bluuebunny/crossref_metadata_2025 huggingface dataset:
Annual runoff forecast based on a combined EEMD-ARIMA model
Authors: Zhang Xianqi , Lu Yaohui , Zhu Guoyu , Wu Xilong , Zhao Dong , Duan Bingsen
Published: July 2022

In order to improve the accuracy of hydrological models for runoff prediction and to solve the problem of disappearing time series data break or data fluctuation due to the extension of time series, monthly runoff data from 1996 to 2015 at the Cuntan hydrological station in the upper reaches of the Yangtze River are used as the basis to develop the annual runoff prediction. Prediction of the five Intrinsic Mode Function (IMF) components and one residual from the Ensemble Empirical Mode Decomposition (EEMD) decomposition used different models of Auto-Regressive Integrated Moving Average Model (ARIMA). Except for the small errors in the first two components, the rest of the ARIMA models are highly fitted. For prediction of runoff in 2014 and 2015 based on EEMD-ARIMA model, the relative errors are 6.26% and −1.17%. Compared with the single ARIMA model and Back Propagation (BP) model, the prediction effect is better, and the prediction method is simple and clear. It is shown that the combined EEMD-ARIMA model is an efficient and useful method for the prediction of annual runoff volume.

HIGHLIGHTS The study used 240 months of runoff data from Cuntan hydrological station in the upper reaches of the Yangtze River. An annual runoff prediction model based on EEMD-ARIMA hybrid method is proposed. The EEMD-ARIMA model outperforms the EMD-ARIMA, BP, and LSTM models.
Modeling and optimization of biodegradation of methylene blue by Staphylococcus aureus through a statistical optimization process: a sustainable approach for waste management
Authors: Ayed Lamia , Bekir Karima , Jabeur Chedia
Published: July 2022

Bacterial species for metabolizing dye molecules were isolated from textile wastewater. The best microbial species for such an application was selected amongst the isolated bacterial populations by conducting methylene blue (MB) batch degradation studies with the bacterial strains. The most suitable bacterial species was Staphylococcus aureus (S. aureus). Process parameters were optimized using Full Factorial Design (FFD) and under the optimum conditions (pH of 5, temperature of 35 °C, 150 ppm, and time of 8 h). Response Surface Methodology (RSM) modeling technique was applied to model the process and their performance and predictive capabilities of the response (removal efficiency) was also examined. When tested with 20 ppm dye using batch reactors, the maximum COD and color removal efficiencies, were found to be 88% and 98%, respectively. Our results showed that Staphylococcus aureus had a high decolorization capacity. UV-Visible and Fourier-transform infrared (FTIR) spectroscopy analysis confirmed the biodegradation of MB. Using phytotoxicity and mutagenicity endpoints, toxicological studies of MB before and after biodegradation were studied. Toxicity assay signaled that biodegradation led to the detoxiﬁcation of MB dye.
Optimization, kinetics, and thermodynamics aspects in the biodegradation of reactive black 5 (RB5) dye from textile wastewater using isolated bacterial strain, Bacillus albus DD1
Authors: Srivastava Ankita , Rani Radha , Kumar Sushil
Published: July 2022

This study is aimed to model and optimize the decolorization of reactive black 5 (RB5) dye using Bacillus albus DD1. The response surface methodology (RSM) along with rotatable central composite design (rCCD) is used to optimize the response, % decolorization with four input variables: (i) pH (5–9), initial dye concentration (50–500 ppm), the composition of yeast extract as nitrogen source (0.2–1%) and amount of bacterial inoculum (5–25% v/v). The % decolorization is predicted to be ≈ 98% at the optimized condition (pH = 7.6, dye concentration = 200 ppm, bacterial inoculum = 20 v/v% and yeast extract = 0.4%). Furthermore, the kinetics and thermodynamics of RB5 degradation are also determined. The kinetic order of biodegradation of RB5 is found to follow first-order kinetics with a kinetic rate constant = 0.0384. The activation energy, Ea and frequency factor, A values are calculated as 34.46 kJ/mol and 24,343 (1/Day). A thermodynamic study is also carried out at different temperatures (298 K, 308 K, 310 K, 313 K, and 318 K) using optimized conditions. The values of the and ΔS are found to be +30.79 kJ/mol, and −0.1 kJ/mol/K, respectively using the Eyring–Polanyi equation. The values of ΔG are also calculated at all temperatures.
Extraordinary State Commission in the legal mechanism for bringing war criminals to justice
Authors: Sysoev Ilia Romanovich , Dashin Aleksei Viktorovich
Published: July 2022

The article deals with the activities of the Extraordinary State Commission of the USSR for investigating the atrocities of the Nazi invaders and their accomplices and their prosecution as the inevitability of retribution for war crimes committed.
LANDSCAPE DESIGN: FEATURES OF DESIGNING PUBLIC SPACES OF THE URBAN ENVIRONMENT
Authors: Kravchenko Svetlana Nikolaevna , Novikova Marina Mikhailovna , Kosheleva Nadezhda Aleksandrovna
Published: July 2022

The article discusses the features of landscape design in cities of northern latitudes on the example of the development of the project of the alley "Puzzle" in the city of Nizhnevartovsk (Khanty-Mansi Autonomous Okrug, Russia). Analog projects of urban environment design are analyzed. The concept of the project, its ideological basis, which would correspond to the style and fit into the atmosphere of the city, is revealed; stylistic solutions (minimalism) and spatial composition of the alley "Puzzle" are described; techniques of landscaping are revealed.
Apples and Oranges: An Indicator for Assessing the Relative Impact of Library Events
Authors: Jackson John , Andrade Raymundo , Raby Carol , Rosen Rhonda
Published: July 2022

