bluuebunny/crossref_metadata_2025 huggingface dataset:
The effective guarantee of data subject rights in response to the generative artificial intelligence era : Focusing on the review of the Personal Information Protection Act
Authors:   Korean Constitutional Law Asscciation, Kim Kang Han
Published: February 2025

Generative artificial intelligence is equipped with more advanced functions than existing artificial intelligence technology, raising new problems that were difficult to predict in the past. For example, generative artificial intelligence handles and handles data containing personal information in the stage of learning and processing vast amounts of data, and in this process, it is very difficult for individual data subjects to recognize and control that their information is processed for generative artificial intelligence learning. In addition, unlike existing general artificial intelligence, generative artificial intelligence has the ability to learn data by itself and generate new original results based on this, and in the course of this series of processes, major legal issues related to personal information protection collided.
In order to discuss legal issues related to personal information protection related to generative artificial intelligence, the first relevant constitutional discussion should be made. In terms of guaranteeing basic rights, a conflict of basic rights between the data subject's right to self-determination of personal information and the freedom of job choice of a person who develops or operates generative artificial intelligence can typically arise. These basic rights conflict problems are expected to occur more frequently with the advent of generative artificial intelligence technology, and to solve this problem, both the right to self-determination of personal information and the freedom of occupation must be guaranteed in a harmonious and appropriate balance, and legal and institutional improvement is needed to effectively guarantee the rights of data subjects in response to the generative artificial intelligence era.
Based on this awareness of the problem, this paper analyzes the legislative limitations and problems of Korea's current laws and regulations to discuss major legal issues related to personal information protection related to generative artificial intelligence, and based on this, legislative improvement measures were derived to effectively guarantee the rights of information subjects to use generative artificial intelligence technology and to resolve legal obstacles to the development and development of generative artificial intelligence technology.
Power conflicts and Constitutional hardball centered on the veto and impeachment powers
Authors:   Korean Constitutional Law Asscciation, Kim Jung-Hyun
Published: February 2025

Conflicts between the presidential and parliamentary branches of government are intensifying. The escalating confrontation between the legislative and executive powers has seen the opposition take a leading role in legislative activities, the president veto bills, and the opposition respond by initiating impeachment proceedings against the president. This cycle of conflict culminated in the president's declaration of martial law on December 3, 2024. This unprecedented level of discord within South Korea’s constitutional system, established in 1987, can be traced to a significant shift in the political and constitutional landscape.
Changes in voter behavior and ideological trends have transformed the political dynamics, disrupting the longstanding dominance of conservative parties in parliamentary elections. Simultaneously, the increasing judicialization of politics and the politicization of the judiciary have normalized the use of legal mechanisms to pressure opponents rather than seeking political compromise. This has exacerbated polarization between the ruling and opposition parties, with acrimonious politics of conflict and confrontation becoming the norm.
The president’s non-institutional authority has been steadily eroding, leading to a paradoxical over-reliance on institutional powers that were historically used sparingly. Currently, the president’s primary check against the National Assembly is the power to veto legislation. However, the opposition-led National Assembly has countered this by repeatedly invoking its impeachment power. Impeachment charges have the immediate legal effect of suspending the president’s authority. While impeachment is part of a broader legal process, it should be recognized as an independent tool of state control due to its distinct legal consequences. Nonetheless, its misuse for partisan purposes undermines democratic stability and governance.
To address this issue, it is crucial to amend the National Assembly Act to mitigate procedural shortcomings and prevent the abuse of impeachment powers. Safeguards must ensure that impeachment serves its intended purpose as a mechanism for accountability, rather than a partisan weapon.
The normalization of veto politics and constitutional hardball poses a grave threat to the functionality and credibility of Korea’s democratic institutions. If left unchecked, these practices will render the presidency and the National Assembly increasingly ineffective and counterproductive. This crisis underscores the need to reform the current constitutional framework to restore democratic integrity and enable effective governance.
We must seize this opportunity to prepare for a future system that fosters collaboration, minimizes polarization, and equips both the president and the National Assembly to govern competently in the face of evolving political realities.
We need to prepare for the next step.
PENGUKURAN KEAMANAN PENGGUNA ANDROID MENGGUNAKAN EXPECTACY BASED MODEL DAN ALTERNATIVE THREAT BASED MODEL
Authors: Tanjung Dio Febrillian , Wella Wella
Published: February 2025

Saat ini, 132,7 juta smartphone digunakan di Indonesia, menunjukkan bahwa smartphones merupakan perangkat penting bagi masyarakat Indonesia. Jumlah pengguna yang terus meningkat setiap tahunnya, dan popularitas smartphone dengan sistem operasi Android menunjukkan bahwa pengguna Android juga rentan terhadap ancaman. Setelah melihat kerentanan ini, dianggap penting untuk melacak tindakan pengguna untuk meningkatkan kesadaran pengguna akan tindakan yang salah. Metode yang digunakan dalam penelitian ini adalah Expectacy Based Model dan Alternative Threat Based Model. Model pertama memiliki variabel dependen perilaku dan variabel independen seperti susceptibility, severity, susceptibility x severity, efficacy, cost, trust, dan user shopiscation. Model kedua memiliki variabel dependen perilaku dan variabel independen seperti malware, data leakage, data theft, biaya sosial, kepercayaan, dan pengguna perdagangan. Analisis akan dilakukan menggunakan tools SPSS.
IMPLEMENTASI METODE AGILE PADA RANCANG BANGUN SISTEM INFORMASI CAREER DEVELOPMENT CENTER PERGURUAN TINGGI
Authors: Dwi Ardiada I Made , Prawira Kusuma Agus Tommy Adi , Sarwa Edy Raden Agus , Ade Saputra I Gede Pramana
Published: February 2025

