bluuebunny/crossref_metadata_2025_split huggingface dataset:
INTERACTION DEVELOPMENT OF EDUCATION, SCIENCE AND BUSINESS IN THE BRYANSK REGION INDUSTRY
Authors: Геращенкова Татьяна , Gerashchenkova Tatyana 
Published: May 2017

Modern trends in the development of industrial sector of economy in the Bryansk region are consi-dered. It outlines positive tendencies and dynamism of today’s changes. The factors determining the competi-tive advantages of the region industry are given and among which - a professional higher educational insti-tution - FSBEI HE "Bryansk State Technical Universi-ty". It works closely with the industrial enterprises in target personnel training and carrying out urgent scien-tific research. Here a number of training centers and research laboratories are formed.
Continuation of the existing tendencies and further dynamic development of the industry is undoubtedly connected with the enterprises interaction development of the real sector of economy, science and education. Development of strategic partnership and cluster interaction can serve it. It will make it possible to increase educational programs conformity with employer requirements, provide practical market orientation of research and development and strengthen resourcing of scientific and educational process.
Project management training is important for spe-cialists of industrial sector of economy; having studied the bases of it together with profile disciplines the graduate will be a suitably qualified entrepreneur capa-ble to carry business independently.
FORMATION OF LONG-TERM COMPETITIVE ADVANTAGES OF THE ENTERPRISE BASED ON THE CONCEPT OF STRATEGIC COST MANAGEMENT
Authors: Калинина Екатерина , Kalinina Ekaterina 
Published: May 2017

The problem of formation of long-term competi-tive advantages of an industrial enterprise based on the concepts of strategic cost management is considered.
The introduction explains urgency of the problem being investigated for the Russian enterprises.
In the first part various interpretations of the con-cepts are specified: competitiveness and competitive advantage depending on an object to which they are applied.
Then the comparative characteristic of some for-mation techniques of competitive advantages is carried out and it is defined that strategic cost management has advantages as it is directed to the formation of unique, more effective and long-term competitive advantages, and also uses all existing internal and external sources.
Then the successive stages are given and the for-mation algorithm of competitive advantages based on strategic cost management including the search of ad-vantages using the concept of cost factors, their as-sessment and justification using a file of values con-cept, creation of advantages with the use of strategic positioning concept is developed.
STATE, PROBLEMS AND THE PROSPECTS OF DEVELOPMENT OF HUMAN CAPITAL IN THE SCIENTIFIC SPHERE OF THE RUSSIAN FEDERATION
Authors: Новикова Александра , Novikova Aleksandra 
Published: May 2017

The purpose of the paper is to consider dynamics, structure, and also features of financing and the ways of human capital development in the scientific sphere of the Russian Federation.
Methods of investigation are the analysis and synthesis, historical and logical methods, a systematic approach, a graphical method, a relative values method.
According to the results of the research the main stages of Russian science development after breakup of the Soviet Union are defined, dynamics of the number of researchers by areas of science and also their age structure are considered. The reasons preventing further continuation of young Russian scientists activity in the Russian Federation, and also on the contrary, keeping them in the country are established. Dynamics of expenditures on the scientific and technical RF complex development is shown based on the resolution of the RF Government on Federal target program «Research and development on the priority directions of Russian scientific-technological complex development for 2014-2020" taking into account its annual adjustment.
Conclusions: a range of issues hampering the de-velopment of Russian science at the present stage of its development is defined, such as insufficient effective-ness of scientific research, lack of independent self-evaluation, undeveloped infrastructure and insufficient material and technical resources, and also the widening gap between basic and applied scientific research. The solution of these problems has the special significance in the context of growing competition in the world scientific system under condition to postindustrial so-ciety.
THE ORETICAL ASPECTS OF MASS MEDIA PLANNING
Authors: Радькова Наталья , Radkova Natalya 
Published: May 2017

