bluuebunny/crossref_metadata_2025 huggingface dataset:
Hubungan Antara Tingkat Kepatuhan Pengobatan Dengan Kualitas Hidup Pasien Penderita Hipertensi
Authors: Noviantika Farah Nabyla , Suryadi Bambang , Sumedi
Published: June 2022

Latar Belakang: Diastolik melebihi 90 mmHg dan tekanan sistolik melebihi 140 mmHg adalah hipertensi. Kepatuhan terhadap penggunaan obat yang tinggi mempunyai kualitas hidup lebih baik daripada yang rendah tingkat kepatuhan nya. Indikator krusial untuk menilai keberhasilah intervensi kesehatan dalam hal pencegahan pengobatan adalah kualitas hidup.
Tujuan: Untuk mengetahui kepatuhan pengobatan pada penderita hipertensi, kualitas hidup penderita hipertensi, karakteristik responden dan mengetahui hubungan kepatuhan pengobatan terhadap kualitas hidup pada penderita hipertensi.
Metode: Penelitian dilakukan secara cross-sectional dengan jumlah sampel sebanyak 103 responden. Morisky Medication Adherence Scale- 8 (MMAS-8) digunakan untuk mengukur kepatuhan pengobatan dan Kualitas hidup diukur menggunakan WHOQOL-BREF (World Health Organization Quality of Life BREF). Analisis untuk mengetahui hubungan menggunakan uji Chi-Square.
Hasil: Berdasarkan hasil analisis Chi-Square diperoleh nilai p-value = 0,013 < α = 0,05 maka Ha diterima.
Kesimpulan: Terdapat hubungan yang signifikan antara Hubungan Tingkat Kepatuhan Pengobatan dengan Kualitas Hidup.
Hubungan Dukungan Keluarga dan Peran Perawat Dengan Kepatuhan Vaksinasi Covid-19 Pada Remaja
Authors: Dewi Melian Gita , Istiani Hari Ghanesia , Lestari Nur Eni
Published: June 2022

Latar Belakang: Peningkatan jumlah pasien yang terpapar Covid-19 masih menjadi masalah bagi Indonesia. Sejak diumumkan kasus pertama pemerintah melakukan kebijakan diantaranya vaksinasi, untuk mensukseskan pelaksanaan vaksinasi membutuhkan dukungan keluarga, orang terdekat dan peran perawat untuk memberikan contoh dan dorongan untuk mengikuti ketentuan yang ada
Tujuan: Penelitian ini adalah untuk mengetahui hubungan dukungan keluarga dan peran perawat terhadap kepatuhan vaksinasi Covid-19.
Metode: Penelitian adalah penelitian korelasi dengan pendekatan cross-sectional, jumlah sampel sebanyak 80 siswa SMK Kesehatan Logos yang diambil menggunakan probability sampling dengan teknik stratified random sampling. Pengambilan data dengan kuesioner, modifikasi menggunakan uji validitas dan uji reliabilitas dan dianalisis menggunakan Chi-square.
Hasil: Uji statistik menggunakan Chi-Square test dengan tingkat kemaknaan a = 0,05 atau 95%. Hasil riset didapatkan nilai p = 0,035 < a = 0,05 dan p = 0,022 < a = 0,05. 
Kesimpulan: Dengan adanya dukungan keluarga yang baik dan peran perawat yang baik salah satunya dalam melakukan penyuluhan dapat meningkatkan kepatuhan dalam melaksanakan vaksinasi Covid-19.
Avaliação do Índice de Complexidade da Farmacoterapia em Pacientes de um Ambulatório de Transplante Renal
Authors: Galato Dayani , Simões Isabela Godoy , Soares Letícia Santana da Silva
Published: June 2022

Objetivo: Avaliar a complexidade da farmacoterapia de pacientes transplantados renais de um ambulatório do Centro-Oeste. Métodos: Trata-se de um estudo que respeita um desenho transversal descritivo de avaliação do índice de complexidade do tratamento farmacológico por meio da análise documental dos prontuários. Para o cálculo desse índice, foram considerados os medicamentos de uso contínuo do paciente, sendo adotado o índice de complexidade da farmacoterapia (ICFT). Para determinar as faixas de classificação do ICFT, foi realizada análise de um grupo maior de pacientes (amostra significativa), sendo adotados para isso os quartis dos resultados do ICFT. Para a descrição da influência dos medicamentos sobre o ICFT, foi adotada uma amostra piloto. Resultados: Foram incluídos 247 pacientes no estudo para a definição dos estratos de complexidade do tratamento. O ICFT na amostra variou de 10 a 83,5, e, pela análise dos quartis, até 22,5 foi considerado de baixa complexidade, entre 22,6 e 27 de média complexidade, entre 27,1 e 36 de alta complexidade e acima de 36,1 de muito alta complexidade. O estudo de casos para a avaliação do ICFT ocorreu com 20 pacientes (estudo de casos) e demonstrou que a complexidade não é definida pelo tratamento imunossupressor, mas sim pelos medicamentos usados para as doenças de base ou os problemas de saúde advindos da idade e da imunossupressão (comorbidades). A diabetes mellitus aparece como doença que mais contribui para a complexidade por meio do uso das insulinas. Conclusão: Pacientes com maior número de doses de medicamentos e com quadros dependentes de insulinoterapia associada à farmacoterapia imunossupressora são os de maior complexidade e demandam maior necessidade de acompanhamento pelas dificuldades enfrentadas no tratamento.
Biology and molecular pathogenesis of hepatitis B virus infection
Authors: Aliu Tawakalitu Bidemi , Majiyebo Abafi J. , Tsado Amos Ndarubu , Ibrahim Habiba Abdulsalam , Berinyuy Eustace B.
Published: June 2022

