bluuebunny/crossref_metadata_2025 huggingface dataset:
A An Evidence Based Practice Guidelines for Dental Professionals to Manage Anticoagulant Therapy Patients Seeking Dental Care. A Review Article
Authors: Namis Sultan Mohammed , Al-Habbab Rahaf Y
Published: April 2019

Patients with specific cardiovascular disorders are commonly treated by anti-coagulant medications. Hence, these anti-coagulant drugs might affect greatly the oral health care procedures and the course of dental treatments, Dental Professionals are therefore responsible to treat such patients in a harmonious way as adequate hemostasis is challenging as part of routine oral surgery and other dental procedures. The objective of this review was to discuss the evidence-based practice guidelines based on available literature to manage patients with anti-coagulants therapy seeking invasive dental procedures. According to the available literature, The evidence-based guidelines for anticoagulants such as Warfarin are well established. However, there is an insufficient evidence available for new oral anticoagulants drugs. Nevertheless, risk assessment and the standard INR value should be considered in relevance to consultation with the patient’s physician must be taken into an account before any elective surgical procedures.Anticoagulant therapy must not be interrupted in patients undergoing minor surgical procedures. However, Local hemostatic measures are of utmost considerations and are effective in achieving hemostasis.
Необходимость внедрения системы поставок фермерской продукции для нужд бюджетных учреждений и населения России на основе применения цифровых технологий
Authors: Селезнев Андрей Геннадиевич
Published: April 2019

В статье рассматривается вопрос о возможном создании национальной системы обеспечения бюджетных учреждений и населения Российской Федерации органической продукцией отечественных фермеров.
На основе анализа существующей ситуации в области продовольственного обеспечения россиян и бюджетных организаций, проблем хранения и реализации фермерской продукции, автором обосновывается необходимость создания онлайн-сервиса для организации взаимодействия между всеми участниками продовольственного рынка, с помощью которого будут осуществлены интеграционные процессы между государственными структурами и различными субъектами экономической деятельности.
В рамках предлагаемой концепции основными поставщиками продуктов питания и сырьевых компонентов должны стать российские фермерские хозяйства.
Обзор зарубежного опыта реализации кластерной политики в развитии территорий
Authors: Коокуева Виктория Владимировна , Церцеил Юлия Сергеевна
Published: April 2019

Важной составляющей развития экономики страны является инновационная деятельность, уровень развития которой создает основу устойчивости экономического роста, способствует реализации стратегических задач развития территории. В данной статье приведен обзор зарубежного опыта кластерной политики на уровне государства в различных странах. Проанализированы модели государственного управления инновационных кластеров с целью развития экономики территорий. Был проведен анализ опыта таких стран как США, Канада, Германия, Австрия, Франция, Великобритания, Италия, Финляндия, Япония. В разрезе каждой страны дан краткое содержание кластерного подхода, основные инструменты, организации, реализующие функции, основные преимущества и недостатки. Изучение опыта зарубежных стран, использование его положительных аспектов, изучение негативного опыта позволит проводить эффективную экономическую политику в стране.
Модель работы организаций-поставщиков с государственным заказом с перспективы требований, рисков и мер по их регулированию
Authors: Умнова Мария Геннадьевна
Published: April 2019

С момента внедрения в 2014 году Федеральной контрактной системы, популярность государственного заказа в России неизменно растет. Научный и практический интерес, в частности для коммерческих организаций-поставщиков, представляет система управления эффективностью участия в государственном заказе, которая определяется корректностью системы управления данным процессом. Первым этапом построения такой системы является определение и классификация способов участия, с последующим определением требований, рисков и мероприятий по их управлению. В статье рассмотрены основные конкурентные (участие в рамках 44-ФЗ, 223-ФЗ, едином агрегаторе торговли «Березка») и неконкурентные способы участия (участие в качестве единственного поставщика, опосредованные способы участия).
Статья представляет интерес для двух категорий читателей.
В первую категорию входят исследователи и предприниматели, которые хотят в общих чертах ознакомиться с возможными способами участия организаций в госзакупках. Для таких читателей наибольший интерес представляет первая часть статьи с графической схемой, т.к. в ней наглядно перечислены все имеющиеся способы с основными их характеристиками.
Во вторую категорию следует отнести управляющих организаций, которые уже имеют опыт работы с госзаказом. Сюда же можно отнести научных работников, изучающих сферу госзаказа на детальном уровне. Для этой категории читателей будут интересны таблицы, которые позволяют сравнить риски и управленческую нагрузку при каждом из способов участия.
Для обоих категорий читателей удобно объединение в одной статье основных положений ряда законопроектов и официальной методической литературы.
Обучение и развитие персонала в строительной отрасли
Authors: Пуляева Валентина Николаевна
Published: April 2019

