bluuebunny/crossref_metadata_2025 huggingface dataset:
Project Performance Analysis Using Hierarchical Clustering Method
Authors:   Faculty of Management of the Comenius University in Bratislava, Odbojarov 10, 831 04, Slovakia, Halaj Marian
Published: July 2021

This paper deals with the project management performance analysis in automotive industry and usage of the advanced analytics to optimize the performance of the engineering projects within the vehicle manufacturing facility. The aim is to identify and mitigate the common causes of project delay (slippage) in various engineering projects that are independent of the technical discipline where a particular project belongs to. We have used the hierarchical clustering technique here to identify the sub-groups of similar projects and further deeply analysed those ones with the highest average slippage. Keywords—Cluster analysis, Data, Delay, Distance, Hierarchical clustering, Metric, Project, Slippage, Strategy
Evaluating the Content Validity of Digital Literacy Instrument for School Teachers in Malaysia through Expert Judgement
Authors:   Faculty of Information Management, Universiti Teknologi MARA, Malaysia., Baharuddin Mohammad Fazli , Masrek Mohamad Noorman , Shuhidan Shamila Mohamed , Razali Mohammad Hudzari bin Haji , Rahman Mohd Saiful
Published: July 2021

— In the development of digital technology, schools must equip students with digital literacy skills to develop thinking both critically and creatively and make teaching and learning relevant to the students. There are various measuring instruments that have been developed to assess digital literacy for various target groups. However, quality and valid instruments are still limited and lacking. It is important to apply a valid measuring instrument for digital literacy based on its results in the case of overlapping and ambiguous constructions in the name of digital literacy. Thus, to assess the content validity of the questionnaire that had been generated to evaluate digital literacy of the school teachers is the main focus. The validity of the content was used as a criterion to confirm that the questionnaire was of high quality. The instrument's content validity was assessed according to the feedbacks of six professional in the field. The item content validity index and scale content validity index were implemented for content validity. Three (3) constructs namely; technical, cognitive, and social-emotional contain 6 items each were identified. The results of content validity index (I-CVI) showed between 0.97 to 1 and the scale content validity index (S-CVI/Ave) for the technical, cognitive, and social-emotional dimension of digital literacy was 1.00, 0.97, and 0.97 respectively. The questionnaire was identified with acceptable content validity. Further research able to guarantee that the questionnaire is checked for reliability as well as the other types of validity, including as face validity, construct validity, and criterion validity, in order to improve the assessment instrument's usefulness. Keywords— Instrument Assessment, Scale Content Validity Index, Content Validity Index, Digital Literacy, School Teachers.
Manejo dos biológicos em crianças e adolescentes com doenças reumáticas autoimunes
Authors: Fernandes Taciana de Albuquerque Pedrosa , Gomes Francisco Hugo Rodrigues , Kuchiki Fabíola Donato de Almeida
Published: July 2021

Resumo: Na última década houve um aumento crescente no uso de medicações biológicas no tratamento de doenças reumáticas autoimunes pediátricas. A maioria desses tratamentos é usada para a artrite idiopática juvenil, mas alguns já estão sendo estudados e aprovados para o tratamento de casos refratários de lúpus eritematoso sistêmico juvenil, dermatomiosite juvenil, síndromes autoinflamatórias e algumas vasculites. Esses fármacos têm mostrado bons perfis de eficácia e segurança na faixa etária pediátrica e trouxeram uma melhora na qualidade de vida dos pacientes com doenças reumáticas crônicas refratárias à terapêutica convencional. Recomendações de preparo do paciente (rastreio de infecções e vacinações), forma de utilização (vias de administração, doses e intervalos), eventos adversos (principais eventos, prevenção, tratamento), monitorização do paciente e apresentações disponíveis desses medicamentos estão sumarizados no artigo.

Unitermos: Doença autoimune. Imunobiológicos. Anticorpos monoclonais. Proteínas de fusão. Reumatologia pediátrica.
O uso de medicamentos nas doenças inflamatórias imunomediadas na gestação e aleitamento materno
Authors: Caparroz Ana Luiza Mendes Amorim , Ventura Maria Heloiza Torres , Aikawa Nadia Emi
Published: July 2021

Resumo: O uso de medicamentos em gestantes e lactantes portadoras de doenças inflamatórias imunomediadas (DIIM) é frequentemente alvo de questionamentos na literatura médica. A decisão a respeito do uso de cada droga deve levar em conta os riscos e benefícios da terapêutica para a mãe e para o bebê. Dados sobre segurança e efetividade do uso de medicações durante a gravidez e lactação, especialmente em mulheres portadoras de DIIM, são limitados, uma vez que estas populações são frequentemente excluídas de estudos de intervenção. A maior parte das evidências disponíveis provém de estudos observacionais, com grande número de vieses e uma limitada força de recomendação. É importante o acompanhamento em conjunto do reumatologista, obstetra e pediatra na tomada de decisões terapêuticas, priorizando o bem-estar materno associado ao mínimo risco fetal. Neste artigo buscamos sintetizar as recomendações acerca do uso das principais classes de medicamentos no tratamento de gestantes e lactantes portadoras de DIIM, com base nas melhores evidências disponíveis na literatura. Um resumo destas recomendações está disponível no Quadro 1, no fim do artigo.

