bluuebunny/crossref_metadata_2025 huggingface dataset:
Periodontal Film: A Potential Treatment Strategy for Periodontitis
Authors: Dastidar Debabrata Ghosh , Ash Avinandan , Saha Debjani , Chakraborty Poulomi , Tribedi Prosun
Published: June 2022

Periodontitis is a serious gum infection associated with inflammation of the periodontium around the teeth. Based on the etiology and pathogenesis, periodontitis has several conventional treatment strategies. Treatment with antibiotics and antimicrobials is the most common therapy. However, the development of drug resistance and the manifestation of side effects make conven-tional strategies ineffective. In recent decades, local drug delivery in the periodontal pocket has gained significant attention as a novel strategy. Sustained drug release at the target site (periodontal pocket) for a prolonged period is the main advantage over conventional therapy. Bioadhesive perio-dontal films are mostly used. They are thin films made up of unique mixtures of bioadhesive poly-mers, binders, plasticizers, and drug release modifiers. They can be loaded with antibiotics, metal nanoparticles, metal oxide nanoparticles, or a combination. The dried film is cut into a suitable size and inserted into the periodontal pocket for direct delivery of therapeutic agents. Thus, a smaller dose is required, and systemic side effects are avoided. In this manuscript, the pathophysiology of periodontitis, the role of biofilm formation, development of periodontal film loaded with antibiotics and nanoparticles have been reviewed, and the future aspects have been discussed.
Ordo Benedictionis Novae Domus. Text, Context, and Theology
Authors: O'Brien Christopher
Published: June 2022

This study offers a close reading of the 1984 Ordo benedictionis novae domus in light of its sources in previous rituals, scripture, and the insights of the Second Vatican Council. In doing so, it explores the ritual and theological evolutions that have taken place both in Roman Catholic house blessings and in the post-conciliar reform of the Rituale Romanum viewed holistically. By analyzing one rite in depth, this study demonstrates how the ritual and theological emphases brought about by the liturgical reform of Vatican II are manifested in concrete liturgical texts and practices. The Ordo benedictionis novae domus reveals the postconciliar shifts towards holistic ecclesial participation and liturgical texts that are scripturally, Christologically, and ecclesiologically rich.
Unusual Liturgical Ritual Practices by Present-day Prophets in South Africa. A Practical Theological Analysis
Authors: Shilubane Carol
Published: June 2022

Summary of the dissertation "Unusual Liturgical Ritual Practices by Present-day Prophets in South Africa. A Practical Theological Analysis".
Bolívar Echeverría: Für eine alternative Moderne. Studien zu Krise, Kultur und Mestizaje
Authors: Robles Gustavo
Published: June 2022

Rezension von Bolívar Echeverría: Für eine alternative Moderne. Studien zu Krise, Kultur und Mestizaje. Herausgegeben von David Graaff, Javier Sigüenza und Lukas Böckmann. Berlin: Argument Verlag/InkriT 2021.
Evaluation of a Text Message–Based COVID-19 Vaccine Outreach Program Among Older Patients: Cross-sectional Study
Authors: Ahmed Naheed , Boxley Christian , Dixit Ram , Krevat Seth , Fong Allan , Ratwani Raj M , Wesley Deliya B
Published: June 2022

Background

COVID-19 vaccines are vital tools in the defense against infection and serious disease due to SARS-CoV-2. There are many challenges to implementing mass vaccination campaigns for large, diverse populations from crafting vaccine promotion messages to reaching individuals in a timely and effective manner. During this unprecedented period, with COVID-19 mass vaccination campaigns essential for protecting vulnerable patient populations and attaining herd immunity, health care systems were faced with the dual challenges of vaccine outreach and distribution.

Objective

The aim of this cross-sectional study was to assess the effectiveness of a COVID-19 vaccine text outreach approach for patients aged 65 years and older. Our goal was to determine whether this approach was successful in scheduling patients for COVID-19 vaccine appointments.

Methods

We developed SMS text messages using the Tavoca platform. These messages informed patients of their vaccine eligibility and allowed them to indicate their interest in scheduling an appointment via a specific method (email or phone) or indicate their lack of interest in the vaccine. We tracked the status of these messages and how patients responded. Messages were sent to patients aged 65 years and older (N=30,826) at a nonprofit health care system in Washington, DC. Data were collected and examined from January 14 to May 10, 2021. Data were analyzed using multivariate multinomial and binary logistic regression models in SAS (version 9.4; SAS Institute Inc).

Results

Approximately 57% of text messages were delivered to patients, but many messages received no response from patients (40%). Additionally, 42.1% (12,978/30,826) of messages were not delivered. Of the patients who expressed interest in the vaccine (2938/30,826, 9.5%), Black or African American patients preferred a phone call rather than an email for scheduling their appointment (odds ratio [OR] 1.69, 95% CI 1.29-2.21) compared to White patients. Patients aged 70-74 years were more likely to schedule an appointment (OR 1.38, 95% CI 1.01-1.89) than those aged 65-69 years, and Black or African American patients were more likely to schedule an appointment (OR 2.90, 95% CI 1.72-4.91) than White patients.

