bluuebunny/crossref_metadata_2025 huggingface dataset:
Fadiga secundária à quimioterapia em mulheres com câncer de mama
Authors: Lopes Carine Ferreira , Anjos Anna Claudia Yokoyama dos , Campos Cristiane Soares
Published: May 2019

O objetivo deste estudo foi identificar e compreender as repercussões da fadiga secundária à quimioterapia na qualidade de vida, na perspectiva da mulher com câncer de mama. Trata-se de um estudo descritivo e interpretativo, com orientação teórico-metodológica da antropologia médica, que utilizou como método o estudo de caso etnográfico, empregando entrevistas semiestruturadas e diário de campo, realizado em 2016, no domicílio. Para a participante do estudo, o câncer de mama foi compreendido como algo que deveria experienciar em sua vida. A partir dessa perspectiva, apesar da ocorrência da fadiga secundária a quimioterapia e de outros eventos adversos relacionados, considerou sua qualidade de vida como boa; demonstrando a capacidade de adaptar sua rotina e afazeres às suas novas condições de saúde.
Vítimas de Violência: atendimento dos profissionais de enfermagem em Atenção Primária
Authors: Duarte Bruna Aparecida Rodrigues , Junqueira Marcelle Aparecida De Barros , Giuliani Carla Denari
Published: May 2019

Esta é uma revisão integrativa que teve como objetivo buscar, analisar e cotejar a literatura referente a atenção às mulheres vítimas de violência doméstica no contexto da Atenção Primária à Saúde (APS) com enfoque na percepção dos profissionais de enfermagem. Para a busca utilizou-se os descritores: violência contra a mulher, violência doméstica, atenção primária em saúde, nas bases de dados LILACS, MEDLINE, IBECS, BDENF, Coleciona-SUS e, BVS; entre os anos de 2012-2017, na íntegra, em português e inglês. Foram encontrados 73 artigos e selecionados 14 para este estudo. Verificou-se as seguintes categorias: Serviços da Atenção Primária de Saúde como porta de entrada para o atendimento de mulheres em situação, Falhas na identificação de situação de violência e na rede de apoio de violência e, Percepção da equipe de enfermagem em relação a mulher vítima de violência doméstica. Observou-se que as atividades realizadas na APS possuem grande potencial para atendimento adequado à mulher vítima de violência, porém o bloqueio da equipe de reconhecer essas situações, em conjunto com diversos fatores dificultam o processo. A APS apresenta-se como principal porta de entrada para assistência de qualidade a mulher vítima de forma integralizada e holística, porém demanda capacitação e fortalecimento da equipe.
Milcząca nieobecność. Uczestnictwo polityczne kobiet na obszarach wiejskich
Authors: Pięta-Szawara Anna
Published: May 2019

Celem podjętej analizy było ustalenie, jak kształtuje się aktywność polityczna mieszkanek wsi, rozumiana jako udział w lokalnych strukturach samorządowych i jednostkach pomocniczych. Poddano weryfikacji hipotezę mówiącą, że prawdopodobieństwo odniesienia sukcesu w sferze publicznej przez kobiety wiejskie jest niższe w porównaniu z kobietami mieszkającymi w mieście, oraz ustalono najczęstsze bariery utrudniające im partycypację polityczną. Wskazano, że największe znaczenie mają obiektywne czynniki zewnętrzne, tj.: obowiązki rodzinne, patriarchalny model rodziny, niechętne postawy otoczenia wobec kobiet angażujących się w życie publiczne oraz liczne stereotypy. Możliwości działania w sferze publicznej ograniczają także niższe wykształcenie mieszkanek wsi w porównaniu z kobietami z miast oraz, niejednokrotnie, brak przekonania o własnych możliwościach. Rolę istotnych czynników wspierających pełnią natomiast tradycje rodzinne. W prezentowanym artykule, spośród interesujących trendów związanych z partycypacją publiczną kobiet wiejskich, omówiono dwa, zdaniem autorki, najważniejsze. Pierwszym jest systematyczny wzrost udziału kobiet wśród kandydatów oraz radnych gmin wiejskich i miejsko-wiejskich. Drugim – zwiększenie liczby kobiet w gronie sołtysów. Przeprowadzona analiza pozwoliła stwierdzić, że w porównaniu z innymi poziomami decyzyjnymi to właśnie na najniższym z nich, tj. w radach gmin, a także w jednostkach pomocniczych gmin (sołectwach), gdzie działają sołtysi, występuje najsilniejsza reprezentacja kobiet.
Rolniczki jako uczestniczki życia społecznego
Authors: Gorlach Krzysztof , Drąg Zbigniew
Published: May 2019

Generalnie możemy stwierdzić, że rolniczki w coraz większym stopniu „wychodzą z domu” i coraz bardziej – na równi z rolnikami – angażują się w sprawy swoich społeczności lokalnych. Jakkolwiek są jeszcze nieco bardziej „tradycyjnymi uczestnikami” życia społecznego – w szczególności w kontekście preferowanych kontaktów społecznych – to jednak uwidacznia się ich większa otwartość na pozyskiwanie informacji w sposób nowoczesny, przy wykorzystaniu źródeł internetowych. Można by jednak zapytać, co jest przyczyną tak znaczącej dynamiki wzrostu zainteresowania rolniczek problemami społeczności lokalnej i de facto problemami globalnymi? Czy tylko próba przeniesienia swoich umiejętności zdobytych podczas kierowania gospodarstwem rolnym w przestrzeń społeczną? Z pewnością takie aspiracje stają się ich udziałem. Wydaje się jednak, że uwolnienie tych aspiracji wynika wprost z toczącej się współcześnie, także w Polsce, debaty dotyczącej upodmiotowienia kobiet i ich równouprawnienia w życiu publicznym.
Współczesne role kół gospodyń wiejskich w społecznościach lokalnych (na przykładzie województwa dolnośląskiego)
Authors: Szczepańska Barbara , Szczepański Jacek
Published: May 2019

