bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mulheres deixam traços nas águas?
Authors: Alves Alcione Corrêa 
Published: August 2019

Este artigo, mediante análise do romance Adèle et la pacotilleuse, de Raphaël Confiant, visa a examinar a centralidade da memória às construções identitárias da protagonista Céline Alvarez Bàà. Como aporte teórico à compreensão das construções identitárias no romance de Confiant, recorre-se fundamentalmente ao conceito de memória, apropriado de Paul Ricoeur (2006); e à noçãodelugar, conforme Édouard Glissant (1996), a fim de dar conta da relação entre a globalidade e a localidade, “telle qu´on puisse, sans défaire le lieu, sans diluer le lieu, l´ouvrir”. Como hipótese de trabalho, considera-se que, enquanto Céline privilegiaria o legado materno resolvendo suas construções identitárias em termos de deslocamentos, talvez Bàà enuncie uma pergunta que, não necessariamente, se satisfaça desta maneira.
Molar Inclination and Surrounding Alveolar Bone Change Relative To the Design of Bone-borne Maxillary Expanders: A Cbct study
Authors: Moon Hyung-Wook , Kim Min-Jung , Ahn Hyo-Won , Kim Su-Jung , Kim Seong-Hun , Chung Kyu-Rhim , Nelson Gerald 
Published: August 2019

ABSTRACT

Objective
To evaluate the molar inclination and skeletal and alveolar bone changes when comparing tooth bone-borne (MSE) and tissue bone-borne type maxillary expanders (C-expander) using cone-beam computed tomography (CBCT) in late adolescence.

Materials and Methods
A sample of 48 late-adolescent patients were divided into two groups according to the type of expander: MSE group (n = 24, age = 19.2 ± 5.9 years) and C-expander group (n = 24, age = 18.1 ± 4.5 years). CBCT scans were taken before treatment and 3 months after expansion. Transverse skeletal and dental expansion, alveolar inclination, tooth axis, buccal alveolar bone height, thickness, dehiscence, and fenestration were evaluated on the maxillary first molar. Paired t-test, independent t-test, Pearson's chi-square test, and Spearman correlation analysis were performed.

Results
The MSE group produced greater dental expansion (P &lt; .05), whereas skeletal expansion was similar in both groups (P = .859). The C expander group had more alveolar bone inclination change (P &lt; .01), and the MSE group had more buccal tipping of the anchorage teeth (P &lt; .01 or .001). Buccal alveolar bone height loss and thickness changes were greater in the MSE group (P &lt; .01 or &lt;.001). Formation of dehiscences was more frequent in the MSE group (P &lt; .001), whereas for fenestrations, there were no significant differences between the two groups. Buccal bone height loss in the MSE group had a negative correlation with initial buccal bone thickness.

Conclusions
The incorporation of teeth into bone-borne expanders resulted in an increase in the severity of side effects. For patients in late adolescence, tissue bone-borne expanders offer comparable skeletal effects to tooth bone-borne expanders, with fewer dentoalveolar side effects.
Prospective Randomized Clinical Trial on the Survival of Lithium Disilicate Posterior Partial Crowns Bonded Using Immediate or Delayed Dentin Sealing: Short-term Results on Tooth Sensitivity and Patient Satisfaction
Authors: van den Breemer C , Gresnigt MMM , Özcan M , Kerdijk W , Cune MS 
Published: August 2019

