bluuebunny/crossref_metadata_2025 huggingface dataset:
Dyskretna uwodzicielska moc seriali
Authors: Mateja Bogumiła
Published: May 2021

The author attempts to describe the “struggle” between recipient and creator in the context of those studies of the media which see the crucial process as not only “what the media do to people”, but also “what people do with the media”. Prominence is given to the subtle mechanisms of the game played by viewers of soap opera serials. On the basis of these studies describes how the viewers create their own “individual rules of watching” Polish soap operas (such as the popular M jak miłość [“L as in Love”]) and use different means of distancing themselves from the watched serial (which in the article is described as the „I watch it but…” tactic). The analysis of the above mechanisms allows attempting to answer the question to what degree active reception protects the viewer from the influence of the serial?
Głos z zewnątrz w dyskursie publicznym. Przypadek Oriany Fallaci
Authors: Nowicka Magdalena
Published: May 2021

The paper presents the concept of “a voice from outside” — a specific discursive position of an author and their work which is constructed in a process of defining the social distances between an author and a public discourse. The category of a voice from outside derives from the tradition of social constructionism, Foucaultian approaches to discourse and the responsive phenomenology of „a stranger” by Bernhard Waldenfels. In this paper, the concept of the voice from outside is introduced on the basis of a case study of Oriana Fallaci, a journalist, and author of a controversial essay The Rage and the Pride. The discourse analysis covers the press articles published in Polish mainstream daily and weekly newspapers in 2001–2006 and discusses three major types representations of Fallaci’s text in the public discourse in Poland, as: (1) the voice of “a guilty” conscience, (2) a “politically incorrect” voice of Western elites and (3) an anti-voice.
Postrzeganie demokracji a kapitał społeczny. Studium porównawcze z terenów Podlasia i Brandenburgii
Authors: Bacia Ewa
Published: May 2021

This essay presents results of comparative research which was carried out in one region in Eastern Poland — Podlasie — and one region in Eastern Germany — Brandenburg. The research compared the influence of social capital on the understanding of democracy among the citizens. The theoretical basis for this survey was the theory of post-democracy. One of the issues considered was the level of democratic development represented by Podlasie and Brandenburg. Are they in the pre-democratic, democratic or post-democratic phase? The essay analyses afterwards what chances both regions have for the full development of democracy and how one can use the resources of social capital to revise the understanding of democracy among the citizens of Podlasie and Brandenburg.
Toniemy w czerwonych buraczkach, zatykając dziury w żelaznej kurtynie”. Punkowa Lublana w późnych latach siedemdziesiątych i wczesnych osiemdziesiątych
Authors: Mulej Oskar
Published: May 2021

In this article, the Slovenian author merges the perspectives of the history of popular culture and of the history of social movements. At the turn of the 1970s/1980s, the little town of Ljubljana, the capital of the communist-ruled Slovenia, became the centre of Yugoslavian alternative culture, which run parallel to the official culture but was completely independent from it. Alternative culture constituted a protest against the realities of the last years of Josip Broz Tito’s rule. As such, it provoked hostile reactions of the state. The rulers of Yugoslavia did not take into account the fact that the punks only constituted a kind of “cultural opposition”, and not a viable political force. The punk culture was an attempt to create a new mode of expression and a new lifestyle, and its power as an inspiration in Europe, including Poland, was unprecedented. As a sui generis social movement, the punk paved the way for the emergence of civil society.
Pamięć kulturowa a zmiany w krajobrazie miasta. Analiza obchodów rocznicowych lokacji Olsztyna w świetle koncepcji Aleidy i Jana Assmannów
Authors: Karkowska Marta
Published: May 2021

The author begins her article with a presentation of selected tenets of the concept of cultural memory proposed by Jan and Aleida Assmann, and with reviewing analytical categories used within the framework of this theory, including the following terms: cultural memory, memory figures, memory media, a palimpsest. These concepts form a theoretical and methodological basis for the upcoming analyses. The analyses contained in the article focus around the issues of change and continuity in the cultural memory of the inhabitants of Olsztyn, as exemplified by the transformations of Olsztyn’s cityscape. The author considers two specific moments in the city’s history: 2003, which marked the 650-anniversary of the city’s settlement, and 1953, which marked the 600-anniversary of the same event. Both these anniversaries were naturally celebrated in totally diverse political and ideological contexts. The article focuses not only on the transformations of cityscape, connected to the building of new monuments, plaques, and symbols, and to the renovation of selected buildings, but also on different ways of interpreting cityscape and architectural elements of which it consists in different periods. The conclusions from the analysis form a basis for pointing out several recommendations and limitations for using the Assmanns’ concepts for researching local collective memory in Poland.
Edukacja domowa i wychowanie w polskich rodzinach ziemiańskich na Litwie na przełomie XIX i XX wieku
Authors: Ustrzycki Mirosław
Published: May 2021

The importance of home education and upbringing in Polish gentry houses in Lithuania was the consequence of the strong necessity to protect traditional values and social norms of the landed gentry. These norms and values were threatened due to the processes of social modernization and the Russification policy of the Tsar’s government. The author of the article focuses on the contents of the educational process, whose aim was the socialization of the young generation. Pupils were coached to take up their duties as landowners but often also to choose professions which were the traditional haunt of the intelligentsia. The knowledge of etiquette and of the rules of participation in social life was still of great importance. But the knowledge and skills needed to deal with the challenge of modern economy also gradually became the order of the day. Patriotic matters also gained prominence, and the model of “the Polish Mother”, a child’s first teacher of patriotism was more and more emphasized. The nature of patriotic emotions, fostered by education, was quite complex. It consisted of the family tradition and of national history (treated often as myth and as a basis of national ideology). Teaching of ethical norms was crucial and they were transmitted primarily by the means of religious instruction.
Dekonstrukcja i plenienie się podmiotu. Nowe tryby upodmiotowienia w zwyczajnej kulturze
Authors: Jacyno Małgorzata
Published: May 2021

