bluuebunny/crossref_metadata_2025 huggingface dataset:
De la politisation des questions de santé à la mobilisation politique des usager·ère·s précaires. Les ateliers d’accompagnement à l’autonomie en santé de la Case de santé à Toulouse
Authors: Boulaghaf Laurence
Published: February 2022

Dans le cadre d’un appel à projet du ministère des Solidarités et de la Santé, le centre de santé de premier recours la Case de santé à Toulouse a initié des ateliers d’accompagnement à l’autonomie en santé animés par des médiateur·trice·s en santé. Accueillant des usagers et usagères cumulant souvent les facteurs de précarité, ces ateliers véhiculent une vision globale de la santé prenant en considération ses différents déterminants. Reposant sur le partage des expériences et des ressources des usagers, les différents cycles se déploient autour d’outils issus de l’éducation populaire. Conçus comme des vecteurs d’émancipation et de socialisation politique, leur appropriation diffère suivant les trajectoires et les dispositions, c’est-à-dire les façons d’être, de faire, souvent largement inconscientes, des individus.
Optimization strategies for the integrated management of perishable supply chains: A literature review
Authors: Mirabelli Giovanni , Solina Vittorio
Published: February 2022

Purpose: The main purpose of this article is to systematically review the papers published in the period 2005-2020 about the integration of production, inventory and distribution activities in perishable supply chains.Design/methodology/approach: The proposed research methodology is based on several steps. First, database and keywords are selected, with the aim to search and collect the main papers, dealing with the integration of production, inventory, distribution activities in perishable supply chains. Then, a bibliometric analysis is carried out, to detect: the main publishing sources, the chronological distribution, the most used keywords, the featured authors, about the selected papers. A five-dimension classification framework is proposed to carry out a content analysis, where the papers of the literature review are classified and discussed, according to: supply chain structure, objective, perishability issues, solution approach, approach validation. Findings: Interest in the application of optimization models for integrated decision-making along perishable supply chains is strongly growing. Integrating multiple stages of the supply chain into a single framework is complex, especially when referring to perishable products. The vast majority of the problems addressed are then NP-Hard. Only a limited quantity of the selected papers aims to solve real-life case studies. There is a need for further research, which is capable of modeling and quantitatively improving existing supply chains. The potentials of Industry 4.0 are currently little explored.  Originality/value: Based on the analysis of the papers published, this article outlines the current state of the art on the optimization strategies for the integrated management of perishable supply chains, which are very complex to be managed. Research trends and gaps are discussed, future challenges are presented.
Five Ways of Being to Impart on Managers
Authors: Trepanier Sylvain
Published: February 2022

Educating managers can be rewarding and the most challenging task for any educator. Considering that there are currently several different generations in the work-force, the challenge can be daunting. Furthermore, today's manager has to show up with the utmost inspiration to be effective. To that end, the purpose of this column is to assist educators with essential core attributes required by managers to be effective in changing times.

[
J Contin Educ Nurs
. 2022;53(2):55–56.]
Exploring the Use and Usefulness of Educational Resources Among Nurses During the First Wave of the COVID-19 Pandemic: A Cross-Sectional Study
Authors: Conti Alessio , Clari Marco , Luciani Michela , Sciannameo Veronica , Berchialla Paola , Dimonte Valerio , Campagna Sara
Published: February 2022

Nurses needed to learn rapidly how to care for patients with coronavirus disease 2019 (COVID-19). This cross-sectional study identified the educational resources RNs used to learn how to care for these patients, measured the perceived usefulness of the content of these resources, and explored the most relevant educational content sought during the first wave of the pandemic. A total of 799 RNs completed an online survey. Significant differences were found in the educational resources used between RNs who cared for patients with COVID-19 and RNs who did not, as well as for RNs who changed units following the pandemic. The educational resources most often used were also ranked as most useful. The most relevant educational content sought was related to respiratory care techniques and infection containment. These findings provide insight into the educational resources available during the first wave of the COVID-19 pandemic. They could help in developing educational programs relevant to nurses' needs during future pandemics.

[
J Contin Educ Nurs
. 2022;53(2):63–69.]
A New Learning Approach to Improve Nurses' Knowledge of and Skills in Diabetes Care
Authors: Liao Hui-Chuan , Liang Wen-Miin , Chu Chien-Lun , Huang Li-Chi
Published: February 2022

Background:

Patients' knowledge of how to care for their diabetes mellitus (DM) is critically influenced by health education, which is mostly provided by nurses. Therefore, effectively increasing nurses' knowledge of and skills in diabetes care is crucial. The aim of this study was to explore the effectiveness of the Diabetes Conversation Map™ Program (DCMP) in improving nurses' knowledge of DM care and skills in insulin injection.

Method:

A quasi-experimental design was adopted that used a pre-test and a posttest. A total of 18 nurses were included in the intervention group, while 19 nurses were in the control group receiving conventional teaching. A structured questionnaire regarding knowledge of and skills in DM care was administered before the program and then one month after.

Results:

Knowledge of DM and skills in insulin injection improved significantly in the intervention group compared to the control group (
p
< .001 vs.
p
< .01).

Conclusion:

The DCMP can be used to increase nurses' knowledge of DM and their skills in caring for DM. It leads to more effective learning than conventional teaching.

