bluuebunny/crossref_metadata_2025 huggingface dataset:
Espacios rural-urbanos: nuevos territorios de transición energética en Argentina
Authors: Nogar Ada Graciela , Clementi Luciana Vanesa , Jacinto Guillermina Paula , Valania María Paula
Published: January 2022

Los espacios rural-urbanos se constituyen como territorios relevantes para el estudio de los procesos de transición energética que impulsan nuevas formas de generación, consumo y gestión de la energía. La heterogeneidad de usos que estos espacios acogen —productivos, extractivos, de servicios y residenciales— incrementan la demanda y la diversidad de necesidades energéticas. El trabajo analiza proyectos de producción de energía a partir de fuentes renovables en espacios rural-urbanos en Argentina, con foco en experiencias de generación distribuida que buscan satisfacer demandas situadas. Se reflexiona sobre la resignificación de las funciones energéticas que se despliegan en estos territorios en un contexto de adopción de formas de aprovisionamiento energético más sustentables y diversas. A través de trabajos en terreno, entrevistas semiestructuradas, fuentes secundarias y cartografía temática, se presentan casos de estudio donde se identifican las condiciones y obstáculos de evolución de las iniciativas y las transformaciones que han inducido en los territorios rural-urbanos examinados. Los casos analizados visualizan situaciones heterogéneas vinculadas con el grado de avance de los proyectos y nuevos desafíos para una gestión más descentralizada de la energía en los espacios rural-urbanos.
Calidad de vida y lesiones radiológicas en pacientes con tuberculosis sensible en el cono norte de Lima, Perú
Authors: Reynoso Guerrero Pamela , Llanos Tejada Félix Konrad , De la Cruz Vargas Jhony
Published: January 2022

Objetivo Determinar la correlación entre calidad de vida y lesiones pulmonares por radiografía en pacientes con tuberculosis en Lima Norte (Lima, Perú), durante el periodo 2018.
Métodos Se realizó un estudio descriptivo de correlación para evaluar la calidad de vida y lesiones pulmonares por radiografía de los pacientes en tratamiento con esquema sensible de la jurisdicción del Hospital Nacional Sergio Bernales. La muestra correspondió a 102 pacientes pertenecientes al programa de tuberculosis, para la cual se utilizó el cuestionario respiratorio de Saint George, que mide la calidad de vida, constituida por tres dimensiones: síntomas, actividad social o impacto. Las lesiones radiológicas se cuantificaron mediante la clasificación de Willcox. Para el análisis de los datos se utilizó el programa SPSS, versión 23. Se estimó Chi-cuadrado y el coeficiente de correlación para determinar asociación de las variables.
Resultados La correlación de Spearman es 0,622, lo que indica una relación positiva alta entre calidad de vida y lesiones pulmonares en pacientes con tuberculosis (p<0,05). Se determinó asociación entre calidad de vida y tiempo de tratamiento, con cambios en el tercer mes.
Conclusión Existe una asociación entre calidad de vida y lesiones pulmonares por radiografía de pacientes con tuberculosis.
From the History of Establishment and Activities of the Mordovian Working Faculty (1929–1939)
Authors: Lunin Valery S.
Published: January 2022

Introduction. In the 1920s and 1930s, the USSR accumulated significant experience in pre-university training for young people, some elements of which remain relevant to this day. In domestic historical science, special attention was paid to the analysis of the phenomenon of workers’ faculties, which played a huge role in our country in the formation of the Soviet intelligentsia. However, at the regional level, to date, there is not a single special study, which would comprehensively consider the issues of the emergence and activities of the Mordovian workers’ faculty. This article attempts to partially fill this kind of “white spot” in the latest historiography of the history and culture of the Mordovian region and people. Materials and Methods. The main resource base of the study was made up of materials from the funds of the Central State Archives of the Republic of Mordovia (CSA RM), most of which are introduced into scientific circulation for the first time. The methodological basis for the analysis of the collected factual material was both general scientific research methods (analysis, synthesis, induction, deduction, etc.) and special historical methods: descriptive (ideographic), historical-genetic, problem-chronological, historical-systemic. Results. The author reveales the reasons for the creation of the Mordovian workers’ faculty as the main form of pre-university training in Mordovia in the 1930s, shows the dynamics of its student body; analyzes the state of the educational process and extracurricular work at the workers’ faculty; gives the characteristic features of the financial situation, everyday life and life of Mordovian students-workers of the faculty. Conclusion. The creation of the Mordovian Workers’ Faculty at the end of the 20s of the last century was an adequate response to the urgent vital need of the young Mordovian statehood for its own highly qualified personnel. With all the minuses and shortcomings in its activities, the workers’ faculty has become the main “forge of applicants” from workers and peasants for the higher school of Mordovia, a kind of “forerunner” of the preparatory department and the faculty of pre-university training and secondary vocational education of Ogarev Mordovia State University.
SUPPORT OF INFORMAL CARERS FOR PEOPLE AFTER A STROKE WITH CROWDSOURCING AND NATURAL LANGUAGE PROCESSING
Authors:   Palacky University Olomouc, Krizkovskeho 511/8, CZ-771 47 Olomouc, Czech Republic, ŠALOUN Petr , CIGÁNKOVÁ Barbora ,   Faculty of Electrical Engineering and Computer Science, VSB - Technical University of Ostrava, Ostrava, Czech Republic, ANDREŠIČ David ,   Faculty of Electrical Engineering and Computer Science, VSB - Technical University of Ostrava, Ostrava, Czech Republic, KRHUTOVÁ Lenka ,   Faculty of Social Studies, University of Ostrava, Ostrava, Czech Republic
Published: January 2022

