bluuebunny/crossref_metadata_2025 huggingface dataset:
Arterial grafts for myocardial revascularization using the Y-composite grafts and the in situ internal thoracic artery conduits. The current status of the problem
Authors: Sabetov Azat K. , Sirota Dmitry A. , Hvan Dmitry S. , Akulov Vsevolod A. , Chernyavskiy Alexander M.
Published: June 2023

Highlights

The article outlines the modern concept of arterial myocardial revascularization, presents the most promising directions for development of coronary surgery, and describes the results and prospects of the clinical application of autogenous arterial grafts using two internal thoracic arteries in various graft configuration and in situ, making it possible to assess the effectiveness of the procedure. 

 

Abstract

There are many approaches to coronary artery bypass grafting with the internal thoracic arteries: the use of I and Y configuration, in situ grafts, and composite grafts. However, there is no consensus on the most effective type of configuration of arterial grafts. This is due to the complexity of making the composite Y graft, determination of the risk factor, and the lack of sufficient evidence regarding the main approaches to bypass grafting with autogenous arterial grafts.
ANEMIA AND LONG-TERM SURVIVAL OF PATIENTS AFTER MITRAL VALVE SURGERY
Authors: Matsuganov Denis A. , Nuzhdin Mikhail D.
Published: June 2023

Highlights

The authors have studied anemia`s impact on the long-term mortality after mitral valve surgery. The research results indicate the need to address this modifiable factor in the preoperative period.

 

Aim. To analyze the impact of anemia on the long-term survival of patients after mitral valve surgery.

Methods. The study included 103 patients, 46 of them were men, 57 were women. Thirteen patients presented with anemia before surgery, and 90 patients did not have anemia. The survival rate of patients was compared using the Kaplan-Meier estimate.

Results. The survival rate after surgery in the group of patients without anemia was higher compared with patients with anemia (p = 0,002). By the end of the follow-up period, the survival rate among patients without anemia reached 50.2%, whereas among patients with anemia it was 0.0%.

Conclusion. Anemia is an independent predictor of complications in the postoperative period in patients with low preoperative hemoglobin levels. According to the results, the presence of anemia increases the risk of adverse events by 7.71 times in the preoperative period. Moreover, patients without anemia had the highest (up to 50.2%) survival rate in the long-term period, while patients with anemia had a survival rate equal to 0.0%.
Mitral homograft in tricuspid position: indications for implantation and surgical technique
Authors: Komarov Roman N. , Nuzhdin Mikhail D. , Belov Vyacheslav A. , Chernyavsky Stanislav V. , Ismailbayev Alisher M. , Drakina Olga V. , Tsaregorodtsev Anton V. , Baziyants Lusine R.
Published: June 2023

Highlights

The article presents the latest data on the techniques of implantation of the mitral homograft in the tricuspid position, and identifies groups of patients who are best suited for this method. Moreover, the article describes the evolution of this type of replacement, and highlights that many surgical techniques, although justified, require further study to show demonstrate their advantages.

 

Abstract

Despite the general trend in cardiac surgery towards valve-preserving interventions, valve replacements remain relevant, and the search for the perfect prosthetic valve continues. Many believe that tricuspid valve replacement using a mitral homograft can be the method of choice in certain situations. The analysis of the studies found in the PubMed database led the authors to the following conclusions: most of the data on the use of this technique in patients with infective endocarditis (IE), other indications are congenital heart disease (CHD) and rheumatic heart disease. Patients with IE who have undergone tricuspid valve replacement using a mitral homograft have good medium-term prospects, and respond well to medical treatment of recurrent IE. The mitral homograft in the tricuspid position remains intact even after prosthetic endocarditis. In this regard, it is possible to perform reconstructive intervention in case of prosthetic valve dysfunction without the need for repeated replacement. Such interventions are relevant for patients with growing heart for whom annuloplasty at the first stage of surgery is undesirable. Moreover, it is also cost-effective due to the high cost and low availability of homografts. The possibility of repeated tricuspid valve-in-valve replacement is important for patients who may not survive open surgery. To date, there are not enough long-term and short-term data on using a mitral homograft for tricuspid valve replacement, however, it can be assumed that the results of this technique will be positive provided that the appropriate implantation technique and strict patient selection are ensured. Many authors have come to the conclusion that the optimal homograft implantation technique includes sewing of the graft`s papillary muscles into the wall of the myocardium of the right ventricle (RV), fixating them on the outer surface of the RV, anatomical positioning of the homograft (anterior leaflet faces towards the IVS), and the use of an annuloplasty ring.
Impact of preoperative cognitive impairment on changes in electrical activity of the brain in patients undergoing combined carotid endarterectomy and coronary artery bypass grafting
Authors: Tarasova Irina V. , Kupriyanova Darya S. , Trubnikova Olga A. , Sosnina Anastasia S. , Syrova Irina D. , Kukhareva Irina N. , Maleva Olga V. , Ivanov Sergey V. , Barbarash Olga L.
Published: June 2023

Highlights

The presence of preoperative mild cognitive impairment (MCI) in patients undergoing combined carotid endarterectomy and coronary artery bypass grafting is associated with an increased theta activity at the frontal and parieto-occipital regions of both hemispheres after surgery.

 

Abstract

Aim. To study the impact of preoperative cognitive impairment on changes in electrical activity of the brain in patients undergoing combined carotid endarterectomy and coronary artery bypass grafting.

