bluuebunny/crossref_metadata_2025 huggingface dataset:
The Presence of Picnic Space in Domestic Environment when COVID-19 Condition as Improving the Quality of Space and Mental Health
Authors: Werdiningsih Hermin , Soemadyo Indriatjario , Harani Arnis Rochma
Published: May 2022

The condition of the COVID-19 pandemic since 2020 has shaped changes in daily life, where the use of the living environment has become one of the things that have changed. Activities usually carried out outside the living environment now must be covered in it. In this paper, the domestic environment is understood as where private daily domestic activities usually occur. This paper aims to expand the understanding of picnic space in the domestic environment. Seeing how the picnic space is present in the domestic area has the potential to expand the understanding of space in architecture related to spatial quality. Investigates the relationship between activity and space as the basis for understanding the quality of space in a domestic environment. This paper uses a qualitative method to reveal the various activities and explores how the quality of space in the domestic environment has changed during the COVID-19 pandemic. Data was collected through direct observation, photos, interviews, and further analysis. The study finds that the domestic environment can appear as a picnic space with a relationship between humans and objects or an environment that supports happiness and improves mental health. The emergence of picnic space in the domestic environment occurs through three processes: the relationship between the supporting object, actor, and place, blurring the boundary of virtual and physical, and the relationship between object and atmosphere. The finding can enrich the field of architecture, especially in interpreting space, boundaries, and their relation to the mental health of its users.
A quadrilateral flat-shell element for the static and dynamic analysis of composite and sandwich cylindrical, spherical and conical shell panels
Authors: Dagade Vaishali Atulkumar , Kulkarni Shripad
Published: May 2022

A quadrilateral flat-shell element is developed for analysing the deflections, stresses and natural frequencies along with their allied mode shapes of cylindrical, spherical, and conical shell panels made up of layered composite and sandwich material. The developed element (DKZigTS1) is based on zigzag theory and has seven local as well as global DOF per node. The concept of obtaining transformation matrix is used for transforming actions and reactions from local to global direction to convert the plate bending into a flat-shell element. The two separate coordinate systems are used to transform rotational and translational degrees-of-freedom (DOF), from local to global direction. The local translational DOF are transformed to global Cartesian coordinates (x, y, z) and the local rotational DOF are transformed to the surface coordinate system (ξ
1, ξ
2, ξ
3), in which ξ
3 is perpendicular to the surface. The DKZigTS1 element gives fairly accurate results that align with the 2D analytical and the 3D elasticity solutions, reported in the literature for moderately thick and thick shell panel. The present results are also in good agreement with the 3D finite element solutions for shallow and deep shell panels having various material properties, boundary restrained environments, and geometrical shapes considered in this study.
Performance analysis and rain attenuation modelling of RoFSO link for hilly region of India
Authors: Kaur Jasleen , Kaur Sanmukh , Sharma Aanchal , Amphawan Angela
Published: May 2022

Free Space Optics (FSO) is one the most in-demand technology, and is used indoors, on the ground, in space, and even underwater. It is used to broaden communication access to places where bandwidth is insufficient or where difficult topography prevents the use of cable communications. One of the foremost communication challenges that contribute to the degradation of FSO performance is the environmental condition. Hilly regions experience heavy rainfall and have rough terrain which may demean the FSO link communication. In this work, for real-time rain rate analysis of the Meghalaya region two unique rain attenuation models are investigated for monsoon months from the years 2014 to 2020. Considering Marshall and Palmer’s model and by employing 8, 16 and 32-quadrature amplitude modulation (QAM) schemes, radio-over-free space optical (RoFSO) system has been evaluated by varying FSO channel range, power and bit rate.
Gesundheitskompetenz: Systeme, Organisationen und Individuen
Authors: Bitzer Eva Maria , Schaefer Corinna
Published: May 2022

Gesundheitskompetenz ist der Grad, zu dem Individuen durch das Bildungs-, Sozial- bzw. Gesundheitssystem in die Lage versetzt werden, die für angemessene gesundheitsbezogene Entscheidungen relevanten Gesundheitsinformationen zu finden, zu verarbeiten und zu verstehen. Individuelle Fähigkeiten dürfen nicht die Voraussetzung sein, in einem komplexen Gesundheitssystem zurechtzukommen, sondern es ist vielmehr das System, das der Komplexität der Menschen gerecht werden muss.
Participatory viewers’ engagement with the dual translation problem on the danmu interface: a social semiotic case study
Authors: Yuhong Yang
Published: May 2022

This article looks at participatory viewers’ engagement with foreign language video contents facilitated by the danmu interface on a video-sharing website in China. Using the video of the Chinese athlete Sun Yang’s public hearing hosted on Bilibili as a case study, this article investigates Bilbili users’ danmu-based translational efforts and their engagement with the translation problem inherent in the hearing through multimodal discourse analysis, with supportive analysis of individual users’ danmu footprints from a diachronic perspective. Danmu-based viewer activities are approached from the social semiotic perspective and situated in the distribution stratum of the communicative practice of video sharing, with a view to understand participatory viewers’ meaning making processes in their consumption of videos on the danmu interface. The findings show a manifest willingness from participatory viewers to engage with the dual translation problem specific to this case, who submit different kinds of translational inputs onto the video frame in response to the untranslated video and articulate translation-related discourses as prompted by the inherent translation problem in the video. This study contributes to social semiotic discourse analysis of danmu-mediated communication as well as to non-professional translation studies through a focus on novel translation practices emergent in the Chinese context of participatory viewing.
African Trade Unions and the Politics of Gender
Authors: Cojocaru Mihaela , McQuinn Mark
Published: May 2022

na/
PROTAC degraders with ligands recruiting MDM2 E3 ubiquitin ligase: an updated perspective
Authors: Han Xin , Wei Wenyi , Sun Yi
Published: May 2022

