bluuebunny/crossref_metadata_2025 huggingface dataset:
Islamism as Threat Factor to Construction and Operation Safety of Nuclear Power Facilities
Authors: Nedorubov A.N. , Lobkovskaya N.I. , Lokonova E.L. , Lupinogina Yu.A.
Published: November 2020

The paper discusses the hazards of construction and operation of nuclear power facilities in Islamic countries or countries with a predominantly Muslim population that is ambiguous about the development of the nuclear industry in their countries. The analysis shows the issue from the point of view of traditional societies and from the position of the leading countries of the world atomic energy and allows us to highlight the most significant and specific features of the stated problem. The analysis shows the issue from the point of view of traditional societies and from the position of the leading countries of the world nuclear energy and allows us to highlight the most significant and specific features of the stated problem. The conclusion is made about the situational and personal nature of the Muslim community life organization and the dominant role of the authoritative religious and community leaders’ personal opinion in solving issues not related to spiritual life. Leaders in the field of nuclear energy have to discern into the essence of the signs, reasons and development directions of religious factors in these states, and as the Islamic world is a significant geopolitical factor in the entire system of international relations, its interests and Islamist position cannot but take into account the world political forces promoting nuclear power.
Creation of a financial mechanism for ensuring sustainable economic growth of business in the context of global challenges
Authors: Kodasheva Gaukhar , Piontkevich Nadezda , Sheina Ekaterina
Published: November 2020

The vector of development of the Russian economy, which is aimed at sustainable economic growth of business, was threatened by unforeseen circumstances - the new coronavirus pandemic, which turned out to be one of the most powerful global external challenges for all leading national economies and the global business community as a whole. To overcome and minimize the consequences of the pandemic in the form of protracted economic crisis, the fall of the Russian currency, slow reproductive processes, a sharp decline in incomes and rise in unemployment, the almost complete stop of activities of business entities and investment processes, it is necessary for a state to take responsibility to stabilize the economy and rapid sustainable growth through the development and prompt implementation of a comprehensive plan for effective emergency measures to support the business, based on the implementation of which the authors propose a financial mechanism for ensuring sustainable economic growth of business.
Creative management decision drivers on sustainable development
Authors: Latypov Rinat , Chumak Elena , Yadransky Dmitriy
Published: November 2020

The article defines the main stages of management’s automation development issues and presents their periodization. The works of the classics of modern management as Peter F. Drucker, Henry Ford, and other authors is critically comprehended on the subject of their opinion about the management’s automation process. Based on the analysis, it was concluded that the classics were generally positive about automation and computerization of management. The study aims to conduct a theoretical analysis of classical works in the field of management for their attitude to the automation of the management process. The research methods are the method of theoretical analysis and the method of induction. However, taking into account the specifics of modern automation aimed at total algorithmization (computerization) of all business and technological processes without exception, such a doctrine is being questioned by the authors. According to the authors, total automation is not advisable especially in conditions of creative work or flexible organization of the production process. The reason for this is the artificial limitation of the creative management decisions by algorithm standards. An opinion is expressed about the need to justify the criteria for a balance between a creative and a standardized (algorithmized) component in making a managerial decision.
Information technology in financial sector Russian Federation - driver of the formation of the Russian economy
Authors: Evdokimova Yulia , Egorova Elena , Shinkareva Olga
Published: November 2020

The digital changes taking place in all areas of society are most evident in certain sectors, especially in financial sector. One of the drivers of the modern development of a sustainable economy is the digitalization of society associated with the rapid development of information technologies. Informatization of this sector in Russia is associated with the synthesis of changes in the legal, economic, social, political nature. The article is devoted to key trends in the informatization of the financial sector of Russia. Analysis of the main suppliers of information technologies in the financial sphere and their products was made. Priority directions of development of information technologies in the financial sector and ways of their implementation are identified. The main approaches to strengthening information security and reliability of financial technologies in Russia have been studied. Synthesis of materials on information technologies researches in the financial sector of Russia was carried out.
Social immunity as a source of sustainable development of the regional economy
Authors: Myslyakova Julia
Published: November 2020

At present, the problems of sustainable economic development still remain relevant for many regions. This research presents the idea that the stability of the territorial economy and the socially safe state of society are interrelated. The hypothesis was formulated that social immunity of the region is one of the sources of its sustainable economic development. To prove this hypothesis the following tasks were solved: social immunity assessment methodology was developed; the methodology was tested on the territories of the Ural region; the dependence of the territorial sustainable development on its social immunity was revealed. The methodology allows us to model the core of social immunity of any territory. It is based on the Frobenius norm, which reflects both positive and negative transformations of society. Approbation of the methodology for assessing social immunity was carried out on the example of the Sverdlovsk, Kurgan, Chelyabinsk and Tyumen oblasts during 2010-2018. The research made it possible to prove the hypothesis and to conclude that lack of social immunity in the region leads to poor economic effects received by business entities and the territory’s susceptibility to economic destabilizing external impacts, which are both random and systematic.
Financial instruments for neutralisation of national project implementation risks
Authors: Slepov Vladimir A. , Rodenkova Tatyana N. , Gromova Elena I. , Gerzelieva Zhanneta I. , Pokamestov Dmitry A.
Published: November 2020

