bluuebunny/crossref_metadata_2025 huggingface dataset:
Versatilidad del clavo endomedular retrógrado largo de tibia para artrodesis tibio-talocalcánea en pacientes con lesiones asociadas en el mismo segmento
Authors: Alberti Marisol , Carabelli Guido , Verbner Jonathan , Taype Zamboni Danilo , Barla Jorge Daniel , Sancineto Carlos Federico
Published: June 2021

Introducción: La afección articular que lleva a la necesidad de una artrodesis tibio-calcánea puede estar acompañada de una segunda lesión en el mismo segmento óseo, y los clavos de diseño para artrodesis no tienen la longitud adecuada para cubrir ambas lesiones. No hallamos opciones terapéuticas para este tipo de lesiones en la bibliografía.
Objetivo: Presentar una serie de casos en los que se utilizó un único clavo de tibia (de colocación anterógrada) de forma retrógrada, con el doble objetivo de efectuar una artrodesis tibio-talo-calcánea, sumada al tratamiento de una lesión asociada en un mismo tiempo quirúrgico.
Materiales y Métodos: Se evaluó, en forma retrospectiva, desde septiembre de 2009 hasta junio de 2019, a un grupo de 12 pacientes que requirió una artrodesis tibio-talo-calcánea sumada a la necesidad de resolver simultáneamente un defecto secundario local. La edad promedio fue de 43.7 años, y el seguimiento global fue de 43.9 meses.
Resultados: Todos los pacientes lograron una artrodesis tibio-calcánea constatada en radiografías de frente y de perfil, y el 83,3% recuperó el stock óseo de manera completa.
Conclusión: Ante la ausencia en el mercado de osteosíntesis para resolver las patologías asociadas en un mismo paciente, proponemos el uso del clavo endomedular largo de tibia colocado de manera retrógrada como una opción de tratamiento, porque se ha demostrado que es eficaz para lograr la artrodesis tibio-calcánea. Además, se lo pudo utilizar como guía en el alargamiento y el transporte óseo, y como estabilización para tratar lesiones simultáneas.
Paraparesia aguda por hemangioma vertebral agresivo. Reporte de dos casos y revisión bibliográfica
Authors: Pereira Duarte Matías , Camino Willhuber Gastón , Kido Gonzalo , Bassani Julio , Petracchi Matías , Solá Carlos , Gruenberg Marcelo
Published: June 2021

Introducción: Los hemangiomas agresivos constituyen el 1% del total de los hemangiomas vertebrales. Pueden producir dolor, fracturas, deformidad y compromiso neurológico, generalmente de larga evolución. Se han descrito diferentes opciones terapéuticas, pero el manejo óptimo sigue sin estar claro. Comunicamos dos casos de paraparesia aguda secundaria a un hemangioma torácico agresivo, describimos su tratamiento y evolución. Realizamos una revisión narrativa de la bibliografía.
Conclusión: Mediante la descompresión y la artrodesis tempranas seguidas de radioterapia, se logró la recuperación neurológica completa y el control de la enfermedad en un seguimiento a mediano plazo.
Resultados funcionales del tratamiento de coaliciones calcáneo-escafoideas con resección e interposición de grasa autóloga: Experiencia de dos centros
Authors: Masquijo Julio Javier , Allende Victoria , Porta Alesandria Julieta , López Villagra María Belén , Paz Miguel Justo Mariano
Published: June 2021

Objetivo: Evaluar los resultados clínico-radiográficos y las complicaciones en pacientes <18 años con coaliciones calcáneoescafoideas (CCE) sintomáticas tratados con resección e interposición de grasa autóloga de la región glútea.
Materiales y Métodos: Se analizó retrospectivamente a los pacientes con CCE sintomáticas operados con dicha técnica, en dos instituciones, y un seguimiento mínimo de 2 años. Se analizaron los datos demográficos y las complicaciones posoperatorias. Los resultados funcionales fueron evaluados con la escala AOFAS y la EAV. Se determinó la presencia de recidiva en la radiografía oblicua más reciente (defecto remanente <50%).
Resultados: Entre enero de 2008 y enero de 2018, se operó a 52 pacientes (65 pies) con CCE. Cuarenta (48 pies) cumplían con los criterios de inclusión. La edad promedio al operarse era de 11.9 años. El seguimientopromedio fue de 43 meses. El puntaje AOFAS promedio mejoró significativamente de 58,9 ± 8,2 precirugía a 92,9 ± 7,8 después (p <0,001). El puntaje promedio preoperatorio de la EAV era de 6,9 ± 2,5 y de 0,49 ± 1,1 (p <0,001) en el último seguimiento. El 87,5% no tenía síntomas en el último control y 5 pacientes (6 pies) sufrían molestias ocasionales con la actividad física intensa. Hubo 5 complicaciones posoperatorias: dehiscencia de la herida e infección superficial. Dos pies (4,2%) presentaron recidiva radiográfica de la coalición aunque ningún paciente requirió revisión.
Conclusión: La resección de CCE y la interposición de grasa autóloga permiten aliviar el dolor y mejorar la función con una baja tasa de complicaciones en la población pediátrico-adolescente.
Development of Communicative Competence in Junior High School Students with Visual Impairment in Different Institutional and Educational Settings
Authors: Kantor Vitaly Z , Nikulina Galina V. , Nikulina Irina N.
Published: June 2021

