bluuebunny/crossref_metadata_2025 huggingface dataset:
Orthognathic Surgery with anterior segmental osteotomy as alternative of treatment in patients with dento-skeletal deformity Class III AP maxillary deficiency with dental compensation. Case report
Authors:   Hospital General Del Oeste “Dr. José Gregorio Hernández” Caracas, Venezuela., Millán-Golindano Carlos , García Josmar ,   Hospital General Del Oeste “Dr. José Gregorio Hernández” Caracas, Venezuela., Tebres Julio ,   Hospital General Del Oeste “Dr. José Gregorio Hernández” Caracas, Venezuela., Cordsen Hans ,   Buco-maxilofacial and Traumatology Surgery department. Hospital General Del Oeste “Dr. José Gregorio Hernández”, Caracas, Venezuela.
Published: February 2021

Introduction: Orthognathic surgery is a routine procedure carried out by maxillofacial surgeons in patients with dento-skeletal deformations (DSD) with the objective of achieving functional and esthetical satisfactory results. However, some in cases, due to the decision of the patient or the orthodontic team, the occlusion is tried to be compensated with the intention of avoiding surgery, without optimal results. As a consequence, some extra procedures are required in the surgery to correct and obtain better results. Objective: The aim of this case is to propose the anterior segmental osteotomy (ASO) as alternative of treatment in patients with dento-skeletal deformity class III with maxillary and para-nasal deficiency which have been orthodontically compensated. Material and methods: A 18 years old female with DED Class III due anterior-posterior (AP) maxillary and paranasal deficiency and AP mandibular excess. The surgery was carried out through Le Fort I osteotomy in combination with a segmentary osteotomy at the expense of first premolars and bilateral setback sagittal split osteotomy (BSSO). Clinical and imageology post operatory controls were made during the first 6 months and at two years. Results: Through the realization of the anterior segmental osteotomy the correction of occlusal and transversal alterations of the patient maxilla were performed and additionally favorable facial changes were obtained. Conclusion: The initial orthodontic management of patients with DSD will influence the surgical procedures and the achievement of a balance between esthetics and function. This illustrates why the treatment of these patients must be multidisciplinary; the treatment that was chosen in this case was innovative and could be an alternative for the treatments of patients with DED Class III.
Solving color irregularities with a bioactive bulk-fill restorative system: Case report and 24-months follow up.
Authors:   Departamento de Odontología Restauradora, Facultad de Odontología, Universidad de Concepción, Chile., Grandon Fernando , Muster Maria ,   Facultad de Odontología, Universidad Andrés Bello, Chile., Wendler Michael ,   Departamento de Odontología Restauradora, Facultad de Odontología, Universidad de Concepción, Chile.
Published: February 2021

Bulk-fill resin composites represent an excellent alternative to the conventional incremental layering technique for the reduction of polymerization stress on the adhesive interface. Marginal seal can be further improved by the incorporation of bioactive fillers, such as those encountered in Giomers. However, the high translucency required for the adequate polymerization of bulk-fill materials can seriously jeopardize the final aesthetic outcome of the restorations, especially in the presence of inhomogeneous or stained dentin substrates. The aim of this case report was to present the combined use of two bulk-fill Giomer materials (Beautifil Bulk Flowable and Beautifil II LS, Shofu) for the restoration of three posterior maxillary teeth displaying a black stained dentin substrate due to amalgam corrosion products. This technique allowed completion of the restorations with a satisfactory aesthetic and biomimetic outcome. The adequate preservation of the anatomy and function of the three restorations after 24-months follow-up, provides evidence of the enhanced marginal sealing capacity of these bioactive materials and the success of bulk-fill techniques over time.
Modern Russian female prose in Chinese Russian studies
Authors:   Sichuan University (Chengdu, China), Xue Zhao , Govorukhuna Yu. A. ,   Siberian Federal University (Krasnoyarsk, Russian Federation); Military Educational and Scientific Center “Naval Academy”, Branch in Kaliningrad (Kaliningrad, Russian Federation)
Published: February 2021

Chinese literary scholars studying Russian literature come to a conclusion by the end of the twentieth century that its history has many “white spots.” Thus, efforts are made to fill the existing lacunas, and one of them is the modern Russian female prose. The paper analyzes the Chinese reader’s receptive attitudes determining the interpretation and evaluation of the works of Russian women-writers. One reason for the interest in Russian female literature is the “women’s issue” relevance in China. “Soft” Chinese feminism is a receptive context defining the text interpretation. In the Russian literature scholars’ works, it is manifested in the desire to see harmonious intersexual relations in the Russian women-writers’ prose, in a high assessment of a “holy” type in the character sphere. The Chinese reader highly appreciates overcoming the male-female opposition, searching for forms of dialogue, and imagining a harmonious family. Continuity is a relevant cultural receptive attitude of the Chinese reader, the link with tradition being a significant criterion for evaluating a phenomenon. Chinese scholars note that female literature continues the realistic tradition of telling about the social “bottom” and “little man,” thereby provoking the reader’s interest. Russian female prose is the “young” object in Chinese Russian studies. The Russian philology specialists are looking for linguistic “connectors,” e. g. themes and a typology of heroes, to see the phenomenon as a whole. Chinese specialists focus on the themes of survival, love, and family. The hero typology includes such types as the “new Amazons,” playing women, saints.
Cultural interaction of Turkic peoples in Siberia affirmed by their lexical data: Lexical set “Musical instruments”
Authors:   Institute of Philology of the Siberian Branch of the Russian Academy of Sciences  (Novosibirsk, Russian Federation), Shentsova I. V.
Published: February 2021

