bluuebunny/crossref_metadata_2025 huggingface dataset:
Neonatal Ovarian Cysts: Role of Sonography in Diagnosing Torsion
Authors: Chinchure Dinesh , Ong Chiou Li , Loh Amos HP , Rajadurai Victor S
Published: December 2022

Introduction: The purpose of this case series was to determine the sonographic features of neonatal ovarian torsion. Materials and Methods: Seven surgically proven cases of neonatal ovarian cysts were included in this retrospective study. The patients were divided into 2 groups, torsion and non-torsion. These 7 patients were evaluated for the clinical presentation, sonographic features, surgical and pathological findings. The findings on follow-up sonography after surgery were also noted. Results: The sonographic appearance was variable. Of the 4 cases with torsion, 2 lesions had internal echoes with ‘fish-net appearance’. The other 2 lesions were predominantly cystic on the sonography with internal echoes and echogenic nodule. A calcific focus was present in 1 of these echogenic nodules. One of the cysts had fluid-fluid level. In the non-torsion group, only 1 lesion had mixed echogenic appearance. The other 2 lesions were cystic with low level internal echoes in 1 of the cysts. The surgical procedure performed in the torsion group was salpingo-oophorectomy in 2 patients and oophorectomy in 1 patient. In 1 patient, cystectomy was attempted without success. In the non-torsion group, only cystectomy was performed with preservation of normal ovaries, which was confirmed on follow-up sonography. Conclusion: The sonographic features of cysts with ‘fish-net appearance’, fluid-debris level and cysts with echogenic nodule favour torsion. The former sign has so far not been described as a sonographic predictor for neonatal ovarian torsion.

Key words: Ultrasound, Ovary, Doppler, Fish-net appearance, Haemorrhage
Cone Beam Computed Tomography for Vascular Interventional Radiology Procedures: Early Experience
Authors: Wong Kang Min , Tan Bien Soo , Taneja Manish , Wong Sai Yan , Loke Jiun Siong , Lin Shueh En , Lo Richard HG , Teo Kiat Beng , Tay Kiang Hiong
Published: December 2022

Introduction: Cone beam computed tomography (CBCT) is a relatively new technological innovation that utilises flat-panel detector technology to obtain CT-like images. The key strength of a CBCT system is that cross-sectional imaging can be obtained using the angiographic flat panel unit without having to move the patient, allowing the radiologist to obtain soft tissue imaging during the procedure. This allows treatment planning, guidance, and assessment of outcome to be performed in one interventional suite. Materials and Methods: From December 2008 to June 2009, 24 CBCT scans were performed during vascular interventional procedures on our department’s newly installed multi-axis flat panel angiographic unit. Results: Ten cases were performed for hepatic trans-arterial chemoembolisation, 9 cases for hepatic arterial Yttrium-90 infusion, while 5 cases were for other indications. CBCT was found to be useful in 20 of the 24 cases. Conclusion: Our early experience showed that CBCT was useful in impacting decisions during selected vascular interventional procedures. As CBCT technology improves, we can foresee wider applications of this technology.

Key words: Angiogram, C-arm, CBCT, Embolisation
Second Trimester Prenatal Screening for Down’s Syndrome in Mainland Chinese Subjects using Double-Marker Analysis of α-fetoprotein and β-human Chorionic Gonadotropin Combined with Measurement of Nuchal Fold Thickness
Authors: Liu Fang , Liang Hongyan , Jiang Xiaofeng , Zhang Yu , Xue Li , Yang Chun , Cheng Jing , Liu Peijia , Liu Yang , Guo Xiaoying
Published: December 2022

Introduction: This study examines the effectiveness of double-marker analysis for α-fetoprotein (AFP) and β-human chorionic gonadotropin (β-hCG) combined with measurement of nuchal fold thickness (NT) in the detection of Down’s syndrome (DS) in Mainland Chinese subjects during second trimester prenatal screening. Materials and Methods: We examined pregnant women with a singleton pregnancy between 15 and 21 weeks of gestation who underwent second trimester screening for DS using double-marker analysis for AFP and β-hCG combined with ultrasound measurement of NT. The combined risk of DS was calculated. A cut-off of 1/270 was used to defi ne a pregnancy at high-risk of DS. Amniocentesis was offered to all patients with high-risk pregnancies. Results: Using double-marker analysis for AFP and β-hCG in combination with measurement of NT, the detection rate of DS increased from 66.7% to 77.8% when compared with double-marker analysis alone with similar false-positive rates (4.35%, 4.83% respectively). Using receiver operating characteristic curve (ROC) analysis, we determined that the double-marker analysis combined with measurement of NT exhibited an increased area under the curve (AUC) of 0.835 (95% CI: 0.743 to 0.927) when compared to double-marker analysis alone, which had an AUC of 0.748 (95% CI: 0.635 to 0.860). In addition, both methods were more effective than any other single test such as AFP, free β-hCG or NT measurement. Conclusion: Second trimester prenatal screening using double-marker analysis for AFP and β-hCG combined with measurement of NT is effective for the detection of DS in Mainland Chinese pregnancies.

