bluuebunny/crossref_metadata_2025 huggingface dataset:
Sobre história, memória e patrimônio no Sul do Brasil - monumentos aos açorianos em Porto Alegre e Florianópolis
Authors: Ramos Eloísa Helena Capovilla da Luz , Oliveira Luciana da Costa de
Published: November 2020

Esse texto estuda a história dos monumentos à imigração açoriana nas cidades de Porto Alegre e Florianópolis. Os e/i/migrantes açorianos ao se deslocarem para o Sul do Brasil trouxeram consigo seu modo de vida e suas crenças e aqui se organizaram social e economicamente apesar das dificuldades naturais do século XVIII. Nos séculos XIX e XX outros grupos imigrantes aqui chegaram entre os quais os alemães (1824), os italianos (1875) e os japoneses (1908). Quando estas comunidades completaram ou completam aniversário de sua chegada ao Brasil, suas lideranças, sozinhas ou juntamente com governos locais, regionais e nacionais organizaram comemorações e muitos ergueram monumentos em homenagem aos seus pioneiros, marcando definitivamente tais datas através do uso do mármore, do bronze, do cimento ou do ferro, entre outros materiais. Para a feitura desses monumentos foram buscados, além da vontade do grupo proponente, documentos, plantas, maquetes, fotografias, memórias e rememorações dos acontecimentos. Também foram lembrados os discursos pronunciados no dia da inauguração, as fotografias e os jornais, o que nos dá a dimensão de sua importância para a comunidade que os erigiu. Na elaboração desse texto buscamos, na história do grupo açoriano reafirmar a sua importância através dos monumentos construídos em sua homenagem e, também, questionar a atualidade desses dois lugares de memória enquanto patrimônios materiais dessas duas cidades.
Repatriamento e remanescentes humanos - musealia, musealidade e musealização de objetos indígenas
Authors: Cury Marilia Xavier
Published: November 2020

Resumo: O artigo propõe uma discussão sobre restituição e repatriamento de objetos e coleções indígenas, como forma de atendimento a direitos humanos. A problemática central está nos remanescentes humanos como musealia carregada de colonialismo nas construções da musealidade e na musealização. O que para o museu é “coisa” ou objeto, para os indígenas é um ser humano, conforme as visões e  as vozes indígenas trazidas para o artigo, que reforçam uma visão da espiritualidade. Essa visão espiritual deve ser conhecida pelos profissionais dos museus para a construção de novas práticas museais e de novas relações entre indígenas e museus, todas elas baseadas no respeito.
A construção do patrimônio e identidades emergentes no Maciço da Pedra Branca (RJ)
Authors: Oliveira Maria Amália Silva Alves de , Pena Ingrid Almeida de Barros
Published: November 2020

Com a instituição de uma Unidade de Conservação no maciço da Pedra Branca, em 1974, as fronteiras e usos do espaço foram redefinidos, exercendo um efeito sobre as práticas agrícolas ali estabelecidas. Decorre daí não só transformações socioespaciais, mas também a emergência de identidades sociais múltiplas, e com isso, a revalorização da memória e ressignificação de bens culturais. Utilizando como métodos revisão bibliográfica, pesquisa documental e entrevistas, buscamos analisar os bens culturais presentes no Parque Estadual da Pedra Branca tendo como pano de fundo a noção de patrimônio. Para tal, apresentamos em perspectiva histórica a noção de patrimônio natural, que ganhou destaque na esfera da Organização das Nações Unidas para a Educação, a Ciência e a Cultura, cujas diretrizes ressoam no Brasil. A análise resultante está também ancorada na ideia de comunidades tradicionais, e dos valores culturais que são construídos por esses grupos, a partir de uma abordagem teórica cunhada nas noções de memória e território. Nossas reflexões nos conduzem à ideia do turismo enquanto estratégia para reconhecimento identitário, em especial, em contextos onde memórias e territórios estão disputa, e identidades emergentes buscam ser organizadas e legitimadas.  Assim, estão sendo evidenciados no Maciço da Pedra Branca modos de vida, memórias, trajetórias que residem justamente no conjunto de práticas relacionadas à natureza, contribuindo para a construção do patrimônio natural.
Memória, identidade e digitalização de bens culturais: o legado da Missão de Pesquisas Folclóricas no Brasil
Authors: Lemos Jr Urbano , Gosciola Vicente
Published: November 2020

O artigo resgata uma iniciativa inédita e visionária. Em 1938, Mário de Andrade constata a necessidade de registrar manifestações culturais populares sob o risco de desaparecer com a crescente urbanização do país e envia uma equipe ao Norte e Nordeste do Brasil para a Missão de Pesquisas Folclóricas. O grupo reúne um legado por meio de registros sonoros e audiovisuais. Passados mais de sessenta anos, o material foi digitalizado e hoje é um dos mais importantes registros culturais brasileiros. O estudo aponta essa diligência como percursora em busca de uma consciência preservacionista em solo brasileiro, já que preconiza a importância do registro de materiais sobre patrimônios culturais e sua enorme relevância para a preservação de memórias e identidades. Deste modo, o objetivo do artigo é alumbrar sobre os novos procedimentos de conservação, divulgação e difusão de bens culturais na contemporaneidade. A metodologia empregada é analisar tanto a formatação de um produto físico com materiais digitalizados quanto o desenvolvimento de uma plataforma web com possibilidades significativas para a preservação e difusão de bens culturais. O estudo recorre a teoria da modernidade tardia para dissertar sobre o caráter de continuidade de tradições que são reincorporadas e reinventadas no ciberespaço. Os resultados da pesquisa buscam ampliar o debate sobre a importância da digitalização de documentos sobre patrimônios culturais e sua consequente preservação. Conclui-se, portanto, que a digitalização pode tornar-se um repositório capaz de conservar e difundir os valores culturais de um patrimônio, contribuindo com a preservação de memórias e a formação de identidades.
Os inventários da Celebração de Bom Jesus dos Passos, Oeiras, Piauí, Brasil
Authors: Pinheiro Áurea da Paz , Carvalho Rita de Cássia Moura , Dos Santos Francisco Stefano Ferreira
Published: November 2020

