bluuebunny/crossref_metadata_2025 huggingface dataset:
Minimally Invasive Transcrestal Sinus Floor Elevation Procedure in Severely Atrophic Ridge: A Case Report
Authors: Zadrożny Łukasz , Wagner Leopold , Rosenbach Dale
Published: July 2020

Typically, the greater the atrophy of the process, the more extensive and invasive the sinus floor elevation procedure is. This case of a 39-year-old man demonstrates a minimally invasive hydrostatic sinus lift from 1.7-mm height process in the site of lost tooth No. 16. Using a small flap, safe drills for a crestal approach diameter of 2.8 mm, 2 mL of saline solution under pressure of a syringe plunger, and 1 g of particulated bovine xenograft, a 14-mm height and 12-mm width sinus floor elevation was obtained. The implant was placed with a torque of 30 Ncm, and a healing cap was attached. Despite the very difficult conditions, the presented method not only resulted in a very good therapeutic effect but also reduced the number of procedures and time necessary for complete rehabilitation of the patient. The total treatment time to the final crown delivery was 6 months.
Impact of a Hydrophilic Dental Implant Surface on Osseointegration: Biomechanical Results in Rabbit
Authors: Jinno Yohei , Stocchero Michele , Galli Silvia , Toia Marco , Becktor Jonas P.
Published: July 2020

This study aimed to evaluate the effect of surface hydrophilicity on the biomechanical aspects of osseointegration of dental implants in the tibia and femur of rabbits. Forty-eight mature female New Zealand White rabbits were included, and 96 commercially pure, Grade 4, titanium dental implants (control group), and 96 implants of same macro geometry with the hydrophilic surface (test group) were used in this study. One osteotomy was performed in each tibia and femur on both sides of the rabbit, and four implants were placed in each rabbit. Control and test groups were randomly allocated on the left and right sides. During surgery, insertion torque (ITQ) value of the complete implant placement was recorded. After healing periods of 0, 2, 4, and 8 weeks after surgery, implant stability quotient (ISQ) value, and removal torque (RTQ) values were measured. No statistical difference was observed for ITQ, for ISQ and for RTQ between the control group and test group in tibia/femur for all time periods. The effect of hydrophilic properties on moderately roughened surfaces has no impact in terms of biomechanical outcomes (ISQ values and RTQ values) after a healing period of 2 to 8 weeks in rabbit tibias /femurs.
Rationale for Mini Dental Implant Treatment
Authors: Flanagan Dennis
Published: July 2020

Mini dental implants can be used to support crowns and partial and complete dentures in compromised edentulous sites. Lack of bone width or site length may be treated with mini implants. Mini implants have less percutaneous exposure and displacement that may reduce complications. Nonetheless, mini implants transmit about twice the load to the supporting bone, and thus, control of occlusal loading is important. In fixed prosthetics, rounded flat cusps, splinting, implant protective occlusal schemes, and placement only in dense bone sites are features of successful mini implant treatment. With removable prosthetics, multiple mini implants may be needed for appropriate retention and load resistance. Maxillary lateral incisor and mandibular incisor sites may be best suited for mini implant treatment. However, past research on dental implants has been directed at standard sized implants. While mini implants are indeed dental implants, they behave somewhat differently under functional load, and the clinician should be circumspect and very judicious in their use. This article is a mini review and not a systematic review. The topics covered are not pervasive because each would require a monograph or textbook for a complete discussion.
Complication and Salvage of Sinus Floor Elevation in the Maxillary Sinus With Asymptomatic and Noncalcified Fungus Colonization: A Case Report
Authors: Park Won-Bae , Kim Young-Jin , Park Jung Soo , Han Ji-Young , Lim Hyun-Chang
Published: July 2020

The present study aimed to report (1) the sequela of sinus floor elevation (SFE) in the posterior maxilla with severe sinus membrane thickening and an undiagnosed fungal colonization but a patent ostium and (2) a treatment course without implant removal. A 73-year-old woman underwent dental implant placement in the left posterior maxillary area. Although the patient was asymptomatic, severe sinus membrane thickening with Haller cells was observed on a radiographic examination, but the ostium was patent. After SFE and simultaneous implant placement, the patient developed acute sinusitis and was referred to an otolaryngologist. Functional endoscopic sinus surgery (FESS) was performed, resulting in resolution of the infection and salvage of the augmentation and the implant. The histopathologic examination revealed the fungal ball that could not be diagnosed on preoperative dental radiography. During the 2 years after the delivery of the final prosthesis, a significant reduction in membrane thickness was observed. The implants were functioning well. Clinicians should recognize fungal colonization as an etiology of sinus membrane thickening and provide proper pre- and postoperative management, including FESS.
On the state of child health in Ekaterinburg based on results of prophylactic medical examinations
Authors: Rozhkova L. V. , Tsarkova S. A. , Savelyeva E. V. , Arkhipova M. M. , Sevostianova O. U. , Zakirova L. R.
Published: July 2020