This paper represents the results of national and infrastructure project funding shortfalls study and determined implementation risks of such projects attributed to the Russian export market fluctuations, additional budget expenses in terms of the pandemic and upon the slowdown of macroeconomic indicators’ growth. In order to neutralize risks of national project implementation and cover requirements in infrastructure investments the study proposes the financial instruments of Public Private Partnership (PPP) institute, including instruments for update and development of project financial support mechanism providing the sustainable development of regional economy.
International Coordination and National Institutional Facilitating Mechanisms for Financial Technology Development, for the Sustainable Development Support
Authors: Razletovskaia Viktoriya
Published: November 2020

The Fintech, as the progress in technology, transforms the financial and investment landscape, creating both opportunities and challenges for all participants, risks to the stability and integrity of the financial system. The dematerialization of payments introduces new participants and new products to the market, including non-financial entities. At the next stage of the Fintech development, the importance of artificial intelligence and neurotechnology increases. As the Fintech, the artificial intelligence and the neurotechnology cross national and international regulatory boundaries, the effective cross-sectoral and cross- domain coordination and the mixed financing for global financial investment strategies are critical both domestically and internationally. The particular importance gains the possibilities of resource-maneuvering in global investment strategies, and mechanisms - interoperability - coordination of various infrastructures, digital, financial, telecommunications, IT, government regulation, international cooperation. Due to the variety of such models, it is required to identify trends and promising areas of international coordination of fintech development [9]. What are the factors drawing the development back? What new models of national and international coordination of these technologies are most effective for achieving sustainable development goals?
Business Mechanism for Agricultural Production Sustainable Development Management
Authors: Takhumova Oksana
Published: November 2020

In the furtherance of national targets in support of sustainable development of Russian territories, the most important is the issue of quality life region competitiveness improvement. The preference in the solution of regional economy efficiency improvement is given to the agricultural sector. The consideration of balanced agricultural production development issues is a fresh research direction. In the plane of available global economy tools and the drive for new technological context this issue requires the attention from the point of innovation development of the studied economic system. In order to solve issues on enabling of harmonious development, it seems necessary to consider and substantiate principles and factors for formation of self-regulated agricultural sector. In the scope of this paper will be represented the complex of related components on the formation of effective business mechanism for agriculture development. Introduced principles on the basis of significance, cooperation and functioning attributes. Developed the summary index of agriculture development impact factors. The scientific novelty of the study is in the development of integrative mechanism for management of balanced innovative development of agricultural sphere on the basis of self-organization of production and economic systems; main components of which are economic, organizational, motivational and informational sub-mechanisms. The study results could be interesting for representatives from academia on the agro-industrial complex development issues and regional governmental authorities in order to design the country territories’ development strategy.
Sustainable future growth on the base of impact investing in BRICS countries
Authors: Gusarova Svetlana , Gusarov Igor , Smeretchinskiy Margarita
Published: November 2020

Impact investing is a new developmental paradigm in Brazil, Russia, India, China, and South Africa (BRICS), and its effective implementation is a fundamental factor in securing stable and innovative economic development at the national level. With impact investing, investors look to generate positive social and environmental impacts alongside financial returns. The current study reveals the innovative mechanisms of impact investing, namely, financial and economic tools and new business technologies. It also explores the diverse ways in which impact investment capital can be leveraged in BRICS countries. The results indicate the advantages and problems inherent in impact investing, as well as the main directions in which this type of investing can develop. The current study examines the development of impact investing in BRICS countries. It also touches upon the role of impact investing in the development of their economies and identifies the main problems inherent in implementing impact investing there.
Smart city logistics
Authors: Savin Gleb
Published: November 2020

It can be argued that the scientific paradigm of sustainable development is only partially formed and today there is constant research, searches for the form, and methods of its increment. In the scientific literature (political discussions), this is one of the most used terms due to the wider coverage of the studied areas, as well as a long history in retrospect. But today the most used term is the category of a smart city, which goes beyond the usual discussions about the development of information and communication technologies, and the effective use of information serves as the basis for effective management and functioning of the city. At the same time, logistics expands the possibilities for the formation of a smart city, contributes to economic development, an increase in the quality of human life, the efficiency of the use of economic resources, optimization of flow and non-flow processes, the accumulation of large material, financial, labor and other resources for a competitive practical goal, providing flexibility, adaptability, and competitiveness in conditions for the formation of a digital society.
The Dialogue of Russia and Kazakhstan on Strategic Partnering in Tourism
Authors: Karimova Lyazat , Kudaibergenova Klara
Published: November 2020

