bluuebunny/crossref_metadata_2025 huggingface dataset:
Tutoring Journal Club as an Imperative Scholastic Maneuver : A Local Probe
Authors: Shafti Saeed Shoja
Published: November 2021

Introduction: while journal clubs are a time-honored method of reviewing and discussing the scientific literature in medicine, hitherto there is no universally accepted definition of that. Purpose of the present study involved a comparison between instructive values of meetings that are directed by an authentic faculty member in comparison with conferences that are usually coached by chief residents. Methods: Forty-two psychiatric residents (from two psychiatric training centers) have been quizzed about the intentions, principles or importance of journal club. Both of said colleges had comparable settings, conferences and alike standard psychiatric journals. In one of them the papers were chosen usually by chief resident, who was as well coordinator of the conferences, while in the other one, articles were chosen habitually by a faculty member, as director and coordinator of sessions. After at least one year of attending in associated sessions, all the participants were asked to answer incognito to a Survey Questionnaire, including 23 questions, involved multiple answers, with different Coding Categories. Analysis of data was performed by way of ‘Comparison of Proportions’. Quantities in each group, as well, were analyzed in line with percentage of responds to different Coding Categories. Significance was defined as P≤0.05. Results: While all participants replied questionnaires, significant difference was evident between two groups regarding their response to at least twelve questions. Judgment of residents were generally and remarkably different with regard to : ‘goals’ , ‘format’ ,’necessity of attendance’ ,’quality of participation of faculty’ , ‘educational value of core curriculum of journal club’, ‘its critical role with regard to research and appraisal of topics ‘, and in conclusion ‘as a resource for continuous education’. Conclusion: While journal club formats are educationally diverse and appear to be more effective if they have a leader, disciplined organization of journal club by a skilled faculty member may enhance scientific insight and instructive gratifications of apprentices.
Correlation between Actual versus Perceived Body Mass Index using a 3D Avatar on Female Football and Rugby Athletes
Authors: Mills Claire , Watson Aimee
Published: November 2021

Introduction: The pressures of body image can be considered as demoralising, especially within the female sporting environment, where female athletes often express the greatest number of negative thoughts and feelings towards their own body shape, appearance, and dissatisfaction. Research surrounding body image, body composition and body mass index (BMI) has shown that when participants use visual impressions, for perceived body image (PBI) they have failed to produce realistic images and often lacked body stimuli with realistic weight manipulations (Madrigal, 2000). To portray more realistic statistically probable weight manipulations of a personalised stimuli, a 3D Avatar can be used to establish how female athletes perceive their body image. Therefore, the main objective of this investigation is to determine the correlation between actual and perceived BMI using a 3D Avatar within female athletes. Method:n =18 female participants between the ages of 18–23 years of age and competing in football and rugby at club and university level were recruited. Stretched stature (m) and body mass (kg) were taken and values used to calculate actual (kg/m²) and perceived BMI. A computer generated (Unity Player) 3D Avatar, with a visual slide from an underweight to average to obese continuum, was used to assess participants perceived BMI. P value was set at < 0.05 and a Paired Student t-Test was used to test for the difference. A Pearson’s Correlation Coefficient was then used to test the strength of the correlation between the actual and perceived BMI. Results: Actual BMI ranged from 19.5 - 36.9 (x̄ 25.1 ± 4.7), whereas the perceived BMI ranged from 23.2 - 30.8 (x̄ 26.7 ± 2.6). A Paired Student t–test set at P < 0.05 suggested a significant difference between actual and perceived BMI (P = 0.023), and a Pearson’s Correlation Coefficient test confirmed a strong correlation of r = 0.875. Conclusion: Results indicated that perceived BMI was higher than the participants actual BMI and suggested that female athletes competing in football and rugby have a large amount of body dissatisfaction.
Risk Factors for Early Neonatal Death despite Cesarean Section
Authors: NKWABONG Elie , MAGNOUI Manuella Frida , FOUELIFACK YMELE Florent
Published: November 2021

Objective: To identify the risk factors for early neonatal death (NND) despite cesarean section (CS). Methods: This case-control study was carried out between 1st February and 31st May, 2019. Files of women whose newborns died within seven days following CS and those of women whose newborns were alive seven days after CS were examined. The main variables recorded included maternal age, educational level, gestational age at delivery, number of antenatal visits done, whether the woman was referred or not, intrapartum fever or hemorrhage, indication of CS, decision delivery interval, birthweight and sex of newborn. Data were analyzed using SPSS 21.0. Fisher exact test, t-test and logistic regression were used for comparison. P<0.05 was considered statistically significant. Results: Our frequency of NND after CS was 4.8% (51/1053). Significant risk factors for NND after CS were birth weight <2000g (aOR 48.18, 95%CI 12.97-152.21), intra-partum hemorrhage (aOR 12.15, 95%CI 5.77-25.97), intra-partum fever (aOR 5.64, 95%CI 1.81-17.66), ˂4 antenatal visits (aOR 4.13, 95%CI 2.71-6.74), arrival ˃1h after referral (aOR 3.09, 95%CI 1.67-5.71) and primary school education level (aOR 2.39, 95%CI 1.16-4.92). Conclusion: From the risk factors identified above, we can recommend that women, especially those with primary school education level, should be counselled to attend at least four antenatal visits to allow the diagnosis and treatment of some diseases. Moreover, CS should be carried out as fast as possible in the cases of intrapartum hemorrhage. Women with intrapartum fever needs particular attention. Lastly, referral should be organized so that the woman arrives earlier.
A Case of Geroderma Osteodysplasticum Syndrome: Unique Clinical Findings
Authors: Alotaibi Maha , Aldhubaiban Deema , Alasmari Ahmed , Alotaibi Leena
Published: November 2021