O Nordeste do Brasil não é maciço e único, o Piauí, igualmente, é um território atravessado por singularidades, rico e complexo em patrimônios natural e cultural, que ainda estão por serem investigados, registrados, comunicados e salvaguardados. Neste artigo, apresentamos notas de dois inventários do patrimônio cultural imaterial da Celebração de Bom Jesus dos Passos, um em 2007 e outro em 2019, no sertão do Estado. Dez anos separam esses inventários elaborados por uma equipe inter e multiprofissional, com a colaboração das comunidades locais detentoras dos patrimônios. Construímos olhares e percepções diversas de mundo, que nos permitiram coletar e registrar formas, cores, movimentos, dramatizações, teatralizações e diálogos mediados entre patrimônios, territórios e comunidades. Conseguimos narrar memórias e histórias da Celebração, que marcam o cotidiano, que aprofundam os laços de identidades das pessoas umas com as outras. Histórias presentes nas ruas, praças, casas, lugares de memória vivenciados e experenciados por devotos em rituais, festas e celebrações tradicionais da cultura brasileira, nordestina e piauiense em particular; histórias de homens, mulheres e crianças marcadas pela tradição cultural de um tempo presente, em rápida e constante transformação. Realizar inventários participativos é conviver com as pessoas, compreender que não existem histórias sem sentido, que é preciso encontrá-las onde quer que estejam.
Culturas construtivas com terra no alto espaço andino. Abordagens tecnológicas e sociais desde o norte da Argentina
Authors: Tomasi Jorge , Barada Julieta , Barbarich María Florencia , Veliz Natalia , Saiquita Virginia
Published: November 2020

Las técnicas de construcción con tierra tienen una alta relevancia histórica y contemporánea para la producción de la arquitectura en toda el área andina. Si bien se trata de un conjunto de prácticas y saberes diverso, este se integra en una cultura constructiva que es indisociable de otros aspectos de la vida social. Esta cultura constructiva no es una totalidad homogénea, sino que presenta importantes variaciones locales, dentro de una concepción dinámica.En este trabajo se propondrá una aproximación a las culturas constructivas en el área andina a partir del estudio realizado en comunidades del actual norte argentino. El objetivo es analizar las prácticas y procedimientos en una escala regional y local, considerando cómo lo constructivo es un hecho social y está profundamente imbricado en las prácticas pastoriles y agrícolas, entre otras dimensiones. Se considerarán las variaciones en la región y el modo en que estos modos de hacer se han transformado a lo largo del tiempo, a partir de proponer que la tradición no es un hecho estático, sino la actualización en el presente de las prácticas históricas. El material que se presentará ha surgido de las investigaciones individuales y colectivas desarrolladas por el equipo del Laboratorio de Arquitecturas Andinas y Construcción con Tierra, que comparten en términos metodológicos una aproximación etnográfica en pos de reconocer los puntos de vista locales sobre las prácticas constructivas.
Arquitetura popular afro-brasileira
Authors: Weimer Gunter
Published: November 2020

A arquitetura africana tem uma história multimilenária que, até hoje, tem sido pouco estudada. Em sua grande diversidade de manifestações, apenas uma parte foi trazida para o Brasil devido à égide de preconceitos existentes no período do comércio escravista. Por esta razão examinam-se as diretrizes principais das culturas banto e sudanesa. Como no período colonial a população de origem africana era majoritária, sua arquitetura se tornou hegemônica nos estratos populares, apesar das influências das culturas indígenas e lusitana. Através deste mecanismo, ela desenvolveu uma grande capacidade de adaptação.
Cronistas que visibilizan saberes ancestrales
Authors: Henriquez Alejandro , Ocampo Jaime Alberto Sarmiento
Published: November 2020

