bluuebunny/crossref_metadata_2025 huggingface dataset:
DIŞ TİCARET İŞLEMLERİNİN TMS İLE İLİŞKİSİNİN VERGİ USUL KANUNU ÇERÇEVESİNDE DEĞERLENDİRİLMESİ
Authors: AKÇAY Serkan , UYSAL Merve
Published: March 2019

Bu çalışmada dış ticaret işlemlerinin Türkiye Muhasebe Standartları’ndan(TMS) hangileriyle daha çok ilişkili olduğundan bahsedilmiş ve ilişkili olan standartların, vergi mevzuatı ile olan uyum ve farklılıklarına değinilmiştir. Globalleşme ile önemli hale gelen dış ticaret işlemlerinden ithalat ve ihracat kavramı, uygulamalarda karışıklık yaratmamak adına uluslararası standartlara uygun şekilde muhasebe kayıtlarına alınmalıdır. Bunun yanında ülkemiz vergi kanunları açısından da uyumluluk göstermelidir. Türkiye açısından büyük önem arz eden kambiyo işlemlerinin hangi muhasebe standartlarıyla ilişkili olduğu V.U. Kanunu açısından değerlendirilerek ilgili kanuna uyumluluğunun değerlendirilmesi amaçlanmıştır. Bunun için, literatür taraması yapılarak, çalışma teorik çerçevede inceleme yapılarak tamamlanmıştır.  Sonuç olarak, küreselleşmenin etkisiyle gelişen dış ticaretle birlikte muhasebenin de küreselleşmesi gerekliliği doğmuş ve ülkeler uluslararası standartları benimseyerek dış ticaret ile ilgili muhasebe kayıtlarını oluşturmaya başlamışlardır. Bununla beraber, VUK ile TMS’nın uluslararası standartlarla uyumlu olduğu tespit edilmiştir. Küçük farklılıkların ise yeni V.U.K. ile giderilmesi zorunluluğu bulunmaktadır.
GİRİŞİMCİ KİŞİLİK ÖZELLİKLERİNİN GİRİŞİMCİLİK NİYETİ ÜZERİNE ETKİSİ: UYGULAMALI GİRİŞİMCİLİK EĞİTİMİNE KATILANLAR ÜZERİNE BİR ÇALIŞMA
Authors: BALLI Ayşe İpek KOCA , ÜSTÜN Ferda
Published: March 2019

Bu çalışmanın amacı, uygulamalı girişimcilik eğitimine katılanların girişimci kişilik özelliklerini ve girişimci kişilik özelliklerinin girişimcilik niyeti üzerindeki rolünü belirlemektir. Araştırma amaçları doğrultusunda tasarlanan ölçme aracında girişimci kişilik özelliklerini belirlemek amacıyla İşcan ve Kaygın (2011) tarafından geliştirilen girişimci kişilik özellikleri ölçeği; girişimcilik niyetini belirlemek amacıyla ise Liñán ve Chen (2009) tarafından geliştirilen girişimcilik niyeti ölçeği kullanılmıştır. Çalışma sonuçlarında en yüksek olarak gözlenen girişimci kişilik özelliğinin kendine güven, en düşük olarak gözlenen girişimci kişilik özelliğinin ise belirsizliğe karşı tolerans, olduğu belirlenmiştir. Bununla birlikte girişimci kişilik özelliklerinden kendine güven, başarma ihtiyacı, iç kontrol odağı ve belirsizliğe karşı tolerans ile girişimcilik niyeti arasında anlamlı ilişkiler saptanmıştır. Bununla birlikte risk alma ve yenilikçilik ile girişimcilik niyeti arasında anlamlı bir ilişki bulunamamıştır.
THE EFFECTS OF TRANSACTIVE MEMORY SYSTEMS, COLLECTIVE MIND AND INNOVATIVE CULTURE ON KNOWLEDGE CREATION CAPABILITY
Authors: ÇETİN Sabahattin
Published: March 2019

Circumstances that changes in time require firms to have different skills in order to survive and acquire competitive advantages. Today’s intensive knowledge environment makes knowledge transfer and integration to create new knowledge crucial to be able to obtain valuable knowledge. In this study, factors that affect knowledge creation capability that are important for firms are discussed. Within this context, transactive memory systems, collective mind and innovative culture variables are studied as the antecedents of knowledge creation capability. According to the study conducted with 267 firms operating in software sector at the technology development sites in Istanbul and Ankara, empirical results demonstrate that transactive memory systems, collective mind and innovative culture variables do have positive effects on knowledge creation capability.
Genome-wide profiling of miRNA expression patterns in tubal endometriosis
Authors: Qi Hang , Liang Guiling , Yu Jin , Wang Xiaofeng , Liang Yan , He Xiaoqing , Feng Tienan , Zhang Jian
Published: March 2019

MicroRNA (miRNA) expression proﬁles in tubal endometriosis (EM) are still poorly understood. In this study, we analyzed the differential expression of miRNAs and the related gene networks and signaling pathways in tubal EM. Four tubal epithelium samples from tubal EM patients and five normal tubal epithelium samples from uterine leiomyoma patients were collected for miRNA microarray. Bioinformatics analyses, including Ingenuity Pathway Analysis (IPA), Gene Ontology (GO) analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis, were performed. Quantitative real-time polymerase chain reaction (qRT-PCR) validation of five miRNAs was performed in six tubal epithelium samples from tubal EM and six from control. A total of 17 significantly differentially expressed miRNAs and 4343 potential miRNA-target genes involved in tubal EM were identified (fold change >1.5 and FDR-adjustedPvalue <0.05). IPA indicated connections between miRNAs, target genes and other gynecological diseases like endometrial carcinoma. GO and KEGG analysis revealed that most of the identified genes were involved in the mTOR signaling pathway, SNARE interactions in vesicular transport and endocytosis. We constructed an miRNA-gene-disease network using target gene prediction. Functional analysis showed that the mTOR pathway was connected closely to tubal EM. Our results demonstrate for the first time the differentially expressed miRNAs and the related signal pathways involved in the pathogenesis of tubal EM which contribute to elucidating the pathogenic mechanism of tubal EM-related infertility.
Demilitarizing a small African country: Rationale, necessary conditions, and financing
Authors: Harris Geoff , Letsie Tlohang
Published: March 2019

