bluuebunny/crossref_metadata_2025 huggingface dataset:
This Is What It Sounds Like: Intimate Karaoke, Live at Uterine Concert Hall
Authors: McLeod Dayna
Published: November 2020

This article explores the role of sound in Intimate Karaoke, Live at Uterine Concert Hall, an interactive durational performance that features Dayna McLeod’s body as a concert venue. Here, practice-based methods that were used to generate knowledge through hands-on investigation and performance are detailed, as are experimentations with different presentations of her body and sound. This article discusses the relationship between this performance piece and failure, queerness, middle-ageing, and non-reproduction against a cultural backdrop that reveres art star success, youth, heterosexuality, and childbearing. In creating Intimate Karaoke, Live at Uterine Concert Hall, the artist was interested in proposing her uterus as a queer performance site in order to draw attention to these cultural biases while assigning a new kind of value to her middle-ageing, queer, female body. Sound is central to the formal circuitry of the piece as it shapes the representational status of her body and enables the performance to function. Intimate Karaoke is the umbrella term for both the formal construction of the performance and the affective methods of engagement that were employed in the creation of the work, which both rely on and challenge notions of vulnerability, intimacy, and familiarity. This article examines how the design of the performance focused the audience’s attention on the often heteronormative and reproductive expectations aimed at women’s bodies while questioning why we feel entitled to make demands on these bodies in the first place.
A Sonic Journey with Alex Bulmer
Authors: Johnson Megan , King Moynan
Published: November 2020

Alex Bulmer is a blind multidisciplinary artist who has worked extensively in Canada and the United Kingdom. Aside from her work as an actor, musician, video artist, and playwright, Alex is known for her work in disability arts and advocacy. Recently, she has been involved in curating formative disability arts events, including The Republic of Inclusion (2015) with the National Arts Centre and Cripping the Arts (2019) at Harbourfront Centre. In the following conversation, we explore the genesis of her connection to sound and trace the trajectory of her sound-based performance work in music, film, theatre, and experimental performance. We also discuss Alex’s unique perspective on the intimate nature of listening, her distinction between noise and sound, and her connection to the human voice.
Larynx Series, Voice of Echo, and Formants: Three Sound-Based Performance Works
Authors: Gee Erin
Published: November 2020

Composer, performer, and multimedia artist Erin Gee explores technological cultures through the metaphor of human voices in electronic bodies and electronic voices in human bodies. The following three works—published here as hybrid performance texts—represent a sampling of her compositional and performance work across the past decade.
International Comparisons of Economic Burden of EndStage Renal Disease to the National Healthcare Systems
Authors: H Ismail , MR Abdul Manaf , AH Abdul Gafor , ZM Mohamad Zaher , AI Nur Ibrahim
Published: November 2020

The global prevalence of chronic kidney disease (CKD) is between 11 to 13%. Renal replacement therapies (RRT) – which include dialysis and renal transplantation – consume a significant portion of a country’s health resources even though only 0.1% of all CKD patients are at stage 5, also known as end-stage renal disease (ESRD). The aim of this review was to compare the magnitude of the economic burden of ESRD on national healthcare systems of selected countries with high prevalence of ESRD including Malaysia. The quantity of interest in this review were total ESRD expenditures and its proportions to the national health systems' expenditure. It was identified that total ESRD expenditure contributes between 0.91% to 7.1% of national health system expenditure in countries selected for this review. In Malaysia, the public sector - through its various agencies at the federal and state levels, accounted for almost 70% of dialysis funding; the remaining 30% came from the private sector and out-of-pocket payments. The ESRD expenditures in Malaysia constitutes 4.2% of total health expenditure by the public sector, relatively high compared to other countries. This review will summarise findings of the currently available economic evaluations of RRT in Malaysia. Based on available evidence, estimated weighted cost of treating ESRD patient in Malaysia is MYR39,346 per patient per year (USD26,648, PPP 2016).
The Perils of Haemorrhoids Treatment
Authors: Elnaim Abdel Latif K , M.P.K Wong , I Sagap
Published: November 2020

Treating problematic haemorrhoids has taken a long turmoil route. Its peak incidence is among 45 to 65 years of age group. Typically, problematic haemorrhoids present in multi-symptoms forms like a prolapsed lump, painless bleeding, discomfort, soiling, or itchiness. Many theories were postulated in the pathophysiology of symptomatic haemorrhoids. The sliding and engorged of anal cushion with hypervascularity is the most popular. This is an updated review of published English-language literature regarding the treatment of haemorrhoids. The treatment includes medical therapy, office procedures, and surgical operations. Merits and demerits of the different modalities of treatment of haemorrhoids are presented. The best treatment options are difficult to ascertain. It should be tailored to individualize treatment according to their presentation and severity. Up till recently, the excisional haemorrhoidectomies are considered the standard procedure for haemorrhoid treatment. These techniques produce significant post-operative pain to the patient, which hinders them from normal daily activity. Recent advancement in surgical intervention has focused on minimising severity of pain and enhances recovery.
Revisión de programas para la gestión de repositorios digitales: una actualización
Authors: Eíto-Brun Ricardo , Lobón-Márquez Isabel-María
Published: November 2020

A review of software applications for managing digital repositories is presented. Information managers have at their disposal several alternatives beyond those that have achieved greater popularity in the area of academic repositories: DSpace and EPrints. Existing alternatives have evolved and implemented mayor improvements in their more recent versions, with the aim of adopting the latest standards for the semantic web and linked data. This paper provides a description of the new features incorporated into the latest versions of the most popular open-source products. The selection has been made using as a reference the information offered by the Digital Preservation Coalition (DPC), Digital Curation Center (DCC), National Digital Stewardship Alliance (NDSA), and Open Preservation Foundation. The conclusions of the study indicate that the combined use of different tools is needed to support a complete archive and digital preservation program, as no single application seems to be able to provide the features required for an effective strategy.

