bluuebunny/crossref_metadata_2025 huggingface dataset:
Robotic adenomastectomy: follow-up of operated cases
Authors: Bernardi Rodrigo Ferreira , Linhares José Clemente , Tsunoda Audrey Tieko , Groth Anne , Hatschbach Sergio Bruno Bonatto
Published: January 2021

Introduction: For the past few years, Nipple-Sparing Mastectomy (NSM) has been a tendency, and robotic breast surgery has become a reality. Until August, 2019, three robotic adenomastectmy procedures were carried out in Hospital Erasto Gaertner. The objective of this article is to demonstrate our results and publicize the knowledge in robotic surgery. Methods: Surgical Technique. The Da Vinci Surgical System Si® (Intuitive Surgical, Sunnyvale, CA) was used to perform the NSM surgeries. The 3 cm long incision was initiated in the axillary region, and the subcutaneous cellular tissue was resected to an area of 5 cm in diameter, to the portal. One mg/ml of adrenaline diluted in physiological serum 0.9% was infiltered in the subdermal breast tissue. Tunneling is executed with Metzenbaum scissors in the subdermal region. The device is coupled (GelPOINT Advanced Access Platformtm), and gas pressure of 8 mmHg is activated. The ProGrasp Forceps, the monopolar curved scissors and the 30º video camera are allocated in the robotic arms. The upper quadrants are superficially dissected, and then the lower quadrants, the retro-mammillary region and, finally, the breast muscle tissue. The expander is allocated between the chests with the open technique. Result: The duration of the mammary gland extirpation was 5 hours in the first unilateral adenomastectomy surgery, and 1 hour and 45 minutes in the last for the same type of surgery. In total, the first surgery took 6 hours and 20 minutes, which reduced to 3 hours in the last. In two surgeries we observed skin burns caused by electrocautery. These were solved in weeks, however, without the need for surgical intervention. We did not observe complications such as seroma, hematoma, loss of prosthesis, major pain, infection or subcutaneous emphysema due to carbon dioxide. Discussion: Complication rates are low, as shown by Lai et al. (2019), who analyzed a case series and showed transient nipple ischemia (10.3%) as the highest rate of complication; however, without nipple necrosis or loss of prosthesis. In the cases operated in Hospital Erasto Gaertner, the aesthetic results were very well evaluated both by the patients and the plastic surgery and mastology staff. Minor complications were solved in weeks, which maintained an excellent final outcome. The learning curve of the robotic technique was extremely fast, with considerable reduction in surgical time. Conclusion: We believe that innovative robotic surgery can contribute with the advancement of breast surgery around the world.
Oregnancy-associated breast cancer: Analysis of cases in the mastology service of hospital santa marcelina de itaquera, são paulo, from 2014 to 2019
Authors: Cardoso Grasiela Benini dos Santos
Published: January 2021

Thirty-one year old, median gestational age of 28 weeks. Four of our patients were primiparous with less than 20 years of age, and two between the ages of 30 and 34, with median of secundiparous patients (50%). By analyzing the obesity and BMI (body mass index) factors, we concluded that 3 patients were mildly obese, and one presented with morbid obesity at the time of diagnosis. Our BMI mean was 29. Considering histology and immunohistochemical, eight patients were diagnosed with ductal invasive carcinoma, without other specifications; one was diagnosed with fusiform cell carcinoma, and one with mucinous carcinoma. The histological subtypes found were luminal B (4 cases) and triple negative (6 cases). These results were compatible with a French retrospective study from 2017. The pregnant woman, or in the puerperium, with breast cancer may present the same symptoms as the other patients with the disease, but diagnosis can be delayed due to the physiological changes in breast tissue in the pregnancy-puerperal period. In our study, all patients were diagnosed at advanced clinical staging (IIIA, IIIB and IV). The treatment follows the same protocols as for non-pregnant patients, considering not only the type of tumor and disease staging, but also gestational age. The most used therapy for our group was neoadjuvant chemotherapy, followed by radical modified mastectomy. This was owed to the advanced stage of the disease. The sentinel lymph node biopsy was performed in two patients. One was diagnosed in the post-partum period, and the other was diagnosed while pregnant of 34 weeks. The latter received surgical treatment after the pregnancy. Chemotherapics are relatively safe when applied after the second trimester. During the patients’ follow-up, one of them presented with progression of the disease to the brain (this patient was in stage IV, with lung metastasis); one presented with bone and hepatic metastasis; and the other one had plastron recurrence. Until the conclusion of this study, four patients died. Conclusions: Pregnancy-associated breast cancer is a condition that should be observed by health teams, since its early diagnosis enables an approach that minimizes damages for the maternal-fetal binomial. Besides, detecting this disease in its early stages is the main factor that impacts the disease-free survival.
Breast cancer in twin pregnancy
Authors: Matheus Camila Farabotti , Faria Tayana Moreira de , Mattar Andre , Shida Jorge Yoshinori , Gebrim Luiz Henrique
Published: January 2021

