bluuebunny/crossref_metadata_2025 huggingface dataset:
Rubber tree fruit in the eye
Authors: Maneksha Velu , Kavya Setty , Chakrabarty Sabyasachi
Published: April 2022

Orbital foreign bodies are seen commonly, but the presence of an unusually large organic foreign body in-toto in the orbital cavity is rare. Here, we are discussing a case of the organic orbital foreign body following a fall. A 22-year-old gentleman with a history of fall presented to us with a large organic foreign body in his right orbit with the collapsed globe. Following thorough history and evaluation, the foreign body was removed and the globe was repaired. The eye became phthisical. A custom-fit prosthesis was applied a month after surgery. We are highlighting the importance of surgical intervention and follow-up to achieve good cosmetic outcomes and the importance of protective gear in the workplace.
A case of multifocal uveal metastases from T790M-mutated non-small-cell lung carcinoma with an unexpected reaction to Osimertinib
Authors: Xu Ding-Liang , Zhu Yue-Yang , Wu Xin-Zhe , Huang Jing , Zhang Wen-Song
Published: April 2022

Osimertinib is a third-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) used in the treatment of metastatic non-small-cell lung carcinoma (NSCLC) patients with targetable EGFR-T790M mutations. We describe the case of a 61-year-old Chinese female confirmed with multifocal uveal metastases from T790M-mutated NSCLC after developing acquired resistance to icotinib (a first-generation EGFR-TKI). Therefore, she was instituted on oral osimertinib. The uveal masses were reported to completely disappear on anterior segment examination, ultrasound biomicroscopy (UBM), and ocular color doppler flow imaging (CDFI) after 41 weeks. However, the patient got worse and eventually died from systemic metastases 4 months later.
A rare case of rapid evolution of choroidal osteoma
Authors: Soman Manoj , Indurkar Asmita , Sheth Jay U , Nair Unnikrishnan
Published: April 2022

We present a case of a 19-year-old male with a history of right-sided orbital pseudotumor with suspected Burkitt's lymphoma. His best-corrected visual acuity (BCVA) was 6/36 in the right eye (RE) and 6/6 in the left eye (LE). On fundus examination, the patient had a large choroidal osteoma at the posterior pole with macular scarring, along with two additional satellite osteomas inferior and superonasal to the disc in OD, while OS was unremarkable. After conservative management with oral corticosteroids, the patient demonstrated an additional choroidal osteoma lesion nasal to the disc in the OD which had evolved over a period of merely 3 months. To the best of our knowledge, this is the first reported case to document such a rapid development of choroidal osteoma. This case highlights the need for frequent follow-up of these patients for early detection and monitoring of these lesions.
Pars plana relocation of existing glaucoma implant for tube exposure and corneal endothelial decompensation
Authors: Murthy Gowri J , Murthy Praveen R , Gowda Sunitha M N , Prabhakar Sneha Priya , Hiremath Meghana R
Published: April 2022

Glaucoma implant tube exposure and corneal endothelial decompensation are complications of implant surgeries in eyes with glaucoma. We describe a surgical method of managing these complications by relocation of the existing anterior chamber implant tube into the pars plana, after a three-port pars plana vitrectomy. We studied eight eyes of eight patients, four with perilimbal tube exposure and four with endothelial decompensation, who underwent the procedure. Four eyes of the four patients had resolution of tube exposure without recurrence and maintained stable intraocular pressure (IOP); visual acuity and IOP remained stable in the endothelial decompensation group.
Necrotizing fungal preseptal cellulitis secondary to Candida orthopsilosis in a diabetes mellitus patient – A rare case report and review of literature
Authors: Kasturi Nirupama , Gokhale Tanmay , Sarkar Sandip , Yazeer Farnaz , Thomas Nelzo , Singh Rakesh
Published: April 2022

Non-albicans candida infection is an emerging threat in immunocompromised patients like those with diabetes mellitus, bone marrow transplant recipients, or HIV-positive patients. We report a rare case of necrotizing preseptal cellulitis extending to the cheek caused by Candida orthopsilosis in a young diabetic patient. Fungal etiology must be considered as a possible cause of preseptal and facial cellulitis in the setting of uncontrolled diabetes mellitus, which is unresponsive to broad-spectrum antibiotics even in the absence of a local nidus of infection in the paranasal sinuses or oral cavity.
Spontaneous corneal stromal bed perforation in post-laser-assisted in situ keratomileusis ectasia
Authors: Abusayf Mohammed , Alfawaz Abdullah
Published: April 2022

A 30-year-old female presented to our emergency room for the first time with reduced vision in her right eye (OD) after gentle rubbing. Her ocular history revealed laser-assisted in situ keratomileusis in both eyes (OU) 10 years back. Five years later, she developed ectasia OU where only the right eye was cross-linked. Both procedures were performed at another center. Isolated corneal stromal bed perforation with severe surrounding stromal thinning was evident. Sole glue application either at the bed or the flap edge was not successful. The patient underwent Penetrating keratoplasty (PKP) with a good outcome.
Electron microscopic analysis of explanted opacified posterior chamber intraocular lens
Authors: Jyoti Kandagadla , Vats Maj S
Published: April 2022

Opacification of intraocular lens rare phenomenon occurs and causes extreme diminution of vision in patients even after uneventful cataract surgery. Several reports of wrong diagnosis and delayed diagnosis of an opacified IOL leads to delayed treatment. The opacified IOL needs to be removed and exchanged with another PCIOL. This case report describes the electron microscopic analysis of an explanted intraocular lens and also gives details of the chemical composition. This is the first case report where presence of potassium has been noted in the opacified IOL as was detected by Scanning electron microscopic analysis.
Low-dose rifabutin-induced uveitis with premature occurrence
Authors: Vats Sumedha , Agrawal Mohini , Srikanth S , Kumar Poninder , Goenka Ranjit
Published: April 2022

