bluuebunny/crossref_metadata_2025 huggingface dataset:
How Does Knowledge Absorption Foster Performance? The Mediating Effect of Innovation Capability
Authors: Sulistyo Heru , Ayuni Sri
Published: June 2018

This research aims to examine the impact of knowledge sharing and knowledge absorption on the innovation capability and the performance of Sharia banks. The rapid competition in banking industry among conventional and Sharia banks requires innovation capability in order to enhance the performance and achieve the sustainable competitive advantage. The development and performance of Sharia banks at the present still tend to be low. Innovation on product and service is one of the success keys of Sharia banks in enhancing the performance and competitiveness. Innovation capability can be developed if the employees within the organization are able to perform knowledge sharing or knowledge absorption. The sample of this research includes the employees of Sharia Banks in Semarang as many as 102 respondents. The sampling technique uses purposive sampling with criteria; permanent employees who have been working no less than 5 years. The data collection method is performed using questionnaire, while the data analysis technique uses SEM. The finding concludes that knowledge sharing and knowledge absorption significantly impact the innovation capability and performance.
On the Relationship Between High-Order Linkage Disequilibrium and Epistasis
Authors: Zan Yanjun , Forsberg Simon K G , Carlborg Örjan
Published: June 2018

A plausible explanation for statistical epistasis revealed in genome wide association analyses is the presence of high order linkage disequilibrium (LD) between the genotyped markers tested for interactions and unobserved functional polymorphisms. Based on findings in experimental data, it has been suggested that high order LD might be a common explanation for statistical epistasis inferred between local polymorphisms in the same genomic region. Here, we empirically evaluate how prevalent high order LD is between local, as well as distal, polymorphisms in the genome. This could provide insights into whether we should account for this when interpreting results from genome wide scans for statistical epistasis. An extensive and strong genome wide high order LD was revealed between pairs of markers on the high density 250k SNP-chip and individual markers revealed by whole genome sequencing in the Arabidopsis thaliana 1001-genomes collection. The high order LD was found to be more prevalent in smaller populations, but present also in samples including several hundred individuals. An empirical example illustrates that high order LD might be an even greater challenge in cases when the genetic architecture is more complex than the common assumption of bi-allelic loci. The example shows how significant statistical epistasis is detected for a pair of markers in high order LD with a complex multi allelic locus. Overall, our study illustrates the importance of considering also other explanations than functional genetic interactions when genome wide statistical epistasis is detected, in particular when the results are obtained in small populations of inbred individuals.
COMMONWEALTH Forum: Law Enforcement in the Twenty-­First Century: Partnering to Combat the Opioid Overdose Epidemic
Authors: Shapiro Josh
Published: June 2018

COMMONWEALTH Special Issue Editor Mark Nordenberg invited Pennsylvania’s attorney general, Josh Shapiro, to discuss the steps that his office is taking to address the opioid crisis. As the state’s chief law enforcement officer, Mr. Shapiro has taken a multipronged approach to the epidemic that includes partnering with other government agencies and nonprofits. The following article outlines the policies undertaken by the Office of the Attorney General to combat opioid abuse in 2017.
Resiliensi Orang Tua Sunda yang Memiliki Anak Berkebutuhan Khusus
Authors: Hermawati Nisa
Published: June 2018

Having children with special needs require higher patience. This research aims to look specifically how resilience of the Sundanese couple who have child with special needs. They have three factors: have the personal stronger to face all difficulties they need face (I AM), have external support, which are love and care each other (I HAVE), and have good interpersonal relation with their friends or family (I CAN). This description is similar with the meaning of personality in Sundanese, which are “cageur, bageur, bener, singer, pinter and silih asih, silih asah, silih asuh.”
Dificuldades na aprendizagem de Física sob a ótica dos resultados do Enem
Authors: Barroso Marta F. , Rubini Gustavo , Silva Tatiana da
Published: June 2018

Resumo Os resultados do Exame Nacional do Ensino Médio constituem uma ferramenta importante para diagnóstico das deficiências do ensino no final de um ciclo formativo, uma fonte relevante de dados para a avaliação do que foi aprendido pelos estudantes ao final do ensino médio. Neste trabalho, apresentam-se doze questões selecionadas das provas de Ciências da Natureza do Enem no período entre 2009 e 2014, classificadas disciplinarmente como "questões de física", nas quais algumas das alternativas de respostas revelam concepções não científicas bem delimitadas e descritas na literatura. A partir do desempenho nessas questões dos estudantes concluintes do ensino médio no ano do exame, fazem-se observações a respeito do processo de aprendizagem em física na educação básica. Esse estudo revela que há algumas dificuldades permanentes na compreensão de conceitos básicos de mecânica, fenômenos térmicos e ótica geométrica. Muitas dessas questões evidenciam a presença e eventual predominância de concepções não científicas. Mesmo com as dificuldades para modificar estas concepções, os resultados revelam que, apesar de todo o esforço desenvolvido de pesquisa desde os anos 1980, houve pouco impacto dos resultados no processo de ensino e aprendizagem, e pequena incorporação deste conhecimento acumulado nos materiais didáticos e nos cursos de formação de professores.
Swelling behaviour of compacted Maryland clay under different boundary conditions
Authors: Yuan S. , Buzzi O. , Liu X. , Vaunat J.
Published: June 2018

This paper presents an experimental study on the swelling response of compacted Maryland clay specimens subjected to hydration under a range of boundary conditions. The research is multi-scale with swelling tests complemented by comprehensive mercury intrusion porosimetry analyses. The objective of the experimental programme is to establish the locus of final swollen states (in terms of void ratio and swelling pressure) and assess its robustness by testing a range of boundary conditions or combinations thereof. Five initial soil conditions were tested and swelling was generated by flooding or incremental suction reduction by way of the osmotic technique. The paper shows that, for a given soil condition, there is no influence of the stress–volume path on the final swollen state. This observation was corroborated at the microscopic level by the mercury intrusion porosimetry. It was concluded that the effect of different stiffness can actually be analysed in terms of the maximum stress applied to the specimen. In particular, a clear correlation was identified between the macroscopic strains and the confinement applied during the test, regardless of the boundary conditions. Also, the conceptual model relating the water ratio and micro void ratio proposed by E. Romero and co-workers in 2011 was found to prevail, regardless of the boundary conditions.
Assessing the impact of construction waste reduction on selected projects in Ireland
Authors: Gottsche Jan , Kelly Mark
Published: June 2018

