bluuebunny/crossref_metadata_2025 huggingface dataset:
MUNICH v2.0: a street-network model coupled with SSH-aerosol (v1.2) for multi-pollutant modelling
Authors: Kim Youngseob , Lugon Lya , Maison Alice , Sarica Thibaud , Roustan Yelva , Valari Myrto , Zhang Yang , André Michel , Sartelet Karine
Published: October 2022

Abstract. A new version of a street-network model, the Model of Urban Network of Intersecting Canyons and Highways version 2.0 (MUNICH v2.0), is presented. The comprehensive aerosol model SSH-aerosol is implemented in MUNICH v2.0 to simulate the street concentrations of multiple pollutants, including secondary aerosols. The implementation uses the application programming interface (API) technology so that the SSH-aerosol version may be easily updated. New parameterisations are also introduced in MUNICH v2.0, including a non-stationary approach to model reactive pollutants, particle deposition and resuspension, and a parameterisation of the wind at roof level. A test case over a Paris suburb is presented for model evaluation and to illustrate the impact of the new functionalities. The implementation of SSH-aerosol leads to an increase of 11 % in PM10 concentration because of secondary aerosol formation. Using the non-stationary approach rather than the stationary one leads to a decrease in NO2 concentration of 16 %. The impact of particle deposition on built surfaces and road resuspension on pollutant concentrations in the street canyons is low.
Predicting soil moisture conditions across a heterogeneous boreal catchment using terrain indices
Authors: Larson Johannes , Lidberg William , Ågren Anneli M. , Laudon Hjalmar
Published: October 2022

Abstract. Soil moisture has important implications for drought and flooding forecasting, forest fire prediction and water supply management. However, mapping soil moisture has remained a scientific challenge due to forest canopy cover and small-scale variations in soil moisture conditions. When accurately scaled, terrain indices constitute a good candidate for
modelling the spatial variation of soil moisture conditions in many
landscapes. In this study, we evaluated seven different terrain indices at
varying digital elevation model (DEM) resolutions and user-defined
thresholds as well as two available soil moisture maps, using an extensive
field dataset (398 plots) of soil moisture conditions registered in five
classes from a survey covering a (68 km2) boreal landscape. We found that the variation in soil moisture conditions could be explained by terrain indices, and the best predictors within the studied landscape were the depth to water index (DTW) and a machine-learning-generated map. Furthermore, this study showed a large difference between terrain indices in the effects of changing DEM resolution and user-defined thresholds, which severely affected the performance of the predictions. For example, the commonly used topographic wetness index (TWI) performed best on a resolution of 16 m, while TWI calculated on DEM resolutions higher than 4 m gave inaccurate results. In contrast, depth to water (DTW) and elevation above stream (EAS) were more stable and performed best on 1–2 m DEM resolution. None of the terrain indices performed best on the highest DEM resolution of 0.5 m. In addition, this study highlights the challenges caused by heterogeneous soil types within the study area and shows the need of local knowledge when interpreting the modelled results. The results from this study clearly demonstrate that when using terrain indices to represent soil moisture conditions, modelled results need to be validated, as selecting an unsuitable DEM resolution or user-defined threshold can give ambiguous and even incorrect results.
Riesgo de sangrado en pacientes anticoagulados con antagonistas de la vitamina K que reciben antibióticos
Authors: Risso Agostina
Published: October 2022

Lograr un adecuado nivel de anticoagulación con antagonistas orales de la vitamina K suele ser un desafío frecuente en la práctica clínica, dado que su estrecho rango terapéutico suele verse afectado por diversas interacciones farmacológicas, alimentos y condiciones clínicas. A partir de un caso de un paciente anticoagulado que presentó una hemorragia gastrointestinal posterior a realizar un tratamiento antibiótico, la autora de este artículo revisó la evidencia sobre el riesgo de sangrado secundario a la interacción entre este tipo de anticoagulantes y antibióticos orales. Su conclusión tras realizar una búsqueda bibliográfica y seleccionar la mejor evidencia disponible, es que existe un aumento del riesgo relativo de sangrado en pacientes anticoagulados que reciben antibióticos, por lo que deberían evitarse aquellos antibióticos con conocido potencial de interacción. Si ello no fuera posible, se recomienda monitorizar el estado de anticoagulación con dosaje de la razón internacional normatizada (RIN) posterior a la introducción del antibiótico.
El estigma de la obesidad
Authors: Moran Catalina , Terrasa Sergio Adrian
Published: October 2022

En este artículo los autores explican la evolución histórica del estigma de la obesidad y las consecuencias de su internalización sobre la salud de las personas que lo sufren. Hacen especial hincapié en las conductas del equipo de salud que refuerzan este estigma, basadas en la gordofobia que también afecta a este colectivo profesional como integrante de nuestra sociedad. Por último, describen algunas iniciativas políticas destinadas a modificar la opresión, la discriminación y la vulneración de los derechos humanos que sufren las personas obesas, como lo son el activismo gordo y una propuesta canadiense para el equipo de salud que pretende ofrecer un marco de atención de las personas con sobrepeso u obesidad orientado a la persona y su entorno, alentándolas a desarrollar autoestima y autoeficacia.
Del legado vanguardista a la proyección multimedia. L’Archivio del ’900 del Museo di arte moderna e contemporanea di Trento e Rovereto
Authors: Mancebo Roca Juan Agustín
Published: October 2022

