bluuebunny/crossref_metadata_2025 huggingface dataset:
Study of clinico-epidemiological profile of leprosy patients at tertiary care centre of South Gujarat region
Authors: Patel Kautuk K. , Momin Anjum M. , Mistry Ankita A. , Vaishnani Jignesh B.
Published: April 2020

Background: Leprosy is a chronic feared illness causes by Mycobacterium leprae. It was eliminated as a public health problem in India in 2005. But still, India contributes more than 60% of all new cases of leprosy.

Methods: A retrospective analysis of 307 patients attending the leprosy clinic of the dermatology out patient department, SMIMER, was done for a period of five years from January 2014 to December 2018. The data was analysed for clinical and epidemiological characteristics of the patients.

Results: A total of 307 patients visited the leprosy clinic during the study period. More than half patients (60.3%) were between 21-40 years age group. There were 213 males and 94 females with male female ratio of 2.3:1. 72.3% (222) patients were suffering from multibacillary leprosy and 27.7% (85) had paucibacillary disease. Borderline tuberculoid leprosy was the most common type found in 83 patients (27.1%). 16 cases (5.2%) of childhood leprosy (less than 14 years of age) were noted. A total of 214 patients (69.7%) were migrants.

Conclusions: Despite of decline at global and national level, leprosy cases show gradual increase. The high proportion of total cases, MB cases, and grade 2 disability cases are warning signs. Continued efforts are required to manage and prevent the disease.

 
Sustainability and switching of biologics for psoriasis
Authors: Aravamuthan Ramesh , Vadivelu Sampath , Arumugam Shabari
Published: April 2020

Background: The optimal treatment guidelines for psoriasis using biologics are limited. In addition to this, the administration of the original biologic may be terminated or switched to another biologic due to inefficacy, adverse effects, and economic burden. Our objective is to compare demographic characteristics between switched and non-switched groups and to identify the reason for switching among various original biologics in our setup.

Methods: We performed a retrospective cohort analysis of psoriatic patients on biologic treatment. Our analysis involved 42 patients, of which 19 were switched to the second biologic. The demographic characteristics and reason for biologic switching were noted and data analyzed between switched and non-switched groups.

Results: First line therapies were infliximab (IFX, n=10), etanercept (ETN, n=21), secukinumab (SEC, n=11) and switching required in 3 (30%), 11 (52%), 5 (45%) patients respectively. The reason for switching, in general, in our setup is inefficacy (n=10; 53%), non-availability (n=8; 42%) and adverse event (n=1; 5%). Small number of patients, single-centre study and retrospective design were the limitations.

Conclusions: Infliximab showed the least tendency to switch to the second biologic, however, it had adverse reactions. Inefficacy is the primary cause of switching. To the best of our knowledge, our study on Biologics switching is the first of its kind in the Indian scenario.
A localized non-healing ulcer: an unusual clinical presentation of pemphigus vulgaris
Authors: Brar Sukhmani K. , Bhale Gauri N. , Brar Balvinder K.
Published: April 2020

Pemphigus vulgaris is an autoimmune blistering disorder commonly involving oral mucosa and skin with characteristic acantholysis that results in formation of fluid filled blisters and painful erosions. Herein we report a case distinguished by its unusual clinical presentation. A twenty-five year old man, presented to our outpatient department of dermatology, complaining of ulcer on   forehead in the last one year. Examination revealed single ulcer covered with crust on right side of forehead.  Clinically lupus vulgaris, pyoderma gangrenosum, recurrent herpes simplex, leishmaniasis and pemphigus vulgaris were kept as differential diagnosis. Tzanck smear revealed multiple acantholytic cells and mild neutrophilic inflammatory infiltrate. Histological examination of biopsy sample showed suprabasal clefting, acantholytic cells and mild perivascular dermal lymphocytic infiltrate. Features were suggestive of pemphigus vulgaris. Significant improvement   occurred after three months of treatment with oral prednisolone, azathioprine and topical steroid. Although oral and skin involve­ment is common, in the form of flaccid blisters and erosions, but non healing ulcer is unusual. This may represent a period of limited activity during this chronic disease. There is paucity of data in literature regarding this. So, this case report highlights a, perhaps unique, clinical presentation of this autoimmune disease.
Effect of Unani formulations on frostbite induced gangrene: a case report
Authors: Khan Mohammad Shamim
Published: April 2020

This article reports a case in which a 65 years old female patient of frostbite induced gangrene, was treated with unani drugs; Sharbat Banafsha and Arq Murakkab Musaffi Khoon as oral administration, and Marham Safed Kafoori as topical application, with the aim to evaluate the efficacy of drugs and to avoid Surgery. Patient has shown excellent and admirable result within 60 days of treatment. Finally frost bitten and gangrenous part completely healed and repaired without any surgical intervention.
A study of geriatric dermatoses in a rural based tertiary care hospital in South India
Authors: G Rajesh , B N Raghavendra
Published: April 2020

Dermatological problems in the geriatric population are common and often underestimated.A few studies are available on the dermatologic diseases in this population. Hence, this study is undertaken to evaluate the spectrum of skin changes in the elderly population.

This study was conducted in the Department of Dermatology, Sri Devaraj Urs Medical College, attached to RL Jalappa Hospital, Kolar, Karnataka, India. A total of 300 patients were recruited for this study, among them 185 (61.6 %) were males and 115 (38.4%) were females. All the patients aged more than 60 years with skin disorders attending the dermatology OPD were included in the study. A detailed physical and clinical examination was performed for all the study subjects. Patients with genodermatoses, albinism, premature aging and inherited disorders of DNA which may interfere with chronological aging skin were excluded from the study.

