bluuebunny/crossref_metadata_2025 huggingface dataset:
GRACE score in assessing the risk of hospital outcomes in patients with pulmonary embolism
Authors: Mullova I. S. , Cherepanova N. A. , Pavlova T. V. , Khokhlunov S. M. , Gnilomedova D. A. , Leksina A. A. , Duplyakov D. V.
Published: December 2018

Aim. To compare the PESI and GRACE scores in assessing the risk of hospital outcomes in patients with pulmonary embolism.

Material and methods. The study included 383 patients with pulmonary embolism (PE), hospitalized during the period of April 4, 2003 on September 18, 2014; 190 (49,6%) are men, the average age is 57,4 years±14,4 years. We considered the patient’s anamnesis, complaints, results of biochemical and instrumental tests, as well as the treatment carried out to the patients.

Results. According to the risk stratification of PESI score, 86 (22,5%) patients had a very low risk of death, 88 (22,9%) had a low risk, 94 (24,5%) had an intermediate risk, 60 (15,%) — high risk and 55 (14,4%) patients have a very high risk. The combination of three ECG signs (SI-QIII, right bundle branch block and T-wave inversion in V1-V3) was significantly more common in patients with a very high PE risk — 14,5% (p=0,025). The most reliable sign of the most echographic (echoCG) criteria was dilatation of right ventricle (RV) (p=0,009) in a group of patients with a very high PE risk. According to the GRACE scale, 112 (29,2%) patients were assigned to the low risk group, and 271 (70,8%) patients — to the high risk group. ECG signs were observed more frequently in the high risk group: SI-QIII, T-wave inversion in III, V1-V3 leads, right bundle branch block (p<0,05). Pulmonary hypertension and RV dilatation according to echoCG prevailed in the high risk group (98,4% and 85,1%, respectively), p<0,05. The minimum value of points on the GRACE score for the deceased patients was 118 points. The GRACE scale showed high predictive ability with a sensitivity of 96% and a specificity of 63% (AUC=0,811, CI 95% 0,0738-0,884). However, the PESI score had a slightly greater predictive value with a sensitivity of 100% and a specificity of 53% (AUC=0,879 compared with AUC=0,811 for the GRACE scale). Analysis of the PESI and GRACE scores showed a moderate correlation between them (r=0,668).

Conclusion. The GRACE score showed a high predictive value for adverse outcomes in PE patients with a sensitivity of 96% and a specificity of 63%. The minimum score on the GRACE score for deceased patients was 118 points.
An observational study to assess the outcomes of treatment of patients with stable angina after planned percutaneous coronary intervention: baseline patient characteristics
Authors: Ratova L. G. , Parizhskaya E. N. , Kovaleva K. A. , Nedoshivin A. O. , Nemyatykh O. D. , Pulit V. V. , Konradi A. O.
Published: December 2018

Aim.To describe the characteristics of patients who were invited in observational, prospective study on a value-based approach to assess the outcomes of treatment of patients with stable coronary artery disease (CAD) by percutaneous coronary intervention (PCI).

Material and methods.We analyzed the baseline characteristics of patients with stable CAD enrolled in a planned PCI with stenting at Almazov National Medical Research Center in 2017. Statistical processing of the results was carried out using Statistica 6.0 (Statsoft Russia) and Microsoft Excel 2017. All registered patients were included in the statistical analysis. Based on the initial clinical characteristics of the patients included in the study, descriptive statistical parameters were calculated. For continuous variables, the mean value and standard deviation were calculated, for the categorical variables — the frequency of characteristic occurrence.

Results. From January 1, 2017 to December 31, 2017, were performed 1740 PCI operations with stenting in 1458 patients aged 63,8±9,6 years (men — 1008 (69,1%)). At the time of admission to the hospital, the body mass index was 29,4±5,2 kg/m2, BP=132,3±15,1/79,6±8,5 mm Hg; HR=69,4±8,3 beats per minute. PCI of one coronary artery was performed in 75,6%, multivascular — in 16,6%, in chronic occlusions — in 4,6% and in bifurcation lesions — in 3,2% of patients, respectively. Type 4a myocardial infarction as a complication of PCI was registered in 2,9% of patients. The average duration of inpatient treatment was 5,5±3,4 days.

Conclusion.Patients with stable CAD who underwent PCI are a representative sample which allows the assessment of treatment outcomes, an objective assessment of the intervention and the calculation of pharmacoeconomic parameters. An observational study will help identifying the factors affecting the efficiency of surgery and getting knowledge of patients’ opinions about this method.
Effective blood pressure reduction: results of the regional program “DOVERIE”
Authors: Dobryninа N. V. , Yakushin S. S.
Published: December 2018

In clinical practice, quite often the practitioner faces difficulties in correcting arterial pressure in patients with arterial hypertension. Patients mostly for various reasons prefer to be treated with generic drugs, sometimes to the detriment of the effectiveness of treatment. The regional study conducted by us clearly showed the presence of additional possibilities of the original drug Prestans (Servier, France) in reducing blood pressure compared to equivalent dosages of generic fixed combinations.
The prevalence of electrocardiographic abnormalities in the Russian population in the early 21st century (the ESSE-RF study)
Authors: Muromtseva G. A. , Vilkov V. G. , Konstantinov V. V. , Deev A. D. , Oshchepkova E. V. , Rotar O. P. , Shalnova S. A.
Published: December 2018

Electrocardiography (ECG) takes the lead in assessing the prevalence of coronary artery disease (CAD) in the population. ECG disorders, grouped in the Major (certain) and Minor (possible) categories, are prognostic markers of a high risk of cardiovascular diseases and sudden cardiac death. Unified assessing methods of ECG disorders prevalence and their associations with socio-demographic parameters have not previously been made in Russia.

