bluuebunny/crossref_metadata_2025_split huggingface dataset:
Oral health characteristics and treatment of individuals with special needs a tertiary institution: A 3 year retrospective study.
Authors: Ligali T.O , Nzomiwu C.I , Ashaolu J.F , Oredugba F.A 
Published: April 2021

Objectives: To assess the oral health characteristics and the treatments carried out on individuals with special needs attending the Dental Clinic of Lagos University Teaching Hospital.Methods: A three-year retrospective study of all individuals with special needs that ttended the dental clinic of a tertiary health center. All relevant data including biodata, type of special need, oral health conditions and treatments carried out were extracted from the case notes and analyzed.Results: Out of 115 records extracted, there were 15 different types of special needs. More than half of the participants were males (54.8%) and their mean age was 12.4 years (SD±7.2). The most frequently recorded study participants with special needs were those with Down syndrome (20.9%). The most common oral conditions were gingivitis (65.2%) and dental caries (37.4%). Dental caries was significantly prevalent among participants with cleft lip/palate and the visually impaired (p=0.02). Of all treatments offered, preventive therapies were most commonly performed.Conclusion:The most common oral health problems among the study population were gingivitis and dental caries. There is need for improved oral health promotion strategies and provision of services for these underserved populations.
Keywords: Oral health, treatment, special needs
Perioperative use of β-blockers in oncological patients
Authors: Sorochan P. P. , Hromakova I. А. , Prokhach N. E. , Роnomarev I. M. , Hromakova I. S. 
Published: April 2021

Background. One of the most common responses to surgical stress is the activation of the sympathetic nervous system, leading to a dramatic increase in circulating adrenaline and norepinephrine, which can potentially accelerate the spread of the tumor process in cancer patients. In this regard, it is relevant to review the results of studies devoted to the determination of the antitumor effect of β-blockers and their use in the perioperative treatment of cancer patients.
Purpose – to analyze and summarize data on the oncogenic effects of catecholamines and to highlight the experience of using β-blockers in the perioperative treatment of cancer patients. Materials and methods. We used the electronic resources of Vernadsky National Library of Ukraine, Cochrane library and databases (Pubmed, Scopus). We analysed the results of studies conducted before August 2020.
Results. A summary of the mechanisms by which excessive release of catecholamines may facilitate metastasis is provided. The analysis of clinical trials devoted to the study of the effects of perioperative use of propranolol and its combination with COX-2 inhibitors in cancer patients is conducted.
Conclusions. Short-term perioperative therapy with propranolol and its combination with anti-inflammatory drugs may have antimetastatic effects and neutralize the immunosuppressive effects of surgical stress. Further elucidation of the clinical significance of perioperative propranolol treatment in cancer patients requires a 3–5-year study to assess the long-term relapse-free survival of cancer patients.
The role of computed tomography in optimizing the surgical treatment of ventral hernias
Authors: Parkhomenko K. Yu. , Vovk V. A. 
Published: April 2021

In spite of a high informative value, spiral computed tomography is currently an additional optional examination and it is not included in domestic and foreign preoperative examination protocols.
Purpose – assessing the feasibility of spiral computed tomography in the complex of presurgery examination of patients with ventral hernias. Materials and methods. The paper deals with analyzing the diagnostic findings of 35 patients with ventral hernias treated at Surgery Department of Municipal Non-Commercial Enterprise of Kharkiv Regional Council “Regional Clinical Hospital” during 2018–2019 period. All patients were operated on after compulsory and additional examinations according to the existing guidelines. Spiral computed tomography was an additional examination for all patients. The frequency of symptoms detected by means of computed tomography and confirmed during surgery was analyzed.
Results. Most of the signs revealed during tomography and associated with the combined abdominal pathology, were completely confirmed by laparoscopic exploration of the abdominal cavity and pelvis. Spiral computed tomography was of particular value in patients clinically diagnosed with chronic appendicitis. When assessing the ventral hernia, it was possible not only to clearly determine its content and location towards the abdominal line, but also, before surgery, to calculate the width and length of the hernia gate and the volume of the organs in hernia sac. Unlike ultrasonography, computed tomography makes it possible to thoroughly evaluate the dimensions of the hernia gate and the state of the muscular aponeurotic layer of the anterior abdominal wall. Not least important is diagnosing the combined abdominal pathology, including the oncological one, which has no clinical manifestations but still has to be exposed to surgery.
Conclusions. In the complex of preoperative examination of patients with ventral hernias, spiral computed tomography provides useful information on the anatomical features of ventral hernia and the combined abdominal pathology that requires surgical intervention. These data aid in planning a favorable type of hernioplasty of ventral hernia and simultaneous surgery. Spiral computed tomography is recommended to be added to the standard protocol of presurgery examination of patients with ventral hernias.
A theoretical journey from social constructivism to digital storytelling
Authors: Abderrahim Lizzie , Gutiérrez-Colón Plana Mar 
Published: April 2021

