bluuebunny/crossref_metadata_2025 huggingface dataset:
Aspectos clínicos e procedência de pacientes sépticos atendidos em um hospital universitário
Authors: Santos Mayara Cristina da Silva , Sanches Caroline Tolentino , Moraes Uiara Rodrigues de Oliveira , Albanese Silvia Paulino Ribeiro , Carrilho Claudia Maria Dantas de Maio , Volpato Marcia Paschoalina , Grion Cintia Magalhães Carvalho , Kerbauy Gilselena
Published: April 2019

Resumo Objetivo: Caracterizar os aspectos clínicos, gravidade e mortalidade de pacientes com sepse atendidos em setor de urgência e emergência de um hospital terciário, relacionando-os aos serviços de saúde de origem, onde foi feito o atendimento inicial. Métodos: Trata-se de um estudo transversal, quantitativo, realizado com pacientes sépticos atendidos em setor de urgência e emergência de um hospital universitário terciário. Resultados: Dos 225 pacientes elegíveis, 115 (51,1%) foram admitidos com sepse, e destes, 63,5% foram encaminhados de outros serviços. Entre os pacientes procedentes de outros serviços o desenvolvimento do choque séptico e necessidade de ventilação mecânica foi significativamente mais frequente. Os pacientes admitidos no hospital do estudo por sepse tiveram maior aderência ao pacote de 3 horas da Surviving Sepsis Campaining-2016. Não houve diferença entre a mortalidade dos admitidos por sepse ou aqueles que desenvolveram sepse no hospital do estudo, entretanto, evoluíram a óbito 60,4% dos pacientes, destes, 63,2% procedentes de outros serviços. Conclusão: Mais da metade dos pacientes admitidos por sepse provém de outros serviços de saúde. Estes apresentaram maior grau de gravidade e requereram mais intervenções terapêuticas. Entretanto, não houve diferença nas taxas de mortalidade.
Manifestações oculares em trabalhadores portuários: prevalência e fatores associados
Authors: Cezar-Vaz Marta Regina , Xavier Daiani Modernel , Bonow Clarice Alves , Mello Marlise Capa Verde Almeida de
Published: April 2019

Resumo Objetivo: Conhecer a prevalência de manifestações oculares em trabalhadores portuários e identificar fatores associados. Métodos: Estudo transversal em um Porto marítimo do extremo Sul do Brasil. Participaram 232 trabalhadores. Para coleta dos dados utilizou-se entrevista estruturada. Foi utilizado teste t de Student para amostras independentes, a fim de comparar as médias dos trabalhadores com manifestações oculares, por meio dos qualificadores em grau no mínimo moderado (presença de manifestações oculares) e aqueles sem manifestações oculares ou grau leve (ausência de manifestações oculares). O teste de Mann-Whitney foi utilizado no caso de assimetria. O teste do qui-quadrado de Pearson ou o teste exato de Fisher foram usados para comparar proporções e a análise de Regressão de Poisson foi usada para controlar os fatores de confusão. Resultados: A prevalência de manifestações oculares autorreferidos foi 92,2%. As manifestações oculares foram: coceira/prurido (49,1%), irritação (41,4%), ardor (39,2%), lacrimejamento (34,9%), sensação de cansaço (32,3%), alteração na pigmentação ocular (26,7%), dor (17,7%), ressecamento dos olhos (14,2%) e sensação de pressão atrás dos olhos (9,9). A utilização de filme para envelopar mercadoria contribuiu para maior prevalência de manifestações oculares. Já a utilização de luvas como equipamento de proteção individual auxiliou na menor prevalências dessas manifestações. Conclusão: Acredita-se que os achados do presente estudo possam subsidiar a avaliação clínica do enfermeiro na abordagem de trabalhadores portuários, assim como direcionar o planejamento e a implementação de cuidados socioambientais condizentes com as necessidades de saúde desses e de outros trabalhadores.
Tipo mais prevalente de abuso aos idosos e sua correlação com depressão do idoso
Authors: Park Esther Ockjae
Published: April 2019

Resumo Objetivo: O objetivo deste estudo foi identificar o tipo mais prevalente de abuso aos idosos na Coréia do Sul. Este estudo também analisou que tipo de abuso aos idosos mais afetou a depressão e depois discutiu contramedidas sociais em relação aos tipos prevalentes de abuso aos idosos. Métodos: Trata-se de um estudo descritivo e os dados foram coletados por meio de amostragem por conveniência. Setenta e sete participantes tinham 60 anos ou mais e não tinham deficiência mental ou transtorno depressivo. Cinco tipos diferentes de abuso aos idosos (verbal, emocional, físico, financeiro e negligência) foram medidos, bem como sintomas depressivos. Foi utilizada estatística descritiva para determinar o tipo mais prevalente de abuso aos idosos na Coréia do Sul. Além disso, utilizaram-se testes de correlação bivariada e regressão múltipla para entender a relação entre os tipos de abuso aos idosos e depressão do idoso. Resultados: Entre os cinco tipos de abuso aos idosos, o abuso verbal, emocional e negligência foram mais prevalentes do que os abusos físicos e financeiros. De acordo com a análise bivariada, o abuso emocional e o abuso verbal foram significativamente relacionados à depressão do idoso. Conclusão Os tipos invisíveis de abuso aos idosos, como abuso emocional, verbal e negligência, foram mais prevalentes do que os tipos visíveis, como abuso físico e financeiro. Esses tipos de abuso também foram significativamente correlacionados com a depressão do idoso. Este estudo permite futuros estudos intervencionais para melhorar a percepção dos idosos sobre o abuso e, assim, prevenir o desenvolvimento da depressão dos idosos.
Intervenções de enfermagem para incontinência urinária e disfunção sexual após prostatectomia radical
Authors: Gomes Cassia Regina Gontijo , Eduardo Aline Helena Appoloni , Mosteiro-Diaz María-Pilar , Pérez-Paniagua Javier , Napoleão Anamaria Alves
Published: April 2019