The paper shows problems of the economic, political, social, and cultural relations between Russia and Kazakhstan which are important for the sustainable development of both countries. In particular, it is necessary to create and develop border and inland resort areas and destinations, to introduce an integrated transport system and interstate structures to manage tourist flows as well as to regulate issues emerging in this area. All these will require significant joint efforts of specialists from various spheres. The expected results imply significant progress in the economic and social development of the border and inland regions or settlements involved in corresponding programs and projects as well as a significant increase in the level and quality of life.
Individual tourism information support in the regions of Russia
Authors: Babkov Daniil , Kuznetsova Dinara , Surkova Natalia
Published: November 2020

Increasing the volume of tourism in the regions of Russia, improving the quality of tourist services provided, creating new, original, and non-standard tourist brands are urgent tasks for Russian regions, especially in modern conditions of increasing interest in domestic tourism. To solve such important problems, it is necessary to use modern technologies for creating an information space, popular means of communication,the development of modern digital environments that allow consumers of tourism services not only conveniently and individually receive, but also to take part in the creation of original content about various thematic attractions in the country’s regions.The use of mobile applications should ensure full and diverse satisfaction of the mass demand of individual tourists, thus increasing the sustainable interest of tourism in all regions of Russia.
Features of legal regulation of artificial intelligence as a guarantee of sustainable development of society
Authors: Mishina N.V. , Shikula I.R. , Afanasyeva S.A.
Published: November 2020

The authors of the article consider the features of the legal regulation of artificial intelligence that guarantee the sustainable development of society in the era of global digitalization. The artificial intelligence-induced transformation of the world-building is leading to a change in the legal landscape. In this regard, the authors investigate artificial intelligence as a subject and object of legal regulation. The article provides an overview of foreign and Russian legislation in artificial intelligence, based on which a legal model of a single codified act is proposed. The authors advert to the need for technical and public control when introducing artificial intelligence into operation, and also for a priori legal regulation of artificial intelligence. Based on theoretical research methods, such as the axiomatic method, analysis and synthesis, systematization, modeling and forecasting, the authors conclude that a comprehensive, consistent, systemic and prospective legal regulation can remove the possible risks of introducing AI technologies, the threat of human destruction and provide a guarantee for the sustainable development of society.
Organizational Culture Power as a Factor of Governance Model Implementation
Authors: Dolgaya Angelina , Kovbasyuk Olga , Altunina Varvara
Published: November 2020

The field this research focuses on is the interrelation between organizational culture power and the level of leader’s preferred management model implementation. The phenomenon of culture power has been defined by the authors, for the purpose of this research, as a coherence in perception of organizational culture by leader on one side, and employees, on the other side. The Total Quality Management concept has been applied in this research as a governance model. We discovered positive linear correlation between organizational culture power and the level of leader’s preferred governance model implementation. The study presents management models of a number of company GC ( group of companies) with more than 2000 employees in total and with 205 respondents participating in the research.
The quality of corporate social responsibility of large coal mining companies in Russia
Authors: Zabneva Elvira , Kuznetsova Yulia
Published: November 2020

The work proves the existence of two forms of social responsibility - constant and permanent, the level of which significantly differs among subjects of social activity (state, business and citizens). The authors introduced the term - “quality of corporate social responsibility” (QCSR) and key indicators for its assessment: 1) coverage of several segments of CSR implementation; 2) consistency in the implementation of CSR directions; 3) variety of directions within each segment; 4) information transparency of activities in terms of ensuring CSR. It was determined that the activities of coal mining companies are characterized by increased social obligations both in relation to their employees and the local population. The work carried out an expert assessment of the QCSR of the eight largest coal mining companies in Russia according to the proposed assessment indicators. It was revealed that only 25% of coal mining companies in terms of the aggregate of indicators can be attributed to companies with a high value of QCSR.
Regional factors of sustainable development of small and medium-sized businesses
Authors: Avanesian Erik , Nino Jose
Published: November 2020