Geroderma osteodysplasticum (GO; MIM 231070) is characterized by a typical progeroid facial appearance, wrinkled, lax skin, joint laxity, skeletal abnormalities with variable degree of osteopenia, frequent fractures, scoliosis, bowed long bones, vertebral collapse, and hyperextensible fingers. The disorder results from mutations in the GORAB - golgin, RAB6 interacting. This gene encodes a member of the golgin family, a group of coiled-coil proteins on golgin. That maps to chromosome 1q24. The encoded protein has a function in the secretory pathway. Was identified by-teIrminal kinase-like protein, and thus it may function in mitosis? Mutations in this gene have been associated with geroderma osteodysplastica. Herein, we describe the clinical presentation of one young male patient from related Saudi parents. mutations, a homozygous Frameshift mutation (c.306dup p.(pro 103 Thrfs*20). Interestingly, phenotypic variability was observed in this patient with GO features that were atypical than the cases reported in the literature. As he looks tall stature where the most of cases reported were short and arachnodactyly of fingers which mimic and other syndromes.
Suicide and “Do Not Resuscitate”: An Ethical Dilemma
Authors: Tariq Shakoor Muhammad , Ayub Samia , Ahad Abdul , Kruer James
Published: November 2021

Advance directive is a legal document that allows people to accept or decline medical interventions and to appoint surrogate decision makers if they become incapacitated. Advance directives often do not neatly address all the specific medical situations and may require interpretation. There are many limitations of advance directives which can lead to irreversible medical errors. The goal of this article is to share my experience and discuss different scenarios related to the case.
A Lady who suffers from three Times of Cancer have been Healed by TCM, Or Conventional Treatment with TCM
Authors: Jiang Dan , Meng Fanyi
Published: November 2021

Ms J B suffers from three time cancers in 20 years who has a severe family history. All of three cancers can be proved her diagnosis by biopsy, scan and relevant blood tests from the main stream. While the conventional medicine offers a routine treatment, we play an assistant support with TCM to her; while doctor’s gives up conventional medical treatment to her, we take over the main treatment as TCM, she has been received TCM treatment all the times until her complete rehabilitation in each time. TCM can build up general wellbeing, repair the gay in the immune system, stimulate self-healing function and make patient have a higher lever rehabilitation. The external form for anticancer treatment is unique and effective treating access by TCM. She is 56 years old who keeps in a good life and a part-time work with a health state by now. We will report this case and analyze TCM’s effective mechanism on cancer treatment.
Analysis of Covid-19 Situation in Udupi District, Karnataka, South India
Authors: Devagappanavar Gulappa , Pallavi Pallavi
Published: November 2021

Background: COVID 19 originated in Wuhan city and rapidlyspread to variouscountries. The first case from India was notified on 30th January at Kerala state. Karnataka identified with COVID cases in the month of March. First case in Udupi notified on 24/03/2020. At the end of August 30 the cases were reached to 11598. Present study aimed to study the trends and pattern of Covid-19 in one of the coastal region of Karnataka i.e. in Udupi district. Objectives: 1) Analyze the trend and pattern of COVID 19 cases at Udupi district. 2) Calculate the incidence, Prevalence, Case Fatality rates and Competed Methodology: Data is obtained from media bulletin released by the Dept.of health and family welfare Karnataka. Udupi district was chosen for studyand data is analyzed throughMS excel and case fatalityrate, Completed case fatality rate, patient recovery rate were calculated and expressed in graphs Result: The case load in increased exponentially but growthrate is droppingdown as month advances. Prevalenceof the cases expressed in Attack rate, CFR, CCFR and PRR. In the month of April attackrate is 1.43 per lakh population, that increased to 88 cases per lakh population.by May, This indicated high susceptible population getting infected. Then it got stabilized around 2-6 folds per month and At the end of August 30 the cases were reached to 11598.In August month fatality rate reaches at peak level with value of 0.9. Total growth in CFR from June to August is 89%. Thecases were high in rainy season when compare to summer season.It indicates climatehas direct effecton the Covid 19 spread in Udupi district Conclusion:The case load in increasing exponentially but growth rate is droppingdown as month advanced in Udupi district indicates better management of cases. Cases got reduced after imposing lockdown in district. Preventive measures and social distancing played an important role in reduction of case load in district.
Regular Daily Ablution (Wudu') Consequence on Reduction Coronavirus Infection during Pandemic in Saudi Society
Authors: M. Sabra Sherifa Mostafa , M. Ismai Afaf Bushara
Published: November 2021

Prophet Muhammad (peace be upon Him) said: “Cleanliness is half of faith”, protect from infectious disease. Coronavirus infection prevention closely related to Muslims advice as regular daily ablution (Wudu'). The aim was for Moslem individuals to follow regular daily ablution (Wudu'), its impact on health protection of individual and Saudi society from infectious diseases and Coronavirus during pandemic. That was used the "Study Competency" and the "Coupled Assessment" was utilized "Reaching Study Question Consequences", the "Moderate Excel Packet" was outcome defined. The results were for first question “Perform regular daily ablution for prayer”; was 100%. The second question ”Urges an individuals to perform regular daily ablution”; was 97%. The third question “Regular daily ablution helps to clean the body organs well”; was 92%. The fourth question “Regular daily ablution is one of the ways to sterilize with running water”; was 81%. The fifth question “Regular daily ablution is improved an individual health status”; was 80%. The sixth question “Regular daily ablution helps to reduce an individual pathogenic microorganisms infection”; was 81%. The seventh question “Regular daily ablution is one of the ways to protect an individual health from microbial diseases”; was 86%. The eighth question “Regular daily ablution helps the success of “Health Precautionary Measures” to prevent Coronavirus infection” was 82%. The ninth question “Regular daily ablution health way to reduces an individual Coronavirus infection”; was 86%. The tenth question “Regular daily ablution healthy ways to reduce and protect Saudi society from Coronavirus infection”; was 84%. It was concluded that through the results to the extent of the strength of Islam for the Saudi society and the strength of implementing the provisions of Islam for the individual and Saudi society. Regular daily ablution (Wudu') consequence had proven strengthen the health of the individual and Saudi society and reduce infectious microbial diseases. The individual from Saudi society, and when observing regular daily ablution (Wudu') and updating ablution (Wudu') reduce and protect from Coronavirus infection during pandemic. That beneficial to individual health and Saudi society health. It was recommend that the commitment to implement the Islamic steps as regular daily ablution (Wudu') reduces infectious microbial diseases, reduces and protects individuals and Saudi society from Coronavirus infection during pandemic.
Excruciating Low back Pain in an Acute Stroke Patient: A Case Report
Authors: H. Rabadi Meheroz
Published: November 2021

