bluuebunny/crossref_metadata_2025_split huggingface dataset:
Future Directions in the Prevention of Pin-Site Infection
Authors: Bafor Anirejuoritse , Gehred Alison , Chimutengwende-Gordon Mukai , Iobst Christopher A 
Published: December 2022

Context:Pin-site infections are a common complication associated with the use of external fixators. While many different pin-site care protocols have been described, there is no universally accepted and effective method to eliminate this issue. Further research in this area is necessary.Aims:This scoping review evaluates published research dedicated to investigating potential new methods of pin-site infection prevention.Settings and Design:A scoping review was performed with a structured search of MEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature (EBSCO platform), Scopus, Web of Science, and the Cochrane Library using a range of terms related to pin-site infection.Methods:A qualified librarian carried out the search between February 7, 2021, and September 7, 2021. Studies involving human and animal experiments as well asin vivoandin vitroexperiments that evaluated modifications to the pin–skin and bone–pin interface, as well as pin surface morphology, were included. Studies based on the type of intervention and the reported outcomes of infection prevention were evaluated.Results:Four thousand six hundred and twenty-two studies using this search strategy were identified. Following screening and full-text review, 33 studies fit the criteria and were included in this review. Thirty studies involved research that evaluated integration at the bone–pin interface and three studies assessed the pin–skin interface.Conclusions:The review identified a very diverse group of modalities. The majority of the research focused on coating with compounds that possess antibacterial properties or modifications to surface morphology to improve the integration of the pin or wire at the bone–pin interface. While most of the researches did not involve human trials, this review highlights the future directions of pin- and wire-site management in an effort to eliminate or minimize the risk of pin-site infections.
Current Classifications of Pin Site Infection and Quality of Reporting
Authors: Iliadis Alexis Dimitris , Shields David William , Jamal Bilal , Heidari Nima 
Published: December 2022

Introduction:
Pin site infection is a commonly encountered complication. There is no universally accepted definition or classification system which impairs data interpretation and the development of evidence-based practice. The aim of this systematic review is to investigate the existing classification systems and the quality of reporting pin site infections in the current literature.

Materials and Methods:
The systematic review protocol was prospectively registered (PROSPERO; National Institute for Health Research and University of York, 2015) and conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. A comprehensive search strategy was executed. Data were extracted pertaining to clinical, radiological, microbiological, and mechanical elements alongside associated grading and demographics. The scope of the classification systems was considered.

Results:
Twelve reports of classifications were included in the synthesis. Four classifications provide information for guiding decision-making and management while the remainder are descriptive or informative in nature. There is no classification with prognostic inference. Four of the classifications can only be applied retrospectively as they are outcome derived. Staging relies on a single variable in six of the classifications. It relies on multiple variables (maximum of four) in the remainder.

Conclusion:
There is a lack of a clear definition of pin site infection and a lack of a universally accepted grading system. Existing classifications focus on different aspects and have a number of limitations. Establishing standard reporting guidelines will allow for future development of a meaningful and universally accepted definition and classification.
Pin Site Infection
Authors: Ban Ilija , Jensen Joakim , Tanwar Yashwant Singh 
Published: December 2022

Introduction:
Pin site infection continues to be a very common problem when treating patients with external fixators. Wire and half-pin insertion technique may influence the risk of developing a pin site infection and the aim of this study is to investigate existing literature in relation to this.

Methods:
A systematic review of the literature reporting on surgical techniques in relation to pin site infection was conducted. Studies evaluating the effect of a surgical technique with proposed preventive measures to minimize pin site infection in adults and children undergoing an external fixation for trauma or reconstruction were eligible for inclusion. The primary outcome was pin site infection rate. MEDLINE, EMBASE, CINAHL, Google Scholar, and the Cochrane Central Register of Controlled Trials were searched for the period 1970 to August 2021. Study quality was assessed using the modified Downs and Black checklist. A narrative synthesis was undertaken.