El Archivio del ’900 es uno de los centros de referencia para el estudio del arte y la arquitectura del siglo XX en Italia. A partir de la cesión de los archivos de Depero y Mazzoni, el Archivio del ’900 realizó una política de adquisición de fondos documentales que comprendían las vanguardias de la primera mitad del siglo XX, la de los arquitectos trentinos de relevancia internacional, las prácticas verbo-visuales de los sesenta y setenta, y los archivos de principios del siglo XXI. Este artículo estudia el origen y las transformaciones del Archivio del ’900, su inclusión en el organigrama del Mart Rovereto y la proyección de su acervo a través de inventarios, publicaciones, exposiciones, digitalización y volcado en la red que trasciende su límite físico, poniendo a disposición de los investigadores sus más de sesenta fondos de archivos y el fondo bibliográfico que contienen miles de documentos esenciales para el estudio del arte contemporáneo.
Contribuciones de la Educación Musical al desarrollo de la Competencia en Comunicación Lingüística en Primaria
Authors: Cremades-Andreu Roberto , Campollo-Urkiza Arantza
Published: October 2022

El modelo de currículo por competencias supone la interacción de todas las áreas de conocimiento para transferir sus aprendizajes a diferentes escenarios sociales y educativos. Concretamente, desde la educación musical se trabajan contenidos que pueden servir para desarrollar la competencia clave en comunicación lingüística a través, entre otros, de la creación de situaciones en torno al lenguaje como medio expresivo. Así, este artículo valora la adquisición de dicha competencia después de la puesta en marcha de un programa didáctico-musical en primaria. Participaron 129 estudiantes 69 hombres (53.5%) y 60 mujeres (46.5%), divididos en grupo control (63 estudiantes, 48.8%) y grupo experimental (66 estudiantes, 51.2%), que cursaban sexto de educación primaria en tres centros de titularidad pública y concertada de la ciudad de Madrid. Para ello, se elaboró un programa ad hoc de actividades musicales que se puso en práctica en el aula de música a lo largo de un curso académico. Los resultados obtenidos en la fase postest indican una mejora de las puntuaciones obtenidas por el grupo experimental en los ámbitos de la Competencia en Comunicación Lingüística, en cuanto a la realización de presentaciones grupales, el uso correcto del lenguaje verbal y musical en diferentes contextos , y la selección y organización de la información relevante,  lo que apunta a la idoneidad/ eficacia de la educación musical para el desarrollo de la expresión oral, expresión escrita, comprensión oral y comprensión escrita definido por la unión estructural de ambos lenguajes.
Enfoques de evaluación creativa para las interacciones humanas y la tecnología de interfaces musicales. Una revisión sistemática de la literatura
Authors: Pascual-Vallejo César Daniel , Casillas-Martín Sonia , Cabezas-González Marcos
Published: October 2022

Este artículo revisa el estado del arte de las investigaciones que han evaluado hasta el momento las interacciones entre los humanos y las tecnologías musicales. El objetivo es estudiar cuántas de las investigaciones existentes en este campo han evaluado la singular interacción proactiva, creativa y expresiva de los usuarios tecnológicos, y cuántas integran además aspectos relacionados con la educación, la salud y el bienestar, con el fin de potenciar un futuro enriquecimiento del trabajo colaborativo entre profesionales especializados dentro de los diseños de tecnología creativa musical, y los equipos educativos en los que se presencian este tipo de interacciones tecnológicas. La cuarta revolución industrial hipernormaliza progresivamente la creatividad, manteniendo una falsa y excesiva normalización social de su lógica funcional. Su paradigma tecnosimbólico afecta a ciencia, educación, uso y apropiación de la tecnología. Como consecuencia, la rigidez de la estandarización y automatización normaliza los procesos de aprendizaje creativos, generando disonancias cognitivas que afectan a la salud y el bienestar de las personas, evidenciando la necesidad de encontrar diseños tecnológicos flexiblemente humanizados. Este estudio pone en valor la práctica musical como una de las áreas creativas que más está revolucionando el campo de las interacciones tecnológicas cognitivas. A través de una metodología mixta, basada en la recopilación, el análisis y la interpretación de las fuentes más pertinentes, recabadas en tres de las principales bases de datos científicas, se obtiene un porcentaje escaso de investigaciones relacionadas con el objeto central de búsqueda ya mencionado en el objetivo descrito. Las conclusiones evidencian que la comunidad científica no se ha enfocado en la búsqueda de paradigmas inclusivos que integren una dimensión de la evaluación respetuosa con las capacidades creativas del usuario tecnológico, a partir de un concepto abierto y holístico de la educación, la salud y el bienestar. Ello señala la oportunidad para implementar evaluaciones que cuenten con la participación de musicoterapeutas y terapeutas artístico-creativos dentro de los procesos de diseño de la tecnología creativa y expresiva, con el fin de facilitar una búsqueda crítica y proactiva de nuevos paradigmas tecnológicos más respetuosos, flexibles y resilientes con la educación, la salud y el bienestar, incluyendo marcos capaces de aportar alternativas viables al problema que plantea la hipernormalización tecnológica actual.
Geoffrey Baker. Replanteando la Acción Social por la Música: La búsqueda de la convivencia y la ciudadanía en la Red de Escuelas de Música de Medellín. Cambridge, UK: Open Book Publishers, 2022. https://doi.org/10.11647/OBP.0263
Authors: Cuadrado Fernández Albina
Published: October 2022

