bluuebunny/crossref_metadata_2025 huggingface dataset:
ESTRATÉGIAS DE ENSINO AO MANEJO CLÍNICO DO DIABETES TIPO 2 NA GRADUAÇÃO MÉDICA: REVISÃO INTEGRATIVA
Authors: Lavorato Neto Gabriel , Benevides Saulo Saad Nogueira , Parisi Maria Cândida Ribeiro
Published: August 2022

Essa revisão integrou estudos acerca do ensino-aprendizado que acontece nas graduações médicas para o desenvolvimento de habilidades ao manejo do Diabetes Mellitus Tipo 2 (DM2). Obtivemos as fontes primárias nas bases de dados: BVS, Embase, Pubmed, Scopus e Web Of Science por meio de descritores apropriados, e selecionamos o período entre 2007 e 2021 para inclusão dos estudos. Agrupamos 26 estudos em quatro categorias que integram as formas de ensino-aprendizado, os conteúdos curriculares, e as habilidades alvos ao desenvolvimento. As categorias são: a Imersão em Programas de Treinamento em Serviços; as Estratégias Eletrônicas de Games e Multimídias; os Interesses, Instrumentos e Maneiras de Avaliação de Competências e Atitudes Clínicas; e os Modelos e Análises Curriculares. As atividades de ensino mesclam metodologias tradicionais e ativas, incorporam recursos e conceitos didáticos, psicológicos e tecnológicos para otimizar o ensino-aprendizado e a estrutura disponível. O desenvolvimento de competências clínicas inicia-se desde o ciclo básico da graduação, com a preocupação de ancorá-las nas melhores evidências. Deseja-se alcançar a formação de um perfil do generalista direcionado à atuação na Atenção Primária em Saúde que englobe competências à gestão de pessoas, dos recursos e da saúde, habilitado por aparato técnico e humanístico a fim de prevenir e tratar o DM2 e suas consequências, reduzir seus riscos e impactos na saúde e na comunidade, promovendo a educação e o empoderamento dos acometidos ao automanejo.
DIRECTRICES DE LA ADMINISTRACIÓN EDUCATIVA ESTATAL Y AUTONÓMICA (ANDALUCÍA) PARA DAR RESPUESTA A LA CRISIS SANITARIA DE LA PANDEMIA COVID-19: VOCES DEL PROFESORADO DE EDUCACIÓN SECUNDARIA
Authors: Lominchar Juan Almagro , Valverde Gabriel Herrada
Published: August 2022

El principal propósito de este trabajo es conocer el grado de implementación de las directrices dictadas por las administraciones educativas durante la crisis del COVID-19 (curso 2019/2020) en los centros de Educación Secundaria obligatoria. Para ello se establece un estudio de corte cualitativo naturista que parte de una muestra de 7 docentes de diferentes centros educativos de la ciudad de Almería. Los resultados muestran que las directrices administrativas fueron muy genéricas, lo que llevó a problemas de adaptación a la docencia virtual, así como adaptaciones de las directrices de formación y evaluación en función de cada centro e incluso en función de cada docente. Como conclusión se hace hincapié en la necesidad de establecer directrices más claras por parte de la administración que permitan llevar a cabo procedimientos comunes que, aunque favorezcan la flexibilización en función de cada contexto, supongan un referente común para los diferentes centros educativos.
Gestational Diabetes in Undernourished Women of KONKAN Region of State of Maharashtra, India (BKLWHANC-1)
Authors: S Patil , N Patil , U Santpur , P Bhat , D Jadhav , O Dervankar , C Joglekar , R Hasbe , M Patel , V Dombale , A Yadav , A Nilawar , A Nandoskar
Published: August 2022

Introduction: Offsprings exposed to intrauterine hyperglycaemia are at increased risk of obesity, type 2 diabetes in postnatal life. Little is known about gestational diabetes in KONKAN region of Maharashtra where women are undernourished across all stages of life. We estimated the prevalence of gestational diabetes among pregnant women visiting tertiary care hospital in KONKAN region. Methods: Between March 2020 and November 2020, 514 pregnant women registered in the antenatal clinic of BKL Walawalkar Hospital in KONKAN region. They underwent oral glucose tolerance test using the protocol set by Maternal & Child Health Division of Government of India. Results: Five hundred and six women completed oral glucose tolerance test. Mean age, gestation, weight and BMI at registration were 26.7 years, 23.1 weeks, 48.3 kg and 20.5 kg/m2 respectively. Prevalence of GDM was 20.3% and more than 50% of them were diagnosed before 24 weeks of gestation. Conclusion: Our results have shown that presence of GDM despite absence of overweight (high BMI). This is the first demonstration of hyperglycemia in pregnancy among undernourished women of KOKAN region. Offspring’s exposed to intrauterine hyperglycemia are at increased risk of obesity, type 2 diabetes in postnatal life hence long term implication of GDM in KONKAN can only be understood by systematic, community based study. Keywords: GDM; Rural; KONKAN; India; Malnutrition; Insulin resistance
Non-hodgkin Lymphoma of Lymphoid Tissue Associated with Extranodal Mucosa of the Cecum and Acute Appendicitis. Report of a Case
Authors: HDJ Nicolas , BR Hector , ZRJ Luis , RQL Antonio , GCC Fernando , MSJ Roberto , EFC Andres , VGT Teresa , DC Brenda , VSA Ignacio , MPJ Emmanuel , TOG Yamil , BBN Noemi , GS Mario , PDLR Cayetano , THC Adrian
Published: August 2022

