bluuebunny/crossref_metadata_2025 huggingface dataset:
Tendencias de investigación en torno al cuidado espiritual de enfermería: Revisión de la literatura
Authors: Vargas-Escobar Lina María , Guarnizo-Tole Mildred , Tovar-Pardo María Fernanda , Rojas-Pérez Claudia Marcela
Published: December 2019

Introducción. El cuidado espiritual es un área que cada vez cobra mayor relevancia en la práctica de enfermería ante situaciones de salud que generan cambios en la perspectiva de vida y donde la trascendencia y la atención integral son fundamentales. Objetivo. Identificar las tendencias de investigación en torno al cuidado espiritual de enfermería en el periodo comprendido entre 2008-2018. Materiales y métodos. Es una revisión de la literatura, cuya ruta metodológica contempló cuatro fases (búsqueda e identificación, filtro, elegibilidad y exclusión e inclusión). Las unidades de análisis correspondieron a los artículos de estudios cuantitativos, cualitativos y mixtos de 34 artículos que fueron publicados en las bases de datos PubMed, Science Direct, ProQuest y ClinicalKey Nursing. Para la elaboración del artículo y corroboración de la calidad de la presente revisión, se realizó la comprobación de los aspectos propuestos en la declaración PRISMA. Resultados. Emergieron cinco ejes temáticos de la revisión: educación y formación en el cuidado espiritual de enfermería, características de los escenarios y las intervenciones de cuidado espiritual, conceptualización de la dimensión espiritual, participantes en el cuidado espiritual, medición de la espiritualidad y del cuidado espiritual. Conclusiones. Las tendencias identificadas indican que el cuidado de la dimensión espiritual es de gran importancia en el ámbito de la salud y de la enfermería. A la vez, estos resultados son un punto de referencia a nivel latinoamericano e instan a que el conocimiento y formación académica en el área de interés, sea dada desde el pregrado y posgrado, con un impacto en la mejora del cuidado de enfermería desde la disciplina.
Autoexamen de seno: conocimientos, actitudes y prácticas en mujeres de una institución de educación superior
Authors: Mesa-Gutierrez Daniela , Velandia-Gonzalez Diana , Quemba-Mesa Monica
Published: December 2019

Introducción. Según la Organización Mundial de la Salud, el cáncer de seno es el segundo más común en el mundo, con un estimado de 1,67 millones de casos nuevos diagnosticados en 2012, lo que equivale al 25 % de todos los cánceres. Objetivo. Identificar los conocimientos, actitudes y prácticas frente al autoexamen de seno en mujeres de una institución de educación superior, durante el segundo semestre de 2017. Materiales y métodos. Se llevó a cabo un estudio de enfoque cuantitativo, de tipo descriptivo y transversal en una población 1125 estudiantes de sexo femenino. Su duración fue de un año y se contó con una muestra de 287 participantes de una institución de educación superior. La información se recolectó mediante una encuesta para evaluar los conocimientos, actitudes y prácticas del autoexamen de seno. Resultados. El 40,7 % de la población estudiada sí se practica el autoexamen de seno, 72,03 % con una frecuencia adecuada y 38,13 % en la etapa sugerida del ciclo menstrual. Conclusión. La mayor parte de la población no se practica el autoexamen, además, existe poca claridad sobre la frecuencia y el momento en que se debe hacer
Percepción de los usuarios frente a la calidad de atención en salud del servicio de consulta externa según el modelo SERVQUAL
Authors: Boada-Niño Angélica Viviana , Barbosa-López Adriana Mayeth , Cobo-Mejía Elisa Andrea
Published: December 2019

Introducción. La atención en salud se mide en términos de calidad, efectividad, eficiencia y eficacia, a través de la satisfacción por parte de los usuarios. Objetivo. Determinar la percepción de la calidad de atención en salud de consulta externa en una Institución Prestadora de Servicios de Salud-IPS, en el primer semestre del año 2018. Método. Estudio de tipo descriptivo, con diseño transversal, donde se aplica el modelo SERVQUAL que evalúa cinco dimensiones: elementos tangibles, fiabilidad, capacidad de respuesta, seguridad y empatía; con una muestra de 282 usuarios. Resultados. Se obtuvo un promedio de 3,4711 en expectativas, 3,5140 para percepciones y 3,50 general, que equivale a un 70%, lo que significa satisfecho; a la vez, no se da asociación entre la percepción y las características sociodemográficas. Conclusiones. Es importante que generar estrategias organizacionales que permitan la mejora continua en cuanto a la estructura física de las instalaciones, insumos, equipos, personal, señalización, limpieza, comodidad, entre otras, al momento de prestar los servicios de salud.
A leitura literária dos determinantes presentes na obra "A metamorfose" de Kafka
Authors: Galvão Rosangela Miola , Franco Sandra Aparecida Pires
Published: December 2019

Esta pesquisa buscou contribuir com a Leitura Literária da obra A metamorfose de Franz Kafka no que concerne ao desvelamento dos determinantes presentes no discurso do autor. Nota-se que grande parte dos leitores realiza uma leitura superficial das obras literárias, ato que prejudica o entendimento da obra como um todo, por isto a importância deste tipo de pesquisa para a área da Educação. A base teórica para a análise foi o Materialismo Histórico e Dialético. A metodologia consistiu na observação de frases dentro do texto e a relação que as mesmas possuem com os determinantes do discurso, assim como a influência desses na totalidade de compreensão da obra. A obra A metamorfose representa um marco referencial na Literatura ao questionar a submissão do ser humano ao capital, que interfere diretamente nas relações sociais.
Pedagogia decolonial como suporte de desconstrução dos argumentos da “Escola sem Partido”
Authors: Pereira Alexandre Adalberto , Pontes Costa Antonio Mateus
Published: December 2019