Reseña de la obra de Geoffrey Baker. Replanteando la Acción Social por la Música: La búsqueda de la convivencia y la ciudadanía en la Red de Escuelas de Música de Medellín. Cambridge, UK: Open Book Publishers, 2022. https://doi.org/10.11647/OBP.0263
Does Financing Decision affect Company Growth? Empirical Evidence from Selected Companies in Jordan
Authors: Bani Khalaf Omar
Published: October 2022

The study investigates the impact of financing decisions on Jordanian firms' growth. Therefore, it collects data for 120 companies listed on the Amman Stock Exchange during 2008-2018. The study used a two-step difference and system GMM to test the relationship between variables. In general, results are consistent with the theory and previous findings, confirming a significant relationship between the financing decisions of firms and their performance represented by their growth. Furthermore, the study's findings suggest that firms should modify their capital structure mix to get the highest benefit level.
Effectiveness of ciprofloxacin in the treatment of Acute Otitis Media
Authors: MEHEL Dursun Mehmet , TURGUT Nesrettin Fatih , ÇELİKER Sevil Altan , ÖZDEMİR Doğukan , ÖZGÜR Abdulkadir
Published: October 2022

Acute otitis externa is an infection of the outer ear canal that can occur at any age and is diagnosed by symptoms and examination findings. The aims of our study were to understand the seasonal frequency of acute otitis externa and to determine the susceptibility of causative bacteria to ciprofloxacin. Discharge samples were collected from the external ear canals of 76 patients diagnosed with acute otitis externa. The samples were evaluated and culture-antibiogram results were compiled. Routine microbiological methods were used for the reproduction of clinical material as bacterial and fungal cultures. The 76 enrolled patients were 18–80 years old (mean 41.6 years). Acute otitis externa occurred most frequently during summer, especially in July. Culture results revealed Pseudomonas aeruginosa growth in 30 cases (39.4%), Staphylococcus aureus in 18 cases (23.6%), and Serratia spp. in 5 cases (6.5%), while fungal growth was observed in 10 cases (13.1%). The antibiogram analyses determined ciprofloxacin resistance in P. aeruginosa in 13 patients (43.3%) and in S. aureus in 6 patients (33.3%). Acute otitis externa should be treated with antibiotics in accordance with culture antibiogram results, while keeping in mind that bacterial causes could be ciprofloxacin resistant.
Risk factors affecting mortality and patient survival in patients above 60 years undergoing hemiarthroplasty due to hip fracture
Authors: DURAN Kemal Çağlar , DİNÇER Recep , ATAY Tolga , KIRDEMİR Vecihi
Published: October 2022

The aim of this study was to retrospectively determine the risk factors affecting mortality and survival after partial prosthesis treatment of proximal femoral fractures in elderly patients. In this study, patients aged 60 years and over who underwent hemiarthroplasty with the diagnosis of proximal fracture of the femur between 2013 and 2016 were evaluated retrospectively. 94 patients (58 females and 36 males) were included in the study. Age, gender, fracture type and side, Garden and Evans Scores, Singh Index, ASA values, additional diseases, when they were operated after falling, stem type used, anesthesia methods, hospitalization periods, survivors Harris hip scores, UCLA scores, Barthel Index and VAS scores a total of 17 parameters were evaluated. When the fracture types of the cases were examined, it was seen that 58 patients had intertrochanteric and 36 patients had collum femoris fracture. The mean time from the day of fracture to operation was calculated as 5.61. Hypertension, diabetes, and coronary artery diseases were the most common diseases. Sixty-four out of 94 patients died, and 30 were still alive during our study. It was seen that 11 of the patients died in the first month, 11 of them died between 1-6 months postoperatively and 93% (n = 28) of the patients still alive were operated on in the first 5 days after fracture. Hip fractures are a serious cause of mortality and morbidity in the elderly. Physical and mental capacity of the patients before fracture is one of the most important predictors of postoperative mortality and morbidity. The main goal is to return patients to their daily lives in the shortest possible time. ASA values and comorbidities were found to be important in postoperative mortality.
Investigation of plasmid-mediated quinolone resistance genes in carbapenem resistant Enterobacterales
Authors: TANRIVERDİ ÇAYCI Yeliz , BIYIK İlknur , BİLGİN Kemal , GÜR VURAL Demet , BİRİNCİ Asuman
Published: October 2022