Results:
Two studies describing two different surgical methods were found eligible for inclusion (one cross-sectional study and one prospective cohort). Neither of the two surgical techniques seemed to affect the pin site infection rate.

Conclusion:
Literature on this topic is sparse, and at present, there is no convincing evidence to support that one surgical technique applying wires and pins is preventive in relation to pin site infection.
Association of RB1 rs9568036 and CDKN1A rs1801270 Polymorphisms with Retinoblastoma Susceptibility
Authors: Azimi Fatemeh , Naseripour Masood , Sedaghat Ahad , Kachoei Zohre Ataei , Khakpoor Golnaz 
Published: December 2022

Purpose:
To investigate the association of polymorphisms (rs9568036 and rs1801270) in the RB1 and P21 genes with susceptibility to retinoblastoma (RB).

Methods:
This case–control study was designed with 50 patients with RB and 50 controls. Polymerase chain reaction was performed to amplify the intron 17 of RB1 rs9568036 and exon 2 of P21 rs1801270. Then, all the amplified fragments were subjected to directional sequencing, and finally, the association between genotypes and the development of RB risk and invasion was studied.

Results:
A statistically significant difference in genotypic or allele frequencies of single-nucleotide polymorphisms (SNPs) (rs1801270 and rs9568036) was found between Iranian RB patients and the controls (P > 0.05). However, the frequency of genotype RB1 rs9568036 observed a statically significant difference in the RB patients compared to the control group, and the nonwild-type allele A increased the chance of susceptibility to developing RB by 2.92 times.

Conclusion:
The rs9568036 SNP in the RB1 gene may increase susceptibility to the development of RB in the affected patients. In spite of that, this polymorphism does not influence RB patient's invasion. Further investigation with a large enough sample size is recommended to validate this hypothesis.
A “Clinical Tetrad” for Easy Diagnosis of Lacrimal Canaliculitis
Authors: Singh Manpreet , Mehta Aditi , Sharma Manjula , Kaur Manpreet , Gupta Pankaj 
Published: December 2022

Purpose:
To study the clinical presentation and highlight the “diagnostic clinical features” in patients having lacrimal canaliculitis (LC).

Methods:
A retrospective analysis of all patients diagnosed with primary and secondary LC was performed. A detailed slit-lamp examination of the conjunctiva, lacrimal punctum, canalicular region, and lacrimal sac was performed. Common and coexisting clinical features were highlighted. The posttreatment sequence of resolution of clinical features was also noted.

Results:
Forty eyes of 36 patients (28 females, 77.78%) with a mean age of 59.5 years were included in the study. Thirty eyes (75%) had primary LC, whereas 10 had a secondary type. Previous misdiagnoses were noted in 34 (85%) eyes. The highlighting clinical features were medial eyelid edema (n = 40, 100%), pouting and hyperemia of lacrimal punctum (n = 36, 90%), yellowish canalicular hue (n = 35, 87.5%), and canalicular distention and expressible discharge (n = 32, 80%). None had features suggestive of nasolacrimal duct obstruction. Thirty-two eyes (80%) showed all four clinical features of LC, a tetrad. At a mean follow-up of 14.5 months, the complete resolution was noted in 36 (90%) eyes.

Conclusions:
We propose a “clinical tetrad” of 1. medial eyelid edema, 2. pouting and hyperemia of lacrimal punctum, 3. yellowish canalicular hue and, 4. canalicular distention, and expressible discharge, for the easier clinical diagnosis of LC. The authors believe that using this clinical tetrad may be helpful for the diagnosis of LC.
Clinical Spectrum and Management Outcome of Ocular and Adnexal Rhinosporidiosis
Authors: Alam Md. Shahid , Shrirao Neha 
Published: December 2022

Purpose:
To describe the clinical spectrum and management outcomes of ocular rhinosporidiosis.

