bluuebunny/crossref_metadata_2025_split huggingface dataset:
Polymorbidity: a View on Combined Pathology
Authors: Tlish Marina M. , Kuznetsova Taisiya G. , Naatyzh Zhanna Yu. , Tikeeva Ruzana M. 
Published: November 2019

Aim. To describe clinical cases exhibiting a rare combination of dermatoses in one patient in order to prevent iatrogenic errors.Results. The present article describes clinical cases of patients with polymorbid pathologies, which constitutes one of the current interdisciplinary healthcare problems. The described clinical cases indicate the co-occurrence and overlap of various diseases, which complicates the final diagnosis. Polymorbidity in modern patients turns the diagnostic process into a search for an optimal solution, which frequently requires innovative approaches. A mixed clinical picture leads to iatrogenic errors. A detailed differential diagnostics should be performed when establishing the final clinical diagnosis, which could reduce the frequency of medical-diagnostic and tactical errors. In this connection, a prolonged diagnostic route contributes to the timely detection of interdependent pathologies. The analysis of clinical cases related to managing patients with polymorbid pathologies facilitates the prevention of the progression of each disease, as well as the determination of prognostic aspects.Conclusion. Considering the narrow specialisation of medical institutions, the management of patients with polymorbid pathologies is a challenging problem. The management of such patients requires adherence to a clear clinical diagnostic algorithm and a multidisciplinary approach, which allows diagnostic errors and complications associated with drug therapy to be avoided, thus improving the quality of healthcare services. Polymorbid pathology constitutes an interdisciplinary problem requiring the development of a unified procedure for the management of patients, which should be aimed at the early detection of combined pathology, eliminating polypharmacy, reducing the overall risk of diseases and improving the life quality of patients.
Change Management in a Medical Organisation during the Implementation of the Federal Project “Creation of a New Model of a Medical Organisation Providing Primary Health Care”
Authors: Alekseenko Sergey N. , Arzhentsov Vladimir F. , Vermennikova Lyudmila V. , Veselova Darya V. , Degtyarev Victor S. , Starodubov Vladimir I. 
Published: November 2019

Aim. To study reasons behind the resistance of medical workers to changes while implementing the federal project “Creation of a New Model of a Medical Organisation Providing Primary Health Care”, as well as to develop guidelines on change management on the basis of Goldratt’s theory.Materials and methods. Changes in the process organisation of medical institutions are necessitated by the implementation of the federal project “Creation of a New Model of a Medical Organisation Providing Primary Health Care” developed by the Ministry of Healthcare of the Russian Federation with the methodological support of the Rosatom Production System. A new model of a medical organisation is based on continuous improvement (kaizen) using lean tools, which requires a different approach to managing changes and overcoming the resistance of medical workers to their implementation. The study sample included the employees of the Central City Hospital in Goryachy Klyuch (Krasnodar Territory). The research took the form of an anonymous questionnaire survey drawing on Goldratt’s theory.Results. Basic recommendations on the management of changes associated with the transitioning to the new model suggested in this work allow heads of healthcare institutions to evaluate employees’ readiness to changes comprehensively, as well as to transform the existing model of a medical organisation effectively and gradually.Conclusion. These guidelines on change management when transitioning to the new model may be used by heads of medical institutions in order for the organisation to achieve effective transition to the continuous process optimisation with the use of lean tools, aiming to meet the criteria of the new model.
Cytokine Profile and Endothelial Status in Patients with Coronary Artery Disease and Different Outcomes of Coronary Artery Bypass Grafting
Authors: Shlyk Irina F. 
Published: November 2019

