bluuebunny/crossref_metadata_2025 huggingface dataset:
CLINICAL AND PHARMACOECONOMIC ASPECTS OF ACTIVE CONTROLLED ANTI-INFLAMMATORY THERAPY OF RHEUMATOID ARTHRITIS, BASED ON THE PRINCIPLES OF THE «TREAT-TO-TARGET» STRATEGY: CURRENT STATE OF THE ISSUE
Authors:   Department of Propedeutics of Internal Diseases, Avicenna Tajik State Medical University, Bekmurodzoda Sulton Begmurod , Saidov Yor Umarovich ,   Department of Propedeutics of Internal Diseases, Avicenna Tajik State Medical University, Makhmudov Khayom Ruziboevich ,   Department of Propedeutics of Internal Diseases, Avicenna Tajik State Medical University
Published: March 2020

The review presents a detailed analysis and assessment of current views on the fundamental issues of the therapy of rheumatoid arthritis (RA) within the framework of the “treat-to-target” (T2T) strategy. The most significant principles of the strategy are the focus on preservation the patient’s quality of life, careful monitoring of the RA treatment process, and the active involvement of the patient in the treatment process. The results of the longterm study of the main issues related to the RA problem indicate that the cardinal improvement in the prognosis of the disease depends not only on the widespread use of innovative and often expensive drugs but more on the revision and improvement of traditional approaches and treatment strategies, and the disease in general. An analysis of the literature shows that the optimization of RA therapy within the framework of the T2T strategy dictates the need for full clinical and economic research aimed at finding the most effective and economically benign treatment regimens for the disease Keywords: Rheumatoid arthritis, treat-to-target strategy, effectiveness evaluation, pharmacoeconomic aspects.
RECONSTRUCTIVE SURGERY AND QUALITY OF LIVE IN PATIENTS WITH LOCALLY-ADVANCED HEAD AND NECK CANCER
Authors:   Department of Oncology and Radiodiagnostics, Avicenna Tajik State Medical University, Sanginov Dzhumaboy Rakhmatovich , Mudunov Ali Muradovich ,   Department of Surgery of Tumors of the Upper Respiratory and Digestive Tracts, N.N. Blokhin Russian Cancer Research Center, Yuldoshev Ravshan Zokhidovich ,   Department of Oncology and Radiodiagnostics, Avicenna Tajik State Medical University, Bazarov Negmat Ismailovich ,   Department of Oncology and Radiodiagnostics, Avicenna Tajik State Medical University, Niyazov Ilkhomidin Karimovich ,   Department of Oncology and Radiodiagnostics, Avicenna Tajik State Medical University, Safarzoda Nuridindzhoni Abdulvokhid ,   Department of Oncology and Radiodiagnostics, Avicenna Tajik State Medical University
Published: March 2020

The article presents an overview of modern literature on the incidence, mortality, evolution of reconstructive and plastic operations and the algorithm of their application in cancer of the organs of the head and neck. The results of randomized studies on the surgical treatment of head and neck cancer and the problems related to rehabilitation and quality of life of these patients are reflected. In particular, the experience of leading experts in the field of reconstructive surgeries for tumors of individual localizations is given. The influence of one-stage plastics on the quality of life of patients is analyzed. Comparison of the results of the application of the pectoralis major myocutaneous flap and the anterolateral thigh free flap showed that the frequency of complications in the second case is much less. The effectiveness of palliative operations with simultaneous reconstruction with free and pedicled flaps in patients with locally advanced head and neck cancer was studied. Keywords: Locally-advanced cancer, head and neck, reconstruction, pedicled flaps, rehabilitation, quality of life.
TREATMENT OF CHRONIC HEART FAILURE IN MIDDLE-AGED MEN WITH DEPRESSION
Authors:   Department of Propaedeutics of Internal Medicine, Avicenna Tajik State Medical University, Sultonov Khabibullo Suvonovich , Sharipova Khursand Yodgorovna ,   Department of Propedeutics of Internal Diseases, Avicenna Tajik State Medical University, Negmatova Gulnora Mansurovna ,   Department of Internal Diseases № 1, Avicenna Tajik State Medical University, Sherbadalov Akhmad Akhadovich ,   Department of Propedeutics of Internal Diseases, Avicenna Tajik State Medical University, Abdulloev Firdavs Nazirovich ,   Department of Neurology of the City Medical Center № 2 named after Academician K.T. Tajiev, Nurulloev Oraz Sadulloevich ,   Avicenna Tajik State Medical University
Published: March 2020