For a long time, both professionals and the lay public showed little interest in informal carers. Yet these people deals with multiple and common issues in their everyday lives. As the population is aging we can observe a change of this attitude. And thanks to the advances in computer science, we can offer them some effective assistance and support by providing necessary information and connecting them with both professional and lay public community. In this work we describe a project called “Research and development of support networks and information systems for informal carers for persons after stroke” producing an information system visible to public as a web portal. It does not provide just simple a set of information but using means of artificial intelligence, text document classification and crowdsourcing further improving its accuracy, it also provides means of effective visualization and navigation over the content made by most by the community itself and personalized on a level of informal carer’s phase of the care-taking timeline. In can be beneficial for informal carers as it allows to find a content specific to their current situation. This work describes our approach to classification of text documents and its improvement through crowdsourcing. Its goal is to test text documents classifier based on documents similarity measured by N-grams method and to design evaluation and crowdsourcing-based classification improvement mechanism. Interface for crowdsourcing was created using CMS WordPress. In addition to data collection, the purpose of interface is to evaluate classification accuracy, which leads to extension of classifier test data set, thus the classification is more successful.
THERMAL SIMULATION OF CNC MILLING MACHINE DRIVES
Authors:   Department of Theoretical and Industrial Electrical Engineering, Faculty of Electrical Engineering and Informatics, Technical University of Košice, Letná 9, 042 00 Košice, Slovak Republic, FECKO Branislav , VINCE Tibor ,   Department of Theoretical and Industrial Electrical Engineering, Faculty of Electrical Engineering and Informatics, Technical University of Košice, Letná 9, 042 00 Košice, Slovak Republic
Published: January 2022

The publication deals with the design of thermal simulation of CNC milling machine drives. The first part of the publication defines the individual parts of the thermal model concept and their mutual influence. Subsequently, simulations of drives were created. The first thermal model is defined for a stepper motor which is a drive for the linear axes of a CNC milling machine. Subsequently, the design of the thermal drive of the spindle is analysed, which uses a DC motor with permanent magnets. Using previous models of the drive, a model of the entire CNC milling machine was designed. In the last part, the model was compared with real measurements, which evaluated the tolerances of the system.
THERMAL ANALYSIS OF HIGH-CURRENT ELECTRIC CONTACT
Authors:   Department of Electric Power Engineering, Faculty of Electrical Engineering and Informatics, Technical University of Košice, Mäsiarska 74, 042 01 Košice, Slovak Republic, MEDVEĎ Dušan , PRESADA Ján ,   Department of Electric Power Engineering, Faculty of Electrical Engineering and Informatics, Technical University of Košice, Mäsiarska 74, 042 01 Košice, Slovak Republic
Published: January 2022

This paper deals with mathematical modelling of the temperature distribution in the vicinity of a direct electrical high-current contact under the action of a nominal current of 3000 A. High-current electrical contacts belong among the elements by which a large number of electrical devices are connected. They play an important role especially in the transmission and distribution system, where they have to withstand adverse weather conditions that have a significant impact on their degradation.
Ageing societies and the first and second waves of the COVID-19 pandemic – Statements of the European Geriatric Medicine Society and measures of the Hungarian Government concerning older people
Authors: Lelbach A. , Bényei E.
Published: January 2022

Purpose

Ageing of the societies is a demographic phenomenon in the developed world. SARS-CoV-2 is a novel human coronavirus responsible for a pandemic of coronavirus disease 2019 (COVID-19). World Health Organization (WHO) data demonstrated that the first two waves of the pandemic had the most severe impact on older people and that is why new guidelines and protocols were necessary in geriatric medicine to protect senior citizens.

Materials and methods

In our publication, we summarise the three statements of EuGMS concerning the first and second waves of COVID-19 pandemic in Europe. Besides following the European recommendations, a proper local response was necessary in each country.

Results

The Hungarian Government has successfully completed the necessary measures during the first two waves, which are summarised in our publication. Those measures took into consideration not only the international guidelines, but the capacities of the healthcare system, as well as the sociodemographic and economic characteristics of the country.

Conclusions

Successful local defence against COVID-19 required adequate and optimised interpretation of the international guidelines to save the life of thousands of older adults in Hungary.
RACISM IN WHERE’S THE MONEY(2017) MOVIE
Authors: Sholihati Jeanniefer , Purnama Arry
Published: January 2022

Racism still needs attention because it still happens until now. Where’s the Money is attractive popular movie about black people so that this research focuses on exploring the kind of racism in Where’s the Money (2017) movie to get a closer look at some kinds of coming from the action and/or dialogue. The main objective of this research is to determine the forms of racism. The researchers employed Mark Harlsted’s theory of racism by literary criticism and an objective approach. This research is also framed in a qualitative descriptive method in collecting the data. The result shows that racial discrimination often occurs in the movie. There are three types of racial discrimination found in the movie: Pre-reflected Gut Racism, Cultural Racism, and Institutional Racism. The findings are ten data showing Pre-reflected Gut Racism, eight data exhibiting Cultural Racism, and three data displaying Institutional Racism. The three data that have been collected and listed are those that have been classified based on their form and types, and also analyzed according to the approach and theories. Based on the findings, it can be seen that Whites give opportunity to a Black to join his community only for their own advantages. That is, to make a good image in the society as open-minded individuals concerning the racial issues. Most people say that racism does no longer exist, but the reality makes different views. In the US, Black Lives Matter is one of the movements which becomes a great issue and very crucial, which is also related to racial topic. Keywords: Racial Discrimination; Racism; Movie; Pre-reflected Gut Racism;     Cultural Racism; Institutional Racism
PERIKANAN PURSE SEINE DI LAUT JAWA YANG BERPANGKALAN DI PPN PEKALONGAN, STUDI KASUS : TONGKOL ABU-ABU (Thunnus tonggol)
Authors: Zeny Acacia , Maulana Ikhsan , Suyasa I Nyoman , Mulyoto Mulyoto
Published: January 2022

