bluuebunny/crossref_metadata_2025 huggingface dataset:
Post Covid-19 Effect on Avascular Necrosis of Hip Joint
Authors: Ashok Kumar Jha  , Vishal Sidhu
Published: January 2024

Background and objectives: The exact course of Severe acute respiratory syndrome (SARS) -2(COVID-19) and itscomplications on multiorgan system are complex and still under studies. Musculoskeletal system has also beenaffected post covid in various forms. This study was taken up to analyse the effects of covid-19 disease on the hipbone and join tissue.Materials and Methods: Retrospective analysis of ten patients was done who had been hospitalised with covid-19infection and later complained of hip pain . They underwent MR imaging and were found to have degenerativechanges characterizing with avascular necrosis (AVN) of head of femur .One of them had history of previoussurgery of femur with PFN, doing well but developed AVN after COVID .Results: Observation of this group showed a clear correlation among the history of COVID-19 disease in thepatients, moderately severe symptoms, high levels of IgG antibodies, and the time of occurrence of joint changes.No other risk factors for AVN or autoimmune or degenerative diseases were found in the study group. The groupof patients responded well to empirical treatment with anti-inflammatory drugs ans supportive therapy, whichsubsided acute inflammatory symptoms and pain in the joints.Conclusions: It is concluded that there have been obvious musculoskeletal complications in covid patientsincluding AVN which could be attributed to the high use steroids and microembolism leading to bone necrosis.Hence more studies and long follow-up is suggested.
Determinants of Postgraduate Medical Education Regarding Speciality and Place among North Indian Graduates: A Cross Sectional Study
Authors: Aman Dev Singh  , Simmi Oberoi  , Rohit Batish  , Muskan Chopra
Published: January 2024

Background: Medical undergraduates are a vital source of the country’s physicians. Their preference for medicalspecialties helps allocate the workforce among various medical specialties. The options for medical careerspecialties have increased, parallel to expanding knowledge in different fields. Given the vast opportunities tochoose from, the factors influencing the choices of medical interns in our country need to be better understood.Objectives: This study was conducted to know what factors influence the interns to choose the place to pursuepostgraduation.Methods: This cross-sectional study was conducted from July 2022 to August 2022 at GMC Patiala. Out of the 203interns of the MBBS batch 2017 batch, 199 were interviewed using an online google form.Results: Out of the 199 participants, 73.8% of students wanted to pursue postgraduation in India. General Medicine(77.4%) was the most preferred branch. Almost half (47.7%) of students chose the specialty during their internship.Most participants (82%) with a family income of fewer than ten lakhs preferred to pursue Postgraduation in India.Conclusions: Participants favored clinical medicine branches, with General Medicine being the most popular.Family income, rather than marks, influenced the decision to pursue postgraduate studies abroad or in India. Themain reason for studying abroad was better education and a higher standard of living. At the same time, somestudents preferred to stay close to home and study in India for postgraduate studies for the sake of family andfamiliar surroundings.
Can Environmental Peacebuilding Tools Effectively Combat Terrorism in the Democratic Republic of the Congo?
Authors: Hall Jake
Published: January 2024

Since the 2014 breakout campaign of the Islamic State (IS) in Iraq and Syria, IS affiliates have proliferated across the African continent. Given the consistent failure of military campaigns against violent extremist groups (VEGs), policymakers have begun to explore the use of alternative tools like environmental peacebuilding to address the root causes of these conflicts. This paper discusses trends in violent extremism in Africa; highlights the relationship between the environment, conflict, and peacebuilding; and assesses the utility of employing environmental peacebuilding frameworks to combat the Allied Democratic Forces (ADF), an IS affiliate in the Eastern Democratic Republic of the Congo (DRC). The author finds that while environmental peacebuilding may slow recruitment by VEGs in Africa and could reduce conflict within the DRC, it is unlikely that such strategies would effectively stop the Allied Democratic Forces because the group is not primarily reliant upon locally generated funding, does not draw voluntary recruits locally, and relies rather little on the local population for support.
DEVELOPMENT OF A MATHEMATICAL MODEL OF THE EFFECT OF LITHIUM ON THE WEAR RESISTANCE PROPERTIES OF ALUMINUM-LITHIUM ALLOYS
Authors:   Tashkent State Technical University, Tashkent, Uzbekistan, Sarvar Tursunbaev , Nodir Turakhodjaev ,   Tashkent State Technical University, Tashkent, Uzbekistan, Shohista Saidxodjaeva ,   Tashkent State Technical University, Tashkent, Uzbekistan, Anvar Turaev ,   Tashkent State Technical University, Tashkent, Uzbekistan, Mashhura Mardonova ,   Tashkent State Technical University, Tashkent, Uzbekistan
Published: January 2024

In this research paper, the authors investigated the wear resistance of one of the mechanical properties, studying the change in its wear resistance as a result of the action of lithium fluoride on aluminum alloys. Based on the results obtained, a dependence graph was developed, on the basis of which a mathematical model of the effect of lithium on the edibility property was developed.
THE ROLE OF PARTICIPANTS IN THE PROCESS IN THE PRELIMINARY RECORDING OF TESTIMONY
Authors:   Doctoral Student Of The Faculty Of Postgraduate Education Of The Academy Of The MIA Of The Republic Of Uzbekistan., Tashkent, Uzbekistan, Ogli Muhammadaliev Minhojidin Qurbonali
Published: January 2024