This article details one library’s attempt to create a simple assessment method for evaluating the relative engagement of program attendees across a variety of events. The indicator--a combination of perceived level of engagement and calculated level of certainty--can be used alongside other metrics to give a fuller view of overall impact of library programming. By conducting this study, the authors created a method by which to quickly assess and prioritize the most and least impactful events within a particular set.
Online Guided Self-help Cognitive Behavioral Therapy With Exposure to Anxiety and Problem Solving in Type 1 Diabetes Mellitus: Case Study
Authors: Kern Dorian , Ljótsson Brjánn , Bonnert Marianne , Lindefors Nils , Kraepelien Martin
Published: July 2022

Background

Type 1 diabetes mellitus (T1DM) is dependent on self-care to avoid short- and long-term complications. There are several problem areas in diabetes that could be addressed by psychological interventions, such as suboptimal problem-solving strategies and fear of hypoglycemia. There is empirical support for a few psychological interventions, most often cognitive behavioral therapy, with various treatment aims. However, these interventions are largely unavailable in regular diabetes health care. Online guided self-help cognitive behavioral therapy could help achieve greater outreach.

Objective

We tested a manualized treatment in the early stage for further development, with the long-term aim to increase access to care. The purpose of this report was to show the potential of this newly developed online intervention by describing 2 illustrative cases.

Methods

An online guided self-help cognitive behavioral therapy protocol featuring problem solving and exposure was developed. The treatment was administered from a secure online platform and lasted for 8 weeks. Case 1 was a male participant. He had a number of diabetes-related complications and was worried about his future. He reported that he had a general idea that he needed to change his lifestyle but found it difficult to get started. Case 2 was a female participant. She had fear of hypoglycemia and unhelpful avoidance behaviors. She kept her blood glucose levels unhealthily high in order to prevent hypoglycemic episodes. Furthermore, she avoided contact with diabetes health care.

Results

The 2 participants showed clinically significant improvements in their most relevant problem areas. In case 1, the participant’s blood glucose levels reduced, and he was able to establish healthy routines, such as increase physical exercise and decrease overeating. In case 2, the participant’s fear of hypoglycemia greatly decreased, and she was able to confront many of her avoided situations and increase necessary visits to her diabetes clinic. Treatment satisfaction was high, and no adverse events were reported.

Conclusions

It is possible to deliver a cognitive behavioral therapy intervention aimed at problem areas in diabetes online. Problem solving appears to help with problems in everyday routines and lifestyle choices. Exposure to aversive stimuli appears to be a plausible intervention specifically aimed at the fear of hypoglycemia. Larger and controlled studies are needed.
Wearing the Future—Wearables to Empower Users to Take Greater Responsibility for Their Health and Care: Scoping Review
Authors: Kang Harjeevan Singh , Exworthy Mark
Published: July 2022

Background

Wearables refer to devices that are worn by individuals. In the health care field, wearables may assist with individual monitoring and diagnosis. In fact, the potential for wearable technology to assist with health care has received recognition from health systems around the world, including a place in the strategic Long Term Plan shared by the National Health Service in England. However, wearables are not limited to specialist medical devices used by patients. Leading technology companies, including Apple, have been exploring the capabilities of wearable health technology for health-conscious consumers. Despite advancements in wearable health technology, research is yet to be conducted on wearables and empowerment.

Objective

This study aimed to identify, summarize, and synthesize knowledge on how wearable health technology can empower individuals to take greater responsibility for their health and care.

Methods

This study was a scoping review with thematic analysis and narrative synthesis. Relevant guidance, such as the Arksey and O’Malley framework, was followed. In addition to searching gray literature, we searched MEDLINE, EMBASE, PsycINFO, HMIC, and Cochrane Library. Studies were included based on the following selection criteria: publication in English, publication in Europe or the United States, focus on wearables, relevance to the research, and the availability of the full text.

Results

After identifying 1585 unique records and excluding papers based on the selection criteria, 20 studies were included in the review. On analysis of these 20 studies, 3 main themes emerged: the potential barriers to using wearables, the role of providers and the benefits to providers from promoting the use of wearables, and how wearables can drive behavior change.

Conclusions

Considerable literature findings suggest that wearables can empower individuals by assisting with diagnosis, behavior change, and self-monitoring. However, greater adoption of wearables and engagement with wearable devices depend on various factors, including promotion and support from providers to encourage uptake; increased short-term investment to upskill staff, especially in the area of data analysis; and overcoming the barriers to use, particularly by improving device accuracy. Acting on these suggestions will require investment and constructive input from key stakeholders, namely users, health care professionals, and designers of the technology. As advancements in technology to make wearables viable health care devices have only come about recently, further studies will be important for measuring the effectiveness of wearables in empowering individuals. The investigation of user outcomes through large-scale studies would also be beneficial. Nevertheless, a significant challenge will be in the publication of research to keep pace with rapid developments related to wearable health technology.
Online Guided Self-help Cognitive Behavioral Therapy With Exposure to Anxiety and Problem Solving in Type 1 Diabetes Mellitus: Case Study (Preprint)
Authors: Kern Dorian , Ljótsson Brjánn , Bonnert Marianne , Lindefors Nils , Kraepelien Martin
Published: July 2022

BACKGROUND

Type 1 diabetes mellitus (T1DM) is dependent on self-care to avoid short- and long-term complications. There are several problem areas in diabetes that could be addressed by psychological interventions, such as suboptimal problem-solving strategies and fear of hypoglycemia. There is empirical support for a few psychological interventions, most often cognitive behavioral therapy, with various treatment aims. However, these interventions are largely unavailable in regular diabetes health care. Online guided self-help cognitive behavioral therapy could help achieve greater outreach.

