bluuebunny/crossref_metadata_2025 huggingface dataset:
Systematic review on diabetes mellitus and dental implants: an update
Authors: Wagner Juliane , Spille Johannes H. , Wiltfang Jörg , Naujokat Hendrik
Published: January 2022

Purpose

Dental implant surgery was developed to be the most suitable and comfortable instrument for dental and oral rehabilitation in the past decades, but with increasing numbers of inserted implants, complications are becoming more common. Diabetes mellitus as well as prediabetic conditions represent a common and increasing health problem (International Diabetes Federation in IDF Diabetes Atlas, International Diabetes Federation, Brussels, 2019) with extensive harmful effects on the entire organism [(Abiko and Selimovic in Bosnian J Basic Med Sci 10:186–191, 2010), (Khader et al., in J Diabetes Complicat 20:59–68, 2006, 10.1016/j.jdiacomp.2005.05.006)]. Hence, this study aimed to give an update on current literature on effects of prediabetes and diabetes mellitus on dental implant success.

Methods

A systematic literature research based on the PRISMA statement was conducted to answer the PICO question “Do diabetic patients with dental implants have a higher complication rate in comparison to healthy controls?”. We included 40 clinical studies and 16 publications of aggregated literature in this systematic review.

Results

We conclude that patients with poorly controlled diabetes mellitus suffer more often from peri-implantitis, especially in the post-implantation time. Moreover, these patients show higher implant loss rates than healthy individuals in long term. Whereas, under controlled conditions success rates are similar. Perioperative anti-infective therapy, such as the supportive administration of antibiotics and chlorhexidine, is the standard nowadays as it seems to improve implant success. Only few studies regarding dental implants in patients with prediabetic conditions are available, indicating a possible negative effect on developing peri-implant diseases but no influence on implant survival.

Conclusion

Dental implant procedures represent a safe way of oral rehabilitation in patients with prediabetes or diabetes mellitus, as long as appropriate precautions can be adhered to. Accordingly, under controlled conditions there is still no contraindication for dental implant surgery in patients with diabetes mellitus or prediabetic conditions.
Intake of n-3 LCPUFA and trans-fatty acids is unrelated to development in body mass index and body fat among children
Authors: Ren Xuan , Larsen Sofus Christian , Lauritzen Lotte , Rohde Jeanett Friis , Andersen Lars Bo , Bugge Anna , Jensen Britt Wang , Specht Ina Olmer , Heitmann Berit Lilienthal
Published: January 2022

Background

The number of children and adolescents with obesity has increased worldwide. Some studies have found an increase in the intake of n-3 long-chain polyunsaturated fatty acid (LCPUFA) to be beneficial for weight and obesity status. The objectives of this study were to examine if intake of trans-fatty acids (TFA) and n-3 LCPUFA at school start was associated with weight and body fat development in the following 3 and 7 years, and if substituting other fats for n-3 LCPUFA in regression models influenced weight and body fat development.

Methods

A total of 285 children (boys:130, girls:155) were included in this study. Weight, height and skinfold thickness (SF) of children were measured at age 6, 9 and 13 years by trained research personnel. Multivariate linear regression models were used to investigate the associations between n-3 LCPUFA or TFA intake and subsequent changes in body mass index (BMI) or SF. To investigate substitution effects, we constructed regression models including information on n-3 LCPUFA and all other energy given components of the diet, except for the nutrient to be substituted (all other fats and specific subgroups; saturated fatty acids (SFAs), monounsaturated fatty acids (MUFAs) and other polyunsaturated fatty acids (PUFAs)).

Results

No significant associations were observed between intake of TFA or n-3 LCPUFA and changes in BMI and SF. Also, results from regression analysis showed substituting other fats for n-3 LCPUFA did not associate with BMI or SF development.

Conclusion

The lack of associations between n-3 LCPUFA and TFA and adiposity suggests that fat composition in the diet does not play a major role in obesity development among school-aged children.
The feasibility of a strategy for the remote recruitment, consenting and assessment of recent referrals: a protocol for phase 1 of the On-Line Parent Training for the Initial Management of ADHD referrals (OPTIMA)
Authors: Kostyrka-Allchorne Katarzyna , Ballard Claire , Byford Sarah , Cortese Samuele , Daley David , Downs Johnny , French Blandine , Glazebrook Cristine , Goldsmith Kimberley , Groom Madeleine J. , Hall Charlotte L. , Hedstrom Ellen , Ibrahim Zina , Jarvis Christine , Kovshoff Hanna , Kreppner Jana , Lean Nancy , Morris Anna , Gutierrez Walter Muruet , Sayal Kapil , Shearer James , Simonoff Emily , Thompson Margaret , Zalewski Lukasz , Sonuga-Barke Edmund J. S.
Published: January 2022

Background

In the UK, children with high levels of hyperactivity, impulsivity and inattention referred to clinical services with possible attention-deficit/hyperactivity disorder (ADHD) often wait a long time for specialist diagnostic assessment. Parent training (PT) has the potential to support parents during this difficult period, especially regarding the management of challenging and disruptive behaviours that often accompany ADHD. However, traditional face-to-face PT is costly and difficult to organise in a timely way. We have created a low-cost, easily accessible PT programme delivered via a phone app, Structured E-Parenting Support (STEPS), to address this problem. The overall OPTIMA programme will evaluate the efficacy and cost-effectiveness of STEPS as a way of helping parents manage their children behaviour while on the waitlist. To ensure the timely and efficient evaluation of STEPS in OPTIMA, we have worked with children’s health services to implement a remote strategy for recruitment, screening and assessment of recently referred families. Part of this strategy is incorporated into routine clinical practice and part is OPTIMA specific. Here, we present the protocol for Phase 1 of OPTIMA—a study of the feasibility of this remote strategy, as a basis for a large-scale STEPS randomised controlled trial (RCT).