The small and medium-sized business sector, on the one hand, plays a crucial role in the development of any region, providing the consumer market with basic goods and services, creating jobs, at the same time diversifying risks in economic development. On the other hand, the sustainability of the functioning of the small and medium-sized enterprise sector largely depends not only on national, but also on regional factors. The article examines the regional factors of development of small and medium-sized businesses. It has been found that there is no generally accepted classification of regional reasons determining the degree of sustainability of small and medium-sized enterprises. The author proposes and substantiates regional sustainability factors influencing the functioning of SMEs: economic and geographical location, the system of regional support for small and medium-sized businesses, the level of consumer demand and purchasing power. This study will make it possible to apply the successful experience of SMEs in the context of regional development, based on the key, but not exhaustive factors identified in this study.
Industrial specialization – the most important factor for sustainable development and the region economic security
Authors: Novikova Natalya , Strogonova Elena
Published: November 2020

In article the authors argue that the industrial future is the most important factor in ensuring sustainable development of a traditional industrial region. The conclusions are based on the study of the first results of socio-economic development in the context of the coronavirus pandemic, a prominent representative of traditionally industrial regions - the Sverdlovsk region. The authors base their own research on the conceptual guidelines of the scientific paradigm of sustainable development. Operative statistical data on the Sverdlovsk region are presented. In the study the conclusions were reached about the immediate prospects for the development of the Sverdlovsk region economy in the context of a new coronavirus infection. The processes that are an approximate scenario for the development of events at the regional level were identified. The importance of maintaining industrial specialization in the new realities of the economy as an important factor in sustainable development not only at the national level, but also at the regional level was revealed.
Challenges of strategizing the sustainable development of regions in the context of sanctions and restrictions
Authors: Odintsova Tatyana , Odintsov Alexander
Published: November 2020

The issues of sustainable development of regions and territories acquire special relevance in the context of dynamism and uncertainty of the external environment and trends of social progress, therefore, they are the subject of consideration by a large number of scientists and experts. A condition for ensuring the sustainability of such a development is strategizing, which requires the appropriate information, analytical and methodological support for any region, and even more so for a territory which livelihoods are affected by restrictive international measures. The purpose of the article is to consider the specifics of strategizing the sustainable development of the region, taking into account the influence of the factor of sanctions and restrictions, and to develop the appropriate recommendations for building up a strategy and functioning of the system of its information and analytical support in the appropriate conditions
The evolution model of territories of advanced development based on the institutional-synergetic approach
Authors: Galiullina Gulia
Published: November 2020

Since 2015, for sustainable development of the territories and transfer of the country’s economy to the advanced development, the country has been creating territories of advanced socio-economic development. At present, the status of TASED residents is granted to companies with technologies of the II-IV technological paradigms. To attract companies to the territory of higher value-added production (production of V and VI technological paradigms), appropriate institutional conditions must be created, as these productions develop in an environment that seeks change, has a global scale, individualization of production and consumption, high frequency of implementation in the production of new products, etc. The article presents a model of TASED evolution in terms of institutional-synergetic approach, which intertwines the characteristics of the required institutional conditions and environmental parameters with the level of technological development of key enterprises of a special territory, which allows launching the mechanism of self-development.
Strategic management of sustainable development in the Sverdlovsk region
Authors: Turgel Irina , Pobedin Aleksander , Panzabekova Aksanat
Published: November 2020

The implementation of the sustainable development goals requires the coordinated activities at all levels of government and administration, including the regional level. The Sverdlovsk Region, one of the leading regions of the Russian Federation, actively uses the mechanisms of the strategic management in making the socio-economic policy, however, the coordination of the traditional strategic priorities and goals of sustainable development of the UN is required. Comparison of the SDGs and strategic policy directions implemented in the Sverdlovsk region made it possible to identify three groups of SDGs: highly reflected in strategic documents, partially implemented and not yet reflected in making a regional strategy. Despite the high level of coordination of the SDGs and the strategic objectives of the region, there are the problematic areas, including the activities to combat poverty and gender policy.
Students’ representations of a university professor’s leadership qualities in conditions of e-learning
Authors: Kremen Sergei , Tsitsikashvili Kseniya
Published: November 2020

The article deals with the problem of university professor leadership qualities in conditions of e-learning. The purpose of this study was to determine the leadership qualities of a university professor that are in demand in e-learning, according to the students. The main method of research was a survey of students aimed at identifying their attitude to e-learning, and their opinions on the necessary leadership qualities of the university professor in the condition of e-learning. The respondents were 146 undergraduate students enrolled in teacher training programs at the Smolensk State University. The study shows the relationship between the presence of leadership qualities in the university professor and the positive attitude of students to e-learning. The most important qualities of a university professor in conditions of e-learning, according to students, are highlighted. The authors emphasize the importance of developing professors’ leadership qualities as an important factor in quality education at the university.
Foresight technology in the integration of education, science and production
Authors: Sagintaeva Saule , Zhanbayev Rinat , Nazarov Anton
Published: November 2020