Hepatitis B virus (HBV) remains a global public health infection. Over the past several decades, the basic principles of HBV gene expression and replication as well as the viral and host determinants governing infection outcomes have been largely uncovered. The clinical manifestations of HBV infection vary from an acute and chronic form of the disease. During the acute phase of the infection, the disease manifestations vary from subclinical hepatitis to anicteric hepatitis, icteric hepatitis, and fulminant hepatitis while during the chronic infection, manifest in different from ranging from asymptomatic carrier state to chronic hepatitis, cirrhosis, and hepatocellular carcinoma. The clinical outcome of the infection depends upon the level of HBV replication, age at infection, and the immune status of the host. HBV integration into the host genome often serves as a relevant source of hepatitis B surface antigen (HBsAg) expression during chronic infection, possibly triggering an immune response. If HBV is not eliminated, a delicate balance between viral replication and immune defence prevails which may lead to chronic hepatitis and liver cirrhosis. It is generally acknowledged that the humoral antibody response contributes to the clearance of circulating virus particles and the prevention of viral spread within the host while the cellular immune response eliminates infected cells.
Studi Literatur: Identifikasi Jamur Dermatophyta Pada Pengrajin Batako
Authors: Anita Anita , Junindar Feby
Published: June 2022

A brick maker is someone who works as a brick maker and has skills related to certain crafts. Workers who make bricks and do not pay attention to the use of personal protective equipment such as boots and gloves so that the range of workers is in direct contact with sand and water. Sand and water can increase the risk of fungal infections because sand and water are factors that trigger fungal growth, one of which is on nails. The fungi that often infect nails are dermatophytes. The purpose of this study was to determine the presence or absence of dermatophyte fungi present in the nail samples of brick makers. This research is a literature study that aims to utilize library sources to obtain data. The samples studied were journals, articles, and books related to the type of dermatophyte fungi with a total of 10 literatures. The method used in this study was a literature study. The results were obtained based on the results of a review of 10 literatures. From 142 samples, 75 samples were found that were positive for dermatophytes, with the types of fungi consisting of Trichophyton rubrum (20%), Trichophyton mentagtophytes (20%), and Epidermophyton floccosum (13%). So it can be concluded that from the average results, 53% of dermatophyte fungi were found in the nail samples of brick craftsmen.
Analisis Kualitas Citra Terhadap Variasi Slice Thickness Pada Pemeriksaan Computed Tomography Scan (CT Scan) Kepala di Rumah Sakit Bhayangkara Makassar
Authors: Ansar Asnaeni , Al Amry Nurfabillah , Hamjar Sultan
Published: June 2022

Slice Thickness is the thickness of the image slices on the CT Scan results and is one of the parameters that affect the CT Scan image. This study aims to analyze the image quality of the use of Slice Thickness variations in the CT scan of the head by paying attention to 3 aspects assessed, namely Spatial Resolution, Contrast Resolution, and Noise. This research was conducted by reconstructing the CT scan of the head into 3 types of images, namely Slice Thickness 3 mm, 5 mm, and 7 mm. The results of this study are CT scan images with a slice thickness of 3 mm have an average Spatial Resolution (3.71), Contrast Resolution (3.42), and Noise (3.85) Slice Thickness 5 mm has an average Spatial Resolution (2.71), Contrast Resolution (2.57), and Noise (3.28) and Slice Thickness 7 mm has an average Spatial Resolution (1.57), Contrast Resolution (1.71), and Noise (2 ,14). The best image quality is obtained by using a slice thickness of 3 cm.
LAW COMPLIANCE WITH THE IMPLEMENTATION OF HINDU RELIGIOUS CEREMINIES IN THE CITY OF MATARAM IN THE FRAMEWORK OF MAINTENANCE OF SOCIAL SOLIDARITY DURING THE COVID-19 PANDEMIC
Authors: Kembarawan I Gusti Komang
Published: June 2022

This study was conducted to analyze legal compliance in the implementation of Hindu religious ceremonies in the city of Mataram in the context of maintaining social solidarity during the COVID-19 pandemic. This phenomenon is related to the adaptation of the implementation of Hinduism in Mataram city regarding Social Restrictions during the Corona Virus Pandemic (Covid-19). This research is designed in a qualitative descriptive type. The results of this study obtained three answers from the formulation of research problems. First, legal compliance in carrying out religious ceremonies for Hindu communities in the city of Mataram in the midst of the implementation of social restrictions in preventing the spread of the COVID-19 pandemic is still being carried out by conditioning and complying with health protocols. Second, legal compliance in the implementation of Hinduism is indicated by a change in the implementation of religious ceremonies which are no longer performed lively, but are regulated by avoiding crowds. Third, legal compliance in a small scope is applied in carrying out religious ceremonies in the family environment and as much as possible reducing the implementation of religious ceremonies outside the home. Although there are people who carry out religious ceremonies outside their homes, they are required to comply with health protocols.
Livelihood generation through non-timber forest products by rural poor in and around Dampa Tiger Reserve in Mizoram
Authors: Sahoo U. , Lalremruata J. , Lalramnghinglova H. , Lalremruata J. , Lalliankhuma C.
Published: June 2022

Rural poor around the forests are traditionally depended on forest resources for their food, shelter and obtain income through collection and marketing of NTFPs. A survey was conducted in six villages around Dampa Tiger Reserve in Mizoram during 2005-2006, and found that NTFPs collection was a major activity for the household especially among small and landless farmers in all the surveyed villages. The NTFPs resources particularly bamboos, rattan and certain medicinal plants formed important source of livelihood for the rural folks living in and around or fringes of protected areas. It was observed that part of the NTFPs collected is exchanged for meeting cash requirements of the household but most importantly a major portion is used for consumption purpose. Since farmers grow crops only once in a year as rain-fed due to non-availability of irrigation facility, the exploit diverse NTFPs for additional income. While these products are sources of alternate employment and income generation, promotion for cultivation of NTFPs should be extensively carried out so as to improve rural economy and facilitate better forest management around the Dampa Tiger Reserve.
Germination and storage studies on Oroxylum Indicum (L.) vent. Seeds
Authors: Chitra Chandrasenan , Anilkumar Chandran , Bindu S.
Published: June 2022