Resumen
Se presenta una revisión del estado de las aplicaciones informáticas para la gestión de repositorios digitales. Los gestores de repositorios disponen de distintas alternativas, al margen de las que han alcanzado una mayor popularidad en el área de los repositorios académicos, en particular DSpace o EPrints, que han evolucionado sustancialmente en sus últimas versiones. Esta evolución responde principalmente a la adopción de nuevos estándares diseñados en el contexto de la web semántica y los datos abiertos enlazados, y a la necesidad de incorporar a los productos funciones para la preservación digital. Se describe la evolución y las novedades incorporadas en las últimas versiones de los principales programas de código abierto u open source de gestión de repositorios atendiendo a los puntos anteriores. La selección se ha completado a partir de los datos disponibles en sitios de referencia como la Digital Preservation Coalition (DPC), Digital Curation Center (DCC), National Digital Stewardship Alliance (NDSA) y la Open Preservation Foundation. Las conclusiones señalan que una estrategia de archivo y preservación digital exige la utilización conjunta de distintos softwares, pues ninguno integra todos los componentes necesarios para implementar una estrategia de archivo digital y preservación efectiva.
VAROLUŞ KAYGISI VE ÇALIŞMA: VAROLUŞÇULUK BAKIŞ AÇISIYLA BİR GÖZDEN GEÇİRME
Authors: AYHAN Damla
Published: November 2020

Araştırma da varoluş kaygısı ve çalışmanın buna sunmuş olduğu katkılar incelenmiştir. İnsandaki varoluş kaygısı, yalnızlık, anlamsızlık ve özgürlüğün yarattığı gerilimler üzerinden aktarılmıştır. Kaygıların temelinde insanın kendini anlamlandırma arayışı yattığı ve bunun kolay bir iş olmamasından dolayı da yaşamını sağlıklı devam ettirme konusunda zorlandığı vurgulanmıştır.
Çalışma, bireyin bu temel kaygılarını anlamlandırmasına yardımcı olarak, bireye kendi anlamını yaratma imkanı sunmaktadır. İnsanın hayata tutunması için bir anlam olması gerekir. Çalışma, insanın aradığı anlamı bulması için destekleyici niteliktedir.
LEYLA HANIM VE TARİH MENZUMELERİ
Authors: YILTER Sait
Published: November 2020

Leylâ Hanım, 19. yüzyılın önemli kadın divan şairlerindendir. Osmanlı toplumunda kadınlar arka planda kalsa da Leylâ Hanım Osmanlı Sarayı ile bağlantı kurmuş, sultanların kerimeleri ile dostluk kurmuş, dikkatleri üzerine çeken bir şair olmuştur. 18. yüzyılda Klasik Türk Edebiyatı’nda şair sayısının hızla artması üzerine kaside yerini manzum tarihlere bırakmıştır. Şairler, hami bulmada sıkıntı çekmeye başlamış, kaside gibi yüksek sanat değeri taşıyan şiirlerin yerini manzum tarihler almıştır. Leylâ Hanım yaşadığı dönemin önemli olaylarına, saray fertlerinin önemli günlerine tarih manzumeleri yazarak dönemin sosyal yaşantısına ışık tutmuştur. Yazdığı bu tarz şiirlerde şairlik yeteneğini sergilemiştir.
SANAYİ’DE MEKÂNSAL DÖNÜŞÜMLER İZMİR ÖRNEĞİ
Authors: ÜNAL Çiğdem
Published: November 2020

Ülkemizdeki en büyük 500 sanayi kuruluşunun %10’una, Ege Bölgesi’ndeki sanayi kuruluşlarının yaklaşık yarısına sahip olan İzmir; sanayi yatırımları açısından önemli bir yere sahiptir. Yerleşme merkezinin çevresinde var olan zengin tarım alanlarının varlığıyla birlikte, elverişli olan ulaşım şartları, İzmir’in canlı bir ticaret merkezi olmasına neden olmuştur. Osmanlı Döneminde önemli bir ticaret ve sanayi şehri olan İzmir’in sanayileşme tarihi oldukça eskidir. Günümüzdeki görüntüyü oluşturan mekânsal örgütlenme, 1930’lu yıllarda yapılan sanayi yatırımlarıyla başlamıştır. Alsancak Limanı çevresinde yoğunluk kazanan sanayileşme, zamanla, Halkapınar, Kemeraltı, Şehitler gibi alanlarda yeni sanayi merkezlerinin ortaya çıkmasında etkili olmuştur. Sanayinin yapısal değişimi ile birlikte gelişen yeni sanayi odakları, bölgenin dinamiklerini de şekillendirmiştir. Bugün kuzey, güney ve doğu ilçelerine doğru ilerleyen üç büyük kuşak, İzmir sanayisinin mekânsal gelişiminin sonucudur. İzmir’de gerçekleşen mekânsal değişim-dönüşüm sürecinin sanayi sektöründeki yansımaları; sanayi alanlarının merkez dışına yönlendirilerek, diğer coğrafi etkenlerin yönetiminde, ana ulaşım koridorları boyunca yeniden örgütlenmesi biçiminde olmuştur. Kümeleşme eğilimlerinin belirlenmesinde ‘’imalat sanayi işletmelerinin sayısı’’ belirleyici değişken olarak kullanılmıştır. Kuzey yönüne doğru ilerleyen sanayi kuşağında, kimya, demir çelik, plastik, makine imalatı ön plana çıkarken; güneye ilerleyen kuşakta gıda imalatı, doğuya doğru ilerleyen kuşakta ise makine parçaları ve çeşitli yan sanayi imalatının ön planda olduğu tespit edilmiştir
FAHREDDİN RÂZÎ’NİN TEFSİRİNDE RÜ’YETULLAH YAKLAŞIMI
Authors: ÇETİN Metin
Published: November 2020