The paper highlights the development of cultural ties between the Turkic peoples of Siberia using the analysis of musical instruments’ names. A fund of lexical units has been formed of the Khakas, Shor, Teleut, Altai, Tuva, Tofalar, Yakut terms. The research has resulted in the classification of the items into three parts: the first part of lexemes is represented in all languages under investigation, the second part belongs to a group of languages, and the third includes the units of a particular language. Overall, the names of musical instruments in the Siberian Turkic languages make up opposition to the Western and Southern Turkic, which have a considerable amount of Arabic and Persian musical terms. A few integrative lexemes in the Siberian Turkic are of Chinese origin. These lexemes date to the Old Turkic period. These items are common for the Siberian Turkic and the Western and Southern Turkic. The Siberian Turkic languages undergo differentiation into two main groups. The musical terms are much alike in Khakas, Shor, Teleut. The analogоus items unite Altai, Tuva, Tofalar. The Yakut vocabulary resembles Tuva in some ways. In the languages under analysis, the lexical set “Musical instruments” is not identical. Each language has acquired some special units. A few new terms have been made up in Khakas and Shor. A great number of specific lexemes have been made up in Yakut. Specific lexemes in Tuva have analogs in the Mongolian language. These lexemes refer to the terms of the Buddhist orchestra.
Yukaghir language vocabulary associated with the word Qojl “God”: semantics and formation
Authors:   Institute of the Humanities and the Indigenous Peoples of the North of the Siberian Branch of the Russian Academy of Sciences (Yakutsk, Russian Federation), Prokopeva P. E.
Published: February 2021

The relevance of the theme under consideration is determined by the need to study the traditional worldview of the people, the formation and development of their spiritual knowledge. The paper analyzes the semantic content and the formation of the vocabulary of the Yukaghir language, originating from the word Qojl (qojl), identifies the original semantics of this word, examines the evolution of the religious beliefs of the Yukaghir. The word Qojl (qojl) is associated originally with shamanistic beliefs and was representing the image of the shamanpatron of the family in the traditional culture of the Yukaghir. Later, it came to be referred to the name of the Christian God and to designate icons and saints. In the modern Yukaghir language, the word concerned is used only in the meanings of “God,” “divinity,” “icon,” “saint.” The prevalence of Qojl (qojl)-derived words in the languages of two local Yukaghir groups, the similarity of the structure and meanings of many of the lexemes indicate the archaicity of the word and the presence of a semantic relationship between the original and late sememes. An assumption has been made that the etymology of the ancient root of the word is associated with the concepts of “supernatural,” “sacred,” “divine,” “supreme,” “powerful.” The fact that the word originally comprised the concept of the supernatural and divine determined the expansion of the semantics of the word. Under the influence of Christianity, new words derived from Qojl (qojl), with the semantic content “referring to God,” appear in the Yukaghir language.
Features of expression of modal meanings in 16th-century biblical translations created on the territory of the Grand Duchy of Lithuania
Authors:   Belarusian State University (Minsk, Belarus), Kozhinowa A. A.
Published: February 2021

The paper deals with the features of expression of some modal meanings in the Masoretic text of the book of Genesis by means of particles and the special construction of infinitivus absolutus, which serves to express modality in Hebrew. The ways of translating into Slavic languages in 16th-century bibles created on the territory of the Grand Duchy of Lithuania are considered as well. The data from classical translations – LXX, the Vulgate, and the Czech Venetian Bible – are also used for analysis. The particles were chosen because they are desemantized and do not make considerable changes in the semantics of sentences, but merely specify them. The infinitivus absolutus constructions are a means of expressing modal semantics. They are absent in Slavic languages and require understanding and special translation efforts from the translator. It is concluded that even the translator dealing with sacred texts corrects modal semantics and changes the formal means of its expression, indicating that the modality is understood as a category of a special kind, with unclearly defined borders and a diverse and non-rigid set of means of expression. The analysis of translated texts made using various original texts shows that translators while trying to preserve the spirit and letter of the original or authoritative translation (the Masoretic text, Church Slavonic translation, the Venetian Bible, the Vulgate), nevertheless, consider modality to be a category that can be easily sacrificed in translation, by changing or even eliminating the modal meaning.
Presentation of other people’s information in scientific discourse
Authors:   Novosibirsk State Pedagogical University (Novosibirsk, Russian Federation), Steksova T. I.
Published: February 2021

The paper reflects the author’s understanding of the explanatory structure as a semantic structure with a wide range of realizations: from complex sentences with an object clause, conjunctionless complex sentences, complicated sentences with introductory words, to simple sentences. The study considers a scientific text characterized by introducing other people’s information due to its polyphonic nature. The study objective was to identify the language reflection of the authors of the scientific text when choosing one of the possible syntactic constructions. A new direction, experimental analysis of the discourse, provides opportunities to language reflection study. Fifty-two graduate students of the Faculty of Philology took part in the experiment. Fifteen professors of various humanitarian specialties were the control group. The study analyzes the scientific text authors’ choice of the method of introducing other people’s information. The linguistic experiment results are those authors’ reflections about choosing one of the possible syntactic structures to deliver other people’s information. The students were found to prefer a direct speech structure (a conjunctionless complex sentence), with the teachers choosing the construction with indirect speech for “it may break the author’s text.” The following groups of reasons for choosing a design were identified: substantivecompositional, genre, and pragmatic. A conclusion is made that the authors of the scientific text do not fully use the wide possibilities for the language system to introduce explanatory semantics and often do it unconsciously. There is a tendency to “push” the authorization mode into auxiliary text, metatext.
On the psycholinguistic theory of consciousness
Authors:   Reshetnev Siberian State University of Science and Technology (Krasnoyarsk, Russian Federation), Yakovlev A. A.
Published: February 2021