Mouse double minute 2 (MDM2) is an oncogenic E3 ligase that effectively degrades the tumor suppressor p53. In the past two decades, many MDM2 inhibitors that disrupt MDM2-p53 binding have been discovered and developed. Given that MDM2 and p53 form an auto-regulatory loop, in which p53 undergoes targeted degradation as a substrate of MDM2, and p53 targets MDM2 for transcriptional upregulation, these MDM2 inhibitors have limited efficacy. After rapid in vivo clearance of the MDM2 inhibitors, p53 is degraded by accumulated MDM2. Fortunately, proteolysis targeting chimeras (PROTACs), a novel therapeutic strategy, overcome the limitations of MDM2 inhibitors. Several MDM2 inhibitors developed in the past two decades have been used in PROTAC technology in two applications: 1) binding and targeting endogenous MDM2 for PROTAC-based degradation and 2) binding endogenous MDM2 as a PROTAC E3 ligand for PROTAC-based degradation of other oncogenic proteins. In this review, we summarize current progress in the discovery and development of MDM2-based PROTAC drugs, and discuss future perspectives and challenges in their application as effective treatments for human cancer.
Challenges of Implementing Nurse Educator Core Competencies as Perceived by Clinical Instructors in Erbil City, Kurdistan Region, Iraq.
Authors:   Department of Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq., Aziz Newroz , Naqshbandi Vian ,   Department of Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq., Rasheed Halmat ,   Department of Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq.
Published: May 2022

Background and objective: The quality of nursing education in the clinical setting in nursing colleges, especially in the Middle East, is based solely on the clinical instructors’ ability to provide and creating the most productive clinical environment possible. The World Health Organization (WHO) identified eight domains as core competencies for clinical nurse educators. However, studies on contemporary clinical education and educators’ role indicate that clinical instructors continuously face challenges in adopting the competences recognized by the WHO. Therefore, this study aimed to explore the challenges of implementing the nurse educator core competencies as perceived by the clinical instructors in Erbil in the Kurdistan Region of Iraq. Method: The interpretive phenomenological approach of the qualitative study and SWOT analysis was adopted to explore the clinical instructors’ experience of clinical education’s challenges. Result: The main challenges of the academic institutions were shortages of qualified clinical instructors, lack of confidence among instructors, and difficulty in achieving learning outcomes. Challenges reported among health institutions include inappropriate selection for managerial roles, poor recognition of clinical education, and poor teaching environments. Conclusion: The study results highlighted challenges for clinical instructors to carry out their role in a safe and less stressful environment, including inadequate strategic plans for clinical teaching from academic institutions and stakeholder involvement in health institutions.
Collecting Local Views on the Post-Covid Future of Flying Using Online Qualitative Methods
Authors: Atkins Ed , Harper Lycia , Paddock Jessica , Parker Martin , Preist Chris
Published: May 2022

The aviation sector represents an important terrain for contemporary environmental politics and policy. This position has been complicated by the Covid-19 pandemic, which led to a dramatic slowdown in international travel and threatened the position of the aviation and airline sectors. The temporality of this decline remains unclear. In this article, we present online qualitative research that explores how people think their flying habits might change in the future—in the wake of both Covid-19 and resultant social restrictions and awareness of climate breakdown. To do so, we foreground our analysis in Bristol, United Kingdom—a city characterized by a strong brand of green politics and debates surrounding airport expansion and the role of aviation in a net-zero future. This work adopted a research design conducted entirely online, incorporating surveys disseminated via local media and online focus groups. Findings from this work demonstrate that close to 60% of those surveyed will likely fly less in a post-Covid future. Furthermore, the Covid-19 pandemic has prompted a “reimagination” of flying—with important behavioral, policy, and justice implications. Our objective in presenting this work is twofold—first to illuminate emergent patterns of behavioral change in flying post-Covid and, second, to critically reflect on conducting online qualitative research in a pandemic.
Modelo matemático no lineal en un sistema de temperatura para un recinto cerrado
Authors: Ortiz Valencia Paula Andrea , Arias Londoño Alexánder , Guerreo Peña Diego Alejandro
Published: May 2022