Introduction. The diversification in education means, inter alia, establishing an institutional balance between integration and differentiation, which should also hold true for visually-impaired children. Junior age is a sensitive period for the development of communicative skills. Hence, one of the key tasks on the educational agenda for visually-impaired junior high school students is the development of communicative competence. The paper is the first attempt to identify how institutional and educational setting impacts the development of communicative competence in junior high school students, namely, such aspects of communicative competence as content/compliance with communication standards, attitude/role relationships, position/function, and involvement/activity.
Materials and Methods.The evidence was obtained from four schools in Saint Petersburg and Leningrad Region. The survey included 55 respondents in grades 1‒3 with deferent degrees of visual impairment from inclusive educational settings with partial integration / differentiation. The methodology included such tools as Effective Communication: Raising Awareness of Visually-Impaired Students; a scale-based interview and questionnaire; L. Mikhelson’s Communication Skills test modified by L.S. Kolmogorova; Joint Sorting by G.V. Burmenskaya; and G.A. Tsukerman’s Picture Dictation. The data was processed using Student's t-test for dependent and independent samples and Pearson correlation coefficient.
Results. The assessment of communicative competence in schoolchildren embraced several aspects: content/compliance with communication standards; attitude/role relationships; position/function; involvement/activity. In the context of inclusive education with partial integration and differentiation, visually-impaired junior high school students show different development levels of different aspects of communicative competence. This context has a selective and ambivalent effect.
Discussion and Conclusion. The results may find application in the design and testing of a variable modular programme aimed at the development of communicative competence in visually-impaired junior high school students. The results may also lay the foundation for the rehabilitation and training strategy for visually-impaired students and facilitate their integration in social and educational environment.
Assessment of the Technical Condition of Electric-Controlled Diesel Injectors According to the Fuel Supply Characteristics
Authors: Gabitov Ildar I. , Negovora Andrey V. , Safin Filyus R. , Magafurov Ruslan Zh. , Rakov Nikolay V.
Published: June 2021

Introduction. Currently, there are no widely available technologies and equipment available at service stations and repair facilities to accurately assess the technical condition of Common Rail battery fuel supply system injectors. The methods implemented in practice mainly give a generalized assessment of the nozzle performance without identifying a specific defect, which entails an unjustified replacement of still working parts of electrically controlled injectors. The purpose of this article is to familiarize a wide range of specialists with a new non-slip test method for injectors with electronic control based on the evaluation of their fuel supply characteristics, which allows identifying specific malfunctions of the nozzle during the procedure of diagnostic without disassembling.
Materials and Methods. The study is based on a systematic analysis of the factory methods for testing injectors, a review of modern scientific publications, the use of computer simulation in specialized programs, and experimental testing of the obtained results.
Results. A method for testing and evaluating the technical condition of diesel injectors based on the fuel supply characteristics has been developed and tested that can significantly increase the information content of the diagnostic and reduce the overall labor intensity of repairing electronically controlled injectors by 24%.
Discussion and Conclusion. The authors have developed and tested a measurement module and a test procedure for diesel injectors with the ability to assess the technical condition of their parts, which allows identifying and eliminating specific malfunctions of injectors without disassembling them and avoid unjustified replacement of serviceable elements during repair. The results of the study have been implemented in the Bosch Diesel Service fuel equipment repair center of Bashdiesel LLC.
Sublimation Drying of Fish Products in the Arctic in the Production of Feed for Farm Animals
Authors: Syrovatka Vladimir I. , Zhdanova Natalya V. , Rasskazov Aleksandr N. , Obuhov Andrey D. , Toropov Dmitriy I.
Published: June 2021

Introduction. The article considers biological resources of the Arctic, which is expedient to use in the production of fish meal for feeding farm animals. The aim of the research is to prove the usefulness of a continuously operating two-chamber line for sublimation drying of fish products using natural freezing of fish catch and a cheap source of thermal energy for drying: ethane, propane, butane (waste when cleaning natural gas and petroleum products of local enterprises), as well as microwave energy.
Materials and Methods. A continuously operating two-chamber sublimation line is proposed, the chambers of which work alternately: one for the process of sublimation drying, and the other for loading and unloading processed products. The natural freezing of fish and thermal energy for the process of sublimation (drying) from the burning of waste gas are used whenever possible. When there is cheap electricity, it is advisable to use microwave energy for drying that makes it possible to shorten the drying cycle, ensure uniformity and simultaneity of drying the material up to 3–5% humidity without rearranging the trays along the height of the cart.
Results. We propose the construction of a two-chamber sublimation line for large lump products and a sublimation unit based on microwave energy, which allows regulating the sublimation drying temperature within specified limits.
Discussion and Conclusion. The presented design solutions of a large lump product sublimation drying line and sublimation unit using microwave energy are necessary for designing equipment based on digital technology.
Ultrasound-guided treatment of Morton’s neuroma
Authors:   Department of Medical Imaging, University Hospital of Heraklion, Crete, Greece, Koltsakis Emmanouil , Klontzas Michail E. ,   Department of Medical Imaging, University Hospital of Heraklion, Crete, Greece,   Advanced Hybrid Imaging Systems, Institute of Computer Science, FORTH, Crete, Greece,   Department of Radiology, School of Medicine, University of Crete, Greece, Kakkos George A. ,   Department of Medical Imaging, University Hospital of Heraklion, Crete, Greece, Karantanas Apostolos H. ,   Department of Medical Imaging, University Hospital of Heraklion, Crete, Greece,   Advanced Hybrid Imaging Systems, Institute of Computer Science, FORTH, Crete, Greece,   Department of Radiology, School of Medicine, University of Crete, Greece
Published: June 2021

