bluuebunny/crossref_metadata_2025 huggingface dataset:
ENTERAL INSUFFICIENCY TREATMENT IN PATIENTS WITH GENERALIZED PERITONITIS
Authors: Kenarskaya M V , Ivanov S A , Korymasov E A
Published: October 2020

Objectives - to improve the treatment results in patients with generalized peritonitis complicated by the enteral insufficiency syndrome. Material and methods. In the period of 2016 -2018 there were 45 patients with a widespread peritonitis admitted to Samara regional clinical hospital named after V.D. Seredavin for treatment. The patients were divided into a control and a main group. The patients of the main group received the intestinal intubation with a specially designed catheter, the intestinal lavage during surgery and in the early postoperative period, the enterosorption, enteral nutrition and bowel decontamination; and in the absence of contraindications - the enteral oxygen therapy. Dynamics of the enteral insufficiency syndrome (EIS) development in both groups were evaluated according to the defined criteria, including laboratory and clinical indicators. Each criterion could weight from 1 to 3 points, their amount reflected the degree of enteral insufficiency. Results. In the main group of patients the small intestinal function was notably restored till the beginning of the third day, what coincided with the transition of the third degree of enteral insufficiency in the second. In patients of the control group the restoration of intestinal function was starting in period of fifth and sixth day after the operation, but the 3d degree of enteral insufficiency remained for 12 hours. Conclusion. The intestinal treatment in combination with the standard therapy allowed to reduce the degree of EIS in the beginning of treatment. This helped to improve the treatment results in general.
PREMEDICATION AS A FIBROBRONCHOSCOPY SAFETY FACTOR
Authors: Shteiner M L
Published: October 2020

Review article surveys premedication as one of the safety methods in flexible endoscopy. The traditional premedication provided technical convenience of bronchoscopy by sedation and secretion drying. This approach had become less justified since bronchoscopy was widely used in patients with severe somatic pathology. This new condition forced the usage of inhalation broncholytics (M-cholinolytics : and e2-agonists) which mainly have tracheobronchial impact and minimal systemic action, and parenteral gluco-corticosteroids with powerful broncholytic and definite cardioprotective effect. Parenteral ad-ministration of theophylline may be used in premedication with some restrictions.
NEW PROGNOSTIC METHOD FOR ESTIMATION OF LIPID DISTRESS SYNDROME DEVELOPMENT IN PATIENTS WITH CHRONIC HEPATITIS C
Authors: Konstantinov Dmitrii Yu. , Nedugov German V. , Popova Larisa L. , Konstantinova Elena A.
Published: October 2020

Objectives - to work out a prognostic method, based on clinical and laboratory data, which can predict the development of lipid distress syndrome in patients with chronic viral hepatitis C. Material and methods. We studied the outcomes of chronic viral hepatitis C with respect to development of lipid distress syndrome in 267 patients who did not receive antiviral therapy during the observation period lasting for 1 to 7 years. Results. Discriminant function analysis of the data acquired after examination of 167 patients helped us to work out a discriminative model of predicting the development of lipid distress syndrome in patients with chronic viral hepatitis C in the absence of antiviral therapy. Crosschecking of prediction accuracy was carried out on the data of examination of other 100 patients. Conclusion. The designed technique for predicting the development of lipid distress syndrome in patients with chronic hepatitis C is characterized by point estimates of sensitivity and prognostic value of the negative result equal to 100%.
ENDOMETRIOSIS IN PERIMENOPAUSAL TRANSITION PERIOD AND IN POSTMENOPAUSE: CLINICAL, DIAGNOSTIC AND THERAPEUTIC ASPECTS
Authors: Kalinkina Ol'ga B. , Tezikov Yurii V. , Lipatov Igor' S. , Aravina Oksana R. , Martynova Nadezhda S.
Published: October 2020

Objectives - efficiency assessment of the dienogest (Visan^) in treatment of perimeopausal patients with adenomyosis and postmenopausal women, in whom the adenomyosis was newly diagnosed. Material and methods. Included in the study, there were 64 patients (aged 45-52 years) who had undergone the surgical treatment of adenomyosis followed by the dienogest treatment at a dose of 2 mg, and 47 women in the age of 54-57 years with newly diagnosed adenomyosis in the course of menopausal hormone therapy (MHT). All patients received 2 mg of dienogest (Visannе, Bayer) during the period of 3-6 months. Medical checkup was performed in 3 and 6 months after initiation of treatment. Results and Discussion. The remarkable reduction in clinical manifestations and improvement of uterine walls structure was registered in both groups of patients in 3 months of treatment. However, in 25% of patients the echographic changes remained significant. In 6 months all the patients had a sustained remission and amenorrhea. Conclusion. In the course of investigation the dienogest (Visan^) at a dose of 2 mg revealed high efficacy in treatment of endometriosis in late perimeopausal and postmeopausal patients with a diagnosed abnormal uterine bleeding associated with adenomyosis.
NEW APPROACH TO ASSESSMENT AND CORRECTION OF INTESTINAL MICROBIOME IMBALANCE IN CHILDREN WITH ATOPIC DERMATITIS
Authors: Pechkurov Dmitrii V. , Zaynullina Olesya N. , Tyazheva Alena A. , Lyamin Artem V.
Published: October 2020

