bluuebunny/crossref_metadata_2025 huggingface dataset:
Quality of Life in Healthy Children in Latvia
Authors: Tapiņa Sandra , Vasīte Kristīne , Bebre-Putka Valda , Gārša Elza , Rumba-Rozenfelde Ingrīda
Published: November 2021

In Latvia, no studies on the quality of life (QoL) of healthy children have been conducted. Determining the quality of life of children is an essential part of evaluating the health status of children. The subjective assessment of the individuals about their quality of life provides an opportunity to evaluate the quality of life of the population in the public health sector. The aim of this cross-sectional study was to evaluate the quality of life of healthy children and adolescents in Latvia in the age group from 8 to 18, as well as to compare the answers between children and their parents living in Latvia. This study also gave an opportunity to compare the results of children and their parents living in Europe. Quality of life measurements were obtained using the KIDSCREEN-52 questionnaire, which was filled out by 100 healthy children/adolescents and 100 of their parents/guardians. The quality-of-life questionnaire consisted of ten dimensions. When evaluating the quality of life of children and adolescents by gender, no statistically significant difference was found in Latvia (p > 0.05). There was no statistically significant difference (p > 0.05) between children of 8 to 11 years of age and children of 12 to 18 years of age. A statistically significant difference was found between the 8 to 11 and 12 to 18-year-old groups of young healthy children in some dimensions. In the response dimensions, self-perception (“SEL”) and emotions (“EMO”), their QoL was significantly higher (p < 0.05) in the age group from 12 to 18 years healthy children than in the age group of 8 to 11 years. Differences in child/adolescent quality of life results between Latvia and Europe were not statistically significantly different in all 10 HRQoL dimensions (p > 0.05).
Linguistic Identity: Between Multilingualism and Language Hegemony
Authors: Lūžys Sigitas
Published: November 2021

A priori accepting multilingualism as a value, we must understand that it is not permanent. It is empowered by our mother tongue, which creates an essential opportunity as well as a precondition for the acquisition of competences of other languages. However, the language itself, being a tradition, i.e., a living process, is affected by other languages, so the identity of a language cannot be understood without an understanding of its curriculum vitae. The historical path of the Lithuanian language comes from the world of multilingualism. Urban life in the Grand Duchy of Lithuania is unimaginable without the people speaking Polish, Belarusian, Ruthenian, Latin and Yiddish. Real multilingualism did not separate people into “us” and “other; this phenomenon emerged later, after some centuries, with the disappearance of urban multilingualism in the urban culture and manifesting as a certain opposition against the “others’, as efforts to create a natural for many people identity-divide which has impact and unities on the basis of a language. In the multilingual world the perception prevailed that we are all “us” but different. The real, conversational and every day multilingualism enabled the dissemination of contextual meaning, reception of different thinking and nuances of a global outlook rather than only communicating information. The emergence of one, the most important and rational, “global” language hegemony determines a new communication which does not require the competence of several languages (even the knowledge of the neighbors’ language), as communication proceeds through a certain mediator and in the long turn embraces various areas of life. However, bilingualism is not the final result; the hegemonic language trespasses the boundaries of the purpose of the lingua franca and aims at overtaking the functions of the native language. So, what is the role and destiny of the latter? This is what the study aimed at discovering.
Deconstruction of the Discourse of Femininity: A Case of Thai Girls’ Schools
Authors: Satienchayakorn Natakorn , Jimarkon Pattamawan
Published: November 2021

The study investigates the construction of femininity ideologies of girls-only school websites in Thailand and deconstructs them for analysis at the lexical level. Ideological beliefs underlying the custom of upbringing of young women in Thai cultural contexts are the focus of investigation. We pay a particular attention to how the schools communicate their key messages of vision, mission, core values, and about us on their websites and conduct a corpus-driven discourse analysis on the data. Findings from running tests of frequency and collocation reveal the traits of femininity constructed in the discourse, built the praising of obedience, submissiveness and lady-like features. We conclude that benevolent sexism is a common cultural practice evident in educational institutions.
The Influence of Family Language Policy and Social Networks on Language Attitudes and Language Use of Russian-Language Youth
Authors: Kubiliūtė Skirmantė
Published: November 2021

An individual’s linguistic attitudes and language repertoire are influenced by a variety of environmental factors. Linguistic research has shown that language use is highly influenced by language policies and social networks. This article seeks to analyze how certain language policies and social relationships affect one’s linguistic behavior. The aim of this study is to investigate the linguistic attitudes and language-use tendencies of Russian youth in Lithuanian cities. The participants of this study were Russians and Russian-speakers based in the three largest cities of Lithuania. Their ages ranged from 15 to 29 y.o. A total of 128 respondents participated in the survey. Qualitative and quantitative methods were used to obtain the necessary data. The study revealed the main tendencies of language use of Russian youth, as well as the most distinct language attitudes in different cities. The results showed that the Russian community in Vilnius and Klaipeda is quite strong. The young generation tend to have stronger ties with other members of the group comparing to the Russian community in Kaunas. Russian remains the main language of communication in Russian families in Klaipėda and Vilnius. Meanwhile, in Kaunas, the Lithuanian language became the main language in both the public and private sectors. According to the collected data, school is one of the biggest influences in the formation of linguistic repertoire. A social network created in an educational institution might have even greater impact on a young person’s linguistic attitudes than family and its language policies. Other studies also showed that young individuals want to fit in, so they usually choose the language their peers use (Vilkienė, 2011; Geben, 2013 and others). Further linguistic research could examine larger groups, different ethnic minorities, observe the development of language use tendencies. Also, the information has to be updated periodically.
Metacomprehension Awareness of Primary School Plurilinguals
Authors: Deda Silvija Hanžić
Published: November 2021