OBJECTIVE

We tested a manualized treatment in the early stage for further development, with the long-term aim to increase access to care. The purpose of this report was to show the potential of this newly developed online intervention by describing 2 illustrative cases.

METHODS

An online guided self-help cognitive behavioral therapy protocol featuring problem solving and exposure was developed. The treatment was administered from a secure online platform and lasted for 8 weeks. Case 1 was a male participant. He had a number of diabetes-related complications and was worried about his future. He reported that he had a general idea that he needed to change his lifestyle but found it difficult to get started. Case 2 was a female participant. She had fear of hypoglycemia and unhelpful avoidance behaviors. She kept her blood glucose levels unhealthily high in order to prevent hypoglycemic episodes. Furthermore, she avoided contact with diabetes health care.

RESULTS

The 2 participants showed clinically significant improvements in their most relevant problem areas. In case 1, the participant’s blood glucose levels reduced, and he was able to establish healthy routines, such as increase physical exercise and decrease overeating. In case 2, the participant’s fear of hypoglycemia greatly decreased, and she was able to confront many of her avoided situations and increase necessary visits to her diabetes clinic. Treatment satisfaction was high, and no adverse events were reported.

CONCLUSIONS

It is possible to deliver a cognitive behavioral therapy intervention aimed at problem areas in diabetes online. Problem solving appears to help with problems in everyday routines and lifestyle choices. Exposure to aversive stimuli appears to be a plausible intervention specifically aimed at the fear of hypoglycemia. Larger and controlled studies are needed.
Role of Trusted Sources and Behavioral Beliefs in Promoting Mitigation Behaviors During the COVID-19 Pandemic: Survey Study (Preprint)
Authors: Hanson Bridget L , Finley Kari , Otto Jay , Ward Nicholas J
Published: July 2022

BACKGROUND

During the ongoing COVID-19 pandemic and in preparation for future public health crises, it is important to understand the relationship between individuals’ health beliefs, including their trust in various sources of health information, and their engagement in mitigation behaviors.

OBJECTIVE

We sought to identify relationships between trust in various sources of health information and the behavioral beliefs related to vaccination and mask wearing as well as to understand how behavioral beliefs related to vaccination differ by willingness to be vaccinated.

METHODS

We conducted an online survey of 1034 adults in the United States and assessed their trust in federal, local, and media sources of health information; their beliefs about vaccination; and their masking intention and vaccination willingness.

RESULTS

Using regression, masking intention was predicted by trust in the World Health Organization (P<.05) and participants’ state public health offices (P<.05), while vaccine willingness was predicted by trust in participants’ own health care providers (P<.05) and pharmaceutical companies (P<.001). Compared to individuals with low willingness to be vaccinated, individuals with high willingness indicated greater endorsement of beliefs that vaccines would support a return to normalcy, are safe, and are a social responsibility (P<.001 for all).

CONCLUSIONS

Results can be used to inform ongoing public health messaging campaigns to manage the COVID-19 pandemic and increase readiness for the next pandemic. Additionally, results support the need to bolster the public’s trust in health care agencies as well as to enhance trust and respect in health care providers to increase people’s adoption of mitigation behaviors.
Peritoneal dialysis in 2022: an accidental renaissance?
Authors: Ivanov Dmytro D.
Published: July 2022

The review focuses on peritoneal dialysis as a renal replacement therapy for stage 5 chronic kidney disease (CKD). About 10 % of the world’s population suffers from CKD, but its prevalence and incidence vary widely across the world due to social and economic conditions. The main areas of renal replacement therapy today are haemodialysis and peritoneal dialysis, the beginning of which is recommended for CKD stage 5. Both methods are effective and have similar survival and mortality rates. Both techniques are used successfully around the world, but peritoneal dialysis is less resource-intensive, making it the method of choice in many less affluent countries. The advantages of peritoneal dialysis can be: shorter sessions, limited patient movement, being in the family circle and better quality of life according to the patients themselves. Numerous studies are being conducted to improve the reliability and quality of peritoneal dialysis, including access and prevention of infections.
Clinical case of hydronephrotic form of multicystic dysplastic kidney complicated by pyelonephritis in adults
Authors: Chub O.I. , Reshetniak S.O. , Dumanskiy Yu.V. , Maltsev A.V.
Published: July 2022

Multicystic dysplastic kidney (MCDK) is a renal dysplasia characterized by the presence of multiple cysts that are non-communicating, varying in size, separated by dysplastic parenchyma that consume the renal cortex resulting in a non-functional kidney with the absence of a normal pelvocaliceal system. The incidence of MCDK is approximately 1 : 4300 of live births, with males being affected more often than females. Many concurrent urinary tract abnormalities have been described in patients with MCDK. The most common and potentially significant urologic defect seen is vesico-ureteral reflux to the contralateral kidney. In our clinical case, multicystic dysplastic kidney complicated by hydronephrotic transformation and septic obstructive pyelonephritis, which developed on the base of undiagnosed vasorenal conflict.
GUILLAIN-BARRE SYNDROME FOLLOWING CHADOX1 NCOV-19 COVID-19 VACCINATION AT AN ADR MONITORING CENTER IN A TERTIARY CARE HOSPITAL, KOZHIKODE: A CASE SERIES.
Authors: SAVARINGAL JAYAN PARIYANI , K SHILPA , P NOUFIRA , GAFOOR ABDUL
Published: July 2022

