bluuebunny/crossref_metadata_2025 huggingface dataset:
Epidemiological characteristics of transport injuries in a large city (according to forensic studies of the deceased in hospitals of St. Petersburg)
Authors: Bozhchenko A. P. , Pilnik N. M.
Published: July 2021

The problem of monitoring traffic accidents and the detailed epidemiological characteristics of fatal injuries in order to identify risk factors is being updated. It has been established that most often traffic accidents occur during the off-season, during the periods following from work, in the dark; as a result of a car or motorcycle collision with a pedestrian. The most often, men 20–50 years old and women 70–80 years old die; one third of the victims are intoxicated (elimination stage), of which pedestrians and passengers (men) are more likely. In more than half of cases, there is delayed hospitalization, especially frequent during rush hour, late evening and night time, from Friday to Saturday. Injury with acute (massive) blood loss, the presence of two or more concomitant chronic diseases in the victim are prognostically unfavorable. The maximum number of deaths occurs on the 1st–2nd day (especially in the first hours after the accident), then on the 3rd–4th day, at the end of the I, II and III weeks. A relative increase in deaths is observed in the early morning hours. The most common defects in the design of medical documents that prevent the full collection of information about the circumstances of the accident and risk factors for adverse outcomes have been identified. It is proposed to create a «Card of the victim in a traffic accident», a unified network of trauma centers that accept victims of traffic accidents. The results of the study can serve to reduce the social risk of death from traffic accidents.
Impact of previous work in the conditions of industrial noise on the development of sensorineural hearing loss in the outcome of a military injury.
Authors: Churkin D V , Lastkov D O , Dolgoshapko O N , Antropova O S
Published: July 2021

The results of a survey of militia members - industrial workers aged 35-39 years who had previously worked in the conditions of industrial noise are presented. As a result of a military trauma (combined head injury, acutrauma, barotrauma) they developed sensorineural hearing loss. The level of hearing loss and the degree of involvement in the pathological process of the sound-perceiving apparatus is related to the length of work experience in the conditions of industrial noise. For persons who worked in conditions of constant low-amplitude broadband noise (n=30), hearing loss is more pronounced compared to persons (n=30) who worked in conditions of pulsed high-frequency high-amplitude noise. In the control group (35-39 years, n=30), who previously worked outside of industrial noise, the level of hearing loss is determined by the frequency of traumatic brain injury and is associated with the formation of post-traumatic osteochondrosis and vertebrobasilar insufficiency.
First training and practical course on field surgery and trauma surgery «SMART» in Russia.
Authors: Samokhvalov I M , Fomin N F , Goncharov A V , Reva V A , Petrov A N , Kasimov R R , Nosov A M , Koskin V S
Published: July 2021

In recent years, significant progress has been made in the treatment of severe injuries and traumas. In critical situations, for the heaviest category of wounded, the outcome is largely determined in the next few minutes after admission to the hospital. The only possible tactic that gives a chance to save the lives of such victims is the tactics of multi-stage surgical treatment (damage control). The low effectiveness of traditional methods of training surgeons in the basics and techniques of this tactic makes it necessary to develop new forms of training. One of the most progressive and sought-after is training on biological material (large animals or cadaver material), but the methodology for conducting such studies has not been worked out before. For the first time in Russia in November 2018, a unique training and practical course «SMART» (Modern Methods and Algorithms for the Treatment of Wounds and Traumas) was conducted, combining training in both living tissues and cadavers. Participants were given the opportunity to see and independently work out the basic combinations of typical surgical techniques and maneuvers aimed at eliminating the life-threatening consequences of injuries and traumas.
The effect of ingaron on the dynamics of copies of deoxyribonucleic acid Epstein - Barr virus in saliva samples and on the manifestation of clinical
Authors: Rakityanskaya I A , Ryabova T S , Todzhibaev U A , Kalashnikov A A , Manuilov A S
Published: July 2021

A total of 60 patients (38 women and 22 men, 36,54±2,14 years old) with a Epstein - Barr infection were examined. The patients were divided into two groups depending on the treatment regimen: 1 group - 34 patients received ingaron therapy (10 intramuscular injections of 500000 units every other day); group 2-26 patients received valcyte (450 mg 2 times a day, by mouth, 2 months) + ingaron at the same dosage. One month after the end of antiviral therapy in the1st group, negative results of half-chain reaction were obtained only in 29,41% of patients. The combination of valcyte and ingaron in patients of the 2nd group was different and differed in the duration of the injection of ingarone: 2a group: ingaron10 injections of 500000 IU intramuscularly every other day; 2b group: ingaron 20 injections of 500000 IU intramuscularly every other day; 2c group: ingaron 10 injections of 500000 IU and 15 injections of 100000 IU intramuscularly every other day. The best result after the introduction of ingaron was obtained in 90% of patients who received the longest course of ingaron in the form of 20 injections of 500000 IU every other day in combination with valcyte. In the other groups, where the total dose of ingaron was lower, positive results were found in 60 and 66,7% of patients. A significant positive change in the number of copies of deoxyribonucleic acid Epstein - Barr virus was found in samples of saliva and the severity of clinical complaints in patients one month after the ingaron monotherapy or combination therapy (valcyte and ingaron) was completed. The best effect of treatment with ingaron is achieved in patients with chronic Epstein - Barr infection with the prolonged introduction of ingaron (at least 20 injections).
Functional pathology of the chewing apparatus in the military
Authors: Serikov A A , Iordanishvili A K
Published: July 2021

