bluuebunny/crossref_metadata_2025 huggingface dataset:
Artrite Reumatoide e a Poluição do Ar
Authors: Dos Santos Souza Magalhães Dayane , Rosa Espírito Santo de Freitas Leticia , Dos Santos Peres Santos Souza Maria Amélia , Fernandes Vander , Shimoya-Bittencourt Walkiria , Almeida Leite da Silva Cristhiane
Published: May 2021

A artrite reumatoide é uma doença inflamatória, crônica, autoimune, sistêmica e progressiva com etiologia ainda desconhecida, que causa danos progressivos ao sistema musculoesquelético. Esta doença atinge aproximadamente 0,5% a 1% da população mundial, predomina no sexo feminino e acomete todas as faixas etárias com maior prevalência entre 40-60 anos. A atividade da doença é avaliada pelo Índice de Atividade da Doença (DAS28) analisando 28 articulações. Estudos demonstram que a poluição atmosférica está associada aos agravos à saúde humana e à perda de qualidade de vida. Este estudo teve como objetivo relatar o papel da poluição atmosférica na artrite reumatoide, através de uma revisão narrativa de literatura, a partir das bases de dados PubMed e Scielo. Incluíram-se artigos nos idiomas inglês e português publicados em periódicos, nacionais e internacionais, acerca da temática da pesquisa. A relação entre o desenvolvimento da AR e diferentes poluentes atmosféricos foi analisada em diversos estudos, que demostraram associação entre diferentes poluentes atmosféricos e o desenvolvimento da doença, no entanto, nenhum estudo publicado até a data atual, avaliou a relação com a exacerbação da atividade da doença.

 

Palavras-chave: Artrite Reumatoide. Poluição do Ar. Doenças Autoimunes.

 

Abstract

Rheumatoid arthritis is an inflammatory, chronic, autoimmune, systemic and progressive disease with a still unknown etiology that causes progressive damage to the musculoskeletal system. This disease affects approximately 0.5% to 1% of the world population, predominates in females and affects all age groups with a higher prevalence between 40-60 years. The disease activity is assessed by the Disease Activity Index (DAS28) analyzing 28 joints. Studies show that air pollution is associated with damage to human health and loss of quality of life. This study aimed to report the role of air pollution in rheumatoid arthritis, through a literature narrative review, using the PubMed and Scielo databases. Articles in English and Portuguese published in national and international journals about the research theme were included. The relationship between the RA development and different air pollutants has been analyzed in several studies, which showed an association between different air pollutants and the development of the disease, however, no study published to date has evaluated the relationship with the disease activity exacerbation.

 

Keywords: Rheumatoid Arthritis. Air Pollution. Autoimmune Diseases.
Avaliação do Conhecimento e o Uso de Isotretinoína com Alunos de uma Instituição de Ensino Superior do Município de Anápolis-Goiás
Authors: Lemes Erick de Oliveira , Francisco de Andrede Aleixo , Amaral Diniz Erika , De Cubas Vieira Soares Geysse
Published: May 2021

A isotretinoína pertence a um grupo de medicamentos chamados resinoides, relacionados à vitamina A, é conhecida por Roacutan®, sendo indicada em diversas dermatoses, principalmente na acne nodulocística. A sua ação baseia-se na diminuição do tamanho das glândulas sebáceas, diminuindo a produção de sebo, possibilitando a inibição da formação de comedões que ocorre pela ação do Propionibacterium acnes, responsável pelo processo inflamatório cutâneo e pela estimulação da produção de anticorpos. Este trabalho teve como objetivo avaliar o conhecimento e o uso de isotretinoína com alunos de uma instituição de ensino superior do município de Anápolis-Goiás. Foi desenvolvido uma pesquisa, com alunos de uma instituição de ensino superior do município de Anápolis, Goiás, através de questionário, semiestruturado. Observou-se que 66.67% dos alunos alcançaram o resultado pretendido e 33.33% não obtiveram êxito quanto ao tratamento, mostrando-se insatisfeitos com a Isotretinoína. Vale ressaltar também que todos os pacientes afirmaram estar cientes dos efeitos nocivos da isotretinoína durante o tratamento. Com a realização deste estudo é possível concluir que ambos os sexos procuram o uso da isotretinoína para tratamento. Desta forma, o estudo realizado buscou conhecer mais sobre o perfil dos usuários desse fármaco, juntamente com os efeitos adversos mais apresentados e se houve recidivas da acne após o uso.
 
Palavras-chave: Retinóides. Roacutan. Pacientes.
 
Abstract
Isotretinoin belongs to a group of medicamen called resinoids, related to vitamin A, is known as Roacutan®, being indicated in several dermatoses, mainly in doducteistic acne. Its action is based on the decrease in the size of sebaceous glindils, decreasing the production of sebum, allowing the inhibition of the formation of comesn that occurs by the action of Propionibacterium acnes, responsible for the cutaneo inflamasorous process and the desatimization of antibody production. This study aimed to evaluate the knowledge and use of isotretinoin with alums from a higher education institution of the municipality of Anápolis-Goiás. A research was conducted with alums from a higher education institution in the municipality of Anápolis, Goiás, through a semi-structured questionnaire. It was observed that 66.67% of the students achieved the intended result and 33.33% were unsuccessful in treatment, showing to be dissatisfied with Isotretinoin. It is also worth mentioning that all pacients stated that they were aware of the harmful effects of isotretinoin during treatment. With the implementation of this esudo it is possible to agree that both sexes seek the use of isotretinoin for treatment. Thus, the edudo realiso sought to know more about the profile of users of this drug, along with the most presented adverse effects and whether there was a relapse of acne after use.
 