Most efforts directed at security sector reform (SSR) in African countries have had very little impact. This includes efforts aimed at a more rational allocation of tasks and resources in the sector. This article is concerned with the strongest form of SSR, the total disbanding of military forces. The best example of effective demilitarization is Costa Rica, which has flourished since it disbanded its military some 70 years ago. The strategic situation, the negative behavior of its defense force since its formation, and the opportunity costs of military expenditure provide a strong case for the demilitarization of Lesotho, a small country in southern Africa. Five necessary conditions for a successful demilitarization can be identified, namely its acceptance by a country’s citizens, a willing government, a detailed demilitarization plan, an implementing agency, and adequate finances. While these are interrelated, the article focuses on financial aspects, including the need for foreign assistance to finance the initial investment required. The peace dividend resulting from demilitarization could be used to provide a basic income grant to all adult citizens. We estimate that this would raise average incomes of the poorest 95 percent of households by around 20 percent per annum.
Remote monitoring of the snow loads on a roof of buildings
Authors: Lobkina V. A. , Kononov I. A. , Potapov A. A.
Published: March 2019

Obtaining actual data on a change in the value of snow load for a snowfall is an important task the solution of which is usually neglected. The purpose of the work was to obtain a data on dynamics of the snow load change on a roof for a snowfall. A system for remote monitoring of the snow load was developed for this purpose. This system allows continuous gathering and transmission of the data on the snow load change from a unit of area. Obtaining this information gives an indication of the size of snow loading and dynamics of the snow accumulation during snowfall. The developed system provides continuous collection and transmission of data about the changing snow load per unit area. This information makes possible judging values of the snow load and its dynamics during a snowfall. Using of this system allows monitoring of snow accumulation during a snowfall. Discreteness of the system is 1 minute, and the sensitivity to the load change is 50 g. The platform is designed for a load less than 100 kg. When a snowfall ends the platform should be cleaned. In 2015, the system has been just tested, but in future we plan to use the system without cleaning for the whole snow season. In this connection, the more powerful sensors will be used. The system consists of a rectangular platform with an area of 1 m2, and it is equipped with four load cells «TOQUES» BBA at the corners. It was used for two months from late January to mid-March. In total, nine snowfalls were observed. In the winter season of 2014/15, increases of snow loads changed within the range of 10–100 kg/m2. Analysis of the data shows that the maximum snow load exerted on the roof takes place at a snowfall peak, after that it decreases under the influence of external factors. Three main factors influencing formation of the snow loads on a flat roof are as follows: the quantity of solid precipitation, the snow melting, and redistribution of snow by wind. Using of the system allows obtaining actual values of snow load on roofs of buildings instead of data calculated from the snow weight on the ground. These values can be then used to correct standards for the snow loads.
Prescribing Physical, Occupational, and Speech Therapy Services for Children With Disabilities
Authors: Houtrow Amy , Murphy Nancy ,   COUNCIL ON CHILDREN WITH DISABILITIES, Kuo Dennis Z. , Apkon Susan , Brei Timothy J. , Davidson Lynn F. , Davis Beth Ellen , Ellerbeck Kathryn A. , Hyman Susan L. , Leppert Mary O’Connor , Noritz Garey H. , Stille Christopher J. , Yin Larry
Published: March 2019

Pediatric health care providers are frequently responsible for prescribing physical, occupational, and speech therapies and monitoring therapeutic progress for children with temporary or permanent disabilities in their practices. This clinical report will provide pediatricians and other pediatric health care providers with information about how best to manage the therapeutic needs of their patients in the medical home by reviewing the International Classification of Functioning, Disability and Health; describing the general goals of habilitative and rehabilitative therapies; delineating the types, locations, and benefits of therapy services; and detailing how to write a therapy prescription and include therapists in the medical home neighborhood.
Clinical Characteristics and Prognostic Factors of Patients with Intrahepatic Cholangiocarcinoma with Fever: A Propensity Score Matching Analysis
Authors: Gong Zi-Jun , Cheng Jian-Wen , Gao Pin-Ting , Huang Ao , Sun Yun-Fan , Zhou Kai-Qian , Hu Bo , Qiu Shuang-Jian , Zhou Jian , Fan Jia , Yang Xin-Rong
Published: March 2019

Background

Patients with intrahepatic cholangiocarcinoma (ICC) rarely present fever as the initial symptom. We aimed to identify clinical characteristics and prognostic factors for these feverish patients.

Subjects, Materials, and Methods

This study retrospectively reviewed 31 patients with ICC with fever (≥38.0°C) treated at our hospital between January 2002 and December 2014. A propensity score was used to match patients with and without fever at a ratio of 1:2.

Results

Patients with ICC with fever had higher serum γ-glutamyl transferase and carcinoembryonic antigen levels, larger tumors, poorer tumor differentiation, and worse prognosis (all p < .05) than those without fever. This was supported by propensity score matching (PSM) analysis. Univariate and multivariate analyses indicated that microvascular invasion, hilar lymph node metastasis, and temperature ≥ 38.6°C were related to prognosis. Patients with ICC with fever had higher levels of leucocytes, neutrophils, neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR) in peripheral blood before and after PSM analysis. Body temperature positively correlated with leucocytes (r = 0.599, p < .001), neutrophils (r = 0.644, p < .001), NLR (r = 0.681, p < .001), and PLR (r = 0.457, p = .010).