<p>Using the concept of a journey through time, this article examines the theoretical foundation underpinning the use of digital storytelling as a pedagogical tool in the language classroom. It describes the arguments developed by Dewey, Piaget and Vygotsky, which form the basis of social constructivist theory and the work of Kolb from which experiential learning theory was developed. It goes on to describe how these theories are reflected in pedagogical approaches to language learning, from Asher’s total physical response approach, to Blaine Ray’s TPR storytelling and finally to the development of digital storytelling by Lambert and Atchley. Along this journey, the reader is able to pause and consider progressive theories of education and to take account of cognitive development and sociocultural theory. The significance of experience in the learning process and the value of a physical response becomes evident and the benefits of telling stories, whether these are told in the traditional way or through the use of digital technology is apparent.</p>
Strong temporal variation in treefall and branchfall rates in a tropical forest is explained by rainfall: results from five years of monthly drone data for a 50-ha plot
Authors: Araujo Raquel Fernandes , Grubinger Samuel , Celes Carlos Henrique Souza , Negrón-Juárez Robinson I. , Garcia Milton , Dandois Jonathan P. , Muller-Landau Helene C. 
Published: April 2021

Abstract. A mechanistic understanding of how tropical tree mortality responds to climate variation is urgently needed to predict how tropical forest carbon pools will respond to anthropogenic global change, which is altering the frequency and intensity of storms, droughts, and other climate extremes in tropical forests. We used five years of approximately monthly drone-acquired RGB imagery for 50 ha of mature tropical forest on Barro Colorado Island, Panama, to quantify spatial structure, temporal variation, and climate correlates of canopy disturbances, i.e., sudden and major drops in canopy height due to treefalls, branchfalls, or collapse of standing dead trees. Treefalls accounted for 77 % of the total area and 60 % of the total number of canopy disturbances in treefalls and branchfalls combined. The size distribution of canopy disturbances was close to a power function for sizes above 25 m2, and best fit by a Weibull function overall. Canopy disturbance rates varied strongly over time and were higher in the wet season, even though windspeeds were lower in the wet season. The strongest correlate of temporal variation in canopy disturbance rates was the frequency of 1-hour rainfall events above the 99.4th percentile (here 35.7 mm hour−1, r = 0.67). We hypothesize that extreme high rainfall is associated with both saturated soils, increasing risk of uprooting, and with gusts having high horizontal and vertical windspeeds that increase stresses on tree crowns. These results demonstrate the utility of repeat drone-acquired data for quantifying forest canopy disturbance rates over large spatial scales at fine temporal and spatial resolution, thereby enabling strong tests of linkages to drivers. Future studies should include high frequency measurements of vertical and horizontal windspeeds and soil moisture to better capture proximate drivers, and incorporate additional image analyses to quantify standing dead trees in addition to treefalls.
FAKTOR YANG BERPENGARUH PADA KUALITAS HIDUP CAREGIVERS PADA INDIVIDU SINDROM DOWN : LITERATURE REVIEW
Authors: Suharta  
Published: April 2021