Morbidity parameters in children aged 0–17 years have been analyzed based on results of prophylactic medical examinations conducted in Ekaterinburg between 2013 and 2019. The prophylactic medical examination coverage of pediatric population, distribution among the health status groups and frequency of regular medical check-ups have been studied. In 2019 versus 2013, children aged 0–17 years demonstrated a 1.6-fold increase in overall morbidity, and 2.3-fold increase in primary-care morbidity. In 2013–2017, a higher level of overall morbidity was found in children aged 15–17 years compared to children 0–4 years of age, owing to the emergence of newly diagnosed diseases. It was noted than the most frequently diagnosed diseases included diseases of the musculoskeletal system and connective tissue, diseases of the eye and eye appendages, diseases of nervous system, digestive system, endocrine system, nutritional disorders and metabolic disorders. Each year, based on results of prophylactic medical examinations, the proportion of children for whom the outpatient examination has been recommended amounts to 9.5%, outpatient treatment to 35.0%, and outpatient medical rehabilitation to 9.3%. The fraction of healthy children as of 2019 was 23.1% of all examined children. In 2019 the coverage for medical check-ups at the health facilities was 605.6 per 1000 children, that is 1.8 times higher than that in 2013 (334,0 per 1000 children).
Case report: secondary hypertension in a 6-year old child with bilateral renal artery stenosis
Authors: Ryazanova Tatyana A. , Trunova Yuliya A. , Arkhipova Anastasia S.
Published: July 2020

Background. Renovascular hypertension (RVH) is an elevated blood pressure caused by partial or complete occlusion of one or both renal arteries or their branches. According to different studies, renal artery stenosis accounts for 5–10% of all cases of hypertension in children. The most common causes of renal artery stenosis are deemed to be atherosclerosis and fibromuscular dysplasia.

Case description. The article describes clinical case of a newly diagnosed renovascular hypertension amid background of fibromuscular dysplasia of renal arteries in a 6-year old child, particulars of the clinical course, laboratory and instrumental methods of investigation and treatment including aortography and balloon angioplasty of renal arteries.

Conclusion. This case report illustrates that in the absence of complaints and pronounced clinical symptoms the diagnosis of renovascular hypertension in a 6-year old child could not be established for a long time. Timely detection of elevated BP in children, including the young ones, not only during visiting specialist physicians but also during prophylactic examination by pediatrician, is required for early diagnosis of the disease and development of the examination and treatment strategy.
Transformative Learning and Medical Students Global Health Essays – A Qualitative Study
Authors: Wylie Ann , Wong John , Bowen-Jones Eleanor
Published: July 2020

This article was migrated. The article was not marked as recommended. Purpose Transformative learning (TL) concepts are gaining prominence in medical education, specifically for global health components. Pre-elective essays are mandatory for final year medical students at a large UK medical school. This study considered what TL concepts were demonstrated in these essays.MethodA 10% sample of essays were anonymised and analysed for components of transformative learning. The components include disorienting expereince, emotional response, critical reflection, perspective change and commitment to further action.Results A sample was selected (N=40). The essays were coherent, 10% (4 out of 40) demonstrated 3 or more components of transformative learning with 1 essay demonstrating all components. There was evidence that students had transformative experiences.Critical reflection is the most demonstrated component (30%), followed by commitment to future action (8 of 40 essays - 20%), disorienting experience (7 of 40 essays - 17.5%), and emotional response and perspective change (both 3 of 40 essays - 7.5%).ConclusionSome students demonstrated that transformative learning had taken place, linked their elective placements and global health learning outcomes. Introducing transformative learning skills and attitudes prior to the elective, may facilitate deeper transformative learning during the elective itself, but future research is required to explore this.
Non-accidental injury for medical students – is case-based e-learning effective?
Authors: Ryan Niamh , Sadler David
Published: July 2020

This article was migrated. The article was not marked as recommended. Background: Non-accidental injury (NAI) is a significant paediatric issue that can have many damaging physical and psychological consequences. Early identification has proven to be key in preventing these, however cases continue to be missed regularly. This is often due to inadequate training and therefore improving undergraduate NAI teaching is essential to tackling this. E-learning is a well-established educational method effective in many areas but there has been little investigation of this in the field of NAI.Methodology: An interactive, case-based e-learning module was designed for medical students, focusing on recognition and management of NAI in different clinical scenarios. It includes case-based scenarios, formative assessment and images of various injuries. In order to measure its efficacy, students were required to complete the module as well as pre- and post-module tests with questions incorporating injury knowledge and recognition and management of NAI. Scores were analysed using t-testing and multivariate analyses.Results: There was a significant increase in mean score between the pre- (23.37/32) and post-module (25.55/32) tests. Mean recognition (77.63% to 85.84%) and management scores (54.07% to 92.83%) also improved. Interestingly, injury knowledge score decreased (79.91% to 60.37%). Previous child protection training and year of study were found to be predictive of both pre-module score and change in score after module completion.Discussion: Interactive, case-based e-learning improves medical students' ability to recognise and manage NAI. It appears to be more useful in areas of clinical decision-making than theoretical knowledge. It is particularly beneficial for students in their initial years of study, who are likely to have less prior knowledge than in later years. Surprisingly, the module benefits students with previous child protection training more than others. Further research is needed to examine how e-learning in this area can be adjusted to suit students with different requirements and better teach knowledge of injuries.
The Littlest Angels
Authors: Knotts Marian Gabrielle
Published: July 2020

N/A
Si Se Puede Apoyar
Authors: Valdivia Brianna Antonella
Published: July 2020

This paper explores the influence and impact of support from higher education professionals on Latinx womxn identifying students identity development and college completion. An analysis of current literature allows for an understanding of the different categories of support that Latinx womxn can benefit from and that currently exist. This paper goes a step further by engaging in qualitative research in the form of semi-structured interviews with Latinx womxn at a variety of institution types to further gather data on their college experiences and how they feel support, or lack thereof, from higher education professionals. This paper is helpful in providing recommendations and potential solutions that higher education professionals in any functional area can effectively implement to better support Latinx womxn at the university level.
Promoting Youth Empowerment through International Cultural Exchanges
Authors: Martinez Rodriguez Elianys , Tiana Houssnia
Published: July 2020

