bluuebunny/crossref_metadata_2025 huggingface dataset:
APPROACHES AND FUNCTIONS TO CHANGE MANAGEMENT OF THE RAILWAY ENTERPRISES IN THE FIELD OF PASSENGER TRANSPORT
Authors: O. O. MATUSEVICH  , Т. Yu. CHARKINA  , L. D. HALUSHKO
Published: July 2023

Purposes. Formulation and characterization of the main stages of change management in the enterprise, definition of strategies to change management, definition of directions to researches of change management at the enterprises of railway transport in the passenger sector, the definition of scientific approaches to change management of the railway transport enterprises in the field of passenger transport, definition of change management functions to the railway transport enterprises in the sphere of passenger transportation. Methods. To solve the problems of this class in the work it is proposed to apply a systematic, integrated approaches and methods of rational problem solving. The Results. The paper defines the relationship of scientific approaches and functions of change management with the factors that affect the competitiveness of passenger trains. Practical significance. A certain connection of scientific approaches and functions of change management with the factors that affect the competitiveness of passenger trains, will further formulate the principles and mechanisms of change management of railway transport enterprises in the field of passenger transport and generally determine the purpose of change management of railway transport enterprises in the field of passenger transport.
PUBLIC RELATIONS AS A TOOL FOR FORMING THE REPUTATION CAPITAL OF ENTERPRISES IN TOURISM SPHERE
Authors: V. DMYTRUK
Published: July 2023

Aim. The scientific research is devoted to the disclosure of the essence of "public relations", as one of the components of managerial technology in the tourism industry, as well as an important tool for the formation of their reputational capital. Methodology. The methodological basis of this scientific research is the work of foreign authors, available information of some government structures, as well as other sites. To solve the problems, a number of factors were considered which should be taken into account when introducing "public relations" into the activities of enterprises of the tourism sector, the volumes of tourist flows for 2013-2017 were analyzed and the results were summarized. The author believes that there is a need to build an updated structural model of the program "public relations" for tourism enterprises. Results. The author developed an updated structural model of the "public relations" program for tourism enterprises the introduction of which will in practice contribute to the formation of a higher level of their reputation capital and the individualization of relations with consumers. Scientific novelty. A special difference in the construction of programs "public relations" for enterprises in the sphere of tourism, in modern conditions of their functioning and development, the author considers it necessary to use an individual approach in determining the target audience, for which this program is designed. This need is due to the fact that key messages transmitted to specific target audiences in public relations programs may not be the same for all consumer audiences. Such programs should take into account not only the intentions and objectives of the tourist enterprise but also be balanced in accordance with the goals of the specific consumer audience to which the program is addressed. Practical significance. The implementation in practice of tourism enterprises offered by the author of the revised structural model program "Public Relations" will strengthen their reputational capital in the tourism market and will provide a higher level of individualization relationship with consumers and other interested audiences.
FORMATION OF THE DATASET AND SELECTION OF PARAMETERS FOR THE BUILDING OF THE ARTIFICIAL NEURAL NETWORKS OF THE ENTERPRISES FINANCIAL SUSTAINABILITY CLASSIFICATION
Authors: L. M. DEBUNOV  , A. G. YAKOVENKO
Published: July 2023

The purpose. The article is devoted to the preparatory actions preceding of construction of a fully-connected three-layer artificial neural network of direct distribution, which should classify the enterprises for their financial sustainability. Methods. To prepare for the construction of an artificial neural network are presented a range of reasoned judgments and solutions, based on the results of experiments on building a neural network of financial sustainability. The Results. The article presents ways to obtain a dataset for training an artificial neural network of financial sustainability of Ukrainian enterprises. There are presented the optimal architectural parameters and recommendations about the neural network teaching. The attention was paid to such parameters of the artificial neural network as the type of neural network, the error function, the activation function on the hidden and on the initial layers, the learning algorithm, the parameters of initial weight initialization. The application of the recommendations from the article allows constructing an artificial neural network, which classifies enterprises for their financial sustainability with sufficiently high accuracy. Particular attention is paid to selecting neuron activation functions and to the distribution of a general dataset into training, testing and validation subsets.  Scientific novelty. The use of 17 financial indicators as factors for modeling financial sustainability is proposed, what should describe this complex concept and allow to obtain maximum accuracy of classification. The article substantiates the use of the construction parameters and training of the neural network, which are best suited for the use of these factors. The practical significance. Using the article`s material will help with building of the artificial neural network of financial sustainability, which can be used to classify enterprises as "financially sustainable" or "potential bankrupt" and can be used by financial and credit institutions, investment funds and state authorities when assessing the risk of bankruptcy of an enterprise. Such a neural network is designed to automate the work of an experienced financial analyst when checking the company for financial sustainability.
Influence of protein-peptide bioregulator isolated from bovine sclera and incorporated into an albumin-based cryogel on the sclera in a model cultivation of a posterior eye segment
Authors: Yamskova O. V. , Krasnov M. S. , Sidorsky E. V. , Lozinsky V. I.
Published: July 2023

Delivering bioactive substances to certain spots in the human and animal body is a crucial task. To address this problem, we have developed a delayed-release bioactive substance carrier – an albumin-based cryogel obtained by cryostructuring. It was tested on an organotypic culture model of the posterior eye segment of a newt.

Objective: to study the effectiveness of porous albumin-based cryogel obtained by cryostructuring and loaded with a bioregulator isolated from bovine sclera in different quantities in maintaining eye tissue integrity and preserving Iberian ribbed newt fibroblasts on an organotypic culture model.