Introduction: Breast cancer is the most common neoplasm among pregnant women, and occurs in up to 0.04% of pregnancies. There are only few short and long term results about the intrauterine exposure to antineoplastic agents, and treatment should follow the same guidelines as the one for non-pregnant women. Surgery is possible during the entire pregnancy. Radiotherapy is not indicated in pregnancy, but it is possible for selected patients. Chemotherapy is usually safe during the second and third trimesters, with interruption of the treatment three weeks before the probable date of birth; however, hormone therapy and anti-HER2 agents are contraindicated during pregnancy, and can be postponed until after birth. Objective: To report the case of a patient with breast cancer in the first trimester of a monochorionic diamniotic twin pregnancy, 13 years after thoracic radiotherapy due to Hodgkin's lymphoma. Methods: Medical chart review, interview with the patient, photographic record and literature review. Results: Thirty-four year old Japanese descendant woman, born in São Paulo, nutritionist, married, primiparous. In the eighth week of spontaneous twin pregnancy, she complained of a palpable, fast-growth nodule in the left breast superomedial quadrant. She took combined hormonal contraceptives from the ages of 17 to 33 years. Negative family history for neoplasms. Physical examination showed a nodule in the left breast superomedial quadrant measuring 9.0x7.5 cm – T3N0 (initial clinical staging IIB). Propedeutics: Obstetric ultrasound with topic monochorionic diamniotic twin pregnancy, compatible with 13 weeks and 5 days; breast US showed a complex irregular nodule in the left breast at 9h, measuring 54x40x40 mm: Birads 4. The ultrasound-guided percutaneous biopsy showed invasive carcinoma without expression of hormone receptors, negative HER2, 95% KI67 (triple negative). Negative staging for metastasis. She was referred to clinical oncology: received five sessions of Carboplatin (AUC 2) and Paclitaxel (80mg/m2). Despite the treatment, the tumor progressed to 12x10.5 cm, with large areas and negative axilla. The choice was for mastectomy with axillary lymphadenectomy. Anatomopathological: absence of residual neoplastic cells and neoplasm in axillary nodes (0/8): pathological complete response. A Cesarean section was performed after 36 weeks of pregnancy, and two female infants were born, weighing 2030g and 2455g, Apgar 8/9 and 9/9, respectively. Conclusion: Breast cancer diagnosis and prognosis during pregnancy are not well established. Considering that, this study collaborates with others that were conducted to better understand this pathology in twin pregnancies.
Case report: Metastasis in the radius 6 years after the treatment of invasive breast carcinoma
Authors: Frederice Ridania de Oliveira
Published: January 2021

Introduction: It is estimated that 6% of the women with breast cancer (BC) present metastasis at diagnosis. In this context, the bone is the main site, followed by lung, liver and central nervous system. IN 15% of them, the bone presents as a single metastasis site, especially in the axial skeleton; unfrequently in the pelvis, and rarely in the appendicular skeleton. Case Report: In 2009, a female, 53-year old patient, in the menopause, hypertensive and former smoker, without family history of cancer, presented a palpable nodule in the right breast. At a consultation in the social responsibility service of Hospital Sírio Libanês, she presented a fragment biopsy compatible with invasive breast SOE, GH2, GN3, RE 80%, RP 50% and Ki67 20%. Staging was cT2 cN3C cM0. She underwent neoadjuvant chemotherapy with 4 cycles of doxorubicin with cyclophosphamide, and 12 of paclitaxel. She underwent quadrantectomy in the right breast, ipsilateral axillary lymphadenectomy, and reconstruction with thoracodorsal flap in August, 2010. Anatomopathological pT2pN3. She underwent radiotherapy of the breast and drainage, including supraclavicular fossa (50Gy) and boos (10Gy) until October, 2010. She used adjuvant anastrozole. In March, 2016, she reports pain and sudden loss of strength in the right forearm. X-ray and tomography showed extensive lesion in the radius, associated with pathological fracture without joint impairment. Systemic staging without other disease sites. Even though it was not possible to perform the biopsy, after a solid radiological evaluation, a secondary lesion was considered. She was started on exemestane and zoledronic acid, associated with immobilization and palliative radiotherapy (30Gy). The patient was asymptomatic, presented with pulmonary and lymph node progression in January, 201, changing from endocrine therapy to tamoxifen. In December, 2019, she started with fulvestrant de to discreet lymph node progression. She has been followed-up by an oncologist. Discussion: Lately, with advances in the multimodal treatment of BC, the global survival (GS) of the disease in stage IV has been increasing. Patients with single bone metastasis (SBM) have better prognosis, being mostly luminal tumors treated with the change of endocrine therapy. The main site of implantation is the lumbar and thoracic spine, and very rarely, the radius. Lee et al. reported, among 146 patients with bone metastasis, that 26 were in the femur; 5, in the humerus, and none in the radius, with progression-free survival of 24 months, and GS of 79 months. BC metastasis with appendicular skeleton, especially in the radius, are very rare; however, when SBM, present with better prognosis.
Chronic osteomyelitis as a complication from mycobacteriosis after breast implant
Authors: Melo Márcia Portela , Magdalena Luiza Guimaraes de , Jeffman Marcelo Wainberg , Brazan Murilo de Lima , Cavalheiro Jose Antonio Crespo
Published: January 2021

