bluuebunny/crossref_metadata_2025 huggingface dataset:
Formación de promotores comunitarios de salud para personas sordas en un departamento de Colombia
Authors: Lopera-Escobar Alejandra , Ayala-Hernández Jessica María , Cadavid-Mazo Sandra Yaned
Published: December 2024

Introducción: las barreras socioculturales que enfrentan las personas sordas para acceder a información sobre el cuidado de la salud, pueden ser superadas a través del entrenamiento en promoción de la salud de líderes de su propia comunidad. Métodos: se condujo una investigación acción participativa basada en comunidad en la que se identificaron necesidades de educación para la salud de la población sorda de un departamento de Colombia; posteriormente se diseñó e implementó un curso de formación de promotores comunitarios de salud. Resultados: Se identificó que las personas sordas desconocen sobre derechos en salud, salud sexual y reproductiva, alimentación saludable, actividad física y salud mental, lo cual orientó la construcción participativa de un curso de formación de promotores comunitarios de salud, bajo los principios de diseño universal del aprendizaje. Conclusiones: se formaron nueve promotores comunitarios de salud con competencias para realizar educación en cuidado de la salud y en prevención de la enfermedad.
INCREASING GUM THICKNESS IN THE AREA OF PLANNED IMPLANTS BY CHANGING GUM BIOTYPE
Authors: Chekanova Anastasiya , Sel'skiy Natan , Musina Lyalya , Shimova Margarita
Published: December 2024

The initial deficiency or complete absence of attached keratinized gum in the area of the above-mentioned implants are features of the use of dental implantation. The most common way to increase gum thickness is through the use of connective tissue grafts. A gingival autograft from the palatal surface of the upper jaw is transferred to a specially prepared recipient site of the alveolar process, which needs to increase the thickness of the attached gum. Since the increase in gingival thickness is the result of plastic surgery, the original biological phenotype of the gingiva does not change.
This article describes a technique for increasing the thickness of the gums by changing the initial biological phenotype of the gums through the use of an allogeneic graft as a connective tissue graft: a fascial limiter for directed tissue regeneration “Alloplant”.
Materials and methods. Clinical studies were performed on volunteers with a thin gum phenotype in the area of the planned dental implant: dental implantation was performed using soft tissue autografts from the mucous membrane of the patient's upper palate; Dental implantation was performed using the Alloplant fascial limiter for directed tissue regeneration.
The thickness of the gums was determined by morphological examination of tissues.
Results. The thickness of the gum tissue of operated patients using the Alloplant fascial limiter for directed tissue regeneration in the implant projection was more than 1.5 mm with an increase in gum thickness to 2.3 mm. The gum phenotype changed to thick, which was confirmed by the results of morphological studies.
Conclusion. Allograft fascial limiter for directed tissue regeneration “Alloplant”, when used as a connective tissue graft, in accordance with the method described in this article, forms the phenotype of “thick” gums (thickness more than 1.5 mm) in the projection of dental implant platforms (thickness more than 1.5 mm), which allows predictable perform restoration on implants.
CLINICAL AND LABORATORY ASSESSMENT OF TREATING CARIES IN CHILDREN'S PERMANENT TEETH USING VARIOUS ADHESIVE SYSTEMS
Authors: Shevchenko Maksim , Kisel'nikova Larisa , Vasilyeva Natalya , Alyamovskiy Vasiliy
Published: December 2024

Subject. Children's permanent teeth affected by caries at various stages of hard tissues mineralization.
Objectives. To substsantiate the choice of various adhesive systems to treat dentine caries in permanent teeth with carious lesion of average intensity in incomplete and completed processes of hard dental tissues mineralization.
Methodology. Clinical examination and treatment of 151 children (287 permanent teeth) for dentine caries (K02.1) aged 7 to 15 was carried out. Assessment of seals marginal integrity was carried out according to G. Ryge (1998) and using electrometric method.
Results. In children's permanent teeth with incomplete processes of hard tissues mineralization, with total etching technology, unsatisfactory restorations frequency after 2 years was 21% and 57% with self-etching adhesive used. In group with total etching technology, electrical conductivity after 2 years was 42,8% lower than in that one with self- etching adhesive system. In children's permanent teeth with completed processes of hard tissues mineralization, unsatisfactory restorations frequency after 2 years was almost equal and amounted to 27% and 30%, respectively, in both groups with no significant differences in electrical conductivity rates.
Conclusion. In children's permanent teeth with average carious process intensity and incomplete hard tissues mineralization processes there is a denser adhesive compound with total etching technology and in permanent children’s teeth with completed hard tissues mineralization processes there are no significant differences in marginal adhesion of fillings to dental tissues when self-etching adhesive technology of total etching is used.
CEPHALOMETRIC ANALYSIS OF THE STRUCTURE OF THE DENTOFACIAL SYSTEM AFTER DENTAL INJURY IN CHILDREN WITH CLASS II DIVISION 1 DENTAL MALOCCLUSION AND PROMINENT OF THE UPPER INCISORS
Authors: Shishmareva Anastasiya , Plotnikov Aleksandr , Zakirov Taras , Brusnitsyna Elena , Menshikova Evgeniya , Kozmenko Anastasia , Khelashvili Elizaveta , Shishmareva Uliya , Gainetdinov Maksim
Published: December 2024