This article highlights the essence of the institution of preliminary securing of impressions and analyzes the circle ofparticipants in the process of securing impressions. Also, having studied foreign experience, conclusions, proposals and recommendations were made for the preliminary confirmation of the testimony of both an expert and a specialist.
PEDAGOGICAL APPROACHES FOR ENHANCING PRONUNCIATION AND LISTENING ABILITIES IN ENGLISH FOR ELEMENTARY ESL STUDENTS
Authors:   University of Ondokuz Mayis, Faculty of Yasar Dogu Sports Sciences, Samsun, Turkey, Keskin Levent
Published: January 2024

This comprehensive review, titled "Diversified Intelligences: An In-depth Exploration of Multiple-Intelligence Domains Among Physically Handicapped Individuals Across Demographic Attributes," delves into the intricate relationship between multiple-intelligence domains and demographic characteristics among individuals facing physical handicaps. Drawing on a thorough examination of existing literature, this review aims to elucidate how diverse cognitive abilities manifest in physically handicapped populations across various demographic attributes. The synthesis of findings contributes to a deeper understanding of the nuanced interplay between multiple intelligences and demographic factors, offering insights for tailored support and inclusive strategies.
The Effect of Corporate Social Responsibility and Tourism Development on Regional Development in Berau Regency
Authors: Suharto Rahcmad , Hasid Zamruddin , Ilyas Laode , Mahardika Swadia
Published: January 2024

The aim of the research is to test the truth of regional development theories, namely firm location theory and new economic geography theory, as well as functional development theory, with the research object being the PT company. Berau Coal in Berau district, East Kalimantan province. It recommends the results of research, namely the corporate social responsibility program and tourism development, towards regional development in Berau Regency, East Kalimantan Province. The method used in this research is a quantitative research method. Multivariate analysis is used in analyzing research, involving variables in a number greater than or equal to three variables. WarpPLS is mutivariate-based and can analyze structural equation modeling (SEM). The results of the research show that PT Berau Coal's corporate social responsibility (CSR) program has a positive and significant effect on regional development. The tourism development that has been carried out has been proven to have a positive and significant effect on regional financial independence. The existence of the tourism industry in Berau district has increased regional development. Regional financial independence will become more independent if the contribution of regional original income (PAD) to funding regional development is greater.
College-Level Egyptian Students’ Social Relations and Psychological Well-Being as Predictors of Internet Gaming Disorder: Across Gender Comparison
Authors: Elshaikh Ansam , Elemam Mohamed , Alsheikh Eman
Published: January 2024

The primary objective of the present study was to investigate the effects of quality-of-life domains on internet gaming behavior, while also exploring the moderating role of gender in these effects. As part of a broader project, we conducted an analysis involving a sample of 56 college students who reported engaging in internet gaming. Our analysis focused on the disparities between male and female video game players in terms of their playing habits, motivations, satisfaction levels, and perceived impacts on their social and personal lives. Our study aimed to examine the differences in internet gaming disorder between groups using the IGD test. We also assessed the quality of life in four domains - physical, psychological, social relations, and environmental - using the WHOQoL-BREF scale. We expected that the quality-of-life domains, moderated by gender, would be significant predictors of internet gaming disorder. The results revealed that female players are slightly but significantly older than male players. Mor male players reported positive impacts on their personal and social lives compared to females. Also, male participants reported more positive impacts on their lives compared to the reported negative impacts. Male participants showed increased internet gaming disorder scores compared to female participants. They were more prone to develop at-risk and disordered internet gaming behavior. Both male and female participants had similar scores in quality-of-life domains. On the other hand, decreased social relation scores were associated with increased IGD across all participants. However, the association was found to be more significant within female group.In conclusion, Egyptian male students exhibit a higher occurrence of problematic internet gaming behavior compared to female students. Egyptian female players are more prone to developing problematic gaming behavior when their social relations are not satisfactory.
Evasión Tributaria y Productividad en las Industrias de Cultivos de Larvas de Camarón en la Provincia de Santa Elena, 2022
Authors: Villón Rodríguez Kevin Omar , Aveiga Delgado Jenny
Published: January 2024

El objetivo del presente artículo es identificar el efecto de la evasión tributaria y la relación con los factores de la productividad sobre las Industrias de Larvas en la Provincia de Santa Elena. El diseño de investigación se fundamenta la metodología correlacional con enfoque cuantitativo, y se tomó como referencia el periodo 2022, cuya recopilación de información se dio de plataformas gubernamentales y de fuentes secundarias como bases científicas de revistas indexadas; la muestra considerada en el estudio fue de 10 empresas con características Mediana y Gran Empresa, con la elaboración y aplicación de encuesta en la consta de 10 preguntas con escala de Likert. Los resultados de estudio demuestran que las empresas realizan sus pagos de tributos, sin embargo, poseen inconformidad por los cambios constantes de leyes. La determinación de resultados por el método de Rho. de Spearman con un grado de significancia y relación directa entre las variables de estudio, con un 95% de confianza con coeficiente de 0.679. de relación alta. Por otra parte, la empresa debe promover a sus colaboradores capacitaciones en temas contables y de cultura tributaria, debido que es la forma de contribuir a la sociedad y con las obligaciones de cumplimiento de pagos.
The association of relapsing polychondritis and spondylarthritis – three case reports
Authors:   Rheumatology Department, “Dr. Ion Stoia” Clinical Centre for Rheumatic Diseases, Bucharest, Romania, Dragomir-Lica Eleonora Alina , Moscalu Denisa Elena ,   Rheumatology Department, “Dr. Ion Stoia” Clinical Centre for Rheumatic Diseases, Bucharest, Romania,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, Enache Luminita ,   Rheumatology Department, “Dr. Ion Stoia” Clinical Centre for Rheumatic Diseases, Bucharest, Romania,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, Popescu Claudiu Costinel ,   Rheumatology Department, “Dr. Ion Stoia” Clinical Centre for Rheumatic Diseases, Bucharest, Romania,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, Codreanu Catalin ,   Rheumatology Department, “Dr. Ion Stoia” Clinical Centre for Rheumatic Diseases, Bucharest, Romania,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Published: January 2024

