bluuebunny/crossref_metadata_2025 huggingface dataset:
Transition to postgraduate practice: perceptions of preparedness and experience of the daily work of junior residents
Authors: Monti Matteo , Brunet Laura , Michaud Pierre A.
Published: November 2020

BACKGROUND
The transition from undergraduate to postgraduate training is a crucial career step for physicians. Several international studies have shown that graduates feel insufficiently prepared to perform various aspects of clinical practice. The publication of a national framework for undergraduate medical education triggered major curricular reforms at our institution. Through this study, we explored the perceptions of preparedness for practice of junior residents who graduated from the new curriculum.

METHODS
This was a cross-sectional, triangulation mixed-methods quantitative and qualitative study among junior residents and senior physicians of 13 hospitals in western Switzerland. We administered two online questionnaires aimed at exploring perceptions in five areas of clinical competence (knowledge, clinical skills, clinical reasoning, communication and collaboration), as well in self-confidence and coping with the daily work. The qualitative part consisted of six semi-structured focus groups with junior residents, aimed at further clarifying the perceptions and circumstances of their preparedness. Verbatim transcriptions were analysed through thematic analysis.

RESULTS
Fifty-nine (43.3%) junior residents and 68 (26.5%) senior physicians completed the questionnaire. Among residents, 54.2% considered the curriculum to have adequately prepared them for practice. However, residents felt they were underperforming particularly in developing therapeutic strategies, in communicating with patients’ relatives, and in writing discharge letters. 50.8% (95% confidence interval 37.5-64.1) of them felt overwhelmed by the workload and 39% felt unfulfilled at work. Perceptions of senior physicians about residents’ clinical competences most often agreed with those of their young colleagues. Nineteen residents volunteered to participate in six focus groups. Thematic analysis allowed us to highlight six areas associated with perceptions of underpreparedness: (1) the adequacy of undergraduate instruction; (2) the ability to work efficiently within an interprofessional team; (3) the ability to communicate with patients and colleagues; (4) the effect of the curriculum on the development of critical inquiry and their approach to learning; (5) difficulties in managing their daily clinical work; (6) the negative emotions experienced at the beginning of postgraduate training.

CONCLUSIONS
Several important aspects of daily clinical practice appear to be insufficiently mastered in the first few months of residency. The resulting stress and anxiety negatively affect job satisfaction. This study provides concrete examples and guidance for program directors and educators on how to better prepare students for postgraduate training.
Immune checkpoint inhibitor therapy-associated encephalitis: a case series and review of the literature
Authors: Stuby Johann , Herren Thomas , Schwegler Naumburger Guido , Papet Claudia , Rudiger Alain
Published: November 2020

BACKGROUND
Immune checkpoint inhibitors (ICIs) can cause a wide spectrum of immune-related adverse events, including encephalitis. To date, no prospective randomised controlled trials examining the patient characteristics, treatment and outcomes of ICI-associated encephalitis have been published. Therefore, we aimed to review case reports and to provide recommendations for the management of ICI-associated encephalitis.

METHODS
A literature search using Google Scholar and PubMed was performed in December 2019. Published case reports and case series of ICI-associated encephalitis were reviewed, and a case series from the Limmattal Hospital in Schlieren, Switzerland was added. The results are presented as numbers and medians (ranges).

RESULTS
Five different ICIs caused encephalitis in the 47 patients included in this case series. Nivolumab was the most frequently involved drug (27/47, 57%). The median time between treatment and onset of symptoms was 65 (4–630) days. Patients presented with rapidly evolving confusion, reduced level of consciousness, headache, seizures and focal neurological deficits. A total of 19 out of the 44 (43%) magnetic resonance imaging (MRI) scans performed revealed findings suggestive of encephalitis. No specific electroencephalogram (EEG) pattern consistent with encephalitis was found, but epileptiform discharges were detected in 7/20 (35%) of all tested patients. Typical findings of cerebrospinal fluid (CSF) analysis were pleocytosis, elevated protein levels and normal glucose concentrations. Forty-four out of 47 (94%) patients received corticosteroids. Intravenous immunoglobulins (IVIG), rituximab and plasma exchange therapy were less frequently prescribed. Nine out of 47 (19%) patients died during the index hospitalisation.

CONCLUSIONS
Encephalitis should be suspected in patients treated with ICIs who present with rapidly evolving confusion. Blood tests, CSF analysis, cerebral MRI and an EEG should be performed. Therapy with intravenous corticosteroids is recommended. Steroid unresponsiveness is rare and should lead to a review of the diagnosis. Alternative treatment options are IVIG, plasma exchange therapy and rituximab.
Yaşar Kemal'in Romanlarında Defin Ritüellerinin Sosyal-Kültürel Temelleri
Authors: ŞEKER Aziz
Published: November 2020