Purse seine adalah alat tangkap yang banyak dioperasikan di Laut Jawa (WPPNRI 712). Alat tangkap ini banyak berkontribusi mendaratkan ikan pelagis di PPN Pekalongan. Penelitian ini bertujuan untuk mengkaji aspek perikanan tangkap dari purse seine di Laut Jawa yang berpangkalan di PPN Pekalongan. Penelitian ini dilakukan pada 2 Maret - 15 Mei 2020. Metode yang digunakan yaitu metode survey dan observasi langsung maupun di atas kapal penangkapan (purse seiner). Hasil penelitian ini menunjukkan komposisi hasil tangkapan selama bulan Maret - April terdiri  dari  ikan  kembung  (Rastrelliger spp),  ikan layang (Decapterus spp),  Ikan selar (Caranx sp), ikan tembang (Sardinella fimbriata), dan ikan pelagis kecil lainnya dengan ikan tongkol abu-abu (Thunnus tonggol) sebagai hasil tangkapan utamanya. Pengoporasian purse seine berlangsung pada pukul 06:00 – 18:00 WIB dengan lama setting-hauling 2-4 jam.
KARAKTERISTIK SENSORI KAMABOKO CUMI-CUMI (Loligo sp.) DENGAN VARIASI PENGGUNAAN TEPUNG TAPIOKA DAN NaCl
Authors: Azka Aulia , Suryono Muh. , Pratiwi Indah Sari
Published: January 2022

Cumi-cumi (Loligo sp.) merupakan komoditas yang banyak ditemukan di perairan Indonesia. Cumi-cumi dapat diolah menjadi kamaboko. Kamaboko adalah olahan daging ikan yang memiliki kekuatan gel yang homogen. Tujuan penelitian ini yaitu untuk mengetahui karakteristik sensori kamaboko cumi-cumi (Loligo sp.) dengan variasi penggunaan konsentrasi tepung tapioka dan NaCl. Metode penelitian menggunakan metode eksperimental dengan 3 perlakuan, produk diuji sensori oleh 30 orang panelis untuk mengetahui karakteristik sensori kamaboko. Kamaboko cumi-cumi dengan variasi konsentrasi tepung tapioka dan NaCl terdiri dari tiga perlakuan yaitu tepung tapioka 6% & NaCl 3% (K 1), tepung tapioka 9% & NaCl 6% (K2), tepung tapioka 12% & NaCl 9% (K3). Hasil penelitian menunjukkan bahwa kamaboko cumi-cumi dengan variasi penggunaan tepung tapioka dan NaCl memberikan pengaruh yang berbeda nyata terhadap penilaian panelis pada parameter rasa, tekstur, uji lipat dan uji gigit. Perlakuan yang terbaik yaitu perlakuan K2 dengan komposisi tepung tapioka 9% dan NaCl 6%, dimana semua parameter panelis memberikan penilaian tertinggi.
KOMPOSISI HASIL TANGKAPAN IKAN PADA KM PUSPA SARI 03 DI PERAIRAN SUMATERA BARAT
Authors: Nurlaela Eli , Magribi Afif Al , Husein Eddy Sugriwa , Yuniarty Tatty , Aini Sarifah , Angin Robet Perangin , Sari Iya Purnama , Putra Angkasa , Maulita Mira
Published: January 2022

Pelabuhan Perikanan Samudera Bungus memiliki potensi perikanan yang melimpah. Produksi hasil perikanannya semakin meningkat setiap tahunnya. Posisi Pelabuhan Perikanan Samudera Bungus juga sangat dekat dengan WPP 572. Alat tangkap yang banyak digunakan di Pelabuhan Perikanan Bungus adalah Bagan Berahu. Penelitian ini dilakukan dengan tujuan untuk mengetahui komposisi hasil tangkapan bagan perahu pada KM PUSPA SARI 03 di Perairan Sumatera Barat. Penelitian ini dilaksanakan selama 134 hari yaitu pada tanggal 11 Januari 2021 sampai dengan 25 Mei 2021 dengan melakukan operasi penangkapan ikan di perairan Sumatera Barat pada KM PUSPA SARI 03 yang berpengkalan di Pelabuhan Perikanan Samudra Bungus, Kota Padang, Sumatera Barat. Teknik pengambilan data yang digunakan yaitu observasi/pengamatan langsung di lapangan. Hasil penelitian menunjukan bahwa terdapat 3 jenis ikan hasil tangkapan utama kapal bagan perahu KM. Puspa Sari 03 yaitu: Tongkol (Euthynnus affinis), Tuna sirip Kuning (Thunnus albacares), dan Layang Deles (Decapterus macrosoma). Total hasil tangkapan sebanyak 62.674 kg, dengan komposisi hasil tangkapan yaitu ikan tongkol sebesar 49 % atau (30.840 kg) kemudian ikan layang deles sebesar 35 % atau (21.690 kg) dan ikan tuna sirip kuning sebesar 16 % atau (10.144 kg). Data tersebut di dapat selama 14 trip penangkapan dengan jumlah setting 96 kali.
PENENTUAN UMUR SIMPAN ABON IKAN CAKALANG (KATSUWONUS PELAMIS) DI UMKM MAHA KARYA, KABUPATEN PANGANDARAN
Authors: Sujuliyani Sujuliyani , Dharmayanti Niken , Rini Nofi Sulistiyo , Lathifa Alfina Salma
Published: January 2022

