bluuebunny/crossref_metadata_2025 huggingface dataset:
The Role of Seniors in the Intergenerational Cooperaion within Organizations
Authors: Šestáková Monika
Published: December 2019

The basic objective of the paper is to show that seniors (even in the age 70+) need not be treated just as a burden or as an object of social care and health care (which is, of course, important as well), but that they can be an important production factor in the traditional meaning of the concept in economic theory and can form a valuable component of an intellectual capital in a knowledge-based society. Objective reason of the growing interest in these issues is the aging of population during the last decades (especially in developed countries) and a greater availability of highly skilled seniors, that although meet the requirements to go retired, prefer to work longer and seek in the work (similarly as during their previous active years) a way of selfactualization and a source of vital energy. Keeping employed these seniors can be also economically effective for organizations.
How Millennials Affect Corporate Culture
Authors: Urbanovičová Petra , Mikulášková Justína , Čambál Miloš , Edl Milan
Published: December 2019

Corporate culture is made by the company´s employees. However, their age composition is different and is members of different generations that interact. Every generation brings with it something new, not only positive but also negative. Therefore, each generation should work together to eliminate the negative aspects and highlight the benefits of each generation and exploit them to their advantage. Each of the generations influences the corporate culture in different ways. The aim of the paper is to point out the results of research, which was realized at Faculty of Materials Science and Technology in Trnava and focused on individual generations of employees. We draw attention especially to the Generation Z, its impact on corporate culture and the new “wind” that it brings. This paper was written on the basis of research results of VEGA project No.1/0348/17 “The impact of the coexistence of different generations of employees on the sustainable performance of organisations”.
Educação para os dissidentes. Há alternativas?
Authors: Santamarina Cláudia Valéria Fonseca da Costa
Published: December 2019

Este artigo reflete sobre a inépcia do sistema de ensino em responder a demanda por novas práticas pedagógicas e revisão de conteúdos curriculares. Como um mecanismo que reforça a ideia de fracasso dos diferentes e despolitiza a inadaptabilidade dos excluídos à colonialidade do saber, desconsidera sistematicamente os motivos da evasão escolar ressaltados pelos que estão fora da escola e pelos debates acadêmicos, revelando- se estratégica, tal como uma arquitetura de reprodução de poder neoliberal, que impede que novas práticas pedagógicas viabilizem uma produção de conhecimento, não para o outro – mercado, mas para si e em favor da autonomia e cidadania.
Por que educação sem escola?
Authors: Feltrin Tascieli , Rigue Fernanda Monteiro , Correia Guilherme Carlos
Published: December 2019

Este artigo realiza uma revisão bibliográfica consultando autores e críticos dos processos de escolarização e polarização da educação das massas pelo Estado, tais como: Illich, Proudhon, Reimer e Godwin. Apresenta uma reflexão sobre possíveis efeitos sociais da desescolarização da educação e problematiza o tratamento dado à educação e ao ensino escolar potencializando as possibilidades de pensar educação para além da escolarização. Do estudo resulta que o termo educação, muitas vezes, é confundido com a escola, comprometendo a compreensão do que seja sua finalidade. Nota-se que a escola, enquanto instituição normalizadora, não pode ser entendida como única forma de educação devido à própria condição humana de estar em constante aprendizagem-interação com o meio e com os demais.
Local privilegiado para a formação de professores: arquitetura e espaços de um Instituto de Educação
Authors: Conceição Aline de Novaes , Celeste Filho Macioniro
Published: December 2019

Neste artigo, há resultados de um estudo sobre a arquitetura e os espaços do extinto Instituto de Educação “Fernando Costa”. Com o objetivo de compreender a organização desse IE, especificamente a configuração arquitetônica e os espaços desse prédio, entre 1953 e 1975,  período de funcionamento dessa instituição, foi utilizada pesquisa bibliográfica e documental com abordagem histórica tendo como fontes a planta dessa instituição e imagens do prédio do IE em questão. Para análise das fontes, considera-se o paradigma indiciário, visando localizar indícios que possibilitassem reconstituir aspectos da realidade buscada. Conclui-se que no prédio em que funcionou o IE “Fernando Costa” há o predomínio do retílineo, andares e escadas, além disso, esse prédio representa a grandiosidade.
5-FLOROURACİL VE RESVERATROL KOMBİNASYONUNUN İNSAN AKCİĞER KANSERİ A549 HÜCRE HATTINDA APOPTOZİS ÜZERİNE ETKİSİ
Authors: AĞCA Can Ali , KIRICI Mahinur , CAN Abdurrahman , YUMAK Yeşim
Published: December 2019

Amaç: 5-Florourasil
(5-FU), göğüs, mide, özofagus ve pankreas kanseri dahil olmak üzere çeşitli
kanser türlerinde kullanılan bir kemoterapi ilacıdır. Resveratrol (RES), flavon
olmayan polifenolik bir bileşiktir ve çeşitli kanser türlerinde kemoterapötik
etkisi bulunmaktadır. 5-FU ve RES'in etkilerinin
tek başına kapsamlı bir şekilde araştırılmasına rağmen, RES ile kombine edilen
5-FU'nun A549 hücre hattı üzerine etkisi hala bilinmemektedir. Bu çalışmada,
A549 akciğer kanseri hücre hattında 5-FU ve RES kombinasyonunun apopitotik
yolak üzerindeki etkisi araştırılmıştır.Gereç ve
Yöntemler: 5-FU ve RES kombinasyonunun A549 akciğer kanseri
hücreleri üzerindeki etkisini belirlemek için, Water Soluble Tetrazolium-1
(WST-1) deneyi ile hücre canlılığı, 2’,7’–dichlorofluorescin diacetate (DCFDA) kiti
ile ROS seviyesi, klonojenik deney ile hücrelerin koloni oluşturma kabiliyeti,
Western blot ile pro-apoptotik Bax ve TP53
kaynaklı glikoliz ve apopitozis düzenleyicisi (TIGAR) proteinlerin ekspresyon
düzeyleri analiz edilmiştir.Bulgular: 5-FU
ve RES kombinasyonu, A549 hücre hattının hücre canlılığını ve koloni oluşturma
potansiyelini önemli ölçüde azaltmıştır. Dahası, Western Blot analizi, 5-FU ve
RES kombinasyonunun pro-apopitotik Bax proteininin artmasına neden olduğunu,
TIGAR protein ekspresyon seviyesinin ise konsantrasyona bağlı bir şekilde
azaldığını göstermiştir.