The aim of study is to analyze the results of the development of the dentofacial system after traumatic dental injuries in children with class II division 1 dental malocclusion and prominent of the upper incisors according to cephalometric data.
Materials and methods. The analysis of teleroentgenogram in the lateral projection was performed using the Steiner method in 30 children aged 6–9 years immediately after traumatic dental injuries to the upper permanent incisors, in the same 30 children at a late stage at the age of 9–12 years, in 30 children of the control group at the age of 9–12 years. For the calculation, anthropometric points, planes, angular values were used, the structure of the dental system was assessed in 2 planes: sagittal (parameters ANB, SNA and SNB) and vertical (parameters NSL/NL, NSL/ML and NL/ML), the axial inclination of the upper and lower incisors was assessed (parameters ILs/NL, Ili/ML, Ils/Ili).
Results. In children with class II division 1 dental malocclusion and prominent of the upper incisors, in the late stages after traumatic dental injuries to the upper permanent incisors, dentoalveolar anomalies become more severe: the skeletal form of class II division 1 dental malocclusion with prognathism of the upper jaw and retrognathia of the lower jaw increases, anterior rotation of the lower jaw is preserved in combination with a hypodivergent structure of the facial skeleton, the axial inclination of the upper and lower incisors decreases, and the interincisal angle increases proportionally.
Conclusions. After traumatic dental injuries to the upper permanent incisors in children, the severity of class II division 1 dental malocclusion increases in the long term, sagittal growth of the upper jaw continues with a decrease in the growth rate of the lower jaw in the sagittal and vertical direction, and a retrusive axial inclination of the upper and lower incisors is formed.
A MODERN SOLUTION IN A TOOTH-PRESERVING APPROACH IS A COMBINED PINE-STUMP LAY
Authors: Astashina Nataliya , Balyberdin Gleb , Kazakov Sergey , Maiorova Lilia , Petrachev Artem
Published: December 2024

Subject. The possibility of improving the pin-stump lay made using modern digital technologies. Reconstruction of the aesthetic defect of the tooth crown is one of the most important aspects in the work of an orthopedic dentist. Pin-stump designs make it possible to preserve your own teeth. However, the designs used today have a large number of disadvantages. The article defines the main required characteristics and proposes a modified combined pin-stump lay. The technology of manufacturing this type of prosthesis using modern additive methods is presented.
Objectives. is to develop and introduce into the practice of orthopedic dentistry an improved design of a combined pin-stump lay made using modern digital technologies.
Methodology. During the development, the design of the pin-stump lay was modified by improving the fixing elements in their location and geometric shape. Automated digital programs are used to simulate the pin-stump lay. A method of selective laser sintering of metal from cobalt-chromium powder has been applied to convert it to an analog. The ceramic stump part is implemented by pressing ceramics using traditional technology.
Results. A useful model of a combined pin-stump lay has been developed. A step-by-step manufacturing process using the capabilities of modern technologies in orthopedic dentistry is proposed. The advantages of the design at each stage of manufacture are described, ensuring a good result of orthopedic treatment.
Conclusions. The combined pin-stump lay developed as a result of the study has a number of advantages. The use of software for volumetric modeling increases the accuracy of manufacturing this orthopedic structure. Selective laser sintering makes it possible to obtain high strength characteristics. The ceramic processing method has a positive effect on the aesthetics parameter at the final stage of prosthetics.
ORAL CONDITION IN PATIENTS WITH IRON DEFICIENCY ANEMIA
Authors: Vasil'eva Nadezhda , Bulgakova Al'bina , Vasilyev Eduard , Kuvardina Yulia
Published: December 2024

Subject. Iron deficiency anemia (IDA) occurs in all age and social groups of the population, not only in various pathological but also physiological conditions.
Objectives. To study the oral condition in patients with iron deficiency anemia (IDA).
Methodology. questionnaires were used to determine concomitant pathology and manifest symptoms of anemia. The diagnosis of IDA, non-carious lesions, dental caries and its complications, periodontal diseases and diseases of the oral mucosa, lips, tongue were established by ICD-10 (C) according to WHO. Dental status was determined by indices (KPU, OHI-S, PMA, PBI, PI) and radiographic data.
Results. According to the questionnaires, IDA symptoms were detected in 49.1% of patients with periodontal diseases aged 18 to 70 years. Paresthesia of the tongue occurred mainly in women in 84.4% of cases, angular cheilitis was 2.5 times more common in females than in males, atrophic and desquamative glossitis 42.1 and 35.1%, respectively, viral stomatitis 37.8% and candidal stomatitis in 53.3% of females suffered from, midline lip fissure was 4.7 times more common in males than in females. The KPU index increased with age from 9.5 at 18–30 years to 22.2 in individuals over 50 years old. On average, the OHI-S level was 2.71 units, PBI – 1.47 units, PMA – 43.70%; PI – 2.21 units. Gingivitis was diagnosed in 26.3% of individuals with IDA and periodontitis in 73.7% of patients, respectively.
Conclusions. For early detection of IDA symptoms in individuals with periodontal diseases, it is necessary to conduct a comprehensive assessment of the dental status, a questionnaire on sideropenic and anemic signs, and a general blood test.
CLINICAL AND LABORATORY RATIONALE FOR LOCAL USE OF ANTIOXIDANTS IN THE TREATMENT OF CHRONIC GENERALIZED PERIODONTITIS
Authors: Butyugin Ivan , Merkulova Natalia , Kornilova Natalia
Published: December 2024

