bluuebunny/crossref_metadata_2025 huggingface dataset:
Pharmacoeconomic Evaluation of Clinical Pharmacology Service Efficiency in Terms of Outpatient Drug Supply in Nur-Sultan Medical Organization (Kazakhstan)
Authors:   Astana Medical University, Dinara Utepova , Magzumova Raushangul ,   Astana Medical University, Baidullayeva Didar ,   City Polyclinic No.4, Aljofan Mohamad ,   Health and Ability Care Services
Published: May 2022

Purpose of the study. Evaluate the clinical pharmacologist's contribution to the rational use of medications at the outpatient level.Methods. Clinical and economic analysis of budgetary expenditures on drugs purchased as part of the Guaranteed amount of free medical care and in the system of mandatory social health insurance (MSHI) for the period from 2019-2021. Assessment of the effectiveness of spending budgetary funds for drugs was conducted using data on the number and cost of drugs purchased to provide outpatient care in the medical organization of Nur-Sultan.Results. A three-year analysis showed a positive trend of a 7.1% decrease in the proportion of spending on unproven drugs (index N) by 2021 compared with the previous year 2020, which was 29.54% of spending on 13 drug items, despite the expansion of lists under insurance medicine. Before the introduction of mandatory social health insurance in 2019, this figure was 8.18% of all outpatient drug coverage costs in the Guaranteed amount of free medical care, indicating an average use of drugs not included in international clinical guidelines.Conclusions. The introduction of clinical pharmacology services into clinical practice has optimized the cost of drug therapy and promoted rational use of medications. The result is a 7.1% decrease in the share of spending on unproven drugs compared to the previous year 2020, which amounted to 29.54% of spending on 13 drugs (index N) not included in the Kazakhstan National Medical Formulary and the WHO Model List of Essential Medicines. However, due to the long-term training of clinical pharmacologists, including basic education in therapeutic medicine (6-7 years) and additional education at the level of residency or doctoral studies (2-3 years), there is decreased motivation of clinical pharmacologists to work in budget medical organizations due to the "low" level of wages. Abroad, in particular, this problem was solved by the introduction of clinical pharmacy, where training includes basic pharmaceutical education (4-5 years) with the possibility of additional training at the master's level (1-2 years) and doctoral studies (2-3 years).Keywords. ABC-VEN analysis, pharmacoeconomic analysis, clinical pharmacology, clinical pharmacy.
Analysis of the World Experience of Functioning of Medico-Rescue Systems for Providing Emergency Medical Care to Victims in Emergency Conditions on the Roads of the Republic Significance
Authors:   Astana Medical University, Sisenova Assemgul , Ismailova Aigul ,   Astana Medical University
Published: May 2022

Purpose of the study. To analyze the world experience of the functioning of medical and rescue systems for providing emergency medical care to victims in emergency situations on the highways of republican significance. The study included publications from the MEDLINE, CyberLeninka, eLIBRARY.RU databases, regulatory documentation on the provision of EMF. We analyzed studies published over the past 5 years. All other articles have been deleted.Experience shows that the lives of victims often depend on the kind of assistance they will receive in the first minutes after an accident, which directly depends on the speed of response and the experience of providing medical assistance by the teams of the route-medical rescue center.Considering the importance of preventing and reducing deaths due to an emergency on the highways of republican significance, the article presents an analysis of the literature, revealing the experience of the functioning of medical rescue systems for providing emergency medical care to victims in road traffic accidents.Further improvement of the disaster medicine service for the provision of emergency medical care is one of the most important conditions for ensuring the preservation and strengthening of the health of the population of the Republic of Kazakhstan.Key words: emergency medical aid, road traffic accident, injured person, evacuation, ambulance, route-medical rescue center.
5-year analysis of the effectiveness of the use of the bed fund in the healthcare system of the Republic of Kazakhstan
Authors:   Kazakhstan Medical University ", Turmakhanbetov Bekzat ,   Higher School of Public Health", Kerimbayeva Zakira ,   Astana Medical University, Tokmurziyeva G.Zh. ,   Masgut Aikimbayev National Scientific Center for Especially Dangerous Infections, Debnath Reeti ,   Maulana Abul Kalam Azad University of Technology
Published: May 2022

The purpose of the study: to evaluate the effectiveness of the use of the bed fund (including oncological beds) in the healthcare system of the Republic of Kazakhstan for 2016-2020.Methods: balance method, mathematical and statistical methods, method of comparison.Results. In the Republic of Kazakhstan, there is a tendency to increase both the absolute number and the provision of beds per 10 thousand population. So during the analyzed period, the number of beds, for all departments, increased from 87.172 beds in 2016 to 107.595 beds in 2020 (18.9%). The provision of beds per 10 thousand population has increased in beds of all departments since 2016 from 48.6 to 57.4 per 10 thousand population in 2020, the increase was 15.3%. The provision of beds for all forms of ownership and departments in 2020 amounted to 55.4 beds per 10 thousand population. At the same time, the provision of beds per 10 thousand population in the system of the Ministry of Health of the Republic of Kazakhstan is 44.6, which corresponds to the average level of bed provision in the OECD countries (43.9). Over the period from 2016 to 2020, there has been an increase in the number of beds of private ownership, an increase of 41.31%. In Kazakhstan, for the period from 2016 to 2020, the average bed occupancy tends to decrease - 35.0%, from 311 days in 2016 to 202.3 in 2020, this indicator corresponds to the level of bed occupancy of 82.6% (with an optimal load level of 85%). There is an increase in the bed turnover rate from 30.1 to 33.9 in 2020. Conclusions. The provision of beds for medical care in Kazakhstan as a whole is sufficient, with a relative shortage of certain (palliative, rehabilitation, etc.) bed profiles. At the same time, the need of patients for inpatient care remains, as evidenced by the order in the portal of the bureau of hospitalizations. Keywords: bed stock, bed availability, bed turnover, average annual hospital bed occupancy, hospitalization.
Implementation of Corporate Governance Principles and Instruments into the healthcare System of Kazakhstan
Authors:   Republican Public Association “Kazakhstan Association of Healthcare Managers”, Aidossov Serzhan , Moldazhanov Arystan ,   Republican Public Association “Kazakhstan Association of Healthcare Managers”, Ryapolova Nadezhda ,   Republican Public Association “Kazakhstan Association of Healthcare Managers”
Published: May 2022

