bluuebunny/crossref_metadata_2025 huggingface dataset:
Prevalence of Cervical Cancer in Enugu State: A Critical Review of 5-year Hospital Data in Enugu State, Southeast Nigeria
Authors: Chidinma Ajegbo Uzoma
Published: December 2022

Cervical cancer is one of the most common cancers that affect women worldwide. In developing countries, cancers are detected late due to limited access to preventative measures and late treatment options leading to higher death rates in these countries. The study was undertaken to determine the cervical cancer prevalence to aid in planning grass root level programs to reduce the morbidity and mortality from the disease. This study is a hospital-based retrospective design that reviewed reported screening test results of CCa cases in five screening centres identified in Enugu state. Reported data sets were analysed and one-sample t-test analysis of statistical significance was determined. A pooled total of 27 333 patients were screened using pap smear and 3528 tested positive for cervical cancer was reported over the five years period giving a prevalence rate of 13%. The mean age of the positive cases was 38.82 ± 8.15 years. The majority of the cases (62%) were recorded among the age group 30 – 39 years. The yearly rates included 14% prior to 2016, 12%, 9%, 20%, 13% and 10% for 2016, 2017, 2018, 2019 and 2020 respectively. T-test analysis showed a significant difference in testing rate when compared to previous study t = 5.7, p = .002. The prevalence of this study is high when as reported in previous studies. Therefore, a targeted awareness and enlightenment of the public on cervical cancer screening is highly recommended to ensure early detection which guarantees good treatment outcomes. Keywords: Cervical Cancer; Enugu State, Nigeria, Prevalence, Screening test.
Factors Associated with partographs Utilization in Jimma and Bedele Zones, Oromia Regional State, Ethiopia
Authors: Dube Polite
Published: December 2022

Use of partographs during labor is a key intervention but it is not widely used due to various factors. This is one of the quality thematic areas incentivized by PBF. Hence the aim of our study was to determine these factors associated with utilization of partograph in Jimma and Buno-Bedelle zone. Our study adopted a cross-section design with independent control. The data collection was retrospective interview of 239 health workers who conducted deliveries in Q3 2021 (July – September 2021) in health facilities from both Buno-Bedele (control) and Jimma (intervention) zones. Bivariate analysis was performed using chi-squared tests. Multivariate analysis was performed using logistic regression analysis. All data analysis was conducted in STATA 15. The proportion of health workers using partographs was higher in Jimma (86.5%) compared to Bedele (64.4%), with a p-value less than 0.001. The finding of this study indicated that the major reasons for non-use of partographs were little/no knowledge, lack of training and shortage of staff and time consuming. Knowledge of partograph, availability of partograph and training on partograph have a positive impact on use of partographs as shown by the statistically significant adjusted odds ratios (AORs) in Table 4. Midwives were also found to be more likely to use partographs compared to nurses. This study revealed that PBF contributed to availability of partographs, improved knowledge score and training on partograph utilization in Jimma. PBF have also improved the use pf partographs for monitoring labour and understanding of action lines in early diagnosis of complications during labour. Keywords: Factors, Partographs, Performance based financing, Utilization and Completeness.
Assessment of Healthcare Waste Management Strategies in Selected Hospitals in Abuja, Nigeria
Authors: Jonathan Agbanusi Uchechukwu
Published: December 2022

Improper healthcare waste management practices, capable of contributing to poor human health and negative environmental impacts, inundate Abuja hospitals. Therefore, the purpose of this study is to assess risk perceptions and awareness among healthcare workers handling hospital waste in Abuja, Nigeria. In this study, mixed methods design of quantitative approach using cross-sectional study and qualitative approach using descriptive case study were applied to explore the risk perceptions and awareness of healthcare waste handlers within the four selected (two public and two private) hospitals in Abuja. Coding and analysis of the quantitative and qualitative data helped in triangulation, which improved the quality of work. Major trends found through investigations, include that: most Abuja hospitals were fraught with poor healthcare waste management practices; healthcare waste attendants handling hospital waste in Abuja seldom appreciate the danger involved; there exists risky exposures of hospital waste to human health; coupled with negative environmental impacts. Summary of interpretation for the study points at improper healthcare waste management practices. Keywords: Environmental impacts, Healthcare waste management, Healthcare workers, Human health, planned behaviour theory, Risk perception, social care, Waste Management Theory.
Socioeconomic Impacts of Risks Associated with Pre-eclampsia during Pregnancy in Imo State
Authors: Amarikwa-Obi Godwin Chukwuemeka
Published: December 2022

Preeclampsia risk is a global pandemic that poses a serious threat to global health. It is recognized as a chronic and debilitating disease that is associated with significant complications. As a result, it significantly reduces life expectancy, can cause multi-system morbidities, increases healthcare costs, and ultimately results in the premature death of both the mother and the fetus. All forms of preeclampsia carry unacceptable human, societal, and financial costs for Imo State, regardless of income. Therefore, in Imo State, Southeast Nigeria, this study looked into the socioeconomic effects of the risks associated with pre-eclampsia during pregnancy. This study employed both descriptive and analytical study designs. Data gathering techniques included target, stratified sampling, and random sampling. A total of 3690 people from around the state made up the sample size. Questionnaires were used as the research tool for data collection. Tables and charts with the generated data were created. Statistically descriptive:. The significant difference between the perception of risk variables by individuals and patients was measured using chi-square. Regarding the socioeconomic effects of preeclampsia risks, respondents were generally in agreement that these risks can result in job loss, with 56.19%, or 1190 out of 2700 responses, saying “Yes,” 12.84%, or 272 out of 2700 responses, saying “No,” and 656 out of 2700 respondents, or 30.97% of the responses, saying “No idea.” However, there was a very high significant variation among their responses. Additionally, they agreed that preeclampsia risks can result in subpar performance at work. Preeclampsia risks had a negative socioeconomic influence on the patients’. Keywords: Impacts, Imo State , Pre-eclampsia ,Risks, Socioeconomic.
Use of Aerobic Exercise as an Adjunct to Conventional Therapy in the Management of an Older Adult with Chronic Low Back Pain in Nigeria: A Case Report
Authors: Aliyu Kolo M.
Published: December 2022

