bluuebunny/crossref_metadata_2025 huggingface dataset:
Frequency of Subacute Stent Thrombosis (SAT) in Patients Presenting with Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention (PCI)
Authors: Ali Khurshid , Abbasi Muhammad Amad , Zafar Kashif , Abid Imran , Iqbal Asim , Ghaffar Shakir , Ahmed Bilal , Kamran Javeria , Azad Naseem , Sana Ayesha
Published: December 2022

Objective: To assess the rate of occurrence of sub-acute Stent Thrombosis (SAT) after primary PCI in the patients presented with the acute coronary syndrome.

Study Design: Retrospective cross-sectional study.

Place and Duration of Study: At Tertiary Cardiac Care Center of Lahore Pakistan, from Jul 2019 to Jun 2021.

Methodology: The retrospective demographical and angiographic data of the admitted patients who underwent PCI for ACS,was gathered from the Hospital Registry of a tertiary cardiac care center of Lahore. The sampling technique was nonprobability consecutive sampling, and all the data was analyzed using SPSS 20.0 and continuous data was presented as Mean±SD and frequencies & percentages for categorical variables. Chi square test (CI=95%, α=5%) was used to find the association of SAT with predisposing factors. p-value < 0.05 was taken as statistically significant.

Results: Out of (n=551) patient underwent PPCI, the stent thrombosis was observed to occur in 29(5.2 %), among which 4.9 % were subacute stent thrombosis. The predisposing factors of sub-acute stent thrombosis were Diabetes Mellitus, ACS, smaller vessel size, presence of bifurcation lesion, under sizing of the stent and edge dissection and were in significant association with SAT (p < 0.05).

Conclusion: Our study reveals that subacute stent thrombosis is an event with a comparatively higher frequency in patients who go through primary PCI for acute coronary syndrome, demonstrating a frequency of 4.9% and a mortality rate of 74% within 30 days of the procedure.
Echocardiographic Assessment of Right Ventricular Function in COVID-19 Recovered Patients at a Tertiary Care Hospital
Authors: Balqees Nayab , Hussain Sajjad , Yusuf Rizwan , Din Mir Jalal Ud , Khalil Hafsa , Ali Jahanzab , Sana Ayesha , Javaid Rehana
Published: December 2022

Objective: To detect residual RV dysfunction on a right ventricle focused Transthoracic Echocardiography (TTE) in COVID-19 infection survivors with lung involvement.

Study Design: Analytical Cross sectional study design.

Place and Duration of Study: Combined Military Hospital Abbottabad Pakistan, Feb 2022 to Apr 2022.

Methodology: 87 patients who had suffered from and survived COVID-19 infection with definite involvement on CT scans of the chest were studied after discharge. Echocardiography was done to determine the RV anatomical and functional parameters to determine the relationship between extent of lung involvement and transthoracic echocardiographic parameters.Data was entered in Microsoft excel and exported to SPSS v 23 for analysis.

Results: The initial sample size was of 87 patients. Due to suboptimal ECHO studies 7 cases were excluded. Males represented 62.5% (n=50) and females 37.5% (n=30). The ages ranged from 27 to 80 years, mean 53.08±12.77 years. Based on the CT severity score severe infections were 61.3 %(n=49) and mild 38.8% (n=31). The CTSS ranged from 6 to 30 with a mean of (17.74±7.13). In our study we found that on TTE, there was a statistically significant difference in 2 of the anatomical parameters; RVOT PLAX (RVOT diameter in Parasternal long axis view) [27.4 vs 28.3; p=0.02], RVOT-Dis (Distal RVOT dia) [22.8 vs 24; p=0.01]. In addition, there was a statistically significant difference in all the functional parameters of RV function TDI S vel (Systolic Tissue Doppler Velocity of the Tricuspid Annulus by Tissue doppler imaging) [7 vs4.9; p<0.0001], RIMPPW (Right Ventricular Index of Myocardial Performance by Pulse wave doppler) [0.46 vs0.38; p<0.0001], RIMP-TDI (Right Ventricular Index of Myocardial Performance by Tissue doppler imaging) [0.57 vs 0.48; p<0.0001]. RV-FAC (RV-Fractional Area Change) was statistically insignificant. [42.8% vs 43.2%; p=0.6].

Conclusion: Our study showed that in patients with definite lung involvement on chest CT scans, functional echocardiographic parameters of Right ventricular function were affected in line with the severity of lung involvement.
Effect of Modified Ultrafiltration (MUF) on Lactate Levels in Pediatric Patients Undergoing Cardiac Surgery
Authors: Azam Jahanzaib , Asghar Muhammad Imran , Ali Nasir , Umer Shoaib , Azad Naseem , Khalil Hafsa , Azam Fatima , Muneer Arslan , Khatoon Zainab , Naeem Wajahat
Published: December 2022

Objective: To determine the effect of MUF on pre and post MUF lactate levels.

Study Design: Analytical Cross-sectional study.

Place and Duration of Study: Pediatric Operation Theater at Armed Forces Institute of Cardiology/National Institute of Heart Disease, Rawalpindi Pakistan from Oct 2021 to Dec 2021.

Methodology: It was descriptive cross-sectional study and non-probability consecutive sampling technique was used. Data was collected during Oct 2021 to Dec 2021, from Tertiary Care Hospital, Rawalpindi Pakistan. Current study was conducted in pediatric OT at Armed Forces Institute of Cardiology/National Institute of Heart Disease. MUF technique was applied to 115 pediatric patients during congenital cardiac surgeries. Pre and post MUF lactate levels were noted. Inferential statistics were applied with the help of test of significance (Paired T-Test), p value ≤ 0.05 was considered statistically significant at 95% Confidence Interval (CI) with margin of error 5%. Collected data was analyzed by IBM SPSS version 25.

