bluuebunny/crossref_metadata_2025 huggingface dataset:
Gender Minority Stress and Depressive Symptoms in Transitioned Swiss Transpersons
Authors: Jäggi Tiziana , Jellestad Lena , Corbisiero Salvatore , Schaefer Dirk J. , Jenewein Josef , Schneeberger Andres , Kuhn Annette , Garcia Nuñez David
Published: April 2018

Compared to the general population, transpersons are exposed to higher levels of discrimination and violence. The stigmatization of transpersons can lead to physical and psychological problems. In particular, transindividuals exhibit a higher prevalence of depression compared to the cispopulation. The gender minority stress model (GMSM) provides a comprehensive theoretical basis to interpret these biopsychosocial interactions. Using the GMSM, this study aimed to identify associations between experience of stigmatization and the mental health of transitioned transpersons using correlational analyses and multiple regression models. In total, 143 transpersons were recruited. Multivariate analyses identified three variables (i.e., unemployment, nonaffirmation of gender identity, and internalized transphobia) to explain variance of depressive symptoms. Furthermore, a mediation of the proximal factors between distal factors and depressive symptoms was found. However, the moderating effect of resilience factors was not demonstrated. The results confirmed the importance of distal and proximal minority stressors for the mental health of transpersons. At the same time, the protective influence of resilience factors seemed to be surprisingly minor. In the treatment of transpersons, practitioners should not only focus on somatic aspects, but also consider the person’s previous experiences of stigmatization.
Diffuse bullöse Eruptionen bei einer älteren Frau: Spätmanifestation eines bullösen systemischen Lupus erythematodes
Authors: Boddu Prajwal , Nadiri Mojtaba , Malik Owais
Published: April 2018

Vesikulobullöse Eruptionen bei Älteren sind Teil zahlreicher verschiedener Pathophysiologien und können für den Kliniker eine diagnostische Herausforderung darstellen. Die Diagnose erfordert eine sorgfältige Anamnese, eine eingehende körperliche und histomorphologische Untersuchung und entsprechende Immunfluoreszenztests. In der vorliegenden Arbeit berichten wir über den Fall einer 73-jährigen Frau, die sich mit einem seit zwei Tagen bestehenden schmerzhaften bullösen Exanthem in unserer Klinik vorstellte. Bei der Untersuchung der Haut fielen zahlreiche schlaffe Blasen auf normal erscheinender, nicht erythematöser Haut an den oberen und unteren Gliedmaßen auf. Die histologische Untersuchung der aus einer Läsion entnommenen Biopsie zeigte Veränderungen an der dermo-epidermalen Junktionszone mit subepidermaler Blasenbildung, leichter dermaler Fibrose und einem spärlichen interstitiellen neutrophilen Infiltrat. Die immunhistologische Untersuchung ergab deutlich positive IgG-Basalmembran-Antikörper mit dermalem Anordnungsmuster in der direkten Immunfluoreszenz und positive antinukleäre IgG-Antikörper in der indirekten Immunfluoreszenz. Der Nachweis von Antikörpern gegen Typ-VII-Kollagen sprach für die Diagnose Epidermolysis bullosa acquisita (EBA) oder bullöser systemischer Lupus erythematodes (BSLE). Aufgrund der positiven Kriterien des American College of Rheumatology (ACR) für systemischer Lupus erythematodes (SLE) sowie der histopathologischen Befunde und Immunfluoreszenzergebnisse zu den vesikulobullösen Eruptionen wurde die Diagnose BSLE gestellt. Der vorliegende Fall verdeutlicht eine der vielen Herausforderungen bei der Diagnosestellung, vor denen der Arzt angesichts der großen Zahl blasenbildender Autoimmundermatosen steht. Es ist für Internisten und Dermatologen gleichermaßen wichtig, an diese seltene und unspezifische kutane Manifestationsform des SLE zu denken und sie von den zahlreichen Erkrankungen mit vesikulobullösen Hauteruptionen bei Älteren abzugrenzen. Übersetzung aus Case Reports in Dermatology 2016;8:278-282 (DOI: 10.1159/000448392).
Injektionstechnik, individuelle Physiologie und Charakteristika des Fillers - das A und O ästhetischer Behandlungen
Authors: Prager Welf
Published: April 2018

Dermal filler and toxin injections have become the most frequently performed aesthetic procedures, offering patients rejuvenation and enhancement, with minimal downtime. The quality of the post-injection result and frequency of adverse events is related to the training, technical skill, and aesthetic and clinical judgment of the injector. Any provider performing injectable treatments should have a comprehensive understanding of facial aesthetics and facial anatomy, and how it is impacted by aging; as well as the available injectate capabilities and characteristics. They should be capable of skillfully employing injection techniques that minimize adverse events while maximizing success in achieving aesthetic goals. This chapter will review the anatomy and components of facial aging, the principles of facial aesthetics, the available injection techniques and their applications, as well as guidelines to avoid adverse events. Once an aesthetic practitioner has achieved a solid understanding of the available filler products, is able to accurately assess a patient and formulate a treatment plan, and then use a good technique to perform injections, patient satisfaction is assured.
The Role of Doppler Ultrassonography in Significant and Borderline Stenosis Definition
Authors: Castro Ana , Moreira Carla , Almeida Paulo , de Matos Norton , Loureiro Luís , Teixeira Gabriela , Rego Duarte , Teixeira Sérgio , Pinheiro Joaquim , Carvalho Telmo , Fonseca Isabel , Queirós José
Published: April 2018