[
J Contin Educ Nurs
. 2022;53(2):90–96.]
Leveraging Value-Based Purchasing to Improve Advance Care Planning
Authors: Hickman Susan E. , Cole Connie S. , Unroe Kathleen T.
Published: February 2022

Advance care planning (ACP) is an important component of person-centered care for older adults in nursing facilities. Although nursing facilities have a statutory obligation to offer ACP to residents, there are no minimum training requirements for staff. Lack of consistent ACP training contributes to significant variability in ACP conversation quality, inaccurate or incomplete documentation of preferences, and infrequent re-evaluation of prior decisions. Indiana added ACP training for nursing facility staff to the Value-Based Purchasing formula for 2019. Facilities received 5 points (of a 100-point total formula) if at least one staff member completed the designated ACP training during the year. ACP Foundations Training was developed by faculty at Indiana University and made available to all Indiana nursing facilities. A total of 1,087 participants, representing 94.2% (501 of 532) Indiana nursing facilities, completed the training. Approximately every participant (99.4%) agreed that the training had practical value. This academic–government partnership was successful in providing basic information about ACP to staff at most nursing facilities across Indiana and offers a model for states to provide critical educational content to nursing facility staff by incentivizing training. [
Journal of Gerontological Nursing, 48
(2), 31–35.]
Fuzzy Clustering With Derivative–Free Search Algorithm for Location of Biogas Energy Systems
Authors: Kiliçkaya Gökçe , Küçükdeniz Tarik , Esnaf Şakir
Published: February 2022

In the past decades, new models and algorithms have been developed for solving various types of facility location problems using different versions of the fuzzy c-means algorithm and its hybrid combinations. On the other hand, the need for renewable energy sources has become even more important than ever due to the increasing population, environmental pollution, and climate change. In this study, we proposed two revised weighted fuzzy c-means clustering-based hybrid algorithms for solving real-life biogas facility location problem. The first algorithm is Nelder-Mead simplex algorithm, and the second is center-of-gravity approach. Problem is solved as multi-facility Weber problem, and results have been analyzed.
Management of Regulation and Managerial on Sports Organizations in Indonesia
Authors: Suwarno Suwarno , Sumartono Sumartono , Mardiyono Mardiyono , Solimun Solimun
Published: February 2022

This study aims the Management of Regulation and Managerial on Sports Organization In Indonesia, especially determine the effect of training on institution, communication, resources, disposition, and bureaucratic structure to achievement. This study uses quantitative methods with data analysis using Structural Equation Modeling (SEM) with the WarpPLS approach which is a powerful and simple analytical method. Training has a significant effect on achievement so that if the training is better, the achievement is also getting better. Facing practical interests, institutional arrangements are needed regarding simplification, provision of budgets that ensure ongoing training so that it has a positive impact on communication. The originality of this paper is the research method and the variables used in this study are Structural Equation Modeling (SEM) with training, institutional, communication, resources, disposition, structure and bureaucratic achievements on the implementation of the 2015 PRIMA National Training.
Attitudes among dermatologists regarding actinic keratosis treatment options
Authors: Moretta Gaia , Samela Tonia , Sampogna Francesca , Ricci Francesco , Carlesimo Fabio , Panebianco Annarita , D’Erme Angelo Massimiliano , Di Lella Giovanni , Pallotta Sabatino , Dellambra Elena , Abeni Damiano , Fania Luca
Published: February 2022

Actinic keratosis (AK) is considered a pre-cancerous lesion that may progress into an invasive squamous cell carcinoma. Its prevalence is increasing, and it has been estimated worldwide to range between 1% and 44% of the adult population. The main risk factors for AK are advanced age, fair skin phototype and cumulative sun exposure. Treatment of AK consists of lesion-directed treatment to target single lesions (i.e., cryotherapy, curettage, electrocoagulation, and laser therapy) or field therapy to treat multiple AKs (i.e., photodynamic therapy (PDT), 5- Fluorouracil (5-FU), diclofenac sodium (DIC), imiquimod (IMQ), ingenol mebutate (Ing Meb)). The choice of therapy depends on the number and localization of AKs, patient’s condition, and the patient's tolerability and compliance. In this survey we provided data from one hundred and ten Italian dermatologists regarding knowledge and attitude towards different therapeutic approaches specific for AK. In our study, we observed that the most frequent treatments for AK are cryotherapy and PDT while surgery and laser therapy are the less frequently utilized. The most frequent topical therapies utilized are DIC and IMQ 3.75% cream compared to IMQ 5% cream, Ing Meb, and 5-FU. Choice the correct treatment for AK can be challenging but the adherence to therapy plays a key role to obtain good results. Considering the high and progressive increase in incidence of AK, it is crucial to improve the knowledge of different therapeutic approaches among dermatologists.
PROYECCIONES DE LA ACTIVIDAD ESPACIAL EN LA SOCIEDAD FUNCIONALMENTE DIFERENCIADA
Authors:   CONICET, Universidad de Buenos Aires, Buenos Aires, Argentina, Pignuoli Ocampo1 Sergio , Arnold-Cathalifaud2 Marcelo ,   Universidad de Chile, Santiago, Chile
Published: February 2022