Key words: Down’s syndrome, Prenatal screening, Second trimester
Impact of family structure and sociodemographic characteristics on parents headed families in Ramadi City, Iraq
Authors: Yahyaa Badea'a Thamir , Al-Rawi Ru'ya Abdulhadi , Taha Mustafa Yaseen , Sarhan Yaseen T. , Abdul Fatah Ban Nadum Abdul Fatah , Al-Delaimy Ahmed K. , Al-Samarrai Mustafa Ali Mustafa , Mukhlif Omar Rashid , Al-Taha Mahasin A.
Published: December 2022

Background: Several factors in the family profile contribute significantly to determining the effective policy when heading the family. This study aims to evaluate the sociodemographic and economic burdens on parents-headed families in Ramadi City, west of Iraq.
Methods: A prospective cross-sectional household-based survey was conducted from 1st to 28th February 2019 among Iraqi people residents in Ramadi city, Anbar province. A multistage sampling technique was recruited to identify the eligible sample. A semi-structured questionnaire was used to interview (face-to-face) the respondents. Data from 267 households have undergone univariate and bivariate analyses. Multiple logistic regression, odds ratio (OR), and confidence intervals (CIs) were estimated to explore the predicting variables. The statistically significant is considered at less than 0.05.
Results: The mean age of respondents was 43.88 (± 12.1) years (range: 25 to 69 years). Out of the total surveyed people, 52.8% were young (less than 44 years), male-headed families (59.6%), low educated level (65.5%), unemployed (52.4%), married (67.4%) and headed big families of seven members and above (43.1%). History of chronic diseases and smoking habits was positive among 46.4% and 45.7% of respondents, respectively. Findings of the binary logistic regressions showed that history of smoking (OR = 7.201, 95% CI: 3.254 to15.936), families of 7 members and above (OR = 6.239, 95% CI: 2.938 to 13.250), unhappy (OR = 5.237, 95% CI: 2.140 to 12.818), aged 44 years and above (OR = 3.518, 95% CI: 1.581 to 7.829), being single (unmarried, divorced, widow) (OR = 2.697, 95% CI: 1.230 to 5.914), and had a monthly income of less than USD400 (OR = 2.333, 95% CI: 1.112 to 4.859) are significantly associated with female-headed family.
Conclusion: Priority must be given to some elements such as genetic, physical differences, biopsychosocial factors, and the economic situation when discussing parents' behavior in heading the family.
The Effect of Games Simulation in Improving Secondary Students' Academic Performance
Authors: Dorji Tshewang
Published: December 2022

The main purpose of the study was to find out the effect of simulation games as an intervention program in teaching-learning economics to improve students' academic performance. The study adopts a mixed method. 27 (14 girls and 13 boys) grade twelve students in one higher secondary school participated in the study. The students were selected through non-probability convenient sampling techniques. The study revealed that the intervention program: and simulation games make concepts, ideas, and hypotheses easier to understand. The students have a positive opinion of simulation games used in teaching-learning. Simulation games make teaching-learning interesting, enjoyable, and fun. Through simulation games, students can score high marks on the class test. Students were engaged in self-assessment, self-awareness, self-monitoring, and reflective processes. However, the study revealed that simulation games are time-consuming and teachers need more time and effort for preparation and implementation. Simulation games are not always effective in teaching all micro and macroeconomics concepts.
A Cognitive Model for Developing University Students' Communication Skills
Authors: Essa Eman Khaled
Published: December 2022

This paper aims to investigate the effectiveness of a learning model in developing students' communication skills and reducing their communication apprehension level. This model consists of three main elements, each of which has sub-elements. It takes the students through three different phases starting with raising awareness and reaching autonomy. A training program and an assessment battery were developed and administered. Both qualitative and quantitative methods were used to analyze data. There were significant differences among the pre, post, and follow-up measurements. The pedagogical implications of the study have been discussed.
Do We Abuse Drugs? Reports of Social Studies and Early Childhood Education Student-Teachers in two Nigerian Colleges of Education
Authors: Yomi Oladimeji Kolawole , Adewale Amosun Peter , Kayode Olowe Peter
Published: December 2022

The study investigated the incidence of drug abuse among student-teachers in two Nigerian colleges of education. The study’s population comprised all NCE II and III Social Studies and Early Childhood Education student-teachers in two colleges located in Oyo State, Nigeria. Data was analysed using frequency counts, percentage, mean and standard deviation. Of the 400 student-teachers, 213(53.3%) were male while 187(46.8%) were female. Only 148(37%) were from Early Childhood Education while 252(63%) were from Social Studies. The student-teachers may exert negative influence on young children when they eventually take up appointment as teachers in pre-primary and primary schools. Departments of Social Studies and Early Childhood Education together with the colleges counseling centers should organize regular counseling activities and services to educate the pre-service teachers about the danger and implications that could result from their involvement in abuse of drugs.
Study Habits and Attitudes of Secondary School Students in India
Authors: Mishra Savita
Published: December 2022

Study habits and attitudes are intended to elicit and guide one’s cognitive processes through appropriate study hours and use them at the appropriate time and places during learning. The study aims to assess secondary school students' study habits and attitudes concerning gender, caste and parental occupation, and educational and income levels. A sample of 150 secondary school students was selected on a simple random basis from Gangtok, Sikkim. The findings of the study were that gender, socioeconomic status, Parental education, Parental occupation, and parental income does not make any difference in the study habit and attitude of both boys and girls, but caste plays a role in the study habits and attitude of both boys and girls.
Smartphone Learning Media Prototype Model Based on SAC (Smart Apps Creator) For 4.0 Learning
Authors: Puspitasari Jerry , Juhadi Juhadi , Suyahmo Suyahmo , Wijayanto Pradika Adi , Saadah Nuris
Published: December 2022

Smartphone-based learning media is an alternative for developing learning media that can infiltrate the limitations of space and time. This study aimed to determine the effectiveness of smartphone media for learning in the 4.0 era from media developed using the SAC (Smart Apps Creator) application. This research and development type uses the Hannafin & Peck design model. The research subjects used a purposive sample technique from 35 students of class XI IPS 3 SMA Jepon, Blora Regency, Central Java. Data analysis using Mixed Methods, data obtained by filling out checklists, questionnaires, and filled tests to conclude its effectiveness. Based on the research results, SAC (Smart Apps Creator) media is fun, easy to understand, interesting, practical, and not boring. The level of complete learning reached 91.4%. Students become accustomed to using technology 4.0 in learning, so they are expected to develop critical, creative, communicative, and collaborative thinking.
DENEME SÜRESİ İÇİNDE İŞ SÖZLEŞMESİNİ FESİH HAKKININ İŞVEREN YÖNÜNDEN SINIRLARI
Authors: EZER Burcu
Published: December 2022

