bluuebunny/crossref_metadata_2025 huggingface dataset:
Vivenciando a arte e a criatividade na instituição
Authors: Antonelli Marcia Cristina Quaiatti , Marinho Vanessa Salheb
Published: July 2017

O fazer artístico possibilita tanto a reinserção social quanto a experiência pessoal. O exercício da criatividade permite o desenvolvimento do processo mental e emocional do indivíduo, proporcionando uma visão mais ampla de mundo, tomando decisões nas mais variadas situações da vida. O trabalho teve como objetivo melhorar a qualidade de vida dos participantes, permitindo que descubram seu potencial criativo e o apliquem para solucionar problemas, buscar novas alternativas de ação e de relações interpessoais como na vida pessoal, familiar e social. Além disso, teve o intuito de proporcionar o autoconhecimento e a autovalorização do indivíduo por meio do contato com a arte. As oficinas de pintura abstrata oferecidas pelo GGBS (Grupo Gestor de Benefícios Sociais) foram desenvolvidas em 02 encontros sendo realizados 01vez ao mês no Centro Cultural Casa do Lago. O método aconteceu através de oficinas de arte – pintura abstrata espatulada com atividades desenvolvidas em grupo, as quais tiveram início em 2009 e até o momento foram atendidas aproximadamente 700 pessoas. Os participantes utilizaram painéis de 70 x 90 cm como suporte para a criação dos trabalhos. Os materiais empregados foram pincéis, espátulas, dimensional acrílico nas cores preto e branco e tinta acrílica nas cores primárias, branco e preto. Concluiu-se que cada participante ao final do processo encontrou características singulares no ato de criar. Nas telas não observamos imagens concretas e definidas, sendo o observador quem interpreta como desejar a criação de cada um. Essa ação positiva contribui efetivamente para a Qualidade de Vida dos participantes.
Atuação da psicologia na área da oncologia do hospital da mulher prof. Dr. José aristodemo pinotti – CAISM/UNICAMP
Authors: Teixeira Ana Luiza
Published: July 2017

O psicólogo que atua na área da Oncologia possui múltiplas funções, dentre elas, no auxílio da demanda psicológica do paciente e de seus familiares. Tem por objetivo compreender e re-significar o adoecimento, prevenir e reduzir sintomas emocionais e físicos ocasionados pelo câncer e seu tratamento e acolher sentimentos emergentes da família, proporcionando um espaço de escuta terapêutica. Este trabalho tem por objetivo descrever a atuação da Seção de Psicologia na área da Oncologia do Hospital da Mulher Prof. Dr. José Aristodemo Pinotti – CAISM/UNICAMP, nos últimos cinco anos. A Psicologia atua na área da Oncologia, que atende mulheres da rede pública de saúde (SUS) com diagnóstico de câncer de mama e ginecológico. A equipe é composta por uma psicóloga contratada e duas psicólogas aprimorandas. Os atendimentos psicológicos ocorrem nos ambulatórios, na Unidade de Terapia Intensiva (U.T.I.) e nas enfermarias (Enfermaria de Oncologia Clínica e Enfermaria de Oncologia Cirúrgica), através de encaminhamentos da equipe multiprofissional, demanda espontânea do paciente e/ou familiar e busca ativa do serviço mediante protocolos institucionais. O serviço de Psicologia computa mensalmente o número de atendimentos psicológicos realizados na área da Oncologia. Nos últimos cincos anos, foram registrados um total de 14.000 atendimentos psicológicos, que englobam a atuação do psicólogo nas enfermarias e ambulatórios deste hospital. Conclui-se que o trabalho do psicólogo na área de Oncologia é de extrema importância para pacientes e familiares, já que o mesmo atua como facilitador na relação entre paciente/família/equipe e auxilia na prevenção e tratamento de sintomas psíquicos decorrentes do câncer.
Programa de diabetes CECOM: vamos pegar no seu pé
Authors: Taninaga Edite Kazue , Moreira Ricardo Pereira , Ferreira Sonia Maria Dorta , Moraes Ana Lucia Carletti de , Antunes Luciane da Silva , Trevizane Rose Clélia Grion , Stolf Maria Cristina , Silva Miriam Susana Locatelli Marques da , Parisi Maria Candida Ribeiro , Cruvinel Lila Lea , Nieri Tamara Maria , Granzotto Tania Maria , Albertin Rosely Cai , Grazia Renata Cristina di
Published: July 2017

O Programa de Diabetes do CECOM (Centro de Saúde da Comunidade) iniciado há 30 anos, na Unicamp, vem desenvolvendo ações com o intuito de assistir aos funcionários, docentes e alunos da Universidade portadores de Diabetes Mellitus (DM) e envolvê-los no processo de autocuidado, visando reduzir os danos à saúde decorrentes da doença. Nesse sentido, busca estimular e sensibilizar os pacientes em relação à prevenção e detecção precoce de agravos e promoção de saúde com qualidade de vida. À partir de 2015, o Programa agregou uma nova atividade que consiste na avaliação sistemática dos pés do paciente diabético. O termo "pé diabético" é utilizado para nomear as diversas alterações e complicações ocorridas, isoladamente ou em conjunto, nos pés e nos membros inferiores dos pacientes com DM, e que podem evoluir para complicações potencialmente graves. A atividade implementada tem por objetivos: capacitar membros da equipe para avaliação adequada dos pés e membros inferiores do paciente com DM, promover eventos anuais para realização sistemática dessa ação e agregar a avaliação dos pés do paciente diabético à rotina de atendimento do CECOM. A metodologia utilizada engloba palestras informativas aos pacientes, sensibilização da equipe, consultas individuais com profissionais do Programa e avaliação rotineira dos pés do paciente com DM com discussão de condutas. Trata-se de uma ação realizada em parceria com o Ambulatório de Pé-Diabético do Hospital das Clínicas da Unicamp e alunos de Medicina da LIGA de Diabetes, estabelecendo relações próximas com os parceiros para transferência de conhecimento.
Saude mental na gestação
Authors: Zapparoli Liliane , Rubio Andreza Viviane , Santos Laise Poterio , Amorim Jaqueline Cristina , Massarolo Verônica Cardoso , Antunes Gisele do Canto e Silva
Published: July 2017

