bluuebunny/crossref_metadata_2025 huggingface dataset:
Pembuatan Biobaterai Berbasis Ampas Kelapa dan Tomat Busuk
Authors: Abidin Muhamad , Hafidh Ashary Fathul , Widyaningsih Mia , Yusuf Muhammad , Murniati Anceu
Published: September 2020

Indonesia merupakan negara tropis dengan produksi kelapa dan tomat yang cukup tinggi. Pada tahun 2016, Indonesia menjadi negara penghasil kelapa terbesar di dunia dengan produksi kelapa sebanyak 18,3 juta ton. Beberapa produksi pengolahan kelapa menghasilkan produk samping berupa ampas kelapa. Disisi lain, dari 916.000 ton produksi tomat pertahun terdapat 80% yang mengalami kebusukan akibat serangan hama. Kedua limbah tersebut berpotensi untuk diolah menjadi baterai ramah lingkungan. Tomat busuk telah diketahui dapat dijadikan sebagai elektrolit ramah lingkungan pada baterai dengan menghasilkan beda potensial pada baterai sebesar 1,233 Volt. Oleh karena itu, tujuan penelitian ini yaitu membuat baterai ramah lingkungan berbahan dasar ampas kelapa dan tomat busuk. Ampas kelapa ditambahkan karena emulsifying tepung kelapa secara signifikan lebih tinggi dibandingkan tepung kaya serat lainnya. Metode yang digunakan adalah mencampurkan tomat busuk dengan ampas  kelapa dengan variasi komposisi 0, 25, 50, 75 dan 100% pada masing–masing konsentrasi. Parameter yang diamati dalam penelitian ini adalah potensial, kapasitas, dan daya baterai. Hasilnya, baterai pada komposisi 0, 25, 50, 75 dan 100% menghasilkan rata-rata beda potensial masing-masing sebesar 1,27; 1,17; 1,45; 1,23; dan 0,02 Volt, arus listrik masing-masing sebesar 0,76; 1,13; 0,97; 0,24; dan 0 mA, dan daya masing-masing sebesar 0,97; 1,56; 1,43; 0,30; 0,00 miliwatt. Kondisi optimum baterai diperoleh pada baterai dengan konsentrasi 25% ampas kelapa berbanding tomat busuk dengan daya sebesar 1,56 miliwatt. Penelitian ini diharapkan dapat berkontribusi pada pengembangan baterai ramah lingkungan untuk mengurangi limbah B3, seiring dengan meningkatnya kebutuhan akan baterai di era revolusi industri 4.0.
Efektivitas Biokoagulan Cangkang Telur Ayam Ras dan Kulit Pisang Kepok (Musa Balbisiana ABB) dalam Menurunkan Turbiditas, TDS, dan TSS dari Limbah Cair Industri Farmasi
Authors: Hanifah Hesty Nuur , Hadisoebroto Ginayanti , Turyati Turyati , Anggraeni Ineu Sintia
Published: September 2020

Koagulasi merupakan tahap awal dalam proses pengolahan limbah cair. Salah satu industri yang berpotensi untuk menimbulkan pencemaran air bila limbah cairnya tidak dikelola dengan baik adalah industri farmasi. Cangkang telur ayam ras dan kulit pisang kepok merupakan limbah padat yang belum termanfaatkan, padahal kedua bahan tersebut mengandung zat-zat yang bisa membantu dalam proses koagulasi. Oleh karena itu, peneliti tertarik untuk mengembangkan biokoagulan dari cangkang telur ayam ras dan kulit pisang kepok. Penelitian ini bertujuan untuk mengetahui efektivitas dari cangkang telur ayam ras dan kulit pisang kepok sebagai biokoagulan dalam menurunkan nilai turbiditas, TDS (Total Disolved Solid) dan TSS (Total Suspended Solid) dari limbah cair industri farmasi. Alat yang digunakan dalam penelitian ini adalah jartest. Sampel air limbah yang digunakan dalam percobaan ini yaitu sampel air limbah industri farmasi dari PT Sinkona Indonesia Lestari. Berdasarkan hasil penelitian  menunjukkan bahwa biokoagulan cangkang telur ayam mempunyai dosis optimum yaitu 50 g/500 mL dan pada pH optimum 8 terjadi penurunan turbiditas sebesar 81,18%, TDS sebesar 24,3% dan TSS sebesar 82,05%. Sedangkan  biokoagulan kulit pisang kepok mempunyai dosis optimum 5 g/500 ml dan pada pH optimum 2 terjadi penurunan  turbiditas sebesar   94,9%, TDS 51,3% dan TSS  83,2%. Dari data tersebut bisa disimpulkan bahwa cangkang telur ayam ras dan kulit pisang kepok bisa dimanfaatkan sebagai biokoagulan untuk pengolahan limbah cair dari industri farmasi.
Pengamatan Karakteristik Schooling Ikan pada Area Bagan Tancap Sekitar Terumbu Karang dengan Teknologi Hidroakustik
Authors: Angreni Husni , Jumrawati Jumrawati , Malkan Hasbi Ibnu
Published: September 2020

Teknologi penangkapan ikan selalu dikembangkan untuk meningkatkan produktivitas penangkapan ikan dan lebih ramah lingkungan. Kajian karakteristik schooling ikan ini dilakukan pada bagan tancap dengan lampu LED menggunakan metode hidroakustik untuk mengetahui aktivitas renang ikan berdasarkan waktu pengamatan yaitu sebelum, saat tengah  malam, dan setelah tengah malam. Metode experimental fishing dilakukan dengan mengikuti operasi penangkapan ikan di Perairan Kabupaten Pangkajene Kepulauan pada April sampai Agustus 2019. Hasil penelitian menunjukkan bahwa, pada saat sebelum tengah malam, ikan di areal bagan tancap cenderung berada pada kedalaman 3-6 meter di bawah permukaan air dan didominasi oleh kemunculan ikan kelompok gerombolan sedang dan kelompok gerombolan besar. Saat tengah malam ikan cenderung berada pada kedalaman 4-16 meter didominasi oleh kemunculan ikan kategori Kecil (individu atau soliter). Setelah tengah malam, ikan cenderung terdeteksi pada kedalaman 3-14 meter dan didominasi oleh kemunculan ikan kelompok sedang. Gerombolan sedang dan besar mengindikasikan adanya gerombolan ikan dalam jumlah besar. Hal ini dapat dimanfaatkan nelayan bagan untuk melakukan proses hauling sebelum dan setelah tengah malam.
”Open” and ”closed” therapies
Authors: Voutilainen Liisa , Peräkylä Anssi
Published: September 2020