Methods

This is a single arm observational feasibility study. Participants will be parents of up to 100 children aged 5-11 years with high levels of hyperactivity/impulsivity, inattention and challenging behaviour who are waiting for assessment in one of five UK child and adolescent mental health or behavioural services. Recruitment, consenting and data collection will occur remotely. The primary outcome will be the rate at which the families, who meet inclusion criteria, agree in principle to take part in a full STEPS RCT. Secondary outcomes include acceptability of remote consenting and online data collection procedures; the feasibility of collecting teacher data remotely within the required timeframe, and technical difficulties with completing online questionnaires. All parents in the study will receive access to STEPS.

Discussion

Establishing the feasibility of our remote recruitment, consenting and assessment strategy is a pre-requisite for the full trial of OPTIMA. It can also provide a model for future trials conducted remotely.
Educational inequality in the Kebribeyah Somali refugee camp in Ethiopia: an autoethnography
Authors: Muhumed Ahmed , Ahmed Saleh
Published: January 2022

Due to the Somali Civil War of 1991, more than 10,000 Somali refugees resettled in Kebribeyah, a town in the Somali region of Ethiopia. For nearly three decades, the local and resettled refugee communities shared the resources the region had to offer, adopted a new common cultural norm, and fostered some levels of social cohesions. It is the education sector, however, that caused social conflicts and hatred between resettled Somalis and the native Somali-Ethiopians. Currently, the education of Somali refugee children is funded by various international organizations, such as the United Nations. On the contrary, the local Somali-Ethiopian children pay their way to schools which leads to poor educational experiences. Using autoethnography as the research method, this article examines the formation of educational gaps between the local and refugee children. Findings suggest that educational inequality can exist between refugee and host communities, if not properly managed, and can ultimately impact social cohesion and stability in the refugee-hosting regions.
Connecting student interests and questions with science learning goals through project-based storylines
Authors: Penuel William R. , Reiser Brian J. , McGill Tara A. W. , Novak Michael , Van Horne Katie , Orwig Allysa
Published: January 2022

In this conceptual paper, we describe the approach in storylines that builds on principles of project-based learning and focuses on supports for making science learning coherent from the students’ perspective. In storylines, students see their science work as addressing questions and problems their class has identified. We present design principles that guide the teaching and enactment of storyline units and explore the connections of these principles to ideas of project-based science. We illustrate how these design strategies are reflected in a high school biology unit co-developed by teachers and researchers. We present student artifacts that document the agency students take on in this work. We then summarize results from earlier studies examining students’ learning and perceptions of coherence of their learning experiences.
Prevalence of obesity and its association with cardiometabolic risk factors, heart failure phenotype and mortality among patients hospitalized for heart failure in Egypt
Authors: Hassanin Ahmed , Hassanein Mahmoud , Lanier Gregg M. , Sadaka Mohamed , Rifaat Mohamed , Sanhoury Mohamed
Published: January 2022

Background

Obesity is an established risk factor for cardiometabolic disease and heart failure (HF). Nevertheless, the relationship between obesity and HF mortality remains controversial.

Results

The goal of this study was to describe the prevalence of obesity in patients hospitalized for HF in Egypt and investigate the relationship of obesity to cardiometabolic risk factors, HF phenotype and mortality. Between 2011 and 2014, 1661 patients hospitalized for HF across Egypt were enrolled as part of the European Society of Cardiology HF Long-term Registry. Obese patients, defined by a BMI ≥ 30 kg/m2, were compared to non-obese patients. Factors associated with mortality on univariate analysis were entered into a logistic regression model to identify whether obesity was an independent predictor of mortality during hospitalization and at one-year follow-up. The prevalence of obesity was 46.5% and was higher in females compared to males. Obese as compared to non-obese patients had a higher prevalence of diabetes mellitus (47.0% vs 40.2%, p = 0.031), hypertension (51.3% vs 33.0%, p < 0.001) and history of myocardial infarction (69.2% vs 62.8% p = 0.005). Obese patients as compared to non-obese patient were more likely to have acute coronary syndrome on admission (24.8% vs 14.2%, p <  < 0.001). The dominant HF phenotype in obese and non-obese patients was HF with reduced ejection fraction (EF); however, obese patients as compared to non-obese patient had higher prevalence of HF with preserved EF (22.3% vs 12.4%, p < 0.001). Multivariable analysis demonstrated that obesity was associated with an independent survival benefit during hospitalization, (OR for mortality 0.52 [95% CI 0.29–0.92]). Every point increase in BMI was associated with an OR = 0.93 [95% CI 0.89–0.98] for mortality during hospitalization. The survival benefit was not maintained at one-year follow-up.

Conclusions

Obesity was highly prevalent among the study cohort and was associated with higher prevalence of cardiometabolic risk factors as compared to non-obese patients. Obesity was associated with an independent “protective effect” from in-hospital mortality but was not a predictor of mortality at 1-year follow-up.
The central arterial stiffness parameters in decompensated versus compensated states of heart failure: a paired comparative cohort study
Authors: El Fol Ahmed , Ammar Waleed , Sharaf Yasser , Youssef Ghada
Published: January 2022

Background

Arterial stiffness is strongly linked to the pathogenesis of heart failure and the development of acute decompensation in patients with stable chronic heart failure. This study aimed to compare arterial stiffness indices in patients with heart failure with reduced ejection fraction (HFrEF) during the acute decompensated state, and three months later after hospital discharge during the compensated state.

Results

One hundred patients with acute decompensated HFrEF (NYHA class III and IV) and left ventricular ejection fraction ≤ 35% were included in the study. During the initial and follow-up visits, all patients underwent full medical history taking, clinical examination, transthoracic echocardiography, and non-invasive pulse wave analysis by the Mobil-O-Graph 24-h device for measurement of arterial stiffness. The mean age was 51.6 ± 6.1 years and 80% of the participants were males. There was a significant reduction of the central arterial stiffness indices in patients with HFrEF during the compensated state compared to the decompensated state. During the decompensated state, patients presented with NYHA FC IV (n = 64) showed higher AI (24.5 ± 10.0 vs. 16.8 ± 8.6, p < 0.001) and pulse wave velocity (9.2 ± 1.3 vs. 8.5 ± 1.2, p = 0.021) than patients with NYHA FC III, and despite the relatively smaller number of females, they showed higher stiffness indices than males.