Resumo Objetivo: Investigar, na literatura, intervenções de enfermagem para promover continência urinária e adaptação à disfunção sexual após prostatectomia radical. Métodos: Revisão integrativa da literatura nas bases de dados PubMed, Web of Science, Scopus, CINAHL, e LILACS, utilizando os descritores “cuidados de enfermagem”, “incontinência urinária”, “disfunção erétil”, e “prostatectomia” e as palavras chaves “enf*”, “impotência sexual masculina” e “prostatectomia radical”. Resultados: Dezoito publicações foram incluídas, entre essas, oito descreviam intervenções para a incontinência urinária, cinco para disfunção sexual e cinco para ambas as complicações. Foram encontradas três estratégias para implementação das intervenções, 16 intervenções para incontinência e 12 para disfunção sexual. Conclusão: Nas estratégias para implementação das intervenções, notou-se a importância de que o enfermeiro utilize diferentes recursos para assistir os pacientes. Para a incontinência urinária, o foco das intervenções variou entre educativo, comportamental e físico. Para disfunção sexual, observou-se um predomínio de ações psicoeducativas aos pacientes e, quando possível, ao parceiro sexual.
Decolonizing English Language Teaching for Brazilian Indigenous Peoples
Authors: Rodrigues Walace , Albuquerque Francisco Edviges , Miller Michol
Published: April 2019

Abstract This paper investigates the design and methods of English language teaching (ELT) curricula in the Brazilian indigenous educational context. Under Brazilian federal law, English is a mandatory curricular requirement for all, including indigenous students. This paper analyzes contributions relevant to the decolonization of English teaching in indigenous contexts from postcolonial theories on education, perspectives on decolonized ELT, and sociocultural learning theory. An argument is made for the development of ELT curricula and methodology in collaboration with indigenous teachers, in order to prioritize their communities, cultures, and traditional knowledge.
Práticas Culturais e Jogos de Linguagem entre os Povos Xakriabá
Authors: Gerken Carlos Henrique de Souza , Galvão Ana Maria de Oliveira , Dias Felipe Silva
Published: April 2019

Resumo O artigo analisa práticas culturais e jogos de linguagem entre os povos indígenas Xakriabá, Minas Gerais. A pesquisa foi realizada por meio de observação participante e entrevistas e focou a Folia de Reis, o Samba Chula e a Loa, caracterizando-as como formas multimodais de linguagem que, distanciando-se das práticas de oralidade cotidianas, compõem um mosaico simbólico construído por intermédio de reflexão sobre a própria linguagem e pelo uso de estratégias de construção dos sentidos como o ritmo, a melodia e o uso de rimas que permitem um processo de ressignificação de sua identidade como povo Xakriabá, além de serem referência para os professores na elaboração de práticas pedagógicas na escola indígena.
Criptógamos do Parque Estadual das Fontes do Ipiranga, São Paulo, SP. Algas, 43: Zygnematophyceae (Mesotaeniaceae)
Authors: Bicudo Carlos E. de M.
Published: April 2019

RESUMO Trata do levantamento taxonômico das Mesotaeniaceae (Zygnemaphyceae, Zygnemales) de ambientes lacustres do PEFI, Parque Estadual das Fontes do Ipiranga. O material examinado proveio de coletas de material perifítico e planctônico em diferentes sistemas aquáticos do PEFI, além da revisão de todo material citado para o Parque e depositado no Herbário Científico do Estado “Maria Eneyda P. Kauffmann Fidalgo” (SP). Foram identificadas cinco espécies distribuídas em três gêneros (Cylindrocystis, Mesotaenium e Netrium). O Lago do IAG foi o ambiente que apresentou a maior riqueza específica (três táxons), provavelmente devido à característica oligotrófica do sistema.
Data assimilation using the ensemble Kalman filter in a distributed hydrological model on the Tocantins River, Brasil
Authors: Jiménez Karena Quiroz , Collischonn Walter , Paiva Rodrigo Cauduro Dias de
Published: April 2019

ABSTRACT In this work, the data assimilation method namely ensemble Kalman filter (EnKF) is applied to the Tocantins River basin. This method assimilates streamflow results by using a distributed hydrological model. The performance of the EnKF is also compared with an empirical assimilation method for hourly time intervals, in which two applications based on information transfer from gauged to ungauged sites and real time streamflow forecasting are assessed. In the first application, both assimilation methods are able to transfer streamflow to ungauged sites, obtaining better results when more than one station located upstream or downstream of the basin are gauged. In the second application, integration of a real time forecast model with EnKF is able to absorb errors at the beginning of the forecast. Therefore, a greater efficiency in the Nash-Sutcliffe index for the first 144 hours in advance in relation to its counterpart without assimilation is obtained. Finally, a comparison between both data assimilation methods shows a greater advantage for the EnKF in long lead times.
Spatial discretization influence on flood modeling using unit hydrograph theory
Authors: Steinmetz Alice Alonzo , Beskow Samuel , Terra Fabrício da Silva , Nunes Maria Cândida Moitinho , Vargas Marcelle Martins , Horn João Francisco Carlexo
Published: April 2019