Introduction: Infection is one of the most feared complications in surgeries with the inclusion of breast implants, associated with the need for new procedures and aesthetic compromise. The agents that are most associated with this conditions are the ones that colonize the skin, such as Staphylococcus aureus and Coagulase-negative staphylococci. Case Report: We described the case of a 25-year old patient, who came to our service after an augmentation mammoplasty performed about 60 days before in a hospital in the countryside. She reported bilateral seroma and extrusion of the right breast implant on the 14th postoperative day, being submitted to antibiotic therapy and a new procedure for site review, with the placement of new implants, bilaterally. When she came to our service, on the 45th day after the exchange of implants, she presented with pain, fever, hyperemia and drainage of the purulent secretion in the operative wounds with extrusion of the implants. In the transoperative period, after the changes were identified, on the 3rd, 4th and 5th costal arches to the right, suggestive of osteomyelitis, associated with partial necrosis of the intercostal muscles and pectoralis minor. The bacteriological test of the periprosthetic secretion was bilaterally positive for mycobacteruim abscessus, and the anatomopathological study of the right costal arch biopsy was compatible with chronic osteomyelitis. The patient presented favorable clinical evolution after the removal of the implants and antibiotic therapy. Discussion: Mycobacteria are opportunistic organisms, which hardly cause diseases in human beings. Despite being uncommon, the infection of breast implants by mycobacteria can be associated with the contamination of surgical instruments and immunosuppression of the host. The infection can be similar to those caused by more common agents. In many cases, it presents with the later onset of symptoms. Prophylaxis and antisepsis, including special care regarding the protocols of sterilization of surgical instruments, are still the main factors associated with the impact of this type of complication in surgeries with breast implants.
Co2 laser therapy improving the sexual life of women after breast cancer treatment (38 cases)
Authors: Moura Jackson Roberto de , Moura Jackline Zonta de , Moura Jackson Roberto de , Moura Jardel Antônio da Silva , Teixeira Áquilla Henrique Gonçalves
Published: January 2021

Objective: To verify the response to CO2 laser therapy in vaginal dryness among women submitted to treatment in a service in the State of Minas Gerais, Brazil. Methods: Descriptive, prospective case series study based on cases that were treated by the same staff from January 2019 to December 2019, storing predefined information and analyzing the data using the software R and SPSS PC. Results: Thirty eight women with mean age of 62.5 years + 9.1 (ranging from 48 to 82 years of age) were treated in the service for vaginal dryness. We observed total improvement of vaginal dryness in 94% of the cases. Improvement in sexual activity was observed in 83% of the cases, and increase in sexual relations, 71%. The satisfaction with the treatment was of 95%. We did not find statistical significance for the use of tamoxifen, anastrozole, previous chemotherapy and interval between surgery and laser therapy (p>0.05). Conclusion: The study shows good results of CO2 laser therapy in the improvement of vaginal dryness and sexual activity; however, the sample is limited for the statistical analysis of subgroups.
Free-amplitude upper limb exercises after mastectomy and immediate reconstruction are beneficial and safe: randomized clinical trial
Authors: Rizzi Samantha Karlla Lopes de Almeida , Haddad Cinira Assad Simão , Elias Simone , Nazário Afonso Celso Pinto , Facina Gil
Published: January 2021

Introduction: Physical therapy plays an important role in the prevention of motor and functional complications in the postoperative period of breast cancer1, reestablishing the motor function and improving the quality of life of patients2. However, there is no randomized study about the different physical therapeutic approaches in patients submitted to mastectomy and immediate alloplastic reconstruction. Objectives: To assess the impact of clearance for free-amplitude upper limb exercises, 15 or 30 days after surgery, on the movement amplitude (MA) of shoulder, pain and upper limb function; on the incidence of dehiscence, seroma, infection and necrosis; and on the need for reoperation in patients after mastectomy and immediate reconstruction with alloplastic material. Methodology: Sixty women who underwent mastectomy due to breast cancer were included in this randomized clinical trial. They were submitted to evaluations in the preoperative period and 07, 15, 30, 60 and 90 days after surgery. They started with limited exercises at 90º of MA of the shoulder the day after the surgery. Fifteen days later, they were randomized in two groups of 30 patients: Free-Amplitude Group – liberation of joint shoulder amplitude at the threshold of pain, or until feeling the displacement of surgical borders; and Limited Amplitude Group – maintenance of restricted shoulder movements at 90º until 30 days after the surgery, when they were also cleared for free-amplitude movements. Results: Patients who were cleared for free-amplitude upper limb exercises 15 days after surgery felt less pain, wider shoulder amplitude and better upper limb function, in comparison to those whose movements were restricted to 90º for 30 days, without increase in incidence and prevalence of postoperative scar complications, and without inference in the need for reoperations. Conclusion: postoperative protocol that clears free MA of shoulder 15 days after surgery is safe and beneficial for the kinetic and functional recovery, as well as algic control in the postoperative period after mastectomy and immediate reconstruction with alloplastic material.
The Correlations of Knowledge, Attitude and Practice with Compliance in Treatment of Pulmonary Tuberculosis Patients in Puskesmas Cakranegara
Authors: Lestari Auliana Puji , Fathana Prima Belia , Affarah Wahyu Sulistya
Published: January 2021

