bluuebunny/crossref_metadata_2025 huggingface dataset:
THE FORTIFIED SETTLEMENT IN CHOTYNIEC IN PREVIOUS STUDIES
Authors: Czopek S. , Trybała-Zawiślak K. , Tokarczyk T.
Published: June 2022

The article presents the current state of research on the hillfort in Chotyniec, excavated since 2016. The scope and methods of excavations and other research works (e. g. geophysical prospection) are discussed. So far, the focus has been on studying the «zolnik» and identifying the embankments, uncovering an impressive array of artifacts and recording very interesting stratigraphic observations. The original size of the «zolnik» can be calculated (estimated) on the basis of the preserved systems of scattered layers, saturated with burning and charcoal. In the horizontal projection, they marked an almost circular surface with approximate dimensions of 20.8 (E—W) × 21 m (N—S). The maximum height of the «zolnik» could be up to 2 m from its base. The arrangement of layers turned out to be very interesting, allowing the reconstruction of the stages of setting up and using this object. It provided an exceptional amount of artifacts — fragments of ceramics, including Greek amphoras for wine, brown and bone arrowheads, brown pins, a necklace and small ornaments, glass and ceramic beads, clay spindles, «katushki» and a fragment of a figurine. The series of other ceramics is also very important, among which typical forms like pots and bowls. Completely reconstructed amphora of Klazomenei, as well as fragments of others, including those related to the Lesbos circle, indicate a convergent chronology at the end of the 7th and the beginning of the 6th century BC. A similar chronology is shared by brown and bone arrowheads, representing different types within four main groups dated from the end or even from the 2nd half of the 7th century BC to the middle of the 6th century BC. On the other hand, the series of radiocarbon dates, in connection with the stratigraphy, shows a slightly different chronological range. It confirms the older horizon from the second half of the 7th century, but also clearly points to the 6th—5th centuries BC, and one of the dates is even younger. The hillfort in Chotyniec, together with the surrounding settlements, forms a very interesting settlement complex — the most northwestern enclave of the Scythian cultural circle. We can say that it is an extremely interesting microregion, and its importance is multifaceted. It concerns the possibility of getting to know the relations (e. g. chronological, functional, etc.) of the settlement and its surroundings, which is not so common in the archeology of the Early Iron Age in this part of Europe. In a broader territorial perspective, the Chotyniec agglomeration forces corrections to the existing, well-established findings on the relationship of the Scythian world with other cultures — e. g. the Lusatian cultural circle or a group of groups and cultures in Volhynia.
PRELIMINARY INFORMATION ABOUT THE FOUNDRY OF THE RESIDENTS OF SHYRIAEVE HILLFORT
Authors: Karavaiko D. V.
Published: June 2022

The Shyriaeve hillfort has been permanently explored for 5 years. Сonsidering the excavations of the late 1940s and 1950s, the total excavation area reaches 556 m2. The period of existence of the fortified settlement covers the late 6th—4th centuries BC. As a result of recent work, three chronological horizons have been distinguished. The spectacular material is obtained which allows us to get closer to the characteristics of different aspects of life of ancient inhabitants.

One of the least studied cases is the degree of development of the bronze foundry. The information available today allows us to describe this craft in general terms and draw preliminary conclusions.

Copper and (or) bronze were imported goods. Finds of the fragments of amphorae, glass beads and cowrie shells should be included in the category of other imported items. Exchange links with the neighbors have been established but the extent of their intensity remains unclear.

The consequence of activities of local craftsmen are the findings of clay tapholes and crucibles. Other tools, including chisels, are made of iron. There is no complete certainty about its use by artisans — foundries, because such things were multifunctional.

Other finds include the bronze or copper bars which were commodity ingots, in the primary raw material for smelting various products. Craftsmen also used colored scrap metal in the form of various plates and fragments of objects.

Indisputable evidence of local production is its remnants in the form of splashes. The conducted analyzes with care allow to assume smelting of copper from ore directly within the settlement.

The ways of getting copper ore (bronze) and a number of other things to the Shyriaeve hillfort have not been clarified yet. It is possible to assume that the main importer was the hillfort of Basivka — the central point of the Sula river basin. To date there is little material for a full analysis of the foundry of the residents of the Shyriaeve hillfort. Its study has just begun.
THE GREAT SILK ROAD WHICH DID NOT EXIST
Authors: Khazanov A. M.
Published: June 2022

Interregional long-distance trade in silk certainly existed in ancient and medieval times, but the transcontinental and regular «Great Silk Road», whether overland or even maritime, is a myth, a phantom. Its existence is not confirmed either by written sources or by archaeological data. A concept of the Silk Road implies at least know­ledge of macro-routes and their final destination, as well as transcontinental connectivity. The latter, if it existed in antiquity and medieval times at all, was much more occasional than regular and intentional. As a rule, such trade involved many middlemen. The «Silk Road» and the trade in silk, even a trans-regional one, are quite different notions. The transcontinental overland trade existed in but a few short-lived historical periods; it was neither confined to silk nor was it even a road. The «silk roads» were only one of many long-distance continental and transcontinental trading itineraries that existed in the Old World in premodern times. It is also important to remember that transcontinental trade was limited only to high-value, low-volume goods. The exotic appeal of long-distance trade in luxuries combined with a striving for political correctness often results in distorted and exaggerated opinions on premodern commerce in general. Not only silk and other luxury and prestige goods, but also people, religions, languages, scientific knowledge, inventions, innovations, new technologies, know-how, chemicals, minerals, metals, plants, medicine, cultural transmissions and artistic styles and fashions, cuisine, and musical instruments moved along its numerous itineraries, but on the negative side, epidemic diseases and epizootics were also disseminated across Eurasia along with them. Finally, it is worth stressing again that the long-distance Eurasian trade not only directly or indirectly stimulated movements of people and created ethnic diasporas. Frequently it was just members of these diasporas who brought new knowledge and technological knowhow and contributed to their practical applications in the new milieus. That was the main achievement of Eurasian trade, with no continuity between the trade in silk in the ancient and medieval times.
Die Immunantwort bei SARS-CoV-2 und ihre Folgen
Authors: Schmidt Reinhold E.
Published: June 2022

