bluuebunny/crossref_metadata_2025 huggingface dataset:
Aprendizaje móvil como apoyo a la enseñanza durante la pandemia
Authors: Alfaro Cázares Neydi Gabriela
Published: December 2022

Es interesante como el aprendizaje móvil utilizado en la vida cotidiana en su mayoría por los jóvenes y niños, pero durante la pandemia del Covid-19 durante el 2020 se convirtió en un apoyo para la educación, porque al no poder asistir a un aula presencial, el gobierno y las instituciones educativas consideraron que los alumnos de educación básica se capacitarán a través de la televisión como pasaba tiempo atrás y actualmente en lugares remotos dentro de la República Mexicana. En aquellos casos que si se tenía acceso a Internet se utilizó el WhatsApp, Facebook, entre otros para continuar con las clases, mostrando que esta herramienta fue un apoyo para la generación de conocimiento. Permitiendo que la comunicación con los estudiantes fuera viable, porque en las familias mínimo se contaba con un aparato móvil. El objetivo de este trabajo es demostrar que el aprendizaje móvil fue un apoyo para dar continuidad a la educación durante la pandemia, mediante el método utilizado fue cualitativo con una etnografía digital, descriptivo, realizando observación de campo, entrevistas a 76 estudiantes, demostrando que es el medio frecuentemente utilizado para realizar actividades académicas, de esparcimiento o tomar clases fue el celular, concluyendo que las herramientas tecnológicas influyeron como un apoyo positivo para continuar la educación en tiempos de pandemia y postpandemia.
El trabajo en equipo en el aula virtual universitaria: una experiencia educativa destacable y favorable
Authors: Mendoza Gómez Joel , Rodríguez Pérez Esmeralda Guadalupe
Published: December 2022

Las instituciones universitarias en respuesta a los efectos de la pandemia del coronavirus requirieron al trabajo virtual para continuar ofreciendo su oferta educativa. En este trabajo se presenta una experiencia de trabajo en equipo virtual desde una perspectiva cualitativa-inductiva. Tomando como base una experiencia presencial de trabajar en equipo basada en el team-based learning (Michaelsen, Knight y Fink, 2004) por los autores de este estudio, se llevó a cabo una adaptación para trabajar en el aula de manera virtual. Mediante una revisión de literatura, se conformó el marco teórico. Se describió claramente la metodología utilizada. Los resultados obtenidos apoyan la implementación exitosa de esta experiencia, en la que, definitivamente, los aspectos positivos mencionados por los estudiantes superan a las barreras que ellos mismos señalaron. La conclusión es que el trabajo en equipo en el aula virtual es posible. Esperando más investigación al respecto para proponer su utilización en gran escala.
Multimodalna argumentacja retoryczna w konstruowaniu obrazów sytuacji kryzysowych na przykładzie newsów telewizyjnych serwisów informacyjnych
Authors: Mac Agnieszka
Published: December 2022

Przedmiotem niniejszego artykułu jest analiza newsów telewizyjnych serwisów informacyjnych pod kątem obecności elementów perswazyjnych na płaszczyźnie języka, obrazu, muzyki i odgłosów tworzących multimodalną argumentację retoryczną. Punktem wyjścia jest założenie, że rzeczywistość prezentowana przez dany serwis informacyjny nie jest idealnym i pełnym obrazem relacjonowanego wydarzenia, lecz jego medialną inscenizacją przedstawianą w celu kształtowania świadomości czy wpływania na emocje określonych grup lub społeczności. Zagadnienie to zostało omówione na przykładzie wybranych wiadomości telewizyjnych serwisów informacyjnych emitowanych w stacji TVP1 w latach 2015-2019 dotyczących sytuacji kryzysowych.
Kradzież baśni, czyli opowieści o państwie w pandemii (w „Wiadomościach” TVP1)
Authors: Grzelka Monika , Kula Agnieszka
Published: December 2022

Artykuł przedstawia sposoby konstruowania opowieści o państwie zawarte w magazynach wiadomości telewizji publicznej w czasie pandemii. Sięgnięcie po koncepcję R. Waksmunda o kradzieży baśni pozwala na ujawnienie związków między oboma porządkami wypowiedzi na wielu poziomach: konstrukcji świata przedstawionego, kreacji bohaterów, motywów, ujęć narracyjnych, rozwiązań fabularnych. Odniesienie się do baśni eksponuje także funkcjonalność repetycji – mechanizmu immanentnie wpisanego w ten gatunek, ujawniającego się na wielu poziomach retorycznej organizacji tekstu (na poziomie inwencji, dyspozycji czy elokucji).
„Fabrykacja” dynastii Bragança. Studium oracji Antóniego de Sousy de Macedo "Fala que fez o D. António de Sousa de Macedo do Concelho da Fazenda da sua Magestade..." (1656)
Authors: Działak-Szubińska Anna
Published: December 2022

Artykuł przedstawia orację autorstwa Antóniego de Sousy de Macedo (1606-1682) Fala que fez o D. António de Sousa de Macedo do Concelho da Fazenda da sua Magestade, no juramento de rei do Muito Alto e Muito Poderoso Dom Afonso VI, nosso senhor, em quarta-feira 15 de novembro 1656, wydaną drukiem w roku 1656. W tekście dowodzi się, że oracja wpisuje się w szerszy kontekst restauracyjny oraz post-restauracyjny związany zarówno z zakończeniem unii Portugalii i Hiszpanii (1640), jak i z wojną między oboma krajami (1640-1668). Zgodnie z założeniami close reading analizowane są główne osie pochwały monarchy i „fabrykacja” jego prestiżu oraz wizerunku całej dynastii. Wsparcie metodologiczne stanowi m.in. praca Petera Burke’a, Fabrykacja Ludwika XIV (wydanie polskie 2011).
Amplifikacja retoryczna w argumentacji z zakresu gender studies w polskiej komunikacji politycznej
Authors: Woźniak-Wrzesińska Ewelina
Published: December 2022