Patient compliance refers to the suitability of behavior against treatment recommendations include timing, dose and frequency of treatment. Compliance to tuberculosis treatment was actually very complex and dynamic with various factors that interacted each other, and therefore it will influence on patientÃ¢â¬â¢s behavior decision. Patient who has a good compliance will increase success to his recovery. This study was carried out to determine the correlation between tuberculosis patient behavior which consists of the domain of knowledge, attitudes and practices with compliance to taking anti-tuberculosis drugs at the Puskesmas Cakranegara commencing on July to November 2020. This research was an observational analytic study using a cross sectional method. Population sample was patients who diagnosed with pulmonary tuberculosis which undergoing category 1 treatment at Puskesmas Cakranegara. The data used in the study was primary data established from interviewing patients using a questionnaire on selected Pulmonary TB patients including respondents who eligible as the inclusion and exclusion criteria. The number of samples in this study were 30 infected-people. The data obtained were analyzed using the Spearman correlation test.ÃÂ  The correlation test of the study showed that there was no significant correlation between variable of knowledge and medication compliance (p = 0.079, r = 0.325).ÃÂ  However, the attitude variables had a significant correlation with medication compliance (p = 0.000, r = 0.715).ÃÂ  Similarly, the practices variable has a significant correlation to the medication compliance (p = 0.000, r = 0.656). This study found that there was no significant correlation between knowledge and compliance taking anti-tuberculosis drugs. However, it was found that there was a significant correlation between attitudes and practices with compliance to taking anti-tuberculosis drugs.
Pengembangan Rubrik Keterampilan Praktik dan Sikap Ilmiah pada Praktikum Biokimia: Kajian Validitas dan Reliabilitas
Authors: Anwar Yunita Arian Sani , Junaidi Eka , Al Idrus Syarifa Wahidah
Published: January 2021

Penelitian ini bertujuan untuk mengembangkan instrumen keterampilan praktik dan sikap ilmiah dalam kegiatan laboratorium mata pelajaran biokimia.ÃÂ Penilaian instrumen diawali dengan expert judgement menggunakan analisis indeks Aiken untuk validasi, dan Interclass Correlation Coefficients (ICC) untuk uji reliabilitas.ÃÂ Instrumen yang valid diujikan kepada 123 responden dan dianalisis menggunakan korelasi item-total korelasi dan Cronbach's alpha dengan menggunakan program software SPSS versi 21.ÃÂ Pada rubrik keterampilan praktis terdapat 18 indikator dan 44 pernyataan dalam angket sikap ilmiah yang dinyatakan valid oleh para ahli sebagai instrumen, dan memiliki reliabilitas sedang.ÃÂ Uji coba pada responden menunjukkan bahwa rubrik keterampilan praktik dan sikap ilmiah memiliki validitas dan reliabilitas yang baik untuk menilai kegiatan laboratorium pada mata kuliah biokimia.ÃÂ Instrumen ini diharapkan dapat memudahkan penilaian pada pembelajaran biokimia di laboratorium.
Educational innovation in the comprehensive training of nursing graduates
Authors: Velázquez María del Rosario Herrera , Báez Adis Anicia Luna , Pérez Ariagna Martínez , Luna Anaysa Alvarez
Published: January 2021

A multi and interdisciplinary teamwork was developed on the integration of basic sciences among themselves and their contribution to professional training. Work was done on the identification of essentialities, organization and structuring of contents according to the requirements and precedence relationships of the Nursing discipline. The general objective was to identify the interdisciplinary relationships between the basic sciences of the nursing career to improve the quality of teaching. A qualitative and descriptive study was carried out through a historical-logical analysis based on documents, syllables, teachers of the basic training semesters and students. Interviews with teachers and student surveys were applied and it was found that there is a need to develop methodological career work aimed at disciplinary integration. Failures were detected such as an inadequate perception of the students about the role of interdisciplinarity in their training, no planning of methodological career activities that promote interdisciplinarity, dissatisfaction with integration in knowledge-integrating projects, and the need for methodological proposals for the interdisciplinarity from the first year of the degree. An integration of the contents was achieved with an inter and transdisciplinary approach, which is recognized as having a favorable impact on academic success and the quality of teacher training.
Compiling bibliography lists for educational projects: Teaching techniques
Authors: Bondarenko M. A.
Published: January 2021

This paper presents specific approaches and techniques aimed at developing the skill of compiling bibliography lists for research and project works in schoolchildren. The applied methodology involved the observation method, analysis and synthesis of the obtained empirical data and the modelling method. The author of the paper introduces a variety of techniques: games; monitoring of finished project assignments, their assessment and review; elaboration of instructions, recommendations; gathering of negative language material; editing, etc. It is concluded that the development of this kind of activity requires gradual and systemic training of students from early adolescence.
Formation of a morphological basis for spelling activity among primary schoolchildren with speech underdevelopment
Authors: Prishchepova I. V.
Published: January 2021