Pesisir pantai Pangandaran Jawa Barat merupakan salah satu penghasil produk abon ikan cakalang dikarenakan tingginya potensi hasil tangkap ikan cakalang. Salah satu penghasil produk abon ikan cakalang di Pangandaran adalah di UMKM Maha Karya. Penelitian ini bertujuan untuk mengetahui karakteristik mutu, nilai gizi, dan daya awet produk dengan metode ASLT. Penentuan umur simpan abon menggunakan dua perlakuan kemasan alumunium foil dan paper kraft dengan tiga parameter suhu (30oC 40oC, dan 50oC). Mutu abon cakalang pada kemasan alumunium mempunyai karakteristik dengan  memiliki kadar air 5.42%, kadar abu 5.93%, kadar protein 28.42%, kadar lemak 7.98%, cemaran mikroba 2.1x102 koloni/g, dan organoleptik 9.95. Mutu abon cakalang pada kemasan paper kraft adalah kadar air 5.83%, kadar abu 8.39%, kadar protein 27.84%, kadar lemak 7.98%, cemaran mikroba 3.7x102koloni/g, dan organoleptik 9. Hasil parameter mutu didapatkan produk terpilih dari kedua jenis kemasan adalah abon cakalang dengan kemasan alumunium karena memiliki mutu yang lebih tinggi, sehingga penentuan umur simpan dilanjutkan pada produk kemasan alumunium. Dari ketiga parameter yang diteliti diketahui bahwa kadar air menghasilkan energi aktivasi terendah (2275,95 kal/mol). Reaksi penurunan mutu produk abon ikan cakalang mengikuti ordo reaksi 1 dengan persamaan regresi linier y = -1146x + 0,6187. Pada suhu 30°C produk mampu bertahan lebih lama 222 hari/7,4 bulan, sedangkan pada suhu 40°C 196 hari/6,5 bulan dan suhu 50°C selama 175 hari/5,8 bulan. Penggunaan Kemasan alumunium foil direkomendasikan untuk produk abon ikan cakalang dan disimpan disuhu 30°C atau suhu ruang dalam rangka memperpanjang umur simpan produk.;;
Trade Heterogeneity in the EU: Insights from the Emergence of COVID-19 Using Time Series Clustering
Authors: Dwivedi Dwijendra Nath , Anand Abhishek
Published: January 2022

Objective: The objective of the paper is to analyse segmentation of EU-27 countries based on quarterly growth rates of exports and imports by using time series clustering.Research Design & Methods: We applied a time series clustering algorithm using TS nodes in SAS Enterprise Miner. To analyse the impact of the pandemic, we considered clusters based on export and import growth rates for two time periods, pre-emergence and post-COVID-19 emergence.Findings: We find that grouping based on export and import growth rates vary for EU-27 countries. Also, clustering results change significantly for post-COVID-19 emergence compared to pre-COVID-19 emergence. Cyprus emerged as an exception based on export growth rates, while Malta came out as an outlier based on the segmentation of its import growth rates.Implications / Recommendations: The impact and severity of COVID-19 has varied across EU countries, which have shown a varied impact in their trade patterns characterised by growth rates of exports and imports. The clustering analysis presented in the paper helps to explain similarities and differences in trade patterns of EU members during the COVID-19 pandemic to effectively implement and harmonise EU specific trade policies to member countries.Contribution: The study contributes to the literature on EU trade by providing an approach to analysing EU-27 segments using time series clustering analysis. It also enhances the growing literature on the impact of the pandemic on international trade by separating clustering analysis for the COVID-19 period and investigating the drivers for the segmentation.
Talent Management and the Financial Results of the Foreign Subsidiaries of Polish MNCs – Empirical Research Findings
Authors: Stor Marzena , Haromszeki Łukasz
Published: January 2022

Objective: To identify regularities between the overall advancement level of talent management and its constituent elements and company financial performance thanks to the significance of the human factor-based competitive advantage.Research Design & Methods: The research sample covered 200 nonfinancial Multinational Corportations (MNCs) headquartered in Poland with an overwhelming percentage share of Polish capital. They engage in a variety of economic activities. CATI and CAWI were used, as was a benchmarking measurement method was applied. The general description and analysis of the research data were done using descriptive and correlational statistics.Findings: The contributive significance of talent management to company’s performance falls between important and very important. The selected components of talent management exhibit positive and statistically significant internal relationships. This means that the higher the advancement levels of particular components of talent management, the higher its overall advancement level as an HRM subfunction. Moreover, the higher the overall advancement level of talent management, the better the company’s financial performance. This has led to the recognition that advancing the level of talent management results in better financial outcomes for companies.Implications / Recommendations: The research findings confirm that human capital, in its two basic categories, can be successfully treated as a company competitive factor. Skills, knowledge and competencies developed in talent management programmes may enhance company performance, including financial results, both at the HQs of MNCs and at foreign subsidiaries. Additionally, the results make it possible to formulate some practical recommendations that may support the managerial staff in making decisions regarding talent management, e.g. in planning the number and type of talent management components and ensuring their most optimal coexistence.Contribution: The research findings contribute to the development of management theory and practice, particularly to the development of talent management as a subfunction of HRM in MNCs. The authors have identified the regularities they theorised might exist between talent management and company financial performance due to the significance of human factor-based competitive advantage. Therefore, it can be assumed that research on the relationships between these variables in Polish MNCs helps fill in a research gap due to the object and subject of research.
Kompetencje cudzoziemców w opinii pracodawców aglomeracji poznańskiej
Authors: Shelest-Szumilas Olena
Published: January 2022

Objective: To assess the extent to which migrant workers employed by Polish companies adjust their skills to fit their employers’ needs. The study examines employers’ opinions about the competences of foreign workers employed in the Poznań area.Research Design & Methods: The data were collected with a survey and subjected to statistical analysis. Descriptive statistics and mathematical statistical methods were applied and presented. This is followed by a discussion of the results of previous empirical research in which foreign nationals self-assessed the match between their skills and the jobs they perform.Findings: Although a significant percentage of foreigners working in Poland are equipped with a high level of human capital, it is barely utilised by Polish enterprises.Implications / Recommendations: The employers do not recognise much of a skills mismatch. And even if they are aware of one, they are primarily shoring up their shorthanded workforce, not looking at the potential that could be utilized. The problem of skills mismatch among foreigner workers is exacerbated by Poland’s relative failure to exercise an integration policy.Contribution: The article argues for the need to undertake further in-depth research on the skills mismatch of foreign workers in Poland.
Dynamics of fibrotic and vascular endothelial dysfunction markers in elderly hypertensive patients after ischemic stroke receiving beta-blockers
Authors: Osipova O. A. , Gosteva E. V. , Belousova O. N. , Gorelik S. G. , Klyushnikov N. I. , Lykov Yu. A. , Khachaturov A. N. , Bukatov V. V.
Published: January 2022

Aim. To compare the effect of beta-blocker therapy (bisoprolol and nebivolol) on the dynamics of fibrotic and vascular endothelial dysfunction markers in elderly hypertensive patients after ischemic stroke (IS).