Yaşar Kemal, Türk ve dünya edebiyatının önemli romancıları arasında yer alır. Anadolu toplumlarının sözlü anlatılarını çağdaş roman kurgusu içinde yeniden üreterek, evrensel bir düzeye taşıyan Yaşar Kemal’in başarısı, bu toplumların kolektif belleğinde yer etmiş ritüelleri gerçekçi bir biçimde sosyal-kültürel temelleriyle ele almasından ileri gelir. Aynı zamanda Yaşar Kemal, insanları derinden etkileyen birçok toplumsal olguyu roman kurgusu içerisinde estetize etmiştir. Bunu yaparken oluşturduğu roman kahramanları aracılığıyla ekolojik bir döngüde var olan toplumsal gerçekliği de yansıtır. Bütün bu özellikler Yaşar Kemal’in romanlarına sosyolojik ve antropolojik bir bakış açısıyla eğilmeyi beraberinde getirir. Dolayısıyla genel olarak bakıldığında onun romanlarında insanlara, farklı kültürlere, topluluklara dair çıkarımlar yapmak mümkündür. Bu çalışmada Yaşar Kemal’in romanlarında, özellikle Çukurova bölgesindeki Türkmen aşiretlerinde defin ritüellerinin insani boyutu değerlendirilirken, bu merasimlerde ağıt yakma başta olmak üzere yerine getirilen bazı pratiklerin önemi ve işlevi irdelenmiştir. Çalışma bu yönüyle Anadolu Türkmen kültüründe defin ritüellerinin ve ağıtların sosyal kültürel temellerini ortaya çıkarması açısından veriler içermektedir.
IMPACTS OF ORGANIC AND INORGANIC FERTILIZERS ON GROWTH AND YIELD OF COUNTRY BEAN (LABLAB PURPUREUS L.) IN SUMMER SEASON
Authors: Raihan Md. Sazzat Hossain , Islam Mohammad Shafiqul , Islam Md. Morshedul , Khan Rafat Nur Abdullah , Hossain Belayet
Published: November 2020

A field experiment was conducted from April to September in 2018 at Nobogram Agro farm, Noakhali, Bangladesh. The experiment was done to determine the effect of organic and inorganic fertilizers on growth and yield of country bean (Lablab purpureus L.) in Summer Season. The experiment comprises on country bean local variety named ‘Epsha-2’. There were four treatments viz., T1= Control (no fertilizer are used), T2= Inorganic (TSP 0.50 gm/pit + Gypsum 200 gm/pit + MOP 250 gm/pit), T3= Cowdung (5 kg/pit) and T4= FYM (5 kg/pit) and the experiment was laid out in Randomized Complete Block Design (RCBD) with six replications. The parameters of the experiment were the percentage of seed germination, plant height at four-leaf stage (cm), days to first flowering (days), number of pod per plant, individual pod length (cm), pod width (cm) and pod weight (gm).Among all treatments farmyard manure (FYM) was responsible for a higher percentage of seed germination (100%), maximum plant height during four-leaf stage (6.08 cm), accelerated days to first flowering (48 days), increased pod number per plant (220.33), the maximum number of individual pod length (6.87 cm), pod width (2.07 cm) and pod weight (5.53 gm) over other treatments in summer country bean. So the results showed that farmyard manure strongly influenced plant growth and yield component of the country bean. In brief, application of FYM is necessary to increase country bean production in summer season.
On the Correlation Between Residual Stresses and Displacements of the Polycrystalline Lattice: an Experimental Strategy
Authors: Diaz F. V. , Rosso F. N. , Walker A. C. , Guidobono A. P. M.
Published: November 2020

This work aims to propose a micro-indent method to evaluate the correlation between the relaxation of residual stresses and the shape changes of the polycrystalline lattice in specimens of a rolled plate of AA 6082-T6 aluminium alloy. Rolling strengthens the surface of the plate by introducing compressive residual stresses. Then, these stresses are relaxed by thermal distension. The method of micro-indents allowed measuring residual displacements with an error below ± 300 nm. The results obtained reveal that the rolling direction plays a vital role in terms of asymmetric expansion of the lattice. Furthermore, the lattice accumulates and restores elastic strain energy in the clockwise and anti-clockwise direction of rotation, alternatively. Finally, when the stress release process is finishing, the lattice adjusts the angle of rotation to approximate to the initial geometric shape.
Artificial Neural Network Performance Boost using Probabilistic Recovery with Fast Cascade Training
Authors: Maniatopoulos Andreas , Gazis Alexandros , Pallikaras Venetis P. , Mitianoudis Nikolaos
Published: November 2020

Pattern Recognition and Classification is considered one of the most promising applications in the scientific field of Artificial Neural Networks (ANN). However, regardless of the vast scientific advances in almost every aspect of the technology and mathematics, neural networks still need to be fairly large and complex (i.e., deep), in order to provide robust results. In this article, we propose a novel ANN architecture approach that aims to combine two fairly small Neural Networks based on an introduced probability term of correct classification. Additionally, we present a second ANN, used to reclassify the potentially incorrect results by using the most probable error-free results as additional training data with the predicted labels. The proposed method achieves a rapid decrease in the mean square error compared to other large and complex ANN architectures with a similar execution time. Our approach demonstrates increased effectiveness when applied to various databases, related to wine, iris, the Modified National Institute of Standards and Technology (MNIST) database, the Canadian Institute for Advanced Research (Cifar32), and Fashion MNIST classification problems.
Machine Learning and Data mining on the innovation of E-sports industry
Authors: Chen Yiqing , Mei Jie , Huang Steward
Published: November 2020

AI technology brings many revolutionary innovation opportunities to the e-sports industry. With the help of data mining, we can analyze the advantages and disadvantages of competitors, and predict the trend of the situation in the future. With the help of the agent created by intensive in-depth learning, it can assist players of different levels to carry out routine training, so as to improve the overall activity of the game. With the help of AI's big data advantage, AI can assist E-sports teaching to regard E-sports specialty as an experimental platform for using cutting-edge technology to reform and innovate traditional education and provide forward-looking guidance for future education. This paper uses CNN, LSTM, and LSTM + CNN three model to predict the outcome of the game according to the heroes selected by both teams, and has achieved good prediction results.
Examining the Relationship Between Breast Cancer Fatalism and Fear in Women
Authors: YILDIRIM Mehmet Salih , Yıldız Metin , OKYAR Güray
Published: November 2020

Aim: This research was carried out to examine the relationship between breast cancer fatalism and fear in women.