Aim.To assess the cytokine profile and the level of endothelial dysfunction in patients with coronary artery disease (CAD) and different outcomes of coronary artery bypass grafting (CABG).Materials and methods.The study included 95 people, with 22 of them being practically healthy (without CAD). The CAD patients (73) were retrospectively divided into 2 subgroups according to the presence of complications within the first month after the CABG. The first subgroup consisted of 25 patients suffering from complications after CABG, with 48 people making up the second subgroup (no complications after CABG). CABG was performed on a beating heart; bypass grafts were attached during revascularisation. The serum levels of IL-4 and IFN-γ were determined through the enzyme-linked immunosorbent assay (ELISA) using appropriate test systems manufactured by BCM Diagnostics and a Zenyth 340 microplate photometer (Biochrom Ltd). In order to determine the content of endothelin-1 in blood serum, ELISA test systems manufactured by Biomedica were used. The statistical analysis of study results was performed employing the descriptive statistics module of Statistica 12.0 (StatSoft, USA). The mean (M), its error (m), median (Me) and the interquartile range [Q25; Q75] were calculated. In cases when p ≤ 0.05, the results were considered statistically significant.Results.It was revealed that, in the preoperative period, CAD patients from both subgroups exhibited increased levels of endothelin-1 (p = 0.0001) and IFN-γ (p = 0.0001), whereas an increase in IL-4 production was noted only in the first subgroup (p = 0.0001), as compared to the control group. The follow-up revealed that CAD patients with complications after CABG exhibited stable high levels of IL-4 (p > 0.05) and IFN-γ (p > 0.05) during the entire observation period, as compared to the initial values. The content of endothelin-1 in both subgroups increased significantly on the 4th day of observation (p > 0.05) and returned to its initial high values after 1 month.Conclusion.Immune response in CAD patients suffering from complications after CABG develops mainly along the pro-inflammatory pathway and is accompanied by endothelial dysfunction.
A COOPERATIVA DE CRÉDITO MÚTUO APLICADO ÀS MICROFINANÇAS
Authors: Guerra Junior Antonio Guerra 
Published: November 2019

O presente estudo apresenta uma análise sobre a realidade das cooperativas de crédito mútuo no Brasil, sobretudo no cenário das microfinanças. O ecossistema das Instituições de Microfinanças - IMFs è abordado, tanto quanto sua estrutura funcional, cuja importância se traduz em seu desempenho, reconhecido pelos avanços em investimentos produtivos, na reorganização da produção e no incentivo à produção. Assim, de modo que as suas contribuições vão ao encontro do corolário das políticas de crescimento econômico e de redução de pobreza em diversos paises. As cooperativas de crédito estão presentes entre soluções preconizadas pelas instituições de fomento nos paises em desenvolvimento, sempre visando aumentar a cultura produtiva ao incentivar o empreendedorismo, a distribuição de renda, a redução das desigualdades e a pobreza.
REGIME ADUANEIRO ESPECIAL DE DRAWBACK COMO REDUTOR DE CUSTOS NO SETOR DE FRUTICULTURA
Authors: Almeida Ana Heloisa Peixoto , Sampaio Raniela Freitas , Costa Wênyka Preston Leite Batista da , Felix Júnior Luiz Antonio , Silva Jandeson Dantas da 
Published: November 2019

Como a prática do comercio exterior vem se fortalecendo ao passar dos anos, já que a mesma se tornou de fundamental relevância para o crescimento econômico dos países, torna-se necessário que as empresas tenham conhecimento e estejam preparadas para competir com os diversos tipos de mercado no âmbito internacional. Nos processos de importação não é diferente, uma vez que a alta carga tributária brasileira impede que esse processo seja praticável sem que haja algum incentivo que possa minimizar os custos. Dessa maneira, o drawback é um incentivo aduaneiro especial de incentivo às exportações, utilizado pelas empresas para quebrar barreiras que impedem que esse tipo de comércio seja de completo sucesso. Diante disso, o objetivo geral desse trabalho foi analisar o efeito do regime aduaneiro especial de drawback como redutor de custos no setor de fruticultura. A metodologia utilizada baseou-se em pesquisa de campo, descritiva e qualitativa, o instrumento de pesquisa foi caracterizado por uma entrevista com roteiro pré-estabelecido, direcionado a uma empresa de fruticultura irrigada na cidade de Mossoró/RN. Através da análise dos dados, verificou-se que existe uma diversidade de incentivos fiscais e regimes aduaneiros abrangendo empresas que favorecem ainda mais a competitividade do empresariado junto ao mercado externo. Percebeu-se também que sem os incentivos fiscais e sem o drawback a importação de insumos seriam praticamente inviáveis, devido à alta carga tributária brasileira.
The Maqasid Al Shariah and the Sustainability Paradigm: Literature Review and Proposed Mutual Framework for Asnaf Development
Authors: Haq M Ashraf Al , Wahab Norazlina Abd 
Published: November 2019