Treatment preferences utilized by most physical therapists on adults with LBP in Nigeria often do not adhere to global clinical practice guidelines, which include aerobic exercise. This case report describes the utilization of aerobic exercise within a conventional multimodal treatment approach in the management of chronic LBP for an older adult living in Nigeria. Baseline measures of NPRS, ODI, RPE, and lumbar range of movement were taken at the initial visit. Subsequently, the intervention combined a walking aerobic exercise both overground and, on the treadmill, with other therapies (e.g., directional preference exercises, strengthening exercises) for 16 sessions over four weeks. Following 16 sessions, clinically meaningful improvements in pain, disability, lumbar range of motion, and rate of perceived exertion were observed. The patient complied, reported no side effects, and had positive feedback regarding the intervention. The utilization of aerobic exercises within a conventional multimodal treatment approach is safe and could be useful for the management of chronic LBP in older adults. Keywords: Aerobic exercise, Conventional management, Clinical practice guidelines, Low back pain, Physical therapy, Walking exercise.
Perception of Health Workers on Reporting of Adverse Events Following Immunization in Jigawa State, Nigeria, 2022
Authors: Uba Belinda Vernyuy
Published: December 2022

An adverse event following immunization (AEFI) is any untoward medical occurrence which follows immunization, and which does not necessarily have a causal relationship with the usage of the vaccine. Reporting of AEFI is suboptimal amongst healthcare workers (HCWs). This study aimed to determine health workers’ perception on AEFI reporting. A descriptive cross-sectional study was conducted among health workers in selected health facilities in Jigawa State. We used an Open data kit (ODK) based self-administered questionnaire to collect data on socio demographic characteristics, knowledge, and perception of respondents on AEFI. Data was analyzed using Statistical Package for Social Sciences (SPSS), for frequencies, associations and factors affecting HCWs perception of AEFI reporting at 5% significance (p-value<0.05) and 95% confidence interval. Perception was graded as: poor<50%, fair 50–70% and good ≥70%. Of the 400 respondents, 227(56.8%) had good perception. Building public trust in immunization (94.8%), to enable proper diagnosis and management (94.0%), elicit training needs (94.0%) and reduce consequences of AEFI on health workers (86.0%) were the main reasons for reporting AEFI. The barriers to reporting AEFI were time constraints (51.6%), poor feedback (48.8%) and fear of consequences (41.0%). AEFI knowledge (AOR 2.312, p=0.018) and receipt of feedback on reported AEFIs (AOR 0.45, p=0.026) were independent predictors of good perception of AEFI. Only 57% of health workers had a good perception of AEFI. To improve reporting of AEFI, there is need to train heath workers and strengthen feedback mechanism of AEFI surveillance system. Keywords: Adverse events following immunization, Health providers, Perception, Surveillance.
The Prevalence of Asymptomatic Malaria Amongst Nursery and Primary School Pupils in Bui, Northwest Cameroon: A Cross-Sectional Study
Authors: Cho Frederick Nchang
Published: December 2022

Malaria is a public health concern worldwide, accounting for 31% of hospital consultations, 44% of hospitalisations, and 18% of deaths, and a cause of school absenteeism amongst pupils in Cameroon. The negative cognitive impact of malaria on pupils is a call for concern. This study aimed at determining the prevalence of asymptomatic malaria among pupils. A cross-sectional study was conducted from December 2015 to April 2016 in eight Nursery and Primary Schools in Bui. A total of 1,152 pupils were systematically screened for malaria using light microscopy. All anaemic and malaria positive cases were administered ferum folate/ferrous sulphate and artemether-lumefantrine for treatment. The prevalence of malaria and anaemia were 12% and 18.4%, respectively; anaemia accounted for 26.1% of all positive diagnostic tests. Malaria infection was significantly higher in adolescents aged 5–12 years (73.9%), as well as amongst males (51.4%). The proportion of pupils with asymptomatic malaria and anaemia was high. Age, sex, school, and community were associated with asymptomatic malaria as well as anaemia. Malaria intervention programmes should target asymptomatic malaria carriers for treatment to minimise transmission. Keywords: Asymptomatic malaria, Bui, Cameroon, Prevalence, School Children.
LUDWIG VAN BEETHOVEN’IN “KREUTZER” PİYANO VE KEMAN SONATININ PERFORMANS ANALİZİ
Authors: TAMER Faruk
Published: December 2022