ABSTRACT The Unit Hydrograph (UH) is the most popular method for flood related applications. There are several conceptual and geomorphological models based on UH and coupled with different spatial discretizations. However, there are few studies concerning the evaluation of UH models according to semi-distributed approaches. This study aimed to assess the influence of lumped and semi-distributed modeling on the applicability of Soil Conservation Service UH (SCS UH) and Clark’s Instantaneous UH (Clark’s IUH) for estimation of flood hydrographs. The methodological procedures were conducted in the Hydrological Modeling System (HEC-HMS) using rainfall-runoff events of a gauged watershed in Southern Brazil. The main conclusions were: a) CIUH under the semi-distributed approach provided slightly superior performance; b) CIUH was able to effectively estimate the direct surface runoff hydrographs even for long duration rainfall events; c) SCS UH presented more accurate hydrographs for lumped modeling; d) the Nelder and Mead algorithm may have limited application.
The historical and epistemological relations between Librarianship and Information Science in the Brazilian scientific production
Authors: VIEIRA Keitty Rodrigues , KARPINSKI Cezar
Published: April 2019

Abstract This is an exploratory qualitative and bibliographic research without a chronological framework that addresses the historical and epistemological relations of Library Science and Information Science from the Brazilian scientific production in Information Science. This study addresses how and which aspects in the historical and epistemological relation occur between Information Science and Librarianship in Brazilian scientific production. The general objective is to identify to what extent the content of publications brings the two fields together. Specifically, the objectives were as follows: list works within the Brazilian scientific production in Information Science that deal with the history and epistemology of Librarianship and Information Science; verify which works correlate historical and epistemological aspects of librarianship with Information Science; elicit some reflections on the historical and epistemological relations from the analysis of this research. The data collection was carried out in the Journal Portal of Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Coordination for the Improvement of Higher Education Personnel) database of the Scientific Electronic Library Online, Library and Information Science Abstracts, Web of Science and Scopus. Based on the analysis of the corpus of 21 articles, the most predominant themes were the history of Librarianship, the development of Information Science, the documentation of Paul Otlet and Henri La Fontaine, and interdisciplinarity. It is important to deepen the historical and epistemological relations of Librarianship and Information Science in national scientific production since research shows a lack of theoretical depth in the studies retrieved from the corpus.
Número de chamada e FRBR: um diálogo norteado por princípios da Organização da Informação
Authors: SILVA Camila Mariana Aparecida da , TOLENTINO Vinicius de Souza , ORTEGA Cristina Dotta
Published: April 2019

Resumo O número de chamada exerce papel relevante nas bibliotecas, visto que a ordenação de documentos se configura como proposta de leitura da coleção, estabelece o elo entre o registro no catálogo e o local que o documento ocupa na coleção para fins de acesso e contribui para a gestão dos usos do espaço. A partir do final do século XX, a International Federation of Library Associations and Institutions promoveu estudos que culminaram em diretrizes para processos, produtos e instrumentos documentários, destacando-se o modelo conceitual Functional Requirements for Bibliographic Records. O presente artigo tem por objetivo analisar a construção do número do livro – parte final do número de chamada – em associação aos atributos das entidades do Grupo 1 do Functional Requirements for Bibliographic Records. Para a fundamentação teórica, aborda os trabalhos de Cutter, Barden, Lehnus, Satija, e o Functional Requirements for Bibliographic Records, assim como os trabalhos mais recentes de Moreno e Ortega. Como metodologia, realiza pesquisa exploratória por meio de revisão de literatura que resulta no cotejamento do número de chamada e do Functional Requirements for Bibliographic Records baseado na decomposição de exemplos. Conclui apontando a atualidade do número de chamada como modelo operacionalizável para a ordenação de documentos e como construto elaborado a partir de princípios que apresentam correlação com o Functional Requirements for Bibliographic Records.
“Corpo de homem com (tre)jeitos de mulher?”: imagem da travesti por enfermeiras
Authors: Oliveira Ester Mascarenhas , Oliveira Jeane Freitas de , Porcino Carle , Campos Lorena Cardoso Mangabeira , Reale Maria Júlia de Oliveira Uchôa , Souza Márcia Rebeca Rocha de
Published: April 2019

Trata-se de uma pesquisa qualitativa, fundamentada na Teoria das Representações Sociais, com o objetivo de descrever a imagem da pessoa travesti revelada por enfermeira(o)s. Aplicou-se Teste de Associação Livre de Palavras (TALP), composto pelo estímulo ‘Travesti’, para 110 enfermeira(o)s pós-graduanda(o)s de universidade pública do município de Salvador, Bahia, Brasil. Dessas, vinte responderam a entrevista semiestruturada. Os dados do TALP processados pelo software Ensemble de Programmes Permettant l’Analyse des Évocations (EVOC) subsidiaram a organização do corpus das entrevistas guiada pela análise de conteúdo. O grupo investigado revelou uma imagem sobre a travesti a partir de elementos das dimensões biológica e social, orientação sexual e identidade de gênero; e aponta para o surgimento de uma perspectiva progressista sobre o modo de ser e estar travesti.
A cobertura jornalística sobre temas de interesse para a Saúde Coletiva brasileira: uma revisão de literatura
Authors: Langbecker Andrea , Castellanos Marcelo Eduardo Pfeiffer , Neves Robson da Fonseca , Catalan-Matamoros Daniel
Published: April 2019