Methods. Sixty-three patients undergoing combined carotid endarterectomy (CAE) and coronary artery bypass grafting (CABG) were included in the study. The patients were divided into three groups, depending on the preoperative cognitive functions: without cognitive impairment (n = 17), with MCI (n = 29), and with severe cognitive impairment (n = 17). High-resolution electroencephalography (EEG) (62 channels, bandpass filtered between 0.1–50.0 Hz, sampling rate of 1000 Hz) was performed 3–5 days before and 7–10 days after surgery.

Results. Patients with severe cognitive impairment at baseline presented with higher theta activity at the frontal region of the left hemisphere compared to patients without cognitive impairment and patients with MCI (p = 0.048). At the same time, patients with MCI showed the most pronounced theta activity increase after surgery compared to preoperative levels at the frontal and parieto-occipital cortical regions of both the left and right hemispheres (p≤0.05). Postoperative changes of theta activity in patients with severe cognitive impairment were minimal and statistically insignificant.

Conclusion. Patients without severe preoperative cognitive impairment presented with higher grade brain dysfunction in the form of increased theta activity at the frontal and parieto-occipital regions after combined CAE and CABG. A smaller decrease in theta power after surgery in patients with severe preoperative cognitive impairment, on the one hand, can indicate compensation after cerebral ischemia and resistance to hypoperfusion during on-pump cardiac surgery, and on the other, can be a manifestation of the ceiling effect and insufficiency of brain functional reserves.
AUTOGENOUS ARTERIAL GRAFTS FOR MYOCARDIAL REVASCULARIZATION USING THE Y-COMPOSITE GRAFTS AND THE IN SITU INTERNAL THORACIC ARTERY CONDUITS. THE CURRENT STATUS OF THE PROBLEM
Authors: Sabetov Azat K. , Sirota Dmitry A. , Hvan Dmitry S. , Akulov Vsevolod A. , Chernyavskiy Alexander M.
Published: June 2023

Highlights

The article outlines the modern concept of arterial myocardial revascularization, presents the most promising directions for development of coronary surgery, and describes the results and prospects of the clinical application of autogenous arterial grafts using two internal thoracic arteries in various graft configuration and in situ, making it possible to assess the effectiveness of the procedure. 

 

Abstract

There are many approaches to coronary artery bypass grafting with the internal thoracic arteries: the use of I and Y configuration, in situ grafts, and composite grafts. However, there is no consensus on the most effective type of configuration of arterial grafts. This is due to the complexity of making the composite Y graft, determination of the risk factor, and the lack of sufficient evidence regarding the main approaches to bypass grafting with autogenous arterial grafts.
The mental health system in Bulgaria: socialist heritage and prospects
Authors: Stoyanov Drozdstoj , Nakov Vladimir
Published: June 2023

The article overviews the current system of psychiatric care in Bulgaria based on statistical data for the country. We attempted to look at the reality of the psychiatric care system in Bulgaria as regards its structural parts, the relationships between them, their resource provision, as well as its financing. Attention is focused on some practices and policies that seem inadequate to the needs of patients, their successful treatment, and successful social rehabilitation and integration. It can be said that in recent years the Bulgarian mental health care system has not changed much and that it has a long way to go. There are socio-economic difficulties in the country, and the system needs to evolve to improve the level of care provided to patients. More importantly, Bulgaria must invest in mental health education, in preventive psychiatry, and in developing a culture of clinical management and organization.
Replacement of extensive bone defects in revision knee arthroplasty: Clinical cases
Authors: Girkalo Mikhail V. , Kozadaev Maxim N. , Shchanitsin Ivan N. , Derevyanov Aleksandr V. , Ostrovskij Vladimir V.
Published: June 2023

BACKGROUND: Total knee arthroplasty (TKA) is one of the most common orthopedic surgeries; however, the annual increase in the number of TKAs predictably increases the number of revision interventions. The key reasons for revision TKA (reTKA) are aseptic instability, paraimplant infection, postoperative contractures, and periprosthetic fractures. The metaphyseal fixation in reTKA is performed with metaphyseal sleeves, trabecular metal reconstructive cones, or metaphyseal cones made of pure titanium.
CLINICAL CASES DESCRIPTION: This study aimed to investigate and demonstrate the outcomes of reTKAs performed according to our algorithm with various metaphyseal fixators (sleeves and cones). Systematic reviews and meta-analyses do not allow claiming the advantage of one or another metaphyseal fixator with complete certainty, and this issue remains debatable. We report clinical cases that demonstrate the potential of the suggested algorithm for choosing a metaphyseal fixator in TKA, which ensures successful supplements of bone defects, correct spatial orientation, and good clinical and functional outcomes.
CONCLUSION: This study reveals that this new algorithm for choosing a metaphyseal fixator in reTKAs allows for the correct selection of a replacement implant to ensure stable rotational and axial fixation.
Anatomical and functional guidelines for the correction hindfoot malalignment
Authors: Shkuro Konstantin V. , Zeinalov Vadim T. , Arapova Irina A. , Levin Andrej N. , Vasiliev Dmitriy O.
Published: June 2023