Celem artykułu jest pokazanie, w jaki sposób amplifikacja retoryczna wpływa na dyskurs, nadając terminom naukowym wydźwięk emocjonalny. Przedmiotem studium jest polski dyskurs genderowy w jego wariancie politycznym. Artykuł składa się z pięciu części. Po zdefiniowaniu w części wstępnej pojęć gender i dyskurs, zwrócono uwagę na narzędzia amplifikacji retorycznej. Materiał badawczy – polskojęzyczne teksty internetowe prezentujące różne stanowiska w debacie na temat płci – przeanalizowany został pod kątem typologii używanych mechanizmów amplifikacji.
32CRMOV12-10 Çeliğinin Elektro Erozyon Tezgâhında Delme Performansının İncelenmesi
Authors: BEDİR Gökhan , NAS Engin
Published: December 2022

Bu çalışmada, 32CrMoV12-10 çeliğinin elektro erozyon işleme yöntemi kullanılarak farklı işleme parametrelerinde talaş kaldırma işlemi gerçekleştirilmiştir. Çalışmanın deney tasarımı Taguchi L27 dizilimi kullanılarak oluşturulmuş ve deneylerde üç farklı elektrot malzeme, üç farklı amper sayısı (10, 20, 30 A), üç farklı vurum süresi (200, 400, 600 µs), sabit talaş derinliği (1 mm) ve bekleme süresi (50 µs) işleme parametreleri kullanılmıştır. Gerçekleştirilen deneyler sonrasında elektrot malzemelerinin malzeme yüzeyinde oluşturduğu delik çaplarının ölçümleri yapılmış ve elde edilen sonuçlar deneysel ve istatiksel olarak incelenmiştir. Yapılan çalışmanın sonucunda en düşük delik çap oluşumu tüm elektrot malzemeleri ile gerçekleşen deneylerde 200 µs ve 10 amper akımda, en büyük delik çapının ise yine aynı şekilde tüm elektrot malzemelerinde 600 µs ve 30 amper akımda oluştuğu belirlenmiştir. Elektrot malzemeleri içerisinde en küçük delik çapının bakır malzemede 12,2101mm ve en büyük delik çapının grafit malzemede 12,6551mm ölçülmüştür. İstatiksel olarak sinyal gürültü oranları incelendiğinde delik çapının en ideal ölçüde oluşması için optimum işleme parametresinin elektrot malzemesi için bakır, amper değeri için 10 A ve vurum süresi için ise 200 µs olarak belirlenmiştir. Varyans analiz (ANOVA) sonuçları incelendiğinde delik çapı üzerine en etkin işleme parametresinin %69,72 oranında vurum süresinin olduğu tespit edilmiştir.
Uygulamalı Eğitim Modeli İçin Firma Seçim Kriterlerinin Belirlenmesi ve Bir Sanayi Üniversitesinde Vaka Çalışması
Authors: ÇİFTÇİ Sema , PINARBAŞI Mehmet , ALAKAŞ Hacı Mehmet
Published: December 2022

Günümüzde tecrübeli mezun kavramı, mezuniyet sonrası firmaların öğrencilerden beklentilerindeki ve işsizlik oranındaki artış nedeniyle son derece önemli bir araştırma konusu haline gelmiştir. Bu durum eğitimde uygulamalı eğitim modelinin geliştirilmesini beraberinde getirmektedir. Uygulamalı eğitim kapsamında üniversitelerle firmalar arasında “Üniversite-Sanayi İş birliği” anlaşmaları yapılmaktadır. Ancak uygulamalı eğitim modelinin yeni bir kavram olması, literatürde firmaların adayları ve öğrencileri seçmeleri konularına ağırlık verilmesi, uygulamalı eğitim modelinden beklenen çıktının azalmasına sebep olmaktadır. Bu kapsamda çalışmada, sanayi üniversitesinde uygulamalı eğitim modelinde, öğrencilerin eğitim görecekleri firmaların belirlenebilmesi için uzman görüşü alınarak, firma seçimi için kriter havuzu oluşturulmuştur. Kriter havuzundan nihai kriterlerin belirlenebilmesi için farklı sektörlerden uzmanlarla saha çalışması gerçekleştirilmiştir. Saha çalışması sonucunda kriterler ana ve alt kriterler şeklinde sınıflandırılarak kapsamlı bir kriter havuzu oluşturulmuştur. Çok kriterli karar verme yöntemi olan Analitik Hiyerarşi Prosesi yöntemi kullanılarak uzman görüşlerinden elde edilen veriler ile kriterlerin önem ağırlıkları nicel olarak değerlendirilmiştir. Yapılan nicel analizler sonucunda en yüksek önem ağırlığına sahip kriterler, firmaların gelişmiş bilişim alt yapısı, firmalarda daha önce uygulamalı eğitime alınmış veya stajyer olarak bulunmuş öğrencilerin ilgili firmada istihdam edilme oranı, firmaların Türkiye’nin önde gelen sanayi kuruluşları ile yürütmüş olduğu proje sayısı ve firmada çalışan beyaz yaka sayısının / toplam çalışan sayısına oranı şeklinde tespit edilmiştir.
Bölütleme Kullanarak Doğal Görüntülerde Metin Tanıma
Authors: ŞENKAYA Yeliz , KURNAZ Çetin
Published: December 2022