É escassa a produção de revisão de literatura sobre a cobertura jornalística de temas de interesse para a Saúde Coletiva. O presente estudo teve como objetivo caracterizar o perfil da produção científica, publicada de 2000 a 2015, voltada para a análise de notícias que tratam de temas da saúde das populações. Os 64 manuscritos incluídos foram organizados nas seguintes categorias: tema, produção de dados, métodos de análise e meios de comunicação investigados. A temática predominante foi a cobertura midiática sobre as enfermidades, com destaque para as infecciosas. Prevaleceram os estudos qualitativos, a pesquisa documental e análises de discurso e de conteúdo. O jornal foi o meio de comunicação mais pesquisado. Conclui-se que são importantes desafios deste campo: a baixa diversidade de temas e enfoques adotados, bem como de meios investigados, e a necessidade de se ampliar o escopo de estratégias metodológicas.
Exploring Patient Decision Making Regarding Discontinuation of Tyrosine Kinase Inhibitors for Chronic Myeloid Leukemia
Authors: Flynn Kathryn E. , Myers Judith M. , D'Souza Anita , Schiffer Charles A. , Thompson James E. , Atallah Ehab
Published: April 2019

Background

The standard treatment for chronic phase chronic myeloid leukemia (CML) is lifelong oral tyrosine kinase inhibitor (TKI) therapy. Multiple clinical trials have demonstrated that some patients with a sustained deep molecular response to TKI therapy can safely stop therapy and remain in a treatment-free remission. TKI discontinuation is now offered to select patients in routine clinical care. In order to better support patient decision making, we explored patients’ views on TKI discontinuation and the factors patients consider when making this decision.

Materials and Methods

Patients were recruited from three U.S. academic cancer centers. Qualitative interviews were recorded, transcribed, and content analyzed.

Results

We interviewed 22 patients, half of whom wanted to try TKI discontinuation. Eleven factors relevant to the decision emerged, and patients weighed these factors differently. Commonly mentioned factors included perceived risk of relapse, TKI side effects, financial considerations, polypharmacy, and willingness to change something that was working (status quo). There were notable differences in patients’ understanding of the likelihood of achieving a treatment-free remission, with patients who did not want to stop TKIs more accurately reporting the risk of relapse than patients who wanted to stop.

Conclusion

This is a novel decision that will become more common as the prevalence of patients with well-controlled CML continues to increase. These results highlight the need for patient education and decision support so that patients and providers can make shared decisions that are informed and values based.

Implications for Practice

The standard treatment for chronic phase chronic myeloid leukemia (CML) is lifelong oral tyrosine kinase inhibitor (TKI) therapy. Clinical trials have shown that some patients with a sustained deep molecular response to TKI therapy can safely stop therapy and remain in a treatment-free remission. TKI discontinuation is now being offered to patients outside of clinical trials. This study explored factors that patients who are eligible to try TKI discontinuation considered when making this decision. Factors relevant to the decision included risk of relapse, side effects, financial considerations, polypharmacy, and willingness to change something that was working. This is a novel decision that will become more common as the prevalence of patients with well-controlled CML continues to increase. These results highlight the need for decision support and outline the factors that should be included so that patients and providers can make shared decisions that are informed and values based.
Impuesto predial y desarrollo económico.Aproximación a la relación entre el impuesto predial y la inversión de los municipios de Antioquia.
Authors: Tobón Zapata Santiago , Muñoz-Mora Juan Carlos
Published: April 2019

El artículo analiza las relaciones existentes entre los niveles de inversión en salud y educación por parte de los municipios, y el recaudo del impuesto predial. Se utiliza la metodología de panel de datos, entre los años 2000 y 2008, en una muestra de 97 municipios del departamento de Antioquia (Colombia). De acuerdo con los resultados, se logra determinar que no existe ninguna relación entre los niveles de inversión autónoma en educación y el recaudo de impuesto predial; por otra parte, respecto a las inversiones en salud, se identifica que el recaudo del impuesto presenta una relación negativa con las inversiones autónomas. Finalmente, como una extensión del alcance inicial planteado, se logró determinar una relación positiva entre el recaudo de impuesto predial y las inversiones en desarrollo de vías e infraestructura.
Pobreza en el capitalismo ¿Por qué persiste en la actualidad?
Authors: Isidro Luna Víctor Manuel
Published: April 2019

El objetivo de este artículo es brindar elementos para una crítica a como se conceptualiza a la pobreza en la actualidad y de las causas que se mencionan la provocan. Argumentamos que un marco de referencia clásico-neoclásico no puede explicar la persistencia o los aumentos de la pobreza en los países desarrollados en la actualidad. Por medio de un método histórico-descriptivo y teórico-lógico Marxista proponemos se puede entender mejor a la pobreza en el capitalismo y su actual evolución.
Dependencia entre ingresos y tasas de ahorro en profesionales del sur del valle de Aburrá
Authors: Rave Gómez Elkin
Published: April 2019