Conclusions

This study provides insights into some advantages and challenges of using a text messaging vaccine outreach for patients aged 65 years and older. Lessons learned from this vaccine campaign underscore the importance of using multiple outreach methods and sharing of patient vaccination status between health systems, along with a patient-centered approach to address vaccine hesitancy and access issues.
An Augmented Reality Technology to Provide Demonstrative Inhaler Technique Education for Patients With Asthma: Interview Study Among Patients, Health Professionals, and Key Community Stakeholders
Authors: O'Connor Antonia , Sharrad Kelsey , King Charmaine , Carson-Chahhoud Kristin
Published: June 2022

Background

Many people with asthma use incorrect inhaler technique, resulting in suboptimal disease management and increased health service use. Novel ways of delivering appropriate instructions are needed.

Objective

This study explored stakeholder perspectives on the potential use of augmented reality (AR) technology to improve asthma inhaler technique education.

Methods

On the basis of existing evidence and resources, an information poster displaying the images of 22 asthma inhaler devices was developed. Using AR technology via a free smartphone app, the poster launched video demonstrations of correct inhaler technique for each device. In total, 21 semistructured, one‐on‐one interviews with health professionals, people with asthma, and key community stakeholders were conducted, and data were analyzed thematically using the Triandis model of interpersonal behavior.

Results

A total of 21 participants were recruited into the study, and data saturation was achieved. People with asthma were confident with inhaler technique (mean score 9.17, SD 1.33, out of 10). However, health professionals and key community stakeholders identified that this perception was misguided (mean 7.25, SD 1.39, and mean 4.5, SD 0.71, for health professionals and key community stakeholders, respectively) and facilitates persistent incorrect inhaler use and suboptimal disease management. Delivering inhaler technique education using AR was favored by all participants (21/21, 100%), particularly around ease of use, with the ability to visually display inhaler techniques for each device. There was a strongly held belief that the technology has the capacity for improving inhaler technique across all participant groups (mean 9.25, SD 0.89, for participants; mean 9.83, SD 0.41, for health professionals; and mean 9.5, SD 0.71, for key community stakeholders). However, all participants (21/21, 100%) identified some barriers, particularly regarding access and appropriateness of AR for older people.

Conclusions

AR technology may be a novel means to address poor inhaler technique among certain cohorts of patients with asthma and serve as a prompt for health professionals to initiate review of inhaler devices. A randomized controlled trial design is needed to evaluate the efficacy of this technology for use in the clinical care setting.
Emergency Departments’ Uptake of Telehealth for Stroke Versus Pediatric Care: Observational Study (Preprint)
Authors: Zachrison Kori S , Hayden Emily M , Boggs Krislyn M , Boyle Tehnaz P , Gao Jingya , Samuels-Kalow Margaret E , Marcin James P , Camargo Jr Carlos A
Published: June 2022

BACKGROUND

Telehealth for emergency stroke care delivery (telestroke) has had widespread adoption, enabling many hospitals to obtain stroke center certification. Telehealth for pediatric emergency care has been less widely adopted.

OBJECTIVE

Our primary objective was to determine whether differences in policy or certification requirements contributed to differential uptake of telestroke versus pediatric telehealth. We hypothesized that differences in financial incentives, based on differences in patient volume, prehospital routing policy, and certification requirements, contributed to differential emergency department (ED) adoption of telestroke versus pediatric telehealth.

METHODS

We used the 2016 National Emergency Department Inventory–USA to identify EDs that were using telestroke and pediatric telehealth services. We surveyed all EDs using pediatric telehealth services (n=339) and a convenience sample of the 1758 EDs with telestroke services (n=366). The surveys characterized ED staffing, transfer patterns, reasons for adoption, and frequency of use. We used bivariate comparisons to examine differences in reasons for adoption and use between EDs with only telestroke services, only pediatric telehealth services, or both.

RESULTS

Of the 442 EDs surveyed, 378 (85.5%) indicated use of telestroke, pediatric telehealth, or both. EDs with both services were smaller in bed size, volume, and ED attending coverage than those with only telestroke services or only pediatric telehealth services. EDs with telestroke services reported more frequent use, overall, than EDs with pediatric telehealth services: 14.1% (45/320) of EDs with telestroke services reported weekly use versus 2.9% (8/272) of EDs with pediatric telehealth services (P<.001). In addition, 37 out of 272 (13.6%) EDs with pediatric telehealth services reported no consults in the past year. Across applications, the most frequently selected reason for adoption was “improving level of clinical care.” Policy-related reasons (ie, for compliance with outside certification or standards or for improving ED performance on quality metrics) were rarely indicated as the most important, but these reasons were indicated slightly more often for telestroke adoption (12/320, 3.8%) than for pediatric telehealth adoption (1/272, 0.4%; P=.003).

CONCLUSIONS

In 2016, more US EDs had telestroke services than pediatric telehealth services; among EDs with the technology, consults were more frequently made for stroke than for pediatric patients. The most frequently indicated reason for adoption among all EDs was related to clinical care.
Antimicrobial Use in Pediatric Oncology and Hematology: Protocol for a Multicenter Point-Prevalence Study With Qualitative Expert Panel Assessment (Preprint)
Authors: Papan Cihan , Reifenrath Katharina , Last Katharina , Attarbaschi Andishe , Graf Norbert , Groll Andreas H , Huebner Johannes , Laws Hans-Jürgen , Lehrnbecher Thomas , Liese Johannes , Martin Luise , Tenenbaum Tobias , Weichert Stefan , Vieth Simon , von Both Ulrich , Hufnagel Markus , Simon Arne
Published: June 2022

BACKGROUND

Because infections are a major driver of morbidity and mortality in children with hematologic or oncologic diseases, antimicrobials are frequently prescribed in pediatric oncology practice. However, excess or inappropriate use of antimicrobials is directly linked to the emergence of antimicrobial resistance. Although point-prevalence studies have examined the extent of antimicrobial use, a comprehensive qualitative evaluation of individual antimicrobial prescriptions remains lacking.