İş sözleşmelerinin işçi ve işveren arasında sürekli ve güvene dayalı kişisel ilişkiler kurmasının bir sonucu olarak, tarafların birbirlerini daha iyi tanıyabilmek ve işçinin işe, işyerine ve çalışma ortamına olan yatkınlığını ölçmek adına iş sözleşmesinde deneme süresi kararlaştırmaları mümkündür. Bu imkân doğrultusunda taraflara deneme süresi içinde veya sonunda iş sözleşmesini bildirim sürelerine uymaksızın feshetme ya da deneme süresinin sonunda iş sözleşmesine devam etme seçeneği sunulmuştur. Deneme süresi içinde veya sonunda yapılan fesihler yönünden fesih hakkını genel fesih kurallarına göre kolaylaştıran bu hükümler, uygulamada özellikle işverenlerin fesih hakkını kötüniyetli, ölçüsüz ya da hukukun genel ilkelerine aykırı kullanmalarının önünü açmıştır. Bu çalışmada deneme süresi içinde yapılan fesihler yönünden işverenin fesih hakkını ve bu hakkın sınırlarını ele almak; deneme kaydının geçerliliği, süresi, bireysel veya toplu iş sözleşmesiyle getirilen sınırlara uygunluk, dürüstlük kuralı ve hakkın kötüye kullanılması yasağına uygunluk ve eşitlik ilkesine uygunluk yönünden işveren fesihlerini incelemek amaçlanmaktadır.
A STUDY ON THE TIDAL BEHAVIOR OF THE IZMIR BAY WITH AN OPEN-SOURCE MODEL
Authors: BAYRAM Doğuş Onur , DOĞAN Mustafa
Published: December 2022

In this paper, tidal behavior of Izmir Bay modeled by open source ADCIRC - Advanced Circulation Model. The source code of the ADCIRC installed on a local computer, the preparation of the files will be used as input required for the model simulation, the creation of the calculation grid, the coefficients representing the open boundary conditions, and the obtaining of the bathymetry data were made and cloud-based and open-access DesignSafe CI environment was also used to run the simulations. The results are compared with observed data at Izmir Mentes Mareograph Station and simulations of different time intervals and periods were graphed with the help of FORTRAN based FigureGen visualization tool.
TÜRKİYE’DEKİ GÖÇ HAREKETLERİ VE LOJİSTİK İLİŞKİSİ
Authors: Kesgingöz Hayrettin , Burak Murat
Published: December 2022

İnsanların farklı özelliklere bağlı olarak yer değiştirmek zorunda kalması ve bu yer değiştirme sürecinde ihtiyaç duyduğu ve kendi başına yönettiği bir süreç olarak lojistik ve göç ilişkisinin boyutu incelenmiştir. Çalışmada Türkiye’nin mevcut konumuna göre 2021 yılına ait veriler kullanılarak ülkeye gelen ve ülkeden giden göçmenlerin tercih ettiği taşıma alternatifleri değerlendirilmiştir. Taşıma alternatiflerinin kullanılması, o alternatif taşıma yönteminin gelişmesini sağlamaktadır. Ayrıca tercih edilen şehirlerde altyapı, ekonomik yapı, sosyal yapı ve demografik olarak gelişmesine katkı sağlamaktadır. Değerlendirme sonucunda ise Türkiye’ye gelen ve Türkiye’den giden göçmen sayılarının artmasına bağlı olarak ülkede ulaşım ve lojistik altyapısının geliştiği ve farklı taşıma araçlarının tercih edildiği bulgusuna ulaşılmıştır.
Physical Therapy Treatment in Children with Cerebral Palsy
Authors:   International Hellenic University of Greece, Bampouli Vasiliki , Trevlaki Evgenia ,   International Hellenic University of Greece, Trevlakis Emmanouil ,   International Hellenic University of Greece
Published: December 2022

Background: Cerebral palsy is one of the most frequent disorders of the central nervous system. The various methods and techniques used by physical therapists can be very useful in treating children with cerebral palsy. The purpose of this review is to investigate the various techniques and methods used by physical therapists to improve balance, increase muscle strength, acquire and maintain agility, develop good neuromuscular coordination, improve of physical functionality and the best possible independence of children with cerebral palsy. Methodology: The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) reporting guidelines. A search on Pub med, Google scholar and PEDro for research articles that investigated the effectiveness of various methods/techniques used by physical therapists for the treatment program for children with CP of the last 20 years. Results: A total of 18 articles were included in this review. The methods investigated were hippotherapy (n=3), Neurodevelopmental therapy (Bobath) (n=3), stretching (n=2), hydrotherapy (n=1), resistance and orthotics (n=3), and the parameters of classical physical therapy (n=4). Conclusion: From the selected article it appeared that modalities such as Bobath and hippotherapy have beneficial effects on balance, static and motor control and may also have beneficial effects on gait on children with CP. Passive stretching researchers agree that there are no significant changes in reducing spasticity, while they help a lot in gaining greater range of motion as does resistance. Braces presented to be a very important tool in the hands of the physical therapist to avoid various deformities.
The Impact Of High Work Performance Practices On Hospital Employee Performance: The Mediation Moderation Of Employee Engagement And Employee Extra Role
Authors:   Master of Management Universitas Syiah Kuala, Salsabil M. Dzil Ikram
Published: December 2022