The purpose of any advertizing campaign is a cer-tain impact on potential consumers of goods or service. For achievement of this task, first of all, it is necessary to make this information available to the necessary audience within the desirable term. Accuracy of "mes-sage delivery" depends on quality of work on such stage of advertizing campaign as mass media planning. The term mass media planning has been "russified" for the first time at the end of 1994 at the scientific seminar held by the research center "V-ratio" at the Institute of sociology of RAS. The name of new discipline was developed by the experts of leading Moscow advertizing agencies engaged in advertizing research and development of advertizing campaigns plans.
The American word "media" means a set of ways for advertising including any mass media and outdoor advertizing. At the same time experts have combined the term "media" with the word "planning". As a result of it, when merging the two words a standard term has appeared reflecting interrelation of optimum planning of the advertizing budget and the choice of advertizing channels.
PROCESS OF MANAGEMENT DECISION-MAKING AT THE REGIONAL LEVEL ON THE BASIS OF INFORMATION ADVISING SYSTEM
Authors: Алешина Ирина , Aleshina Irina , Геращенкова Татьяна , Gerashchenkova Tatyana 
Published: May 2017

One of the important factors limiting social and economic development of Russia is considered to be the state and efficient functioning of transport and logistic infrastructure.
The creation of a modern road and transport net-work is one of the factors providing sustainable eco-nomic growth, implementation of social programs and, eventually, improvement of the quality of human life.
Interaction of financial state interests and private business through mechanisms of state-private partner-ship has to become the main objective of modern Rus-sian state policy in favor of intensification process of capital investments increase in transport infrastructure.
The use of such mechanism will allow carrying
out projects which the state and business cannot im-plement alone. It will help to reduce social problems, will become the driving force of Russian economy, will promote the establishment of the international financial center in the Russian Federation.
The purpose of the study is to research compre-hensively the existing funding mechanism and distribu-tion of budget funds for creating transport infrastruc-ture with economic substantiation possibility of attract-ing and using non-budgetary sources.
The use of femoral stems with exchangeable necks in primary total hip arthroplasty increases the rate of revision
Authors: Graves S. E. , de Steiger R. , Davidson D. , Donnelly W. , Rainbird S. , Lorimer M. F. , Cashman K. S. , Vial R. J. 
Published: May 2017

Aims Femoral stems with exchangeable (modular) necks were introduced to offer surgeons an increased choice when determining the version, offset and length of the femoral neck during total hip arthroplasty (THA). It was hoped that this would improve outcomes and reduce complications, particularly dislocation. In 2010, the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) first reported an increased rate of revision after primary THA using femoral stems with an exchangeable neck. The aim of this study was to provide a more comprehensive up-to-date analysis of primary THA using femoral stems with exchangeable and fixed necks. Materials and Methods The data included all primary THA procedures performed for osteoarthritis (OA), reported to the AOANJRR between 01 September 1999 and 31 December 2014. There were 9289 femoral stems with an exchangeable neck and 253 165 femoral stems with a fixed neck. The characteristics of the patients and prostheses including the bearing surface and stem/neck metal combinations were examined using Cox proportional hazard ratios (HRs) and Kaplan-Meier estimates of survivorship. Results It was found that prostheses with an exchangeable neck had a higher rate of revision and this was evident regardless of the bearing surface or the size of the femoral head. Exchangeable neck prostheses with a titanium stem and a cobalt-chromium neck had a significantly higher rate of revision compared with titanium stem/titanium neck combinations (HR 1.83, 95% confidence interval 1.49 to 2.23, p < 0.001). Revisions were higher for these combinations compared with femoral stems with a fixed neck. Conclusion There appears to be little evidence to support the continued use of prostheses with an exchangeable neck in primary THA undertaken for OA. Cite this article: Bone Joint J 2017;99-B:766–73.
The Birmingham Interlocking Pelvic Osteotomy for acetabular dysplasia
Authors: Mei-Dan O. , Jewell D. , Garabekyan T. , Brockwell J. , Young D. A. , McBryde C. W. , O’Hara J. N. 
Published: May 2017