The Republic of Kazakhstan is constantly moving towards modernization of medical and healthcare services. The industry of healthcare, while being a top priority for the government and a socially sensitive industry, has processes and business operations of any other sector and therefore was a subject of reforms in terms of governing and control. Corporate governance has proven to be an effective tool for large-scale businesses and therefore is chosen as a path to efficient and productive healthcare delivery solutions. This is the first of a series of articles about corporate governance in healthcare in the Republic of Kazakhstan. It contains a brief overview of corporate governance as it is and in healthcare settings and the national healthcare system.Keywords: Corporate Governance, healthcare reforms, Republic of Kazakhstan.
To the Question "About the Role and Significance of Training of Qualified Specialists in the Field of Sanitary and Epidemiological Service" in the Republic of Kazakhstan
Authors:   Astana Medical University, Ismailova Aigul
Published: May 2022

In the context of the COVID-19 pandemic, there is a need to adjust educational programs at medical universities for in-depth study of epidemiology and infection prevention in such disciplines as “epidemiology and hygiene”, which are necessary for the training of qualified preventive doctors, who are currently in high demand in various medical institutions and industrial Key words: sanitary and epidemiological service, sanitary doctor, hygiene and epidemiology, medical education, HR policy in healthcare.
Influence of the application of mineral fertilizers on the yield and quality of winter wheat grain in the non-chernozem soil of Central Russia: A Review
Authors:   Institute of Agronomic Sciences of Burundi, Congera Alexandre ,   Peoples’ Friendship University of Russia (RUDN University), Mamadou Barry ,   Peoples’ Friendship University of Russia (RUDN University), Vvedensky V. V. ,   Peoples’ Friendship University of Russia (RUDN University), Rebouh Nazih Yacer ,   Peoples’ Friendship University of Russia (RUDN University)
Published: May 2022

Winter wheat is one of the most important agricultural crops with high yield potential, for a more complete implementation of which at the present stage requires the creation of flexible science-intensive cultivation technologies, which will include new low-cost elements and, undoubtedly, will increase the gross grain harvest. The reviewed article presents the results of field studies conducted in the Non-Chernozem soil of central region of Russia. The purpose of the work was to study the effect of mineral fertilizers on the productivity of winter wheat varieties, aimed at evaluating the reaction of winter wheat varieties according to cultivation technologies at a different level of intensity, to develop a cost-effective resource-saving cultivation technology and to determine the optimum conditions of winter wheat cultivation. Applying mineral fertilizers in the correct dose is fundamental to increasing the yield and quality of winter wheat in the Non-Chernozem Zone of central Russia. The nutrient-deficient soils in this region justify the use of mineral fertilizers. The authors reviewed existing studies on the use of mineral fertilizer and the quality and yield of winter wheat in the Non-Chernozem soil conditions in the central region of Russia. Various indicators were assessed, such as the winter wheat yield and the gluten, fibrin, and crude protein contents. The research outcome reveals a positive correlation between the appropriate use of mineral fertilizers and the increase in winter wheat yield and grain quality in the Non-Chernozem Zone of Central Russia.
MORPHOMETRIC CHARACTERISTICS OF THE STOMACH IN JAPANESE QUAILS
Authors:   Peoples’ Friendship University of Russia (RUDN University), Seleznev S. B. , Foromov Dramou  ,   Peoples’ Friendship University of Russia (RUDN University), Vetoshkina G. A. ,   Moscow State Academy of Veterinary Medicine and Biotechnology – MVA named after K.I.Skryabin
Published: May 2022

Knowledge of the morphological features of the quail digestive system makes it possible to purposefully influence their development, using breeding and selection in the right direction. The aim of the study was a morphometric assessment of the stomach of Japanese quails and the development of its linear index based on the data obtained, which reflects the processes of formation of the stomach and makes it possible to identify the relationship between its external appearance and structural elements that determine its internal architectonics. As a result of the study, it was found that the stomach of Japanese quail, consisting of two chambers (glandular and muscular), is characterized by a certain age-related staging of formation. Until the age of 30 days, the glandular section of the stomach grows most intensively, and the muscular section is formed and reaches its final development only by the age of 90 days, which is confirmed by the dynamics of morphometric parameters. As for the linear index of the stomach, during the hatching period in Japanese quails, it has a maximum value (24.0%) and indicates the ability of the digestive system to a full functional load. By the time of puberty, this indicator significantly decreases to 15.3%, but by the time of oviposition it increases again to 21.2%. The results obtained must be taken into account when compiling the diet for feeding poultry in order to obtain maximum egg productivity.
EVALUATION OF SURGICAL CORRECTION OF DEGENERATIVE LUMBOSACRAL STENOSIS IN DOGS BASED ON ERYTHROCYTES
Authors:   Peoples’ Friendship University of Russia (RUDN University), Vilkovysky I. F.
Published: May 2022