This qualitative-quantitative study examines the level of metacomprehension awareness in international primary school students before, while, and after reading narrative texts. The first part of the study brings a short overview of theoretical background and previous research pertaining to metacognition and metacognitive strategies, reading comprehension, and plurilingualism in the context of formal education. The second part describes the participants, along with their diverse personal experiences regarding language and education. Two tests and a brief questionnaire were used for collecting the majority of information. A semi-structured interview was conducted to inquire about the participants’ attitudes towards reading narrative texts and the languages to which they give preference while reading such texts. The findings reveal that, at the age of ten, plurilingual students demonstrate a certain amount of metacomprehension awareness while reading narrative texts in English. No major differences were found between two language-specific groups defined by the students’ mother tongues, but certain differences occurred between boys and girls. Established reading language and language preferences for reading narrative texts seem to play an important role in effective reading comprehension, whereas age seems to be a more critical factor in the development of metacomprehension awareness of plurilingual 10-year-olds.
Peculiarities of Phonetic and Orthographic Adaptation of Latin Terms in English Clinical Terminology: On the Issue of Latin Terminological Competence Formation of Foreign Medical Students
Authors: Lazer-Pankiv Olesia , Pysmenna Iuliia
Published: November 2021

The article deals with the phonetic and orthographic adaptation of Latin terms in English clinical terminology in the context of Latin terminological competence formation of foreign medical students with English as the language of instruction. About 8,000 of the most common clinical terms selected from various lexicographic English sources have been studied on the basis of etymological and comparative approaches to demonstrate the grade of inconsistency in the reflection of Latin terms in modern English medical terminology. The quantitative analysis allowed us to determine and classify the main tendencies in the process of phonetic and orthographic development of Latin terms: (1) imitation of classical Latin spelling; (2) ‘simplification’ of classical Latin spelling; (3) syncretism of the first and second tendencies (parallel use of classical Latin and ‘simplified’ variants as synonyms). The analysis has also identified in some cases the phenomenon of ‘hypercorrectness’. The lack of a unified norm is reflected in all the analyzed reference sources, complicating the lexicographic description of medical terms as well as the process of teaching / learning the medical terminology. The proposed solution is to develop and implement some unified criteria for phonetic and orthographic adaptation of Latin terms in English. The possible ways to solve the problem are either to adhere to the etymological principle, returning ad fontes of medical terminology, and to use only non-monophthongized and non-simplified forms or to use monophthongized and phonetically and graphically simplified forms following the norms of modern English. Consistent adherence to one system of rules for the development of Latin terms is a needed requirement for the proper formation of terminological competence in medical students and correct use of terminology in their further professional activity.
Colonial Anxiety Through Literary Signifier
Authors: Teggin Edward Owen
Published: November 2021

This article seeks to broaden the ongoing debate surrounding the nature and structure of colonial anxiety by incorporating elements of literary discussion into the conversation. It is a commonly experienced problem that the current definition of colonial anxiety is not mutable, and is often viewed as a singular indivisible whole. This, of course, cannot be the case due to the inherent links between anxiety generally, and its sub-set “colonial anxiety”. Whilst there are many methods of examining colonial anxiety, the current study seeks to examine the problem through literature. The investigation will examine George Orwell’s Burmese Days and Multatuli’s Max Havelaar as core texts. Whilst Orwell’s anti-imperial feelings have been well publicized, as has Multatuli’s anti-colonial standpoint, the notion that they were individual colonial servants who likely, it is argued, suffered from colonial anxiety, has not. Also crucial to the discussion will be the attempt to more fully integrate diverse regions such as Burma and Indonesia into the wider debate on colonial anxiety.
A Quixotic Venture: Spanish-Philippine Poetry at the Turn of the 19th Century, or Resistance against Oblivion
Authors: Sánchez Gumiel Mario
Published: November 2021

This essay explores, by means of three Philippine poems written in Spanish during the first half of the twentieth century, the claim of a Philippine cultural identity sustained in the Spanish heritage. After a short overview of the Spanish colonization in the Philippines and the presence of the Spanish language in the archipelago, I will use Paul Friedrich’s theoretical approach on poetry as a source for the study of a culture. Then I will proceed to the examination of three poems written by Philippine writers: Fernando María Guerreros’ “A Hispania” (1913), Claro Mayo Recto’s “Las dalagas Filipinas” (1911), and Jesús Balmori’s “Blasón” (undated) by means of the close reading approach. In the exploration of this claim of a Philippine cultural identity rooted in the Spanish heritage, I additionally consider the role of the United States, and take into account some initiatives that have tried to continue the study of this literature throughout the twentieth and twenty-first century. I conclude that poetry is a valuable way to analyse culture, and, for the specific case of Spanish and the Philippines, I suggest that Spanish-Philippine poetry helps know the heritage of Spanish in the archipelago
Analysis of Semiotic Found in Football Shoes Advertisements
Authors: Widiarta I Wayan Restu , Devi Maharani Santika I Dewa Ayu , Eka Pratiwi Desak Putu
Published: November 2021