Este ensaio apresenta discussão sobre o projeto de lei “Escola Sem Partido”, que propaga ideários conservadores e censura do trabalho docente. Indicamos que o projeto, sub-repticiamente, disfarça-se para adentrar na escola por meio de discursos de neutralidade e imparcialidade. O texto apresentado é de revisão bibliográfica e objetiva compreender de que modo a união de uma política conservadora com um sistema opressor transforma a escola em uma fábrica de massa acrítica. Partimos da seguinte arguição: de que modo o casamento mercado/escola/ideais conservadores promove o silenciamento de professores comprometidos com a criticidade e a problematização de questões que giram em torno do capitalismo. Ao final, apresentamos a proposta decolonial como ferramenta contra hegemônica para a superação de políticas tradicionais. Concluímos que a relação entre a “Escola Sem Partido” e o sistema capitalista é uma forma para impedir que a educação se torne um campo crítico e problematizador.
Looking into the nurses’ views regarding implementation of Evidence-Based Nursing in clinical practice
Authors: Papadopoulou Efrosini , Kamba Evridiki , Stavropoulou Areti , Kelesi Martha
Published: December 2019

Introduction: Although there are plenty of guidelines and protocols for clinical practice, the implementation, by healthcare professionals, of evidence-based practice (EBP) is not quite widespread in clinical practice. Evidence-based practice is related with improved patient outcomes and cost-effective care.
The purpose of this study was to investigate the nurses’s views regarding the implementation of EBP in clinical practice.
Methods: This is a systematic review. The literature review was conducted in Pubmed database with specific key-words and it consisted of last five years publications in English or Greek language. Initially 417 articles were found, of which ten, full text, clinical and multicentered studies, meta-analysis and comparison studies were finally selected.
Results: Almost half of the nurses knew about EBP, had a positive attitude, and were keen to increasing their knowledge to follow the new trends in clinical practice. Nurses are less familiar with EBP, but argued that it is useful in clinical practice eventhough they lack the knowledge to implement it. Although most nurses knew what EBP was, they were less confident about their own knowledge and skills required. EBP needing advanced scientific knowledge and skills have been less frequently implemented. Lack of time, lack of skills required to search for information, processing and implementation of information, lack of administrative support and the lack of recognition of nursing profession were found to be the main obstacles in applying EBP in clinical practice. Younger nurses, those with a higher level of education, who held an administrative position and a full-time job had stronger views regarding the extent to which clinical nursing practice can be based on EBP.
Conclusions: All nurses need to be properly educated and trained in order to be able to evaluate research and apply evidence-based changes in clinical practice. The introduction of evidence-based practice into nursing curricula, as well as its systematic integration into everyday clinical practice, will greatly enhance nurses' conviction.
Podstawowe błędy i problemy w zastosowaniu analizy SWOT w budowie strategii rozwoju turystyki w gminie
Authors: Żemła Michał
Published: December 2019

Analiza SWOT należy do najpopularniejszych i najczęściej wykorzystywanych narzędzi analizy strategicznej stosowanych w przygotowywaniu rozmaitych dokumentów, począwszy od biznesplanów, aż po różnorodne plany i strategie. Narzędzie to zyskało także znaczną popularność wśród jednostek samorządu terytorialnego przygotowujących swoje dokumenty strategiczne, w tym strategie rozwoju turystyki. W artykule stawiana jest hipoteza, że rozpowszechnionych zostało kilka istotnych błędów w prowadzeniu analizy SWOT. Powszechność tych błędów może wynikać ze znacznej popularności i czasem nadużywania tej metody, prowadzących do jej spłycenia. Te błędy to: zła interpretacja pojęcia „szanse”; brak refleksji nad znaczeniem wskazanych sił, słabości, szans i zagrożeń; brak obiektywizmu i nadmierny optymizm poszczególnych stwierdzeń; brak szerszego uzasadnienia dla wskazanych sił, słabości, szans i zagrożeń. Ponieważ stawiana hipoteza zakłada jedynie fakt, że wskazane błędy bywają popełniane, a nie że ich popełnianie stało się normą, dlatego wystarczającą metodą jej weryfikacji jest wskazanie ich występowania w analizowanych 10 przypadkowo wybranych strategiach rozwoju turystyki gmin w Polsce. Strategie zostały wybrane poprzez wpisanie do wyszukiwarki bing.com frazy „strategia rozwoju turystyki w gminie” i wybór pierwszych dziesięciu rekordów z wyników wyszukiwania.
Oddziaływanie specjalnej strefy ekonomicznej Euro-Park Mielec na rozwój przemysłu
Authors: Pitera Rafał
Published: December 2019