Materials and methods. Albumin sponges were obtained after being denatured at temperatures –15 °C, –17.5 °C, and –20 °C, with albumin levels 40 mg/mL, 50 mg/mL, and 60 mg/mL in a thermostatic cooler. Their modulus of elasticity was measured. Eye tissues were isolated from adult sexually mature Iberian ribbed newts of both sexes. The posterior segment of each eye was placed on a sponge sample of albumin cryogel in penicillin vials, sealed and placed in a thermostat. At the end of cultivation, the samples were fixed, washed, dehydrated, and embedded in paraffin. Paraffin sections were made, followed by staining. A Leica microscope (Germany) with an Olympus DP70 camera (Japan) was used to view histological sections. Fibroblast count in the histological sections was estimated using the ImageJ program.

Results. Cryogel with initial albumin solution levels of 50 mg/mL obtained at –20 °C with 4.50 kPa elastic modulus, was chosen for the organ culture experiment. Histological studies showed that eye tissue integrity was maintained in the experiment when albumin-based scaffold was loaded with the bioregulator at doses of 2.46 × 10–5, 2.46 × 10–7, 2.46 × 10–9, 2.46 × 10–13, 2.46 × 10–15 μg. Moreover, the statistically significant difference for fibroblast count per unit area in the sclera partially correlates with the qualitative state of the posterior eye tissue itself. Groups where bioregulator isolated from the sclera had a dose of 2.46 × 10–7, 2.46 × 10–9 and 2.46 × 10–15 μg, showed the best result as compared with the control group.

Conclusion. Albumin-based scaffold as a carrier with a bioregulator adsorbed on it (doses of 2.46 × 10–5, 2.46 × 10–7, 2.46 × 10–9, 2.46 × 10–13, 2.46 × 10–15 μg) is effective in maintaining eye tissue integrity and preserving Iberian ribbed newt fibroblasts. Albumin cryogen is an effective carrier for delayed release of bioactive substances.
Percutaneous left ventricular assist device as a short-term mechanical circulatory support before heart transplantation in patients with high pre-transplant pulmonary hypertension (series of clinical cases)
Authors: Poptsov V. N. , Slobodyanik V. V. , Spirina E. A. , Petukhov N. V. , Solodovnikova A. K. , Voronkov V. Yu. , Dogonasheva A. A. , Skokova A. A.
Published: July 2023

Federation In certain categories of patients with end-stage heart failure (HF), short-term mechanical circulatory support (MSC) is successfully used as a mechanical «bridge» to heart transplantation (HTx). In predominantly left-ventricular (LV) dysfunction, the use of isolated coronary artery bypass, especially amidst high pulmonary hypertension (PH), seems to be a more physiological method of short-term MSC.

Objective: to present the results of a series of clinical cases of the use of percutaneous left ventricular assist device (pLVAD) before HTx in potential recipients with predominantly LV dysfunction and concomitant high PH.

Materials and methods. Three potential heart recipients with predominantly left-sided HF and high pre-transplant PH (pulmonary vascular resistance, PVR, 4.7–6.6 Wood units) who required MSC due to progression of hemodynamic disorders were included in the study. A standard venous extracorporeal membrane oxygenation (ECMO) cannula (26 F) was used for percutaneous left atrial-femoral artery (LA–FA) bypass. The cannula was passed from the transfemoral route through the interatrial septum into the left atrial cavity. A paracorporeal centrifugal pump provided blood injection through a standard arterial ECMO cannula (15 F).

Results. pLVAD unloaded the left ventricle effectively (PCWP reduced from 27–32 to 15–20 mmHg), reduced pre-transplant PH (mean pulmonary artery pressure (mPAP) reduced from 45–53 to 28–33 mmHg) and improved systemic hemodynamics (cardiac index (CI) increased from 1.8–1.9 to 2.1–2.6 l/min/m2 and mean arterial pressure (mAP) from 56–59 to 70–75 mmHg). All these created the prerequisites for subsequent successful HTx. Against the background of pLVAD, transpulmonary pressure gradient (TPG) decreased from 15–25 to 13–15 mmHg, and PVR decreased from 4.7–6.6 to 2.7–3.4 Wood units. pLVAD flow rate was 2.9–3.8 L/min or 1.38–1.83 L/min/m2 at 4700–7100 rpm. pLVAD duration ranged from 4 (n = 1) to 7 (n = 2) days. All patients underwent successful HTx.

Conclusion. pLVAD is a highly effective method of short-term MSC in potential recipients with predominantly LV dysfunction and concomitant high PH, leading to rapid regression of the dysfunction against the background of left ventricular unloading. This short-term MSC technique can be successfully realized using standard ECMO cannulas and centrifugal pumps of any modification, without requiring additional special equipment.
Biventricular mechanical circulatory support. History and current state of the problem
Authors: Zhulkov M. O. , Sirota D. A. , Khvan D. S. , Makaev A. G. , Agaeva H. A. , Zykov I. S. , Fomichev A. V. , Poveschenko O. V. , Surovtseva M. A. , Chernyavsky A. M.
Published: July 2023