OCR olarak da bilinen optik karakter tanıma, taranan görüntülerdeki bir kelimeyi ya da bir cümleyi tanımak için kullanılan bir yöntemdir. Uzun yıllara dayanan araştırmalarla geliştirilmiştir. Taranan görüntüler üzerindeki metni tespit etmede büyük başarı sağlamıştır. Ancak doğal görüntüler üzerinde istenilen sonucu vermemektedir. Bu nedenle, doğal görüntülerdeki metinleri tespit edebilmek için özel yaklaşımların geliştirilmesi gerekliliği doğmuştur. Bu çalışmada, doğal görüntüler üzerinde metin olan bölgeleri algılamak için Otsu ve maksimum kararlı ekstrem bölgeler (MSER) görüntü bölütleme yöntemleri kullanılmıştır. Görüntü bölütleme, bir görüntüyü daha iyi analiz edebilmek için görüntüyü anlamlı bölgelere ayırma işlemidir. Otsu modelinde görüntü için en uygun eşik değeri belirlenerek, görüntü bu eşik değerine göre ön plan ve arka plan olmak üzere iki sınıfa ayrılmaktadır. MSER yöntemi ise metin olmayan bölgeleri engelleyerek, metin olduğu düşünülen bölgeleri sınırlayıcı kutu içerisine almaktadır. Gerçekleştirilen çalışmada, Otsu metodu ve MSER yöntemi ile ICDAR 2013 veri setinden seçilen 20 doğal görüntü üzerinde metin olan bölgelerinin tespit edilmesi amaçlanmıştır. Doğal görüntü üzerinde bölütleme işlemleri yapıldıktan sonra görüntülere OCR uygulanarak doğal görüntüler üzerindeki metnin tespit edilmesi sağlanmış ve doğruluk oranları karşılaştırılmıştır.
Antimicrobial susceptibility of coagulase-negative staphylococci isolated from red-tailed racers (Gonyosoma oxycephalum)
Authors: Men Lydia Pow Kar , Afiff Usamah , Noviana Deni
Published: December 2022

Antibiotic resistant Coagulase negative staphylococci CoNS have been reported around the world. Therefore, the aim of the study is to determine the antimicrobial susceptibility of CoNS isolated from red–tailed racers. Samples were swabbed from the oral cavity of 5 wild caught red–tailed racers, and were identified with biochemical test. The results obtained show that red–tailed racer 1 had S. sciuri and S. xylosus; red–tailed racer 2 had S. xylosus; red–tailed racer 3 had S. sciuri; red–tailed racer 4 had S. lentus; and red–tailed racer 5 had S. kloosii.  The resistance test was done using the Kirby–Bauer disc diffusion test. And interpreted by referring to Clinical and Laboratory Standards Institute (CLS1 2013). The results for antibiotic resistance test of  Staphylococcus xylosus, Staphylococcus sciuri, and Staphylococcus lentus show susceptibility to amoxicillin, gentamicin, erythromycin, bacitracin, vancomycin and oxacillin, but resistance towards penicillin G. One sample of Staphylococcus sciuri is intermediate towards erythromycin, and one sample of Staphylococcus kloosii shows susceptibility towards amoxicillin, gentamicin, bacitracin, penicillin G, vancomycin, and oxacillin, but is resistant towards erythromycin.

Keywords:

antimicrobial susceptibility, coagulase negative staphylococci, red–tailed racers, Gonyosoma oxycephalum
PENYEBAB KEMATIAN BENUR LOBSTER DAN MITIGASINYA PADA OPERASI PENANGKAPANNYA (STUDI KASUS DI KECAMATAN SIMPENAN KABUPATEN SUKABUMI)
Authors: Ashshiddiqi Muhammad Faishal , Mawardi Wazir , Zulkarnain  , Taurusman Am Azbas
Published: December 2022

Puerulus atau yang biasa dikenal dengan benur lobster merupakan fase transisi antara fase phyllosoma lobster dan fase juvenile lobster pada life cycle lobster. Penangkapan benur lobster biasanya menggunakan jaring pocong. Kurangnya pengetahuan nelayan di Kecamatan Simpenan terkait penanganan benur lobster dibuktikan dengan fakta bahwa benur hasil tangkapan pernah mengalami mortalitas. Tujuan penelitian ini adalah mendeskripsikan unit penangkapan, operasional penangkapan, dan proses transportasi benur lobster dari daerah penangkapan ikan hingga pengepul; mengidentifikasi faktor penyebab kematian benur lobster pada operasi penangkapan serta strategi untuk menanganinya. Metode penelitian ini adalah observasi dan wawancara dengan menggunakan pendekatan teknik accidental sampling. Analisis yang digunakan ialah deskriptif dan fishbone analysis. Hasil penelitian menunjukkan bahwa alat tangkap yang digunakan adalah jaring pocong dan alat bantu berupa lampu. Operasi penangkapan benur lobster biasa dilakukan pada malam hari. Transportasi ketika operasi penangkapan biasa menggunakan styrofoam box. Komposisi hasil tangkapan utama terdiri dari benur pasir dan benur. Strategi penanggulangan kematian benur terbagi menjadi 4; nelayan, metode, material, dan alat. Strategi tersebut diantaranya penggunaan air yang cocok sebagai media hidup benur membawa box cadangan, penyimpanan/pengondisian box menghindari perubahan parameter air, pemberian tali sumbu pada jaring.

Kata kunci: benur lobster, fishbone analysis, Panulirus ornatus, Puerulus
Non-Linear Regresion And Bisection Method Numerical Analysis of Humidity And Temperature Relationships
Authors: Alfaris Lulut , Siagian Ruben Cornelius , Nasution Budiman , Sinaga Goldberd Harmuda Duva , Indah Indah
Published: December 2022

This study aims to analyze the correlation of temperature and humidity based on climatological data from Kuningan, West Java province, Indonesia, using non-linear regression and numerical analysis using the bisection method. In studying the education curriculum in Indonesia, most of them have studied linear regression, but only within certain limits, namely linear and multiple. It is still rare for students to use non-linear regression in their analysis. This paper will explain the analysis using non-linear regression as a source of data and equations in numerical analysis so that it can be applied in the context of the numerical bisection method. As for data processing and numerical analysis, Microsoft Excel is used. The authors combined the two variables in the non-linear analysis and used geometric equations for the numerical quotient analysis. The author displays the results of numerical graphs and real-time data obtained from the source "Data access viewer NASA."
Edukasi dan Pemeriksaan Kesehatan Umum, Mata, serta Jiwa pada Lansia di Panti Sosial Lanjut Usia Mandalika
Authors: Amalia Emmy , Putri Ni Nyoman Geri , Fatrullah Suryani Padua , Jauhari Pebrian Jauhari , Wulandari Hesti
Published: December 2022