Keywords: Retinoids. Roacutan.  Patients.
Cómo convertir tu tesis en un artículo de investigación
Authors: Arias Chávez Dennis , Ramos Quispe Teresa
Published: May 2021

La obra tiene por objetivo convertirse en una herramienta que ayude al estudiante, docente y profesional a conocer y aplicar determinadas pautas para transformar su tesis en un artículo de investigación. Para ello, el texto resalta la necesidad de cuidar cada una de las etapas del proceso investigativo, ya que una tesis elaborada sin el rigor necesario desde el inicio, difícilmente podrá convertirse en un producto que aporte conocimientos válidos una vez concluida. La inclusión de ejemplos y consejos hacen que el libro siga un criterio práctico con el fin de lograr una mayor utilidad de sus contenidos. Su alcance técnico y amigable permitirá al profesional de todas las áreas de las ciencias sociales y humanísticas generar un producto válido y científico, como lo es un artículo de investigación.
Environmental and Resource-Saving Technologies and Technical Equipment for Processing and Disposal of Man-General Formation and Waste
Authors: Lyashenko V.I. , Chekushina T.V. , Dudar T.V. , Lisovoy I.A.
Published: May 2021

The substantiation of environmental and resource-saving technologies and technical means for the processing and disposal of man-made formations and waste from mining and metallurgical production into underground mined-out spaces (man-made voids) as components of hardening filling mixtures is given. This will ensure the safety of the day surface from destruction and the vital activity of the population living in the zone of influence of the mining region. It was found that for the mines of the State Enterprise "VostGOK" (Ukraine), the utilization rate of waste of own production for the hardening filling is from 0.45 to 0.68; hydraulic – from 0.56 to 0.75; free-flowing – 0.62, and the extraction of each ton of salable ore is accompanied by the output of 0.7–0.8 tons of waste. The research results can be used in underground mining of ore deposits of complex structure and mining and metallurgical production.
Opportunities for Biotesting of the Water Environment for Heavy Metal Pollution Using a Plant Spirodela polyrhiza (L.) Schleid
Authors: Alekseeva S.I. , Okhlopkova Zh.M.
Published: May 2021

The methods of biotesting of the aquatic environment based on the representative of the duckweed family (lat. Lemnaceae) greater duckweed (Spirodela polyrhiza (L.) Schleid) were considered. A review is presented on the use of greater duckweed as a model object in biological testing, in partic-ular, when exposed to heavy metals salts. When cultivated Spirodela polyrhiza with the addition of heavy metals salts, a change in the growth and development of plants in the experienced line of plants was revealed, as well as a decrease in the content of chlorophyll a and b.
Media and Information Literacy among Postgraduate Students
Authors: Alipour Jahanpour , Farsadhabibi Haleh , Karimi Afsaneh
Published: May 2021

Aim: This study aimed to determine the MIL level among postgraduate students of Zahedan University of Medical Sciences.
Method: This descriptive-analytical research was conducted among 490 postgraduate students in 2020 at a medical sciences university. The data collection tool was a questionnaire that was used before in previous studies. The link of the web-based questionnaire was placed in the student's groups on WhatsApp social media, and was asked to complete it to collect the data. Finally, 227 questionnaires were completed and collected. Data analysis was performed using SPSS statistical software. Descriptive and analytical statistics were used to analyze the data.
Results: The mean score of MIL was moderate. Among the factors related to MIL, the "use" factor obtained the highest means score (3.80±0.50), and the "evaluation" factor obtained the lowest mean score (2.54±0.84). There was a significant relationship between the MIL of students and their gender, age, school, and level of family income. "Learn new content," "earn a good grade, pass a course or upgrade your academic rank,"; and "writing in a way that leads to new knowledge" obtained the highest mean scores among the options. The lowest mean scores were related to "pay attention to the author's reputation (for example, his work experience, degree or place of work)"; "paying attention to the reputation of a publisher or media producer," and "Pay attention to which organization supervises the distribution and dissemination of the intended media and what are the rules about it?"
Conclusion: Since the students were studying at the postgraduate level, it requires special attention to improve their literacy level. University officials should hold classes and workshops, and even conferences on topics related to the evaluation of media and information, including critical thinking, problem-solving, questioning, and identifying credible media resources to improve the level of MIL of students.
Evaluating the Usability of Hospital Information Systems based on ISO 9241-10 Standard: A cross-sectional study
Authors: Shanbehzadeh Mostafa , Jamshidian Mansoureh , Yousefianzadeh Omid , Kazemi-Arpanahi Hadi
Published: May 2021