This analysis is focused on the transition from pastoral care to the dispositif de sécurité. The dispositif de sécurité abandons discipline, which proves too expensive, to replace it with a “scientific” apparatus. While discipline produced a neurotic subject, a question arises what kind of subjectivity is generated by the dispositif de sécurité. According to Georgio Agamben, apparatus multiplies the modes of subjectivity. Still, as the individual grows in meaning, the social bonds and symbolic functions decline. Thus, as a result of the operation of the new modes of subjectivity, individuals fall into the protocosmic existence (Eric Santner) or the vie foetale (Jean-Claude Kaufmann). Paradoxically, more and more easily attainable subjectivity causes the “effacement of man”.
Cała władza w ręce rad? O formach demokratycznej kontroli nad wytwarzaniem kultury
Authors: Sowa Jan
Published: May 2021

The text deals with various manners of institutionalization in the field of “independent culture”. Referring to research undertaken both in Poland and abroad, the author criticizes the NGO model, indicating the commercialization and governamentalization of the third sector. As a result, NGO cultural institutions lose their independence, becoming just new tools for making profits or doing state politics. The professionalisation of the NGOs renders them similar to the first or second sectors and makes it impossible for them to act as incubators of social capital for which they have been praised in social theory from de Tocqueville to Putnam. The author believes these recent developments create dangers not only for independent culture itself, but for the entire society. As an academic (but also an experienced activist in the field of cultural production), the author tries to sketch a possible alternative. He puts forward a thesis that the most important thing to consider is the institutional form of cultural production. He believes reforms should be undertaken in the direction of strengthening the autonomy and self-governance of cultural institutions by their democratization. Referring to both theoretical analyses and practical examples, the author presents a model of participatory democracy as a possible solution for the commercialization and governamentalization of the third sector.
Ogólna teoria racjonalności. Program Raymonda Boudona dla nauk społecznych
Authors: Motrenko Jakub Bazyli
Published: May 2021

The aim of the article is presentation of the general concept of rationality reconstructed and developed by Raymond Boudon. The starting point is a statement that contemporary sociology is in a state of crisis, and that it lacks an unambiguous statement of its aims and the methods required to reach them. Then the author exposes the essential assumptions and categories of the general theory of rationality, which is a response to the crisis.
Nieczyste relacje. Ambiwalencje i napięcia w dzisiejszych związkach intymnych — krytyczna analiza koncepcji Anthony’ego Giddensa
Authors: Schmidt Filip
Published: May 2021

The article discusses contemporary changes in intimate relationships. A starting point for this discussion is Anthony Giddens’s theory presented in his book The Transformation of Intimacy (1992), particularly the specificity of self-help literature as a source of information for sociological reasoning. On the example of housework, the nature of the tensions between the conflict expectations of partners is presented. Today, many people are torn between several different models of intimate relations and different needs. The thesis of the article is that the ambivalence observed in the process of relationship formation is neither marginal nor only psychological but it represents tensions between different types and dimensions of knowledge which are used in this process. This ambivalence is also a perfect indicator of the discourse struggle in the public sphere and an element of changes of social bonds; its study may help answer the question about transformation of intimacy and about the commonness of “pure relations” or other models of intimate relationships.
Badanie kultury w PRL i ZSRR oraz nowe spojrzenie na kulturę w polskiej i rosyjskiej socjologii po przełomie ustrojowym
Authors: Dunaeva Victoria
Published: May 2021

The author analyses a history of research on culture in communist Poland and the USSR (later Russian Federation). She finds similarities and differences. During the time of communist Poland a tendency was to standardize the supply of culture and make the access to it more democratic. The basic task of the sociology of culture in communist Poland was to control the advancement process of culture dissemination and research into the various forms of participation. However, in the second half of the 70s attention was more and more focused on the directions of cultural sociology development and functions. Following the fall of communism this discipline was faced with a challenge of embracing all the important directions of changes while indicating a now socio-cultural model at the same time. In the USSR, on the other hand, the government was interested only in the cultural research which was to confirm a hypothesis on fast cultural development of masses. Sociology of culture did not exist as a science, though. Following years of deep crisis, when perestroika period began, sociologists of post soviet Russia faced a serious challenge: how to move from “the only one true” Marxist paradigm to the mastering and usage of various theories which functioned in sociology around the world. The Author indicated the contribution in this respect i.a. of Vladimir Yadov or academics circled around Yurij Levada. In general one can say that in Poland as well as in Russia, the sociology of culture following the fall of communist regime and following certain major political, economic, social and cultural changes, found itself in entirely new reality.
Kulturogeneza jako twórczy rdzeń kultury. Wkład Eduarda Markariana w kształtowanie się koncepcji kulturogenezy
Authors: Bondariew Aleksiej
Published: May 2021

The author presents the output of Eduard Makarian, a Russian cultural anthropologist, featuring his contribution to the problem of origin of culture. The development of Makarian’s scientific research has been presented from the understanding of systemic character of culture to the research on the origin of culture; from reflecting upon the first principles of culture development to the concept of system evolution as anthropogenesis, social evolution and cultural evolution, to the understanding of the origin of culture as a creative core of culture (cultural heritage, dynamics of cultural traditions, “tradition”–“change” dichotomy, hypothesis of “cultural genes”, etc.). The scientist moved from the issue of the origin of culture in the prehistoric times through the issues of permanent creation and dialectic self-revival of culture to the problems of culture in contemporary world. His research was of key importance for the establishment of philosophical and cultural approach in the research of the origin of culture in Russia.
Żniwo „Złotych żniw"
Authors: Sułek Antoni
Published: May 2021