Objective: Presentation of an acute appendicitis and non-Hodgkin lymphoma of lymphoid tissue associated with extranodal mucosa from the cecum clinical case. Introduction: The cecal appendix can be affected by Non-Hodgkin Lymphomas (NHL) by extension of the neoplasm; however primary appendicular lymphoproliferative processes are uncommon. The NHL of Mucosal-Associated Lymphoid Tissue (MALT) is exceptional. To establish the diagnosis of MALT, a morphological, molecular and immunohistochemical diagnosis is required, including molecular techniques that reflect B cell clones, PCR analysis or the identification of chromosomal abnormalities. Methods: 40 year old male, with 15 days of evolution of abdominal pain located in Right Lower Quadrant (RLQ) and associated symptoms like decreased appetite, nausea, and adynamia, who was firstly diagnosticated as an urinary tract infection treated as outpatient; upon his readmission, he was performed CT scan evidencing mesenteric panniculitis and thickening of the appendicular wall; he was surgically intervened finding edematous and congestive vermiform appendix with lower third perforation, and indurated cecum with 2 cm perforation from the appendicular base, performing right hemicolectomy with ileo-transverse mechanical anastomosis; he was discharged home 7 days after the postoperative period; the histopathological study and immunohistochemistry panel was compatible with MALT-type lymphoma, with lesion-free edges. Extension CT scans with no evidence of distant disease. He was sent to oncology for follow-up. Conclusion: It is important to get an established diagnosis in this rare pathology with molecular techniques and not only with histopathological cuts, since 30% of patients relapse.
Tumor Proportion Regime First-Line Therapy in Metastatic Squamous Cell Lung Cancer with both EGFR Sensitive Mutation and High PD-L1 Expression: A Case Report
Authors: X Ning , H Xie , Z Zhou , J Zou
Published: August 2022

A 56-year-old Asian male with 20 years smoking history was admitted to the hospital due to a cough with sputum production. Chest Computed Tomography (CT) revealed a tumor shadow in the right middle lung, and transbronchial biopsy diagnosed Lung Squamous Cell Carcinoma (LCSS). Further molecular pathological assessment detected Epidermal Growth Factor Receptor (EGFR) sensitive mutation, while Programmed Death-Ligand 1 (PD-L1) was highly expressed with a Tumor Proportion Score (TPS) of >70%. Tumor Proportion (TP) regime was the first-line of treatment gained an obvious reduction in tumor size. Until head progression was found, the patient took Osimertinib orally and is currently stable. Given the rarity of the LCSS with EGFR mutation and high-expressed PD-L1, this case report provides a successful clinical treatment option for doctors in similar situations.
Long term (1985–2018) changes of the habitat suitability of European souslik assessed by Maxent modelling based on Landsat satellite imagery – a case study from a mountain landscape of Central Bulgaria
Authors: Zidarova Sirma Asenova , Popov Vasil Vulkov
Published: August 2022

The spatial and temporal aspects of the habitat suitability of the European souslik (Spermophilus citellus L.) in an area of Sredna Gora Mountain (Bulgaria) were studied. We used Landsat satellite imagery data to model changes in the habitat suitability of the species from 1985 to 2018. The obtained results demonstrate that the habitat suitability of the European souslik increased during the studied period, presumably due to raised temperatures and the accompanying drought during summertime, as well as the human-caused modifications in pasture livestock breeding. Based on statistical modelling, the employed procedure applies to long-term monitoring and assessment of the role of land cover change because of climate change and human activity on the habitat suitability of the European souslik. This approach can be useful for conservation planning.
Reviewer Acknowledgements 2022
Authors: Terrazas Teresa
Published: August 2022

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MECHANICAL PROPERTIES OF RC BEAMS WITH AFRP SHEETS UNDER A SUSTAINED LOAD
Authors: Mohanraj R. , Senthilkumar S. , Padmapoorani P.
Published: August 2022

In this research, an attempt was made to find the permeability of an RC beam with AFRP by making use of the hydraulic conductivity test and a double-ring infiltrometer. Based on the state-of-the-art methodology, three different AFRP samples, Kelvar 29, Kelvar 49 and Kelvar 149, were considered as the laminates to prevent the deflection of the beams. Accelerated corrosion was carried out using impressed current, and induced corrosion was calculated using the galvanostatic method. In this project, nine RCC beams were strengthened with aramid FRP sheets. Novel results were obtained using three different layers and three different patterns of AFRP sheets. Experimental investigation showed that the mechanical properties of the reinforced concrete beams were enhanced (by 10 %) with Kelvar 149. The durability and corrosion resistance of concrete were achieved due to the increased number of layers of the AFRP sheet. The entire research shows that three layers of Kelvar 149 allow better performance of the concrete specimens. No other results based on the abrasion resistance and hydraulic conductivity of beams with AFRP laminates are available in the literature.
Synergistic antifungal effectiveness of essential oils from andean plants combined with commercial drugs
Authors: Beatriz Lima , Maximiliano Sortino , Alejandro Tapia , Gabriela E Feresin
Published: August 2022

The appearance of antifungal resistance promotes the investigation of therapeutic options. There are few studies on the combined effect of antifungal drugs and essential oils (EOs). In the present work, regarding the association of eight EOs Andean plants with antifungal agents against a panel of fungi strains. Combinatorial effects were determined using the Fractional Inhibitory Concentration Index (FICI) and Dose Reduction Index (DRI). A combination of A. cryptantha-B EO with fluconazole showed a synergistic effect against C. Albicans (FIC = 0.31 and DRI = 16.25). EOs from A. cryptantha-A and L. integrifolia showed an additive effect (FICI = 0.75) against C. neoformans. A combination of EOs from A. seriphioides and A. cryptantha-A with terbinafine showed an additive effect on T. rubrum (FIC = 0.56; DRI = 16) and M. gypseum (FICI = 1.03; DRI = 32). In conclusion, combinations between EOs of species from Andean plants and commercial antifungal drugs yielded some interesting findings, as potential antifungal strategies used for treating infections associated with C. Albicans and T. rubrum.
COVID-19 Pandemisinde Değerler Eğitimi: Millî Eğitim Bakanlığının Hazırladığı “Arkadaş” Kitapları Örneği
Authors: DEMİRYÜREK Gökçe
Published: August 2022