The paper discusses the model of individual human consciousness, which can be the basis for psycholinguistic research of various types. Among all the properties of consciousness, the most important for psycholinguistics is the anticipatory reflection of reality and its biased nature. It is proposed to distinguish (although with a certain degree of conventionality) the following levels of consciousness: 1. the neurophysiologic level; 2. the level of a direct reflection of reality in behavior; 3. the level of reflection of reality mediated by tools and index signs; 4. the level of reflection of reality mediated by ideal objects and quasi-objects; 5. the level of free actions not related to immediate needs of a person. The simultaneous action of these levels provides a variety of forms of consciousness. Consciousness is presented as an open multilevel self-developing functional system, with its composition and interconnections of levels and units not set a priori, not unchanged and depending on factors of both internal and external order.
History and typology of the spiritual verse of Old Believers Book review: Murashova N. S. Old Believers spiritual verse in the context of the historical evolution of non-ecclesiastical spiritual singing. Novosibirsk, NSPU Publ., 2019, 371 p.
Authors:   Karelian Research Centre RAS (Petrozavodsk, Russian Federation), Petrov A. M.
Published: February 2021

The review considers the book by N. S. Murashova about Old Believers’ spiritual verse. The difficulties of studying the genre are listed, and the need for considering the spiritual verses of Old Believers in a wide cultural context is noted. The advantages of the work are highlighted: wide coverage of material and problems, use of reliable sources, analysis of texts in an interdisciplinary aspect. Questions and problems for a scientific discussion are proposed: the specifics of the development of all-Russian folk plots among Old Believers, the difficulties in classification of characters, the need for a systematic representation of the geocultural space of spiritual verses with a detailed commentary, the eschatological ideas of Old Believers, the cyclical and linear time in the picture of the world of Old Believers, the compilation of a world history chronology according to the texts of Old Believers. It is concluded that the monograph presented is of interest and will contribute to fruitful discussions on the key issues of studying the Old Believers spiritual verse.
The fight with the dragon in “The Prince Archilabon’s Story”: literary sources, folk tradition and its modernization
Authors:   Institute of Philology of the Siberian Branch of the Russian Academy of Sciences  (Novosibirsk, Russian Federation), Kurysheva L. A.
Published: February 2021

This paper is concerned with reconstructing the reader’s experience of P. S. Orlov, which influenced his plan for The Prince Archilabon’s Story (1750), and analyzing the plot about fighting the dragon in this fiction in the aspect of modernization and resemantization of epic motifs. In episodes of the hero’s fight with the dragon and the adventures with the lions, the direct sources of the Story are the works of old tradition close to folklore forms – The Yeruslan Lazarevich’s Tale, The Brunzwick’s Tale, The Bova Prince’s Tale. Several details indicate that the author was familiar with the living epic tradition. The ethos of the protagonist and his horse in the episode of the heroic deed (the Dragon-Slayer) was rethought in P. S. Orlov’s Story. Unlike the epic model, the hero is encouraged to exploit the horse, the horse itself appears first as an instrument of providence, then as a comrade-in-arms subordinate to the hero, without anthropomorphic features, but spiritually connected with the owner. The epic opponent (dragon) retains external attributes in the Story (locus of habitat, appearance, course of the battle), in the course of the story, loses its chthonic essence (enemy and sink) and turns into the giver and potential assistant of the protagonist. After changing their usual location in the composition, separate epic motifs lose their initial semantics, while another group of epic motifs (falling a horse to its knees, driving a horse into the ground) is reinterpreted or gets an additional explanation.
Gothic beetle: a comment on one of Pushkin’s allusions
Authors:   Novosibirsk State Pedagogical University (Novosibirsk, Russian Federation), Maroshi V. V.
Published: February 2021

The paper deals with the beetle as a minor character of the seventh chapter of the novel “Eugene Onegin” and a literary allusion. It is syntactically and rhythmically highlighted in the text of the stanza. V. V. Nabokov was the first to try to set the origin of the character from English literature. The closest meaning of the allusion was a reference to V. A. Zhukovsky, with his surname associated with the beetle by its etymology and the appearance of a “buzzing beetle” in his translation of T. Gray’s “Elegy Written in a Country Churchyard.” The landscape of the 15th stanza of the novel is represented within the genres of elegy, pastoral, and ballad. We expand the field of Pushkin’s allusion to the Gothic novels of A. Radcliffe and Gothic fiction in general. Mentioning the beetle launches a chain of reminiscences from Gothic novels during Tatiana’s walk and her visit to Onegin’s empty “castle.” The quotations from Shakespeare and Collins in Radcliffe’s novels are of great significance. Shakespeare’s beetle, a Hecate’s messenger, is involved in creating an atmosphere of night fears and mystery surrounding the scene in Onegin’s castle. A collection of Radcliffe’s novels in Pushkin’s library suggests the poet was somewhat familiar with the paratext of the novel “The Romance of the Forest”. Moreover, the beetle as a parody character for a ballad and a Gothic novel appeared in the unfinished poem “Vasily Khrabrov” by the poet’s uncle, V. L. Pushkin.
Origins and functions of comic in feuilleton as literature phenomenon
Authors:   Tomsk State Pedagogical University (Tomsk, Russian Federation), Golovchiner V. E. , Vesnina T. L. ,   Tomsk State Pedagogical University (Tomsk, Russian Federation)
Published: February 2021