During the clinical examination, 620 military personnel (502 men and 118 women) aged 25 to 55 years serving in the land forces of the Armed Forces of the Russian Federation, determined the incidence and severity of the pathology of the temporomandibular joint and masticatory muscles. A clinical study was performed using a survey, clinical examination, auscultation of the temporomandibular joint, and the determination of the tone of the masticatory muscles. To identify the temporomandibular joint pathology, the degree of mouth opening, the presence of mandibular deviation during opening and closing of the mouth, the presence of sound phenomena in the temporomandibular joint during mandibular movements, as well as the presence of arthralgia in the state of physiological rest and during lower jaw movements were evaluated. Symptom analysis to assess the severity of the temporomandibular joint pathology was carried out in points. To identify and determine the severity of the clinical course of the pathology of the masticatory muscles, a technique was used in the work that allows such an assessment in points based on the severity of complaints of fatigue of the masticatory muscles, compression or gnashing of teeth, the presence of hypertrophy or hypertonus of the masticatory muscles, and the presence of generalized forms of periodontitis and or) increased tooth wear. It was found that diseases of the temporomandibular joint in male military personnel are less common (12,8%) than female military personnel (22,9%), while parafunctional masticatory muscles are more common in men (2,4 %) than women (1,7%). Pathology of the temporomandibular and masticatory muscles, regardless of gender and age, usually combines, aggravates each other, and in 25-66,7% of cases occur in moderate or severe. It has been shown that in the course of planned in-depth medical examinations of military personnel, it is necessary to identify persons with clinical signs of pathology of the temporomandibular joint and masticatory muscles, and send them to the military medical organizations to clarify the diagnosis and conduct specialized treatment. It is noted that it is advisable for dentists when conducting scheduled in-depth examinations or military-medical examination it is advisable to carry out auscultation of the temporomandibular joint with the use of an electronic stetofonendoskop and myotonometry of the chewing muscles proper. This, with minimal time, will significantly increase the efficiency of detecting temporomandibular joint and masticatory muscles in military personnel.
Exceptional case of surgical treatment of huge inguinal hernia at the woman
Authors: Solovyov I A , Cherkashin D V , Vasilchenko M V , Bromberg B B , Balyura O V , Kuzmin D N , Koshelev T E , Pastukhov A V , Serko V M
Published: July 2021

Despite significant progress in a health care system the started cases of huge inguinal hernias still meet. For successful treatment of such patients objective diagnostics, preoperative preparation, the choice of suitable tactics of surgery and treatment in the postoperative period is important. The clinical case of treatment by not reducible huge inguinal hernia at the patient of 73 years is presented in article. The patient showed complaints to presence of the big sizes of the hernia in the bottom of a stomach limiting movement of the patient and self-service reducing quality of life. For the first time hernial protrusion in inguinal area has appeared in 2008 which gradually increased in sizes. Since 2015 I have noted the intensive growth of hernia. I didn’t ask for medical care. To clinic it is brought by an ambulance crew with the diagnosis of The Restrained Inguinal Hernia direction. At the time of survey data for infringement weren’t. After comprehensive examination to the patient surgery in volume has been executed: a gryzhesecheniye on the right, plasticity across Liechtenstein. The postoperative period proceeded without complications. The patient is written out for the 13th days after operation. Extremely exceptional clinical case, the choice of adequate stage-by-stage preoperative inspection and treatment, optimum surgical tactics and postoperative kuration is shown. The chosen approach led to prevention of development of a cascade of the complications including a compartment syndrome, to elimination of cosmetic defect and restoration of quality of life.
Issues of prevention of suicidal behavior in the Armed Forces of the Russian Federation
Authors: Shamrey V K , Dnov K V
Published: July 2021

The issues of prevention of suicidal incidents in the Armed Forces of the Russian Federation are considered. The analysis of suicide prevalence among military personnel of various categories and their prevailing causes for the period from 2013 to 2017 is indicated. Indicates a change in the percentage ratio of various categories of military personnel who committed suicide, with a steady increase in the proportion of privates and sergeants serving in military service under the contract (from 24,6% in 2011 to 57,4% in 2017). It was established that among the servicemen under the contract family and everyday reasons for suicide prevailed, while conscripts were military professional. A comparison was also made of the long-term (2007-2017) dynamics of suicide rates and the incidence of mental disorders among military personnel, and certain patterns were identified. Thus, in the group of officers and ensigns, a significant correlation was noted between the long-term dynamics of suicide rates with neurotic (r=0,74) and addictive disorders (r=0,86), as well as general mental morbidity (r=0,83), and for conscripts, with personality disorders (r=0,79) and organic mental disorders (r=0,71). A comparison of the long-term dynamics of the overall incidence of mental disorders and the suicide rate among conscripts also showed a positive correlation (r=0,69). Analyzed the system of prevention of suicidal incidents in military personnel, which currently exists and proposed measures for its improvement, including the areas of activity of officials for the prevention of suicidal incidents in the military. It also indicates the need to shift the focus from specific prevention (direct detection and prevention of suicidal actions in military personnel with mental disorders) to non-specific (prevention of general mental distress and suicidal tendencies in mentally healthy people).
Morphological characteristics of postoperative acute perforated ulcers of the small bowel
Authors: Singaevskiy A B , Vinnichuk S A , Nesvit E M
Published: July 2021