Out of 300 patients, 185 cases (61.6%) were males and 115 cases (38.4%) were females. Pruritus was the commonest complaint in 186 patients (62%). Among the chronological changes of aged skin, wrinkling was the commonest manifestation observed in 282 (94%) cases. The most commonly observed diseases were eczematous dermatitis in 133 (44.3%) cases, followed by infections and infestations in 122 (40.6%) and papulo-squamous diseases in 33 (11%). A total of 46 (15.3%) patients were found to have papulo-squamous disorders. Psoriasis vulgaris was observed in 21 (7%) cases. Among premalignant and malignant disorders, 4 (1.3%) cases had actinic chelitis, 2 (0.6%) cases of basal cell carcinoma and 1 (0.3%) case of squamous cell carcinoma. A total of 5 patients had connective tissue disorders. The comorbid conditions included hypertension in 49 (16.3%) cases, followed by diabetes mellitus in 31 (10.3%) and 5 (1.6%) patients had hypothyroidism.

Dermatological findings in geriatric population are universal and cause considerable morbidity. This would necessitate the need for conducting an exclusive evaluation for these patients.
Comparison of Generic (Rolexan) and Brand (Clexan) Forms of Enoxaparin in Critically Ill Patients: A Cross Over, Open Label, Randomized Prospective Clinical Trial
Authors: Ziaie Shadi , Malekmohammadi Hanieh , Sistanizad Mohammad
Published: April 2020

Backgrounds: Several generic forms of enoxaparin were introduced to the market after expiring the patent of Clexane. But the main problem with generic forms is its bio-equivalency with brand form as a little difference in active ingredients characteristics, could led to significant clinical differences. For evaluating the efficacy of enoxaparin, it is recommended to measure its activity against Anti Xa. The aim of this study was comparison of Anti Xa Activity of Enoxan® versus Clexane ® in critically ill patients with prophylactic doses.
Methods: This was a cross over, open label, randomized prospective study which was performed between September 2016 and December 2017 in intensive care unit of Labbafinezhad hospital, Tehran, Iran. Thirty adult patients, who received enoxaparin for prophylaxis of thromboembolic events, were recruited. Subjects were subsequently randomized to one of the treatment sequences (Generic–brand or brand–generic). The generic drug was enoxaparin sodium 40 mg (4,000 IU anti-FXa/0.4 mL), manufactured by Ronakpharm, Iran; the brand drug was enoxaparin sodium 40 mg (Clexane® 4,000 IU anti-FXa/0.4 mL), manufactured by Sanofi, France.
Results: Anti-Xa activity was assessed with Stago kit. The anti-Xa activity between 0.2 and 0.5 U/mL was defined as prophylaxis. The average Anti-Xa activities of Clexan and Rolexan were 0.3±0.12 and 0.22±0.10, respectively which reveals statistically no significant difference (P: 0.35). Also Anti-Xa activity in 6 and 11 patients in Clexan and Rolexan groups were under 0.2 (P: 0.16).
Conclusion: Our study showed comparable efficacy of prophylactic doses between Clexan and Rolexan in critically ill patients. Further studies in different patient population are recommended.
J Pharm Care 2020; 8(1): 23-25.
Antimicrobial Resistance Pattern of Nosocomial Infections at a Referral Teaching Hospital
Authors: Soltani Rasool , Khorvash Farzin , Pazandeh Fereshteh
Published: April 2020

Background: The choice of appropriate antibiotics to treat nosocomial infections requires knowledge of antibiotic resistance pattern in the hospitals. The aim of this study was to determine antimicrobial resistance patterns of common pathogens of nosocomial infections (pneumonia, UTI, bloodstream infection, wound infection) in a referral teaching hospital.
Methods: This cross-sectional study was conducted over a 6-month period. The pathogens isolated from biological samples of hospitalized patients with nosocomial pneumonia, UTI, bloodstream infection, or wound infection underwent antibiotic susceptibility testing by Kirby-Bauer method (disk diffusion test).
Results: Over the study period, 442 cases of infection were recorded. Pneumonia (n = 204, 46.2%) and UTI (n = 118, 26.7%) showed the most frequency followed by BSI (n = 71, 16.1%) and wound infection (n = 49, 11%). Acinetobacter baumannii was the most common pathogen of nosocomial pneumonia infection that showed the most susceptibility to colistin (100%). Escherichia coli, the most common pathogen of urinary tract infections, showed the highest sensitivity to colistin (100%). Staphylococcus epidermidis was the most common bloodstream infection pathogen that showed the most sensitivity to vancomycin (100%). Enterococcus spp., the most common pathogens of wound infection, had the most susceptibility to linezolid (100%).
Conclusion: Nosocomial infections in our hospital have high rate of resistance to antibiotics representing the importance of improvement in antibiotic use and infection control.
J Pharm Care 2020; 8(1): 26-34.
Antiviral Induced Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Dyndrome: A Literature Review
Authors: Sharifzadeh Shiva , Elyasi Sepideh , Mohammadpour Amir Hooshang
Published: April 2020