Unitermos: Doenças reumáticas. Gravidez. Aleitamento materno. Antirreumáticos. Produtos biológicos.
Baixa densidade mineral óssea em crianças e adolescentes: como diagnosticar e quando tratar?
Authors: Santos Maria Carolina dos , Fraga Melissa Mariti , Prado Rogério do
Published: July 2021

Resumo: A fragilidade óssea é relativamente comum na faixa etária pediátrica e a avaliação da saúde óssea das crianças e adolescentes deve ser realizada, especialmente na presença de fatores de risco, para a detecção da baixa densidade mineral óssea e intervenção clínica. A osteoporose pode ser primária, como nos casos de osteogênese imperfeita e osteoporose idiopática juvenil, ou pode ser secundária associada a doenças endócrinas, doenças inflamatórias, sejam elas reumatológicas, renais, gastrintestinais, hematológicas ou oncológicas. Desordens nutricionais, condições que levam à imobilidade e uso de drogas osteopenizantes são outras causas de osteoporose secundária. A definição de osteoporose em crianças e adolescentes deve incluir o critério densitométrico, mas também a presença de fraturas patológicas. Nas crianças e adolescentes com doenças reumáticas, existem vários fatores de risco que predispõem estas crianças à osteoporose. Monitorização laboratorial e densitométrica devem ser realizadas para que possa ser feita a intervenção, proporcionando uma melhor qualidade de vida ao paciente.

Unitermos: Osteoporose. Densidade mineral óssea.
IMPACT OF FUNGICIDE TREATMENTS APPLIED TO WHEAT CROP (Triticum aestivum L.) ON SEED PATHOGENS
Authors: Suciu Alexandra Loredana , Perneș Cătălin , Giurgiu Camelia , Păcurar Ana-Maria , Șopterean Laura , Grigore Mădălin , Crișan Ioana
Published: July 2021

Effectiveness of fungicide treatments during vegetation is recognized as important conditioning factor for the health of wheat crops. Furthermore, quantity and quality of the harvested grain are fundamentally affected by the health state of the crop during vegetation. Aim of this research was to identify the influence exercised by a gradient of fungicide treatments applied to wheat crop on seed mycosis susceptibility after harvest. Seeds belonging to three wheat cultivars (‘Andrada’, ‘Codru’, ‘Exotic’) that received a number of 0-3 fungicide treatments with some commonly used commercial products during vegetation (Credo, Evolus, Acanto Plus), were screened for germination rate, Alternaria sp. and Fusarium sp. incidence. Overall seed germination frequency was 96%, Alternaria sp. frequency was 8.78% and Fusarium sp. frequency was 2.25%. Seeds from the crop that received three fungicide treatments during vegetation displayed 5.38% higher seed germination relative to control, decrease of Alternaria sp. frequency of 60.94% and decrease of Fusarium sp. frequency of 57.10% relative to control. Results suggest a decrease of seed mycotic load associated with increased number of fungicide treatments applied on the crop. Optimization of fungicide application might be possible by studying the influence of phenophase on the effectiveness of the treatments, and these aspects shall receive more attention in the future.
Comparison of the Effectiveness of Feminist Therapy with Sex Therapy Based Cbt on Sexual Intimacy in Betrayed Women
Authors:   Department Clinical Psychology, Neyshabur University, Iran, Vahid Bafandegan , Zahra Bagherpour ,   Bagherpour, Zahra.Assistant professor. Department clinical psychology, Neyshabur University, Iran
Published: July 2021

The Present Study Aims to Comparison of the effectiveness of feminist therapy (FT) with sex therapy on sexual intimacy in female. This Study Was Typed of Experimental Studies with pre-test and Post-Test with Control Group. The Study Consisted of All woman Referred to the Counselling Centres in university Neyshabur City. A Sample of 36 People Was Selected Then Randomly Assigned to Two Experimental Groups and One Control Groups. The people inventory sexual intimacy Botlani (SII) Was Used for Data Collection Then Based on 12 Meetings 90 Minutes for the Experiment Groups. The PreTest and Post-Test Scores Were Analysed Using a Manova Test in the SPSS 20 Software. According to the Results of Showed feminist Therapy More Effect Than Other Experimental Group and Control Group (p≤0.001) so sex Therapy More Effect Than Control Group in Variable (p≤0.001). The conclusion is that the feminist therapy approach can be used to increase sexual intimacy in developing Muslim societies
Role of Vegetables to Prevent Heart Diseases
Authors:   Akbar Niazi Teaching Hospital- ANTH and IMDC, Islamabad, Pakistan, Murad Shah , Khan Tariq Mahmood ,   Pharmacology Department, FMDC, Abbottabad, Pakistan, Abro Wajid ,   Research Scholar at Microbiology at BMSI, JPMC Karachi, Pakistan, Mughal M Azhar ,   Chairman Pharmacology at JSMU Karachi, Pakistan, Murad Seema Shah ,   Research Scholar at AFPGMI, NUMS, Islamabad, Pakistan
Published: July 2021