В настоящий момент состояние строительной отрасли Российской Федерации можно охарактеризовать как кризисное. Несмотря на реализацию масштабных проектов в прошедшие годы, среди которых можно выделить подготовку к чемпионату мира по футболу и программу реноваций жилищного фонда, отрасль остается недофинансированной и пока еще не в состоянии вернуться к уровню развития, который наблюдался в стране до 2014 года. В таких условиях строительные компании вынуждены сокращать производственные издержки, в том числе и на персонал. Вместе с тем, в условиях цифровизации экономики и общества, а также постоянно повышающихся требований и стандартов в отрасли наблюдается недостаток высококвалифицированных специалистов. Строительным организациям зачастую бывает трудно сформировать эффективную команду для реализации того или иного проекта. Все это обуславливает потребность в формировании эффективной системы развития и обучения персонала в строительной отрасли с целью создания трудоспособного коллектива профессионалов, вовлеченных в свою деятельность и лояльных по отношению к своей организации. В этой связи целесообразно повышать качество и эффективность обучения, с тем, чтобы каждый вложенный в обучение рубль приносил максимально возможную отдачу. Автором были рассмотрены основные тенденции, наблюдаемые в строительной отрасли в последние годы. На примере одной из строительных компаний Центрального федерального региона были выявлены основные недостатки системы обучения персонала, для устранения которых была предложена модель комплексной оценки результативности обучения и повышения квалификации персонала строительной организации. Данная модель включает в себя критерии оценки результатов обучения, систему распределения ответственности за прохождение обучения в организации между ее различными сотрудниками и подразделениями, а также таргетирование целевой аудитории слушателей тех или иных программ повышения квалификации и бизнес-образования.
Прямые иностранные инвестиции как основной финансовый источник социально-экономического развития Азербайджана
Authors: Яхяева Айнура Юсиф гызы
Published: April 2019

В статье исследуется роль прямых иностранных инвестиций в социально-экономическом развитии страны, рассматриваются вопросы их экономического и правового регулирования. А также, оцениваются влияние прямых иностранных инвестиций на социально-экономическое развитие, предлагаются рекомендации по повышению социально-экономической эффективности этих инвестиций.
Корпоративная социальная ответственность в электроэнергетике Европы
Authors: Павлов Эдуард Леонидович
Published: April 2019

В статье рассмотрена деятельность европейских энергетических компаний в сфере корпоративной социальной ответственности (КСО) и определено значение социальной ответственности для создания положительного имиджа компании, а также повышения значений её финансовых показателей. Рассматривается ряд примеров использования КСО в компаниях, занимающихся генерацией, передачей и сбытом электроэнергии. Оценивается деятельность этих компаний в рамках программ проводимой ими политики КСО, анализируются ошибки при реализации благотворительных проектов. Сравниваются усилия и перспективы компаний, проводящих переход на использование возобновляемых источников энергии, а также приводятся данные по политике КСО вышеуказанных организаций в рамках экологических программ и охране окружающей среды. Выявляются приоритеты электроэнергетических компаний при проведении политики КСО. Установлено, что рассматриваемые компании особое внимание уделяют внутренней политике КСО по сравнению с внешней. На основе анализа истории КСО и деятельности европейских энергетических компаний в социальной сфере, выработаны рекомендации для эффективного развития социальных проектов. За счёт большого штата сотрудников энергетические компании могут организовывать проекты по социальному волонтёрству, и в статье изложены пути повышения отдачи от волонтёрских проектов, а также вскрыты возможности инвестирования организациями малого и среднего бизнеса в социальные программы крупных компаний. Оценена возможность использования онлайн-волонтёрства для удаленного участия сотрудников в программах КСО. Это позволяет сделать участие в волонтёрской деятельности удобным и доступным каждому сотруднику. Виртуальное волонтёрство рассматривается в связке с практикой микро-волонтёрства, которое позволяет сотрудникам принимать участие в программах КСО не покидая рабочего места и затрачивая на данную деятельность не более двух часов в день. В случае следования рекомендациям, изложенным в данной статье, прогнозируется повышение отдачи от реализации политики КСО электроэнергетических компаний, которая улучшает имидж организации среди стейкхолдеров.
Малое предпринимательство на рынке торговых услуг в контексте социально-экономического развития депрессивного региона
Authors: Рамазанов Ибрагим Агаевич
Published: April 2019

В статье представлены результаты исследования малого предпринимательство в сфере торговли в контексте социально-экономического развития депрессивного региона. Доказано, что улучшение социально-экономической ситуации сопровождается сокращением темпов роста количества малых предприятий, консолидацией рынка торговых услуг и усилением влияния сетевых форматов в сфере торговли. Регионы с депрессивной социально-экономической ситуацией характеризуются высокой долей малого предпринимательства, рынков и оборота торговой деятельности населения в сфере торговли.
科学钻探泥浆性能要求与分析
Authors: 磊 高
Published: April 2019

钻探泥浆得出促成主要包括粘土、水以及处理剂等共同构成的，在不同的钻探领域，泥浆所展现出的功能也有所不同，其性能指标也有着很大的差异。在钻孔灌注桩成孔钻进中，泥浆可以起到对钻具的冷却作用、平衡地层压力、使孔壁具有一定的稳定性等功能，其性能指标与其他领域相比有着一定的差异性。本文主要对钻探泥浆的性能展开详细的分析，并对泥浆性能指标存在的问题提出合理化的解决措施。
THE AGE GENDER AND CLINICAL ANAMNESTIC CHARACTERISTICS OF ATYPICAL CLINICAL FORMS OF ACUTE MYOCARDIUM INFARCTION
Authors: Okrugin Sergey A. , Garganeeva A. A , Kuzheleva E. A , Borel K. N
Published: April 2019

