bluuebunny/crossref_metadata_2025 huggingface dataset:
Aspects of Diode Laser (805 nm) Hair Removal Safety in a Mixed-Race Group of Patients
Authors: Załęska Izabela , Atta-Motte Magdalena
Published: May 2019

Introduction: Laser hair removal (LHR) has become one of the most popular treatments in aesthetics. Side effects are an inevitable part of laser therapy, therefore managing them is crucial for every laser practitioner to ensure patients’ safety along with achieving the best results. The available references describe the effectiveness of the diode LHR for all skin types according to the Fitzpatrick scale, but the question of patient safety and minimization of side effects and postoperative complications in mixed-race patients remains unanswered. This study aims to illustrate aspects of specific side effects in patients of mixed ethnicity and the impact of those effects on the results of the treatment. Methods: The study was conducted in Poland and the United Kingdom on 216 patients of various ethnic backgrounds. This study analyses the frequency of side effects in a mixed-race group of 32 participants, taking into account their skin type according to the Fitzpatrick scale. The patients received a course of 6 treatments using diode laser 805 nm. An objective and a subjective method were used to analyse treatment results and side effects, with adverse effects documented, if observed. Treatment settings were adjusted to skin reaction during the patch test. Results: Objective analysis was different from the subjective analysis of the treatment’s effectiveness. No adverse effects were observed. Side effects such as hyperpigmentation, skin irritation, skin burns, and skin hypersensitivity were found. Conclusion: 805 nm diode laser is effective and efficient at hair removal in mixed-race patients. It is a safe treatment in terms of skin reaction as only short-term side effects were observed in the treated area and no adverse effects were noted. To achieve the best results and to avoid adverse effects it is necessary to adjust treatment settings according to the individual patient’s skin reaction.
Effects of Aging on Physicomechanical and Chemical Properties of Chemically Modified Binders
Authors: Alam Md. Shahriar , Hossain Zahid , Baumgardner Gaylon
Published: May 2019

Asphalt binders and their chemical compositions vary widely based on their crude sources. Chemical modifications are often implemented to attain certain rheological and chemical superiorities over neat (unmodified) binders. These modifications involve complex chemistries. The crude specific behavior of asphalt binders keeps pavement professionals from perceiving the underlying concept of binder modifications. This study was intended to predict the effects of aging on physicomechanical and chemical properties of chemically modified asphalt binders and thereby determine the dosages that would yield optimal benefits of chemical modifications. Asphalt binders from two crude sources (Canadian and Arabian) were primarily modified with Polyphosphoric Acid (PPA). A commonly used polymer, styrene butadiene styrene, was also investigated to compare the results of PPA-modified binders. These binders were analyzed using a column chromatography technique to observe any significant changes in chemical fractions (saturates, aromatics, resins, and asphaltenes) along with colloidal stability. One of the crude sources was also evaluated after its modification with different percentages of a Reclaimed Asphalt Pavement (RAP) binder containing PPA. There were two different optimum levels of chemical modification for two different crude binders. Binders were tested at unaged, short-term, and long-term aging conditions in the laboratory. Two binders demonstrated two different patterns of aging escalation; the Arabian crude binder was found to be more colloidally stable that the Canadian crude binder. Finally, an effort was made to find any correlation between selected physicomechanical properties and chemical compositions of the tested asphalt binders. Some of the mechanical properties were found to be linearly correlated with binders’ chemical compositions. A high amount (over 40 %) of RAP binder modification in neat binders induced some instability in the colloidal structure of the Canadian crude binders.
Short-Term Aging Performance Evaluation of Asphalt Based on Principal Component and Cluster Analysis
Authors: Zhao Pinhui , Gao Dongxing , Ren Ruibo , Han Kechao , Yang Ziqiao , Meng Weikun , Fan Wenmiao
Published: May 2019

Asphalt ages easily under the natural environment of light, heat, and oxygen. A good amount of pavement damage, such as cracks, chaps, and trenches, is caused by asphalt aging, which shortens the service life of asphalt pavement. The aging rules of asphalt differ from oil source to oil source. Here, 18 typical asphalt samples were subjected to short-term aging experiments using a thin-film oven test. The principal component analysis (PCA) and cluster analysis were carried out on eight aging-resistance indexes. The results classified the 18 types of asphalts into 2 groups according to the oil source, which indicated that the aging resistance of asphalt primarily depends on its oil source. Furthermore, based on the PCA and cluster analysis results, a discriminant model of different aging performance asphalts with a very high accuracy rate was established. These results provide a scientific basis for reasonable selection, quality monitoring, and guarantee of the origin of asphalts.
Hot Working Flow Behavior of Ti-6242S Alloy
Authors: Gangolu Srinu , Kitashima Tomonori , Hagiwara Masuo , Emura Satoshi , Iida Kazuhiko
Published: May 2019

