bluuebunny/crossref_metadata_2025_split huggingface dataset:
Romanian National Prevalence Study – problem and pathological gambling in children and adolescents
Authors: Lupu Viorel , Lupu Izabela Ramona 
Published: June 2018

Background and Aims. The purpose of the present study was to measure the prevalence of problem and pathological gambling in children and adolescents at a national level, given that previous studies at regional level had demonstrated high rates of prevalence.Methods. After designing the sample (2006 children and adolescents aged 11-19 years) we used two validated instruments for measuring the prevalence of problem and pathological gambling in children and adolescents – South Oaks Gambling Screen –Revised for Adolescents (SOGS-RA) and 20 Questions of Gamblers Anonymous Revised for Adolescents (20 GA-RA).Results. The following data have been found: gambling at risk is 7.1% and problem and pathological gambling is 4%, when results were analyzed by SOGS-RA; prevalence of problem gambling is 10.1% and pathological gambling is 2.6% when results were analyzed by 20 GA-RA.Conclusions. High rates of prevalence are noticed in Romania, similar to other European countries. This rates are based on self-reported questionnaires, meaning that real rates may be higher than reported, being known that children and adolescents tend to give socially expected response. An important issue is that we found pathological gambling at the age of only 11 years. Our results compared to those of other studies from Romania are very similar to those from other European countries.
A Grounded Theory (GT) módszertana
Authors: Sallay Viola , Martos Tamás 
Published: June 2018

Háttér és célok: A tanulmányban bemutatjuk a Grounded Theory (GT) módszertanának történeti és tudományfi lozófi ai alapjait, valamint ismertetjük a megközelítésen belül kialakult különböző irányzatok legfontosabb jellemzőit. A GT-módszertanon alapuló empirikus kutatások szemlézésével és értékelésével illusztráljuk a felhasználás lehetséges módjait. Kitérünk a módszer alkalmazása során a magyar nyelvű szakirodalomban fellépő szóhasználati problémákra is, és javaslatot teszünk ezek feloldására.
Módszer: A módszertani szempontok ismertetése során áttekintjük a GT-módszerek alapjait és jellemző dilemmáit a kutatási kérdés megfogalmazásától és a mintaválasztástól a szövegek elemzésének lépésein át az elméletképzésig és az eredmények ismertetésének módjáig.
Eredmények: A GT-módszerek egy lehetséges alkalmazását saját kutatásunk összefoglalásával demonstráljuk. Krónikus betegek és családtagjaik otthoni tapasztalatait feltáró interjús kutatásunk során egy háromszintű kódrendszert dolgoztunk ki a környezeti érzelmi önszabályozás folyamatainak leírására, majd ebből egyedi megalapozott elméletet (substantive theory) fejlesztettünk. Az elemzési folyamatot néhány fontos kutatói döntés bemutatásán keresztül tekintjük át.
Következtetések: A GT-módszertan sokféle kutatási kérdésre alkalmazható, rugalmas kvalitatív eljárás. Az összefoglalásban kísérletet teszünk arra, hogy megfogalmazzunk néhány egyszerűen alkalmazható szempontot, melyek segítenek a módszer alkalmazásának indikációjával kapcsolatos kutatói döntésekben és más kvalitatív módszerekkel való összevetésben.
Association between trans fats and cardiovascular risks: a systematic review of the literature
Authors: Fongaro Camila , Calloni Caroline , Dalla Santa Spada Patricia Kelly Wilmsen 
Published: June 2018