Artykuł przybliża problematykę związaną z występowaniem specjalnych stref ekonomicznych na terytorium Polski. Przedstawiono ją na przykładzie najstarszej specjalnej strefy ekonomicznej (SSE) w Mielcu – jej historii, rozwoju oraz najważniejszych inwestorów. Omówiona została kwestia związana z rozwojem przemysłu i usług na terenach strefy. Poruszana tematyka jest istotna z tego punktu widzenia, iż często podkreśla się wpływ specjalnych stref ekonomicznych na rozwój gospodarczy regionów, w których zostały zlokalizowane. Jednocześnie można odnaleźć liczne opracowania i analizy przedstawiające odmienne stanowisko, mówiące o niskim wpływie takich obszarów na rozwój uprzemysłowienia danego regionu. Z przeprowadzonej analizy danych ekonomicznych od początku występowania strefy w Mielcu do końca roku 2016 otrzymano wnioski o pozytywnym wpływie SSE na rozwój terenów strefy. Wartym podkreślenia jest fakt, że wpływ ten jest istotny, to znaczy w sposób znaczący strefa wpływa na rozwój przemysłu oraz usług powiązanych z otoczeniem, zarówno na jej terenie, jak i poza nim. Jednak działalność strefy wiąże się także z negatywnym oddziaływaniem na środowisko naturalne. Uciążliwość podstrefy w Mielcu stanowi przykład niepożądanych skutków związanych z występowaniem strefy przemysłowej na danym terenie.
Foreign Enterprises in the Siberian Economy
Authors: Sysoeva Natalia
Published: December 2019

The purpose of the article is to identify the spatial character of foreign investment in Siberia where a considerable part of Russian export goods is produced for the markets of Europe and the Asia-Pacific region. A microeconomic approach was used, and the types and activities of enterprises with foreign capital were analysed. The main features were presented: the predominance of offshore investments, officially identified as foreign investment in the basic industries; increase in the share of investment into the mining industry and increasing dependence on China when moving east; high level of individual’s investment in services with fast capital turnover and minimal capital costs which forms a specific survival environment in the border areas with Mongolia and China. Three patterns of foreign investment in the Siberia are identified – western, central and eastern. The western pattern is characterised by a diversity of donor countries and investment in processing industries, the central one is based on the offshore capital in energy and semi-product industries, and in the eastern pattern investment into mining and logging prevails. The last type of investment is not receptive to innovations and new technologies, conserves and deepens the resource specialisation of industry for Asian markets of raw materials.
Colombia Médica is now indexed in MEDLINE/Pubmed: A dream come true
Authors: Leon-Sarmiento Fidias E.
Published: December 2019

It was said some years ago that «the shortest line in science, as well as in love, is not the straight one»1. This turned out to be true for Acta Médica del Valle, a scientific journal launched in Cali, Colombia in 1970, when Rodrigo Guerrero et al., dreamt of having a periodical to disseminate medical information - primarily in southwestern Colombia. Moreover, Jorge Lega Siccar, president of this journal's first editorial committee, envisioned that manuscripts coming from the «whole republic», as well as from overseas, would arrive at the editorial office of the newly born scientific journal. And they accomplished it. Then, Francisco Falabella et al., who took the lead from 1973 until 1998, dreamt of increasing the journal's impact and reputation throughout Colombia. Thus, in 1980, the Journal's name was changed to Colombia Médica, and hundreds of high-quality manuscripts were published in paper form only, an uninterrupted journey lasting 25 years - from 1970 to 1995, and always supported by Universidad del Valle also located in Cali. During this time, Colombia Médica disseminated important and groundbreaking research. For example, in 1981, Zaninovic et al., published on a disease prevalent in southwestern Colombia, charac­terized by spastic paraparesis, a disorder later associated with a number of environmental cofactors2. This research attracted the attention of the World Health Organization to this medical problem. Also, among the dreams of this editorial group was to set up an electronic edition of Colombia Médica, which was posted on the web page: http://colombiamedica. univalle.edu.co in 1995. And this was accomplished!
The role of environmental epidemiology in its disciplinary development
Authors: Méndez Paz Fabián
Published: December 2019

Introduction: Despite past contributions to health sciences, epidemiology has not extensively developed particular theories to help provide, as has been requested, the scientific bases for the public health practice. However, when environmental epidemiology studies and intervenes environmental and health problems, it has needed the rethinking of its discipline tasks, along with its sense and perspectives. Objectives: This paper arises from the practice of environmental epidemiology and seeks to justify how the practice of epidemiology can contribute to develop disciplinary thinking.Conclusions: Issues to be developed in epidemiology are: focus on exposures, interdisciplinary work, investigation of systemic roots of problems and their consequences, integration of community points of view in research, connection of health problems to related economic and policy processes, and make visible the inequity problems.
Prevalence of school desertion during teenage pregnancy from public schools in Valle del Cauca, 2006
Authors: Osorio Iván , Hernández Mauricio
Published: December 2019

Background: In this study, based on the educational institution, we investigated the relationship between teen pregnancy and school dropout rates and how this influenced the school grade and age of pregnant women as a risk of truancy. Materials and methods: A voluntary survey was carried out in 180 public education institutions from the Department of Valle del Cauca, corresponding to a total of 112,470 female students, finding 605 pregnant women. From these, 564 were interviewed by a psychology professional at the beginning of the academic period, and monitored throughout the school year, identifying the school dropouts in this group. Results: We found that 24.6% of pregnant teenagers attending school dropped out during the academic period (8 times higher than the expected dropout rate in females). By analyzing the information, it was found that pregnant school girls between 16 and 18 years of age dropped out significantly less (p value = 0.011
Sexual behavior and erotism in university students, Cali, Colombia
Authors: Arias Liliana , Vásquez Martha Lucía , Dueñas Eliana Patricia , García Lina María , Tejada Elsa Lucía
Published: December 2019