Resumen: Un tema central en las políticas de conservación de Patrimonio Inmaterial o Intangible es la recuperación de oficios y saberes tradicionales, entendidos como ejemplos de manifestaciones expresiones, conocimientos y prácticas que dan a la comunidad y a un grupo humano un sentido de identidad, pertenencia y continuidad histórica. De manera similar, el Ministerio de Cultura de Colombia y su Dirección de Patrimonio ha liderado una iniciativa que cuestiona la invisibilización política, económica y cultural de la población afrocolombiana e intenta reivindicar la memoria de resistencia y construcción del territorio, expresados en oficios como la construcción de embarcaciones de madera. El artículo que se presenta a continuación es el resumen de una exploración por el oficio de la “Carpintería de Ribera” en la isla de Tierra Bomba en la costa caribe de Colombia, narrada a través de las voces de maestros y aprendices que conservan las técnicas y los conocimientos para construir dichas embarcaciones, y que hacen parte de un proyecto que incluye equipos interdisciplinarios, cursos de aprendizaje y talleres prácticos. Para entrevistar a los protagonistas se apela al uso de cuadernos de viaje que, como los usados por los cronistas de antaño, se convierten en herramientas para recoger, reconocer y transmitir las vivencias de sus actores de forma eficaz e íntima. Con sus relatos y sus dibujos recuperan, ellos mismos, una tradición ancestral que logra ser hoy también una adecuada manera de trabajar en la búsqueda de estrategias para recuperar oficios y saberes tradicionales en el ámbito del Patrimonio Cultural.
Emergência Guarani-Mbyá nas Missões Jesuíticas. Novos atores no Patrimônio Cultural?
Authors: Seixas Ana Luisa Jeanty , Marzulo Eber Pires
Published: November 2020

O artigo trata do processo de valorização patrimonial e da intrínseca necessidade de problematizar ideias estabelecidas, desde uma abordagem que incorpore novos atores à questão patrimonial. Se a ideia de patrimônio cultural vem se modificando ao longo dos anos, apenas muito recentemente tem ocorrido a inclusão de atores sociais fundantes do próprio patrimônio nas regiões do globo colonizadas pelas potências europeias a partir do século XV, em especial nas Américas. Os “novos atores sociais”, muitas vezes são agrupamentos presentes desde a pré-história nos territórios com bens patrimonializados, mas que não tiveram seu legado reconhecido como patrimônio cultural, ou apenas há pouco tempo e mesmo assim de maneira subordinada e secundária. Para analisar a questão se toma como caso as Ruínas Jesuíticas Guarani, em São Miguel das Missões, no Rio Grande do Sul/Brasil, patrimônio reconhecido oficialmente há quase um século, cuja valorização da cultura Guarani ainda precária e incompleta é constrangedoramente recente. Em particular, será analisado o processo de reconhecimento da dimensão imaterial Guarani do bem “Tava, Lugar de Referência para o Povo Guarani”, declarada patrimônio cultural brasileiro em 2014. A análise da valorização da Tava como patrimônio será realizada a partir da compreensão de diferentes narrativas constitutivas de um mesmo bem cultural. As formulações aqui apresentadas partem de pesquisa em andamento e se inserem no interior da abordagem da crítica à perspectiva colonial da patrimonialização.
Remanescentes das Missões Jesuítico-Guaraní no Rio Grande do Sul: da pedra e cal à paisagem cultural
Authors: Meira Ana Lúcia Goelzer , Silva Leonardo Alberto Corá
Published: November 2020

O patrimônio material e imaterial das Missões, simbolizado pelas ruínas de São Miguel Arcanjo, recebeu todas as formas de reconhecimento e valorização patrimonial ao longo de muitas décadas: tombadas como Patrimônio Histórico e Artístico Nacional, nomeadas como Patrimônio Mundial pela Unesco, registrada como Patrimônio Cultural do Brasil, associada ao reconhecimento como Referência Cultural Brasileira, Patrimônio Cultural do Mercosul e talvez, no futuro, possa vir a ser chancelada como paisagem cultural. Para isto, é necessário dar continuidade ao processo de conhecimento dos patrimônios não consagrados, ao conhecimento dos seus significados e valores, e às relações dinâmicas existentes. A relevância da experiência Jesuítico-Guarani e sua influência sobre a formação cultural do estado, com o tempo, receberam novas contribuições, enriqueceram-se e se diversificaram. Esses aportes são coerentes com o conceito de paisagem cultural que pela sua amplitude, agrupa diversos municípios em torno do projeto de valorização de um território, além de pressupor o diálogo entre distintos grupos sociais.
Bens culturais, mercado e italianidade: memórias da imigração no Rio Grande do Sul
Authors: Beneduzi Luis Fernando
Published: November 2020

A imigração italiana constituiu um fenômeno importante na história do Rio Grande do Sul, seja do ponto de vista étnico-cultural, seja político, econômico ou social.  A mão-de-obra dos imigrantes contribuiu para a diversificação da economia gaúcha já nas primeiras décadas do século XX. Por outro lado, esse desenvolvimento econômico colaborou para o nascimento de uma elite étnica local que, na década de 1920, tomou para si o direito/dever de produzir a memória de uma imigração vitoriosa.  Portanto, já nas décadas de 1920-1930, memória, narrativas sobre a imigração italiana e italianidade se entrecruzavam com a economia e a política, indicando uma etnia que contribuiu para o progresso econômico e social do estado. No tempo, os momentos de crescimento do brand “Itália” nos mercados interno e exterior se sobrepuseram a uma ênfase na positividade étnica italiana.  O objetivo do presente artigo é buscar compreender quanto dos códigos de italianidade contemporâneos remontam àquele momento primordial da década de 1920 e como o mercado foi moldando este novo produto de consumo, os bens imateriais associados aos ítalo-gaúchos.
Metoidioplasty using labial advancement flaps for urethroplasty
Authors: Meltzer Toby R. , Esmonde Nick O.
Published: November 2020