Ludwig van Beethoven’ın op.47 no:9 la majör “Kreutzer” piyano ve keman sonatı, op.55 no:3 mi bemol majör “Eroica” senfonisi ve op.53 no:21 do majör “Waldstein” piyano sonatının da aralarında bulunduğu “Kahramanlık Dönemi” eserlerinden biridir. Beethoven’ın Fransız İhtilalinden etkilendiği ve Napolyon Bonapart’a olan saygısının eserlerine yansıdığı dönemin ürünü olan “Kreutzer” sonat, özellikle birinci bölümünün ihtişamı ve sanki bir konçerto havasındaki yapısıyla, piyano ve keman sonatları arasındaki seçkin yerini almıştır. Eser, Adagio sostenuto - Presto, Andande con varizioni ve Presto olmak üzere üç bölümden oluşmaktadır. Bu çalışmada, kemancıların “korkulu rüyası” olarak tanımlanan Adagio sostenuto - Prestonun (ilk 10 ölçüsü) 3 farklı performans analizi, 10 keman yorumcusunun kayıtlarından faydalanarak yapılmıştır. Çalışmanın amacı, performanslar arasındaki benzerlik ve farklılıkların ortaya çıkarılarak, eseri çalmak isteyen kemancılara yorum yönünden ışık tutmaktır.
The control as a necessary condition for the democratic state
Authors: С. А. Косінов
Published: December 2022

The article analyzes the concept of the control of democracy J. Keane. Control of the public authority is considered as an element of the rule of law (constitutional control over the rule-making, administrative justice, parliamentary control over the executive branch, etc.).
The legal status of merchants in era Petra I
Authors: В. А. Лизогуб  , В. І. Лахно
Published: December 2022

The article is dedicated to complex analysis of the legal status of the merchant's class at the beginning of 18 century. Reasons of the reforms, importance of merchants in process of the system of modification of Russian society. Are analyzed separate legislative acts, which signify the main stages of the economic reforms, verify purposes and nature of the changes in governmental policy under comparatively this conditions. Are researched details study.Conclusion about complex and contradictory character of reforms of Petra I is made on the basis of study of significant normative base and monographic literature.
Some state-legal problems of overcoming environmental crisis in globalisation era
Authors: А. П. Гетьман  , В. I. Лозо
Published: December 2022

A range of the state-legal problems urgent for overcoming of environmental crisis. The anthropocentric approach is subject to replacement with an ecological imperative with legal maintenance of profitability of environmental management. The aim of the law is to establish conditions of "rent" of a planet with comfort for mankind within sustainable development of natural balance. EU environmental programs are quite successful. Ukraine, joining the eurointegration course, can cooperate with partners in formation of alternative model of development.
Publicity and openness of administrative processes under the Convention on human rights and fundamental freedoms and the European court of human rights
Authors: Л. В. Тацій
Published: December 2022

This paper attempts to reveal the content of the principles of transparency and openness of administrative litigation with regard to the Convention for the Protection of Human Rights and Fundamental Freedoms. The analysis of the European Court of Human Rights concerning the application of these principles.
The legal status of the State service of Ukraine for the control of narcotics
Authors: О. М. Шевчук
Published: December 2022

In the article explores the issues related to the legal status of the State service of Ukraine for the control of narcotics. Following are definitions of this concept, worked out the theoretical model and define its structural elements.
Problems of application of special rules of punishment
Authors: О. В. Євдокімова
Published: December 2022

The article considers the special rules of punishment. Their classification is made. The question about their interrelation is discussed.
The notion and contents of organized criminality in the sphere of economic activity
Authors: В. А. Некрасов
Published: December 2022

The article is concerned with the definition of notion and contents of modern infrastructure of criminality in the sphere of economic activity. In this article are considered the principles of building, the elements of modern infrastructure of economic crimes and within this infrastructure act the criminal technologies of this sphere.
History of the use of system method in research of properties of criminality
Authors: В. Ф. Оболенцев
Published: December 2022

The article is devoted history of system method in criminology. Maintenance of criminology theories, offered the Ukrainian scientists is exposed. Perspective of the use of system method in criminology researches is grounded.
Education and vocational training of convicts to deprivation of liberty for a definite period as a form of differentiation and individualization of execution of punishment
Authors: М. С. Пузирьов
Published: December 2022

The article is dedicated to analysis of education and vocational training of convicts to deprivation of liberty for a definite period as a form of differentiation and individualization of execution of punishment. The suggestions on improving current criminal-executive legislation in part of regulation of studying of convicts to deprivation of liberty for a definite period are proposed in the article.
FATF as international law institute
Authors: І. Б. Кудас
Published: December 2022

The article is devoted to the history of creation, analysis of the legal bases of activity, forms of decision-making, control over their implementation, measures of impact on the national banking system «of the Task force on financial measures in the sphere of money laundering». In article also addressed the question of the modern status of international bodies in the system of subjects of international law.
System of principles of law policy in the private intrnational law
Authors: А. А. Степанюк
Published: December 2022

The article is devoted to the investigation of system of the principles of law policy in the private international law, ascertaining their essence, meaning and place among the other elements of this system
Features of the duties caused by the person in the case of the realization of his right to self-defense
Authors: Л. І. Ляшевська
Published: December 2022

Peculiarities of the duties on compensation of the harm caused by a person in the realization of his right to self-defense.The article deals with the analysis of the elements on compensation of the harm caused by a person in the realization of his rights to self-defense. The characteristic features of the duties on compensation of this harm, the grounds and conditions of their emergence are established. It is stressed that the specifics of such duties (subjective condition) are the lack of guilt in the causer of the harm as self-defense is a lawful act.
Conception, types and consequences of the invalid wills as to the current civil legislation of Ukraine
Authors: С. М. Сібільова
Published: December 2022

In the article on the base of the analysis of the general norms on the invalidity of the transactions and special norms on the invalidity of the will and taking into account the main provisions of the long scientific discussion concerning the legal nature of the invalidity of the transactions, the doctrinal statement of the invalidity of the will has been proposed, the general characteristics of the types and legal consequences of the invalidity of the will has been exercised.
Structure and the maintenance of a legal status of the public prosecutor
Authors: М. О. Сурженко
Published: December 2022