Morton’s neuroma is a painful lesion of the interdigital nerve, usually at the third intermetatarsal space, associated with fibrotic changes in the nerve, microvascular degeneration, and deregulation of sympathetic innervation. Patients usually present with burning or sharp metatarsalgia at the dorsal or plantar aspect of the foot. The management of Morton’s neuroma starts with conservative measures, usually with limited efficacy, including orthotics and anti-inflammatory medication. When conservative treatment fails, a series of minimally invasive ultrasound-guided procedures can be employed as second-line treatments prior to surgery. Such procedures include infiltration of the area with a corticosteroid and local anesthetic, chemical neurolysis with alcohol or radiofrequency thermal neurolysis. Ultrasound aids in the accurate diagnosis of Morton’s neuroma and guides the aforementioned treatment, so that significant and potentially long-lasting pain reduction can be achieved. In cases of initial treatment failure, the procedure can be repeated, usually leading to the complete remission of symptoms. Current data shows that minimally invasive treatments can significantly reduce the need for subsequent surgery in patients with persistent Morton’s neuroma unresponsive to conservative measures. The purpose of this review is to present current data on the application of ultrasound for the diagnosis and treatment of Morton’s neuroma, with emphasis on the outcomes of ultrasound-guided treatments.
Shoulder ultrasound: current concepts and future perspectives
Authors:   Postgraduate School of Radiodiagnostics, Università degli Studi di Milano, Milan, Italy, Serpi Francesca , Albano Domenico ,   IRCCS Istituto Ortopedico Galeazzi, Milan, Italy,   Sezione di Scienze Radiologiche, Dipartimento di Biomedicina, Neuroscienze e Diagnostica Avanzata, Università degli Studi di Palermo, Palermo, Italy, Rapisarda Santi ,   IRCCS Istituto Ortopedico Galeazzi, Milan, Italy, Chianca Vito ,   Clinica di Radiologia EOC, Istituto di Imaging della Svizzera Italiana (IIMSI), Lugano, Switzerland,   Ospedale Evangelico Betania, Napoli, Italy, Sconfienza Luca Maria ,   IRCCS Istituto Ortopedico Galeazzi, Milan, Italy,   Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy, Messina Carmelo ,   IRCCS Istituto Ortopedico Galeazzi, Milan, Italy
Published: June 2021

Ultrasonography is an established and effective imaging technique that can be used to evaluate articular and periarticular structures around the shoulder. It has been shown to be useful in a wide range of rotator cuff diseases (e.g. tendon tears, rotator cuff calcific tendinopathy and bursitis) as well as non-rotator cuff abnormalities (instability, synovial joint diseases and nerve entrapment syndrome). A scanning protocol is highly recommended to reduce the rate of operators’ errors by following a standardized scheme including a list of main structures. Shoulder ultrasound has several advantages: it is a relatively cheap and widely available technique, free from ionizing radiation, that can reach excellent diagnostic accuracy even compared to magnetic resonance imaging. Moreover, it is the only imaging technique that allows dynamic evaluation of musculoskeletal structures, which is important for the evaluation of impingement. Also, due to the shoulder’s superficial anatomical position, ultrasound can also be helpful in guiding interventional percutaneous procedures, both for diagnostic (e.g. magnetic resonance arthrography) and therapeutic purposes (e.g. percutaneous treatment of calcific tendonitis). Contrast-enhanced ultrasound and speckle tracking offer complimentary evaluations of shoulder anatomy and biomechanics. Moreover, the advent of ultra-high-frequency US, with probes up to 70 MHz allowing for a resolution as low as 30 μm, is a promising tool for further evaluation of the shoulder anatomy, and diagnostic and therapeutic strategies.
Infraspinatus atrophy due to Bennett lesion causing suprascapular nerve palsy
Authors:   Department of Radiology, Hospital General Universitario Gregorio Marañón, Spain, Bautista Juan Miranda , Fernández-Jara Javier ,   Department of Radiology, Hospital Universitario Rey Juan Carlos, Madrid, Spain, Bautista Santiago Miranda ,   Department of Rehabilitation, Hospital Universitario Ramón y Cajal, Madrid, Spain, Fernández-Miranda Pablo Menéndez ,   Department of Radiology, Hospital Universitario Marqués de Valdecilla, Santander, Spain, Mora María Valencia ,   Department of Traumatology, Hospital Universitario Fundación Jiménez Díaz, Spain, San José Begoña Gutiérrez ,   Department of Radiology, Hospital Universitario Fundación Jiménez Díaz, Spain, Estévez Mateo González ,   Department of Radiology, Hospital General Universitario Gregorio Marañón, Spain, Molina Blanca Mur ,   Department of Rehabilitation, Hospital Universitario Ramón y Cajal, Madrid, Spain, Vázquez Patricia Patilla ,   Department of Radiology, Hospital General Universitario Gregorio Marañón, Spain
Published: June 2021

We report the case of a 19-year-old professional volleyball player who presented with right shoulder pain exacerbated during sports activity. On physical examination, infraspinatus atrophy was evident. As the clinical setting suggested suprascapular nerve entrapment syndrome, shoulder MR and later CT were performed. The results showed radiological signs of subacute-chronic infraspinatus muscle denervation and a Bennett lesion of the shoulder, presumably due to chronic repetitive trauma during the classical overhead swing in volleyball. The patient agreed to surgical treatment, and arthroscopic decompression was achieved. After months of rehabilitation, the pain gradually subsided, the infraspinatus muscle recovered its trophism, and the patient progressively returned to her regular sports activity.
The use of comparative law in the practice of the Hungarian Constitutional Court: An empirical analysis (1990–2019)
Authors: Bodnár Eszter
Published: June 2021