Background: Acute low back pain is one of the most common reasons for adults to see a physician. However, vertebral osteomyelitis (VO) is a rare condition, which mostly affects the lumbar spine. Lumbar spine MRI imaging is the diagnostic method of choice. If left untreated can lead to vertebral destruction or spinal abscess formation. Case: An 86-year-old man presented with a stroke to our facility, while undergoing therapy complained of excruciating low back pain that prevented him from undergoing therapy specially standing and walking. His vital signs were normal, and he was afebrile. Plain X-ray of the lower spine showed osteoarthritic changes. Patient was initially started on non-steroidal anti-inflammatory (NSAID) with no change in the severity of his low back pain. Lumbar vertebral spine magnetic resonance imaging (MRI) showed lumbar vertebral osteomyelitis. Initiation of IV antibiotics dramatically decreased the pain severity. Conclusion: Low back pain is common in the elderly population and responds effectively to NSAID. Persistence of low back pain in the presence of pathognomonic changes in the lumbar spine MRI indicate the presence of VO. Prompt treatment with empirical antibiotics is warranted.
Dengue Infection: Frequently Asked Questions by People in the Province of Aklan, Philippines
Authors: C. Dela Cru Makarius Tel Aviv , T. Constantino IH Benie
Published: November 2021

Dengue virus is the most common mosquito borne viral disease in humans, and poses a major challenge to global public health services. Infection can be caused by any of the 4 DENV serotypes, transmitted by female Aedes aegypti mosquitoes. Presenting features may vary from a mild self-limiting febrile illness to life-threatening symptoms of bleeding, organ impairment, and plasma leakage leading to shock. Early diagnosis and monitoring are critical to reduce mortality, especially in the context of the COVID-19 pandemic. Laboratory tests, such as the serological detection of either antigen or antibodies are useful in the diagnosis. Currently, although a vaccine for DENV is available, it remains a challenge to develop an effective vaccine against 4 discrete serotypes and antiviral drugs effective in reducing morbidity or improving disease outcome.
Clinical Pharmacology of Propranolol in Infants and Children
Authors: Pacifici Gian Maria
Published: November 2021

Propranolol is α nonselective β adrenergic receptor antagonist with equal affinity for β1 and β2 adrenergic receptors, lacks intrinsic sympathomimetic activity, and does not block α receptors. Propranolol is absorbed following oral administration and consists in two enantiomers, the (-) enantiomer is the active form and is cleared from the body more slowly than the inactive (+) enantiomer. Much of propranolol is metabolized in the liver and the metabolites of propranolol are 4-hydroxypropranolol, 5-hydroxypropanolol, N-desisopropranol, and propranolol β-D-glucuronide. The oral dose of propranolol hydrochloride is 250 to 750 µg/kg thrice-daily in infants and in children it is 200 to 500 µg/kg thrice-daily or 4 times-daily. Propranolol has been found efficacy and safe in infants and children but may induce adverse-effects. The elimination half-life of propranolol is about 15 hours in term and preterm infants and the distribution volume of propranolol is larger than the water volume. Propranolol interacts with drugs. Halofenate, phenytoin, phenobarbitone, rifampicin, and ethanol which affect the clearance of propranolol, and chlorpromazine and cimetidine inhibit the metabolism of propranolol. The prophylaxis, treatment, and trials with propranolol have been extensively studied in infants and children. Propranolol crosses the human placenta but it does not equilibrate between the maternal and foetal compartment and migrates into the beast-milk. The aim of this study is to review the published of propranolol dosing, efficacy and safety, effects, adverse-effects, metabolism, pharmacokinetics, interaction with drugs, prophylaxis, treatment and trials in infants and children and propranolol transfer across the human placenta and migration into the beast-milk.
Quantification of Atropine and Scopolamine in Different Plant Organs of Datura Metel: Development and Validation of High-Performance Liquid Chromatography Method
Authors: Jaber Ali , Al-Sayegh Hiba , Zein Mohammad , Ibrahim Ghassan , Cheble Edmond
Published: November 2021

Datura metel (Solanaceae) from south Lebanon. The different parts of this plant contain the tropane alkaloids atropine (AT) and scopolamine (SC), which are naturally muscarinic receptor antagonists. A method has been developed for the extraction and HPLC-UV analysis of the AT and SC in different parts of D. metel, namely seeds, capsule, leaf, and stem. This analytical method was validated and gave a good detection response with linearity over a dynamic range of 0.03‑0.17 mg mL−1 and recovery in the range of 93.9–108.76%. Limit of detection (LOD) and limit of quantification (LOQ) values were 32 and 98 µg.mL-1 for atropine and 31 and 93 µg.mL-1 for scopolamine, allowing a reliable quantitation of the target alkaloids. The solvent system Methanol/acetonitrile was the better choice for extracting tropane alkaloids from different Datura parts. Capsule parts of the plant accumulate the highest amount of scopolamine, while seeds accumulate the higher amount of atropine. Briefly, the order of scopolamine concentrations in Datura metel parts, from Lebanon, was in capsules ˃ seeds ˃ leaves ˃ stems and for atropine, the concentrations were in seeds ˃ capsules ˃ stems ˃ leaves.
Contact Principles and TCM‘S Management on Post-Syndromes of Covid-19
Authors: Jiang Dan
Published: November 2021