Results: Based on the results, 56% of HISs users in the surveyed hospitals were somewhat satisfied, with the total average of all scores being equal to 2.8 from 5. The results suggested that the highest scores were found for the criterion of "controllability," while the lowest scores were associated with "suitability for individualizations" and "self-descriptiveness," respectively.
Conclusion: The HISs users' satisfaction was considered relatively desirable in terms of functionalities factors. Therefore, user-friendliness, flexibility, and web-based capabilities are suggested as the most important requirements that must be taken into account for enhancing usability and adoption of HISs.
Using IT for information seeking behavior: Viewpoints of University Physical Education Instructors
Authors: Zalpour Amir , Ghalyan Shahrzad , Taheri Abolfazl
Published: May 2021

Aim: This study investigated physical education (PE) instructors' attitudes and practices of information technology (IT) for information-seeking behavior (ISB).
Method: This cross-sectional study carried on eighty-eight PE instructors from three universities. The 36-item online questionnaire was designed electronically for measuring instructors' attitudes, IT use for ISB, and information-seeking (IS) methods. The analyses conducted for descriptive statistics involved reporting response frequency, percentages, means, and standard deviations for the attitude sections. Mean scores for attitude and use factors were used to conduct a two-tailed Pearson correlation analysis. SPSS-23 was used for analysis.
Results: The findings indicated that participants generally had positive attitudes about technology use for ISB. Significant relationship exists between participants' perceptions of relevance/importance of IT use for IS (r = .565, p < .01). Also, a positive correlation was found between instructors' perceptions of relevance/importance of IT and physical instructors' IS methods (r = .536, p < .01).
Conclusion: Based on the current study, physical instructors may be willing to apply IT for IS if given opportunities to participate in searching databases workshops and practice and utilize appropriate information resources.
Dinamika Kemandirian Mahasiswa Perantauan
Authors: Fauzia Nadia , Asmaran Asmaran , Komalasari Shanty
Published: May 2021

The purpose of this study is to discuss the dynamics of the independence of UIN Antasari Banjarmasin students and what factors are behind the independence of UIN Antasari Banjarmasin students. The reason is because overseas there are changes in conditions and situations, so that students who leave will experience dynamics of independence. This type of research is a qualitative descriptive research approach. Selection of subjects using purposive sampling technique, which is based on the characteristics of the subject in accordance with the research objectives to be carried out. The object of this research is the dynamics of independence, the subject is 5 overseas students. Data collection techniques using interviews and observations. Based on the results of research that overseas students of UIN Antasari Banjarmasin need a process to be independent in living their lives overseas. That is because overseas there has been a change. Factors that influence the dynamics of independence of overseas students at UIN Antasari Banjarmasin are factors of parenting style, the order of children in the family, age and the education system in schools.
Zadovoljstvo zaposlenih s podporo podjetja pri usklajevanju dela in družine
Authors: Kepic Tatjana , Bernik Mojca , Žnidaršič Jasmina
Published: May 2021

The fast paced lifestyle in the technologically advanced era, brings many challenges in the field of work-family balance. For a good business performance, customer satisfaction and a positive impact on the environment, it is important for a company to have satisfied employees. Many successful companies are aware that the key to having productive and satisfied employees is also to understand and promote workfamily balance. This awareness is slowly growing in Slovenian companies and therefore the acquisition of the Family-Friendly Company certificate has been actively pursued since 2006. With the help of the Family-Friendly Company certificate, companies are able to retain the best talents and gain the moral loyalty of employees. Based on the study of literature and previous research, the article presents the situation in the field of work-life balance in Slovenia. The results of a survey conducted in a selected company are presented in the following article. The results of the analysis showed that the employees of the studied company are on average satisfied with the familyfriendly measures and that there is a difference in the success of work-life balance according to gender. Based on the results, possible improvements in the studied area are also suggested.
New method of surgical treatment of patients with congenital oval window aplasia
Authors:   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech,  Saint Petersburg, 190013, Russia, Anikin I. A. , Komarov M. V. ,   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech,  Saint Petersburg, 190013, Russia,   City Hospital No 26, Saint Petersburg, 196247, Russia, Goncharov O. I. ,   City Hospital No 26, Saint Petersburg, 196247, Russia
Published: May 2021

Aplasia of the oval window is an extremely rare developmental anomaly of the middle ear. Previously, many authors proposed various methods of surgical treatment of this pathology, but in most cases it was not possible to achieve a stable satisfactory functional result. At this stage, an idea was formed about the main reason for the unsatisfactory results, namely, the overgrowth of the formed vestibulostomy, which is accompanied by fixation of the prosthesis. The solution of this problem is one of the priority tasks of surgery for malformations of the middle ear at this stage. This paper presents a new developed and patented method of surgical treatment of patients with congenital aplasia of the vestibule window. The method consists in modeling a complex titanium prosthesis, consisting of an f-element and an m-element. The f-element is installed in the neo-oval window and has the function of a protector that prevents fixation of the prosthesis as a result of bone-cicatricial obliteration processes. Further, the plunger part of the f-element is installed in the m-element. The developed method of stapes prosthetics in case of anomalies in the development of the vestibule window, based on the results of this study, has proven its high efficiency. Installation of a modified endo-lymphatic shunt into the formed neo-oval window, pressing the fascial flap previously placed on the neo-oval window, followed by the insertion of the K-piston prosthesis, prevents overgrowing of the neo-oval window in the postoperative period, prevents the development of fixation of the prosthesis and prevents the development of perilymphatic fistula. A comparative assessment of the effectiveness of the proposed method and method with the formation of a neo-oval window and the installation of a stapedial prosthesis (as in piston stapedoplasty) was carried out. The effectiveness of the developed method has been proven – 89% of the functional efficiency in the long-term postoperative period, which is close to the indicators of the effectiveness of piston stapedoplasty in otosclerosis (the frequency of a stable satisfactory functional result when performing piston stapedoplasty in otosclerosis is about 95%).
Results of study of state of pharynx and larynx in aluminum production workers depending on length of service
Authors:   Avicenna Tajik State Medical University,  Dushanbe, 734003, The Republic of Tajikistan, Beknazarova G. M. , Adylova F. Kh. ,   Avicenna Tajik State Medical University,  Dushanbe, 734003, The Republic of Tajikistan
Published: May 2021