Courts conducting constitutional review do not work as ‘ivory towers’ any longer: they are part of the global dialogue on constitutional ideas and thoughts. This dialogue includes an exchange of experiences with fellow constitutional and apex courts, as well as the close observation of developments in foreign constitutional and legal systems, scholarship, and international trends. The Constitutional Court of Hungary has been an active participant in this dialogue since the Court's establishment in 1989, albeit with varying levels of intensity and goals. Moving beyond the often anecdotal observations in this field, the paper aims to conduct a deep analysis of how the Court uses comparative law in its work (during the preparatory phase and the drafting of final decisions) and examines the factors that may influence the Court's practice in this area. Such a clear overview can assist proponents of the use of comparative reasoning to contravene the increasing amount of criticism of the practice's legitimacy and selectivity.
Transmissão da Tradição Umbandista: ou o Lampejo da Narração
Authors: Tomaz Carneiro Ana Clara , Menezes Marilda Aparecida de
Published: June 2021

Este artigo se propõe a analisar a transmissibilidade da tradição umbandista pela oralidade, valorizando a memória e a experiência compartilhada na convivência cotidiana e nos rituais.  A partir da etnografia realizada em uma tenda de umbanda, estabelecemos aproximações entre a transmissibilidade dos ensinamentos, rituais, princípios éticos e questões de identidade umbandistas, sob a perspectiva benjaminiana de experiência coletiva (erfahung), narração e tradição, utilizando os ensaios O Narrador (1985), Experiência e Pobreza (1985) e Teses sobre o Conceito de História (1985). Mobiliza-se, portanto, memória, narratividade e experiência.
“Eu faço a paz e crio o mal”: aproximações exegéticas do livro do profeta Isaías
Authors: Brasil Taciana
Published: June 2021

Sabemos que toda tradução é um esforço de interpretação. Por mais que um tradutor se esforce, é possível que elementos primordiais do sentido original se atenuem durante este processo. A exegese permite ao leitor maior aproximação do texto bíblico. Este artigo almeja, através dessa metodologia, compreender melhor um versículo do livro de Isaías (45.7). A pesquisa foi dividida em quatro temas: o profeta e seu livro, aspectos linguísticos, aproximações com o vocabulário do Pentateuco e verificação de algumas traduções bíblicas comercializadas no Brasil. Concluímos que o texto ressalta o poderio divino, expresso nos verbos relacionados à atividade criadora. Percebemos ainda que as melhores traduções procuram se aproximar do texto através da literalidade ou da interpretação teológica, permitindo leituras adequadas.
Um novo nome para Deus?
Authors: Higuet Etienne Alfred
Published: June 2021

SIEGWALT, G. La réinvention du nom de Dieu: Où donc Dieu s’en est-il allé? Genève: Labor et Fides, 2021, 176 p.
CHEMICAL COMPOSITION AND NUTRITIONAL VALUE OF THE NEW CITRUS POMACE FEED ADDITIVE
Authors: Karunskyi O. , Kotets G. I. , Madani M. M.
Published: June 2021

The materials of the article present data on research on the chemical, mineral-vitamin composition and nutritional value of a new feed additive from citrus pomace. The article presents the results of research on the technological line of granulation of citrus waste, established the optimal composition for granulation of citrus feed additives: sunflower meal - 20%, molasses - 5% and 75% of citrus fruits.Their chemical composition was studied, the gross content of proteins, fats, assimilated carbohydrates, including simple sugars, was determined, and the efficiency of use in the diets of farm animals was determined. The positive influence of citrus waste granulation technology has been established, which allows to obtain high-quality granules. Chemical analysis of citrus granules showed that 100 g contains: protein - 6.15 g, fat - 0.99 g, carbohydrates - 21.8 g, of which simple sugars 14 g, the energy value of this feed additive - Kcal (kJ) - 120.7 (505.7).The possibility of preparation of feed additives in the form of granules is revealed, which allows to avoid selfsorting of components and overdose of microelements and to improve the consumption of feed ingredients. The ability to prepare feed additives in the form of granules avoids self-sorting of components and overdose of micronutrients and improve the consumption of feed ingredients. The results of zootechnical researches, structure and nutritional value of average daily rations with use of citrus pomace are resulted.It was found that the introduction into the diet of dairy cows feed additives from citrus pomace during stable lactation increases the average daily expectations by 1.8 kg or 15.5%, feed costs for milk production containing 4 fat were 0.97-0, 98 feed units. When using a feed additive from citrus pomace, the nutritional value of the diet is improved due to the ratio of sugar - protein (0.62: 1 vs. 0.8: 1.2).
Why Did Italian Democracy Become Vulnerable? Theorizing the Change from Neo- to Quasi-Militant Democracy
Authors:   Adam Mickiewicz University (Poland), Rak Joanna
Published: June 2021