Objective: Comparative assessment of the efficiency of standard and combined antidepressant therapy of chronic heart failure (CHF), flowing depression in middle-aged men with mild and moderate arterial hypertension (AH). Methods: Evaluation of the effectiveness of CHF treatment in patients with absence (Group I) and the presence of depressive disorders (Group II) and combined with antidepressants (paroxetine) of standard therapy for CHF occurring with depression (Group III) was spent. Clinical indices and structural parameters of the myocardium and vessels are studied in the dynamics Results: In patients with depression not receiving antidepressants, the lack of depression is accompanied by low adherence to treatment and the meaningful by high BP. Despite the high efficacy of standard CHF treatment, the combination with an antidepressant (the importance of improving the structural parameters of the myocardium, reduction of depression and increased adherence to treatment), adherence to treatment is significantly lower than in patients with initial absence of depression Conclusion: In the absence of depression, standard CHF therapy in middle-aged men with hypertension significantly improves the hemodynamic parameters and the reduced severity of heart failure. Against the background of depression, the effectiveness of CHF treatment (without an antidepressant) is lower: the level of depression, the left ventricular myocardial mass index, and intima-media thickness are much higher, treatment adherence and the ratio of maximum speeds of early and late filling (E/A) are lower than in comparison groups. Combined with paroxetine, standard CHF therapy in middle-aged men with depression, mild depression, and CHF, increases adherence to treatment, improves the structural parameters of the heart. However, adherence to the treatment is meaningful low than in patients who initially lacked depression, which dictates the need to develop effective measures to prevent depressions in patients with the risk of developing CHF. Keywords: Male sex, middle age, chronic heart failure, hypertension, depression, antidepressant therapy.
SURGICAL TACTICS IN DISTAL LESIONS OF NERVE TRUNKS OF THE UPPER LIMBS
Authors:   Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery, Odinaev Mirali Fayzulloevich , Khodzhamuradov Gafur Mukhammadmukhsinovich ,   Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery, Shaymonov Aziz Khuseynovich ,   Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery, Saidov Makhmadullo Sayfulloevich ,   Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery
Published: March 2020

Objective: Optimization of the results of microsurgical reconstruction of the nerve trunks of the upper limb with their complete anatomical break at the distal level Methods: The results of reconstructions of 129 nerve trunks of the upper limbs with their complete anatomical break at the distal level, performed in 109 patients from 2012 to 2018 were analyzed. Results: In an emergency order, 47 patients with injuries of 57 nerve trunks were operated (median nerve – 26, ulnar – 23 and radial – 8), at the level of Zone I there was 14 nerve trunks, Zone II – 26, Zone III – 17 nerve trunks. In all cases, the nerve trunks were restored end-to-end. Patients with emergency lesions showed better results compared with the planned reconstruction. So, the best results were obtained in children after an emergency suture (S4, M5), which amounted to 96.5%; in adults, the percentage of good and excellent results after an emergency reconstruction was 93.7%. The results of the autonervous plasty of the nerves in their results to degrees (S3+, S4; M4-M5) were not inferior to the planned end-to-end seam of the nerve and amounted to 82-85%. Conclusion: Thus, despite the technical difficulties of identifying damaged nerve trunks at distal levels, in all cases were obtained high functional results. The developed one-step replenishment of the defect in the final segment of the nerve trunk with an autonomic transplant preparation allows not only to restore the previous anatomy but also to shorten the duration of the operation and improve the functional effectiveness of the operations. Keywords: Upper limb, median nerve, ulnar nerve, radial nerve, distal lesions.
Mastery of Information Technology and Organizational Learning Culture Impact on Job Performance in Education Institute Sabilillah East Java
Authors: Fatmah Dinda
Published: March 2020

The purpose of this study was to examine and analyze the impact mastery of information technology, organizational learning culture, job satisfaction and organizational commitment impact on job performance. The method to analyze data is structural equation modeling. Based on the analysis found that: First, information technology positive effect on job satisfaction. Second, organizational learning negative effect on job satisfaction. Third, job satisfaction is not significant positive effect on organizational commitment. Fourth, organizational learning positive effect on organizational commitment. Fifth, information technology positive effect on organizational commitment. Sixth, information technology negative effect on job performance. Seventh, organizational learning positive effect on job performance. Eighth, organizational commitment positive effect on job performance. Ninth, job satisfaction positive effect on job performance. The results of this study are expected to provide new findings which will enrich the theory of human resource management and behavioral theory of educational institutions, especially with regard to job performance
The Role of Competency on The Effect of Training and Development System toward Job Productivity in The Human Resource Management Universal Corporation
Authors: Akbar Hidayat Wanda Gema Prasidio , Sukesi Sukesi , Hadi Cholichul
Published: March 2020

Employee development related to job productivity was very necessary in a company organization, because the existence of the program could helped to improving employee competency. The importance of education and training based on competency would enhanced the ability and build character of the human resources concerned. Referring to this, Human   Resource Management Universal Corporation were established company in 2009 and engaged in consulting services related to training and human resource development and had 64 trainers of national and international certified and was trained in providing training and consulting to client. This study aimed to analyzing the effect of training and development system toward productivity jobs through competency on trainers in the Human Resource Management Universal Corporation. The type of this study was an explanatory survey type with used the path analysis method. Based on the results of the study it can be concluded several things, including:  1.)  The  effect  of  training  and  development  system  toward  competency  was significant with value of 0,503; 2.) The effect of training and development system toward job productivity was significant with value of 0,426; 3.) The effect of competency toward job productivity was significant with value of 0,495; 4.) The effect of training and development system toward job productivity through competency was significant with value of 0,248.
Analysis Intellectual Capital of Corporate Value at Indonesia Stock Exchange
Authors: Wuryani Eni
Published: March 2020

This study examines the effect of intellectual capital on firm value. Methods of data collection with documentation data in the form of financial reporting Companies listed on the Indonesia Stock Exchange, 2014 to 2016. Data processed was 84 companies. Analysis of research data using quantitative with linear regression. Intellectual variable is measured with value added, variable of company value measured by Tobins Q. The result of this research intellectual capital have an effect on company value.
Israelis, Palestinians, and Americans: More Politics, Please, Less Process
Authors: Lustick Ian
Published: March 2020