Medical management of end-stage chronic heart failure (HF) has evolved significantly over the past few decades. With a better understanding of the pathophysiology of HF, new pharmacological agents have been synthesized. However, survival in this cohort of patients with medical treatment remains extremely low. This has stimulated the development of surgical methods of treatment. Recent technological advances in the development of mechanical circulatory assist devices have made possible a single-stage implantation of two centrifugal pumps as an alternative to a total artificial heart. Today ventricular assist devices can be implanted to provide both univentricular and biventricular support depending on the severity of hemodynamic disorders, target organ damage, likelihood of recovery and heart transplantation.
Decellularized umbilical cord stroma in tissue engineering and regenerative medicine: a systematic review
Authors: Basok Yu. B. , Kondratenko A. A. , Kalyuzhnaya L. I. , Volkova E. A. , Vorobyov K. A. , Sevastianov V. I.
Published: July 2023

Despite great progress in the field of biomaterials for tissue engineering and regenerative medicine, the high requirements placed on artificial matrices (matrices, carriers, scaffolds) are the reason for the ongoing search for natural or synthetic extracellular matrix mimetics. Among such materials, decellularized umbilical cord (UC) stroma appears to be very attractive – it has a high content of hyaluronic acid, cytokines, and growth factors, and there are no ethical restrictions for its production. Decellularized UC stroma has been found to promote cartilage, liver tissue and nerve tissue repair, as well as wound healing. The review critically analyzes and summarizes published data on the ability of decellularized UC stroma to maintain the necessary conditions for adhesion, migration, differentiation and functional activity of adherent cells, thus stimulating the internal (physiological) regenerative potential of tissues. Literature was searched for in the following electronic databases: Medline/PubMed (www/ncbi. nlm.nih.gov/pubmed), Cochrane library (https://www.cochrane.org), and eLIBRARY/Russian Science Citation Index (https://www.elibrary.ru). Inclusion criteria were the presence of biomaterials obtained from decellularized human UC stroma. Exclusion criteria for papers included research objects as decellularized umbilical cord vessels (veins and arteries) and umbilical cord cell cultures. Twenty-five original articles in English and Russian were selected for analysis of the products obtained, their applications, decellularization methods and research results. The review also discusses the prospects for decellularized umbilical cord in medicine.
Artificial nerve conduit for guiding peripheral nerve growth (cadaveric study)
Authors: Fedyakov A. G. , Nemets E. A. , Dreval O. N. , Gorozhanin A. V. , Sidneva L. A. , Plieva Z. H. , Razin M. A. , Perova N. V. , Sevastianov V. I.
Published: July 2023

At present, the search for effective ways of restoring peripheral nerves with anatomical damage continues. Autoplasty still remains the gold standard, which, however, is not without its drawbacks. The use of nerve implants for promoting directional axon growth is essential and promising.

Objective:to study the biomechanical properties of laboratory samples of an artificial nerve conduit (NGC) made of hybrid biomaterials and to, on cadaveric material, assess the technical feasibility of using them in surgical practice to repair extended peripheral nerve defects.

Material and methods. The objects of the study were three electrospun NGC samples: from synthetic material (polycaprolactone, PCL) and hybrid biomaterials (PCL + gelatin or PCL + collagen). The work compared the physical and mechanical properties of NGC: stiffness, plasticity, elasticity, brittleness, resistance to chemical attack, their ability to be impregnated with liquid media, permeability, possibility of making an anastomosis between the implant and the nerve during surgical procedure. Cadaveric material was the object of the study: we used a dissected superficial sensory branch of the human right radial nerve, 2 mm in diameter, isolated on the forearm, about 12 cm in length, because it most corresponded to the diameter of the NGC samples tested. After surgery, the echogenic features of the implants and their anastomoses with the nerve were assessed by ultrasound imaging.

Results.It was found that hybrid NGC samples, based on their biomechanical properties, are fundamentally suitable for use in surgical practice, to ensure growth and replacement of a peripheral nerve defect. However, the best composition of a nerve guide can be established after comparative preclinical study of the biocompatible and functional properties of hybrid material samples.

Conclusion.The physical and mechanical properties of the investigated NGC samples made of hybrid biomaterials meet the technical requirements for implantable nerve conduits for surgical application.
Noncommunicable chronic diseases clusters in Brazilian adults and older adults: correlations as multimorbidity
Authors: Christofoletti Marina , Del Duca Giovani Firpo , Benedet Jucemar , Malta Deborah Carvalho
Published: July 2023

Abstract Background Health has dynamic conditions and overlapping pathophysiological factors. For health prevention and promotion, actions are necessary to understand the most common risk combinations. Objective Describe noncommunicable chronic diseases (NCDs) clusters and investigate specific multimorbidity combinations in Brazilian adults and older adults. Method This study used data from Vigitel 2013 survey held in the Brazilian capitals (52,929 interviews). A self-report of diabetes, dyslipidemia, hypertension, and obesity was used. The analyses were the descriptive cluster of NCDs and an adjusted binary logistic regression (odds ratio [OR]), stratified by age. Results Among adults, the clusters of diabetes, dyslipidemia, hypertension, and obesity (O/E = 18.74) and diabetes, hypertension, and obesity (O/E = 16.83) were higher. There was a higher clustering between diabetes and obesity (O/E = 7.25). Among adults, diabetes was associated with dyslipidemia (OR: 3.04), hypertension (OR: 3.84), and hypertension with obesity (OR: 3.34). In older adults, hypertension was associated with diabetes (OR: 2.79), dyslipidemia (OR: 2.06), and obesity (OR: 2.26). Conclusion Other diseases combined with diabetes and hypertension were more frequent in adults and older adults. It is suggested to combine preventive and control measures for these diseases for the non-occurrence of new diagnoses.
Survival of hospitalized older adults with prior use of potentially inappropriate medicine
Authors: Flores Thamara Graziela , Cruz Ivana Beatrice Mânica da , Lampert Melissa Agostini , Gularte Ana Cristina , Turra Barbara Osmarin , Barbisan Fernanda
Published: July 2023