Gelenekte Allah’ın görülmesi “rü’yetullah” tabiri ile ifade edilmektedir. Rü’yetullah konusu, Yüce Allah’ın dünyada ve ahirette görülüp görülmemesi eksenindeki tartışmaların ana başlığını oluşturmaktadır. Müfessirler tefsirlerinde yeri geldikçe bu konuyu incelemişlerdir. Kelamcılar için ise bu konu temel konulardan biri olarak karşımıza çıkmaktadır. Rü’yetullah konusunda Ehl-i sünnet ve Mu’tezile’nin görüşleri temel iki yaklaşım olarak öne çıkmaktadır. Ehl-i sünnete göre Allah’ın görülmesi mümkündür. Mu’tezile’ye göre ise Allah dünyada veya Ahirette hiçbir şekilde görülemez. Biz de bu çalışmamızda iki görüşü birlikte ele almasından, ayrıca hem müfessir hem de mütekellim yönü bulunmasından dolayı Fahreddin Râzî’nin tefsirinde rü’yetullah’a yaklaşımını ele alacağız. Yapılan değerlendirme sonucunda Allah’ın Ahirette inananlar tarafında görüleceğini ileri süren ehl-i sünnetin delillerinin daha ikna edici olduğu görülmektedir.
Müze Yönetimi ve Organizasyonu
Authors: BAŞAK Oktay , ÖZRİLİ Yaşar
Published: November 2020

Müzelerin toplumda ciddi görevler üstlenmesi gerekliliği fikirlerinin arttığı 21. yy da, dönüşen toplumsal parametrelere paralel, değer üreten, iletişim odaklı, referans kurumları gibi tasavvur edilmesi ve müzelere daha geniş bir perspektiften bakılması anlayışı konjonktüreldir. Sayıca çoğalmaları, yeniden yapılanmaları, daha donanımlı olmaları vb. reaksiyonlar daha profesyonel örgütlenme ve organizasyon ihtiyaçlarını doğurmuştur. Müzelerde personel sayılarının niceliksel artışı niteliksel olarak da bir gelişim göstermeyi gerekli kılmaktadır. Bu doğrultuda planlama, sistem, kurgu gibi kavramlar fonksiyonellik adına önemlidir. Müzelerin ayakta kalması, büyümesi, fayda sağlaması adına, iyi yönetilmesi zorunludur. Amaç belirleme, hangi birimlere nasıl müdahale etmeyi bilmek, çalışan verimliliği, politika belirleme önceden yapılan planlamalar neticesinde hayata geçirilebilecek yetkinliklerdir. Bu çalışmada müzelerin, dinamik yapılanmaları ve örgütlenmeleri ışığında Türkiye’nin en önemli özel müzelerinden olan Pera Müzesi organizasyon yapısı, Sakıp Sabancı Müzesi organizasyon yapısı, ABD’ nin müzecilik faaliyetleri ve Smithsonian Enstitüsü’nün yapısı ile Hollanda Müzecilik yönetim faaliyetleri konu edinilmiştir.
27 MAYIS DARBESİ SÜRECİNDE ANKARA OLAYLARINDAN İKİ KESİT: 29 NİSAN VE 555K
Authors: AKTAŞ Elif
Published: November 2020

27 Mayıs 1960 Darbesi, Cumhuriyet tarihindeki ilk kırılma noktası olmasından dolayı darbeye giden süreçte meydana gelen olayların çok iyi analiz edilmesi gerekmektedir. 14 Mayıs 1950 seçimleri Türk siyasi hayatında bir dönüm noktası olmuştur. DP'nin ilk yıllarında ekonomik ve toplumsal anlamda önemli gelişmeler yaşanması iktidarın güçlenmesine yol açmıştır. Fakat 1954 yılından itibaren durum değişmiş, DP'nin tutumundaki değişim ve sertlik gözle görülür hale gelmiştir. Bu olumsuzluklardan en çok rahatsız olan kesimlerden birisi de üniversite gençliği olmuştur. Tahkikat Komisyonu'nun kurulması ile ilgili kanunun kabul edilmesi gençliğin DP'ye karşı olan tutumunun eyleme dönüşmesine yol açmıştır. 27 Nisan 1960'ta İstanbul'da başlayan olaylar kısa sürede Ankara ve İzmir'e sıçramıştır. Ankara'da 29 Nisan'da derslere girmeyerek durumu protesto etmeyi kararlaştıran öğrenciler sabah saatlerinde Mülkiye önünde toplanmışlardır. Olaylar kısa sürede Hukuk, Fen ve Tıp Fakültelerinden de destek bulmuş, polis ve askerin fakülteleri kuşatmasına yol açmıştır. İstanbul ve Ankara olayları üzerine iki ilde de sıkıyönetim ilan edilmiştir. Ankara'da tarihe 555K olarak geçen bir başka protesto gösterisi de yaşanmıştır. O dönemde basına sıkı bir sansür uygulandığı için özellikle 555K ile ilgili haberlere yer verilmediği, hatta bazı gazetelerin toplatıldığı görülmüştür.
Çalışma nitel araştırma yöntemlerinden belge ve doküman analizi ile gerçekleştirilmiştir. Çalışmada 29 Nisan ve 555K olayları, hatıralar, haberler ve çeşitli kaynaklar ekseninde ele alınıp detaylandırılacak, dönemdeki siyasi ve toplumsal etkilerine ışık tutulmaya çalışılacaktır.
Local Estimation of Rate and Clinical Outline of Mortality in Old Schizophrenics
Authors:   Auctores Publishing LLC, Shafti Saeed
Published: November 2020