Aim. To study the prevalence of ECG parameters of certain and possible coronary artery disease among population of Russia, depending on the socio-demographic characteristics — age, sex, education and place of residence (city or country).

Material and methods. We used 17504 ECGs from representative samples of population (25-64 years old), who participated in the epidemiological study “Epidemiology of cardiovascular diseases and their risk factors in the Russian Federation”. The analysis using Minnesota code was carried out among men and women of four age groups, two educational levels, among citizens and countrymen.

Results. The highest prevalence was observed in the “Certain” (5,7%) and “Possible signs of CAD” (7,1%) categories, in the “Certain” (3,8%) and “Possible myocardial ischemia” groups (4,9%), the smallest is in the “Rhythm and conduction disorder” (0,7%) and “STT changes in left ventricular hypertrophy” (0,4%) groups. It was shown that the frequency of ECG disorders increases with age, has an sharp increase after 55 years, regardless of sex. In the age dynamics of categories, STT changes and atrial fibrillation have a decrease of gender differences. All groups of ECG disorders are detected more often among men than women, except for STT changes. With an increase in the level of education, the frequency of ECG pathologies decreases, with the exception of the groups of “major” and “minor Q (QS)”, “major rhythm and conduction disorders”. The prevalence of most ECG disorders does not depend on the place of residence. However, signs of major myocardial ischemia in men are more common in country than in the city (3,9% vs. 2,7%, p<0,05).

Conclusion. The results confirm the patterns identified earlier. There is a steady association of ECG data with socio-demographic characteristics.
Perspective technologies for screening heart rhythm disturbances: focus on mobile ECG devices
Authors: Berdnikov S. V. , Berdnikova O. A.
Published: December 2018

Now diagnostics of a paroxysmal form of atrial fibrillation remains an important problem. The real prevalence of atrial fibrillation can be strongly underestimated, including due to its «silent» character. The existing technologies for atrial fibrillation screening including Holter-monitoring have no high sensitivity, difficult and also cannot be widely used in population. In this regard the special relevance by the mobile medical technologies which are not demanding a visit to the doctor is acquired. In this article the overview of modern technologies of screening disturbances of a heart rhythm by means of registration of the single-channel ECG by the smartphone and its subsequent analysis by means of modern mathematical algorithms is provided.
Comparative evaluation of markers of inflammation and fibrosis in patients with various clinical forms of atrial fibrillation
Authors: Grigoryan S. V. , Azarapetyan L. G. , Adamyan K. G.
Published: December 2018

Aim. To identify and assess the significance of clinical and functional data characterizing cardiac remodeling, as well as inflammatory and fibrosis markers in patients with various clinical forms that promote the progression of atrial fibrillation (AF).

Material and methods. We observed 213 patients with arterial hypertension or in combination with coronary artery disease, who were diagnosed with AF. For the clinical and functional assessment of various clinical forms of AF, the significance of certain clinical, hemodynamic, structural, functional, and immunological risk factors for AF was studied. We used the method of binary logistic regression and calculated the significance of the risk factors odds ratio (OR).

Results. We made a database consisting of 33 indicators characterizing the clinical, hemodynamic and structural-functional heart condition, inflammatory and fibrosis markers, the significance of which was ambiguous in various clinical groups of AF patients. We identified enough informativeness of the OR significance for indicators of atrial electrical remodeling, which significantly increases from the paroxysmal AF to the persistent form. It confirms a significant role for the heterogeneity of pulses in the atria during the progression of AF. The degree of structural remodeling of both the atria and ventricles also significantly increases with the progression of AF. We also noted that inflammatory markers have statistically significant role with paroxysmal AF. With persistent AF, the significance of OR for inflammatory markers increases, and with permanent AF, their significance decreases. The significance of the OR in fibrosis marker is significantly high with AF and in the further AF progression, and it significantly increases with the persistent AF form.

Conclusion. We determined different degrees of electrical and structural remodeling of the atria and ventricles in patients with various clinical forms of AF. At the same time, there is an increase in the reliability of OR in inflammatory and fibrosis markers. However, in patients with persistent AF, the duration of AF and increase in the significance of the OR in fibrosis marker come to the fore.
A rare case of successful recanalization of the anterior interventricular artery through a mammary-coronary graft in a patient 15 years after coronary artery bypass grafting
Authors: Alekseeva M. A. , Vartanov P. V. , Asymbekova E. U. , Loshina V. I. , Shuvaev I. P. , Buziashvili Yu. I.
Published: December 2018