Abstract: Once upon a time, the two-state solution to the Israeli-Palestinian conflict was a solution, a pretty picture of the future that good-hearted and moderate people could imagine as providing enough justice and satisfaction to both sides as to be achievable by bargaining in good faith and with support from the international community. It remains a pretty picture of the future, but no longer an outcome that anyone knows how to achieve. A pretty picture of the future without a plan for getting there is just that a picture not a solution. Indeed, it has been years, perhaps decades, since the success of negotiations between Israel and the Palestinians became so utterly implausible that efforts to conduct or encourage them ceased to matter, except for the political cover that making such efforts could give to politicians and diplomats primarily interested in other things.
Simulation-Based Evaluation of Zeolite Adsorbents for the Removal of Emerging Contaminants
Authors: Fischer Michael
Published: March 2020

A number of experimental studies have evaluated the potential of hydrophobic high-silica zeolites for the adsorptive removal of emerging organic contaminants, such as pharmaceuticals and personal care products, from water. Despite the widespread use of molecular modelling techniques in various other fields of zeolite science, the adsorption of pharmaceuticals and related pollutants has hardly been studied computationally. In this work, inexpensive molecular simulations using a literature force field (DREIDING) were performed to study the interaction of 21 emerging contaminants with two all-silica zeolites, mordenite (MOR topology) and zeolite Y (FAU topology). The selection of adsorbents and adsorbates was based on a previous experimental investigation of organic contaminant removal using high-silica zeolites (Rossner et al., Water Res. 2009, 43, 3787–3796). An analysis of the lowest-energy configurations revealed a good correspondence between calculated interaction energies and experimentally measured removal efficiencies (strong interaction – high removal), despite a number of inherent simplifications. This indicates that such simulations could be used as a screening tool to identify promising zeolites for adsorption-based pollutant removal prior to experimental investigations. To illustrate the predictive capabilities of the method, additional calculations were performed for acetaminophen adsorption in 11 other zeolite frameworks, as neither mordenite nor zeolite Y remove this pharmaceutical efficiently. Furthermore, the lowest-energy configurations were analysed for selected adsorbent-adsorbate combinations in order to explain the observed differences in affinity.
De Novo Design of New Chemical Entities (NCEs) for SARS-CoV-2 Using Artificial Intelligence
Authors: Bung Navneet , Krishnan Sowmya Ramaswamy , Bulusu Gopalakrishnan , Roy Arijit
Published: March 2020

The novel SARS-CoV-2 is the source of a global pandemic COVID-19, which has severely affected the health and economy of several countries. Multiple studies are in progress, employing diverse approaches to design novel therapeutics against the potential target proteins in SARS-CoV-2. One of the well-studied protein targets for coronaviruses is the chymotrypsin-like (3CL) protease, responsible for post-translational modifications of viral polyproteins essential for its survival and replication in the host. There are ongoing attempts to repurpose the existing viral protease inhibitors against 3CL protease of SARS-CoV-2. Recent studies have proven the efficiency of artificial intelligence techniques in learning the known chemical space and generating novel small molecules. In this study, we employed deep neural network-based generative and predictive models for de novo design of new small molecules capable of inhibiting the 3CL protease. The generated small molecules were filtered and screened against the binding site of the 3CL protease structure of SARS-CoV-2. Based on the screening results and further analysis, we have identified 31 potential compounds as ideal candidates for further synthesis and testing against SARS-CoV-2. The generated small molecules were also compared with available natural products. Two of the generated small molecules showed high similarity to a plant natural product, Aurantiamide, which can be used for rapid testing during this time of crisis.
MỘT PHƯƠNG PHÁP CẢI TIẾN CHO BÀI TOÁN TÌM KIẾM ẢNH DỰA TRÊN CÂY R-TREE
Authors: Thanh Lê Thị Vĩnh
Published: March 2020

TÓM TẮTTrong bài báo này, một cải tiến cho cây R-Tree được thực hiện nhằm tìm kiếm ảnh tương tự theo nội dung, cây cải tiến được gọi là RG-Tree (Region Growth Tree). Để thực hiện vấn đề này, chúng tôi lưu trữ các véc-tơ đặc trưng của hình ảnh trên mỗi nút lá của cây RG-Tree theo quy tắc phân hoạch đã được đề xuất. Cây RG-Tree cho phép tăng trưởng nhằm lưu trữ các vùng dữ liệu và phân bố trên các nút lá tạo thành các cụm dữ liệu. Việc phân hoạch này được thực hiện phân bố các phần tử càng giống nhau thì càng thuộc về một nhóm các nhánh con trên cây RG-Tree. Trên cơ sở lý thuyết đã đề nghị, một mô hình tìm kiếm ảnh được thiết kế dựa trên cây RG-Tree. Mô hình  đề xuất được thực nghiệm trên các bộ ảnh ImageCLEF và so sánh hiệu suất tìm kiếm với một số phương pháp gần đây trên cùng bộ dữ liệu. Từ kết quả thực nghiệm cho thấy, phương pháp tìm kiếm ảnh dựa trên cây RG-Tree là hiệu quả.
Writing Arts
Authors: Authors Multiple
Published: March 2020

Creative writing, Centre for Studies in Arts and Cultures (STAC), Marilyn I. School of Fine and Performing Arts, Brock University, St. Catharines, ON (2019)
祛同质化地域文化特色旅游纪念品创新设计研究
Authors: 崔 淼
Published: March 2020