Sonuç: Sonuçlarımız,
Resveratrolün A549 hücre dizisinde 5-FU'nun anti-tümör etkisini
artırabileceğini göstermiştir.
EFFECTIVENESS OF ULTRASONOGRAPHY IN IMAGING ASSESSMENT OF PNEUMOTHORAX, RIB FRACTURES, AND HEMOTHORAX IN PATIENTS PRESENTING TO EMERGENCY DEPARTMENT WITH BLUNT CHEST TRAUMA
Authors: ÇETİNKAYA Halil , YÜZBAŞIOĞLU Yücel , KARAMERCAN Mehmet Akif , KATIRCI Yavuz , TANDOĞAN Meral , COŞKUN Figen
Published: December 2019

Objective: We aimed to determine the effectiveness and appropriate use of ultrasonography (USG) in the diagnosis of pneumothorax, hemothorax, and rib fractures in patients presenting to emergency department with Blunt Chest Trauma (BCT).Material and Methods: This study was prospectively conducted on patients older than 18 years of age who presented to the Emergency Department of Ankara Training and Research Hospital. Patients with BCT who needed advanced imaging studies were first examined with bedside USG and the results were recorded. Afterwards, patients underwent postero-anterior chest X-Ray (PACXR) and thorax computerized tomography (CT). The data were then statistically analyzed.Results: A total of 124 patients were enrolled, of which 100 (80.6%) were male. Compared with thorax CT (accepted as the gold standard test), USG had a sensitivity of 84.2%, a specificity of 100%, a positive predictive value of 100%, and a negative predictive value of 93.5%for pneumothorax; a sensitivity of 92.6%, a specificity of 100%, a positive predictive value of 100%, and a negative predictive value of 98%for hemothorax; and a sensitivity of 89.8%, a specificity of 96.9%, a positive predictive value of 96.4%, and a negative predictive value of 91.3%for rib fracture. In all groups, USG outperformed PACXR in terms of sensitivity. Conclusion: Thorax CT is regarded as the gold standard for diagnosing pneumothorax and hemothorax. Our study suggests that, among adults with BCT in settings where thorax CT is not available or difficult-to-access, or when it is not feasible to transfer the patient from emergency department to radiology unit, bedside USG appears as an extremely valuable and highly sensitive alternative to thorax CT.
PARATİROİD ADENOMU VE HİPERPLAZİSİNİN HİSTOPATOLOJİK AYRIMI
Authors: İBİLOĞLU İbrahim , KÖSEM Mustafa , YILDIZ İsmail
Published: December 2019

Amaç: Paratiroid
adenomu ve paratiroid
hiperplazisinin ayrımında kullanılan histopatolojik bulgular, bu iki patolojiyi
ayırmada her zaman yeterli olamamaktadır. Paratiroid adenomu ve paratiroid hiperplazilerinin
birbirinden ayrımı tedavi farklılıkları nedeni ile önemlidir. Bu çalışmada,
paratiroid adenomu ve paratiroid hiperplazisinin
histopatolojik ayrımı araştırıldı.Gereç ve Yöntemler: Çalışma grubu, 60 paratiroid adenomu, 35 paratiroid
hiperplazisi ve 20 normal paratiroid bezi olgusundan meydana gelmekte olup bu
gruplar arasında 18 ana histolojik parametre ile 27 alt histolojik parametre
araştırıldı. Bulgular: Histopatolojik
incelemede, kenarda normal paratiroid bezi varlığı, paratiroid adenomlarının %71.6’sında
görülürken, paratiroid hiperplazilerinin hiçbirinde gözlenmedi. Belirgin (+++)
kapsül kalınlığı, paratiroid adenomlarının %28.3’ünde izlenirken, paratiroid
hiperplazilerinin hiçbirinde yoktu. Paratiroid hiperplazilerinin %48.6’sında ve
paratiroid adenomlarının %10’unda (+) kapsül kalınlığı izlendi. Orta derece ve
belirgin yağ hücresi varlığı (++ ve +++) paratiroid adenomu vakalarının toplam %6.6’sında,
paratiroid hiperplazisi vakalarının %48.6’sında görüldü. Paratiroid
adenomlarında (+) yağ hücresi varlığı %93.3 iken, paratiroid hiperplazilerinde %51.4
oranında, (++) yağ hücresi varlığı paratiroid adenomlarında %6.7, paratiroid
hiperplazilerinde %42.8 oranında, (+++) yağ hücresi varlığı paratiroid
adenomlarında izlenmez iken paratiroid hiperplazilerinde %8.6 olguda
izlenmiştir. Dizilim paternlerinden nest formasyonu paratiroid adenomlarının %8.3’ünde,
paratiroid hiperplazilerinin %22.8’inde mevcuttu. Lenfosit infiltrasyonu
paratiroid adenomlarının %26.7’sinde mevcut iken paratiroid hiperplazilerinin %8.6’sında
izlendi. Fibröz bant varlığı, kist formasyonu, nest formasyonu hariç dizilim
paternleri, nekroz, dejenerasyon, kanama, kolloid benzeri materyal, hücre tipi,
lenfosit infiltrasyonu hariç inflamasyon, nükleer pleomorfizm, nükleer şekil,
nükleer kromatin, intranükleer inklüzyon, ve mitoz bakımından paratiroid
adenomu ve paratiroid hiperplazisi arasında anlamlı farklılık gözlenmedi.Sonuç: Paratiroid adenomu ile paratiroid
hiperplazisinin ayrımında kenarda normal paratiroid bezi varlığı, belirgin
kapsül kalınlığı (+++), az miktarda yağ hücresi oranı (+) ve lenfosit
infiltrasyonu paratiroid adenomu lehine anlamlı bulundu. Nest formasyonu,
paratiroid hiperplazilerinde paratiroid adenomlarına göre anlamlı olarak daha
yüksek izlendi.
THE MRI FINDINGS IN PATIENTS WITH IDIOPATHIC CARPAL TUNNEL SYNDROME BEFORE AND AFTER TREATMENT
Authors: KARACA Şahika Burcu , ŞAHİN Rula , GÜNBEY KARABEKMEZ Leman , YETİŞ Tevfik , DURAN Nihal
Published: December 2019