Perguruan tinggi di era digital dihadapkan dengan tantangan untuk menyediakan layanan karir yang efektif dan efisien bagi mahasiswanya. permasalahan saat ini proses memberikan Informasi lowongan pekerjaan di perguruan tinggi yang masih dipasang dalam bentuk kertas dan ditaruh di dinding kaca. Selain itu masih banyak perguruan tinggi yang belum memiliki layanan informasi online untuk menunjang karir bagi mahasiswa yang lulus salah satunya Layanan Pusat Karir. pada sisi Mitra (instansi/industri) yang memerlukan sumber daya manusia masih secara konvensional memberikan informasi karir ke pihak perguruan tinggi dalam bentuk kertas yang memerlukan tempat dinding kaca untuk memasang informasi agar dapat dibaca oleh pengunjung yang memerlukan informasinya. Penelitian ini bertujuan untuk merancang bangun Sistem Informasi Career Development Center (CDC) Perguruan Tinggi dengan mengimplementasikan Metode Agile untuk mengatasi masalah tersebut. Dengan metode Agile dalam proses rancang bangun sistem informasi CDC di perguruan tinggi menjadi lebih efektif dan efisien. Adapun tahapan metode Agile adalah perencanaan, desain, pengujian, penerapan, peninjauan, dan peluncuran. Hasil yang diperoleh dalam penelitian ini adalah Sistem informasi Career Development Center (CDC) dengan 3 hak akses level yaitu kemahasiswaan, Mitra (instansi Perusahaan / industri), dan alumni /pengunjung. Penelitian ini bertujuan untuk membuat sistem informasi CDC yang dapat membantu perguruan tinggi memiliki layanan online terkait pengembangan mahasiswa yang sudah lulus dalam memperoleh informasi lowongan pekerjaan dengan fleksibel, selain itu mahasiswa yang sudah lulus dan Mitra (instansi / industri) dapat secara online mengakses informasi / memberikan informasi lowongan tanpa perlu menyerahkan kertas informasi lowongan ke perguruan tinggi.
DAMPAK PROGRESSIVE WEB APPLICATION (PWA) TERHADAP PENINGKATAN ENGAGEMENT DAN DWELL TIME PADA APLIKASI E-COMMERCE
Authors: Putro Dwi Purnomo , Suprianto Joko , Suryani Puput Eka
Published: February 2025

Perkembangan teknologi digital mendorong pelaku usaha untuk menggunakan aplikasi daring seperti e-commerce. Namun, keberhasilan penerapan aplikasi e-commerce masih menghadapi tantangan pada indikator peningkatan keterlibatan (engagement) dan waktu penggunaan (dwell time) pengguna. Adanya Progressive Web App (PWA) menawarkan solusi teknologi dengan performa cepat, stabilitas tinggi, dan kemudahan akses di berbagai perangkat, yang diharapkan mampu menjawab tantangan indikator aplikasi e-commerce tersebut. Banyak aplikasi e-commerce tersedia, tetapi belum semuanya menggunakan PWA didalamnya. Sebagai contohnya, aplikasi e-commerce milik PT Jaringan Tokobako Nusantara yang belum menggunakan PWA. Meskipun PWA berpotensi menjawab tantangan indikator tersebut, penelitian PWA terhadap engagement dan dwell time belum banyak diteliti, terutama yang menggunakan pendekatan kuantitatif berbasis data analitik web. Penelitian PWA sebelumnya lebih banyak berfokus pada aspek teknis dan pengukuran survei pengalaman pengguna secara umum. Penelitian ini bertujuan mengukur dampak penerapan PWA terhadap engagement dan dwell time pengguna aplikasi e-commerce. Studi ini menggunakan metode kuantitatif dengan pendekatan quasi-experimental, melibatkan 50 partisipan yang dibagi menjadi kelompok eksperimen (pakai PWA) dan kelompok kontrol (tanpa PWA). Data dikumpulkan melalui Google Analytics dan dianalisis menggunakan uji normalitas Shapiro-Wilk serta analisis parametrik. Hasil penelitian ini menunjukkan bahwa PWA secara signifikan meningkatkan engagement dan dwell time, dengan jumlah pageviews naik 48,79%, durasi sesi meningkat 67,26%, dan dwell time bertambah 55,56%. Temuan ini membuktikan bahwa PWA tidak hanya membuat aplikasi lebih efisien, tetapi juga meningkatkan pengalaman pengguna. Penelitian ini berkontribusi dalam literatur e-commerce dan merekomendasikan pengadopsian PWA untuk mendukung interaksi pengguna yang lebih optimal serta perkembangan bisnis secara berkelanjutan
A DECISION SUPPORT SYSTEM FOR THE DETERMINATION OF ADDITIONAL STOCK ITEMS USING THE TOPSIS METHOD BASED ON ANDROID
Authors: Santoso Firdaus Restu Rafi , Ujianto Erik Iman Heri
Published: February 2025