Rifabutin is a known-drug prescribed for prophylaxis and treatment of Mycobacterium avium complex (MAC) and causes dose-related anterior uveitis in immunocompromised individuals, particularly, those infected with HIV. Previous studies have reported rifabutin-induced uveitis with high doses. It is infrequent with 300 mg/day or less; moreover, it takes weeks to months to develop. We report three HIV cases that on treatment with low-dose 300 mg rifabutin presented with anterior uveitis with early occurrence. Furthermore, one of the cases had rifabutin-induced panuveitis, another rarity. Thus, although rare, low-dose rifabutin-induced uveitis with early presentation should be kept as a differential diagnosis of unusual presentation of uveitis in HIV, early management of which prevents visual morbidity.
Management of refractive surprise after phacoemulsification due to a decentered laser-assisted in situ keratomileusis zone
Authors: Chatterjee Samrat , Agrawal Deepshikha
Published: April 2022

A 39-year-old male with prior history of having undergone laser-assisted in situ keratomileusis (LASIK) in both eyes was referred for management of refractive surprise of +5.0 diopter following phacoemulsification with intraocular lens (IOL) implantation in the left eye. The IOL power was re-calculated using post-LASIK IOL power formulae, but it did not differ significantly from that of the implanted IOL. Topography in the left eye showed decentration of the laser ablation zone and mild ectasia. An IOL exchange was performed in the following steps: IOL extraction, postoperative aphakic refraction to calculate IOL power, and IOL implantation. Postoperatively, there was no refractive surprise. In the right eye, the IOL power was calculated using post-LASIK IOL power formulae, which did not result in postoperative refractive surprise. Our experience highlights the efficiency of aphakic refraction over post-LASIK IOL power formulae in predicting IOL power in eyes with decentered laser ablations.
A rare case of orbital injury with a keychain in a toddler
Authors: Jha Ujjwal P , Arya Sudesh K , Dhillon Hennaav K , Bariya Sonia
Published: April 2022

Orbital injuries caused by foreign bodies are common among children and young adults and may cause ocular morbidity. We report a rare case of an 18-month-old child who sustained an injury with a large metallic keychain in the right medial orbital wall and bridge of the nose following a fall. Timely radiological imaging with X-ray and CT orbit helped in localization and planned removal of the metallic keychain in the most atraumatic way. Early surgical removal with a multidisciplinary approach played a pivotal role in preventing infection, salvaging vision, and anatomical integrity, leading to holistic recovery of the child.
Is XEN-glaucoma gel microstent safe enough in phakic eyes?
Authors: Alpogan Oksan
Published: April 2022

Minimally invasive glaucoma surgery (MIGS) is usually preferred as it causes less complications in glaucoma surgery. XEN Glaucoma Gel Microstent (XEN-GGM, Allergan Plc., Parsippany, New Jersey) is one of the MIGS used in glaucoma surgery. Different complications of XEN-GGM that developed during or after the operation have been reported. In our case, anterior capsule perforation occurred and a cataract consequently developed during the XEN-GGM application. For this reason, the measures that must be taken during XEN-GGM application in phakic patients are discussed.
Severe marginal sterile keratitis in a patient with staphylococcal endophthalmitis after phacoemulsification
Authors: Hou Yi-Ting , Hsieh Bing-Jun , Wu Jo-Hsuan , Chen Wei-Li
Published: April 2022

Postoperative endophthalmitis is sight-threatening, severe inflammation in posterior vitreous cavity and anterior chamber. Marginal keratitis with infiltrates or ulcers following endophthalmitis can be infectious or sterile, but the etiologies related to intraocular infection have rarely been reported. Here we present an unusual case of severe marginal keratitis with sterile infiltrates concomitant with staphylococcal endophthalmitis after phacoemulsification. Creamy white ring infiltrates at the corneolimbal junction was found with severe vitritis. With antibiotics treatment, endophthalmitis improved while the corneal infiltrates progressed. After corneal specimens yielded negative results, the corneal infiltrates improved under proper topical corticosteroid without marked sequelae. In conclusion, noninfectious, immune-related marginal sterile keratitis may develop in patients with staphylococcal endophthalmitis after phacoemulsification.
Fungal corneal ulcer in a 27 weeks primigravida with anemia and multi-vitamin deficiency
Authors: Madan Siddharth , Beri Sarita , Khan Sarah , Prakash Pragya , Jain Rajesh
Published: April 2022

Fungal keratitis is an infection of the cornea which can lead to severe visual compromise if not diagnosed on time and managed appropriately. It may present with minimal symptoms and many signs. Likely to be overlooked by the patient, it results in a late presentation when substantial damage has already occurred. It is usually seen in patients with a severe immune compromise such as acquired immunodeficiency syndrome (AIDS), uncontrolled diabetes, transplant patients on immune-suppressants or long-term steroids, and in pre-existing ocular surface disorder. This is a case report of a 27-week primigravida who presented with extreme fatigue and a fungal corneal ulcer with no preceding history of trauma or any other immune compromised state.
Otological Manifestations in Oral Submucous Fibrosis
Authors: Swain Santosh Kumar , Agrawala Rohit
Published: April 2022

Background:

Oral submucous fibrosis (OSMF) is a chronic premalignant condition seen in the oral cavity, but sometimes extends to the pharynx, esophagus, or even the larynx. OSMF causes stiffness in the oral cavity leads to trismus and affects speech and swallowing. Sometimes this lesion affects the Eustachian tube opening at the nasopharynx which results in Eustachian tube dysfunction followed by middle ear diseases. The purpose of the present work is to evaluate otological manifestations in OSMF patients.

Materials and Methods:

Patients with OSMF were evaluated for otological manifestations such as hearing impairment and fullness in the ear. All of them were evaluated with pure tone audiometry and tympanometry.

Results:

In this study group of 58 patients of OSMF comprising 116 ears, the hearing was within the normal limit in 60 ears (51.72%), a mild degree of conductive deafness in 52 ears (44.82%), a mild degree of sensorineural deafness in 2 ears (1.72%) and a moderate degree of sensorineural deafness were present in 2 ears (1.72%). There is a significant difference in mean quantitative hearing impairment was seen in OSMF groups C and group D with respect to the control group.