Material and methods. This prospective cohort study included 75 hypertensive patients who were admitted to the hospital due to IS. The mean age of patients was 67±6 years. The average National Institutes of Health Stroke Scale (NIHSS) score was 7±3. The followup period was 6 months. The control group consisted of 20 elderly people with hypertension without prior myocardial infarction. The patients were divided into groups based on received therapy: group 1 (n=38) — bisoprolol; group 2 (n=37) — nebivolol. The level of matrix metalloproteinase-9 (MMP-9) and tissue inhibitor of metalloproteinase-1 (TIMP-1) was determined by enzyme-linked immunosorbent assay (ELISAKit, USA). Vascular ultrasound was carried out using a LOGIQP9 (GE) system according to the Celermajer method.

Results. After 6-month nebivolol, we revealed a decrease in the level of MMP-9 by 30,2% (p<0,01), TIMP-1 by 15,6% (p<0,05). After 6-month bisoprolol therapy, the level of MMP-9 decreased by 14,5% (p<0,05), while TIMP-1 did not change. Intergroup comparison found that when using nebivolol, there was a higher decrease in the level of MMP-9 by 15,7% (p<0,05), TIMP-1 by 9,7% (p<0,05), MMP-9/TIMP-1 by 7,8% (p<0,05) than with bisoprolol therapy. After 6-month bisoprolol therapy, there was a decrease in the proportion of patients with severe endothelial dysfunction (ED) by 7,9% (p<0,05). Two patients from the nebivolol group moved into mild ED category. The number of patients with moderate ED increased by 19% (p<0,01), while prevalence of severe ED decreased by 24,4% (p<0,01).

Conclusion. The results obtained indicate that the beta-blocker nebivolol at an average dose of 8,55+1,75 mg/day significantly reduces the vascular fibrosis, normalizes the ratio of collagen synthesis and degradation markers, improves the vasodilation brachial artery properties in comparison with bisoprolol in elderly hypertensive patients after IS.
Prevention continuum: an assessment of cardiovascular disease prevention based on the data from a survey of doctors
Authors: Drapkina O. M. , Shepel R. N. , Drozdova L. Yu. , Orlov D. O.
Published: January 2022

Aim. To assess the awareness and engagement of health professionals in Russia in the main aspects of cardiovascular disease prevention.

Material and methods. In order to assess engagement and awareness, an online survey of Russian primary health care providers was conducted in March 2021. The survey was conducted using original questionnaire, which includes the main questions aimed at early identification of patients with modifiable cardiovascular risk factors.

Results. In case of newly diagnosed hypercholesterolemia and elevated blood pressure during screening, 91,8% (n=458) of the surveyed medical specialists record the results and immediately consult the patient on these issues. Similar responses was obtained by 93% (n=464) of doctors for patients with previously prescribed antihypertensive and/or lipid-lowering therapy. In addition, 46,5% (n=232) responded that during screening, 10-30% of patients had newly diagnosed hypertension and/or total cholesterol >5 mmol/L. A total of 28,9% (n=144) of respondents noted that 30-50% of patients with newly diagnosed hypertension and/or total cholesterol >5 mmol/L are detected at screening. It is noteworthy that 41,9% (n=209) of physicians devote 1 to 5 minutes to a patient, describing the changes in lifestyle, diet and physical activity. For 35,1% (n=175) of the respondents, this takes from 5 to 10 minutes, 22% (n=110) — >10 minutes, while ~5 respondents refer patients to another specialist for this purpose.

Conclusion. The survey showed a high awareness of medical specialists in the need to monitor and modify risk factors. However, ~40% of surveyed doctors do not devote enough time to explaining issues of modifying lifestyle, diet and physical activity.
Population-nosological research biobank of the National Medical Research Center for Therapy and Preventive Medicine: analysis of biosamples, principles of collecting and storing information
Authors: Kopylova O. V. , Ershova A. I. , Pokrovskaya M. S. , Meshkov A. N. , Efimova I. A. , Serebryanskaya Z. Z. , Blokhina A. V. , Borisova A. L. , Kondratskaya V. A. , Limonova A. S. , Smetnev S. А. , Skirko O. P. , Shalnova S. А. , Metelskaya V. A. , Kontsevaya A. V. , Drapkina O. M.
Published: January 2022

Aim. To analyze the structure of clinical data, as well as the principles of collecting and storing related data of the biobank of the National Medical Research Center for Therapy and Preventive Medicine (hereinafter Biobank).

Material and methods. The analysis was carried out using the documentation available in the Biobank, as well as the databases used in its work. The paper presents clinical data on biosamples available in the Biobank as of August 18, 2021.

Results. At the time of analysis, the Biobank had 373547 samples collected from 54192 patients within 37 research projects. The article presents the analysis of data representation and quantitative assessment of the presence/absence of common diagnoses in clinical projects. Approaches to documenting clinical information associated with biological samples stored in the Biobank were assessed. The methods and tools used for standardization and automation of processes used in the Biobank were substantiated.