The hot working behavior of Ti-6242S alloy was investigated over a range of temperatures and strain rates (973–1,373 K and 10−3–1 s−1, respectively). The flow behavior was dominated by dynamic recovery and flow softening at temperatures above and below 1,223 K, respectively. Processing maps were constructed from the flow curves at a true strain of 0.5 over the temperature ranges 973–1,223 K and 1,223–1,373 K. In each temperature regime, we compared the flow localization parameter and temperature sensitivity with the instability parameter determined from the processing map. The processing conditions were optimized in the temperature range 1,173–1,273 K and strain rate ranges of 5.0 × 10−1–1.0 s−1 and (1.0–5.0) × 10−3 s−1. The deformation activation energy under a strain rate of 10−3 s−1 was determined as ∼360 kJ/mol and was further reduced when considering the threshold stress. The operating deformation mechanism in the 973–1,223 K regime was dislocation climb creep. The microstructural evolution was examined by optical and scanning electron microscopies and was correlated with the stable and unstable regimes of the processing map.
Association of British Clinical Diabetologists (ABCD) position statement on the use of sodium-glucose cotransporter-2 inhibitors in type 1 diabetes (updated 2019)
Authors: Dashora Umesh , Patel Dipesh C , Gregory Robert , Winocour Peter , Dhatariya Ketan , Nagi Dinesh
Published: May 2019

SGLT-2 inhibitors may be increasingly used in people with type 1 diabetes as new licenses are obtained. These drugs have the potential to improve glycaemic control in people with type 1 diabetes with the added benefit of weight loss, better control of blood pressure and more time in optimal glucose range. SGLT-2 inhibitors are associated with higher incidence of diabetic ketoacidosis without significant hyperglycaemia. The present ABCD position statement is to mitigate this risk and other potential complications in people taking these drugs. Particular caution needs to be exercised in people who are at risk of diabetic ketoacidosis due to low calorie diet, illnesses, injuries, starvation, excessive exercise, excessive alcohol consumption and reduced insulin administration among other precipitating factors for diabetic ketoacidosis.
Dividend Policy Trend: A Comprehensive Study on the Listed Industrial Sector of Bangladesh
Authors: Islam Mohammad Shahidul Shahidul , Atm Adnan
Published: May 2019

The financial decision is rotated around the dividend decision. The objective is to identify the dividend pattern and the management’ views of dividend policy for revealing the present scenario of dividend practices in the capital market of Bangladesh. The parametric test, non-parametric test and percentile are used for inferring the result. In the manufacturing sector, the miscellaneous sector provides the highest payout. The DPS, EPS, MPS of the large size firm is better than small and medium size firms. The payout of the older firms is more than the newly listed firms. The highest payouts are in medium leveraged firm, low risk’s firm, medium PE ratio’s firm. The survey results reveal that the both shareholders and companies prefer the cash dividend most because of majority shareholders’ expectation. The most of the companies pay cash dividend with stable payout. The majority companies follow increasing trend in dividend payment but there is no satisfactory research to justify the investors’ preference. The capital market related stakeholders should follow these findings.
European Social Survey: 10 Years in Lithuania
Authors: Žvaliauskas Giedrius
Published: May 2019

A short review of the European Social Survey (ESS) and its 8th wave module on welfare attitudes. The review presents a detailed description of the variables used in the ESS questionnaire in a 2017 survey conducted in Lithuania and links to its results.
Thrombus Embolisation: Prevention is Better than Cure
Authors: Choudry Fizzah A , Weerackody Roshan P , Jones Daniel A , Mathur Anthony
Published: May 2019

Thrombus embolisation complicating primary percutaneous coronary intervention in ST-elevation myocardial infarction is associated with an increase in adverse outcomes. However, there are currently no proven recommendations for intervention in the setting of large thrombus burden. In this review, we discuss the clinical implications of thrombus embolisation and angiographic predictors of embolisation, and provide an update of current evidence for some preventative strategies, both pharmacological and mechanical, in this setting.
The examination of the effect of caffeine supplementation in professional soccer players
Authors: Karabağ S. , Taş Z.
Published: May 2019

Purpose: In this study, the effects of caffeine supplementation in professional soccer players on the Hoff and sprint tests were examined. Material: 11 professional soccer players participated in this study in line with this purpose (Xage=20.636). The Hoff and sprint tests were applied 3 times at 1 week intervals. In each of these practices, caffeine added water was performed on the participants in the first week, and placebo was performed in the second week. In the third week, the participants were tested without any additional supplement. This practice lasted 3 weeks. Caffeine supplementation was given to each participant with the amount of 6 mg / kg in 200 ml water 1 hour before the tests, and placebo supplementation in 200 ml water was given 1 hour before the tests. The soccer players did the hoff test and sprint test respectively after 20 minutes of warming period. Results: Following Wilcoxon signed-ranks analysis, it was found that caffeine supplementation and placebo applications significantly increased the hoff test averages (p <0.05), while sprint test averages were reduced significantly in statistical terms (p <0.05). Conclusions: As a conclusion, we can state that caffeine application significantly increased the hoff test averages in comparison to placebo (p <0.05), and that it caused sprint test averages to decrease significantly in statistical terms (p <0.05).
Maximal aerobic speed as prior reference point skills fitness capacities among elite male volleyball players
Authors: Zerf M. , Louglaib L.
Published: May 2019