The present study explores the perceptions of a group of Moroccan students about the impact that an international Youth Ambassador program (the Marrakesh-Scottsdale Cultural Exchange Program) had on empowering them, promoting global understanding, and fostering their sense of citizen diplomacy. The study uses mixed methods to explore the participants’ perceived impact of the exchange experience on three individual-level constructs: empowerment, cultural competence, and citizen diplomacy. The results, which align with the literature, show mostly positive effects on the variables examined. Limitations and implications of the study are discussed.
What Pete Buttigieg—and all White Americans—Need to Understand About Racism
Authors: Hanebutt Rachel Ann
Published: July 2020

It is essential that educators, particularly white educators, work to understand racial inequality within a prophetic framework, refuse to perpetuate inaccurate and racist images of black and brown youth, and actively deconstruct structural inequalities within the education system. Structural racism, especially that which has been institutionalized within and in perceptions about the education system, is an important issue for the field of education that was recently the central issue of the eye-catching hashtag, #PeteButtigiegisaLyingMF. This Voices opinion piece examines Michael Harriot’s initiation of a conversation about understandings of structural racism with 2020 presidential candidate Pete Buttigieg, contextualizes this online moment through a theoretical perspective, and provides a call to action for white educators.
Representation Matters, but We Mustn’t Stop There
Authors: Harris Micaela Yoriko
Published: July 2020

n/a
A Pathway to Gender Neutral housing
Authors: Bala Nisha
Published: July 2020

George Fox University is a small, private Quaker university in Newberg, Oregon, just southwest of Portland. In the fall of 2013, a transgender student, named only as Jaycen to protect his identity, was denied housing consistent with his gender identity as a man. Jaycen had requested to live on campus with a group of male friends and had obtained a male gender marker on his identification. George Fox University refused, in accordance with their policy on preventing unwed students of different genders from living together, and offered Jaycen a choice between a single apartment on campus and living off campus. (“Students Identifying as Transgender,” n.d.)

 

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«Russian Journal of Transplantology and Artificial Organs»: еnglish version
Authors: Gautier S. V.
Published: July 2020

«Russian Journal of Transplantology and Artificial Organs»: еnglish version.
Population characteristics of hostility among the population of a medium urban Siberian city: age and sex aspects
Authors: Kayumova M. M. , Akimov M. Yu. , Gafarov V. V.
Published: July 2020

Aim. To assess age and sex characteristics of hostility among the population of a medium urban Siberian city.

Material and methods. Cross-sectional epidemiological studies were carried out among men and women aged 25-64 years in Tyumen; the response rate was 85,0% among men and 70,3% among women. To assess hostility, the algorithms of the WHO program MONICA-Psychosocial were used. There were low, moderate and high levels of hostility. Low hostility was considered the population norm.

Results. In the open population of a medium urban Siberian city, an unfavorable data was found for the hostility prevalence. High levels of hostility were revealed in both men and women in the whole age range. However, a high level of hostility prevailed among women compared to general population values by age and in four decades of life.

Conclusion. The data obtained will help to develop evidence-based prevention programs based on the effects on psychosocial factors taking into account age and sex characteristics.
Correlation of excess salt intake identified by the survey with urine sodium level and blood pressure: data of ESSE-RF study
Authors: Balanova Yu. A. , Kutsenko V. A. , Shalnova S. A. , Imaev A. E. , Kapustina A. V. , Muromtseva G. A. , Evstifeeva S. E. , Karamnova N. S. , Maksimov S. A. , Yarovaya E. B. , Drapkina O. M. , Redko A. N. , Alekseenko S. N. , Gubarev S. V. , Viktorova I. A. , Livzan M. A. , Grishechkina I. A. , Rozhkova M. Yu. , Prishchepa N. N. , Vezikova N. N. , Skopets I. S. , Yakushin S. S. , Filippov E. V. , Dobrynina N. V. , Nikulina N. N. , Pereverzeva K. G. , Moseichuk K. A.
Published: July 2020

Aim. To study the association of blood pressure (BP) and hypertension (HTN) with salt intake estimated by the survey and the urinary Na+ concentration among men and women 25-64 years old, examined within the ESSE-RF and ESSE-RF-2 studies.

Material and methods. Representative samples of the Russian population aged 25-64 years were examined. At the first phase in 2012-2014, 21,888 people (men — 38,2%) were included, and at the second phase in 2017 — 6,714 people (men — 44,7%). The response rate was 80%. We used standard questionnaire. Adding more salt and the consumption of salted foods (sausages, deli meats, and pickled foods) in the criteria “daily or almost daily” was considered excess salt intake (ESI). BP measurement was carried out in a sitting position on the right hand. BP was measured twice with an interval of about 2-3 minutes. HTN was diagnosed at a systolic BP (SBP) ≥140 mm Hg and/or diastolic BP ≥90 mm Hg, or in case of antihypertensive therapy. In ESSE-RF-2, an analysis of the morning urine was additionally performed. Na+ was determined using the EX-Ds ion-selective electrolyte analyzer. All participants were stratified by the quintiles of urine sodium level. Data analysis was performed using the software package R 3.6.1. The models of linear and logistic regression were used. The differences were considered at p<0,05.

