pencatatan dan pelaporan masih ada beberpa syarat yang belum terlaksana. Pelengkapan dokumen pengolahan limbah diketahui sudah ada semua dan tersedia dengan lengkap. Analisa pengelolaan sampah diketahui sebagian besar sudah terlaksana. Namun pada indikatror sarana prasarana, petugas kebersihan, perlakuan terhadap limbah dan tanda peringatan sebagian besar belum dilakukan secara menyeluruh. Pelaksanaan prosedur pengolahan limbah dan pengelolaan sampah di rumah sakit XXX belum sesuai dengan Persyaratan Kesehatan Lingkungan Rumah Sakit dan Pengelolaan Limbah Bahan Berbahaya dan Beracun (B3). Kelengkapan dokumen pengolahan limbah medis ada dan sudah tersedia dengan lengkap.

Kata kunci: Sistem Pengolahan Limbah dan Zat Berbahaya

 
Clinical Decision Support May Link Multiple Domains to Improve Patient Care: Viewpoint
Authors: Kao David , Larson Cynthia , Fletcher Dana , Stegner Kris
Published: October 2020

Integrating clinical decision support (CDS) across the continuum of population-, encounter-, and precision-level care domains may improve hospital and clinic workflow efficiency. Due to the diversity and volume of electronic health record data, complexity of medical and operational knowledge, and specifics of target user workflows, the development and implementation of comprehensive CDS is challenging. Additionally, many providers have an incomplete understanding of the full capabilities of current CDS to potentially improve the quality and efficiency of care delivery. These varied requirements necessitate a multidisciplinary team approach to CDS development for successful integration. Here, we present a practical overview of current and evolving applications of CDS approaches in a large academic setting and discuss the successes and challenges. We demonstrate that implementing CDS tools in the context of linked population-, encounter-, and precision-level care provides an opportunity to integrate complex algorithms at each level into a unified mechanism to improve patient management.
Content Analysis and Quality Evaluation of Cesarean Delivery–Related Videos on YouTube: Cross-sectional Study (Preprint)
Authors: Lee Kyong-No , Joo Yeon Ji , Choi So Yeon , Park Sung Taek , Lee Keun-Young , Kim Youngmi , Son Ga-Hyun
Published: October 2020

BACKGROUND

YouTube is one of the most popular open-access video-sharing websites, and it is also used to obtain health care information. Cesarean delivery is the most common major surgical intervention in many countries. Videos related to cesarean delivery have also been uploaded to YouTube. However, no study has explored the overall quality of cesarean delivery videos on the platform.

OBJECTIVE

The objective of this study was to analyze the content and evaluate the quality of the most frequently viewed videos related to cesarean delivery that are accessible on YouTube.

METHODS

We searched for a total of 18 terms by combining the 6 terms retrieved from Google AdWords and the 3 terms c section, cesarean section, and cesarean delivery, which are used interchangeably. Videos were sorted by view count, and the 100 videos with the highest view counts were chosen. The number of views, duration, likes and dislikes, content type, and source of each video were recorded. In evaluating the quality of the videos, we referred to a previous study. Additionally, we developed a detailed scoring method that comprehensively evaluates the videos related to cesarean delivery by including the necessary information for each element of the cesarean delivery and whether scientific evidence was presented.

RESULTS

Of the 100 videos analyzed, the most prevalent content (n=28) was videos that contained the actual surgical procedure of a cesarean delivery, and the most common source of cesarean delivery videos was physicians (n=30). Videos directly related to cesarean delivery, such as explanation of the surgery and the actual surgical procedure, were mainly uploaded by medical groups and scored higher than the videos indirectly related to cesarean delivery, which were mainly uploaded by nonmedical groups. In addition, videos directly related to cesarean delivery were more often uploaded earlier in time, with lower like ratios compared to indirect videos.

CONCLUSIONS

YouTube is currently not an appropriate source for patients seeking information on cesarean delivery.
Marcadores culturais, espaços sagrados e as representações identitárias missioneiras no Prata
Authors: Pinto Muriel , Nogueira Carmen Regina , Colvero Ronaldo Bernardino
Published: October 2020

Las ciudades fronterizas de São Borja-Brasil y Santo Tomé-Argentina tuvieron el comienzo de su formación territorial a partir de la implementación de las Reducciones Jesuita-Guaraní (siglo XVII). Este período arraigó formas de vida, conocimiento, creencias y marcadores arquitectónicos en la región. Por lo tanto, se problematizó cómo las representaciones sociales y los marcadores culturales misioneros terminan reproduciendo narrativas de identidad regional. Como resultados parciales se argumenta que la identidad misionera regional, a pesar de sufrir con alteridades extrañas, aún mantiene prácticas tradicionales vividas, comenzando por las rituales, creencias sagradas y míticas, y a través de la afirmación discursiva y simbólica de la musicalidad misionera.
García Fernández, Javier. Descolonizar Europa. Ensayos para pensar históricamente desde el Sur. Madrid: Brumaria, 2019, 245 pp.
Authors: Marcos Jairo
Published: October 2020