The construction sector generates approximately 9% of gross domestic product (GDP) in the European Union (EU), providing over 18 million direct jobs, demonstrating the role it plays in economic output and development. However, construction activities have a direct impact on resource efficiency with over half of all extracted materials and energy consumption and a third of water consumption linked to construction and use of buildings in the EU. In addition, the sector generates about one-third of all waste. This connection between construction output and resource use needs to be addressed. This study presents results identifying cost savings and reduced environmental impact associated with the implementation of waste-reduction initiatives during the construction of five healthcare and educational projects in Ireland. Total savings of €68 448 were estimated across all five projects. This represented 49% of the total expenditure on waste management on-site and a saving of 4·2% of the assumed average profit margin. It was also calculated that the implemented initiatives resulted in savings of 128 t of carbon dioxide. It was found that simple quick-win waste-reduction measures can increase profit margins and reduce environmental impact.
İKİNCİ TRİMESTER GEBELİKTE MESANEYE MİGRASYONU SAPTANAN RAHİM İÇİ ARACIN SİSTOSKOPİK OLARAK ÇIKARILMASI
Authors: DÖNMEZ Emin Erhan , DÜLEK Hatice , ÖZDAMAR Murat , KÖSE Gultekin , KOCA Orhan
Published: June 2018

Bu olgu sunumu ile rahim içi araç
(RİA)’ların nadir görülen komplikasyonlarından biri olan mesaneye migrasyonu sonrasında
oluşan gebelikte hastanın yönetiminin tartışılmasını amaçladık. Yirmi
yaşında  4 gebelik ve 3 vajinal doğumu
olan 15 haftalık gebe tekrarlayan dizüri, hematüri, yürümede zorluk şikayetleri
ile gebe polikliniğine başvurmuştur. Hastaya 2013 yılında ikinci normal vajinal
doğumundan 6 hafta sonra bir klinikte RİA takıldığı, sonrasında  hastanın üçüncü kez gebe kaldığı, kendisine RIA’nın
düştüğü ve bu nedenle gebe kaldığının söylendiği, gebeliğinin son aylarında
tekrarlayan hematüri, dizüri ve kasık ağrısı nedeni ile idrar yolu enfeksiyonu
tedavisinin uygulandığı, hastanın üçüncü doğumundan sonra şikayetlerinin
azaldığı ancak dördüncü gebeliğinde benzer şikayetlerin daha erken gebelik
haftasında ortaya çıktığı öğrenildi. Hastanın yapılan obstetrik ultrasonografisinde
tek canlı 15 hafta ile uyumlu gebelik ve mesane lümeninde RİA ekosu izlendi. RİA
sistoskopik olarak çıkarıldı. RİA taktırma öyküsü olan ve kontrol
muayenelerinde RİA saptanmayan hastalar mutlaka ayrıntılı olarak
değerlendirilmeli, ileri incelemeler yapılmalı RİA lokalizasyonu
belirlenmelidir. Uterin kavitede izlenmeyen RİA’larda uterin perforasyon akılda
tutulmalıdır.
PELVİK ORGAN PROLAPSUSU OLAN HASTALARIN KONUMA ÖZGÜN PROLAPSUS REDÜKSİYONU YAPILARAK ÜRODİNAMİ SONUÇLARININ KARŞILAŞTIRILMASI
Authors: DÖNMEZ Emin Erhan , SELÇUK Selçuk , SÜT Hasan , ARINKAN Sevcan Arzu , CAM Cetin
Published: June 2018

Amaç: Evre
2 ve üzerinde prolapsusu olan hastaların prolabe olan kompartmanın lokal
redüksiyonu ile okült inkontinans oranını saptamak. Bireyler ve
Yöntem: Eylül 2014 ve Şubat 2015 tarihleri arasında pelvik organ prolapsusu
tanısı konan 65 hasta çalışmaya alındı. .Hastalara ürodinami yapıldı ve aynı
zamanda hayat kalitesi sorgu formlarından UDI-6, IIQ-7, PISQ-12 ve PQoL  anketleri doldurtuldu. Anket sonuçları
prolapsus hastaları arasında değerlendirildi Bulgular: Hastaların %55.4 ‘ü( n: 36) evre 2, %29.2’si (n : 19)
evre 3 ve %15.4 ‘ü (n: 10) evre 4 prolapsusu vardı.Prolapsusu olan hastaların 4
tanesinde ( % 6.2) aşikar üriner inkontinans saptandı. İnkontinansı olmayan
hastalarda ise spekulum ve ring forceps ile yapılan lokal redüksiyon sonrası
okült inkontinans oranı %18.5, peser ile redüksiyon sonrası ise okült
inkontinans oranı % 24.6 olarak saptandı.Ürodinamik parametrelerden ise her iki
grup  Pdet Qmax, Qmax, Qave, Qmax
(liverpol), Qave ( liverpol),PVR açısından değerlendirildi, İstatistksel olarak
her iki grup arasında anlamlı bir fark saptanmadı.( p>0.05). Prolapsus
lokalizasyonu açısından da her iki grup arasında istatistiksel olarak anlamlı
fark saptanmadı. Hayat kalitesi değerlendirme formları yapılmış olan diğer
çalışmalar ile tutarlılık göstermesine rağmen her iki grup arasında
İstatistiksel olarak anlamlı bir fark saptanmadı. 