The coronavirus disease 2019 (COVID-19) has still been spreading around the world, causing an outbreak of acute infectious pneumonia, even a multiple systematic inflammatory disorders following with varied virus. From World Health Organizations (WHO) weekly report in 16th Aug 2021, more than 2 hundred millions (206 693 357) of infected cases and more than 4 million (4 352 488) of deaths are confirmed in the world [1]. The daily report In UK in 18th Aug 2021, there are more than 6 million of infected cases (6 295 613) and 130 thousands of died cases (130 979) are confirmed, fluctuating figures on daily recently on infected and died cases with Covid-19 are reported although the severe case rates, hospitalized rates and died rate have decreased in UK [2]. Due to such bigger amount of patients’ appearance, some post-syndrome of Covid-19 are unavoidably leaving after they are self-healed or treated in the hospitals or anywhere else, they have not recovered completely, still remain some unwanted symptoms, some of them can be quite serious which are possible to disturb them for the rest of their life. We should do and be able doing some significant helps for them with Chinese herbal medicine (TCM). I will discuss these common occurrences of post- syndromes which I have treated: inferior function of lungs, dysfunction of gastrointestinal system, Psychiatric disorder, Post-virus-Chronic-fatigue syndrome, post inflammation of Sexual organs and how manage these post syndromes of Covid-19 with TCM here. TCM should play more effect for helping post-syndromes of Covid-19 after reopening clinics with full of our treating technologies.
Does Liquid-Based Technology Improve Detection of Cervical Epithelial Abnormalities and Worth in Low Resource Setting?
Authors: Maharjan Sushna , Tiwari Mamata
Published: November 2021

Introduction: Cervical cancer is the most frequent cancer among Nepalese women. Aims: This study was undertaken to assess the strength of liquid-based cytology (LBC) and conventional Pap smear (CPS) in detecting cervical dysplasia/cancer, and assess feasibility of LBC in our setting. Methods: It was a cross-sectional study. Samples were collected from 312 patients for CPS and LBC by split sampling technique. Smears were interpreted according to the Bethesda System. The results between two methods were compared and analyzed statistically by applying Chi-square and t-tests. Results: There was no significant difference in adequacy rates, representativeness, detection of organisms and epithelial abnormalities between two methods. Neutrophils, haemorrhage, mucus and debris were more in CPS than LBC (P value <0.05). Conclusion: We didn’t find significant difference between two methods in detecting cervical epithelial abnormalities. The high cost of LBC makes CPS still a better option in the countries with low resource setting.
Age Related Disparities in Colorectal Cancer Patients
Authors: Ishaq Aliya
Published: November 2021

Background: There is an evident change in the colorectal cancer demographic over the period. This change is more marked in the age distribution and location of the tumor. It has practical implications, in regards to develop cancer awareness programs and screening protocols. Keeping in view that Pakistan is one of the countries with a high number of the young population this study is carried out to make a comparative analysis of this trend in our population. Material and methods: Colorectal cancer patients presented in Sindh Institute of urology and transplantation from January 2011 till December 2020 was reviewed retrospectively. All patients were divided into two groups, Group A young age population and Group B old age population. Subgroup analysis of study period was performed to check the progressive change in the trend of stage and clinical characteristics of colorectal cancer patients. Data reviewed from the patient’s files and collected as per Proforma requirement. Result: Total of 612 patients with colorectal cancer presented between 2011 till 2020.Among these patients 243 (39.7%) presented between January 2011 till December 2015. Patients age 50 years and younger were 410 (66.8%). Results showed a statistically significant association between and patient’s age and location of tumor such that left-sided colonic cancer and rectal cancer were more common in the young population. Subgroup analysis according to the study period showed that there is a change in the trend of disease presentation. Right-sided colonic cancer presentation decreased in the younger population over the period while simultaneously left-sided colonic cancer and rectal cancer presentation increased. Conclusion: The incidence of left-sided colonic and rectal cancer has been increased in the younger population over the specified period while there was no association between right-sided colon cancer and age noticed.
Yabancı Uyruklu Öğrencilerin Sosyokültürel ve Akademik Uyumu Üzerinde Ulusal ve Örgütsel Faktörlerin Etkisi
Authors: KARADİREK Gökhan , KARA Mehmet Akif
Published: November 2021

Bu araştırmanın amacı, yabancı uyruklu üniversite öğrencilerinin sosyokültürel ve akademik uyumu üzerinde ulusal ve örgütsel kültürün etkisini ortaya koymaktır. Araştırmanın verileri, 24 Nisan 2020-18 Mayıs 2020 tarihleri arasında online anket yöntemi uygulamasıyla toplanmıştır. Araştırmanın örneklemini anketi yanıtlayan 345 yabancı uyruklu öğrenci oluşturmuştur. Veriler, uluslararası düzeyde kabul görmüş bir istatistik yazılımı aracılığıyla analiz edilmiştir. Öncelikle veriler üzerinde normallik testi, güvenirlik ve faktör analizi yapılmıştır. Hipotezler, korelasyon ve regresyon analizi yöntemi kullanılarak test edilmiştir. Araştırma sonucunda; yabancı uyruklu öğrencilerin sosyokültürel uyumu üzerinde motivasyonun, etkileşimin, öğretim elemanı algısının ve ekonomik sorunların etkili olduğu bulunmuştur. Akademik uyum üzerinde ise motivasyonun ve öğretim elamanı algısının etkisi tespit edilmiştir. Türkçe konuşma rahatlığının hem sosyokültürel hem de akademik uyum üzerinde bir etkisi bulunamamıştır. Ayrıca, akademik uyumun üzerinde ekonomik sorunların ve etkileşimin de etkisinin olmadığı sonucuna ulaşılmıştır. Bu araştırma sonuçlarına göre, yabancı uyruklu öğrencilerin sosyokültürel ve akademik uyumları için motivasyon ve öğretim elemanı algısı önemlidir. Ayrıca, sosyokültürel uyum konusunda etkileşim ve ekonomik sorunların da önem arz etmektedir. Bu kapsamda Üniversiteler, yabancı uyruklu öğrencilerin eğitim-öğretimi boyunca onların memnuniyetini sağlamayacak desteklerde bulunmalıdır.
Aşırı Turizm, Nüfus Teorisi ve Turizme Katılım
Authors: GÜL İlker , SHİPMAN Dilistan
Published: November 2021

