Why did I recall the details about public health aspects of global population and well-being in the 21st century regarding the determinants of health? Most of all because today, at the end of 2017, we are talking about the same principles from the “Declaration on Primary Health Care” from 1978, and the same goals as those in “Health for all” which are still current or perhaps even more current than when they were published for the first time in scientific and professional literature. This is a notorious fact, even though we are talking about “Global Health” and its determinants, in all countries of the world, regardless of their social wealth, and all existing resources, especially those, intended to organize health care. In the field of practice, public health has advanced in knowledge and methodology. Biomedical scientists have identified many causes of infectious diseases and developed methods to put them under control. Epidemiologists have identified risk factors that favor many chronic illnesses and information that can be used to reduce the risk of disease. Efforts to cleanse the environment have resulted in air and water that are far safer than half a century ago. Intensive educational efforts have convinced the health-care organizers to improve their health behavior that is to quit tobacco use, and a combination of drinking and driving. The ability to assess the populations' health behaviors and assess the share of health interventions has also significantly improved the availability of health-care databases and computer software capable of analyzing them. However, much of the targets from the World Health Organization declarations are not improved or in some countries provided by official institutions responsible for public health activities.

Pediatrics is defined as the science of a healthy and sick child from birth to end of adolescence. Diseases of the cardiovascular system are the leading causes of mortality in adults, with frequent onset in childhood. The cardiologic examination starts with anamnesis in a pleasant atmosphere, refined space, enough time and patience, detailed measurements, and preferably a noncrying child. Anamnesis, regardless of the development of diagnostic procedures, still constitutes the basis of every clinical examination. The basic characteristics of pediatric cardiac anamnesis are comprehensiveness, that is, details, clarity, concurrency, and chronology. Proper and conscientiously taken anamnesis with a thorough clinical examination of a sick child is a solid protection against dehumanizing the relationship between a physician and patient. Pediatric cardiac anamnesis can be variable, completely negative, but very rich. Anamnesis should, first of all, clarify whether only a child is sick or it is perceived like that be his or her environment. Preschool and school-age children are normally attending anamnesis. High-quality, comprehensive medical history can keep the patient at one level of health care, with a strict focus primarily on the diagnostic processes, reduce crowds in specialist and subspecialist institutions, and make economic savings. A large number of patients in specialist and subspecialist clinics can be reduced by proper screening and by developing primary health-care system (from the local health-care center). Taking patient's medical history with thoroughness has a strong educative character for young doctors at the beginning of their careers.

Introduction: Due to the nature of work in pharmacies pharmacists may occur job burnout, which can affect the quality of health services. It is necessary to use validated instruments to test the burnout. One type of instrument is Shirom-Melamed Burnout Questionnaire (SMBQ). Objective: The primary objectives of this work are: cultural adaptation and assessment metric characteristics of SMBQ in a population of pharmacists in Serbia. Alternative objective is evaluate the degree of burnout in the pharmacist population. Methods: For comparison Maslach Burnout Inventory (MBI) was used. All licensed pharmacists have received an email by the Pharmaceutical Chamber of Serbia, with a link for accessing the questionnaires. The questionnaires were completed by 514 pharmacists. Results and Discussion: Professional translators carried out the translation using translation steps like forward translation and backward translation. Were calculated following metric characteristics: α reliability coefficient Cronbach and associates; β the reliability of the first principal component; ψ1 representativeness; h1 the homogeneity (the average correlation of scale items), extent of curvature, horizontal (Skewness) and vertical (Kurtosis). Correlations between subscales are examined. Latent structure SMBQ (maximumlikelihud extraction) is examined. To select a number of factors, the method of parallel analysis was used. For calculation number of latent factors the Hull method was applied. Concurrent validity was examined by correlating the results of the questionnaire SMBQ and MBI. To confirm a one factor solution of the scale, factor analysis was used. Conclusion: All methods show that it is best to keep only one factor. SMBQ satisfies theoretical statistical criteria of reliability and validity and can be used to estimate job burnout at pharmacist population.

Objective: Up to 10% of free flap cases are compromised, and without prompt intervention, amputation and even death can occur. Hourly monitoring improves salvage rates, but the gold standard for monitoring requires experienced personnel to operate and suffers from high false-positive rates as high as 31% that result in costly and unnecessary surgeries. In this paper, we investigate free flap patency monitoring using automatic hardware-only classification systems that eliminate the need for experienced personnel. The expected flow ranges of the antegrade and retrograde veins for breast reconstruction are studied using a syringe pump to create the laminar flow seen in veins. Methods: Feature data extracted from the Doppler blood flow signals are analyzed for sensitivity, specificity, and false-positive rates. Hardware is built to perform the classification automatically in real-time and output a decision at the end of the observation period. Results: Experimental results using the hardware-only classifier for a 50 ms window size show high sensitivity (96.75%), specificity (90.20%), and low false-positive rate (9.803%). The experimental and theoretical classification results show close agreement. Conclusion: This work indicates that automatic hardware-only classifiers can eliminate the need for experienced personnel to monitor free flap patency. Significance: The hardware-only classification is amenable to a monolithic implementation and future studies should study a totally implantable wirelessly-powered blood flow classifier. The high classifier performance in a short window period indicates that duty-cycled powering can be used to extend the safe operational depth of an implant. This is particularly relevant for the difficult buried free flap applications.