Abstract As a longitudinal process, psychotherapy is geared to facilitate a positive change in the patients. Starting from the classical psychoanalytical tradition, a fundamental aim in many types of psychotherapy is to increase the clients’ contact with their problematic emotions and parts of the self, and increase their self-reflexive abilities. As the interaction in psychotherapy aims towards a change, it is evident that it is not only the patient's inner experience that changes during the process of psychotherapy, but also the relationship between the participants develops over time. In this paper, we propose a way to describe the global dynamics of the therapist-patient interaction, by making a distinction between what we call open and closed therapies. This perspective emerged from our work with a set of data coming from five dyads of psychodynamic psychotherapy. We consider how much variety there is in the interactional moves of the participants, that is, in the possible relations between two turns at talk. We call therapies with sequential variation as “open therapies” and those with rather stable sequential patterns as “closed therapies”. We propose that the variety on sequential relations links to the phasic organization that is common to all psychotherapeutic processes (in that they have beginning, middle and end) and to the change in the internal world of the patient.
Closed-loop communication during out-of-hospital resuscitation
Authors: Marzuki Ernisa , Rohde Hannah , Cummins Chris , Branigan Holly , Clegg Gareth , Crawford Anna , MacInnes Lisa
Published: September 2020

Training for effective communication in high-stakes environments actively promotes targeted communicative strategies. One oft-recommended strategy is closed-loop communication (CLC), which emphasises three components to signal understanding: call-out, checkback and closing of the loop. Using CLC is suggested to improve clinical outcomes, but research indicates that medical practitioners do not always apply CLC in team communication. Our paper analyses a context in which speakers’ linguistic choices are guided by explicit recommendations during training, namely out-of-hospital cardiac arrest (OHCA) resuscitation. We examined 20 real-life OHCA resuscitations to determine whether paramedics adopt CLC in the critical first five minutes after the arrival of the designated team leader (a paramedic specially trained in handling OHCA resuscitation), and what other related communication strategies may be used. The findings revealed that the standard form of CLC was not consistently present in any of the resuscitations despite opportunities to use it. Instead, we found evidence of non-standard forms of CLC and closed-ended communication (containing the first two components of standard CLC). These findings may be representative of what happens when medical practitioners communicate in time-critical, real-life contexts where responses to directives can be immediately observed, and suggest that CLC may not always be necessary for effective communication in these contexts.
Med students of various study years structural substantive peculiarities of health behavior
Authors: Chizhkova Marina
Published: September 2020

This paper presents the structure and descriptive content attitude peculiarities health behavior among 1st, 3rd, and 6th-year med students. With the use of the complex questionary "Health behavior" by R.А. Berezovskaya as well as the empirical data interpretation and mathematical-statistical processing hypothesis about structural substantive differences of an interrogated phenomenon among med students of various study years were confirmed. But the assumption about the leading part in the structure of the axiological-motivational component relationship was confounded. This component plays a bonding part between knowledge and personality health behavior. For each study year, specific health behavior features are determined by the formula: I know – I don’t worry. I know – I do (for 1st study year); I know – I worry – I do (for 3rd study year); I know – I don't worry. I know – I do. I worry – I don’t do (for 6th study year). The axiological-motivational component has an indirect effect on the health behavior structure through other components separate block-questions: 1st year – cognitive and behavioral; 3rd – cognitive and emotional; 6th – emotional and behavioral. The substantive components' content of health behavior is observed for 1st-year students with the life experience taken to account, for 3rd-year students – by the gradual life knowledge and behavior modes displacement with acquired special knowledge and skills, for 6th-year students – by the general "professionalization" of health behavior and reliance on the competencies formed in the learning process in the core doctor assets. The general structure of health behavior for all med students has a pronounced “knowledgeable” nature with the leading part of the cognitive component in combination with positive emotions and individual actions of self-preserving behavior. The axiological-motivational component in the general structure of the attitude, presented in isolation from the available knowledge, experienced feelings, and executed behavior, confirms the conclusions in the scientific literature that for young people health and a healthy lifestyle is a possibility rather than a desirable model of behavior in which the value of health is actively declared by all, but is realized only by a small part of students.
DELINEAMENTO DE UM PERFIL ESTILÍSTICO TRADUTÓRIO DE HEART OF DARKNESS POR MEIO DA ANÁLISE DAS MUDANÇAS DA TRADUÇÃO
Authors: Castro Mayelli Caldas de
Published: September 2020

RESUMO Este estudo pretende traçar um perfil estilístico individual de quatro tradutores, e das traduções, de Heart of Darkness (CONRAD, 1902) para o espanhol, por meio da análise dos padrões de mudanças nas traduções de palavras e itens lexicais formados a partir dos nódulos alg* e parec*, responsáveis pela construção do tema de incerteza nos textos traduzidos (TTs). Neste artigo, analisam-se as mudanças formais opcionais, de nível microestrutural, com base nas concepções teórico-metodológicas propostas por Pekkanen (2010). Considera-se, ainda, a metodologia de Estilística Tradutória (MALMKJAER, 2003, 2004) e a concepção de estilo como atributo pessoal e textual (SALDANHA, 2011). Os resultados mostraram que os tradutores estudados fizeram escolhas lexicais diferenciadas entre si, e em relação ao texto-fonte (TF), para a tradução de some*/any* e seem*, apresentando padrões de preferências no uso de mudanças como estratégias de tradução.
Orçamentos Participativos: variáveis explicativas e novos cenários que desafiam a sua implementação
Authors: Fedozzi Luciano , Ramos Marilia Patta , Gonçalves Fernando Gonçalves de
Published: September 2020