Purpose . Maximal aerobic speed (MAS) levels are a prior reference point in the optimal management of effort parameters motor skills-related fitness. Typically indicated in sports literariness by improving the aerobic components that work to develop muscle flexibility, coordination of joint movements, the increase of speed and strength, which their developments advance the overall physical condition of the players. Methods . To solve the objective of this research, we establish the MAS levels of 60 elite male volleyball players (aged 22 to 25 years, ±5 years in elite championships). As well as their motor skill-related fitness, inspected by 20m speed, T-test agility and power strength volleyball test jumps (vertical or horizontal). Results . Our results confirm maximal aerobic speed (MAS) values as essential components for the player to achieve high performance under high explosive loads. Upkeep by our protocol to be advanced at MSA upper than 3.99 (m/s). Suspected as a variation of effort energy consumption. Explained by similarity through different resistance player capacities relative to its biomechanical particular gesture activity improvements or its movement technique optimized to his boundary conditions. Conclusions . Our protocol supports MAS levels (MAS) as an excellent test to evaluate the development of motor abilities in masculine volleyball. Upkeep by our protocol to be developed at MSA +3.99 (m/s). Claims as a minimal component of the conditioning to improve the motor volleyball skill-fitness ability. Subjected in this study as an easy volleyball-test tool to predict players' speed, agility, coordination and power developments. Challenging our trainers to access the player's anaerobic energy as a pointer of players’ physical capacity skills fitness progress.
OVERCOMING THE CULTURAL DIFFERENCES: PARABLE AS A MEANS OF INTERCULTURAL DIALOGUE
Authors: Danylova Tetyana V.
Published: May 2019

Purpose. This article attempts to investigate the ways to overcome negative after-effects of intercultural communication. Methodology and theoretical results: To avoid the negative after-effects of intercultural communication caused by the clash of different reality tunnels, it is necessary to go beyond the framework of the specific symbolical territory, which is seen as the only true reality. Expanding the horizons of life, going beyond the boundaries of a personal reality tunnel can be achieved, in particular, by using parables. Acquaintance with parables helps to extend the set of the world perception models and to change the positions of the communication process participants. Parables act as intermediaries between people of different cultures and mentalities. Owing to its archetypical form, parable becomes one of the most popular narratives illustrating deep and multi-faceted truths that sometimes cannot be expressed by any other way. Parable serves as an open and flexible model of the world and a model of an individual "I self". This model helps people to constitute themselves as a part of their world. Parable requires to reject its interpretation in the oppositions inherent in a given culture and to reconsider the very way of understanding. Rejection of the oppositions provides the possibility of perceiving the world as integrity, unity in diversity, helps to overcome one-sided picture of the inner world of a man and his life in society. Understanding of a parable works towards changing personal position, and human creative nature is actualized. Conclusion: Parables uniquely reflect the real world and contribute to personal understanding of reality. Parables are successfully transplanted into different cultures operating as heritage of a culture-recipient and as a connecting link, which optimizes an intercultural dialogue.
MEASUREMENT OF VAGUE PREDICATES
Authors: Katz Ludmila A.
Published: May 2019

Purpose. The way of assignment of exact numerical truth value to any vague predicate sentence remains to be problematic.   Methodology. I would like to propose one of the possible ways of estimation for vague sentences: to exploit the supevaluationists' idea of precisification for the interpretation of verity. We can think of the verity of a borderline sentence (the degree to which it is close to definite truth) as the proportion of permissible precisifications on which it is true. Scientific novelty. The proposed construal of degrees, interpreting verities on the basis of a measure over admissible precisifications, allows discrimination among borderline cases that would otherwise (on the standard supervaluationist account) all inhabit the same truth-value gap. My view of vague expressions assumes also that a borderline sentence may affect verity of another borderline sentence.  The notion of relative verity reflects an intuitive assumption about possible semantic connections between applications of vague predicates. So-called forcing connection is a non-symmetric, transitive relation, which does not express any temporal or causal dependence between borderline cases; rather, it expresses a logical or semantic relation. I consider different kinds of forcing connection between vague expressions. Conclusion. Using of the notions “relative verity” and “forcing” provides preservation for borderline sentences of certain logical connections, which are postulated by classical logic.
PHILOSOPHICAL-ANTROPOLOGICAL ASPECTS OF A PROBLEM OF SEARCH EXTRA-TERRESTRIAL OF CIVILIZATIONS
Authors: A. T. Tshedrin
Published: May 2019