Sonuç:
Üriner inkontinans ile
pelvik organ prolapsusu sıklıkla bir arada bulunabilir. Ciddi prolapsusu olan
hastalarda okült inkontinans bulunabilir. Bu nedenle pelvik organ prolapsusu
nedeni ile cerrahi tedavi planlanan hastaların preoperatif dönemde ürodinamik
olarak ayrıntılı şekilde değerlendirilmesi gerekmektedir.
POSTMENOPOZAL KANAMA İLE BAŞVURAN KADINLARDA ENDOMETRİAL SİTOLOJİ TANI KOYMADA YETERLİ MİDİR?
Authors: HERKİLOĞLU Dilşad , EROĞLU Mustafa , ŞAHİN Sadik , TAYYAR Ahter
Published: June 2018

POSTMENOPOZAL
KANAMA İLE BAŞVURAN KADINLARDA ENDOMETRİAL SİTOLOJİ TANI KOYMADA YETERLİ MİDİR? ÖZET AMAÇ: Endometrial
kanser kadın genital sisteminin en yaygın invaziv neoplazmı olup insidansı son
yıllarda artmaktadır . Endometrium karsinomasının ve öncüllerinin erken tespiti
için tarama testi yoktur.  Çalışmamızda postmenopozal
kanaması olan kadınlarda endometrial patolojilerin tanısi için Uterobrush kullanılarak
alınan sitolojik endometriyal örneklerin endometrial biopsi ile
karşılaştırılması ve güvenilirliğini değerlendirmektir.YÖNTEM:Çalışmaya
1 ağustos 2015 ile 1 nisan 2017 tarihleri arasında hastanemizin kadın doğum
polkliniklerine postmenopozal  kanama ile
başvuran 100 hasta dahil edildi. Tüm hastalara lokal anestezi altında, litotomi
pozisyonunda  önce sitolojik örnekleme
ardından endoservikal ve endometrial örnekleme yapıldı. Endometriyumun sitolojik
örneklemesi  Uterobrush yöntemi  ile yapılmıştır. Fırça daha sonra sıvı bazlı
bir sitolojik inceleme için  solüsyona 
alınmıştır. Ardından dilatasyon sonrası endoservikal ve endometrial küretaj
yapılmıştır.  BULGULAR:Çalışmamız
da Uterobrush yöntemi kullanılarak endometrial sitolojinin fizibilite ve
güvenilirliği değerlendirilmiştir. 100 hastanın işlem öncesi usg bulguları ve
endikasyonları açısından değerlendirildiğinde 
%(63) postmenopozal kanama,  %(31)
endometriumda kalınlaşma,  %(6) intrauterin
sıvı izlenmiştir. Fırça sitolojisinde %(94)malignite hücresi izlenmemiş,  %(3) atrofik hücreler,   %(2) ascus hücreleri, %(1) hgsıl
hücreleri  izlenmiştir. Fırça sitolojisi
ile probe küretaj (pc) histopatolojik sonuçları karşılaştırıldığında pc sonucu
endometroid adenokarsinom sonucu gelen 2 hastada fırça sitolojisinde malign
hücreler izlenmemiştir. Fırça sitolojisi ascus gelen 2 hastanın pc sonucu
inaktif endometrium olarak değerlendirilmiştir. Hsıl olan sitoloji sonucu pc de
inaktif endometrium olarak görülmüştür.SONUÇ:Uterobrush,
endometrial sitolojik numune elde etmek için kullanılan  bir  tekniktir. Histolojik muayene endometrial
patolojiyi araştırmak için halen altın standart olarak kullanılmaktadır. Çalışmamızda
endoservikal fırça kullanılarak yapılan Uterobrush yönteminde  endometrial sitolojik değerlendirmenin
endometrial patolojilerin tanısını koymada yetersiz olduğu ve örnekleme esnasında
servikal hücrelerle de bulaş olduğu saptanmıştır. Postmenopozal kanaması
olanlarda tanı koymada probe küretaj uterobrusha tercih edilecek altın standart
yöntemdir. 

Anahtar sözcükler: Uterobrush, Endometrial örnekleme, Endometrium
kanseri
Financial Heterogeneity and Monetary Union
Authors: Gilchrist Simon , Schoenle Raphael , Sim Jae , Zakrajsek Egon
Published: June 2018

We analyze the economic consequences of forming a monetary union among countries with varying degrees of financial distortions, which interact with the firms&#x27; pricing decisions because of customer-market considerations. In response to a financial shock, firms in financially weak countries (the periphery) maintain cashflows by raising markups--in both domestic and export markets--while firms in financially strong countries (the core) reduce markups, undercutting their financially constrained competitors to gain market share. When the two regions are experiencing different shocks, common monetary policy results in a substantially higher macroeconomic volatility in the periphery, compared with a flexible exchange rate regime; this translates into a welfare loss for the union as a whole, with the loss borne entirely by the periphery. By helping firms from the core internalize the pecuniary externality engendered by the interaction of financial frictions and customer markets, a unilateral fiscal devaluation by the periphery can improve the union&#x27;s overall welfare.
Employee Profiles and Preferences towards IoT-enabled Gamification for Energy Conservation
Authors: Kotsopoulos Dimosthenis , Bardaki Cleopatra , Lounis Stavros , Pramatari Katerina
Published: June 2018

Gamification can be used to effect positive behavioral change in various fields, including energy conservation. This paper reports on a survey we conducted to formulate a holistic view of users’ profiles and preferences in an Internet of Things (IoT)-enabled gamified mobile application that provides personalized energy-saving recommendation tips to employees, towards conserving energy and adopting a more green behavior at the workplace. The collected insight dictates that a gamified app promoting energy saving at the workplace may become a daily habit for its users if it at least includes three game design elements: progression, levels and points. Additionally, we complement existing design guidelines about the requirements of each HEXAD gamification user type (Philanthropist, Socializer, Free Spirit, Achiever, Disruptor, Player) in game elements, specifically for energy efficiency applications. Thus, we apply and validate the HEXAD gamification user typology in a new context – multicultural workplaces – as well as domain – energy-saving. Moreover, the collected insight inspired us to devise a modular, rule-based mechanism for formulating personalized energy-saving recommendation tips tailored to the users’ profiles and game design choices. This research may assist researchers, as well as practitioners, in designing personalized gamified behavioral interventions, especially towards energy conservation in workplaces.
Training Computational Thinking through board games: The case of Crabs & Turtles
Authors: Tsarava Katerina , Moeller Korbinian , Ninaus Manuel
Published: June 2018

