bluuebunny/crossref_metadata_2025 huggingface dataset:
THE STATE OF THE CENTRAL AND PERIPHERAL CONDUCTIVE STRUCTURES IN PATIENTS WITH VIBRATION DISEASE
Authors: Rusanova Dina V. , Lakhman O. L.
Published: February 2020

Introduction. The defeat of motor and sensory conductive structures, which ultimately leads to the development of demyelination processes and, as a consequence, the formation of polyneuropathic syndrome is natural under the influence of industrial vibrations. Exposure to vibration, along with other harmful working conditions, can potentiate the development of metabolic syndrome, which can lead to the development of diabetes, which is one of the most common causes of damage to the peripheral nervous system. Based on the above, it seems relevant to give a comprehensive assessment of the state of peripheral nerves and afferent conductive structures in workers exposed in their professional activities combined effect of local and general vibration, and patients with vibration disease, burdened with diabetes. Material and methods. 114 people were examined in clinical conditions. The observed cases included 50 with vibration disease (WB) associated with exposure to local and General vibration (group 1), the second group - 29 people with WB, burdened with type 2 diabetes. The control group (group 3) consisted of 35 conditionally healthy men, representative age (52.0±6.4 years) without contact with harmful factors of production. Results. In patients of group 1, changes were observed in increasing the time of postsynaptic activation of the posterior horns of the spinal cord and activation of neurons of the somatosensory zone of the cerebral cortex. In patients of group 2, changes in the state of the central afferent pathways were more pronounced, shown in increasing the time of the excitation wave from the cervical thickening to the thalamic nuclei, as well as violations in the state of the conductive structures in the thalamic region. Analysis of the peripheral nerves in group 1 patients revealed changes in demyelinating lesions of the motor and sensory components of the tibial nerve and changes in the speed indices of the nerves of the upper extremities. The examined 2 groups had similar disorders, there was a statistically significant decrease in the speed of sensory axons of the lower extremities. conclusion. It was found that the combined effect of vibration and diabetes mellitus leads to aggravation of the demyelination processes of both sensory and motor axons of peripheral nerves in patients. There is a statistically significant decrease in the amplitude of the M-response on the lower extremities.
THE STATE OF MICROCIRCULATION IN PATIENTS WITH VIBRATION DISEASE PROVIDING METABOLIC DISORDERS
Authors: Kuks A. N. , Kudaeva Irina V. , Slivnitsyna N. B.
Published: February 2020

Introduction. It is known that the work experience under the influence of vibration correlates with the incidence of metabolic syndrome (MS) and type 2 diabetes mellitus (DM). Purpose: to study the state of microcirculation in vibration disease (VD) associated with the combined effects of local and general vibration complicated by DM or MS. Material and methods. A prospective cross-examination of the 38 VD men with I and II degree in combination with MS (group I) or DM (group II) study was conducted. The research of microcirculation indices was carried out on the laser analyzer “LAKK-01” on the skin of the second finger. Normalized values of the amplitudes of microcirculation oscillations, respectively, associated with endothelial (Ae/SD), neurogenic (An/SD), and myogenic (Am/SD) regulation of microvessels were determined. A comparison of quantitative indices was carried out using the Mann-Whitney test, the investigation of the relationship between signs - using Spearman correlation. Results. A statistically significant increase in An/SD was found in patients of group I. The decrease in Ae/SD in group II by 29.6% compared to the first group was at the level of p=0.05. The median Am/SD in both groups exceeded the upper reference level. Spastic type of microcirculation in VD+DM persons with was by 3 times more often, hyperemic - 1.68 times less often than in BD+MS, in 8% of cases there was a stagnant type microcirculation. 90% of all surveyed cases had venous stagnation. In patients with BD and MS, the type of microcirculation was in association with An/SD, an increase in Am/SD with a decrease Ae/SD. In persons with BD + DM Ae/SD is associated with the level of blood oxygen saturation and oxygen tissue consumption, the blood flow capillary reserve is associated with Am/SD. Conclusion. Microcirculation in BD+MS patients is characterized by partial safety of mutual regulatory influences between endothelial and myogenic modulations, decreased vascular tone due to myogenic and neurogenic mechanisms, the development of the hyperemic type. In patients with VD+DM polymorphic disorder of all types of modulations, an absence of mutually regulating associations between them, development of hyperemic, spastic and stagnant types was registered.
COMPARATIVE EVALUATION OF AUTOANTIBODIES LEVELS, REFLECTING THE CONDITION OF THE CARDIOVASCULAR SYSTEM IN PATIENTS WITH VIBRATION DISEASE DUE TO LOCAL AND COMBINED VIBRATION
Authors: Masnavieva Liudmila B. , Kudaeva I. V. , Kuznetsova Y. A. , Naumova O. V.
Published: February 2020