Fluoroquinolones, are effective agents both against gram-positive and gram-negative bacteria. Quinolones show bactericidal effect as a result of inhibition of DNA gyrase and topoisomerase IV enzymes. Main quinolo resistance mechanisms are chromosomal mutations in these enzymes and decreased intracellular accumulation due to efflux pumps or decreased membrane uptake. Recently a new quinolone resistance mechanism mediated by plasmids has been defined. These plasmids carry genes called as qnr. Qnr genes do not cause quinolone resistance but they cause decreased quinolone susceptibility and lead to higher minimum inhibitory concentrations. Currently there are qnrA, qnrB, qnrC, qnrD and qnrS genes. This study was aimed to investigate the presence of plasmid-mediated quinolone resistance determinants in carbapenem resistant Enterobacterales isolates. A total 154 carbapenem resistant Enterobacterales isolates were included in the study. Presence of qnrA, qnrB, qnrC, qnrD and qnrS genes were investigated by multiplex polymerase chain reaction (PCR) method. The results of the PCR amplification revealed that qnrA was detected in two isolates (E6, E85) (1.29%), qnrB was detected in 12 isolates (8.4%) (E32, E43, E46, E61, E62, E84, E94, E149, E 166, E167, E177, E179) and qnrS was detected in six isolates (E15, E25, E57, E63, E70, E80) (4.54%). And one isolate (E9) was both positive for qnrB and qnrS. QnrC and qnrD were not detected in any isolates. Transferable quinolone resistance due to the dissemination of qnr genes may have important impacts in terms of infection control and treatment problems. Survey of plasmid mediated quinolone resistance will help to determine the size of the issue and guide the measures that should be taken to avoid escalation of resistance and dissemination problem.
Treatment and outcomes of upper extremity metastases
Authors: GÜRLER Deniz , GÜNGÖR Bedii Şafak , ATALAY İsmail Burak , COŞKUN Hüseyin Sina , BÜYÜKCERAN İsmail , ŞAHİNER Göksel Gültekin
Published: October 2022

The incidence of bone metastases increases in direct proportion to the incidence of cancer. Upper extremity metastases are also a serious surgical problem. It is very important to publish experiences on this subject. Treatment results of 80 patients with upper extremity metastases were collected retrospectively. 47 (58.75%) of the patients were male and 33 (41.25%) were female. The most common location for metastasis was the humerus and the most common surgical treatment was intramedullary nailing. Non-surgical treatments were used in 24 (30%) patients. Considering the severity of functional losses and the difficulty of surgical options, it is important to collect and evaluate the treatment approaches of upper extremity metastases.
Can you count on willing to respond (WTR) results? In a pandemic, you may be alone
Authors: HAKOĞLU Onur , DEMIRCAN Ahmet , KELEŞ Ayfer , BİLDİK Fikret , KILIÇASLAN İsa , BEKGÖZ Burak , TEL Mustafa Ramiz , KARABULUT Hasan , ÖZENSOY Habibe Selmin , GÜLÖKSÜZ Uğur , YAVUZ Zeynep
Published: October 2022

Willingness to Respond (WTR) is the measurement of employees' preferences to come to work during off-hours when needed. Are these answers given before a disaster realistic? Another question of the study was, "Can we speed up the required staff to reach the hospital?" WTR survey has applied to emergency service staff. After that, the off-duty staff was called to work at a time they did not know beforehand. The study tried to identify how much WTR reflected the reality. Ninety of 98 (91.8%) participants whose surveys were evaluated answered "Yes" to "If you are called in case of disaster, would you come to duty?" question. When asked whether they will come to work according to disaster types, this rate was measured as 36.7% in "In the case of an infectious disease of which treatment is not clear". WTR surveys can be used to predict the level of participation of staff on off-hours in meeting the need for additional labor. These surveys' results can be expected to be similar to the labor participation rates in case of a real disaster and the arrival time of the staff at the hospital can be improved with new communication methods.
Iatrogenic leg length inequality may cause low back pain due to scoliosis
Authors: ULUS Aykan , KAYA Ahmet Hilmi , ŞENEL Alparslan
Published: October 2022

The aim of this manuscript is to discuss iatrogenic leg length inequality as an aetiologic factor of degenerative scoliosis and low back pain. Iatrogenic type leg length inequality prevalence is getting higher recently, because of increasing number of hip and knee surgery parallel to the increasing number of elder people in population. We presented four cases, who had low back pain due to degenerative scoliosis caused by leg length inequality. Case 1, 2 and 3 were elder people who had previous knee or hip surgery. Case 4 was a young lady who had low back pain due to degenerative scoliosis and leg length inequality and she had no previous surgery. In Case 1, 2 and 3, leg length inequality was iatrogenic type which was caused by hip or knee surgery. This iatrogenic leg length inequality caused degenerative scoliosis same as in case 4, who had anatomical leg length inequality. Iatrogenic leg length inequality may cause degenerative scoliosis, thus low back pain. Scoliosis caused by leg length inequality cannot be compensated by elder people or even young people whose abdominal muscles week.
Retrospective analysis of the patients undergoing neuroanaesthesia between the years 2015-2019
Authors: ÇETİNKAYA Hasan , SARIHASAN Bahriye Binnur , BİLGİN Sezgin , DOST Burhan , TURUNÇ Esra , ÇETİNKAYA Gamze
Published: October 2022

This study aimed to retrospectively evaluate the patients who underwent neuroanesthesia at Ondokuz Mayıs University Faculty of Medicine Hospital between 2015 and 2019. We included all patients who underwent neuroanesthesia between 01.01.2015 and 31.12.2019 and recorded demographic characteristics, comorbidities, type of surgery performed, anesthesia management and complications. We included a total of 5172 patients in the study. 52.9% of the patients were male and the mean age was 43.2%. We observed that the patients were operated most frequently for herniopathy (21.3%), shunt/external ventricular drainage (19.7%) and cranial mass (18.7%), and 77.3% of the cases were elective surgery. The average duration of anesthesia was 145.9 minutes. Thiopental (46.7%) and propofol (45.6%) were used most frequently as induction agents, while rocuronium (93.7%) was preferred as the neuromuscular blocking agent in almost all patients. Remifentanil (81.4%) was the most commonly used intraoperative analgesic. While inhalation anesthesia was preferred for maintenance in 3077 (59.5%) patients, total intravenous anesthesia was used in 1811 (35.1%) patients. Complications developed in 24.1% of the patients, and cardiovascular complications were observed in 71.9%. The study evinced that 1282 patients (24.8%) needed postoperative intensive care. This study revealed that the repetition of retrospective studies at regular intervals would contribute to the development of anesthesiology by enabling both the evaluation of the practices in the same clinic and the comparison between clinics.
The use of ezpap in patients with Covid-19 pneumonia and multiple sclerosis
Authors: AKKURT Esma Sevil , SAHIN OZDEMIREL Tugce , ERTAN Ozlem , AKINCI OZYUREK Berna
Published: October 2022