Embedded in scholarship on militant democracy, this research aims to explain how Italian legislation was positioned to militant democratic measures and how this changed over time. Drawing on the qualitative source analysis and the explanatory frameworks of democratic vulnerability tests two competing theory-grounded assumptions. While the first one assumes that Italian democracy became vulnerable when traditional militant democracy instruments were outmoded, the second considers the misuse or abandonment of those means with social consent as the source of vulnerability. The crisis-induced socioeconomic inequality and uncertainty weakened the Italian political nation. As a result, the latter supported populists in return for a promise of political change. The anti-democratic legal means employed to extend power competencies and prevent the exchange of ruling parties were the way to and the costs of the expected political change. At the same time, the political nation became unable to self-organize to strengthen democracy self-defense. As a result, Italians co-produced a quasi-militant democracy that turned vulnerable because militant democracy measures were misused or not used with the consent of Italians that relinquished their political subjectivity in favor of the Northern League and the Five Star Movement.
COVID-19 pandemic: educational technology for post-hematopoietic stem cell transplant patients
Authors: Piubello Simone Martins Nascimento , Reichembach Mitzy Tannia , Pontes Leticia , Boller Shirley
Published: June 2021

ABSTRACT Objective: to describe the experience of building the technology "Care for the prevention of COVID-19 in post-hematopoietic stem cell transplant patients". Methods: experience report conducted in a hematopoietic stem cell transplant outpatient clinic that supported the construction of an educational technology in the form of a booklet for the prevention of COVID-19. In May 2020, a literature review in scientific databases and guidelines of health organizations were used for its development. Results: printed booklet with information on the definition of coronavirus, hand hygiene, use of the mask by the patient and caregiver, isolation and social distancing and general hygiene care. Final Considerations: the use of technologies is characterized as a tool for educational actions therefore, nurses, patients and caregivers benefit from guidance processes for health care. The developed technology has the potential to minimize the impact and spread of SARS-CoV-2 among high-risk populations.
Acute arterial ischemia in COVID-19
Authors: Maqueda Ara Silvia , Ballesteros Pomar Marta , Sanz Pastor Nuria , Nogal Arias Cristina , Del Barrio Fernández Marcos
Published: June 2021

Abstract Since the coronavirus pandemic set in in Spain in March 2020, a noteworthy increase in the incidence of acute limb ischemia (ALI) has been observed. It has been recently discovered that SARS-CoV 2 may lead to ALI secondary to arterial thrombosis. Elevation of D-dimer (DD) in patients with coronavirus infection (COVID-19) indicates that a hypercoagulable state causes acute arterial thrombosis. A remarkably high DD elevation has been reported to be a poor prognosis factor in COVID-19. The ways in which SARS-CoV 2 results in arterial thrombosis may be multiple. On the other hand, surgical revascularization for ALI is associated with poor outcomes in COVID-19 patients, probably in relation to hypercoagulability. Here, we describe two ALI cases in patients who required urgent surgical treatment for limb salvage and were positive for the novel coronavirus infection (COVID 19).
Vascular surgery in the most populous state in the Amazon: socio-professional profile and aspirations of the specialty
Authors: Reis José Maciel Caldas dos , Santos Deivid Ramos dos , Torres Inez Ohashi , De Luccia Nelson
Published: June 2021

Abstract Background There is a dearth of studies conducted to understand the socio-professional profile of the vascular surgery specialty and the population demands of specific regions, which are needed to support creation of care policies and direct infrastructure improvements in healthcare. Objectives The purpose of this study was to describe the socio-professional profile of vascular surgeons in the state of Pará, Brazil, to guide creation of tools for professional improvement. Methods A cross-sectional, self-report survey was conducted in Pará using a questionnaire comprising 30 questions covering six main topics. Results All vascular surgeons actively practicing in the state participated in this study. The total number of specialists was 59, with 71.2% working in the greater Belém area and 16.9% exclusively practicing in the interior of the state. The mean age of these professionals was 48 ± 11.1 years, 86.4% of respondents were men, 64.4% of surgeons had completed medical residency, and 96.6% (n=57) of the surgeons would like to improve their skills in venous surgery, echo-guided vascular access, and endovascular surgery. The method of professional improvement of greatest interest was simulation courses (hands-on), endorsed by 93% of the participants. Conclusions Pará has 59 vascular surgeons. These professionals mainly work in the greater Belém (71.2%), in hospitals (100%) or in private clinics or offices (94.9%), performing a wide range of procedures, including venous and arterial surgery, amputations, and provision of hemodialysis access. More than 90% of these surgeons were satisfied professionally and reported that they would choose the specialty again. However, 22% had a pessimistic view of the specialty’s future. The vast majority of professionals (96.6%) consider that training or a continuing education program are necessary.
Digital smile design as a tool in the planning of porcelain laminate veneers restoration
Authors: GONTIJO Sávio Morato de Lacerda , MORGADO Phelipe Marke , NEVES Leniana Santos , FRANÇA Esdras Campos , LAGES Elizabeth Maria Bastos , ALVIM Hugo Henriques
Published: June 2021

ABSTRACT Digital smile design is an important tool for esthetic planning in dentistry as it facilitates ease of communication between professionals and patients. This clinical report has the objective of describing a clinical procedure involving digital smile design for the placement of porcelain laminate veneer restorations. The digital smile design included dental and facial analyzes. The smile curve was drawn and a dental ruler was used to delimitate the spaces between each tooth. An approximate simulation of the smile was generated using Adobe Photoshop software. For esthetic and functional evaluation of the digital plan was created a diagnostic waxing and mock-up. The laminate veneers were made with feldspathic porcelain. Digital smile design was essential for successful planning because it enabled better patient contact with the end result. This case demonstrates the importance of this tool in esthetic dentistry.
Educação repressiva e educação emancipadora: notas acerca da personalidade autoritária e seus desdobramentos na educação
Authors: Schlesener Anita
Published: June 2021

