bluuebunny/crossref_metadata_2025 huggingface dataset:
Measuring Team Effectiveness in the Health Care Setting: An Inventory of Survey Tools
Authors: Kash Bita A , Cheon Ohbet , Halzack Nicholas M , Miller Thomas R
Published: August 2018

Background:

Guidance for measuring team effectiveness in dynamic clinical settings is necessary; however, there are no consensus strategies to help health care organizations achieve optimal teamwork. This systematic review aims to identify validated survey instruments of team effectiveness by clinical settings.

Methods:

PubMed, MEDLINE, and ISI Web of Knowledge were searched for team effectiveness surveys deployed from 1990 to 2016. Validity and reliability were evaluated using 4 psychometric properties: interrater agreement, internal consistency, content validity, and structural integrity. Two conceptual frameworks, the Donabedian model and the Command Team Effectiveness model, assess conceptual dimensions most measured in each health care setting.

Results:

The 22 articles focused on surgical, primary care, and other health care settings. Few instruments report the required psychometric properties or feature non-self-reported outcomes. The major conceptual dimensions measured in the survey instruments differed across settings. Team cohesion and overall perceived team effectiveness can be found in all the team effectiveness measurement tools regardless of the health care setting. We found that surgical settings have distinctive conditions for measuring team effectiveness relative to primary or ambulatory care.

Discussion:

Further development of setting-specific team effectiveness measurement tools can help further enhance continuous quality improvements and clinical outcomes in the future.
The Court of Justice and treaty revision: A case of strategic leniency?
Authors: Castro-Montero José Luis , Alblas Edwin , Dyevre Arthur , Lampach Nicolas
Published: August 2018

Students of European Union judicial politics have debated the credibility of legislative override as constraint on the behaviour of the European Court of Justice. Yet because of the high political hurdles for the passage of treaty amendments, treaty revision has been dismissed as the ‘nuclear option’, exceedingly effective but difficult to use. However, when treaties are being renegotiated, the ability of member state governments to pass treaty amendments to either punish or reward the Court is greater. We argue that this may induce the Court of Justice to display more leniency towards member states in cases coinciding with ongoing treaty negotiations. To test this hypothesis, we examine the outcome of all infringement cases adjudicated between 1961 and 2016. We find that the European Court of Justice is significantly less likely to render adverse rulings in cases concomitant with the final, most salient stage of treaty negotiations. Our analysis suggests that the relationship between treaty revision and judicial behaviour may be more nuanced than commonly assumed in the literature.
Prevalence of Hemodynamically Significant Internal Carotid Artery Disease Based on the Signs of the Zodiac
Authors: Andrews Natalie , Ettaher Abraham , Scissons Robert , Paolini David
Published: August 2018

Vascular sonography requires a basic understanding of statistical concepts used to evaluate exam efficacy. Statistical analysis, however, is often viewed as intimidating and dull. To make this subject less threatening and more interesting, our vascular ultrasound class investigated the prevalence of hemodynamically significant internal carotid artery (ICA) disease based on signs of the zodiac. Randomly selected carotid ultrasound patients were obtained from an accredited vascular laboratory database based on month and day of birth. Each sign of the zodiac was assigned 60 patients. Exam results were defined as (1) normal: bilateral < 50% ICA stenoses, or (2) abnormal: unilateral or bilateral ⩾ 50% ICA stenosis. The Fisher exact test was used to compare normal and abnormal patient groups within each sign of the zodiac. The P value of < .05 was used to define statistical significance. A total of 720 patients were included in this analysis. Patients born under the sign of Gemini had significantly fewer numbers of abnormal stenoses than 6 astrological groups: Capricorn ( P = .004), Virgo ( P = .014), Libra ( P = .007), Pisces ( P = .026), Aries ( P = .000), and Sagittarius ( P = .007). Patients born under the sign of Aries had significantly greater numbers of abnormal results than 7 zodiacal groups: Taurus ( P = .001), Aquarius ( P = .002), Gemini ( P = .000), Pisces ( P = .040), Cancer ( P = .015), Scorpio ( P = .002), and Leo ( P = .022). Hemodynamically significant (⩾50%) ICA stenoses were statistically more prevalent for carotid duplex patients born under the zodiac sign of Aries and significantly less prevalent under the sign of Gemini. While these results may be medically unimportant, this vascular ultrasound assignment helps students understand the value of statistical reporting and, in general, made statistical analysis more relatable and enjoyable.
Who sees an hourglass? Assessing citizens’ perception of local economic inequality
Authors: Newman Benjamin J. , Shah Sono , Lauterbach Erinn
Published: August 2018

The scholarly literature is observing a slow but steady growth in research exploring the effects of subnational economic inequality on political attitudes and behavior. Germane to this work is the assumption that citizens are aware of the level of inequality in their local residential context. At present, however, the evidence in support of this assumption is mixed. This article attempts to offer the literature improved tests of citizens’ awareness of local inequality by addressing a key limitation in past work—the discordance between the geographic unit underlying measures of the independent and dependent variables. Analyzing two national surveys employing a measure of perceived inequality scaled to the local level, the results suggest that citizens are indeed aware of the level of income inequality in their local environment and that the link between objective and perceived local inequality is most pronounced among lower income citizens.
Historical knowledge and national identity: Evidence from China
Authors: Huang Haifeng , Liu Xinsheng
Published: August 2018