Objective: In this study, while evaluating the effectiveness of splint, injection, paraffin and
surgical treatment with Magnetic Resonance Imaging (MRI) in patients with
idiopathic carpal tunnel syndrome (CTS), we investigated the consistency
between MRI measurements performed by different observers.Material and Methods: Boston questionnaires were evaluated,
and the cross-sectional areas (CSA) of the median nerve were measured by two
different observers, in 50 hands of 50 patients with idiopathic CTS.Results: The CSA of the median nerve at the
radiocarpal joint level of the canal were significantly larger than the values
at the hamate level of the canal when values before treatment and three months
after treatment were compared (p<0.001; <0.001 respectively). Measurements
of the CSA of the median nerve, taken by the first observer, were found to be
significantly lower in the post-treatment period at both the radiocarpal joint
and hamate level, compared with the pre-treatment period (p<0.001; 0.002
respectively). Measurements of CSA of the median nerve at the radiocarpal joint
and hamate level performed by the observers in the pre- and post-treatment
periods, were found to be highly compatible with one another.Conclusion:
MRI is a valuable investigative technique for use
with CTS patients, for the diagnosis of idiopathic CTS. When evaluating the
efficacy of treatment, measurements of CSA of the median nerve are important,
particularly at the proximal regions of the canal. The compatibility between
the MRI measurements of the different observers, led us to consider that the
measurements were objective.
ASSESSMENT OF BONE MORPHOLOGY AND STATUS OF MAXILLARY SINUS IN THE POSTERIOR MAXILLA: THREE-DIMENSIONAL ANALYSIS FOR IMPLANT THERAPY
Authors: GÖLLER BULUT Duygu , ŞİŞMAN Yıldıray
Published: December 2019

Objective: The
purpose of this study was to assess morphologic features of alveolar bone
supporting maxillary premolars and molars and to determine the relationship
between maxillary sinus and teeth using cone beam computed tomography (CBCT).Material and Methods: In
CBCT scans of 100 patients, the thickness of both trabecular bone and cortical
plates surrounding 652 posterior teeth were measured and the relationship
between teeth and maxillary sinus was classified. Also,
the angle between the teeth and the alveolar crest was measured.Results: Of the teeth examined, 25 % were in contact
with the inferior wall of maxillary sinus, 12% had penetrated the sinus and 63
% were far away from maxillary sinus. The closest root to the maxillary sinus floor was
mesiobuccally root of second molar teeth with 1.3 mm distance. The
teeth which had thinnest bone configuration were maxillary first premolars. There
were no significant differences for measurements between sides and gender
(p>005). Buccal bone thickness and distance to the maxillary sinus floor
showed a negative correlation in molars (p˂0.001 and 0.003).Conclusion:
In order to prevent possible complications, a
three-dimensional analysis of the posterior maxilla and maxillary sinus is
required before implant procedures to be performed on the maxillary posterior
region.
PREVALENCE AND CHARACTERISTICS OF PNEUMATIZED ARTICULAR EMINENCE ON PANORAMIC RADIOGRAPHS: A RETROSPECTIVE STUDY AND LITERATURE REVIEW
Authors: SERİNDERE Gözde , AKTUNA BELGİN Ceren
Published: December 2019

Objective: Pneumatized articular eminence (PAE) is
an air filled cavity in temporal bone. The aim of this research was to evaluate
the prevalence and characteristics of PAE using panoramic radiograhy.Material and Methods: The panoramic radiographs of 1000 patients
were analyzed to describe prevalence and characteristics of PAE. Patients with
PAE had a mean age of 35 years with a range of 19–85 years. Gender, age, localization and locularity
of pneumatization were noted.Results: PAE was found in 19 (1.9%) patients with
a mean age of 34.4. Twelve patients were female and seven patients were male. There
was no statistically significant difference between gender and the presence of PAE
(p>0.05). 12 unilateral and 7 bilateral cases were observed. Nine patients (47.4%)
had PAE on the left side while three patients (15.8%) had PAE on the right side.
Unilocular appearances were found in 7 patients (36.8%) while multilocular appearances
were found in 11 patients (57.9%). One patient (5.3%) had both unilocular and multilocular
types.Conclusion: Awareness for this anatomical variation
is important for differential diagnosis from other lesions and also for planning
temporomandibular joint surgery. Because of fragile structure of bone with PAE,
the surgeons should be careful during temporomandibular joint operations.
OKUL ÖNCESİ VE OKUL ÇAĞI ÇOCUKLARDA ŞOK DALGA LİTOTRİPSİ BAŞARISI FARKLI MI?
Authors: ÖZKAYA Fatih
Published: December 2019