BACKGROUND: The techniques for the surgical correction of a hindfoot valgus deformity usually include both bony and soft-tissue techniques, depending on the deformity severity. Medializing calcaneal osteotomy (MCO) is one of the main surgical techniques used to correct such deformities. However, the degree of deformity in different patients can vary significantly; thus, using the above principle, the degree of calcaneal postoperative correction can vary considerably. Based on data from various authors, patients with an insufficient correction of the heel bone axis have a residual valgus in the hindfoot. However, the lack of complete correction may result in the persistence of complaints and corrected limb recurrence.
OBJECTIVE: To improve the surgical treatment of hindfoot malalignment.
MATERIAL AND METHODS: The study analyzed treatment results of patients with ankle sprain in the Center Traumatology and Orthopedics (Moscow) between 2012 and 2020. All implantations were performed by two surgeons. The total number of patients is 60. Fifty-five patients with follow-up periods of over 12 months after the procedure were available for a retrospective analysis and assessment of results. The study enrolled 20 men and 35 women, with a mean age of 61.6 (18,540,7) years years. The mean follow-up period is 62 (1880) months.
RESULT: The mean change in the Foot and Ankle Outcome Score (FAOS) pain subscale was 27.9 (range, 8.3 to 63.9) for the moderate varus group (n = 16), 41.2 (range, 5.666.7) for the mild varus group (n = 17), and 22.3 (range, 58.3 to 63.9) for the valgus group (n = 18). In addition, patients with mild varus demonstrated better clinical outcomes than those with valgus; however, this difference was not statistically significant (p=0.11). No differences were found between groups in the change in scores for daily activities (p=0.26), sports activities (p=0.06), or quality of life (p=0.17) subscales of the FAOS.
CONCLUSION: Patients with mild varus hindfoot alignment showed significantly greater improvement than those with valgus with respect to the FAOS pain subscale and significantly greater improvement than those with moderate varus in the FAOS symptoms subscale.
Comparative analysis of endoscopic transnasal and microsurgical transoral odontoidectomy: Literature review and own experience
Authors: Shkarubo Alexey N. , Nazarenko Anton G. , Chernov Ilya V. , Andreev Dmitry N. , Kuleshov Alexandr A. , Konovalov Nikolai A. , Lisyanskiy Igor N. , Sinelnikov Mikhail E.
Published: June 2023

BACKGROUND: Odontoidectomy is indicated in the case of anterior compression of brainstem structures by an invaginated dentoid process, and it is currently possible to perform both transoral microsurgical and transnasal endoscopic access.
OBJECTIVE: To conduct a comparative analysis of endoscopic transnasal and microsurgical transoral odontoidectomy performed by the first author.
MATERIALS AND METHODS: The treatment results of 29 patients with pathological conditions, including anterior compression of stem structures with an invaginated dentoid process, were analyzed. Of 29 patients, 5 (17%) underwent surgery transnasally endoscopically, and 24 (83%) underwent surgery transorally microsurgically.
RESULTS: Decompression of brainstem structures was achieved in all cases. The absence of the need to install a tracheostomy before surgery and the smaller volume of oropharyngeal trauma allow patients to undergo transnasal removal of the dentoid process and endure the postoperative period easier and faster.
CONCLUSION: Currently, endoscopic transnasal access is gradually replacing transoral access in certain patients who are indicated for anterior odontoidectomy. Moreover, the literature analysis shows an ever deeper development of this technique; however, unambiguous indications of the use of transoral or transnasal access have not been formed at present.
A contextualização no Ensino de Química por Meio de Séries Televisivas
Authors: Silva Camila Simone da , Bedin Everton
Published: June 2023

Considerando que a maioria das aulas de química na Educação Básica é promovida de forma descontextualizada, e que a maior parte dos alunos se mostra desinteressada em relação à ciência, este trabalho apresenta, à luz de atividades desenvolvidas durante o Estágio Supervisionado em Química IV, resultados e avaliações de uma ação contextualizada da ciência Química às séries televisivas, despertando no aluno o interesse e a curiosidade por essa ciência. Para tanto, foi elaborado e aplicado um projeto de ensino sobre séries televisivas no intuito de contextualizar, retomar e introduzir conceitos químicos. As atividades foram desenvolvidas em duas turmas de segundo ano do Ensino Médio, em uma Escola Estadual de Novo Hamburgo/RS. A partir desse estudo de natureza básica, por meio de uma pesquisa-ação de abordagem qualitativa, foi possível confirmar a hipótese de que as séries televisivas são estratégias didático-pedagógicas para que os conteúdos e os conceitos da ciência Química possam ser trabalhados de forma contextualizada, instigando a participação ativa e crítica do aluno no decorrer da construção do próprio conhecimento. Assim, sugere-se que o uso da contextualização em sala de aula com ênfase em séries televisivas seja realizado nas escolas, visto que se configura como um meio de fazer com que o estudante perceba a ciência química presente em seu cotidiano, utilizando-a para aprimorar a sociedade e tornar-se um cidadão ético e reflexivo.
Palavras-chave: Contextualização. Séries Televisivas. Ciência Química.
AbstractConsidering the majority of chemistry classes in Basic Education promoted in a decontextualized way, and that most students are uninterested in science, this article presents, in the light of activities developed during the Supervised Internship in Chemistry IV, results and evaluations of a contextualized action of Chemistry science to the television series, awakening in the student the interest and curiosity for this science. To this end, a teaching project about on television series was developed and applied to contextualize, summarize and introduce chemical concepts. The activities were developed in two classes in the second year of high school, in a State School in Novo Hamburgo/RS. Based on this basic study, through action research with a qualitative approach, it was possible to confirm the hypothesis that television series are didactic-pedagogical strategies so that the contents and concepts of chemical science can be worked in a contextualized way, instigating the student's active and critical participation during the construction of their knowledge. Thus, it is suggested that the use of contextualization in the classroom with an emphasis on television series be carried out in schools, since it is configured as a means of making students perceive the chemical science present in their daily lives, using it to improve society and become an ethical and reflective citizen.
Keywords: Contextualization. Television Series. Chemical Science.
Inclusão de Surdos no Ensino Comum: uma Análise a Partir de Pesquisas Acadêmicas e das Políticas Educacionais
Authors: Mello Cassiane Ribeiro de , Orzechoski Tâmaris Tainá Schuh , Graff Patrícia
Published: June 2023