Background: The definition of significant stenosis (SS) remains controversial. Methods: We retrospectively reviewed 1,040 consultations. SS was defined in the presence of clinical and echo-Doppler (DDU) criteria: Qa <500 mL/min or Qa decrease >25%; RI >0.7 in the feeding artery or absolute minimal luminal stenosis diameter <2.0 mm. Stenosis without any additional criteria were considered borderline stenosis (BS). Results: Two hundred twenty-one arteriovenous fistulas (AVFs) were included: 58.8% had SS, 18.6% had BS, and 22.6% had no dysfunctional access (ND). SS had a significantly higher thrombotic events than BS and ND (13.1 vs. 4.4%, p = 0.018). The annual thrombosis rate was 0.007, 0.037, and 0.004 in the ND, SS, and BS, respectively. AVF cumulative survival at 5 years was significantly lower in SS (89.5%) compared to BS (100%) and ND (97.4%; p = 0.03). BS had an HR for AVF failure of 1.1, p = 0.955, while the SS presented an HR of 5.9, p = 0.09. Conclusion: AVF clinical monitoring with additional DDU criteria appear to be appropriate for therapeutic referral.
Análise dos Artigos Publicados na Revista Turismo em Análise entre os Anos de 2004 e 2015
Authors: Seixas Camila Lopes , Caron Monica Filomena
Published: April 2018

Na pesquisa foram analisadas as publicações da revista Turismo em Análise entre os anos de 2004 e 2015, identificando-se a formação acadêmica dos autores, as disciplinas, áreas ou abordagens de estudos envolvidas nas pesquisas, além da forma como estas têm sido construtivas para o desenvolvimento das pesquisas e de sua episteme. Na análise operou-se também um mapeamento das metodologias, um estudo bibliográfico do tema metodologia e da metodologia específica para o turismo e uma busca documental no site da revista e em revistas impressas, coletadas na Escola de Comunicação e Artes da Universidade de São Paulo (ECA-USP). Foi feito um mapeamento dos artigos identificando-se o campo de atividade humana; a utilização dos resultados; a natureza e procedência dos dados; o grau de generalização dos resultados e as técnicas e os instrumentos de observação. Os resultados, demonstrados em tabelas e gráficos, indicaram um aumento de pesquisadores das áreas de administração, geografia, economia e comunicação publicando sobre turismo, e um aumento bastante significativo nos últimos doze anos de pesquisadores doutores das áreas do turismo. Em relação às abordagens de estudos, identificou-se uma tendência de aumento no planejamento e nos negócios empresariais (administração).
Although Coronary Mortality Has Decreased, Rates of Cardiovascular Disease Remain High: 21 Years of Follow‐Up Comparing Cohorts of Men Born in 1913 With Men Born in 1943
Authors: Fu Michael , Rosengren Annika , Thunström Erik , Mandalenakis Zacharias , Welin Lennart , Caidahl Kenneth , Pivodic Aldina , Zhong You , Ergatoudes Constantinos , Morales David , Welin Catharina , Svärdsudd Kurt , Dellborg Mikael , Hansson Per‐Olof
Published: April 2018

Background

Despite a decline in mortality rates from cardiovascular disease (
CVD
) in the past few decades, the burden of
CVD
in a contemporary population remains inadequately addressed. Therefore, this study was aimed to investigate secular trends in mortality from coronary artery disease and all‐cause mortality over 2 decades, by comparing 2 cohorts of men born 30 years apart and evaluate the prediction of the risk of
CVD
and all‐cause death in a contemporary random sample of Swedish men.

Methods and Results

Two cohorts of randomly selected men born in 1913 (855 men) and 1943 (798 men) were first examined at age 50 in 1963 and 1993, respectively, and followed longitudinally over 21 years. All‐cause mortality and coronary artery disease death were lower in 50‐ to 71‐year‐old men born in 1943 compared with those born in 1913, with unadjusted hazard ratios of 0.57 (0.45–0.71) and 0.34 (0.22–0.53), respectively. After adjustment for risk factors (smoking, serum cholesterol, hypertension, systolic blood pressure, diabetes mellitus, body mass index, and physical activity), the differences between the cohorts remained significant for coronary artery disease, hazard ratios 0.57 (0.34–0.94),
P
=0.029, but not for all‐cause mortality hazard ratios 0.82 (0.62–1.07),
P
=0.14. However, the rate of
CVD
events during follow‐up was still high (30.7%) for the men born in 1943. No statistically significant interaction by birth cohort in contribution of risk factors to death was found between 2 cohorts except physical inactivity.

Conclusions

Despite a marked reduction in the rate of coronary artery disease death over the past 30 years, the burden of
CVD
events and all‐cause mortality remains high. Therefore, intensified efforts to modify contributing risk factors are still required.
“But I Don’t Eat that Much Meat”
Authors: Rothgerber Hank
Published: April 2018

As arguments become more pronounced that meat consumption harms the environment, public health, and nonhuman animals, meat-eaters should experience increased pressure to justify their behavior. The present research further tested the notion that women employ indirect meat-eating justification strategies relative to men, specifically the claim that as a form of self-justification, women would underreport meat consumption when the context called in to question their dietary behavior. Men and women were randomly assigned to a treatment condition in which they were informed that they would watch aPETAdocumentary about meat production or to a control condition, and then they completed a questionnaire assessing the amount of various meats they consumed. Women reported eating less meat when threatened by watching the documentary, while male estimates were unchanged across conditions. Furthermore, this effect was sensitive to how much participants believed nonhuman animals shared similar emotions to humans.
Perceptions of the EU’s Role in the Ukraine-Russia and the Israel-Palestine Conflicts: A Biased Mediator?
Authors: Elgström Ole , Chaban Natalia , Knodt Michèle , Müller Patrick , Pardo Sharon
Published: April 2018