Conclusion. The Biobank of the National Medical Research Center for Therapy and Preventive Medicine is the largest research biobank in Russia, which meets all modern international requirements and is one of the key structures that improve the research quality and intensify their conduct both within the one center and in cooperation with other biobanks and scientific institutions. The collection and systematic storage of clinical abstracts of biological samples is an integral and most important part of the Biobank’s work.
The outpatient medical care in patients with chronic diseases under dispensary supervision in the conditions of the COVID-19 pandemic. Temporary guidelines. Version 2
Authors: Drapkina O. M. , Drozdova L. Y. , Avdeev S. N. , Boytsov S. A. , Ivanova E. S. , Kaprin А. D. , Kunaeva T. A. , Lavrenova Е. A. , Liusan M. A. , Maev I. V. , Rakowskaya J. S. , Samorodskaya I. V. , Chesnikova А. I. , Shepel R. N.
Published: January 2022

Guidelines were approved at the meeting of the academic council of the National Medical Research Center for Therapy and Preventive Medicine, Moscow (Protocol No. 10 of 19.10.2021).

The aim of these guidelines is to provide primary care physicians with scientifically based algorithms for the implementation of dispensary monitoring in patients with chronic non-communicable diseases in the conditions of the new coronavirus infection (COVID-19) pandemic, including the use of telemedicine technologies.

The organization and conduct of high-quality medical follow-up are the most important tasks aimed at both reducing the risks of developing complications of chronic non-communicable diseases and reducing overall mortality, especially in the current conditions of the COVID-19 pandemic. The guidelines contain clinical aspects of dispensary follow-up, general principles of tactics for managing patients with various chronic non-communicable diseases in COVID-19 conditions, in addition, brief checklists with options for interviewing patients with various chronic non-communicable diseases are presented, topical aspects of the interaction of drugs used in the treatment of chronic non-communicable diseases with antiviral drugs are considered.

The guidelines are intended for general practitioners, district therapists, general practitioners (family doctors), as well as doctors of other specialties providing primary health care.
Mortalidade perinatal no Brasil em 2018: análise epidemiológica segundo a classificação de Wiggleworth modificada
Authors: Nobrega Aglaer Alves da , Mendes Yluska Myrna Meneses Brandão e , Miranda Marina Jorge de , Santos Augusto César Cardoso dos , Lobo Andréa de Paula , Porto Denise Lopes , França Giovanny Vinícius Araújo de
Published: January 2022

Resumo: A mortalidade perinatal engloba a mortalidade fetal e a neonatal precoce (0 a 6 dias). Este estudo descreveu os óbitos perinatais ocorridos no Brasil em 2018, segundo a classificação de Wigglesworth modificada. As fontes de dados foram os Sistemas de Informações sobre Mortalidade e sobre Nascidos Vivos. Foram calculadas as taxas de mortalidade fetal e perinatal por mil nascimentos totais (nascidos vivos mais natimortos) e a taxa de mortalidade neonatal precoce por mil nascidos vivos, e comparadas usando seus respectivos intervalos de 95% de confiança (IC95%). Os óbitos perinatais foram classificados nos grupos de causas anteparto, anomalias congênitas, prematuridade, asfixia e causas específicas. Foi calculado, para cada grupo de causas, o número de óbitos por faixa de peso, além das taxas de mortalidade e os respectivos IC95%, e feita a distribuição espacial das taxas de mortalidade por Unidade da Federação (UF). Foram registrados 35.857 óbitos infantis, sendo 18.866 (52,6%) neonatais precoces; os natimortos somaram 27.009. Os óbitos perinatais totalizaram 45.875, perfazendo uma taxa de mortalidade de 15,5‰ nascimentos. A maior taxa de mortalidade (7,6‰; 7,5‰-7,7‰) foi observada no grupo anteparto, seguido da prematuridade (3,6‰; 3,6‰-3,7‰). No grupo anteparto, 14 das 27 UFs (sendo oito na Região Nordeste e quatro na Região Norte) apresentaram as taxas de mortalidade perinatal acima da nacional. A taxa de mortalidade perinatal no Brasil mostrou-se elevada, e a maioria dos óbitos poderia ser prevenida com investimento em cuidados pré-natais e ao nascimento.
The path of canine visceral leishmaniasis versus the path of Center for Zoonoses Control: contributions of spatial analysis to health
Authors: Matsumoto Patricia Sayuri Silvestre , Flores Edilson Ferreira , Barbosa José Seguinot , Pessoto Umberto Catarino , Tolezano José Eduardo , Hiramoto Roberto Mitsuyoshi , Taniguchi Helena Hilomi , Guimarães Raul Borges
Published: January 2022

Visceral leishmaniasis (VL) is a public health problem in Brazilian municipalities. As much as there is a planning of public policies regards VL in São Paulo State, new cases have been reported and spread. This paper aims to discuss how the Center for Zoonoses Control conducts its actions spatially in endemic city of Presidente Prudente, São Paulo State. Data are from the Municipal Health Department of Presidente Prudente, Adolfo Lutz Institute, and Brazilian Institute of Geography and Statistics. We spatially estimated the dog population per census tract and used geoprocessing tools to perform choropleth maps, spatial trends, and spatial autocorrelation. We found a spatial pattern of higher prevalence in the city’s outskirt and a positive statistically significant spatial autocorrelation (I = 0.2, p-value < 0.000) with clusters of high-high relationships in the Northwest part of the city. Moreover, we identified a different direction in the path of the conducted serosurveys versus the canine VL trend, which stresses the fragility of the Center for Zoonoses Control actions to control the disease. The Center for Zoonoses Control always seems to chase the disease. The spatial analysis may be useful for rethinking how the service works and helps in public policies.
Barreiras e facilitadores do acesso de populações vulneráveis à PrEP no Brasil: Estudo ImPrEP Stakeholders
Authors: Pimenta Maria Cristina , Bermúdez Ximena Pamela , Godoi Alcinda Maria Machado , Maksud Ivia , Benedetti Marcos , Kauss Bruno , Torres Thiago Silva , Hoagland Brenda , Pereira Gerson Fernando Mendes , Grinsztejn Beatriz , Veloso Valdilea G.
Published: January 2022