Conclusions

Central arterial stiffness indices in patients with HFrEF were significantly lower in the compensated state than in the decompensated state. Patients with NYHA FC IV and female patients showed higher stiffness indices in their decompensated state of heart failure.
Spontaneous vaginoperitoneal fistula as a rare complication of carcinoma ovary: a case report
Authors: Kaur Tarang Preet , Bhasin Sangeeta , Rathore Asmita M.
Published: January 2022

Background

Spontaneous vaginoperitoneal fistula formation in a case of carcinoma ovary is a very rare occurrence and has never been reported.

Case presentation

A 55-year-old postmenopausal lady presented with complaints of abdominal distention and mass coming out of the vagina for the last 10 days. On examination, she had tense ascites, uterovaginal prolapse and hard, fixed mass felt anteriorly on per-rectal examination. Biochemical investigations and radiological imaging suggested advanced stage ovarian neoplasm. She was planned for neoadjuvant chemotherapy. During the second cycle of chemotherapy, she developed spontaneous vaginoperitoneal fistula which was confirmed on exploratory laparotomy where interval debulking surgery was performed in collaboration with gastro-surgeons on a semi-emergency basis. The postoperative course was uneventful.

Conclusion

Spontaneous vaginoperitoneal fistula is a rare complication and should be kept in mind while managing advanced ovarian neoplasm.
Surgical revascularization of a rare type IV dual left anterior descending artery—a case report
Authors: Nedumaran Bharathguru , Krishnasamy Arunkumar , Ramasamy Mahadevan , Kaliaperumal Nedumaran , Balakrishnan Ramamurthy
Published: January 2022

Background

Type IV dual left anterior descending artery (LAD) is a rare congenital coronary anomaly. Though benign with most of the patients being asymptomatic, knowledge of its existence and identification during coronary angiography is important during coronary interventions and surgical revascularization.

Case presentation

We present a rare case of type IV dual left anterior descending artery (LAD) with anomalous origin of one of the two vessels from the right coronary sinus. A 49-year-old female presented with inferior wall infarction and she underwent coronary angiography. Coronary angiogram showed triple vessel coronary artery disease. This rare variant of dual LAD was identified and was confirmed intra-operatively. The patient underwent coronary revascularization with grafts to both the LAD systems.

Conclusions

Proper assessment of the angiogram and knowledge of the coronary anomalies is required during surgical revascularization and percutaneous coronary interventions. This rare anomaly can be missed due to the anomalous origin of the LAD from the right coronary sinus. The identification of the dual LAD and grafting of both the LAD systems is required to achieve complete revascularization.
Destination left ventricular assist devices in island states: asking too much or the inevitable solution
Authors: Vinck Eric E. , Vervoort Dominique , Tiwari Kaushal K. , Kilic Ahmet , Smood Benjamin F. , Rendón Juan C. , Escobar José J. , Gómez Alejandro Quintero , Palmen Meindert , Klautz Robert J. M.
Published: January 2022

Background

Destination left ventricular assist device placement is increasing as a result of donor shortages and changing patient attitudes. As organ shortages become critical, LVAD programs become fundamental even in more remote regions of the world including island states. Here, we provide a look into the current state and availability of LVAD programs in island states.

Main body

A narrative review was performed using the World Health Organization Global Index Medicus and PubMed/MEDLINE databases to identify articles describing the island states having reported LVAD placements and programs. Additionally, INTERMACS reports were used. Data were retrieved and a review is presented describing the current state of LVADs in island states. The Caribbean region as a whole has a heart failure (HF) prevalence of 814 per 100,000 and Oceania 667 per 100,000 people. We estimate that over 3000 people in these islands need either a heart transplant or an LVAD.

Short conclusion

For HF patients living in island regions, special attention should be paid to the inability of having access to specialized mainland medical care. The continuous quest for a solution to HF in island regions should include the establishing of high-quality LVAD programs in a transfer-network centralized/regionalized system to care for those patients not candidates for long-distance air-bridging.
A fetus excised from the small intestinal mesentery of a neonate (fetus in fetu): a case report
Authors: Alekrashy Mohammad Ahmad , Khodary Ahmed Refaat , Alnemr Amr Abd Almohsen , Elsammak Ahmed A. , Elgebaly Sherief M.
Published: January 2022

Background

Fetus in fetu is a rare congenital anomaly. Its incidence is 1/500,000 births. So, pediatric surgeons may encounter this pathology only once or twice during their professional careers.

Case presentation

We present a rare case of a fetus extracted from the small intestinal mesentery of a healthy neonate who was explored after delivery. The extracted fetal mass included a fully differentiated skull and limbs with a celomic cavity. The fetal mass was supplied by a main feeding vessel branching from the superior mesenteric artery.