The article is an attempt to assess a social impact of the book “Golden Harvest”, published at the beginning of 2011 by Jan Tomasz Gross and Irena Grudzińska-Gross. The authors of the book have revealed facts, scale and motives of participation of the Polish citizens in killing and robbing Jews in the Nazi-occupied Poland. They have demonstrated that the scale of Jewish homicide was broader than hitherto described, and argued that it was greater than the scope of help provided to the Jews. The book triggered a fiery public debate in Poland. Based on the research polls the Author of the article demonstrates that the impact of “Golden Harvest” is quite complex. The book and the debate did activate the social memory concerning violence, burglary and killings of the Jews. Supposedly, they also persuaded some scarce number of Poles that such facts, quite numerous, did happen and made a significant number of Poles think that it might have been so. The discussion did not, however, change an overall and valuating opinion about the attitude of Poles towards Holocaust. The Author tries to explain why the book’s effect was far less spectacular than its authors had expected. The answer is looked for in the attitudes of Poles and the type of beliefs that were to have been changed as a result of publishing “Golden Harvest”, as well as in the specific features of the book and the debate triggered by it.
O źródłach pamięci miasta w nowoczesności
Authors: Saryusz-Wolska Magdalena
Published: May 2021

The analysis of urban experience of modernity developed simultaneously with the analysis of collective memory. Urban space is related with a palimpsest metaphor, which includes urban memory in the history of memory understood as a history of the media. In recent years the relationship between memory and a city is analyzed on the examples featuring multiculturalism and migration movements of the cities of the Central Europe, e.g. in the Vienna monograph ca. 1900 Das Gedächtnis der Städte (The Memory of the City) by Moritz Csaky. On the other hand, the media paradigm is used by Christine Boyer, who analyses visual manifestations of city memory in her book The City of Collective Memory. Juxtaposition of the two mutually complementing scientific attitudes invokes a need to postulate a deeper analysis of the role of popular culture and visuality in shaping the memory of cities, as well as conducting further studies on cross-country and transnational “cultural tangles”.
Historyczne mury dla nowych muzeów. Muzealna moda na początku XXI wieku
Authors: Jagodzińska Katarzyna
Published: May 2021

The Author considers a trend, which comes from the west, to use post-industrial developments for museums. The article includes issues concerning adaptation of post-industrial developments for museum functions, references to history and identity of the building concerned, as well as relations of an institution — which is hosted within the historical construction — with the surroundings. The museums which have been selected for the analysis are representative for a boom observed in Poland since the beginning of the 21st century — the majority of newly-established museums are located in adapted old buildings, the museums representing almost exclusively only two categories: historical museums and contemporary art museums. The Author seeks an answer to a question whether museums must follow current trends. She concludes that a quest for success translating to a good image and high attendance is and certainly shall remain an important goal of a museum. She warns, however, of dangers related with a museum trying to be a “trendy” place to attend, especially in the times of public life commercialization, which is more and more common.
On the operation of blowers controlled by mechanical blades under extreme conditions
Authors: Овсейчук Б.В. , Гусейнова Е.С. , Адам Ф.
Published: May 2021

Снижение затрат электроэнергии на подачу воздуха в системы аэрации очистных сооружений за счет применения регулируемых воздуходувок является актуальной задачей. Представлен комплексный анализ опыта эксплуатации одноступенчатых центробежных воздуходувок, регулируемых механическими поворотными лопатками, в условиях низких температур окружающей среды, характерных для России. В ходе проведенного мониторинга контролировались параметры работы воздуходувок (температура воздуха на входе в компрессор, избыточное давление на выходе из компрессора, уровень вибрации, температура смазочного масла, температура подшипников вала рабочего колеса, потребляемый приводным электродвигателем ток).

Reducing energy costs for air supply to aeration systems of the treatment facilities by using adjustable air blowers is an urgent task. A comprehensive analysis of operating single-stage centrifugal air blowers controlled by mechanical rotating blades under low ambient temperatures typical for Russia is presented. In the process of monitoring, the parameters of the air blowers were monitored (air temperature at the compressor inlet, excess pressure at the compressor outlet, vibration level, lubricating oil temperature, temperature of the impeller shaft bearings, input current consumed of the electric drive motor).
SKAUSMAS IR DISKOMFORTAS ORTODONTINIO GYDYMO BREKETŲ SISTEMA METU
Authors: Markevičiūtė Gustė , Berlin Vilija
Published: May 2021

Skausmas ir diskomfortas yra dažni nepageidaujami, tačiau laikini ortodontinio gydymo reiškiniai. Tyrimų duomenimis, ortodontinio gydymo metu skausmą patiria 72-100 proc. pacientų. Be skausmo, pacientai gali jausti kitus nemalonius pojūčius burnoje ar socialinį diskomfortą. Skausmas ir diskomfortas yra subjektyvūs pojūčiai, priklausantys ir nuo paciento psichosocialinių aplinkybių. Skausmas dažniausiai prasideda praėjus kelioms valandoms po breketų užklijavimo ir būna intensyviausias po 24 valandų. Skausmo pojūtis mažėja 3-7 dieną, kol visiškai stabilizuojasi, praėjus mėnesiui. Ortodontinis skausmas (diskomfortas) dažniausiai nedidelis ir trunka neilgai. Kai kuriems pacientams skausmas būna intensyvesnis, gali trukdyti kasdienei veiklai, tačiau dažniausiai – tik gydymo pradžioje. Ortodontinis skausmas turi uždegiminių savybių, todėl net ir didėjant susidomėjimui nefarmakologinėmis skausmo valdymo strategijomis, efektyviausiai ortodontinis skausmas malšinamas tik vartojant vaistus nuo skausmo.
Šiame straipsnyje apžvelgiama ortodontinio skausmo etiologija, skausmo ir diskomforto priklausomybė nuo paciento individualių savybių, nemalonių pojūčių įtaka gyvenimo kokybei bei skausmo valdymo strategijos.
VILNIAUS UNIVERSITETO MEDICINOS FAKULTETO STUDENTŲ NEMIGOS SIMPTOMAI
Authors: Balčiūnaitė Beatričė , Būgaitė Vaiva , Karnickas Marius
Published: May 2021