This article focuses on how the European Union’s (EU) mediation activities during the Russia-Ukraine and Israel-Palestine conflicts are perceived by local elites. Our analysis is based on recent interviews with decision makers in Ukraine, Israel and Palestine. Consistent with this special issue, we investigate perceptions ofEUroles, strategies and effectiveness. We suggest that theEU’s relation to the parties may affect their perceptions ofEUconflict mediation efforts. Specifically, we expect that theEUis perceived as abiased mediatorin both cases due to perceived close relations to one or more conflict parties. However, contrary to our expectations and widespread assumption in mediation theory, while such a bias exists, we found it isnotperceived as a main cause ofEUineffectiveness. Other factors, including the prominence of other mediators and internalEUdisunity, are perceived as more detrimental toEUefficacy.
The impact of a disease management programme for type 2 diabetes on health-related quality of life: multilevel analysis of a cluster-randomised controlled trial
Authors: Panisch Sigrid , Johansson Tim , Flamm Maria , Winkler Henrike , Weitgasser Raimund , Sönnichsen Andreas C.
Published: April 2018

Background

Type 2 diabetes is a chronic disease associated with poorer health outcomes and decreased health related quality of life (HRQoL). The aim of this analysis was to explore the impact of a disease management programme (DMP) in type 2 diabetes on HRQoL. A multilevel model was used to explain the variation in EQ-VAS.

Methods

A cluster-randomized controlled trial—analysis of the secondary endpoint HRQoL. Our study population were general practitioners and patients in the province of Salzburg. The DMP “Therapie-Aktiv” was implemented in the intervention group, and controls received usual care. Outcome measure was a change in EQ-VAS after 12 months. For comparison of rates, we used Fisher’s Exact test; for continuous variables the independent T test or Welch test were used. In the multilevel modeling, we examined various models, continuously adding variables to explain the variation in the dependent variable, starting with an empty model, including only the random intercept. We analysed random effects parameters in order to disentangle variation of the final EQ-VAS.

Results

The EQ-VAS significantly increased within the intervention group (mean difference 2.19, p = 0.005). There was no significant difference in EQ-VAS between groups (mean difference 1.00, p = 0.339). In the intervention group the improvement was more distinct in women (2.46, p = 0.036) compared to men (1.92, p = 0.063). In multilevel modeling, sex, age, family and work circumstances, any macrovascular diabetic complication, duration of diabetes, baseline body mass index and baseline EQ-VAS significantly influence final EQ-VAS, while DMP does not. The final model explains 28.9% (EQ-VAS) of the total variance. Most of the unexplained variance was found on patient-level (95%) and less on GP-level (5%).

Conclusion

DMP “Therapie-Aktiv” has no significant impact on final EQ-VAS. The impact of DMPs in type 2 diabetes on HRQoL is still unclear and future programmes should focus on patient specific needs and predictors in order to improve HRQoL.

Trial registration Current Controlled trials Ltd., ISRCTN27414162
Publication impact factors — A measure of your paper’s impact on your career, on your science, and on those who read your paper?
Authors: Cobb Jennifer , Marfurt Kurt , Bakamjian Ted
Published: April 2018

All authors want their submitted papers to have maximum impact. Perhaps the greatest compliment you can earn as an author is to have your paper cited by other authors whom you respect. The impact of your paper can be on your professional reputation, your company’s ability to solicit customers and/or enlist partners, and if you are a university or government employee, on your yearly performance evaluation. For these reasons, authors sometimes consider journals’ impact factors when deciding to which journal they will submit. Institutions often use impact factors when evaluating professors for tenure. Librarians often consider them when making subscription decisions. Where did impact factors originate, and what do these numbers really mean?
Laser electro-chemical treatment tungsten free hard alloy KNT16 in 10% aqueous solution of sodium chloride
Authors: Гаар Надежда , Gaar Nadezhda
Published: April 2018

The results on laser electro-chemical treatment of tungsten free hard alloy KNT16 in 16% aqueous solution of sodium chloride at the use of laser emission with the wave length 1.06 mkm at different values of the frequency of pulse sequence in the range of potentials from 0 to 5V are presented. The investigations were carried out with the use of polarization methods: a potentio-static method and potentio-dynamic one on the special developed plant in the electro-chemical cell with the platinum electrode of comparison. It is defined that the application of laser emission for process activation of the electro-chemical dissolution of tungsten free hard alloy in aqueous solution of sodium chloride results in current density increase up to 6 times. The impact of pulse sequence frequency upon electro-chemical alloy dissolution at the process activation with the length of 1.06 mkm is emphasized. The highest value of current density is achieved at the frequency of pulse sequence 2.5kHz.
Dharma and the Academy: A Hindu Academic's View
Authors: Sharma Arvind
Published: April 2018

The relations between the academic community and the Hindu community have recently come to be characterized by a sharp debate, which has also spilled over into journalism and the Internet. This development has been prompted by the reservations expressed by a significant number of Hindus in North America and India over the way Hinduism is portrayed in the Western academia and by the vigorous response of the academic community to such criticism.