Objectives - to study intestinal microbiota species for differentiated approach to treatment of atopic dermatitis (AD) in children. Material and methods. The study included 60 children, 34 girls and 26 boys aged from 3 to 12 years, with AD and concurrent intestinal dysbiosis. The experimental group consisted of 30 children assigned to differentiated correction of intestinal microbiome imbalance in addition to the standard therapy. Correction mode depended on the results of microbiological fecal examination of microbiota species using the mass spectrometry. The control group of 30 children received the standard treatment of atopic dermatitis. Results. Gut microbiome imbalance of different severity was revealed in all children with AD. The study ascertained the increase of the enterobacteria of various types, including true pathogenic ones, in atopic dermatitis. The direct correlation was revealed between the AD severity and the degree of dysbiosis with the coefficient value 0.69. As a result of complex treatment in the experimental group, the ratio of children with severe dysbiosis reduced from 60.0% to 20.0%, the proportion of children with moderate dysbiosis also decreased from 26.6% to 20.0%. The reduced treatment time was one of the study outcomes: 14 days in the experimental group and 21 days in the standard therapy group. Clinical remission was observed in 26.7% of children. Conclusion. The study supported the rationale for the differentiated approach to the treatment of AD in children. The preliminary microbiological study of feces for microbiota species by MALDI-ToF mass spectrometry is necessary. Selection of probiotics depends on the deficit or overbalance of the specific types of microorganisms in a patient. Thus the treatment effectiveness is improved and the remission period is extended.
New causative agents of respiratory tract diseases in immunocompromized patients (a review)
Authors: Ismatullin D. D , Zolotov M. O , Lyamin A. V , Nikitina T. R , Zheleznova E. A , Zhestkov A. V
Published: October 2020

The diseases of the respiratory system occupy one of the leading positions in the range of morbidities among the Russian population, both in adults and children. Partly, it is due to an increase of patients with primary and secondary immunodeficiencies, with anatomical anomalies of the respiratory tract, and other diseases of the bronchopulmonary system. Classical pathogens, causing the bacterial respiratory diseases, as a rule, are: Streptococcus pneumoniae, Haemophilus influenzae, Klebsiella pneumoniae, Pseudomonas spp., Staphylococcus spp., as well as other representatives of the Enterobacteriacae family. But each year, the scientific literature presents more and more microorganisms - pathogens of infectious diseases of various localization in humans, the clinical significance of which has long remained poorly understood. These pathogens include representatives of large families of Corynebacteriaceae, Mycobacteriaceae, Nocardiaceae. Clinical physicians need to consider possible disorders in the immune system in patients with respiratory impairment, as well as a wide range of pathogens affecting the respiratory tract. To manage such patients effectively, the close interaction of pulmonologists, bacteriologists, and allergologists-immunologists is important.
Neurophysiology of motor imagery in neurorehabilitation and BCI technologies
Authors: Korovina E. S , Segreeva M. S , Zakharov A. V , Pyatin V. F
Published: October 2020

Over the last few decades, motor imagery was in the focus of the researchers' attention as a prototypical example of "embodied cognition", and as a basis for neuro-rehabilitation and brain-computer interfaces. This review reveals the concept of motor imagery, the factors characterizing and influencing this process, its neural correlates, and the possibilities for using in neurorehabilitation and brain-computer interfaces. The article explains some discrepancies and variability in findings from previous studies, that will help to optimize a study design in accordance with the purpose of each study in the future.
Clinical experience of examination of outpatients with diabetes using a formalized protocol
Authors: Pervyshin N. A , Lebedeva I. V , Galkin R. A
Published: October 2020

Objectives - to improve the quality and efficiency of primary endocrinological care for patients with diabetes mellitus by formalizing outpatient admission and optimizing the professional time of an endocrinologist spent on documentation. Material and methods. A protocol of examination, developed according to the specifity of care of outpatients with diabetes mellitus, was introduced into practice of endocrinologists. To assess the usability of the protocol, the timing of outpatient admission and the quality control of outpatient medical care was carried out. Results. The trial of the formalized protocol in clinical settings have confirmed its convenience for doctor's daily work. It does not require extra time for patient registration, while significantly improves the quality of outpatient appointment records, ensures the complete primary medical data recording, eliminates inaccuracies in the formulation of the diagnosis, program of dispensary observation and treatment. Conclusion. The formalization of the outpatient endocrinologist appointment allows for development of an automated workplace of an endocrinologist with the prospect of its further implementation as a software module for collecting primary medical data in the regional integrated electronic medical record.
Somatic tinnitus: clinical and neurophysiological features
Authors: Gilaeva Alfiya R. , Mosikhin Sergey B. , Safiullina Gulnara I.
Published: October 2020

Objectives - to identify variations in the intensity of tinnitus during the certain motor maneuvers, to evaluate the clinical and neurophysiological features of modulation in patients with tinnitus. Material and methods. Vertebro-neurological, otorhino-laryngological examinations, audiological and neurophysiological (trigeminal evoked potentials) examinations were carried out in 100 patients with complaints of tinnitus. Results. In 55% of patients the change in the intensity of tinnitus during various motor maneuvers was registered. The examination of these patients revealed a tendency towards the expression of myofascial disorders, a high burden with ear noise, the low values of compliance according to tympanometry, and the lengthening of the latent periods of peak trigeminal evoked potentials. Conclusion. The results obtained may indicate the participation of the somatosensory system in the pathogenesis of tinnitus.
Formation of larynx topographic-anatomic relations with neck organs and structures in the intermediate fetal period of ontogenesis
Authors: Lutsay Elena D. , Anikin Maksim I. , Murtazina Nuria I.
Published: October 2020