Resumo: O objeto deste estudo é a educação repressiva como instituinte da estrutura social e como refletir, nestas condições sociais, sobre uma educação emancipadora. O conceito de educação que pressupomos aqui é o de que o nosso processo de socialização forma a nossa percepção e a nossa concepção de mundo, numa dinâmica que se estende do nascimento até a morte. Educar implica preparar para um projeto de civilização, o que revela o conteúdo político do processo educativo. Para desenvolver este estudo retomamos a pesquisa interdisciplinar do Grupo de sociólogos e psicólogos publicado em 1950 sobre a personalidade autoritária, a fim de explicitar o fenômeno do preconceito e seus traços na formação da personalidade, não apenas da perspectiva sociopsicológica, mas também política e educacional. Salienta-se a atualidade do tema ante a ascensão de movimentos conservadores e reacionários neste início de século.
Trabalho e saúde-adoecimento de docentes em universidades públicas
Authors: Vasconcelos Iana , Lima Rita De Lourdes de
Published: June 2021

Resumo: Este artigo analisa os influxos do trabalho na saúde dos(as) docentes, com base em dados oriundos de pesquisa qualitativa, pautada no método crítico-dialético, cujo percurso metodológico incluiu revisão de literatura e pesquisa de campo realizada a partir de questionários e entrevistas semiestruturadas com 16 assistentes sociais docentes de universidades públicas do Rio Grande do Norte, do quadro permanente de programas de pós-graduação stricto sensu. Aborda, inicialmente, as determinações sociais da saúde com foco no trabalho; em seguida apresenta breve caracterização dos sujeitos; e, por fim, analisa a relação entre a situação concreta de vida e trabalho das entrevistadas e o processo de saúde-adoecimento. Os resultados apontam que as condições de trabalho docente nas universidades públicas são desgastantes e incidem no adoecimento destes(as) trabalhadores(as), embora, comumente, os nexos entre a vida laboral e a situação de saúde não estejam formalmente estabelecidos e registrados, e/ou nem sempre sejam visibilizados.
Violência de gênero entre usuárias do serviço de atenção básica do SUS na Paraíba
Authors: Santiago Idalina Maria Freitas Lima
Published: June 2021

Resumo: Este artigo problematiza a violência de gênero vivenciada pelas usuárias das Unidades de Saúde da Família (USF), do Sistema Único de Saúde (SUS), e o atendimento prestado por este serviço no combate de tais violências. Busca apontar os marcadores sociais das usuárias que passaram por violência de gênero; tipificar as violências de gênero vivenciadas por essas mulheres; identificar os procedimentos tomados por elas para enfrentar essas violências; analisar o atendimento das USF no combate à violência de gênero. Trata-se de pesquisa analítico-descritiva e abordagem quanti-qualitativa, envolvendo as cidades de João Pessoa, Campina Grande, Cajazeiras e Patos, na Paraíba. A amostra é constituída por 600 usuárias e 21 profissionais de saúde. As USF investigadas não se constituem espaços de interlocução com as mulheres violentadas, não efetivando o referenciamento para a Rede de Atendimento.
A Teoria do Direito e o Pós-Colonial: o subalterno como sujeito de direito espectral
Authors: Almeida Leonardo Monteiro Crespo de
Published: June 2021

Resumo O objetivo deste artigo reside em investigar de que maneira algumas reflexões suscitadas por Gayatri Chakravorty Spivak em seu artigo, Can the subaltern speak?, podem ser relevantes para uma reconsideração crítica da subjetividade jurídica a partir da condição dos grupos subalternos. Partindo de uma concisa delimitação das questões suscitadas pela autora em torno do subalterno, o artigo pretende trazer à tona de que maneira a dinâmica do processo de colonização constrói a subalternidade em associação com a subjetividade jurídica. Recorrendo a uma breve revisão de literatura dos trabalhos de Peter Fitzpatrick e Costas Douzinas acerca do papel do sistema jurídico na dinâmica do colonialismo e da plasticidade subjacente à subjetividade jurídica, o artigo posiciona o subalterno, no horizonte da teoria do direito, como uma figura espectral, cujo reconhecimento ocorre em função de sua própria expropriação de capacidades jurídicas fundamentais.
O direito na obra pré-carcerária de Gramsci: do programa mínimo de direitos à resistência ao fascismo
Authors: Soares Moisés Alves
Published: June 2021

Resumo A pesquisa objetiva analisar os Escritos Políticos pré-carcerários de Antonio Gramsci a fim de compreender os contornos que a forma jurídica assume nestes textos de intervenção na cena italiana. Nesse sentido, foi possível identificar três frentes de caracterização do fenômeno jurídico que implicam diretamente a condução da práxis política. Compreendendo, assim, o direito não como uma expressão secundária em Gramsci, será possível abordar, em um primeiro momento, a estratégia de um programa mínimo de direitos; posteriormente, a oposição entre uma legalidade insurgente e uma legalidade industrial; e, por fim, a resistência ao estado de sítio permanente gerado pelo fascismo.
Análise sociojurídica do novo direito do trabalho brasileiro
Authors: Guerra Roberta Freitas
Published: June 2021