En este artículo se plantea el modelo matemático para un módulo didáctico de control donde se analiza la variable temperatura. La obtención de modelo es necesaria para simular la dinámica del proceso y desarrollar estrategias de control que luego puedan ser aplicadas en el sistema real. Con este objetivo, es importante que el modelo, como no es único, sea una representación fidedigna del proceso objeto de análisis. Para obtener el modelo matemático se trabaja el sistema como una caja gris, donde se conocen las ecuaciones matemáticas que rigen el comportamiento del proceso, en términos de parámetros dinámicos del sistema; es por ello que la obtención del modelo matemático se divide en dos partes, la primera, encontrar las ecuaciones físicas del sistema en términos de algunos parámetros desconocidos; la segunda, encontrar estos parámetros con mínimos cuadrados. Una vez obtenido el modelo matemático se procede a comprobar que el modelo si sea confiable, para ello se realizó una validación del modelo obtenido sobre la planta y se encontró que el modelo si era satisfactorio. Esta técnica de identificación de sistemas puede ser aplicada a otros procesos tanto lineales como no lineales, en los cuales se conozcan las ecuaciones físicas del sistema en términos de parámetros desconocidos.
Effect of different dry period duration on milk components and serum metabolites, and their associations with the first conception rate in multiparous Holstein dairy cows
Authors: Saranjam N. , Farhoodi Moghaddam M. , Akbari Gh. , Mohammadsadegh M. , Farzaneh N.
Published: May 2022

The aims of the present study were to evaluate the effects of different dry period (DP) lengths on milk fat to protein ratio (FPR) and metabolic status – blood leptin, adiponectin and non-esterified fatty acids (NEFA) concentrations in dairy cows, and their associations with the result of the first timed artificial insemination (TAI). Cows were blocked either to short DP (SDP; 30±2 days; n=72) or conventional DP (CDP; 60±2 days; n=76). Milk FPR was calculated at 30 and 60 days in milk (DIM). Body condition score (BCS) was recorded at –60, –30, calving, and 60 DIM. Blood samples were obtained at –60, –30, –7, calving, +7, +30, and +60 DIM for serum metabolites measurement. TAI was implemented between 65–75 DIM for all cows. Milk FPR and its changes were statistically analysed using an independent sample t test. To assess the impact of time, the pattern of BCS, and serum metabolites on the result of the first AI, repeated measure ANOVA was used. Only FPR-30 DIM revealed significant difference between pregnant and non-pregnant cows in SDP group (P<0.01). Reduced BCS loss was observed in the SDP group and followed by slightly higher probability of pregnancy at first AI (P=0.19). Leptin was not altered by shortening the DP (P≥0.1). Significant differences were observed in blood adiponectin prepartum (P<0.001) and at +7 DIM (P<0.01), as well as in NEFA at +7 and +30 DIM between the two groups (P<0.05). Pregnant cows following the first AI had significantly high postpartum leptin concentrations (P<0.05), high prepartum adiponectin (P≤0.001), and lower NEFA at +7 DIM (P<0.01) in the SDP group. In conclusion, shortening the dry period caused reduced BCS loss postpartum and variations in serum metabolits that favoured the possibility of pregnancy at first AI.
Penerapan Prinsip Kerjasama dalam Acara Madh Rasul pada Akun Youtube Iqra’ Al-Fadhaiyyah (Kajian Pragmatik)
Authors: 'Aini Zahratul , Faisol Yufni , Delami Delami
Published: May 2022

This paper describes the application of the theory of the principle of cooperation in a prayer competition event held by one of the famous television stations in Egypt, namely Iqra 'Al-Fadhaiyyah. The data from this research are theutterances delivered by all speech participants (jury, presenters, participants) who are in the event. Using thetheory coined by Paul Grice Herbeur, namely the theory of the principle of cooperation which includes four maxims (rules): maxim of quantity, maxim of quality, maxim of relevance and maxim of manner. Next, it discusses the factors that cause violations of the cooperative principle using the SPEAKING theory which was coined by Dell Hymes. The data obtained in this study were 59 pairs of utterances which included compliance with the principle of cooperation, violations of the principle of cooperation and the factors causing violations of the principle of cooperation.
PERGESERAN TAPAK LAPAN PADA MASYARAKAT MELAYU PALEMBANG ZURIYAT KAPITAN BELA MINAL MUSLIMIN
Authors: Ibrahim Duski , Panorama Maya , Fitriyana Nur , Nasution Abdul Karim , Fauwaz Diradja Raden Muhammad
Published: May 2022