Methods: This research, which is planned as a descriptive and relationship seeker type, was conducted between March and May 2020 with women living in Iğdır.

Results: According to the findings obtained from the study, it was found that the total mean score of breast cancer fate of individuals was 4.42 ± 2.58, and the average total score of fear of breast cancer was 23.67 ± 7.03. A statistically significant relationship was found between the total mean score of breast cancer fatality, total point average of fear of breast cancer, and age (p <0.05).

Conclusion: Women's breast cancer fatality and fear of breast cancer were found at a medium level. It is recommended that the study be carried out in larger groups.
The Distribution of Congenital Malformations in Adolescent Pregnancies: A Single Tertiary Center Experience in Turkey
Authors: Behram Mustafa , Oğlak Süleyman Cemil , Gedik Özköse Zeynep , Süzen Çaypınar Sema , Başkıran Yusuf , Sezer Salim , Bademkıran Cihan , Özdemir İsmail
Published: November 2020

Objective: Adolescent pregnancies are more severe and dangerous for both mother and baby than adult pregnancies. Low birth weight, infections, intrauterine growth restriction, sudden infant death syndrome, and death risk are higher in neonates of adolescent pregnant women. Besides, anomalies of central nervous, gastrointestinal, and musculoskeletal systems are also seen frequently. The purpose of this study is to investigate congenital malformations of infants born from adolescent mothers. In this study, malformations were grouped according to the systems.

Material and Methods: In this retrospective study, 166 pregnant women aged 18 and under who had fetal anomaly were included in the study and their charts reviewed. Descriptive information about the adolescents and information about the fetuses and anomalies were recorded. Maternal and neonatal characteristics were calculated as frequency and percentage.

Results: The most common anomalies were the central nervous (40.5%), cardiovascular (15.8%), and urinary (10.8%) system. The anomalies related to the skin and phalanges, including the face, accounted for 8.1% of the cases. Ventricular dilatation (10,4%), neural tube defect (7,2%), and hydrocephalus (7,2%) were the most common abnormalities of the central nervous system. Ventricular septal defect (5,9%), pulmonary artery anomaly (2,7%), and tricuspid valve anomaly (2,3%) were the most common cardiovascular system anomalies. Intrauterine growth restriction (3,6%), pleural effusion/hydrothorax (3,2%), pes equinovarus (2,7%), diaphragmatic hernia (2,3%), cystic hygroma (2,3%), oligohydramnios (2,3%), polyhydramnios (2,3%), and cleft palate/lip (2,3%) were the most common anomalies among the other system and organ anomalies.

Conclusion: Adolescent pregnancy was partially associated with an increased risk of severe neonatal anomalies especially in the central nervous, cardiovascular, and urinary systems. Pediatric health care providers should have a low threshold for suspecting pregnancy in adolescents.
Optimization and modeling of Electrical Discharge
parameters on Machining of Stavax Steel
Authors: P Srinivasa Rao and Prof. Eshwara Prasad Koorapati
Published: November 2020

This work focuses on the use of the Taguchi method in order to find out the optimized parameters of the
process like discharge current, pulse on time and pulse off time on the machining features such as material
removal rate(MRR), surface roughness(SR) & tool wear rate(TWR) on Stavax Steel by means of Electrical
Discharge Machining(EDM). It is also intended to study the individual influence of parameters on the
performance characteristics. The dielectric fluid circulating system is modified to conduct the experiments.
The analysis of variance (ANOVA) is made to recognise the importance of parameters on the response. By
using non-linear regression analysis the empirical models are developed in order to predict these
performance characteristics and the confirmation test was conducted at the optimal parameters settings to
check the optimum expected values of performance features. Detailed analysis by using ANOVA is done and
came out with the findings as a pulse on time is the most significant process parameter, next is the discharge
current and the insignificant parameter is the pulse off time. Machining surface morphology was studied and
observed that crater size is large and deeper due to a large amount of metal is melted and vaporized at the
optimum condition of MRR.
Customer Satisfaction of Hindustan Petroleum
Liquefied Petroleum Gas (LPG) Proudct in Urban
Housholds
Authors: Sangeetha A
Published: November 2020

Women usually feels Liquefied Petroleum Gas (LPG) as an Essential Product and which helps them to reduce
the day to day challenges. In the LPG gas market demand for the product and supply are having a vital role
in the women’s day to day activity. This study majorly focused on how the Hindustan Petroleum company
provides services to the households in the Dindigul town and their customer satisfaction. The Study follows
descriptive research design with the help of Semi Structured interview schedule. The study identified that the
company provides adequate support to the customers and delay in delivery makes customers feels unhappy.
Face Detection Using Viola Jones Algorithm
Authors: Dherya Bengani and Prof. Vasudha Bah
Published: November 2020