Result: Significant decrease in post MUF lactate level (p<0.05) was observed. This result revealed that MUF had significant effect on lactate levels. Out of 115 study participants, 46(40%) were female and 69(60%) were male patients having mean age 3.44±2.25 years, mean height 95.60±18.78cm, mean weight 15.06±5.18kg, mean body surface area 0.63±0.17 m2 CPB time 127.95±36.78 minutes and cross clamp time 92.60±40.49 minutes. Paired t-test was applied to check the mean difference between pre and post lactate levels and it revealed statistically significant findings (p-value < 0.05).

Conclusion: Current result revealed that use of MUF caused decrease in lactate levels. MUF technique showed beneficial effects in maintaining normal physiology of the body. Current results encouraged the use of MUF technique in every cardiac surgery.
Retrieval of Embolized Atrial Septal Defect Device from Left Atrium using Innovative Techniques
Authors: Mehmood Amjad , Imtiaz Sana , Akhtar Khurram , Sadiq Nadeem
Published: December 2022

We report a technically difficult retrieval of embolized Atrial Septal Defect device from left atrium. Device was captured after multiple attempts using different types of snares and was brought to inferior vena cava without delivery sheath. As we were unable to slenderize the device into short sheath, it was finally retrieved using an unconventional and innovative technique.We emphasize the importance of safe improvised methods during challenging catheterization procedures resulting in successful outcomes.
Mitral Valve Surgery by Right Minithoracotomy Vs Traditional Median Full Sternotomy
Authors: Khan Muhammad Aamir , Ahmed Tahseen , Shaukat Nausheen , Janjua Asif Mahmood , Iqbal Muhammad Afsheen , Hasan Kirmani Syed Muzaffir , Javaid Rehana
Published: December 2022

Objective: To compare the clinical outcomes of mitral valve surgery through right minithoracotomy versus median full sternotomy.

Study Design: It was a comparative cross-sectional study

Place and Duration of Study: Carried out at the Armed Forces Institute of Cardiology/National Institute of Heart Diseases(AFIC/ NIHD). Data was gathered from hospital database from Dec 2013 to Mar 2020.

Methodology: From December 2013 to March 2020, 721 patients with various mitral valve diseases were treated at our institute with isolated mitral valve surgery. 50 patients had (MIMVS). 670 patients, on the other hand, underwent conventional median full sternotomy (MFS) mitral valve surgery. We selected 50 MFS patients with similar age, gender, Euro Score, NYHA functional class, Left ventricular ejection fraction (LVEF), mitral valve disease grade, renal and liver function. The outcome variables chosen for this study were cross clamp time (CXT), cardio pulmonary bypass (CPB) time, intensive care unit (ICU) stay, postoperative pain, and Length of stay (LOS).

Results: The majority (n=42, 84%) of MIMVS group patients had CPB time between 122-201 minutes, whereas, majority (n=33,66%) of MFS group had CPB time between 81-134 minutes. In MIMVS group maximum number of the patients (n=36,72%)had ICU stay of 50-70 hours duration, whereas, in MFS group, maximum number of patients (n=40,80%) stayed in ICU for 10-30 hours duration. The mean CX time for MFS approach was 72.08 minutes while that for MIMVS was 96.9 minutes. Similarly,the median and mode for MFS were 68.5 minutes and 47 minutes respectively. Pain after surgery plus subsequent overall hospital length of stay (LOS) were reduced in MIMVS group.

Conclusions: MIMVS is related with elevated CPB and CXT, which subsequently resulted in longer ICU stay while reduced post-operative pain lead to decrease in overall hospital length of stay.
PENGARUH POLA ASUH OTORITER TERHADAP KECENDERUNGAN CYBERBULLYING YANG DIMEDIASI OLEH KECERDASAN EMOSIONAL (EMOTIONAL INTELLIGENCE) PADA REMAJA DI KOTA BANDUNG.
Authors: Nurlaily Talia Hanafiah , Maslihah Sri , Wulandari Anastasia
Published: December 2022

This study aims to determine the effect of authoritarian foster pattern on cyberbullying tendencies mediated by emotional intelligence in teenagers in the city of Bandung. This research used a quantitive approach with regression analysis methods with variable mediation method. The sample in this study were 341 teenagers lived in Bandung. The sampling technique in this study used non-probability sampling. The authoritarian foster pattern is measured using instruments according to Riberio (2009) which is the result of the adaptation of Cahyanuari (2018), emotional intelligence is measured using instruments according to Goleman (2016) which is the result of the adaptation of Jonta (2018), and cyberbullying is measured using instruments from Willard (2017) which is a result adaptation of Agustin. The data analysis technique used in this study was a simple regression analysis to determine the influence of authoritarian foster patterns against cyberbullying tendencies mediated by emotional intelligence. The results of this study show that emotional intelligence cannot be mediated on an authoritarian foster pattern against cyberbullying tendencies.
Clarice Lispector e a via crucis da criação
Authors: Silva Teresinha Vânia Zimbrão da , Rocha Rosina Bezerra de Mello Santos
Published: December 2022

A obra A via crucis do corpo, de Clarice Lispector, publicada em 1974, encomendada pelo editor Paulo Pacheco, foi o primeiro livro da escritora a abordar o tema sexo. Clarice surpreendeu a crítica especializada da época, e muitos consideraram o livro “um lixo”. Este artigo objetiva trabalhar o prefácio, denominado de explicação, e os contos o homem que apareceu, por enquanto e dia após dia, onde há uma autora-narradora-personagem. Procuramos mostrar a intenção de encenar ou de (dis)simular um sofrimento pelo ato de escrever por encomenda e sobre um tema polêmico como sexo, relacionando a ação criativa à via crucis.
Hermetismo e enigma em Fragmentos de un diario (1960-1962), de Alejandra Pizarnik
Authors: Silva Erlândia Ribeiro da , Mancini Sara Lovatti
Published: December 2022