Studi pergeseran Tapak Lapan pada masyarakat Melayu Palembang zuriyat kesembilan Kapitan Bela minal Muslimim pernah belum diteliti. Dalam sejarah perkembangan ekonomi global masyarakat Melayu, diketahui masyarakat ini sudah memainkan peran penting dalam bidang ekonomi. Mereka sudah berhasil mengolah sumber daya alam sehingga menjadi produk unggulan dibutuhkan pedagang lokal dan manca negara. Ekonomi global masyarakat ini didukung delapan mata pencaharian tradisonal dikenal dengan tapak lapan. Fokus penelitian ini pergeseran Tapak Lapan masyarakat Melayu zuriyat kesembilam Kapitan Bela yang kelihatannya sebagai zuriyat Dinasti Ming. Jenis penelitian ini field research dengan pendekatan deskriptif kualitatif. Sumber data primer zuriyat kesembilan Kapitan Bela di Palembang. Data sekunder bersumber pada artikel, jurnal, dan buku yang relevan. Tehnik pengumpulan data melalui observasi, wawancara, dan dokumentasi. Tehnis analisis data yaitu reduksi data, penyajian data dan kesimpulan. Penelitian ini menghasilkan temuan yaitu : (1) Merujuk kepada silsilah dan bukti ekofak kampung Saudagar Koching 3 Ulu Palembang maka masyarakat Melayu zuriyat kesembilan Kapitan Bela kelihatannya berasal dari Dinasti Ming. (2) Meskipun zuriyat ini masih ada yang bergerak di bidang perdagangan, tetapi telah terjadi pergeseran tapak lapan, seperti ada yang berprofesi sebagai guru, dosen, tenaga kesehatan dan bekerja di perusahaan. Pergeseran ini karena adanya keinginan untuk hidup, keinginan untuk mendapatkan pekerjaan dan keinginan untuk mendapatkan status sosial. Keinginan ini didukung oleh faktor internal dan ekternal. Faktor internal berasal dari ajaran agama dan falsafah Melayu. Faktor eksternal yaitu berkembangnya iptek, pendidikan dan motivasi keberhasilan keluarga lainnya.
Renal Cell Carcinoma with Cardiac Metastases: A Case Report and Review of the Literature
Authors: Cahill Ellen M. , Tabakin Alexandra , Shinder Brian , Bramwit Mark , Saraiya Biren , Xu Xinyang , Salazar Cristo G. , Zhou Zhongren , Singer Eric A.
Published: May 2022

Cardiac metastases from renal cell carcinoma (RCC) are very rare. We describe the case of a woman with RCC with cardiac metastases involving the entire right atrium, penetrating through the myocardium, with extension into the tricuspid valve and right ventricle. This report highlights the unique challenge of the diagnosis and treatment of cardiac metastases in RCC.
Constraint Solving Approaches to the Business-to-Business Meeting Scheduling Problem
Authors: Bofill Miquel , Coll Jordi , Garcia Marc , Giráldez-Cru Jesús , Pesant Gilles , Suy Josep , Villaret Mateu
Published: May 2022

The Business-to-Business Meeting Scheduling problem consists of scheduling a set of meetings between given pairs of participants to an event, while taking into account participants’ availability and accommodation capacity. A crucial aspect of this problem is that breaks in participants’ schedules should be avoided as much as possible. It constitutes a challenging combinatorial problem that needs to be solved for many real world brokerage events.

In this paper we present a comparative study of Constraint Programming (CP), MixedInteger Programming (MIP) and Maximum Satisfiability (MaxSAT) approaches to this problem. The CP approach relies on using global constraints and has been implemented in MiniZinc to be able to compare CP, Lazy Clause Generation and MIP as solving technologies in this setting. We also present a pure MIP encoding. Finally, an alternative viewpoint is considered under MaxSAT, showing best performance when considering some implied constraints. Experiments conducted on real world instances, as well as on crafted ones, show that the MaxSAT approach is the one with the best performance for this problem, exhibiting better solving times, sometimes even orders of magnitude smaller than CP and MIP.
Comparison of waste heat recovery exchangers of furnace combusted with different fuels
Authors: Cui Xiaoling , Chen Xiaoyu , Qi Lin , Xiao Song
Published: May 2022

This study investigates and compares the low-temperature waste heat recovery exchangers of glass melting furnaces using liquid natural gas (LNG), methanol and dimethyl ether (DME) as fuels. A glass melting furnace with a production of 1 t/year was used to combust the fuel with air, and the waste heat exchanger served to recover the heat from the flue gas at a low temperature to preheat the air. The net present value (NPV) and carbon dioxide (CO2) emissions acted as the evaluating parameters of the heat exchanger. The results showed that the methanol combustion programme yielded the maximum NPV and carbon dioxide emissions. The LNG combustion programme yielded the lowest values and the parameters in the DME combustion programme are always in the middle. Considering the income of the heat exchanger and carbon dioxide emissions, the glass melting furnace with DME as the fuel is the optimal programme.
The degree of rigidity of the products costs and the payment of dividends in the Brazilian capital market
Authors: Gouveia Santos Sergio , De Almeida Lima Lauro Vinicio
Published: May 2022

The objective of this research was to analyze the reflection of the degree of rigidity of the products costs sold (CPV) in the dividend payment policy of Brazilian non-financial companies with open capital, from 2005 to 2019. The study is based on the possibility of rigidity in the adjustments of the costs of products for companies that may not follow changes in revenues, including before a scenario of a decrease in the level of activity, compromising the result and its destinations, such as the payment of dividends. Based on the validation of the existence of rigidity in the costs behavior in the selected sample, through a regressive model, an asset intensity proxy was adopted to measure the degree of rigidity and its reflex in the payment of dividends, using the fixed effects panel data technique. As a result, evidence was obtained that CPV varies by 0.96% to increase by 1% in Net Sales Revenue, while it decreases by only 0.89% in the reverse. Whereas the increase in the degree of rigidity of costs reflects a decrease of 0.50 in dividends paid, which are also negatively impacted by financial leverage and positively by operational cash flows, according to research data. Thus, the study inferred that entities with a higher degree of rigidity in the cost structure tend to pay a lower level of dividends.
Intercultural Mediation and its Conflicting Allegiances in Slovenia
Authors: Lipovec Čebron Uršula , Škraban Juš
Published: May 2022