Face detection is one of the most widely researched topics in recent times and is at the helm of the computer
vision technology. This paper aims to review and study in detail the implementation of Viola Jones algorithm
to detect faces in Realtime. Viola Jones algorithm is reviewed first followed by its main steps which include
Haar features, integral image and cascading classifiers.
Lessons Learned on Green Stimulus: Case Studies from the Global Financial Crisis
Authors: Jaeger Joel , Westphal Michael , Park Corey
Published: November 2020

Today’s policymakers designing economic stimulus packages to respond to the COVID-19 pandemic can draw lessons from the most recent point of comparison, the global financial crisis. This paper gives a global overview of the green stimulus announced in 2008 and 2009 and then provides case studies of four of the economies that spent the most on green measures: the United States, South Korea, China, and the European Union. For each case study the paper evaluates how much was spent on green vs. polluting measures, how successfully the stimulus was implemented, the impact on the economy and particularly on jobs, and the impact on greenhouse gas emissions and other environment outcomes. The paper then briefly examines the differences between the global financial crisis and the COVID-19 crisis and presents recommendations for policymakers. Countries around the world have a chance to build back better than before by designing COVID-19 stimulus packages that quickly create jobs and build up new industries while also providing climate co-benefits.
ALGILANAN ÖRGÜTSEL DESTEK ve PSİKOLOJİK GÜÇLENDİRMENİN ÖRGÜTSEL BAĞLILIK ÜZERİNDEKİ ETKİSİ: BANKA ÇALIŞANLARI ÜZERİNE BİR ARAŞTIRMA
Authors: DİNÇ ELMALI Esra , ÖCAL ÖZAKAR Özlem
Published: November 2020

Amaç: İşletmeler rekabet koşullarının gün geçtikçe arttığı bu ortamda rekabet üstünlüğü sağlamak için insan sermayesine her zamankinden daha çok önem vermeye başlamıştır. Bu doğrultuda da son yıllarda literatürde üzerinde önemle durulan kavramlardan biri örgütsel bağlılık olmuştur. Yapılan çalışmalarda çalışanların örgütsel bağlılık düzeyi üzerinde etkili değişkenler araştırılmıştır. Bu araştırmanın amacı da algılanan örgütsel destek ve psikolojik güçlendirmenin örgütsel bağlılık üzerindeki etkisini incelemektir.

Yöntem: Araştırma verilerini toplamak için anket tekniğinden yararlanılmıştır. Oluşturulan anket formu özel bir bankanın 310 şube ve genel müdürlük çalışanları üzerinde uygulanmıştır. Araştırmada değişkenler arası ilişkileri belirlemek için korelasyon ve bağımsız değişkenlerin bağımlı değişken üzerindeki etkilerini belirlemek için çoklu regresyon analizlerinden yararlanılmıştır.

Bulgular: Elde edilen bulgulara göre; algılanan örgütsel destek, normatif bağlılık, devam bağlılığı ve duygusal bağlılığı olumlu yönde etkilemektedir. Ayrıca, psikolojik güçlendirmenin alt boyutlarından etki, anlam ve özerklik boyutu normatif bağlılığı ve duygusal bağlılığı olumlu olarak etkilerken, etki boyutu devam bağlılığını olumlu, yetkinlik boyutu ise normatif ve duygusal bağlılığı negatif olarak etkilemektedir.

Özgünlük: Literatürde algılanan örgütsel destek ve psikolojik güçlendirmenin ayrı ayrı örgütsel bağlılık üzerindeki etkilerini inceleyen çeşitli çalışmalara rastlamak mümkündür. Ancak bu iki değişkenin örgütsel bağlılık üzerindeki etkilerini araştıran çok sınırlı sayıda çalışma bulunmaktadır. Bu doğrultuda bu araştırmanın ilgili yazına katkı yapması hedeflenmiştir. Ayrıca bu araştırmanın diğer çalışmalardan farklı olarak banka çalışanları üzerinde yapılmış olması da bir diğer katkısı olarak ifade edilebilir
SIMULTANEOUS BILATERAL CAROTID STENTING: A SINGLE CENTRE EXPERIENCE
Authors: Can Yusuf , Kocayigit Ibrahim
Published: November 2020

Objective: To evaluate the efficiency, reliability and complications of simultaneous bilateral carotid artery stenting in patients with atherosclerotic bilateral carotid artery stenosis. Methodology: We analyzed 14 consecutive patients who underwent simultaneous bilateral carotid stenting from September 2010 to January 2016, retrospectively. Clinical outcomes at 30 days and one year after stenting, including hyperperfusion syndrome, haemodynamic depression, minor and major stroke, myocardial infarction and death, were assessed. Results: The patients were 43 to 73 (62.3 ± 8.8) years old, and 8 (57.1%) were male. Carotid stenting procedure success rate was 100%. Distal embolic protection devices were used in all patients. Up to 30 days after carotid artery stenting, the haemodynamic depression rate was 21.4% (3/14). There were no deaths, minor and major strokes, cases of hyperperfusion syndrome or myocardial infarctions within 30 days. One patient died of septic shock seven months after carotid artery stenting. There were no minor and major strokes or myocardial infarctions within one year. Conclusion: The data showed that simultaneous bilateral carotid stenting is a technically feasible and reliable alternative treatment method in a selected group of patients with bilateral carotid artery disease.
INCIDENCE AND RISK FACTORS OF FOREARM HEMATOMA AFTER TRANSRADIAL PERCUTANEOUS CORONARY INTERVENTION
Authors: Saleemi Muhammad Sohail , Mohy-ud-din Muhammad Tahir , Ahmad Nisar , Qadir Fawad , Sherwani Mubasher Ali Khan , Butt Zahid Rafiq
Published: November 2020