İnsan yaşamını derinden etkileyen pandemi/küresel salgın süreci, beraberinde birçok değişikliği de getirmiştir. Bu süreçte zorunlu olarak birtakım tedbirler alınmıştır. Ülkemizde de bu tedbirler kapsamında okullar kapatılmış ve uzaktan eğitime geçilmiştir. Millî Eğitim Bakanlığı, okuldan uzak kalan öğrencileri desteklemek amacıyla “Arkadaş” isimli tatil kitaplarını yayımlamıştır. İlkokul öğrencileri için hazırlanan bu tatil kitaplarının ülkedeki bütün öğrencilere ulaştırılması amaçlanmıştır. Eğitim, çocukları sadece bilgi yönünden geliştirmek demek değildir. Eğitim, çocukları karakter olarak da geliştirmeyi hedefler. Bu da değerler eğitimiyle mümkündür. Çocuklar için hazırlanmış kitaplarda, onların gelişim özelliklerine uygun şekilde evrensel ve millî değerlere yer verilmesi önemlidir. Bu çalışmada doküman incelemesi yöntemiyle “Arkadaş” tatil kitapları değerler bakımından incelenmiştir. Dokümanlara, betimsel analiz yapılarak kitaplarda hangi değerlere yer verildiği tespit edilmiştir. Betimsel analizin temasını Millî Eğitim Bakanlığı tarafından yayımlanan “Değerler Eğitimi Yönergesi” oluşturmuştur. Çalışmanın sonucunda ilkokul 1, 2, 3 ve 4. sınıflar için ayrı ayrı hazırlanan bu kitapların, içerisinde birçok değeri barındırdığı görülmüştür. Bu değerlerden en çok yardımlaşma değerinin kullanıldığı, onu kültürel mirasa sahip çıkma ve sorumluluk değerlerinin takip ettiği saptanmıştır. Kitaplarda; iyimserlik, şefkat, empati, özgüven gibi değerlere ise yer verilmediği görülmüştür. Söz konusu kitapların değerler bakımından zenginleştirilebileceği ve sadece salgın dönemiyle sınırlı tutulmaması gerektiği düşünülmektedir.
Who Belongs, and How Far? Refugees and Bureaucrats Within the German Active Welfare State
Authors: Menke Katrin , Rumpel Andrea
Published: August 2022

Concepts such as “belonging” (Yuval‐Davis, 2011) and “community of value” (Anderson, 2013) try to capture the multiple ways of classifying migrants. In this article, we argue that belonging needs to be analyzed against the backdrop of active social citizenship in European welfare states. Although the literature acknowledges the increasing links between migration and social policies, the latest “turn to activation” in social policy has hardly been accounted for. By focusing on two policy fields in Germany, the labor market and health policies, we briefly describe discourses and social right entitlements and their ambivalences. Empirically we show (a) how bureaucrats within the two policy fields regulate and justify refugees’ social rights in practice and (b) how refugees act vis‐à‐vis relevant institutional opportunity structures. Our study contributes to previous research twofold: Firstly, we illustrate processes of positioning and selecting refugees that stem from recent social policy architecture. Secondly, we demonstrate everyday experiences from refugees’ vis‐á‐vis relevant institutional opportunity structures in Germany. Our results show that inconsistencies within and between social policy fields of one welfare state have to be taken into consideration for further national and transnational research.
Meta-worry, anxiety, and depression in the coronavirus 2019 (COVID-19) pandemic: Brazil, June 2020
Authors: Silva-Santos Luana Cristina , Carvalho Silva Maísa , Faro André
Published: August 2022

Introduction. Threats to mental health and psychological well-being have been considered among the most challenging dimensions to deal with the COVID-19 pandemic. Objective. To track the occurrence of significant anxiety and depression symptoms and the level of worry among residents in Brazil in June 2020. Method. The final sample totaled 4,805 participants from all Brazilian states. A sociodemographic and health questionnaire (with questions related to COVID-19), the translated versions of the Meta-Worry Questionnaire, and the 4-item Patient Health Questionnaire (PHQ-4) were used. Inferential analyses were computed using the Multinomial Logistic Regression (backward stepwise) in which the PHQ-4 findings were stratified into four categories: no symptoms, only anxiety symptoms, only depression symptoms, and both symptoms. Results. Research findings have shown that there are characteristics that predict greater exposure to significant symptoms of anxiety and depression (gender, age, and level of worry), with level of worry being the variable with the greatest impact on the model. Discussion and conclusion. These data found during the COVID-19 pandemic intra-crisis period allow for early prediction of the negative outcomes associated with the pandemic, such as common mental disorders, and allocating interventions to help people to rationally deal with the stress related to this moment, regulating their emotions, and improving their overall mental health.
Repercussions of the COVID-19 lockdown for autistic people in Mexico: The caregivers’ perspective
Authors: Pérez Liz Georgina , Torres Andy , Ramírez Ana C. , Montiel Nava Cecilia ,   Grupo REAL
Published: August 2022