Conclusion

Patients with ICC with fever ≥38.0°C and ≥38.6°C had poor and extremely poor prognosis, respectively. Radical surgical treatment may improve the prognosis of patients with ICC with fever <38.6°C. However, systemic therapy (e.g., anti-inflammatory and immune therapy) may be preferable to surgery for these patients with fever ≥38.6°C.
Potential use of small-diameter concrete cores for in situ compressive strength assessment
Authors: El-Moussaoui Mayssaa , Dhir Ravindra K. , Robery Peter
Published: March 2019

This paper examines the potential use of small-diameter cores (D < 100 mm), for estimating the in situ cube strength of concrete. The assessment is based on systematic analysis and evaluation of data sourced from published work since 1961, by 243 researchers working at 128 institutions in 32 countries, that yielded a matrix of 32 953 data points. The effects of core diameter (D), length to diameter ratio (L/D) and core diameter to maximum aggregate size (A) ratio (D/A) formed the main basis of the analysis. It is shown that there appears to be no technical justification for having requirements that limit D to 100 mm and/or D/A ≥ 3. Conversion factors are proposed for estimating, from the test results of small cores, the strength of cores having D = 100 mm and L/D between 1·0 and 1·2, which is currently the required size of cores to estimate the in situ compressive cube strength of concrete in the UK. It is shown that, in complying with the test data variability requirement, damage to structural elements through the coring can be reduced by adopting the use of small-diameter cores, down to 25 mm, where the damage is 10% that of 100 mm dia. cores.
Mutations in NUP160 Are Implicated in Steroid-Resistant Nephrotic Syndrome
Authors: Zhao Feng , Zhu Jun-yi , Richman Adam , Fu Yulong , Huang Wen , Chen Nan , Pan Xiaoxia , Yi Cuili , Ding Xiaohua , Wang Si , Wang Ping , Nie Xiaojing , Huang Jun , Yang Yonghui , Yu Zihua , Han Zhe
Published: March 2019

Significance Statement

Mutations in >50 genes can lead to monogenic steroid-resistant nephrotic syndrome (SRNS). The authors found that a young patient with familial SRNS and FSGS carried novel compound-heterozygous mutations in NUP160; this gene encodes nucleoporin 160 kD, one of the protein components of the nuclear pore complex. Using an in vivo renal cell assay on the basis of Drosophila nephrocytes (an experimental podocyte model previously used to validate candidate renal disease genes and specific patient-derived mutant alleles), they validated the NUP160 gene variants as factors implicated in kidney pathology. The findings indicate that NUP160 should be included in the SRNS diagnostic gene panel to identify additional patients with SRNS carrying homozygous or compound-heterozygous NUP160 mutations.

Background

Studies have identified mutations in >50 genes that can lead to monogenic steroid-resistant nephrotic syndrome (SRNS). The NUP160 gene, which encodes one of the protein components of the nuclear pore complex nucleoporin 160 kD (Nup160), is expressed in both human and mouse kidney cells. Knockdown of NUP160 impairs mouse podocytes in cell culture. Recently, siblings with SRNS and proteinuria in a nonconsanguineous family were found to carry compound-heterozygous mutations in NUP160.

Methods

We identified NUP160 mutations by whole-exome and Sanger sequencing of genomic DNA from a young girl with familial SRNS and FSGS who did not carry mutations in other genes known to be associated with SRNS. We performed in vivo functional validation studies on the NUP160 mutations using a Drosophila model.

Results

We identified two compound-heterozygous NUP160 mutations, NUP160R1173×
and NUP160E803K
. We showed that silencing of Drosophila NUP160 specifically in nephrocytes (fly renal cells) led to functional abnormalities, reduced cell size and nuclear volume, and disorganized nuclear membrane structure. These defects were completely rescued by expression of the wild-type human NUP160 gene in nephrocytes. By contrast, expression of the NUP160 mutant allele NUP160R1173×
completely failed to rescue nephrocyte phenotypes, and mutant allele NUP160E803K
rescued only nuclear pore complex and nuclear lamin localization defects.

Conclusions

Mutations in NUP160 are implicated in SRNS. Our findings indicate that NUP160 should be included in the SRNS diagnostic gene panel to identify additional patients with SRNS and homozygous or compound-heterozygous NUP160 mutations and further strengthen the evidence that NUP160 mutations can cause SRNS.
Improving Environmental Simulation Models to Assess Climate Change Impacts
Authors: Armstrong Marc P. , Malanson George P.
Published: March 2019

Increased levels of atmospheric carbon dioxide and other by-products of human civilization are expected to disrupt the global energy budget and induce climatic change, which will aIter the distribution of plant species and the composition of plant communities. In spite of the importance of these projected effects, our understanding of the processes leading to such changes needs to be strengthened. This paper addresses the need to improve models that are used to assess spatial aspects of the response of vegetation to anthropogenic climate change. Several modifications are suggested, each of which relates to changes in forest community composition that occur during periods of climate change: spatial structure is an important determinant of community composition, and therefore, forest fragmentation, and spatial dispersal functions should be explicitly modeled. Other factors to be examined are the interactions of environmental change and competition and the effect of modeling scale on results. The described methodology uses a geographic information system to link interdependent forest plots in a computer simulation model of forest dynamics. Dispersal functions of species, forest fragmentation, and rates of climate change would be varied among runs of the simulation model, and projections would be analyzed for sensitivity using detrended correspondence analysis, variance analysis, and semivariogram techniques. The combination of physically-based dynamic models in a spatially-distributed multi-cell framework requires considerably more computational power than have prior studies. Approaches to computational intensity and efficiency are discussed.
Ortaokul Öğrencilerinin Okuma Kaygılarının Çeşitli Değişkenler Bakımından İncelenmesi
Authors: Çevik Hüseyin , Orakçı Şenol , Aktan Osman , Toraman Çetin
Published: March 2019