The genesis of a feuilleton phenomenon in the periodic press, always attracting the readers’ attention, has not been thoroughly researched. The work aims to identify the feuilleton origins and clarify the nature of its expressive means and comic functions. The research materials include the records of the feuilleton discussions in the Soviet press (1922–1926), a collection of works “Feuilleton” (1927), later works on the feuilleton and historical poetics. The following factors are considered to have contributed to the rise of the feuilleton: increased potential of the printing press at the turn of the 19th century, emergence of commercial periodicals, publishers’ interest in increasing the subscribers’ number, growing opposition to the regulatory trends of classicism and acute interest of romanticists in folklore and freedom to use its expressive means in the artistic sphere. The feuilleton is conceptualized as a young form, independent of genre canons, developing the low farce and slapstick comedy expressive means and its comic potential. According to ancestral memory, the comic means as basic artistic expression suggests both mockery and pleasure function for the feuilleton audience and predetermines the double existence of the feuilleton text and difference in naming at different times and in different publications. Texts published in periodicals are traditionally viewed as feuilletons, though the same texts published elsewhere can be considered short fiction forms. The paper defines the feuilleton as belonging to periodicals but distinguished among official and serious papers by its wording and free form of a mostly comic statement, pleasing for readers.
SDG Implementation through Technology? Governing Food-Water-Technology Nexus Challenges in Urban Agriculture
Authors: Schwindenhammer Sandra , Gonglach Denise
Published: February 2021

The 2030 Agenda for Sustainable Development emphasizes the importance of technology as a pillar for the implementation of the Sustainable Development Goals (SDGs). Technology innovation promises benefits especially for the implementation of SDG 2 to end hunger, achieve food security and improved nutrition, and promote sustainable agriculture. Contributing to current debates on SDG implementation, technology innovation, and cross-sectoral governance, we argue that technology innovation carries both the potential to contribute to global goal implementation and the risk of posing new governance challenges. Applying a food-water-technology nexus (FWTN) perspective, we conduct a case study on an emerging technology in urban agricultural production in Germany. The technology connects the wastewater treatment system and the agricultural production system and projects the transformation of a conventional sewage treatment plant into a ‘NEWtrient®-Center,’ which draws the essential resources for urban hydroponic plant cultivation from municipal wastewater. Building on qualitative and participatory research methods, the study provides deeper insights into the governance implications of FWTN issues stemming from the emerging technology. The analysis shows that this technology has the potential to facilitate SDG implementation, but simultaneously fuels new sector interlinkages between water and food and policy demands that substantiate the need for more integrated policymaking to ensure the smart use of technology to reach the SDGs.
Aligned Sustainability Understandings? Global Inter-Institutional Arrangements and the Implementation of SDG 2
Authors: Breitmeier Helmut , Schwindenhammer Sandra , Checa Andrés , Manderbach Jacob , Tanzer Magdalena
Published: February 2021

This article asks whether inter-institutional arrangements (IIAs) can facilitate norm understandings of sustainability in the global food regime complex to ensure the implementation of SDG 2. It refers to theories of norm implementation and regime complexes and focuses on two explanatory factors: non-material resources (authority and knowledge) and interplay management (participation and interaction). The article deals with three case studies: The Codex Alimentarius Commission, the Sustainable Food Systems Programme, and the Standards and Trade Development Facility. Qualitative empirical analysis is based on documents and expert interviews. The article assumes that both explanatory factors are beneficial for the development of an aligned sustainability understanding. The findings indicate that IIAs serve as discursive fora for institutional exchange and can, thus, facilitate the development of aligned sustainability understandings in the global food regime complex. However, the article also identifies some structural factors that provide more scope for certain actors to enforce their normative views and interests, which ultimately hampers the implementation of SDG2.
INCONVENCIONALIDAD DE LA PRISIÓN PREVENTIVA OFICIOSA EN MÉXICO
Authors: Martínez Lazcano Alfonso Jaime
Published: February 2021

La reforma al artículo 19 de la Constitución mexicana incrementa los delitos, que no permite ponderar ni razonar al operador jurídico, no sólo viola derechos humanos sino transgrede la división de poderes, al incorporar más delitos que prevén la prisión preventiva oficiosa, adición contraria a la cultura generada por el Sistema Interamericano de Derechos Humanos y diversos organismos de la Organización de las Naciones Unidas, al ser contrarios, entre otras disposiciones, al artículo 9.3 del Pacto Internacional de Derechos Civiles y Políticos y el numeral 8.2 de la Convención Americana de Derechos Humanos que prevé el principio de presunción de inocencia.
LA NECESIDAD DE EQUIPARAR LAS LICENCIAS LABORALES POR MATERNIDAD Y/O PATERNIDAD, SEA BIOLÓGICA, POR FILIACIÓN O POR ADOPCIÓN
Authors: Vázquez Páez Sabrina Veronica
Published: February 2021

