bluuebunny/crossref_metadata_2025 huggingface dataset:
PELATIHAN PENGELOLAAN PAUD HOLISTIC INTEGRATIF BERBASIS ICT DI KELURAHAN BAKALAN KRAJAN KECAMATAN SUKUN KOTA MALANG
Authors: Sutiah Sutiah , Supriyono Supriyono , Aminatuz Zuhriyah Indah
Published: December 2020

AbstrakPendidikan Anak Usia Dini memiliki faktor penting dalam meningkatkan kualitas sumber daya manusia dalam menentukan tingkat kesuksesan dalamprogram pembangunan nasional secara menyeluruh. Program pembangunan nasional bertujuan untuk mencapai tingkat kesejahteraan dan keadilan dalam meningkatkan hajat hidup manusia. Permasalahan yang mendasar di POS PAUD Kelurahan Bakalan Krajan Kota Malang diantaranya adalah proses yang dilakukan masih menggunakan cara manual sehingga perlu waktu yang cukup lama dalam memprosesnya dan diperlukan tingkat ketelitian yang cukup rumit. Hak tersebut sering dijumpai laporan manajemen yang dilakukan tidak akurat dan terdapat kesalahan khususnya dalam manajemen pengelolaan terintegrasi. Selain itu juga membutuhkan banyak kertas dalam menghasilkan laporan manajemen pengelolaan PAUD. manajemen PAUD dikelurahan Bakalan Krajan mengenai pelayanan PAUD Holistik integratif maka diusulkan program pelatihan pengelolaan pelayanan terpadu di POS PAUD di Kelurahan Bakalan Krajan Kecamatan Sukun Kota Malang berbasis. Information and Communication Technology (ICT). Output yang menjadi target utama adalah mempermudah dalam pengelolaan Pelayanan PAUD Holistik Integratif serta menghasilkan laporan manajemen yang memiliki tingkat akurasi cukup bagus. Selain itu juga dapat menghemat biaya operasional karena semua report secara paperless. Dalam kegiatan pengabdian masyarakat menggunakan pendekatan prototype. Dari hasil implementasi website menunjukkan tingkat usabilitas website mencapai 85 %.AbstractEarly childhood education has important factors in improving the quality of human resources in determining the level of volunteer action in the national development program as a whole. The national development Program aims to achieve the level of welfare and justice in improving human life. The basic problem in POS PAUD Bakalan Krajan Village Malang is a process that is done using the manual way so it takes a long time to process it and required a level of precision that is quite complicated. These rights often encountered management reports are inaccurate and there is a particular error in integrated management. It also requires a lot of paper in generating PAUD management reports. Management of PAUD in the class of Bakalan Krajan about the service of integrative holistic PAUD then proposed an integrated service management training program in POS PAUD in Kelurahan Bakalan Krajan Sukun Malang city-based. Information and Communication Technology (ICT). The main target Output is to make it easier to manage holistic integrity PAUD services and generate management reports that have a pretty good level of accuracy. It can also save on operational costs because all reports are paperless. In the activities of Community devotion using the prototype approach. From the results of the website, implementation shows a website's ability rate reaches 85%.
Mortalidade por COVID-19 em hospitais públicos e privados de Florianópolis/SC
Authors: Garcia Leandro Pereira , Andrade Matheus Pacheco de , Pedebôs Lucas Alexandre , Traebert Jefferson , Traebert Eliane Silva de Azevedo , Moura Guilherme Valle
Published: December 2020

Introdução: O acesso ao tratamento hospitalar da COVID-19 é importante para amenizar o impacto causado pelas questões socioeconômicas no tratamento da doença. Objetivo: Analisar diferença da atenção hospitalar pública ou privada na mortalidade por COVID-19 em Florianópolis/SC. Métodos: Coorte histórica com dados de pacientes confirmados com notificação realizada entre 22 de fevereiro de 2020 e 09 de novembro de 2020 em hospitais da cidade. Os dados foram fornecidos pela Secretaria Municipal de Saúde. Para controlar os fatores socioeconômicos que poderiam influenciar simultaneamente a busca do tipo de estabelecimento hospitalar e a mortalidade, utilizou-se abordagem de dupla-robustez. Na primeira etapa realizou-se pareamento de indivíduos notificados em hospitais públicos e privados por algoritmo genético. Na segunda etapa, estimou-se a probabilidade de óbito condicionada ao tipo de hospital (público ou privado), aos sintomas, comorbidades, fatores socioeconômicos, idade, idade ao quadrado, sexo, raça/cor da pele e mês do início dos sintomas por meio de regressão logística. Analisou-se, por fim, a diferença entre as densidades de probabilidade de óbito dos dois tipos hospitalares. Resultados: Foram analisados dados de 2.497 pessoas, 1.244 de hospitais públicos e 1.253 de privados. A probabilidade condicional de óbito assumindo que todos os pacientes fossem notificados em hospitais públicos foi de 0,0010 (IC 95% 0,0001; 0,0046) e se todos fossem notificados em hospitais privados foi de 0,0009 (IC 95% 0,0001; 0,0039). A diferença entre as duas probabilidades foi de -0,0002 (IC 95% -0,0013; 0,0005). Conclusão: A probabilidade de óbito por COVID-19 mostrou-se semelhante entre pacientes atendidos em hospitais públicos e privados no período estudado.
Bounds on the size of PC and URC formulas
Authors: Kučera Petr , Savický Petr
Published: December 2020