Talep yüksekliğinin yarattığı yoğunluk önceden beri var olan bir sıkıntı olarak düşünülse de günümüzde net görülebilir, somut bir sorun haline gelmiştir. Genel olarak çözüm önerileri tanıtımı kesmek, kota koymak, turist sayılarında azaltmaya gitmek ve turistlerin daha az yoğun turizm duraklarına dağıtılması olarak öne çıkar. Ancak genel talep artışı devamı kaçınılmaz gözükmektedir. Bu, Malthus’un nüfus teorisine benzerlik gösterir. Daha çok besin daha çok nüfus getirir, daha çok nüfus daha çok besin gerektirir, ancak üretilebilecek besin miktarı bellidir ve bu sınır aşılamaz. Turizmde ise nüfus artışı ve diğer etmenler turizm talebini yükseltir. Yüksek talep ve aşırı turizm daha çok turizm durağını gerekli kılar. Durak memnuniyeti ve artan nüfus, talebi daha fazla besler ve yeni arz, turizm durakları, gerektirir. Ancak bu arzın sonsuza kadar sağlanması ya mümkünsüzdür ya da nihayetinde Dünya’daki her bir lokasyonun bir turizm durağına çevrilmesiyle mümkündür. Ancak ikinci seçenek hem sosyal hem de ekolojik dengeler için uygulamada sorunludur
Yerel Kalkınma Üçgeninde Sakin Şehir Hareketi: Yalvaç Örneği
Authors: AKCA Cansu Can , KORKMAZ ÖZCAN Zişan
Published: November 2021

Metropol şehirleşme ile yaşamların karmaşık bir biçim almasına alternatif olan Sakin Şehir (Cittaslow) hareketi, sakin yaşamı, kültürel ve doğal mirası, yerel kimliğin ve yerel yemeklerin korunarak sürdürülebilir olması amacı ile kurulmuştur. Covid-19 süreci ile halk artık doğal yaşamı tercih etmekte, nüfusun daha az olduğu, kalabalık olmayan yerleşim yerlerine yönelmektedir. Bu standartlara uygun yerleşim alanlarından olan sakin şehirlere yönelik talepler nüfus oranını artırmakta, nüfusun yoğunluğu ile ortaya çıkan çeşitli problemleri aşmak için ise işbirliği hareketini zorunlu kılmaktadır. Araştırma Isparta’nın Yalvaç ilçesi sınırları içinde yaşayan yerel paydaşları kapsamaktadır. Yerel kalkınma modeli olan sakin şehir hareketinin kalkınmaya yönelik katkısını belirlemek amacı ile nitel yöntem kullanılarak araştırma verileri ortaya konulmuştur. Bu amaç doğrultusunda Yalvaç ilçesinde ikamet eden 15 katılımcı ile yarı yapılandırılmış görüşme gerçekleştirilmiştir. Katılımcılar amaçlı örnekleme göre belirlenerek özel sektör, kamu sektörü ve sivil toplum kuruluşu üyelerinden oluşmaktadır. Elde edilen veriler çözümlenirken, betimsel ve içerik analizlerinden faydalanılmıştır. Çalışmanın sonucunda, katılımcılar tarafından Yalvaç ilçesinin Sakin Şehir faaliyetlerinin yerel kalkınmaya etkisinin tam anlamıyla gerçekleştirilemediği tespit edilmiştir. Araştırma sonuçları yerel halkın sakin şehir konusunda bilgi eksikliğini, yerel paydaşların diğer kurum ve kuruluşlar ile iş birliğine yönelik bilgilendirilmesi gerektiğini ortaya koymaktadır. Ayrıca her türlü el işçiliği, geçmişten günümüze aktarılması gerekli kültür unsurlarının desteklenmesi gerektiği, Sakin Şehir Yalvaç’ın tanıtılması ve yatırımlardaki eksikliklerin giderilmesiyle kalkınmayı olumlu yönde etkileyeceği sonuçları ortaya çıkmıştır. Araştırmanın ortaya çıkan sonuçları itibariyle başta Sakin Şehir Yalvaç olmak üzere diğer Sakin Şehirlere de ilgili paydaşlar aracılığı ile yol göstereceği olacağı düşünülmektedir.
UNIVERSAL MEASURING MODULE BASED ON A THREE-COMPONENT FERROSONDE SENSOR AND A MAGNETIZATION STATION BASED ON ITS BASIS
Authors: Lyubimov V.
Published: November 2021

The work is devoted to the description of the design of the measuring module (fluxgate magnetic compass) and the magnetovariation station (geophysical device) created on its basis. This station is designed to carry out geomagnetic work in various conditions - both stationary observation points and for work in the field.
Effect of Addition Of Zirconium Oxide Nanoparticles on Flexural Strength and Porosity of Heat Cure Acrylic Resin
Authors: A. Omer Ranj , S. Ikram Fahd
Published: November 2021