O presente trabalho intenta compartilhar os resultados de uma pesquisa de mestrado realizada na Faculdade de Educacao da UNICAMP/SP, que teve como objetivo investigar a luta de mulheres operarias pela educacao de seus filhos e filhas em creches, a fim de verificar se o usufruto desse direito se reflete na garantia da qualidade da educacao infantil. Para tanto, foram entrevistadas doze maes operarias, em uma creche municipal de Santo Andre/SP. Teve como principais interlocutoras: Fulvia Rosemberg, Ana Lucia Goulart de Faria, Maria Amelia de Souza Teles e Elisabeth Souza-Lobo, militantes do campo da infância e/ou do feminismo. Como resultados, foi constatado que o direito a creche e aspecto imprescindivel ao processo de emancipacao das mulheres, sendo instrumento de luta e de empoderamento. Revelou-se tambem que as maes operarias ensejam nao apenas um local de guarda e assistencia para suas criancas, mas, sobretudo, uma educacao publica de qualidade, em espacos coletivos e com profissionais qualificados/as para educar criancas pequenas, sendo esta uma educacao complementar a educacao ofertada pela familia. Evidenciou-se, ainda, uma articulacao entre o trabalho feminino e a presenca de instituicoes de apoio, como o sao as creches e as pre-escolas. Palavras-chave: Luta por creches. Maes operarias. Direito a educacao. From the “bucket” to the right to day care: struggles of working mothers ABSTRACT The present study tries to share the results of a master’s research written at Faculdade de Educacao of UNICAMP/SP, which objective was to investigate the struggle of working women for the education of their sons and daughters in day care center in order to verify if the usufruct of this reflected in the quality assurance of early childhood education. Twelve working mothers were interviewed in a municipal day care center in Santo Andre/SP. It had as main interlocutors Fulvia Rosemberg, Ana Lucia Goulart de Faria, Maria Amelia de Souza Teles and Elisabeth Souza- Lobo, militants of the field of childhood and / or feminism. As results, it was verified that the right to day care is an essential aspect of the process of emancipation of women, and is an instrument of struggle and of empowerment. It has also been revealed that working mothers want not only a place of care and assistance for their children but, above all, a public education with quality, in collective spaces and with qualified professionals to educate young children, this being a complementary education to the education offered by the family. It was evidenced also an articulation between the female work and the presence of support institutions such as day care center and pre- schools. Keywords: Strauggle for day care. Working mothers. Right to education. Del “balde” al derecho a la guarderia: luchas de madres obreras RESUMEN El presente trabajo intenta compartir los resultados de una investigacion de maestria realizada en la Facultad de Educacion de la UNICAMP/ SP, cuyo objetivo es investigar la lucha de las mujeres obreras por la educacion de sus hijos e hijas en guarderias, a fi n de verificar si el usufructo se refleja en la garantia de la calidad de la educacion infantil. Para ello, se entrevistaron doce madres obreras, en una guarderia municipal de Santo Andre/SP. Las principales interlocutoras fueron Fulvia Rosemberg, Ana Lucia Goulart de Faria, Maria Amelia de Souza Teles y Elisabeth Souza-Lobo, militantes del campo de la infancia y/ o del feminismo. Como resultados, se constato que el derecho a la guarderia es un aspecto imprescindible al proceso de emancipacion de las mujeres, siendo instrumento de lucha y de empoderamiento. Se ha revelado tambien que las madres obreras no solo anhelan un lugar de guardia y asistencia para sus hijos, sino, sobre todo, una educacion publica de cualidad, en espacios colectivos y con profesionales calificados para educar a ninos pequenos, siendo una educacion complementaria a la educacion ofrecida en la familia. Se evidencio, tambien, una articulacion entre el trabajo femenino y la presencia de instituciones de apoyo como lo son las guarderias y las preescolares. Palabras clave: Lucha por guarderias. Madres obreras. Derecho a la educacion.

The aim of this research was to determine the actual data available to the dairies and to compare them with the statistical data. The actual data obtained from dairy can be used for further research and development of the dairy sector. Dominant production system in BiH are small farms (3‒5 cows) dealing with mixed livestock production, with the primary goal of self-sufficiency of which only 3.5% are farms with more than 20 dairy cows. The data used in the paper were derived from statistical agencies, as well as own research in the 7 largest milk processors in B&H (purchase about 86.10% of total milk in B&H). The number of dairy farmers of these 7 largest milk producers was 9.865 in 2015 (and 15.311 in 2012), who owned a total of 49.865 dairy cows in 2015 (42.364 in 2012). Average per producers of raw milk was 5.05 cows in 2015 (or 2.77 cow per producer in 2012). Average milk production per dairy cow was 4.149 L in 2015 (and 4.026 L in 2012). E‒class quality of milk is only 77% from the deliverables milk and 68% from the number of samples.

We investigate global dynamics of the following second order rational difference equation x n + 1 = x n x n − 1 + α x n + β x n − 1 a x n x n − 1 + b x n − 1 , where the parameters α , β , a , b are positive real numbers and initial conditions x − 1 and x 0 are arbitrary positive real numbers. The map associated to the right-hand side of this equation is always decreasing in the second variable and can be either increasing or decreasing in the first variable depending on the corresponding parametric space. In most cases, we prove that local asymptotic stability of the unique equilibrium point implies global asymptotic stability.