bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of hypertrophic burn scar and contractures (153 Cases)
Authors: Bekerecioğlu Mehmet , Tercan Mustafa , Demirtaş İsmail , Atik Bekir , Tan Önder
Published: June 2023

in this study, patients with hypertrophic scars and/or contractures following burn injury were investigated retrospectively. Cases, 153 of !hem, that were admitted to Plastic and Reconstructive Surgery and Pediatric Surgery Clinics, were evaluated according to cause of burn, localization, postburn duration, age groups, where and when the initial care was taken, the place where they came from, those that were underwent operation, and what were suggested far postoperative care. The socio-economic and psychological impact of burn injury with hypertrophic scar and contractures is unbearable. Therefore, early and necessary at home treatment during and postburn injury is important. in this regard, the importance of the means to be used in reconstructive surgery and following the advances in medical treatment and tissue repairment is alsa stressed.
Tanınız nedir ?
Authors: Ceylan Haluk , Özokutan Bülent Hayri , Erkılıç Suna
Published: June 2023

İki yaşında erkek çocuk göbeğinde yer alan kitle nedeniyle çocuk cerrahisi polikliniğimize getirildi. Doğumundan sonra altıncı günde, göbek kordonunun düşmesinden sonra fark edilen kitlenin üzerinden, çamaşırını lekeleyecek tarzda devamlı olarak kanlı-seröz akıntısı olduğu ifade edildi. Yenidoğan döneminde göbek granülomu tanısıyla üç kez gümüşnitrat ile koterize edilen lezyonda iyileşme gözlenmemişti
The Frequency of XRCCl DNA Repair Gene A399G Polymorphism in The Western Anatolia
Authors: Sever Tuğçe , Pehlivan Sacide
Published: June 2023

The aim of this study is to determine the frequency of polymorphism in codon 399 region of XRCC1 gene in the healthy Western Anatolian population. XRCC1-399 polymorphism is studied in the control group of 100 people living in Izmir, Turkey, who don't have a cancer story, using the method of PCR- RFLP (Msp I Restriction Endonuclease enzyme). The followings are found out as a result of the analyses: the frequency of the ones having A/A genotype is 44.0 %, the frequency of the ones having A/G genotype is 41.0 % and the frequency of the ones having G/G genotype is 15.0 %. Allel frequencies are found to be 64.5 % for A nucleotide and 35.5 % for G nucleotide. When the results obtained are compared with various populations, the homozygosity rate for Allel A and Allel G is determined to be at a similar value as the Indian, American, English, Korean and Chinese populations.
Editör'den
Authors: Balat Ayşe
Published: June 2023

Sevgili Meslektaşlarım,
Dergimizin 2007 yılının ikinci sayısında hepinizi sevgi ve saygıyla selamlıyorum. Sağlıkla ilgili dünyada ve ülkemizde yapılan bilimsel çalışmaları doğru, güncel, hızlı ve düzenli bir şekilde sizlere sunmaya çalışacağız. Dergimiz şimdilik yılda iki sayı olarak çıkacaktır. Ancak en kısa sürede, sizlerin desteğiyle yılda 4 sayı çıkarabilmeyi ümit ediyoruz.
Tıbbın her alanındaki gelişmeler inanılmaz bir hızla devam etmektedir. Bununla birlikte tıpkı buz dağının görünmeyen kısmı gibi çözmeye mecbur olduğumuz birçok sorun mevcuttur. Araştırmalarımızı sürdürerek, bulduğumuz sonuçlan ve yeni bilgileri paylaşarak çağımızın sağlık sorunlarının çözümünde önemli katkılar yapabileceğimize inanıyorum.
Dergimizin yayına hazır hale getirilmesinde bizlere yardımcı olan değerli arkadaşlarıma en derin minnet ve teşekkürlerimi sunmayı bir borç biliyorum. Dergimizle ilgili görüş, öneri ve yapıcı eleştirilerinizi almaktan büyük mutluluk duyacağız.
Bir sonraki sayıda buluşabilmeyi diler, sevgi ve saygılarımı sunarım.
 
Prof. Dr. Ayşe BALAT
Editör
Post Partum Hemarage After Cesarean Section: Analyze of Causes and Results
Authors: Cebesoy Fatma Bahar , Balat Özcan , Kutlar İrfan , Dikensoy Ebru
Published: June 2023

Bu çalışma, Gaziantep Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Anabilim Dalı'nda sezaryen sonrası doğum sonrası kanaması olan hastalarda etiyolojik faktörlerin değerlendirilmesini amaçlamaktadır. Kadın Hastalıkları ve Doğum Anabilim Dalı'nda gerçekleştirilen tüm bu tür sezaryen ve vajinal doğumların 1 Ocak 2004 - 1 Temmuz 2006 tarihleri arasında retrospektif olarak toplanan verileri analiz ettik. Sezaryen endikasyonları ve sezaryen sonrası postpartum kanamalar değerlendirildi. Postpartum kanama ile ilişkili etiyolojik faktörler de bulundu ve değerlendirildi. 1340 vajinal doğum ve 475 sezaryen doğum gerçekleşti. Sezaryen sonrası postpartum kanaması olan 15 hasta vardı. Sekizinde tekrarlayan sezaryen öyküsü vardı. Bu 15 hastanın altısı tıbbi olarak tedavi edildi. 5 hastada uterus atonik kanaması nedeniyle histerektomi yapıldı. Histerektomi öncesinde tüm hastalarda bilateral hipogastrik arterler bağlandı. Sezaryen sonrası plasenta çıkarma bölgesinde dikiş atılması gereken 4 plasenta previalı hasta vardı. Sezaryen sadece endikasyon ile yapılmalıdır. Elektif sezaryen performasyonunun sayısının artması muhtemelen postpartum kanama gibi ölümcül komplikasyonların sayısının artmasına neden olacaktır.
Biobanks and Ethical Issues in Biobanking
Authors: Özbaş Gerçeker Filiz , Oğuzkan Balcı Sibel , Pehlivan Sacide
Published: June 2023