Aim: A variation of the ring metoidioplasty has been performed for masculinizing transgender surgery by the senior surgeon since 2010. It does not require buccal grafts or vaginal wall flaps. An excisional vaginectomy was completed in all patients. We sought to evaluate the urologic outcomes and complications for this technique. Further, we provide a detailed technical description of the technique, including ancillary masculinizing procedures. Methods: This is a retrospective, single surgeon chart review of all patients undergoing metoidioplasty from 2010 to 2020. Demographics, outcomes, and complications are reported. A self-reported patient questionnaire provided data on patient-perceived urologic outcomes. Results: Ninety-one patients were included in the study, with 80 (87.9%) patients reporting ability to stand and void with a strong stream. We observed five strictures (5.5%) and one fistula (1%). Scrotoplasty with tissue expanders and testicular implants were performed in 75 (82.4%) patients, while monsplasty was performed in 54 (59%) patients. Conclusion: Our technique has a low complication rate and patients report a strong urinary stream and the ability to stand in the large majority of cases. Ancillary masculinizing procedures are common. The limitations of metoidioplasty, in general, still persist, which are the small phallus size and variable ability to clear the zipper without lowering the pants to void.
Hyaluronic acid for lower eyelid and tear trough rejuvenation: review of the literature
Authors: Diaspro Alberto , Sito Giuseppe
Published: November 2020

Periorbital aging has been identified as one of the most important aesthetic concerns of the face, so that lower eyelid rejuvenation has become a topic of major interest. Not every patient requires surgical blepharoplasty and selected lower eyelid problems and defects due to the aging process have been treated with hyaluronic acid (HA) gel injections since 2004. With this as the premise, the current work serves to review the published medical literature on the use of HA for lower eyelid and tear trough rejuvenation. A PubMed search was carried out in May 2020 using the search terms: “Tear trough [and] HA [and] filler”; “Tear trough [and] HA”; “HA [and] lower eyelid [and] filler”; “HA [and] lower eyelid”. A large number of relevant studies were identified. Surgical management remains the gold standard for lower eyelid rejuvenation but increasingly, non-surgical correction of selected deformities with HA injection may provide a reliable option based on the available evidence. Further, prospective randomized controlled studies and systematic reviews of the literature are nevertheless desirable and a standardized, widely accepted grading system of the deformity and its treatment outcomes will allow us to codify this procedure better.
Ptosis repair: external levator advancement vs. Muüller’s muscle-conjunctiva resection - techniques and modifications
Authors: Laplant Jacquelyn F. , Kang Julia Y. , Cockerham Kimberly P.
Published: November 2020

Surgical techniques for ptosis repair continue to evolve as we gain a better understanding of the anatomy and physiology of the eyelid. External repair by levator advancement and internal repair by Muüller’s muscle-conjunctiva resection are the most established surgical techniques used for acquired ptosis today. Controversy over their relative indications, advantages, and disadvantages exist. The advent of new surgical techniques and modifications has further complicated traditional algorithms that guide a surgeon towards choosing an external vs. internal approach. Specifically, the use and interpretation of pre-operative phenylephrine testing has recently been challenged. The purpose of this study is to review the evolution of external and internal ptosis repair techniques, and current trends in pre-operative evaluation and surgical management of acquired ptosis.
Parenchymal transection in robotic liver resection: results of 70 resections using the Vessel Sealer
Authors: Nota Carolijn L. , Molenaar I. Quintus , te Riele Wouter W. , van Santvoort Hjalmar C. , Rinkes Inne H. M. Borel , Hagendoorn Jeroen
Published: November 2020

Aim : There is no standard technique for transection of the hepatic parenchyma during robotic liver resection. The aim of this study was to describe the outcomes of robotic liver resections using the Vessel Sealer for parenchymal transection.

Methods : This is a post hoc analysis of a prospective database. All consecutive patients who underwent robotic liver resection in the Regional Academic Cancer Centre, Utrecht, Netherlands, between August 2015 and January 2019 were included.

Results : A total of 70 robotic liver resections were performed, including 60 minor resections (86%) and ten hemihepatectomies (14%). Five procedures (7%) were converted. Mean parenchymal transection time was 43 ± 26 min. Median blood loss was 150 mL (interquartile range 40-300). Ten patients (14%) suffered from a major complication, and three patients (4%) had bile leakage postoperatively. One patient died from post-hepatectomy liver failure.

Conclusion : Based on the results of this series, consisting of 60 minor liver resections and 10 hemihepatectomies, we conclude that the use of the Vessel Sealer during the parenchymal transection in liver resection is feasible and safe.
The role of Vitom-3D in the management of spinal meningiomas: review of the literature and illustrative case
Authors: de Divitiis Oreste , d’Avella Elena , Sacco Matteo , Somma Teresa , Turgut Mehmet , Baro Valentina , Denaro Luca
Published: November 2020

The favorable outcome generally associated with spinal meningioma surgery is the result of the continuing refinement of the surgical technique, the use of intraoperative neuromonitoring, and a better understanding of the tumor biological behavior. Among all the technological advancements, visualization tools are the keys to any successful surgical procedure. The operating microscope is the gold standard in all neurosurgical procedures. In recent years, high-definition exoscope systems have entered the field of neurosurgery, as another tool in the armamentarium of the contemporary neurosurgeon. After initial experiences and technical improvements, the exoscope has proven to be best suited for spinal procedures. This study aims to briefly review the exoscope journey in neurosurgery, with a special focus on spinal meningioma surgery. Benefits and limitations are analyzed and an illustrative case is reported. Spinal meningiomas removal under exoscope visualization has proven to be feasible, efficient, and safe. Indication for the use of the exoscope greatly depends on meningioma size, consistency, relationship to surrounding neurovascular structures, and the surgeon’s experience. Switching to the operating microscope, if deemed safer, should always be considered.
Predictors for procedural success and all-cause mortality in patients undergoing transcatheter mitral valve edge-to-edge repair for mitral regurgitation
Authors: Stolz Lukas , Orban Martin , Braun Daniel , Nabauer Michael , Hagl Christian , Massberg Steffen , Hausleiter Jörg , Orban Mathias
Published: November 2020