In the article, the author presented the results of a study of the state of the pharynx and larynx in workers of the aluminum production, depending on the length of service. The most toxic of the fluorine compounds is hydrogen fluoride, which, in addition to general toxic effects, has a local effect on the body, characterized by a predominant lesion of the mucous membrane of the upper respiratory tract. Almost all hydrogen fluoride inhaled with air is retained in the upper respiratory tract. This is one of the important reasons for the violation of the condition of the pharynx and larynx. Of the total number of workers examined, 578 workers showed changes in the state of the pharynx and in 125 the state of the larynx. All surveyed were divided depending on the duration of work experience. The huge number of those surveyed for certain age groups, which exceeds more than 100 people, gives grounds to consider the revealed results sufficiently reliable to determine the volume of the affected population in the studied contingent and allows, quite reasonably, to analyze the age and experience dynamics of the lesion. The materials obtained showed that the weakening of the protective functions of the epithelium of the nasal cavity makes the mucous membrane of the pharynx and larynx more sensitive to harmful factors of the working environment, prolonged exposure to harmful industrial factors, such as a significant concentration of dust and various chemical compounds cause deeper damage to the mucous membrane of the pharynx and larynx and damage the upper respiratory tract becomes descending.
Immuno-morphological correlation of tonsillar pathology and acute appendicitis in children
Authors:   Burdenko Voronezh State Medical University,  Voronezh, 394036, Russia, Mashkova T. A. , Sorokina M. S. ,   Burdenko Voronezh State Medical University,  Voronezh, 394036, Russia,   Kruglaya Scientific and Clinical Multidisciplinary Center of Medical Care for Mothers and Children,  Orel, 302028, Russia, Mal’tsev A. B. ,   Burdenko Voronezh State Medical University,  Voronezh, 394036, Russia
Published: May 2021

The palatine tonsils and the appendix are components of mucosa-associated lymphoid tissue (MALT), namely the peripheral part of the immune system, which provides a protective barrier of mucous membranes against foreign antigens. Topographic and anatomical unity of the lymphoid apparatus of the pharynx and abdominal organs determine their direct lymphatic connection. Despite the progress achieved in the study of the etiology and pathogenesis of chronic tonsillitis and the pathology of the appendix, surgical treatment of these diseases remains the main one. The question of the influence of tonsillectomy and appendectomy on the state of humoral immunity remains controversial. The mechanisms of interaction of various links of humoral immunity in the formation of conjugated diseases of the lymphoid apparatus of the pharynx and abdominal cavity, namely, the palatine tonsils and the appendix, as well as statistical, clinical, immunological and morphological indicators concerning 940 patients with acute appendicitis at the age from 3 to 18 years old, who were undergoing treatment at the Kruglaya Multidisciplinary Center for the period from 2015 to 2018. The analysis of the statistical, seasonal, age and gender characteristics of the prevalence of acute appendicitis (AA), suggesting a connection with infectious and inflammatory diseases of the pharynx. Clinical cases showing the combination of tonsillar pathology and AA are presented. Based on the data obtained, similar immune-morphological changes in the palatine tonsils and the appendix were revealed during their inflammation, and the possible immune mechanisms of the pathogenesis of AA in tonsillar pathology were substantiated. Keywords: acute and chronic tonsillitis, complications, appendicitis.
Effect of voice fold length on voice range in novice vocalists
Authors:   Irkutsk State Medical University,  Irkutsk, 664003, Russia, Subbotina M. V. , Zabbarova I. B. ,   Irkutsk Regional Clinical Advisory and Diagnostic Center,  Irkutsk, 664047, Russia
Published: May 2021