Progression of atherosclerosis in patients with coronary artery disease (CAD) who underwent surgical treatment, manifests itself in the development of dysfunction of the shunts, and in worsening of the condition of native coronary arteries. Accordingly, there is an increase in the number of patients who require repeated aggressive treatments. In cases where it is technically possible to perform repeated coronary artery bypass graft (CABG) and/or percutaneous interventions (PCI), there is no question of treatment tactics. But there are times when implementation of interventions is associated with a high risk and optimal medication therapy does not have the proper effect. In a patient with multiple lesions of the coronary arteries 15 years after CABG in connection with the progression of atherosclerosis, the occlusion of anterior interventricular artery (AIVA) is distal to the mammary-coronary anastomosis, the occlusion of the venous shunt to the right coronary artery. Effort angina (class III) is caused by myocardial ischemia in the AIVA territory. Patient underwent surgery for recanalization of AIVA through mammary-coronary shunt.
Comparative analysis of several methods for blood pressure measurement in the morning in patients with arterial hypertension
Authors: Andreeva G. F. , Deev A. D. , Gorbunov V. M.
Published: December 2018

Aim. To compare the known methods of blood pressure (BP) measurement in the morning and a new method for estimating the average morning BP for fixed time intervals, comparing their reproducibility and validity.

Material and methods. We analyzed database containing 983 cases of ambulatory blood pressure monitoring (ABPM). Results of ABMP in patients with hypertension without severe associated diseases and weekly cancellation of antihypertensive therapy were analyzed. Blood pressure data per 24-hour period, day and night, level and rate of morning BP surge were assessed. In addition, we proposed new method for estimating the average morning BP level for fixed time intervals, based on calculating the average BP level for the following time windows: from 5:00 to 7:00 a.m., from 7:00 to 9:00 a.m., from 9:00 to 11:00 a.m. To assess the reproducibility of the new method, we determined correlations between the first and second group results calculated by the new method based on two repeated ABPM conducted with 1-2 weeks interval (n=90). To study the validity of the new method for measurement of average morning BP level, we used an objective validation criterion — Left Ventricular Myocardium Mass Index (LVMMI). There were performed 98 echocardiographic tests with the use of Acuson 128XP. LVMMI was calculated using the L. Teichholtz method (1976).

Results. The new method for measurement of average morning BP level had good reproducibility while the reproducibility of dynamic showings of ABMP (level and rate of morning BP surge) was low. A new method for assessing morning blood pressure was characterized by a high level of validity: the indicators obtained using this technique reliably correlated with the validation criteria: LVMI and the average daily blood pressure level.

Conclusion. The proposed new method for estimating the average morning level of blood pressure has a high level of validity and reproducibility. Time interval from 7 to 9 a. m. seems to be the most optimal. The maximum reproducibility of the showings was noted during this period.
Treatment of hypertension in obese patients: focus on telmisartan
Authors: Deneka I. E. , Rodionov A. V. , Fomin V. V.
Published: December 2018

The article discusses the role of telmisartan in the treatment of arterial hypertension in patients with metabolic syndrome. Telmisartan is second-generation type 1 angiotensin II receptor blocker, which has unique pleiotropic effects due to partial affinity for receptors that activate the proliferation of subtype y peroxisomes (PPARy) located in adipose tissue. The interrelation of metaflamation, a specific chronic inflammatory process with pathogenetic mechanisms of development of cardiovascular diseases, including arterial hypertension, is also described in study. The role of the adiponectin peptide is considered, which synthesis is stimulated by partial PPARy receptor agonists (as mentioned above — telmisartan). It has a positive effect on fat and carbohydrate metabolism, as well as cardioprotective properties. The conclusion contains the results of numerous randomized studies and meta-analyzes confirming the high efficacy of telmisartan in the treatment of arterial hypertension in patients with morbid obesity.
Fixed combinations in modern hypertension treatment algorithms
Authors: Sayutina E. V.
Published: December 2018

Modern appropriate treatment of hypertension involves the use of combination antihypertensive therapy. According to updated version of European Society of Cardiology 2018 guidelines, renin-angiotensin-aldosterone system blockers must be used as first-line drugs, including in combination with hydrochlorothiazide. This article presents the algorithms for the management of patients with uncomplicated and asymptomatic (with target lesions) arterial hypertension. It also described the management of patients with concomitant cardiovascular, cerebrovascular, renal pathology and diabetes mellitus, and use of fixed combination of candesartan and hydrochlorothiazide. The article presents research data that confirmed not only the high antihypertensive efficacy of this combination, but also demonstrated its neutral metabolic profile, organ-protective effects, the ability to use in patients with chronic kidney disease, chronic heart failure, prior stroke, as well as high tolerability and treatment adherence.
Sexual and Asexual Propagation of Teucrium brevifolium
Authors: AKOUMIANAKI–IOANNIDOU Anastasia , GERASIMIDOU Aikaterini , SALTA Alexandra
Published: December 2018

The propagation with seeds and stem cuttings of Teucrium brevifolium were investigated in order to facilitate the use of the species in floricultural practice and as a medicinal plant. The seeds after they subjected to different types of treatments (dipping in H2SO4 for 15 min or in H2SO4 for 15 min and GA3 1000 mg l-1 for 10 min, 24 or 48h and untreated) cultured for germination in vitro at 5, 10, 15, 20, 25, and 30 °C. The cuttings were planted in a peat/perlite mixture 1:1 v/v in plastic square plug trays in order to study the rooting percentage. Seed germination was very low (2%) at temperatures of 15-25 °C, while chemical treatment with the concentrated H2SO4 for 15 min, increased germination to 8-10% at the same temperatures. Asexual propagation of the species resulted in a 52.5-61.5% rooting percentage, in all seasons except winter. Treatment with IBA 2000 mg l-1 increaseds rooting percentage.
Dietary Willow Bark Extract for Broilers Reared Under Heat Stress
Authors: SARACILA Mihaela , PANAITE Tatiana Dumitra , VLAICU Petru Alexandru , TABUC Cristina , PALADE Mihai Laurentiu , GAVRIS Teodor , CRISTE Rodica Diana
Published: December 2018