Bu makalede, biyobankaların tanımı ve önemi, dünyadaki biyobanka örnekleri ve biyobankacılıkta etik konular ve iktidarsızlıkları gözden geçirilmiştir.
Neurourological Evaluation And Treatment In Children With Spinal Dysraphism
Authors: Erturhan Sakıp , Erkutlu İbrahim , Yağcı Faruk , Seçkiner İlker , Erbağcı Ahmet , Solakhan Mehmet
Published: June 2023

We aimed to clarify the neurourological findings in 117 children who have spinal dysraphism (SD). Between 1996 and 2006, age ranged 1-16 (mean 6.4) year, a total of 117 children ( 63 boys, 54 girls) were included to the study. Detailed history was taken from all patients and neuro-urologic examination had been performed. Urodynamic evaluation was done in the first admission and repeated at 3th,12 th and 24 th months. While we applied only medical treatment (oral anticholinergic and prophylactic antibiotics) to the 21 children, clean intermittent catheterization (CIC) had begun to the 55 children. Augmentation cystoplasty was performed in the 41 children who had been unsuccessful with medical treatment and/or CIC. While, normal findings were determine in the 78 (66.6%) of children, various degree of neurologic pathologies had establlished in the 39 of children. Early diagnosis is the most important factor for prevention of lower urinary system dysfunction and upper urinary system damage in children with SD. Urodynamic investigation is an obligation in urological evaluation and follow-up in this patient group. Patients should be evaluated together with pediatrics, neurochirurgii and orthopedy department in the management of treatment. , , .
The Frequencies And Predisposing Factors Of Germinal Matrix/ Intraventricular Hemorrhage In Neonates That Examined In Neonate Intensive Care Unit
Authors: Kervancıoğlu Selim , Sivaslı Ercan , Kervancıoğlu Reşat , Andiç Çağatay , Özkur Ayhan
Published: June 2023

Yenidoğanlarda germinal matriks ve intraventriküler kanama insidansını ve predispozan faktörlerini araştırmak için hastanemiz Yenidoğan Yoğun Bakım Ünitesi'nde (YBÜ) takip edildi ve serebral ultrasonografi (US) ile incelendi. Çalışmaya hastanemiz yenidoğan YBÜ'süne prematürite, hipoksik doğum, apne, solunum sıkıntısı vb. nedenlerle başvuran ve serebral US ile muayene edilen 112 yenidoğan dahil edildi. Yenidoğanlar gebelik yaşlarına ve doğumdaki ağırlıklarına göre dört kategoride gruplandırıldı. Kan transfüzyonu, hipoksi, ventilasyon ihtiyacı vb. gibi predispozan faktörler bildirilmiştir. GM/IVH sıklığı %20.5 idi ve yenidoğanın yaşı ve kilosu ile ters orantılıydı. GM/IVH'li yenidoğanların çoğunda kanama Papile sınıflamasına göre derece I idi. Hipoksik doğum, ventilasyon ihtiyacı, kan transfüzyonu gibi predispozan faktörlere sahip yenidoğanlar, predispozan faktörler olmaksızın GM/IVH insidansından daha yüksekti. Yenidoğan YBÜ'de prematüre ve düşük doğum ağırlıklı yenidoğanların yanı sıra kan transfüzyonu, hipoksi ve mekanik ventilasyon ihtiyacı gibi predispozan faktörleri olan bebekler GM/IVH açısından yakından takip edilmelidir. Bu hastalarda US, YBÜ'de yenidoğanın yanında gerçek zamanlı ve uygulanabilir, yüksek duyarlılığı ve yan etkisi olmayan ilk araştırma yöntemidir.
The Relation Of Left Or Right Visual Acuity And Psychologic Symptoms In Strabismic Patients
Authors: Pençe Sadrettin , Çilli Ali Savaş , Özkağnıcı Ahmet
Published: June 2023

Strabismus refers to any abnormality of eye coordination or alignment that results in loss of binocular vision. The rate of right-eye preference was reported to be greater at the right-handed subjects than the left-handed ones. The eye has a visual acuity threshold below which an object will go undetected. The 39 consecutive subjects, who had esotropia or exotropia, were enrolled in this study. We noticed a relation in most of the parameters between intensity of psychological symptoms and visual acuity of the right eye, whereas there was no such relation with the lefte eye. Another interesting finding was the validity of this relation for only men. We may propose that differences in cerebral complex network concerning lateralization may be responsible for this relation of the parameters between intensity of psychological symptoms and visual acuity of the right eye.
Prognostic Effect Of Convertional Treatment In Pediatric Dilated Cardiomyopathy
Authors: Başpınar Osman , Kılınç Metin , Altuncu Erkan , Parlak Mesut , Coşkun Yavuz
Published: June 2023

The purpose of this study was to review our experience with conventional treated pediatric dilated caridomyopathy patients in our region and attempt to discover prognostic factors. We analyzed retrospectively the outcome of 41 patients during last six years. The patients were 23 girls, and 18 boys, ejection fraction 31.6±7.8%, follow-up period 14.07±14.2 months. Eight patients (19.5%) had died, 17 (41.4%) had recovery of systolic function. When analyzed from regained normal systolic function (17 patients) and others, first ejection fraction was not statistically significant (p=0.743). When separated from patient presentation age, 58.5% were smaller than two years. Sixth patients (25%) were died in smaller and two (11.7%) in bigger. Comparison between groups were not statistically differences (p=0.632 for deaths, p=0.594 for ejection fraction). We concluded that age; degrees of systolic functions were not differentiated favorable outcomes.
Aggressive Management in A Child With Homozygous Familial Hypercholesterolemia
Authors: Başpınar Osman , Kazaz Hakkı , Dağlar Bahadır , Bayraktaroğlu Ziya , Davutoğlu Vedat , Dai Alper İ.
Published: June 2023