The aim of the study was to determine the effect of vocal cord length on vocal range in aspiring vocalists. On the basis of the Frederic Chopin Irkutsk Regional College of Music. 141 student vocalists (18 ± 3.6 years, 122 girls) underwent indirect laryngoscopy, the length of the vocal folds was measured using an ultrasound scan of the larynx using an Aloka SSD 500 apparatus with a 5 MHz sensor during breathing and during phonation of the lowest and highest tones, measured weight and height, the voice range in Hz and the number of semitones were assessed. Spearman’s correlation coefficient was calculated, the significance of differences according to the U-Mann – Whitney and Wilcoxon criteria was calculated using the Statistica 10.0 software (reliable data at p <0.05*). Results. Spearman’s correlation coefficient was: between the length of the vocal folds and weight + 0.52*, height + 0.43*, gender + 0.45* (female 1, male 2), the lowest tone –0.34*, between height and the lowest tone is –0.23*. The range of the voice in arbitrary units and Hz correlated weakly with the length of the folds during breathing (-0.18/–0.24*, respectively), with the lowest pitch (+ 0.42/+ 0.59 *), but there was a high correlation with the highest (+ 0.88/+ 0.99*). The latter depended on: the length of the vocal folds at rest (–0.32*), weight (–0.25*), gender (–0.45*), the length of the folds during high-pitched phonation (–0.6*). Differences in the length of the vocal folds during breathing in female vocalists with different vocal ranges were not significant, while in males and females (soprano) they were significant. The length of the fold during phonation in all types of voices was shorter than during breathing. The voice range of novice vocalists was increased mainly by high tones in parallel with the shortening of folds during phonation, which could be measured using ultrasound scanning and which is achieved by training.
Experimental evaluation of biological effects of 532 nm wave laser in continuous contact mode under exposure on tissues with various optical and mechanical properties
Authors:   Pavlov First Saint Petersburg State Medical University,  Saint Petersburg, 197022, Russia, Tikhomirova E. K.
Published: May 2021

The study presents the results of the experimental action of laser radiation with a wavelength of 532 nm in continuous contact mode on biological tissues with different optical properties. The width of the ablation and coagulation zone, the degree of vaporization of various types of tissues were evaluated. Good coagulation properties of the laser are established when exposed to pigmented tissues. However, the pronounced color dependence characteristic of a given wavelength requires careful selection of the biological objects that are suitable for optical properties. Objectives: An experimental evaluation of the effects of a laser with a wavelength of 532 nm in a continuous contact mode on tissues with different optical and mechanical properties. Materials and methods. We carried out an experimental study of the effects of a laser with a wavelength of 532 nm in a continuous contact mode on biological tissues with different optical and mechanical properties. The crater width and side coagulation zone were measured using an operating microscope and a glass slide with a scale value of 0.1 mm. The tissue samples were weighed before and after the application of a point impact. The increase in laser power contributes to an increase in the width of the incision and the coagulation zone. A more pronounced adhesion of the tissue to the fiber end was noted when exposed to the liver tissue of cattle, which causes smaller values of the ablation zone width in comparison with the muscle tissue of the chicken and is reflected in high values of the error of the mean values. The greatest weight loss with a 2 seconds point impact at a power of 5 W was determined on the muscle tissue of the chicken. Conclusions. Good coagulation properties of the laser have been established when exposed to pigmented tissues, however, the pronounced color dependence characteristic of a given wavelength requires careful selection of the biological objects suitable for optical properties.
Morphological features of mucoperichondria in patients with post-traumatic deformity of nasal septum
Authors:   Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Department of Health of the Сity of Moscow, Moscow, 117152, Russia, Tsarapkin G. Yu. , Kunel’skaya N. L. ,   Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Department of Health of the Сity of Moscow, Moscow, 117152, Russia,   Pirogov Russian National Research Medical University Department of Otorhinolaryngology named after B. S. Preobrazhensky Faculty of Medicine, Moscow, 117997, Russia, Zairat’yants O. V. ,   Evdokimov Moscow State University of Medicine and Dentistry, Moscow, 127473, Russia, Tovmasyan A. S. ,   Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Department of Health of the Сity of Moscow, Moscow, 117152, Russia, Musaeva M. M. ,   Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Department of Health of the Сity of Moscow, Moscow, 117152, Russia, Kochetkova T. A. ,   Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Department of Health of the Сity of Moscow, Moscow, 117152, Russia
Published: May 2021

Over the past decades, surgical techniques have been improved, aimed at restoring the position of the nasal septum in case of its deformities. The attitude to the technique of the operation itself has changed, which consists in a sparing approach to the osteochondral skeleton of the nasal septum (NS). It should be noted that to date, the histological features of the mucous membrane (MM) of NS have not been studied with pronounced curvatures of PN, in this regard, the purpose of our work was to conduct a histological study of the MM of NS and to identify the morphological features of the structure of mucoperichondria in the area of septal deformity. Research methods. Our study included 24 patients with nasal septum deviation (NSD) and concomitant vasomotor or hypertrophic rhinitis. All patients noted impaired nasal breathing. 12 men and women were examined, the average age of the patients was 36 ± 10 years. Patients with grade III of NSD according to the classification of Protasevich were examined and operated on. We analyzed the material taken from 5 loci of the MM of NS. A total of 120 histological sections were examined. When describing histological findings from loci A-E, we were guided by the frequency of occurrence of criteria indicating the severity of irreversible post-traumatic changes in MM of NS. After analyzing the material obtained and carrying out a comparative analysis of the frequency of occurrence of histological findings in each locus, we concluded that the proximity of the locus to the most deformed part of the nasal septum is characterized by the maximum severity of dystrophic and sclerotic changes in the MM of NS, similar to the histological picture of a hypertrophic scar.
Evaluation of effectiveness of single-stage septoplasty during endoscopic rhinosinus surgery in children
Authors:   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech,  Saint Petersburg, 190013, Russia, Alekseenko S. I. ,   Mechnikov North-Western State Medical University,  Saint Petersburg, 191015, Russia,   Rauchfus Children’s City Multidisciplinary Clinical Center of High Medical Technologies, Saint Petersburg, 193036, Russia, Karpishchenko S. A. ,   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech,  Saint Petersburg, 190013, Russia,   Pavlov First Saint Petersburg State Medical University, Saint Petersburg, 197022, Russia,   Rauchfus Children’s City Multidisciplinary Clinical Center of High Medical Technologies, Saint Petersburg, 193036, Russia, Artyushkin S. A. ,   Mechnikov North-Western State Medical University,  Saint Petersburg, 191015, Russia, Korneenkov A. A. ,   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech,  Saint Petersburg, 190013, Russia, Mel’nik B. O. ,   Pavlov First Saint Petersburg State Medical University, Saint Petersburg, 197022, Russia,   Rauchfus Children’s City Multidisciplinary Clinical Center of High Medical Technologies, Saint Petersburg, 193036, Russia
Published: May 2021