Abstract Objectives We aimed to evaluate the impact of potentially inappropriate medications prescribed prior to hospitalization (PIM-ph) on the mortality Methods We included 318 patients, aged ≥65 who sought emergency care and were hospitalized for any clinical reasons. Information on patients' clinical and social indicators was obtained via structured interviews conducted 24 to 48 hours after hospitalization. All medications used by older adults prior to hospitalization were recorded, and PIM-ph were identified using the Brazilian PIM Consensus. The study considered the influence of the entire set of PIM-ph and specific PIM-ph used by these patients. The impact of PIM-ph use during hospitalization and after 30 days of this event was statistically determined by multivariable Cox proportional hazard regression analysis, which included sex, age, and other clinical and functional indicators as intervening variables. Results The prevalence of PIM-ph use was 49.7% (n=158). A total of 85 (26.7%) patients died during hospitalization or within 30 days after discharge. Eighteen pharmacological classes of PIM-ph use were identified. The use of total PIM-ph, benzodiazepines (IC: 1.055-3.365, p= 0.032), digoxin(IC: 1.623-7.048, p=0.001), and loop diuretics (IC: 1.000-3.455, p=0.05) increased the relative risk of mortality independent of sex, age, clinical causes of hospitalization, frailty risk, social support, presence of confusion symptoms, polypharmacy, and in-hospital evolution of geriatric complications. Conclusion PIM-ph use, especially benzodiazepines, digoxin, and loop diuretics, could contribute to mortality risk in hospitalized older adults. These results could be relevant in the management and therapeutic care of hospitalized patients.
Sobrevida de pessoas idosas hospitalizadas com uso prévio de medicamentos potencialmente inapropriados
Authors: Flores Thamara Graziela , Cruz Ivana Beatrice Mânica da , Lampert Melissa Agostini , Gularte Ana Cristina , Turra Barbara Osmarin , Barbisan Fernanda
Published: July 2023

Resumo Objetivos Neste estudo prospectivo, avaliamos o impacto do uso de medicamentos potencialmente inapropriados prescritos antes da internação (PIM-ph) na mortalidade de idosos. Métodos Foram incluídos 318 pacientes com idade ≥ 65 anos que procuraram atendimento de emergência e foram internados por qualquer motivo clínico. As informações sobre os indicadores clínicos e sociais foram obtidas por meio de entrevistas estruturadas, 24 a 48 horas após a internação. Os medicamentos usados por esses pacientes foram registrados e o uso de PIM-ph foi identificado pela análise brasileira baseada em consenso de uso de PIM. A análise considerou a influência de todo conjunto de PIM-ph, bem como de alguns PIM-ph específicos. O impacto do uso de PIM-ph na sobrevida de idosos hospitalizados foi determinado por meio da análise multivariada de regressão de Cox. Resultados A prevalência de PIM-ph foi 49,7% (n = 158). Um total de 85 (26,7%) pacientes faleceram durante a internação ou até 30 dias após a alta. Dezoito classes farmacológicas de uso de PIM-ph foram identificadas. O uso de PIM-ph, benzodiazepínico (IC: 1.055-3.365, p= 0.032), digoxina (IC: 1.623-7.048, p=0.001) e diuréticos de alça (IC: 1.000-3.455, p=0.05) aumentou o risco relativo de mortalidade independente de sexo, idade, causas clínicas de hospitalização, risco de fragilidade, suporte social, presença de sintomas de confusão, polifarmácia e evolução intra-hospitalar de complicações geriátricas. Conclusão O uso de PIM-ph (Benzodiazepínicos, digoxina e diuréticos de alça) pode contribuir para o risco de mortalidade em idosos hospitalizados. Esses resultados podem ser relevantes no manejo e cuidado terapêutico de pacientes hospitalizados.
Fragilidade em pessoas idosas na comunidade: estudo comparativo de instrumentos de triagem
Authors: Marques Maria Suzana , Jesus Ely Carlos de , Carneiro Jair Almeida , Maia Luciana Colares , Caldeira Antônio Prates
Published: July 2023

Resumo Objetivo analisar a concordância entre as escalas de fragilidade Edmonton Frail Scale (EFS) e Índice de Vulnerabilidade Clínico Funcional (IVCF-20). Métodos estudo transversal durante o qual se aplicou, em domicílio, a Edmonton Frail Scale e o Índice de Vulnerabilidade Clínico Funcional para pessoas idosas cadastradas em unidades da Estratégia Saúde da Família de Montes Claros (MG) e selecionadas, aleatoriamente, por sorteio. Para avaliação da correlação e da concordância entre os instrumentos, foram calculados o coeficiente de correlação de Pearson e o Kappa ponderado, considerando-se três níveis de classificação da fragilidade, a saber: “robusto”, “em fragilização” e “frágil” para o IVCF-20 e “não frágil”, “vulnerável” e “frágil” para a EFS. Resultados Foram avaliadas 673 pessoas idosas, predominantemente pardas, com 60 a 74 anos e do sexo feminino. De acordo com o IVCF-20, 153 (22,7%) das pessoas idosas foram classificadas como “frágeis”, 195 (29%) “em fragilização” e 325 (48,3%) como pessoas idosas “robustas”. Conforme a EFS, 159 pessoas idosas (23,6%) foram classificadas como “frágeis”; 112 (16,6%) pessoas idosas “aparentemente vulneráveis” e 402 (59,7%) “sem fragilidade”. O coeficiente de correlação de Pearson foi 0,865 (p<0,001) e mostrou haver forte correlação positiva entre os instrumentos. A estatística Kappa apresentou valor de 0,532 (p=0,027) e revelou concordância moderada. Conclusão Os instrumentos avaliados apresentaram concordância moderada e forte correlação positiva, apesar das diferenças entre alguns dos seus componentes. Ambos se mostraram compatíveis para a avaliação de fragilidade em pessoas idosas no contexto da Atenção Primária à Saúde.
Perfil demográfico e ocupacional de nutricionistas que atuam em unidades de diálise no Brasil
Authors: Nerbass Fabiana Baggio , Antunes Aline de Araujo , Cuppari Lilian
Published: July 2023