El objetivo de este artículo es determinar si los profesionales del sur del Valle de Aburrá ahorran, y si existe alguna relación entre sus ingresos monetarios y la tasa de ahorro. Para contrastar las hipótesis se aplicaron 385 encuestas a hombres y mujeres con título universitario residentes en la subregión estudiada. La información recolectada fue tratada por medio de una prueba no paramétrica de chi-cuadrado y regresión logística para determinar el grado de independencia entre las variables analizadas. Los resultados que arrojaron los análisis estadísticos realizados expresan que no existe independencia entre la tasa de ahorro y el nivel de entradas. Se comprueba, además, que los profesionales que más ahorran son aquellos que reciben mayores ingresos mensuales.
Fuentes de fluctuaciones económicas en América Central
Authors: Toledo Wilfredo
Published: April 2019

Este artículo estudia los determinantes de las fluctuaciones que se observan en la inflación y la producción agregada. Para examinar ese tema se estimaron dos sistemas de vectores autorregresivos estructurales (SVAR) utilizando datos de panel de América Central. Uno de los modelos incluye los precios y la producción, mientras que el otro añade M2 y el precio del petróleo a ese sistema. Los resultados de los análisis sugieren que los precios en esa región se determinan por el lado de la demanda, mientras que la producción parece depender principalmente de impulsos de oferta. Además, se encontró evidencia de que el precio del petróleo no afecta significativamente el nivel general de precios en dicha zona.
[RETRACTED] A Review of Hypotoxic Fluorescent Nanoparticles Delivery by Cell-Penetrating Peptides in Multiple Organisms v1
Authors: Miller Cathy
Published: April 2019

[RETRACTED]

With the advance of science and technology, nanomaterials have been seen in various biomedical applications, including molecular labeling and tracking, DNA/RNA/proteins probing, drug delivery and therapies via techniques of bioconjugation, tumor or tissue targeting, peptide drug discovery, pathogenic intervention as well as biomedical imaging.
Transfection of construct containing kinetoplastid Blastocrithidia sp. p57 UTR's in Diplonema papillatum using AMAXA Nucleofactor apparatus. v2
Authors: Kaur Binnypreet
Published: April 2019

Transfection of construct containing kinetoplastid Blastocrithidia sp. p57 UTR's in Diplonema papillatum using AMAXA Nucleofactor apparatus.
MODERN TRENDS IN THE DEVELOPMENT OF TREATMENT AND RECREATION TOURISM IN LVIV REGION
Authors: Zapototskyi S. , Horyn I.
Published: April 2019

The article reveals the main features of health-improving tourism of Lviv region. The main factors of developments in the health-improving sphere of the region are noted, particularly, favourable climatic conditions, available natural mineral waters, medical mud, forest resources, etc. Sanatorium and spa establishments of Lviv region were studied. The main factors of demand formation are highlighted, among them – high prices and their non-conformity with the quality of sanatorium and resort services, low income of the population and its incapability to pay for rest in sanatorium and resort facilities, lack of effective state policy, regarding the field and the direction of support and stimulation of sanatorium and resort facilities, inefficient management system of sanatorium and resort facilities, their outdated, insufficient level of advertising support and limited range of tourist and recreational services as well as insufficient quality of additional services. Tourist flows of Lviv region resort cities are studied. According to the data, in 2017, among all the cities of Lviv region, the largest number of tourists was observed in Truskavets, Lviv, Boryslav and Morshyn – about 3 million. Among them – citizens of Poland, Azerbaijan, Moldova, Belarus, Israel, Germany and other countries. The article analyzes institutions of accommodation of largest balneological resorts of the region and the cost of living in them. The main advantages of resort area in studied settlements of the region are highlighted, in particular, its advantageous geographical position, favourable climatic conditions, availability of mineral resources, rich historical and cultural heritage as well as presence of small and medium enterprises, development of trade and services, and a large number of sanatorium and resort establishments, mostly privately owned. These can also bolster the field, considering the wide price range for such establishments. Altogether these factors further signify an already established notion – “Lviv region is a major tourist hub”.
THE POBUZKA UNITED TERRITORIAL COMMUNITY OF THE KIROVOGRAD REGION AS A PERSPECTIVE CENTER OF SOCIO-ECONOMIC DEVELOPMENT
Authors: Mykhailenko T. , Sichka A.
Published: April 2019