SUMMARYThis prospective randomized clinical trial evaluated tooth sensitivity and patient satisfaction after the provision of partial ceramic restorations bonded using immediate (IDS) or delayed dentin sealing (DDS) on vital molar teeth through a within-subject comparison study. Between December 2013 and May 2016, a total of 30 patients (13 women, 17 men; mean age, 54 years old) received two lithium disilicate ceramic (IPS-e.max press, Ivoclar Vivadent) partial restorations on vital first or second molar teeth (N=60). The two teeth randomly received either IDS (test group, n=30) or DDS (control group, n=30). Partial preparations were performed on all teeth and directly after tooth preparation. IDS was achieved using self-etch adhesive (Clearfil SE Primer and Adhesive, Kuraray) followed by the application of flowable resin (Clearfil Majesty Flow, Kuraray). Partial ceramic restorations were bonded (Variolink Ultra, Ivoclar Vivadent) two weeks after preparation. The teeth were evaluated preoperatively and at one week, three months, and 12 months postoperatively using a cold test and a questionnaire for perceived tooth sensitivity. Patient satisfaction was evaluated using a visual analog scale (VAS). Data were analyzed using McNemar, chi-squared, and Wilcoxon signed rank tests (α=0.01). There was no significant difference in patient-reported tooth sensitivity between the preoperative phase and all other time points (p&gt;0.01). There was also no significant difference between IDS and DDS (p&gt;0.01) for all items on the questionnaire. VAS scores did not differ significantly between the IDS and DDS groups for all items in the questionnaire at all time points (p&gt;0.01). No tooth sensitivity change was noticed with the application of partial ceramic indirect restorations. This clinical study could not confirm that IDS is more advantageous than DDS in terms of tooth sensitivity and patient satisfaction at 1 year of clinical service of partial ceramic restorations.
Achondrogenesis type 2 in a newborn with a novel mutation on the COL2A1 gene
Authors: Dogan P , Varal IG , Gorukmez O , Akkurt MO , Akdag A 
Published: August 2019

Abstract
Achondrogenesis is a group of rare and fatal disorders occurring in approximately one in every 40,000-60,000 newborns. Achondrogenesis is classified in three groups, as Achondrogenesis type 1A (Houston-Harris type or AC-G1A), Achondrogenesis type 1B (Parenti-Fraccaro type or ACG1B) and Achondrogenesis type 2 (Langer-Saldino type or ACG2), depending on clinical and radiological findings. Achondrogenesis Type 2 is a lethal skeletal dysplasia that is typically characterized by short arms and legs, a small chest with short ribs, lung hypoplasia, a prominent forehead, a small chin, and an enlarged abdomen that may accompanied by polydramnios and hydrops. This study contributes to the literature by presenting a patient who was admitted to the Level ΙΙΙ Neonatal Intensive Care Unit (NICU), Bursa, Turkey), with extremely short extremities, a small chest, abdominal distention and respiratory distress, who was diagnosed with ACG2. On the COL2A1 gene, genetic analysis with next generation sequencing (NGS), was revealed to have a heterozygous missense variation, c.2546G>A, p.Gly849Asp mutation, which is a different genetic variant that has not been previously described in the literature.
Do fair and just systems require compensation for the disadvantages of the natural lottery? a discussion on society's duties on the provision of gene therapy
Authors: Ekmekci PE , Güner MD 
Published: August 2019

Abstract
Genetic diseases have been thought to be acquired as a result of sheer bad luck. However, recent advances in medical science have demonstrated the mechanisms of genetic disorders, which enable us to intervene with their occurrence and treatment. Today, gene therapy, once considered too risky, has become safer and can save the lives of patients with previously untreatable and lethal genetic diseases. However, the positive expectations from gene therapy are overshadowed by their extremely high prices. Thus, the duty of society in the provision of gene therapies has been frequently discussed. The discussions mainly focus on how to meet the genetic treatment needs of patients without violating the notion of justice and fairness in society. This study discusses the theoretical grounds for society's duty to compensate for genetic disease patients' disadvantages by providing them with appropriate genetic treatment. The main question is whether a fair and just system requires society to provide available lifesaving gene therapy to patients in need. The discussion is constructed on the crucial notion of the fair equal opportunity principle in a just system and the plausibility of including disadvantages emerging from bad luck in the natural lottery in the domain of justice.
The Evaluation of Saliva Oxidative and Antioxidative Markers’ Levels in Adolescents with Gingival Inflammation
Authors: Obradovic Vesna 
Published: August 2019