Purpose. The fears express, that «METI-projects», which testify to existence of mankind as technicalgeneous of a civilization for highly advanced ETC of a Galaxy, can have the extremely negative consequences, and «SETI-projects» and received radiosignals can become the information weapon aggressive ETC. The analysis of these fears as complete sociocultural of a phenomenon, them philosophical-anthropological of measurement, sociocultural of the basis, the forms of their display are the purpose of clause. Methodology. Author used the social-communicative approach, methods of system and cluster analyses. Scientific innovation. Are opened philosophical-anthropological of measurement of a problem of life extra-terrestrial intelligents (ETI), the factors of statement of a problem of contacts with ETC in the modern form connected with spacing of scientific and technical activity of mankind, influence of processes globalization on philosophical-anthropological aspects of a problem ETC, connected with changes in the fundamental relation «the Man - World» are investigated. These processes conduct to growth of fears concerning unpredictable intervention in terrestrial sociocultural system of alien reason. The persuasive fears, connected with possible consequences of contacts with ETC, take the form of hypotheses rather extra-terrestrial of artificial intelligence (ETAI) as potential subject of space contact. The positive and negative scripts of dialogue with ETAI, problem «of high quality of a signal» and «SETI-hacker», connected with ETAI as by the subject of space dialogue are considered. Conclusions. The further development of a problem of search ETC and establishment of contacts with it will be connected, on the one hand to success in overcoming civilization of impasse, in which there was a mankind on a boundary ХХ – ХХI of centuries, and with another - deepening of revolution in cosmology, progress of observant astronomy, philosophical-cultural above a problem.
TOWARDS GENDER EQUALITY: UKRAINE IN THE 21ST CENTURY
Authors: Danylova Tetyana V.
Published: May 2019

Purpose. This article attempts to examine the current state of addressing gender inequality in Ukraine. Methodology. The author has used methodology of historical inquiry, hermeneutical methodology and content analysis. Theoretical basis and results. Issues about gender imbalance are acute in Ukraine.  Gender inequality in politics is a matter of serious concern. Insignificant part of women in political and decision-making processes is a serious challenge to democracy. Discrimination in the labor market should be noted. Obvious gender inequality in the labor market has led to feminization of poverty. Violence against women has become an acute problem, which can be resolved at the state level only. Although international and national legislation is based on the principle of equality, in practice women are not equal in social life and activities. There is a deep contradiction between the new needs in society and the lack of conditions for their satisfaction. This situation appears to be a challenge to modern Ukrainian society and state of Ukraine, thus, immediate appropriate actions are required. Scientific novelty. It is essential to bring Ukrainian legislation into conformity with the constitutional principles of equality and European standards; develop appropriate and effective anti-discrimination norms and sanctions for violating gender legislation; introduce special measures to ensure gender parity in decision-making, in all public offices; conduct special information campaigns; develop and institutionalize gender studies and gender education at all stages; get more public control over the implementation of international commitments and principles of equal rights and opportunities for women and men. Conclusion. Appropriate mechanisms for overcoming gender stereotypes will contribute to integration of equal rights’ principle and opportunities.  Human resources policies require systematic approach to gender analysis and integration in order to address gender issues in program development. In the 21st century issues of gender equity should be a priority at all levels.
PARADIGM FOR CONTEMPORARY SYMBOLIC REALITY
Authors: Elena V. Korableva
Published: May 2019

Objective: Civilization development in its concrete historical specificity is embodied in symbolic forms that require interpretation and understanding of its meaning. Info communication symbolic reality sets new parameters of self-determination rights, creates a new type of information behavior. Adequate entry into the modern social context requires analysis of the basic concepts of symbolic reality of human existence, and its contemporary sound. The dialectical materialist methodology allows us to investigate human immersion in contradictive meanings of the era, the skills of interaction with the increased flow of information, the ability to determine information needs and use this information right way as well as the ability to analyze this information. Scientific novelty is reflected in axiological evolutionary approach to the analysis of reproduction in the sign and symbol of the spiritual and the practical forms of human multidimensional realities of their existence in their specific historical context. Conclusions: 1) Persons' immersion into the space of cultural and historical symbolic processes determines the content of their socialization which is a process of self-identification in the symbolic reality, the process of entering the subject-shaped field of human culture; 2) An adequate model of signs and symbols reflects the diversity of information flows, that is the synthesis of a specific objective and true knowledge, its interpretation and value. Herewith, a lot of interpretations, pluralism and diversity of axiological points of view to understanding objective reality are obvious; 3) The use of signs becomes like a code or the language for communication between people. The interpretation of clip-culture determines the adequacy and efficiency of action based on the identified meanings and values of diverse information and communication symbolic reality.
OUTLOOKS OF USING DBN B.2.6-161:2017 «WOODEN STRUCTURES» IN DESIGN PRACTICE
Authors: Bannikov D. О.
Published: May 2019

