bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of Salivary Nickel and Chromium Level of Iraqi Sample Treated with Fixed Orthodontic Appliances
Authors: Adil Al-rawi Rehab
Published: November 2023

As orthodontic appliances consider one of the esthetic treatment in dentistry, which contain variable amount of Nickel and Chromium in different part of the orthodontic appliance that may release in saliva and affect patient's health, the aim of the study was conducted to evaluate the nickel and chrome concentration level in saliva for orthodontic patients who are treated with nitinol and stainless steel arch wire and compare this concentration with that of control group. Three groups have been studied 1st group and 2nd experimental includes 17 patients with nitinol arch wire and other 17 patients with stainless steel arch wire. The 3rd group was control group includes 17 patients without orthodontic appliance, stimulated saliva collected in sterile screw capped bottle, and kept at (-20 C˚) then allowed to defrost at room temperature, then the concentration of salivary ions of nickel and chromium was measured by using atomic absorption spectrophotometer. Descriptive and Inferential statistical analysis has been used. Revealed significant difference in Cr and Ni concentration among three groups. This study proved that with nitinol arch wire the level of Cr and Ni increase in saliva more than that of control and stainless steel group.
Associations Between Internet and Traditional Media Usage and Users’ Attitudes Toward Wife-Beating in Nigeria
Authors:   Hong Kong Baptist University, Department of Sociology, Faculty of Social Sciences, Hong Kong SAR, Ola Bamidele Emmanuel
Published: November 2023

This study quantitatively examines the associations between the Internet and traditional media (e.g., television, radio, newspapers) usage and users’ attitudes toward wife-beating in Nigeria. Data from the 2018 Nigeria Demographic and Health Survey involving 13,311 men (aged 15 to 59 years) and 41,821 women (aged 15 to 49 years) were analyzed using multiple logistic regression models. The central question was whether frequent Internet and traditional media users significantly differed in their attitudes toward wife-beating justification compared to individuals who seldom used these media channels in Nigeria. The results showed that Nigerian online media users were substantially less likely to approve of wife-beating compared to their non-users. However, for traditional media usage, only radio usage was significantly associated with a reduced likelihood of wife-beating approval among women. Newspaper usage was associated with a higher level of justification, while television was not significantly related to wife-beating support. This study emphasizes the need for the Nigerian media channels to effectively join the international campaigns seeking to eliminate intimate partner violence against women (IPVAW).
Topical sunscreens: Best practices
Authors: Konda Deepthi
Published: November 2023

Topical sunscreens have been widely used for more than 40 years by people for their photoprotective properties, including the prevention of photocarcinogenesis, photoaging, and management of photodermatoses. However, for it to be effective, knowledge of a good sunscreen and its technically correct application is of utmost importance. It is important to emphasize to consumers the necessity of broad-spectrum protection, with coverage of both ultraviolet (UV) A (320–400 nm) and UV B (290–320 nm) radiation. This perspective discusses the effects of UV rays on the skin, the benefits of sunscreen, different types of sunscreens, how to select a good sunscreen, the correct method of application of sunscreen, and sunscreens in pregnancy and children.
Dacryocystorhinostomywith transcutaneous access is not a reason for a cosmetological treatment
Authors:   LLC “Clinic of the Center for Molecular Diagnostics”, Shanturova N.E. ,   CJSC “Center for Computed Tomography”, Berdnikova O.A. ,   LLC “Clinic of the Center for Molecular Diagnostics”,   CJSC “Center for Computed Tomography”, Shanturova M.V. ,   LLC “Clinic of the Center for Molecular Diagnostics”,   CJSC “Center for Computed Tomography”
Published: November 2023

External dacryocystorhinostomy is a highly effective surgery using for treatment the obstruction of the lacrimal ducts of various etiologies and is still relevant from the last century to the present. However, this method is quite labor-intensive for the surgeon, traumatic for the patient, and the result is not always cosmetically satisfactory, since one of the significant disadvantages of external dacryocystorhinostomy is the formation of a scar at the point of the skin incision. In modern conditions, the presence of a postoperative scar on the face brings some doubts among young patients, especially women, which inclines this group of patients towards choosing the endonasal approach, which in turn does not always lead to a positive result in restoring the patency of the lacrimal ducts. Various techniques for applying dacryocystorinoanastomosis and suturing the surgical wound present an extra complexity, and the formation of a postoperative skin scar that is cosmetically unsatisfactory for the patient is one of its main drawbacks in the modern terms of idea of an aesthetic result. The use of microsurgical technology, modern suture material is aimed to prevent the development of cicatricial deformation of the postoperative scar. The purpose of this work was to evaluate the cosmetic results of external dacryocystorhinostomy using the microsurgical technique of layer-by-layer tissue suturing. Keywords: external dacryocystorinostomy, dacryocystitis, suturing of a postoperative wound.
A clinical case of treatment of occlusive vasculitis with intraocular inflammation after the use of brolucizumab
Authors:   OOO «Medstandart», Burlakova E.V. , Novolodskiy A.I. ,   OOO «Medstandart», Burii V.V. ,   OOO «Medstandart»
Published: November 2023

Occlusive vasculitis is a rare complication of antiangiogenic therapy. Standardization of differential diagnosis of the genesis of inflammation and tactics of treatment of such patients remains an unsolved health problem. The article presents a clinical case of occlusive vasculitis and panuveitis in a patient receiving brolucezumab. Active management tactics with the use of long-term systemic steroid therapy, intravitreal administration of Ozurdex and drugs that improve microcirculation demonstrated the possibility of achieving effective treatment and preservation of objective vision Keywords: neovascular age-related macular degeneration, brolucizumab, occlusive vasculitis
Manifestations of dry eye syndrome in children with type 1 diabetes depending on the level of glycated hemoglobin
Authors:   LLP «Clinic Lucy», Abdullina V.R.
Published: November 2023