One of the most pressing problems in modern conditions for the state is forecasting scientific and technological development with the definition of promising strategic directions and innovative technologies. Such forecasting or scientific foresight is necessary for the successful political, economic and social development of the state. Foresight technology is a tool in choosing long-term priorities for the country’s development, which will help determine strategic research directions and new technologies that contribute to the greatest socio-economic effect and the integration of education, science, and production. The article describes the approach developed by the authors, which is to recognize the priority of the development of regional science, which makes it possible to use the potential of university and industry science directly at the locations of production structures. In this regard, the authors substantiate the need to form a mechanism for interaction between higher education and business, which is based on the “triple helix” model, modified taking into account the specifics of mono-industrial regions. With the help of the mechanism proposed by the authors, based on the adapted model of the “triple helix”, in which the university plays a system-forming role, the problems of single-industry towns can be solved. Itmotivateslocal businesses to create and implement innovative projects using the scientific potential of the regional university.
Sustainable development of education: a home bank of management decisions of the university in ensuring the minimum requirements of legislation
Authors: Mikhaylova Natalya , Verkhoturov Sergey
Published: November 2020

The article discusses the issues of building a university management model focused on meeting the minimum accreditation requirements and legislative requirements in the field of higher education, ensuring the sustainable development of education. In the context of global informatization of the society, the information technologies are being introduced into the various fields of activity. The university management system did not stand aside. The authors propose the use of gamification technology through the automated tools that provide processing and analysis of big data, diagnostics of the quality of downloaded information. Gamification allows the target users to complete the assigned tasks subject to the certain rules and restrictions, which makes the process of performing them similar to a game. It simultaneously contributes to the development of the personnel, the creation of a process of rivalry, motivation and social interaction. Gamification allows the head of an educational organization to build a balanced model of organizational behavior, taking into account the model of behavior of the performers, to ensure the division of administrative and academic spheres of management. These aspects are important elements in the system of the sustainable development of education.
Innovative technologies for solving the problem of mastering the content of vocational education by future specialists in mining mechanical engineering
Authors: Saigushev Nikolay , Vedeneeva Olga , Tsaran Alexander , Kashuba Inessa , Vedeneeva Anna
Published: November 2020

The article addresses the solution to the problem of assimilation of professional education content by future specialists of mining mechanical engineering. The efficiency of mastering the content of professional education of future specialists of mining mechanical engineering can be ensured on the basis of a contextual-modular approach: ideological and conceptual structuring of educational material; sufficient creation of a value orientation framework, which directly affects the educational material, the process of professional development and self-development of future specialists of mining mechanical engineering; establishment of subject-subjects in the process of professional training.
On some of the basic trends in Russian higher education in the context of transition to education for sustainable development
Authors: Nikiforova Marina
Published: November 2020

The paper discusses the basic trends in the system of Russian higher education in the light of transition to the model of education for sustainable development. Special attention is given to some tendencies in language teaching in institutions of higher education, humanitarian focus of higher education being emphasized.
Podcasts as a method of teaching the system of precedent texts in the language of sustainable education
Authors: Evtyugina Alla , Volkova Lydia
Published: November 2020

The relevance of the problem under study is due to the increasing number of foreign students studying Russian and the need to expand approaches to their education in this area, taking into account the current state of the Russian language, its contextuality and precedence. The article is aimed at identifying the need to distinguish precedent units as a separate discipline for the course “Russian as a foreign language” and the selection of methodological tools that are relevant for this discipline, allowing students to develop speech skills based on the current state of Russian speech. The leading approach to the study of this problem is the method of predictive modeling, which makes it possible to identify the likely advantages of introducing methodological innovations into educational practice. Also, the research methods were a survey with subsequent analysis of the data obtained. The article substantiates the expediency of identifying a separate discipline based on precedent texts for students of Russian as a foreign language, based on the methodological use of educational podcasts. The materials of the article are of practical value for teachers of Russian as a foreign language in higher educational institutions.
Organic soybean production in Switzerland
Authors: Klaiss Matthias , Schmid Nathaniel , Betrix Claude-Alain , Baux Alice , Charles Raphaël , Messmer Monika M.
Published: November 2020