MengasuhindividudenganSindrom Down (SD) denganbanyaknyaketerlambatan dan kecacatanbaiksecara mental maupunfisikmenjadikan orang tua ataupengasuh(caregivers) cenderung mengalami beban yang lebihtinggi, dimanasecaralangsung bepengaruh pada kualitas hidup mereka sebagai caregivers. Tujuan: mengetahui faktor yang berpengaruh pada kualitashidupcaregiversindividudengan SD. Desain: literature review. Metode: Pencarianartikelpada database jurnal yang relevan termasuk Scopus (n=27), Science Direct (n=141), dan Google Scholar (n=170) dengan menggunakan kombinasi pencarian:“quality of life“and “cargivers”or “kualitashidup” and“pengasuh “ or”orang tua” or“pendamping“ and“sindrom down”. Peneliti meninjau (n=10) artikel dari (n=338) artikel yang diidentifikasi. Hasil: lima jurnal menyebutkan faktor dukungan keluarga, dukungan sosial, status ekonomi, kondisifisik-kesehatan dan penerimaankepadaindividu SD adalahfaktor yang berpengaruh pada kualtiashidupcaregiverKesimpulan: Secara garis besar peneliti menemukan lima faktor yang berpengaruh pada kualitas hidup caregivers anak-remaja dengan SD. Pentinguntukdilakukanpenelitianlebihlanjutterkaitkualitashidupindividu SDdengancakupanyang lebihluas dan beragamgunamendapatkanlandasanteoritissebagaidasaruntukperumusanasuhankeperawatankeluarga dan komunitas.

Kata Kunci:KualitasHidupPengasuh, Sindrom Down, Kualitas Hidup, Caregivers.
Teoria da resposta ao item aplicado ao inventário de vida diária de Katz numa amostra do Hospital Regional da Asa Norte – Brasília/DF
Authors: Albano Daniel Portela de Deus 
Published: April 2021

Neste trabalho, será analisado o Inventário de Vida Diária de Katz (AVD KATZ) a partir da análise estatística da Teoria de Resposta ao Item (TRI) (q). Alguns estudos mostram que a demência é ligada a uma susceptibilidade genética e causa danos às atividades funcionais do indivíduo e, por isso, a importância da avaliação funcional do idoso. Para tanto, existem as Avaliações de Vida Diária que medem as funções de autonomia básica do indivíduo. A TRI consegue substituir, em partes, a Teoria Clássica dos Testes (TCT), pois avalia se o item realmente mede o traço latente que deveria medir. Os objetivos do estudo foram: analisar se os itens do AVD Katz realmente mediam autonomia; analisar as respostas de pacientes e verificar a discriminação e a dificuldade de cada item. A amostra total recolhida do Hospital Regional da Asa Norte (HRAN) de Brasília/DF, foi de 67 pacientes, sendo 42 (62,7%) mulheres e 25 (37,3%) homens. A partir das análises feitas com o software Xcalibre, pode-se notar que o teste AVD Katz tem uma boa sensibilidade em diferenciar pacientes com declínio cognitivo e início de processo demencial, de acordo com a pontuação do Clinical Dementia Rating (CDR). Além disso, essa proposta mostrou-se como um teste que mede a autonomia do paciente em relação às suas atividades de vida e seus itens têm boa correlação com o total do teste. O teste tem, atualmente, boa validade, porém, futuramente, com uma melhor educação e o advento da tecnologia ao alcance de todos, alguns itens poderão sofrer modificações.
Palavras-chave: Avaliação funcional. Demência. Teoria de resposta ao item (TRI). Inventário de atividades diárias.
Nanoestruturas em cosméticos: O que pensam estudantes de um curso técnico e as implicações da Ciência e Tecnologia nos produtos que utilizam nanoestruturas
Authors: Cantiliano Perez Letícia , Duso Leandro , Guadagnini Paulo Henrique , Lindemann Renata 
Published: April 2021