Der Beitrag von Reinhold E. Schmidt, den nach dessen Tod Dieter Kabelitz für die Veröffentlichung überarbeitet hat, widmet sich der Immunologie bei den Infektionen mit SARS-CoV-2. Bei dem hervorgerufenen Krankheitsspektrum
spielt das Immunsystem, also die Abwehr-Reaktionen des Körpers gegen das Coronavirus, eine sehr große Rolle. Der Beitrag führt ein in die komplexe Immunantwort bei SARS-CoV-2, die immer noch nicht ganz klar ist und selbst für
Experten für Immunologie noch Neuerungen bereithält. Neben den Mechanismen und den positiven wie negativen Folgen der Immunantwort wird auch die Möglichkeit der Beeinflussung insbesondere durch Impfungen beschrieben.

The paper by Reinhold E. Schmidt, which was revised for publication by Dieter Kabelitz after his death, is devoted to immunology in SARS-CoV-2 infections. The immune system, i.e. the body's defense reactions against the
coronavirus, plays a very important role in the spectrum of disease caused. The article introduces the complex immune response in SARS-CoV-2, which is still not completely clear and still holds novelties even for experts
in immunology. In addition to the mechanisms and the positive and negative consequences of the immune response, Schmidt also shows the possibilities of influencing it, especially through vaccination.
Zusammenfassung des Vortrags Rehabilitationen nach Corona-Virus-Erkrankungen : Besonderheiten und Wirksamkeit von Jördis Frommhold
Authors: Stephani Ulrich
Published: June 2022

Bericht über den Vortrag Jördis Frommholds, die im Rahmen der Ringvorlesung Die Coronavirus-Pandemie und ihre Folgen II der Christian-Albrechts-Universität zu Kiel über Rehabilitationserfahrungen und -Erkenntnisse
aus Ihrer Arbeit mit Patient*innen, die eine Coronavirus-Erkrankungen überstanden haben: Sie teilt sie in drei Gruppen ein: 1. die ohne erkennbare Folgen Genesenen, 2. die ›Spätgenesenen‹, die eine schwere, z.T.
lebensbedrohliche COVID-Erkrankung mit vorübergehendem Lungenversagen überstanden haben und bei denen Reha-Maßnahmen der Lungenfunktionen gut ›anschlagen‹ und 3. die ›Krankgenesenen‹ mit eher leichtem COVID-Akutverlauf,
die nach einer symptomarmen Phase z.T. mehrwöchig kognitiv leistungsgemindert und extrem antriebsschwach sind: ›Long COVID‹- und ›Post COVID‹-Symptome, deren Ursachen noch nicht gänzlich klar sind. Als Chefärztin der
Abteilung für Atemwegserkrankungen und Allergien in der MEDIAN Klinik Heiligendamm führt Jördis Frommhold Rehabilitationsmaßnahmen für Patient*innen der Gruppe zwei und drei durch, die sie mitentwickelte.
Im Rahmen der Studie Re_Co – Medizinische Rehabilitation nach einer Corona-Erkrankung beteiligt sie sich ferner an der Untersuchung von Reha-Effekten nach COVID-19-Erkrankungen.

Report on the lecture by Jördis Frommhold as part of the lecture series Die Coronavirus-Pandemie und ihre Folgen II (The Coronavirus Pandemic and its Consequences II) at Kiel University.
Frommhold reported on experiences and findings from her work with patients after COVID: While those without sequelae after COVID (group 1) do not seem to need rehabilitation, having those after severe pulmonary
insufficiency with intensive care treatment (group 2) an high demand on rehabilitation measure for their lungs – finally with a good prognosis; the third group suffering from ›Long COVID‹ and ›Post COVID‹ symptoms,
mostly weeks to months after a moderate acute phase of COVID with cognitive and physical weakness. As head physician of the department for respiratory diseases and allergies at the MEDIAN Clinic Heiligendamm,
Frommhold carries out rehabilitation measures, which she helped to develop. Within the framework of the study Re_Co - Medical Rehabilitation after a Corona Disease, she is furthermore involved in the investigation
of rehabilitation effects after COVID-19 diseases.
UNDERSTANDING THE SIGNIFICANCE OF ORGANIZATIONAL SUCCESSION PLANNING IN MODERN CONDITIONS
Authors:   Financial University under the Government of the Russian Federation, TATYANA V. ALEKSASHINA , VICTORIA I. SMAGINA ,   Russian University of Transport
Published: June 2022

Speaking of organizational succession, we mean long-term development, but not through the prism of profit, but much broader: through cultural values, traditions, principles, cultural spirit, a common understanding of the mission of the organization at every level of the organizational structure. In modern conditions, organizational continuity can and should be developed taking into account digital methods of analysis and evaluation. But this is possible when people in the organization have an understanding of the importance and significance of the activities. The article describes the results of a study on the understanding and feasibility of developing organizational continuity in Russian organizations.
CONDITIONS FOR DIGITALIZATION OF THE ECONOMY AS A BASIS FOR MANAGING THE DEVELOPMENT OF THE SPATIALINDUSTRIAL STRUCTURE OF THE REGION
Authors:   Institute of Economics, Ural Branch of the Russian Academy of Sciences, ANNA A. URASOVA
Published: June 2022