Aim: To identify the main components related to the thoughts and erotic practices of students at Universidad del Valle, San Fernando Campus. Method: A descriptive study was conducted during 2008-2009 to evaluate the students´ necessities on sexual and reproductive health (SRH) in two faculties in a public university in Valle del Cauca, Colombia. A total of 1120 students were evaluated. Results: An information technology system was designed for this study. Six hundred and ninety five (62%) of the subjects were women with an average age of 20 years, mostly coming from underprivileged economic backgrounds. The average age for the beginning of sexual intercourse was 16 without differences by educational level. Fifty percent had their first intercourse before their final adolescence, 42.3% have had 2 to 5 sexual partners. Women enjoy sex with less frequency than men (p=0.022). Men have higher frequency of sexual intercourse outside of the couple than women (p=0.001). Conclusions: Men adopted risk behaviors in erotic practices such as more sexual couples, high frequency of unfaithfulness. Men report more pleasure in their erotic practices.
Identification of factors related to attempted suicide in children and adolescents from the application of the nursing care process
Authors: Piedrahita Laura Elvira , García María Angélica , Mesa Johana Sirley , Rosero Ingrid Stivalis
Published: December 2019

Objective: To identify the factors related to attempted suicide in a group of children and adolescents hospitalized in the Mental Health Unit at the «Evaristo Garcia» Hospital Universitario del Valle and in their family groups.Materials and methods: Exploratory-descriptive research. An assessment was used according to Marjory Gordon's functional health patterns. Sixteen minors and 14 of their parents or legal guardians were surveyed.Findings: Protective factors were identified, especially in values and beliefs and role-relationship patterns, and risk factors in patterns of the health management perception and tolerance-confrontation to stress. In addition, changes in patterns were observed: metabolic nutritional, activity-exercise, and sleep-rest.Conclusion: The risk factors identified, as well as the presence of a triggering event and the availability of a suicide method increase the risk suicide attempt in children and adolescents. The application of the nursing care process facilitated obtaining information and identifying risk factors related to attempted suicide becoming a tool of the discipline, which contributes to systematization and nursing research.
Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. Diagnostic and therapeutic approach of a rare disease
Authors: Muñoz María del Mar , Noguero Rosario , Martín Silvia
Published: December 2019

Introduction: The Mayer-Rokitansky-Küster-Hauser syndrome is characterized by the absence of the vagina and uterus and primary amenorrhea.Objective: The diagnostic evaluation and the therapeutic possibilities of a rare syndrome.Materials and methods: We present a case of a Rokitansky syndrome.Results: The patient presented normal development of secondary sexual characters. Analysis also showed normal hormonal function behavior along with a 46, XX karyotype. Magnetic resonance imaging revealed uterine agenesis and treatment was delayed until the patient and her family understood the diagnosis.Conclusions: The diagnostic suspicion is the milestone to manage this disease. Physical exploration, hormonal function, and radiological studies must confirm this syndrome. Laparoscopy is the approach of choice.
Proprioceptive neuromuscular facilitation (PNF) and its impact on vascular function
Authors: Escobar-Hurtado Célia , Ramírez-Vélez Robinson
Published: December 2019

Recent studies of intervention in sedentary subjects, or those with neurological lesions, suggest that increased motor activity (exercise/physical activity), performed at moderate intensities and habitually, could have beneficial effects on the vascular function. However, the physiological effects of interventions conducted with facilitating techniques of the motor activity, such as Kabat's proprioceptive neuromuscular facilitation techniques (PNF) on vascular function are unknown, even though such physiological effects are proposed in said postulates. This report presents the usefulness of  PNF on vascular function in three healthy volunteers. The patterns of Kabat's PNF increase, just like the models or contractile isotonic activity proposed in this test, the tension of vascular friction, which relates to better vascular function.
Why mandible distraction on neonates with sleep apnea? 47 cases
Authors: Caycedo Diego José
Published: December 2019

The presentation, etiology, and treatment of obstructive sleep apnea/obstructive hypoventilation on neonates are different than on adults; it is considered sleep apnea as one episode per hour for more than 10 seconds, with saturation lower than 87% and increased CO2. Anatomical and neurofunctional factors are the cause of upper respiratory alterations that produce lack of coordination in the forces that contract and dilate the airways; retro-micrognathia as an anatomical cause can be isolated or syndrome. Hypoxemia and hypercapnia increase intra-thoracic negative pressure with cellular damage as a consequence without being able to quantify the brain injury in the neonatal stage. This descriptive observational study of a series of cases carried out between 2000 and 2011, in 47 neonatal patients from the intensive care unit for neonates in Hospital Universitario del Valle and Imbanaco Medical Center in Cali, Colombia, presenting retro-micrognathia and obstructive apnea or obstructive hypoventilation. These were surgically intervened with the partial fracture of mandibular distraction and elongation shows that the obstructive apnea disappears within a week, compared to previous treatments in newborns with this diagnosis. Clinical improvement is evident and avoids tracheotomy and possible complications by hypoxia, lowering hospitalization time.
Polymerase Chain Reaction for detection of Streptococcus mutans and Streptococcus sobrinus in dental plaque of children from Cartagena, Colombia
Authors: Carmona Luis Eduardo , Reyes Niradiz , González Farith
Published: December 2019