Purpose. From 01.02.2018, the new state standards DBN B.2.6-161:2017 were introduced into the wooden structures design practice. They replace the recently prepared codes DBN B.2.6-161:2010, which, in turn, were elaborated to replace the SNiP II-25-80. The author of this publication would like to draw the attention of developers and potential users of the codes DBN B.2.6-161:2017 to the points that are not entirely clear, which at first reading caused him certain difficulties in terms of their practical use. Methodology. The practical experience accumulated by the author in the use of normative literature in educational practice, as well as the available experience during laboratory studies with students, made it possible to estimate the recently introduced codes DBN B.2.6-161:2017 from a practical point of view. Findings. In general, the new codes, recently introduced into design practice, are progressive both in their content and in terms of their use in construction practice. However, the existing problem areas in these standards, which are considered in this publication, in our opinion, can significantly limit the possibility of their wide practical application. Originality. The analysis of recently introduced new standard was carried out by the author of the publication not only in terms of assessing quality requirements and recommendations, but also in terms of the quantitative aspect of the issue. Practical value. The author’s experience in calculating simple elements and basic types of connections according to the new codes DBN B.2.6-161:2017 indicates that the bearing capacity determined for various cases is lower on average by 1.5 – 3 times than according to the previous codes SNiP II-25-80. From a practical point of view, this revealed discrepancy means that the already constructed structures may require some reinforcement or reconstruction, and new designed structures should have large bearing sections of the elements and, accordingly, large bearing capacity and weight.
DISTRIBUTED DYNAMIC PDE-MODEL OF PROGRAM CONTROL BY UTILIZATION OF THE TECHNOLOGICAL EQUIPMENT OF PRODUCTION LINE
Authors: G. K. Kozevnikov  , O. M. Pihnastyi
Published: May 2019

Purpose. The article is aimed at designing a control system for the parameters of a production line for an enterprise with a straight flow method of organizing production. Methodology. The production line at the enterprise with a straight flow method of organizing production is a complex dynamic distributed system. The flow route for manufacturing a product for many modern enterprises contains several hundreds of technological operations, in the inter-operating reserve each of which there are thousands of products waiting to be processed. The flow routes of different parts of the same type of products intersect (re-entrant manufacturing systems). This leads to the fact that the distribution of subjects of labor along the technological route has a significant impact on the throughput capacity of the production line. To describe such systems, a new class of production line models (PDE-model) has been introduced. To describe the behavior of the flow parameters of the production line, a production line model containing partial differential equations (PDE model) was used. The PDE-model of the production line is built in the article, the flow parameters of which depend on the value of utilization rate of the technological equipment for each operation. Findings. The authors obtained the optimal control of the flow parameters of the production line, which is based on the algorithm for changing the utilization rate of the technological equipment of the production line. The single-shift working time pattern is considered as a basic regulatory treatment of the production line operation. To simulate the work of technological equipment after the shift, the generalized Dirac function was used. Originality consists in the development of a method for designing control systems for the parameters of the production line of enterprises with a straight flow method of organizing production based on the PDE-model of the control object. The authors proposed a method for constructing an optimal control of the parameters of the production line through the control of the utilization rate of the technological equipment. When designing a control system, the production line is represented by a dynamic system with distributed flow parameters. Practical value. The proposed method for designing a control system for the flow parameters of a production line can be used as the basis for designing highly efficient production flow control systems for enterprises manufacturing semiconductor products of the automobile industry.
DETERMINING ZONES OF CHEMICAL POLLUTION IN THE CITIES AND ASSESMENT OF CHRONIC DISEASES RISKS
Authors: Biliaiev M. M. , Rusakova T. I.
Published: May 2019

Purpose. The scientific paper is aimed at creating a methodology of chemical pollution zones in the territories of industrial cities and accounting the possibility of assessing the risks of chronic diseases. Methodology. The method of numerical calculation of nitrogen dioxide concentration in atmospheric air is based on the solution of three-dimensional impurity transfer equations, which directly comes from a permanently stationary source (industrial enterprise) and a linearly distributed source (highway). The method takes into account the process of chemical transformation of impurities and photolysis in the atmosphere. The numerical model is based on the splitting of model equations and their solution using an implicit difference scheme. Findings. The created software allows conducting computational experiments to calculate the areas of atmospheric air pollution with nitrogen dioxide, taking into account the interaction of impurities coming from various types of pollution sources and meteorological parameters. On the basis of the obtained field of nitrogen dioxide concentration, an assessment of the change in the risk of chronic intoxication associated with atmospheric air pollution with nitrogen dioxide over 50 years was carried out. Originalitys. For the first time the regularities of changes in the level of atmospheric air pollution with nitrogen dioxide have been established with due regard to the mutual influence of emissions from the industrial enterprise and highway and their chemical transformation in the atmosphere. The risk of chronic intoxication has been calculated and its changes have been analyzed with due regard to the interaction of emissions from the industrial enterprise and highway, it leads up to 10% of risk increasing. Practical value. Authors developed a mathematical model and method of numerical calculation. Software created on their base allows obtaining quickly quantitative results necessary in developing the system for monitoring the man-made loaded regions of the city. The obtained patterns of impurities dispersion allow us to estimate the levels of pollution in urban areas of the city by emissions from industrial enterprises and highways. Accounting of the mutual impact of emissions and the calculation of risks of intoxication allows solving environmental problems arising in the development of transport strategy in cities.
Uterine and Cervical Adenosarcoma: A Retrospective Study of Overall Oncologic Outcomes and Fertility Preservation in Early-Stage Disease
Authors: Yuan Zhen , Cao Dongyan , Yu Mei , Shen Keng , He Yonglan
Published: May 2019

