bluuebunny/crossref_metadata_2025 huggingface dataset:
Arteria centralis retinae elzáródás thrombolysiskezelése és multidiszciplináris ellátása a hagyományos szemészeti kezelési formákkal összehasonlítva
Authors: Vajda Szilvia , Gunda Bence , Knézy Krisztina , Barsi Péter , Varga Csaba , Maurovich-Horvat Pál , Bereczki Dániel , Nagy Zoltán Zsolt
Published: April 2024

Háttér és cél – Az arteria centralis retinae okklúzió (ACRO) eddigi konzervatív terápiái limitált hatékonyságúak, szemészeti osztályokon történtek, ahogyan az egységes protokoll nélküli etiológiai vizsgálatok is. Pedig az ACRO a központi idegrendszeri ischaemiás stroke analógiájának tekinthető, így a szisztémás thrombolysis és a multidiszciplináris ellátás hasonlóan hatékony lehet. Emiatt 2022 májusa óta a Semmelweis Egyetemen klinikai vizsgálat keretében a 4,5 órán belül diagnosztizált ACRO thrombolysiskezelését és etiológiai vizsgálatait végezzük egységes protokoll alapján. Vizsgálatunk célja a szemészeti, nem protokoll szerinti, és a multidiszciplináris, protokoll szerinti ACRO-ellátás összehasonlítása. Módszerek – Áttekintettük a 2013 és 2022 között a Szemészeti Klinikán ACRO-val konzervatívan és 6 órán belül paracentesissel is kezelt betegek látásélesség-változását, fellelhető neurológiai és cardiovascularis vizsgálatainak eredményeit, valamint a thrombolysisprojekt keretében ellátott betegeket. Eredmények – A 78 nem protokoll szerinti ellátásban részesülő betegnél látásjavulást természetes lefolyás esetén 37%, konzervatív kezelés mellett 47%, paracentesissel 47%-nál láttunk. Szignifikáns carotisstenosis négy, carotisdissectio egy, cardialis emboliaforrás hat, óriássejtes arteritis egy esetben igazolódott; endarterectomián két beteg esett át. A protokoll szerinti klinikai vizsgálatba négy, időablakon belüli betegből három egyezett bele, náluk thrombolysis történt. Két betegnek javult a visusa, két betegnél szignifikáns carotisstenosis igazolódott, és endarterectomián estek át, egy betegnél novum pitvarfibrilláció miatt antikoagulálást kezdtünk. Következtetés – A terápiás időablakon belül jelentkező ACRO-betegek ritkák, a thrombolysis hatásosságának megítéléséhez nagyobb betegszám szükséges. Az egységes vizsgálati protokoll azonban egyértelműen elősegíti az etiológiai diagnózist, így a további, akár súlyosabb formában jelentkező thromboemboliás szövődmények megelőzését.
Validity and reliability of the Turkish version of the Informant Assessment of Geriatric Delirium Scale
Authors: Celik Buket , Bilik Ozlem , Koçbilek Zeynep Deveci , Damar Hale Turhan , Öz Didem , Denizmen Zeynep
Published: April 2024

Background and purpose – Delirium is a common complication developing in elderly patients. Therefore, it is important to diagnose delirium earlier. Family caregivers play an active role in early diagnosis of delirium and build a bridge between health professionals and patients. The purpose of this research was to achieve the validity and reliability of the Turkish version of the Informant Assessment of Geriatric Delirium Scale (I-AGeD). Methods – This is a methodological study. The sample comprised 125 caregivers accepting to participate in the study and offering care to older patients with hip fracture aged ≥60 years. Data were gathered preoperatively and on postoperative days 0, 1 and 2. After achieving the linguistic and content validity of the scale, the known-groups comparison was used to achieve its construct validity. The ROC curve analysis was made to determine the sensitivity and specificity of the scale. Item-total correlations, item analysis based on the difference between the upper 27% and lower 27%, Kuder–Richardson 20 (KR-20) coefficient and parallel forms reliability with the NEECHAM Confusion Scale were adapted to assess discriminant indices of the items in the I-AGeD. Results – The item-total correlation coefficients of the scale ranged from 0.54 to 0.89 and KR-20 coefficient ranged from 0.09 to 0.91 depending on the measurement times. According to the ROC curve analysis, the sensitivity and specificity of the scale were ≥ 91% and ≥ 96% respectively. The parallel forms reliability analysis showed a highly significant, strong negative relation at each measurement between the I-AGeD and the NEECHAM Confusion Scale. Conclusion – The I-AGeD is valid and reliable to diagnose delirium in older Turkish patients in perioperative processes.
Lightning strike‑induced cauda equina syndrome: a case report
Authors: Akkan Suzan Aysegul , Ozenc Betul , Sahin Ayse Gamze , Odabasi Zeki
Published: April 2024

Peripheral nerve injuries after being struck by lightning have been documented. Here, we report a case of cauda equina syndrome induced by lightning. A 27-year-old man presented with numbness, a burning sensation in the saddle region, and increased urinary urgency after being struck by lightning. He had absent Achilles reflexes and paresthesia in the saddle region upon neurological examination, and magnetic resonance imaging of the spine was normal. Electrophysiological studies indicated involvement of bilateral L5, S1, and S2 myotomes and revealed cauda equina lesions. Peripheral nerve injury induced by lightning is rare, and the evaluation of people with neurological complaints using electromyography will help determine the true incidence.
Internally weighted mandibular denture: Addressing severe resorption for enhanced stability and comfort: A case report
Authors: Kumar Varun , Deole Kedar
Published: April 2024