Conclusion:

Involvements of palatal muscles in OSMF patients reduce the patency of the Eustachian tube, resulting in a conductive type of deafness. OSMF patients should be assessed for hearing impairment and suggested for proper management.
Community Pharmacists' Knowledge and Practice toward Upper Respiratory Tract Infections in Khartoum State
Authors: Aldomah Mohammed A. , Ahmed Yousif A. , Ezaldeen Ahmed Y. , Aldomah Musaab A. , Nasir Rana A. , Abdulraheem Muhammad A. , Yousef Bashir A. , Badi Safaa
Published: April 2022

Background:

Upper respiratory tract infections (URTIs) are mainly viral in their etiologies but sometimes are complicated by secondary bacterial infections detected by the persistence of symptoms. This study aimed to evaluate community pharmacist's knowledge and practice regarding URTIs.

Methods:

A descriptive cross-sectional study was performed using self-administered questionnaire. The study targeted 338 community pharmacists selected randomly from community pharmacies in Khartoum state. The overall knowledge and practice scores were calculated, then the associations between these scores and demographic characteristics were evaluated using Chi-square test and analyzed by statistical package for social sciences.

Results:

Out of 327 pharmacists, 65.4% of them were females. Whereas pharmacists with B. Pharm. represented 79.1%. Regarding the knowledge, it was found that 59.7% of community pharmacists have sufficient knowledge toward URTIs, while 40.3% of them have insufficient knowledge. Community pharmacists exhibited varying degrees of practice, but most of them have a good practice. Furthermore, 52.6% of them reported patient's interest as barrier to counseling, while 38.9% reported pharmacy crowdedness as a barrier. Statistically, higher knowledge scores are associated mainly with female gender and educational levels. On the another hand, 64.4% of the participants relied on medical websites as a source of information.

Conclusion:

Community pharmacists have good knowledge about URTIs. The practice is diverse, but good practice is mainly linked to those with sufficient knowledge. Most of the community pharmacists relied on medical websites as a source of information.
Social Support and Quality of Life in Cancer Patients
Authors: Rahayuwati Laili , Pahria Tuti , Ibrahim Kusman , Nurhidayah Ikeu , Agustina Habsyah Saparidah
Published: April 2022

Background:

The risk of lifestyle and environment will lead to an increase in cancer prevalence. Therefore, it needs managing support for palliative cancer patients. The purpose of the study was to obtain the correlation between social support characteristics and cancer patients' quality of life.

Method:

This research using a cross-sectional approach was conducted in several palliative shelters. Samples were 93 respondents, obtained using a quota sampling technique. The variables used were social support (family, friends, and others) and the cancer patient's quality of life.

Result:

The results showed that social support received at a high level was most obtained from the family as many as 65 respondents (69.9%). Furthermore, the social support factor of cancer patients related to the quality of life was friends' support (p-value <0.05), while other factors were considered irrelevant. The collecting data technique was used due to the dynamics of patients seeking treatment at the West Java provincial referral hospital.

Conclusion:

the friend's support is significant for improving the quality of life of cancer patients. Peer groups are an essential component in managing health care in the community.
Siegel modular forms of weight 13 and the Leech lattice
Authors: Chenevier Gaëtan , Taïbi Olivier
Published: April 2022

For

g=8,12,16

and

24

, there is a nonzero alternating

g

-multilinear form on the

{\rm Leech}

lattice, unique up to a scalar, which is invariant by the orthogonal group of

{\rm Leech}

. The harmonic Siegel theta series built from these alternating forms are Siegel modular cuspforms of weight

13

for

{\rm Sp}_{2g}(\mathbb{Z})

. We prove that they are nonzero eigenforms, determine one of their Fourier coefficients, and give informations about their standard

{\rm L}

-functions. These forms are interesting since, by a recent work of the authors, they are the only nonzero Siegel modular forms of weight

13

for

{\rm Sp}_{2n}(\mathbb{Z})

, for any

n\geq 1

.
Residues of connections and the Chevalley–Weil formula for curves
Authors: Arapura Donu
Published: April 2022

Given a finite group of automorphisms of a compact Riemann surface, the Chevalley– Weil formula computes the character valued Euler characteristic of an equivariant line bundle. The goal of this article is to give a proof by computing using residues of a Gauss–Manin connection.
A novel singularity-free black hole with nonlinear magnetic monopole: Hawking radiation and quantum correction
Authors: Chou Yu-Ching , Huang Weihan
Published: April 2022

This paper introduces a nonlinear, magnetically charged, singularity-free black hole model. The Ricci scalar, Kretschmann scalar, horizon, energy conditions, and Hawking radiation corresponding to the singularity-free metric are presented, and the asymptotic behavior and quantum correction of the model are examined. The model was constructed by coupling a mass function with the regular black hole solution under nonlinear electrodynamics in general relativity. Aside from resolving the problem of singularities in Einstein’s theory of general relativity, the model asymptotically meets the quantum correction under an effective field theory. This obviates the need for additional correction terms; in this regard, the model outperforms the black hole models developed by Bardeen and Hayward. Regarding the nonlinear magnetic monopole source of the gravitational field of the black hole, the energy–momentum tensors fulfill weak energy conditions. The model constitutes a novel, spherically symmetric solution to regular black holes.
A Systematic Review of the Scientific Literature for Rehabilitation/Habilitation Among Individuals With Pediatric-Onset Spinal Cord Injury
Authors: McIntyre Amanda , Sadowsky Cristina , Behrman Andrea , Martin Rebecca , Augutis Marika , Cassidy Caitlin , Betz Randal , Ertzgaard Per , Mulcahey MJ ,   the SCIRE Project Research Group
Published: April 2022

Objectives

To conduct a systematic review to examine the scientific literature for rehabilitation/habilitation among individuals with pediatric-onset spinal cord injury (SCI).

Methods

A literature search of multiple databases (i.e., PubMed/MEDLINE, CINAHL, EMBASE, PsychINFO) was conducted and was filtered to include studies involving humans, published as full-length articles up to December 2020, and in English. Included studies met the following inclusion criteria: (1) ≥50% of the study sample had experienced a traumatic, acquired, nonprogressive spinal cord injury (SCI) or a nontraumatic, acquired, noncongenital SCI; (2) SCI onset occurred at ≤21 years of age; and (3) sample was assessed for a rehabilitation/habilitation-related topic. Studies were assigned a level of evidence using an adapted Sackett scale modified down to five levels. Data extracted from each study included author(s), year of publication, country of origin, study design, subject characteristics, rehabilitation/habilitation topic area, intervention (if applicable), and outcome measures.