Introduction. In periodontitis, there is a disruption of the balance between the rate of formation of active forms of oxygen and their inactivation in the tissue. This fact dictates the need to use antioxidants to treat periodontal diseases.
Objective: clinical and laboratory justification for the local use of antioxidant drugs in the treatment of chronic generalized periodontitis.
Materials and methods. A study was conducted of the clinical and laboratory effectiveness of local application of 5% tocopherol acetate solution, 5% Mexidol solution and Kudesan Forte solution in 99 patients with CGP. The effectiveness of antioxidant use was assessed by the OHI-S, PBI, PMA, CPINT, PI indices, based on the OHIP-14 questionnaire and the general psychological well-being index. The level of lipid peroxidation products was determined spectrophotometrically with the registration of lipid peroxides in the heptane phase of the lipid extract. The state of antioxidant defense was assessed by the content of α-tocopherol and ceruloplasmin.
Results. All the drugs, tocopherol acetate, Mexidol and Kudesan Forte, caused a reliable decrease in the value of periodontal indices, a decrease in the OHIP-14 index. In addition, Kudesan Forte improved the IOPB and increased vital energy much more effectively. When studying the laboratory parameters of oral fluid, Mexidol had unidirectional reliable differences from tocopherol acetate in reducing heptane-soluble DC and isopropanol-soluble KD and ST. Kudesan forte was superior in its effectiveness to both tocopherol acetate and Mexidol. At the same time, Kudesan Forte more effectively increased the level of ceruloplasmin and α-tocopherol in mixed saliva.
Conclusions. The results of the study confirm that local use of tocopherol acetate, Mexidol and Kudesan Forte significantly improves periodontal status and laboratory parameters in the treatment of chronic periodontal disease. These drugs should be included in the complex therapy of periodontitis of not only mild and moderate, but also severe degrees. For this purpose, it is preferable to use Mexidol and Kudesan Forte.
CLINICAL EVALUATION OF XEROSTOMIA MANIFESTATIONS IN WOMEN WITH CHRONIC PERIODONTITIS AND REDUCED BONE MINERAL DENSITY
Authors: Elovicova Tat'yana , Sablina Svetlana , Griroriev Sergey , Mandra Yuliya , Karaseva V. , Gegalina N. , Dorokhina Ksenya , Markova Maria
Published: December 2024

Subject. The subject of this study is xerostomia.
Objectives. The aim of the study is to evaluate xerostomia manifestations in women with chronic periodontitis and reduced bone mineral density of the skeleton.
Methodology. The study is conducted by the Department of Therapeutic Dentistry and Propaedeutics of Dental Diseases, Ural State Medical University. The study involved 96 patients: 76.7% of those with age 45–59 years old, and 23.3% of those with age 60–65 years old. The two study groups were formed: the first group comprised 66 patients with chronic generalized periodontitis of moderate severity and reduced bone mineral density; the second (reference) group comprised 30 conditionally healthy female patients with chronic generalized mild periodontitis in remission and normal bone mineral density of the skeleton. The clinical assessment of dental parameters in patients and online questionnaire survey with special questions modified by us were carried out to determine the aspects of xerostomia and the system state.
Conclusions. Analysis of the findings reveals the feasibility of conducting the survey – the use of the summated rating scale responses to Xerostomia Inventory Questionnaire and clinical scoring scales for assessment of xerostomia for xerostomia diagnosis in women with chronic periodontitis of moderate severity, as well in those with reduced bone mineral density. It can be useful in identifying and analyzing risk factors, non-specific causes, prevalence of permanent, periodic and latent xerostomia, initial and clinically definite xerostomia. These methods allow to define the stomatological and somatic status of patients, adequately set up a comprehensive treatment plan, consultations and dynamic monitoring not only by dental and periodontal specialists but also by such specialized medical professionals as rheumatologist, endocrinologist, ophthalmologist, otolaryngologist and others, if necessary.
EVALUATION OF THE EFFECT OF THE MUCOPROTECTIVE SPRAY ON PERIODONTAL INFLAMMATION: RHEOLOGICAL PARAMETERS OF MIXED SALIVA
Authors: Elovicova Tat'yana , Sablina Svetlana , Ermishina Elena , Griroriev Sergey , Mandra Yuliya , Karaseva V. , Gegalina N. , Markov Roman
Published: December 2024

Subject. The subject of the study is a mucoprotective spray, mixed saliva.
Objectives. The aim of the study was to evaluate the effectiveness of use of the mucorotective spray on periodontal inflammation by analyzing dynamic changes in the rheological properties of mixed saliva.
Methodology. The study is conducted by the Department of Therapeutic Dentistry and Propaedeutics of Dental Diseases, the Department of General Chemistry, Ural State Medical University. The research objects are: 1 – the spray with mucoprotector, titanium glycerosolvate aquacomplex used as an “inorganic nanoparticle” with high delivery capabilites into deep tissue layers and activity enhancement of anti–inflammatory, antimicrobial and regenerating components of the spray; 2 – the spray without titanium glycerosolvate aquacomple (aqueous solution), placebo. The study involved 30 dental volunteer students whose average age was 20.5 ± 0.95 years (12 young men, 18 young women) with periodontal inflammation. Two groups were formed consisting of 15 people each who used the study sprays during two weeks. The dynamic changes in the rheological parameters of mixed saliva were determined by the following methods: measuring salivary flow rates, viscosity measurements, evaluation of surface tension of mixed saliva to characterize its rinsing function and cleansing properties.
Conclusions. Analysis of the findings shows high effectiveness of use of the mucorotective spray on the basis of titanium glycerosolvate aquacomplex with anti-inflammatory effect, that is confirmed by the dynamic changes in the hygiene index and the PMA index (p ⩽ 0.05). The spray has got high trans-mucus penetration and good tolerability; it is easy to use and economically affordable. The analysis of changes in the rheological parameters of mixed saliva in patients from the first group during the application course of the spray on the basis of the the titanium glycerosolvate aquacomplex mucoprotector showed increased saliva flow rates and decreased viscosity of saliva. These enhance the rheological propertiies of mixed saliva, its rinsing function and cleansing properties, as well reduce the risk of tooth decay and gum swelling, and prevent dental deposits in patients with periodontal inflammation.
USE OF THE RAT PERIODONTAL INDEX (PIoR) AS AN OBJECTIVE METHOD FOR STUDYING THE PERIODONTAL CONDITION OF WISTAR RATS. EXPERIMENTAL RESEARCH
Authors: Popov Vyacheslav , Gorbatova Lyubov , Dubinina Aleksandra , Zhurba Semen , Pozdeev Nikita , Zvezdina Yulia , Preobrazhenskaya Elena
Published: December 2024