As a cognitive ability computational thinking describes a specific way of algorithmic reasoning building on concepts and processes derived from computer programming/coding. Recently, computational thinking was argued to be a fundamental and educationally relevant 21st century skill that should be fostered already in childhood. Accordingly, we developed three life-size board games – Crabs & Turtles: A Series of Computational Adventures – aimed at providing an unplugged and low-threshold introduction to computational thinking. In particular, the games aimed at introducing basic coding concepts and computational thinking processes to 8 to 9-year-old primary school children. In the current study, we first describe the design of the games in detail to explicate the development process and allow for reproducibility. We then report on a first empirical evaluation of feasibility and user experience of our educational board games in a two-phase approach. We conducted quantitative analyses of player experience and qualitative feedback of adult student participants (Phase 1) and a sample of gamification experts and teachers (Phase 2). We examined users’ game experience with an adult population to ensure the game’s appropriateness. Results indicated overall positive game experience for all three games. Future studies would be desirable, which should evaluate player experience and learning outcomes in the primary target population of children.
3 Fazlı Evirici Devresi için SDGM, SHEDGM, HIDGM ve UVDGM Tekniklerinin Karşılaştırılması
Authors: Kocalmış Bilhan Ayşe , Sünter Sedat
Published: June 2018

Alternatif Akım iletim sistemleri, motor sürücü sistemleri, gerilim
kompanzatörü, kesintisiz güç kaynakları (UPS) gibi birçok alanda kullanılan eviricilerin
temel görevi sabit bir Doğru Akım/Gerilim kaynağından genliği ve frekansı
kontrol edilebilir bir Alternatif Akım/Gerilim kaynağı üretmektir. Eviriciler,
tek fazlı ve üç fazlı olarak üretilebildikleri gibi, besleme kaynaklarına göre
Gerilim veya Akım Kaynaklı Eviriciler olarak da sınıflandırılabilmektedirler. Bu çalışmada, günümüzde Evirici devrelerinde gerilim ve frekans
kontrolünün gerçekleştirilmesi amacıyla kullanılan Sinüsodial Darbe Genişlik
Modülasyon (DGM) tekniği, Seçili Harmonik Eliminasyon DGM tekniği, Harmonik
İlaveli DGM tekniği ve Uzay Vektör DGM tekniğinin Matlab/Simulink benzetim
modeli gerçekleştirilerek R-L yükü üzerinde akım ve gerilim dalga şekilleri karşılaştırılmalı
olarak incelenmektedir.
¿Debemos ir de la educación especial a la educación inclusiva? Perspectivas y posibilidades de avance
Authors: Cruz Vadillo Rodolfo
Published: June 2018

El presente trabajo es resultado de una investigación que tuvo como objetivo analizar las creencias que sobre la inclusión de personas con discapacidad tienen los profesores al atender a un estudiante en situación de discapacidad. El propósito de este texto es problematizar la idea que la educación inclusiva es un espacio discursivo y representacional que no se ha dado gracias a la transición o continuidad de la educación especial. La metodología es de corte cualitativo con alcance descriptivo desde un paradigma interpretativo. Se utilizó un cuestionario con 13 preguntas abiertas realizadas a 61 profesores de educación obligatoria todos estudiantes de la maestría en Pedagogía de una Institución de Educación Superior de la ciudad de Puebla. El tipo de análisis que se dio a los resultados fue de discurso. Los resultados señalan que a pesar de que en algunos discursos se ha mostrado una división casi antagónica, para los profesores la mixtura y complementariedad es necesaria, es decir, el saber de la educación especial complementa los principios de igualdad, equidad y no discriminación de la educación inclusiva. Las conclusiones a las que se llega es la necesidad de complementariedad entre la educación inclusiva y la educación especial para avanzar en un proyecto de desarrollo humano.
“La escuela confía en que los estudiantes podemos cambiar el mundo”: un estudio de las escuelas que trabajan para la justicia social
Authors: Perines Haylen , Hidalgo Nina
Published: June 2018

Este artículo de investigación expone los resultados de un estudio que buscó identificar las características de las escuelas que trabajan para promover una sociedad más justa desde la perspectiva de los estudiantes. Para hacerlo, se utilizó el grupo de discusión como enfoque metodológico. Se desarrollaron grupos de discusión con estudiantes de cuatro institutos de Educación Secundaria de la Comunidad de Madrid (España), que se constituyen centros altamente heterogéneos en relación con su composición socio-económica y cultural. Los resultados apuntan a que los estudiantes valoran positivamente múltiples aspectos de su escuela, tales como la forma en que se integra a todos sin hacer diferencias, la confianza que los profesores depositan en ellos, la participación de todos los integrantes de la comunidad educativa y la posibilidad que tienen de expresar sus ideas e inquietudes. Este artículo se organiza en los siguientes apartados: introducción, marco teórico, donde presentamos los principales elementos conceptuales que sustentan el estudio, metodología, resultados, discusión y conclusiones.
Análisis crítico del discurso: la reforma a la educación superior en Chile en medios de comunicación escritos
Authors: Camus Pablo Abraham , Ponce Nicolas , Del Valle Tapia Milenko
Published: June 2018