Bu araştırmanın amacı Ankara ili, Keçiören ilçesinde öğrenim gören ortaokul
öğrencilerinin okuma kaygılarının çeşitli değişkenler bağlamında
incelenmesidir. Araştırma ilişkisel tarama deseninde gerçekleştirilmiştir.
Araştırmada Ankara ili Keçiören ilçesinde bulunan okullarda öğrenim gören, veri
toplaması kolay, gönüllülük ilkesiyle araştırmaya katılan 368 ortaokul
öğrencisi araştırma grubunu oluşturmuştur. Araştırmada veri toplama aracı
olarak Melanlıoğlu (2014) tarafından geliştirilmiş olan “Okuma Kaygısı Ölçeği
(OKÖ) kullanılmıştır. Verilerin analizinde IBM-SPSS 22 programı kullanılmıştır.
Verilerin normal dağılım göstermemesi nedeniyle analizler Spearman Brown Sıra
Farkları Korelasyon Katsayısı, Mann Whitney U Test, Kruskal Wallis Test gibi
non-parametrik teknikler ile yapılmıştır. Araştırma bulguları incelendiğinde,
katılımcıların okuma kaygısı ölçeği alt boyutları incelendiğinde katılımcıların
okuma sürecini planlama ve okumayı destekleyen unsurlar alt boyutlarında düşük
puanlara yığıldıkları okuduğunu anlama ve çözümleme boyutunda ise ortanın
üzerinde puan aldıkları belirlenmiştir. Türkçe dersi akademik başarı düzeyi ile
gerek okuma kaygısı ölçeğinin toplam puanı ve gerekse alt boyutlarının hiçbiri
ile anlamlı bir ilişki olmadığı belirlenmiştir. Araştırma bulgularına dayalı
olarak cinsiyete, aile gelir düzeyine ve öğrencilerin en son ne zaman kitap
okuduğuna göre okuma kaygısının boyutlarında anlamlı farklılık olmadığı
belirlenmiştir. Hem anne ve hem de baba eğitim durumuna göre göre okuma kaygısı
ölçeğinin sadece “okuduğunu anlama ve çözümleme” alt boyutunda anlamlı farklılık
tespit edilmiş olup, diğer boyutlarda anne ve baba eğitim düzeyine göre anlamlı
farklılık belirlenmemiştir. Anne ve babanın evde kitap okuma durumuna göre
okuma sürecini planlama, okuduğunu anlama ve çözümleme boyutlarında anlamlı bir
farklılık belirlenmiş olup, okumayı destekleyen unsurlar alt boyutu ile okuma
kaygısı toplam puanlarında anlamlı farklılık belirlenmemiştir. Araştırma
bulgularına dayalı olarak okuma kaygısını azaltmaya yönelik eğitsel çalışmalar
düzenlenmesi ve rehberlik yapılması önerilmiştir.
Metadiscursive Nouns in Doctoral Dissertations: A Comparison of Native and Nonnative Speakers of English
Authors: YUVAYAPAN Fatma
Published: March 2019

In today's academic world, speaking to readers and
creating a credible authorial self in academic texts by means of linguistic
devices are essential to become a competent member of an academic discipline.
Among these linguistic devices, metadiscourse receives a prominent place.
Studies have suggested the key role of metadiscourse in achieving a persuasive
academic claim-making. Surprisingly, far too little attention has been paid to
the role of nouns in this process. Considering this gap, this study explicated
the use of metadiscursive nouns in doctoral dissertations written by American
academic writers of English and Turkish-speaking academics of English in a
corpus of 60 doctoral dissertations by using the taxonomy of metadiscursive
nouns suggested by Jiang and Hyland (2016). Specifically, it focused on how
these nouns were employed by native and nonnative academic writers of English
to signal their authorial stance in their doctoral dissertations. The frequency
analysis was performed through Wordsmith Tool 6.0. Log likelihood statistic was
applied to find out whether there was a statistical difference between these
two groups of academic authors regarding the use of metadiscursive nouns. The
results showed that both groups of academic writers displayed similarities on
the overall use of metadiscoursive nouns. In terms of categorical use, similar
employment of metadiscursive nouns was also observed between the two corpora.
Entity was the most frequently applied category, which was followed by
attribute and relation. The frequency counts of these linguistic devices
revealed their prominent role in establishing interaction in academic genres by
offering writers a way of organizing their texts and mitigating their stance.
Hence, they might be integrated to the curricula of academic writing courses.
Criminal Justice Policy Document Analysis . Version 2 v2
Authors: Gitomer Drew
Published: March 2019

This is an adaptation of Yanovitzky & Weber - because we were interested adapting Yanovitzky and Weber's tool for criminal justice reform.All of the policymaking process stuff was kept in, but we modified the list of policy actors, and policy focus, and Appendix C. We also did our coding in NVIvo so removed Appendix D in the oritinal protocol
Botanik bahçelerine yönelik görüş belirleme ölçeği: Güvenirlik ve geçerlik çalışması
Authors: ÖZAY KÖSE Esra , GÜL Şeyda
Published: March 2019

