bluuebunny/crossref_metadata_2025 huggingface dataset:
Cost analysis of dual antiplatelet therapy with prasugrel and ticagrelor in patients with acute coronary syndrome after percutaneous coronary intervention
Authors: Dyakov I. N. , Ushkalova E. A.
Published: September 2020

Aim. To conduct a cost analysis of using novel inhibitors of P2Y 12 (prasugrel and ticagrelor) in patients with acute coronary syndrome (ACS) in the Russian healthcare system.

Material and methods. The analysis was performed using the design of a comparative study of prasugrel and ticagrelor ISAR-REACT 5. The loading and maintenance doses of the drugs, the percentage of patients who stopped therapy and the median duration of administration before withdrawal were taken into account. The cost of treating clinical events associated with the primary and secondary endpoints was estimated according to the data on diagnosis-related groups for 2020. The cost of hospitalization was calculated as the average of the cost of treating various diseases, taking into account the base rate for a hospital. The result was expressed as the weighted average cost per patient for 1 year (365 days). The maintenance dose used in calculations was 10 mg/day for prasugrel and 90 mg 2 times/day for ticagrelor.

Results. Prasugrel is less expensive for use than ticagrelor. For 1-year therapy, the difference is 8386,31 rubles or 10,57%. The proportion of using prasugrel in 2019 was only 2,17%. With the current ratio of using ticagrelor and prasugrel, the budgetary pressures of therapy corresponding to 19,382.7 patient-years will amount to 1,534 billion rubles. An increase in the proportion of prasugrel leads to a decrease in the total expenses of managing patients with ACS after percutaneous coronary intervention who require antiplatelet therapy. With the complete replacement of ticagrelor with prasugrel, the savings will be 10,36% or 159,03 million rubles. With an increase in the proportion of prasugrel, the total expenses will decrease, and with a complete replacement of ticagrelor with prasugrel, the savings compared to using only ticagrelor will amount to 1,353.7 million rubles.

Conclusion. The analysis showed that the use of prasugrel in the population is less costly in the healthcare system. However, the result obtained is relevant only with price changes for one of the drugs not exceeding 10% and not relevant with multidirectional simultaneous changes in prices for compared drugs. Increasing the proportion of prasugrel and replacing it with ticagrelor will reduce the budgetary pressures.
O CURSO DE PEDAGOGIA: UM OLHAR PARA A REGIÃO SUDOESTE DO PARANÁ
Authors: CRESTANI SOLANGE NATALINA BOESING , PELOSO FRANCIELE CLARA
Published: September 2020

RESUMO: Este estudo é resultado de uma dissertação de mestrado que discute a formação inicial do profissional da pedagogia na região Sudoeste do Paraná. O objetivo da pesquisa foi o de analisar como ocorre esse processo de formação. Especificamente, buscamos identificar os cursos de Pedagogia da referida região, bem como verificar e descrever os pressupostos teóricos presentes nos projetos pedagógicos dos cursos de Pedagogia. Também procuramos analisar a concepção de profissional presente nos projetos pedagógicos e, por fim, analisar as matrizes curriculares dos cursos, para verificar se essas estão em consonância com as Diretrizes Curriculares Nacionais para a Formação de Professores (2015). Trata-se de uma pesquisa exploratória e qualitativa. Para tanto, evidenciamos que: 1) os pressupostos teóricos se pautam na pedagogia histórico- crítica; 2) a concepção de profissional se sustenta em consistente formação teórica e prática; e 3) as instituições apresentam matrizes curriculares em consonância com as Diretrizes Curriculares Nacionais para a Formação de Professores (2015).
SMARTPHONES IN HIGHER EDUCATION CLASSROOMS: MOTIVATIONS, RULES, AND CONSEQUENCES
Authors: SORTE PAULO BOA , SILVA NAYARA STEFANIE MANDARINO , CARAVALHO CAROLINE BARBOSA DE
Published: September 2020

ABSTRACT: The growth in the use of smartphones is remarkable and reaches countless spheres of social life, one of them being the university. Nagumo (2014) and Selwyn (2014) highlight that there are few researches focused on understanding how technological devices like cellphones are used in teaching institutions; in addition to that, the Federal University of Sergipe (UFS) has recently implemented the international Internet network eduroam. In this context, this research aims to discover motivations to the use of smartphones by the students of the Departments of Vernacular Language (DLEV) and Modern Languages (DLES), as well as to analyze possible rules and consequences of using smartphones during classes at UFS. The methodology is qualitative - analytical-interpretative - and follows the procedures Freeman (1998) proposes, which include naming, grouping, finding relationship, and displaying. This research’s results and conclusions indicate that most students who participated in the research use smartphones to meet academic and entertainment aims. The rules and consequences in the classroom, however, diminish the use of the devices for being related to punishments. Similarly, eduroam discourages the use of smartphones because it presents barriers to the access of Internet.
Are young Iranian women with metabolically healthy obesity at increased risk of CVD incidence?
Authors: Hosseini Seyed Ahmad , Aghamohammadi Vahideh , Ashtary-Larky Damoon , Alipour Meysam , Ghanavati Matin , Lamuchi-Deli Nasrin
Published: September 2020