This paper sets out to investigate problems associated with the formation of educational activity (including spelling) among students with disabilities. The author describes principles of speech therapy, generalises the results of long-term experience in studying dysorphography among primary schoolchildren with speech underdevelopment, indicates a positive and stable dynamics in the formation of a morphological basis for spelling activity (need-motivational, content-operational, control-evaluative components), as well as notes an overall increase in academic performance in the Russian language. The study has practical significance in terms of developing prevention and correction methods for managing this type of dysorphography among primary schoolchildren with speech underdevelopment. The described methods can be used for eliminating the mechanisms and symptoms of dysgraphia, carrying out a targeted and controlled formation of spelling activity, and improving spelling literacy. The obtained findings can be applied in speech therapy centres and educational institutions that carry out inclusive education of schoolchildren.
Algorithmic approach to the study of morphological norms of adjectives in the 6th grade. Part 1. Grammatical characteristics of adjectives and norms of using short and full forms
Authors: Sulnichenko V. N.
Published: January 2021

The paper is aimed at considering the most complex morphological norms of adjectives and establishing algorithms for their training in terms of grammar and spelling. The study was focused on the morphological norms of degrees of comparison, full and short forms of qualitative adjectives, regulatory restrictions in the formation of some groups of adjectives. It is proposed that students should structure grammar and spelling material in the form of tables and algorithms during lessons, which enhances intensive assimilation of the educational material. The study shows that individual compilation of algorithms promotes a deeper and stronger assimilation of the morphological norms of adjectives, since a differentiated and individual approach to the organisation of this work activates students’ cognitive competencies and their ability to consciously apply the gained knowledge of morphological norms in speech practice.
RECONSTRUCTING AIRPORT PAVEMENTS USING THE TECHNOLOGY OF PREFABRICATED CONCRETE SLAB
Authors: ŚWIERZEWSKI BARTOSZ
Published: January 2021

This article presents the construction and technical concept for the use of an innovative repair of the airport pavement. It consists in embedding a prefabricated concrete slab in place of the excessively degraded surface of the existing slabs. In addition, the introduced technology of connecting adjacent panels together increases the spatial stiffness of the entire functional element and significantly increases the load-bearing capacity of the pavement. The results of laboratory and field tests presented in the article confirm the effectiveness of the technology used. As a result, the application of the reconstructing technology ensures the safety performance of aircraft operations at airports facilities.
ESTROGEN REMOVAL FROM WASTEWATER
Authors: GRDULSKA AGNIESZKA , KOWALIK ROBERT
Published: January 2021

Currently, a significant problem of water and sewage management is the presence of human hormones, especially estrogens and progestagens, consumed by women in contraceptives and then excreted from the body. While other drugs are used by a small part of the population and rather sporadically, hormonal contraception is used by a large number of women, which contributes to their high concentration in sewage. Even relatively low estrogen concentrations (compared to other drugs) can have harmful effects on the body, disturbing the hormonal balance and leading to various endocrine disorders. In this paper the types of individual estrogen groups were characterized. Next, different methods of their removal from wastewater were presented. The parameters of estrogen removal efficiency depend on which parameters. Next, the effectiveness of each method was compared, also taking into account economic aspects. The work was summarized with appropriate conclusions.
Daya Terima Sari Kacang Hijau (Phaseolus Radiatus L) Sebagai Bahan Alternatif Pembuatan Keju
Authors: Pravitasari Indah , Hariyadi Didik , Mulyanita Mulyanita
Published: January 2021

Keju merupakan makanan yang dihasilkan melalui proses koagulasi dengan bantuan bakteri ataupun enzim. Mahalnya bakteri dan enzim sebagai koagulan dapat digantikan dengan penggunaan sari jeruk lemon yang mengandung pektin. Penelitian ini bertujuan untuk mengetahui daya terima keju terhadap warna, rasa, aroma, dan tekstur keju subtitusi sari kacang hijau dan sari jeruk lemon sebagai koagulasi dengan konsentrasi yang berbeda.Jenis penelitian ini adalah eksperimen yaitu pembuatan keju subtitusi sari kacang hijau  untuk mengetahui daya terima panelis dengan uji friedman. Hasil penelitian uji organoleptik keju dengan subtitusi sari kacang hijau menyatakan bahwa ada pengaruh terhadap warna, rasa, aroma. Dari hasil penelitian uji organoleptik diketahui bahwa produk terpilih adalah keju subtitusi sari kacang hijau formulasi 37,5 % : 45 %. Dalam pembuatan keju subtitusi kacang hijau perlu penurunan komposisi dari sari lemon agar rasa tidak terlalu asam, serta perlu adanya peningkatan subtitusi sari kacang hijau agar kadar protein dapat tercapai dan perlu adanya pengujian zat gizi melalui uji laboratorium.
Pontos de contato: as relações entre o discurso da extrema direita e a religiosidade evangélica no Brasil
Authors: Sousa Darcon , Sousa Júnior Camilo
Published: January 2021