The basic morphological characteristics of acute postoperative perforated ulcers of the small intestine were presented by analyzing cases of patients with this postoperative complication. It was determined that in the majority of patients (69,4%) the complication occurred after operations for various types of oncological diseases. Found a significant increase in the frequency of occurrence of this pathology over the past 2 decades by 8 times. The following macroscopic characteristics were revealed: in the majority of patients (83,9%), isolated perforations were initially encountered, but in almost half of the cases (46,7%) there were recurrence. The «favorite» dates of occurrence are 4-10th day and the «favorite» localization in different parts of the small intestine are from 101 to 151 cm from the ligament of Treitz (47,7%) and 51-100 cm from the ligament of Treitz (21,8%). Microscopy of the resected areas of the small intestine besides inflammatory changes in the layers of bowel wall in 100% of cases showed significant dyscirculatory changes: on the side of the submucosal layer the plethora and development of the erythrocyte sludge - 100%, vascular thrombosis - 45,5%, hemorrhagic soaking - 27,3%. Inflammatory changes were nonspecific with a predominance of various inflammatory phases: alterative (desquamation and necrosis of the epithelium of the villi), exudative (moderate to massive neutrophilic infiltration) and proliferative (proliferation of granulation tissue followed by fibrosis and lipomatosis wall). In addition, a histological study of areas of the small intestine affected by acute perforative ulcers revealed that the mucous was primarily damaged.Key words: acute ulcers of the small intestine, non-specific ulcers of the small intestine, perforation of the small intestine, peritonitis, operations on the abdominal and pelvic organs, relaparotomy, closure of the small intestine, resection of the small intestine.
Application of telemedicine technologies in military innovative technopolis «Era»: the first experience and prospects
Authors: Kachnov V A , Rudchenko I V , Tyrenko V V , Fisun A Ya
Published: July 2021

The article substantiates the need for the use of telemedicine technologies in the Armed forces of the Russian Federation. On the basis of the analysis of the literature presents the main directions of their use: remote consultation of doctors with each other, the transfer of data about the patient in a single center, remote monitoring of physiological parameters. The directions for the use of telemedicine technologies in the interests of the Ministry of defense and the need to develop a portable individual device for monitoring the basic physiological parameters of soldiers. Information on the creation of the military innovative technopolis «Era» is presented, the main goals and objectives that will be implemented on its basis are given. The urgency of the creation of «Research laboratory for monitoring vital functions of the body of soldiers and prevention of pathological conditions» on the basis of military innovative technopolis «Era» is emphasized. The main directions of the work of this laboratory and the expected results to be obtained at this site are given. In November 2018 the work of the laboratory, its main goals, objectives and prospects were presented to the President of the Russian Federation. Currently in the laboratory by the specialists of the Military medical Academy n.a. S.M. Kirov and the scientific company of the military innovative technopolis «Era» testing of various domestic wearable devices is carried out comparing them with reference diagnostic systems and software revision.
Experience of the objective structured clinical examination in the framework of state certification of graduates of the clinical ordinature on the specialty «Anesthesiology and reanimatology»: station «Сathering of the internal nuclear vene under the control of ultrasound»
Authors: Lakhin R E , Tsygankov K A , Andreenko A A , Shchegolev A V
Published: July 2021

The evaluation sheet was tested and practical skills for conducting puncture and catheterization of the internal jugular vein in clinical residents at the station «Catheterization of the internal jugular vein under ultrasound control» were evaluated. The manipulation was performed by 28 second-year clinical interns on the phantom, which allows the puncture of the vessel under the control of ultrasound. The evaluation of manual skills, independently of each other, was carried out by two teachers. Successfully station passed 100% of the examinees. The total time spent on the passage of one resident station was 6,3 (5,1; 7,3) minutes. In100% of cases, the residents demonstrated their knowledge of the technique of puncture and catheterization of the internal jugular vein. In 8 (28,5%) cases, the most frequent errors encountered during the passage of the station were associated with the absence of time fixation after the manipulation, in 10 (35,7%) residents the state of health was not monitored. The differences in the completed evaluation sheets of teachers amounted to 3%. It is shown that the developed evaluation sheet allows you to objectively assess the practical skills of graduates of residency. This evaluation sheet will be further used in the assessment of practical skills at the stage of primarily specialized accreditation for graduates of residency in the speciality «Anesthesiology and reanimatology».
Efficiency of high-fidelity simulation-based difficult airways management training of clinical ordinators
Authors: Andreenko A A , Arsentev L V , Tsygankov K A , Schegolev A V
Published: July 2021

It justifies the effectiveness of the use of high-fidelity simulation when training clinical ordinators on the difficult airway management After the theoretical course and obtaining practical skills of airway management, 26 1-st year clinical ordinators were divided into 2 equal groups. The members of the main group took part in each of 4 «difficult airways» scenarios with the use of a human-patient simulator with subsequent debriefing. Then, after 1, 3 and 6 months, the all ordinators from both groups passed one of the «difficult airways» scenarios with the performance assessment by checklists and the assessment of knowledge with multiple choice questions. In the main group, the high level of retained knowledge was revealed for 6 months (after 1 month - 86 points (81,3-91,2); after 6 months - 83,5 points (78,4-88,9); p>0,05). In the control group, the level of knowledge significantly decreased after 6 months (after 1 month - 82,2 points (75,4-89,2); after 6 months - 69 points (60,7-75, 2); p0,05). The control group showed a significant deterioration in the score assessment after 3 months, followed by its growth and the lack of difference between the groups after 6 months. The simulation-based difficult airways management training enhances the performance and retained theoretical knowledges and skills of trainees during simulated «difficult airways» clinical situations up to 6 months.
The Contribution of Scientists of the Kirov Military Medical Academy to the Development of Military Transfusiology, in Commemoration of the 100th Anniversary of the Birth of Professor S.V. Ryzhkov
Authors: Vilyaninov V N , Popova N N
Published: July 2021