Conclusion

Fetus in fetu, despite being a rare variant, must be kept in mind when dealing with a neonatal abdominal mass showing bony parts on radiography.
Instructional Models for Course-Based Research Experience (CRE) Teaching
Authors: Hanauer David I. , Graham Mark J. , Arnold Rachel J. , Ayuk Mary A. , Balish Mitchell F. , Beyer Andrea R. , Butela Kristen A. , Byrum Christine A. , Chia Catherine P. , Chung Hui-Min , Clase Kari L. , Conant Stephanie , Coomans Roy J. , D’Elia Tom , Diaz Jason , Diaz Arturo , Doty Jean A. , Edgington Nicholas P. , Edwards Dustin C. , Eivazova Elvira , Emmons Christine B. , Fast Kayla M. , Fisher Emily J. , Fleischacker Christine L. , Frederick Gregory D. , Freise Amanda C. , Gainey Maria D. , Gissendanner Chris R. , Golebiewska Urszula P. , Guild Nancy A. , Hendrickson Heather L. , Herren Christopher D. , Hopson-Fernandes Margaret S. , Hughes Lee E. , Jacobs-Sera Deborah , Johnson Allison A. , Kirkpatrick Bridgette L. , Klyczek Karen K. , Koga Ann P. , Kotturi Hari , LeBlanc-Straceski Janine , Lee-Soety Julia Y. , Leonard Justin E. , Mastropaolo Matthew D. , Merkhofer Evan C. , Michael Scott F. , Mitchell Jon C. , Mohan Swarna , Monti Denise L. , Noutsos Christos , Nsa Imade Y. , Peters Nick T. , Plymale Ruth , Pollenz Richard S. , Porter Megan L. , Rinehart Claire A. , Rosas-Acosta German , Ross Joseph F. , Rubin Michael R. , Scherer Anne E. , Schroeder Stephanie C. , Shaffer Christopher D. , Sprenkle Amy B. , Sunnen C. Nicole , Swerdlow Sarah J. , Tobiason Deborah , Tolsma Sara S. , Tsourkas Philippos K. , Ward Robert E. , Ware Vassie C. , Warner Marcie H. , Washington Jacqueline M. , Westover Kristi M. , White Simon J. , Whitefleet-Smith JoAnn L. , Williams Daniel C. , Wolyniak Michael J. , Zeilstra-Ryalls Jill H. , Asai David J. , Hatfull Graham F. , Sivanathan Viknesh
Published: January 2022

A report on research that explicates three models of pedagogical practice that underpin and characterize inquiry instruction in a course-based research experience.
Accuracy and Idea Consideration: A Study of Small-Group Interaction in Biology
Authors: Cavagnetto Andy R. , Premo Joshua , Coleman Zachary , Juergens Kate
Published: January 2022

The study examines the relationship between scientific accuracy of contributions, peer idea consideration, one’s ability to direct the conversation, and learning outcomes of students engaged in small-group work in an introductory undergraduate biology lab course.
Surgical Reduction of Chronic Bilateral Traumatic Dislocation of the Mandibular Condyles With Erosion of the Middle Fossa Floor: Case Report With Surgical Video
Authors: Agnoletto Guilherme J. , Couldwell Sandrine , Halpern Leslie R. , Adams David R. , Couldwell William T.
Published: January 2022

BACKGROUND:

Dislocation of the mandibular condyle (MC) is not a common condition, but when a traumatic case involves erosion of the middle fossa floor, it becomes a much more complicated and even rarer pathology.

OBJECTIVE:

To describe the management of traumatic dislocation of the MCs with erosion of the middle fossa floor. We provide a step-by-step surgical video demonstrating reestablishment of the condylar position and occlusion.

METHODS:

A 65-yr-old woman with rheumatoid arthritis presented after a ground-level fall. She was admitted to the intensive care unit with simultaneous complex medical conditions, intubated, and medically treated for over a month. She was seen in outpatient follow-up 2 mo later and noted to have an anterior open bite and bilateral temporomandibular joint pain. Computed tomography of the face showed bilateral dislocation of the MCs with erosion of the middle fossa floor.

RESULTS:

Open surgical treatment with bilateral eminectomies was performed to obtain adequate reduction, involving a multidisciplinary team including neurosurgery, oral–maxillofacial surgery, and otolaryngological surgery. She did well postoperatively.

CONCLUSION:

Multiple factors predispose a patient to MC dislocation, but we believe the catalyst in this case was significant manipulation of the jaw during endotracheal intubation. A chronic postoperative open bite can lead to much more difficult treatment, given bony erosion and fibrotic tissue formation. This case highlights the challenges of diagnosis and treatment of a bilateral traumatic dislocation and provides a surgical video reference description of repair and resolution.
Natureza jurídica do impeachment brasileiro
Authors: Pereira de Moraes Leonardo Bruno
Published: January 2022

O artigo analisará a natureza jurídica do impeachment, tendo em consideração as constituições brasileiras desde 1824 até 1988, bem como a legislação infraconstitucional de regência. Nesse sentido, o estudo busca apresentar as diferenças históricas entre os textos constitucionais até o cenário atual, Constituição Federal de 1988 e a recepção da Lei nº 1.079/1950, como bases do processo e julgamento dos denominados crimes de responsabilidade. Assim, o impeachment será analisado em três dimensões essenciais para sua compreensão: o histórico deste instituto; a natureza das normas que tipificam os crimes de responsabilidade; o modo de julgamento dos crimes de responsabilidade. Com fundamento nessas três dimensões, objetiva-se esclarecer a natureza jurídico-política do impeachment no ordenamento jurídico brasileiro.
Mulheres trabalhadoras terceirizadas do setor de limpeza na Universidade Federal de Pelotas
Authors: Silva Caroline Cardoso da
Published: January 2022

O presente artigo tem como finalidade explorar pontos da pesquisa sobre as trabalhadoras terceirizadas da limpeza atuantes na Universidade Federal de Pelotas (UFPel), abarcando o período que vai de 2018, quando esta pesquisa se iniciou, até os últimos resultados encontrados no final do ano de 2020 e início do ano de 2021. Analisando o trabalho de campo e as entrevistas realizadas a partir da metodologia de história oral, as quais compõem o corpus documental de minha pesquisa de Mestrado em História, pode-se perceber que a terceirização constrói relações laborais que costumam não apresentar garantias de direitos trabalhistas e previdenciários, fazendo com que haja medo da realização de entrevistas. A pesquisa reflete sobre o setor de terceirização na UFPel e na cidade de Pelotas, Rio Grande do Sul, no tempo presente, abarcando questões teóricas sobre os estudos de mulheres, história oral e mundos do trabalho.
Pensamento racialista no Brasil pós abolição: breve reflexão sobre racismo estrutural
Authors: Lacerda Nayara Ferreira
Published: January 2022