Objectives: To detect the presence of Streptococcus mutans and Streptococcus sobrinus in dental plaque of children from Cartagena and correlate it to dental caries precavity stages, applying a standardized PCR-based technique for epidemiological purposes.Methods: Descriptive study using a non-probabilistic sample of 50 children between 3 and 5 years of age, preschoolers from a Caribbean population in Colombia. Criteria for selection were that children should exhibit plaque accumulations on the surface of the cervical margins of the rearmost molars, and placed in one of two study groups: carious lesions and sound surfaces. Dental plaque samples from both groups were subjected to molecular analysis and statistical analysis was applied to determine the difference between the two groups using the frequencies of presence of S. mutans, S. sobrinus or both in thetwo groups applying Fisher’s exact test for association between the presence of microorganisms and the state of the tooth surface from where the dental plaque was taken.Results: The frequency of S. mutans in carious lesions was 76% and 24% in healthy surfaces. The frequency of S. sobrinus in carious lesions was 81.9% and 18.1% in caries-free surfaces. There was statistical significance between the presence of S. mutans and the presence of caries (p=0.001) and between the presence of S. sobrinus (p=0.02) and the presence of caries.There was no statistical significance between the presence of caries and the simultaneous presence of both microorganisms (p=0.08).Conclusions: The presence of S. mutans and S. sobrinus in dental plaque samples is highly prevalent and associated to non cavitated carious lesions, being the molecular identification of these microorganisms by PCR a sensitive, fast, and easy to use detection method for the mutans group of oral bacteria.
Sensitivity and specificity of the Yang Tobin Index to predict extubation success in critical patients
Authors: Segura Alejandro , Carvajal Nathali , Chavarro Paola Andrea , Wilches Esther Cecilia , Carvajal Argemiro
Published: December 2019

Background: The Yang Tobin Index (Y/T) is a simple and objective measure to predict successful extubation. There are no Colombian studies supporting the use of Y/T as a predictor of successful ventilator weaning.Objective: To estimate the sensitivity and specificity of Y/T as predictor of weaning and to  valuate the association with clinical and socio-demographic characteristics in adult patients at the intensive care unit.Methods: Retrospective study. We analyzed a database of 332 records of patients under mechanical ventilation (MV) for more than 48 hours, from January 2006 to December 2007, with spontaneous breathing trial and measurement of Y/T before extubation. Results: The sensitivity of Y/T was 98.6%, specificity 9.6%, positive predictive value 85.4%,  egative predictive value 55.5%. The cumulative incidence of successful extubation was 84%. The greater incidence of unsuccessful extubation was associated with COPD (46.2%). The MV time period showed a direct proportional relationship with failed extubation (p=0.186).Conclusions: The Y/T index is not a good predictor of success of extubation in the study opulation. No association was found between clinical and sociodemographic characteristics of the  opulation, with respect to the sensitivity and specificity of the Y/T as a predictor of success.
Dental aesthetics and self-esteem in adolescents
Authors: Mafla Ana Cristina , Luna Edwin Gerardo , Sánchez Nubia Rocío , Barrera David Alexander , Muñoz Ginna Mabel
Published: December 2019

Objective: The aim of this study was to investigate the relationship between dental aesthetics and self-esteem in adolescents.Methods: The sample was 387 randomly selected high school adolescents between 13 and 16 years of age. A clinical examination to evaluate dental aesthetics was conducted using the Dental Aesthetic Index (DAI). Self-esteem was assessed with the Rosenberg’s Self-esteem Scale. The statistical analysis included a descriptive analysis and means comparison, which was made through t-Student and ANOVA tests. DAI was correlated to Rosenberg’s Self-esteem Scale with Spearman’s rank correlation coefficient. The data collected was analyzed by using the SPSS program version 17.Results: The mean DAI score was 34.2 (SD=14.2) and self-esteem was 22.6 (SD=4.6). The low socioeconomic status (SES) group had the highest levels of DAI and the lowest levels of self-esteem. A weak, but statistically significant, negative correlation was found between DAI scores and Rosenberg’s self-esteem scale (r=-0.1, p0.05). Regarding gender, in female individuals a negative weak correlation (r=-0.14, p0.05).Conclusions: The outcomes generated by this investigation can improve our understanding of how the correlation between dental aesthetics and self-esteem may fluctuate because of the SES variability.
Characterization of students who use piercings in Cali, Colombia
Authors: Calero Jesús Alberto , Jaimes Ana Fernanda
Published: December 2019

Objetive: To know from a sample of secondary students between the 6th and 12th grades in four schools in the city of Santiago de Cali from different socio-economic levels, the characterization of their social demographic variables and the factors that motivated them to use piercings.Materials and methods: A 15-question survey was applied to 219 high school students who wore piercings, and an indepth interview was made to 10% of the sample.Results: From the 2120 secondary students from the four schools in different socio-economic levels that complied with the inclusion criteria for the study, 219 students (10.33%) used piercings, with their use predominating in the high, medium, and low stratums among young men, 16 years of age. These piercings were usually located in the earlobes and tongue, and were placed there at the shops where they bought them.Conclusion: The factors that influenced the decision to use the piercings were: because they liked them, they improved their image, it was fashionable, and because of the desire to explore new experiences.
Heterotopic pregnancy. Presentation of four cases
Authors: Herrera Enrique , Otero Eduardo , Hincapié Luis Carlos , Camacho Rafael , Gómez Gustavo , Quintero Carlos Humberto , Guzmán Célico , Paz Luis Fernando , Otero Paola
Published: December 2019