How is citizens’ factual historical knowledge related to their national identity? With original data from a nationally representative survey experiment in China, we find that significantly more Chinese citizens overestimate rather than underestimate China’s objective historical achievements, and those who overestimate the achievements of ancient Chinese civilization have higher levels of national identity. To an even greater degree, citizens who underestimate Chinese historical achievements have lower levels of national identity. We also find that correcting misinformation can potentially affect individuals’ national identity, although the effects did not reach statistical significance, likely because the survey experiment was under-powered for interaction effects, and because our information treatment was brief and on a very limited number of questions. These findings shed light on the subtle relationships between historical knowledge, propaganda, and national identity, and suggest avenues for future research.
Stress Fractures of the Foot and Ankle in Athletes
Authors: Kaiser Philip B. , Guss Daniel , DiGiovanni Christopher W.
Published: August 2018

Stress fractures of the foot and ankle are common injuries in athletes. Management differs considerably based on fracture location and predisposing factors. Repetitive loading of the foot and ankle in athletes should result in physiologic bone remodeling in accordance with Wolff’s law. However, when there is not sufficient time for complete healing to occur before additional loads are incurred, this process can instead lead to stress fracture. Assessment of the athlete’s training regimen and overall bone health is paramount to both the discovery and treatment of these injuries, although diagnosis is often delayed in the setting of normal-appearing initial radiographs. While most stress fractures of the foot or ankle can usually be treated nonoperatively with a period of activity modification, fractures in certain locations are considered “high risk” due to poor intrinsic healing and may warrant more proactive operative management.
Interactive Computer Simulations as Pedagogical Tools in Biology Labs
Authors: Whitworth Karen , Leupen Sarah , Rakes Chistopher , Bustos Mauricio
Published: August 2018

Student learning in biology may be impaired by instructional environments that emphasize technical methodology over analysis. We hypothesized that time gained by experimenting with accurate computer simulations could be used to engage students in analytical, creative learning. The effects of treatments that combined a week of simulated lab instruction with a week of standard lab instruction in different order (E-to-S and S-to-E) were examined using a controlled experimental design with random assignment of lab sections and hierarchical linear modeling analysis to account for possible clustering within sections. Data from a large sample of students ( N = 515) revealed a significant increase (1.59 SD) in posttest scores for both treatment groups over the control. We posit as a plausible explanation the reinforcement of psychomotor learning due to strong engagement of cognitive processes facilitated by the computer simulation. This study supports a wider use of computer simulations as learning tools in laboratory courses.
Sexual rights, mental disorder and intellectual disability: practical implications for policy makers and practitioners
Authors: Dewson Helen , Rix Keith J. B. , Le Gallez Isabelle , Choong Kartina A.
Published: August 2018

Clear policies regarding sexual expression, sexual behaviour and related decision-making assist in ensuring that the rights of people with mental disorder or intellectual disability are upheld, and that staff know how to react to situations consistently and lawfully without interfering on the basis of their own moral judgements or personal beliefs. Sensitive and holistic planning of care that complies with domestic law, international human rights law and statutory guidance is necessary to complement such policies. Non-intimate physical contact, masturbation, sexual relationships, contraception, sterilisation and vasectomy, pregnancy, termination of pregnancy, sexual dysfunction, parenthood, marriage and civil partnership, divorce, prostitution, pornography, and sex aids and toys are all matters that may properly be part of care planning.

LEARNING OBJECTIVES

•

Understand the limited legal basis for the formulation of policies and rules concerning sexual expression, sexual behaviour and related decision-making by people with mental disorder or intellectual disability

•

Be able to formulate policies concerning sexual matters as they relate to people with mental disorder or intellectual disability

•

Be able to plan care for psychiatric patients and community service users balancing their rights to sexual fulfilment with the protection of their own welfare and the protection of others

DECLARATION OF INTEREST

None.
Differentiating ICD-11 complex post-traumatic stress disorder from other common mental disorders based on levels of exposure to childhood adversities, the traumas of persecution and postmigration living difficulties among refugees from West Papua
Authors: Silove Derrick , Rees Susan , Mohsin Mohammed , Tam Natalino , Kareth Moses , Tay Alvin Kuowei
Published: August 2018

Background

Following years of controversy, a category of complex post-traumatic stress disorder (CPTSD) will be included in the forthcoming ICD-11.

Aims

To test whether refugees with CPTSD differ from those with other common mental disorders (CMDs) in the degree of exposure to childhood adversities, adult interpersonal trauma and post-traumatic hardship.

Method

Survey of 487 West Papuan refugees (response rate 85.5%) in Papua New Guinea.

Results

Refugees with CPTSD had higher exposure to childhood adversities (CPTSD: mean 2.6, 95% CI 2.5–2.7 versus CMD: mean 1.15, 95% CI 1.10–1.20), interpersonal trauma (CPTSD: mean 9, 95% CI 8.6–9.4 versus CMD: mean 5.4, 95% CI 5.4–5.5) and postmigration living difficulties (CPTSD: mean 2.3, 95% CI 2–2.5 versus CMD mean 1.85, 95% CI 1.84–1.86), compared with those with CMDs who in turn exceeded those with no mental disorder on all these indices.

Conclusions

The findings support the cross-cultural validity of CPTSD as a reaction to high levels of exposure to recurrent interpersonal trauma and associated adversities.