目的：对摆脱同质化的旅游纪念品设计方法进行分析探索。方法：将地域独有的文化元素进行归纳、分类、整合，并将其转为可用产品语意、图形等设计要素运用到旅游纪念品的定制化创新设计当中。地域文化元素蕴含在地域传统节日、风俗礼仪、历史典故、寓言传说、特色饮食、建筑风貌等诸多内容中，包括形态、色彩、肌理、节奏、意识形态等。结论：基于地域独有文化元素转译的旅游纪念品创新设计有效地破除了同质化现象，并大大提升了消费者的观光体验，增强了消费者与地域之间的情感联系。
RESTAURAÇÃO DE AUTOS EM PROCESSOS FÍSICOS E VIRTUAIS
Authors: Gillet Sérgio Augusto da Costa
Published: March 2020

Este artigo objetiva investigar a dinâmica da restauração de autos tanto em processos físicos quanto virtuais. Para tanto, utiliza de método dedutivo de abordagem com pesquisa bibliográfica e documental. Analisa a corporificação do processo por meio da constituição de autos judiciais. Pormenoriza a procedimentalização legal da restauração de autos. Problematiza a restauração de autos físicos e virtuais. Conclui que a virtualização dos autos torna todos os agentes processuais ainda mais responsáveis pela manutenção da corporificação dos processos em que atuam.
Feelings paid by parents of children hospitalized in intensive neonatal and pediatric therapy units / Sentimentos vivenciados por pais de crianças hospitalizadas em unidades de terapia intensiva neonatal e pediátrica / Sentimientos vivenciados por padres de niños..
Authors: Camponogara Silviamar , Pinno Camila , Dias Gisele Loise , Strapazzon Bonfada Mônica , Jacques Belmonte Talita Daiana , Nenê Loiola Constância
Published: March 2020

Objetivo: conhecer os sentimentos de pais durante o período de internação de seus filhos em Unidade de Tratamento Intensivo Neonatal e Pediátrica. Metodologia: pesquisa qualitativa, descritiva, realizada em Unidades de Terapia Intensiva Pediátrica e Neonatal. Participaram os pais de pacientes internados, sendo os dados coletados por meio de entrevista semi-estruturada e analisados com base em análise de conteúdo temática. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa da Universidade proponente, sob o parecer de número 335.012 e Certificado de Apresentação para Apreciação Ética 18933613.0.0000.5346. Resultados: A partir da análise emergiu a categoria “Internação hospitalar da criança: sentimentos e vivências dos pais”, a qual aponta a presença de medo, insegurança, sofrimento, contentamento com as respostas positivas, ansiedade pela distância de casa e demais familiares, aceitação e segurança. Conclusão: durante o período de internação diversos sentimentos perpassam a vivência dos pais, desde o momento da internação, exigindo, da equipe multiprofissional, um cuidado diferenciado, com vistas qualificar a assistência oferecida aos familiares. Descritores: Unidades de Terapia Intensiva Pediátrica. Unidades de Terapia Intensiva Neonatal. Cuidados de Enfermagem. Criança Hospitalizada. Pais.
Understanding the senses about care of the nursing worker in an intensive therapy unit / Desvelando os sentidos acerca do cuidado do trabalhador de enfermagem em unidade de terapia intensiva / Desvelando los sentidos acerca del cuidado del trabajador de enfermería..
Authors: Bragio Jaqueline , Pinel Hiran , Colodete Ingrid Ardisson , Silva Mayara , Colodete Paula Roque , Sobroza Flávia Colodete
Published: March 2020

Objetivo: desvelar os Guias de Sentido acerca do cuidado do trabalhador de enfermagem em Unidade de Terapia Intensiva de um hospital público capixaba. Metodologia: pesquisa qualitativa de fundamentação fenomenológica. A amostra desse estudo foi composta por cinco profissionais de enfermagem que atuam em um hospital público capixaba.  Como critério de inclusão, utilizamos período de trabalho igual ou superior a quatro anos de experiência em UTI para adultos. O período da coleta dos dados foi o mês dezembro do ano de 2016. Como instrumento para coleta dos dados, utilizamos uma entrevista semi-estruturada com uma questão norteadora: “Que sentido tem para você cuidar de pacientes internados em uma Unidade de Terapia Intensiva?”. Não houve tempo determinado para a entrevista e os participantes puderam narrar livremente seu vivido. As entrevistas foram agendadas individualmente, segundo disponibilidade de cada trabalhador e, foram realizadas no próprio local de trabalho. Os dados foram tratados por meio da análise temática e analisados segundo referencial da fenomenologia. Resultados: a análise permitiu a construção das Categorias: A vida por um fio, valor positivo do trabalho, sentimento da falta de sentido, alegria-tristeza, a escuta e abertura ao imprevisível, o sentir-se descuidado. Conclusão: os sentidos dados pelos trabalhadores acerca do cuidado perpassam por incertezas diante da vida, enfrentamento das adversidades, conviver com alegrias e tristezas. Ao cuidar do outro cuido dos meus modos de cuidar.Descritores: Unidade Terapia Intensiva. Educação em Enfermagem. Existencialismo.
Emergency contraception: knowledge of the drug by adolescents / Contracepção de emergência: conhecimento do fármaco por adolescentes / Anticoncepción de emergencia: conocimiento del fármaco por adolescentes
Authors: Cardoso Nathani Tereza Brasil da Cruz , Gomes Maria Fernanda Pereira , Reticena Kesley De Oliveira , Fracolli Lislaine Aparecida , Carvalho Valéria Cristina Dos Santos , Santos Mariana Souza
Published: March 2020