Abstract Background The association between the Metabolically Healthy Obese (MHO) phenotype in the absence of metabolic syndrome and subsequent cardiovascular disease remains unclear. Objectives We examined the association between MHO and CVD risk in young Iranian women. Methods We studied 183 women aged 20-35 years from a population of 308 candidates. We classified participants into 4 phenotypes. We measured body composition, blood pressure, and biochemical factors in all participants. Results The Metabolically Healthy Normal Weight (MHNW) and Normal Weight Obese (NWO) phenotypes had no statistical differences in any biochemistry variables. FBS, TG, LDL/HDL, Cholesterol/HDL, hs-CRP, and atherogenic index of plasma (AIP) were all higher in Metabolically Unhealthy Obese (MUO) than MHO individuals, whereas HDL was higher in MHO than in MUO individuals. LDL/HDL and hs-CRP were higher in MHO participants than MHNW participants, whereas HDL-c was higher in MHNW than MHO. Conclusions Results of the present study demonstrate that young women displaying the MHO phenotype have a favorable metabolic profile as shown by lower FBS, TG, LDL-c/HDL, Cho/HDL, hs-CRP, and AIP and higher HDL levels than the MUO phenotype. However, MHO individuals were still at greater risk of CVD incidence (lower HDL and higher hs-CRP levels) than MHNW individuals.
Sobre potenciais periódicos no reticulado cúbico simples
Authors: Artuso Everton , Marim Cesar
Published: September 2020

Resumo O presente texto trata-se de uma adaptação simples da caracterização via séries de Fourier de uma classe de potenciais periódicos para o reticulado cúbico simples, desenvolvida originalmente no reticulado colméia, tratando com rigor tanto as propriedades do tipo de potencial quanto as propriedades da natureza do espaço reticulado.
Avaliação da experiência do telemonitoramento de enfermagem por mulheres com excesso de peso
Authors: Palmeira Catia Suely , Ramos Giulia Araújo , Mussi Fernanda Carneiro
Published: September 2020

Resumo Objetivo Avaliar a experiência do monitoramento remoto de enfermagem na perspectiva de mulheres com excesso de peso. Método Estudo descritivo, de abordagem qualitativa, realizado em ambulatório de referência em obesidade em Salvador-Bahia, com 42 mulheres com excesso de peso, as quais haviam participado do grupo intervenção de um ensaio clínico randomizado. Realizaram-se entrevistas semiestruturadas entre janeiro a março de 2017 e os dados foram analisados através da técnica de análise de conteúdo temática. Resultados Dos depoimentos emergiu a categoria central “Aumentando a consciência do cuidado de si”, a qual foi representada por três categorias temáticas: Vivenciando um feedback frequente e interativo com a enfermeira para o controle de peso, Melhorando o cuidado de si e Sentindo satisfação com os resultados alcançados. Conclusão e implicações para a prática As participantes vivenciaram e reconheceram a melhora do conhecimento para o controle do peso e mudanças positivas nos modos de viver ou conviver com o excesso de peso. Os resultados evidenciaram que atividades educativas por meio da telenfermagem, numa perspectiva dialógica, contribuem para potencializar o autocuidado.
Meshless method using fundamental solution applied to computational simulation of groundwater flow of real aquifers: study case (Guariroba’s APA and Juazeiro do Norte)
Authors: Rodrigues Neto Guilherme Costa , Queiroz Erlandson de Vasconcelos , Barbosa João Marcelo Costa , Castro Marco Aurélio Holanda de , Cavazzana Guilherme Henrique
Published: September 2020

ABSTRACT We investigated the influence of fictitious boundary distance, a parameter of MFS, to determine piezometric levels of two unconfined sedimentary aquifers assuming Dupuit-Forchheimer and steady-state flow hypothesis. Two study areas were modelled: Guariroba’s Environmental Protection Area, in Mato Grosso do Sul State, Brazil, and Juazeiro do Norte City, in Ceará State, Brazil. It was observed that in order to use the MFS as a numerical method in modeling groundwater flow, it is necessary to determine the best distance value of the fictitious boundary. This value can be chosen from the use of field data within the analyzed domain, where the relative error is a parameter to be minimized. Applying this methodology and comparing with the results of the MODFLOW application for the same set of initial data, we concluded that the MSF allows to estimate the piezometric level values within the analyzed domains and that the results of the statistical comparison between them point to the need to investigate the representativeness of both methods to determine which one is most appropriate for modelling the groundwater flow in each region.
Mathematical modeling of the infiltration in a permeable pavement on the field scale
Authors: Marinho Marília Neves , Coutinho Artur Paiva , Santos Neto Severino Martins dos , Casagrande Cézar Augusto , Santos Guilherme Teotônio Leite , Carneiro Arnaldo Manoel Pereira
Published: September 2020

ABSTRACT Permeable pavement (PP) is an alternative for the management of urban rainwater that allows the reduction of effective precipitation through the infiltration process. In this study was evaluated the infiltration capacity of a PP of hollow concrete blocks in a parking lot of the Federal University of Pernambuco. The hydraulic characterization and the infiltration capacity were analyzed in real scale, using a simple ring infiltrometer of 100 cm in diameter through the Beerkan method. Infiltration tests were carried out at twelve points of the PP. The BEST algorithm was applied in it Best-Intercept and Best-Slope version, to estimate the hydraulic parameters of the van Genutchen and Brooks and Corey equations for the retention and hydraulic conductivity of the PP surface. The values of saturated hydraulic conductivity determined by the BEST Intercept method were higher than those obtained by BEST Slope. The sorptivity values estimated by BEST Slope and Intercept were similar, with BEST Slope values slightly higher. Moderate infiltration variability was observed on the PP surface, as well as within the same type of texture. The Beerkan method proved to be adaptable to measure, in field scale, the three-dimensional infiltration in the PP covering layer.
Eddy-covariance CO2 fluxes over Itaipu lake, southern Brazil
Authors: Armani Fernando Augusto Silveira , Dias Nelson Luís , Damázio Jorge Machado
Published: September 2020