In this paper, we investigate CNF encodings, for which unit propagation is strong enough to derive a contradiction if the encoding is not consistent with a partial assignment of the variables (unit refutation complete or URC encoding) or additionally to derive all implied literals if the encoding is consistent with the partial assignment (propagation complete or PC encoding). We prove an exponential separation between the sizes of PC and URC encodings without auxiliary variables and strengthen the known results on their relationship to the PC and URC encodings that can use auxiliary variables. Besides of this, we prove that the sizes of any two irredundant PC formulas representing the same function differ at most by a factor polynomial in the number of the variables and present an example of a function demonstrating that a similar statement is not true for URC formulas. One of the separations above implies that a q-Horn formula may require an exponential number of additional clauses to become a URC formula. On the other hand, for every q-Horn formula, we present a polynomial size URC encoding of the same function using auxiliary variables. This encoding is not q-Horn in general.
İşletmelerin Finansal Başarısızlığının AHP Temelli ELECTRE TRI ve FLOWSORT Yöntemleri ile Tahmin Edilmesi
Authors: ORUÇ Kenan Oğuzhan , DEMİRBAŞ Kerime
Published: December 2020

İşletmenin yükümlülüklerini karşılayamaması olarak tanımlanan finansal başarısızlık, mallarının tasfiye edilmesiyle sonuçlanan iflasa kadar uzanabilmektedir. İşletmelerin finansal başarısızlığa uğramaları sadece kendi paydaşlarına değil, aynı zamanda ülke ekonomisine de ciddi maliyetler yüklemektedir. Bundan dolayı finansal başarısızlığın tahmin edilmesi finans alanında önemli araştırma konularından birisidir. Bu çalışmada, ELECTRE TRI ve FLOWSORT yöntemlerinin sınıflama gücü karşılaştırılarak finansal başarısızlık tahmini yapılmıştır. Makalede; Borsa İstanbul’da işlem gören 30 gıda, içki ve tütün işletmesinin, uzman görüşleriyle belirlenen 10 finansal oranı kriter olarak belirlenmiştir. Finansal oranların önem ağırlıklarının hesaplanmasında ise Analitik Hiyerarşi Prosesi yöntemi kullanılmıştır. Elde edilen sonuçlara göre ELECTRE TRI yönteminin işletmeleri doğru sınıflandırma oranı %77, FLOWSORT yöntemininse %57 olarak gerçekleşmiştir.
Banka Sermayesi Şokları ve Kredi Büyümesi: Türk Bankacılık Sektörü
Authors: SEKMEN Taner
Published: December 2020

Bu çalışma banka sermayesine ilişkin düzenlemelerin kredi dalgalanmaları üzerindeki etkilerini sorgulamaktadır. Çalışmada bankaların sermaye oranlarının Türk bankacılık sektörünün kredi arzı üzerindeki etkilerinin banka düzeyindeki veriler ile panel VAR ekonometrik yöntemleri kullanılarak incelenmesi, Türkiye için meseleyi bu çerçevede ele alan ilk teşebbüs olması bakımından önemlidir. Türkiye’de faaliyet gösteren 26 yerli ve yabancı bankaya ait, 2002Q4 ve 2019Q2 dönemini kapsa-yan veriler ile yapılan analizlerden elde edilen bulgular sermaye yeterliliklerinin sıkılaştırılmasının bankacılık sektörünün kredi arzı üzerinde anlamlı negatif etkilere sahip olduğunu göstermektedir. Bulgular sermaye yeterlilikleri üzerindeki düzenlemelerin, bankaların kredi arzını kontrol amaçlı politika uygulamalarının planlanmasında önem taşıyabileceğini ima etmektedir. Genel olarak konjonktürel sermaye yeterlilikleri ve sermaye tamponları gibi makro ihtiyati politika araçlarının Türkiye’de kredi dalgalanmalarını dolayısıyla da finansal dalgalanmaları düzleştirmede kullanılabileceği sonucuna varılmaktadır.
MEASUREMENT OF SERVICE QUALITY IN HEALTH SECTOR: A COMPARISON BETWEEN PUBLIC AND TURKISH PRIVATE HOSPITALS IN KOSOVO
Authors: YALÇIN İbrahim , UKA Sadat
Published: December 2020

Healthcare quality has been subject of attention of researchers in every field. Different definitions have been given from different authors and new models have been developed over time. SERVQUAL and SERVPERF models were the most frequently used models for measuring health service quality. Although these models were shown successful in measuring quality, they have been criticized from many researchers. Therefore, it is necessary to make an overall view of healthcare quality factors. The aim of this study is to make a general evaluation of the service quality offered in public hospitals and private Turkish hospitals in Kosovo. Using the convenient sampling method, 204 surveys were found valuable. As a result of factor analysis, five main factors that measure service quality have been obtained and are named as hospital environment and examination services, nurses services, physical characteristics, convenience and medical services. According to the results of the t-test applied to the research data, it was found that service quality components were higher in private Turkish hospitals compared to the Kosovo public hospitals. Healthcare quality factors have an important impact on patient satisfaction. Patient satisfaction level is higher in private hospitals rather in public hospitals.
Pencemaran Alam Sekitar dan Pendekatan Mahkamah Hijau
Authors: Mohd Anuar Haslinda , Abdul Wahab Harlida , Yaacob Nurli
Published: December 2020