Masa lanjut usia (lansia) merupakan tahap akhir perkembangan pada daur kehidupan manusia. Populasi penduduk lansia terus mengalami peningkatan di seluruh dunia, termasuk di Indonesia. Hal ini di satu sisi merupakan indikator keberhasilan pembangunan nasional terutama di bidang kesehatan, namun di sisi lain dapat menimbulkan permasalahan jika penduduk lansia ini tidak mendapat layanan kesejahteraan yang baik. Proses menua (aging) adalah proses alami yang disertai adanya penurunan kondisi fisik, psikologis maupun sosial yang saling berinteraksi satu sama lain. Keadaan ini cenderung berpotensi menimbulkan masalah kesehatan secara umum maupun kesehatan jiwa secara khusus pada orang lansia. Peningkatan pelayanan kesehatan terhadap kelompok lansia diperlukan karena kebutuhan-kebutuhan mereka yang spesifik tersebut. Panti Sosial Lanjut Usia Mandalika merupakan panti sosial lanjut usia terbesar di Provinsi NTB, dengan tugas utama di bidang pelayanan dan perawatan jasmani dan rohani orang lanjut usia terlantar agar dapat hidup secara wajar. Jadi sebagian besar penghuni panti memang orang lanjut usia yang terlantar. Hal ini sudah merupakan salah satu faktor resiko tersendiri untuk timbulnya masalah kesehatan termasuk masalah kesehatan jiwa pada penghuni panti. Kerjasama dengan berbagai pihak terutama di bidang kesehatan dan kesehatan jiwa secara berkala adalah penting untuk dilakukan untuk menciptakan kelompok lanjut usia yang berkualitas hidup baik. Oleh sebab itu tim PPM bermaksud menyelenggarakan kegiatan edukasi dan pemeriksaan kesehatan umum, mata, dan jiwa pada orang lansia yang tinggal di panti tersebut. Luaran kegiatan yang ingin dicapai adalah terjadi peningkatan pengetahuan (knowledge) tentang kesehatan dan kesehatan jiwa, serta didapatkan data atau profil masalah kesehatan dan kesehatan jiwa pada penghuni lansia di Panti Sosial Lanjut Usia Mandalika, Mataram, NTB. Kegiatan dilakukan selama satu hari dengan didahului edukasi tentang kesehatan dan kesehatan jiwa pada lansia. Setelah edukasi dan sesi tanya jawab, kegiatan selanjutnya berupa pemeriksaan kesehatan secara umum (tekanan darah, pemeriksaan fisik luar, nadi, dan pernafasan), pemeriksaan mata, dan pemeriksaan kesehatan jiwa.
Inovasi Pembuatan Opak-Opak Berbasis Singkong di Desa Sigar Penjalin Kecamatan Tanjung Kabupaten Lombok Utara
Authors: Bulkaini  , Sutaryono Akhyar , Dwyardi  , Silvia  , Maulana  , Wilya
Published: December 2022

Opak-opak singkong adalah olahan krupuk yang berbahan dasar singkong. Pada proses pengolahan singkong menjadi opak-opak masih menerapkan bentuk kegiatan produksi yang  sederhana dan belum melakukan inovasi dalam produksi. Pengabdian ini bertujuan untuk untuk memberikan inovasi dalam pembuatan opak-opak dengan berbagai varian rasa dan melatih masyarakat untuk lebih mandiri dalam memanfaatkan singkong sebagai bahan dasar pembuatan opak-opak. Pengabdian ini dilaksanakan di Desa Sigar Penjalin, Kecamatan Tanjung, Kabupaten Lombok Utara. Waktu pelaksanaan pengabdian ini di bulan Desember 2021 sampai Februari 2022. Metode yang digunakan dalam pengabdian ini yaitu metode ceramah dan diskusi yang dilanjutkan dengan praktik langsung untuk membuat opak-opak yang berbahan dasar singkong serta dilakukan evaluasi terhadap produk yang dihasilkan. Hasil dari pelaksanaan kegiatan pengabdian ini yaitu dapat meningkatkan pengetahuan dan kemampuan masyarakat mengenai pengembangan produk pangan serta dapat melanjutkan dan mengembangkan secara mandiri usaha inovasi opak-opak ini karena memiliki peluang pasar dengan nilai jual yang tinggi.
Guia Básico de Trauma Cranioencefálico
Authors: Lopes Júnior Marcelo de Araújo
Published: December 2022

Este livro é um compilado de informações básicas sobre Trauma Cranioencefálico, trazendo informações desde tipos de lesões até manejo intra-hospitalar e principais sequelas. Foi feito tendo em mente os estudantes de medicina e residentes que procuram aprender mais sobre o assunto de forma didática e organizada.
O Trauma Cranioencefálico é, ainda hoje, uma condição médica de extrema relevância, em especial no Brasil. Além de ter alta mortalidade, sua incidência tem aumentado nos últimos anos. Sua conduta pode ser da mais simples, como expectante, a mais complexa, como manejo de hipertensão intracraniana.
A obra tornou-se possível devido aos estudantes de medicina da Liga Acadêmica de Neurociências do UniCeub (LIANU) e da Liga Acadêmica de Urgência e Emergência do UniCeub (LUEMU), que viram a necessidade de um guia prático sobre o assunto, enquanto estudavam sobre a matéria na faculdade, e a dois neurocirurgiões excepcionais que orientaram o trabalho: a doutora Ana Luiza de Oliveira Machado e o doutor Mário Dornelas.
Agradeço a todos a dedicação ao projeto do início ao fim, em especial a Juliana Smidt que coordenou o projeto comigo. Parabéns pela excelente obra, e desejamos uma ótima leitura a todos.
Stakeholder Views of Process Automation as an Enabler of Prioritized Value Ideals in a Swedish Municipality
Authors: Toll Daniel , Lindgren Ida , Melin Ulf
Published: December 2022