Guillain barre syndrome (GBS) is a rare but fatal autoimmune disease affecting the nervous system. The occurrence of GBS after COVID vaccination is rare and its exact cause is still unknown. Hence, here, we are trying to describe the pattern of GBS following the first dose of COVID-19 vaccination as a case series. The retrospective case series study was carried out by analyzing the serious AEFI (Adverse Events Following Immunization) case notification form reported by health-care professionals to ADR Monitoring Center during the period of March 2021–September 2021.The purpose of these case reports is to ensure proper surveillance methods to monitor the safety of COVID vaccination and to promote further researches which is required to determine the possible link between GBS and COVID-19 vaccination.
CASE REPORT OF BELL’S PALSY FOLLOWING SECOND DOSE OF COVISHIELD VACCINE
Authors: BANSAL NAGMA , SULENA SULENA , KUMAR RAJ , SINGH MAMATA , KAUR AMANDEEP
Published: July 2022

Bell’s palsy, also known as acute peripheral facial palsy of unidentified reason, is caused by the acute onset of problems with the facial nerve’s lower motor neuron. Several case reports and series have described peripheral facial nerve palsy associated with COVID-19. In addition, since the US food and drug administration’s (FDA) emergency use authorization of several COVID-19 vaccines, there have been media reports of Bell’s palsy associated with vaccination. This case concerns a 26-year-old female with Bell’s palsy (confirmed by clinical diagnosis – an acute unilateral facial nerve paresis or paralysis with onset in >72 h) after receiving second dose of Covishield vaccine (ChAdOx1 nCoV-19). She experienced decreased sleep, dizziness, and left side eye watering post-vaccination. Next day after vaccination, she noticed muscle weakness on the left side of the face, preventing her from close left eye, drinking fluids, and facial droop accompanied by reduced mobility. The patient was treated with methylprednisolone and eye drops (lubricants).
A STUDY ON STROKE-ASSOCIATED PNEUMONIA IN A TERTIARY CARE CENTER AND EFFECT OF SERUM ALBUMIN ON PATIENT OUTCOMES
Authors: Rashmi KP  , Juby John  , Jaychandran R  , Sankar RNK
Published: July 2022

Objectives: The objectives of this study were to determine if serum albumin level is an independent predictor of nosocomial pneumonia in stroke patients.
Methods: Relevant medical data of 500 consecutive ischemic stroke patients admitted within 24 h of stroke onset during the study period were analyzed. Serum albumin level was measured within 36 h after stroke onset. Nosocomial pneumonia was foundin 10.5% of stroke patients. SPSS (Version 22.0) was used for analysis.
Results: Patients with pneumonia had significantly lower serum albumin level than those without pneumonia (31.5 ± 7.3 g/l vs. 35.3 ± 6.4 g/l) and serum albumin level was associated with risk of pneumonia on multivariate analysis (OR: 0.95, 95% CI: 0.90–0.97).
Conclusion: Our results show that serum albumin level is an independent predictor of nosocomial pneumonia in stroke patients.
INTEGRATED HEALTH INFORMATION PLATFORM: AN ANALYSIS OF FUTURE POTENTIAL, CHALLENGES, AND GAPS FOR MADHYA PRADESH, INDIA
Authors: SINGH DIVYA , KUMAR SAURAV , BIJLWAN AANCHAL , SINHA VEENA , KAURAV YOGESH SINGH , BHATT VANDANA , TIWARI VINEET KUMAR , SINGH SHAILENDRA KUMAR , GOYAL SANJAY
Published: July 2022

India still has one of the world’s greatest burdens of infectious illnesses, driven by variables such as massive population, significant poverty, subpar sanitation, and impedances in access to basic health care. To overcome this burden, the Integrated Disease Monitoring Project (IDSP), funded by the World Bank, was established by the Union Minister of Health and Family Welfare in November 2004 to strengthen the country’s monitoring and response system. Several challenges in the effective utilization of IDSP and the need for elaborated epidemiological data for quick response led to the development and design of a novel Integrated Health Information Platform (IHIP). This platform’s future impacts include better surveillance coverage, improved continuous monitoring, better-automated analysis, visualization and displaying of near-real-time data, and closed network linkage of various reporting units such as field staff, medical officers, and laboratory personnel. Data collection under IDSP was paper-based and it produced a weekly surveillance report this includes case-centric data with demographic, clinical, and laboratory details, and links it with IDSP’s S, P, and L formats. Developed by the Government of India, with the support from the WHO, this platform integrates the electronic health records of individuals from all parts of India, allowing greater continuity of the treatment, secure and confidential storage of data/records, enhanced illness diagnostics, reduction, and even prevention of medical errors. This paper is intended to study this novel IHIP model of the Government of India, highlight its current challenges, propose possible solutions, and predict future possibilities.
PRESCRIPTION ADHERENCE TO AGS BEERS CRITERIA AND MEDICATION ADHERENCE IN GERIATRIC PATIENTS
Authors: AHMED SUMMAIYYA , MAHESH PAVITRA , DHAKNE RUCHA , JAMDADE SONALI , WAGDARIKAR MANASI , KARVE SAYALEE
Published: July 2022