            As an academic, who is also a Hindu; or conversely, as a Hindu, who is also an academic, I (along with some of my other Hindu colleagues) stand at the volatile point of intersection between these two communities. This makes my role in the debate particularly fraught. I shall, nevertheless, try to address the issue or issues involved.
Elementy dialektalne w przekładach Padre padrone Gavina Leddy
Authors: Ślarzyńska Małgorzata
Published: April 2018

The article focuses on Polish translation of Gavino Ledda’s novel Padre padrone in the context of translations into other languages (English, German, Catalan). The main translational issue is the element of bilingualism inherently inscribed in the original text by introducing in brackets dialectal forms of some of Italian expressions. It is argued, by description of multiple functions of such an operation, that this element is a part of a wider structure of the novel and cannot be eliminated without losing some important features, of both the plot and the characters. Elimination or retention of this constructional element results, to some extent, from general tendencies of the target culture.
Teoria przekładu specjalistycznego w ZSRR i Rosji na tle ogólnej teorii przekładu
Authors: Siniawska‑Sujkowska Tatiana
Published: April 2018

Specialized translation theory in USSR and Russia against the background of general translation studies

In the article the history of specialized translation theory in USSR and Russia is presented. Education system of specialized translators, their employment conditions and market are described and scientific research in the field is analyzed against the background of general translation studies at a time when paradigms were changing.
Z dziejów kształtowania się normy przekładu toponimów
Authors: Wołek‑San Sebastian Katarzyna
Published: April 2018

Development of the Norm for Translating Croatian Toponyms Into Polish
The article discusses factors that affect translation of Croatian toponyms into Polish in utility (non‑artistic) translation. These include: a) normative documents, b) usus, c) historical variability of the tendency to use endonyms/exonyms. Guide books for Croatia published in Poland in the 1930s were subjected to analysis, followed by a comparison of the toponyms contained therein with the modern norm and the modern usus. The findings provided by the analysis may be useful in translator training.
Rozważania o normie i tłumaczeniu
Authors: Bednarczyk Anna
Published: April 2018

Considerations on the norms and the translation

Having started with the problems of therminology, the author moves on to the differences in the approach to the concept of the norm in different cultures and epochs; she also shows the variations that result from the different treatment of the recipient or genre of the text. She concludes that the main principle, which should follows the translator is Primum sapere et non nocere (First think and do no harm).
Odpowiedzialność przekładoznawcy, czyli o normatywności i granicach interpretacyjnej swobody tłumacza (przypadek Johna le Carré)
Authors: Jędrzejko Paweł , Salmeri Claudio
Published: April 2018

The Responsibility of Translation Studies Scholar, or Reflections on Normativity and Freedom of Interpretation (the Case of John le Carré)
The translatologist – as an academic researcher – rarely faces the necessity to take legal responsibility for the results of his or her scholarly analysis. Especially today, in the western culture of the second decade of the 21st century, the freedom of theoretical reflection is regarded as an essential element of intellectual development of an individual and as a sine-qua-non condition for the change of discursive, and perceptive, paradigms sensu largo. However, when the translator assumes the role of an expert in the course of legal proceedings related to cases of possible translation plagiarism – the results of his or her intellectual exploration can no longer be construed merely as “theoretical proposals”. In the case presented in this article, such awareness resulted in the fact that the authors, considering themselves poststructural scholars, chose to return to structuralist methodological approaches (variantivity), norms in translation, and to the concept of the tertium comparationis, which, in the context of a comparative analysis of two translations, is the source text.
Norma w tłumaczeniu a poczucie utraty – próba psychoanalitycznej refleksji nad doświadczeniem przekładu
Authors: Szumański Borys
Published: April 2018

The Norm in Translation and the Feeling of Lack – an Attempt of Psychoanalytical Reflection on the Experience of Translation
This article is an attempt to use psychoanalytical language for describing the experience of translation and the discourse on translation. While considering the recognitions and method proposed by Tadeusz Sławek in an article titled, „Kalibanizm. Filozoficzne dylematy tłumaczenia“ [Kalibanism. The philosophic dilemma of translation], I try to describe them and develop, to say a few words about the translation and linguistic norm in the context of feeling of lack widely spread in the discourse on translation. Thinking about translation process as one affected by the melancholy I try to point out the indelible contradiction between the existence of translation norm and the imaginative concept of semantic plenitude of the original text. Repeating after Sławek I make an attempt to indicate a “crypt” that is being build by the target language around the original work, a crpyt existence of which was omitted with silence, although it have had a grate influence on the way that translation funcion in our culture.
Nanoscale Elastic Properties of Dry and wet Smectite
Authors: Zhang Junfang , Pervukhina Marina , Clennell Michael B.
Published: April 2018

