bluuebunny/crossref_metadata_2025 huggingface dataset:
Time to First Optimal Glycemic Control and its Predictors Among Type 1 Diabetic Children<15 Years in Bahir Dar City Public Referral Hospitals, North West Ethiopia: A Retrospective Follow Up Study
Authors: Meseret Fentahun , Belachew Amare , Tesfa Getasew , Mengesh Teshale , Embiale Tsegasew , Alemu Ayichew , Dagne Melsew
Published: November 2021

Background: Recognizing the level of glycemic control of a client is an important predictor of the development of complication and risk of death from diabetes. However, the other most important predictor which is the time that the patient stayed in that poor glycemic level before reaching optimal glycemic control has not been studied so far. Objective: The aim of this study was to estimate time to first optimal glycemic control and identify predictors among type 1 diabetic children<15 years in Bahir Dar city public referral hospitals, Northwest, Ethiopia, 2021Methods: Retrospective cohort study was conducted at Bahir Dar city public referral hospitals among randomly selected sample of 385 patients with type 1 diabetes who were on follow up from January1, 2016 to February30, 2021.Data were collected by using data abstraction tool and then entered into Epi-data version 4.2 and exported into STATA 14.0 statistical software. Descriptive statistics, Kaplan Meier plots and median survival times, Log-rank test and Cox-proportional hazard regression were used for analysis. After performing Cox-proportional hazard regression, model goodness-of-fit and assumptions were checked. Finally, association between independent variables and time to first optimal glycemic control in months were assessed using multivariable Cox Proportional Hazard model and Variables with p-value < 0.05 were considered as statistically significant.Result: Median survival time to first optimal glycemic control among type 1 diabetic client was 8 months (95%CI: 6.9-8.9).First optimal glycemic achievement rate was 8.2(95%CI: 7.2-9.2) per 100 person/month observation. Factors that affect time to first optimal glycemic control were age (AHR=0.32;95%CI=0.19-0.55),weight(AHR=0.96;95%CI=0.94-0.99),primary care giver(AHR=2.09;95%CI=1.39-3.13), insulin dose (AHR=1.05;95%CI=1.03-1.08),duration of diabetes (AHR=0.64;95%CI=0.44-0.94), adherence (AHR=9.72;95%CI=6.09-15.51),carbohydrate counting(AHR=2.43;95%CI=1.12-5.26),and comorbidity (AHR=0.72;95%CI=0.53-0.98).Conclusion and Recommendation: The median survival time to first optimal glycemic control in this study was long. Age, weight, primary care giver, insulin dose, duration of diabetes, adherence, and carbohydrate counting including history of comorbidity were determinant factors. Therefore, clinicians should advice weight reduction, increase the dose of insulin during initial treatment, counsel their parents about adherence of insulin drug and auditing their children diet as prescription helps to reduce the length of glycemic control.
Psychosocial characteristics pattern correlated with HIV-related risky sexual behavior among HIV-negative men who have sex with men: a latent profile analysis.
Authors: Zhai Mengxi , Duan Zhizhou , Tian Jiawei , Jiang Qingqing , Zhu Biao , Xiao Chenchang , Yu Bin , Yan Hong
Published: November 2021

Background

Men who have sex with men (MSM) have become a high-risky population of HIV infection due to their risk sexual behaviors. The psychosocial characteristics play an important effect on HIV-related risky behaviors. This current study aimed to explore the relationship between HIV-related risky behaviors and the latent pattern of psychosocial characteristics among HIV-negative MSM.
Method

Participants were recruited from Wuhan, Nanchang, and Changsha city from September 2017 to January 2018. The basic socio-demographic characteristics, psychosocial characteristics and HIV-related risky behaviors were collected by self-administered questionnaire and standardize scales. Latent profile analysis (LPA) was used to create the latent classes using variables associated with HIV-related risky behaviors, including social support, reliance, sexual minority stigma, identity concealment, adverse childhood experience and depression.
Results

Three psychosocial characteristic patterns were revealed by the LPA. “identity concealment group” (IC group) and “ACE group” represented the highest risk profile with highest score of identity concealment and adverse childhood experience (ACE), respectively. “IC group” have a higher likelihood of one-night male partners (AOR=2.74, 95%CI=1.54, 4.90), both fixed and one-night male partners (AOR=2.01, 95%CI=1.34-3.01) and HIV-unsure male partner (AOR=2.12, 95%CI=1.44-3.13) compared with “social support and resilience group” (SR group). ACE group were more likely having inconsistent condom use (AOR=2.58, 95%CI=1.41-4.73), and having sex with HIV-positive male partner (AOR=4.90, 95%CI=1.95-12.30) with comparison of SR group. Interesting, ACE group had a higher ratio (90.0%) of inconsistent condom use among MSM whose male partners were HIV-positive.
Conclusions

Six important psychosocial factors were divided into three latent pattern classes. Compared with “social support and reliance group”, “identity concealment group” and “ACE group” were more likely to engage in HIV-related risky sexual behaviors. Besides mental health guidance, promoting serological disclosure of sexual partners and consistent condom use behavior is critical for MSM with higher level of identity concealment or ACE.
Analysis and Prognosis of Tumor Immune Infiltrates and Immune Microenvironment of m6A-Related LncRNAs in Patients with Gastric Cancer
Authors: Huang Jiarong , Song Jinxuan , Li Xiangyu , Liu Shuangfei , Huang Wentao , Shen Ziyi , Cheng Yan , Kou Shien , Gao Zhenguo , Tian Yunhong , Hu Jiani
Published: November 2021

