bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinicopathological evaluation of postmenopausal bleeding
Authors: Agrawal Manjusha , Kotpalliwar Monika K. , Kotpalliwar Swadha
Published: November 2018

Background: Seventy percent of cases of postmenopausal bleeding have an innocent or harmless cause of bleeding but 30% of them are associated with malignancy. Hence it requires a thorough evaluation clinically and pathologically. As a considerable number of patients complaining of postmenopausal bleeding are reporting, the current study was undertaken to find out the incidence of the postmenopausal bleeding and the causes responsible for it.Methods: A hospital based cross sectional study was performed on women with the history of post-menopausal bleeding. Patients with premature menopause whether surgical or natural (age <40 years), patients having bleeding from urethra or rectum and patients on hormone replacement therapy and anticoagulation therapy were excluded from the study. After the detailed history and a thorough examination all the patients were subjected to USG. In cases, wherever required colposcopy, biopsy, laparotomy or hysterectomy was performed and were correlated histopathologically.Results: Incidence of 11/1000 patients was found. The mean age of menopause was 46.99 years and mean duration was 7.20 years. Clinically the most common cause was Ca endometrium (26%), whereas histopathologically atrophy (34.61%) was the commonest cause. 61% had benign cause whereas 39% had malignant cause for post-menopausal bleeding.Conclusions: From the study, it is revealed that the incidence of postmenopausal bleeding decreases with increase in the age of patient as well as with the increasing duration of the menopause. Scanty endometrium is associated normal histopathology of endometrium and hence patients of postmenopausal bleeding with endometrial thickness > 5 mm should be thoroughly investigated, treated and followed up meticulously.
Early prenatal diagnosis of conjoined twins: a case report
Authors: Cunha Soraia S. , Coutada Rosália S. , Neiva Ana R. , Nogueira Rosete
Published: November 2018

Conjoined twins are a very rare complication of monochorionic monoamniotic pregnancies, associated with severe mortality and morbidity. Ultrasonography has made early diagnosis of conjoined twins possible, allowing prompt management and counselling of parents. The diagnosis should be suspected when monozygotic fetuses are shown to consistently hold the same fixed position relative to each other. The location and extent of fusion between the twins determine the potential for surgical separation and postnatal survival. The authors report a case of conjoined thoraco-omphalopagus twins, diagnosed by ultrasonography at 10 weeks of gestation. Due to high complexity of fetal fusion, termination of pregnancy was performed upon patient´s request.
Mimicking reproductive endocrinology to achieve successful pregnancy in frozen embryo replacement cycle in luteinized unruptured follicle (LUF
Authors: Jain Namita , Malik Sonia , Prakash Ved
Published: November 2018

Frozen embryo replacement cycles are commonly performed in all ART centres for various indications. In FER cycles, aim is to achieve the synchronization between the endometrium and the embryo. It can be undertaken in a natural or in an artificially prepared endometrium. Artificial preparation utilizes either the ovulation induction agents or hormones. Luteinized unruptured follicle is commonly encountered nowadays due to better resonance USG machines and frequent monitoring. It is still unclear among the practitioners whether to perform an embryo transfer in LUF.  In this case report, authors are highlighting that in case of FER cycles using ovulation induction agent, despite inability to ovulate (LUF), if authors are able to achieve optimum synchronization between endometrium and the embryo using USG and serum hormonal levels, successful outcome could be expected.
Comparison of carbetocin with other uterotonic agents in preventing postpartum hemorrhage
Authors: Carlisa Belinda
Published: November 2018

Postpartum hemorrhage (PPH) is defined as blood loss of at least 500 ml or more after vaginal delivery and 1000 ml or more after abdominal delivery. It contributes up to 28% of maternal mortality worldwide and 30.3% of maternal death in Indonesia.  70% cases of PPH are caused by uterine atony. PPH can be prevented by doing routine use of uterotonic agents in active management of third stage of labour. Uterotonic agents that currently available are oxytocin, carbetocin, methylergometrine, syntometrine, misoprostol and carboprost. Carbetocin (a long-acting synthetic analogue of oxytocin) is a new drug which has stronger ability to induce uterine contraction than oxytocin. It does not induce hypertension like methylergometrine and syntometrine. Therefore, carbetocin can be considered as an alternative drug to oxytocin in women with severe preeclampsia. However, more studies are needed to assess the efficacy and safety of carbetocin for prevention of PPH in preeclamptic women. Compared to methylergometrine and syntometrine, carbetocin is more effective in reducing postpartum blood loss. Adverse effects like nausea and vomiting were lower in women treated with carbetocin. Compared to misoprostol, carbetocin is also superior in reducing blood loss. Adverse effects like shivering, fever and metallic taste were higher in women treated with misoprostol. Further studies are needed to assess the superiority between carbetocin and carboprost since there is no published literature yet regarding this topic. In conclusion, carbetocin is superior to other uterotonic agents in preventing postpartum hemorrhage with fewer adverse effects.
Cancer vaccines: a newer front of immunotherapy
Authors: Puri Sonia , Goel Naveen Krishan , Chadha Veenal , Bhandari Praizy
Published: November 2018