Artykuł prezentuje wyniki badań dotyczących działalności kół gospodyń wiejskich. Praca ma na celu przedstawienie głównych działań podejmowanych przez te organizacje. W dalszej części zaprezentowano, jak koła gospodyń wiejskich oceniają swoją rolę w społecznościach lokalnych. Podstawą analizy są badania jakościowe – 24 wywiady swobodne z listą poszukiwanych zagadnień, przeprowadzone na obszarze województwa dolnośląskiego.
Antyelitarna narracja współczesnej polskiej prawicy
Authors: Kulas Piotr
Published: May 2019

Celem niniejszego artykułu jest analiza antyelitarnej narracji intelektualistów związanych z polską prawicą. Autor analizuje obecną w prawicowym dyskursie, głównie po 2015 roku, krytykę elitaryzmu oraz dominujące strategie, których celem jest pozbawienie legitymizacji tak zwanych elit III RP. Zarzut elitaryzmu jest związany z przypisywaniem braku empatii, niezrozumienia problemów społeczeństwa oraz niereprezentowania jego interesów. Staje się on w ten sposób ważnym argumentem wzmacniającym podział polityczny na rzecz społecznej i politycznej zmiany. W duchu teorii krytycznej autor argumentuje, że ostatecznym celem antyelitarnych artykulacji nie jest zaprowadzenie ani nawet wyartykułowanie egalitarnego ładu, ale zachowanie społecznej hierarchii i przedstawienie samych siebie jako elity prawomocnej, która winna zająć miejsce elity dotychczasowej.
Konserwatyzm i problem jego rozpoznawalności w dyskursie publicznym
Authors: Stachowiak Jerzy
Published: May 2019

W niniejszym artykule przedstawiona została analiza opublikowanej w 2017 roku polskojęzycznej wersji tak zwanej Deklaracji Paryskiej, zatytułowanej „Europa, w jaką wierzymy”. Zgodnie z zapowiedzią autorów Deklaracji ma ona stanowić wyraz troski środowiska konserwatywnych intelektualistów o obecny stan europejskiej polityki, kultury i społeczeństwa. Ma także afirmować tak zwaną „prawdziwą Europę”. Analiza pokazuje, że zadaniem postawionym przed Deklaracją jest nie tylko sama afirmacja, ale przede wszystkim zaświadczenie o jej (Deklaracji) konserwatywnym charakterze. Tej drugiej sprawy dotyczy zasadnicza część artykułu. W tym celu omówione zostają cztery wyodrębnione w toku badań formalne własności retorycznej organizacji Deklaracji. Tekst uzupełniony jest komentarzem do analizy, w którym zaproponowana zostaje możliwość próbnego rozpatrzenia tradycji w dziedzinie kultury politycznej jako tradycji form publicznego wypowiadania (się).
Ścielenie łóżka w polskim kapitalizmie. Narracja indywidualistyczna i jej krytycy
Authors: Markiewka Tomasz S.
Published: May 2019

Artykuł składa się z trzech części. W pierwszej autor tłumaczy, że narrację rozumie przede wszystkim jako narzędzie do porządkowania naszego pojmowania świata. W drugiej części rekonstruuje narrację indywidualistyczną, która upowszechniła się w Polsce wraz z nadejściem systemu kapitalistycznego. W trzeciej części przedstawia możliwą kontrnarrację wobec tej indywidualistycznej wizji. Korzystając z poglądów i ustaleń badaczy krytycznie nastawionych do neoliberalnej wersji kapitalizmu – takich jak Ha-Joon Chang czy Joseph Stiglitz – podaje także merytoryczne argumenty za przyjęciem tej kontrnarracji.
Quasi-terapeutyczna funkcja wywiadu częściowo ustrukturyzowanego w odniesieniu do badań własnych. Rola i znaczenie dobrej relacji w wywiadzie socjologicznym
Authors: Choczyński Marcin
Published: May 2019

Tematem przewodnim niniejszego opracowania jest sytuacja społeczna jakościowego badania socjologicznego (wywiadu o typie częściowo ustrukturyzowanym z pytaniami otwartymi), podczas której można wyodrębnić pewne elementy terapii w znaczeniu ogólnym. Inspiracją do postawienia tezy o mimowolnej – w dużej mierze nieuświadomionej – terapii (która może być nazwana quasi-terapią) osób poddanych wywiadom socjologicznym były badania własne. Odbyłem je w lipcu 2015 r., uczestnikami były osoby starsze, mieszkańcy Warszawy. Dotyczyły one stereotypizacji i kategoryzacji językowej mniejszości żydowskiej. W niniejszym artykule przedstawiono założenia wywiadów jakościowych, odniesiono się do definicji terapii, jej podobieństw i różnic z wywiadem socjologicznym. Wnioski i porównania obu form zostały przedstawione w odniesieniu do wspominanych badań własnych. Zaakcentowano w nich przede wszystkim rzeczywiste wypowiedzi rozmówców, w których podnoszono rolę rozmowy i konwersacji oraz ich funkcję terapeutyczną. W konkluzji dokonano podsumowania zebranych argumentów i nawiązano do form logoterapii i rezyliencji jako przykładowych rodzajów terapeutycznego znaczenia rozmowy. Tym samym, potwierdzeniu uległ zasadniczy cel artykułu, jakim jest wskazanie roli i znaczenia dobrej relacji w badaniach socjologicznych.
Using the Mass Observation Project: A Case Study in the Practice of Reusing Data
Authors: Courage Fiona
Published: May 2019