Background: Social sciences focuses insufficient on spatial exploration and the activities associated with it. In this essay, we present reflections on the effects of space exploration from the perspective of systems theory of society. We concentrate on the sociality projected from explorations in outer space, specifically the focus is placed on the spreading of communications and the new boundaries that trace a new image of globality. Objectives: It is proposed to approach space exploration as a singular and emergent sociological object that engages, in specialised forms, interactions, organisations and functional ly differentiated realms of society. Among the latter we will stress science, economics, politics, law and mass media. Methods/Approach/Methods: The possibilities of social systems theory to address the emerging projections of such phenomena and the changes it brings about in the very theory that observes them are discussed. Results/Outcomes: Two fundamental sociological elements of space activity are identified: space communication and the space communication network, and are examined their impacts on the concept of communication in general, on the spreading of social world, on functional differentiation, and on society. Conclusions: Space communication is defined as a communicative phenomenon in whose operational synthesis at least one of its selections is actualised beyond the earth’s surface by human beings or by technical devices, whether mechanical, remote-controlled or autonomous, being meaningfulness in all cases. These operations lead to events and reinforce endo-, exo- and interplanetary social processes and expose the geocentric presupposition underlying the current concept of world society
Access to Justice for Disadvantaged Communities
Authors: Mayo Marjorie , Koessl Gerald , Scott Matthew , Slater Imogen
Published: February 2022

This unique study explores how strategies to safeguard the provision of legal advice and access to welfare rights to disadvantaged communities might be developed in ways that strengthen rather than undermine the basic ethics and principles of public service provision.
Problems of development of telemedicine technologies in Russia through the prism of foreign experience
Authors: Kobyakova O. S. , Kadyrov F. N.
Published: February 2022

The use of telemedicine technologies in the Russian Federation has been allowed legally only since 2018. Such a small experience is objectively insufficient for a development of a serious practice of using telemedicine technologies. Given the global trend of unification of medical and information technologies, it would be illogical to ignore the experience of foreign countries, in many of which the right to use telemedicine technologies was secured earlier than in the Russian Federation and experience has been gained in solving a number of problems arising in this area. Moreover, a detailed analysis allows us to identify the main emerging trends in this area.A review of foreign practice shows that most countries have followed the path of both legislative regulation of the use of telemedicine technologies, and more detailed regulation in the standards of medical care or similar documents. Moreover, in many cases, this regulation is carried out by medical associations or insurance companies. This is especially true for the United States. The experience of this country is also interesting because each state has its own legislation in the field of telemedicine technologies, reflecting different approaches to solving emerging problems.
MEJORAMIENTO DE LAS PROPIEDADES MECÁNICAS DEL POLIPROPILENO RECICLADO MEDIANTE ADICIÓN DE FIBRAS VEGETALES, POLIETILEN TERFTALATO Y TRATAMIENTO TÉRMICO.
Authors: Palmay Paul , Sanipatin Sofía , Poalacin Daniela , Donoso Donoso
Published: February 2022

En los residuos sólidos plásticos el polipropileno es uno de los termoplásticos de mayor consumo a nivel urbano y por ende el de mayor generación de residuos. En este sentido, el reciclaje mecánico es la tecnica mas sencilla de aplicación aprovechando de residuos de la misma familia de termoplastico que acondicionado con otras fibras permiten el mejoramiento de sus propiedades, mediante la elaboración de composites con fibras naturales o sinteticas. El presente estudio tiene como objetivo el analisis de las propiedades más importantes de composites hechos de poliproplieno con fibras naturales: de plátano y de abacá; composites de polipropileno con polietilen tereftalato a diferentes concentraciones, con y sin acoplante; y un tratamiento termico para el mejoramiento de la matriz de polipropileno reciclado. Se obtienen probetas mediante extrusión de monohusillo a diferentes perfiles de temperatura y concentraciones de fibra adicionada. Se plantea el tratamiento térmico al polipropileno midiendo el grado de cristalización que se genera. Posterior, se mide la tracción, flexión y calorimetría diferencial de barrido de los composites de buena trabajabilidad usando como acoplante anhidrido terftalico. Los resultados muestran mejoras en las propiedades de tracción y flexión al momento de adición del agente acoplante en ambos composites y con concentraciones bajas de fibra de refuerzo.
Extractives Industries and Conflict: Reduction of Risks Associated with Extractive Industries in Turkana County, Kenya
Authors:   PhD student at the School of Arts & Social Sciences - Moi University, P.O. Box 3900, Eldoret – 30100, Kenya, L. Paul Fr. Areman
Published: February 2022

African countries endowed with natural resources, especially oil have seen violent conflicts due to poor management of the natural resources. Violent conflicts largely where local communities have been systematically excluded from decision-making processes and when the economic benefits are concentrated in the hands of a few thereby causing economic disequilibrium in the society. Misuse of the natural resources has frequently been cited as the main factor that activates, increase or support violent conflicts around the world. When the key stakeholders disagree on the management, distribution and protection of natural resources and related bionetworks. Natural resource conflicts arise when parties disagree about the management, distribution and protection of natural resources and related ecosystems. These conflicts can heighten into brutal relations and violence when the parties are incapable or reluctant to engage in a positive process of dialogue and conflict resolution. While there are many issues associated with extractive industries, the role of natural resources in triggering, escalating or sustaining violent conflict is the focus of this survey and consequently offer relevant in reducing these conflicts so that the natural resources found in Turkana County can truly be a blessing and a catalyst for poverty reduction in Turkana County. Conflict turns out to be difficult once societal mechanisms and institutions for handling and determining conflict break down, giving way to violence. Societies with weak institutions, fragile political systems and divisive social relations can be drawn into cycles of conflict and violence. Preventing this negative spiral and ensuring the peaceful resolution of disputes is a core interest of the international community. The general objective of the survey was to offer strategies in reducing conflicts associated with extractive industries. The methodology used in this survey was both qualitative and quantitative. The research design employed was descriptive survey design. The sample size was 270 heads of households and 20 stakeholders working in Turkana South and East Sub-Counties respectively. The data was collected using questionnaires and interview guides combined with observation schedules. The findings of the survey reveal that indeed extractive industries and conflicts are twins and hence there is need to address conflicts to turn natural resources into a blessing for the society.
Sobre los efectos adversos en la vida real
Authors: Scublinsky Darío
Published: February 2022