Vaccines have been used as a promising instrument over the years to combat the dreadful communicable diseases. But now owing to epidemiological transition as the burden of non-communicable diseases has increased, efforts are now being made globally to use this weapon for non-communicable diseases like cancer. Cancer vaccines belong to a class of substances known as “biological response modifiers”. These work by stimulating or restoring the immune system’s ability to fight infections and disease. There are two broad types of cancer vaccines: Preventive (or prophylactic) vaccines and Treatment or therapeutic vaccines. Cancer treatment vaccines are made up of cancer cells, parts of cells or pure antigens. Sometimes a patient’s own immune cells are removed and exposed to these substances in the lab to create the vaccine.  Cancer treatment vaccines differ from the vaccines that work against viruses. These vaccines try to get the immune system to mount an attack against cancer cells in the body. Instead of preventing disease, they are meant to get the immune system to attack a disease that already exists. Preventive vaccines are intended to prevent cancer from developing in healthy people.  And in fact, many evidence-based studies have proven the decrease in morbidity and mortality in various cancers by usage of some of the vaccines like cervical cancer vaccine etc. The biggest challenges currently facing preventive anti-cancer vaccines are clinical, social, and economic in nature.  This article is an effort to   highlight the advances in various cancer vaccines, so done, to use them on preventive and therapeutic front.
Assessment of burn-out among staff nurses working in a tertiary care health centre in North India
Authors: Sharma Ravi C. , Sharma Dinesh Dutt , Kanwar Neeraj , Chaudhary Ankit , Kanwar Pankaj , Kaushik Sukriti
Published: November 2018

Background: This descriptive, cross sectional study identified the occurrence of burnout and some associated factors among nurses working in various departments at Indira Gandhi Medical College, Shimla, Himachal Pradesh, India which is a tertiary care health centre in the state.Methods: A total of 257 nurses screened in the hospital out of which 81 completed the study. Eighty-one nurses answered a self-administered questionnaire (sociodemographic aspects, working conditions, and Maslach Burnout Inventory). Mean scores were compared using ANOVA test. Student T-test was applied to compare mean scores between the groups.Results: All the participants were females (100%), with up to five years’ experience. High levels of emotional stress (45.7%) and depersonalization (24.7%) were identified, as well as low professional fulfilment (6.2%), and 8.6% presented burnout. The following factors were associated: high levels of emotional stress and always perform tasks very quickly (p=0.04) and receiving a salary incompatible to the effort employed (p=0.03); high levels of depersonalization and with up to five years’ experience (p=0.02) and often perform tasks very quickly (p=0.008). For 19.0%, at least two of the three dimensions pointed to high propensity to the syndrome.Conclusions: Searching for personal solutions for work problems must draw our attention, since it discourages health and work performance. Professionals may feel more fulfilled and satisfied by adjusting their work expectations. However, on a long-term basis, persisting in stressful work conditions enhances emotional exhaustion, depersonalization and feelings of low fulfilment at work.
The clinical profile of obstructive lung diseases patients attending tertiary care hospital in Nanded, Maharashtra: an observational study
Authors: Tahasildar Kunal K. , Shete Jagannath S.
Published: November 2018

Background: Obstructive lung diseases as asthma and Chronic Obstructive Pulmonary Disease (COPD) have considerable morbidity and mortality globally. Chronic obstructive pulmonary disease (COPD) remains a major public health problem. It is projected to rank fifth in 2020 in burden of disease worldwide, according to the WHO study. Aim and objectives was to evaluate clinical profiles of obstructive lung diseases patients attending tertiary care hospital.Methods: The data was collected from 112 obstructive lung diseases patients presenting to OPD of pulmonary medicine department from January 2009 to August 2010. Research tool comprised of questions about demographic characteristics, past or presenting symptoms, general and systemic examinations. For statistical analysis MS Excel and SPSS 16 were used.Results: Overall 72 (64.28%) were smokers. 63 (56.25%) were suffering from COPD and 49 (43.75%) were asthmatic. Breathlessness was found as most common symptom in 53 (84.12%) COPD and in 45 (91.83%) asthma patients. Among COPD patients, 26 (41.26%) were of moderate obstruction whereas in asthma patients, 17 (34.69%) were of moderate obstruction and 16 (32.65%) were of severe obstruction as per Pulmonary Function Tests (PFT).Conclusions: Males were most commonly affected in obstructive lung diseases. COPD was common after 35 years of age where as asthma occurs mostly before 35 years of age. Smoking was most common etiological factor. Breathlessness was the most common presenting symptom. Family history of asthma was most common risk factor for asthma patients. Most of the patients with both COPD as well as asthma had moderate type of obstructions.
Study of price variations of anti-epileptic drugs available in different brands in Indian pharmaceutical market
Authors: Arya Purnendu , Kumar Ratan , Chandra Akash , Mohan Lalit
Published: November 2018