Resumo O artigo volta-se a uma análise do direito do trabalho emergente da reforma ocorrida no Brasil com a promulgação da Lei 13.467/2017. Tem como objetivo compreender, em um nível macrossociológico, o impacto das mutações societais em curso em sua nova configuração, o que se empreenderá a partir da teoria formatada por António Casimiro Ferreira em torno de uma sociologia do direito situada entre a crise, a austeridade e a exceção, por ele consideradas verdadeiras categorias estruturadoras do presente. A análise será desenvolvida por meio de um caminho metodológico ancorado nos moldes de uma pesquisa qualitativa de caráter prospectivo e concretamente construída através da técnica da pesquisa bibliográfica.
Uso de Biomateriales Funcionalizados con Moléculas Bioactivas en la Ingeniería Biomédica
Authors:   , Reyes-Blas H.
Published: June 2021

El artículo expone la importancia del uso de moléculas bioactivas para la funcionalización de biomateriales. Por esta razón, se realizó una revisión de investigaciones actuales y relevantes en diversos buscadores de datos, incluyendo los diferentes tipos de materiales y moléculas bioactivas utilizadas para elaborar biomateriales funcionalizados, con énfasis en los procesos y sus propiedades. Se encontró que el proceso de funcionalización o modificación de la su- perficie expande el camino para adaptar al biomaterial de acuerdo al entorno fisiológico de las células vivas. De esta manera, el proceso mejora la estructura y las funciones de los tejidos y órganos diseñados. Existen una variedad de métodos y moléculas bioactivas disponibles para la funcionalización de los biomateriales, las cuales dependen de la manera en las que las células o tejidos se regeneran. Entre los diferentes materiales para la fabricación de bioma- teriales, las biomoléculas como las proteínas, lípidos, carbohidratos, entre otros, son una de las opciones más utili- zadas debido a la similitud de estas con los sistemas biológicos del cuerpo humano. Finalmente, el artículo también integra algunas de las más prometedoras aplicaciones de moléculas bioactivas incorporadas a los biomateriales.
Measuring experience, including mistreatment, and satisfaction with newborn care: a scoping review of tools and indicators v1
Authors: Minckas Nicole , Sacks Emma , Muzigaba Moise , Portela Anayda
Published: June 2021

Every woman and newborn has the right to high-quality health care, with evidence-based practices delivered in a humane, supportive environment. This quality of care should encompass clinical care as well as the experience of care of women, newborns, parents and their families, such as the rights to privacy, confidentiality, dignity, and consent. With increasing evidence showing the impact that the experience of care has on health outcomes and future care-seeking behaviors, it is necessary to understand, measure, and address the experience of care as a key driver of adverse health outcomes and a component of the right to health, equity and dignity. Building on ongoing work measuring experience of care and satisfaction of women with maternity care7, we seek to identify tools and indicators that have been developed and used to measure various domains of experience of care as related to newborns. We will conduct a scoping review to identify all available research literature on the measurements of experience of newborn care and satisfaction with newborn care and extract a comprehensive list tools and indicators used to assess experience of newborn care and satisfaction with newborn care during the postnatal period.
Additional information for the creation of ahigh-quality draft genome for Melaleuca alternifolia (tea tree) v1
Authors: Voelker Julia
Published: June 2021

This protocol provides additional information to be read together with the publication about the genome assembly of Melaleuca alternifolia (tea tree). This is an extension to the methods listed in the manuscript, especially regarding the computational methods and specific commands that were used for genome assembly and annotation, as well as various quality control and filtering steps.
Library Generation using Slide-seqV2 v2
Authors: Stickels Robert , Murray Evan , L Marshall Jamie , Balderrama Karol , Barrera Irving , Macosko Evan , Chen Fei
Published: June 2021

This is a protocol detailing the steps necessary to generate libraries using previously manufactured Slide-seq arrays.
R-Skript Leukopenie.R v1
Authors: Ahrens Norbert , not provided Lindathuer
Published: June 2021

R script to analyze blood donors blood counts.
Protocol-RT-qPCR v1
Authors: Hirschbühl Klaus
Published: June 2021

Protocol-RT-qPCR to the paper: Viral mapping in COVID-19 deceased in the Augsburg autopsy series of the first wave: a multiorgan and multimethodological approach Full organ mapping of patients with COVID-19: an autopsy study
R1 resection margin after organ-sparing/oncoplastic surgeries for breast cancer
Authors: Rasskazova E.  A. , Zikiryakhodzhaev A.  D. , Volchenko N.  N. , Khakimova Sh.  G.
Published: June 2021

The recurrence rate after organ-sparing surgeries for breast cancer depends on the resection margins: R1 status is associated with a higher risk of recurrence than R0.We analyzed a group of breast cancer patients with an R1 resection margin who underwent organ-sparing/oncoplastic surgeries. The R1 resection margin was detected in 62 out of 1279 patients who had organ-sparing/oncoplastic surgeries (4.9 % ± 0.6 %). In the group with invasive cancer and R1 resection margin, 80 % of patients were diagnosed with lobular carcinoma, whereas 14.8 % of patients had invasive cancer with no specific signs.We divided the group of repeated surgeries according to their histological structure at the resection margin: 28 patients were found to have carcinoma in situ, while 13 patients had invasive cancer.Among patients with carcinoma in situ, the resection margin after repeated surgery had no signs of malignancy in 14 women (50 %), while 10 (35.7 %) and 4 (14.3 %) women were diagnosed with carcinoma in situ and invasive cancer, respectively.In case of invasive cancer, 4 patients (30.8 %) had no signs of malignancy in their resection margins, while 1 (7.7 %) and 8 (61.5 %) patients were found to have carcinoma in situ and invasive cancer, respectivelyFollow-up of patients with an R1 resection margin after repeated surgery or radiotherapy revealed no cases of local recurrence between 3 and 65 months.
Risk factors modulating the course of low-grade squamous intraepithelial lesions in women of reproductive age
Authors: Prisyazhnaya T.  S. , Mikhaylyukova V.   A. , Berlev I.   V. , Malek A.   V.
Published: June 2021