Introduction: Researchers have consistently reported that people with mental disorders have elevated mortality compared with the general population. In Iran there are not systematic psychiatric case registers that could allow us to study precisely the mortality of psychiatric patients. The aim of the current study was to determine the mortality rate and clinical profile of death in a group of non-western chronic elderly schizophrenic patients. Methods: chronic geriatric subdivision of Razi Psychiatric hospital with a capacity around 220 beds (110 for each of male and female elderly patients) had been selected as the specific arena of investigation. For the present retrospective survey, all recorded deceases during the last sixty months (April of 2014-August 2019) in the said senior wards had been included in the current study. Clinical diagnosis, too, was essentially based on ‘Diagnostic and Statistical Manual of Mental Disorders’, 5th edition (DSM-5). Results: Among eight-hundreds and frothy chronic elderly schizophrenic patients, sixty-nine deceases had been registered by the mortality committee of the hospital. As said by results, the annual rate of mortality among elderly schizophrenic patients in the present assessment was around 0.015 (0.15 per 1,000 individuals per year) and 0.017 (0.17 per 1,000 individuals per year) among male and female aged patients, respectively, which were significantly lower than current native crude death rate (p<0.000). While the age of the expired female patients was significantly more than the died male schizophrenics (p < 0.001), the life expectancy of both male and female expired patients was significantly shorter than the public’s life expectancy (p< 0.000). Besides, in the present evaluation, while cardiac illness was the main leading cause of death among old schizophrenics, reasons like suicide, falls, drug use or tuberculosis, were not applicable at all. Conclusion: While the rate of mortality among elderly schizophrenics was significantly lower than public’s crude death rate, age of the deceased female patients was significantly longer than the male expired patients and life expectancy of both male and female died patients was significantly lower than native public’s life expectancy. Cardiac disorder, as well, was the main leading cause of death among aged schizophrenic patients.
Emtgolia interrupta, a new Mongolian genus and species of tribe Perilissini (Hymenoptera: Ichneumonidae)
Authors: Reshchikov A.V.
Published: November 2020

A new ichneumonid genus and species Emtgolia interrupta gen. nov. et sp. nov. are described from Mongolia. The new genus belongs to the subfamily Ctenopelmatinae and may be easily distinguished from other ichneumonid genera by having an interrupted radial vein at stigma and a deep longitudinal impression in lower part of mesopleuron. A short discussion of the problems of taxonomy of the tribe Perilissini is given.
Therapeutic and diagnostic blockade of the knee joint as a component of pain management in gonarthrosis and a predictor of further successful radio-frequent denervation of the joint
Authors: Sedletskyi Ruslan
Published: November 2020

According to WHO data, there has been a change in the morbidity structure in the past decades. The number of people with chronic pain syndrome (CPS) is increasing progressively.

This is due to population aging and increases in the number of musculoskeletal disorders, including osteoarthritis of the knee joint, which causes not solely temporary or permanent loss of ability to work, but a significant decrease in quality of life in patients. According to WHO, gonarthrosis will become the fourth leading cause of disability among women, and eighth among men in the coming decade (1).
Determinants of Potential Investment Attractiveness of a Commune
Authors: Świdyńska Natalia , De Jesus Ilisio Manuel
Published: November 2020

The aim of the study was to indicate which of the determinants shaping the level of potential investment attractiveness of a commune affects its level to the highest degree. The elements which determine the attractiveness for investment, understood as an area’s ability to attract investors, were classified into five sections: labour resources, technical infrastructure, social infrastructure, administration and market. After the data were accumulated which were necessary to create synthetic indices of communes potential attractiveness for investment and individual sections, they were verified statistically according to two most important criteria: variance and correlation. Ultimately, indices were selected for further analysis out of the set of 39 indices. The Hellwig development pattern method was used to classify the communes into four classes depending on the level of potential attractiveness for investment and each section and to determine which element has the greatest effect on the level of a commune’s potential attractiveness for investment. The average level of potential attractiveness for investment and the sections under analysis prevailed in the Warmińsko-Mazurskie Voivodship communes in 2016. The results showed that the level of a commune’s potential attractiveness for investment is affected by the following factors: technical infrastructure, administration, social infrastructure, labour resources and market.
Quality of Care in Inflammatory Bowel Disease: the Role of Steroid Assessment Tool (SAT) - a Review
Authors: GORAN Loredana , STATE Monica , NEGREANU Ana , NEGREANU Lucian
Published: November 2020

Corticosteroids have an important role in induction of remission in inflammatory bowel disease, but they are not an indicated for maintenance treatment as they are associated with many side effects. Despite new effi cient therapeutic options for maintaining remission, there is an excess in prescribing steroids in inflammatory bowel disease. Corticosteroid use was evaluated in international cohorts given that steroid free remission and avoiding serious side-effects of corticosteroids is a desirable goal. We discuss the role and the evidences on a secure web-based steroid assessment tool (SAT) which can be used as an instrument of evaluation of corticosteroid use, a quality indicator in inflammatory bowel disease.
Radio Pathological Correlation of Thyroid Nodules Using Tirads Based Ultrasound Classification and Bethesda Classification for FNAC: a Prospective Study
Authors: TIWARI Richa , GUPTA Ruchi , VERMA Amit Kumar , KUMAR Sanjeev , KATIYAR Yogita
Published: November 2020