In 2014 the Concept of reforming local self-government and the territorial organization of power was adopted and Ukraine chose a course for the decentralization process. The main strategic goal of the local self-government’s reform is to create conditions for providing its possibility to independently solve local-scale questions at the expense by its own resources. The maximum possible transfer of powers to territorial communities is the main way to achieve this goal and accordingly, the creation of conditions for the dynamic development of regions and the provision of high-quality public services to citizens. The establishment of a new united territorial community as a lower level of local self-government, its expediency and functioning is undoubtedly an actual process. The basis of the formation of the Pobuzhka united territorial community (Kirovograd region) in the context of the modern process of decentralization was identified. The Pobuzka UTC (united territorial community) aims to unite two localities: the urban village of Pobuzke and the village of Kapitanka. The choice of these localities is due to several factors: geographical, economic and social. The main problems of the social and economic situation of the Pobuzke urban village were highlighted. The basic financial indicators of the income part of the future community are analyzed. The main components by which the future profitable part of the budget will be formed are determined. Financial independence for society will create the basis for independent development, allocating funds for their own needs, improving the lives of residents. The USAID cooperation and assistance program “Decentralization Brings Better Results and Efficiency” helps united territorial communities to develop and implement projects for improving service delivery is particularly important and perspective. In particular, such cooperation will be facilitated by a signed memorandum of cooperation with the Kirovograd region. The advantages that Pobuzka UTC will receive by reaching independence in solving problems of local-scale issues are determined.A long-term development plan for the Pobuzka united territorial community has been developed, which includes two blocks: economic and social. The economic bloc provides steps and actions aimed at attracting investment, developing transport infrastructure and housing and communal services. The social block provides the development of effective measures in the field of education, medicine, culture, sports and social policy. The main risks in the formation of the territorial community and ways to overcome these risks are indicated.
Autism Spectrum Disorders — in Search of Mechanistic Biomarkers
Authors: Rabbani N. , Thornalley P.J.
Published: April 2019

Autism spectrum disorders are a group of neuropsychiatric conditions of increasing prevalence. They are initially detected in early development of children. Diagnosis is currently made on the basis of clinical behaviour and cognition. Improvements in accuracy, timeliness and access to diagnosis to help manage the condition is high on the agenda of the autistic communities. A blood test may help for early-stage detection of autism spectrum disorders to focus support where required — particularly when symptoms are most challenging. This article discusses briefly the scientific basis of diagnosis of autism spectrum disorders and recent emergence of candidate blood tests for autism. We conclude that further validation and improvements in understanding of autism spectrum disorders are required to provide the scientific basis and classifier characteristics for accurate and reliable diagnosis by clinical chemistry blood test.
Сatatonia in Autism Spectrum Disorders: Diagnosis, Therapy and Clinical Science
Authors: Dhossche D.M.
Published: April 2019

Catatonia has been increasingly recognized as a comorbid syndrome of autism at a rate of 12—17% in adolescents and young adults with autism spectrum disorders. Symptoms that should alert the clinician for catatonia are markedly increased psychomotor slowness which may alternate with excessive motor activity, apparently purposeless, and not influenced by external stimuli, extreme negativism or muteness, stereotypy, peculiarities of voluntary movement, increased stereotypies with or without self-injury, echolalia, or echopraxia. Upsetting life events, the loss of routine and structure, experiences of loss, conflicts with parents, caregivers, or peers, and discrepancies between the ability in the patient and parental expectations-especially, in higher functioning autistic youth, are known to precipitate catatonia as well as medical and neurological illnesses. Lacking controlled trials, successful use of benzodiazepines, sometimes at high dosages, and electroconvulsive therapy for catatonia in autism is supported by case-reports and case-series. Electroconvulsive therapy is indicated for the treatment of catatonia when lorazepam does not bring about rapid relief. Maintenance electroconvulsive therapy is important for sustained symptom remission in some cases. There is an urgent need for prospective studies of catatonia in autism spectrum disorders and for controlled treatment trials.
The Pathophysiological Rationale for Personalized Metabolic Therapy of ASD. Promising Treatments
Authors: Polyakova S.I.
Published: April 2019

A metabolic disorder is a serious problem. Changes that occur at the cellular level and are associated with biochemical processes lead to malfunctioning of the cell, and further, respectively, of tissue, organ, of the whole organism. Metabolic care is the basis of metabolic therapy. For almost every metabolic regimen of autism spectrum disorder, there is a counter-argument. For this reason, a unified approach to therapy is impossible, since, apart from the “autistic triad”, each person has his own peculiarities. At the present stage, in addition to a gluten-free and casein-free diet, vitamins of groups B and D, polyunsaturated fatty acids, various methods of microbiome correction are used in therapy, but there is no serious evidence base for the effectiveness of therapy for autism spectrum disorders. The article proposes options for the study of metabolic changes in the body, which are the rationale for the development of a scheme of metabolic therapy in the framework of a personalized medical approach to the treatment of autism spectrum disorders.
The genetic diversity of microsymbionts from Thermopsis lanceolata growing in Mongolia
Authors: Karlov Denis S. , Sazanova Anna L. , Kuznetsova Irina G. , Safronova Vera I. , Tikhomirova Nina Y. , Popova Zhanna P. , Osledkin Yuriy S. , Verkhozina Alla V. , Belimov Andrey A.
Published: April 2019

