bluuebunny/crossref_metadata_2025 huggingface dataset:
Turismo deportivo. Desde lo global y local del estado Mérida, Venezuela
Authors: Guillen Freddy
Published: October 2022

El turismo deportivo comprende el desarrollo de actividades físico deportivas, con fines competitivos o recreativos, en un lugar distinto a la habitual residencia de los participantes; muchos acontecimientos en el mundo han permitido cambios importantes y avances en el turismo deportivo alrededor de ciertos espacios o localidades configurados como destinos turísticos específicos, lo cual ha permitido a su vez una estrecha e interesante relación entre el turismo y el deporte gracias al robusto efecto de arrastre de ambas actividades. Venezuela, y en particular el estado Mérida, posee espacios proclives para la práctica de deportes de aventura y de riesgo controlado. El presente trabajo pretende analizar algunos principios y criterios del turismo deportivo, desde el punto vista epistemológico y social, en el marco del estado Mérida, Venezuela. Considerando las rutas turísticas existentes en Mérida, demarcadas por sus atractivos naturales, históricos y culturales, se concluye con la relevancia de la oferta de actividades deportivas y recreativas mediante el desarrollo de eventos deportivos o la práctica de diversas disciplinas deportivas, reforzados por la combinación con elementos propios de la naturaleza de la zona, que pudieran prolongar la estadía de los turistas deportivos en el destino.
La Gamificación: Moda o nueva herramienta gerencial
Authors: Peñaloza Marlene
Published: October 2022

Desde hace algunos años, organizaciones empresariales, universidades, museos, entre otras, utilizan la psicología del juego, sus mecánicas y dinámicas como herramienta pedagógica para transmitir conocimientos, desarrollar habilidades e incrementar el engagament en colectivos de interés, aprovechando las posibilidades que ofrecen las nuevas tecnologías en la llamada cuarta revolución industrial. A esta tendencia se le denomina gamificación. ¿Es una moda? ¿Es posible lograr un entrenamiento cognitivo igual de satisfactorio con esta herramienta? ¿Se logrará incrementar el compromiso en trabajadores y clientes? ¿Los alumnos estarán más motivados a aprender?. Para responder a estos interrogantes se revisaron y analizaron teorías y artículos científicos, tesis de grado, sitios web, libros digitales y obras de los principales autores, además de estudios de casos propios y foráneos. Se concluye que la gamificación bien implementada puede constituir una poderosa estrategia para potenciar la motivación, la participación y el involucramiento en actividades de trabajo, de estudio o de cualquier otra naturaleza.
Gerencia pública integral. Enfoque sistémico autorreferencial para las universidades politécnicas territoriales venezolanas
Authors: Quintero José
Published: October 2022

La gerencia pública está en todos los escenarios de la vida social, el propósito de toda sociedad está basado en una memoria del cosmos natural y social, por lo que el estudio reside en la presencia de los teóricos de la época clásica, moderna y contemporánea. La tesis aprecia el organicismo social con una mirada autopoiética- autorreferencial, manejada de los trabajos científicos de Maturana, Luhmann y seguidores que han dado postura epistémica a los sistemas sociales. La investigación presenta un enfoque autorreferencial de gerencia pública integral para las universidades politécnicas territoriales del estado venezolano en lo administrativo y académico, el mismo, obedeció a una investigación predictiva, con un paradigma cualitativo y un estilo etnográfico. Los hallazgos obtenidos, fueron itinerarios de gestión facilitados por funcionarios públicos, afinando una perspectiva científica que lleve a cabo el encargo nacional, haciendo que se consensue una mirada sistémica y holística para estas universidades.
Comercio electrónico herramienta de adaptación ante la crisis. Caso: Empresas minoristas del sector tecnológico en Machala, Ecuador
Authors: Torres Vanessa , Junca Fernando
Published: October 2022

La presente investigación describe el comercio electrónico como herramienta de adaptación ante la crisis, en las empresas minoristas en la ciudad de Machala, debido a las restricciones implementadas por el gobierno. Esto se convirtió en un detonante para el surgimiento de los negocios en los espacios virtuales, dando lugar a la transformación digital que implementaron muchas empresas. La metodología utilizada es de carácter cuantitativa, debido que las variables son susceptibles de medición y descriptiva debido que detalló las causas; además, como técnica se empleó la encuesta. Como resultado, se pudo constatar que emplean con mayor frecuencia las redes sociales como Facebook, seguida por Instagram y WhatsApp; seguido de descuentos y promociones. Como conclusión general las empresas carecen de herramientas suficientes de comercio electrónico, por lo tanto, se recomienda aplicar las estrategias adecuadas como la implementación de sitios web de Comercio Electrónico; así como la debida capacitación al personal
Evaluation of promising breeding apple varieties in Azerbaijan
Authors: Sadygov Aladdin Nemat
Published: October 2022

The article discusses the creation of new varieties with high efficiency (in F1) using in the initial parent lines (in F2) in the creation of new varieties in the selection program of the plant flora of Azerbaijan, local, introduced varieties of fruit crops and selection of the Scientific-Research Institute of fruit growing and tea growing, the ripening period, yield, average mass of the final results are reported.
Direkli, Yassıçal ve Abacı Köyleri (Amasya, Türkiye) Arasındaki Bölgenin Sintaksonomik Analizi
Authors: CANSARAN Arzu , YILDIRIM Cengiz
Published: October 2022