Background

Studies have shown that long noncoding RNAs and N6-methyladenosine play an important role in gastric cancer. The purpose of this study was to determine the correlation and prognostic value of m6A-related lncRNAs and immune infiltration in gastric cancer.
Methods

We downloaded the clinically related information and RNA-Seq transcriptome data of gastric cancer patients from the TCGA database. Univariate Cox regression analysis and Pearson analysis were used to screen out m6A-related lncRNAs. Consensus cluster analysis was used to divide the sample into two clusters, and LASSO analysis and minimum absolute shrinkage were used to construct a risk scoring model.
Results

A total of 25 lncRNA expression profiles were screened, and gastric cancer patients were divided into different subtypes. Cluster 2 had a better prognosis, but its matrix score, estimate score and immune score were low. Cluster 1 was rich in resting memory CD4 T cells, regulatory T cells, monocytes, and resting mast cells, and Cluster 2 was rich in activated memory CD4 T cells and follicular helper T cells. Thirteen lncRNAs were selected to construct a risk model, and the prognosis of gastric cancer patients in the high-risk group was poor. The expression of PD-L1 in tumors is significantly higher than that in normal tissues. Univariate and multivariate Cox regression analysis results showed that the overall survival rate was significantly related to stage and risk score, which can be used as an independent prognostic factor. The results of the heat map and scatter plot showed that clusters (P=0.0045) and grade (G1-2, G3, P=0.0037) were significantly related to prognosis. The results of the relationship between the risk score and immune cell infiltration showed that memory B cells, resting dendritic cells, M0 macrophages, and M2 macrophages were positively correlated with risk scores, while resting mast cells, monocytes, activated NK cells, and follicular helper T cells were negatively correlated with risk scores.
Conclusion

The results of this study indicate that m6A-related lncRNAs may play an important role in the prognosis of gastric cancer patients and the tumor immune microenvironment and provide help for the treatment of gastric cancer patients.
Effect of Ultrasound-guided Lung Recruitment Maneuvers on Atelectasis in Lung-healthy Patients Undergoing Laparoscopic Gynecologic Surgery: a Randomized Controlled Trial
Authors: Liu Yi , Wang Jingyu , Wan Yong , Geng Yuan , Zhang Yiran , Su Hang , Yang Yujiao
Published: November 2021

BackgroundAtelectasis is a major cause of hypoxemia during general anesthesia and postoperative pulmonary complications (PPCs).Some previous reported that the combined use of lung recruitment procedures (LRMs) and positive end-expiratory pressure (PEEP) in mechanical ventilation mode contributes to the avoidance of PPCs in patients after general anesthesia, while others suggest that the use of LRMs makes patients more susceptible to hemodynamic disturbances and lung injury, and is of limited potential to decrease the incidence of PPCs. From this perspective, controversy exists as to whether LRMs should be routinely applied to surgical patients. More importantly, corresponding clinical studies are also lacking. Therefore, this trial was conducted with the aim of solving the above problem.MethodsIn current clinical trial, patients undergoing laparoscopic gynecologic surgery with healthy lungs were randomized to the recruitment maneuvers group (RM group; 6 cm H2O PEEP and RMs) and the control group (C group; 6 cm H2O PEEP and no RMs). Lung ultrasound was performed on patients at five separate time points. During mechanical ventilation, patients in the RM group received ultrasound-guided pulmonary resuscitation when atelectasis was detected, while the C group did not intervene. Lung ultrasound scores were used to evaluate the incidence and severity of atelectasis.ResultsAfter LRMs, the incidence of atelectasis was significantly lower in the RM group (40%) than in the C group (80%) 15 minutes after arrival in the post-anesthesia care unit (PACU), and this difference did not persist for 24 hours after surgery. Meanwhile, postoperative pulmonary complications showed no difference between the two groups.ConclusionsThe combination of LRMs and PEEP decreased the incidence of atelectasis 15 minutes after admission to the PACU, but did not improve PPCs in adults with healthy lungs. Hence, for lung-healthy patients undergoing gynecological laparoscopic surgery, we do not recommend routine recruitment maneuvers. Trial registration (prospectively registered)ChiCTR2000033529. Registered on June 4, 2020.
Angiotensin Receptor Type 1 Inhibition in Lymphopenia and in Neutropenia After Traumatic Brain Injury In Mice: a Randomized Controlled Study (ATLANTIS)
Authors: Timaru-Kast Ralph , Coronel-Castello Shila P. , Krämer Tobias , Hugonnet André V. , Schäfer Michael K.E. , Sebastiani Anne , Thal Serge C.
Published: November 2021