Background. Relapsing polychondritis (RP) is characterized by recurrent episodes of progressive inflammation that lead to the destruction of cartilaginous structures. The etiopathogenesis is not fully elucidated, but it seems to be an immunemediated mechanism directed against type 2 collagen. Case reports. We present a series of 3 clinical cases, which associate RP and spondylarthritis – a woman with psoriatic arthritis (PsA) and two men with ankylosing spondylitis (AS). All cases presented with auricular chondritis, which is the emblem of RP. In the PsA case, RP presented typically, with recurrent auricular chondritis, manifested clinically with a cauliflower-like appearance of the ears. In one of the AS cases, a paradoxical immune reaction related to biological therapy was considered in the differential diagnosis of RP. In the other AS case, the patient had a single episode of chondritis, the recurrence of the disease remains to be proved. Conclusions. The diagnosis of RP is usually based on clinical evidence and the elimination of differential diagnoses, since there is no specific laboratory or imaging test. In 20-30% of cases, RP is associated with other conditions, most frequently with vasculitis, but the association of RP with spondylarthritis is rare.
Improve the Performance of Integrated Collector Storage-Solar Water Heater by using Glazing Confined Air Space: A Numerical Simulation Approach
Authors: Angham Fadil Abed  , Noora A. Hashim  , Muna Hameed Alturaihi
Published: January 2024

A numerical study is presented by double-glazed the conventional rectangular integrated collector storage-solar water heater with internal obstacle in the storage container which improving the performance and making them convenience for household uses. A three-dimensional, laminar and unsteady numerical simulation with the aiding of COMSOL 5.5 software is used to investigate three shapes of integrated collector storage-solar water heaters (single glazed, double glazed, and double glaze-obstacle). The governing equations which represented of conservation equations of mass, momentum and energy. The performance of these systems was tested along two days in February and July during different atmospheric conditions at Kufa-Iraq. In these days, the water temperature reached a maximum value of 61.02 ℃ for no-load condition when the tap temperature was 39.3℃. Obstacle and glazed integrated collector storage –solar water heater shows the higher performance as compared with the two other heaters with a maximum value of instantaneous efficiency of 59.95 % in February.Also, the average Nusselt number and heat transfer between the absorber plate and confined air decreases and this increase a storage water temperature. In general, the total efficiency under no-load conditions is lower than on load case. The results were compared to previous theoretical and experimental work and show a good agreement with a maximum error that not exceeds to (4.24 %).
Investigation of distance education students' opinions on distance education, their expectations on student-student interaction in distance education and their perceptions regarding the community feeling
Authors: DİKEÇ Zeynep , İSLİM Ömer Faruk , YAKIN İlker
Published: January 2024

Distance education offers opportunities for widespread and continuous learning, granting access to information without limitations of time or location. Despite its numerous advantages, the absence of social interaction stands out as a primary obstacle in online learning, as these interactions can play a pivotal role in mitigating students' feelings of isolation and disconnection. Current trends in higher education seek to support students not only in meeting their academic requirements but also in addressing their emotional and mental well-being. This study aims to investigate the perspectives of associate degree students engaged in distance education on various aspects of this mode of learning, their expectations regarding interaction with fellow students, and their perceptions of the community feeling. To conduct this study, a cross-sectional survey method was utilized, involving 102 associate degree students enrolled in distance education programs. The findings of this study suggest that students express a reasonable level of satisfaction with distance education. Students enrolled in distance education courses express a desire to engage with their peers while pursuing online courses. While students may experience some sense of community in the realm of distance education, this sense may not reach a fully satisfactory level. Both the sense of community in distance education and student-student interaction in online courses have a significant and positive impact on students' overall perceptions of distance education.
Adaptation of the Social Determinants of Health Scale for University Students to Turkish: A Validity and Reliability Study
Authors: Karatana Özlem
Published: January 2024

Aim: Focusing, researching, identifying and producing solutions for the social health needs of university students is an important step in terms of individual and public health. The main purpose of this study is to make the Turkish adaptation of the social determinants of health scale and psychometric analyses to identify university students who are at risk for their social health needs and to solve their problems.
Method: The social determinants of health scale for university students was administered to 322 students. For the validity of the scale, content validity index, confirmatory factor analysis, similarity, and discriminant validity coefficients were used, while for reliability, item-total correlations, internal consistency coefficient, and test-retest analysis were utilized.
Results: The content validity index of the Turkish form of the social determinants of health scale for university students was found to be 0.89, and it was decided that there was a consensus among experts. The test-retest reliability correlation was 0.81 and the Cronbach alpha reliability coefficient was 0.71, which was found to be a reliable scale. The scale, which consists of three sub-dimensions measuring general social health needs, social health needs of university students, and promotive social health factors, was compatible with its original form.
Conclusion: The social determinants of the health scale for university students were found to be valid and reliable for Turkish culture. It is thought that it will be useful in determining the social health needs of university students.
Artificial Intelligence in Clinical and Surgical Gynecology
Authors: Polat Gülseren , Arslan Hatice Kübra
Published: January 2024