The article examines intercultural mediation which is a relatively new profession aimed at assuring equity in access to various institutions, including those in the field of healthcare. Based on qualitative research with intercultural mediators in Slovenia, the article analyses the power relations that arise in the triadic interactions in healthcare worker–patient–intercultural mediator relationships. We explore the role of intercultural mediators in relation to the two sides that they are supposed to connect: the side of the patients and the side of healthcare workers. Paying attention to power relations, we show how intercultural mediators’ shifting allegiances between patient and healthcare workers considerably shape their practice.
Организационные аспекты производственного контроля в условиях совершенствования деятельности корпоративных организаций
Authors: Коробейникова Лариса Сергеевна , Черкасова Кристина Александровна
Published: May 2022

Предмет: производственный контроль играет неотъемлемую роль в процессе функционирования отдельных структурных подразделений корпоративной организации и должен быть интегрированным в организационно-управленческую структуру субъекта корпоративных отношений и бизнес-процессы в различных формах его проведения от предварительного до последующего контроля. Наличие эффективной системы контроля позволит принимать обоснованные и своевременные решения, повысить вероятность достижения бизнес-целей, соответствовать требованиям функционирования экономического субъекта в условиях внутренней и внешней среды, снизить риски получения штрафов от контролирующих органов, избежать ошибок и искажений внешней и внутренней отчетности, что влияет на качество финансовых результатов деятельности корпоративной организации, увеличит ее стоимость, повысит доверие со стороны акционеров, инвесторов, кредиторов. Цель: обосновать основные принципы и выделить функции производственного контроля, разработать классификацию его видов с учетом выделенных классификационных признаков, разработать в соответствии с выделенными классификационными признаками контрольные процедуры. Дизайн исследования: для решения поставленных задач использовался комплекс мер научного познания, среди которых анализ, синтез, системный подход, статистический и сравнительный методы. Детализация организационных аспектов позволила обосновать объекты производственного контроля, детализировать задачи и функции его проведения, выделить этапы и обосновать последовательность его проведения. В ходе исследования были изучены и обобщены предшествующие научные работы различных авторов. Результаты: авторами исследования раскрыты особенности организации производственного контроля в организациях корпоративной формы собственности, разработана классификация видов производственного контроля по отношению к аспектам деятельности корпоративных организацийс учетом особенностей их функционирования. Сформулированы основные принципы и функции производственного контроля, перечень которых не органичен, что позволяет каждой корпоративной организации расширить список функций производственного контроля исходя из возлагаемых на него задач, однако, все они будут направлены на выявление и предупреждение неблагоприятных последствий осуществления деятельности корпорации. Выделенные функций производственного контроля позволили сгруппировать контрольные процедуры в соответствии с различными классификационными признаками.
Проблемы соотношения сроков при подключении (технологическом присоединении) к электрическим сетям
Authors: Русаленко Нина Валентиновна
Published: May 2022

Предмет: в статье исследуются проблемы соотношения сроков действия договора об осуществлении технологического присоединения к электрическим сетям, выполнения мероприятий по технологическому присоединению, технических условий и пути их решения. Дизайн исследования: Результаты: рассмотренные и предложенные рекомендации в Правила, в частности регламентация сроков действия договора и срока действия технических условий, продление срока действия ранее выданных технических условий. Внедрение данных рекомендаций позволит организовать эффективное регулирование правоотношений между заявителем и сетевой организацией.
Специальные требования к распространению рекламы в сети «Интернет»
Authors: Никитина Татьяна Евгеньевна
Published: May 2022

Предмет: нормы, регулирующие порядок размещения рекламы в сети «Интернет». Цель: анализ изменений в действующем законодательстве, регламентирующем рекламу, правила ее размещения. Дизайн исследования: в рамках создания эффективной системы контроля рекламы наибольшее значение для распространения в сети «Интернет» имеет разграничение рекламы и справочно-информационных и аналитических материалов. Такой подход позволяет обеспечить прослеживаемость рекламы в сети «Интернет», осуществить учет, хранение и обработку информации о такой рекламе, в том числе сведений о рекламодателях и рекламораспространителях такой рекламы, операторах рекламных систем. Результаты: выявлена особенность изменений в Федеральном законе «О рекламе», а именно необходимость принятия подзаконных нормативных правовых актов, которые непосредственно определят состав информации, подлежащей передаче в Роскомнадзор для хранения и учета, как реклама в сети «Интернет». Произведена оценка вероятности непонимания внесенных изменений, которое в дальнейшем будет нейтрализовано наработкой практики применения новых норм Федерального закона «О рекламе».
Особенности использования инструментов маркетинга в сфере оказания медицинских услуг
Authors: Ендовицкий Дмитрий Александрович , Разуваев Григорий Андреевич
Published: May 2022