Pengelolaan stok yang kurang optimal dapat menyebabkan masalah seperti kelebihan atau kekurangan stok, penentuan harga yang tidak tepat, dan kesulitan dalam mengidentifikasi produk terlaris, yang berdampak negatif pada kinerja dan profitabilitas Toko Twins Pancing Temanggung serta menurunkan kepuasan pelanggan. Untuk mengatasi permasalahan ini, penelitian ini mengembangkan sistem pendukung keputusan (SPK) berbasis mobile menggunakan Metode Technique for Order Preference by Similarity to Ideal Solution (TOPSIS), yang dirancang untuk membantu pemilik toko dalam menentukan penambahan stok, pengelolaan stok, dan identifikasi produk terlaris. Langkah-langkah yang diambil meliputi identifikasi masalah, pengumpulan data, perancangan arsitektur sistem, implementasi Metode TOPSIS, dan pengujian sistem. Metode TOPSIS dipilih karena kemampuannya dalam memberikan rekomendasi yang akurat dengan mempertimbangkan berbagai kriteria yang relevan. Penentuan keputusan di pengaruhi oleh beberapa faktor seperti harga, jumlah stok, dan penjualan per minggu. Hasil penelitian menunjukan bahwa sistem ini dapat memberikan rekomendasi yang ekektif dalam penambahan stok, dengan fokus pada produk dengan stok yang memadai dan penjualan yang baik. Produk dengan nilai preferesni tertinggi adalah Joran Red Angle (0,8963), yang di prioritaskan untuk penambahan stok. Sistem ini diuji menggunakan data dari Toko Twins Pancing Temanggung dan menghasilkan tingkat akurasi 98% dibandingkan dengan perhitungan manual. Pengguna dapat dengan mudah mengakses sistem ini melalui perangkat mobile, yang mempermudah pengambilan keputusan kapan saja dan dimana saja. Sistem pendukung keputusan (SPK) ini mampu meningkatkan efisiensi operasional serta kinerja bisnis Toko Twins Pancing Temanggung, memberikan solusi yang signifikan bagi pengelolaan stok di toko tersebut, serta menawarkan solusi pengelolaan yang lebih terstruktur dan efisien untuk mendapatkan keuntungan yang lebih besar.
Integration amidst Diversity: Exploring Transcultural Nursing Experiences of Filipino Nurses Working in Saudi Arabia
Authors: Galingana(CA) Markhipolito P. , Respicio(CA) Loren Julianne S. , Gaffud(CA) Veydhalis Nichole B. , Galingana(CA) Chummy J. , Lorenzo(CA) Hana Joy O. , Marcos(CA) Roselyn D. , Ganadin Jr(CA) Virgilio
Published: February 2025

The transcultural nursing experiences of Filipino nurses in Saudi Arabia reveal a complex landscape of challenges and adaptations. Despite their reputation for professionalism and high work ethics, these nurses often face significant barriers related to language, cultural differences, and varying patient expectations. We explored unique experiences of Filipino nurses as they navigate these challenges in their workplace interactions and patient care practices. To capture these experiences, we conducted in-depth interviews with Seven Filipino nurses currently employed in various healthcare institutions in Saudi Arabia. The interviews, conducted in either Filipino or English, were recorded, transcribed verbatim, and translated when necessary. Thematic analysis was carried out the identification of key themes that reflect the multifaceted aspects of transcultural nursing. To address these, Filipino nurses adopt strategies such as peer support, cultural immersion, and learning Arabic, which facilitate better workplace interactions. In patient care, Filipino nurses navigate cultural nuances, including norms around touch, eye contact, and varied beliefs about health and illness, adapting practices to meet patient expectations respectfully. The nurses actively pursue self-education, cultural competence training, and seek patient feedback to ensure culturally aligned care. Communication barriers with non-English-speaking patients further underscore the importance of interpreters for clear, respectful interactions. Additionally, the cultural norms around gender in Saudi Arabia influence patient interactions, requiring Filipino nurses to adjust their care sensitively to honor these expectations. Overall, this study reveals the complex interplay of Cultural hurdles and the self-management strategies and self-directed strategies that shape the transcultural nursing experiences of Filipino nurses in Saudi Arabia. By adopting patient-centered and culturally competent care practices, Filipino nurses can build trust and establish meaningful relationships with patients from diverse backgrounds. These findings underscore the importance of cultural awareness, supportive professional networks, and ongoing training in enhancing the adaptability and effectiveness of Filipino nurses in international healthcare settings.
Kadar Amonia Darah pada Pasien Sirosis Hati dengan Ensefalopati di RSUD Koja
Authors: Ndraha Suzanna , Wician Fendra , Santoso Mardi
Published: February 2025

Abstrak Latar belakang. Peningkatan pembentukan amonia banyak diyakini sebagai faktor utama dalam patogenesis ensefalopati Â hepatikum (EH). Namun di RSCM dan RSUD Koja belum pernah diteliti apakah pada pasien sirosis hati dengan ensefalopati memang ditemukan peningkatan Kadar amonia darah. Tujuan penelitian ini adalah mengetahui Kadar amonia darah pada pasien sirosis hati dengan ensefalopati dan menilai presisi alat Ammoniachecker kit II.Metoda. Semua pasien sirosis hati yang berkunjung ke RSCM dan RSUD koja dalam periode Juni-Agustus 2009dievaluasi. Kriteria inklusi adalah sirosis hati dengan ensefalopati, yang diukur dengan tes critical flicker frequency(CFF). Nilai CFF <39 Hz dinyatakan sebagai ensefalopati. Kadar amonia darah diukur dengan ammonia checker kitII. Nilai normal adalah < 54 tmol/L. Presisi alat Ammonia checker II dinilai dengan memeriksa 10 pasien sirosis hatisebanyak masing-masing 2 kali pemeriksaanHasil. Didapatkan 28 orang penderita sirosis hati, 26 (92,9%) laki-laki dan 2 (7,1%) perempuan yang memenuhiKriteria ensefalopati dan bersedia diperiksa kadar amonia darahnya. SebagianÂ  besar (67.9%) berusia 40-60 tahun,dan hampir semua (92,9%) child B. Hasil amonia darah semua diatas normal, bervariasi antara 87- 205 tmol/Ldengan rata-rata 133,7Â±32,2 tmol/L. Hasil uji presisi terhadap 10 pasien sirosis adalah kedua hasil berkolerasisignifikan (p=0,037,r=0.439).Kesimpulan: Didapatkan peningkatan amonia darah pada semua pasien dengan ensefalopati (tes CFF <39 Hz).Presisi ammonia checker II terhadap 10 pasien sirosis hati adalah baik (p<0.05)Â Keywords: Sirosis hati, ensefalopati, tes crtical flicker frequency, kadar amonia, Ammonia checker kit IIÂ Â Â Â
Escherichia coli O157:H7 Pembawa Shiga Like Toxin
Authors: Pasaribu Donna Mesina Rosadini
Published: February 2025