Pencemaran alam sekitar bukanlah sesuatu yang asing di mana-mana negara. Secara keseluruhannya, pencemaran berlaku sejajar dengan pembangunan yang tidak terkawal di samping pertambahan bilangan penduduk yang kian meningkat. Walaupun pelbagai usaha dilakukan, isu pencemaran terus berlaku malah semakin meruncing dengan sebab dan punca yang pelbagai, sama ada akibat daripada aktiviti manusia ataupun perubahan alam. Pelepasan efluen perindustrian ke dalam perairan daratan khususnya sungai, dikenal pasti sebagai satu daripada punca utama kepada pencemaran air. Akta Kualiti Alam Sekeliling 1974 menetapkan hukuman tertentu bagi menangani permasalahan ini namun kes pencemaran perairan daratan masih terus berlaku. Artikel ini bertujuan untuk menjelaskan penubuhan dan fungsi Mahkamah Hijau di samping mengkaji pendekatan serta prosedur Mahkamah dalam menjatuhkan hukuman bagi kes-kes pencemaran perairan daratan. Kaedah kualitatif melalui kajian perpustakaan dilakukan dengan disokong oleh temu bual bersama tiga orang hakim Mahkamah Hijau. Data daripada sumber sekunder dan juga temu bual dianalisa menggunakan analisis kandungan dan analitikal. Antara lain, dapatan menunjukkan bahawa kewujudan Mahkamah Hijau hanya di beberapa tempat sahaja, hukuman yang dijatuhkan oleh hakim adalah tertakluk kepada pembuktian semasa pengendalian kes, dan hukuman yang dikenakan ke atas pesalah syarikat adalah sama dengan pesalah individu. Dicadangkan agar kesedaran dan latihan berkaitan kepentingan alam sekitar diperluaskan kepada semua hakim-hakim, latihan pengendalian kes alam sekitar kepada pegawai pendakwa dan peruntukan yang lebih jelas serta berat dikenakan kepada pesalah syarikat. Berasaskan kepada cadangan dikemukakan diharapkan dapat mengurangkan kegiatan dan kes-kes pencemaran alam sekitar, khususnya perairan daratan.
The Limitations of the Right to be Heard in Disciplinary Proceedings against Public Servants in Malaysia: An Infringement of the Fundamental Liberties Under Article 5 and Article 8 of the Federal Constitution
Authors: Bin Ibrahim Zukiferee
Published: December 2020

Since 1976, despite the Privy Council’s decision in Najar Singh’s case, the right to be heard particularly on its expansion to the right of oral hearing in disciplinary proceedings against public servants in Malaysia has become an ongoing challenge. This is the outcome of the different approaches adopted by the courts in determining such right to the affected public servants. This article analysed the constitutional provisions and the judicial review approach with regards to the right to be heard of public servants in disciplinary proceedings as granted in Article 135(2) of the Federal Constitution. This article employed qualitative method by using content analysis. The findings indicated that first, the interpretation of the constitutional term “a reasonable opportunity of being heard” is vague. Next, the judicial review application is inconsistent and finally, the limitation of the right to be heard deprives the life and personal liberty of a person as envisaged in Article 5 and Article 8 of the Federal Constitution. Thus, the constitutional protection of “a reasonable opportunity of being heard” which falls under Article 135(2) in the case of dismissal and reduction of a public servant’s rank in Malaysia should be interpreted in the light of the fundamental liberties as guaranteed in Article 5 and Article 8 of the Federal Constitution. It is proposed that the oral hearing which is an essence to the principle of right to be heard be regulated in the disciplinary proceedings against public servants in Malaysia.
Specifics of Subjective Vitality in Officers of the Russian Ministry of Internal Affairs with Various Post Statuses
Authors: Pozdnyakov V.M. , Maltseva T.V. , Burtsev A.O.
Published: December 2020

The purpose of this study is to identify the component parts of the subjective vitality in the officials and other personnel of internal affairs divisions and to reveal the difference between these data and those of similar-ranked professionals in civilian organizations. On the conceptual level one's subjective vitality is viewed through the personality's attitude to the genesis of its inner forces compared to the scale and feasibility of one's projected plans in various areas of activity. Based on the subject-activity approach, the concept of personality's psychological safety and the resource-based concept of stress we actualize the role of subjective vitality in health behavior. 80 individuals were examined using the Russian adaptation (made by Alexandrova L.A) of the methodology for identifying the subjective vitality developed by R. Ryan and C.Frederic within the framework of the self-determination theory. The study found that civilian staff and officials of the internal affairs divisions have the lowest subjective vitality, whereas in the officers of internal affairs divisions it is near average. It is revealed that women working within the Internal Affairs are more distinguished by "unstable vitality".
Obedience and Disobedience in the Understanding of Russian Students: An Exploratory Study
Authors: Bovina I.B. , Sachkova M.Y.
Published: December 2020

The aim of the presented exploratory study was to reveal the social representations of obedience and disobedience among Russian students (N=189, aged from 18 to 25). Following the ideas of the social representations theory, mainly of the structural approach it was shown that the representations of obedience was crystallised around the elements related to power. Obedience and disobedience are composed with the element of different connotation, namely: the representation of obedience was composed by the elements evaluated neutrally, the representation of disobedience was composed by the elements predominantly with negative valence. The obtained results are discussed in line with the ideas of the theory of social representations, the comparison with results obtained in other cultures are made.
Optimizing the System of Family Relations of Convicted Women in Places of Imprisonment through Psychological Intervention
Authors: Makuh N.O. , Ganishina I.S. , Sochivko D.V.
Published: December 2020

The article describes the results of the conducted research of the attitude to family in women convicted for criminal violence against the members of their own families. A review was carried out of the scientific publications on this problem; a detailed structure of empirical and experimental studies is presented; the selection of psycho-diagnostic and psychological-remedial methods is substantiated. It was found that violent crimes are determined by psychological changes occurring in one's self-attitude and attitude towards one's family environment. Within the structure of family relations various subsystems, such as individual, one-generational and intergenerational are considered in combination with motivational-behavioral, cognitive, emotional components. Based on the established structure of attitudes to family, several methods for psychological treatment have been suggested. These are implemented through the use of metaphoric cards of association. With the methods suggested the process of family relations optimization occurs owing to the influence on: 1) the cognitive processes, feelings and emotional experience evoked by real, imaginary or symbolic interactions with family members; 2) the incentives and regulators of family activity and 3) operational composition of intra-family activities.
Engel Uzunluğunun Karıştırıcı Güç Sayısına Etkisi
Authors: AYRANCI İnci , GÖK Gökhan
Published: December 2020