The article is devoted to the analytical analysis of data reflecting significant economic problems in the organization of spatial development of the Russian Federation, expressed in a significant sectoral imbalance. The problems of the development of individual regions in the processes of digital transformation of the Russian economy are actualized. In addition, the paper reveals the content of the concept of “spatial-sectoral structure” based on the theoretical and methodological guidelines of the theory of regional economics. Attention is focused on the influence of digital conditions on individual economic processes in the region that form a single digital space.
Droits culturels
Authors: Lucas Jean-Michel
Published: June 2022

Les droits culturels se voient parfois reprocher un relativisme culturel, une forme de nivellement où « toutes les cultures se valent » émanant d’une définition « anthropologique » très large. C’est vite oublier, explique ici Jean-Michel Lucas, que la culture, au sens des droits culturels, est avant tout une « relation d’humanité » qui veille à respecter les valeurs universelles des droits de l’homme.
Droits culturels
Authors: Zask Joëlle
Published: June 2022

Parce qu’ils privilégient les droits de la personne par rapport à une vision holiste de la culture, les droits culturels visent à l’accomplissement de l’individu à travers sa capacité à prendre part aux divers aspects de son environnement culturel (la langue, l’organisation familiale, les civilités d’usages, etc.). Et ils permettent de protéger ce qui constitue une culture commune de la prédation de quelques individus tout en assurant la distribution égale des ressources culturelles. En cela, nous sommes loin des critiques parfois émises sur leur relativisme culturel ou sur leur propension à faire le lit du populisme.
L’injonction ou l’injection ?
Authors: Legrand Julia
Published: June 2022

Cet article montre que dans un contexte de « pénurie de lits » qui impose la sortie rapide des patients de l’hôpital psychiatrique, l’observance médicamenteuse des patients s’obtient surtout par l’injonction médicale. Au contraire, la prise en charge hors de l’hôpital repose sur un recours massif aux injections de médicaments, une action chimique sur le corps – via le recours des substances à diffusion prolongée, qui font effet durant plusieurs semaines. Enfin, la prise médicamenteuse, parce qu’elle se situe à la jonction entre la contrainte et le consentement, permet de mieux comprendre les reconfigurations contemporaines du pouvoir psychiatrique – et leurs effets.
Discipliner le prescripteur médical (Allemagne, fin du XIX e -fin du XX e siècle)
Authors: Kessel Nils
Published: June 2022

Au cœur de cet article se trouve la manifestation matérielle de la prescription, l’ordonnance médicale. En Allemagne, elle prend la forme d’un formulaire électroniquement lisible et traçable. En étudiant son émergence et son évolution peu linéaire au cours du siècle dernier, l’article propose une lecture alternative aux récits des modernisations technologique et politique dans le domaine de la santé. Il souligne l’intérêt que peut avoir une approche par les « technologies de papier » pour l’étude des systèmes de santé.
Le rôle du retour d’expérience dans la « gamification » des campagnes de crowdsourcing
Authors: Siala Chaïma , Amine Abdelmajid
Published: June 2022

Cette recherche s’attache à comprendre le rôle joué par le type et le moment d’émission du feedback lors des opérations de crowdsourcing dans l’implication des participants dans l’activité de co-création et dans leur engagement envers la plateforme. Les résultats d’une étude qualitative menée auprès de participants à des campagnes de crowdsourcing compétitif, montrent d’une part, que le manque de feedback d’apprentissage ou de motivation au début du concours agit comme un inhibiteur des possibilités d’amélioration des idées ; et d’autre part, que l’incomplétude du feedback sur les critères de sélection des idées gagnantes en fin de concours provoque de la frustration chez les participants et favorise, en cas de perte, leur défection de la plateforme. Codes JEL : O360
Predictors of Acute Care Transfers From Skilled Nursing Facilities: Recommendations for Preventing Unnecessary Hospitalization
Authors: Antony Anu Rose , Champion Jane Dimmitt
Published: June 2022

Preventing acute care transfers from skilled nursing facilities (SNFs) is a challenge secondary to residents' associated debilitated status and comorbidities. Acute care transfers often result in serious complications and unnecessary health care expenditure. Literature implies that approximately two thirds of these acute care transfers could be prevented using proactive interventions. The purpose of the current study was to identify the predictors of acute care transfers for SNF residents in developing relevant prevention strategies. A retrospective chart review using multivariate logistic regression analysis showed increased odds of SNF hospitalization was significantly associated with impaired cognition, chronic obstructive pulmonary disease, and chronic kidney disease, whereas decreased odds of hospitalization was identified among non-Hispanic White residents. Study recommendations include prompt assessment of comorbid symptomatology among SNF residents for the timely management and prevention of unnecessary acute care transfers. [
Research in Gerontological Nursing, 15
(4), 172–178.]
Factors associated with poor sleep quality and excessive daytime sleepiness in late pregnancy: A pilot study in an antenatal unit
Authors: Yasaratne D. , Deen A. , Anuththara T. , De Silva D. , Ratnayake C. , Kandauda C. , Undugodage C.
Published: June 2022