Mass Observation was founded in 1937 to collect subjective, qualitative data on everyday life in Britain, and has continued to record the ordinary and the everyday ever since. Mass Observation’s purpose has always been to make the data it collects available to a range of disciplines to apply their own methodological approaches upon, resulting in data that can be reused within different projects and disciplines. This paper will use Mass Observation as a case study to illustrate how a sociological shift in attitude towards subjective data has played out in the use of a dataset traditionally viewed as a historical archive.  I will review how the data itself is used to define and design methods of analysis, examining the epistemological implications of this approach to research design and the new dimension to the researcher-data subject relationship that is introduced. I will conclude by suggesting that research using Mass Observation exemplifies the methodological opportunities and insights that can be gained by adopting a broader, multi-disciplinary research approach to reusing data.
Transformation Research and the Longue Durée of 1989: Combining Qualitative and Quantitative Data
Authors: Brückweh Kerstin , Zöller Kathrin
Published: May 2019

In recent years, historians have increasingly looked at social science data in their search for sources to study the transformation period. Researchers hope that a secondary analysis of this data will expand the existing sources. This expansion promises new perspectives, while simultaneously bringing new methodological challenges to the discipline. This article deals with both: 1. It uses a history of knowledge approach to evaluate the topics and tools of transformation research. It also argues that social scientists were not only producers of knowledge but historical actors in the restructuring of the institutions of social sciences in East Germany after 1989/90. 2. With the German Socio-Economic Panel and especially the Saxonian Longitudinal Study as an example, the article refers to the content of the studies itself – in this case, the East German school as a site of life-worlds in upheaval. It concludes that the encounter of social scientists and historians is very fruitful for historians interested in the interaction of system change and everyday life. That is, the secondary analysis of qualitative and quantitative social science data compliments ‘classical’ sources of historical research by providing insights into memories and experiences at different times in the historical process.
„Każdy przeżywa wiarę na swój sposób”. Modele religijności w paryskiej parafii katolickiej
Authors: Głowacki Antoni
Published: May 2019

Artykuł przedstawia modele religijności występujące w paryskiej parafii katolickiej, rekonstruowane na podstawie różnic w organizacji mszy obserwowanych między trojgiem animatorów liturgicznych. Analiza różnic preferencji religijnych jest zagadnieniem szczególnie istotnym w przypadku badań parafii. Często są to wspólnoty wewnętrznie zróżnicowane, co wynika z arbitralnego (a nie dobrowolnego) przyporządkowania wiernych. Proponowana analiza odwołuje się do teorii religii Simmla oraz teorii aktora-sieci, sytuując się w nurcie socjologii relacyjnej, podkreślającej konieczność brania pod uwagę specyfiki zjawisk religijnych. W konsekwencji głównym zadaniem jest opisanie kluczowej dla nich relacji między wierzącymi a rzeczywistością duchową. Preferencje liturgiczne zostały opisane jako wynikające z odmiennego postrzegania centralnej dla katolicyzmu relacji między wiernymi a ich Bogiem.
Poszukiwanie tożsamości przez badacza w kontekście etnograficznego badania emocji w pracy nauczyciela
Authors: Pawłowska Beata
Published: May 2019

Celem artykułu jest zaprezentowanie trudności metodologicznych i problemów, jakie napotkałam jako badacz, prowadząc badania terenowe dotyczące emocji w pracy zawodowej nauczycieli, w kontekście dwóch kwestii, to jest uzyskania dostępu do danych oraz poszukiwania tożsamości przez badacza. Analiza ograniczona została do trudności wiążących się z wyborem terenu badań, problemów z wejściem na teren badań i uzyskaniem dostępu do danych oraz refleksji dotyczących świadomego ukrywania tożsamości badacza. Opisywane badania etnograficzne dotyczyły emocji w pracy zawodowej nauczycieli. Założyłam, że jedynie przyjęcie paradygmatu interpretatywnego da mi podstawy do zrozumienia procesu kierowania emocjami oraz pozwoli na dostrzeżenie emocji, w tym ich źródła, występujących w pracy nauczyciela. Zawarte w artykule przemyślenia są wynikiem: 1) wielokrotnych obserwacji oraz obserwacji uczestniczących prowadzonych przez autorkę w latach 2008−2016 na terenie szkół podstawowych i gimnazjów z aglomeracji łódzkiej; 2) analiz wywiadów swobodnych małoustrukturalizowanych oraz ustrukturalizowanych prowadzonych przez autorkę z obecnymi nauczycielami, emerytowanymi nauczycielami, rodzicami, dyrektorami szkół i pozostałymi pracownikami szkół; 3) nieustrukturyzowanych rozmów badawcza z badanymi, 4) analiz dokumentów zastanych i stron internetowych. Wybór tożsamości badacza determinowany jest terenem badań. W badaniu placówek edukacyjnych ujawnienie tożsamości badacza umożliwia szerszy dostęp do danych.
The Story of the Nearest Relative: Shifts in Footing in Dramaturgical Replayings
Authors: Morriss Lisa , Smith Greg
Published: May 2019

This discussion assesses the utility of Goffman’s thinking about conversational interaction for illuminating features of a research interview between one of the two authors (LM) and a fellow social work professional. We use this case to explore aspects of Goffman’s contribution to the sociological understanding of spoken interaction. While many of his ideas offer rich sources of guidance for interactionist and qualitative researchers, the value of Goffman’s (1974) concept of “dramaturgical replaying” has been overlooked. We trace the leading themes of Goffman’s thinking about conversational interaction and show how they can provide an analysis of the story of the “Nearest Relative” that is attentive to its live, improvised enactment. Goffman’s approach to storytelling is shown to be distinct from but complementary to conversation analytic approaches to storytelling.
Imagined Engagements: Interpreting the Musical Relationship with the Canadian North
Authors: Van den Scott Jeffrey , Van den Scott Lisa-Jo K.
Published: May 2019