Amaç: Bu
çalışmamızdaki amaç, okul öncesi (0-7 yaş) ve okul çağı (8-16) dönemindeki
böbrek taşı tedavisinde şok dalga litotripsi (SWL) etkinliğinin ve
güvenilirliğinin retrospektif olarak karşılaştırılmasıdır.Gereç ve Yöntemler: Ocak 2014 - Ocak
2018 tarihleri arasında böbrek taşı olan ve SWL ile tedavi edilen 16 yaşından
küçük toplam 283 çocuk hastanın verileri retrospektif olarak incelendi.
Hastalar okul öncesi (Grup 1, <7 yaş) ve okul çağı (Grup 2, 7-16 yaş) olmak
üzere iki gruba ayrıldı. Tanı, direkt üriner sistem grafisi, ultrasonografi,
intravenöz ürografi ve/veya azaltılmış doz kontrastsız bilgisayarlı tomografi
ile konuldu. Gruplar; başarı, odaklama yöntemi, taş lokalizasyonu, boyut,
opasite ve komplikasyonlar açısından değerlendirildi.Bulgular: İki yüz seksen
üç çocuk hastanın 166 (%58.6)’sı erkek 117 (%41.4)’si ise kız idi. SWL başarı
oranları grup 1’de 127/132 (%96.2) ve grup 2’ de 136/151 (%90.1) olarak
belirlendi. Grup 1’de 108 (%81.8) ve grup 2’de 93 (%61.6) hastada taş boyutlarının
≤ 10 mm olduğu belirlendi. Sırasıyla 1. ve 2. gruplarda opak / non-opak taş
oranı; 54 (%40.9) / 78 (%59.1) ve 104 (%68.9) / 47 (%31.1) idi. Grup 1’de 5
(%3.8), grup 2’de ise 6 (%4) hastada komplikasyon izlendi.Sonuç: Çocukluk çağında
görülen taş hastalığında tedavi için birçok alternatif tedavi yöntemi olmasına
rağmen, SWL hala güncelliğini korumakta ve uygun olgularda hala ilk basamak
tedavi seçeneği olarak kullanılmaktadır. Okul çağı dönemine göre okul öncesi
dönemde, kırılan taş fragmanlarının pasajı ve temizlenmesi daha kolaydır ve SWL
başarısını arttırmaktadır. Okul öncesi çocuklardaki üriner sistem taş
hastalığının tedavisinde SWL, okul çağındaki çocuklardan daha başarılıdır.
Randomize prospektif daha büyük hasta serileri ile bu durum daha iyi aydınlatılabilecektir.
DİZ OSTEOARTRİTİ TEDAVİSİNDE KOMBİNE FİZİK TEDAVİ VE KAPLICA TEDAVİSİNİN ETKİNLİĞİ
Authors: KARACA Şahika Burcu , DOĞANYİĞİT KUZAN Nursel
Published: December 2019

Amaç: Bu çalışmanın amacı
diz osteoartritili hastalarda hot pack (HP), trankütanöz elektriksel sinir stimülasyonu
(TENS) ve kısa dalga diatermi (KDD)’den oluşan fizik tedavi ile kombine kaplıca
tedavisinin sadece fizik tedaviye göre ağrı, tutukluk ve fonksiyonel durum üzerine
etkisini araştırmaktır.Gereç ve Yöntemler: Diz osteoartriti
olan 32 hastanın (Grup 1: fizik tedavi+kaplıca tedavisi alan hastalar) ve 31 hastanın
(Grup 2: fizik tedavi alan hastalar ) tedavi öncesi (0.gün) ve tedavi sonrası (10.gün)
Western Ontario and McMaster Universities Arthritis Index (WOMAC) ağrı, WOMAC tutukluk,
WOMAC fonksiyonel durum ve WOMAC toplam skorları değerlendirildi.Bulgular: Tedavi sonrası WOMAC
ağrı, WOMAC tutukluk, WOMAC fonksiyonel durum ve WOMAC toplam skorlarında tedavi
öncesi değerlere göre her iki grupta da istatistiksel olarak anlamlı gelişme saptandı
(p<0.001). Ancak tedavi sonuçları arasında gruplar arası istatistiki olarak anlamlı
fark saptanmadı.Sonuç: Diz osteoartritli
hastalarda hem HP, TENS ve KDD’den oluşan fizik tedavi hem de fizik tedavi ile kombine
kaplıca tedavisi ağrı, tutukluk ve fonksiyonel durum üzerine etkilidir. Ancak iki
tedavi grubunun birbirine üstünlüğü saptanmamıştır.
CLINICAL UTILITY OF RADIOLOGICAL IMAGING IN THE EVALUATION OF GALLSTONE ILEUS
Authors: ÖZDEMİR Adnan , YILMAZSOY Yunus , ARSLAN Serdar , PEHLİVANLI Faruk
Published: December 2019

Objective: Gallstone ileus is a rare complication
of cholelithiasis. It occurs as a result of the passage of bile stones into
intestinal system via bilioenteric fistulae, which are formed by recurrent
attacks of cholecystitis, and obstruction of the intestinal lumen. The
objective of our study was to discuss the imaging findings of gallstone ileus
among patients diagnosed at our center.Material and Methods: Among patients that admitted to our
hospital’s radiology department between December 2016 and January 2019, the
medical records of those with a history of gall bladder stone detected on
ultrasonography were retrospectively evaluated. Among those, cases of gallstone
ileus were identified. Admission complaints, age, sex, comorbidities,
radiological imaging findings, fistula localization, stone size, and
obstruction level were recorded and analyzed.Results: Among 958 patients with bile stones, 342
(35.7%) were male and 616 (64.3%) were female. Gallstone ileus was identified
in five patients. Three of them were female (mean age 76.67± 13.05 years) and 2
were male (mean
age 59±1.41 years). Ileus signs were detected on plain radiograms for
all patients. The gallbladders were not clearly visualized by ultrasonography
in any of patients with gallstone ileus. A diameter increase suggestive of
ileus was detected in visualizable intestinal segments. Computed tomography to
identify the cause of ileus revealed air in the bile ducts, cholecystoduodenal
fistula, stones in intestinal lumen, and an appearance consistent with ileus
proximal to that segment. The mean size of the stones was 26.20±16.3 mm (16-55
mm).Conclusion:
Although gallstone ileus is a rare cause of
intestinal obstruction, it should be definitely remembered in the differential
diagnosis in patients with advanced age and a history of cholelithiasis who
present to the emergency department.
TİROİD İNCE İĞNE ASPİRASYON BİYOPSİLERİ İLE HİSTOPATOLOJİ SONUÇLARININ KARŞILAŞTIRILMASI
Authors: DEVRİM Tuba , BALCI Mahi
Published: December 2019

Amaç: Bu çalışma ile Kırıkkale Üniversitesi Tıp Fakültesi’nde tiroidektomi
operasyonu uygulanmış hastalara ilişkin tiroid ince iğne aspirasyon biyopsisi
(TİİAB) sonuçları ile histopatoloji rapor sonuçlarının karşılaştırılarak
kesitsel bir incelemenin yapılması ve tiroid nodüllerindeki TİİAB etkinliğinin
değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntemler: Kırıkkale Üniversitesi Tıp Fakültesi Hastanesi’nde Ocak 2016 - Haziran
2018 tarihleri ​​arasındaki 2.5 yıllık dönemde tiroidektomi uygulanmış 75
hastaya ait TİİAB verileri ve histopatoloji rapor sonuçları çalışmamızın
materyalini oluşturdu. TİİAB sonuçları benign, önemi belirsiz atipi veya
foliküler lezyon (AUS/FLUS), foliküler neoplazi veya foliküler neoplazi için
şüpheli lezyon (FN/SFN), malignite yönünden kuşkulu (SuspM), malign ve tanı
için yetersiz (NDS) olarak sınıflandırıldı.