Objectives: To assess factors associated with poor sleep quality and excessive daytime sleepiness (EDS) in late pregnancy.Methods: A cross sectional study was carried out on 109 pregnant women in their third trimester admitted to Teaching Hospital Peradeniya using validated Sinhala translations of both Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS). Consecutive sampling was used from February to April 2021.Results: Application of PSQI demonstrated that 59.6% had a poor overall sleep quality (PSQI score>5). Subcomponent analysis showed poor sleep duration (< 06 hours per day) in 27.5%, sleep latency of over 30 minutes in 29.4%, poor sleep efficiency among 33.9% and day-time dysfunction in 30.3%. Poor overall sleep quality was associated with presence of foetal movements (OR=11.8, 95% CI=1.5-93.5) and backache (OR=3.8, 95% CI=1.2-12.3). Poor sleep duration was associated with the presence of one or more pregnancy related complications (OR=3.4, 95% CI=1.4-8.5) and advanced maternal age over 35 years (OR=3.7, 95% CI=1.4-9.7). Increased sleep latency over 30 minutes was seen in mothers over 34 weeks of gestation (OR=9.1, 95% CI=2.9-28.6) and over 10kg of weight gain (OR=5.3, 95% CI=1.2-24.4). Application of ESS demonstrated 26.6% had EDS, which was associated with maternal employment (OR=2.8, 95% CI=1.1-7.1) and higher educational status (OR=4.7, 95% CI=1.5-15.1). EDS did not result in poor sleep quality, however, mothers experiencing insomnia had a higher PSQI score (Mean ± SD 7.2±3.7 vs 6.2±3.4 hours, p=0.044).Conclusion: Majority of pregnant women in third trimester had poor overall sleep quality. EDS was seen among one fourth. Modifiable risk factors were associated with poor sleep quality and EDS.
The great imitator, revisited
Authors: Oliveira Nikhil , Kandathil Lorraine Joseph , Tchernev Georgi
Published: June 2022

Our study shows an atypical presentation of primary syphilis inappropriately treated with surgery: a 36-year-old male visited our clinic for a consultation 2 weeks after surgery, since he had noticed a recurrent lesion on the glans head of the penis. Clinical data, histologic pictures and serological tests, confirmed the diagnosis of an atypical presentation of primary syphilis; in addition, Chlamydia trachomatis infection was found. The patient was started on a course of doxycycline 100 mg tablets, twice daily for 4 weeks. At follow up, there was complete remission.
Solitary humerus metastasis in a young endometrial cancer patient
Authors: Bala S. V. S. , Malik Deepika , Seam Rajeev K.
Published: June 2022

Solitary bone metastasis in endometrial cancer is very rare. We report a young 29-year-old nulliparous female of endometrial cancer who developed solitary humerus metastasis after 8 months of primary treatment of surgery and adjuvant radiotherapy and chemotherapy. She was treated with local radiotherapy and combination chemotherapy and bisphosphonates. At 6 months follow-up the patient is doing well and is asymptomatic. Even though rare, keeping a high index of suspicion and sincere evaluation in patients on follow-up presenting with bone pains can detect early recurrences. Timely start of multimodality treatment helps relieve symptoms and improves quality of life.
Comparison of two schedules of hypo-fractionated radiotherapy in locally advanced head-and-neck cancers
Authors: Adlakha Pramila , Maheshwari Guncha , Dhanawat Aditya , Sinwer Rajesh , Singhal Mukesh , Jakhar Shankar Lal , Sharma Neeti , Kumar Harvindra Singh
Published: June 2022

Aim:

In India, more than 70% patients present as locally advanced head-and-neck cancers (LAHNC), with poor performance status and are suitable candidates for palliative radiotherapy (RT) aimed at symptom relief. This prospective study aims to compare two different short course hypo-fractionated RT regimens in patients of LAHNC at a regional cancer centre of north-west India.

Materials and Methods:

A total of 70 patients of LAHNC were randomized to receive palliative RT in two groups of 35 each. Group A received 30 Gy/10# over 2 weeks and Group B received 20 Gy/5# over 1 week. Baseline symptoms of pain, dysphagia, insomnia, dysphonia, bleeding, fungation, and dyspnea were assessed before the start of study. The first assessment for toxicities, subjective and objective response was done at the conclusion of RT and then after 4–6 weeks.

Results:

Out of total 70 patients, 71% were males and 29% were females with a median age of 54 years. The most common sites were oropharynx (39%) followed by larynx (24%), oral cavity (20%), and hypopharynx (17%). Nearly 60% of the patients in both groups presented in stage IV and 40% in stage III. At conclusion of RT and at 4–6 weeks follow-up, both groups showed similar results in terms of symptom palliation, objective response, and acute toxicities. Group B showed higher incidence of Grade III and above mucositis (P = 0.027). Median overall survival was found to be 5.9 months (range 1–15 months) in group A and 6.1 months (range 1–18 months) in Group B.

Conclusion:

Hypo-fractionated RT promises to effectively relieve symptoms in LAHNC and reduces the need of analgesics and hospital visits. Furthermore, a shorter overall treatment time is beneficial at high volume centers and is also welcomed by patients with shorter life expectancy.
Bodyright campaign
Authors: Shrivastava Saurabh RamBihariLal , Shrivastava Prateek Saurabh
Published: June 2022

Gender-based violence refers to all forms of detrimental actions to target a single person or a group of them depending on their gender. This predominantly includes violence directed against women and includes all forms of violence (in the real world to online violence). We must understand and accept that even though these incidents are happening in the online world, the internet has become such an integral part of human life that the outcome of such violence is seen in the real life. The United Nations Population Fund has initiated a new online campaign in the name of Bodyrights, which is the new copyright mark to proclaim and demand security from the various incidents of digital violence. To conclude, gender-based violence has been reported universally, and the same things are on the rise even on the online platform, wherein women and girls are being targeted and their dignity and reputation are being tarnished. This calls for the need to raise to the occasion and the policy-makers and the technology companies should offer complete support to not only punish the offenders but even reduce the incidence of such events in the present and the future.
Community mapping of COVID-19 cases admitted from April to June 2020 at a tertiary health care hospital in Raigad district in Maharashtra, India
Authors: Jadhav Saili , Waingankar Prasad , Thakur Mansee
Published: June 2022

Introduction:

At end of 2019, a novel coronavirus caused severe acute respiratory syndrome, which emerged in Wuhan, Hubei province of China. Health professionals have always used conventional mapping (in recent times geographic information systems [GIS] mapping) as a useful tool for better tracking which further facilitated better management of deadly contagions such as SARS-CoV 2. This study aimed to map geographically the positive patients admitted in a dedicated COVID-19 hospital which is a tertiary care hospital from April to June 2020 to gain insight into the local viral transmission and pattern of geographical spread because of ongoing cluster transmission.