Abstrak: Eschericha coli O157:H7 merupakan strain Enterohemorrhagic Escherichia coli (EHEC), patogen yang dapat menyebabkan kolitis hemoragik, sindrom uremia hemolitik, penyakit gagal ginjal akut disertai dengan anemia hemolotik mikroangiopatik dan trombositopenia. EHEC menular melalui makanan dan minuman yang terkontaminasi E.coli O157:H7 dari manusia ke manusia atau hewan reservoar dengan cara fekal oral.Â Â  Verotoksin (VT) adalah toksin shigella dysentriae (Stx)Â  yang dipindahkan oleh bakteriofaga ke starin EHEC O157:H7. Toksin shiga yang dihasilkan EHEC O157:H7 disebut Shiga Like Toxin(SLT). SLT EHEC O157:H7 adalah suatu mulekul protein 70 kDa, terdiri atas subunit A tunggal 32 kDa yang berfungsi untuk menghentikan sintesis protein dengan cara inaktivasi subunit A tunggal 32 kDa yang berfungsi untuk menghentikan sintesis protein dengan cara inaktivasi subunit ribosom 60S dan 5 subunit B masing-masing 7.7 kDa. Subunit B berfungsi mengikat toksin dengan reseptor glikolipid di dalam sel. Aktivas toksin mengakibatkan terhentinya sintesis sel, penumpukan sel-sel mati dan diare berdarah.Â  Untuk mendeteksi E. Coli O157:H7 dapat dilakukan kultur spesimen pada Sarbitol MacConkey (SMAC) agar dengan kombinasi imunomagnetik, sedangkan deteksi antigen O dan H dilakukan secara serologi dengan antiserum O157 dan H7, deteksi genomÂ  (gen stx, gen eae, plasmid pO157, gen hemolisin) dilakukan melalui PCR dan uji DNA probe.Kata Kunci: Escherichia coli O157:H7, Shiga Like Toxin, Verotokosin, diare berdarah.Â
The relationship between emotional and behavioral problems, and parent-child interaction and parental self-efficacy in children and adolescents with cerebral palsy
Authors: Bingöl Hasan , Taşar Nesrin , Bümen Şeyda , Kerem Günel Mintaze
Published: February 2025

Objective: Our aim was to investigate relationships between emotional and social/behavioral difficulties and parental self-efficacy and parent-child interaction in children and adolescents with cerebral palsy (CP).
Materials and Methods: Seventy-eight children and adolescents with different clinical types of CP aged 11-17 years (mean age: 13,35±2,6; 40 males, 38 females) were enrolled in the study. Availability of emotional and social/behavioral difficulties was measured with a self-reported version of the Strength and Difficulties Scale (SDQ)-for ages 11-17 and quality of parent-child interaction was measured with the Parent-Child Communication Scale (PCCS). The Parental Self-Efficacy Scale (PSES) was administered to measure parents’ belief in their capacity to effectively parent their children.
Results: 35.9% of children adolescents with CP in this study had abnormal SDQ-overall and prosocial subtest scores. More specifically, children and adolescents with CP in low mobility levels (Gross Motor Function Classification System [GMFCS]- IV-V) were more likely to have severe emotional and social/behavioral symptoms (75%) compared to those with high mobility levels (GMFCS I-III) (18.5%). Individuals with spastic quadriplegia, dyskinetic, and ataxic CP were found to be more vulnerable to both emotional (71.4%) and social/behavioral difficulties (87%) than those with spastic hemiplegic and spastic diplegic CP (for hemiplegic and diplegic CP:  rate of emotional problems; 16% and rate of social/behavioral difficulties: 8%). Importantly, we found that emotional problems availability showed a strong correlation with the quality of parent-child interaction (r = -0.78) and a good correlation with the parental self-efficacy (r=-0.65).
Conclusion: Children and adolescents with low mobility levels or with spastic quadriplegic, dyskinetic, and ataxic CP are more susceptible to emotional problems and social/behavioral difficulties compared to those with high mobility levels or hemiplegic and diplegic CP. Poor parent-child interaction and parental self-efficacy are significantly associated with the availability of mental health disorders and social/behavioral symptoms in children and adolescents with CP.
Radiofrequency Ablation Treatment in Small Renal Masses
Authors: Karakose Ayhan , Yuksel Mehmet Bilgehan
Published: February 2025