Heterotopic pregnancy is defined as intrauterine and extrauterine pregnancy entity coexisting simultaneously and which has been on the rise in recent years with the development of assisted reproductive techniques. We report 4 cases of heterotopic pregnancy, three of them resulting from assisted reproductive technologies and a spontaneous case. We also describe the methods used for diagnosis, therapies and behavior and perinatal outcome.
Multifactorial Clinical and Anatomical Analysis of Lethal Outcome
Authors: Maksimov Aleksandr V. , Klevno Vladimir A.
Published: December 2019

Aim. To establish signifi cant factors infl uencing the discrepancy of lifetime and postmortem diagnoses and to offer a technique of comparison of diagnoses when carrying out the clinical and anatomical analysis of a lethal outcome.

Material and methods. The material for the study was 1420 acts of forensic examination of corpses recorded at the Bureau of forensic medical examination of the Moscow region during the 2014–2018 period. We studied the cases of deaths in hospitals of medical organisations with fi nal clinical diagnoses of the initial causes of death from diseases of the circulatory system (1085), respiratory diseases (157), digestive system (178). An analytical comparison of nosological forms of diseases in all headings of the fi nal clinical and forensic diagnoses was carried out. The frequency of occurrence of objective and subjective causes of discrepancy of diagnoses was determined. The most signifi cant factors of erroneous formulation of the fi nal clinical diagnosis, which create risks in the formation of divergence of diagnoses, were established. The causes of divergence of diagnoses relevant to the choice of inadequate treatment and the onset of death were established. Absolute (abs) values were calculated for qualitative variables and relative (%) frequencies. The frequency comparison was carried out using Fisher’s two-way exact criterion. Risk ratios with 95 % bilateral confi dence intervals for risk ratios were calculated to identify the factors causing the highest level of divergence. Statistically signifi cant differences were considered when the probability of error of the fi rst kind was less than 5 % (p < 0.05). Data processing was carried out using the Excel 2016 (Microsoft, USA) and IBM SPSS Statistics 25 (IBM, USA) software.

Results. The study found that the discrepancy between the lifetime diagnosis criteria of reliability, etiopathogenetic and timeliness are the most signifi cant factors affecting the discrepancy of diagnoses under the heading “underlying disease”. The causes of divergence of diagnoses, which are of the greatest importance for the choice of inadequate treatment and the formation of a lethal outcome, were revealed. On the basis of the obtained data, a method for comparing the in vivo and postmortem diagnoses during the clinical and anatomical analysis of the lethal outcome was developed.

Conclusion. Incorrect clinical diagnosis is important in the onset of death only if the erroneous diagnosis is due to insuffi cient examination of the patient, the lack of clinical data, the severity of the condition and the short duration of stay, which does not allow the underlying disease and fatal complication to be determined and adequate medical measures to be carried out. The proposed method for comparing the in vivo and postmortem diagnoses allows a correct, reliable and convincing clinical and anatomical analysis of the case of death in the hospital to be performed.
Experimental Evaluation of Cryoprotector Systemic Effects
Authors: Martusevich Andrei K. , Kostyaev Andrei A. , Kovaleva Lida K.
Published: December 2019

Aim. Experimental evaluation of the effect of some cryoprotectors on crystallogenic properties of mice blood serum at intraperitoneal administration.

Material and methods. The experiment was performed on 40 adult white line mice divided into 4 equal groups. Animals from the control (fi rst) group received a single intraperitoneal injection of saline (0.5 ml agent/animal), animals of the second-fourth groups — 3 % solution of glycerin, dimethyl sulphoxide and trombocryodmac (N, N-dimethylacetamide), respectively, in the same quantity.

Results. It is shown that single intraperitoneal introduction of cryoprotectants (solutions of glycerin, dimethyl sulphoxide and trombocryodmac) has a systemic effect on the mouse organism, which is manifested through the changes of crystallogenic properties of blood serum. 3% solution of glycerin, dimethyl sulphoxide and trombocryodmac have multidirectional infl uence on crystallogenic properties of mouse blood serum. The most pronounced physiological effect was established for dimethyl sulphoxide.

Conclusion. Our studies demonstrate the presence of systemic effects in cryopreservative substances. It was confi rmed by the changes of crystallogenic properties of mice blood serum under intraperitoneal administration of cryopreservatives.
Electron Microscopic Characteristics of The Blood-Air Barrier Interstitium in Fibrous Cavernous Pulmonary Tuberculosis in Comparison with Chronic Nonspecifi c Lung Diseases
Authors: Golubinskaya Elena P. , Filonenko Tatyana G. , Grishin Michael N. , Kubyshkin Anatoly V. , Yermola Yulianna A. , Motsar Valeria V. , Kalfa Margarita A.
Published: December 2019

Aim. To describe the ultrastructural characteristics of the blood-air barrier (BAB) interstitium in fi brous cavernous pulmonary tuberculosis (FCT) in comparison with chronic nonspecifi c lung diseases (CNSLD).

