bluuebunny/crossref_metadata_2025_split huggingface dataset:
PREPARO DO CANAL RADICULAR COM PRODESIGN LOGIC EM ACESSOS ENDODÔNTICOS MODIFICADOS DE PRÉ-MOLARES INFERIORES COM ABFRAÇÃO
Authors: Silva Renata Araújo , Petineli Isamara Rocha de Carvalho , Izelli Thabata Frederico , Alves Regis Augusto Aleixo 
Published: January 2022

A confecção de instrumentos com liga de memória controlada (CM- controlled memory) para o preparo do canal radicular possibilitaram simplificação da técnica operatória e acessos e preparos mais conservadores com remoção de menor quantidade de estrutura dentária saudável. O objetivo deste estudo foi descrever um relato de caso cujo acesso e preparo endodônticos foram realizados com técnica modificada a partir de lesões de abfração presente nos pré-molares inferiores para preservar estrutura coronária remanescente. Paciente do sexo masculino, 48 anos, acometido por abscesso periapical sem fístula em evolução, procurou atendimento de urgência em consultório particular queixando-se de dor intensa no dente 34. Este dente e os demais pré-molares inferiores foram indicados para tratamento endodôntico e posterior restauração com resina composta, pois apresentavam características de processo de desgaste dentário com exposição da cavidade pulpar na região cervical da face vestibular compatível com lesões de abfração. A cavidade de acesso endodôntico foi realizada a partir da própria região acometida pela abfração. Os instrumentos utilizados no preparo do canal radicular foram limas com liga de memória controlada Prodesign Logic acionadas em rotação contínua em motor endodôntico. Após 2 anos de acompanhamento pôde-se evidenciar que o tratamento proposto apresentou sinais de sucesso clínico e radiográfico, preservando estrutura dentária saudável e trazendo impacto na longevidade dos dentes.
PALAVRAS-CHAVE:
Desgaste dos dentes, endodontia, preparo de canal radicular, tratamento conservado.
Socio-demographic determinants of COVID-19 vaccine uptake in Russia in the context of mandatory vaccination of employees
Authors: Maleva Tatiana M. , Kartseva Marina A. , Korzhuk Sophia V. 
Published: January 2022

The paper offers an analysis of socio-demographic factors determining uptake of COVID-19 vaccine in Russia in 2021. The study focuses in particular on the role of mandatory vaccination of workers in certain sectors of the economy. The study is empirically based on three rounds of a nationally representative telephone survey, conducted in February–October 2021, which investigated the situation and behaviour of a cross section of the Russian adult population in the context of the spread of coronavirus.
The paper shows that the key factors behind vaccine uptake are age and education of the individual. People in older age groups and people with higher education are most inclined towards vaccination. By contrast, young people and people with low levels of education are least likely to be vaccinated. Other significant determinants of vaccination are experience of COVID-19 infection (self or a household member) and elderly or chronically ill members of the household. Among the employed, the economic sector where they work is an important determinant: workers in education, health care, and state and municipal administration are more likely to be vaccinated. The introduction of mandatory vaccination at a firm/organization with sanctions for unvaccinated employees has significant positive effect: the likelihood of an employee being vaccinated increases by 10 percentage points. The effect of mandatory vaccination is slightly greater for men than for women.
La pénalité urbaine en matière d’espérance de vie pendant la transition sanitaire au Danemark, 1850-1910
Authors: Torres Catalina , Richou Camille 
Published: January 2022

La population urbaine du Danemark, durant le xix e siècle, se caractérise par une croissance rapide et des conditions sanitaires médiocres. Cet article présente l’évolution de l’espérance de vie danoise entre 1850 et 1910, dans la population générale ainsi que dans les zones urbaines et rurales, à partir des données d’état civil sur les décès. Il analyse également les contributions des causes de décès aux évolutions de l’espérance de vie à Copenhague. Les années 1890 marquent le début d’un nouveau régime de mortalité, avec le passage d’une progression relativement lente de l’espérance de vie et d’une mortalité fluctuante à des progrès rapides et soutenus, surtout en ville. Jusque dans les années 1880, l’espérance de vie a augmenté essentiellement sous l’effet de la baisse de la mortalité des enfants de 1 à 4 ans. À partir des années 1890, le déclin de la mortalité infantile a contribué de manière significative à de nouveaux progrès de l’espérance de vie. La diminution des décès liés à un petit nombre de maladies (pour la plupart infectieuses) a été à l’origine de la majorité des gains d’espérance de vie à Copenhague. Bien qu’en recul, l’écart entre les zones urbaines et rurales a persisté pendant toute la période, en particulier pour les hommes.
« Dessine-moi… » une prière. Gemmes magiques et écriture des noms divins en images dans le monde romain
Authors: Galoppin Thomas 
Published: January 2022