A growing body of evidence shows that transcatheter mitral valve edge-to-edge repair (TMVr) for mitral regurgitation (MR) improves symptoms and prognosis of patients with heart failure. Still, as recently shown by two large randomized controlled trials (COAPT and MITRA-FR), there is differing information on which patients have the largest benefit. We aimed to summarize the current knowledge of clinical and anatomic predictors for acute procedural failure and long-term all-cause mortality after TMVr. TMVr is an effective treatment option for patients with symptomatic MR fulfilling certain echocardiographic and clinical criteria or being ineligible for surgery despite optimal medical therapy. Acute procedural failure is influenced by anatomic features of the mitral valve, among those are increased tenting and mitral valve leaflet configuration, leaflet-to-annulus index, as well as the mitral valve opening area. In contrast, anatomy of the mitral valve plays a minor role in predicting all-cause mortality after TMVr. This endpoint is associated with patient comorbidities (e.g., renal failure and chronic lung disease), severe heart failure as expressed by New York Hear Association functional class (NYHA) IV, left and right heart dysfunction, laboratory parameters (NT-proBNP), clinical scoring systems (STS and EuroScore), and procedural MR reduction. In patients undergoing TMVr for severe MR, careful preprocedural evaluation of relevant comorbidities, mitral valve anatomy, as well as left and right heart function can provide detailed prognostic value regarding acute procedural success and long-term survival.
Robotic surgery of gallbladder cancer
Authors: Belli Andrea , Patrone Renato , Albino Vittorio , Leongito Maddalena , Piccirillo Mauro , Granata Vincenza , Pasta Gilda , Palaia Raffaele , Izzo Francesco
Published: November 2020

Aim : The aim of this study was to describe our technique for the surgical treatment of clinically suspected or incidentally diagnosed gallbladder cancer (GBC) and to report the outcomes of our experience.

Methods : This is a retrospective observational study including consecutive patients operated by a robotic approach for the surgical treatment of clinically suspected or incidentally diagnosed GBC (with the intent of radical re-resection after index cholecystectomy) performed between January 2017 and December 2019. Clinical outcomes and technical details related to the robotic approach were analyzed.

Results : During the study period, 8 patients underwent robotic radical cholecystectomy with lymphadenectomy and atypical resection of segments IVb-V. No conversion or major complications occurred intraoperatively. All patients underwent a radical resection. There were one Clavien-Dindo grade II and one grade IIIb complication. Median hospital stay was 6 days (range 5-11). At a median follow-up of 17.5 months (range 29.3-7.3), all patients are alive and free from disease except one who had peritoneal recurrence and underwent chemotherapy. No trocar site recurrence was observed.

Conclusion : The present study describes a standardized step-by-step robotic technique for the surgical treatment of GBC and demonstrates the feasibility and safety of the robotic approach. More data and multicentre series are needed to confirm our results and to assess the oncologic outcomes of the robotic approach.
3D printing applications for percutaneous structural interventions in congenital heart disease
Authors: Tredway Hannah , Pasumarti Nikhil , Crystal Matthew A. , Farooqi Kanwal M.
Published: November 2020

The past several decades have seen remarkable advancements in percutaneous interventions for treatment of congenital heart disease (CHD). These advancements have been significantly aided by improvements in noninvasive diagnostic imaging. The use of three-dimensional (3D) printed models for planning and simulation of catheter-based procedures has been demonstrated for numerous cardiac defects and has been shown to reduce complications, procedure times, and limit radiation exposure. This paper reviews the process by which patient-specific 3D cardiac models are produced, as well as numerous applications of these models for use in percutaneous interventions in CHD.
Intraprocedural guidance in percutaneous mitral valve repair
Authors: Ancona Francesco , Stella Stefano , Capogrosso Cristina , Melillo Francesco , Ingallina Giacomo , Boccellino Antonio , Napolano Antonio , Agricola Eustachio
Published: November 2020

Percutaneous mitral valve intervention is emerging as a valid alternative for patients affected by mitral regurgitation. By addressing the pathophysiology, therapeutic options mainly target the leaflets, annulus or left ventricle. The present review will cover the intraprocedural guidance of the most used approaches, such as edge to edge repair, adjustable transapical beating-heart chordal implantation and percutaneous direct or indirect annuloplasty. Intraprocedural monitoring relies on integration of fluoroscopy and echocardiography, and is based on the continuous communication between the interventional imager and the interventional cardiologist.
Robotic Heller myotomy
Authors: Sollie Zachary W. , Jiwani Alisha Z. , Wei Benjamin
Published: November 2020