O racismo e a vulnerabilidade social são atualmente uma triste realidade enfrentada pela população negra no Brasil, e acreditamos que tais consequências foram, em parte, resultado da construção e a consolidação de ideologias e simbolismos que exaltaram a supremacia branca no país. Neste artigo, nosso objetivo é abordar parcialmente ideias racialistas que inspiraram os intelectuais brasileiros no início do período posterior a abolição da escravidão e da República proclamada em 1889. O principal objetivo deste trabalho é tecer uma análise sobre a influência de ideologias racialista advindas, em sua maioria, de intelectuais europeus e que repercutiram de modo significativo no país no período em que este consolidava uma ideia de identidade nacional.
Processos civilizadores e seus recortes temporais de análise na tendência de aceleração social
Authors: Braun Vieira Ana Flávia
Published: January 2022

Este ensaio discute a noção de tempo em Norbert Elias, articulando-a à aceleração social experienciada pelas sociedades modernas, buscando ponderar sobre a perspectiva temporal adequada à análise de processos civilizadores nesses contextos. Para tanto, tais elementos foram discutidos com base nos referenciais teóricos de Elias, complementados por conceitos e exemplos empíricos apresentados por outros pesquisadores. Além de apresentar três possibilidades para a análise das transformações comportamentais que os processos de civilização implicam (adequação, segunda natureza e habitus, realizadas em curta, média e longa durações, respectivamente), o ensaio fomenta também uma reflexão sobre o significado de longa duração no contexto da aceleração.
futura antropóloga recuperando a história das pioneiras da UFSC
Authors: Alessio Pollianna Aparecida
Published: January 2022

A nota de pesquisa busca apresentar brevemente os resultados alcançados na iniciação científica conduzida no projeto “Outros olhares sobre a História da Antropologia”, entre os anos de 2020/2021. O estudo faz parte da linha História da Antropologia, desenvolvida há mais de duas décadas em projetos do Conselho Nacional de Desenvolvimento Científico e Tecnológico e com estudantes vinculadas/os ao Núcleo de Identidade de Gênero e Subjetividades da Universidade Federal de Santa Catarina, sobre mulheres antropólogas, campo da Antropologia no Brasil e antropologias do sul global. Neste trabalho, trazemos reflexões a partir das entrevistas realizadas com as professoras da área de Antropologia. As conversas foram desenvolvidas na pandemia e, por conta disso, também procuramos discutir e mostrar a metodologia utilizada por uma futura antropóloga.
escrita de Tarcísio Medeiros na Revista do IHGRN: política e intelectualidade
Authors: Nobre Clivya
Published: January 2022

Tarcísio Medeiros foi um dos primeiros professores do curso de História da UFRN, e colaborou na construção de uma identidade norte-rio-grandense através do conhecimento histórico. O objetivo do presente artigo é compreender aspectos da escrita do historiador a partir da análise de seus artigos publicados na Revista do IHGRN: “Bernardo Vieira de Melo e a Guerra dos Bárbaros” (1974) e “Augusto Tavares de Lyra, o Amigo do Meu Avô” (1959). Nesta análise, foram articulados os conceitos de política e de intelectual mediador, e foram identificados escolhas metodológicas e semânticas, os valores e os grupos sociais privilegiados pelo autor. Conclui-se que Tarcísio Medeiros colaborou com demandas políticas do IHGRN, aspecto que teve aproximações com a escrita dos demais sócios.
Σύγχρονη θεωρία θεσμών
Authors: Πεϊτσίνης Χαρίλαος
Published: January 2022

Ο ερευνητικός στόχος της παρούσης διδακτορικής διατριβής είναι διττός: εν πρώτοις, να ανιχνεύσει τα οικονομικά αίτια ανάδειξης του θεσμού της ανώνυμης εταιρείας (α.ε.), σε κορυφαία εταιρική μορφή οργάνωσης των μεγάλων επιχειρήσεων· εξ ετέρου, να αναλύσει την πολυεπίπεδη σχέση των α.ε. με τις κοινωνίες, εντός των οποίων ιδρύονται και ασκούν την επιχειρηματική τους δραστηριότητα, υπό το πρίσμα της σύγχρονης θεωρίας των θεσμών. Η μελέτη διαιρείται σε πέντε κεφάλαια. Στο 1ο κεφάλαιο παρουσιάζεται, εισαγωγικά, ο θεσμός της α.ε., παρατίθενται οι απόψεις των κυρίων εκπροσώπων της κλασικής οικονομικής και κοινωνιολογικής σκέψης αναφορικώς με τη συγκεκριμένη εταιρική μορφή και αναλύεται το εννοιολογικό και μεθοδολογικό υπόβαθρο της σύγχρονης θεωρίας των θεσμών. Στο 2ο κεφάλαιο διερευνάται η «οικονομική φύση» του θεσμού της α.ε. . Αρχικώς, επιχειρείται η οικονομική ανάλυση των βασικών χαρακτηριστικών της συγκεκριμένης εταιρικής μορφής υπό το πρίσμα της νεο-θεσμικής θεωρίας περί επιχείρησης. Ακολούθως, εξετάζεται διεξοδικά η ιδιαιτέρως διαδεδομένη θεωρία περί «δέσμης συμβάσεων», η οποία υποβαραθρώνεται στα κύρια πορίσματα της νεο-θεσμικής μικροοικονομικής και συνιστά, σήμερα, το δεσπόζον μοντέλο ανάλυσης της α.ε. στη σύγχρονη οικονομική βιβλιογραφία. Αναλύεται, επίσης, η, ιδιαιτέρως επιδραστική, νεο-θεσμική θεωρία περί «ανταγωνισμού των εταιρικών δικαίων». Στο 3ο κεφάλαιο εκτίθενται και αξιολογούνται οι βασικότερες θεσμoλογικές θεωρήσεις σχετικώς με την «κοινωνική φύση» της σύγχρονης α.ε., δηλαδή, την εξέχουσα ιδιότητα της τελευταίας ως σημαίνοντος κοινωνικού θεσμού και φορέως κοινωνικής ευθύνης. Στο 4ο κεφάλαιο της μελέτης αναλύεται, ενδελεχώς, η έννοια του εταιρικού συμφέροντος υπό οικονομική και κοινωνιολογική έποψη. Στο 5ο, και τελευταίο, κεφάλαιο μελετώνται οι κυριότερες προσεγγίσεις της «θεσμικής» οικονομολογίας αλλά και της «θεσμικής» κοινωνιολογίας προς τις οργανωτικές πτυχές της εταιρικής διακυβέρνησης, τα συστήματα, τους επιμέρους μηχανισμούς της και τις βασικές της αρχές. Η μελέτη ολοκληρώνεται με συνοπτική αναφορά στα πορίσματά της.
Διερεύνηση προδιαγραφών μελετών γεωλογικής καταλληλότητας σε προς πολεοδόμηση περιοχές
Authors: Διδασκάλου Γεώργιος
Published: January 2022