A presente pesquisa toma a inclusão de alunos surdos no ensino comum como tema de estudo, com o objetivo de identificar como a literatura atual e as políticas educacionais a descrevem, a partir de ênfase dada pela Política Nacional de Educação Especial na perspectiva da Educação Inclusiva, produzida em 2008. Trata-se de uma pesquisa de cunho bibliográfico e documental, com abordagem qualitativa e caráter descritivo no tratamento analítico das pesquisas e políticas educacionais selecionadas para a análise. Os resultados mostram que a busca pela efetivação de propostas inclusivas ganha destaque na educação de surdos, a partir de três focos principais: 1) o reconhecimento da Libras como meio de instrução de surdos no ensino comum; 2) o bilinguismo como proposta adequada para a educação de surdos; 3) as condições de aprendizagem do aluno surdo na educação comum. Conclui-se que a inclusão de surdos, pautada na proposta bilíngue, tem potencial para promover as condições adequadas para a escolarização de surdos no ensino comum, mas ainda são necessários alguns avanços para que a perspectiva bilíngue se materialize, como a ampla difusão da Libras na escola, a formação de professores para a atuação na perspectiva bilíngue e a presença mais consistente de profissionais de apoio.
Palavras-chave: Bilinguismo. Legislação Educacional. Educação.
AbstractThe present research takes the inclusion of deaf students in commom education as a theme of study, with the aim of identifying how the current literature and educational policies describe it, based on the emphasis given by the National Policy on Special Education from the perspective of Inclusive Education, produced in 2008. This is a bibliographic and documentary research, with a qualitative approach and descriptive character in the analytical treatment of research and educational policies selected for analysis. The results show that the search for the realization of inclusive proposals is highlighted in deaf education, based on three main focuses: 1) the recognition of Libras as a means of instruction for deaf people in common education; 2) bilingualism as an adequate proposal for deaf education; 3) the learning conditions of deaf students in common education. It is concluded that the inclusion of deaf people, based on the bilingual proposal, has the potential to promote adequate conditions for the schooling of deaf people in common education, but some advances are still needed for the bilingual perspective to materialize, such as the wide dissemination of Libras at school, the teachers’ training to work in a bilingual perspective and a more consistent presence of support professionals
Keywords: Bilingualism. Educational Legislation. Education.
Dynamis no Ensino de Física: Proposição e Avaliação de um Jogo Didático
Authors: Quaresma Bruno Medeiros , Gonçalves Janaina Pinheiro , Ferreira Fernanda Carla Lima
Published: June 2023

Este estudo teve como objetivo propor o Jogo DYNAMIS como recurso didático, assim como avaliar o Ensino de Física e o jogo proposto na perspectiva dos alunos da Escola Estadual de Ensino Médio Professora Ernestina Pereira Maia, na cidade de Moju-PA. Para tanto foi elaborado um jogo de tabuleiro, com base nos já existentes, a partir de materiais acessíveis, cujas perguntas foram elaboradas conforme os conteúdos programáticos da disciplina Física, do 2ª e 3ª séries do ensino médio e, este jogo, foi aplicado em quatro turmas, sendo duas de cada série. Estes alunos, em sua maioria, gostam da disciplina de Física, alegaram que os professores usam algumas metodologias diferenciadas e ensinam com clareza os assuntos, mas, apesar disso, o interesse dos alunos é baixo. O jogo foi considerado viável pelos alunos, que se demonstraram satisfeitos e acertaram mais da metade das perguntas. Portanto, o jogo DYNAMIS pode ser um importante recurso usado pelo professor, durante as aulas de Física, para que os alunos possam aprender e exercitar os conhecimentos físicos por meio da brincadeira.
Palavras-chave: Ensino de Física. Jogos Didáticos. Jogos de Tabuleiro.
AbstractThis study aimed to propose the DYNAMIS Game as a didactic resource, as well as to evaluate the Teaching of Physics and the proposed game from the perspective of the students of the State High School Professor Ernestina Pereira Maia, in the city of Moju-PA. For that, a board game was created, based on the existing ones, from accessible materials, whose questions were elaborated according to the syllabus of the Physics discipline, from the 2nd and 3rd grades of high school, and this game was applied in four classes, two from each grade. These students, for the most part, like the discipline of Physics, they claimed that the teachers use some different methodologies and teach the subjects clearly, but, despite this, the students' interest is low. The game was considered viable by the students, who were satisfied and answered more than half of the questions correctly. Therefore, the DYNAMIS game can be an important resource used by the teacher during Physics classes, so that students can learn and exercise physical knowledge through play.
Keywords: Teaching Physics. Didactic games. Board games.
Educação Especial na Educação Infantil: uma Revisão Sistemática
Authors: Santana Maria Luzia da Silva , Maekawa Elisangela Mitiko Higa Kubota
Published: June 2023