Objectives:

The aims of this study were (1) to locate geographically the COVID-19 cases admitted from April to June 2020 at a tertiary health-care facility, (2) to study trends and patterns of geographical spread, and (3) to identify geographical clustering of cases, if any.

Materials and Methods:

This was an observational, cross-sectional, secondary data-based study. The study was conducted at MGM Medical College Hospital, Kamothe. The data were collected from existing surveillance and lab data records. The data were analyzed in Excel and Epi info. Specialized GIS software was used for mapping to Taluka level based on patients’ addresses using standard “.shp” files for the local area.

Results:

There were a total of 968 cases. The majority of which were from Raigad district (839, 87%). The Panvel taluka in Raigad District having Panvel as a major city and the thickly populated urban area has shown clustering of cases extending to neighboring Uran taluka.

Conclusion:

For better preparedness, we need to keep tracking new outbreaks through GIS and promote further advances in mapping technologies.
Correlation of biomarkers and radiological findings among COVID-19 patients
Authors: Kumar Subbarao Anil , Shyam Karthik , Kulkarni Shruthi
Published: June 2022

Introduction:

The severity of COVID-19 is classified based on clinical, laboratory, and radiology characteristics. Although chest X-ray (CXR) is not sensitive in early stage disease, it can be useful in assessing the rapid progression of lung abnormalities in COVID-19. While CXR findings correlate with the severity of the disease, computed tomography (CT) scans of the chest are widely and repeatedly done. As it exposes the patient to a large dose of radiation and risks the spread of infection to other patients, it is worthwhile to explore the utility of CXR to overcome the above problem, especially in resource-poor settings.

Materials and Methods:

Inpatients with reverse transcriptase–polymerase chain reaction (RT-PCR)-positive COVID-19 irrespective of severity, admitted in the COVID wards from June to September 2020, were included in a retrospective study. CXR done at admission was scored for radiological severity of COVID-19 by an independent radiologist, unaware of the clinical/laboratory parameters of patients. It was then co-related with clinical severity and standard biomarkers at admission.

Results:

We studied 400 patients, the mean age (SD) was 53.69 (15.43) years, 268 (67%) were males, the majority of them were symptomatic (95%), 192 (48%) had severe disease, and 238 (59.5%) patients had co-morbidities. Receiver-operating curve (ROC) for CXR severity score showed a threshold of 3.5 to predict severe COVID, which had a positive predictive value of 71% and a negative predictive value of 73%. Using Pearson’s correlation coefficient, CXR severity scores significantly correlated with the clinical severity and standard biomarkers.

Conclusion:

With the overwhelming number of COVID-19 patients burdening the healthcare system, monitoring of the severity of the disease can be achieved with regular clinical assessment and laboratory parameters with limited radiation exposure, avoiding repeated CT scans, especially in resource-poor settings.
Estimation of maternal mortality ratio with sisterhood method in six local government areas of Oyo State, Nigeria
Authors: Onoja Ali J. , Sanni Felix O. , Akogu Simon P. O. , Onoja Sheila I. , Adamu Imam , Yaaba Yakubu O.
Published: June 2022

Background:

The reduction of maternal mortality rate has been the top priority of global health, yet its persistently high rate in Africa is a severe issue that requires the attention of both the individual and policymakers.

Objective:

To determine the maternal mortality rate by applying the sisterhood method in six local government areas in Oyo State.

Materials and Methods:

The indirect sisterhood method was used to collect data concerning maternal mortality. For study purposes, the data were collected from women in the reproductive age group between 15 and 49 years using a structured questionnaire. Statistical Package for the Social Sciences version 25.0 software was used for analyzing the collected data.

Results:

It has been observed that the average maternal mortality rate in the six local government areas was 489/100,000 live births ranging from 346 to 756/100,000 live births. The highest maternal mortality rate was found in Iseyin local government area (756/100,000 live births), followed by 586/100,000 from Saki, 444 from Ibadan North, 430 from Ogbomosho, 374 from Atiba, and the least value of 346/100,000 live births in Ibadan North local government area.

Conclusion:

The maternal mortality rate has been found lower than the previous studies but still unacceptably high, especially among adolescents aged 15–39 years. Therefore, it is advocated that policymakers employ appropriate interventions such as the release of more funds for standard family planning and childbirth spacing programs to minimize maternal mortality in the state.
The Success of Dorsal Onlay Buccal Mucosal Graft Urethroplasty in Challenging Urethral Stricture Cases After Multiple Failed Urethrotomies
Authors: Ozturk SA , Guzel A , Ergun O
Published: June 2022

Background:

Urethroplasty is the gold standard treatment procedure for male patients with urethral stricture and is becoming increasingly popular among urologists worldwide. Procedure success rates have risen with increased experience.

Aims:

Here we aimed to examine the results of urethroplasty in challenging cases of urethral stricture and its effect on sexual function.

Patients and Methods:

Data were collected retrospectively from the patients who had undergone urethroplasty after multiple failed direct vision internal urethrotomy (DVIUs) from 2017 to 2020. All patients were monitored for a minimum of 12 months. Outcomes of urethroplasty were analyzed according to stricture location, length, and the number of prior DVIUs. Penile length and sensation, erectile, and ejaculatory function of the patients were evaluated pre- and postoperatively.