Abstract
Periodontal disease is highly prevalent and affects 10%–15% of the world population. Salivary markers of oxidative stress and antioxidant status represent promising tool for research of oral diseases. Given the importance of reactive oxygen species (ROS) in the pathogenesis of periodontal disease, the aim of this study was to determine the association between oxidative stress parameters and periodontal disease gingivitis in adolescents. The study included a consecutive sample of 80 male and female participants referred to the Institute of Dentistry, Kragujevac, Serbia, as a result of periodontal problems or for routine control, aged 18 to 21, with definitive dentition as an inclusion criterion. Patients were divided into three groups depending on their gingival inflammation status. The first group was control group (n=20) with no gingival inflammation, the second group was with mild gingival inflammation (n=19), the third group was with moderate gingival inflammation (n=21) and the fourth group was with severe gingival inflammation (n=20). Oxidative stress parameters were measured in unstimulated whole saliva samples (superoxide anion radical, hydrogen peroxide, nitric oxide, index of lipid peroxidation, reduced gluthatione, catalase and superoxide dismutase). We have found increased levels of hydrogen peroxide and reduced glutathione in the saliva of patients with moderate levels of gingival inflammation, while the other markers were not significantly affected. In conclusion, oxidative stress plays a central role in the pathogenesis and the determination of oxidative and antioxidative levels could be a potent tool in controlling the development of gingivitis.
Gender Differences in Health Care Utilization Among the Elderly
Authors: Gajovic Gordana , Janicijevic Katarina , Andric Dragana , Djurovic Olivera , Radevic Svetlana 
Published: August 2019

Abstract
The unstoppable process of demographic aging of population has profound consequences on the economic, health, social and political spheres of society, because of the specific and diverse needs of the older population. The aim of the study was to examine gender differences of health care utilization among elderly in Serbia. The survey was conducted as a part of the national study "Health Survey of the Serbian population" in 2013. In the past year, 87.4% of the older population visited their chosen doctor. Women were significantly more likely to use primary health care compared to men, while the frequency of hospitalization is significantly higher in men. When it comes to female population, age, region of residence and financial situation stood out as the most important predictors of primary care services usage. In men, the residence stood out as the most important predictor of primary health care services usage. Multivariate binary logistic regression distinguishes gender, education and region of residence as the most important factors associated with hospital treatment.
Psychological Functioning of Adolescents from Violent Families
Authors: Grujic Ljiljana Simonović 
Published: August 2019

Abstract

Objective. The aim of the study was to determine the association of family violence with the functioning of the family system, psychological functioning and development of specific characteristics of the adolescents who grew up in a violent families.

Methods. The study was carried out on a sample of 308 adolescents, aged 15–18, divided in a FV group of adolescents coming from dysfunctional families (n=68) adolescents who grew up inviolent families and were exposed to family violence, which was reported and processed, and a control group (n=240) adolescents from families in which according to the CPRS-R Questionnaire there was not found any form of violence, alcoholism or any other psychosocial pathology. FACES III Scale and Questionnaire for the examination of psychosocial characteristics of the adolescents and family (Revised CPRS-R) were used for measuring dimensions of family functioning, Cybernetic model of personality dimensions (CON-6) for conative functioning of the adolescents, Теst for reasoning images (TRI) for measuring intellectual development and the Scale of Latent Maturity (SLM) for determining the level of psychological maturity. The data were processed by using linear regression analysis.

Results. Family functioning disorders caused by family violence were significantly and highly associated with psychological functioning of the adolescents: concern about family relationships (β =-.968), need for professional help (β =-.873), cooperation with people (β =.523), orientation towards the future (β =.669), latent maturity (β =.618), psychosomatic reactions (β =-.509), dissociative reactions (β =-.591), excused absence from school (β =.618), unexcused absence from school (β =-.824), memory disorders (β =-.541), night fears (β =−722), running away from home (β =-.569), breaking rules and getting punished at school (β =-.569), conflicts with peers (β =−.460). Conative functioning of the adolescents exposed to a violent family environment showed a pathological form of functioning in dissociative, anxiety reactions and social adaptability.