Homozygous familial hypercholesterolemia is a rare and fatal disease. Twelve year-old girl patient with anginal symptoms and diffuse xanthomas were treated with diet restriction, per oral high dose statins, ezetimibe, low-density lipoprotein cholesterol apheresis and coronary artery bypass grafting. She has been on follow-up visit in stable condition.
Is Only The Classical Etiology Responsible From The Dislocation Following The Hip Arthroplasty?
Authors: Cebesoy Oğuz , Erzincan Tevfik , Karslı Burçin
Published: June 2023

Son zamanlarda dünya nüfusunun artması, yaşam süresinin uzaması ve yaşlılık nüfusunun artması nedeniyle kalça hastalıkları da artmıştır. Buna paralel olarak kalça artroplastilerinin sayısı da artmıştır. Kalça artroplastileri ne kadar artarsa, o kadar çeşitli komplikasyonlar ortaya çıkar. Bunlardan en önemlisi kalça çıkığı ve tedavisidir. Çıkığa neden olan klasik faktörler arasında protezin tipi, kullanılan başın büyüklüğü, yaşı, cinsiyeti ve kesilerin tipi sorumlu tutulmuş ve bu sorunlara yönelik çözümler tartışılmış olsa da, yetersiz hasta eğitiminin de kalça çıkığının nedenlerinden biri olabileceği ve bu eğitimin önemi yeterince vurgulanmamıştır. Çoğu zaman, verilen standart bilgilerin yeterli olduğu varsayılır ve hastalar hayatlarının geri kalanında bu yapay eklemle yaşamaya nasıl devam edecekleri konusunda eğitilmezler. Çalışmamızda yetersiz sözel bilgiye bağlı olarak gelişen iki kalça artroplastisi çıkığı olgusu sunulmuştur. Tüm kalça artroplastisi hastalarına verilecek eğitimin sadece sözel değil, eğitici ve açıklayıcı rakamlar içeren kitapçıklarla da desteklenmesini önerdik.
Retroperitoneal Hydatid Disease
Authors: Çoban Sacit , Kahraman Latif , Özgör Dinçer , Ara Cengiz
Published: June 2023

Localization of hydatid disease in the retroperitoneal space is extremely rare. We reported a recent case with primary retroperitoneal hydatid cyst, the diagnosis of which was established before surgery. In diagnosis of a cystic retroperitoneal mass, fine needle aspiration biopsy would be useful for planning the definitive surgical strategy.
Exacerbations Of Chronic Obstructive Pulmonary Disease And It's Results
Authors: Fakılı Füsun , Elbek Osman
Published: June 2023

The exacerbation period of chronic obstructive pulmonary disease (COPD) is differentiated with rapidly developing symptoms from the stable period. The most important complaints of the patients in this period are; progressive dispne, cough, increase in sputum quantity and purulance. In this paper we will discuss the etiologic factors of exacerbations of COPD and the impact on the patient's and community health.
 
Key words: COPD, Exacerbation, Etiology, Social Cost
Integrating Hyperbaric Oxygen Therapy Into Multidisciplinary Management Of Diabetic Finger Infection: A Case Report
Authors: Mutluoğlu Mesut , Uzun Günalp , Yıldız Şenol
Published: June 2023

Lower extremity wounds are one of the most frequent and serious complications of diabetes mellitus. However hand infections, though rare, are another challenging aspect of the disease. Multi-disciplinary approach has proved efficacy in the treatment of diabetic foot infections. Hyperbaric oxygen therapy is one of the adjunctive treatment modalities frequently used in patients with non-healing wounds. The objective of this paper was to report the additive effect of hyperbaric oxygen therapy in the management of a finger infection in a diabetic patient.
Approaches To Anti-HLA Antibody Profiles In Patients Waiting For Renal Re-Transplantation
Authors: KARAHAN Gonca Emel , OĞUZ Fatma Savran , Çarin Mahmut N.
Published: June 2023

This review focuses on the mechanisms of anti-HLA antibody development in patients waiting for a renal re-transplantation. Pre- existence or post transplant de novo production of these antibodies have been found to contribute to renal allograft failure in years. In addition to the detrimental effect of donor specific and non-donor specific anti-HLA antibodies on graft survival, many researchers emphasized the effect of non-HLA antibodies (e.g.; anti-MICA antibodies), auto-antibodies (e.g.; anti-vimentin antibodies), allo-nephrectomy and combined liver-kidney transplantations on rejection processes. Beyond all these, a newly developed computer algorithm, 'HLAMatchmaker' has changed the concept of transplantation possibility in highly sensitized patients.
Favorable Prognosis Variant Acinic Cell Carcinoma in Parotid Gland And Prognostic Parameters
Authors: Esen Hasan , Turan Gülay , Arbağ Hamdi , Sönmez F. Cavide
Published: June 2023

Asinic cell carcinoma, previously known as 'acinic cell tumor'', is a neoplasm demostrating cytologic differentiation serous acinar cells. Differentiation sometimes only focally. This neoplasm does not show myoepitelial participation. The most frequent sites of occurence are the parotid gland. The most important prognostic indicators for acinic cell carcinoma are clinical stage and status of the resection margin. Frequent mitoses, high proliferative index (Ki67>%5), fokal necrosis, perineural invasion, gross invasion, desmoplasia, atypia and depletion of lymphocytes in the stroma have been associated with more frequent recurrens and metastases.
Two Tolosa-Hunt Syndrome Accompanied By Peripheral Fasial Nerve Paralysis
Authors: Akçalı Aylin , Yiğiter Remzi , Mete Ahmet , Yılmaz Mustafa , Neyal Münife
Published: June 2023

Tolosa-Hunt syndrome is characterized of a painful ophthalmoplegia and is usually markedly responsive to corticosteroid therapy. In 2004 the re-defined diagnostic criteria of Tolosa-Hunt syndrome by International Headache Society the imaging findings have very important place. Cranial imaging demonstrates the contrast enhancement of cavernous sinus and orbital apex related to inflammation. We represented two case reports of Tolosa-Hunt syndrome. The cranial nerve involvement of 3., 4., 6., and first and the second branches of 5. were observed in both cases. One week later left peripheral facial nerve paralysis is added to the clinic in one of the cases. After excluding other diagnosis IV pulse steroid therapy is given and had fine response.
Non-Metastatic Suprasellar Germinoma in A Child: Case Report
Authors: Kayan Mustafa , Nazıroğlu Mustafa , Türker Yasin
Published: June 2023