AimsThe aim of this study was to evaluate the long-term clinical and radiographic outcomes of the Birmingham Interlocking Pelvic Osteotomy (BIPO).Patients and MethodsIn this prospective study, we report the mid- to long-term clinical outcomes of the first 100 consecutive patients (116 hips; 88 in women, 28 in men) undergoing BIPO, reflecting the surgeon’s learning curve. Failure was defined as conversion to hip arthroplasty. The mean age at operation was 31 years (7 to 57). Three patients (three hips) were lost to follow-up.ResultsSurvivorship was 76% at ten years and 57% at a mean of 17 years. Younger patients (< 20 years) had the best survivorship (20 hips at risk; 90% at 17 years; 95% confidence interval 65 to 97). Post-operative complications occurred after 12 operations (10.4%) over the duration of the study. Increasing patient age and hip arthritis grade were primary determinants of surgical failure.ConclusionBIPO provides good to excellent survivorship in appropriately selected patients, with a relatively low rate of complications. Our results are comparable with other established methods of periacetabular osteotomy (PAO), such as the Bernese PAO, even during the surgeon’s initial learning curve. Cite this article: Bone Joint J 2017;99-B:724–31.
Mid-term results of the BIOLOX delta ceramic-on-ceramic total hip arthroplasty
Authors: Lee Y. K. , Ha Y. C. , Yoo J-I. , Jo W. L. , Kim K-C. , Koo K. H. 
Published: May 2017

Aims We conducted a prospective study of a delta ceramic total hip arthroplasty (THA) to determine the rate of ceramic fracture, to characterise post-operative noise, and to evaluate the mid-term results and survivorship. Patients and Methods Between March 2009 and March 2011, 274 patients (310 hips) underwent cementless THA using a delta ceramic femoral head and liner. At each follow-up, clinical and radiological outcomes were recorded. A Kaplan-Meier analysis was undertaken to estimate survival. Results Four patients (four hips) died and 18 patients (20 hips) were lost to follow-up within five years. The remaining 252 patients (286 hips) were followed for a mean of 66.5 months (60 to 84). There were 144 men (166 hips) and 108 women (120 hips) with a mean age of 49.7 years (16 to 83) at surgery. The mean pre-operative Harris Hip Score of 47.1 points improved to 93.8 points at final follow-up. Six patients reported squeaking in seven hips; however, none were audible. Radiolucent lines involving Gruen zones one and/or seven were seen in 52 hips (18.2%). No hip had detectable wear, focal osteolysis or signs of loosening. One hip was revised because of fracture of the ceramic liner, which occurred due to an undetected malseating of the ceramic liner at the time of surgery. One hip was revised for a periprosthetic fracture of the femur, and one hip was treated for periprosthetic joint infection. The six-year survivorship with re-operation for any reason as the endpoint was 99.0% (95% confidence interval 97.8% to 100%). Discussion The rate of delta ceramic fracture was 0.3% (one of 286). While ceramic head fracture was dominant in previous ceramic-on-ceramic THA, fracture of the delta ceramic liner due to malseating is a concern. Cite this article: Bone Joint J 2017;99-B:741–8.
Arthroscopic decompression not recommended in the treatment of rotator cuff tendinopathy
Authors: Ketola S. , Lehtinen J. T. , Arnala I. 
Published: May 2017

Aims Rotator cuff tendinopathy has a multifactorial origin. Rejecting the mechanistic theory has also led to abandoning operative treatment at initial presentation in the first line. Physiotherapy exercise programmes are the accepted first line treatment. The aim of this study was to assess the long-term additional benefits of subacromial decompression in the treatment of rotator cuff tendinopathy. Patients and Methods This randomised controlled trial of 140 patients (52 men, 88 women, mean age 47.1 years; 18 to 60) with rotator cuff tendinopathy extended previous work up to a maximum of 13 years. The patients were randomised into two treatment groups: arthroscopic acromioplasty and a supervised exercise treatment and a similar supervised exercise treatment alone. Self-reported pain on a visual analogue scale (VAS) was the primary outcome measure. Secondary measures were disability, working ability, pain at night, Shoulder Disability Questionnaire score and the number of painful days during the three months preceding the final assessment. Results A total of 90 patients (64%) returned questionnaires at a mean 12 years after randomisation. On an intention-to-treat basis, both treatment groups reached statistically significant improvement compared with the initial VAS for pain, but there was no significant difference between groups. The same was true in the secondary outcome measures. Due to group changes, the results were also analysed per protocol: operated or not. No significant differences between the groups were found. Conclusion The natural history of rotator cuff tendinopathy probably plays a significant role in the results in the long-term. Even though the patients who underwent operative treatment had a stronger belief in recovery, which is likely to be surgical and the effect of placebo, the exercise group obtained similar results. In the future, an optimum exercise regime should be searched for, as the most clinically and cost-effective conservative treatment for rotator cuff tendinopathy. Cite this article: Bone Joint J 2017;99-B:799–805.
Long-term survival and risk factors for failure of the native hip joint after operatively treated displaced acetabular fractures
Authors: Clarke-Jenssen J. , Røise O. , Storeggen S. A. Ø. , Madsen J. E. 
Published: May 2017