Relevance. Currently, there is a high prevalence of inflammatory periodontal diseases (hereinafter referred to as IPD). The development of pharmaceutical products for the prevention and treatment of IPD remains a promising task. Reliable methods are needed to evaluate the effectiveness of such tools, however, known methods are not always applicable in experimental modeling of IPD in laboratory animals. To solve this problem, we proposed the periodontal index of rats (hereinafter referred to as the PIoR).
Goal. To evaluate the practical application of PIoR in modeling experimental gingivitis in Wistar rats.
Materials and methods. 30 adult male Wistar rats were selected for the study. The animals are divided into 3 groups: 2 intervention groups and 1 control group. The experiment was conducted for 16 days. The first stage of the experiment is the simulation of experimental gingivitis. Dysbiosis of the mouth was created in animals and mechanical damage to the gums was inflicted in the area of the incisors of the lower jaw. The second stage is the treatment of gingivitis with drugs “Asepta”, “Stomatophyte”. On the 10th and 16th days, a visual and instrumental assessment of bleeding, color and consistency of the gum was performed using PIoR.
Results. During the experiment, on the 16th day, a decrease in PIoR values was recorded in all groups. However, bleeding and gum consistency were higher in the Stomatophyte group. The average value of the indicator “Gum color” varied in the range of 0.6–1.2 and significantly differed in the observation groups. When analyzing the signs of IPD before and after gingivitis therapy, statistically significant differences in the "Gum consistency" sign were revealed within the groups (0.7 vs. 0) in the Asepta group. When studying the changes in the average indicators of signs in the Stomatophyte group, an increase in bleeding was noted from 0.8 to 1.2. In the control group of animals, normalization of gum color was noted.
Conclusion. The proposed index can be an effective tool in evaluating new pharmaceutical products for the prevention and treatment of IPD.
THE VALUE OF THE VOLUME OF THE ATTACHED GUM IN THE PERI-IMPLANT AREA. CLINICAL CASE
Authors: Sharov Alexey , Nosova Maria , Privalova Ksenia , Mikhailova Ekaterina , Postnikov Mihail , Lysov Alexander , Lysova Valeriya , Kiiko Anastasia
Published: December 2024

Relevance. The attached gum is a part of the periodontal tissue complex, attached tightly to the periosteum by connective tissue fibers. It protects the tooth or implant from mechanical injury of any etiology. Its absence or lack negatively affects the safety of teeth and, especially, implants. Due to the widespread development of implantological treatment, the prevalence of problems in the peri-implant area is very high. The basis for the treatment of peri-implantitis and its prevention is the creation of an optimal volume (width) of the attached gum. Due to the large number of different personal parameters and individual indicators that are important in assessing the status of a patient with peri-implant pathology in different clinical cases, treatment methods cannot be systematized at present. Today, the approach to the choice of strategy, tactics and specific methods of treatment of peri-implant pathologies is highly personalized.
The aim of the study is to develop an algorithm for the application of periodontal tissue management methods for the surgical treatment of patients with peri-implant pathology.
Materials and methods. The study presents and analyzes in detail a clinical case of augmentation of the attached gum in the area of implants by tunnel technique using an autograft.
Results. The volume of the attached gum in the area of all operated implants, as well as in the area of adjacent teeth adequate to the required volume of peri-implant tissues, was obtained, the result was evaluated by measurable and visualized indicators.
Conclusion. The tunnel technique using a free gingival deepithelized autograft allows you to create the necessary volume of attached gums in the peri-implant area, to form high quality soft tissues of the gum; it is the method of first choice due to low invasiveness, and fully meets the requirements of a personalized approach.
FEATURES OF REPARATIVE REGENERATION OF BONE TISSUE IN THE BAK-1000 IMPLANTATION ZONE IN COMBINATION WITH ANGIOSTIMULATED MSCS
Authors: Demyashkin Grigory , Fidarov Aslanbek , Ivanov Sergey , Orlov Andrey
Published: December 2024