For the first time, bacteria were isolated and identified from the root nodules of a wild-growing medicinal legume plant Thermopsis lanceolata, originated from Mongolia. The taxonomic position of 14 isolates obtained was determined using of sequencing of the 16S rRNA (rrs) and atpD genes. It was shown a significant biodiversity of the isolates from T. lanceolata, which belonged to three genera of the order Rhizobiales: Phyllobacterium (family Phyllobacteriaceae), Rhizobium (family Rhizobiaceae) and Bosea (family Bradyrhizobiaceae). Six isolates belonged to the species Phyllobacterium zundukense and Phyllobacterium trifolii (100 и 99,9% rrs similarity with the type strains P. zundukense Tri-48T and P. trifolii PETP02T, respectivelly), three isolates were identified as Rhizobium anhuiense (99,8% rrs similarity with the type strain R. anhuiense CCBAU 23252T). Two slow-growing isolates of the genus Bosea Tla-534 and Tla-545 may potentially belong to new species, since their rrs-similarity to the closest type strains B. massiliensis LMG 26221T, B. lathyri LMG 26379T and B. vaviloviae Vaf18T was 98,5-99,0%. Non-rhizobial strains were not isolated. The isolation and future investigation of the rhizobial microsymbionts of the valuable medicinal legume Thermopsis lanceolata is one of the necessary prerequisites for its industrial cultivation.
The role of the nurse practitioner and childhood Obesity
Authors: Buckley Joan , Bennett-Murray Judith
Published: April 2019

To remove barriers that prevent nurses from leading, changing and advancing health care, the Robert Wood Johnson Foundation (RWJF), and the Institute of Medicine (IOM) launched an initiative in 2008 that would transform the nursing profession. In 2010, the appointed RWJF Committee on the Future of Nursing, made the recommendation at the IOM, that nurses practice to the full extent of their education and training; not for the purpose of saving money, but to be a part of the transformation of a seamless, quality healthcare delivery system that improves health outcomes (The future of nursing: the Institute of Medicine (IOM) issues report, 2010; Russell-Babin, Wurmser, 2016). The Centers for Disease Control (CDC) (2011 - 2014) reported that in the United States, more than one-third of adults and 17% of children between the ages of two and nineteen are obese (Ogden, Carroll, Kit, & Flegal, 2014). These epidemic numbers are of great concern worldwide when the long-term effects of diabetes, cardiovascular disease, hypertension, and cancer will have the potential to overwhelm healthcare systems (Bergman, Stefanovski, Buchanan, Sumner, Reynolds, Sebring, Xiang, & Watanabe, 2011). The Nurse Practitioner will transform healthcare and the effects of co-morbidities, such as obesity on the nation’s population (RussellBabin, Wurmser, 2016).
Caring in the Nurse-Patient Relationship through the Caritas Lens: An Integrative Review
Authors: Settecase-W Corinne A. , Whetsel Martha V.
Published: April 2019

This integrative review of the literature is an exploration of current research on the phenomenon of caring in the nurse-patient relationship. A literature search was conducted using CINAHL, Google Scholar, EBSCO, MEDLINE, Ovid Nursing, ProQuest Nursing, SAGE journals online, and ScienceDirect. Data analysis was performed using Watson’s 10 Caritas Processes as a descriptive, categorical framework. Narrative summary was used to report findings. Results show emergence of complex concepts. Incongruence was found between nurses’ and patients’ perceptions. Further research is needed to generate more knowledge regarding the phenomenon of caring in the nurse-patient relationship
Project Management in the Tourism Industry: the Basics of TMBOK
Authors: Burukina O. A.
Published: April 2019

Purpose: the article aims at substantiating the applicability of project management methodology and tools to the tactical and strategic development of the tourism industry at both the global and national levels of economic development. The author sees the possibility of sustainable development of the tourism industry on the basis of a systems approach to improving the functioning of tourism enterprises using the tools and methods of project management. Taking into account the current contribution of tourism to the global economy and the national economies of many countries, the problem of sustainability of tourism enterprises and national tourism industries in general seems to be one of the foundations for solving the problems of sustainable development included in the 2030 Agenda for Sustainable Development.

Methods: the study was conducted on the basis of a systematic approach with the use of logical and comparative analysis of various types of project management methodology potentially applied to tourism projects both for solving operational tourism problems and for the strategic development of tourism industries, as well as the method of structural-functional modeling aimed at laying the foundation for the tourism project management methodology.

Results: the problem of sustainability of the tourism industry – the leading sector of the national economies of many countries and the global economy as a whole – has been considered using a systematic approach. An attempt was made to prove the applicability of the project management methodology and tools to the tourism industry and the dependence of the sustainable development of the tourism industry, both at the local and national levels, on more effective management of processes, programs and portfolios based on a systems approach and project management as a method to improve tourism firms’ operations. The methodology of project management in tourism as a driving force for social, economic and cultural change is considered as the basis for successful implementation of projects to ensure benefits for all stakeholders: tour operators, consumers of tourism projects, local communities and all companies involved in tourism projects.

Conclusions and Relevance: currently, the tourism industry faces a situation in which tourism projects are implemented in the context of reactive risk and change management with the almost complete absence of proactive change management, which adversely affects the quality of tourism projects and greatly hinders the development of national tourism industries in general. The proposed concept of applying the project methodology based on the author’s model of project management in tourism, the model of the tourism project and the model of TMBOK (tourism management body of knowledge) provides for a system of measures necessary for integrating the project management methodology into the practice of tour operators for the further sustainable development of all tourism business stakeholders.
Methods, procedures and tools for diversification of enterprises and organizations of the Russian defense industry
Authors: Mishin Yu. V. , Kosterev N. B. , Sukharev V. B. , Mishin A. Yu.
Published: April 2019

Purpose: the work covers the issues of organizational, methodological and instrumental support of the processes of diversification of organizations and enterprises of the Russian defense industry complex. Based on an analysis of the reasons for the low efficiency of federal targeted programs for the conversion of enterprises and the organization of the military-industrial complex in 1993-1997, proposals for its improvement were formulated.