In this article, we extend Benedict Anderson’s notion of imagined communities to examine the idea of an “imagined engagement” between or among people and groups that have not met. These imagined engagements include a blurring of temporal lines, as one group “interacts” with another’s past, present, or future. Imagined engagements are a form of failed interaction, and, as such, have their place in Goffman’s interaction order. We argue that musical language can comprise a meeting point of these engagements. We then demonstrate how two composers—one historic and one contemporary—have used the musical cultures of an Othered people, with a focus on Indigenous America, in an attempt to create a sense of community and common ties between the West and these Others—a sense of community in which the Othered have no part.
Cannabis, Moral Entrepreneurship, and Stigma: Conflicting Narratives on the 26 May 2016 Toronto Police Raid on Cannabis Shops
Authors: Müller Thaddeus
Published: May 2019

On May 26, 2016, the police raided 43 cannabis dispensaries in Toronto, Canada, making 90 arrests. This article aims to describe the narrative of the responsible state agencies concerning the police raid and compare it to the narrative of those who opposed it, such as activists, as well as consumers and sellers of cannabis. While such concepts as moral entrepreneur, moral panic, and moral crusade have traditionally been used to study those in power, I will employ them to explore both the state narrative and ways in which counterclaims-makers resisted it. In order to do so, I will further develop the concept of moral entrepreneurship and its characteristics by relating it to studies of moral panics and social problems. This article will be guided by the following question: How did each party socially construct its cannabis narrative, and in what way can we use the concept of moral entrepreneurship to describe and analyze these narratives as social constructions? I have investigated the media coverage of the raid and ethnographically studied shops in Toronto in order to study the narratives. My findings show that both parties used a factual neutral style, as well as a dramatizing style. The later includes such typical crusading strategies as constructing victims and villains and presenting the image of a dystopian social world. In order to explain the use of these strategies, we will relate them to the shifting wider social and historical context and to the symbolic connotation of cannabis shops in Toronto in particular and in Canada as a whole.
Działalność przedsiębiorstw społecznych w krajach rozwijających się – doświadczenia indyjskie
Authors: Zaremba Michał
Published: May 2019

Przedsiębiorczość społeczna zwraca uwagę badaczy unikalnym podejściem do rozwiązywania problemów społecznych i ekonomicznych. Ma to szczególne znaczenie w przypadku krajów rozwijających się, które od lat borykają się z taki problemami jak wysokie bezrobocie, nierówności społeczne czy analfabetyzm. Na przykład w Indiach, mimo niebywałego postępu w ostatnich latach, wciąż ok. 30% populacji żyje poniżej granicy ubóstwa, a analfabetyzm i słaba opieka zdrowotna w dalszym ciągu są ogromnymi wyzwaniami. Do tego dochodzą problemy ekonomiczne związane z niestabilnym systemem finansowym, ogromną korupcją i szarą sferą w gospodarce. Do zmniejszenia ubóstwa i poprawienia jakości życia w Indiach może przyczynić się działalność przedsiębiorstw społecznych, których obecnie w całych Indiach jest ok. 3 milionów, często w formie organizacji NGO (Anand 2018). Przedsiębiorstwa te koncentrują swoją działalność na zaspokajaniu potrzeb społecznych ubogiej ludności, wypełniając „luki rozwojowe”, z którymi nie mogły poradzić sobie państwo czy przedsiębiorstwa prywatne. Celem artykułu jest przybliżenie działalności przedsiębiorstw społecznych we współczesnych Indiach.
Zmiana struktury towarowej polskiego eksportu w ujęciu wartościowym w pierwszych latach po akcesji do Unii Europejskiej
Authors: Mieczan Paweł
Published: May 2019

Polski eksport od zmian systemu gospodarczego rozpoczętych w 1989 roku notuje dynamiczny wzrost wartości. Zjawisko to można podzielić na kilka istotnych okresów, w których następowały znaczące przyrosty wartości eksportu. Jednym z nich była akcesja do Unii Europejskiej, a tym samym uczestnictwo w jednolitym rynku, które otworzyło przed przedsiębiorcami nowe możliwości rozwoju. Analiza struktury towarowej polskiego eksportu w okresie okołoakcesyjnym była już przedmiotem badań, jednak dostępna literatura ograniczała się do wskazania głównych grup towarowych polskiego eksportu i fluktuacji wartości ich sprzedaży. W niniejszym opracowaniu opisano ten aspekt, analizując zmiany wartości sprzedaży wszystkich grup towarowych na podstawie podziału zagregowanego w nomenklaturze scalonej CN. Odpowiada ono zatem na pytania związane z najbardziej dynamicznymi sektorami w polskim eksporcie, wartością ich sprzedaży, a także zmianami, jakie nastąpiły w wartości sprzedaży w wyniku członkostwa w Unii Europejskiej.
Impact of harvest-aid defoliants on yield and economics of high density cotton
Authors: Mrunalini Kancheti , Rekha M. Sree , Murthy V.R.K , Jayalalitha K.
Published: May 2019