Materials and methods. The fragments of the pericavernal zone and lung tissue were taken for the study at the resection border from the dead or operated for CNSLD persons (n = 163), and the perifocal and boundary zone of lung tissue. 116 CNSLD patients were divided into 3 subgroups: 1) chronic lung abscess (n = 42); 2) bronchiectasis (n = 44); 3) lung cyst (n = 30). The lung fragments of 30 patients who died from pathology not associated with lung diseases (myocardial infarction, acute cerebrovascular accident) were used as a control group to compare the morphological parameters. The criteria for inclusion of patients in the study: age from 18 to 65 years, negative clinical and laboratory data on the presence of comorbid pathology (viral hepatitis B, C and HIV). For TEM, lung fragments 1×1×1 mm in size were cut out and fi xed in a 2.5% glutaraldehyde solution in phosphate buffer (pH = 7.2–7.4) and washed in 0.1 M phosphate buffer (pH = 7.4), followed by dehydration in alcohols of an ascending concentration and placing in a mixture of Epon and Araldite resins according to the scheme. Ultrathin sections were made with Reynolds staining. Viewing and photographing preparations was carried out on a PEM-100 transmission electron microscope (Ukraine) (magnifi cation range from ×1000 to ×30 000). 

Results. It was established that changes in BAB components in all groups had similar features in the form of severe interstitial fi brosis, the signs of endothelial cell degeneration and destruction of varying degrees of severity, as well as the heterogeneity of the endothelial and epithelial basement membranes.

Conclusion. Ultrastructural changes in the BAB components of the removed lung part in patients with FCT and chronic nonspecifi c lung diseases are characterised by a polymorphism with prevailing dystrophic and destructive changes in the perifocal zone of infl ammation, and compensatory-adaptive processes on the peripheral, especially at the resection border.
Ixodic Tick-Borne Borreliosis in the Krasnodar Krai
Authors: Moshkova Darya Yu. , Avdeeva Marina G. , Blazhnyaya Ludmila P.
Published: December 2019

Aim. Clinical, epidemic and laboratory characterisation of ixodic tick-borne borreliosis in order to improve the early diagnosis of the disease and the timely etiotropic therapy.

Materials and methods. The medical histories of 257 patients with ixodic tick-borne borreliosis treated in the regional infectious diseases hospital in Krasnodar from 2004 to 2018 were analysed. The data of the epidemiological history, the clinical manifestations of the disease, the results of laboratory and instrumental studies, as well as the principles of therapy were analysed.

Results. The incidence of ixodic tick-borne borreliosis in the Krasnodar Krai is characterised by spring-summer seasonality, the predominance among women over 45, and urban residents. The disease has an acute course (85.9%), occurs mainly in the erythema form with little pronounced symptoms of intoxication, a typical ring-shaped erythema, which large dimensions remain longer in women. During the non-erythemic form of the disease, the development of serous meningitis and encephalomeningitis with impaired cerebral blood fl ow as well as the changes in corticocortical relationships were observed. During the sub-acute course, radiculopathy and polyneuropathy, as well as diffuse changes of the myocardium with conduction disturbance and the development of atrioventricular block, arthralgia and arthritis/arthrosis were registered. The increase in LDH, CPK and transaminase was observed for all forms of the disease.

Conclusion. In connection with the formation of a natural ixodic tick-borne borreliosis focus on the territory of the Krasnodar Krai, it is necessary to exclude this disease in patients with the signs of fever, weakness, and erythema at the site of tick suction. The tendency of ixodic tickborne borreliosis to the long course with the development of multiorgan pathology causes the need for follow-up observation of recovered patients both by an infectious disease specialist and narrow specialists (a neurologist, rheumatologist or cardiologist).
Comparative Characteristics of Hemostasis During Vaginal Hysterectomy
Authors: Plekhanov Andrei N. , Bezhenar Vitalii F. , Epifanova Tat’yana A. , Bezhenar Fedor V.
Published: December 2019

Aim. To compare the results of surgical treatment using bipolar hemostasis and traditional ligation of ligaments and blood vessels in vaginal hysterectomy.

Material and methods. Fifty patients with benign uterine disease underwent vaginal hysterectomy using electrosurgery (n = 29) or conventional suture ligation (n = 21 controls).

Results. Postoperative pain (especially on the fi rst day) was decreased in the electrosurgery group (5.50 ± 1.43 VAS points) as compared to the control group (7.64 ± 0.58 points), p < 0.001. Intraoperative blood loss was signifi cantly lower in electrosurgery group (82.86 ± 22.58 ml) than in the control group (226.36 ± 129.12 ml), p < 0.001. Operating time was signifi cantly shorter in the main group than in the controls (65.36 ± 20.9 min vs. 86.59 ± 40.19 min, p < 0.05). On average, 2.75 ± 1.11 suture packages were used with bipolar coagulation, 6.00 ± 1.93 in the controls (p < 0.001). Hospital stay was similar for both groups. Adverse event rates did not differ signifi cantly.

Conclusions. Bipolar coagulation with the TissueSeal Plus proved to be more effi cient or identical to traditional suture ligation. Intraoperative blood loss, postoperative pain and the duration of the operation were less, while the complications were identical for both groups. In addition, bipolar coagulation was easier to use and cost effective. These fi ndings prove the feasibility and effectiveness of the use of electrosurgical techniques to perform hysterectomy and its further study
Study of Behavioural Activity and Cognitive Impairment in Rats in the Simulation of Pneumococcal Meningitis
Authors: Agarkova Alina A. , Pokrovsky Mikhail V. , Kolesnichenko Pavel D.
Published: December 2019

Aim. To study neurological disorders in rats when modeling purulent bacterial meningitis (PBM) on the example of pneumococcal meningitis under experimental conditions.