Les gemmes magiques sont des amulettes en pierres gravées : leur pouvoir tient en partie aux noms barbares inscrits, ainsi qu’aux motifs représentés, parmi lesquels figurent de nombreuses divinités grecques, égyptiennes ou gréco-égyptiennes. Parfois, il semble que le design conjugue l’écrit et le dessin pour produire des noms divins en image. Le procédé peut être explicité par des textes rituels, mais il peut être compris aussi en partant de l’hypothèse que les motifs représentés possèdent une valeur symbolique cohérente avec une conception des hiéroglyphes dans le monde romain. La manipulation innovante de ces attributs onomastiques et iconographiques se réclame d’une tradition égyptienne dans la mesure où écrire avec des figures animales possède une valeur d’autorité dans l’art de manifester le divin.
Relation between pulmonary tuberculosis and chronic obstructive pulmonary disease
Authors: Zamzam Mohamed A. , Agha Mohammed A. , Said Norhan A. , Eldahdouh Sami S. 
Published: January 2022

Background/aim
Some studies have showed a link between pulmonary tuberculosis (TB) and the growth of chronic obstructive pulmonary disease (COPD). So, the aim of this work was to study the prevalence of TB-associated COPD among patients with COPD.

Patients and methods
This study included 500 patients with a precise COPD diagnosis. It has been established in patients with preceding history of pulmonary or extrapulmonary TB. The patients were separated into two equivalent groups: group 1 contained 50 patients with TB-associated COPD, and group 2 contained 50 patients with COPD but without TB history. All included patients underwent full history, complete clinical examination, chest radiography, arterial blood gases, and pulmonary function tests.

Results
The prevalence of TB-associated COPD among the 500 patients with COPD was 16%. There was a significant difference in smoking habit between both groups (P=0.001). The mainstream of TB-associated COPD group was nonsmokers, even though most patients with COPD without TB were smokers. There was a significant increase in exacerbations in TB-associated COPD group when equated with patients with COPD without TB (P=0.02). Additionally, there was a significant increase in PaCO2 of the TB-associated COPD group compared with the other group (P=0.02). Moreover, this study recorded significant relation between the beginning of COPD and the number of anti-TB courses (P=0.001), and increased number of anti-TB courses was associated with earlier onset of COPD. The authors observed significant reduction in PFTs in patients who received two or more courses compared with patients who had customary only one course.

Conclusions
TB should be considered in patients with COPD, and COPD can be a consequence of TB even in the absence of any other risk factors. COPD-associated TB is associated with frequent exacerbations, worsened pulmonary function tests, and earlier start of COPD compared with patients with COPD owing to other risk factors.
Aspek Interoperabilitas Antara Lantamal IX Dengan Kamla Zona Bahari Timur Dalam Penegakan Hukum Di Laut Maluku Ditinjau Dari Perspektif Harmonisasi Hukum
Authors: Andrizal Andrizal , Pasalbessy John Dirk , Anwar Arman 
Published: January 2022

Introductioan: The basic conception of the realization of security in the territorial waters essentially has two dimensions, namely the enforcement of sovereignty and the enforcement of security which are interrelated with each other.Purposes of the Research: This study aims to analyze and discuss the interoperability between Lantamal IX and Kamla of the East Maritime Zone in law enforcement in the Maluku Sea is viewed from the perspective of legal harmonization and the obstacles faced by Lantamal IX and Kamla of the East Maritime Zone in Law Enforcement in the Maluku Sea when interoperability is connected. with efforts to harmonize the law.Methods of the Research: The research was conducted using a normative juridical method with a c statutory approach, conceptual approach and comparative approach a by specifically analyzing the performance of the institution and its authority in the implementation of law enforcement in the Maluku Sea based on the legislation which was then analyzed qualitatively.Results of the Research: The results showed that Lantamal IX and Kamla East Maritime Zone had the same authority in conducting security and safety patrols in the Maluku Sea, thus potentially causing overlapping authorities. Therefore, interoperability is needed between the two institutions in order to create synergy and minimize the occurrence of sectoral egos. So far, the interoperability of Lantamal IX and Kamla of the East Maritime Zone has been established, but it has not run optimally and continuously. Functional analysis of the collaboration between LANTAMAL IX and the East Maritime Zone Kamla shows that there are obstacles related to juridical and material aspects. In the juridical aspect, the East Maritime Zone Kamla does not have the authority to investigate so that the ship being considered must be handed over to the authorized agency. In addition, there has been no renewal of the memorandum of understanding between BAKAMLA and TNI Headquarters. As a result, patrol operations are not supported by Indonesian Navy warships. Meanwhile, materially, the facilities and infrastructure of the East Maritime Zone Kamla are minimal while BAKAMLA has a large enough budget for the implementation of operations. Likewise, the synergy of operations and sharing of data and information has not been maximized. Therefore, interoperability is needed through harmonization of law and synergy.
Rotator manşet tendinopatisinde ağrı şiddeti ile skapular kasların dayanıklılığı ve kor kaslarının işlevselliği arasındaki ilişkinin incelenmesi
Authors: Erdoğanoğlu Yıldız , Görgülü Özlem 
Published: January 2022