In the recent years, diagnosis of small renal tumors has increased as a result of the development of technology and imaging technique. Number of patients with renal cell carcinoma has been increasing by 2-3% every year [1]. Radiofrequency ablation therapy in the treatment of small renal tumors has been an alternative to other methods of treatment due to high radiological and oncological efficacy [2]. Radiofrequency ablation therapy is applied with success in the treatment of liver, kidney, lung, bone and breast tumors [3]. Radiofrequency ablation therapy can be performed to treat small renal cell carcinoma by both percutaneous and laparoscopic approaches. This modality has some considerable advantages, such as decreased morbidity rate, short recovery time and obtaining reliable oncological outcomes in the long term follow-up [4, 5]. In conclusion, although surgical management is still accepted as the gold-standard treatment for small renal cell carcinomas, Radiofrequency ablation therapy has become a safe and effective treatment alternative especially for T1 stage renal cell carcinomas. Recent progresses in imaging modalities and technological and technical developments have resulted in similar oncological and functional outcomes of Radiofrequency ablation therapy comparable with the surgical treatment of small renal cell carcinomas. Radiofrequency ablation therapy is an increasingly popular ablative treatment modality, which presents some advantages of lower surgical and anesthetically complication rates, shorter recovery time and hospital stay, no renal ischemia, and a curative, nephron sparing treatment choice to the patients who are not appropriate candidate for the surgery or do not prefer the surgical treatment [6].
A mortal accident caused by a broken toilet seat cover
Authors: Yildiray Zeyfeoglu  , M. Sunay Yavuz  , Tarik Ulucay  , M. Ziya Kir  , Faruk Aydin  , Ilknur Kahraman  , Gonca Tatar  , Zafer Karadeniz  , Mustafa Dalgic
Published: February 2025

According to hospital records, a 36 years old, 1.75 m in length, average weight man was brought to Izmir Bozyaka Training and Research Hospital by 112 ambulance at 01/07/2011, 21:20 PM with an injury caused by fracture of toilet seat cover when he was sitting. In the examination, a 20 cm length oblique section with active bleeding was seen at the right gluteal region and superior gluteal artery and vein injury was detected. Department of orthopedics controlled bleeding, patient admitted to intensive care unit but he was accepted as dead at 06:35 AM.
Acute infantile hemorrhagic edema mimicking henoch-schonlein purpura: a case report
Authors: Kars Veysel , Yilmaz Ahmet , Celepkolu Tahsin , Aslanhan Hamza , Arslan Necmi , Demir Vasfiye
Published: February 2025

Acute infantile hemorrhagic edema is an acute cutaneous leucocytoclastic vasculitis that can be seen in infancy and characterized by fever, palpable purpura, and edema. Although it presents with severe symptoms, the clinical course is benign and the disease resolves in a short time. In this report, we present a 17-month-old infant who was admitted with cutaneous purpuric rash and edema of the extremities and subsequently diagnosed as acute infantile hemorrhagic edema.
Dental sedation by anesthesiologist or dentists: A view from Turkey
Authors: Isik Berrin , Arslan Mustafa , Atac Mustafa , Yücel Ergun
Published: February 2025

Background: Except conscious sedation (with nitrous oxide/oxygen), sedation of dental patient has been applied by anesthesiologists in Turkey. But little is known about Anesthesiology and Reanimation Specialist (ARS)’s and Dental Medical Doctors (DMD)’s views about who manages the dental sedation. Using a survey, Turkish ARS’s and DMD’s opinions regarding sedation of dental patients, are examined.
Methods: A questionnaire was conducted to ARS and DMD participants that are active in clinical practices in Turkey. The questionnaire consists of 5 point Likert Scale which contains the options; strongly disagree (1), disagree (2), unsure (3), agree (4), strongly agree (5) , and  it aims to evaluate the perceptions of ARS and DMD participants, about 11 statements in relation to dental sedation which is performed by DMDs.
Results: From 200 ARSs and 200 DMDs, a total of 400 questionnaires were obtained. The findings reveal that except 4.5%, most of the ARSs had performed sedation or general anesthesia for dental treatment rarely or never, and half of the ARSs strongly disagreed with the statement that DMDs can provide moderate sedation during dental treatment.
Conclusions: Many ARSs in Turkey do not perform sedation of dental patients but they suspect that DMDs are able to do it.  Sedation applications for dental treatments are real necessity for handicapped or anxious patient and children. Guidelines for education and management of the sedation should be presented to clarify who should be in charge of managing sedation of dental patients.
The comparison of magnetic resonance urography with the combination of diuretic renal scintigraphy and urinary ultrasound in the diagnosis and follow up of ureteropelvic junction obstruction
Authors: Ciloglu Murat , Yuksel Mehmet Bilgehan , Burgu Berk , Fitoz Omer Suat , Soygur Yakup Tarkan
Published: February 2025

Objectives:To evaluate the efficiency and reliability of MRU in diagnosis and follow up of children with UPJO.
Methods:Thedata of64 patients with the diagnosis of primary UPJO were analysed. All patients underwent Anderson-Hynes pyeloplasty and pelvic reduction. Pre- and postoperative results of renal pelvis AP diameter (RPAPD), separated renal function, renal transit time (RTT), and anatomical findings in USG and renal scintigraphywere compared with MRU findings to evaluate the possible differences and analyze the efficiency and reliability of MRU in the management of UPJO.
Results:The mean age 7.2 ± 1.8 years. All patients had unilateral hydronephrosis including 16 grade 2, 24 grade 3 and 24 grade 4. Pre- and postoperative RPAPDs in two techniques were also similar (P = 0.084, P = 0.576). Separated renal functions were evaluated by MRU with similar affectivity and sensitivity in DRS (P = 0.867). The comparison of mean pre and postoperative RTT results showed a significant improvement in mean postoperative RTT value (P = 0.024).
Conclusions:MRU has the potential to become the imaging study of choice in the diagnosis and follow up of obstructive uropathy, and it may have a more significant role in the management of UPJO in the near future.
A case report of human infestation with pubic louse (Pthirus pubis) in Sarab city, Iran
Authors: Garedaghi Yagoob
Published: February 2025

Lice were collected from 47 years old male worker on his complaint for itching and red rashes on body. The lice thus collected were subjected to microscopic examinations and identified as Phthirus pubis, commonly known as the crab louse, an ecto-parasite which is only found on humans and requires human blood to survive. The infested parts of the body of worker was treated with 1% Permethrin cream, that was applied for 10 minutes and then rinse off with water. Second treatment was done on day and after 14 days no viable lice and nits were seen on the body of the victim.
Treatment Of Postoperative Atelectasis With Dornase Alpha (Pulmozyme®) After Congenital Heart Surgery
Authors: Mustafa Zor  , Abdullah Ozer  , Huseyin Demirtas  , Yigit Kilic  , Baris Mardin  , Baris Mardin
Published: February 2025