Results. The average level of SBP significantly increases with an increase in Na+ in urine: 1,04 (0,60-1,48) mm Hg for the quintile of sodium distribution (p<0,001), the odds of HTN increases by 1,11 (1,05-1,17) times for the quintile (p<0,001). Questionnaire components of ESI are also significantly related to urinary Na+ levels. The consumption of sausages and deli meats has the greatest effect, causing an increase in the average Na+ level by 11,59 (7,06-16,12) mmol/l (p<0,001). The applied point scale is significantly related to urine sodium level and predicts HTN no worse than Na+ in the urine (p=0,15 for the difference hypothesis). One point on the scale increases the Na+ level by an average of 7,51 (5,01-10,02) mmol/l, SBP by an average of 0,74 (0,41-1,07) mm Hg and the odds of HTN by 1,1 (1,06-1,15) times (p<0,001 for all).

Conclusion. In the pattern of ESI components, processed meat and sausage products take first place in terms of association strength with urine sodium. The questionnaire used to assess the proportion of people with ESI can be recommended for assessing this risk factor during screening. ESI detected by the questionnaire is associated with elevated BP and urinary Na+ values.
Cardiovascular risk markers in women with metabolic syndrome at the menopausal transition using multimodal non-drug therapies
Authors: Berikhanova R. R. , Minenkoa I. A. , Bondarev S. A.
Published: July 2020

Aim. To study the effect of non-drug strategies on the main markers of cardiovascular risk in women with menopausal disorders and metabolic syndrome (MS).

Material and methods. Three hundred women aged 45-50 years with disorders during the menopausal transition and MS were ranked in 5 groups. In group I, following methods were used: standard treatment, physiotherapy, balneotherapy, multivitamins and minerals, as well as physical factors (vibration therapy, chromotherapy, melotherapy, aromatherapy, aeroionotherapy). In group II, chromotherapy was excluded from the above methods, in group III — vibration therapy, in group IV, physiotherapy was not used, in group V only standard treatment was used. We assessed blood pressure (BP), lipid profile, levels of glucose and serum insulin, and estimated the HOMA-IR index (Homeostasis Model Assessment — Insulin Resistance).

Results. Complex treatment using physical factors contributed to the optimization of BP control, improved carbohydrate and fat metabolism. The simultaneous use of all the above physical factors made it possible to improve BP control and most significantly reduce after 6 months of therapy in patients with mild climacteric syndrome the HOMAIR index by 56,2% and the atherogenic index by 31,2%, and in patients with moderate climacteric syndrome — by 57,2% and 30,5%, respectively (p< 0,0001). The decrease in the Green test was 55,3% and 39,9%, respectively (p<0,0001).

Conclusion. Non-drug strategies with physiotherapy help to reduce the manifestation of cardiovascular risk in women with MS at the menopausal transition, positively affecting modifiable factors and normalizing the activity of hypothalamicpituitary-gonadal axis. The priority is the simultaneous use of vibration therapy, chromotherapy, melotherapy, aromatherapy and aeroionotherapy.
Metabolic syndrome and the risk of cardiovascular and all-cause mortality: data of 14-year prospective cohort study in Siberia
Authors: Simonova G I , Mustafina S V , Rymar O D , Scherbacova L V , Nikitenko T I , Bobak M , Malyutina S K
Published: July 2020

Aim. To study the risk of cardiovascular and all-cause mortality in patients with metabolic syndrome (MS) according to a 14-year prospective cohort study in Siberia.

Material and methods. Based on the data from the Russian arm of the HAPIEE project, we assessed all-cause deaths occurred by 2017 in the population cohort examined at baseline in 2003-2005 (n=9273). The baseline examination included the assessment of blood pressure (BP), anthropometry, levels of fasting triglycerides, high density lipoprotein cholesterol (HDL-C), and blood glucose. The fatal cases in the studied cohort were identified from “Medical death certificates” for the period from February 1, 2003 to December 31, 2017, based on data from the Department of Civil Registration of Death Acts. Cardiovascular death was established using the International Classification of Diseases, the 10th revision (ICD-10): I (0-99).

Results. The mortality rate in subjects with MS was 16,6% — 751 deaths (25,1% in men and 11,5% in women), and it was 20-30% higher than in those without MS. Cardiovascular mortality in subjects with MS was 12,6% — 572 deaths (20,5% in men and 8,9% in women), and it was nearly 30% higher than in those without MS. Multivariable Cox regression revealed that among the components of MS, the elevated BP level even with BP ≥135/80 mm Hg had the major impact on increasing the risk of all-cause mortality (HR=1,7 (1,4; 2,1) in men; HR=2,2 (1,7; 2,8) in women) and increasing the risk of cardiovascular mortality (HR=2,2 (1,5; 3,0) in men and HR=2,8 (1,8; 4.3) in women). Among men, already 1 component of MS increased the risk of cardiovascular and all-cause mortality by 2,0 or more times; among women, 2-4 components of MS increased the risk of death by 3 times, and 5 components — by 4.

Conclusion. In the studied population sample, cardiovascular and all-cause mortality during the 14-year follow-up in individuals with MS was about 25-30% higher compared to those without MS. The risk of cardiovascular and all-cause deaths in subjects with MS is comparable to the risk in case of blood pressure ≥135/80 mm Hg. With an increase in the number of MS components from 1 to 5, the risk of all-cause and cardiovascular death increases.
Prevalence of hypertension, levels of lipids and blood glucose in patients with acute pancreatitis, chronic pancreatitis and pancreatic cancer
Authors: Grigorieva I. N. , Efimova O. V. , Suvorova T. S. , Tov N. L. , Romanova T. I.
Published: July 2020

Aim. To determine the prevalence of hypertension (HTN) in patients with acute pancreatitis (AP), chronic pancreatitis (CP), pancreatic cancer (PC) and establish associations of HTN with other risk factors (obesity, dyslipidemia (DLP), plasma glucose ≥7,0 mmol/l, smoking, alcohol consumption).