The purpose of this study was to analyze results of simultaneous septoplasty and functional endoscopic sinus surgery in children. The study included 341 children who underwent endoscopic functional sinus surgery. The average age of patients was 11.2 ± 0.4 years. The follow – up period was 33.06 ± 6.9 months. Endoscopic septoplasty was performed simultaneously with FESS (functional endoscopic sinus surgery) in 72 children (21.1%). A comparative analysis of the results of FESS and endoscopic septoplasty showed a statistically significant association for 15 indicators on the SNOT 20 scale (p < 0.05). Significant differences were found both in general symptoms: sleep disturbance, cough, irritability, dizziness, decreased concentration, fatigue, emotional depression, sadness, grief, and local: nasal obstruction, post-nasal drip, hyposmia, mucosal edema, secretory otitis media, rhinorrhea, dry throat. Correlation analysis of the results of FESS and endoscopic septoplasty in relation to the child’s age did not reveal statistically significant differences: chi2 = 3.42 p = 0.33. The results of the study showed the efficacy of single-stage septoplasty when performing endoscopic rhinosinus surgery in childhood in improving local and general symptoms and a low degree of complications in the postoperative period.
Case report of long-term presence of foreign body in nasopharynx
Authors:   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech,  Saint Petersburg, 190013, Russia, Zakharova G. P. , Komarov M. V. ,   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech,  Saint Petersburg, 190013, Russia,   City Hospital No. 26, Saint Petersburg, 196247, Russia, Kanina A. D. ,   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech,  Saint Petersburg, 190013, Russia, Goncharov O. I. ,   City Hospital No. 26, Saint Petersburg, 196247, Russia
Published: May 2021

Rhinolithiasis is a rare pathological phenomenon, according to statistics, the incidence of rhinolith is about 1 person per 10,000 otolaryngological outpatients. Often, rhinolith is accompanied by an asymptomatic course and often becomes an accidental finding. Lack of vigilance of the otorhinolaryngologist and neglect of the possibility of using computed tomography of the paranasal sinuses, first of all, at the first stage of the patient’s treatment in an outpatient setting, often leads to an untimely diagnosis of this disease. Meanwhile, late diagnosis of rhinolith can lead to the development of purulent processes, dystrophic and atrophic changes in the nasal mucosa, naso-oral fistulas, dacryocystitis, osteomyelitis and the formation of an epidural abscess. The article presents a case of prolonged (more than 22 years) presence of a foreign body in the nasal cavity in a 26-year-old female patient, which led to the formation of rhinolith. Despite the long-term complaints and clinical manifestations of the disease with constant visits to the otorhinolaryngologist, the patient did not undergo computed tomography of the paranasal sinuses. The prescribed instrumental examinations (CT scan of the paranasal sinuses and endovideoscopy of the nasal cavity) at the Saint Petersburg Research Institute of Ear, Throat, Nose and Speech allowed us to diagnose rhinolitis of the nasal cavity and successfully carry out surgical treatment.
Aspekty ekonomiczne zarządzania firmą odzieżową
Authors: Wolak Dorota
Published: May 2021

Monografia Aspekty ekonomiczne zarządzania firmą odzieżową stanowi kompendium wiedzy na temat światowego, europejskiego oraz polskiego przemysłu odzieżowego. Jest to oryginalny materiał zawierający analizy oraz zestawienia informacji dotyczące potencjału, historii i oceny firm odzieżowych. Obserwacje poparto doskonale udokumentowanym i umiejętnie zaprezentowanym materiałem badawczym z wykorzystaniem programu SPSS IBM IMAGO PRO.
Analiza ukierunkowana jest nie tylko na wyniki ekonomiczno-finansowe poszczególnych firm, ale dotyczy również szeroko rozumianego zarządzania w branży mody. Prezentowane wyniki i treść poszczególnych rozdziałów mieści się w dziedzinie nauk ekonomiczno-społecznych, a zastosowane metody statystyczne pozwalają na uogólnianie wiedzy na populację generalną polskich przedsiębiorstw odzieżowych i ocenę potencjału całej branży. Duży nacisk położony został na aspekty ekonomiczne oraz problematykę jakości wyrobów i usług.
Dużo uwagi poświęcono zagadnieniu spełniania wymagań Unii Europejskiej przez firmy odzieżowe. Przemysł odzieżowy opisany jest w aspektach sytuacji makroekonomicznej, potencjału i zmian związanych z asortymentem oraz wolumenem produkcji, preferencjami zakupowymi klientów firm odzieżowych, działalnością innowacyjną, a także różnymi sposobami podejścia do zarządzania.
Implementing the PIE (Person, Interaction and Environment) programme to improve person-centred care for people with dementia admitted to hospital wards: a qualitative evaluation
Authors:   Canterbury Christ Church University, Canterbury, England, Skingley Ann , Godfrey Mary ,   Leeds Institute of Health Sciences, Leeds, England, Henderson Rosemary ,   Fieldhead Hospital, Wakefield, England, Manley Kim ,   University of East Anglia, Norwich, England, Shannon Rosie ,   Bradford Royal Infirmary, Bradford, England, Young John ,   Bradford Royal Infirmary, Bradford, England
Published: May 2021