ABSTRACT In this work, we present CO2, latent heat and sensible heat fluxes measured over the reservoir of the Itaipu Hydroelectric Power Plant (Paraná State, Brazil) during 2013. A tower was installed at a small island in the reservoir, where an Eddy Covariance system, with supplementary equipments and analysers, was deployed. The objective of this work was to determine the magnitude of CO2 fluxes and their variation throughout the year. CO2 flux displayed seasonality: in warm months there was a predominance of negative CO2 daytime fluxes and positive CO2 nighttime fluxes, which we attributed to photosynthesis/respiration in the reservoir; in cold months there was a predominance of negative CO2 fluxes in both periods, with CO2 air concentration apparently imposing the signal of the CO2 fluxes and the strong winds intensifying them. The range of 90% of the CO2 fluxes measured in this work (−102.68 to +151.72 µg m−2s−1 at the 30-min. time scale) is comparable to those observed in natural lakes and reservoirs around the world. On the average, the reservoir acted as a source of CO2, with an overall mean flux of +12.78 µg m−2s−1.
Estratégia Saúde da Família e práticas populares de saúde: diálogos entre redes vivas em um território de Manaus, AM, Brasil
Authors: Feichas Naila Miriam Las-Casas , Schweickardt Júlio Cesar , Ferla Alcindo Antonio
Published: September 2020

As práticas tradicionais de cura apresentam-se no cotidiano das pessoas de diversas formas: “puxação”, massagem, chás, “garrafadas”, rezas. A proposta do presente estudo foi produzir um diálogo entre a Estratégia Saúde da Família (ESF) e o cuidado popular que ocorre em uma comunidade de Manaus. Trata-se de uma pesquisa etnográfica com o relato de quatro cuidadores populares identificados pelos agentes comunitários do território da ESF. Os cuidadores narraram suas vivências, iniciação na prática do cuidado e especialidades nesse processo. Alguns cuidadores também desenvolviam atividades de parteiros por meio da técnica de “pegar menino” e “puxar barriga”, enquanto outros somente rezavam. Durante a pesquisa, a equipe de saúde foi desenvolvendo estratégias de diálogo com a comunidade e com os cuidadores populares, buscando superar possíveis preconceitos que dificultam o diálogo intercultural e uma relação colaborativa no cuidado das pessoas no território.
A percepção e a prática dos profissionais da Atenção Primária à Saúde sobre a Saúde Mental
Authors: Pereira Rafaela Miranda Proto , Amorim Fábio Ferreira , Gondim Maria de Fátima de Novais
Published: September 2020

A elucidação dos entraves na assistência à Saúde Mental na Atenção Primária à Saúde (APS) é fundamental para a melhoria dos serviços. O objetivo do estudo foi conhecer a percepção e a prática dos profissionais sobre a Saúde Mental na APS para contribuir no esclarecimento das dificuldades percebidas. Trata-se de um estudo transversal qualitativo em profissionais das equipes de Estratégia Saúde da Família (ESF) de Itumbiara, GO, Brasil, por meio de questionário semiestruturado, sendo realizada análise de conteúdo conforme técnica de Bardin. Foram identificadas barreiras como incapacidade em lidar com demandas de Saúde Mental, receio no contato com usuário, falta de processos de trabalho específicos para a Saúde Mental e incompreensão de como realizar o acompanhamento e a interlocução entre os serviços de saúde de forma a garantir a integralidade. O entrave principal se dá em como fazer, necessitando intervenções efetivas de Educação Permanente.
Application forms and mode of action of biocontroller in the management of Meloidogyne incognita in tomato
Authors: Frederic Jean B , Costa Cândido A da , Rocha Fernando da S , Fernandes Maria de Fátima G
Published: September 2020

ABSTRACT Mixture of antagonist agents and form of application may influence in the control of root-knot nematodes. Thus, the aim of this work was to study the action of a biological product based on enzyme mixtures, Bacillus sp. and Trichoderma sp., at different concentrations on hatching, motility, mortality and reproduction of Meloidogyne incognita in tomato, considering two ways of application of the product. Eggs and second-stage juveniles (J2) of M. incognita were placed in biological product solutions at concentrations: 0, 1.25, 2.5, 5, 10, 20 and 40 g L-1. The same concentrations were applied to planting pits or to the soil surface. Afterwards, 3,692 eggs of M. incognita were inoculated in tomato crop. A significant reduction in J2 hatching of M. incognita J2 was observed in the highest concentrations and higher mortality of J2 from concentration of 5 g L-1. The interaction between concentrations and form of application of the product significantly influenced the infectivity and reproduction of M. incognita. Greater root system mass was obtained by applying the biological product to the surface, regardless of concentration.
Yield and quality of carrot cultivars related to the harvest time
Authors: Carvalho Agnaldo Ferreira de , Silva Giovani Olegario da , Magalhães Caroline da Cruz
Published: September 2020