Methods:
All histopathologically diagnosed cases of ocular rhinosporidiosis between January 2000 and December 2016 were included in the study. The lesions were classified based on the site of involvement, namely conjunctiva, lacrimal sac, eyelid, and orbit. The frequency and percentages for each of the lesions and the different treatment modalities were noted and calculated. Any recurrence and its subsequent management were also noted.

Results:
A total of 34 patients were included with a male-to-female ratio of 2.7:1. Conjunctiva was the most common site involved (19, 55.8%), followed by lacrimal sac (11, 32.3%) and eyelid (3, 8.82%). One patient had orbital involvement secondary to sinonasal extension. The mean duration of symptoms was 14.8 ± 19.1 months (range, 1–84 months). Seven (36.8%) patients in the conjunctival group needed scleral patch graft. Five patients (45.4%) with lacrimal sac rhinosporidiosis underwent dacryocystectomy and modified dacryocystorhinostomy (DCR). The mean follow-up period was 5.43 ± 7.9 months (range, 1–36 months). Five (14.7%) patients (2 conjunctival, 2 lacrimal, and 1 eyelid) had recurrence.

Conclusions:
Conjunctiva is the most common site for ocular rhinosporidiosis, followed by lacrimal sac. While conjunctival lesions respond well to complete excision with cauterization of the base, lacrimal sac lesions can be managed by a modified DCR. Eyelid rhinosporidiosis can mimic a neoplasm and should be considered in differential diagnosis in suspicious lesions, especially in endemic areas.
Topical Minoxidil Solution-Induced Central Toxic Keratopathy following Photorefractive Keratectomy
Authors: Mohammadpour Mehrdad , Khorrami-Nejad Masoud , Heirani Mohsen , Moshirfar Majid 
Published: December 2022

Purpose:
To report the clinical findings of unilateral central toxic keratopathy (CTK) associated with inadvertent exposure to topical minoxidil 5% solution 1 day after bilateral photorefractive keratectomy (PRK).

Methods:
Anterior segment slit-lamp photography, anterior segment optical coherence tomography (AS-OCT), pachymetry map, epithelial map, and manifest refractions were recorded.

Results:
This is a case of a 27-year-old male who underwent bilateral PRK and presented 5 days after surgery with the complaint of acute decreased visual acuity in the left eye (LE). His LE was reportedly exposed to topical ethanol-based minoxidil 5% on postoperative day 1, which he was using as a posthair transplant treatment. Clinical examination showed hyperopic shift, poor visual acuity, central corneal opacity, epithelial irregularity, central corneal thinning, and flattening on AS-OCT. These findings were consistent with a diagnosis of CTK. The patient was monitored with conservative treatment and demonstrated full recovery after 6 months.

Conclusion:
It is recommended to warn patients who have undergone refractive surgery concerning the use of ethanol-containing agents, such as minoxidil solution, because of the possible risk of CTK, a complication not formally recognized.
Corneal Ectasia after Laser-Assisted Small-Incision Lenticule Extraction
Authors: Zarei-Ghanavati Siamak , Hassanzadeh Samira , Ambrósio Jr Renato 
Published: December 2022

Purpose:To present a case of asymmetric progressive corneal ectasia following femtosecond laser-assisted small-incision lenticule extraction.Methods:After obtaining a patient's consent, preoperative and postoperative findings were represented in this case report.Results:A 29-year-old woman presented with normal preoperative Placido disk-based corneal topography and tomographic findings. The corrected refractive error was −4.00 and −4.50 −1.00 × 177 in the right and left eye, respectively, with a maximal lenticule thickness of 87 and 115 μm OD/OS. Twenty months postoperatively, the patient presented with decreased vision in the left eye and mild ectatic changes in corneal shape in both eyes. The retrospective evaluation of the integrated rotating Scheimpflug tomography (Pentacam; Oculus, Wetzlar, Germany) and corneal biomechanical (Corvis ST) assessment revealed moderate susceptibility for corneal ectasia in the right eye and a significant corneal ectasia in the left eye.Conclusion:This case corroborates the need for an enhanced multimodal approach to characterize the risk for postoperative corneal ectasia after laser vision correction.
DISCALCULIA: DEFINIÇÃO, CAUSAS, DIAGNÓSTICOS E TERAPIAS À LUZ DA PEDAGOGIA.
Authors: Castro Richard , Castro Meire Cristina Novelli 
Published: December 2022

