bluuebunny/crossref_metadata_2025 huggingface dataset:
Surgical challenges of down syndrome with developmental dislocation or dysplasia of the hip undergo operative treatment under anaesthesia in teaching hospital
Authors: Prasetyo Mika K. , Bayusentono Sulis
Published: June 2020

Developmental/dislocation of the hip is one of the orthopaedic issues and the most common problem of the hip in down syndrome (DS). Down syndrome often arises with its general laxity problematics, one of the things is developmental dislocation/dysplasia of the hip (DDH). In chronic cases, surgery is a must, and this is mentions in several journals. Some complications can occur in the process of anaesthesia with intubation. We report two cases, both of which are seven years old with patients in the first case experiencing DDH and patients in the second case experiencing dislocation. The first patient had open reduction surgery with capsulotomy and internal fixation. The second patient, close reduction, and hemi spica installation. The first patient has trouble breathing one week after surgery, and then the tracheotomy is performed. A tracheotomy performed for almost two months and hemi spica removed in September 2019. After hemi spica removal, the patients were then routinely controlled for rehabilitation polyclinics, and the results improved.
Tubercular dactylitis with deformity ipsilateral involvement of hand and foot in an adult: a case report
Authors: Kumar Anil , Agarwal Shashank
Published: June 2020

Tubercular dactylitis is a rare entity and usually involves bones of hands and feet, involvement of feet is less common. Here we report case of 18 years old female with neglected tubercular involvement of her left thumb and left great toe of foot with hallux varus deformity. Her diagnosis was delayed as she did not seek any healthcare advice for a long time and also lack of suspicion of entity. This entity which should be kept in mind when making differential diagnosis that can be treated conservatively when diagnosed early.
A rare case: exostosis of right foot
Authors: Boddu Sunil , Avulapati Sandeep Krishna , Chowdary Suraj Kumar , Koneru Susmith
Published: June 2020

Exostosis is benign tumor. Osteochondromas are benign metaphyseal osseous growths occurring in long bones of body.  They contain cartilaginous cap which are present before closure of physis plate. Growth of these structures ends with physis fusion. Being benign in nature, they don’t require any surgery. Unless and until they cause compression symptoms on nerves and blood vessels, difficulty in movements of joints, and patients request for cosmetic appearance. Here by we present a rare case of 19 years old male patient with right foot exostosis. The same patient has multiple Exostosis in bilateral ankle, knee and humerus but without any family history. Exostosis was found on plantar aspect of foot, which made it difficult for him to walk. Surgical excision was done. Pre, per and post-operative period was fine. Patient was able to walk normally thereafter. There was no recurrence of growth thereafter.
Clinical and economic burden of psoriasis: a retrospective study of the cost implications among cohorts in Abuja, Nigeria
Authors: Ukonu Bob A. , Ibekwe Perpetua U.
Published: June 2020

Background: Psoriasis is a common chronic cutaneous inflammatory disorder of the skin which presents as sharply demarcated scaly erythematous papules or plaques. The level of its clinical severity at presentation largely determines the cost implications and economic burden on the patient. The study aimed to determine the direct cost of treating various clinical severity of psoriasis and its economic consequences to our healthcare system.

Methods: This is a retrospective study that was conducted between May 2016 and October 2019 at the Dermatology Unit of University of Abuja Teaching Hospital. Data was retrieved from patient’s folder into a designed proforma, noting their biodata, clinical level of severity using psoriasis area severity index (PASI) score, amount of money spent on drugs, laboratory test, nursing time and consultation fees.

Results: Out of 82 psoriasis patients seen during the study period, 66 fulfilled the inclusion criteria. About 51.5% of them had severe psoriasis with a mean PASI score 33.2. The annual cost of treating mild, moderate and severe psoriasis was N198,900.00, N261,633.00 and N323,708.00 respectively. This accounted for 1.77% of the national annual healthcare spending within the years under review.

Conclusions: The cost of treating psoriasis and its economic burden is largely determined by the level of its clinical severity.
Clinico-etiological study of pediatric dermatoses in tertiary health care hospital in East-coast Andhra Pradesh, India
Authors: Bonthu Indira , Purushothaman Suruthi , Vukkadala Nivedita Devi
Published: June 2020

Background: Pediatric dermatoses vary vastly from adult dermatoses in clinical presentation, treatment and prognosis and are more influenced by socioeconomic status, climatic exposure, dietary habits, external environment, thereby needing a special view in this field. The present study was carried to determine the clinico-epidemiological patterns of pediatric dermatoses.

Methods: Consecutive 2581 children aged >1 month to 12 years with 2661 dermatoses attending dermatology OPD in tertiary care hospital, Kakinada (May 2018 to June 2019) with clinical evidence of cutaneous disorder were studied. Complete history and cutaneous examination with necessary investigations are recorded.