A Educação Infantil é a etapa mais indicada para o início do processo de inclusão escolar de crianças com deficiência. Entretanto, em contraposição a isso, a visão de que a Educação Especial inclusiva nesta etapa da educação não pode ser alcançada ainda é muito presente. A partir deste tema, o objetivo deste artigo é verificar quais fatores estariam influenciando a inclusão de crianças pequenas, público-alvo da Educação Especial no contexto da Educação Infantil no Brasil. E assim, com o ensejo de se investigar os motivos dessa divergência, parte-se de um questionamento central: “quais fatores influenciam a inclusão de crianças pequenas, público-alvo da educação especial, na educação infantil?” Para responder a esse questionamento foi realizada uma revisão sistemática de literatura. Os estudos foram levantados em duas bases de dados nacionais: a Scientific Electronic Library Online (SciELO) e o Portal de Periódicos da CAPES. Após os devidos procedimentos, foram selecionados 24 artigos, os quais foram lidos integralmente, categorizados e analisados. Um dos resultados que se destacou foi que, apesar da formação docente ser apontada como fator de extrema relevância na inclusão, a percepção do docente acerca da inclusão é o fator que realmente pode fazer a diferença na efetivação ou não desse processo.
Palavras-chave: Educação Inclusiva. Crianças Pequenas. Revisão Sistemática
AbstractEarly chilhood education is the most suitable stage for the beginning of the school inclusion process for children with disabilities. However, in contrast to this, the view that inclusive special education at this education stage cannot be achieved is still very present. From this theme, the aim of this article is to verify which factors would be influencing the young children inclusion, the target audience of special education in the early childhood education context in Brazil. And thus, with the opportunity to investigate the reasons for this divergence , central question is raised: “what factors influence the inclusion of young children, target audience of special education, in early childhood education?” To answer this question, a systematic literature review was carried out. The studies were collected in two national databases: the Scientific Electronic Library Online (SciELO) and the CAPES Journal Portal. After the due procedures, 24 articles were selected, which were read in full, categorized and analyzed. One of the results that stood out was that, despite teacher training being pointed out as a factor of extreme relevance in inclusion, the teacher’s perception about the inclusion is the factor that can really make a difference in the effectiveness or not of this process.
Keywords: Inclusive Education. Small Children. Systematic Literature Review.
Panorama de Investigações Sobre a Literatura Infantil e Matemática
Authors: Cabreira Milena Efigênio , Alencar Edvonete Souza de , Silva Thaise da
Published: June 2023

O presente artigo é uma pesquisa desenvolvida como trabalho final do curso de graduação e realizou um panorama de investigações sobre a Literatura Infantil para o ensino da Matemática, tendo sido utilizados como referencial teórico autores específicos da literatura infantil para o ensino de matemática. A metodologia desenvolvida foi a bibliográfica, fundamentada por autores específicos da área metodológica. Os procedimentos realizados foram o levantamento de dados no Catálogo da Capes, com as palavras-chave: Literatura Infantil e Matemática, que resultou em 1.094.675 pesquisas entre o ano de 1987 ao ano de 2018. Após ser utilizado o filtro Área de Concentração, selecionar o item Educação Matemática, verificar os resultados e realizar uma segunda análise mais aprofundada foram identificadas ao total cinco dissertações, estas foram analisadas de forma mais detalhada e enfatizam a relevância da interdisciplinaridade para o aprendizado dos discentes, a imprescindibilidade de romper com os métodos tradicionais, que estimulam as práticas mecânicas e a importância de investir na formação e preparação de professores com o intuito de buscar novos métodos e formas de aprendizagem.
Palavras-chave: Educação. Revisão Bibliográfica. Livros.
AbstractThis article is about a proposal for an Undergraduate Work, with the aim of carrying out an overview of investigations that have been researching on Children's Literature for the teaching of Mathematics. For this, studies were carried out by the authors Smole, Zacarias and Moro, Oliveira and Alencar and Alencar and Cunha for the theoretical framework, for the bibliographical methodology, the work of Koche was studied. and to support the art history typology, the study by Romanowski and Ens was taken into account. Then, a data survey was carried out in the Capes Catalog, with the keywords Children's Literature and Mathematics, which resulted in 1094675 searches between 1987 and 2018. After using the Concentration Area filter, select the item Mathematics Education, verifying the results and performing a second more in-depth analysis, reached a total of five dissertations, these were analyzed in more detail and emphasize the relevance of interdisciplinarity for student learning, the indispensability of breaking away from the methods traditional, which encourage mechanical practices and the importance of investing in the training and preparation of teachers in order to seek new methods and ways of learning.
Keywords: Education. Bibliographical Review. Books
Volumetric Evaluation of the Upper Airways in Relation to the Gonial Angle
Authors: Bizzi Suelen dos Santos , Pasqualotto Francieli , Dallepiane Felipe Gomes , Fuhr Marciele Cristiane Spanenberg , Dutra Mateus José , Conto Ferdinando de , Rovani Gisele , Flores Mateus Ericson
Published: June 2023