Introduction. Diabetes mellitus is one of the serious diseases that leads not only to restrictions on physical activity, but also changes the social and psychological spheres of life of patients. The purpose of the studyis to evaluate the results of functional methods for studying tear production function in children with type 1 diabetes mellitus. Materials and methods of research. The study included 240 children registered at the Children's City Endocrinology Center in Almaty. There were 133 boys (55.42 %), 107 girls (44.58 %). The examined children were divided into 6 groups depending on the level of glycated hemoglobin (HbA1c). The control group consisted of 52 people. All patients were assessed for the severity of blockage of the breast ducts, the state of total tear production (Schirmer test 1), the state of the tear meniscus (biometry of the tear meniscus), the time of tear film rupture, and the state of the conjunctiva. Patients with dry eye syndrome were prescribed softdrops and the dynamics of the process were monitored. Research results. In patients with type 1 diabetes mellitus, in 69.6 % of cases there were manifestations of breast dysfunction of varying severity. From 17 % to 39.8 % of patients in the main groups had manifestations of hyperemia and 28 % mild conjunctival edema, which is clinically a sign of the presence of an irritating factor, possibly due to an increase in tear hyperosmolarity. The Schirmer test showed a decrease in tear secretion function, a decrease in tear film rupture and a decrease in the level of menisci in comparison with the control. The use of softdrops eye drops helps to stabilize the tear film, increase tear secretion and tear production functions in children with signs of dry eye syndrome due to type 1 diabetes mellitus. These studies should be taken into account when prescribing pathogenetic therapy for the correction of dry eye syndrome in these groups of patients. Keywords: diabetes mellitus, ophthalmological manifestations of diabetes mellitus, dry eye syndrome, dry eye disease
Clinical case of scleromalacia in a patient with rheumatoid arthritis after intravitreal interventions
Authors:   The S. Fyodorov Eye Microsurgery Federal State Institution, Kataev M.G. , Trofimova I.Y. ,   The S. Fyodorov Eye Microsurgery Federal State Institution, Gorbacheva O.A. ,   The S. Fyodorov Eye Microsurgery Federal State Institution, Zasypkina A.A. ,   The S. Fyodorov Eye Microsurgery Federal State Institution
Published: November 2023

One of the manifestations of scleritis is perforating scleromalacia (necrotizing anterior scleritis without inflammation), characterized by an almost complete absence of clinical manifestations and usually associated with systemic diseases or postoperative complications. Scleromalacia is a serious, progressive disease that is difficult to treat and can lead to vision loss, perforation and loss of the eye as an organ. Treatment of such patients requires an integrated approach together with rheumatologists and is difficult, despite the many already proposed methods of surgical treatment using various grafts and implants. The purpose of the presented clinical case is to increase the effectiveness of surgical treatment of scleromalacia by using a method of scleroplasty using an autograft of the temporal fascia using the example of patient K. with rheumatoid arthritis and a history of repeated to contents к содержанию microinvasive vitrectomy. Objective data of preoperative and postoperative diagnostics in the early and late postoperative periods are presented. The obtained result of the presented surgical treatment can be recommended as a method of treating scleromalacia in clinical practice. as well as postoperative diagnostics in the early and late postoperative periods. The obtained result of the presented surgical treatment can be recommended as a method of treating scleromalacia in clinical practice. Keywords: scleromalacia, rheumatoid arthritis, autograft, scleroplasty
ASKI “Best Books of the Year” Competition as a Navigator for Libraries
Authors: Filimonov Oleg V.
Published: November 2023

The traditional all-Russian contest “Best Books of the Year”, which has been organized by the Association of Book Publishers of Russia (ASKI) since 1991 and in which at least 140—150 publishing houses from different regions participate on average, annually determines the most interesting books in 12 nominations. The competition has a serious informational and professional potential, as the results of 2022 have shown. It was stressed that the main significance of the competition is the public presentation of the best book novelties of the most successful publishing houses, including in the regional centers of the Russian Federation. Currently, many publishing projects important for the national culture have small print runs, but participation in the contest and being among its nominees give them an opportunity to gain public recognition and ensure promotion in the book market. Based on the results of the contest, the top-50 best regional publications are compiled.
Bioisosteres at C9 of 2,3-didehydro-5-N-acetyl neuraminic acid identify selective inhibitors of NEU3
Authors: Radwan Mostafa , Cairo Christopher
Published: November 2023