Declaration of interest

None.
The big picture: exploring the metabolic cross-talk in cancer
Authors: Schulze Almut , Yuneva Mariia
Published: August 2018

Metabolic reprogramming is now well established as one of the hallmarks of cancer. The renewed interest in this topic has spurred a remarkable advance in our understanding of the metabolic alterations in cancer cells and in the tumour microenvironment. Initially, this research focussed on identifying the metabolic processes that provided cancer cells with building blocks for growth or to prevent oxidative damage and death. In addition to providing detailed insight into the mechanisms by which oncogenic signalling pathways modulate metabolic processes, this research also revealed multiple nodes within the metabolic network that can be targeted for the selective elimination of cancer cells. However, recent years have seen a paradigm shift in the field of cancer metabolism; while early studies focussed mainly on the metabolic processes within a cancer cell, recent approaches also consider the impact of metabolic cross-talk between different cell types within the tumour or study cancer within the organismal metabolic context. The Review articles presented in this themed Special Collection of Disease Models & Mechanisms aim to provide an overview of the recent advances in the field. The Collection also contains research articles that describe how metabolic inhibition can improve the efficacy of targeted therapy and introduce a new zebrafish model to study metabolic tumour-host interactions. We also present ‘A model for life’ interviews: a new interview with Karen Vousden and a previously published one with Lewis Cantley that provide insight into these two leaders' personal scientific journeys that resulted in seminal discoveries in the field of cancer metabolism. In this Editorial, we summarise some of the key insights obtained from studying cancer metabolism. We also describe some of the many exciting developments in the field and discuss its future challenges.
Advances in prostate cancer imaging
Authors: Tangel Matthew R. , Rastinehad Ardeshir R.
Published: August 2018

Many exciting advances in medical imaging have been made in recent years that will alter the way we diagnose, stage, and treat patients with prostate cancer. Multiparametric magnetic resonance imaging (MRI) is emerging as the main modality for prostate cancer imaging. Contrast-enhanced ultrasound and shear wave elastography may be strong alternatives in patients who cannot undergo MRI. Prostate-specific membrane antigen-directed positron emission tomography/computed tomography has proven to be valuable in the primary staging of high-risk disease and for detecting disease in patients with biochemical recurrence. As more studies continue to emerge, it is becoming clear that the standard algorithm for diagnosing and staging prostate cancer will undergo significant changes in the near future.
Measurement of language laterality using functional transcranial Doppler ultrasound: a comparison of different tasks
Authors: Woodhead Zoe V.J. , Rutherford Holly A. , Bishop Dorothy V.M.
Published: August 2018

Background: Relative blood flow in the two middle cerebral arteries can be measured using functional transcranial Doppler sonography (fTCD) to give an index of lateralisation as participants perform a specific task. Language laterality has mostly been studied with fTCD using a word generation task, but it is not clear whether this is optimal.

Methods: Using fTCD, we evaluated a sentence generation task that has shown good reliability and strong left lateralisation in fMRI. We interleaved trials of word generation, sentence generation and list generation and assessed agreement of these tasks in 31 participants (29 right-handers).

Results: Although word generation and sentence generation both gave robust left-lateralisation, Bland-Altman analysis showed that these two methods were not equivalent. The comparison list generation task was not systematically lateralised, but nevertheless laterality indices (LIs) from this task were significantly correlated with the other two tasks. Subtracting list generation LI from sentence generation LI did not affect the strength of the laterality index.

Conclusions: This was a pre-registered methodological study designed to explore novel approaches to optimising measurement of language lateralisation using fTCD. It confirmed that sentence generation gives robust left lateralisation in most people, but is not equivalent to the classic word generation task. Although list generation does not show left-lateralisation at the group level, the LI on this task was correlated with left-lateralised tasks. This suggests that word and sentence generation involve adding a constant directional bias to an underlying continuum of laterality that is reliable in individuals but not biased in either direction. In future research we suggest that consistency of laterality across tasks might have more functional significance than strength or direction of laterality on any one task.
Elitology of myth
Authors: Карабущенко Павел , Karabuschenko Pavel
Published: August 2018

The monograph is devoted to one of the most recently discussed topics in the national and world scientific literature, namely — the theme of modern mythology and modern understanding of the ideological essence and historical role of the myth. The work is carried out at the junction of several scientific disciplines and theories and expresses the principle of an integrated approach.
The monograph is intended for students and postgraduates studying in such disciplines as political science, philosophy, psychology, sociology, PR, history, elitology, acmeology, etc., as well as for all those interested in the issues of myth elitology.
Encountering offenders in community palliative care settings: challenges for care provision
Authors: Lillie Kate , Corcoran Mary , Hunt Katie , Wrigley Anthony , Read Sue
Published: August 2018

Background:

There is very little research into the way that offender management strategies impinge on the practices and decision-making of palliative care personnel in community settings.

Aims:

To improve understanding of the challenges that community palliative care service providers encounter when caring for people who have been sentenced to custody and are under the supervision of the prison or probation services.

Methods:

This paper discusses one part of a larger multidisciplinary study on bereavement, loss and grief in the criminal justice system. It reports the findings from a focus group with 10 health professionals working within specialist community palliative care services. Thematic analysis was undertaken to identify and explicate the most significant themes arising from the transcript data.

Results:

There were situations where the participants were able to identify that patients were under the jurisdiction of the criminal justice system or had relatives in custody. Three themes emerged that highlighted distinctive aspects of providing care to this patient group. These themes were: patients under prison, probation or police supervision altered the dynamics of care provision; prisoners were restricted from supporting or contacting their dying relatives in the community; and participants (professionals) were obstructed from supporting patients at home because of criminal or antisocial behaviour by relatives of the dying.