ABSTRACT The knowledge about harvest time in carrots is important to determine the moment when the farmer will be able to obtain higher yield and quality of roots. Thus, this work aimed to verify the moment of harvest, aiming to maximize yield and the quality of roots. From November 2018 to March 2019, three cultivars, Brasília, BRS Planalto and HX4098 were evaluated in Brasília-DF in DBC design with three replications, in a split plot scheme, in which the treatments of the subplots were the harvest times at 80, 90, 100, 110 and 120 days after sowing (DAS). The experiment was installed on November 20, 2018, in 1 m2 useful area seedbeds. Sowing was done manually, in transverse grooves, with double spacing rows 10 x 20 cm, and 5 cm spacing between plants. Cultural treatments were those adopted for the carrot culture for the Brazilian Cerrado biome. At harvest, the total mass, non-commercial and commercial roots, number of roots of each class, average diameter and length of commercial roots and °Brix were evaluated. The best harvest time to obtain maximum yield is close to 110 DAS, with a small reduction in °Brix after 90 DAS.
Posições verticalizadas no parto e a prevenção de lacerações perineais: revisão sistemática e metanálise
Authors: Rocha Bruna Dedavid da , Zamberlan Cláudia , Pivetta Hedioneia Maria Foletto , Santos Bianca Zimmermann , Antunes Bibiana Sales
Published: September 2020

RESUMO Objetivo Investigar se a adoção de posições verticalizadas pela mulher, no parto, comparada à posição litotômica, previne lacerações perineais. Método Revisão sistemática com metanálise. As buscas foram realizada nas bases de dados: LILACS, Medline/PubMed, CINAHL, Cochrane Library, Web of Science, Science Direct e Scopus. As buscas na literatura cinzenta foram conduzidas nas bases Google Scholar e OpenGrey. Também foram consideradas as listas de referências dos artigos incluídos. Para análise da qualidade metodológica dos artigos, utilizou-se a ferramenta da colaboração Cochrane e a ACROBAT-NRSI. Resultados Foram elencados 26 estudos e 8 foram selecionados para a metanálise. O nível de evidência científica foi classificado pelo Sistema GRADE e considerado alto. Não houve diferença estatística significativa entre posições verticalizadas em relação as posições horizontais. Apesar dessa constatação, as posições verticalizadas apresentaram índices reduzidos de lacerações perineais graves. Conclusão A adoção de posições verticalizadas, no parto normal, pode ser encorajada pelos profissionais, pois pode evitar lacerações perineais graves, porém, não é possível afirmar com precisão a eficácia destas em detrimento das posições horizontais para o desfecho períneo íntegro.
Avaliação do risco ergonômico de um operador agrícola em atividade de trituração de restos culturais
Authors: Chaiben Neto Miguel , Bruning Jhosefe , Rodrigues Silvana Antunes , Pimenta Bruna Dalcin , Alonço Airton Dos Santos , Francetto Tiago Rodrigo , Lopes Tiago Gonçalves
Published: September 2020

O objetivo do trabalho foi o de avaliar atividade de um operador, quanto a suas posições no posto de trabalho e a sua exposição a níveis de ruído em uma operação de trituração de restos culturais da cultura do milho. Além disso, sugerir possíveis alterações para a melhoria das condições de trabalho do operador. O estudo foi realizado no município de Santa Maria – RS, no qual foi avaliado o posto de trabalho de um operador de um trator agrícola durante a realização de uma atividade de trituração dos restos culturais de uma lavoura de milho, na qual foi utilizado um trator de 75cv e um triturador de restos culturais de 12 martelos. A operação foi registrada por fotos e vídeos, e estas foram avaliadas pelos métodos OWAS, REBA, RULA e QEC com o uso do software Ergolandia 7.0. Ademais, o nível de ruído foi medido com o uso de um decibelímetro. De acordo com os dados medidos foi possível verificar que o nível de ruído de 97,1dB sendo esse valor superior ao estabelecido pela NR 15 e com a análise dos métodos foi constatado a necessidade de realizar intervenções ergonômicas para que a atividade possa ser desempenhada de forma a não ocasionar riscos à saúde do operador.
Caracterização potenciométrica e reconhecimento de padrões de ácidos húmicos extraídos de solos de altitude
Authors: Reis Efraim Lázaro , Dutra Rita Aparecida , Benites Vinícius De Mello , Reis César , Reis Clausius Duque Gonçalves , Mendonça Eduardo De Sá , Fidêncio Paulo Henrique
Published: September 2020

A vegetação de altitude encontrada no topo das montanhas mais altas do Brasil, como os complexos Espinhaço e Mantiqueira, nos estados de Minas Gerais e Bahia, consiste em ecossistemas com características marcantes na diversidade da flora e fauna. O solo nessas áreas é geralmente raso, pobre em nutrientes, mas rico em ferro e alumínio trocáveis.A caracterização dos ácidos húmicos de tais ecossistemas entre outros componentes químicos é muito útil para entender as propriedades fundamentais da composição orgânica do solo.Foram caracterizadospotenciometricamente um total de 72 amostras de solo de 10 locais distintos noscomplexos Espinhaço e Mantiqueira. Os dados das titulações potenciométrica foram processados em um software baseado na linguagem Delphi, a fim de obter as constantes de ionização e as porcentagens dos grupos titulados. Este software demonstrou ser eficiente na reprodução das curvas de titulação com uma concordância notável às experimentais. Após o processamento dos dados potenciométricos, os valores das constantes de ionização e porcentagens dos grupos carboxílicos e fenólicosforam submetidos à análise dascomponentes principais no ambiente MatLab, utilizando uma matriz de 72 amostras e 10 variáveis, obtendo um modelo em que se constatou que as quatro primeiras componentes principais explicavam 91,23% da variação total dos dados originais.A análise das componentes principais mostrou uma separação relativa entre as amostras. As características dos ácidos húmicos evidenciadas pela titulação potenciométrica refletem as condições em que estes ácidos foram formados, embora não permitindo uma separação mais eficaz entre os grupos evidenciados pela análise dascomponentes principais.
İŞİTME ENGELLİ ÖĞRENCİLERE AKTİF ÖĞRENME MODELİYLE COĞRAFYA EĞİTİMİ
Authors: ÖZCAN Esin , ÖZTÜRK Eda
Published: September 2020