Background: To analyze the cost ratio and percentage cost variations in different brands of the commonly prescribed anti-epileptic drugs available in Indian pharmaceutical market.Methods: The maximum and minimum price of each brand of the drug given in INR was noted by using CIMS January to April 2018 edition and drug today April to June 2018 Vol-1. The cost ratio and the percentage cost variation for individual drug brands was calculated. The cost of one bottle in case of 100ml syrup and 10 tablets/capsules was calculated in case of oral drugs and the cost of one 1 vial or ampoule was noted in case of injectable drugs. At last the cost ratio and percentage cost variation of various brands was compared.Results: After calculation of cost ratio and percentage cost variation for each brand of anti-epileptic drug tablet clonazepam (2mg) shows highest cost ratio and percentage cost variation as: 10.41 and 941.66, carbamazepine (200mg SR tablet) shows lowest cost ratio and percentage cost variation as: 1.09 and 9.32.Conclusions: Epilepsy is the most common neurological disorder and Epileptic drugs are to be prescribed for prolonged period. If a costly brand is prescribed, the patients have to pay more money unnecessarily for their treatment. There is a wide difference in the cost of different brands of anti-epileptic drugs available in India. The clinicians prescribing these drugs should be aware of these variations in cost to reduce the cost of drug therapy.
Diaphyseal osteomyelitis of femur with suspected ewing sarcoma in 8 years old children: a case report
Authors: Sananta Panji , Rizal Hidayat
Published: November 2018

Metaphyseal osteomyelitis in children due to direct bone trauma or vascular insufficiency is a frequent problem in orthopaedic surgery. In contrast, diaphyseal osteomyelitis represents a rare entity that almost exclusively affects child with bony infarct in sickle cell anemia. Differentiating neoplasm from musculoskeletal infection can sometimes be very challenging. In particular, Ewing sarcoma can masquerade as osteomyelitis with the presenting symptoms of fever, localized bone pain, and elevated inflammatory markers common to both entities, although osteomyelitis is a totally different type of disease. In this article, we report the case of chronic osteomyelitis of the femur in an immunocompetent and otherwise healthy 8 years old boy with minor inflammation signs and misleading clinical features. The X-ray showed onion skin periosteal reaction. We evacuated about 200 cc of abscess. Biopsy report revealed polimononuclear, mononuclear, and necrotic inflammatory cells. The patient was treated with antibiotic for two weeks and discharged with improved general condition. Six months follow-up shows clinical and radiological improvement. The diagnosis had to be confirmed by surgery which allowed the initiation of a targeted therapy. A case of diaphyseal osteomyelitis of a femur, lacking predisposing factors or trauma, is unique in children and never been reported previously.
Quantifying and visualizing the transcranial direct current stimulation research indicators
Authors: Bashir Shahid , Ahmad Shafiq , Alatefi Moath , Hamza Ali , Sahreef Mohammad
Published: November 2018

The field of transcranial direct current stimulation (tDCS) has experienced significant growth in the past 15 years which is mainly devoted to determining the basic and clinical potential of tDCS in humans. The aim of this study is to quantitatively analyze the current worldwide progress on tDCS research as well as to highlight researchers, journals, institutions and countries which are contributing significantly in the past 18 years. We conducted a quantitative analysis of research articles regarding tDCS published from 1998 to 2016 and indexed in the web of science core collection database. Data was downloaded in October, 2016. In the past 18 years, there were 2457 studies on tDCS indexed by web of science database, including all documents type such as article, review, meeting abstract, proceedings paper, letters, and etc. This study is focusing on the main articles and reviews; therefore, the research production was reduced to 2000 publications. The analysis showed that most of the studies in the field were published by North American and European institutions with a reasonable proportion of the publications were also by Japanese institutions from Asia. From the perspective of research progress, we found that the number of published papers on tDCS has increased significantly in the past 10 years, between them a remarkable positive correlation exists.
A prospective interventional study of postoperative pain, healing rates and incontinence rates following ligation of intersphincter fistula tract procedure
Authors: P. Arunraj , S. Viswanathan M. , R. Anbazhagan , Singh Kulwant
Published: November 2018

Background: Fistula in ano is one of the oldest ailments known to us, troublesome both to the patient and also challenging to the treating surgeon. The treatment of fistula in ano has evolved so much, to reduce complications and to improve patient’s compliance. This study was conducted to compare the age old method of open fistulectomy to that of recently developed technique of ligation of intersphincter fistula tract (LIFT), in patients suffering from low fistula in ano.Methods: A totally of 80 patients, suffering from low anal fistula was divided randomly into two groups. Group A: undergoing LIFT procedure and Group B: undergoing open fistulectomy procedure .The two groups were compared in the postoperative period for wound healing, postoperative pain (by visual analog scale) and fecal incontinence (by Wexner incontinence score).Results: Group A patients who underwent LIFT at the end of 3rd postoperative week had a pain score of 0.43 when compared to group B patients (1.33) who underwent fistulectomy. Group A patients had 100% continence preservation, whereas a 17.5% of moderate incontinence was documented in Group B patients. About 97.5% of patients under Group A had complete wound healing by the 3rd postoperative week, as compared to group B patients, where100% complete wound healing was noted at 6 weeks, postoperatively.Conclusions: It was found that LIFT was a promising procedure in reducing the postoperative pain significantly, with better wound healing rates. It was effective in maintaining good sphincter function, thereby providing better faecal continence following surgery, in low anal fistula.
Gastric perforation due to fish bone ingestion presenting as gastric outlet obstruction: a case report
Authors: Sharma Rakesh , Padhy Biren P. , Kumar Supreet , Hareesh Meka , Suchithra G. Lakshmi
Published: November 2018