Purpose - The study examines through analysing the literature, that the zakat recipients (asnaf) can be better entertained by a sustained mechanism than one-off measures. The main aim towards asnaf upliftment should be based on a self-reliance goal-oriented-action strategy plan to alleviate them from any further deprivation. The aim of Maqasid in addressing these issues is to ensure that an asking basket gets smaller day by day through an effective regime.
Design/Methodology/Approach - The paper analyses and synthesises the relevant literature on Maqasid and sustainable paradigm, then proposes a conceptual convergence to understand the paradigmatic similarities between the two in appreciating the welfare of zakat recipients.
Findings - The paper attempts to examine the latitude of sustainability and Maqasid necessities in relation to asnaf welfare. The sustainability development’s main concern that the future generation benefits from the present development, which is quite similar to Hifzul Nasl or protection of progeny in Maqasid fulfilment. It can be stated that the three jurisdictions of sustainable development (SD) paradigm i.e., namely, the social, economic and environmental concerns are in actual fact, more in conformity with the Maqasid requirements. But many authors stated that indeed Maqasid is more wholesome and more encompassing than the traditional SD paradigm. Islam categorically highlights that human being as a caretaker of environment, need to ensure a better, and harmonious society, that should be erected with constructive and productive economic activities and not resorting to any damages to the nature. These concerns clearly conforms with Maqasid when it conditions that the protection of life or health, or intellect or progeny or wealth needs to be with true understanding about the self as well as the kindness of the creator, which truly encompasses faith, and that to achieve any higher dimension, may require that these basic necessities are fulfilled and ascertained at the foremost.
Originality/value - This study scrutinises a comprehensive understanding about sustainability and Maqaisd needs in addressing the asnaf development and welfare. The study further elucidates that even the nature is in constant salutation towards thanking the Lord for all the bounties.
REPRESENTASI FOTO KAMPANYE CALON PRESIDEN PADA MAJALAH TEMPO EDISI 19 – 25 NOVEMBER 2018 (Analisis Semiotika Charles Sanders Peirce)
Authors: Verian Arvy , Situmeang Ilona V. Oisina 
Published: November 2019

<p>ABSTRACT<br />A Head of the election is used as a political campaign to introduce the candidat pairs, vision and mission, ideas that are held by all election candidat. The campaign photos of eah candidate pair were seen in various electronic media: radio and televison and print media one of which was ini a magazine. This study aims to examine the presentation of the campaign phoyos of president candidate in the Tempo Magazine on November 19-25 November 2018 editions by Charles Sanders Pierce Semiotic analysis. The researcher analyzes each journalistic photo by three trichotomies from Charles Sanders Pierce semiotics that is sign (qualisign, sinsign and legisign), object (icon, decisign and argument). In presenting Joko Widodo who was close to people without distance that depicted from the campaign photo. Prabowo campaign photo is representing who has emotional closeness with Susilo Bambsng Yudhoyono. These campaign photo is one of the way for candidates pair to attract the attention of the publics so the candidates pair can be chosen.<br />Key word: Representation, Campaign Photo, Semiotic Analysis, Charles Sanders Pierce Semiotic Analysis, Tempo Magazine.</p><p> </p><p>ABSTRAK<br />Menjelang Pemilu digunakan sebagai kampanye politik untuk memperkenalkan calon, visi-misi dan gagasan-gagasan yang dimiliki untuk peserta calon Pemilu. Foto Kampanye dari masing-masing calon terlihat diberbagai media elektronik seperti televisi, radio dan media cetak seperti salah satunya di majalah.Dalam penelitian ini meneliti tentang representasi foto kampanye calon presiden pada majalah Tempo edisi 19-25 November 2018dengan menggunakan analisis semiotika Charles Sanders Peirce. Peneliti menganalisis masing–masing foto jurnalistik dengan tiga trikotomi yang dikemukakan oleh Semiotika Charles Sanders Peirce yaitu Sign (Qualisign, Sinsign dan Legisign), Object (Ikon, indeks, dan simbol) dan Representament (rhema, decisign dan argument).Dalam merepresentasikan foto jurnalistik Joko Widodo, majalah Tempo tampak ingin merepresentasikan seorang Joko Widodo yang dekat tanpa jarak dengan tim kampanye yang tergambar dalam foto kampanye tersebut. Foto kampanye Prabowo Subianto, merepresentasikan Prabowo Subianto sebagai seorang yang mempunyai kedekataan emosional dengan Susilo Bambang Yudhoyono. Foto kampanye ini merupakan salah satu cara pasangan calon untuk menarik perhatian masyarakat agar pasangan calon dapat terpilih.<br />Key Word: Representasi, Poto Kampanye, Analisis Semiotika, Semiotika Charles Sanders Peirce, Majalah Tempo.<br /><br /></p>
The pragmatics of absurdity
Authors: Kiyanskaya O. I. , Feldman D. M. 
Published: November 2019