Heat cure denture base is the most commonly used material for fabrication of removable prosthesis to the present day. However difficulties persist in fabrication of satisfactory prosthesis due to poor mechanical properties which have resulted in frequent repairs in dental practice. The present study is aimed to investigate the effect of Zirconium oxide nanoparticles (ZrO2NPs) on flexural strength and porosity of denture base and its correlation. X-ray diffraction (XRD) was used to check the purity of NPs. NPs was dispersed at 1%, 3%and 5% by weight to the monomer of methyl methacrylate with aid of probe sonicator. In addition, Scanning Electron Microscope (SEM) was used to observe agglomeration of particles within the acrylic. The results revealed significant flexural strength difference (p<0.05) between each concentration of ZrO2NPs. The analysis showed 17% and 11% reduction for 1% and 3% ZrO2NPs respectively while 5% caused a drastic reduction by 32% in reference to control. In regards to porosity, the results present no statistically significant difference among the concentrations in contrast to control. Pearson correlation showed strong and a negative relation (-0.83) between flexural strength and porosity. However, the results was not statistically significant (p=0.369). Within the limitations of this study, it can be concluded that the addition of ZrO2 caused reduction in flexural strength for all concentrations added. While it caused non-significant effect on porosity of acrylic. Considering the negative effect it had no mechanical strength it won't be considered a suitable additive to enhance the properties of PMMA.
THE COMPARISON OF TWO TYPES COMPOSITE RESIN PACKABLE NANOHYBRID WITH TOTAL ETCH BONDING IN CLASS V RESTORATION MICROLEAKAGE
Authors: Dewiyani Sari , Zahra S. Denissa
Published: November 2021

At dental clinic, there are some obstacles which occasionally may occur. A dentist runs out of the same brand of the composite resin and bonding material during tooth restoration, so they would have to be paired with material of the diffrent brand. Certain things that may occur during tooth restoration is polymerization shrinkage which forms a gap that could reducing edge density. This research is using packable nanohybrid type A composite resin and packable nanohybrid type B resin composite with total etch bonding on Class V restoration with the thin cervical section of enamel. Aim: This research is to explain the differences between two types of packable nanohybrid composite resins with total etch bonding in Class V microleakage. Methods: This research will use an experimental laboratory method with 32 maxillary premolars that have been prepared in Class V, which divided into 2 groups, group A and group B. Methylene blue will be used for the measurements, whereas the microscope will be used for the observation. Furthermore, data analysis would be conducted using the Mann Whitney U Test Method. Results: The research showed that there was a significant difference between group A and group B, which is p <0.05. Conclusion: According to this research, it can be seen that group B showed less leakage compared to group A.
Cучасні концепції харчування спортсменів
Authors: Земцова І. І.
Published: November 2021

Рассмотрены некоторые современные концепции рационального питания спортсменов, сформированные вследствие изменения условий жизни и трудовой деятельности современного человека, влияния экологических факторов, ухудшения качества продуктов питания. Особое внимание следует уделять потреблению необходимого количества минералов и витаминов, дефицит которых в организме спортсменов наблюдается наиболее часто и обусловливает снижение эффективности тренировочной и соревновательной деятельности, ухудшение состояния здоровья спортсменов. Не менее важное значение имеет потребление всего комплекса функциональных продуктов, которые обеспечивают укрепление здоровья и продление спортивного долголетия спортсменов.
Визначення впливу занять з веслування на каное на фізіологічні вигини хребта спортсменів
Authors: Павлішен Ю. І. , Солтик О. О.
Published: November 2021

Подано характеристику изгибов позвоночника в сагиттальной плоскости у спортсменов, занимающихся греблей на каноэ. Установлено, что систематические занятия спортом приводят к появлению определенных осложнений опорно-двигательного аппарата, связанных с искривлением позвоночника. Обнаружено, что у гребцов наиболее увеличены изгибы позвоночника в грудном отделе, что указывает на наличие круглой спины.
Особливості розвитку та прогресування дегенеративних змін у колінному суглобі у спортсменів
Authors: Манжалій В. В. , Лісунов С. В.
Published: November 2021

Рассмотрены особенности развития и прогрессирования дегенеративных изменений в коленном суставе у спортсменов. Выявлено, что данные изменения возрастают пропорционально времени, прошедшем после травмы.
Роль питания в профилактике и лечении вторичного неинфекционного иммунодефицита у спортсменов
Authors: Цыганенко О. И. , Першегуба Я. В. , Склярова Н. А. , Оксамытная Л. Ф.
Published: November 2021

Мета. Провести аналіз літератури про роль харчування в профілактиці і лікуванні вторинного неінфекційного імунодефіциту у спортсменів. Методи. Аналіз наукової та науково-методичної літератури: узагальнення, синтез, формаліза- ція, абстрагування. Результати. Встановлено, що вторинний неінфекційний імунодефіцит у спортсменів виникає, насамперед, при синдромі перетренованості. Визначено, що застосування харчування при вторинному неінфекційному імунодефіциті у спортсменів не має системного характеру, що суттєво знижує його ефективність. Запропоновано шлях вирішення проблеми – використання системного підходу з застосуванням цільових програм. Розроблено основні положення використання цільових програм харчування для профілактики та лікування вторинного неінфекційного імунодефіциту у спортсменів при синдромі перетренованості. Висновки. Вторинний неінфекційний імунодефіцит у спортсменів виникає, перш за все, при синдромі перетренованості. При цьому використання харчування для профілактики і лікування вторинного неінфекційного імунодефіциту у спортсменів не має системного характеру, що істотно знижує його ефективність. Обґрунтовано напрям підвищення ефективності харчування в профілактиці і лікуванні вторинного неінфекційного імунодефіциту у спортсменів при синдромі перетренованості шляхом його застосування системного підходу, що включає застосування спеціальних, описаних в науковій літературі, цільових програм харчування.
Сучасний погляд на проблему застосування засобів фізичної реабілітації при артроскопічних оперативних втручаннях у хворих із ушкодженням передньої схрещеної зв’язки
Authors: Русанов А. П.
Published: November 2021