Biomedicinos mokslų studentai dažnai patiria miego sutrikimus. Tyrimo tikslas – nustatyti nemigos simptomų paplitimą tarp Vilniaus universiteto Medicinos fakulteto studentų, įvertinti jų sunkumą, taikant nemigos sunkumo indeksą ISI (angl. Insomnia Severity Index), išsiaiškinti, kokias priemones biomedicinos studentai renkasi miego sutrikimų gydymui.
Tyrimo medžiaga ir metodai. 2020 m. gruodžio – 2021 m. vasario mėnesiais į internetinę apklausą iš 32 pasirenkamųjų atsakymų į klausimus atsakė 416 Vilniaus universiteto Medicinos fakulteto biomedicinos studentų. Duomenys apdoroti Excel programa ir laikyti statistiškai reikšmingais, kai p < 0,05.
Rezultatai. Apklausti visų VU MF studijų programų studentai. Iš jų: medicinos ̶ 44,5%, farmacijos ̶ 12,3%, kineziterapijos ̶ 12,3%, odontologijos ̶ 8,9%, visuomenės sveikatos ̶ 8,9%, ergoterapijos ̶ 7,2%, slaugos ̶ 5%, kiti ̶ 1%). Iš 416 respondentų 352 (84,6%) moterys ir 64 (15,4%) vyrai. Kliniškai reikšmingi nemigos simptomai, įvertinti ISI, nustatyti 165 studentams iš 416 (39,7%). Vidutinio sunkumo klinikinės nemigos simptomai nustatyti 119 iš 416 (29%), sunkios ̶ 46 iš 416 studentų (11%). Tik 50 (12%) iš 416 biomedicinos studentų žinojo, kad ilgiausia galima ūmios nemigos gydymo benzodiazepinais trukmė yra 1 mėnuo. Iš 227 studentų, patyrusių nemigos simptomus, net 65 (28,6%) užmigimui palengvinti vartojo alkoholį. Iš 227 studentų, patyrusių nemigos simptomus, 152 (67%) teigė vartoję žolinius preparatus, 87 (38,3%) ̶ melatonino preparatus, 54 (23,8%) – benzodiazepinus, 28 (12,3%) ̶ antidepresantus, 20 (8,8%) ̶ Z vaistus, 8 (3,5%) ̶ kvetiapiną, o 56 (24,7%) teigė nevartoję čia nurodytų vaistinių preparatų. Net 18 iš 54 (33,3%) studentų, nemigos simptomų gydymui vartojusių benzodiazepinus, patyrė mažiausiai vieną šalutinį reiškinį, o 4 (7,4%) atitiko priklausomybės sindromo diagnostikos kriterijus. Net 11 iš 20 (55%) studentų, nemigos simptomų gydymui vartojusių Z vaistus, patyrė mažiausiai vieną šalutinį reiškinį, o 3 (15%) atitiko priklausomybės sindromo diagnostikos kriterijus.
Išvados. Kliniškai reikšmingus nemigos simptomus, įvertintus ISI, patyrė 165 studentai iš 416 (39,7%). Merginų ISI įverčiai buvo statistiškai reikšmingai aukštesni, nei vaikinų (p=0,0034). Ne medicinos programų studentų ISI įverčiai buvo statistiškai reikšmingai aukštesni, nei medicinos studentų (p=0,0001). Didžiausias nemigos simptomų paplitimas nustatytas tarp kineziterapijos (55%), mažiausias ̶ tarp medicinos studentų (31%).
LĖTINĮ SKAUSMĄ KENČIANČIŲ PACIENTŲ GYDYMO LŪKESČIŲ ANALIZĖ
Authors: Kraujelytė Agnė , Vaitkus Alfredas
Published: May 2021

Tikslas. Nustatyti pacientų skausmo gydymo lūkesčius, vertinant penkias sritis (skausmas, nuovargis, emocinis distresas, kasdienės veiklos sutrikdymas ir nemiga) ir jų ryšį su įvairiais veiksniais lėtiniu skausmu sergančių pacientų populiacijoje.
Metodai. Vilniaus universiteto ligoninės Santaros klinikų skausmo medicinos centre buvo atliktas perspektyvinis tyrimas su pacientais, patiriančiais vidutinį ar stipresnį skausmą. Surinkti pacientų demografiniai, antropometriniai duomenys. Skausmo intensyvumas prieš gydymą įvertintas naudojant analoginę skaitmeninę skausmo vertinimo skalę (nuo 0 iki 10), o pacientų lūkesčiai, naudojant adaptuotą Paciento sveikatos rezultatų vertinimo klausimyną PCOQ (angl. Patient Centred Outcomes Questionnaire). Statistinė duomenų analizė atlikta panaudojus SPSS v23.0. programą, laikant P reikšmes <0,05 statistiškai reikšmingomis.
Rezultatai. Į tyrimą įtraukta 100, galutinai išanalizuota 90 pacientų (vidutinis amžius 66,09 ± 13,55 metai) gydymo rezultatai. Pacientai nurodė įprastą vidutinį, sėkmingo gydymo ir realiai tikėtiną lygį po gydymo atitinkamai: skausmui (7,01 vs. 2,72 vs. 3,12), nuovargiui (7,39 vs. 2,62 vs. 3,23), emociniam distresui (6,64 vs. 2,12 vs. 2,60), kasdienės veiklos sutrikdymui (6,41 vs. 2,06 vs. 2,57), nemigai (6,28 vs. 1,49 vs. 2,19). Amžius koreliavo su sėkmingo skausmo gydymo lygiu (r=0,259, p=0,014). Išsilavinimas koreliavo su sėkmingu ir realiai tikėtinu skausmo lygiu bei kasdienės veiklos sutrikdymu (atitinkamai r=-0,234, p=0,027; r=0,247, p=0,019). Nedirbančio asmens statusas koreliavo su realiai tikėtinu skausmo lygiu (r=0,226, p=0,032). Pirmą kartą apsilankiusieji pacientai tikėjosi mažesnio skausmo, nuovargio ir emocinio distreso lygio po gydymo, lyginant su pacientais, kurie anksčiau jau buvo gydyti dėl skausmo (atitinkamai p=0,037, p=0,006, p=0,022).
Išvados. Pacientų sėkmingo gydymo rezultato lygis visose srityse buvo žemesnis už realiai tikėtiną. Pastebėta, kad amžius, išsilavinimas, nedarbas ir ankstesnė skausmo gydymo patirtis turi įtakos sėkmingo bei realiai tikėtino skausmo gydymo rezultatų lygiams.
LĖTINIŲ NEUŽKREČIAMŲJŲ LIGŲ VALDYMO GALIMYBĖS PIRMINĖJE ASMENS SVEIKATOS PRIEŽIŪROJE
Authors: Baltušienė Rita , Buitkus Marius , Dringelis Vytautas , Kaltanienė Aldona , Subočiūtė-Stuliova Tatjana
Published: May 2021