Results

One hundred seventy-six studies were included for review (1974–2020) with the majority originating from the United States (81.3%). Most studies were noninterventional observational studies (n = 100; 56.8%) or noninterventional case report studies (n = 5; 2.8%). Sample sizes ranged from 1 to 3172 with a median of 26 (interquartile range [IQR], 116.5). Rehabilitation/habilitation topics were categorized by the International Classification of Functioning, Disability and Health (ICF); most studies evaluated ICF Body Function. There were 69 unique clinical health outcome measures reported.

Conclusion

The evidence for rehabilitation/habilitation of pediatric-onset SCI is extremely limited; nearly all studies (98%) are level 4–5 evidence. Future studies across several domains should be conducted with novel approaches to research design to alleviate issues related to sample sizes and heterogeneity.
Rol de la familia en la calidad de vida y autodeterminación de las personas con trastornos del espectro autista
Authors: Zambrano-Mendoza Ana Isabel , Lescay-Blanco Dayana Margarita
Published: April 2022

Esta investigación tiene como objetivo dar a conocer el autismo y explicar su conceptualización e inclusión dentro del Trastorno del Espectro Autista, y así alejar la población de ciertos mitos. Después que esto haya quedado claro, se dará un intervención individualizada y basada en características del niño con autismo para conocer las debilidades y fortalezas. Se manejo un diseño cualitativo apoyado en la colaboración de familiares, personal médico y enfermería, empleando entrevistas las cuales sirvieron de estrategia para la identificación de las necesidades. Se identifico que existe una integración limitada, permitiendo concluir que aun existe falencias en la inclusión del entorno social y educativo.

Palabras clave: Inclusión, autismo, educación.
Prostat Kanserli Hastaların Yaşadığı Psikososyal Sorunlar ve Hemşirelik Yaklaşımları
Authors: ÇOLAK Sevgi , VURAL Fatma , BİLİK Özlem
Published: April 2022

Prostat kanseri, dünyada erkeklerde akciğer kanserinden sonra yeni tanı konan en yaygın ikinci kanser türüdür. Dünya’da erkeklerde görülen tüm kanserlerin %29.3’ünü prostat kanseri oluşturmaktadır. Ülkemizde ise 2018 yılında 3568 kişi prostat kanseri nedeniyle hayatını kaybetmiştir. Prostat kanserinin görülme sıklığı yaşla doğru orantılı olarak artmaktadır. 50 yaş altındaki erkeklerde nadir görülen prostat kanserinin ortalama tanı koyma yaşı 68’dir. Prostat kanseri erken yaşta tanılandığında, uygulanan tedavi yöntemlerinin etkisiyle birlikte sağ kalım oranı yüksektir. Sağkalım süresinin uzaması sonucunda hastalar kanser tedavisi sürecine bağlı olarak stres, anksiyete, depresyon, sosyal izolasyon gibi birçok psikososyal sorun yaşamaktadır. Hastaların yaşadığı tüm bu psikososyal sorunlar yaşam kalitesini de olumsuz yönde etkilemektedir. Bu derleme, prostat kanserli hastaların yaşadıkları psikososyal sorunların tanımlanması ve bu sorunlara yönelik hemşirelik girişimlerinin açıklanması amacıyla yazılmıştır.
Üniversite Öğrencilerinin Kadına Yönelik Aile İçi Şiddete İlişkin Görüşleri: Bir Örnek Olay Çalışması
Authors: YILMAZ Büşra , AVCI Nihal , HOTUN ŞAHİN Nevin
Published: April 2022

Giriş: Kadına yönelik aile içi şiddet, toplum sağlığını olumsuz yönde etkileyen küresel bir sorundur. Amaç: Bu çalışmada farklı iki fakültede öğrenim gören üniversite öğrencilerinin aile içi şiddete yönelik görüş ve tutumlarını belirlemek amaçlandı. Yöntem: Bu çalışma tanımlayıcı tipte bir araştırmadır. Çalışma Aralık 2018 - Haziran 2019 tarihleri arasında 900 üniversite öğrencisiyle gerçekleştirildi. Araştırmaya belirlenen iki fakültede lisans eğitimi alan, Türkçe iletişim kurabilen, mental açıdan sağlıklı olan ve çalışmaya katılmaya gönüllü olan bireyler dâhil edildi. Verilerin toplanmasında literatür doğrultusunda araştırmacılar tarafından hazırlanan katılımcı tanıtım formu ve bir örnek olayın yer aldığı açık uçlu sorulardan oluşan yapılandırılmış görüşme formu kullanıldı. Örnek olaya ilişkin görüşler düzenlendi, kodlandı ve daha sonra benzer özellik gösteren kodlar kategorileştirildi. Sosyodemografik bulgular tanımlayıcı istatistiksel yöntemler kullanılarak değerlendirildi. Katılımcıların sosyodemografik özellikleri ile kadına yönelik aile içi şiddete yönelik görüşleri ve örnek olaya ilişkin görüşleri arasındaki ilişkinin analizinde ki-kare (χ²) testi kullanıldı. Bulgular: Katılımcıların yaş ortalaması 20.67 ± 2.14, %63.5’i kadın ve %36.5’i erkekti. Örnek olaya ilişkin görüşler analiz edildiğinde; katılımcıların %10.3’ünün daha önce örnek olaya benzer bir durumla karşılaştığı bulundu. Katılımcıların %65.5’i böyle bir durumda şikayette bulunmak isterlerse polise şikayette bulunacaklarını ifade etti. Aile içi şiddet ile karşılaşma durumunda kadınların %50’si pasif tepki, %37.9’u aktif tepki verirken, erkeklerin %36.5’i pasif tepki, %49.3’ü aktif tepki gösterdi. Daha önce şiddete maruz kalan kadınların %18.5’inin, erkeklerin %6.9’unun daha önce örnek olaya benzer bir durumla karşılaştığı belirlendi. Sonuç: Düşük oranda da olsa kadına yönelik aile içi şiddeti destekleyen öğrencilerin varlığı, bu konuda bilinçlendirilmelerinin önemini göstermektedir. Bu kapsamda sağlık bakım profesyonellerine eğitim, sağlık, hukuk ve sosyal hizmetlerle ilgili yapılan planlamalarda aktif rol alma, aile içi şiddeti tanılayabilme ve bu konuda toplumsal farkındalığı artırma amacına yönelik eğitim hizmetlerini planlama ve uygulama gibi çok önemli görevler düşmektedir.
Perinatal Bakım Uygulamalarında Optimalite Yaklaşımı
Authors: BAŞTARCAN Çisem , HOTUN ŞAHİN Nevin
Published: April 2022