A 28-day feeding trial was conducted on 60, Cobb 500 broilers (14 days), assigned to 2 groups (C, E) housed in an experimental hall (32° C, 23 h light regimen). Compared to the conventional diet C, the experimental diet (E) included 1% white willow bark extract (WBE). At 42 days of age, 6 blood samples /group were collected and 6 broilers/ group were slaughtered and caecal content was collected. The dietary WBE didn’t influence broiler performance. The serum concentrations of glycaemia, cholesterol and triglycerides were lower (P <0.05) in E group than in C group. E broilers had the lowest count (P<0.05) of Enterobacteriaceae, E. coli and staphylococci colony forming units in the caecal content. The inclusion of WBE (1%) in the diet of broilers reared at 32° C had an hypocholesterolemiant and hypoglycaemic effect and reduced the pathogenic bacteria in the caecum.
Effect of Dietary Extruded Linseed and Walnut Meal Mixture (8:1) on Performance and Plasma Protein Profile in Weaned Piglets
Authors: GHEORGHE Anca , HĂBEANU Mihaela , LEFTER Nicoleta Aurelia , GRIGORE Daniela Mihaela
Published: December 2018

The effects of dietary extruded linseed (ELS):walnut meal (WM) mixture (8:1) on performance and plasma protein profile in weaned piglets was evaluated for 21 d. Topigs piglets (n=40; BW=8.02±0.82 kg), age 30±3 days, were allotted into 2 groups and fed 2 diets: control [C, based on corn-triticale-soybean meal (SBM)] and experimental (ELS:WM, where the ELS:WM mixture (8:1) partially replace SBM). Blood samples were collected at 7d and 21d after weaning. The plasma protein profile (total protein, total bilirubin, albumin, creatinine, uric acid, urea nitrogen-BUN) were determined by a chemistry analyser. Dietary ELS:WM mixture improve the BW (P=0.047) and ADG (P=0.036) of piglets at 21d after weaning vs C, whereas ADFI and F:G ratio were increase (P>0.05). The plasma protein profile of piglets fed dietary mixture was not affected at 7d and 21d after weaning, except plasma BUN concentration that was decrease (P=0.027) at 21d after weaning. Lower BUN concentration indicated higher availability of dietary nitrogen reflected in a higher deposition of protein. We concluded that dietary ELS:WM mixture improve piglets performance and positively afect plasma protein profile, especially BUN in weaning period.
Research on Characteristics of Traditionalism of Buffalo Cheese from Marin Village and Indicators for Organic Certification
Authors: FITIU Avram , VAC Calin
Published: December 2018

Certified organic food production aims at creating sustainable agricultural systems, balanced and diversified through the protection of natural resources but also to human health. The quality of agricultural production represents a competitive advantage for agricultural producers from Marin village, Salaj County, Romania, contributing to the cultural and gastronomic heritage of the area. This paper aims to investigate the socio-territorial indicators, economic indicators and indicators of traditionalism of Marin buffalo cheese certification allowing the area to get a group of organic and local certification products, in order to increase the agricultural potential of the area through a quality approach. In this study is used the IDEA method, a method suitable for organic certifications and traditional attestation, individual or for a group of farmers. After a complex analysis of the specific indicators, results show that the product Buffalo cheese of Marin, brings together the criteria relating to organic certification respectively traditional attestation, according to the European Regulations. The overview conclusion of this study is that local certification could major contribute to the sustainable development of rural area, preserves the last hundreds of years of tradition and protects the Romanian native values, these being often the only way to increase the rural areas.
Research on Assessing the Potential for Mountain Certification of Bistra Village, Romania
Authors: FITIU Avram , VAC Calin
Published: December 2018

The quality of mountain products represents a competitive advantage for the area of Bistra village, Alba county, Romania. Each mountain product comes as a result from raw materials from mountain areas and in the case of processed products, processing takes place in the mountain region. This paper aims to investigate ways to obtain mountain certification for products from this area, so it could promote agro-food products as a lever for sustainable development, that ensure economic activity. This study randomly analyze several farms in Bistra village in terms of specific indicators for mountain certification. The method used in this study is analyzing in terms of socio-economic, territorial, environmental and economic indicators. After a complex analysis of the specific indicators, results show that the Bistra village, brings together the criteria relating to mountain certification, according to the European Regulations, improving the sustainable development of the area. The main conclusion of this study is that in the current economy it is necessary to create added value for mountain products as part of a narrower niche, in order to preserve high competition and higher prices on the market, so that these farms could face competition over time.
Inventory of Hydro-Ameliorative Works in the Area of Aghireşu, Cluj County in Order to Establish Measures and Works for Rehabilitation
Authors: SĂBĂDAŞ Marius , DÎRJA Marcel , VOEVOD Mihai , GLIGA Iulia , MOLDOVAN Maria
Published: December 2018