Aims in this study, first is to find out verbal and non-verbal signs found in football shoes advertisements, and second is to analyze the meaning of verbal and non-verbal signs found in football shoes advertisements. The data sources from this study were taken from the Official Account of Nike, Puma, and Adidas. This study used the descriptive qualitative method. The data were analyzed based on the theory proposed by Saussure (1983) about sign elements, the theory from Barthes (1964) about the meaning of signs, and the supporting theory from Cerrato (2012) to analyze the color terms. The result of this study showed the advertisements used the written texts as the verbal signs and the color choice and picture of advertisements as non-verbal signs. These signs also contained denotative and connotative meanings to make a good combination to attract the attention of readers.
Compound Nouns Found in The Jakarta Post Website
Authors: Octavianti Erisa , Sutjiati Beratha Ni Luh , Sukarini Ni Wayan
Published: November 2021

This study is aimed to identify the types of compound nouns and analyze the meanings of compound nouns conveyed on The Jakarta Post website. Two theories applied in this study, the theory of compound proposed by Katamba and the theory of meaning proposed by Palmer. Eight articles from The Jakarta Post website were chosen as the data source. The selected articles are related to technology, lifestyle, and business from December 2020 until February 2021. Documentation method and note-taking technique used in collecting the data. The collected data was analyzed by using a descriptive qualitative method and triangulation technique. Meanwhile, in presenting the data analysis, this study used formal and informal methods. The result shows that all types of compound nouns based on the theory applied are found in the data source. The types are: noun + noun, adjective + noun, and preposition + noun. In terms of meaning, there are transparent and opaque meanings.
Geguritan Cokli: Analisis Sosiologi Sastra
Authors: Paramita Ida Bagus Gede
Published: November 2021

Research on Geguritan cokli uses a sociological analysis. The approach used is a calibative approach. Data collection uses the method of reading, translating and listening to Cokli's Geguritan text. The method of analysis, carried out in a descriptive-qualitative way by using the working stages of the theory of sociology of literature and combined with the theory of structure. The results of the analysis are presented in a systematic and structured manner. The results of this study provide an answer that the existence of a literary work can be a reflection of the state of society at that time, although there are some things that are sometimes no longer relevant to use.
Pengaruh Narasi pada Seni Lukis Tradisi Bali: Studi Bahasa Rupa Lukisan Wayang Kamasan dan I Ketut Gede Singaraja
Authors: Purwita Dewa Gede
Published: November 2021

Traditional Balinese painting elements contain narrative, illustrative, figurative, functional, these formed the structure of Balinese art which is closely related to the existence of the text as the background of its creation. This study aims to read the influence caused by narrative as things that affect the “wimba” and the “cara wimba” in traditional Balinese painting which is focused on Sutasoma's painting in the Kamasan painting style in Bale Kambang Kerta Gosa, Klungkung and the painting of Prabu Salya by I Ketut Gede Singaraja. This research method uses a qualitative art research with analytical descriptive, the theory used as an analysis is the system namely Ruang-Waktu-Datar from the theory of Bahasa Rupa. The results of the analysis show that the narrative forms a system of procedures for depicting traditional Balinese paintings which can be seen from the way the perspective is applied from various sides, the pattern of depiction of figures that replace facial expressions with gestures, as well as the presence of a symbolic time dimension. Through reading with the Ruang-Waktu-Datar, it is found that traditional Balinese paintings are influenced by narratives that are very strongly reflected in their language of appearance.
Ijtihad Kemanusiaan MDMC dalam Menghadapi Pandemi Covid-19 di Indonesia
Authors: Muis Hasan Sadikin
Published: November 2021

This study was conducted to determine the sociological impact of MDMC's humanitarian ijtihad in dealing with the Covid-19 pandemic in Indonesia. This research is qualitative by using a phenomenological study of the phenomenon under study, namely by expressing problems, presenting data, analyzing data, and obtaining data through observation either through literature study or directly. The results of this study indicate that MDMC's social care, and solidarity are marked by the establishment of the Muhammadiyah Covid-19 Command Center (MCCC) to fight the Covid-19 pandemic both medically, and outside the medical realm. Muhammadiyah as a religiosity-based community organization takes on a responsible role in responding to the reality of the Covid-19 pandemic with several steps, namely: revitalizing theological rituals, canceling the association's strategic agenda, and engineering learning techniques. These steps are MDMC's humanitarian ijtihad transformed in the face of the Covid-19 pandemic in Indonesia.
Community Roles tokoh Perempuan pada Era Perang Dunia II dalam Anime Kono Sekai no Katasumi ni karya Sunao Katabuchi
Authors: Narayan Ni Putu Padma Krishna , Luhur Wedayanti Ni Putu , Widya Purnawati Ketut
Published: November 2021