A literatura e a prática com mulheres grávidas apontam que a gestação é um período de transição. Inúmeras são as transformações incluindo mudanças no psiquismo e o papel sócio-familiar da gestante. A literatura evidencia que o período gravídico puerperal é a fase de maior incidência de transtornos psíquicos na mulher com aumento de sintomatologias ou mesmo o desenvolvimento de transtornos psiquiátricos. A intensidade das alterações psicológicas tem relação com fatores familiares, conjugais, sociais, culturais e traço de personalidade da gestante. Necessitando assim, de atenção especial para manter ou recuperar o bem-estar, e prevenir dificuldades futuras para o binômio. Visando tal necessidade, o Centro de Atenção Integral a Saúde da Mulher (CAISM) possui um ambulatório de pré-natal especializado em Saúde Mental na gestação, com atendimentos multiprofissionais, acompanhamento psiquiátrico e psicoterapêutico. Os atendimentos psicológicos acontecem no ambulatório através de livre demanda ou encaminhamento da equipe, são atendimentos individuais, baseados na psicoterapia breve e focal. Observa-se na nossa prática que o acompanhamento psicológico a esse público no espaço hospitalar reflete em uma melhor vinculação da gestante com o recém-nascido, com fortalecimento dos vínculos familiares. Além disso, possibilita um olhar integral a gestante, com propostas de um cuidado adequado durante o pré-natal, parto e puerpério, proporcionando uma vivência mais saudável da gestação e a prevenção de transtornos psiquiátricos severos futuros.
Legal Instruments Pertaining to Environmental Management in the Textile Sector of Bangladesh
Authors: Islam Kamrul
Published: July 2017

The aim of this short communication is to find out the legal set up that complies with the environmental management in the textile sector of Bangladesh. This sector is the one of the biggest contributor to the economy of the nation. This sector contributes 81% to the total export earnings involving an immense number of stakeholders to its production processes. It is also true that this sector is largely responsible for the overall environmental pollution through its effluent discharge. The findings suggest that there are both international and national legal guidelines exist for environmental management in the said sector. In order to improve the environmental standards rehearsing lawful instruments is compulsory for the said industries.
REDESAIN PASAR CEPOGO DENGAN PENDEKATAN ARSITEKTUR KONTEKSTUAL DI BOYOLALI
Authors: Desmaria Angela Ayu , Yuliarso Hari , Iswati Tri Yuni
Published: July 2017

Abstract: Pasar Cepogo is a public commercial centre in Cepogo. This traditional market is the preferred place to shop daily needs by the residents of Cepogo and people living in its surrounding area since it offers array of affordable prices. There are social aspects of the tradition manifested in the way bargains are settled. Yet, this market still has problems such as inconvenient environment, cluttered floor plan, uncharted activities, and decaying infrastructures. Based on these conditions, the design problem consists of creating a space to cater all activities in Pasar Cepogo and taking form fitting to its surrounding in order to maintain its existence as a traditional market. Redesign project of Pasar Cepogo aims to improve the condition of the market in order to provide convenient commercial space suiting present-day demand without leaving its traditional roots. Hence, contextual architecture approach is considered fit the notion. Contextual theme aspires to appropriate the redesigned building for its site, which concerns physical features, climate, culture, and local architecture aspects of the surrounding area. Physical features approach influence the site management adapted to the site conditions. Climate aspects approach is implemented into design response to the local climate, such as the use of  a high and sloping roof, tritisan, and cross ventilation. The cultural approach is actualized into the space management adapted to the context of activities in Pasar Cepogo. Local architecture approach is implemented into the form and appearance of the building, adjusting Java architecture and Hindu architecture that once evolved in Cepogo.

 

Keywords: Contextual Architecture, Market Redesign, Traditional Market.
PUSAT REHABILITASI GANGGUAN JIWA DAN SKIZOFRENIA DENGAN PENDEKATAN ARSITEKTUR PERILAKU DI KABUPATEN KULONPROGO
Authors: Sari Annisa Mutia , Musyawaroh Musyawaroh , Setyaningsih Wiwik
Published: July 2017

Abstract: Psychiatric disorder sufferers in Indonesia is increasing every year. This also happens in the Daerah Istimewa Yogyakarta which is the province with the largest number of psychiatric sufferers in Indonesia. The phenomenon of the increasing psychiatric sufferers  happen due to the lack of mental health services and facilities so that many sufferers of psychiatric disorders that have not been handled properly. The problem that arise in the design of Psychiatric Disorder and Schizophrenia Rehabilitation Center is how to create the design of rehabilitation center that accomodates the activities and needs of sufferers both physically and mentally based on behavior that indicated the sufferers. The goal is to get the container activities and needs that play a role in the healing of sufferers psychologically, socially, and spiritually with Behaviorism Architecture as the design concept. The methods used in the design of Psychiatric Disorder and Schizophrenia Rehabilitation Center is Behaviorism Concept. This concept was applied in architectural elements focused on three aspects, namely, privacy, comfort, and security. The application of the Behaviorism concept aims to meet the appropriate design in accordance with the surferrers’ behavior wihich is realized through optimization of potential site and the zonning concept. The basic form of the building is a square shape in combination with pyramid roof and sloping roof to get a homey impression. Likewise, the look of the building is made simple, but it capable to display the principles of Behaviorism Architecture.