For extended longevity of Oroxylum indicum seeds, relationship of viability with respect to different moisture contents and storage temperatures were analyzed. Being orthodox, seeds are tolerant to desiccation as well as to low temperatures like - 1960C. Normally seeds remain viable up to 6 months, but at -100C with 5% moisture content, 80% viability was retained even after two year storage.
Life history of Papilio Polytes Romulus (Lepidoptera: Papilionidae) on Murraya Koenigii (Curry leaf), an economically important medicinal plant in Jammu
Authors: Tara J. , Sharma Monika
Published: June 2022

Papilio polytes romulus has been recorded as a serious pest of Murraya koenigii (L.) Spreng. in Jammu region of J.&K. State during the survey conducted from March 2008 to February 2009. Caterpillars cause tremendous loss by defoliating young and tender leaves of host plant. The pest occurs throughout the year. A comparative analysis of its luife history during pre-monsoon and post-monsoon periods was conducted under laboratory conditions which indicated that it takes an average of 27.0+0.86 days and 32.93+0.14 days for the completion of one generation i.e. egg to adult during pre-monsoon and post-monsoon periods respectively. Observations on the mean developmental period of various life stages during pre-monsoon period such as incubation, total larval period, pupal period, adult longevity was recorded as 3.2+ 0.27 days, 13.87+1.47 days, 9.4+0.57days, 6.4+0.54 days respectively. However, during post-monsoon period these stages viz. incubation, total larval period, pupal period, adult longevity was found to last for an average of 4.12+0.25 days, 18.18+1.50 days, 10.33+0.51 days, 7.2+0.50 days respectively. Feeding behaviour, extent and mode of damage caused to Murraya koenigii by caterpillars of Papilio polytes romulus was also recorded.
Research Progress of Spin-Dependent Effects in Catalysis and Energy Storage
Authors: Zhang Zhijia
Published: June 2022

Hydrogen fuel is highly valued as ideal clean energy to solve the environmental crisis. Electrolytic water splitting, as the most promising hydrogen production method, has been widely and deeply studied in recent ten years. On the other hand, lithium-ion batteries are considered the most popular energy storage equipment because of their high energy density, high working voltage, and long cycle life. However, the rapid development of society needs cheaper fuel, higher power density, and safer energy storage devices. Therefore, many new and efficient catalysts and electrode materials are being developed and explored. However, their electrochemical reaction mechanism must be clarified before they could be widely used in industry. In recent years, spin-dependent effects have been deeply studied in the field of catalysis and energy storage, which provides a theoretical foundation for analyzing the electrochemical reaction mechanism, preparing and screening promising catalytic and energy storage materials. This work summarizes the influence of spin-dependent effects on the physical and chemical properties of materials, mainly from four aspects, including electrocatalytic water splitting, metal-air batteries, lithium/sodium-sulfur batteries and lithium/sodium-ion batteries. Finally, we put forward some suggestions on the challenges and development of spin-dependent effects in catalysis and energy storage.
Laboratory markers used to predict mortality in severe COVID-19
Authors: Bindal Ahmet , Patmano Mehmet , Cansun Funda
Published: June 2022

Purpose: In this study, we aimed to evaluate the laboratory markers used in the diagnosis of COVID-19 and to present the parameters that can be used to predict mortality.

Material and method: The cases followed in the intensive care unit due to COVID-19 in our clinic between March 2020 and December 2020 were evaluated retrospectively. A total of 374 patients who met the study criteria were included in the study. The patients were divided into two groups as the patients who were discharged from the intensive care unit with no mortality and patients with a mortal course. Patients with no mortality constituted Group- 1, and patients with a mortal course constituted Group- 2. Demographic, clinical, and laboratory characteristics of the patients were compared.

Results: The number of patients in group- 1 consisting of patients with no mortality was 148 (39.5%), and the number of patients in group- 2 consisting of patients with mortality was 226 (60.4%). In the group of patients without mortality, 84 (56.8%) of the patients were male, while in the mortality group, 127 (56.2%) were male. In the mortality group, procalcitonin, CRP, BUN, D-dimer, troponin, LDH, lactate, and INR values were higher, albumin value was lower, and this difference was statistically significant (p< 0.001). In the logistic regression analysis, PLT and D-dimer were found as the independent variables of mortality.

Conclusion: We think that the high procalcitonin and D-dimer values obtained with routinely examined rapid
Does Liver Density Change in Computed Tomography in COVID-19 Patients?
Authors: Bozdag Ahmet , Bozdag Pinar , Karlidag Gulden , Kalayci Mehmet
Published: June 2022

ABSTRACT
Aim: Corona virus disease 2019 (COVID-19) mainly affects the lungs. However, other organs are affected as well. This article aimed to evaluate the effects of coronavirus infection on liver density in addition to the laboratory findings.
Methods: Biochemical parameters and non-contrast tomography images of the patients who presented to the pandemic clinic were studied retrospectively. Densities of the right and left lobes of the liver were measured. Patients were divided into two groups according to the results of polymerase chain reaction (PCR) tests.
Results: Our study included 117 PCR (+) and 66 PCR (-) patients. Statistical comparison of the two groups revealed a significant difference in age, densities of the right and left lobes of the liver, and aspartate aminotransferase, gammaglutamyl transferase, total bilirubin, and lactate dehydrogenase values (p < 0.05). According to the correlation test, there was a negative correlation between the densities of the right and left lobes of the liver and transaminases.
Conclusion: An inverse relationship emerged between liver density and transaminases. Therefore, liver functions should be monitored more closely in COVID-19 patients during treatment, and if it is at high levels, treatment should be started early.
Educated Platelets Promote Wound Healing via Anti-inflammatory Effect and Down-regulated VEGF and MMP-9
Authors: Yilmaz Filiz , Ilgen Orkun , Kurt Sefa , Baykara Basak , Yilmaz Osman
Published: June 2022

Background: This study aims to investigate the effect of educated platelets histological and immunohistochemical (MMP-9 and VEGF) in wound treatment.