Abstract The upper airspace is essential to understand the physiology and pathogenesis of its obstruction, complementary exams based on images have been used to evaluate the upper airspace. The objective of this study was to evaluate, by means of computed tomography, the upper airways (UAS), in relation to anatomical variables, emphasizing the gonial angle and comparing it with volume in mm³, sex and age. A total of 124 computed tomography scans were analyzed using DICOM files (digital image communication in medicine) made available by a radiology clinic using the ITK-snap program (version 3.6.0), upper airway volumes, sex, age and gonial angle values on both the right and left sides were tabulated in a table in the Excel 2010 program of the Microsoft Office 2010 package, and subsequently analyzed in the SPSS software with statistical analysis using the Levene Test and also the ANOVA test, to obtain of the results. The values found for the gonial angle did not indicate a significant difference. However, the present work confirms that within each of these groups there is a homogeneity of variances, corroborating the results reported in the literature. However, regarding the volume of the upper airways, we found that in men and in individuals aged over 34 years, the volume is greater.
Keywords: Orthognathic Surgery. Computed Tomography. Cephalometry.
ResumoO espaço aéreo superior é essencial para compreender a fisiologia e a patogênese de sua obstrução, exames complementares baseados em imagens têm sido empregados para avaliar o espaço aéreo superior. O objetivo desse estudo foi avaliar por meio de tomografia computadorizada, as vias aéreas superiores (VAS), com relação a variáveis anatômicas, dando ênfase ao ângulo goníaco e comparando com volume em mm³, sexo e idade. Foram analisados 124 exames de tomográfica computadorizada, por meio dos arquivos DICOM (comunicação de imagens digitais em medicina) disponibilizados por uma clínica radiológica, através do programa ITK-snap (versão 3.6.0), os volumes das vias aéreas superiores, o sexo, a idade e os valores do ângulo goníaco tanto do lado direito como do lado esquerdo foram tabulados em tabela no programa Excel 2010 do pacote Microsoft Office 2010, e analisados posteriormente no software SPSS com análise estatística pelo Teste de Levene e também teste ANOVA, para obtenção dos resultados. Os valores encontrados para o ângulo goníaco não indicaram diferença significativa. Contudo, o presente trabalho confirma que dentro de cada um desses grupos há uma homogeneidade das variâncias e corroborando com os resultados relatados na literatura. No entanto com relação ao volume das vias aéreas superiores encontramos que em homens e em indivíduos com idade superior a 34 anos o volume é superior.
Palavras-chave: Cirurgia Ortognática. Tomografia Computadorizada. Cefalometría.
Estrategias para luchar contra la desinformación en la comunicación corporativa
Authors: Gomes Gonçalves Sónia , Vázquez-González José , González-Sánchez Pablo
Published: June 2023

La reputación de las organizaciones puede verse afectada por la difusión de fake news y otros contenidos desinformativos. Así, para salvaguardar la imagen corporativa, los responsables de Comunicación deben estar atentos a las diferentes estrategias para luchar contra la desinformación, cómo el fact-checking, la regulación y la alfabetización mediática. En este artículo pretendemos hacer una contextualización teórica de estas estrategias, presentando el estado actual de la cuestión y revisando la literatura emergente de una temática que aún está poco explorada. Con respecto al fact-checking, aunque sigue siendo necesaria intervención humana para evitar descontextualizaciones y exclusión de discursos híbridos, la evolución tecnológica permite el análisis y moderación de contenidos, gracias a la inteligencia artificial y a sofisticados mecanismos automáticos de minería de textos. En materia de regulación, es siempre muy controvertido aprobar leyes que restringen la libertad de expresión e información. Por otro lado, urge una alfabetización mediática y una educomunicación más envolvente, que englobe a toda la comunidad, desde los más jóvenes hasta los mayores.
Las redes sociales online como medio de comunicación y su utilidad percibida durante la pandemia en la provincia de A Coruña
Authors: Vázquez Chas Loreto
Published: June 2023

La pandemia de COVID-19 tuvo lugar en un contexto comunicacional en que se estaban produciendo grandes cambios generados por la digitalización, proceso que se vio acentuado por la emergencia sanitaria y que afectó no sólo a los mass media, sino también a la comunicación institucional. Centrándose en este escenario y en el caso de la provincia de A Coruña, este trabajo tiene como objetivos conocer si las redes sociales online fueron empleadas como un medio de comunicación por la ciudadanía y qué medio les resultó más útil para conseguir información concreta sobre la pandemia y para obtener información sobre trámites online. El análisis de la Encuesta sobre capital social y redes sociales online en la provincia de A Coruña 2022, revela que las redes sociales online actuaron como un medio de comunicación más, siendo percibidas además como el medio más útil para la ciudadanía de 18 a 24 años.
İstilacı egzotik böcek türü Xylosandrus compactus (Eichhoff)’un İstanbul - Türkiye’deki konukçu bitki türleri
Authors: ACER Sabiha , HIZAL Erdem , ALTUNIŞIK Süreyya
Published: June 2023