Results: Infestations disorder in 39.68% followed by eczematous disorder 19.80%, infection in 13.71%, pigmentary disorder in 8.34%, papulosquamous disorder in 5.82%, appendageal disorder in 2.93%, nutritional disorder in 2.21% and drug reactions including toxic epidermal necrolysis in 1.12%, child abuse and sexually transmitted diseases in 0.37% was the pattern in the present study. Rare cases including aplasia cutis, cutis laxa, ectodermal dysplasia, monilethrix and griscelli syndrome, epidermolysis bullosa, ichthyosis, palmoplantar keratoderma and congenital syphilis were also observed. The most common cutaneous dermatoses are infection and infestations followed by eczemas and nutritional disorders. Surprisingly STD and child abuse contributed significantly which cannot be neglected. Genodermatosis were notable in the study probably due to the high incidences of consanguineous marriage

Conclusions: The study reinforces features of tropical paediatric dermatology especially high prevalence of infections and infestations in school children (5-12 years) which highlights the need of proper counselling of caretaker regarding skin hygiene and establishment of specialized paediatric dermatology clinics.
Topical steroid abuse in commercial workers: a cross-sectional analytical study in a tertiary care center
Authors: Sudhakar Sarankumar , V. A. Kayalvizhi , Sikkanthar Syediqbal , Muthukrishnan Madhanchand
Published: June 2020

Background: Abuse of topical corticosteroids (TCs), especially over the face, is prevalent worldwide with India as no exception. Lack of adequate specialist services, the practice of self-medication and easy access over the counter (OTC) has resulted in widespread abuse. Aim of this study was to assess the magnitude of topical steroid abuse and its diverse cutaneous side effects in commercial sex workers.

Methods: A cross-sectional analytical study was conducted among commercial sex workers (both females and transgender) attending the STI clinic in the study institution for 6 months. A semi-structured questionnaire was given and type of steroid cream used, frequency, duration, the reason for application and source of information for its use were recorded. Clinical patterns of side-effects were noted. Clinical photographs were taken. Descriptive statistical analysis was done, (SPSS 21.0).

Results: Out of the total 180 commercial sex workers (CSWs), 80 were transgender and 100 were females. The most common steroid used was betamethasone valerate followed by the triple regimen containing mometasone. The reasons for TCs use were fairness (72%) followed by melasma (18%) and acne (10%). Side effects were seen in 77.5% of transgender and 66% of female CSWs. Common side effects noted were erythema (40%), acne (26%) and, pigmentation (18%).

Conclusions: The main reason for TCs abuse in our country as a fairness agent is obsessiveness with fair skin colour. Various studies on TCs abuse were done in the general population but none of the studies focuses on a particular group as in this study.
A clinic epidemiological study of cutaneous markers of internal malignancy
Authors: Teki Jyothi Sri , Teki Satya Sri
Published: June 2020

Background: The skin provides important clues to many systemic diseases. Changes in the skin can be a marker for internal malignancies. If any cutaneous disorder associated with malignancy can be recognized early, it paves way to rapid diagnosis and treatment of the underlying malignancy. we made such an attempt to recognize cutaneous disorders in 40 patients suffering with internal malignancies at government general hospital, Guntur attending dermatology and radiology departments.

Methods: Patients with internal malignancy having specific features were included in our study. Biopsy was done in every patient. The present study lasted for 21 months i.e., from January 2008 to September 2009.

Results: We found that carcinoma cervix was the most common malignancy in females and bronchogenic carcinoma in males associated with cutaneous markers. The markers observed were pruritus, acquired lymphorroids, para neoplastic pemphigus, acquired icthyosis and disseminated granuloma annulare. Cutaneous markers were observed within 6 months from onset of internal malignancies.

Conclusions: Recognition of any para-neoplastic skin disorders should raise suspicion for an internal malignancy which helps in rapid diagnosis and treatment of underlying malignancy.
Overview of exanthems: a case series in a tertiary care hospital
Authors: A. Ramesh , K. Thamizhinian
Published: June 2020

Background: Generalized rashes are the most common conditions seen by primary care physician and the most common reason for new patient visit to dermatologists. There is often difficulty in diagnosing a generalized rash because many conditions produce similar rashes and a single condition can result in rashes with varied appearance. Accurate diagnosis is important because treatment varies depending on the cause. Hence, we decided to undertake a steady on the various presentations of exanthems in Madras medical college Chennai. To find out the incidence of exanthems in the OPD of Department of Dermatology, Venerology and Leprosy (DVL) in Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai to help in early diagnosis and treatment of the diseases.  

Methods: The study included all the newly diagnosed cases attending to the OPD of DVL, Madras Medical College, Chennai for a period of three months. Diagnosis was done based on clinical grounds and lab investigations were done whenever required.

Results: An analytical study of the medical records of patients attending the OPD of DVL, Madras Medical College, Chennai shows that maculopapular rash is the most common presentation of exanthems followed by papules, vesiculobullous, pustular, nodules, verrucous lesions.

Conclusions: The present study includes exanthems as a whole on contrary to many such studies performed in other parts of India which included rashes caused by viral infections and drugs. Our study included generalized skin eruptions due to infections, drugs, specific dermatoses, allergy.   
A study of cutaneous morphological patterns of adverse drug reactions in tertiary care center, Chitradurga, Karnataka, India
Authors: Babu Nikitha , M. Yogendra , M. T. Raghu , H. E. Virupakshappa , S. Ashwini , Kunda Purva
Published: June 2020

Background: An adverse cutaneous drug reaction is an undesirable change in structure and function of skin, its appendages or mucous membrane due to drugs. The main aim of this study is to detect the pattern of adverse cutaneous drug reaction in a tertiary care hospital of Chitradurga district, Karnataka, India.

Methods: A Hospital based cross sectional study was performed in a tertiary care hospital, Chitradurga for 6 months from January 2019 to June 2019. For each case, data regarding age, sex of the patient, clinical history, past history and comorbidities, name of suspected drugs, duration between drug intake and onset of reaction, morphology of drug eruption, associated mucosal or systemic involvement were analyzed.