The prosthetic rehabilitation resorbed mandibular ridges presents a clinical dilemma when opting not to proceed with endosteal implants. Over time, mandibular complete dentures supplemented with extra weight have demonstrated efficacy in meeting the requirements of patients with significantly resorbed ridges. The weight of such dentures, crafted from cast metal, has conventionally been calculated by taking into account the weight of the wax and the density of the alloy. This clinical report outlines the case of a 68-year-old woman with a significantly resorbed mandibular ridge, emphasizing the application of a weighted mandibular complete denture.
A case report on the rehabilitation anterior teeth using custom made post and pre fabricated fiber post and core
Authors: Tarannum Faujia , Roy Ispita , Hazarika Shjanolima , Ahmed Asra , Tiwari Ankita
Published: April 2024

Posts are recommended to fortify weak, endodontically treated teeth against intra-oral forces by channeling torquing forces through the radicular dentin to supportive tissue along the roots. The subsequent case studies demonstrate an interdisciplinary approach that employed custom cast posts and complete veneer crowns to repair severely damaged treated teeth, restoring both their appearance and functionality. Coordinating prosthetic and endodontic treatments, while carefully considering the patient's expectations and requirements, played a pivotal role in achieving positive outcomes and ensuring patient satisfaction. Traditionally, the cast metal post and core system has been widely used as the foundational restoration for a prosthetic crown, benefiting from a natural extension of the post within the core. The post's function is to bolster the core restoration, which rebuilds the compromised coronal structure. This article explores the utilization of cast post and core systems alongside porcelain-fused-to-metal restorations for addressing injured maxillary central incisors.
O potrzebie zwiększenia aktywności zawodowej kobiet w Polsce
Authors: Turczak Anna
Published: April 2024

Demographic forecasts for the population of Poland are very unfavorable. Low fertility rates with relatively long life expectancy result in the aging of the society. The number and percentage of people in working age is decreasing, while the number and percentage of the retired population is increasing. The ongoing demographic changes have and will continue to have a huge impact on all dimensions of socio-economic life. In the conditions of the progressive aging of the society, there are legitimate concerns about the efficiency of the retirement system operating in Poland. There are also justified concerns about the adequacy of future pensions. The negative effects of demographic changes could be mitigated by increasing the professional activity of women. Currently, despite the growing educational advantage of women, their intellectual and professional potential is largely wasted. The aim of the research presented in the monograph is to determine the changes in the level of education and professional activity of women and men in Poland and to describe in a formalized manner the relationships that exist between gender, education level and professional activity.
Narrativas de violência e saúde mental: experiências e territórios
Authors: Garcia Jr. Carlos Alberto Severo , Ceccon Roger Flores
Published: April 2024

É desnecessário falar sobre o compromisso ético e político dos organizadores, os professores Carlos Alberto Severo Garcia Jr. e Roger Flores Ceccon, com o campo de saberes e práticas da Saúde Coletiva. Ambos têm transbordante produção intelectual, tradição de docência, pesquisa e atuação social, que fala por si. Mas aqui temos uma artesania muito particular, que talvez seja mais preciso caracterizar o que fizeram como uma curadoria para compor o livro. Desde a chamada de manuscritos, até a organização, revisão e sequenciamento dos textos. Eu gosto muito (do gosto estético, que amplia as fronteiras do pensamento e da ação, como em Deleuze e Guattari), mas também político (que produz inclusão de vozes e pensamentos periferizados), de ver produções que buscam diálogos com o cotidiano. Essa é uma necessidade urgente do nosso tempo. Vou falar um pouco sobre essa inovação e a coragem de inovar, que deveria ser o cotidiano da Saúde Coletiva, sobretudo o diálogo com o cotidiano. Não é de uma inovação igual à novidade, tão ao gosto do mercado capitalístico, mas de virada epistêmica, de transformação dos modos de pensar e fazer ciência, nesse caso.
Digitality in the Open Science age: practices and genres
Authors:   Moscow Institute of Physics and Technology, Alenkina Tatiana
Published: April 2024

No matter where we are in the revolution versus evolution debate, digitality has undoubtedly brought about radical changes of practices and genres. Today digital genres born in the Internet age as New Media resources (science news reports or science blogs) compete with a traditional print-based genre of a research article. Although few works have synthesized the interaction of these “old” and “newly-born” genres, the Open Science digitality context has not received considerable treatment in genre scholarship, and little attention has been given to such features of scientific genres as multimodality, interdiscursivity, participatory culture. Thus, the relevance is in the reconceptualization of the Open Science practices and classifying the Internet-born genres of science communication. The qualitative method of discourse analysis is used in the lens of the social semiotic and the social genre theory proposed by the New Rhetoric School. As a result, four groups are suggested: research genres, promotional genres, trans-scientific genres, presentational genres. As a result of the analysis, we have come to the following conclusions. First, hybridization penetrates all the discourse and language levels: written discourse is combined with oral discourse, scientific style – with spoken style, scientific discourse – with journalism. Second, multimodality competes with the writing-based space, thus getting the potential of a meaning-making tool. As a result, the concept “science” has been reconsidered; science has become not only the professional community property but an active area of engagement with other fields and audiences in the process of science popularization. Digitality serves more than a medium and genres are not only recontextualized but gained more complexity.
Language attitudes: sociolinguistic aspect
Authors:   Institute of Linguistics of the Russian Academy of Sciences, Kirilenko Svetlana V.
Published: April 2024