Objective: To determine the incidence and risk factors of forearm hematoma after trans-radial percutaneous coronary intervention (TRA-PCI). Methodology: In this observational study we included 450 consecutive patients who were referred to catheterization unit of Ch. Pervaiz Elahi Institute of cardiology between February 2019 and September 2019 were included. Patients planned for TRA were only included in analysis. We recorded demographic details, previous and presenting medical and clinical history, and renal parameters for each patient. Allen’s test was performed in each patient to determine the eligibility TRA. Incidence of forearm hematoma was noted immediately after the procedure. Results: Out of 450 subjects enrolled in this study included, 324 (72%) were men and 126 (28.0%) were women, the mean age of the patients was 54±10 years. Forearm hematoma was diagnosed in only 51 (11.3%) patients. out of 51, 24 (47.0%) had grade I, 17 (33.3%) had grade II and 9 (17.6%) had grade III and 1 (1.96%) patients had grade IV hematoma. On univariate analysis, being women [odds ratio 2.2 (1.2-4.0), p-value=0.01], obesity [odds ratio 2.8 (1.54-5.76), p-value=0.001], and >1 puncture attempt [odds ratio 4.5 (2.36-8.51), p<0.001], were independent risk factors of forearm hematoma. Conclusion: Incidence of hematoma after trans-radial percutaneous coronary intervention is 11.3%. Female gender, obesity and higher number of puncture attempts are independent risk factors of hematoma. Hematoma is mostly grade I-II in nature and can be managed easily only through conservative management.
LEFT ATRIUM THROMBUS ASSOCIATED WITH VENO-ARTERIAL EXTRACORPOREAL MEMBRANE OXYGENATION (VA-ECMO)
Authors: Allam Hassan H. , Kinsara Abdulhalim Jamal , Altaf Fawaz , Alrajawi Amt Alkhaliq A. , Tuiama Tareq , Alfakih Shadwan E.
Published: November 2020

Extra corporeal membrane oxygenation, specifically the veno-arterial type (VA-ECMO) is an effective cardiac support device but has potential negative effects, such as poor myocardial rest, increased after load with subsequent pulmonary edema or decreased flow to the left side of the heart resulting in intra-cardiac thrombus formation. Hence, adequate left ventricular drainage and adequate anticoagulation are essential. We are presenting a patient who required central VA-ECMO, but developed a left atrial (LA) thrombus, which adversely affected his outcome. In VA-ECMO, thrombus formation in the left side of the heart is a potential harmful complication. Early recognition is an important step to arrange appropriate interventions, either early anticoagulation or the potential need for a LV vent to prevent stasis.
MÜZİK EĞİTİMİ ANA BİLİM DALLARINDA POPÜLER MÜZİK EĞİTİMİ
Authors: AKSOY Raziye Nil
Published: November 2020

Araştırmanın amacı Türkiye’de Müzik Eğitimi Ana Bilim Dallarında lisans düzeyinde uygulanan 2006 ve 2018 öğretim programlarının içeriklerinin popüler müzik eğitimi bakımından incelenerek karşılaştırılmasıdır. Araştırmanın modeli nitel araştırma modellerinden durum çalışmasıdır. Araştırmanın veri kaynaklarını YÖK tarafından oluşturulan ders içerikleri, Müzik Eğitimi Ana Bilim Dallarının oluşturduğu içerikler ve öğretim üyelerinin görüşleri oluşturmuştur. Araştırmanın verileri doküman analizi ve görüşme yöntemleri ile elde edilmiştir. Araştırmada, 2006 ve 2018 programında içeriğinde popüler müzik eğitimine yer verdiği saptanan dersler, ders saati ve içerikleri bakımından incelenmiştir. Ders içerikleri “Kapsam ve Kavram Olarak Popüler Müzik”, “Müzik Türleri”, “Popüler Müzik Endüstrisi ve Teknolojik Boyut”, “Popüler Müziğin Armonik Yapısı”, “Popüler Müzik Uygulamaları” ve “Popüler Müziğin Müzik Eğitimi İçerisindeki Yeri” kategorileri doğrultusunda betimsel analiz yöntemiyle analiz edilmiştir. Sonuç olarak Türkiye’de Müzik Eğitimi Ana Bilim Dallarında lisans düzeyinde uygulanan 2006 ve 2018 öğretim programlarındaki popüler müzik eğitiminin içerik ve kapsamındaki benzerlik ve farklılıklar ortaya koyulmuştur.
http://habibiaislamicus.com/index.php/hirj/article/view/132
Authors:   Deputy Registrar, Lasbela University, Faisal Faisal , Rind Bashir Ahmed
Published: November 2020

A human depends on other human for their happiness and long life, that’s why a human is called a social animal. Speech is the only thing through which human shows their value/worth in the society. A human always tries to show/prove that they (he/she) are/is not just a social animal but a better member of society. A human uses tongue to show emotions of well wishes to others. Tongue is the most important organ in human body. It is said that your heaven depends on the use of tongue. Allah Almighty has given tongue to communicate/talk. However it is said that some people use it like their hands and feet (in treating others), and that is the place where a human becomes worst than an animal. This article analyzes to speech, its proper usage, tolerance and speaking good or bad language according to various situations in the light of Quran, Sunnah and teachings of Justice Peer Muhammad Karam Shah Al-Azhari (R.A)
http://habibiaislamicus.com/index.php/hirj/article/view/136
Authors:   Research scholar, Department of Islamic Studies, Federal Urdu University, Haq Shams ul Haq , Baloch Abdul Gafoor
Published: November 2020