In article are analyzed scientific approaches to concept definition «a legal status of the public prosecutor», and also specificity of its legislative fastening. It is proved author's view to structure of a legal status of the worker of Office of Public Prosecutor and the rather-legal analysis of foreign experience of legislative fastening of basic elements of the status of public prosecutors on an example of such countries as France, Italy, Germany, Poland, Latvia, etc. Are investigated the European standards in this sphere.
Psychological profile: the problem of modeling the unknown criminal personality
Authors: Г. М. Гетьман
Published: December 2022

The article investigates the problem of modeling an unknown person in the preparation of criminal psychological profile. Some approaches to the concept of "psychological profile" and "psychological portrait", in particular the proposed delineation of these terms. We consider the system steps in the development of the psychological profile of an unknown perpetrator.
Agricultural credit in the system of rural government (by example of Poltava province of the late nineteenth and early twentieth centuries)
Authors: Д. А. Селіхов
Published: December 2022

The types of agricultural credit in the system of rural government that existed in Poltava province of the late nineteenth and early twentieth centuries both in cash and in the form of commodities have been analyzed. The important areas of cooperation between public authorities, territorial self-government and co-operative organizations in lending direct producers of crops and livestock, as well as improving the quality of agricultural land have been disclosed.
Implemention of the concept of sustainable development in the protection and use of vegetation
Authors: І. В. Гиренко
Published: December 2022

The article deals with background and the stages of formation the concept of sustainable development, its reflection in legal acts on vegetation adopted by the Soviet Union, the independent Ukraine is shown. The content of the seven tasks and principles of sustainable development that should be implemented to the current legislation for the protection of vegetation.
The actual issues of legal regulation of use of lands of the industry
Authors: Т. В. Лісова
Published: December 2022

The article focuses on the complex analysis of actual issues of legal regulation of use of lands of the industry. The necessity of the improvement of the legislation in force with the purpose of effective use of land resources is thoroughly grounded in this article.
Legal regulation of social adaptation process of persons who are serving or have already completed their sentences in the form of restraint or deprivation of freedom for a specified time
Authors: О. В. Лисодєд
Published: December 2022

In the article the evolution of legislation regulating social adaptation of persons who are serving or have already completed their sentences in the form of restraint or deprivation of freedom for a specified time for a period of 1991 – 2012 is considered and measures directed at improvement of this process are analyzed.
Health and social consequences of substance abuse
Authors: Г. А. Білецька
Published: December 2022

The article deals with the effects of anesthesia and medical sotsialnogoy character. Today addiction − a disease that has its etiological, epidemiological and clinical patterns. Velocity distribution and population coverage has all the signs of the epidemic. At this stage the disease has all but one − the recovery, that is not return to baseline health and social status.
The procedure of forestry as a form of procedural relationships
Authors: О. О. Савчук
Published: December 2022

In the article the stage of the procedure of Forestry. A characteristic of regulations on forestry, forest division into categories, to establish the age of maturity stands and norms of use of forest resources, forest management planning, forest inventory, monitoring, conducting forest certification.
Principle economic feasibility as a means of tax fiscal functions
Authors: К. О. Гетьман
Published: December 2022

This paper describes the principle of economic feasibility as a means of implementing fiscal tax functions in Ukraine. The necessity of a clear distinction between economic feasibility and economic justification of tax or fee.
Yönlendirme ve İşaretleme Tasarımı Bağlamında Paralel Gerçeklik Teknolojisi
Authors: Türker Orhun
Published: December 2022

Teknolojinin ilişkili olduğu her alanda olduğu gibi yeni bir deneyimin ortaya çıkması, geliştirilen yeni bir cihaz veya buluş sayesinde gerçekleşmektedir. Deneyimlenen gerçeklik türlerinden olan artırılmış gerçeklik, karma gerçeklik ve sanal gerçeklik teknolojileri de bu teknolojilerin deneyimlenmesini sağlayan cihazların ve yazılımların geliştirilmesinden sonra hayatımızda yerini almıştır. Sanal ve karma gerçeklik için özel ekipmanların geliştirilmesi ve artırılmış gerçeklik için yazılımların kodlanması, bu gerçeklik türlerini başta eğlence olmak üzere, eğitim, tasarım, askeri, pazarlama ve sağlık alanlarında kullanılabilir hale getirmiştir.

Bugüne kadar gerçeklik türleri deneyim bağlamında karma gerçeklik, sanal gerçeklik ve artırılmış gerçeklik olarak üç temel kavram ile ele alınmaktaydı. Ancak yeni geliştirilen bir görüntüleme sistemi teknolojisi sayesinde paralel gerçeklik kavramı, gerçeklik türleri arasında yerini almıştır. Bu çalışmada, yeni bir gerçeklik türü olan paralel gerçeklik, bu teknolojinin kullanıldığı tek alan olan Detroit Metropolitan Havaalanı örneği üzerinden tasarım bağlamında incelenmiş ve paralel gerçekliğin çalışma prensibini anlatan çizimlere ve görsellere yer verilmiştir.
Endovascular treatment of multilevel brachiocephalic artery lesions in asymptomatic patients: a case series
Authors: Vanyurkin A.G. , Soboleva A.V. , Susanin N.V. , Belova Yu.K. , Soloviev V.A. , Chernyavskiy M.A.
Published: December 2022