Methods: 28 female Wistar albino 180-225 gr rats were divided into four groups randomly. The control group (C) is unburnt which blood samples are extracted or PRP with ordinary platelets. Burn group (B) is a burn group in which blood samples were extracted with the educated platelets for PRP. The Burn and uneducated platelet group (B+P) were the burn groups given PRP with uneducated platelets to their blood circulation. Burn and educated platelet group (B+EP) was the burn group given PRP with educated platelets to their blood circulation. The histological analysis was scored 14 days after injury, and MMP-9, VEGF were immunostained.

Results: The results clearly showed higher reepithelialization, lower inflammation, and granulation in the B+EP group. Immunohistochemical staining for MMP-9 and VEGF in the B+EP group were statistically lower than other groups. Educated platelet treatment significantly suppressed MMP-9 and VEGF.

Conclusion: Our findings suggest that educated-platelet treatment can be a promising strategy for promoting burn cutaneous wound healing. Further and more extensive clinical studies are needed to determine the effectiveness of this treatment method definitively.
Investigation of the Relationships between Life Satisfaction, Optimism, Happiness and Blood Lipid, Vitamin-D Levels of Individuals Aged 55 and Over.
Authors: Tekin Cigdem , Gunes Gulsen
Published: June 2022

Aim: This study was carried out to investigate of the relationships between life satisfaction, optimism and happiness on blood lipid and vitamin-D levels in people aged 55 and over.
Materials and Methods: This cross-sectional study was conducted on 283 individuals over the age of 55. The survey consisted of two main parts. In the first part, there are 19 questions about the socio-demographic characteristics of the patients, their chronic disease status, alcohol and smoking habits, physical activity and sunbathing duration. In the second part, Life Satisfaction Scale, Life Orientation Test and Subjective Happiness Scale were used. The lipid parameters and Vitamin D levels were investigated as dependent variables. Socio-demographic characteristics of individuals, physical activity status, and average scores of scales were investigated as independent variables.
Results: The results indicated that, LDL level was significantly and reverse associated with subjective happiness level. There was no significant relationship between other lipid parameters and subjective happiness level. It was determined that there was a significant and linear relationship between vitamin D level and life satisfaction and subjective happiness levels.
Conclusion: Understanding the psychological characteristics and the factors affecting their psychology of individuals aged 55 and over may play a key role for a healthy population, prevention of cardiovascular diseases and low vitamin D deficiency.
DOES CHILDHOOD CHOREA MEAN SYDENHAM CHOREA EVERYTIME?
Authors: R B , nce Damla , r Serdal , Karakurt Cem
Published: June 2022

Sydenham Choreas is the most common seen movement disorder in childhood age that triggered by Group A Beta-Hemolytic Streptococci. In this article, we were retrospectively examined 39 patients with choreiform movement disorder who were admitted to pediatric neurology and cardiology outpatient clinics. We reviewed these case symptoms, diagnosis period, differential diagnosis and shortening the duration of symptoms with chorea treatment. Two of 39 patients were finally diagnosed Systemic Lupus Erythematosus. In conclusion, although Sydenham Choreas is the most common movement disorders, the practitioners should aware of the differential diagnosis. The relapse of Acute Rheumatic Fever with chorea can be prevented by administering antibiotic prophylaxis.
Evaluation of Neonatal Intensive Care Unit Mortality
Authors: k ehribanu , rkbay Dursun , ek G , Kutman Hayriye , Canpolat Fuat
Published: June 2022

Objective: To evaluate neonatal intensive care unit (NICU) deaths in one of the largest obstetrics centers in Turkey in order to determine the causes of death in this high-risk group.
Materials and Methods: We retrospectively analyzed all NICU deaths occurring between 2013 and 2018. The study included infants born alive at 22 weeks of gestation or older.
Results: Of 102374 babies born in our hospital, 14768 infants (14.4%) were admitted to the NICU and 957 (6.48%) of those infants died before discharge. The most common causes of death were extreme prematurity or extremely low birth weight (31.5%), lethal anomalies (13.1%), and sepsis (8.2%). At younger gestational ages, causes associated with extreme prematurity and complications of prematurity were most common, while the death rate due to perinatal asphyxia and genetic or structural anomalies increased at older gestational ages.
Conclusion: The causes of NICU deaths are multifactorial and vary with gestational age. Efforts to reduce NICU mortality should include preventing or delaying preterm delivery and identifying the most appropriate treatment modalities that may reduce the risk of respiratory distress, intracranial hemorrhage, necrotizing enterocolitis, and sepsis. In more mature infants, the main goal should be to prevent and treat perinatal asphyxia and determine the most appropriate treatment modalities for non-lethal anomalies.
Laparoscopic modified subtotal cholecystectomy is a safe method in the management of mirizzi syndrome type I
Authors: Kayapinar Ali , Sahin Hilal
Published: June 2022