En el presente trabajo, centraremos nuestra atención en este último ámbito, en la búsqueda de la igualdad dentro del derecho laboral, intentando redefinir algunos conceptos, partiendo de tomar en cuenta las nuevas necesidades sociales, las diversas estructuras familiares y los paradigmas actuales que requieren una nueva adaptación del derecho laboral a los fines de evitar la discriminación, y en pos de integrar la diversidad, a través de normas que velen por la equidad. En este sentido, haremos hincapié en la institución de la familia, la cual ha adquirido nuevas estructuras, nuevas formas, nuevas constituciones, dejando el viejo estereotipo en el pasado; y como estas nuevas estructuras han impactado dentro del mundo del derecho en sus diversas ramas. La sociedad se ha manifestado en puja de nuevas necesidades, rompiendo paradigmas, en busca de la inclusión, en pos de la diversidad cultural, en la lucha por nuevos derechos humanos en los que la igualdad ha sido en estos últimos tiempos la protagonista del pedido a gritos de la sociedad manifestada, que impone nuevas estructuras de familias.
Investigation Regarding the Correlation between Particulate Matter 2.5 Air Pollution and Mortality Rates due to Chronic Obstructive Pulmonary Disease
Authors: Dhanoa Ekta
Published: February 2021

In 2015, 3.2 million people died due to Chronic Obstructive Pulmonary Disease (COPD), worldwide. In fact, survival rates for those living with severe COPD are lower than for those with cancer. The one known contributor to this disease is air pollution, and with its rising levels every year, it is necessary to determine the exact correlation between air pollution and COPD. Data was gathered for a selection of 20 countries from the World Bank Database and Health Data Database. This data was graphed and analyzed using the Pearson correlation coefficient, which is a statistical test that measures the relationship between 2 variables. When calculated, the Pearson correlation coefficient was 0.756, determining that there is a significant relationship between air pollution and COPD. Through the investigation, it is concluded that there is a positive correlation between PM2.5 air pollution and mortality rate due to COPD. PM2.5 is a component of air pollution defined as the amount of atmospheric particulate matter with a diameter less than 2.5 micrometers. Due to its small physical nature, PM2.5 can easily infiltrate the lungs, causing infections in the respiratory organs. They can reach the bronchi and even the alveoli, causing inflammation which ultimately results in COPD and premature deaths. Therefore, this research will aim to investigate the relationship between PM2.5 air pollution and COPD, allowing for a better understanding of these variables.
The prevalence of gastroesophageal reflux disease and its association with various risk factors in a tertiary care centre in West Bengal
Authors: Parasher Anant , Ranjan Kunal
Published: February 2021

Background: Gastroesophageal Reflux (GER) is the regurgitation of gastric contents and acid into the esophagus. Frequent and abnormal amounts of reflux leads to Gastroesophageal reflux disease (GERD) which causes symptoms like heartburn, regurgitation, and /or other complications. In view of absence of any data on the prevalence of GERD from this part of India, the current population based study was conducted to study the prevalence of GERD and its association with various risk factors.Methods: In this community based prospective cross-sectional observational study, 500 patients from rural and urban areas of West Bengal were included during the one year period from July 2014 to June 2015.Results: Out of a total of 500 patients studied, the percentage of patients with GERD in our study population was found to be 31.3%. Out of 292 males enrolled for the study, number of patients with GERD was 66 (22.6%) as compare to females where the same was found to be 43.26% (90/208). The majority (68.2%) of patients had mild GERD, 18.5% had moderate GERD whereas only 13.3% of patients had severe GERD.Conclusions: The percentage of patients with GERD in our study population was found to be 31.3%. It was observed to be significantly associated with increasing Body Mass Index (B.M.I), smoking, the female gender, a sedentary lifestyle, dinner to bed-time interval of ≤2 hours, chronic NSAID use, and a past history of abdominal surgery.
Endourological management of pediatric urolithiasis in Northeast India
Authors: Rajput Manharsinh , Paul Sanjay Lakshminarayan , Deka Phanindra Mohan
Published: February 2021

Background: Urolithiasis affects between 5-10% of the population during their lifetime, 2-3% of them are children. In the last decade, technological advancement and miniaturization of instruments has changed the management of pediatric urinary-stone disease. Extracorporeal shockwave lithotripsy (ESWL) has been preferred method of management of pediatric stone disease, whereas the endoscopic approach is limited to a few centers.Methods: This retrospective study was conducted among the pediatric patients (6-15 years) presenting with urolithiasis during 1st January 2017 to 31st December 2019 to the department of urology, Dispur hospital Pvt. Ltd., Assam. Only confirmed cases of pediatric urolithiasis were included in this study. Medical records were reviewed for clinical and laboratory data including gender, age at diagnosis, clinical presentation, presence of urinary tract anomalies, and urinary tract infections (UTI) in the form of urinalysis, urine culture and complete blood count. Metabolic evaluation was advised in all children. Finally, a total of 100 pediatric urolithiasis cases were included in this study.Results: ESWL was performed in 28 children. The stone-free rate was 85.7%. The total number of shocks per treatment ranged from 1000 to 2000. A total of 10 percutaneous nephrolithotomy (PCNLs) were done with complete stone clearance in 83.33%. In the URS group, urethroscopy was successful in 20 cases (75%). Cystolithotripsy was done in 08 cases with 100% clearance rate. 30 patients were managed conservatively.Conclusions: ESWL is highly effective in children for small stone burden. Early metabolic evaluation and treatment may prevent further renal damage and recurrence.
Giant mature retroperitoneal teratoma in adolescent: a rare case report
Authors: Jayaningrum I. Gusti Ayu Agung Bella Bella , Adiputra Pande Made Gunawan
Published: February 2021