OBJECTIVE

The aim of this study is to identify appropriate versus inappropriate antimicrobial use among pediatric cancer patients in a point-prevalence study, followed by an expert panel adjudication process and a subsequent report of these findings to participating centers. This study also aims to improve the quality of patient care by informing centers about discrepancies between internal standards of care and national guidelines.

METHODS

Our point-prevalence study is performed at pediatric cancer centers in Germany and Austria. All patients under 18 years old who are hospitalized at the time of the study are included. As a supplement to the point-prevalence study, an expert panel is qualitatively assessing each of the antimicrobial prescriptions at the participating centers to review local guidelines and compare them with national guidelines.

RESULTS

As of December 2021, the point-prevalence survey has been conducted at 30 sites and expert panel adjudication for qualitative assessment of each antimicrobial use is ongoing. Results of the study are expected in 2022.

CONCLUSIONS

This is the first point-prevalence study conducted among pediatric cancer centers with an integrated, multistep, qualitative approach that assesses each antimicrobial prescription. The results of this study will inform possible interventions for internal guidelines and antimicrobial stewardship programs implemented at pediatric cancer centers. In addition, local guidelines will be compared with national guidelines. Furthermore, this study will contribute to the overall integration of antimicrobial stewardship principles and initiatives in pediatric oncology and hematology, thereby improving safety and quality of care for children and adolescents with cancer and blood disorders.

INTERNATIONAL REGISTERED REPORT

DERR1-10.2196/35774
Exploring Whether Addictions Counselors Recommend That Their Patients Use Websites, Smartphone Apps, or Other Digital Health Tools to Help Them in Their Recovery: Web-Based Survey (Preprint)
Authors: Wray Tyler B
Published: June 2022

BACKGROUND

Hundreds of smartphone apps or websites claiming to help those with addictions are available, but few have been tested for efficacy in changing clinically relevant addictions outcomes. Although most of these products are designed for self-facilitation by users struggling with addictions, counselors and other addictions treatment providers will likely play a critical role in facilitating adoption by integrating their use into counseling or recommending them to their patients. Yet, few studies have explored the practices of addictions counselors in using or recommending addictions-focused digital health tools in their work.

OBJECTIVE

The aim of this study was to understand whether addiction counselors are recommending that their patients use addictions-focused apps to help them in their recovery, and the factors that affect their desire to do so.

METHODS

Licensed addiction counselors practicing in the United States (N=112) were recruited from professional and scientific organizations of alcohol or drug counselors to complete a web-based survey.

RESULTS

In total, 74% (83/112) of counselors had recommended that their patients use a website or smartphone app to assist them in recovery, and those that had done so reported recommending an app with an average of 54% of their patients. The most commonly recommended app or website was SMARTRecovery.org (9%), I am Sober (8%), In the Rooms (7%), Insight Timer (4%), Calm (4%), Sober Tool (4%), Recovery Box (3%), and Sober Grid (3%). The most important reason that counselors recommended the websites or apps was that colleagues or patients told them they found it helpful (55%), followed by their workplaces recommending it (20%) and professional organizations recommending it (10%). Counselors’ intentions to recommend a hypothetical app were strongest for apps that had been tested in rigorous, scientific studies that showed they helped users stay sober or reduce their substance use; 94% (105/112) reported that they would “definitely” or “probably” use such an app.

CONCLUSIONS

Most addictions counselors surveyed are already recommending that their patients use apps or websites to help them in their recovery, despite the paucity of available products that have evidence supporting their efficacy for addictions outcomes. One way that product developers could increase adoption among addictions treatment providers is to make efficacy testing a priority and to disseminate results through professional organizations and clinics.
Assessing the Clinical Robustness of Digital Health Startups: Cross-sectional Observational Analysis (Preprint)
Authors: Day Sean , Shah Veeraj , Kaganoff Sari , Powelson Shannon , Mathews Simon C
Published: June 2022

BACKGROUND

The digital health sector has experienced rapid growth over the past decade. However, health care technology stakeholders lack a comprehensive understanding of clinical robustness and claims across the industry.

OBJECTIVE

This analysis aimed to examine the clinical robustness and public claims made by digital health companies.

METHODS

A cross-sectional observational analysis was conducted using company data from the Rock Health Digital Health Venture Funding Database, the US Food and Drug Administration, and the US National Library of Medicine. Companies were included if they sell products targeting the prevention, diagnosis, or treatment phases of the care continuum. Clinical robustness was defined using regulatory filings and clinical trials completed by each company. Public claims data included clinical, economic, and engagement claims regarding product outcomes made by each company on its website.