Introduction. Vibration disease occupies one of the leading places in the structure of occupational pathology and is caused by exposure to both local and general vibration. Since the mechanism of local and general vibration effects on the body differs, it can be assumed that their effect on the cardiovascular system will have distinctive features. The aim of the work was to study the content of specific autoantibodies, which characterize the state of the cardiovascular system, in patients with vibration disease caused by exposure to local and combined vibration. Material and methods. The relative levels of specific autoantibodies to antigens, reflecting the state of the heart and the vascular bed, were determined in the blood of persons with vibration disease caused by exposure to local and combined vibration (29 and 36 cases, respectively). Results. 18 to 26% of persons with the vibratory disease caused by the effect of combined vibration were found to have elevated levels of autoantibodies to components of the membrane and cytoplasm of myocardial cells, components of the cytoplasm of neutrophils and endothelial cells, β1-adrenoreceptors, PAPP-A, and cardiomyosin protein. In the group of individuals exposed to local vibration, the frequency of occurrence of elevated levels of antibodies by more than 20% was detected only for β1-adrenoreceptors and PAPP-A protein. Elevated levels of other indices were observed in 10-14% of individuals in this group. The levels of antibodies to components of the membrane of myocardial cells and platelets were higher in patients with the vibratory disease caused by exposure to a combined vibration than in individuals with vibratory syndrome caused by the action of local vibration. conclusion. Elevated levels of auto-AT to platelet membrane structures may be due to changes in their membranes caused by the accumulation of highly toxic lipid peroxidation metabolites.
ALTERATION OF BRAIN TISSUE, LIVER, AND KIDNEY IN THE POST-CONTACT PERIOD IN WHITE RATS EXPOSED TO VIBRATION
Authors: Titov Eugeny A. , Pankov V. A. , Lizarev A. V. , Kuleshova M. V.
Published: February 2020

Introduction. Experimental studies in animals have shown ultrastructural changes in hepatic sinusoidal endothelial cells, tissue hypoxia of the kidneys, changes in the activity of oxidative processes and antioxidant enzymes, the formation of bioenergetic hypoxia, cell response in the form of infiltration of both lymphoid and macrophage cells to develop due to exposure to vibration. However, there is almost no data about the status of animals’ organs in the post-contact period. Material and methods. The study was carried out in white male rats weighing 220-240 g, were exposed to 40 Hz vibration for 60 days 5 times a week for 4 hours a day. Histological and morphometric analysis was used to assess the sensorimotor cortex tissue and hepatorenal system. Results. A decrease in the total number of brain neurons, astraglial cells in rats in 30, 60 and 120 days of the post-exposure period was found. There was hyperemia in the portal and Central veins, an increase in the number of Kupffer cells in the liver tissue at the 30th, 60th, 120th day after the exposure. Decrease in the area of the Shumlyansky-Bowman capsule was recorded in the experimental rats’ kidney tissue 30 days after the end of vibration exposure; though there were no differences in the number of renal bodies in the tissue of white rats of the experimental and control groups at 60th and 120th day after the end of exposure to vibration. Conclusion. Morphological changes in the tissues of white rats exposed to prolonged vibration presented in the form of a decrease in the total number of neurons and astroglia cells in the brain tissue, a pronounced macrophage response in the liver tissue have been preserved in the post-contact period following the exposure to vibration.
IMPACT OF CARDIOVASCULAR RISK GENES POLYMORPHISM IN THE DEVELOPMENT OF METABOLIC DISORDERS IN PERSONS EXPOSED TO VINYL CHLORIDE
Authors: Kudaeva Irina V. , Dyakovich O. A. , Katamanova E. V. , Eshchina I. M.
Published: February 2020

Introduction. Xenobiotics having the ability to change the gene expression level, the degree of which depends on the genotype include vinyl chloride (VС). Its impact causes changes in lipid metabolism proatherogenic IN character. Material and methods. A prospective cohort study was conducted In 120 males contacting with VС (mean age - 46.9±0.9 years; mean experience - 17.8±0.9 years). Lipid metabolism indices were studied; the results were compared with reference values. There were evaluated the genotypes of apolipoprotein C3 (ApoC3) C3238G rs5128, apolipoprotein E (ApoE) Leu28Pro rs769452 and lipoprotein lipase (LPL) Ser447Ter rs328. The significance of intergroup differences and correspondence of genotype frequencies to the Hardy - Weinberg law were assessed by the criterion χ2. Association of alleles or genotypes with a predisposition to disorders was assessed by odds ratio (OR). Results. In workers exposed to VC, there was an increase of the concentration of proatherogenic cholesterol fraction associated with carriage of genotype G/G polymorphic variant of the gene С3238G АРОС3, protective effect against this violation has each variant allele of a polymorphic variant of the gene LPL Ser447Ter. Carriers of any variant allele C/G or G/G polymorphic variant of the gene С3238G АРОС3 increases the likelihood of violations the antiatherogenic cholesterol fraction level, and any of the variant alleles T/C or C/C polymorphic variant of the gene Leu28Pro ApoE - reduces it. Probability of an increase the triglycerides level is elevated in the presence of both alleles of polymorphic gene variant of a gene С3238G АРОС3 and decreases - in the case of carriers of both polymorphic alleles of the gene variant Leu28Pro АроЕ. The presence of any variant allele of this polymorphic variant is significant in individuals with elevated total cholesterol. Conclusion. In terms of exposure to VC the probability of development of disorders of lipid metabolism-associated with genes rs5128 and rs769452. The gene rs328 has a protective effect.
CARDIOVASCULAR DISEASES IN POPULAR TERRITORIES POPULATION AND WEATHER FACTORS
Authors: Belyayeva Victoria A.
Published: February 2020