Drug reaction with eosinophilia and systemic symptoms syndrome (DRESS) is a delayed infrequent potentially life-threatening drug reaction. Fever, rash, lymphadenopathy, eosinophilia, and hepatic involvement are common features. Aromatic anticonvulsants and allopurinol are the most frequent causative agents. However, some cases of antivirals induced DRESS are available. In this review, we try to summarize studies of antiviral induced DRESS syndrome.  The data were collected by searching PubMed, Science Direct, Google Scholar, Scopus, Cochrane database systematic reviews, and Islamic World Science Citation Center (ISC). The Keywords used as search terms were “DRESS syndrome”, “drug-induced hypersensitivity reaction (DIHS)”, “antiviral”, and names of various antiviral agents. Finally, a total of 28 relevant articles up to the date of publication were included for review. Totally, 30 cases of antiviral induced DRESS are reported. European registry on severe cutaneous adverse drug reactions (RegiSCAR) was the usual used clinical diagnostic criteria. Most of the reports were related to, telaprevir. Rash and fever actually occurred in a large number of these patients. Eosinophilia was the most reported hematologic involvement. Liver injury is the most defined type of organ damage. Most of the patients managed with systemic corticosteroids. The death occurred in 1 patient from liver decompensation. The reactivation various viruses especially HHV-6 is reported in 2 Cases. The latency period was between 10 and 330 days after drug administration. It is necessary to perform more studies, especially those focused on the association between DRESS syndrome and viral reactivation and also its effective management.
J Pharm Care 2020; 8(1): 35-47.
EVIDÊNCIA CIENTIFICA DOS CUIDADOS DE ENFERMAGEM FRENTE AO PACIENTE COM CARCINOMA ORAL
Authors: Lucena Erlivânia Aparecida de , Pereira Vanessa Mandu , Rodrigues Kazia Lena Martinele Lopes da Silva , Nascimento Jackson Jhonatan Vieira do , Araújo Natália Fonseca de , Fonsêca Luiza de Marilac Alves da , Souza Neto Vinicius Lino de
Published: April 2020

Objetivo: Identificar as evidências cientifica dos cuidados de enfermagem frente ao paciente com carcinoma oral. Método: Trata-se de uma revisão Sistemática, em que buscou-se por estudos nas bases de dados Pubmed, Scopus, Cinahl, Web of Science, Lilacs, Bdenf e Cochrane, por pesquisas voltadas aos cuidados primários para prevenção do carcinoma oral.  Os estudos foram analisados de forma pareada e classificado a sua melhor evidencia cientifica. Resultados: A partir da análise dos estudos foi evidenciado que alguns cuidados de enfermagem apresentam resultados significativos, diante do quadro de dor, prevenção de infecção e o autocuidado, como o autoexame da orofaríngea e adjacências, que deve ser realizada continuadamente, Higiene oral com soro fisiológico e clorexidina, a Crioterapia e o uso do chá de camomila. Conclusão: Os cuidados de enfermagem baseados em estudos científicos contribuem para um maior aprimoramento do processo do trabalho, diminuindo riscos, e estimulando habilidades clinicas e acadêmicas.
CARACTERIZAÇÃO DAS VÍTIMAS DE INFARTO DO MIOCÁRDIO ADMITIDAS EM UMA UNIDADE CORONARIANA
Authors: Soares Danielle Santana , Santos Thalita Da Silva , Maier Suellen Rodrigues de Oliveira , Sudré Mayara Rocha Siqueira , Flores Cézar Augusto da Silva , Oliveira Wanmar De Souza
Published: April 2020

Objetivo: caracterizar as vítimas de infarto agudo do miocárdio admitidas em uma unidade de terapia intensiva coronariana de um hospital no sul do estado de Mato Grosso. Metodologia: estudo descritivo, retrospectivo, do tipo transversal com abordagem quantitativa. Os dados foram coletados de janeiro a dezembro do ano de 2017, descritos com frequências absoluta e relativa, com intervalo de confiança de 95%, média, mínima e máxima. Resultados: admitiu-se um total de 213 usuários, sendo que destes 67,6% são do sexo masculino, 31,9% apresentaram idade entre 65 e 74 anos, sendo que 58,2% foram provenientes dos serviços de urgência e emergência. O tempo de permanência prevalente foi de até 72 horas com 63,8% e quanto ao desfecho clínico, 89,7% receberam alta para outras unidades intra hospitalar. Conclusão: com a caracterização dos usuários é possível nortear o planejamento e efetivação da assistência, centrado nas especificidades dos usuários.
Cadê a Empresa que Estava Aqui? Processo de Falência e Reestruturação da Kodak à Luz da Teoria do Ciclo de Vida da Firma
Authors: Garcia Inajá Allane Santos , Viana Junior Dante Baiardo Cavalcante , Lucena Wenner Glaucio Lopes
Published: April 2020

Objetivo: À luz da Teoria dos Ciclos de Vida da Firma, o presente caso de ensino se propõe a apresentar a trajetória percorrida pela Kodak – gigante do mercado fotográfico durante praticamente todo o século XX –, buscando relacionar as características empresariais oriundas das mudanças ocorridas ao longo do tempo com cada um dos estágios do ciclo de vida de uma organização.Método: Os dados para construção do contexto histórico da empresa Kodak foram retirados de diversas fontes da mídia tradicional, priorizando-se o próprio sítio eletrônico da empresa, jornais digitais de alto impacto internacional assim como revistas eletrônicas nacionais. Relevância/originalidade: Este caso de ensino oferece um debate acerca da Teoria dos Ciclos de Vida da Firma, por meio da análise da trajetória de uma empresa real, em um contexto internacional, permitindo a identificação de características empresariais que podem suscitar o ciclo de vida atual de uma organização. Contribuições teóricas/metodológicas: Busca-se ainda uma triangulação entre a Teoria dos Ciclos de Vida da Firma, as características da empresa Kodak e as diversas mudanças ocorridas diante das diversas decisões tomadas no sentido de restruturação da empresa.
B2C E-commerce for Home Appliance in The Brazilian Market: A Cost Efficiency Investigation through a DEA-OCT Model
Authors: Melo Isotilia Costa , Alves Junior Paulo Nocera , Kodama Tatiana Kimura , Silva Karoline Arguelho da , Chimirri Mirian Wawrzyniak , Rebelatto Daisy Aparecida do Nascimento
Published: April 2020