Results:

The patient cohort consisted of 36 males with a mean age of 63 ± 3.2 years. The most prevalent stricture etiology was iatrogenic (83%). Patients who underwent three or more DVIUs before urethroplasty and stricture length >4 cm were included in the analysis. Accordingly, the overall success rate was 83% (30/36). When the success rate and the IIEF5 scores were assessed separately, there was no significant relationship between the number of DVIUs (P > 0.05). Similarly, no significant relationship was also found with the stricture length (P > 0.05).

Conclusion:

Appropriate and correctly applied surgical technique does not impair sexual activity, even in patients with severe urethral stricture, regardless of the length or location of the stricture and the number of prior endoscopic procedures.
Impact of the Individual Counseling Program for Polycystic Ovarya Syndrome Management Among University Students
Authors: Dilek O , Senay UA , Fatih C
Published: June 2022

Background:

Polycystic ovary syndrome (PCOS) is common in women of reproductive age.

Aim:

This study aimed to investigate the impact of individual counseling program which had been designed from the transtheoretical model (TM) for students diagnosed with PCOS.

Patients and Methods:

The study is a prospective randomized controlled trial. The research was carried out in four stages as screening, diagnosis, randomization, selection, and counseling. The data for the analysis were drawn from a sample of 854 students at first and a total of 67 students were administered the scales. The control (n = 33) and experimental groups (n = 34) were formed based on the simple randomization technique. The sample characteristics were voluntary participation, absence of sexual activity for a minimum of 6 months, belonging to the age group of 19–24, an absence of chronic diseases or any physical disability, and a lack of mental disorders. Participants using medication and obtaining scores of above/below 18.5 and below/above 30 on the body mass index (BMI) were not included in the study.

Results:

The prevalence of PCOS among university students was found to be 8.8%. The findings indicated that the majority of the students have been experiencing various physical symptoms such as being overweight, menstrual irregularity, hirsutism, alopecia, acne, and psychological symptoms such as uneasiness, irritability, anger, anxiety, and fatigue. Based on the pretest and posttest scores, it was observed that the anthropometric values and psychological indicators such as the feeling of uneasiness, irritability, anger, anxiety, and fatigue were significantly decreased in the group of PCOS that took the counseling program.

Conclusions:

Individual counseling improved the anthropometric measurements and the clinical findings related to PCOS.
Borderline Amniotic Fluid Index in Nigerian Pregnant Women is Associated with Worse Fetal Outcomes
Authors: Aramabi EO , Ebeigbe PN , Ogbeide AO , Onyemesili CJ
Published: June 2022

Background:

The amniotic fluid index (AFI) is one of the parameters used to assess fetal well-being and predict perinatal outcomes. There is, however, a dearth of studies on the pregnancy outcomes of women with borderline AFI in Nigerian and African women.

Aim:

To compare the pregnancy outcomes of Nigerian women with borderline and normal amniotic fluid index.

Subjects and Methods:

This was a prospective cohort study conducted at two health facilities in Delta State, Southern Nigeria. A total of 114 pregnant women attending the antenatal clinics with singleton pregnancies at gestational age 37 to 41 + 6 weeks were recruited over a 5-month period. Fifty-seven subjects with borderline amniotic fluid index were matched with an equal number of subjects with the normal amniotic fluid index for gestational age, age of the parturient, and parity. These women were followed up till delivery, and pregnancy outcomes were determined. The data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 22 software.

Results:

The results showed that borderline amniotic fluid index was associated with increased risk of adverse pregnancy outcomes including intrapartum fetal distress, Appearance, Pulse, Grimace, Activity, and Respiration (Apgar) score <7 in 5 min, and birthweight <2.5 kg, and these were statistically significant (P = 0.04, 0.01, and 0.04, respectively).

Conclusions:

Borderline AFI is associated with an increased risk of adverse pregnancy outcomes in low-risk Nigerian women.
The Relationship of Psychological Status and Sociodemographic Factors with Bruxism Among Undergraduate Dental Students
Authors: Kaya M , Köroğlu A , Şahin O
Published: June 2022

Background:

Although its etiology is not fully known, the accepted view is that bruxism is a multifactorial disorder.

Aims:

This study aims to evaluate the prevalance of self-reported bruxism and to investigate its relationship with psychological and sociodemographical factors amongst undergraduate dental students in Zonguldak, Turkey.

Subjects and Methods:

250 dental students were asked to fill the bruxism questionnaire – to detect the prevelance of bruxism; personal information form – to determine sociodemographic variables; and symptom checklist-90-R (SCL-90-R) – to asses psychological state. Data were analyzed statistically by Kolmogorov Smirnov, Shapiro Wilk, Mann Whitney U, and Kruskal Wallis tests through Statistical Package for the Social Sciences (SPSS) program.

Results:

The prevalance of self-reported bruxism was 40%. 46% of the students showed higher levels of psychological symptoms. SCL-90-R subscales showed statistically significant differences in students with bruxism compared to those without bruxism (P < 0.05). It was observed that bruxism was associated with gender (P < 0.05) and both bruxism and psychological symptom levels were statistically higher in females (P < 0.05).