Background: In the UK, improving person-centred care for people with dementia in hospitals is a policy priority. The PIE (Person, Interaction, Environment) programme comprises cycles of observation of care by staff, identification of areas for improvement and plans for practice change and evaluation. Aim: To describe and evaluate PIE implementation in three UK NHS regions. Methods: A qualitative design was adopted at 10 case study sites (wards), selected on the basis of readiness for change criteria. Following a training workshop, PIE cycles were introduced into each ward. Data collection comprised observation, interviews, documentary analysis and an events log. Normalisation process theory provided a guiding framework for analysis. Results: PIE was fully adopted in two study wards over 18 months, which resulted in sustained practice change and increased awareness of person-centredness. Partial implementation of PIE took place in a further two wards but progress stalled before significant action. The remaining six wards did not implement the programme. Factors influencing the likelihood of implementation were: relevance of PIE; collective team involvement; fit with strategic priorities; adequate resourcing; effective clinical leadership; good facilitation; and organisational stability. Conclusion: PIE has the potential to help staff improve person-centred care for people with dementia admitted to hospital wards. However, the evidence provided by this article is limited to 10 wards, of which only two fully implemented the programme. Implications for practice: A programme for improving person-centred care for people with dementia in acute hospital wards requires sustained commitment from the ward and the wider organisation Successful practice change depends on multiple factors, including effective clinical leadership and good facilitation Contextual factors at various levels of an organisation need to be considered Use of the PIE tool has the potential to enable staff to focus on person-centred care for older people with dementia in acute settings
Transitional nursing care for older inpatients: a person-centred research programme
Authors:   Lausanne University Hospital and University of Lausanne, Switzerland, Mabire Cédric , Pellet Joanie ,   Lausanne University Hospital and University of Lausanne, Switzerland
Published: May 2021

Across the Western world, healthcare services are contending with the challenge of ageing populations. Switzerland is no exception, and faces the need to adapt its healthcare system to the needs of older persons. A disease-oriented approach is ill suited to the varied abilities, preferences and degrees of resilience among older people, and person-centred care is better placed to respond effectively to this situation (Ekman et al., 2013). Our team at the Institute of Higher Education and Research in Healthcare (IUFRS) of the University of Lausanne has developed a research programme to improve the healthcare experiences of older persons during hospitalisation and transition to discharge. We have identified different models and theories that promote a better understanding of the factors that impact on older persons ’lives during these phases and of how to take them into account in nursing practice in order to encourage a person-centred approach. The transition of care from hospital to home is a vulnerable time in the continuum of care for older persons (Arbaje et al., 2014). Transitional care is defined by Coleman and Boult (2003, p 549) as a ‘set of actions designed to ensure the coordination and continuity of healthcare as patients transfer between different locations or different levels of care within the same location’. At the theoretical level, Meleis ’transitions theory (2000) provides a perspective for interpreting and planning comprehensive discharge for hospitalised older persons. In designing our research programme, this theory helped us to link the older person’s health problems (conditions of transition) in relation to hospitalisation (nature of transition), discharge preparation (nursing interventions) and the effects on the person (response models) (Mabire et al., 2015). From the transitions theory, Naylor et al. (2017) developed their transitional care model to guide nursing practice during this period. This model includes eight components: Patient engagement Caregiver engagement Complexity and medication management Patient education Caregiver education Patient and caregiver wellbeing Care continuity Accountability
Abajo del bien y del mal
Authors: Freitas Amílcar Cardoso Vilaça de
Published: May 2021

En este artículo pretendemos discutir la relación entre la religiosidad y la etiqueta criminal, tratando de entender cómo la religiosidad puede servir para mitigar el proceso de sujeción criminal, especialmente en cuanto a la mirada sobre sí mismo. Específicamente para las religiones pentecostales cristianas, la exterioridad del bien (concentrado en la figura de Dios) y del mal (concentrado en la figura del diablo) puede permitir que el individuo permanezca ajeno a esta discusión. De esta manera, puede producir una narrativa que le impide pensar en sí mismo como alguien intrínsecamente "malo". La contribución empírica consiste en 40 entrevistas semiestructuradas con adolescentes en conflicto con la ley, hospitalizados en la Región Metropolitana de Vitória, ES.
Turismo religioso en Brasil y el caso de la revitalización del Morro do Cruzeiro en Murici - AL
Authors: Gomes Wanderson
Published: May 2021