A sociedade da informação elevou o valor da matemática. Este é um desafio para as escolas e sociedades, pois as diferenças individuais são grandes, no sentido do número e habilidades básicas de cálculo. Segundo RASANEN (2012) de 5% a 7% das crianças em idade escolar têm grandes dificuldades para acompanhar as demandas curriculares. Com a intenção de esclarecer esse transtorno de aprendizagem pouco estudado nacionalmente o presente trabalho trata da definição, etiologia, diagnósticos e terapias da Discalculia do Desenvolvimento (DD), discutidos sob a luz da pedagogia. Notou-se a importância do diagnóstico precoce por uma equipe multidisciplinar de neuropsicólogos, fonoaudiólogos e neurologistas especializados no assunto. O encaminhamento do professor e o cuidado dos pais são fundamentais para a ressocialização e inclusão do portador da DD. Foram encontrados 44 artigos nas bases de dados LILACS e MEDLINE publicados nos últimos quatro anos (2009 a 2013), sendo que após a análise de inclusão e exclusão de artigos foram trabalhados 31. Concluiu-se que poucos são os artigos sobre o assuntos e muito menor o número de artigos nacionais, prevalecendo os artigos internacionais, ou seja, pouco se estuda sobre a DD no Brasil.
EXTRAÇÃO ATÍPICA EM TRATAMENTO ORTODÔNTICO
Authors: Dantas Ricardo Oliveira , Costa Fernando Hellou , Valarelli Fabrício Pinelli , De Freitas Karina Maria Salvatore , Cançado Rodrigo Hermont , Pini Núbia Inocencya Pavesi 
Published: December 2022

O objetivo desse trabalho foi mostrar o tratamento com extrações dentárias de um caso de Classe I em que o primeiro molar superior esquerdo apresentava maior comprometimento na estrutura da coroa e necessidade de tratamento endodôntico e o segundo pré-molar superior direito estava irrompido ectopicamente no palato. O plano de tratamento foi realizado com extrações desses dentes somadas às extrações de 2 primeiros pré-molares inferiores. A mecânica ortodôntica não sofreu grandes alterações por causa da extração atípica, pois havia grande quantidade de apinhamento nos arcos dentários. Ao final do tratamento, o paciente apresentava oclusão satisfatória com grande harmonia da face e estética do sorriso, demonstrando que as extrações atípicas podem auxiliar a correção de más oclusões com grande benefício para o paciente.
BIOSSEGURNAÇA NA UNIDADE DE TERAPIA INTENSIVA: UMA REVISÃO BIBLIOGRAFICA
Authors: Ribeiro Ítalo Arão Pereira , Dos Santos Assis Luan Ribeiro , Alves Anne Karoline Silva , Duarte Neta Maria Adelaide , Campelo Cleber Lopes 
Published: December 2022