Background: Efforts to reveal the cystic duct and the cystic artery during standard cholecystectomy in Mirizzi Syndrome (MS) without preoperative or intraoperative diagnosis increase the risk of biliary and vascular injury due to intense fibrosis in the Calots triangle. We aim to evaluate the postoperative results of a group of MS type I patients who were diagnosed by video scope intraoperatively and underwent laparoscopic modified subtotal cholecystectomy (LMSC) in the same session since safe dissection of Calots triangle could not be performed.
Methods: Ten out of 1680 patients who underwent conventional laparoscopic cholecystectomy for acute or chronic cholecystitis between 2017 and 2019 were diagnosed with MS type I intraoperatively. These 10 patients underwent LMSC and their demographic characteristics, preoperative clinical histories, radiological images, intraoperative and postoperative findings were evaluated retrospectively. Intraoperative MS type determination and LMSC technique are explained.
Results: The diagnoses of MS type I in all our cases were made laparoscopically with the help of a videoscope during the operation where safe dissection of the Calots triangle could not be performed in either elective or emergency cholecystectomy. LMSC was performed without leaving any cavity behind, and there was no need for any intervention at the operation site (suture, staple closure) since the cystic duct orifice was already obstructed due to fibrosis as visually verified by the camera. There were no intraoperative bile duct injuries or postoperative biliary fistula. None of our patients developed postcholecystectomy syndrome (range 1-38 months)
Conclusion: The LMSC is a safe procedure in the diagnosis and surgery of MS type I where safe dissection of Calots triangle could not be performed
Allergic reactions to local anesthetics: should we test those with drug allergies and atopy history?
Authors: z Eray , lkesen Fatih , Aykan Filiz , Evcen Recep , n Mehmet , Aytekin G , Arslan evket
Published: June 2022

Aim: Many patients are referred to allergy clinics for allergy tests to local anesthetics. The aim of this study was to evaluate the effect of a history of atopy and drug hypersensitivity on allergy tests made with local anesthetics.
Materials and Methods: A retrospective review was made of the records of patients referred to our clinic within a 5-year period because of a suspicion of allergy to local anesthetics, and who were applied with skin tests and subcutaneous challenge tests.
Results: Evaluation was made of a total of 138 patients, comprising 114 (82.6%) females and 24 (17.4%) males with a mean age of 45.35 ± 14.13 years. A reaction during a dental procedure was reported in 99 (71.7%) patients. Mepivacaine was the most tested local anesthetic (n = 66, 40.2%). A positive reaction was determined in the skin tests made with local anesthetics in 6 (4.3%) patients. Lidocaine was the local anesthetic most often showing a positive reaction (n = 3, 50%). A history of atopy was present in 30 (21.7%) patients. No correlation was determined between atopy history and the development of a positive reaction to local anesthetics (p = 0.086). In the cases determined with a positive reaction to local anesthetics, there was a greater rate of history of hypersensitivity to drugs other than local anesthetics (p = 0.012).
Conclusion: Patients with a history of drug hypersensitivity reaction should be tested in respect of local anesthetic allergy prior to a procedure to be made with local anesthetics.
The Relationship of Systemic Inflammatory Parameters with Mortality and Prognosis in Patients with COVID-19 and Acute Ischemic Stroke
Authors: Okuyan Dilek , len Meltem
Published: June 2022

Introduction and aim: Inflammation plays a very important role in acute ischemic stroke (AIS) and various inflammatory markers are known to be associated with the prognosis of AIS. In this study, we aimed to evaluate the relationship of the systemic immune inflammation index (SII) and systemic inflammation response index (SIRI), which are two new inflammatory markers, with mortality and prognosis in patients with COVID-19 and AIS.
Methods:Ninety-fivepatients with COVID-19 who were followed up for AIS were included in this study. SIRI and SII values were calculated using laboratory data at admission. The patients were divided into two groups according to prognosis and mortality. The modified Rankin scale (mRS) was used for prognosis at 3 months and mRS 0-2 was considered a good prognosis. Laboratory parameters neutrophil/lymphocyte ratio (NLR), SII, and SIRI values were compared between the groups according to prognosis and mortality.
Results:The NLR, SII, and SIRI values were found to be significantly higher in the poor prognosis group and the group with mortality (p<0.001). As NLR increased, the risk of poor prognosis increased 1.122 times. Asthe SII value increased, the risk of poor prognosis increased 2.978 times, and as SIRI increased, the risk of poor prognosis increased 1.815 times (p<0.001).
Conclusion: Our findings show that SIRI and SII are associated with prognosis and mortality in patients with COVID-19 and AIS. Low SIRI and SII values are associated with good clinical outcomes.
The effects of shoulder and hip widths on the acetabular angle in hip arthroplasty performed in the lateral decubitus position.

Trochanter/shoulder ratio effect on postop inclination
Authors: POLAT ABDULKAD , R ABD , U MEHMET , DAN FIRAT , BASILGAN SE
Published: June 2022

