bluuebunny/crossref_metadata_2025 huggingface dataset:
Interdependência federativa na política de saúde: a implementação das Unidades de Pronto Atendimento no estado do Rio de Janeiro, Brasil
Authors: Lima Luciana Dias de , Machado Cristiani Veira , O'Dwyer Gisele , Baptista Tatiana Wargas de Faria , Andrade Carla Lourenço Tavares de , Konder Mariana Teixeira
Published: February 2016

O artigo aborda a produção da política relacionada às Unidades de Pronto Atendimento (UPA) no estado do Rio de Janeiro, de 2007 a 2013, identificando as relações intergovernamentais nesse processo. Priorizou-se o contexto de formulação, os fatores que motivaram a entrada e a permanência das UPA na agenda estadual e a trajetória de implementação da política no estado. O estudo ancorou-se na literatura de definição de agenda e implementação de políticas públicas e em contribuições do institucionalismo histórico. A pesquisa envolveu a análise de documentos, de dados secundários e de 51 entrevistas com dirigentes estaduais e municipais. A confluência de fatores histórico-estruturais, político-institucionais e conjunturais explicam a prioridade das UPA na agenda governamental. Os resultados sugerem interdependência entre os governos, entretanto, problemas de coordenação federativa comprometem a integração dos diversos componentes da atenção às urgências no estado.
Qualidade de vida relacionada à saúde entre adultos e fatores associados: um estudo de base populacional
Authors: Noronha Daniele Durães , Martins Andréa Maria Eleutério de Barros Lima , Dias Diego dos Santos , Silveira Marise Fagundes , Paula Alfredo Maurício Batista De , Haikal Desirée Sant Ana
Published: February 2016

Resumo Objetivou-se investigar fatores associados aos Componentes Físico (CF) e Mental (CM) da Qualidade de Vida Relacionada à Saúde (QVRS) entre adultos. Estudo de base populacional, com amostra domiciliar por conglomerados. As variáveis dependentes foram os escores do CF e CM do instrumento 12-Item Short-Form Health Survey (SF-12), as independentes foram reunidas em características sociodemográficas, relativas à saúde e comportamentais. Conduziu-se regressão múltipla pelo Modelo Linear Geral com correção pelo desenho amostral. Dos 841 entrevistados, 31% e 37,2% apresentavam comprometimento no CF e CM, respectivamente, e 57% apresentaram comprometimento em pelo menos um domínio. Os escores médios foram 49,9 para CF e 47,1 para CM. Ser do sexo masculino (β = 1,94), possuir automóvel na família (β = 0,89), ter utilizado serviços odontológicos recentemente (β = 1,86), não possuir doença crônica (β = 4,60), não fazer uso de medicamento (β = 2,09), não ser tabagista (β = 2,04) e praticar atividades físicas (β = 1,73) foram associados a maiores escores do CF, enquanto não fazer uso de medicamento (β = 1,91) e não ser tabagista (β = 1,26) a maiores escores do CM. Há necessidade de mais estudos e políticas voltadas à manutenção e/ou recuperação do bem estar físico e mental de adultos sem doenças específicas.
Integração entre serviços de saúde no cuidado às pessoas vivendo com aids: uma abordagem utilizando árvore de decisão
Authors: Medeiros Leidyanny Barbosa de , Trigueiro Débora Raquel Soares Guedes , Silva Daiane Medeiros da , Nascimento João Agnaldo do , Monroe Aline Aparecida , Nogueira Jordana de Almeida , Leadebal Oriana Deyze Correia Paiva
Published: February 2016

Resumo A oferta de cuidado às pessoas vivendo com HIV/Aids deve transcender os serviços ambulatoriais especializados e contar com a participação da Estratégia Saúde da Família. Compreendendo a importância da integração entre estes dois pontos da rede de atenção, o estudo teve como objetivo construir um modelo de suporte à decisão para auxiliar profissionais do serviço de saúde especializado a identificar os padrões de comportamento no uso dos serviços da Estratégia Saúde da Família das pessoas vivendo com HIV/Aids atendidas no ambulatório. Para tanto, foi proposto um modelo denominado árvore de decisão, criado a partir de um banco de dados com 141 pessoas com Aids, usuárias de um ambulatório especializado, utilizando-se como variável decisória o uso dos serviços da Estratégia Saúde da Família mediante a avaliação da integração do cuidado. O modelo possibilitou o estabelecimento de 23 regras, com um percentual de acerto de 80,1%, as quais poderão dar suporte à tomada de decisão dos profissionais na identificação de situações onde se apresenta a necessidade de estimular a utilização da Estratégia Saúde da Família pelos usuários.
Study of mortality from infectious diseases in Brazil from 2005 to 2010: risks involved in handling corpses
Authors: Cardoso Telma Abdalla de Oliveira , Vieira Duarte Nuno
Published: February 2016

Abstract In the wake of disasters, the lack of information on how to handle and dispose of corpses leads the professionals involved in emergency operations to uncertainty about associated risks and safety precautions. The article seeks to establish the risks of the etiologic agents involved in Brazilian mortality due to infectious diseases and identify and discuss the main protection measures for professionals involved in handling of corpses in disaster situations. It involved a survey of deaths by infectious diseases in Brazil between 2005 and 2010, using data from the Mortality Information System. Of the 171,223 deaths analyzed, the pathogens leading to the greatest number of deaths were: HIV, Mycobacterium tuberculosis and Trypanosoma cruzi. 59% belonged to risk class 3 and 40.6% to risk class 2. Eight deaths were caused by risk class 4 pathogens, which represent high risk. The professionals involved in the handling of corpses may be exposed to chronic risks, such as viruses transmitted via blood, gastrointestinal infections and tuberculosis. These findings indicate the importance of investment in the preparation of measures to reduce the risk of infection associated with the handling of corpses.
Efeitos da mobilidade social na saúde mental de adultos: uma revisão sistemática da literatura
Authors: Quadros Lenice de Castro Muniz de , Laura Helen Castillo , Quevedo Luciana de Avila , Gigante Denise Petrucci
Published: February 2016