Clinicians have increasingly been using artificial intelligence (AI) to make decisions and to increase their knowledge in various clinical and surgical gynecological areas. A vast amount of clinical, medical, and biological patient data is processed in fast computer networks using complex algorithms to create mathematical modeling. The development of these mathematical models gives hope of a promising future with their contribution to overcoming the difficulties encountered in the diagnosis, individualization of treatment plans and improving patient outcomes. Virtual AI in clinical gynecology uses pattern recognition to aid diagnosis, plan treatment, and predict outcomes in gynecological malignancies, assisted reproductive techniques, and urogynecology. In gynecological surgery, physical AI combines augmented reality in operations in the form of computer-aided or robotic platforms. However, AI is yet to be fully incorporated into modern medical practice to improve patient outcomes in clinical gynecology.
The SH-SY5Y Human Cell Line: Hawthorne Berry (Crataegus spp.) Protects against 6-OHDA Induced Neurotoxicity In Vitro Model of Parkinson's Disease
Authors: Yeni Yeşim , Hacımüftüoğlu Ahmet
Published: January 2024

Aim: We purposed to study the neuroprotective effects of Hawthorn berry (crataegus spp.) extract, which is familiar to have antioxidant and anti-inflammatory features, opposite the neurotoxicity led to by 6-OHDA in SH-SY5Y cells.
Method: SH-SY5Y cells were treated with Hawthorn berry (25-50-75 and 100 μg/mL) for two hours ago 6-OHDA administration. Cells were exposed to 200 µM 6-OHDA for 24 hours to mimic the in vitro Parkinson's disease model. After one day, cell viability was measured by lactate dehydrogenase and 3-(4,5 dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide analysis. Oxidative stress was evaluated with tumor necrosis factor-α, interleukin-1β, superoxide dismutase, catalase, glutathione, glutathione peroxidase, myeloperoxidase, and malondialdehyde assays.
Results: It was found that the viability rate of Hawthorn berry increased depending on the concentration and the cell viability was 94% at the highest concentration (p<0.001). Also, 6-OHDA raised lactate dehydrogenase leakage in SH-SY5Y cells (p<0.001). While 6-OHDA exacerbated oxidative stress by enhancing tumor necrosis factor-α, interleukin-1β, myeloperoxidase, and malondialdehyde (p<0.001), pretreatment with Hawthorn berry alleviated these toxic effects of 6-OHDA through antioxidant capacity by increasing glutathione peroxidase, superoxide dismutase, catalase and glutathione (p<0.05), (p<0.001). In line with all findings, Hawthorn berry attenuated neuronal cell demise in a dose-dependent manner.
Conclusion: Considering its neuroprotective role as well as its effects on oxidative stress, Hawthorn berry could be a potential natural bio-medicine to prevent the development of Parkinson's disease.
Digital Health from the Eyes of Hospital Managers
Authors: Ilıman Yaltagil Ebrar
Published: January 2024

Aim: The aim of this research is to evaluate the positive and negative aspects of the concept of digital health, which became active during the pandemic period and gained more importance with the publication of the regulation on the provision of remote health services, in terms of healthcare institutions, employees and patients, in the light of the opinions of hospital administrators.
Method: In the qualitative study, a semi-structured interview form consisting of open-ended questions was used as a data collection method. The research sample consists of managers working at upper and middle management levels serving in seven different hospitals in five different cities. Frequency and content analysis methods were used to analyze the data obtained.
Results: When the answers given by the managers are coded; it has been determined that digital health has both positive and negative reflections for patients, health institutions and employees. Positive reflections of digital health; speed, convenience, savings, order. It has been determined that the negative reflections are communication problems, adaptation problems, inability to reach the service, and erroneous diagnosis.
Conclusion: It has been determined that the results obtained from the interviews and observations are largely compatible with each other. All managers stated that digital health applications provide speed and convenience in paperwork. In addition, hospital managers think that it contributes a lot in terms of cost and expect it to be improved. However, the administrators stated that only face-to-face efficiency will be achieved in the diagnosis and treatment process and that the concept of the digital hospital cannot be fully implemented due to the patient profile. They emphasize that face-to-face communication in health should never be abandoned.
Ebeveynlerin Cinsel İletişim Becerileri ile Toplumsal Cinsiyet Adaleti Arasındaki İlişkinin İncelenmesi
Authors: Yalın Ayşen , Alabay Erhan
Published: January 2024

Amaç: Bu araştırmada, 3-15 yaşları arasında çocuğu olan anne ve babaların, çocuklarıyla cinsel iletişim becerileri ile toplumsal cinsiyet adaleti kavramları arasındaki ilişki incelenmiştir.
Yöntem: Araştırmada nicel araştırma yöntemlerinden olan ilişkisel tarama modeli kullanılmıştır. Örnekleme yöntemi olarak, kartopu örnekleme kullanılan araştırmanın çalışma grubunu, İstanbul ilinde ikamet etmekte olan 3-15 yaşları arasında çocuğu bulunan 181 anne ve babalar oluşturmaktadır.
Bulgular: Araştırma sonuçlarına göre, ebeveynlerin öğrenim düzeyleri, çalışma durumları, meslekleri, sahip oldukları çocuk sayısı ve çocuklarının cinsiyetleri ile çocuklarıyla cinsel iletişim becerileri arasında anlamlı ilişki olduğu bulunmuştur. Bununla birlikte aile birliktelik durumu, meslekleri, sahip oldukları çocuk sayısı ile toplumsal cinsiyet adaleti kavramları arasında anlamlı ilişki bulunduğu belirlenmiştir. Ebeveynlerin çocuklarıyla cinsel iletişim beceri düzeyleri ile toplumsal cinsiyet adaleti kavramları arasında pozitif yönde anlamlı ilişki tespit edilmiştir.
Sonuç: Ebeveynlerin toplumsal cinsiyet adaleti kavramlarının, çocukları ile olan cinsel iletişim becerileri üzerinde yordayıcı etkisi olduğu sonucuna ulaşılmıştır.
Kısmi Rotator Manşet Yırtığında Omuz Ağrısı, Fonksiyonellik, Kuvvet ve Enduransın İncelenmesi
Authors: Agırtmış Melek , Altunalan Turgay , Canbora Mehmet Kerem
Published: January 2024