Aims Our aim in this study was to describe the long-term survival of the native hip joint after open reduction and internal fixation of a displaced fracture of the acetabulum. We also present long-term clinical outcomes and risk factors associated with a poor outcome. Patients and Methods A total of 285 patients underwent surgery for a displaced acetabular fracture between 1993 and 2005. For the survival analysis 253 were included, there were 197 men and 56 women with a mean age of 42 years (12 to 78). The mean follow-up of 11 years (1 to 20) was identified from our pelvic fracture registry. There were 99 elementary and 154 associated fracture types. For the long-term clinical follow-up, 192 patients with complete data were included. Their mean age was 40 years (13 to 78) with a mean follow-up of 12 years (5 to 20). Injury to the femoral head and acetabular impaction were assessed with CT scans and patients with an ipsilateral fracture of the femoral head were excluded. Results A total of 36 patients underwent total hip arthroplasty (THA). The overall ten-year survival of the hip joint was 86% (95% confidence interval (CI) 81% to 90%) and the 20-year survival was 82% (95% CI 76% to 87%). Injury to the femoral head and acetabular impaction were the strongest predictors of failure, with the long-term survival rate falling towards 50% in these patients. The survival fell to 0% at three years when both these risk factors were present in patients aged > 60 years. Conclusion The long-term survival of the native hip joint after acetabular fractures was good, but the presence of injury to the femoral head and acetabular impaction proved to be strong predictors of failure, especially in patients aged > 60 years. These patients may be better treated with a combination of open reduction and internal fixation and primary arthroplasty. Cite this article: Bone Joint J 2017;99-B:834–40.
Kudo type-5 total elbow arthroplasty for patients with rheumatoid arthritis
Authors: Kodama A. , Mizuseki T. , Adachi N. 
Published: May 2017

Aims We assessed the long-term (more than ten-year) outcomes of the Kudo type-5 elbow prosthesis in patients with rheumatoid arthritis (RA). Materials and Methods We reviewed 41 elbows (Larsen Grade IV, n = 21; Grade V, n = 20) in 31 patients with RA who had undergone a Kudo type-5 total elbow arthroplasty (TEA) between 1994 and 2003, and had been followed up for more than ten years. The humeral component was cementless and the all-polyethylene ulnar component cemented in every patient. Clinical outcome was assessed using the Mayo elbow performance score. We calculated the revision rate and evaluated potential risk factors for revision. The duration of follow-up was a mean 141 months (120 to 203). Results Aseptic loosening of the ulnar component occurred in 11 elbows. There was no radiolucency around any humeral component. There was one deep infection. The survival rate according to Kaplan-Meier survivorship analysis was 87.8% after five years and 70.7% after ten years. The range of extension/flexion was a mean -38° (-80° to 0°)/105° (30° to 150°) before surgery and -40° (-70° to -20°)/132° (100° to 150°) at the final follow-up, while the mean Mayo elbow performance score was 43 before surgery and 80 at final follow-up. Disease duration of RA up to the TEA of < 15 years and a pre-operative range of movement (ROM) of > 85° were significant risk factors for revision or aseptic loosening. Conclusion Although Kudo type-5 prostheses gave satisfactory results in the short-term, aseptic loosening increased after five years. In most cases, elbow function was maintained in the long-term without loosening of the implant. A short duration from the onset of RA to TEA and a large pre-operative ROM were significant risk factors for revision or aseptic loosening. Cite this article: Bone Joint J 2017;99-B:818–23.
Pre-operative functional status as a predictor of morbidity and mortality after elective cervical spine surgery
Authors: Minhas S. V. , Mazmudar A. S. , Patel A. A. 
Published: May 2017