Objective: to investigate the cost efficiency of inventory management for publicly home appliance retail companies in the Brazilian market that operate, among other channels, with B2C (Business-to-Costumer) and discuss the possible impacts of e-commerce on inventory management. Method: the first step, construction of a descriptive summary of Magazine Luiza and seven other competitors; the second step, analysis of the optimal cost efficiency of companies' inventory management, through an integrated and dynamic model of Data Envelopment Analysis (DEA) and Optimal Control Theory (OCT). Amounts declared in the Quarterly Financial Statements between the fourth quarter of 2010 and the second quarter of 2018 were considered.Main Results:  the discovery of best practices and the fact that, despite its extraordinary appreciation, Magazine Luiza was not a reference in inventory management and its costs during the analyzed period as a whole.Relevance/Originality: this article is an initial step to address the lack of studies on e-commerce for emerging markets and inventory management and its costs for e-commerce.Methodological Contributions: the proposition of a methodology that can be used by other researchers to assess the cost efficiency of inventory management and the impact of e-commerce, highlighting best practices.
Experiências de Internacionalização de Pequenas Empresas de Software e Conhecimentos Obtidos
Authors: Gazquez Alessandra Herranz , Machado Hilka Pelizza Vier , Urpia Arthur Gualberto Bacelar da Cruz
Published: April 2020

Objetivo: o objetivo desta pesquisa foi identificar e analisar as formas de entrada e os conhecimentos obtidos por pequenas empresas de software em experiências de internacionalização.Método: é um estudo qualitativo, realizado com cinco estudos de casos de pequenos empreendedores. Foram utilizados dados primários e secundários. Dados primários foram obtidos em nove entrevistas abertas e semiestruturadas, e os dados secundários em web sites das empresas. Os dados foram categorizados em formas de entrada e conhecimentos obtidos. Os dados desta última categoria foram complementarmente analisados com uso do software Iramuteq. Principais resultados: como conhecimentos gerados, foram identificadas seis classes de conhecimentos, sendo: a) mercados e destinos; b) ação para colocar o produto no mercado internacional; c) apoio e busca de conhecimentos externos; d) necessidade de qualificação para o processo de internacionalização e parcerias locais; e) visão do mercado local; f) complexidade do processo de internacionalização. Relevância/originalidade: o estudo das experiências de internacionalização e conhecimentos obtidos é uma abordagem original, pois destaca as formas de entrada e os conhecimentos obtidos por pequenas empresas de software em experiências de internacionalização.  Contribuições teóricas/metodológicas: os resultados mostraram que a aprendizagem nas experiências de internacionalização favoreceu o aumento do conhecimento de mercado internacional e contribuiu para melhoria de competitividade no mercado local.
Follow-Me: Análise dos Construtos que Influenciam na Tomada de Decisão de Seguidores Ligados a Influenciadores Digitais no Contexto Virtual
Authors: Gammarano Igor de Jesus Lobato Pompeu , Souza da Costa Everaldo Marcelo , Gomes Sérgio Castro , Arruda Filho Emilio Jose Montero
Published: April 2020

Objetivo: O presente estudo tem como objetivo analisar a relação existente entre os construtos Confiança, Boca-a-Boca Eletrônico (E-WOM) e Engajamento com a Tomada de Decisão de consumo dos indivíduos que seguem os Influenciadores Digitais no contexto virtual. Método: O estudo foi desenvolvido a partir de uma abordagem quantitativa exploratória utilizando o Survey com 147 respondentes, onde foi utilizada a técnica da análise fatorial exploratória (AFE), seguido de regressão linear multivariada.Principais Resultados: Os resultados apontam que os construtos Confiança e Engajamento influenciam na Tomada de Decisão de consumo dos seguidores de influenciadores digitais, enquanto Boca-a-Boca Eletrônico (E-WOM) não apresentou significância na relação com a Tomada de Decisão dos indivíduos que seguem os influenciadores digitais.Relevância/Originalidade: Embora confiança, engajamento e Boca-Boca sejam, construtos amplamente testados no marketing quanto ao comportamento de consumo, ainda não se tem evidências de como esses construtos efetivamente são percebidos e se relacionam no contexto dos influenciadores digitais. Portanto, busca-se contribuir com a literatura quanto aos efeitos desses construtos em um ambiente específico do marketing digital, significativamente novo que pode ter efeito no processo de tomada de decisão dos consumidores.Contribuições teóricas/metodológicas: Destaca-se a utilização da AFE como necessário à verificação da existência dos construtos em um novo ambiente de geração de consumo e sua associação com a técnica de regressão multivariada para determinação dos efeitos quanto a tomada de decisão dos consumidores.
Care for LGBTQIA Communities When Advocacy is All about Inclusion: A Conversation with Jackie Baras, MSN, MBA, RN
Authors: Baras Jackie , Steefel Lorraine
Published: April 2020

Nurses have the obligation and duty to care for all people (American Nurses Association, 2015), and to treat them with dignity, respect, and compassion (Fowler, 2015). To address equitable care of LGBTQIA people in her community, Jackie Baras, MSN, MBA, RN, serves as LGBT Navigator at Robert Wood Johnson University Hospital/RWJ Barnabas Health in New Brunswick, New Jersey. As a transgender woman, Jackie advocates as liaison and representative for all LGBTQIA patients and employees, focusing on health promotion and disease prevention, addressing knowledge gaps, and identifying community referrals, while working closely with hospital and clinical leadership to ensure that health-care services are coordinated seamlessly. Here, Jackie discusses her advocacy for equitable care for LGBTQIA communities, and ways nurses can provide culturally congruent care.
How Myths about Nonbinary People Impede Delivering Quality Care
Authors: Simms Drew
Published: April 2020