Objective: The objective of the present study was to determine the prescription pattern and adherence to Beers Criteria 2019 and also evaluate the reasons for non-adherence and ways to promote adherence among geriatric patients.
Methods: Retrospective as well as prospective data were collected using a predesigned form. A total of 268 patients aged 60 years and above were involved in the study. The prescriptions were analyzed for appropriateness using AGS Beers Criteria 2019 and the 8-Item Morisky Medication Adherence Scale was used for the assessment of medication adherence.
Results: The majority of the patients were in the age group of 65–69 years with a mean age of 73.6 ± 5.05 years with a male preponderance (67%). Out of 268 sample sizes observed, the maximum number of prescriptions had at least one potential inappropriate medication (PIM) – during admission (40.67%) and discharge (48.50%). The most common PIMs observed were PPIs and insulin sliding scale. The use of NSAIDs (aspirin) in heart and renal failure patients was the generally recognized drug-disease and drug-drug interactions. This study confirms the presence of moderate adherence to the prescription among geriatric patients.
Conclusion: Even though Beers Criteria have been commonly used as a reference in many studies, it has not made its way into conventional clinical practice. The prescribers need to make themselves aware of the Beers Criteria and it should be followed for the geriatric population. Hence, this study will help physicians to deliver quality care to elderly patients.
THE ASSOCIATION BETWEEN SOCIAL CHARACTERISTICS AND PATTERNS OF SUBSTANCE USE DISORDER; A CROSS-SECTIONAL STUDY ON SUDANESE PATIENTS
Authors: Fadllalah Omer A , Omer Abdelaziz A , Ibn Auf Anas
Published: July 2022

Objective: This study aimed to examine the association between different social factors and patterns of substance use disorder in Sudan. Methods: Data were collected using a structured interviewer-rated questionnaire designed by the researchers, and distributed to the patients who have drug use disorder at the two main psychiatry teaching hospitals in Khartoum state, Sudan. Results: The total number of participants was 124 and the majority (95.2%) were males, and 54.8% were single. The onset is mostly before the age of 25 years. The most common substance was cannabis followed by alcohol. Only 61 participants (49.1%) had come to the hospital seeking treatment of their own free will, and 41.9% of participants had a family history of substance use which was significantly associated with early-onset. The majority of participants (69.4%) started using psychoactive substances at the age of 15–25 years. Half of the participants use drugs only in a group of friends. Bad relations between parents, and between participants and parents were perceived by participants to have a role in starting drug use. Conclusion: Substance use is more common among males with an early onset. A family history of substance use associates with an earlier onset. The study shed the light on the social aspects of substance use in Sudan and recommended more efforts to restrict the availability of illicit drugs in the country.
Programa Mais Médicos na Bahia e o impacto no diagnóstico precoce do IAM: relato de experiência
Authors: Rocha Luísa Thainá Pimenta , Costa Michela Macedo Lima , Ataíde Rita de Cássia Natividade , Freitas Sabrina Brito
Published: July 2022

Capaz de resolver cerca de 80% de todas as necessidades em saúde, a Atenção Primária se tornou uma das principais e mais eficientes estratégias do Sistema Único de Saúde. Diante da histórica carência e má distribuição do profissional médico no Brasil, o Programa Mais Médicos viabilizou o provimento do profissional nas localidades mais longínquas. Em parceria com o Programa Nacional Telessaúde Brasil Redes, o diagnóstico pode chegar em todos os lugares do país, possibilitando assistência e controle das patologias de maior morbimortalidade. Um exemplo é o infarto agudo do miocárdio, no qual “tempo é vida”, pois, para cada dez minutos de retardo na instituição da terapia de reperfusão, reduz-se a expectativa de vida do paciente em 120 dias. O objetivo deste trabalho é demonstrar uma experiência exitosa que envolveu a articulação resolutiva da rede pública de saúde a partir da Atenção Primária e do Programa Mais Médicos. Trata-se de um estudo descritivo, qualitativo, no qual se buscou descrever a pronta assistência a um paciente com infarto agudo do miocárdio em uma zona rural. O resultado mostrou que uma Atenção Básica resolutiva e integrada aos demais níveis de assistência é possível, permitindo que o paciente infartado seja beneficiado a tempo pela reperfusão miocárdica e impactando de forma positiva seu prognóstico e qualidade de vida. A experiência forneceu estímulo para busca contínua de superação e enfrentamento dos desafios, assim como do aperfeiçoamento da gestão pública da saúde.
Potencialidades e fragilidades da supervisão acadêmica no cenário da pandemia do covid-19: relato de experiência
Authors: Cavalcanti Aline Oliveira , Santana Diego Dourado
Published: July 2022