Karıştırmalı tanklarda en önemli tasarım parametrelerinden bir tanesi güç tüketimidir. Tasarım, sürecin amacı ve güç tüketiminin birlikte değerlendirilmesi sonucu, en iyi sonucun en düşük güç tüketiminde elde edildiği sistem düzenlemesine göre yapılır. Karıştırmalı tanklarda genel olarak tam engel kullanılmaktadır. Ancak bazı durumlarda daha kısa ve yüzeye yakın veya tankın tabanından belli bir mesafe uzaktan başlayan engellerin kullanılması sürecin amaçları açısından daha uygun olmaktadır. Bazı durumlarda ise hiç engel kullanılmaz. Güç tüketiminin hesaplanması için karıştırıcıya özel güç sayısının bilinmesi gerekmektedir. Literatürde tam engel kullanıldığı zaman karıştırıcıların güç sayıları yaygın olarak verilmiştir. Ancak, farklı tür engeller kullanıldığındaki güç sayıları bilinmemekte ve bu sebeple bu sistemlerin güç tüketimleri tasarım aşamasında hesaplanamamaktadır. Bu çalışmada karıştırmalı bir tankta engel uzunluğunun karıştırıcı güç sayısına etkisi araştırılmıştır. Tam engel, tabandan boşluklu engel, yüzey engeli, yarım engel ve engelsiz tank düzenlerinde eğimli bıçaklı karıştırıcının tork değerleri geniş bir Reynolds sayısı aralığında ölçülmüş ve güç sayıları hesaplanmıştır. En küçük güç sayılarına engelsiz düzende ve sonrasında yüzey engeli ile ulaşılmıştır.
Beton Ağırlıklı Barajların Simbiyotik Arama Algoritması ile Optimizasyonu
Authors: SAPLIOĞLU Kemal , ÇOBAN Erdem , ŞENEL Fatih Ahmet , UZUNDURUKAN Soner
Published: December 2020

Artan nüfus ve sanayileşme suya olan ihtiyacı hıza arttırmaktadır. Bu artış projelerin boyutlarını da arttırmaktadır. Klasik yöntemlerle yapılan projelendirmelerde maliyetler oldukça yüksek çıkabilmektedir. Bu çalışmada su kaynakları projelerinin en önemlilerinden olan beton ağırlıklı barajların Simbiyotik Arama Algoritması (SOS) kullanılarak optimum boyutlarının bulunması amaçlanmıştır. Çalışmada baraj yükseklikleri ve deprem ivmeleri değişimi ile maliyet artışları da ve bu artışların oranları hesaplanmıştır. Elde edilen sonuçlar grafikler ve tablolar ile düzenlenmiştir. Ayrıca çalışmada her girdi parametresi için modelleme yapabilecek bir programda geliştirilmiştir.
Zeytin Karasuyunun Anaerobik Arıtılabilirliği ve Biyogaz Üretim Potansiyelinin Araştırılması
Authors: TUFANER Fatih
Published: December 2020

Zeytinyağı üretim fabrikalarında zeytin karasuyunun anaerobik olarak arıtılması hem biyogaz üretimi hem de sürdürülebilir çevre için umut verici bir yöntemdir. Bununla birlikte zeytinyağı fabrikalarının dönemsel çalışıyor olması bir dezavantaj gibi görünse de geniş zaman imkanı ile yüksek organik yüke sahip olan zeytin karasuyunun gerekli seyreltme ve baz ilavesi gibi ön işlemler ile arıtılması mümkündür. Bu çalışmada, yaklaşık 78000 mgL-1 KOİ konsantrasyonuna sahip ham zeytin karasuyu yaklaşık 1/8 oranında musluk suyu ile seyreltilerek 6.15 L aktif hacme sahip yukarı akışlı havasız çamur yataklı anaerobik reaktörde mezofilik şartlarda (36.5-37 °C) arıtılmıştır. Deneysel çalışma esnasında zeytin karasuyunun fiziksel ve kimyasal yapısından kaynaklanabilecek olumsuzlukların önüne geçerek gerekli mikroorganizma adaptasyonunun sağlanabilmesi için 39 günlük bir kesikli besleme süreci ile proses deneysel çalışmaya hazırlanmıştır. Hidrolik besleme süresinin 10 gün organik yükleme oranının 1 kg KOİ m-3gün-1 olduğu anaerobik proses 32 gün boyunca yarı sürekli olarak beslenmiştir. Zeytin karasuyunun düşük alkaliniteye sahip olması anaerobik proses için zorlayıcı olmuştur. Yaklaşık 615 mL (10000 mgL-1 KOİ ) seyreltilmiş zeytin karasuyuna 1N 12 mL NaOH ilavesi yapılarak sistem anaerobik şartlar için uygun pH aralığına (6.8-7.2) yaklaştırılmıştır. Çalışmanın sonunda %75.6 (±14.2) KOİ giderimi ile birlikte 2177 (± 279) mLgün-1 biyogaz üretiminin gerçekleştiği tespit edilmiştir. Anaerobik arıtma, seyreltilerek alkalinite takviyesi yapılmış olan zeytin karasuyundan KOİ giderimi ve biyogaz üretimi için sürdürülebilirlik açısından ve çevresel olarak dikkate alınması gereken bir prosestir.
A Comparative Study of Artificial Neural Networks and Naïve Bayes Techniques for the Classification of Radar Targets
Authors: ARIK Doğan Tunca , KARAL Ömer , ŞAHİN Asaf Behzat
Published: December 2020

The classification of radar targets is one of the most important study topics, especially in the defense and automotive industries. However, in most of the studies in the literature, raw radar signals are used. Raw radar signals may be subject to ambient noise and signal modulation effects. This may make it difficult to classify radar targets. In this study, instead of using raw data, Fourier-based features extracted from Radar Cross-sectional Area have been used. These extracted features are then input to two types of classifiers, ie, Naive Bayes (NB) and Artificial Neural Networks (ANN) for the classification of radar targets. In addition, both classifiers were trained with different algorithms and their performances were compared. In the ANN-based classifiers, the best accuracy was found that 96.69% with using Bayesian regularization and back propagation training function. On the other hand, the best accuracy with the NB classifier was achieved at 93.95% using Epanechnikov Kernel Distribution. The result presented here demonstrates that Fourier transform based feature extraction can be used effectively in radar target classification applications.
Tatvan’da Tüketime Sunulan Tavuk Dönerlerin Mikrobiyolojik Kalitesi
Authors: SANCAK Hakan , İŞLEYİCİ Özgür , SAĞUN Emrullah , EKİCİ Kamil , BAŞAT DERELİ Dilara , SANCAK Yakup Can
Published: December 2020