Language attitudes are pivotal in shaping spheres of language use, impacting language change and policy. They reflect how communities perceive and value languages, influencing language choice, education, and social interactions. Studies on language attitudes explore preferences in language instruction, societal perceptions, and the potential for language discrimination. Positive attitudes can elevate language prestige, while negative ones may contribute to language decline. Loyalty to a language or a variety can resist influences from a dominant language, especially if a minority language prestige is high. The article comprises reviews on ‘language attitudes’ as a term, an overview of the history of research on the perceptions of a language, analysis of related changes occurring among speakers. The objective of the article is to provide a forecast for the future fate of Karelian, Kalmyk, and Yakut languages by analyzing language attitudes. The focus of the study was on the perceptions of a language held by members of a speech community, i.e., those who have no command of the studied language, as these perceptions were deemed highly significant. When the overall sentiment toward a language is positive, and speech community members recognize the importance of having at least a basic proficiency in it, the prospects for the language's growth appear promising. Such favorable attitudes may lead speech community members to actively encourage language study among their children or grandchildren or even decide to learn the language themselves later in life, creating a potentially fertile environment for a language to flourish.
Impact of corporate culture on product innovation capacity: Evidence of Vietnam commercial bank
Authors: Viet Ha Nguyen Thi , Van Ha Nguyen
Published: April 2024

The purpose of this study is to examine the impact of the bank’s corporate culture on its product innovation in Vietnam. Based on the findings, recommendations are made to improve the bank's ability to innovate. Research hypotheses were put forth based on an analysis of the literature addressing the relationship between corporate culture and innovative potential.  The data was obtained from the survey conducted in 2021 with 268 participants from 18 banks in Vietnam. SPSS software was used to verify the research hypotheses. According to the empirical findings of the regression model, creative culture and leadership are the two essential elements through which corporate culture influences Vietnamese commercial banks' creative product offerings. The study’s results are expected to help bank managers use direct efforts and resources in the most effective and efficient way to encourage the bank’s product innovation. Banks in Vietnam need to focus on building a culture that fosters innovation.  The leaders of a bank need to be proactive in encouraging changes and taking risks to remain relevant in the market. Moreover, fostering and raising awareness of business culture among bank staff is of utmost importance. The bank needs to have a reasonable customer policy   and clearly define the bank's vision and core values and create a culture of good behavior in the bank culture. The bank's product innovation capacity would be improved by promoting these values in the workplace.
New information on the distribution of cicads (Insecta, Homoptera, Cicadinea) in the Amur river basin (Khabarovskii krai) in specially protected areas
Authors:   Federal State Institution “Zapovednoe Priamurye”, Institute of Systematics and Ecology of Animals, Siberian Branch of Russian Academy of Sciences, Dubatolov Vladimir V.
Published: April 2024

The distribution of cicadas in the Khabarovskii Krai has been studied very poorly, in contrast to the Amurskaya Oblast’ and Primorskii Krai. Ledra auditura (Ledridae) (also recorded from the eastern part of Zabaikal’skii Krai, the Argun River basin), Glossocratus foveolatus (Cicadellidae), Eoscartopsis assimilis (Cercopidae), Taihorina geisha (Machaerotidae), Cicadetta yezoensis (Cicadidae), Delphax maritima (Delphacidae), Mysidioides sapporensis, Losbanosia hibarensis, Zoraida albicans, Z. horishana (Derbidae), Cixidia ussuriensis, Kosalya flavostrigata (Achilidae), Saigona ussuriensis (Dictyopharidae), Limois emelianovi (Fulgoridae) are recorded for the first time in the River Amur basin from Khabarovskii Krai.
Economic relations between Saratov and Ufa at the turn of the XIX–XX centuries (forest bargaining)
Authors:   Order of the Badge of Honour Institute of History, Language and Literature – Subdivision of the Ufa Federal Research Centre of the Russian Academy of Sciences, Rodnov Mikhail I.
Published: April 2024

The article shows one of the main directions in economic contacts between Saratov and Ufa – timber trade in the second half of the XIX – early XX centuries. The main source was the reporting of the Ufa branch of the Volga-Kama Commercial Bank, one of the largest private banks of the Russian Empire, whose branches opened in Saratov in 1871, and in Ufa in 1873. The main feature of the Ufa forest trade in Saratov was the use of promissory notes due to the need to quickly sell goods before the end of navigation. The documentation of the Volga-Kama Bank contains information about specific Saratov entrepreneurs.
The phenomenon of collaborationism in the territories of the USSR occupied by Nazi Germany (1941–1944): Points of view and assessment in historiography
Authors:   Adyghe State University, Malysheva Elena M.
Published: April 2024