Conclusions:

Health professionals face multiple challenges that curtail them from fully realising the aims of palliative care for patients and relatives under criminal justice supervision, in ways that merit further consideration and research.
Preregistration nursing students' experiences of a palliative care course in a resource-poor setting
Authors: Bassah Nahyeni , Cox Karen , Seymour Jane
Published: August 2018

Background:

Palliative care education for non-specialist health professionals is an important strategy for widening access to palliative care.

Aim:

To describe Cameroonian nursing students' experiences and perceptions of the strengths and weaknesses of a palliative care course, with a view to refining the course.

Methods:

Three focus groups were conducted with 23 students, and data were analysed thematically using the framework approach.

Results:

The students reported connecting with their past personal and professional experiences in the care of patients with palliative care needs during the course. The main course strength reported was its use of a variety of interactive educational strategies, such as role plays, group discussions and case studies. The course's main reported weakness was the lack of supervised clinical practice in palliative care.

Conclusion:

The use of a variety of interactive educational strategies—including supervised clinical practice—is considered by nursing students as vital to enhancing learning in palliative care education. However, the lack of supervised palliative care clinical practice opportunities is a challenge in Cameroon.
Reading for connectivity: Aesthetics and affect in intermedial autobiographies 2.0
Authors: Schultermandl Silvia
Published: August 2018

Autobiographies 2.0 are affect-saturated texts. Studying them therefore demands a shift from content to form and its affective work. In literary studies, the affective turn has generated a renewed interest in the ways in which emotions can be aesthetically experienced by readers. This attention to the interactive relationship between readers, authors and text is a staple of reader response theory and has laid the groundwork in new media studies to theorize the blending of these designated roles (such as Bruns’s concept of produsage). Affect theory can also shed light on the dynamic process of establishing kinship and a sense of belonging to networked identities on the web. My article offers a discussion of the aesthetic strategies through which online intermedial life writing affectively interpellates its readers. As a case study, I analyse the online curated art project Family Line-Ups, which features twenty sets of family portraits (each consisting of three photos of family members from different generations) and verbal narratives that relate to them.
THE SEMIDIURNAL M2 TIDE IN THE SOUTHEAST ASIAN WATERS
Authors: Kastoro -
Published: August 2018

The semidiurnal tides of the Pacific and Indian Oceans penetrate deeply into the Southeast Asian waters. The tides of the Pacific Ocean govern the whole of the China Sea, the Philippines waters and the Sulawesi Sea while the tides of the Indian Ocean govern the Timor Sea, the Banda Sea, the Andaman Sea and the Malacca Strait. The Maluku Sea, the Makassar Strait and the Java Sea are the boundary region between tides from the Indian and Pacific Oceans. In the Java Sea the semidiurnal tide is produced mainly by the tide from the Indian Ocean. At the boundary region, the amplitudes are generally very small. As an example of a boundary region, the tides of the Sunda Strait are considered in some detail. An analytical solution of two overlapping standing waves, one wave resulting from open mouth reflection of a wave incident from the Indian Ocean and the other standing wave from open mouth reflection of a wave incident from the Java Sea, adequately describe the M2 tide in the Sunda Strait.
THE DISTRIBUTION AND SOME ECOLOGICAL ASPECTS OF MARINE ALGAL GENUS EUCHEUMA IN THE INDONESIAN WATERS
Authors: Atmadja Wanda Surjana , Sulistijo -
Published: August 2018

Eight species of Eucheuma ait found to grow in the Indonesian waters making the amount of species of Eucheuma which had been found become 17 species. A certain species specifically found only in certain areas. Those species are usually found at the depths of 30 to 150 cm during low tide at the reef flat, moat and algal ridge of the coral reefs where temperatures and salinities varied from 29° to 31° and from 30 to 34‰ respectivelly. There are various habitats of Eucheuma i.e. dead and live corals, limestones, sand and shells. Average wet weight biomass of Eucheuma species at the areas investigated varied from 2 to 552 g/m . The highest value is that of Eucheuma spinosum found in East Seram (Maluku), and the lowest is that of E. cottonii found in the Keifing Island, East Seram. The species of Eucheuma commonly found in association with Acanthopora, Gracilaria and Halimeda. ABSTRAK
COMPARISON OF TWO SAMPLING METHODS (CORER AND IN SITU SEDIMENT SIPPER METHODS) FOR THE PORE WATER OF SEDIMENT
Authors: Muchtar Muswerry
Published: August 2018

Effect of two sampling techniques (i.e. corer and sipper samplers) of sediment pore water on measured concentrations of phosphate, nitrate and ammonia was examined. The concentrations of nitrate and ammonia in relation to sediment depth (vertical variations) collected by corer and sipper sampler do not show significant differences, while for phosphate concentrations significant differences occurred. The advantages   and disadvantages of both techniques are discussed.
GROWTH OF JUVENILE HORSE'S HOOF CLAMS (Hippopus hippopus) REARED IN COASTAL WATERS, PARI ISLAND, KEPULAUAN SERIBU
Authors: Pangabean L. M.G.L. , Dwiono S. A.P. , Setyono D. E. Djoko
Published: August 2018