Η καταλληλόλητα μιας περιοχής που προτείνεται προς πολεοδόμηση - δημιουργία ενός νέου οικισμού ή επέκταση ενός υπάρχοντος καθώς και ανάπτυξη μεμονωμένων τοπικών ρυμοτομικών σχεδίων - καθορίζεται από μια σειρά παραγόντων. Η έλλειψη συστημικής κατηγοριοποίησης αυτών καθώς και η πλήρης ανυπαρξία ποσοτικοποίησης του βαθμού, με τον οποίο κάθε μια εξ αυτών επηρεάζει την οικιστική/οικοδομική δραστηριότητα μιας περιοχής, δημιουργούν δυσκολίες στη συστηματική και τεκμηριωμένη λήψη αποφάσεων. Παρόλο που θεσμοθετημένα έχουν τεθεί οι βασικές τεχνικές προδιαγραφές και παραδοχές, που διέπουν τις μελέτες γεωλογικής καταλληλόλητας, παρατηρούνται στην εφαρμογή αυτών αρκετά προβλήματα και αδυναμίες. Η εθνική νομοθεσία αποδεικνύεται αποσπασματική και παρωχημένη, καθώς αποφάσεις 20 ετίας αντιμετωπίζουν μονομερώς κρίσιμα θέματα πολεοδόμησης. Το πολυσχιδές ανάγλυφο του Ελλαδικού χώρου, η έντονη παρουσία αρχαιολογικών χώρων, η ύπαρξη δασικών περιοχών και η σεισμικότητα (παρουσία ρηγμάτων) σε συνδυασμό με την παρουσία επιφανειακών, επιδερμικών, υπόγειων και παράκτιων υδάτων συνθέτουν το ιδανικό πεδίο για την εφαρμογή μιας ολιστικής μεθοδολογικής προσέγγισης του προβλήματος. Πλεονεκτήματα της προτεινόμενης επιστημονικής διερεύνησης είναι η δυνατότητα ανάπτυξης διαφορετικών σεναρίων - ανά περίπτωση - ώστε να λαμβάνονται υπόψη παράγοντες που εκφράζουν τις εκάστοτε επιχειρησιακές και επιχειρηματικές κατευθύνσεις. Η παρούσα μελέτη εστιάζει στην ανάπτυξη ενός μοντέλου πολυκριτηριακής ανάλυσης βασισμένο στη μέθοδο της Αναλυτικής Ιεραρχικής Διαδικασίας (Analytic Hierarchy Process - AHP). Η εφαρμογή της AHP, επιτρέπει την αξιολόγηση και την ιεράρχηση των υπό εξέταση εναλλακτικών για πολεοδόμηση περιοχών με βάση τη σχετική σημαντικότητα των παραγόντων του μοντέλου. Η εγκυρότητά του προτεινόμενου μοντέλου ελέγχεται, υπολογίζοντας το βαθμό συνέπειας (Consistency Ratio-CR) του και παράλληλα, μέσω της αξιολόγησης τριών ενδεχόμενων σεναρίων πολεοδομικής επέκτασης της περιοχής του Λουτρακίου. Η τεχνοοικονομική διάσταση του μοντέλου επιτρέπει τη χάραξη πολιτικής με διαφανή και αξιόπιστο τρόπο.
Ο ρόλος της δεξαμεθαζόνης στο μασχαλιαίο αποκλεισμό του βραχιονίου πλέγματος με ροπιβακαίνη σε χειρουργικές επεμβάσεις άνω άκρου
Authors: Χαζάπη Αικατερίνη
Published: January 2022