In patients with multiple sclerosis (MS) respiratory muscle weakness and related development of respiratory failure are important causes of mortality. Complications such as atelectasis and susceptibility to respiratory infections are common in these patients. In cases of atelectasis and hypoxemia that develop due to the weakness of inspiratory muscles, the use of EzPAP® positive airway pressure therapy system should also be kept in mind, in addition to nasal oxygen and NIMV treatment options. In this case, we aimed to present our patient with the diagnosis of MS who was followed up for severe Covid 19 pneumonia and for whom EzPAP® positive airway pressure therapy system was used for treatment.
Central venous catheter related Superior Vena Cava Syndrome after renal transplantation in two cases
Authors: ÇAM Ender , ÜLGER Fatma
Published: October 2022

Vena cava superior syndrome is a specific clinical disease; very important obstruction of the large central veins. Catheter-related deep vein thrombosis (DVT) and vena cava superior (VCS) syndrome are rare but serious complications that require specific care in these selected renal transplant recipient. Thrombosis formation, is a major complication of central venous catheter (CVC) attempts, however, arterial puncture, hematoma, and pneumothorax are more common complications. Mechanical complications of (CVC) have been reported in 5% to 19%. Incidences of CVC thrombosis have been reported in up to 66% of patients in venographic studies, however; VCS syndrome is a rare complication. After evaluating the catheter-related thrombosis risk, hemodialysis catheters were found to be the highest risk in comparison with other catheters. Catheter-related DVT and VCS syndrome are rare but serious complications require specific care in these renal transplant recipients. We report two cases of vena cava superior syndrome due to CVC thrombosis after kidney transplantation in two chronic renal disease patients with histories of previous catheter thrombosis.
General anesthesia application with the patient who has kabuki make-up syndrome
Authors: AKÇA Hilal , SUBAŞI Ferhunde Dilek , SOZUER Sami Yarkın , EKICI Osman
Published: October 2022

Kabuki Syndrome is disease derived from a rare genetic mutation that is particularly characterized by distinctive facial features, musculosketal malformations, mental retardation and cardiopulmonary anomalies and several pathologies. From anesthetic aspect, this syndrome may cause both cardiovascular and inspiratory problems, defects in palate and collum and also a number of difficulties in selecting medications and invasive procedures. Difficult intubation, prolonged neuromuscular blockage and malignant hyperthermia are frequently encountered problems in the patients with Kabuki Syndrome. An attentive examination of the patient in preoperative stage and appropriate medication preference is essential in order to prevent complications.
A rare cause of post-ESD pain: Submucosal hematoma at the lesion margin
Authors: ABİYEV Azar , DUMANLI Serkan , ERGİN Mustafa , İBİŞ Mehmet
Published: October 2022

Submucosal hematoma at the margin of the excised lesion after endoscopic submucosal dissection is extremely rare. These patients may experience persistent epigastric pain after the procedure. In this case, report we will discuss about a rare condition.
Aortic dissection with cerebral infarction
Authors: NALBANT Ercan , ALTUNTAŞ Mehmet
Published: October 2022

Aortic dissection is a fatal cardiovascular health problem. Chest and back pain are among the common complaints of the patients, and they may also apply with atypical clinics. It is very difficult to diagnose with examination and anamnesis, especially in patients who present with poor consciousness and stroke symptoms. In this study, we wanted to present a 62-year-old female patient who had syncope at home and was unconscious for about 1 hour, has stroke symptoms, and aortic dissection was detected in her examinations. When no hemorrhage was detected in non-contrast brain CT, neck and brain contrast-enhanced CT angiography imaging was performed. Aortic dissection flap extending to the right carotid communis was detected in the imaging. Clinicians should pay attention to detailed examination and be alert for further examinations in order not to harm the patient in terms of underlying causes, especially in unconscious patients who have a stroke clinic and cannot express their complaints in a healthy way.
Dasatinib: A rare cause of recurrent cardiac tamponade
Authors: AKÇAY Murat , ÇOKSEVİM Metin
Published: October 2022

Dasatinib is one of the second-generation tyrosine kinase inhibitors (TKI) that used as the first line for the treatment of Philadelphia chromosome (Ph) positive chronic myeloid leukemia (CML). Several cardiovascular side effects such as pleural-pericardial effusion, pulmonary hypertension, prolonged QTc interval, and platelet dysfunction have been reported. A 59-year-old female with worsening dyspnoea was diagnosed with cardiac tamponade twice in six months period after initiation of Dasatinib 100 mg per day for CML. She was successfully treated with drainage of effusion percutaneously and discontinuation of Dasatinib. Recurrent cardiac tamponade is a rare complication related to the use of Dasatinib. It should be kept in mind that Dasatinib is a potential agent for pericardial effusion, especially when other possibilities are excluded.
Bispectral index
Authors: SÖNMEZ Ertan , ÖZKAN Abuzer
Published: October 2022