The main purpose of this present study is to determine the growth and survival rate of juvenile horse's hoof clams {Hippopus hippopus) and to find out a suitable site for their rearing in nature. Juveniles used in this study were about 3 years old, produced in the hatchery of CV Dinar, Bali. They were reared in the cages, placed on the sea bed at several sites, namely: (1) on the reef flat, (2) on the bed of a lagoon, and (3) on the sea channel. After 360days of rearing, the highest daily growth was found for juveniles reared in site-2, i.e. 0.110 mm in length, 0.080 mm in width and 0.091 mm in height. These values were significantly different from other two sites. The survival rate after 360 days of rearing was 85.5% in site-1, 99.4% in site-2 and 96.8% in site-3. Based on these results the bed of a lagoon is the best and suitable site to grow horse's hoof clam juveniles in nature. Water condition at this site is relatively calm with sandy-muddy substrates and relatively dense seagrasses, mainly Thallasia spp.
SIZE, SEX AND LENGTH AT MATURITY OF FOUR COMMON SHARKS CAUGHT FROM WESTERN INDONESIA
Authors: Fahmi - , Sumadhiharga Kurnaen
Published: August 2018

A study on four common shark species in Indonesia, the spinner shark Carcharhinus brevipinna (Muller and Henle, 1839), silky shark Carcharhinus falciformis (Bibron, 1839), spot-tail shark Carcharhinus sorrah (Valenciennes, 1839) and scalloped hammerhead Sphyrna lewini (Griffith and Smith, 1834) was conducted at several shark landing sites in western Indonesia from March 2002 to December 2004. Data were collected from the surveyed areas including the length of frequency, sex composition and length at maturity. In general, they were caught at size smaller than their maturity size. The proportion of immature C. brevipinna, C. falciformis, C. sorrah and S. lewini to their total number recorded at the surveyed area during the study were about 87%, 50%, 80% and 65%, respectively. According to the length at maturity, females generally attained their maturity in larger size than males. Some factors contributing the catches in immature size and conservation status of those four species were also discussed.
Composição química e análise sensorial do iogurte grego comercializado no sul do estado de Minas Gerais
Authors: Magalhães Alex Uzeda de , Della Torre Ana Clara Gonçalves
Published: August 2018

O ramo de laticínios tem se mostrado em constante evolução. Este trabalho objetivou analisar físico química e sensorialmente uma tendência promissora deste setor: o iogurte grego. Encontramos no mercado brasileiro variedade de marcas, onde se observa uma diferença nos atributos sensoriais e na composição química das mesmas, devido à falta de um padrão de qualidade e identidade específico deste produto. Para avaliar este cenário, foram coletadas amostras de cinco marcas (A, B, C, D e E) amplamente encontradas no Sul do Estado de Minas Gerais, em três lotes diferentes. Observou-se uma discrepância na composição química a qual foi refletida na análise sensorial. A marca B apresentou maior valor para acidez e menores valores para sólidos totais, gordura, proteína e L*, sendo, consequentemente, a menos aceita para os atributos aparência e sabor. Já a marca A, apresentou maior valor para proteína e maior aceitação no aspecto consistência. A partir dos resultados obtidos neste trabalho, foi determinado um perfil de iogurte grego integral natural que melhor se adequa ao consumidor,com valores próximos à média dos resultados encontrados nas marcas comerciais para, sólidos totais, gordura e acidez; e um maior teor proteico.
Fermentação de Petit Suisse obtido com retenção de soro e adição de lactase e redução da adição de açúcares versus à formulação tradicional
Authors: Renhe Isis Rodrigues Toledo , Souza Alisson Borges de , Francisquini Júlia D’Almeida , Pereira Danielle Braga Chelini , Carvalho Antônio Fernandes de , Perrone Ítalo Tuler
Published: August 2018

As atuais tendências de mercado apontam para produtos livres ou com baixo teor de lactose. Além disso, questões econômicas e ecológicas levam a adaptação das tradicionais tecnologias por outras que permitam modificações nos processos que atendam à nova realidade sem, contudo, perder em qualidade. Entretanto, o desenvolvimento de novas tecnologias exigem estudos que possam otimizá-las de modo a atender às necessidades da indústria e do consumidor. O presente trabalho teve como objetivo avaliar os impactos do uso de lactase e da redução dos teores de sacarose adicionado na fermentação de Petit Suisse pelo método da retenção de soro. A utilização de lactase na produção do queijo petitsuisse reduziu em duas horas o tempo de fermentação em relação à formulação tradicional nas condições experimentais empregadas neste trabalho. O perfil da fermentação diferiu entre as formulações estudadas e foram estabelecidas relações matemáticas entre a variação do pH e o tempo.
Trends in the epidemiology of diabetic foot and lower limb amputations in Russian Federation according to the Federal Diabetes Register (2013–2016)
Authors: Galstyan Gagik R. , Vikulova Olga K. , Isakov Michail A. , Zheleznyakova Anna V. , Serkov Alexey A. , Egorova Daria N. , Artemova Ekaterina V. , Shestakova Marina V. , Dedov Ivan I.
Published: August 2018