Background: Thyroid gland is afflicted by various pathologies amongst which nodules are the cause of maximum concern because of their malignant potential. With the introduction of high resolution ultrasound and use of Thyroid imaging reporting and data system (TIRADS) classifi cation as a widely used universal grading system, there has been reduced inter-observer variability and increased inter-departmental communication. In this study, we studied the TIRADS ultrasound grading as a screening tool and compared it with the BETHESDA grading on FNAC. Material and methods: 200 patients with thyroid nodules were subjected to ultrasound and USG guided FNAC. Each was assigned a TIRADS and Bethesda grade. Findings were compared to assess the sensitivity, specifi city, PPV (positive predictive value) and NPV (negative predictive value) of ultrasound in differentiating benign from malignant nodules. RESULT: Out of 200 nodules examined, 116 nodules belonged to TIRADS 2 while 44, 13 and 27 belonged to TIRADS 3, 4 and 5 respectively. On FNAC, 162 patients belonged Bethesda 2 & 12, 7, 15 and 4 to Bethesda 3, 4, 5 and 6 respectively. The sensitivity, specifi city, PPV and NPV of ultrasound were found to be 92.3, 90.8, 60 and 98.75 % respectively. Conclusion: TIRADS is an effective risk stratifi cation system which should be routinely used in our clinical practice as it can predict the possibility of a particular nodule for being malignant to a great extent. Especially keeping in mind its high negative predictive value, FNAC can be deferred in TIRADS 2 patients which form a majority of cases reporting to pathology department for thyroid FNAC.
Employment Perspectives for Romanian Medical Doctors
Authors: MARIN Andrei , MIREA Ioan Alexandru , MARIN Georgiana Gabriela , GIUGLEA Carmen
Published: November 2020

Medical schools in Romania enroll a high number of students and invest in them serious amounts of money to prepare them afterwards in the residency. Once these residents become specialists, they are left to seek out jobs for themselves. However, the job offer is scarce in the public sector, even though there is a real national defi cit of doctors, especially in the rural areas. For this reason, young doctors are forced to seek jobs in private practice or to go abroad. The following survey aims to see the perspectives of the students and young doctors regarding the future jobs they will have and possible solutions to correct the paradox between having too many unemployed doctors in contrast to having a poor national coverage with medical personnel.
Developing an Innovative Web-Based Application for Clusterization in Healthcare - SANINFO
Authors: BADEA Viorica , RUSU Carmen , GERU Marius , STAMATE Cosmin
Published: November 2020

The Health Information System is widely used in healthcare contexts and has improved the performance, state, and effectiveness of health services and the overall patient well-being. Following the reform of the Romanian health system, and the context created by the COVID-19 context, there is an increased demand for such platforms. In order to strengthen the Primary Health Care system, there is a need to design new services performed with the assistance of information technologies that can reduce the costs and increase the quality of the health care services. This study provides relevant information about (1) the planning and development of the health information system, (2) the needed hardware architecture, (3) the usability and design standards for health information systems, (4) the testing and validation in the local market, (5) the integration of all requirements resulting from the system testing and (6) the continuous integrations and updates. All the information obtained during the planning stage is based on previous research regarding the analysis of existing national and international online medical systems.
Comparison with Classification Algorithms in Data Mining of a Fuel Automation System's Sales Data
Authors: Tarimer Ilhan , Karadag Buse Cennet
Published: November 2020

This article deals with Otobil and pumps sales estimates at fuel stations. The fuel station data used in the study consists of 2384 data in total. Depending upon these data, classification procedures were performed on fuel station sales data using classification algorithms. In the study the classification algorithms that J48, Random Forest, KStar, Logistic Regression, IBk and Naive Bayes algorithms are used to compare the sales data estimations by using a software. The results obtained show that the accuracy rates of the J48 algorithm are more successful than others in general. It understands that these sales estimations shall encourage fuel station owners and association bodies to get more gainful.
Unilateral low-frequency hearing loss after spinal anesthesia: a case report
Authors: KÖLÜKÇÜ Vildan , GÜRLER BALTA Mehtap
Published: November 2020

Spinal anesthesia is a frequently used anesthesia technique, which brings an increased risk of associated complications. Hearing loss after spinal anesthesia is rare and usually seen in low-frequency. It can occur uni- or bilaterally and have a permanent or temporary course. This study presents a case who underwent ankle arthroscopy with spinal anesthesia and had a hearing loss at the postoperative 30rd hour and discusses the results in the light of current literature
Seroprevalence of Toxoplasma gondii in HIV-infected patients admitted to a university hospital
Authors: ERGEN Pinar , YILMAZ-KARADAĞ Fatma , AYDIN Özlem
Published: November 2020

Objective:

Toxoplasma gondii may lead to opportunistic infections that threaten life in patients infected with HIV as opposed to the case of healthy individuals. It was aimed to investigate the seroprevalence of Toxoplasma gondii in HIV-infected patients admitted to our clinic.

Methods:

The files of HIV-infected patients who were admitted to our polyclinic in the period of January 1995- December 2019 were examined. From the files, information was recorded on demographic characteristics, first diagnosis date, CD4+ T lymphocyte counts at first admission, HIV RNA, T. gondii Ig G / M values and whether or not they received antibiotic prophylaxis.

Findings:

Although the files of 804 HIV-infected patients were examined, data on T. gondii antibodies could be accessed only in the files of 685 patients. The median values of the ages and disease durations of the patients were respectively 33 (range: 17-83) and 4 (range 0-27) years. Among the patients, 88.5% (n: 606) were male. While no patients showed T. gondii Ig M antibody positivity, 41.6% (N= 285) had T. gondii Ig G positivity. The CD4+ T lymphocyte count was under 100 in 10.0% (n: 68/678) of the patients, and among 36.8% (n: 25/68) of these patients, T. gondii Ig G was positive. While T. gondii IgG positivity was significant in the patients over the age of 40, no significant relationship was found between sex and CD4+ T lymphocyte counts.