RESUMO Introdução: Pretendemos contribuir com as pesquisas sobre quais são os fatores que explicam a adoção dos Orçamentos Participativos (OP) pelos municípios brasileiros. Materiais e Métodos: A partir de dados sobre os municípios que adotaram o OP, extraídos do banco da Rede Brasileira de Orçamentos Participativos (2009-2012), e de dados sociodemográficos de todos os municípios do país (com e sem OP), extraídos do Censo do IBGE e sistematizados no Atlas Brasil do IPEA (2013) são utilizadas as técnicas de Análise Fatorial de Componentes Principais e de Regressão Logística Binária. Com base na literatura são discutidas as variáveis já conhecidas relativas ao desenho institucional, ao associativismo e à vontade política dos governantes. São testadas variáveis independentes e exógenas à participação, relativas à regionalização, ao porte das cidades, à riqueza local e ao desenvolvimento socioeconômico dos municípios. É testada também uma variável política relativa à ideologia predominante dos governos locais. Resultados: Os resultados indicam que a orientação ideológica, a região geográfica, o desenvolvimento social, a desigualdade econômica e o porte do município interferem nas chances de adoção do OP. Por outro lado, a riqueza econômica relativa e o associativismo não têm impactos significativos. Discussão: A introdução de outras variáveis, ao lado de fatores já conhecidos, amplia o conhecimento sobre as condições de adoção dos OP pelos municípios. A investigação permite indicar que elementos conjunturais e estruturais são adversos para a adoção dos OP. Este contexto acentua o declínio da importância política dos OP na agenda de democratização e de inclusão social no país.
The Supreme Federal Court as Queen of Chess: Partisan Fragmentation and Judicial Empowerment in Brazil
Authors: Barbosa Leon Victor de Queiroz , Carvalho Ernani
Published: September 2020

ABSTRACT Introduction: This article deals with the Supreme Federal Court’s empowerment trajectory, exploring exogenous variables in order to explain what made the Supreme Court so institutionally powerful, and how it happened. After the classic studies on the global expansion of the judicial power, that pointed to a myriad of causes as a result of the phenomenon, several recent researches have indicated the political-party fragmentation as the main cause of judicial empowerment. Seeking to corroborate these analyses, the present work analyzes the institutional empowerment of the Brazilian Judiciary from 1945 to 2015, testing the hypothesis the greater the party fragmentation, more institutional power the STF holds. Materials and Methods: As a dependent variable, a synthetic indicator was created to measure the institutional power of the Federal Supreme Court year by year. The independent variables measure the party composition of the Chamber of Deputies annually for the same period. In addition to these variables, other measures were imported from the V-Dem database. For this analysis, simple linear, generalized linear and multinomial models were used. Results: We identified significant impact of party fragmentation on institutional empowerment of the Supreme Court. In all tests, party fragmentation increased the chances of institutional empowerment of the Brazilian judiciary. Discussion: The exogenous reforms that generated this empowerment took place with the support of the Executive and the leniency of the Legislative, transforming the Brazilian Supreme Court into the Queen of the Chess.
Agente moral expressivista em Nietzsche e avaliação de juízos práticos perfeccionistas,
Authors: Viesenteiner Jorge L.
Published: September 2020

Resumo O objetivo do texto é relacionar a abordagem expressivista do agente moral em Nietzsche com as condições de sucesso de avaliação de juízos práticos perfeccionistas. Como locus da transformação, o agente moral se exprime por meio do potencial transformativo que consegue produzir, e não como entidade por trás das ações. Duas condições podem ser usadas, regulativamente, para avaliar o sucesso de juízos de caráter perfeccionista: por um lado, a maximização de conexões e interrelações no espaço, bem como o endosso afirmativo de promessas no tempo e, por outro lado, a boa constituição que alguém mantém em meio à tensão entre um plano individual e supraindividual. No desdobramento do potencial transformativo, crítica e transformação são interdependentes e, além disso, o julgamento público reforça a dimensão social da filosofia de Nietzsche.
Os jogos para o ensino de aritmética no manual ‘Didática da 1ª série’ de Amaral Fontoura
Authors: Schneider Cintia , Da Costa David Antonio
Published: September 2020

Tem-se por objetivo compreender o papel dos jogos para o ensino de aritmética no manual pedagógico ‘Didática da 1ª série’, de autoria de Amaral Fontoura, de 1958. As análises utilizam aportes da história cultural (CHARTIER, 2010), privilegiando os manuais como fonte de pesquisa (VALENTE, 2008), além dos demais aportes da história da educação matemática. Fontoura foi um autor importante, principalmente na divulgação dos pressupostos da Escola Nova, através dos seus manuais. Fontoura cita, recorrentemente, os testes ABC de Lourenço Filho, os centros de interesse, a importância da motivação e da competição. E todos estes aspectos podem ser alcançados, de acordo com o autor, com o uso dos jogos.
O Enem e as práticas de disciplinamento na formação do estudante nota “1000”
Authors: Dal Moro Marilia , Wanderer Fernanda
Published: September 2020

O artigo apresenta resultados de uma pesquisa desenvolvida com o propósito de examinar a constituição do estudante nota “1000” no Exame Nacional do Ensino Médio (Enem). A empiria é composta por postagens de Facebook endereçadas a candidatos que se preparam para o Exame. A fundamentação teórica ancora-se no pensamento de Michel Foucault. A análise mostrou uma forte relação entre o bom desempenho no Enem e as funções disciplinares, como controle do tempo e da atividade. Assim, pode-se concluir que, mesmo nas redes sociais, um bom estudante é posicionado como aquele que segue os mecanismos que fundamentam a escola moderna, marcada pelos processos de disciplinamento dos corpos e saberes.
Logic Programming for Linguistics: A short introduction to Prolog, and Logic Grammars with Constraints as an easy way to Syntax and Semantics
Authors: Christiansen Henning
Published: September 2020