Introduction. The increase in the incidence of cardiovascular pathology (CP) on the background of the increasing extremity of environmental factors observed in recent years requires careful analysis of the relationship between the population’s appealability of this pathology for medical assistance and factors of terrestrial and space weather in various climatic and geographical conditions. Material and methods. A retrospective analysis of the frequency of ambulance calls (AC) to CP patients, living in the foothill areas, relative to concomitant meteo- and geliogeomagnetic factors was carried out. Results. There are gender-specific, as well as seasonally specific correlations between the nosologies studied (transitory ischemic attacks (TIA), Ischemic Cardiac Disease (ICD) due to angina) and investigated factors. Significant fluctuations of these factors, their sharp inter-day fluctuations, and interaction effects contribute to an increase in the frequency of calls to the ambulance. In the dynamics of the frequency of calls, the presence of the seasonal component is traced with an emphasis on the winter period, when a spastic type of weather is formed against the background of a decrease in the average daily temperature and an increase in the atmospheric pressure, which has a negative effect on the cardiovascular system, increases risk of cardiovascular accidents. Patients with TIA have high values of systolic BP, Diastolic BP, Pulsed BP, mean BP. Against the background of “acute” meteorological conditions (IWP > 25), Diastolic BP increases, even more, the systolic and cardiac output is significantly reduced. In ICD patients, suffering from angina attacks, the maximum number of ambulance calls is recorded during the winter period due to the negative impact of both the temperature factor and the entire complex of meteorological factors in general. Attacks occurrence in the summer is minimal. Conclusion. The data obtained allows predicting the adverse effects of the terrestrial and space weather impact on the human cardiovascular system and taking preventive measures in a timely manner.
DIAGNOSTIC CRITERIA OF SLEEP DISORDERS IN PATIENTS WITH LONG-TERM CHRONIC MERCURY INTOXICATION
Authors: Katamanova Elena V. , Slivnitsyna N. V. , Korchuganova E. N. , Shevchenko O. I.
Published: February 2020

Introduction. In the Irkutsk region, chronic mercury intoxication (CRI) occupies a leading place among occupational neurointoxications. An organic personality disorder with insomnia is one of the manifestations of brain damage in CRI. The aim of the study was to establish diagnostic criteria for secondary insomnia in patients with professional CRI for the selection of effective treatment. Material and methods. The study involved 30 people in the long-term CRI and 30 people in the comparison group with sleep disorders that are not in contact with harmful factors. Electroencephalographic, polysomnographic research and questioning were carried out with the assessment of the subjective characteristics of sleep. Information was processed using the Statistika 6.0 application package. Results. It was shown that CRI patients were shown to complain statistically significantly more frequent sleep disturbances than in the comparison group (p = 0.0003), difficulty in maintaining sleep (p = 0.004). As a result of EEG in the group of patients in the long-term CRI, the integral index and the ratio α/β were statistically significantly different from those in the comparison group, and according to the results of polysomnography, more pronounced qualitative and quantitative violations of the night sleep pattern were found in CRI patients; as a decrease in total sleep time (p = 0.0001), increase in sleep time (p = 0.008), number of activations and total wakefulness inside sleep (p = 0.03), decrease in sleep efficiency index (p = 0.006) and increase in an integrative sleep quality index (p = 0.03). According to the discriminant analysis, 4 criteria for diagnosing insomnia in CRI were established: total sleep time (min.), duration of the first stage of slow sleep (%), rhythm ratio α/β, EEG (%) and integral EEG index (%). Conclusion. Considering the data obtained, it is possible to improve approaches to treating insomnia in CRI by prescribing a complex of treatment, including cognitive-behavioral therapy, antidepressants with a sedative effect, as well as alpha training using biofeedback.
Revista Académica de la Academia Puertorriqueña de Jurisprudencia y Legislación
Authors:   Academia Puertorriqueña de Jurisprudencia y Legislación
Published: February 2020

Contenido:

- El Derecho y el Silencio
Efrén Rivera Ramos

- Contestación al Discurso “El Derecho y el Silencio” del Numerario Efrén Rivera Ramos
Antonio García Padilla

- Mensaje de apertura del acto de presentación del Libro de Actas de la Cámara
de Delegados de Puerto Rico, Primera y Segunda Sesiones de la Quinta Asamblea
Legislativa 1909-1910.
Antonio García Padilla

- Presentación del Libro Actas de la Cámara de Delegados de Puerto Rico
Primera y Segunda Sesiones de la Quinta Asamblea Legislativa 1909-1910.
Juan R. Torruella Del Valle

- Dictamen 2017-01 del Pleno de Numerarios en torno a la inclusión de la palabra
“convicción” como sinónimo de “condena” en el Diccionario Panhispánico
de Términos Jurídicos
Antonio García Padilla y Carmelo Delgado Cintrón
Vinification and aging: how much oxygen to add and when?
Authors: Ghidossi Rémy , Meunier Fabrice
Published: February 2020

In his day, Pasteur already identified the importance of oxygen to wine and his famous quotation is often repeated: “It’s oxygen that makes wine.” A great deal of scientific work has been done on the impact of oxygen on wine. This article aims to review current thinking on the quantities of oxygen that are, or should be, supplied to wine during vinification and aging.
Nanofiltration process as non-thermal alternative to thermovinification in Pinot noir winemaking
Authors: Nioi Claudia , Lisanti Maria Tiziana , Lacampagne Soizic , Noilet Pascal , Mietton Peuchot Martine , Ghidossi Rémy
Published: February 2020