En los tiempos en que la terapéutica farmacológica estaba en sus inicios, allá por fines del siglo XIX, se publica en The Lancet uno de los primeros reportes científicos de efectos adversos, que se trataba de las drogas anestésicas utilizadas en dicho momento. Algunos años después, la American Medical Association publica un artículo donde se denuncian los efectos mortales del jarabe de Winslow, “capaz de calmar a cualquier persona o animal”, que era ni más ni menos que una combinación de morfina y alcohol.
Características de los tratamientos biológicos en enfermedades reumáticas en Argentina: quinto informe del registro BIOBADASAR
Authors: De la Vega M. , Casado G. , Roberti J. , Gómez M.G. , Benítez A. , Battagliotti C. , Exeni I. , Gobbi C. , Astesana P. , Quintana R. , Bertoli A. , Strusberg I. , Paira S. , Mussano E. , Vidal D. , Rama M. , Cavillon E. , Quinteros A. , Capuccio A. , Bovea G. , De la Sota M. , Larroudé M. , Granel A. , Marcos A. , Smichowski A. , Tamaño F. , Barrios B. , Bande J.M. , Soriano E. , Eimon A. , Alvarez A. , Gomez G. , Gomez G. , Agüero S. , Sacnun M. , Garcia M. , Costi C. , Soares de Souza S. , Velozo E. , Diaz M. , Sarano J. , Pons-Estel B. , Saurit V. , Miretti E. , Dubinsky D. , Perez Davila A. , Bohr A. , Mamani M. , Scarafia S. , Sanchez Andia C. , Kirmayr K. , Barreira J.C. , Citera G.
Published: February 2022

Introducción: el proyecto BIOBADASAR (Registro argentino de eventos adversos con tratamientos biológicos en reumatología) comenzó en agosto de 2010, para recabar información a largo plazo sobre los eventos adversos en tratamientos biológicos en pacientes con enfermedades reumáticas en la práctica clínica cotidiana en Argentina.
Ecografía en articulación sacroilíaca
Authors: Rosemffet Marcos
Published: February 2022

En los últimos años, los reumatólogos han demostrado mucho interés en el estudio de las Espondiloartritis (EsP).
Sacroileítis en pacientes con espondiloartritis: ¿qué rol juega la ecografía?
Authors: Marin Josefina , Catay Erika , Bravo Maximiliano , Navarta David , Zacariaz Johana , Rosa Javier , Ruta Santiago
Published: February 2022

El compromiso inflamatorio de las articulaciones sacroilíacas (SI), denominado sacroileítis, es una de las características distintivas de las espondiloartritis (EsA). La radiografía de las articulaciones SI ha sido tradicionalmente utilizada para el diagnóstico, clasificación y monitoreo de las EsA. La sacroileítis radiográfica forma parte de los criterios diagnósticos de espondilitis anquilosante (EA) y debería ser la primera técnica de imagen solicitada en pacientes con lumbalgia crónica de tipo inflamatoria y sospecha de EsA.
Manifestaciones sistémicas asociadas al consumo de cocaína
Authors: Roverano S. , Gallo J. , Ortiz A. , Paira S.
Published: February 2022

Mujer de 38 años que ingresa a la emergencia por disnea, hemoptisis y pérdida hemática vaginal. Antecedente de hipertiroidismo, tabaquismo, etilismo y consumo de cocaína de 20 años de evolución. Se constató ﬁebre, petequias en paladar duro y miembros inferiores, úlcera en fosas nasales, equimosis y hepatoesplenomegalia. El laboratorio mostró anemia, plaquetopenia (5.0 K/uL), elevación de enzimas hepáticas, FAN (HeP-2), ANCA C y anticuerpo anti-Ro positivos. El lavado broncoalveolar conﬁrmó la presencia de hemorragia alveolar. Se trató con gammaglobulina, tres pulsos de 1 g de metilprednisona y ciclofosfamida, con respuesta parcial. Desarrolla un accidente cerebrovascular hemorrágico en lóbulo temporal izquierdo, con hematoma subdural. Se agrega rituximab 375 mg/m2 semanal durante 4 semanas, mejorando la hemorragia pulmonar, el recuento plaquetario y el cuadro neurológico.
Vasculitis livedoide asociada a mononeuritis múltiple
Authors: Roverano Susana , Ortiz Alberto , Martínez Carlos , Langhi Juan Carlos , Paira Sergio
Published: February 2022

