bluuebunny/crossref_metadata_2025 huggingface dataset:
Направления развития цифровых сервисов для бизнеса в Республике Беларусь
Authors: Krotova Daria
Published: July 2022

В статье рассмотрены понятия «автоматизация», «цифровизация», «цифровая трансформация» в контексте ведения бизнеса. Также приведены определения понятий «цифровая технология» и «цифровой сервис». Проанализированы данные статистической отчетности по развитию цифровой экономики в Республике Беларусь. Проанализированы данные уровня внедрения технологических решений, уровня автоматизации и рейтинга применяемых технологий. Выявлены основные направления развития цифровых сервисов для бизнеса. Также обозначены проблемные места при развитии и внедрении данных сервисов и технологий. Предложены меры по минимизации возможных рисков.
Цифровизация предоставления государственных услуг и исполнения государственных функций органами власти
Authors: Yakunina Anastasia
Published: July 2022

В статье рассмотрены вопросы разработки и использования информационных систем для автоматизации процессов оказания государственных услуг. Рассмотрены существующие системы, сформулированы их ключевые характеристики. Проанализированы риски массового перехода на цифровые государственные услуги, а также потенциал совершенствования системы госуслуг при помощи цифровых технологий.
“He Seized All Qağan's Sons and Grandsons and Presented Them to the Court”: on Genealogical Accounts of the Sino‑Turkic Epitaph of Karï čor tegin
Authors:   Turan University, Kamalov Ablet
Published: July 2022

The article examines genealogical accounts in the bilingual epitaph of the Uyghur prince Karï čor tegin recently discovered in the city of Xi’an (former Chang’an), the People's Republic of China (PRC). The epitaph set up in the western capital city of the Tang Empire contains texts in Chinese hieroglyphs and Turkic runic script, which complement each other. Analysis of its accounts on kin relations of Karï čor tegin with some high rank Uyghur officials allows shedding light on internecine struggle in the supreme echelon of power in the Uyghur Empire (744—840) not recorded in the Tang sources.
Paediatric Contact Lens Fitting During COVID-19
Authors: Bhattarai Sanjeev
Published: July 2022

The COVID-19 pandemic which has swept the world since the start of 2020 is impacting day to day lives including contact lens wear too. Though the number of cases and deaths is growing continuously, the researchers have found no relationship between the contact lens use and COVID infection. There are specific eye disorders in children who require contact lens fitting rather than dispensing spectacles which include monocular paediatric aphakia, irregular astigmatism, anisometropia, unilateral ametropia, post trauma, aniridia, albinism, high refractive errors etc. So COVID-19 should not be a hindering factor for the fitting and assessment of contact lenses in children as till now SARS-CoV-2 viruses are rarely found in the tears of patients who have tested positive for the disease.
Knowledge, Attitude and Practice (KAP) on Oral Health among students of Nepalese Army Institute of Health Sciences
Authors: Gurung Meenakshi , Sen Malla Sudha , Rajbhandari Bipul , Bajracharya Barsha
Published: July 2022

Background: Oral health plays an important role in the overall health of the individual. Both medical and nursing students are expected to possess good oral health awareness and work together for public health promotion especially in developing countries like Nepal. The aim of the study is to assess and compare Knowledge, Attitude and Practice (KAP) on Oral Health among students of Nepalese Army Institute of Health Sciences (NAIHS)
Methods: This is a cross sectional questionnaire based study conducted at Nepalese Army Institute of Health Sciences, from 2020.10.15 to 2021.04.15.  A total of fourteen standard structured close ended questionnaire was sent to all the medical and nursing students in g- mail to assess and compare KAP on Oral Health.
Result: Among 200 MBBS students, 157, 184, 200 had knowledge about sugar, bacteria and not brushing respectively which causes dental caries and 163 had knowledge about benefits of fluoride on dental health. On the other hand out of 200 nursing students 147, 178, 200 had knowledge about sugar, bacteria and not brushing respectively which causes dental caries and 152 had knowledge about benefits of fluoride on dental health. On an average 88% of MBBS students had good knowledge about dental caries whereas 84.62% of nursing students had good knowledge about dental caries. More of nursing students had attitude of visiting dentist in a year than medical students whereas more of medical students had never visited a dentist. Among 200 MBBS students 143 (71.5%) were found brushing twice daily, 121 (60.5%) brushes after every meal (i.e. morning and night), 35 (17.5%) followed proper vertical tooth brushing technique and as for the duration of brushing 104 (52%) brushed for 2 min. On the other hand, among 200 nursing students 152 (76%) were found brushing twice daily, 132 (66%) brushes after every meal, 43 (21.5%) followed proper vertical tooth brushing technique and as for the duration of brushing 116 (58%) brushed for 2 min.
Conclusion: Based on the present study the total knowledge on dental caries was found to be significantly higher in MBBS students than nursing students however nursing students had more positive attitudes towards oral health. Oral health practice of nursing students in terms of frequency of brushing, times, method and duration of brushing was also found to be comparatively better than MBBS students. With proper knowledge of oral health behavior, medical and nursing students can play an important role in the oral health education of individuals and groups and act as role models for patients, friends, families and the community at large.
Hemodynamic Responses to laryngoscopy and intubation: Comparison between Macintosh and McCoy laryngoscope
Authors: Joshi Pankaj , Sigdel Shailendra , Sharma Bhattarai Amit , Pradhan Bishwas
Published: July 2022