June 23, 2019 marks the 100th anniversary of the birth of prominent Russian transfusiologist, professor, student of academic V.N. Shamov, participant of the Stalingrad Battle Semyon Vavilovich Ryzhkov (1919-2004). He was the one who established the Russian Ministry of Defense Blood Service. In 1961, he founded the Research Laboratory of Fibrinolysis Blood and Tissue Preservation, which since 1964 bears the name of the Blood and Tissue Center. He had been the head of the Center for20 years. His academic interests covered such issues as the use of hemodialysis in acute renal failure, the cryopreservation of red blood cells and bone marrow, which brought him the Union of Soviet Socialist Republics State Prize in 1978, the substantiation of the safety of a 400 ml blood donation, and the use of donor hardware plasmacytopheresis. The article presents data on the contribution of the scientists of the Military Medical Academy to the development of the national blood transfusion service from the 2nd half of the XIX century till the establishment of the Ministry of Defense Blood Service in 1965. June 21, 1919V.N. Shamov, N.N. Elansky, and I.R. Petrov carried out the first donor and recipient matching blood transfusion in Russia. They contributed a lot to teaching medical practitioners to do blood type tests. In 1926, N.N.Yelansky was the first in Russia to publish the study Blood Transfusion. In 1944, V.N.Shamov was the first in Russia to publish The Blood Transfusion Manual for Military Doctors. On the battlefields of Lake Hassan, the Khalkhin Gol River, and in Spain, the surgeons of the Military Medical Academy proved the universal type 0 blood transfusion to be a successful technique. The opinions of scientists on blood donation and preservation, indications and contraindications to blood transfusion in peacetime and wartime are presented.
Genetic structure of the water frog (Pelophylax esculentus complex) populations in the south of the Central Russian Upland
Authors: Barkhatov Anatoliy S. , Snegin Eduard A. , Yusupov Sergeu R.
Published: July 2021

BACKGROUND: The water frog (Pelophylax esculentus complex) is hybrid in composition. In view of the fact that a large number of data on the species composition of the water frog and very scarce material on the genetic structure of populations are available in the literature, we aimed to analyze the genetic structure of populations of the water frog in the southern part of the Middle Russian upland, which was one of the refugia for many species during the glacial epoch and the center of dispersion in the postglacial time, based on DNA microsatellite markers.
MATERIALS AND METHODS: The study involved 36 local populations. DNA variability was analyzed by multiplex SSR-PCR. Seven loci (Res 14, Res 15, Res 17, Res 22, Rrid059A, Rrid082A, and Rrid171A) were used for amplification. Fragment analysis of PCR products was performed on an ABI PRISM 3500 automated capillary DNA sequencer (Applied Biosystems, USA).
RESULTS: The total number of alleles detected ranged from 13 to 41. The effective number of alleles (Ae) averaged 4.569 0.219, the Chenon index (I) 1.567 0.04, level of expected heterozygosity (Не) 0.68 0.01. According to Wrights model, the greatest contribution to genetic variability is made by the heterogeneity of individuals within populations, some of which are of a hybrid nature (Fis = 0.281 0.069, Fit = 0.413 0.053, Fst = 0.180 0.017). The average indicator of the intensity of gene exchange between populations (Nm) was 1.212 0.142 individuals per generation. The calculation of the effective abundance using the LD method indicates a high level of viability of the studied groups of the frogs.
CONCLUSION: The results demonstrated a high level of genetic diversity and viability of most of the studied groups, which, due to the intense gene exchange between them, can represent a single panmictic population. The data of the genetic analysis support the active adaptation of P. esculentus complex to living in an urbanized environment.
The Concept of Store-Consciousness in the “Laṅkāvatāra-Sūtra”
Authors: Burmistrov Sergey L.
Published: July 2021

For the first time the concept of store-consciousness appears in Laṅkāvatāra-sūtra. The beginning of the formation of the sūtra dates back to the 23d c. AD, that allows us to suppose that this concept one of the fundamental concepts in Yogācāra philosophy appeared long before the formation of the Yogācāra itself and, possibly, before the appearance of the Madhyamaka school historically the first Mahāyāna Buddhist philosophical school. Store-consciousness is the basis for seven empirical consciousnesses denoted as pravṛtti-vijāna evolving consciousness. Attaining of the enlightenment is the cessation of the activity of evolving consciousness, but the store-consciousness remains free from real and potential afflictions and dispositions determined by karma. In the sūtra the concept of store-consciousness is associated with the teaching on three own-beings, and this shows that basic Yogācāra notions are fully presented in the sūtra. The causes of evolving consciousness are: ignorance concerning real nature of the objects of the mind; affliction concerning saṃsāra; essence of consciousness consisting in the difference between subject and object; and attraction to forms that support saṃsāra
The assessment of the pituitary volume in normal prepubertal children with three-dimensional MRI
Authors: OKUR AKŞAN İlknur , SARI Ahmet
Published: July 2021