Este artigo tem como objetivo analisar parte dos diários da autora argentina AlejandraPizarnik (1936-1972), intituladoFragmentos de undiario (1960-1962) e publicado integralmente na revista colombiana Mito, número 39-40, em 1962. Nos atentaremos ao uso da subjetividade poética, ao hermetismo e ao caráter enigmático da estética e do projeto literário fragmentado de Pizarnik. Para tanto, temos como base os estudos críticos-teóricos da Teoria Estética de Theodor Adorno, orientando nossa atenção para o conceito de enigma e sua relação com a defesa do hermetismo.
O regido e o liberto: esmaltes de um mosaico rosiano
Authors: Farias Ferreira Maria Larissa
Published: December 2022

Este artigo discutirá questões concernentes à criação literária e à autoconsciência ficcional presentes na poética de João Guimarães Rosa. Para tal realização, tomamos como corpus de estudo três textos da obra Tutaméia(1967): além do prefácio “Sobre a escova e a dúvida”, analisaremos os contos “Se eu fosse personagem” e “Três homens e o boi dos três homens que inventaram o boi”. As discussões teóricas que empreenderemos serão pautadas principalmente em algumas das reflexões desenvolvidas por Robert Alter (sobre a construção literária da autoconsciência ficcional) e George Steiner (sobre determinados alicerces que subsidiam noções em torno da criação literária).
Um desejo tão particular e todos os fantasmas na mesma sala
Authors: Baptista Abel Barros
Published: December 2022

Os últimos capítulos de Dom Casmurro são praticamente operações de encerramento: a solução encontrada para Capitu e o filho, instalados na Suiça; a morte da mãe e de José Dias; a visita e morte de Ezequiel; o capítulo final, declarando o resto do livro. Entre essas operações, uma pergunta tardia sobre a casa da infância, que afinal fora demolida, e a sua reconstrução numa cópia fiel. Este ensaio pretende analisar a figura da casa e da reprodução da casa em ligação com a natureza e o projecto do livro peculiar que Bento Santiago ali escreve.
Farklı Branşlarda Aktif Spor Yapan Sporcuların Yeni Tip Korona Virüse (Covid-19) Yakalanma Kaygı Düzeylerinin İncelenmesi
Authors: ÇİNGÖZ Yunus Emre , ASAN Selim
Published: December 2022

Düzenli olarak yapılan egzersiz fiziksel, zihinsel ve ruhsal olarak iyi olma ve birçok hastalığa karşı güçlü bağışıklık düzeyi sağlamasından dolayı oldukça büyük önem taşımaktadır. Bu nedenle Covid-19 salgınına yakalanan bireylerde hastalığın hafif atlatılmasına bağlı olarak kaygı düzeyinin azalmasında egzersiz oldukça büyük önem taşımaktadır. Araştırmada, aktif spor yapan sporcuların yeni tip korona virüse yakalanma kaygı düzeyleri incelenmektedir. Araştırma grubunu 2022 yılında çeşitli spor merkezlerinde spor yapan 203’ü erkek 105’i kadın, 183’ü düzenli spor yapan 125’i düzenli olarak spor yapmayan, 226’sı bireysel spor yapan 82’si takım sporu yapan toplamda 308 kişi katılmıştır. Araştırmada Yeni Tip Korona Virüse (Covid-19) Yakalanma Kaygısı Ölçeği uygulanmıştır. Ölçek, bireysel kaygı ve sosyalleşme kaygısı olmak üzere iki alt boyut, toplam on altı maddeden oluşmaktadır. Çalışmadan elde edilen verileri Google Drive üzerinden toplanarak veri analizinde cinsiyet, spor türü ve spor yaşına göre Tek Yönlü Anova ve Bağımsız-Örneklem T-Testi uygulanmıştır. Cinsiyet, spor türü, spor yaşı değişkenlerine göre istatistiksel anlamı farklılık bulunmamıştır (p>05). Spor yapma değişkeni sosyalleşme kaygısı alt boyutu puanları arasında istatistiksel olarak anlamlı farklılık bulunmuştur ( p<05). Sonuç olarak Covid-19’a yakalanma kaygısı puan ortalamalarının düşük olması son dönemlerde hastalığın ölümcül etkisinde azalma ve düzenli egzersizin fayda sağladığını göstermektedir.
The Effectiveness of Leucodepleted (In Line) and Leucodepleted (Bedsite) In Reducing Leukocytes and Their Effect on Hemoglobin (Hb) and Red Blood Cell (RBC)
Authors: Baihakhi Maulana , Leslie William , Fransisca Silvia
Published: December 2022

Blood transfusion currently plays an important medical role in methods of reducing the number of leukocytes in component products, including reducing the number of leukocytes before storage (pre-storage leucodepletion) and reducing the number of leukocytes after storage (post storage leucodepletion). The purpose of this study was to determine whether there was a comparison of hemolysis events and hematocrit quality in leucodepleted (In Line) and leucodepleted (Bedsite) clinical transfusions at the Blood Transfusion Unit at the Indonesian Red Cross in Medan City. This study was an analytic study with a cross-sectional design of 58 people who were divided into two groups, namely the group with leucodepleted in line and the group with leucodepleted bedsite, inclusion and exclusion criteria. The results showed that the incidence of hemolysis after leucodepleted (in line) was 0% and leucodepleted (bedsite) was 0.02%, where the standard percentage of blood hemolysis was <0.8%, the occurrence of hemolysis after the production process of the two products was very small. While the hematocrit before and after leucodepleted decreased by 35.91% in leucodepleted (in line) and 33.33% in leucodepleted (bedsite). Comparison of leucodepleted (In Line) and leucodepleted (Bedsite) hemolysis events was also found. Where the incidence of leucodepleted (in line) hemolysis is not found, so the leucodepleted (in line) blood component has good quality.
School Leaders Involvement in Students Behavioral Transformation
Authors: VILela Anastasia
Published: December 2022