Background: Laryngoscopy causes exaggerated hemodynamics as tachycardia, hypertension, arrhythmias and may have deleterious respiratory, neurological, and cardiovascular effects. A  very few studies have compared the effects of various types of laryngoscope blades on hemodynamic response to laryngoscopy and intubation.
Methodology: A prospective randomized study was done to compare the hemodynamic response to using McCoy and Macintosh laryngoscope. A hundred patients, belonging to ASA grade I and II, between 15-65 years, requiring general anesthesia with intubation were included. A standard anesthesia technique was used. Both groups(n=50) were matched demographically. Mallampati grading, laryngoscopy and intubation time, laryngeal visualization grades, and hemodynamic variables at baseline were comparable.
Result: Following laryngoscopy there was significant rise in heart rate, systolic, diastolic and mean arterial pressure. The maximum change in HR compared to baseline was 20.45±9.29 vs 12.36± 7.28 (p<0.001) in Macintosh and McCoy groups. As compared to baseline maximum change in SBP (mean) was 7.92±10.53 vs 2.80± 6.73 (p= 0.005), the maximum  change in DBP (mean) was 9.28±14.74 vs 5.72±7.37 (p= 0.130), the maximum percentage change in MAP (mean) was 8.62±12.07 vs 4.36±7.83 (p=0.039) in Macintosh and McCoy group respectively. Compared to variables just before insertion of the laryngoscope, maximum percentage rise in mean HR was 22.74±10.88 vs 16.40±7.43 (p=0.001), maximum percentage rise in SBP (mean) was 28.31± 13.22 vs 19.41±6.82 (p<0.001), maximum percentage rise in DBP (mean) was 30.00±15.25 vs 24.64±12.21 (p=0.003), maximum percentage rise in MAP (mean) was 28.89±11.55 vs 22.31±11.34 (p=0.05) in Macintosh and McCoy group respectively.
Conclusion: The hemodynamic response to laryngoscopy and intubation with McCoy laryngoscope was significantly less than with Macintosh laryngoscope.
Factors predicting leaving against medical advice in Neurosurgery: A prospective observational study from Nepal
Authors: Sapkota Shabal , Karn Mitesh , Neupane Bhoj Raj , Gurung Bandana , Pandit Chandika , Upadhyay Tirtha , Sigdel Brihaspati , Kandel Dipendra
Published: July 2022

Introduction: Though leave against medical advice (LAMA) is a common healthcare problem in low-income countries, there is paucity of studies exploring this aspect of care from Nepal. Our study aims to find out the prevalence of LAMA, its reasons and any differences that exist among patients in neurosurgery versus other specialties.
Methods: A prospective, cross-sectional study was carried out among patients discharged against medical advice from September 2020 through February 2021 at Gandaki Medical College, Pokhara.      
Results: A total of 150 patients were included, 29.3% (n=44) from neurosurgery and 70.7% (n=106) from other departments. The overall rate of LAMA was 5.68%; 16.73% from neurosurgical service. In the neurosurgical cohort, mean age was 61.41±18.72 years and majority of patients were males (65.9%). Most patients were Hindu by religion (97.7%), illiterate (59.1%), married (93.2%), with history of substance abuse (63.6%), admitted directly to the ICU (88.6%) and lacked insurance (79.5%). Financial insufficiency (40.9%) followed by expected poor prognosis of the disease (25%) were reported as major reasons for LAMA. Statistically significant differences (p<0.05) were observed in neurosurgical patients when compared to patients from other departments in terms of age, gender, educational status, history of substance abuse, place of in-patient admission, treatment modality recommended, status of mechanical ventilation and insurance status. In-patient admission to the ICU and proposal of surgical intervention were predictive of LAMA among neurosurgical patients.
Conclusions: The rate of LAMA was high in neurosurgery. Educating general public about neurosurgical care and widespread implementation of health insurance seem important policy-implications.
Delta-like factor 1 negatively regulates angiogenesis as a target gene of miR-126-5p after indirect revascularization surgery in patients with moyamoya disease
Authors: Yang Yang , Ling Cong , Gao Shuangqi , Li Chao , Bhattarai Robin , Wang Hui , Chen Chuan
Published: July 2022

Promoting endothelial cell (EC) proliferation and angiogenesis after indirect revascularization surgery is crucial for decreasing the stroke rate in moyamoya patients. However, the role of delta-like factor 1 (DLK1) in regulating EC proliferation in chronically ischaemic brains and the specific mechanisms remain unclear. Therefore, we compared the expression levels of DLK1 in the dura mater (DM) tissues of  patients with moyamoya disease and patients with aneurysms, and dual luciferase reporter and RNA binding protein immunoprecipitation assays were conducted to determine whether DLK1 is a target gene of miR-126-5p. The effect of DLK1 on EC proliferation and the interaction between DLK1 and miR-126-5p were explored in vitro. Then, we established an animal model of two-vessel occlusion together with encephalo-myo-synangiosis (2VO+EMS). The temporalis muscles (TMs) of the animals were transfected with DLK1 lentiviral RNA (Lv-DLK1) and short hairpin RNA (sh-DLK1) to compare the DLK1 expression, angiogenesis (CD31 count), and numbers of vacuoles and impaired tight junctions in the ECs of TM-covered chronically ischaemic brains as well as the cognitive improvement in each group. DLK1 expression was lower in the DM tissues of moyamoya patients than in those of the aneurysm patients, and DLK1 was identified as a target gene of miR-126-5p. In vitro, DLK1 inhibited EC proliferation, migration and angiogenesis and exerted effects opposite those of miR-126-5p. In 2VO+EMS rats, compared to the control transfection, the TM transfection of Lv-DLK1 induced significantly higher DLK1 expression and worse angiogenesis in the TM-covered ischaemic brain as well as less extensive cognitive improvement, while the transfection of sh-DLK1 into the TM had the opposite effects. In summary, DLK1, a target gene of miR-126-5p, negatively regulates angiogenesis in chronically ischaemic brains and is expected to be a new target to improve the efficacy of indirect revascularization surgery and the prognosis of moyamoya patients.
O slobodi savjesti i javnom značaju religije iz perspektive političkih teologija Carla Schmitta i Johanna Baptista Metza
Authors: Vlk Mirko
Published: July 2022