Objectives - to present topographic and anatomic characteristics of the larynx relationship with neck organs and structures in the intermediate fetal period of human ontogenesis. Material and methods. The study included 85 organocomplexes of the fetuses neck of both sexes, from the 14th to the 27th week of development. The study material was divided into 2 age periods: the first group - fetuses aged 14-20 weeks; the second group - 21-27 weeks. The classical morphological techniques were used: (macromicroscopic preparation, modified method of saw cuts according to N.I. Pirogov, histotopographic method). Results. Larynx syntopy with thyroid gland, cervical esophagus, thymus, submandibular glands was described in detail. Larynx skeletotopy with incisurae jugularis sterni, cervical vertebrae, hyoid bone, mandible was described quantitatively. Conclusion. The data, obtained as a result of the study, supplement the data on the topographic anatomy of larynx and some neck organs and structures in the prenatal period of human ontogenesis. The revealed formation features of larynx and other neck organs and structures topography can be used in the study of intravital anatomy.
Evaluation of heart rhythm variability in diagnosis of vegetative dysfunction in chronic cerebral ischemia
Authors: Poverennova Irina E. , Zakharov Aleksandr V. , Vasemazova Ekaterina N. , Khivintseva Elena V. , Novikova Nina P.
Published: October 2020

Objectives - the assessment of the possibilities of using heart rhythm variability in the diagnosis of vegetative dysfunction in chronic brain ischemia (CBI). Material and methods. Cardiointervalography was performed for 157 patients with varying intensity of CBI at rest and while performing functional tests. The resulting statistical and spectral parameters were estimated on the basis of multiple regression analysis depending on the severity of the CBI. The parameters, obtained as a result of spectral analysis of cardiointervalography, were used as the predictor data: low, high frequency end and their integrative indicators. Results. With an increase in the severity of CBI, there is a clear tendency towards an increase in heart rate variability with a predominance of autonomous regulation, against the background of its expressed decentralization during physical exercise. The obtained model describes the changes in cardiointervalography that occur with the progression of CBI. These changes can act as independent factors aggravating the course of concomitant cardiovascular pathology, or can serve as its trigger factors. Conclusion. The obtained data may indicate a decrease in the adaptive effects of suprasegmental structures of the autonomic nervous system on the cardiac cycle. Various methods of analysis of cardiointervalography make it possible to conduct a multilevel analysis of the heart rhythm, to identify not only the obvious pathology of the regulation of cardiac activity, but also the violation of its adaptive mechanisms.
Severe damage of respiratory muscles in polymyositis
Authors: Scryabina Elena N. , Magdeeva Nadezhda A. , Melehina Irina F. , Alexandrova Olga L.
Published: October 2020

Objectives - to present a clinical case of polymyositis in a 55-year-old man. The patient was admitted with a diagnosis "transient ischemic attack", quickly followed by an acute respiratory failure, which required the continuous use of mechanical ventilation. Other clinical symptoms included: a high diaphragm position up to the 4-th ribs, the concurrent purulent endobronchitis, bilateral pneumonia, pleurisy, multiple atelectasis, myocardial dysfunction with a decrease in ejection fraction to 46%, local hypokinesia according to EchoCG data. Despite the severe condition of the patient, there was not registered any distinct impairment of the proximal limb muscles and an increase in creatinphosphokinase blood level. The antinuclear myositis-specific antibodies, the signs of primary muscular damage according to the limb muscles ENMG data were also absent. The paraneoplastic process was excluded. The results of clinical examination made the diagnosis of polymyositis uncertain. To clarify the cause of the respiratory muscles damage, an intercostal muscle biopsy was performed.It revealed expressed changes in the muscle, with massive necrosis areas, and perivascular lymphohistiocytic infiltration. Conclusion. The described case of polymyositis is extremely rare, has a severe course and is complicated for diagnosis and treatment. In this case, the most informative examination method can be a biopsy of the intercostal muscles, which allows to identify the inflammatory origine of the disease and to determine the pathogenetic therapy.
Review of integrated solutions for rehabilitation of sensorineural hearing loss in adults
Authors: Vladimirova Tatyana Yu. , Kurenkov Aleksandr V. , Aizenshtadt Lyubov V. , Galieva Kristina R.
Published: October 2020

Objectives - to analyse the complex solutions for rehabilitation of sensorineural hearing loss in adults and elderly people. Material and methods. We reviewed 27 articles on the problem, published in the recent 5 years, presented in the international databases PubMed, Scopus and E-library. Conclusion. The rehabilitation procedure for chronic SNHL is quite clearly regulated and defined at the state level only for the person with hearing disabilities. While determining the needs of the disabled person in rehabilitation, the recommended rehabilitation approaches are described. However, in the normative documents, there is no clearly defined rehabilitation algorithm, taking into account the patient's individual characteristics. A high index of multimorbidity in adults with SNHL, including anxiety-depressive disorders and cognitive deficit, determines the need for inclusion of the auditory training in the rehabilitation process. The use of various options for auditory training along with electro-acoustic correction of hearing or cochlear implantation is an essential component of an individual rehabilitation program.
Issues of personalized treatment of chronic sensorineural hearing loss in the elderly
Authors: Vladimirova Tatyana Yu. , Aizenshtadt Lyubov V.
Published: October 2020