Eleven-year-old girl presented with visual disturbance, diabetes insipidus and hypothyroidism. The lesion in magnetic resonance imaging (MRI) was established as a large suprasellar mass stretching the optic chiasm and pituitary stalk. The lesion showed intense contrast enhancement by intravenous administration of a contrast media. MRI examination of whole spine with contrast showed no pathology. Tumor markers such as alpha-fetoprotein (AFP) and human chorionic gonadotrophin (BHCG) in the serum and cerebrospinal fluid were at normal range. Paranasal or bone invasion and spread of subarachnoid space were not detected. Total resection of the lesion was successfully achieved. Histopathological examination revealed germinoma. After surgery, the patient was treated with the combined approach of adjuvant chemotherapy and radiotherapy.
Opinions Of The Higher School Of Health Students Toward Media And lts lmpact
Authors: Çöl Araz Nilgün , Parlar Serap , Atalay Hatice Serap
Published: June 2023

The aim of this questionnaire-based study was to determine the opinions of higher school of health nursing department students toward media and its impact. The study was conducted to a convenience sample of 275 higher school of health nursing department students between June 2009 and July 2009 were asked to complete a questionnaire. The forty-eight percent of the respondents (130) was watched television less than 2 hour per day. Advertising of the food such as yogurt, milk, fruit juice (98, 39.0%) was the most memorable television advertisement. The fifty percent of students (137) was watched an image is related to the violence of the child on television in the last 1 month. The great majority of the students was not watched a television program is related to portrayed tobacco and alcohol use in the last 1 week. (tobacco: 208, 76.2%; alcohol: 197, 72.2%). No correlation could be found between the impact of media and age, parents age and education level, type of social security, level of income or other sociodemographic properties. This study shows that, media becomes more efficient in every aspect of our lives, in the recent years and higher school of health nursing department students were also affected by the media.
Clinical Outcomes of Children Admitted with Admission Diagnosis of Pandemic Influenza
Authors: Yazgan Hamza , Yazgan Zerrin , Demirdöven Mehmet , Toraman Ahmet Ruhi , Çakmak Muzaffer , Gürel Ahmet
Published: June 2023

This study was designed to review the risk factors, clinical status and clinical outcomes of patients with an admission diagnosis of pandemic influenza A. Out of 503 patients seen at our hospital’s outpatient Pediatric Unit for flu symptoms between November and December 2009, 42 were admitted. These 42 patients’ risk factors, symptoms, reasons for admission, clinical treatment course and clinical outcomes were analyzed retrospectively. H1N1 was diagnosed using the real-time Reverse Transcriptase-Polymerase Chain Reaction Method (RT-PCR) in nasopharyngeal swabs. Of the 42 patients included in the study, 19 were male (45.2%) and 23 were female (54.8%). The mean age was 8.8 years (patient ages range from six months to 17 years of age). 28 patients were PCR positive (66.6%) and 14 were PCR negative (33.4%). Investigation of risk factors revealed 12 patients with asthma (28.5%), two with cerebral palsy (%4.76), up until one years old children two (%4.76), and one Down Syndrome patient with congenital heart disease (%4.76). No risk factors were identified for 25 patients (59.5%). Admission diagnoses included 15 patients with acute bronchiolitis (35.7%), 12 with acute pharyngitis and general poor health (28.6%), eight with pneumonia (19%), three with acute sinusitis (7%), two with acute gastroenteritis (4.7%) and two with febrile seizures (4.7%). All patients were given oseltamir at admission. The average length of stay was five days (ranging from 2-8 days). One patient required mechanical ventilator and intensive care services. There were no mortalities in the study group. In the event of a new pandemic influenza, patients in the risk groups identified may experience lower risk of mortality if provided with close monitorization and early treatment of potential secondary infections.
Airway Management in Two Patients with Maxillofacial Trauma
Authors: Şahin Levent , Gül Rauf , Mızrak Ayşe , Koruk Senem , Işıkay Nurgül , Berberoğlu Ömer , Göksu Sıtkı
Published: June 2023

The maxillofacial trauma (MFT) may cause an emergency clinical condition with the severe damage of fascial bones and tissues, the vascular injuries and the obstruction of the airway. Trauma generally causes edema and hematom in the mouth by impairing the normal anatomy. Therefore it may be very difficult to see the vocal cords and intubate by traditional direct laryngoscopy. In this article, we aimed to discuss the airway management in patients with MFT.
Pleural Effusions Complicating Upper Abdominal Surgical Pathologies in Children
Authors: Günşar Cüneyt , Aşcı Alparslan , Şencan Aydın , Yılmaz Ömer , Mir Erol
Published: June 2023

Intractable pleural effusions can occur during the courses of serious intraabdominal surgical pathologies. Information about the pathogenesis, presentation and management of this pulmonary complication is limited in the literature particularly for the childhood period. In this study we aimed to present our experience on management of three adolescent patients with pleural effusions which developed after upper abdominal surgical pathologies. According to the data collected from our patients, presence of peritoneal fluid, fever higher than 38ºC and adolescent age can be risk factors for development of pleural effusions. If intractable fluid collections resist to multiple thoracentesis then tube thoracostomy may be needed for the treatment.
Role of Servant Leadership via Emotional Intelligence, Grit, and Compassion on Job Performance
Authors: Safiullah  , Dr. Safia Bano  , Dr. Abdul Wahid Zehri
Published: June 2023