An extensive domestic and foreign historiography has beencreated on the topic ofcollaborationism andrelated problems. The purpose of this work is to consider the phenomenon of collaborationism and the forms of its manifestation in the temporarily occupied territories of the southern regions of Russia, the Crimea, the North Caucasus, to compare the approaches of researchers in understanding its essence, forms and scales. Based on the analysis of assessments of this complex social phenomenon and a review of the developments of the latest domestic historiography, a conclusion was made about the need for further research on the topic. A larger-scale introduction into scientific circulation of such documents as reports on military operations of the enemy, memorandums and orders located in foreign archives, as well as additional involvement of historical sources of personal origin, is in demand. The importance of addressing this problem is caused not least by the attempts of modern anti-Russian forces to revise and revise the results of the Great Patriotic War.
Self-presentation strategies of English scientists in the 17–18th centuries
Authors:   Ural Federal University, Shipitsyna Yulia S.
Published: April 2024

The article is devotedtothe problem of historicalvariability ofself-presentationstrategies of Englishscientists inthe XVII–XVIIIcenturies. The author pays attention to the certain case, connected with such naturalists as Joseph Banks, Daniel Solander, Jonas Dryander and Robert Brown. These scientists were involved in the corporate social network, created by Banks and known among the historians as Banksian Learned Empire. Technologies of information organizing, used by these naturalists, met the tasks of attainment visual obviousness of large data set and implementation of availability this data for wide circle of people, who were interested in content of naturalistic collections and libraries. Described strategies seem an alternative way of gaining scientific authority, what highlights the value of its researching in the context of actual researchers’reflection problem.
The American vector of Russia’s foreign policy in the period of Boris Yeltsin’s first presidency
Authors:   Belarusian State University, Vitebsk State University named after P. M. Masherov, Kosov Alexandr P.
Published: April 2024

The articleconsiders Russia’s foreign policy towards the United States in 1991–1996. The desire of the Russian leadership to achieve the level of strategic partnership with the United States is shown in the conditions of the formation of a new Russian statehood and the weakening of thecountry’s international positions. Theconclusion ismade about thecollapse ofMoscow’s unjustified hopes and illusions for equalcooperation with Washington.
A rare cause of hemorrhagic shock: Antrum biopsy under rivaroxaban
Authors: BODAKÇİ Emin , TUĞÇE GÜVENİR Sevinç
Published: April 2024

Direct oral anticoagulants (DOACs; apixaban, dabigatran, edoxaban, and rivaroxaban),) are used in the management of patients with atrial fibrillation, ischemic heart disease, venous thromboembolism, and valvular heart disease. These drugs also increase the risk of gastrointestinal (GI) bleeding from luminal sources such as ulcers or diverticula and after endoscopic procedures.1-2 Rivaroxaban is a direct competitive inhibitor of  factor Xa and limits thrombin generation in a dose dependent manner.6 Although no serious bleeding was reported in the endoscopic mucosal biopsy performed under rivaroxaban in the literature. in our case, hemorrhagic shock developed due to leakage in the biopsy area as a result of antrum biopsy performed under rivaroxaban.
Treatment Outcomes of Delayed Definitive Surgery of Tibial Plateau Fractures
Authors: Ntombela Philani , Green Lewellyn , Ford Thornton
Published: April 2024

Background: Low energy tibia plateau fractures can be treated with definitive surgery within 48 hours. High energy tibia plateau fractures require a staged treatment plan that allows healing of the soft tissue envelope, with avoidance of devastating complications such as compartment syndrome and chronic infection. The aim of this study was to compare outcomes of definitive tibial plateau surgery performed within 21 days from the date of injury to those done after 21 days in a resource-restricted center.
Methods: A retrospective cohort study was conducted. Group A consisted of patients that received their definitive surgery within 21 days of the injury. Group B were those who had definitive surgery after 21 days from the injury. Outcomes of interest included infectious complications (suggestive- and confirmed-fracture related infection (FRI)) and clinical outcomes (pain and range of motion). All patients were treated in one center between June 2018 and June 2020.
Results: Forty-four (44) patients were included in the study. Twenty-three patients (23) were in group A while 21 were in group B. The median age was 40 (Inter quartile range [IQR]: 36 - 49) years in group A and 37 (IQR: 30 - 49) years in group B. Group A consisted of 15 males and 8 females while group B had 8 males and 13 females.
Suggestive FRI rate in group A was 26% compared to 33% in group B. Confirmed FRI occurred in 2% of patients in group A compared to none in group B. The pain visual analogue scale (VAS) in group A had a median of 2 (IQR: 0 - 4) and 3 (IQR: 1 - 3) in group B. Range of motion was found to be 94.13 (range: 40 - 130) degrees on average for group A and 99.5 (range: 70 - 120) degrees for group B.
Conclusion: Outcomes of surgeries performed after a delayed period of 21 days still were comparable to those performed before 21 days.
The Analysis of the Correlations between Quantitative HBsAG Level, Virological Markers, and Histopathological Findings in Patients with Chronic Hepatitis B
Authors: Deveci Özcan , Mermutluoğlu Çiğdem , Cerrah Serkan , Bekcibaşı Muhammed , Tekin Alicem , Çelen Mustafa Kemal
Published: April 2024

Introduction: We aimedto analyze the correlations between serum HBsAg quantification (qHBsAg) level and virological properties in chronic hepatitis B (CHB) patients.

Materials and Methods: The study was conducted with 53 CHB patients who underwent liver biopsy. Demographic characteristics of patients, biochemical parameters, serum qHBsAg levels, liver biopsy, and histopathology were assessed retrospectively.