This study aimed to evaluate the potential of membrane technology to improve polyphenol extraction during red wine alcoholic fermentation of the Pinot noir grape variety. The effect of adding permeate obtained from saignée nanofiltration onto grape pomace during alcoholic fermentation on wine phenolic extraction was investigated. The process consisted in the addition of nanofiltration permeate (NF) from saignée onto grape pomace in three different steps during alcoholic fermentation, corresponding to volumic mass of 1.060, 1.030 and 1.000 g.cm-3 (treatments called NF1060, NF1030 and NF1000, respectively). This innovative extraction strategy was compared with the extraction by thermovinification (TV), a conventional method used to increase anthocyanin extraction in red winemaking. All trials were performed at microvinification scale (30 kg of grapes, in duplicate). Total polyphenol index, color intensity and total anthocyanins were measured during fermentation. In the finished wines, after malolactic fermentation, tannins, HCl index, gelatin index and dialysis index were determined and a sensory evaluation was made by an expert panel. The results show that nanofiltration treatments were able to extract the same amount of total polyphenols and reach the same color intensity as thermovinification. A higher extraction of anthocyanins (around 25 %) was obtained using NF1030 and NF1000, and a higher content of tannins was found in NF wine than TV wine, with a higher degree of polymerization in NF1060 and NF1030. The perceived astringency reflected the gelatin index values, with NF1030 wine the least astringent. The wine tasters agreed on a higher sensory appreciation for NF wines, especially NF1030. The results obtained in this study are a good incentive to promote research on nanofiltration processes as a non-thermal alternative to modulating polyphenol extraction during red wine fermentation.
Analysis of the lean healthcare utilization in the context of pharmaceutical services
Authors: Pontes Andre Teixeira , De Paula Istefani Carisio , De Campos Elaine A. R. , Lopes Edyane
Published: February 2020

Background: Expenses with medicines are relevant and growing in health sector. Therefore, Pharmaceutical Services (PS) operations are designed to play a significant role in improving the social and economic contexts of health.Objective: This article aims to analyze if the Lean Healthcare (LH) practices have been contributing to the improvement of the PS processes.Methods: This study is based on PRISMA guidelines. The search was made in the literature through databases, such as Web of Science, Scopus, Medline (via PubMed), and Embase. In this study, 2878 identified papers were screened. Articles published up to the end of 2017 (and considering a 10-year period) were surveyed. In total, 43 studies met the pre-defined inclusion and exclusion criteria for data analysis in this work, 37 of which were published in 25 periodicals and six in congresses.Results: United States and United Kingdom concentrated 65% of the articles. A predominance of studies was observed in the context of the Hospital Pharmacy sector, emphasizing the LH practices in the Distribution and Use steps in the PS context.Conclusion: The literature on lean thinking applied in the specific context of the PS is relatively recent and scarce, highlighting a more pronounced growth in recent years. It was verified that LH practices in PS have been applied with more emphasis on reducing time and waste of resources, while contributing to process improvement and increased patient safety.
Análise do ciclo logístico reverso do óleo lubrificante pós consumo em Teresina-Piauí
Authors: Monte Batista Clícia Maria do , Barros de Oliveira Francisco Diego , Rodrigues de Oliveira Clarissa Maria , Moura Joaquim José de , Santos Maria do Socorro Ferreira dos
Published: February 2020

Os crescentes aumentos da população, da indústria e do setor automobilístico aliados à falta de incentivo ao consumo sustentável fazem aumentar exponencialmente o consumo de óleos lubrificantes. Neste sentido, a Política Nacional de Resíduos Sólidos (PNRS), com a Lei n° 12.305/2010, instituiu a obrigatoriedade do gerenciamento adequado dos óleos lubrificantes e resíduos resultantes da atividade de sua troca. A Resolução nº 362/2005, do Conselho Nacional do Meio Ambiente (CONAMA), por sua vez, retrata que os óleos sejam reciclados pelo processo de rerrefino. Ademais, a lei determina a responsabilidade compartilhada entre todos os elos envolvidos na cadeia logística desse produto. Esta pesquisa buscou analisar a coleta de óleo lubrificante automotivo em Teresina, Piauí, Brasil e suas conformidades com a legislação. Para isso, foram identificados os pontos geradores de resíduo da cidade, assim como o monitoramento de todas as etapas do ciclo reverso do óleo lubrificante. Os resultados obtidos mostram que a logística reversa do óleo lubrificante usado ou contaminado (OLUC) gerado na cidade não ocorre de forma efetiva, sendo necessária maior fiscalização dos estabelecimentos que realizam a troca de óleo, educação ambiental para os profissionais envolvidos no ciclo logístico reverso do óleo resíduo e incentivos à abertura de uma empresa coletora e rerrefinadora do óleo usado no Nordeste, que tornaria o ciclo logístico reverso deste produto bem menos dispendioso. A principal contribuição prática deste estudo se refere à observância da falta de conscientização sobre os perigos do descarte incorreto do OLUC, da dificuldade das empresas em realizar o descarte adequado das embalagens em Teresina, da necessidade de empresas especializadas realizarem a coleta do OLUC na cidade, e da fiscalização pelos órgãos ambientais que poderiam conscientizá-las. As principais limitações do trabalho foram a grande dificuldade para estabelecer uma lista de pontos geradores de resíduos na cidade de Teresina, pois os órgãos consultados possuem listas desatualizadas com informações imprecisas sobre os pontos que realizam a coleta de OLUC; e a realização das entrevistas via ligação telefônica com as empresas coletoras, uma vez que o rerrefino é realizado na cidade de Feira de Santana, Bahia. Sua originalidade se ratifica diante de outros trabalhos, em razão de ser, até sua publicação, o primeiro e único estudo desenvolvido sobre logística reversa do óleo lubrificante pós-consumo em Teresina.
Método estruturado para a prática de conciliação medicamentosa em hospital oncológico
Authors: Figueira Priscila Helena Marietto , Cataldo Renata Rosa Veloso , Miranda Elaine Silva , Mosegui Gabriela Bittencourt Gonzalez
Published: February 2020