Pirminės sveikatos priežiūros paslaugų teikėjai šiuo metu nėra pasirengę spręsti sudėtingų senėjančios visuomenės sveikatos problemų, tad daugelis pasaulio šalių, siekdamos pagerinti paslaugų prieinamumą ir kokybę, įvairiais būdais stiprina pirminės sveikatos priežiūros grandį. Tyrimo tikslas – rasti mokslu pagrįstų įrodymų apie intervencijų į pirminę sveikatos priežiūrą veiksmingumą, siekiant patenkinti pacientų, vienu metu sergančių dviem ir daugiau neužkrečiamųjų lėtinių ligų, poreikius. Tiriamasis laikotarpis 2005-2021 metai. Tyrimui naudoti Lietuvoje ir užsienio šalyse atliktų mokslinių tyrimų duomenys, atitinkantys nagrinėjamą temą ir nacionaliniai teisės aktai, kuriuose reglamentuojamas lėtinių neužkrečiamųjų ligų valdymas. Rezultatai atskleidė keturias lėtinių ligų valdymo gerinimo galimybes: 1) šeimos gydytojo komandos stiprinimas, įtraukiant į ją slaugos ir socialinių paslaugų darbuotojus ir perduodant jiems dalį funkcijų; 2) išplėstinės praktikos slaugytojo integravimas į pirminę grandį; 3) atvejo vadybos modelio taikymas; 4) paciento įgalinimas savarankiškai valdyti ligą.

Išvada – į pacientą orientuota integruota sveikatos priežiūra, atvejų vadyba ir partnerystė su pacientais, įgalinant juos sveikatai palankia elgsena savarankiškai valdyti ligą, galėtų sumažinti sergančiųjų priklausomybę nuo institucinės globos, o kartu ir sveikatos priežiūros išlaidas, išvengiant nebūtino hospitalizavimo.
KERATINIZUOTŲ DANTENŲ ĮTAKA PERIIMPLANTINIŲ AUDINIŲ SVEIKATAI
Authors: Aidukaitė Greta , Žekonienė Jūratė
Published: May 2021

Šiuolaikinėje implantologijoje pasiekiami aukšti dantų implantų išgyvenamumo rodikliai, tačiau aktualia problema išlieka didelis su implantais susijusių komplikacijų paplitimas. Siekiant sumažinti biologinių komplikacijų dažnį, vis didesnis dėmesys skiriamas minkštųjų audinių plastikai aplink implantus, tačiau keratinizuotų dantenų svarba periimplantinių audinių sveikatai literatūroje vertinama kontroversiškai. Tyrimo tikslas – atlikti naujausios mokslinės literatūros apžvalgą apie keratinizuotų dantenų pločio (KDP) įtaką individualios burnos higienos užtikrinimui, valymo diskomfortui, minkštųjų audinių uždegimui, recesijų atsiradimui ir kraštinio kaulo lygiui aplink dantų implantus, pateikti klinikines ir mokslinių tyrimų rekomendacijas. Pagal pasirinktus raktinius žodžius Pu- bMed, Google Scholar, Cochrane Library duomenų bazėse buvo atrinkti anglų kalba išspausdinti moksliniai straipsniai nagrinėjama tema. Pasikartojantys ir temos neatitinkantys straipsniai iš tolimesnės straipsnių analizės pašalinti. Mokslinių tyrimų analizės rezultatai parodė KDP įtaką periimplantinių audinių sveikatai apibrėžti sudėtinga dėl tyrimų heterogeniškumo ir papildomų modifikuojančių veiksnių, tačiau nustatytos tendencijos, kad nepakankamas KDP turi neigiamos įtakos individualiai burnos higienai, sukelia valymo diskomfortą ir skatina recesijų atsiradimą. Minkštųjų audinių uždegimas buvo didesnis esant nepakankamam KDP, tačiau sunku apibrėžti, ar šis rodiklis buvo nulemtas blogesnės apnašo kontrolės, ar egzistuoja kaip nepriklausomas rodiklis. Nustatyti KDP įtaką kraštinio kaulo lygiui trūksta standartizuotų tyrimų ir patikimų duomenų. KDP chirurginis sukūrimas nėra moksliškai pagrįstas, bet gali būti taikomas atsižvelgiant į klinikinę situaciją ir remiantis