The objective of the research was to identify agricultural hydro-ameliorative works located in Aghireşu, the area covered by the Nadăş hydrographic basin considering for scientific purpose and economic importance. The studied area is part of the south-west of Someş Plateau and is important for the local community and also for neighboring areas. The influence of the environmental factors, on the basic conditions, for the cultivation and the development of the agricultural crops has a very important role. Land reclamation works applied on agricultural land in the hydrographic basin from the studied area have been over the years measures that have helped to remove the negative consequences on agriculture. Excess of humidity manifested in different forms had a particular impact onagrari soil fertility and hydro-ameliorative works have determined use of abandoned land.
Assessment of Heavy Metals Concentration in Soil and Plants from Baia Mare Area, NW Romania
Authors: DONICI Alina , BUNEA Claudiu Ioan , CĂLUGĂR Anamaria , HARSAN Eugenia , RACZ Ionut , BORA Florin Dumitru
Published: December 2018

The results showed diverse patterns of Pb, Cd, Zn, Co, Cu, Ni, Mn, Cr and Sn, in case of Pb in all areas exceeded the M.L.A (average 32.59 mg/kg while M.L.A. = 20 mg/kg), other elements shows high concentration that exceed the M.L.A. for Ferneziu and Săsar area. In the case of plant material also records exceedances of the M.L.A for Ferneziu and Săsar area, but in the Dura area there were no overtaking of M.L.A.
Atlanto-occipital Approach for Cervical Myelography in Horse with Spinal Cord Compression
Authors: PEŞTEAN Cosmin , OANA Liviu , CRECAN Cristian , MUREŞAN Alexandra , PURDOIU Robert , LĂCĂTUŞ Radu , OBER Ciprian
Published: December 2018

The aim of this study was to establish a specific interdisciplinary protocol for evaluation of horses with spinal cord compression. A filly was presented with signs of ataxia at the Faculty of Veterinary Medicine Cluj-Napoca. After neurological examination the presumptive diagnostic was spinal cord compression. Under general anesthesia, the patient was placed for radiological examination in lateral recumbency with head elevated. After antisepsia of cervical region, a Tuohy needle was inserted in atlanto-occipital space and contrast substance was administrated. Radiographic images of the cervical vertebral column were obtained in the neutral, flexed, and extended head positions. The anesthesia protocol was effective, the needle was placed safely in the subarachnoid space and the contrast substance flowed caudally. The obtained radiographic images confirmed spinal cord compressions at the level of cervical vertebrae C3, C4, C5. This working protocol was effective to obtain radiographical images with contrast substance in horses with neurological diseases.
Applied Craniometry for Dog Skulls from the Pecica-„Șanțul Mare” (Arad County) and Sântion (Bihor County) Bronze Age Sites
Authors: POP Xenia , GUDEA Alexandru , DAMIAN Aurel
Published: December 2018

The present study deals with the craniometrical investigation carried on 4 dog crania originating from archaeological diggings dated from Bronze Age in Pecica-„Șanțul Mare”(Arad County) and Sântion (Bihor County). In order to determine the typology of the crania, the classical osteometrical methods were applied, with several cranian point measurements. The cranial, the cranian and facial indices helped us in the morphometrical characterisation of the canid skulls studied. Our results show the prevalence of the mesocephalic individuals in Pecica-„Șanțul Mare” and Sântion.
Retrospective Assessment of Animals Experimentation Projects in Romania – A Critical Analysis of Non-Technical Summaries
Authors: SEVASTRE Bogdan , BLIDARU Alexandra I. , SÁRPATAKI Orsolya , MARCUS Ioan , COMAN Cristin
Published: December 2018

The aim of the present inquiry was to design an overview about the non-technical summaries available on the web page of the National Sanitary Veterinary and Food Safety Agency (Romania). We analyzed the compliance to the requirement of replacement, reduction and refinement (the 3R’s). 56 projects were found, the most of them (48), were assigned as “basic research”, 2 as “translational and applied research”, 2 as “regulatory use and routine analysis”, while 4 projects targeted “higher education or training”. The most common animals species used were rats, and mice, followed by rabbits, pigs, hamsters, guinea pigs and frogs (Rana sp.). According to cumulative severity of the project, 20 projects were classified as “severe”, six as “moderate”, three “mild”, and three as “non-recovery”. 24 projects had nor a severity assessment, neither a proper description of the level of severity. In our opinion, the number of projects classified as “severe” is too high; at least for some of them, the level of severity could be reduced using appropriate pain control techniques and / or human end-points. Overall, our recommendation is further improving the knowledge and skills of the personal involved in authorization and execution of the projects and of the authority inspectors that authorized the projects.
Chrysonilia sitophila: Growth on Different Culture Media and Sensitivity to Antifungals
Authors: RĂPUNTEAN Sorin , TĂLMACIU Elena , COSTEA Mihaela , CHIRILĂ Flore , BACÂRCEA Zoltan , RĂPUNTEAN Gheorghe
Published: December 2018