Results: During the 8 months study period, 30 patients have attended the dermatology outpatient department with cutaneous adverse drug reaction. Majority of the patients were in the age group 20-39 years and the male to female ratio was 1.1:1. The commonest drug reaction pattern observed was the maculopapular rash (40%), urticaria (20%), fixed drug eruption (5%), Stevens Johnson syndrome (10%), toxic epidermal necrolysis (6.7%) and exfoliative dermatitis (6.7%). Commonest drugs producing reactions were diclofenac (30%), amoxycillin (23.3%), carbamazepine (20%), anti-tubercular drugs (16.7%), phenytoin (6.7%) and dapsone (3.3%).

Conclusions: Knowledge of the pattern and the offending drug helps in better management and reduced complications in these patients and also help in preventing recurrences.
Pattern of dermatological involvement in early postmenopausal period: a cross sectional study
Authors: Shah Bhavika , Patvekar M. A. , Singh Pallavi , Deora M. S. , . Alisha
Published: June 2020

Background: The high burden of menopausal symptoms notwithstanding, there is a paucity of published work evaluating its impact specifically on the skin and mucosa. With high incidence of underreported cases in developing countries, active screening of all women is essential for accurate assessment of prevalence of cutaneous features, as highlighted by this study. The objective of this study is to assess clinical patterns of dermatosis in menopausal women.

Methods: A cross‑sectional study conducted in the dermatology department conducted on postmenopausal patients below 65 years having dermatoses after taking their written consent. Data analysis using SPSS 20.0.

Results: Of 350 postmenopausal women, 165 had genital involvement, atrophic vaginitis (41.21%) being the most common manifesting typically as vaginal dryness. Of 82 women having oral complaints, 42.7% women had complaints of pain or difficulty swallowing in the absence of mucosal lesions. Of the total sample size, 34% women had had female pattern hair loss, maximum women with grade I-2 (45.4%) and I-3 (36.13%). Two key findings which we did not find previous records of included incidence of keratoderma climactericum (2.29%) and hirsutism in early menopause which we found to be 8%. It is important to note that only 28% of women were aware that their complaints were related to menopause or chose to seek active treatment for existing complaints.

Conclusions: This study highlights the various clinical patterns of postmenopausal dermatoses to raise awareness in dermatologists and gynecologists for prompt diagnosis, treatment and patient education.

 
PRIMERAS OBSERVACIONES DE LA DIETA DEL BÚHO OREJICORTO ASIO FLAMMEUS BOGOTENSIS (STRIGIFORMES: STRIGIDAE) EN PICHINCHA, ECUADOR
Authors: Pozo-Zamora Glenda M. , Brito M. Jorge , García Rubí , Alarcón Ibeth , Cadena-Ortiz Héctor F.
Published: June 2020

Damos a conocer las primeras observaciones de la dieta del Búho Orejicorto Asio flammeus bogotensis en tres localidades de la provincia de Pichincha, Ecuador. A partir de 52 egagrópilas, determinamos el consumo de 167 presas agrupadas en 22 especies. Los análisis revelaron una dieta compuesta mayoritariamente de mamíferos pequeños, constituyendo el 50,8%, seguido por insectos 43,1%, aves 4,7%, y anfibios y reptiles 0,5% cada uno. El Índice de Shannon indica una mediana diversidad de presas consumidas. Encontramos que la dieta de Asio flammeus en Pichincha está basada principalmente en roedores, similar a estudios de esta misma especie en Norte y Sudamérica.
PRIMER REGISTRO DE TINAMÚ SERRANO NOTHOCERCUS BONAPARTEI (TINAMIFORMES: TINAMIDAE) EN LA CORDILLERA DEL CÓNDOR, SURESTE DE ECUADOR
Authors: Ordóñez-Delgado Leonardo , López Fausto , Reyes-Bueno Fabián
Published: June 2020

El Tinamú Serrano Nothocercus bonapartei es un ave rara y poco conocida que habita bosques densos y poco disturbados del este de los Andes de Ecuador. Es de comportamiento sigiloso y posee pocos registros en el país. En este documento, presentamos los primeros registros de la presencia de esta especie en la Cordillera del Cóndor, cordillera oriental aislada de los Andes, en la cual no existía evidencia previa de su distribución.
MEMORIAS DE LA V REUNIóN ECUATORIANA DE ORNITOLOGíA
Authors: Ordóñez-Delgado Leonardo , Freile Juan F. , Guevara Esteban A. , Cisneros-Heredia Diego , Santander Tatiana
Published: June 2020

Presentamos las memorias de la V Reunión Ecuatoriana de Ornitología (V REO), desarrollada en Zamora, en 11-14 Agosto 2016. La V REO contó con cinco charlas magistrales, un simposio sobre aves, café y cacao, 46 presentaciones orales y pósters, conversatorios sobre el Festival Mundial de las Aves, conteos navideños y Global Big Day, un taller de escritura científica, un taller de ilustración de aves en acuarela y una discusión abierta sobre la conformación de la Red Aves Ecuador. Contó con casi 150 participantes, entre expositores y asistentes.Palabras clave: Investigación, difusión, ornitología, conservación, Ecuador. Abstracts of the V Ecuadorian Ornithology MeetingAbstractWe present the abstracts of the V Ecuadorian Ornithology Meeting (V REO), held in Zamora, on 11-14 August 2016. The V REO included five plenary talks, a symposium on birds, coffee and cacao, 46 oral and poster presentations, round tables about the World Birds Festival, the Christmas bird counts and Global Big Days, a workshop on scientific writing, a workshop on bird illustration in watercolor, and an open discussion session about the creation of Red Aves Ecuador. Nearly 150 contributors and assistants participated in the V REO.Keywords: Conservation, divulgation, Ecuador, ornithology, research.
ANIDACIÓN DEL GORRIÓN CRIOLLO ZONOTRICHIA CAPENSIS (EMBERIZIDAE) EN QUITO, ECUADOR
Authors: Cadena-Ortiz Héctor
Published: June 2020