El presente artículo da cuenta de una investigación, de carácter cualitativo, que da cuenta del análisis crítico del discurso (acd) de los actores involucrados en el debate presente acerca de la propuesta de reforma a la educación superior (res) que se desarrolla en Chile, y que se expresa a través de los medios de comunicación escritos. Se devela la posición social de los actores en la estructura social o por la influencia que ejercen en la problemática discutida. Además, se identifica el discurso ideológico que subyace al contenido emitido por los medios de comunicación. Los principales resultados dan cuenta de la crítica explícita al proceso de res por insuficiente, por el distanciamiento de las instituciones con respecto a la realidad social o por la intensificación de los procesos de privatización. Asimismo, se observa la reiteración de algunas estructuras que dan cuenta, de forma crítica, de los elementos que subyacen al proceso de reforma, como son la criminalización del movimiento estudiantil, la identificación del sistema educativo como bien de consumo y el fortalecimiento del sector privado, entre otras.
In-Cell Western™ Assay (HeLa Cellular Response to Anisomycin Treatment) v1
Authors: Biosciences LI-COR
Published: June 2018

This is a completeapoptosis assay example. It details the seeding, induction, and detection of the HeLa cellular response to Anisomycin treatment. Developed for: Aerius, Odyssey® Classic, Odyssey CLx, and Odyssey Sa Infrared Imaging Systems Please refer to your manual to confirm that this protocol is appropriate for the applications compatible with your Odyssey Imager model.
Hiperlipidemi ve Erektil Disfonksiyon
Authors: Tüzün Dilek
Published: June 2018

Normal erektil fonksiyon, bircok düzenleyici sistemin
varlığı ve koordinasyonunu, ayrıca fizyolojik, hormonal, nörolojik, vasküler ve
kavernozal faktörlerin etkileşimini gerektirir. Bu faktörlerin herhangi birinde
oluşan değişiklik, erektil disfonksiyonun oluşması icin yeterli olmakla
beraber; bircok vakada bu etkenlerin değişiklikleri kombine şekilde
bulunmaktadır. Hiperlipidemi, sigara kullanımı, hipertansiyon, kalp hastalığı,
aile hikayesi, hayat tarzı, obezite ve diyabet gibi damarsal risk faktörleri arttıkca,  erektil disfonksiyon görülme olasılığı da
artmaktadır.
Ortaokul Öğrencilerinin Yaratıcı Problem Çözme Becerileri
Authors: BAL İNCEBACAK Belgin , ERSOY Esen
Published: June 2018

Günümüz bilgi çağında

öğrencilerin hayatlarını daha sağlıklı sürdürebilmeleri için problem çözme

becerilerini geliştirmeye yönelik etkinlikler yeterli değildir.  Bunun yerine öğrencilerin çok boyutlu

düşünmesine fırsat tanıyan, üst düzey düşünmelerini sağlayan eğitimlere ihtiyaç

duyulmaktadır. Bu ihtiyaçlardan dolayı öğrencilerin üst düzey düşünmelerini

sağlayan yaratıcı birer problem çözücü olmaları gerekmektedir. Yaratıcı problem

çözme etkinlikleri ile öğrencilerin üst düzey düşünme becerilerinin

geliştirileceğine olan inanç bu çalışmanın temelini oluşturmaktadır. 

Çalışma, Türkiye’nin

Karadeniz bölgesinde bulunan iki ilden rastgele örnekleme yöntemi ile seçilen

toplam 72 öğrenci ile gerçekleştirilmiştir. Çalışmada veri toplama aracı olarak

Price (2006) tarafından geliştirilen bir yaratıcı problem kullanılmıştır.

Verilerin analizinde, uygulanan problemlerin çözümleri Mumford ve diğ. (1991)’nin

yaratıcı problem çözme adımları göz önünde bulundurularak incelenmiştir.

Araştırmada nitel araştırma yöntemlerinden içerik analizi kullanılmıştır. 

Elde edilen bulguların

sonucunda, ortaokul öğrencilerinin 

yaratıcı problem ile ilk defa karşı karşıya kalmaları sebebiyle biraz

zorlandıkları belirlenmiştir. Öğrencilerin problemi yapılandırma, kategori

seçme ve bilgiyi kodlama basamağında zorlandıkları tespit edilmiştir.
Orman içi ve kenarı yerleşimlerde orman yangınları tehlike oranlaması modeli: Antalya Orman Bölge Müdürlüğü örneği
Authors: YILMAZ Ersin , KAYACAN Arif , GÜLER Kader Hale
Published: June 2018

Yangında can ve mal kaybının azaltılması açısından orman yangını sırasında yapıların yanma riskinin değerlendirilmesi, yani “orman yangınları tehlike oranlaması” çalışmaları büyük önem arz etmektedir. Bu araştırmada Analitik Hiyerarşi Süreci (AHS) tekniği kapsamındaki “ikili karşılaştırmalar” yaklaşımı yardımı ile orman yangınları yönetimi konusundaki uzmanların hükümleri ortaya konulmuş ve orman yangınları tehlike ana kriterlerinin ve alt kriterlerinin ağırlıkları bu uzman hükümlerine dayalı olarak belirlenmiştir. Daha sonra ana kriterlerin ve alt kriterlerin kombine edilmesinde “Doğrusal Kombinasyon” tekniği isimli çok kriterli çözümlemeden faydalanılmıştır. “Yüksek yangın tehlike oranına” sahip bina tipleri arasında “Orman İçi Köyde Bulunan Bina 4” 2,313 toplam yangın tehlike puanı ile en yüksek yangın tehlike oranına sahip bina tipi olarak belirlenmiştir. “Orta yangın tehlike oranına” bina tipleri arasında “Tatil Köyü 2” 1,895 toplam yangın tehlike puanı ile en yüksek yangın tehlike oranına sahip bina tipi olarak saptanmıştır. Buna karşın yapılan yangın tehlike oranlaması çözümlemelerinde “düşük yangın tehlike oranına” sahip bina tipi ortaya çıkmamıştır.
Reality Show in Modern System of Mass Communication (Based on Ukrainian Reality Shows)
Authors: Filonenko Anastasia
Published: June 2018

The purpose of our study was to understand the nature of the reality show phenomenon in the system of mass communication through analysis of Ukrainian media market of reality shows.