Bir ksilomisetofag kabuk böceği türü olan Xylosandrus compactus, ağırlıklı olarak polifag ve öncelikle fitofagdır. Xylosandrus compactus, Türkiye'de tespit edilen ikinci Xylosandrus türüdür ve dünya çapında yayılma bölgelerinde ekonomik değeri olan bitkilere ciddi zarar vermesiyle bilinmektedir. Türkiye'de ilk kayıttan sonra farklı konukçularını da tespit ettiğimiz bu araştırma Temmuz (2022) ile Şubat (2023) ayları arasında gerçekleştirilmiştir. Saha çalışmaları sırasında solmuş ve kurumuş böcek giriş delikli ince dallar kesilerek incelenmek üzere laboratuvara getirilmiştir. Araştırmamız sonucunda X. compactus’un Türkiye konukçu listesine 25 yeni tür (Acer negundo, A. pseudoplatanus, Aesculus x carnea, A. hippocastanum, Buxus sempervirens, Carpinus betulus, Castanea sativa, Cornus sanguinea, Corylus avellana, Elaeagnus angustifolia, Juglans regia, Laburnum anagyroidis, Liriodendron tulipifera, Malus domestica, M. floribunda, Mespilus germanica, Prunus laurocerasus, Punica granatum, Quercus castaneifolia, Q. robur, Q. rubra, Tilia tomentosa, Smilax excelsa, Ulmus minor, Viburnum opulus) eklenmiş ve tespit edilen konukçu bitki sayısı 32’ye yükselmiştir.
Application of precision medicine in medical conditions
Authors: Venkatraman Shravan , Ramasamy Kesavan
Published: June 2023

The idea of precision medicine came into existence that all patients who received the same therapy do not respond in the same manner and there exists an inter-individual variation. Researchers then found that precision medicine plays a vital role which may lead to treatment failure or toxicity. Precision medicine will provide the right medicine at the right time to the right patients with specific characteristics for a better clinical outcome. It utilizes the information related to a person’s genes, proteins and environment to cure disease. This breaks the model of “one fits for all” and it helps us to sequence DNA which is unique for everyone and to decide therapy based on the genetic information. The difference between the terms “precision medicine” and “personalized medicine” is to be understood since the former will classify people into subpopulations that have difference in their susceptibility to disease and the latter refers to a single drug for a single individual. It has its applications to detect any genetic alterations starting before birth and till old age. Due to this reason, precision medicine has taken over the personalized medicine and the word “precision” means accurate and precise.
Hyper IgE syndrome with congenital hypothyroidism: a rare association
Authors: George Anjana Annie , Chinagundi Ashwini , S. B. Meghashree , B. Vishwanath
Published: June 2023

Hyper IgE syndrome (HIES) is a rare immunodeficiency syndrome, with autosomal dominant inheritance, caused mainly due to STAT 3 mutation. The affected children usually present with atopic dermatitis, recurrent staphylococcal infections, phenotypic characteristics and increased IgE levels. Though, there is a case report of autoimmune thyroiditis in HIES, congenital hypothyroidism is not reported. Here we report a case of HIES with typical phenotypic features with congenital hypothyroidism that presented to us with recurrent infections, atopic dermatitis and pneumatocele of right lung. Child was subsequently managed with antibiotics, levothyroxine and lobectomy.
Study on etiological profile of pleural effusion in tertiary care centre in Dakshin Kannada
Authors: Khilar Neha , S. Sathiqali A.
Published: June 2023

Background: Pleural effusion (PE) is a pathological state that often develops in patients with thoracic or systemic diseases and if not diagnosed and treated early, heralds a serious prognosis. Aim of the study was to determine the etiological profile of PE from exudative and transudative pleural fluid.
Methods: This cross-sectional study was conducted in participants admitted with PE in the general medicine ward of Yenepoya medical college hospital between the period of January 2021 and December 2021. The patients were analyzed for the socio-demographic characteristics; examination was done with focus on general physical examination, respiratory system, cardiovascular system and gastrointestinal system. SPSS was used for analysis.
Results: A total of 80 participants fulfilling inclusion criteria were included in the study. The mean age of participants was 50.28±15.85 years. Among the participants, 36.3% were female and 63.8% were male, with male preponderance in the study. PE, according to Light’s criteria, was differentiated into exudative effusion which accounted for 63.8% and the rest 36.3% were transudative. The most common cause of PE was TB followed by malignancy. The most common malignancy causing effusion was carcinoma of the lung. All the etiologies of PE showed a male preponderance and it was statistically significant (p<0.05).
Conclusions: In males, PE was more frequently observed. The main causes of PE were TB and cancer. One of the Clinical indicators including pallor demonstrated a strong correlation with malignant and tuberculous effusions. Malignancy and empyema were substantially correlated with clubbing.
Angle-closure glaucoma and aortic aneurysm - a case report
Authors: Lokchaitanya Pujari , P. Manimekalai , Bharathi Pon D. , Sainadh Nandhyala D. V. , Prashanth N. Lakshmi
Published: June 2023

Acute angle closure glaucoma associated with an aortic aneurysm is common in familial cases. But it is uncommon without a positive family history. This article tells about a case of an 80-year-old female, who presented with complaints of severe eye pain, was diagnosed with angle closure glaucoma, and had an incidental finding of multiple aortic aneurysms. The patient was treated conservatively with medical management, and surgery was deferred due to age factor. It is important to know about this association to prevent complications and start prompt treatment.
Diagnostic problems of pregnancy in a mother with fetal anencephaly
Authors: . Christiani , Manubulu Charles P. , Sari Imas Kartika
Published: June 2023