Background: Cerebral inflammation with invasion of neutrophils and lymphocytes is an important factor in the process of secondary brain damage expansion after traumatic brain injury (TBI). Depletion of neutrophils in mice has been shown to reduce neurologic impairment after TBI. The intrinsic cerebral renin-angiotensin system is an important mediator of cerebral inflammation, as inhibition of the angiotensin II receptor type 1 (AT1) with candesartan improves neurologic recovery, and reduces secondary brain damage and cerebral neutrophil invasion after TBI. The present study was therefore designed to determine the role of immune cells in AT1 inhibition-mediated neuroprotection after TBI. Methods: In study A we assessed the effect of neutrophil depletion in mice after TBI. In study B we investigated the impact of RAG1 deficiency (RAG1-/-; mice without mature B- and T-lymphocytes) after TBI. In study C we investigated the role of neutrophils in candesartan mediated protection after TBI in wild-type mice with and without neutrophil depletion. In study D we examined the role of lymphocytes in AT1 inhibition mediated neuroprotection after TBI in RAG1-/-.Results: Neutropenic and RAG1-/- mice showed reduced brain damage compared to control groups. In control antibody treated wild type mice AT1 inhibition reduced lesion volumes and inflammation compared to vehicle, while in neutropenic mice, candesartan had no effect. In RAG1-/- mice AT1 inhibition resulted in reduction of brain damage and neuroinflammation compared to vehicle group. Conclusion: The present results demonstrate, that reduction of neutrophils and of lymphocytes as well as AT1 inhibition in wild type and RAG1-/- mice reduce brain damage and inflammation after TBI. However, AT1 inhibition was neuroprotective in RAG1-/- mice, but not in neutropenic mice. Therefore, the results indicate that AT1 inhibition mediated neuroprotection may be exerted by anti-inflammatory effects on neutrophils, with a subsequent reduction of neutrophil invasion.
Current Media Concepts: Dynamics of Value Meanings
Authors:   Higher School of Journalism and Mass Communications Saint Petersburg State University, Natalia S. Tsvetova
Published: November 2021

The article presents the results of a study on the dynamics of the semantic structure of the modern Russian media discourse key concepts: family, patriotism, and business. On the one hand, the relevance of the topic of the article is due to the huge influencing potential of the media texts. On the other hand, it is due to the design of the semantic-cognitive approach to media speech. The main task of the author is to identify the features of the modernization of the semantic structure of concepts with significant- content. To implement this task, a three-stage analytical algorithm was used, which involves the analysis of the lexicographic description of the concept word, identifying its real, the study of discursive interpretation in the media space is the identification of the value component of the semantic structure of the concept presented in journalistic lexical and phraseological stereotypes and to some extent original contexts that form an associative semantic field in which interrelated, mutually conditioned meanings and meanings are presented. The empirical basis of the research is more than 200 media texts of different genres published over two decades in Russian media of different types and different discursive affiliation. The author comes to the conclusion that modern media are actively working, first of all, on the modernization of the axiological (value) component of the semantic structure of mentally significant concepts. The techniques of transformation of conceptual associative-semantic fields are largely associated with the neutralization of conflicts caused by the general attitude of modern media systems to the formation of a consolidated picture of the world with an extremely minimized national component. The prospects for the development of this research topic are connected with the development of the axiology of journalism and with the formation of such a direction of media studies as media anthropology, with the development of new analytical methods corresponding to the long – standing idea of M. M. Bakhtin, who insists on the need to create national comparative studies – a scientific direction that combines the achievements of many humanitarian disciplines.
Media Discourse “Rebellions of Women”: Dispute about Values
Authors:   Adam Mickiewicz University in Poznan, Wojciech Nowiak , Krzysztof Molenda ,   Magdalena Abakanovich Poznan University of the Arts
Published: November 2021

The article refers in its analysis to the perception of the value of Man as the highest good in the context of media changes and women’s protests in Poland at the end of 2020. At the beginning of the third decade of the 21st century, the important values emphasized in the public space are: the good of individuals, freedom of expression, political, social and economic equality concerning everyone, regardless of race, gender, culture, religion, political and sexual orientation. New media, including extremely important social media, have become a space for defending these values and attacking them. The aim of this article is a practical analysis of the intersection of values with a traditional humanistic meaning, such as the culture of speech and public debate, with the fight for the freedom to express one’s views and defend values with the use of new media. The field for analysis is the political and ideological dispute sparked on the Polish political scene. The analysis based on political science research and media science was based on researching the sources of both scientific literature, the Internet and social media. Case studies are related to the women’s protest in Poland. Due to the nature of social media, there is no censorship, no control of forms of expression and content. This form of freedom leads to vulgarization of public life. Often vulgarity, verbal, gestures, symbols, and their use have their origins in politics. According to the authors, this extremely important form of expressing thoughts, including the one serving to defend basic values, requires self-control on the part of users and education in the use of means of expression. This education depends on public authorities and their own behavior
Verification of Value Dominants in the Regional Media Discourse: а Traumatic-Phobic Segment of the Information Field
Authors:   Chelyabinsk State University, Vera V. Antropova , Vasilii V. Fedorov ,   Chelyabinsk State University
Published: November 2021