This study aims to know how Community Roles that are played by the women during World War II, in the anime entitled Kono Sekai no Katasumi ni by Sunao Katabuchi. The analysis was done by using the Gender Analysis Frameworks by Caroline Moser (1993). The data were collected by watching the anime and applied the note taking technique. The qualitative analysis of the data shows that women character in the anime was very active in their community. They join the organization namely  Dai Nippon Fujinkai and all the activities in their neigbourhood. Those activities show their community roles.
Antologi Puisi Membaca Lambang Analisis Citra Wilayah Pesisir
Authors: Andhika Martianto Ridwan
Published: November 2021

This article discusses images of coastal areas from the poetry anthology Membaca Lambang by Acep Zamzam Noor. The focus of this research is two things, namely to reveal the structure and to reveal the image of the coastal area in the poetry anthology Membaca Lambang. The analysis technique used in this research is purposive sampling technique. The method used to collect data is the literature study method. Description method is used to analyze data. The analysis of the twelve poems which cover the use of structural theory (five strata of norms) from Roman Ingarden and literary ecology by Suwardi Endraswara. Based on the analysis, it was found that the anthology structure of Membaca Lambang poetry was formed into five norms, namely the first layer (sound), the second layer (meaning), the third layer (background, actors, and the world of the author), the fourth layer (world), and the fifth layer metaphysical. Furthermore, the image of the coastal area is clearly depicted in each poem. One of the reasons for this is through the use of diction such as bays, docks, ports, and beaches. The coastal areas that appear include, ecological images, elegance-humanity, and religiosity.
Measurement of Mental Workload Against Packing Operators at UKM Roti Heppy Bakery Padang Using the NASA-TLX Method
Authors: Fithri Prima , Syahfikri Naufal
Published: November 2021

In this increasingly advanced era of globalization, more and more manufacturing and service companies are developing which brings intense competition for companies to be able to maintain the company's establishment. IKM Heppy Bakery is one of the bread production companies that is experiencing this competition. For the realization of companies that can compete in the era of globalization, highly competent resources are also needed. The impact of this competition causes more work demands and causes workload effects both physically and mentally on employee performance. Based on this, a mental workload study was conducted to determine the amount of mental workload of employees using the NASA-TLX method. Based on calculations using the NASA-TLX method, it was found that the level of mental workload on bread packaging at IKM Heppy Bakery was included in the very high category with 4 workers having a very high workload category and there were also 2 workers with a high workload category. The average WWL score on bread packaging is 82. For this condition, it is deemed necessary to have an evaluation accompanied by an improvement in the work system or reward to foster motivation and enthusiasm and reduce stress for Heppy Bakery's bread packaging employees.
Abdominal surgery in autoimmune and autoimmune-related diseases: A review
Authors:   SANKO UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF GENERAL SURGERY, GAZIANTEP, TURKEY, Uysal Erdal , Dokur Mehmet , Maralcan Gokturk
Published: November 2021

Autoimmune diseases can have a widespread effect throughout the system and can cause high mortality and morbidity, depending on their involvement in the abdominal organs and systems. Most of the abdominal organs are damaged as a result of the direct or/ and indirect effects of autoimmune diseases. Therefore, abdominal surgeries should be performed to eliminate any complications related to these effects. There could be a significant relationship between abdominal surgery and autoimmune and autoimmune-related diseases. The aim of this study was to reveal the possible relationship between autoimmune and autoimmune-related diseases that cause significant mortality and morbidity. In this way, we further aimed at increasing the awareness of clinicians on this subject, along with providing them with the related publications on autoimmune and autoimmune-related diseases and abdominal surgery. Taking all these into consideration, autoimmune and autoimmune-related diseases can also influence the abdominal organs. The influence may be directly related to the involvement of the organ and system as a result of the autoimmune disease or indirectly related to the influence of the organs and systems. Such influence leading to complications may require urgent or elective abdominal surgery, which can further cause high mortality and morbidity. Therefore, it is significant for all clinicians, especially surgeons, to be aware of the relationship between autoimmune diseases and abdominal surgery. The early detection and treatment of the complications related to the abdominal involvement of autoimmune and autoimmune-related diseases could decrease mortality and morbidity.
Comparison of patient and surgeon satisfaction in patients undergoing knee arthroscopy with peripheral nerve block versus spinal anesthesia
Authors:   HEALTH SCIENCES UNIVERSITY PROF. CEMIL TASCIOGLU CITY HOSPITAL, DEPARTMENT OF ANESTHESIA AND REANIMATION, ISTANBUL, TURKEY, Turkmen Seray , Mutlu Mehmet
Published: November 2021

Objective. This study aims to compare two different methods of regional anesthesia applied for knee arthroscopy in terms of patient and surgeon satisfaction. Materials and Methods. Eighty patients who underwent knee arthroscopy either with spinal anesthesia (SA) or unilateral sciatic and femoral nerve block (SFNB) were included in the study. A nurse conducted a blind study questionnaire to assess the surgeon and patient satisfaction from anesthesia performed at the end of the surgery. Pain score, demographical data, duration of surgery, motor and sensory block duration, time of first rescue analgesia were recorded and analyzed statistically. Results. A statistically significant difference was found between the patient (p = 0.001; p <0.01) and surgeon (p = 0.022; p <0.05) satisfaction rates, these being lower in the group with SFNB comparable to patients with spinal anesthesia. There was a statistically significant difference between the first analgesic requirements of the patients according to the groups (p = 0.001; p <0.01). The first analgesic requirement of the patients who received SFNB was later than in the case of patients who received spinal anesthesia. Conclusions. Patient and surgeon satisfaction with SA was significantly higher than SFNB. The peripheral nerve blocks are inadequate for patient and surgeon satisfaction for knee arthroscopy compared to SA.
Is the frequency of simultaneous umbilical hernia repairs in laparoscopic and open cholecystectomy similar?
Authors:   SANKO UNIVERSITY FACULTY OF MEDICINE, DEPARTMENT OF GENERAL SURGERY, GAZIANTEP, TURKEY, Uysal Erdal , Kırdak Türkay , Sarkut Pınar , Kaya Ekrem , Korun Nusret
Published: November 2021