Introduction. The COVID-19 lockdown has posed new challenges for individuals with autism spectrum disorder (ASD), including service suspension and reductions in support. Objective. To explore the perspectives of caregivers on the impact of the COVID-19 lockdown on people with ASD in Mexico. Method. 126 caregivers from Mexico completed a survey on the impact of lockdown on people with ASD. Results. Suspension of at least one service was reported for 38.9% of subjects, with no significant association being found between symptom worsening and service administration modality. Discussion and conclusion. Service suspension for people with ASD in Mexico has been a side effect of the pandemic, negatively impacting their behavior. Results indicate that certain services could be remotely maintained and provided to individuals with ASD in underserved areas.
Implications of the COVID-19 lockdown for the emotional well-being of the adult population in Mexico
Authors: Cervantes-Muñoz Consuelo , Mora-Ríos Jazmín , Saltijeral-Méndez Teresa , Ramos-Lira Luciana
Published: August 2022

Introduction. After several months of COVID-19 lockdown, addressing the implications related to the emotional distress and well-being of the population during confinement has become increasingly evident. Objective. To explore, through a lexicometric and content-based approach, the responses related to discomfort and emotional well-being during the first confinement due to the COVID-19 lockdown. Method. Subjects included 2,555 adults in Mexico, mainly women (78.3%), with an average age of 46. Data were drawn from an online survey published on social networks from June 3 to July 5, 2020. The open answers of the subjects about discomfort and emotional well-being during lockdown, together with suggestions to improve the handling of the pandemic, were analyzed using word frequency analysis (clouds) and thematic content analysis. Result. Findings highlighted the implications of lockdown, including loss of social interaction, teleworking and overexposure to the news, associated with discomfort. In turn, activities related to self-care, doing household repairs, and sharing activities with the family were linked to well-being. Discussion and conclusion. Findings show that time was a key factor to transition from well-being to boredom, where space and material resources played a preponderant role during confinement.
Politicizing self-advocacy: Disabled students navigating ableist expectations in postsecondary education
Authors: Woolf Emunah , De Bie Alise
Published: August 2022

The student self-advocacy literature commonly claims that although self-advocacy is a vital skill that disabled students require to succeed in postsecondary education, many of these students experience a significant ‘skills-deficit’ in this area. This paper seeks to intervene in this literature by proposing opportunities to ‘politicize’ self-advocacy and move away from its individual, deficit-focused approach. To do so, the paper reports findings from a qualitative study at a research-intensive Canadian university. Interviews with 11 disabled students revealed a perception that there is an institutionally endorsed ‘right way’ to self-advocate that included expectations to: (1) register for formal accommodations; (2) embody visible/physical disability; (3) perform less disabled; and (4) make others comfortable. Rooted in ableism, these harmful expectations adopt misconceptions of disability as predictable and visible, and burden students with demands that they make their self-advocacy convenient for those to whom they are self-advocating. As a form of resistance to these ableist expectations, students described their own ‘better way’ of negotiating self-advocacy and disability on campus. This ‘better way’ offers opportunities for ‘politicizing’ self-advocacy by recognizing ableism and the harms of the self-advocacy model, affirming disabled student knowledge and community, and enacting their visions for institutional change. Vital to this politicization is a move away from staff and nondisabled-led initiatives like self-advocacy training to address a perceived skills-deficit in individual students. Politicizing self-advocacy moves instead towards disabled students as full partners in conducting research and informing student services and staff training based on their collective lived expertise and strategic practices.
Características de las alteraciones cardiovasculares en niños con síndrome de Alagille
Authors: De Rubens Figueroa Jesús , Vázquez Priscilla , Montijo Barrios Ericka
Published: August 2022

ANTECEDENTES: El síndrome de Alagille es una enfermedad autosómica recesiva con mutación en los genes JAG 1 Y NOTCH 2, con manifestaciones en diferentes órganos y sistemas; uno de los más afectados es el corazón.OBJETIVO: Describir el tipo de afectación cardiovascular y su evolución en pacientes con síndrome de Alagille.MATERIAL Y MÉTODOS: Estudio observacional, retrospectivo y descriptivo consistente en la revisión de los expedientes de pacientes de 0 a 18 años con síndrome de Alagille atendidos en los últimos 10 años en el Instituto Nacional de Pediatría. Se analizaron la edad, género, peso, criterios diagnósticos de la enfermedad, tipo de cardiopatía, tratamiento de la cardiopatía y pronóstico. Para la edad y género se analizaron medias y proporciones y para las cardiopatías  porcentaje de frecuencias.RESULTADOS: Se encontraron 16 pacientes con síndrome de Alagille: 10 de sexo masculino y 6 del femenino. La edad al diagnóstico del síndrome tuvo una media de 21.5 meses y mediana de 13.5 meses. En 14 pacientes el diagnóstico se estableció con biopsia hepática y en 2 con 6 criterios clínicos diagnósticos. Todos cumplieron, por lo menos, con 3 criterios mayores. Los 3 criterios clínicos que coincidieron en los 16 pacientes fueron la colestasis, facies característica y la detención del peso y talla. Once (68%) pacientes cursaron con alteración cardiovascular.CONCLUSIONES: La estenosis de las ramas pulmonares es la alteración cardiovascular más frecuente encontrada en niños con síndrome de Alagille. En  pacientes con facies anormal, colestasis, detención del crecimiento y soplo cardiaco debe sospecharse el síndrome de Alagille con alteración cardiovascular. Los pacientes con estenosis periférica de las ramas pulmonares se asociaron con otras lesiones cardiacas.
Procedimientos diagnósticos para enfermedad hepática crónica: más allá del lactante
Authors: Zárate Mondragón Flora , Monge Urrea Fernanda , Imbett Yepez Sharon
Published: August 2022