žemiausiu pagrįstumo lygmeniu – ekspertų nuomone ir praktinėmis rekomendacijomis. Atliekant mokslinius tyrimus šia tema, rekomenduojama vertinti ne tik KDP, bet ir prisitvirtinusių dantenų plotį, gleivinės storį, viršketerinių skaidulų aukštį, maksimaliai kontroliuoti papildomus veiksnius, galinčius turėti įtakos periimplantinių audinių sveikatai.
ATVIRO TIPO AKIŲ TRAUMOS: CHARAKTERISTIKOS IR PROGNOSTINIAI VEIKSNIAI
Authors: Skruodytė Justina , Sveikatienė Jūratė , Šerpytis Pranas
Published: May 2021

Akių traumos yra viena iš pagrindinių ilgalaikius regėjimo sutrikimus sukeliančių priežasčių. Atviro tipo trauma apibrėžiama kaip viso storio akies sienos pažeidimas, kurį gali sukelti ir aštrus, ir bukas mechanizmas. Akių traumos sudaro apie 44 proc. akių sužalojimų. Tyrimo tikslas − atlikti naujausių mokslinių straipsnių detalią literatūros apžvalgą apie atviro tipo akių traumas, išanalizuoti duomenis apie akių traumų paplitimo dažnį, etiologiją, epidemiologiją, klasifikaciją, nustatyti atviro tipo akių traumų klinikinius ypatumus ir gydymo baigtis. Nustatyta, kad dažniausiai atviro tipo traumas patiria darbingo amžiaus vyrai, kurie neturi akių apsaugos priemonių. Blogos regos prognostiniai veiksniai − pradinis RA ≤ 0,1, teigiamas santykinis aferentinis vyzdžio defektas (RAVD), pradinė tinklainės atšoka, rainelės ar tinklainės prolapsas, stiklakūnio kraujosruva, ilgas laiko tarpas iki pradinės operacijos ir intervencinių procedūrų skaičius. Atviro tipo traumų gydymas beveik visais atvejais yra chirurginis, o chirurginių intervencijų planavimas ir jų skaičius priklauso nuo traumos sunkumo. Gydymo tikslas yra atkurti akies obuolio anatomiją ir pašalinti intraokulinius svetimkūnius.

Sunkios akių traumos turi didelį socialinį ir ekonominį poveikį žmogui ir visuomenei. Traumą patyręs žmogus susiduria su psichologinėmis problemomis, pablogėjusia gyvenimo kokybe, fizine negalia. Greita traumos diagnozė ir laiku pradėtas chirurginis gydymas yra itin svarbūs, norint pagerinti regėjimo rezultatus, siekiant išvengti galimų komplikacijų.
RELATIONSHIP BETWEEN EARLY CHILDHOOD CARIES AND ADVERSE BIRTH OUTCOMES
Authors: Varoneckas Abdulla , Jasinskaitė Kotryna , Varašiūtė Asta
Published: May 2021

Purpose: The aim of this review was to assess the relationship between adverse birth outcomes and early childhood caries.
Methods: Two reviewers searched different databases from February 2020.

Results: 1376 articles were shown after the initial electronic databases search. The authors identified 10 studies investigating the incidence of dental caries among children with primary dentition, covering 79284 children, with their age ranging from 0,5 to 6 years. The studies were published from 2010 to 2020 and included retrospective, cohort, case control and cross-sectional studies. Conclusion: The found scientific evidence demonstratedthat children with adverse birth outcomes are more likely to experience caries than healthy children.
TO STUDY OCCURRENCES OF INTRA OPERATIVE DIFFICULTIES IN LAPAROSCOPIC CHOLECYSTECTOMY & THEIR EFFECTS ON POST-OPERATIVE OUTCOMES.
Authors: Yadav Vikram Singh , Chahal MS , Singh Naveen Kumar , Rathore Abhishek , Ram Virendra Kumar
Published: May 2021

Background: Laparoscopic Cholecystectomy is the gold standard procedure and in spite of having all investigations done, surgeons face many
difculties while operating which also effects outcome of surgery. It's a Methods: 18 month prospective study, 8 parameters were decided on
which study was done on randomly selected patients. 35 surgeries were graded as Results: easy, 35 surgeries as difcult and 9 surgeries were very
difcult to operate. Out of 79 Cholecystectomy performed by laparoscopic means, in 44 c Conclusions: ases we faced difculty (55.69%)
AN INTERESTING STUDY OF RHINO-ORBITAL MUCORMYCOSIS IN COVID-19 PATIENTS
Authors: Kamath Kokila G. , Jadhav Vishal S
Published: May 2021

The Severe Acute Respiratory Syndrome (SARS) coronavirus-2 is a novel coronavirus, belonging to the family coronaviridae and is now known to
be responsible for the outbreak of a series of recent acute atypical respiratory infections originating in Wuhan, China, termed as coronavirus disease
19 (COVID-19) and has been declared a pandemic by WHO on March 11, 2020. COVID-19 infections may be associated with a wide range of
bacterial and fungal co-infections. We report the study of 4 cases, who in our hospital, developed Rhino-orbital mucormycosis, who were
diagnosed as COVID-19 positive, with or without associated co-morbidities, involving all age groups. Extensive use of steroids may lead to
development or exacerbation of a pre-existing fungal disease in patients with COVID-19 infections.
“EVALUATION OF SURFACE DETAIL REPRODUCTION OF BD IMPRESS AND NEXUS MEDODENT THERMOPLASTIC IMPRESSION MATERIALS” - AN IN VITRO COMPARATIVE STUDY
Authors: Balaji Ajay , .B.H Naveen , S.D Kalavthi. , Thomas Philip arun
Published: May 2021