Foreign body ingestion is mostly an accidental incident and usually seen in children than in adults. In adults fish bone ingestion is a common occurrence which is generally asymptomatic and passes through gut without any complications. Ingestion of fish bone leading to gut perforations has been reported and includes distal part of the gastrointestinal tract involving ileum, colon and rectum. Gastric perforation is quiet rare due to its thick muscular wall. Here we present a case of a 65 year old female who presented to our hospital with complains of pain abdomen, vomiting and epigastric lump. On thorough investigation a perforation in the posterior wall of stomach was found along with a fish bone inside an inflammatory lump near the pylorus in the lesser sac, with features of gastric outlet obstruction. Initial conservative management resolved the inflammatory lump and then diagnostic laparoscopy followed by open surgery was performed to retrieve the fish bone. Both open and laparoscopic methods have been successful in retrieving these foreign bodies. Careful investigations and high level of suspicion is required for proper diagnosis and treatment for this benign condition.
Higher Education as an Instrument of Economic Growth in Kenya
Authors: Nyangau Josiah Z.
Published: November 2018

The purpose of the present paper is to identify the main challenges facing Kenya
Editors' Introduction
Authors: Wiseman Alexander W. , Wolhuter C. C.
Published: November 2018

The inaugural issue of FIRE: Forum for International Research in Education begins a new chapter in the scholarly and professional discussion of comparative and international education research, policy, and practice. Comparative and international education research has become increasingly isolated from educational policymaking as well as school- and classroom-level decisionmaking as the amount and diversity of research in the field has grown. FIRE is an international, peer-reviewed publication, which seeks to bridge this gap by promoting interdisciplinary scholarship on the use of internationally comparative data for evidence-based and innovative change in educational systems, schools, and classrooms worldwide. FIRE provides an open source and widely accessible platform for disseminating research on education from multiple cultural, organizational and national perspectives. To introduce FIRE to the community of researchers, policymakers, and educators this introduction provides an overview of the journal
Women's Rising Share of Tertiary Enrollment: A Cross-National Analysis
Authors: McDaniel Anne
Published: November 2018

In recent decades, a dramatic shift occurred in higher education throughout the world. Women now enroll in and complete more education than men in the majority of countries. Using a lagged cross-sectional design on a dataset of 75 countries from 1990 to 2008, this study examines the predictors of the current gender gap in tertiary enrollment. I find that prior arguments developed by neo-institutionalist theorists do predict the gender gap in tertiary enrollment to some degree. Countries that have historically supported women's rights and experienced more rapid educational expansion are linked to a larger share of women enrolled in tertiary education than men. However, countries with greater memberships in IGOs and INGOs do not influence women's share of higher education enrollment. Additionally, fertility rates are important predictors of women's share of tertiary enrollment. Countries with lower fertility rates are associated with a larger female share of higher education. The results support the hypotheses that both neo-institutionalists arguments and fertility norms shape the female-favorable gender gap in tertiary enrollment throughout the world. ??? ?????????? , ?? ?????? ????? ?????? ?? ??????? ?????? ?????? . ????????? ?? ??? ?????? ???? ?? ????? ?? ????? ??? ??????? ?? ????? ??? ???? ?????? ???? . 1990-2008 ??? 75 ????? ?? ?? ??????? ?? ?? lagged ??? ?? ???????? ?????? ?? ????? ????, ?? ?????? ?????? ??????? ??? ??????? ?????? ???? ?? ????????????? ?? ??? ???? ?? . ??? ?? ?????????? ????????????? ?????? ?????? ????? ???? ??? ?? ?? ?????? ??????? ??? ?????? ???? ?? ?????????? ???? ???. ???????? ?????? ?? ??????? ?? ???????? ?? ?????? ???? ?? ???? ???? ?? ?????? ?? ??????? ????? ???? ?? ?? ??? ?? ??????? ?? ????? ??? ?????? ?????? ??? ?????? ??????? ?? ?? ???? ?????? ?? ????? ???. ???????, IGOs ?? INGOs ??? ???? ?? ???? ??????? ?? ??? ????? ?? ???? ?????? ??? ??????? ?? ??????? ?? ?????????? ?? ???????? ???? ???? . ???? ???????? , ?????? ?? ?????? ??????? ?? ??????? ?? ?????????? ?? ?????????? predictors ??? . ?? ?????? ?? ?? ??? ??? ??? ???? ?????? ?? ?? ???? ????? ?? ??? ????? ??? ??? . ?????? ?? institutionalists ???? ?? ?????? ?????? ???????? ????? ?????? ?? ??? ?????? ??????? ??? ????? ?????? ?????? ???? ?? ???? ?? ????????? ?? ?????? ??. ????????????????????????????????????????????????1990??2008??75???????????????????????????????????????????????????????????????????????????????????????????????????????????????IGOs??????????INGOs???????????????????????????????????????????????????????????????????????????????????????????????????????? In den letzten Jahrzehnten ist eine dramatische Verschiebung in der Hochschulbildung weltweit eingetreten. In den meisten L
A Conservative Treatment Approach to Unilateral Sinusitis with a Cutaneous Fistula
Authors: Ventin Ramón , Martín Silvia , Juarez Inma , Mesalles Antonio , Lopez del Moral Javier , Lopez Piriz Roberto
Published: November 2018