 

Kata kunci: Behavior Architecture, Psychiatric Disorders, Rehabilitation Center, Schizophrenia
STRATEGI PERANCANGAN SEKOLAH ALAM SMK PERTANIAN DENGAN PENDEKATAN SISTEM PERMAKULTUR DI PURBALINGGA
Authors: Gondo Yusak Hartanto , Hardiyati Hardiyati , Handayani Kusumaningdyah Nurul
Published: July 2017

Abstract: Despite its potentials to be developed as a farming district, Purbalingga faces numerous land reforms and decline of workforce in agriculture field. It also lacks proper agricultural education institution. This design proposal aims to solve the problems. Agriculture Vocational High School, applying Permaculture System in Purbalingga offers four focus programs: agriculture, livestock farming, fishery, and food technology. The school is not only providing education for the students, but also for the local farmers and entrepreneurs of the fiels. The applied permaculture approach asks for five principles (deduced from the fourteen original principles) to be fulfilled: integrated location, biological source, humanly scale, energy cycle, and power-source planning.

 

Keywords: vocational high school, agriculture, permaculture, purbalingga.
Smoothing vs. sharpening of colour images: Together or separated
Authors: Pérez-Benito Cristina , Morillas Samuel , Jordán Cristina , Conejero J. Alberto
Published: July 2017

It is still a challenge to improve the efficiency and effectiveness of image denoising and enhancement methods. There exists denoising and enhancement methods that are able to improve visual quality of images. This is usually obtained by removing noise while sharpening details and improving edges contrast. Smoothing refers to the case of denoising when noise follows a Gaussian distribution.

Both operations, smoothing noise and sharpening, have an opposite nature. Therefore, there are few approaches that simultaneously respond to both goals. We will review these methods and we will also provide a detailed study of the state-of-the-art methods that attack both problems in colour images, separately.
Multi-Scale Computational Analyses of JP-8 Fuel Droplets and Vapors in Human Respiratory Airway Models
Authors: Kleinstreuer Clement
Published: July 2017

Using representative human nasal, oral and tracheobronchial airway models, transient 3- D as well as equivalent steady-state solutions have been obtained for the transport and deposition of spherical particles and droplets as well as vapors. It should be noted that equivalence to transient airflow and particle deposition results was achieved by employing matching Reynolds and Stokes numbers for steady-state simulations. Inhalation inlet conditions and aerosol characteristics resembled JP-8 fuel exposure scenarios in most case studies. Specifically, the following major tasks have been accomplished: (i)Airflow and transport/deposition of micron- and nano-size aerosols in representative human nasal airways; (ii) multi-component and/or impure droplet evaporation or hygroscopity; (iii) deposition differences between fuel aerosols (i.e., droplets) vs. vapors; (iv) studies of JP-8 fuel vapor transport and deposition by considering airway wall absorption; and (v) optimal drug- aerosol targeting. The 3-year-project results are documented in 17 peer-reviewed journal articles (14 published and 3 accepted or submitted) and 9 conference papers/presentations. The often quoted articles have a significant impact on toxic/therapeutic aerosol research worldwide.
Comparative estimation of indirect revascularisation efficacy in IHD surgery
Authors: Chernyavskiy A. M. , Fomichev A. V. , Chernyavskiy M. A. , Larionov P. M. , Bondar V. Yu. , Sergeevichev D. S.
Published: July 2017

The aim of the study was to compare the efficacy of different techniques of indirect myocardial revascularization: transmyocardial laser revascularization and concomitant injection of mononuclear fraction of red bone marrow in laser canals during surgical treatment of ischemic heart disease. The efficacy was evaluated on the basis of echocardiography and perfusion scintigraphy data obtained in two weeks, 6 months, 12 months and 3 years after operation. Implantation of a mononuclear fraction of red bone marrow into laser canals proved to be the most effective technique. It was confirmed by a significant decrease in angina functional class and a more pronounced increase in myocardial perfusion and contractility.
Immediate and long-term outcomes of carotid bifurcation remodeling
Authors: Karpenko A. A. , Starodubtsev V. B. , Ignatenko P. V. , Kuzhuget R. A. , Kim I. N. , Gorbatykh V. N.
Published: July 2017

Immediate and long-term outcomes of carotid endarterectomy (CEA) performed in 363 patients at 6 months to 4 years are presented. It was found out that when using a xenopericardial patch, the occurrence of carotid artery restenosis is significantly lower if compared with the application of a PTFE patch. In comparison with classical CEA (carotid plasty with a xenopericardial patch and PTFE), eversion CEA and CEA with autoarterial bifurcation remodeling have a significantly lower frequency of restenosis (p<0,01) during long-term follow-up.
Evaluation of optimal treatment approach in patients with early recurrence of atrial fibrillation after the first ablation procedure
Authors: Shabanov V. V. , Romanov A. B. , Artemenko S. N. , Yelesin D. A. , Strelnikov A. G. , Losik D. V. , Bayramova S. A. , Pokushalov Ye. A.
Published: July 2017