RESULTS

A total of 224 digital health companies with an average age of 7.7 years were included in our cohort. Average clinical robustness was 2.5 (1.8 clinical trials and 0.8 regulatory filings) with a median score of 1. Ninety-eight (44%) companies had a clinical robustness score of 0, while 45 (20%) companies had a clinical robustness score of 5 or more. The average number of public claims was 1.3 (0.5 clinical, 0.4 economic, and 0.4 engagement); the median number of claims was 1. No correlation was observed between clinical robustness and number of clinical claims (r2=0.02), clinical robustness and total funding (r2=0.08), or clinical robustness and company age (r2=0.18).

CONCLUSIONS

Many digital health companies have a low level of clinical robustness and do not make many claims as measured by regulatory filings, clinical trials, and public data shared online. Companies and customers may benefit from investing in greater clinical validation efforts.
Assessment and improvement of the drug data structuredness from electronic health records to enable secondary usage and ensure semantic interoperability (Preprint)
Authors: Reinecke Ines , Siebel Joscha , Fuhrmann Saskia , Fischer Andreas , Sedlmayr Martin , Weidner Jens , Wilhelm Markus , Bathelt Franziska
Published: June 2022

BACKGROUND

Digitization offers a multitude of opportunities to gain insights for current diagnostics and therapy from retrospective data. In this context, real-world data and its accessibility are of increasing importance to support unbiased and reliable research on big data. However, routinely collected data are not readily usable for research due to the unstructured nature within healthcare systems and the lack of interoperability between these systems. This challenge is very evident in drug data.

OBJECTIVE

In this research, we present an approach that identifies and increases the structuredness of drug data while ensuring standardization according to ATC.

METHODS

Our approach is based on available drug prescriptions and a drug catalog and consists of four steps. First, we perform an initial analysis of the structuredness of local drug data to define a point of comparison for the effectiveness of the overall approach. Second, we apply three algorithms to unstructured data that translate text into ATC codes based on string comparisons in terms of ingredients and product names, and similarity comparisons based on Levenshtein distance. Third, we validated the results of the three algorithms with expert knowledge based on the 1000 most frequently used prescription texts. Fourth, we performed a final evaluation to determine the increased degree of structuredness.

RESULTS

Initially, 52.3% of the 1,768,153 drug prescriptions were classified as unstructured. With the application of the three algorithms, we were able to increase the degree of structuredness to 85.18% based on the 1000 most frequent medication prescriptions. In this regard, the combination of Algorithm 1, 2, and 3 resulted in a correctness level of 100% (with 57,264 ATC codes identified), Algorithm 1 and 3 of 99.6% (with 152,404 codes identified), and Algorithm 1 and 2 resulted in 95.9% (with 39,472 codes identified).

CONCLUSIONS

As shown in the first analysis steps of our approach, the availability of a product catalog to select from during the documentation process is not sufficient to generate over structured data. Our four-step approach reduces the problems and reliably increases the structuredness automatically. Similarity matching shows promising results, especially for entries with no connection to a product catalog. However, further enhancement of the correctness of such a similarity matching algorithm needs to be investigated in future work.

CLINICALTRIAL

no trial registration
The research was approved by the Ethics Committee at the Technical University of Dresden as a retrospective, observational, non-interventional, non-human subject study (SR-EK-521112021).
SUPER HEMO®: development and validation of a serious game about hematology (Preprint)
Authors: Perrin Julien , Meeus Amélie , Broseus Julien , Morieux Pierre-Jean , Di Ceglie Valentine , Gravoulet Julien , D'Aveni Maud
Published: June 2022

BACKGROUND

Complete blood count (CBC) and hemostatic screening tests are among the most commonly prescribed blood tests worldwide. All health care workers (nurse practitioners, pharmacists, dentists, midwives, and medical doctors) are expected to correctly interpret the results in their daily practice. Currently, the undergraduate hematology curriculum consists predominantly of lecture-based teaching. Because hematology combines basic science (blood cells and hemostasis physiology) and clinical skills, students report that they do not easily master hematology with only lecture-based teaching. After interviewing students at the University of Lorraine, it appeared necessary to develop new teaching approaches (methods).

OBJECTIVE

We aimed at developing and validating a serious game about CBC analysis for healthcare students. Our primary objective was to help students perceive hematology as being a playful and easy topic and for them to feel being truly involved in the taking care of their patients by analyzing blood tests. This approach in addition to the classic lecture-based teaching appeared attractive to motivate students improving their knowledge and skills in hematology.

METHODS

We developed an adventure game called SUPER HEMO®, a video game in which the player assumes the role of a protagonist in an interactive story driven by exploration and problem-solving tests. After validation with beta tests on a panel of volunteer students, we provide a novel integrated teaching approach. We added 1.5 hours of gaming to the standard curriculum for a small group of volunteer students. Medical and pharmacy students in their third year of a single French university were invited to attend this extracurricular course. Pre-game and post-game tests and satisfaction surveys were immediately recorded. Final hematology exam results were analyzed.

RESULTS

86 out of 324 medical students (26.5%) and 67 out of 115 pharmacy students (58%) opted to participate. Mean results of pre and post-test were 6/10 vs 7/10 respectively for medical students, (P<0.01) and 7.5/10 vs 8/10 respectively for pharmacy students, (P<0.01). At the end of the final exam, the medical students who had played SUPER HEMO® had significantly better results (mean score: 13/20 vs 12/20, P<0.01); for pharmacy students a trend towards higher scores was observed, (mean score: 21.75/30 vs 20/30, P=0.12). Among the participants who answered the survey (n=143), more than 86% believe they had strengthened their knowledge and nearly 80% of them had fun.