Purpose: The aim of the present study is to measure the pituitary volume of the children who are under 12 years of age with normal pituitary function and find the reference interval of the normal pituitary volume in the prepubertal period

Materials and Methods: A total 240 healthy children (120 boys- 120 girls) under the age of 12 yr who came our clinic for cranial MRI imaging for various indications within 2 years, were examined. The volume of pituitary gland was measured using a thin-section three dimensional magnetic resonance imaging (MRI) sequences of magnetization-prepared rapid gradient echo imaging with a 1-mm thick reconstructed sagittal images. We also examined the midline sagittal T1-weighted images for the measurement of the pituitary height

Results: The pituitary gland volume and height demonstrated increasing trend with the age for both genders in the prepubertal period. Although the pituitary volume in the neonatal period is higher in boys than in girls, it became opposite with the age of 6 yr. The height of the pituitary gland increases gradually-slowly with age; while it was higher in boys in the neonatal period, it was higher in girls at the age of 4 years. The lowest, highest and average values of the volume and height values of pituitary gland were found for each age and gender. The reference values of the pituitary volume values containing 5-10-25-50-75-90-95th percentiles were formed for each age and gender.

Conclusion: 3D MRI can be used for direct measurement of pituitary volume in prepubertal children. Measuring of pituitary volume using this 3D technique may permit a more precise assessment of the developing pituitary gland in children.
Pengaruh Suhu Awal Media Pendingin Terhadap Kekerasan dan Kekuatan Impact pada Baja Karbon Medium yang Diperlakukan Quenching
Authors: Rendisetyo Rendisetyo
Published: July 2021

Abstract: The porpose of this study was find out the effect of intial temperatur colling medium on harness and toughness of medium steel carbon with quenching prosess. The steel will be used is S50C and the cooling medium with value viscosity of 20-40. The research methods used is kuantitatif with pre-eksperiment design and one-group spesimen control and spesimen eksperimen category. The variation initial temperature colling medium used is 300C, 350C, 450C dan 550C. The results of this study indicate there is an increase in the value of hardness in line with an increase in oil temperature. At a temperature of 300C has a hardness value of 204.39 HVN and a toughness of 0.0618 Joules / mm, at a temperature of 350C a hardness value of 255.14 HVN and a toughness of 0.0478 joules / mm, 450C has a hardness value of 271.03 HVN and a toughness of 0.048 Joules / mm. And at 550C the value of hardness is 234.11 HVN and the toughness is 0.0525 Joules / mm. Keywords: temperature of oil, hardness, toughness, Steel S50C, Quenching.
Pelaksanaan Teaching Factory pada Bidang Pemesinan ditinjau Sarana Prasarana, Sumber Daya Manusia dan Dukungan Industri (Studi Kasus di SMK PGRI 3 Malang)
Authors: Wira Putra Ryan Eriandra
Published: July 2021

Abstrak: Badan Pusat Statistik (BPS) mencatat di tahun 2020 pengangguran terbanyak berasal dari SMK sebesar 8,49%. Dalam mengantisipasi hal tersebut, sekolah menyelenggarakan model pembelajaran Teaching Factory (Tefa). Hasil penelitian di SMK PGRI 3 Malang menunjukan dari pemenuhan sarana prasarana pada pelaksanaan Tefa berpatokan pada pengerjaan job order yang diberikan industri. Pada sumber daya manusia, guru sudah memiliki sertifikat kompetensi dan siswa pelaksana Tefa dipilih melalui rekomendasi para guru. Kemudian untuk dukungan industri hanya berupa job order dan training guru. Kata kunci: Teaching Factory, Sarana, Instruktur, Industri
The influence of gingival biotypes on periodontal health: A cross-sectional study in a tertiary care center
Authors: Kurien J Tony , Narayan Vivek , RM Baiju , P Anju , G Thomas Sneha
Published: July 2021

Dimensional characteristic of gingiva is a predisposing factor for initiation and course of periodontal diseases and conditions. Knowledge about variations of gingival biotype among subjects is a prognostic determinant in Periodontics.

The purpose of the study was to determine the prevalence of gingival biotypes and to evaluate its influence on various periodontal health parameters.

Among the patients who reported to the out-patient section, a cross-sectional study was done on those who satisfied the inclusion criteria.

Gingival thickness was measured on six anterior teeth of maxillary and mandibular arch using no.15 endodontic spreader and digital caliper by a single examiner on 112 subjects. Another examiner recorded the clinical parameters pertaining to periodontal health. Subjects with gingival thickness 1.5mm were categorized to thin and those with 2mm into thick gingival biotype.

Difference in mean values of quantitative variables was tested by Mann Whitney U test. Bivariate correlation was assessed by Pearson correlation. Multiple linear regression models were developed for modified gingival index and interproximal attachment loss.

Prevalence of thin and thick gingival biotype was 48.21% and 39.28% respectively. Mean gingival thickness observed was 1.49±0.59mm. Mean score of all clinical parameters were significantly higher in thin gingival biotype. Gingival biotype had a negative correlation with modified gingival index and interproximal attachment scores.