Bu araştırma, Bitlis’in Tatvan ilçesinde farklı lokanta ve işletmelerde pişirilmiş olarak tüketime sunulan tavuk dönerlerin mikrobiyolojik ve fiziko-kimyasal kalitesini tespit etmek amacıyla yapılmıştır. Bu amaçla 50 adet tavuk döner numunesi incelenmiştir. Numunelerin mikrobiyolojik analizleri sonucunda ortalama toplam aerob mezofilik mikroorganizma (TAMM), koliform grubu mikroorganizma, Esherichia coli, Staphylococcus aureus, koagulaz (+) S. aureus, laktobasiller, Enterobacteriaceae grubu mikroorganizma, Pseudomonas spp. ile maya-küf sayıları sırasıyla 4.86±0.94 log10 kob/g, 2.34±1.17 log10 kob/g, 2.84±0.85 log10 kob/g, 4.00±1.04 log10 kob/g, 3.79±1.23 log10 kob/g, 3.70±1.41 log10 kob/g, 2.64±1.04 log10 kob/g, 3.19±0.63 log10 kob/g ve 2.39±1.02 log10 kob/g olarak belirlenmiştir. İncelenen numunelerde Salmonella spp. ve sülfit indirgeyen anaerob mikroorganizmalara rastlanmamıştır. Fiziko-kimyasal analizler sonucunda da numunelerdeki ortalama pH ve su aktivitesi (aw) değerleri sırasıyla 6.12±0.20 ve 0.985±0.01 olarak tespit edilmiştir. İncelenen numunelerin sadece Salmonella spp. yönünden standartlarda belirtilen kriterlere uygun olduğu görülmüştür. Bununla birlikte, mikrobiyolojik özellikler yönünden pişirilmiş haldeki tavuk dönerlerin bazı mikroorganizmalar yönünden hijyenik kalitesinin iyi olmadığı, ayrıca incelenen numunelerin %8’inin E. coli ve %22’sinin de S. aureus yönünden standartlara uygun olmadığı tespit edilmiştir. Sonuç olarak; üretimde kaliteli hammadde kullanıldığında, etkin ve yeterli pişirme işlemleri uygulandığında, üretim/servis sırasında hijyenik kurallara gerekli özen gösterildiğinde ve personeller hijyen konusunda yeterli bilgiye sahip olduklarında halk sağlığı açısından risk oluşturmayacak daha kaliteli ürünlerin elde edilmesi mümkün olacaktır.
On the choice of material for surgical sutures
Authors: Gubarev A. P.
Published: December 2020

It would seem that the question of the choice of material for surgical sutures should be considered a long time ago, and that the variety of materials proposed at different times for this purpose should exclude any need to look for something else. However, the nearest consideration of this issue allows for the possibility of introducing into this depth some simplifications, which can significantly reduce the cost of threads used in surgical operations, which, of course, can have a significant value in zemstvo and rural practice, and especially in the practice of wartime.
A case of plastic surgery for vaginal fistula and vaginal scar stenosis with a flap from the labia majora
Authors: Setkin N. A.
Published: December 2020

The patient is 30 years old. Old perineal tear; vagina shortened, narrowed due to scarring; bladder fistula on its left anterior wall.
On how to surgically treat uterine tilts and retractions through the vagina
Authors: Noreiko A.
Published: December 2020

In the introduction to his work, the author provides statistics on uterine dislocations, looks at their orthopaedic treatment and gives a brief overview of surgical aids.
The question of pelvic abscesses at the International Congress of Gynaecology and Obstetrics held in Geneva in 1896
Authors: Kakushkin N. M.
Published: December 2020

This article is a summary of the lectures and debates held at the congress on this subject. The source was a report printed in La Presse Medicale, 1896, No. 73.
On the question of the so-called "pseudo-myxoma peritonei"
Authors: Pachinskiy N. I.
Published: December 2020

Schroder in one of the first editions of his "guide to diseases of female genital organs", speaking of myxomatous ovarian cysts, expresses the opinion that these cysts, even more so, than the perforated papillary cysts, which are infectious for the peritoneal mucosa.
Acute intestinal obstruction due to ovarian cyst
Authors: Shalit S. G.
Published: December 2020

At the present time, as is known, there are three groups of intestinal obstruction (Tillmans and others).
Protocols
Meeting of the obstetric and gynecological society in Kiev № 81.
February 27, 1896
Authors: Rein G. E.
Published: December 2020

Attended; D. A. Abuladze, G. G. Bruno, D. A. Vorobyov, M. A. Voskresensky, Yu. A. Gizhytsky, V. N. Gogotsky, V. P. Zhemchuzhnikov, N. M. Zvinyatsky K. K . Kegler, E. K. Kontrebinskiy, N. I. Maryanchin, L. A. Malinovskiy, N. K. Neelov, P. T. Neishtube, S. V Petrikovskiy, G. F. Pisemskiy, A. A. Redlikh, S. A. Tulub, N. V. Untilov, N. V. Shuvarsky, E. F. Funke and 125 guests.
On the question of adenomyomas of the uterus
Authors: Ivanov N. S.
Published: December 2020

(Jury. R. General. Protection. Nar. Health. 1897, April, No. 4, p. 276).
Extrauterine (peritoneal) pregnancy. Charevosuchenie. Removal of a dead fetus. Recovery
Authors: Eberlin A.
Published: December 2020