Objective: To systematically review the scientific literature relating the effects of trans fatty acids on cardiovascular risk. Methods: A literature search was conducted in the following databases: MEDLINE, LILACS andScienceDirect in September of 2015. The following descriptors were used: Trans Fat AND Trans Fatty Acids AND Cardiovascular Diseases present in the title, keywords or MeSH Terms and abstract. The included studies were conducted in humans, published in Portuguese, English or Spanish. Studies were excluded for being case study reports, case-control or review articles. Results: There was a positive association between the consumption of trans fatty acids and deleterious changes in risk factors for cardiovascular disease. Conclusion: Given the importance of eating habits on health, it is relevant to note that reducing the trans fat content of foods and of the diet is only one component of a multifaceted strategy to improve nourishment and reduce the risk of chronic diseases related to diet, in particular cardiovascular diseases. Objetivo: Sistematicamente revisar a literatura científica, relacionando os efeitos dos ácidos graxos trans com o risco cardiovascular. Métodos: A busca bibliográfica foi feita nas seguintes bases de dados: MEDLINE,LILACS e ScienceDirect em setembro de 2015. Foram utilizados os seguintes descritores: Trans Fat AND Trans Fatty Acids AND Cardiovascular Diseases, presentes no título, palavras-chave ou MeSH Terms e resumo. Foram incluídos estudos conduzidos em humanos, publicados nos idiomas português, inglês ou espanhol. Foramexcluídos estudos que reportavam estudo de caso, caso-controle ou artigos de revisão. Resultados: Observouse uma associação positiva entre o consumo de ácidos graxos trans e mudanças desfavoráveis em fatores de risco para doenças cardiovasculares. Conclusão: Dada a importância dos hábitos alimentares sobre a saúde, é relevante observar que a redução do teor de gordura trans de alimentos e da dieta é apenas um componente de uma estratégia multifacetada para melhorar a alimentação e reduzir o risco de doenças crônicas relacionadas com a dieta, em particular doenças cardiovasculares.
Determinação da carga externa no Pilates: comparação do footwork na chair e no reformer
Authors: Bonezi Artur , Bona Renata , Cantergi Débora , Loss Jefferson 
Published: June 2018

O método Pilates pode ser realizado com aparelhos dotados de molas. O conhecimento das forças envolvidas no exercício, bem como seu comportamento, ao longo da amplitude de execução permite uma melhor definição do exercício, contribuindo para uma escolha mais criteriosa e uma melhor prescrição do exercício. Assim, este estudo tem como objetivo determinar forças externas nos aparelhos chair e reformer e equiparar as forças externas do final da fase de extensão de quadril e joelho entre os aparelhos chair e reformer. Participaram 18 praticantes de Pilates há pelo menos seis meses. Foi empregado diagrama de corpo livre e equações de Newton-Euler para calcular a variação da força externa nos aparelhos chair e reformer no movimento footwork.Resultados são que há diferenças no comportamento das forças externas para o mesmo exercício, porém realizado nos dois diferentes equipamentos. Isso provavelmente implica diferenças na amplitude demovimento e nas estratégias de recrutamento, uma vez que a carga do equipamento final imposta era a mesma em ambos os aparelhos. Para concluir são apresentadas equação para determinar a carga externa final nos equipamentos chair e reformer. Essas informações podem ser levadas em consideração em um programa de condicionamento e reabilitação de Pilates.
OS IMPACTOS AMBIENTAIS QUE UM GRANDE EVENTO OCASIONA NA REGIÃO EM QUE É REALIZADO E AS AÇÕES SUSTENTÁVEIS PARA MINIMIZÁ-LOS, NA VISÃO DE UM GESTOR DE EVENTOS
Authors: Da Silva Eduardo Yuji Kinjo , Sander Andrea 
Published: June 2018

Este artigo tem por finalidade mostrar os impactos ambientais queum grande evento ocasiona na região em que é realizado e as açõessustentáveis para minimizá-los, na visão de um gestor de eventos. Asustentabilidade tem sido um assunto debatido fortemente no séculoXXI por grandes empresas, que estão buscando aliar as suas atividadescom ações que possam diminuir os impactos ambientais na natureza.Os eventos de grande porte movimentam a economia e modificamo ambiente da região em que são realizados, tornando-se atrativospara investidores, aqueles eventos que buscam diminuir os impactosambientais na região que se realizam e mais do que isso, oportunizammelhorias de sustentabilidade que ficam de herança para a região.Pensando nisso, o pesquisador buscou identificar o perfil do públicode um grande evento, identificou ações do planejamento de um eventosustentável ambientalmente na opinião de um gestor de eventos e porfim estudou os impactos ambientais que um grande evento proporcionana região em que é realizado e quais as ações sustentáveis que podemminimizá-los na visão do gestor de eventos. A pesquisa teve um caráterqualitativo-quantitativa e descritivo, baseada em uma coleta documental,observação, entrevistas realizadas com um gestor, e questionáriopara o público de grandes eventos. Os resultados obtidos mostraramcomo a questão da preocupação ambiental tem se mostrado presente dentro das organizações e no mercado global, atraindo investidorese modificando o comportamento dos consumidores e das atividadeseconômicas, porém, essa realidade ainda é pouco percebida pelo públicoque frequenta eventos que trabalham com a sustentabilidade.
AS AÇÕES DE GESTÃO DO CONHECIMENTO PARA A CONSTRUÇÃO DA CARREIRA PROFISSIONAL NA ASSOCIAÇÃO BRASILEIRA DE RECURSOS HUMANOS DO RIO GRANDE DO SUL
Authors: Gonçalves Emille Prates Gonçalves Prates , Rotermund Maria D’Lourdes 
Published: June 2018