Resumo: A profilaxia pré-exposição ao HIV (PrEP) tem sido considerada uma estratégia fundamental para o controle da epidemia de HIV/aids, e desde 2018 tem sido objeto de estudo de implementação (Estudo ImPrEP Stakeholders), realizado no Brasil, no México e no Peru. Um componente qualitativo desse estudo foi desenvolvido com o objetivo de identificar os contextos sociais e estruturais que envolvem e organizam a oferta de serviços de PrEP no Brasil, as subjetividades dos atores envolvidos e as diferentes percepções que podem impactar a efetivação dessa estratégia. O presente artigo teve como foco de análise o acesso das populações vulneráveis aos serviços de PrEP, na perspectiva de gestores, profissionais de saúde, lideranças ou ativistas e usuários de PrEP. É um estudo qualitativo com o uso de metodologia compreensiva, realizado em seis capitais brasileiras, em que foram entrevistados 71 atores-chave no período de novembro de 2018 a maio de 2019. A análise foi pautada pelos modelos analíticos sobre acesso propostos por Giovanella & Fleury, McIntyre et al. e Penchansky & Thomas. Os resultados são apresentados com base em três eixos: “percepções sobre prevenção combinada e PrEP”; “disponibilidade e adequação: perfil e estrutura dos serviços no contexto do ImPrEP”; e “aceitabilidade: atitudes e práticas dos profissionais de saúde e usuários”.
THE ROUTINE USE OF THE METHYLENE BLUE TEST IN SLEEVE GASTRECTOMY: WHY NOT?
Authors: FERRAZ Álvaro A. B. , SANTA-CRUZ Fernando , BELFORT João Victor , SÁ Vladimir C. T. , SIQUEIRA Luciana T. , ARAÚJO-JÚNIOR José Guido C.
Published: January 2022

ABSTRACT Background: Although considered a safe procedure, sleeve gastrectomy (SG) has a non-negligible risk of major postoperative complications related to it, with special attention to gastric leaks. Aim: Evaluate the clinical value of the methylene blue test (MBT) in predicting the occurrence of post-SG leaks. Methods: Retrospective study that included 1136 patients who underwent SG with intraoperative MBT between 2012 and 2016. Sensitivity, specificity, positive predictive value (PPV) and negative predicted value (NPV) were calculated to determine the clinical correlation between the MBT and the occurrence of postoperative leaks. Staple line oversewing was performed in all patients who presented positive MBT. Results: Laparoscopic SG was performed in 97.0% of cases; open in 2.3%, and robotic in 0.7%. MBT was positive in 19 cases (1.67%). One positive MBT occurred during an open SG and the other 18 at laparoscopy. Moreover, there were nine cases (0.8%) of postoperative leaks, among which, only two presented positive MBT. MBT diagnostic value was evaluated through the calculation of sensitivity (22.0%), specificity (98.0%), PPV (11.0%) and NPV (99.0%). There were no cases of allergic reaction or any other side effect with the use of the methylene blue solution. Conclusion: MBT showed high specificity and negative predictive value, thus presenting an important value to rule out the occurrence of postoperative leaks.
PROTOCOL FOR LIVER TRANSPLANTATION IN HILAR CHOLANGIOCARCINOMA
Authors: ERNANI Lucas , MARTINO Rodrigo Bronze de , ANDRAUS Wellington , FERNANDES Eduardo de Souza Martins , MELLO Felipe Pedreira Tavares de , ANDRADE Ronaldo , PIMENTEL Leandro Savattone , HADDAD Luciana Bertocco de Paiva , COELHO Fabricio Ferreira , HERMAN Paulo , D’ALBUQUERQUE Luiz Augusto Carneiro
Published: January 2022

ABSTRACT Background: Hilar cholangiocarcinoma represents more than half of all cholangiocarcinoma cases, having poor prognosis and presenting a median overall survival after diagnosis of 12-24 months. In patients who have unresectable tumors with a better prognosis, the proposal to perform liver transplantation emerged for expanding the possibility of free margins by performing total hepatectomy. Aim: To provide a Brazilian protocol for liver transplantation in patients with hilar cholangiocarcinoma. Method: The protocol was carried out by two Brazilian institutions which perform a large volume of resections and liver transplantations, based on the study carried out at the Mayo Clinic. The elaboration of the protocol was conducted in four stages. Result: A protocol proposal for this disease is presented, which needs to be validated for clinical use. Conclusion: The development of a liver transplantation protocol for cholangiocarcinoma aims not only to standardize the treatment, but also enable a better assessment of the surgical results in the future.
GASTROINTESTINAL COMPLICATIONS OF CORONAVIRUS DISEASE (COVID-19)
Authors: RIBEIRO-JUNIOR Marcelo Augusto Fontenelle , AUGUSTO Samara de Souza , ELIAS Yasmin Garcia Batista , COSTA Cássia Tiemi Kawase , NÉDER Paola Rezende
Published: January 2022