Material and methods. This observational multicenter clinical cross-sectional uncontrolled study included 44 patients with AP, 97 patients with CP and 45 patients with PC. The groups were comparable by sex and age. The HTN was diagnosed according to the criteria of Russian Society of Cardiology (2020).

Results. HTN was much more common in patients with PC (55,6%) than in patients with AP (25,0%) (χ 2 =8,6, p=0,003). In patients with CP, the prevalence of HTN (39,2%) did not differ from those with AP or PC. Among patients with AP and HTN, higher levels of triglycerides (TG) (U=88,0, p=0,010) and glucose (U=89,5, p=0,011) than in non-HTN patients with AP were determined. In HTN patients with CP, glucose ≥7,0 mmol/l was recorded 3 times more often than in non-HTN patients with CP (χ 2 =16,2, p=0,000). In patients with PC and HTN, a higher mean body mass index (BMI) (F=7,8, p=0,008) and less common normal body weight than in non-HTN patients with PC (28,0 and 65,0%, χ 2 =6,2, p=0,013) was revealed. In patients with CP, increased glucose levels by 1 mmol/l (Exp (B)=1,933, 95% confidence interval (CI) 1,350-2,767, p=0,000) or BMI by 1 kg/m2 (Exp (B)=1,224, 95% CI 1,085-1,380, p=0,001) raised the probability of HTN; in patients with PC, increased BMI by 1 kg/ m2 (Exp (B)=1,394, 95% CI 1,057-1,840, p=0,019) or age by 1 year (Exp (B)=1,251, 95% CI 1,052-1,489, p=0,011) raised the probability of HTN.

Conclusion. HTN was more often observed in patients with PC than in those with AP. In patients with CP, the prevalence of HTN did not differ from those with AP or PC. HTN was a cofactor to other metabolic risk factors (glucose ≥7,0 mmol/l, obesity) in patients with AP or CP; behavioral risk factors, on the contrary, were less common in HTN patients with AP or CP. In patients with CP, there was a direct association of HTN with glucose levels or BMI, and in patients with PC — HTN with BMI or age.
Prevalence and predictors of statin therapy in the general working-age population
Authors: Kaveshnikov V. S. , Serebryakova V. N. , Trubacheva I. A.
Published: July 2020

Aim. To study the prevalence and predictors of statin therapy in the general working-age population.

Materials and methods. As a part of the ESSE-RF study, we examined 1,600 people aged 25-64 years (women — 59%) from the general population. All subjects signed informed consent. Association analysis included blocks of socio-economic, psychosocial, behavioral, and medical variables. We used methods of univariate and multivariate statistics. Error probability < 5% was considered significant.

Results. The prevalence of statin therapy in the general population was 3,3%: 5,5% in subjects ≥45 years, 8,1% in the group of 55-64 years old. We revealed that 2,5%, 2,9% and 10,9% of individuals with moderate, high and very high risk received statins, respectively. Among those receiving statins, 28,8% took it for primary prevention, 50% — due to cardiovascular diseases (CVD), and 21,2% — due to other disorders specifying risk. With priori indicators of very high risk, statins were taken more often than with SCORE ≥10 without risk indicators. According to multivariate model, older age, the presence of CVD + moderate and severe carotid atherosclerosis, antihypertensive therapy, stage 3 chronic kidney disease, and diabetes increased the likelihood of statin therapy, and SCORE ≥10 without risk indicators reduced it. The obtained data do not confirm the hypothesis about the significant role of sex, social gradient, and behavioral factors.

Conclusion. Statins are one of the primary tools for primary and secondary prevention of CVD. Only a minor part of the population takes these drugs, in most cases due to CVD. Therefore, the prevention potential of statins at the population level has not yet been exhausted. More attention is required for individuals with SCORE ≥5 and without CVD who are less likely to receive therapy, but who may benefit more by taking statins. The decision to take statins for primary prevention of CVD should be based on the baseline risk, the value of absolute risk reduction, and how much this reduction justifies possible harm and long-term daily intake of the drug.
Predictors of adverse cardiovascular events in patients with coronary artery disease after percutaneous coronary intervention
Authors: Svarovskaya A. V. , Kuzheleva E. A. , Arzhanik A. A. , Fediunina V. A. , Aleksandrenko V. A. , Starchenko A. D. , Garganeeva A. A.
Published: July 2020

Aim. To identify predictors of major adverse cardiovascular events (MACE) in patients with coronary artery disease (CAD) after percutaneous coronary intervention (PCI).

Material and methods. This prospective single-center study included 225 patients with stable CAD requiring drug-eluting stent implantation. The average follow-up period for patients was 14,5 (6;23) months. Levels of glycated hemoglobin (HbA1c), insulin, tumor necrosis factor (TNF)-α, interleukin-6 (IL-6), interleukin-10 (IL-10), endothelin-1 (ET-1) and the serum lipid profile were evaluated. Insulin resistance was assessed by the HOMA-IR index. The patients were divided into 2 groups: group 1 (n=98) — patients with MACE, group 2 (n=127) — patients without MACE over the follow-up period.