Reseña del libro: García Fernández, Javier. Descolonizar Europa. Ensayos para pensar históricamente desde el Sur. Madrid: Brumaria, 2019, 245 pp.
Upper vs. lower extremity: Does the site of steroid injection have a different effect on blood glucose levels in patients with diabetes?
Authors: Anderi Emilyn
Published: October 2020

A clinical decision report appraising Twu J, Patel N, Wolf JM, Conti Mica M. Impact of variation of corticosteroid dose, injection site, and multiple injections on blood glucose measurement in diabetic patients. J Hand Surg Am. 2018;43(8):738-744. https://doi.org/10.1016/j.jhsa.2018.06.005 for a patient with diabetes and osteoarthritis.
Deciding when to use BiPAP for patients with acute exacerbations of COPD
Authors: Vedere Akhil
Published: October 2020

A clinical decision report appraising Carrera M, Marín JM, Antón A, et al. A controlled trial of noninvasive ventilation for chronic obstructive pulmonary disease exacerbations. J Crit Care. 2009;24(3). https://doi.org/10.1016/j.jcrc.2008.08.007
IL-1 inhibitor anakinra is an effective alternative to standard treatments for reducing pain due to acute gout flare
Authors: Craig Cheryl
Published: October 2020

A clinical decision report appraising Janssen CA, Voshaar MAHO, Vonkeman HE, et al. Anakinra for the treatment of acute gout flares: a randomized, double-blind, placebo-controlled, active-comparator, non-inferiority trial. Rheumatology. 2019;58(8):1344-1352. https://doi.org/10.1093/rheumatology/key402 for a patient with an acute gouty attack refractory to standard treatment.
Carrier scorecarding: purposes, processes, and benefits
Authors: Gibson Brian J , Wilson Jerry W
Published: October 2020

Carrier scorecarding programs (CSP’s) provide a formal, quantitative mechanism for use in assessing carrier performance. Such programs provide valuable input for carrier rationalization and contract development initiatives and can also serve as a key component of a Six Sigma program. In this study, the overall goal was to address three research questions. First, why are organizations adopting CSP’s? Second, how are organizations using carrier scorecarding to select and manage carriers? Finally, how does carrier scorecarding impact organizational performance? These questions were used to develop the set of research propositions that formed the basis for the investigation. In-depth case studies of six organizations were conducted to generate the evidence necessary to support or refute the research propositions. Carrier scorecarding was found to be an objective, process-oriented approach that improves the ability of the transportation buyer to realize significant improvements in customer service while strengthening internal cost control. In the current industry environment of intense competition, narrow margins, pressure for shorter cycle times and improved supply chain efficiency, carrier scorecarding is rapidly gaining recognition as a valuable tool for use in carrier selection, evaluation and retention.
An exploratory study into the use of hyper-interactive teaching technology in the logistics and transportation classroom
Authors: Rutner Stephen M
Published: October 2020

New technologies are being developed that can assist professors in the classroom. One is the Hyper-Interactive Teaching Technology or H-ITT. This is a system that allows instructors to gather instantaneous feedback from st udents for a variety of topics. The article examines the benefits and disadvantages of using H-ITT in the classroom and presents some initial findings.
Technology based supply chain training: its use and effectiveness
Authors: Gibson Brian J , Whitaker Jonathan D
Published: October 2020

Employee training is a huge business in the United States with spending in the neighborhood of $51 billion dollars. Over the last five years a growing proportion of training dollars have been committed to technology based training involving distance learning and e-learning. This article reports on the use of these innovative training methods in supply chain management and their impact on organizations in terms of cost effectiveness, time efficiency, skill development, and return on investment.
The transportation and warehousing challenge for multinational corporations in China
Authors: Chow Garland , Wang Charles Guowen
Published: October 2020

Logistics is a major challenge for multinational corporations seeking to do business in China. Transportation and warehousing are two core activities of logistics which will have to be outsourced or produced internally by foreign firms entering the China market. This paper focuses on road and rail transportation, the primary forms of transport utilized to move finished goods, as well as the warehousing and distribution center service sector. Trucking services and costs are observed to be poor by Western standards. There is no established less-than-truckload (LTL) industry and there are limited trucking networks offering one stop shipping across the country. None the less, trucking will have to be the backbone of any distribution network in China for finished products. Rail service is even poorer. There are capacity constraints and finished goods movement is not a priority of the Chinese railways. Warehousing capacity inherited from state owned enterprises is inadequate, but new distribution centers are being built rapidly. Foreign firms need to recognize these limitations in service, capabilities and capacity in planning their distribution networks. The fragmented nature of both the trucking and warehousing sectors places a premium on the value added by third party logistics providers (3PL’s) who have the knowledge and the relationships with local trucking and warehouse firms to minimize the risk of a supply chain breakdown. The selection of logistics suppliers is the most critical logistics decision in the Chinese environment.