One year old patient followed with tetralogy of fallot (TOF) was admitted to our service for surgical repair. Ventricular septal defect (VSD) was repaired with a Dacron patch. The infundibular  muscle was resected to allow for unobstructed flow of blood to the pulmonary valve and the area above the pulmonary valve was opened with a polytetrafluoroethylene (PTFE) patch. The patient was intubated three times bacause of the  atelectasis ocurred in the lungs after the surgery. Atelectasis was treated with nebulised dornase alpha. It avoided the recurrence of atelectasis and the patient was discharged.
Believing (faith or hypnosis) that impacts on the healing of warts performed by neurophysiological mediators
Authors: Guducuoglu Huseyin , Bilgili Serap Gunes , Arslan Mehmet
Published: February 2025

Introduction: Faith and hypnosis methods are applied in many experimental cancer treatments. Practices of religious and psychological healing have a major role in the recovery of tumors.  Healing warts by prayer has been used for years, particularly in the Turkish society.
The Hypothesis: This hypothesis maintains that believing is one of the key concepts in the recovery of tumors and also focuses on the effect of believing on the recovery of warts.
Evaluation Hypothesis: Believing people, nerve, endocrine and immune system is activated. NK and T cells in the periphery through destruction and healing takes place in all tissues. According to our hypothesis here with us for is to believe the actual trigger. Both the prayer and the hypnosis method, in terms of cancer improvement, have been shown in many publications in the literature and have brought a new dimension to cancer recovery.
Conclusion: We hypothesize that believing (prayer or hypnosis) can be effective of the healing of warts through the stimulation of the immune system.
Is myomectomy safe during cesarean section in large myomas?
Authors: Senturk Mehmet Baki , Budak Mehmet Şükrü , Çakmak Yusuf , Kasim Turan
Published: February 2025

Objective: The rate of cesarean section, gravida and pregnancy age have been gradually increasing. Thus the rate of myoma have increased during cesarean. But it may difficult to make decision aboıut myomectomy during cesarean especially large myomas because of complications. Therefore, several obstetricians do not recommend cesarean myomectomy, except in cases of small and pedunculated uterine fibroids that do not result in complications.
The aim of this study to evaluate safety of myomectomy during emergency cesarean section in large myomas. 
Material and Methods: We examined retrospectively the results of 190 patients who underwent cesarean myomectomy in two non tertiary hospital in southeastern Anatolia. We compared complications, hemoglobin change, length  of stay in hospital and blood transfusion according to diameter of myoma. Complication and blood transfusion rates in relation to the diameter of uterine fibroids were evaluated using Fisher’s exact test. Changes in hemoglobin levels from baseline value and length of stay in hospital were compared using the Mann Whitney U test. Significance level was set at P <0.01 and 0.05.
Results: No significant association was found between complication rates and diameter of the fibroids (P=0.633). Similarly, no significant association was observed between the type of uterine fibroids and complication rates (P=1.000). We also found no significant difference among the changes in hemoglobin levels, length of stay in hospital and transfusion (P=0.835, p=0.184, p=0.633). 
Conclusion: Myomectomy is safe procedure at the emergency cesarean section in large myoma with attention
Late Presentation of Pericarditis After Honey Bee Sting: Case report
Authors: Soyalp Celaleddin , Efe Suleyman
Published: February 2025

Honey bees are members of the hymenopteran family. The sting of honey bees venom can cause a range of effects from irritation to severe form of anaphylactic shock. Anaphylactic shock occurring after honey bee sting is reported in literature for about 5% of cases. Pericarditis occurring due to honey bee sting is a rare complication, which was previously not reported. We reported a case of pericarditis following a honeybee sting with late clinical manifestations. In our case, ECG demonstrated pericarditis at the third day of hospitalization as a late complication
Effect of heavy metal and some trace element levels on radiotherapy taken breast cancer patients
Authors: Demir Halit , Demir Canan
Published: February 2025

Objective:  The aim of this article is to research the effects of radiotherapy on trace elements and heavy metals in patients with breast cancer. Breast cancer is a common disease worldwide. Breast cancer risk increases with age and occurs at much higher levels in postmenopausal women. During radiation therapy for the treatment of breast cancer, damage to tissue may result. Depending on the treatment technique applied, other areas apart from the treatment area may be affected. For example, the lungs may be negatively affected, resulting in decreased lung capacity. Consequently, free radicals may be formed as a result of oxidative stress incurred due to insufficient lung capacity
Plan and design:  In this review article, approximately 110 articles were consulted.
Result:  Radiotherapy may cause damage to or loss of tissue, and may have negative effects on trace element levels. Consequently, levels of heavy metals and trace elements may be altered during radiotherapy.
Conclusion; An increase in heavy metals leads to greater oxidative stress, which is associated with a higher risk of cancer. Normal levels of Zn may also decrease the risk of cancer.
The investigation of relationship between adrenomedullin vascular growth endothelial factor in obese and calorie restricted rats
Authors: Yurekli Muhittin , Culum Ayse Asiye
Published: February 2025