Myths that bring into question the validity of nonbinary genders are commonplace, even within the LGBTQ+ community. The proliferation of these myths compromises the chances of nonbinary people being treated with dignity and respect when they come under the care of health services. Nurses can play an important role in advocating for nonbinary clients and supporting them to build resilience through showing the acceptance and kindness that is at the heart of nursing, but which misconceptions can impede.
Meios de comunicação e a letalidade infanto-juvenil: um estudo empí­rico sobre a política de proteção no Brasil
Authors: Fernandes Rômulo Magalhães , Azevedo Anna Carolina de Oliveira
Published: April 2020

Na atualidade, o uso das novas tecnologias da informação e da comunicação e a sua relação com a segurança tornam-se cada vez mais relevantes. Essa reflexão ganha maior centralidade no contexto de políticas de proteção, como é o caso do Programa de Proteção a Crianças e Adolescentes Ameaçados de Morte (PPCAAM). Nesse sentido, a partir de um estudo teórico e empírico, o presente artigo tem como objetivo refletir sobre a relação entre os meios de comunicação e a política de proteção do PPCAAM no Brasil, tendo em vista os parâmetros definidos na Constituição da República de 1988 e do Decreto Federal que cria e regulamenta tal politica. Com o avanço tecnológico na área da comunicação, o PPCAAM precisa aperfeiçoar a sua metodologia, em particular, quanto ao uso das ferramentas virtuais com as quais os usuários e os profissionais deste Programa estão cotidianamente em contato. Por fim, ressalta-se que a necessidade da construção de uma cultura de segurança no contexto de trabalho do PPCAAM, de forma a estabelecer um senso crítico sobre a relação entre proteção e os meios de comunicação.
Ministério Público, Autonomia Funcional e Discricionariedade: ampla atuação em políticas públicas, baixa accountability
Authors: Oliveira Vanessa Elias de , Lotta Gabriela Spanchero , Vasconcelos Natália Pires de
Published: April 2020

A literatura nacional já avançou no reconhecimento dos atores do sistema de justiça como atores com poder de veto e de interferência no policy making (Taylor, 2008),por meio de suas decisões, sejam elas judiciais ou extrajudiciais. Os estudos sobre estes atores, contudo, concentra-se especialmente na atuação de juízes, sendo ainda escassos trabalhos voltados para outros membros do sistema de justiça. O presente trabalho visa lançar luz sobre a atuação de promotores do Ministério Público, cuja autonomia e discricionariedade é fator essencial na seleção e condução de casos concretos. Assumindo o pressuposto de que o principal poder discricionário de um promotor de justiça diz respeito à possibilidade de não investigar ou processar, isto é, não dar encaminhamento a alguns casos que lhe chegam ao conhecimento, este trabalho é um primeiro esforço de atender a lacuna teórica apontada. Trata-se de uma pesquisa exploratória, baseada em metodologia qualitativa, por meio da análise de documentos do Ministério Público, em especial as Recomendações do CNMP que tratam sobre autonomia. Demonstramos que a tendência de “autonomia sem accountability” (Kerche, 2007; Kerche et al., 2019), observada desde o início do processo de construção institucional do órgão, não apenas se manteve presente como vem sendo reforçada por atos e normas do CNMP. Por outro lado, não há um movimento institucional no sentido de ampliar a accountability, fazendo com que a atuação de promotores e procuradores seja pouco transparente para além do que está descrito nos processos administrativos ou judiciais. A autonomia é ampla, o controle é baixo.
Directions of Social and Economic Policy in the Context of the Development of Non-Standard Forms of Employment in the Russian Federation
Authors: Bobkov Vyacheslav N. , Loktyukhina Natalia V.
Published: April 2020

The Object of the Study. Informal employment in Russia, factors affecting the development of informal employment. The Subject of the Study. Socio-economic policy in connection with the development of non-standard forms of employment in Russia. The Purpose of the Study. Developing of proposals for the transformation of socioeconomic policy in the context of the development of non-standard forms of employment in Russia. The Main Provisions of the Article. The main factors influencing the development of non-standard forms of employment are: the development of information and communication technologies and robotics, changing consumer preferences, demographic factors, changing the quality of the workforce, institutional factors, globalization. The proposals on the directions of socioeconomic policy, necessary for a positive impact on the situation with the state and development of precarious work in Russia are substantiated. The objective of such a policy in terms of precarious work is to reduce (reduce to “no”) its risks, expand positive opportunities for the parties to labour relations and society as a whole in the context of the development of the ICT and robotization. Measures are proposed in the field of the “lifelong learning” program, state regulation of the labour market (including in terms of improving the activities of state and non-state employment services, unemployment benefits, electronic personnel management), the development of a social partnership system (primarily in terms of improving activities of trade unions), the development of external institutions affecting the labour market and employment (Tax policy, Informing on the state of legal regulation labor relations). It is advisable to update the National Project “Labour Productivity and Employment Support”, providing for the whole range of issues of promoting productive employment, due to the development of its non-standard precarized forms.
Assessing the Impact of Regional Budget Expenditures on Average Wages
Authors: Zhuravlyov Denis M.
Published: April 2020

The author discusses the development of an economic-mathematical model for assessing the impact of regional budget expenditures on the average wage for solving the problems of analyzing macroeconomic indicators and forming strategic planning tools for the development of the regional socioeconomic system.