We have read the article titled “Relationship between the national institutes health stroke scale score and bispectral index in patients with acute ischemic stroke” prepared by Özdemir et al. with great interest. We thank the authors and the editorial board for publishing this informative and successful manuscript. We also would like to mention a few important points about bispectral index.
The impact of corrective surgery for thoracolumbar kyphotic deformity on health-related quality of life in patients with ankylosing spondylitis
Authors: PAKSOY Kemal
Published: October 2022

Ankylosing spondylitis is a chronic inflammatory disease. It might affect the facet, sacroiliac joint, and vertebra regions. It leads to thoracolumbar kyphotic deformity in the spine region. Both ankylosing spondylitis and kyphotic deformity impair the patients' quality of life. Our objective was to assess the impact of the correction of kyphotic deformity in ankylosing spondylitis on health-related quality of life. 11 thoracolumbar kyphosis patients diagnosed with ankylosing spondylitis were operated and their deformity was corrected. Medical Outcome Study Short Form-36 (SF-36), visual analog scale (VAS), and Oswestry disability index (ODI) studies were performed on patients before surgery and 1 month after surgery to assess their impact on health-related quality of life. In our study, postoperative changes in the sub-parameters of the SF-36 test, which was used to assess the health-related quality of life of patients, were determined to be statistically significant compared to post-surgery. Likewise, postoperative changes in VAS and ODI tests compared to pre-surgery were also statistically significant. Corrective surgery of thoracolumbar kyphosis in patients with ankylosing spondylitis has a positive impact on both better health-related quality of life and recovery of back and low back pain.
Lipid ratios improve early detection of atherosclerotic cardiovascular disease in women with hypertensive disorders in pregnancy
Authors: ATOE Kenneth , ONOVUGHAKPO-SAPKA Ejuoghamran Oriseseyigbemi
Published: October 2022

In a normal healthy pregnancy, increased lipid profiles help to encourage fetal development, but in hypertensive disorders in pregnancy, these changes in lipid profiles are amplified, which may predispose these women to atherosclerotic cardiovascular disease. The study's aim was to determine the alteration in lipid profile levels of women with hypertensive disorders in pregnancy and also calculate their atherogenic risk ratios, with the view to improving the predictive capacity of the lipid assay for the risk of arteriosclerosis and cardiovascular incidence. This study enlisted 190 participants, which included 124 pregnant women with preeclampsia, 30 pregnant women with pregnancy-induced hypertension, and 36 pregnant women with normal blood pressure who served as controls. Lipid profile was determined via the enzymatic method from blood samples obtained from the participants. When compared to normotensive control study participants, patients with hypertensive disorders in pregnancy had a slight increase in total cholesterol and LDL cholesterol, as well as a substantial difference in triglyceride levels. Despite minor increases in total and LDL cholesterol levels, the case group's mean atherogenic index plasma, atherogenic coefficient, and Castelli risk index I and II were all higher than the control group's. Individual lipid parameter measurements were found to be ineffective in evaluating the relative contribution of lipids to cardiovascular risk in pregnant patients with hypertensive disorders. Lipid ratios, also known as atherogenic indices, were found to be more effective in assessing the relative contribution of lipids to cardiovascular risk.
Mosque‒Dār al-Imāra Complex at ʿAnjar
Authors: Santi Aila
Published: October 2022

Located in a corner of the Biqāʿ Valley, midway along the ancient route linking Beirut to Damascus, ʿAnjar remains one of the most significant—though least understood—Umayyad foundations in Greater Syria. With a plan shaped in strict accordance with the criteria of Hippodamian urbanism, the town constitutes a unique trait d’union between the classical urban tradition and the foundations of the early Islamic empire. This notwithstanding, and despite the importance of the site having been recognized and emphasized by many scholars, its origins, history, purpose, and patronage remain major enigmas in the field. This paper will discuss some insights surfaced from an analysis of the mosque‒dār al-imāra complex in ʿAnjar with the aim to contribute to a more nuanced understanding of the site’s use and meaning in the Marwānid period.
The Integration of Social and Emotional Education in the European Context
Authors: Do Dung Thi , Estrela Pereira Adrian , Zsolnai Aniko
Published: October 2022

In the European context, social and emotional education (SEE) has been developed from social and emotional learning (SEL) and aims to be a core curriculum element across the region. However, to reach the current development in SEE, apart from the effort of individual nations, the roles of the European Union (EU) in uniting and strengthening the SEE concept across its member states is significant. This paper employs document analysis method as the main tool to accentuate the roles of the EU in this development process. It first identifies the educational context and policies articulated by the EU as the foundation for the induction and inception of SEE into the area, which are reviewed afterward. Finally, the current module of SEE adopted across the EU members is introduced as an illustration of the EU’s effort to bolster SEE in their regional area. This paper presents a good example of how a regional union unites and boosts their regional development in general and particularly educational innovation.
Memorias históricas. El relato de sí extrabiográfico en Notas al pie y en Llamarada
Authors: Lorinquer-Hervé Marie
Published: October 2022