Ovaj članak razmatra odnos slobode savjesti i javnoga značaja religije, njezine važnosti po društveno–politički život. Polazeći od “stare” političke teologije Carla Schmitta i nove političke teologije Johanna Baptista Metza, kao i od Deklaracije o slobodi vjerovanja Dignitatis humanae, pitanje slobode savjesti smješta se u kontekst sustavne refleksije o odnosu vjere i svijeta. Cilj je iznijeti kako politička teologija vrjednuje slobodu savjesti ponad čisto tehničkoga rješenja odvajanja Crkve i države.
Language and Racial Attitudes toward French Varieties in a Second Language Learning Context
Authors: Bouchard Marie-Eve
Published: July 2022

Language is a powerful social force that does more than merely communicate content. Language learners can show preference for certain varieties over others due to linguistic stereotyping and the awareness that accents can lead to an array of social and professional disadvantages. This study explores the hierarchization of different varieties of French within Canada and the interplay of variety and race. A modified matched-guise test was used to gather attitudinal data from 94 participants undertaking Frenchlanguage courses at the University of British Columbia in Vancouver. The goals of this study were to unpack the perceived hierarchization of five different varieties of French (from Moncton, Quebec City, Vancouver [a non-native speaker], Abidjan, and Paris) and to identify a possible correlation between the evaluation of varieties of French and the racialization of speakers. Participants evaluated speakers on four dimensions: status, solidarity, understandability, and general perspective. The findings revealed a clear hierarchy based on attitudes. For most statements, the participants evaluated speakers of Quebec and European French more favourably. Interestingly, they also evaluated the non-native speaker of French more positively than the speakers of African and Acadian French. However, for each variety of French, the voices associated with Black speakers were evaluated more positively than those associated with White speakers.
Excellent Agreement of In-Person Scoring versus Scoring of Digitally Recorded Simulated Suture Skills Examination
Authors: Brisson Brigitte A. , Dobberstein Rachel , Monteith Gabrielle , Jones-Bitton Andria
Published: July 2022

This study’s objective was to evaluate the agreement between in-person performance scores and digitally recorded assessment scores by the same examiner using a simulated suturing skill examination. With ethics approval, veterinary students underwent a simulated skills examination proctored by an in-person examiner and simultaneously digitally recorded using two wide-angle cameras mounted overtop and to the side of the surgical field. Performance scores were based on a nine-item rubric. In-person examination scores were compared for agreement with those obtained by blind review of the digital recording of the same session, by the same examiner, 6–18 months following the in-person examination. Thirty-nine students were enrolled. All rubric categories could be assessed during digital assessment of the recording from the camera mounted above the surgical area. In two instances, the side digital recording had to be reviewed to confirm correct needle holder grip. Concordance correlation between performance scores from in-person and post hoc digital assessment was excellent ( r = .93). The excellent agreement between in-person and digital assessment suggests that digitally recording skills examinations can provide adequate suturing skills assessment, presenting several benefits. Digitally recorded assessment allows for anonymity, which can reduce assessor bias/favoritism, provide a record of performance that students can review and critically self-reflect upon, and reduce the number of in-person examiners required to complete surgical skills examinations. Additionally, digitally recorded assessment could become an option for students who experience anxiety performing a skills exam in the presence of an examiner.
Un análisis de supervivencia de los pequeños agroexportadores del sector no tradicional en Perú
Authors: Chávez Reyes Omar Alexis
Published: July 2022

Las pequeñas empresas en Latinoamérica encuentran a menudo muchas dificultades para poder desarrollarse en sus propios mercados. En muchos casos, la internacionalización parece ser el camino para continuar con su crecimiento, pero el proceso para lograrlo suele ser también muy complicado. El presente documento busca analizar algunas de las variables que determinan que una pequeña empresa del sector agropecuario no tradicional en Perú continúe o no exportando en el tiempo. La hipótesis por verificar es que las pequeñas empresas, que son la mayoría, tienen dificultades inherentes al mercado a lo largo de su existencia y, eventualmente, son las que llevan al empresario a optar por desertar del negocio. La metodología que se utiliza está basada en el planteamiento de un modelo de elección binaria (logit), el cual determinará la probabilidad de que una empresa tenga éxito en el mercado exportador, dadas las variables explicativas que se analizan en este artículo, tales como el acceso al crédito, la diversificación de productos, o la experiencia de los empresarios.
Curso sencillo sobre investigación científica
Authors: Ishiyama Cervantes Raúl , Ishiyama Cervantes Raúl
Published: July 2022