Resumo Este estudo teve como objetivo identificar as pesquisas longitudinais que avaliaram a relação entre mobilidade social e transtornos mentais em adultos. Foi realizada uma revisão eletrônica da literatura nas bases de dados PubMed/Medline e PsycINFO, além do rastreamento das referências bibliográficas dos artigos selecionados para análise. Foram selecionados estudos de coorte, tendo como exposição a mobilidade social e os transtornos relacionados à saúde mental como desfecho. A revisão incluiu sete estudos e identificou que há heterogeneidade na definição e na categorização da exposição e do desfecho, dificultando a análise e a comparação dos resultados encontrados nos diferentes estudos. Os transtornos relacionados à saúde mental foram mais comuns em indivíduos das classes socioeconômicas mais baixas, independente de terem mobilidade social ascendente, estática ou descendente. Além disso, a influência das condições socioeconômicas individuais, avaliada na idade adulta, parece ser maior do que o efeito do nível econômico dos pais sobre a saúde mental dos indivíduos. Esta revisão indica que é possível constatar a relação entre a situação socioeconômica ao longo da vida e a saúde mental na idade adulta. No entanto, a direção desta relação não está bem estabelecida.
Condições de saúde, acesso a serviços e fontes de pagamento, segundo inquéritos domiciliares
Authors: Viacava Francisco , Bellido Jaime G
Published: February 2016

Resumo Este artigo analisa a continuidade da série histórica dos indicadores provenientes dos suplementos de saúde das PNAD 1998, 2003 e 2008 e da Pesquisa Nacional em Saúde (PNS 2013). Indicadores sobre necessidades de saúde, acesso e uso de serviços de saúde e suas fontes de pagamento foram calculados a partir das questões que procuraram obter a mesma informação nos diferentes inquéritos. Apesar da melhoria no acesso e uso de serviços de saúde em todas as regiões, notam-se diferenças importantes em todas as dimensões analisadas quando se observam dados do Norte e Nordeste em relação às demais: pior avaliação do estado de saúde, maior restrição de atividades, e menor uso de serviços de saúde, apesar da maior cobertura pelos programas públicos. A evolução na fonte de pagamento dos atendimentos realizados nas últimas duas semanas demonstra que a população brasileira está utilizando mais serviços através do SUS, assim como mais atenção por plano de saúde e realizando menor pagamento do bolso. É importante observar que a participação do SUS aumentou nas regiões mais ricas e que os aumentos via plano de saúde cresceram de maneira importante apenas no Centro-Oeste.
Growth and flowering inhibition of Paspalum notatum with application of trinexapac-ethyl and prohexadione-calcium
Authors: Marchi Sidnei R. de , Martins Dagoberto , Costa Neumárcio V.
Published: February 2016

ABSTRACT This study aimed to evaluate the effect of sequential applications of plant regulators on growth and seedhead emergence of Bahiagrass (Paspalum notatum). The study was carried out on a 15-month-old lawn, in a randomized block design, with four replicates. The treatments consisted of the following plant-growth regulators and dose: trinexapac-ethyl in sequential application of 113 + 113, 226 + 113, 226 + 226, 452 + 113, 452 + 226, 452 + 452 g a.i. ha-1; trinexapac-ethyl in single application of 678 and 904 g a.i. ha-1; and prohexadione-calcium in sequential application of 100 + 100 and 200 + 200 g a.i. ha-1, besides a control, with no application. The effects of treatments were evaluated based on visual injury, plant height, height and number of flower rachises and total dry matter production of clippings. Sequential applications of prohexadione-calcium at 100 + 100 or 200 + 200 g a.i. ha-1 were efficient to reduce plant height, but did not show efficacy to reduce the number and height of seedheads or the total dry matter of clippings of Bahiagrass. However, Bahiagrass lawns can be managed by trinexapac-ethyl sequential applications of 452 + 452 g a.i. ha-1 or single application of 904 g a.i. ha-1, with reduction in the need for mowing for a period of up to 113 days after application, without causing any deleterious effect on the visual aspect of the lawn.
Technological quality and yield of sugarcane grown under nitrogen doses via subsurface drip fertigation
Authors: Rhein Andressa F. L. , Pincelli Renata P. , Arantes Marcel T. , Dellabiglia William J. , Kölln Oriel T. , Silva Marcelo de A.
Published: February 2016

ABSTRACT This study characterized the technological quality and yield of sugarcane cv. SP80-3280 under nitrogen doses via subsurface drip fertigation. Five treatments were established using N-fertilizer in the form of urea (0, 50, 100, 150 and 200 kg N ha-1), with four replicates, applied via subsurface drip fertigation. The technological quality (fiber% cane; Brix% juice; pol% juice, pol% cane; juice purity and total recoverable sugar - TRS), as well as yield of stalks and sugar were determined 381 days after the third harvest. The technological variables Brix%, pol% juice, purity% and TRS of sugarcane, cultivar SP80-3280, were altered by the application of nitrogen doses via subsurface drip fertigation, with significant reductions at the dose of 200 kg N ha-1. Stalk and sugar yields increased linearly with the increment in nitrogen doses applied through subsurface drip fertigation.
Ozone as fungicide in rice grains
Authors: Santos Raquel R. , Faroni Lêda R. D. , Cecon Paulo R. , Ferreira Ana P. S. , Pereira Olinto L.
Published: February 2016