Objectives - to analyse the age-related features of chronic sensorineural hearing loss (SNHL) in elderly patients in regards to the course of the disease and treatment. Material and methods. We reviewed the articles on the problem, published in the recent 5 years, presented in the international databases PubMed, Scopus and E-library. Results. Considering the difficulty of decision-making on the diagnosis and rehabilitation of patients with chronic SNHL, the development of automated computer programs combining the relevant information on the personification of diagnostic and treatment algorithms is relevant. According to scientific data, the rehabilitation procedure for chronic SNHL should take into account the patient's comorbid conditions, the use of pharmacological preparations with a possible ototoxic effect.
Relationship of septal flash with electromechanical dyssynchrony and super-response to cardiac resynchronization therapy
Authors: Shirokov Nikita E. , Kuznetsov Vadim A. , Malishevskii Lev M. , Todosiichuk Viktor V. , Soldatova Anna M. , Krinochkin Dmitii V.
Published: October 2020

Objectives - to identify a relationship of septal flash (SF) with a super-response to cardiac resynchronization therapy (CRT), apical rocking (AR) and signs of left bundle brunch block (LBBB) in patients with congestive heart failure (CHF). Material and methods. The study included 38 patients (92.1% men; mean age 54.3±9.4 years) with II-IV NYHA functional class CHF. Left bundle brunch block (LBBB) was diagnosed according to 3 criteria: American Heart Association (AHA) 2009, European Society of Cardiology (ESC) 2013, Strauss. Septal flash (SF, mechanical anomaly of interventricular septum (IVS) movement) is determined according to speckle tracking echocardiography (STE) and tissue Doppler imaging (TDI). The patients were divided into two groups: with SF (I group, n=8) and without SF (II group, n=30). Mean follow-up was 34.5 [13.8;55.3]. Results. At baseline the groups did not differ in main clinical characteristics including QRS. The left ventricular (LV) ejection fraction (EF) was higher in group I (33.1%±1.7 and 30.0%±4.0; p=0.044). Basal segment of IVS longitudinal strain (LS) delay by STE (258.0 [144.0;294.0] ms vs 323.5 [273.3;385.0] ms; р=0.024) and LS delay by TDI (176.0 [146.8;287.3] ms vs 415.5 [315.8;493.5] ms; р30%); 53.1% of patients in group II were super responders (р
The necessary defense and excess of its limits: legislative improvement opportunities
Authors: Nikulenko Andrei , Smirnov Maksim
Published: October 2020

The article is devoted to the necessary defense as a circumstance that precludes the criminality of an act in the criminal legislation of the Russian Federation. The significance and importance of the existence of this norm is proclaimed both in the criminal law and in the Basic law of the state – the Constitution of the Russian Federation. The existence of a rule on necessary defense in the state emphasizes the development of its legal system, allowing citizens to defend their own interests and protect the interests of others, in ways not prohibited by law, thereby preventing exceeding the limits of necessary defense. A number of issues related to the application of the norms provided for in article 37 of the Criminal code of Russia, as well as the norms of the Special part of the Criminal code of Russia, which provide for liability for crimes committed when exceeding the limits of necessary defense, were raised. The study of the relevant norms makes it possible to identify the advantages and disadvantages of legal regulation of circumstances that exclude the criminality of an act, including the shortcomings of judicial and investigative practice. The author criticizes the existing approach and suggests ways to resolve these problems, including by correcting the resolution of the Plenum of the Supreme Court of the Russian Federation dated September 27, 2012, № 19 «About application by courts of legislation on necessary defense and causing harm when detaining a person who has committed a crime». Because of the ambiguous and often inconsistent application of norms of the criminal legislation on necessary defense, the authors give the recommendations (in further reconstruction of the relevant provisions of article 37 of the Criminal Code) to use an enumeration approach of presenting the legal formulation of these rules that allow the defender to cause any harm to an attacker. At the same time, it creates the most understandable, for citizens, formulation of the norm that allows lawfully causing harm to public relations protected by criminal law.
State anti-epidemic policy: Swedish experience in countering coronavirus
Authors: Sorokina Elena
Published: October 2020