Objectives
This study aimed to determine the effects of the soft tissue and bone widths of the patient's hip and shoulder region on the patient's position and postoperative acetabular inclination angles in the lateral decubitus position during hip replacement procedures.
Materials and Methods
Seventy-three patients with primary coxarthrosis who underwent primary hip arthroplasty by a single experienced surgeon using a water gauge assisted inclinometer in lateral decubitus position were retrospectively studied.
Soft tissue and bone widths of the shoulder, ASIS (Anterior superior iliac spine), and trochanter levels measured from the preoperative radiographs of the patients and shoulder/hip (ASIS-trochanter) ratios were calculated and made statistical comparisons with postoperative acetabular inclination angle.
Results
Postoperative inclination angle had a strong negative correlation with trochanter/shoulder soft tissue ratio, a moderate negative correlation with ASIS/shoulder soft tissue ratio, and a weak negative correlation with trochanter and ASIS/shoulder bone ratios.
When patients are grouped by trochanter/shoulder ratio, the postoperative inclination value is 43.04 (38-47) degrees in the group with the ratio < 0.85, the postoperative inclination value is 38.67 (33-45) degrees in the group with the ratio of 0.85-1, and the mean postoperative inclination value in the group with the ratio > 1 was found to be 35.60 (30-38) degrees. (p < 0.001)
As for the postoperative inclination values, the mean trochanter/shoulder and ASIS/shoulder values in the group with ≤ 40 degrees were 0.99 and 0.94, respectively, while these values in the group with > 40 degrees were 0.83 and 0.79, respectively. (p < 0.001).
Conclusions
Soft tissue widths in the shoulder and hip regions may affect the surgical position and postoperative acetabular inclination angle. Knowing the relationship between the patient's preoperative hip and shoulder distance can influence the expected clinical outcome after hip arthroplasty. Therefore, surgeons should consider these effects when planning hip arthroplasty surgery.
Comparative study of nerve conduction parameters in peripheral nerves of upper limb (dominant hand) in mobile users with different usage time and type
Authors: Dubey Namrata , Sahu Ashish , Arora Jyoti
Published: June 2022

Background: With the advancement in digital world, but smart phone usage has increased among all age groups but youngsters are involved in heavy gaming on smart phones which has led to increased risk of ill-effects especially on eyes and hands.

Aim and Objectives: The study was designed to study the ill-effects of excessive usage if smart phones on peripheral nerves of hands especially of dominant hand among young adults.

Materials and Methods: Nerve conduction study was performed on 100 young adults who were divided into three groups on the basis of mobile usage time. Nerve conduction velocities as well as distal latencies of motor and sensory nerves of the dominant hand were measured among different groups.

Results: One-way ANOVA test was applied to study the results among different groups. Although no significant difference in conduction velocity or latency was observed in motor or sensory nerves among three groups, Ulnar sensory conduction velocity has been found to be slow as well as distal latency was found to be prolonged in third group with heavy usage of smart phones as compared to other groups.

Conclusion: The reason for the above results could be due to less usage time in hours as well as in years due to which no significance differences were observed in conduction velocity/distal latency in our study. Hence, further studies are suggested with more sample size and more usage time in
terms of years as well as in hours.
Lessons for the future-psychosocial perspectives of vaccine literacy among beneficiaries at a COVID-19 vaccination center in a tertiary teaching hospital in Punjab, Northern India: A qualitative analysis
Authors: Toor Adarshjot , Mahajan Sanjeev , Kaur Harjot , Singh Amandeep
Published: June 2022

Background: Due to the unprecedented magnitude of the current Coronavirus disease 2019 (COVID-19) pandemic, vaccine development was fast-tracked; yet, there were barriers to vaccination uptake.

Aim and Objectives: The objectives of this study were to understand the factors promoting vaccination and the barriers to vaccination, to explore the infection prevention and control practices followed after vaccination.

Materials and Methods: A qualitative study using in depth interviews, both face to face and telephonic; among beneficiaries willing to participate and given at least one dose of COVID-19 vaccine in the institutions’ vaccination center, stratified sampling technique was used. Informed consent was obtained. Absolute confidentiality was ensured. The interviews were recorded and transcribed verbatim and validated by back translation into vernacular. The results obtained were analyzed using framework approach and categorized into themes and subthemes and valid conclusions drawn.

Results: Various factors promoting willingness for vaccination and barriers perceived by the participants in their community, social, and occupational setting have been revealed in the present study. Availability of vaccine along with clear and accurate information can go a long way in overcoming vaccine hesitancy and promoting vaccine literacy.

Conclusion: Clear and accurate information should be disseminated. The role of social media, mass media, and dissemination of information by word of mouth cannot be undermined. It is hoped that results of the present study will aid in formulating future vaccination programs.
A study to assess the effectiveness of roasted bengal gram dhal and jaggery ball on prevention of pica among underfive children in selected villages, Nellore
Authors: Rani Asst
Published: June 2022

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Abstract: Under five age group are vulnerable and special risk group constituting a major portion of total population with high death rate. Adequate nutrition is vital for growth and development of children. Methodology: The research approach adopted for this study was quantitative approach. An experimental pre test - post test design was adopted for conducting the study. Samples were underfive children between 2-5 years of age group residing at selected villages at Nellore. Data collection for a period of 6 weeks. The sample size of the study was 60 children with pica; subjects were selected by using Probability – simple random sampling technique by means of lottery method. The tool used for the data collection was interview based questionnaire and observational checklist to assess physical examination. Results: With regard to effectiveness of intervention on pica behavior In experimental group during post test 7(23%) had occasional pica and 23(76.7%) did not have pica. Where as in control group 11(36.7%) had occasional pica and 19(63.3%) had frequent pica. In experimental group, the post test, mean score on pica behaviour was 0.23 with SD of 0.035, where as in control group the mean was 1.63 with SD of 0.13. The calculated independent‘t’ test value was 15.35which exceeds the table value of 2 (p=<0.001). Hence, null hypothesis (H0) was rejected research hypothesis (H1) was accepted. Conclusion: Roasted bengal gram dhal and Jaggery ball showed improvement in nutritional status significant reduction in pica.
A comparitive study to assess the stress and coping strategies among employed and home-based antenatal mothers of selected urban areas at Bangalore.
Authors: Pyla Mrs
Published: June 2022