The nanoscale elastic properties of moist clay minerals are not sufficiently understood. The aim of the present study was to understand the fundamental mechanism for the effects of water and pore size on clay mineral (K+-smectite) elastic properties using the General Utility Lattice Program (GULP) with the minimum energy configurations obtained from molecular dynamics (MD) simulations. The simulation results were compared to an ideal configuration with transversely isotropic symmetry and were found to be reasonably close. The pressures computed from the MD simulations indicated that the changes due to water in comparison to the dry state varied with the water content and pore size. For pore sizes of around 0.8–1.0 nm, the system goes through a process where the normal pressure is decreased and reaches a minimum as the water content is increased. The minimum normal pressure occurs at water contents of 8 wt.% and 15 wt.% for pore sizes of around 0.8 nm and 1 nm, respectively. Further analyses of the interaction energies between water and K+-smectite and between water and water revealed that the minimum normal pressure corresponded to the maximum rate of slope change of the interaction energies (the second derivative of the interaction energies with respect to the water content). The results indicated that in the presence of water the in-plane stiffness parameters were more correlated to the pressure change that resulted from the interplay between the interactions of water with K+-smectite and the interactions of water with water rather than the water content. The in-plane stiffness parameters were much higher than the out-of-plane parameters. Elastic wave velocities for the P and S waves (VP and VS) in the dry K+-smectite with a pore size of ~1 nm were calculated to be 7.5 and 4.1 km/s, respectively. The P and S wave velocity ratio is key in the interpretation of seismic behavior and revealed that VP/VS = 1.64–1.83, which were values in favorable agreement with the experimental data. The results might offer insight into seismic research to predict the mechanical properties of minerals that are difficult to obtain experimentally and can provide complimentary information to interpret seismic surveys that can assist gas and oil exploration.
Mental Health and Well-Being in Mothers of Children With Rare Genetic Syndromes Showing Chronic Challenging Behavior: A Cross-Sectional and Longitudinal Study
Authors: Adams Dawn , Clarke Samantha , Griffith Gemma , Howlin Pat , Moss Jo , Petty Jane , Tunnicliffe Penny , Oliver Chris
Published: April 2018

It is well documented that mothers of children with challenging behavior (CB) experience elevated levels of stress and that this persists over time, but less is known about the experience of mothers of children with rare genetic syndromes. This article describes 2 studies, 1 cross-sectional and 1 longitudinal, comparing well-being in mothers of children with Angelman, Cornelia de Lange and Cri du Chat syndrome who have either shown chronic CB (n = 18) or low/no CB (n = 26) in the preceding 7 years. The presence of chronic, long-term CB increased maternal stress but not depression or anxiety, and did not influence positive well-being. Stress relating specifically to their child's genetic syndrome reduced with age, highlighting the need for further exploration in this area.
POLÍTICAS DE ENFRENTAMENTO À VIOLÊNCIA CONTRA AS MULHERES NO MARCO DOS 11 ANOS DE LEI MARIA DA PENHA
Authors: Ghisi Ana Silvia Serrano , Oliveira Ana Claudia Delfini Capistrano de , Oliveira Paulo Rogério Melo de
Published: April 2018

Este artigo contextualiza os avanços da Lei Maria da Penha em relação às políticas públicas de gênero e de enfrentamento à violência contra as mulheres no marco dos 11 anos da implementação desta lei. A pesquisa é resultado da dissertação intitulada “As atribuições das delegacias da mulher de Santa Catarina no contexto das relações de gênero e da política nacional de enfrentamento à violência contra as mulheres”, a qual analisou as atribuições normativas das Delegacias da Mulher de Santa Catarina, as normas existentes no âmbito da Polícia Civil catarinense e as novas atividades exigidas da Polícia, previstas na Lei Maria da Penha. Para este artigo, são analisadas as entrevistas realizadas no modelo de pesquisa qualitativa com os/as delegados/as que atuam nas Delegacias da Mulher de Santa Catarina a respeito de suas percepções sobre questões de gênero, violência e políticas públicas.
AVALIAÇÃO DAS CARACTERÍSTICAS SOCIOECONÔMICAS E DE SAÚDE DE PACIENTES ATENDIDOS NO PROGRAMA DE ATENÇÃO NUTRICIONAL À POPULAÇÃO DE ITAJAÍ E REGIÃO (PANPIR) DE UMA UNIVERSIDADE COMUNITÁRIA
Authors: Dias Karina , Pinholatto Cristiane , Barretta Claiza , Matos Cristina Henschel de , Grillo Luciane Peter
Published: April 2018

A caracterização do perfil socioeconômico e de saúde de uma população é destaque na prevenção e no tratamento das doenças crônicas relacionadas à alimentação, tornando-a um instrumento de promoção à saúde. O presente estudo avaliou as características socioeconômicas e de saúde dos pacientes atendidos pelo Projeto de Extensão Permanente “Programa de Atenção Nutricional a População de Itajaí e Região (PANPIR) por meio da Clínica de Nutrição de uma Universidade Comunitária de Santa Catarina entre os anos 2008 e 2014. A coleta de dados foi realizada a partir da análise dos prontuários e dos registros de primeira consulta, considerando dados de saúde (tabagismo, etilismo, atividade física), socioeconômicos (escolaridade) e estado nutricional (peso, estatura e circunferência da cintura). Os resultados demonstram que, dos 844 prontuários avaliados, havia 712 pacientes adultos e 132 idosos e se verificou que o desejo pela perda de peso foi a principal razão da procura pelo atendimento nutricional, sendo que 78% dos indivíduos eram do sexo feminino, média de idade de 44,92 anos (IC95=43,94-45,88), 50% tinham entre 0-8 anos de estudo e 65% eram sedentários. De acordo com do estado nutricional, observou-se elevada prevalência de excesso de peso (85%) e 92% dos pacientes apresentavam risco para doença cardiovascular. Destaca-se a associação significativa entre escolaridade e estado nutricional (p=0,00). Face ao exposto, destaca-se a necessidade e a importância de um atendimento nutricional gratuito e de qualidade, a fim de garantir melhores hábitos alimentares, prevenir doenças crônicas e, por consequência, aumentar a qualidade de vida da população assistida.
AS POLÍTICAS PÚBLICAS NA FORMAÇÃO DA FORÇA DE TRABALHO NA ÁREA DA SAÚDE NA AMÉRICA LATINA: DESAFIOS E POSSIBILIDADES
Authors: Prado Giglio , González Verónica
Published: April 2018