Conclusion: In patients with T. gondii Ig G positivity, the risk of toxoplasmosis reactivation increases especially when the CD4+ T lymphocyte counts fall below 200. For this reason, investigating the seroprevalence of T. gondii in patients of all ages is important to be able to assess the risks that may develop, and it should be kept in mind that seropositivity may increase by advanced age.
Predicting vitamin D deficiency through parathormone in the children of a small city located in the warm climate belt of northern hemisphere
Authors: CELEP Gökçe , DURMAZ Zeynep
Published: November 2020

ÖZ

Amaç: Bu çalışmanın amacı bir grup sağlıklı çocukta parathormon (PTH), kalsiyum (Ca), fosfor (P), D vitamini düzeylerini ortaya koymak ve “D vitamini eksikliği” ile “yetersizliği” tanıları için düzey saptamaktır.

Yöntem: Çalışmaya bilinen kronik sağlık sorunu olmayan 543 çocuk katıldı. PTH, Ca, P, 25(OH)D düzeyleri, kan örneğinin alındığı mevsim, yaş, cinsiyet ve sağlık durumuna ait veriler hastane kayıt sisteminden geriye dönük olarak elde edildi. Değişkenler arasındaki ilişkiler metinde ayrıntılı olarak tanımlanan istatistiksel yöntemlerle değerlendirildi.

Bulgular: PTH yükselmesini tetikleyen en düşük PTH değeri 13.6 ng/ml olarak saptandı. Farklı yaş grupları için 25(OH)D düzeyi persentil değerleri hesaplandı. Yaş, PTH ve mevsimin D vitamini düzeylerine katkısı olduğu lojistik regresyon analizleri ile gösterildi.

Sonuç: Yaşanılan yerin rakımı ve enlemi Güneş’in Zenith açısını etkilediğinden D vitamini durumunda önemli bir değişkendir. Destek ve tedavi yaklaşımında yaş, cinsiyet ve mevsimler dikkate alınmalıdır.

Anahtar sözcükler: D vitamini eksikliği, 25(OH)D, PTH, enlem, çocuk

ABSTRACT

Aim: The aim of this study is to analyse the serum levels of parathormone (PTH), calcium (Ca), phosphorus (P), vitamin D and define a cut off value for vitamin D deficiency and insufficiency in a sample of healthy children.

Methods: A total of 543 healthy children enrolled to this study. The data of PTH, Ca, P, 25(OH)D levels, season of blood sample collection, age, sex and health status were collected from the hospital record system retrospectively. The relationships between these variables were defined by statistical analyses and explained in detail in the text.

Results: The inflection point that triggered PTH rise was 13.6 ng/ml. The percentile values of 25(OH)D for different age groups were reported. Logistic regression analyses pointed that age, PTH and seasons contributed to vitamin D status.

Conclusion: The habitat is a significant variable for vitamin D status because altitude and latitude affect solar Zenith angle. Age, gender and seasonal variations must be taken in consideration when recommending supplementation.

Keywords: Vitamin D deficiency, 25 (OH)D, PTH, latitude, child
Using Microwave Energy for the Removal of Hardness from Groundwater: Continuous Flow Lab-Scale System
Authors: Rabah Fahid K. J. , Ramaha Mohammad T. , Darwish Mohamad , Mohamed Najib Mohamed Zuhaili , Mustafa Shaymaa
Published: November 2020

The present study investigates the characteristics of calcium hardness removal from water using a continuous flow microwave (MW) radiation system with heat exchange. The effects of initial calcium concentration, detention time, and initial temperature were investigated by the study. About 97% of calcium hardness removal was achieved at a detention time of 12.5 minutes. It was concluded from the experiments performed that the optimum conditions for this system use a detention time of 12.5 minutes. This leads to an initial temperature of 70°C when using the heat exchanger. These conditions are valid for the range of Ca initial concentrations between 92 and 204 mg/L as CaCO3. The residual concentrations under optimum conditions were 2.4, 2.5, 2.6, and 3 mg/L as CaCO3 for initial concentrations of 92, 141, 172, and 204 mg/L as CaCO3, respectively. The developed system proved to be practical in the continuous flow mode that simulates the actual operations in water treatment plants. It was concluded that MW energy could be one of the most effective methods for large scale removal of hardness from water.
Assessment of Pollution Load in Terms of Water Quality Index and Modelling of Taladanda Canal and Mahanadi River in Paradip Area, Odisha, India
Authors: Prusty Rabiranjan , Biswal Trinath
Published: November 2020

The modelling of water quality is an integrated source of good management, which benefits the environment and its people. In the present study, the quality of water was measured in terms of physicochemical analysis and WQI. This analysis facilitates the eco-management study of the water. In this article, we have measured the quality of the water in Taladanda canal and river Mahanadi nearby Paradip area in terms of WQI for the year 2017. Five different sampling stations were selected from Taladanda canal and nine sampling points were selected from river Mahanadi. It was found that the water quality index in most of the areas was much higher, however, the water is of poor quality. But in PPL site areas, the quality of water was found to be very poor and not suitable for human use. The pollution load was found to be much higher in the Taladanda canal and moderate in Mahanadi River near the Paradip area.
Assessing the Pollution Level in the Kuban River Basin by Multivariate Cluster Analysis
Authors: Snezhko Vera , Benin Dmitrii , Lukyanets Artem , Kondratenko Larisa
Published: November 2020