Мета: систематизувати та узагальнити науково-методичні знання і результати практичного досвіду фізичної реабілітації хворих після реконструкції передньої схрещеної зв’язки при артроскопічних оперативних втручаннях. Методи: теоретичний комплексний аналіз і синтез даних науково-методичної літератури та джерел мережі Інтернет. Результати.  Проаналізовано методи лікування декомпенсованої передньої нестабільності колінного суглоба, спричиненої розривом передньої схрещеної зв’язки. Весь післяопераційний реабілітаційний період перебігає на тлі етапних процесів інкорпорації трансплантату в кісткових тунелях. Саме стадійність відновлення трансплантату є основою для виділення різних періодів реабілітації. Розглянуто сучасні підходи до застосування засобів фізичної реабілітації при артроскопічних оперативних втручаннях у хворих з ушкодженням передньої схрещеної зв’язки. Висновки. Лікування таких хворих необхідно проводити з обов’язковим урахуванням анатомо-функціональних особливостей, використовувати методи раннього і повноцінного відновлення пошкоджених структур суглоба, прагнути до підбору відновлювальних операцій, що не вимагають іммобілізації суглоба. Крім цього, адекватні відновні комплекси, що враховують тип фіксації трансплантату, функціональні особливості ураженої кінцівки й інші чинники, у тому числі ступінь порушення функції колінного суглоба, розроблено далеко не для всіх випадків ушкоджень та їх наслідків. На сьогодні актуальною є розробка програм фізичної реабілітації, що враховують тип фіксації використаного трансплантату при артроскопічних оперативних втручаннях.
Marketing Communication Strategy of Online Shop to take advantage of Instagram Application (Case Study on Online Shop @cutrizkyhijab1)
Authors: Laila Rohani  , M.Yoserizal Saragih  , Anang Anas Azhar  , Anita Wulanie Fitri
Published: November 2021

This study aims to find out online shop marketing communications @cutrizkyhijab1 on instagram and to find out the advantages and disadvantages of online shop@cutrizkyhijab1on marketing through Instagram media. The theory used in this study is the theory of social media, Instagram, marketing communication, and the Marketing Mix. The subjects of this research are Owners and 10 permanent consumers cutrizkyhijab1 listen research time from April to August. The method used in this research is the Qualitative Method with In-depth Interview (in-depth interview). Technical analysis used is descriptive qualitative analysis. The results of this study indicate that the marketing communication strategy carried out through Instagram media is used by online shop owner @cutrizkyhijab1through promotions on the Instagram application. Of the various supporting features on Instagram, the features that are most often used are the Instagram photo upload feature and Story Highlights. The advantages of online shop@cutrizkyhijab1Compared to other online shops, it lies in conveying messages to consumers by using the features available on Instagram, prices and up to date products for each product variation. Disadvantages of online shop@cutrizkyhijab1 in the form of competition between other online shops, thus making the owner @cutrizkyhijab1 must be diligent to post photos or videos so that their products can be seen by consumers.
BEYKOZ MİRİ DEBBAĞHANELERİ
Authors: TEKİN Zeki , KARAKAYA Emre
Published: November 2021

Sümerbank Beykoz Deri ve Kundura Fabrikasının temelini oluşturan Beykoz Miri Debbağhaneleri Sultan II. Mahmut zamanında Beykoz deresinin Boğaza döküldüğü noktada inşa edilmiştir.1810 yılında tesis edilen ve her geçen gün gelişen debbağhane, ordunun ihtiyaçlarını karşılamak üzere Harbiye Nezaretine devredilince daha da büyüyerek imparatorluğun en büyük deri üretim merkezi haline gelmiştir. Yeni kurulan bu tesisin ismi Tabakhane-i Klevhane-i Amire olarak değiştirilmiş 1826 yılına kadar ordu için palaska, çizme, kütüklük, koşu takımları gibi askeri malzemeler üretmiştir. Ayrıca Debbağhane-i Amire ’ye 1842 yılından itibaren buhar kazanı, buhar makinası, Taş Değirmen’in yanında 70 değirmen ilave edilerek tesisin makinalaşması sağlanmıştır. Harbiye Nazırı Mahmut Şevket Paşa’nın 1912 yılındaki girişimleri neticesinde Avrupa’dan getirtilen debagat makinaları sayesinde tesis yeniden modernleştirilmiştir. Beykoz Debbağhanesi ülkedeki deri üretiminde hem kapasite hem de kalite ve standart oluşturmada söz sahibi konumundadır. Zaman içerisinde büyük üretim kapasitesine erişen Beykoz Debbağhanelerinin malzeme temininde kullanılan finansman, ülke genelindeki çeşitli sancakların gelirlerinden karşılanmaktadır.

Beykoz Debbağhanesinin deri ihtiyacı büyük oranda ülkenin iç pazarlarından temin edilirken dış pazarlardan da deri getirtildiği görülmektedir. Deri tabaklamada ihtiyaç duyulan malzemelerin başında palamut gelmektedir. Ülkenin çeşitli bölgelerinden alımı yapılan palamut ve çam kabuğunun vaktinde toplanması ve hızlıca İstanbul’a ulaştırılmasına hassasiyet gösterilirdi.