Araştırma alanı, Amasya ilinin merkez ilçesi sınırları içinde bulunan Direkli, Yassıçal ve Abacı köyleri arasında kalan alanı kapsamaktadır. Alan Grid Sistemine göre A5 ve A6 kareleri içerisindedir. Araştırma alanı coğrafik olarak İç Anadolu ve Karadeniz Bölgeleri, bitki coğrafyası bakımından ise İran-Turan ve Avrupa-Sibirya fitocoğrafik bölgeler arasında bir geçiş sahasında bulunmaktadır. Braun-Blanquet floristik metodu ile yapılan vejetasyon analizine göre araştırma alanında orman vejetasyon tipine ait bir bitki birliği (Cirsio pseudopersonataeFagetum orientalis) ve bir topluluk (Quercus cerris) ve bozkır vejetasyon tipine ait iki bitki birliği (Sideritido dichotomaeAstragaletum angustifolii ve Marrubio vulgarisAstragaletum microcephali) tespit edilmiştir.
Below-ground Biomass and Productivity of a Grazed Site and a Neighbouring Ungrazed Exclosure in the Lowland Meadow Vegetation of the Central Black Sea Region of Türkiye
Authors: YALÇIN Erkan
Published: October 2022

The subject of this study is to determine the below-ground plant biomass and annual below-ground net primary production of lowland meadows in the Central Black Sea region. This study calculated the annual average amount of below-ground plant biomass, its seasonal distribution, annual primary production, and turnover values in the ungrazed and grazed meadow stands. Below-ground plant biomass, below-ground net primary production, and turnover of grazed stands were higher than in ungrazed stands. This turnover value shows that root biomass is renewed faster in grazed areas. Grazing, annual rainfall, and soil characteristics may have led to these different results.
Anaplastic large cell lymphoma of breast masquerading suppurative mastitis on cytology
Authors:   Department of Pathology, B&B Hospital, Gwarko, Lalitpur, Nepal, Maharjan Sailuja , Satyal Bandana ,   Department of Pathology, B&B Hospital, Gwarko, Lalitpur, Nepal, Baidya Reena ,   Department of Pathology, B&B Hospital, Gwarko, Lalitpur, Nepal, Neupane Prakash ,   Department of Surgical Oncology, B&B Hospital, Gwarko, Lalitpur, Nepal
Published: October 2022

Breast is an uncommon site of extra nodal lymphoma accounting for 2.2% of all extra nodal lymphomas. B cell lymphomas are more common than T cell types. The most common subtype is Diffuse Large B Cell Lymphoma. Breast lymphoma is very challenging to diagnose as it has nonspecific clinical and radiological features. We report a rare case of primary T cell lymphoma in a 20-year-old female. It was misdiagnosed as abscess on ultrasound and as suppurative mastitis on fine needle aspiration cytology (FNAC). However, excisional biopsy was suggestive of lymphoma and immunohistochemistry confirmed it as ALK positive, anaplastic large cell lymphoma. Even though FNAC is a part of the diagnostic triad for breast lesions, potential pitfalls cannot be overlooked and must be correlated with biopsy.
Factors Affecting Urinary Incontinence-related Quality of Life in Geriatric Patients: An observational Cross-Sectional Study in a Tertiary Hospital Urology Clinic in Turkey
Authors:   Zonguldak Bulent Ecevit University Hospital, Department of Urology, Turkey, Girgin Reha , Demirkıran Engin Denizhan ,   Zonguldak Bulent Ecevit University Hospital, Department of Urology, Turkey
Published: October 2022

Introduction: Geriatric syndromes are associated with morbidity and poor quality of life (QOL). Urinary incontinence (UI) is one of the most prevalent geriatric syndromes. However, there is little research on the association of UI and UI-related QOL with other geriatric syndromes. The aim of this exploratory study were to examine the effect and coexistence of geriatric syndromes, admission type and surgical severity on UI-related QoL in patients hospitalized in the urology clinic. Materials and methods: This study was conducted among 250 older inpatients (aged 65 years and older between October 2019 and March 2020) at Zonguldak Bulent Ecevit University department of Urology, Zonguldak, Turkey. After ethical approval and patient consent, we examined geriatric syndromes and related factors including cognitive impairment, delirium, depression, decreased mobility, multiple drug use, malnutrition, pain and fecal incontinence as well as hospitalization patterns and surgical severity of the patients. UI-related QOL was assessed using the International Consultation on Incontinence Questionnaire-Short Form. Multiple logistic regression analysis was used to evaluate these associations. Results: Geriatric syndromes and related factors were associated with UI. Moderate cognitive decline (odds ratio [OR], 3.764; 95% confidence interval [CI], 1.621- 8.742), Charlson Comorbidity Index (CCI) (odds ratio [OR], 1.56; 95% confidence interval [CI], 1.24–5.05) and the number of medication used (odds ratio [OR], 1,33; 95% confidence interval [CI], 1.11–1.58) were associated with increased probability of having UI. Cognitive impairment, length of hospital stay had an inverse and age of patients had a direct effect on patients UI-related QoL. Conclusions: UI-related quality of life was associated with some factors. Especially in the urology clinic, evaluating the cognitive functions of elderly patients, reviewing the drugs they use and minimizing the length of stay in this patient group will contribute significantly to their quality of life.
The Clinical Efficacy of Manual Irrigation for the Prevention of Postoperative Bleeding of Transurethral Prostate Resection
Authors:   Zonguldak Bulent Ecevit University Hospital, Department of Urology, Turkey, Girgin Reha , Mungan Necmettin Aydın ,   Zonguldak Bulent Ecevit University Hospital, Department of Urology, Turkey
Published: October 2022