Abstract:

The rehabilitation of severely resorbed maxillae containing zygoma implants is a non-grafting treatment option that presents many advantages for patients. It is not, however, free from complications and the most frequent of those reported in the literature is sinusitis. A cutaneous fistula is a less frequent complication, but one that requires more than routine dental treatment and usually calls for maxillofacial surgery. Here, we present the case of a 64-year-old male suffering from sinusitis and with a cutaneous periorbital fistula as a complication; this occurred 8 years after the patient received dental rehabilitation with zygomatic implants.  This clinical report suggests that the trans-sinusal hemisection of zygomatic implants to release the apical portion combined with transnasal inferior antrostomy offers a viable and effective mid-way treatment option between surgical procedures and the total removal of the implants. Keeping the prosthesis functional is the main advantage of this conservative approach to the treatment of sinusitis involving a cutaneous fistula in association with the restoration of zygomatic implants.
Факторы развития рынка фриланса в информационной экономике
Authors: Тагаров Бато Жаргалович
Published: November 2018

Данная статья посвящена анализу факторов, способствующих росту рынка фриланса. Автор анализирует подходы к определению понятия «фриланс». Рассматривает аспекты информационной экономика, вызывающие развитие фриланса, в частности, развитие информационных технологий и интеллектуализацию труда. Отдельно выделяются факторы спроса на услуги фрилансеров и факторы предложения. К факторам спроса автор относит стремление фирм к аутсорсингу бизнес-процессов, экономию на издержках, желание быть независимым от местного рынка труда. В качестве факторов предложения на рынке фриланса рассматриваются рост мобильности населения, желание избежать дискриминации, независимость от формального образования, рост доступа к знаниям, неравенство в доходах.
Современное состояние глобального рынка взаимного страхования: часть 2
Authors: Хорин Александр Николаевич , Бровкин Александр Владимирович
Published: November 2018

Данная публикация представляет собой изложение результатов второй части исследований современной мировой практики взаимного страхования. В данной части работы приведено большое количество важных показателей, характеризующих состояние и развитие взаимного страхования на глобальном страховом рынке в целом, а также на страховых рынках макрорегионов мира и в отдельных странах. Материал представлен в виде таблиц, составленных автором по данным различных зарубежных источников, снабжен необходимыми комментариями и выводами к ним.
В ходе работы использованы методы анализа и синтеза информации из различных зарубежных источников, метод статистического анализа.
Научная ценность данной публикации заключается в том, что в ней представлен широкий пласт наиболее современной статистической и финансовой информации о состоянии глобального рынка взаимного страхования на базе источников мало известных в России. Особое внимание уделено Европейскому страховому рынку, в который включается и рынок Российской Федерации. Кроме того, даны выводы и рекомендации по применению в России международного опыта взаимного страхования, используя как образцы практику взаимного страхования в развитых странах Европы, Северной Америки и Азии, как это делает Китай и другие развивающиеся страны.
Информационно-коммуникационная глобализация российской экономики
Authors: Рамазанов Ибрагим Агаевич , Струнгар Алла Николаевна
Published: November 2018

В статье представлены результаты исследования процессов информационной глобализации. Доказано наличие корреляционной связи между покупательской активностью населения через Интернет и деловой активностью компаний в онлайн-пространстве. Отдельные индикаторы, используемые для измерения процессов информационной глобализации в традиционных подходах, исчерпывают свой аналитический потенциал и нуждаются в обновлении. Торговля является одним из наиболее значимых факторов практической актуализации проблем формирования информационного общества, информационной глобализации и вовлечения страны в процесс мировой глобализации. Это указывает на целесообразность создания цифровой инфраструктуры, ориентированной на глобальный характер развития сферы торговли и экономических процессов в целом.
Региональная стратегия неоиндустриализации на базе шестого технологического уклада и формирования новых отраслей экономики знаний
Authors: Ланская Дарья Владимировна , Яковленко Анастасия Егоровна
Published: November 2018

Настоящая статья посвящена актуальной проблеме формирования региональной стратегии неоиндустриализации на базе шестого технологического уклада. На этой основе авторами был проведен анализ общемировых трендов становления экономики знаний, а также оценена способность капиталов Краснодарского края к построению подобной экономики. Изучены перспективные направления научных исследований и разработок для образования инновационного ядра традиционных отраслей региона, а также обоснована необходимость создания в крае фундамента умной экономики. По результатам проведенного исследования было разработано поле стратегий для проведения новой промышленной политики на региональном уровне применительно к Кубани и предложены мероприятия для формирования основ функционирования экономики знаний в Южном регионе. Определено, что неоиндустриализация является тем универсальным инструментом промышленной политики, призванным одновременно реанимировать экономику региона и создать фундамент для становления умной экономики за счет появления новых высокотехнологичных и инновационных производств.
Управление оттоком клиентов в условиях цифровой экономики
Authors: Мхитарян Сергей Владимирович , Тультаев Тимур Алексеевич , Тультаева Ирина Валентиновна , Андреев Сергей Николаевич
Published: November 2018