The relevance of the research is due to the fact that under the influence of the relativistic axiological paradigm, traditional humanistic values are “tested” in mass media discourse, and the irrelevance for the modern mass consciousness is constantly verified. Such tendencies are manifested in the existence of a specific agenda, in which fears and phobias are accumulated in relation to the existing type of culture and moral and ethical norms. The paper presents a modern and unique empirical material the discourse of regional media, which represents the mechanisms of verification of values and the impossible transformation in the conditions of a pandemic, which determines the novelty of the study. The problem of studying the value picture is related to the role of the media in the formation of phobias and fears, or, on the contrary, in the elimination. Thus, the mass media are forced to report traumatic events, that is, events that violate the social norm, as a result, a traumatic-phobic segment of the information picture is constructed, which allows us to establish the demanded value dominants. The purpose of the work is to identify the regularities of the construction of the traumatic-phobic discourse of the regional mass media, which presents threats to the norm, the basic values of Russian society. The following methods are used in the work: discourse analysis, concept analysis and narrative analysis of journalistic publication sat the regional level that verbalize the concept of “phobia”. The results of the study confirmed the hypothesis put forward: in the regional mass media discourse, the object of which is traumatic events, there are fears and phobias associated with the loss, loss of key humanistic values that should streamline social reality, harmonize social relations, determine a positive scenario of social life.
Axiosphere of the War Concept in the Media Discourse on the Nagorno-Karabakh Conflict
Authors:   Transbaikal State University, Irina V. Erofeeva , Yulia V. Tolstokulakova ,   Transbaikal State University
Published: November 2021

Linguocultural and conceptual analysis of more than 500 texts of news agencies and print media allows us to present structural and substantive characteristics of the axiosphere of the concept of War in the media discourse on the Nagorno-Karabakh conflict. The relevance of the study is due to the continuous confrontation between Armenia and Azerbaijan, despite the efforts of some countries concerned. In this situation, value reflection in relation to key aspects of the perception of the conflict objectified in the conceptualized sphere of the War of the Russian media discourse is very important. The etymological characteristic of the concept studied indicates classical opposition “war – peace” (pathology of life and its norm), which allows us to distinguish axiological dominants in the coverage of the Nagorno-Karabakh conflict in the mass media. Ideological modality of the conceptualized sphere is directly related to national interests in the context of modern geopolitical war. The scenario representation model discovered in the process of our research shows itself in the expressive paradigm “We – They”, which involves not only warring countries but also other political actors concerned. In general, the conflict discourse initiated by the media emphasizes the absolute nature of the war and its inconclusive nature, burdened by the lack of a unified response to the current situation from Armenia and Azerbaijan.
Die Schule als digitale Bewertungsfiguration?
Authors: Jarke Juliane , Breiter Andreas
Published: November 2021

Bewertungspraktiken gehören zu Kernelementen des Lernens und Lehrens. Durch die zunehmende Digitalisierung des Bildungssektors entstehen neue Instrumente zur Beobachtung, Bewertung und Klassifizierung der Leistung von Lernenden und Lehrenden. Sie erlauben Auswertungen schulischer Praktiken in einer bisher nicht möglichen Komplexität und einem viel grösseren Ausmass, da sie sehr detailreich sein können, einen umfassenderen Geltungsbereich abdecken und flexibel kombiniert werden können. Dies geschieht zunehmend in Echtzeit. Der Beitrag diskutiert, wie die Zunahme von digitalen Daten und, damit verschränkt, von digitalen Bewertungspraktiken Schule nachhaltig verändert. Daten und Algorithmen werden jedoch nicht als rein technische Entitäten verstanden, sondern als Akteurinnen und Akteure innerhalb soziomaterieller Figurationen. Anhand der Analyse von Illustrationsbeispielen zeigen wir verschiedene, ambivalente Konsequenzen digitaler Bewertungspraktiken im Bildungsbereich auf. Im Ergebnis ermöglichen sie neue Formen der Partizipation und erfordern dafür eine ausdifferenzierte Datenkompetenz. Sie führen zu einer Ausdehnung von Kommunikation zwischen Akteurinnen und Akteuren und verdecken dabei zugleich menschliche Handlungsfähigkeit. Sie lassen neue Formen der Überwachung und Kontrolle zu, aber auch grössere Transparenz und Rechenschaftslegung.
On a method of estimating chaos control parameters from time series
Authors: D. Deleanu
Published: November 2021

The algorithm of Ott, Grebogi and Yorke (OGY) is recognized for its efficiency in controlling chaotic dynamical systems, even if the system’s equations are not known and the input data are provided by measured time series in experimental settings. Recently, Santos and Graves (SG) proposed a simple method for estimating the chaos control parameters required by OGY algorithm and applied it to the logistic map. Using only two time series of 100 values, they obtained approximate results for the fixed point case within 2 % of the analytical ones. Although the outputs refer only to a particular case, their conclusion seems to be that the method works as well as in general. To check this statement, we performed a large amount of numerical simulations on different one – dimensional maps. With slight different nuances, our findings were the same so we only presented in the paper the logistic map case. We have noticed that the use of only two short time series implies high risks in a reasonable estimate of the location of the fixed points and of the two control parameters (especially of the second). For large enough number of time series (three or five sets of 400 values each, in the paper) the results provided by numerical simulation approximated the theoretical ones within the limit of a few percent at most. The role played by each method parameter, as the radius for a close encounter of the fixed point or the number of the series and their lengths, is also investigated.
The current state and the impact of the use of unconventional energies in the international energy context
Authors: Cristian NIȚĂ
Published: November 2021