Considering features of hydrological conditions for hydro-chemical system, this paper analyses the performance of the hydro-ecological status of the Kuban river basin.. The results of the study on water chemical composition depending on the distance from the source are presented. By comparing the results with the reference values of water quality, increased aluminium, zinc, and copper content was established. Respective dendrograms of hydro-ecological studies obtained according to performed analysis for the Kuban River and its tributaries are presented. The relevance of the findings received is p<0.0005 and the correlation coefficient corresponds to 0.935...1. The results of multivariate cluster analysis showed that the Kuban basin has an increased content of particular heavy metals such as aluminium, copper, and zinc.
Adjuvant Treatment of Residual Disease Following Neoadjuvant Chemotherapy and Radical Cystectomy for Muscle Invasive Bladder Cancer
Authors: Krebs Markus , Sokolakis Ioannis , Seiler Roland , Daneshmand Siamak , Grivas Petros , Gakis Georgios
Published: November 2020

BACKGROUND:

Cisplatin-based neoadjuvant chemotherapy (NAC) has shown overall survival benefit for patients with muscle invasive bladder cancer (MIBC). In contrast, there is limited data for adjuvant treatment options in patients with residual muscle invasive disease after NAC followed by radical cystectomy (RC).

OBJECTIVE:

This systematic review aims to give an overview of studies examining adjuvant treatment options for patients with residual MIBC at RC despite NAC.

METHODS:

We systematically searched the PubMed database and Clinicaltrials.gov (end point August 2019) for publications and registered trials combining NAC, RC, and adjuvant treatment options.

RESULTS:

After removal of duplicates, 659 articles and registered trials were further analyzed. Finally, 10 studies and 7 registered clinical trials met inclusion criteria. While 5 publications did not further characterize NAC and adjuvant regimens, the remaining 5 studies reported mainly platinum-based regimens. Altogether, the selected studies showed conflicting results regarding the potential role of adjuvant treatment strategies in the setting of residual disease after NAC and RC.

CONCLUSION:

Although there is an urgent need for adjuvant treatment options for patients with MIBC after NAC and residual muscle invasive disease at RC, there has been very limited evidence available. Inclusion of such patients into ongoing adjuvant clinical trials is urgently needed; active surveillance is strongly recommended in the absence of trials.
Impact of ICT on entrepreneurial self-efficacy in emerging economy: Sustaining lock-down during COVID-19 pandemic
Authors: Sardar Taiba , Jianqiu Zeng , Bilal Muhammad , Syed Nausheen
Published: November 2020

BACKGROUND: COVID-19 affected business in Pakistan and micro-entrepreneurs started struggling. ICT facilitates economic competitiveness and help in sustaining long-term economic growth during and after pandemic. OBJECTIVE: This article investigates the impact of information communication technology (ICT) on entrepreneurial self-efficacy (ESE), social networking (SN) and facilitation to micro-entrepreneurs, during COVID-19 pandemic in Pakistan. METHOD: We used Technology Acceptance Model (TAM) in this work. The original TAM constructs of ease of use and usefulness were tested, and TAM was extended to ICT to study the further outcomes. Data sets were collected online from 398 microentrepreneurs and further analysed by using the Structural Equation Modelling (SEM). RESULTS: The results indicate that survival of micro-entrepreneurs can be achieved through ICT as it is a strong variable which affects social capital building, bridging and self-efficacy, both directly and indirectly. The entrepreneurial activity can be increased through ICT and entrepreneurs can sustain the implications of lock-downs. CONCLUSION: The findings suggested that ICT usage by micro-entrepreneurs during COVID-19 pandemic was influenced by micro-entrepreneurs’ perceptions, of ease of use and usefulness. ICT had direct influence on entrepreneurial self-efficacy and social networking. The theoretical and practical implications of the results are also given.
Revised Framingham Stroke Risk Profile: Association with Cognitive Status and MRI-Derived Volumetric Measures
Authors: Pelcher Isabelle , Puzo Christian , Tripodis Yorghos , Aparicio Hugo J. , Steinberg Eric G. , Phelps Alyssa , Martin Brett , Palmisano Joseph N. , Vassey Elizabeth , Lindbergh Cutter , McKee Ann C. , Stein Thor D. , Killiany Ronald J. , Au Rhoda , Kowall Neil W. , Stern Robert A. , Mez Jesse , Alosco Michael L.
Published: November 2020

Background: The Framingham Stroke Risk Profile (FSRP) was created in 1991 to estimate 10-year risk of stroke. It was revised in 2017 (rFSRP) to reflect the modern data on vascular risk factors and stroke risk. Objective: This study examined the association between the rFSRP and cognitive and brain aging outcomes among participants from the National Alzheimer’s Coordinating Center (NACC) Uniform Data Set (UDS). Methods: Cross-sectional rFSRP was computed at baseline for 19,309 participants (mean age = 72.84, SD = 8.48) from the NACC-UDS [9,697 (50.2%) normal cognition, 4,705 (24.4%) MCI, 4,907 (25.4%) dementia]. Multivariable linear, logistic, or ordinal regressions examined the association between the rFSRP and diagnostic status, neuropsychological test performance, CDR® Sum of Boxes, as well as total brain volume (TBV), hippocampal volume (HCV), and log-transformed white matter hyperintensities (WMH) for an MRI subset (n = 1,196). Models controlled for age, sex, education, racial identity, APOE ɛ4 status, and estimated intracranial volume for MRI models. Results: The mean rFSRP probability was 10.42% (min = 0.50%, max = 95.71%). Higher rFSRP scores corresponded to greater CDR Sum of Boxes (β= 0.02, p = 0.028) and worse performance on: Trail Making Test A (β= 0.05, p < 0.001) and B (β= 0.057, p < 0.001), and Digit Symbol (β= –0.058, p < 0.001). Higher rFSRP scores were associated with increased odds for a greater volume of log-transformed WMH (OR = 1.02 per quartile, p = 0.015). No associations were observed for diagnosis, episodic memory or language test scores, HCV, or TBV. Conclusion: These results support the rFSRP as a useful metric to facilitate clinical research on the associations between cerebrovascular disease and cognitive and brain aging.
Deep image captioning using an ensemble of CNN and LSTM based deep neural networks
Authors: Alzubi Jafar A. , Jain Rachna , Nagrath Preeti , Satapathy Suresh , Taneja Soham , Gupta Paras
Published: November 2020