Статья посвящена вопросам применения статистических методов многомерной классификации в условиях оттока клиентов у функционирующих на рынке компаний, и их перехода к конкурирующим организациям.
Существующая в России проблема оттока клиентов только на первый взгляд может показаться обыденной и вполне естественной для субъектов современного бизнеса. В действительности же, потеря даже одного покупателя самым непосредственным образом подтачивает некогда устойчивые рыночные позиции и конкурентоспособность организации. Неудовлетворенный качеством или уровнем обслуживания покупатель чаще всего переходит в другие компании, нанося тем самым двойной ущерб предприятию, клиентом которого он был на протяжении длительного периода времени: наблюдается не только значительное ослабление конкурентных позиций лишившейся его поддержки организации, но и параллельно с этим происходит укрепление положения ее рыночного оппонента, клиентом которого и становится неудовлетворенный потребитель. В этой связи процессы управления оттоком клиентов с использованием статистических методов многомерной классификации приобретают особую актуальность.
В работе определяется степень влияния неструктурированных информационных потоков, вызывающих осложнения в управлении поведением потребителей, разрабатываются алгоритмы управления оттоком клиентов и обосновывается их возможное практическое применение в деятельности современной организации, выявляются возможности применения статистических методов многомерной классификации для управления оттоком клиентов в компании
Сформированность эмоционального образа-Я у детей с умственной отсталостью младшего школьного возраста
Authors: Горбунова Елена Викторовна , Фатеева Ксения Николаевна , Хаидов Сергей Курбанович
Published: November 2018

В данной статье освещены особенности сформированности эмоционального образа-Я у детей младшего школьного возраста с умственной отсталостью, как составляющей одного из компонентов Я-концепции. Показана актуальность ее изучения. Рассмотрены важность развития эмоционального образа-Я и последствия его искаженного развития. Приведены диагностические методики, позволяющие выявить уровень развития, составляющих эмоционального образа-Я, таких как самооценка, уровень притязаний и агрессивность. Рассмотрены и проанализированы результаты эмпирического исследования. Определены уровни развития самооценки, притязаний и выраженности агрессивности. Показано, что у большинства респондентов уровни самооценка и притязаний сформированы неадекватно, а выраженность агрессивности необоснованно завышена. Даны рекомендации по их коррекции.
Взаимосвязь различных стилей родительского воспитания и мотивационных особенностей родителей
Authors: Барабанов Даниил Дмитриевич , Рычкова Ольга Николаевна
Published: November 2018

В статье представлены результаты эмпирического исследования на тему взаимосвязи стилей родительского воспитания и их мотивационных особенностей. Выборку составили родители (N=50), воспитывающие детей-подростков в полных (n=15) и неполных (n=20) семьях. Были использованы следующие методики: опросник «Анализ семейных взаимоотношений» (АСВ) Эйдемиллера Э.Г., Юстицкиса В.В, "Мотивация к успеху" Т. Элерса, "Мотивация к избеганию неудач". Т. Элерса, методика диагностики самооценки мотивации одобрения Д. Марлоу, Д. Краун. В результате были сделаны выводы о том, что уровень мотивации одобрения у родителей может определять уровень воспитательной уверенности и может быть взаимосвязан с другими мотивационными особенностями родителей. При различной выраженности мотивации достижения или избегания неудач у родителей подростков из полных или неполных семей, предпочтение стилей родительского воспитания было практически идентично.
‘New Engineering Education’ in Chinese Higher Education: Prospects and challenges
Authors: Zhuang Tengteng , Xu Xiaoshu
Published: November 2018

Since becoming a formal signatory of the Washington Accord in 2016, China has outlined an initiative ‘New Engineering Education’ (NEE) to reform its engineering education at university level. This paper elaborates upon the NEE initiative by presenting analysis of its domestic and international context, the goals of the initiative, how the initiative draws upon international standards, major actions under the initiative, and the challenges remaining for NEE to achieve its goals. The paper argues that China views international practices and standards of engineering education in developed nations as highlands to imitate and surpass, and the NEE goals embody an ambitious systematic rather than partial reform of the sector. China has pushed forward the NEE reform with measures such as formulating National Standards for dozens of categories of engineering programs, commissioning 600+ research projects on NEE development, establishing new engineering programs and interdisciplinary courses, strengthening university-partnership, updating accreditation for engineering programs, and improving both external and internal quality assurance mechanism. The sector, however, still faces challenges in achieving systematic quality upgrade due to hindering factors like enlarged uneven resource allocation, downplayed teaching activities and the difficulties in reforming the curricula system. Expected changes are also discussed.Received: 06 March 2018Accepted: 07 November 2018Published online: 29 November 2018
EMDR Therapy With Children and Adolescents
Authors: Barron Ian G.
Published: November 2018