Teratomas are neoplasms of the embryonic tissues that typically grow in the gonadal and sacrococcygeal regions of adults and children. Intrabdominal teratomas that occur in adolescent are rare and demand challenging management options. We report a case of an intraabdominal mature cystic teratoma in a 17-year-old female patient. Complete resection of the mass was performed by a laparotomy approach. Radiological imaging is helpful in preoperative diagnosis and planning. Multidisciplinary surgical team planning is also essential to avoid injury to the adjacent organs in duodenal teratoma operation. Complete surgical excision is the treatment of choice, and the prognosis of mature teratomas is excellent.
Rhabdomyolysis and myopericarditis with renal failure in a patient of status epilepticus
Authors: Pandey Santosh Kumar , Avasthi Rajnish
Published: February 2021

Rhabdomyolysis is characterized by the destruction and leakage of muscle cell components into the circulation. Sustained and prolonged muscle activity is an important factor causing the same. Most of the reported cases in the literature were due to status epilepticus. We report the case of a 25-year-old male who developed acute renal failure and myopericarditis in association with non-traumatic rhabdomyolysis following status epilepticus.
Greater superficial petrosal nerve and its surgical importance: a review
Authors: Swain Santosh Kumar
Published: February 2021

The greater superficial petrosal nerve (GSPN) is an important but often underappreciated branch of the facial nerve. The GSPN is a mixed nerve which contains both sensory and parasympathetic fibers. It serves as the motor root of the pterygopalatine (sphenopalatine) ganglion. GSPN has a long course which passes across the middle skull base between the petrous bone and dura mater and running through the foramen lacerum. It then incorporates to the deep petrosal nerve and crosses along the pterygoid canal to the pterygopalatine ganglion. The postganglionic nerve fibers innervates the lacrimal glands, nasal mucosa and palatal mucosal glands via branches of the zygomatic nerve/zygomaticotemporal branch, sphenopalatine, greater palatine, lesser palatine nerves and pharyngeal nerve. Surgical anatomy of the GSPN nerve is often unfamiliar to many clinicians. As this nerve is usually unrecognized without use of high resolution microscope or endoscope, its anatomical knowledge is essential for surgeons basically otologists and other head and neck surgeon to minimize the risk of injury during surgical intervention. This review article surely increases the precise knowledge of the GSPN including its embryology, surgical anatomy, blood supply, relations with other structures and imaging.
Study of open cholecystectomy for gallbladder disorders
Authors: Kumar Sunil , Reddy T. Rudra Prasad
Published: February 2021

Background: Cholecystectomy is one of the most common surgeries done worldwide. Most common indication is biliary colic due to cholelithiasis. Presently most cholecystectomies are done by laparoscopic approach, however conversion to open cholecystectomy is needed in few circumstances and there are some absolute indications for open cholecystectomy where laparoscopic procedure can’t be done.Methods: This is a prospective observational study of 50 open cholecystectomies operated during March 2017 to Feb 2019 in our medical college. Various data including demographic data of patients, different indications, post-operative complications were documented and analyzed.Results: Mean age of the patients was 40.58 (16-65) years. Female patients were more in number 32 (64%) when compared with males. Maximum patients were in the age group 31-40 years accounting to 17 (34%) of study population. Pain abdomen 24 (48%) was the chief presenting complaint. Cholelithiasis 38 (76%) was the major indication for surgery. Complications like bile leak, bleeding, subphrenic abscess and infection occurred in 04 (08%) patients. Total four cases of laparoscopic cholecystectomy were converted to open cholecystectomy. Mean hospital stay was 7.48 (5-14) days.Conclusions: Even though laparoscopic cholecystectomy is the gold standard in the present era, it is important that the surgeon is also competent in doing open cholecystectomy. Certain conditions require planned open cholecystectomy as the standard procedure. In difficult laparoscopic cases, the surgeon must take timely decision to convert to the open technique. Surgeons experience and proper clinical judgment skills are important in difficult cases.
Sensory outcomes after repair of median and ulnar nerve with nerve graft
Authors: Disawal Ankit , Srivastava Sunil
Published: February 2021