Objetivo: Identificar o conhecimento de adolescentes sobre a contracepção de emergência. Método: pesquisa com delineamento transversal e descritiva com a participação de 24 adolescentes do sexo feminino, com média de idade de 17 anos. Utilizou-se para a coleta de dados um questionário elaborado pelos próprios autores, contendo escala do tipo Likert que disponibilizava cinco opções de respostas, sendo elas: sim, provavelmente sim, provavelmente não, não e não sei. Resultados: 91,67% das adolescentes referiram já ter ouvido falar sobre contraceptivos de emergência (CE), 70% responderam saber sua função, porém 41,67% referiram que não sabem se o fármaco possui contraindicações. Sobre a disponibilização da pílula no Sistema Único de Saúde 33,33% revelou não saber e 25% assinalou que provavelmente sim, o que mostra dúvida sobre a disponibilização do medicamento. 54,17% das alunas responderam que anticoncepcionais de uso diário são fármacos distintos dos CE, 50% respondeu que o CE deve ser utilizado até 72 horas após a relação sexual desprotegida, 58,33 refere que não há limite de tempo para a eficácia do fármaco e 45,83% referiu que já fez uso do método. Conclusão: Parte significativa das adolescentes conhece o CE, no entanto há fragilidades no conhecimento das contraindicações, eficácia e utilização.Descritores: Contraceptivos. Adolescentes. Educação em saúde.
Health condition of patient caregiver on oncological palliative care / Condição de saúde do cuidador do paciente em cuidados paliativos oncológicos / Condición de salud del cuidador del paciente en cuidado paliativo oncológico
Authors: Corrêa Anderson Roberto De Sales , Santana Mary Elizabeth de , Mendes Clarissa Porfírio , Costa Elanny Glicia Oliveira da , Ximenes Wagner Luiz Oliveira
Published: March 2020

Objetivo: investigar o perfil socioeconômico e de saúde do cuidador do paciente em cuidados paliativos que se encontra como acompanhante na internação hospitalar. Metodologia: trata-se de uma pesquisa quantitativa, transversal, realizada com cuidadores durante a internação hospitalar do paciente, tendo como instrumento formulário semiestruturado de perfil socioeconômico e de saúde. Resultados: a população foi constituída de 30 cuidadores, sendo a maioria do sexo feminino, exercendo atividade doméstica além da prestação de cuidados, as doenças mais prevalentes foram hipertensão e micropolicisto ovariano. Mais de 63% dos participantes apresentaram dor após o início da prestação de cuidados. O suporte social foi proveniente de amigos, parentes e vizinhos em sua maioria. Conclusão: a maioria dos cuidadores não possui fonte de rendimentos, fator que pode vir a repercutir em fatores sociais do cuidador de dependência financeira familiar ou amigos. A maioria dos cuidadores não realizou tratamento de saúde desde o início da prestação de cuidados ao paciente, todavia metade já possui doença prévia. O aspecto social e físico dos cuidadores deve ser investigado de maneira detalhada, com intervenções precoces. No intuito de melhorar a qualidade de vida desta população.Descritores: Enfermagem. Cuidados paliativos. Cuidadores. Oncologia.
The process of care in oncology from the perspective of health professionals / O processo do cuidar em oncologia sob a ótica dos profissionais da área da saúde / El proceso de atención en oncología desde la perspectiva de los profesionales..
Authors: Dias Ingrid Marques , De Mendonça Érica Toledo , Diaz Flávia Batista Barbosa de Sá , Ribeiro Luciane , Alves Katiusse Rezende
Published: March 2020

Objetivo: analisar as concepções e práticas da equipe de saúde acerca do processo do cuidar em um centro de tratamento oncológico. Metodologia: pesquisa de natureza qualitativa, realizada com profissionais pertencentes à equipe de saúde de uma unidade de tratamento quimioterápico. A coleta de dados ocorreu por meio de um roteiro de entrevistas, cuja análise foi baseada em Lawrence Bardin. Foi aprovada pelo Comitê de Ética em Pesquisa com Seres Humanos da Universidade Federal de Viçosa sob o número 1.000.021. Resultados: os depoimentos indicaram que a equipe interdisciplinar atua como ferramenta estratégica para a implementação do cuidado holístico e que o acolhimento e vínculo terapêutico são interfaces possíveis entre a tríade profissional-família-paciente. Conclusão: esta investigação mostrou que as concepções de cuidado na visão dos participantes da pesquisa vão ao encontro das próprias práticas, ou seja, as mesmas coincidem, o que demonstra que a equipe realiza uma práxis genuinamente coerente àquilo que acreditam ser um cuidado ideal. A equipe interdisciplinar entrevistada mostrou-se capaz de desenvolver um cuidado holístico, ao apresentar habilidades técnicas e humanas para lidar com as demandas do cuidar do paciente oncológico em tratamento quimioterápico.Descritores: Oncologia. Enfermagem. Relações profissional-família. Relações profissional-paciente.
Evaluation of protective tactical sensitivity of lower members in diabetic individuals / Avaliação da sensibilidade tátil protetora dos membros inferiores em indivíduos diabéticos / Evaluación de la sensibilidad táctil protectora de las extremidades inferiores..
Authors: De Lima Helen Soares , Mota Maria do Socorro Da Silva
Published: March 2020