Results. During the follow-up period, MACE were recorded in 43,5% of patients, of which: fatal outcome in 3 (3,1%) patients, acute coronary syndrome (ACS) — 14 (14,3%), decompensated heart failure (HF) — 8 (8,2%), non-fatal myocardial infarc tion (MI) — 4 (4,1%), stroke — 3 (3,1%), in-stent restenosis — 18 (18,4%), target vessel revascularization due to progression of atherosclerosis — 25 (25,4%), lifethreatening arrhythmias — 18 (18,4%), implantation of a cardiac resynchronization therapy defibrillator — 5 (5%). To determine critical levels for quantitative predictors, ROC curves were created with threshold values that increase the likelihood of MACE.

Conclusion. As a result of the study, we found that the waist-to-hip ratio >1,0495, the HOMA-IR index >3,13 and the endothelin-1 >0,75 mmol/L are independent predictors of unfavorable prognosis in patients with CAD after PCI.
Profile of nursing students: quality of life, sleep and eating habits
Authors: Salvi Carolina Pasquini Praxedes , Mendes Sandra Soares , Martino Milva Maria Figueiredo De
Published: July 2020

ABSTRACT Objective: to profile and analyze sleep quality, quality of life and eating habits of nursing students. Methods: a cross-sectional, comparative and correlational study with the following variables: sociodemographic characteristics, Pittsburgh sleep quality index, quality of life and eating habits. One hundred ninety-five students participated in the study. Results: participants were on average 24 years old. Results showed that females were prevalent (87.1%); 71.0% of the students had poor sleep quality; 98.9% used electronic devices before bedtime. Self-perception of quality of life was indifferent (38.3%), and self-perception of general health, 36.9% expressed satisfaction. Among the participants, 45.13% consumed one portion of fruit and 40.66% two to three portions of vegetables daily. Conclusion: the study allowed the profile of these students, sedentary, overweight and poor sleep quality young students who studied and worked.
Formation of protagonist adolescents to prevent bullying in school contexts
Authors: Brandão Neto Waldemar , Silva Catharina Ohany da , Amorim Renata Ribeiro Torres do , Aquino Jael Maria de , Almeida Filho Antonio José de , Gomes Betânia da Mata Ribeiro , Monteiro Estela Maria Leite Meirelles
Published: July 2020

ABSTRACT Objective: to develop a participative strategy of health education in the formative process of protagonist adolescents aimed at preventing school bullying. Method: qualitative interventive-participatory research, based on the Community-Based Participatory Research and in the Culture Circles of Paulo Freire. The sample was intentional, with the participation of 12 adolescents who were considered leaders. For data production at the moment of educational intervention, observation techniques were employed with note-taking in a field diary, plus photographic and video records. Results: the pedagogical intervention model raised the opportunity for the adolescents’ active participation, aiming at the development of skills that create pro-social behaviors, empathetic and assertive relations, which are able to face bullying and transform the school environment. Final considerations: the use of participative methodologies, in the youth protagonism perspective, has the potential to support educational practices of school nurses in collaboration and leadership of antibullying programs.
Differences between quality of life and occupational coping of tenured and outsourced nurses
Authors: Sampaio Cynthia Lima , Almeida Paulo César de , Souza Ângela Maria Alves e , Neri Maria Fabiana de Sena , Silva Leonardo Alexandrino da , Caetano Joselany Áfio
Published: July 2020

ABSTRACT Objectives: To compare the relation of quality of life to occupational coping and verify the association of these indicators with sociodemographic variables of tenured and outsourced nurses. Methods: Cross-sectional study, carried out from June to November 2014, with 145 outsourced nurses and 45 tenured nurses. We applied an identification instrument (WHOQOL-bref) and Occupational Coping Scale. Student’s t-tests and Pearson’s correlation coefficient were used. Results: Tenured nurses had better quality of life (p=0.011) and a mean in the Avoidance factor with a strong correlation (p=0.001). Female public servants (p=0.006; p<0.0001), between 40 and 66 years old (p=0.005; p=0.031), specialists (p=0.028; p=0.005), with a family income from 2.5 to 6.8 minimum wages (p=0.021; p=0.006) and working in the morning or afternoon (p=0.043; p=0.020) and morning and afternoon (p=0.038; p=0.007) showed a difference in quality of life and in Avoidance factor, respectively. Conclusion: Tenured nurses demonstrated better quality of life, and some variables trigger differences in the groups, demonstrating the need to promote occupational health.
Quality of life and body image of patients with urinary disorders
Authors: Amaral Gardênia Lima Gurgel do , Costa Kleynianne Medeiros de Mendonça , Lima Charlene Maria Ferreira de , Domingues Tânia Arena Moreira , Barbosa Dulce Aparecida , Belasco Angélica Gonçalves Silva
Published: July 2020

ABSTRACT Objective: to assess the quality of life and body image of men with difficulty urinating and indwelling urinary catheter users, integrating the socio-demographic, economic and morbidity variables. Method: a cross-sectional analytical study with 64 male patients with urinary problems. Three questionnaires were used for data collection: one containing sociodemographic, economic and morbid data, the Medical Outcome Study 36-item short-form health survey to analyze quality of life, and the Body Dysmorphic Examination, which assesses body image. T-test, Mann-Whitney, Pearson, Spearman, Linear Regression and Stepwise were used. Results: quality of life and body image were compromised in both groups, affecting emotional aspects, with a high degree of body dissatisfaction and altered physical and social adversity. Conclusion: changes in patients’ quality of life and body image were observed, confirming the need for improvement in care.
Acute Kidney Injury by SARS-CoV-2 virus in patients with COVID-19: an integrative review
Authors: Moitinho Matheus Santos , Belasco Angélica Gonçalves da Silva , Barbosa Dulce Aparecida , Fonseca Cassiane Dezoti da
Published: July 2020