Bulgular: Tiroidektomi
operasyonu uygulanan vakaların TİİAB sonuçları değerlendirilmiş ve bu
vakalardan 26’sına (%34.7) benign, 3’üne (%4) AUS/FLUS, 6’sına (%8) FN/SFN,
18’ine (%24) SuspM, 7’sine (%9.3) malign ve 15’ine (%20) de NDS olarak tanı
verildi. Sitoloji sonucu benign olarak değerlendirilen olguların 4’ü, AUS/FLUS
olarak değerlendirilen olguların 2’si, SuspM olarak değerlendirilen olguların
15’i ve malign olarak değerlendirilen 7 olgunun ise tamamı doku tanısı
bakımından maligndi. Çalışmamızda duyarlılık, özgüllük, pozitif prediktif değer
ve negatif prediktif değer sırasıyla; %74.2, %91.7, %92 ve %73.3 olarak
hesaplandı.Sonuç: Bulgular bir arada
değerlendirildiğinde TİİAB tekniğinin tiroid nodüllerine yaklaşımda etkin ve
kolay uygulanabilir bir yöntem olduğu sonucuna varılmıştır. Günümüzde TİİAB
materyallerinin değerlendirmesinde büyük öneme sahip olduğu ve yaygın olarak
kullanılmakta olan, "Tiroid Sitopatoloji Raporlaması için Bethesda
Sistemi" ile TİİAB tanılarında standardizasyonunun sağlandığı
düşünülmüştür.
NONFONKSİYONE ADRENAL İNSİDENTALOMALARDA İNSULİN REZİSTANSI VE YENİ İNFLAMATUAR BELİRTEÇLER
Authors: AKGÜN Zehra , GÜNGÜNEŞ Aşkın , DURMAZ Şenay
Published: December 2019

Amaç: Son dönemlerde, nonfonksiyone adrenal insidentaloma
(NFAİ) saptanma sıklığının artması ve bu kitlelerin henüz rutin metodlarla ölçülemeyen
bazı aktif metabolitleri salgıladığına dair ciddi kuşkular uyandırması sebebiyle,
bu çalışmada NFAİ’lı hastalarda yeni inflamatuvar belirteçler olan ortalama trombosit
hacmi (MPV), trombosit dağılım genişliği (PDW), nötrofil/lenfosit oranı (N/L), platelet/lenfosit
(P/L) oranı ile insülin resistansı ilişkisinin belirlenmesi amaçlanmıştır.Gereç ve Yöntemler: Çalışmaya Endokrinoloji polikliniğine başvuran
ve NFAİ tanısı konan 60 hasta ve herhangi bir nedenle çekilen üst abdomen bilgisayarlı
tomografi (BT)’de adrenal kitlesi olmayan ve herhangi başka patolojiye rastlanmayan
60 sağlıklı kontrol grubu dahil edildi.Bulgular: Kontrol grubu ile fonksiyonel olmayan adrenal
insidentaloma hastaları arasında cinsiyet, yaş, antropometrik ölçümler, açlık plazma
glukozu ve lipid profili açısından anlamlı fark yoktu. Ortalama MPV, PDW, N/L
oranı, P/L oranı karşılaştırıldığında
NFAİ’lı hastalarda sağlıklı kontrol grubuna göre istatistiksel anlamlı fark bulunamadı.
NFAİ hastaları, sağlıklı kontrol grubundan daha yüksek açlık insülin seviyesine
(p=0.016) ve HOMA-IR düzeylerine sahipti (p=0.01). HOMA-IR ile MPV, PDW, N/L
oranı ve P/L oranı arasında
hiçbiri ile korelasyon saptanmadı.Sonuç: NFAİ hastalarda MPV, N/L, P/L oranları gibi yeni
ateroskleroz ve subklinik inflamatuvar markerlarda değişiklik olmadığını gösterdik.
İnsülin direnci NFAİ hastalarında kontrol grubuna göre daha sık gözlenmektedir ve
bu açıdan hastaların yakın takibi gerekmektedir. Bu hastalardaki insülin direncinin
fizyopatolojisini açıklayacak daha ileri prospektif çalışmalara ihtiyaç vardır.
Semantic Approaches In Islamic Studies: Efforts To Understand Text Through Meaning
Authors: Rasmuin Rasmuin , Maghfuri Amin
Published: December 2019

ملخصإن صلاحية القرآن الكريم كمصدر رئيسي للإسلام لا يحدّها زمان و لا مكان. و تلك الصلاحية تعطي مجالا لتطوير المناهج و الطرق لفهم معاني القرآن الكريم. و هذا البحث يهدف إلى دراسة علم الدلالة الذي يمكن أن نعتبره من أحد المناهج الجديدة لفهم معاني القرآن الكريم. و باستخدام طريقة تحليل المفهوم ، تسعى هذه الدراسة إلى الكشف عن طبيعة المنهج الدلالي من خلال دراسة المكتبة. و نتيجة هذا البحث تدلّ على أنّ المنهج الدلالي تعتبر من أحد المناهج التي تركّز على تحليل المعنى المتعلقة بالمعنى الأساسي و المعنى السياقي الذي يظهر عن طريقة "سنكرونيك" و "دياكرونيك".الكلمات الرئيسية: علم الدلالة ، دراسة القرآن ، الدراسات الإسلاميةAbstrakSebagai sumber utama ajaran Islam, Alqur’an dituntut untuk selalu menampilkan relevansinya tanpa mengenal batasan ruang dan waktu. Tuntutan relevansi tersebut memberikan ruang bagi berkembangnya metode dan pendekatan dalam rangka memahami pokok kandungan Alqur’an. Penelitian ini dimaksudkan untuk mengkaji seluk beluk pendekatan semantik sebagai salah satu pendekatan yang relatif baru dalam diskursus kajian Alqur’an. Dilakukan dengan menggunakan metode analisis isi, penelitian ini berusaha mengungkapkan hakikat pendekatan semantik melalui penelaahan literatur. Hasil penelitian menunjukkan bahwa pendekatan semantik merupakan suatu pendekatan dalam pengkajian Alqur’an yang memfokuskan pada analisis makna yang berkaitan dengan makna dasar dan makna relasional yang ditemukan dengan metode sinkronik dan diakronik.
The Conception of Trauma in Depicting the Battlefields In Wilfred Owen’s War Poetry
Authors: Abdulrahman Salih A.
Published: December 2019