La hepatopatía crónica es un síndrome clínico-patológico de causa diversa, con alteraciones clínicas, bioquímicas e histológicas del hígado, persistente durante tres meses o más. Se caracteriza por diversos grados de inflamación crónica o necrosis hepatocelular.Las enfermedades crónicas del hígado representan un desafío para el pediatra. La atresia de vías biliares y los síndromes hereditarios (colestasis intrahepática) que evolucionan a cirrosis, son las más frecuentes en los lactantes.La hepatopatía crónica, en pacientes pediátricos, con frecuencia se infradiagnostica porque es asintomática en estadios tempranos y distintas causas pueden tener un cuadro similar.
Dr. Carlos Robles Valdés: Una Sonrisa
Authors: Bustamante Nelly Altamirano
Published: August 2022

Nació el 4 de noviembre en la provincia mexicana, en donde pasó apenas unos cuantos años antes de que la familia se trasladara a la Ciudad de México en la que transcurrió su infancia y se graduó como médico. Hizo su residencia en Medicina Interna en el aquel entonces Instituto Nacional de Nutrición y su especialización en Endocrinología y Metabolismo en Dallas, Estados Unidos.
Taquicardia supraventricular en lactante con taquimiocardiopatía secundaria: a propósito de un caso
Authors: Martínez Sebastián Alicia , Mansilla Roig Beatriz
Published: August 2022

ANTECEDENTES: La taquicardia supraventricular es la arritmia más frecuente en pacientes pediátricos. Se reporta un caso clínico de taquicardia supraventricular en un lactante menor; se repasa el diagnóstico y la atención médica efectuada.CASO CLÍNICO: Lactante masculino, de 35 días de vida, que ingresó al Hospital Universitario Doctor Peset, Valencia, España, por rechazo de las tomas; se diagnosticó taquicardia supraventricular e insuficiencia cardiaca dilatada izquierda secundaria.CONCLUSIONES: La taquicardia supraventricular en pacientes pediátricos es una urgencia médica difícil de diagnosticar, por las manifestaciones clínicas inespecíficas en los lactantes menores. El pediatra debe actuar con la máxima premura y eficacia siguiendo los protocolos de actuación vigentes, reiterando que en ningún caso es conveniente demorar el tratamiento para evitar la posible evolución a insuficiencia cardiaca.PALABRAS CLAVE: taquicardia supraventricular, lactante, miocardiopatía
Torticolis muscular congenita
Authors: Osegueda Mayen Juan Rodrigo , Capuano Tripp Pola , Unda Haro Jose Pablo
Published: August 2022

El tortícolis muscular congénita es una deformidad postural del cuello que en general se hace evidente a las 2 o 4 semanas de edad. Se caracteriza por la movilidad limitada del cuello, así como asimetría facial, craneal y posición inclinada de la cabeza.
Probable displasia acromandibular de presentación temprana. Reporte de caso
Authors: Lombardo Aburto Esther , Rodríguez González Gerardo , Del Castillo Ruiz Victoria , Yokoyama Rebollar Emiy
Published: August 2022

ANTECEDENTES: La displasia acromandibular (MAD) es un desorden autosómico recesivo caracterizado por hipoplasia mandibular y clavicular, acroosteólisis y lipodistrofia. La MAD se clasifica en dos tipos: con fenotipos diferentes que dependen del gen mutado, ya sea LMNA o ZMPSTE24; cuando el fenotipo es de inicio temprano, el gen frecuentemente mutado es el gen ZMPSTE24, el cual se asocia al tipo B. Los principales diagnósticos diferenciales por considerar son los síndromes progeroides. Es necesario realizar estudio de exoma en búsqueda de mutaciones de ambos genes reportados, ya sea para confirmar el diagnóstico clínico o para descartarlo.CASO CLÍNICO: Femenino de 7 meses de edad con hipoplasia mandibular, lipodistrofia e hiperpigmentación, que sugiere el diagnóstico de displasia acromandibular de aparición temprana.CONCLUSIONES: Esta entidad requiere de un abordaje integral en un hospital de tercer nivel con seguimiento estrecho de pediatras, ya que las complicaciones en estos pacientes derivan en muerte prematura. Se deben conocer fenotipos progeroides para sospecharlos y diagnosticarlos.
CLINICAL EXPERIENCE OF LOCAL HYPOTHERMIA USAGE IN THE COMPREHENSIVE TREATMENT OF ORAL LICHEN PLANUS
Authors: Firsova Irina , Mikhalchenko Valerij , Fedotova Yulia , Krajnov Sergej , Popova Alexandra , Khvan Aleksandra
Published: August 2022

Subject. Lichen planus (LP) is one of the most common pathologies of the oral mucosa (OM). The optimization of LP treatment retains its relevance and significance. The methods of physiotherapy have proven themselves well, as an addition to basic treatment plan. Cryotherapy is of special interest to doctors, because this procedure can have analgesic, anti-inflammatory and reparative effects.

Objectives. To evaluate the dynamics of clinical scores of the oral mucosa state in patients with LP if used local hypothermia.

Methodology. 21 patients with bullous and erosive-ulcerative clinical forms of LP were examined and treated, who were prescribed comprehensive treatment, including local hypothermia (3 procedures). Examination and evaluation of the oral mucosa condition of patients were carried out before treatment, 3, 7 and 14 days after its start. A specially designed scoring system was used to study the timing of arresting of inflammation symptoms (pain, hyperemia, swelling) and the dynamics of the erosive lesions epithelialization. The intensity of the pain syndrome was assessed using a visual analogue scale (VAS).