Results: A total of 53 patients were included in the study the mean patient age was 28,7 ± 8.1 and 34 (64.2%) were male. The mean patient qHBsAg was 631.4 ± 431.5, fibrosis score was 1,35 ± 0.87, ALT index score was 67.1 ± 53.4, and histologic activity index (HAI) score was 4,54 ± 1.55. In the statistical analysis, it was determined that there were negative correlations between the serum qHBsAg level and the HBV DNA level (r: -0,618, P<0.001), fibrosis score (r: -0,273, P: 0.048), ALT (rho: -0,489, P<0.001), and HAI index scores (r: -363, P: 0.008), while there was a positive correlation with the HBeAg positivity (rho: 0.445, p: 0.001).

Conclusion: There were negative correlations between the qHBsAg level and virological (HBV DNA level), histopathological (fibrosis score, HAI index) findings, and a positive correlation with serological (HBeAg positivity) findings.
Homoeopathy in Diabetic Encephalopathy
Authors: Tripathy Tridibesh , Das Shankar , Pratap Singh Dharmendra , Prusty Dr. Umakant , Krushna Pattanaik Dr. Jeevan , Bihary Pradhan Dr. Pramod , Pandey Dr. S.N. , Tripathy Ms. Sanskriti , Tripathy Mrs. Anjali , Dwivedi Rakesh
Published: April 2024

People usually know Type 1 diabetes & Type 2 diabetes. The current article deals with Type 3 diabetes. Gradually, the common man is getting aware about the emerging brain issues in diabetic individuals. This is ‘Diabetic Encephalopathy’ or the Type 3 diabetes.
The article discusses the History, Patho Physiology, Epidemiology, Burden of the disease in India. Thereafter, the article explores the role of Homoeopathy of the AYUSH ministry in dealing with the problem. The article gives a suggestive treatment protocol based on Homoeopathy.
Finally, the article focuses upon the ‘cost effectiveness’, ‘clinical effectiveness’ & ‘zero side effects’ qualities of Homoeopathy. Hence, its use on a mass scale to deal with the ensuing diabetic related encephalopathy is discussed at the national level.
Unusual metastases of papillary thyroid carcinoma: a case report and review of literature
Authors: Asmaa Ajim , Arfaoui H. , Jabri H. , Elkhattabi W. , Afif H. , Rebbouh K. , Merzem A. , Belgadir H. , Amriss O. , Moussali N. , Benna N. , Abdulhakim B. , Bijou W. , Oukessou Y. , Rouadi S. , Abada R. , Roubal M. , Mahtar M. , Karkouri M.
Published: April 2024

Papillary thyroid carcinoma comprise approximately 80 % of all thyroid cancers. It has generally a good prognosis, and distant spread is rare. Common sites of distant metastasis include lung and bone. Whatever the pleural and breast metastasis are exceedingly rare. Their presence portends a dismal prognosis and a shorter median survival.
We recently experienced a case of 60 -year-old women with pleural and breast metastasis of papillary thyroid carcinoma. We report this case with a review of the literature.
Demographic Profile of Dengue Patient with Comorbidities in 100 Patients in A Tertiary Care Hospital, Bangladesh
Authors: Hossain Bhuiyan Mohammed Monir , Rubaiya Nurmahal , Afrose Shah Tazin , Mohammad Arif Sayed
Published: April 2024

Background: In the past decades, incidence of dengue has grown rapidly. There are four types of viruses (DENV-1, DENV-2, DENV-3, DENV-4) belonging to the Flaviviridae family. These mosquitoes breed in areas with standing water, including puddles, water tanks, containers and old tires. Lack of reliable sanitation and regular garbage collection also contribute to the spread of the mosquitoes. Each year, thousands of dengue infections are reported and there are several outbreaks of dengue in several countries including Bangladesh and this imply the global importance of this infection.
Objective: To assess the demographic profile of dengue patient with comorbidities in 100 patients in a tertiary care hospital.
Methods: A prospective study was done at Department of Medicine, Uttara Adhunik Medical College and Hospital, Uttara, Dhaka, Bangladesh from January 2023 to June 2023. Written consent was taken before including the subject to the study. The study included 100 patients who consented to be a part of the study. The patients were subjected to detailed history and clinical examination. Data were collected from hospital records. All the relevant data regarding history and examination findings of the patients, the laboratory reports were collected. Statistical package for social science (SPSS) version 22, was used for data entry and statistical analysis.
Results: Total 100 dengue patients were enrolled in this study. Mean age of all patient was 34.62±16.22 years (12-75 year) with male predominance (54%). Maximum patients were from urban residence (84%), non-smoker (73%), had active lifestyle (63%) and normal body mass index (69%). Overall, 65% patients had no comorbidity and 89% had no concurrent acute illness.
Conclusion: Although the results of this study cannot be generalized to other cities of Bangladesh, our findings will allow public health agencies in Bangladesh to concentrate their efforts to battle against dengue.
Leukopenia that successfully treated by Ustekinumab in patient with psoriatic arthritis
Authors: Dumirieh Sumaya , Drie Tasneem , Haidar Ghina , Kudsi Maysoun , Sulaiman Ameen
Published: April 2024