ABSTRACT The fungistatic activity, especially during storage, can lead to rapid deterioration in the nutritional quality of grains, and reduce their use and disposal in industrial process due to contamination with toxins (aflatoxins and others). Among the technologies identified as promising in controlling these microorganisms, there is ozonation. The objective of this study was to determine the concentration and the saturation time of ozone gas in rice grains and set the effective ozonation disinfection time in filamentous fungi and yeast. Rice grains (14.3% w.b.) were inoculated with Penicillium spp. and Aspergillus spp. and, subsequently, ozonized at the concentration of 10.13 mg L-1, under continuous flow of 1.0 L min-1, in five periods of exposure (12, 24, 36, 48 and 60 h). Ozone gas concentration and saturation time in rice grains were 5.00 mg L-1 and 13.97 min, respectively. There was a reduction of 3.8 log cycles (100%) in the count of yeasts and complete inhibition of fungal from the genera Aspergillus and Penicillium in ozonized grains.
Susceptibility of different genotypes of rice to Sitophilus zeamais Motschulsky 1885 attack (Coleoptera: Curculionidae)
Authors: Colares Tatiane , Dionello Rafael G. , Radunz Lauri L.
Published: February 2016

ABSTRACT Rice (Oryza spp.), the most important cereal in the world, is grown and consumed in all continents. Brazil is among the top ten producing countries. Stored grains can be attacked by pests (rodents, insects, fungi and mites) that cause serious qualitative and quantitative losses. Because of these losses, one way to alleviate the problem caused by insects during rice storage is the use of resistant materials (grains). Thus, the aim of this study was to evaluate grains from nine different genotypes of rice, in order to identify the existence of materials less susceptible to the attack of Sitophilus zeamais, during 180 days of storage. The mean time of biological cycle (days), susceptibility index (IS) and the number of weevils emerged were evaluated. According to the results, grains of the genotypes IRGA 426 and Puitá were the most susceptible and the genotypes BR-IRGA 409, IRGA 424, IRGA 425 and IRGA 427 were the least susceptible to the attack of Sitophilus zeamais.
Armadilha de lucratividade e Big Push: considerações a partir de Rosenstein-Rodan
Authors: Fernandes Carlândia Brito Santos , Moreira Vivian Garrido
Published: February 2016

Resumo Este ensaio apresenta uma situação de armadilha de lucratividade como mecanismo teórico explicativo da condição de estagnação de determinadas economias, sobretudo aquelas em desenvolvimento. Utilizando algumas contribuições teóricas de Paul Rosenstein-Rodan, defende-se, como possibilidade de ruptura desta condição, a ocorrência de um Big Push para que uma escala mínima de capital seja gerada e retornos crescentes sobre o trabalho, advindos de ganhos de aprendizagempossam atuar. O principal resultado é que esses ganhos são fundamentais para se gerar um círculo virtuoso, que intensificará o processo de industrialização e guiará a economia em direção a elevados níveis de renda.
Como o grau de desigualdade afeta a propensão marginal a consumir? Distribuição de renda e consumo das famílias no Brasil a partir dos dados das POF 2002-2003 e 2008-2009
Authors: Leite Fabrício Pitombo
Published: February 2016

Resumo O artigo visa investigar a relação entre mudanças na distribuição de renda e seus impactos na propensão marginal a consumir para a economia como um todo. Para tal, utiliza os dados das duas últimas pesquisas de orçamentos familiares (POF) realizadas no Brasil, 2002-2003 e 2008-2009, tomando a renda familiar total e calculando uma variável de despesa familiar total para as duas pesquisas. São apresentados os índices de Gini para a renda familiar total e estimativas, por meio dos microdados e dos centésimos da população, para a propensão marginal a consumir agregada. É efetuado ainda o ajuste de poligonais no intuito de captar diferenças entre as propensões marginais a consumir de dois grandes grupos de renda e procede-se a manipulações contrafactuais na busca pela mensuração do impacto de efeitos redistributivos livre de outras influências sobre a propensão marginal a consumir agregada.
Relação Hipsométrica para Pinus taeda L. em Diferentes Fases do Ciclo de Corte
Authors: Nicoletti Marcos Felipe , Souza Karine , Silvestre Raul , França Morgana Cristina , Rolim Flávio Augusto
Published: February 2016

RESUMO O objetivo deste estudo foi avaliar as diferentes etapas do ciclo de corte, buscando uma relação hipsométrica adequada para estimar alturas dessas diferentes fases em um reflorestamento de Pinus taeda. Foram realizados cinco tratamentos, sendo o quinto a junção dos dados pertencentes aos demais tratamentos (modelo reduzido). A amostragem seguiu o método de área fixa, no qual o tamanho das parcelas e o número de árvores dominantes diferenciaram-se nos ciclos de corte. Definiu-se a localização das parcelas através de amostragem aleatória simples (oito parcelas por ciclo de corte). Foram determinadas as estatísticas de ajustes, coeficiente de determinação ajustado, erro-padrão e análise de resíduos. Efetuou-se o teste de identidade de Graybill para verificação da necessidade da utilização de diferentes modelos para distintas classes de idade. Os resultados comprovaram que existem diferenças significativas entre adotar-se um modelo específico para cada fase e utilizar um único melhor modelo para o povoamento total.
INFLUENCE OF MANUFACTURER SIGNATURE ON STORE BRANDS' LOYALTY AND PURCHASE INTENTION
Authors: CALVO-PORRAL CRISTINA , MARTÍNEZ-FERNÁNDEZ VALENTÍN-ALEJANDRO , JUANATEY-BOGA OSCAR
Published: February 2016