Предмет: проникновение инструментов маркетинга в сферу оказания медицинских услуг усложняется ориентировкой на реализацию социальных потребностей. Целевая направленность сферы медицинских услуг связана с сохранением и укреплением здоровья пациентов, продлить годы жизни, что и является одним из направлений национальной политики российского государства. Оказание платных медицинских услуг способствует привлечению дополнительных источников финансирования деятельности учреждений здравоохранения. Выделение лимитов финансирования из бюджетов различных уровней, использование доходов от иной приносящей доход деятельности способствуют качественному функционированию учреждений здравоохранения в условиях конкурентных рынков медицинских услуг, что повышает значимость использования инструментов маркетинга в соответствии с концепцией общественного предпринимательства. Цель: раскрыть особенности осуществления маркетинговой деятельности учреждениями здравоохранения через уточнение сущности факторов, оказывающих влияние на ее осуществление; обосновать ключевые ориентиры осуществления маркетинговой деятельности. Дизайн исследования: в современных условиях возникли тенденции, необратимо переводящие медицинские услуги в новую сферу, к экономическим благам. Значит, организации здравоохранения должны проводить маркетинговые исследования, чтобы при помощи этого инструмента оценить деятельность, спектр предоставляемых услуг. Но маркетинговые исследования сложно организовать, из-за чего необходимо пользоваться инновационными решениями, привлекать государство и его управленческие механизмы в учреждения сферы здравоохранения, где деятельность осуществляется по этапам и в различных подсистемах. Научное сообщество признало, что описать и пояснить принцип действия механизма государственного управления в сфере здравоохранения, без сомнения, актуально. Результаты: авторами были выделены факторы, оказывающие воздействие на совершенствование инструментов и методик маркетинговых исследований в области здравоохранения, обоснована специфика медицинских услуг, предложены нерыночные стимулы, анализ которых приведёт к использованию эффективных регуляторов в деятельности учреждений здравоохранения, систематизированы проблемы, порождающие иждивенческую модель поведения учреждений здравоохранения, предложены пути их решения.
Финансовый результат как показатель конкурентоспособности предоставляемых медицинских услуг
Authors: Попова Софья Вадимовна
Published: May 2022

Предмет: эффективность деятельности экономического субъекта, занятого в любом виде экономической деятельности, определяется степенью ее готовности приносить прибыль на вложенный капитал в условиях непрерывности его деятельности. Оценка прибыльности деятельности важна как в текущем аспекте функционирования экономического субъекта, так и в условиях перспективного развития. Именно инструменты и методы экономического анализа позволяют проанализировать финансовые результаты деятельности организации, систематизировать факторы, оказывающие воздействие на изменение величин финансовых результатов, качественно оценить влияние показателей на изменение количественных и качественных показателей формирования и использования финансовых результатов. Актуальность темы обуславливается тем, что качественного анализа финансовых результатов и выявления факторов, влияющих на деятельность экономического субъекта, невозможно повысить уровень получаемой прибыли и рентабельности. Цель: обосновать возможности использования показателей финансовых результатов для оценки уровня конкурентоспособности предоставления медицинских услуг субъектами малого и среднего предпринимательства на основе применения традиционного инструментария факторного анализа финансовых результатов от продажи, а также коэффициентного метода результативности деятельности экономических субъектов. Дизайн исследования: факторный анализ прибыли малых предприятий позволяет целенаправленно управлять эффективностью их деятельности путем воздействия на факторы, которые напрямую влияют на уровень расходов и объем продаж, а также контролем уровня расходов при изменении объемов продаж за счет удельных весов по видам продукции (работ, услуг). В отношении анализа финансовых результатов организации он означает применение общих подходов, методик анализа к данной конкретной организации с учетом специфики ее деятельности. Результаты: предложенные организационно-методические рекомендации по проведению анализа финансовых результатов деятельности организации на регулярной основе способствуют формированию релевантной, достоверной информации, необходимой для управления финансовыми результатами деятельности организаций.
Accounting for ESG Risks in the Discount Rate for Business Valuation
Authors: Захматов Дмитрий , Вагизова Венера , Валитов Гаяз
Published: May 2022

The research is aimed at developing tools for determining and justifying specific ESG risks for the purpose of accounting for projected cash flows in the discount rate in business valuation. A study of modern methods, standards and publications in this area has been conducted, and the need for their refinement and development for practical use has been determined.

The research used the results of the works by foreign and domestic authors, as well as their own professional experience. The authors used general scientific methods of cognition, such as classification, logical and system analysis, typology and generalization.

The proposed tools are aimed at substantiating, supplementing and clarifying the discount rate model (CAPM) by introducing additional coefficients that take into account the influence of ESG factors. The article proposes a scoring model for assessing risks on a point scale and tools for their subsequent translation into correction coefficients using the method of expert assessments, which already allow them to be applied in practice today. The model of accounting for specific risks is based on data from literary sources, and demonstrated using a practical example.