Materials and methods. Pneumococcal meningitis was modeled by injecting a suspension containing Streptococcus pneumoniae at a concentration of 5×109 CFU/ml into the subarachnoid space. The degree of neurological disorders was determined by clinical assessment of rat health status, the degree of neurological defi cit, specifi c strength, “Infrared activity monitor”, “Object recognition task” tests.

Results. When modeling pneumococcal meningitis in rats, the sum of points of clinical assessment of their health in the 1st day after modeling the pathology is 34.2 % less than the initial, on the 5th — less than 3.4 %, on the 8th day returns to the primary indicator, 5 points. The maximum degree of severity of neurological defi cit was observed in the fi rst four days after meningitis modeling; it was in the 1st day 34 % less than the same indicator in the group of intact animals, on the 2nd day 32.7 % less, on the 3rd day — 30.7 % and on the 4th day — 30.1 %. In the meningitis group on day 10, the distribution of neurological defi cit by severity was as follows: mild — 32 %, medium — 20 %, severe — 16 %, without residual neurological defi cit — 32 %. The specifi c strength of rats in the group of meningitis on the 1st, 5th and 10th day after the development of the pathology was 48.7, 64, and 67.4 % of the baseline specifi c strength. In relation to intact animals, the index of recognition of short-term memory in rats of the meningitis group is 2.3 times greater, and the index of recognition of long-term memory is 1.7 times greater.

Conclusion. The dynamics of neurological disorders in rats in the simulation of PBM can be determined using the methods of assessing behavioural and cognitive status. In rats, when modeling pneumococcal meningitis, neurological disorders are maximally expressed on the 1st day of the disease. Then there is a distinct positive dynamic up to 5 days of the disease. From 6 to 10 days positive dynamics is present, but insignifi cant.
An unknow image of the Prodigal Son by Dirk Vellert (v.1480/85-v.1547)
Authors: Lecocq Isabelle Jeanne
Published: December 2019

The collection of stained-glass windows of the Royal Museums of Art and History (RMAH) of Brussels include a masterpiece : the Triumph of Time, a painted glass roundel dated 1517 and signed by the engraver, draftsman and glass painter Dirk Vellert. The present essay proposes to attribute to the artist another work of this collection, depicting a scene of the Parable of the Prodigal Son.
La Virgen de los Carmelitas del Museo Lázaro Galdiano: cuestiones sobre iconografía y autoría
Authors: Acevedo de la Morena Diego
Published: December 2019

Se estudia la obra conocida como “La Virgen de las Carmelitas”, conservada en el Museo Lázaro Galdiano de Madrid. Se trata de una tabla flamenca realizada en las primeras décadas del siglo XVI y considerada como anónima. En este texto planteamos las diferentes atribuciones que se han hecho sobre la pieza y proponemos al Maestro de 1518 como su autor. Además de las cuestiones referentes a la autoría, se analiza también la iconografía representada.
Una nueva atribución a Luisa Roldán: un inédito San Buenaventura
Authors: Moreno Arana José Manuel
Published: December 2019

Se presenta una obra inédita que puede atribuirse a la escultora Luisa Roldán (1652-1706). Se trata de una escultura de San Buenaventura conservada en Sanlúcar de Barrameda (Cádiz) y fechable hacia 1680-1688.
Jan van Kessel II versus Jacques Courtilleau: Dos maneras de retratar a la reina Mariana de Neoburgo
Authors: Martinez Leiva Gloria
Published: December 2019

Durante la última década del siglo XVII el retrato de corte español se movió entre el naturalismo y la idealización. Orbitó así entre la tradición que se arrastraba desde mediados de la centuria en la representación regia y los nuevos aires que llegaban de Francia. Dos pintores representan como nadie estas dos tendencias dentro de la retratística de la reina Mariana de Neoburgo, el flamenco Jan van Kessel II y el francés Jacques Courtilleau. Con este artículo queremos profundizar en sus modos pictóricos y añadir algunas obras en sus casi desconocidos catálogos.
Tuning the Magnetic Vortex State in Magnetite Nanodiscs for Remote Control of Biological Signalling
Authors: Gregurec Danijela , Senko Alexander W. , Chuvilin Andrey , Reddy Pooja , Sankararaman Ashwin , Rosenfeld Dekel , Chiang Po-Han , Garcia Francisco , Tafel Ian , Varnavides Georgios , Ciocan Eugenia , Anikeeva Polina
Published: December 2019

In this work, we demonstrate the application of anisotropic magnetite nanodiscs (MNDs) as transducers of torque to mechanosensory cells under weak, slowly varying magnetic fields (MFs). These MNDs possess a ground state vortex configuration of magnetic spins which affords greater colloidal stability due to eliminated dipole-dipole interactions characteristic of isotropic magnetic particles of similar size. We first predict vortex magnetization using micromagnetic stimulations in sub-micron anisotropic magnetite particles and then use electron holography to experimentally investigate the magnetization of MNDs 98–226 nm in diameter. When MNDs are coupled to MFs, they transition between vortex and in-plane magnetization allowing for the exertion of the torque on the pN scale, which is sufficient to activate mechanosensitive ion channels in cell membranes.