With the COVID-19 pandemic announced in the world, the task of developing a state policy that can stop the rapid spread of coronavirus infection has actually become the primary task for every state in the world. The problems of interaction between public authorities during a pandemic, the normative regulation of their functioning in emergency conditions in different countries have received different solutions. In the scientific and professional communities of Russia and foreign countries, a consolidated approach to solving the issue of forming a unified legal model of interaction between public authorities and society in the context of the coronavirus epidemic has not taken any shape. The legal regulation of the treatment and prevention of COVID-19 in various countries has revealed problem areas in the healthcare management system. Various models of organization of counteracting the spread of infection have formed in the world. The article is devoted to the analysis of the model of state and legal activity of Sweden, which has chosen an independent original path in the fight against the COVID-19 epidemic. Attention is paid to the lack of rule-making practice of executive authorities; proving wide powers in fighting the coronavirus epidemic to the Public Health Office under the Ministry of Health and Social Affairs, which is involved in organizing work, collecting and processing information about patients, and developing recommendations and measures for the anti-epidemic program. The medical and psychological, economic, financial, cultural, household and other social consequences characterizing the effectiveness of the state’s activity in the conditions of extraordinary events, the necessity of overcoming the negative consequences of lockdowns in the economy and the psychological mood of society and the restoration of a stable social life are characterized.
Soluções de equações diofantinas com coeficientes nos inteiros gaussianos por meio de planilhas eletrônicas
Authors: Bemm Laerte , Cardoso Vinicius Bomfim , Bemm Priscila Costa Ferreira de Jesus
Published: October 2020

Neste trabalho estudamos condições necessárias e suficientes para que uma equação diofantina linear sobre um domínio euclidiano tenha solução. Apresentamos uma série de algoritmos (funções) que podem ser implementados em planilhas eletrônicas (por exemplo LibreOffice Calc, Microsoft Excel, etc.), com o intuito de determinar (caso existam) soluções de equações diofantinas sobre Z[i].
Structural change of damaged polyethylene by beta-decay of substituted tritium using reactive force field
Authors: Li Haolun , Fujiwara Susumu , Nakamura Hiroaki , Mizuguchi Tomoko , Nakata Ayako , Miyazaki Tsuyoshi , Saito Shinji
Published: October 2020

The molecular mechanism of structural change caused by the beta-decay of substituted tritium on DNA or polymeric materials is still being unsolved and it is hard to study the decay effect of tritium solely by experiment. In order to study the structural changes of damaged polyethylene caused by the decay effect of tritium, we randomly removed hydrogen atoms from the polyethylene chain and performed molecular dynamics (MD) simulations using the reactive force field (ReaxFF). We adopted two parameter sets of ReaxFF and evaluated their reliability by comparing the atomic forces with density functional theory calculations. The results of MD simulations at a low temperature of 100 K show that the structure of polyethylene will be less ordered when losing more hydrogen atoms. It is observed that a double bond or a cyclic structure will be formed when two carbon atoms, which are the nearest or next-nearest neighbors, lose hydrogen atoms.
An Intelligent Electronic Fuse (iFuse) to Enable Short-Circuit Fault-Tolerant Operation of Power Electronic Converters
Authors: Filba-Martinez Alber , Alepuz Salvador , Busquets-Monge Sergio , Luque Adria , Bordonau Josep
Published: October 2020

The present paper proposes a novel device defined as an intelligent electronic fuse (iFuse) meant to be connected in series with any current-bidirectional voltage-unidirectional active switch present in a given converter. The iFuse duty is to isolate its series- associated switch from the rest of the converter circuit immediately after detecting that said switch has failed in short circuit. Nonetheless, it maintains the reverse (free- wheeling) current path originally offered by the failed switch. The failure detection is performed when the failed switch causes a shoot-through event. Therefore, the iFuse is designed to be able to block the elevated current occurring in such event. The iFuse allows increasing the fault-tolerant capability and the reliability of power converters where such qualities are hindered by switch short-circuit failures, as in converters featuring parallelized switches, neutral-point-clamped multilevel topologies, or redundant legs. The feasibility of the iFuse device is verified through experimental tests, proving that the device is able to detect the failure of its associated switch and isolate it from the rest of the converter circuit in 6 μs, while stopping short-circuit currents of up to 1 kA without incurring in harmful di/dt values.
Metodologias ativas de ensino em Odontologia Legal
Authors: Musse Jamilly de Oliveira , Marques Jeidson Antônio Morais , Covas Ariella Karla de Oliveira , Ribeiro Matheus da Silva , Fernandes Gardenia Carvalho Santos
Published: October 2020

Objetivo: apresentar as atividades práticas da Disciplina de Deontologia e Odontologia Legal I, do Curso de Odontologia, de uma instituição de ensino superior da bahia, além de discutir a importância da incorporação de metodologias ativas, no processo de ensino-aprendizagem em Odontologia Legal. Método: Trata-se de um relato de experiência que descreve as atividades realizadas à cada semestre letivo, há três anos, desde 2017, com a simulação de processos civil, criminal, trabalhista, administrativo, ético e auditoria, envolvendo cirurgiões-dentistas e profissões auxiliares, além da elaboração de prontuário odontológico e documentos, comumente redigidos no atendimento odontológico e confecção de material para publicidade e propaganda. Resultados: Cerca de 300 alunos estiveram envolvidos nas atividades, sob supervisão de dois docentes, totalizando 36 encenações, 144 documentos elaborados, 36 propostas de prontuários e confecção de 72 materiais de publicidade e propaganda. Conclusão: A aplicação prática das estratégias referidas permitiram aos estudantes assumirem o protagonismo do processo ensino-aprendizagem, consolidando melhor os conhecimentos, despertando o interesse dos alunos pelas temáticas e, consequentemente, pela área de Odontologia Legal.
El rol de los laboratorios clínicos en el paciente con hemofilia
Authors: Guevara Arismendy Natalia María
Published: October 2020