Servant Leadership has emerged as a prominent leadership style that has been investigated and implemented in diverse settings. This study focuses on examining the role of servant leadership within the higher education institute of Quetta, Baluchistan. The purpose of this research is to assess the impact of servant leadership on job performance while considering the mediating role of grit, compassion, and emotional intelligence. The study employs a non-probability convenience sampling technique to gather data from 250 pairs of followers and leaders within the higher education institute. A survey was administered to collect the necessary data, which were subsequently analyzed using SPSS v26 and SMART PLS 4. The findings of the study reveal significant relationships and shed light on the mediating effects of three key constructs: grit, compassion, and emotional intelligence. The results indicate that servant leadership significantly influences job performance within the higher education context. Additionally, the study highlights the partially mediating role of grit, compassion, and emotional intelligence in the relationship between servant leadership and job performance. This research contributes to the understanding of leadership dynamics within the specific context of higher education in Quetta, Baluchistan. By emphasizing the importance of servant leadership in promoting job performance and identifying the underlying mechanisms through which servant leadership influences performance, this study offers valuable insights. The findings underscore the significance of fostering servant leadership qualities and cultivating grit, compassion, and emotional intelligence to enhance performance outcomes in educational institutions.
SÜRDÜRÜLEBİLİR TÜKETİM BAĞLAMINDA LOSTRA İŞLETMELERİ ÜZERİNE BİR İNCELEME
Authors: ERYEŞİL Ahmet
Published: June 2023

Tüketimin bir kültür haline dönüşmesiyle ihtiyaç ve istek kavramları birbirinin yerini almış ve gerek üretim gerekse tüketim miktarlarında ciddi artışlar yaşanmıştır. Ancak zaman içinde bireyler arasında ‘tüketmek için tüketim’ anlayışının hâkim olması ile ekolojik kapasite sınırları aşılmış ve özellikle su gibi hayati öneme sahip doğal kaynaklar tükenme tehlikesiyle karşı karşıya kalmıştır. Bu durum ilk zamanlarda pek önemsenmese de, zaman geçtikçe ortaya çıkan ekolojik kaynaklı sorunlar ve gelecekte ‘su savaşları’nın yaşanabileceği görüşü; bireyleri, işletmeleri, hükümetleri ve diğer kuruluş ve örgütleri çözüm arayışlarına yönlendirmiş ve sürdürülebilir tüketim anlayışı tartışılmaya başlanmıştır. Küresel çapta yaşanan bu kriz ortamında tehditleri fırsata çevirmeye yönelik olarak ön plana çıkan lostra işletmeleri, ayakkabıların kullanım ömrünü mümkün oldukça uzatarak hem su kaynaklarının tüketimini azaltmakta hem de maddi açıdan önemli tasarruflar sağlamaktadırlar. Bu çalışmanın amacı; sürdürülebilir tüketim bağlamında ayakkabı üretiminde kullanılan su miktarlarını vurgulayarak lostra işletmelerinin sürdürülebilir tüketim anlayışına katkılarını ifade etmektir. Bu amaç doğrultusunda konu ile ilgili kavramsal ve görgül bir literatür taraması yürütülmüş; literatür taraması kapsamında sürdürülebilir tüketim, ayakkabı tüketimi, su tüketimi ve lostra işletmeleri ile ilgili kaynaklar 25 Şubat 2023-15 Mart 2023 tarihleri arasında çevrimiçi veritabanları üzerinden incelenmiştir. Gerçekleştirilen bu çalışma neticesinde; lostra işletmelerinin sundukları hizmetler ile sürdürülebilir tüketim anlayışını destekleyerek ekolojik dengenin korunmasına katkı sağladıkları bilgisine ulaşılmıştır.
The Reduction of Metal Artifacts in Thorac and Neck Regions in Ct Scan
Authors: ZOGAJ Erjona , KALLASHI Najada , DEMKO Vidi , MUHAMETI Rushan , FERHATI Marsela , TABAKU Ina
Published: June 2023

CT scan is a very important image modality for examining the patient due to the information we receive from it in a very short time. Receiving high-quality images is challenging but the evolution of the CT scan has helped the radiology technician a lot. In this article, we are going to focus on metal reduction artifacts. In polytrauma hospitals, when orthopedic, neurosurgical, and surgical clinics are mostly with patients that have implants on them, having tools to reduce the artifacts from metals is crucial to not miss anything in regions around. The aim of this article is to show the effectiveness of I-MAR as an important tool to use in patients with implants on, especially in thorax and neck regions. Material and methods: In this article we are showing 2 study case images from 2 patients received from our CT scan in radiology department of University Trauma Hospital. Siemens CT go. Top is a 128-slice scan with two beam sources. Conclusion: After comparing the raw dates images and images with I-MAR on, we concluded that I-MAR is a very useful algorithm to reduce artifacts. By using it we can receive more information about soft tissues around the implant and the regions nearby affected by artifacts. Using this algorithm helps the technician receive a better-quality image.
Screening for cervical cancer as an organized or opportunistic challenge
Authors: LAJTHIA Juliana , META Esmeralda , IKONOMI Majlinda
Published: June 2023

Pap test is already part of the successful examinations in the early detection of cervical cancer. The objective of this 1-year retrospective study (2019-2020), is to assess the importance of periodic Pap tests, the distribution of squamous and glandular anomalies, as well as determining the predominant categories for each anomaly, in 4123 cases of Hygeia hospital, in Albania. The age group 60- 69 years was with the most anomalies. 72.8% of women included in the study tested negative for intraepithelial lesion or malignancy. There was an increase in the positive percentage of Pap tests with epithelial cell abnormalities with increasing age group up to the age of 70 years (p <0.001). With epithelial cell abnormalities 97.7% of them were of squamous origin (ASC-US 86.2%) and 2.3% of them were of glandular origin. The Pap test should be a routine test for all sexually active young women, for early precancerous detection of the cervix. It is a valid, inexpensive, uncomplicated, noninvasive screening test for the detection of premalignant and malignant lesions of the cervix7 . The American Cancer Society recommends that all women should begin screening for cervical cancer 3 years after the onset of coitus.
Secondary antiphospholipid syndrome at a young male
Authors: HOXHA Eneida , RISTA Elvana , KUKA Somida , ÇOLLAKU Ledio , MUSABELLIU Jona , GJERMENI Ilir , GJATA Margarita
Published: June 2023