This study focuses on the School leaders’ involvement in student’s behavioral transformation, prospects administrator’s development of programs.  The object is to provide the potential contribution and prevention from school leaders in leadership development school for students behavioral transformation in Senior High school of Canossa of Saint Magdalene of Canossa Ossu-Waida Timor-Leste. Methods using quantitative in nature and utilized descriptive- comparative, the aims to investigate and analyze the school leaders’ involvement in student’s behavioral problems in progress to the behavioral transformation.  Then analysis was done by using the statistics SPSS. And also, to determine the significant difference between the responses of student and teacher’s respondent on the involvement of school leaders in addressing the behavioral problems with independent of (T-Test).  Results manifested that, perception of the students and teachers, with aspects of procedures and policies (<0.05), support to staff, (<0.05) Support to students, (<0.05) awards and consequences (> 0.05) and parental involvement, (<0.05) all were agree/involved.  And the result of significant differences, there was only one with aspect of awards and consequences was rejected (>0.05) and accept the alternative hypothesis.  The results underline the importance role of school leaders play in school effectiveness and offer valuable insight in how school leaders actually can make a difference. School leaders found to have strong influence on development orientation in schools. With shows similarities with the idea of the learning organization to the point transformational leadership.
The Application of the “Leadership Grid" Model: Case Study of Human Resources Sector in the Ministry of Internal Affairs of Serbia
Authors: Janovac Tatjana , Đoković Goran
Published: December 2022

The effective leadership is very important for the public sector functioning. The effectiveness of the leadership process is influenced by many factors. One of them relates to the behaviour of leaders and managers. The leadership grid is a practical model for training managers, supervisors, and leaders. This model has a particular importance from the aspect of increasing productivity and commitment to the work of employees. To apply the model, it is necessary to identify the behavioural orientation of the leader or manager. Empirical research was conducted in July 2021, within the organizational units of the Human Resources Sector of the Ministry of Internal Affairs in the Republic of Serbia using an anonymous survey questionnaire on a sample of 50 respondents. Descriptive statistical indicators were applied in hypothesis testing. The research findings indicate that employees believe that direct managers are more focused on the implementation of tasks. Based on the "leadership grid" model, the leadership style- Compromise Management is represented. Furthermore, the results of this research can contribute to the development of professional capacities to make the processes more effective and improve the work of the public sector.
Profiling Human Traffickers
Authors: Bjelajac Željko
Published: December 2022

Human trafficking is not a sporadic phenomenon that has consequences for a limited number of people, but a phenomenon with deep social and economic implications, bearing in mind the tendency to benefit from globalization and the use of new technologies. It is spread on every continent and every region of the world with the intention of permanent growth. Although it affects all ages and both sexes, it is dominant about women and girls as victims of human trafficking for sexual exploitation. The forms of exploitation are diverse and all involve the violent exploitation and abuse of human beings and their rights. The causes of this phenomenon are numerous and complex because our everyday life is full of numerous contradictions, conditioned by our existence in a specific global crisis of morality. One of the side effects of this crisis is the ubiquitous alienation of man from man. Therefore, this paper focuses on the importance of profiling human traffickers, their characteristics and modus operandi in the process of recruitment, and the mechanisms they use to control victims. It is one of the ways of reacting to make human trafficking more visible, as part of preventive programs before the belated manifestation. Methods were applied: quantitative and qualitative content analysis, comparative analysis (reaction to human trafficking), and descriptive and analytical statistics. The creative goal is to recognize human trafficking as a crime against humanity that requires an effective response from society.
Organ Nakli Tedavisi ve Hemşirelik Bakımı Konusunda Türkçe Web Sitelerindeki Bilgilerin Değerlendirilmesi
Authors: DENİZYARAN Senanur , TALİ Dilan , ŞEN Sema , DAĞCI Mahmut
Published: December 2022

Bu araştırmanın amacı Türkçe web sitelerindeki organ nakli hakkındaki bilgilerin kalitesini incelemektir. Tanımlayıcı olarak gerçekleştirilen araştırma için organ nakli, organ transplantasyonu, doku ve organ nakli, doku ve organ transplantasyonu anahtar kelimeleri Türkiye’de kullanıcı sayısı en fazla olan dört arama motoru üzerinden tarandı. Tarama sonucunda, her arama motorunda her bir anahtar kelime için ulaşılan listede ilk sıradaki 10 sayfa tespit edildi ve 4 arama motorunda (n=1640) site tarandı. Aynı olan siteler (n=1003), sponsorlu bağlantılar (n=23), video bağlantıları (n=20), görüntülenemeyen veya içeriği bulunmayan bağlantılar (n=80) elendi. Böylece araştırmanın örneklemi (n=514) olarak bulundu. Araştırmanın verileri Greene ve ark. (2005) yöntemi kullanılarak organ nakli tedavi ve bakımı hakkında araştırmacılar tarafından hazırlanan puanlama listesi referans alınarak 12.09.2021 tarihine kadar toplandı. Veriler SPSS 22 programında analiz edildi.

Organ nakli konusunda internette bulunan bilgilerin %32,9’unun 2017-2021 yılları arasında güncel veriler olduğu ve yapılan taramalarda organ nakli konusunda en sık “blog ve forum” siteleriyle karşılaşıldığı (%21,4), organ nakli konusunda hazırlanan konu başlıklarına göre puanlar dağıtıldığında; oransal olarak en yeterli bilgilerin nakil yapılabilecek organlar hakkında (%74,7), en yetersiz bilginin ameliyat öncesi ve sonrasında donör ve alıcının bakımı olduğu (%91,6) belirlendi. Listedeki 20 puan üzerinden toplam ortalama puan 6,09±1,33 olarak bulundu. Araştırma bulguları organ nakli konusunda internette bulunan bilgilerin düşük kaliteli olduğunu göstermektedir. Aynı konuda daha kapsayıcı benzer araştırmaların yapılması ile mevcut durum hakkında daha fazla veriye ulaşılması mümkün olabilir.
Kadınların Menopoz Algısı ve Tamamlayıcı Tedavi Kullanımına İlişkin Tutumları
Authors: AĞRALI Cansu , ÜNAL Esra , KAYA ŞENOL Derya
Published: December 2022

Bu araştırma, kadınlarda menopoz algısı ve tamamlayıcı tedavi kullanımına ilişkin tutumlarının değerlendirilmesi amacıyla yapılmıştır. Tanımlayıcı tipteki araştırma kadın doğum polikliniğine başvuran premenopoz, perimenopoz, postmenopozal dönemde olan 180 kadın ile yürütülmüştür. Verilerin toplanmasında Tanıtıcı Bilgi Formu, Menopoz Tutum Değerlendirme Ölçeği ve Tamamlayıcı Tedavileri Kullanmaya Yönelik Tutum Ölçeği (TTTÖ) kullanılmıştır. Verilerin analizinde SPSS 25 paket programı kullanılmıştır.