An urgent problem in modern maxillofacial surgery remains the question of choosing the optimal osteoplastic material when eliminating diastasis of bone tissue, especially when replacing large defects. An active search and testing of new biocomposites that stimulate osteohistogenesis continues, assessing their effectiveness and safety.
Aim of the study: characteristics of osteoregeneration after implantation of “BAK-1000” in combination with MSCs stimulated in the angiogenic direction in an experiment.
Materials and methods. Experimental animals (Sprague Dawley rats, age 13–15 weeks, n = 30, ♂) in this study were randomly divided into two groups – control and experimental (15 animals in each). The first stage of the experiment is the cultivation of mesenchymal stem cells, the second is the creation and filling of bone defects using implantation material and autologous MSCs.
Results. A histochemical study two months after implantation of the biocomposite in combination with MSCs revealed moderate development of signs of osteohistogenesis, pronounced neoangiogenesis and the formation of bright yellow crystals. Administration of BAC-1000 to animals in the control group demonstrated the formation of a connective tissue capsule around the implanted material with virtually no signs of osteohistogenesis and neoangiogenesis.
Conclusions. In the experiment, the use of a biocomposite consisting of “BAK-1000” in combination with angiostimulated MSCs was tested. Based on a histochemical study, it was noted that it is ineffective in closing extensive bone tissue defects, however, additional cultivation of these cells on a matrix of osteoplastic materials can enhance the processes of osteohistogenesis and neoangiogenesis, inducing bone tissue metabolism and stimulating the formation of connective tissue in the diastasis zone, which may be the reason for further studies of such combinations.
The image of the Russian people in Notes from a Dead House by F. M. Dostoevsky
Authors:   Lomonosov Moscow State University, Jinghong Yang
Published: December 2024

In modern cultural processes, the problems of the essence of the mentality of the Russian people in Dostoevsky’s artistic works are
acquiring critical importance. The article provides a detailed analysis of the images of the Russian people and pictures of their life created by F.
M. Dostoevsky in Notes from a Dead House, and reveals the origin of the ideas of Pochvennichestvo in Dostoevsky’s work of the early 1860s. The
following main typological groups of images of the people are distinguished: the types of “meek” and “fierce”, “tormentors” and “victims”, “selfwilled” and “weak-hearted”. It is concluded that Dostoevsky affirmed the religious tolerance inherent in Russian Orthodox culture and called on
the Russian people to take on the mission of the messiah. In his opinion, “Europeanized” Russian intellectuals are morally lost souls, temporarily
cut off from the roots of the people as a result of the reforms of Peter the Great, who were destined to merge with the people. He opposed the
“Blame circumstances” form and utilitarianism, and called for a return to art itself. Although Dostoevsky did not hide the obvious cruelty, barbarity
and backwardness of Russian peasant life, he still believed that the noble Christian virtues of mercy and self-sacrifice remained at the core of
peasant life. He believed in the spiritual strength and moral power of the Russian people and saw the way of salvation for a developed personality
in uniting with the people. The significance of the work lies in the in-depth and detailed understanding of the problem of people and nationality
in Dostoevsky’s works. The results of the work can be used in the study of Dostoevsky’s oeuvre in universities.
“A fighting body” in the poetry of the Thaw epoch
Authors:   Saratov State University, Khisyamutdinova Sofia R.
Published: December 2024

The article traces the transformation of the corporeal imagery in the poetry of the thirteen key war-veteran poets, who started
writing in the war years and continued to create during the Thaw: O. Berggolts, S. Gudsenko, Yu. Drunina, Yu. Levitansky, A. Mezhirov, B.
Okudzhava, N. Panchenko, D. Samoylov, I. Selvinsky, K. Simonov, B. Slutsky, Ya. Smelyakov, A. Tvardovsky. In the course of the analysis six types
of corporeal images are revealed in the works of the authors under study: sensor, morbual, mortal, mnemonic, age and gender oriented. The
author of the article studies the changes of these images in the post-war poetry caused by reconsidering the issues of life and death, war and
peace, memory and forgetfulness, age and generation, love and friendship, epoch and creativity. According to the findings, corporeal imagery
in the war years primarily focused on the immediate sensations: cold, hunger, pain, fear, closeness of death, wrath, etc. Sensory, morbual,
mortal functions of physicality prevailed. War poetry overcame many taboos of portraying the suffering and resisting flesh. At the same time
the corporeal imagery served as an acutely emotional means of confirming the official narrative of fight and victory over the enemy. In the
Thaw period the poets, who returned from the war, used the corporeal code for a more in-depth comprehension of the experienced trauma.
The mnemonic, age and gender oriented functions of the corporeal images come to the foreground. The body retains the memory of what it has endured, it realizes its age (non-biological) in a new way, it re-discovers its gender identity, senses its mortality. Alongside with this, the
sensor, morbual, mortal images, developed during the war, become metaphorized. Pain, shard, wound, cold etc. move from the physical plane
to the spiritual one. The war experience enters the conflicting relationships with the new sensory characteristics of a peaceful life and becomes
the foundation for the unification of the war generation, searching for their place in the post-war poetry.
Transformation of the biblical myth in the play Judith by Elena Isaeva
Authors:   Lomonosov Moscow State University, Wei Xing
Published: December 2024