Results. The positive dynamics was registered by the 3rd day of therapy: there was a significant decrease in hyperemia and swelling symptoms of the affected areas of the oral mucosa, compared with the scores registered before treatment (p < 0.05). The epithelialization of erosive lesions proceeded at a good speed, which was associated with the normalization of tissue microcirculation. Similar trends were noted at all follow-up periods: a statistically significant difference in these clinical indicators persisted throughout the entire treatment period (p < 0.05). Against the background of arresting of inflammation symptoms, the level of pain response of patients also decreased, up to the disappearance of pain by the 14th day of observation in 66.7% of patients.

Conclusions. The local hypothermia technique is a minimally invasive and painless procedure that is well tolerated by patients with oral lichen planus. Cryotherapy has demonstrated its high clinical efficiency, which allows expanding the indications for its usage in dental practice.
THE INFLUENCE OF DENTAL GEL AND GLYCINE ON THE PSYCHOLOGICAL AND DENTAL STATUS OF CADETS OF THE DEPARTMENTAL INSTITUTE IN THE DISORDER OF ADAPTIVE REACTIONS
Authors: Sitdikova Olesya
Published: August 2022

Dental diseases are a frequent manifestation of disorders of adaptive reactions, since the negative impact on the immune status of cadets is reflected in changes in the microflora of the oral cavity and periodontal [2, 5, 7, 9].

The goal is to improve the therapeutic and preventive measures of inflammatory periodontal diseases caused by a disorder of adaptive reactions in cadets of the departmental institute.

Matherials and methods. The group of the examined consisted of 171 people – cadets of 1–4 courses of the Ufa Law Institute of the Ministry of Internal Affairs of the Russian Federation in the Republic of Bashkortostan, aged 18–23 years. The study consisted of psychological testing, determination of the state of their vegetative reactions and cortisol content in saliva, molecular genetic determination of the composition of frequently occurring periodontopathogenic bacteria of the dentoalveolar furrow and enzyme immunoassay of the content of cytokines in the oral fluid of proinflammatory, cellular regulatory and immunosuppressive action.

Results. The antimicrobial effect of the course application of supravival applications of dental gel Phagodent, together with Glycine, is manifested by a decrease in the frequency of detection of periodontal pathogenic bacteria - Tanerella forsythia and Aggregatibacter actinomycetemcomitans in persons with periodontal diseases not associated with a disorder of adaptive reactions. The use of supramural applications of dental gel is accompanied by a significant decrease in the level of IL-4, IL-12, IL-1ß, TFR-β in the oral fluid of persons with a disorder of adaptive reactions and periodontal inflammation.

Conclusion. After the use of dental gel Phagodent and Glycine, there was a 4-fold decrease in the possibility of recurrence of periodontal diseases, the frequency of detection of Aggregatibacter actinomycetemcomitans in the microflora of the dental sulcus decreased by 66% of the frequency and Tannerella forsythia – by 30%, a decrease in the levels of IL-4, IL-12, IL-1ß, TFR-β in the oral fluid in the group with disorder of adaptive reactions and periodontal inflammation, as well as IL-10, TNF-α and IL-1β in the group without disorder, but with periodontal inflammation.
COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY DATA IN PATIENTS WITH INTRAARTICULAR PATHOLOGY OF THE TEMPOROMANDIBULAR JOINT WITH THE PRESENCE AND ABSENCE OF FACIAL ASYMMETRY
Authors: Voronina Ekaterina
Published: August 2022

Introduction. Diseases of the temporomandibular joint are an acute problem for the entire dental community, so they are widely studied by various authors both in our country and abroad. This is due to the high prevalence both among patients at the dental reception (78.3–95.3%), and in the general population — up to 80% of the able-bodied population.

The presence of a certain forced position of the lower jaw, in the case of a compensated state of pathology of the temporomandibular joint, during total dental treatment, can lead to a sharp decompensation of the disorders of the temporomandibular joint and the appearance of patient complaints.

The purpose of the study is to identify predisposing factors for the formation of intraarticular pathology of the temporomandibular joint, which can be assessed by available diagnostic methods.

Materials and methods. The object of the study was 80 patients (18 men and 62 women) aged 18 to 67 years, the average age is (45.7 ± 0.5) years: with functional disorders of the TMJ, lateral displacement of the lower jaw, condition after resection of the upper jaw and planned orthopedic and orthodontic patients without signs of intraarticular pathology of the temporomandibular joint.

Research results. Based on the data of digital radiological diagnostic methods, the features of the relationship between the intraarticular structures of the temporomandibular joint in patients with lateral displacement of the lower jaw in comparison with people without the manifestation of intraarticular pathology were studied, a narrowing of the middle and distal articular gaps to (2.14 ± 0.20) and (1.74 ± 0.25) mm, respectively (norm indicators — (2.89 ± 0.30) and (2.17 ± 0.25) mm, respectively).

Findings. The cone beam computed tomography (CBCT) format 17×20 in the usual bite can be used in a much wider range of diagnostics than the CBCT of the TMJ region, or CBCT of the dentition.
THE ROLE OF ORAL MICROBIOCENOSIS DISORDERS IN THE FORMATION OF SOMATIC AND DENTAL PATHOLOGY
Authors: Gurina Anna , Nagaeva Marina , Zaitseva Maria , Lebedev Aleksey , Kuratova Luiza
Published: August 2022

A review of the literature devoted to an urgent topic in dentistry – the role of violations of the microbiocenosis of the oral cavity in the formation of somatic and dental pathology. Interactions with the microbiota lay the most important aspects of normal physiology, metabolism and human immunity.