Este trabalho analisa as conexões entre os discursos da extrema direita no Brasil e sua forte base de apoio formada pelos evangélicos. Demonstra-se aqui, por meio de pesquisa documental, observacional e bibliográfica, que os principais componentes desses discursos — quais sejam: a revalorização da família tradicional, a predominância da fé sobre a razão, a organização da sociedade via disciplina e ordem e o macarthismo — criaram vínculos com a religiosidade evangélica por meio da exploração de apelos a valores comuns ao extremismo de direita e a uma certa compreensão da fé cristã, predominante entre evangélicos. Conquanto haja tensões e contradições nessa relação, os evangélicos se constituíram num dos segmentos sociais mais fiéis às teses do governo de extrema direita, emprestando-lhe apoios ideológico, parlamentar e eclesiástico. A intermediação da relação entre extrema direita e a religiosidade evangélica é feita por meio do uso intenso da comunicação política via redes sociais e pela influência de líderes de igrejas comprometidos com o bolsonarismo. Sendo assim, dadas as dimensões da presença evangélica na população brasileira, o comportamento político desses religiosos tem implicações diretas na sustentação do governo Bolsonaro e se apresenta como importante objeto de estudo para investigações que têm como foco o desenvolvimento da democracia brasileira.
Yeast and leaven – craftsmen, blacksmiths? (names of notions in the Vepsian ethnolinguistic space)
Authors:   Institute of Language, Literature and History of the Karelian Scientific Center of the Russian Academy of Sciences, Zaytseva N. G.
Published: January 2021

Introduction: the article analyzes the Vepsian terms for yeast and leaven. This vocabulary is interesting from the point of view of motifs of nomination, preservation of the Baltic-Finnish etymological heritage, innovative moments and the results of contact phenomena observed both in the direct borrowing of the necessary lexemes into the Vepsian language, and in the semantic and grammatical influence on the group of this vocabulary. Objective: to study a group of vocabulary associated with the names of yeast and leaven, to identify the motifs of nomination, their originality and innovativeness in the Baltic-Finnish etymological space, and to determine the results of contact and universal phenomena. Research materials: Vepsian names of yeast and leaven collected in the fields, from archival and published sources. Results and novelty of the research: the article defines the motifs of Vepsian terms – the names of yeast and leaven. Their bases are verbal lexemes that can reflect the process of work of yeast and leaven during dough preparation (noustatada ‘to raise’ → noustatez ‘rise (of dough)’; hapata ‘to sour; to ferment’ → hapatez, hapišt ‘oxidation; fermentation’; muigota ‘to sour; to ferment’→ muigotez ‘oxidation; fermentation’). Special attention is paid to attracting some language metaphors to the nomination [rand ‘yeast’ (lit. ‘the edge of the leavened dough’); sep ‘yeast’ (lit. ‘blacksmith; craftsman’)]. The scientific novelty of the article lies in the determination of the motifs of nomination of terms and their etimologization – Baltic-Finnish (noustatez, hapatez), innovative Vepsisms (muigotez) and the reasons of their emergence, as well as obscure terms, which are offered the interpretation by the author (rand, sep). Special attention is drawn to the semantic universal realities in the studied group of terms caused by the invasion of metaphors into the nomination, which in this case turned out to be characteristic for related and neighboring unrelated languages [Vepsian sep ‘yeast’ (lit. ‘blacksmith’), Tver Karelian seppä ~ šeppä ‘yeast’, Estonian dialectal meistari, töök, töömees ‘yeast’ (lit. ‘master; working man’) and Russian master ‘leaven’].
About the historical correlation of a Bear’s Holiday types of the Ob Ugrians
Authors:   Research and Educational Center «Museum and Cultural Heritage», Tomsk State University, Lukina N. V. , Popova S. A. ,   Ob-Ugric Institute of Applied Researches and Development
Published: January 2021

ABSTRACT Introduction: the study considers three main issues: a) types of Bear’s Holidays: sporadic and periodic; b) primary/ secondary nature of periodic calendar rites in comparison with a sporadic Bear’s Holiday; c) origins and places of periodic rites. Objective: to present a vision and give a description of the historical correlation of a Bear’s Holiday’s types of the Ob Ugrians. Research materials: published records (reports, field materials) and ethnographic researches on the bear cult among the Khanty and Mansi; field materials of S. A. Popova (1992–2020).Results and novelty of the research: the studied material showed that a sporadic Bear’s Holiday is widely known in the literature, and only V. N. Chernetsov identified and described periodic Bear rites among the Northern groups of the Ob Ugrians. The authors of the article offer a new solution to the question of the historical correlation of a Bear’s Holiday types among the Ob-Ugric peoples in the context of the data obtained in recent years. The analysis of holiday types will serve as a basis for further research of problematic issues on the genesis, links with other rites and their role in the social life of the people. The materials of the article can be used in the process of creation of generalizing works on regional ethnography, in cultural institutions and in additional school education.
Udmurt woman headwear ayshon in descriptions and graphics of the XVI–XVIII centuries
Authors:   R.G. Kuzeev Institute for Ethnological Studies, Ufa Branch of the Russian Academy of Sciences, Nechvaloda E. E.
Published: January 2021

Introduction: the article is devoted to the analysis of the early sources on the Udmurt ancient woman headwear. The chronological framework of the study is limited, on the one hand, by the very first confirmation of the ayshon (XVI century), and on the other hand, by the era of the first expeditions in Russia (XVIII century), which laid the foundation for future ethnographic research. Objective: to determine the degree of reliability and informativity of descriptions and images of the Udmurt headwear of the XVI–XVIII centuries. Research materials: works of travelers of the XVI–XVIII centuries, containing data about ayshon. Results and novelty of the research: the article provides a comparative analysis of materials about ayshon in the sources of the XVI–XVIII centuries. Texts, engravings with texts, and early sources with ethnographic materials of the end of the XIX – beginning XX centuries are compared. For the first time, all original graphic images and descriptions of this headwear related to the specified time period are published together. The characteristics of the ayshon in the descriptions generally correspond to each other, as well as its known images and later ethnographic data. The materials of the article can be used in ethnographic and source studies.
Manuscript materials of P. E. Sheshkin as the source on the ethnic history of the Ugric community: periodization and ethnolinguistic aspect
Authors:   Ob-Ugric Institute of Applied Researches and Development, Popova S. A.
Published: January 2021