Organic Soybean cultivation experiences an upscale at the moment in Switzerland. As in the rest of Europe, Switzerland is still heavily dependent on protein imports. After years of stakeholders efforts of the development of a value chain for organic soybeans for human nutrition, various attempts to develop the soybean cultivation for feed proved to be fruitful despite the fact that Swiss price level is beyond competition for world market prices. The organic farmers themselves decided to become, at least partially, more independent from overseas soybean imports by opting for organic soybeans of European origin since 2019. Furthermore, Bio Suisse decided that from 2022 on, all ruminants under Bio Suisse certification must be fed with feed of Swiss origin, concentrates are limited to 5% of the ration. Since many years numerous projects are carried out to increase the domestic protein production by developing suitable production systems for peas, faba beans, lupines and soybeans with stakholders along the value chain. Since more than 30 years, Swiss breeders successfully develop 00 to 000 soybean varieties with a focus on human nutrition, organic soybean cultivation and the respective value chains from breeding to endproduct is developing strongly. This article will shed light on particular aspects and drivers, specific measures, relevant projects and cultivation techniques of organic soybean production in Switzerland in the past years and will give an outlook on the future of organic soybeans.
An optimization of solid transportation problem with stochastic demand by Lagrangian function and KKT conditions
Authors: Kuiri Anjana , Das Barun , Mahato Sanat Kumar
Published: November 2020

In this paper, a stochastic solid transportation problem (SSTP) is constructed where the demand of the item at the destinations are randomly distributed. Such SSTP is formulated with profit maximization form containing selling revenue, transportation cost and holding/shortage cost of the item. The proposed SSTP is framed as a nonlinear transportation problem which is optimized through Karush–Kuhn–Tucker (KKT) conditions of the Lagrangian function. The primary model is bifurcated into three different models for continuous and discrete demand patterns. The concavity of the objective functions is also presented here very carefully. Finally, a numerical example is illustrated to stabilize the models.
Wünsche und Bedürfnisse von Geschwistern psychisch kranker Menschen
Authors: Stahl Tony , Meyer Lotte , Kemper Charlotte
Published: November 2020

Wenn der Bruder oder die Schwester psychisch erkrankt, ist das meistens sehr belastend. Allerdings finden die Geschwister weder in der Forschung noch im Hilfesystem ausreichend Beachtung. Welche Bedürfnisse haben die Geschwister? Welche Unterstützung erfahren sie? Was erleben sie als hilfreich? Eine quantitative Befragung liefert erste Antworten.
Novum: Fachweiterbildung für psychiatrische Pflege durch eine Pflegekammer
Authors: Daum Björn
Published: November 2020

Die Rahmenvorgaben für die Fort- und Weiterbildungen in der Pflege zu überarbeiten – dies war eine der ersten Aufgaben, die die neu gegründete Landespflegekammer Rheinland-Pfalz in Angriff nahm. Entstanden ist unter anderem die Rahmenvorgabe für die Weiterbildung „Fachpflege für psychische Gesundheit“. Unser Autor war an der Überarbeitung beteiligt und fasst Hintergründe, Ziele und Inhalte zusammen.
Die homöopathische Behandlung von Schlafstörungen
Authors: Koch Ulrich
Published: November 2020

Schlaf ist ein für unsere Gesundheit und Regeneration grundlegender Zustand. Schlafstörungen nehmen in der heutigen Zeit zu und sind häufig. Den aktuellen Leitlinien entsprechend wird eine mehrdimensionale Behandlung empfohlen, in deren Rahmen die Homöopathie gut eingesetzt werden kann und die den Einsatz nebenwirkungsreicher oder abhängig machender Medikamente überflüssig machen kann. Der Artikel zeigt die grundlegenden Strategien und die wichtigsten Arzneien dazu auf.
Das Zittern im Trauma
Authors: Ziehaus Otto
Published: November 2020

Es wird ein Fall dargestellt, der aufzeigt, wie verschiedene Ansätze zur Mittelfindung ineinandergreifen, um den Fall zu lösen. Im Zentrum steht dabei ein Trauma.
Führung als Burn-out-Prävention
Authors: Longinus Antonia , Ebner Markus
Published: November 2020

Wie schaffen es Führungskräfte, ihre Mitarbeiter zu motivieren? Durch Positive Leadership, einen Führungsstil, der das Selbstvertrauen der Beschäftigten in ihre eigenen Fähigkeiten stärkt. Und der das Risiko zum Burn-out-Syndrom senkt, wie eine Studie unserer Autoren belegt.
Trend mit riesiger Brisanz
Authors: Heeser Alexandra
Published: November 2020

Leiharbeit in der Pflege ist ein polarisierendes Thema. Zu teuer sagen die Verantwortlichen, eine echte Alternative aufgrund besserer Bezahlung sagen die Pflegenden selbst. Zeitarbeit ist mittlerweile nicht mehr nur Problemlöser für Kliniken, um kurzfristige Lücken im Dienstplan zu stopfen. Sie ist zunehmend selbst zum Problem geworden.
Aktuelle Erkenntnisse zur Gicht – eine Nachlese vom eEULAR 2020
Authors: Tausche Anne-Kathrin
Published: November 2020