BACKGROUND: The epidemiological study of diabetic foot (DF) is very important because of high risk lower limbs amputations in patients with diabetes mellitus (DM).
AIMS: The aim of the study was to evaluate the DF prevalence in adult patients with type 1 (T1) and 2 (T2) diabetes in Russian Federation for period 201316years.
METHODS: We have used the database of the Russian Federal Diabetes register, 81st regions included in the online register. Indicators were estimated per 10,000 adult DM patients (18years).
RESULTS: In 2016, the prevalence of DF in RF was T1 4,7%, T2 1,9%, with marked interregional differences: 0,1519,9%, 0,0710,3%, respectively. The DF prevalence in RF decreased: T1 506,3473,6, T2 214,60194,8. The incidence of new DF cases/per year was stable in adults with T1: 20,820,4/; increased in T2 13.214.2. The mean age of DF diagnosis increased by 2years for both DM types. The average DM duration of DF determine increased T1 15.419.0years, T2 7.410.1years. Proportion of DF forms: neuropathic with trophic ulcer 41.6%, neuropathic form (Charcot's foot) 17.9%, the neuroischemic 28.3%, ischemic 12.2%, in T2: 41.6%, 7,4%, 32,4%, 18,5%, respectively. The amount of new cases of amputations/per year in dynamics: T1 10,512,4, T2 9,610,9, with marked interregional differences 0.132.9% in T1, 0.04-6.0% in T2. The mean DM duration before amputation increased in T1 18.421.3years, in T2 9.19.9. The average amputation age: T1 51.7years, T2 66.2years. There was marked decrease in proportion of major amputations: T1 43,637,0%, T2 52.245.5 by redistribution in one toe amputations T14,010.0%, in T22,89.1%.
CONCLUSIONS: The dynamic of new DF cases in adult patients in Russian Federation is stable at T1, in T2 tends to increase. The interregional differences in frequency of DF and amputations may be due to differences in the quality of specialized care, the lack or shortage of diabetic foot cabinets, treatment of patients with DF in general surgical practice in a number of regions, which is recognized as a less effective strategy. A positive fact that proportion of high amputations declines, DF develops in later age and longer diabetes duration, that may reflect the increasing effectiveness of preventive lower limbs in diabetes.
Gabriella Morreale de Escobar (1930-2017)
Authors: Gerasimov Gregory A.
Published: August 2018

The obituary is dedicated to the memory of the outstanding scientist Gabriella Morreal de Escobar (1930–2017). She was known for many scientific discoveries in thyroidology, changing the view on the physiology and pathology of the thyroid gland.
The results of neonatal TSH screening do not agree with indicators of the optimal iodine status of pregnant women in the Republic of Georgia
Authors: Barnabishvilli Nelli , Gerasimov Gregory A. , Azikuri Teimuraz
Published: August 2018

Background. Georgia historically was a country with moderate to severe iodine deficiency and high prevalence of endemic goiter. A representative countrywide iodine survey conducted in Georgia in 2017 confirmed optimal iodine nutrition of the population with median UIC 298 mcg/L in SAC and 211 mcg/L in PW.
Aim. The aim of this study was to assess status of iodine nutrition of population in Georgia.
Methods. The assesement based on the proportion of neonatal Thyroid-Stimulating Hormone (TSH) levels >5mIU/L from 2009 to 2015 and compare these data with the results of direct assessment of iodine status made during the 2017 national survey.
Results. From 2009 to 2015 the proportion of newborns with TSH >20 mIU/L decreased threefold: from 0.45 to 0.15%. This trend was observed in all regions of the country with significant difference between the capital city and Western in Eastern parts of the country. There has been also significant reduction of the prevalence of TSH >5 mIU/L in Georgia from 4.46% in 2009 to 3.5% in 2015. However, only in Tbilisi the frequency of elevated TSH was below 3% – the cutoff level for adequate iodine nutrition. In other regions (Western and Eastern Georgia) prevalence of TSH >5 mIU/L was 3.8% and 4.4% respectively that could be falsely interpreted as mild iodine deficiency.
Conclusions. Although neonatal TSH is useful to detect moderate to severe iodine deficiency, it should be cautiously recommended for the evaluation of iodine status in iodine sufficient to mildly iodine deficient regions.
Surgical treatment for the patient with the neuroendocrine lung tumor associated with ectopic ACTH-secretion syndrome: case report
Authors: Pikunov Michail Y. , Pechetov Alexey A. , Esakov Yury S. , Lednev Alexey N.
Published: August 2018

Among primary neoplasms of the lungs, the proportion of neuroendocrine tumors is up to 20–25%. According to the Surveillance Epidemiology and Results (SEER) database, since 1970 there has been a significant increase in primary carcinoid tumors of various organs with the highest incidence of morbidity in the broncho-pulmonary localization group. Carcinoid tumors of the lung level are approximately 2% of all primary lung tumors, but only 5% of these formations are associated with ACTH production.
Despite the severity of clinical manifestations and the acceleration of hypercorticoid processes, the topical diagnosis of ACTH-ectopic syndrome often causes certain difficulties. The difficulty in diagnosing ectopic tumors is due to the fact that most of these formations are so small that they can be missed by standard methods of examination (X-ray, ultrasound, MSCT or MRI). After the diagnosis of ACTH-ectopic syndrome is completely optimal method of pathogenetic therapy is a radical removal of the tumor, which leads to the normalization of the functions of the adrenal cortex and the elimination of hypercorticoidism. However, the achievement of this goal in many cases is difficult due to late topical diagnosis, the prevalence of the tumor process and extensive metastasis.
There is a clinical observation of a patient with a diagnosis of a neuroendocrine lung tumor with ACTH-ectopic syndrome. The importance of the multidisciplinary approach, the methods of differential diagnosis, the features of the perioperative period and the long-term results of treatment are described.
Stabilisasi Tanah Ekspansive dengan Menggunakan Tanah Putih untuk Tanah Dasar di Daerah Godong Kabupaten Grobogan Jawa Tengah
Authors: Wardani Sri Prabandiyani Retno , Muhrozi Muhrozi , Setiaji Andi Retno Ari , Riwu Danny R
Published: August 2018