Εισαγωγή:  Η αύξηση της διάρκειας της δράσης των τοπικών αναισθητικών είναι συχνά επιθυμητή επειδή παρατείνει τη χειρουργική αναισθησία και την αναλγησία. Η δεξαμεθαζόνη έχει βρεθεί ότι παρατείνει τη διάρκεια του αποκλεισμού σε μελέτες σε ζώα και ανθρώπους. Ο σκοπός αυτής της μελέτης είναι η αξιολόγηση της επίδρασης της δεξαμεθαζόνης που προστίθεται στη ροπιβακαΐνη στην έναρξη και τη διάρκεια του μασχαλιαίου αποκλεισμού του βραχιονίου πλέγματος, καθώς και στην ένταση του μετεγχειρητικού πόνου.   Μέθοδοι : Σαράντα ασθενείς που είχαν προγραμματιστεί για χειρουργική επέμβαση στα άνω άκρα με υπερηχογραφικά υποβοηθούμενο μασχαλιαίο αποκλεισμό του βραχιονίου πλέγματος τυχαιοποιήθηκαν για να λάβουν είτε 30 mL ροπιβακαΐνης 0,75% με 2 mL φυσιολογικό ορό (Ομάδα Α, n = 20) ή 30 mL ροπιβακαΐνης 0,75% με 2 mL δεξαμεθαζόνης ( 4 mg) (Ομάδα Β, η = 20). Ο αισθητικός και ο κινητικός αποκλεισμός αξιολογήθηκαν, με τη χρήση της δοκιμής pinprick και της τροποποιημένης κλίμακας Bromage, στα 5, 10, 15 και 20 λεπτά μετά τον αποκλεισμό. Η διάρκεια της αναλγησίας, η ένταση του μετεγχειρητικού πόνου (μέτρηση με βαθμολογία VAS), η μετεγχειρητική κατανάλωση οπιοειδών, η συνολική ικανοποίηση των ασθενών και οι περιεγχειρητικές επιπλοκές συγκρίθηκαν μεταξύ των 2 ομάδων. Αποτελέσματα : Δεν υπήρχε διαφορά στο μέσο χρόνο έναρξης του αισθητικού και του κινητικού αποκλεισμού μεταξύ των δύο ομάδων. Η μέση διάρκεια της αναλγησίας ήταν 3 ώρες υψηλότερη στην ομάδα δεξαμεθαζόνης (15,85 ± 4,82 έναντι 11,75 ± 6,81, τιμή p = 0,035). Η ένταση του πόνου ήταν χαμηλότερη στην ομάδα της δεξαμεθαζόνης, στις 6 και 12 ώρες μετά τη χειρουργική επέμβαση (3,45 ± 1,79 έναντι 4,65 ± 1,79, τιμή p = 0,040). Δεν παρατηρήθηκε διαφορά στη μετεγχειρητική κατανάλωση οπιοειδών και στη συνολική ικανοποίηση του ασθενούς. Δεν καταγράφηκαν περιεγχειρητικές επιπλοκές σε καμία από τις δύο ομάδες.   Συμπεράσματα : Η δεξαμεθαζόνη παρατείνει τη διάρκεια δράσης της ροπιβακαΐνης στο μασχαλιαίο αποκλεισμό του βραχιονίου πλέγματος και μειώνει τον μετεγχειρητικό πόνο σε ασθενείς που υποβάλλονται σε χειρουργική επέμβαση στο χέρι.
Ethical dilemmas in online psychotherapy - a review of selected ethical codes and recommendations of psychotherapeutic and psychological associations
Authors: Rutkowska Emilia
Published: January 2022

Until recently, only some psychotherapists have used a remote form of contact with their patients [1]. The COVID-19 pandemic Has changed this situation, as the experience of life and health threats has resulted in many therapists choosing to work remotely with patients. Working online for psychotherapists poses new challenges and ethical questions. Many practitioners, when looking for answers to bothering questions arising from the clinical practice of working with patients remotely, look for answers in Professional codes of ethics or in the guidelines of therapeutic associations. This article is a review of 52 codes of ethics from different countries on five continents in terms of looking for norms and principles that provide an ethical framework for online psychotherapeutic work. Additionally, the guidelines and recommendations of selected Professional psychotherapeutic associations were analyzed. These societies, in additional Communications or statements, also introduce temporary ethical criteria, guidelines and good ethical practices that remotely working therapists should take into account in their work.
Histochemical features of the structure of fetal ovaries in different stages of gestation from mothers with physiological pregnancy
Authors: Poliasnyi V. O. , Kupriianova L. S.
Published: January 2022

In the following article specific hystochemical features of the fetal ovaries’ structure from mothers with the physiological pregnancy are considered. All fetals were divided into subgroups by taking into consideration the term of gestation, as well as main stages of fetal gonads’ formation and laying. Namely: 21-28 weeks, 29-36 weeks, 37-40 weeks. All fetuses had died intranatally, as a result of acute uterine-placental circulation. The course of pregnancy in all cases was psychological, according to appropriate medical documentation. In the aim of reaching the scientific goal the following research methods were used: macroscopic, organometric, histological, histochemichal, morphometric, statistical. The comprehensive study has revealed the following features of the ovaries’ structure, depending on gestational term: weight, length, thickness, width and volume of the ovaries were reaching their minimum levels in case of fetuses with a gestational age of 21-28 weeks, while the maximum one was reached in case of fetuses on 37-42 weeks of gestation. All gonads are represented by cortical and cerebral matter, with the constant ratio despite of different gestational term. According to the growth of pregnancy term the number of germ cells decreases, while the number of apoptotically altered forms oppositely increases. Primarily it is because of the psychological cells’ death during ovarian formation.The follicular component at all stages of gestation is represented by primordial and primary follicles; at the 37-40 weeks though the atretic forms and cystically altered specimens are appearing. Moreover, in accordance with the growth of the pregnancy term, the number of primordial follicles decreases, while oppositely, the number of primary ones increases. The aforementioned changes lead to the decrease in the relative volume of follicular tissue and to the increase of the relative volume of the interstitial component. By the following histochemical methods (Felgen-Rossenbeck reaction, Brache reaction, Schiff-reaction) an increase in the functional activity of the fetal ovaries was revealed, by reaching its maximum point during gestation of the 37-40 weeks. The aforementioned features correspond with gestational terms as well as with stages of the ovarian development of the fetus. That is why they could be used as a control group during leading a research on characteristical features of fetal gonads structure of fetuses from mothers with complicated pregnancies.
Recreational and tourist potential of the transnistrian district of Ukraine
Authors: Kilinska K. , Yavorska V. , Kostashchuk V. , Smyk O.
Published: January 2022

The article proves that the sphere of tourism, in contrast to other sectors of the economy, makes it possible to implement the concept of self-development, self-government and self-financing from its own resources, own financial sources. The article emphasizes that a special place in the development of tourism in Transnistria in the future should belong to the Dniester Reservoir. In fact, this determines the relevance and practical significance of this study. The tourist and recreational complex of Transnistria is a leading factor in the development of the region’s economy. The article reveals the peculiarities of the development of recreational and tourist conditions and resources of the Transnistrian district of Chernivtsi region.
The teeth whitening in an age aspect: prevalance of the method use, substantiation of its carrying out and possible complications (clinical research)
Authors: Tereshyna T. , Pakhlevanzade V.
Published: January 2022