Aprovechando el flujo creciente de turistas que buscan turismo religioso, el gobierno brasileño ha invertido en políticas descentralizadas para la intervención en los destinos. Siguiendo las nuevas recomendaciones, guiadas por el Plan Nacional de Turismo, el estado de Alagoas busca introducir el Programa de Municipalización y Regionalización del Turismo para la organización, revitalización y dinamización de destinos ubicados en el interior, explorando elementos históricos y culturales de su gente para extender la estancia turística y desbloquear la capital Maceió. En este sentido, la ciudad de Murici, en el interior del estado, ve los primeros pasos hacia la revitalización de su evento religioso más tradicional: el ascenso de la colina de Cruzeiro, en la semana santa, que atrae a una multitud de fieles. Este trabajo tiene como objetivo resaltar parte del amplio contexto del turismo religioso en Brasil, así como la propuesta para la transformación estructural del Morro do Cruzeiro, reflexionando sobre sus implicaciones dentro de la comunidad muriciense e identificando cómo el municipio encaja en la reciente orientación turística del estado.
Los dolores de María actualizados en la festa de Passos, en Pirenópolis - Goiás
Authors: Nascimento Lucas Pedro do , Ribeiro Marcos Vinicius , D'Abadia Maria Idelma Vieira
Published: May 2021

Este trabajo busca entender cómo los católicos de un municipio en Goiás, anualmente, revitalizan litúrgica y ritualmente los dolores de María en la Festa de Passos, y en la misma proporción entender su papel en estas manifestaciones religiosas populares. Con este fin, se realizó una encuesta de observación participante del evento religioso y un análisis de los datos recopilados en base a la discusión de Eliade en O Sagrado e o Profano (1992).
Religiosidad y expresiones libertarias
Authors: Saraiva Ozian de Sousa Saraiva
Published: May 2021

Este artículo es el resultado de investigaciones dirigidas a comprender algunos aspectos religiosos libertarios que pueden estar presentes en la obra musical Misa Criolla del compositor argentino Ariel Ramírez. El desafío es comprender estos posibles aspectos y sus representaciones dentro del campo religioso cristiano, más precisamente en el catolicismo, y las pluralidades existentes dentro de este catolicismo que permiten una reestructuración constante dentro de una estructura que ya no está tan fuertemente estructurada. Se abordaron los autores en los campos de la sociología de la religión, la musicología, la religión y la cultura, el catolicismo pluralista y la teología de la liberación. Los resultados presentados son parciales, con estudios y reflexiones sobre futuros análisis que son muy bienvenidos.
Ciencia y religión
Authors: Panizzi Wrana , Meirelles Mauro
Published: May 2021

Este texto tiene como objetivo discutir la relación entre ciencia y religión basada en dos regímenes de verdad construidos por la sociedad moderna y la distinción entre las cosas de Dios y las cosas de los hombres sin entrar en discusiones sobre las teorías de la secularización. Sobre todo, lo que se busca es pensar en una nueva epistemología y una forma de pensar lo social que escapen de los lazos de las ciencias sociales y las teorías de la secularización en favor de una nueva perspectiva de análisis y formas de interpretar la realidad.
El culto a Hugo Chávez en Venezuela
Authors: Hernández Luis Alonso
Published: May 2021

El presente artículo corresponde a una investigación en curso que pretende describir y analizar las prácticas de sacralización en torno a la figura de Hugo Chávez en Venezuela, para comprender las distintas formas de expresión devocional que establecen sectores populares urbanos con seres considerados excepcionales. En este sentido, tras una visita de cuatro meses al sector 23 de Enero en la ciudad de Caracas, se evidenció etnográficamente el sostenimiento de un culto que cuenta con oraciones propias, una capilla y toda una reconfiguración de iconos del catolicismo adaptados a esta manifestación religiosa. Además, desde la relación que establecen los nativos con el comandante Chávez, se observa que estamos frente a una entidad polisémica, es decir, para ciertos devotos es un santo, para la guardiana de la capilla es un ser vergatario que está sentado con Dios, mientras que para un sargento de la Milicia Bolivariana que sostiene una relación de confianza con el expresidente, es un muerto poderoso. El Santo Hugo Chávez del 23, como es conocido, ya tiene una lista de milagros que fortalecen su presencia y potencia en términos de Peter Brown (1982), además, gran parte de sus devotos expresa compromisos con la revolución bolivariana que se fusionan con sus formas de vivir lo religioso, lo que da indicios de un fuerte isomorfismo entre política y religiosidad popular que resulta de interés para las ciencias sociales.
Para allá y de vuelta a Allah
Authors: Goldfarb Maria Patrícia Lopes , Lima Vanessa Karla Mota de Souza
Published: May 2021

Este trabajo investiga la construcción de identidades musulmanas entre los brasileños invertidos en la comunidad islámica sunita, en la ciudad de João Pessoa-Paraíba, Brasil. A través de la observación participativa y análisis de los discursos de los seguidores de la religión islámica, nuestro objetivo es comprender cómo se produce la aprehensión de lo sagrado y la religiosidad; así como las formas de sociabilidad de este grupo. También buscamos considerar, con base en las prácticas islámicas, cómo las personas reorganizan su vida cotidiana, prestando atención a los códigos morales, religiosos y socioeconómicos, que implican las formas de construcción de esta identidad. Por lo tanto, analizamos cómo se produce la constitución de la identidad religiosa de estos sujetos en vista de la dogmática y las prácticas de una religión tradicional como la islámica.