Antiphospholipid syndrome (APS) is an autoimmune disease characterized by recurring venous and/or arterial thrombosis and the presence of circulating antiphospholipid antibodies. APS occurs as a primary condition or secondary to other autoimmune disorders, mainly systemic lupus erythematosus (SLE). The diagnosis of APS is made on the basis of suggestive clinical findings and the presence of one or more of the following antiphospholipid antibodies (LAC, aCL antibody or aβ2GPI antibody present on two or more occasions, at least 12 weeks a part). A clinically significant aPL profile has been detected in approximately 30 % of patients with SLE. Case presentation: We are presenting a rare case of a 23 years old male with complaints of dyspnea, retrosternal discomfort, fatigue, general weakness, joint pain over a period of 3 months. The patient reported a single syncopal episode, 3 months prior to admission as his first clinical manifestation. He was at first diagnosed with Thrombocytopenia in 2007 and Systemic Lupus Erythematosus (SLE) in 2020. During his hospitalization, the patient experienced recurrent headaches, dizziness and episodes of elevated blood pressure (170/100 mmHg), as well. Moreover, laboratory and imaging examinations showed bilateral pulmonary thromboembolism and positive Anticardiolipin antibodies, positive ANA, positive SSA & SSB. Conclusion: Given the lack of typical clinical findings in the early stages of the disease, establishing a diagnosis of APS can be challenging. Although APS is one of the most common thrombocytophilias, unfortunately, it remains underdiagnosed. Clinicians should investigate for the presence of antiphospholipid antibodies, as early diagnosis may influence the course of the disease.
Rehabilitation on Cervical Spondylosis
Authors: KARRIQI Remina
Published: June 2023

Cervical Spondylosis (SC) is the most common disorder of the cervical spine. Intervertebral discs can degenerate as a result of natural aging. Other degenerative changes include osteophyte formation, facet joint hypertrophy, longitudinal ligament calcification, and ligament flava thickening. Aim: The aim of this study is to show the different methods of physiotherap used for the rehabilitation of cervical spondylosis and to compare among them the combined methods to see which of the methods is most effective in terms of relieving the main symptoms of cervical spondylosis.
The aplication of the fractal analysis in oncopathology
Authors: ALIA Lutfi
Published: June 2023

Fractal analysis is an objective approach that in oncopathology is one of the important fields of application. In this study is present fractal methodologies at histological level that have been successfully applied to characterize pathological features and able to perform differential diagnosis and prognosis in oncopathology. The basic principles and prospects of fractal geometry in pathology are promising. In particular, fractal analysis is emerging as a powerful tool to perform differential diagnosis and prognosis of the patients in cancer and other malignancies as well to improve the effectiveness and safety of patient care. All fractal objects have Fractal Dimension FDs, commonly calculated with box counting. Morphometry, the measure of shapes of the structures, can be added to every imaging technique in order to obtain objective indexes. In this field, fractal analysis has been applied to histopathology, cytopathology, and electron microscopy with great success. Performing fractal analysis of tissue samples, it’s possible to make differential diagnosis between the early stage of tumors and flogosis, or among the different types of Basal Cell Carcinoma, and different grade of Invasive Bladder Carcinoma, well as to investigate the subtle alterations of the nuclear patterns in human breast tumors, or to evaluate other tumors.
Cardioembolic Stroke at Prosthetic Valve Endocarditis
Authors: HOXHA Eneida , KUKA Somida , COLLAKU Ledio , RISTA Elvana , DJAMANDI Jorida , MUSABELLIU Jona , GJATA Margarita
Published: June 2023

Embolic events are frequent and life-threatening complications of infective endocarditis (IE), related to the migration of cardiac vegetations. The risk of embolism is very high in IE, with embolic events occurring in 20-50%of patients. The brain and spleen are the most common sites of embolism in left-sided IE. Stroke is a severe complication and is associated with increased morbidity and mortality rates. Case presentation: A 73-year-old male presented to the Emergency Department, in May 2022 with right hemiparesis, aphasia and fever (38 0C). He reported a history of recurrent fever lasting two days. His pre-existing comorbidities included Diabetes Mellitus, Arterial Hypertension and Atrial Fibrillation on anticoagulation therapy with Acenocoumarole and INR levels within normal range. His past medical history was significant for an Aortic Valve Replacement, in September 2021 and subsequent hospitalization in January 2022 with Prosthetic Valve Endocarditis. At the time, he presented with a recurrent fever up to 38.8 0C, no significant findings in the transthoracic echocardiogram (TTE), and positive blood cultures for Enterococcus faecalis. It was started an antibiotic therapy. Laboratory and imaging studies in his latest admission revealed a cardioembolic stroke. Conclusion: Infective endocarditis can present with a wide variety of symptoms and early diagnosis can be challenging. Establishing the diagnosis early in the course of the disease would enable a prompt implementation of empiric antibiotic therapy, potentially preventing serious complications. Keeping a high index of suspicion when evaluating patients at high risk for IE, might lead to more favorable outcomes of major complications associated with it.
Efeitos de fatores ambientais sobre as assembleias de formigas arborícolas e epigéicas na Floresta Estacional Semidecidual
Authors: Lobo Nathália Couto Romanelli , Ribeiro Larissa Miranda , Pereira Joabe Rodrigues , Almeida Ângela Alves de , Almeida Fábio Souto
Published: June 2023