Conclusion. Exposure of adolescents to a violent family environment was associated with changes in psychological functioning, development of specific personality characteristics and risk of developing internalized and externalized symptoms when it came to socialadaptation, anxiety and dissociative reactions. The mediators between family violence and psychological functioning and development of the adolescents was family cohesion and disorders within the marital dyad.
From Dream to Nightmare: Gun Violence in America
Authors: Rahamim Sami 
Published: August 2019

Following the horrific school shooting on February 14, 2018 in Parkland, Florida, a student-led movement erupted that led to massive marches around the globe. This speech was delivered by Sami Rahamim, a student in the Carlson School of Management at the University of Minnesota, at the March For Our Lives rally in St. Paul, Minnesota, on March 24, 2018 to an estimated crowd of 20,000 people. Rahamim offers a partnership approach that is based on deep listening and mutual respect to address the gun violence crisis in America.
Postgraduate trainee views on eHealth at a distributed medical campus.
Authors: Benjamin Sophiya , Ho Joanne , Alfonsi Jeff , Kellam Hugh 
Published: August 2019

Purpose: e-Health is a rapidly evolving field that cuts across specialties however; there is a gap in development and evaluation of training for postgraduates in residency programs. This is a multicentre, collaborative effort among faculty from the departments of Psychiatry, Geriatrics and Internal Medicine in partnership with Ontario Telehealth Network to assess the needs of postgraduate residents in ehealth and build a pilot program to address identified learning gaps.
Methodology: We conducted a needs assessment (Appendix A) through an online survey to investigate the self-perceived knowledge, gaps and barriers to eHealth of medical resident physicians at the McMaster University DeGroote School of Medicine Waterloo Regional Campus (WRC), Kitchener, Ontario, Canada
Results: All respondents identified that they would be interested in education in telehealth and all of them felt that they would have to use telehealth in their future practices. However, 83.3% did not feel confident using telemedicine in clinical practice. Based on the results of the needs assessment, we have built a pilot rotation in which postgraduate trainees can practice telehealth skills in an interdisciplinary setting.
Clinical Setting Differences in Third-Year Medical Students’ Perceptions of “Ownership”
Authors: Wood Elena , Wyatt Tasha , Egan Sarah 
Published: August 2019

Ownership in clinical settings is a construct that be described as feelings of responsibility and accountability towards a patient, which has potential implications for patient safety and care. Researchers were interested in examining differences in students' perception of ownership across main and regional campuses. The purpose of this study is to assess third-year students' perception of "ownership" during their clerkship rotations in different clinical settings. Items from a validated instrument on psychological ownership were adopted to suit a clinical environment. Scores on each of the sub-scales of: a) Territoriality, b) Accountability, c) Self-efficacy, d) Belongingness, and e) Self-Identification were calculated by averaging the items. The survey was administered to 233 third-year medical students multiple times throughout the academic year. Responses from regional campus or community provider settings were compared to the main campus. To examine students' psychological ownership scores in different clinical settings, analysis of variance (ANOVA), was performed. A Tukey-Kramer multiple comparison procedure was used to examine post hoc pair-wise differences between two clinical settings. We received 265 of responses from 95 of responders. There were no statistically significant differences between campuses for Territoriality scores. On Self-Efficacy, Accountability, Self-Identification and Belongingness scales other community providers and regional campuses had significantly higher scores than main campus (p<0.05). Follow up ANOVA analysis were performed for all scales on individual items resulting in 1/5 for Accountability, 2/6 on Self-Efficacy, 5/5 on Belongingness, and 6/7 for Self-Identification been statistically significant.
Ownership is considered an important aspect of patient care, patient safety, professional identity formation, etc., yet researchers have not examined how clinical settings impact students' perceptions of patient ownership during their clerkship years. Our study is the first step to operationalize and conceptualize ownership, its development over time, and differences in clinical experiences.

None of the authors has a conflict of interest. This study was approved by our institution’s Institutional Review Board.
Does Attending a Regional Medical Campus Influence the Training Outcomes of Family Medicine Residents?
Authors: Kochhar Komal , Fancher Laurie M , Brokaw James J , Nalin Peter M 
Published: August 2019