Heart diseases due to hyperlipidemia (primary or secondary) can lead to cause chest pain, heart attacks, strokes, cardiac arrhythmias, cardiac failure. Because of these risks, treatment is often recommended for people with hyperlipidemia, because it is well known factor to increase incidence of heart diseases. This may lead to development of atherosclerotic plaques which is major etiological factor for establishing coronary artery disease (CAD). Hypolipidemic drugs used in allopathy include Statins, Fibric acids, Niacin, and Resins but all have their low compliance due to frequent side effects. Medicinal herbs like Onion and Ginger are hypolipidemic agents commonly used as flavoring agents and making foods spicy and tasty. We have compared hypolipidemic potential between these two medicinal herbs. The study was conducted at Ghurki Trust teaching hospital, Lahore from January to June 2018. Eighty secondary hyperlipidemic patients were enrolled after getting written consent which was approved by Ethics committee of the hospital. They were divided in two equal groups comprising 40 patients in each group. Group-I was treated by Ginger 10 grams daily in three divided doses for 2 months. Group-II was advised to take Onion 200 grams daily in divided amount with each meal i.e.; breakfast, lunch, and dinner for two months. After two months therapy it was observed by statistical analysis that 10 grams ginger reduced TC (total cholesterol) of 38 hyperlipidemia patients 12.4 gm/dl and LDL-C (low density lipoprotein cholesterol) 27.3 mg/dl. In group-II, onion reduced TC in 35 patients 17.9 mg/dl and LDL-C 14.8 mg/dl. Changes in tested parameters are significant bio statistically with p-values <0.01 to <0.001. We concluded from this research work that Onion and Ginger reduces risk of CAD by decreasing plasma total cholesterol and LDL cholesterol
Recent Advances in Endodontics – A Perspective Review
Authors:   Head of the Department of conservative dentistry and Endodontics, AB Shetty Memorial Institute of Dental Sciences NITTE University Deralakatte, Mangalore, Hegde Mithra N , Lakshmi T Sembaga ,   Department of conservative dentistry and Endodontics, AB Shetty Memorial Institute of Dental Sciences NITTE University Deralakatte, Mangalore
Published: July 2021

Contemporary endodontics has seen an unprecedented advance in technology and materials. This article aimed to review some of the challenges and advances in the following sections: (1) Magnification, (2) LASER, (3) NiTi files, (4) Irrigation activation systems, and (5) CAD CAM. Jointly, these advances are aimed at improving the state of the art and science of root canal treatment and restoring the tooth back to function in the oral cavity
Flow Cytometric Analysis Revealed a Significant Accumulation of Terminally Differentiated T cell Subtypes in the Circulating Lymphocytes of Cytomegalovirus (CMV) Positive Follicular Lymphoma Patients
Authors:   Haemato-oncology group, Department of Molecular & Clinical Cancer Medicine, University of Liverpool, Second Floor Sherrington Building Ashton Street Liverpool, MD Lugos , A Dangana ,   Department of Medical Laboratory Science, Faculty of Health Sciences & Technology, University of Jos, Nigeria, BD Ntuhun ,   Department of Medical Laboratory Science, Faculty of Health Sciences & Technology, University of Jos, Nigeria, BO Oluwatayo ,   Federal College of Veterinary & Medical Laboratory Technology, National Veterinary Research Institute Vom, Nigeria, OD Damulak ,   Department of Haematology & Blood Transfusion, Faculty of Clinical Sciences, University of Jos, Nigeria
Published: July 2021

Follicular lymphoma (FL), a non-Hodgkin lymphoma, is an indolent cancer of the B cell lineage that runs a chronic deterioration course that can result in multiple treatment episodes leading to resistance and possible transformation to diffuse large B cell lymphoma. Cytomegalovirus (CMV) reactivation during chemotherapy or after an organ or hematopoietic stem cell transplantation is a major cause of morbidity and mortality. This study tests the hypothesis that some of the heterogeneity of FL might result from chronic infection with Cytomegalovirus (CMV). This research was intended to appraise the impact of CMV infection on the subtypes of T cells in follicular lymphoma patients. We accessed stored peripheral blood mononuclear cells (PMBCs) from patients of known CMV serostatus recruited into an FL clinical trial. We undertook a multicolour flow cytometric analysis of the PBMCs and compared the number of lymphocyte subtypes of CMV-positive and CMV-negative FL patients. Data showed a significant increase in the quantity of terminally differentiated (TEMRA) T cell subsets, including EM3-CD8 (P=0.005), EM3-CD4 (P=0.018), E-CD4 (P=0.029), E-CD8 (P=0.033) and pE2-CD4 (P=0.046) phenotypes, as well as increased NKT cells (P=0.031) among CMV-positive patients compared to the negative group. Our findings support the hypothesis that recurrent infections characterise CMV infection in FL due to accelerated immune senescence and the accumulation of exhausted T cells. Based on the data, a case could be argued for the routine application of CMV screening in FL before treatment with chemo-immunotherapy to implement enhanced infection surveillance in CMV-positive patients. These discoveries can eventually help improve the treatment approaches in the management of FL toward a combinatorial viewpoint for direct cytotoxic and indirect immunomodulatory outlook
Septic acute Tenosynovitis of the Flexor Hallucis Longus Tendon Complicating a Lower Limb Erysipelas
Authors:   Department of osteoarticular surgery (B4), HASSAN II teaching hospital, Fes, Morocco, Abid Hatim , Idrissi Mohammed El ,   Department of osteoarticular surgery (B4), HASSAN II teaching hospital, Fes, Morocco
Published: July 2021

Erysipelas is the most common bacterial dermal-hypodermal acute not necrotizing infection [1,2]. Its evolution is usually mild but can be complicated mainly by local abscess or necrosis [3-7]. In this context osteo-articular complications and septic acute tenosynovitis are rarely described in the literature with a rate of 1.2% [3]. We report in the light of a literature review a case of recurrent erysipelas of the leg in a young patient of 29 years complicated by septic acute tenosynovitis of the flexor hallucis longus (FHL), to remind this complication mainly observed in severe forms of erysipelas which is not the case of our patient.
The Role of Women in Conflict Management in Rumuekpe Community in Rivers State
Authors:   Center for Conflict and Gender Studies, University of Port Harcourt, Rivers States, Nigeria, Adesuwa Ehizuelen Patricia
Published: July 2021