For this purpose we have used a broad methodological base: a descriptive method for identifying the features of reality show and journalism, a bibliographic method for processing scientific sources, an inductive method to determine the functioning of reality show, the method of comparative analysis to understand relationship between journalism and reality show, historic-typological method to classify reality shows, methods of generalization and structuring to develop a modern structure of mass communication.

The main results of the research are the following: we found that reality show is a product of journalistic activity; the concept of “reality show” and “reality television” is clearly determined. Reality show is a format of a television product in which the actions and emotions of true people in real-life or in specially modelled situations are observed, characterized by accomplishment of unusual actions and constant commentary on everything that happens to them. This category includes competitions, dating, makeover, etc. Reality TV is a type of television program that demonstrates non-played situations in which real people, whether ordinary citizens or politicians and stars of show business, find themselves.

The value of our research is that the correlation between reality show, its types and reality TV is clearly established. Reality TV consists of: 1) reality shows; 2) studio/gaming shows (talk show, late night show, game show), 3) broadcasting events (sports, music events, awards ceremony, etc.). Reality TV belongs to the category of entertainment television.

In this study the classification of reality shows has been improved, a whole series of functions of the reality show programs has been identified (entertainment, information, recreation, education, social integration and public control), it is proved that reality show has a great potential in the context of mass communication.
Deducciones paleoclimáticas a partir del estudio de una secuencia sedimentaria alternante de espeleotemas y sedimentos detríticos en Sima Engañá, Sierra de las Nieves (Málaga)
Authors: Cuenca Rodríguez Jesús , Robledo Ardila Pedro Agustín , Durán Valsero Juan José , Pardo Igúzquiza Eulogio , Cheng Hai , Martos Rosillo Sergio , Luque Espinar José Antonio , Moreno Lázaro
Published: June 2018

El estudio de sedimentos detríticos y de precipitación química en cavidades es una herramienta muy útil como proxy del registro de cambios climáticos pasados y, por tanto, para la reconstrucción e interpretación paleoclimática de una región debido al carácter altamente conservativo de estos. En Sima Engañá (Sierra de las Nieves, SE de la Península Ibérica) se ha llevado a cabo el análisis de la secuencia estratigráfica de un conjunto alternante de sedimentos detríticos y espeleotemas conservados en su interior. La datación de las diferentes familias de espeleotemas mediante series de Uranio (230Th/234U), una capa de carbón a techo de la secuencia mediante δ14C junto con la caracterización de los sedimentos detríticos a partir de la difracción de Rayos X y estudios granulométricos, ha permitido identificar la ciclicidad paleoclimática en los últimos 465.000 años. Las diferentes fases sedimentarias responden a la alternancia de pulsos más o menos energéticos de las aguas endokársticas. La deposición de fracciones detríticas está ligada a flujos energéticos que transportaban sedimentos fundamentalmente alóctonos. El desarrollo de espeleotemas se asocia a momentos de baja energía con pulsos de agua laminar que generaron coladas y, goteos, que dieron lugar a estalagmitas. El análisis de los resultados pone de manifiesto que las diferentes etapas con las que se relacionan los sedimentos tractivos y los espeleotemas, tuvieron lugar en un periodo de tiempo que abarca desde 464.019 ± 16.668 años BP, estadio isotópico 13 (Pleistoceno Medio) hasta 525 ± 15 años BP, estadio isotópico 1 (Holoceno), todas edades calibradas.
Aplicación de algoritmos Structure from Motion (SfM) para el análisis histórico de cambios en la geomorfología fluvial
Authors: Llena Manel , Vericat Damià , Martínez Casasnovas José Antonio
Published: June 2018

En el presente artículo se presenta el flujo de trabajo para la obtención de información espacial utilizada para el análisis de cambios geomorfológicos fluviales en el tramo alto del río Cinca (Pirineo Aragonés) durante el periodo comprendido entre el año 1927 y el año 2015. Los productos finales tras la aplicación de la metodología SfM-MVS son ortomosaicos, con un error medio cuadrático (RMSE) entre 0,5 y 1 m, y nubes de puntos con un RMSE entre 1 y 2 m. Los resultados indican que el tramo de estudio del Alto Cinca ha sufrido una fuerte reducción de la anchura activa del cauce (52 %) con un elevado proceso de incisión (e.g. >5 m en algunos puntos). Además, se observa una clara simplificación en el patrón del cauce (reducción del índice de multiplicidad de canales y paso de patrón multicanal a unicanal). Estos procesos están directamente influenciados por los impactos antrópicos asociados a las extracciones de áridos y a la construcción de escolleras (escala de tramo), y por los efectos sobre la producción y trasferencia de sedimentos (escala de cuenca) debido a los cambios en los usos del suelo a partir de la década de 1950 del siglo XX.La metodología que se presenta en este trabajo es de gran utilidad para el diagnóstico del estado morfo-sedimentario de sistemas fluviales. En el caso particular del Alto Cinca, los resultados son de gran interés para la mejora de la comprensión de las relaciones causa-efecto en la dinámica morfo-sedimentaria observada para el período 1927-2015. Esta mejora puede ayudar a modificar los planes de gestión de cuenca mediante una visión más integral de los procesos contemporáneos.
POSTOPERATIVE STERNOMEDIASTINITIS SURGICAL TACTICS
Authors: Vachev A N , Koryttsev V K , Adyshirin-Zade E E , Gladyshev V V
Published: June 2018

The analysis of treatment of patients with postoperative sternomediastinitis after cardiosurgical interventions is carried out. The tactics and technique of conducting these patients as well as the technical methods of performing the operation are described. Greater omentum was used as a plastic material.
NEXT GENERATION SEQUENCING HELPS IN DIFFERENTIAL DIAGNOSIS OF PATHOLOGICAL LEFT VENTRICULAR HYPERTROPHY IN ELITE ATHLETES
Authors: Chumakova O S , Isaeva M Yu , Abushenko M I , Vorobieva M V , Guseinova L E , Gasanova R R , Speshilov G I , Nikitin A G , Averyanov A V , Zateyshchikov D A
Published: June 2018