Abrogation is the basic dispute between Islam and Judaism. Jewish's point of view is that it is impossible to be abrogated the word of God. While Islamic resources claim it as a normal procedure of sharia. Jewish think that it's revealed in Torah that word of God can't be changed. While there are many quotes which we have quoted in this essay from Torah and Tanakh which clearly shows word of God was changed. Qur'an claims that it is a timely period of order which after its time has ended. And whatever new order replaces the previous order it's going to be whether better than previous order or same as previous order. When abrogation is a normal work and it has always happened new order replaces previous order. Same happens in sharia. Judaism was previous sharia which has been changed with Islam which is a better way of fulfilling the commandments of God.
Medical Images Edge Detection Based on Mathematical Morphology
Authors: Mehena J.
Published: November 2020

Medical images edge detection is an important work for object recognition of the human organs and it is an important pre-processing step in medical image segmentation and reconstruction. Conventionally, edge is detected according to gradient-based algorithm and template-based algorithm, but they are not so good for noise medical image edge detection. In this paper, basic mathematical morphological theory and operations are introduced, and then a novel mathematical morphological edge detection algorithm is proposed to detect the edge of medical images with salt-and-pepper noise. The simulation results shows that the novel mathematical morphological edge detection algorithm is more efficient for image denoising and edge detection than the usually used template-based edge detection algorithms and general morphological edge detection algorithms. It has been observed that the proposed morphological edge detection algorithm performs better than sobel, prewitt, roberts and canny’s edge detection algorithm. In this paper the comparative analysis of various image edge detection techniques is presented using MATLAB 8.0 .
Performance Analysis Of A Cellular System Using C-Ofdm Techniques
Authors: Swain Lopamudra
Published: November 2020

The basic idea of COFDM is to split the modulation samples of incoming data stream onto a large number of carriers instead of modulating a unique carrier. Therefore, COFDM is an effective technique for combating multi-path fading and for highbit- rate transmission over wireless channel. In a single carrier system a frequency Selective fading can cause the entire transmission link to fail, but in an COFDM multi carrier system, only a small percentage of the sub-carriers will be corrupted. Frequency and time interleaving in conjunction with forward error correction coding can then be used to correct for erroneous subcarriers. The background information with the aim to provide an intuitive explanation of our research motivation. C-OFDM is the modulation scheme of choice , as enshrined in International standard for all forms of digital broadcasting both audio and video and including satellite, terrestrial, and cable. In the existing standard the “coding” referred to consists of an inner convolutional code concatenated with an outer R-S code; here in this thesis, we replace the inner code with the coding like space time trellis code for analysis.
"Bound to be responsible": the Tasmanian Greens' and the 1996-1998 Liberal minority government
Authors: Comyn Arabella
Published: November 2020

This paper presents a case study of minority government in the Australian state of Tasmania in 1996-1998. The minority government was led by the conservative Liberal Party of Australia and supported, without a formal agreement or formal arrangements, by the newly formed Tasmanian Green Party. This type of minority government is not very common in Australia and was adopted as a result of the specific context within which the government was formed. Two of the Green members elected to the Tasmanian parliament participated in extensive interviews which provide the primary basis for this case study. The case study will show how the negativity ascribed to the Tasmanian Greens and minority government prevented the possibility of a written agreement for minority government. It will also outline how the unity-distinctiveness dilemma was experienced by the Tasmanian Greens and how it played a role in the government’s early end. The case shows that the Tasmanian Greens displayed a high commitment to stability and cooperative politics, but that this was not enough to prevent the governing Liberal Party from calling an early election and breaking a promise. The participating ex-Greens did however find the experience to be ‘worth it’.
Painting the Nails of Homeless Women: Using Manicures as a Methodological Tool
Authors: Earle-Brown Harriet
Published: November 2020

This article introduces the method I am planning on using for my PhD research: rethinking the traditional semi-structured interview by offering manicures to homeless women during conversation. There are several aims to this approach including creating a more comfortable research environment; open up unexpected conversations relating to the manicure; allow the participants to have autonomy over their body through choosing, designing or refusing their manicure; and thanking the homeless women for their participation. At face value, a manicure might seem like a strange, if not trivial thing to bring into a research environment. However, as this article will argue, offering manicures to homeless women has the potential to not only benefit the participants themselves, but to enrich the research process itself and the findings which consequentially emerge. This article argues that this approach aligns with both creative geographical approaches to research (which allows the research to go in unexpected directions, often yielding interesting results) and feminist approaches to research (which emphasise participant wellbeing, empowerment and an alleviation of power relations). Together, this approach can contribute to more flexible and more ethical research, which is useful when researching with vulnerable groups such as those experiencing homelessness.
Divorced Eggs and the Culinary Field: Bourdieu, Field Theory, and the Chef
Authors: Hilton Jed
Published: November 2020