Amaç: Rotator manşet tendinopatisi olan hastalarda, ağrı şiddeti ile skapular kasların dayanıklılığı ve kor kaslarının işlevselliği arasındaki ilişkiyi incelemek amaçlanmıştır.
Gereç ve Yöntem: Çalışmaya, 25-65 yaşları arasında rotator manşet tendinopatisi tanısı almış 40 hasta (25 kadın, 15 erkek) dahil edildi. Hastaların ağrı şiddetleri Numerik Ağrı Skalası (NAS) ile, skapular kasların dayanıklılığı skapular kassal endurans testi (SKET), kor kaslarının işlevselliği ise tek bacak duvar oturuşu testi ve tekrarlayan tek bacakla çömelme testi ile değerlendirildi.
Bulgular: Hastaların, yaş ortalaması 43,95±10,12 yıl, ağrı şiddeti ortalamasıı 6,57±1,41, skapular kas dayanıklık ortalaması 24,525±20,13 sn, tek bacakla duvar oturuş testi ortalaması 12,9±10,01 sn ve tek bacakla çömelme testi ortalaması 6,85±3,93 tekrar idi. Hastaların, ağrı şiddetleri ile skapular kasların dayanıklılığı (p= 0,021, r=-0,363) ve kor kaslarının işlevselliği (Tek Bacak Duvar Oturuş Testi Dominant ve Tekrarlayan Tek Bacakla Çömelme Dominant) arasında (p= 0,007, r=-0,417; p= 0,042, r=-0,323, sırasıyla) negatif yönlü orta şiddette anlamlı bir ilişki bulundu. Hastaların, skapular kaslarının dayanıklılığı ile kor kaslarının işlevsellikleri (Tek Bacak Duvar Oturuş Testi Dominant ve Tekrarlayan Tek Bacakla Çömelme Dominant) arasında ise pozitif yönlü kuvvetli anlamlı ilişki olduğu görüldü (p= 0,001, r= 0,868; p= 0,001, r= 0,742).
Sonuç: Rotator manşet tendinopatisi tanısı almış hastaların orta şiddette ağrı bildirdikleri, skapular kas dayanıklılığı ve kor kasları işlevselliğinin azaldığı görülürken; ağrı şiddetinin artması ile skapular kas dayanıklılığı ve kor kasları işlevselliğinin azaldığı görüldü. Bu sonuçlar, rotator manşet tendinopatisi tanısı almış hastaların fizyoterapi ve rehabilitasyon programlarında skapular kas dayanıklılığı ve kor kasları işlevselliğini arttırmaya yönelik rehabilitasyon uygulamalarının göz önünde bulundurulması gerektiğini düşündürdü.
AN ANALYSIS OF CRUCIAL SKILLS REQUIRED IN THE MODERN WORKPLACE BY INSURANCE SECTOR EMPLOYERS
Authors: Kajwang Ben 
Published: January 2022