Introduction:Psoriatic Arthritis (PsA) is an immune-mediated disease. The effectiveness of biologics has changed therapeutic strategies for psoriasis. We report a case of leukopenia in a patient with psoriatic arthritis (PsA) who was treated with Ustekinumab.
Case presentation: A 36- year- old Syrian female presented for a follow up concerning treatment of psoriatic arthritis. She was diagnosed with psoriatic arthritis according to the CASPAR criteria.
She was treated with Methotrexate, then Sulfasalazine. On presentation, the physical examination revealed tender in metacarpals, proximal interphalengal joints and distal interphalengal joints of both hands.
 Laboratory analysis showed: white blood cells (WBC) :3500 /mm3, (Neut:23% n = 40-65%, Lymp:65% n= 25-40%), erythrocyte sedimentation rate (ESR): 40 mm/h1, and C-reactive protein (CRP): 9.3 mg/L . Given the patient’s ongoing disease activity, and the presence of leukopenia, we started with Ustekinumab 45 mg subcutaneous. After the third dose of Ustekinumab, evaluation showed improvement in her peripheral arthritis and normal laboratory findings.
Discussion: Patients with psoriasis had higher total white blood cell and neutrophil. Ustekinumab has good efficacy against disease activity as well as a favourable safety profile. In literature, we found a case of myelodysplastic syndrome associated with inflammatory bowel disease treated with Ustekinumab. Another case of constitutional neutropenia and psoriasis vulgaris treated with Ustekinumab.
Conclusion: This is the first case of leukopenia associated with PsA successfully treated with Ustekinumab.
UST treatment might be recommended for leukopenia associated with PsA, but further researches are recommended.
Analysis of Plasmid-Mediated Quinolone Resistance (PMQR) Genes Among Escherichia coli Strains Isolated from Patients with Urinary Tract Infection in Eastern Turkey
Authors: AKGÜL Ömer
Published: April 2024

Aim: Urinary tract infections are a common occurrence worldwide, with females being more susceptible than males.  Infections can manifest as asymptomatic bacteriuria or more severe forms such as sepsis. This study aims to analyse the plasmid-mediated quinolone resistance genes of Escherichia coli (E. coli) responsible for causing urinary tract infections.

Material and Method: Microbiological evaluation was conducted using conventional culture method, API 20E (API-bioMérieux, France), antibiotic susceptibility tests, and polymerase chain reaction (PCR).

Results: During the study period, 145 E. coli strains were collected from 96 (66.2%) outpatients and 49 (33.8%) hospitalised patients with urinary tract infections (UTI). The resistance rates of E. coli strains to quinolone antibiotics were as follows: nalidixic acid in 102 strains (70.3%), ciprofloxacin in 96 strains (66.2%), ofloxacin in 73 strains (50.3%), gatifloxacin in 47 strains (32.4%), levofloxacin in 41 strains (28.3%) and moxifloxacin in 32 (22%) strains. Based on the PCR test results, it was found that 80% (116) of the isolates carried at least one PMQR gene. Furthermore, 31.9% (37/116) of the isolates were found to carry two or three PMQR markers simultaneously.

Discussion and Conclusion: The objective of this study was to establish the prevalence of quinolone resistance among E. coli strains isolated from patients with UTI. To control the high rate of spread of antibiotic-resistant microorganisms, it is crucial for all healthcare facilities to implement more careful management of antibiotic use and adhere to procedures set by infection control programmes.
Safety and Efficacy of Intravenous Thrombolysis for Ischemic Stroke in Elderly Patient with Thrombocytopenia
Authors: Wijaya Ricky Candra
Published: April 2024

Introduction: Stroke remains as one of the diseases with a high mortality and morbidity which could be prevented by a prompt and concise treatment. Intravenous thrombolysis (IV-rTPA) is the mainstay treatment for hyperacute ischemic stroke with onset less than 4.5 hours. However, there are several contraindications that should be monitored, one of them being thrombocytopenia. We would like to report the use of IV-rTPA in geriatric patient with thrombocytopenia to highlight the efficacy and safety profile of the drug.
Case Report: A 85-year-old woman was admitted to the emergency ward with weakness on the left extremities, slurred speech, and right-upward gaze of the eyes one hour prior to the admission in ER. Her history was significant for hypertension and type II diabetes mellitus. Physical examination revealed a muscle strength of +5/+1, left 7th and 12th cranial nerves palsy, a NIHSS score of 15, and a RACE score of 7. The laboratory result was significant for thrombocytopenia (96.000/μl). IV-rTPA was administered and two hours later, we noticed an improvement of the patient’s NIHSS score to 11. During the IV-rTPA administration, we noted a minor gum bleed, which was considered insignificant. The patient was admitted to the ICU and observed for the next 72 hours. No signs of bleeding or clinical deterioration were observed during that period.
Discussion: Numerous studies have confirmed the efficacy of IV-rTPA in acute ischemic stroke if administered before 4,5 hours of onset. Thrombocytopenia is known as a contraindication of IV-rTPA which may increase the risk of bleeding. In this case, IV-rTPA is administered due to hyperacute onset and no known history of bleeding, even though the platelet count was low. Therefore, IV-rTPA may be considered if the benefits outweigh the risks with a thorough monitoring of the patient’s condition.
Description of Saliva Viscosity in Underweight Toddlers among 3-5 Years at Silo II Health Center Working Area Jember Regency
Authors: Endah Yani Ristya Widi , Dwiatmoko Surartono , Irmansyah Salsabila
Published: April 2024