Introduction: for the first time, the article considers the representations that affect the problem of periodization of the formation of the ancient Ugric community (the ancestors of the Mansi, Khanty, and Hungarians) and their division into the Hungarians and Ob Ugric peoples. Transition stages from one period to another are revealed, which are manifested in the migrations of peoples. Folklore plots reflecting the Ugric period are reconstructed and their comparison with ethnic history is reproduced. The analysis of the language material provides an understanding of the existence of each period, conveys the essence of the values and historical processes of the time under study. Objective: to reveal based on the analysis of folklore texts and data of the language of the Northern Mansi group (Sosva and Sygva dialects) new ideas about the periods of the ethnic history of the Ugric community.Research materials: manuscript texts of P. E. Sheshkin’s notebooks, his personal archive, as well as published expedition records of researchers of the XX century. Results and novelty of the research: during the analysis of folklore and language materials, we identified main stages in the formation of the Ugric community. Each of the periods is distinguished by its characteristic features: 1. phase of development – the presence of large associations (tribes), the direction of their migration, settlement, conditions of existence and their changes; 2. phase of completion – the collapse of large associations into small groups (sometimes assimilation), their movement, settlement, marriage contacts; 3. transition period (general) – the end of the «fairy-tale era» is caused by new relevant aspects of the worldview in connection with the ideas formed by the Heroic Epos in new conditions. Folklore data of the periodization of Ugric community are reflected in its ethnic history. The novelty of the study lies in the introduction of little-known folklore, ethnographic materials and practically disappeared, Lombovozh subdialect of the Sygva dialect of the Northern group of the Mansy, collected by P. E. Sheshkin. In practical terms, the material of the article can be used by cultural scientists, ethnographers, linguists, and folklorists.
Images of the Ob Ugrians in illustrated editions of the second half of the XVIII – first half of the XIX centuries: an iconological analysis
Authors:   Ob-Ugric Institute of Applied Researches and Development, Galyamov А. А.
Published: January 2021

Introduction: using a wide range of illustrative sources (academic works, ethnographic and costume albums) of the second half of the XVIII – first half of the XIX centuries, as well as relying on the iconological approach, the article analyzes the works reflecting the appearance and life of the Ob Ugrians. Objective: review and iconological analysis of images of the Ob Ugrians based on illustrated editions of the second half of the XVIII – first half of the XIX centuries. Research materials: illustrated editions of the second half of the XVIII – first half of the XIX centuries. Results and novelty of the research: the theme of the representation of the Ob Ugrians in illustrated editions of the second half of the XVIII – first half of the XIX centuries are poorly studied. The relevance of the research in the context of ethnographic Ob-Ugric studies is due to the fact that until now there were no attempts of systematic analysis of images of the Ob Ugric peoples in illustrative publications of the second half of the XVIII – first half of the XIX centuries, which are of scientific value. The novelty of the research is connected with the consideration of transformation of images of the Ob Ugrians on the example of engravings by Ch. Roth and E. M. Korneev, which can be found in domestic and foreign editions of the second half of the XVIII – first half of the XIX centuries.
Sacraments of confession and communion in the «foreign» parishes of the Tobolsk North (XVIII – early XX centuries)
Authors:   Nizhnevartovsk State University,, Tsys O. P.
Published: January 2021

Introduction: the article notes that in the spread of Orthodoxy among the indigenous population of North-West Siberia, Christian rituals played a special role, among which confession and communion are distinguished. The study of the influence of these sacraments on newly baptized allows to better understand the methods of Christianization of the region, peculiarities of relations of the Orthodox clergy and the «foreign» congregation, the nature of interaction of representatives of two different cultures: arrived and autochthonous. Objective: to identify the regional specifics of organization and conduction of the sacraments of confession and communion in the «foreign» parishes of North-West Siberia during the synodic period, forms and results of influence of Orthodox rituals on the indigenous population. Research materials: a sample of confession and clerical records of the parishes of Beryozovsky and Surgutsky Districts, correspondence, reports of abbots, deans about the participation of indigenous people in the sacraments of confession and communion. Results and novelty of the research: the study showed that the timely fulfillment of Orthodox rituals by the «foreigners» required considerable efforts from the parish clergy and was a constant concern of the diocesan leadership. The majority of the newly baptized were generally loyal to confession and communion, which were also one of the instruments of control over the religious life of the indigenous population. Along with other elements of Christianity, confession and communion contributed to the penetration of certain elements of Russian everyday culture into its environment and the formation of religious syncretism. In the scientific literature, no research has been conducted on their impact on the newly baptized people of the Tobolsk North.
Essential Data Elements for Electronic Cardiovascular Medical Record Systems in Iran
Authors: Sheikhtaheri Abbas , Khorami Farid , Mohammadzadeh Hedyeh
Published: January 2021