Human neuraminidases play critical roles in many physiological and pathological processes. These enzymes catalyze the hydrolysis of terminal sialic acids (also known as neuraminic acids) from glycan chains. Humans have four isoenzymes of NEU: NEU1, NEU2, NEU3, and NEU4, making selective inhibitors important tools to investigate the function of individual isoenzymes. A typical scaffold used for the development of NEU inhibitors is 2-deoxy-2,3-dehydro-N-acetylneuraminic acid (DANA), which is a general inhibitor of viral, bacterial, and human neuraminidases. Modifications at the C9 position of DANA have been critical for the potency and selectivity of inhibitors that target human NEU. For example, C9-amides bearing alkyl substituents have been used to develop inhibitors with preference for NEU1, while C9-triazoles with aromatic substituents have higher potency for NEU3 and NEU4. To design improved DANA analogs, we generated a library of compounds with either a short alkyl chain or a biphenyl substituent linked to the C9 position through one of six amide bioisosteres. Bioisostere linkers included triazole, urea, thiourea, carbamate, thiocarbamate, and sulfonamide groups. Within this library, we identified a C9-biphenyl carbamate derivative (963) that showed high potency for NEU3 (K¬i = 0.12 ± 0.01 μM). Additionally, the carbamate analog had enhanced selectivity for NEU3 over all other human isoenzymes. In contrast, NEU1 and NEU4 isoenzymes preferred amide and triazole linkers, respectively. Finally, analogs with urea, sulfonamide, and amide linkers showed enhanced inhibitory activity for a bacterial NEU, NanI from Clostridium perfringens.
Coagulation and crystallinity in Sn (II, IV) oxide as an electron transfer layer
Authors: Usharani N , Praveen Kumar Ramagiri , Bhattacharyya Arnab , Raju A
Published: November 2023

Stannic oxide (SnO2) synthesized by the sol-gel method showed efficient optoelectronic mobility due to high crystallinity and coagulation involved in the morphology. These properties are applicable for SnO2 to be used as an electron transfer layer (ETL) in perovskite solar cells. The structure and morphology were determined by XRD and SEM which also indicated formation of Sn (II) O with p-type doping. The optical properties were reflected in the UV-Vis and PL studies. A coagulation factor was determined based on the polynomial fits of the surface and linear profiles
په‌یوه‌ندی ئه‌یاله‌تی شاره‌زوور له‌گه‌ڵ ئه‌یاله‌ته‌كانی به‌غدا و به‌سرادا 1564-1779
Authors: ابراهیم محمد , تۆفیق هۆگر
Published: November 2023

ئه‌یاله‌تی شاره‌زوور؛ له‌ پێش هاتنه‌كایه‌ی له‌چوارچێوه‌ی كارگێڕی ئیمپراتۆرییه‌تی عوسمانیدا، یه‌كه‌یه‌كی كارگێڕی له‌ ئه‌یاله‌تی لوڕستان و دواتر ئه‌یاله‌تی به‌غدا بووه‌، به‌ڵام كاتێك ئه‌یاله‌تی شاره‌زوور له‌ ساڵی 1564زدا وه‌ك ئه‌یاله‌تێكی سه‌ربه‌خۆ هێنرایه‌كایه‌وه‌، په‌یوه‌ندییه‌كانی ئه‌یاله‌تی شاره‌زوور له‌گه‌ڵ ئه‌یاله‌ته‌كانی تری عوسمانییش هاته‌كایه‌وه‌، سه‌باره‌ت په‌یوه‌ندییه‌كانی ئه‌یاله‌تی شاره‌زوور له‌گه‌ڵ هه‌ر یه‌كێك له‌ ئه‌یاله‌ته‌كانی به‌غدا و به‌سرادا تایبه‌تمه‌ندییه‌كی جیاوازی هه‌بوو، بۆ نموونه‌: له‌په‌یوه‌ندی ئه‌یاله‌تی شاره‌زوور به‌ ئه‌یاله‌تی به‌غدا دا، به‌درێژایی ئه‌و ماوه‌یه‌دا‌ ئه‌یاله‌تی به‌غدا هه‌ژموونێكی زۆر گه‌وره‌ی هه‌بووه‌، ئه‌م هه‌ژموونكردنه‌ كاریگه‌ری له‌سه‌ر‌ دواڕۆژی ئه‌یاله‌تی شاره‌زووردا هه‌بوو، هه‌روه‌ها له‌ په‌یوه‌ندی نێوان ئه‌یاله‌تی شاره‌زوور له‌گه‌ڵ به‌سرادا، به‌تایبه‌تی له‌ ڕووداوه‌ ناوخۆییه‌كانی ئه‌یاله‌تی به‌سرادا كه‌ والی و سه‌ربازانی ئه‌یاله‌تی شاره‌زوور ڕۆڵێكی كاریگه‌ریان له‌ دامركاندنه‌وه‌ی یاخیبوونی هۆزه‌كانی به‌سرادا هه‌بووه‌، بۆیه‌ ئه‌م توێژینه‌وه‌یه‌ به‌دوای وه‌ڵامی ئه‌م پرسیاره‌ سه‌ره‌كییه‌دا ده‌كۆڵێته‌وه‌، كه‌ چۆن به‌غدا وه‌ك ناوه‌ندێكی حوكمڕانی نوێ له‌ ئیمپراتۆریه‌تی عوسمانیدا هه‌ژموونی به‌سه‌ر جیۆگرافیا، بارودۆخی‌ سیاسی، كارگێری و سه‌ربازییه‌كانی ده‌وروبه‌ریدا،‌ وه‌ك: ئه‌یاله‌تی شاره‌زوور(زۆرینه‌ی خاكی باشووری كوردستان) كردووه، هه‌روه‌ها له‌هه‌مانكاتشدا پێگه‌ی ئه‌یاله‌تی شاره‌زوور له‌ ڕووداوه‌ ناوخۆییه‌كانی ئه‌یاله‌تی به‌سرادا چ كاریگه‌رییه‌كی له‌ یه‌كلایكردنه‌وه‌ی كێشه‌ و یاخیبوونی هۆزه‌كانی ئه‌یاله‌ته‌كه‌دا هه‌بووه‌..؟ ئه‌م لێكۆڵینه‌وه‌یه‌ وه‌ڵامێكی زانستی كراوه‌ی خستۆته‌ڕوو له‌ په‌یوه‌ندییه‌كانی نێوان ئه‌یاله‌تی شاره‌زوور و‌ ئه‌یاله‌ته‌كانی وه‌ك: به‌غدا و به‌سرا دا.
Sadomasochism in everyday life
Authors: Zubariev Oleksandr
Published: November 2023