El laboratorio clínico, clásicamente, ha tenido un rol fundamental en la preservación de la salud y en la prevención de la enfermedad. De hecho, una práctica de laboratorio que brinde resultados precisos, exactos, oportunos y de utilidad clínica puede llegar a tener un alto impacto en la calidad de vida de los pacientes.
Corioangioma placentario: reporte de un caso en la Unidad de Patología del Hospital San Juan de Dios E.S.E. Rionegro-Antioquia
Authors: Torres-Correa Juan Esteban , Sánchez-Montoya Mayra Alejandra , Sandoval-Sánchez Jairo , Castro-Álvarez John Fredy
Published: October 2020

Dentro de las neoplasias no trofoblásticas gestacionales de tipo vascular, el corioangioma es la más común. Se caracteriza por presentar una proliferación exagerada de estructuras vasculares, con células endoteliales y vellosidades coriónicas que generan una alteración de los vasos sanguíneos tanto arteriales como venosos. Tiene una incidencia menor al 1%, con tasas de mortalidad perinatal aproximadas entre 18% a 40%. Se presenta el caso de un corioangioma placentario diagnosticado a las 26 semanas de gestación en una paciente de 21 años de edad sin controles prenatales previos, el cual generó un lóbulo accesorio de 7 cm con tinción positiva en el análisis inmunohistoquímico para anticuerpos antimúsculo liso y CD34, y negativa para Ki67. El corioangioma desencadenó complicaciones en el embarazo, con parto pretérmino, hidropesía fetal y retardo en el crecimiento intrauterino, que llevaron a la muerte fetal. La falta de control prenatal en nuestra paciente impidió que se detectaran las anomalías placentarias oportunamente, con un desenlace fatal para el feto. Un control prenatal adecuado con seguimiento ecográfico puede evitar eventos fatales como el presentado. El análisis macroscópico y microscópico de la placenta puede favorecer la identificación de los casos y el aporte a las estadísticas de incidencia y mortalidad.
Pests in cherry plantations in the conditions of the Southern Steppe of Ukraine
Authors: Rozova L. , Yeremenko O. , Yudytska I.
Published: October 2020

Goal. To study the biological resistance of cherry varieties of different maturity against pest and to determine their number.

Methods. Laboratory field. The population of cherry trees by pests was determined by conventional methods in the Research Garden of the NNVC Tavriya State Agrotechnological University. The final pest population of trees was assessed on a five-point scale.

Results. The results of studying the phytosanitary condition of cherry plantations in the conditions of the Southern Steppe of Ukraine are given. It was found that in 2018, 8 species of pest predominated, and in 2019 — only 5. The permanent species of pest were cherry aphid, rose leafhopper, cherry fly and Turkestan mite. It should be noted that the population of the above pests in the years of research was at the level of 0—2 points. In 2018, single black weevils and geese were recorded in cherry plantations at the level of 1 point, and the following year these species were completely absent. During 2018, all varieties, except Dilema and Udivitelnaya were inhabited by mobile stages of red fruit mite from 0.6 to 3.0 specimens/leaf. In 2019, the population of hawthorn mites was observed above the economic threshold of harmfulness on the varieties Melitopol Black, Announcement and Talisman (3.3—7.3 specimens/leaf), which corresponds to 4—5 points. The number of California thyme in cherry plantations of almost all varieties was higher than the threshold value, the maximum was observed in the variety Melitopol black — 5.6—8.5 specimens/shield.

Conclusions. Resistance of cherry varieties by groups of maturity to the presence of pests was not detected, all varieties to some extent were covered by harmful entomofauna. Ongoing monitoring studies in cherry plantations from the moment of bud burst to harvest can increase the effectiveness of protective measures by timely assessment of the population of each species of pest.
Strategi Dakwah Kampung Qur’an Dalam Meningkatkan Nilai-Nilai Religius Di Desa Kalidilem Randuagung Lumajang
Authors: Widiastutik Rizkia , Ghulam Zainil
Published: October 2020

Religious activities in the village of Kalidilem are already running but there are still some residents, especially teenagers, who get drunk and promiscuity. To overcome this problem a Kampung Qur’an program is formed. Kampung Qur'an is one of the Nahdlatul Ulama (NU, Islamic Organization) Lumajang programs that synergizes with JQH in the form of a missionary institution tasked with spreading the message of da'wah with the Qur'an. The village of the Qur'an was fully surrendered to the NU Autonomous Agency in charge of al-Qur'an. In the process of da'wah an important thing to consider is the da'wah strategy. This research uses descriptive qualitative method, with a phenomenological approach. Data collection techniques using interviews, observation and documentation. The conclusion of this study is the da'wah strategy used by the Qur'an Village there are 5 namely: 1) Sentimental strategy: conducting regular recitation, giving advice with good words, such as calling mad'u as "O my brothers, O my children" . 2) Rational strategy: invite people to discuss together. 3) Sensory Strategy: direct the practice of worship. 4) Ta'lim strategy: holding al-Qur'an illiteracy eradication program, development of tahfidzul quran, qiro'atul quran, art of calligraphy, organizing majlis of Qur'an interpretation and interpreneur of the Qur'an. 5) emulate the Prophet's strategy. The inhibiting factor of the preaching strategy of Kampung Qur'an is the lack of capable human resources in the field of al-Qur'an studies, understanding community psychology and having metacognitive abilities and philosophical thinking.