The paper examines the poetry of Wilfred Owen as a representative of a group of poets who write poetry out of the trenches during and after World War I. Their poetry is generally known as war poetry or trench poetry. It is mostly characterized by the processing of traumatic experience through visual imagery to invoke the readers’ sense of realization to the horrors of war. Some of these poets, including Owen himself, were hospitalized due to shell shock or traumatic symptoms that affected them physically and psychologically. Such traumatic experience changes the poet’s view of war and marks him a witness to its horrors. Owen, one of the greatest of these poets, tries to put the reader in the mid of the battlefield through an extensive use of images, condensed language, and paradoxical statements to show the ugly face of war and warn the people at home of its horrors and urges them not to believe the old lie of the glories of war.
Determinants of homeownership in the condominium housing sites of Ambo, Ethiopia
Authors: Kitila Abenezer
Published: December 2019

This study investigated the determinants of homeownership among the residents of the condominium housing sites of Ambo town, West Shewa Zone, Oromia Regional State, Ethiopia. It employed a descriptive research design, mainly using cross-sectional and correlational studies. A total sample of 230 respondents were selected through a random sampling method. The logistic regression model output showed that homeownership was determined by respondents’ gender, age, monthly income, saving practice, loan and credit services, marital status, and household size, while education level, occupation type, and land produced insignificant results. The chi-squared test and independent samples t test results also revealed significant associations and differences among and between different variables. The absence of land, lack of capital, bureaucratic system of land provision, limited loan and credit services, and high interest rates were also mentioned as determinant factors of homeownership. Moreover, mean values were computed to determine the adequacy and accessibility of basic amenities between the two sites. Therefore, the study recommends that the government should reformulate a profound housing policy that would improve the efficiency of the housing provision system and reduce the cost of homeownership.
Examining the Concurrent Effects of Specific Corporate Traits and Macroeconomic Variables on Capital Structure
Authors: Esmailpour Aso , Sara Ali , Rahimpour Mohammad
Published: December 2019

The main purpose of this study is to investigate the effects of the specific characteristics of the company and the macroeconomic variables on the capital structure of the companies accepted in the Tehran Stock Exchange between 2007 and 2014 using the panel data approach. To measure specific characteristics of a company, the profitability ratio, payable dividends ratio and the stock price performance ratio were applied; also, variables such as GDP growth rate, exchange rate, inflation rate, interest rate and the ratio of the amount of bank credits as macroeconomic variables have been employed. The results of this research showed that in the whole industry, the variables of profitability ratio, the payable dividends ratio and the ration of the amount of bank credits have a negative and significant effect, and GDP growth rate has a positive and significant effect on capital structure. Similarly, the results show that the effects of specific corporate variables differ from macroeconomic variables on capital structure according to the type of industry.
The Use of Presuppositions in the Short Story of Zilkê Şixatê (Matchstick)
Authors: Haji Sabah , Mohammed Fakhir
Published: December 2019

This study explores the use of presuppositions in the Kurdish short story, Zilkê Şixatê (The Matchstick), which is written in Northern Kurmanji dialect (hence, NK) by Isma’il Hajani. It attempts to determine which type of presupposition is the most recurring one in the short story and why it is so. The data in this study are analyzed descriptively and qualitatively. Yule’s (2006) classification which divides presupposition into six types has been employed: existential, factive, non-factive, lexical, structural, and counterfactual. The data of the research are sentences which contain presupposition triggers (i.e. linguistic forms to mark presuppositions). Applying the formula presented by Oktoma and Mardiyono (2013: 79), the results obtained throughout this paper show that different types of presuppositions have different percentages from the total number of presuppositions. They are (94) in number. It is noted that the most dominant type of presupposition used in the short story is the existential presupposition, manifesting definite descriptions of facts about real life, while the structural presuppositions have the lowest percentage. This shows that much of the story text is written to definitely describe the main theme, the characters and the events as they are. Finally, this study is particularly important because no other such studies have been conducted on the use of presuppositions in any literary work in NK. Therefore, this study occupies a crucial place in the research literature into pragmatic aspects of NK.
On Standard of Living and Infant Survival in Some East African Countries
Authors: Silber Jacques
Published: December 2019

To summarize the extent of infant survival in a country, three indices have been defined. The first one is the complement to 1000 of the infant mortality rate (expressed in per thousand births). The second one takes into account the inequality in infant survival rates between population subgroups. The third indicator adjusts the average infant survival rate by giving more weight to a population subgroup with a lower socio-economic status. The computation of the last two indicators requires the use of an inequality index and a concentration ratio.We used two measures of inequality, the Gini index and the Bonferroni index, as well as two concentration ratios, derived from the Gini index and related to the Bonferroni index. A short empirical illustration, based on seven East African countries, confirms the usefulness of the approach presented in this paper.
LOS ANIMALES EN EL ORDENAMIENTO JURÍDICO ESPAÑOL Y LA NECESIDAD DE UNA REFORMA
Authors: Vivas Tesón Inmaculada
Published: December 2019