Conclusions:

The findings revealed that, although bruxism was common among dental students, gender and psychosocial factors are also mostly associated with the etiology of bruxism. In this context, during the challenging dentistry education period, it is important to direct students who are found to have high levels of psychological symptoms to psychological counseling and guidance services.
Characterization and Modelling of Mounts for Electric Powertrains
Authors: Wojtowicki Jean-Luc , Lecuru Sylvestre
Published: June 2022

The topic of this paper is to deal with the filtering of medium and high frequency excitations generated by electrified powertrains. It is now recognized that the whining noise generated by the electromagnetic forces and/or the meshing process of the transmission can propagate to the car-body through the rubber mounts. In the design phase, the prediction of the structure borne contribution requires a good knowledge of the dynamic behavior of the rubber mounts. The main issue is the stiffness of the mounts which cannot be modeled as pure springs. In fact, the dynamic behavior of a mount is governed by the material rheology and its internal resonances. The work presented in this paper proposes a simulation workflow for the rubber mounts dynamic model and a methodology for the dynamic stiffness measurement including the sensitivity with the preload and with the amplitude of the excitation. Finally, experimental and digital data are compared to assess the simulation method.
Levels of Vitamin D in Some Vitamin D Veterinary Preparations Kept in Different Storage Conditions
Authors: BİLGİLİ Ali , ALAÇIK Onur
Published: June 2022

Bu çalışmada, enjektabl preparatlarda vitamin D 3'ün stabilitesi için uygun saklama koşullarının belirlenmesi amaçlanmıştır. Enjekte edilebilir D vitamini preparatlarında vitamin D 3'ün farklı saklama koşulları altında zamana göre değişimleri belirlendi. Mühürsüz (analizin 0. gününde müstahzar mührü açılmış, diğer günlerde analizler için aynı müstahzar kullanılmıştır) ve mühürlü müstahzarlarda (her analiz gününde yeni müstahzar mührü açılarak analiz yapılmıştır) vitamin D analizleri yapılmıştır. 0, 7, 14, 28 ve 56. günlerde güncel ABD Farmakopesinin değiştirilmiş ve doğrulanmış bir yöntemiyle gerçekleştirilmiştir. D3 vitamini değişikliklerinin 4 °C'de saklama koşulları altında 25 °C'ye göre daha yüksek olduğu bulundu. D vitamini oranı 3Mühürsüz müstahzarlardaki değişiklikler, farklı saklama koşulları altındaki mühürlü müstahzarlara kıyasla önemli ölçüde arttı. Sonuç olarak, enjekte edilebilir vitamin preparatları açıldıktan sonra, oda sıcaklığında ve ışıksız çevre koşullarında uygun şekilde saklanabilmektedir.
Ege Bölgesi Tütün Fidelerine Uygulanan Sıvı Organik Gübrenin Verim ve Verim Komponentleri ile Bazı Kalite Özellikleri Üzerine Etkisi
Authors: KARABULUT Yasemin , EKREN Sıdıka
Published: June 2022

Bu çalışma 2021 yılında Denizli ilinin Tavas ilçesine bağlı Nikfer Köyü’nde bulunan üretici tarlasında Ege Bölgesi tütün fidelerine uygulanan sıvı organik gübrenin verim ve verim komponentleri ile bazı kalite özellikleri üzerine etkisini belirlemek amacıyla yürütülmüştür. Sarıbağlar 407 tütün çeşidinin kullanıldığı araştırma Tesadüf Blokları Deneme Deseni’ ne göre üç tekerrürlü olarak gerçekleştirilmiştir. Çalışmada bitki boyu (cm), yaprak sayısı (adet/bitki), yaprak eni (cm), yaprak boyu(cm), yaprak verimi (kg/da), ekspertiz kalitesi, çiçeklenme gün sayısı, toplam alkaloid oranı, toplam indirgen şeker oranı, amonyum oranı, nitrat oranı incelenmiştir. Araştırma sonuçlarına göre, bitki boyunun 74.3- 76.3 cm, yaprak sayısının 30.7-34.3 adet/bitki, yaprak eninin 5.9- 6.2 cm, yaprak boyunun 12.3-12.9 cm arasında değiştiği saptanmıştır. Çiçeklenme gün sayısının 63-66 gün, toplam alkaloid oranının %0.6-0.91, amonyak oranının %0.057-0.107, toplam indirgen şeker oranının %4.36-5.3, nitrat oranının %0.057-0.107 arasında değiştiği tespit edilmiş olup veriminin sıvı organik gübre (Siapton) uygulamasında 134.8 kg/da, kontrolde ise 112.7 kg/da olduğu belirlenmiştir. Araştırmada kontrolde 67, Siapton uygulamasında 71 randıman elde edilmiş olup en yüksek AG miktarı %50.5 ile Siapton uygulamasında, en yüksek BG miktarı ise %69.2 ile kontrolde tespit edilmiştir.
The Effects Of Iron And Phosphorus Applications On The Yield and Yield Components In Chickpea (Cicer arietinum L.)
Authors: AKTAS Yunus , TOĞAY Necat
Published: June 2022

The research was conducted to determine effects of different levels of iron and phosphorus on the yield and some yield components in chickpea in 2017 in Van ecological conditions. The experiment was laid out in a factorial randomized block design with three replications. The doses were used phosphorus (0, 4 and 8 kg da-1) and iron (0, 1 and 2 kg da-1) in this study. In the study were investigated the plant height, first pod height, branch number per plant, pod, seed number and per plant, seed number per pod, biological yield, seed yield per unit, harvest index, 100-seed weight, protein ratio phosphorus content in seed, phosphorus content in seed and number of nodule. The results of the study indicated that iron and phosphorus applications increased significantly the seed yield and yield components. While the highest seed yield was obtained from 4 kg phosphorus /da + 1 kg iron /da application with 160.4 kg/da, the lowest seed yield was obtained from control parcels with 113.3 kg da-1.
Perkütan Pinleme Ve Splintin Kemiksiz Çekiç Parmak Tedavisi Sonrası Klinik Sonuçları Benzerdir
Authors: KARADENİZ Selami , YURTBAY Alparslan
Published: June 2022

Amaç: Çekiç parmak ortopedi pratiğinde sık görülen bir tendon yaralanmasıdır. Bu çalışmada, kemiksiz çekiç parmak tanılı hastalarda Kirschner teli (K-teli) ile perkütan pinleme ve splint uygulamasının klinik sonuçları geriye dönük olarak karşılaştırıldı.