182 patients with paroxysmal AF underwent ablation (circumferential pulmonary vein isolation with linear lesions) and were monitored with an implantable cardiac monitor (Reveal XT, Medtronic). Patients were randomly assigned to group 1 or group 2. Group 1 patients were treated only with antiarrhythmic drugs for 6 weeks, with no early reablation during the 3-month postablation period. In the case of AF recurrence after the 3-month postablation period, patients underwent reablation. Group 2 patients were treated according to the onset mechanism of AF recurrences, as detected and stored by the implantable cardiac monitor: antiarrhythmic drug therapy, but no reablation if AF was not preceded by triggers; early reablation if premature atrial beats or atrial tachycardias or flutter triggered AF. All patients were followed up for 1 year to assess the sinus rhythm maintenance in each group. On 12-month follow-up examination, 67 patients (76%) out of 88 in group 1 and 78 patients (92%) out of 89 in group 2 had no AF recurrences (P<0,009 versus group 1). The patients with AF recurrences caused by a trigger mechanism after the first ablation demonstrated high long-term efficacy after early reablation.
Tactics for surgical treatment of elderly patients with valve diseases and concomitant coronary and brachiocephalic arteries lesions
Authors: Skopin I. I. , Samorodskaya I. V. , Asatryan T. V. , Urmanbetov K. S. , Murysova D. V.
Published: July 2017

Due to significant prevalence of combined cardiac and vascular pathologies in elderly patients with valve diseases, of special importance is the choice of surgical treatment tactics. The point is that despite the advances in diagnostics and management of cardiovascular diseases in patients, as well as in elderly people, and despite the availability of developed standards of medical assistance and clinical recommendations, there is no yet enough evidence on the advantages of one technique over other surgical procedures.
Case report of combined correction of postinfarction ventricular septal defect
Authors: Lukin O. P. , Andrievskikh S. I. , Piskunov S. A. , Derksen S. A.
Published: July 2017

We present a case of successful combined correction (endovascular and surgical) of postinfarction ventricular septal defect in a woman at a late stage after acute myocardial infarction onset.
Comparative characteristics of coated stents used in endovascular treatment of patients with coronary heart disease
Authors: Osiev A. G. , Mironenko S. P. , Yelkina D. S.
Published: July 2017

A comparison of characteristics of drug-eluting stents used in endovascular treatment of patients with chronic ischemic heart disease was carried out. The efficacy of sirolimus stents coated with paclitaxel and their influence on the process of restenosis was evaluated.
N-terminal natriuretic propeptide in diagnostics of myocardial injuries after coronary artery bypass grafting on a beating heart
Authors: Petrova O. V. , Tarasov D. G. , Motreva A. P. , Martyanova Yu. B. , Kadykova A. V. , Shashin S. A.
Published: July 2017

Dynamics of N-terminal natriuretic propeptide (NT-proBNP) and troponin T in the blood of patients with ischemic heart disease after CABG on a beating heart is studied. It is found out that the level of NT-proBNP in patients with ischemic heart disease at admission correlates with their functional class, left ventricular ejection fraction and end-diastolic volume). It is also shown that the level of NT-proBNP increases in 1 day after CABG and reaches the maximum values in3 days. At the 15th day a decrease in the level of NT-proBNP is observed, however, which reaches the baseline values. The analysis of correlation between NT-proBNP and troponin Т has revealed an inverse correlation between the indicators under study, which testifies to the fact that NT-proBNP cannot be used as a myocardial injury marker in patients with ischemic heart disease after CABG.
Diagnosis of disorders of oxygenation and thoracopulmonary restriction during mechanical ventilation of lungs from the point of view of normal and pathological physiology
Authors: Chechenin M. G. , Lomivorotov V. V. , Polukarov A. N. , Borshchikova T. I.
Published: July 2017

The goal of the study was to develop methods for diagnosing oxygenation disorders and thoracopulmonary restriction during respiratory support and to evaluate their efficacy. 206 patients receiving prolonged respiratory support were included in the study. The developed method of diagnosing oxygenation disorders during respiratory support is 1.4 times faster than the Murrays lung ingury score. Sensitivity and specificity oftheauthorsmethod fordiagnosing thoracopulmonaryrestrictionamounted to0.897and 0.838 respectively as compared to 0.47 and 0.189 achieved by using the Murrays lung injury score. A new modification of the acute lung injury score including a respiratory function calculator was also developed.
Sensitivity of enterobacteriaceae isolated from cardiosurgical patients to antimicrobial chemotherapy
Authors: Ilina V. N. , Subbotovskaya A. I. , Kozyreva V. S. , Sergeevichev D. S. , Shilova A. N.
Published: July 2017

Data on the sensitivity of enterobacteriaceae isolated from cardiosurgical patients over a period from 2011 to 2012 are analysed in the paper. We studied 124 strains of enterobacteriaceae; the proportion of strains ESBL-producing CTX-M-type was 62.1%. It was found out that from 76.6% to 100% of enterobacteriaceae strains were insensitive to cephalosporins IIIIV generation, 62.0% to 72.7% of them were insensitive to the combinations of beta-lactams/beta-lactam inhibitors and 70.1% were insensitive to fluoroquinolones, with high susceptibility to carbapenems (90.9% to ertapenem, imipenem and meropenem 94.8%) and moderate one to aminoglycosides (amikacin 77.9%, netilmicin 72.7%). The reduction of sensitivity to carbapenems is determined by the occurrence of K.pneumoniae, with MIC of ertapenem varying from 2 to 16 ug/ml, MIC of meropenem ranging from 4 to 8 g/ml and MIC of imipenem being equal to 4 ug/ml.
A new approach to the assessment of outcomes of alcohol septal ablation in patients with hypertrophic obstructive cardiomyopathy
Authors: Osiev A. G. , Kretov Ye. I. , Kurbatov V. P. , Mironenko S. P. , Naydenov R. A. , Artamonova Ye. A. , Malakhova O. Yu.
Published: July 2017