The aim of the study is to review the modern scientific literature (for the period from 2016 to the present), highlighting the role of violations of the microbiocenosis of the oral cavity in the formation of oral-systemic communication, somatic and dental pathology.

Methodology. The data of special literature were studied using scientific search library databases: PubMed Central, Elibrary. The search for original scientific publications was carried out by keywords. This review includes an analysis of 59 scientific sources.

Results and conclusions. This literature review systematizes modern scientific data on the relationship between the violation of the microbiota of the oral cavity and the formation of a diverse somatic and dental pathology, parallels are drawn between individual microbial agents and associations and specific diseases. The review also presents up-to-date data on the study of the features of the course of SARS-CoV-2 infection, including in the aspect of the importance of the oral microbiota during coinfection. The review allowed us to identify a number of common mechanisms in the development of microbiota-induced pathological processes, to substantiate the practical significance of the problem, which is associated with the need to take into account the nature of the oral microbiota, its possible violations in the diagnosis, treatment, prevention of dental and systemic diseases. The prospects for further research are formulated, which can be the basis for predicting the risk of individual dental and systemic diseases.
INFLUENCE OF DISTANCE EDUCATION ON THE PSYCHO-EMOTIONAL STATE IN THE PROCESS OF TRAINING STUDENTS OF THE DENTAL FACULTY FGBOU VO "PIMU" OF THE MINISTRY OF HEALTH OF RUSSIA
Authors: Goryacheva Inna , Saakyan Mikhail , Zakharova Eugenia , Plishkina Anna , Belova Tat'yana
Published: August 2022

Subject. In modern conditions, the relevance of introducing information and communication technologies into the system of Russian education does not decrease, the number of educational institutions that supplement traditional forms of education with distance learning technologies is growing. Distance learning is an educational process using technologies that provide communication between students and teachers at a distance, without direct contact. It has both advantages and disadvantages, one of which is a negative impact on the psycho-emotional state of students.

The aim – to study the influence of distance education on the psycho-emotional state of students of an educational institution of higher education in the medical field.

Methodology. A survey was conducted among students of the Federal State Budgetary Educational Institution of Higher Education "Privolzhsky Research Medical University" of the Ministry of Health of the Russian Federation in the conditions of informatization: 83 people studying at the Faculty of International Medical Education in English from 1 to 5 courses and 133 people studying in Russian 4–5 courses of the Faculty of Dentistry. To determine the level of self-esteem, we used the method "Self-assessment of emotional states" – a questionnaire developed by American psychologists A. Wessman and D. Ricks.

Research results. Analysis of the results allows us to conclude that students of the 1st and 5th courses in the majority assess their psycho-emotional state at the average and low levels. There is a decrease in mental performance, a slowdown in intellectual development, an increase in the level of anxiety.

Conclusions. According to the results of our study, we came to the conclusion that students in distance education become emotionally vulnerable and painfully endure criticism, they need psychological support.
PREDICTION OF CONSUMER ACTIONS IN THE IMPROPER PROVISION OF DENTAL SERVICES
Authors: Sadovskiy Vladimir , Kupryahin Vyacheslav , Sergeev Vladimir
Published: August 2022

Subject. Settlement of disputes between consumers and providers of dental services related to their inadequate quality is a complex multifactorial problem. The successful solution of this problem can be helped by a predictive algorithm of consumer actions, built taking into account three important factors: 1) the time for making a decision about the nature of consumer actions; 2) the leading motive of the consumer when he decides on the nature of his actions; 3) the most likely options for the consumer to protect their rights in a dispute related to the improper provision of dental services.
Goal. Formulation of proposals for the effective settlement of disputes between medical organizations and citizens based on a predictive algorithm for consumer actions in case of improper provision of dental services.
Methodology. The actions of patients in resolving a dispute related to the improper provision of dental services were studied; the methods of questioning, variational statistics are applied in the work.
Results. A statistically significant difference was found in the responses of patients and dentists about the factors in the settling of disputes associated with the improper provision of dental services. In this regard, two predictive algorithms for consumer actions are presented. The first corresponds to the patient's real intellectual and volitional representations. The second reflects the view of doctors, which does not match them.
Findings. Dentists should strive to effectively resolve the dispute related to the improper provision of services within 2–3 days (during the balance of the patient's emotional and rational moments of consciousness). The leading motive of the consumer is to receive compensation for the harm caused to health and compensation for moral damage, therefore, in order to effectively resolve the dispute, it is important to focus on agreeing on an adequate amount of the corresponding compensation. Doctors in the course of direct negotiations with the patient should ensure accessibility to any format of communication, including the use of modern information and communication technologies.
DENTAL QUALITY OF LIFE SCORE OHIP-49-RU IN PATIENTS WITH LABORATORY-CONFIRMED SARS-COV-2 DIAGNOSIS
Authors: Nasibullina Alisa , Kabirova Milyausha , Kabirov Il'dar , Valishin Damir
Published: August 2022

To date, there is a limited amount of literature that describes the dental quality of life measures on the OHIP-49-RU scale in patients with a confirmed diagnosis of SARS-CoV-2. Therefore, this topic is relevant. Thus, the aim of this study was to study the dental quality of life indicators according to the OHIP-49-RU scale in patients with a confirmed diagnosis of SARS-CoV-2 of moderate severity, with concomitant oral co-infection.