(Medical Review 1897, February, p. 215).
For the study of the removal of tumors of the uterine appendages through the vagina
Authors: Soloviev A. N.
Published: December 2020

(Surgery 1897 No. 2, p. 123).
Opoovariinum-Poehl
Authors: Pel A. V.
Published: December 2020

(Journal of Medicine. Chemistry and Pharmacy. December 1896, p. 769).
On the issue of extrauterine pregnancy
Authors: Bobrov V.
Published: December 2020

(Surgery. 1897. No. I. p. 64).
The case of fistuloe vagino (sulvo) - perineo — rectalis post coitum
Authors: Galbreikh N. A.
Published: December 2020

(Medical. Notes - 1897. Nos. 2 and 3).
Medical report of the maternity hospital of the Golitsyn hospital in Moscow for 1895
Authors: Inoev K.
Published: December 2020

(Medical report. Moscow Golitsinsky Hospital for 1895. Moscow. 1896. Page 1).
Rupture of the longon articulation during childbirth
Authors: Kholmogorov S. S.
Published: December 2020

(Doctor, 1897, No. 12).
Cases of severe seizures with cervical endometritis with rupture of it. Evaluation by operative way
Authors: Abrazhanov A. A.
Published: December 2020

(From the Yuryuzan factory hospital)
Spitzer: A case of tumor at the bottom of the diamond pit. Contribution to the knowledge of the posterior longitudinal bundle. (From the nervous department of Prof. Krafft-Ebing and from the laboratory of Prof. Obersteiner in Vienna). — Yearbooks f. Psychiatry and neurology. Vol. 18. 1899
Authors: Troshin G.
Published: December 2020

The tuberculosis, located at the bottom of the 4th ventricle, destroyed: the triangular nucleus of the VIII pair, the left nucleus of the VI pair, part of the raphe, both posterior longitudinal bundles, the cerebral part of the left nucleus of the X pair, part of the left nucleus of Deitersa, the cerebral tracts from the left n. ambiguus n. vagi, roots VII and VI pairs.
On intracerebral endings and connections of the seventh and eighth pairs of cranial nerves
Authors: Vyrubov N. A.
Published: December 2020

The anatomy of the facial and auditory nerves, thanks to a whole series of studies produced according to all sorts of methods, seems at the present time very thoroughly developed; but while the method of degeneration (with peripheral lesions) has already understood many connections of the facial nerve in a person, it has not yet been possible to observe sufficiently extensive degenerations in the medulla oblongata and tubercles of the quadruple due to damage to the peripheral auditory canals. It is in this last relationship that the case I have studied is of interest, although it should be noted that for the anatomy of the facial nerve, he also understood some still unknown relationship.
About blood circulation in the brain during acute poisoning with carbon monoxide
Authors: Spirtov I.
Published: December 2020

In view of the observed cases of various diseases of the nervous system, which are associated with single poisoning with carbon monoxide, the number of which in the medical literature is increasing every year, as well as in the form of nervous and mental disorders in chronic poisoning with the same gas, Maureau, Е. Вескеr, E. V. Hardin and me, it seemed very interesting to trace the course of blood circulation in the brain during the process of poisoning itself, all the while I gratefully accepted the proposal and permission of the highly respected prof. V. M. Bekhterev to carry out research in his laboratory on this issue.
Jean Abadie. Hysterical Polyuria and Pollakiuria. Neurology Archives Num. 51
Authors: Toporkov N.
Published: December 2020

Pointing out that the acquaintance with polyuria, as a paroxysmal and constant manifestation of hysteria, belongs to a fairly recent time and having introduced the issue to the literature, the author describes a case of polyuria combined with pollakiuria and cured with the help of indirect suggestion.
Probst. Over the Vierhügel, from the bridge and from the cerebellum descending trajectories. — Deutsche Zeitschr. f. Neurology. Vol. XV. 1899
Authors: Troshin G.
Published: December 2020

Damaging the brains of cats in different places and processing them according to Marchi, the author could state different ascending and descending connections between the spinal cord and various parts of the brain stem. The number of experiments and a detailed description of each of them are not indicated separately. The author cites only his own conclusions, while citing numerous literature data.
Bikeles. Thrombosis of the anterior cerebral artery.— Neurol. Centralblatt. 1899, p. 443
Authors: Troshin G.
Published: December 2020

The duration of the disease is 16 days; The study was made using the Marchi method. The foci were localized in the next places: 1) In the posterior part of the upper and lower frontal convolutions, not reaching the central convolutions a focus with a depth of 3.2-3.5 st .; 2) in the strio-lenticular part of the cap. int., another hearth of 8x3 st .; 3) small foci in the frontal lobe; 4) near the putamen focus, leaving the globus pallidus free and filling the putamen with decay; 5) in the outer part of the brain stem there are small foci of softening.
Partial stapedectomy versus stapedotomy: evaluation of functional outcomes
Authors: En-nouali Amine , Aljalil Abdelfattah , Hanine Mohammed A. , Darouassi Youssef Darouassi , Ammar Haddou
Published: December 2020

Background: Surgery is the treatment of choice for otosclerosis, its technical aspects are codified but varied and its functional results are usually excellent. The aim of this study was to compare the audiometric results obtained after partial stapedectomy and stapedotomy.

Methods: A retrospective review of records of patients who underwent stapes surgery for otosclerosis at Avicenna Military Hospital in Marrakesh (Morocco) from January 2008 to December 2018 was conducted.  

Results: Air conduction thresholds before (53.3±9.8 dB) and after (25.1±6.5) partial stapedectomy was statistically significant (p<0.05) and with stapedotomy before (56.4±7.2) and after (33.1±9.5) surgery also statistically significant (p<0.05). However, air conduction thresholds between the two groups was not statistically significant (p=0.592). Preoperative air-bone gap (ABG) in partial stapedectomy cases was 28.7±8.6 dB and postoperative ABG was 5.7 ± 2.6 dB (p<0.05). Preoperative ABG in patients who underwent stapedotomy was 31.2±6.4 dB and postoperative ABG was 7.5±5.2 dB (p<0.05). ABG improvement in each group was statistically significant, but between the two groups it was not statistically significant (p=0.434). A greater ABG closure rate was observed after partial stapedectomy (81.4%) than after stapedotomy (74.4%), but the difference was not statistically significant (p=0.236).