Optimalite, olabilecek en iyi sonuçlara odaklanan, en uygun anlamında kullanılan bir kavramdır. Sağlık hizmetlerinde optimalite, sağlık sonuçlarında en iyiye/en uyguna ulaşmayı hedefler. Perinatal optimalite kavramı ise, gebelik, doğum ve doğum sonu dönemde gebe, fetüs/yenidoğan ve kadının ailesi için en az müdahale ile en iyi sonuç elde edilmesidir. Her kadının perinatal süreç boyunca optimal bakım alma hakkı vardır. Perinatoloji hemşirelerinin perinatal süreçte kadına bakım verirken kanıta dayalı uygulamaları kullanmaları, anne, fetüs/yenidoğan ve kadının ailesinin bu süreci sağlıklı ve rahat geçirmesinde, annenin ve bebeğin sağlığının geliştirilmesinde anahtar role sahiptir. Ayrıca hemşireler perinatal bakım uygulamalarında, kadının fizyolojisine ve doğal sürece en az müdahaleyi savunan felsefeyi desteklemektedirler. Optimalite yaklaşımı da, bu felsefeye dayanmaktadır. Kanıta dayalı uygulamaların kullanılması da sağlık bakımında optimalitenin sağlanmasının en temel yoludur. Bu derlemenin amacı, perinatal bakım uygulamalarında optimalite yaklaşımının ve kanıta dayalı bakım uygulamalarının incelenerek hemşirelik mesleğine ve literatüre katkısını ortaya koymaktır.
Okul Öncesindeki Çocukların Beslenme Alışkanlıklarının Büyüme ve Gelişmeleri Üzerine Etkisi
Authors: AKDOĞAN Rıdvan , BALCI Serap
Published: April 2022

Amaç: Araştırma, bir ilin üç merkez ilçesinde bulunan sekiz anaokuluna devam eden okul öncesi dönemdeki çocukların beslenme alışkanlıklarını ve beslenmenin büyüme-gelişmeleri üzerindeki etkisini belirlemek amacıyla tanımlayıcı ve metodolojik bir tasarım olarak gerçekleştirildi. Gereç ve Yöntem: Araştırmanın evrenini bir ile bağlı üç merkez ilçesinde yer alan anaokullarındaki toplam 202 anasınıfında eğitim gören 4705 çocuk, örneklemini ise 335 çocuk oluşturdu. Veriler; Bilgi Formu, literatür doğrultusunda geliştirilen Beslenme Değerlendirme Anketi (BDA), Ankara Gelişim Tarama Envanteri (AGTE), Beden Kitle İndeksi Persentili (BKİ), boy ve kilo ölçümleri için dijital tartı ve antropometri aleti ile elde edildi. Elde edilen veriler yüzdelik dağılım, ortalama, Person ki-kare, Bağımsız gruplarda t testi, Kruskal Wallis testi, Bağımsız gruplarda tek yönlü varyans, Çoklu regresyon ile analiz edildi. Bulgular: Araştırma sonucunda çocukların yaş ortalamasının 5,26±,45 yıl, erkek çocukların kız çocuklara göre daha fazla ve çocukların büyük bir oranla tam aşılı olduğu belirlendi. Araştırmada çocukların genel olarak BKİ persentil değerlerinin ve AGTE puan ortalamalarının normal aralıklarda olduğu saptandı. Çocukların bazı beslenme alışkanlıkları (süt, et, ekmek tüketen ve kola tüketmeyenler) ile AGTE puan ortalamaları arasında anlamlı düzeyde ilişki (p<.05) olduğu bulundu. Çocukların beslenme alışkanlıkları ile BKİ persentil değerleri arasında anlamlı bir ilişki olmadığı saptandı. Sonuç: Okul öncesi kurumlarda, okul sağlığı hemşireleri tarafından çocukların büyüme ve gelişmelerinin izlenmesi çok önemlidir. Bu izlem, çocuğun beslenme sürecini, becerilerinin gelişimini, büyüme durumunu ve hastalık yönünden değerlendirilmesini ve böylece olumlu sonuçlar elde edilmesini sağlayacaktır.
Doğum Eyleminin Aktif Fazında Yaşanan Bel Ağrısının Yönetiminde Steril Su Enjeksiyonunun Etkisi: Randomize, Plasebo Kontrollü Bir Çalışma
Authors: UYSAL Cevriye , BOZ İlkay , SALMAN Süleyman
Published: April 2022