Purpose: The insurance industry is one of the industries that have experienced the Fourth Industrialization Revolution due to the ever-changing technology which will greatly affect the future of labour market. As a result, most insurance companies are reinventing their business and organizational strategies in order to modernize their workplace as well as acquire employers and employees with skills that can adapt to the new changes in technology. The objective of this study was to analyze the crucial skills required in the modern workplace by insurance sector employers. The aim of this study was to help the readers understand the crucial skills required by employees in the modern workplace and their importance in the insurance sector.
Methodology: A desktop literature review was used for this purpose. Relevant seminal references and journal articles for the study were identified using Google Scholar. The inclusion criteria entailed papers that were not over five years old.
Findings: Most insurance sectors aim to remain efficient and competitive in the rapidly changing global market. The challenge that affects the competitiveness and productivity of insurance sector are closely linked with the lack of the crucial skills necessary in the modern workplace. It is evident that from this review, researchers have emphasized on acquiring of various crucial skills that adapt to the ever-evolving technology in the modern workplace and specifically in the insurance sector.
Unique contribution to theory, practice and policy: The following are the recommendations were made: Insurance sectors should oftenly conduct training programs that will enable insurance providers gain essential skills that align with the evolving technology in this industry. Employers should not focus on gaining professional and technical skills only but also learn the soft skills that are essential when interacting with colleagues and customers. Insurance providers should document their work ethics to the public even if it’s through the online platform.
Short – term outcomes of flow diverter stent (Pipeline) for treatment intracranial aneurysms
Authors: Van Hoang 
Published: January 2022

Background: With the approval of detachable coils in 1995, endovascular treatment of intracranial aneurysms has become an alternative to surgical clip ligation. Despite the introduction of “modified” coils and advanced techniques such as stent-assisted and balloon-assisted coiling, coil embolization has major limitations because of inability to completely and permanently occlude all aneurysms. As stents were being developed for intracranial use, it was hypothesized that stents could be utilized to divert flow “away” from the aneurysm “back” into the parent vessel, and the concept of “endovascular flow diversion” was proposed. This study aims to report our experience with cerebral aneurysms, which may improve in the treatment with the ﬂow-diverter stent and follow up (1).
Methods: This study was conducted in consecutive series of 23 patients. 23 procedures were performed for treating these patients in Ha Noi heart hospital from January 2019 to January 2020. 23 flow diverter stents (Pipeline) were used. Aneurysms morphology, stent patency and cerebral parenchyma before and after intervention were analyzed on images of digital subtraction angiography (DSA), computed tomography (CT) and magnetic resonance (MR). The follow-up data after 3–6 months and 12 months were recorded.
Results: In 23 patients (8 men, 15 women), aneurysms of internal carotid artery were mostly common (95.7%), especially in cavernous segments. 13 cases (74%) had saccular aneurysms, and 2 cases (9%) had multiple aneurysms, and only 3 cases (13%) had fusiform aneurysms. Endovascular treatment was successfully performed at rate of 100%.. Mortality and morbidity rates were 0% and 0%, respectively. MRI and MSCT follow-up at 3 months showed complete or incomplete occlusions of aneurysms was 26.1% or 34.8%, respectively.
Conclusions: Deployment of flow diverter stent is safe and effective with high rate of successful and low procedural complications
Gastroesophageal Reflux Disease in Patients with Chronic Obstructive Pulmonary Disease
Authors: Shahzad Hafeez  , Ambreen Butt  , Azhar Hussain  , Muhammad Adnan Hashim  , Sana Ahmad  , Asim Ahmad  
Published: January 2022

Objective: To determine the frequency of gastroesophageal reflux disease (GERD) in patients with chronic obstructive pulmonary disease in our population
Methodology: This cross-sectional study was conducted at medical out-patient Department, Services Hospital, Lahore; from September 2014 to March 2015. All the patients having chronic obstructive pulmonary disorder (COPD) were included. COPD was defined as the patients having a ratio of â€œforced expiratory volume in one secondâ€ (FEVI) to â€œforced vital capacityâ€ (FVC) below 70% and having no improvement in FEVI after bronchodilator. Severity GERD was categorized as per episodes of symptoms. Information regarding the frequency of GERD was collected via study proforma. Data was analyzed using SPSS version 16.Â
Results:Â Overall 100 cases were studied; their mean age was 47.54+3.62 years. Out of all 90% were males and 10% were females. Frequency of GERD in patients with COPD reveals 33%, followed by 03% study subjects had mild GERD, 7% had moderate, 11% had severe and 12% had very severe symptoms of GERD, while 67% had no nay symptoms of GERD.
Conclusion: In the conclusion the frequency of gastroesophageal reflux disease (GERD) was found to be 33.0% among COPD subjects. Â
The impact of the covid-19 pandemic on child-youth health: a cross- sectional study
Authors: Ammara Waqar  , Bismillah Sehar  
Published: January 2022