A field experiment was conducted to study the effect of chemical defoliation on growth parameters, seed cotton yield and economics of cotton under high density planting during kharif, 2016. Defoliation with Etherel @ 2000 ppm at 60 boll opening percentage resulted in higher number of picked bolls plant-1 and boll opening percentage and seed cotton yield (2359 kg ha-1). At harvest, significantly highest drymatter accumulation was recorded with Urea @ 15% (T6) (22692 kg ha-1). Dropp Ultra 560 SC (Thidiazuron 360 + Diuron 180) @ 200 ml/ha recorded significantly higher leaf defoliation (99.7 %) and was superior over other defoliants tried. Application of defoliants i.e., Dropp Ultra and Etherel at 60 BOP resulted in reduction of crop duration by 20 days.
Differential growth and yield response of hybrid rice (Oryza sativa L.) to seasonal variability
Authors: Banerjee Hirak , Sarkar Sukamal , Pal Sukanta , Bandopadhyay Pintoo , Rana Lalita , Samanta Subhasis
Published: May 2019

The response of hybrid rice to seasonal changes is largely unknown. This study presents the effort to assess the response of tropical hybrid rice to rainy and winter seasons in alluvial soils at Regional Research Sub-Station under Bidhan Chandra Krishi Viswavidyalaya, Chakdah, West Bengal. Five commercial tropical hybrid rice cultivars together with a local HYV were evaluated in randomized complete block design with three replications. The variety NPH-207 (Champion) produced taller plants and recorded significantly higher number of effective tillers than the local HVY (Satabdi) did during both the seasons. The cultivar NPH-8889 (Karishma) recorded the maximum chlorophyll content at all dates of observations and it was statistically at par with NPH-207 (Champion). The values of all measured yield components were higher in the hybrid cultivar NPH-207 (Champion) in comparison with any other tested cultivars. Consequently, NPH-207 (Champion) produced significantly higher grain and straw yield, accounting 67.9 and 50.1% more than those obtained from HYV in rainy season, while 98.2 and 103% more than those obtained from HYV in winter season, respectively. The significant and positive correlations with grain yield were observed between plant height, 1000 grain weight and chlorophyll content at 30 DAT both in rainy and winter season.
Effect of different soil moisture regimes and salinity level on growth and yield in mustard
Authors: Singh Jagbir , Varma S. K. , Bhatia J. N. , Raj Lekh
Published: May 2019

Soil moisture stress and salinity resulted reduction in almost all the growth, yield and yield attributes in mustard var. RH-30. Salinity behaved similarly to soil moisture stress and the magnitude of reduction increased with the increase in their level accordingly. Chloride type of toxicity was found to be more harmful than that of sulphate toxicity. The results obtained in the present study suggested that maintenance of wetter irrigation under salinity could go a long way in maximizing the crop production in mustard
Direct and residual effect of organic and chemical sources of nutrients on fodder sorghum-fodder oat cropping sequence
Authors: Raja Waseem , Hussain Ashaq , Sheikh Tahir A. , Haq Ansar-ul- , Allam Intikhab , Teli Nazir A.
Published: May 2019

Field experiments were carried out at Mountain Livestock Research Institute (MLRI), Manasbal, Sher-e-Kashmir University of Agricultural Sciences and Technology Kashmir, India to study the direct and residual effect of different rates of organic and chemical sources of nutrients on fodder sorghum-fodder oat cropping sequence during Kharif 2008, 2009 and rabi 2008-09, 2009-10. Application of FYM @ 25tonnes recorded higher green fodder yield of sorghum than rest of treatments. The physical optimum dose of direct+residual effect of FYM on fodder sorghum-fodder oat sequence was 25.49 t ha-1 and economic optimum dose 12.63 t ha-1. Applying 120, 80 and 30 (N, P2O5, K2O kg ha-1) was found superior in green fodder yield than rest of treatments. However, physical optimum dose due to direct +residual effect of N, P2O5 and K2O on fodder sorghum-fodder oat was 134.19 , 67.07 and 33.54 kg ha-1 and mean total economic optimum dose was found to be 128.0, 64.19 and 32.62 NPK kg ha-1 respectively.
THE CLINICAL ECONOMIC ANALYSIS OF SCHEMES OF GRADED ANTI-BACTERIAL THERAPY AS A LEVEL OF AMELIORATION OF QUALITY OF MEDICAL CARE SUPPORT OF PATIENTS WITH UROLOGICAL PATHOLOGY
Authors: Dulepova Angella A. , Ruina O. V. , Pozdeeva T. V. , Kononova S. V. , Pisanenko D. V.
Published: May 2019

The necessity of implementing clinical economic studies was conditioned by a significant prevalence of infections of urinary tracts, wide variety and high cost of antibacterial pharmaceuticals for their treatment. The sampling included 539 cases of application of step schemes of antibiotics treatment in patients of urological departments in 2014-2015. Overall, six the most prevalent schemes (87.4% of all cases) were picked out. Every scheme was analyzed by application rate, clinical efficiency, treatment cost and average duration of patient stay in hospital. The most clinical efficiency was established for the scheme that included amoxicillin + сlavulanic acid in injection and peroral components without implementing peri-operational antibiotics prevention (97.7%). However, period of hospitalization was in average 2.9 days longer and transition of patient from injection component of therapy to a peroral one occurred 2.3 days later than in case of application of the same pharmaceutical in combination with peri-operational antibiotics prevention (efficiency index 96.0%). It is established that the scheme with amikacin being from economic point of view the most attractive one (cost of treatment is 2.5-6.1 times lower and period of hospitalization the shortest) and differing by high clinical efficiency (95.2%) is applied only in 4.4% of analyzed cases because amikacin has many side effects restricting its application in medical practice. The received information permits physician to rationally prescribe optimal schemes of treatment that decreases costs of therapy, risk of development of complications initiated by antibacterial therapy and also increases quality of life of patient.
ABOUT LEGAL FUNCTIONAL LITERACY OF POPULATION IN SPHERE OF IMPLEMENTATION OF RIGHTS OF THE MINORS IN THE AREA OF HEALTH CARE
Authors: Khodakova O. V. , Dudareva Victoria A.
Published: May 2019