The paper examines the features of the image of Judith in the play of the same name by the modern playwright Elena Isaeva, in
which the author relies on the story described in the Book of Judith, which was a part of the Old Testament. Comparison with the original
biblical myth allows us to conclude that it has been significantly transformed in the play. Isaeva does not limit herself to describing the clash
of Assyrians and Jews, she muffles the bloody conflict. And the picture of the leader of the Assyrians, Holofernes, being murdered, is replaced
by romantic episodes, secret meetings of lovers. The article compares two versions of the play (1992, 2004), which allows us to talk about the
development of the author’s idea. An important role in the first version, which is designated in the article as “brief”, is played by the presence of two women in the play: Judith and her maid Elima. In this version, Elima’s frivolity is contrasted with the depth of Judith’s emotional
turmoil. Elima is ready to enter into a love affair with almost every man she meets. For Judith, after many years of widowhood, the love that
arose for Holofernes becomes a tragedy, as it is considered as an obstacle to achieving the goal of killing the enemy of her country. In the
full version, Elima is “replaced” by her great-granddaughter, which allows Isaeva to build a flashback of events, as the heroine tells the girl
what had happened in her life before the girl was born. To confirm the importance in the change of emphasis in the original biblical text, N. Nedobrovo’s play Judith is also drawn upon, which allows us to emphasize the difference in the interpretations of the biblical plot by the
male and female authors. The result of the comparison is the statement about the development of a complex of “femininity” in Isaeva’s play.
The analysis also makes it possible to comprehend the problem of interpreting biblical myths in culture.
The critical social theory of J. Habermas on the crisis of state power legitimacy in the advanced capitalist society
Authors:   Saratov State University, Nikiforov Yaroslav A.
Published: December 2024

The article is devoted to the problem of the crisis of the state power legitimization in advanced capitalist society studied in the critical
social theory of J. Habermas. Today, against the background of ongoing tectonic shifts in the world order, the Western states of advanced capitalism are facing the problems that are becoming increasingly difficult for the ruling elites to solve. The categories such as the state and democracy
are under the threat of loss of legitimacy. The crisis of legitimacy of the late capitalist social order is by no means a new phenomenon for social
science. J. Habermas's reflections are based on concepts and principles developed by him within the framework of critical social theory. He argues
that the main contradiction of the capitalist order remains the private appropriation of state wealth; in terms of the discursive model of practical
rationality: the suppression of generalized interests through treating them as private. As a result, political decisions do not recognize a rational
consensus. The stability of the capitalist social formation depends on the continued effectiveness of legitimation, which does not stand up to
discursive scrutiny. The central problem is the lack of a regulatory framework for public consent. J. Habermas is convinced that it is possible to
ensure normative agreement on the intersubjective basis by referring to the concept of undistorted communication. It is possible to establish
some kind of regulatory agreement, from the point of view of which the activities of the state can be given legitimacy. Not that this is likely to
ensure the legitimacy of a liberal capitalist state; rather, the needs and interests that would be the basis of a normative agreement and that could
be established in a situation of undistorted communication would point the way to the transformation of a capitalist society, which models of
domination cause people to systematically err about their motives and interests.
On the role of humanitarian education in the formation of students` civic values
Authors:   Saratov State University, Kalinnikova Marina V. , Tolok Ekaterina S. ,   Balakovo Institute of Engineering and Technology of the National Research Nuclear University MEPhI (Moscow Engineering Physics Institute)
Published: December 2024

The article analyzes the role of humanitarian education in the formation of civic values among students. Attention is paid to the
theoretical approaches of understanding civic values as a complex, multifaceted, multilevel dynamic structure. The basic civic values that
make up the core of modern Russian citizenship are considered. It is emphasized that the specifics of civic values is due to the fact that they
are an effective tool in the system of citizen–state relations only when they are internalized by a person and become a part of his/her civic
consciousness and self-awareness. The emerging negative trend towards a decrease in the role of civic values in the personal life space urgently
requires an increase in the subjects of the socio-humanitarian cycle in the formation of professional programs. The possibilities of social and humanitarian disciplines make it possible to increase the level of civic competence of students, to form the ideological foundations of
civic consciousness for the personal self-realization of young people as active participants in the transformations of modern Russian society.
Reserve servicemen as an object of sociological research
Authors:   Saratov State University, Fomina Mariya O.
Published: December 2024

The article discusses the specifics of military personnel after the end of military service, their problems of transition to the civil society.
It is noted that they retain their connection with the army, a social institution consisting of a rigidly hierarchical large armed aggregate of people,
under the control of the state, ensuring the protection, defending national interests and providing assistance to other countries in conflicts. The
Russians discharged from active military service to the reserve, as an object of sociological research are a set of citizens who were registered
with the military, who had served in the Army or were exempted from it for various reasons, but are fit for military service in wartime. They are
a fairly large-scale, complex, heterogeneous object, and at the same time a subject located at the junction of military and civilian life. They are
distinguished by the presence of socio-economic problems (choice of a new profession, employment, purchase of housing, etc.).
A farmmenedzserszoftverek meghatározása és alapvető funkcióinak áttekintése
Authors: Dajka Máté Ferenc
Published: December 2024

A digitális agronómiában számos olyan fogalommal lehet találkozni mint a komplex precíziós farmmenedzser­szoftverek, adatalapú gazdálkodás, smart farming. A most következő tanulmányban ezeknek a fogalmaknak a meghatározására vállalkoztam. Különös tekintettel a farmmenedzserszoftverek fogalmára, amelyek olyan multifunkcionális technológiákként határozhatóak meg, amelyek a gazdálkodás során létrejött, valamint a külső forrásokból származó adatok alapján támogatást nyújtanak a gazdaságban zajló, különböző tevékenységek optimalizálására és menedzselésére. Ezek a rendszerek segítenek a gazdálkodóknak a termelési folyamatok jobb megértésében, a hozam maximalizálásában, valamint a költségek csökkentésében, miközben növelik az üzem hatékonyságát és elősegítik a fenntartható mezőgazdasági gyakorlatok alkalmazását. A farmmenedzserszoftverek meghatározása mellett a tanulmány részletesen taglalja ezek funkcióit, illetve azokat a specifikus előnyöket, amelyeket ezek a rendszerek kínálnak a modern agrárgazdaság szereplői számára. Az adatvezérelt döntéshozatal előtérbe helyezésével ezek a szoftverek kulcsfontosságúak lehetnek a mezőgazdasági termelés hatékonyságának javításában.
INFECÇÕES SEXUALMENTE TRANSMISSÍVEIS EM PESSOAS PRIVADAS DE LIBERDADE: AS GRADES COMO LIMITANTES À SAÚDE
Authors: Costa Marta Cossetin , Carneiro Mussi Fernanda , Da Silva Pires Claudia Geovana , Miranda Fernanda Moura D'Almeida , Mantovani Maria de Fátima
Published: December 2024