O presente ensaio pretende fazer um percurso histórico ao longo das diferentes políticas públicas, no marco da formação da força humana na saúde, contextualizado principalmente na América Latina, com marcada influência do pensamento médico-social e na saúde coletiva. A primeira consideração que permeia este ensaio é que a educação universitária deve ser um bem público, um direito humano, e deve ser garantida pelo Estado. Este é um campo complexo, já que os processos de formação de profissionais e trabalhadores do campo sanitário fazem parte de uma arena de luta de conceitos e práticas, com repercussões no decorrer dos acontecimentos e na conformação das correlações de força em nossos países. Para finalizar, reflete-se sobre a necessidade de introduzir mudanças substantivas nas grades curriculares das Faculdades de Medicina e outras profissões no campo da saúde, contribuindo deste modo com o imperativo ético de completar os ciclos de construção da cidadania, de contar com serviços nacionais integrais de saúde financiados com verbas gerais, com participação e controle popular, que ofereçam serviços de qualidade, oportunos, resolutivos, humanizados, fora das cruéis características do mercado. Democracia e saúde devem se tornar sinônimos.
A ATUAL CRISE CAPITALISTA E AS POLÍTICAS PÚBLICAS: DOIS PASSOS ATRÁS
Authors: Coutinho Joana A.
Published: April 2018

Este texto busca refletir a atual fase do capitalismo e os impactos para a implementação de políticas públicas. Neste contexto, vimos um retrocesso de garantias de políticas com caráter universal que se focaliza. Buscamos refletir as contradições do Estado capitalista na realização dessa promessa e os conflitos entre as classes sociais, levando-se em consideração as formações sociais no interior do capitalismo globalizado.
Representation in Multi-Issue Delegated Bargaining
Authors: Chakravorty Shourjo
Published: April 2018

Delegated bargaining over multiple issues of varying sizes is a frequent occurrence and happens during such contexts as real estate sales and political representation. Past work has shown that while simultaneously bargaining over two issues, it is in the best interest of an individual to choose a representative with identical preferences as herself. By allowing the sizes of the two issues to vary, this paper uses a two-issue, two-player Rubinstein bargaining game to show that an individual is best served by selecting a representative whose preferences closest resemble her bargaining rival’s preferences. It is also found that in some instances depending on the size of the issues the individual will be indifferent when choosing between a representative with identical preferences and another with different preferences to bargain on her behalf.
Rabbits and men: relating their ages
Authors: Dutta Sulagna , Sengupta Pallav
Published: April 2018

Rabbit, a member of the Lagomorpha order, is the closest phylogenetic relative to humans, next to primates. It possesses greater acceptability as a laboratory mammal than primates in terms of husbandry, breeding ease, cost effectiveness, and legal ethical conveniences. Moreover, as a laboratory animal, the rabbit also owns its advantages over mice or rats, in terms of phylogenetic resemblance to human, size, blood volume, responsiveness, and other congruences enabling them to better imitate human physiological characteristics in biomedical research. A specific research aspires to effectuate its outcome on a particular human age group, for which it is pivotal to select a laboratory rabbit of exact age, which will correlate with that specific age of a human, which is currently based on mere approximation. This article is the first ever scientific venture, focused to swap this approximation of laboratory rabbit age with accuracy by relating it with that of humans analyzing different phases of life individually. Considering the diminutive lifespan of rabbits compared to humans, the correlation of their age with respect to the entire lifespan, which we found out to be 45.625 days compared to one human year, is not enough. Thereby, like our previous articles that formulated concise relation of age of laboratory rats and mice with human age, in this article also, we aim to aid biomedical research specificity in the selection of laboratory model age, separately correlating different life phases of humans with that of rabbits, the second mostly used mammal in 2016 in the United States.
Key Competences of a Health Care Manager
Authors: Wysocka Magdalena , Lewandowski Roman
Published: April 2018

Objective: The aim of the research was to construct a theoretical model of competences of managers employed in health care institutions in the Warmińsko-Mazurskie Voivodeship.

Methodology: The theoretical list of competences was based on the literature of the subject and the results developed during the workshop session with postgraduate students in the scope of management of healthcare entities. All respondents (266 persons) were health care workers and held managerial positions at various levels of organizations.

Findings: On the basis of the obtained results it can be stated that in the key competency model of the efficient manager dominates professional competence in the field of organization and management. These competences were also diagnosed with the greatest deficiencies that hinder effective work.