Introduction: Electronic medical records play an important role in the management of patients. In order to develop cardiovascular electronic medical record systems, determining minimum data set is necessary. This study aimed to determine the essential data elements for electronic cardiovascular medical record systems.Methods: Medical records of patients with cardiovascular diseases and also the literature were reviewed to develop a questionnaire regarding the data elements.  87 cardiovascular specialists and residents as well as 50 nurses working in cardiovascular departments of hospitals affiliated with Iran University of Medical Sciences participated in the study. The data elements with at least 75% of agreement were considered essential for electronic medical records. Data were analyzed using descriptive statistics in SPSS software.Results: The essential  data elements were classified in 29 classes including admission, death, patients’ main complaints, clinical signs, observations, medications, cardiac surgery, risk factors, laboratory and pathology results, consultation, resuscitation, anesthetic, electrocardiography, blood transfusion or blood products, rehabilitation measures, angiography/venography, exercise testing, endoscopy/colonoscopy, medical imaging, echocardiography, nursing interventions, allergies and side effects, therapeutic implantations, cardiac examinations, physical examinations, angina, referrals, social backgrounds and history., Totally, out of 276 data elements, 245 elements were identified as the essential data elements for electronic cardiovascular medical record systems.Conclusion: In this study, essential data elements were defined for electronic cardiovascular medical records. Identifying cardiovascular minimum data set will be an effective step towards integrating and improving the management of these patients' information.
Anatomy Word-Learning in Undergraduate Speech-Language Pathology Students
Authors: Kullmar Janie , Blankenship Kathryn
Published: January 2021

This study compared the effectiveness of a vocabulary list (i.e., explicit environment) to a textbook passage (i.e, authentic environment) for the initial exposure of domain-specific vocabulary from an anatomy textbook. Forty-two undergraduate Speech-Language Pathology students participated. The study's materials are from Anatomy and Physiology for Speech Language and Hearing, fifth edition (Seikel et al., 2016). The selection is a subtopic on the topic of the anatomy of the cerebrum. Twenty-five vocabulary words within this section are bolded by the textbook to emphasize their importance. These words were targeted in the two different conditions, authentic (textbook) and explicit (vocabulary list). The gain scores from pretest to posttest between groups (i.e., authentic vs. explicit) were similar, and this was true of students with both high and low reading abilities, as measured by the reading score from the American College Testing (ACT). Student performance was highly variable, and many students performed poorly regardless of condition. The results of the study revealed no significant differences between participants who were in conditions that received vocabulary words within the context of a textbook or isolated in a list. This poor performance may be related to research design or student reading habits in general.
Communication Sciences and Disorders Faculty Perceptions of Interprofessional Education
Authors: Schmedding-Bartley Janine , Karasinski Courtney
Published: January 2021

Engagement in interprofessional collaborative practice is critical for communication disorders professionals to provide quality clinical services. Given limited research on implementation of interprofessional education (IPE) within communication disorders pre-professional training programs and research highlighting potential barriers to implementation of IPE, this investigation assessed communication sciences and disorders (CSD) faculty attitudes toward IPE. One hundred fifty-eight CSD faculty from accredited CSD graduate programs completed the Interprofessional Attitudes Scale (Norris, Carpenter, Eaton, Guo, Lassche, Pett, & Blumenthal, 2016). Collectively, the faculty supported CSD students learning from and with students from different disciplines and endorsed IPE as beneficial. Faculty with master’s degrees were more likely to believe that IPE would increase student’s effectiveness as clinical care team members, whereas more faculty with research doctorates indicated that biases toward other professionals could get in the way of providing intervention. Compared to faculty in colleges other than health sciences, faculty in colleges of health sciences reported experiencing more bias toward and from professionals of other disciplines. Despite group differences, a majority of CSD faculty overwhelmingly favored IPE for students suggesting that the attitudes of CSD faculty toward IPE may not be a barrier to implementation of IPE within pre-professional training programs.
Clinical Reasoning Skills in AAC Intervention Planning: Investigating the Expert-Novice Gap
Authors: Sauerwein Allison , Wegner Jane
Published: January 2021

Clinical reasoning skills underlie the decisions speech-language pathologists (SLPs) make during practice. Although clinical reasoning is included in speech-language pathology accreditation standards in the United States, there is limited research on preservice SLPs’ development or use of clinical reasoning skills. Because clinical reasoning skills specific to augmentative and alternative communication (AAC) service provision have not been identified or reported in depth, this qualitative study focused on two cases of children with developmental disabilities who used AAC systems. Eight novice (i.e. preservice) SLPs and eight expert SLPs completed think-aloud tasks while they developed intervention plans, which made their clinical reasoning skills observable. Responses were transcribed for qualitative analysis. Six clinical reasoning skills were identified: summarizing, interpreting, hypothesizing, rationalizing, comparing and deferring. Expert and novices used four of these clinical reasoning skills similarly; however, there were differences among the remaining two skills. Novices deferred more frequently during the tasks and were limited in their ability to make comparisons to the fictional cases as compared to the experts. The expert-novice gap in clinical reasoning presents implications for teaching preservice SLPs in the classroom and the clinic.