Municipalities in Sweden are recommended to pursue process automation to face upcoming societal challenges. This paper focuses on a case where these recommendations are operationalized. Views on process automation held by different stakeholders, in relation to value ideals they prioritize in their respective areas of work, are explored by combining stakeholder theory and a model of public value ideals. Our findings show that, different stakeholder groups prioritize different values and that their views on process automation as an enabler of these value ideals are either optimistic, undecided, or pessimistic, where the latter two can be considered obstacles. This paper contributes, with an empirical illustration of how process automation is operationalized, answering previous calls for more research on this topic. We also elaborate on the use of stakeholder theory and public value as an analytical lens, contributing to the growing body of research attempting to understand process automation.
Why Do Innovations Fail? Lessons Learned from a Digital Democratic Innovation
Authors: Lindholm Jenny , Janne Berg
Published: December 2022

Democratic innovations are brought forward by political scientists as a response to worrying democratic deficits. This paper aims to evaluate the design, process, and outcome of digital democratic innovations. We study a mobile application for following local politics. Data is collected using three online surveys with different groups, and a workshop with young citizens. The results show that the app did not fully meet the democratic ideal of inclusiveness at the process stage, especially in reaching young people. However, the user groups that had used the app reported positive democratic effects.
Beyond Substantive Goals: A Framework for Understanding Citizens’ Needs and Goals in Bureaucratic Encounters
Authors: Skaarup Søren
Published: December 2022

This paper contributes to e-government research by presenting a conceptual framework of citizens’ needs and goals, with regards to bureaucratic encounters and applying this framework to empirical data. The framework identifies four needs (process security, relational security, discretion, and efficiency/effectiveness) and three goals (substantive outcome, identity-related outcome, and justice- and fairness-related outcome). These needs and goals guide citizens’ approach to bureaucratic encounters. The degree to which they are met may impact the efficiency of service delivery, as well as citizens’ satisfaction with the authorities involved. The framework may be used to analyse citizens’ strategies for bureaucratic encounters and their use of self-service systems, as well as to assess self-service systems, multi-channel strategies, and service designs to determine how they serve citizens’ needs and goals.
The Impact of Telemedicine During the COVID-19 Pandemic in Nigeria: A Review
Authors: Ezeani IU , Okwuonu GC , Chukwuonye II , Nkpozi M
Published: December 2022

Background: Telemedicine practice is a rapidly evolving aspect of medicine in developed countries, though resource-limited countries like Nigeria are yet to embrace it fully. Moreover, the COVID-19 pandemic has limited patients’ visits to hospitals in addition to the social distancing measures deployed by the government. In addition, with the challenges of a limited number of doctors, among other difficulties, it has become important that a radical approach to patient care and treatment should be explored.
Methods: A comprehensive literature review of original articles was done using an internet search. Words such as Telemedicine, COVID-19, Pandemic, Requirements, History, Benefits, and Challenges were searched on Google scholar, EMBASE, PubMed, Medline, Web MD, and Scopus to check for various articles published or any probable link. The references of the relevant articles were searched.
Results: The practice of telemedicine has evolved over the years. Also, the global telemedicine market has grown exponentially and is expected to grow even further in the next five years. Unfortunately, this exciting narrative is not obtainable in developing countries like Nigeria. Indeed, some healthcare providers in Nigeria need to prepare for this new technological advancement, and consequently, they struggle to evolve their practice to adopt this new technology. Furthermore, there is disinterest from most of the end users, particularly the patients.
Conclusion: Modifications must involve telemedicine services with a view of getting ready and well-organized in the event of any future pandemic such as COVID-19, in addition to harnessing the benefits of this service in the future.
The Forms, Challenges and Strength of the Monkeypox Surveillance System in Nigeria
Authors: Olaleke ON , Okesanya OJ , Abioye SM , Othoigbe MO , Matthew EE , Emery M , Isaiah AA , Odugbile TM , Adebayo BG , Lucero-Prisno III DE
Published: December 2022

Monkeypox is now a disease of global public health concern, making it cut across boundaries into different countries, continents and spread worldwide. However, it originated in the Democratic Republic of Congo as a human pathogen in 1970, with the first case reported in Nigeria in 1971. The World Health Organization recently declared Nigeria the country with the highest burden of monkeypox-confirmed cases and deaths in Africa for the current outbreak. This study aimed to identify forms, challenges, strengths, and ways to further strengthen the surveillance system of monkeypox in Nigeria. We conducted a rapid narrative review of articles published in English on monkeypox between January 2018 and October 2022. Google Scholar and PubMed were searched with the following terms: "Monkeypox", "Surveillance system", "Strengthening", "Challenges" "Nigeria" and relevant publications were reviewed. The forms of surveillance systems in Nigeria include Indicator-based and Event-based surveillance, contact tracing, laboratory-based surveillance, sero-surveillance, and mortality surveillance. Shortage of highly skilled staff in public health interventions, insufficient testing capacities, power instability, poor healthcare systems and stigmatization from communities with misinformation, and co-epidemic surveillance burden in Nigeria are some of the challenges contributing to weak surveillance in the country. The Nigerian governments must focus on investing in surveillance systems and bolster preparedness to stem the rapid spread of infectious diseases. Strengthening the surveillance system in the country as a response intervention for monkeypox is no longer a matter of option in Nigeria but of necessity to prevent the forecasted effect the incidence portends.
The Attitude of Older Patients to Deprescribing Polypharmacy in Ogun State, Nigeria
Authors: Saka SA , Odueke DO , Odusan O , Oyinloye OE , Okunye OL
Published: December 2022