Background; Underweight is a health issue as one of the causes of infant mortality. UNICEF states that underweight contributes to more than one-third of the 9,2 million children under 5 years old, which succumb to death. Underweight toddlers have the potential to increase the risk of dental caries and disrupt the growth of salivary glands, leading to a decreased saliva flow rate. In underweight children, the lack of nutrition during the growth period can have a permanent impact on salivary glands and result in high saliva viscosity.
Objective: This research was conducted in the working area of Silo II Community Health Center in Jember Regency, with the aim of examining the characteristics of saliva in underweight toddlers aged 3-5 years, especially about salivary viscosity.
Material and Methods: A total of 161 toddlers were the subjects of the study, and saliva was collected using the unstimulated spitting method, followed by the measurement of saliva viscosity using an Ostwald viscometer.
Results: The research findings indicate that underweight toddlers have high saliva viscosity with an average of 15,72 cP. Analysis based on age variables shows that 3-4-year-old toddlers have the highest average saliva viscosity (15,77 cP), while based on the severity of underweight, toddlers categorized as severely underweight have the highest average saliva viscosity (17,15 cP).
Conclusions: In conclusion, the condition of saliva viscosity in underweight toddlers in the operational area of Puskesmas Silo II indicates high values, attributed to the insufficient intake of nutrients during the growth period..
Nekatere značilnosti osnovnošolskega in srednješolskega geografskega izobraževanja v Mariboru
Authors: Konečnik Kotnik Eva , Petauer Milena
Published: April 2024

V raziskavi smo obravnavali položaj geografskega izobraževanja na mariborskih osnovnih in srednjih šolah. Pozornost je posvečena položaju geografije v predmetnikih osnovnih in srednjih šol na območju Maribora. Posebnost predmeta geografija na aktualnem območju je opisana na podlagi analize udeleževanja mariborskih šol na geografskih tekmovanjih, s pomočjo ugotavljanja raziskovalne orientacije terenskega dela in ekskurzij ter s pomočjo analize sodelovanja mariborskih osnovnih in srednjih šol z Oddelkom za geografijo Pedagoške fakultete Univerze v Mariboru.
Medobčinsko sodelovanje na primeru zveze občin na območju Voitsberga (zahodna Štajerska)
Authors: Zsilincsar Walter
Published: April 2024

Pojav aglomeracij majhnih mest, kakršna je na območju Voitsberga na zahodnem Štajerskem v Avstriji, so nov izziv za načrtovalce regionalne politike. Urbani, socialni in liberalni trendi gospodarskega razvoja so vzrok številnim problemom na lokalni ravni, ki jih občine same ne morejo reševati. Zato se povezujejo v interesne skupnosti, ena od takšnih je prikazana v prispevku. Tvori jo pet manjših občin. Dodatni problem predstavlja zadovoljevanje togih Maastrichtskih kriterijev, zaradi katerih se zmanjšujejo občinski prihodki in povečujejo izdatki. Vse to, ob potrebi po zagotavljanju novih delovnih mest, izboljšanju in modernizaciji komunalnih storitev ter zagotavljanju preživetja občin ob vedno večji tekmovalnosti, je prepričalo občinske oblasti, da je sodelovanje s sosednjimi občinami, ki imajo podobne probleme, najboljši način za iskanje optimalnih rešitev. Zveza občin tako poskuša reševati probleme s sodelovanjem na prostovoljni osnovi. Avtor poudarja, da je medobčinsko sodelovanje v območjih zgoščene urbane poselitve nujno ter zahteva nove prijeme v upravljanju.
Geografska marginalnost v Sloveniji z vidika prebivalstvenih kazalnikov
Authors: Pelc Stanko
Published: April 2024

Članek začnemo s terminološko razpravo o globalizaciji in geografski marginalnosti. Nato predstavimo analizo, s katero želimo ugotoviti, ali nam demografski podatki na občinski ravni lahko razkrijejo marginalna območja (občine). Vse občine smo glede na njihovo centralnost razdelili v skupino pretežno centralnih in pretežno perifernih. Izračunali smo 5 demografskih kazalnikov in glede na povprečno vrednost opredelili občine, ki so bile bistveno drugačne (potencialno marginalne). Analiza kaže, da demografski kazalniki niso zanesljivi in niso primerno orodje za opredelitev marginalnih regij.
Ekosistemski pristop za razumevanje prsti v geografiji
Authors: Vovk Korže Ana
Published: April 2024

Ob Mednarodnem letu tal (prsti) 2015 potekajo različne aktivnosti za dvig ozaveščanja o pomenu prsti v ekosistemu. Prst že dolgo nima samo pridelovalne vloge, ampak opravlja številne druge vloge, od zadrževanja vode, čiščenja vode, potek procesa humifikacije in številne druge. Zato smo v prispevku na primeru Dravinjskih goric prikazali pomen poznavanja ekosistemske vloge prsti. Najprej je potrebno prsti prepoznati na terenu, za bolj natančno poznavanje prsti pa je potrebno opraviti analize posameznih lastnosti prsti. Za pridobitev ekosistemskega vpogleda v razširjenost prsti določimo biotope, to so združbe prsti. Sestavljajo jih podatki o reliefu, naklonu, nadmorski višini, ekspoziciji in razširjenosti vegetacije. Dodatni podatki se nanašajo na vodno bilanco v prsti in zmožnost zadrževanja vode v prsti. Ekosistemski pogled na prsti nam pomaga dovolj zgodaj razumeti občutljivost prsti in zato je prepoznan kot sintezni pristop za varovanje prsti.
Villages of Porabje: Individual elements of the Hungarian settlement network
Authors: Balogh András
Published: April 2024