Objective: Obesity and overweight are the most frequent chronic medical problems, and the increasing prevalence of obesity is a worldwide phenomenon. According to the data of World Health Organization (WHO) obesity affects over 300 million people. This study reports the effects of adrenomedullin (AdM) in obesity, due to its functions as arranging vascular endothelial function, and adjusting adipogenesis.
Material and Methods: Rats were separated into five groups randomly. Tissues were collected when the rats of obesity groups were gained 20% of their weights, and when the rats of calorie restricted groups were lost 20% of their weights. Then, AdM and vascular endothelial growth factor (VEGF) levels were measured.
Results: We showed that AdM application increased VEGF in all tissues of calorie restriction+AdM group, and the most spectacular effect of AdM injection was the quite elevated VEGF level of white adipose tissue (WAT) in calorie restriction+AdM group, because these individuals need passive fat depots (WAT) more than biologically active fat tissue (brown adipose tissue: BAT). Other remarkable level was in obese+AdM; AdM application lowered VEGF level by diminishing WAT depots. Contrary to this, AdM application increased VEGF levels of BAT in obese+AdM group.
Conclusion: There is a synergy between AdM and VEGF. AdM regulates the vascularization of tissues (WAT or BAT) according to the individual’s requirement. Consequently, AdM may have a protective effect towards obesity, and according to metabolic situation of individual’s adipose tissue, AdM application may provide consumption of energy by increasing vasculature of BAT in obese individuals
An unusual cause of delayed full enteral feeding and prolonged hospital stay in a newborn with gastroschisis: Congenital Hypothyroidism
Authors: Sarsu Sevgi Buyukbese
Published: February 2025

Gastroschisis, is a prevalently encountered congenital disease of the newborns where intraabdominal organs protrude through a full-thickness defect in the anterior abdominal wall without an overlying sac. In recent years, an increase in the global incidence of gastroschisis has been reported. Although its etiology is not known fully, it is usually associated with young maternal age. Delay in the transition to full-calorie enteral feeding (ENT) in a newborn with gastroschisis is a result of bowel dysfunction which is a major morbidity developing due to exposure of bowels to amniotic fluid. Consequently, newborn may require long-term TPN treatment, and sepsis may onset secondary to prolonged mechanical ventilation, and TPN treatment, and infection,.
Global incidence of congenital hypothyroidism (CH) in live births is 1:3000-4000. Widely encountered symptoms may include prolonged jaundice, constipation, distended abdomen, and poor feeding. The diagnosis should be confirmed by finding an elevated serum TSH and low T4 or free T4 level. In the literature, transient hypothyroidism has been reported in cases who underwent only silo operation, and povidone iodine dressings,. Association of hypothyroidism with delayed transition to full enteral feeding, and prolonged hospital stay in gastroschisis has not been reported previously. In newborns with gastroschisis who underwent primary facial repair, thyroid functions should be controlled at appropriate times, and followed up closely.
A case of zellweger syndrome accompanied by hypertrophic cardiomyopathy
Authors: Kale Yusuf , Celik Istemi Han , Kulali Ferit , Yilmaz Osman , Bas Ahmet Yagmur , Demirel Nihal
Published: February 2025

Peroxisomal biogenesis disorders are a group of genetically and clinically heterogenous disorders which affect very-long chain fatty acid metabolism. Zellweger syndrome (ZS) is a rare, congenital disorder characterized by multisystem involvement including central nervous system, skeletal system, liver, kidney and eyes, due to absence of peroxisomes in the cells. Hypertrophic cardiomyopathy (HCM) is defined as septal or posterior wall thickness that is more than two standard deviations above the mean normal thickness measured by echocardiography. Here we present a newborn with Zellweger syndrome and hypertrophic cardiomyopathy.
Superficial Fungal Infections in Children
Authors: Akbas Ayse , Kilinc Fadime , Yakut Ibrahim , Metin Ahmet
Published: February 2025

Objective: The study was performed to determine the prevalence and the demographic characteristics of patients, who were diagnosed with superficial fungal infection at the dermatology department of two centers, and compare their epidemiologic data to those reported in the literature.
Material and Method: Files of 20716 children, between 0 and 16 years of age, who presented to the Dermatology Outpatient Clinic between 2011 and 2015, were investigated retrospectively. Of these, 518 children, diagnosed with superficial fungal infection, were evaluated with respect to age, gender, presence of systemic disease and demographics. The diagnosis and the laboratory investigations performed were recorded
Results: There were 251 girls (48%) and 267 boys (52%), diagnosed with superficial fungal infection. 8 types of superficial fungal infection were detected in 518 patients (2.5%). Assessment by age group revealed the following: 8.4% of the infection were observed between 0 and 2 years of age (n=44), 16.9% were observed (n=88) between 3 and 5 years of age, 34.9% were observed (n=181) between 6 and 11 years of age and 39.5% were observed between 11 and 16 years of age (n=205). Tinea corporis(26%, n=136) and pityriasis versicolor (19%, n=99), candidiasis (17%, n=86) and tinea pedis (14%, n=72) were the most commonly detected ones.
Conclusion: While superficial fungal infections occur less in children compared to adults, early diagnosis and treatment is important due to potentially permanent complications. In addition, with respect to preventive medicine, being aware of the factors that would reduce transmission would prevent occurrence of complications.
Secondary tonsillar hemorrhage requiring surgical intervention: Analysis of 1429 tonsillectomy cases on single surgeon experience
Authors: Mehmet Seyit Ceylan  , Erdal Uysal  , Ilyas Disikırık
Published: February 2025