ABSTRACT Objective: to assess scientific evidence on SARS-CoV-2 Acute Kidney Injury in patients with COVID-19. Methods: an integrative review, with adoption of PICO strategy and classification of the level of evidence, carried out on April 10, 2020 in the PubMed database, of articles available between December 2019 and April 2020. Results: the sample consisted of six original, five observational and one experimental articles. Observational studies addressed the clinical findings of patients with COVID-19 and association between kidney damage, infection, and morbidity-mortality. Conclusion: the studies addressed the mechanism of intracellular infection of SARS-CoV-2, its cytopathic effects on kidney cells and incidence of acute kidney injury in patients infected with SARS-CoV-2. Acute kidney injury is associated with increased mortality and morbidity in these patients. This review realizes the need for new research that can mention kidney care to patients with COVID-19.
Quality of life in a phase 2 trial of short-course hyperthermic intraperitoneal chemotherapy (HIPEC) at interval debulking surgery for high tumor burden ovarian cancer
Authors: LUSTOSA ROBERTO JOSÉ COSTA , BATISTA THALES PAULO , CARNEIRO VANDRÉ CABRAL GOMES , BADIGLIAN-FILHO LEVON , COSTA RONALDO LÚCIO RANGEL , LOPES ANDRÉ , SARMENTO BRUNO JOSÉ DE QUEIROZ , LIMA JUREMA TELLES DE OLIVEIRA , MELLO MARIA JULIA GONÇALVES DE , LEÃO CRISTIANO SOUZA
Published: July 2020

ABSTRACT Introduction: to evaluate the effect of short-course (i.e.: 30 minutes) HIPEC on health-related quality of life (HRQoL) in our feasibility study; NCT02249013. Methods: a prespecified secondary end-point of our open-label, multicenter, single-arm, phase 2 trial on safety and efficacy was assessed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30, version 3.0). Patients were required to complete the HRQoL questionnaire at baseline, after HIPEC, and after the end of the treatment. Changes of HRQoL over time were assessed by median scores for each domain and analyzed by Friedman`s test at a significant two-sided level of 0.05. Results: fifteen patients with high tumor burden EOC were recruited from our public health system between February 2015 and July 2019. A baseline EORTC QLQ-C30 questionnaire and at least one follow-up questionnaire was received from all of the patients. No significant difference over time in the QLQC30 summary scores was observed (p>0.05). The transitory impairment on patients HRQoL immediately after the short-course HIPEC trended to return to baseline at the end of the multimodal treatment. Conclusions: we found no significant impairment of short-course HIPEC on patients HRQoL into the context of our comprehensive treatment protocol.
ASPECTOS FORMATIVOS E SOCIO-CONSTITUTIVOS A PARTIR DA TRÍADE “CORAÇÃO, CABEÇA E MÃOS” EM J. H. PESTALOZZI E NO FILME METRÓPOLIS, DE FRITZ LANG
Authors: MUELLER RAFAEL RODRIGO , CECHINEL ANDRÉ , ALVES ISMAEL GONÇALVES
Published: July 2020

RESUMO: À luz da nova onda de movimentos nacionalistas que desponta hoje em diversas partes do mundo e também, em particular, no Brasil, este artigo propõe-se a debater comparativamente a dimensão totalizante da célebre tríade formativa do pedagogo alemão Johann Heinrich Pestalozzi, “coração, cabeça e mãos”, bem como a sua reapropriação posterior no filme Metrópolis, de Fritz Lang. Para realizar a aproximação entre a proposta de Pestalozzi e o filme de Lang, o presente artigo divide-se em dois momentos fundamentais, voltando-se, primeiramente, para a concepção teórica da tríade “coração, cabeça e mãos”, e, a seguir, para a análise de Metrópolis, enfatizando a sua releitura da tríade formativa aqui em pauta. O que se espera mostrar, em linhas gerais, é tanto o uso conservador a que se submete a fórmula de Pestalozzi quanto a possibilidade de sua reapropriação parcial ou integral para naturalizar desigualdades e censurar o desejo de debatê-las, gesto característico de nosso tempo.
Entre a ‘grande política’ e os autogovernos dos Agentes Comunitários de Saúde: desafios da micropolítica da atenção básica
Authors: Barros Luciana Soares de , Cecílio Luiz Carlos de Oliveira
Published: July 2020

RESUMO Investigação qualitativa que teve como foco o processo de trabalho dos Agentes Comunitários de Saúde (ACS), na busca de compreender como eles operam as suas práticas e como constroem relações no território e na Unidade Básica de Saúde (UBS). Foi realizada observação participante em seis UBS da região metropolitana de São Paulo por dez meses. Para a análise do material, foi utilizado o conceito de ‘planos de visibilidade’, constituídos por cenas registradas em diário de campo pelo pesquisador, os quais permitiram emergir questões relativas à recusa da população; à violência e narcotráfico no território e ao difícil manejo do segredo da comunidade. Além disso, evidenciou-se como o ACS tem-se tornado um ‘trabalhador multiuso’ nas UBS, que pensa sua ocupação em caráter provisório, bem como a sua relação com a racionalização das práticas e com a equipe de saúde. O estudo evidenciou um trabalhador em mutação, que reproduz práticas biomédicas e burocratizadas, o que pode desfigurar o seu papel enquanto elo da comunidade, mas que também consegue ser bastante criativo, (re)inventando permanentemente suas práticas, de modo mais complexo do que prescrito nas formulações originais da política de saúde, em função, entre outras coisas, dos problemas que enfrenta nos territórios em que atua.
Rede Básica, campo de forças e micropolítica: implicações para a gestão e cuidado em saúde
Authors: Merhy Emerson Elias , Feuerwerker Laura Camargo Macruz , Santos Mara Lisiane de Moraes , Bertussi Debora Cristina , Baduy Rossana Staevie
Published: July 2020