The Object of the Study - expenses of the regional budget of the constituent entity of the Rossiyskaya Federatsiya, aimed at developing and maintaining the infrastructure contributing to the provision of comfortable working conditions for citizens.

The Subject of the Study - methods of economic and mathematical modelling, processes of formation of the average wage.

The Purpose of the Study. Development of an economic and mathematical model for assessing the impact of regional budget expenditures on the average wage level for quantitative and qualitative assessment of the effectiveness of the totality of measures arising in the process of its implementation.

The Main Provisions of the Article.

The labour market is the basis of a market economy and indicator, the importance of which makes it possible to draw conclusions both about the state of the economy as a whole and about the success of the reforms and transformations, in particular. His condition directly affects the performance indicators of the socio-economic system of the region: productivity, profitability, growth, etc. Research and identification of factors that have a significant impact on the processes of formation and functioning of the labor market is of not only theoretical, but practical interest. The following tasks have been solved: the economic and mathematical models are formalized; the layout of the indices characterizing the object of study; the corresponding mathematical apparatus is selected; software application developed; the proof of model performance is performed. As a methodological apparatus, methods of regression and correlation analysis were used. As a result, an economic-mathematical model of the category «labour market efficiency» was obtained, the functionality of which is sufficient to substantiate causal relationships between indicators that determine the nature of its functioning. Using the obtained results in practice, it is possible to reasonably form a system of priority long-term guidelines for the development of the socio-economic system of the region, drawn up in the form of relevant program documents. The developed software can be used as a module of a decision support system in the formation and development of a strategy for the region’s accelerated development.
Improving Supervision of Pension Asset Management: Transition to Prudential (Risk-Based) Supervision
Authors: Yesaulkova Tat’yana S.
Published: April 2020

The Object of the Study is the management of pension assets - investment / placement of pension funds (pension savings and pension reserves). The Subject of the Study is the introduction of prudential (risk - oriented) supervision in order to improve the financial stability of non-state pension funds (NPF), ensuring the safety of pension assets. The purpose of the article is to analyze the main positions and principles of this supervision, its advantages and disadvantages. The Main Theoretical Aspects of the article: one of the basic goals of macroprudential supervision is creating conditions under which non-state pension funds would implement effective risk management which would improve the safety of pension assets. Among the tools of such supervision: stress testing, creating a risk management system in NPF and management companies participating in the pension system, proportional regulation. At the same time, macroprudential supervision does not exclude the establishment of capital requirements, corporate governance, restrictions on investment objects and the structure of the investment portfolio. In view of the introduction of such supervision, it is proposed to revise a number of requirements for non-state pension funds, as well as for the established restrictions on investing pension funds, e.g. to provide for the possibility of reducing the established requirement for the minimum amount of NPF's own funds, without reducing the requirements for the adequacy of assets for performance and obligations to depositors, participants, and insured persons). In view of the convergence of mandatory pension insurance (МPI) and non-state pension provision (NPP) systems and in connection with the new concept of the pension system under discussion it is proposed to abandon proportional regulation of the NPF's activities depending on the type of activity and to abandon differences in investment requirements in the MPI and NPP systems.
Arme Siechen ? | Laufenburg-Siechebifang: Ein aussergewöhnlicher Einblick in das Inventar eines spätmittelalterlichen Siechenhauses
Authors: Bucher Reto
Published: April 2020

Im Spätmittelalter erreichte die Ausbreitung der gefürchteten Lepra ihren Höhepunkt. Die von der damals unheilbaren Krankheit befallenen Personen wurden von der gesunden Gesellschaft ausgeschlossen («aussätzig») und in den ausserhalb der Siedlungen gelegenen Siechenhäusern untergebracht. Bei Ausgrabungen auf den ehemaligen Kraftwerkwiesen in Laufenburg kam im Frühling 2014 der Keller eines solchen Siechenhauses zum Vorschein. Die über 4 300 aus dem Keller geborgenen Funde geben ein breites und gut erhaltenes spätmittelalterliches Materialspektrum wieder und bieten einen einzigartigen Einblick in das Inventar eines Siechenhauses, einer typisch städtischen Institution, die aus archäologischer Sicht noch wenig erforscht ist.
MEKANISME KOPING PADA PENDERITA DIABETES MELLITUS DI POLI PENYAKIT DALAM RSUD DR SOEGIRI LAMONGAN
Authors: Rohmah Devi Hujratur , Bakar Abu , Wahyuni Erna D
Published: April 2020

Introduction: Coping mechanism was an individual effort to deal with a stressor. Diabetes mellitus was a degenerative disease that could not be cured and could become a stressor for the patients. If this stressor unhandled it can make the condition of patients become worse.Methods: The object of this research was to know the coping mechanism of diabetic person. Design used in this research was quasy experimental pre post test design. This research was using purposive sampling with five people as the samples. The recording result of interview would be transcribed as the data. Data would be classified depend on the criteria inclusion and would be analyzed by reduction, data serving, and data conclution to get the good result.Result and Analysis: The results showed that interviews with partisipants indicated they have accepted their condition by making efforts to deal with negative feelings experienced through self control, taking a positive appraisal and accepting the responsibility. They tended able to do a good self-management to deal with diabetes mellitus by performing the routine control, dietary changes, looking for information about diabetes mellitus and exercise regularly. Partisipants were also getting support from family, friends, and health professionals.Discussion: coping mechanisms were performed by diabetic person include emotional focused coping to deal with negative emotions and problem focused coping to deal with diabetes itself through management regimen task.
Walking Exercise Programme (WEP) Menurunkan Cancer Related Fatigue (CRF) Pada Pasien Kanker Payudara Di RSUD. Ibnu Sina Gresik
Authors: Wahyuni Indah Sri , Sudiana I Ketut , Mariyanti Herdina
Published: April 2020