A pandemia pelo Covid-19¹ levou o Brasil ao maior colapso sanitário-hospitalar de sua história. O Programa Mais Médicos (PMM) prevê a qualificação profissional dos médicos, além de contar com as instituições públicas de educação superior por meio da supervisão acadêmica2. Contudo, a situação pandêmica restringiu as visitas de supervisão, as quais passaram a ser realizadas virtualmente. Com isto, este artigo busca conhecer o olhar dos supervisores acadêmicos na atuação dentro do PMMB, no contexto da pandemia do Covid-19, a luz das fragilidades e potencialidades no que tange à atuação na atenção básica. Trata-se de um relato de experiência realizado com base nos relatórios de acompanhamento do processo de supervisão acadêmica. Foram realizados nos momentos de avaliação das supervisões, elaborado pela tutoria, com os 16 supervisores, entre 2020 e 2021. Como resultado, notamos a indisponibilidade de internet estável nas Unidades Básicas de Saúde (UBS), perda da vinculação, devido a distância física não propiciar o fortalecimento do vínculo com os gestores das secretarias de saúde, dificuldades no manejo clínico das infecções respiratórias, a realização de diagnósticos diferenciais, a gestão da demanda reprimida e prejuízos frente à saúde mental dos profissionais. Portanto, o uso de ferramentas virtuais para manter o vínculo com seus supervisionados foi a estratégia mais efetiva nesse período de distanciamento social. A pandemia pelo Covid-19 trouxe desafios para os profissionais médicos, porém mesmo diante das fragilidades apontadas, à presença do supervisor acadêmico, se possibilitou a educação permanente, diante de uma doença nova e com atualizações de propedêutica recorrentes, bem como o apoio organizacional e ético.
Programa Mais Médicos e as comunidades indígenas do Norte da Bahia: relato de experiência
Authors: Guimarães Manoel Pereira , Memon Mumtaz Ali , Silva Iara Zuleica Nobre e , Armstrong Anderson da Costa
Published: July 2022

As ações para construção de um modelo de prestação de serviços de saúde para a população indígena só foram intensificadas em 2002, quando foi criada a Política Nacional de Saúde dos Povos Indígenas. Dessa forma, ocorreu a utilização de profissionais oriundos do Projeto Mais Médicos nos Distritos Sanitários Especiais Indígenas. Assim, este trabalho descreve a experiência de profissionais do Projeto Mais Médicos para o Brasil em comunidades indígenas do norte da Bahia, no polo de Paulo Afonso. Essas comunidades se caracterizam por baixas condições socioeconômicas de maneira geral e os povos indígenas do sertão do nordeste brasileiro são amplamente afetados pelo processo de urbanização. Durante o programa, foi possível perceber que as comunidades indígenas já trazem consigo os efeitos psicológicos das lutas territoriais, dos históricos de repressão violenta e da persistente cultura preconceituosa por parte do não indígena. Além disso, são evidentes o empenho e a dedicação do médico bolsista do Projeto Mais Médicos, bem como seu interesse em gerar cuidados para as comunidades tradicionais indígenas de seu polo de atuação, no entanto, vale ressaltar que mesmo após tantos anos da implementação do Projeto Mais Médicos, existe uma grande dificuldade no preenchimento de vagas destinadas ao atendimento nas comunidades indígenas e os últimos editais não conseguiram um médico para preenchimento da vaga em aberto para o polo de Paulo Afonso.
Avaliação das atividades de supervisão nos programas de provimento de médicos na Bahia
Authors: Vieira Mariângela Costa , Bueno Edison , Aquino Talita Rocha de
Published: July 2022

Os programas de provimento têm sido estratégias para superar a má distribuição de médicos no território nacional. As apostas do governo federal, nos últimos dez anos, propõem programas que oferecem, para além de profissionais, uma estratégia pedagógica no formato de supervisão das médicas e médicos do programa. Este trabalho tem como objetivo avaliar a atividade de supervisão a médicas e médicos dos programas de provimento do governo federal, na perspectiva desses atores, na Bahia. Trata-se de uma pesquisa qualitativa, com referencial teórico-metodológico na hermenêutica dialética, que realizou entrevistas com médicos vinculados aos programas e supervisores na Bahia. Os resultados evidenciaram, como potencialidades, contribuições na qualificação do cuidado integral, na organização do processo de trabalho e na função de apoiador da prática dos profissionais. O formato, a frequência das visitas de supervisão e sua organização local foram apontados como dificuldades no processo. Destaca-se a importância da experiência na Atenção Primária à Saúde (APS) para a prática da supervisão, apontando o conhecimento produzido como estratégia pedagógica de ensino/aprendizagem. Por fim, reiteramos a necessidade de construção inventiva e interrogadora e apontamos alguns caminhos e sugestões para superar o desafio da prática supervisora dos programas de provimento na Bahia.
O Programa Mais Médicos na produção científica brasileira: uma revisão integrativa
Authors: Soares Catharina Leite Matos , Teixeira Carmem Fontes , Rios David Ramos da Silva , Pinto Isabela Cardoso de Matos
Published: July 2022

A criação e implantação do Programa Mais Médicos (PMM), a partir de 2013, têm estimulado a realização de um conjunto de pesquisas sobre os diversos eixos temáticos – provimento médico, formação e supervisão acadêmica e melhoria da infraestrutura da Atenção Básica. Os estudos também abordam as discussões políticas em torno dos objetivos e das estratégias de implementação do programa, inclusive a contratação de médicos estrangeiros, aspecto polêmico que gerou a redefinição do PMM na conjuntura mais recente, com sua substituição pelo Programa Mais Médicos para o Brasil (PMMB). Este artigo apresenta os resultados de uma revisão da literatura sobre o programa, publicada nos últimos cinco anos, tratando de atualizar um mapeamento da produção científica sobre o PMM que cobriu o período de 2013 a 2016. O levantamento dos artigos mais recentes foi feito em duas bases de dados – Biblioteca Virtual em Saúde (BVS) e Plataforma de Periódicos Capes – tendo sido selecionados 135 artigos, que foram classificados e analisados segundo sua distribuição temporal, tipo de estudo e temas e subtemas abordados. Os resultados evidenciam a manutenção do interesse da comunidade científica da área de saúde pública/saúde coletiva em acompanhar e avaliar o processo de implementação desse programa, devido a sua importância estratégica no processo de fortalecimento e melhoria da qualidade da Atenção Básica de Saúde no Sistema Único de Saúde (SUS). Nessa perspectiva, são apontados os avanços e as dificuldades enfrentadas pelos gestores e profissionais envolvidos no processo de implantação, contribuindo, assim, para o aprofundamento do debate em torno das estratégias a serem acionadas e aperfeiçoadas.
A supervisão acadêmica no Projeto Mais Médicos pelo Brasil antes e durante a pandemia: o que aprendemos?
Authors: Santos Andreia Beatriz Silva dos , Neto José Luiz Moreno
Published: July 2022