Incrementar información sobre la biología reproductiva siempre es útil para evidenciar patrones. En este trabajo presento los detalles de un nido del Gorrión Criollo Zonotrichia capensis en forma de taza abierta, construido principalmente con fibras vegetales y una cubierta interior de pelos de mamífero, observado entre noviembre 2015 y julio 2016. El nido fue construido en un macetero colgante en una casa de un barrio céntrico de la ciudad de Quito. Dos huevos de color celeste pálido con manchas pardas fueron incubados durante 14 días. Estimé un periodo de 11 días de construcción del nido, 2 días de puesta y 14 de empollamiento.Palabras clave: Chingolo, huevos, incubación, nido, pichones, Quito, reproducción. Nesting of Rufous-collared Sparrow Zonotrichia capensis (Emberizidae) in Quito, EcuadorAbstractIncreasing information about the breeding biology of bird species is useful for evidencing patterns. In this study, I present observations of an open cup nest of Rufous-collared Sparrow Zonotrichia capensis, built primarily with plant fibers and an inner lining mammalian hair, which was observed from November 2015 through July 2016. The nest was built in a pendant flowerpot at a house located in the downtown of Quito. Two pale bluish eggs speckled with brown were incubated. I estimated a period of 11 days for nest building, 2 days for egg laying, 14 days for incubation, and 14 days for brooding.Keywords: breeding, eggs, incubation, nest, nestlings, Quito, Rufous-collared Sparrow.
NUEVO REGISTRO DE ANIDACIÓN Y DESCRIPCION DE NIDO DEL MOSQUERO REAL DEL PACÍFICO ONYCHORHYNCHUS OCCIDENTALIS (PASSERIFORMES: TYRANNIDAE) EN EL ORO, ECUADOR
Authors: Pezo Yaguana Karla Vanessa
Published: June 2020

El Mosquero Real del Pacífico se encuentra distribuido en el Ecuador en los bosques húmedos y semideciduos del sur occidente de los Andes, estos bosques actualmente se encuentran bajo presión por actividades antrópicas, principalmente debido a la ampliación de la frontera agrícola, lo cual hace que esta especie esté considerada como vulnerable a la extinción a escala global y local. Existe además limitada información sobre su comportamiento, ecología y especialmente sobre su biología reproductiva, es por esto que en esta nota se detalla información sobre su etología reproductiva, se describe el cuidado parental y se da una descripción de su nido por primera vez en la provincia de El Oro. Esperando que esta nueva información contribuya al conocimiento de esta especie y pueda ser incorporada en futuros planes de conservación. New record of nesting and nest description of Pacific Royal Flycatcher Onychorhynchus occidentalis (Passeriformes: Tyrannidae) in El Oro, EcuadorThe Pacific royal flycatcher is distributed in Ecuador in the humid and semi-deciduous forests of the southwestern Andes, these forests are currently under pressure from anthropic activities, mainly the expansion of the agricultural frontier, which makes this species to be considered as vulnerable to extinction on a global and local scale. There is also limited information about its behavior, ecology and especially about its reproductive biology, in this note I give information about its reproductive ethology, describing parental care and gives a description of its nest for the first time in the province El Oro. I hope this new information will contribute to the knowledge of this species and can be incorporated into future conservation plans.
NOTES ON THE BREEDING BIOLOGY OF THE TUMBESIAN AVIFAUNA IN SOUTHWEST ECUADOR AND NORTHWEST PERU
Authors: Greeney Harold Francis , Angulo P. Fernando , Dobbs Robert C. , Crespo S. , Miller Eliot T. , Caceres D. , Gelis Rudolphe A. , Angulo B. , Salagaje M. Luis A.
Published: June 2020

This paper contributes to the growing body of literature on the reproductive biology of South American birds by providing 823 records of reproduction for 197 species breeding within the Tumbesian biome of Peru and Ecuador. Where applicable, we include notes on adult behaviour, nest architecture, eggs, nestlings, and fledglings. In general, our observations support previous reports of the seasonal nature of avian reproduction in the region.
La importancia de la investigación científica en medicina
Authors: Manucha Walter
Published: June 2020

La medicina es una ciencia en constante desarrollo y por lo tanto los conocimientos médicos no deberían obtenerse a través de otra fuente que no sea la investigación científica. Surge así, luego de más de veinticinco años del lanzamiento de la denominada Medicina Basada en la Evidencia (MBE, David Sachett 1996), la pregunta de si existe lugar para el pensamiento racional sobre la evidencia médica. En la actualidad se plantea como controversial el modelo original de MBE respecto a otro modelo que involucra aspectos no contemplados como los biopsicosociales; identificando así las características claves de la ciencia clínica en su atención explícita a la humanidad y en donde la observación (visión exterior), introspección (visión interior) y el diálogo (inter-visión) son la tríada metodológica básica para una completa evaluación clínica y para hacer “científico” los datos del paciente1
Alteraciones estomatognáticas del síndrome 3M: reporte de dos casos
Authors: Medina-Arizpe Selenia Janet , García-Aldape Ana Teresa , Chaib-Adell Joanna , Salinas-Noyola Alfredo
Published: June 2020