Background

The management of adenosarcoma is based on the limited available data. This study aimed to explore the characteristics and oncologic outcomes of patients with uterine and cervical adenosarcoma.

Materials and Methods

A total of 21 and 32 cases of cervical and uterine adenosarcoma, respectively, were retrospectively reviewed in Peking Union Medical College Hospital between April 2006 and March 2019.

Results

The median follow-up time was 37.5 months (range, 1–153 months). The disease progression rate (DPR) was significantly higher in patients with uterine adenosarcoma compared with those with cervical adenosarcoma (28.1% vs. 4.8%). The curve of progression-free survival significantly differed. For those with cervical adenosarcoma, the presence of a tumor stalk was a protective factor, whereas heterologous elements (HE) presented a risk factor for disease progression. For those with uterine adenosarcoma, the presence of a tumor stalk was an independent protective factor, whereas lymphovascular space invasion (LVSI) was an independent risk factor for disease progression. Moreover, HE was an independent risk factor for mortality. Fertility-sparing surgery (FSS) was performed in four and five patients with cervical and uterine adenosarcoma, respectively. Regarding FSS, combined with cases in previous studies, the DPR of patients with uterine adenosarcoma was relatively higher compared with those with cervical adenosarcoma.

Conclusion

We found that cervical adenosarcoma had a better prognosis than uterine adenosarcoma. The presence of a tumor stalk was a protective factor, whereas HE and LVSI were risk factors for prognosis. For those with uterine adenosarcoma, if FSS was administered, robust evaluation would be necessary. The small sample size limits the ability to make any strong conclusions about FSS.

Implications for Practice

Uterine cervical adenosarcoma had a better prognosis than uterine adenosarcoma. For patients with cervical adenosarcoma, the presence of a tumor stalk was a protective factor and the presence of heterologous elements (HE) was a risk factor for disease progression. For those with uterine adenosarcoma, the presence of a tumor stalk was a protective factor and lymphovascular space invasion was a risk factor for disease progression. Moreover, HE was a risk factor for mortality. Regarding fertility-sparing surgery (FSS), the disease progression rate was higher in patients with uterine adenosarcoma compared with those with cervical adenosarcoma. For patients with uterine adenosarcoma, if FSS was administered, hysteroscopy and robust imaging evaluation would be necessary.
Long-Term Survival Outcomes After Liver Resection for Binodular Hepatocellular Carcinoma: A Multicenter Cohort Study
Authors: Wang Ming-Da , Li Chao , Li Jun , Zhang Wan-Guang , Jiang Wei-Qin , Yu Jiong-Jie , Xing Hao , Wu Han , Han Jun , Li Zhen-Li , Xu Xin-Fei , Chen Ting-Hao , Zhou Ya-Hao , Gu Wei-Min , Wang Hong , Zeng Yong-Yi , Zhang Yao-Ming , Pawlik Timothy M. , Lau Wan Yee , Wu Meng-Chao , Yang Jia-Mei , Shen Feng , Yang Tian
Published: May 2019

Background

The long-term prognosis after liver resection for multinodular (≥3 nodules) hepatocellular carcinoma (HCC) is generally considered to be unfavorable. However, the role of liver resection for binodular HCC is less investigated.

Subjects, Materials, and Methods

From a multicenter database, consecutive patients who underwent curative-intent liver resection for binodular HCC and without macrovascular invasion between 2003 and 2015 were retrospectively reviewed. Patients’ clinical variables as well as perioperative and long-term survival outcomes were analyzed. Univariable and multivariable analyses were performed to identify the risk factors associated with overall survival (OS) and recurrence-free survival (RFS) after curative resection.

Results

Of 263 enrolled patients, the perioperative 30-day mortality and morbidity rates were 1.5% and 28.5%. The 1-, 3-, and 5-year OS and RFS rates were 81.5%, 52.4%, and 39.1% and 57.1%, 35.8%, and 26.6%, respectively. Multivariable Cox-regression analyses identified preoperative alpha-fetoprotein level >400 μg/L, tumor size with a sum of two nodules >8 cm, tumor size ratio of large/small nodule >1.5 (asymmetrical proportion), unilateral hemiliver distribution of two nodules, distance of ≤3 cm between two nodules, and microvascular invasion in any nodule as independent risk factors associated with decreased OS and RFS.