Los programas educativos se desarrollan mejor, siguiendo una metodología sencilla, presentada en forma atractiva tratando de despertar el interés del estudiante. Si se aburre, es responsabilidad del docente, quien tiene a su cargo  trasmitir conocimientos y valores con el ejemplo.  El proceso educativo es gradual, al inicio con temas sencillos. Manejando escalonadamente el idioma y acumulando conocimientos, un novelista llega a la fama gracias a que, al inicio aprendió las primeras letras, a leer y luego a escribir; con el tiempo utilizando la práctica, su imaginación y su razonamiento narrar la novela. Imposible que lo hiciera memorizando reglas y definiciones  como ocurre con algunos cursos sobre metodología de la investigación.
Marketing digital en redes sociales y su contribución a la identidad de marca en alojamientos turísticos familiares.
Authors: Ramos Cavero María Jeanett
Published: July 2022

RESUMEN

Objetivo: Analizar la contribución que tienen los contenidos digitales en la identidad de marca de los alojamientos familiares de la Región Lima, Perú, en el año 2021. Estos apuntan sus esfuerzos a un marketing digital capaz de fortalecer la relación marca-consumidor mediante las redes sociales que han creado una revolución en la forma de como hoy interactuamos con el mundo. Método: Es de tipo descriptivo, con muestreo no probabilístico, se seleccionó a 10 alojamientos familiares con mejores calificaciones en las plataformas de viaje Booking y TripAdvisor pertenecientes a la Región Lima. Resultados: Se identificó una alta participación en las redes sociales: Facebook, Instagram y YouTube, aplicando herramientas digitales como imágenes, noticias y videos. como contenido audiovisual atractivo para los consumidores. Conclusiones: Los contenidos digitales contribuyen un acercamiento al cliente, brindando una comunicación más ágil, atractiva y bidireccional para el fortalecimiento de identidad de marca en los alojamientos familiares.
COVID-19 – Um estudo comparativo entre o comportamento dos estudantes universitários e dos profissionais de saúde no início da pandemia
Authors: Maria Fernandes Ventura Margarida , Araújo Suely
Published: July 2022

Um evento como a pandemia da Covid-19 ocasiona perturbações psicológicas e sociais que afetam a capacidade de enfrentamento de toda a sociedade a vários níveis de intensidade e propagação. O modo como respondemos a uma pandemia pode depender da nossa formação, da história de vida, de características particulares, e do local onde vivemos. Neste sentido, foi realizado um estudo com dois grupos, o dos estudantes universitários composto por 132 sujeitos e o dos profissionais de saúde, composto por igual número, com vista a avaliar o seu comportamento e os seus sentimentos durante o confinamento obrigatório causado pela pandemia da Covid-19. Verificou-se que os dois grupos se comportam de forma bastante diferente em quase todas as variáveis comportamentais e de sentimentos, tendo-se verificado que os estudantes universitários sentem de forma diferente do pessoal de saúde, apresentando este último grupo mais sentimentos negativos que o dos estudantes. Profissionais expostos diretamente aos riscos de contaminação, especialmente aqueles que atuam em hospitais e postos de saúde podem manifestar efeitos psicológicos negativos, o que vem explicar as diferenças encontradas entre os dois grupos.
promoção e proteção do aleitamento materno em meio a pandemia: relato de experiência
Authors: Ruzicki Pereira Raquel , Fritzen Liandra , Bianchi Gabriela , Costa da Rosa Eduarda , Battistin Schiavoni Laura , Da Silveira Paola Leticia , Araújo de Oliveira Natálie , Mendes Ana Carolina , Giordani Cristofoli Bárbara , Peter Maahs Marcia Angelica , Tamanini de Almeida Sheila , Costa Batista Berbert Monalise
Published: July 2022

O aleitamento materno é o primeiro alimento do bebê e a primeira forma de contato com a mãe, com a família e com a sociedade. Objetivo: Descrever ações de promoção do aleitamento materno desenvolvidas no atual cenário de distanciamento social. Metodologia: Trata-se de um relato de experiência de ações realizadas por um projeto de extensão no período de distanciamento social provocado pelo Coronavírus. Resultados: Foram produzidas 71 publicações sobre temas relevantes envolvidos com a amamentação e obtido um total de 734 seguidores no perfil do Instagram do projeto com alcance em torno de 1.191 pessoas. Discussão: Ressalta-se a importância de informações seguras sobre a prática de amamentar e acredita-se na importância de profissionais capacitados para incrementar a prevalência do aleitamento materno. Conclusão: Mesmo diante dos desafios frente à pandemia, o projeto conseguiu alcançar a sociedade além dos muros da universidade, bem como atingiu o objetivo de promover e proteger o aleitamento materno baseado em informações científicas.
olhar crítico da Psicologia da Educação diante da COVD-19 e seu impacto na saúde mental
Authors: João Neves Ademar de Jesus
Published: July 2022

Este artigo é exploratório, explicativo e qualitativo, ao uso dos métodos Bibliográfico, Dialéctico e Analítico-Sintético. A definição do problema é: Como minimizar os efeitos psicológicos da COVID-19, com recurso à Psicologia da Educação? Reflectir-se-á o contributo da Psicologia à COVID-19 como um instrumento metodológico de prevenção e cuidados primários da saúde mental, evitando o surgimento de comportamentos perigosos que originam normoses ou doenças da normalidade aceite pela maioria das pessoas, mas que, na verdade, tais comportamentos normóticos geram tortura, dor, sofrimento, isolamento forçado e morte, devido à fobia social exagerada causada pela pandemia. A vida humana começa e termina na psique, a psique é fonte de bem e mal, saúde e doença, desgraça e felicidade, entendimento e desentendimento. Para Platão, o Homem tem alma racional, sensitiva e vegetativa. Significa que a saúde, doença, depende daquilo que pensamos, sentimos e nos alimentamos.
Violência doméstica para com as mulheres em período de quarentena (COVID-19)
Authors: Bunga Iracema
Published: July 2022