O presente artigo tem como objetivo discutir as compreensões de estudantes de um curso técnico em estética, sobre a presença de nanoestruturas na composição dos cosméticos, na perspectiva de uma Alfabetização Científica e das implicações da Ciência e Tecnologia CT nos produtos que utilizam as mesmas. A pesquisa, de caráter qualitativo, foi realizada em duas intervenções, as quais forneceram subsídios através de questionários, vídeos, artigos, relatórios e pesquisas para que surgisse um debate de ideias, com todas essas contribuições a intenção foi de que as estudantes construíssem um processo de reflexão e debate sobre o consumo de nanocosméticos em seu cotidiano. A partir da análise dos materiais coletados emergiram duas categorias: Visão ingênua sobre nanopartículas em cosméticos e Implicações da CT nos produtos que utilizam nanopartículas. Na primeira foi observada uma visão simplista das estudantes frente a essa realidade, sem ao menos problematizar o uso desses nanocosméticos e seus possíveis malefícios para a saude humana e para o meio ambiente, apresentando um conhecimento superficial sobre o tema, porém, a partir da intervenção tiveram a oportunidade de reorganizar, reelaborar e ressignificar suas compreensões sobre a presença da nanotecnologia em cosméticos. Em relação as implicações foi possível notar que a falta de conhecimentos inter-relacionados da CT com a realidade, forma profissionais acríticos e alheios aos seus direitos e deveres como cidadãos. Conclui-se a partir do exposto que é necessário que processos técnicos formativos considerem aspectos da Educação CTS em seus currículos, para a formação de indivíduos conscientes do seu papel na sociedade, com uma visão ampla dos reais problemas vivenciados nas suas profissões e as implicações destes na atualidade e ainda com conhecimento técnico para uma tomada de decisão consciente sobre o que lhes é ofertado.
Het fenomeen ‘pedojagen’: toepassingsbereik van artikel 359a Sv, bezien in het licht van een mogelijke strafzaak tegen de (vermeende) pedoseksueel
Authors: Schmahl J.D. (Jessica) , Verbeek L.W. (Lune) 
Published: April 2021

Het fenomeen ‘pedojagen’: toepassingsbereik van artikel 359a Sv, bezien in het licht van een mogelijke strafzaak tegen de (vermeende) pedoseksueel
‘Pedojagen’ is een groeiend fenomeen, zo blijkt uit recente incidenten. Strafvorderlijke autoriteiten dragen uit dat zij door pedojagers ontmaskerde vermeende pedoseksuelen niet zullen vervolgen. Het is de vraag of dit standpunt in de praktijk ook wordt nageleefd en of naleving altijd wenselijk is. De auteurs beargumenteren dat het OM tot vervolging moet kunnen overgaan wanneer door pedojagers een ‘evidente pedoseksueel’ wordt ontmaskerd. Onderzocht is welke ruimte het klassieke beoordelingskader van artikel 359a Sv (genuanceerd in HR 1 december 2020) aan de rechter biedt, dan wel zou moeten bieden, om consequenties te verbinden aan buitensporig optreden door pedojagers jegens de beschuldigde pedoseksueel.
Role of Humic Substances in Formation of Safety and Quality of Poultry Meat
Authors: Vladimirovna Simakova Inna , Alekseevich Vasiliev Alexey , Vyacheslavovich Korsakov Konstantin , Alexandrovna Sivokhina Lyudmila , Vasilievich Salautin Vladimir , Yurievna Gulyaeva Lyudmila , Olegovich Dmitriev Nikita 
Published: April 2021

The purpose of this chapter was to study the influence of humic substances on the formation of the safety and quality of poultry meat. The high abilities of the natural and organic complex of humic acids “Reasil®HumicHealth” (produced in Russia, Saratov) to sorb and desorb five mycotoxins of compound feed (aflatoxin B1, ochratoxin, toxin T-2, zearalenone and fuminisin B1) were experimentally established. The hepatoprotective ability of humic acids was observed in experiments on broilers using rapeseed meal containing an increased amount of secondary plant metabolites that could cause liver damage. It was found out that the inclusion of humic acids in the amount of 1 and 1.5 g per 1 kg of feed to the main diet of broiler chickens has a more stable positive effect, both in terms of slaughter indicators (yield of semieviscerated carcasses and carcasses of complete evisceration), and in the production of the most valuable natural semi-finished products (breast, chicken legs) due to the intensive growth of muscle tissue. A clear improvement in the morpho-biochemical and immunological parameters of blood and micromorphometric characteristics of the organs of the immune system of poultry was noted with the use of different concentrations of humic acid salts. The use of the additive at the rate of 1 and 1.5 g per 1 kg of feed does not negatively affect the sensory indicators of finished culinary products.
Exploring Self-management Needs of Persons With Multiple Sclerosis: A Qualitative Study for Mobile Application Development
Authors: Damanabi Shahla , Salimzadeh Zeinab , Kalankesh Leila R. , Shaafi Sheida , Ferdousi Reza 
Published: April 2021

Abstract

Background:
Multiple sclerosis (MS) is a common cause of neurologic disability in young adults. Individuals with MS deal with the day-to-day effects of the disease on their lives. Self-management can help with these challenges. This study aimed to explore MS self-management needs according to experiences of persons with MS and was conducted as part of a research project to develop an MS self-management mobile application.