The species Chrysonilia sitophila has a cosmopolitan spread, living on dead or rotting plants, but it is also isolated from home and commercial spaces insulation. The aim of our study was to determining a growth pattern and assessing the susceptibility to different antifungals. The strain was isolated from the water of a trout breeding pool where high mortality due to Saprolegnia infection and various Gram negative and Gram positive bacteria occurred. On all used culture media (except for MacConkey), rapid growth is observed (tendency to spread over the entire surface of the plate in 36-48 hours). The isolated strain has been shown to be sensitive to ketoconazole, econazole, and miconazole; less sensitive to amphotericin B, but resistant to metronidazole, nystatin, griseofulvin and flucytosine. Chrysonilia sitophila can be grown easily, so it can also establish an antifungal sensitivity profile. Additional efforts should be made to study the pattern of susceptibility to different antifungals.
Retrospective Study of Infection Rate in Small Animal Surgery – of UBASMV Timișoara (2007-2017)
Authors: IGNA Cornel , BUMB Daniel , SICOE Bogdan , SCHUSZLER Larisa , ZAHA Cristian
Published: December 2018

Surgical site infections (SSIs) remain an important concern in veterinary practice. The purpose of this work was to determine the SSIs rate in the Surgery Clinic of the Faculty of Veterinary Medicine, Timișoara and to correlate SSIs incidence with surgical wound classification by degree of contamination and with the use of antimicrobial prophylaxis and / or applied therapy. Records of all animals operated on between 2007 and 2017 were closely checked for development of postoperative wound infection and were reviewed. The rate of surgical site infection was 0.77%, and by categories was 0.70% in clean surgeries, 0.15% in clean-contaminated surgeries, 1.76% in contaminated surgeries, and 1.08% in infected surgeries. Baseline information for SSIs surveillance in our surgical clinic and for comparison with other studies was defined. SSIs frequency in companion animals in our service is comparable with the frequency observed in another studies.
Review of "Wittgenstein and Modernism" edited by Michael LeMahieu and Karen Zumhagen-Yekplé
Authors: Lagerspetz Olli
Published: December 2018

Review of Wittgenstein and Modernism edited by Michael LeMahieu and Karen Zumhagen-Yekplé.
Análise espacial da qualidade da Atenção Básica em Saúde no Brasil
Authors: Abreu Daisy Maria Xavier de , Pinheiro Pedro Cisalpino , Queiroz Bernardo Lanza , Lopes Érica Araújo Silva , Machado Antônio Thomaz Gonzaga Matta , Lima Ângela Maria de Lourdes Dayrell de , Santos Alaneir de Fátima dos , Rocha Hugo André da
Published: December 2018

RESUMO Este artigo teve como objetivo analisar a distribuição espacial das equipes de Atenção Básica em Saúde (ABS) avaliadas pelo Programa Nacional de Melhoria do Acesso e Qualidade da Atenção Básica (PMAQ-AB) segundo as categorias de desempenho para certificação no Programa. Realizou-se uma caracterização da distribuição espacial dos municípios mediante a avaliação do PMAQ-AB, bem como a identificação da presença de padrões espaciais a partir de um indicador de correlação espacial para avaliar o grau de influência do espaço para a certificação das equipes de ABS. Observou-se presença de padrões de natureza espacial em relação à qualidade da ABS. Municípios com valor baixo no indicador cujos vizinhos também apresentam nível baixo foram encontrados em boa parte dos estados do Acre, do Amazonas, de Roraima e do Amapá, bem como no Rio de Janeiro e no Espírito Santo. Foram observados clusters de padrão alto-alto em municípios de São Paulo, Minas Gerais e Rio Grande do Sul, com destaque para Santa Catarina. A identificação de padrões espaciais de qualidade da ABS pode representar um recurso valioso para o aperfeiçoamento do PMAQ-AB. Com isso, é possível desenvolver análises que incorporem variáveis com potencial explicativo para os padrões espaciais de qualidade de ABS encontrados em municípios brasileiros.
O aparente paradoxo da saúde nas eleições estadunidenses de 2016: caminhos para a luta por direitos sociais
Authors: Jacobina André Teixeira
Published: December 2018

RESUMO O artigo buscou analisar as razões para o aparente paradoxo nas eleições nos Estados Unidos da América (EUA), em 2016, em torno do direito à saúde. Enquanto pesquisas de opinião apontavam que a maioria dos americanos era favorável a um sistema universal financiado por um único pagador o Estado, a população americana elegeu Donald Trump, que prometeu, durante a campanha, acabar com o chamado Obamacare (Affortable Care Act). O objetivo deste trabalho foi analisar as eleições de 2016 nos EUA no que tange ao debate em torno do direito à saúde, destacando o significado das três principais candidaturas, Hillary Clinton, Bernie Sanders e Donald Trump. Utilizaram-se jornais digitais, articulando as narrativas da campanha dos candidatos com notícias relevantes em relação ao Obamacare e ao direito à saúde. Os resultados sinalizam que, apesar da popularidade de Sanders, que defende o Direito universal à saúde, o Partido Democrata e sua ala corporativa apoiaram Hillary, devido aos seus vínculos com o grande capital. Com isso, uma nova direita ultranacionalista, populista, conseguiu o poder; e ameaça trazer uma forma de protofascismo americano para o cenário político, no qual se apresenta um retrocesso na luta pelos direitos sociais, inclusive o direito à saúde.
Gestão indireta na atenção hospitalar: análise da contratualização por publicização para rede própria do SUS
Authors: Santos Thadeu Borges Souza , Souza Jessica Santos de , Martins Juliete Sales , Rosado Lilian Barbosa , Pinto Isabela Cardoso de Matos
Published: December 2018