Background: Deprescribing has been suggested as a beneficial intervention to reduce polypharmacy among older patients. However, little is known about the willingness to accept this intervention among patients in resource-limited settings.
Objective: To evaluate the attitudes of older patients to deprescribing polypharmacy.
Methods: A quantitative, cross-sectional survey was carried out among consecutively selected ambulatory patients aged ≥65 years who were on ≥5 chronic medications in two secondary healthcare facilities in Ogun State, southwest Nigeria. The 22-item revised Patients Attitude Towards Deprescribing questionnaire was used to evaluate the participants' attitudes toward deprescribing, while another ten-question tool explored participants' sociodemographic and clinical data. Logistic regression was used to determine factors associated with willingness to deprescribe among the participants using the global question, "If my doctor said it was possible, I would be willing to stop one or more of my regular medicines”.
Results: Out of the 341 participants, the majority were females (60.7%), and 90.0% were on 5-7 medications. About three-quarters (71.8%) strongly agreed or agreed that they would be willing “to stop one or more of their medicines if the doctor said it was possible”. Female gender and caregivers’ involvement in medication management were significantly associated with participants' willingness to accept deprescribing (p = 0.07 and p = 0.01).
Conclusions: Most participants were willing to accept the deprescribing of their medications. Female gender and caregivers’ involvement in medication management were predictive factors for the participants' willingness to accept deprescribing.
Secondary hypothyroidism following the Resolution of Graves’ Disease: A Case Report
Authors: Lawal Y , Kaoje YS , Bansi IK
Published: December 2022

This is the case report of a 39-year-old lady who presented with clinical and laboratory features of secondary hypothyroidism two years after achieving clinical and biochemical resolution of Graves' disease and cessation of anti-thyroid medications. The thyroid function tests at presentation revealed: Serum T3 1.33ng/ml (normal range 0.8-1.7ng/ml), Serum T4 2.92 (normal range 4.5-12.0µg/dl), and TSH 0.2mIU/l (normal range 0.5-5.0mIU/l). Thyroid-related autoantibodies could not be assayed in the patient due to financial constraints. However, pointers to the possible autoimmune nature of secondary hypothyroidism include the recurrence of exophthalmos, dating of symptoms back to puerperium, relative lymphocytosis, and moderately elevated erythrocyte sedimentation rate (ESR). The patient was subsequently placed on levothyroxine and low-dose steroids, and the patient achieved clinical and biochemical euthyroidism in the sixth, ninth, and twelfth months of follow-up. This report is to demonstrate the development of secondary hypothyroidism following Graves' disease, and it also serves to highlight the judicious use of clinical acumen in the face of limited laboratory support to diagnose and treat endocrine disorders in resource-poor settings.
Assessment of femoral notch morphology in male patients with anterior cruciate ligament injury: an MRI study
Authors: AKGÜN Ayşe Serap , TEKCAN Aybars
Published: December 2022

Aim: The objective of the present study was to evaluate the femoral notch type, notch width index (NWI), notch angle (NA) and α angle in patients with ACL injury and compare with nonathletic male population, using magnetic resonance imaging (MRI).Methods: 79 patients with complete ACL tear and 80 patients as control group (aged 19-43 years) who had knee MRI were evaluated. NWI, NA measurements and notch shape were evaluated on axial fat-saturated proton-weighted sequences. Femoral notch shape was classified as A, U and W types.Results: A statistically significant association was found between notch type, NWI, NA and ACL injury (p<0,001). Type A notch in the ACL-injured group (79.75 %) was significantly higher than the control group (24%). NWI was lower in patients with ACL-injured group than in control group (0.249 ± 0.020 vs 0.281 ± 0.022) Notch angle was lower in patients with ACL-injured group than in control group (47.15 º ± 5.63 º vs 50.73 º ± 5.44º). A significant association between stenotic notch type A and NWI (p <0,001). The α angle was lower in patients with ACL-injured group than in control group but it was not statistically different (41.9 º ±2.79 ºvs 42.06 º ±2.53 º; p= 0.978).Conclusion: This study showed that however low NWI, NA values are a risk factor for ACL injury, the strongest predictive factor was stenotic femoral notch type A. α angle had no significant correlation in ACL injury.
The evaluation of vaccination status and the factors affecting vaccination in cancer patients
Authors: ÜRÜN Muslih , BEYPINAR İsmail , DAVARCI Sena Ece , DEMİR Hacer , BAYKARA Meltem
Published: December 2022

Aim: Coronavirus disease 2019 (COVID-19) pandemic increased the mortality of cancer patients by causing direct infection or collateral damage to the healthcare system. After the development of effective vaccines against COVID-19 infection, mortality rates declined. In this study, we try to investigate the vaccination among cancer patients.Methods: A survey was applied to patients with cancer in order to investigate the attitudes towards vaccination and the factors effecting vaccination in two medical oncology centers in Turkey.Results: 271 patients were included in the study. No difference was observed in the attitudes of patients towards vaccination according to cancer type. 83% of the patients were vaccinated against COVID-19. In 75% of the study population, vaccine was administered in the earliest available time. Receiving chemotherapy was the most significant reason to avoid vaccination among the study group (p=0,002). There was no significant difference in terms of treatment type for COVID-19 between patients with or without adequate vaccination. The most negative factor affecting vaccination was active chemotherapy treatment. Social relations and traditional media were the most positive factors for vaccination.Discussion: Vaccination is of vital importance for patients who are treated or on remission. Even if patients are to receive chemotherapy, they should be informed about vaccination and should be encouraged for vaccination.
Effects of adenoid and nasal pathologies in pediatric epistaxis
Authors: DİKİCİ Oğuzhan , DURGUT Osman
Published: December 2022