The author’s tool is designed to provide analysts, appraisers and experts with a qualitative justification and calculation of specific risks associated with ESG factors when evaluating a business. It is also assumed that the proposed tools will serve as one of the criteria for managing business value, allowing for measures to reduce specific risks and increase company capitalization.
Medicina di genere: normativa e rilevanza nella ricerca biomedica
Authors: Carè Alessandra
Published: May 2022

L’approccio di genere rappresenta un cambiamento culturale che pone ogni persona al centro della cura. È un vero cambio di prospettiva che indica come aspetti fondamentali l’inclusione e la valorizzazione delle variabili biologiche, ambientali e sociali, dalle quali possono dipendere le differenze di salute tra i generi. La legge 3/2018 all’articolo 3 “Applicazione e diffusione della medicina di genere nel Servizio Sanitario Nazionale”, attraverso un Piano attuativo e con l’istituzione presso l'Istituto Superiore di Sanità dell’Osservatorio Nazionale per la Medicina di Genere, riporta gli step da considerare per assicurare l’avvio, il mantenimento nel tempo e il monitoraggio delle azioni richieste. Scopo primario sarà il raggiungimento di una reale equità nelle cure che tenga conto delle differenze di sesso e genere nella programmazione e nell’organizzazione dell’offerta sanitaria.
Consapevolezza del rischio cardiovascolare nella donna
Authors: Lillo Adele
Published: May 2022

Le malattie cardiovascolari (CVD) rappresentano il maggior killer delle donne a livello globale: solo nel 2019, a 275 milioni di donne è stata diagnosticata una patologia cardiovascolare, e di queste 9 milioni sono decedute. La causa di questo è da ricercarsi nel fatto che a tutt’oggi le donne sono sottostudiate, sottoriconosciute, sottodiagnosticate, sottotrattate, sottorappresentate nei trials clinici. Nonostante le evidenze, la consapevolezza del rischio cardiovascolare femminile è bassa non solo tra le donne ma anche nel personale sanitario. Per fare il punto sulla consapevolezza femminile in Italia ed individuare modalità e topics di intervento, l’ARCA (Associazione Regionale Cardiologi Ambulatoriali) ha condotto una survey tra l’inizio del 2020 e novembre 2021, arruolando 5600 donne, intervistate presso ambulatori di cardiologia. Nonostante la conoscenza dei fattori di rischio tradizionali fosse alta, la consapevolezza del rischio di andare incontro ad eventi cardiovascolari è risultata bassa: il 50% delle donne non ha risposto correttamente, e solo il 13% ha ritenuto che il rischio di eventi per una donna fosse più alto rispetto all’ uomo. Anche riguardo lo stile di vita i dati non sono incoraggianti: solo il 7% delle donne ha dichiarato di avere corrette abitudini alimentari, e meno del 20% di svolgere un’attività fisica regolare. Il 91% necessita di ulteriori informazioni riguardo al RCV e oltre il 60% vorrebbe che fosse il medico di famiglia a fornirle. In conclusione, la consapevolezza delle donne sul proprio rischio CV è ancora non ottimale e le intervistate ritengono che debbano essere informate soprattutto dal medico di famiglia.
[RETRACTED] Live Well CBD Gummies *Effective* Curing All Your Health Issues In Very Little Time v1
Authors: not provided jerritdsuza
Published: May 2022

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Authors: Tsueng G
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Authors: not provided NanicLews
Published: May 2022

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[RETRACTED] Oprah Winfrey ACV Gummies Reviews: Shark tank gummy candy 2022 v1
Authors: not provided oprahwinfreyreviewsads
Published: May 2022

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Oprah Winfrey ACV Gummies Reviews: Shark tank gummy candy 2022
Remodeling of the bioelectric activity of the brain in the outcome of cortical resection
Authors: Astakhova Ekaterina A. , Marchenko Elena V. , Chukhlovin Alexander A. , Aleksandrov Mikhail V.
Published: May 2022

Background: The total scalp electrorencephalography shows the activity of groups of cortical neurons. But each of these groups does not exist in isolation, but they are influenced by other areas, both cortical and subcortical systems of the brain. In the course of neurosurgical treatment, patients underwent resection of cortical areas in which the epileptiform focus was located. In patients with resection of the temporal lobe with structural drug-resistant epilepsy, EEG patterns of loss of activity are not recorded above the remote areas.

Aim: to study the mechanisms underlying the formation of electrorencephalography patterns recorded in the projection of the resected temporal lobe of the brain in patients operated on for focal drug-resistant epilepsy.

Materials and methods: There were examined 22 patients with structural pharmacoresistant epilepsy. Coherent analysis of the electrorencephalography was performed for an epoch of 30 seconds in transverse and longitudinal intrahemispheric pairs of leads.

Results: Correlation interactions between the temporal leads and their surrounding areas are enhanced after removal of the temporal lobe involved in the epileptic system.

Conclusion: The activity recorded in the postoperative period in the projection area on the scalp of the resected area is formed as a result of signal transmission from other departments.
Efferent therapy for dichorionic diamniotic twin pregnancy resulting from IVF, complicated by isthmic-cervical insufficiency
Authors: Vetrov Vladimir V. , Ivanov Dmitry O. , Reznik Vitaly A. , Romanova Larisa A. , Melashenko Tatiana V. , Kurdynko Lyudmila V. , Vyugov Mikhail A.
Published: May 2022

Background: Dichorionic diamniotic twin pregnancy resulting from IVF can lead to isthmic-cervical insufficiency with concomitant complications. Against the background of the initial genital chronic infection in a woman there is a threat of septic complications for the mother-fetal couple. The complex pathology is accompanied by an accumulation of toxic substances in the mother-placenta-fetus system that requires pathogenetic treatment measures.