Hypertrophic cardiomyopathy is a heterogeneous disease characterized by myocardial hypertrophy, without any other systemic or cardiac disorders and with predominant involvement of the interventricular septum. Approximately 25% of patients have a dynamic obstruction of the left ventricular output tract due its constriction and abnormal systolic anterior motion of the mitral valve. Therapeutic strategy for patients with hypertrophic obstructive cardiomyopathy, who remain symptomatic despite drug therapy, includes surgery (septal myectomy) and non-surgical interventions, such as alcohol septal ablation. In the present study the possibility of cardiac MRI with contrast enhancement in the evaluation of the results of endovascular treatment hypertrophic cardiomyopathy and evidence for the benefits of this method in 25 patients with an obstructive form of hypertrophic cardiomyopathy after alcohol septal ablation are discussed.
Hypoxic encephalopathy after heart valve replacement: etiology and pathogenesis, diagnostic criteria and treatment
Authors: Postnov V. G.
Published: July 2017

Reviewed in this paper are modern approaches in the intensive therapy of acute hypoxic encephalopathy developing in a number of occasions after the heart valve replacement surgery. The study is based on the results of neurological, neuropsychological and neurophysiological (EEG) examinations of 240 patients who underwent heart valve replacement surgery under cardiopulmonary bypass conditions complicated later by the development of hypoxic encephalopathies of varying severity and who received complex intensive care. Relying on many years of experience in the treatment of heart surgery patients in whom manifestations of encephalopathy developed in the early postoperative period, or were delayed, we have formulated the following algorithms of therapy. (1) Maintenance of normal blood gas: Hb>100 g/L, pH 7.45, PaCO2 35 mmHg. (2) Maintenance of hemodynamics: ABPsystolic>90 mmHg. (3) Supplying fluids and electrolytes: isoosmolar infusion solutions, adding of KCl and MgSO4 to the infusion. (4) Antiedemic therapy: 15% mannitol or 40% glycerol solution. (5) If necessary (in case of psychomotor agitation, seizures), short-acting barbiturates (sodium thiopental), neuroleptics (haloperidol), propofol. No benzodiazepines in case of psychoses (6) Cerebral metabolism stimulation (not earlier than 48 hours after surgery) with cholinomimetics, nootropics, cerebral blood flow protectors. Cholinomimetics are allowed on the first day after surgery. This algorithm and the above-mentioned groups of drugs, especially central cholinomimetics, allow for correcting the neurocognitive impairment in the discussed group of patients quickly and effectively.
Hypoplasia of the aortic arch
Authors: Sinelnikov Yu. S. , Gorbatykh A. V. , Ivantsov S. M. , Prokhorova D. S. , Kshanovskaya M. S.
Published: July 2017

An aggressive surgical approach to early repair of aortic coarctation and concomitant arch hypoplasia results in considerable improvement of the long-term outcomes of surgical treatment by reducing the number of aortic re-coarctation and arterial hypertension persistence events. At present, there exist some methods of determining the degree of aortic arch hypoplasia, which allow for arch reconstruction planning. Our review focuses on the analysis of modern methods of determination of the aortic arch hypoplasia and the outcomes of surgical treatment of this disease.
Ross procedure in congenital aortic valve disease surgery: graft selection
Authors: Lukyanov A. A. , Gorbatykh Yu. N. , Omelchenko A. Yu. , Naberukhin Yu. L. , Ivanov A. A. , Gorbatykh A. V. , Matyushov V. N.
Published: July 2017

The Ross procedure is thought of as an attractive option for aortic valve replacement in children and adolescents. We reviewed the basic and latest surgical criteria for graft selection in pediatric population who underwent the Ross procedure. Some positive and negative sides of various grafts in the aortic and lung positions are described. The tendencies and follow-up results of homograft growth proportional to somatic growth of patients are also analyzed.
Correction of moderate secondary mitral regurgitation due to aortic valve disease: immediate results
Authors: Nazarov V. M. , Zheleznev S. I. , Demin I. I. , Smolyaninov K. A. , Afanasev A. V. , Lavinyukov S. O.
Published: July 2017

To evaluate the impact of surgical strategy in concomitant mitral valve surgery or isolated aortic valve replacement (AVR) in patients with moderate secondary mitral regurgitation (MR), 1 574 patients underwent AVR over a period from January 2003 to December 2011. 241 patients had secondary MR 2+ and constituted the study population. Patients were stratified into two groups, those without concomitant mitral valve surgery (Group A, n = 113) and with it (Group B, n = 128). It was found out that AVR plastic correction of MI reduces its recurrence during short-term follow-up but increases the intervention time leading to an insignificant rise in lethality. In patients with aortic stenosis the age exceeding 70 years and the presence of atrial fibrillation are found to be the most significant predictors of preservation of residual mitral regurgitation in the early postoperative period, while more indicative for patients with aortic insufficiency is the presence of tricuspid regurgitation grade 2 or higher.
Ultrasound lung comets in extravascular fluid diagnostics
Authors: Alekhin M. N.
Published: July 2017