Bu araştırmada menopozal dönemdeki kadınların TTTÖ toplam puan ortalaması 13.53 ± 5.57, menopoz tutum değerlendirme ölçeği toplam puan ortalaması 24.06 ± 7.4 olarak belirlenmiştir. Kadınların aile tipi, doğum sayısı ve uzun süre kullanılan aile planlaması yöntemi değişkenleri ile menopoz tutum değerlendirme ölçeği puan ortalamaları arasında anlamlı bir ilişki olduğu belirlenmiştir. Kadınların yaş ve çalışma durumu değişkenleri ile TTTÖ puan ortalamaları arasında anlamlı bir ilişki olduğu belirlenmiştir. Kadınların menopoz dönemlerine göre menopoza karşı tutumu ile tamamlayıcı tedavileri kullanmaya yönelik tutumu arasında anlamlı ilişki bulunamamıştır. Kadınların menopoz dönemlerine göre menopoz algısı ve tamamlayıcı tedavi kullanımı arasında anlamlı bir ilişki olmadığı bununla birlikte kadınların menopoz döneminde farklı tamamlayıcı tedavi yöntemleri kullandıkları belirlenmiştir. Bu süreçte kadınların kullandıkları yöntemleri sağlık personelleri ile paylaşmaları ve kullanılan yöntemin güvenilirliğine ilişkin bilinçlendirmelerin sağlanması önerilmektedir.
İlk Yardım ve Temel Yaşam Desteği Uygulamalarına Güncel Bakış
Authors: SARI Ayşe , TÜRKMENOĞLU Bahar
Published: December 2022

İlk yardım uygulamalarının doğru, etkili, sistematik ve hızlı şekilde yapılmasının önemi sağlık profesyonelleri tarafından sürekli vurgulanmaktadır. Toplumda ilk yardım bilgi ve becerilerinin artırılmasına yönelik yasal düzenlemelere rağmen, ilk yardım uygulamaları konusunda bilgi, beceri ve farkındalığın yetersiz olduğu görülmektedir. İlk yardım gerektiren olaylarda yapılan yanlışlıklar, yetersizlikler ve hatta kazazedenin durumunu daha da kötüleştiren uygulamaların varlığına gerek medya gerekse güncel olaylarda şahit olunmaktadır. Gelişen teknoloji ve değişen bilimsel veri sonuçlarıyla birlikte ilk yardım uygulama ve yöntemlerinde değişiklikler olmakta, bu değişiklikler ilgili mevzuatta yer alarak, eğiticilerin ve uygulayıcıların bilgisine sunulmaktadır. Teknoloji ile doğru bilgiye ulaşmanın yolu kolaylaşmış olsa da diğer taraftan yanlış veri kaynaklarının kullanılması sonucu toplum tarafından uygulama hatalarının artmasıyla da yüz yüze kalınmaktadır. Bu bağlamda var olan ilk yardım bilgileri ve değişiklikler konusunda toplumu eğitmek, bilinçlendirmek ve eğitimlerin devamlılığını sürdürmek konunun temelini oluşturmaktadır. Bu çalışmada; toplumda sıklıkla karşılaşılan, yaşamı tehdit eden durumlarda temel yaşam desteği ve ilk yardım uygulamalarına güncel bilgilerle sistematik bir bakış amaçlanmıştır.
Investigation of Tetracycline Residues in Plain and Flavored UHT Milk on Sale
Authors: ERCAN Nazlı , AĞAOĞLU Sema , TIRAŞ Sena
Published: December 2022

In this study, tetracycline group antibiotic residue was investigated in plain and flavored UHT milk of different brands. A total of 90 UHT milk samples (62 plain and 28 flavored) were analyzed by ELISA method. Tetracycline residues were detected in all samples as a result of the analysis. The mean level of tetracycline was determined as 6.98±0.38 ppb in plain milk and 6.53±0.48 ppb in flavored milk. Residue levels in analyzed UHT milk were found to comply with the legal limits announced by the European Union (EU) commission and Turkish Food Codex Communiqué.
An Investigation into Weaknesses Exhibited by High School Students on Biological Drawing
Authors: Dzidzinyo Abigail Fiona , Bonney Ebenezer Appah , Sam Comfort Korkor
Published: December 2022

This study was intended to examine the weaknesses biology students exhibit when required to make biological drawings of specimen they are presented with. The explanatory sequential mixed methods design was used for the study. The target population was all SHS 3 students offering biology as an elective in senior high schools in Cape Coast Metropolis of Ghana during the 2020/2021 academic year. The accessible population, however, was elective biology students from six schools in the metropolis. A sample size of 230 students was used. An achievement test and an interview schedule were the research instruments used. Kuder-Richardson-20 value for the achievement test calculated after pilot testing was found to be 0.43. Descriptive statistics such as frequencies and percentages were used to analyse the students’ scores on the achievement test, while data from the interview were analysed using themes. Students’ weaknesses were on the provision of appropriate headings, avoiding shading, ruling guidelines without arrowheads, and accuracy of features drawn. It was recommended that biology teachers should ensure that the rubrics of biological drawing are at students’ fingertips by giving lots of drawing exercises, marking and discussing shortfalls with students.
The Factors that Affect Mathematical Achievement Among High School Students
Authors: Kaymak Serkan , Sautkali Aidyn
Published: December 2022