This article gives a short introduction on how to get started with logic programming in Prolog that does not require any previous programming experience. The presentation is aimed at students of linguistics, but it does not go deeper into linguistics than any student who has some ideas of what a computer is, can follow the text. I cannot, of course, cover all aspects of logic programming in this text, and so we give references to other sources with more details.
Tiempo y tiempos en "Deseos"
Authors: Snoey Abadías Christian
Published: September 2020

Time has always been a field full of experimental innovations during the 20th century, and Deseos, by Marina Mayoral, is not alien to that. This novel contains a double analysis of time: On one hand from a philosophical point of view, fiction gets divided on many occasions in two dierent parts: the chronological time of the clock and the psychological or lived time, which ts with the personal experience of time. On the other hand, from a technical perspective, the way time builds the structure of the text will be studied, and also the different kinds of flashbacks that allow characters' soliloquies. Finally, implicit and explicit time indicators that guide time's becoming will also be object of study.
Breve aproximación a la figura de Lilith en "Deseos"
Authors: Moreno Archilla Abel
Published: September 2020

In this paper, by analysing the novel Deseos by Marina Mayoral, we aim to address the dificulty that modern women suffer regarding her personal liberation as an active subject against the generic domain imposed by males. Her alienation, as an exercise supported by the beliefs of the ancient Mesopotamia, has given rise to the femme fatale, a reversal of utopian characteristics in different Western societies founded by the biblical patriarchy. Lilith's image, enhanced by the nineteenth century art by the Pre-Raphaelites, will be decisive in the process of sexual recognition that will lead the study of aspects such as the protest, uprooting, punishment and revenge.
Violencia lingüística en las redes sociales
Authors: Campillo Muñoz Susana
Published: September 2020

Taking into account that, currently, violence is a very frequent phenomenon, this article analyzes a specific type of violence, namely linguistic violence. Specifically, out analysis deals with two topics: the different degrees of violence in speech acts and the resources and techniques that are used to produce violent utterances. By considering politeness studies focused on impoliteness, the work proposes a categorization of violent speech acts that reflects different levels of violence, understanding, therefore, violence as a gradual and noncategorical concept. In the study, a corpus of interactions extracted from Twitter and Facebook is analyzed. The rise of social networks, their ease of use and their features make of these platforms an excellent database for this type of analysis. The results show a significant presence of high levels of linguistic violence in social networks, being the implicitness a feature that in most cases characterizes these utterances. Those results led to reconsider the common idea that defends that explicitness is necessary in order to label an action as violent, and the outstanding presence of high violence categories. It would be necessary to pay more attention to the violent implicit content of utterances which, as shown by the analysis, is not less violent than the explicit one.
De la Televisión a la Red. Diferencias entre el subtitulado profesional y el amateur
Authors: Rodríguez Campillo M. José
Published: September 2020

This work focuses on the analysis of the linguistic differences between TV and Internet subtitling, specifically YouTube subtitling (which we call "amateur "). Spatio-temporal restrictions that apply to captioning reveal the impossibility of carrying out a literal transcript of what is said, since this transcript would not allow the user to view the image and to extract meaning from content in a such a short period of time. In this paper, we analyze the linguistic consequences of those restrictions and of the differences in the way of subtitling. The main contribution of this paper is to bring to light the need to dene new criteria for subtitling in order to improve the understanding of television programs.
Minimal Parallelism and Number of Membrane Polarizations
Authors: Alhazov Artiom
Published: September 2020

It is known that the satisfiability problem (SAT) can be efficiently solved by a uniform family of P systems with active membranes that have two polarizations working in a maximally parallel way. We study P systems with active membranes without non-elementary membrane division, working in minimally parallel way. The main question we address is what number of polarizations is sufficient for an efficient computation depending on the types of rules used.In particular, we show that it is enough to have four polarizations, sequential evolution rules changing polarizations, polarizationless non-elementary membrane division rules and polarizationless rules of sending an object out. The same problem is solved with the standard evolution rules, rules of sending an object out and polarizationless non-elementary membrane division rules, with six polarizations. It is an open question whether these numbers are optimal.
Developing Tools for Networks of Processors
Authors: Ortega de la Puente Alfonso , De la Cruz Echeandía Marina , Del Rosal Emilio , Navarrete Navarrete Carmen , Jiménez Martínez Antonio , De Lara Juan , Anguiano Rey Eloy , Cuéllar Miguel , Rojas Siles José Miguel
Published: September 2020

A great deal of research eort is currently being made in the realm of so called natural computing. Natural computing mainly focuses on the denition, formal description, analysis, simulation and programming of new models of computation (usually with the same expressive power as Turing Machines) inspired by Nature, which makes them particularly suitable for the simulation of complex systems.Some of the best known natural computers are Lindenmayer systems (Lsystems, a kind of grammar with parallel derivation), cellular automata, DNA computing, genetic and evolutionary algorithms, multi agent systems, arti- cial neural networks, P-systems (computation inspired by membranes) and NEPs (or networks of evolutionary processors). This chapter is devoted to this last model.
Owicki-Gries Theory: A Possible Way of Relating Grammar Systems to Concurrent Programs
Authors: Grando María Adela
Published: September 2020