The review is devoted to the analysis of ultrasound lung comets (ULCs) that may be observed during ultrasound lung examination in cardiac patients in the case of accumulation of extravascular fluid in the lungs. Recent data on the mechanisms of these artefacts, examination and outcome evaluation methods are discussed. Differential diagnostics problems in patients with cardiac and pulmonary genesis of ULCs are also covered.
The role of three-dimensional transesophageal echocardiography in preoperative assessment of atrial septal defects
Authors: Tarasov D. G. , Tkachev I. V. , Kadrabulatova S. S.
Published: July 2017

An atrial septal defect is the most common congenital heart disease. Transcatheter defect closure has become widespread in recent times and the requirements for this procedure are rather strict. Two-dimensional echocardiography is limited in evaluating atrial septal defects because it provides planar images only. In order to preoperatively assess atrial septal defects, we applied three-dimensional transesophageal echocardiography and then compared the results with those of surgical operations. The maximum diameter, shape, area and localization of the atrial septal defect in 26 patients were estimated with three-dimensional echocardiography. It was found out that positive correlation existed between three-dimensional echocardiography findings and those measured during surgery. Three-dimensional echocardiography provides invaluable assistance in preoperative evaluation of atrial septal defects and in selection of treatment.
Nitinol clips sternal osteosynthesis after heart/great arteries surgery as a method for prevention of postoperative complications
Authors: Charchyan E. R. , Stepanenko A. B. , Galeev N. A. , Skvortsov A. A. , Gens A. P.
Published: July 2017

The problem of sternal osteosynthesis after cardiac surgery is relevant because of a relatively high incidence of postoperative complications associated with inadequate sternal consolidation. The use of nitinol clips is one of the reliable and versatile methods of sternal osteosynthesis. Our research included 208 postoperative patients with different cardiac surgical pathologies. All interventions were carried out with cardiopulmonary bypass using median sternotomy. Patients were divided into 2 groups according to sternal fixation methods: group 1 (105 patients) - wire suture osteosynthesis, group 2 (103 patients) - nitinol clips closure. The short-term postoperative results were analyzed by using the major criteria for comparison. Radiographically confirmed varying degrees of sternal defects in the immediate postoperative period were observed in 15.2% of patients in group 1 and 3.8% of patients in group 2. In group 1 significant sternal defects requiring sternal refixation were observed in 4.8% of patients; in group 2 no such cases were identified. The mean blood loss in the drainages for 24 hours after surgery in group 1 was 351 65 ml; in group 2 - 192 43 ml. The total number of resternotomies for bleeding in group 1 was 6.7% of cases, with half of them being the patients with the source from the sternum in the site of wire sutures, while in group 2 4.9% patients underwent resternotomy, with no bleeding from the sites of clip fixation. Thus, the use of nitinol clips after longitudinal median sternotomy is a more reliable method of sternal osteosynthesis (as compared with the classical method), which enables us to minimize the risk of damage to the retrosternal structures, preserve sternal consolidation and reduce blood loss in the drainages in the early postoperative period.
Breathing disorders during artificial lung ventilation in case of central nervous system damage
Authors: Chechenin M. G. , Martynenkov V. Ya. , Lomivorotov V. V. , Yefremov S. M. , Deryagin M. N. , Shmyrev V. A. , Ratkin I. K. , Fominskiy Ye. V.
Published: July 2017

The study focuses on breathing disorders in 119 patients with central nervous system (CNS) injuries that needed artificial lung ventilation for more than 1 day. 65% of patients had apneic, hypopneic and hyperpneic types of regulation of respiration (TRR). The normopneic type was the most favorable for survival, while the apneic one was unfavorable. It was established that a brain injury at hemispherical, diencephalic levels and low brain stem leads to the development of all TRR, while the apneic type occurs only in patients with the diffuse lesions of CNS and spinal injuries at the C 1-C 5 level, with complications developing in the main disease. The hypopneic type occurs more often in patients with injuries of the spinal cord and cerebrovascular disease. The hyperpneic TRR does not occur in patients with spinal cord lesions at the C 1-C 5 level. An algorithm for correction of respiratory disorders is proposed.
Cerebrocardial manifestations in patients with acute cerebral failure of different origin: differential diagnosis and therapeutic strategy (clinical observations)
Authors: Levit A. L. , Belkin A. A. , Prazdnichkova Ye. V. , Gromov V. S. , Shilko Yu. V.
Published: July 2017

Neurogenic cardial dysfunction or cerebrocardial syndrome is common in patients with all types of acute cerebral failure. The association between cerebral injury and development of neurogenic cardial dysfunction in patients with stroke, cerebral tumors, meningitis, and especially in patients with acute aneurysmatic subarachnoid hemorrhages, is widely discussed in literature. Our observations have shown that in case of occurrence of cardiac dysfunction in patients with cerebral insufficiency we need to exclude true coronary heart disease, especially when local left ventricular contractility disorders have been registered in case of one-vessel disease with a high troponin level. It should be noted that the troponin level, which is considered to be the most important differential criterion of cerebrocardial syndrome, in both observed cases changed similarly and was of no value for differential diagnosis. CT perfusion might be another diagnostic criterion of cerebrocardial syndrome, as it can reveal an increase of blood flow in the diencephalic region as a manifestation of acute dysautonomy.
Goal-oriented optimization of hemodynamics during perioperative period: opportunities and future perspectives
Authors: Kuzkov V. V. , Kirov M. Yu. , Paromov K. V. , Lenkin A. I.
Published: July 2017