The article examines the phenomenon of sadomasochism in the context of everyday life. It is noted that the constructivist understanding of everyday life is based on the interpretation of social action proposed by M. Weber. Obviously, in Weber's typology, the highest type is the goal rational social action, which assumes a model of a rational person who is guided by rational motives and chooses the most optimal project of action to achieve the set goal. Whereas affective social action is on the margins of sociology's interest. Meanwhile, as Z. Freud demonstrates, the everyday is not some kind of sterile-rational reality, in the everyday the unconscious manifests itself in tricks, erroneous actions, descriptions, etc., which may well be based on unconscious sadomasochistic desires. The author turns to the history of the study of sadomasochism, considering the concepts of such authors as R. von Krafft-Ebing, Z. Freud, E. Fromm, Z. Lew-Starowicz, L. Eidelberg, H. Murray. The article examines the concepts of sadomasochism such modern author as Martin Kantor, who proceeds from the fact that sadomasochism cannot be reduced only to sexual sadomasochism or the practice of BDSM, in fact it is a much broader social phenomenon. According to M. Kantor, in a broad sense, sadomasochism manifests itself in power, control, dominance and submission, a dynamic that is pervasive in our lives, from home to work. We see such examples of sadomasochism as sadomasochistic mothers, children, and fathers in the family circle; sadomasochistic marriages and divorces; corporate sadomasochism; sadomasochistic companies; sadomasochistic workers; sadomasochistic writer's block іn the everyday life. In this perspective, the everyday appears before us as a reality where people act not to achieve rational goals, but because of the desire to dominate and submission.
The functioning of the social services market in the conditions of war: Challenges and prospects for development (Kharkiv case study)
Authors: Gorbunova-Ruban Svitlana
Published: November 2023

The article analyzes the problems of the functioning of the market of social services in Kharkiv city in the conditions of russia's full-scale war against Ukraine. A review of scientific publications and research devoted to the analysis of various aspects of the functioning of the domestic market of social services is provided. The author's definitions of the concept of «social services» (a set of measures to assist individuals and social groups who are in difficult life circumstances and cannot overcome them on their own, in order to solve existing problems and improve their lives) and «market of social services» (a system of relations between demand and supply of social services, the field of interaction between those who provide these services (state, municipal, public organizations and institutions), and those who consume them, which ensures overcoming/minimizing difficult life circumstances in which individuals and social groups are located). A brief excursion into the history of the formation and development of the social services market in Kharkiv community is made. The algorithm of formation of the social services market in Kharkiv is considered, in particular: 1) studying the demand for specific social services through the analysis of written and oral appeals of citizens to local authorities, as well as the results of sociological surveys of Kharkiv residents on the studied issue, 2) search for social service providers; 3) determination of opportunities to meet the needs of the population for social services by existing state and municipal social services, as well as public organizations of the city. The problems of the functioning of the social services market of Kharkiv caused by the russian-Ukrainian war are analysed. Numerous examples of overcoming these problems in the first months of this war are given. A conclusion is made about the institutionalization of the social services market of Kharkiv, and its viability under martial law.
A Study on the Relationship between Kim Dongmin's Family and the Situation before and after the Opening of the National Gugak Center during the Korean War
Authors:   National Gugak Center, Kim Yulhee
Published: November 2023

This study examines the history of the National Gugak Center, which opened in
Busan, the temporary capital during the Korean War. Due to a lack of historical
records in this period, it analyzes the oral records about Kim Dongmin, who
provided a temporary office for Guwanggung aakbu (舊王宮雅樂部) for about three
months right after evacuation, to establish the influence of the Kim Dongmin's
family that affected the birth of the National Gugak Center.
The oral materials of Kim Dongmin and Son Jaesook, which serve as the basic
material for this study, were recorded by the folk music scholar Lee Bohyeong in
1991. They show in detail the relationship between Kim Dongmin and the early
days of the National Gugak Center. Based on them, this study summarizes the
circumstance at that time by reviewing Kim Cheonheung's book, the National
Gugak Center's 50th and 70th anniversary collections, and newspaper articles.
Then, an oral interview was conducted with Kim Dongmin's eldest daughter, Kim
Ongyeong, to cross-verify the facts.
The results of this study are as follows. First, the National Gugak Center was
provided with a temporary office at Kim Dongmin's house at 6 Toseong-dong 3ga,
Seo-gu, Busan, from the end of December 1950 until its official opening in April
1951. Second, after the opening of the National Gugak Center, the first dance
class for beginners was held by Kim Dongmin's Folk Dance Research Institute.
Third, in 1952, when Busan's first dance play, Chunhyangjeon, was performed on
'the 1st Folk Dance Presentation', the musicians of the National Gugak Center,
including Sung Kyungrin and Kim Chunheung, were in charge of the commentary and accompaniment. This fact played an important role in the birth of the
National Gugak Center, and can be seen to be due to the passion and support of
Kim Dongmin, a lover of Korean traditional music and instigator of the Korean
traditional music enlightenment movement.
In summary, Kim Dongmin greatly influenced the development of the National
Gugak Center in Busan by providing a place for dance lessons and holding
collaborative performances. This study is meaningful in that it newly established
the situation before and after the opening of the National Gugak Center, which
has not been well known so far, and shed new light on its historical significance.
A Study on the Performance Space Characteristics and Actual Conditions of Gugak Performance Halls
Authors:   National Gugak Center, Jung Minkyeong
Published: November 2023