O objetivo deste trabalho foi estudar os fatores que influenciam as assembleias de formigas arborícolas e epigéicas em fragmentos da Floresta Estacional Semidecidual do Estado do Rio de Janeiro. A amostragem das assembleias de formigas foi realizada em três fragmentos florestais no Município de Paraíba do Sul e quatro no Município de Três Rios. Em cada remanescente florestal, 20 iscas de sardinha e mel foram alocadas sobre o solo e a mesma quantidade foi pincelada sobre o tronco de árvores, com as formigas sendo coletadas manualmente. Foram obtidas variáveis ambientais para verificar a sua associação com a riqueza e a diversidade de espécies de formigas e com o número de guildas nos remanescentes florestais. Foram coletadas 55 espécies de formigas, pertencentes a 20 gêneros. A variável que mais influenciou a riqueza e a diversidade de espécies de formigas epigéicas foi o nível de isolamento dos fragmentos florestais, explicando significativamente cerca de 68% da variação da riqueza e aproximadamente 80% da variação da diversidade. O modelo matemático com as variáveis nível de isolamento dos fragmentos, profundidade de serapilheira, circunferência do tronco de árvores a altura do peito (CAP), luminosidade e área do fragmento, explicou mais de 99% da variação da riqueza de espécies de formigas epigéicas (R²= 99,94%; F= 339,06; P= 0,04). A riqueza de formigas arborícolas foi influenciada pela CAP (R²= 67,98%; F= 10,62; P= 0,02) e a diversidade de formigas arborícolas foi afetada pela CAP e pelo tamanho dos remanescentes florestais (R²= 81,90%; F= 9,05; P= 0,03). Foram observadas sete guildas de formigas, sendo a riqueza de guildas influenciada pela profundidade de serapilheira e pela luminosidade (R²= 77,87%; F= 7,04; P= 0,05). A mirmecofauna da Floresta Estacional Semidecidual é afetada pelas características da paisagem e da vegetação, relacionadas com o estágio sucessional da floresta e a heterogeneidade ambiental.
MANUAL DE SEMIOLOGIA ABDOMINAL ADAPTADO AO PROFISSIONAL CADEIRANTE
Authors: ANDREI PERUZZO JACSON , QUEIROZ FRANCO IGOR , PEREIRA CARDOSO LEDIANA , JULYANA PINA TRENCH FLÁVIA , DE LA CARIDAD H. HERBELLO ALEJANDRA , SANCHEZ SERVIAT ALIDA , DIOGO MAFRA ANDRÉ , OMERITZA ARÉVALO LEIVA CELENI , ALBERTH JUNIOR DO ROSÁRIO FERNANDO , PIERI GABRIEL , LINHARES ISABELLA , PINTO TEIXEIRA LUCAS , BASCUR VILLAGRA RICARDO
Published: June 2023

"Ser médica e mãe, com limitações, é muito desafiador e estressante, na maioria das vezes. Você tem muitas coisas que deseja fazer que, na sua mente, em teoria, você sabe que conseguiria fazer, mas, fisicamente, não consegue. Às vezes, o desgaste emocional e psicológico é inevitável, me sinto impotente. Muitas vezes tenho o desejo de levar meu filho ao parque, brincar com ele, pegar na mão e caminhar (...) A mesma coisa acontece como médica. Os procedimentos cirúrgicos, por exemplo, por mais que eu tenha desejo de fazer, minha condição física não permitiria. Isso também leva a um desgaste emocional. Além disso, algo que sempre ressalto é a falta de acessibilidade. A grande maioria das UBSs e hospitais não é acessível. Eles têm escadas, degraus, os consultórios são pequenos, os banheiros para deficientes não são adequados, não consigo movimentar com a cadeira... Então, meu dia a dia como médica e mãe é estar superando desafios e barreiras que são difíceis. Mas, como sempre falo: as limitações a gente tem na cabeça, não é mesmo? Até agora estou conseguindo superar todos os desafios e prognósticos. Amo o que faço, amo ser médica e estou amando o dobro ser mãe, mesmo sabendo das minhas limitações. Assim, procuro outras formas de fazer as coisas. Quem cria as limitações somos nós mesmos. Quando nos propomos a dizer "eu quero, eu posso e eu vou conseguir", a gente consegue. Podem ter mil pedras no seu camino, aos poucos você vai passando uma por uma e consegue superar todas as barreiras qu atrapalham seu caminho."
Tips for an effective remote defense
Authors: White Ethan
Published: June 2023

 Zoom works great:  I’ve seen up to ~50 folks attending the talk remotely and slides with video. Everything connection wise worked well except for a single committee member with some minor freezing during the private defense.  Have backup options:  Give yourself time and backups in case things go wrong. Set up the connection early (15+ minutes) and ask the committee to show up early to check everything is working.
Jobs in the US Government for graduate students
Authors: Taylor Shawn
Published: June 2023

Do you have a graduate degree and are looking for a job? The US Government hires thousands of people with your skill set. Here I’ll give a quick overview of the scope of those jobs. If you’re looking for the exhaustive guide for applying on USAjobs its here.
A Guide for Writing in the Mathematics Classroom
Authors: Gunter Melissa
Published: June 2023

Asking students to write meaningfully about mathematics can be daunting! Help students learn to write with purpose.
Teaching Is a Journey: Math Talks for Agency, Identity, and Ownership
Authors: Weekes Timothy L.
Published: June 2023

This department provides a space for current and past PK-12 teachers of mathematics to connect with other teachers of mathematics through their stories that lend personal and professional support.
Fibrodysplasia Ossificans Progressiva in China,An Updated Review
Authors:   Chengdu Foreign Language School, No.35 Baicao Road, 611731,P.R. China, Wang Di
Published: June 2023