This study was conducted to examine different factors that affect mathematical achievement among high school students in Kazakhstan. The respondents for this study were 8th and 10/11th grade students (36 girls and 22 boys). A survey was conducted by using a questionnaire for information gathering about different factors relating to mathematics achievement of students. The mathematics performance was gauged by the result of their 3rd algebra and geometry quarter grades. The findings indicate that there are positive relationships between teacher factors and student self-confidence attitude with mathematical achievement. The outcomes of correlation analysis show student’s attitude is the significant predictor of mathematical achievement (r = 0.424, p < .001) followed by teacher support (r = 0.397, p < .001).
Estimation of OH in urban plumes using TROPOMI-inferred NO2 ∕ CO
Authors: Lama Srijana , Houweling Sander , Boersma K. Folkert , Aben Ilse , Denier van der Gon Hugo A. C. , Krol Maarten C.
Published: December 2022

Abstract. A new method is presented for estimating urban hydroxyl radical (OH)
concentrations using the downwind decay of the ratio of nitrogen dioxide
over carbon monoxide column-mixing ratios (XNO2/XCO) retrieved from
the Tropospheric Monitoring Instrument (TROPOMI). The method makes use of
plumes simulated by the Weather Research and Forecast model (WRF-Chem) using
passive-tracer transport, instead of the encoded chemistry, in combination
with auxiliary input variables such as Copernicus Atmospheric Monitoring
Service (CAMS) OH, Emission Database for Global Atmospheric Research v4.3.2
(EDGAR) NOx and CO emissions, and National Center for Environmental
Protection (NCEP)-based meteorological data. NO2 and CO mixing ratios
from the CAMS reanalysis are used as initial and lateral boundary
conditions. WRF overestimates NO2 plumes close to the center of the
city by 15 % to 30 % in summer and 40 % to 50 % in winter
compared to TROPOMI observations over Riyadh. WRF-simulated CO plumes differ
by 10 % with TROPOMI in both seasons. The differences between WRF and
TROPOMI are used to optimize the OH concentration, NOx, CO emissions and
their backgrounds using an iterative least-squares method. To estimate OH, WRF
is optimized using (a) TROPOMI XNO2/XCO and (b) TROPOMI-derived XNO2 only. For summer, both the NO2/CO ratio optimization and the
XNO2 optimization increase the prior OH from CAMS by 32 ± 5.3 % and 28.3 ± 3.9 %, respectively. EDGAR NOx and CO emissions
over Riyadh are increased by 42.1 ± 8.4 % and 101 ± 21 %,
respectively, in summer. In winter, the optimization method doubles the CO
emissions while increasing OH by ∼ 52 ± 14 % and
reducing NOx emissions by 15.5 ± 4.1 %. TROPOMI-derived OH
concentrations and the pre-existing exponentially modified Gaussian function fit (EMG) method differ by 10 % in summer and
winter, confirming that urban OH concentrations can be reliably estimated
using the TROPOMI-observed NO2/CO ratio. Additionally, our method can
be applied to a single TROPOMI overpass, allowing one to analyze day-to-day
variability in OH, NOx and CO emission.
Role of phosphorus in the seasonal deoxygenation of the East China Sea shelf
Authors: Laurent Arnaud , Zhang Haiyan , Fennel Katja
Published: December 2022

Abstract. The Changjiang is the largest river in Asia and the main
terrestrial source of freshwater and nutrients to the East China Sea (ECS).
Nutrient concentrations have long been increasing in the Changjiang,
especially after 1960 with urbanization, the development of industrial
animal production, and fertilizer application in agriculture, resulting in
coastal eutrophication and recurring summer hypoxia. The supply of
anthropogenic nitrogen (N) exceeds that of phosphorus (P) relative to the
Redfield ratio. This results in seasonal P limitation in the Changjiang
plume. P limitation and its effects on primary production, respiration, and
hypoxia in the ECS have not been studied systematically, although such
knowledge is needed to understand bloom dynamics in the region, to assess
the consequences of altered nutrient loads, and to implement nutrient
reduction strategies that mitigate hypoxia. Using a coupled
physical–biogeochemical model of the ECS that was run with and without P
limitation, we quantify the distribution and effects of P limitation. The
model shows that P limitation develops eastward of the Changjiang Estuary
and on the Yangtze Bank but rarely southward along the Zhejiang coast. P
limitation modifies oxygen sinks over a large area of the shelf by partly
relocating primary production and respiration offshore, away from the
locations prone to hypoxia near the Changjiang Estuary. This relocation
drastically reduces sediment oxygen consumption nearshore and dilutes the
riverine-driven primary production and respiration over a large area
offshore. Our results suggest that the hypoxic zone would be 48 % larger
in its horizontal extent, on average, if P limitation was not occurring.
Results are summarized in a conceptual model of P limitation on the ECS
shelf that is also applicable to other systems. Then we carried out nutrient
reduction simulations which indicate that, despite the effect of P
limitation on hypoxia, reducing only P inputs as a nutrient reduction
strategy would not be effective. A dual N + P nutrient reduction strategy
would best mitigate hypoxia. The model results suggest that decreasing the
size of the hypoxic zone by 50 % and 80 % would require reductions in
N + P load of 28 % and 44 %, respectively.
Cosmogenic 10Be in pyroxene: laboratory progress, production rate systematics, and application of the 10Be-3He nuclide pair in the Antarctic Dry Valleys
Authors: Balter-Kennedy Allie , Schaefer Joerg M. , Schwartz Roseanne , Lamp Jennifer L. , Penrose Laura , Middleton Jennifer , Tibari Bouchaïb , Blard Pierre-Henri , Winckler Gisela , Hidy Alan J. , Balco Greg
Published: December 2022