Purpose of study. To investigate age gender and clinical anamnestic characteristics of patients with atypical clinical forms of acute myocardium infarction.Materials and methods. The study was based on data of the WHO programs “The register of acute myocardium infarction”. The analysis comprised 836 cases of acute myocardium infarction. The atypical clinical forms of acute myocardium infarction were detected in 184 patients (18.7%). In the structure of atypical clinical forms of acute myocardium infarction the following alternatives were appropriated: asthmatic (32,6%), collaptoid (31,5%), abdominal (13.6%), arrhythmic (7.6%), peripheral (5.4%)б painless (4.9%) and cerebral (4.3%).Results of study. The most of the males (62.5%) found themselves in the group of patients with abdominal form of acute myocardium infarction and most of the females in the group with cerebral form of acute myocardium infarction. In all analyzed groups the individuals older than 60 years prevailed. In the group of patients with cerebral form were most of the individuals underwent earlier acute myocardium infarction (50.0%). The diabetes mellitus most frequently was registered in individuals with painless acute myocardium infarction (55.5%). In all cases, course of acute myocardium infarction was complicated. Under atypical clinical forms of acute myocardium infarction higher lethality was registered and in groups with arrhythmic and cerebral forms it reached 100%.The conclusion. The whole group of patients with atypical clinical forms of acute myocardium infarction was presented by over-age contingent, severe in clinical, anamnestic and prognostic layouts. The unsatisfactory diagnostic of atypical clinical forms of acute myocardium infarction resulted in higher lethality of the given group of patients. With regard to that a general tendency of alteration of age structure of population of Russia is a steady increasing of percentage of individuals of older age groups t5he rate of occurrence of atypical clinical forms of acute myocardium infarction will regularly increase.
THE ANALYSIS OF TASTE SENSITIVITY IN PATIENTS BEING ON ORTHODONTIC TREATMENT
Authors: Solodkaya Kseniya I. , Sorokina N. D , Gioeva Yu. A
Published: April 2019

Nowadays, number of studies covering issues of disorders of human gustatory sensitivity under effect of general and local factors is increasing. However, alterations of gustatory perception in orthodontic patients are studied insufficiently. The purpose of study. To determine quantitative and qualitative alterations of gustatory sensitivity in individuals bearing for a long time intra-oral orthodontic constructions. The sampling included 15 examined patients aged from 11 to 37 years being on the stage of orthodontic treatment (in average from 6 months to 1 year) at the chair of orthodontics of the A.E. Evdokimov Moskovskii state medical stomatological university. The gustatory sensitivity was investigated using gustometry technique identifying threshold of gustatory sensitivity i.e. the least concentration of solution of gustatory substance that provokes sensation at applying on tongue. In addition, attention was paid to health condition of patient, presence of harmful habits and food addictions. The studies demonstrated that in patients on various kinds of gustatory sensations (sweet, salted, bitter, sour) developed altered gustatory sensations that шт relation to normal reactions were higher, lower or within the limits of norm. The highest number of mistakes were observed in case of identification of soar and salted solutions. The dynamic observation testifies alteration of gustatory perception in examined patients during all period of treatment. Therefore, studies are to be continued increasing their duration and number of patients with purpose of making more concrete conclusions about dynamics of human gustatory sensitivity under bearing intra-oral orthodontic constructions.
THE EVALUATION OF CONDITIONS OF STORAGE AND APPLICATION OF MEDICATIONS IN HOSPITAL
Authors: Ryzhova Olga A. , Moroz T. L
Published: April 2019

The issues of provision of medical organizations with qualitative, safe and efficient medications are important and actual ones. Recently, medical organizations gave no consideration to these issues because a number of activities in area of circulation of medications was not regulated for medical organizations. In 2017, to provide security of circulation of medications the order № 646n «On approval of the Rules of due practice of storage and transportation of medications for medicinal application» was issued. To evaluate readiness of medical organizations for implementing requirements of the given document, medical organizations of the Irkutsk oblast and the Trans-Baikal krai were analyzed for the purpose of availability of drugstores. The study established that in average drugstores are only in 50% of medical organizations. Among medical organizations with number of beds less than 100 beds, almost 100% of them have no drugstores. The carried-out questionnaire survey concerning awareness of medical specialists about rules of circulation of medications demonstrated inadequate knowledge of rules of prescription and storage of medications. Therefore, it was established that medical organizations are not ready for implementing requirements of the order № 646n from 31.08.2016 of Minzdrav of Russia that can result in decreasing of quality and safety of medications applied in medical organizations. Therefore, a particular attention in medical organizations is to be attended to development and implementation of system of quality targeted to maintenance of rules of circulation of medications. The step-by-step instructions or standard operational procedures are to be developed for all stages of of circulation of medications including receiving, taking-over, storage and application.
THE CHARACTERISTICS OF PROCESS OF RE-POLARIZATION OF MYOCARDIUM OF VENTRICLES IN CHILDREN WITH MINOR HEART MALDEVELOPMENT
Authors: Isaev Ibragim Isa ogly , Mustafaeva A. I , Fatalieva M. M
Published: April 2019