Approximately 90% of world commodity trade is made by shipping by shipping companies and, as such, shipping plays an important role in the modern world economy. Although there is not too much shipping capacity in relation to the size of shipping routes, ships are, owing to their high installed power, responsible for releasing impressive amounts of harmful gases and carbon dioxide emissions into the atmosphere, worldwide there is a continuing concern of specialists to find the appropriate ways to improve propulsion of ships, with the stated aim of making them as environmentally friendly, efficient and economical as possible.
River, lake and sea traffic safety issues regarding waste generated during disasters
Authors: Géza Károly
Published: November 2021

This publication present questions related to river and sea traffic safety and waste management in disaster situations taking into consideration domestic and international waste management policies, river and sea transport industry recommendations, instructions, and provisions. The principal objective is to examine how applicable are the technical security solutions and regulations to enhance safe and efficient waste management to meet of today's challenges.
How to Play with Maritime English: The Jeopardy Game
Authors: C. Sandiuc
Published: November 2021

Engaging students with game-based activities increases involvement and leads to better language acquisition. Besides providing some variety to standard textbook tasks, playful activities are meant to revive the English classroom, to encourage learners to interact and cooperate in a competitive way, and to be more spontaneous and creative.1 The present paper instructs on how to create and use the Jeopardy game in the ESP classroom, as a fun activity aimed at improving students’ maritime vocabulary mastery by means of enhancing their vocabulary comprehension and production, and developing their professional communication skills.
Research regarding sport activities influence in fighting stress at sportive and non-sportive
Authors: I. S. Sopa
Published: November 2021

Nowadays daily activities and the everyday rush for success and material fulfilment leads to a lot of stress accumulation and tiredness. Our research started from the idea that sport activities are a good way of distressing and escape from daily problems, and also we wanted to verify if people who practice performance sport are more resistant to stress then people that practice once or twice a week sports activities. The research had as sample two groups: the experiment group formed by 50 professional sportsman (26 females, 24 males, averaging age ±18.68 years old) that are professional sportsman; and the second group, the control group, was formed by 50 students (23 females and 27 males, averaging age ±19.12 years old) from different faculties from “Lucian Blaga” University Sibiu that practice sports just once a week on the optional PE classes. The main research method was the Perceived Stress Scale (PSS) being one of the most used psychological method for measuring the stress levels. The conclusions of our research shows that the experiment group where we had performance sportive has better results at the stress test then the control group where we had students that practice fewer sports activities. The study reveals that sportive cope better with stressful situations and also with recovery from stressful activities then people who practice less motor activities, sport activities puts them in different situation that force them to be mentally though.
Using quantum communications for maritime signal flags
Authors: M. C. Plesa
Published: November 2021

Quantum communications are becoming very quickly a reality. There are huge advancement made in the field of quantum internet. Recently, IBM has announced the first commercial quantum computer with 20 qubits. Given all the advancements in the field, in this paper we investigate how quantum technologies can be applied in maritime communications. In this paper we address the problem of international maritime flag signals. More exactly, we proposed some quantum communication schemes for international maritime signal flags. We are also study the efficiency and security boost that quantum communications give in this type of maritime communication.
PROFESSIONAL VALUES AND SOCIETAL REQUIREMENTS AS CHALLENGES IN THE FORMATION OF PROSPECTIVE SKILLS AMONG STUDENTS
Authors:   Associate Professor in the Department of Socio-Human Sciences, Technical University of Moldova., Viorelia Lungu , Nicolae Silistraru ,   University Professor and the Head of the Department of Pedagogy and Psychology, Tiraspol State University., Diana Antoci ,   Associate Professor in the Department of Psychopedagogy and Preschool Education, Tiraspol State University.
Published: November 2021

The accelerated change generates new challenges, entails new requirements for the educational system in general and, in particular, for societys value system. Important in this system is the students personality and values they possess. The hierarchy of the values formed based on the interaction with the social and cultural environment, which they are part of, helps the person make decisions regarding the selection of the profession. However, with the development of technologies and in the context of the gradual disappearance of some professions and the emergence of new ones, it is essential to reform education, to be effective in developing values in the form of prospective skills(anticipation, planning, targeting) for students. In conclusion, the requirements of the society provoke and orient the university educational system towards the prospective formation of the personality. And obtaining valid results in solving educational problems and challenges is strictly necessary to define the type of personality focused on values and emphasis on the formation of prospective skills among students.
IMMEDIATE AESTHETIC REHABILITATION OF A FRACTURED ANTERIOR TOOTH BY USING THE NATURAL TOOTH AS A PONTIC: AN INNOVATIVE TECHNIQUE
Authors:   MDS Prosthodontics and Crown & Bridge., Rai Urvashi , Dhonkal Ranjeet ,   Masters in Public Health Student, Department of Health Sciences, Faculty of Life Sciences, Hamburg University of Applied Sciences, Hamburg, Germany., Bamniya Vishal ,   PG Student, Department of Oral Medicine Diagnosis and Oral Radiology, Govt. College of Dentistry, Indore., Verma Ashish ,   PG Student, Department of Oral Pathology and Microbiology, Govt. College of Dentistry, Indore., Uikey Guruprasad ,   PG Student, Department of Oral and Maxillofacial Surgery, Govt. College of Dentistry, Indore., Patel Bhumika ,   PG Student, Department of Oral and Maxillofacial Surgery, Govt. College of Dentistry, Indore.
Published: November 2021