Materials and methods: a comparative analysis of quality of life indicators according to the OHIP-49-RU scale was carried out in patients with a confirmed diagnosis of SARS-CoV-2. The conclusions are drawn based on the results of the survey, in which a comparative assessment of quality of life indicators on the OHIP-49-RU scale was carried out in 90 patients aged 45 to 60 years with moderate Sars-CoV-2 with oral co-infection.

Results. During the study, the following results were obtained. An analysis of the effectiveness of the use of therapeutic and prophylactic agents in patients with SARS-CoV-2 showed that the use of a 0.05% solution of chlorhexidine bigluconate in patients with Sars-CoV-2 with concomitant oral co-infection has a more pronounced antimicrobial effect, which helps to reduce the intensity of inflammatory process in the oral mucosa and periodontal tissues, improving the quality of life than with the use of Miramistin and Rotokan.

Findings. The data of the conducted study will constitute an important stage for improving the quality of life in patients with SARS-CoV-2.
COVID-19 en México: afectaciones emocionales, económicas y laborales durante el confinamiento
Authors: Villavicencio-Ayub Erika , García Meraz Melissa , Valero Aguilar Cecilia
Published: August 2022

Con el objetivo de evaluar las afectaciones derivadas del confinamiento por la enfermedad conocida como COVID-19 se utilizaron dos escalas constituidas por cinco dimensiones cada una: la escala de apoyo organizacional y teletrabajo, y la segunda sobre las consecuencias derivadas del confinamiento. 5,528 trabajadores de la República mexicana contestaron la encuesta en línea (45.9% mujeres y 54.1% hombres). Los resultados indicaron ajustes adecuados a ambas escalas: la primera con una χ2(109) = 3008.970 p < .000, CFI =.94; RMSEA = .075; SRMR=.054 y la segunda con una χ2(142) = 2367.49, p < .000, CFI =.95; RMSEA = .071; SRMR=.052. Los análisis mostraron que el teletrabajo está predicho por la comunicación laboral, el liderazgo, el apoyo organizacional y la preocupación de manera positiva mientras que, la desmotivación laboral y la afectación emocional la predicen de manera negativa. Los resultados son discutidos en términos de las implicaciones del teletrabajo durante el confinamiento y la vida laboral en México.
Mediaciones parentales y uso de las TIC. Una revisión narrativa
Authors: Moreno Carmona Norman Darío , Marín-Cortés Andrés , Cano Bedoya Víctor Hugo , Jaramillo Suárez Angela María , Ossa Ossa Julio César
Published: August 2022

El objetivo de este artículo es analizar las investigaciones publicadas en los últimos diez años sobre mediación parental respecto al uso que hacen los niños, las niñas y las adolescentes de las TIC. Se realizó una revisión narrativa de los artículos publicados en revistas científicas indexadas en seis bases de datos académicas. Como resultado del análisis de los artículos se construyeron cuatro categorías: 1) Conocimientos y percepciones de los padres sobre Internet; 2) Papel de los padres en el uso de Internet por parte de niños, niñas y adolescentes; 3) Otras mediaciones y autocontrol en el uso de Internet; y 4) Prácticas parentales más allá del uso de las TIC. Las conclusiones están relacionadas con el acelerado proceso de penetración de Internet, el cual no se ve reflejado en mediaciones efectivas y preventivas respecto a posibles riesgos que los niños y niñas puedan encontrar en los entornos digitales.
Resiliencia comunitaria a través de la conformación de comunidades protectoras con personas privadas de la libertad
Authors: Burbano Garzón Ana María , Hernández Caicedo María Fernanda , Figueroa Peña María Fernanda
Published: August 2022

El objetivo del estudio fue promover la resiliencia comunitaria a través de la conformación de comunidades protectoras con personas privadas de la libertad en una Institución Penitenciaria de la ciudad de Pasto, Colombia. La investigación se realizó a partir del paradigma cualitativo, con enfoque histórico hermenéutico a través de la etnografía crítica, participaron 15 personas privadas de la libertad. La resiliencia comunitaria se enfocó en el fortalecimiento de factores protectores presentes en la comunidad, a través de la conformación de comunidades protectoras como el escenario que orienta a los sujetos a vivenciar la experiencia de privación de la libertad como una oportunidad de adaptación, aprendizaje y resignificación. Los resultados evidenciaron la relación subyacente entre la resiliencia comunitaria, salud mental y la resocialización (objetivo principal de la privación de la libertad), permitiendo cambios en las dinámicas cotidianas, interrelación con otros sujetos y reflexión respecto al proyecto de vida
Escala de buen trato en la relación de pareja: desarrollo y validación
Authors: Calderón Pérez Yanning Guadalupe , Rivera Aragón Sofía , Reyes Lagunes Isabel , Flores Galaz Mirta Margarita , Acuña Morales Laura de los Ángeles , Romero Palencia Angélica
Published: August 2022

El buen trato se refiere a la capacidad de las personas para cuidarse mutuamente. La investigación sobre el buen trato se ha centrado en ámbitos sociales, de la salud y educativos. Sin embargo, no se ha explorado en el caso de la pareja. El propósito del estudio fue desarrollar una escala para medir el buen trato en la relación de pareja de hombres y mujeres de la Ciudad de México y área metropolitana. Se realizó un estudio instrumental donde participaron 800 personas. Se obtuvo la validez de constructo a partir de un análisis factorial exploratorio. La escala de buen trato en la relación de pareja quedó conformada por cuatro subescalas: significado (alpha = .95), razones (alpha = .95), consecuencias (alpha = .97) y estrategias (alpha = .95). Se concluyó que el buen trato en la pareja en México se vincula con la expresión de afecto, respeto y procuración del otro.