Achalasia is a neurodegenerative disorder of the esophagus of unknown etiology, which affects motility, causing symptoms such as progressive dysphagia with liquids then solids, heartburn, regurgitation, odynophagia, weight loss, nocturnal cough, and chest pain. Evaluation will show a characteristic “bird’s beak” appearance on barium esophagram and diagnosis is confirmed with esophageal manometry. Durable relief from the symptoms of achalasia can be achieved with pneumatic dilation, per-oral endoscopic myotomy, or surgical myotomy. Laparoscopic Heller myotomy with Dor (or Toupet) fundoplication for many years had been considered the gold standard for therapy. Since its development in 2001, the robotic Heller myotomy (RHM) has gained increasing popularity. Studies have shown equivalent efficacy of relieving achalasia symptoms but decreased incidence of esophageal perforation with RHM. The higher cost of RHM remains the largest barrier. Our objective was to provide a brief review of the current literature related to RHM and provide a detailed description of how to perform the procedure.
Multimodality imaging for preprocedural planning of percutaneous mitral valve repair: a comprehensive review
Authors: Melillo Francesco , Boccellino Antonio , Ingallina Giacomo , Ancona Francesco , Capogrosso Cristina , Napolano Antonio , Stella Stefano , Agricola Eustachio
Published: November 2020

New transcatheter mitral valve (MV) therapies are now available as alternatives to surgical and medical treatments in patients at high or prohibitive operative risk. Multimodality imaging including echocardiography, cardiac magnetic resonance, and cardiac computed tomography provide complementary information to guide patient and device selection. Morphology and functional anatomy of the MV should be carefully evaluated to determine the feasibility of percutaneous treatment; to identify the best therapeutic approach, either leaflet or annulus or combined; and to predict the probability of procedural success that is crucial for subsequent outcome and should be integrated by comprehensive preprocedural assessment of chamber size, biventricular systolic and diastolic function, valvopathy hemodynamic impact and aortic or peripheral vascular disease. The spectrum of transcatheter options is now wide and encompasses leaflet repair, direct or indirect annuloplasty, and cordal implantation. The aim of this review is to provide an overview on the role of multimodality imaging in the patient selection and preprocedural planning of percutaneous mitral valve repair.
Knowledge of Dental Academics about the COVID-19 Pandemic: A Multi-Country Online Survey
Authors: Ammar Nour , Aly Nourhan M. , Folayan Morenike O. , Mohebbi Simin Z. , Attia Sameh , Howaldt Hans-Peter , Boettger Sebastian , Khader Yousef , Maharani Diah A. , Rahardjo Anton , Khan Imran , Madi Marwa , Shamala Anas , Al-Batayneh Ola B. , Rashwan Maher , Pavlic Verica , Cicmil Smiljka , Galluccio Gabriella , Polimeni Antonella , Mancino Davide , Arheiam Arheiam , Dama Mai A. , Nyan Myat , Phantumvanit Prathip , Kim Jin-Bom , Choi Youn-Hee , Castillo Jorge L. , Joury Easter , Abdelsalam Maha M. , Alkeshan Mohammad M. , Hussein Iyad , Vukovic Ana P. , Iandolo Alfredo , Kemoli Arthur M. , Tantawi Maha El
Published: November 2020

Background

COVID-19 is a global pandemic affecting all aspects of life in all countries. We assessed COVID-19 knowledge and associated factors among dental academics in various countries.

Method

We invited dental academics to participate in a cross-sectional, multi-country, online survey from March to April 2020. The survey assessed knowledge of COVID-19 regarding the mode of transmission, symptoms, diagnosis, treatment, protection, and dental treatment precautions as well as participants’ background variables. The analysis was based on multilevel linear models to assess the association between knowledge and factors at individual levels (personal and professional) and country-level (number of COVID-19 cases/ million population), accounting for random variation among countries.

Results

Two thousand forty-five academics from 26 countries participated in the survey (response rate= 14.3%, with 54.7% female and 67% younger than 46 years of age). The mean (SD) knowledge percent score was 73.2% (11.2), and the knowledge of symptoms score was significantly lower than the diagnostic methods score (53.1% and 85.4%). Knowledge was significantly higher among those living with partner/spouse than those living alone (regression coefficient (B)= 0.48); those with PhD than those with BDS (B= 0.48), those seeing 21 to 30 patients daily than those seeing no patients (B= 0.65) and those from countries with a higher number of COVID-19 cases/million population (B= 0.0007).

Conclusions

Dental academics had poorer knowledge of COVID-19 symptoms than diagnostic methods. Living arrangements, academic degrees, patient load, and magnitude of epidemic in the country were associated with COVD-19 knowledge among dental academics. COVID-19 training can be designed using these factors to target academics with the greatest need.
Öğrencilerinin Psikolojik Sağlamlıkları ile Duygusal ve Psikolojik İyi Oluşlukları Arasındaki İlişkinin İncelenmesi
Authors: Başaran Mustafa , Erol Mustafa , Yılmaz Derya
Published: November 2020