Sudden tooth loss in the esthetic zone of the maxillary or mandibular anterior region can be due to dental trauma, endodontic failure, extensive root resorption, or advanced periodontal disease. The treatment options for replacing the missing tooth can vary between removable temporary acrylic prosthesis, Resin-bonded bridges, Traditional metal, and ceramic fixed partial denture, and implant-supported prosthesis. Irrespective of the final treatment, the first line of management would be to provisionally restore the patients esthetic appearance at the earliest, while functionally stabilizing the compromised arch. Using the patients own natural tooth as a pontic offers the benefits of being the right size, shape, and color and provides exact repositioning in its original intraoral three-dimensional position. The abutment teeth can also be preserved with minimal or no preparation, thus keeping the technique reversible, and can be completed at the chairside thereby avoiding laboratory costs.
Parsing religiosity and intention to use Islamic mobile banking in Indonesia
Authors: Riptiono Sulis , Noor Susanti Dewi , Muliana Rhamdhani Intan , Irma Anggraeni Ade , Prasetyo Anton
Published: November 2021

Although mobile banking is one of the online banking services that makes it easy for consumers to conduct financial transactions, research on Islamic mobile banking in developing countries with a Muslim majority is still relatively insignificant. Not all Muslim consumers are interested in or intend to use conventional mobile banking services. Therefore, the aim of this study is to integrate the TAM theory and the construct of religiosity to examine consumer intentions to use Islamic mobile banking services. Data were collected through a survey questionnaire of 482 Muslim consumers in Indonesia using convenience sampling techniques. The collected data were then analyzed using structural equation modeling (SEM-AMOS). The results of this study showed that perceived ease of use cannot influence the perceived usefulness and attitudes of variables towards Islamic mobile banking. While perceived usefulness has been proven to influence attitudes toward Islamic mobile banking and may be the largest contributor to increased intentions to use Islamic mobile banking. On the other hand, this study reveals that the influence of religiosity can positively and significantly foster consumer sensibility and intention to use Islamic mobile banking.
The relationship between the market structure, the firms size and their innovative activity in the sectors of the Russian economy: Experience in industry-specific competitive analysis
Authors:   Institute of Economics and Industrial Engineering, Siberian Branch of the Russian Academy of Sciences, Petrov Sergey ,   Novosibirsk State Technical University
Published: November 2021

A number of theoretical and applied studies have shown that there is no unambiguous relationship between the market structure, expressed in particular by the firms size, and firms innovation activity. Understanding the nature of the relationship between the market structure, the firms size and their behavior allows us to raise the level of justification for both business strategies and innovation policy, which is also relevant in the context of the digital transformation of the Russian economy. The paper is aimed at considering the problem of an influence of a market structure with due regard for the peculiarities of their industries on firms innovation activity in Russia for the period 2006–2016. This period was chosen due to the transition to a new Russian National Classifier of Economic Activities edition and the beginning of active Russian economy digitalization in 2017. The hypothesis of the study is that in Russia, under the impact of a number of events, the influence of the firms size on their innovative activity in various sectors of the economy is becoming more acute. By building pooled and panel data models it was shown, that at the studied stage of country development a positive relationship between the average firms size in the industry and their innovation activity can be observed. But some conditions for a stronger growth of innovation activity in industries with firms of smaller sizes are emerging and it indicates a change in the Russian economy structure. As a result of assessing the linkage of the innovation activity intensity and firm size, it can be concluded that there is no connection with belonging to the type of economic activity, i. e. the relationship between the share of costs for technological innovations and the size of firms in the Russian economy has no industry specifics. The further development of this study consist in a more study of the factors that determine the results obtained, the development of recommendations for the formation of a working innovation system in Russia, as well as in the field of antimonopoly regulation on the issue of entry barriers.
Fully coupled hydrological–hydrodynamic modeling of a basin–river–lake transboundary system in Southern South America
Authors: Possa Thais Magalhães , Collares Gilberto Loguercio , Boeira Lukas dos Santos , Jardim Pedro Frediani , Fan Fernando Mainardi , Terra Viviane Santos Silva
Published: November 2021

The Mirim and Patos Lagoons form the largest lagoon complex in South America. Wind is one of the dominant climatic elements of circulation and water levels in the basin. Therefore, we aimed to better understand the effects of wind on the Mirim–São Gonçalo watershed by applying the MGB hydrological model and to assess whether it would produce satisfactory results for modeling. Various tests were performed to determine the best representation of the processes involved and the observed levels. The best results were obtained with the inclusion of sub-daily wind data in the simulation and also the downstream boundary condition by using the observed water level data at the sluice dam of the São Gonçalo channel. The results showed that the model could successfully simulate the levels and demonstrated the importance of including the wind when modeling the hydrodynamic processes of large lake environments.
QUEM ACREDITA NEM SEMPRE ALCANÇA: IDEALIZAÇÕES SOBRE O SER ANTES DE SE TORNAR AGENTE COMUNITÁRIO DE SAÚDE.
Authors: Pereira de Souza Tiago , Barros Oliveira Paulo Antonio
Published: November 2021