Anencephaly is a rare but fatal central nervous system anomaly involving failure of the neural tube to close during fetal development in the mother's womb. The number of anencephaly cases varies, globally estimated to be between 0.5-2 per 1,000 births. Anencephaly cannot be treated but can be detected early. A 38-year-old woman presented with complaints of abdominal tightness that had been felt since 10 hours before admission, with a diagnosis of G5P4004 30-31 weeks, live singleton, latent phase 1, anencephaly. Cito sectio caesarea and pomeroy tubectomy were performed. The baby girl weighed 1800 grams, 40 cm in length, APGAR score 3/5, with anencephaly. The baby died 2 hours after birth. The prognosis for babies born with anecephaly is poor. Termination of pregnancy is the only option to prevent the birth of a child with anencephaly, but it is still controversial in Indonesia.
Diabetic retinopathy prevention and treatment options
Authors: Santiago Gerardo Garcia , Gonzalez Guillermo Avalos , Velazquez Jose M. Huerta , Torres Jose Maria Zepeda , Curriel Alexa Jimenez
Published: June 2023

The objective of this review article was to mention the prevalence and risk factors for diabetic retinopathy to occur. Also, mention and compare the best ways to prevent this complication. Adding also a comparison of the best currently available treatments for diabetic retinopathy. Diabetic retinopathy is the first cause of visual impairment in working-age adults worldwide. Duration of diabetes is a major risk factor associated with the development of diabetic retinopathy. Due to the large number of patients with type 2 diabetes, this group comprises a larger proportion of the disease burden in patients with visual impairment from diabetic retinopathy compared to patients with type 1 diabetes. Diabetic retinopathy is the most common cause of visual impairment and blindness in patients aged 20-74 years. Approximately 80% of the patients with type 1 diabetes will develop retinopathy after 15 years after the onset of the pathology. In the case of type 2 diabetes will develop retinopathy after 30 years of history with the disease. Some important factor that can accelerate the process is the use or not of insulin for treatment. The most important for the treatment of diabetic retinopathy is the prevention of the diabetes in healthy people that have the risk factor to develop this pathology. The best options of treatment continued to be the combination of anti-VEFG/panphotocoagulation depending the stage of the complication. Improvement of the early detection of this type of microvascular complication for give them an early treatment and improve the evolution in positive way.  We believed that is need to investigate more techniques for early detections of microvascular complications of diabetes mellitus, like imagen or biomarkers.
Technique of using Cionni-modified capsular tension ring in the management of severely traumatic lens subluxation
Authors:   Tianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin Eye Institute, Clinical College of Ophthalmology Tianjin Medical University, Tianjin 300020, China, Jiang Hao , Chu Yan-Hua ,   Tianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin Eye Institute, Clinical College of Ophthalmology Tianjin Medical University, Tianjin 300020, China
Published: June 2023

AIM: To investigate the effect of Cionni-modified capsular tension ring (CTR) implantation in patients with severely traumatic subluxated cataracts.
METHODS: All patients who totally had traumatic cataracts and lost zonule support and underwent cataract surgery were retrospectively analyzed. Corrected distance visual acuity (CDVA), extent of zonulysis, intraocular lens (IOL) position, intraoperative presentation, and complications were assessed. The primary outcomes included IOL centration stability and other postoperative complications.
RESULTS: Twenty patients (20 eyes) were included in this study. The mean age in this study was 58.0±11.3y, and the average follow-up time was 17.3±12.8mo. Capsule bags were saved by Cionni-modified CTR. Nine eyes (45%) underwent simultaneously anterior vitrectomy due to the presence of vitreous in the anterior chamber. The preoperative mean CDVA was 0.83±0.24 logMAR, and the postoperative average CDVA was 0.23±0.30 logMAR (P<0.05). The horizontal and vertical IOL decentration after surgery was 0.27±0.12 mm and 0.41±0.19 mm, respectively; the vertical and horizontal IOL tilt after surgery was 5.5°±2.5° and 6.1°±2.2°, respectively. None of the eyes had obvious IOL decentration during the follow-up time. Eight eyes (40%) had posterior capsule opacification (PCO) that was severe enough to cause poor vision. Neodymium: YAG laser capsulotomy were performed on these eyes when the CTR was stabilized.
CONCLUSION: With the help of Cionni-modified CTR, capsular bag preservation and better IOL concentration can be achieved without major complications in patients with severely traumatic subluxated cataracts.
REFLECTIONS OF LINGUISTIC AND CULTURAL IDENTITY AND COLLECTIVE MEMORY IN 20th AND 21st CENTURIES SONG DISCOURSE (BASED ON SPANISH LANGUAGE)
Authors: Govorova Liliya A. , Balan Elena G.
Published: June 2023

The analysis of song, being an important component of the culture of any ethnic group, is an essential factor of globalization processes in their cultural and linguistic dimension and arouses interest in modern humanitarian knowledge. This article analyzes the representations of linguistic and cultural identity and collective memory within the framework of the Spanish-language song discourse of different periods of time, which allows us to trace and comprehend whether the symbolic load and the national-cultural specifics of the products of song discourse have changed over time. The conducted research made it possible to make sure that the texts of musical compositions can be a kind of manifestation of national identity and can reflect elements of collective memory, which is largely associated with the identity and value orientations of native Spanish speakers.