Objective: To evaluate the outcomes of complete endovascular carotid revascularization in asymptomatic patients with tandem lesions of common carotid arteries (CCA) and internal carotid arteries (ICA) and to demonstrate the endovascular technique.Methods: Endovascular treatment of two-level brachiocephalic artery lesions was performed in 23 patients at the Almazov National Medical Research Centre from 2017 to 2022. The mean age of the patients was 71.3 years. The lesions were localized in the left CCA and ICA in 11 patients, in the right CCA and ICA in 7 patients, and in the brachiocephalic trunk and right ICA in 5 patients. All patients were asymptomatic on the affected side. Results: Completed with successful stent implantation, all the procedures were effective, with no complications at the access site (hematoma, dissection, bleeding) and no perioperative mortality or residual stenoses. Postoperative neurological disorders developed in two patients including ipsilateral neurological symptoms (NIHSS score 4, Rankin score 1) in one of them and moderate aphasia and dysarthria NIHSS score 2, Rankin score 1) in the other. Brain MSCT showed signs of ischemic stroke that did not require any additional surgical treatment in the second patient. Following the rehabilitation, the neurological symptoms regressed. The mean hospital stay was 4 days. Two years after the intervention two patients required reintervention, i.e. repeat angioplasty of the ICA stent, due to in-stent restenosis.Conclusion: The outcomes in a series of patients with tandem brachiocephalic artery lesions indicate the efficacy of complete endovascular intervention with good short-term results.
Received 23 June 2022. Revised 31 July 2022. Accepted 23 August 2022
Informed consent: The patient’s informed consent to use the records for medical purposes is obtained.
Funding: The study did not have sponsorship.
Conflict of interests: Authors declare no conflict of interest.
Contribution of the authorsLiterature review: A.V. Soboleva, V.A. SolovievDrafting the article: A.G. Vanyurkin, Yu.K. BelovaCritical revision of the article: M.A. ChernyavskiySurgical treatment: M.A. Chernyavskiy, A.G. Vanyurkin, N.V. SusaninFinal approval of the version to be published: A.G. Vanyurkin, A.V. Soboleva, N.V. Susanin, Yu.K. Belova, V.A. Soloviev, M.A. Chernyavskiy
Surgical treatment of distal aneurysms on superior cerebellar artery: two case reports
Authors: Somova A.I. , Senko I.V. , Orlov K.Yu.
Published: December 2022

Distal aneurysms of the superior cerebellar arteries (SCA) present a rare subgroup of intracranial aneurysms. Only few case reports describe this condition. Therefore, the surgical approach to treating distal SCA aneurysms remains controversial.We are demonstrating surgical treatments of previously unavailable, distal SCA aneurysms as a number of multimodal case reports.We describe two different ways to treat two patients with distal SCA aneurysms and provide a literature review. First, a 38-year-old patient presented with an acute subarachnoid ventricular hemorrhage due to distal SCA aneurysm rupture. Microsurgical clipping of the aneurysm was performed. Then the aneurysm ruptured intraoperatively, which required temporary clipping of the SCA trunk. The postoperative period was complicated by a progressive and eventually lethal cerebral angiospasm. Another, 36-year-old female patient was admitted in acute condition after recurrent ruptures of a distal SCA aneurysm associated with subarachnoid parenchymal hemorrhage. The patient underwent endovascular SCA deconstruction at the aneurysm level. No complications or neurological symptoms were observed postoperatively. The patient was discharged for outpatient treatment on day 4.Endovascular surgery should be considered as a method of choice for ruptured distal SCA aneurysms. Microsurgical intervention may be an option when endovascular repair is impossible and when other surgical procedures such as removal of hematoma and prevention of occlusive hydrocephalus are required.
Received 31 August 2022. Revised 14 November 2022. Accepted 18 November 2022.
Informed consent: The patient’s informed consent to use the records for medical purposes is obtained.
Funding: The study did not have sponsorship.
Conflict of interest: Authors declare no conflict of interest.
Contribution of the authors: The authors contributed equally to this article.
Long-term outcomes of drug-eluting balloons for treatment of side branches in patients with true coronary bifurcation lesions
Authors: Eraliev T.K. , Khelimskii D.A. , Badoian A.G. , Krestyaninov O.V. , Baranov A.A. , Gorgulko A.P.
Published: December 2022

Background: Bifurcation treatments make up ca. 15–20% of coronary interventions. Despite the use of drug-eluting stents, the management of bifurcation lesions, especially with side branches involved, remains a challenge.Objective: To evaluate long-term clinical and angiographic outcomes after using a paclitaxel-coated balloon for the treatment of side branches in patients with true bifurcation lesions.Methods: Eighty patients with coronary artery disease were enrolled after true bifurcation lesion stenting. All patients were randomized at the 1:1 ratio to the group of main branches stenting followed by the dilatation of side branches with drug-eluting balloons and provisional stenting group.Results: Long-term results were analyzed after 12 months. The most common bifurcation lesion involved the left anterior descending artery and diagonal branch (57.5%). Late lumen loss in the side branch (0.51 ± 0.22 vs 0.33 ± 0.24 mm) and in both the bifurcation branches (main branch + side branch) (1.06 ± 0.29 vs 0.79 ± 0.27 mm) was significantly higher in the patients after provisional stenting.Overall postoperative incidence of major adverse cardiovascular events was 17.5% and 7.5% (p = 0.31) in the provisional stenting and drug coated balloon groups, respectively. Patients with drug-eluting balloons for the treatment of side branches had a more pronounced decrease in angina symptoms after 12 months. Multivariate analysis showed that diabetes mellitus (OR: 10.9) and glomerular filtration rate (OR: 0.95) were independent predictors of major adverse cardiovascular events in bifurcation interventions.Conclusion: Drug-eluting balloons for the dilatation of side branches after the stenting of main branches are superior to provisional stenting in terms of the late lumen loss.
Received 31 August 2022. Revised 17 November 2022. Accepted 18 November 2022.
Funding: The study did not have sponsorship.
Conflict of interest: The authors declare no conflict of interest.
Contribution of the authorsConception and study design: T.K. Eraliev, D.A. Khelimskii, A.G. Badoian, O.V. KrestyaninovData collection and analysis: T.K. Eraliev, D.A. Khelimskii, A.G. Badoian, O.V. Krestyaninov, A.A. Baranov, A.P. GorgulkoStatistical analysis: T.K. Eraliev, D.A. Khelimskii, A.G. BadoianDrafting the article: T.K. Eraliev, D.A. Khelimskii, A.G. Badoian, O.V. Krestyaninov, A.A. Baranov, A.P. GorgulkoCritical revision of the article: T.K. Eraliev, D.A. Khelimskii, A.G. Badoian, O.V. KrestyaninovFinal approval of the version to be published: T.K. Eraliev, D.A. Khelimskii, A.G. Badoian, O.V. Krestyaninov, A.A. Baranov, A.P. Gorgulko
Gas detection in the portal vein after aortobifemoral bypass: a case report
Authors: Zozulya M.V. , Lenkin A.I. , Lebedinskii K.M.
Published: December 2022