Gereç ve Yöntem: Çalışmaya, 2011-2020 yılları arasında yaralanmanın ilk yedi gününde distal interfalangeal eklem bozukluğu olan 81 hasta dahil edildi. 42 hastaya ekstansiyon splinti, 39 hastaya K-teli ile perkütan pinleme uygulandı. Klinik değerlendirme Crawford'un çekiç parmak kriterlerine göre yapıldı.

Bulgular: Her iki (ekstansiyon splinti ve K-teli) grup; yaş (p=0.051), cinsiyet (p=0.999), baskın taraf (p=0.999), etkilenen el (p=0.047) ve deformiteye sahip olan parmak (p=0,911) açısından benzerdi. Ortanca takip süresi splint grubunda 17 ay, K-teli grubunda 16 aydı (p=0,632). Gruplar arasında gözlenen komplikasyonlar açısından anlamlı fark yoktu (p=0.107). Ekstansiyon kaybının derecesindeki azalma her iki grupta da anlamlıydı (p
PENGARUH KOTORAN AYAM DAN DEDAK PADI DENGAN PERSENTASE YANG BERBEDA TERHADAP PERTAMBAHAN POPULASI CACING TANAH (Lumbricus rubellus)
Authors: Syahputra Mhd Wahyu , Syafitri Emmy , Afriani Dwi Tika
Published: June 2022

Penelitian ini dilaksanakan pada bulan 12 Febuari – 28 Maret 2022, bertempat di Labolatorium Basah Universitas Dharmawangsa Medan. Penelitian ini bertujuan untuk mengetahui pengaruh kotoran ayam dan dedak padi dengan persentase yang berbeda terhadap pertambahan populasi cacing tanah (Lumbricus rubellus). Metode yang digunakan pada penelitian ini adalah menggunakan metode Rancangan Acak Lengkap (RAL) dengan empat perlakuan dan  tiga ulangan. Perlakuan yang di jadikan penelitian yaitu : P1: menggunakan 100% tanah sebagai kontrol, P2: menggunakan tanah 50% + kotoran ayam 50%, P3: mengunakan tanah 50% + dedak padi 50%, P4: menggunakan tanah 65% kotoran ayam 25% + dedak padi 10% dengan jumlah cacing tanah sebanyak 40 ekor/wadah. Hasil penelitian ini adalah pertambahan populasi cacing tanah (Lumbricus rubellus) terhadpat pengaruh kotoran ayam dan dedak padi dengan presentasi yang berbeda yang dilaksanakan selama 42 hari yang terbaik terdapat pada perlakuan P3 yaitu dengan rata-rata kokon 26,67 butir, juvenil 29,33 ekor dan immature 9,67 ekor, kemudian yang terbnyak kedua yaitu pada perlakuan P1 yaitu dengan rata-rata kokon 19,33 butir, juvenil 21,33 ekor dan immature 5,67 ekor, dan yang paling sedikit yaitu tidak ada pertambahan populasi pada perlakukan P2 dan P4 karena induk hanya mampu bertahan hidup pada media selama 10 hari tanpa mengasilkan kokon.
Vulnerabilidad y desvalorización: las trabajadoras del hogar en el estado de Guanajuato y la falta de garantías en la COVID-19
Authors: Zárate Negrete Laura Elena
Published: June 2022

En este artículo se abordan los problemas sociales y laborales de las trabajadoras domésticas en Guanajuato, México. La contingencia por COVID-19 evidenció qué tan desprotegido está este grupo de trabajadoras, muchas dejaron de percibir total o parcialmente su ingreso, tuvieron que hacerle frente a la pandemia sin un seguro de gastos médicos y lidiar con la incertidumbre de no saber cuándo podrían regresar a trabajar normalmente. El objetivo de este artículo es analizar el nivel de precariedad laboral que tienen las trabajadoras del hogar de Guanajuato, saber cómo les afecta la falta de prestaciones y exponer las situaciones que han enfrentado con el COVID-19. Esta investigación se aborda desde una investigación cualitativa, documental y explicativa. Se hicieron entrevistas semiestructuradas y se analizó la información con un método interpretativo, los resultados permitieron confirmar que las trabajadoras del hogar son uno de los sectores más desprotegidos y están lejos tener condiciones de trabajo adecuadas y las prestaciones laborales que avalen la integridad, desarrollo, salud y seguridad de ellas y sus familias.
La evaluación del cambio como factor clave para ofrecer agilidad estratégica en la transformación empresarial
Authors: Ulloa Roberto Limón , Herrera Richard de Jesús Gil
Published: June 2022

La presente investigación basada en el objetivo de dar respuesta a los nuevos requerimientos tecnológicos y sociales, donde todas las empresas se enfrentan a la llamada transformación empresarial. La gestión del cambio es uno de los aspectos sustantivos o métodos utilizados por las organizaciones para frenar la aumento persistente del dinamismo como resultado de cambios en las tecnologías u otros factores. La mayoría del tiempo, los gerentes y/o los líderes están buscando cambios. La gestión como la parte más difícil es una actividad que requiere consideración especial y gran habilidad. Un punto de partida para responder a las demandas cambiantes es mejorar la capacidad de la empresa para operar de manera flexible y, por lo tanto, aumentar su agilidad. Es por ello que, con este documento, se contribuye a la discusión en curso sobre el cambio de las estructuras organizacionales corporativas. Se ha utilizado un diseño de estudio de tres etapas para proporcionar información sobre la cuestión de si la agilidad es un requisito previo o una consecuencia de la transformación empresarial. Además de un análisis de la literatura, se presentan los resultados de entrevistas de grupos focales con gerentes de empresas seleccionadas al sector de la industria del software.