Eğitim sisteminin en önemli amacı, tüm bireylerin gelişim süreçlerindeki olması muhtemel sorunlarını çözmeye yardımcı olmak ve bireylere gereksinim duydukları eğitim hizmetlerini sağlamaktır. Bu sistem içerisindeki özel eğitimin amacı ise herhangi bir nedenle normal eğitimin gereklerini yerine getiremeyen bireylere eğitimde fırsat eşitliği sağlamaktır. İnsana verilen değerin artması ile birlikte, özür ve özelliği olan bireylere dönük, öğrenen merkezli yaklaşımlar ön plâna çıkmıştır. Eğitim bilimlerinde kaydedilen gelişmeler, işitme engellilerin öğretim etkinliklerinde geleneksel yaklaşımların dışına çıkılması gerektiğini vurgular niteliktedir. Bu çalışmada, Coğrafya dersinde Ana Yeryüzü Şekilleri konusu örneğinin, aktif öğrenme ve geleneksel öğretim yaklaşımlarıyla işitme engelli öğrencilerin akademik başarıları üzerindeki etkileri incelenmektedir. Ortaöğretim 9. sınıftaki işitme engelli öğrencilerin coğrafya dersinde, ana yeryüzü şekillerinin öğretiminde aktif ve geleneksel öğretim yöntemleri kullanılmasının öğrencilerin başarı düzeylerinde ortaya çıkaracağı farklılıkları incelemek amaçlanmıştır. Araştırmada deneysel model kullanılmıştır. Deneysel modelde “ön test ve son test kontrol gruplu araştırma modeli” kullanılmıştır. Uygulanan yöntem ve tekniklerin ardından ortaya çıkan bulgulara göre başarı puanlarında uygulama öncesine göre daha fazla kazanç elde eden aktif öğrenme yönteminin, geleneksel öğretim yöntemine göre başarı puanlarını artırmada daha etkili olduğu sonucu ortaya çıkmıştır. Buna göre "Aktif Öğrenme Modeli" bu öğrencilerin Coğrafya derslerinde kullanıldığında başarı sağlanabilecek bir öğretim yöntemidir.
A New Center, Isparta City Hospital Open Heart Surgery: Result of first 106 Cases
Authors: ÇELİK Ersin , ÇORA Ahmet , KARADEM Kadir Burhan , YILDIRIM Murat , DÜVER Harun , YÜKSEK Mehmet Ali , GÜLMEN Şenol
Published: September 2020

Introduction: First 106 open heart operation cases evaluated in Isparta City Hospital Cardiovascular Surgery Clinic.

Material and Method: One hundred and six open heart surgery patients from may 2018 to june 2019 were evaluated retrospectively. 32 (30.2%) were female and 74 (69.8%) were male with the mean age is 64±10. Totally 5 (4.7%) were valve and 101 (95.3%) were coronary artery bypass grafting, 5 (5%) of these cases were emergent operation.

Results: Overall mortality was 5(4.7%). Reoperation rate was 4 (3.8%) ; 2 (1.9%) reoperated for haemorragia, 1 (0.9%) for ventricular arhytmia and 1 (0.9%) reoperated for late sternal dehissence after 1 week of the first operation. Neurologic complication was 4 (3.8%). Glomerular filtration rate, age, ejection fraction, euroSCOREs, intensive care unit follow up days and postoperative discharging days were evaluated. In the presence of chronic obstructive pulmonary disease, intensive care unit and hospital stay periods significiantly increase but they remain normal in the presence of diabetes mellitus.

Results: Although our heart center is new onset among the city hospitals, we think that our center has a remarkable success in first 106 patients according to the morbidity and mortality rates and intensive care unit and overall hospital stay days compared to the published databases.
Further evidence for the structure of the Resilience Scale in portuguese language countries: An invariance study with brazilian and portuguese adolescents
Authors: Dias Paulo , Cadime Irene , Perim Paulo Castelar
Published: September 2020

Especially since the last decades of the 20th century, research about resilience provided some insights into how people deal and overcome adversity in a positive way. Given the recent research history on this topic, discussion about theories and measures is still ongoing. In this study we aim to explore the structural invariance of the Wagnild and Young’s Resilience Scale (RS), one of the most widely used measures of resilience, across Portuguese and Brazilian adolescents. A sample of 969 adolescents with ages ranging between 13 and 18 years old completed the RS. A five- and a two-factor structure for the full RS version with 25 items and a one-factor structure for a RS short version, composed of 14 items, were tested using confirmatory factor analysis (CFA). After determining the best fitting structure, a multi-group CFA was performed to test the invariance of the instrument across the Portuguese and Brazilian samples.  The five- and two-factor structures for the full version revealed a poor fit. The one-factor structure revealed a good fit in both samples. Moreover, evidence for the partial measurement invariance of the short version across both samples was found. Our results indicate that the RS short version can be used for cross-cultural studies of resilience in both countries and that the five- and two-factor structures might be inadequate for comparison purposes.
Preliminary study for validation of questionnaire CDC - Body, Dance and Community for teenagers
Authors: Silva Valéria , Macara Ana , Januário Carlos , Wachowicz Fátima
Published: September 2020