Nowadays, the crisis of family as a fundamental social institute is one of the serious problems of the Russian society. At the actual stage of national development, the given occurrence is aggravated by atmosphere of total protracted social economic crisis related to period of reforms. The progressing deterioration of condition of family in all aspects of its life activities is a generalized process negatively impacting the development and education of children. The juridical competence based on legal functional literacy is one of the determinants conditioning behavior of parents as related to the minors. The purpose of the study is to evaluate the level of legal functional literacy of population in issues of implementation of rights of the minors in the area of health protection. The results of sociological survey permitted to conclude that the degree of legal awareness of population at the level of administrative municipal formation of the subject of the Russian Federation in issues of legal status of the minors is inadequate. Such stratification characteristics of citizen as family status, social status, level of material well-being came as predictors conditioning existing situation. The established predictors of legal awareness of citizen such as social status, family status, level of material well-being, permitted to establish a particular category of population - a target risk group untenable within the framework of implementation of rights of the minors, including health protection due to inadequate level of legal competence. The determinants presented in the established cluster of population are relatively manageable and they can be compensated by rationale and efficient policy of the state authorities and health care system in issues of increasing level of life and legal education of population including the field of health protection.
THE INDIVIDUAL STYLE OF DECISION MAKING BY ADMINISTRATORS OF MEDICAL ORGANIZATIONS IN PERSPECTIVE OF EVALUATION OF MANAGEMENT POTENTIAL
Authors: Kudelina Оl'ga V. , Filinov N. B.
Published: May 2019

In assessing management potential of a manager, it is necessary to consider one's personal characteristics, in particular, management decision-making style. A physician repeatedly makes clinical decisions on patients’ treatment and this experience shapes his/her individual decision-making style, which in turn defines personal features of physician as a leader. Purpose of study. To evaluate the management potential of leaders of medical institutions of the Tomsk oblast on the basis of investigation on their decision-making styles. The decision-making style was identified using A. Rowe's technique (Decision Style Inventory) widely applied in various research areas. The sampling of survey included 1097 physicians, including head physicians (4,8%), deputy head physicians (10,1%), heads of department (11,9%). Decision-making styles of leaders differ depending of the various levels of management. The analytical style dominates among head physicians, followed by conceptual style. For the largest cohort of deputy head physicians analytical style also dominates, but the second rank of dominating styles is for directive style. In general, moving down administrative staircase the percentage of managers with dominating conceptual style is decreasing and percentage of those who are oriented on individual (authoritarian) decision-making processes and also those who are focused more on human relationship than on tasks solution increases. The possibilities of transformation of individual style of decision making are limited and require conscious efforts, that tasks a complicated problem before leaders of medical institutions concerning assessment of management potential of development and training of long-term human resources reserve.
THE THIRTY YEARS’ EXPERIENCE OF SURGICAL CARE TO FOREIGN PATIENTS IN STATE ORTHOPEDICS CLINIC
Authors: Gubin A. V. , Kamysheva Valentina V.
Published: May 2019

The history of medical tourism counts several millennia. however, medical tourism became a wide-spread occurrence only to the end of XX century, in the age of globalization that favored drastic increasing of low budget mass tourism at the expense of development of Internet and accessibility of air flights. The purpose of study. To share experience of organization of planned medical care to foreign patients in conditions of state orthopedics clinic. During 1983-2016 in the Academician G.A. Ilizarov Russian Research Center «Restorative Traumatology and Orthopedics» 1304 foreign patients coming from 82 countries were treated. In the Ilizarov Center, to resolve all paramedical issues related to stay of foreign patients, an international department is functioning since July 14 1988, organized on the basis of a group accomplishing organization of scientific technical cooperation. The major tasks of the international department are organization and promotion of development of international relationships of the Center. The international department is a unique section having no analogues in other federal health care institutions. The experience of the Ilizarov Center in rendering orthopedic care to foreign citizen is a leading one for Russia. The main factor determining attractiveness of the Center to foreigners is a uniqueness of technology of Ilizarov transosseous osteosynthesis in combination with enormous experience in treatment of orthopedic pathology. Conclusions. The medical tourism becomes one of major sections of modern global economics. The amelioration of quality and accessibility of high-tech medical care under dedicated state policy, legislation, community and mass media support can at least to shorten withdrawal of funds from our country and support one's own centers of competence.
THE INDICES OF COMPLEX ASSESSMENT OF HEALTH OF INDIVIDUALS OF MIDDLE AGE (30-40 YEARS)
Authors: Pogodina Vera A. , Babenko A. I. , Babenko E. A. , Polovnikova A. V.
Published: May 2019