Background. Infection with oncogenic types of human papillomavirus (HPV) is the leading cause of cervical cancer and its immediate precursors – squamous intraepithelial lesions. However, the persistence of HPV may not be sufficient for the occurrence of malignant transformation, and there may be other exogenous or endogenous factors that, in combination with the virus, increase the risk of developing and progressing cervical neoplasia.Objective: identification of risk factors that modulate the course of low-grade squamous intraepithelial lesions (LSIL) in women of reproductive age.Materials and methods. In 110 women aged 18 to 45 years with a diagnosis of LSIL, we evaluated the impact of risk factors (sexual behavior, reproductive function, contraceptive methods, smoking, HPV infection) on the course of the process (recovery, persistence or progression) during the 12-month follow-up period. HPV testing was performed by real-time PCR.Results. The average age of the study participants was 31.55 ± 7.17 years. Our observations showed that frequent artificial abortions, the practice of risky sexual behavior (early sexual debut, frequent change of sexual partners) increased the risk of persistence and progression of mild cervical cytological abnormalities. The use of oral contraceptives, barrier contraception and smoking did not affect the outcome of the disease.The prevalence of HPV among women with LSIL was 70.91 % (78/110). The predominant types were HPV 16 (35.45 %), HPV 33 (12.73 %) and HPV 18 (12.73 %). HPV 16 was more common in the progression group (62.50 %) than in the regression and persistence groups (14.63 % and 43.40 %, p <0.05). Progression of neoplasias was more often observed in patients with signs of multiinfection of the cervical epithelium with HPV. Single HPV infection was higher in the group of recovered women.Conclusions. The study found that a large number of induced abortions, the practice of risky sexual behavior, the presence of HPV type 16 and multiple HPV infection are factors contributing to the persistence of LSIL and progression to HSIL. These data may be useful for the management of women with mild cervical cytological abnormalities.
Possibility of reconstruction after surgical treatment for giant Buschke–Löwenstein condyloma
Authors: Mukhin A.  A. , Vazhenin A.  V. , Saevets V. V. , Shamanova A.  Yu. , Taratonov A. V.
Published: June 2021

The article considers the possibility of surgical treatment of a patient with giant Buschke–Löwenstein condyloma and the possibility of a reconstructive plastic component. The positive aspects of the surgical technique with a reconstructive plastic component are presented. The question of closing a wound defect after extensive vulva resections and performing plastic techniques has always caused ambiguous disputes among various authors, and has led to the complication of the plastic component, as well as a decrease in indications or refusal of this type of operation.
Detection and localization of cotton based on deep neural networks
Authors: B R Annapoorna , Babu D R Dr. Ramesh
Published: June 2021

Cotton detection is the localization and identification of the cotton in an image. It has a wide application in robot harvesting.  Various modern algorithms use deep learning techniques for detection of fruits/flowers. As per the survey, the topics travelled include numerous algorithms used, and accuracy obtained on using those algorithms on their data set. The limitations and the advantages in each paper, are also discussed. This paper focuses on various fruit detection algorithms- the Faster RCNN, the RCNN, YOLO. Ultimately, a rigorous survey of many papers related to the detection of objects like fruits/flowers, analysis of the assets and faintness of each paper leads us to understanding the techniques and purpose of algorithms.
Effects of stigma and stress on mental health and quality of life
Authors: Lipai Tatyana P.
Published: June 2021

Sociological interest in stigma gained attention following the publication of the article Stigma: Notes on Managing Spoiled Identity (Goffman, 1963). Social stigmatization is, to a large extent, a spontaneous process, but its development is carried out within the framework of certain well-established laws of a sociocultural nature. Knowledge of these laws makes it possible to predict possible consequences of this phenomenon, to prevent their onset, and to neutralize the negative effect of the phenomenon on social actors. However, experimental data are insufficient to support explanations for this social phenomenon and the effect of stigma on the quality of life.
Motivational factors of professional self-determinationof grade 10–11 students of medical orientation in moscow
Authors: Reshetnikov Andrey V. , Litvinova Tatyana M. , Prisyazhnaya Nadezhda V. , Pavlov Sergey V. , Vyatkina Nadezhda Yu. , Andriutsa Natalia S.
Published: June 2021

The article presents the results of a medical and sociological study of the professional orientation and motivation for higher medical education among pre-professional medical orientation students (grades 1011) in Moscow. Most students consider being a medical doctor a prestigious profession and were proud of their choicetheir most significant motivation for choosing their future field of activity is their desire to become a doctor and an outstanding specialist in their chosen field. The analysis of independent efforts of high school students to improve their knowledge of specialized subjects, which is required for admission to a medical university, generally reflects their high level of motivation to become successful. This is confirmed by the wide range of training received by respondents, the most popular among which are self-training, attending additional classes at school, and training with the help of professionals, such as tutors.