The analysis is focused on the pragmatics of V. Lenin’s articles ‘Party Organization and Party Literature’ [‘Partiynaya organizatsia i partiynaya literatura’] (1905) and ‘How to Ensure Success of the Constituent Assembly (on freedom of the press)’ [‘Kak obespechit uspekh Uchreditelnogo sobraniya (o svobode pechati)’] (1917). Foreign and Russian scholars alike considered the two works as components of the concept of Socialist state literature and journalism, conceived before the Soviet era. Based on examination of the political context, this work proves that Lenin was driven to write the articles by his fight for leadership in RSDRP. In 1905, Lenin obtained control over Novaya Zhizn, the newspaper under M. Gorky’s editorship, and insisted that opponents had to follow his censorship guidelines: the press had to become a propaganda tool rather than a source of income. Twelve years on, Lenin’s principles still reigned.
‘What! From outback steppe villages...’
Authors: Tsimbaeva E. N. 
Published: November 2019

The image of Pushkin’s Tatiana has proved magnetic for scholars of Russian literature and spiritual traditions alike. The article offers a look at Tatiana through the eyes of her contemporaries, visualizing her as an active figure in provincial and St. Petersburg aristocratic circles. Tatiana Larina owes her excellent homeschooled education mostly to her own determination and a knack for self-improvement. She is hardly a humble rustic beauty, nor is she oblivious to contemporary intellectual pursuits. The author proves that Tatiana’s transformation into a brilliant socialite is by no means a mere exaggeration by the poet, but naturally follows from her innate talents nurtured in ‘rural solitude’. The study of Tatiana’s evolution is presented in the context of numerous historical facts.
Literature published in BAMlag’s main newspaper Stroitel BAMa
Authors: Smykovskaya T. E. 
Published: November 2019

T. Smykovskaya writes about a unique episode of Russian literary history: the development of so-called ‘labour-camp literature’, more specifically, lyrical poetry, published in the camps’ newspapers. The article focuses on BAMlag’s principal paper Stroitel BAMa, which saw publications of works by A. Alving, P. Florensky, A. Tsvetaeva, and other detainees. In her examination of the material, which so far has provoked little to no scholarly interest, the author highlights the key themes, images and subjects of labour-camp literature. Essentially, the article attempts to focus on the yet unknown history of the newspaper Stroitel BAMa, the main printed medium of BAMlag, as well as to describe the paper’s artistic and journalistic paradigm, which defined the literary activities of Svobodlag for a decade. Therefore, the article covers the newspaper’s history from the 1933 competition for its name until the emergence of the poetry section in the mid-1930s; from the Stakhanov theme, omnipresent in ‘free’ and labour-camp poetry alike in 1936, until eulogy of the Soviet leaders in pre-war years.
Twice lived youth of Yaroslav Smelyakov
Authors: Strashnov S. L. 
Published: November 2019

The article discusses the interaction of Y. Smelyakov’s (1913–1972) poetry with mass consciousness and describes the major events of the poet’s biography. Milestones on his literary path have been reconstructed, as has his evolution from a carefree lyrical hero into a confident author. The analysis of Smelyakov’s poetry is supplemented with numerous references to everyday Soviet realia. Especially detailed are descriptions of his debut poems, but the author also takes into account the latest interpretation of the poet’s youthful years in the early 1930s. The context of 1920s–1970s Soviet literature is a pivotal element of the analysis. In particular, the author suggests mutual affinity of Smelyakov’s works with the genre of popular sentimental songs, the works of proletarian poets, and the Sixtiers’ poetry. The article recalls the polemics around Smelyakov’s work, especially in the years before the war in 1941 and in the post-Soviet era. Soviet critics often reproached Smelyakov for excessive lyricism, attention to mundane details, and sentimentalism.
The theory and history of ekphrasis. A summary and prospects of research, or, forty-five articles on ekphrasis
Authors: Perlina N. M. 
Published: November 2019