Aims Patients seeking cervical spine surgery are thought to be increasing in age, comorbidities and functional debilitation. The changing demographics of this population may significantly impact the outcomes of their care, specifically with regards to complications. In this study, our goals were to determine the rates of functionally dependent patients undergoing elective cervical spine procedures and to assess the effect of functional dependence on 30-day morbidity and mortality using a large, validated national cohort. Patients and Methods A retrospective analysis of the American College of Surgeons National Surgical Quality Improvement Program data files from 2006 to 2013 was conducted to identify patients undergoing common cervical spine procedures. Multivariate logistic regression models were generated to analyse the independent association of functional dependence with 30-day outcomes of interest. Results Patients with lower functional status had significantly higher rates of medical comorbidities. Even after accounting for these comorbidities, type of procedure and pre-operative diagnosis, analyses demonstrated that functional dependence was independently associated with significantly increased odds of sepsis (odds ratio (OR) 5.04), pulmonary (OR 4.61), renal (OR 3.33) and cardiac complications (OR 4.35) as well as mortality (OR 11.08). Conclusions Spine surgeons should be aware of the inherent risks of these procedures with the functionally dependent patient population when deciding on whether to perform cervical spine surgery, delivering pre-operative patient counselling, and providing peri-operative management and surveillance. Cite this article: Bone Joint J 2017;99-B:824–8.
A Comunicação entre a farmácia e a enfermagem na Administração segura de Medicamentos
Authors: Oliveira Paula Rocha , Oliveira Alcileide Maria , Portela Fernanda Santos , Soares Fernanda de Jesus 
Published: May 2017

Nos últimos anos, grandes discussões acerca da necessidade de otimizar a qualidade e segurança dos paciente hospitalizados, vem se formando no cenário hospitalar. Muitos prejuízos na segurança e saúde do paciente são evidenciados, principalmente por conta da negligência dos profissionais de saúde. Contudo, a fim de evitar erros de medicamentos, é necessário que haja uma maior comunicação entre os setores da organização hospitalar, principalmente entre a farmácia e a equipe de enfermagem, a fim de, minimizar e até evitar erros. Assim, este trabalho faz referência à comunicação entre a farmácia e a enfermagem na administração segura de medicamentos. Metodologia: O presente estudo se embasa em uma temática de cunho exploratório com abordagem qualitativa e quantitativa, realizada em um hospital, no interior da Bahia. O estudo abrangeu os profissionais de saúde do hospital privado, que participaram do estudo, de forma aleatória. Estes profissionais foram os enfermeiros, técnicos de enfermagem, farmacêuticos e auxiliares de farmácia, nos setores da enfermaria e farmácia. O instrumento para coleta foi um questionário aplicado pela autora que continham perguntas pertinentes ao projeto, para os profissionais citados, a fim de entender o fluxo interno do hospital desde o momento do lançamento da prescrição médica até a administração do medicamento no paciente. Resultados: A prevalência em relação ao gênero dos profissionais estudados é o sexo feminino com (64%) e os funcionários de maior destaque foram os técnicos de enfermagem (45%). Em relação ao papel do farmacêutico, ele não possui contato com o paciente (64%) e que muitas vezes, este profissional não faz a dispensação do medicamento na farmácia do hospital, (77%). Pode-se observar, também, que sucessivas vezes o farmacêutico não analisa a prescrição a ser dispensada (64%), mas, existe uma dupla conferência do medicamento dispensado, (100%). Em conformidade com as prescrições, este documento é acessível a todos os profissionais de saúde do hospital (95%), mas que não é legível (59%). Quando alguma duvida surge sobre o esquema terapêutico, (50%) dos funcionários recorrem ao farmacêutico e, quando vão administrar o medicamento no paciente, (86%) revelam que informam ao paciente sobre o mesmo. Por fim, em relação à administração dos medicamentos potencialmente perigosos, (50%) dos entrevistados responderam que não há treinamento específico para esta capacitação. Conclusão: Os resultados obtidos foram satisfatórios, porém para atingir o sucesso organizacional e profissional, é necessário que algumas medidas sejam adotas na unidade médica. A capacitação e treinamento para medicamentos potencialmente perigosos em pronto socorro foi uma queixa observada durante a coleta de dados e se faz extremamente necessária aos profissionais da equipe de enfermagem.