The aim of this paper is to show how grammar systems and concurrent programs might be viewed as related models for distributed and cooperating computation. We argue that it is possible to translate a grammar system into a concurrent program, where the Owicki-Gries theory and other tools available in the programming framework can be used. The converse translation is also possible and this turns out to be useful when we are looking for a grammar system that can generate a given language. In order to show this we use tools from concurrent programming theory to prove that Lcd = {anbmcndm | n,m ≥ 1} can be generated by a non-returning Parallel Communicating grammar system with three regular components. We show that this strategy can be helpful in the construction of grammar systems that generate strings in less time and more eciently. We also discuss the absence of strategies in the concurrent programming theory to prove that Lcd can be generated by any Parallel Communicating grammar system with two regular components.
Early versus delayed feeding after endoscopic submucosal dissection: a systematic review and meta-analysis (protocol) v1
Authors: Watanabe Jun , Watanabe Joji , Kotani Kazuhiko
Published: September 2020

Background: Endoscopic submucosal dissection (ESD) is increasingly performed worldwide due to its safety and effectiveness. This study will aim to assess the evidence of early versus delayed feeding after ESD on quality of care, which remains to be fully determined. Methods: Electronic database (PubMed, the Cochrane Central Register of Controlled Trials, EMBASE) and the trial registry (the World Health Organization International Clinical Trials Platform Search Portal and ClinicalTrials.gov) wii be searched. Study selection, data abstraction and quality assessment will be independently performed using Grading of Recommendations Assessment, Development and Evaluation approach. Self-rated satisfaction and hospital stay will be chiefly analyzed.
NSAID Kullanan Her Hastada Gastrik Profilaksi Gerekli mi?
Authors: GİŞİ Kadir , İSPİROĞLU Murat , KANTARÇEKEN Bülent
Published: September 2020

Non-steroid anti-inflamatuar ilaçları (NSAID) (Aspirin dahil) kullananlarda risk faktörlerine bağlı olarak; %3- 4.5 klinik gastrointestinal (GİS) sistem olayı, 1/70 semptomatik ülser, 1/5 endoskopik ülser, %1.5 (1-4) (major kanama, perforasyon, obstruksiyon vd.) ciddi komplikasyon, 1/150 kanayan ülser, 1/1200 ölüm gelişeceği tahmin edilmektedir. Non-steroid ani-inflamatuar ilaçlar (NSAID) (Aspirin dahil) gastrik ve düodenal ülserle ilişkili anlamlı derecede morbidite ve mortaliteye neden olurlar. Gastrointestinal olay gelişiminde NSAID’ların kendine ait özelliklerine göre risk 20 kata kadar, seçilen doza görede risk 3-7 kata kadar değişebilmektedir. Helicobacter pylori (H. Pylori) ve NSAID peptik ülser oluşumunda bağımsız iki risk faktörüdür. H.pylori eradikasyonu ülser komplikasyonlarını azaltmaktadır. NSAİD kullanan yüksek riskli hastalarda öncelikle misoprostol ( 600mg/gün ve üstü) veya PPI önerilmelidir.Bu derlemede NSAİ ilaç kullanan ve kullanmak zorunda olan hastalarda GİS proflaksisi gerekliliğinin değerlendirilmesi amaçlandı.
Entübasyona Hemodinamik Yanıtı Önlemede Remifentanil, Fentanil, Esmolol, Lidokain, ve Amiodaronun Etkilerinin Karşılaştırılması
Authors: ÖNER Özlem , YILDIZ Emel
Published: September 2020

Amaç: Laringoskopi ve endotrakeal entübasyona bağlı sempatoadrenerjik aktivitenin artışına bağlı olarak hipertansiyon, taşikardi yanıtı görülebilir. Bu yanıt özellikle intrakraniyal ve kardiyovasküler hastalığı olan hastalarda yaşamı tehdit eden komplikasyonlara neden olabilmektedir. Biz bu çalışmada çalışmada, remifentanil, amiodaron, fentanil, esmolol ve lidokain’in trakeal entübasyonda hemodinamik yanıt üzerindeki göreceli etkinliğini karşılaştırdık. Gereç ve Yöntemler: Bu çalışmaya elektif cerrahi geçirecek 20–60 ASA I-II, 90 hasta dahil edildi. Hastalar kapalı zarf tekniği ile altı gruba ayrıldı. Entübasyona yanıtı engellemek için Birinci grup kontrol grubu (G1) hariç, ikinci gruba (G2) fentanil, üçüncü gruba (G3) remifentanil, dördüncü gruba (G4) esmolol, beşinci guruba (G5) amiodaron, altıncı gruba (G6) ise lidokain entübasyon öncesi ek olarak uygulandı. Tüm hastalara aynı anestezi tekniği uygulandı. Sistolik kan basıncı (SKB), diastolik kan basıncı (DKB) ve kalp atım hızı (KAH) için belirlenen zamanlarda ölçümler yapılarak kaydedildi. Bulgular: Gruplar arasında demografik veriler açısından fark bulunmadı (p>0.05). Remifentanil grubundaki SKB stabilitesi esmolol ve fentanil gruplarına göre daha fazlaydı. Remifentanil grubundaki DKB’daki düşüş diğer gruplara göre daha fazlaydı. KAH’daki düşüş remifentanil grubunda 1. 3. ve 5. dakikalarda daha fazla idi. Sonuç: Bizim çalışmamıza gore, entübasyona hemodinamik yanıtı önlemede remifentanilin 0.5 mikrogram/kg infüzyon dozunda diğer ilaç gruplarına en etkin ilaç olabileceğini söyliyebiliriz.
The Comparison of Color Doppler Ultrasonography and Indirect Computer Tomography Venography for the Diagnosis of Deep Venous Thrombosis in Patients with Suspected Pulmonary Thromboembolism
Authors: GÜNEY Betül
Published: September 2020