Amaç: Çalışmanın amacı, kısmi rotator manşet yaralanması (KRMY) olan bireyler ile KRMY benzeri semptomu olmayan bireyler arasında omuz ağrısı, fonksiyonellik, eklem hareket açıklığı (EHA), endurans ve kuvveti karşılaştırmaktır.
Yöntem: Çalışmaya Başakşehir Şehir Hastanesi’nde tedavi gören 40-60 yaş arası KRMY’li 16 birey çalışma grubu, KRMY benzeri semptomu olmayan 16 birey asemptomatik grup olarak alındı. Katılımcılara Görsel Analog Skorlaması (GAS), Constant Murley Skoru (CMS), Zamanlı Fonksiyonel Kol ve Omuz Testi (ZFKOT) ve Basit Omuz Testi (BOT), uygulandı. Gruplar t testi, Mann-Whitney U ve ki-kare analiziyle karşılaştırıldı ve etki büyüklüğü Cohen’s d skoru ile hesaplandı.
Bulgular: Çalışma grubunun gece ve hareket sırasındaki ağrısı sırasıyla 8,06±5,68 ve 7,06±2,76 olup bütün parametreler çalışma grubunda istatistiksel olarak anlamlı ve büyük etki düzeyinde olumsuz etkilenmiştir. En yüksek etkilenim gösteren parametreler CMS (p<0,001; Cohen’s d=4,41) ve BOT (p=0,001; Cohen’s d=3,16) parametreleriydi. Çalışma grubunda ortalama omuz fleksiyonu 142º (p<0,001; Cohen’s d=1,76), abdüksiyonu 111º’dir (p<0,001; Cohen’s d=2,68) ve anlamlı bir şekilde kontrol grubuna göre düşüktür.
Sonuç: KRMY’de omuzun gece ağrısı hareket sırasındaki ağrıya göre, omuz abdüksiyonu ise omuz fleksiyonuna göre daha şiddetli etkilenmektedir. Çalışma sonuçları klinisyenleri KRMY hastalarının rehabilitasyonunda hedef belirleme ve klinik seyir takibinde destekleyebilir.
Sağlıklı Kadınlarda Reformer Pilates Egzersizlerinin Psikososyal Parametrelere Etkisi
Authors: Kiloatar Hümeyra , Türütgen Nisa , Karavelioğlu Mihri Barış
Published: January 2024

Amaç: Bu çalışmanın amacı, reformer pilates egzersizlerinin sağlıklı kadınlarda benlik saygısı, kaygı düzeyi, egzersiz algısı ve yaşam kalitesi üzerindeki etkisini incelemektir.
Yöntem: Otuz yedi sağlıklı kadın (ortalama yaş=21,08±1,09 yıl) iki gruba ayrıldı: müdahale grubu (n=17) ve kontrol grubu (n=19). Müdahale grubu haftada 3 gün olmak üzere 8 hafta boyunca 24 seans reformer pilates programını tamamlarken, kontrol grubu herhangi bir egzersiz programına katılmadı. Tüm değerlendirmeler çalışmanın başında ve 8 haftanın sonunda Rosenberg Benlik Saygısı Ölçeği, Durumluk ve Sürekli Kaygı Ölçeği, Egzersiz Faydaları-Engelleri Ölçeği ve WHOQOL-BREF kullanılarak yapıldı.
Bulgular: Müdahale döneminin sonunda, durumluk anksiyete düzeyi kontrol grubunda istatistiksel olarak anlamlı şekilde azaldı (p<0,05). Egzersiz Faydaları-Engelleri Ölçeği-Yarar skoru yalnızca deney grubunda anlamlı olarak azaldı (p<0,05). Psikososyal parametrelerdeki değişimler açısından müdahale ve kontrol grupları arasında anlamlı bir farklılık gözlemlenmedi (p>0,05).
Sonuç: Reformer pilates egzersizleri sağlıklı kadınlarda egzersiz yarar algısını geliştirmede etkilidir.
Effect of Dental Characteristics of Stroke Patients on the Masticatory System*
Authors: Dursun Ömer , Dincer Erhan , Durmuş Burçin , Zengin Ela Simay
Published: January 2024