RESUMO Introdução: Em 2004, o Ministério da Saúde estabeleceu que cada serviço de diálise deve ter no mínimo um nutricionista vinculado a ele. Porém, a regulamentação não incluiu recomendações em relação ao número de profissionais ou à carga horária de acordo com o número de pacientes assistidos. Objetivo: Conhecer o perfil e as práticas de nutricionistas que atuam em unidades de diálise brasileiras. Metodologia: O questionário eletrônico divulgado em mídias sociais e aplicativos de mensagens incluiu questões que abrangiam características do perfil demográfico e ocupacional do profissional e da unidade de diálise, além de perguntas relacionadas ao atendimento dos pacientes. Resultados: Foram recebidos eletronicamente 207 questionários, o equivalente a 24% das unidades de diálise brasileiras. Mais da metade dos nutricionistas (58%) atuava havia mais de cinco anos em unidades de diálise e 83% referiram formação complementar na área da Nefrologia. A mediana (interquartis) do número de pacientes por hora mensal de trabalho foi 1,6 (1,0-2,3). Considerando todas as unidades, o percentual de pacientes atendidos mensalmente foi correspondente a 64%. Diferenças no perfil e nas práticas foram encontradas de acordo com a carga horária, principal fonte financiadora da unidade de diálise e região demográfica brasileira. Conclusão: A maioria dos nutricionistas tem boa experiência e formação na área. Foi encontrada uma grande variabilidade em relação ao número de pacientes por carga horária do profissional e do percentual de indivíduos que recebiam atendimento nutricional mensal. São necessárias investigações que avaliem questões relacionadas tanto às demandas dos profissionais quanto às das unidades contratantes e dos pacientes.
Repercussions of the COVID-19 pandemic on cervical cancer screening: nurses’ perception
Authors: Kaufmann Luana Cristina , França Andrea Ferreira Ouchi , Zilly Adriana , Ferreira Helder , Silva Rosane Meire Munhak da
Published: July 2023

Abstract Objective to understand the perception of primary care nurses about the repercussions of the pandemic on the performance of cervical cytopathological exam. Method qualitative, descriptive study, with data analyzed by Content Analysis. Twelve nurses working in primary care in Foz do Iguaçu, PR, between February and March of 2022, were interviewed. Results three thematic categories emerged that discussed the damages of the pandemic for cervical cancer screening; need to reorganize the service, highlighting the low adherence; and lack of strategies for the return of health practices. Conclusion and implications for practice in the pandemic, there was a suspension of preventive collection and after the critical period, the fear of contamination by women, lack of inputs and human resources made it difficult to resumption of service. It’s relevant for practice to develop actions and strategies that encourage the performance of the exam, in order to reduce morbidity and mortality from this neoplasm.
Quantitative approach to analyze hyoid bone movement during swallowing by ultrasound: an integrative review
Authors: Magalhães Desiré Dominique Diniz de , Bandeira Jayne de Freitas , Pernambuco Leandro
Published: July 2023

ABSTRACT Purpose To synthesize the scientific knowledge on which measurements of hyoid bone movement during swallowing are obtained by ultrasonography and how to extract these measures. Research strategies The PECO question and combinations of descriptors and keywords were formulated in the electronic databases Medline/PubMed, EMBASE, Web of Science, Scopus and Lilacs. Selection criteria Articles that used ultrasonography to analyze measurements of hyoid bone movement during swallowing were included, regardless of language, year of publication, or presence of deglutition disorders. Data analysis The included articles were analyzed for: year, study site, study design, population, sample size, equipment used, transducer positioning, measurements obtained, method of extraction, and reliability of measurements. Results Twenty-six articles met the eligibility criteria. The most frequent measurement was hyoid movement maximum amplitude, followed by time and velocity. There was great variability in the study population, equipment used, positioning of the transducer and method of extraction of the measurements. Thus, it was not possible to find a standard model to extract the measures. The level of reliability was investigated in only eight articles. Conclusion Amplitude, time and velocity are the measures of hyoid bone movement during swallowing that can be obtained by ultrasonography. There is no standardization on how to extract these measurements.
Life expectancy with hearing loss: estimates for Brazil
Authors: Belo Luzia de Oliveira , Camargos Mirela Castro Santos , Bomfim Wanderson Costa , Mancini Patrícia Cotta
Published: July 2023