The study was carried out to investigate characteristics of re-polarization of ventricles at ECG in children with various modifications of minor maldevelopments of heart development. The sampling consisted of 378 schoolchildren aged from 6 to 17 years. The schoolchildren with minor anomalies of heart development were separated in three groups according results of echo-ECG: 108 children with minor maldevelopments of sub-valvular structures of mitral valve; 92 children with minor maldevelopments of tricuspid valve; 82 children with minor maldevelopments of left ventricle. The rest of schoolchildren formed a control group. The various elements of early re-polarization of ventricles at ECG were more frequently observed in children with minor maldevelopments of sub-valvular structures of mitral valve and minor maldevelopments of left ventricle with specific alterations in leads V2-V4. The presence of junction point of ST segment was more frequently observed in children with minor maldevelopments of sub-valvular structures of mitral valve and minor maldevelopments of left ventricle. The shifting of "transitional" zone of R/S wave to the right and fast increasing of amplitude of R wave in leads V2-V4 were reliably registered more frequently in case of minor maldevelopments of left ventricle. The shortening of P-Q wave lesser than 0.12 seconds was observed more frequently in children with minor maldevelopments of sub-valvular structures of mitral valve. The children with various modifications of minor anomalies of heart development (2.2-12.2%), independently of clinical modifications and having on ECG stably conserved moderate and maximal elements of syndrome of early re-polarization of ventricles, are to be included into risk group of development of cardiovascular complications.
THE CONTENT OF SERUM CYTOTOXINS UNDER LIVER CIRRHOSIS OF VIRAL ETIOLOGY AT VARIOUS STAGES OF COMPENSATION
Authors: Kulikov Vladimir Evgenievich , Sharafutdinov M. G , Khapman M. E , Toneeva M. A , Nikolaeva K. V , Sapozhnikov A. N , Proshina L. G , Khoroshevskaya A. I
Published: April 2019

The study was implemented concerning the level of interleukins 2 and 6 (IL-2 and IL-6), tumor necrosis factor alpha (TNF-α) under hepatic cirrhosis (HC) of viral etiology classes А, В, С according Child-Pugh. The purpose was to evaluate level of serum cytokinemies and their relationship under HC of viral etiology depending on class of severity according Child-Pugh and level of portal pressure. The cytokines concentration was determined using technique of solid-phase enzyme-linked immunosorbent assay. It is established that against the background of decreasing of compensation of HC occurs increasing of serum level of IL-2, IL-6 and TNF-α within the limits of reference values at the exception of level of IL-6 under HC class C. In the given category of patients, level of IL-6 exceeds reference values and is within the limits of 9,94-25,21 pg ̸ml with average concentration 14,89±4,96 pg ̸ml. It is demonstrated that quantitative ratios and degrees of relationships between cytokines are determined by compensation of cirrhosis. The correlation relationships are mostly expressed in the form of feedback between TNF-α and IL-6 (r = 0,499) in case of HC class A. and in the form of direct relation between TNF-α and IL-2 (r = 0,421) in case of HC class B. It is proved that against the background of decreasing of compensation of HC increasing is occurring of serum levels of IL-2, IL-6 and TNF-α within the limits of reference values with the exception of level of IL-6 in case of HC class C. In the given category of patients’ level of IL-6 exceeds reference values and is within limits of 9,94-25,21 pg/ml with average concentration 14,89 4,96 pg/ml.
THE FEATURES OF APPLICATION OF MINERAL OF SYLVINITE IN COMPLEX TREATMENT OF ENT-DISEASES
Authors: Kirichenko L. V , Maslov Yu. N , Khokhryakova Vera P. , Selivanova S. A , Barannikov V. G , Dementev S. V
Published: April 2019

The active implementation of sylvinite therapy in modern medical practice and appearance of new modifications of salt devices gave occasion to widening of area of application of this curative method. It is proposed to apply sylvinite physiotherapy room in complex treatment of chronic catarrhal pharyngitis as a most wide-spread disease of ENT-organs presented in all age groups and especially in persons of young age. The inner environment of facility was evaluated by hygienic methods. The levels of such curative factors impacting patients as aeroionization, multi-component fine-dispersed dry salt aerosol, stable micro-climate was within therapeutically significant limits. The in-depth microbiological analysis of inner environment of the given facility that substantiated availability of bacterio-static effect of mineral sylvinite on bacterial culture S.aureus and high efficiency of functioning of physiotherapy facility. The clinical studies covered 52 patients with chronic catarrhal pharyngitis: 27 - observation group (common treatment+syvinite therapy) and 25 - comparison group (common therapy only). In the result of applied treatment all patients achieved amelioration of health condition and local immunity of mucous membrane of throat. However, in the comparison group positive dynamics was less expressed. The obtained results confirmed possibility of application of characteristics of natural mineral sylvinite in complex treatment of chronic catarrhal pharyngitis and other inflammatory diseases of ENT-organs.
THE CHARACTERISTICS OF MORBIDITY OF PATIENTS SURVIVED A TRANSITORY ISCHEMIC ATTACK
Authors: Kostenko Elena V. , Kravchenko V. G , Polunina V. V
Published: April 2019