İlkokul 4. ve ortaokul 5. sınıf öğrencilerinin psikolojik sağlamlıkları ile duygusal ve psikolojik iyi oluşlukları arasındaki ilişkinin tespit edilmesi amacıyla yapılan bu araştırmanın yöntemi ilişkisel taramadır. Araştırmanın örneklemini 2018-2019 eğitim-öğretim yılında İstanbul Beylikdüzü, Esenyurt, Esenler, Avcılar, Güngören ve Zeytinburnu ilçelerinde bulunan devlet okullarında öğrenimine devam eden toplam 741 ilkokul 4. ve ortaokul 5. sınıf öğrencisi oluşturmaktadır. Araştırmanın örneklemi kolay ulaşılabilir örnekleme yöntemi ile belirlenmiştir. Araştırmada verilerin elde edilmesinde “Çocuklar ve Gençler İçin Psikolojik Sağlamlık Ölçeği ve “Stirling Çocuklar için Duygusal ve Psikolojik İyi Oluş Ölçeği” kullanılmıştır. Araştırmada elde edilen verilerin analizinde t testi, F testi (ANOVA) Basit Doğrusal Regresyon ve Korelasyon (Pearson Momentler Çarpımı-r) kullanılmıştır. Araştırma bulgularına göre, öğrencilerinin duygusal ve psikolojik iyi oluşlukları ile psikolojik sağlamlıkları arasında pozitif yönlü bir ilişkinin olduğu ve duygusal ve psikolojik iyi oluşluğun psikolojik sağlamlığın anlamlı bir yordayıcısı olduğu belirlenmiştir. Ayrıca erkek öğrencilerin kız öğrencilere göre psikolojik sağlamlıklarının daha yüksek olduğu; arkadaşı olmanın ve aile yanında kalmanın ise duygusal ve psikolojik iyi oluşluğu olumlu etkilediği son olarak kardeş sayısının psikolojik iyi oluş ve psikolojik sağlamlık üzerinde etkili olmadığı sonucuna ulaşılmıştır.
Zawód pielęgniarki jako profesja szczególnie obciążona długotrwałym stresem i zagrożeniem wystąpienia depresji
Authors: Rybka Mariola , Rymar Agnieszka
Published: November 2020

The responsibility arising from the requirements of nursing is causing that many nurses feel pressure and discomfort every day. The multitude, intensity and frequency of stressors experienced every day by nurses inevitably lead to an increase in negative emotions. Many studies have proven the direct impact of stress experienced by nurses on the deterioration of the quality of life on its various areas. Such a multidimensional disorder in performing life roles leads to symptoms of depression, and thus to deterioration of both mental and physical well-being. Aim. The aim of the presented research was to determine the degree of stress burden on people working as a nurse and to answer the question whether nursing as a profession is particularly prone to depression. Material and methods. The group of respondents consisted of 100 nurses working in various forms of employment at Szpital Lipno Sp. z o.o. The study used a self-designed questionnaire, Beck's BDI-II test and the psychological measurement of disposable coping MINI COPE. Results. The obtained results confirmed that nursing is a profession particularly exposed to long-term stress. 80% of the surveyed nurses show a high exposure to stress, 16% of the respondents not too much, and 4% negligible. This means that eight out of ten nurses experience a high stress load in their workplace. Symptoms of depression occur in over 1/3 of respondents (34%). Conclusions. Nursing is a profession that is particularly burdened with long-term stress, and thus every third nurse indicates symptoms of depression.
Wiedza i opinie kobiet na temat wybranych aspektów nietrzymania moczu
Authors: Wojtycka Bożena , Haor Beatra ,   Państwowa Uczelnia Zawodowa we Włocławku
Published: November 2020

The therapy and prevention of urinary incontinence NTM should be focused on educational activities carried out for members of the therapeutic team, patients and their families, and the entire society. Aim. The aim of the study is to analyze women's knowledge and opinions on selected aspects of urinary incontinence. Material and methods. The study involved 100 patients with urinary incontinence. A diagnostic survey method and a survey technique were used. Results. In their own research, the respondents confirmed that urinary incontinence episodes are more often observed in older age groups of women. They also had a varied knowledge of the causes, risk factors, diagnostic methods and NTM therapy. Most of the respondents confirmed the impact of the disease on the sphere of sexual life, professional activity and family life. The smallest percentage of respondents emphasized the impact of NTM on the sphere of social life. More than half of the women indicate that they have little knowledge about the prevention of urinary incontinence. The vast majority of respondents declare that they would like to definitely expand their knowledge on this subject. Women most often stated that the common source of knowledge about NTM is information obtained from a gynecologist, urologist, specialist doctor and data from the Internet. Conclusions. 1. Women with urinary incontinence show a different level of knowledge about selected aspects of the disease. 2. Women confirm insufficient knowledge about selected aspects of urinary incontinence and at the same time show readiness to supplement it.
Postawy pielęgniarek wobec umierania i śmierci pacjenta
Authors: Ponińska Beata , Chojnacka-Kowalewska Grażyna
Published: November 2020

Patient death is an unavoidable element in the work of nurses. It is associated with experiencing various emotions which affects their value system and personal life. The aim. To examine the attitudes of nurses towards dying patients, to present their emotions, anxiety and experiences related to patients' deaths and to assess the impact on the personal life of the respondents. Methods and research material. The results of own research based on the questionnaire as well as the standardized Mini-COPE tool. Results. Gender, marital status and education do not differentiate the attitudes of nurses towards the dying and death of the patient. On the other hand, age and seniority turned out to be a factor that significantly differentiated the change in the hierarchy of values after the patient's death and had a positive effect on the level of stress. Conclusions. Summing up this work, it should be noted that the contact of nurses with dying patients exposes them to stress, negative emotions and high psychological burden. Their hierarchy of values changed after the patient's death. The ability to sympathize and proper preparation of nurses has a great impact on ensuring the reduction of suffering and the patient's dying.
Opieka pielęgniarska nad pacjentką w przebiegu anoreksji z wykorzystaniem ICNP
Authors: Ciechanowska Karolina , Krajewska Karolina
Published: November 2020