The aim of this study was to compare the frequency of umbilical hernia repair during open and laparoscopic cholecystectomies. Consecutive patients who underwent laparoscopic and open cholecystectomy between January 1993 and June 2005 were retrospectively reviewed. Among those, cases of patients who underwent simultaneous cholecystectomy and umbilical hernia repair were included in the study, and the distribution of hernia repairs via laparoscopic and open cholecystectomy were investigated. In addition, patients who underwent umbilical hernia repair only during the study period were also screened and the type of repair was noted in order to be compared to the types of hernia repair in the patients who underwent cholecystectomy. In total, there were 3,028 patients who underwent cholecystectomy, out of which 2,281 were performed via laparoscopy. In total, 46 patients underwent cholecystectomy and simultaneous umbilical hernia repair; 44 underwent laparoscopic cholecystectomy and umbilical hernia repair at the same time (P < 0.001), out of which only 2 were repaired through the use of a mesh. In contrast, 284 patients underwent only umbilical hernia repair, out of which 156 underwent primary repair. Simultaneous umbilical hernia repair during laparoscopic cholecystectomy was more common than hernia repair during open cholecystectomy.
Parasitic myoma developing at the port site after laparoscopic myomectomy; a case report
Authors:   DOKUZ EYLUL UNIVERSITY SCHOOL OF MEDICINE, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, IZMIR, TURKEY, Ozturk Derya , Ilgen Orkun , Aydin Ceren , Kurt Sefa , Celiloglu Murat
Published: November 2021

Parasitic myomas occur especially after laparoscopic myomectomy and its incidence increases due to the use of morcellators. Parasitic myomas can rarely occur at the port entry site, being more commonly seen on the intestines, the omentum, the ureter, the bladder, and the diaphragm in different periods after surgery, the average duration being 24 months. In this article, we present the case of parasitic myoma developing secondary to the port site in a 45-year-old nulliparous woman after the use of laparoscopic myomectomy and morcellation 8 years ago. The patient presented with complaints of pelvic pain and a palpable mass in the left trocar incision line, and an appearance compatible with multiple myomas in the subcutaneous tissue of the left trocar incision line. Besides, myomas were also observed in the mesentery of the rectosigmoid colon and at the uterus in the present study. Numerous and large myomas were observed in the uterus, in the mesentery of the rectosigmoid colon, on the left pelvic peritoneum, and under the skin corresponding to the port entrance. The pathological examination of the myomas excised was reported as leiomyoma. In this article, the diagnosis, the treatment, the possible risk factors, and the complications of myomas were discussed in the light of the literature.
Is it safe to perform myomectomy in first trimester of pregnancy? The report of two cases
Authors:   DOKUZ EYLUL UNIVERSITY SCHOOL OF MEDICINE, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, IZMIR, TURKEY, Celiloglu Murat , Ozmen Samican , Kurt Sefa , Ilgen Orkun
Published: November 2021

Uterine fibroids are the most common benign tumors in women in the reproductive age group. The incidence of fibroids during pregnancy varies between 1.6 and 10.7%. In 10% of these cases, fibroids lead to complications. The management in symptomatic patients is conservative, and the surgical treatment is delayed until after birth due to its risks. In the last two decades, it has been shown that myomectomy can be an alternative treatment in selected cases, especially in second-trimester pregnancies. However, the data on the success of myomectomies performed earlier in pregnancy are limited. In this case report, we present two cases who were admitted to our clinic during the first trimester of pregnancy and had complicated fibroids. The diagnosis, the follow up and the treatment are presented with the review of the literature.
Ureteral injury during laparoscopic rectal resection and concurrent laparoscopic repair by uretero-ureterostomy
Authors:   INONU UNIVERSITY SCHOOL OF MEDICINE, DEPARTMENT OF GASTROENTEROLOGY SURGERY, MALATYA, TURKEY, Sumer Fatih , Kutlu Ramazan , Yağcı Mehmet Ali , Kayaalp Cuneyt
Published: November 2021