Clinical Cases: This paper presents data on the results of efferent therapy in two pregnant women with dichorionic diamniotic twin pregnancy complicated by fetal bladder prolapsing into the cervical canal up to the external pharynx (1 case) and with premature amniotic fluid outflow of the first fetus (2 cases). The patients received preserving therapy at the hospital and then were transferred to the perinatal center with the clinical signs of threatening abortion, endotoxemia, and moderate inflammatory response, which were treated with efferent therapy in the form of medium-volume membrane plasmapheresis combined with photodilution with ultraviolet and laser beams. There were no complications during efferent therapy. In 1 and 2 observations the pregnancies of women in the perinatal center were prolonged by 45 and 34 days with operative delivery at 27 and 31 weeks, respectively. There were no septic complications in women and children. The newborn premature infants after therapeutic and rehabilitative measures had good prospects for a full life.

Conclusion: The efferent therapy methods are safe and, in cases of IVF-infant foetuses with complicated isthmic-cervical insufficiency, are a pathogenetic measure; they help to prolong pregnancy and prevent infectious complications in the mother and fetus.
Combined surgical treatment of a giant peripheral nerve tumors of the “hourglass type” of the right cost-vertebral cornar
Authors: Gorodnina Angelina V. , Kudziev Andrei V. , Nazarov Aleksandr S. , Malyshok Dar’ya E. , Оrlov Аndrei Yu.
Published: May 2022

Paravertebral tumors of mediastinal localization an extensive group of pathological processes, the surgical treatment of which is carried out by doctors of various specialties, such as neurosurgeons and surgical oncologists. Currently, thoracoscopic removal is considered to be the most preferred method of surgical treatment of these mass formations, in view of the least trauma, fewer complications, and a reduction in the time of postoperative recovery of patients. A clinical case of surgical treatment of a patient with a giant paravertebral tumor originating from the 4th thoracic root is presented. The tumor was an incidental finding during routine fluorography. There were no focal neurological symptoms. Taking into account the topographic and anatomical features of the volumetric formation, the patient underwent a combined two-stage surgical intervention, where the first stage was laminectomy and removal of the foraminal component of the tumor from the posterior approach, the second stage was single-port video-assisted thoracoscopic removal of the mediastinally located tumor fragment. The operation was performed under conditions of a collapsed lung on the side of the intervention. In the postoperative period, no neurological deficit was noted; according to the control introscopy, the tumor was removed completely. According to the results of histological examination neurofibroma (Grade I).
On the history of the sports festival “Physical culture — the second profession of a doctor”
Authors: Sklyarova Irina V. , Komissarchik Konstantin M. , Khalilova Lilia I. , Kharitonova Natalya Yu.
Published: May 2022

The profession of a doctor involves great physical activity and high working capacity. Of course, physical education and sports play an important role in the process of preparing student youth for social and professional activities, have significant potential in the formation of a system of knowledge and skills related to professional safety, health protection, and the prevention of certain diseases of doctors. It is impossible to overestimate the importance of physical culture in the formation of the professional qualities of the future medical work, the use of its means and methods for the rapid and complete restoration and working capacity of the doctor. The festival of students of medical and pharmaceutical universities of Russia Physical culture and sports the second profession of a doctor is called upon to attract medical students to active sports life. In the article, the authors pay special attention to a retrospective review of the emergence and further holding of the departmental Sports Festival. The result of the presented analytical review was the determination of the results of student speeches in accordance with the affiliation to a particular medical university. During the study, the statistical data of the competition protocols were analyzed. Today, ten years later, you can summarize some of the results of the past eight festivals of medical universities in Russia, determine their role and place in improving the system of higher professional education, and evaluate the effectiveness.
A comparison of ketamine with pentazocine for analgesia in propofol based total intravenous anaesthesia for short surgical procedures
Authors: Okonkwo Ugochukwu N. , Ewah Richard L. , Ebirim Longinus N.
Published: May 2022

Background: Total intravenous anaesthesia is advantageous in that it avoids the use of volatile anaesthetic agents associated with a high cost of its delivery devices and operating theatre pollution. The ideal drugs for TIVA are not readily available in our environment, therefore suitable alternatives need to be studied. Objectives of current study was to compare the analgesic effects using a change of ≥20% in the patient haemodynamics and side effects of ketamine and pentazocine in propofol-based TIVA for patients who underwent surgical procedures less than 60 minutes.Methods: ASA 1 or 2 patients scheduled to have short surgical procedures were randomly allocated into two groups: PK and PP of 64 patients each. After the induction of anaesthesia, the patients received propofol infusion for maintenance of anaesthesia. Group PK, in addition, received a ketamine bolus of 0.5 mg/kg and group PP 0.7 mg/kg of pentazocine. Heart rate and blood pressure were monitored and recorded intraoperatively. The occurrence of respiratory depression, emergence reactions, PONV, were also recorded.Results: The differences in the incidence of a ≥20% rise in both the heart rate and the systolic blood pressure were not statistically significant in the two groups (p>0.05). For the diastolic blood pressure (DBP), no significant change was observed in group PK (p>0.05). In group PP, there was a statistically significant increase from induction until the 15th minute (p=0.006, 0.01, 0.01, 0.009).Conclusions: This study showed that the sub hypnotic dose of ketamine had the same analgesic efficacy as pentazocine in propofol based TIVA. It, however, ensured better stability in haemodynamics.