Se presenta un varón de 64 años, obeso, hipertenso, con diabetes no-insulinodependiente de 6 años de evolución. Se presentó a la consulta con úlceras dolorosas en miembros inferiores de aparición estival, de 10 meses de evolución y relataba parestesias de 20 meses de evolución. La electromiografía reveló la presencia de una mononeuritis múltiple que luego progresó a polineuropatía axonal mixta. Necrosis dérmica asociada a trombos ﬁbrinoides, depósitos de material hialino con inﬁltrado inﬂamatorio mixto fue observado en la biopsia de piel, llegándose al diagnóstico de vasculitis livedoide. La misma no sería una verdadera vasculitis, sino un fenómeno vaso-oclusivo que debe diferenciarse de otras vasculitis (vasculitis cutáneas de pequeños vasos, panarteritis nodosa, síndrome anti-fosfolipídico, estasis venoso crónico, pioderma gangrenoso, entre otros).  El compromiso neurológico es excepcional en esta vasculopatía, habiendo sido descriptos sólo 5 casos con esta asociación.
Síndrome Klippel-Trenaunay: comunicación de dos casos
Authors: Gontero R. , Ortiz A. , Roverano S. , Paira S.
Published: February 2022

El síndrome de Klippel-Trenaunay (SKT) se caracteriza por una tríada clásica, que consiste en una malformación capilar cutánea, hipertroﬁa del tejido blando y/u óseo en extremidades, y malformaciones venosas resultantes en venas varicosas u otras malformaciones del sistema venoso profundo. Se diagnostica mediante la presencia de cualquiera de dos de las tres características antes mencionadas. Se debe tener presente que el SKT puede presentar manifestaciones atípicas como sangrados y úlceras producidas por malformaciones vasculares en el tracto gastrointestinal, genitourinario, bazo, sistema nervioso central. El diagnóstico diferencial de una lesión vascular asociada con agrandamiento de las extremidades debe incluir otros trastornos como el síndrome de Sturge-Weber, el síndrome de Parkes-Weber y el síndrome de Proteus, entre otros. El síndrome de Klippel-Trenaunay con sus complicaciones multisistémicas requiere un enfoque multidisciplinario para un manejo integral. Se comunican dos casos que se presentan con las tres características del síndrome.
Prevalencia de obesidad en una cohorte de pacientes con artritis psoriásica y factores asociados
Authors: Zaffarana C.A. , Schneeberger E.E. , Gallino Yanzi J. , Cerda O. , Landi M. , Citera G.
Published: February 2022

Se ha observado elevada prevalencia de obesidad en pacientes con Artritis Psoriásica (APs). También, ha sido descripta asociación con una mayor severidad de psoriasis cutánea, pero su relación con la severidad de la APs ha sido menos estudiada. Objetivos: Evaluar la prevalencia de obesidad en una cohorte de pacientes con APs y su asociación con características sociodemográﬁcas y clínicas de la enfermedad.
Posición de la Sociedad Argentina de Reumatología por el uso del cannabis medicinal
Authors: De Reumatología Sociedad Argentina
Published: February 2022

Los cannabinoides son moléculas que han sido descubiertas el siglo pasado de la planta de la marihuana. En el siglo XX y lo que lleva del XXI, estos productos han sido utilizados predominantemente en carácter recreativo y considerados drogas ilícitas. Es escasa la información del uso médico del cannabis desde el inicio de la era cien-tífica; pero en los últimos tiempos, la utilización de derivados de la marihuana para su uso médico ha adquirido relevancia pública y mediática, así como política y jurídica.
La resonancia magnética en el estudio de lumbalgia. Un análisis de la oportunidad perdida para el diagnóstico de espondiloartritis axial
Authors: García Salinas Rodrigo , Girad Bosch María Paula , Martire María Victoria , Arturi Pablo , Magri Sebastián
Published: February 2022

Objetivo: Describir las características de una población con lumbalgia estudiada por RM y analizar las características de los pacientes que cumplen criterios para ser derivados para estudio de EspA.Materiales y métodos: Estudio retrospectivo observacional, se incluyeron pacientes a quienes les fue solicitada RM para el estudio de lumbalgia. Se definió “población potencial para pesquisa de EspA” a los pacientes menores de 45 años con lumbalgia crónica. Análisis estadístico: se realizó el análisis descriptivo, test de Chi2 (categóricas) y test de Student o Mann Whitney (continuas). Análisis multivariado de regresión logística donde se consideró variable dependiente “Población potencial para pesquisa de EspA”.
Por “La Resonancia Magnética RM en el estudio de la lumbalgia. Un análisis de la oportunidad perdida para el diagnóstico de espondiloartritis axial EsPax”
Authors: Rosemffet Marcos G.
Published: February 2022

Estimado Editor: he leído con interés el artículo de García Salinas y cols. (Revista Argentina de Reumatología 2017; 28(3):15-19). Los autores reportan que, del total de RM realizadas, el 23% de los pedidos cumplían criterios de potencial derivación para EsPax, y que de estos, sólo el 4% había sido visto por el servicio de Reumatología.
Características clínicas y demográficas de sujetos con patologías reumáticas ingresados a rehabilitación: estudio descriptivo retrospectivo
Authors: Abudarham Julia , Dilascio Sofía Anabela , Gallo Sabrina , Kramer Marcia Daiana , Maiarú Mariano , Ostolaza Marco , Sanchez Correa Cecilia Mariel
Published: February 2022

Antecedentes: Las enfermedades reumáticas (ER) son afecciones que comprometen al sistema musculoesquelético y existen más de 100 tipos. Los autores de este estudio no encontramos antecedentes que describan características de los sujetos con ER admitidos en un servicio de rehabilitación en Argentina.