Iatrogenic ureteral injury is an uncommon but severe complication of laparoscopic colorectal surgery. If it is detected intraoperatively, conversion to open surgery is usually inevitable. Here, we described a complete ureteral transection during laparoscopic low anterior resection, which was simultaneously repaired by laparoscopic uretero-ureterostomy. The most important points during the anastomosis of two tiny tubular tissues are dissecting the tubular organs without trauma, obtaining meticulous hemostasis without causing any necrosis, and achieving accurate approximation of tissues with the sutures. To the best of our knowledge, this is the first report that focused on laparoscopic repair of ureteral injury during laparoscopic colorectal surgery. As there are still few data on laparoscopic repair of ureteral lesions, no firm conclusions can be drawn. But, in appropriate cases, if intracorporeal suture expertise is available, laparoscopic repair can be done during colorectal surgery.
Intracranial epidural hematoma after use of a 3-pin head clamp in a pediatric case with posterior fossa tumor and hydrocephalus: A case report
Authors:   UNIVERSITY OF ATATURK SCHOOL OF MEDICINE, DEPARTMENT OF NEUROSURGERY, ERZURUM, TURKEY, Şahin Mehmet Hakan , Zeynal Mete , Karaavcı Nuh Çağrı , Karadağ Mehmet Kürşat
Published: November 2021

The head clamp system is one of the indispensable equipment of neurosurgery in terms of stabilizing the head and positioning it. In addition, in neurosurgery clinics, the use of pin head clamp is required to use the navigation system effectively. In pediatric cases, complications after the use of pins head clamp are rare, as reported in the literature. This paper presents a pediatric patient with posterior fossa tumor and hydrocephalus, who developed depression fracture and epidural hematoma after the use of Mayfield 3-pin clamp head. For this reason, the patient underwent emergency surgery a second time and the epidural hematoma was evacuated to obtain decompression. Epidural bleeding, which is a complication of the pinned clamped head, is frequently described in the literature, often in the pediatric cases accompanied by posterior fossa tumor and hydrocephalus. In this type of pediatric cases, a safe study for the use of pin clamp head is not yet available in the literature.
Uterine submucosal leiomyomas: modern diagnosis and miniinvasive surgery
Authors:   CAROL DAVILA UNIVERSITY OF MEDICINE AND PHARMACY, FACULTY OF GENERAL MEDICINE, BUCHAREST, ROMANIA, Balalau Oana Denisa , Loghin Mihai-George , Vasilache Sabin , Olaru Octavian Gabriel , Paunica Ioana , Conea Ileana Maria
Published: November 2021

Uterine leiomyomatosis is one of the most common benign pelvic tumors diagnosed in women aged 25-44 years. Clinically, it is manifested by vaginal bleeding, pelvic pain, infertility, digestive and urinary symptoms. The diagnosis of uterine fibroids requires careful clinical and paraclinical evaluation. Based on these data, the therapeutic decision is conducted in most cases. The treatment of uterine leiomyomatosis involves several procedures, such as: total abdominal hystectomy, total vaginal hystectomy, abdominal myomectomy, vaginal, laparoscopic or hysteroscopic myomectomy. Hysteroscopic myomectomy is currently the preferred procedure for submucosal fibroids. It has multiple advantages: shorter recovery time, reduced pain related to movements, shorter duration procedure and fewer risks. The procedure has few contraindications. The most common complication is recurrence. The treatment of choice for prolapsed pedunculated submucous leiomyoma is vaginal myomectomy. As described, the procedure has multiple advantages and generally has a low recurrence rate.
A comparative study of Desarda’s mesh free inguinal hernia repair with modified Bassini’s repair
Authors:   AMBEDKAR MEDICAL COLLEGE & HOSPITAL, DEPARTMENT OF GENERAL SURGERY, BANGALORE, Khan Hosni Mubarak , Patwari Tirumal Rao
Published: November 2021

Objective. This is a prospective study of 50 cases of inguinal hernias which were treated through open inguinal hernia repair techniques. The study was conducted with the objective of comparing the effectiveness of these procedures and complications. Materials and Methods. A number of 50 cases of inguinal hernias admitted to Dr. BR Ambedkar Medical College and Hospital were selected on the basis of the non-probability (purposive) sampling method. All the patients with direct and indirect uncomplicated hernias treated by means of an open approach were included. After the preoperative preparation, they were randomly chosen either for Desarda’s or Modified Bassini’s repair techniques. Results. In the postoperative period, moderate pain was experienced by 19 patients included in the Desarda group and 17 patients included in the Modified Bassini’s repair group on day 1. The postoperative wound infection developed in 2 cases of Desarda and 3 cases of Modified Bassini’s, erythema was observed in 2 cases of Desarda and 3 cases of Modified Bassini’s, 3 cases reported the occurrence of seroma in the Desarda group and 4 cases of seroma were recorded in the Modified Bassini’s group. Conclusions. The patients who underwent Desarda repair complained of a higher intensity of pain, which could probably be attributed to the extensive dissection involved. The duration of Desarda repair was longer due to the learning curve of the surgeons in our hospital. The return to normal gait and normal activities was significantly lower in the Desarda group. The duration of hospital stays and the postoperative complications was not significantly different in the two groups. There were no recurrences in either of the groups until the current study.
Ankle arthrodesis using computer assisted external fixator in patients with end-stage ankle arthrosis
Authors:   PROF. CEMIL TASCIOGLU CITY HOSPITAL, DEPARTMENTS OF ORTHOPEDICS AND TRAUMATOLOGY, ISTANBUL, TURKEY, Karslioglu Bulent , Tekin Ali Cagri , Tekin Esra , Tasatan Ersin
Published: November 2021