Introdução: as pessoas privadas de liberdade apresentam índices superiores de doenças infecciosas que aqueles encontrados na comunidade. Objetivo: Estimar as Infecções Sexualmente Transmissíveis em populações prisionais de um município de grande porte no sul do Brasil. Método: estudo transversal, de amostragem probabilística, com uso de um questionário semiestruturado auto preenchível, aplicado em quatro unidades prisionais de um município de grande porte do sul do Brasil, no período de abril a agosto de 2021, aprovado pelo Comitê de Ética em Pesquisa. Resultados: Foram 326 PPL, com 3,4% (n=11) de relatos de Infecções Sexualmente Transmissíveis, são elas: HIV 0,9% (n=3), Hepatite B, Hepatite C e Sífilis. Considerações finais: Os cuidados em saúde as pessoas presas vivendo com Infecções Sexualmente Transmissíveis necessitam ser equivalente ao dispensado na comunidade e constituir-se de rotinas dos profissionais de saúde prisional e em constante integração com a saúde pública extramuros.
Distribuição territorial dos casos de Febre Chikungunya no Maranhão e sua relação com desenvolvimento socioeconômico
Authors: Paiva Miria Yasmim Miranda , Lima Claudia Zeneida Gomes Parente Alves , Nova Beatriz Gomes Vila , Silva Lucas dos Santos , Silva Izadora Souza Soeiro , Correia Maria Tereza dos Santos , Silva Luís Cláudio Nascimento da
Published: December 2024

Este estudo epidemiológico analisou a distribuição de casos de febre Chikungunya no estado do Maranhão, no período de 2019 a 2023, e avaliou a relação do número de casos com fatores socioeconômicos e demográficos a partir da correlação com o Índice de Desenvolvimento Humano Municipal (IDHM). Os casos prováveis de CHIKF foram coletados no Sistema de Informação de Agravos de Notificação (SINAN) e transformados em mapas por meio do software Quantum GIS (QGIS). O IDHM foi obtido por meio do Atlas de Desenvolvimento Humano e a correlação foi realizada através do teste de correlação de Spearman, utilizando o software Jamovi, versão 2.3.28. Identificou-se um aumento progressivo nos casos de CHIKF no estado, com ênfase nos anos de 2022 e 2023. A distribuição dos casos mostrou um padrão espacial consistente, com áreas no norte, sul e leste do estado sendo mais afetadas, especialmente na Ilha de São Luís. A correlação entre o número de casos de CHIKF e o IDHM mostrou uma associação estatisticamente significativa (ρ = 0,383; p < 0,001). Os resultados demonstram um aumento progressivo e relevante do número de casos de CHIKF no estado, sugerindo-se a influência do IDHM nessa ocorrência. Assim sendo, são necessárias estratégias eficazes de saúde pública visando a redução da incidência da doença e melhoria na qualidade de vida da população afetada.
Características clínicas e prática de exercício físico de pacientes acometidos por COVID-19 atendidos em uma Clínica Escola
Authors: Castro Rafaella Pinheiro , Matos Felipe Antonio Gomes , Cruz Maria Roberta da Silva da , Teixeira Elizângela França , Braga Liana Raquel Rodrigues , Loura Pâmara Silva , Araújo Allanne Pereira , Barbosa Janaina Maiana Abreu
Published: December 2024

Introdução: Com a pandemia do Sars-CoV-2, o isolamento social favoreceu o sedentarismo, fazendo com que os indivíduos deixassem de lado a prática de exercício físico, o que favoreceu as complicações clínicas daqueles que foram acometidos pela doença. Objetivo: Verificar as características clínicas e a prática de exercício físico de pacientes que tiveram COVID-19 atendidos em uma Clínica-Escola. Método: Estudo transversal realizado com 81 pacientes atendidos no setor de Nutrição de uma Clínica Escola que atende usuários do Sistema Único de Saúde (SUS). Foram incluídos pacientes de ambos os sexos, maiores que 19 anos e que apresentaram diagnóstico para COVID-19. Os dados foram coletados nos meses de janeiro a setembro de 2023. Todos os indivíduos foram submetidos ao preenchimento do questionário que avaliou os dados socioeconômicos, demográficos, clínicos e estilo de vida. Os dados foram analisados no programa Stata® versão 16.0. Resultados: Dos pacientes entrevistados, 81,48% eram do sexo feminino e 46,91% possuíam idade de 40 a 59 anos. Apenas 6,17% dos pacientes relataram ser assintomáticos, desses 60% faziam exercício físico. Observou-se que 49,38% apresentavam falta de ar como sintoma e que destes 67,50% não faziam exercício físico (p=0,003); Conclusão: A  prática de exercício físico e o acometimento pela COVID-19 possui relação, aqueles que não possuíam esse hábito estavam mais suscetíveis ao quadro de sintomais.
Artrocentese da Articulação Temporomandibular como tratamento na dor e limitação de abertura bucal: Relato de caso
Authors: Cardoso Laís Inês Silva , Pinto Palena Araújo , Maia Sérgio Éberson da Silva , Consolaro Ingrid Araújo Oliveira , Santana Thalita
Published: December 2024