Introdução: O processo de idealização faz parte do constitutivo dos sujeitos, de modo que a vida no trabalho não está alheia a estas perspectivas depositadas no desconhecido. O sentimento de frustração quando tais expectativas não são atingidas, pode gerar sofrimentos que produzem impactos significativos na qualidade de vida do trabalhador. Objetivo: Os Agentes Comunitários de Saúde (ACSs) foram os sujeitos desta pesquisa, que objetivou discutir as idealizações quanto ao processo de trabalho. Metodologia: Os 62 ACSs de um município do Rio Grande do Sul, apresentaram uma dimensão do “ser um agente comunitário de saúde” na Estratégia de Saúde da Família (ESF), por meio de um estudo descritivo exploratório, de tratamento quali-quantitativo, caracterizando-se, também, como um levantamento censitário. O processamento qualitativo foi realizado por meio do encadeamento do Discurso do Sujeito Coletivo (DSC), através do qual as falas corporizadas proveram quatro ideias centrais e quatro discursos. Resultados: Foram identificadas e discutidas por meio do DSC de cada uma das categorias as seguintes idealizações: contato com pessoas ao ar livre; qualidade de vida; resolubilidade dos problemas dos usuários; gratificação e reconhecimento pelo trabalho; flexibilidade de horários; questão salarial; vínculo empregatício e estabilidade; trabalhar próximo de casa. Nem todos os discursos demonstraram idealizações, uma vez que, o desemprego foi uma das motivações apresentadas na escolha da profissão. Conclusões: O estudo traz à tona a realidade, como mais um apontamento científico para gestores e governantes, quanto a importância destes profissionais para o sistema público de saúde e o processo de degradação longitudinal a qual estão imersos.
PERFIL EPIDEMIOLÓGICO DO CARCINOMA DE CÉLULAS ESCAMOSAS DE CAVIDADE ORAL E OROFARINGE DIAGNOSTICADOS NA LIGA MOSSOROENSE DE ESTUDOS E COMBATE AO CÂNCER
Authors: Ribeiro de Paula Mariana , Ieracitano Vieira Leonardo , Pereira de Lira Marcelo , Moreira Freire Geison , De Moraes Maiara
Published: November 2021

RESUMO

Introdução: O carcinoma de células escamosas (CCE) de cavidade oral e orofaringe é uma neoplasia epitelial maligna comum, respondendo por 90 a 95% dos tumores de cabeça e pescoço encontrados no Brasil e no Reino Unido, sendo que, em 2020, houveram 3300 novos casos de tumor de boca na região Nordeste e 300 no Rio Grande do Norte. Ele está ligado a hábitos comportamentais, como tabagismo e etilismo de longa data e à infecção por Papilomavírus humano (HPV), além de apresentar considerável mortalidade. Objetivos: Esse estudo objetivou descrever o perfil epidemiológico dos pacientes diagnosticados com essa neoplasia no período entre 2006 a 2018 na Liga Mossoroense de Estudos e Combate ao Câncer (LMECC), Mossoró, RN. Metodologia: Foi realizado um estudo epidemiológico do tipo observacional com delineamento transversal a partir de dados presentes nos prontuários clínicos e laudos anatomopatológicos pertencentes à LMECC e no Sistema de Informações sobre Mortalidade. Os dados foram analisados a partir do Software R, utilizando o teste de Wilcoxon-Mann-Whitney para as análises inferenciais e o método de Kaplan-Meier para análise da sobrevida. Resultados: Durante o estudo, foram analisados 353 prontuários, sendo 128 excluídos. Do total de prontuários analisados, 70,22% eram de homens, 65,33% com idade entre 46-70 anos e com predomínio da cor branca (51,57%). Destes, 25,78% eram tabagistas e 39,11% tabagistas e etilistas. O principal tratamento identificado foi a associação de cirurgia, quimioterapia e radioterapia. Observou-se 49,10% óbitos em decorrência deste tipo de câncer. O principal estádio patológico encontrado foi o IVA (34,22%). Apresentaram maior sobrevida em 60 meses, os pacientes com mais de 70 anos ao diagnóstico, aqueles cujo tratamento foi exclusivamente cirúrgico e, ao considerar os hábitos comportamentais, notou-se menor sobrevida em 60 meses daqueles indivíduos que tinham hábito de etilismo e tabagismo. Conclusões: Nossos resultados sugerem que a grande quantidade de óbitos encontrados decorreu do CCE e que os hábitos comportamentais provavelmente influenciaram esse desfecho clínico. Ademais, destaca a importância do diagnóstico precoce a fim de reduzir óbitos e melhorar a qualidade de vida dos indivíduos acometidos e a necessidade de implementação de campanhas educativas que informem a população sobre os principais fatores de risco associados ao desenvolvimento dessa neoplasia.