Giriş: Doğum eyleminde gebeler şiddetli bel ağrısı yaşamakta ve bazı gebelerde ağrının etkili bir şekilde yönetilmediği görülmektedir. Amaç: Çalışmanın amacı doğum eyleminin aktif fazında Steril Su Enjeksiyonunun bel ağrısına etkisini belirlemektir. Bunun yanında yaşamsal bulgular, doğum süresi, yenidoğan APGAR skoru, gebe memnuniyetine etkisini incelemek ve İntradermal ile Subkutan Steril Su Enjeksiyonu arası farklılık olup olmadığını belirlemektir. Yöntem: Çalışma, plasebo kontrollü, tek körlü ve randomize kontrollü çalışma desenindedir. Araştırma Temmuz 2019-Mart 2020 tarihleri arasında, İntradermal Steril Su Enjeksiyonu (33 gebe), Subkutan Steril Su Enjeksiyonu (33 gebe), plasebo (Subkutan Salin Solüsyonu Enjeksiyonu) (33 gebe) ve kontrol (33 gebe) grubu olmak üzere 132 gebe ile yürütülmüştür. Ağrı skorları Görsel Kıyaslama Ölçeği kullanılarak uygulamadan önce ve uygulama sonrası 30., 45., 60., 90. ve 120. dakikalarda değerlendirilmiştir. Bulgular: Uygulama sonrası İntradermal Steril Su Enjeksiyonu, Subkutan Steril Su Enjeksiyonu, plasebo ve kontrol grubundaki gebelerin doğumda bel ağrısı şiddetinin gruplara göre farklılık gösterdiği ve en düşük ağrı şiddetinin İntradermal Steril Su Enjeksiyonu grubuna ait olduğu belirlenmiştir (p=.048). Gebelerin Steril Su Enjeksiyonundan memnuniyeti ise İntradermal Steril Su Enjeksiyonu grubunda diğer gruplara göre daha fazla bulunmuştur (p=.012). Bununla birlikte, Steril Su Enjeksiyonu ile yaşamsal bulgular, yenidoğan APGAR skoru ve doğum süresi arasında istatistiksel olarak anlamlı bir ilişki olmadığı belirlenmiştir (sırasıyla, p=.468, p=.100, p=.346). Sonuç: Bu çalışmayla Steril Su Enjeksiyonu yönteminin doğumda bel ağrısını azaltmada etkili bir yöntem olduğu, gebelerin yaşamsal bulguları ve yenidoğan APGAR skorları üzerine olumsuz etkisinin olmadığı ve İntradermal Steril Su Enjeksiyonunun, Subkutan Steril Su Enjeksiyonuna göre daha etkili olduğu belirlenmiştir. Doğumda bel ağrısı nedeni ile analjezik ihtiyacı olan gebelere, basit ve ekonomik bir nonfarmakolojik yöntem olan İntradermal Steril Su Enjeksiyonu uygulanmasının yaygınlaştırılması önerilmektedir.
REDUCING SOUND INTENSITY BY OPTIMIZING CUTTING PARAMETERS ON CNC MILLING MACHINES
Authors: ALBAYRAK Sirer , MERCAN Serdar , KARAÇAM Hikmet
Published: April 2022

In the cutting process with machine tools in the Machinery Manufacturing Industry; while the desired surface integrity is ensured by the optimization of the cutting parameters, the noise level must be kept at a minimum to protect the health of the workers. The noise level can be reduced by using this optimization without compromising the surface roughness through processing of EN AW 6013 material on a CNC milling machine. Experimental design was examined in three variables, three levels and two target functions. The effects of these parameters on the target function were studied by performing experimental plans determined by "Central Composite Design (CCT)" of Response Surface Method (RSM)". To assess the sound intensity and surface roughness, mathematical models were developed by performing regression analysis on the experimental results. These developed models have been tested with control experiments and it has been seen that the models have acceptable error rates. The obtained regression equation is highly modeled with a validity of 93.29% for sound intensity and 97.33% for surface roughness. Therefore, cutting parameters were found to be related to sound intensity and surface roughness values.
A Comprehensive Review About Image Encryption Methods
Authors: TİKEN Cihan , SAMLI Ruya
Published: April 2022

In today’s technology world, data security has a great importance. Because each data type has its own characteristics, there are various methods of providing this security. The main subject of this study is the security of image data which are more complex structures than text data. Using traditional encryption methods alone to ensure security in image data types can create security weaknesses. For this reason, nowadays, some traditional methods are combined with each other or different methods to encrypt image data. In this study, 131 articles were examined and image encryption methods were classified according to the traditional methods they contain. Studies on both colored and gray level images have been handled together. Finally, the images used in the articles were compared with each other in many ways and the results were presented graphically.
Avaliação da saúde bucal de atletas futebolistas profissionais. Índice de CPOD e índice de placa
Authors: Gonçalves Victor Paes Dias , Nahmias Hugo Leonardo Matias , Teles Samuel Gomes da Silva , Martareli Felipe Cesar , Azevedo Marcus Menezes Alves
Published: April 2022

A execução de um atendimento odontológico de excelência para jogadores de futebol de alto nível é uma tarefa desafiadora diante das inúmeras competições que não permitem um planejamento adequado nas decisões médicas. O artigo tem como objetivo geral avaliar a saúde bucal de atletas de futebol profissional através do Índice de CPO-D e Índice de Placa, sendo delimitados 3 (três) clubes da cidade de Campos dos Goytacazes que são filiados à Federação de Futebol do Rio de Janeiro (FERJ). A pesquisa foi realizada através de uma avaliação clínica com atletas de futebol profissional. Concluiu-se nesse trabalho que a saúde bucal dos atletas é ineficiente devido aos dados obtidos na pesquisa, apresentando CPO-D médio de 4,77 (moderado) e índice de placa numa média de 28,92 (insatisfatório).
Metodologías de enseñanza para Educación Física e iniciación deportiva
Authors: Álvarez Delgado David
Published: April 2022

El deporte es un contenido que está presente en la materia de Educación Física a causa de los múltiples beneficios que genera en los alumnos que participan. Pero en muchas ocasiones, está enfocado desde una metodología tradicional basada en la técnica. Consecuentemente, han surgido innovadoras metodologías de enseñanza deportiva como la comprensiva, que están respaldadas por teorías cognitivas y constructivistas, pues potencian la toma de decisión y la conciencia táctica por parte de los alumnos. Mediante esta revisión, el objetivo principal, es describir los aspectos teóricos más significativos de la enseñanza comprensiva de los deportes, para un mayor conocimiento sobre la misma, con el cual, se favorezca su implementación en el contexto educativo.
Índices de resistencia en corredores ecuatorianos adultos en distancias de 100-200, 200-400, 400-800 y 800-1500 metros
Authors: Sánchez Arreaga Andrés Arturo , Romero Frómeta Edgardo
Published: April 2022