Fibrodysplasia ossificans progressiva (FOP) is a rare autosomal genetic disease that results in abnormal bone formation (heterotopic ossification) in areas of skeletal muscles and connective tissues. Genetic studies have identified the causative mutations in Activin-like kinase 2 (ALK2), a type I receptor of bone morphogenetic proteins (BMPs). Currently no effective treatments are available for FOP, and the disease is often misdiagnosed for less awareness. It is believed that China has the largest number of FOP patients in the world due to its population. However, most Chinese FOP studies were reported in mandarin, instead of English, the international language of science. In this article, I have identified 126 reported Chinese FOP cases by literature search and analyzed these cases from aspects of disease epidemiology, great toe clinical sign, causative mutations and onset ages. In addition, I summarize the most updated knowledge as well as current ongoing clinical trials in FOP field.
Clinicoepidemiological Presentation of Sinonasal Mass in A Nigerian Tertiary Health Care Centre
Authors:   ENT Department, Ekiti State University Teaching Hospital, Ado Ekiti, Nigeria, Adegbiji Waheed Atilade , Aremu Shuaib Kayode ,   ENT Department, Federal Teaching Hospital Ido-Ekiti/Afe Babalola University, Ado-Ekiti, Nigeria;, Akanbi Ganiyu Olusola ,   Radiology department, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria;, Omotayo John Adetunji ,   Department of Anatomic Pathology, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria
Published: June 2023

Background: Sinonasal masses are common worldwide with clinical entity ranges from simple sinonasal polyps to malignancy. This study aimed at determining the prevalence, Sociodemographic features, clinical characteristics, clinical presentation, and management outcome of sinonasal masses. Materials and Methods: This was a retrospective study of patients with sinonasal masses in ear, nose and throat department of our center over a period of ten years (from November 2008 to October 2018). Data were retrieved from the clinic register and hospital medical record. Information on sociodemographic features, the clinical presentation of presentation, examination findings, CT Scan findings, diagnosis and treatment outcomes were retrieved. Data obtained were collated and analysed by using SPSS version 18.0. Results: The total number of patients seen over the studied period was 4,678 Male accounted for 62.9% with male to female ratio of 1.7:1. Sinonasal masses were bilateral in 44.3%, left-sided in 32.0% and right-sided in 23.7. Multiple grapelike sinonasal masses accounted for 50.5% while single sinonasal masses accounted for 49.5%. Commonest anatomical origin was ethmoid sinuses in 50.5%. Main clinical features were nasal blockage 83.5% and nasal discharge 63.9%. Masses extension was into 52.6% Intranasal/sinuses and 34.0% orbital extension. Main histological diagnosis were ethmoidal (simple) nasal polyps in 49.5%, squamous cell carcinoma in 17.5%, antrochoanal polyp in 9 3% and inverted papilloma in 9.3%. Histological examination showed simple inflammatory nasal polyps in 58.8%, benign tumour in 13.4% and malignant tumour in 23.7%. Patients were managed by 76.3% surgery, 16.5% surgery and radiotherapy and 7.2% chemoradiotherapy. Recurrent masses and death from malignancy were 8.2% and 2.1% respectively. Conclusions: Sinonasal masses are perceived and presented as a simple disorder with nasal obstructions and discharge. It consists of polyps and malignant tumour. Nasal Polyps are commoner than the neoplastic tumour. The commonest origin of the sinonasal masses was ethmoid sinuses which may be because polyps are the most common causes of sinonasal masses as shown in our study. Further evaluation revealed that majority of the unilateral sinonasal masses were neoplastic. They are poorly managed and presented in advanced stage to the otorhinolaryngologist, head and neck surgeon. Late presented patients had palliative treatment with resultant high recurrence and fatality. Thus Health education, serial and early screening are highly recommended.
Sistem Pengambilan Keputusan Pendataan Keluarga Miskin Penerimaan PKH Menggunakan Metode Simple Additive Weighting di Kabupaten Alor
Authors: Paly Luisa Sentia
Published: June 2023

Pengambilan keputusan Pendataan Keluarga miskin di Kantor Kelulahan Kalabahi Barat hanya berdasar pada keputusan pemerintah setempat, tetapi juga bisa ditentukan beberapa kriteria-kriteria untuk di kategorikan sebagai Keluarga miskin penerimaan PKH diantaranya, Penghasilan, Penyandang Disabilitas, Jenis Dinding Rumah, Pendidikan, Pekerjaan, Bahan Bakar, Sumber Air yang dikomsumsi Keluarga. Tujuan penelitian ini adalah (1) Membuat sebuah database dari sistem pengambilan keputusan pendataan Keluarga Miskin Menggunakan Metode Simple Additive Weighting (SAW) pada Kantor Kelurahan Kalabahi Barat. (2) Mempermudah dalam pendataan Keluarga Miskin Penerimaan PKH pada Kantor Kelurahan Kalabahi Barat. Penelitian ini merupakan jenis penelitian deskriptif dengan pendekatan kuantitatif. Penelitian deskriptif dipilih untuk mendeskripsikan suatu fenomena yang ada di lapangan. Sedangkan pendekatan kuantitatif dipilih karena semua data atau informasi diwujudkan dalam bentuk angka sehingga variabel yang diteliti akan disajikan secara kuantitatif. Jenis penelitian deskriptif kuantitatif yang digunakan pada penelitian ini dimaksudkan untuk memperoleh informasi mengenai pendataan keluarga miskin pada Kelurahan Kalabahi Barat. Data atau informasi yang diperoleh dari penelitian ini dideskripsikan sesuai dengan kenyataan yang ada di lapangan. Populasi dalam penelitian ini adalah seluruh keluarga miskin pada Kelurahan Kalabahi Barat, Kecamatan Mutiara, Kabupaten Alor sebanyak 150 Keluarga Miskin. Hasil penelitian ini menunjukkan bahwa “Aplikasi dapat digunakan untuk menentukan Keluarga miskin yang layak mendapatkan bantuan secara objektif berdasarkan perhitungan kriteria yang ditetapkan”, menggunakan metode Simple Additive Weighting (SAW) pada Kantor Kelurahan Kalabahi Barat, Kecamatan Mutiara, Kabupaten Alor sehingga dapat mempermudah dalam penentuan kelayakan yang menerima bantuan bagi yang benar – benar miskin. Jadi masyarakat yang miskin adalah masyarakat yang memiliki hasil maksimum berdasarkan kriteria-kriteria yang ada. Dalam hal ini memiliki nilai terbesar yaitu 0,853, merupakan masyarakat Sangat miskin pada Kantor Kelurahan Kalabahi Barat.