This thesis has attempted to examine how the inclusion of women in conflict management processes, and decision making in conflict related programmes, could contribute to effective result, using Rumuekpe as a case study. By employing qualitative and descriptive approaches to derive data from primary and secondary sources, the study argues that in spite of the traditional challenges’ women are faced with, the glass ceiling and discrimination of the women continues to pose formidable huddles to women participation in major issues in Nigeria, they are still able to bring about groundbreaking roles, in conflict management. The Rumuekpe women has contributed significantly to the conclusion of the 5-year conflict in the community, and have since earned a position of respect in society. This did not give them a larger role to play in government, politics and private sector.Major barriers remain, but a brighter future has been created. Furthermore, the thesis recommends constructive actions that should be taken to ensure that the productive involvement of women continues
The Impact of Family Benefits on Poverty Level in Poland and in Selected European Union Countries
Authors:   Department of Quantitative Methods University, Rzeszow University of Technology, Faculty of Management, Poland, Lew Agnieszka , Migała-Warchol Aldona ,   Department of Quantitative Methods University, Rzeszow University of Technology, Faculty of Management, Poland, Pasternak-Malicka Monika ,   Department of Quantitative Methods University, Rzeszow University of Technology, Faculty of Management, Poland
Published: July 2021

The purpose: The aim of the article is an attempt to assess the impact of family allowances on the level of poverty among children in selected EU countries. In the paper the division of EU member states by the date of accession to the Community was applied. Methodology: The implementation of the purpose required the use of descriptive and statistical methods, in particular the linear regression method. The ANOVA hypothesis verification method and the Wilcoxon pair order test were also applied using the numerical values of the variables published by the Central Statistical Office for 2015-2016. Results: In the article the essence of the 500+ Program against the background of family benefits in the EU, the level of poverty in Poland and selected countries were described. On the basis of Statistical data downloaded from Eurostat databases for 2016, an attempt was made to assess the impact of the amount of aid programs on the poverty level among h children based on the linear regression method
A Literature Review of Contribution of Green Productivity to the Success of Business Performance
Authors:   School of Business National Institute of Business Management (NIBM) Kurunegala Campus Sri Lanka, Perera R.A.S.A , Amarasena T.S.M ,   Department of Decision Sciences, Faculty of Management Studies and Commerce, University of Sri Jayewardenepura, Sri Lanka
Published: July 2021

Green Productivity (GP) is integrated for enhancing the profitability of the organization by improving productivity and environmental performance for overall socio-economic development. It considered the win-win situation of uplifting the quality of life in the foam of generating profits to the business and considering the less impact to the environment from the business processes which leads to the greener business practices. The objective of this research paper is to review the existing Literature about the practical application of the GP to identify the business areas which are influenced by the GP methodology. This is Qualitative research in nature. Twenty existing research papers from reputed Journals are considered for the study. The contents analysis method is used to analyse the research papers. The analysis results highlighted that GP methodology can be applied to any organization regardless of nature and the size of them and it will generate a significant contribution to the overall profitability of the organization by creating a competitive advantage in the market. GP will contribute to the organizations in two areas 1. Productivity through reducing manufacturing cost, cycle time, risk, and waste as well as increasing competitive advantages through Social productivity, Labour, and Capital productivity of the business. 2. The environment in the foam of reducing waste with many environmental concepts such as 3R, 5R Concepts and releasing less carbon emission to the environment. It is crystal clear that this GP Methodology practice will enhance the development of Socioeconomic and sustainability which uplifts the living standard of all living beings in the natural environment
Business Cycles Analysis in Cameroon an overview
Authors:   Department of Economics, F.E.M.S, University of Bamenda, Bambili, Cameroon, Mfouapon Alassa , Sundjo Fabien ,   Department of Economics, H.T.T.C, University of Bamenda, Bambili, Cameroon
Published: July 2021

This paper aims at conducting a thorough analysis of business cycles in Cameroon by statistically assessing their main characteristics. The analysis is carried out by considering the three dimensions of macroeconomic fluctuations. By assessing output volatility, light on the sensitivity of the economy to exogenous shocks as well as to endogenous sources of instability is shed. Likewise, analysing the co-movements of aggregate variables of interest helps in understanding the extent to which the observed fluctuations relate to other aggregates in the economy and hence, the main forces driving the dynamics of this economy. Eventually, more light could be shed on macroeconomic dynamics by analysing the timing and persistence of business cycles. Overall, such analysis is conducted using basic statistical tools commonly used in the empirical literature on business cycles. These are the standard deviation as a measure of volatility, cross-correlations as a means of analysing co-movements and auto-correlations as measures of persistence. The main limitation in this study is the linear consideration of observed data. In fact, many macroeconomic and financial time-series that are used in quantitative macroeconomic models are subject to a number of regime-switching in reality. This fact needs to be taken into account in the subsequent research
A Review of Epileptic Seizure Prediction: Physiological Mechanism and Data Based Attempts
Authors:   Department of Chemical & Petroleum Engineering, University of Lagos, Lagos, Nigeria, HA Agboola , AA Susu ,   Department of Chemical & Petroleum Engineering, University of Lagos, Lagos, Nigeria
Published: July 2021