ABSTRACT With today's trend toward higher store concentration, building strong store brands has become a priority for many retailing companies. This study aims to analyze the differences in store brands' purchasing likelihood between store brands with a manufacturer identification - a manufacturer signature - and store brands with no information about the manufacturer, as well as the moderating role of the manufacturer signature on store brands' purchase intention. We carried out multiple group analysis through structural equation modeling. Our findings suggest that store brand image has the most significant influence on loyalty and purchase intention for both types of store brands. Moreover, and contrary to our expectations, we did not find empirical support for the moderating role of manufacturer signature on store brands' purchasing likelihood.
Particle packing of cement and silica fume in pastes using an analytical model
Authors: HERMANN A. , LANGARO E. A. , SILVA S. H. LOPES DA , KLEIN N. S.
Published: February 2016

When added to concrete in appropriate content, silica fume may provide an increase in the mechanical strength of the material due to its high pozzolanic reactivity. In addition to the chemical contribution, physical changes can also be observed in concretes with silica fume due to an improvement in the particle packing of the paste. This is a result of their small size spherical particles, which fill the voids between the larger cement grains. However, it is necessary to properly establish the cement replacement content by silica fume, because at high amounts, which exceed the volume of voids between the cement particles, silica fume can promote the loosening of these particles. Thus, instead of filling the voids and increasing the packing density, the addition of silica fume will increase the volume of voids, decreasing the solid concentration. Consequently, this will impair the properties of the concrete. The objective of this paper is to use a particle packing analytical model, the CPM (Compressible Packing Model), to verify the maximum packing density of cement and silica fume, which could be associated with the silica fume optimum content in pastes. The ideal content of silica fume in pastes, mortars and concretes is usually experimentally determined. However, a theoretical study to contrast experimental data may help understanding the behaviour of silica fume in mixes. Theoretical results show maximum amounts of silica fume in the order of 18 to 20% of the cement weight, which is high considering recommendations on literature of 15%. Nevertheless, the packing model does not consider the effect of silica fume high specific surface on the agglomeration of particles or water demand. Hence, the packing density predicted by this model cannot be used as the single parameter in determining the optimum amount of silica fume in pastes.
Experimental analysis of reinforced concrete beams strengthened in bending with carbon fiber reinforced polymer
Authors: VIEIRA M. M. , SANTOS A. R. S. , MONT'ALVERNE A. M. , BEZERRA L. M. , MONTENEGRO L. C. S. , CABRAL A. E. B.
Published: February 2016

The use of carbon fiber reinforced polymer (CFRP) has been widely used for the reinforcement of concrete structures due to its practicality and versatility in application, low weight, high tensile strength and corrosion resistance. Some construction companies use CFRP in flexural strengthening of reinforced concrete beams, but without anchor systems. Therefore, the aim of this study is analyze, through an experimental program, the structural behavior of reinforced concrete beams flexural strengthened by CFRP without anchor fibers, varying steel reinforcement and the amount of carbon fibers reinforcement layers. Thus, two groups of reinforced concrete beams were produced with the same geometric feature but with different steel reinforcement. Each group had five beams: one that is not reinforced with CFRP (reference) and other reinforced with two, three, four and five layers of carbon fibers. Beams were designed using a computational routine developed in MAPLE software and subsequently tested in 4-point points flexural test up to collapse. Experimental tests have confirmed the effectiveness of the reinforcement, ratifying that beams collapse at higher loads and lower deformation as the amount of fibers in the reinforcing layers increased. However, the increase in the number of layers did not provide a significant increase in the performance of strengthened beams, indicating that it was not possible to take full advantage of strengthening applied due to the occurrence of premature failure mode in the strengthened beams for pullout of the cover that could have been avoided through the use of a suitable anchoring system for CFRP.
Rapid tests in the diagnostics of sexually transmitted infections
Authors: Ryzhkova Olga Sergeyevna
Published: February 2016

High prevalence of sexually transmitted infections (STIs) and their substantial adverse effect on reproductive health of people necessitate the development of accurate and rapid tests for their diagnostics, in particular those that can be used at point-of-care (POC). The majority of current immunological POC-tests have high specificity; however, their sensitivity is mainly suboptimal. The future of POC-diagnostics of STIs - highly sensitive and specific, robust and affordable - is seen in the development and implementation of molecular diagnostic technologies (amplification, microfluidic, biosensor).
Pelvic endometriosis and pregnancy: different sides of the problem
Authors: Denisova Valentina Mikhajlovna , Yarmolinskaya Marya Igorevna
Published: February 2016

There are data about the influence of pregnancy on clinical course of genital endometriosis and about the influence of endometriosis on pregnancy and the genesis of complications in this article.
Clinical value of determination of markers of a thrombophylia at patients with the complicated pregnancy in the anamnesis
Authors: Andreeva Margarita Darchoevna
Published: February 2016

The results of the survey of 214 patients with the complicated pregnancy (a preeclampsia, a premature detachment of placenta, antenatal fetal death, miscarriage) in the anamnesis are presented in the article. We determined the level of molecular markers of a thrombophilia (TAT, D-dimer) and aggregation activity of platelets and carried out antithrombotic therapy to these women. It is shown that 47,7 % of such nonpregnant women and pregnant early terms have the high level of D-dimer, TAT - 46,7 %, aggregation activity of platelets - 52,6 %. Determination of the increased levels of molecular markers of a thrombophilia is the indication to application the antithrombotic therapy and allow to control efficiency of this therapy.
Antenatal cardiotocography: problems and facilitiies
Authors: Pavlova Nataliya Grigor’yevna
Published: February 2016