The article considers the characteristics of the physical development of 250 persons aged 30-44 years. The study covered the structure of the pathology, its course and degree of severity according to data from statistical forms (№ 025/u-04; No. 025-12; No. 131) for 2015-2016 in Novosibirsk. The study identified individuals (from 21.2% to 87.6%) with standard for this age national indicators of physical development. The contingent with deviations from age norms accepted in the Russian Federation had asthenic and hypersthenic types of constitution. Also, elevated levels of blood pressure, bradycardia and tachycardia and tachypnea bradypnea were presented. Among the examined individuals, the most prevailed were noninflammatory diseases of female genital organs, diseases of male genital organs, reactions to severe stress and adaptation disorders. Only in small number (5.2-12.4%) of the examined contingent no diseases were detected; the factors contributing to low risk of its development were indicated. A smaller percentage of patients (5.2-10.6%) suffered from acute severe pathology and high cumulative risk of development of chronic pathology and who needed dispensarization. From 5.2% to 87.6 % of individuals of this age had acute diseases of moderate severity, who required dispensary observation and additional examination. From 2.4% to 82.4% of individuals suffered from chronic pathology of light degree of severity. They needed dispensary control of health. The established alterations in health of individuals aged 30-44 years will determine demand for diagnostic, curative and preventive activities.
THE EXPLORATION OF ETIOLOGICAL STRUCTURE OF SEXUALLY TRANSMITTED DISEASES IN PATIENTS OF ONCOLOGIC INSTITUTE
Authors: Nerodo G. A. , Zykova Tat'yana A. , Duritskiy M. N. , Sustretov V. A. , Nikitina V. P. , Men'shenina A. P. , Bogomolova O. A. , Kruze P. A.
Published: May 2019

The attention to the problem of studying etiologic structure and patterns of prevalence of sexually transmitted infections is conditioned by their high morbidity, affection of population of reproductive age mainly and aftermath effecting health of people and their posterity. The polymerase chain reaction in real-time was applied to detect DNA of agents of sexually transmitted diseases in patients with inflammatory and oncologic diseases of urogenital tract. It was established that 55.4% of patients (64.6% females and 35.0% males) were infected by agents from group of sexually transmitted diseases. The mixed infections made up to 53.0% (54.9% females and 45.5% males). The index of prevalence of C. trachomatis in total cohort of examined individuals is equal to 2.2%. The age and gender differences were established concerning rate of detection of DNA of agents of sexually transmitted diseases. The DNA of C. trachomatis and viruses of herpes simplex type I and II was registered more often in males and the DNA of U. parvum/urealyticum, G. vaginalis, M. hominis, Candida spp. and cytomegalovirus - in females. The decreasing of amount of total bacterial mass and lactobacteria was established in all female patients with oncologic diseases. In females of this group the index of total prevalence of urogenital infections is 1.4 times lower than in group with inflammatory pathologies. The rate of mixed infections has factually no differences (52.9% and 55.2% correspondingly) and the level of detection of DNA of virus of human papilloma against the background of sexually transmitted diseases on the contrary is 1.7 times higher. In females being in menopause period total prevalence of agents of sexually transmitted diseases and rate of mixed infections were lower than in female patients of reproductive age.
THE MORBIDITY WITH TEMPORARY DISABILITY OF SAILORS OF TRANSPORT FLEET
Authors: Vagin Vladimir A.
Published: May 2019

The article presents analysis of structure, rate and duration of morbidity of temporary disability of sailors of the Sakhalin oblast in 2010-2017. The results of study demonstrated that structure of morbidity of temporary disability factually had no changes but number of cases and days of disability because of morbidity significantly and reliably decreased both among males and females. The decreasing of morbidity of temporary disability occurred mainly at the expense of diseases of musculoskeletal system and connective tissue, diseases of blood circulation system, traumas, intoxications and other external causes. The significant gender differences in indices of morbidity of temporary disability remain. They are significantly higher in females. So, in 2010-2013 number of cases of temporary disability among females was twice higher and number of days of temporary disability 1.64 times higher than among males. In 2014-2017 these indices among females were 1.68 and 1.62 times higher than among males correspondingly. The temporary disability among sailors basically was related to diseases of respiratory system, musculoskeletal system and connective tissue, digestion system, traumas, intoxications and other external causes and also with neoplasms.
THE PATHOLOGY OF STOMACH AND DUODENUM IN SCHOOLCHILDREN OF THE REPUBLIC OF TYVA
Authors: Polivanova Tamara V. , Kasparov E. V. , Vshivkov V. A. , Murav'eva N. G. , Zaytseva O. I.
Published: May 2019

The article presents the data of implemented in 2017 re-monitoring of prevalence of main forms of gastroduodenal pathology among 471 schoolchildren aged from 7 to 17 years in rural territory of the Republic of Tyva being a territory of extremely high morbidity of carcinoma of stomach of adult population, especially indigenous one. It is established that negative dynamics of prevalence of dyspepsia syndrome, a main clinical manifestation of pathology of stomach and duodenum observed during previous monitoring is absent among examined children. At that, among Caucasian schoolchildren there is an increasing of its rate as compared with data of analogous monitoring i 2008-2009. Besides, clinical course of dyspepsia has been changed: a pain alternative is marked more rarely in children of both populations. The positive result of monitoring of children of Tyva in 2017 is disappearance of cases of peptic ulcer from the structure of gastroduodenal pathology in indigenous residents. At that, on the whole in children no significant dynamics of structure of diseases of stomach and duodenum were detected. The results of monitoring testify positive dynamics in prevalence of gastroduodenal pathology in schoolchildren of the Republic of Tyva. The monitoring permits to obtain reliable data of prevalence of gastroduodenal pathology and main tendencies in their dynamics. The implementation of data collection and analysis of effecting social ecological factors during monitoring application will increase efficiency of prevention.
THE EVALUATION OF INDICES OF MORBIDITY AND MORTALITY OF VARIOUS TYPES OF STROKE IN COHORT OF WORKERS UNDERWENT OCCUPATIONAL IRRADIATION
Authors: Moseeva Mariya B. , Grigoryeva E. S. , Azizova T. V.
Published: May 2019