This article presents the second preliminary study designed to develop and validate the questionnaire CDC (Body, Dance and Community) for young dance practitioners from the Art Centers of Rio de Janeiro City Hall. The theoretical framework was based on studies related to the physical dimension (Figueiredo, 2013; Furhmann, 2014), affective dimension (Damásio, 2014; 2013; Figueiredo, 2011), social dimension (Fuhrmann, 2008; Marques, 2010; 2014; Shapiro, 2008) and adolescence (Lipp, 2010; Matos & Thomas, 2012). The instrument was applied to 50 subjects aged from 12 to 16 years old. Based on the results of this study, we obtained the internal consistency of the questionnaire and its subscales. The results from the study point adequate values for the internal consistency of the questionnaire and identify benefits derived from the practice of dance by young people, namely in the physical dimension trough a better expressiveness and self-perception of emotions expressed while dancing, as well as in an affective dimension, through the development of feelings of self-confidence and well-being and in a social dimension by the impact of dance on a better interaction and social participation with family, school, community and among members of the art center.
The need for safety in the aspect of psychosocial dissonance and facilitation of social interaction
Authors: Vasina Veronika V.
Published: September 2020

The paper deals with five levels of motives (needs) of modern students according to the knownA. Maslow model of needs. The safety need psychology is shown to be connected with a psychosocial dissonance as overcoming the arising mental tension and the choice of the development route at the personality level and also with a facilitation of social interaction as influence of the strangers who do not participate in social interaction directly, and social environment influence on the development trajectory choice at the social level. Empirical data are obtained on the basis of a technique "Motivation of educational/professional activity" (V.V. Vasina,R.G. Khalitov). The comparative analysis of students’ safety need is carried out. Psychological interpretation of a low level indicator of safety need is given.
Features of studying a communicative discourse within a competence approach
Authors: Maksimyuk Elena V.
Published: September 2020

The paper is devoted to the need to include tasks aimed at a comprehensive analysis of the extra-linguistic factors of the communication situation in the teaching aids. Understanding the external context will allow us to create the conditions for effective decision making based on the use of sociocultural experience. The author demonstrates that the introduction of contextual analysis with an emphasis on socio-psychological content will make the process of teaching foreign languages practical-oriented and will contribute to the formation of competencies necessary for foreign language communication. Particular emphasis is placed on the genre filling of speech. Since genres of communication are a verbal reflection of the types of social interaction of people. The speech genre is the norm necessary for the realization of a communicative goal within the framework of the chosen message format. The specificity of communication is due to the unique combination of socio-psychological elements that determine the nature of the relationship within it. The paper describes and analyzes the thematic and genre content, taking into account the psycho-emotional characteristics of speech in the framework of professional communication between the boss (Dr. Cuddy) and his subordinate (Dr. House). The study used methods: contextual, genre, cognitive-semantic and comparative analysis. The author demonstrates that contextual analysis is an effective way of forming and implementing value-semantic, cultural, educational, cognitive and informational competence. Since knowledge and understanding of the role of extra-linguistic factors in the communication process largely determine the success of communication and the degree of effectiveness of using various language tools and speech tactics and strategies. The inclusion in the educational and methodological complexes for teaching a foreign language of tasks aimed at analyzing an external context that is close to real will contribute to the implementation of new approaches to teaching foreign languages in higher education, the further implementation of new federal state standards, and contribute to the achievement of the main goal of teaching foreign languages - the formation of a secondary linguistic personality, ready for foreign language communication in a multicultural world in a pandemic circumstances.
The use of authentic songs in teaching Russian as a foreign language on A1-A2 level
Authors: Gridneva Natalia A. , Vladimirova Svetlana M.
Published: September 2020

The paper deals with the problem of authentic songs’ usage at the initial stage of Russian as foreign language teaching. The inclusion of authentic materials in the educative process is an exclusive requirement of the modern methods of teaching languages: it enables to study language in its symbiotic relationship with the culture of native speakers. The well-thought-out work with authentic songs on A1-A2 level can be not less effective than on other levels, the need for it is here well established too. Nonetheless the authentic song seldom comes into use when teaching beginners, in the methodical literature this question is not often written about too. All this speaks for a low degree of development of methods of authentic songs’ using at the initial stage (including RFL). Our purpose here is to justify the need for this work, to elicit its potential. Regarding the song as a phenomenon of national culture we research its essential features, which determine its high methodological and pedagogical potential: authenticity, musical component, textual component, artistic nature and language material. Immediacy of this potential for the initial stage of Russian as foreign language teaching, as well as some ways of its realization are exemplified by song “Vasja” (music band “Bravo”).
Changing educational trends in the context of global digitalization of society
Authors: Ermakova Yuliya D.
Published: September 2020

The fourth industrial revolution affects all spheres of life of modern society and economy. In contrast to previous revolutions, when the structure and organization of universities were relatively intact, the combination of technology with artificial intelligence is being implemented more and more deeply and on a larger scale in many areas of the educational system around the world. The very concept of 'deep learning', which is key to progress in the use of digital resources and artificial intelligence, changes the basic, well-established goals of universities and can create new competition for them. This, in turn, entails an inevitable change in the overall paradigm of teaching, education and self-education, and the implementation of ongoing research, which requires a fundamental re-evaluation and transformation of the entire educational model. Whether universities will cope with this task will become obvious in the near future, but it is already impossible to ignore, that is, simply ignore the opening prospects. Global digitalization can provide a high-quality educational environment to stimulate interest in educational resources, which contributes to the formation of a conscious, urgent need for obtaining high-quality higher education. Interactive and digital technologies support students’ involvement in the learning process and improve the learning process as a whole, making it more intuitive and adaptive. Innovative resources also provide an opportunity for self-development by targeting students for research activities. Such technologies allow many students outside of a University or other educational institution from all over the world to participate in scientific discoveries through web audiences and joint online projects. In addition to improving the quality of education, the latest technologies can make education available to a much larger number of applicants. However, the results of the analysis of potential and already implemented methods using interactive scientific developments allow us to come to the conclusion that we should not forget that high-quality education at the highest professional level requires personal and subjective attention, which cannot be automated. The author's conclusions obtained from the analysis of publications on this issue are the value of the study and can be applied in the implementation of the educational process in the context of global digitalization at many stages of education.
Comparative analysis of morphological and functional methods of studying the condition of the central parts of the retina with relapse of macular rupture
Authors: Shishkin Mikhail Mikhailovich , Larina Eugenya Artemovna , Fayzrakhmanov Rinat Rustamovich , Pavlovsky Oleg Alexandrovich , Sukhanova Anna Victorovna , Karpov Grigory Olegovich
Published: September 2020