A violência doméstica configura um fenómeno transversal que acomete todas as classes socio-económicas, etnias, faixas etárias e géneros. Para o estudo da violência doméstica, selecionou-se uma amostra de 68 mulheres, do município do Lubango, Huíla (Angola). O requisito principal foi de se encontrarem a coabitar com os respetivos parceiros durante o período de confinamento obrigatório. A pesquisa teve como objetivo verificar se existe uma relação entre a subida dos casos de violência doméstica contra mulher e o fato de as famílias estarem em isolamento social por conta da pandemia da COVID-19. Como resultados, encontrou-se que a maioria das mulheres inquiridas no município do Lubango são casadas e mantiveram boas relações com os parceiros e com os restantes familiares durante a quarentena. A maioria das inquiridas não evidenciou violência durante o confinamento. No que toca ao total de violência e aos sentimentos inerentes à ansiedade, os resultados indicaram uma predominância moderada.
Apresentação
Authors: Ferreira Albano , Sidat Mohsin , Saute Francisco , Samo Gudo Eduardo
Published: July 2022

O presente número da Revista Internacional em Língua Portuguesa assinala a primeira edição dedicada às ciências da saúde. Esta e as próximas edições passam a representar um espaço de divulgação e debate de questões de saúde de académicos e investigadores dos países falantes da língua portuguesa. A infecção pelo vírus SARS-CoV-2, que passou a designar-se por COVID-19, surgida no final do ano 2019, foi identificada e declarada pandemia em 2020 pela Organização Mundial da Saúde, afectando todos os países do mundo que experimentaram profundas mudanças nos domínios da assistência médica, da saúde pública e em diversos sectores da economia mundial. Continua a ser, ainda hoje, um tema bastante actual a ser estudado sob vários ângulos e perspectivas, representando um vasto campo de investigação na busca de preenchimento de lacunas de conhecimento, não obstante o acelerado e elevado número de publicações existentes e disponíveis na literatura e dos progressos observados, desde os progressos alcançados no diagnóstico e sobretudo no desenvolvimento de vacinas. (..) Assim, agrupados sob o tema “Desafios Contemporâneos da Saúde” este primeiro número apresenta artigos relacionados com a pandemia da COVID-19, retratando aspectos que constituíram as preocupações iniciais dos países de língua portuguesa em relação à adoção das medidas restritivas e adaptação ao “novo normal”. (...) Sendo o espaço dos países de língua portuguesa culturalmente diverso e geograficamente disperso, com realidades diferentes de desenvolvimento e nível socioeconómico bem como de uma vasta nosologia, este número da RILP marca o contexto histórico das abordagens iniciais relacionadas com a pandemia da COVID-19.
Substantive Equality and Women's Representation in Public Institutions
Authors: van Mil Martine
Published: July 2022

This brief explores how constitutional advocates for women’s equality in Myanmar can advance women’s representation and meaningful participation in public decision-making and institutions. It looks at how different countries have aimed to do this through their constitutions, and what lessons can be learned for your own advocacy strategies.
Qual o papel da quetiapina na fibromialgia?
Authors:   Médico de Família, Loureiro Rodrigo Miguel , Azevedo Daniela Alves ,   Médico de Família
Published: July 2022

Introdução: A fibromialgia é uma síndroma reumatológica crónica, de etiologia desconhecida, caracterizada pela distribuição generalizada de queixas álgicas e uma multiplicidade de sintomas. O seu tratamento continua a ser um importante desafio. Alguns fármacos antipsicóticos, como a quetiapina, têm sido estudados como terapêutica adjuvante. No entanto, existe ainda alguma controvérsia relativamente à sua eficácia e segurança. O objetivo deste trabalho foi avaliar o papel da quetiapina no controlo de sintomas em indivíduos com fibromialgia. Métodos: Foi realizada uma revisão bibliográfica com pesquisa de artigos em diferentes plataformas científicas utilizando os termos MeSH fibromyalgia e quetiapine. Foram incluídos estudos que cumpriam os critérios definidos pelo modelo PICOS: (P) adultos com diagnóstico de fibromialgia; (I) plano terapêutico com recurso a quetiapina; (C) placebo ou outro tipo de comparador; (O) alívio de sintomas e perfis de tolerabilidade e segurança; (S) revisões sistemáticas e ensaios clínicos aleatorizados controlados. Foi utilizada a escala Strength of Recommendation Taxonomy, da American Academy of Family Physicians, para avaliação dos níveis de evidência e atribuição de forças de recomendação. Resultados: Dos 66 artigos encontrados foram selecionados três ensaios clínicos aleatorizados controlados. Os resultados encontrados são heterogéneos e apesar de, na sua generalidade, parecerem mostrar vantagem no controlo dos principais sintomas dos doentes com a utilização da quetiapina não foi encontrada evidência robusta que comprove um benefício inequívoco. Os autores relataram boa tolerância e ausência de efeitos adversos severos com o seu uso. Conclusões: A evidência atual é de fraca qualidade, não livre de viés e de difícil generalização, apesar de aparentemente favorável no alívio parcial de alguns sintomas de doentes com fibromialgia (força de recomendação B). Este perfil positivo não é sustentado por significância estatística. É necessário realizar novos estudos, mais robustos, com estrutura e metodologia mais específicas, claras e consensuais, de forma a chegar a conclusões de qualidade.
Medicina sem fronteiras: os desafios da população imigrante
Authors:   Médico de Família, Silva Daniela Sofia Abreu , Macedo Francisco ,   Médico de Família, Quintal Dolores ,   Médico de Família
Published: July 2022