Introduction: Indiana University School of Medicine (IUSM) is the largest medical school in the nation, with its main campus located in Indianapolis and eight regional medical campuses (RMC) distributed across the state. In this study, we compared the survey responses of family medicine residents who had attended medical school at the main campus in Indianapolis versus an RMC to see if there were any noticeable differences in their residency training outcomes.
Methods: From 2012 to 2017, in the spring of each year, a cross-sectional survey was administered to all final-year family medicine residents graduating from the eleven family medicine residency programs in Indiana. A total of 519 out of 520 residents completed the survey. Of whom, 132 respondents indicated they had graduated from IUSM; 45 reported they had attended the Indianapolis campus and 87 had attended one of the RMCs in the state. Our dataset for this study was comprised of these 132 respondents. Chi-square test or Fisher’s exact test were used to compare responses between groups. P-values ≤ 0.05 were considered statistically significant.
Results: In the ACGME competency areas, the residents who attended an RMC versus the Indianapolis campus were significantly more likely to report being fully competent in Medical Knowledge (90% vs. 76%, p = 0.032) and Systems-Based Practice (83% vs. 64%, p = 0.019). Additionally, the residents who attended an RMC compared to their Indianapolis counterparts reported significantly higher rates of being trained to serve rural populations (73% vs. 52%, p = 0.017) as well as being fully competent to serve rural populations (69% vs. 42%, p = 0.003). However, the residents who attended an RMC were no more likely to establish a practice in a rural area than were the residents who attended Indianapolis (18% vs. 17%, p = 0.845).
Conclusions: Based on these self-reported data, the family medicine residents who attended an RMC may perceive themselves to be better-prepared in a few core competency areas, as well as in serving rural populations, compared to those who attended the Indianapolis campus. These findings suggest that IUSM’s complex statewide system of medical education may offer some unique advantages in preparing students for residency, especially in family medicine.

None of the authors has a conflict of interest. This study was granted exempt status by our institution’s Institutional Review Board.
Civilización y Barbarie en Facundo de Domingo Faustino Sarmiento
Authors: Mejía Eduardo 
Published: August 2019

El presente artículo es un trabajo que tiene por objeto hacer un comentario crítico a la obra: "Facundo", escrita por el historiador: Domingo Faustino Sarmiento. De igual manera en este trabajo se incluye un comentario crítico referente a la obra: "Convenciones contra la cultura", escrita por el historiador: Germán Colmenares.
Leopoldo Múnera Ruiz. Rupturas y continuidades (poder y movimiento popular en Colombia, 1968 – 1988)
Authors: Flórez Lenin 
Published: August 2019

La reseña que hace el Profesor Lenin Flórez sobre la obra del autor: Leopoldo Múnera, va encaminada a mostrar cuál fue la relevancia del Frente Nacional, y su respectivo significado para la historia presente de nuestro país. Por tanto hace una síntesis de los antecedentes del Frente Nacional, su conformación y los respectivos cambios que se han suscitado dentro del marco político tradicional.
Medófilo Medina. Juegos de Rebeldía. La trayectoria Política de Saúl Charris de la Hoz (1914)
Authors: Londoño Motta Jaime E. 
Published: August 2019

Reseña elaborada por el historiador Jaime Londoño Motta, sobre un libro escrito por Médofilo Medina, referente a la vida política de Charris de la Hoz; siendo por tanto un tipo de estudio político-regional.
Hombres de sociedades (masonería y sociabilidad político-intelectual en Colombia e Hispanoamérica durante la segunda mitad del siglo XIX)
Authors: Cano Gilberto Loaiza 
Published: August 2019

Ensayo relacionado a los estudios de sobre cultura intelectual y sociabilidad en Colombia e Hispanoamérica durante la segunda mitad del siglo XIX, y la respectiva participación de la masonería dentro del mismo.
Ejidos de Cali: siglo XIX
Authors: Pacheco  G. Margarita Rosa 
Published: August 2019

Las tierras de Ejidos han constituido uno de los problemas de mayor controversia en los estudios sobre la propiedad de la tierra y su evolución en Colombia y en Hispanoamérica. En tomo a estas tierras se han suscitado conflictos de enorme mag­nitud originados en la lucha por su apropiación y usufructo.

En el caso particular de la ciudad de Cali, el conocimiento de la evolución de la propiedad territorial de lo que hoy constituye su ám­bito puramente urbano y por tanto la evolución de lo que originaria­mente fuera -solamente en parte- las tierras de ejidos, las dehesas y las tierras de propios de la ciudad, es una contribución que permite visualizar de manera más clara la historia política y económica de la región.