Conclusion

Liver resection was safe and feasible in patients with binodular HCC, with acceptable perioperative and long-term outcomes. Sum of two tumor sizes, size ratio and distribution, and distance between two nodules were independent risk factors associated with long-term survival outcomes after surgery. These results may guide clinicians to make individualized surgical decisions and estimate long-term prognosis for these patients.
Considerações odontológicas em pacientes portadores de anemia falciforme
Authors: Lima Rafael Guimarães , Martinez Marcelo Gonçalves , Sardinha Sandra de Cássia Santana
Published: May 2019

Sickle cell anemia is a genetic blood disease characterized by a mutation in the hemoglobin gene, creating an abnormal molecule of hemoglobin. This irregular form makes it difficult to pass by the blood net, resulting in a painful crisis, fatigue and appetite lack. Sometimes the abnormal cells block the blood flow to the tissues and organs, causing pain, characterizing the sickle cell crisis. This pain could be so intense that the patient can be hospitalized. Due to presence of the blood vessels in the all body the injuries can happened in any part. The proposal of this article is to show the main general and oral manifestations founded in carriers of sickle cell anemia.
Considerações clínicas em odontogeriatria: plano de tratamento integrado
Authors: Custodio William , Meloto Carolina Beraldo , Gomes Simone Guimarães Farias , Barbosa Célia Marisa Rizzatti
Published: May 2019

Demographic changes reveal an increase in the elderly population whose oral and overall health are directly correlated. This dynamic interaction as well the physiologic alterations associated to the aging process, requires dentists to expand their expertise to acquire a global view of the elderly subject which became possible the proposition and implementation of an efficient integrated treatment planning that achieve the wishes and real necessities of the odontogeriatric patient. The complexity of the elderly subject due to the higher susceptibility to systematic a local pathologies, usage of polypharmacy and inherent debility, among others factors showed the importance of the systematic and detail approach concerning the treatment planning, a clinical step usually despised. The aim of this study is to discuss, through a literature review, the specificities of the treatment planning of the elderly patients considering its biopsicosocial characteristics in a clear and objective way.
Tratamento de hemangioma com oleato de monoetanolamina: relato de caso clínico
Authors: Mota Gustavo Almeida , Pereira Manoela Carrera M. C. , Martins Gabriela Botelho , Cerqueira Arlei
Published: May 2019

Hemangioma is a benign blood vessel proliferation. It can be treated by surgical removal, chemical and/or physical sclerosis, surgical laser and embolism. Sclerotherapy has been used because of its low morbidity rates. This study describes a clinical case of hemangioma of the lower lip, in old patient, clinically diagnosed by transparent glass and aspiration puncture. The lesion was treated by sclerotherapy with ethanolamine oleat. This report reviews the literature on sclerotherapy and the ethanolamine oleat.
CONDIÇÃO PERIODONTAL E HÁBITOS DE HIGIENE BUCAL DE IDOSOS NÃO INSTITUCIONALIZADOS, ATENDIDOS EM GRUPOS DE CONVIVÊNCIA DA CIDADE DE SALVADOR
Authors: Chagas Anderson Luiz De Almeida , Petró Gabriel De Sousa , Dourado Mônica
Published: May 2019

Purpose: The purpose of this study was to evaluate the periodontal condition and oral hygiene habits of the elderly participants in groups of non-institutionalized living in the city of Salvador. Methodology: We included 113 individuals in search of both genders, at least 60 years of age, groups of living of the elderly located in nine municipal social centers maintained by the government of Bahia state in the city of Salvador. The individuals answered a questionnaire about where they were collected: age, race, education level, income, blood pressure, awareness of oral hygiene. They also underwent periodontal examination involving the number of teeth present, depth of sample, level of clinical integration, gingival recession and bleeding on probing index. Results: The female was prevalent in all the centers visited, the average age was 70,6 years and average income of up to 1 minimum wage. The prevalence of edentulous was 25,7% while 80,5% of the teeth had loss of clinical integration. Conclusion: It is a clear need for the development of public policies targeted to low-income elderly.
RESTAURAÇÃO INDIRETA DE CERÔMERO: UMA ALTERNATIVA ESTÉTICA VIÁVEL?
Authors: Galvão Avilmar Passos , Miura Carlos Akio Saback , Aras Wanessa Maria De Freitas
Published: May 2019