La tecnología se ha convertido en un medio necesario para buscar un mejor rendimiento deportivo. Sin embargo, muchas organizaciones deportivas y entrenadores deben hacer frente a la escasez de dichos recursos tan importantes, como lo son los diferentes equipos tecnológicos que puedan evaluar y controlar el nivel láctico de sus deportistas. Cuando se habla sobre índices de resistencia estos establecen ciertos indicadores que pueden determinar la resistencia especial en la que se encuentra dicho deportista. De esta manera se llega a determinar una problemática que se fundamenta en ¿Cuál es la forma de establecer los índices de resistencia en los corredores ecuatorianos de la categoría adultos utilizando medios pedagógicos que estén al alcance de los entrenadores? De ahí es que parte el objetivo de esta investigación: determinar los índices de resistencia de los corredores ecuatorianos adultos. Para lograr tal fin se tomaron en cuenta los resultados de distancias entre 100-200, 200-400, 400-800 y 800-1500 metros, de un total de 302 corredores tanto masculinos como femeninos. Haciendo uso de los percentiles se determinaron tres índices de resistencias: Índice de resistencia por el Dx temporal (IRDxT = TDl-TD; Índice de resistencia por el Dx proporcional IRDxp = TDl-XTDc y el Índice de resistencia por el Dx de velocidad IRDxv = VDc -VDl; donde TDl corresponde al tiempo en la distancia más larga de las dos, TDc es el tiempo en la distancia más corta y “x” es la cantidad de veces que la distancia más corta es submúltiplo de la más larga.
Software para el control y planificación del acondicionamiento físico del personal profesional militar
Authors: Hoyos Andrade Javier Orlando , Peña Camacho Kevin David , Quintanilla Ayala Leonardo Xavier
Published: April 2022

Introducción: El acondicionamiento físico militar es una de las competencias fundamentales del profesional militar, la planificación y control de sus direcciones debe transitar por el uso de nuevas tecnologías, permitiendo la optimización del acondicionamiento. El diagnóstico juega un papel preponderante, sirviendo de base teórica y metodológica que justifique acciones prospectivas para solucionar futuros problemas. Objetivo: Determinar el nivel de conocimientos, aplicabilidad y necesidad de un software para la planificación y control del acondicionamiento físico militar en el ejército ecuatoriano. Métodos: Investigación exploratoria, de orden descriptiva-explicativa, estudiando los criterios de 13 especialistas en preparación físico militar. Resultados: El puntaje promedio del nivel de Conocimientos sobre aplicativos o software nacionales orientados a la preparación físico-militar del ejército ecuatoriano (NCS) fue de 1,77 puntos (de muy bajo a bajo), y sobre software internacionales (NCI) de 4,08 puntos (alta), el nivel de aplicabilidad de software orientados al acondicionamiento físico militar en el ejército ecuatoriano (NAS) obtuvo una calificación promedio de 4,62 puntos (entre alta a muy alta), el nivel de integración de los software de acondicionamiento físico militar con componentes de la preparación deportiva (NIAC) obtuvo una calificación de 4,23 puntos (alta), y la necesidad de creación de software especializados en el acondicionamiento físico de las fuerzas armas ecuatorianas (NCSE) obtuvo la más alta calificación (4,77 puntos; muy alta). El índice de concordancia entre los especialistas consultados fue muy aceptable (w=0,786). Conclusiones: Se evidencia la importancia, aplicabilidad y necesidad que reviste el software para planificación y control del acondicionamiento físico militar del ejército ecuatoriano.
The Future for Health Promotion
Authors: Palfrey Colin
Published: April 2022

Taking into account the practical and ethical issues involved in deciding the appropriate approach to take in efforts to reduce health inequalities, the book assesses what might be the best path forward for health promotion.
Fake Goods, Real Money
Authors: Antonopoulos Georgios A. , Hall Alexandra , Large Joanna , Shen Anqi , Crang Michael , Andrews Michael
Published: April 2022

The books examines the financial and business structures of the counterfeiting business and considers how the internet and e-commerce present financial opportunities for counterfeiters. It explores ‘organised crime’ and criminal markets, digital technologies and cultural values and practices.
Climate Change Criminology
Authors: White Rob
Published: April 2022

Leading green criminologist Rob White asks what can be learned from the problem-solving focus of crime prevention to help face the challenges of climate change. It is part of the New Horizons in Criminology series.
„CLEAN LABEL“ MEAT PRODUCTS – HOW TO GAIN CONSUMER CONFIDENCE?
Authors:   University of Kragujevac, Faculty of Agronomy Čačak, Kurćubić Vladimir , Stajić Slaviša , Miletić Nemanja , Đurović Vesna , Petković Marko , Dmitrić Marko , Jakovljević Branko
Published: April 2022

There is no common and objective definition of clean label food. „Clean label’’ trend has influence the food industry to reveal on clearly way and with simply understanding show presence or absence a certain ingredient or additive, if the food produced by a „eco-friendly” approach. A review of recent studies on clean label movement worldwide report about important facts for scientific and economic community in development countries, like Serbia.
EDIBLE INLAND HALOPHYTES: POTENTIAL INGREDIENT OF INNOVATIVE GASTRONOMIC PRODUCTS WITH INCREASED NUTRITION VALUE
Authors:   University of Kragujevac, Faculty of Hotel Management and Tourism in Vrnjačka Banja, Serbia, Luković Milica , Veljović Sonja , Kostić Marija
Published: April 2022

Current food biotechnology trends and final gastronomic products in recent times include unusual exotic plants as bases, salads, side dishes or drinks. Considering these trends halophytes could be potentially positioned as a novel source of gastronomic products and bioactive compounds. Many halophytes are used as food, fodder or medicinal plants. In the Serbia is one countries with well developed halophytic flora. This article aimed to investigate the place of halophytes in actual traditional utilization and make a list of species suitable for food preparation with confirmed use and nutritional value comparable with other countries.
Analisa Pemanfaatan Solar Cell Monocrystalline sebagai Sumber Energi Listrik pada Pompa Air Arus Searah (Dc) 12 Volt Berdaya 180 Watt
Authors: Sariman Sariman , Fitriyani Nurjanna
Published: April 2022