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Abstract: Every individual will experience stress, if any event has been occurred in an imbalance manner, which disrupts equilibrium state.Pregnancy can be stressful as women face a barrage of tests financial worries and Uncertainties about what child birth and motherhood will bring. A women’s experience of pregnancy and childbirth will most likely affect her role as a mother, her perceptions of the child and herself, and her relationship with her partner. Objectives: To assess the level of stress among the employed and home-based antenatal mother and to identify the coping strategies followed by employed and homebased antenatal mothers and to correlate the stress and coping strategies among the employed and homebased antenatal mothers. Methodology: A comparative study to assess the stress and coping strategies among the employed and home based antenatal mothers. Settings are urban areas of Banglore. Samples are employed and home-based antenatal mothers. Data collection period of 6 weeks. Sample size 50 employed and 50 home-based antenatal mothers. Samples were selected by using convenient sampling technique. The tool used for the data collection was structured interview schedule. Results: there was a significant level of stress on various factors among employed and home based antenatal mothers. Conclusion: The‘t’ test was computed between stress and coping scores indicate there was no significance between the correlation of stress and coping in employed antenatal mothers and home based antenatal mothers. Key words: Stress, Coping Strategies, Employed antenatal mother, Home-based antenatal mother.
A Study to Assess the Effectiveness of Structured Teaching Programme Regarding Knowledge on Prevention of Lung Cancer among Male Adolescents in Selected Colleges of Guntur District, Andhra Pradesh
Authors: Prof Asst , Anusha Mrs
Published: June 2022

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Abstract: Lung cancer is a major health problem worldwide. The incidence is increasing globally at a rate of 0.5% per year. It is the leading cause of cancer mortality in most of the countries in the world. It is well known that lung cancer rates are high in developed countries; nevertheless, the developing countries do not la behind and the rates are getting closer to the rates that are seen in developed countries. Aim: The aim of the study was to assess the effectiveness of structured teaching programme regarding knowledge on prevention of lung cancer among male adolescents in selected colleges of Guntur district, Andhra Pradesh” Objectives: 1. To assess the knowledge regarding prevention of lung cancer among male adolescents by administering pre-test. 2. To prepare and administer the structured teaching programme regarding prevention of lung cancer to male adolescents. 3. To analyze the effectiveness of structured teaching programme regarding prevention of lung cancer among male adolescents by administering post-test. Methodology: A pre experimental research Design was adopted. 80 Male Adolescent Students were selected by simple random sampling technique. Results: In Pre-Test mean score was 9.67 with standard deviation of 2.48 and
In Post-Test mean score was 18.67 with standard deviation of 2.92. The obtained calculated‘t’ value was 8.633, which is greater than the table value of 1.65. It shows that there was a significant difference between pretest and posttest knowledge regarding prevention of lung cancer among male adolescents. Hence structured teaching programme was very effective. Conclusion: This study concluded that in the pre-test knowledge was less and after structured teaching programme, in post-test overall knowledge was improved regarding prevention of lung cancer as it was shown by their attained scores.
A Collision Avoidance System Based on COLREGs Rules for Autonomous Surface Vessels
Authors: BUDAK Gökhan
Published: June 2022

The proposed mathematical model in this study consists of two parts, one is the maneuvering model, called MMG (Mathematical Model Group), and the other is a control algorithm based on traditional PD control system. The MMG model is used to compute the ship's maneuvering characteristics, and a ship can safely reach target coordinates with the help of a control algorithm if it encounters any obstacles along the way. Because of the suitable hydrodynamic coefficients of Esso Osaka, the proposed mathematical model is evaluated using trial test data from Esso Osaka. Firstly, the maneuvering characteristics of the ship were determined by performing the turning and zigzag tests for different velocity of the ship. By comparing the results obtained with the trial test results of the Esso Osaka, the suggested model was verified. Secondly, the ship's route was obtained for a determined target coordinate. Thirdly, a new route is automatically obtained by assuming that there is an obstacle between the starting point of the ship and the target coordinate determined for the previous simulation. As a result, this new route is created thanks to the virtual coordinates determined in accordance with the COLREGs rules. Since the maneuvering characteristic values of the ship are included in the written algorithm, it directly affects the determination of the virtual coordinates. Therefore, it is very important to find accurate maneuvering characteristics. Evaluating the simulation results obtained from the proposed mathematical model, it is concluded that a safe route has been created between the coordinates determined for the Esso Osaka ship. Moreover, the ship reaches the target coordinate without any collision.
Comparison and Evaluation of Open-Source Panel Method Codes against Commercial Codes
Authors: UÇAR Muhammed , UZUNOĞLU Emre , OĞUZ Elif
Published: June 2022

This work provides a benchmark study regarding the open-source panel method codes of two floating wind turbine platforms. HAMS, NEMOH, and WAMIT are compared in terms of their results, computational performance, user-friendliness, and, flexibility. WAMIT’s data is sourced from previous publications for the OC3 Hywind Spar and OC4 DeepCWind Semisubmersible. These reference values are compared to NEMOH and HAMS for the main parameters representing the movement of the structure: wave excitation forces, added mass values, and potential damping. Both of the open source panel method codes were quite successful in the concept of a simple one-piece spar float rather than a multibody semi-submersible in terms of NRMS values. Overall, the most close results were obtained from the surge for added mass, and the most unfavorable results were from radiation damping in the heave. NEMOH brings ineligible results for pitch on both platforms. Neglecting the pitch axis results of NEMOH, both codes showed parallel and reasonably close results to WAMIT. The study aims to help researchers to choose a free open-source alternative to a validated commercial code.
Eklemeli İmalat Yöntemiyle Tekne İnşaatında Dolgu Yoğunluğu ve Örüntüsünün Mukavemet Üzerindeki Bileşik Etkisi
Authors: SÖZEN Ayberk , NEŞER Gökdeniz
Published: June 2022