Erro de medicação é qualquer evento evitável capaz de causar ou levar ao uso inapropriado da medicação que está no controle do profissional de saúde, paciente ou consumidor. Estima-se que 46% dos erros de medicação ocorrem na admissão hospitalar e uma das formas de reduzi-los é adotando a reconciliação medicamentosa em unidade hospitalar. O trabalho objetivou a criação de um método para a prática de conciliação medicamentosa de forma estruturada. Foi realizado um estudo exploratório, em um hospital oncológico de grande porte no Rio de Janeiro/Brasil, aplicando-se o método na internação de pacientes nos Serviços de Ginecologia e Oncologia do hospital. O método foi aplicado a 201 pacientes internados, permitindo a mensuração da frequência da conciliação medicamentosa instituída. Do total de pacientes entrevistados, 89,6% eram do sexo feminino; 28,2% tinham entre 61 a 70 anos e 25,2% tinham entre 51 a 60 anos (25,2%). O principal motivo de internação foi o procedimento cirúrgico (69,3%). Por meio do método proposto, foram identificadas discrepâncias; essas foram registradas de acordo com a classificação de Otero. A partir do método proposto, os medicamentos utilizados anteriormente à internação podem ser comparados com a prescrição médica de internação e as discrepâncias analisadas, aumentando a qualidade do cuidado na rotina hospitalar.
Fatores críticos de sucesso que melhoram a gestão escolar
Authors: Araujo Nino Ferraz
Published: February 2020

Destaques: As instituições de ensino precisam cada vez mais lidar com a responsabilidade de transmitir conhecimento ao promover o desenvolvimento do estudante e qualificá-lo para o mercado de trabalho. Para se manterem competitivas neste mercado necessitam satisfazer as necessidades dos seus clientes (pais e alunos). Portanto, os gestores educacionais devem utilizar estratégias para melhorar e desenvolver o ambiente organizacional da escola.Objetivo: Analisar, por meio da identificação, descrição e avaliação, os Fatores Críticos de Sucesso (FSC) que influenciam a melhoria da gestão escolar. Estes fatores envolvem aspectos como: treinamento, projeto político pedagógico, ferramentas de ensino e qualidade percebida. Além disso, contribuir com dados que corroborem com o desenvolvimento da gestão escolar.Metodologia: O referencial teórico utilizado para tratar os FCS de Rockart (1979) é o komolgorov-Smirnov (1979). Como o método Kolmogorov-Smirnov tem aplicação simplificada, a Lógica Paraconsistente será também empregada, pois permite o tratamento com naturalidade de divergências, inconsistências e contradições, além de permitir a obtenção de resultados mais precisos e próximos da realidade (Casarin, 2007).Resultados: Foi constatado que o uso e a priorização dos FCS podem influenciar positivamente o desempenho do gestor escolar. É importante esclarecer que as escolas não deixam de ser empresas que prestam serviços e como tal devem considerar o emprego de estratégias que melhorem sua competitividade, produtividade, rentabilidade e excelência. Conclui-se que a gestão escolar pôde melhorar seu desempenho utilizando a priorização dos FCS na seguinte ordem crescente de importância: ferramentas de ensino, treinamento, projeto político pedagógico e qualidade percebida.Limitações: Este trabalho se restringe às dez melhores escolas da cidade de Niterói, de acordo com conceito no Exame Nacional do Ensino Médio (ENEM). Essa delimitação faz com que os resultados obtidos estejam sujeitos a padrões, como comportamento e exigências do mercado.Implicações práticas: Espera-se, além de agregar valor à literatura vigente, estimular os estudos em torno do tema proposto, visando cada vez mais auxiliar os gestores escolares na eficácia das ações.Valor e originalidade: Foram encontrados poucos estudos na literatura propondo a utilização dos FCS para tratar a melhoria de gestão em instituições de ensino. Sendo assim, este trabalho pretende descrever propostas inovadoras para este segmento; dar ao gestor educacional um papel de destaque ao identificar e priorizar os FCS; e, finalmente, contribuir com outros trabalhos que avaliam o impacto da capacitação de educadores no avanço da gestão escolar e na qualidade do atendimento aos estudantes.
Robust single target tracking using determinantal point process observations
Authors: Hernández S. , Sallis P.
Published: February 2020

The efficiency and robustness of modern visual tracking systems are largely dependent on the object detection system at hand. Bernoulli and Multi-Bernoulli filters have been proposed for visual tracking without explicit detections (image observations). However, these previous approaches do not fully exploit discriminative features for tracking. In this paper, we propose a novel Bernoulli filter with determinantal point processes observations. The proposed observation model can select groups of detections with high detection scores and low correlation among the observed features; thus achieving a robust filter.
A mediação como ferramenta de gestão de conflitos interpessoais no contexto universitário
Authors: Moreira Katia Denise , Rodrigues Luci Mari Aparecida , Snoeijer Enio , Costa Alexandre Marino
Published: February 2020