Aim: The aim of this study was to assess the interplay between central facial paralysis and dental characteristics for impaired mastication in sub-acute or chronic-stage stroke patients.
Method: 20 stroke patients and 27 healthy individuals were included in the study. Oral health, oral hygiene, masticatory efficiency, central facial paralysis, and forward head posture of the participants were assessed by OHIP-14 questionnaire, a self-prepared questionnaire, a two-colored chewing gum test, labial commissure, and craniocervical angle measurements. Stroke characteristics and dental characteristics were also assessed.
Results: The sociodemographic and physical characteristics of both groups were similar (p>.05). The dental characteristics of the stroke patients were significantly poor compared to healthy individuals (p<.05). Masticatory efficiency of the stroke patients was nearly half that of the healthy individuals (p<.05). The forward head posture and facial paralysis values of both groups were similar (p>.05).
Conclusion: Our study showed that central facial paralysis gradually loses its effect on impaired mastication in stroke patients and gives its place to dental characteristics. Masticatory muscle activation and increasing postural adaptations like forward head posture may not be preferred by stroke patients. The preferred mastication side might be used to assess the severity or existence of central facial paralysis in stroke patients.
Primer Dismenorede Telerehabilitasyon: Randomize Kontrollü Bir Çalışma
Authors: Baltaş Zümra , Şevgin Ömer , Dikmen Hoşbaş Beyzanur
Published: January 2024

Amaç: Primer dismenore, kadınlarda yaygın olarak görülen ve başta ağrı olmak üzere mide bulantısı, kusma, yorgunluk, baş ağrısı, baş dönmesi belirtileri ile seyredebilen anksiyete, depresyon, uyku bozuklukları ve yaşam kalitesinde azalmaya neden olabilen jinekolojik bir hastalıktır. Bu çalışma, primer dismenorede telerehabilitasyon programının menstrual semptomlar üzerine etkisini incelemek amacıyla yapıldı.
Yöntem: Çalışmaya primer dismenoresi olan 60 kadın dahil edildi. Bireyler müdahale grubu (n=30) ve kontrol grubu (n=30) olmak üzere iki gruba randomize edildi. Müdahale grubuna 8 hafta boyunca farklı egzersizleri içeren telerehabilitasyon programı uygulandı. Kontrol grubu ise analjezik ilaç kullandı ve lokal sıcak uyguladı. Bireylerin sosyodemografik bilgileri ve menstrüel özellikleri kaydedildi. Çalışma öncesi ve sonrasında menstrüasyon semptomları Menstrüasyon Semptom Ölçeği (MSÖ) ile değerlendirildi.
Bulgular: Müdahale ve kontrol gruplarının MSÖ alt boyutları ve toplam puanı tedavi öncesi ve sonrası grup içerisinde karşılaştırıldığında her iki grupta da anlamlı fark bulundu (p<0,05). MSÖ’ ye ait negatif etkiler/ somatik yakınmalar, ağrı belirtileri alt boyutları ve toplam puanında tedavi öncesi ve sonrasında müdahale ve kontrol grupları arasında anlamlı bir fark bulundu (p <0,05). Ancak MSÖ’ ye ilişkin baş etme yöntemleri alt boyutunda tedavi öncesinde ve sonrasında gruplar arasında anlamlı bir fark bulunamadı (p>0,05).
Sonuç: Telerehabilitasyon programının primer dismenorede menstrual semptomlar üzerinde iyileştirici etkileri olduğu saptanmıştır. Telerehabilitasyon programı yan etkisi olmayan, uygulaması kolay, zaman tasarrufu sağlayan ve ucuz bir tedavi yöntemidir; menstrual semptomları azaltmak için güvenli bir şekilde uygulanabilir.
The Effect of Geriatric Nursing Course on Determining Attitudes Towards the Elderly
Authors: Rashidi Mahruk , Yıldırım Gülay
Published: January 2024

Aim: The study was conducted to define the effects of a geriatric nursing course on nursing students’ attitudes towards the elderly.
Method: The study was conducted in a quasi-experimental design with second-year students studying in the Department of Nursing of a university. A total of 92 people participated in the study. Data were collected online. SPSS 21 statistical software was used in the analysis of the data.
Results: Before taking the geriatric nursing course, 75% of the students stated that old age started over 65 years of age, while 87% stated that they started over 65 years of age after taking the geriatrics course (p<0.05). At the same time, it was determined that 27% of the students had difficulty communicating with elderly individuals before taking the geriatric nursing course, while only 17% had difficulty communicating with elderly individuals after taking the geriatrics course (p<0.05). It was determined that the average pre-test score of the students taking the geriatric nursing course was 123.55±15.86, the average post-test score was 127.00±16.40, and the average scores between the pre-test and post-test showed a statistically significant difference (p<0.05).
Conclusion: Geriatric nursing course strengthens students' communication with the elderly. It is recommended to include geriatric nursing courses in all university curriculum in order to increase knowledge skills and positive attitudes towards the elderly in nursing students. Thus, students who start working as nurses can play an active role in improving patient outcomes such as hospital stays, reduced readmission rates, and patient satisfaction in hospitalisations due to old age.
Is Ultrasound-Guided Percutaneous Nephrostomy Efficacious and Safe in Pregnant Patients?: A Single Center Experience
Authors: Mutlu İlhan Nahit , Dablan Ali , Cingöz Mehmet , Arslanoğlu Tuğçe , Kılıçkesmez Özgür
Published: January 2024