Objetivo: avaliar os pacientes com diabetes mellitus atendidos em uma Unidade Básica de Saúde e mensurar os possíveis comprometimentos de sensibilidade tátil que possuem em membros inferiores. Metodologia: trata-se de um estudo transversal e descritivo, realizado com 26 indivíduos diabéticos tipo II de ambos os sexos, atendidos e cadastrados na Unidade Básica de Saúde do Santíssimo, município de Santarém - Pará. O exame físico foi iniciado com a inspeção dos pés, seguida da avaliação da sensibilidade tátil através do uso de 4 monofilamentos de 2g, 4g, 10g e 300g em 5 áreas da região plantar: antepé medial, antepé lateral, médio-pé, calcanhar e hálux. Resultados: a amostra foi predominantemente feminina (65,38%), com idade variando entre 42 e 87 anos. Durante a inspeção foi identificado principalmente a presença de ressecamento de pele (38,46%) e espessamento (23,08%). Ao teste de sensibilidade, 76,92% apresentaram comprometimento em pelo menos um dos pontos avaliados. Desses, 55% sentiram o toque somente a partir do monofilamento de 10g. Os locais com maior alteração de sensibilidade tátil protetora foram o calcanhar (69,23%) e hálux (42,30%). Conclusão: a partir desses resultados foi possível observar a vulnerabilidade da maioria dos indivíduos avaliados e o risco de surgimento de úlceras plantares em decorrência da diminuição da sensibilidade protetora.Descritores: Diabetes Mellitus. Atenção Primária à Saúde. Complicações.
Therapeutic residences: residents’ perception of autonomy, relationships and contractuality / Residências terapêuticas: a percepção de moradores acerca de autonomia, relacionamentos e contratualidade / Residencias terapéuticas: la percepción de los residentes acerca autonomía, relaciones y contractualidad
Authors: Cunha Nathálya Fernanda Araujo , Ferraz Mônica Madeira Martins , Fernandes Márcia Astrês , Carvalho Rosa Jordana , Carvalho Arethuza De Melo Brito , Veloso Lorena Uchoa Portela
Published: March 2020

Objetivo: Analisar a vivência dos moradores de uma residência terapêutica no município de Teresina. Metodologia: Estudo descritivo com abordagem qualitativa, realizado em residência terapêutica com cinco moradores que ali viviam por no mínimo 6 meses,  por meio de entrevista semiestruturada, que através da análise de conteúdo segundo Minayo gerou três categorias: os moradores e relacionamento com seus pares e  comunidade; os moradores e o poder de contratualidade; os moradores e sua autonomia. Resultados: Os moradores relataram que recebem bons cuidados e sentem-se acolhidos, além de boa convivência com os cuidadores. Em relação à comunidade, houve inicialmente resistência, contudo, a dificuldade foi superada. Quanto à autonomia e contratualidade, a negociação é quase incipiente. Em seu cotidiano há horários pré-estabelecidos para atividades cotidianas e próprias da casa que são determinadas pela responsável da Residência Terapêutica. Sobre o benefício recebido do Governo Federal, há permissão dos moradores  para  a coordenadora da residência administrar seus pecunhos. Conclusão: Sugere-se formulação ou reformulação da dinâmica da moradia, capacitação dos cuidadores, permanente avaliação da autonomia dos moradores possível para cada caso e um maior trabalho para que, de fato, a reinserção social se concretize.Descritores: Saúde Mental. Moradias Assistidas. Serviços de Saúde Mental.
The nurse professional in the care of patients without possibility of curative treatment / O profissional enfermeiro no atendimento a pacientes sem possibilidade terapêutica de cura / El profesional enfermero en la atención a pacientes sin posibilidad terapéutica de curación
Authors: Nunes Natália Abou Hala , Barbosa Djanira
Published: March 2020

Objetivo: conhecer os cuidados paliativos na assistência do enfermeiro ao paciente sem possibilidade terapêutica de cura. Metodologia: Trata-se de uma pesquisa descritiva, exploratória e revisão integrativa de literatura de periódicos nacionais e internacionais, publicados de 2015 até julho de 2018, nas bases Literatura Latino-Americana e do Caribe em Ciências da Saúde e Scientific Eletronic Library On-line. Resultados: Foram encontrados sete artigos que atendiam ao objetivo. Os principais achados foram a escuta humanizada, incorporação da prática dos cuidados paliativos, apoio social, conscientização das necessidades dos pacientes, controle da dor e dos sintomas, incluindo estado psicossocial, assistência a família, conhecimento científico e individualizado Conclusão: humanizar o atendimento do enfermeiro ao paciente sem possibilidade terapêutica de cura não é medida simples, visto que por si só, o ser humano é um labirinto de necessidades, medos e anseios, e cada um é de um jeito único. Por isso, humanizar se torna um desafio, no qual o enfermeiro terá sempre uma nova descoberta a cada paciente.Descritores: Humanização. Terminalidade. Enfermagem.
Relieving and aggravating factors of occupational stress in the nursing team / Fatores aliviantes e agravantes do estresse ocupacional na equipe de enfermagem / Factores aliviantes y agravantes del estrés ocupacional en el equipo de enfermería
Authors: Santos Amanda Francielle , Machado Rafaela Ribeiro , Sandes Sílvia Márcia Dos Santos
Published: March 2020