Introduction: Development of cancer and the side effect of chemotherapy could lead to Cancer Related Fatigue (CRF) in breast cancer patient that getting worse due to inactivation. Hence, exercise was needed. This aimed of this was to analyze the effect of Walking Exercise Program (WEP) to Cancer Related Fatigue.Methode: This study was used quasy experimental design and the population was breast cancer patient undergoing chemotherapy in RSUD Ibnu Sina Gresik in June 2012. The 10 respondents who met inclusion criteria were taken with matching allocation technique and divided into control and case group. CRF were collected by a subjective instrument called Brief Fatigue Inventory (BFI), then analyzed using Wilcoxon signed rank test and Mann Whitney test with signification value was α≤0,05.Result: Result of Wilcoxon signed rank test showed that CRF scale in pre-test was different compared to CRF in post-test of case group (p=0.043). Mann Whitney test showed the comparison of post-test scores in both of groups was different (p=0.009). It can be concluded that WEP has effect to CRF.Discussion: The result showed that WEP could decrease CRF in breast cancer patient undergoing chemotheraphy in RSUD. Ibnu Sina Gresik. It is recommended to apply WEP as one of fatigue management in breast cancer patient undergoing chemotherapy. Further study should use WEP and psychosocial therapy to manage CRF in each fatigue dimension to reduce more scale of fatigue in patient.
Knowledge and Awareness of Thyroid Disorder Among Women in Selangor 2019
Authors: Mohamed Mustafa Abdussalam Treki  , Sakina Ruhi  , Khaled Saleh  , Piravetha Balasubramaniam  , Aminu Ishaka  , Jiyauddin Khan  , Shariq Baber  , Salman Hasan  , Mohammed Kaleemullah  , Sohayla M. Attalla
Published: April 2020

Thyroid disorders are common among women. Some factors may be lack of qualified physicians, less time spent for patient education, lack of awareness and use of electronic media to harness information, poor knowledge about reliable sources of information. Proper knowledge regarding thyroid disorders will make women aware and help at early detection. Therefore, the aim is to focus on the study about the knowledge and awareness of thyroid disorder among women. A cross sectional study was conducted to assess the level of knowledge and awareness among women in Selangor. 288 women are selected randomly from Selangor with age range 18 to 55 years old. Primary data were collected using self-administered questionnaire consisting socio-demographic for part A, knowledge of thyroid disorder for part B and awareness of thyroid disorder for part C. Descriptive statistical analysis was performed by using SPSS version 24. 48.3% (71) women have poor knowledge and 51.7% (76) women have good knowledge in Shah Alam. Whereas in Klang, 48.2% (68) women have poor knowledge and 51.8% (73) women have good knowledge. 10.2% (15) women have poor awareness, 89.8% (132) women have good awareness in Shah Alam. Whereas in Klang, 14.9% (21) women have poor awareness and 85.1% (120) women have good awareness. The respondents living area has no significant relationship to knowledge and awareness of thyroid disorder. In general, the women’s knowledge and awareness have no significant relationship with respondents living area. Most women have good knowledge and awareness.
Hydroxychloroquine; Why It Might Be Successful and Why It Might Not Be Successful in the Treatment of Covid-19 Pneumonia? Could It Be A Prophylactic Drug?
Authors: Deniz Omer
Published: April 2020

According to current literature and preliminary data, hydroxychloroquine (HCQ) seems potentially effective in treating patients with Covid-19 pneumonia. The concentrations of the HCQ in lungs might be well above that of plasma. Most likely, this property of HCQ provides effective drug concentrations in lungs. HCQ has a gradual onset of action in the treatment of rheumatic diseases. This could be valid for the treatment of Covid-19 pneumonia. Reduced perfusion, somewhat distorted architecture of lung tissue, edema and, gradual accumulation of HCQ in lung tissue might reduce HCQ concentrations in pneumonic areas of the lungs in Covid-19 pneumonia. Patients having extensive lung involvement might have less HCQ concentrations in their lungs than patients having limited lung involvement. Furthermore, patients having extensive lung involvement might have more viral load than patients having limited lung involvement. That’s why HCQ might be more effective in the treatment of mild and moderate Covid-19 pneumonia cases and might not be effective in advanced cases. Using HCQ in Covid-19 prophylaxis seems logical since providing enough accumulation of HCQ in the healthy lungs before the arrival of the SARS-CoV-2 virus, might prevent Covid-19 pneumonia. However,the purpose of this paper is not to recommend using or not using HCQ for the treatment or for the prophylaxis of Covid-19 pneumonia. The purpose of this paper is only to try to bring a new perspective on the role of HCQ in the treatment or in the prophylaxis of Covid-19 pneumonia. This paper proposes only hypotheses, which need further researches to be confirmed.
Pengetahuan Dan Sikap Siswa SMP Dan SMK Di Kecamatan Cawas Dalam Menghadapi Bencana Gempa Bumi Dan Banjir
Authors: Halimah Anisaa Nur
Published: April 2020