En el presente trabajo se aborda el estudio del estatuto jurídico del animal en el Derecho español, partiéndose de su consideración como seres sensibles, sobre todo, a partir del artículo 13 del Tratado de Funcionamiento de la Unión Europea, con el que se produjo un verdadero cambio de paradigma en cuanto a la relación humano-animal que, a diferencia de otros países de nuestra misma familia jurídica, aún no ha logrado plasmarse en nuestro Código civil. El Derecho Administrativo y el Penal se han ocupado de la protección y bienestar del animal, aunque no de forma plenamente satisfactoria.
SUCESIONES TRANSFRONTERIZAS INCLUYENDO LA LIQUIDACIÓN DEL RÉGIMEN ECONÓMICO MATRIMONIAL DE UN MATRIMONIO DISUELTO
Authors: BARRIOS GARRIDO-LESTACHE MARÍA BELÉN
Published: December 2019

El presente caso práctico trata la crisis matrimonial de Ana y Tiziano a través de su divorcio y de la liquidación de su régimen económico matrimonial, proponiendo diferentes ámbitos temporales y la implicación de distintos países, como una aproximación para estudiar la interconexión (y, a veces, la falta de ella) entre las diferentes normativas de la Unión Europea en la materia.
LEY APLICABLE AL REGIMEN ECONÓMICO MATRIMONIAL DESPUÉS DE LA DISOLUCIÓN DEL MATRIMONIO DESPUES DE LA ENTRADA EN VIGOR DEL REGLAMENTO UE 2016/1104
Authors: Cazorla González Mª José
Published: December 2019

Se analiza la competencia del órgano jurisdiccional para disolver el divorcio y la ley aplicable al régimen económico matrimonial de un matrimonio plurinacional cuya demanda se presenta cuando el reglamento 2016/1103 ya está en vigor, desde diferentes escenarios a través de un caso hipotético.
PREPONDERANT MODALITY IN STUDENTS� ENGAGING ARGUMENTATIVE ESSAYS
Authors: Wihadi Marwito , Sujatna Eva Tuckyta Sari
Published: December 2019

Expressing modality in Appraisal is cordially expected to be prevalent in argumentative writings in that writers in the Engagement System set up negotiation or alternative points of views. Three conveniently selected student-writers� hortatory argumentative essays in English in which they were course-instructed in an accredited language institution were linguistically analyzed as to pinpoint their aptness to employ particular modality, furthermore to discuss the feasible resource factors on their employment. It was found out that they were prone to be lack of commitment as they delivered their stances, therefore attempting the readers to be engaged in an argumentative discourse to construe the meanings. Subsequently, they had difficulty in manipulating epistemic and deontic modality, owning mundane syntactic constructions and imparting limited device ranges. Therefore, applicably explicit genre-based instructions are in the need, bearing in mind the factual functions of modality in arguability of the utterances as well the resourceful linguistic features of modality.
ENGLISH TEACHER PROFESSIONAL DEVELOPMENT IN INDONESIA: THE CHALLENGES AND OPPORTUNITIES
Authors: Avillanova Anchieta Ave , Kuswandono Paulus
Published: December 2019

This study investigates the challenges and opportunities of junior high school English teacher professional development in Indonesia. The objectives of the study are to examine the English teachers� challenges and needs to develop their TPD. This qualitative study employed questionnaire and in-depth interview as the main instruments for data collection. The findings revealed that the challenges of TPD related to, firstly, program timing as the program was carried out during working hours; and, secondly, lack of information about workshop schedule from the government (Education Office) because, geographically, some schools are located in remote areas. The study also explored the teachers� needs for TPD concerning student assessment, classroom management, knowledge and understanding of English, content of performance standards, giving instruction, ICT skills for teaching, teaching students with special learning needs, and school management and administration. Suggestion for further study concerns with the bottom-up approach of carrying TPD based on the teachers� real needs as opposed to given programs.
PRACTICING CONTEXTUAL TEACHING AND LEARNING (CTL) APPROACH TO IMPROVE STUDENTS� READING COMPREHENSION IN RELATION TO MOTIVATION
Authors: Haerazi Haerazi , Prayati Zukhairatunniswah , Vikasari Rully May
Published: December 2019

The need to acquire reading skills is increasing along with the needs of students to attain information. Therefore, this study aims at improving student�s reading comprehension viewed from the motivation level using the contextual teaching and learning (CTL) approach at SMPN 1 Jonggat. To this end, a classroom action research consisting of two cycles was applied. Each cycle consisted of four stages, namely plans, actions, observations, and reflections. The subject of this study was the second-grader of SMPN 1 Jonggat, while the object of this study was the use of contextual teaching and learning (CTL) approach to improve students� reading comprehension in relation to motivation. The observation sheets, questionnaires, and reading tests were employed to collect the data. As result, the study showed that the use of CTL approach was effective to improve students� reading comprehension and motivation to learn. Students� achievement was 75 meaning that the passing grade enacted in the school was achieved. Meanwhile, the students� motivation to learn was at the high level as proven by the percentage of students� motivation which was at the standard value. Thus, it can be concluded that Contextual Teaching and Learning (CTL) approach can improve students� motivation to learn as well as their reading comprehension.
TEACHERS� ATTITUDES AND PROBLEMS OF USING ICT IN TEACHING EFL
Authors: Aminullah Arif , Loeneto Bambang Apriady , Vianty Machdalena
Published: December 2019

The implementation of ICT is very important in education. By using ICT, the process of teaching and learning is more effective and efficient. The objectives of this research were (1) to find out the attitudes of English teachers of public senior high schools in Palembang towards the use of ICT in the process of teaching and learning English, and (2) to find out the problems that commonly faced by English teachers towards the use of ICT in the process of teaching and learning English. This research was conducted at 16 public senior high schools in Palembang. There were 19 respondents who were selected by using �purposive sampling� technique. The data were collected by using questionnaire, interview, observation and documentation. The obtained data were analyzed in descriptive statistics. The statement checklist which used Likert scale was presented in the form of percentage while the results of answering descriptive questions was reported descriptively. The results showed that the attitudes of the teachers towards the use of ICT in the process of teaching and learning English were positive. However, some of them still faced many problems such as lack of ICT equipments, lack of competency, and also unsupported regulation from institution. Therefore, the facilities and infrastructures in each school and also the teachers� ability and knowledge about the use of ICT need to be increased.
TASK-BASED LEARNING IN THE TEXTBOOK ENGLISH FOR PALESTINE
Authors: Karaki Rasha Sameer , Farrah Mohammed Abdul Hakim
Published: December 2019