Keywords: Da'wah strategy, religious values, Kampung Qur’an.
Presentación: El cristianismo colonial
Authors: Allpanchis Revista
Published: October 2020

En el Perú, todavía, la historia del cristianismo persiste como historia de una institución: la Iglesia. Fue el camino seguido en el pasado por investigadores como Rubén Vargas Ugarte S.J. al estudiar el culto a María, los Concilios Limenses, las órdenes religiosas... Pero ocurre que tan importante como conocer la norma, es indagar por la práctica cotidiana de una religión, aproximarse a los hombres que con sus creencias, ortodoxas o heréticas, sustentan el culto. Es la vieja distinción entre historia de la religión (de las ideas en abstracto) e historia de la religiosidad. En este número de Allpanchis nos gustaría incidir sobre este último aspecto, hasta ahora bastante descuidado en las aproximaciones históricas.
El Taki Onqoy y la sociedad andina (Huamanga, siglo XVI)
Authors: Stern Steve
Published: October 2020

En este artículo se examina la respuesta de los pueblos andinos frente a una grave crisis producida en las primeras décadas de la dominación colonial española. Forma parte del tercer capítulo de un estudio mayor sobre las luchas de las sociedades andinas de Huamanga y su impacto sobre el orden colonial en su conjunto, desde el inicio de la conquista española hasta 1640. En el segundo capítulo del estudio se analizan las múltiples formas de alianza y colaboración estabelcidas entre españoles e indígenas durante los primeros años coloniales de Huamanga, la contraposición de intereses que desde un comienzo hizo que tal alianza fuese precaria y contradictoria, y la presencia cada vez mayor de inquietudes entre los indios respecto a las consecuencias perjudiciales e inesperadas de la colaboración andino-española.
Los clérigos doctrineros y la economía colonial (Lima, 1600-1630)
Authors: Acosta Antonio
Published: October 2020

No parece exagerado decir que, en relación con otras parcelas de la historia colonial de la América hispana, la que corresponde al papel de la Iglesia es hoy una de las menos conocidas. Refiriéndonos concretamente al Perú, los conocimientos disponibles consisten, fundamentalmente, en una base empírica contenida en varias colecciones de documentos, importantes como punto de partida; junto a ella, algunas historias generales o particulares; y, finalmente, un número aún escaso de análisis de problemas.
Las doctrinas de indígenas como núcleos de explotación colonial (siglos XVI-XVII)
Authors: Lavallé Bernard
Published: October 2020

Después de la solución de continuidad que en muchos aspectos representó la irrupción del mundo europeo y cristiano en los Andes con la conquista española, las formas nuevas que fue tomando a la fuerza o espontáneamente la religión campesina fueron el resultado conciente o la consecuencia a veces sorprendente de un conjunto de procesos complejos que, si bien se situaba en planos diferentes, eran la mayoría sustancialmente convergentes.
La revisita de Huarochirí o la resurrección del padre Ávila
Authors: Urbano Henrique
Published: October 2020

En los últimos años, varios científicos sociales revisitaron la región de Huarochirí, siguiendo los pasos de Tello y Miranda, Arqueólogos pioneros y originarios de la región. En los años 50, Matos Mar, Cotler y otros más estudiaron algunas comunidades de la zona y describieron sociográficamente algunas de sus características. Arguedas y Duviols, ya en la década de los 60, publicaron una traducción al castellano de los relatos de Huarochirí, conjuntamente con una nueva edición paleográfica del manuscrito quechua. Pocos años después, Spalding hacía un recuento histórico de la región en base a documentos de archivo. De otro lado, historiadores y antropólogos, como Huertas, Duviols y Silverblatt, utilizaron los materiales de los antiguos procesos judiciales por idolatrías para analizar algunos aspectos de la organización social y religiosa de Huarochirí, comparándolos con los de otras regiones andinas.
Ciclos y booms en la agricultura de exportación latinoamericana: El caso de la economía ganadera en el sur peruano, 1855-1920
Authors: Jacobsen Nils
Published: October 2020

Los historiadores dedicados al estudio de la América Latina de los siglos XIX y XX coinciden en señalar que el incremento en la demanda de bienes primarios en los países europeos y norteamericanos en vías de industrialización, dio lugar a cambios de gran alcance en la estructura productiva, social y política de los países latinoamericanos.
Transformación de la sociedad campesina, articulación y subdesarrollo en las haciendas algodoneras peruanas: el valle de Pisco, 1883-1925
Authors: Peloso Vincent C.
Published: October 2020

Dos de las hipótesis más difundidas que explican cómo se plasmó el subdesarrollo capitalista en el Perú del siglo XX se basan en el análisis de clases. Una de ellas subraya el papel condescendiente de la clase gobernante, en especial el sector terrateniente, al someter la economía a un predominio de la agricultura de exportación y la minería, obstaculizando así que las relaciones sociales se transformasen para dar paso a un proletariado así que las relaciones sociales se transformasen para dar paso a un proletariado independiente y con conciencia de clase. La otra hipótesis destaca la respuesta de las masas rurales a la política agroexportadora de la clase gobernante, y señala que según fueron éstas contestando al orden hegemónico de los terratenientes, las haciendas y plantaciones se tornaron en instituciones críticas a través de las cuales surgieron y luego fueron obstruidas las oportunidades para una transformación de la sociedad rural. Estas ideas han estimulado la investigación sobre hacendados y campesinos, examinando los ejes en torno a los cuales se desplazaban sus relaciones en las primeras etapas de modernización de las economías rurales.
La cristianización del indígena peruano
Authors: Marzal Manuel
Published: October 2020