RESUMO A proposta deste ensaio é discutir a micropolítica da gestão e do cuidado em saúde na Rede Básica (RB). Inicia-se pelo que se entende por RB e depois por micropolítica – da gestão e do cuidado. Analisam-se as forças que estão operando no cotidiano da RB que se instauram nos atos relacionais, nos encontros, entre gestores e trabalhadores, entre trabalhadores, entre todos esses e os usuários, constituindo campos de força, que conformam modos de estar no encontro, agenciando processos de subjetivação. Destacam-se cinco forças-valores centrais para que sejam pensados o dentro e o fora do comum dos acontecimentos que ocorrem no dia a dia das práticas de cuidado em saúde: a força-valor trabalho, a força-valor território, a força-valor governo de si e do outro, força-valor clínica-cuidado e a força-valor trabalho em equipe. A aposta em um modo de cuidar na RB centrado na produção de potências para o enfrentamento dos desafios do viver com sofrimento, com o adoecimento e seus desdobramentos em situações diversas e adversas deve contribuir para produção de existências possíveis e favoráveis aos melhores modos de andar a vida, com todos os seus desafios.
Micropolítica da gestão e trabalho em saúde em um curso de Educação a Distância para gerentes da Atenção Primária à Saúde
Authors: Chagas Magda de Souza
Published: July 2020

RESUMO Esse artigo teve como objetivo apresentar a elaboração do Curso de Aperfeiçoamento em Gerência de Unidades Básicas de Saúde, Gestão da Clínica e do Cuidado, na modalidade Ensino a Distância (EaD). Para isso, o relato de experiência foi utilizado como método. O curso foi elaborado por docentes da Universidade Federal Fluminense a partir de demanda do Ministério da Saúde, entre os anos de 2016 e 2019, e adotou como base, na Proposta Político-Pedagógica (PPP), a micropolítica do trabalho. Para o alcance da PPP, foram criadas ou incorporadas algumas ferramentas, elaborado material didático pelos próprios docentes, construídas estratégias na formação dos tutores e alguns conceitos relacionados com o desenvolvimento da autonomia para a vida na construção da relação tutor-aluno. Concluiu-se que os alunos e alunas construíram atividades e trabalhos de conclusão que explicitaram atividades micropolíticas no processo de trabalho. Além disso, foi possível destacar que o fato de os membros da coordenação terem participado ativamente de todo o processo do curso, além de ter possibilitado educação permanente para cada um(a), favoreceu a construção e o fortalecimento da identidade institucional do curso, potencializou as ações e as intervenções pedagógicas de apoio aos tutores e facilitou alterações a partir das avaliações e das reavaliações.
3D printing as a diagnostic tool for congenital malformation in a brachycephalic dog
Authors: Lima Luiz Felipe Souza de , Campos Milena Mendes de Arruda , Barros Anna Julia Brandão Paes de , Batista Gabriela Cardoso , Jaworski Lorena Tavares de Brito Nery , Lobo Paloma Moraes , Kuczmarski Antonio Henrique , Souza Roberto Lopes de
Published: July 2020

ABSTRACT: Congenital anomalies are hereditary or acquired, and their location and intensity are determining factors for the survival of animals. Some cases are rare, often unidentified, poorly reported and of unknown etiology. This paper reports a congenital malformation in a French bulldog, demonstrating the importance of accurate diagnosis for surgical decisions. The use of new technologies such as computed tomography and rapid prototyping enables the analysis of morphofunctional changes, resulting in excellent results for clinical cases in which it is difficult to identify and scale the anatomical deformities. Through this feature, it is possible to accurately recreate anatomical structures of interest, enabling greater assertiveness in deciding the treatment to be established, whether surgical or not. Castration of animals that survive this condition due to hereditary etiology is recommended.
Valvular endocarditis associated with Helcococcus ovis in a cow in Southern Brazil
Authors: Kemper Regina Tose , Lopes Bruna Correa , Rosa Rafael Biondo , Molossi Franciéli Adriane , Cecco Bianca Santana de , Mayer Fabiana Quoos , Driemeier Rosane Maria Sordi , Sonne Luciana
Published: July 2020

ABSTRACT: A 4-year-old cow with a history of breathing difficulty, progressive weight loss, and muffled heart sound was treated for a period of two weeks, but died and underwent necropsy examination. Macroscopic examination revealed heart with vegetative proliferative lesion firmly adhered to pulmonary valve, lungs with marked consolidation, and the presence of thrombus in vessels. There were grade II ulcers in abomasal mucosa associated to blood clots. Microscopic examination revealed marked thickening of the pulmonary valve due to the proliferation of fibrous connective tissue, inflammatory neutrophil infiltration, fibrin deposition, and a significant number of coccoid basophilic bacteria. Septic thromboemboli were present in the large and small pulmonary blood vessels suggestive of embolic pneumonia. The bacterial culture of the valve showed growth of small, nonhemolytic colonies that demonstrated satellitism to coagulase-negative staphylococci contaminating colonies, which were subjected to 16S gene sequencing and were compatible with Helcococcus ovis in GenBank. This was the first report of H. ovis endocarditis in cattle in South America.