In parallel with development of monitoring systems there appear more and more data concerning the efficiency of various monitoring methods and the value of studied hemodynamic parameters. Various approaches to goal-oriented therapy are being implemented and the urgency of previously proposed methods of perioperative optimization of circulation is put in doubt. There is no consensus regarding precision, clinical effectiveness and reproducibility of hemodynamic variables obtained during the perioperative period. This paper presents a contemporary view on the challenges of goal-oriented therapy in complex surgical interventions.
Persistent multiorgan failure
Authors: Grigorev Ye. V. , Plotnikov G. P. , Shukevich D. L. , Golovkin A. S.
Published: July 2017

Persistent multiple organ failure is a topical and relatively common problem in critically ill patients. We summarize the pathophysiological characteristics of this syndrome, namely the ratio of pro-and antiinflammatory components of the systemic inflammatory response, the formation of immune suppression and catabolism, pathological myelopoiesis, autophagy. The clinical and laboratory characteristics of probable diagnostics and the principal directions of intensive therapy are given.
Right ventricle/interventricular septum electrophysiological anatomy (determination of optimal right ventricular lead placement)
Authors: Didenko M. V. , Marchenko S. P. , Khubulava G. G. , Starchik D. A. , Pasenov G. S.
Published: July 2017

Notwithstanding a theoretically justified lead placement into the interventricular septum (IVS), the data from the clinical trials demonstrate somewhat controversial results. One of these controversies is the absence of consolidated criteria for positioning the electrode to deliver pacing from the interventricular septum (IVS) area. The study describes anatomic features of RV and IVS with respect to the cardiac conduction system, normal ventricular excitation and electrode implantation techniques for continuous pacing. A comparative study of 73 specimens of cadaver hearts was carried out by using electro-anatomic 3D mapping of the heart, X-ray examination, computer-aided tomography, morphological and morphometric investigation. It was found out that the medium part of IVS in the septomarginal trabecula zone could be considered the best for continuous pacing. The criteria for the RV lead to be implanted in this zone were determined.
Effect of cardiac resynchronization therapy on ventricular tachycardias in patients with dilated cardiomyopathy and severe heart failure
Authors: Lebedev D. I. , Batalov R. Ye. , Savenkova G. M. , Minin S. M. , Krivolapov S. N. , Lishmanov Yu. B. , Popov S. V.
Published: July 2017

The aim of the study was to elucidate the effects of cardiac resynchronization therapy (CRT) on ventricular tachycardias in patients with dilated cardiomyopathy and to analyze the prospects of radionuclide diagnostic methods for prediction of life-threatening arrhythmias in the presence of therapy. The study included 70 patients (mean age 55 12 years) aged 32 to 75 years with dilated cardiomyopathy, NYHA FC III heart failure, left ventricular (LV) ejection fraction (EF) of 30.1 3.8%, and end-diastolic volume (EDV) of 220.7 50.9 mL. Group 1 comprised 35 patients (50%) diagnosed with paroxysms of ventricular tachycardia, while Group 2 consisted of 35 patients (50%) without episodes of ventricular tachycardia. After one year of CRT, positive clinical changes were documented in all patients: LV EF increased to 42.8 4.8% (p 0.001); functional class of heart failure decreased to II; LV EDV decreased to 197.9 47.8 mL (p 0.005). The patients whose EF increased by 14% and EDV decreased by 35 mL during one-year CRT had no episodes of ventricular tachycardia. The patients, whose paroxysms of ventricular tachycardia persisted during the entire period of the study, showed EF increase by 9% and EDV decrease by 13 mL. The second stage of the study consisted in evaluating the effects of myocardial metabolism defects (MMD). No ventricular tachycardia episodes were registered in patients whose MMD became less than 15% during CRT; if the size of DMM exceeded 15%, paroxysms of ventricular tachycardia were observed. Thus, efficacious CRT in patients with dilated cardiomyopathy results in a statistically significant reduction of the number of ventricular tachycardia episodes. The improvement of fatty acid metabolism contributes to a decrease in the number of ventricular tachycardia episodes in the course of CRT.
Sol-gel Synthesis of a Novel χSm2Ti2O7/HZSM-5 Composite Photocatalyst for the Promoted Activity on RBR X-3B Degradation
Authors: Zhang Wenjie , Yang Jiao , Du Ling
Published: July 2017

Background:

Pyrochloro structured Sm2Ti2O7 has photocatalytic activity on degradation
of organic substances and on hydrogen evolution from water. Powder materials usually encounter the
obstacle of separating from treated water. HZSM-5 zeolite is a kind of porous structured material
with large surface area. Its role as a support for Sm2Ti2O7 is interesting.

Methods:

The supported Sm2Ti2O7 was synthesized using sol-gel method. The composite
χSm2Ti2O7/HZSM-5 was characterized by XRD, SEM, TEM, FT-IR/FIR, UV-Vis DRS, N2 adsorption-
desorption and XPS measurements. Photocatalytic degradation of Reactive Brilliant Red X-3B
(RBR X-3B) was measured to evaluate the activity of the composite.

Results:

Sm2Ti2O7 is in the pyrochlore phase after loading on the surface of HZSM-5 zeolite. The
crystal cell of pyrochlore Sm2Ti2O7 continuously expanses with decreasing Sm2Ti2O7 loading content
in the composite. Bandgap energy of Sm2Ti2O7 is enlarged after supporting. The specific surface
area of Sm2Ti2O7 was enlarged from 9.8 m2/g to 93 m2/g after loading. Both of the adsorption capacity
and photocatalytic activity of the χSm2Ti2O7/HZSM-5 are greater than those of pure Sm2Ti2O7.
After 120 min of irradiation, 73.1% of the initial RBR X-3B molecules are decomposed on
70%Sm2Ti2O7/HZSM-5, and only 27.7% of the dye is decomposed on the bare Sm2Ti2O7.