Purpose – This study aimed to determine the determinants of employee performance at Zainoel Abidin General Hospital, and how it affects the employee performance at this hospital. In addition, to find out whether the extra role can serve as a moderating variable on the influence of high-performance work practices on employee performance. Design/methodology/approach – The sampling technique used in this study is simple probability sampling. The sample count is 217, calculated using the Slovin formula with an error rate of 5%. Primary data collection is carried out using a 5-point questionnaire on the Likert scale and depth interview with several key informants information from the in-depth interview can also be used to support finding from quantitative analysis. It is processed using AMOS 26.0. Findings – There is a significant effect of high-performance work practices (HWP) on employee engagement and employee performance. The effect of employee engagement on employee performance is also significant. When compared between these two determinant variables and their effect on employee performance, the high-performance work practice (HWP) has a larger magnitude so that the impact on improving employee performance will be greater than employee involvement. The results of testing moderating hypotheses also show significant results. The employee's extra role can increase the magnitude of the influence of high-performance work practices on employee performance and employee involvement in employee performance. Limitations/research implications – Future research can develop a wider sample of hospital customers that is not only limited scope in one city but several cities within the Aceh province so that the findings will be more comprehensive. Originality/value – During this time, most strategic HWP research focused more on the manufacturing sector that cannot be generalized to the service sector because of its different characteristics. In this study, the author applied the concept of HWP to the service sector (health services in hospitals).
Measuring Company Value with Intervening Profitability Variables in Companies Listed on the Indonesia Stock Exchange's LQ-45 Index for the 2018–2021 Period
Authors:   Magister of Management, Faculty of Economics and Business, Universitas Pembangunan Nasional “Veteran” Jawa Timur. Indonesia., Syauqi Ahmad , Yuniningsih Yuniningsih ,   Magister of Management, Faculty of Economics and Business, Universitas Pembangunan Nasional “Veteran” Jawa Timur. Indonesia., Pertiwi Tri Kartika ,   Magister of Management, Faculty of Economics and Business, Universitas Pembangunan Nasional “Veteran” Jawa Timur. Indonesia.
Published: December 2022

This study aims to analyze the effect of company size, capital structure and dividend policy on company value with profitability as an intervening variable in LQ-45 Companies Listed on the Indonesia Stock Exchange for the 2018-2021 Period. All companies listed on the Indonesia Stock Exchange's LQ-45 index from 2018 to 2021 comprise the study's population, namely there are 63 companies. Purposive sampling is used in the sampling process. using criteria-based sampling, from a total population of 63 companies only 28 companies meet the criteria and are used as research samples. Data analysis utilizing analysis path and multivariate linear regression. The findings indicated that a company's size had an impact on company's value, While the dividend policy does not impact the value of the company's value, the capital structure does. profitability mediates the effect of company size on company value, profitability does not mediate the effect of capital structure on company value and profitability mediates the effect of dividend policy on company value.
Clarify the Concept of Healthcare Quality
Authors:   Ministry of Health, Saudi Arabia, Alenezi Norah Molfi , Qushaish Ali Mohammed ,   Ministry of Health, Saudi Arabia, Alangoodi Andal Jouda ,   Ministry of Health, Saudi Arabia, Alanazi Abdullah Sarhan Mohmd ,   Ministry of Health, Saudi Arabia, Aalanzi Mohammad Ayash ,   Ministry of Health, Saudi Arabia, Alshammari Fateema Degeem ,   Ministry of Health, Saudi Arabia, Alshammari Munira Degeem ,   Ministry of Health, Saudi Arabia, Alanazi Ghader Hamdan ,   Ministry of Health, Saudi Arabia, Almaqbel Sabah Saad Hamad ,   Ministry of Health, Saudi Arabia, Alenizy Afaf Mohammed ,   Ministry of Health, Saudi Arabia
Published: December 2022

Public confidence is shaken by declining health care quality indicators. Healthcare quality is still conceptually and practically undefined, despite improvements in hospital safety and quality of care. So, the purpose of this analysis is to define the term "healthcare quality." The framework was based on the concept analysis technique developed by Walker and Avant, which is frequently cited in nursing literature. We looked through five academic literature databases, public domain websites, general and medical dictionaries, and dictionaries. Healthcare and quality were search terms, as well as terms related to health care. From 2004 to 2016, peer-reviewed papers and official reports that were published in English were included. Gray literature, discussions of the need for high-quality healthcare, related concepts, and conference proceedings were all excluded. During analysis, similar characteristics were categorized into themes. After removing duplicates and articles that weren't eligible, 42 pertinent articles were examined. Four defining characteristics were found after thematic analysis: (1) effective, (2) safe, (3) culture of excellence, and (4) desired outcomes. Based on these characteristics, the definition of high-quality healthcare is the evaluation and delivery of safe, effective care that is reflected in an excellence-centered culture and leads to the achievement of ideal or desired health. This analysis offers a conceptualization of healthcare quality that clarifies its underlying assumptions and may enhance the delivery of high-quality care. Theoretical and practical implications are provided to support a more thorough and consistent understanding of the elements required to enhance healthcare delivery and maintain public confidence.
The effects of edible chitosan coating on prolonging the shelf life of green chilies (Capsicum annuum L.)
Authors: Arumugam Kirubagarani N. , Md Zain Norhafizah
Published: December 2022

Green chillies (Capsicum annuum L.) are susceptible to pest attack, experiences water loss rapidly in a short time and also experiences chilling injury when stored at a cool temperature that leads to shorter shelf life. Therefore, this study was conducted to examine the effects of chitosan at different concentrations (0.5%, 1.0% and 2.0%) on the shelf life of green chilies stored at ambient temperature (27°C) for 21 days. The effectiveness of the chitosan treatments in extending green chilies’ shelf-life was evaluated by determining their physical and chemical qualities. Coated green chilies are able to preserve for a longer period of time compared to uncoated green chilies. Regardless of any chitosan concentration, the total soluble solid content (TSS) of coated green chilies had increased starting from day 3 to day 21 day as compared to the control. At the highest concentration of 2.0%, chitosan treatment was able to reduce the pH by 28% on day 6 of the storage period, meanwhile, the pH was maintained across the concentration at the end of the storage period (day 21). It was found that the green chilies faced 10 to 22% weight loss across the concentration as compared to the control at the end of the storage period, where the highest weight loss was prominent at 2.0% chitosan. However, in terms of firmness, the chitosan treatments do not give any significant effect on all the treated green chilies. These results suggest that the application of edible chitosan coating contributes to lower pH and weight loss which is responsible for the longer shelf life of the green chilies.
Alterações do Sistema Imunológico na Doença de Alzheimer: uma revisão integrativa
Authors: Rocha Thainá Teixeira , Dayrell França Flávia
Published: December 2022