The purpose of study. To evaluate indices of morbidity and mortality of various types of strokes in the cohort of workers of the nuclear industry enterprise of the Ural Federal Okrug exposed to occupational prolonged irradiation. Materials and methods. The study was carried out in the cohort of 22,337 workers (25% of females) of the production association "Mayak" hired in 1948-1982 on the basis of medical dosimetry data base "Klinika" and data base "The Dosimetry System for Workers of the Production Association "Mayak" - 2008" The intensive (crude) indices and standardized indices of morbidity and mortality per 1,000 man-years were calculated. Results. The number of cases and deaths included in analysis made up to 2533 and 797 correspondingly. The most frequently occurring type of stroke is brain infarction. The largest number of cases and deaths of stroke (69% and 81% correspondingly) was registered in individuals aged older than 60 years. The results of implemented study demonstrated that morbidity and mortality of stroke in the analyzed cohort of workers depended on gender, age and calendar period. Conclusions. Because cerebrovascular diseases are one of the main causes of mortality and permanent disability of population of Russia, the results of study of unique cohort will input into analysis of epidemiology of cerebrovascular diseases. Alongside with the results of other large studies they can become a basis of development of preventive programs targeted to decreasing of morbidity and mortality of cerebrovascular diseases, including contingents working in contact with sources of ionizing radiation.
THE EMPLOYMENT EXPERIENCE DETERMINATION OF HEALTH DISORDERS IN WORKERS OF PHTHALATE PRODUCTION
Authors: Karamova L. M. , Vlasova Natalya V. , Basharova A. V.
Published: May 2019

The article presents the results of complex hygienic and physiological studies of conditions of labor of workers of chemical industry. The age and seniority determinacy of health disorders. The alterations of cardio-vascular, nervous systems, ENT-organs, musculoskeletal system and connective tissue are established. In workers of main group unidirectional alterations are established concerning indices of peripheral blood characterized by anemic syndrome, neutrophil leukocytosis, lymphocytosis, eosinophilia and expressed thrombocytopenia.
THE HEALTH CARE AND POPULATION HEALTH IN THE KALUGA REGION
Authors: Turchaeva Nataliya R.
Published: May 2019

The support of high level of life quality of population presupposes organization of efficient health care system both in general and in particular regions. The state health care investments permitted to implement large-scale state programs, including the priority National Project "Health" and regional programs of health care modernization. All this promoted positive alterations in demographic policy and health attitude in population and increasing of average life-span. However, problem of establishing characteristics and trends in alterations of demographic policy, population health, level of morbidity of main classes of diseases and assessment of efficiency of health care system in conditions of concrete region continues to be rather actual one and significant for practice. The statistical data was used for analyzing main demographic indices of the Kaluga region with the purpose to characterize actual demographic situation as one of the factors of social economic development of the region. The analysis of primary morbidity according visits to medical institutions and mortality of population of the oblast was implemented. The distribution of population of Kaluga region according age groups was demonstrated, characterizing decreasing of number of able-bodied population against the background of increasing of number of population older than able-bodied age. The dynamics of development of health care system in the Kaluga region during 2010-2016 was presented and analyzed.
VIRAL HEPATITIS B IN THE ARKHANGELSK REGION: LONG-TERM TRENDS AND CURRENT EPIDEMIOLOGICAL SITUATION
Authors: Balaeva Tatiana V. , Samodova O. V. , Grzhibovskiy A. M. , Sannikov A. L. , Lykova A. G.
Published: May 2019

Introduction. Infection caused by virus hepatitis B is a serious medical and social problem worldwide because of high morbidity, mortality and high costs of treatment. After introduction of mass vaccination for HBV in Russia the main issue related to HBV is high incidence and prevalence of chronic forms. Methods. Forms No. 2 and No. 6 of the state statistical reporting in 1986-2016 were analyzed. A population-based cross-sectional study of Arkhangelsk population aged 18-39 years was carried out to assess the prevalence of HBV markers (HBs Ag, anti-HBc) and antibodies to HBs Ag as well as factors associated with HBV infection. Results. During the study period, the pattern of incidence of acute- and chronic HBV infection in the Arkhangelsk region is similar to the pattern of incidence in Russia, but the magnitude of regional indicators of the incidence of acute HBV was lower while the incidence of chronic HBV infection was higher than nationwide. According to laboratory data, among 1243 participants the prevalence of serological markers (HBs Ag and/or anti-HBc) in the sample was 11.8% among men and 10.2% among women. Altogether, 1.1% of the men and 1.3% of the women had positive results for HBs Ag. In total, 46.4% of the men and 38.9% of the women had all three tests negative. 46.9% of the participants were positive only for antibodies to HBs Ag. Discussion. In the Arkhangelsk region the vaccination has had the greatest influence on intensity of epidemic process of acute HBV infection. The incidence of chronic HBV infection decreased in the region in 3 times after initiation of large-scale vaccination. Conclusion. The percentage of vaccinated persons in Arkhangelsk region is high. Still there are sources of infection in the population.
STUDY OF SYNDROME OF EMOTIONAL BURNOUT IN STUDENTS OF THE FACULTY OF PHARMACY
Authors: Nagornyak Yuliya G. , Kanakina T. A. , Fokin V. A.
Published: May 2019

According to many studies, the activity of medical students is one of intense emotional types of labor, which affects the state of their mental and physical (somatic) health. The degree of emotional burnout in students of the Faculty of Pharmacy was studied. A high degree of emotional exhaustion and depersonalization was found in 27.6% of students and depersonalization in 23.7% of students, medium level - 22.4% and 26.3% respectively, low level of psychological depletion determined in half of the students in study group. 17.2% of respondents revealed diminished importance of personal achievements and dissatisfaction with learning process to a large extent. Conducted research manifested statistically reliable factors that cause professional burnout, such as: accommodation conditions, occupation in accordance to degree, gender.