Objective. Ankle arthrosis is an end stage disease for the ankle that happens because of posttraumatic arthropathies or inflammatory diseases. Ankle arthrodesis is the gold standard for ankle arthritis. We present the functional outcome for a mid-term follow up study of the patients who underwent trans fibular ankle arthrodesis fixated with hexapod type external fixator through a distal fibular grafting technique. Materials and Methods. A number of 18 patients with trans fibular ankle arthrodesis were included in this study, out of which 6 were female and 12 were male. The mean age at surgery was 57.6 (ranging from 45 to 73). All the patients underwent follow up for a mean follow up period of 27.5 months (ranging from 24 to 35 months). One of the patients had undergone ankle-related surgery for 9 times. The others had undergone 4 or more ankle-related surgeries. Results. Ankle fusions resulted in bony union within postoperative 4.1 months (ranging from 3 to 6 months). None of our patients had superficial or deep infection, soft tissue problems or problems about the external fixator. The mean preoperative AOFAS score was 52.4, and the postoperative AOFAS score was 78.2. We had 7 excellent (38.8%), and 11 (61.1%) good results. We had two cm shortening in 2 patients, 1.5 cm shortening in 1 patient and 1 cm in 5 patients. Conclusions. We have found this method to be useful to be applied to patients, especially to those who undergo lots of surgeries and for whom amputation is a last option.
The effects of levosimendan on renal functions in open-heart surgery patients with a low ejection fraction
Authors:   BAŞAKŞEHIR ÇAM VE SAKURA CITY HOSPITAL, DEPARTMENT OF CARDIOVASCULAR SURGERY, İSTANBUL, TURKEY, Yazıcı Süleyman , Karabulut Mehmet N. , Baysal Ayşe , Zeybek Rahmi
Published: November 2021

Purpose. This study investigated the effects of levosimendan on renal functions in patients with a preoperative low ejection fraction undergoing open-heart surgery and cardiopulmonary bypass (CPB). Materials and Methods. The study retrospectively evaluated 64 patients with a diagnosis of mitral valve insufficiency and left ventricular dysfunction undergoing open-heart surgery with CPB. Patients were divided depending on the preoperative blood creatinine level less (Group 1) or more than 1.2 mg/dL (Group 2). A bolus dose of levosimendan was administered through the aortic arch at the end of the CPB, preceding an infusion of levosimendan intravenously in all patients. Demographic data, preoperative and 48-hour postoperative echocardiographic studies were done. The blood urea and creatinine levels were collected preoperatively and on postoperative days 1, 3, and 10. The use of inotropic support, intra-aortic balloon pump, and complications were recorded. Results. The demographic data were similar between groups (p>0.05). Preoperative serum creatinine levels were higher in Group 1 in comparison to Group 2 (p=0.01, p<0.001, respectively). The aortic cross-clamp and cardiopulmonary bypass times were similar between groups (p>0.05). Preoperative serum creatinine levels were higher in Group 1 in comparison to Group 2 (p<0.001). On postoperative day 1, serum creatinine levels of Group 1 were significantly lower than Group 2 (p<0.001). On postoperative days 3 and 10, no differences were observed regarding serum creatinine levels between groups (p>0.05). Complications were similar between groups (p>0.05). Conclusions. In patients with low ejection fraction undergoing open-heart surgery, the use of levosimendan intraoperatively and 24 hours postoperatively prevents deterioration of renal functions in patients with or without preoperative disturbance in serum creatinine level.
Postoperative morbidity differences between proximal and distal knee saphenous harvesting in coronary artery bypass graft surgery
Authors:   SULTAN 2. ABDULHAMID HAN TRAINING AND RESEARCH HOSPITAL, DEPARTMENT OF CARDIOVASCULAR SURGERY, ISTANBUL, TURKEY, Selçuk Ismail , Selçuk Nehir , Güven Bülent Barış
Published: November 2021

Objectives. Coronary artery bypass grafting (CABG) is the most common procedure in cardiac surgery and the great saphenous vein (GSV) are the preferred conduits. The effects of saphenous vein incision (SVI) harvesting site choice on SVI wound complications, pretibial edema, and the need for compression stockings were evaluated retrospectively in patients undergoing CABG surgery. Materials and Methods. A total of 1900 patients operated for CABG between 2003 and 2021 in our clinic were included in this study, with GSV harvest performed at below-knee level (Group-A, n:841) and above-knee level (Group-B, n:1059). SVI was made 2 cm superior and 1 cm anterior to the medial malleolus in group-A; and 3 cm superior to medial epicondyle, extending to 3 cm inferior to the inguinal ligament in group-B. Examination for edema was made with 4-5 seconds of thumb pressure at the ankle level, then the depth of the pit was measured. Results. Ankle edema (Group-A n:132, Group-B n:25), the use of compression stockings (Group-A n:97, Group-B n:13), and paresthesia (Group-A n:51, Group-B n:10) were different between the two groups and the differences were statistically significant. However, prolonged wound healing (Group-A n:11, Group-B n:38), superficial wound infection (Group-A n:6, Group-B n:11), hematoma (Group-A n:4, Group-B n:9), and lymphorrhea (Group-A n:4, Group-B n:7) incidences were not statistically different between the two groups. Conclusions. Among patients with GSV extracted using the open conventional surgery technique, pretibial edema, paresthesia, and compression stocking use were observed less frequently in patients with preoperative doppler-ultrasonography evaluation and above-knee saphenous harvest.
The predictive role of monocyte-lymphocyte ratio and plateletlymphocyte ratio in postmenopausal osteoporosis
Authors:   UMRANIYE TRAINING AND RESEARCH HOSPITAL ELMALIKENT MAHALLESI ADEM YAVUZ CADDESI, ÜMRANIYE, ISTANBUL, TURKEY 34764, Kale Ibrahim
Published: November 2021