A doença de Alzheimer (DA) é caracterizada pelo acúmulo de placas amiloides e dos emaranhados neurofibrilares, e está evidentemente relacionada a eventos autoimunes e inflamatórios, indicando que a desregulação do sistema imunológico é um fator patológico primordial. Neste sentido, o presente estudo teve como objetivo abordar as alterações do sistema imunológico na DA por meio de uma revisão integrativa. Para tanto, a revisão foi realizada utilizando as bases de dados bibliográficas Scielo, PubMed e Wiley Online Library a partir dos seguintes termos: doença de Alzheimer, resposta imune e neuroinflamação, nos idiomas inglês, português e espanhol. Os artigos foram selecionados em três fases (leitura de títulos, resumos e artigos na integra), seguindo os critérios de inclusão e exclusão. Após a aplicação dos critérios de seleção, oito estudos compuseram a revisão integrativa. Os estudos demonstram o predomínio de citocinas e células imunes no processo inflamatório da DA. Os resultados apresentam diferentes respostas na relação entre a DA e as alterações do sistema imune. Sendo assim, essas respostas induzem um processo cíclico em que células da imunidade inata como a micróglia e os astrócitos liberam moléculas pró-inflamatórias como citocinas e neurotoxinas, criando um estado inflamatório crônico, contribuindo para a disfunção e morte neuronal com consequente progressão da DA. Logo, um conhecimento detalhado dos processos neuroimunes é essencial para uma melhor compreensão do sistema imunológico e consequente entendimento sobre a DA, sendo fundamental para o estabelecimento de possíveis medidas de prevenção e controle.
Análise das informações sobre medicamentos veiculadas na rede social de drogarias
Authors: Santana Pedral Lara , Dias de Castro Luz Ana Alice
Published: December 2022

A automedicação no Brasil, por vezes, é vista como uma saída imediata para cessar alguns sintomas. Esta ação ocorre entre jovens e adultos, principalmente daqueles que têm um maior acesso à internet. O acesso a páginas da internet ou redes sociais voltadas para a área da saúde é, por muitas vezes, a escolha inicial daqueles que não têm condições de pagar uma consulta médica, tempo disponível para se consultar ou têm dificuldade de acesso aos serviços de saúde. As drogarias têm apostado em redes sociais para se manter mais próximas dos seus consumidores e atualmente, o Instagram é amplamente utilizado. O Instagram é uma ferramenta fundamental para a comercialização de medicamentos e outros produtos. Deste modo, este trabalho teve como objetivo analisar as informações disponibilizadas nas redes sociais para a população sobre medicamentos e cumprimento das normas da RDC nº 96/2008.  No Instagram foram selecionadas páginas de cinco drogarias e analisados quais assuntos são publicados e se existem irregularidades nessas publicações relacionadas a medicamentos. Duzentos e dezesseis publicações foram encontradas, onde 69 (31,8%) são de produtos cosméticos e de higiene, 86 (39,8%) são informações de saúde e apenas 05 (2,4%) específicas de medicamentos. Das 05 publicações sobre medicamentos, 03 irregularidades foram encontradas em 03 publicações analisadas, sendo uma em cada. De acordo com os dados encontrados existem orientações que estimulam os hábitos saudáveis, mas também há um estímulo ao uso indiscriminado de medicamentos nas redes sociais, pelas drogarias. Estas drogarias têm muita influência sobre seus consumidores e, para diminuir o risco da automedicação, é muito importante que o farmacêutico atue, tanto no balcão como nas redes sociais. Desse modo, é fundamental a atuação do farmacêutico, pois com a atenção necessária há esclarecimento de dúvidas da farmacoterapia, contribuição na persistência e adesão de tratamentos, diminuição de reações adversas e toxicidades, melhorando assim a qualidade de vida da sociedade e a não propagação de informações errôneas.
Sesbilgisel Farkındalık Becerilerini Destekleme Müdahale Programının Okuma Güçlüğü Yaşayan Öğrencilerin Sesbilgisel Farkındalık Becerilerine Etkisi
Authors: BOZDAĞ Türkan , ŞAHİN Ayfer
Published: December 2022

Bu araştırmada sesbilgisel farkındalık becerilerini destekleme müdahale programının (SESFAR) okuma güçlüğü yaşayan öğrencilerin sesbilgisel farkındalık becerilerine etkisinin incelenmesi amaçlanmıştır.

Araştırma ön test-son test tek grup deneysel modelde planlanmıştır. Okuma performanslarının “endişe düzeyinde” olduğu belirlenen 12 öğrenciyle çalışma yürütülmüştür. Öğrencilere SESFAR müdahale programı öncesi “Ses Bilgisi Farkındalık Ölçeği” ön-test olarak uygulanmıştır. Uygulama sonrasında son-test olarak tekrar aynı ölçek uygulanmıştır. Aynı zamanda deney grubundaki öğrencilerin sınıf öğretmenlerine programın geçerliliği ile ilgili “Öğretmen Sosyal Geçerlik Soru Formu” doldurtulmuştur.