Objetivo: Describir y analizar una muestra de sujetos con ER ingresados en el Servicio de Kinesiología del Instituto de Rehabilitación Psicofísica (I.Re.P.) de la Ciudad Autónoma de Buenos Aires entre enero de 2010 y diciembre de 2015.
Tenosinovitis subclínica detectada por ecografía en pacientes con artritis reumatoidea en remisión clínica sostenida
Authors: Mollerach Florencia Beatriz , Marin Josefina , Zacariaz Johana , Scolnik Marina , Rosa Javier , Ruta Santiago , Soriano Enrique Roberto
Published: February 2022

El objetivo fue evaluar la prevalencia de tenosinovitis detectada por ecografía-doppler en pacientes con Artritis Reumatoidea (AR) en remisión clínica sostenida, determinar su asociación con las características de la enfermedad y determinar si la presencia de tenosinovitis ecográfica podría agregar información a la sinovitis para definir remisión ecográfica.
Compromiso del sistema nervioso en vasculitis asociadas a ANCA
Authors: Quaglia María Fernanda
Published: February 2022

Las vasculitis sistémicas son un grupo heterogéneo de enfermedades que se caracterizan por presentar inflamación de los vasos sanguíneos, provocando el daño de la pared vascular. Pueden afectar cualquier tipo de vaso del organismo, por lo cual el compromiso se da en varios órganos o sistemas. Estos procesos presentan una alta mortalidad que se ve reducida con el diagnóstico y tratamiento precoz. Se presenta una revisión con las pautas diagnósticas y alternativas terapéuticas.
Resonancia magnética: su papel actual en las espondiloartritis
Authors: García Salinas Rodrigo , Aguilar Gabriel
Published: February 2022

La Resonancia Magnética (RM) se ha convertido en una herramienta diagnóstica fundamental en la EsP axial, ya que se considera la mejor técnica para la detección de lesiones agudas a nivel del esqueleto axial. Su utilización ha sido la mayor contribución, en los últimos años, en la comprensión del curso de esta enfermedad. Esto ha conducido a que, en los nuevos criterios de la Assessment of SpondyloArthritis International Society (ASAS) para la clasificación de EsP de predominio axial, constituya uno de los brazos de ingreso a los criterios (brazo de imágenes). Además, la cuantificación de inflamación en RM, se ha convertido en uno de los parámetros de desenlace en los ensayos clínicos.
Manifestación atípica de enfermedad de Still
Authors: Balcázar R. , Garate G. , Brigante A. , Gómez G. , Hogrefe J. , Yucra D. , Hamaui A. , Dubinsky D.
Published: February 2022

La enfermedad de Still del adulto (ESA) es un proceso inflamatorio sistémico, de etiología desconocida, que se caracteriza por fiebre, artritis y eritema evanescente, además de valores elevados de ferritina sérica. Sin embargo, hasta la fecha, no hay una prueba definitiva de laboratorio o de imagen disponible para su diagnóstico, por lo tanto, la ESA es un diagnóstico de exclusión. Presentamos el caso de una mujer de 44 años con manifestación cutánea atípica de ESA y cuadro clínico de 1 año de evolución caracterizado por fiebre de 40°C, linfadenopatía, hiperferritinemia, y que en la sistemática de estudio presentó positividad para anti-CCP (anticuerpo antipéptido cíclico citrulinado).
Revisión: ¿Qué hacer con un test positivo para anticuerpos antinucleares en Pediatría?
Authors: Garcia Munitis Pablo , Ruiz Diaz Marta , Etcheverry Mayra , Schiel Amalia
Published: February 2022

La presencia de anticuerpos antinucleares (ANA) es el denominador común de muchas enfermedades autoinmunes sistémicas. Su presencia puede ser indicativa de una enfermedad reumática; sin embargo, estos autoanticuerpos también pueden estar presentes en individuos sanos o con infecciones. El objetivo del presente trabajo es presentar un paciente con dolor musculoesquelético y ANA positivos. En ausencia de una sintomatología que haga sospechar una enfermedad reumática, la positividad de los ANA no tiene significado diagnóstico.
Peculiarities of nurses work for nursing patients with chronic leg ulcers
Authors: Čerkauskaitė Sonata , Česnauskienė Audronė
Published: February 2022

Legs ulcers are one of the most difficult Problem to solve in modern medicine. Although a wide variety of drugs and mechanical methods have been developed to treat ulcers, no marked improvement has yet been discovered in either wound healing or the social status of patients. Leg ulcers are not only a common, difficult to treat, but also economically unprofitable health condition requiring a lot of care, work and knowledge.

Study aim – to evaluate peculiarities of nurses work for nursing patients with chronic leg ulcers.

Study methods.  Quantitative research method using an anonymous questionnaire for nurses caring for patients with chronic leg ulcers. Descriptive statistics of results.