We present a case report of early surgical treatment of abdominal compartment syndrome after aortobifemoral bypass. A 73-year-old man was admitted to the I.I. Mechnikov North-Western State Medical University with critical lower limb ischemia. Aortobifemoral bypass with a synthetic prosthesis was performed via laparotomy. The postoperative period was complicated by the dynamic bowel obstruction. The patient's condition worsened (hypovolemic and septic shock, respiratory failure due to severe pneumonia). Initial tactics was conservative. Signs of bowel ischemia (pneumatosis of the intestinal wall, gas in the portal vein) were identified using “point of care” ultrasound, which led to a change in the treatment tactics. On the same day, decompression relaparotomy was performed and the intestinal decompression tube was inserted. The postoperative period proceeded with positive dynamics: early extubation with acceptable parameters of gas exchange, minimal dosages of vasopressor support. Bowel function improved and stool appeared on the 2nd day after surgery.Gas in the portal vein is an ultrasound phenomenon, which in 70 % of cases suggests necrosis of the intestinal wall. The detection of such a symptom in patients after the abdominal aorta surgery may indicate bowel ischemia, since mesenteric circulation disorders primarily develop in the inferior mesenteric artery. This condition requires urgent surgical intervention, but its differential diagnosis with postoperative paralytic ileus is not always possible, especially in the early stages. We demonstrate a case of early gas detection in the portal vein and the emergency intervention that allowed preventing irreversible ischemic damage of the bowel. “Point of care” ultrasound can help suspect this condition and determine the indications for early surgical intervention, which can positively influence the outcome.
Received 19 April 2022. Revised 29 May 2022. Accepted 1 June 2022.
Informed consent: The patient’s informed consent to use the records for medical purposes is obtained.
Funding: The study did not have sponsorship.
Conflict of interest: Authors declare no conflict of interest.
Contribution of the authors: The authors contributed equally to this article.
O tożsamości Europy Środkowej
Authors: Zenderowski Radosław
Published: December 2022

Celem niniejszego artykułu jest wskazanie na specyfikę tożsamości środkowoeuropejskich narodów i wspólnot religijnych zarówno w wymiarze sameness (swojskości) jak i distinctivness (odrębności). Służy temu struktura artykułu, składającego się z czterech części. W pierwszej zdefiniowano pojęcie tożsamości zbiorowej. W drugiej części wskazano na kształt geograficzny, geopolityczny i geokulturowy Europy Środkowej. W części trzeciej wskazano na znaczenie religii w procesie budowania i umacniania tożsamości narodowych w regionie Europy Środkowej. W części czwartej – ostatniej – przeanalizowano różnice kulturowe i światopoglądowe pomiędzy Europą Środkową a Europa Zachodnią, odwołując się do wyników badań empirycznych. W efekcie przeprowadzonych analiz wskazano na podstawowe różnice kulturowo-cywilizacyjne, ze szczególnym uwzględnieniem sfery religijnej, występujące między Europą Środkową a azjatyckim Wschodem z jednej strony (w ujęciu historycznym) oraz Europą Zachodnią (w ujęciu współczesnym).
Sekularyzacja i tożsamość religijna w krajobrazie religijnym Nigerii
Authors: Igboin Benson
Published: December 2022

W niniejszym artykule dowodzę, że sekularyzacja nie jest pojęciem uniwersalnym; jest to pojęcie zachodnie, którego podstawę do rozważań teoretycznych stanowi jego kontekst społeczny i egzystencjalny. Twierdzę też, że kolonializm i religie misyjne wniosły do Afryki własny rodzaj myśli sekularyzacyjnej, bowiem gdy na Zachodzie toczyła się na ten temat debata, kraje afrykańskie znajdowały się pod rządami kolonialnymi. Posługując się metodami interdyscyplinarnymi, pokazuję, że pojęcie odrodzenia religii po zimnej wojnie, a zwłaszcza po wydarzeniach z 11 września, którym przeniknięta jest zachodnia debata, również nie może mieć charakteru uniwersalnego, ponieważ w Afryce, a w szczególności Nigerii, sekularyzacja w ogóle nie miała miejsca. Na przykładzie Nigerii pokazuję, że od czasów kolonialnych religia nadal odgrywa kluczową rolę w polityce tożsamości i nie widać żadnych oznak osłabienia takiego stanu rzeczy. To jednak wypaczyło tożsamość, a w konsekwencji wpłynęło na jedność narodową i rozwój. Złożoność nigeryjskiej konstytucji w kwestii świeckiego statusu kraju jeszcze bardziej zdestabilizowała i tak już niestabilną politykę. Jeśli możliwe jest ustanowienie rozsądnej tożsamości narodowej, obecna konstytucja powinna zostać zmodyfikowana w taki sposób, aby zrobić miejsce dla niejednoznacznego statusu świeckiego.
El libro de Miqueas origen, formación y cuestiones fundamentales en la crítica actual
Authors: Cordero María Jesús
Published: December 2022