Degenerative lumbosacral stenosis is a common cause of lumbosacral disease in dogs of medium to large breeds. However, decompressive surgery is considered the primary technique for reducing cauda equina and nerve root compression in dogs with degenerative lumbosacral stenosis. The study of the dynamics of the erythrocyte component remains the main indicator of control over the postoperative period during surgical interventions in dogs and deserves their careful analysis. The aim of this study was to evaluate changes in the structural characteristics of erythrocytes during the postoperative period. In this article, an assessment was made of changes in hematological parameters and erythrocyte morphology during the postoperative period. Conducting surgical neurological intervention in the lumbosacral region, with strict observance of aseptic and antiseptic requirements and precise implementation of the method of surgical access and reception, ensures the physiological functioning of the erythrocyte link without causing destructive processes during the postoperative period and the presented surgical method can serve as the basis for performing neurological surgical interventions.
Reconstruire la ville en ville, tendances et enjeux
Authors: Rérat Patrick
Published: May 2022

Cet article constitue l’introduction à ce numéro consacré au thème de la reconstruction de la ville en ville et de la requalification des centres. Il dresse un état des lieux des principales tendances de l’urbanisation ainsi que des débats en cours. Une première partie s’intéresse à la dynamique d’étalement urbain, aux critiques qui lui sont adressées, ainsi qu’au modèle alternatif de la ville compacte. Ensuite, les facteurs concourant à une revalorisation des centres sont traités: la politique fédérale, les stratégies des villes, l’activité du marché immobilier et l’attrait résidentiel et culturel des villes. Certains enjeux et limites du regain d’attractivité des centres sont mis en perspective : la consommation croissante d’espace habitable, la concurrence entre collectivités territoriales, le risque de gentrification et l’intégration des principes de durabilité. Finalement, les articles réunis dans cet ouvrage et leur contribution au débat sont présentés.
Le rôle des promoteurs immobiliers dans la reconversion d’usines en logements à La Chaux-de-Fonds
Authors: Ischer Patrick
Published: May 2022

La réaffectation des friches industrielles s’avère être une solution cohérente et réaliste pour concevoir des projets de développement urbain durable visant à « faire la ville dans la ville». Or, ce processus présente un ensemble de contraintes qui se doivent d’être considérées pour comprendre l’insuccès de certaines de ces entreprises. Je propose, dans le cadre de cette présentation, de revenir sur la manière que certains promoteurs immobiliers ont eu de s’affranchir de ces obstacles, menant ainsi à bien des projets de réhabilitation de friches industrielles légères en logements à La Chaux-de-Fonds.
La recomposition territoriale des circuits immobiliers: le cas des caisses de pension suisses
Authors: theurillat Thierry
Published: May 2022

Cet article traite de la modification des circuits d’investissements immobiliers, à travers l’exemple des investissements des caisses de pension, dans le contexte de financiarisation de l’économie. Deux circuits sont mis en évidence. Dans le premier circuit, les caisses agissent comme entrepreneurs et investisseurs, les investissements sont régionaux et sont évalués selon des modalités propres aux caisses. Dans le deuxième circuit, les caisses se comportent uniquement comme des investisseurs. L’évaluation des placements s’effectue en fonction des critères financiers de rendement, de risque et de liquidité et les régions privilégiées d’investissement sont les régions urbaines importantes du pays.
La transnationalisation des réalités sociales : quand une petite ville devient « transnationale »
Authors: Dahinden Janine
Published: May 2022

Le concept de «transnationalisme» s’est récemment imposé dans les études en migrations. Ce concept, né de la compréhension que les migrants maintiennent des relations avec leur pays d’origine bien après la migration, et que la migration ne signifie ainsi pas nécessairement une rupture avec la région d’origine, permet de saisir l’insertion simultanée des migrants dans différents endroits du globe. Cet article s’intéresse à la manière dont les habitants (migrants et non-migrants) d’une petite ville, Neuchâtel, vivent différentes formes d’«être transnational». Dans ce but, une distinction est opérée entre une «transnationalité de réseau» et une « subjectivité transnationale ». La première dimension inclut les réseaux sociaux transnationaux, tandis que la deuxième se réfère aux classifications cognitives d’appartenance dans l’espace transnational. L’analyse des réseaux personnels de 250 habitants de la ville de Neuchâtel et des entretiens qualitatifs révèlent quatre types idéaux de transnationalité. Ces formations transnationales sont étroitement liées au positionnement social des individus ainsi qu’au processus d’intégration dans l’espace local et transnational.
Les réfugiés hongrois de 1956 dans le canton de Neuchâtel
Authors: Pancza André , Piguet Etienne
Published: May 2022

A la suite de l’écrasement de la révolution hongroise de 1956, plus de 200 000 réfugiés ont fui leur pays vers l’Ouest. Environ 170 d’entre eux vivent aujourd’hui dans le canton de Neuchâtel. Notre étude utilise un questionnaire et des entretiens afin de mettre en évidence d’une part les raisons qui ont incité les Hongrois à fuir leur pays natal et d’autre part les motifs qui les ont poussés à choisir la Suisse comme pays d’accueil. La description de leur arrivée dans le canton de Neuchâtel et l’accueil des autorités et de la population neuchâteloises ainsi que les modalités de leur intégration ont particulièrement retenu notre attention. Des questions adressées à la seconde génération – issue principalement de mariages mixtes – donnent ensuite quelques indications sur les relations que ces jeunes, désormais suisses, entretiennent avec la Hongrie.
Perception du changement climatique et de ses impacts sur les activités touristiques: exemple d’une enquête exploratoire dans le département de la Drôme (sud-est de la France)
Authors: Tritz Céline , Bigot Sylvain , Rome Sandra , David Léa , Pochelon Isabelle , Schiavone Sophie
Published: May 2022