This study intends to lay the foundation for reviewing and discussing
appropriate type of performance hall through a survey on the current status
of gugak (Korean traditional music) performance halls. Furthermore, it aims to
promote the development of gugak performances by establishing a
performance environment where gugak performances can be enjoyed close to
their original form. It analyzes the form of five gugak centers--National Gugak
Center, National Folk Gugak Center, National Namdo Gugak Center, Busan
National Gugak Center, and Seoul Donhwamun Gugak Center--which are
currently operating as major gugak venues.
The results of this study are as follows. First, most of the existing stages of
gugak performance halls are in the form of prosinium. The reason is that it is
generally the most commonly used form in concert halls, and it can be
assumed that it was influenced by the form of Western concert halls. Second,
based on the two-dimensional shape in which chairs are arranged, the most
common types of seats in the gugak performance halls are horseshoe-shaped
and shoebox-shaped. The reason why these appear most frequently is
because, firstly, they are the most commonly used forms among performance
halls, and secondly, it is presumed that they are the most effective forms
when conveying the voice of the performer or considering acoustic
characteristics. Third, unlike the Western stage, the contact and distance
between the performer and the audience is very important for audience
participation in gugak performance. In most types, it should be considered
that the relationship between the viewer and the player is dynamically and
three-dimensionally combined, rather than distinguishing between them. Fourth, the size of the stage and audience, the two-dimensional viewing
angle, and the viewing distance vary depending on the type of performance.
Therefore, it is necessary to specify the type of performance according to the
performance hall or to suggest a performance hall that can be used variably.
Fifth, considering the tendency of the latest performances, such many
performances as instrumental music and pansori have been performed in
small-scale performance halls. It can be inferred why the recently opened
gugak concert halls such as Pungnyu Sarangbang and Donhawmun Gugakdang
Hall are in small-scale. Sixth, there are three types of outdoor gugak
performance halls: a circular shape like the Moonlight Yard of the Namdo
Gugak Center, a long rectangular shape like the Starlight Yard of the Namdo
Gugak Center, and a semicircular shape like the outdoor yard of the Busan
Gugak Center.
Compromiso organizacional en una empresa ubicada en dos bocas, Tabasco
Authors: Peralta-Vera Eva Janely , Martínez-Muñoz Enrique , Martínez-Muñoz Bernardino , Montaño-Arango Oscar , Garnica-González Jaime , Ramírez-Reyna Sergio Blas
Published: November 2023

El objetivo de la investigación fue examinar la percepción del compromiso organizacional de trabajadores que laboran en una empresa de construcción de tanques de almacenamiento ubicada en Tabasco, México. Para ello se utilizó un instrumento de medición, que permitió conocer la impresión de los trabajadores hacia la empresa. La muestra fue determinada a conveniencia del investigador considerando 125 trabajadores, la información se obtuvo mediante un cuestionario en Google Forms, se utilizó el software IBM SPSS ver. 25, para el análisis estadístico, la investigación se llevó a cabo en mayo de 2022.
El uso de una técnica de agregación multicriterio en medición de procesos: el diseño de un índice de innovación
Authors: Corona-Armenta José Ramón , Montaño-Arango Oscar , Martínez-Muñoz Enrique , Rivera-Anaya Mayra , Rivera-Gómez Héctor
Published: November 2023

Medir y evaluar la eficiencia técnica y económica de un proceso productivo es crucial para establecer aspectos económicos y financieros para continuar con la actividad productiva o realizar cambios pertinentes. La innovación es esencial para el éxito y la competitividad de las empresas, esto implica actualizar y mejorar los procesos, productos o servicios. Se plantea la creación de un índice que permite la medición del sistema de innovación de la organización utilizando técnicas de agregación multicriterio. Esto permitiría identificar los elementos del sistema de innovación de la empresa y promover actividades y herramientas para su desarrollo. Se percibe a la innovación como un proceso que cuenta con elementos dentro del sistema, los cuales se pueden identificar y describir, pero no se pueden medir de forma directa. Se emplearán las trece prácticas fundamentales de la innovación de Boly, ya que cubren los procesos internos y externos de una organización para lograr la innovación.
Educação em Saúde para os pais, professores e funcionários das creches em Campos dos Goytacazes
Authors: Couto Villar Júlia , Telles Rodrigues Erica , Eduarda Sena Vale Ferreira Maria , de Souza Damasceno Castro Victória , Leal Pena Igor
Published: November 2023