Objetivou-se verificar a importância da adoção e implementação de medidas de biossegurança pela equipe de enfermagem na Unidade de Terapia Intensiva. Este artigo apresenta um estudo descritivo de abordagem bibliográfica realizado com pesquisas científicas já publicadas a respeito da biossegurança no setor da UTI. Neste estudo foi realizada uma busca eletrônica nos sites Scielo, Bireme, Bliblioteca virtual em Saúde, Ministério da Saúde e Lilacs. Dos artigos encontrados foram lidos e selecionados quatro, e analisados na íntegra para definir quatro categorias para analisar a importância das medidas de Biossegurança, as mais utilizadas, as mais ignoradas e a causa do não cumprimento. Conclui-se que os acidentes de trabalho envolvendo profissionais da área da saúde são os mais documentados no âmbito da saúde do trabalhador. Este fato ocorre em decorrência da complexidade em atuar em uma UTI e da maioria dos profissionais que trabalham neste setor, prestam assistência ininterrupta durante 24 horas.
CIRURGIA BARIÁTRICA EM ADULTOS: A IMPORTÂNCIA DA ORIENTAÇÃO MULTIPROFISSIONAL NO PERÍODO PÓS-OPERATÓRIO
Authors: Nadaletti de Araújo Bruna , Galina Diego , Cantele Adriana Brhem , Lopes Suélen , Ramos Alexandre Inácio , Trentin Patrícia 
Published: December 2022

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Este trabalho teve como objetivo de expor, compreender e refletir sobre a importância da orientação multiprofissional no período pós-operatório de cirurgia bariátrica. O estudo foi desenvolvido com base na pesquisa qualitativa de abordagem descritiva e explicativa, realizada em um hospital de médio porte, situado ao norte do Rio Grande do Sul, no período entre junho e novembro de 2016. Participaram da pesquisa 11 profissionais que compõem a equipe multiprofissional do respectivo hospital e prestam assistência aos pacientes submetidos Ã cirurgia bariátrica. Observou-se que a grande causa do reganho de peso concentra-se nas questões psicológicas e abandono de dieta e exercícios. Também foi identificada a deficiência perante a orientação multiprofissional, podendo acarretar no paciente o acúmulo de dúvidas, as atitudes inadequadas e reganho de peso ao longo dos anos após a cirurgia. Todos os profissionais precisam ter a clareza sobre o seu papel na assistência ao paciente, eliminando a associação prioritária que ainda é feita da nutrição com o pós-operatório de cirurgia bariátrica. Â
COACHING DE CARREIRA E SUAS CONTRIBUIÇÕES PARA A MAXIMIZAÇÃO DE POTENCIALIDADES DO SUJEITO E O REFLEXO NAS ORGANIZAÇÕES
Authors: De Souza Thalita Mayara , De Carvalho Eliane Alicrim 
Published: December 2022

RESUMO
O objetivo geral deste estudo é investigar como o Coaching de Carreira pode contribuir para a maximização das potencialidades do colaborador e como isto reflete nas organizações. O desenvolvimento tecnológico constante e a crise econômica mundial levaram as pessoas a buscarem cada vez mais investir em sua carreira profissional a fim de manterem-se de forma estável no mercado de trabalho o qual tem se apresentado inconstante nos dias atuais. Dessa forma, o Coaching de Carreira vem apresentando-se como uma ferramenta para que o indivíduo possa aprimorar suas habilidades. A metodologia utilizada constitui-se de uma pesquisa bibliográfica, e através dela foram apresentados fundamentos teóricos e metodológicos do Coaching, Coaching de Carreira e Planejamento de Carreira. A relevância deste estudo está baseada em demonstrar que o Coaching de Carreira é um poderoso aliado para que o sujeito possa potencializar-se cada vez mais, o que gera bons resultados para as organizações. Como resultado, o presente estudo sintetiza alguns aspectos em que o Coaching de Carreira contribui para que os indivíduos se potencializem constantemente, também apresenta sugestões para que esse processo possa contribuir cada vez mais para que ocorra a maximização das habilidades do sujeito e como as organizações podem se beneficiar disso.
TEORIAS DE ENFERMAGEM APLICADAS NO CUIDADO A PACIENTES ONCOLÓGICOS: CONTRIBUIÇÃO PARA PRÁTICA CLÍNICA DO ENFERMEIRO
Authors: Da Silva Neylany Raquel Ferreira , Farias Daniel Coelho , De Sousa Júnior Ribeiro , Bezerra Francisca Milka da Costa , Ferreira Leilane de Sousa , De Carvalho Patricia Maria Gomes 
Published: December 2022