Presento en estas páginas los puntos más importantes de la cristiniazación del indígena peruano. Me limito a la tarea evangelizadora durante el siglo XVI y sólo en algunos puntos -como el de la lucha contra la idolatría- me extiendo hasta bien entrado el siglo XVII. Por cristianización entiendo la recepción del bautismo y de una serie de valores, ritos y normas que pueden considerarse cristianos.
La investigación de la religión andina
Authors: Marzal Manuel María
Published: October 2020

As the 20th anniversary of the Allpanchis magazine is celebrated, I have been asked to reflect on the investigation of Andean religion. This celebration is, without a doubt, a good occasion for such reflection. Those of us who, two decades ago, put our quota of enthusiasm and creativity into carrying out the project of the bishops of the Andean South to found the Andean Pastoral Institute (IPA) to support the work of the Church among the Andean population, are happy to what has been achieved, although soon it was others who took over and others the immediate goals of the first fifteen years of the IPA in Allpanchis (1984, XX:9-26).
Las Macroetnias en el ámbito andino
Authors: Rostworowski María
Published: October 2020

En tiempos anteriores al dominio inca, es decir, durante el Intermedio Tardío el ámbito andino estaba compuesto en el aspecto político, por numerosas macroetnias. De todos los Señoríos destacaba sobre los demás el de Chimú por su extensión territorial que, durante su apogeo, ocupaba los valles desde Huarmey hasta Piura y Tumbes. La investigación en torno al pasado indígena nos obliga a intentar esbozar lo que fueron las macroetnias.
Mito y renovación. El caso de Moros y los aymaraes
Authors: Silverblatt Irene , Earls John
Published: October 2020

El anterior párrafo, es un extracto de la petición hecha al Gobierno del Perú en 1936 por los pobladores de Auquilla para ser reconocidos oficialmente como comunidad indígena. Es un documento legal presentado con otros documentos y censos estadísticos
IDENTITIES AND CONCEPTIONS OF BORDER AREA POPULATIONS IN EAST-CENTRAL AND SOUTH-EAST EUROPE – THEMATIC ASPECTS AND QUESTIONS OF AN ACTUAL RESEARCH FIELD
Authors: HELLER Wilfried
Published: October 2020

This article will be structured as follows: Firstly, it will be described what is to be understood by the term "identity". After that, this article will explore the significance of the topic "identities of population" regarding the political, social, economic and cultural developments in the border areas of East-Central and South-East Europe. Because identities are not essentially but constructed phenomena, the next chapter will deal with the role of conceptions of the border area populations for the building of identity. The then following remarks on categories of border areas shall suggest that a great variety of border areas needs to be considered if one is occupied with the subject of this article. From these explanations the article's relation to application will be derived, and groups of questions as well as detailed questions will be developed.
TERRITORIAL DIFFERENCES IN TRANSFORMATION PROCESSES IN BULGARIA
Authors: ILIEVA Margarita
Published: October 2020

The transformation processes in Central and Eastern Europe, including Bulgaria, are subject of many investigations in the last two decades. Up to now there is no geographical survey on the territorial differences and their course in Bulgaria. The aim of this investigation is to study these differences in the transformation process in Bulgaria by 28 administrative districts (NUTS3). On the basis of analyses and comparisons of GDP per capita in different units (an indicator, accepted by specialists as the most common parameter) and the calculated values of integral indicator (reflecting the influence of 15 interlocked factors), the existing significant differences in the achieved level of transformation in the country are shown. At this stage there is no sufficient research to determine the threshold value of the integral indicator and to say with certainty that the territorial units, having values above it, are winners from the transformation process, and those with values below it, are losers.
DOES AN EFFICIENT BUSINESS REGULATORY ENVIRONMENT MATTER AT URBAN LEVEL? SOME EVIDENCE FROM CHINESE CITIES
Authors: MARRA Alessandro , CARLEI Vittorio
Published: October 2020

It is widely acknowledged that firms require an efficient regulatory environment: if transaction costs generated by business regulations are not onerous, firms grow more and develop more quickly, attract more foreign direct investment, and employ more workers. But what does it induce alterations in the basic institutional framework? In this paper we intend to test North’s thesis by which as trade expands and the size of the market grows, transaction costs increase requiring that more and more resources should be devoted to improving existing regulations and, then, reducing such costs. The paper is structured as follows. Section 1 introduces. Section 2 provides the theoretical background. Section 3, based on World Bank data on 30 Chinese cities, investigates whether there is a correlation at urban and provincial levels between efficient business regulations on one side and economic outcomes (gross domestic product, foreign direct investment, employment, etc.) on the other. Section 4 addresses the pilot question mentioned above and tests whether simpler and less costly ways of meeting legal requirements for starting and running a business are associated with long-run trade. Section 5 discusses results in the light of theoretically assumed causal links and proposes a 2SLS regression model, whereby a geographical instrumental variable is used to investigate the causal relationship between business regulations and exports.