Las novelas gráficas Notas al pie de página y Llamarada, publicadas en un lapso de tres años por autoras y autores argentinos instalados en Europa, insertan la última dictadura militar argentina en tramas temporales y geográficas que van más allá de la misma. Este artículo analiza como acontecimientos que Vollenweider y González no vivieron de forma directa, sea parcialmente o en absoluto, son narrados, paradójicamente, mediante un relato íntimo. Se plantea de este modo la división interna de la categoría de cómics testimoniales entre la autobiografía y el relato sociohistórico y, en última instancia, se remite también a algunas de las modalidades con las que el cómic argentino actual recupera la voluntad de los años 1980 de tratar la realidad local como “materia aventurable” y el compromiso político del cómic de los años 1960 y 1970.
“Los tiempos han cambiado y yo soy moderna”. Construcción y evolución de las identidades femeninas durante la apertura franquista
Authors: Rodríguez Moreno José Joaquín , Sepúlveda Navarrete Paula
Published: October 2022

Durante los años del Franquismo las jóvenes españolas tuvieron poca variedad de roles de género entre los que elegir más allá de los que el propio régimen pregonaba, basados siempre en los valores tradicionales y católicos. Las primeras revistas juveniles femeninas que aparecieron, como Mis chicas, se hicieron eco de dichos valores proclamando la plenitud de ser madre y ama de casa, mensaje que no dudaron en repetir otras editoriales que no dependían del régimen, como sucedió con la revista Florita, que pese a su aspecto moderno seguía manteniendo su discurso tradicional. De este modo, la publicación de Sissi a finales de los años cincuenta representó un importante cambio, pues mostraba un escenario diferente, en el que las mujeres podían formarse, enamorarse y trabajar fuera de sus casas. Pero Sissi mostraba una tensión interna entre los viejos discursos y las nuevas costumbres que empezaban a llegar a España. Para entender si la revista realmente reflejaba los cambios que se producían y representó un avance con respecto a los modelos de género tradicionales, el presente artículo analiza la diferencia entre Sissi y las publicaciones que la precedieron, prestando atención al modo en que se producían sus contenidos, la influencia real que tuvo la censura y el mensaje que planteaban, mostrando sus propias contradicciones internas.
Этнокультурные константы в художественных текстах Б.Л. Васильева и В.Н. Крупина
Authors: Казютина Евгения Сергеевна , Озерова Елена Григорьевна , Покручина Майя Юрьевна
Published: October 2022

Вопросы этнокультурного своеобразия русского художественного текста раскрывают национально-культурную специфику в преломлении индивидуально-авторского мировосприятия. В настоящее время данная проблема нуждается в теоретическом обосновании и разработке, поскольку включена в паспорт специальности 5.9.5. Русский язык. Языки народов России. Поскольку тема исследования национально-культурной специфики русских художественных текстов является малоизученной, целью настоящей работы является анализ этнокультурных факторов, которые репрезентируют национально-культурную специфику вербализации художественного слова в произведениях современных авторов – Б.Л. Васильева и В.Н. Крупина. Благодаря проведенному анализу художественных текстов выявлены этнокультурные факторы порождения художественной прозы и раскрыта национально-культурная специфика текста на примере современных русских писателей.
Исконная и заимствованная лексика в наименованиях коммерческих объектов городского пространства
Authors: Позднякова Елена Юрьевна
Published: October 2022

Рассмотрен вопрос о происхождении и функционировании одной из групп собственных имен – коммерческих эргонимов – в современном городском дискурсе. Материалом для исследования послужили наименования коммерческих объектов, представленные в городском пространстве названиями предприятий гостиничного и ресторанного сервиса, туристической сферы, названиями магазинов, торговых центров и торгово-развлекательных комплексов и пр. Все эргонимы по происхождению были разделены на две основные группы: эргонимы, образованные на основе иноязычной лексики и на основе исконной лексики. Анализ языкового материала позволил выявить наиболее распространенные способы создания коммерческой эргонимии, среди которых самым продуктивным является лексическое заимствование. Большинство эргонимов, производных от иноязычной лексики, образовано на базе лексических единиц, заимствованных из английского языка, в числе других продуктивных языков-источников заимствования отмечены французский, итальянский, испанский, латинский, греческий языки. Существуют как названия, в которых задействован лишь один язык (русский или английский, а также некоторые другие языки), так и названия, представляющие собой комбинацию языковых единиц из нескольких (двух и более) языков. Среди них встречаются транслитерированные, нетранслитерированные лексические единицы, единицы, сочетающие исконное и заимствованное слово, а также единицы со смешанным графическим оформлением.
Predictors of Help-Seeking Intention of Nursing Mothers Towards Postpartum Depression in Osogbo, Osun State
Authors: I.T. Ajibade , O.O. Oyerinde , P.O. Ajibade , A.E. Nkanga , J. Dangana , J. Faith
Published: October 2022