A gestão do conhecimento busca valorizar seus bens intangíveis, ouseja, seus profissionais por meio de práticas e processos que fomentema criação e compartilhamento de conhecimento para todos osníveis da organização. Através das ações de gestão do conhecimento,a empresa colabora com o desenvolvimento da instituição, das pessoase por consequência de sua carreira profissional. Para enfrentarum mercado competitivo é necessário gerir seus ativos intangíveis demaneira eficaz e, se utilizar do conhecimento da organização de umamaneira estratégica, pode levar à uma vantagem competitiva de mercado.Este trabalho tem como objetivo identificar a contribuição dasações de gestão do conhecimento na Associação Brasileira de RecursosHumanos do Rio Grande do Sul na construção da carreira profissionalde seus colaboradores. Para alcançar os objetivos propostos, o métodode pesquisa utilizada foi o estudo de caso. Foram levantados dadosprimários, através de entrevista com quatro gestores e aplicaçãode um questionário com colaboradores da organização. Também seutilizou de dados secundários, por meio de pesquisa documental ebibliográfica. Através da análise interpretativa, pode se descrever aspráticas de gestão do conhecimento utilizadas na organização, discutir e averiguar junto aos colaboradores da ABRH-RS a importância dasações de gestão de conhecimento para a construção da carreira profissional.Os funcionários da instituição percebem valor e consideramcomo desenvolvimento profissional as ações promovidas como: treinamentos,reuniões, mentoria e narrativas. Embora eles apontam queo conhecimento seja em partes disseminado na empresa, a empresainveste em treinamentos e estimula as práticas de gestão do conhecimento,mas a organização ainda não tem a cultura de documentartodos os processos de ações de conhecimento que utiliza, e isto, podeocasionar em perda de informação que é essencial para a geração deconhecimento no futuro.
Slips and Slides
Authors: Chihaya Sarah 
Published: June 2018

It has already become a critical commonplace to begin a discussion of viet thanh nguyen's the sympathizer (2015) by invoking its powerful opening declaration:I am a spy, a sleeper, a spook, a man of two faces. Perhaps not surprisingly, I am also a man of two minds. I am not some misunderstood mutant from a comic book or a horror movie, although some have treated me as such. I am simply able to see any issue from both sides.
THE POSSIBILITIES OF MODERN METHODS OF ABLATION IN NON-RESECTABLE LOCALLY ADVANCED PANCREATIC CANCER
Authors: Moskvicheva L. I. , Petrov L. O. , Sidorov D. V. 
Published: June 2018

TToday, pancreatic cancer is one of the most acute medical and social problems that is connected with features of clinical course of the disease, late manifestation, complexity of diagnostics and rather low efficiency of treatment. More often, this pathology is revealed at late stages, when the radical surgical benefit is not advisable. Until recently, treatment options for patients with metastatic and unresectable locally advanced pancreatic cancer were very limited, the prognosis remained very unfavorable. At the end of the twentieth century, in many countries of the world began to develop new methods of local destruction of unresectable tumors intraabdominal localization, contributing to the relief of symptoms of the tumor process, increase the quality of life and its duration. These include radiofrequency and microwave ablation, high-intensity focused ultrasound therapy, cryoablation, irreversible electroporation and photodynamic therapy. Today, these methods of treatment are actively introduced into practical health care, allow to increase the life expectancy of patients with unresectable tumor processes, along with maintaining or improving its quality. This article presents a literature review of different methods of local treatment in patients unresectable locally advanced pancreatic cancer.
DELAYED BREAST RECONSTRUCTION WITH USING A TISSUE EXPANDER
Authors: Zikiryakhodzhayev A. D. , Rasskazova E. A. , Tukmakov A. Yu. 
Published: June 2018