Introduction: Postoperative blood loss after prostate surgery is thought to be associated with an increase in urinary fibrinolytic activity. We investigated the effects of the local dilution of fibrinolytic agents with manual irrigation on postoperative bleeding after the transurethral resection of the prostate (TUR-P). Materials and methods: Between April 2017 and April 2021, 128 patients were prospectively randomised into two equal groups. Monopolar TUR-P was applied to all patients for benign prostatic hyperplasia, but post procedure manual irrigation was used in group 2 only. Haemoglobin levels were evaluated before and after TUR-P. Intra-op and post operative bleeding, amount of saline used for irrigation, duration of catheterisation and length of hospital stay were noted. The patients were followed up 1 month after the TUR-P. Results: The resected adenoma weight was 12.64 g in group 1 and 13.11 g in group 2. There was no difference between groups 1 and 2 in terms of haemoglobin loss and total blood loss within the first 24 h after TUR-P, which were 0.82 g and 0.95 g (P = 0.443) and 90.45 mL and 67.80 mL (P = 0.102), respectively. There was also no significant difference between the groups in the saline volume used for irrigation (19 vs. 17.3 L), catheter duration and hospital stay (2.6 vs. 2.6 days). Conclusions: We could not show the positive effects of manual irrigation on bleeding complications after TUR-P, though it is a simple and safe-seeming procedure with no specific operative technique.
Bioresorbable scaffolds: current concepts and future technology
Authors:   Department of Cardiology, Aster Hospital, Dubai, United Arab Emirates, Dash Debabrata , Merchant Shahid A. ,   Lilavati Hospital & Research Center, Mumbai, India
Published: October 2022

The introduction of the drug-eluting (DES) stent to percutaneous coronary intervention (PCI) had a significant impact on patient management of coronary artery disease and has been called the “third revolution” in interventional cardiology after the first 2 revolutions of balloon angioplasty and bare-metal stents. The promise of adaptive remodeling, restoration of vasomotion, late luminal enlargement, and retained potential for future coronary artery bypass grafting at the site of previous PCI has been the driving force behind bioresorbable stent/scaffold (BRS) technology development. Moreover, because of the inherent risk of late and very late stent thrombosis, BRS potentially offers a solution and recent years have seen heightened interest, hype, and hope. In this current review, we are aiming to shed light on strength and weakness of various BRS including the future perspective.
A New Predictor of Obstructive Coronary Artery Ectasia in Patients with Non-ST-Elevation Acute Coronary Syndrome: The Atherogenic Index of Plasma
Authors:   Department of Cardiology, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey, Küçük Uğur , Arslan Kadir ,   Department of Cardiology, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey
Published: October 2022

Introduction: Coronary artery ectasia (CAE) is one of the uncommon cardiovascular disorders with a clinical spectrum ranging from asymptomatic cases to myocardial infarction. Atherosclerosis plays a pivotal role in the pathogenesis of CAE. Recently, it has been determined that the atherogenic index of plasma (AIP) is a strong predictive marker for atherosclerosis. The aim of this study was to investigate whether there is a relationship between obstructive CAE and AIP in patients with non-ST segment elevation acute coronary syndrome (NSTE-ACS). Materials and methods: In this retrospective study, hospital electronic patient records were retrospectively examined. A total of 213 NSTE-ACS patients were included in the study. Patients were divided into two groups according to non-obstructive and obstructive CAE. The AIP value was compared between groups and regression analysis evaluated whether it is an indicator to predict the risk of obstructive CAE. Results: The AIP value was found to be numerically and statistically significant in the obstructive CAE group compared to the non-obstructive CAE group. The multivariate logistic regression analysis identified AIP as a predictor of obstructive CAE in NSTE-ACS patients in the receiver operating curve analysis, AIP values above 0.33 had 90% sensitivity and 68% specificity to predict obstructive CAE in NSTE-ACS patients. Conclusions: AIP values were increased in the presence of obstructive CAE in NSTE-ACS patients. Our findings suggest that AIP may be involved in the pathogenesis of obstructive CAE.
Relationship between Optic Disc Hemorrhage and Glaucoma among patients diagnosed with Systemic Hypertension and Diabetes Mellitus: The Colombian Glaucoma Study
Authors:   Collective Innovations, Cali, Colombia, Rivera Carlos Eduardo ,   Pontificia Universidad Javeriana, Cali, Colombia,   McWilliams Collective, USA,   GSR Medical Center, Cali, Colombia, Ferreria Maria Catalina ,   Collective Innovations, Cali, Colombia,   Pontificia Universidad Javeriana, Cali, Colombia,   University of Tennessee Health Science Center, Memphis, Tennessee, USA, Libreros-Peña Laura ,   Collective Innovations, Cali, Colombia,   Pontificia Universidad Javeriana, Cali, Colombia, Shah M. Ahsan ,   Collective Innovations, Cali, Colombia, Aristizabal Juan Carlos ,   Collective Innovations, Cali, Colombia,   Pontificia Universidad Javeriana, Cali, Colombia, Muñoz Edgar ,   Collective Innovations, Cali, Colombia,   University of Texas Health, San Antonio, Texas, USA, Gomez-Duarte Catalina ,   Pontificia Universidad Javeriana, Cali, Colombia, Ossa-Lopez Beatriz Eugenia ,   Pontificia Universidad Javeriana, Cali, Colombia, Burbano-Montenegro Gabriel ,   Pontificia Universidad Javeriana, Cali, Colombia, Seth Ankur ,   Collective Innovations, Cali, Colombia,   McWilliams Collective, USA,   GSR Medical Center, Cali, Colombia,   University of Tennessee Health Science Center, Memphis, Tennessee, USA
Published: October 2022