El síndrome 3M es un desorden autosómico recesivo, heterogéneo, poco común, llamado así por los tres investigadores que lo describieron por primera vez, Miller, Mckusck y Malvaux. Las características principales son retraso en el crecimiento prenatal y postnatal severo, dismorfias faciales y anomalías radiológicas. En sus manifestaciones estomatológicas presentan dolicocefalia, abombamiento frontal, cara triangular, labios gruesos, cejas pobladas, hipoplasia maxilar severa, facies melancólicas, retraso en la erupción dental severa y falta de crecimiento del macizo facial. El objetivo del artículo es la descripción de casos gemelares de 8 años y 6 meses de edad, que acuden a la Clínica de Atención Dental Avanzada de la Universidad de Monterrey, con confirmación del síndrome 3M por prueba sanguínea a los 4 años de edad por parte del Servicio de Genética del Hospital Universitario. Se realiza rehabilitación bucal de ambas niñas, y, posteriormente, son referidas a interconsulta con ortodoncia interceptiva. MÉD.UIS.2019;32(2): 59-65
MODERN VIEWS ON ETIOLOGY AND PATHOGENESIS OF CYSTIC-ADENOMATOUS PULMONARY MALFORMATION IN CHILDREN. PART II
Authors: Suleymanova S. B.
Published: June 2020

The review is devoted to modern ideas of etiology, pathogenesis, methods of diagnostics and surgical treatment of cystic adenomatous malformation in children. The authors have made a review of domestic and foreign literature on the evolution of molecular genetics and cytogenetic studies. The role of histochemical and ultrastructural analysis in pre- and postnatal diagnostics of congenital lung diseases in children was assessed. The authors also discuss opinion of some specialists as to the terms and tactics of surgical interventions as well as advantages of minimally invasive surgery for congenital lung developmental anomalies.
COMPARATIVE CHARACTERISTICS OF OUTCOMES AFTER SURGICAL TREATMENT OF THE HIRSCHPRUNG’S SHORT FORM DISEASE IN CHILDREN
Authors: Abaikhanov R. I. , Prudnikova T. A. , Kirgizov I. V.
Published: June 2020

Actuality. The Hirschsprung’s disease is one of the leading pathologies in the digestive tract in children. Despite the variety of diagnostic techniques for this disease, none of them has an absolute certainty when the short form disease is suspected, and only the assessment of findings after complex examination plus clinical picture can result in establishing a reliable diagnosis. The authors analyze outcomes of surgical treatment of the Hirschspring’s short form disease in children when the technique of dosed dissection of the internal anal sphincter under ultrasound control was applied and compare these results with those when conventional surgical techniques were used. Material and methods. 83 children aged 1-17.5 y.o. with the established diagnosis of Hirschsprung’s disease and an ultrashort aganglionic segment were taken into the study. Patients were divided into two groups. Group 1 (41 patient) who had surgical correction by the Lynn technique; Group 2 ( 42 children) who were operated on by the new developed technique. Results. 74% (31 patient) of children who were operated on by the dosed dissection of the internal anal sphincter under ultrasound control had good results in their late postoperative period; 10 patients (24%) had satisfactory results; unsatisfactory outcome was seen in 1 patient (2%). In children , who were operated on by the Lynn technique, good results were in 23 patients (57%); satisfactory results in 15 patients (37%) and unsatisfactory result in 3 patients (6%). Conclusion. The rectal form of Hirschsprung’s disease with a short and ultrashort segment requires surgical treatment in the vast majority of cases. In this case, surgery with dosed dissection of the internal anal sphincter under ultrasound control can be a method of choice.
VASCULAR MALFORMATIONS IN THE RECTUM AND COLON
Authors: Aung P. S. , Kholostova V. V.
Published: June 2020

The article presents a systematic review of literature on vascular malformations of the colon in children. This is a heterogeneous group of rare diseases, for which there are no unified approaches to diagnostics and treatment up to now. Of particular importance of the problem is the fact that vascular diseases of the colon are accompanied by massive bleedings, often life-threatening. Medline and RSCI databases were used in the selection of sources.
HYPOGLOSSIA: LITERATURE REVIEW AND TWO CASES
Authors: Kugushev A. Yu. , Lopatin A. V. , Yasonov S. A.
Published: June 2020

Introduction. Aglossia / hypoglossia is a rare condition combined with underdeveled lower jaw, lack of mandibular incisors and various degrees of limb anomalies. In domestic and foreign literature, one can find only few such observations in pediatric and adult populations. This malformation is met in the syndrome of limb and oromandibular hypogynesia or aglossia-adactylia syndrome. The incidence of aglossia / hypoglossia is very low (1 / 175,000-1 / 1,000,000 live births, ) and in most cases it is represented by hypoglosia, and not true aglossia. The isolated aglossia without limb malformations is an even more rare condition. The etiology of aglossia / hypoglosia is unknown, since all known cases are sporadic and by present moment no more than 100 observations have been published. Material and methods. In 2015, a girl (1 year 10 mon old ) and a 3- year old boy were examined in hospital and outpatiently because of complaints for the reduction of lower jaw. The children were examined by an orthodontist; additional examinations were prescribed to the girl because of revealed comorbidities. Results. The girl also had vertebrae malformation. Such a pathological combination had not been seen previously in the available literature. The second child was a boy of 3 y.o.; his parents decided to consult an orthodontist for correcting the bite. In both cases, children were well adapted, although there were some deficiencies in verbal activity and difficulties in feeding; after speech therapy and spoon-feeding trainings these problems were solved. Conclusion. Even with a significant degree of tongue underdevelopment, there are practically no functional limitations in patients with aglossia-adactyl syndrome, which is important for determining prognosis as well as for consulting patients and their parents and for making decision about the need for corrective surgery.
LAPAROSCOPIC CHOLEDOCH REVISION FOR THE TREATMENT OF CHOLEDOCHOLITHIASIS IN AN INFANT
Authors: Kozlov M. Yu. , Malashenko A. S. , Shchebeteev A. A.
Published: June 2020