in 8-10% of cases after surgical treatment, macular ruptures dont close. Objective: to assess the morphological and functional parameters of the macular area using the surgical method of closing previously operated macular ruptures using a free flap of the internal limiting membrane and silicone oil tamponade. This study involved 31 patients, all patients underwent surgical treatment according to the method using a free ILM flap and silicone tamponade, also the standard diagnostic procedures and optical coherence tomography and microperimetry were used (before the operation, on 14th and 30th day after the operation). A change of the morphological parameters of the retina has a direct correlation with a change of the functional parameters of the macular zone, and a peak of the increase in photosensitivity of the retina occurs in the early postoperative period with a slight increase in this indicator in the long-term postoperative period.
PARTICULARITY OF HEMODYNAMICS IN HEMODIALYSIS PATIENTS WITH HAND ISCHEMIA
Authors: Zakhmatova Tatiana V. , Koen Valeria S. , Holin Alexander V.
Published: September 2020

Introduction. Successful hemodialysis is impossible without effective vascular access. However, the average duration of its normal functioning is 2.53.0 years that is associated with complications, one of them is steal syndrome of the hand. Objective. To examine hemodynamic parameters in vascular access and forearm arteries in hemodialysis patients with hand ischemia. Methods. Duplex ultrasound was performed in 550 patients, 517 of which (94.0%) had an arteriovenous fistula, 33 (6.0%) had an arteriovenous graft. The inflow artery, anastomotic zone, outflow vein and arteries distal to the anastomotic zone were assessed during ultrasound examination, linear and volumetric speed indicators, peripheral resistance indices were measured. Results. Steal syndrome was detected in 2.7% of cases. The main reasons are the inflow artery alterations due to diabetes and atherosclerosis that lead to insufficient growth of blood flow through the artery (20,0%); huge anastomosis diameter that causes a vein dilation and significant increase in access flow (13,3%); insufficient blood flow through the ulnar, anterior interosseous arteries and the absence of collateral branches that did not compensate for retrograde blood flow in the radial artery distal to anastomosis (40,0%); microcirculatory dysfunction of the hand and alterations of the regulation mechanisms of the resistive vessels tone (26,7%). Conclusion. Dynamic ultrasound examination of vascular access can detect adverse changes in hemodynamics and avoid severe ischemic complications. The main reason of steal syndrome is the condition of the forearm arteries not participating in the fistula formation and the hand microvasculature.
Biomarkers of acute myocardial infarction: diagnostic and prognostic value. Part 1 (literature review)
Authors: Chaulin Aleksey Michailovich , Duplyakov Dmitry Viktorovich
Published: September 2020

Morbidity and mortality rates from acute myocardial infarction (AMI) have been growing rapidly in recent years, causing significant socio-economic damage. Cardiac biomarkers play an important role in the diagnosis and prediction of AMI. In our review article, we will summarize information about the main existing cardiac biomarkers and focus on their diagnostic and prognostic value for patients with AMI.
In the first part of the review, we consider the diagnostic and prognostic value of biomarkers of necrosis and myocardial ischemia (aspartate aminotransferase; creatine phosphokinase; cardiac troponins; myoglobin, ischemia-modified albumin, fatty acid binding protein) and neuroendocrine AMI biomarkers (natriuretic peptides, adrenomedullin, catestatin, components of the renin-angiotensin-aldosterone system).
In the second part of the review, we discuss the diagnostic and prognostic value of inflammatory AMI biomarkers (C-reactive protein, interleukin-6, tumor necrosis factor, myeloperoxidase, matrix metalloproteinases, soluble CD40 ligand form (sCD40L), procalcitonin, placental growth factor (PGF), procalcitonin) and recently discovered new biomarkers (microRNA, stimulating growth factor, expressed by genome 2 (ST2), growth differentiation factor 15 (GDF-15), galectin-3).
Beta-adrenergic and M-cholinergic receptor interactions characteristics in the pathogenesis of bronchial obstructive pulmonary diseases
Authors: Eremenko Anna , Zykov K. A.
Published: September 2020

Crosstalk between beta-2-adrenoceptor and M- cholinoreceptors in the airway plays one of the main role in the pathogenesis of bronchoobstructive diseases. The interaction of M3-cholinergic receptors and beta2-receptors in the lungs can be characterized as functional antagonism. M3 activation can lead to desensitization of beta2 receptors. Beta2 receptors also limit the action of M3 receptors in various ways. In this case, M2 cholinergic receptors act as autoreceptors. On the one hand, they limit bronchoconstriction caused by a change in the conformation of the M3 cholinergic receptor, and on the other hand, they are able to suppress the excessive bronchorelaxating effect that occurs when beta2 receptor is activated. Knowledge of the crosstalk mechanisms can help to understanad the pathogenesis of bronchial obstructive diseases, optimize existing treatment regimens for chronic obstructive disease (COPD) and bronchial asthma (BA)
Dural arteriovenous fistula is a rare cause of a pulsating noise in the ear
(clinical observation and literature review)
Authors: Belopasova Anastasia V. , Kadykov Albert S. , Belopasov Vladimir V. , Chechetkin Andrey O. , Konovalov Rodion N. , Krupnova Ksenia V.
Published: September 2020