A lente de investigação deste estudo recai sobre a importância em gerir conflitos interpessoais que ocorrem no contexto universitário. Nessa direção, este estudo tem como objetivo refletir sobre a inserção da mediação como ferramenta de gestão de conflitos em uma Instituição Federal de Ensino Superior. Para tanto, fez-se uso do método dedutivo a partir de um estudo de natureza básica e descritivo quanto aos objetivos. A abordagem utilizada foi a qualitativa, pautada nas estratégias bibliográfica e documental, e os dados foram analisados pela técnica da análise de conteúdo. Os resultados evidenciaram que a mediação se mostrou aplicável ao tipo de instituição estudada, tornando-a promissora para ser empregada como ferramenta de resolução de conflitos interpessoais menos complexos naquele ambiente de estudo.
Aprendendo a aprender – uma análise sobre os estilos de aprendizagem de alunos de Ciências Contábeis de uma instituição de ensino superior de Recife
Authors: Macêdo Josinete Fernandes , Luna Wilton Bruno Santana de , Araújo João Gabriel Nascimento de , Silva Ayane Maria Gonçalves da
Published: February 2020

Se existem padrões de como ensinar, devem existir padrões de como aprender. Aprender é desenvolver habilidades para lidar com a realidade externa e nesse processo, o ser humano está envolvido totalmente: seu corpo, sua inteligência, seu mundo afetivo e sua condição relacional. Para interagir com a realidade externa é preciso: o corpo, para entrar em contato com a realidade, a inteligência, para pensar sobre esta realidade, a vontade e disposição para esta interação acontecer, e que o organismo esteja funcionando de maneira que favoreça este processo (Bossa, 2009). Conhecer a forma pessoal e única de aprender pode tornar a procura pelo conhecimento mais fácil, prazerosa e rápida. O objetivo desta pesquisa é identificar os diferentes estilos de aprendizagem, assim como identificar o estilo predominante entre os acadêmicos do curso de ciências contábeis de uma instituição de ensino superior em Recife. Também busca investigar como ocorre este processo de aprendizagem, dentre as características pessoais de cada aluno e o que molda seu estilo quando o mesmo organiza estratégias mentais para aprender. Vale ressaltar que esse artigo difere de outras pesquisas, pois visa favorecer um autoconhecimento no aluno, nos seus processos e métodos de estudo, porque aprender é um processo que acontece no aluno e do qual o aluno é o agente essencial.
Visión panorámica de contribuciones económicas del turista que visita áreas protegidas en el Ecuador. Caso Parque Nacional Cotopaxi
Authors: Valle-Álvarez Alexandra Tatiana , Valencia-Nuñez Edison Roberto , Mantilla-Falcón Luis Marcelo , Mayorga-Morales Tito Patricio
Published: February 2020

La dinámica del turismo en áreas naturales protegidas tiene muchos componentes y características que se apartan del turismo de playa o negocios. En esta investigación se estudió el comportamiento del consumidor turístico en el Parque Nacional Cotopaxi, Ecuador. Las principales evidencias determinan que es un lugar con alta acogida por turistas extranjeros y nacionales que visitan el parque con fines exclusivamente turísticos, muy pocos por deporte e investigación. Se concluye que la intención de contribución voluntaria económica es más elevada por el turista extranjero que por el nacional.
Gerenciamento de resultados pelo fluxo de caixa operacional: uma abordagem das empresas incorporadoras no Brasil
Authors: Santos Domingos Correia dos , Alvarenga Leandro Nunes de , Gonzales Alexandre , Rieger Mauricio
Published: February 2020

A presente pesquisa teve como foco estudar a relação do Fluxo de Caixa com o gerenciamento de resultados. Nesse sentido, a utilização da discricionariedade por parte dos gestores ocorre particularmente no reconhecimento dos accruals, resultando na concentração dos estudos empíricos sobre gerenciamento de resultados na análise dessas acumulações. O objetivo da pesquisa foi examinar se o Fluxo de Caixa Operacional contribui para o gerenciamento de resultados das empresas do ramo de incorporação. O método utilizado, neste trabalho, consistiu em uma abordagem quantitativa, sendo analisadas as demonstrações contábeis dos últimos cinco anos das incorporadoras listadas na B3 e aplicou-se o modelo de regressão linear, utilizando o método de efeitos aleatórios. Adotou-se o modelo proposto por Pae (2005), que tem como objetivo aumentar o poder preditivo dos modelos Jones e Jones modificado, com a inserção de variáveis que representem o Fluxo de Caixa operacional, sendo identificadas evidências de que o Fluxo de Caixa contribui para o gerenciamento de resultado nas empresas estudadas. Os resultados apresentados nesta pesquisa podem ajudar a elucidar as questões complexas voltadas às práticas de gerenciamento de resultados nas empresas.
Divulgação do informe de governança corporativa (ICVM 586) e o impacto no retorno da ação
Authors: Mingone Rafael Siqueira , Silva Cristiane Lana , Marion José Carlos , Dos Santos Neusa Maria Bastos Fernandes
Published: February 2020