Die Gicht ist die häufigste entzündliche Arthritis beim Mann. Zumeist stellen sich die Patienten mit einem ersten akuten Gichtanfall beim Hausarzt vor. In Kenntnis der existierenden Leitlinien sollte neben der antientzündlichen Therapie des Gichtanfalles zeitnah mit einer harnsäuresenkenden Therapie begonnen werden, wenn sich die für die Gicht ursächliche Hyperurikämie nicht durch diätetische Bemühungen in den Zielwert senken lässt. Leider ist die Versorgungsrealität von Gichtpatienten oft nicht optimal und komplizierte Verläufe werden beim Rheumatologen vorstellig. Die Rheumatologen mit ihren Fachgesellschaften waren es auch, die sich initial der Erstellung von Leitlinien zur Diagnostik und Therapie der metabolisch verursachten Gelenkerkrankung angenommen haben; darüber hinaus tragen Rheumatologen seit vielen Jahren zum Wissensgewinn auf dem Gebiet der Gicht durch Grundlagenforschung sowie klinische Forschung bei. So wurde auch dieses Jahr, welches durch die Covid-19-Situation ein ganz besonderes Jahr ist, eine Vielzahl neuer Erkenntnisse zur Gicht auf dem EULAR erstmalig in virtueller Form präsentiert.
Borates as a Traceless Activation Group for Intermolecular Alkylarylation of Ethylene through Photoredox/Nickel Dual Catalysis
Authors: Zhu Shengqing , Chu Lingling , Feng Xiaoliang , Guo Lei
Published: November 2020

A formal ethylene alkylarylation reaction with aryl halides and alkyl oxalates enabled by synergistic photoredox/nickel catalysis is reported. This protocol takes advantage of borates as a traceless activation group, achieving the formal ethylene difunctionalized products via a catalytic three-component 1,2-alkylarylation of vinyl borate followed by a base-assisted deborylation process. The mild conditions allow for excellent functional groups compatibility and broad substrate scope.
Navegação em cirurgia de artroplastia de ombro
Authors: Nascimento Luis Gustavo Prata , Ikemoto Roberto Yukio , Wright Thomas
Published: November 2020

A indicação de artroplastias do ombro aumentou progressivamente. O posicionamento preciso dos componentes pode ter implicações significativas para os resultados clínicos. A navegação utilizada para auxiliar no desempenho de artroplastias totais anatômicas e reversas tem proporcionado maior precisão na colocação do implante, especialmente do componente glenoidal. O desenvolvimento da técnica, do material e do desenho da prótese têm mostrado resultados encorajadores e levado a uma tendência de expansão da sua utilização. Dessa forma, estimamos uma maior sobrevida das artroplastias resultantes de menores taxas de instabilidade e soltura precoce. Nosso objetivo é descrever a técnica atual e apresentar os resultados da literatura com navegação. No entanto, estudos clínicos comparativos com acompanhamento de longo prazo são necessários para comprovar a eficácia nos resultados finais das artroplastias totais do ombro.
A Modification of the Cheli Craniolateral Approach for Minimally Invasive Treatment of Osteochondritis Dissecans of the Shoulder in Dogs: Description of the Technique and Outcome in 164 Cases
Authors: Vezzoni Aldo , Vezzoni Luca , Boiocchi Silvia , Miolo Alda , Holsworth Ian Gordon
Published: November 2020

Objective The aim of this study was to describe a novel minimally invasive surgical approach for the treatment of shoulder osteochondritis dissecans (OCD) in dogs and to retrospectively review our clinical cases treated with this approach.

Study Design The study describes a modification of Cheli surgical approach (1985), developed to reduce the degree of invasiveness as well as the incidence of postoperative complications observed in other surgical approaches to the shoulder joint. Medical records of dogs that underwent our minimally invasive approach to the scapulohumeral joint for treatment of OCD from May 2001 to May 2019 were retrospectively reviewed for intraoperative findings and complications. Clinical outcome and complications were also evaluated in the operated dogs with a minimum of a 2-month-follow-up evaluation.

Results A total of 164 shoulders in 141 dogs (23 bilateral), 103 males and 38 females, were examined and treated with our modified craniolateral approach for the treatment of OCD of the humeral head. In all cases, the modified craniolateral approach allowed visibility and adequate exposure of the caudal humeral head surface. Radiographic and clinical follow-up evaluations were available in 123/164 (75%) cases. The clinical outcome was consistent with other reports using different surgical approaches for OCD lesions of the humeral head in dogs.

Clinical Significance This technique provided a reliable approach for surgical treatment of canine shoulder OCD and can be considered a valid alternative to other surgical approaches including arthroscopy.
Profile of Nontuberculous Mycobacteria in Patients Suspected of Tuberculosis and Drug-Resistant Tuberculosis
Authors: Sharma Megha , Malhotra Bharti , Tiwari Jitendra , Bhargava Shipra
Published: November 2020

Objective Infections due to nontuberculous mycobacteria (NTM) is increasing globally and may present as drug-resistant tuberculosis (DRTB). In India, data on NTM prevalence and species diversity is limited. Present study was conducted to detect the prevalence and profile of NTM among patients suspected of DRTB using paraffin slide culture (PSC)and mycobacteria growth indicator tube (MGIT) culture methods for isolation of NTM.