Postpartum depression is one of the major public health concerns for women of reproductive age. Studies have shown a rise in postpartum depression among nursing mothers in every part of Southwest Nigeria.Therefore, this study examined the predictors (Knowledge and sociodemographic characteristics) of Help-seeking intention towards postpartum depression among nursing mothers in Osogbo, Osun State. A cross-sectional design was adopted for this study. The multistage sampling technique was used to enroll two hundred and fifty nursing mothers from the total population of nursing mothers from facilities in the study location. Data was collected using a validated interviewer-administered questionnaire consisting of items on demographic characteristics, Knowledge of nursing mothers on postpartum depression, and items on Help-seeking intention towards postpartum depression. A standard mental help-seeking intention tool was used. Help-seeking intention toward postpartum depression was measured on a 7-point rating scale, which was categorised into low (≤ 4) and high (> 4-7). Descriptive statistics (Frequency) and Inferential statistics (Chi-square, binary logistic regression) were conducted to give statistical responses to the research hypotheses. The mean age of the mothers was 29.3 ± 5.4 years. The majority (85.6%) of the respondents were married. More than half (58.4%) of the respondents had tertiary education. More than half (59.6%) of the respondents had high Help-seeking intention toward postpartum depression. Furthermore, the respondent’s level of education had a significant relationship with Help-seeking intention toward postpartum depression (X2=19.1; p=0.004). However, there was no significant between respondent’s age (X2= 1.58;p=0.45); marital status (X2= 3.51; p=0.32); religion (X2=1.18;p=0.55); occupation (x= 10.0; p= 0.07); monthly income (X2= 5.71; p= 0.06) and Help-seeking intention toward postpartum depression. There was a statistically significant association between the respondents' knowledge and the Help-seeking intention of nursing mothers.
Library Policies for 21st Century Reference Service Delivery: Its Implication For Post Covid-19 Era
Authors: E. Okwu , B.B. Obi
Published: October 2022

In the 21st century, the internet has become a powerful, popular and more essential channel for the delivery of reference services and it is rapidly gaining wide patronage. In order to key into this new concept, libraries have resorted to leveraging digital technologies to meet the information needs and demands of the 21st century seekers in this era. However, to freely and confidently utilise the digital technologies in reference service delivery, there is a need to have policies which will guide the reference service delivery and the technologies to adopt. This paper discussed the library policies for 21st century reference service delivery and its implication for present day information seekers that will enhance reference services. It also explained the five laws of library science as applicable to reference services in this period, the information sources required and the way forward.
Boosting operational performance through logistics drivers: Evidence from manufacturing industry
Authors: Miteku Mintesnot Abay , WoldSilase Bahayilu Dessalegn , Dawed Endris Ali
Published: October 2022

The aim of the study was to examine the impact of logistics drivers on the operational performance of large manufacturing industries in Ethiopia. To this end, the researchers employed an explanatory research design with a mixed approach. To select the case industries the researchers used the census sampling technique and stratified sampling technique for respondents’ selection. Both primary and secondary data were accessed about the issue to analyze. After the data collection process, the study used a partial least square structural equation model (PLS-SEM) to find the relationships between the hypothesized constructs. In this study, inferential analysis was made with the support of smart PLS software. The result of the finding depicts that the product of R2 Value specifies that 69.1% of enhancement in an endogenous variable (i.e., Operational performance) is caused by the joint results from the exogenous variable (i.e. Transportation, Inventory, and facility Management). The finding also shows that there are raw materials and currency problems that made the industries produce below their capacity.
FFT Analysis and Motion Classification of EMG Signals
Authors: AKGÜN Gazi , DEMİR Uğur , YILDIRIM Alper
Published: October 2022

Bu çalışmada EMG sinyallerinin frekans analizi yapılarak elde edilen veriler ile hareket sınıflandırması yapmak amaçlanmıştır. Üç kanaldan toplanan EMG sinyalleri uygun pencerelere ayrılarak her bir pencereye” hilbert “ zarflama yöntemi uygulanmış ve FFT katsayıları hesaplanmıştır. Kaydedilen EMG sinyallerinin frekans spektrumları incelenmiştir. Bu katsayıları ile bir sınıflandırma algoritmasında kullanmak amacıyla her bir pencerenin ağırlıklı frekans bileşeni hesaplanmıştır. Elde edilen veriler YSA (Yapay sinir Ağları) algoritmasının eğitilmesi amacıyla kullanılmış ve bu işlem EMG sinyallerinin sınıflandırılması amacıyla kullanılmıştır. Sınıflandırma işlemi sonucunda özellikle aynı kas gruplarındaki kasılma kuvvetleri ile birbirinden ayırt edilebilen hareketlerin yalnızca frekans domeninde değil zaman domeninde de incelenmesi gerektiği sonucuna varılmıştır.
Classification of Skin Cancer with Deep Transfer Learning Method
Authors: AL-SAEDİ Doaa Khalid Abdulridha , SAVAŞ Serkan
Published: October 2022

Skin cancer is a serious health hazard for human society. This disease is developed when the pigments that produce skin color become cancerous. Dermatologists face difficulties in diagnosing skin cancer since many skin cancer colors seem identical. As a result, early diagnosis of lesions (the foundation of skin cancer) is very crucial and beneficial in totally curing skin cancer patients. Significant progress has been made in creating automated methods with the development of artificial intelligence (AI) technologies to aid dermatologists in the identification of skin cancer. The widespread acceptance of AI-powered technologies has enabled the use of a massive collection of photos of lesions and benign sores authorized by histology. This research compares six alternative transfer learning networks (deep networks) for skin cancer classification using the International Skin Imaging Collaboration (ISIC) dataset. DenseNet, Xception, InceptionResNetV2, ResNet50, and MobileNet were the transfer learning networks employed in the investigation which were successful in different studies recently. To compensate for the imbalance in the ISIC dataset, the photos of classes with low frequencies are augmented. The results show that augmentation is appropriate for the classification success, with high classification accuracies and F-scores with decreased false negatives. With an accuracy rate of 98.35%, modified DenseNet121 was the most successful model against the rest of the transfer learning nets utilized in the study.