Conclusions: We can conclude that both techniques are effective and safe and that the decision of which technique to perform should depend on the experience and comfort level of the surgeon with either technique.

 
Demographic profile of fungal rhinosinusitis at a tertiary care centre
Authors: Munjal Manish , Gupta Veenu , Chinna Deepinder , Virdi Suman , Munjal Shubham , Gupta Vasu , Dhawan Neha , Bharadwaj Iti
Published: December 2020

Background: Fungal rhino sinusitis is rampant in the North Indian state of Punjab. The demographic profile, presentation and comorbidities have been analysed.

Methods: 110 samples from the nasal cavity were collected in Oto-rhino-Laryngology services and processed in the Microbiology services of Dayanand Medical College and Hospital, Ludhiana. Nasal secretions and surgically excised tissue were processed and subjected to direct microscopy by potassium hydroxide (KOH) preparation as well as inoculated on Sabrouraud’s dextrose agar. Identification of fungal isolates was done as per standard procedures.

Results: Fungal sinusitis was most common followed by acute invasive sinusitis, chronic invasive, granuloma (fungal ball) and granulomatous invasive fungal sinusitis. Males were affected more than females and the majority of the patients were from urban background. Allergic form of disease was commonly seen in younger age group as compared to the invasive form of the disease which was seen more in older patients. Nasal discharge was common presentation followed by nasal obstruction. Bronchial asthma and diabetes mellitus were co-morbidities. KOH positivity was 44.5% and fungal culture positivity was 33.6%. The common fungal isolate in this group was Aspergillus flavus (22.7%). The most common fungal isolate in the invasive group was Rhizopus spp. (4.5%) and Mucor spp. (3.6%).

Conclusions: Elderly diabetic and asthmatic males are more susceptible to invasive fungal rhino sinusitis while the young males are vulnerable to the allergic fungal rhino sinusitis. Thereby control of diabetic status and appropriate allergy testing and desensitization is emphasised.
Evaluation of efficacy and safety of montelukast and levocetirizine FDC tablet compared to montelukast and levocetirizine tablet in patients with seasonal allergic rhinitis: a randomized, double blind, multicentre, phase III trial
Authors: Panchal Sagar , Patil Saiprasad , Barkate Hanmant
Published: December 2020

Background: To evaluate efficacy, safety and tolerability of Montelukast 10 mg+levocetirizine 5 mg  FDC compared to either montelukast 10 mg or levocetirizine 5 mg given alone in seasonal allergic rhinitis (SAR) patients.

Methods: Phase III, multicentre, randomized, double blind, parallel group, active controlled study was conducted in 279 SAR patients at 16 sites across India. Efficacy was assessed using daytime nasal symptoms score (Primary efficacy outcome), night-time symptoms score, daytime eye symptom score, patient's global evaluation, physician's global evaluation, rhino-conjunctivitis quality-of-life score.  

Results: At end of treatment there was statistically significant evidence from the per protocol analysis that patients on FDC had a greater improvement in change from baseline in daytime nasal symptoms score than patients who received Montelukast (p=0.0266) or Levocetirizine (p=0.0409). These results were consistent with the Intent to treat analysis. Analysis of the secondary efficacy endpoints provided numerically greater improvement in the nighttime symptoms score, daytime eye symptoms score, and rhinoconjunctivitis quality-of-life scores in the FDC group as compared to the Montelukast group or Levocetirizine group. The FDC of Montelukast and Levocetirizine was found to be safe and generally well tolerated. The majority of adverse events were mild in severity, resolved without treatment and were unrelated to study medication.

Conclusions: Fixed dose combination of Montelukast and Levocetirizine was safe, generally well tolerated and superior on efficacy compared to Montelukast or Levocetirizine in patients of seasonal allergic rhinitis.
Study of clinical profile, complications and management of acquired cholesteatoma in pediatric age group: a retrospective study
Authors: . Rajneesh , Pawar Shradha , Valse Dinesh , Doddamani Anil Kumar
Published: December 2020

Background: Chronic suppurative otitis media when delayed of early treatment results in complications. And the present study is conducted to evaluate the complications and management of acquired cholesteatoma in pediatric age group. Aim of the study was to highlight important aspects and paradigms of clinical profile of pediatric cholesteatoma, its complications and management

Methods: A retrospective audit of total 15 cases of acquired paediatric cholesteatoma with complications were studied aged 4-14 years, for a period of 2 years from January 2018 to 2020, at a tertiary referral Centre and teaching hospital. An analysis was made about the clinical profile of pediatric acquired cholesteatoma, its complications and the overall management.   

Results: The male to female ratio was found to be 2:3. The most common presenting feature was foul smelling otorrhea, decreased hearing and earache with headache, fever in complicated cases. 9 cases among 15 (60%) had complications both intracranial and extra cranial. Surgery was the main modality of management of these conditions. Intraoperatively the major findings were cholesteatoma and granulation in the attic and mesotympanum with erosion of scutum.  

Conclusions: Acquired cholesteatoma in children is more aggressive than adults, and likely to present with advanced disease with ossicular chain involvement. Patients with unreliable follow up and limited access to operating theatre, Canal Wall Down mastoidectomy is an optimal management for complete exposure and removal of cholesteatoma.
Tubercular otitis media: demystifying its nuances and an update on the tenets of emerging perspectives
Authors: Pandey Apoorva Kumar , Bhardwaj Aparna , Maithani Tripti , Kaintura Madhuri , Anjum Fatma , Bisht Akanksha
Published: December 2020

Background: Tuberculous otitis media (TOM), a rare cause of chronic otitis media, is easily confused with nonspecific chronic otitis media owing to its unexpectedly changing and variable presentation, low suspicion and low prevalence which causes difficulty in its early diagnosis. The purpose of this study was to analyze its changing clinical pattern and to formulate an acceptable management protocol.