Impression making is the primary step in the process of fabrication of prosthetic restoration. Dimensional stability, Surface detail reproduction, and
compatibility with gypsum products is an essential prerequisite for a successful restoration. Clinically, the accuracy of impressions depends on two
major aspects: 1) Ability to ow and adapt intimately to the relevant surfaces while making the impression, and 2) the wetting of the polymerized
impression material by the gypsum. The purpose of this study is to evaluate and compare the surface detail reproduction of BD Impress and Nexus
Medodent impression material. The results showed signicant difference in surface detail between the two thermoplastic impression materials
with p-value <0.05. It was observed that comparison of mean scores obtained by BD Impress and Nexus Medodent impression material are 2.7556
and 2.2222 respectively. The materials with minimum mean score value is considered as the material with good surface detail reproduction. Thus
one can conclude that Nexus Medodent thermoplastic material has the good surface detail reproduction compared to BD Impress thermoplastic
material.
ANTIOXIDANTS IN ORAL DISEASES: A REVIEW
Authors: Harika N. , Sridevi K. , Krishnaveni B. , Kumar N. Prasanth , Mounika G.
Published: May 2021

Antioxidants are compounds that destroy the free radicals in the body, thereby preventing harmful oxidation-reduction reactions. Free radicals are
chemical species possessing an unpaired electron that can be considered fragments of molecules and generally very reactive. They are produced
continuously in cells either as accidental by-products of metabolism or deliberately during, phagocytosis. However, excess free radical production
originating from endogenous or exogenous sources might play a role in many diseases. Antioxidants are man-made or natural substances that may
prevent or delay some types of cell damage. Antioxidants are crucial for maintaining optimum health and well-being. Free radicals have been
implicated in numerous oral diseases like leukoplakia, Periodontal diseases, and oral cancer.
A RARE PRESENTATION OF DLE MASQUERADING AS BOWEN'S DISEASE: A CASE REPORT
Authors: Jotwani Richa , Roja Renuka Sane , TV Ramesh , Manoharan K.
Published: May 2021

Discoid Lupus Erythematosus (DLE) is a benign inammatory disorder of the skin that most frequently involves the face and scalp. It is characterized by asymptomatic, well dened, red, scaly patches of variable size, which heal with atrophy, scarring and pigmentary changes. Bowen's disease is a squamous cell carcinoma in situ of unknown etiology that occurs in both sun exposed and covered areas. It presents as well circumscribed, round to oval, pink or dark red scaly patches which may become hyperkeratotic, crusted or ulcerated.
IMPULSIVITY IN SUICIDE ATTEMPTERS: A CROSS-SECTIONAL STUDY IN A TERTIARY CARE CENTRE IN KERALA
Authors: KP Lakshmi , Chandra Subhash
Published: May 2021

Background And Objectives: Worldwide, suicide is one among the leading causes of premature mortality. Suicidal attempt is a well known risk factor for completed suicide. Impulsivity is a factor that is accepted as a good endophenotype in suicidal behaviour. Aim of this study was to study the prevalence of impulsivity in suicide attempters. Methods:This study was a cross-sectional observational study conducted in a Medical College in Kerala from March 2015 to December 2015. 125 patients who came with suicide attempt were studied using BIS scale-11 for impulsivity. Statistical analysis of the data was done using SPSS software. Results And Discussion: In this study, impulsivity was found in 68% of suicide attempters. Impulsivity was greater in the unmarried suicidal attempters, those with higher educational status, younger patients and those without psychiatric illness. Impulsivity was more in adjustment disorder, substance dependence, bipolar affective disorder and less in psychotic and depressed patients who attempted suicide. Impulsivity was also related to mode of suicide attempt. Conclusion: This study showed high prevalence of impulsivity in suicidal attempters. More studies in this area can denitely help to understand and prevent this tragic health problem.
A STUDY ON ETIOLOGY, CLINICAL FEATURES, MANAGEMENT AND OUTCOME OF ACUTE LIVER FAILURE IN PAEDIATRIC INTENSIVE CARE UNIT OF BURDWAN MEDICAL COLLEGE
Authors: mishra Sankar narayan , nayek Kaustav , kayal Tamal , Jana Debarshi
Published: May 2021

Introduction: In the present study, etiology, important clinical features, management and outcome of acute liver failure in children admitted in
Pediatric Intensive Care Unit (PICU) of BURDWAN MEDICALCOLLEGE, WB are studied.
Aims and objectives:To study different clinical features among those children having acute liver failure.
I. To study the management and outcome of those children with acute liver failure in the Pediatric Intensive Care Unit.
Material and methods: Pediatric Intensive Care Unit of BURDWAN MEDICALCOLLEGE, WB. 1 Year [December 2019 to November 2020].
Patients from 3months of age to 12years of age are eligible for enrolment if they meet the following criteria.
Conclusion: Present study showed that cerebral edema was signicantly associated with mortality whereas AKI and spontaneous bacterial
peritonitis were not signicantly related with mortality. Mean TSB and Prothrobin Time were higher but mean serum albumin was lower in those
cases that had died.
EVALUATION OF LINEAR DIMENSIONAL STABILITY OF BD IMPRESS AND NEXUS MEDODENT THERMOPLASTIC IMPRESSION MATERIALS – AN IN VITRO COMPARATIVE STUDY
Authors: Thomas Philip Arun , S.D Kalavthi. , B.H Naveen. , Balaji Ajay
Published: May 2021