A inter-relação entre a regulação e a autorregulação promove a eficácia dos instrumentos derivados do arcabouço legal. É eficiente para tratar as falhas e riscos inerentes. Um sistema financeiro estruturado promove o desenvolvimento econômico dos países. Em 2016 foi aprovado o Código Brasileiro de Governança Corporativa, trabalho desenvolvido pelo GT Interagentes. Em 2017, a Comissão de Valores Mobiliários (CVM) incorpora o documento à norma ICVM 586. O objetivo deste artigo é identificar se houve impacto no retorno da ação das empresas que divulgaram o informe de governança baseado nessa nova instrução. Corroborando a hipótese H1, podem existir indícios de que o evento de divulgação do informe de governança impactou de maneira estatisticamente significativa os retornos das ações de apenas um grupo de empresas pesquisadas.
Indústria 4.0: estudo de múltiplos casos no setor industrial de Sorocaba-SP
Authors: Venanzi Delvio , Da Silva Orlando Roque , Hasegawa Haroldo Lhou
Published: February 2020

Atualmente, discussões referentes à Indústria 4.0 vêm se destacando como a nova revolução industrial, em que ocorrerão avanços significativos entre as relações homem máquina. Segundo a ABDI, estima-se que esta revolução poderá movimentar até quinze trilhões de dólares nos próximos quinze anos no mundo, e no Brasil atualmente apenas 2% das indústrias adotam práticas relativas à Indústria 4.0. O presente estudo foi realizado por meio de questionário aplicado com executivos de sete empresas multinacionais do setor automobilístico, localizadas na região metropolitana de Sorocaba-SP. Os resultados apresentados mostram que, a Indústria 4.0 será importante para a sobrevivência e garantir a competitividade perante os concorrentes nacionais ou internacionais. Porém a aplicação efetiva dos conceitos da indústria 4.0 ainda depende algumas vezes da autorização da matriz e também da efetiva preparação de seus fornecedores. Esta pesquisa mostrou que o Brasil ainda está começando devagar e isso pode afetar a competitividade industrial em um curto período de tempo. Portanto, eles terão que acelerar para acompanhar o ritmo.
Alternative psychological improvement for karate-do trainers from Santiago de Cuba
Authors: Suarez Mariano Cesar Gurris , Sabatés Hilda Rosa Rabilero
Published: February 2020

The psychological overcoming of trainers in Karate-Do the province of Santiago de Cuba still does not meet the demands of contemporary martial-sports practice, which becomes the presence of an epistemological gap in relation to theoretical knowledge-practical and the acquisition of professional skills, showing flaws in their professional performance, constituting this the main problem of research. For this reason, it is proposed as a practical contribution an alternative for professional improvement aimed at the preparation of the psychological component in trainers Karate-Do, aimed at eliminating the inadequacies that are manifested in the practice of this sport. For this, scientific methods of the theoretical, empirical, mathematical-statistical level and techniques such as interview, survey and psychological tests were used. The theoretical references of the preceding authors constitute valuable contributions whose results enrich the systematic work of martial artists, by attending to the various characteristics of athletes during the training stage and the competitive.
Machine Learning Models for the Prediction of Postpartum Depression: Application and Comparison Based on a Cohort Study
Authors: Zhang Weina , Liu Han , Silenzio Vincent Michael Bernard , Qiu Peiyuan , Gong Wenjie
Published: February 2020

Background

Postpartum depression (PPD) is a serious public health problem. Building a predictive model for PPD using data during pregnancy can facilitate earlier identification and intervention.

Objective

The aims of this study are to compare the effects of four different machine learning models using data during pregnancy to predict PPD and explore which factors in the model are the most important for PPD prediction.

Methods

Information on the pregnancy period from a cohort of 508 women, including demographics, social environmental factors, and mental health, was used as predictors in the models. The Edinburgh Postnatal Depression Scale score within 42 days after delivery was used as the outcome indicator. Using two feature selection methods (expert consultation and random forest-based filter feature selection [FFS-RF]) and two algorithms (support vector machine [SVM] and random forest [RF]), we developed four different machine learning PPD prediction models and compared their prediction effects.

Results

There was no significant difference in the effectiveness of the two feature selection methods in terms of model prediction performance, but 10 fewer factors were selected with the FFS-RF than with the expert consultation method. The model based on SVM and FFS-RF had the best prediction effects (sensitivity=0.69, area under the curve=0.78). In the feature importance ranking output by the RF algorithm, psychological elasticity, depression during the third trimester, and income level were the most important predictors.

Conclusions

In contrast to the expert consultation method, FFS-RF was important in dimension reduction. When the sample size is small, the SVM algorithm is suitable for predicting PPD. In the prevention of PPD, more attention should be paid to the psychological resilience of mothers.
The Personal Health Network Mobile App for Chemotherapy Care Coordination: Qualitative Evaluation of a Randomized Clinical Trial
Authors: Ngo Victoria , Matsumoto Cynthia G , Joseph Jill G , Bell Janice F , Bold Richard J , Davis Andra , Reed Sarah C , Kim Katherine K
Published: February 2020

Background

Cancer care coordination addresses the fragmented and inefficient care of individuals with complex care needs. The complexity of care coordination can be aided by innovative technology. Few examples of information technology-enabled care coordination exist beyond the conventional telephone follow-up. For this study, we implemented a custom-designed app, the Personal Health Network (PHN)—a Health Insurance Portability and Accountability Act-compliant social network built around a patient to enable patient-centered health and health care activities in collaboration with clinicians, care team members, caregivers, and others designated by the patient. The app facilitates a care coordination intervention for patients undergoing chemotherapy.