Aim: To evaluate the safety and efficacy of ultrasound-guided percutaneous nephrostomy (PCN) placement in pregnancy.
Method: Medical records of 26 pregnant patients who were inserted with a total of 27 PCN catheters between June 2020 to June 2023 were retrospectively analyzed to assess imaging findings, procedural parameters, technical success, delivery outcomes, and procedural complications.
Results: At the time of placement of the PCN, the mean gestational age was 29.04±7.01 weeks (range 7 - 36 weeks). The indications for insertion of the PCN catheter included: 1) obstructing calculi (46.2%), 2) pyelonephritis (34.6%), and 3) symptomatic hydronephrosis without calculi (19.2%). Successful catheter placement was achieved in 25/27 procedures, yielding a success rate of 92.59%, and no major complications. Minor instances of transient hematuria were encountered in three cases. The mean duration of catheter retention was 72.58 days. All patients exhibited significant clinical and symptomatic improvement. Among these patients, 22 patients (84.6%) delivered their babies at full-term, 3 patients (11.5%) delivered prematurely, and 1 patient (3.8%) experienced a miscarriage.
Conclusion: Ultrasound-guided PCN placement is a reliable method with high success and efficacy that can be applied during pregnancy. This procedure avoids the use of ionizing radiation, ensuring safety for both the fetus and the mother.
Evaluation of University Students' Attitudes Towards Individuals Living with HIV/AIDS
Authors: Kıskaç Neşe
Published: January 2024

Aim: The purpose of this study was to ascertain how college students felt about people who were HIV/AIDS positive.
Method: The study is cross-sectional and descriptive in nature. The data of the study were collected from 367 university students through an online questionnaire. The Attitudes Towards Individuals Living with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) Scale for University Students and the participants' personal data identification form were utilized as data collection instruments. The statistical program IBM SPSS 26.0 was utilized to analyze the data.
Results: It was discovered that the participants' mean age was 21.60±2.50, with 77.1% of them being female and 39.2% belonging to the senior category. The middle level scale had a mean overall score of 58.28±11.72. Gender and the overall Attitudes Toward Individuals Living with HIV/AIDS Scale score showed a significant correlation (p<0.05). It was discovered that women exhibited more empathy and had more favorable views toward those who were HIV/AIDS positive. Grade level and the sub-dimensions of acceptance, relationship, and empathy on the Attitudes Towards Individuals Living with HIV/AIDS Scale were found to be significantly correlated (p<0.05) when the association between the two variables was evaluated.
Conclusion: In conclusion, sexually transmitted illnesses should be taught to university students who fall into the high-risk category for HIV/AIDS. Higher knowledge level university students will also have positive attitudes toward those living with HIV/AIDS. Nurses have a great role in informing and educating these individuals. Nurses should make interventions especially for adolescents with the role of educator and counselor. In addition, courses on infectious diseases and sexually transmitted diseases should be included in the curriculum of university students.
Biological Effectiveness of Insecticides to Control Cone Beetle in Pinyon Pine Plantations
Authors: Morales-Bautista Jesús , Cibrián-Llanderal Víctor David , López-Upton Javier , Cibrián-Tovar David
Published: January 2024

Pinyon pine plantations are attacked by insects that feed on conelets and seeds, a phytosanitary problem that causes economic losses in production. The study evaluated the biological effectiveness (BE) of chemical insecticides to control Conophthorus edulis Hopkins in a Pinus cembroides Zucc. forest plantation. The treatments abamectin (18 g of active ingredient (a.i.) L-1), emamectin benzoate (19.2 g of a.i. L-1), azadirachtin (738.4 g of a.i. L-1) and an untreated check with water were applied randomly with 5 repetitions. The application was repeated 56 days later. Each repetition consisted of applying a treatment to a tree with a cohort of 20 strobili. The BE of the insecticides was determined by the percentage of healthy conelets for each treatment in 8 evaluations: 0, 19, 32, 50, 65, 83, 109 and 144 days. No significant differences were found between treatments at 5% error by the ANOVA F test. Between the months of August and September, general averages were found between 0.25 to 2.5% of attacked conelets. An increase of 21.25% was observed in the average number of dead conelets between the initial and final evaluations in September.
А rare case of Тakoтsubo cardiomyopathy complicated with high-grade AV block and ventricular tachycardia
Authors: Peneva M. , Baychev H. , Baltov I. , Abujamus L. , Doychinova Ts. , Nikolov H. , Baycheva V. , Mateev H. , Trendafilova E.
Published: January 2024

Takotsubo cardiomyopathy or broken heart syndrome is a stress-induced cardiomyopathy with clinical, laboratory and ECG resemblance to acute coronary syndrome. Major differences stem from transient segmental wall motion abnormalities beyond the territory of a single coronary artery and the lack of obstructive coronary disease during angiography. Overall the condition is considered as a benign one with a favourable outcome, however there are reports of complicated clinical course by cardiogenic shock, apical thrombus, death and arrhythmias. The latter are reported to occur in 13% of the cases with ventricular arrhythmias (ventricular tachycardia, ventricular ﬁ brillation, torsades de pointes) as a leading ﬁ nding and in minor percentage – high-grade AV block. Despite advances in our knowledge and experience there are still no strict guidelines for the management of conduction disorders. We present the case of a 78-year old lady with an apical variant of Takotsubo, complicated by syncope, complete AV block, new left bundle branch block, paroxysmal atrial ﬁ brillation, ventricular tachycardia and implantation of a permanent pacemaker. During the hospitalization she developed acute cardiac failure with echocardiographic evidence of left ventricular systolic dysfunction and an apical thrombus. The presented case demonstrates the complexity of the condition and the necessity of strict follow-up and timely therapy. 
Systemic thrombolysis for mechanical prosthetic valve thrombosis - case report and review of literature
Authors: Dimitrova E. , Bayraktarova I. , Kyuchukov D. , Kostova V. , Trendafilova E.
Published: January 2024