To detect the reason of left ventricular hypertrophy (LVH) may be difficult in some cases especially in elite athletes. Object. To evaluate the efficiency of next generation sequencing (NGS) genetic test in differential diagnostics of pathological LVH in elite athletes. Material and methods. Analysis of echocardiographic data from 791 elite athletes revealed 15 individuals with LVH > 12 mm (1,9%). Based on the criteria of abnormality (asymmetric, severe and changes on electrocardiogram) 5 (0,6%) athletes were selected for genetic test. TruSight Cardio panel (“Illumina”) was used to identify variants of 174 genes with known associations to inherited cardiac conditions. Results. In 3 out of 5 athletes the pathogenic variants in MBPC3 and LMNA genes previously associated with HCM and other CMs were found. One athlete with negative genetic test result had severe untreated arterial hypertension as a possible cause for LVH. The second athlete didn’t have LVH in magnetic resonance imaging. Conclusions. In elite athletes, the asymmetric LVH should be considered as pathological finding which requires comprehensive clinical evaluation and NGS genetic test.
EFFICACY OF INTERMITTENT NORMOBARIC HYPOXIC TRAINING IN THE TREATMENT OF ARTERIAL HYPERTENSION ASSESSED BY 24-HOUR BLOOD PRESSURE MONITORING
Authors: Velizhanina I A , Gapon L I , Evdokimova O V , Velizhanina E S , Rudakov A V
Published: June 2018

The study performs the results of our own researches regarding the method of intermittent normobaric hypoxic training as drug-free treatment in patients with arterial hypertension with low risk of cardiovascular complications. Clinical efficacy was assessed according to office blood pressure changes using dynamic 24-hour blood pressure monitoring before and after treatment. High clinical efficacy and safety of hypoxic training method is demonstrated in this work.
BREAST CANCER IN YOUNG PATIENTS. PECULIARITIES OF PROGNOSIS AND ADIUVANT HORMONE THERAPY (A LITERATURE REVIEW)
Authors: Kravchenko D N , Parokonnaya A A , Nechushkin M I , Nikitina E A , Hakurinova N D
Published: June 2018

Breast cancer (BC) keeps being the most predominant malignant disease in women. In recent years, a trend towards “rejuvenescence” of the disease has been observed that affects its features. Despite modern methods of diagnosis and complex treatment used in young patients, survival in this age group are inferior that's associated with biological and morphological peculiarities of BC in young age. Gradually collected data demonstrates that age might be an independent factor exacerbating prognosis. For BC patients younger 40 years, various aspects of hormone therapy remain ambiguous: prolonged tamoxifen use, aromatase inhibitors prescription, ovarian function suppression, a role of chemotherapy-induced amenorrhea on prognosis of young BC patients. The issue of appropriate, personalized adjuvant hormone therapy of BC is complex and heterogenous that requires a necessity to further international randomized trials.
Safety of pregnancy in uterine fibroids
Authors: Alhainiah Maha , Aljifry Elaf , Alghamdi Ayman , Alrabghi Lujain , Alharbi Abdullah , Alrowaithi Ezdehar , Almuallem Fatimah , Fakeih Elaf , Alrowaithi Bassmah , Allam Hassan
Published: June 2018

Uterine fibroid is one of the most common intrauterine masses among females at the reproductive age. Pregnancy and uterine fibroids are highly correlated. Pregnancy-related hormones influence the size of uterine fibroids, and fibroids have many impacts on pregnancy. Although most if the uterine fibroids are asymptomatic during pregnancy, serious complications may occur. The main complications include abortion, premature rupture of membranes, premature labor, abruptio placentae, peripartum hemorrhage, fetal malpresentation, fetal intrauterine growth retardation, small for gestational age infants, and fetal anomalies. The main risk factors for complications are related to the fibroid number, size, volume, location, and type. Large, multiple, retroplacental, submucosal, subserosal, pedunculated, or low-lying fibroids carries the highest risk for complications during pregnancy. This review will address the prevalence of uterine fibroids during pregnancy, its effects, and complications.
To study the rate of HIV Sero-positivity in paediatric patients with high risk clinical profile
Authors: Singh Tarsem , Natt Navreet Kaur , Goel Sneh Prabha
Published: June 2018

Background: Understanding the magnitude and clinical profile of pediatric HIV is essential for the clinicians and policy makers. The study was aimed to determine the rate of HIV seropositivity in pediatric patients with high risk clinical profile, study the clinical presentations and the mode of transmission of HIV in children.Methods: This prospective hospital-based study to screen 244 children aged 18 months to 12 years with high risk clinical profile for HIV seropositivity was carried out for a period of 1 year.Results: Of the 244 children screened, the commonest clinical features associated with high risk profile were failure to thrive in 200 (81.97%), persistent fever in 151 (61.89%), chronic diarrhoea in 76 (31.15%), cough >1month 112 (45.90%) patients. HIV seropositivity was reported in 11/244 (4.51%) patients; with failure to thrive in 10/11 (90.90%), chronic diarrhoea in 09/11 (81.81%), seborrheic dermatitis in 2/11 (18.18%) patients followed by persistent cough, severe malnutrition, oral thrush, generalized lymphadenopathy and recurrent bacterial skin infections in 1 patient each out of 11(9.09%). Chronic diarrhoea was a significant independent clinical risk factor for predicting HIV seropositivity (Chi2 = 13.81, p<0.001, Odds ratio=11.15). The probability of HIV seropositivity increased significantly with the number of risk factors concomitantly present, with 30% seropositivity in those with four clinical risk factors (Chi2 =32.89, D. F=1, P<0.001). The parents of all seropositive children were seropositive.Conclusions: The probability of HIV infection in a child depends upon the nature and number of clinical manifestations present. All HIV positive children h HIV positive parents in this study indicating vertical transmission.
Spectrum of malignant mediastinal masses at a tertiary care centre in Central India
Authors: C. Deepak Yadlapalli , Gumdal Vishesh , Punia Ankur , Mishra Renu , Chitalkar Prakash G. , Jain Amar
Published: June 2018