Panel surya merupakan media pengambil sel surya yang terdapat pada matahari dan akan dikonversikan menjadi energi listrik. Energi listrik merupakan kebutuhan yang sangat dibutuhkan oleh manusia untuk keberlangsungan hidup begitu juga dengan air. Sistem pengangkatan air yang dilakukan yaitu menggunakan pompa air DC 12 volt/180 watt dengan sumber listrik yang berasal dari 2 buah solar cell monocrystalline dipasang paralel masing-masing berkapasitas 100 WP, selanjutnya disambungkan dengan sebuah regulator stepdown untuk menurunkan tegangan panel surya menjadi 12 volt. Hasil penelitian yang didapatkan bahwa pompa air DC dapat berkerja mengangkat air mulai dari pukul 09.00 dengan daya listrik sebesar 30,57 watt dan debit air yang dihasilkan sebesar 9,96 liter/menit dan pompa air dapat bekerja maksimal pada pukul 12.00 dengan daya listrik  sebesar 111,68 watt dengan debit air yang dihasilkan sebesar 35,71 liter/menit. Penelitian dilakukan selama 14 hari sehingga menghasilkan rata-rata debit air yang dapat dihasilkan oleh pompa air DC dari pukul 09.00-15.00 sebesar 15 liter/menit. Intensitas cahaya, kondisi cuaca dan waktu penelitian merupakan faktor dari hasil sistem pengangkatan air. Metode penelitian yang dilakukan adalah dengan literatur penulisan, observasi, dan bimbingan. Penelitian ini bertujuan untuk mengetahui kinerja dari pompa air yang memanfaatkan energi listrik yang bersumber dari panel surya (monocrystalline) dengan mengukur tegangan, arus, daya dan debit air yang akan dihasilkan oleh pompa air DC.
Peran Sistem Informasi Akuntansi dalam Bentuk Digital bagi Peningkatan Kinerja pada Toko Busana Wanita “Damai Indah”
Authors: Safira Berliana , Ratnawati Dyah
Published: April 2022

Tujuan penelitian ini adalah untuk mengetahui peranan sistem informasi akuntansi yang menggunakan bentuk digital untuk meningkatkan kinerja pada toko busana wanita Damai Indah. Metode yang digunakan dalam penelitian adalah metode penelitian kualititaf deskriptif. Sistem informasi akuntansi yang sedang berkembang dapat menjadi salah satu fasilitas terbaik untuk para pengelola usaha dalam sektor perdagangan, pada era saat ini penggunaan sistem informasi akuntansi tidak hanya berpedoman pada suatu buku tertentu, namun dapat di akses melalu beberapa media yang telah tersedia. Hasil penelitian yang telah dilaksanakan oleh penulis menunjukan bahwa sistem informasi akuntansi dalam bentuk digital berperan dalam peningkatan kinerja pada toko busana wanita Damai Indah, melalui hasil dari informasi keuangan yang dihasilkan dari data keuangan yang diperoses melalui sistem informasi akuntansi yang terinstal dalam perangkat keras atau hardware yang terpasang pada komputer. Komputer tersebut telah terpasang software yang memiliki fungsi sebagai mesin kasir dan sekaligus telah terpasang software berupa sistem informasi akuntansi yang berfungsi sebagai media penyimpanan segala data aktivitaas keuangan toko Damai Indah. Hasil dari data dalam sistem informasi akuntansi tersbut akan digunakan oleh karyawan yang bertugas sebagai pengelola sistem tersebut untuk dipertanggungjawabkan kepada pemilik usaha, dimana pertanggung jawaban tersebut akan menghasilkan keputusan mengenai peningkatan kinerja pada toko Damai Indah.
Peran Guru dalam Pembentukan Adab pada Peserta Didik dalam Manajemen Pendidikan Islam
Authors: Rafliyanto Muhammad , Muhammad Yusuf Alharis , Alfiatus Solihah Jihan
Published: April 2022

Persoalan pendidikan sekarang ini tidak hanya berkutat pada permasalahan anak bangsa yang masih buta huruf. Persoalan degradasi tingkah laku, adab, akhalaq dan karakter bangsa menjadi perhatian khusus yang harus diselesaikan. Penelitian ini bertujuan untuk pembinaan dan pengembangan adab terhadap peserta didik dalam meningkatkan mutu kualitas pendidikan islam di dalam manajamen pendidikan Islam. Penelitan ini memakai metode penelitian kualitatif, dimana di dalam penelitian ini menggunakan metode kepustakaan (library research). Temuan pada penelitian kepustakaan ini menunjukkan bahwa adab dan akhlak adalah dua komponen penting yang harus dimiliki oleh setiap peserta didik. Bahkan dalam beberapa literatur yang dijelaskan seorang pendidik juga harus memiliki adab yang baik dalam proses pembelajaran. Salah satu ulama terkemuka Imam Ibn Qayyim rahimahullah mengatakan bahwa, “tujuan dibentuknya adab di dalam diri seorang manusia adalah terciptanya akhlak yang baik.” Maka demikian itu sudah menjadi kewajiban bagi setiap peserta didik yang ingin menuntut ilmu guna mencapai kesuksesan yang diimpikan hendaknya disertai dengan adab yang baik, karena demikian itu dapat meningkatkan kualitas dari internal maupun eksternal kelembagaan pendidikan Islam.
Optimasi Kekasaran Permukaan Baja SKD11 pada Proses CNC Milling dengan Menggunakan Metode Taguchi
Authors: Fahrizal Fahrizal , Yudo Eko , Anggry Adhe
Published: April 2022

Pada proses pemesinan, penentuan pengaturan variabel proses yang tepat untuk mencapai respon yang optimum sangat penting dilakukan secara efektif. Hal ini untuk mengurangi proses percobaan berulang sehingga waktu dan biaya proses pemesinan bisa diminimalisir. Material baja SKD 11 merupakan salah satu jenis baja perkakas, yaitu material baja yang biasa dijadikan pisau potong, Cetakan deep drawing, Drawing cones, Compression moulding dies. Kekasaran permukaan merupakan salah satu karakteristik kinerja pemesinan pada proses milling. Penelitian ini akan mengoptimasi dari kekasaran permukaan dengan menggunakan kombinasi variabel proses putaran spindle, feedrate dan kedalaman pemakanan CNC MORI SEIKI MV-40M. Metode yang digunakan adalah metode taguchi. Hasil penelitian menunjukkan optimasi yang telah divalidasi dalam percobaan konfirmasi, kombinasi variabel atau parameter proses pada proses milling SKD 11 yang dapat menghasilkan nilai respon paling optimal adalah kecepatan spindle sebesar 2000 rpm, feedrate sebesar 60 mm/menit, dan kedalaman pemakanan 0.55 mm