As desordens temporomandibulares abrangem as alterações articulares que ocorrem dentro da articulação temporomandibular, inclusive aquelas que envolvem o deslocamento do disco articular, que resulta em dor e limitação de abertura de boca. A técnica de artrocentese tem se mostrado eficaz em tratar esses sintomas, além de ser uma técnica simples, de baixo custo, e alta previsibilidade. O objetivo deste trabalho é relatar o caso de uma paciente deslocamento anterior do disco sem redução, associada a dor e limitação de abertura de boca, tratada com técnica de artrocentese. Paciente gênero feminino, 28 anos, com padrão facial II, mordida aberta anterior e queixa de “dor e dificuldade em abrir a boca”. Sua abertura de boca inicial era de 20mm, e sua queixa álgica estava entre 7 e 8 na Escala Visual de Dor (EVD). Foi realizada técnica de artrocentese isolada de maneira bilateral, sob anestesia local associada à sedação venosa em centro cirúrgico. Em acompanhamento pós-operatório de três meses, a paciente apresentava abertura de boca em 30mm e sua dor estava próxima de 1 na EVD. Sendo assim, a técnica isolada de artrocentese se mostrou eficaz em tratar os sintomas de dor e limitação de abertura de boca em pacientes com diagnóstico de deslocamento anterior de disco articular sem redução.
Cutaneous Allodynia is already present in young adults with headache
Authors: Sousa Cirlane de Maria da Silva , Santos Júnior José Francisco dos , Andrade Rodrigo Sousa , Alves Geovanna Cristina Pereira , Cardoso Thayllane Costa , Dibai Filho Almir , Rêgo Adriana Sousa , Gonçalves Maria Cláudia
Published: December 2024

Introduction: Cutaneous Allodynia (CA) is a painful response to a non-nociceptive stimulus, which is considered a marker of central sensitization. Objective: To evaluate the frequency of CA in individuals with and without headache. Materials and Methods: Volunteers of both sexes, aged 18 to 30 years, with and without headache participated. Those with abuse of analgesics and anesthetic block in the last three months were excluded. A questionnaire with general data prepared by the author himself, the Headache Screening Questionnaire (HSQ) for headache diagnosis and the 12 item Allodynia were applied. Symptom Checklist/Brazil (ASC-12/Brazil) to assess the severity of CA. Quantitative variables were described by mean and standard deviation and qualitative variables were presented in frequency. Results: 60 individuals were evaluated, with n=30 in the headache group, with a mean age, weight and height of 23.06±4.97 years, 62.02±13.09 kg and 1.62±0.05 m 2, respectively, where n=19 (64%) with migraine and n=11 (36%) with tension-type headache (TTH); n=30 in the control group with a mean age, weight and height of 22.03±0.09 years, 58.55±11.85 kg and 1.63±3.09, respectively. A higher frequency of CA was observed in the headache group compared to the control group n=28 (93.33%) and n=7 (26%), respectively, with the most frequent severity in the headache and control groups being mild and moderate, respectively, greater severity was also observed in those with migraine compared to those with TTH. Conclusion: Young adult individuals with headache have a higher frequency and severity of CA compared to individuals without headache.
Perfil da Leishmaniose visceral no Estado do Maranhão: uma revisão bibliográfica
Authors: Melo Luckian Emannuel Ferreira , Silva Douglas Henrique dos Santos , Silva Karinny Farias , Santos Valdenice Ferreira dos , Batista Cândida Campelo , Neto Lidio Gonçalves Lima
Published: December 2024

O presente estudo tem por objetivo analisar o perfil dos casos de leishmaniose visceral no estado do Maranhão. Trata-se de um estudo de revisão sistemática da literatura com informações bibliográficas publicadas no banco de dados eletrônico da Biblioteca Virtual de Saúde, Science Direct, Pubmed, Scopus e Web of Science, entre janeiro de 2011 a dezembro de 2021. Os descritores utilizados para busca foram: “Visceral Leishmaniasis and Maranhao”. A pesquisa bibliográfica contou com 167 artigos, onde foram avaliados a duplicidade de artigos com o auxílio do software “Mendeley Desktop”. Após esse primeiro filtro, foram obtidos 81 artigos. Após leitura e análise dos títulos e resumos, trinta e três (33) artigos foram elegíveis. Por fim, após leitura de maneira integral, vinte e oito (28) artigos foram selecionados. Estes estudos foram avaliados e agrupados em 3 grupos: o primeiro (1º) contendo 16 estudos que analisaram a “Distribuição Leishmaniose Visceral no Maranhão”, o segundo (2º) contendo 9 estudos que analisaram a “Distribuição dos Flebotomíneos em áreas endêmicas no Maranhão” e o terceiro (3º) contendo 3 estudos que analisaram a “Distribuição de Coinfecção HIV-Leishmaniose Visceral no Maranhão”. Conclui-se que o estado do Maranhão apresenta um cenário reincidente, com adaptação notável da doença para o ambiente urbano, em vista que ao crescente número de cães infectados nos últimos anos, contribuindo para o aumento da circulação da doença no estado.