Bu
çalışma, öğretmen adaylarının botanik bahçeleri hakkındaki tutumlarını belirlemeye
yönelik geçerli ve güvenilir bir ölçek geliştirmeyi amaçlamaktadır. Bu amaç
doğrultusunda araştırmacılar tarafından öncelikle ilgili literatür taranmış ve
buna göre öncül maddeler hazırlanarak 76 maddelik ölçek soruları oluşturulmuştur.
Sonrasında ise söz konusu maddeler için uzman görüşü alınarak ölçeğin deneme
formu hazırlanmıştır. 5’li Likert tipinde hazırlanan ölçeğin deneme formu
Atatürk Üniversitesi Kazım Karabekir Eğitim Fakültesinde öğrenim gören 54 (46
kız, 8 erkek) biyoloji ve 327 (276 kız, 51 erkek) fen bilgisi alanından olmak
üzere toplam 381 öğretmen adayına uygulanmıştır. Uygulama sonrası elde edilen
veriler doğrultusunda ölçeğin geçerlik ve güvenirlik analizleri yapılmıştır. Ölçeğin
geçerlik aşamalarında yapılan madde analizi ve açıklayıcı faktör analizi
sonrasında ölçeğin toplam varyansın %50.478’ini açıklayan ve 49 maddeden oluşan
üç faktörlü bir yapıya sahip olduğu ortaya çıkmıştır. Ölçeğin güvenirlik
analizlerinde Cronbach Alpha iç tutarlık katsayısı hesaplanmış ve 0.963 değeri
bulunmuştur. Elde edilen bu bulgular, bu ölçme aracının öğretmen adaylarının
botanik bahçeleri hakkındaki tutumlarını belirlemede geçerli ve güvenilir bir
ölçek olduğunu göstermektedir.
Active Practice of Iyengar Yoga as an Intervention for Breast Cancer Survivors
Authors: Blank Sally , Kittel Jacqueline , Haberman Mel
Published: March 2019

The Iyengar system of Yoga is well suited to meet the guidelines for physical activity for breast cancer survivors. Attention to alignment and symmetry, the use of props, and careful sequencing all improve stamina,strength, flexibility, and confidence, while decreasing stress and side effects. Women (n = 18, ages 48 to 69 years) diagnosed with stage I–III breast cancer and receiving antiestrogen or aromatase inhibitor hormonal therapy were recruited for this study. The range of time since chemotherapy and/or radiation treatment was three months to eight years. The subjects were randomized to either a Yoga (n = 9) or wait-list control group. Beginning level Iyengar Yoga classes were conducted two times per week for eight weeks. The women were given a home instruction sheet to practice once a week at home for a total of three Yoga sessions per week. A 92.9% ± 9.8% (mean ± SD) compliance rate for weekly home practice was achieved. During the sixth week of classes, the subjects were asked to complete a 31-question self-report survey that focused on their feelings of stress, level of physical and mental effort during class sessions, and perceptions about how Yoga practice had influenced their awareness. The preliminary findings indicate that the Yoga class was well tolerated by the participants. 75% of the women reported that they would not prefer a slower paced class with less demanding poses. Yoga practice relieved the joint aches and shoulder stiffness associated with the side effects of hormonal treatment for 25% of the participants. Over 60% of the women reported improved mood and less anxiety as an outcome of the Yoga practice.
Chilaiditi sendromu ve mide kanseri
Authors: BAŞ Onur , MUSTAFAYEV Fuad , VAHABOV Cavanşir
Published: March 2019

Karın ağrısı, nefes darlığı
nedeniyle acil servise başvuran 83 yaşındaki kadın hastanın rektal tuşesinde
melena saptanması üzerine yapılan endoskopide mide antrumundaki ülsere adeno kanser
tanısı konuldu. Hastaya malignite evrelemesi amacıyla abdomen bilgisayarlı
tomografi çekildi. Mide duvarı kalınlığı dışında, Chilaiditi belirtisi de
saptandı. Chilaiditi belirtisi kolon ve/veya
ince barsağın karaciğer ve diyafragma arasına transpozisyonu olarak
adlandırılır. Toplumda görülme sıklığı %0.1-%1 arasındadır. Erkeklerde ve
yaşlılarda daha sık görülür. Genelde tesadüfen saptanır
ve hastalar çoğunlukla asemptomatiktir. Sağ üst kadran ağrısı, nefes darlığı, kabızlık
gibi semptomlarla birlikteliğinde Chilaiditi sendromu olarak adlandırılır. En
sık bilinen önemi diyafragma altındaki gaz görünümü nedeniyle  pnömoperitoneum ile karıştırılarak gereksiz
cerrahi girişimlere neden olabilmesidir. Chilaiditi belirtisinin bazı
hastalıklar ile birlikte olduğu da bildirilmiştir. Literatürde kolon volvulusu,
kronik obstrüktif akciğer hastalığı, siroz, atrofik veya pitotik karaciğer
varlığı, frenik sinir hasarı ve obezitenin Chilaiditi belirtisi ile beraber görüldüğü
vaka sunumları mevcuttur. Chilaiditi belirtisinin kolon kanseri ile beraber
görüldüğü vakalar bildirilmiştir. Bizim hastamızda mide kanseri ile
birliktelik söz konusudur. Karaciğer pitozu, sirozu gibi bazı
patolojilerdeki gibi neden-sonuç ilişkisi kurulamasa da, tümörle birlikte
olabileceği de unutulmamalıdır.
Факторы вероятности трансграничного распространения внутригосударственных вооруженных конфликтов
Authors: Голубев Денис
Published: March 2019