Results. Nurses working in a hospital at least once a week care for patients with chronic leg ulcers, which are usually localized in the calf, foot, ankle areas. Patients with other comorbid conditions (e. g. diabetes, arterial hypertension and other) are needed specific nursing needs – longer wound healing, prevention of infections and bleeding, balanced diet and temperature control. Nursing patients with chronic leg ulcers the body position of the nurses mostly is forced, they work bent over. The work of nurses is most complicated by the lack of nursing assistants.
THE TRUSTEE’S OBLIGATION TO INFORM THE PRINCIPAL ON THE PROGRESS OF THE MANDATE. THE ACCOUNTING MANAGEMENT AND THE REPORT
Authors:   Political Economy Department, Faculty of Economical Sciences and Business Administration, Babeș-Bolyai University, Cluj-Napoca, Romania, TULAI Dana
Published: February 2022

This paper aims to bring to attention an issue which involves both economical and juridical aspects: agents’ obligation to give an account to principals, derived from mandate contracts. The legal doctrine, both Romanian and European, has largely debated upon this aspect, particularly the form in which the accounting report must be given, as well as the possibility of tacit exempt from the obligation of the trustee to hand over the management account, in cases in which the contractual relations of the parties are based upon a high degree of trust. As shown in this paper, we believe that a genuine accounting report is required from agents only if the principals explicitly demand it. Also, since the legal provisions on the matter do not expressly impose any formalities for the completion of this report, we believe that it is the principals’ decision to establish the form in which the trustees must hand over the accounts.
ICSID CASES IN 2020, AFFECTED OR NOT BY COVID 19
Authors:   Faculty of Economic Sciences, University of Oradea, Oradea, Romania, BERINDE Mihai , PETRICA Dana Maria ,   Faculty of Economic Sciences, University of Oradea, Oradea, Romania, MESTER Liana-Eugenia ,   Faculty of Economic Sciences, University of Oradea, Oradea, Romania
Published: February 2022

The present paper intends to present the evolution registered in the ICSID – International Centre for Settlement of Investment Disputes – cases during FY2020, comparing with the historical evolution, in order to identify the possible effect of COVID 19 on the dynamics of registering and administrating cases and also in the hearings, if any. Many economic sectors had been deeply affected by the pandemic, and they have shown a real capability to adapt their way of acting and doing things. International arbitration made no difference, and it showed a real adaptive capacity, allowing the existing cases to follow their path and also registering new cases without delays. In 16 April 2020 the leading organisation of arbitration (the CRCICA, DIS, ICC, ICDR/AAA, ICSID, KCAB, LCIA, MCA, HKIAC, SCC, SIAC, VIAC and the International Federation of Commercial Arbitration Institutions) released a common statement on COVID 19: “Collaboration is particularly important as each of our institutions looks to ensure that we make the best use of digital technologies for working remotely.” The first element to be notice in the 2020 ICSID Statistics is the fact that the number of the cases registered during 2020 had touched a new record, 58 new cases. The previous record was of 56, and was registered in 2018, meanwhile in 2019 there were registered 39 new cases. One big difference occurred in the way of holding the hearings, in the last 9 months of the year 2020, all the hearings were held remotely, 78% by video and 22% by phone. ICSID had developed and used their one video conferencing platform. In terms of industry, States parties involved, proceedings outcomes, nationality of arbitrators appointed there were some evolutions but with no significant changes.
THE PRINCIPAL FACTORS THAT DRIVE THE ECONOMIC COMPETITIVENESS
Authors:   Doctoral School of Economics and International Business, The Bucharest University of Economic Studies (ASE București), Bucharest, Romania, MIERLUȚ Dana-Teodora , GIURGIU Adriana ,   Doctoral School of Economics and International Business, The Bucharest University of Economic Studies (ASE București), Bucharest, Romania; Department of International Business, Faculty of Economic Sciences, University of Oradea, Oradea, Romania
Published: February 2022

The Economic Competitiveness is a term which has a significant importance in the welfare of a country and also in the development of a company. A simple definition says that competitiveness is the ability of a state or even a firm to put in the market products and services that have a high quality and, in addition, are competitive with others in terms of price; being able to bring some profit after covering all the expenses appeared in the production process. The main objective of this paperwork is to emphasize which factors drive the evolution of the economic competitiveness. It is influenced by internal factors – in a microeconomic perspective –, as well as external factors – in a macroeconomic point of view, factors such as: division of labour, specialization, assets (resources), processes and institutions and government policies. The study is based on the specialized literature in the economic field, precisely the one which influence the economic competitiveness. Economic competitiveness is a complicated notion shaped by a multitude of factors, it appears that utilizing multiple or mixed indicators (indexes) of competitiveness is the most relevant technique to estimate its level. Although the traditional theory of comparative advantage controlled global trade thinking for a long time, it is now regarded as an insufficient justification for firms’ competitive advantage in today’s business climate. Advances in technology and innovation, as well as some environmental resource limitation issues, have generated new options for obtaining, preserving, and also enhancing productivity versus opponents in an incredibly challenging, worldwide economy.
Критические уровни внутренней потенциальной энергии деформации твердых деформируемых тел
Authors:   Национальный исследовательский московский государственный строительный университет, Ступишин Л.Ю.
Published: February 2022

Монография посвящена развитию теории энергетических методов строительной ме-ханики и механики твердого деформируемого тела. Предложенный автором вариаци-онный критерий критических уровней внутренней потенциальной энергии твердых деформируемых тел реализуется на примерах расчета систем с распределенными и сосредоточенными параметрами. Применение вариационного критерия к задачам механики деформируемых тел дает возможность их постановки и решения в едином подходе - в виде математической модели задач на собственные значения. Приводятся новые решения задач сопротивления материалов, позволяющие объяс-нить несоответствия экспериментальных данных классической теории. Предложена единая постановка задач предельного состояния конструкций, позво-ляющая говорить о вариационном критерии критических уровней как теоретико – ма-тематической основе теории предельных состояний строительных конструкций зданий и сооружений. Введены новые понятия о «слабом звене» конструкции и прогрессирующем пре-дельном состоянии, которые реализованы на простых примерах. Задачи об остаточном ресурсе здания (сооружения) получили новую формулировку на основе предложенного критерия. Продемонстрирована методика решения задач на примере фундаментных балок зданий. Рассмотрены задачи оптимального проектирования строительных конструкций, на основе предложенного критерия.
Pelatihan dan Pendampingan Implementasi Aplikasi Kepegawaian Pada SMA PGRI Pagaralam Berbasis Web
Authors: Hidayat Rahmad , Andri Andri , Antoni Darius , Syaputra Hadi
Published: February 2022