Objective: To analyze the impact of the COVID-19 pandemic on children's health. Methodology: Study transverse, exploratory and descriptive of character quantitative / qualitative carried through to one questionnaire developed by Google Forms and available on social media with questions about the pandemic impact on the health of children and adolescents. Results and discussion: Of the 200 caregivers who participated, 94.5% were female and 92% mothers, most were married (87.5%) and older than 40 years (61.5%). As for children and adolescents, most were between 8 and 12 years old (38.5%), 50% were female, 78% did not have comorbidities that favored the severity of COVID-19. In relation to the context of the pandemic, 75.5 % reported having one dialogue honest with the child / adolescent about the lived situation and the main feelings were reported: worry, fear, sadness, anxiety, irritability and missed the routine. In relation to behavioral disorders of children and adolescents since the beginning of the pandemic, 73% of the charge stated observe differences in the main was the increase in time in the home (77%). Additionally, other behavioral changes identified in the QUESTIONNAIRE were very relevant as difficulty sleeping (43%) decline in school performance (42 .5 %) and agitation / irritation (42%). With regard to the practice of physical activity, 63% of children practiced before the pandemic, but only 27.7 % continues, besides that sun bath also was taken, because only 43.2% are taking regularly due to COVID 19 SOPs.. conclusion: we can see that the pandemic has affected directly the behavior of children and adolescents, being necessary attention geared to families with respect to physical and mental health, as well as the expansion of the debate on the theme.
Keywords: coronavirus, COVID-19, Pandemic, Family health, Pediatric Health.
Dexamethasone Versus Ondansetron in Preventing Postoperative Nausea and Vomiting In Laparoscopic Surgery
Authors: Anum Malik  , Arshad Shahani  , Jawad Zahir  , Zulfiqar Hassam , Tabassum Aziz  
Published: January 2022

Objective: To compare the efficacy of dexamethasone 8mg versus ondansetron 4mg in preventing postoperative nausea and vomiting (PONV) in patients undergoing laparoscopic cholecystectomy
Methodology: This quasi-experimental study was conducted at the Department of Anaesthesia and Intensive Care, Holy Family Hospital from 29th July 2018 to 28th January 2019.Â Anesthesia was induced with propofol (2mg/kg IV) and Atracurium (0.5 mg/kg IV) was given to facilitate tracheal intubation. Nalbuphine (0.2mg/kg) was used as analgesic.Patients were randomly divided into two groups. Patients in Group A received 4mg ondansetron at end of surgery and Group B received 8mg dexamethasone at induction.
Results: A total of 90 patients were included according to the inclusion criteria of the study. The mean age (years) in the study was 37.11+10.60 years. Frequency and percentage of nausea (up to 24 hours) among both the groups was 28 (62.2) and 28 (62.2) respectively (p-value = 1.0) while the frequency and percentage of vomiting (within 24 hours after extubation) was 28 (62.2) and 27 (60.0) respectively (p-value = 0.829)
Conclusion: The study concluded that there was no significant difference dexamethasone and ondansetron in preventing postoperative nausea and vomiting.
Correlation of Hepatocellular Carcinoma with Different Levels of Alpha-Fetoprotein in Pakistani Population
Authors: Muqadas Munir  , Mishal Maqbool  , Jahanzeb Ayyaz  , Salwa Anis  , Sonaina Maqbool  
Published: January 2022

Objective: To assess pathological, biochemical and clinical parameters in HCC patients with low, normal and high AFP levels.
Methodology: This comparative analytical study was conducted in Liver and Gastric Clinic, Holy Family Hospital, Rawalpindi from June 2019-June 2020.Sample size was calculated as 225 by WHO sample size calculator .Â Non randomized convenient sampling was used. Patients were divided into three groups according to AFP values; <200 ng/ml, 200-400ng/ml and >400 ng/ml. Patients demographic details, medical history, clinical symptoms and signs, biochemical parameters and pathological findings on ultrasonography and CECT were assessed. Data was analyzed by SPSS version 21. Descriptive statistics were calculated for categoricalÂ Â variable. Â p Value less than 0.05 was considered significant.
Results: Out of 256 patients, 161 (62.9%) were males and 95 (37.1%) were females.The mean age of patients was 60.5 years Â±Â 10.5. 94.4% of patients with HCC had Hepatitis C. Anorexia, jaundice and abdominal distension, hepatomegaly and splenomegaly were more frequent in patients having high AFP level. Serum bilirubin, tumor size, number of lesions, BCLC staging and other pathological parameters associated with HCC worsens as AFP levels increase.
Conclusion: Alpha-fetoprotein levelsÂ areÂ significantly associated with clinical and pathological parameters of hepatocellular carcinoma thus can be used as a better diagnostic and prognostic tool.