Erciyes Üniversitesi Tıp Fakültesi 2002

T.C. Sağlık Bakanlığına bağlı Sağlık Ocaklarında, Pratisyen Hekim 2002-2004

Tıpta uzmanlık: Erciyes Üniversitesi Tıp Fakültesi Radyoloji Bölümü 2005-2010

Kayseri Eğitim Araştirma Hastanelerinde, Radyoloji Uzman Doktor 2010-2015

Özel Melikgazi Hastanesi, Radyoloji Uzman Doktor 2015-2018

Halil Bayraktar Sağlık Hizmetleri Meslek Yüksek Okulu, Dr. Öğretim Görevlisi 2019- halen devam ediyor
The effects of hydrogen sulfide, carbon monoxide and nitric oxide on pentylenetetrazole-induced seizures in rats
Authors: EROĞLU Ezgi , ÇENGELLİ ÜNEL Çiğdem , HARMANCI Nuşin , KALTUŞ Zuhal , KILIÇ Cansu , DOĞAN Hatice , ALTINBAŞ Rabiye , EROL Kevser
Published: September 2020

Objective: It is aimed to investigate the anti-convulsant effects of bioactive gas mediators hydrogen sulfide (H2S), carbon monoxide (CO) and nitric oxide (NO) in pentylenetetrazole-induced convulsions in rats.
Material Methods: Eighty male Wistar-Albino rats randomly divided into ten groups. Convulsions was induced by administering 60 mg/kg pentylentetrazole intraperitonally. Diazepam, NaHS, CORM-2, L-arginine and L-NAME were administred 60 minutes after pentylentetrazole. Seizure latency, seizure duration and seizure score were evaluated. Data were analyzed by the Kruskal Wallis test followed by posthoc analyses with Tukey. P <0.05 was considered statistically significant.
Results: Diazepam (2 mg/kg) extended the seizure latency and no significant difference was found in other groups. Diazepam (1 and 2 mg/kg) and NaHS (10 mg/kg) reduced seizure duration. NaHS (5 mg/kg), CORM-2 (5 and 10 mg/kg), L-arginine (30 and 100 mg/kg) and L-NAME (30 mg/kg) increased the seizure score significantly as compared to diazepam (1 and 2 mg/kg) groups.
Conclusion: NaHS (10 mg/kg) may be protective in pentylentetrazole-induced seizures.
Tiroid Nodülü
Authors: KARA İrfan , YILDIZ Muhammed Gazi , ORHAN İsrafil
Published: September 2020

Tiroid nodülü foliküler hücrelerden köken alan ve radyolojik olarak tiroid parankiminden ayırt edilen lezyonlara karşılık gelmektedir. Kadınlarda daha sık görülmekte ve sıklığı yaşla birlikte artmaktadır. Yapılan USG taramalarında %20-67 tiroidde nodül saptanmaktadır. Tiroid nodüllerinin %7-15’inden karsinom gelişmektedir. Tiroid nodülü saptanan hastalardan TSH görülmeli ve Tiroid USG istenmelidir. Tiroid USG özelliklerine göre de hastalardan İİAB istenmelidir. Tiroid İİAB sonuçları Bethesda sınıflamasına göre değerlendirilmektedir. İİAB sonuçları, hastanın klinik özellikleri, USG bulguları ve moloküler testlere göre nodüle yönelik tedavi planlanmaktadır. Bu yazıda güncel literatür eşliğinde tiroid nodülüne yaklaşım ele alınmıştır.
LATERAL EPİKONDİLİTTE FİZİK TEDAVİ VE STEROİD ENJEKSİYONUNUN ETKİNLİĞİNİN KARŞILAŞTIRILMASI
Authors: MAZLUM MACİT Pınar , SAĞLAM Gonca , ERDAL Akın
Published: September 2020

AMAÇ: Bu randomize kontrollü çalışmada lateral epikondilitte lokal steroid enjeksiyonu ile terapötik pulse ultrason ve parafin tedavisinin etkinliklerini karşılaştırma amaçlandı.

GEREÇ VE YÖNTEMLER: Otuz altı lateral epikondilit teşhisi konulan hasta randomize olarak 18’er kişilik iki gruba ayrıldı. 1. gruba lokal steroid enjeksiyonu uygulanırken, 2. gruba pulse ultrason ve parafin tedavisi verildi. Hastalar başlangıçta, 3. haftada ve 6. haftada değerlendirildi. Başlangıçta ve takiplerdeki ağrı düzeyleri, istirahat ve aktivitede Vizüel Analog Skala ve Likert skalası ile sorgulandı. Kontrollerde; basınçla ve dirence karşı el bileği ekstansiyonu ile gelişen ağrı, elin sıkma gücü, hasta ve hekimin global değerlendirmesi kaydedildi.

BULGULAR: Tedavilerin sonunda her iki grupta da tüm ağrı parametlerinde azalma ve el kavrama gücünde artış izlendi. 3. ve 6. haftalardaki tespit edilen iyileşme bakımından gruplar arası anlamlı fark görülmedi.

SONUÇ: Lateral epikondilitte steroid enjeksiyonu ve ultrason ile parafin tedavileri etkin bir şekilde kullanılabilir. Ağrıda hızlı azalma için ucuz ve pratik olan steroid enjeksiyonu tercih edilebilir.
SENSE STRUCTURE OF MODAL UNITS “NON POTERE TRATTENERSI (ASTENERSI) DA” AND “NON POTERE FAR A MENO DI” (IN ITALIAN)
Authors:   Taras Shevchenko National University of Kyiv, Kyiv, Ukraine, Okhrimenko Valery
Published: September 2020

The article focuses on appropriateness’s of quantifying of information in microtext of functioning of modal units “non potere trattenersi (astenersi) da” and “non potere far a meno di” in the Italian language. Modal units “non potere trattenersi (astenersi) da” and “non potere far a meno di” determine quantifying of information in microtext being nucleus and forming modal structures together with joined components. The modal structure is formed by joined components in according to the regularity rules in the pre-nuclear zone (components combined with modal construction “non potere trattenersi (astenersi) da” or modal construction “non potere far a meno di” and the near-peripheral zone (components used in the modal sentence with these modal constructions or in adjacent sentences). The modal units “non potere trattenersi (astenersi) da” and “non potere far a meno di” acquire the status of modal structures in the microtext oh their functioning. These modal units conserving the liaison with their inner form possess semantic implicatures of contrast and reactivity. The modal unit “non potere far a meno di” possesses one more semantic implicature: actionality. The typical microtexts of functioning of the Italian modal units “non potere trattenersi (astenersi) da” and “non potere far a meno di” are perceptional, emotional and epistemic.
Pedestrian Evacuation Modelling with Dynamics Congestion Avoidance
Authors: Wang Zongzhi , Chen Tao
Published: September 2020