The role of antenatal cardiotocography (CTG) in algorithm of fetal functional conditions disorders diagnosis is discussed in this article. Furthermore, visual and computer analysis of antenatal monitoring results have been compared. There were discussed Dawes-Redman criteria and based on them CTG systems of computer numeral analysis (Sonicaid System 8000, Sonicaid System 8002, Sonicaid FetalCare). There were shown that based principles of antenatal CTG registrations should be kept in any case, its analysis is possible only in time of active phase of the fetus rest-activity cycle. Any kind of questionable tracing should be analyzed by medical expert in special centers with appropriate experience.
Features of a course of pregnancy at bronchial asthma and influence of immunological deposits on a placentary barrier
Authors: Shapovalova Elena Andreevna , Zubzhitskaya Lyudmila Borisovna , Lavrova Ol’ga Vol’demarovna , Arzhanova Ol’ga Nikolaevna , Dymarskaya Yuliya Romanovna
Published: February 2016

Studying of features of a course of pregnancy at the bronchial asthma (BA) and influence of immunological deposits on a placentary barrier was a research objective. Results of this research testify that the main complications of pregnancy at women with bronchial asthma is pregnancy interruption threat, gestosis and placentary insufficiency. Prevention, timely identification of these complications, joint maintaining patients by the obstetrician and pulmonologist allow women practically in all cases to give birth to the full-term healthy children. The greatest number of the immune deposits fixed in a placenta and damaging structures of a placentary barrier (endoteliya of vessels and a membrane of a sintsitiotrofoblast) is found in women with an average and a heavy current BA. Their adjournment is followed by morphological features of an immune inflammation, violation of an immune homeostasis in structures of a placentary barrier. Existence of pathogenic immune complexes in a placenta, and also detection with BA leads an antigen-presenting cells of cages in places of an immune inflammation at women to development of immunopathological process and placentary insufficiency that adversely affects the course of pregnancy, childbirth and can be a predictive factor of development of allergic diseases in the child.
Clinical and diagnostic criteria of cholestatic hepatosis severity in pregnancy
Authors: Repina Margarita Aleksandrovna
Published: February 2016

Discussed analyze the incidence and structure of maternal mortality from extra-genital diseases in Saint Petersburg the 1996-2014. Indicator of maternal mortality all the more depend from social factors and increase in the frequency of extra-genital diseases in reproduction ages woman.
Pessaries in clinical practice
Authors: Bespalova Olesya Nikolaevna , Sargsyan Gabriel Spartakovich
Published: February 2016

Pessaries were used in medicine since ancient times, history of their use goes back thousands of years. Throughout its history, pessaries have not changed significantly, so modern products do not differ from the ancients. In modern obstetrics pessaries are used for treatment of cervical incompetence and prevention of premature birth. Transvaginal ultrasound is the gold standard for the evaluation of the cervix during pregnancy and allows a selection of patients with cervical length ≤25 mm for pessary installation. To date, the installation of pessary may be the main strategy for the treatment and prevention of threatened pregnancy termination in the II and III trimester of pregnancy.
Role of metformin pregravid preparation patients with prediabetes impaired glucose toletance
Authors: Komarov Evgeniy Konstantinovich , Pluzhnikova Tamara Aleksandrovna
Published: February 2016

Tasks of investigation were concluded the characterization of insulin resistence (IR) and hormonal features in patients with prediabetes and influence of diet or metformin on the course of pregnancy and perinatal complications. There were examined 61 womans. The OGTT, definition of insulin levels in plasma and index IR were performed in all patiens. OGTT and index IR were normal in 14 womans (control group I). OGTT was normal but index IR was impared in 33 womans (group IR - II). From this group 22 womans were treated with diet (II A group) and 11 womans treated with metformin (IIB group). OGTT and index IR were abnormal in 14 womans (impared OGTT - III group), they were treated with metformin. Dose of metformin was 1500 mg/d, threatment was continueted for 3-4 manths. Conclusion: Used indexes IR basal and two hour after glucose load were significant in definition of normal and decreased insulin sensitivity (IR). Presence of IR is accompanied by high level of free testosterone in blood without impared secretion of ovarian and suprarenal androgens. There was impared sensitivity of endometrium of secretory stage. The frequency of obstetric and perinatal complications in patients receiving diet not differ from patients treated with metformin. There was only a tendercy to low frequency of threatening miscarriages befor 12 weeks of gestations in paitiens receiving metformin. Development of GDM was observed in 13,1 % of patiens only with presence of IR. The use of metformin in pregravidal stage preserved the development of macrosomia in offsprings of patients with prediabetes.
Clinicoanamnestic risk factors of mixed urinary incontinence in women
Authors: Rusina Elena Ivanovna
Published: February 2016