Aim: The aim of this study was to investigate the effects of adenoid and nasal pathologies in paediatric patients with recurrent epistaxis.Methods: A total of 100 (61 boys, 39 girls) individuals aged 2–17 years (mean age: 8.9 ± 3.6 years) were included in this study. Anterior rhinoscopy and flexible nasal endoscopy were used to examine all the patients. The epistaxis duration, treatment in active epistaxis by parents, medical history, medical treatment and interventions were recorded. The location of the epistaxis site, nasal mucosa type, the presence of nasal vestibulitis, nasal septum deviation location and type, adenoid size and the degree of inferior turbinate hypertrophy were recorded.Results: The deviation was present in 31 (62%) patients with recurrent epistaxis and in 14 (28%) patients without epistaxis. The presence of deviation was significantly higher in the epistaxis group than in the control group (p < 0.05). The nasal mucosa type was friable mucosa in 37 (74%) patients, vascularised mucosa in 11 (22%) patients and friable-vascularised mucosa in 2 (4%) patients in recurrent epistaxis group. A significant relationship was detected between nasal mucosa type and age, the presence of the deviation, deviation location, the Mladina type in epistaxis group (p < 0.05, p < 0.05, p < 0.05, p < 0.05).Conclusion: Nasal septum deviation, inferior turbinate hypertrophy and nasal mucosa type are associated with paediatric recurrent epistaxis.
Expression Profiles Of PTEN And POGZ Genes In Patients With Autism
Authors: TEZCAN Tuğba , ŞENER Elif Funda , DEMİRCİ Esra , ŞAHİN Nilfer , HAMURCU Zuhal , ÖZTOP Didem
Published: December 2022

Aim: Autism spectrum disorder (ASD), a group of heterogeneous neurodevelopmental disorders, is characterized by complex behavioral phenotypes. Despite extensive studies over many years, the causes of ASD are still unknown. PTEN and POGZ genes are studied as candidate genes that may be responsible for the ASD phenotype. We aimed to investigate the expression levels of PTEN and POGZ genes in autistic patients.Methods: Gene expressions of PTEN and POGZ were investigated in 50 ASD patients and 50 age and gender matched healthy controls. This study was conducted in the Erciyes University Genome and Stem Cell Center (GENKOK).Results: POGZ gene expression was increased in patients compared to controls. According to gender, the expression results of the autistic male patients were significant. PTEN mRNA expression was not statistically significant but found to be lower in patients than in controls. The relationship between the expression of these genes and cognitive deficits was not significant.Conclusion: We recommend investigating other possible candidate genes in larger cohorts and comparing the results with different additional cilinical findings in ASD.
Effect of miRs-17/20 on vasospasm in subarachnoid hemorrhage model of rats
Authors: BÜYÜK Başak , MALÇOK Ümit Ali
Published: December 2022

Aim: To investigate the effects of melatonin and miRNA-17/20 administration on vasospasm and vascular damage on the bacillary artery in the Subarachnoid hemorrhage (SAH) model of rats.Methods: Rats were divided into 6 groups: Sham, SAH, SAH+NegmiRNA, SAH+MEL, SAH-miRs-17/20 group, SAH+MEL+miRs-17/20. For creating the SAH model the skin was cut with a vertical incision in the anterior region of the head.120 µL of fresh non-heparinized autologous arterial blood collected from the tail artery was injected into the prechiasmatic cistern under aseptic conditions. All steps in the Sham were the same as in the SAH group, except for blood injection. In the SAH+NegmiRs-17/20, miRs-17/20 miRNA Mimic-Negative Control#1 was administered 1 hour after SAH operation. In the SAH+MEL,10 mg/kg melatonin was administered intraperitoneally 1 hour after the SAH operation. In the SAH-miRs-17/20, mimic-miR-17 and mimic-miR-20 were given intranasally 1 hour after the SAH operation. In the SAH+MEL+miRs-17/20,intranasal mimic-miR-17 and intraperitoneal melatonin were administered 1 hour after the SAH operation. Brain samples, including the bacillary artery, were taken and subjected to routine tissue processing procedures. Vessel samples were evaluated and graded in histological sections stained with the H-E method in terms of vasospasm, edema in the tunica media, and folding of the lamina elastica interna.Results: The co-administration of melatonin and miRs-17/20 reduced the vasospasm and edema formation in the vessel wall. It has also been demonstrated that the application of miRs-17/20 after SAH alone reduces the development of edema in the vessel wall and folding of the internasal lamina elastica due to vasospasm.Conclusion: It has been shown that miRs-17/20 can reduce vasospasm in the vessel wall and prevent vessel damage by reducing edema.
Basic medical sciences should be mainly taught by clinicians for a tight integration of basic and clinical sciences in medical education.
Authors: OKTAR Süleyman
Published: December 2022

Today, medical education faces many problems. However, the most serious problem is the inability to integrate basic and clinical sciences. For this reason, students alienate from basic sciences, and clinicians are leaving sciences to basic scientists every day. Basic medical sciences learned in the preclinical term are remembered less by students and cannot be sufficiently associated with clinical reality. This is because basic scientific knowledge learned without a clinical framework is low-value data that the student does not know how to use. Therefore, all reform initiatives in the medical education curriculum stick to the obstacle of basic sciences. Now is the time to take bold steps. The first step should be to remove the preclinical term from medical education. Medical education should only consist of clinical education terms. This will gain the student and clinician a lot more time for clinical training. The second step should be to take basic sciences education from basic scientists and place it under the responsibility of clinicians. Clinicians can decide much better how much of basic science knowledge is clinically relevant. As a component of clinical education, it is best for students to internalize the basic sciences during classes, at the bedside, and in other clinical practices under the clinician's authority. Thus, students may be graduated as academic clinicians who have internalized the basic sciences and integrated the basic sciences with clinical reality.
Influenza and pneumonia knowledge level and vaccination status of pneumoconiosis patients
Authors: HASANLI Yusuf Samir , TÜRK Meral , ERDEM Emin
Published: December 2022