Epilepsy is a chronic brain disorder and epileptic patients encounter recurrent seizures caused by abnormally synchronous electrical activity in parts of the brain. Over 50 million people spread across the world have epilepsy amongst whom approximately 30% suffer from refractory epilepsy which cannot be controlled by existing treatment protocols. For all epileptic sufferers, the thought that their next seizure could come at any time is agonizing and traumatic. However, if seizures could be predicted reliably, associated dangers and inconveniences will be greatly mitigated. Although the epileptic seizure prediction challenge has been tackled headlong by researchers through different modelling methods the problem of prediction has not yet been satisfactorily solved. In this paper, a systematic literature review of prominent epileptic seizure prediction attempts was carried out. We focus majorly on the two predominant classes of modelling attempts used: physiological mechanism and data based. The review underscores the richness and utility of the diverse modeling strategies as well as the gainful contribution of researchers in the field of epilepsy. It shows that meaningful progress has been made towards discovering the exact mechanism of seizure generation and realization of reliable and consistent seizure prediction algorithm
Episodic Unilateral Limb Pain and Migraine–A Case Report, Hitherto an Unnamed Entity!
Authors:   Neurologist and Epileptologist at Neurology Department, Medanta Institute of Neursocience, India, Bansal Atma Ram
Published: July 2021

Background: Migraine limb pain is a very under-recognized manifestation of migraine in which episodic pain happens in the peripheral limbs. Despite its description for many years, only limited clinical details are known. Only case reports and case series with limb pain as a symptom of migraine are reported in the literature. In this case report, important features of episodic unilateral limb pain and it’s association with migraine has been discussed. Case presentation: Here the author (a neurologist) describes episodic limb pain from his own experience, which started in childhood and used to be episodic, unilateral and with changing sides. In view of various features mimicking migraine, classical manifestation of migraine in later life and a strong family history , episodic unilateral limb pain in childhood is likely a form of peripheral migraine. Conclusion: Unilateral episodic limb pain with various features mimicking migraine is a very important clinical entity. This case should help in understanding the clinical details of peripheral limb pain -a relatively under-diagnosed symptom of migraine
The Development of Guillain Barre Syndrome Subsequent to Administration of Ad26.COV2.S Vaccine
Authors:   Hackensack Meridian Palisades Medical Center, North Bergen, Koreen Rachel , DO Jacob Chevlen ,   Hackensack Meridian Palisades Medical Center, North Bergen
Published: July 2021

Guillain Barre Syndrome (GBS) is a rare neurologic disorder in which the immune system mistakenly attacks the peripheral nervous system due to molecular mimicry. GBS symptoms can range from a mild episode of weakness to devastating paralysis and respiratory failure. The exact cause of GBS is unknown, but it is often thought to be due to a preceding viral infection or rarely due to vaccination. To date, there has only been one reported case of Guillain Barre Syndrome associated with the administration of Ad26.COV2.S vaccine (Janssen/Johnson & Johnson COVID-19 vaccine) [3]. Here, we describe the case of a 59-year-old woman who received the Johnson & Johnson COVID-19 vaccine and subsequently developed symptoms consistent with GBS. Unfortunately, due to failure to obtain lumbar puncture (LP) and electromyography (EMG), it is only possible to diagnose Guillain Barre syndrome with Level 3 diagnostic certainty using the Brighton criteria [6]. We are of the opinion that our patient developed GBS subsequent to the vaccination, but not necessarily consequent to the vaccination, as it remains possible that she may have contracted an asymptomatic infection prior to inoculation
Preterm Birth: A Concerning Global Issue
Authors:   Lecturer, Rehabilitation Science, Bangladesh Health Professions Institute (BHPI), Centre for the Rehabilitation of the Paralysed (CRP), SJM Ummul Ambia , Millat Hossain Muhammad ,   Assistant Professor, Bangladesh Health Professions Institute (BHPI), Centre for the Rehabilitation of the Paralysed (CRP)
Published: July 2021

This article reviewing literature to focus the problem- “Increase preterm child birth” analysis through problem tree, which is the participatory tool of mapping out main problems, along with their causes and effects. Child born preterm has a greater effect on their life than infants born at term in respect of mortality and a variety of health and developmental problems. However, those children born nearer to term represent the greatest number of infants born preterm and also experience more complications than infants born at term. The enormous effects of preterm birth include acute unstable health, central nervous system, hearing, and vision problems, as well as longer -term motor, cognitive, visual, hearing, behavioral, social-emotional, health, and growth problems. The birth of a preterm infant can also bring considerable emotional and economic costs to families and have implications for socioeconomic sector. The impact of preterm child birth is the raising number of mort ality and economic burden to the family as well as to the society. Preterm birth is a complex cluster of problems with a set of overlapping factors of influence. Its causes may include maternal health related problems, individual-level behavioral and psychosocial factors, environmental exposures, medical conditions. Many of these factors occurring combination, particularly in those who are socioeconomically and educationally disadvantaged
Investigation of Clinical and Diagnostic Features Associated With Cerebral Palsy Children in a Tertiary Health Facility in Nigeria
Authors:   Department of Anatomy, University of Port Harcourt, Rivers State, David Lekpa K , Vidona Willy B ,   Department of Anatomy, Edo State University Uzairue, Edo State
Published: July 2021