 

Palavras-Chave: Carcinoma de Células Escamosas de Cabeça e Pescoço; Carcinoma de Células Escamosas; Neoplasias Bucais; Neoplasias Orofaríngeas; Epidemiologia
O SORRISO GENGIVAL E O RESGATE DA AUTO-ESTIMA MEDIANTE A ODONTOLOGIA ESTÉTICA: REVISÃO INTEGRATIVA
Authors: Vieira de Sousa Glenda , Ferreira de Souza Maria Eduarda , Rebeca Santos Nascimento Yasmin , Costa de Araújo Souza Georgia , Bittencourt Dutra dos Santos Patrícia , Tôrres Ana Clara Soares Paiva
Published: November 2021

Introdução: O sorriso gengival tem mostrado ser um fator de desconforto estético e psicológico, além de afetar as relações interpessoais e a autoestima dos pacientes. Diante disso, procedimentos estéticos têm sido desenvolvidos com o intuito de melhorar a qualidade de vida de quem os procuram. Objetivo: Analisar qual o impacto que os procedimentos odontológicos estéticos possuem na recuperação da autoestima e satisfação dos pacientes com sorriso gengival. Metodologia: A temática é abordada por meio da revisão integrativa da literatura. Para a seleção dos artigos utilizou-se as bases de dados: MEDLINE, LILACS, SciELO BBO e PubMed, publicações escritas em inglês, português ou espanhol, no período de 2010 a 2020. A amostra desta revisão constituiu-se de 06 artigos. Resultados: Foi observado que o sorriso gengival causa desconforto estético e psicológico ao indivíduo. As prevalências das etiologias relacionadas foram erupção passiva ou tardia dos dentes, extrusão dentoalveolar anterior, excesso maxilar e lábio superior curto.  Os procedimentos mais utilizados foram a aplicação de toxina botulínica, a qual mostrou-se ser promissora para a correção do sorriso gengival assim como o reposicionamento labial. Conclusões:  Os estudos mostraram que os procedimentos odontológicos estéticos para correção do sorriso gengival contribuem para satisfação do paciente e melhora da autoestima e as técnicas menos invasivas e com melhor pós-operatório apontadas, são a aplicação da toxina botulínica e o reposicionamento labial.
ACESSO E IMPACTOS FINANCEIROS DA PROVISÃO ORTODÔNTICA PÚBLICA NOS SISTEMAS DE SAÚDE MUNDIAIS: REVISÃO INTEGRATIVA
Authors: Aparecida Rodrigues Vieira Mayra , Silva de Lima Lavínea , Cristina Gonçalves Leite Isabel
Published: November 2021

Introduction: The supply of public orthodontic services is still unable to meet the demand for treatment of malocclusions. The resources available are sometimes mismanaged and significant financial impacts contribute to limited access to the services. Objective: To carry out an integrative review regarding the access and financial impacts of public orthodontic service among the various health systems worldwide, considering social inequalities and the referral and counter-referral systems for services. Methodology: A survey was conducted using the BVS (Biblioteca Virtual em Saúde / Virtual Health Library), PubMed, and Cochrane databases, including articles available from 1970 to 2019, which elucidated the guiding question “How does access work and what are the financial impacts of the provision of orthodontic services in different public health systems worldwide?”. Results: 204 articles were found, of which 19 were analyzed. The chronological distribution was relatively uniform. The topic ‘access to orthodontic services’ was most frequently reported and there was a predominance of studies addressing the provision of treatment for children and adolescents. Conclusions: There are significant financial impacts and demographics have a strong influence on access to services. The provision of orthodontic treatments by the private sector predominates, preventive approaches are scarce, and an optimization in the use of available resources is necessary. Primary Care has much to contribute in increasing access, reducing costs, and making the referral / counter-referral system effective.
PERFIL DOS USUÁRIOS DE UM CENTRO DE ATENÇÃO PSICOSSOCIAL ÁLCOOL E OUTRAS DROGAS NA ZONA DA MATA DE PERNAMBUCO
Authors: Carolina Santana França Ana , Oliveira Duarte Petra , Andrade Felipe Dara , De Oliveira Silva Sousa Fabiana
Published: November 2021

Introdução: A implementação de políticas de saúde para garantia da atenção integral aos usuários de álcool e outras drogas vem sendo realizada há algumas décadas e teve sua garantia normativa fortalecida com o passar dos anos através da criação de leis e dispositivos assistenciais cujo objetivo foi redesenhar o cuidado ofertado a essa população. Na atualidade, persistem desafios para a garantia de acesso a uma demanda crescente de pessoas. A implantação de serviços especializados regionais tem sido uma aposta importante para superar alguns desses desafios. Objetivo: analisar o perfil dos usuários de um Centro de Atenção psicossocial Álcool e outras drogas (CAPS-AD) regional da zona da mata de Pernambuco. Metodologia: Estudo descritivo, transversal e quantitativo, realizado entre março a julho de 2018. Foi realizada coleta de dados primários em prontuários dos usuários do CAPS-AD e analisados a partir da estatística descritiva. Resultados: Os usuários do serviço eram homens (93,8%), da cor parda (46,5%), solteiros (42,3%) e desempregados (43,2%). A maioria foi admitida quando jovem-adulto (46,4%) e por demanda espontânea (64,6%). Apresentam histórico familiar positivo (89,5%) e fazem uso predominante do álcool exclusivo (32,5%). A maioria dos usuários reside no município onde o CAPS-AD está sediado. Conclusão: Os dados seguem a tendência dos estudos realizados nos últimos anos em saúde mental sobre os transtornos decorrentes do uso de crack, álcool e outras drogas e evidenciam a necessidade de fortalecer as redes regionalizadas, discutindo desde a infraestrutura como o transporte aos serviços até a necessária articulação entre o CAPS-AD e a Atenção Básica.