The actuality. The transitory ischemic attacks very often are considered as precursors of the stroke. The individual prognosis of risk of development of stroke after transitory ischemic attacks is unequal and is determined by differences in causes and risk factors of patients. The important place in establishing individual approach to treatment of patients with transitory ischemic attacks belongs to analysis of corresponding concomitant pathology. The analysis of morbidity is conditioned by necessity of differentiated analysis of characteristics of morbidity for development of personalized approach to treatment and restoration of health of this category of patients. The purpose of study is to investigate and analyze characteristics of morbidity of patients survived transitory ischemic attacks. Material and methods. The analysis was applied to morbidity of 351 patients survived transitory ischemic attacks, including 227 females (average age 59,6 ± 3,6 years) and 124 males (average age 57,6 ± 2,2 years). Results and discussion. It is demonstrated that level of morbidity increases with age from 233,9 до 605,9 cases of diseases per 100 examined. The analysis of rank distribution of diseases according classes of diseases demonstrated that teh first place belongs to diseases of blood circulation system (32.6%), the second place - to mental disorders (31.5%) and the third place - to diseases of endocrine system (15.5%). The positive correlation is established between availability of teo and more diseases of blood circulation system and development of recurrent transitory ischemic attacks (r = 0,688, p < 0,05). Conclusion. The availability of combined pathology in patients with transitory ischemic attacks dictates necessity of its registration at complex evaluation of health state of the given category of patients and development of multi-disciplinary approach to diagnostic and treatment of patients.
THE TRANSPLANTATION OF DESCEMET’S MEMBRANE WITH ENDOTHELIUM IN COMPLICATED CLINICAL SITUATIONS
Authors: Oganesyan Oganes G. , Makarov P. V , Grdikanyan A. A , Getadaryan V. R
Published: April 2019

The transplantation of Descemet's membrane with endothelium (DMEK) is the most efficient method of treatment of endothelium pathology. However, it is considered that at certain clinical situations DMEK is inappropriate. The purpose of study is to analyze the results of DMEK in complicated clinical situations. Materials and methods. The sampling included 14 patients (16 eyes) with pathology of endothelium of primary (19%) and secondary (81%) genesis and with concomitant alterations, including: total lack of vitreous (19%), non-posterior chamber pseudophakia (25%), presence of Ahmed drainage (25%), artificial lensiris diaphragm (12%), corneal ectasia combined with toric artiphakia (12%), penetrating scar of cornea (6%). Prior to operation, average visual acuity amounted to 0,04±0,05. The subtotal DMEK was applied to 15 eyes and in one case ¼ DMEK was implemented. In 2 cases cornea of donor had keratotomic incisions and in one case Descemetotransplant was formed from residual back layers of cornea after formation of front layer wise transplant using femtosecond laser. The results. No intra-operational complications were established. In 19% of cases a partial mismatch of transplant took place. The repeated DMEK was implemented in 1 case. The recovery of transparency of cornea and increasing of vision acuity were achieved in 94% of cases. In 6 months after operation an average central thickness of cornea amounted to 522±46 μm and density of endothelium cells in average amounted to 1541±486 kl/mm2. Conclusion. The application of DMEK in complicated situations ensures high biological and functional results and is accompanied with minimal number of complications. The procurement of expertise in endothelium surgery, it is appropriate to apply DMEK in all cases of pathology of endothelium.
THE EVALUATION OF RISKS AT APPLICATION OF CARDIO-VASCULAR MEDICATIONS
Authors: Bolsunovskaya Yuliya R. , Olefir Yu. V , Romanov B. K
Published: April 2019

The article presents the results of evaluation of risk of development of undesirable reactions in case of application of cardiovascular medications out of listing of vitally needed and most important pharmaceuticals and Standard of medical care under stable angina pectoris from 01.01.2014 to 01.06.2017 out of 21 639 registered in the Federal database information sources. The data analysis was implemented using techniques of evaluation of degree of reliability of cause-and-effect relationship and also evaluation of ratio benefit and risk. The evaluation of manifestations of side-effects was applied and rating of greatest number of arriving messages in Federal okrugs was established. The higher level of arrival of messages concerning cases of serious undesirable reactions with high degree of reliability of cause-and-effect relationship is marked. The wide-spread application of cardiovascular medications and availability of risk of development of undesirable reactions requires continuity of monitoring of their safety.
DIGOXINE IN PATIENTS WITH CHRONIC HEART FAILURE: PRO AND CONTRA
Authors: Melekhov Alexander V. , Gendlin G. E
Published: April 2019

Review of Russian and foreing clinical guidelines in aspect of digoxine use in chronic heart failure. Main clinical trials in this area are briefly discussed. Key questions of practical digoxine use at various categories of chronic heart failure patients are covered.
PSEUDOARTHROSIS OF THE FEMORAL NECK: FEATURES OF THE ORIGIN AND TACTICS OF TREATMEN
Authors: Egiazaryan K. A , Sirotin Ivan V. , But-Gusaim A. B , Gorbachev M. A
Published: April 2019

Pseudoarthrosis of the femoral neck is a severe lesion of the hip joint area, the outcome of which in most cases is persistent disability of patients, a significant decrease in the quality of life, a violation of their ability to maintain and self-service ability. The frequent development of pseudoarthrosis in this segment is primarily due to the peculiarities of trophic proximal femur and poor bone quality, which is common in elderly and senile patients. Currently, the preferred method of surgical treatment of patients with pseudoarthrosis of the femoral neck is currently hip arthroplasty. Objective - to summarize the tactical and technical difficulties in the preparation of patients, as well as possible ways to improve the quality of treatment for patients with pseudoarthrosis of the femoral neck. Materials and methods. According to foreign and domestic literature, all available studies on the problem of treatment of pseudoarthrosis of the femoral neck. Results. The development of a false joint significantly complicates the intraoperative development of osteoporosis, the expressed shortening of the limb, the formation of the flexion-leading contracture of the hip joint, and the expressed cicatricial degeneration of the soft tissues in the affected area. Arguments in favor of treatment of patients with this pathology by the method of total hip arthroplasty are presented. Conclusion. The problem of improving the quality of treatment for patients with pectoral pseudoarthrosis is topical and deserves close attention.
PARVOVIRUS B19: FEATURES OF PREVALENCE IN ONCOLOGICAL PATIENTS
Authors: Zykova T. A , Shevyakova Elena A.
Published: April 2019