A migração é um fenómeno que tem vindo a crescer globalmente e também em Portugal. Durante o processo de migração, os indivíduos ultrapassam diversas transições que podem desencadear desequilíbrios e potenciar o surgimento de problemas de saúde. Os imigrantes estão em particular risco de sofrer disparidades nas oportunidades de acesso aos cuidados de saúde e tratamento médico como consequência de múltiplos fatores. As necessidades da população migrante em crescimento são um desafio para os sistemas de saúde. Este grupo é heterogéneo e apresenta características distintas pelo que as competências culturais são essenciais para a prática clínica do médico de família que, cada vez mais, se depara com uma população mais diversa do ponto de vista cultural. Neste trabalho pretende-se focar particularidades dos utentes imigrantes, compreender os maiores desafios encontrados na sua abordagem e rever estratégias que melhorem o acesso e os cuidados prestados a esta população, à luz da medicina centrada na pessoa.
Lacrimejo durante a mastigação associado a paralisia facial: relato de caso da síndroma de lágrimas de crocodilo
Authors:   Médico de Família, Fróis Ana Teresa
Published: July 2022

Introdução: O lacrimejo anormal com a mastigação é uma queixa incomum, que pode surgir após uma paralisia do nervo facial de qualquer etiologia. O mecanismo por trás deste sintoma não está claramente estabelecido e não existe consenso quanto à melhor opção terapêutica. Este caso realça o papel do médico de família na educação e tranquilização do doente, fundamentais para a aceitação e controlo do impacto emocional associado. Descrição do caso: Homem, 56 anos. Recorreu ao médico de família em fevereiro de 2020 por chorar quando comia. Afetava apenas o olho esquerdo e teria começado cerca de um ano antes, enquanto realizava reabilitação de paralisia facial periférica secundária a cirurgia por neurinoma do acústico. Simultaneamente apresentava congestão nasal profusa da narina esquerda. A hemiface esquerda apresentava tónus muscular superior à direita. Os sintomas iniciaram-se concomitantemente à recuperação da função motora. Na consulta de seguimento de neurocirurgia, o paciente mencionou o lacrimejo anormal e foi-lhe dito que era uma sequela sem necessidade de investigação adicional. O paciente queria saber mais sobre o seu sintoma e possíveis soluções, tendo consultado o seu médico de família. Após revisão da literatura, a hipótese diagnóstica foi encontrada e explicada ao utente e as opções terapêuticas foram abordadas. O paciente considerou desnecessário submeter-se a um procedimento invasivo com resultados incertos, tendo optado por ajustes no seu dia-a-dia. O esclarecimento do diagnóstico foi suficiente para reduzir significativamente a sua preocupação. Comentário: Apesar de o lacrimejo com ingestão de alimentos não ser tão impactante como a paralisia facial, enquanto sequelas da cirurgia a neurinoma do acústico, associa-se a grande impacto emocional, com frequente evitamento de refeições sociais. Deve fornecer-se informação completa, pois poderá ser suficiente para proporcionar alívio ou, caso o paciente pretenda tratamento, permitir a sua orientação adequada.
Utilização e atitudes face aos contactos telefónicos e por e-mail entre médicos e pacientes: questionário aos médicos de família da Unidade Local de Saúde de Matosinhos
Authors:   Médico de Família, Ponte Carla , Granja Mónica ,   Médico de Família, Lima Graça ,   Médico de Família
Published: July 2022

Introdução: Os contactos não presenciais entre médicos de família e pacientes são componente chave da acessibilidade aos cuidados. Objetivos: Determinar a frequência de utilização do telefone e e-mail entre os médicos de família de Matosinhos e os seus pacientes, bem como as atitudes perante este tipo de contactos. Métodos: Estudo transversal sobre um censo aos médicos de família de Matosinhos, por aplicação de questionário anónimo, de autopreenchimento, em papel. Tratamento de dados com estatística descritiva. Resultados: Obtiveram-se 81 questionários preenchidos (taxa de resposta de 90,0%). Todos os médicos de família referem usar o telefone com pacientes, mas 1/3 nunca/raramente usa o e-mail. A maioria considera que o uso do telefone e e-mail com pacientes é uma sobrecarga, que não tem tempo para esses contactos, mas que facilita a gestão da lista/consulta. A maioria considera também que usaria mais o telefone e o e-mail se pudessem fazer registos em tempo real e que usaria mais o telefone se fosse contabilizado no desempenho. Médicos de família com listas maiores trocam mais telefonemas com pacientes. Médicos de família em USF-B usam mais e-mail com pacientes. Os médicos de família que menos usam o e-mail são os que mais consideram que é uma sobrecarga e que o risco do seu uso é superior ao benefício, sendo também os que mais discordam que o e-mail facilita a gestão da lista/consulta e os que mais afirmam que não usariam mais o e-mail se tal fosse contabilizado no desempenho. Conclusão: Todos os médicos de família usam telefone com pacientes, mas expressam várias atitudes negativas. Os médicos de família que mais usam e-mail têm atitudes mais positivas perante essa prática que aqueles que o usam raramente ou não usam. As políticas organizativas devem considerar as atitudes dos médicos de família.
Development and implementation of educational programs of specialized scientific education
Authors:   Institute of Gifted Children NAPS of Ukraine, Polikhun Nataliia , Slipukhina Iryna ,   Institute of Gifted Children NAPS of Ukraine, Postova Kateryna ,   Institute of Gifted Children NAPS of Ukraine, Horban Lesia ,   Institute of Gifted Children NAPS of Ukraine
Published: July 2022