CONCLUSIONS

Feedback from this game session provides evidence to support the integration of interactive teaching methods in undergraduate hematology teaching. SUPER HEMO® is intended to be entirely developed in order to become a support tool for continuing education.

CLINICALTRIAL

No
Feasibility and Acceptability of an mHealth Intervention to Improve Cardiometabolic Health in Rural Hispanic Adults: A randomized two-group study (Preprint)
Authors: Rowland Sheri , Ramos Athena , Trinidad Natalia , Quintero Sophia , Johnson Beller Rebecca , Struwe Leeza , Pozehl Bunny
Published: June 2022

BACKGROUND

Mobile health technology (mHealth) using apps or devices to self-manage health behaviors is generally an effective strategy to improve lifestyle-related health problems such as hypertension, obesity, and diabetes. However, few studies have tested an mHealth intervention with Hispanic/Latino adults (HLA) and no studies were found testing mHealth with rural HLA, the fastest growing population in rural areas.

OBJECTIVE

The purpose of this study was to evaluate the feasibility, usability, and acceptability of an mHealth intervention with rural Hispanic/Latino adults.

METHODS

An unblinded, randomized, two-group (intervention and enhanced usual care) design was used to pilot test a 12-week mHealth self-management intervention using MyFitnessPal, a compatible smart scale, and twice weekly text messages to support daily tracking of weight, calories, and steps among rural HLA (n = 70). A bilingual and culturally competent nurse practitioner and tech support person delivered the intervention in-person. Participants were recruited using flyers, Facebook ads, and in-person at a primary care clinic. Usability of MyFitnessPal and smart scale was measured using an adapted Health-ITUES in paper form. Adherence data in the intervention group (daily step total, weight, and calories) was downloaded from MyFitnessPal. Acceptability was evaluated using semi-structured interviews in a subsample (n=5) of participants.

RESULTS

A total of 70 participants enrolled and were randomized; 34 to the enhanced usual care group and 36 to the intervention group. Overall, attrition was 28% at 12 weeks and 54% at 24 weeks. Usability was higher in the intervention group at all three time points and increased at each time point (6, 12, and 24 weeks). Adherence with self-monitoring in the intervention group after week 1was greatest with steps (55%) followed by calories (39%), followed by weight (35%). At the end of the 12-week intervention adherence was still greatest with steps (31%), followed by weight (11%), followed by (8%).

CONCLUSIONS

In general, the mHealth intervention was feasible and acceptable to participants. Usability increased while adherence to tracking steadily decreased at 6, 12, and 24 weeks. Future research should focus on participant baseline technology skill, provide training if needed, and use phone call or text message follow-ups as a strategy to minimize attrition. A wearable device, separate from the smartphone app, is recommended for activity tracking.
Democracy’s Invisible Savior: Why Citizens Should Welcome Taxes with Open Arms
Authors: Schwarz Samantha
Published: June 2022

This article aims to understand the transformative power that the fiscal requirement to impose taxation has on democratization. An exploration into the fiscal development of early modern Europe alongside modern empirical examples, demonstrates the value of taxation as a solution to leaderships that don’t represent their people. It’s reasoned that the confluence of taxation and democracy can be attributed to two distinct mechanisms. One, that the government is more willing to compromise to the peoples’ demands, and two, that the people are more willing to demand this compromise. The latter is of particular significance in suggesting the role that behavioral phenomena play in inflaming democratic engagement. Critically, the behavioral effects of taxation should take more of a leading role in policies that pursue democratization whilst aid, more of a support role.
El sistema de partidos políticos y las elecciones en los municipios de Campeche: características, contextos y evolución, 1997-2021
Authors: Martiñón Velázquez Manuel
Published: June 2022

Objetivo: analizar los cambios en la competencia electoral partidista en los municipios de Campeche entre 1997 y 2021. Metodología: análisis estadístico-descriptivo combinando la tipología de los sistemas de partidos de Giovanni Sartori; los indicadores de margen de victoria, fuerza opositora y número efectivo de partidos; y los postulados de la teoría de la modernización. Resultados: se observó que la alta competitividad y el sistema de partidos de pluralismo moderado se instauraron como rasgos recurrentes de las elecciones municipales y que las condiciones socioeconómicas todavía influyen en la configuración de estas. Valor: el análisis amplía el conocimiento sobre los cambios que se han dado a escala municipal en un estado que hasta 2021 estaba gobernado sin interrupción por el Partido Revolucionario Institucional. Limitaciones: la profundidad y las implicaciones de los cambios que se observaron escapan a los fines de este artículo. Conclusiones: la competitividad y el pluralismo partidista se han manifestado de diferente manera en los municipios de Campeche a lo largo de los 24 años que se analizaron.
Procesos fallidos de gobernanza del agua en la región de Mexicali: conflicto socioambiental por la planta cervecera Constellation Brands
Authors: Gallardo Tapia María Fernanda , Cortez Lara Alfonso Andrés
Published: June 2022