Objective

This study aimed to understand patient experiences with PHN technology and assess their perspectives on the usability and usefulness of PHNs with care coordination during chemotherapy.

Methods

A two-arm randomized clinical trial was conducted to compare the PHN and care coordination with care coordination alone over a 6-month period beginning with the initiation of chemotherapy. A semistructured interview guide was constructed based on a theoretical framework of technology acceptance addressing usefulness, usability, and the context of use of the technology within the participant’s life and health care setting. All participants in the intervention arm were interviewed on completion of the study. Interviews were recorded and transcribed verbatim. A summative thematic analysis was completed for the transcribed interviews. Features of the app were also evaluated.

Results

A total of 27 interviews were completed. The resulting themes included the care coordinator as a partner in care, learning while sick, comparison of other technology to make sense of the PHN, communication, learning, usability, and usefulness. Users expressed that the nurse care coordinators were beneficial to them because they helped them stay connected to the care team and answered their questions. They shared that the mobile app gave them access to the health information they were seeking. Users expressed that the mobile app would be more useful if it was fully integrated with the electronic health record.

Conclusions

The findings highlight the value of care coordination from the perspectives of cancer patients undergoing chemotherapy and the important role of technology, such as the PHN, in enhancing this process by facilitating better communication and access to information regarding their illness.
Factors Influencing Doctors’ Participation in the Provision of Medical Services Through Crowdsourced Health Care Information Websites: Elaboration-Likelihood Perspective Study
Authors: Si Yan , Wu Hong , Liu Qing
Published: February 2020

Background

Web-based crowdsourcing promotes the goals achieved effectively by gaining solutions from public groups via the internet, and it has gained extensive attention in both business and academia. As a new mode of sourcing, crowdsourcing has been proven to improve efficiency, quality, and diversity of tasks. However, little attention has been given to crowdsourcing in the health sector.

Objective

Crowdsourced health care information websites enable patients to post their questions in the question pool, which is accessible to all doctors, and the patients wait for doctors to respond to their questions. Since the sustainable development of crowdsourced health care information websites depends on the participation of the doctors, we aimed to investigate the factors influencing doctors’ participation in providing health care information in these websites from the perspective of the elaboration-likelihood model.

Methods

We collected 1524 questions with complete patient-doctor interaction processes from an online health community in China to test all the hypotheses. We divided the doctors into 2 groups based on the sequence of the answers: (1) doctor who answered the patient’s question first and (2) the doctors who answered that question after the doctor who answered first. All analyses were conducted using the ordinary least squares method.

Results

First, the ability of the doctor who first answered the health-related question was found to positively influence the participation of the following doctors who answered after the first doctor responded to the question (βoffline1=.177, P<.001; βoffline2=.063, P=.048; βonline=.418, P<.001). Second, the reward that the patient offered for the best answer showed a positive effect on doctors’ participation (β=.019, P<.001). Third, the question’s complexity was found to positively moderate the relationships between the ability of the first doctor who answered and the participation of the following doctors (β=.186, P=.05) and to mitigate the effect between the reward and the participation of the following doctors (β=–.003, P=.10).

Conclusions

This study has both theoretical and practical contributions. Online health community managers can build effective incentive mechanisms to encourage highly competent doctors to participate in the provision of medical services in crowdsourced health care information websites and they can increase the reward incentives for each question to increase the participation of the doctors.
Exploring Patients' Intentions for Continuous Usage of mHealth Services: Elaboration-Likelihood Perspective Study
Authors: Guo Xitong , Chen Shuqing , Zhang Xiaofei , Ju Xiaofeng , Wang Xifu
Published: February 2020

Background

With the increasingly rapid development of Web 2.0 technologies, the application of mobile health (mHealth) care in the field of health management has become popular. Accordingly, patients are able to access consulting services and effective health information online without temporal and geographical constraints. The elaboration-likelihood model (ELM) is a dual-process persuasion theory that describes the change of attitudes and behavior.

Objective

In this study, we drew on the ELM to investigate patients’ continuous usage intentions regarding mHealth services. In addition, we further examined which route—central or peripheral—has a stronger impact on a patient’s usage of health care management.

Methods

To meet these objectives, five hypotheses were developed and empirically validated using a field survey to test the direct and indirect effects, via attitude, of the two routes on continuous usage intention.

Results

We found that patients’ perceived mHealth information quality and perceived mHealth system quality had a positive effect on their personal attitudes. The results revealed that social media influence had a positive effect on a patient’s attitude toward mHealth services. In particular, our findings suggest that a patient’s health consciousness has a positive effect on the relationship between social media influence and attitude.

Conclusions

This study contributes to the mHealth services literature by introducing the ELM as a referent theory for research, as well as by specifying the moderating role of health consciousness. For practitioners, this study introduces influence processes as policy tools that managers can employ to motivate the uptake of mHealth services within their organizations.
Front-matter
Authors: Prasodjo Nuraini W
Published: February 2020

https://doi.org/10.22500/sodality
Back-matter
Authors: Prasodjo Nuraini W
Published: February 2020

https://doi.org/10.22500/sodality