The aim of the study is to examine the ninth grade teachers' perceptions towards task-based learning (TBL) method and analyze the tasks and activities in the textbook of English for Palestine � Ninth Grade. In addition, this study aims at evaluating the appropriateness and the effectiveness of TBL in the classroom. The researcher used four methods to collect data, namely questionnaire, classroom observation, interview, and content-analysis checklist. The sample of the study consisted of 185 teachers (males & females) from the government and UNRWA schools in Hebron District. The overall findings of the study revealed that the teachers� perceptions towards TBL were positive and highly acceptable; they supported the effectiveness of communicative language teaching (CLT) and TBL in EFL classrooms. Then, the results of observational data showed that some teachers use new communicative methods for teaching language skills while others use the traditional ones. Meanwhile, the results of interviews indicated that the challenges of task-based learning were big-sized classes, length of material, lack of time, and lack of technological tools. The study ended with recommendations for syllabus designers, teachers, and students. It is recommended that the teaching and learning of English language skills at the Palestinian schools should be enhanced by the use of new flexible methods, such as TBL and communicative language teaching.
REFUGIADOS COMO PROBLEMA GLOBAL E HUMANITÁRIO
Authors: CEAS Cadernos Do
Published: December 2019

Com o intuito de discutir criticamente aportes diversos, soluções globais que se relacionam e até lançam luzes sobre questões e desafios sociais caros à realidade brasileira e/ou nordestina, a presente edição dos Cadernos do CEAS aporta contribuições importantes que nos ajudam a ler, com lentes de maior alcance, aspectos da nossa crise migratória atual e os percalços que passam as políticas públicas, bem como o reordenamento dos grandes centros urbanos, como o da cidade de Salvador, mas que se aplicam, considerando as respectivas peculiaridades, a qualquer outra grande cidade nordestina... Leia a íntegra deste texto a partir do documento, em pdf.
POLÍTICA, PLANOS E PROGRAMAS DE HABITAÇÃO SOCIAL APÓS 2003: AS EXPERIÊNCIAS DOS MUNICÍPIOS DA REGIÃO METROPOLITANA DE SALVADOR
Authors: Mourad Laila Nazem , Machado Camila Brandão , Reis Sofia De Oliveira Souza
Published: December 2019

O artigo parte da análise dos desdobramentos da Política Nacional de Habitação (2004) nos municípios da Região Metropolitana de Salvador, para refletir sobre os alcances e limites desta. Nesse sentido, o artigo apresenta as experiências de cada município metropolitano quanto ao planejamento habitacional, os programas habitacionais por esses desenvolvidos e os seus impactos. Assim, depreendeu-se que, com a facilidade para a contratação de empreendimentos do Programa Minha Casa Minha Vida aliada à escassez de recursos técnicos, tecnológicos e financeiros da maioria das prefeituras e, até mesmo, a ausência de cultura de planejamento, da ruptura na implementação da PNH, além da priorização de produção de novas unidades habitacionais via MCMV por toda região sem qualquer articulação com as políticas urbanas dos municípios.
TRAP1 chaperone protein mutations and autoinflammation
Authors: Standing Ariane SI , Hong Ying , Paisan-Ruiz Coro , Omoyinmi Ebun , Medlar Alan , Stanescu Horia , Kleta Robert , Rowcenzio Dorota , Hawkins Philip , Lachmann Helen , McDermott Michael F , Eleftheriou Despina , Klein Nigel , Brogan Paul A
Published: December 2019

We identified a consanguineous kindred, of three affected children with severe autoinflammation, resulting in the death of one sibling and allogeneic stem cell transplantation in the other two. All three were homozygous for MEFV p.S208C mutation; however, their phenotype was more severe than previously reported, prompting consideration of an oligogenic autoinflammation model. Further genetic studies revealed homozygous mutations in TRAP1, encoding the mitochondrial/ER resident chaperone protein tumour necrosis factor receptor associated protein 1 (TRAP1). Identification of a fourth, unrelated patient with autoinflammation and compound heterozygous mutation of TRAP1 alone facilitated further functional studies, confirming the importance of this protein as a chaperone of misfolded proteins with loss of function, which may contribute to autoinflammation. Impaired TRAP1 function leads to cellular stress and elevated levels of serum IL-18. This study emphasizes the importance of considering digenic or oligogenic models of disease in particularly severe phenotypes and suggests that autoinflammatory disease might be enhanced by bi-allelic mutations in TRAP1.
SHUSTERMAN, Richard. O que o pragmatismo significa para mim: Dez princípios.
Authors: Carvalho Filho Aldir Araújo
Published: December 2019

O pragmatismo é uma tradição complexa, no interior da qual se trava um debate e cujos representantes defendem posições filosóficas das mais variadas, muitas vezes incompatíveis entre si. Este artigo expõe dez temas-chave que desempenham um papel essencial no pragmatismo, assim como o concebo, e, principalmente, tal como atraem a atenção das figuras principais do movimento pragmatista. Estes temas não estão listados pela ordem de sua importância, mas segundo a maneira que me pareceu ser a melhor para mostrar seu sentido e alcance, ao longo de uma apresentação breve, mas coerente. Aqui está a lista: 1) a natureza mutável, aberta e contingente da realidade; 2) o primado da ação, da prática e das intenções do ser humano até mesmo no domínio da reflexão teórica; 3) um naturalismo não redutor, que respeita o lugar do corpo; 4) uma abordagem anticartesiana,  oposta à busca da certeza e ao dualismo cartesiano; 5) a necessidade da comunidade, considerada uma condição necessária para a busca do conhecimento e para o acesso aos significados; 6) uma orientação empirista que reconhece o papel da experiência e da experimentação, tanto no campo da cognição, quanto em todos os outros campos da atividade humana; 7) uma orientação que privilegia o futuro; 8) uma atitude melhorista para com a teoria e a prática; 9) um abordagem holística que enfatiza a continuidade, em vez do dualismo, e que aborda o significado e a crença em relação com as totalidades apreendidas em seu contexto; 10) um pluralismo que valoriza a diversidade das práticas, dos valores e dos significados.