Diagnosis of mixed urinary incontinence (UI) in women is a challenge for physicians in clini-cal practice. Objectives: The determination risk factors of mixed urinary incontinence in women Materials and Methods: The subjects were 633 women 22-88 years old with complaints of mixed (n = 356) and stress (n = 277) UI. Data of the history and clinical examination data were analyzed. For statistical data analysis t-test, chi-square (χ2) test was used. Results: Significant differences in the number of pregnancies and births, body mass index (BMI), the number of patients with concomitant pelvic organ prolapse (POP) between the groups of women with complaints of mixed stress and UI were not found. Clinicoanamnestic risk factors mixed UI in women compared with stress UI are older than 56 years (OR 1,67; 95 % CI1,2-2,36; p < 0,05), postmenopause ( OR 1,59; 95 % CI1,15-2,22; p < 0,05), medical comorbidity: hypertension (OR 1,99; 95 % CI1,43-2,76; p < 0,001), chronic cystitis (OR 1,85; 95 % CI1,1-3,1; p < 0,05), diabetes mellitus (OR 1,86; 95 % CI1,1-3,23; p < 0,05), ischemic heart disease (OR 2,13; 95 % CI1,5-3,0; p < 0,001), vascular lesions of the brain (OR 3,62; 95 % CI1,7-7,6; p < 0,001), neurological diseases (Parkinson’s, multiple sclerosis, myasthenia gravis) (OR 7,1; 95 % CI1,0-56,8; p < 0,05), surgery for pelvic organ prolapse (OR 3,12; 95 % CI1,25-7, 77; p < 0,05) and urinary incontinence history (OR 6,05; 95 % CI1,37-26,7; p < 0,01). Conclusions: Medical comorbidity, previous surgery on the POP and UI, age older than 56 years are clinicoanamnestic risk factors mixed UI.
Comparative evaluation progestin preparations of the effect graviditas transformation of endometrial undeveloping pregnancy of the I trimester
Authors: Tolibova Gulrukhsor Khaybulloevna , Tral Tatyana Georgiyevna , Petrosyan Mariya Anatolyevna , Polyakova Victoria Olgovna , Kvetnoy Igor’ Moiseyevich
Published: February 2016

The results of histological and immunohistochemical studies of the endometrium graviditas during non-developing pregnancy of the first trimester showed that the defective decidualization of the endometrium and poorly formed tangles of the spiral arteries are significantly more common in case of treatment with micronized progesterone than in case of treatment with dydrogesterone. The irregular distribution and increased expression of estrogen receptors in the glands and stroma of the endometrium are indicators of pathology of the first phase of the menstrual cycle.
To the matter about operational treatment of benign neoplasms of ovaries during pregnancy
Authors: Barinov Sergey Vladimirovich , Lazareva Oksana Vyacheslavovna , Korneev Boris Vasil’yevich , Shkabarnya Lyudmila Leonidovna , Grebenuk Mikhail Vladimirovich , Roshchupkina Ekaterina Aleksandrovna , Belokopytova Anna Vadimovna , Sorokin Pavel Igorevich
Published: February 2016

Purposes and tasks. To improve the result of treatment of benign ovarian tumor during pregnancy using information of a complex comparative analysis of surgical interventions performed by laparoscopy and laparotomy. Materials and methods. We examined 69 pregnant women who undergoing treatment of benign ovarian tumors by laparoscopic and laparotomic surgery. The analysis of clinical data, postoperative pain, postoperative complications and statistic assess were performed. Results. The average age of pregnant women in laparoscopy group was 26 ± 0,5 years and 29 ± 0,7 years in laparotomy group. The main indications for intervention were threatened miscarriage and ovarian torsion. All women received therapy for saving pregnancy in postoperative period. The laparoscopy was associated with a significant reduction in time compared to laparotomy (54,7 ± 2,6 and 64,5 ± 2,5 - appropriate, р = 0,003). The blood loss was 46,67 ± 29,9 ml in laparoscopy and 108,7 ± 58,6 ml in laparotomy group (р < 0,001). Postoperative pain was less in women who undergoing laparoscopic surgery. 29 (76.3 %) women had vaginal delivery in laparoscopy group, 22(70.9 %) - in laparotomy group. Conclusion. In pregnant women undergoing surgery for benign ovarian tumours, laparoscopy was associated with less operation time, postoperative pain, blood loss compared with laparotomic surgery. The optimal time for intervention is before 24 week of pregnancy.
Clinical course of childbirth and pathomorphological features of the myometrium in discoordinated labor activity
Authors: Kozonov Georgii Romanovich , Kuz´minykh Tatyana Ulyanovna , Tolibova Gulrukhsor Haybulloevna , Tral´ Tatyana Georgievna
Published: February 2016

Features of the labor of patients with discoordinated and physiological labor activity are analysed and studied. Clinical features are compared with the data received at morphological research of myometrium. It is shown that the structural organization of myometrium the lower segment of the uterus during labor characterized by common morphological patterns both in norm and pathology. A clear sign of a discoordinated labor activity is basal hypertonicity.
Experience of use of the combined medication Vagiferon® for topical application in the treatment of bacterial vaginosis
Authors: Metelkina Svetlana Alexandrovna , Averina Daria Michailovna , Kuptsova Larisa Vyacheslavovna , Guryev Dmitry L’vovich
Published: February 2016

Objective: To assess the efficacy of the combined medication Vagiferon® for topical application, containing antimicrobial, antifungal, antiviral and immunomodulatory components in the treatment of non-pregnant women with bacterial vaginosis. Study design: This paper presents the experience of use of the medication Vagiferon® in the treatment of 29 non-pregnant women aged 22-45 with bacterial vaginosis. The medication Vagiferon® was administered vaginally as 1 suppository 1 time per day at bedtime for 10 days. The patients underwent a standard pelvic exam, which included the study of their vaginal microflora content by the microscopic method (Gram staining). The study was undertaken before therapy, in 14 days after its start, and in three months after its completion. Results: According to our observations of patients with bacterial vaginosis, in 93,1 percent of cases complete clinical remission was noted. Microbiological efficacy of the treatment was 86,2 percent. The signs of disease recurrence as well as any side effects or rejection of the use of the medication were not registered. Conclusion: Based on the combination of high efficacy and safety of Vagiferon®, this medicine can be recommended for wide use in the gynaecological practice.
Indicators of Banking Financial Security: Macro and Microeconomic Level
Authors: Pestovskaya Zoya
Published: February 2016