ABSTRACT Purpose to analyze the prevalence of self-reported hearing loss in relation to age, gender and regions of Brazil and to estimate life expectancy with hearing loss in Brazil, at birth and at age 60, for both sexes. Methods the Sullivan method was used, combining the life table and the prevalence of hearing loss in the period, as well as the adoption of data from the 2013 National Health Survey and Complete Life Tables, by sex, published by the Brazilian Institute of Geography and Statistics. Results in Brazil, in 2013, the prevalence of hearing loss gradually increased from the age of 60, in both genders, with males being more affected by hearing loss. Life expectancy at birth was 71.2 years for men and 78.5 years for women. Of these years of life, 3.4% (for men) and 2.8% (for women) were with hearing loss. At age 60, this difference remains, with an expectation of another 19.9 years for men and 21.7 years for women. In this age group, men had a rate of 2.2 years (11.3%) with hearing loss, while for women the rate was 2.1 years (9.7%). Conclusion in Brazil, based on data from 2013, there was a gradual increase in the prevalence of hearing loss from the age of 60 for both genders. Women had higher life expectancy, greater life expectancy free of hearing loss and live a smaller portion of their lives with hearing loss than men, regardless of age. The assessment of life expectancy with hearing loss at birth and at age 60 can help to understand the needs of the population, which allows for better planning of public policies related to the hearing health of individuals.
Training for perceptive-auditory voice analysis: scope review
Authors: Paz Karoline Evangelista da Silva , Paiva Maxsuel Alves Avelino de , Lima Daviany Oliveira , Ribeiro Vanessa Veis , Moraes Ronei Marcos de , Lopes Leonardo Wanderley
Published: July 2023

ABSTRACT Purpose To synthesize the state of scientific knowledge about training for auditory-perceptual voice analysis. Research strategy Question, Concept and Context and combinations of descriptors were formulated for searching in PubMed/Medline, LILACS and SciELO databases. Selection criteria Studies were included with a population composed of listeners with or without experience in auditory-perceptual analysis, which included auditory-perceptual voice analysis, in the context of vocal clinic, using human and/or synthesized voices, with individual or group training. Training method, voices used, training time and whether there was training in central auditory skills were observed. Results It is common to use auditory anchors, feedback, breathy and rough natural voices and training time with a maximum duration of two hours. No study applied the training of central auditory processing skills in training for auditory-perceptual voice assessment. Conclusion There is still no consensus on what is the best training program for auditory-perceptual voice analysis.
Reanimação cardiopulmonar em posição prona: uma revisão sistemática de séries/relatos de casos
Authors: Dalmedico Michel Marcos , Ioshii Sergio Ossamu , Hembecker Paula Karina , Ávila Juliana Londero Silva
Published: July 2023

Resumo Introdução A posição prona é um procedimento frequente de cuidados intensivos para pacientes cirúrgicos ou doentes graves. A ocorrência de parada cardiorrespiratória nestes pacientes pode representar um desafio operacional, no qual atrasos relacionados à mobilização para decúbito dorsal implicam em piores desfechos. Objetivo Oferecer um insight clínico a partir da síntese das evidências oriundas de relatos ou séries de casos sobre a utilização de reanimação cardiopulmonar reversa em pacientes cirúrgicos ou em suporte ventilatório invasivo na síndrome do desconforto respiratório agudo grave. Métodos Trata-se de uma revisão sistemática de relatos ou séries de casos condu-zida nas bases de dados PubMed, Scopus, Embase e Google Scholar, além de busca na literatura cinzenta. Foram considerados elegíveis relatos de caso publicados em qualquer idioma, que reportaram pelo menos um caso de reanimação cardiopulmonar em posição prona em pacientes de qualquer idade e em qualquer contexto de atendimento. Resultados Foram recuperados treze estudos que relataram quatorze casos de reanimação reversa bem-sucedidos. Três pacientes faleceram em um intervalo de 30 dias, enquanto os demais sobreviveram sem complicações ou sequelas neurológicas. Conclusão Apesar de evidências limitadas para suportar a tomada de decisão clínica, a reanimação em posição prona parece ser uma alternativa factível em circunstâncias excepcionais, nas quais a mobilização do paciente pode resultar em dano adicional, atrasar ou interromper o suporte avançado de vida (compressões torácicas precoces de alta qualidade e a desfibrilação) ou, ainda, incorrer em riscos ocupacionais à equipe de saúde.
Ecological aspects of Pintomyia fischeri and Migonemyia migonei in municipalities with Canine Visceral Leishmaniasis, State of São Paulo, Brazil
Authors: Dibo Margareth Regina , Menezes Regiane Maria Tironi de , Souza Fabiana Fernandes de , Gil Helio Benites , Pinter Adriano
Published: July 2023

Abstract The objective was to study the composition of sand fly species, the seasonal activity of the dominant species and correlation with average rainfall, sex association of the dominant species with domicile habitats and analyze different landscape scenarios for the two study sites in the municipalities of Itapevi and Mogi of the Crosses. Sandflies were captured with CDC(s) traps installed in three households at each study site for a period of 24 hours, biweekly for two years. A total of 2970 specimens were collected. The dominant species were P.fischeri and M.migonei. A statistically significant difference was registered between males and females of the two species in relation to the intra and peridomicile. The seasonal activity of both species showed a weak significant positive correlation with rainfall. The species P.fischeri and M.migonei may be potential vectors of CVL in the studied sites.
Assessment of incompleteness of Mortality Information System records on deaths from external causes in the state of Rio Grande do Sul, Brazil, 2000-2019
Authors: Barbosa Juliane de Souza , Tartaro Luiza , Vasconcelos Lucas da Rosa , Nedel Marcela , Serafini Jéssica Ferri , Svirski Suely Garcia Suslik , Souza Leandra Soares de , Agranonik Marilyn
Published: July 2023