With the development of computer technology, pedestrian simulation becomes an efficient method to analyse evacuation efficiency under various scenarios. Some important and common behaviour of pedestrians, congestion detection and avoidance, which is seldom considered in pedestrian simulation complicatedly, are discussed in this paper. A modified cellular automata model considering dynamic congestion detection and avoidance is proposed and applied to simulate two different scenarios to demonstrate the effect of congestion avoidance behaviour, which have a significant improvement on evacuation efficiency. The accuracy and efficacy of this model is verified through the comparison result which is conducted through commercial software, Pathfinder. The modified model shows that with the consideration of congestion avoidance behaviour properly, the evacuation efficiency is improved approximately 40% than the model proposed by this paper, without the consideration of congestion avoidance behaviour.
Pedestrian Models for Robot Motion
Authors: Zanlungo Francesco , Ferreri Florent , Even Jani , Morales Luis Yoichi , Yücel Zeynep , Kanda Takayuki
Published: September 2020

We discuss the development of a robot system able to replicate human group motion and show how a pedestrian model may be converted to a robot control system in order to achieve this goal.
Virtual Reality approaches for evacuation simulation of various disasters
Authors: Takeichi Naohiro , Katagiri Takeshi , Yoneda Harumi , Inoue Shusaku , Shintani Yusuke
Published: September 2020

This paper presents a virtual reality (VR) system of evacuation in the cases of various disasters. We considered a combination of disasters under realistic scenarios. Disaster simulations by numerical models were imported into the VR system to express a realistic situation. Not only disaster experts but also designers and non-professionals are able to share realistic experiences for escape from the disasters. This system is useful for performance-based design, planning of escape, disaster prevention, evacuation drill etc. The VR system consists of Building Information Modelling, physical simulation models for disasters and human behaviour’s simulation.
A new framework for high-resolution pedestrian data processing using rule-based algorithms and real-time alarm systems
Authors: Moos Michael , Vitins Basil , Tayebi Mirwais , Gamper Lukas , Wysling Julia , Schtalheim Uri
Published: September 2020

Pedestrian flows and densities have increased in recent years within transport-related public facilities such as train stations, as well as in private buildings such as shopping centers, event halls or convention centers. Increasing flows and high densities often raise comfort, safety, operational and delay issues; and therefore, require pedestrian flow optimization, intervention or even revised regulation. Recent technological advances enhanced pedestrian sensing; however, they disregard adaptive data capture, processing, and strategic communication within reasonable time, or real-time, such as tactic occupancy or density alarms trigger rules. Content of this research is twofold. First, new data capturing and processing advances of recent technological developments are combined in an integral software and hardware-based framework. Second, applied methods highlight projects and experiences on both pedestrian research and on existing and operating pedestrian facilities. Based on the described, two-sided approach, proposed framework is able to fulfil high safety and comfort standards of facilities such as train stations, retail facilities or event halls. In this research, past semi-automatic video analysis processing of pedestrian behavioral studies is replaced with combined sensor and data processing system within proposed framework. In train stations of major operators, real-time pedestrian observation increases safety levels on station platforms. Tactic algorithms and alarm trigger schemes enable on-time surveillance, e.g. at overcrowded floor levels in shopping centers for escalator or door closure. Sensor data is used to train models for underpass pedestrian flow regarding path choice and fundamental diagram. In retail, queue length, trajectory analysis and floor occupancy are determined for economic, comfort as well as safety evaluation. Using trajectory classification, movement and dwell time is analyzed for staff and visitors separately (see Figure 1).
Malign biliyer darlıkta endoskopik ultrasonografi eşliğinde biliyer drenaj: Olgu sunumu
Authors: SUNA Nuretdin , ETİK Diğdem , TSEVELDORJ Nomingerel , HİLMİOĞLU Fatih
Published: September 2020

Endoskopik retrograd kolanjiyopankreatografi, pankreatikobiliyer drenajda ilk tercih edilen yöntemdir. Ancak lüminal obstrüksiyonu ya da cerrahi ile anatomisi değiştirilmiş olan hastalarda endoskopik retrograd kolanjiyopankreatografi işlemi zor ve hatta bazen imkansız olabilir. Endoskopik retrograd kolanjiyopankreatografi işlemi mümkün olmayan hastalarda en yaygın kullanılan yöntem olan perkütan transhepatik biliyer drenaj, yüksek advers olaylar ile ilişkilidir. Bu nedenle, biliyer drenajı sağlamak için daha az invaziv olan alternatif yöntemlere ihtiyaç duyulmaktadır. Son iki dekatta, perkütan transhepatik biliyer yöntemine alternatif olarak bazı deneyimli merkezlerde uygulanan endoskopik ultrasonografi eşliğinde biliyer drenaj daha az advers olaylar ile ilişkilidir. Bu yazıda, pankreas başı kanserinin duodenum duvarına ve papillaya invazyonu nedeniyle endoskopik retrograd kolanjiyopankreatografi yapılamayan bir olguda endoskopik ultrasonografi eşliğinde gerçekleştirilen biliyer drenaj uygulanmasını sunuyoruz.
India and COVID-19: the task ahead
Authors: Bhattacharya Madhulekha , Mukherjee Madhumita , . Shambhavi
Published: September 2020