There is a definition of the concept of financial security of the bank, the article summarizes the existing and proposed new indicators of financial security banking.
Effects of irrigation, soil compaction and fertilization treatments on physiological – vegetative characteristics and root development of soybean
Authors: Kirnak1 Halil , Gokalp*1 Zeki , Dogan2 Ergün , Çopur Osman
Published: February 2016

The present study was conducted to investigate the effects of different soil compaction levels (non-compacted control, low compaction, high compaction), irrigation management practices (conventional furrow and alternate furrow) and nitrogenous fertilizer levels (60, 90, 120 kg ha-1) on vegetative characteristics (dry biomass production, plant height, number of branch and number of pod per plant, height of the first pod, leaf area index, stem diameter), physiological characteristics (leaf relative water content, leaf chlorophyll content and leaf temperature) and root development through 0 - 80 cm soil profile of soybean grown in Harran Plain of Turkey. Experiments were conducted in Sanliurfa Province of Turkey in split-split plots experimental design with 3 replications during the years of 2006 and 2007. Irrigation program was created by using KanSched simulation model. The amount of applied irrigation water in conventional and alternate furrow systems in 2006 and 2007 were measured as 435.61 and 291.59 mm, and 429.51 and 271.72 mm, respectively. While the highest yield (947.8 kg ha-1) was observed in control treatment of the year 2006, conventional furrow system had the highest yield (2099.3 kg ha-1) in the year 2007. Soil compaction, irrigation and nitrogenous fertilization in general had significant effects on entire vegetative characteristics investigated in the present study. Increasing compaction levels yielded decreasing plant height, stem diameter and leaf area indexes. Biomass production increased with increasing nitrogen doses. Results indicated that negative impacts of soil compaction in agricultural fields due to traffic and various other reasons could be eliminated with proper irrigation and fertilization implementations.
Crop energy balance study of cotton-chickpea cropping sequence under organic and inorganic fertilizer sources in western Maharashtra
Authors: Gudadhe Nitin , Dhonde M. B. , Hirwe N. A. , Thete N. M.
Published: February 2016

This study was conducted during the year 2006-07 and 2007-08 to determine how energy balances of crop production are affected by cotton-chickpea cropping sequence and different sources of organic and inorganic fertilizer under the semi-arid conditions of western Maharashtra. The energy input and output, energy balance per unit input ratio and the energy output/ input ratio were varied significantly individually to cotton and chickpea during both the years. However on pooled mean basis to cotton-chickpea cropping sequence, the energy input, output and energy balance were significantly higher by application of (RDF) Recommended Dose of Fertilizer according to Soil Test Crop Response (STCR) equation to cotton and 100% RDF to chickpea. Significantly higher energy balance per unit input and energy output per input ratio (6.46 MJ/ ha and 7.46) were recorded by 100% RDF + 10 FYM/ha to cotton and it was 5.72 MJ/ha and 6.72 by 100% RDF to chickpea. Application of RDF according to STCR equation (₹ 64960 and 3.07) to cotton and 100% RDF (₹ 46744 and 2.23) application to chickpea registered higher net monetary returns and benefit cost ratio respectively.
Performance of short duration groundnut (Arachis hypogaea L.) variety (TG 51) as influenced by nutrient management strategy under new alluvial zone of West Bengal
Authors: Sengupta* A. , Gunri S.K. , Basu T.K.
Published: February 2016

To study the effect of nutrient management strategy on production potentiality of short duration high yielding summer irrigated groundnut variety TG 51, field experiments were conducted during summer seasons of 2011 and 2012 at Bidhan Chandra Krishi Viswavidyalaya, West Bengal. Results revealed that, application of 100 % RDF + 7.5 t/ha FYM as basal increased growth and yield attributes that led to significantly higher productivity (pod yield 3320 kg/ha) besides enrichment of soil available nutrients after harvest of the crop. Pod yield decreased with further increase in NPK fertilizer above 100% RDF. However, maximum haulm yield (3979kg/ha) was recorded with 150% RDF + 7.5t/ha FYM as basal. Maximum net return: cost ratio (3.43) was found with 100 % RDF which was closely followed by that of 100 % RDF + 7.5 t/ha FYM.
An Applied Investigation Of Rogers And Shoemakers Perceived Innovation Attribute Typology When Marketing To Elderly Consumers
Authors: Strutton H. David , Lumpkin James R. , Vitell Scott J.
Published: February 2016

Rogers and Shoemakers typology of innovation, which has long represented the bench mark for research on the relationship of perceive innovation characteristics to the diffusion process, may not be appropriate for most marketing innovations according to the theoretical and empirical evidence developed in this research. The appropriateness of the innovation typology was investigated across innovations classified on a continuous-discontinuous continuum. The results suggest their model is appropriate for discontinuous innovations, but that respondents evaluated the continuous innovation along dissimilar dimensions, which were also smaller in number. The results argued for marketing appeals based on the determinant perceptual dimensions of innovations. For discontinuous innovations, marketing efforts should primarily focus on addressing the relative advantage and observability of the innovation. Organizations marketing continuous innovations should focus on the economic and performance advantages and ease of use associated with the product.
Coefficient α as a Measure of Test Score Reliability: Review of 3 Popular Misconceptions
Authors: Morera Osvaldo F. , Stokes Sonya M.
Published: February 2016