Prosthetic valve thrombosis is one of the life-threatening complications in patients with prosthetic heart valves. It is more common in mechanical prosthetic valves in the setting of inadequate or missing anticoagulation. Besides optimization of anticoagulation urgent surgery or thrombolytic therapy should be considered but both are associated with an increased risk for complications and mortality. We report a case of a patient with imaging data for mechanical prosthetic mitral valve thrombosis. Considering the individual patient’s characteristics and the published guidelines we decided to perform systemic thrombolysis with ultra-slow low-dose infusion of tissue-type plasminogen activator. The therapy was successful without any bleeding or thromboembolic complications. 
Factors related to sound production by the Chinese grasshopper Acrida cinerea during escape
Authors: Kuga Tatsuru , Kasuya Eiiti
Published: January 2024

Many grasshopper species produce conspicuous sounds while escaping from approaching predators; however, they occasionally escape without producing sounds. The Chinese grasshopper, Acrida cinerea, often exhibits noisy escape behavior. Therefore, a field experiment was conducted using A. cinerea to identify factors related to the production of sound during escape. This study utilized a predator model with an investigator approaching A. cinerea three times. We examined the relationship between the production of sound during escape and the following factors: ambient temperature and relative humidity as environmental factors; sex, body length, body weight, and limb autotomy as prey traits; and the repeated approach as a predator trait. The relationships between noisy escape and flight initiation distance (i.e., predator-prey distance when the prey initiates the escape), distance fled (i.e., distance the prey covered during the escape), and the mode of locomotion during escape (i.e., flying or jumping) were also examined. Noisy escape was observed only in males that escaped by flying, whereas the females and males that escaped by jumping invariably escaped silently. Among males that flew, noisy escape was related to ambient temperature, limb autotomy, and distance fled. The proportion that produced sound increased in parallel with the ambient temperature and distance fled. This proportion was lower among individuals that had autotomized one of their hind legs. These results indicate that noisy escape behavior is most frequent in healthy male A. cinerea under warm conditions.
Geographic variation in body size of the migratory locust Locusta migratoria (Orthoptera, Acrididae): Masaki’s cline and phase polyphenism
Authors: Tanaka Seiji
Published: January 2024

Adults of the migratory locust Locusta migratoria (Linnaeus, 1758) were collected in the Japanese Archipelago, which extends from the Ryukyu subtropical region to the Hokkaido cool-temperate region, covering more than 2,500 km. A saw-toothed pattern was observed in body size along the latitudinal or annual mean temperature gradient, which is similar to Masaki’s clines initially described for crickets. The latitudinal cline of locusts was also observed in the laboratory, suggesting that this cline was primarily due to genetic variation. In the northern univoltine zone, locust body size increased toward the south. The latitudinal size trend was reversed in the transitional zones where the voltinism shifted from univoltine to bivoltine and from bivoltine to trivoltine life cycles. These patterns may be explained by changes in the length of the growing season for development and reproduction. Body size varied with growth efficiency but not with the variable lengths of nymphal development. Larger females had more ovarioles and produced fatter egg pods containing more eggs per pod. The morphometric ratio, F/C (hind femur length/head width), tended to decrease with latitude, but this characteristic could be primarily due to phylogenetic differences between the northern and southern clades. It was confirmed that F/C ratio decreased when the locusts were reared in a group. The sexual size dimorphism, or SSD, tended to increase as the mean body sizes of populations increased, converse to Rensch’s rule. The relative body size of females and males correlated with latitude and was greatly reduced when the insects were reared in a group. The smaller rate of increase at higher latitudes may be related to male–female associations and predation pressure.
THE FATE OF TRADITIONAL MALTESE BOATS
Authors: Grech La Rosa A , Grech P
Published: January 2024

Traditional Maltese vessels have long been part of Malta’s cultural identity. These vessels were used for a variety of roles including transportation, work, fishing, defence and pleasure.
Changes in society and the local economy resulted in these vessels no longer forming part of the county’s working fabric and were replaced with more modern vessels.
In light of this, the population of traditional Maltese vessels has been dwindling with critical aspects such as how these vessels were sailed being lost for good. A recent incident with the planned disposal of a vessel called the Maryanne led to public uproar and raised further awareness for the current situation.
This paper investigates whether traditional Maltese vessels are still considered an integral part of the fabric of society.
Different stakeholders were questioned to understand what challenges were experienced when operating such vessels. The results were then synthesised into key points to provide a unified message for what has led to the current state of affairs and what could be done to rectify the situation.
A proposal for
actions
to be taken to safeguard these vessels for future generations was also suggested.
AN INTRODUCTION TO THE SHIPS PLANS COLLECTION AT THE NATIONAL MARITIME MUSEUM AND ITS USES FOR PRESERVING HISTORIC SHIPS
Authors: Grover A
Published: January 2024

Royal Museums Greenwich is the National Repository for Admiralty ships plans and technical records. The institution also holds significant merchant collections, comprising of ships plans, photographs, business, and technical records.
Despite its size, it is arguably an underutilised and relatively unknown archive outside model makers and a small group of maritime researchers. This paper gives an overview of the collections showing how are used as a key reference for the preservation and understanding of Historic Ships.
It highlights specific examples where the collections have been employed, including the building of replica vessels, and recently built warships.
It touches on the applications of the collection as an educational resource to facilitate further shipbuilding knowledge. This includes rediscovering lost shipwright skills and past techniques to inform future preservation. It can also potentially inform more greener ship designs through the extensive sailing ship archive from more hydrodynamic hull designs to cleaner propulsion systems.