Value Added: Results of the research enable the introduction of appropriate curricular content into the educational model of potential healthcare managers, hence improving management quality of medical organizations.
Pituitary dysfunction from an unruptured ophthalmic internal carotid artery aneurysm with improved 2-year follow-up results: A case report
Authors: Qi Meng , Ye Ming , Li Meng , Zhang Peng
Published: April 2018

Internal carotid artery (ICA) supraclinoid segment aneurysms extending into the sellar region and leading to pituitary dysfunction are a rare occurrence. To date, long-term follow up of pituitary function 2 years post-treatment has never been reported. Herein, we present a case of pituitary dysfunction due to an unruptured ophthalmic segment internal carotid artery aneurysm and report improved 2-year follow-up results. A 76-year-old male presented with disturbed consciousness due to hyponatremia, which was caused by hypoadrenocorticism resulting from pituitary dysfunction complicated by hypogonadism and hypothyroidism. Computed tomography angiography revealed an intracranial aneurysm of the ophthalmic segment of the right ICA with an intrasellar extension. Thus, digital subtraction angiography and coil embolization were performed, followed by hormone replacement therapy. A 2-year follow-up revealed a partial improvement in the pituitary function, including complete restoration of thyroid-stimulating hormone level and other thyroid hormones levels, and partial restoration of testosterone levels, followed by discontinuation of thyroid hormone replacement therapy. However, the mechanisms of such pituitary dysfunction and the effects of various treatments, including clipping and coiling, on different hormones of pituitary function recovery remain unclear. A long-term follow-up of >2 years may elucidate the pituitary function recovery post-treatment and provide a medication adjustment for hormone replacement therapy.
Asthma and COPD Overlap Syndrome (ACOS)
Authors: Dimitrievska Deska , Zdraveska Marija , Todevski Dejan , Janeva Elena , Arbutina Suzana , Debreslioska Angela
Published: April 2018

Asthma and chronic obstructive pulmonary disease (COPD) have traditionally been viewed as distinct clinical entities. Recently, however, much attention has been focused on patients with overlapping features of both asthma and COPD: those with asthma COPD overlap syndrome (ACOS).

A significant proportion of patients who present with symptoms of a chronic airways disease have features of both asthma and COPD. Several diagnostic terms, most including the word “overlap”, have been applied to such patients, and the topic has been extensively reviewed. However, there is no generally agreed term or defining features for this category of chronic airflow limitation, although a definition based upon consensus has been published for overlap in patients with existing COPD. In spite of these uncertainties, there is broad agreement that patients with features of both asthma and COPD experience frequent exacerbations, have poor quality of life, a more rapid decline in lung function and high mortality, and consume a disproportionate amount of healthcare resources than asthma or COPD alone.

ACOS accounts for approximately 15-25% of the obstructive airway diseases and patients experience worse outcomes compared to asthma or COPD alone. Patients with ACOS often have the combined risk factors of smoking and atopy, are generally younger than patients with COPD and experience acute exacerbations with higher frequency and greater severity than in COPD alone. Pharmacotherapeutic considerations require an integrated approach, first to identify the relevant clinical phenoltype( s), then to determine the best available therapy. The authors discuss the array of existing and emerging classes of drugs which patients with ACOS could benefit from and share their therapeutic approach. A consensus international definition of ACOS is needed to design prospective. Randomized clinical trials are necessary to evaluate specific influence of drug interventions on important outcomes such as lung function, acute exacerbations, quality of life and mortality.
Pulsed excitation terahertz tomography – multiparametric approach
Authors: Lopato Przemyslaw
Published: April 2018

This article deals with pulsed excitation terahertz computed tomography (THz CT). Opposite to x-ray CT, where just a single value (pixel) is obtained, in case of pulsed THz CT the time signal is acquired for each position. Recorded waveform can be parametrized - many features carrying various information about examined structure can be calculated. Based on this, multiparametric reconstruction algorithm was proposed: inverse Radon transform based reconstruction is applied for each parameter and then fusion of results is utilized. Performance of the proposed imaging scheme was experimentally verified using dielectric phantoms.
Optimal design of a for middle-low-speed maglev trains
Authors: Xiao Song , Zhang Kunlun , Liu Guoqing , Jing Yongzhi , Sykulski Jan K.
Published: April 2018

A middle-low-speed maglev train is supported by an electromagnetic force between the suspension electromagnet (EM) and the steel rail and is driven by a linear induction motor. The capability of the suspension system has a direct bearing on safety and the technical and economic performance of the train. This paper focuses on the dependence of the electromagnetic force on the structural configuration of the EM with the purpose of improving performance of a conventional EM. Finally, a novel configuration is proposed of a hybrid suspension magnet, which combines permanent magnets and coils, in order to increase the suspension force while reducing the suspension power loss.
Pharmaceutical Technology in Practice: A Personal View
Authors: Florence Alexander T.
Published: April 2018

This opinion piece argues that the collective knowledge of drugs and medicines, their nature, formulation and manufacture, their delivery and evaluation is unique to pharmacy and it reasserts the fact that science underpins the clinical use of medicines. It argues this from a personal standpoint of an academic pharmaceutical technologist and recounts examples from the author’s own experience.
Laisvės atėmimo bausmę atliekančių nuteistųjų asmenybės charakteristikos taikant MMPI-2
Authors: Laurinavičius Alfredas , Laurinaitytė Ilona , Ustinavičiūtė Laura
Published: April 2018

[only abstract in English; full article and abstract in Lithuanian]

The Minnesota Multiphasic Personality Inventory 2 (MMPI-2) is the most widely used self-report test used for screening of personality and psychopathology in a variety settings including forensic setting. The research in various populations of offenders confirms them possessing characteristics such as antisocial, lacking of impulse control, irresponsible, etc., and these characteristics are captured by the MMPI-2 scales. The goal of this study was to evaluate personality characteristics of incarcerated male and female offenders with the MMPI-2 and to analyse the results in light of results from other offender population studies. The finding of current study shows that the MMPI-2 characteristics of Lithuanian incarcerated offenders generally appear to be similar to those obtained in other cultural environments. Incarcerated offenders were best defined by higher Psychopathic Deviate (Pd), Paranoia (Pa), Antisocial Behavior (RC4), Ideas of Persecution (RC6), Discontraint (DISC), Overcontrolled Hostility (O-H), MacAndrew Alcoholism Revised (MAC-R) scales scores and lower scores of Ego Strength (Es) and Sociala Responsibility (Re) scales. This study has confirmed the results of earlier research and justified the MMPI-2 application for psychological assessment in Lithuanian offenders’ sample.
Аналіз змін фітомаси деревостанів у лісових насадженнях міста Любліна з використанням моделі FORKOME
Authors: Kozak I. , Parpan T. , Kotsyuba P. , Kozak G. , Stempen A.
Published: April 2018