Objetivo: avaliar os fatores aliviantes e agravantes do estresse relacionado ao trabalho da equipe de enfermagem. Metodologia: revisão integrativa de acordo com a declaração PRISMA a partir de artigos oriundos das bases de dados PubMed e Bireme. Foram analisados artigos de 2014 a 2018, em português ou língua estrangeira. Foi realizada estatística descritiva. Resultados: a proporção de estresse na equipe de enfermagem variou de 32% a 88%. Os fatores citados como causadores de estresse no ambiente de trabalho foram: conflitos com paciente, médico e outros profissionais 72,2% (n=13); sobrecarga de trabalho 66,7% (n=12); desvalorização profissional 38,9% (n=07), entre outros. Metade dos estudos 50% (n=4) detectaram dificuldade de dormir, enxaqueca, irritação, seguido por fadiga, perda da concentração e cansaço mental em 37,5% (n=3). A formas utilizadas pelos profissionais de enfermagem para alívio do estresse, o mais mencionado com 66,7% (n=4) foi momentos de distração, seguida de descanso e conversa 50% (n=3). Conclusões: o estresse é frequente entre trabalhadores de enfermagem.  Os principais causadores de estresse são conflitos com paciente, médico e outros profissionais. Os sintomas mais comuns relacionados ao estresse são dificuldade de dormir, enxaqueca e irritação.Descritores: Saúde do Trabalhador. Estresse Psicológico. Transtornos Mentais. Enfermeiro.
AN OPTIMIZATION OF STRUCTURES AND TRAFFIC DEVELOPMENT FOR TRANSMISSION OF INFORMATION IN PROTECTED CORPORATE NETWORKS. A QUANTITATIVE OPTIMIZATION
Authors: Zybin Serhii
Published: March 2020

The article is devoted to the optimization of the structures and traffic development for information transmission in secured corporate networks by quantitative factor. Optimization is carried out in the local task of calculating rational amounts of information. To this end, a mathematical formulation of a local problem is formulated. Which is to optimize the resources of the information system by quantitative criteria. The task is solved by calculating rational amounts of information and entering them in the description of information system resources. It is necessary to evaluate the quality of networks that are being designed based on multicriteria optimization. This is due to the increase in volume and the variety of tasks being promoted to secured corporate networks. This optimization should take into account the full range of recent developments in the field of systematic approach, modern scalarisation principles, decomposition and aggregation techniques, graph theory, optimization algorithms, hierarchical synthesis structuring methods with consistent decision making. The task begins with the construction of information structures, which are linked oriented graphs. The vertices of the graphs are macro-level interaction tasks that carry out information exchange between local area network elements and local area networks, while arcs are information influences or messages. The structures for the micro level are accordingly constructed. Macro-level and micro-level interaction tasks are divided into three types: source resources; transit resources; user resources. The optimization of structures by quantitative factor is carried out in the local task of calculating rational amounts of information. The amount of information means the number of elementary characters. It should be noted that these are volumes of information that consist of basic rather than synthetic indicators. A reasonable amount of information must comply with the completeness of the information which are put forward by consumers task. If the amount of information is less than required, then the network element, the consumer, or the entire network will experience a lack of information. If the required volume is exceeded, there is an unproductive cost of generating, processing and transmitting information or the results of the tasks, as well as threats to the availability of the system. In the global case, the problem is much more complicated because part of the information flow can be an information destructive influence or a threat of breach of information security criteria.
THE LOAD BALANCING OF SELF-SIMILAR TRAFFIC IN NETWORK INTRUSION DETECTION SYSTEMS
Authors: Radivilova Tamara , Kirichenko Lyudmyla , Tawalbeh Maksym , Zinchenko Petro , Bulakh Vitalii
Published: March 2020

The problem of load balancing in intrusion detection systems is considered in this paper. The analysis of existing problems of load balancing and modern methods of their solution are carried out. Types of intrusion detection systems and their description are given. A description of the intrusion detection system, its location, and the functioning of its elements in the computer system are provided. Comparative analysis of load balancing methods based on packet inspection and service time calculation is performed. An analysis of the causes of load imbalance in the intrusion detection system elements and the effects of load imbalance is also presented. A model of a network intrusion detection system based on packet signature analysis is presented. This paper describes the multifractal properties of traffic. Based on the analysis of intrusion detection systems, multifractal traffic properties and load balancing problem, the method of balancing is proposed, which is based on the funcsioning of the intrusion detection system elements and analysis of multifractal properties of incoming traffic. The proposed method takes into account the time of deep packet inspection required to compare a packet with signatures, which is calculated based on the calculation of the information flow multifractality degree. Load balancing rules are generated by the estimated average time of deep packet inspection and traffic multifractal parameters. This paper presents the simulation results of the proposed load balancing method compared to the standard method. It is shown that the load balancing method proposed in this paper provides for a uniform load distribution at the intrusion detection system elements. This allows for high speed and accuracy of intrusion detection with high-quality multifractal load balancing.
Economics: The End of the "Two Cambridge Disput"
Authors: Grodskiy Vladimir
Published: March 2020

The monograph for the first time comprehensively explores two main areas of modern economics - the mainstream and neoricardianism, which are in the state of the so-called "dispute between the two Cambridges". The theoretical advantages and disadvantages of the directions, as well as specific proposals for their synthesis are shown. The author’s interpretations of many issues of economic theory are presented, aimed at increasing its consistency, logical tenacity and predictability of further development.
Addressed to scientists, graduate students and teachers who specialize in the field of economics.
The Smart specialisation’s methodology in overcoming the spatial asymmetry of Russia’s economic federalism
Authors: Korotina Natalya
Published: March 2020