The delayed reconstruction of the mammary gland after radical mastectomies is a surgical method for the rehabilitation of patients. Breast reconstruction using an expander is used in women with a small breast size, as well as in patients who refuse to use the patchwork methods for restoring the mammary gland. The article describes expansions, which were applied from the moment of their creation and those that are currently in use. Indications and contraindications to the delayed reconstruction of the mammary gland with the use of an expander are determined.The article presents the mammary gland marking and stages of delayed reconstructions performed in the department of oncology and reconstructive-plastic surgery of the breast and skin of the P. Hertsen MORI. In the case of a small size of the breast and the consent of patients for the use of implants, this reconstruction is the main surgical intervention. Rehabilitation of patients after radical mastectomies is a series of surgical interventions using expander techniques. At the 1st stage – the use of the expander, at the 2nd stage – the replacement of the expander for the implant, at the third stage – tatooing of areola and / or reconstruction of the nipple-areolar complex from its own tissues.Due to consistent surgical interventions, as well as the correction of the second breast, it is possible to achieve symmetry of the mammary glands, and, of course, to recreate the removed mammary gland.
MODERN TREATMENT OF METASTATIC MELANOMA: FROM STANDARDS TO AN INDIVIDUALIZED APPROACH IN REAL CLINICAL PRACTICE
Authors: Zhukova N. V. , Orlova R. V. , Antimonik N. Yu. , Kutukova S. I. , Belyak N. P. , Popova N. V. , Erdniev S. P. 
Published: June 2018

The incidence and mortality of skin melanoma in the world and in Russia is growing every year. It should be noted that the proportion of patients with melanoma of late stages remains high. Until recently, only ineffective chemotherapy regimens were available for such patients. That is why the possibility of using modern drugs in real clinical practice for the treatment of this cohort of patients is an urgent issue of modern clinical oncology. The appearance in a real clinical practice of a new group of immunological drugs (anti-CTLA4 and anti-PD-1) for the treatment of patients with metastatic melanoma allows to increase both the time to progression and the life span of this cohort of patients.In this article, we present the experience of St. Petersburg Regional Clinical Hospital “City Clinical Oncology Clinic” in the treatment of patients with metastatic melanoma under the conditions of real clinical practice with the preparation of ipilimumab as part of the expanded access program from February 2014 to March 2017. In total, 31 patients with disseminated melanoma (12 men and 19 women) were treated with ipilimumab during this period. The average age was 57 years (from 39 to 81 years), in 8 patients there were metastases to the brain. Patients with ECOG status 1 at the time of initiation of treatment were the majority 28 patients (90%), three patients (10%) had ECOG status 2. All patients had previously received 1 to 4 lines of systemic chemotherapy. The median of the observation period is currently 12 (3-35) months. The median time to progression was 6 months. At 5 of 31 patients at the time of analysis, signs of progression were not identified. The median overall survival (OB) was 12 months 9 of 31 patients were alive at the time of the analysis. The annual OM was 56.5%, the 2-year period was 29.4%.The article presents a clinical case of treatment of a patient with metastatic melanoma, which will have an effect against the progression of the disease after four lines of therapy, including ipilimumab. The patient was included in the program of expanded access to the PD-1 inhibitor, nivolumab. In all, the patient received 65 nivolumab injections. The life expectancy of the patient from the moment of diagnosing the metastatic stage of the disease is 3.5 years, while 2.5 years on the background of nivolumab therapy. Patient monitoring continues.
CHANGE IN TESTOSTERONE LEVELS IN ENDOSCOPIC OPERATIONS ON THE PROSTATE GLAND
Authors: Efremov E. A. , Shekhovtsov S. Yu. , Merinov D. S. , Butov A. O. , Kastrikin Yu. V. , Garaev T. I. 
Published: June 2018