The paper is concerned with the problem of Image Caption Generation. The purpose of this paper is to create a deep learning model to generate captions for a given image by decoding the information available in the image. For this purpose, a custom ensemble model was used, which consisted of an Inception model and a 2-layer LSTM model, which were then concatenated and dense layers were added. The CNN part encodes the images and the LSTM part derives insights from the given captions. For comparative study, GRU and Bi-directional LSTM based models are also used for the caption generation to analyze and compare the results. For the training of images, the dataset used is the flickr8k dataset and for word embedding, dataset used is GloVe Embeddings to generate word vectors for each word in the sequence. After vectorization, Images are then fed into the trained model and inferred to create new auto-generated captions. Evaluation of the results was done using Bleu Scores. The Bleu-4 score obtained in the paper is 55.8%, and using LSTM, GRU, and Bi-directional LSTM respectively.
Iterative learning control algorithm for sensor fault nonlinear systems
Authors: Lan Zimian
Published: November 2020

In this paper, we propose a new iterative learning control algorithm for sensor faults in nonlinear systems. The algorithm does not depend on the initial value of the system and is combined with the open-loop D-type iterative learning law. We design a period that shortens as the number of iterations increases. During this period, the controller corrects the state deviation, so that the system tracking error converges to the boundary unrelated to the initial state error, which is determined only by the system’s uncertainty and interference. Furthermore, based on the λ norm theory, the appropriate control gain is selected to suppress the tracking error caused by the sensor fault, and the uniform convergence of the control algorithm and the boundedness of the error are proved. The simulation results of the speed control of the injection molding machine system verify the effectiveness of the algorithm.
Decomposition of fuzzy exponential mathematical quantitative process in industrial manufacturing design
Authors: Cheng Yuan , Wang Kunqian
Published: November 2020

Small and medium-sized manufacturing enterprises have the characteristics of large numbers and small scales. Problems such as backward manufacturing technology, lack of talents, small amount of information resources, and insufficient product research and development capabilities have severely restricted the development of enterprises. The backward manufacturing design model cannot adapt to the development trend of modern manufacturing informatization. This paper proposes and designs a fuzzy inference model and fuzzy inference engine algorithm with threshold. In order to describe the numerical multiple input and multiple output variables in the industrial manufacturing design industry, the relevant experience is used to make numerical reasoning decisions. Applying fuzzy sets and fuzzy theory to the expert system, a fuzzy rule model containing the membership function information and thresholds of the corresponding fuzzy sets is proposed and established, and a fuzzy reasoning system suitable for numerical and uncertain reasoning decisions is constructed. The improved grey relational analysis method is used to decompose and evaluate the exponential mathematical quantitative process of manufacturing enterprises. Based on the fuzzy Decision Analytic Network Process (DANP) method to calculate the relative weight of the influencing factors in the evaluation system, the evaluation index of the enterprise is obtained. Starting from the industrial manufacturing design process, this article constructs a relatively comprehensive and reasonable enterprise exponential mathematical quantitative process decomposition evaluation system. Considering that there are complex interactions between the various influencing factors in the system, the fuzzy Decision Making Trial and Evaluation Laboratory (DEMATEL) method is selected to process the direct impact matrix of the evaluation system, and the causal relationship between the indicators is obtained. The fuzzy exponential gray correlation method is used to evaluate the quantitative process of industrial manufacturing design, avoiding the shortcomings of traditional methods that only consider ideal values.
Fuzzy algorithm-based fault analysis for automated production lines
Authors: Zheng Yi
Published: November 2020

In this paper, an in-depth analysis of automated production line faults based on fuzzy algorithms is carried out and based on an in-depth investigation of the mechanism of equipment faults, research work on equipment state prediction and production line fault diagnosis is carried out, and the corresponding algorithm model workflow is given, which has some practical application value for improving the accuracy of production line fault prediction. The algorithm with data mining association rules is proposed to extract the confidence parameters of the conditional state fuzzy net model, and an inverse conditional state fuzzy net is established based on the conditional state fuzzy net for fault diagnosis and reasoning, and a dynamic confidence level reasoning mechanism is also established for reverse reasoning based on the iterative algorithm of maximum algebra. To monitor the operating status of the production line more intuitively, a production line fault prediction and analysis system is developed based on the platform, which mainly includes a data management module, state monitoring module, state prediction module, fault diagnosis module, and maintenance advice module, which can more easily realize the monitoring of the production line equipment state and fault early warning prompting, making the system more practical value.
Optimization of artificial CNN based on swarm intelligence algorithm
Authors: Li Qian , Li Shuyuan
Published: November 2020

Aiming at the precocious convergence, low search accuracy and easy divergence of most particle swarm optimizations with velocity terms, a particle swarm optimization (IWPSO) with random inertia weights and quantization is proposed. First, the inertia weights are obeyed to be distributed randomly, and the learning factors are adjusted asynchronously to optimize the parameters in BP network. Secondly, BP network is trained using the IWPSO algorithm based on the sample data. Finally, simulation experiments prove that the algorithm has significantly improved search speed, convergence accuracy, and stability compared with existing improved algorithms. Due to the characteristics of IWPSO algorithm, the BP neural network optimized by IWPSO has better global convergence performance and is an efficient particle swarm optimization.