Araştırma sonucunda; SESFAR müdahale programının uygulandığı okuma güçlüğü yaşayan öğrencilerin sesbilgisel farkındalık, kelime farkındalığı, hece farkındalığı, uyak farkındalığı ve sesbirim farkındalığı becerilerinin ön-test ve son-test puanları arasında son-test lehine bir fark oluştuğu ancak bu farkın istatistiksel olarak anlamlı düzeyde olmadığı belirlenmiştir. Öğretmenlerden alınan görüşler (sosyal geçerlik) doğrultusunda ise bu programın sosyal geçerliliğinin yüksek olduğu sonucuna ulaşılmıştır.
RISKS AND FACTORS OF ACHIEVING THE GOALS OF DEVELOPMENT OF THE RUSSIAN TRANSPORT UNDER SANCTIONS
Authors:   N.S. Solomenko Institute of Transport Problems  of Russian Academy of Sciences, Savushkin S. A. , Lemiashkova A. ,   N.S. Solomenko Institute of Transport Problems  of Russian Academy of Sciences
Published: December 2022

The risks and factors that can have the most significant impact on the Russian transport are considered. A set of models for its adaptation under the conditions of sanctions is proposed.
STATUS AND TRENDS OF TECHNICAL POLICY ON RAILWAY TRANSPORT
Authors:   N.S. Solomenko Institute of Transport Problems  of Russian Academy of Sciences, Savushkin S. A. , Lemiashkova A. ,   N.S. Solomenko Institute of Transport Problems  of Russian Academy of Sciences
Published: December 2022

The state of technical policy in the field of railway transport in developed countries is considered. The main tendencies of its evolution are revealed. The possibilities of using foreign practice of conducting a technical policy in the railway transport of the Russian Federation are assessed.
SELF-LEARNING DATABASE ACCESS CONTROL SYSTEM ORACLE
Authors:   Tver State University, Volushkova V. L.
Published: December 2022

Often there are situations when the assignment of access rights to clients by standard means of the ORACLE database does not satisfy all the requirements for the system. Therefore, the task arises to create our own means of assigning access rights. This paper presents an addi-tional access control system based on self-learning.
THE SPECIFICS OF PROMOTING ONLINE CINEMAS IN RUSSIA IN THE CON-TEXT OF MODERN CHALLENGES
Authors:   Financial University under the Government  of the Russian  Federation, Petrash N.D. , Petrash E.V. ,   All-Russian Scientific Research Institute of Animal Husbandry named after Ac. L.K. Ernst
Published: December 2022

This article presents an analysis of the specifics of online cinema promotion, the features of online marketing and advertising, and also attempts to assess the prospects for the develop-ment of online cinemas in the Russian market in the context of modern challenges. The author examines the theoretical foundations of advertising and marketing in the modern film industry, characterizes the basic advertising strategies used in the film industry to promote film products and attract viewers.
Sivil havacılıkta risk yönetimine bibliyometrik bakış
Authors: KAVAK Onur , TOPÇUOĞLU Ethem , KAYGIN Erman
Published: December 2022

Havacılık işletmeleri perspektifinden risk yönetimi, uçuş operasyonu, yer operasyonu, teknik unsur ve süreçler ile sektörel dinamiklerden kaynaklı tüm risklerin, yüksek emniyet tesis edebilmek adına, usul, esas ve kurallara uygun biçimde yönetilmesi şeklinde tanımlanabilir. Havacılık sektörü birçok faaliyetin birbirini etkilediği, yoğun teknolojinin kullanıldığı, süreç ve koşullarda değişim hızının yüksek olduğu, güvenlik kaygılarının en üst düzeyde duyumsandığı, risk olgusunun sektörün odağına konumlandığı, özel bir yapıya sahiptir. Bu bakımdan havacılık sektöründe risk olgusuna bakış ve bu alanda yapılan çalışmalar sektörel gelişim bakımından oldukça önemlidir. Yapılan bu çalışmada amaç, havacılık sektörü bağlamında risk yönetimi konusunda SSCI ve SCI-Exp. düzeyinde literatürde yer alan yayınları belirleyerek, Türkiye adresli yayınların sayısı ve etkinliği üzerinde değerlendirme yapmak, yine literatürdeki boşlukları tespit ederek, yeni çalışma önerilerinde bulunmaktır. Çalışmanın verileri Web of Science (WoS) veri tabanından 01 Aralık 2022 tarihinde alınmış, araştırma kapsamında 300 makaleye ulaşılmıştır.
ПРОЦЕДУРЫ, ПРИМЕНЯЕМЫЕ В ДЕЛЕ О БАНКРОТСТВЕ ФИЗИЧЕСКИХ ЛИЦ
Authors:   Самарский государственный экономический университет, ДЖАКСБАЕВА ОЛЬГА ВЛАДИМИРОВНА
Published: December 2022

Поколение будущего: Взгляд молодых ученых- 2022: сборник научных статей 11-й Международной молодежной научной конференции (10-11 ноября 2022 года), Юго-Зап. гос. ун-т., в 5-х томах, Том 2. - Курск: Юго-Зап. гос. ун-т, 2022, - 482 с.
Pediatrik palyatif bakımda verilen hizmet kalitesini belirleyen faktörler
Authors: ÖZTEK ÇELEBİ Fatma Zehra , ŞAHİN Şanlıay
Published: December 2022

Pediatrik palyatif bakım ülkemizde ve dünyanın pek çok ülkesinde yeni gelişen bir alt uzmanlık alanıdır. Hayatı tehdit eden hastalığı olan çocukların sayısı ülkemizde de gün geçtikçe artmaktadır. Bu hastalara verilecek olan palyatif bakımın kalitesini belirlenmesi, verilecek hizmetin kalitesini arttıracaktır. Bu derlemenin amacı pediatrik palyatif bakımın hizmet kalite standartlarını tanımlamaktır.
The C-reactive protein-to-albumin ratio predicts one-year mortality in living donor kidney transplantation
Authors: MERHAMETSİZ Özgür , ÇAT Abdülkadir
Published: December 2022