Статья посвящена условиям, влияющим на вероятность пространственного распространения внутригосударственных вооруженных конфликтов через национально-государственные границы. Несмотря на относительную изученность некоторых отдельных факторов данного процесса, в политической науке и в междисциплинарной области, связанной с изучением вооруженных конфликтов, отсутствует комплексное осмысление взаимосвязи этих факторов с механизмом, посредством которого происходит “заражение” соседних государств организованным насилием. Кроме того, большинство исследований основывается на такой операционализации феномена, которая фактически соответствует более общему процессу пространственно-временной кластеризации конфликтов, т.е. их группированию, а не распространению. В связи с этим автор предпринимает попытку выявить, систематизировать и классифицировать наиболее существенные факторы данного явления, исходя из их действительной роли в механизме распространения внутригосударственных конфликтов посредством “заражения”. Выделены три группы таких факторов, а именно: 1) связанные с природой (типом) вооруженного конфликта в государстве-источнике; 2) характеризующие государство-объект; 3) устанавливающие наличие или отсутствие трансграничных условий (потоков), которые выполняют функцию каналов влияния или его опосредуют. В эмпирической части исследования предложена реоперационализация рассматриваемого феномена на основе дезагрегации между кластеризацией конфликтов, вызванной “заражением”, и кластеризацией, обусловленной общими контекстными условиями. Действие факторов проверяется в рамках множества наблюдений концентрации вооруженных конфликтов в макрорегионе постсоциалистического пространства бывшего СССР, Восточной Европы и ряде стран Азии в период с 1991 по 2010 гг. Автор приходит к выводу, что с точки зрения относительного вклада в процесс трансграничного распространения конфликтов важнейшую роль играют факторы, устанавливающие наличие каналов и условий связи и взаимодействия между источником и объектом “заражения”. К таковым могут быть отнесены потоки беженцев и другие сопутствующие эффекты и последствия организованного насилия, наличие транснациональных идентичностных связей, а также смежность территории (общая граница) двух стран. Факторы же, характеризующие природу источника и объекта, проявляют себя скорее как детерминанты более общего феномена группирования вооруженных конфликтов в пространстве и времени внутри отдельных “неблагополучных” регионов и не влияют напрямую на вероятность “заражения”.
Относительная депривация как фактор социально-политической дестабилизации: опыт количественного анализа
Authors: Коротаев Андрей , Шишкина Алиса , Балтач Анастасия
Published: March 2019

В статье анализируется феномен относительной депривации как фактор социально-политической нестабильности на примере событий Арабской весны с использованием методов корреляционного и множественного регрессионного анализа. Относительная депривация операционализирована через такой показатель, как субъективное ощущение счастья, исходя из допущения, что человек, находящийся в состоянии относительной депривации, не может чувствовать себя субъективно счастливым. Показано, что изменение уровня субъективного ощущения счастья между 2009 и 2010 гг. является мощным статистически значимым предиктором уровня дестабилизации в арабских странах в 2011 г. Следующим по силе предиктором оказалось среднее значение субъективного ощущения счастья в данной стране на 2010 г. Протестированные фундаментальные экономические показатели при контроле на переменные, связанные с субъективным ощущением счастья, оказались крайне слабыми и статистически незначимыми предикторами уровня социально-политической нестабильности в арабских странах в 2011 г.
Out of pocket expenditure among Rashtriya Swasthya Bima Yojana beneficiary and non-beneficiary patients admitted to a tertiary care centre, Berhampur, India: a comparative study
Authors: Satapathy Sushree Priyadarsini , Karmee Nivedita , Satapathy Durga Madhab , Tripathy Radha Madhab
Published: March 2019

Background: RSBY, a health insurance scheme, was launched by the Indian government to protect BPL families from incurring financial liabilities which are likely to occur due to hospitalization. Objectives was to compare over all OOPE among RSBY beneficiaries and non-beneficiaries and to estimate its extent during hospitalization in different domains among RSBY beneficiaries and non-beneficiaries.Methods: It was a cross-sectional study conducted for 2 months (January-February 2018) among BPL families residing in Ganjam district, Odisha. Multistage random sampling was done. Total sample size was 256, the number of beneficiaries and non beneficiaries taken was 128 each.Results: Non beneficiaries incurred higher overall OOPE higher i.e. 95.3% than the Beneficiaries and it was found to be statistically significant with x²=74.8 and P-value <0.001. Among beneficiaries out of pocket expenditure was found in 46.1% of the study population. 45.3% of beneficiaries had to borrow partially from friends and relatives to fulfil their hospital related expenses followed by 32% borrowing fully for their treatment. Among beneficiaries, most out of pocket expenditure was for life support services as they sought treatment mostly for surgical conditions.Conclusions: Health insurance coverage should be improved by increasing enrolment. People should be made aware about the services covered under the schemes.
A cross sectional study of patients with poorly controlled asthma at a referral centre
Authors: Rao Shobitha
Published: March 2019

Background: Asthma is a common chronic disease of the airways. Poorly controlled asthma has significant impact on social and economic factors. This study was done to analyse the clinical profile of patients with poorly controlled asthma.Methods: This is an observational, cross sectional study. Total of 100 patients were evaluated. Data collected included symptomatology, assessment of asthma control by asthma control test scoring, spirometry, body mass index, co-morbidities and allergy testing report.Results: Among the 100 patients studied, 52% (n=52) were in the age group of 30 to 60 years. 48% (n=48) were males and 52% (n=52) were females. 76% (n=76) patients had adhered to treatment for bronchial asthma as advised which was in line with standard therapy. 86% (n=86) had co-existing illness. They included allergic rhinitis, obesity, GERD, anxiety, atopic dermatitis and chronic urticaria. 78% (n=78) of these cases were sensitized to indoor and outdoor allergens. 89% of sensitized cases were to house dust mite (n=70 of 78). This was followed by cockroach sensitization which was seen in 30.7% cases (n=24 of 78). Other allergens included pollens in 28.2% cases (n=22 of 78), aspergillus in 25.6% cases (n=20 of 78) and food allergens in 23% cases (n=18 of 78).Conclusions: Poorly controlled asthma cases require detailed evaluation of comorbid conditions and allergen sensitization profiles. Management of these conditions along with allergen control measures may benefit these patients along with step up of therapy.
The effect of educational program based on the health belief model in adopting dental caries preventive behaviour’s in pregnant mothers referring to health treatment centers in Ardabil
Authors: Abbasgholizadeh Nategh , Moradi-asl Eslam , Abazari Malek , Adham Davoud
Published: March 2019