Choledocholithiasis is a rare pathology in children. Various techniques have been proposed for removing calculi from the common bile duct: percutaneous puncture drainage of bile ducts, endoscopic retrograde cholangiopancreatography with papillosphincterotomy as well as revision of the common bile duct which can be done laparoscopically or in the open abdomen. However at present, there is no any unified approach to managing this pahtology in children. The article describes authors’ experience of laparoscopic revision of the common bile duct in an infant with choledocholithiasis. The authors consider that this technique can be applied in pediatric surgical practice.
TREATMENT OF CHILDREN WITH ATRESIA OF THE BILE DUCTS (CASE-HISTORIES)
Authors: Kholodnova N. V. , Kucherov Yu. I. , Ovsiannikova M. A. , Makarova L. M. , Belaya A. L. , Adleiba S. R. , Samorokovskaya M. B. , Zhirkova Yu. V.
Published: June 2020

The article describes two cases of children operated on for the biliary atresia (BA) on days 56 and 33 of their life. One child after the Kasai surgery had liver transplantation at the age of 1 year and 2 months because of the deterioration of his liver synthetic function which was manifested by the clotting factor deficiency. Another child (5-month old) does not need any transplantation at present. The article defines “red trackers” for the immediate examination of a child for biliary atresia.
A CLINICAL OBSERVATION OF THE COMBINATION OF OMPHALOCELE WITH ATRESIA OF THE SMALL INTESTINE OF TYPE 3A IN A NEWBORN
Authors: Tursunov K. T. , Myrzakhmet S. A. , Alseitov U. B. , Nasirova E. G.
Published: June 2020

The authors present a clinical case of an extremely rare combination of the congenital defect of the front abdominal wall as omphalocele, congenital evolution defect of the small intestine - atresia of the small intestine type III, agenesis of the ileum with ileocecal angle and malrotation syndrome. Surgical treatment was as follows: T-shaped ileocolic «end-to-side» anastomosis with an unloading colostomy by the Bishop-Koop technique and intestinal intubaton till the Treitz ligament. Outcomes of such surgical correction are good.
THE COMPARATIVE ANALYSIS OF ALVARADO AND PAS SCALES IN THE DIFFERENTIAL DIAGNOSTICS OF ACUTE ABDOMINAL PAIN IN CHILDREN
Authors: Vakulchyk V. G.
Published: June 2020

Introduction. Current trends in the diagnostics of acute appendicitis have the following main objectives: to improve the diagnostic accuracy in destructive forms; to reduce the number of negative appendectomies and diagnostic laparoscopies. Purpose. To compare the effectiveness of Alvarado and PAS scales and to find out which of them is more appropriate in the differential diagnostics of acute abdominal pain in children. Material and Methods. A prospective randomized blind clinical trial was performed. 326 children aged 5-17 years with abdominal pain were examined. Results. No significant advantages of any of the analyzed scales were found in the differential diagnostics of acute abdominal pain in children aged 5-17 years. Both scales can be used in the primary stratification of patients. With the conclusion “Acute appendicitis is likely possible,” the level of non-diagnosed cases of acute appendicitis will not exceed 3%. Conclusions. Further assessment of various scales for the diagnostics of acute appendicitis in children has to be done in order to select the optimal one. The obtained results urge to make scales’ modification so as to improve the diagnostic accuracy and to reduce the number of negative appendectomies and diagnostic laparoscopies.
THE EFFECTIVENESS OF INTERSTITIAL SELECTIVE LASER PHOTODESTRUCTION OF FOCAL FORMS OF HEMAGIOMAS IN CHILDREN
Authors: Dorofeev A. G. , Gorbatova N. E. , Yushina T. E. , Batunina I. V. , Bryantsev A. V. , Zolotov S. A. , Sarukhanyan O. O.
Published: June 2020

Introduction. Hemangiomas in infants at their first weeks of life can quickly progress and lead not only to the disfigurement of appearance, but also to serious complications, like bleeding, ulceration, suppuration and other negative consequences. Purpose. To have good clinical and aesthetic results in children with cavernous hemangiomas using the technique of interstitial selective laser photodestruction. Material and methods. In 2016 - 2018, focal forms of hemangiomas were registered in 140 children aged 1 month-16 years who were consulted in the Clinical and Research Institute of Emergency Pediatric Surgery and Trauma. The technique of interstitial selective laser photodestruction was selected for surgical treatment in all patients (RF Patent №2016110843 dated 04.09.2017). Two-wave laser surgical apparatus LSP IRE-Polyus (Russia) with wavelengths 0.97 μm and 1.56 μm was used. All 140 patients had ultrasound examination of their vascular formations and other preoperative procedures . The surgical intervention was performed in the hospital under general anesthesia. 131 of patients had planned operations and 9 of them had urgent operations because of hemangioma bleeding. Results. Long-term outcomes have shown that in 100% of cases we achieved good clinical result with no residual hemangioma elements; in the majority of cases (69%) the optimal aesthetic result was achieved; and in 31% of cases we had satisfactory outcomes by the criteria of aesthetic effectiveness. Conclusions. Interstitial selective laser photodestruction is the best option to radically treat focal forms of hemangiomas in children.
TREATMENT OF CHILDREN WITH PERFORATED ULCERS OF THE STOMACH AND DUODENUM IN TASHKENT
Authors: Akilov H. A. , Urmanov N. T. , Khodjayarov N. R.
Published: June 2020