Conclusion:

Sm2Ti2O7 crystal growth is constrained after loading due to dispersion of Sm2Ti2O7 on
the surface of HZSM-5. The specific surface area of Sm2Ti2O7 is significantly enlarged after loading.
All the supported samples have greatly enhanced photocatalytic activity as compared to the bare
Sm2Ti2O7.
Pathogenic Characterization of European Genotype Porcine Reproductive and Respiratory Syndrome Virus Recently Isolated in Mainland China
Authors: Ming Sun , Yongying Ma , Bohua Liu , Huiying Lu , Xiaoyu Deng , Qiaorong Liu , Mingming Qiao , Xi Chen , Xinyan Yang , Xizhao Chen
Published: July 2017

Background:

Porcine reproductive and respiratory syndrome virus (PRRSV) is an important pathogen in pig that causes tremendous economic loss in the global swine industry. PRRSV is divided into the European and North American genotypes, with virulence ranging from apathogenic-moderately virulent to highly pathogenic. The emergence of new highly virulent type 1 strains and coexistence of the two genotypes complicate the differential diagnosis, disease prevention, and control of PRRSV. Although the emergence of a novel type 1 PRRSV strain in mainland China was first confirmed in 2011, there is no information available concerning the pathogenesis of this strain.

Objectives:

We sought to determine the pathogenesis of a newly emerged Chinese type 1 PRRSV strain HLJB1.

Methods:

Pigs were infected with HLJB1 and characterized using serological and histopathological tests.

Results:

HLJB1 infection induced transient chemosis, reddened conjunctiva, skin cyanosis, mild transient pyrexia, dyspnea, and tachypnea between 7 and 13 days post-infection. Gross pneumonic lesions were characterized by multifocal, tan-mottled areas. Lymph nodes and spleen were enlarged. Characteristic microscopic lesions consisted of pulmonary consolidation and alveolar septal thickening with red blood cell infiltration, depletion of splenic lymphocytes, and hyperplasia and activation of macrophage. No pigs infected with HLJB1 died during the experiment.

Conclusion:

Our findings indicate that Chinese type I PRRSV strain HLJB1 caused classic PRRSV-specific lesions. As it caused lower viremia in pigs compared with other classic type 1 isolates, HLJB1 is less virulent than other type I strains.
Dental Faculty Members’ Pedagogic Beliefs and Curriculum Aims in Problem‐Based Learning: An Exploratory Study
Authors: von Bergmann HsingChi , Walker Judith , Dalrymple Kirsten R. , Shuler Charles F.
Published: July 2017

The aims of this exploratory study were to explore dental faculty members’ views and beliefs regarding knowledge, the dental profession, and teaching and learning and to determine how these views related to their problem‐based learning (PBL) instructional practices. Prior to a PBL in dental education conference held in 2011, all attendees were invited to complete a survey focused on their pedagogical beliefs and practices in PBL. Out of a possible 55 participants, 28 responded. Additionally, during the conference, a forum was held in which preliminary survey findings were shared and participants contributed to focus group data collection. The forum results served to validate and bring deeper understanding to the survey findings. The conference participants who joined the forum (N=32) likely included some or many of the anonymous respondents to the survey, along with additional participants interested in dental educators’ beliefs. The findings of the survey and follow‐up forum indicated a disconnect between dental educators’ reported views of knowledge and their pedagogical practices in a PBL environment. The results suggested that the degree of participants’ tolerance of uncertainty in knowledge and the discrepancy between their epistemological and ontological beliefs about PBL pedagogy influenced their pedagogical choices. These findings support the idea that learner‐centered, inquiry‐based pedagogical approaches such as PBL may create dissonance between beliefs about knowledge and pedagogical practice that require the building of a shared understanding of and commitment to curricular goals prior to implementation to ensure success. The methods used in this study can be useful tools for faculty development in PBL programs in dental education.
Introduction to “Advancing Dental Education in the 21st Century” Project
Authors: Bailit Howard L. , Formicola Allan J.
Published: July 2017

In 1926, the Carnegie Foundation for the Advancement of Teaching published a report prepared by William J. Gies, PhD, a professor of biochemistry and founder of the Columbia University College of Dental Medicine. The Gies report examined the current status of dental education in the United States and Canada and made recommendations for a new direction. This report led to major improvements in dental education and research and was a critical factor in making dentistry a learned profession. Dental and allied dental education are now challenged by a new set of issues related to financing education, improved oral health, more effective treatment technologies, and a rapidly changing delivery system. In an effort to meet these challenges, this strategic planning project first examined the current status and future trends that are likely to impact the dental profession over the next 25 years. The project was organized into six sections, and 50 authors were invited to prepare 38 articles to address these issues. The executive summaries for each section are being published in the August and September 2017 issues of the Journal of Dental Education, and the background articles are being published in online supplements to those issues. In the next phase of the project, information from the articles will be used to make strategic recommendations to assist dental schools and allied dental education programs in preparing graduates for practice in 2040 and to meet their institutions’ missions for scholarship and service. This introduction presents the project rationale, provides a list of the published articles, and acknowledges the organizations that supported this effort.