Background: Oral and dental diseases are one of the most common diseases and oral hygiene is one of the important branches of public health which is more important during pregnancy. This study aimed to determine the effect of the educational intervention on oral health behaviours in pregnant mothers.Methods: In this intervention study, 170 pregnant women in the city of Ardabil were randomly selected and divided into two case and control groups (each of 85 people). The data were collected through a researcher-made questionnaire based on the Health Belief Model of oral health care and then they were analysed using the SPSS version 19.Results: Demographic data in both case and control groups were approximately the same. The mean of health belief model variables increased significantly after intervention (P 0.05). Mothers also obtained the most information on the prevention of dental caries before intervention through television programs but after the intervention, they obtained the most information through the curriculum. In this study, before the intervention, 23.7% of mothers used dental floss once a day. After training, this amount reached 40.8% of mothers.Conclusions: Findings showed that educational intervention based on the health belief model can promote oral health behaviours. Therefore, it is recommended to conduct health education courses at the community level.
Utility of world heart federation and modified World Health Organization echocardiographic diagnostic criteria of subclinical rheumatic heart disease in children of Manipur, India
Authors: Thangjam Rajendra Singh , . Rothangpui , Irom Anil , Th Rameshchandra , Ramakrishnan Sivasubramanian , Saxena Anita
Published: March 2019

Background: A comparative prevalence studies using modified WHO and more stringent criteria of WHF2012 have not been conducted in this part of the country and so authors felt necessary to conduct such study in this North-eastern state of India.Methods: In this cross-sectional study, 3600 children aged 5-15 years (11.07±2.86, 51.90% male) from randomly selected schools of Manipur were examined clinically and by 2D colour doppler echocardiography.Results: Only one case of Clinical RHD with a combination of MR and AS was found, (prevalence of 0.28/1000) [CI: 0.04-1.97). Echocardiography detected 3 cases of definite subclinical (prevalence rate of 0.83/1000 (CI: 0.27-2.58], 14 cases of borderline subclinical RHD (prevalence rate of 3.9)/1000 (CI: 2.30-6.56) befitting WHF 2012 criteria, and 61 cases of borderline subclinical RHD befitting modified WHO criteria (prevalence rate of 16.9/1000)[ CI1.3-2.1].On follow up to 5 years, among the 3 cases with definite subclinical RHD, 2 had worsened and 1 remained non- progressive, while among the 14 subclinical borderline cases, 2 normalized, 6 remained non-progressive and 6 children were lost to follow up.Conclusions: Prevalence of RHD using echocardiography is several folds higher compared to clinical examination alone. While the number is reduced by about half using WHF criteria. However, the important of WHO criteria cannot simply be neglected, as all the subclinical cases by WHF criteria remains non-progressive, while one case of subclinical defined by WHO worsen on follow up.
Clinical profile of patients presented with esophageal carcinoma in tertiary care teaching medical college of Gujarat, India
Authors: Kumar Santosh , Shah Amit , Pandya Hetal , Shah Meera
Published: March 2019

Background: Esophageal cancer is associated with multiple risk factors and associated with poor prognosis. Incidence of Esophageal cancer is increases now a days and it became a sixth leading cause of cancer related death in world. The purpose of this study was to know the clinical profile of patients of esophageal cancer in a tertiary care teaching hospital of Gujrat, India.Methods: This is a retrospective hospital record based study for a period of 2015 to 2018 in which 103 patients with endoscopic biopsy confirmed cases of esophageal cancer were analyzed for clinical profile.Results: Esophageal cancer was most common in low socioeconomic men (66%) of 5th decades (26.21%) associated with tobacco chewing (64.07%) as a major risk factor and dysphagia (86.76%) as most common presenting feature. Most common type and involvement were sqamous type (72.81%) and distal third (50.48%) part of the esophagus respectively.Conclusions: Primordial prevention and screening of patients may decrease mortality related to esophageal carcinoma.
Awareness on storage of drugs that should be protected from light among nursing professionals in a tertiary care teaching hospital
Authors: Chepuri Venkata Ravikumar , Kareemulla Shaik , T. Chandana , J. Radhika , Ch. Ascharya , K. Sudharani
Published: March 2019

Background: Despite of prescribing and administration of drugs to the patient, handling of drugs with utmost care by proper storage and use helps the drug not to lose its potency when administered to a patient. Storage is an important aspect of the total drug control system. There is a need to increase awareness among nurse so as to avoid treatment failure. Exposure to light is a concern with numerous medications due to the potential for photodegradation or other chemical reactions that affect drug stability.Methods: This study was conducted on nursing professionals and students (BSc) students 1st year /2nd year, working in different departments of Inpatient and Outpatient in a tertiary care teaching hospital of RIMS Kadapa. The data was collected by using structured knowledge questionnaire on proper storage of drugs that should be protected from light which consists of 20 items, based on their answers score was given1-10.Results: Among 50, the highest number was occupied by staff nurses (28), followed by head nurses (12), student nurses (8) and the least was nursing officers (2). Majority of them were B.Sc. qualified (26), followed by general nursing (10). The M.Sc and diploma qualified nurses were seven and six in number respectively. Based on scoring they were classified as POOR (<5) 13, AVERAGE (5-10) 24, GOOD (>10) 13.Conclusions: In this study half of the nursing professionals have average knowledge on storage of light sensitive drugs irrespective of their experience, so there is a need to increase awareness on storage of light sensitive drugs.
Evaluation of clinical, biochemical and hematological parameters in macrocytic anemia
Authors: Thimmappa Nalina , S. B. Vijeth , G. Prashanth , B. K. Sreedevi
Published: March 2019