RESUMO
As teorias de enfermagem servem para descrever, explicar, diagnosticar e/ou prescrever medidas referentes aos cuidados de enfermagem. O estudo objetivou identificar as teorias de enfermagem aplicadas no cuidado a pacientes oncológicos. Trata-se de um estudo de revisão integrativa realizado nas bases de dados do LILACS, Medline, PubMed, Scielo com a utilização dos seguintes descritores: Cuidados de Enfermagem, Enfermagem Oncológica, Câncer. Foram incluídos no estudo artigos publicados no período de 2004 a 2014, artigos completos disponíveis eletronicamente e que estivessem na língua portuguesa. Analisou-se 08 estudos. Os resultados evidenciaram que a utilização das teorias de enfermagem ainda é pouco empregada na prática assistencial, uma vez que encontramos na busca dos artigos o assunto que se trata do cuidado a pacientes com câncer, porém sem a adoção de uma teoria como embasamento científico no trabalho do enfermeiro. As teóricas mais utilizadas pelos enfermeiros ao assistir pacientes oncologicos foram: Dorothea Orem, Paterson e Zderad, Madeleine Leininger e Jean Watson. Os resultados apontam que há pouca evidência científica acerca do emprego das teorias de enfermagem no cuidados a pacientes oncológicos, e que precisamos de fato ter embasamento científico para uma melhor prática clínica. As teorias de enfermagem são de grande relevância na prática diária do enfermeiro, fortalecem a profissão como ciência e não meramente arte.
Palavras-chave: Cuidados de Enfermagem, Enfermagem Oncológica, Câncer.
ABSTRACT
The nursing theories used to describe, explain, diagnose and / or prescribe measures relating to nursing care. The study aimed to identify the nursing theories applied in the care of cancer patients. This is an integrative review study in the Lilacs databases, Medline, PubMed, SciELO using the following keywords: Nursing Care, Oncology Nursing, Cancer. The study included articles published from 2004 to 2014, complete articles available electronically and they were in Portuguese. We analyzed 08 studies. The results showed that the use of nursing theories is still rarely used in healthcare practice, since we are in search of the articles it that it is the care to cancer patients, but without the adoption of a theory as scientific basis at work the nurse. Theoretical the most used by nurses to assist cancer patients were: Dorothea Orem, Paterson and Zderad, Madeleine Leininger and Jean Watson. The results show that there is little scientific evidence about the use of nursing theories in the care of cancer patients, and we need to actually have a scientific basis for better clinical practice. The nursing theories are of great importance in daily nursing practice, strengthen the profession as a science and not merely art.
Keywords: Nursing Care, Oncology Nursing, Cancer.
CONSIDERAÇÕES SOBRE O SULCO PALATO-GENGIVAL E SUAS IMPLICAÇÕES NA PRÁTICA ODONTOLÓGICA
Authors: Diniz Kamila Schmuller , Oliveira e Silva Cleverson de 
Published: December 2022

Resumo

O sulco palato-gengival é uma anomalia de desenvolvimento, presente predominantemente nos incisivos laterais maxilares, que se inicia na parte da fossa central, passa pelo cíngulo e segue em diversas direções e profundidades sobre a raiz. Seu formato de funil facilita o acúmulo de bactérias difíceis de remover pelo paciente e até mesmo pelo profissional, podendo causar prejuízos como uma periodontite localizada podendo chegar até a um comprometimento pulpar. Atualmente, as opções de terapêuticas dependem da forma e dimensão que o sulco atinge, incluindo raspagem e alisamento das raízes afetadas, sendo necessário para casos mais complexos procedimentos cirúrgicos junto com terapia endodôntica, para casos com o envolvimento pulpar.