Background: Malignant mediastinal masses can develop from structures that are normally located or pass through the mediastinum during development, as well as from metastases of malignancies that arise elsewhere in the body. Since many tumors that occur in the mediastinum are undifferentiated and have overlapping histologic features, one must consider a broad differential diagnosis and perform a thorough evaluation. This is particularly important since appropriate therapy for various mediastinal tumors differs considerably and may significantly impact survival.Methods: Ours was a retrospective descriptive study of 48 patients who presented or referred to medical oncology department from January 2014 to December 2017 and in whom malignant cause of mediastenal mass was established. All details of the patients pertinent epidemiology, clinical history and pathological including immunohistochemistry details were studied.Results: Out of 48 patients,14 cases (29.2%) were in adolescent and young adult age group (15-29 years). Majority of the patients were symptomatic (91.6%) with most common being cough (87.5%) followed by chest pain (81.5%) and dyspnoea (79.1%). Four of the patients presented with superior vena-caval syndrome. Most of the tumors (64.6%) are in anterior mediastenum region. Histopathological examination revealed non-hodgkins lymphoma in 31.25%, Hodgkins lymphoma in 18.75%, leukaemia in 6.25%, germ cell tumor in 8.33%, thymic neoplasms in 4.16%, neurogenic tumors in 4.16%, lung carcinoma in 10.4% and metastatic carcinoma in 10.4%.Conclusions: Malignant mediastinal masses have a broad range of diagnosis, establishing of which is important. While imaging help in narrowing the differential diagnosis, adequate pathological categorization should be done as many patients responds to specific line of therapy.
Pattern of neoplastic and non-neoplastic lesions of ovary: a five-year study in a tertiary care centre of rural india
Authors: Maurya Geeta , Singh Sanjeev Kumar , Pandey Pinki , Chaturvedi Vineet
Published: June 2018

Background: Most common ovarian lesions include benign non-neoplastic lesions including functional cysts and neoplastic lesions. While among cancers of female genital tract, the incidence of ovarian cancer ranks below only carcinoma of cervix and endometrium. The aim of this study was to observe and evaluate the frequency and morphological pattern of different ovarian pathologies encountered in this tertiary care centre of rural India.Methods: This was a retrospective five years observational study (2012-16) and conducted at Department of Pathology of UPUMS, Saifai. The study material included 264 histopathology specimens received in our department.Results: Total 264 cases of ovarian pathologies were studied, in which 147 cases were non-neoplastic while remaining 117 cases were neoplastic. The most common non-neoplastic lesion was follicular cyst (51.7%), followed by corpus luteal cyst (30.61%), endometriosis (15.64%). Among 117 neoplastic cases, 87 cases (74.35%) were benign, 5 cases (4.27%) were borderline tumours and 25 cases (21.36%) were diagnosed malignant. Serous cystadenoma was most common benign tumour with 53 cases (45.29%) followed by 20 cases (17.09%) of dermoid cyst and 12 cases (10.25%) of mucinous cystadenoma. While in malignant tumours, serous adenocarcinoma were most common (4.27%) followed by mucinous adenocarcinoma (2.56%).Conclusions: In our study, non-neoplastic ovarian lesions were more commonly seen than neoplastic lesions. Surface epithelial tumours were most common histologic type in all age groups. While serous adenocarcinoma was most common ovarian malignancy seen. Both non-neoplastic as well as neoplastic lesions of ovary often present with similar clinical and radiological features. So histopathological study is essential to diagnose ovarian tumours.
Scenario of mycobacterial and fungal infection in HIV seropositive patients and their co-relation with CD4 count in Western Uttar Pradesh
Authors: Pandey Richa , Singh Amit , Singh Dharmendra Prasad , Verma Rajesh Kumar , Kumar Manoj , Kumar Deepak
Published: June 2018

Background: HIV infection is defined by sero-conversion and the detection of HIV-specific antibodies. Emergence and pandemic spread of acquired immunodeficiency syndrome is due to the exposure to human immunodeficiency virus (HIV). A decrease in CD4 count is at least partially responsible for the profound immunodeficiency that leads to various OIs in HIV- infected persons. When the CD4 count falls below 200cells/µL, there is irreversible breakdown of immune defence mechanism and patient become prey to a variety of human opportunistic pathogens.HIV positive patients must receive infections screening and access medical care before onset of advanced immunosuppression.Methods: In this study, total 230 HIV positive patients were selected during 18 months of study period. CD4 counts were estimated of all HIV positive cases. Positive HIV patients were investigated further to detect mycobacterial and fungal opportunistic infections. They were subjected to routine microscopy such as KOH mount, India ink, Gram’s staining for suspected fungal infection and ZN staining method for suspected mycobacterial infection. For fungal infection, samples were inoculated in two Sabouraud Dextrose Agar followed by different biochemical test and LPCB mount; for mycobacterial infection, samples were cultured on LJ medium followed by biochemical test.Results: In our study, maximum patients presented with complain of fever (90.43%), weight loss (73.91%) followed by loss of appetite (35.65%), breathlessness (33.91%), coughing (28.69%) and chest pain (22.17%). Overall prevalence of OIs (Mycobacterium and fungal) was 93 (40.43%) among 230 HIV positive patients. Among OIs 63(27.39%) patients were detected as having Mycobacterial infection and 41(17.82%) as had opportunistic fungal infections. Maximum OIs were related to patients with CD4 count 0-200 cells/µL followed by 201-400 Cells/µL. Most common OIs, among mycobacterial and opportunistic fungal infection were M. tuberculosis (50 isolates) and Candida spp. (26 isolates) respectively.Conclusions: This study provides important information about the risks of OIs at lower CD4 counts among HIV positive patients. These results highlight the need for early screening of HIV infected patients for opportunistic infections. There is also need to increase awareness in healthcare providers in order to improve decisions regarding prophylaxis for prevention of OIs and appropriate therapeutic intervention.