Abstract Objective: to evaluate the incompleteness of Mortality Information System (Sistema de Informações sobre Mortalidade - SIM) data on deaths from external causes (ECs) in the state of Rio Grande do Sul, Brazil, 2000-2019. Methods: This was an ecological study, using SIM data on all deaths from external causes and, specifically, from transport accident, homicides, suicides and falls; the analysis of the trend of incompleteness was performed by means of Prais-Winsten regression, with a 5% significance level. Results: A total of 146,882 deaths were evaluated; sex (0.1%), place of death (0.1%) and age (0.4%) showed the lowest incompleteness in 2019; the proportion of incompleteness showed a decreasing trend for the place of death and schooling, an increasing trend for marital status and a stable trend for age and race/skin color, among all types of death evaluated. Conclusion: the variables analyzed reached a high degree of completion; with the exception of marital status and schooling, for which unsatisfactory scores persisted for deaths from ECs, both total and by subgroups.
Tachinid (Diptera: Tachinidae) parasitoids reared from some hemipterous hosts from Türkiye
Authors: TARLA Şener , ATAY Turgut , KARA Kenan , TARLA Gulcan
Published: July 2023

This study was carried out to determine tachinid (Diptera: Tachinidae) parasitoids obtained from some hemipterous hosts in Adana, Ankara, Hatay, Konya and Uşak provinces of Türkiye between 2001 and 2020. For this purpose, adult hemipters were collected from perennial arboreal and annual herbaceous plants. The samples were brought to the laboratory and cultured on the relevant host plant material. As a result of the study, 11 tachinid species were determined from 10 different hemipterous hosts. Of these, four parasitoid-host couples are new records. These were Aelia rostrata Boheman, 1852 (Hemiptera: Pentatomidae) and Scantius aegyptius (L., 1758) (Hemiptera: Pyrrhocoridae) for Gymnosoma clavata (Rohdendorf, 1947) (Diptera: Tachinidae), Dolycoris baccarum (L., 1758) (Hemiptera: Pentatomidae) for Eulabidogaster setifacies (Rondani, 1861) (Diptera: Tachinidae) and Piezodorus lituratus (Fabricius, 1794) (Hemiptera: Pentatomidae) for Cylindromyia rubida (Loew, 1854) (Diptera: Tachinidae). Also, eight new hosts were reported for the first time in Türkiye. In addition, host information and distributions of each parasitoid are presented in the study.
Isolation and identification of a fungal pathogen, Beauveria bassiana (Bals.-Criv.) Vuill. (Ascomycota: Hypocreales) from the Hatay yellow strain of silkworm, Bombyx mori L., 1758 (Lepidoptera: Bombycidae) in Türkiye
Authors: GENÇER Dönüş , ULAŞLI Başak , CAN CENGİZ Feza , DEMİR İsmail
Published: July 2023

The Hatay yellow strain of silkworm, Bombyx mori L., 1758 (Lepidoptera: Bombycidae) which produces cocoons with an extraordinary yellow color range, is one of the most important endemic and endangered cultural assets in Türkiye. In this study, intense fungal infection and many deaths were detected in the breeding trays in the Hatay yellow breed production facility. An entomopathogenic fungus was isolated from Hatay yellow strain cadavers collected in 2020. According to the morphological and molecular analysis results of the isolate, which was brought into pure culture, it was identified as Beauveria bassiana (Bals.-Criv.) Vuill. (Ascomycota: Hypocreales), the isolate HS1. Phylogenetic analysis results showed that the HS1 strain was very similar (99 %) to the isolates of B. bassiana KJ6 (Iran) and ARSEF 300 (Europe). The concentration-response test using 1 × 104-8 conidia/ml concentrations produced LC50 values of the new strain of 1.2 × 103 and 0.6 × 106 conidia/ml within 7 days against the larvae of Hatay yellow strain and hybrid strain of silkworm, respectively. The results indicated that the virulence of the B. bassiana HS1 strain to the Hatay yellow strain was much more severe and that the Hatay yellow strain had to fight it to survive.
A narração da genealogia atravessada pelo trauma da escravidão em Françoise Ega e Carolina Maria de Jesus
Authors: Machado Maria Clara
Published: July 2023

Este artigo discute a reelaboração do trauma por meio das narrativas autobiográfica de Françoise Ega e Carolina Maria de Jesus em Le temps des madras e o Quarto de despejo respectivamente. O texto parte de uma breve reflexão sobre as dificuldades de reconstrução genealógica operada pela escrita autobiográfica de autoria negra em função das ausências experimentadas pelas famílias de ex escravizados em retraçar suas linhagens. A partir de tal constatação, relacionada à diáspora africana nas Américas, o artigo analisa maneiras em que as narrativas de Françoise Ega e de Carolina Maria de Jesus recorrem à fabulação literária para reestruturar suas linhagens genealógicas. Assim, conclui-se que a utilização da fabulação literária opera tanto como fator de resiliência no confronto com os traumas da escravidão e de suas consequências na contemporaneidade, quanto como elemento de reedificação de linhagens ancestrais.
A desumanização na poesia de Alex Polari
Authors: Goldner Anchesqui Valéria , Martinelli Filho Nelson
Published: July 2023