Se aborda la gestión del agua en Mexicali relacionada a las fuentes superficiales del río Colorado y subterráneas del acuífero del Valle de Mexicali, ambas de naturaleza transfronteriza. Se examinan las implicaciones ambientales y sociales que tendrían las decisiones gubernamentales en torno al megaproyecto cervecero Constellation Brands en una zona semiárida amenazada por el cambio climático. A través del marco de gobernanza del agua y utilizando un enfoque de investigación cualitativa, el análisis arroja que la promoción del megaproyecto se implementó con fallas en los procesos de inclusión de los actores sociales locales. También, se determina que su operación tendría efectos negativos en las fuentes de agua disponibles.
Territorio y agua en el corredor automotriz del TLC en San Luis Potosí, México.
Authors: Fragoso Pasalagua Mónica Jazmín , Talledos Sánchez Edgar
Published: June 2022

En el artículo se aborda cómo en este territorio se concentró agua y tierras para la industria, con base en diversas expropiaciones de tierras a ejidos y el otorgamiento de concesiones y venta de agua por el gobierno estatal y federal desde la década de 1970, especialmente con la puesta en marcha del Tratado de Libre Comercio con América del Norte (TLCAN) en 1994. Primero se examina cómo se instaló la industria automotriz en México y el centro Bajío. Segundo se analiza el caso del corredor industrial de San Luis Potosí, el uso y concentración de agua y tierras para la industria automotriz. Se concluye que las corporaciones trasnacionales automotrices han concentrado agua y tierra para elaborar sus mercancías, bajo el directo apoyo del Estado mexicano, lo cual favoreció el uso de agua industrial por encima del doméstico para la población de la ciudad de San Luis Potosí.
La importancia de la clínica en la Medicina Bucal
Authors: Rodríguez Archilla Alberto , Ceballos Salobreña Alejandro
Published: June 2022

La Medicina Bucal es una especialidad odontológica que se encarga del diagnóstico y tratamiento no quirúrgico de las afecciones del área oral y maxilofacial, de la salud bucal del paciente médicamente comprometido y de la repercusión oral de las enfermedades sistémicas. La Medicina Bucal podría entenderse como e
Enfermedad respiratoria exacerbada por aspirina (EREA), un padecimiento poco conocido por los odontólogos. Una guía para su estudio y su manejo
Authors: Prado Bernal Nubia Yadira , Pérez Salgado Héctor , Badillo Barba Mónica
Published: June 2022

La enfermedad respiratoria exacerbada por aspirina (EREA), caracterizada por este conjunto de síntomas principalmente: pólipos nasales, sinusitis crónica, asma y sensibilidad a cualquier medicamento que inhiba la ciclooxigenasa 1 (COX-1), la aspirina y otros fármacos antiinflamatorios no esteroides. La ingesta de aspirina y la mayoría de los AINES da como resultado un espectro de reacciones alérgicas manifestadas principalmente en las vías respiratorias superiores y/o inferiores, pudiéndose complicar gravemente en un laringoespasmo y/o broncoespasmo. Objetivo: Realizar una guía de estudio sencilla para alertar al odontólogo general en el manejo analgésico de los pacientes con EREA. Conclusión: La EREA es una enfermedad crónica, poco diagnosticada, requiere una cuidadosa historia clínica e interrogatorio de historia previa de alergias tanto farmacológicas como alimenticias, con especial atención en los pacientes asmáticos, que pudieran desencadenar reacciones alérgicas ante nuestro manejo analgésico convencional secundario a un tratamiento odontológico.
Concordancia de clase esquelética y posición sagital de los maxilares mediante diferentes mediciones cefalométricas
Authors: Villanueva Tapia Brendy Minú , Castañeda Zetina Jocelyn , Aguilar Pérez Fernando Javier , Colomé Ruiz Gabriel Eduardo , Pérez Traconis Laura Beatriz , Herrera Atoche José Rubén
Published: June 2022

Introducción: Existen múltiples análisis cefalométricos descritos por varios investigadores, en algunas ocasiones con diferencias entre los resultados obtenidos a partir de diferentes mediciones, en consecuencia, se dificulta el establecimiento del diagnóstico y plan de tratamiento de los pacientes ortodónticos. Objetivos: Evaluar la concordancia entre diferentes mediciones que determinan la clase esquelética y la posición sagital del maxilar y la mandíbula. Material y métodos: Para este estudio analítico, observacional, transversal y retrospectivo, se utilizó una muestra de 75 radiografías de pacientes de entre 14 a 57 años, del Departamento de Ortodoncia de la Facultad de Odontología de la Universidad Autónoma de Yucatán. Las mediciones cefalométricas fueron realizadas en el programa Dolphin Imaging por un mismo operador previamente calibrado. A los datos obtenidos se les aplicó la prueba estadística Kappa de Fleiss. Resultados: La distribución de las clases esqueléticas presentó mayor porcentaje de clase I, seguida por clase II y una menor cantidad de clase III. En cuanto a la posición sagital del maxilar, se encontró un mayor porcentaje de casos con el maxilar ubicado dentro de la norma, seguido por maxilar protruido, y un menor porcentaje con maxilar retruido. Para la mandíbula, la distribución de la posición presentó mayor porcentaje de mandíbula retrognática, seguida por mandíbula en norma y un menor porcentaje de mandíbula prognática. Los resultados de las pruebas estadísticas de Kappa de Fleiss obtenidos fueron: para la determinación de clase esquelética Kappa = 0.53, para la posición del maxilar Kappa = 0.47, y para la mandíbula Kappa = 0.31. Conclusiones: Existe concordancia moderada para la determinación de la clase esquelética entre el ángulo ANB de Steiner, la convexidad de Ricketts, el Wits del análisis de Jacobson, una concordancia moderada para la determinación de la posición sagital del maxilar, y débil para la mandíbula entre los análisis de Steiner, Ricketts y McNamara.
Concordance between clinical and histopathological diagnosis of intraosseous lesions in a reference center
Authors: Gonçalves de Farias Jener , Gracia dos Santos Luana , Ramos Almeida Maria Janaína , Farias Hassam Sheinaz , Andrade Cardoso Juliana
Published: June 2022