The review provides information on the prevalence of parvovirus B19 infection, its spread in various regions of Russia is examined in detail. A brief description of various clinical manifestations of parvovirus infection is given. In more detail, the review discusses the role of parvovirus B19 in the development of cancer and, in particular, oncohematological diseases, the percentage of infection among patients; the importance of timely laboratory diagnosis of this infection is shown.
UTERUS AND VAGINAL APLASIA AND PELVIC KIDNEY - MANAGEMENT AND SURGICAL POSSIBILITY IN CONGENITAL ANOMALY CORRECTION
Authors: Bobkova M. V , Arakelyan A. S , Kozachenko I. F , Yarotskaya E. L , Adamyan L. V
Published: April 2019

Objective. To clarify the possibilities and peculiarities of neovagival creation among the patients with MRKX syndrome and pelvic kidney. Subject and methods. Examination and surgical treatment were conducted in 3 patients with MRKX syndrome and pelvic kidney, including total laparoscopic colpopoiesis in 2 patients. Results. After surgical correction of vaginal and uterus aplasia in patiets with MRKX syndrome and pelvic kidney neovagina were created. In one patients neovagina were restore after previous surgery by vaginal approach because of extensive adhesions and high risk of laparoscopic surgery. In 2 patients - total laparoscopic colpopoiesis were perform without complications. Conclusion. Our clinical observations of surgical treatment in patients with MRKX syndrome and pelvic kidney shows possible surgical approaches of neovaginal creation depending of previous surgery and pelvic kidney localization, established during laparoscopy. Improvement of endoscopic technique and new modifications of neovaginal construction let us to increase the indications and possibilities of neovaginoplasty in patients with MRKX syndrome and pelvic kidney.
CHEMOTHERAPY OF RESPIRATORY TUBERCULOSIS IN CHILDERN AND ADOLESCENTS: SCIENTIFIC APPROACHES TO SOLVING THE PROBLEM
Authors: Ovsyankina Elena S. , Gubkina M. F , Panova L. V , Ergeshov A. E , Yukhimenko N. V , Khokhlova Yu. Yu
Published: April 2019

The article presents scientific approaches to the solution of actual problems of chemotherapy for children and adolescents tuberculosis with multiple pockets and extensively drug-resistant TB (MDR/XDR) pathogen to anti-TB drugs has the source of infection and the patient himself. The urgency of the problem determines: increase in the adult population of the M. tuberculosis with the specified allocation stability, the need for the drug susceptibility test of the source of infection to choose a starting chemotherapy regimen is determined by the negative M. tuberculosis status in the diagnostic material of the majority of children and adolescents. Patient-specific approach to chemotherapy is necessary subject to age limitations when choosing antituberculous drugs. Particular attention is paid to chemotherapy after surgical treatment. The results of scientific research carried out in accordance with WHO guidelines; indicate the possibility to shorten the duration of chemotherapy and to reduce the number of drugs in the treatment regimen without decreasing treatment efficacy.
The EFQM method to compare battery performance
Authors: Savard Christophe , Sari Ali , Venet Pascal , Nikulina Anni , Dupuis Jerome
Published: April 2019

This paper links the scientific fields of electrical energy storage with that of managerial performance. It first presents the evaluation method of the efficient framework for quality management (EFQM) model, based on the criteria set interested in which way the management of an organisation acts on the results. An example fulfilling the requirements for an EFQM assessment is also summarised: the search for a high-performance battery internal architecture in order to improve its lifespan. To date, several different architectures, combined with a specific management algorithm, allow to similarly extending the battery lifespan. The method presented here helps to identify which architecture has the best management performance. In addition, it identifies its strengths and main defect. Keywords: Battery, battery architecture, EFQM, performance, quality management.
Rehabilitation Counseling Considerations for People With Lifestyle-Related Disabilities Such as Diabetes Mellitus, Heart Disease, and Asthma: A Review and Synthesis of the Literature
Authors: Rumrill Phillip D. , Koch Lynn C.
Published: April 2019

Background

Many emerging disabilities that affect today's rehabilitation consumers are linked to lifestyle factors such as diet, exercise, smoking, substance use, and obesity. Lifestyle-related disabilities have dramatically increased in incidence and prevalence over the past two decades. Rehabilitation counselors play an important role in addressing the unique challenges and opportunities that face people with emerging lifestyle-related disabilities.

Objective

The goals of this article are to (a) examine lifestyle factors that have changed the constellation of the American and global disability communities over the past 20–30 years; (b) examine the health, psychosocial, and vocational implications of several emerging lifestyle-related disabilities; and (c) describe the changing role of rehabilitation counselors in addressing the growing needs of consumers with these disabilities.

Method

A review of the literature on lifestyle-related disabilities and rehabilitation implications indicated new service delivery considerations for working with this growing clientele.

Results

Diabetes mellitus, asthma, heart disease, human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), emphysema, stroke, and certain types of cancer were found to be among the most significant emerging lifestyle-related disabilities. New interventions are required to meet the rehabilitation needs of this growing clientele.