Thicker gingival biotype can be considered to have a protective effect against the development of periodontal pathology.
Pacientes portadores de necessidades especiais: abordagem odontológica e anestesia geral
Authors: Andrade Ana Paula Paiva de , Eleutéio Adriana Silveira de Lima Eleutéio
Published: July 2021

Os indivíduos portadores de necessidades especiais são mencionados na história há muitos séculos. Atualmente, no Brasil, existem grupos isolados que prestam atendimento odontológico a estes pacientes. Baseado na literatura, o objetivo deste trabalho é possibilitar ao cirurgião-dentista um maior conhecimento sobre o atendimento odontológico

a pacientes com necessidades especiais - principalmente,

aos portadores de síndrome de Down, paralisia cerebral e deficiências audiovisuais - e a necessidade de anestesia geral. Como conclusão, foi possível constatar que, antes de iniciar o atendimento odontológico a essa população, é essencial ter uma visão ampla e completa do paciente especial, reconhecer a etiologia das deficiências e proporcionar, além de níveis elevados de saúde bucal, dignidade e melhor qualidade de vida.

DOI: 10.18363/rbo.v72i1/2.616
ОБҐРУНТУВАННЯ СОЦІАЛЬНО-ЕКОНОМІЧНИХ ТА ЕКОЛОГІЧНИХ НАСЛІДКІВ ЗДІЙСНЕННЯ ДЕРЖАВНО-ПРИВАТНОГО ПАРТНЕРСТВА В ГАЛУЗІ ОСВІТИ
Authors: Маслов Владислав
Published: July 2021

The article comprehensively considers all aspects of preparation and implementation of public-private partnership projects in the field of education in terms of economic, financial, social, legal, technical and environmental parameters in order to identify needs and opportunities for their implementation, necessary investments (resources) and expected results. Also, it is provided conclusions on which partners can be convinced of the need to implement such public-private partnership (РРР) projects. The purpose of the article is to analyze the economic, social, environmental indicators of PPP implementation, assessment of the identified risks of PPP implementation for public and private partners. The basic concept of assessing the socio-economic and environmental factors influencing the education sector should be the concept of opportunity cost of economic analysis, which shows that because all resources of society are limited and can have different uses, their value should be measured in terms of lost opportunity to engage in the best available alternatives. activities that require the use of the same resources. The paper considers the risks of PPP projects and based on the use of methods for assessing such risks, gives recommendations for their management by PPP participants. It is proved that the implementation of PPP projects in the field of education will provide: intensive development and improvement of the quality of education and research; orientation of educational and scientific activity on coordination of needs of the state, inquiries of national economy, individual interests and preferences (applicants of higher education, scientific and scientific and pedagogical workers, businessmen, representatives of the business environment, etc.); improving the efficiency of property management of higher education institutions; attracting private investment in the development of educational institutions; strengthening the economic capacity and financial autonomy of higher education institutions; increasing the level of financial and social security of the subjects of the educational and scientific process.
Praising the Turk After Nicopolis: French Sources
Authors: KOCABIYIKOĞLU ÇEÇEN Zeynep
Published: July 2021

The Crusade of Nicopolis (1396) fought and led by a great number of Franco Burgundian noblemen and knights against the Ottoman Turks was a great blow to Christendom and especially to the kingdom of France. The impact of the defeat in France can easily be detected from contemporary writings where, in addition to lamenting the defeat, there was a critical stance towards the crusaders coupled with an apparent awe towards Ottoman soldiers. The presence of similar themes in different genres of writing in the period may suggest an early humanist tendency that enables an objective evaluation of the infidel albeit hand in hand with the commonplace “scourge of God” theme. Moreover, however they should possibly be based on true accounts, the authors’ praise of Turks may have served a completely different agenda given the background of the contemporary decadence among men-at-arms in France, going through a difficult time in terms of its military and politics.
Sultan Melikşah’ın Eşlerinden Çağrı Bey’in Torunu Zübeyde Hâtun
Authors: ORUÇ Zuriye
Published: July 2021

Melikşah’ın adı bilinen üç eşinden biri olan Zübeyde Hâtun, Melikşah’dan sonra tahta çıkan onun en büyük oğlu ve veliahtı Berkyaruk’un annesidir. Cevher Hâtun adında bir de kızı vardır. O aynı zamanda Selçuklu hanedan ailesindendir. Çağrı Bey’in oğlu Yâkûtî’nin kızı ve Azerbaycan Emîri İsmail b. Yâkûtî’nin kız kardeşidir. Zübeyde Hâtun her ne kadar oğlu Mahmud’un saltanatını temin için büyük bir hırs ve azimle mücadele vermiş Karahanlı soylu Terken Hâtun kadar bilinmese de esasen Melikşah’ın ölümünden sonra başlayan saltanat mücadelelerinde adı sıklıkla oğlu Berkyaruk ile birlikte anılmaktadır. Özellikle Terken Hâtun’un ölümü ve Berkyaruk’un saltanat mücadelesinden başarı ile çıkmasından sonra gücü ve etkinliği artan, oğlu üzerinde etkili ve devlet yönetiminde söz sahibi olan Zübeyde Hâtun’un, Melikşah’ın diğer eşleri gibi kendisine bağlı hazinesi, divanı ve veziri vardır. Oğlu Berkyaruk tarafından son derece sevilen hâtunun devlet yönetimindeki varlığı ve oğlu üzerindeki etkisinden özellikle Berkyaruk’un veziri Müeyyidülmülk b. Nizâmülmülk ve bazı devlet adamları rahatsız olmuştur ki nihayetinde vezir ile Zübeyde Hâtun karşı karşıya gelmişler, bu düşmanlıktan iki taraf da zarar görmüştür. Zübeyde Hâtun, üvey oğlu Muhammed Tapar’ın isyan etmesi ve Rey şehrini ele geçirmesi sonrası, Berkyaruk’dan sonra Muhammed Tapar’a vezir olan baş düşmanı eski vezir Müeyyidülmülk tarafından boğdurulmuştur. Berkyaruk, annesini boğdurtan Müeyyidülmülk’ün bir süre sonra esir düşmesi ve huzuruna getirilmesi üzerine onu kendi elleriyle öldürmüştür. Zübeyde Hâtun’un kaynaklarda kayıtlı hayat hikâyesi, oğlu Berkyaruk’un saltanat mücadelesi ile iç içe geçmiş durumdadır. Bu çalışmada Zübeyde Hâtun ile ilgili söz konusu bilgiler ele alınarak değerlendirilmiştir.
COMMUNICATIVE ROLE OF A JUDGE: STRATEGIES AND TACTICS OF SPEECH BEHAVIOR IN JUDICIAL DISCOURSE
Authors: Bakhchyvanzhy Aliona
Published: July 2021