Introdução: A Educação em Saúde desempenha um papel fundamental na promoção do bem-estar de crianças em idade pré-escolar. Este resumo aborda a importância da Educação em Saúde para pais, professores e funcionários das creches em Campos dos Goytacazes, destacando como a colaboração entre esses grupos pode melhorar a qualidade de vida das crianças e promover um ambiente de cuidado e aprendizado saudável.Objetivo Geral: Promover a educação em saúde integrada ao binômio escola-família através de palestras orientadoras, com abordagem a cuidados de higiene e alimentação, importância do aleitamento materno, parasitoses intestinais, vacinação, Dengue/ Zika/ Chikungunya, Leptospirose, Escabiose, Pediculose, higiene bucal, Asma, Bronquite, Rinite, esclarecimento quanto ao uso de contraceptivos para as mães. Objetivos Alcançados: O projeto tinha como objetivo principal a propagação de conhecimento, orientação, esclarecimento das dúvidas, interação com os familiares e funcionários das creches e foi muito bem executado. Os pais e responsáveis foram participativos e interessados em saber mais sobre os assuntos. Logo, o objetivo foi alcançado pois por meio desses encontros conseguimos levar mais informação para a população em geral e não só para os indivíduos que compareceram aos nossos encontros.Ações e etapas realizadas: Foram realizados diversos encontros nas localidades a seguir: Creches municipais de Custodópolis; Cem Santa Rosa; Cem Boa Vista; Cem Novo Jockey; Nova Canaã e II Ação Social CSEC. Dificuldades e facilidades encontradas: As únicas dificuldades observadas foram a respeito do comparecimento em massa dos pais ou responsáveis em alguns encontros. Contudo, de maneira geral, todos eram bem participativos e interessados em aprender mais sobre os assuntos abordados. Avaliações sobre o desempenho e participação dos estudantes: Os integrantes deste projeto conseguiram executar as atividades práticas com domínio dos assuntos e conforme o planejamento com o professor orientador. As atividades foram supervisionadas e acrescentados os devidos comentários por parte do professor, quando cabiam ressalvas. Conclusão: A importância do projeto contribuiu beneficamente na formação acadêmica profissional dos integrantes, visto que foi possível vivenciar a prática da promoção da educação em saúde e seus impactos na formação médica e humana das integrantes. A relevância do projeto é indiscutível tendo em vista o grande número de pessoas que foram beneficiadas com informação podendo assim difundir conhecimentos nas suas localidades.
Utilização do partograma e o conhecimento desse instrumento pelos profissionais da assistência obstétrica
Authors: Camara Jacyntho Sophia , Laura Campos Venturinelli Martins Ana , Luiza de Oliveira Marins Ana , Felipe Rabello e Silva Luiz
Published: November 2023

Introdução: O partograma é uma ferramenta utilizada na assistência obstétrica, de preenchimento obrigatório pelo Ministério da Saúde. Sua principal função é a monitorização do trabalho de parto através de uma representação gráfica e visual dos dados clínicos fundamentais, como a dilatação cervical e a descida da apresentação em relação ao tempo. Embora tenha na assistência uma grande relevância materna e fetal, grande parte dos profissionais não utilizam o partograma. Objetivos: O presente estudo visa esclarecer informações correspondentes a utilização e o conhecimento do partograma pelos profissionais da assistência obstétrica no Hospital na cidade de Campos dos Goytacazes. Métodos: Esse é um estudo do tipo transversal analítico. Realizado durante o primeiro semestre de 2023, através de um questionário abordando a frequência da utilização do partograma, seu conhecimento e a influência no desfecho do parto. Foram incluídos na pesquisa, médicos e enfermeiros que fazem parte do corpo clínico da maternidade vinculados ao Sistema Único de Saúde e excluí- dos aqueles não pertencentes a esse grupo.CAAE 66217822.2.0000.5244. Resultados: Dentre os 34 profissionais obstétricos entrevistados, 88,2% são médicos e 11,8% são enfermeiros. Apenas 38,2% utilizam o partograma, sendo o modelo de Friedman o de eleição. Responderam que têm ciência sobre o preenchimento obrigatório desse instrumento 97,1% e que o partograma é um instrumento de assistência, pesquisa e defesa do profissional envolvido no processo de parturição 94,1%. Metade dos profissionais referem abrir o partograma 1h após o início do trabalho de parto, outros 50% abrem em qualquer outro momento. 50% dos entrevistados acham que o partograma permite a diminuição de intervenções desnecessárias e contribui para melhores desfechos obstétricos, porém sugeriram algumas modificações. Discussão: Diante dos resultados, observa-se que parte significativa dos profissionais possuem o conhecimento de que o partograma é recomendado pelo Ministério da Saúde, entretanto não utilizam o mesmo, por preferirem a anotação descritiva dos dados obstétricos. Metade dos profissionais informam a abertura em outro momento, sendo 46,2% no período de fase ativa do parto e apenas 23,1% abrem o partograma no momento da admissão da paciente. Ao serem questionados sobre possíveis modificações do partograma de Friedman, relataram falta de espaço para local de registro da pressão arterial, desaceleração dos batimentos cardíacos fetais e um espaço para melhor caracterização da atividade uterina. Conclusão: Conclui-se que é de suma importância a intensifica- ção do uso do partograma, visto que uma grande parcela relatou que o seu uso influencia no desfecho da saúde do binômio materno fetal.
Dificuldades apresentadas por crianças em diagnóstico de autismo no uso de medicamentos
Authors: Paes Barbosa Carvalho Amanda , Silva Ferreira Jaise
Published: November 2023

O Transtorno Espectro Autista é um transtorno do neurodesenvolvimento que ocorre em crianças antes dos 3 anos, contendo um quadro clínico bastante persistente, como: movimentos repetitivos e peculiares, dificuldade na interação social e na comunicação. O autismo ainda não é bem definido em relação à sua etiologia, mas pode-se ter um segmento genético. Como forma de amenizar estes comportamentos, utilizam classes medicamentosas (antipsicóticos, anticonvulsivantes, nootrópicos e estimulantes) associadas a intervenção educacional. Este trabalho consiste em descrever e avaliar relatos de responsáveis por crianças com diagnóstico de autismo, considerando o comportamento e dificuldades para ingestão de medicamentos. O estudo foi realizado por meio de entrevistas com 22 responsáveis de crianças com diagnóstico de autismo, que levavam as crianças para realizar intervenções educacionais. Os responsáveis que aceitaram participar da pesquisa assinaram o Termo de Consentimento Livre e Esclarecido. As variáveis do estudo incluíram sobre sexo, idade, classe medicamentosa, forma farmacêutica (solução ou xarope), posologia, tempo de tratamento, se faz alguma intervenção educacional, comportamentos no uso da administração e dificuldades do responsável. Na amostra estudada, as crianças do gênero masculino apresentaram em maior quantidade, a forma farmacêutica mais utilizada é a líquida, devido ao mascaramento do sabor e palatabilidade. As principais dificuldades estão relacionadas a ansiedade, choros e nervosismo na administração do medicamento.
Neoplasias Pulmonares associadas ao uso de Tamoxifeno para tratamento de Câncer de Mama
Authors: Alves Gomes Ribeiro Ludmila , Motta Ferreira Vinicius , Rodrigues Monteiro Ferreira Tainá , Maria Gomes de Azevedo Isabela , Clovis Parente Soares Luiz
Published: November 2023