Introduction: Glaucoma is a leading cause of irreversible blindness worldwide; several risk factors have been identified as major underlying causes for developing this condition. Optic disc hemorrhage has been identified as a risk factor for the development and progression of primary open-angle glaucoma, as well it has been related to playing an important role in normal-tension glaucoma. Material and methods: A cross-sectional study was conducted in Colombia among hypertensive and diabetic patients. This study included 2,067 subjects older than 50 years who were attended by a group of ophthalmologists in six cities in Colombia who conducted a complete medical and ophthalmological examination and applied standardized questionnaires and interviews aiming to evaluate participant’s health conditions and lifestyles. Results: We found a prevalence of Optic disc hemorrhage (ODH) of 0.4%. ODH presented an OR: 8.82 (95% CI 1.60 - 48.52) for the presence of Glaucoma. Patients diagnosed with systemic hypertension had an OR: 0.02 (95% CI 0.00 - 0.96); Patients with Retinal Nerve Fiber Layer Defect (RNFL) presented an OR: 509.40 (95% CI 8.60 - 30152.97) for the presence of ODH and 50% of patients with ODH did not have a diagnosis of glaucoma. Conclusions: Despite the low prevalence of ODH in our study (0.4%), its presence is a High-risk factor for the presence of Glaucoma. RNFL defect is also highly related to ODH and the presence of Glaucoma.
Phenotypic characterization, detection of virulence factors, and antibacterial susceptibility profile of clinical isolates of Klebsiella pneumoniae
Authors: Usman Nazeef Idris
Published: October 2022

Klebsiella pneumoniae has been one of the most occurring bacteria in clinical samples causing community-acquired and nosocomial infections. It has been developing resistance to most antimicrobial agents. These have increased the pathogenicity and the chance for the evolvement of more invasive K. pneumoniae. The study was aimed at the identification and detection of Klebsiella pneumoniae from clinical samples. Some selected virulence factors were detected and the antibacterial susceptibility profile of the isolates was conducted. The incubation period, infective dose, and mortality rate of K.pneumoniae were measured using Baggs albino rats (BALB/c) strain. The isolation and identification of 56 Klebsiella pneumoniae from 223 clinical samples were made. Out of 56 K. pneumoniae isolates, all manifested mucoid phenotype, 44(78.6%) capsule antigen and 13(23.2%) Siderophore. The antimicrobial test conducted identified Zinacef 51(91.1%), Rocephin 50 (89.3%), and Ampiclox 50 (91.1%) as the most resistant. Ciprofloxacin 49 (87.5%), chloramphenicol 35(62.5%), Gentamycin 32(57.1%), and Amoxicillin 28 (50%) were the most susceptible to Klebsiella pneumoniae. The mouse lethality test shows that K. pneumoniae hypermucoviscous strain can cause 41.7% lethality and 66.7% mortality in Baggs Albino rats. Meanwhile an infection dose 105cfu/ml, 107cfu/ml and 109cfu/ml produced an incubation period of 9 days, 7days and 5days. The chi-square test shows no significant association between the isolate and the gender of the patients, but there is a significant association between the samples and isolates identified p <0.05. Likewise, the association between mucoid phenotype, capsule antigen, siderophore, and the type of infection is significant (p<0.05). It is finally concluded that K. pneumoniae is the second most prevailing bacterium causing community-acquired infection the resistant pattern recorded identified the test bacteria as a multidrug-resistant strain and manifestation of the virulent factor depends on the type and site of infection caused by the K. pneumoniae.
Subacute thyroiditis associated with adalimumab - a case report and review of the literature
Authors: Kuşkonmaz Şerife Mehlika , Varan Koç Gönül , Özenmiş Tahsin , İnce Muhammed Mustafa , Kırnap Mehmet , Çulha Cavit
Published: October 2022

Subacute thyroiditis is characterized by the painful inflammation of the thyroid and thyrotoxicosis due to thyroid destruction. A few case reports looked into the association between anti-tumor necrosis factor (anti-TNF) agents and subacute thyroiditis. A 42-year-old woman was admitted to the hospital for fever and neck pain spreading to the right ear. For the last seven years, she has been on adalimumab treatment (40 mg every 15 days) for ankylosing spondylitis. Thyroid scintigraphy showed a diffusely suppressed gland which confirmed the diagnosis of subacute thyroiditis. Adalimumab treatment was stopped, and methylprednisolone 32 mg/day was started. Adalimumab use may be associated with subacute thyroiditis.
Investigation of sleep quality according to physical activity levels in individuals with lung cancer
Authors: Özsarı Emine , Özel Alp , Konuk Suat , Tütün Yümin Eylem
Published: October 2022

Aim: Lung cancer is a type of cancer that is usually diagnosed late and has a low life expectancy due to its incidence, high mortality, and initial asymptomatic course. Sleep disorders and related fatigue are common complaints for cancer patients. This study aims to examine sleep quality according to physical activity levels in individuals with lung cancer.Methods: This study was carried out between December 2021 and March 2022. Individuals diagnosed with lung cancer in Bolu Abant İzzet Baysal University Faculty of Medicine Chest Diseases Outpatient Clinic were retrospectively analyzed. 100 individuals were included in the study. Individuals diagnosed with lung cancer in the chest diseases department of a tertiary care center were retrospectively analyzed. Physical activity level with the International Physical Activity Questionnaire; sleep quality with the Pittsburg Sleep Quality Index; dyspnea with Modified Medical Research Council Scale; performance status with Eastern Cooperative Oncology Group; functional disability with Karnofsky Performance Status; Pain was evaluated with a numerical rating scale.Results: 52.0% of the individuals included in the study were sedentary. There was no difference between the two groups in terms of mean age (p=0.123), body mass index (p=0.157), disease duration (p=0.342), and length of hospital stay (p=0.273). There was a difference between the two groups in terms of Eastern Cooperative Oncology Group (p=0.001), Karnofsky Performance Status (p=0.001), and total score of Pittsburg Sleep Quality Index (p=0.001).Conclusion: In our study, it was found that the total sleep quality score of the physically active group was better than the sedentary group. Physical activity is a modifiable lifestyle behavior with positive physiological and psychological health consequences and a potential non-pharmacological intervention for poor sleep quality.
Subchronic effects of bay leaves (syzygium polyanthum) extract on body weight, physical changes and mortality in female wistar rats with low iron diet
Authors: Ani Suharni , Indarto Dono , Cilmiaty Risya
Published: October 2022