Aim: The aim of this study was is to evaluate the effectiveness of the preoperative CRP/albumin ratio on first year mortality after living donor kidney transplantation. Material and Method: This retrospective single-center study includes a total of living kidney transplant recipients’ data who were transplanted between 2011-2020 years. Thirty-six patients who died within the first year after kidney transplantation among 2143 living kidney transplant recipients were included in the study group. Patients who have similar comobordities like mortality group patients who survives than one year after living donor kidney transplantation were enrolled as control group. Results: First year mortality was 1.67% (36/2143) in ten years. Patients in the mortality group were older than the control group (53±13 vs 43±12, p=0.002). The median time spent on dialysis in the mortality group was longer than in the control group (13 months vs 1 month, p=0.029). The median CRP/albumin ratio was higher in the mortality group (2.77 vs 0.85, p=0.001). CRP and CRP/albumin ratio were determined as independent factors affecting mortality in the first year after living donor kidney transplantation as a result of multivariate Cox regression analysis (HR=1.040;95% CI, 1.011-1.069; p=0.004 vs HR=1.148 95% CI, 1.044-1.262; p=0.007, respectively). ROC analysis showed that the CRP/albumin ratio had the power to predict one-year mortality (AUC 0.650 95% CI 0.513-0.787, p=0.041). Kaplan-Meier survival analysis showed a statistically significant difference between the two groups in terms of the cut-off value for CRP/albumin ratio (1.52). Conclusion: This study shows that the CRP/albumin ratio can be used to predict mortality in the first year after living donor kidney transplantation.
Evaluation of the measurement of tendon and ligament thicknesses and the presence of enthesitis in lower extremities in female patients with acne vulgaris: a randomized controlled trial
Authors: BÜYÜKŞİRECİ Mehmet , DOĞAN Ayşe Gülşen , EKER BÜYÜKŞİRECİ Dilek , ÖZTEKİN Aynure
Published: December 2022

Aim: Acne Vulgaris (AV) is a multifactorial disease which affects young population and is most common in adolescents. There are no studies in the literature invastigating the presence of enthesitis and lower extremity tendons and ligaments thicknesses in patients with AV. To investigate the presence of enthesitis and to evaluate the tendon and ligament thicknesses in lower extremities in patients with AV. Material and Method: Thirty patients with a diagnosis of AV and 18 healthy participants, were included. Acne severity was determined with the Global Acne Grading System (GAGS). A single radiologist performed ultrasonographic evaluation with respect to Glasgow Ultrasonographic Enthesitis Scoring System (GUESS). Measurement were done on quadriceps tendons, patellar tendons, Achilles tendons and plantar fascias of the bilaterally lower extremity. Results: Age, body mass index, alcohol usage and smoking were similar between groups. GUESS score was similar in both group. Proximal patellar ligaments, distal patellar ligaments, Achilles tendons and plantar fascias thicknesses were significantly increased in dominant and non-dominant legs in patients with AV (p
Formation of knowledge in field of dental literacy in preschool and school-age children: methodological aspect
Authors: Tsyganok Roman S.
Published: December 2022

Introduction. Dental diseases in children are a serious public health problem. At the same time, many of
them are preventable through preventive work based on the formation and consolidation of knowledge and
skills in oral care in early childhood. The purpose of the work is to consider the methodological features of
the organization of educational activities among preschool and school-age children aimed at the formation
of dental literacy and skills of proper oral care.
Materials and methods. The features of methodological approaches to the organization of educational
activities among preschool and school-age children on dental literacy and oral care have been studied by
generalizing the data available in the scientific literature on the topic of dental literacy of the population. To
identify the factors and consequences of the formation and maintenance of oral care practices, the method
of causal relationship analysis was applied.
Results. The study showed that the knowledge and skills in the field of dental health should begin to
be formed from preschool age. Age features determine methodological approaches to the organization of
training events and conducting classes with preschoolers and schoolchildren, require the participation of
teachers and parents in the process of forming oral care skills, etc.
Age pattern of fertility in Moscow and its differences in municipal districts
Authors: Arkhangelskiy Vladimir N. , Zayko Ekaterina S.
Published: December 2022

The article analyzes age-specific fertility rates and the average age of mothers at birth in Moscow in comparison with Russia as a whole and St. Petersburg. Special attention is paid to these indicators differentiated by the order of birth (first, second, third), as they do not depend on the birth rate. In Moscow, the average age of mothers at birth is significantly higher than in Russia as a whole, but lower than in Saint Petersburg. Lack of data on the number of population by sex and age in Moscow's municipal districts prevents a correct comparative analysis of the age pattern of fertility for them. But based on the distribution of the numbers of births by maternal age groups, the average age at birth for 2021 is calculated.
Albinizm Temelinde Engelli/Kısıtlı Çocukların Sosyal ve Hukuki Problemleri Üzerine Değerlendirme
Authors: Samur Bahadır M. , Polat Alperen , Canpolat Mehmet
Published: December 2022

Albinizm kavramının kökeni, latincede beyaz anlamına gelen, ‘albus’ kelimesidir. Özellikle cilt, saç ve gözlerde melanin sentezinin bozulduğu heterojen bir grup genetik hastalığın klinik yansımasını tanımlamak için kullanılan bir ifadedir. Toplumda en sık görülen formları, okulokutanöz albinizm olarak bir grup hastalık altında toplanmıştır. Bu bireyler ve çocuklar, cilt ve gözlerin güneş ışınlarına son derece hassas olması nedeniyle (görme problemleri, göz renginin olağan dışı görünümü, retinal problemler, kırma kusurları; beyaz cilt görünümü, güneş yanıkları, ikincil kanserler gibi) çeşitli sağlık problemlerine açıktırlar. Tüm bu problemler cilt bakımları ve uygun ekipmanlar ile en aza indirilebilmektedir ancak uygun sağlık bakımına, periyodik kontrollere, ekipmanlara ulaşamayan bireyler kendilerini korumak adına, kapalı alanlarda toplumdan izole bir hayat sürmek durumunda kalmaktadırlar. Ayrıca görünüşleri, görme problemleri ve kapalı ortama zorunlu olarak adapte olan hayat tarzları nedeniyle dışlanma, zorbalık, ayrımcılık gibi problemlere açık hale gelmekte ve ciddi psikolojik, ekonomik, sosyolojik, tıbbi veya hukuki problemlerle yüz yüze kalabilmektedirler.
Albinizm ile alakalı epidemiyolojik çalışmalar ülkemizde son derece kısıtlıdır. Birleşmiş Milletler raporları, birçok ülkede zannedilenin üzerinde bir albinizm sıklığı olabileceğini ve gerekli değerlendirmeler yapılmadığından, birçok mediko-sosyal problemin ortaya çıkabileceğini ortaya koymaktadır. Öte yandan mevzuatımızda albinizmli çocuklar, erişkinlerin aksine, engelli olarak kabul edilmemiştir. Mevcut düzenlemelerde uluslararası sözleşme, anayasa ve kanuna aykırı olabilecek aşırı ve orantısız kısıtlamalar bulunmaktadır. Uygulamada ise mevzuatta verilen haklarla ilgili, albinizmli bireylerin ve ilgili hekimlerin yeterince bilgilendirilmediği gözlemlenmiştir. Bilgilendirme çalışmalarının hem bakanlık düzeyinde hem de dernek düzeyinde arttırılması yerinde olur. Mevzuattaki aşırı kısıtlamaların yeniden düzenlenmesinin yanında, ilgili hakların kullanım oranlarının takibinin yapılması ve haklarını kullanmayan ailelere bu haklara ilişkin bildirim yapılması gerekmektedir.
Otizm spektrum bozukluğu (OSB) Tanılı Hastalarda Çoklu İlaç Kullanımı: Üçüncü Basamak Bir Tedavi Merkezinin Bir Yıllık Deneyimi
Authors: Göknar Gözde , Akıncı Buse , Engin Özyurt Gonca , Öztürk Yusuf , Tufan Ali Evren
Published: December 2022