Conclusions

The increased presence of lifestyle-related disabilities has numerous implications for rehabilitation practice that are discussed in this article.
Hydrosedimentology of the Paraguay River in the Corumbá fluvial reach, Pantanal wetland
Authors: Macedo Hudson de Azevedo , Stevaux José Cândido , Silva Aguinaldo , Merino Eder Renato , Lo Edward Limin , Assine Mario Luis
Published: April 2019

The Pantanal wetland is a complex landscape with distinct hydrogeomorphic compartments, with singular and hydrosedimentary processes. Examining these processes draws great interest in understanding Pantanal dynamics for both the management of the system and the geological record predicted by facies models.  Hydrosedimentary data in the Pantanal remain scarce, in spite of government efforts to improve and increase data collection in the Upper Paraguay Basin. This study aims to enhance the understanding of active hydrosedimentary processes in the Pantanal Paraguay trunk-river system in the Corumbá reach. Hydrosedimentary surveys were accomplished in the main channel and tributaries of the Paraguay River. These surveys helped characterize the hydrosedimentary dynamics to consider the active sedimentary processes in this reach. The Paraguay River interacts complexly with its floodplain, which functions as a reservoir retaining flood water and disturbing river discharge. Bathymetric surveying showed that Paraguay River channel has longitudinal compound bar bedforms built by superimposition of ripples. The backwater effect, possibly related with both hydrological regime and geomorphological characteristics of the area, was detected by means of rating-curve analysis of the gauge stations. This effect is hydrologically produced by the out-of-phase flood pulse of the Pantanal and geomorphically driven by the hydraulic bottleneck of the Urucum and Bodoquena massifs. Both factors possibly occur simultaneously. The hydrogeomorphic characteristics (morphology, river competence, and stream power) of the Paraguay River denote that the elaboration of models more appropriate to the Pantanal context is needed.
ANÁLISE MORFOLÓGICA E MORFOMÉTRICA DAS SUB-BACIAS DOS RIOS CASCATA E TINTO, LITORAL NORTE DO ESTADO DA PARAÍBA – BRASIL
Authors: Silva Ivanildo Costa da , Furrier Max
Published: April 2019

A presente pesquisa objetiva analisar parâmetros morfológicos e morfométricos do relevo e da rede de drenagem nas sub-bacias hidrográficas dos rios Cascata e Tinto, no litoral Norte do Estado da Paraíba, para detectar possíveis contribuições da estrutura geológica e da atividade tectônica em suas configurações. As análises foram realizadas com o auxílio do Modelo Digital do Terreno (MDT) e os mapas de altimetria e declividade, todos gerados no Software SPRING 5.4.3, a partir de dados extraídos de cartas topográficas na escala de 1:25.000. Para a análise morfométrica foram aplicados os índices Relação Declividade/Extensão (RDE), o índice Razão Fundo/Altura de Vale (RFAV) e o Fator Assimétrico (FA). As interpretações geológicas foram baseadas em mapeamentos geológicos recentes e em seus respectivos relatórios técnicos, além de trabalho de campo. A sub-bacia Rio Cascata apresenta um basculamento acentuado para o lado direito, onde estão localizados seus canais tributários mais desenvolvidos. O seu canal principal apresenta uma inflexão que modifica bruscamente sua direção de NE-SO para N-S, anomalias interpretadas como sinais contundentes da atuação da atividade tectônica. A sub-bacia do Rio Tinto apresenta canais bem entalhados em forma de V e basculamento para sua margem esquerda. Seu canal principal apresenta inflexões que obedecem às direções de falhas geológicas descritas nos mapas geológicos utilizados neste trabalho. Esses fatos são evidências da influência estrutural e da atividade tectônica na configuração do relevo e da rede de drenagem, que foram corroborados pelos resultados obtidos com a aplicação dos índices morfométricos.
Integration of Entrepreneurship Education in to Ethiopian Universities Formal Curriculum
Authors: Tarekegne Wudu Melese , Gelaneh Alebachew Hailu
Published: April 2019

Abstract  This study was aimed at investigating how Ethiopian universities integrate entrepreneurship education into the formal curriculum. To achieve this objective descriptive survey research design was used. Data were collected from university students, instructors, and department heads. Accordingly, four universities were selected as sample universities by using simple random sampling technique. From these sample universities departments that give entrepreneurship course with all its students, instructors and department heads were taken as sample of the study. Data were collected by using questionnaire, interview, and document analysis from the participants. The result shows that in Ethiopian higher education institutions, entrepreneurship education curriculum and teaching methods is developed in house; have no a formalized national or international exchange of good practice in entrepreneurship education and did not include entrepreneurs in the development of entrepreneurship teaching materials. In addition, since the entrepreneurship education course is not integrated to all programs only few students took it as a result students did not  develop entrepreneurial behavior, skills, knowledge in their stay in the university. The predominant methods of teaching used were lecture and case study. The major barriers for the development of entrepreneurship education identified are lack of funding available to support the entrepreneurship education and good-quality entrepreneurship education materials, lack of support from the top management and lack of strategic integration of entrepreneurship education in their institutions.
Analysis of Regional Income Convergence in Turkey
Authors: Bolkol Hakkı Kutay
Published: April 2019