Aim: Anemia is a globally nutritional problem and taking iron tablets regularly is recommended. Meanwhile, bay leaves are widely used for food flavoring, but only limited for anemia treatment. This study aimed to investigate the subchronic effects of bay leaves extract on body weight (BW), physical changes, and mortality in female Wistar rats with low iron diet.Methods: Thirty female Wistar rats, aged 8-10 weeks and weighing 160-200 g, were used in this research study. They were randomly divided into 5 groups: the positive control (PC) received an AIN 93 M standard food, supplemented with 1.36 mg/100 g Fe mineral mix (low iron diet), and 3.7 mg/kg BW iron tablet, while the treatment (T1-4) groups received the low iron diet, supplemented with 300; 1.000; 2.000; and 5.000 mg/kg BW bay leaves extract respectively for 28 days. Furthermore, BW measurement was carried out in day 0, 14, and 28 and physical changes were regularly observed 5 times using a checklist. Data were analyzed using one way ANOVA and repeated measures tests.Results: The average of BW in all rat groups increased slightly except in PC group. The PC group had the highest average of BW (184.2±5.54g) on day 28 of treatment, but it was not significantly compared to other groups (p=0.123). Rats in groups C and T showed normal physical performances, somatomotor activities, and zero death.Conclusion: Oral administrations of four doses of bay leaves extract to female Wistar rats with low iron diet showed no observed adverse effects.
Investigation of adult patients with tonsillectomy in terms of complication development, comorbidity ratios and seasonal distribution
Authors: Sebit Tuğberk , Güneş Akif , Karalı Elif , Akın İsa
Published: October 2022

Aim: This study aimed to evaluate the postoperative bleeding status of the patients who underwent tonsillectomy over 18 years old. It evaluated the reasons for tonsillectomy, additional diseases, and the season in which tonsillectomy was performed.Methods: One hundred and fifty patients aged 18 years and over who underwent tonsillectomy in the ear, nose, and throat clinic of a tertiary hospital were included in our study. The age, gender, additional disease, post-tonsillectomy haemorrhage (Post-TH), and the season in which tonsillectomy was performed were examined.Results: A total of 150 patients, 50 females (33.3%) and 100 males (66.7%), were included in our study. The mean age of the patients was 32,49±12,20 years. Bleeding was observed in the postoperative period in 12 patients (8%), except for the first 24 hours postoperatively. It was determined that the most frequent complaint of bleeding in the postoperative period was on the 4th day. It was observed that 15 (10%) patients had an additional disease. A total of 35 (23.3%) patients underwent tonsillectomy due to Obstructive Sleep Apnea Syndrome (OSAS) and 115 (76.7%) patients for recurrent tonsillitis. Tonsillectomy was performed in the spring season for 31 patients (20.7%), winter for 40 patients (26.7%), autumn for 39 patients (26%), and summer for 40 patients (26.7%). No statistical difference between seasonal differences and the tonsillectomies performed was found (p> 0.05). There was no statistical difference between tonsillectomy and the presence or absence of additional diseases (p> 0.05).Conclusion: We concluded that the presence of comorbidity and seasonal differences did not affect Post-TH in adult tonsillectomy patients.
Leukocyte and lipid-based inflammation indices as predictors of asymptomatic organ damage in treatment-naive and newly diagnosed hypertension patients
Authors: Altıntaş Mehmet Sait , Rakıcı İbrahim Taşkın
Published: October 2022

Aim: Low-grade inflammation is known to facilitate the development of hypertensive organ damage. This study aimed to investigate the relationship between the leukocyte and lipid-based inflammation indices and asymptomatic organ damage (AOD) in treatment-naive and newly diagnosed hypertension patients (TNNDH).Methods: The study included 200 patients with TNNDH who are treating by the Cardiology Clinic and 100 healthy controls. Left venriculer mass index (LVMI) of >95 g/m2 in women and >115 g/m2 in men, and carotis intima media thickness (CIMT) of >0.9 mm or presence of plaque in the carotid artery and microalbuminuria of >30 mg/day were evaluated as AOD indicators. Platelet to lymphocyte ratio (PLR), neutrophil to lymphocyte ratio (NLR), systemic immune-inflammation index (SII), monocyte to HDL ratio (MHR), and atherogenic index of plasma (AIP) levels were calculated based on the complete blood count.Results: Positive correlations were found between all inflammation indices and AOD indicators. AOD was detected in 66.7% of the TNNDH patients. The mean PLR (143.0±37.9 vs. 138.0±36.2; p
Cytotoxic effects of calcitriol on osteosarcoma cells
Authors: Çelik Hümeyra , Çetinkaya Ayhan , Çelik İlhan
Published: October 2022