Material and Method A total of 2,938 samples suspected of TB/DRTB were cultured on PSC and MGIT960. Species identification of mycobacterial isolate was done by sequencing of 16s ribosomal RNA gene.

Result Among 2938 samples, 35 (1.19%) were found positive for NTM by PSC and 9 (0.30%) were found positive by MGIT. The diversity of NTM species was high (13 species). Out of 35 NTM isolates by PSC, maximum 34.29% (12) isolates were found to be Mycobacterium fortuitum, followed by 11.43% (4) Mycobacterium abscessus and Mycobacterium chelonae, and 42.85% (15) were other species viz. 8.57% (3) were Mycobacterium intracellulare and Mycobacterium kansasii, 5.71% (2) were Mycobacterium peregrinum, and 2.85% (1) were Mycobacterium flavescens, Mycobacterium farcinogenes, Mycobacterium moriokanese, Mycobacterium wolinskyi, Mycobacterium simiae, Mycobacterium goodii, and Mycobacterium terrae each. Coinfection of Mycobacterium tuberculosis(MTB) and NTM was found in 60% (21) samples.

Conclusion Prevalence of NTM was low among multidrug resistant tuberculosis/TB suspected patients, similar to other studies done in India. PSC was found better than MGIT for the isolation of NTM, though poor separation of NTM and MTB on subculture may have led to false negativity in cases of coinfection. About 13 species were isolated; M. fortuitum was the most common of all. Since coinfection of NTM and TB can also occur, samples of patients suspected of NTM should be cultured on PSC even if positive for MTB.
Antimicrobial Resistance Patterns in Clinically Significant Isolates from Medical Wards of a Tertiary Care Hospital in North India
Authors: Vaithiyam Venkatesh Sudharsan , Rastogi Neha , Ranjan Piyush , Mahishi Niranjan , Kapil Arti , Dwivedi Sada Nand , Soneja Manish , Wig Naveet , Biswas Ashutosh
Published: November 2020

Background The global burden of infections due to multidrug-resistant organism (MDRO) has a significant impact on patients’ morbidity and mortality along with increased healthcare expenditure.

Aim This article estimates the prevalence of MDRO and the spectrum of clinical infectious syndromes caused by these organisms in medical wards of a tertiary care hospital in India.

Design and Methods A cross-sectional observational study was performed among patients admitted in medicine wards diagnosed with the various infectious syndromes and one or more clinically significant positive culture at a tertiary care hospital in North India over a period of 18 months.

Results Out of 323 clinically significant microbiological culture isolates from 229 patients included in the study, 86 (27%) isolates showed multidrug resistance (MDR) pattern, 197 (61%) isolates showed possible extremely drug-resistance pattern, and only 40 (12%) isolates showed nonmultidrug-resistance pattern of antibiogram.

Conclusion The prevalence of MRDOs is high in clinically significant culture isolates from medicine wards in India. This emphasizes the importance of appropriate antibiotic usage and implementation of antibiotic stewardship programs in this part of the world.
Pandemic infection rates are deterministic but cannot be modeled
Authors: McCauley Joseph L.
Published: November 2020

The covid-19 infection rates for a large number of infections collected from a large number of different sites are well defined with a negligible scatter. The simplest invertible iterated map, exponential growth and decay, emerges from country-wide histograms whenever Tchebychev’s inequality is satisfied to within several decimal places. This is one point. Another is that failed covid-19 pandemic model predictions have been reported repeatedly by the news media. Model predictions fail because the observed infection rates are beyond modeling: any model that uses fixed rates or uses memory or averages of past rates cannot reproduce the data on active infections. When those possibilities are ruled out, then little is left. Under lockdown and social distancing, the rates unfold daily in small but unforeseeable steps, they are algorithmically complex. We can, however, use two days in the daily data, today and any single day in the past (generally yesterday), to make a useful forecast of future infections. No model provides results better than this simple forecast. We analyze the actual doubling times for covid-19 data and compare them with our predicted doubling times. Flattening and peaking are precisely defined. We identify and study the separate effects of social distancing vs recoveries in the daily infection rates. Social distancing can only cause flattening but recoveries are required in order for the active infections to peak and decay. Three models and their predictions are analyzed. Pandemic data for Austria, Germany, Italy, the USA, the UK, Finland, China, Taiwan, and Sweden are discussed.