This special issue aims to highlight the importance of exploring the empirical base for eye movement desensitization and reprocessing (EMDR) therapy with children and adolescents. Such an endeavor is set within a context where the American Psychological Association recommends trauma-focused cognitive behavioral therapy (TF-CBT) as the treatment of choice and the National Institute of Health and Care Excellence (NICE) recommends EMDR for children when TF-CBT fails to be effective. Studies in this special issue suggest otherwise and represent EMDR’s global reach over seven different countries. The studies address a range of conceptual gaps and evaluate differing EMDR protocols for individual and group delivery. Participants from preschool to adolescence experienced single event, cumulative violence, and trajectories of trauma and present with a range of trauma symptoms. Although studies with differing methodologies highlight the efficacy of EMDR with differing populations, recommendations are made for rigorous research designs in order to influence professional guidance organizations.
An Integrative EMDR and Family Therapy Model for Treating Attachment Trauma in Children: A Case Series
Authors: Wesselmann Debra , Armstrong Stefanie , Schweitzer Cathy , Davidson Meghan , Potter Ann
Published: November 2018

This case series study investigated the effectiveness of an integrative eye movement desensitization and reprocessing (EMDR) and family therapy model, specifically the Integrative Attachment Trauma Protocol for Children (IATP-C), for improving traumatic stress, attachment relationships, and behaviors in children with a history of attachment trauma; specifically, adopted children with a history of maltreatment and foster or orphanage care. Of the 23 child participants, one family dropped out at 6 months, and 22 completed treatment in 6–24 months. Mean treatment length was 12.7 months. Statistical analysis demonstrated significant improvement in scores on children's traumatic stress symptoms, behaviors, and attachment relationships by the end of treatment. Statistical analysis of secondary measures showed significant improvement in mothers' scores related to symptomology and attitudes toward their child. Gains were maintained for the 15 families who complied with completion and returning of follow-up measures. Limitations of the study include the lack of a control group and small sample size. Future directions include controlled efficacy studies with larger sample sizes as well as exploration of application of the model to a similar population of children in other cultures and to children who are not residing in permanent placements.
The EMDR Integrative Group Treatment Protocol in a Psychosocial Program for Refugee Children: A Qualitative Pilot Study
Authors: Hurn Russell , Barron Ian
Published: November 2018

The current study evaluated the eye movement desensitization and reprocessing integrative group treatment protocol (EMDR-IGTP) delivered within a novel psychosocial program for child refugees. One Libyan and seven Syrian children, aged 6 to 11 years 10 months (five boys), received four 3-hour sessions, with IGTP in the second session. The study investigated whether IGTP would be valuable for child refugees whose trauma symptoms failed to reach Child and Adolescent Mental Health Service thresholds. In addition, the project aimed to identify cultural hurdles that may hinder access to Western psychological approaches. Qualitative data were collected from eight children, two therapists (an eye movement desensitization and reprocessing [EMDR] practitioner and a family care worker), and a focus group of four Arab interpreters. The qualitative design involved children completing rating scales at the beginning and end of each session and the Subjective Units of Disturbance (SUD) scale for traumatic memories before and after EMDR-IGTP. Therapists reflected on outcomes in a postintervention report, and the interpreters discussed cultural challenges in a focus group. IGTP appeared to lead to reduced internal distress and perceived increases in emotional awareness for children. Therapists’ reports affirmed reduced disturbance and highlighted the cultural sensitivity of IGTP. The interpreters’ focus group emphasized the challenges of language, the stigma of mental illness, and the differing levels of communicative control across cultures. Future studies of IGTP, embedded within psychosocial programs for refugee children, need to utilize experimental research designs including culturally sensitive outcome measures.
EMDR in the Treatment of Adolescent Obsessive-Compulsive Disorder: A Case Study
Authors: Cusimano Angela
Published: November 2018

Most of the empirical evidence supporting the efficacy of eye movement desensitization and reprocessing (EMDR) has been with individuals suffering from posttraumatic stress disorder (PTSD). This case study reports on the successful treatment of obsessive-compulsive disorder (OCD) in a 13-year-old male using the standard three-pronged approach of EMDR in a private practice setting. The current protocol addressed the initial touchstone event, the current level of distress related to that event, as well as anticipation and planning for future feared events. The participant received 15 sessions of EMDR. At 90-day posttreatment follow-up, there was a substantial decrease in OCD symptoms (from moderate to subclinical) as measured by the Children’s Yale-Brown Obsessive–Compulsive Scale, indicating a large effect size (d = 0.81). The current study provides insight into treating OCD in adolescence and how using the three-pronged approach (past, present, and future) of EMDR can be an effective tool. Study limitations and suggestions for future clinical research are discussed.
EMDR Intervention for a 17-Month-Old Child to Treat Attachment Trauma: Clinical Case Presentation
Authors: Swimm Lindy Lee
Published: November 2018

This article explores the effectiveness of treating a 17-month-old male diagnosed with posttraumatic stress disorder (PTSD) and a disrupted secure attachment utilizing eye movement desensitization reprocessing (EMDR) and an integrative family therapy approach. The child experienced a life-threatening choking incident requiring hospitalization. Pretreatment, the child was inconsolable by his parents when distressed and could not tolerate anything touching his throat. Posttreatment, the child accepts comfort from his parents and allows his mother to kiss his throat. Results demonstrate a reduction or elimination of PTSD symptoms and a return to a secure attachment. This case study underscores Shapiro’s Adaptive Information Processing (AIP) model (2001). Application and customization of the eight phases of EMDR therapy are highlighted along with the Integrative Attachment Trauma Protocol for Children (IATP-C). Treatment consisted of five sessions. Customization included caregiver psychoeducation; EMDR resource development, focused on strengthening attachment and regulating emotion; and facilitating caregiver co-regulation throughout EMDR. The use of EMDR therapy with customization through the IATP-C protocol shows promise as an effective intervention for treating posttraumatic stress symptoms and repairing attachment in very young children.
Accidents Increase in Inadequate Housing Conditions: A Cross-Sectional Study from Turkey
Authors: TEMEL Fehminaz , ACAR VAİZOĞLU Songül
Published: November 2018