COVID-19 pandemic has impacted countries across the globe causing unprecedented morbidity and mortality and weakening the economic fiber of each country. India too has to face this challenge by its strengths and manage the weaknesses to get over this COVID-19 disease, which is recording an average of 30 to 40000 positive cases per day in july2020 .The factors in favor of India are the epidemiological parameters such as low case fatality rate of 2.43%, recovery rate of 66% , the young population (67 % between 15 to 64 years), and only 7% (65 years plus) population. The guidelines issued by government of India regarding ban on travel, quarantine, isolation, treatment protocols, containment zones and testing policies steering the country with low death rates. The supreme court directive to increase testing facilities is being implemented with all medical colleges and private sector given permission for testing. The “point of care test” at hot spots will unearth asymptomatic and pre-symptomatic cases and prevent transmission from them. However, lack of concept of insurance and prevention in the community, misconceptions about quarantine, economic crisis and insufficient health infrastructure are hindrances in managing the current pandemic. The dictum of prevent, test, track and treat given by Indian council of medical research chief is the path to be followed. Aided by the various digital apps for contact tracing, tele medicine for managing cases in remote areas and provision of hospital facilities for moderate and severe cases till the indigenous vaccine arrives, should be the strategy adopted by India to get over the COVID-19 pandemic.
A study to assess the knowledge and attitude towards HIV of pharmacy students from Mumbai university
Authors: Thingore Chetan , Joshi Ruchira , Kshirsagar Viplav , Limaye Dnyanesh
Published: September 2020

Background: India is the biggest HIV epidemic in the world. The role of a pharmacist is pivotal in educating the general masses. The aim of the study was to determine the knowledge and attitude of pharmacy students from University of Mumbai.Methods: A cross-sectional study was conducted in University of Mumbai during February-March 2020. Therein, 307 students (214: females and 94: males) participated in the study. The questionnaire was distributed in the classroom and data was collected by means of Google-forms. Furthermore, the data was analysed using IBM SPSS version 23.Results: The participants demonstrated good knowledge (84%) and attitude (76%) score. With respect to knowledge score, no significant difference was observed except for responses of two questions, aim of the antiretroviral therapy (ART) and Avoidance of sexual intercourse can decrease the risk of HIV. With respect to attitude score, Volunteering to work at an institute for the welfare of HIV patients showed a significant difference.Conclusion: The current study showed that there were no misconceptions or negative attitude regarding HIV among the students. However, a study with greater sample size must be conducted across India for further investigation.
Risk assessment of priesthood as an occupation in the religious city of India
Authors: Verma Arpit , Khandelwal Vidit , Baghel Anil Singh , Chourasiya Sanjay Kumar
Published: September 2020

Background: Ujjain being a holy city with 327 registered temples, large numbers of people are indulged in priesthood as an occupation. Priests are more vulnerable for health-related problems as priesthood demands some characteristic working environment, i.e. closed, damped, smoky, noisy and crowded workplace. Aim of the study was to assess workplace environment of the priest along with occurrence of occupational injuries.Method: A cross-sectional study done on registered Hindu priests. Total sample size was 440. Simple random sampling was done. Self-designed, pre-tested and semi-structured questionnaire including parameters like problem felt, job satisfaction, stress felt, working hours and occupational injuries were used for data collection by personal interview.Results: 256 (58.2%) study participants encounter occupational injury. Problems felt at their workplace were- overcrowding 259 (58.9%), improper drainage system 48 (10.9%), unsafe drinking water 44 (10%), air pollution 25 (5.7%), inappropriate waste disposal 24 (5.5%), poor ventilation 24 (5.5%), no sick-room 8 (1.8%) and no toilets 8 (1.8%). Out of 440 study participants 132 (30.0%) were not satisfied with their job due to-less financial support 96 (22%), long duration of working hours 20 (4%) and stressful relations with co-workers 16(4%). 136 (30.9%) of study participants were stressed at their workplace. Statistically significant (p<0.05) association was seen between occurrence of occupational injuries and age, job satisfaction, working hours (overtime) and stress felt.Conclusion: Most of the problems felt by study participants along with occupational injuries and job dissatisfaction occurred due to poor financial support, long working hours and stressful relations with co-workers.
Biomarkers of inflammation and oxidative stress in smokers and severe chronic obstructive pulmonary disease patients
Authors: Asimuddin Mohammed , Vijaylakshmi Gutta , Soheb Ansari Mohd , Jamil Kaiser
Published: September 2020

Identification of biomarkers for the novel therapeutics targets of Chronic obstructive pulmonary disease (COPD) is an important area of current research. In this study, the level of inflammatory cytokines was investigated and correlated these levels with erythrocytic antioxidant activities in COPD patients with smokers and without smokers and parameters of severity.

Plasma levels of Interleukin (IL)-6, IL-8 and IL-10 concentrations were assayed by means of Enzyme-linked Immunosorbent Assay (ELISA) and erythrocytic glutathione-s-transferase (GST) and glutathione peroxidase (GPx) activities were estimated by spectrophotometric method.

Both IL-6 and IL-8 plasma levels showed a statistically significantly higher in COPD patients as compared to healthy controls (p<0.001; p<0.05). In contrast, the IL-10 was lower in COPD patients as compared to control group (p<0.05). FEV1 was significantly negatively correlated with plasma IL-6 (r= - 0.565, p< 0.001) and IL-8 (r= -0.453, p <0.05). Plasma IL-6 was found negative association with erythrocytic GST (r= - 0.018, p>0.05) and GPx activities (r= - 0.080, p>0.05). Similarly IL-8 was also found negative association with GST (r= - 0.260, p>0.05) and GPx activities (r= - 0.268, p>0.05). Whereas, a significant positive association was observed between IL-10 and erythrocytic GST (r= 0.494, p <0.05) and GPx activities (r= 0.546, p < 0.001).

In conclusion, Plasma levels of inflammatory cytokines IL-6 and IL-8 are related with severity of COPD and IL-10 and oxidative stress markers GST and GPx are co-dependent and strongly interrelated processes and may be used as a potential marker for the evaluation of COPD.