The article is devoted to the review of scientific concepts of judicial discourse as a kind of legal discourse, analyzes the main communicative roles of a judge in judicial discourse, clarifies the main strategies and tactics of speech behavior characteristic of the communicative role of a judge in judicial discourse. The concept of communicative role is thoroughly characterized by such a scientist as J. Sternin, who divides the communicative role into standard and initiative, and initiative, in turn, is also divided into two groups: short-term (short-term, situational) and long-term (long-term). The main views of modern linguists on the problem of defining judicial discourse are reviewed, in particular, the linguistic aspects of communication in court are thoroughlypresented. The degree of research of the problem in linguistics on studying the problems of legal discourse is analyzed, for example the works of such scientists as N. V. Artykutsa, S. V. Dordy, Yu. F. Pradid, O. L. Dotsenko, O. O. Kobzeva are presented.The focus is on the problem of legal terminology, various aspects of the language of legislation, linguistic issues of legal expertise and features of speech genres of legal discourse.
El espacio arquitectónico y urbano en la aproximación fenomenológica de NorbergSchulz. Una revisión crítica
Authors:   Universidad de Alicante, García-Doménech Sergio
Published: July 2021

En el curso de treinta años y tras iniciales influencias estructuralistas, Christian Norberg-Schulz expondría interesantes enfoques fenomenológicos para la arquitectura y la ciudad. Dentro de su producción teórica, la mayoría de estos postulados se expondrían en la denominada trilogía fenomenológica. Conviene poner el acento en el ambiente crítico de la segunda mitad del siglo XX con la modernidad. El espacio, el lugar, la arquitectura, la ciudad, la existencia, la historia, el objeto o la noción de habitar, serían conceptos que Norberg-Schulz trabajaría profundamente bajo ese enfoque fenomenológico. La posmodernidad y el neo-eclecticismo, en el contexto arquitectónico contemporáneo a los postulados de Norberg-Schulz, compartían algunas interpretaciones. La importante influencia general para la arquitectura y la ciudad de su legado teórico acabaría teniendo más eco que sus particularidades fenomenológicas. La consideración holística del problema fenomenológico en la arquitectura podría aportar una nueva visión al respecto.
Spodbujanje sporazumevalne jezikovne zmožnosti ob primeru vabila na razredni stopnji
Authors: Krajnc Ivič Mira , Filo Tadeja
Published: July 2021

Sporazumevalna jezikovna zmožnost omogoča kritično sprejemanje in tvorjenje besedil različnih besedilnih skupin. Vabilo kot vsesplošna in funkcionalna besedilna skupina je obravnavana tako v učnih načrtih za slovenščino v prvem in drugem vzgojno-izobraževalnem obdobju kot tudi v učnem načrtu za slovenščino kot drugi ali tuji jezik na nivoju A1 za razumevanje in tvorjenje govorjenih besedil ter na nivojih A2 in B1 tudi za tvorjenje pisnih besedil. Ker je izbrana besedilna skupina prisotna v različnih jezikih in kulturah in ker vključuje vsakdanje teme blizu tudi otrokom in učencem, učenkam, ki jim je slovenščina drugi ali tuji jezik, se je pokazala kot primerna za obravnavo pri jezikovnem pouku na razredni stopnji. Z vključenimi primeri vaj za sporazumevalno temo »prosti čas in razvedrilo« bo lahko učeča se skupnost razvijala sporazumevalno jezikovno zmožnost v slovenskem jeziku, izhajajoč iz koncepta raznojezičnosti.
Selitev je težka – prijatelji jo olajšajo: branje slikanic o temi priseljevanja
Authors: Haramija Dragica , Batič Janja
Published: July 2021

Prvi del naslova poglavja se nanaša na podnaslov slikanice Moji odeji (2014) Irene Kobald in Freye Blackwood; slikanica je analizirana v osrednjem delu poglavja, ki je namenjeno branju kakovostnih slikanic s temo otrok priseljencev in razvijanju njihovih odnosov v novi skupnosti. Ob pregledu tovrstne slikaniške produkcije se je pokazalo, da je učenje jezika (sporazumevalna zmožnost; pridobivanje besedišča) za otroke, učence in učenke priseljence nujna za kakovostna medvrstniška razmerja v zanje novem okolju. Slikanica je oblika knjige, ki enakovredno združuje dva koda sporočanja, besednega in vizualnega, zato lahko otrok in učenec priseljenec ali učenka priseljenka skozi nebesedni del slikanice, torej skozi likovno govorico prepoznava podobe, ob tem pa se seznanja z besediščem in postopoma spoznava drugi ali tuji jezik. V analizi so uporabljene oblikovna, vsebinska in sumativna analiza izbranega primera, predstavljene pa so še nekatere druge kakovostne slikanice z literarnimi liki otrok kot priseljencev in njihov medvrstniški položaj v novem okolju.
Spodbujanje jezikovnih kompetenc in medkulturne zmožnosti predšolskih otrok
Authors: Bednjički Rošer Barbara
Published: July 2021