Anorexia is a disease that affects more and more people, it ffects many more women and girls than men and boys. In most cases, the disease is diagnosed between 14 and 18 years of age. People with anorexia nervosa suddenly and excessively start losing weight by eating meals in mall, low-calorie portions. In addition to excessive weight loss, there may be dangerous hormonal disorders in the body. By conducting activities aimed at creating proper psychosocial health, it is possible to avoid an increase in the incidence of anorexia. Aim of the study. The purpose of the work is to apply appropriate nursing activities to a patient with anorexia in a psychiatric ward. Case study. A 20-year-old patient in a psychiatric ward complains of feeling strong anxiety due to fear of weight gain. He avoids watching himself in the mirror. Significant dehydration of the body occurred through prolonged use of laxatives. The patient requires education regarding the disease and help in self-care activities. According to the interview, the patient was affected by this type of symptoms for the first time. Conclusions. The comprehensive care provided by medical staff has significantly improved the patient's well-being, but all activities should be continued so that the patient can recover fully.
Tymianek - roślina o wielu zastosowaniach
Authors: Ambroziak Maja , Stanowska Małgorzata , Sikorska-Zimny Kalina
Published: November 2020

Thyme has been known in Poland for centuries, initially imported, later cultivated and appreciated for its culinary and medicinal values. Currently, it is a common plant in polish region. It is most often used in the kitchen, but it should be remembered that it is included in many medicinal preparations. Found in cosmetics, used in aromatherapy as well as in floral compositions. Overview. Thyme, due to the abundance of compounds with antimicrobial and antioxidant activity, was used in respiratory diseases, anti-inflammatory and expectorant. It is supporting the functioning of the digestive system (for stomach, intestinal and liver problems). The intense aroma of thyme has been used in aromatherapy and in many cosmetics, such as pastes, creams, lotions and bath salts. Conclusions. Due to its valuable qualities, thyme is more and more often perceived as an ingredient that not only gives flavor, but also has a beneficial effect on the product. Its wide spectrum of properties causes its increasingly used in natural and modern food and cosmetic products.
Ocena jakości życia chorych z niewydolnością serca
Authors: Czekierda Beata , Chojnacka-Kowalewska Grażyna
Published: November 2020

Heart failure is a pathological condition with a poor prognosis, caused not only by heart disease, but it is also considered as the final stage of various diseases. An elderly causes natural changes that contribute to reduced heart performance. Despite the innovative methods of treatment, the number of these patients is growing rapidly. Experts predict that one out of five people will manifest symptoms of heart failure at some point in their lives, so heart failure should be perceived as a 21st century's epidemic with a component not only health but also economic. Rehospitalisation’s due to exacerbations of the disease are a serious problem, and each subsequent one worsens the quality of life of these patients, including palliative care. Aim. The aim of this study was to assess the quality of life of patients with heart failure in the cardiology ward and second internal department of the Provincial Specialist Hospital in Włocławek and the health clinic MEDICOR PLUS – Cardiologists in Włocławek. Material and methods. 105 patients with heart failure participated in the study and it was carried out by means of a diagnostic survey. As a research tool, a standardized questionnaire was used, in the Polish language version, concerning health EQ-5D-3L and a self- constructions questionnaire covering sociodemographic characteristics of the research group and questions enabling the assessment of health behaviour and analysis of the willingness to improve the respondents quality of life. The obtained data were subjected to statistical analysis. Results. There hospitalization number significantly correlate with the quality of life parameters, which support the thesis of the study. The study did not show a significant relationship between the compliance and hospitalizations due to exacerbation of heart failure, which does not support the thesis of the study. The study did not show a statistically significant relationship between the reduced number of hospitalizations and knowledge about heart failure and proper health behaviours. Conclusions. As many as 75% of the patients with heart failure show high interest in the medical institution's activities, associations working for the quality of life improvement and the nurse advices, which support the thesis of the study.
Ocena jakości życia seniorów z otyłością przebywających w środowisku domowym
Authors: Rybka Mariola , Kawczyńska Iwona
Published: November 2020

Admission. Quality of life is a difficult concept to define because it is reference to the subjective feeling of satisfaction that is influenced by many factors, including obesity. Aim. The aim of the study was to assess the impact of obesity on the quality of life of seniors over 65 living in the home environment. Material and methods. The research was conducted among students of the University of the Third Age in Włocławek. The study included 100 people aged 65 and over living in a home environment. The research was conducted on the basis of an anonymous proprietary questionnaire and the WHOQOL - BREF survey. Results. In the conducted research, the most numerous group were people aged 65-70, every fourth person was aged 71-75. Among the surveyed group, 32% of the respondents are overweight, 28% of the respondents are obese I degree, 7% obese II degree. The research shows that of the respondents were overweight or obese. Respondents with 2nd degree obesity indicate a low level of satisfaction with their health condition. Conclusions. The quality of life of seniors staying in the home environment is average, but the scale of the obesity problem calculated on the basis of BMI is high. The obtained results confirm that overweight and obesity largely affects the population of people ≥65 years old. Conclusions. The comprehensive care provided by medical staff has significantly improved the patient's well-being, but all activities should be continued so that the patient can recover fully.