Aim: It was aimed to examine the effect of calcitriol which has known anticancer activities, on the osteosarcoma cell line SAOS-2 cells [1,25(OH)2D3].Methods: SAOS-2 cells were grown in culture in conventional culture flasks in DMEM medium at 37°C and 5% CO2. When the cells were 70-80% confluent, morphological changes were examined under an inverted microscope. The cells were passaged into 96 microplates, and after passage, different concentrations of calcitriol was applied to the cells (0.1; 0.5; 1; 5; 10; 25 nM/ml) was done. After administration, cytotoxic effect and proliferation rates/cell proliferation were analyzed by MTT method.Results: The effect of calcitriol applied at different concentrations in cultured cells were 0.1, 1, 10, 25 nM/ml doses, in these groups proliferation was found to be statistically significantly reduced compared to the control group (p≤0.05).Conclusion: Our data imply that the antiproliferative effects of vitamin D applications can be benefited from in exosomal, combined and supportive treatments in osteosarcoma. Further trials are warranted to confirm and validate our findings.
Online classes in undergraduate medical teaching: recommendations from perspectives of teachers and students in a non-government medical college of Bangladesh
Authors: Khanom Mehrunnissa , Hoque Afroza , Sharif Mohammed Parvez Iqbal , Sabuj Muslimuddin , Hossain Amir
Published: October 2022

Aim: Due to the COVID-19 pandemic, educational systems all over the world faced the challenge of an abrupt switch from traditional to virtual classroom; undergraduate medical teaching has been one of the most affected area. There are some qualitative differences between teaching face-to-face and teaching online, and these are easily understandable to both the teacher and the learner. The current paper explores the views of teachers and bachelor of medicine and surgery (MBBS) students at a non-Government Medical College of Bangladesh, regarding their experience in online classes during the COVID-19 lockdown.Methods: All teachers and MBBS students of Chattagram International Medical College who were involved in online teaching-learning activities from June 2020 to November 2020 and gave informed written consent, were included in this study. It was a cross-sectional study, and a pre-tested questionnaire in Google form was used for data collection. This study was approved by the institutional review board of Chattagram International Medical College (CIMC/IRB/02/20-4 and CIMC/IRB/03/20-6).Results: Among all participants, 85% of teachers and 87% of students responded to the study. Among the students, 20% never felt interest in the online class. Remarkably, 58% of teachers and 74% of students never felt online class as a substitute for a face-to-face class.Conclusion: The current study found similarities with other studies in terms of a lack of appropriate interaction in the classroom, a lower effectiveness of online classes for clinical students, a lack of preparedness among teachers, and a refusal to accept online classes as a complete replacement for face-to-face classes.
Ozone or hyaluronic acid in the intra-articular treatment of knee osteoarthritis?
Authors: Korkmaz Merve Damla , Menekşeoğlu Ahmet Kıvanç
Published: October 2022

Aim: Both intra-articular ozone and hyaluronic acid injections are commonly used for treatment of knee osteoarthritis (KOA). It was aimed to evaluate and compare the effectiveness of intra-articular ozone and hyaluronic acid (HA) injections on pain and functional limitations of participants with KOA.Methods: One hundred and eight consecutive patients (eighty-four women, twenty-four men) aged 40-75 years visited to outpatient clinic with knee pain for longer than 3 months. HA injections were performed as a single dose, and ozone injections were administered once a week as three doses in total. The Visual Analog Scale (VAS) and the Western Ontario and McMaster Universities Arthritis Index (WOMAC) were performed before treatment, one and three months after treatment.Results: Seventy-six participants were included in the study. The randomization was done as Hyaluronic Acid (n=39) and Ozone (n=37) groups. No significant difference was found in terms of WOMAC-total, WOMAC-pain, and VAS (p>0.05) at all stages among groups. WOMAC-stiffness score was found significantly different between first month and third month follow-ups (p=0.011). Also, there was a significant change in WOMAC-function scores between before treatment and first month follow-ups (p=0.008), and before treatment and third month follow-ups (p=0.002) in inter-group analysis.Conclusion: Both ozone and HA injections were effective treatment methods for KOA. However, intraarticular HA injection had a longer-lasting effect on pain and function than ozone injection.
Spontaneous ileoileal intussusception as a rare cause of intestinal obstruction: a case report
Authors: Öztürk Şeyma , Erdoğan Düzcü Selma , Boran Çetin , Özer Bahri
Published: October 2022

Intussusception is a rare cause of intestinal obstruction in adults. It often occurs secondary to inflammatory bowel disease, postoperative adhesions, benign or malignant lesions, or iatrogenic causes. In few cases, it occurs idiopathically or spontaneously. The most sensitive imaging method for its diagnosis is computed tomography. The reduction can be applied in selected cases; however, the definitive treatment is surgical resection. In this study, we presented a case of spontaneous ileoileal intussusception in a 25-year-old female patient.
HOTEL RESORT DESIGN WITH A TROPICAL MODERN ARCHITECTURAL APPROACH IN KOPENG PERANCANGAN HOTEL RESORT DENGAN PENDEKATAN ARSITEKTUR MODERN TROPIS DI KOPENG
Authors: Pangestu Ramadhan Mukti , Wardianto Gatoet , Sarasati Carina
Published: October 2022