Introdução: Relatos científicos ligam o Tamoxifeno (TAM) como terapia adjuvante no tratamento do Câncer de Mama (CM) a incidência de Segundas Neoplasias Primárias (SNP), sendo apontado como fator que aumenta este risco 10 anos pós-tratamento. O TAM, é mais associado ao risco de Câncer do Endométrio, porém neste caso descrito nota-se a relação do mesmo com o surgimento de Neoplasias Pulmonares Primárias (NPP) bilateralmente. Objetivo: Relatar a ocorrência de duas NPP 14 anos pós-tratamento para CM primário com TAM. Metodologia: Informações foram baseadas na revisão da literatura e do prontuário completo da paciente. Relato de caso: Feminino, 59 anos, com histórico familiar de CM e câncer de pulmão. Em 2006, foi constatado Carcinoma Infiltrativo de Ductos Mamários com infiltração perineural na mama esquerda e presença de Carcinoma “in situ” em Ductos Mamários na mama direita por estudo histopatológico. Tratados com mastectomia bilateral e quimioterapia, com uso contínuo e intercalado de TAM, Anastrozol e Letrozol por 12 anos. Em 2020, por queixas de lombalgia e dispneia, foi realizada Tomografia Computadorizada de tórax para investigação que evidenciou massa pulmonar bilateral, porém não houve acompanhamento devido ao período de pandemia. Em 2022, por persistência das queixas, novos exames tomográficos do tórax evidenciaram massas irregulares, no segmento posterior e apical do lobo superior direito e no apicoposterior esquerdo. Feito procedimento, por vídeo cirurgia, que constou de lobectomia superior e linfadenectomia mediastinal radical do lado direito e esquerdo. O estudo histopatológico constatou resultado sugestivo de Neoplasia Neuroendócrina no pulmão direito e Neoplasia Neuroendócrina ou Adenocarcinoma pouco diferenciado no pulmão esquerdo, ambas NPP. O Estudo imuno-histoquímico obrigatório, apresentou resultados positivos para: Antígeno de Proliferação Celular kI67, Citoceratina Pan, TTF-1, Napsina A e P63. O teste genético, solicitado pelo Onco-geneticista, foi negativo para alterações nos genes EGFR, KRAS, NRAS e BRAF. Não houve metástases, e a conduta tomada foi ressecção cirúrgica das lesões pulmonares direita e esquerda, além do tratamento imunoterápico e quimioterápico com ciclos de Carboplatina, AliMta e Keytruda. Obteve-se melhora clínica, sendo o único sintoma remanescente a dispneia devida as extensas ressecções pulmonares. Conclusão: Conclui-se que o uso de TAM como terapia adjuvante no CM pode, neste caso, ser cogitado como fator predisponente para as NPP da paciente, reforçando a necessidade de avaliação do risco-benefício quanto ao uso do TAM no tratamento do CM.
As plantas medicinais no centro do diálogo entre conhecimento científico e conhecimento popular
Authors: Tavares Gomes Rodrigues Matheus , Esteves Moreira Benjamin Possati Caio , Dias Reis Maykson , Ferreira Barbosa Rodrigues Sara , Eduardo Faria Ferreira Carlos , Bruno de Almeida Maycon
Published: November 2023

As plantas medicinais são um reservatório de compostos ativos cujas propriedades terapêuticas têm sido descritos e utilizados para o tratamento de diferentes patologias. Corroborado pelo vasto conhecimento popular, o conhecimento científico tem se utilizado da etnobotânica em povos tradicionais e da população idosa para triagem assertiva no desenvolvimento de novos fármacos. Nesse contexto, faz parte do escopo de atuação deste projeto a implementação de um canteiro de plantas medicinais nas dependências do Centro de Saúde Escola de Custodópolis (CSEC) para desenvolvimento de projetos de pesquisa-ensino-extensão concatenando práticas simbióticas de trocas de experiências entre alunos, professores, profissionais de saúde e idosos integrantes do grupo de Terceira Idade do CSEC. Em seu terceiro ano de edição, o projeto fortalece a Horta Medicinal outrora implementada com a atualização de mais 20 espécies de plantas medicinais em cultivo, totalizando atuais 54 espécies cujas monografias elaboradas descrevem suas indicações terapêuticas. Tendo em vista o viés ambiental do projeto, aproximadamente 320 pneus velhos já foram reutilizados na confecção dos canteiros, evitando o descarte irregular no meio ambiente. A presente fase do projeto estabeleceu entre suas ações as Oficinas Terapêuticas, as quais se fundamentaram na realização de encontros temáticos com os idosos assistidos pelo CSEC. O projeto organizou oficinas quinzenais nas quais foram discutidos temas relacionados ao uso racional de plantas medicinais, riscos e benefícios, técnicas de preparo de chás, fitoterapia e aromaterapia, além de discussões quanto ao uso de plantas medicinais específicas, como guaco (Mikania glomerata), ora-pro-nobis (Pereskia aculeata), saião (Kalonchoe brasiliensis) e Babosa (Aloe vera). As oficinas representam um momento de troca de experiências e saberes entre o conhecimento científico levantado pelos alunos na literatura científica e o conhecimento popular apresentado pelos idosos. Nesse período o projeto recebeu a visita de diferentes públicos, tais como: estudantes, membros do Educandário dos Cegos de Campos, comunidade local, professores universitários e políticos. Os alunos envolvidos no projeto receberam treinamento para montagem das exsicatas para o devido depósito das espécies no Banco de Plantas. O próximo desafio do projeto é a propagação de mudas para distribuição para a população.
Study of Science Learning Based on Scientific Literacy in Improving Critical Thinking: A Scoping Review
Authors: Bramastia Bramastia , Rahayu Satutik
Published: November 2023