Background: Cerebral palsy is non-progressive motor disability syndrome largely attributed to abnormal development or damage from likely trauma in one or more parts of the brain especially the cerebellum and frontal lobe of the cerebrum that control muscle tone and motor activity and causing variable mental, motor and behavioral dilemmas generally referred to as delayed developmental milestone. Aims and Objectives: The study aims to investigate the gross features and clinical manifestation in cerebral palsy children in in cross-sectional patients in health facility. Materials and Methods: The study involved the use of 40 case files of cerebral palsy patients; 26 (65. 0%) out of them were girls, and 14 (35.0%) of them were boys, aged from 0 to 10 years old. Results: The main clinical presentation in this study was speech delay which was presented in 50.0% of the examined children, followed by delayed walking and movement in 25.0% of the patients. Analysis using records of imaging diagnostic tools showed that computed tomography has the highest case file with 70.0% due its availability and its cheapness compared to magnetic resonance imaging. Conclusion: Children with cerebral palsy are best cared for with an individualized treatment plan that provides a combination of interventions tailored to each individual
The age vector of risk factors for mortality of young Muscovites
Authors: Semyonova Victoria G. , Ivanova Alla E. , Sabgayda Tamara P. , Evdokushkina Galina N.
Published: July 2021

European-like life expectancy levels in Moscow are attributable to the prevalence of older population and the manifold increase in the working-age population mortality, especially among young people. The goal of the study is to identify the age-specific risk factors for Moscow youth mortality. This analysis is based on the official Russian Statistics Service’ data on mortality in the age groups of 15–24 and 25–34 years between 2000 and 2019. As demonstrated, during the study period, the Moscow youth mortality rates decreased twofold between both age groups. Starting from 2017, the mortality rate of Moscow youth began to increase, mainly among the 15–24-year-olds. The age vector of the youth mortality structure indicates a change in risk factors associated with age: while adolescents die from external causes, i.e. specific risks directly leading to death, later on youth mortality is more often associated with long-term behavioral factors indirectly resulting in death (such as sexual conduct as a risk factor for HIV/AIDS mortality, alcohol as the main cause for deaths from digestive system diseases and mental disorders, drugs as a risk factor for deaths from cardiovascular diseases and mental disorders). It is important to take note of the wide age range of the population classified as «young»: while it might be justified in legal and social context, in the demographic context it blurs the differences in mortality among people of different ages. Moreover, the abnormally high level and contribution of mortality from inaccurately described conditions, which the Moscow youth suffered from in the 2000s, calls into question the official rates of mortality due to underlying causes, primarily injuries, poisonings, and circulatory diseases. At the same time, given the increase in the young people’s overall mortality in the recent years, the extremely high mortality rates from inaccurately described conditions make it difficult to identify health priorities for the Moscow youth and, therefore, do not allow determining the reserves for their effective decline.
Bendopnea as a risk factor for the incidence of COVID-19 in patients with CHF
Authors: Dragunov Dmitry O. , Sokolova Anna V. , Gasanova Aminat D. , Latyshev Timofey V. , Arutyunov Grigoriy P.
Published: July 2021

Purpose. Analysis of the incidence of COVID-19 in patients from the register «Management of chronic patients with multiple diseases» with a previously established CHF diagnosis, depending on the presence or absence of a symptom of bendopnea. Materials and methods. Retrospective analysis of electronic outpatient records of 121 patients with CHF with and without bendopnea symptom, with an assessment of the incidence of COVID-19. For statistical processing of the data obtained, we used the R language and the RStudio software environment. Results. The average age of the patients was 74.38±9.83 years. Bendopnea symptom occurred in 60,3% (n = 73) of the studied patients. The incidence of COVID-19 was 14% (n = 17), of which 88% were patients with the symptom of bendopnea (p-value = 0.023, Х2 = 5.17). The chance of COVID-19 in patients with bendopnea was higher than in patients without symptom of bendopnea (OR 5.8 (1.2; 26.7), p = 0.013). Conclusion. The presence of a symptom of bendopnea in patients with CHF increases the risk of COVID-19. A statistically significant relationship was established between the presence of a symptom of bendopnea, the level of left ventricular ejection fraction and the incidence of COVID-19.
Traumatic brain injury in children in Moscow
Authors: Sharova Elizaveta А. , Valiullina Svetlana А.
Published: July 2021

Traumatic brain injury (TBI) is the main cause of unnatural death and disability in the child population, ranking first among all injuries requiring hospitalization. The lack of full and detailed medical and social statistics on the prevalence of TBI and its consequences impedes their reasonable assessment and reduces the possibility of prevention. The aim is to study and assess the current epidemiological situation of TBI in children in Moscow. Materials and methods. Comparative study of main trends in the incidence and mortality of TBI in children in Moscow in 2003–2018 with the average Russian indicators based on state statistical data. Results and conclusions. Megacities are a high risk area for TBI in children, therefore policies require additional prevention strategies. Limitations in the existing forms for state statistics impede an objective assessment and establishment of true levels of morbidity and mortality in children from TBI, as well as identification of its causes. Increased hospitalization rate of children with TBI in Moscow at high morbidity levels contributes to low mortality and lethality rates in children from this type of injury.
Protocol of perioperative and post-exposure antimicrobial prophylaxis in Morozovskaya Children City Clinical Hospital of Moscow Healthcare Department
Authors: Gorev Valery V. , Vlasova Anna V. , Tenovskaya Tatiana A. , Abramyan Michail A. , Kurkin Aleksander P. , Smirnova Elena V. , Dymnova Lilia V. , Topilin Oleg G. , Ayrapetyan Maxim I. , Zhelnina Tatiana P. , Chagirev Vladimir I. , Gorokhov Dmitry V. , Kravchuk Sergei V.
Published: July 2021