Due to the growing demand for aesthetics, is a search for auxiliary resources in order to meet the aspirations and needs of patients. The metal ceramic restorations have shown clinical success in the long term, but have aesthetic disadvantage because of the exposure of the underlying metal. Thus, in recent decades there was an intense development in the field of biomaterials with the advent of prosthetic restorations and metal-free. Among these new materials, the indirect composite emerged with the aim of minimizing the effects of contraction of polymerization common to the composite resins. These composites allowed for the improvement of strength, the simplicity in the manufacture and reducing cost. The ceromers are resins reinforced by ceramic particles and whose polymerization occurs outside the oral environment. Moreover, doubts remain about the indication, viability and longevity of these polymers. Thus, this study aimed to analyze the information of clinical evidence in the literature that support the use of restorative materials such as composites. Based on the survey conducted, it was concluded that though the polymers represent a viable option restorative, most longitudinal clinical research becomes necessary in order to evaluate their behaviour in the long term.
O USO DA TERAPIA LASER DE BAIXA INTENSIDADE APÓS EXODONTIA DE TERCEIROS MOLARES: REVISÃO DE LITERATURA
Authors: Pedreira Amanda Affonsêca , Sá Maíra , Medrado Alena Peixoto
Published: May 2019

Dental extraction is a procedure involving bones and soft tissues trauma. The intervention severity, dental units location, tissue consistency and  the degree of bone destruction are variables that influences the presence or absence of postoperative deleterious effects, particularly regarding the third molar extraction.  The low-level-laser therapy (LLLT) has been used clinically to accelerate wound healing and pain control. However, while laser therapy is now indicated after extraction of third molars, its use has been rarely prescribed. This article aims to perform a literature review on the use of laser therapy during the third molars surgical removal postoperative phase.
SUPRANUMERÁRIOS FUSIONADOS: RELATO DE CASO
Authors: Oliveira Gomes da Silva Leonardo , Assis de Oliveira Peixoto Lanuse , José de Araújo Saldanha Marcelo , Prates Soares Zerbinati Lívia
Published: May 2019

The presence of supernumerary teethis an anomaly, characterized by increased numbers of normal teeth in the oral cavity. Synodontia or fusion is another alteration of development, that is a germ teeth fusion, resulting  in the union of two units of teeth. These two alterations, being associated, may result in a lack of space in the arch during the permanent teeth growth, occasioning a probable crowding of teeth. As the protocol, in this case – like lots of other ones – clinic and x-ray exams becomes necessary to get an appropriate diagnosis, in an attempt to mitigate or eliminate a possible future disorder. This paper aims to report a clinic case that presents these two anomalies existing on anunic patient, and to describe the conservative surgical techniques to their treatment.
ARTROPLASTIA INTERPOSICIONAL PARA TRATAMENTO DE ANQUILOSE DA ARTICULAÇÃO TEMPOROMANDIBULAR
Authors: Figueiredo Leonardo Morais Godoy , Valente Rômulo Oliveira de Hollanda , Leitão de Oliveira Thaís Feitosa , Sarmento Viviane Almeida
Published: May 2019

Introduction: Temporomandibular joint (TMJ) ankylosis is an extremely disabling affliction that causes problems in mastication, digestion, speech, appearance, and hygiene. Objective: Report a case of TMJ ankylosis diagnosed in adulthood and discusses the aspects involved in their treatment, and the use of temporal muscle flap in reconstructive surgery of the TMJ. Cases description: 39 year-old female with mouth opening of 4mm, was diagnosed with left TMJ ankylosis and treated by arthroplasty with interpositional temporalis muscle flap, progressing with mouth opening of 20 mm after two months out surgery. Conclusion: Despite the numerous surgical techniques for the treatment of TMJ ankylosis, it is still a great challenge, because of high rates of recurrence, which is associated with several factors including age, time of onset, surgical technique, and postoperative care performed. Therefore, it is necessary not only an interdisciplinary team to establish a complete and adequate treatment, but also to carry out a correct and early diagnosis in order to establish a treatment the prognosis is favorable to the patient.
SOLUÇÕES ESTÉTICAS PARA PRÓTESES PARCIAIS REMOVÍVEIS RETIDAS POR GRAMPOS METÁLICOS
Authors: Andrade Meyer Guilherme , Oliveira Júnior Francisco , Valadares Oliveira Luciana , Peixoto de Souza Bruno , Vilasboas Rodrigues Felipe , Castor Xisto Lima Emilena Maria
Published: May 2019

The construction of a removable partial denture (RPD) aims the replacement of lost dental units, incorporating them into the stomatognathic system, without harming the biomechanical balance. Besides, there is a great challenge today, of combining function and esthetics. The difficulty in achieving esthetic harmony by the presence of metal clasps on labial surfaces of anterior teeth justify studies aimed at solving this problem in the RPDs. There is still the fact that this procedure is simpler and less costly for the patient compared to other treatment options. Therefore, this study presents esthetic solutions for RPD and suggests the comparison among conventional metal clasps on buccal retainers with clips in the palatal area, through three clinical cases of patients with partial absence of anterior dental units. Two prosthetic pieces for each patient were made: 1) prioritizing only the biomechanical principles and 2) considering both the biomechanical and cosmetic principles. It was observed that MDL and Quereilhac clasps are viable alternatives to get esthetics in RPDs of anterior edentulous patients with Class III and IV of Kennedy. Therefore, it can be concluded that there was an improvement in smile of individuals partially edentulous in the anterior region, by not viewing the metal structure on the buccal area of the teeth.