RESUMO Objetivou-se analisar contratualização e prestação de contas adotados na publicização de serviços hospitalares no Sistema Único de Saúde (SUS) Bahia. Pesquisa qualitativa, sendo fontes contratos, relatórios trimestrais de gestão, entrevistas com atores da alta direção da atenção hospitalar no estado e características hospitalares segundo Cadastro Nacional de Estabelecimentos de Saúde. Conceitualmente, adotou-se prestação de contas e desempenho articulados à fase de implementação do Ciclo da Política Pública. A expansão das Organizações Sociais, que apresentou orçamento composto por parte fixa e variável que é condicionada ao desempenho, seus indicadores gerenciais e assistenciais, que são preestabelecidos, e o plano de metas justificam ocorrência de cortes e/ou reequilíbrios orçamentários. Todavia, quanto à cobertura assistencial, a baixa correlação entre metas contratuais e necessidades de saúde do território foi marcante. Os aditivos contratuais foram essenciais para ampliação dos leitos, porém não corresponderam à necessidade de mais recursos humanos e determinaram importante desafio para capacidade de reequilíbrios orçamentários. Ademais, sobre a metodologia de monitoramento e controle da tecnoestrutura, percebeu-se notória fragilidade, dada a insuficiência de indicadores e incipiente análise crítica do desempenho hospitalar apresentado nos relatórios. Considera-se que o modelo, que tem base doutrinária na perspectiva neogerencialista, foi implementado sem simultânea melhoria do monitoramento, nó górdio do poder contratante estatal.
Trabalho e poder na Secretaria Municipal de Saúde: implantação da Política de Saúde Bucal em um município - 2007/2008
Authors: Soares Catharina Leite Matos , Freitas Mayara Santana de
Published: December 2018

RESUMO O artigo analisa a organização do trabalho em uma Secretaria Municipal de Saúde (SMS) e a distribuição do poder setorial, com suas implicações para a implantação da Política de Saúde Bucal, utilizando, para tanto, a tipologia do poder setorial proposta por Mario Testa (1992). Os dados foram coletados por meio de entrevistas e observações realizadas nos momentos de avaliação da implantação do Plano Municipal de Saúde. Os resultados do estudo evidenciaram que a organização do trabalho na SMS favoreceu a concentração de poder técnico e administrativo na Coordenação de Saúde Bucal, constituindo-se empecilho para a implantação da Política Nacional de Saúde Bucal no município de Salvador.
Family caregivers of elderly with dementia Relationship between religiosity, resilience, quality of life and burden
Authors: Pessotti Carla Fabiana Carletti , Fonseca Lineu Corrêa , Tedrus Gloria Maria de Almeida Souza , Laloni Diana Tosello
Published: December 2018

ABSTRACT There are gaps in knowledge regarding how the family caregiver deals with the burden of caring for elderly people with dementia. Objective: To evaluate the family caregivers’ perception of quality of life (QoL), burden, resilience and religiosity and relate them with cognitive aspects and occurrence of neuropsychiatric symptoms of elderly with dementia. Methods: Data from the QoL-AD scale, caregivers’ version, burden interview, resilience scale, Beck depression inventory and PDUREL of 50 family caregivers were correlated with disability assessment for dementia, neuropsychiatric inventory and clinical aspects of 50 elderly with dementia. Results: Linear regression showed that resilience is related with better perceived QoL (p<0.001), severity of dementia (p=0.008), higher intrinsic religiosity (IR) (p=0.044) and lower occurrence of depressive symptoms (p=0.001). Increased burden of family caregivers was associated with a higher occurrence of neuropsychiatric symptoms, education of the elder with dementia, and worse perceived QoL (p<0.001). Lower level of organizational religiosity was associated with severity of dementia. Conclusion: The most resilient caregivers had higher QoL and IR, fewer depressive symptoms, and cared for elders with more severe dementia. Cognitive and sociodemographic aspects, as well as neuropsychiatric symptoms, in the elderly with dementia were associated with QoL and greater caregiver burden.
Religiosidade e espiritualidade no tratamento hospitalar das adições
Authors: Ely Amanda , Calixto Alessandra Mendes
Published: December 2018

Resumo Nesta pesquisa qualitativa analisou-se o modo como a religiosidade e a espiritualidade são abordadas no tratamento das adições em instituição laica. A coleta de dados ocorreu entre julho e setembro de 2016 na Unidade de Internação em Adição do Hospital de Clínicas de Porto Alegre. Para tanto, utilizaram-se múltiplos recursos, como observação participante, documentos institucionais e entrevistas com pacientes e profissionais. Os resultados consistem na descrição da abordagem da dimensão religiosa e espiritual e de seu significado para pacientes e profissionais, dividindo as atividades entre essas duas esferas, que são menos alinhadas ao princípio da laicidade.
Education Debt Owed by Older Families in the 2016 Survey of Consumer Finances
Authors: Bricker Jesse , Llanes Elizabeth , Volz Alice
Published: December 2018

Much of the education debt in the Survey of Consumer Finances (SCF) currently resides in households headed by person 40 years or older. These families are the focus of this note.
Can the U.S. Interbank Market be Revived?
Authors: Kim Kyungmin , Martin Antoine , Nosal Ed
Published: December 2018