A produção do cuidado na atenção primária à saúde demanda um perfil de formação e qualificação permanente de profissionais de saúde que incorporem, a partir de suas práticas, os valores coletivos para a produção de saúde das pessoas e populações. Trata-se aqui do relato de experiência dos tutores acadêmicos do Projeto Mais Médicos pelo Brasil, vinculados à Universidade Estadual de Feira de Santana como instituição supervisora (IS), a partir da reflexão sobre as ofertas pedagógicas e dispositivos de ensino-aprendizagem empregados durante as modalidades de supervisão acadêmica de cunho coletivo, antes e durante a pandemia de covid-19, entre 2018 e 2021. Descrevemos o processo de supervisão acadêmica instituído pela IS e os desdobramentos das práticas de saúde atravessadas pela crise sanitária. Foram levantados temas e estratégias metodológicas adotadas em encontros de supervisão locorregionais e longitudinais, apontando alguns desafios e lições aprendidas para práticas de educação permanente em saúde durante o período analisado. Antes da pandemia, os momentos educativos focavam o aperfeiçoamento de condutas clínicas voltadas para qualificação de práticas no cotidiano da APS, enquanto no primeiro ano da emergência em Saúde Pública, mobilizaram-se em torno da resposta à pandemia da covid-19 naquele nível de atenção. Consideramos que a APS se mostrou como locus de grande relevância ao acolher as demandas já existentes no território de abrangência, mas também no contexto de uma pandemia com consequências imensuráveis na saúde e na vida das pessoas, suas famílias e comunidades, sobretudo em populações mais vulnerabilizadas.
A Escola Estadual de Saúde Pública no contexto do Programa Mais Médicos pelo Brasil: base pedagógica institucional do SUS-BA
Authors: Paim Marcele Carneiro , Coutinho Marcio Lemos , Olivatto Bruno Leonardo C.S.
Published: July 2022

Este relato tem como objetivo destacar a experiência da Escola de Saúde Pública da Bahia (ESPBA) diante das demandas de acompanhamento, monitoramento e formulação de estratégias político-pedagógicas de formação de profissionais no âmbito do Programa Mais Médicos para o Brasil (PMMB), nos primeiros anos do programa no SUS-BA. São apresentadas as ações realizadas pela escola, que, a partir da instituição da comissão estadual do programa, passa a atuar em cooperação com os entes federativos, instituições de ensino e organismos internacionais. Como principais resultados desse processo, destacam-se: credenciamento dos supervisores, monitoramento e acompanhamento das atividades realizadas pelos médicos participantes, supervisores e tutores acadêmicos; oferta dos módulos de acolhimento; realização do curso para formação dos tutores; contribuição para a realização e programação das oficinas locorregionais; construção de um espaço virtual para acompanhamento pedagógico; acompanhamento da avaliação aos médicos intercambistas e realização do apoio técnico-pedagógico às atividades presenciais do curso de especialização a distância. Ressalta-se, assim, o papel importante de uma escola do Sistema Único de Saúde (SUS) no seu perfil de ensino, investigação, capacidade de articulação inter e intrainstitucional, bem como de estrutura capaz de sustentar o projeto político-cultural da reforma sanitária. Para isso, foi fundamental a experimentação do cotidiano de trabalho enquanto princípio educativo.
Retail trade as an indicator of the quality of life of the population
Authors:   The Far-Eastern Institute of Management – branch of RANEPA, Mazankova Т. V.
Published: July 2022

Retail trade performs important economic and social functions, including meeting the needs of the population for marketable products and services. This is one of the important components of the quality of life of the population. Inattention to the issues of trade services for the population of rural settlements leads to a migration outflow and a decrease in the population of the Khabarovsk Territory. The paper shows the relationship between the level of retail trade development and the level of trade services for the population of the Khabarovsk Territory and the dynamics of the population. Despite the increase in the number of stores, positive trends in the development of the commodity structure of retail turnover and the purchasing power of the average per capita income of the population, the level of satisfaction with trade services is low, which reduces the quality of life of the population.
Interethnic relations in the Khabarovsk territory in sociological dimension: state, problems, perspectives
Authors:   The Far-Eastern Institute of Management – branch of RANEPA, Berezutskiy Yu. V. , Mugdin K. V. ,   The Far-Eastern Institute of Management – branch of RANEPA
Published: July 2022