The authors have analyzed outcomes of examination and surgical treatment of 68 children aged 6 - 18 with perforated ulcers of the stomach and duodenum who were treated in hospitals in 2005-2018. The authors concluded that children with the picture of acute abdomen and no free gas (radiographically) in their abdominal cavity, especially children of puberty period, are recommended to have esophago-gastro-duodenoscopy (EGDS). The choice of surgical intervention is laparoscopic suturing.
MODELOS DE ARRENDAMENTO PORTUÁRIO: UMA PROPOSTA DE REVISÃO SISTEMÁTICA DA LITERATURA SOBRE O TEMA
Authors: Longaray André Andrade , Amaral Thauane Adamoli , Storino Diogo Garcia , Munhoz Paulo Roberto da Silva
Published: June 2020

O objetivo do trabalho é realizar investigação e evidenciação das publicações nacionais e internacionais, acerca da temática de modelos de gestão de arrendamento portuário. Trata-se de um estudo aplicado, com caráter quantitativo, cujo delineamento segue as diretrizes de uma pesquisa descritiva, com o emprego da análise bibliométrica como ferramenta de análise. A pesquisa foi procedida nas bases de dados IEEE, Science Direct, Scopus e Web of Science. Como limitação do estudo, obteve-se o não emprego de palavras-chave utilizadas pelos autores nos artigos do portfólio, bem como, o aumento das bases de dados. Sugere-se para trabalhos futuros a ampliação das palavras-chave, a fim de complementar o entendimento das lacunas identificadas no presente estudo e a realização de outras análises ao tema de pesquisa, como a meta análise e a metassíntese.
What Does the City Remember? Memorial Landscape of the Small Town (the Case of Belozyorsk)
Authors: Sinitsyn Viktor V.
Published: June 2020

The article presents the results of an empirical study of the urban memorial landscape of Belozyorsk (Vologda region). The author makes the assumption that drawing up a memorable landscape of the city is a complex process which various stakeholders are involved in. Providing a brief overview of the historic milestones of one of the oldest cities in Russia, the author focuses on a detailed description of three memorial initiatives: local initiatives to establish the museum of fishing and Finno-Ugric heritage, as well as external initiative to conserve the ruins of Church of the Nativity in Krokhino. The analysis is based on semi-structured interviews with representatives of local and external initiative groups, city government and local residents who were not involved in the memorial projects. In the conclusion of the article, the author clarifies mechanisms of individual interest in remembering genesis and its further transformation into a public memory site.
«A Sense of Inequality»: What Does the Subjective Inequality Mean and How to Study It
Authors: Polukhina Elizaveta V.
Published: June 2020

This book review considers “А Sense of Inequality” by Wendy Bottero. The author is a Reader in Sociology at the University of Manchester (UK).Wendy Bottero inspires us to look broadly at the phemomenon of inequality through the social mechanisms ofobligations and restrictions bounding individuals on a daily basis. At the same time, the author suggests a broader understanding of inequality and insists on “a methodological localism”, i.e. the importance of studying local inequalities, which individuals experience in their milieus (subjective inequality or a sense of inequality). She argues that people tend to be more aware of “local” inequality in their daily lives. Individuals have a restricted vision of objective inequality. According to Bottero, objective inequality does not necessarily lead to social discontent or protest. And data of mass quantitative surveys give us an abstract understanding of a sense of inequality. Individuals’ perceptions of inequality are formed by institutional regimes, political debates and discussions in the media. Therefore, the key concept of this book is “subjective inequality” — a specific feeling of individuals arising through a variety of unequal social relations, entailed subordination, unequal opportunities and statuses.This book gives us an understanding of how to be more reflective of everyday inequalities. This work will be especially of great value for social researchers because it offers acritically revised theoretical frame and solid methodological basis for studying subjective inequalities. The book reveals the mechanics of the key global social phenomenon — inequality and discovers the opportunities for studying it on the level of individuals.
On some milestones in the development of soviet acoustics (to the 140th anniversary of the birth of academician Nikolay Nikolayevich Andreyev)
Authors: Egerev Sergey V.
Published: June 2020

Several key episodes of the development of Soviet acoustics in the crucial years for the country are described. They are related to the scientific activities of the founder of Soviet acoustics, N. N. Andreyev, whose 140th birthday is celebrated in 2020. Organizational aspects of large Soviet projects in the field of air acoustics and hydroacoustics are discussed. The migration of the subject is traced – from the predominant development of air acoustics in the 1930s to the development of hydroacoustics in the 1950–1960s. Especial interest represent both the accelerated institutional development of Soviet science in the 1950s and the conservation of this development by the mid-1960s. The article deals with the peculiarities of the development of natural science and technical sciences at universities and at specialized research centers.
Evaluación del estado de desplazamiento del zapoteco en Juchitán de Zaragoza, México
Authors: Guerra-Mejía Roberto
Published: June 2020