In this article I seek to utilise Bourdieu’s field theory to examine the relation between the artistic and culinary fields. I examine how the field has changed since the mid-twentieth century and how, since the 1960s, the autonomy of the chef drastically changed the culinary field. Focusing upon elite chefs of the twenty-first century, such as Ferran Adrià and Massimo Bottura, I analyse how European haute cuisine has developed and how dialogues between the chef and diner have become a defining feature of contemporary haute cuisine. Overall I examine how this autonomy occurred and what it potentially means for haute cuisine in the future. Throughout, I reference the concepts of Bourdieu’s field theory, legitimation, and heteronomy/autonomy to explain how these changes within the culinary field occurred and what it means for the field.
Why Britain should not follow Germany's approach to recognising its racist legacy
Authors: Sweida-Metwally Samir
Published: November 2020

Two recent articles published in the Guardian by Professor Susan Neiman and the 2018 European Book Prize winner, Géraldine Schwarz, in the context of the Black Lives Matter Movement suggest that Britain should follow Germany’s example in dealing with its racist legacy. This opinion piece argues that it should not. While it is irrefutable that Germany has taken some important steps to face up to its Nazi past, to suggest that this means Germany has ‘confronted its racist legacy’ in a general sense is deeply misguided. I argue that this erroneous conclusion is due to a misunderstanding by both authors about what racism is, and how it operates. The UK, like any other ex-colonial power, should take a more principled and systematic approach to dealing with its racist legacy, and following the German example would undermine this.
The Death and Subsequent Revival of the Cornish Language
Authors: Broadhurst Kensa
Published: November 2020

Cornish is the vernacular language of Cornwall, the most South-Western part of Great Britain. It is widely believed the language died out in the eighteenth century with the death of Dolly Pentreath, the so-called last speaker of the language. What caused the language to become extinct, and why do minority languages fall into disuse? After the subsequent Cornish language revival at the beginning of the twentieth century, what lessons can the language community learn from linguists who have researched language extinction and revival?
An Innovative Information System for College Management
Authors: B.S. Chaithra
Published: November 2020

This is an information system application called Electronic-College Management and Information System (ECMIS) which is useful for staff, faculty, and principal to deal with all information about student details, academic related reports, college details, course details, batch details and other related details. This is user friendly and easy to use system. All the important data are stored in the database and it avoids any miscalculation. It replaces the old and traditional file (paperwork) storing process; it even provides editing facilities for data which would be tedious through paperwork. It eliminates manual work (Manual system does not mean that we are working with pen and paper, it also includes working on spreadsheets and other simple software's). With this we can retrieve student‘s information instantly. The major benefit of this web portal is to store the student‘s information in one place and can be accessed easily. This is a software application which is responsive in nature.
Keterwakilan Perempuan pada DPRD Kabupaten Bangka Tahun 2014-2019
Authors: Oktari Rinda
Published: November 2020

This research discusses about the representation of women in Bangka District in 2014-2019 to provide information about gender's inclusion in the political recruitment in the Bangka District that effect has not fulfilled its quota 30% representation of women in parliament, so that the research can provide solutions for the increased representation of women in the Bangka District. This research is a case study research done using a qualitative method. Research results suggest that the representation of women should be increased by a clear law enforcement act in the recruiting process, a social structure that involves female politicians in political parties and in parliament, mandated to pursue gender justice, and political education to cadre, future legislatif candidates and communities must be properly implemented by political and government parties so that increased representation of women can be achieved.
As práticas estéticas como estratégia paliativa no tratamento do paciente crônico – Revisão de literatura.
Authors: Da Conceição Claudiana , Silva Santos Eduarda , Elias Pereira José , Jacyntho Jennifer , Oliveira Jenny , Menezes Monteiro Jessica Vanessa , Mota Lidiane
Published: November 2020

Doença crônica é caracterizada como patologia cujo progresso é lento e duradouro, perdurando por toda vida, geralmente não apresentam sintomas iniciais, são silenciosas e provocam deficiências na qualidade de vida do indivíduo. As terapias estéticas podem ser grandes aliadas no cuidado do paciente crônico contribuindo para a promoção do bem estar, aumento da autoestima e auto imagem. O objetivo dessa revisão de literatura foi evidenciar quais terapias estéticas podem ser inseridas como estratégia de tratamento paliativo do doente crônico. Para isso foi realizada uma busca na literatura cruzando o descritor pacientes crônicos com os descritores: toque, terapias manuais, drenagem linfática manual, recuperação cutânea, óleos essenciais, aromaterapia, ILIB, cosmetologia oncológica e simbióticos tópicos. A revisão bibliográfica mostrou que os recursos comumente utilizados para realização de protocolos estéticos podem ser incorporados no tratamento do paciente crônico visando a melhora do bem estar, qualidade de vida e melhora da auto imagem. Os recursos naturais e a cosmetologia podem contribuir positivamente para recuperação da pele e prevenção de efeitos adversos provocados por tratamentos médicos e/ou pela própria patologia.
Prenatal Diagnosis and Management of Fetal Goiter: A Case Series from Tertiary Perinatal Center in South India
Authors: Vavilala Suseela , Budidapadu Manjula , Kolar Geeta
Published: November 2020

Aims and objectives

The reported incidence of fetal goiter is 1 in 40,000 live births. The effects of fetal goiter and thyroid dysfunction are significant. The objective of our study is to assess the safety, feasibility, and efficacy of intra-amniotic instillation of levothyroxine (LT4) in fetal goitrous hypothyroidism.