Le tourisme est une des activités dont l’économie est très dépendante des variations du climat, à travers, par exemple des ambiances thermiques favorables, ou encore des chutes de neige en quantité et en qualité suffisante permettant la pratique des activités d’hiver. Afin d’établir un diagnostic précis des évolutions climatiques aujourd’hui avérées (GIEC, 2007) et de leurs influences sur les attentes des professionnels du milieu touristique (hébergeurs, restaurateurs, institutionnels…) à travers leurs perceptions, une enquête électronique a été menée au sein du département de la Drôme auprès de 2 404 acteurs recensés pour leur appartenance au secteur du tourisme. Cette étude est effectuée dans le cadre du programme de recherche DECLIC (Drôme : Eau, Climat et Impacts liés aux Changements) mené en collaboration avec le Conseil général de la Drôme, et inscrit dans le programme national GICC-2 (Gestion et Impacts du Changement Climatique) du MEEDDM (ministère français de l’Environnement et du Développement durable)
L’approche expérientielle comme cadre d’analyse et de planification en écotourisme
Authors: Lequin Marie , Carrière Jean-Bernard
Published: May 2022

L’objectif de cet article est de proposer un cadre d’analyse et de planification d’expériences écotouristiques adaptable à divers lieux à potentiel touristique de nature et de culture. L’approche est celle de l’analyse d’une expérience globale de visite qui peut être reconstruite, pour fin de planification, selon huit dimensions expérientielles génériques recensées dans la littérature scientifique. Ce cadre a été mis à une première épreuve empirique dans quatre parcs nationaux, ce qui a permis d’identifier trois profils expérientiels génériques d’écotouristes selon des seuils et des contenus spécifiques pour chacune des dimensions d’expérience vécue, propres à ce type de lieux. L’article comporte quatre sections: 1) la problématique, 2) le cadre d’analyse théorique, 3) la méthodologie utilisée, et 4) les résultats empiriques sur les profils d’expérience écotouristique. La méthodologie développée est proposée comme fondement pour la planification d’une offre touristique à caractère durable. L’article se veut une invitation à en étendre la portée théorique et empirique vers une diversité de sites touristiques et ce, dans la perspective d’un rehaussement de la viabilité et de la durabilité de l’offre de produits associés à cette forme de tourisme.
Le tourisme dans l’économie locale des communes rurales péri-urbaines de Ouagadougou (Burkina Faso)
Authors: Yameogo Lassane , R. Gansaonre Noël
Published: May 2022

Les pays africains au sud du Sahara, confrontés à la chute des recettes d’exportation de leurs produits agricoles, rencontrent des difficultés pour amorcer leur développement. Tirant des leçons de l’expérience des pays maghrébins dans l’industrie touristique et des études qui ont révélé que le tourisme est l’un des rares secteurs économiques d’où les pays du Sud tirent systématiquement un surplus commercial des pays du Nord, le Burkina tente de mettre l’accent sur les investissements attractifs pour les touristes. Cela a favorisé l’émergence de l’activité dans l’ensemble du pays, particulièrement à Ouagadougou. À la périphérie de cette dernière, une autre forme de tourisme est en gestation et intéresse les communes rurales, qui y voient une opportunité pour un développement territorial. En formulant l’hypothèse que le tourisme peut constituer un moyen pour générer des revenus pour les communautés et les collectivités rurales tout en protégeant les ressources naturelles, nous avons entrepris une étude dans les communes péri-urbaines de Ouagadougou. Elle a nécessité une revue documentaire, complétée par une collecte de données statistiques et spatiales. Des résultats il ressort qu’en dépit des investissements consentis en infrastructures et des fréquentations relativement importantes, les retombées pour les populations rurales et les collectivités territoriales se font attendre.
Les virtualités de la synchorisation
Authors: Baude Boris
Published: May 2022

Cet article propose d’inscrire la mobilité dans une problématique plus générale de l’action afin de mieux identifier les enjeux relatifs à l’évolution des technologies de transmission numérique. Cette articulation entre mobilité et télécommunication est développée autour de la notion de synchronisation, présentée comme le processus par lequel la distance devient moins pertinente. La synchronisation de l’information, c’est-à-dire l’augmentation de son accessibilité, accroît effectivement la visibilité de notre environnement, comme autant de virtualités dont l’actualisation est facilitée, et dont la maîtrise constitue un enjeu de plus en plus important. En insistant particulièrement sur les puissantes logiques de centralisation de la visibilité, cet article propose de considérer avec plus d’acuité les conditions de production, de communication, de traitement et de valorisation de l’information spatiale. Lorsque le Monde devient un lieu pour l’information, lorsque la circulation de l’information est globale, la tension entre la démultiplication des virtualités de l’action et l’exposition de soi est en effet totale, au point de produire un monde dont la politique reste à inventer.
Navigations sur mesure? Usages d’applications smartphone en ville de New York
Authors: Widmer Sarah
Published: May 2022