Objective: To evaluate the concordance between clinical and histopathological diagnosis of intraosseous lesions in individuals treated in a Reference Centre from 2006-2017. Material and Methods: A retrospective concordance study was conducted, reviewing the biopsy files and conclusive anatomopathological reports of intraosseous lesions. The collected data was analyzed in SPSS v10.0. The data were descriptively analysed obtaining the average age, gender frequency and most affected anatomical location. Cohen’s Kappa statistical test separately assessed the concordance between clinical and histopathological diagnoses of all intraosseous lesions and groups of cysts, tumours, and bone-associated lesions. All tests adopted a statistical significance level of 5%. Results: 255 biopsied lesions met the inclusion criteria. Most of the individuals were females (67.8%) in the third decade of life (20.8%) with a predominance of posterior mandibular lesions (42.4%). It was observed that concordance between the diagnoses of intraosseous lesions occurred in 66.7% of the treated cases (kappa = 0.475). The following rates were obtained: 63.3% for tumours (kappa = 0.171), 69.1% for lesions associated to bones (kappa = 0.242) and 66.7% for cysts (kappa = 0.233). Conclusion: Concordance of diagnoses of all intraosseous lesions was moderate (kappa= 0.475), being higher in the bone-associated lesions (reasonable kappa = 0.242) and lower in tumours (poor kappa = 0.171).
Uso de cone-beam computed tomography en el diagnóstico y tratamiento de paciente con erupción pasiva alterada
Authors: Umanzor Vilma Alejandra , Fernández Lourdes Karina , Rodríguez Ana Gabriela
Published: June 2022

La erupción pasiva alterada (EPA) es una condición patológica que puede crear preocupaciones en el paciente debido al impacto antiestético que presenta esta deformidad mucogingival. Algunos autores han reportado la prevalencia, los métodos de diagnóstico y el tratamiento para la EPA; hoy en día, el uso de cone-beam computed tomography (CBCT) ha sido una herramienta fundamental en el plan de tratamiento al proporcionar resultados objetivos y de calidad, siendo éste el objetivo principal de este caso clínico. Material y métodos: Paciente de sexo femenino con EPA en el sector anterior superior (pieza dental 1.3 a 2.3); se realizó un protocolo para obtener las medidas del tamaño de la corona clínica, longitud de la unión cemento-esmalte (UCE), cresta ósea y cantidad de tejido gingival con la técnica tradicional clínica de sondeo y con el uso del CBCT, se registraron todas las medidas y se procedió a analizar los resultados obtenidos para posteriormente realizar la cirugía de alargamiento de corona. Los resultados mostraron con las medidas de las diferencias entre el sondeo clínico y el CBCT una media aritmética de 0.6876, lo cual significa que es el valor promedio de las diferencias entre ambas técnicas y una desviación estándar de ± 0.4997 que significa el grado de dispersión de la variabilidad. Con estos resultados se puede concluir que la diferencia entre la medida de la técnica de sondeo clínico tradicional y el CBCT es muy poca, por lo cual el tomógrafo digital proporciona una información más objetiva.
Oral health and geriatric syndromes in older adults in a highly specialized geriatric unit
Authors: Tostado Flores Laura Montserrat , Muñoz Morales José Luis , Velázquez Izazaga Pedro , Fraga Ávila Claudia , Garnés Rancurello Sandra , Gordillo Bastillas Daniela , López Verdín Sandra , Ramírez Anguiano Víctor Manuel , Alberto Ramos Julio
Published: June 2022

Aim: To determine the frequency of alterations in oral health conditions (hygiene, prosthesis, and xerostomia) and its association with geriatric syndromes (depression, malnutrition, and frailty) in elderly people attending the highly specialized geriatric care unit. Material and methods: A cross-sectional study was carried out that recruiZted 124 participants (March 2018 to September 2018). A comprehensive geriatric assessment and standardized dental checkups were performed to obtain diagnoses in oral health and geriatric syndromes. To establish the association between oral health conditions and geriatric syndromes a logistical regression analysis was conducted. Results: The mean age was of 78.76 ± 7.08 years, with females being 74.2%. The total amount of edentulous patients was 25.8% and up to 60.5% required some type of prosthesis. 59.4% of the edentulous participants met the diagnosis of frailty. 53.5% of participants with xerostomia were classified as frail. The logistical regression analysis did not show statistical significance. Conclusion: The presence of frailty, malnutrition, and depression was greater in patients with prostheses, xerostomia, and poor oral hygiene. The statistical analysis showed a non-significant risk association between oral health conditions and depression, malnutrition, or frailty. These results highlight the importance of the intentional search for oral pathology during the comprehensive geriatric assessment.
Biological indicators: the gold standard to verify the sterilization steam in dentistry
Authors: Rosales García Pedro
Published: June 2022