Aim: To evaluate and compare the linear dimensional stability of two commercially available BD IMPRESS and NEXUS MEDODENT
thermoplastic impression materials. A total of 90 samples in which 45 s Methodology: amples of BD Impress and Nexus medodent impession
materials were used for evaluation of linear dimensional stability of these newly introduced thermoplastic impression materials. The samples were
rst checked under toolmaker microscope for reproduction of three parallel lines x,y,z. The measurements were made on the samples at 0 (within 24
hours), 7th and 14th day respectively to assess the linear dimensional stability. According to the study conducted and results obtained, it Result:
was concluded that NEXUS MEDODENT was superior in linear dimensional stability on comparison with BD IMPRESS impression material
Conclusion: On comparison with BD impress, nexus medodent impression material was superior in terms of linear dimensional stability. There is
a need for further studies to know about other properties of these thermoplastic impression materials to enhance knowledge and for clinical
application as indicated by manufacturers.
COMPARATIVE EVALUATION OF FUNCTIONAL OUTCOME OF OPEN REDUCTION AND INTERNAL FIXATION WITH PHILOS AND CLOSED REDUCTION AND PERCUTANEOUS FIXATION WITH K-WIRES IN PROXIMAL HUMERAL FRACTURES
Authors: Dwivedi Atul K. , Maravi Lakhan Singh , Varma H. S. , Sirsikar Ashish
Published: May 2021

Background: Fracture of the proximal humerus represents the second most common (29.1%) fracture type in the upper extremity after Colle's
fracture (37.2%) of the wrist. Signicant controversy continues regarding the best modality for treating displaced proximal humerus fractures. The
objective of our study is to comparatively evaluate the functional outcome of ORIF with Proximal Humerus Internal Locking System (PHILOS)
and Close Reduction and Percutaneous Fixation with K-wires in proximal humerus fractures.
Method: A prospective study was conducted after getting ethical approval at N.S.C.B. Medical College & Hospital, Jabalpur, (M.P.) upon 50 cases
admitted with proximal humerus fractures as per inclusion criteria. 25 cases were treated with PHILOS plate in group A and 25 patients were treated
with Closed Reduction and Percutaneous Fixation with K-wires in group B. Post op follow up was done at 6 weeks and 12 weeks and functional
outcome evaluated by Neer's scoring criteria.
Results: Out of 50 cases, excellent scores was obtained in 22 (88%) cases treated with PHILOS in group A, and 18 (72%) cases treated with k-wire
xation in group B, satisfactory score was obtained in 3 (12%) in Group A and 6 (24%) in Group B.
Conclusion: We obtained excellent results in both groups with each procedure having its own advantage and disadvantages. We found that
PHILOS provides secure xation with better functional outcome in terms of range of motion. Fixation with Percutaneous K-wires is also efcient
treatment option with intraoperative advantage in terms of invasiveness, blood loss and time taken for surgery with least tissue dissection than
PHILOS plating
WHAT DO HOSPITAL STAFF PERCEIVE ABOUT OUTSOURCING?
Authors: Bridget Gracemma , SK Pillai Jawahar , Mondal Ramkrishna
Published: May 2021

Background: Outsourcing is one of the business strategies by which a organization's functions, processes, activities and decision responsibilities
shifted to an outdoor provider. Cleanliness of hospital is directly linked to infection control, patient comfort and satisfaction. This study evaluates
this shift in service delivery system. Its main objectives are to get a feedback of quality of services rendered by hired housekeeping staff and service
of the contracting agency.
Method:Two separate sets of pre-tested structured Questionnaire and interview method were used for two group of respondents. One set contained
25 questions and the second set 20 questions. First group consist of nurses, technical staff etc. and second group consist of department head,
division manager, supervisors etc. Using judgement sampling method, for rst group 52 response and for second group 43 responses were received
Result: In Group I, 52 respondents were there of young age (µ= 37.65 and σ =10.019) and had less experience. Whereas, in Group II, 43
respondents were of older age group (µ= 52.042 and σ. =6.188) and had more experiences Responses were categorized using ve-point Likert
scale.
Discussion: Overall for variable 1, it was found that 45.81 % respondents were in favour of and 36.41 % respondent were not in favour of
outsourcing. Only 17.78% respondents remained neutral. Variable 2, Service quality of outsourced workers was found average in this study.
43.85% respondents were disagreed and 43.58% agreed regarding quality cleaning. Regarding variable 3, service of agency 46.73% were against
and 42.83% were in favour.
Conclusion: The institute is contracting out its cleaning services with the aim of cost benet and achieving efciency while maintaining service
and quality. Balancing the trade between c
Hybrid Architecture based on RNN-SVM for Multilingual Online Handwriting Recognition using Beta-elliptic and CNN models
Authors: Hamdi Yahia , Boubaker Houcine , Rabhi Besma , Ouarda Wael , Alimi Adel
Published: May 2021

Currently, deep learning approaches have proven successful in the areas of handwriting recognition. Despite this, research in this field is still needed, especially in the context of multilingual online handwriting recognition scripts by adopting new network architectures and combining relevant parametric models. In this paper, we propose a multi-stage deep learning-based algorithm for multilingual online handwriting recognition based on hybrid deep Bidirectional Long Short Term Memory (DBLSTM) and SVM networks. The main contributions of our work lie in partly in the composition of a new multi-stage architecture of deep learning networks associated with effective feature vectors that integrate dynamic and visual characteristics. First, the proposed system proceeds by pretreating the acquired script and delimiting its Segments of Online Handwriting Trajectories (SOHTs). Second, two types of feature vectors combining BetaElliptic Model (BEM) and Convolutional Neural Network (CNN) are extracted for each SOHT in order to fuzzy classify them into k sub-groups using DBLSTM neural networks for both online and offline branches trained using an unsupervised fuzzy k-means algorithm. Finally, we combine the trained models to strengthen the discrimination power of the global system using SVM engine. Extensive experiments on three data sets were conducted to validate the performance of the proposed method. The experimental results show the effectiveness and complementarities of the individual modules and the advantage of their fusion.
Likelihood Partitioned Bayesian Filtering for Lithium Sulfur Battery State Estimation
Authors: Munisamy Srinivasan , Auger Daniel , Fotouhi Abbas , Hawkes Bob , Kappos Euthymios
Published: May 2021

The link for data can be found in the link at acknowledgement of paper.