Poglavje osvetljuje pomen zgodnjega vključevanja otrok priseljencev v vzgojno-izobraževalni proces. Za lažje in hitrejše vključevanje v družbo je temeljno postopno usvajanje slovenščine ter razvijanje sporazumevalnih dejavnosti, ki v vrtcih ne potekajo usklajeno, zato se v praksi kaže potreba po sistemski ureditvi in zagotavljanju načrtovanega in vodenega procesa učenja in spremljanja napredka sporazumevalne zmožnosti otrok priseljencev skozi skupne in skupinske medpodročne kurikularne dejavnosti. Osredotočamo se na gradnike bralne pismenosti, predstavimo gradiva in primere kakovostnih slikanic za spodbujanje družinske pismenosti, jezikovnih kompetenc in medkulturne zmožnosti v predšolskem obdobju, saj je uspešna komunikacija ključna za socialno sprejetost med vrstniki, vzgojitelji pa so tisti, ki otrokom nudijo idealni govorni vzorec in z rednim in pogostim branjem pomembno prispevajo k razvoju višjih ravni jezika.
Priložnostnice v procesu učenja slovenščine za otroke in učence, ki jim je slovenščina drugi ali tuji jezik
Authors: Voršič Ines
Published: July 2021

Pričujoče poglavje na primeru književnih besedil Lile Prap in Borisa A. Novaka izpostavlja priložnostno besedje v slovenski otroški in mladinski literaturi, ki kot odraz jezikovne ustvarjalnosti in besedotvorne inovativnosti lahko služi kot odlično motivacijsko sredstvo tudi pri učenju slovenskega jezika za tiste predšolske otroke ter učence in učenke, ki jim je slovenščina drugi ali tuji jezik. Za priložnostne tvorjenke sicer velja, da pogosto (hote) rušijo običajno izrazno podobo jezika in imajo zato ob inherentni ekspresivni tudi izrazito intelektualno funkcijo, kar pomeni, da od bralca zahtevajo večjo miselno aktivnost. Vendar pa so priložnostnice obenem izraz stilne igrivosti jezika, ki učeče se pritegne, motivira in spodbudi, da oblikujejo pozitiven odnos do učenja jezika in slovenščine nasploh.
An Analysis of Identity Construction in Interactional Narratives by Women with Turner Syndrome
Authors: Ciepiela Kamila
Published: July 2021

The study aims to uncover and explore the social identities of women suffering from a genetic disorder called Turner syndrome (TS), and whose main symptoms are a short stature and gonadal dysgenesis. Such a genetically-determined physical appearance is argued to influence the positioning of TS women in the web of social relationships and identities. This linguistic analysis of narratives delivered by Polish women with TS in semi-structured interviews aims to explicate the extent to which they are actors or recipients in creating their own identities. The analysis draws on the assumptions of the ‘small story’ paradigm developed by Michael Bamberg (1997, 2005) who claims that in interaction, narrative is not only used to convey meaning, but also to construct the identities of the interlocutors. Thus, narrative is treated in a functional way, in which its formal structure and content are integrally associated with its use and any deviations are relativized as a consequence of a user’s deliberate activity.
Análisis de la expansión internacional de franquicias peruanas del sector gastronómico a Latinoamérica y su Intensidad: Perspectiva del Franquiciante, operando en el exterior, al 2020
Authors:   , Asmat Velarde Kevin Alejandro , Inocente Briceño Maria Claudia
Published: July 2021

El propósito de la presente investigación es identificar las variables que impulsan la expansión internacional de franquicias peruanas del sector gastronómico a Latinoamérica. Asimismo, busca conocer si existe un impacto positivo de las variables sobre la intensidad de expansión de las franquicias peruanas en Latinoamérica del sector gastronómico al 2020. Para lograr estos objetivos se consideraron las siguientes variables: La experiencia franquiciando, el conocimiento de marca, la atractividad del concepto de negocio y la efectividad de la adaptación del concepto de negocio. Para el análisis de intensidad también fueron considerados cuatro indicadores como lo con los años operando como franquicia en Latinoamérica, las unidades franquiciadas en Latinoamérica, la cantidad de países en los que la marca tiene presencia como franquicia y el promedio de unidades franquiciadas en Latinoamérica por país. Esta investigación usa un análisis mixto. Para el análisis cualitativo se hizo uso de herramientas entrevistas semi-estructuradas a expertos del sector. Para la parte cuantitativa se hizo uso de un análisis de regresión logística para el objetivo de la identificación de variables que impulsan la expansión y un análisis de regresión lineal múltiple para medir el impacto de las variables en la intensidad de expansión de las franquicias. Los resultados concluyeron a las variables de experiencia franquiciando y conocimiento de marca como impulsoras de la expansión de franquicias en Latinoamérica al 2020. Como segunda conclusión se identificó a la variable experiencia franquiciando como la única que tiene un efecto en la intensidad de expansión internacional de franquicias del sector gastronomía.