Large-scale asset purchases by the Federal Reserve as well as new Basel III banking regulations have led to important changes in U.S. money markets. Most notably the interbank market has essentially disappeared with the dramatic increase in excess reserves held by banks. We build a model in the tradition of Poole (1968) to study whether interbank market activity can be revived if the supply of excess reserves is decreased sufficiently. We show that it may not be possible to revive the market to pre-crisis volumes due to costs associated with recent banking regulations. Although the volume of interbank trading may initially increase as excess reserves continue to decline, the new regulations may engender changes in market structure that result in interbank trading being completely replaced by non-bank lending to banks when excess reserves become scarce. This non-monotonic response of interbank trading volume to reductions in excess reserves may lead to misleading forecasts about future fed funds prices and quantities when/if the Fed begins to normalize their balance sheet by reducing excess reserves.
Construcción de la memoria colectiva frente a la mercantilización de tierras cordilleranas. La experiencia de Campo Los Andes (Mendoza, Argentina)/ Construction of collective memory in the face of the commodification of cordilleran lands. The experience o
Authors: Saldi Leticia , Scherbosky Roberto
Published: December 2018

En un contexto de expansión del capital hacia la Cordillera de Los Andes, el decreto nacional 225/17 dispuso la venta de inmuebles considerados ociosos o desaprovechados. Entre ellos, un terreno que desde 1901 ha sido administrado por el Ejército Nacional, denominado Campo Los Andes. Este se sitúa en el Valle de Uco (centro-oeste argentino), epicentro del desarrollo turístico-vitivinícola de vinos de alta gama. Para enfrentar la venta, sus moradores civiles junto a muy diversos actores sociales –entre ellos, integrantes de asambleas ciudadanas, partidos políticos, organizaciones campesinas y ambientalistas y distintos profesionales– llevaron a cabo una serie de acciones colectivas en defensa de dicho territorio y sus diversas materialidades ambientales e históricas. Por medio de observaciones en foros y cortes de ruta, de la consulta de notas periodísticas y documentos legales, describimos la diversidad de actores sociales que se articularon a lo largo de los meses posteriores a la publicación del decreto. Asimismo, analizamos cómo en este proceso la socialización de experiencias y del conocimiento socio-ambiental y cultural sobre Campo Los Andes propició la reconstrucción de una memoria social colectiva, la cual contrarrestó las propuestas hegemónicas de desarrollo orientadas al mercado financiero y al extractivismo, en este caso, el vitivinícola y el turismo de elite.

Abstract

In a context of capital expansion towards the Andes Mountains, the decree 225/17 ordered the sale of properties considered idle or unused. Among them was a land that since 1901 has been administered by the National Army, called Campo Los Andes. It is located in the Valle de Uco (Central-West Argentina), epicenter of the tourism-winegrowing development of high range wines. To stop this sale, its civil dwellers together with very diverse social actors –among them, members of citizen assemblies, political parties, peasant and environmental organizations and different professionals– carried out collective actions in defense of this territory and of the national sovereignty. Through observations in forums and road cuts, gathering of journalistic notes and legal documents, we describe the diversity of social actors that were articulated during the months following the publication of the decree. Likewise, we analyze how in this process, the socialization of experiences and socio-environmental and cultural knowledge about Campo Los Andes led to the reconstruction of a collective social memory, which counteracted the hegemonic proposals of development oriented to the financial market and extractivism, in this case, viticulture and elite tourism.
El territorio como campo de transformaciones socio-productivas. La posición de los agentes/ The territory as a field of socio-productive transformations. The position of agents
Authors: Preda Graciela Maria
Published: December 2018

La expansión del capitalismo, a fines del siglo pasado, ha provocado profundas transformaciones en las estructuras sociales y en las relaciones de producción en el agro. En el norte de Córdoba, Argentina, lugar donde se realizó este estudio de caso, la ampliación de la frontera agraria con centralidad en la soja propició la inclusión de nuevos agentes productivos y la exclusión de otros. Así, coexistían diferentes formas de ocupación y modalidades de apropiación y puesta en producción de la tierra. Asimismo, la selección de lugares aptos para que el capital desplegara sus estrategias de reproducción generó la fragmentación del espacio geográfico. Este artículo se propone identificar a los productores que configuran la estructura social agraria y comprender cómo estos agentes –definidos por el volumen y la estructura de capital que poseen– generan el campo productivo y las relaciones de fuerza que lo caracterizan. La estrategia metodológica combina el análisis de datos secundarios y primarios provenientes de entrevistas en profundidad realizadas a productores, referentes técnicos y agentes institucionales de la región.

Abstract

The expansion of capitalism at the end of the last century has led to profound changes in social structures and in the relations of production in agriculture. In the north of Córdoba, Argentina, where this case study was carried out, the expansion of the agricultural frontier with centrality in soy allowed the inclusion of new productive agents and the exclusion of others. Thus, different forms of occupation and modalities of appropriation and putting into production of the land coexisted. Likewise, the selection of suitable places for capital to display its reproduction strategies generated the fragmentation of the geographical space. This article aims to identify the producers that shape the agrarian social structure, and understand how these agents, defined by the volume and structure of capital they possess,  generate the productive field and the relations of force that characterize it. The methodological strategy combines the analysis of secondary and primary data from in-depth interviews with producers, technical referents and institutional agents in the region.