Kecamatan Cawas merupakan daerah yang rawan bencana gempa bumi dan banjir. Rawan bencana gempa bumi di Kecamatan Cawas berada pada Daerah Potensi Sedang. Rawan bencana banjir di Kecamatan Cawas berada pada Daerah Potensi Tinggi. Tujuan penelitian ini untuk mengetahui: 1) tingkat pengetahuan siswa SMP dan SMK di Kecamatan Cawas dalam menghadapi bencana gempa bumi dan banjir; 2) sikap siswa SMP dan SMK di Kecamatan Cawas dalam menghadapi bencana gempa bumi dan banjir; 3) perbedaan antara pengetahuan dan sikap siswa SMP dan SMK di Kecamatan Cawas dalam menghadapi bencana gempa bumi dan banjir. Penelitian ini menggunakan metode deskriptif kuantitatif, populasi dalam penelitian ini yaitu siswa SMP Muhammadiyah 3 Cawas dan SMK Muhammadiyah Cawas. Jumlah populasi dalam penelitian ini sebanyak 208 siswa dengan jumlah siswa SMP Muhammadiyah 3 Cawas sebanyak 63 siswa dan 145 siswa dari SMK Muhammadiyah Cawas. Sampel dari penelitian ini adalah purposive sampling dengan teknik sampling non random sampling. Pengumpulan data menggunakan kuesioner, observasi dan wawancara. Teknik analisis data menggunakan teknik analisis deskriptif kuantitatif dan uji beda. Hasil penelitian menunjukkan bahwa tingkat pengetahuan dan sikap siswa SMP dan SMK termasuk dalam kriteria tinggi.
Kajian Sarana Prasarana Pendukung Kesiapsiagaan Sekolah Terhadap Bencana Gempabumi Di Smp Muhammadiyah 3 Cawas
Authors: Fatta Firda Nur , Melinda Tika , Fajariyah Rose Anna Anggun , Pratama Rawi Akbar , Putro Dhandy Armikko , Wardana Zaid Ali
Published: April 2020

Dalam rangka mengurangi dampak dari bencana gempabumi dalam sebuah komunitas diperlukan adanya mitigasi yang baik. Mitigasi tersebut dapat berupa mitigasi struktural dan non struktural. Mitigasi bencana gempa bumi dapat dilakukan melalui upaya pembangunan sarana fisik yang memadai. Hal ini, setidaknya dapat meminimalkan resiko bilamana terjadi bencana gempabumi di sekolah, menginggat gempabumi terjadi sewaktu – waktu dan sebagian besar waktu siswa dihabiskan di sekolah. Adanya sarana fisik yang memadai tentu menurunkan resiko serta dapat meningkatkan kesiapsiagaan dalam menghadapi bencana gempa bumi. Tujuan dari penelitian ini adalah untuk Mengetahui tingkat kesiapsiagaan SMP Muhammadiyah 3 Cawas terhadap bencana gempa bumi ditinjau dari aspek sarana prasarana pendukung kesiapsiagaan bencana gempa bumi. Metode penelitian ini menggunakan metode deskriptif kuantitatif, adapun populasi dalam penelitian ini yaitu guru dan siswa SMP Muhammadiyah 3 Cawas, Kabupaten Klaten dengan teknik nonprobability sampling. Hasil penelitian menunjukan sarana prasarana pendukung kesiapsiagaan sekolah terhadap bencana gempabumi masih kurang siap jika dilihat dari rerata parameter struktural sekolah.
Makna Pembangunan Agrowisata Kebun Belimbing Bagi Masyarakat Desa Ngringinrejo, Kecamatan Kalitidu, Kabupaten Bojonegoro
Authors: Nurliana Siti Rena Mei , Putra Dwi Fauzia , Sakdiyah Siti Halimatus
Published: April 2020

Pembangunan agrowisata dilatar belakangi oleh lahan yang tidak produktif dan atas inisiatif masyarakat, lahan tersebut ditanami belimbing yang kemudian berhasil sampai menjadi agrowisata dan diresmikan pemerintah kabupaten. Agrowisata menjadikan masyarakat terutama petani yang terlibat mengalami perubahan dari kondisi sebelum dengan setelah adanya agrowisata, oleh karena itu masyarakat petani memiliki makna adanya agrowisata yang didasari oleh motif sebab dan motif tujuan. Penelitian ini bertujuan untuk mengetahui: (1) Konteks sosial subjek yang melatar belakangi agrowisata kebun belimbing; (2) Tindakan yang diterapkan subjek dalam Pembangunan Agrowisata Kebun Belimbing; (3) Makna Pembangunan Agrowisata bagi Subjek. Penelitian ini menggunakan metode kualitatif dengan jenis penelitian Fenomenologi. Pengumpulan data yang digunakan dalam penelitian ini adalah wawancara dengan pengelola dan masyarakat petani yang ikut serta mengelola agrowisata dimana pemilihan subjek dilakukan dengan teknik purposive sampling yaitu orang yang paling dianggap tahu tentang apa yang peneliti harapkan. Analisis data dilakukan dengan cara mereduksi, menyajikan dan memverifikasi data. Hasil penelitian ditemukan bahwa: (1) Konteks sosial subjek dilihat dari karakteristiknya yang terdiri dari usia, tingkat pendidikan, beban tanggungan, luas dan status lahan, serta penghasilan yang didapatkan; (2) Tindakan yang diterapkan subjek berupa penanaman, pemeliharaan, pemanenan, dan pasca panen; (3) Makna pembangunan agrowisata bagi subjek yaitu sebagai substitusi ekonomi, untuk memperoleh status sosial organisasi, dan untuk kehidupan anak yang lebih baik. Peneliti selanjutnya disarankan untuk mengkaji strategi dalam mengembangkan agrowisata berbasis pada lingkungan dan partisipasi masyarakat sehingga kesadaran masyarakat akan pentingnya menjaga kelestarian lingkungan semakin tinggi.

 

Kata kunci: agrowisata, kebun belimbing, fenomenologi, makna, budidaya