O artigo tem por finalidade apresentar uma análise dos vestígios da desumanização presentes nos poemas “Recordações do Paraíso” e “Zoológico Humano”, do poeta e ex-preso político Alex Polari, inseridos no livro Inventário de cicatrizes (1978), à luz da teoria da literatura de testemunho. Para isso, é realizada uma contextualização da produção literária no período da ditadura militar brasileira, além de uma análise da transposição dos efeitos da despersonalização, à qual o poeta encarcerado era submetido, para a linguagem poética. No que se refere à teoria da literatura de testemunho, poesia e desumanização no contexto da ditadura militar, e sendo uma pesquisa bibliográfica de cunho qualitativo, este trabalho parte das considerações de autores e estudiosos como Judith Butler, Jaime Ginzburg, Márcio Seligmann-Silva, Maria Rita Kehl, Paul Ricoeur, Wilberth Salgueiro, entre outros. Por fim, espera-se contribuir para a transmissão da memória do autoritarismo impetrado pelo regime militar nas prisões de presos políticos, viabilizando uma maior atenção ao testemunho por meio da poesia como forma de reflexão sobre a história da sociedade brasileira.
Vivências e sentimentos de enfermeiros(as) que trabalham na linha de frente do COVID-19: um estudo documental
Authors: Palmeira Catia Suely , Albuquerque Charline Bulos Cerqueira , Rodrigues Gilmara Ribeiro Santos , Da Silva Sylvia Maria Barreto
Published: July 2023

OBJETIVO: Analisar relatos de vivências e sentimentos de enfermeiros(as) que trabalham na linha de frente da COVID-19. MÉTODO: Estudo documental descritivo com abordagem qualitativa. Foram utilizados dados secundários extraídos de 20 entrevistas veiculadas na mídia online, durante o período da COVID-19. Os dados foram tratados utilizando-se da análise de conteúdo e categorizados por temas. RESULTADOS: A primeira categoria, “vivências expressas por enfermeiros(as) que trabalham na linha de frente da COVID-19”, é apresentada em três subcategorias: “enfrentando desafios e mudanças na vida profissional”, “mudando a rotina na vida pessoal” e “tendo que adquirir novos conhecimentos e treinamentos no processo de trabalho”. A segunda categoria, “sentimentos revelados por enfermeiros (as) que trabalham na linha de frente da COVID-19”, foi subdividida em duas subcategorias: “sentimentos relacionados ao outro” e “sentimentos relacionados a si próprio”. Com relação aos sentimentos pelo outro, foram relatados: preocupação, angústia, empatia e solidariedade. Quanto aos sentimentos por si próprio, a maioria deles foram negativos, como medo, angústia tristeza, solidão e impotência. CONSIDERAÇÕES FINAIS: Os profissionais de saúde vivenciaram diversos desafios referentes às mudanças na vida profissional e pessoal, como sobrecarga de trabalho, necessidade de capacitação, isolamento da família, e ainda sentimentos negativos tais como medo, solidão, angústia, ansiedade, tristeza, preocupação de contaminar-se e contaminar a família.
Deserted Local News: Exploring News Deserts From a Journalistic Recruitment Perspective
Authors: Olsen Ragnhild Kr. , Mathisen Birgit Røe
Published: July 2023

An emerging body of research addresses how news deserts cause democratic deficits. This literature is mostly concerned with the closure of local news outlets. The present study was carried out in Norway, a country characterised by rich local media infrastructure. However, recruiting skilled and trained journalists to staff this infrastructure is challenging. Based on qualitative interviews with editors and journalism students (N = 21), this article explores the lack of skilled local journalists at small local newspapers, through a job attractiveness lens, and exposes how economic, geographic, and professional prestige factors contribute to labour deficits, identified as a brain drain threat in local journalism. The study expands the news desert research beyond the closure of local newspapers to encompass journalist labour deficits in an otherwise stable and diverse local media environment and discusses professional, societal, and political implications of the recruitment problem.
Investigating News Deserts on the Content Level: Geographical Diversity in Swiss News Media
Authors: Vogler Daniel , Weston Morley , Udris Linards
Published: July 2023

With its diverse landscape of regional and local news media, Switzerland seems far from being a news desert. However, the centralization of editorial offices following the economic crisis of journalism has led to news outlets that share most of their content but appear under different names in different regions. This development has fostered fears about declining geographical diversity at the regional level in the news coverage of Swiss news media. We argue that this centralization by regional news outlets affects news content; it constitutes a specific process of news desertification, which is not aptly captured by news desert research’s focus at the outlet level. With our explorative study, we aim to analyze news deserts at the content level. We apply an automated geoparser to a manually annotated dataset of local news media articles (n = 5,173) published by six regional news outlets of two news organizations between 2016 and 2021 to determine the extent and development of geographical diversity in Swiss regional news media. The geoparser uses a weighted gazetteer-based approach to determine the most relevant locations of news articles within Switzerland. We find early signs of news desertification. At the output level, we observe a declining number of articles published by the analyzed outlets. At the performance level, we see a declining number of unique place names in the articles and more mentions per article. However, the diversity of place names in the coverage remains stable.
Black Women in White Institutional Spaces: Clinical Implications for Supporting Professional Identity Development
Authors: Hammonds Dominique S. , Cartwright Angie D. , Avent Harris Janeé , Crumb Loni
Published: July 2023

Black women share unique experiences as they traverse gendered racism in White institutional spaces. While there is abundant research outlining Black identity development and the relationship between Black identity development and mental health and wellness, the literature is void of a conceptual framework that details ways professional counselors can support Black women’s professional identity development experiences. A conceptual framework of Black women’s gendered racial identity development is adapted to center the professional identity of Black women in White institutional spaces. A case study illustration and clinical implications for working with Black women clients are presented along with recommendations for reducing social inequity and improving wellness for Black women.