Problematic soils such as expansive soils are common in Indonesia. There are several methods to overcome the damage caused by expansive soil, such as by mixing the soil with additives. Some researchers have conducted research by mixing additives into expansive soil (cement, lime, fly ash etc), which work to increase soil strength and reduce swelling. Considering that the people in Buraen Village of Kabupaten Kupang use white soil as a substitute for cement, where the white soil has chemical constituents almost the same as those owned by cement, and contain CaO as it has lime, it is necessary to do research to determine the effect of white soil on physical and mechanical properties of expansive soil, so it can be used as an additive. This research was conducted at Soil Mechanics Laboratory, Civil Engineering Department, Engineering Faculty, Diponegoro University, Semarang.with soil sample from Godong, Central Java and white soil in Buraen Village of Kupang Regency, which purpose to find out the change of physical and mechanical properties of expansive soil that have been given some variation of mixture of white soil  to the dry weight of the soil, with optimum moisture content from standard Proctor test results. The results of this study indicate that white soil can be used as an additive and the use of OMC for mixing is the OMC of expansive soil.
Analisis Pengaruh Pelatihan dan Sertifikasi terhadap Produktivitas Pekerja
Authors: Kodri Irfa , Fitriani Heni , Juliantina Ika
Published: August 2018

Worker productivity is an important part of the successful development of human resources and infrastructure building. One of the ways to improve workers’ productivity is using training and worker certification. Therefore, there is a need to analyze the effects of training and certification on worker productivity with case study lightweight brick and steel rods workers in some projects in Palembang. This study aims to analyze the productivity value of workers between certified trained workers (TS) and untrained noncertified workers (BTBS) in the field. Furthermore, comparisons were also conducted on productivity based on field survey and Indonesian National Standard (SNI). This paper also analyzed the significant factors that affect workers productivity in the field. This productivity appraisal used field observation methods and questionnaire. From the results of the study, it was concluded that the training and certification of the workforce greatly affected the worker’s productivity; but some of workers’ productivity of trained workers (TS) and untrained noncertified (BTBS) met the standards of SNI, some did not. This was due to the influence of other factors beyond training and certification of the productivity value of handyman. Furthermore, based on t test results, the factors that significantly affect the productivity of workers were the skills of labor (X1), work motivation (X2) and management (X4). Thus the available regression equation was Y =0,024 +0,332 X1 + 0,676X2 -  0,039X4 + e.
KAJIAN PERSEPSI MASYARAKAT DKI JAKARTA TERHADAP KAWASAN URBAN HERITAGE GELORA BUNG KARNO
Authors: Setionurjaya Aditio , Tyas Wido Prananing
Published: August 2018

Kompleks Gelanggang Olahraga (Gelora) Bung Karno merupakan ruang publik olahraga dan rekreasi yang telah ditetapkan sebagai cagar budaya melalui Surat Keputusan Gubernur DKI Jakarta Nomor 475 Tahun 1993, dikelilingi area komersial modern bertingkat tinggi dan kemacetan di sekitar kawasan, yang dapat mengancam identitas sebagai urban heritage. Sesuai amanat UU Nomor 11 Tahun 2010 tentang Cagar Budaya, masyarakat juga turut serta dalam upaya pelestarian, terutama masyarakat DKI Jakarta. Penelitian ini bertujuan untuk mengidentifikasi karakteristik dan persepsi masyarakat DKI Jakarta terhadap makna dan fungsi ruang publik olahraga Kompleks GBK sebagai urban heritage, yang belum pernah dilakukan sebelumnya. Metode penelitian menggunakan metode deskriptif kuantitatif, dengan teknik pengambilan sampel non probability sampling. Teknik pengumpulan data dilakukan melalui penyebaran kuesioner, wawancara, observasi lapangan, telaah dokumen, dan studi literatur. Pengolahan data dilakukan melalui analisis deskriptif kuantitatif dengan metode distribusi frekuensi. Hasil penelitian menunjukkan bahwa sebagian besar pengunjung dari DKI mengakui bahwa Kompleks GBK merupakan urban heritage yang mempunyai makna dan fungsi bagi masyarakat DKI Jakarta, dengan rekomendasi kepada pengelola untuk memberikan informasi dan pemahaman tentang cagar budaya di Kompleks GBK, dengan cara meningkatkan promosi, baik dilakukan oleh pengelola sendiri maupun dapat bekerjasama dengan pihak-pihak lain.
Klaudiusz Elian o nazwach młodych zwierząt („De natura animalium” VII 47)
Authors: Kaczyńska Elwira
Published: August 2018

In his work entitled On the Characteristics of Animals (VII 47), Claudius Aelianus discusses numerous Ancient Greek names of wild animals, especially their young. He registers as many as 18 different appellatives referring to young animals as well as ten poetic or dialectal terms for mature ones. The aim of the present study is to analyze the Ancient Greek words denoting young animals quoted by the Roman writer from the viewpoint of etymology and word-formation.
Nawiązania do traktatów filozoficznych Cycerona w „De rei publicae dignitate” Marka Hieronima Vidy – (…) deperditis barbarorum iniuria sex illis libris, quibus Tullius Cicero se ipse testatur explicasse hanc philosophiae partem (The allusions to Cicero’s philosophical treatises in Marco Girolamo Vida’s De rei publicae dignitate – (…) deperditis barbarorum iniuria sex illis libris, quibus Tullius Cicero se ipse testatur explicasse hanc philosophiae partem)
Authors: Lew Agnieszka Paulina
Published: August 2018