Materials and methods

A retrospective observational study of prenatally diagnosed cases of fetal goiter on routine antenatal ultrasound between January 2010 and January 2018 at Fernandez Hospital Foundation, Hyderabad, tertiary perinatal referral center. Data retrieved from electronic database.

Results

During this period, 9 cases of fetal goiter were diagnosed on routine ultrasonography with the incidence of 1 in 7,000 live births. The gestation age at diagnosis ranged between 21 weeks and 29 weeks (mean 26 weeks). Of the nine fetuses with goiter, two were excluded as one ended in a miscarriage at 22 weeks and the other was terminated elsewhere at 26 weeks. Data were analyzed in the remaining seven fetuses. Cordocentesis was performed in five fetuses and amniocentesis was performed in one woman with dichorionic diamniotic (DCDA) twin gestation which revealed hypothyroid status. Fetal therapy was offered to all the remaining seven fetuses with intra-amniotic instillation of LT4 100 to 200 μg at 2–3 weeks’ interval. First dose of LT4 was given at mean gestation of 27 weeks (range 23–30 weeks), and the mean time between the identification of fetal goiter and the first dose of LT4 was 6 days (range 2–15 days). Number of injections given ranged between 1 and 7. No adverse events were recorded. Follow-up sonogram showed subjective reduction in the goiter size. All the babies had hypothyroidism at birth.

Conclusion

Our case series confirms the safety and feasibility of intra-amniotic instillation of LT4 for fetal goitrous hypothyroidism. Although fetal therapy has resulted in reduction in the size of the goiter, the thyroid hormone levels at birth were low. Further research is required to establish the proper management guidelines for this disorder.

How to cite this article

Budidapadu M, Vavilala S, Kolar G. Prenatal Diagnosis and Management of Fetal Goiter: A Case Series from Tertiary Perinatal Center in South India. Int J Infertil Fetal Med 2019;10(3):37–41.
Two Novel Variants in NLRP7 Gene in an Egyptian Female Patient with Consecutive Molar Pregnancies Complicated by Choriocarcinoma
Authors: Shalabi Taghreed A , Abdel-Hamid Mohamed S , Shaker Mai M
Published: November 2020

Background

Hydatidiform mole, whether complete or partial mole, is one of the most common forms of gestational trophoblastic disease. It is characterized by extreme trophoblastic proliferation and atypical embryonic growth. Though almost all of complete hydatidiform moles are diploid androgenetic, scarce cases are biparental and caused mainly by mutations inNLRP7andKHDC3Lgenes. NLRP7mutations are more common and were reported in around 50–80% of cases from diverse populations whileKHDC3mutations were only found in 5–10% of cases.

Case description

A healthy 40-year-old Egyptian woman was referred to the Clinic of Prenatal Diagnosis and Fetal Medicine Department for counseling. She was married for 20 years to a first-degree relative and experienced 17 consecutive pregnancy losses without having any live births. Uterus ultrasound revealed endometrial thickening and subseptate uterus and in her last pregnancy failure, she complained of abdominal pain and severe shortness of breath. Immunochemistry tests were positive for β-human chorionic gonadotropin and histopathology-confirmed choriocarcinoma. Genetic testing revealed two novel heterozygous variants in theNLPR7gene.

Conclusion

We presented a case with 17 recurrent hydatidiform moles that was complicated by choriocarcinoma due to novel variants in theNLRP7gene.

Clinical significance

This is the first Egyptian case with recurrent hydatidiform mole. We identified novelNLPR7variants, thus expanding the mutational spectrum associated with this rare disease.

How to cite this article

Shalabi TA, Abdel-Hamid MS, Shaker MM. Two Novel Variants inNLRP7Gene in an Egyptian Female Patient with Consecutive Molar Pregnancies Complicated by Choriocarcinoma. Int J Infertil Fetal Med 2019;10(3):54–57.
Biomateriais sintéticos e xenógenos com alto potencial clínico para reparo tecidual
Authors: Matias de Souza Júlio César , Carvalho Oscar , Henriques Bruno , Silva Filipe , Bousbaa Hassan , Caramês João
Published: November 2020

O objetivo do presente trabalho foi realizar uma revisão da literatura sobre o uso de biomateriais de origem animal (xenógeno) e sintética para o reparo do tecidual. Diferentes materiais cerâmicos e poliméricos sintéticos e xenógenos são aplicados para o reparo ósseo. Dentre os cerâmicos, a mistura de hidroxiapatite e ?-TCP (60-70/40-30 wt%), apatite carbonada e hidroxiapatite de origem bovina ou suína são comumente aplicados, no entanto a taxa de absorção dos materiais sintéticos é lenta quando comparado ao processo de cicatrização na presença dos xenógenos. Além disso, a resposta biológica de materiais sintéticos ainda é inferior à resposta aos materiais xenógenos. Tendo em consideração os diversos polímeros, os materiais xenógenos (ex. colagénio, quitosana) têm apresentado uma resposta biológica mais adequada quando comparado aos sintéticos (ex. PLGA, PLDLA). A cicatrização tecidual óssea é um processo que envolve fases de migração celular, deposição de proteínas e minerais, formação vascular, e desenvolvimento de tecidos conectivo e ósseo. O desenvolvimento de polímeros sintéticos com taxa de absorção adequada ao processo de reparo tecidual associada a uma alta bioatividade e promoção da angiogénese tem sido o alvo de estudos recentes. Além disso, combinação de sintéticos e xenógenos também torna-se uma alternativa com alto potencial de sucesso clínico.