This work investigates convergence among regions of Turkey with neoclassical exogenous growth perspective. According to results, it can be stated that there is a tendency of convergence among the regions of Turkey. However, there is an important crisis (2008 crisis) in the investigation period of this study in which the tendency of convergence increases. Besides, descriptive statistics show that during the crisis, the speed of convergence increases, however, apart from crisis and post-crisis, excess capacity periods it is impossible to state that there is convergence among regions of Turkey. On the other side, descriptive statistics show that periods without economic crisis also do not indicate divergence. Therefore, it cannot be stated that there is divergence or convergence among regions of Turkey for the investigation period of this study but the main conclusion is that crisis has a positive impact with respect to closing income differences among regions.
Valuing Bureaucracy: The Case for Professional Government by Paul R. Verkuil
Authors: Klatt Tyler
Published: April 2019

Verkuil, P. A. (2017). Valuing bureaucracy: The case for professional government. Cambridge, MA: Cambridge University Press. $29.99 (paperback), ISBN: 978- 1316629666
Building Capacity in Nonprofit Boards: Learning from Board Self-Assessments
Authors: Millesen Judith L. , Carman Joanne G.
Published: April 2019

Boards of directors of nonprofit charitable organizations have long been responsible for serving essential purposes and performing critical agency functions. Given these responsibilities, it seems reasonable to expect that a periodic review of a board’s capacity to effectively govern a nonprofit charitable organization be conducted. Using data collected from 800 individuals serving as board members of 42 different performing arts nonprofits, this study reports on board member evaluations of their individual and collective participation in the governance process through a self-assessment undertaken to inform decision-making and build capacity at both the board and organizational levels. Findings suggest the need for more (or better) training/orientation opportunities; focused, intentional, and tailored recruitment processes; clear communication, greater role clarity, and specificity regarding board performance expectations; greater understanding about best practices and the need to add value; and time to cultivate openness and collegiality among the board members and between the board and staff.
RELATIONSHIP OF LEARNING AND CREATIVITY FACILITIES COMPUTER LAB WITH IMAGE PRACTICES LEARNING ACHIEVEMENTS OF MANUFACTURING GRADE XI ENGINEERING MACHINING SMK NEGERI 2 KARANGANYAR
Authors: Muti’ah Mahdiyah Al , Akhyar Muhammad , Harjanto Budi
Published: April 2019

This research aims at finding: (1) correlation between creativity learn students with achievement manufacture drawing practice students of grades  XI vocational high school 2 of Karanganyar, (2) correlation between computer laboratory facilities with achievement manufacture drawing practice students grades XI vocational high school 2 of Karanganyar, (3)correlation between creativity learn students and computer laboratory facilities with achievement manufacture drawing practice students grades XI vocational high school 2 of Karanganyar.  This research was a correlational-quantitative study. The population of this study was an all of mechanical engineering department vocational high school 2 of Karanganyar students grades XI which it has 104 students and samples used 80 students with simple random sampling technique. In collecting the data, the researcher used questionnaire methods and documentation methods. Questionnaires are used to gather data independent variable that was creativity learn students and computer laboratory facilities, whereas documentation methods were used to gather bound variable achievement manufacture drawing practice, students. The validity test used the product moment formula, the reliability test used the alpha Cronbach formula. The analytical rules test which was used, those are normality test, linearity test, multi co-linearity test, autocorrelation test, and heteroscedasticity. Data analytical techniques used partial correlation and double linear regression. The result of the study shows that: (1) there has a significant positive correlation between creativity learn students with achievement manufacture drawing practice students of grades  XI students of machine engineering department vocational high school 2 of Karanganyar with effective contribution of 54,7%, (2) there has a significant positive correlation between computer laboratory facilities with achievement manufacture drawing practice students of grades XI students of machine engineering department vocational high school 2 of Karanganyar with effective contribution of 20,4%,(3) there has a significant positive correlation between creativity learn students and computer laboratory facilities in a simultaneous manner with the achievement manufacture drawing practice students of grades XI students of mechanical engineering department vocational high school 2 of Karanganyar with effective contribution of 75,1%.
THE RELATIONSHIP OF FAMILY ENVIRONMENT, SCHOOL ENVIRONMENT AND THE ROLE OF THE TEACHER IN THE LEARNING PROCESS WITH THE MOTIVATION OF LEARNING IN STUDENTS OF CLASS XI PROGRAMS MACHINING SMK N 2 KARANGANYAR SCHOOL YEAR 2017/2018
Authors: Sari Santika Pramutiya , Akhyar Muhammad , Harjanto Budi
Published: April 2019

The research aims at finding the correlation between family environment, school environment, teachers role, school environment with motivation of learning of the students in Grade XI of Mechanical Expertise Program of State Vocational High School 2 of Karanganyar. This research is correlational. The population of this research is all off the students as many as 102 in Grade XI of Mechanical Expertise Program of State Vocational High School 2 of Karanganyar. The sample of research were taken by using the simple random sampling technique and consist of  80 students. The variables of research consisted of three independent variables: family environment, school environment and teacher role in learning process, and one dependent variable that is learning motivation. Methods of data collection using questionnaire method. Questionnaire method used to collect data of family environment variable, school environment, role of teacher in learning process and motivation learning. The questionnaire test was conducted on 30 students. Validity and reliability test using SPSS version 21.0. The results showed, there are significanly corelation between two element.