This essay focuses on Vida’s dialogue on political philosophy De rei publicae dignitate dedicated to the papal legate at the Council of Trent, Cardinal Reginald Pole (1500–1558). Vida wanted his dialogue to serve as a replacement for Cicero’s philosophical treatise De re publica, which was lost in his day.
Palingeniusz, „Zodiak życia”, ks. III: „Bliźnięta”
Authors: Drzewiecka Ewelina
Published: August 2018

The paper presents a new Polish translation of the third book of Zodiacus vitae (1536) by Marcello Palingenio Stellato (Palingenius) with a short introduction and commentary.
Lenocinium, Avaritia, Hiems – stara kobieta w wizerunkach postaci symbolicznych w „De actione scenica” Franza Langa w świetle tradycji literackiej i artystycznej
Authors: Zaborowska-Musiał Justyna
Published: August 2018

The article focuses on the analysis of the role and importance of the theme of old woman in several allegorical images proposed by the Jesuit lecturer, playwright, and author of theatrical performances and drama theatre theorist, Franz Lang in his very important (it marked an high point of his dramatic output) handbook of acting De actione scenica published in Munich in 1727.
The Eneolithic Ritual Barrow Complex in Prydnistrianske, Vinnystia Oblast: Magnetometric Surveys
Authors: Przybyła Marcin M. , Podsiadło Michał , Potupchyk Mykhailo V. , Włodarczak Piotr , Żurkiewicz Danuta
Published: August 2018

The article presents the results of magnetometric surveys carried out in the village of Pridnistryanske on two barrow sites. In the site 1, the principal objectives were to capture the course of barrow ditches - not covered by the excavations - and investigate the space between the mounds. On site 2 relying on photographs was a group of nearby barrows selected for geophysical investigations.
Yampil Barrow Complex: Prydnistryanske 1 and Klembivka 1. Pedological-Environmental Aspects of Location
Authors: Jankowski Michał , Dąbrowski Michał , Jasińska Justyna , Michalski Adam
Published: August 2018

The paper presents results of pedological studies of Klembivka site 1 and Prydnistryanske site 1 barrow IV and the reference soil profile Prydnistryanske site 1 in the context of pedostratigraphy, basic soil properties, construction material origin and palaeoenvironmental implications.
Ritual position and “tattooing ” techniques in the funeral practices of the “barrow cultures” of the Pontic-Caspian steppe / forest steppe area. Porohy 3A, Yampil Region, Vinnytsia Oblast : specialist analysis research perspectives
Authors: Lorkiewicz-Muszyńska Dorota , Sobol Julia , Langer Jerzy J. , Kośko Aleksander , Włodarczak Piotr , Żurkiewicz Danuta , Potupchyk Mykhailo
Published: August 2018

The present paper discusses the results of an interdisciplinary study of human remains in the form of two ulnae from a female skeleton found in grave 10, Porohy 3A site (Middle Dniester Area), dated to Early Bronze Age: 2650-2500 BC. The paper describes the technical aspects of applying the decorations revealed in the examination of the aforementioned bones.
Status of Animals in Funerary Rituals of Founders and Users of Ceremonial Centres of the Yampil Barrow Cemetery Complex(4th/3rd-2nd Millenium BC). A Zooarchaeological Perspective
Authors: Marciniak Arkadiusz , Yanish Yevheniya Y. , Zhuravlov Oleh , Kośko Aleksander , Włodarczak Piotr , Żurkiewicz Danuta Ż
Published: August 2018

This study discusses the issue of ‘animal deposits’ in funerary practices of early barrow communities settling the Black Sea steppe and forest-steppe in the 4rd/3nd-2nd millennium. The focus of analytical studies is directly on the Yampil Barrow Cemetery Complex situated along the left bank of the Dniester, between the Murafa and Markivka rivers, or what is the Yampil Region (Vinnitsa Oblast) now. The chorological system developed by N.Ya. Merpert in his “Yamnaya Cultural-Historical Area” places this area within the Southwestern Variant (between the Southern Bug and Danube rivers) as the Yampil (Podolia) territorial centre. From the perspective of the research programme exploring the ‘bio-cultural border land between the West and East of Europe’, the Yampil Barrow Cemetery Complex is of special scholarly interest because of its western most location on the Dniester route of exchange for cultural patterns developed by communities settling the drainage basins of the Black and Baltic seas. The investigations followed the excavations of 23 barrows between 1984 and 2014.
Yamnaya Culture Hoard of Metal Objects, Ivanivka, Lower Murafa: Autogenesis of ‘Dniester Copper/Bronze Metallurgy’
Authors: Klochko Viktor I.
Published: August 2018

In 2015 near the village of Ivonivka, Mohyliv-Podilskyi Region, Vinnytsia Oblast, a hoard of copper objects was found by chance by the River Murafa. The majority of objects belonging to the hoard were fashioned out of a rather pure copper with a combination of admixtures, which can be named ‘the Ivonivka group’.