The current use of the system at SMA PGRI Pagaralam uses excel and word applications. This is still felt to be ineffective because there is no system that supports these problems. Mentoring training for making personnel applications conducted at SMA PGRI Pagaralam aims to help manage employee data so that it is more effective. Software development is carried out using software engineering rules (software engineering). In software engineering theory there are several kinds of software development process models. This research uses the waterfall model. The water fall model or what is often called the Classic life cycle model shows software development sequentially and systematically. So that the results of the web-based PGRI Pagar Alam high school personnel application include a login system, type of PTK, subjects, leave letters, years of service and subject teachers.
PRODUCT EVALUATION OF FEDERAL SCHOOL OF PSYCHIATRIC NURSING IN CALABAR, CROSS RIVER STATE, NIGERIA
Authors: Umoh Edet Okon
Published: February 2022

This study evaluated Products of Federal School of Psychiatric Nursing in Calabar, Cross River State, Nigeria. Five research questions were raised to direct the course of this study. An evaluation research design was adopted to evaluate 64 psychiatric nurses purposively selected from the 150 students who graduated from the School between 2014-2019 working in Federal Neuro-Psychiatric Hospital, Calabar. Data was collected using observational technique and checklist designed by the researcher. The instrument was validated and reliability established with the use of Cronbach’s Alpha reliability test at the range of 0.810-0.990. Analysis was done using descriptive statistics which involve proportion, percentage, mean, and weighted mean score. Findings of the study revealed that nurses from Federal School of Psychiatric Nursing, Calabar fairly utilize their nursing process. However, they had overall good performance in creating an atmosphere of trust, which allows for meeting the patient’s basic emotional needs; creating opportunity for patients to express selffeelings; displaying tolerance in accepting maladaptive behaviours; and assisting in providing necessary corrective experiences. It was therefore concluded that Federal School of Psychiatric Nursing, Calabar is effective in preparing nurses for efficient healthcare delivery of the mentally ill. Based on these findings, it was recommended among others that the school should include the programme objectives in their curriculum, increase supervision of students during clinical on use of nursing process and ensure enough nursing project booklets are reproduced for use in the school and clinical area.
ТЕЗ ТҰРҒЫЗЫЛАТЫН ҒИМАРАТТАР МЕН ҚҰРЫЛЫСТАРДЫ САЛУ ТЕХНОЛОГИЯСЫНЫҢ ЕРЕКШЕЛІКТЕРІ
Authors: А. Ш. Рахметова
Published: February 2022

Мақалада тез салынатын құрылыстар мен ғимараттардың негізгі түрлері қарастырылған. Оларды салу технологиясы, сондай-ақ негізгі кемшіліктер мен артықшылықтар талданады. Құрастырмалы – модульдік үй құрылысына тікелей құрылыс алаңдарында үй салудың «архаикалық» әдістері. Аз қабатты құрылысқа инновациялық тәсілдер тиімді материалдарды қолдануды ұсынады, оларды қолдану «құрғақ» құрылыс технологияларын енгізуге мүмкіндік беретін іс жүзінде пішінді бұйымдар жасауға мүмкіндік береді. Тұрғын үй секторында да, өндірістік ғимараттар құрылысында да аз қабатты тез тұрғызылатын құрылыстар мен жаппай сериялы ғимараттар құрылысын кең ауқымды кеңейтусіз Қазақстанның көптеген өңірлерін қарқынды дамыту және игеру мүмкін емес. Тез салынатын ғимараттар қазіргі заманғы құрылыстың негізі болып саналады. Олардың көмегімен сіз кез-келген масштабтағы сәулеттік нысандарды жасай аласыз. Құрылыс жылдамдығы құрылыс технологиясының осы түріне сұранысты арттыруға мүмкіндік беретін негізгі фактор болып саналады, әсіресе тезірек жүзеге асырылуы қажет шұғыл жобаларға қатысты.
Detection of Eye Diseases using CNN
Authors: Anas Farooqui  , Abdullah Bharde  , Ibrahim Ansari  , Farhana Siddiqui
Published: February 2022

For illness identification in medical pictures, image processing is important. These illness detection and classification techniques are unique to each human organ and picture type. It is possible to automate and/or aid doctors in clinical diagnosis by using image processing and machine learning methods. This article explains how to identify eye disorders using different image processing and machine learning methods. The suggested deep neural network model aids in the early detection of illnesses including Cataract, Diabetic Retinopathy, and Glaucoma. It may prompt people to seek the advice of an ophthalmologist for a screening. The suggested CNN model is simpler, more precise, and quicker.
Führen ohne Machtgerangel
Authors: Brust Martin
Published: February 2022

Streit zwischen Entscheidern verlässt allzu leicht und oft die sachliche Ebene. Dann sind rasch die Steuerung des Unternehmens und dessen Handlungsfähigkeit bedroht, weil verschiedene Fraktionen sich gegenseitig torpedieren.