Sociological measurement of social indicators determining the degree of satisfaction of citizens with the state of interethnic relations, the level of general civil identity, as well as the socio-cultural adaptation of foreign citizens, is an important tool for assessing and preventing social conflicts (including potential ones) on the interethnic and interfaith grounds. Based on a large-scale questionnaire survey and a series of focus-group studies of residents of the region, as well as a series of expert interviews with the specialists, we presented analysis of the state of interethnic relations in the Khabarovsk territory. It was established that in general, with a conflict-free state of interethnic relations in the Khabarovsk territory, a certain potential for conflict and tension was revealed. It actualizes the need to implement the more effective policy of ethno-cultural development of the peoples of Russia in the region as a tool for harmonizing interethnic relations. It is advisable to place special emphasis on improving information work both with the population of the region as a whole and with young people, in particular. Separately, analysis of the social and cultural adaptation of foreign citizens in the assessments of local residents was carried out. Certain potential for conflict is associated with the rejection of a part of population of the behavioral characteristics of labor migrants. In general, the results of comprehensive sociological study can be used by the regional and local authorities to take into account the preparation and implementation of programs and projects aimed at strengthening civil peace and harmony, harmonizing interethnic relations and ethno-cultural development of the local residents.
Social Potential of Citizens' Participation in the Activities of People's Teams: Regional Aspect
Authors:   The Far-Eastern law institute of the Ministry of Intarnal Affairs of Russia, Kleymyonov Е. A.
Published: July 2022

The article was written in order to identify the key areas for expanding participation of the citizens in the activities of people's squads at the regional level: in the Khabarovsk territory. Empirical basis of the presented analysis was the mass and expert sociological surveys, individual expert interviews. The student community of the region acted as the main object of the study.The author found that the social potential of the student community of the Khabarovsk territory to participate in the people's squads is extensive, as evidenced by the consistently high level of trust in the police, as well as the degree of willingness of young people to come to the aid of people whose rights are violated in public places. A change in this potential can occur under the influence of a number of identified factors. These include ways of participation of potential members of the people's squads in the prevention and suppression of an illegal act, the form of assistance to the police, the gender of the respondents, the specialty (field of training) of students, the nature and channels of coverage of the activities of police officers.Basic condition for increasing the number of people wishing to join the ranks of people's squads should be an increase in the level of confidence in the police. The key to such growth, according to the students surveyed, is to increase the efficiency and quality of work of police officers, which is achieved, among other things, through the development of skills of respectful, correct communication with citizens. In turn, the law enforcement officers who took part in the study indicate that the effectiveness of their activities, first of all, depends on the degree of staffing of the departments of the internal affairs bodies with personnel.
Demographic impact of the pandemic COVID-19 in the Khabarovsk territory
Authors:   the Economic Research Institute of FEB RAS, Gritsko M. A.
Published: July 2022

Despite the measures taken by the state regional policy for the rapid development of the Russian Far East, aimed at increasing the demographic potential, the downward curve still describes the demographic dynamics in most Far Eastern regions. The adoption of strategic development documents and the implantation of various kinds of institutional innovations do not lead to an improvement in the real situation to the level of formed expectations. The Khabarovsk Territory, which occupies the second largest population in the district, is no exception. Over three decades, the population of the region has decreased by more than 320 thousand people, most of whom have been lost as a result of migration outflow, which consistently exceeds the number of residents coming to the region. The article discusses the results of the demographic development of the Khabarovsk Territory over the past three decades. At the same time, the main emphasis was placed on the period of 2020-2021, which was the main blow of the pandemic of a new coronavirus infection. In two years, there has been a significant rollback in terms of the main planned indicators. Thus, the life expectancy of Khabarovsk residents decreased immediately by 2.2 years, and returned to the level of 2013. In the current conditions, there is still a need to update the directions and measures of the state policy pursued, not only due to the high deviations of real demographic parameters from the expectations laid down in the strategic development documents, but also taking into account the serious demographic failures that were provoked by the new coronavirus infection.
POBREZA MENSTRUAL E A TRIBUTAÇÃO DOS ABSORVENTES
Authors: Carvalho Motta Maria Carolina , Alves Peixoto da Rocha Brito Mariana
Published: July 2022

A presente pesquisa busca analisar o cenário da tributação sobre os absorventes no Brasil, considerando a perspectiva da pobreza menstrual enquanto um empecilho à equidade de gênero. Para realizar a pesquisa, a metodologia escolhida versou sobre a revisão teórica, bibliográfica, documental e a coleta de dados, partindo de leituras e análises feitas sobre artigos, livros, leis e projetos de leis. O texto está dividido em quatro tópicos, relacionados à desigualdade de gênero, à pobreza menstrual como um obstáculo à equidade de gênero e à redistribuição como política fiscal no contexto da pobreza menstrual. Ao final, conclui que a tributação dos absorventes higiênicos é uma das causas para o cenário da pobreza menstrual, o que corrobora a falta de acesso aos itens de higiene menstrual e que é necessário ir além e fazer uso da função extrafiscal dos tributos a fim de reconhecer as desigualdades e realizar suas compensações.
Ética nas Organizações:
Authors: Tojedo Maria Cidália
Published: July 2022

O objetivo desse trabalho é o estudo de um modelo ético organizacional. O modelo ético foi elaborado com base no estado da arte sobre o assunto. Tal modelo ético quando praticado pela empresa como rotina operacional dispensa um estatuto avulso para consultas nos momentos decisórios. Dessa forma, conclui-se que um modelo ético é pertinente, porém carece de revisão permanente, podendo ser ampliado ou reduzido de acordo com o contexto no qual a empresa esteja inserida.