Menetap di suatu negara yang mempunyai 2 iklim seperti pada Indonesia ini menerapkan konsep arsitektur terbaru tropis sangatlah cocok. Perkembangan suatu kota besar mempunyai sesuatu ciri yang mana diantaranya semakin meningkatnya suatu kegiatan masyarakat dalam berbagai bidang pada kota tersebut. seperti kegiatan- kegiatan perkatoran, industry, aktivitas sekolah, dan lain sebagainya. yang mana itu telah membawa orang terjebak dalam suatu aktivitas atau rutinitas yang hampir sma dari saat ketika yang mana itu membentuk suatu hal yang monoton serta menyebabkan kejenuhan dan membosankan dalam melakukan aktivitas sehari-hari nya yang bisa berimbas di menurunnya tingkat produktivitas pada suatu individu. Pada titik ini yaitu titik dimana mereka ingin melepaskan diri dari rutinitas-rutinitas, kejenuhan dalam melakukan pekerjaan atau aktivitas di setiap harinya. di jaman globalisasi komunikasi seperti sekarang ini sebagian orang banyak yang menggunakan alat komunikasinya seperti handphone serta sebagainya dipergunakan untuk wahana hiburan pada saat senggangnya. hal tersebut biasa nya menjadi seorang yang hidup pada perkotaan itu masih kurang dalam mencukupi hiburannya pada aktivitas sehari hari, kebanyakan orang mencoba mencari suasana baru yang dari mereka bisa membuatnya damai untuk menunjang kenyamanan dan privasi mereka maka segala fasilitas yang mereka inginkan harus tersedia dengan baik sebagai akibatnya mereka bisa dengan nyaman dan tanpa memikirkan apa, dimana, serta bagaimana mereka mendapatkan sesuatu yang mereka inginkan. untuk mendapatkan fasilitas tersebut untuk warga yang notabene nya warga menengah keatas adalah mencari kawasan buat menginap menggunakan fasilitas wahana dan prasarana yang memadai buat ditinggali dalam beberapa waktu. harapan dengan terdapat nya hotel serta resort ini menjadi tempat singgah buat berlibur sekaligus untuk tempat tinggal kedua dengan fasilitas serta service yang baik dan lengkap.
Опросник конструктивной и деструктивной зависти: русская адаптация опросника BeMaS
Authors: Люсин Дмитрий , Амирасланова Адыля
Published: October 2022

Представлены результаты русской адаптации «Опросника конструктивной и деструктивной зависти» (BeMaS) Я. Крузиуса и Й. Ланге. Опросник состоит из двух шкал, измеряющих склонность испытывать два вида зависти – конструктивную и деструктивную. Конструктивная зависть связана со стремлением к самосовершенствованию и достижению высоких результатов, желанием подняться до уровня того, кому завидуют. Деструктивная зависть связана с враждебностью по отношению к другому человеку, стремлением принести ему вред. Для неё характерно желание низвести того, кому завидуют, до своего уровня. Методика была проведена на 254 испытуемых. Факторный анализ показал, что она имеет чёткую двухфакторную структуру, соответствующую оригинальному опроснику BeMaS. Шкалы конструктивной и деструктивной зависти обладают высокой надёжностью, α Кронбаха равна 0.84 для каждой шкалы. Для проверки валидности опросника его результаты сопоставлялись с рядом других методик. Получены положительные связи шкал опросника с чертами Тёмной триады и с ориентацией на сравнение способностей; шкала деструктивной зависти положительно коррелирует со склонностью давать социально желательные ответы. В целом эти результаты свидетельствуют об удовлетворительной валидности адаптированной методики, однако они носят предварительный характер и должны уточняться и обогащаться в дальнейших исследованиях. Опросник конструктивной и деструктивной зависти может применяться как в исследованиях эмоций и мотивации, так и в ряде прикладных областей, например, в организационной психологии или психологическом консультировании.
Что дают числа для измерения в психологии? Обзор критики в адрес нетестируемых допущений психометрики и возможные альтернативы «измерительной» психологии
Authors: Тюменева Юлия
Published: October 2022

На фоне увеличивающегося числа психометрических исследований в русскоязычной литературе практически никакого критического отношения эти работы не встречают. В то же время, в последние годы критика в адрес психометрики растет: обсуждают не только неправомерное использование количественных измерений в психологии, но часто дезориентирующую роль чисел в вопросе упорядочивания индивидов в континууме черты или способности. Цель этой работы – обеспечить русскоязычную аудиторию представлением о некоторых острых вопросах, поднимаемых в отношении психометрики, которые иначе могут казаться либо уже решенными, либо несущественными. Обзор сфокусирован на критическом анализе нескольких допущений, на которых строится психометрика: психологические признаки (черты и способности) количественны и измеримы; современная теория тестирования открывает доступ к интервальным измерениям; если данные соответствуют модели, то тест может точно упорядочить индивидов в континууме латентной черты (способности); агрегированные данные пригодны для выводов об индивиде. Предлагаются примеры альтернативных практик, свободных от непроверенных допущений и решающих научные (исследовательские), а не инструментальные (измерительные) задачи.
Модель принятия решений с привычными издержками
Authors: Карабанов Артем
Published: October 2022

В данной работе рассматривается ряд проблемных аспектов нормативных теорий принятия решений в условиях неопределенности и риска. Отмечается слабая предсказательная валидность существующих теорий, недостаточность описания процесса принятия решения и концептуализации центрального термина моделей — полезности. Описывается и обсуждается новая модель принятия решений, в перспективе способная разрешить указанные недостатки. Предлагаемая модель является нормативной и позволяет получить количественную оценку вероятности принятия риска в задачах на альтернативный выбор. Модель основывается на принципах экологической рациональности и утверждает, что люди неспособны делать гипотетические выборы в силу того, что в более привычных им ситуациях реального выбора принятие решений всегда осуществляется в рамках некоторого контекста. Иначе говоря, гипотетические выборы являются частным случаем выбора действия или поведения в реальных обстоятельствах. Модель обладает рядом существенных преимуществ, наиболее важное из которых — полнота или возможность интегрировать в рамках модели как параметры условия задачи, так и индивидуальные свойства решателя, а также влияния ситуативных факторов. В работе представлены результаты моделирования предпочтений, позволяющие говорить о том, что модель предсказывает основные эффекты иррациональности в принятии решений: фрейминг-эффект, парадокс Алле и эффект владения. В заключение обсуждаются преимущества и недостатки модели, а также перспективы ее дальнейшей разработки и применения.
Параметры ага-переживания в зависимости от времени работы над задачей и обратной связи
Authors: Владимиров Илья , Маркин Феликс , Мартюшова Наталья
Published: October 2022