ABSTRACT Background: It is currently understood that severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) directly enters target cells by binding to the angiotensin-converting enzyme 2 (ACE2) receptor. Accordingly, tissues with high expression levels of ACE2 are more susceptible to infection, including pulmonary alveolar epithelial cells, small intestine enterocytes, cholangiocytes, and vascular endothelial cells. Considering the atypical manifestations of COVID-19 and the challenges of early diagnosis, this review addresses the possible gastrointestinal complications of the disease. Method: The phrase “Gastrointestinal complication of COVID” was searched in the PubMed, Medline, and SciELO databases. Due to the heterogeneity of the studies included in the present review, a narrative synthesis of the available qualitative data was performed. Result: The literature search retrieved 28 articles, primarily case reports and case series, for the qualitative analysis of gastrointestinal complications of COVID-19, in addition to two retrospective cohort and one case-control. The studies focused on hemorrhagic, thrombotic, ischemic, and perforation complications, in addition to acute pancreatitis and pneumatosis intestinalis. Conclusion: There is a straight relationship between high expression levels of ACE2 in the gastrointestinal tract and its greater susceptibility to direct infection by SARS-CoV-2. So, it is important to consider the gastrointestinal infection manifestations for early diagnosis and treatment trying to avoid more serious complications and death.
CIRRHOTIC PATIENTS WITH ACUTE KIDNEY INJURY (AKI) HAVE HIGHER MORTALITY AFTER ABDOMINAL HERNIA SURGERY
Authors: DUCATTI Liliana , HADDAD Luciana B. P. , MEYER Alberto , NACIF Lucas S. , ARANTES Rubens M. , MARTINO Rodrigo B. , ROCHA-SANTOS Vinicius , WAISBERG Daniel R. , PINHEIRO Rafael S. , D´ALBUQUERQUE Luiz A.C. , ANDRAUS Wellington
Published: January 2022

ABSTRACT Background: The incidence of abdominal hernia in cirrhotic patients is as higher as 20%; in cases of major ascites the incidence may increase up to 40%. One of the main and most serious complications in cirrhotic postoperative period (PO) is acute kidney injury (AKI). Aim: To analyze the renal function of cirrhotic patients undergoing to hernia surgery and evaluate the factors related to AKI. Methods: Follow-up of 174 cirrhotic patients who underwent hernia surgery. Laboratory tests including the renal function were collected in the PO.AKI was defined based on the consensus of the ascite´s club. They were divided into two groups: with (AKI PO) and without AKI . Results: All 174 patients were enrolled and AKI occurred in 58 (34.9%). In the AKI PO group, 74.1% had emergency surgery, whereas in the group without AKI PO it was only 34.6%.In the group with AKI PO, 90.4% presented complications, whereas in the group without AKI PO they occurred only in 29.9%. Variables age, baseline MELD, baseline creatinine, creatinine in immediate postoperative (POI), AKI and the presence of ascites were statistically significant for survival. Conclusions: There is association between AKI PO and emergency surgery and, also, between AKI PO and complications after surgery. The factors related to higher occurrence were initial MELD, basal Cr, Cr POI. The patients with postoperative AKI had a higher rate of complications and higher mortality.
Remote spatial analysis lacking ethnographic grounding mischaracterizes sustainability of Indigenous burning regime
Authors: Welch James R. , Brondizio Eduardo S. , Coimbra Jr. Carlos E. A.
Published: January 2022

Abstract: Scientific research that purports to evaluate Indigenous fire regimes in the absence of ethnographically contextualized ecological data runs the risk of exacerbating the fire blame game and providing evidence to support distorted narratives advanced by anti-Indigenous advocates. Spatial analysis of fire scars in Indigenous territories can be an effective tool for characterizing cultural fire regimes in terms of distribution and frequency, especially when qualified by linkages to different local ecosystems. A recently published article drew on fire scar mapping from satellite imagery to assess anthropogenic fire distribution and frequency in the Pimentel Barbosa Indigenous Land, Central Brazil. The authors use their findings to characterize A'uwẽ (Xavante) use of fire as unmanaged and a model of unsustainable use of cerrado resources. In this article, we discuss Aguiar & Martins's recent paper in light of our long-term research on A'uwẽ hunting with fire in the Pimentel Barbosa Indigenous Land, arguing that A'uwẽ hunters do burn according to established cultural protocols, manage their use of fire for conservationist purposes, and do not cause environmental degradation by burning.
Apoio à Administração Universitária: Aplicação dos Métodos Macbeth e uta na Universidade Federal Fluminense
Authors: GOMES LUIZ FLÁVIO AUTRAN MONTEIRO , MELLO JOÃO CARLOS CORREIA BAPTISTA SOARES DE , RANGEL LUÍS ALBERTO DUNCAN , GOMES ELIANE GONÇALVES , FUKS SAUL
Published: January 2022

RESUMO Este artigo apresenta o uso combinado de dois métodos analíticos do Apoio Mul-ticritério à Decisão na avaliação da interiorização da Universidade Federal Fluminense, localizada no estado do Rio de Janeiro, no que diz respeito ao impacto em cada município onde a mesma se faz presente. O método Macbeth é usado para transformar a avaliação qualitativa de cada critério em uma avaliação quantitativa. Para a obtenção do valor global de todas as alternativas pelo método UTA, um conjunto de referência é ordenado. As faixas de variação para os pesos dos critérios obtidos pelo método Macbeth são usadas como restrições adicionais para o método UTA, de modo a reduzir o conjunto de soluções ótimas.
Planejamento Estratégico da Tecnologia de Informação Alinhado ao Planejamento Estratégico de Empresas
Authors: REZENDE DENIS ALCIDES , ABREU ALINE FRANÇA DE
Published: January 2022

RESUMO O atual mercado competitivo e turbulento requer das organizações conhecimentos personalizados e informações oportunas para auxiliar a sua gestão. Seus planejamentos estratégico empresarial (PEE) e da tecnologia da informação (PETI) devem ser alinhados entre si. O artigo descreve sobre um survey para identificar as variáveis desse alinhamento em dez grandes empresas brasileiras. O modelo proposto está fundamentado na literatura e nas vivências profissionais do pesquisador, o qual é sustentado por quatro grupos de fatores: tecnologia da informação; sistemas de informação e do conhecimento; pessoas ou recursos humanos e contexto organizacional. A conclusão reitera a importância do alinhamento e a realidade prática das organizações. O modelo proposto pode contribuir com a gestão de organizações competitivas e inteligentes.