Prototip ve ürün üretim hızı, tasarımcılara sağladığı form geliştirme özgürlüğü, görece düşük kapasitedeki üretim ihtiyaçları için rekabetçi maliyeti, iyi kaliteye hızlı ulaşım olanaklarıyla, bilgisayar destekli tasarım ve üç boyutlu yazıcı teknolojisi temelindeki eklemeli imalat yöntemi, denizcilik endüstrisini de kapsayacak şekilde yaygın bir ilgi görmektedir. Bu ilginin temel kanıtı, eklemeli imalat yöntemine ilişkin araştırma, geliştirme etkinlikleri ve bilimsel yayın sayılarındaki ciddi artıştır. Esnek tasarımların sıklıkla güncellenmesiyle rekabetçiliği sürdürülebilir kılınabilecek küçük tekne endüstrisinin anılan avantajları nedeniyle eklemeli imalat yöntemine yönelmesi kaçınılmazdır. Eklemeli imalat yöntemi, teknelerin tasarım ve üretim sürecini verimli kılmakla birlikte, bu yöntemden iyi sonuç alabilmek onun bileşenleri üzerinde uygulamayla elde edilmiş deneyimlere dayanan verileri gereksinir. Bu çalışma kapsamında eklemeli imalat yönteminin önemli bileşenlerinden dolgu yoğunluğu ve örüntüsünün nihai ürünün temel mekanik özelliklerinden çekme mukavemeti üzerindeki etkisi deneysel olarak incelenmiştir. Üç boyutlu yazım teknolojileri temelinde yaygın olarak kullanılan polimerlerden polilaktik asitin (PLA) 13 farklı basım örüntüsü ve %10, 25, 50, 75 ve 100 olmak üzere beş farklı dolgu yoğunluğundan oluşan deney matrisi uyarınca çekme deneyleri Dokuz Eylül Üniversitesi (DEÜ) Kompozit Laboratuvarı’nda yapılmıştır. Sonuçlar, mekanik niteliklerin üzerinde durulan parametrelere çok duyarlı olduğu, “kübik” örüntünün incelenen yoğunluklarda genel olarak en iyi mekanik niteliklere ulaşmakta etkin olduğunu göstermiştir. Bu örüntü ve %25 yoğunluktan yararlanılarak 1/5 ölçeğinde bir yelkenli tekne gövdesi PLA polimer kullanılarak eklemeli imalat yöntemiyle DEÜ Deniz Bilimleri ve Teknolojileri Eklemeli imalat Laboratuvarı’nda üretilmiştir.
GIDA VE YEM İÇİN HIZLI ALARM SİSTEMİ’NDE BULUNAN GIDA İLE TEMAS EDEN MADDE BİLDİRİMLERİ
Authors: CANIMOĞLU Mehmet Ali , ADAK Salih Berkcan , ÜNLÜ Ümit , GENÇ Ezgi , YORULMAZ Aslı
Published: June 2022

Bu çalışmada, Gıda ve Yem için Hızlı Alarm Sistemi (RASFF)’ne 2002-2020 yılları arasında rapor edilen gıda ile temas eden madde bildirimlerini incelenmiş ve veriler Microsoft Excel programı yardımıyla grafikler halinde yorumlanmıştır. Hızlı Alarm Sistemi’ne 2002-2020 yılları arasında 2500 gıda ile temas eden madde bildirimi raporlanmış olup, en fazla bildirim sayısı 2011 yılındadır. Ülke bazında incelendiğinde; İtalya’nın 788, Almanya’nın 313 ve Polonya’nın 185 bildirimde bulunduğu görülmüştür. İncelenen bildirimlerin %42,52’si sınır reddi, %22,64’ü alarm, %12,8’i dikkat gerektiren bilgi, %11,36’sı bilgi ve %10,68’i takip gerektiren bilgi bildirimidir. Risk türlerinin %18,76’sı ciddi, %20,8’i ciddi olmayan ve %60,44’ü kararsız kalınmış risk derecesine sahiptir. Bildirime konu olan tehlikeler krom (%13,18), formaldehit (%13,12), birincil aromatik aminler (%11,83) ve nikelden (%8,75) oluşmaktadır.
HİBRİD, TAM ELEKTRİKLİ VE YAKIT HÜCRELİ ARAÇLAR TRENDİ VE EMNİYET YÜKÜMLÜLÜKLERİNİN DEĞERLENDİRİLMESİ
Authors: DEMİR Abdullah
Published: June 2022

TÜİK 2022 yılı Ocak ayı verilerine göre ülkemizdeki otomotiv pazarındaki toplam 25.321.937 adet taşıtın, %54,3’ü yani 13.747.672 adeti otomobil, onun yaklaşık %37,6’sı dizel, %25,6’sı benzinli, %35,8’i LPG’li, %0,7’si yani 96.830 adedi hibrid ve tam elektrikli araçlardan oluşmaktadır. Araçların teknik ömürlerinin %90-95’lik kısmını otoparklarda geçirdiği dikkate alındığında, konunun güvenlik kısmı çok önemli olmaktadır. Bu bağlamda hibrid ve tam elektrikli araçların güvenlik gereksinimi ile kapalı alanlarda ve katlı parklarda park etme yasağı bulunmamaktadır. Henüz ülkemizde satışa sunulmamış olan ancak dünyada kullanımı gittikçe yaygınlaşan yakıt hücreli araçlarla ilgili emniyet gereksinmelerine yönelik belirgin prosedürler oluşturulmamıştır. Bu çalışmada dünyada ve ülkemizde; hibrid ve tam elektrikli araçlar ile hidrojen yakıtlı ve yakıt hücreli araçların gelişim seyri, yapılmakta olan çalışmalar ve düzenlemeler incelenmiş; emniyet açısından riskler ve bu risklerin giderilmesine/azaltılmasına yönelik öneriler sunulmuştur.