El presente artículo tiene por propósito el ofrecer una presentación del origen, la formación y los temas fundamentales del libro de Miqueas, recurriendo a las principales fuentes bibliográficas contemporáneas. Se aborda la evolución que han experimentado los estudios respecto a este libro, gracias a los descubrimientos arqueológicos y epigráficos de las últimas décadas.
Dios en la propuesta de Jean Luc Marion del giro teológico al giro levinasiano
Authors: Celli María Eugenia
Published: December 2022

Jean-Luc Marion realiza una revisión crítica del abordaje de Dios en la historia de la metafísica occidental. Sus opciones fenomenológicas lo alejan del lugar marginal que la propuesta husserliana-heideggeriana destina para este fenómeno y lo acercan haciala matriz levinasiana que lo conduce hacia un porvenir tan necesariamente pos-ontoteológico como aparentemente teológico. Desde allí, Dios es pensado “sin el Ser” y bajo las marcas bíblicas del “Dios Amor” (1Jn 4,8b). El interés de este trabajo consisteen recorrer la propuesta crítica que ofrece la filosofía marioniana y en evaluar si la operación que se propone respecto de Dioscorresponde verdaderamente a un “giro teológico” o debería ser considerada, sin más, como un “giro levinasiano”.
El problema educacional en el sur de Tolima, Colombia propuesta desde la moral social
Authors: Becker Juan Pablo
Published: December 2022

Esta investigación aborda el problema de la educación en el sur del Tolima desde la perspectiva de la moral social, en particular desde la comprensión del indicativo de bien común. A partir de un punto de vista histórico, socioeconómico y educacional, se aborda la temática con la finalidad de elaborar una comprensión teológico-moral de este hecho. Con base en ello, la investigación pretende responder a algunos criterios de discernimiento social en torno al problema de la educación en Colombia. Ellos ponen de relieve la importancia de ésta como un derecho, así como la posibilidad que las escuelas sean un espacio propicio para la construcción de una cultura de paz.
Wally V. Cirafesi, John within Judaism. Religion, Ethnicity, and the Shaping of Jesus-Oriented Jewishness in the Fourth Gospel. (AJEC 112), Brill, Leiden – Boston 2022, 341 pp. ISBN 978-90-04-46293-9.
Authors: Inostroza Juan Carlos
Published: December 2022

Este libro es una versión revisada de la tesis doctoral del autor, defendida el 2018 en la Facultad de Teología de Oslo. La obra cuenta con 341 páginas, distribuidas en 7 secciones principales, bien proporcionadas en sus respectivas extensiones, cada una con una conclusión sumaria muy útil. Estas secciones o capítulos quedan encuadrados por los agradecimientos y las abreviaturas, y al final por 31 páginas de bibliografía más un siempre útil índice de citaciones de fuentes antiguas de 22 páginas.
unidades léxicas no romance D’a Pedra do Reino de Ariano Suassuna
Authors: Santana da Silva Lilian
Published: December 2022

O estudo tem como objetivo analisar as unidades léxicas no vocabulário do romance d’A Pedra do Reino de Ariano Suassuna. Os pressupostos teóricos da Semântica Lexical e da Fraseologia orientam a análise das lexias. Para entender as relações e significados estabelecidos pelos elementos que fazem parte do trabalho, foi privilegiada uma metodologia qualitativa de cunho interpretativo a partir da análise textual. O autor utiliza-se de um léxico regional/popular nordestino, usa arcaísmos, prefixos e sufixos com efeitos expressivos, cantigas populares, provérbios e frases feitas. Tudo isto marca a expressividade da linguagem de Ariano Suassuna. Este trabalho faz rápidas considerações teóricas sobre Fraseologia, mostra as relações entre léxico, sociedade e cultura, aplicando tais conceitos a exemplos de unidades léxicas complexas pertencentes ao vocabulário do romance. A temática, a estrutura literária e a linguagem do romance caracterizam, com rara precisão, o nosso povo, seu falar, costumes, crenças e tradições, e seu modo de ser, viver, pensar e agir, dentro do seu universo sócio-linguístico-cultural. O vocabulário pode ser entendido como o subconjunto que se encontra em uso efetivo, por um determinado grupo de falantes, numa determinada situação. Nesta pesquisa procura-se, a partir do estudo do vocabulário, oferecer uma visão de conjunto das lexias encontradas no texto, para favorecer o entendimento da cultura popular brasileira no que se refere à manifestação da língua com características regionais. As unidades léxicas complexas encontradas no corpus funcionam como elos na representação do sistema referencial e expressivo da linguagem.
Terapia cognitivo-comportamental como recurso no tratamento do luto diante de morte repentina
Authors: Pontes Ferreira Alves Diego , Jordão Laport Tamires
Published: December 2022

Embora a morte seja um evento natural e inevitável, sua ocorrência é promotora de estresse, dor e sofrimento, sobretudo quando esta ocorre de forma repentina. Vivenciar o processo do luto é normal e experimentar suas etapas e fases de maneira saudável é essencial para a reestruturação do enlutado. No entanto, no processo do luto podem ocorrer desordens emocionais e psíquicas que dificultam que este retome a sua vida normal, podendo-o paralisar; circunstância em que recorrer ao auxílio terapêutico torna-se indispensável para que a sintomatologia do luto não se agrave evoluindo para o luto complicado. Neste contexto, a presente pesquisa teve como objetivo discutir sob a perspectiva da abordagem cognitivo-comportamental quais os recursos no tratamento do luto por morte repentina. A pesquisa de cunho qualitativo exploratório desenvolver-se-á fundamentada em referencial teórico, constante da análise de livros e artigos acadêmicos disponíveis em bases de dados científicas sobre o tema proposto e com a TCC como tratamento adequado no alívio dos sintomas do luto.