Infection control in dental practice is a daily necessity, the correct way to ensure safe environments is to disinfect medical equipment and sterilize materials and instruments. There are common failures in sterilization cycles in dental offices, caused by various factors, mainly a mechanical failure, and human error. Biological indicators are prepared from thermo-resistant bacterial spores, used to determine the quality of the sterilization processes. There are different types of indicators on the market, however, it is necessary to promote and publicize the use of biological indicators as means of verification of the sterilization process, since their use is not frequent as indicated in the NOM-013-SSA2-2015, which must be every two months.
Diseño y evaluación de material audiovisual educativo sobre procedimientos clínicos en Odontología Preventiva
Authors: Herdez García Lorenzo Edén , Aguilar Díaz Fátima del Carmen , Morales Corona Federico , Ramírez Trujillo María de los Ángeles , Villanueva Vilchis María del Carmen
Published: June 2022

Introducción: Se ha comprobado que el material audiovisual es una forma eficaz para que el alumno analice y retenga de manera adecuada la información. Objetivo: Diseñar y evaluar videos didácticos sobre diversos tratamientos utilizados en el área de Odontología Preventiva. Material y métodos: Para el diseño de los videos se revisó la literatura, con la intención de recopilar información que fue posteriormente validada por un grupo de expertos, y después utilizada como contenido de los videos. Luego, se realizaron las escaletas correspondientes en las que se llevó a cabo la planificación de los contenidos de cada video. Se realizó la grabación y producción de ambos videos. Para la evaluación, se aplicó una encuesta de aceptación de los videos a los alumnos de primer y segundo año de una licenciatura en Odontología, así como a alumnos de primer y segundo año de un postgrado de Odontología Pediátrica. Resultados: Se obtuvieron cuatro videos con la siguiente temática: aplicación de fluoruros; selladores de fosetas y fisuras a base de resina; selladores de fosetas y fisuras a base de ionómero de vidrio, y aplicación de fluoruro diamino de plata. Los videos fueron evaluados por 103 alumnos, los resultados arrojaron un nivel bueno de aceptación de los materiales utilizados. Conclusiones: Los videos creados muestran un adecuado nivel de aceptación, por lo que pueden ser utilizados como un material de apoyo para mejorar el aprendizaje en el alumno.
The Urgency of Limiting Procedural Democracy for Handling Pandemic in Indonesia [Urgensi Limitasi Demokrasi Prosedural Bagi Penanganan Pandemi di Indonesia]
Authors: Pratama Aprilianto Satria
Published: June 2022

It is undeniable that the handling of the pandemic in almost all countries in the world has been framed by Joseph Alois Schumpeter’s conception of procedural democracy, which focuses on procedural elements in the formulation of the common good. One of the reason is because the majority of countries in the world choose to handle the pandemic in a monocentricprocedural method, thus ignoring society participation and initiatives. In fact, it is the society who, in many situations, have an idea of handling the pandemic more practically. Therefore, taking the practice of handling the pandemic in Indonesia as an example, this paper is here to dissect the implementation of the procedural democratic conception in the field. Through a qualitative literature study and guided by the research question: “how is the practice of limiting procedural democracy in handling the pandemic in Indonesia?”, this paper then comes to the following conclusions. First, it is true that procedural democracy has become a crucial framework for the country in dealing with the pandemic. Second, however, procedural democracy also has the potential to produce a negative impact on the relationship between demos and kratos. Third, therefore, the limitations on procedural democracy are urgently needed.AbstrakTidak bisa dipungkiri bahwa penanganan pandemi di hampir seluruh negara di dunia banyak dikerangkai oleh konsepsi demokrasi prosedural Joseph Alois Schumpeter, yang menitik beratkan substansinya pada unsur-unsur prosedural dalam perumusan common good. Adapun situasi ini terjadi, salahsatunya karena mayoritas negara di dunia memilih untuk menangani pandemi secara monosentris-prosedural sehingga mengabaikan partisipasi dan inisiatif masyarakat. Padahal, masyarakatlah yang, dalam banyak situasi, memiliki gambaran tentang penanganan pandemi secara lebih praktikal. Oleh karenanya, mengambil praktik penanganan pandemi di Indonesia sebagai contoh, tulisan ini hadir untuk membedah penyelenggaraan konsepsi demokrasi prosedural tersebut di lapangan. Melalui studi pustaka kualitatif dan dipandu oleh pertanyaan penelitian: “bagaimana praktik limitasi demokrasi prosedural dalam penanganan pandemi di Indonesia?”, tulisan ini lantas sampai pada beberapa kesimpulan sebagai berikut. Pertama, benar bahwa demokrasi prosedural telah menjadi kerangka krusial bagi negara dalam menangani pandemi. Kedua, meski demikian, demokrasi prosedural juga berpotensi memproduksi dampak negatif bagi relasi antara demos dan kratos. Ketiga, oleh karenanya, limitasi atas demokrasi prosedural jadi mendesak untuk diselenggarakan.