Based on the standard of specialized education in the field of science, developed guidelines for the creation of educational programs. The organizational features of the educational program in the conditions of integration of formal and non-formal education, requirements to the obligatory results of training of applicants for mastering research competence, tools of internal quality assurance of education in the institution of specialized education are revealed. For institutions of specialized scientific education
Against the sphinxes without enigmas: the magazine “Minerva” (1944-1945) by Mario Bunge and the development of a philosophical tradition in Argentina
Authors:   Centro de Documentación e Investigación de la Cultura de Izquierdas (CeDInCI) – Universidad Nacional de San Martín (UNSAM), Domínguez Rubio Lucas
Published: July 2022

Firstly, this article analyses Mario Bunge’s journal Minerva (Buenos Aires, 1944-1945) in order to recover the highly critical diagnosis of Argentine philosophical studies against which the journal intended to intervene. However, against them, the journal was far from having a concrete theoretical proposal. For this reason, secondly, this article analyses the series of articles published throughout its six issues and the discussions they initiated, above all from there it describes its net-work of cultural and political contacts, linked both to writers close to the Unión Democrática and to young socialists and communists. Third-ly, the article stresses that these were the cultural contacts that, once the journal was closed, gave rise to the informal extra-university meetings that constituted the Círculo Filosófico de Buenos Aires, which func-tioned between 1945 and 1956 outside the university environment and which, together with Minerva, became fundamental platforms for the introduction of analytical philosophy in Argentina.
Three sources and three heroes of the Marginal Revolution
Authors: Avtonomov V. S.
Published: July 2022

The article is devoted to the 150th anniversary of Marginal Revolution and deals with “patristic legacies” leading to the works of William Stanley Jevons, Carl Menger and Léon Walras. The British empiricist-utilitarian tradition which inspired Jevons, the German subjectivist tradition culminating in the work of Menger, and the French Cartesian tradition, the traits of which can be easily seen in Walras, happened to give birth to similar theories of value and price based on marginal utility. All three also contributed to the creation of exact economic science. But the forms their theories took, as well as the policies they recommended, were very different and this difference could be explained by the different, nationally specific sources of their thought.
Activity of settlement departments at the State Bank of Russia (1898—1917)
Authors: Lizunov P. V. , Morozan V. V.
Published: July 2022

The paper examines clearing operations of settlement departments operating at the State Bank of the Russian Empire. The problem of clearing as a form of non­cash interbank settlement became extremely acute for the participants of the money market in the late 19th — early 20th century. The industrial achievements of Russia caused a significant increase in cash flows, which complicated the cash operations of not only of banking institutions, but also of economic entities of the country. This state of affairs demanded the speedy introduction of cashless payments in the banking sector of the Empire. It is noteworthy that at the end of the XIX century this problem began to be widely discussed in the Russian press and scientific circles. V. T. Sudeikin was one of the active supporters of the establishment of clearing houses in Russia. The Russian Ministry of Finance was sympathetic to the needs of the banking community, instructing the Governor of the State Bank, E. D. Pleske, to organize the preparation of a draft of Russian clearing houses. As a result of work on the aforementioned project, it was decided in 1898 to establish the first settlement institution at the St. Petersburg office of the State Bank. In subsequent years, such institutions were opened in numerous cities of the Empire. In 1914, there were settlement chambers in 45 Russian cities. The sum of their settlement operations exceeded 40 billion rubles, 80% of which were in St. Petersburg and Moscow.
Marshev V. I. History of management thought. Genesis and development from ancient origins to the present day Springer, 2021. — 710 p.
Authors: Bobyleva A. Z. , Anshin V. M.
Published: July 2022

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Bribes or connections? What form of corruption “greases the wheels” of the economy?
Authors: Kravtsova M. V.
Published: July 2022

In this article, we use the theoretical division between market and network corruption and offer their empirical dimension. At its extreme, market corruption involves a free market for corrupt services, where anyone who pays a bribe gets access to an informal service. Network corruption provides access to corrupt services to a limited pool of individuals who are members of the circle of acquaintances of officials. Using cross-country data from the World Bank and the World Economic Forum, we answer the question of which form of corruption does more harm to the economy: (a) market corruption associated with an additional financial burden on business and uncertainty, but not violating the principles of competition, or (b) network corruption, which does not burden businesses with additional payments, but limits competition. As a result of econometric analysis, we come to the conclusion that network corruption “clogs the wheels of the economy” to a greater extent than market one.
Conflict resolution in public procurement: The cases of Russia and Kazakhstan
Authors: Rodionova Yu. D.
Published: July 2022

This paper analyzes conflict resolution strategies in public procurement in Russia and Kazakhstan based on the suppliers survey. The results have shown that suppliers in Kazakhstan are generally less likely to report a conflict with procurers, both before and after the conclusion of a contract. In turn, the econometric analysis has confirmed the hypothesis that Russian suppliers potentially affiliated with procurers are less likely to encounter conflict situations in public procurement. As an indirect indicator of the affiliation of suppliers with procurers, the question of the attitude of suppliers to the practice of deliberate choice, when the procurer uses the procurement procedure to award a contract to a pre-selected supplier, was used. In addition, the empirical analysis has shown that in both countries, suppliers who were not inclined to trust the court and noted high costs of participation in litigation were more likely to use the strategy of direct negotiations with the procurer to resolve conflicts in public procurement.
PERKEMBANGAN ARSITEKTUR DIGITAL DAN DYNAMIC LIVING
Authors: Basuki Basuki , Purwanto L.M.F.
Published: July 2022