Cet article s’intéresse aux façons par lesquelles certains types d’applications smartphone médiatisent la navigation urbaine de leurs utilisateurs dans la ville de New York. L’article commence par démontrer l’importance que détiennent ces logiciels lorsqu’il s’agit de gérer l’organisation spatio-temporelle de ses activités quotidiennes. Partant de ces prémices, la réflexion se concentre spécifiquement sur le fonctionnement de logiciels « intelligents », adaptant leur contenu en fonction de leur utilisateur, de ses routines particulières et de son contexte d’utilisation (heure, emplacement, etc.). À partir d’entretiens semi-directifs réalisés à New York auprès d’utilisateurs de Foursquare, Google Now et Mynd, l’analyse proposée aborde la progressive personnalisation des informations sur lesquelles repose en partie la navigation des utilisateurs dans l’espace urbain. Démontrant, d’une part, que ces logiciels rendent l’espace urbain plus familier pour leurs utilisateurs, l’article cherche également à problématiser ce que signifie, pour ces acteurs, le fait qu’un logiciel les profile et les « connaisse » à ce point. Deux questions majeures sont alors abordées : celle des risques que court l’utilisateur du point de vue de l’exposition de certaines de ses informations personnelles (privacy); et celle des conséquences du profilage en termes de tri social et d’accès à l’information spatiale.
Entre le plein et le vide: les espaces-temps quotidiens des jeunes patients souffrant de troubles psychotiques en milieu urbain
Authors: Codeluppi Zoé
Published: May 2022

L’article cherche à mieux comprendre les pratiques spatiales de jeunes patients souffrant de troubles psychotiques en milieu urbain. Sur la base d’une ethnographie menée dans une institution thérapeutique à Lausanne (Suisse), l’étude met en évidence la diversité des trajectoires spatiales des patients, combinant une pluralité d’espaces de rétablissement institutionnels, privés mais aussi publics aux propriétés matérielles, relationnelles et affectives variées. La pratique de ces lieux varie en fonction de l’intensité des troubles. La recherche souligne également la fonction médiatrice des espaces publics urbains permettant de réguler l’intensité des symptômes psychotiques.
La baisse du permis de conduire chez les jeunes adultes: simple report ou désamour de la voiture?
Authors: Rérat Patrick , Vincent-Geslin Stéphanie , Giacomel Gianluigi , Martin Antonio , Baehler Daniel
Published: May 2022

À l’instar de plusieurs pays occidentaux, la proportion de jeunes adultes titulaires d’un permis de conduire a diminué en Suisse (de plus de 70% en 2000 à moins de 60% en 2010). Cet article aborde ce phénomène en conceptualisant tout d’abord le permis de conduire comme un ensemble de règles, un droit de participer au système automobile et un rite de passage. La propension à obtenir le permis de conduire et son évolution sont ensuite analysées sur la base des Micro recensements mobilité et transports 2000 et 2010. Les résultats montrent que cette baisse s’explique en majeure partie par un report de l’âge d’obtention du permis et non par un renoncement définitif. Ce report semble moins dû à une complexification des règles ou à une augmentation des coûts mais davantage à un rapport plus fonctionnel et utilitaire à la voiture.
Les origines coloniales de l’Association des sociétés suisses de géographie (1870-1880)
Authors: Rossinelli Fabio
Published: May 2022

Le développement international des sciences géographiques, au XIXe siècle, suit les ambitions expansionnistes de la bourgeoisie européenne. La Suisse, dans ce contexte, ne fait pas exception. Le présent article reconstitue les origines de l’Association des sociétés suisses de géographie (1881) tout en montrant leurs liens avec l’impérialisme colonial.
La mobilité des étudiants étrangers dans une région du Québec : le cas des étudiants réunionnais à Rimouski (Québec)
Authors: Belkhodja Chedly
Published: May 2022

Cet article présente une étude de cas de la mobilité étudiante internationale dans une région du Québec au Canada. Depuis quelques années, dans le cadre d’un protocole de coopération en matière de mobilité étudiante, des étudiants de l’île de La Réunion viennent poursuivre leurs études dans des établissements postsecondaires situés dans des régions du Québec. Notre recherche s’intéresse à mieux cerner cette mobilité étudiante dans le contexte des efforts de régionalisation de l’immigration. Notre étude de cas de la ville de Rimouski permet de voir en quoi l’Université du Québec à Rimouski (UQAR) et le cégep de Rimouski valorisent l’attraction et le recrutement des étudiants étrangers dans des régions moins marquées par l’immigration.
L’étudiant étranger dans le paysage discursif suisse, des «vérités historiquement inventées»?
Authors: Keller-Gerber Alessandra
Published: May 2022

Durant l’été 2010, un débat apparut dans les médias sur les avantages et les désavantages d’un accueil d’étudiants étrangers dans les universités suisses. Nous nous sommes posé la question suivante : l’étudiant étranger apparaissait-il pour la première fois tel un événement dans le paysage discursif helvétique ? Cet article présente le résultat d’une analyse en parallèle de deux corpus, l’un actuel et l’autre historique : un corpus d’articles de presse représentatifs du débat aujourd’hui, un corpus de documents plus anciens – liés à quelques moments forts de la constitution du réseau universitaire helvétique – où la présence d’intellectuels étrangers est thématisée
Les vélos à assistance électrique : entre vélos conventionnels et deux-roues motorisés ?
Authors: Ravalet Emmanuel , Marincek Dimitri , Rérat Patrick
Published: May 2022

Les ventes de vélo à assistance électrique (VAE) progressent dans la plupart des pays occidentaux. En Suisse, la possession de VAE concerne de plus en plus de ménages et l’usage de ce mode se développe rapidement. À partir des données du Micro recensement Mobilité et Transports, une enquête nationale menée en 2015, nous cherchons à caractériser le profil des usagers de ce mode et les pratiques associées, pour mieux comprendre la différence entre le VAE et le vélo conventionnel ainsi que les deux-roues motorisés. Les résultats obtenus montrent les spécificités des possesseurs et usagers du VAE sur les plans sociodémographique, économique et géographique.
Estado do conhecimento sobre as representações nos livros didáticos de química: um levantamento para o período de 2010 a 2021
Authors: Bruna de Paula Rezende  , Ana Carolina Araújo da Silva
Published: May 2022