Beykoz debbağhanelerinde usta ve amele olarak çalışan kişiler, üretim kapasitesine göre dönemsel olarak artıp azalmaktadır. Burada hademesinden müdürüne kadar çalışan herkes askeri personel olup disipline de çok önem verilmiştir. Beykoz Debbağhanesi üretim merkezi olmanın yanında iyi bir staj ve eğitim merkezi konumunda da olmuştur. Yeni teknikleri öğrenmek üzere öğrenci, kalfa ve ustalar gönderildiği gibi merkezden ustaların gönderilmesi de talep edilmiştir. Ayrıca bu özelliğini bir ileri düzeye taşıyarak deri sanatlarını öğreten bir de mektep kurulmuştur.

Beykoz debbağhanesi bünyesinde sosyal dayanışmayı sağlamak adına yardım sandığı kurulmuş, çalışanlara borçlar verildiği gibi maddi durumları zayıf olan ailelere de yardımlar yapılmıştır.
Spatiotemporal variation in patterns of genetic diversity, genetic structure, and life history across Zostera marina meadows in North Carolina, USA
Authors: Allcock KE , Kamel SJ , Willeboordse PL , Long ZT , Jarvis JC
Published: November 2021

Seagrass meadows are some of the most productive marine plant ecosystems in the world, yet their loss continues on a global scale. Zostera marina, an ecologically important foundation species, reproduces both sexually and asexually, yielding different levels of genetic diversity throughout its range, which in turn can influence resistance to, and resilience from, environmental disturbances. Understanding the genetic structure and diversity of these populations, and how they fluctuate over space and time, will aid in the conservation and management of seagrasses in an environment where the effects of climate change are likely to be chronic. Using microsatellite data, we examined spatiotemporal genetic structure and genetic diversity of Z. marina over a 10 yr period at 2 sites in North Carolina (USA), the southern limit of its geographic range in the Western Atlantic. Both meadows were genetically diverse, with very little spatial genetic structure existing within and between sites, and relative temporal stability between decadal time points. Within-site kin structure was more pronounced in the earlier years, and allelic richness increased over time at both sites, suggesting an increase in sexual reproduction, potentially in response to thermal stress. Despite the genetic similarities between sites, life history strategies showed phenotypic plasticity, and several metrics of genetic diversity were associated with meadow health. These findings point to the adaptive potential of Z. marina and provide promising insight into how the species will perform as the effects of climate change continue to amplify over the next century.
Normative Performance Measurement in Simulated Air Combat
Authors: Mansikka Heikki , Virtanen Kai , Mäkinen Lauri , Harris Don
Published: November 2021

BACKGROUND: Normative performance (NP) describes the pilots’ adherence to tactics, techniques, and procedures (TTPs). Until now, there has not been a global NP measurement technique for beyond visual range (BVR) air combat, and the methodology and technology related to
the evaluation of NP have fallen behind the pace of the overall technical progress of distributed mission operations (DMO) training.METHODS: Platform-independent core air combat tasks were identified. The execution of these tasks is directed with TTPs. BVR air combat missions were
flown in a DMO simulator system and the design NP was varied between missions. Observers viewed debriefs of these missions and attempted to identify TTP-regulated air combat tasks. Once identified, they scored the pilots’ NP in those tasks. The scoring was based on the level of TTP adherence
and the impact a nonadherence had on the mission accomplishment.RESULTS: All observers were able to identify most of the TTP-regulated air combat tasks. There was a strong positive correlation between the observed and design NP scores. The overall Kappa indicated a fair agreement
between the observers. The percentage of observers’ NP assessments which agreed with the design NP varied from 49.60 to 85.28% in different air combat missions. On average, 73.96% of the observers’ NP scores agreed with the design NP scores.CONCLUSIONS: Observers were
able to accurately identify TTP-regulated tasks and score NP of these tasks during an air combat debrief. There was a moderate agreement between the observers’ NP scores.Mansikka H, Virtanen K, Mäkinen L, Harris D. Normative performance measurement in simulated air combat.
Aerosp Med Hum Perform. 2021; 92(11):908–912.
Aeromedical Implications of Long-Term COVID-19 Sequelae
Authors: Ko Samuel Ying , Nguyen Nathan Khac , Lee Christine Lorraine , Lee Lysette Alexis , Nguyen Katherine Uyen Thao , Lee Ernest Castro
Published: November 2021

BACKGROUND: While many COVID-19 studies focus on acute effects of the infection, few examine the intermediate and long-term sequelae of the illness. Studies have shown that a good portion of patients have chronic effects in several body systems for several months or longer. Such
effects can potentially adversely impact pilot performance in flight. We sought to determine the long-term effects of COVID-19 infection, how such effects can affect pilot performance, and how to best evaluate pilots for aeromedical flight clearance.METHODS: We used the PubMed literature
search engine to review peer-reviewed articles that focused on the intermediate and long-term effects of COVID-19 infection. Chronic signs and symptoms were subdivided based on the particular body organ system affected. Merging information obtained from case reviews, article reviews, and aeromedical
standards, we created a risk stratification guide to assist with the aeromedical disposition of affected pilots.RESULTS: Long-term effects of COVID-19 infection can last for several months or longer. The most common effects are fatigue, weakness, pulmonary diffusion defects, depression,
and anxiety.DISCUSSION: This review article focuses on the most common intermediate- and long-term COVID-19 conditions of aeromedical significance and the corresponding course of actions recommended for the aeromedical examiner. Aeromedical evaluation should take into consideration
factors related to the pilot, aircraft type, and specific aviation environment. Such evaluation may include diagnostic testing, medical specialist consultation, preflight simulation in an altitude chamber, human centrifuge testing, and/or a flight simulator checkride.Ko SY, Nguyen NK,
Lee CL, Lee LA, Nguyen KUT, Lee EC. Aeromedical implications of long-term COVID-19 sequelae. Aerosp Med Hum Perform. 2021; 92(11):898–907.