Artikel ini bertujuan untuk membahas perkembangan teknologi digital dan hubungannya dengan cara-cara bersitektur serta hubungannya dengan kehidupan yang dinamis. Studi dilakukan melalui pendekatan kualitatif melalui studi literatur berdasarkan sumber data sekunder dari buku, laporan, artikel yang diakses secara online melalui media internet. Bagian pertama artikel ini membahas perkembangan digital arsitektur. Bagian berikutnya membahas perkembangan digital arsitektur dan hubungannya dengan kehidupan yang dinamis. Artikel ini mengungkapkan bahwa perkembangan teknologi digital merubah cara kerja, cara hidup yang tidak terbatas ruang dan waktu. Teknologi digital digital memfasilitasi kehidupan yang dinamis, yaitu cara-cara kerja, belajar, hidup dimana saja dan kapan saja. Hasil tersebut memerlukan definisi ulang konsep arsitektur seperti: tempat hunian, kantor, ruang belanja, tempat berlibur, ruang publik.
A Novel Industrial Application of CNN Approach: Real Time Fabric Inspection and Defect Classification on Circular Knitting Machine
Authors: ÇELİK Halil İbrahim , DÜLGER Lale Canan , ÖZTAŞ Burak , KERTMEN Mehmet , GÜLTEKİN Elif
Published: July 2022

Fabric Automatic Visual Inspection (FAVI) system provides reliable performance on fabric defects inspection. This study presents a machine vision system developed to adapt in circular knitting machines where fabric defects can be automatically controlled and detected defects can be classified. The knitted fabric surface are detected during real-time manufacturing. For the classification process, three different transfer learning architectures (ResNet-50, AlexNet, GoogLeNet) have been applied. The five common knitted fabric defects were recognized with the artificial intelligence-based software and classified with an average success rate of 98% using ResNet-50 architecture. The success rates of the trained networks were compared.
Application of Indigenous Plant-Based Vegetable Tanning Agent Extracted from Xylocarpus granatum in Semi-Chrome and Chrome Retanned Leather Production
Authors: DAS Raju Kumar , MIZAN Al , ZOHRA Fatema -tuj- , BAŞARAN Bahri , AHMED Sobur
Published: July 2022

Environmental issues are nowadays the prime concern worldwide for leather industries due to chrome containing solid and liquid wastes generated from the tannery. Therefore, experts are being encouraged in exploring alternative tanning agents. This study aimed at applying a novel vegetable tanning agent extracted from Xylocarpus granatum barks for the production of semi-chrome (SC) and chrome retanned (CR) leathers to reduce chromium use. Characterization of the SC and CR leathers was performed by Fourier Transform Infrared (FTIR) spectroscopy which revealed prominent tanning activity of the extracted tannins. The tanned leathers exhibited shrinkage temperatures of 112˚C for SC and 103˚C for CR leathers. The physicomechanical properties were found as tensile strength >230 kg/cm2, tear strength >30 kg/cm, grain cracking load >20 kg, distention at grain crack >7 mm, ball bursting load >38 kg, and distention at ball bursting >12mm that was comparatively acceptable according to UNIDO standard for shoe upper leathers.
The activity of T- and B-cell links of specific protection of chicken-broilers under the influence of synbiotic preparation “Biomagn” and “Diolide” disinfectant
Authors: Chechet O. M. , Kovalenko V. L. , Vishchur O. I. , Haidei O. S. , Liniichuk N. V. , Gutyj B. V. , Krushelnytska O. V.
Published: July 2022

One of the most actual problems of modern poultry farming is to increase the preservation of chickens and ensure high intensity of their growth at all stages of rearing. The development of alternative methods of prevention and treatment of infectious diseases of poultry involves the use of preparations of natural or organic origin, which have antagonistic properties against infectious agents and are able to balance the immune response. A prominent place in the system of disease prevention and increasing the resistance of animals and poultry is the development of modern probiotic and bactericidal preparations. In view of this, we studied the influence of the synbiotic preparations “Biomagn” in combination with the disinfectant “Diolide” on the state of the T- and B-cell links of the specific immunity of broiler chickens during the period of their rearing. The preparation “Biomagn” is based on representatives of the normal commensal microflora - non-pathogenic lactic acid bacteria with antibacterial and immunomodulatory properties and additional components: magnesium chloride, chitosan, xylanase, protease, cellulase, milk thistle meal, acidity regulator, betaine and emulsifier. The specified remedy is used to ensure optimal level of metabolism, increase immune function, growth, safety of animals and poultry. The results of the research showed that the use of the synbiotic preparation “Biomagn” in combination with the disinfectant “Diolide” had a positive influence on the activity of T- and B-cell links of specific defense of broiler chickens organism during the period of their rearing. This is evidenced by an increase in the amount of T-lymphocytes (total, active and theophylline-resistant) and B-lymphocytes in the blood and an increase in their functional activity due to the redistribution of the receptor apparatus of immunocompetent cells. In particular, a decrease in the number of functionally inactive T- and B-lymphocytes in the blood and an increase in the number of cells with low and medium degree of avidity. Therefore, the use of a set of studied immunotropic preparations is a promising direction in increasing the resistance and productivity of poultry. This allows in industrial conditions of maintenance, without loss of productivity, to respond to technological factors that can lead to immunodeficiency, disease and death of poultry.