Nos últimos anos, diversas pesquisas vêm sendo realizadas utilizando os Livros Didáticos (LDs) como principal conteúdo de análise. Essas pesquisas contribuem, significativamente, para diferentes áreas de estudo, mas sinalizam, fragilidades. O objetivo deste artigo é mapear os principais referenciais teóricos utilizados nas pesquisas acerca das representações na área de Educação em Ciência, realizadas no Brasil entre 2010 e 2020. Para tanto, foram pesquisados periódicos de cinco revistas e anais de dois eventos nacionais: QNEsc, REDEQUIM, IENCI, Educação Química en Punto de Vista, Ensaio, ENPEC e ENEQ. Para atingir tal objetivo, utilizamos os pressupostos teóricos da análise de conteúdo. Realizamos a pesquisa por meio dos seguintes descritores: representação, representações e multimodalidade. Identificamos que a semiótica de Peirce é a referência mais utilizada. Este estudo revela um grande número de trabalhos encontrados para os descritores de pesquisa, porém um número menor é identificado quando se trata do estudo das representações nos LDs.
Escola de matemática básica: um projeto de extensão universitária
Authors: Souza Soares Julyane , Eteval da Silva Feitosa Francisco
Published: May 2022

O presente estudo, de cunho qualitativo-exploratória apoiada em estudo de caso, teve como objetivo compreender os efeitos do projeto de extensão intitulado “Escola de Matemática Básica” na aprendizagem dos estudantes partícipes e na aprendizagem profissional de estudantes de licenciatura, regentes das oficinas. Para tanto, o estudo foi realizado em três fases: levantamento de dados; observação não participante das práticas docentes dos licenciandos; e entrevista. Os resultados revelaram que, apesar do projeto ter sido realizado no contexto da pandemia, foi alcançado um alto nível de satisfação por parte dos alunos e dos acadêmicos e um baixo índice de evasão. Os estudantes apresentaram uma melhora no seu desempenho escolar e os acadêmicos desenvolveram conhecimentos de conteúdo específico, pedagógico e curricular.
Um estudo sobre a base nacional comum curricular (BNCC) a partir dos pressupostos teóricos da abordagem ciência-tecnologia-sociedade-ambiente (CTSA)
Authors: Javarez de Oliveira Daniele , Vizzotto Chaves Taniamara
Published: May 2022

A BNCC Ensino Médio, homologada em 2018 pelo Ministério da Educação, pressupõe a reorganização do currículo e das metodologias de trabalho dos professores. Para responder se “A Área de Ciências da Natureza e suas Tecnologias, presente na BNCC, traz em seus pressupostos indicações que vão ao encontro de uma educação baseada na abordagem CTSA?” Esta pesquisa, de caráter qualitativo, utilizou de análise de conteúdo de materiais para mostrar como é contextualizado a abordagem CTSA nas literaturas voltadas para o ensino de Física, do Ensino Médio, verificar qual a contribuição da BNCC para o aprendizado de Física, e analisar como a BNCC relaciona aspectos de CTSA para o Ensino de Física. Com o estudo, evidenciou-se que o documento da BNCC apresenta conteúdos curriculares mínimos, deixando a liberdade de escolha a cargo do professor junto à escola. Também se percebem aproximações entre os pressupostos da BNCC com a abordagem CTSA.
Estudo qualitativo para discutir como tecnologias de informação e comunicação se relacionam com formação docente
Authors: Rodrigo Zanato Alessandro , Maria Strieder Dulce , Aparecida Campos Terezinha
Published: May 2022

Considera-se que as Tecnologias de Informação e Comunicação (TICs) interferem e mediam os processos comunicativos, inclusive em sala de aula. Assim buscou compreender se a formação docente empodera para o uso das TICs em sala de aula. Para isso, foi realizada uma pesquisa de campo com 30 professores da rede pública de Cascavel/PR, sendo que os dados foram coletados através de entrevistas, posteriormente, agrupadas e analisados por meio da Técnica de Análise de Conteúdo. Constatou-se que, dos 30 professores entrevistados, 26 são especialistas. Porém, parece haver certo descompasso entre a formação e atuação, visto que, vários fatores podem tornar este professor um sobrevivente do sistema vigente, o que dificulta a inserção das TICs na sala aula. Infere-se que, o uso da TICs em sala de aula deve estar atrelado a formação docente, visto que mudanças na sociedade da era tecnológica exigem um professor com formação sólida.
Método líquen pode promover o cálculo mental
Authors: Zancan Sabrina , Andreas Sauerwein Ricardo
Published: May 2022

O Método Líquen foi desenvolvido com o objetivo de auxiliar professores e alunos na construção dos conhecimentos necessários às estratégias de cálculo mental. Neste artigo, investigamos se a utilização do Método Líquen promoveu o desenvolvimento de estratégias de cálculo mental. Para isso, investigamos as estratégias de cálculo de 95 alunos, de quatro turmas, que utilizaram o método por dois ou três anos consecutivos.  Destes, identificamos 56 alunos utilizando ou com indícios da utilização de cálculo mental, o que representa 58,9% do total de alunos investigados. Concluímos, assim, que a implementação do Método Líquen nas escolas traz bons resultados para a aprendizagem dos alunos, a longo prazo, promovendo a uniformidade da turma e o desenvolvimento do cálculo mental.
Significação, apropriação e linguagem química: aportes da teoria histórico cultural
Authors: Dias dos Santos Bárbara Cristina , Ritter Jaqueline
Published: May 2022