The unevenness in development of the Russian regions has risen dramatically over the last one and a half decade, the interregional gap in the main socioeconomic indicators has widened, all of this threatening the integration of economic space and unity of federalism rela tions. The paper studies the problem of Russia’s spatial asymmetry in conditions of economic federalism, which is not comprehensively addressed by the currently adopted federate policy. Methodologically the research relies on spatial and regional economics, as well as takes on the concept of Smart specialisation. The author identifies six groups of Russia’s territories accord ing to their functional role in a federal state, and assesses spatial asymmetry of the territories in terms of industrial, budgetary and social components of the economic federalism through the lens of the regions’ functional specialisation using statistical methods. Based on the obtained measures of variation and dispersion the author concludes about a higher asymmetry and ir regularity in the country generally, than within the groups of regions having one specialisation despite the fact that the groups consist of regions with different level of economic development. The findings of the analysis allow theoretically justifying the necessity of changing the direction of the economic federalism policy to reduce the asymmetry of regional development. The au thor suggests adopting a new model of the relations between the federal center and the regions, which implies a transition from the presently applied levelling to the state regulation of the regions based on their specialisation. The proposed model of federalism involves differentiat ing measures of the state regulation and support of regions depending on their economic and political specialisation.
Evolution specifics of the Ural old industrial region’s economic development
Authors: Mordvinova Arina
Published: March 2020

In the mid-2010s, industrial centers in South Korea and China entered a phase of cri sis and followed the path the European and American old industrial regions had taken earlier. From this viewpoint, old industrial regions are not exclusively a phenomenon of industrial revo lutions and represent part of global economic trends. This circumstance widens the potential of researching them and takes the problem out of the territorial or historical meters and bounds. The paper strives to reveal the specifics of the Ural old industrial region’s development by iden tifying its type. The authors analyse the evolution of the Ural region’s development and contrast its traits with the characteristics of a classic and a catch-up types of old industrial regions. Meth odologically, the paper is based on regional economics, theoretical approaches to determining the stages in the development of old industrial regions and authors’ research into the formation of catch-up old industrial regions. The author develops and applies her own method for typify ing old industrial regions into classic and catch-up ones. The findings show that the specifics of the Ural old industrial region is that it is now shifting from a classic type to a catch-up type while retaining some individual features, in particular, extensive nature of growth, re-industrialisation, and a relatively early period of industrial recession provoked by the exhaustion of natural re sources and wear of fixed assets. As a result, the traits of the catch-up region profoundly influ ence the modern economy of the Ural region. The fact of its re-industrialisation proves the possibility of re-industrialising old industrial regions and acquiring new specialisations by them given there is the state’s support. The research findings affect the prospects of creating and enact ing the scenarios of revitalising the Ural economy at the present stage.
Technological transformation of tax administration procedures as a factor of economic growth
Authors: Vylkova Elena , Viktorova Natalya , Pokrovskaya Natalya
Published: March 2020

Russia’s economic growth is impossible without the extensive use of cloud and mobile technologies in the registration and accounting of taxpayers. The purpose of the study is to iden tify positive and negative aspects of introducing information and communication technologies into the registration and accounting tax procedures in various countries to develop recommen dations for the improvement of these procedures in the Russian Federation. General and spe cial theories of taxation constitute the methodological basis of the research. The method of the study is comparative analysis of two groups of countries: economically developed and catch-up countries. The authors assess the current situation with digitalisation in the states, systematize software used, and demonstrate that in economically developed countries digitalisation has a more pronounced effect on the quality of tax administration and economic growth. The re search shows that progressive technologies applied by the Federal Tax Service of Russia for the registration and accounting of taxpayers influence the growth of tax revenues, primarily VAT. The most urgent tasks of reforming the modern taxpayer registration system include registration of property taxes, VAT on imports, income taxes, as well as development of digitalisation tech nologies for the registration and accounting procedures taking into account the trends in eco nomic processes’ transformation towards a smart society. The widest possible introduction of digital registration and accounting of taxpayers is meant to significantly increase the efficiency of Russia’s tax system and contribute to the stable growth of the domestic economy.
Memória, emoções e sentimentos: impactos na percepção espacial e afetiva da área urbana central de Campinas
Authors: Zuanon Rachel , Oliveira Melissa Ramos da Silva , Ferreira Cláudio Lima , Moneiro Evandro Ziggiatti
Published: March 2020

Por meio da cooperação transdisciplinar entre Arquitetura-Urbanismo-Neurociência, esta pesquisa investiga a ação da área central da cidade de Campinas (São Paulo – Brasil) sobre a percepção espacial e as memórias afetivas dos seus habitantes/usuário. Para tanto, realiza procedimento em campo com 266 voluntários, direcionado a evocar as memórias declarativas semânticas dos participantes sobre este espaço/lugar, e registra-las como depoimentos e desenhos autorais. Os principais resultados evidenciam a modulação destas memórias pelas emoções e sentimentos e discutem: a) a inexistência de identificação e a aversão dos habitantes/usuários à área central da cidade; b) o sentimento de insegurança deflagrado pelo espaço urbano em seus cidadãos; c) assim como estes fatores ameaçam o equilíbrio homeostático destes sujeitos. Como principal contribuição destaca-se o papel e a responsabilidade das políticas públicas e dos profissionais dos campos da Arquitetura, Urbanismo e Design nos modos do cidadão sentir, perceber e ocupar o espaço urbano.
Aleatoriedade como tecnologia especulativa: O randômico como instrumento na arte e no design
Authors: Trentin Maurício
Published: March 2020

O texto discute a atualização do papel da aleatoriedade em processos criativos (poiesis e práxis), tanto em campos específicos quanto nas fronteiras colapsadas e movediças entre arte, design e tecnologia. Apresenta o dispositivo/código_Cubo Branco_exemplo de creative coding, obra criada utilizando parâmetros randômicos e por fim investiga exemplos artísticos, lógicos e tecnológicos enquanto possibilidades de se parametrizar o acaso como processo criativo.