 

Palavras-chave: Enlutado. Luto por morte. Psicólogo. Terapia cognitivo-comportamental.
A Reimplantação da Disciplina Moral e Cívica em Vassouras/RJ no século XXI
Authors: Macario de Araujo Marcolino Ferreira Daniele , Ferreira Monteiro Angelo
Published: December 2022

A pesquisa propôs a análise sobre a reimplantação da disciplina Educação Moral e Cívica (EMC), como obrigatoriedade no município de Vassouras – RJ. Perpassando por um breve contexto histórico da educação brasileira. A metodologia que foi utilizada para o desenvolvimento do estudo se deu mediante a revisão de literatura de textos científicos, com a análise da legislação pertinente à temática e a legislação ordinária sobre o retorno da presente disciplina ao Município de Vassouras-RJ sob a lei nº. 3.063 de 28 de fevereiro de 2019, ficando obrigada a inclusão na matriz curricular do Ensino Fundamental das redes de ensino público e privado do município, conforme decisão proferida pela Câmara Municipal de Vassouras. Visando a partir do estudo contribuir para o reavivamento do sentimento de presença, a valorização cultural e a construção de uma sociedade mais atuante e fortalecida em suas práticas.
Práxis do Psicólogo nos Equipamentos de Acolhimento Institucional
Authors: Barbi Lucia Helen Vicente , Maria Melo Gonçalves Sílvia
Published: December 2022

O presente trabalho constitui-se em uma pesquisa qualitativa e exploratória que objetivou identificar as práticas dos psicólogos em entidades de acolhimento de acolhimento do tipo “Abrigo Institucional”, avaliar os limites para suas intervenções e analisar os principais desafios a serem enfrentados na prática institucional. Para isso, o método de pesquisa consistiu na aplicação de entrevistas semiestruturadas com duas psicólogas atuantes em abrigos institucionais de municípios da Baixada Fluminense, que foram analisadas sob a ótica da Psicologia Social Comunitária. Observou-se que a prática psi nessas instituições é voltada para o fortalecimento identitário dos indivíduos acolhidos através da promoção de atividades lúdicas, conversas em grupo e individuais. Os principais desafios para a atuação profissional advêm dos impasses para se estabelecer a intersetorialidade entre os mecanismos da rede de Assistência Social dos municípios e os limites para sua atuação residem na dificuldade em ter a especificidade de sua profissão reconhecida por membros do judiciário e da própria equipe em que atuam. Ademais, a ausência de um referencial teórico específico para as práticas dos psicólogos nos serviços de acolhimento institucional impossibilita a padronização do atendimento, conforme preconizado no Sistema Único de Assistência Social. Os resultados obtidos apontam que, mesmo com a ausência de referencial, a atuação dos psicólogos nesse contexto visa a mudança social através da conscientização dos indivíduos acolhidos sobre o lugar que ocupam na sociedade.
Impactos do preconceito homofóbico na saúde mental das pessoas LGBTQI+: breves apontamentos
Authors: Elias dos Santos Matheus , Costa de Lima Fábio
Published: December 2022

O presente estudo teve por objetivo apresentar uma revisão integrativa da literatura, a fim de compreender quais as repercussões do preconceito homofóbico na saúde mental das pessoas LGBTQI+. Foi realizada uma pesquisa bibliográfica de estudos entre 2017 e 2022, nas bases BVS-PSI, PEPSIC, SciELO e Google Acadêmico. Ao longo do estudo, foram utilizados os descritores: “saúde mental”, “doença mental”, “homofobia”, “LGBT”. A estratégia aplicada nas buscas foi utilizar o operador booleano AND. A pesquisa gerou 69 artigos, dos quais 10 artigos foram incluídos na análise dos dados. Os resultados evidenciam que o preconceito homofóbico torna as vítimas vulneráveis ao estresse e acarreta em prejuizos no bem-estar físico e mental. Ter o apoio social e da família é tido como fator de proteção contra o sofrimento psíquico vivenciado. Ressalta-se a necessidade de outros estudos que apresentem intervenções que contribuam para melhorias da saúde mental das pessoas LGBTQI+ e ações voltadas para a prevenção do sofrimento mental causado pela homofobia.
Passaporte Universitário: da construção da cidadania à mobilidade social
Authors: Da Costa Adriana Luiza , Soares Barretto Mônica Cristina
Published: December 2022

Este artigo tem como objetivo trazer a lume algumas concepções históricas da educação brasileira, até a sua chegada em terras maricaenses, considerando as políticas adotadas pelo estado brasileiro, bem como a evolução da gestão educacional. O estudo apresenta historicamente as interfaces do ensino e os avanços da educação no município de Maricá junto à subsecretaria de políticas públicas com a criação do Programa Passaporte Universitário, que ocasionou uma revolução no território educacional ao oportunizar os munícipes em produzir conhecimento nas universidades em variados cursos de graduação, preparando-os para ascender socialmente ao provocar mudanças.