Aims: In pneumoconiosis, which is a chronic lung disease, frequent seasonal flu and pneumonia worsen the course of the disease. Therefore, it is important that patients have seasonal flu and pneumococcal vaccines. The study aims to measure the knowledge level of patients with pneumoconiosis about influenza and pneumonia and to determine their vaccination status.Methods: We reached 73 patients with pneumoconiosis and had them fill out a 26-question questionnaire that evaluated their information about influenza and pneumonia and their vaccination status. The study was designed as descriptive, cross-sectional. We also examined the sociodemographic, socio-economic characteristics and working conditions of the patients.Results: The mean age of 73 patients, one of whom was female, was 46.4±7.8 years. They started working life in middle adolescence. Most of them are primary school graduates and they estimated their income was not sufficient. One-third of the patients were hesitant about vaccination in general. Some had not heard of the seasonal flu and pneumonia vaccine. Thirty-four patients (46.6%) said that they heard about the vaccines from the TV or the internet, not from the healthcare professionals. After the diagnosis of pneumoconiosis, influenza and pneumonia vaccination rates were very low (14 patients/19.2% and 16 patients/21.9%, respectively). One-third of the patients were unaware that pneumonia was a lung disease. When we asked, "Why haven't you been vaccinated against pneumonia?" the answer "I just got this information" came to the fore (39 patients/53.5%). Most patients (42/57 patients) who were not vaccinated against pneumonia after being diagnosed with pneumoconiosis were not aware that pneumonia could be prevented by vaccination (p<0.001). However, most of those who have been vaccinated said that they had this knowledge before (15/16 patients).Conclusion: Patients with pneumoconiosis need regular information and advice about influenza and pneumococcal vaccines.
Frequency and predictors of hyperkalemia in the heart failure outpatient clinic
Authors: YILMAZ ÖZTEKİN Gülsüm Meral , GENÇ Ahmet , ŞAHİN Anıl , ÇAĞIRCI Göksel , ARSLAN Şakir
Published: December 2022

Aim: Hyperkalemia is a common and potentially life-threatening problem in heart failure (HF). In this study, we aimed to show the frequency of hyperkalemia and related factors in the HF outpatient clinic with real-life data.Methods: 1 146 patients monitored in the HF outpatient clinic with left ventricular ejection fraction ≤ 40% and potassium level ≥ 3.5 mmol/L were included.Results: The potassium value of the patients was median 4.6 mmol/L [IQR, 4.3-5]. It was evaluated in three groups as 3.5-5 mmol/L (normokalemia), 5.1-5.5 mmol/L (mild hyperkalemia) and ≥ 5.5 mmol/L (moderate to severe hyperkalemia), according to baseline potassium levels. Mild hyperkalemia was present in 14.5% and moderate to severe hyperkalemia was present in 7.1%. The potassium value was > 5 mmol/L in 21.6% of the patients. The estimated glomerular filtration rate (eGFR) (OR: 0.969, 95% CI: 0.961-0.976, p<0.001), angiotensin-converting enzyme inhibitor/angiotensin receptor blocker (ACE-I/ARB) (OR: 1.697, 95% CI: 1.124-2.562, p=0.012), and mineralocorticoid receptor antagonists (MRA) (OR: 1.511, 95% CI: 1.066-2.142, p=0.02) were considered as independent factors for hyperkalemia.Conclusion: eGFR level, ACE-I/ARB, and MRA were associated with hyperkalemia in chronic HF in real-life data.
Different metabolic and clinical profiles between patients with pure Alzheimer dementia and epileptic Alzheimer dementia: a metabolic study
Authors: ÖZDEMİR ÖKTEM Ece , SOĞUKKANLI Kübra , ÇAKIR Tansel , ÖZŞİMŞEK Ahmet , ÇANKAYA Şeyda , HANOĞLU Lütfü
Published: December 2022

Aim: To investigate the clinical characteristics and cerebral FDG PET metabolisms of dementia patients who were also diagnosed with epilepsy and compare the differences with pure Alzheimer dementia patients.Methods: In this case-control study, a total of 14 patients, 7 patients with pure Alzheimer disease as a control group and 7 age and gender-matched patients with Alzheimer disease and concomitant epilepsy as a study group, were included. Detailed neurocognitive battery and brain fludeoxyglucose positron emission tomography (FDG PET-CT) were performed for all subjects.Results: In comparison of neurocognitive test scores, there was no significant difference between the study and control groups. However, geriatric depression scale scores were significantly lower in study group than the controls (p= 0.026). In cerebral FDG-PET CT profiles of subjects we detected significantly lower metabolism in left and right cerebellum, left lentiform nucleus, right thalamus and vermis in the study group (p=0.008, p=0.023, p=0.003, p=0.002, p=0.002, respectively). In the right parietotemporal cortex and right and left associative visual cortex, we found higher metabolism in the study group than controls (p=0.023, p=0.012, p=0.003, respectively).Conclusion: Epileptic patients with Alzheimer’s dementia may have distinct clinical and metabolic profiles, than pure Alzheimer’s disease patients. Even if there is no difference in the neurocognitive clinical scores of the patients, depression and related functional abnormalities may be a biomarker of epileptic AD.
Effect of rice/cassava rotation on agronomic parameters of rice and cassava grown on Ferralsol in western Côte d'Ivoire
Authors: Olayossimi Adechina  , Konan-Kan Hippolyte Kouadio  , Kouassi Urbain Konan  , Koné Brahima  , Amidou Ouattara  , Zagbahi Jules Keli
Published: December 2022

The rice/cassava rotation is one of the dominant rice-based cropping systems in western Côte d'Ivoire due to the inaccessibility of chemical fertilisers. The low productivity of this cropping system makes it necessary to think about improving agronomic performance. The objective of this study is to determine the effect of the rice/cassava rotation on the agronomic parameters of these crops. To achieve this objective, an agronomic trial was set up at the CNRA Research Station in Man on a Ferralsol. Five cropping sequences were compared in a Fischer block design with 5 treatments and 4 replications: 2 intensive monocultures of rice (0.20 m × 0.20 m) and cassava (1 m × 1 m) and 3 alternations of rice and cassava (R/M/R, M/R/M and R/R/M (farmer control)). The parameters measured were height, tillering, and yield of rice and cassava, as well as soil chemical parameters. The results showed that rice in rotation with cassava had a significant effect on cassava production, while cassava had no significant effect on rice grain yield. The rice-cassava rotation harmed soil chemical parameters. Except for the improvement of nitrogen and phosphorus contents due to biochemical reactions in the rhizosphere and the mobility of nutrients along the fertility gradient. Finally, R/M/R was found to be the best cropping sequence in a rice-based cropping system.