In order to improve the clinical use of antibiotics in surgical departments of Morozovskaya Children City Clinical Hospital of Moscow Healthcare Department authors prepared, discussed and agreed upon a protocol for perioperative and post-exposure antimicrobial prophylaxis. The choice of antibiotics for systemic use was made according to the Antimicrobial Stewardship Program (ASP) stratification both for patients of type I (community-acquired infection without risk for shedding of polyresistant infectious agents) and type II (community-acquired infections with risk factors for shedding of polyresistant infectious agents). Study determined indications for post-exposure antimicrobial prophylaxis within the approved protocol. Following that the Chief Physician issued an Order On Division of Responsibility of all Members of the Operating Team and On Approval of the Protocol for Conducting Perioperative and Post-Exposure Antimicrobial Prophylaxis. As a result of the implementation of the protocol, by the end of 2020 clinical use of antibiotics in surgical departments has improved.
Effectiveness of treatment moderate ulcerative colitis with prolonged-release ethylcellulose-coated mesalazine in real clinical practice in Moscow
Authors: Knyazev Oleg V. , Kagramanova Аnna V. , Veselov Alexey V. , Skurko Tatyana V.
Published: July 2021

Background and purpose. The aim of this work is to evaluate the efficacy of treatment patients with moderate left-sided and total ulcerative colitis (UC) with prolonged-release ethylcellulose-coated mesalazine. Materials and methods. The clinical analyses of results of treatment UC patients with prolonged-release ethylcellulose-coated mesalazine was performed. Eighty-seven patients with UC, treated with ethylcellulose coated microgranules of mesalazine, were examined: 38 (43,7%) men and 49 (56,3%) women. The age of patients was from 26 to 49 years, median age 38,3±12,6 year. Results. After 2 weeks prolonged-release ethylcellulose coated mesalazine treatment the response to therapy was demonstrated in majority of UC patients -71 (81,6%). After 12 weeks treatment prolonged remission persisted in 71 (81,6%) UC patients. Mayo score decreased from 7,6±0,99 to 2,6±0,25 points. Significant decrease of inflammation markers (CRP, ESR, leukocytosis, fecal calprotectin etc) was determined. After 26 weeks of treatment Mayo score was 2,2-2,3 points. Thirty-two (36,8%) UC patients showed healing of colon mucosa. After 1 year of prolonged-release ethylcellulose-coated mesalazine treatment clinical remission was determined in 69 (79,3%) UC patients with response to therapy, clinical-endoscopic remission — in 32 (36,8%) patients. During 1 year follow-up no cases of surgical procedure and readmission because of UC reccurence were noted. Conclusion. Treatment of moderate active UC should be started with oral mesalazine > 3 gr per day and rectal mesalazine. The most appropriate effective and high compliance forms of mesalazine are prolonged-release forms of meselazine.
Анализ и прогноз уровня бедности населения в Арктической зоне Республики Саха (Якутия)
Authors: Маркова В.Н. , Алексеева К.И. , Неустроева А.Б. , Потравная Е.В.
Published: July 2021

В статье выполнен анализ показателей уровня бедности в районах Арктической зоны Российской Федерации, дана оценка уровня бедности и качества жизни в Арктической зоне Якутии. Приведены результаты социологических исследований уровня бедности в арктических районах, а также обоснованы меры по его снижению, связанные с проблемами занятости, роста доходов населения, развития традиционных промыслов.
Индекс роста малых и средних предприятий – новый инструмент мониторинга состояния сектора малого и среднего предпринимательства в России
Authors: Алехнович А.О. , Анучин Л.Л. , Ахиев А.О.
Published: July 2021

В статье представлен Индекс роста малых и средних предприятий (МСП), разработанный Институтом экономики роста им. П.А. Столыпина на основе данных ПАО «Сбербанк». Предложенный авторами инструмент позволяет не только осуществлять оперативный мониторинг состояния сектора МСП, но и оценивать эффективность государственной политики, направленной на развитие сектора МСП, в том числе с целью дальнейшего проектирования мер по его поддержке.

В условиях пандемии и санитарно-эпидемиологических ограничений, по итогам I-III кв. 2020 г. индекс показал умеренный рост сектора МСП, близкий к «стагнации» (+5.8 п.). При этом прирост индекса относительно II кв. 2020 г., во время которого снижение деловой активности было максимальным, составил +1 п.
Экономические последствия пандемии COVID-19: критический обзор прогнозов в публикациях СМИ и информационно-аналитических докладах в контексте теории и практики управления кризисной ситуацией
Authors: Саймонс Грег
Published: July 2021

В статье анализируется выборка публикаций в средствах массовой информации и информационно-аналитических докладов об экономических последствиях коронавируса. Оценка этих последствий как кризиса и объекта антикризисного управления со стороны государства дана с акцентом на определение задач соответствующей государственной политики; а также прогнозных оценок долгосрочных эффектов и последствий для экономики.