The article is devoted to ekphrasis, its historical and literary evolution, as well as aspects of its stylistic, cultural, and ideological origins. The research is based on the versatile collection of The Theory and History of Ekphrasis [Teoriya i istoriya ekfrasisa], which contains a number of previously little known texts and theories on ekphrasis, developed in regions with different ethnic and cultural characteristics. The author spares no effort in the examination of this monograph and, using the observations made by various scholars, discerns a similar development process of cross-cultural and cross-aesthetic transformations and transpositions, which, however, adopts divergent paths. Transpositions, the author suggests, occur in the model of a text awaiting a pictorial interpretation. The article concentrates on the ways to present an image anticipated in a written word, and to generate a new text, whose subject and content draw not only on poeticized observations of the source material, but also on metapoetic tales about its creators.
‘On account of famine, the internment camp has been dissolved, and the countess is starving at home…’. Letters of Vladimir and Elena Nedzelsky to Vera Bunin from the years 1922–1924
Authors: Yarmolinets V. A. 
Published: November 2019

The Nedzelsky are telling Vera Bunina about Viktor, the son of their mutual friend, the writer A. Fyodorov: how he has just turned up in Kishinev, having escaped from the ‘red’ Odessa. The letters from Leeds Russian Archive offer an insight into Viktor’s life in Romania, as well as clues to decipher V. Kataev’s story Werther Has Already Been Written [Uzhe napisan Verter], inspired by the Fyodorovs’ tragic family history. Another theme is related to V. Nedzelsky’s confession of his secret passion for another woman and his desperate efforts to negotiate humanitarian aid (a Hoover food parcel) to save his starving beloved from death. This information can substantially enrich the biographies of the two remarkable Russian female scientists.
S. A. Shargunov. Kataev. In pursuit of eternal spring
Authors: Sekretov S. V. 
Published: November 2019

The review of S. Shargunov’s Kataev. In Pursuit of Eternal Spring [Kataev. V pogone za vechnoy vesnoy], opens with a description of the book’s history and structure. The reviewer specifies the biographer’s take on its hero and traces their spiritual and creative similarities in an attempt to explain why S. Shargunov chooses to depict V. Kataev as a ‘first-rate’ and unjustly forgotten writer. The review also takes a look at the biographer’s style and assessment of the turning points in Kataev’s life and legacy. The book covers the writer’s role in the development of the Odessa school of writing in the 1910s–1920s, the young writers’ group centered around Kataev-managed journal Yunost in the 1960s, and the novel My Diamond Crown [Almazniy moy venets], which, published in 1978, provoked a serious debate. In the conclusion, author enumerates the discoveries made by the biographer, and notes the researcher’s interest in history perceived through people.
‘Not a good time for positive heroes’
Authors: Senchin R. V. , Konstantinova E. I. 
Published: November 2019

E. Konstantinova interviews R. Senchin, a writer, journalist, shortlisted entry and winner of numerous literary prizes: Russian Booker (2009), National Bestseller (2010), The Culture Prize of the Russian Government (2012), Yasnaya Polyana (2014), The Big Book [Bolshaya Kniga] (2015), and others. They discuss Senchin’s personal creative experiments and discoveries as well as contemporary Russian prose in general. Senchin opines that modern literature, having digested the experiences of the ‘new realism’ of the 1990s–2000s, has moved on to discover writers’ individual characteristics and harness new subjects, including documentary ones. Given the limitations of the forms and methods of artistic literature, Senchin argues, an unexpected choice of topic, language, intonation or plot comes to the forefront. However, he prefers to stick to recognizable, traditional subjects and recurrent characters. The exploration of the motivations and personality of those characters (the writer Savateev and the office clerk Chashchin) takes up most of the interview.