Abstract. Here, we present cosmogenic 10Be and 3He data from Ferrar dolerite pyroxenes in surficial rock samples and a bedrock core from the McMurdo Dry Valleys, Antarctica, with the goal of refining the laboratory methods for extracting beryllium from pyroxene, further estimating the 10Be production rate in pyroxene, and demonstrating the applicability of the 10Be-3He in mafic rock. The ability to routinely measure cosmogenic 10Be in pyroxene will open new opportunities for quantifying exposure durations and Earth surface processes in mafic rocks. We describe scalable laboratory methods for isolating beryllium from pyroxene, which includes a simple hydrofluoric acid leaching procedure for removing meteoric 10Be, and the addition of a pH 8 precipitation step to reduce the cation load prior to ion exchange chromatography. 10Be measurements in pyroxene from the surface samples have apparent 3He exposure ages of 1–6 Ma. We estimate a spallation production rate for 10Be in pyroxene, referenced to 3He, of 3.6 ± 0.2 atoms g−1 yr−1. 10Be and 3He measurements in the bedrock core yield initial estimates for parameters associated with 10Be and 3He production by negative muon capture (f10* = 0.00183 and f3* fC fD = 0.00337). Next, we demonstrate that the 10Be-3He pair in pyroxene can be used to simultaneously resolve erosion rates and exposure ages, finding that the measured cosmogenic-nuclide concentrations in our surface samples are best explained by 2–8 Ma of exposure at erosion rates of 0–35 cm Myr−1. Finally, given the low 10Be in our laboratory blanks (average of 5.7 × 104 atoms), the reported measurement precision, and our estimated production rate, it should be possible to measure 2 g samples with 10Be concentrations of 6 × 104 atoms g−1 and 1.5 × 104 atoms g−1 with 5 and 15% uncertainty, respectively. With this level of precision, Last Glacial Maximum to Late Holocene surfaces can now be dated with 10Be in pyroxene. Application of 10Be in pyroxene, alone or in combination with 3He, will expand possibilities for investigating glacial histories and landscape change in mafic rock.
Evaluation of total ozone measurements from Geostationary Environmental Monitoring Satellite (GEMS)
Authors: Baek Kanghyun , Kim Jae Hwan , Bak Juseon , Haffner David P. , Kang Mina , Hong Hyunkee
Published: December 2022

Abstract. As all life on earth depends crucially on atmospheric ozone, low earth orbiting (LEO) satellites have been used to monitor atmospheric ozone to reduce its impact on the environment and public health. The continued interest in air pollution and stratospheric ozone variability has motivated the development of a geostationary environmental monitoring satellite (GEMS) for hourly ozone monitoring. This paper provides the atmospheric science community with the world's first assessment of GEMS total column ozone (TCO) retrieval performance and diurnal ozone variation. The algorithm used for GEMS is a more advanced version of its predecessor, the TOMS-V8 algorithm. In addition to calculating total ozone, the algorithm has the advantage of providing ozone profile and retrieval error information. To assess the performance of the GEMS algorithm, the hourly GEMS total ozone was compared with ground-based measurements from four Pandora instruments and other satellite platforms from TROPOMI and OMPS. A high correlation of 0.91 or more with GEMS and Pandora TCO at Seoul, Busan, and Yokosuka but a low correlation of 0.83 at Ulsan, which is significantly smaller than at other sites. Root-mean-squared error (RMSE) showed satisfactory small values, with the lowest RMSE of 2.06 DU. Positive mean biases (MBs) were observed at all sites. This agreement suggests that the GEMS hourly ozone monitoring allows for continuous updates about stratospheric ozone and its related atmospheric changes. The quantitative comparison of GEMS TCO data with TROPOMI and OMPS TCO data shows a high correlation coefficient greater than 0.98 and a low RMSE of less than 1.8 DU over clear sky conditions. GEMS TCO underestimates by - 0.14 % (0.4 DU) with a standard deviation of 2.0 % relative to TROPOMI and overestimates by + 0.1 % (0.3 DU) with a standard deviation of 2.3 % relative to OMPS. It shows that the GEMS TCO agrees very well with the TROPOMI and OMPS TCO. The results are a meaningful scientific advance by providing the first validated, hourly UV ozone retrievals from a satellite in geostationary orbit. This experience can be used to advance research with future geostationary environmental satellite missions, including incoming TEMPO and Sentinel-4.
Long-term reconstruction of satellite-based precipitation, soil moisture, and snow water equivalent in China
Authors: Yang Wencong , Yang Hanbo , Li Changming , Wang Taihua , Liu Ziwei , Hu Qingfang , Yang Dawen
Published: December 2022

Abstract. A long-term high-resolution national dataset of precipitation
(P), soil moisture (SM), and snow water equivalent (SWE) is necessary for
predicting floods and droughts and assessing the impacts of climate change
on streamflow in China. Current long-term daily or sub-daily datasets of
P, SM, and SWE are limited by a coarse spatial resolution or the lack of
local correction. Although SM and SWE data derived from hydrological
simulations at a national scale have fine spatial resolutions and take
advantage of local forcing data, hydrological models are not directly
calibrated with SM and SWE data. In this study, we produced a daily
0.1∘ dataset of P, SM, and SWE in 1981–2017 across China, using
global background data and local on-site data as forcing input and
satellite-based data as reconstruction benchmarks. Global 0.1∘
and local 0.25∘P data in 1981–2017 are merged to reconstruct the
historical P of the 0.1∘ China Merged Precipitation Analysis
(CMPA) available in 2008–2017 using a stacking machine learning model. The
reconstructed P data are used to drive the HBV hydrological model to simulate SM
and SWE data in 1981–2017. The SM simulation is calibrated by Soil Moisture
Active Passive Level 4 (SMAP-L4) data. The SWE simulation is calibrated by
the national satellite-based snow depth dataset in China (Che and Dai, 2015)
and the Moderate Resolution Imaging Spectroradiometer (MODIS) snow cover
data. Cross-validated by the spatial and temporal splitting of the CMPA data,
the median Kling–Gupta efficiency (KGE) of the reconstructed P is 0.68 for
all grids at a daily scale. The median KGE of SM in calibration is 0.61 for
all grids at a daily scale. For grids in two snow-rich regions, the median
KGEs of SWE in calibration are 0.55 and −2.41 in the Songhua and Liaohe
basins and the northwest continental basin respectively at a daily scale.
Generally, the reconstruction dataset performs better in southern and
eastern China than in northern and western China for P and SM and performs
better in northeast China than in other regions for SWE. As the first long-term
0.1∘ daily dataset of P, SM, and SWE that combines information
from local observations and satellite-based data benchmarks, this
reconstruction product is valuable for future national investigations of
hydrological processes.
Cosmogenic-nuclide data from Antarctic nunataks can constrain past ice sheet sensitivity to marine ice margin instabilities
Authors: Halberstadt Anna Ruth Weston , Balco Greg , Buchband Hannah , Spector Perry
Published: December 2022