Дослідження фітомаси проведено на прикладі деревостанів, які знаходяться в актуальних межах міста Любліна (Польща). На дослідних площах розмірами 25 х 25 м, закладених у дубових (2 площі), соснових (3 площі) і по одній у грабовому, модриновому та березовому деревостанах, досліджено нагромадження загальної надземної фітомаси і фітомаси за фракціями. Прогнозовано можливі зміни фітомаси до 2035 р. за допомогою моделі FORKOME. Модель FORKOME дає змогу здійснювати щорічні імітації відновлення, росту і випадання дерев, а також враховує вплив екологічних чинників на деревостани. Модель також містить постійно покращуваний презентаційний рівень, який заповнює тривимірну візуалізацію елементів у деревостанах міста.
Особливості нагромадження опаду в грабово-сосново-дубових деревостанах, сформованих на зрубах поступових рубок в умовах Львівського Розточчя
Authors: Krynytska O.
Published: April 2018

Проаналізовано річну динаміку опаду та його фракцій (хвоя сосни звичайної; листя дуба звичайного; листя супутніх порід; гілки; кора; шишки сосни звичайної; жолуді дуба звичайного; насіння інших порід; плюски жолудів, крилатки насіння; лишайники, мохи) у середньовікових грабово-сосново-дубових деревостанах, які сформувалися природним шляхом на зрубах різних способів поступових рубок головного користування (рівномірна поступова дво- і триприйомна та групово-вибіркова 3-прийомна), і в стиглому материнському деревостані (контроль) в умовах Львівського Розточчя. Як на контрольній, так і на експериментальних ділянках виявлено три піки опадання органічної маси протягом року: найбільший у жовтні і два менші – у зимовий період і в травні. Встановлено, що річна маса опаду становить 5-6 т/га, а способи рубок безпосередньо не впливають на частку опалої  органічної маси та її річну динаміку.
Фітоценотична структура лісових угруповань за участю сосни звичайної (Pinus sylvestris l.) в Українських Карпатах
Authors: Pogribnyy О. , Soroka М. , Zayachuk V.
Published: April 2018

На закладених постійних пробних площах деревостанів сосни звичайної проведено детальні геоботанічні описи. Для всіх виявлених видів рослин встановлено показники домінування та величини проективного вкриття. Встановлено основні риси поширення сосни звичайної та виявлено, що у межах одного типу лісорослинних умов формується кілька різних за складом та структурою фітоценозів за участю Pinus sylvestris. У результаті геоботанічних досліджень осередків зростання Pinus sylvestris в Українських Карпатах виявлено 30 угруповань з участю сосни звичайної різного складу та структури. Досліджено фітоценотичну структуру лісів з участю сосни звичайної (Pinus sylvestris L.) на основі домінантної класифікації рослинності та укладено їх класифікаційну схему. Відповідно до побудованої схеми, всі ліси за участю Pinus sylvestris поділено на три блоки: чисті соснові ліси, соснові ліси з домішкою Picea abies та соснові ліси з домішкою Betula pendula. Встановлено, що ліси за участю сосни звичайної в Українських Карпатах мають полігенетичне походження, оскільки мають значне типологічне, ценотичне та біотичне різноманіття.
Лісівничо-таксаційні особливості деревостанів дуба північного у лісовому фонді обласних управлінь лісового і мисливського господарства Західного і Центрального Полісся
Authors: Kahanjak Ju. , Goroshko M. , Heletucha A.
Published: April 2018

Об’єктом дослідження є штучні насадження за участю або домінуванням дуба північного (Quercus borealis Micx.), інтродукованого у лісовий фонд Волинського, Рівненського і Житомирського обласних управлінь лісового та мисливського господарства. Аналіз поширення таких об’єктів, вивчення їх лісівничо-таксаційної характеристики є предметом нашого дослідження.

Дуб північний у лісовому фонді регіону потенційно спричиняє конкуренцію аборигенним видам. Це підтверджується ростом дуба північного в широкому діапазоні типів лісорослинних умов, високими адаптаційними властивостями. Висока частка деревостанів із домішкою дуба північного до двох одиниць, зокрема у бідних трофотопах, підтверджує високий едифікаційний потенціал виду, конкурентність за межами природного ареалу.

Розподіл кількості та площі ділянок за класами віку залежить від трофності лісорослинних умов. Молодняки першої групи домінують у суборових умовах; молодняки другої групи, середньовікові і пристигаючі – у сугрудових умовах, а середньовікові та пристигаючі – у грудових.

До важливих завдань організації господарської діяльності відносимо потребу диференційованого підходу до проектування лісогосподарських заходів у лісових фітоценозах із інтродуцентами.

Зважаючи на результати аналізу, перспективи вирощування дуба північного в лісовому фонді регіону залежать від мінімізації ризику витіснення ним корінних видів і мають враховувати типологічний аспект під час обґрунтування основних положень ведення лісового господарства.