Background: Macrocytosis can be seen in many hematological and non-hematological disorders and more than one cause may co-exist in an individual. Serum vitamin B12 and folic acid tests are routinely ordered but they are limited by their low sensitivity and specificity. This study is done to analyze the clinical, hematological and biochemical parameters in macrocytic anemia and to study the difference between megaloblastic and non-megaloblastic anemia in these parameters.Methods: There were 100 patients presenting with macrocytosis were taken in to study. A detailed clinical history and physical examination was done in all cases. CBC, biochemical investigations, peripheral blood examination, Vitamin B12, folate levels, bone marrow aspiration and reticulocyte count was done in all cases.Results: Primary bone marrow disorders were the most common cause of macrocytosis (45%). The other causes in decreasing order of frequency were megaloblastic anemia (36%), alcoholism and liver disease (15%), drug induced (2%) and idiopathic thrombocytopenic purpura (1%). There was a significant difference in the mean values of MCV and serum LDH between megaloblastic and non-megaloblastic macrocytosis. When serum LDH >1124.5IU/L or MCV>120.5fl (criterion values of ROC curve) with reticulocyte count <2% was taken as criteria, the sensitivity was 94.4% and specificity was 93% for diagnosing megaloblastic anemia.Conclusions: Systematic evaluation of macrocytosis will help us to distinguish megaloblastic and non-megaloblastic macrocytosis. The blood and biochemical parameters especially CBC, RC, and serum LDH along with supporting clinical features help us in diagnosing megaloblastic anemia in a setup where vitamin and metabolite levels are difficult to obtain.
Depletion of occupational performance effectiveness in electric power engineering industry: psychophysiological factors and risk evaluation
Authors: Kalnysh Valentyn , Stasyshyn Roksolana , Oliskevych Marianna
Published: March 2019

Background: The modern society cause the increase of workload and impact of environment factors on performance efficiency of occupational duties and health safety of workers. Emergencies and expert mistakes often arise not so much from rules ignorance of object management, but due to insufficient development of worker’s own psychophysiological qualities. The goal of our investigation is to develop the estimation technique for evaluation the risk of depletion in efficiency performance of occupational duties for operative service workers in electric power engineering industry.Methods: In our investigation, we examined the materials of psychophysiological survey by the multivariate statistics, dispersion analysis and regression binary choice models. The study is based on workers’ survey, encompassed exogenous psychophysiological indicators that included the observation of 466 operative service workers of in electric power engineering industry in Ukraine.Results: We determined seven psychophysiological indicators that are significant important risk cause of critical depletion in worker’s occupational efficiency. We estimated the multivariate regression logit model that evaluate the impact of each factor taking into account the age of worker.Conclusions: For workers with high values of average reaction time, regardless of the age group, we predict a high risk of occupational effective performance loss. The analysis showed that for workers with average values of other factors, the increase of adaptability and variability lead to decrease in risk of occupational professional efficiency depletion. Based on developed approach, we estimated that, in electric power engineering industry in Ukraine, the risk of effectiveness loss is less than 0.5 for 84% of workers.
Clinical features, laboratory characteristics and outcome of patients with drug-induced acute liver failure
Authors: Nabi Tauseef , Rafiq Nadeema , Jamil Imran , Arifa Quratul Ain
Published: March 2019

Background: Acute liver failure (ALF) is a rare medical emergency. Its rapid progression and high mortality demand early diagnosis and expert management. Drug-induced ALF (DI-ALF) remains the uncommon cause of ALF in India. Clinical and etiological profile varies with geographical area and time. A prospective study of DI-ALF was carried with the aim to determine the clinical features, laboratory characteristics, outcome and hospital course.Methods: A total of 15 patients with a diagnosis of DI-ALF were included in the study. The variables evaluated were demographic, signs and symptoms, biochemical parameters [bilirubin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), prothrombin time (PT), internal normalization ratio (INR) etc.], outcome and course during hospitalization.Results: Out of 15 DI-ALF patients, 12 had Anti-tuberculosis therapy (ATT) induced ALF and 3 patients had ayurvedic induced ALF. Majority of the patients were females (73.3%) and middle-aged (42.60±14.30 years). Coma grade at the time of admission showed that majority of patients (66.8%) had grade I and II encephalopathy. Depending on the pattern of liver injury, hepatocellular pattern was most common (53.3%) followed by mixed and cholestatic pattern. 40% of patients died with DI-ALF complications of which ATT induced ALF contributed 41.7%. Mean AST was more increased as compared to ALT. Development of ascites (P = 0.030) and mannitol use (P = 0.025) was significantly more common in non survived group than survived group. Length of hospital stay was significantly more in non survived group than survived group (P = 0.009).Conclusions: ATT was the class of drugs most frequently associated with DI-ALF. DI-ALF disproportionately affected middle-aged women. Most DILI ALF patients had hepatocellular injury pattern. 40% of patients died with DI-ALF complications. Development of ascites, mannitol use and length of hospital stay was significantly more in non survived group than survived group.