To date, there have been single studies showing a decrease in testosterone levels in patients as a result of urologic surgeries. It was found that a low level of testosterone has a negative impact on the physical and mental state of men. It was also found that a low level of testosterone increases the likelihood of postoperative complications.Purpose. Study the changes in testosterone levels in prostate plasma ablation.Patients and methods. 47 patients with benign prostatic hyperplasia who underwent plasma ablation of the prostate were examined. All patients were divided into 3 groups: Group I (14 patients) – patients with a normal preoperative level of testosterone (above 12 nmol/L), IIA group (17 patients) – patients with preoperative testosterone deficiency receiving HRT 2 weeks before surgery and during the entire period of postoperative follow-up and IIB group (16 patients) – patients with preoperative testosterone deficiency who did not receive therapy. In addition to standard general clinical examinations, all patients had a blood test for total testosterone, luteinizing hormone, sex hormone binding globulin. The level of free testosterone was calculated from the nomogram of Vermeulen, also testing was carried out using questionnaires AMS and IIEF-5.Results. The decrease in the level of testosterone as a result of the operation was noted in all patients. A month after the operation, none of the groups recorded a return of testosterone values to the original level. However, in the group of patients undergoing HRT, normalization of the testosterone level (12.1 nmol/L and more) was noted by 30 days. Also, early and late postoperative complications were assessed in all three groups. In the group of patients with testosterone deficiency who did not receive HRT, the number of complications was significantly higher. In the group of patients receiving HRT, there was an improvement in the general condition and erectile function, confirmed by the results of the AMS and IIEF-5 questionnaires.Conclusion. Performing plasma ablation of the prostate gland on a par with other methods of endoscopic surgery of the prostate gland leads to a significant decrease in the level of testosterone in the blood. Performing such operations against a background of testosterone deficiency adversely affects the clinical course of the early postoperative period, the development of complications and the general condition of the patient. Preoperative diagnosis and correction of testosterone deficiency is an important component that allows minimizing the number of risks and complications resulting from surgical interventions, as well as improving the quality of life and accelerating post-operative rehabilitation of patients.
REHABILITATION EFFECT OF CORRECTION OF ERECTILE DYSFUNCTION IN PATIENTS WHO UNDERWENT RADICAL PROSTATECTOMY FOR PROSTATE CANCER
Authors: Asratov A. T. , Vinogradov I. V. , Gvasaliya B. R. , Kachmazov A. A. , Kochetov A. G. , Samsonov Yu. V. , Sitnikov N. V. , Tolkachev A. O. , Kostin A. A. 
Published: June 2018

Purpose. To investigate the effect of the development of erectile dysfunction (ED) in patients with prostate cancer after radical prostatectomy (RPE) on the assessment of these patients’ quality of life and their psychological state and the influence on these parameters of ED treatment by implantation of the prosthesis of the penis.Materials and methods. The material of the study was analysis of the questionnaire data of 30 patients with PC with the postoperative ED before the postoperative period and after the falloprosthesis. In the long-term postoperative period (2–3 years) patients (n = 30) with an ED stand, who wanted to restore sexual function, were installed a 3-component prosthesis of the penis. The comparison group consisted of 38 patients, examined 3 years after RPE. The second comparison group consisted of 28 patients who were examined prior to surgical treatment. The questioning of patients was carried out using the questionnaire MIEF-5, which characterizes the state of sexual function, and the psychological test of Spielberger-Khanin for assessing anxiety.Results. Itwasshownthatthesumofthepointsofsituationalanxietyafterprostheticsofthepenisdecreasedfrom 32.4 ± 3.6 to 17.4 ± 1.5 points (p = 3.74-5), and personal anxiety – from 43.7 ± 2.2 to 33.0 ± 1.2 points (p = 1.71-5); and, these differences are statistically highly reliable. Accordingly, the evaluation of sexual function shifted in a positive direction (all patients confirmed satisfaction with the restored sexual function).Сonclusion. The results attest to the high rehabilitation efficiency of correction of ED, which developed after RP, by installing a falloprosthesis.
Considerations for translating “Grande Sertão: Veredas” into Libras
Authors: Sutton-Spence Rachel 
Published: June 2018

This essay provides an annotated translation with commentary of the title and opening three short sentences of João Guimarães Rosa’s “Grande Sertão: Veredas” from Portuguese into Brazilian Sign Language, Libras. A Libras translation uses elements of space and highly iconic structures to recreate the story is a visual form. The commentary here considers the challenges involved in translating the brief section of the Portuguese text, including accommodation of deaf literary norms to those of contemporary Brazilian society, the search for appropriate Libras signs for the regionally specific context of the novel, the needs of a deaf audience to see the visual aspects of the story, and the decisions made on how to represent GuimarãesRosa’s idiosyncratic style of Portuguese in Libras. It highlights the importance of the sign language translator working as a “translator-actor” where the written text told in first person is translated into Libras, producing a translation that is embodied and presented by the translator, who takes the role of the narrator’s “I”.
Drugan, Joana. <em>Quality in professional translation</em>: assessment and improvement. London and New York: Bloomsbury, 2013.
Authors: Portilho Talita 
Published: June 2018

Esta resenha apresenta os principais tópicos do livro Quality in Professional Translation: Assessment and Improvement de Joanna Drugan, no qual são apresentadas e analisadas criticamente uma grande variedade de abordagens usadas para medir e melhorar a qualidade da tradução, tanto no setor de tradução quanto no âmbito acadêmico. Esse livro é o resultado de uma extensa pesquisa relacionada ao gerenciamento e à avaliação de qualidade em empresas e em organizações que oferecem serviços linguísticos e traduções.