Methods: the methodological basis of the approach considered in the article is to assess the effectiveness of diversification, including both parameters of the use of production capacity and the main results of the production activities of economic entities.

Results: the article proposed and justified: 1) the principles of diversification of enterprises and defense industry organizations; 2) tools for assessing the economic consequences, based on justifying calculations of the use of production capacity, determining the need for resources, the volume of capital investments and production areas; 3) action plan (“roadmap”) for the development and production of high-tech civilian products.

Conclusions and Relevance: Diversification of enterprises and organizations of the defense-industrial complex of the Russian Federation in most cases (except for dual-use products) requires an investment of a considerable amount of funds. In order to ensure the minimization of the resources required for its fulfillment (amount of capital investments, production space and labor force), the use of the production potential load factor is proposed as a criterion for evaluation of conversion efficiency of military production.
Evaluation of the business environment quality through the perception of business as part of the ongoing reform of the state supervisory oversight reform
Authors: Vyakina I. V.
Published: April 2019

Purpose: the current research aims to study the influence of the subjective perception of control and supervisory activities by regional business on the business environment quality as part of the ongoing state control and supervisory activities reform. The article has solved the following tasks: key factors determining the quality of the business environment and the perception by entrepreneurs of the state economic policy have determined; entrepreneurs' perception of the state activity in reforming state control (supervision) in the Tver region has assessed; main problems arising during the implementation of state control (supervision) measures have identified ); ways have proposed t for their elimination.

Methods: study based on systematization and analysis of the results of sociological polls to assess the impact of state and municipal control (supervision) on business, which conducted in Tver region for three years (from 2016 to 2018) and covered more than three hundred heads of small, medium and large enterprises of all municipalities of the region. Content analysis of the regulatory framework and economic and statistical evaluation of the results of sociological surveys carried out; tabular and graphical data visualization methods applied.

Results: despite the implementation of the reform and the reduction in the number of inspections in Tver region, an analysis of the results of a survey of entrepreneurs indicates a contradictory situation in the administrative conditions of the business environment. There is no reduction in the administrative burden on business in the subjective perception of entrepreneurs. At the same time, the firm orientation of inspectors for the collection of fines and the fiscal orientation of inspections remains.

Conclusions and Relevance: conceptual approach to the implementation of the ongoing reform of state control and supervision activities involves the identification and elimination of administrative barriers with the active participation of the business community. Entrepreneurs do not feel the reduction of administrative burden on business according to their subjective perception. The perception of control and supervisory measures by business representatives determines the quality of the business environment, which has a significant impact on the motivation and performance of business entities. There is no change in the fundamental model for the implementation of state control and supervisory activities according to the business community.
Guia Para Realizar uma Revisão Sistemática de Literatura
Authors: Okoli Chitu , Duarte Traduzido por:David Wesley Amado , Mattar Revisão técnica e introdução:João
Published: April 2019

Muitos pesquisadores não são bem treinados na realização de uma revisão de literatura autônoma, um documento acadêmico que resume e sintetiza na sua totalidade o conhecimento anterior de um corpo de pesquisa. Numerosos guias que existem para pesquisa em sistemas de informação (SI) concentram-se somente em certas partes do processo; poucos abrangem todo o processo. Este artigo apresenta uma metodologia rigorosa e padronizada para a revisão sistemática de literatura (também chamada de revisão sistemática) para pesquisadores em SI. Este guia abrangente amplia a metodologia básica das ciências da saúde e outros campos com numerosas adaptações para atender às necessidades de campos metodologicamente diversos, como a pesquisa em SI, especialmente aqueles que envolvem, incluem e sintetizam estudos quantitativos e qualitativos. Além disso, este guia fornece muitos exemplos da pesquisa em SI e referências a guias com mais detalhes úteis para a realização de uma revisão de literatura rigorosa e valiosa. Embora seja adaptado à pesquisa em SI, é suficientemente amplo para ser aplicável e valioso para pesquisadores de qualquer campo das ciências sociais.
Tradução de: OKOLI, Chitu.
A guide to conducting a standalone systematic literature review. Communications of the Association for Information Systems, v. 37, n. 43, p. 879?910, nov. 2015. Disponível em: .
Autorizada pela Association for Information Systems - Copyright © 2015
Examining the Impact of Leader–Member Exchange on Organizational Citizenship Behaviour in Healthcare Sector
Authors: Ürek Duygu , Uğurluoğlu Özgür
Published: April 2019

This study aims to show whether health
professionals’ perceptions regarding leader–member exchange dimensions have any
impact on their organizational citizenship behaviour and its dimensions. To
this end, surveys were distributed to health professionals (doctors, nurses,
other medical officials and administrative staff) working in a public and
private hospital located in Turkey’s Ankara province through face-to-face
meetings and the data obtained from 423 health professionals were evaluated
with multiple linear regression analysis. The results indicated that the health
professionals had a medium level of leader-member exchange and high level of
organizational citizenship behaviour. The regression analysis results show that
the health professionals’ perceptions regarding leader-member exchange had
positive impacts on organizational citizenship behaviour and its dimensions. The findings suggest that healthcare
organizations can enhance healthcare professionals’ organizational citizenship
behaviours through high level of leader-member exchange.