Facing and following increasingly sophisticated technological developments in science learning studies, both pupils and students must increase scientific literacy to improve critical thinking. Critical thinking skills will encourage students to understand problems and create alternative problem solutions with problem solving stages, namely clarification, assessment, inference and strategy. This research aims to explore the Study of Science Learning Based on Scientific Literacy in Improving Critical Thinking. The research was conducted using a scoping review approach. A scoping review is typically used to map the existing literature on a defined topic in terms of the volume, nature, and characteristics of key studies. The results of the scoping review analysis found several problems such as the low level of science learning regarding scientific literature so that pupils and students are unable to identify problematic issues and scientific evidence due to a lack of practicing skills in conducting scientific literature. The impact that occurs is that the ability to think critically decreases. Therefore, various efforts are being made, one of which is that pupils and students must have concepts to connect science, science learning websites, focus on specific knowledge, be able to design relevant indicators, have the ability to translate into critical, systematic and anticipatory actions, students' critical thinking skills , school location, and problem-based learning model
Rare Case of Dense Deposition Disease with Combined C3 and C4d Deposits with MYH9-related Mutation
Authors: Harish Prabhu , Venkat Vellanki , Suvarna Dhake , Sathiyan Karunanithi
Published: November 2023

Background: The C3 glomerulopathies are a group of rare forms of glomerulonephritis with an incidence of 1-2 cases per million. It is mainly characterized by dysregulation of the alternative complement pathway. It is further classified morphologically based on electron microscopy ultrastructural findings into Dense Deposition Disease (DDD) and C3 glomerulonephritis. DDD is normally characterised by C3 Deposits. Case: We report a rare case of a young Emirati male who presented with sub nephrotic proteinuria and microscopic haematuria on routine evaluation. Renal biopsy showed features of DDD with combined C3 and C4 deposits. The retinal evaluation showed features of Drusen classically seen in DDD. Genomic study showed heterozygous mutation in c.5842G>C (p.Asp1948His) variant of uncertain significance in MYH9 gene. Discussion: C3 Glomerulopathy is a type of immune mediated disease previously classified as membranoproliferative glomerulonephritis. DDD is mainly characterised by C3 deposits in the glomerular basement Membrane. Our case has both C3 and C4d deposits, which is a rare entity. It shows the activation of both classical and alternate pathways. Conclusion: Dense deposition disease is a rare complement mediated glomerulopathy. It is characterised by C3 deposits. Dense deposition disease with combined C3 and C4d deposits is a new entity. The treatment and prognosis of such cases will be different and unique compared to the normal cases of DDD.
Saber médico y control social en Puebla: el Hospital de San Pedro, 1790-1801
Authors: Márquez Carrillo Jesús
Published: November 2023

En el presente artículo me propongo mostrar cómo en Puebla, durante la última década del siglo XVIII, el Hospital de San Pedro se convirtió en un modelo educativo de la modernidad como proyecto, mediante el despliegue de nuevos dispositivos de control social, relacionados con una nueva política sanitaria hacia las clases populares. Si anteriormente los conventos femeninos se habían destacado por ser un espacio muy importante en la reproducción social y cultural de las élites, en los albores del siglo XIX fue dicho nosocomio el que se propuso educar los hábitos sociales y de higiene entre las masas y, a su través, dejar sentir la presencia del Estado.
Repensar la región: reflexiones para un debate interdisciplinario
Authors: López Pérez Oresta
Published: November 2023

En este artículo se presentan diferentes cuestiones y reflexiones acerca de la teoría y l a práctica de la región. El interés es abrir el debate interdisciplinario en torno a las prácticas profesionales que tenemos para elegir, definir, acotar y construir el espacio o la región de estudio en nuestras investigaciones. El texto permite hacer el recorrido de los compartimentos, cruces y desencuentros disciplinarios que se han dado entre historiadores y geógrafos, por su relevancia para construir conocimientos sobre la región. Ofrece un recorrido de prácticas de historiadores para “definir el espacio de estudio” desde sus anclajes nacionalistas decimonónicos, hasta los esfuerzos de Braudel por establecer una geohistoria con todo y sus complejidades temporales. Se aborda, asimismo, algunos esfuerzos para entender las dinámicas de la historia de la región, desde los emprendidos por don Luis González, en su concepto de microhistoria del terruño conocido e íntimo, y sus desplazamientos teóricos. El texto reconoce la importancia de la construcción metodológica y de trabajar “la región como hipótesis” para entender su dinámica y sus numerosos vínculos y contextos posibles.