The following article presents results of the clinical research on prevalence of use, justification of leading and development of possible complications due to the teeth’ whitening. The main aim of the research is to study prevalence of apply of the teeth’ whitening procedure among patients of different age groups in the Dental Department of the Odessa University Clinic, with a study on indications for leading the aforementioned procedure, as well as complications, that had been developed as a result of it. The research materials are: anamnestic data of patients from the University Clinic, who underwent the teeth’ whitening procedure. Moreover, we had taken into account the following indexes: patient’s age, presence of concominant pathology, the data on leading the teeth’ whitening procedure in the past. The main group was presented by 32 patients, who underwent the aforementioned procedure for the first time in their lives. The group of comparison is represented by 33 patients, who underwent the same procedure couple of times before (once, twice, three times or four times). The research methods: anamnestic, statistical. The methods of whitening, that had been chosen: hardware whitening, laser beam, thermocatalytic whitening and use of chemical catalysts. The analysis of anamnestic data, which was held, make us possible to postulate, that 5% of patients from both groups did not have any complications after the teeth’ whitening procedure. The other patients of the study groups though had a stable pain syndrome, the intensity of which is increasing in 24-48 hours after the procedure and last in average 5-7 days. The folowing article presents a data on a fact, what concominant conditions and diseases of the oral cavity do stimulate a pain syndrome development more often and during what period of time. The current article also describes a character of inner-connections between pain syndrome and gender feature as well as presence of such procedures in the past. The authors had postulated, that the less traumatic and quite efficient method is oxidative cleavage of enzymes, by using which a stable long-lasting effect is reached, as well as there is a lack of pain after the procedure.
Hepatic encephalopathy. Clinical case
Authors: Rafalska Natalia
Published: January 2022

Hepatic encephalopathy is a neuropsychiatric syndrome associated with abnormal liver function and portosystemic venous shunting. According to the West-Haven classification, depending on the degree of neurological disorders, there are minimal, I - IV stages of HE, which are characterized by a gradual progression of the disease. To date, the pathogenesis of HE is controversial.
Awareness assessment for viral hepatitis among patients in different departments of medical institutions and students.
Authors: Loboda A. M. , Malysh N. G. , Melekhovets O. K. , Chemych O. M. , Mogylenko V. I. , Osypko D. V.
Published: January 2022

The significant spread of chronic viral hepatitis in Ukraine and the whole world, an increase in the incidence of medical personnel, and the lack of wariness of the population regarding the diseases of this group make it necessary to have a statistical analysis of the etiology, diagnosis, treatment, and prevention of viral hepatitis among different population groups.Aim. To study and analyze the awareness about viral hepatitis B (HBV) and C (HCV) of patients who undergo treatment in various departments (infectious, surgical, therapeutic) and the students who didn't take the course of infectious diseases.Materials and methods. A questionnaire was developed to establish the level of awareness among patients with viral hepatitis. The study was conducted through a sociological survey (full-time, one-time, individual) with the preservation of confidentiality conditions. The study was conducted in the infectious department of Sumy Regional Infectious Diseases Clinical Hospital named after ZY Krasovitsky, Surgical Department of Sumy City Clinical Hospital №5, therapeutic department of Sumy Regional Clinical Hospital of the 4th year of Sumy State University Medical Institute in 2019. In total, 147 people took part in the survey: 20 were in treatment at the therapeutic ward, 20 - in the surgical ward, 20 - in the infectious diseases department, and 20 - 4th-year students.Conclusions. Viral hepatitis is currently one of the most pressing health problems. It is used for the sociological survey we developed to determine the level of knowledge of the population about the causative agent of viral hepatitis, transmission, prevention (not specific and specific), clinical features, laboratory methods of diagnosis, and treatment.Among all the surveyed results, recipients gave most of the correct answers to questions about the causative agent of viral hepatitis and transmission routes. The worst known are patients in the surgical wards about the presence of an effective hepatitis B vaccine (20.00%); patients of infectious and therapeutic wards (20.00% each) and 4th-year students (25.00%) - about the presence of effective hepatitis C therapy; (95.00%) and a reference group of physicians (100.00%) on the etiology of viral hepatitis. Patients in surgical wards (84.30%) answered the most frequently asked questions about the ways of transmission of viral hepatitis.
Dynamics of cytokine profile in patients with abdominal sepsis caused by pancreonecrosis
Authors: Polyovyy V. , Dzyubanovsky I. , Kovalchuk A. , Dzyubanovsky O. , Dzhyvak V.
Published: January 2022

Acute pancreatitis is one of the most pressing problems of modern pancreatology, according to the authors ranks first among surgical pathologies.The aim of this study was to evaluate the dynamics of cytokine profile in patients with abdominal sepsis caused by pancreatic necrosis.Materials and methods.The study was conducted in 12 patients diagnosed with abdominal sepsis caused by pancreatic necrosis, in the period from 2017 to 2020 who were treated in medical hospitals in Chernivtsi and Ternopil. The control group consisted of 17 patients without signs of abdominal sepsis and acute surgical pathology. Both groups were representative by age, sex, comorbidities, risk factors. Determination of experimental parameters in the blood of patients was performed in the postoperative period (the results were evaluated before surgery, on the first and tenth days of the postoperative period).Research results and their discussion.In patients with abdominal sepsis, a violation of the mechanisms of cell adhesion and costimulatory-cooperative interaction of immunocompetent cells was observed in the preoperative period, as indicated by the low level of CD11a + and CD162 + expression on them. The decrease in the content of IL-6 in the blood with a slight progressive increase in the level of IL-4 corresponds to a moderate imbalance of cytokine regulation of the immune response.