Abstract. We apply geologic evidence from ice-free areas in Antarctica to evaluate model simulations of ice sheet response to warm climates. This is important because such simulations are used to predict ice sheet behaviour in future warm climates, but geologic evidence of smaller-than-present past ice sheets is buried under the present ice sheet and therefore generally unavailable for model benchmarking. We leverage an alternative accessible geologic dataset for this purpose: cosmogenic-nuclide concentrations in bedrock surfaces of interior nunataks. These data produce a frequency distribution of ice thickness over multimillion-year periods, which is also simulated by ice sheet modeling. End-member transient models parameterized with strong and weak marine ice sheet instability processes, which predict large and small sea-level impacts during warm periods, also predict contrasting and distinct frequency distributions of ice thickness. We identify regions of Antarctica where predicted frequency distributions are diagnostic of marine ice sheet instability parameterizations. We then show that a single comprehensive data set from one bedrock site in West Antarctica is sufficiently detailed to show that the data are consistent only with a weak marine ice sheet instability end-member, but other less extensive data sets are insufficient and/or ambiguous. Finally, we highlight locations where collecting additional data could constrain the amplitude of past and therefore future response to warm climates.
Alteraciones del sueño en niños con trastorno del espectro autista y su afectación individual y familiar
Authors: González Lara Karla Denisse , Limón García Nayeli , Maldonado Burgos Martha Alejandra , Cervantes Aldaz Erica , Cancino Rios Jessica Yamile , Colón Pérez José Jesús
Published: December 2022

Introducción: Los trastornos del sueño en niños, tienen un impacto en el desarrollo, afecta el comportamiento, el estado de ánimo, las funciones cognitivas, disminuyendo la atención selectiva y la memoria. El objetivo del presente estudio fue determinar las alteraciones del sueño en niños con trastorno del espectro autista (TEA), su afectación individual y familiar en el Centro Regional de Autismo Delicias Chihuahua.

Métodos: El presente estudio transversal, incluye niños con TEA en quienes se determinó alguna alteración del sueño y se buscó su relación con la afectación individual y familiar, además se evaluaron, edad, sexo, grado escolar, nivel funcional de TEA, afectaciones familiares. Se aplicó el cuestionario de cribado del sueño en niños con TEA, el cuestionario adaptado para niños con TEA -BRUNI y el  cuestionario de satisfacción sobre las actividades de los padres, cuidadores primarios y familiares de primera línea. Se usa estadística descriptiva y en un segundo análisis se usa Razón de Momios de Prevalencia (RMP).

Resultados: Se analizan 57 pacientes, 43 (75.4%) hombres, 28 (49.1%) en grado 1 de nivel funcional TEA, 16 (28.1%) tenían mal desempeño individual, 56 (98.2%) sus familiares referían mal desempeño, 43 (75.4%) tenían alteraciones del sueño. Los niños preescolares tienen 2.5 veces riesgo de tener afectación individual. Los pacientes en nivel funcional TEA grado 3 tienen 2.15 veces riesgo de tener afectación individual. Los que despiertan cansados tienen 5.93 veces riesgo de tener afectación individual.

Conclusión: La afectación familiar del desempeño es mucho mayor a la afectación individual de los niños con TEA, lo cual genera alteraciones en la dinámica familiar.
Mudança de comportamento e influência do metaverso no posicionamento das marcas
Authors: Campos Beatriz Furtunato , Santos Bruna Marcela Ferreira dos , Costa Denis Honorato
Published: December 2022

A evolução social constante e a realidade vivida em cada período histórico de fato retratam os processos vividos e o aumento do acesso à tecnologia, em conjunto com a evolução crescente do cenário empresarial. Visamos que os conhecimentos mais importantes das organizações estão ligados aos seus gestores, grandes marcas estão evoluindo tecnologicamente para o cyber mundo. Como objetivo, abordaremos a forma em que o mundo administrativo incluirá essa inovação no mundo empresarial, com auxílio da rede 5G que traz velocidade para essa navegação. Este artigo, fez valer-se do ambiente virtual com apoio de livros e artigos científicos, deve-se ressaltar a utilização consciente da internet, sempre nos atentando aos ambientes virtuais em que se possa garantir a segurança da informação e confiabilidade dos dados. Para composição desta revisão da literatura, foram realizadas busca entre agosto a novembro, por material científico relacionado as bases de dados: Google Acadêmico e, E- Acadêmica. Foram selecionados 22 artigos e livros com texto disponível na íntegra que tivessem relação com o tema proposto, em consulta com base em trabalhos publicados nos últimos 23 anos, visto que buscamos abordar a origem do tema proposto. Consideramos que é inegável o papel fundamental da tecnologia na contemporaneidade dos dispositivos técnicos que viabilizam a comunicação. Desta forma, buscamos visibilizar a chegada do novo mundo, o metaverso é reconhecido como uma nova prática social, com amplo potencial de expansão.