Данная работа посвящена исследованию параметров ага-переживания в зависимости от времени работы над задачей и типа нахождения ответа (самостоятельное решение / сообщение ответа экспериментатором / отсутствие ответа). Участники эксперимента решали пять текстовых инсайтных задач и отчитывались о своём ага-переживании. Одну задачу они решали без вмешательства экспериментатора – время работы над ней принималось за стандартное для испытуемого время работы над задачей. Далее часть задач прерывалась спустя половину от стандартного для испытуемого времени, часть – спустя стандартное время за вычетом десяти секунд. Ответ на часть задач предъявлялся испытуемому, решение остальных обрывалось без обратной связи. Использовался неполный экспериментальный план: условия времени работы над задачей и предъявления ответа смешивались. Было проведено два идентичных эксперимента: в очном формате и в дистанционном. Были получены следующие основные результаты: оценки ага-переживания выше всего при самостоятельном решении и ниже всего при обрывании решения без ответа. Время прерывания решения и совместное влияние времени прерывания и типа получения (или неполучения) ответа не оказывают влияния на оценки испытуемых. Нет значимых различий между данными эксперимента в очном и дистанционном форматах. Следовательно, мы можем заключить, что ага-переживание является комплексной реакцией, отражающей как само получение ответа, так и затраченные на решение задачи усилия. Проведение экспериментов онлайн не снижает качества экспериментов.
Эффект выученного невнимания в задаче на понятийную гибкость: роль называемости частей объекта
Authors: Жердева Мария , Котов Алексей
Published: October 2022

В предыдущих исследованиях было показано, что сложно вернуть внимание к ранее нерелевантной информации в ходе научения, когда она снова становится релевантной. Данный эффект получил название выученного невнимания и считается следствием работы селективного типа внимания. В нашем эксперименте проверялась гипотеза о роли называемости частей (условия с легко и трудно называемыми частями у примеров категории) в данном эффекте. Участники исследования выполняли задачу на классификацию, в которой эффект выученного невнимания особенно выражен. Одна группа научалась на примерах с легкой вербальной ассоциированностью частей, а вторая группа – с трудной. При измерении успешности научения на этапе переноса релевантного признака на ранее нерелевантный, мы не обнаружили, что она была выше в условии с легко называемыми частями, чем в условии с трудной называемостью. Мы получили лишь косвенные результаты, что легкая называемость снижала эффект выученного невнимания: эффект был слабее только в начале переноса и быстро пропадал. В обсуждении результатов мы рассматриваем возможные ограничения, связанные с называемостью в задаче на понятийную гибкость.
Analisis Tindak Tutur Direktif pada Novel Orang-Orang Biasa Karya Andrea Hirata
Authors: Situmorang Erika Febrianti Marselina , Panggabean Sarma , Sitorus P. Jamaluddin
Published: October 2022

Penelitian yang berjudul analisis tindak tutur direktif pada novel Orang-orang Biasa karya Andrea Hirata ini mengangkat tentang bagaimana permasalahan tindak tutur direktif di dalam novel tersebut,dan di dala tindak tutur direktif terdapat beberapa jenis bagian,dan dimana penelitian ini bertujuan untuk (1) untuk mengetahui jenis tindak tutur yang terdapat dalam novel orang-orang biasa karya andrea hirata (2) untuk mengetahui jenis tindak tutur yang paling dominan dalam novel orang-orang biasa karya andrea hirata (3) untuk mengetahui faktor yang mempengaruhi jenis tindak tutur direktif pada novel Orang-orang Biasa Karya Andrea Hirata. Berdasarkan objek yang diteliti penelitian ini menggunakan metode penelitian deskriptif kualitatif, sumber data primernya yaitu novel orang-orang biasa karya andrea hirata, penerbit Bintang Pustaka dengan tebal buku 262 halaman. Dan sumber data sekunder yang digunakan dalam penelitian ini merupakan data yang diambil dari internet, jurnal dan buku buku. Berdasarkan hasil penelitian terdapat 65 analisis tindak tutur direktif pada novel Orang-orang Biasa karya Andrea Hirata.
Upaya Penanganan Uang Kuliah Tunggal (UKT) Bermasalah bagi Mahasiswa yang tidak Mampu pada Perguruan Tinggi
Authors: Ardiansyah M. , Suharto Tentiyo , Farid Ahmad Salman
Published: October 2022

Pendidikan Tinggi sebagaimana menjadi salah satu layanan pendidikan, merupakan subjek pelayanan publik yang sangat penting dalam rangka mewujudkan cita-cita mencerdaskan anak bangsa. Universitas Islam Negeri Sumatera Utara dan Universitas Negeri Padang mulai memberlakukan kebijakan Uang Kuliah Tunggal (UKT). Bagaimana Penanganan UKT Mahasiswa di Perguruan Tinggi? Apa hambatan mahasiswa dalam pembayaran UKT bermasalah bagi mahasiswa yang tidak mampu di Perguruan Tinggi? dan Bagaimana upaya Perguruan Tinggi terhadap pembayaran UKT bagi  mahasiswa yang Tidak Mampu di Perguruan Tinggi? Penelitian ini menggunakan metode kualitatif dengan pendekatan studi kasus. Hasil yang ditemukan peneliti adalah penentuan UKT dilakukan melalui penilaian tentang keadaan keluarga, pendidikan orangtua/wali, pekerjaan orangtua/wali, pendapatan orangtua/wali dan aset orangtua. Dalam meringankan biaya UKT, UIN Sumatera Utara maupun UNP memberikan beasiswa KIP dan Beasiswa Prestasi. UIN Sumatera Utara lebih cenderung menggunakan layanan zakat melalui Unit Pengumpul Zakat, sementara UNP memberlakukan potongan 50% bagi mahasiswa tingkat akhir.