O respectivo trabalho refere-se a uma breve revisão bibliográfica, tendo como objetivo de mapear três termos de busca, os quais fazem parte do aporte teórico da Abordagem Histórico Cultural (THC). Os termos utilizados para o mapeamento foram: “significação química”; “linguagem química” e “apropriação química”, sendo estes pesquisados em dois portais de busca: o periódico da CAPES e o portal da SCIELO Brasil. Os resultados encontrados consistiram em 13 trabalhos de pesquisa que se embasaram na Perspectiva da THC de variadas formas e abrangências. As análises desenvolvidas seguiram a metodologia da Análise Textual Discursiva e apresentaram discussões sobre como de fato ocorre a aprendizagem e o desenvolvimento de significações conceituais e culturais por proposições. Tendo como base o processo de internalização dos conceitos, sendo esses concebidos como signos mediadores, os quais foram apresentados pela via da experimentação, do jogo, da pesquisa, das abordagens temáticas e entre outros.
Ten-year Results after Conventional Corneal Cross-linking in Korean Patients with Progressive Keratoconus
Authors: Lee Junwoo , Son Bo Kwon , Kim Tae Gi , Jin Kyung Hyun
Published: May 2022

Purpose: To evaluate the long-term effects of conventional corneal cross-linking in patients with progressive keratoconus.Methods: A total of 18 eyes of 9 patients diagnosed with keratoconus were analyzed retrospectively. One eye was diagnosed with progressive keratoconus and conventional corneal crosslinking was performed. The other eye was classified as non-progressive and remained untreated. All patients were assessed with best corrected visual acuity (BCVA), maximum keratometry (Kmax), mean keratometry (Kmean), corneal astigmatism, and corneal thickness. Clinical data were collected before the procedure and at 1, 3, 6 months and 1 to 10 years after the procedure.Results: The BCVA significantly improved from 0.63 ± 0.18 logarithm of the minimum angle of resolution (logMAR) to 0.46 ± 0.25 logMAR at 10 years after conventional corneal crosslinking (p = 0.027). The Kmax and Kmean decreased from 65.90 ± 9.43 D and 52.82 ± 5.16 D to 62.83 ± 8.16 D and 51.52 ± 5.18 D, respectively (p = 0.021, p = 0.028, respectively). Corneal astigmatism decreased from 6.97 ± 2.21 D to 5.53 ± 1.64 D (p = 0.008). The thinnest corneal thickness decreased from 435.11 ± 53.37 μm to 369.22 ± 64.00 μm 1 month after the procedure (p = 0.008), and gradually improved over time. At 10 years, the thinnest corneal thickness increased to 410.11 ± 61.32 μm (p = 0.097). In the untreated eyes, the mean keratometry significantly increased after 4 years of follow-up, but other factors did not change significantly. Although corneal opacity persisted for up to 10 years in 3 eyes of the treatment group, there was no significant difference of BCVA compared to the treated eyes without corneal opacity (p = 0.714).Conclusions: In patients with progressive keratoconus, conventional corneal crosslinking is a safe and effective procedure that suppresses long-term progression.
Effects of Axial Lengths in High Myopia on the Significance Maps of Optical Coherence Tomography
Authors: Park Hae Min , Seong Mincheol , Lee Won June
Published: May 2022

Purpose: We corrected the axial lengths of the macular and peripapillary significance maps using software embedded in a commercial spectral domain optical coherence tomography (SD-OCT) package. We evaluated the accuracy of glaucoma diagnosis in patients with high myopia, and the clinical implications.Methods: Seventy eyes of 70 highly myopic patients with or without normal-tension glaucoma were retrospectively reviewed. The sensitivities and specificities of the color-coded significance maps were calculated using 1% (red) or 5% (yellow) as the abnormality criteria, and the values compared before and after axial length corrections performed using embedded SD-OCT software.Results: At the 1% level of the normative database, we found no significant difference in specificity or sensitivity. At the 5% level, the increase in specificity was significant only for the inferotemporal sectors of the macular significance map. The specificity of the inferotemporal sector of the inner scan circle increased from 61.9 to 78.6% (p = 0.016) and that of the outer scan circle from 69 to 83.8% (p = 0.031). The specificities of the entire chart, the superior sector of the superior/inferior chart, and the 12-clockwise map increased significantly from 54.8 to 78.6% (p = 0.002), 59.5 to 76.2% (p = 0.039), and 59.5 to 76.2% (p = 0.002) respectively.Conclusions: Clinicians should note that axial length correction of significance maps reduces the false-positive glaucoma diagnostic rates in highly myopic eyes. Correction of significance maps using embedded software may thus aid clinicians in the diagnosis of glaucoma in high myopic eyes.
Efficacy of Low-dose Atropine Eyedrops in Myopic Progression in Elementary School Children
Authors: Yoon Jimin , Ha Suk Gyu , Suh Youngwoo , Kim Seung-Hyun
Published: May 2022