Methods:
We used a qualitative method to elicit self-management needs among 12 individuals with MS and conducted semistructured interviews with them. The participants were chosen based on snowball sampling. The interviews were recorded and transcribed verbatim. Finally, qualitative data were analyzed using a content analysis method (inductive way) to identify the underlying themes and subthemes.

Results:
The analysis resulted in the emergence of 7 themes: the source of information, basic needs, understanding MS, physical exercises in MS, useful nutrition in MS, MS monitoring, and communication. Within these 7 themes we identified 23 subthemes.

Conclusions:
The themes that emerged in this study show what needs are essential to help persons with MS improve their self-management capacity. These findings can help in the development of self-management mobile applications for supporting individuals in managing MS.
Discordance of the Evaluation of the Plantar Footprint in Kidney Transplant
Authors: González-Martín Cristina , Balboa-Barreiro Vanesa , Veiga-Seijo Raquel , Seoane-Pillado Teresa , Lema-Verdía Laura , Couceiro-Sanchez Estefanía 
Published: April 2021

Background
The measures used for the diagnosis of biomechanical pathologic disorders are variable. The aim of this study was to determine the concordance between the Clarke angle and the Chippaux-Smirak and Staheli indices in evaluation of the footprints of kidney transplant patients.

Methods
An observational prevalence study was performed in kidney transplant patients in the University Hospital Complex A Coruña from 1981 through 2014. After obtaining patient informed consent and ethics committee approval, sociodemographic (age and sex) and anthropometric (body mass index) variables and comorbidity (Charlson Comorbidity Index score) were assessed for each patient, and a podiatric medical examination was performed of the footprint through a pedigree (Chippaux-Smirak index, Staheli index, and Clarke angle). A descriptive analysis of all of the variables was performed; for agreement, the kappa index and the Bland-Altman method were used.

Results
We found a predominance of male sex (65.6%) and a high level of overweight (43.3%) in the sample. The highest concordance between the indices studied is presented by the Chippaux-Smirak index, with a kappa index of 0.86 for the left foot and 0.76 for the right foot.

Conclusions
High agreement was attained among observers in measurements of the footprints of kidney transplant patients.
Fixation of Posterior Malleolar Fractures with Posterior Plating Through a Posterolateral Approach
Authors: Fidan Fırat , Polat Abdulkadir , Çetin Mehmet Ümit , Kazdal Cengiz , Yavuz Umut , Lapcin Osman , Ozkaya Ufuk 
Published: April 2021

Background
We aimed to evaluate radiologic and clinical outcomes of ankle fractures involving posterior fragments that were fixed with a posterior plate by the posterolateral approach.

Methods
Sixty-five patients who were followed for at least 12 months and were older than 18 years were included. The posterior malleolus fractures were classified according to the Haraguchi classification system with computed tomography (CT). The posterior malleolus fragments were fixed with a plate through a posterolateral approach. Intra-articular step-off, reduction of the posterior malleolar fragment, and fibular position in the incisura were evaluated by early postoperative CT. American Orthopaedic Foot and Ankle Society (AOFAS) score and visual analog scale pain score were used for clinical assessment.

Results
The posterior malleolus fractures were classified as Haraguchi type 1 in 45 patients (69.2%), Haraguchi type 2 in 12 patients (18.5%), and Haraguchi type 3 in eight patients (12.3%). No patients showed signs of instability or loss of reduction on direct radiographs during follow-up. Postoperative CT showed no loss of reduction in the posterior malleolus and tibiofibular alignment. On evaluation, there was no intra-articular step-off (<1) in any of the patients. The mean AOFAS score was calculated to be 91.6. The mean visual analog scale score was 1.2.

Conclusions
We conclude that direct posterior fixation with the posterolateral approach can be a good option for ankle fractures involving posterior malleolar fragments.