El objetivo de este estudio es evaluar el grado de desplazamiento lingüístico que presenta el zapoteco en la ciudad de Juchitán de Zaragoza, Oaxaca, México. Este trabajo se enmarca en la teoría de ecología de presiones, la cual indica que, en una situación de contacto lingüístico, existen relaciones asimétricas de poder que generan presiones negativas hacia los hablantes de la lengua autóctona, llevándolos a actuar en contra de la vitalidad de su propia lengua. En este estudio se realiza un análisis descriptivo del bilingüismo social de la comunidad de Juchitán con el propósito de identificar las habilidades lingüísticas de los hablantes en zapoteco y en español, así como los cambios que ambas lenguas han tenido intergeneracionalmente. La recolección de datos se realizó por medio de un cuestionario aplicado a una muestra de la población de 382 personas de un total de 74 825 habitantes. Durante este procedimiento, a los encuestados se les solicitó que evaluaran su nivel de competencia comunicativa tanto en zapoteco como en español. Los resultados muestran que el zapoteco presenta una reducción considerable de su transmisión intergeneracional, lo que se observa en el hecho de que la mayoría de los niños son hablantes monolingües del español y solo un número reducido de ellos puede entender el zapoteco. En contraste, el español se ha consolidado en todos los grupos generacionales, aún entre los adultos mayores. Debido a esto, se concluye que el zapoteco presenta un estado avanzado de desplazamiento lingüístico en la comunidad de Juchitán.
Inova Petro
Authors: Santos Ricardo José dos
Published: June 2020

O objetivo deste trabalho é realizar uma análise ex-ante do Programa Inova Petro para operíodo compreendido entre 2012 e 2017 e responder à seguinte questão: por que a mais importante política de inovação para a cadeia nacional de fornecedores da indústria de petróleo e gás natural apresenta dificuldades em contratar os planos de negócio aprovados? Ao realizar o estudo do programa a partir dos elementos O-M-P (Organizações-Métodos-Propósitos), conclui-se que as fragilidades do Programa Inova Petro estão relacionadas ao baixo nível de coordenação entre as organizações que planejam e executam a política e a seleção dos métodos adequados para o alcance dos propósitos planejados.
Pengaruh Organizational Constraints dan Kepribadian Terhadap Work Engagement Pada Relawan
Authors: Pratama Fermansyah Bagus Yudha , Syarifah Dewi
Published: June 2020

Penelitian ini bertujuan untuk mengetahui adanya pengaruh organizational constraints dan kepribadian terhadap work engagement pada relawan. Penelitian mengenai work engagement pada konteks pekerjaan tidak dibayar seperti relawan masih terbatas (Vecina, Chacon, Sueiro, & Barron, 2012). Adanya turnover yang terjadi pada relawan di organisasi non-profit mengindikasikan rendahnya work engagement pada relawan (Scherer, Allen, & Harp, 2015). Metode yang digunakan dalam penelitian ini yaitu kuantitatif dengan jumlah subjek 141 relawan. Alat ukur yang digunakan dalam penelitian ini yaitu Organizational Constraints Scale (OCS) (Liu, Nauta, Li, & Fan, 2010), Big Five Inventory (BFI) versi Indonesia (Ramdhani, 2012), dan Utrecth Work Engagement Scale (UWES) versi relawan (Vecina, Chacon, Sueiro, & Barron, 2012). Analisa data dilakukan dengan menggunakan uji regresi berganda dalam IBM SPSS 22 for Windows. Hasil penelitian ini menunjukkan organizational constraints dan kepribadian berpengaruh terhadap work engagement relawan. Sementara dimensi yang berpengaruh terhadap work engagement relawan yaitu dimensi interpersonal constraints dan agreeableness.
La construcción de los edificios escolares: confluencia de los discursos pedagógicos y políticos a fines del siglo XIX
Authors: Hernández Ortiz Francisco
Published: June 2020

RESUMEN
Este trabajo da a conocer las condiciones en las que surgen los primeros edificios escolares a fines del siglo XIX en las ciudades de Buenos Aires, Argentina y San Luis Potosí, México respectivamente. La metodología, analítico- sintético, ayudó a la reconstrucción histórica complementada con técnicas del método comparativo, permitió identificar rasgos comunes y diferenciados en el origen de los primeros edificios escolares en las dos ciudades latinoamericanas. Los conceptos teóricos bajo los cuales se hace la argumentación son: pedagogía, educación moderna, higiene escolar, modernidad, patrimonio histórico educativo y Estado. El estudio muestra el paralelismo del surgimiento de los primeros edificios escolares, espacios para la educación escolarizada bajo la tutela del Estado, con una infraestructura específica, como resultado de los avances de la pedagogía, la medicina, la arquitectura e ingeniería, como evidencia de la modernidad de fines del siglo XIX en estas dos regiones del continente americano.
Palabras clave: Higiene.  Modernización.  Pedagogía.  Educación.  Espacio.  Edificio escolar.  Patrimonio histórico educativo.
El humanismo filosófico en la región NOA-Argentina: sus proyecciones en la educación universitaria
Authors: Guzzi Jose , Elías Gloria Silvana , Carabajal Leonardo Gustavo
Published: June 2020

El escrito indaga sobre la presencia del movimiento humanista occidental en la formación de los intelectuales de los siglos XX y XXI en la región Norte de Argentina, a partir de analizar los humanismos que propusieron tres filósofos icónicos en su rol como docentes universitarios, a saber: Alberto Rougès, Samuel Schkolnik y Gaspar Risco Fernández. Nuestro propósito es poner en valor lo que cada uno entendió por condición humana, y cómo a partir de ello, llevaron a cabo una vida intelectual comprometida con lo que fuera una sociedad posible para nuestra región y nuestra educación.