We discuss 3 popular misconceptions about Cronbach α or coefficient α, traditionally used in public health and the behavioral sciences as an index of test score reliability. We also review several other indices of test score reliability. We encourage researchers to thoughtfully consider the nature of their data and the options when choosing an index of reliability, and to clearly communicate this choice and its implications to their audiences.
Mental Health Has a Stronger Association with Patient-Reported Shoulder Pain and Function Than Tear Size in Patients with Full-Thickness Rotator Cuff Tears
Authors: Wylie James D. , Suter Thomas , Potter Michael Q. , Granger Erin K. , Tashjian Robert Z.
Published: February 2016

Background:

Patient-reported outcome measures have increasingly accompanied objective examination findings in the evaluation of orthopaedic interventions. Our objective was to determine whether a validated measure of mental health (Short Form-36 Mental Component Summary [SF-36 MCS]) or measures of tear severity on magnetic resonance imaging were more strongly associated with self-assessed shoulder pain and function in patients with symptomatic full-thickness rotator cuff tears.

Methods:

One hundred and sixty-nine patients with full-thickness rotator cuff tears were prospectively enrolled. Patients completed the Short Form-36, visual analog scales for shoulder pain and function, the Simple Shoulder Test (SST), and the American Shoulder and Elbow Surgeons (ASES) instrument at the time of diagnosis. Shoulder magnetic resonance imaging examinations were reviewed to document the number of tendons involved, tear size, tendon retraction, and tear surface area. Age, sex, body mass index, number of medical comorbidities, smoking status, and Workers’ Compensation status were recorded. Bivariate correlations and multivariate regression models were calculated to identify associations with baseline shoulder scores.

Results:

The SF-36 MCS had the strongest correlation with the visual analog scale for shoulder pain (Pearson correlation coefficient, −0.48; p < 0.001), the visual analog scale for shoulder function (Pearson correlation coefficient, −0.33; p < 0.001), the SST (Pearson correlation coefficient, 0.37; p < 0.001), and the ASES score (Pearson correlation coefficient, 0.51; p < 0.001). Tear severity only correlated with the visual analog scale for shoulder function; the Pearson correlation coefficient was 0.19 for tear size (p = 0.018), 0.18 for tendon retraction (p = 0.025), 0.18 for tear area (p = 0.022), and 0.20 for the number of tendons involved (p = 0.011). Tear severity did not correlate with other scores in bivariate correlations (all p > 0.05). In all multivariate models, the SF-36 MCS had the strongest association with the visual analog scale for shoulder pain, the visual analog scale for shoulder function, the SST, and the ASES score (all p < 0.001).

Conclusions:

Patient mental health may play an influential role in patient-reported pain and function in patients with full-thickness rotator cuff tears. Further studies are needed to determine its effect on the outcome of the treatment of rotator cuff disease.

Level of Evidence:

Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.
The structure of immunocompetent decidual cells in recurrent missed abortions
Authors: Radovic-Janosevic Dragana , Popovic Jasmina , Krstic Miljan , Tubic-Pavlovic Aleksandra , Stefanovic Milan , Pop-Trajkovic Sonja
Published: February 2016

Background/Aim. Recurrent or habitual missed abortions (RMA) are defined as
three or more consecutive abortions. In the first trimester of pregnancy
habitual missed abortions occur in about 1% of population. The aim of this
immunohistochemical study of decidua in RMA of unknown etiology was to
identify subpopulations of decidual lymphocytes in recurrent miscarriages and
compare the distribution of immunocompetent cells in artificial abortions and
RMA. Methods. The study included 30 women with at least 2 consecutive
miscarriages in the first trimester of pregnancy. Curettements of the third
missed abortion were immunohistochemically analyzed. The control group
consisted of 20 women without loaded reproductive anamnesis, with the
abortion for social reasons. Criteria for exclusion from the study were
diagnosed uterine anomalies, positive screening for thrombophilia and women
who suffered from diabetes mellitus and disorders in the function of the
thyroid gland. Immunophenotyping was performed by immuno-alkaline phosphatase
(APAAP) using monoclonal antibodies: CD 30, CD 45 RO, CD 56 and CD 57, CD 68.
Results. The number of missed abortions (1,223) was on the average 9.7% of
all deliveriies during the test period. Among them RMA were registered in 52
(4.2%) patients and in 30 (57%) the exact etiology of abortions was not
determined. RMA was most common in the 25-34 years of age group. The largest
number of RMA showed the ultrasound characteristics of missed abortion in 60%
of cases and was in nulliparous patients (76.7%). The number of NK CD56
positive cells did not differ significantly between the types of abortion. In
the decidual tissue, a number of NK CD57 positive cells was significantly
higher in missed abortions compared to artificial interruptions (p < 0.01).
In artificial termination of pregnancy there was an absolute predominance of
CD45RO lymphocyte subpopulations, whereas in the RMA group there was slightly
greater predominance of CD30 positive cells. The completed analysis showed a
significantly higher number of CD68 positive macrophages in a decidual tissue
of RMA pregnancy (p < 0.01). Conclusion. The number and phenotypic structure
of NK cells are significantly different in normal pregnancy decidua and in
RMA. The NK cell dominance is present in the RMA group, in favor of CD56+ and
CD 57 of subpopulations with increased CD30 of T lymphocyte subpopulations.
Macrophages are more numerous in the decidua of pregnancies ended in
abortion, so the cause to RMA of unknown etiology in a number of cases could
be disregulation of immunocompetent cells.