Статья включает четыре раздела. Первый раздел посвящен определению и практике антикризисного управления, в том числе его этических аспектов и причин политизации. Во втором разделе рассматривается метод анализа эмпирического материала и обосновывается его выборка. Третий раздел посвящен краткому анализу политики в широком смысле, касающейся конкретных аспектов комплекса действий (или бездействия) в отношении пандемии коронавируса (COVID-19). В последнем разделе анализируются публикации СМИ и информационно-аналитические доклады об экономических последствиях COVID-19.
Роль цифровизации в целевом сценарии развития экономики России
Authors: Белоусов Д.Р. , Михайленко К.В. , Сабельникова Е.М. , Солнцев О.Г.
Published: July 2021

Статья посвящена оценке вклада сектора ИКТ в средне- и долгосрочное развитие российской экономики. Анализируются целевой вариант развития российской экономики и необходимые условия его реализации. Обосновывается необходимость достраивания Экосистемы ИКТ до Экосистемы полного цикла. Анализируются стратегии выращивания компаний-«национальных чемпионов», определяется целевая стратегия.
Как обеспечить бюджетную устойчивость в России?
Authors: Соколов И.А. , Белёв С.Г. , Сучкова О.В.
Published: July 2021

Пандемия COVID-19 и мировой экономический кризис усилили риски долгосрочной бюджетной устойчивости для России. В статье анализируется, почему соблюдение бюджетного правила не позволяет купировать эти риски и каким образом следует изменить конструкцию данного правила для повышения его эффективности. Обосновывается необходимость системной бюджетной консолидации для повышения бюджетной устойчивости. Представлены возможные направления оптимизации бюджетных расходов и повышения налогов.
Подходы к измерению и прогнозированию удаленной занятости
Authors: Янков К.В.
Published: July 2021

В статье предлагаются подходы к определению терминов в области удаленной занятости, обсуждается целесообразность сбора данных об этом явлении и его прогнозирования. Обоснована система показателей, характеризующих удаленную занятость, с учетом имеющейся количественной информации. На основе новейших отечественных и зарубежных публикаций предложен методический подход к определению потенциала удаленной занятости, который является ключевым элементом прогноза.
Tecnologias Digitais no Enriquecimento Extracurricular de Alunos com Altas Habilidades/Superdotação
Authors: Santos Cleonice da Luz , Boscarioli Clodis
Published: July 2021

Alunos com Altas Habilidades/Superdotação são público-alvo da Educação Especial, sendo garantido o Atendimento Educacional Especializado como forma de enriquecimento extracurricular. Este artigo tem por objetivo elencar Tecnologias Digitais que possam desenvolver as múltiplas inteligências e potencializar as habilidades destacadas à luz de um levantamento bibliográfico e documental, tendo como base documentos legais, artigos e livros. Diante da análise, concluiu-se que a integração das Tecnologias Digitais no ensino para Altas Habilidades/Superdotação vem ao encontro do anseio por atividades significativas e desafiadoras, pois fortalecem a aprendizagem, enriquecem os currículos extracurriculares e proporcionam ao aluno o papel de pesquisador, ampliando seus conhecimentos e potencializando suas habilidades de forma dinâmica e interativa.
Environmental Cost Accounting
Authors: Varma Ramshankar
Published: July 2021

With the strengthen of people’s ability to use and transform nature, on the one hand, people acquire more resources from nature and make life more comfortable, on the other hand, the amount of waste that people emit has also increased rapidly. Excessive excavation of resources and disposal of waste emissions led to the deterioration of the environment, affecting the country's sustainable development and the Earth's ecological balance. In this paper, from the perspective of low-carbon economy, to explore corporate environmental cost recognition, measurement, collection, distribution methods, expectations for the relevant enterprises, especially high-polluting, high-emission energy-based enterprises to learn from.
OBSTÁCULOS DA ENFERMAGEM NO ENFRENTAMENTO DA PANDEMIA DA SARS-COV-2
Authors: Fernandes Laís Neves de Souza , Braga Isadora Costa , Pedro Isis Silva De São , Paranhos Jade Oliveira
Published: July 2021

Introdução: A Enfermagem tem papel fundamental no processo de enfrentamento ao período pandêmico da SARS-CoV-2. Diante disso, surgem obstáculos que afetam tanto a saúde dos profissionais através de alterações psicológicas quanto, a sua atuação profissional como é evidenciado pela falta de equipamentos de proteção individual e, estrutural. Objetivos: Apresentar os impasses sofridos pela equipe de Enfermagem durante o período de enfrentamento à COVID-19. Materiais e Métodos: Refere-se a uma revisão bibliográfica realizada em junho de 2021 diante do documento titulado “Os desafios do profissional de Enfermagem mediante a COVID-19” divulgado em junho de 2020, na revista da Faculdade Delta. Resultados: A equipe com seu exercício profissional abordado durante todo o processo de saúde-doença do paciente atravessa os limites do ambiente de saúde visto que, atua tanto no restabelecimento e manejo da saúde quanto, na sua promoção e conscientização através da orientação da lavagem de mãos e, na importância da vacinação. Por conseguinte enfrenta dificuldades por efeito da jornada de trabalho excessiva podendo levar a: síndromes causadas por estresse; maior risco de contaminação com o vírus; desenvolvimento de doenças ocupacionais; sobrecarga profissional evidenciada pela falta de profissionais neste período e, a falta de equipamentos e de estrutura adequada. Ademais, a necessidade de permanecer em mais de uma instituição por conta da baixa remuneração ofertada a estes profissionais, eleva ainda mais o seu risco diante da exposição. Conclusão: A partir dos obstáculos enfrentados durante o período pandêmico, se faz notória a importância da enfermagem diante do fato de que mesmo com todas as divergências enfrentadas, a equipe permanece na participação de todo o processo de cuidados ao adoecido de maneira humanizada e integral visto que, estes pacientes não podem receber visitas externas assim, o profissional enfermeiro ainda se faz como acompanhante e possibilita muitas vezes, encontros virtuais com os familiares.