Objectives: Housing is
an important determinant of health, and substandard housing is a major public
health issue. The aim of this study was to determine the prevalence of home
accidents, and to evaluate the associations between housing conditions and home
accidents in a health centre region in Ankara. Methods: In this
cross-sectional research, we collected data from a representative sample of 210
houses using two standard questionnaires, which was used in the WHO’s Large
Analysis and Review of European Housing and Health Status (LARES) project. In
total, 528 people participated.  Home accidents were self-reported and questioned for the previous year. We
developed a composite index to assess the overall housing conditions. Housing
conditions were accepted “inadequate” if the score was below the median. We
developed a logistic regression model to predict the housing-related factors in
accidents.Results: Of the
participants, 60.4% were female, 89.0% had health insurance, and 56.1% were
married. Fifty-eight point three percent of the respondents were living in
inadequate housing conditions. The prevalence of home accidents during previous
year was 21.2%. The first three most common accident types were falls, cuts,
collision/striking and the mostly injured body parts were arm/upper limb,
leg/lower limb, surface area of the body. Some of the items which have been
involved in these accidents were construction features, kitchen equipment, and
knives. The accidents were more common among females, people who reported
fatigue, in kitchens with too little workplace and houses with noise
problems(p<0.05). The odds of home accidents were 1.8 times more (95%
CI:1.1-2.8) among residents living in inadequate housing conditions. The
logistic model showed that, accidents were 2.1 times more (95% CI: 1.1-4.2) in
those living in houses where adaptations for physical constraints were lacking,
and 1.9 times more among females (95% CI: 1.1-3.3).

Conclusion: Home
accidents were common and related to housing conditions. We recommended that
factors that can cause accidents in residential buildings be taken into
consideration during the construction phase through cooperation of the
municipality, the construction sector and the health personnel. This will
enable everyone to benefit from these arrangements in the house.
Self-Help Finance Matters Series 1
Authors: Griffiths Patrick , Ross Annette
Published: November 2018

The series eBook’s have been aimed at Australian individuals and families who wish to take a pro-active than reactive stance in the management and control of their financial affairs and responsibilities. A pro-active stance requires effort. It forces a person to think about their future and balance their aspirations against anticipated future income and changing demands upon that income. A reactive stance generally means that a person will not achieve his or her aspirations as no attempt has been made to test their reasonableness or quantify what must be done so that they can be attained. Further, and more importantly, as there is no plan there is no commitment. Without commitment even qualified objectives will not be realised.

So how do Australian families make such decisions? Unfortunately most make some “off-the cuff” decision at the last minute, or look at what the Jones are doing or simply procrastinate? Others simply talk about it when something goes against them. They will then generally blame the government or sit back and feel sorry for themselves.

We only have one life by proper planning it can be a happy and fruitful one irrespective of one's income potential.
La caja sin atributos, la ciudad cacofónica. La redefinición de la idea de significado en el cerramiento arquitectónico contemporáneo
Authors: Sánchez Lampreave Ricardo
Published: November 2018

Resumen Durante la década final del siglo XIX y las primeras del pasado, y trascendiendo sus específicos valores, las culturas pictórica y literaria adelantaron lo que supondría la pérdida de capacidad significante de una arquitectura sin atributos. Desde entonces proliferaron las confiadas en que su cerramiento pudiera convertirse en un eficaz mecanismo de significación, y no ya su forma. Una extrañeza que inicialmente acarreó notables dificultades para que la arquitectura pudiera seguir expresando sus contenidos, abocada a redefinir la idea misma de significado. Dada su menguante posibilidad comunicativa y consiguiente reducción a mero soporte, los “textos” quedaron encargados de negociar con las técnicas de significación mediática la búsqueda de la máxima persuasión y la más rápida información en el complejo marco de la ciudad. La interpretación moderna de la arquitectura como una máquina terminó por convertir en cacofónica la anhelada sinfonía de la gran ciudad.AbstractIn the course of the last decade of the nineteenth-century and the early decades of the latter, and going beyond its specific values, visual and literary cultures put forward what would entail the loss of the signifier for a meaningless architecture without qualities. Since then, architectures that proclaimed its building envelope as an effective mechanism of meaning,and not exclusively its form, have proliferated. An oddity that initially led to considerable difficulties in order to allow architecture to continue expressing its contents, compelled to redefine the very notion of meaning. Given its diminishing communicative feasibility and its fall into a simple medium, “texts” were tasked to negotiate with media significance  techniques in the search for maximum persuasion and prompt information within the city complex framework. A modern interpretation of architecture as machine ended up turning to cacophonous the big city longed-for symphony.