Objective: Determination of risk factors affecting secondary tonsillar hemorrhage of the requiring surgical intervention.
Material and Method: 1429 tonsillectomy cases performed with three different dissection techniques (dissection and snare, bipolar and monopolar dissection) by a single surgeon were examined retrospectively.  Age, sex, surgical knowledge, indications and postoperative tonsillar hemorrhage day of the patients were recorded. Patients who were operated on for hemorrhage were evaluated statistically in terms of technique used, age, sex and indications.
Findings: A total of 25 cases of a secondary hemorrhage cases requiring surgical intervention were detected. The relationship between age and bleeding was statistically significant (p=0.003). Hemorrhage frequency requiring surgical intervention was significantly higher in patients with recurrent tonsillitis than in patients with tonsillar hypertrophy (p = 0.001). 19 of the 25 patients who were operated on for hemorrhage were in the group of tonsillectomy patients due to recurrent tonsillitis. There was no meaningful relationship in terms of sex. The hemorrhage rate in the dissection and snare technique was 1.74% (12 patients), the hemorrhage rate in bipolar dissection was 2.78% (9 patients), and the monopolar dissection- hemorrhage rate was 0.96% (4 patients). There was no statistically significant difference between the results (p = 0.170). It was determined that the hemorrhage required surgery at most was between 6th and 10th days.
Conclusion: While there was no significant relationship between the incidence of secondary tonsillar hemorrhage requiring surgery and gender and dissection techniques, it has been observed that the risk was increased in patients operated due to recurrent tonsillitis and older age group.
Evaluation of oxidant status in both systolic and diastolic heart failure
Authors: Asoglu Ramazan , Sezen Hatice , Erkus Muslihittin Emre , Altiparmak Halil , Kaya Zekeriya , Asoglu Emin , Gunebakmaz Ozgur , Demirbag Recep , Sezen Yusuf
Published: February 2025

Objective:  Oxidative stress status in subgroup of heart failure (HF) syndrome still remains unknown. We aimed to study Total Antioxidant Status (TAS), Total Oxidant Status (TOS) and Oxidative Stress Index (OSI) in both systolic and diastolic HF, and also in both ischemic and non-ischemic HF.
Materials and Methods: Consecutive 123 chronic HF patients were included in this cross-sectional study. Group 1 consisted of 73 systolic HF patients (50 ischemic patients and 23 non-ischemic patients) and group 2 consisted of 50 diastolic HF patients. As a control group (group 3), 37 healthy subjects were included. Echocardiographic evaluation was performed and TAS, TOS and OSI were studied in all patients.
Results: The highest TAS value (1.10±0.24) was found in Group 1, but the lowest in Group 2 (0.90±0.14). Diastolic HF group had the highest TOS value (37.2±10.41) while systolic HF group (32.9±7.26) and control group (26.19±8.00) followed it. OSI was found the highest in diastolic HF group (4.37±1.24) and the lowest in systolic HF group (2.24±0.80). TOS and OSI were similar between ischemic and non-ischemic subgroups of systolic HF but TAS was statistically higher in non-ischemic (p:0.0005).
Conclusions: We found higher oxidative stress in HF patients, predominantly in diastolic HF patients. The difference between diastolic and systolic HF with regard to oxidative and antioxidative status seems to come from distinct drugs usage between the groups, which have potential effects on oxidative and antioxidative parameters. To reduce, at least, oxidative stress in diastolic HF patients, medical therapy is needed.
The effect of gel foam mattress use during total hip replacement surgeries on the development of pressure ulcers in the recovery unit: a quasi-experimental study
Authors: Şahin Büşra , Çam Rahşan
Published: February 2025

Objective:  This study was conducted on patients undergoing total hip replacements in order to examine the effect of the use of a gel foam mattress during surgery on preventing the development of pressure ulcers.
Material and Method: A quasi-experimental design, with a pretest-posttest control group, was used for this study, which was carried out in the Orthopedics and Traumatology Clinic of the Adnan Menderes University Research and Treatment Hospital between July 2015 with 80 patients who were to undergo total hip replacement surgery (40 in the experimental group and 40 in the control group who were to undergo total hip replacement surgery and April 2016.
Results: According to the research results, 30% of the patients in the experimental group and 60% of the patients in the experimental group developed pressure ulcers in the recovery unit (p=0.013). It was further observed, according to the results of Braden Pressure Ulcer Risk Assessment Scale (BPURAS), that the type of pressure ulcers in the patients who developed them was stage 1 and located in the gluteal region.
Conclusion: Our results have been shown that the development of pressure ulcers in patients from both the experimental group and the control group in the recovery unit was related to age, operating time (min), anesthesia type, while height, weight, gender, diagnosis, temperature of operating theater. However, movement restrictions before surgery have not an impact on the development of pressure ulcers.
Colistin-daptomycin, colistin-linezolid, colistin-vancomycin combination effects on colistin in multi-resistant acinetobacter baumannii strains
Authors: Irvem Arzu
Published: February 2025

Objective: The most important problem in the treatment of nosocomial Acinetobacter baumannii (A. baumannii) infections which is increasingly seen in recent years is that almost all strains are resistant to many antibiotics, including carbapenems, and that the extinction of antibiotic options to be used in treatment. This leads the clinicians to new treatment options and suggests the use of combined antibiotics to achieve success in both the treatment of multi-drug-resistant A. baumannii (MDRAB) infections as well as to prevent resistance development. We investigated the in vitro activity of colistin in combination with vancomycin, linezolid or daptomycin against MDRAB to determine whether these combinations would be considered for clinical use. .
Methods: The fractional inhibitory concentration (FIC) index was used to determine the antibiotic combination effects and to evaluate the effect of antibiotic combinations on the bacteria.
Results: MIC values of colistin/vancomycin, colistin/linezolid, and colistin/daptomycin in 10 strains (33.3%) gave similar results. Twenty strains gave different MIC results according to antibiotics. The colistin/daptomycin antagonistic ratio was high when the colistin/vancomycin synergy ratio was high compared to the others.
Conclusion: Antibiotic combinations can be used as an alternative treatment approach in multi-drug resistant A. baumannii infections.