Otizm spektrum bozukluğu (OSB) tanılı çocuklara nörogelişimsel ve psikiyatrik bozukluklar sıklıkla eşlik etmektedir. OSB tanılı çocuklarda irritabilitenin ve eşlik eden psikiyatrik durumların tedavisinde psikofarmakolojik ajanlar sık olarak kullanılmaktadır. Bu çalışmanın amacı kliniğimizde OSB tanısıyla takip edilen olguların eşlik eden tanılarının ve çoklu ilaç kullanımlarının değerlendirilmesidir. Çalışmamıza 2021 ve 2022 yılları Ocak ayları arasında Bolu Abant İzzet Baysal Üniversitesi Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları kliniğinde OSB tanısıyla takip edilmiş 2-18 yaş arası tüm çocuklar dâhil edilmiştir. OSB tanısı DSM-5 ölçütlerine göre yürütülmüş psikiyatrik değerlendirme ve gelişim öyküsü ile konulmuş olup eşlik eden psikiyatrik bozuklar ise yarı yapılandırılmış Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi–Şimdi ve Yaşam Boyu Şekli–DSM– 4 tanı görüşmesi yoluyla değerlendirilmiştir. Tüm olgular için sosyodemografik veri formu doldurulmuştur. Olguların bilişsel gelişim düzeyini değerlendirmek amacıyla 2-6 yaş arası için Ankara Gelişim Tarama Envanteri (AGTE), 6-18 yaş arası için Wechsler Çocuklar/ Yetişkinler İçin Zekâ Ölçeği (WISC-R veya WAIS) kullanılmıştır. Toplam 47 olgu çalışmaya dâhil edilmiştir. Olguların yaş ortalaması 7.11 ± 2.97 yıldır. 10 olgu kız (%21.3), 37 olgu (%78.7) erkektir. Olguların %88.9’u (n=40) çekirdek ailesiyle yaşamaktadır. Örneklemin dörtte birinden fazlasında (n= 12, % 26.7) tedavi ve/veya rehabilitasyon gerektiren süreğen bedensel bir hastalık bulunmaktadır. Sekiz olgunun (%17.4) ailesinde psikiyatrik hastalık öyküsü bulunmaktadır. On sekiz olguda (%38.3) kelime çıkışı olmadığı, 41 olguya (%87.2) gelişimsel gecikme/zihinsel yetersizliğin eşlik ettiği görülmüştür. Gelişimsel gecikme/zihinsel yetersizlik dışında 38 olguda (%80.9) ek bir nörogelişimsel veya psikiyatrik bozukluk saptanmıştır. Olguların %42.6’sı (n = 20) psikotrop ilaç kullanmaktadır. Psikotrop ilaç kullanımı cinsiyetler arasında anlamlı farklılık göstermemektedir (p=0.286). En sık reçete edilen ilaç grubu atipik antipsikotikler iken, en sık tercih edilen antipsikotik ajanın ise risperidon olduğu görülmüştür. Dokuz olguda (%19.1) çoklu ilaç kullanımı mevcuttur. Örneklemimizdeki OSB tanılı çocuk ve ergenlerde psikiyatrik ve nörogelişimsel eş tanı sıklığı yüksektir. OSB tanılı çocukların yarısına yakını ilaç kullanmaktadır ve bu grubun hemen hemen yarısında çoklu ilaç kullanımı bildirilmektedir. Çoklu ilaç kullanımı bildirilen olguların tedavi etkinliği ve yan etkiler bakımından daha yakından takip edilmesi gerekebilir. Bu alana yönelik daha geniş kapsamlı çalışmalara gereksinim duyulmaktadır.
Çocuk Kas ve Sinir Hastalıklarında Görülen Engellilik Çeşitleri
Authors: Haspolat Şenay , Yayıcı Köken Özlem
Published: December 2022

Nöromusküler hastalıklarda fiziksel engellilik, öğrenme güçlüğü, farklı derecelerde zihinsel engellilik, görme ve/veya işitme engeli yanı sıra duygusal ve davranışsal sorunlar, kronik hastalığa ilişkin sorunlar ve bunlardan birden fazlasının bir arada olduğu çok engellilik durumu gözlenebilir. Ülkemizde her yaş grubunda en sık görülen engellilik şekli olan fiziksel engellilik, nöromusküler hastalıklarda da en sık görülen engellilik şeklini oluşturur. Çocukluk çağında gözlenen nöromusküler hastalıkların ilerleyici doğası ve çok engelliliğin birlikteliği nedeniyle hasta yönetiminde çok disiplinli yaklaşım büyük önem taşımaktadır.