Background: Peripheral nerve injuries in upper extremities are common. These injuries have significant impact on patient’s life. Appropriate treatment is important for patients to regain functional recovery.Methods: Study conducted on patients treated on Department of Plastic and Reconstructive surgery from January 2018 to May 2019. Study was done to evaluate the sensory recovery of median and ulnar nerve in the forearm after defects were repair by autologous nerve graft. Evaluation was performed in 24 patients. Rating of sensibility was presented by British medical research council scale. Satisfactory sensory recovery was defined as MRC grading S3+ and S4.Results: We evaluate the result of  median and ulnar nerve reconstruction as regards to factors affecting functionally the result of operation, which are age, injury level, graft level, and denervation time. Median nerve grafting done in 14 patients and sensory recovery S4 achieved in 2 patients (14%), S3+ in 4 patients (29%). Ulnar nerve grafting done in 10 patients and sensory recovery S4 achieved in 2 patients (20%), S3+ in 2 patients (20%). There was not statistically significant difference in sensory recovery of median and ulnar nerve. There was not statistically significant difference by age, level of injury, graft length, denervation time.Conclusions: There was no significant difference in sensory recovery of median and ulnar nerves. Mode of injury influences results. Results were comparatively better in younger patients and in patients who had undergone repair within shorter time.
A prospective interventional study on ligation of intersphincteric fistula tract in patients with fistula-in-ano-as a tertiary care centre
Authors: Panwar Pradeep , Jain Richa , Jain Mohit , Bagree Rajendra , Reddy Hetish M. , Jalendra Gaurav
Published: February 2021

Background: Fistula-in-ano is a very common condition encountered in proctology OPD. The treatment of fistula-in-ano is difficult due to potential risk of recurrence and fecal incontinence. Ligation of Intersphincteric Fistulous Tract is new modality of treatment for the condition. LIFT is a sphincter preserving surgery, aim of our study to evaluate the effectiveness of LIFT surgery.Methods: We did LIFT surgery in 35 cases of intersphincteric and transsphincteric types of fistula-in-ano during the period of December 2019 to July 2020. Standard investigation protocol was followed in all cases. Evaluation of effectiveness of procedure done in terms of anal incontinence, wound healing time, recurrence rate and wound infection rate.Results: 35 patients (23 men, 12 women) were included with mean age of 40 SD 10.38 years. Most of study population have Inter sphincteric fistula (62.9%), and 37.1% participants have trans sphincteric fistula. Healing time was 10-15 days (42.9%) and mean healing time is 17 SD 4.25 days. We didn’t see a single case of anal incontinence with LIFT in our study. 6 cases of recurrence were seen.Conclusions: Result from our study showed that LIFT surgery is effective modality and fulfilling the outcome of sphincter preservation.
A case of pneumoperitoneum after diagnostic colonoscopy for ulcerative colitis managed conservatively: a rare but possible complication
Authors: Patel Neel B. , Desai Hitendra K. , Doshi Purvesh , Javia Bansil
Published: February 2021

Ulcerative colitis is a chronic disease characterized by recurring episodes of inflammation of the colonic mucosae. Patients with ulcerative colitis are at an increased risk of perforations due to friability of colonic mucosa. Colonoscopy is usually regarded as a safe procedure, but complications may occur. Perforations associated with colonoscopy are dreaded complications. Most patients with pneumoperitoneum require surgical intervention, with associated major postoperative morbidity and mortality. This case report describes a 30 year old female presenting with an extensive pneumoperitoneum 2 days after colonoscopy done for her complaint of melena for one week. Colonoscopy was suggestive of severe active colitis in background of chronic ulcerative colitis. Histopathological reports s/o inflammatory bowel disease ulcerative colitis likely. CT Abdomen was s/o diffuse concentric thickening of the large bowel more predominantly seen in rectosigmoid colon, ascending colon, caecum, IC junction and consistent with inflammatory bowel disease and moderate pneumoperitoneum noted. The patient remained stable despite intraperitoneal free air. Patient was managed conservatively and no surgical intervention needed.
Successful management of single system ectopic ureter with preserved renal function in a female child: a case report
Authors: Grover Jitendra Kumar , Soni Deepak Kumar , Khan Shehtaj
Published: February 2021

Ectopic ureter is a rare congenital anomaly of the genitourinary system, in which ureter does not insert into its normal anatomical position in bladder. Incidence is 1 in 4000 and has female predominance. Ectopic ureter is generally (80-85%) associated with a duplication of renal system, while in single system is found in 15-20%. If ectopic ureter drains a single kidney it is known as single system ectopic ureter (SSEU) in a female is extremely rarely found. Here, we report a case of single system ectopic ureter without renal dysplasia and other congenital abnormalities, which was diagnosed and managed successfully with uretero-neocystostomy. In conclusion, once a female is presented with urinary incontinence after toilet training then evaluation should be done for ectopic ureter along with other possible condition and management should be as early as possible & proper surgical intervention done.
SIGNIFICADOS DOS PROFISSIONAIS DE ENFERMAGEM SOBRE A RELAÇÃO ESPIRITUALIDADE E RISCOS PSICOSSOCIAIS NO AMBIENTE LABORAL
Authors: Couto Pablo Luiz Santos , Da Silva Sandra Célia Coelho Gomes , Gomes Antônio Marcos Tosoli , Flores Tarcisio Da Silva , De Souza Elvira Maria Cavalcanti , Santos Núbia Rêgo , Suto Cleuma Sueli Santos , Porcino Carle
Published: February 2021