Objective. To investigate the relationship between neutrophil to lymphocyte ratio (NEU/LY), monocyte to lymphocyte ratio (MO/LY), platelet to lymphocyte ratio (PLT/LY), mean platelet volume to lymphocyte ratio (MPV/LY), mean platelet volume to platelet ratio (MPV/PLT), plateletcrit to platelet ratio (PCT/PLT) and postmenopausal osteoporosis. Materials and Methods. The data of the patients who were admitted to Ümraniye Training and Research Hospital between January 2017 and July 2020 and had both bone mineral densitometry and hemogram tests on the same day were retrospectively scanned. A number of 177 patients who had been in natural menopause for at least one year and did not have any chronic disease nor used any medication were first divided into 3 groups: a number of 48 patients with osteoporosis, 103 with osteopenia and 26 patients included in the control group. Later on, 177 patients were divided into two groups: 151 patients with low bone mineral density and 26 patients were included in the control group. Results. There was no difference between the three groups in terms of NEU/LY, MPV/LY, MPV/PLT and PCT/PLT. The MO/LY ratio and PLT/LY ratio were statistically significantly higher in the osteoporosis group (p = 0.002, p <0.001, respectively). The MO/LY ratio was significantly higher in the group with low bone mineral density compared to the control group (p = 0.011), while there was no statistical difference between the two groups in terms of PLT/LY ratio (p = 0.281). Conclusions. This study shows that MO/LY and PLT/LY are quite simple and cheap markers that can be used in the diagnosis of postmenopausal osteoporosis and MO/LY in the diagnosis of postmenopausal low bone mineral density.
The reality of solid waste management in Iraq and ways of development
Authors: AL-MOHAMMED Mohammed Ali , ULUTAGAY Gözde , ALABDRABA Waleed M. Sh.
Published: November 2021

Solid waste management operations are collecting, transportation, and disposal of residential, commercial, institutional, construction, demolition, and wide street areas; the result of the daily activity of humans needs to be properly managed. Iraq faces many problems associated with its unregulated solid waste systems. First, however, this study examined the reality of solid waste management in Iraq and ways to develop it. The total number of participants in this research was 326 participants .The data collected in February and March 2021, interview methodology and questionnaire which used, and the analysis software used for this research is IBM SPSS version 23; the two methodologies were used and combined to reach the largest possible amount of qualitative and quantitative information that may be absent from the researcher and to reach good results and outputs for the research, for reasons including obtaining more and deeper information to reach the largest segment of society and to achieve the goals of the thesis and obtain good results by integrating the two methodologies. The study concluded by analyzing the data, The municipality’s weak role and the lack of regular timetables in organizing waste collection and transportation operations, and 64% agreed that there are not sorting of waste from the source; also, the lack of cooperation and coordination between the public and the municipality, 39% agreed that most municipalities do not have healthy and environmentally safe landfills for waste disposal, 33% strongly agreed that there are no appropriate policies and laws that enhance the effectiveness of solid waste management, 49% strongly agreed that residents are ready to sort the waste in the designated place in case the municipality provides the containers, 53% agreed that residents are willing to pay for collecting waste from their homes or stores. After analyzing the study results, Iraq needs stations for sorting and transporting waste and stations for recycling plastic, paper and metals. Also, there is a need for sanitary landfills compatible with environmental conditions, and the municipality should play a greater role and give the private sector a greater role in the solid waste management process and overcome obstacles that hinder the work of investment companies, in addition to raising community awareness through holding educational workshops. For example, in schools and universities to spread environmental awareness in the community.
Punching Strength of Reactive Powder Reinforced Concrete Flat Slabs
Authors: Al-Mashaykhi Mustafa , Alsubari Belal , Abdurrahman Mazin B. , Hussein Aayat A.
Published: November 2021

This research is devoted to investigating experimentally the punching shear strength of reactive powder concrete slabs under monotonic loading. All slabs have the same flexural reinforcement and same dimensions (1000mm length,600mm width,50mm thickness). The experimental program includes casting and testing of sixteen slabs tested under monotonic loading. The major parameters adopted in the current research include the shape of column (circle, square), column size (twocolumn sizes), number of columns (one, two), and the distance between two columns (3d,5d,7d). Results showed that, the slabs with circular column sections have slightly higher ultimate load than those with square column sections. An increasing column area increases the load of punching shear failure. It was found that the ultimate failure load for slabs with two columns is greater than the slabs with one column. Related to the effect of distance between the two columns for monotonic, it was found that the slabs maximum load reaches the maximum value at distance between the two columns equal to(7d) for a circular section with a diameter of 85mm and 113mm and square section with dimensions of (100*100)mm. While the maximum failure load reaches the maximum value when the distance between two columns (d) for a square section with the dimension of (75*75)mm. Related to the crack patterns, it was noticed that for slabs with larger columns sections with the distance between columns equal to 7d, the failure zone extended (in a large direction) to the slab sides.