The article describes the clinical manifestations of dural arteriovenous fistula, which is an abnormal communication between the arteries of the dura mater and venous sinuses or cortical veins. Information on the etiology and pathogenesis of such malformation in domestic literature is limited to a few publications. Diagnosis is based on the identification of visual (pulsation of the earlobe) and acoustic phenomena in the patient, the presence of neuroimaging, in particular MR angiography, a shunt between the posterior auricular artery (branch of the external carotid artery) and the dural venous sinuses. The best treatment method is neurosurgical intervention using endovascular surgery.
ARTERY OF PERCHERON BRAIN INFARCTION: REVIEW OF LITERATURE AND CLINICAL CASE
Authors: Barilyak Nikolay L , Ponomarev Grigory , Shatsman Ilya Grigor'evich , Zhukovskaya Natalya , Skoromets Alexandr
Published: September 2020

Artery of Percheron is an anatomical version of the cerebral vessels, in which one artery, departing from the proximal part of one of the posterior cerebral arteries, supplies the paramedial thalamus and the rostral part of the midbrain. The Artery of Percheron brain infarction is often manifested by impaired consciousness, oculomotor disorders and neuropsychological symptoms. The diagnosis of the Artery of Percheron brain infarction is carried out using computed and/or magnetic resonance imaging (MRI). Intravenous thrombolysis and endovascular treatment methods are used in therapeutic window. Further secondary prevention is recommended. The prognosis is favorable with the timely treatment.
A clinical case of a 43-year-old woman with acute oculomotor disorders is presented. A neurological examination revealed paresis of the vertical gaze, diplopia. MRI showed a bilateral acute infarction of both paramedial thalamuses. An angiographic study revealed saccular aneurysm of the A1 segment of the right anterior cerebral artery. After treatment, the patient was discharged with minimal neurological deficit.
To the casuistry of complete ruptures of the uterus during the act of childbirth
Authors: Viridarsky S. T.
Published: September 2020

Ruptures of the uterus, being one of the most fatal complications of the act of childbirth, represent, by their etiology, in each individual case, and still a lot of dark sides. Bandl's classic works, which, according to Veit's apt expression, constituted an era in the teaching of uterine ruptures, are so carefully substantiated by the author himself and are full of such valuable indications for the symptomatology of a threatening rupture that for every obstetrician practitioner, they are still a guide thread in the prevention of this dangerous complication.
OBSTETRIC-GYNECOLOGICAL SOCIETY IN ST. PETERSBURG
Authors: Ott D. O.
Published: September 2020

Attended by: honorary member K.F. Slavyanskiy, 38 members: Antipov, Baikov, Bankovskiy, Baskin, Batsevich, Viridarskiy, Voff, Hermonius, Goraiskiy, Danilovich, Dimant, Dranitsyn, Zabolotskiy, Krukovich, Lichkus, Massen, Piotrovich, Porshnyakov, Radetskiy V.K., Rachinskiy, Ruzi, Rutkovskiy, Rymsha, Savchenko, Sadovskiy, Serezhnikov, Stelmakhovich, Stravinskiy, Strogonov, Fisher, A. R. Fratkin, Tsyrskiy, Chernyshev, Shverdlov, Stolts, Shuttenbach, Eberman, Eichfus and 20 guests.
Uterine ruptures and their outcome, depending on the nature of obstetric care
Authors: Rachinskiy N.
Published: September 2020

Leaving aside the ruptures of the uterus, depending on changes in the uterine parenchyma and malformations of the uterus, the author attributes most of the ruptures to neglected and incorrectly administered labor. He puts the degree of frequency of ruptures in direct proportion to the timeliness and nature of obstetric care in each case. Finding a negligible percentage of ruptures in almost all authors (0.01% -0.1%), excluding Leopold (0.3%), and comparing the incidence of uterine ruptures in Warsaw (18 ruptures per 3391 births, therefore, about 0 , 5%), the author explains this frequency of breaks by the irrational delivery of obstetric care. Several cases are cited to support this opinion.
Birth by triplets
Authors: Kakushkin N.
Published: September 2020

A peasant woman, 25 years old, is pregnant for the third time. Childbirth 8 weeks before due date; arrived with contractions.
Two cases of ectopic pregnancy, successfully operated in extremis with gastrointestinal surgery
Authors: Rachinsky N.
Published: September 2020

The first case concerns a 24-year-old patient who was admitted to the Jewish Odessa hospital on June 8, 1893, in a state of severe acute anemia: cold extremities, cyanosis of the lips, intense deep breathing, deathly pallor, cold sweat on the forehead, barely noticeable, threadlike pulse, but at times completely disappearing, semi-unconscious, dilated pupils.
Postpartum psychoses
Authors: Kakushkin N.
Published: September 2020

Guided by the views of various authors, the author of the article tries to systematize various etiological moments, both predisposing to postpartum psychoses and producing the latter. The first place among the causes is heredity, a predisposing cause. Between the predisposing and producing causes, as something transitional, there are emotional disturbances and moral upheavals. Finally, among the causative causes, it is necessary to indicate infection and postpartum diseases of the genital organs (especially often subinvolutio uteri), as well as autointoxicapia (eg eclampsia, osteomalacia).