Objetiva-se compreender os significados dos profissionais de enfermagem sobre a relação entre espiritualidade e os ricos psicossociais no ambiente laboral. Trata-se de um estudo de caso, qualitativo, realizado na Emergência de um Hospital Estadual da Bahia, com a equipe de enfermagem entre os meses de maio a julho de 2012. Foi utilizada a entrevista semi-estruturada como técnica de coleta. As falas foram analisadas com a análise de conteúdo temática, da qual emergiram categorias. Os resultados mostram que os riscos psicossociais prejudicam a subjetividade humana, como as emoções e a espiritualidade, o rendimento individual e coletivo no labor, causam conflitos nos papéis desempenhados, decorrentes de problemas de interação social e no ambiente laboral. Conclui-se que a relação interpessoal dos trabalhadores constitui um desafio nos serviços laborais, uma vez que as relações de poder fomentam tensões na equipe e potencializa os riscos psicossociais, desencadeando desordens psicoespirituais e socias à saúde dos trabalhadores.
A HEROÍNA ATALANTA NA CERÂMICA ÁTICA ARCAICA: REPRESENTAÇÃO ARTÍSTICA DO CORPO E PERFORMANCE DE GÊNERO
Authors: Berquó Thirzá Amaral
Published: February 2021

Resumo: A heroína Atalanta foi representada em 42 vasos pintados produzidos em Atenas entre os séculos VI – IV A. E. C. Nos 26 vasos do período arcaico em que ela aparece, podem ser notadas duas características singulares: primeiro, as temáticas das cenas, que giram em torno da caça e da luta, atividades consideradas precipuamente masculinas na Grécia antiga; segundo, a forma da sua representação corporal, que possui um aspecto feminino virilizado na maioria dos exemplares arcaicos. O presente artigo utiliza-se do conceito de performance de gênero de Judith Butler para elucidar essas duas peculiaridades da iconografia de Atalanta na cerâmica ática arcaica.
A COMÉDIA ARISTOFÂNICA ENQUANTO MATERIALIDADE DOS TRATADOS HIPOCRÁTICOS: UM ESTUDO DE GÊNERO (Sécs. V-IV a.C.).
Authors: Aniceto Bárbara Alexandre
Published: February 2021

Tradicionalmente relacionados somente à perpetuação de herdeiros, a sexualidade e o corpo feminino não foram validados enquanto objetos de estudo pela historiografia do século XIX até meados do XX. Contudo, é notório como ambos estiveram presentes nas produções históricas da Antiguidade Clássica, dos vestígios materiais aos escritos de teatrólogos, filósofos e médicos, como Hipócrates e Aristófanes. Os conceitos de corpo e de sexualidade cristalizaram-se, na historiografia, como um esforço dos autores antigos, sobretudo de Aristóteles, em justificar a suposta inferioridade das mulheres gregas, que estaria baseada em uma composição fisiológica mais fraca. Tal visão acabou por restringir as possibilidades interpretativas oferecidas por outras naturezas documentais do período clássico, como a hipocrática e a aristofânica. Esse artigo busca refletir sobre a correlação histórica das obras de Aristófanes e Hipócrates, com ênfase nas atividades sexuais femininas e nas construções de gênero em Atenas.
PERFORMANCES NA ANTIGUIDADE: NARRATIVAS, PRÁTICAS E MATERIALIDADE
Authors: Vieira Neto Ivan , Dias Carolina Kesser Barcellos , Silva Semíramis Corsi
Published: February 2021

Apresentação do dossiê.
HISTÓRIA, RITOS E ESPIRITUALIDADE INDÍGENA: INTERFACES COM OS POTIGUARA E TABAJARA DO ESTADO DA PARAÍBA
Authors: Nascimento João Batista Vicente do
Published: February 2021

O presente artigo trata a respeito de ritos e espiritualidade numa perspectiva indígena, mais especificamente, sobre os Potiguara e Tabajara do estado da Paraíba. Tem como objetivo discutir a percepção social acerca da comunidade indígena com interfaces envolvendo duas tribos paraibanas. A partir do questionamento a respeito do Índio que mora na nossa cabeça, foram discutidos alguns aspectos históricos relacionados ao indígena no Brasil, preconceitos, demandas e reparações históricas, seguidos de proposições e relatos baseados em experiência de campo nas aldeias Vitória, Barra de Gramame e Lagoa do Mato, com características distintas dessas aldeias. Para tanto, foi utilizada uma metodologia predominantemente descritiva a partir das experiências empíricas, utilizando fontes orais e bibliográficas. Os resultados demonstram a necessidade de reparações históricas a serem feitas, principalmente no tocante a posse da terra, em que os Potiguara e Tabajara também se colocam nessa situação ao demonstrarem a importância da terra para preservação cultural bem como para sua própria sobrevivência.
O PROTAGONISMO JUVENIL NO GRAFITE: PROCESSOS CONSTITUTIVOS E HISTÓRICOS NA CONTRACULTURA
Authors: Marques da Fonseca Hellen Alexandrina , Reinato Eduardo José
Published: February 2021

O artigo analisa a cultura de uma população subalternizada. Resultado da falta de acesso desses jovens da periferia aos centros das cidades e ao entretenimento, consolidando-se nesta cultura de rua e de autoafirmação de identidade. Busca-se através da expressão artística do grafite, analisar conceitos sobre o que é cultura, arte e também a contracultura e seus aspectos significantes às margens das marcas etnocêntricas. Através da pesquisa conclui-se quais são as características da revolução individual nas performances culturais que resistem em meio a depreciação dos movimentos de resistência pelas políticas autoritárias.
EDUCAÇÃO E JUVENTUDE EM TEMPO DE PANDEMIA
Authors: Neves Silva Rosemary Francisca
Published: February 2021

Editorial.