Methods: This retrospective observational, descriptive study included 457 cases of Chronic otitis media who were operated between January 2017 to July 2020 in a tertiary care center. Histo-pathological examination of tissue from the middle ear and mastoid were sent and positive results were corroborated retrospectively to the clinical findings.

Results: Diagnosis of TOM was established post-operatively in five cases (1.09%) with a positive histopathology report in four out of five cases and by polymerase chain reaction (PCR) in one case. Three cases (60%) presented with facial palsy and one with profound hearing loss (20%). All cases received 6 months course of anti-tubercular therapy postoperatively and were in regular follow up.

Conclusions: Tuberculosis of the middle ear can present unexpectedly either as a complication or completely as a non-specific chronic otitis media. The extent of pathological findings might not be in commensuration with the clinical features. In operated chronic otitis media cases, specimen for histopathological examination must be sent in all cases and further specific microbiological investigations may as well be advised accordingly.
Plasma ascorbic acid therapy and eosinophilic counts in allergic rhinitis: a pilot study
Authors: Munjal Manish , Singh Atul , Munjal Shubham , Verma Indu , Ghosh Abhra , Ahluwalia Sahil , Khurana Ajit Singh
Published: December 2020

Background: Role of plasma ascorbic acid in reducing the eosinophilic counts in subjects of allergic rhinitis was studied.

Methods: 60 patients were randomly selected from the Rhinology clinics of Oto- Rhino- laryngology and Head-Neck services of a tertiary health care facility. Shift in the eosinophilic counts in three groups of patients i.e., allergic rhinitis, placebo and control groups was analyzed and compared. The study was undertaken in a period of 11/2 years (June 2009 -January 2010) Blood eosinophilic count as %age of DLC was noted.

Results: The mean eosinophilic count was elevated in allergic patients (8.009±2.91) with respect to that in the controls (4.70±1.26). It reverted to normal with treatment with vitamin C. No change was seen in the placebo group. (5.45±3.56).

Conclusions: Vitamin-c reduces the eosinophilic counts in allergic rhinitis.

 
Isolated middle ear anomalies: unfamiliar causes of conductive hearing loss: a case series
Authors: Vijayendra Honnurappa , Abhilasha Somashekhar , Vijayendra Vinay , Mahajan Nilesh
Published: December 2020

In this paper, we highlighted on the various types of isolated congenital middle ear ossicular anomalies we had seen and managed. This is significant as these are rare and go undiagnosed for long period of time. The mainstay of managing these conditions includes proper and timely diagnosis and correction of conducting hearing loss. This was a retrospective case series study done over period of 3 years from July 2016 to June 2019 at a tertiary referral otology centre. The study comprised of 9 patients diagnosed with isolated middle ear anomalies and in total 11 operated ears for the same as two patients underwent bilateral treatment. Each case was handled differently according to the intra operative middle ear findings. We found that in all of our cases the HRCT findings were in correlation with our intra operative findings. All cases had excellent post-operative hearing outcomes. Isolated middle ear deformity even though rare to identity, with recent advancement it is possible to diagnose and treat it on time and hence reduce the disability experienced by the patient. Whatever the type of abnormalities, most of them could be corrected with appropriate ossicular reconstruction by preserving the normal existing anatomy and bypassing the anomalous part.

 
Sublingual dermoid: an uncommon presentation and review of literature
Authors: Kishore Hubballi Ravi , R. Reshma P.
Published: December 2020

Dermoid cysts are generally seen in the areas of embryonic fusion, in the midline, either following sequestration of ectodermal tissue, or due to failure of separation of the ectoderm from the mesoderm during third to fifth weeks of gestation. Patient information: An eighteen year old female patient presented to department of otorhinolaryngology with a painless swelling in the floor of mouth on right side. Physical examination: the swelling was cystic in consistency, bluish in color, translucent, globular shaped, nontender with a right soft submental swelling. Diagnostic assessment: both ultrasound and computed tomography of the swelling was done which reported as ranula. Interventions; under aseptic precautions and general anesthesia, elective excision of the cyst was done by intraoral approach and specimen was sent for histopathological examination. Postoperative period was uneventful. Follow up and outcome: on follow up the patient was stable and the histopathological report revealed dermoid cyst. A lateral to midline presentation of sublingual dermoid cyst in the floor of mouth with recent occurrence of symptoms and no history of any trauma is rare, hence should be considered as one of the differential diagnosis for floor of the mouth cystic swellings. Ranula and dermoid cysts have similar clinical presentation with similar ultrasound, computed tomography and magnetic resonance imaging findings. The only distinguishable investigation is histopathological examination and all the specimens have to be sent for histopathological examination irrespective of the preoperative investigation reports.
T4 squamous cell cancer of buccal mucosa successfully treated combination of interstitial brachytherapy, concurrent chemo-radiotherapy and salvage surgery
Authors: Sharma Jyoti , Sharma Aman , Verma Swati
Published: December 2020

We report a case of advanced case of right sided buccal mucosa deemed inoperable achieving long term cure with a combination of interstitial brachytherapy and concurrent chemoradiotherapy (CRT) followed by salvage surgery for small recurrence. The patients were considered for upfront double plane 12 catheter implant to a dose of 25 Gy in 8 fractions at the rate of 3.125 Gy per fraction. Two fractions were delivered in a day at least 6 hours apart. Thereafter patient was subjected to CRT to a dose of 40 Gy in 20 fractions. At follow up there was complete resolution of disease barring a small induration raw area at angle of mouth, which was successfully managed by salvage surgery. Patient is now on regular follow up for 18 months from completion of treatment and is disease free for 1 year.