Purpose: We analyzed the effects of low-dose atropine on myopic progression in elementary schoolchildren aged 6-11 years.Methods: Medical records were retrospectively reviewed before and after 6 months of low-dose atropine eyedrops. Myopia was defined as a spherical equivalent < -1 diopter. Low-dose atropine eyedrops (atropine sulfate 0.125% [w/v]) and artificial tear eyedrops (sodium hyaluronate 0.1% [w/v]) immediately afterwards were applied to both eyes daily, and all children regularly visited us for measurement of refractive power, axial length, pupil diameter, and near-point accommodation. symptoms (headache, light sensitivity, near-work disturbance, allergic reaction, dry eye, and poor night vision) were recorded.Results: A total of 116 patients were included. Atropine was prescribed for 65 patients, the remaining 51 patients constituted the control group. In the atropine group, the mean age was 10.2 ± 1.8 years and 23 patients (35.4%) were male. At the initial visit, the mean refractive power was -4.7 ± 2.1 diopters (D) (-1.0 to -10.5) and the mean axial length was 24.95 ± 1.02 mm (22.58-27.99). At the 6-month follow-up, the change of refractive power was -0.9 ± 1.1 D (-0.75 to -4.75) and the change of axial length was 0.47 ± 0.39 mm (0.01-1.6). However, 6 months after application of low-dose atropine eyedrops, the change of refractive power was -0.1 ± 0.2 D (0 to -0.25) and the change of mean axial length was 0.15 ± 0.23 mm (0-1.05). The mean pupil diameter was 6.7 ± 0.6 mm (5.3-9.3) and the near accommodation point was 6.1 ± 2.0 cm (3.1-11.0). Two patients (3.1%) complained of near-work disturbance but none stopped taking the eyedrops.Conclusions: Significant decreases in the changes of refractive power and axial length were evident in myopic elementary schoolchildren after low-dose atropine therapy. Low-dose atropine attenuates myopic progression without severe complications.
A Case of Iris Neovascularization in Severe Fungal Keratitis Treated with Intracameral Bevacizumab
Authors: Lim Yeon Ju , Cho Chan-Ho
Published: May 2022

Purpose: We report a case in which iris neovascularization (NVI) improved after intracameral bevacizumab injection in a patient who exhibited fungal keratitis with NVI.Case summary: A 47-year-old man experienced a tree branch-induced injury to his right eye and was treated for keratitis for 1 month. However, his condition deteriorated and he was referred to our hospital. Initial slit lamp biomicroscopy findings showed a large, thick central deep stromal infiltration with a concentric circle shaped feathery-like margin, epithelial defect, satellite lesion, fungal ball, hypopyon, and NVI. Aspergíllus fumigatus was isolated in the corneal scraping culture. Amphotericin B, voriconazole, and natamycin were administered as topical treatment along with systemic amphotericin B. After treatment, the corneal lesions gradually improved, but NVI worsened. After the 5th week, total hyphema occurred; anterior chamber irrigation and intracameral bevacizumab injection were performed. Two weeks postoperatively, the NVI exhibited complete regression; corneal stromal melting with descemetocele appeared after 8 weeks. Penetrating keratoplasty was performed and NVI was no longer observed at 6 months after surgery.Conclusions: For the treatment of iris neovascularization in patients with infectious keratitis, intracameral bevacizumab injection at an appropriate time may be effective.
Central Horner Syndrome with Vertebral Artery Dissection
Authors: Park Young Min , Kim Hye Young
Published: May 2022

Purpose: To report the first case of a 53-year-old male patient diagnosed with central Horner syndrome, associated with vertebral artery dissection, which has never been reported in Korea to date.Case summary: A 53-year-old male patient presented with conjunctival hyperemia in the left eye for over 4 months, with a past history of acute subarachnoid hemorrhage and ruptured dissecting aneurysm in the left vertebral artery. On slit-lamp examination, mild ptosis of the upper eyelid and conjunctival hyperemia were noted in his left eye. The left pupil was smaller than the right without afferent pupillary defects in either eye. Anisocoria was greater in the dark, and dilation lag was noted in the left pupil. On systemic examination, he complained of numbness in the right upper and lower extremities and symptoms of leaning to the left when walking. After instillation of 0.5% apraclonidine, the anisocoria was reversed, and ptosis and conjunctival hyperemia disappeared. Magnetic resonance images revealed chronic infarction in the left lateral medulla, and he was diagnosed with central Horner syndrome associated with Wallenberg syndrome.Conclusions: We present the first case in Korea of central Horner syndrome associated with lateral medullary infarction caused by vertebral artery dissection.
Tratamento de lesões provocadas por queimaduras: uma revisão integrativa
Authors: Santos Michelle Danoski dos , Lavall Eliane , Lohmann Paula Michele , Baiocco Graziella Gasparotto
Published: May 2022

A assistência ao paciente queimado é complexa e requer preparo da equipe de enfermagem, em especial do enfermeiro, que é o responsável por elencar as necessidades do paciente, elaborar e supervisionar a execução do plano de cuidado e avaliar sua efetividade. O objetivo deste estudo foi conhecer e descrever quais as principais técnicas de tratamento utilizados nos diferentes tipos de queimaduras, mediante a realização de uma revisão integrativa. Metodologia: trata-se de um estudo qualitativo em que será realizada uma revisão integrativa de literatura. A coleta de dados foi realizada por meio de buscas nas bases de dados Google Scholar e Portal Regional da Biblioteca Virtual em Saúde (BVS) utilizando os termos em inglês os termos em inglês “burn” e “treatment”, além dos termos em português “queimadura” e “tratamento”, “lesão por queimadura”, “queimadura” e “curativos”, “queimadura” e “hospital”. As variações de singular e plural destes termos e modificadores de pesquisa como AND ou OR, também foram utilizados para ampliar a possibilidade de resultados positivos. A análise consistiu na síntese, descrição, comparação e discussão dos dados obtidos pela leitura dos artigos, mediante organização prévia tabelada, sendo utilizada a análise de Bardin (2011). Como resultado se obteve 12 artigos selecionados onde percebe-se as principais técnicas de tratamento utilizadas atualmente em vítimas de grandes queimaduras. Perante as diversas técnicas mencionadas a utilização dos derivados de prata continuam sendo indispensáveis no tratamento de queimaduras trazendo amplos benefícios ao vitimizado.