Special feature of Porabje settlements can be detected on some geographical aspects within the national settlement network. Unique features of these settlements even these features are not exclusive in themselves regarding all the administratively independent settlements form such a specific region of Hungary on the base of that the following can be stated. The Vend-region occupies prominent place among the regions of Hungary. These special features are studied in this study on the base of the following aspects: spatial location, history, ethnic composition, ethnographic aspects, small village and sporadic settlement characteristic and development possibilities. However Szentgotthárd (Monošter) played important role in life of the Slovenians in Hungary too the essay focuses on the analysis of the settlements in the Porabje region.
Temperaturni obrat in termalni pas v Slovenskih goricah med Muro in Pesnico
Authors: Marič Martin
Published: April 2024

Temperaturni obrat in termalni pas sta dva topoklimatska pojava, ki sta v Slovenskih goricah v veliki meri vplivala na razširjenost vinogradništva in sadjarstva. V članku smo z meritvami in analizami  dokazali prisotnost temperaturnega obrata in termalnega pasu v Slovenskih goricah med Muro in Pesnico. Analizirali smo tudi v katerih vremenskih tipih pojava nastaneta in v katerih sta  najintenzivnejša.  S pomočjo meritev smo skušali dokazati spodnjo mejo termalnega pasu v Slovenskih goricah med Muro in Pesnico.
Primerjava stanja vodne bilance in potreb izbranih kmetijskih kulturnih rastlin po vodi v Pomurju
Authors: Kikec Tatjana
Published: April 2024

V prispevku smo raziskali stanje vodne bilance v Pomurju, njegov količinski, časovni in prostorski vidik ter ga primerjali s potrebami izbranih kmetijskih kulturnih rastlin po vodi v posameznih razvojnih fazah. Primerjava je pokazala, da je razporeditev stanja vodne bilance preko leta, ta je v Pomurju negativna med aprilom in II. dekado avgusta, dokaj ugodna za ozimna žita. Vode jim primanjkuje le v drugi polovici rastne dobe, s polj pa jih pospravimo še pred največjim pomanjkanjem vode v tleh v poletnih mesecih. Večina ostalih kmetijskih kulturnih rastlin kot so koruza, krompir, sladkorna pesa, buče ter zelenjadnice se s pomanjkanjem vode v tleh sooča večji del rastne dobe. V najobčutljivejših razvojnih fazah so v poletnih mesecih, ko je primanjkljaj vode v tleh največji in jih ta tudi najbolj prizadene. Posledice so poškodovanost kultur ter količinsko manjši pridelek slabše kakovosti.
Svetlobna onesnaženost na območju Maribora
Authors: Žiberna Igor
Published: April 2024

Svetlobna onesnaženost predstavlja novo obliko onesnaževanja okolja, ki je rezultat pretirane uporabe umetnih svetil ponoči. Svetlobno onesnaženje okolja je emisija svetlobe iz virov svetlobe, ki poveča naravno osvetljenost okolja in povzroča za človekov vid motečo osvetljenost in občutek bleščanja pri ljudeh, ogroža varnost v prometu zaradi bleščanja, ogroža naravno ravnotežje, moti profesionalno ali amatersko astronomsko opazovanje in po nepotrebnem porablja električno energijo. V članku so predstavljeni rezultati meritev svetlobnega onesnaženja s Sky Quality Metrom na območju mesta Maribor. Predstavljeni so tudi rezultati analiz rož svetlobnega onesnaženja in porabljenih sredstev za javno razsvetljavo na območju Mestne občine Maribor.
Vrednotenje prometne dostopnosti Pomurja s prostorsko analizo cestnega omrežja
Authors: Ivajnšič Danijel , Novak Tjaša
Published: April 2024

Prometna dostopnost je eden od pomembnih dejavnikov za gospodarski razvoj določenega območja. Ustrezna prometna infrastruktura skupaj s prometno politiko naj bi nudila ustrezne pogoje za prometno pretočnost in varnost v prometu ter zmanjševala negativne vplive prometa na okolje. Prispevek podaja rezultate prometne dostopnosti pomurskih občin do zdravstvenih, oskrbovalnih in izobraževalnih ustanov ter do elektro-polnilnic v določenem časovnem intervalu (od 5 do 15 minut), če pot opravljamo z motornim vozilom ali s kolesom. Rezultati kažejo, da ima najslabšo prometno dostopnost do izbranih ustanov naravnogeografska enota Goričko. Hkrati imajo občine, ki ležijo znotraj Murske ravni najboljšo prometno dostopnost do izbranih ustanov, saj je koncentracija le teh najgostejša v središču regije, v Murski Soboti. Z merjenjem prometne dostopnosti Pomurja smo želeli prikazati pomen prometne dostopnosti do najosnovnejših in bodočih človekovih dejavnosti, ter poudariti obstoječe prostorske razlike kar je posredni kazalec neuravnoteženega bodisi lokalnega ali regionalnega razvoja.
Podeželje Svečinskih goric – nekaj značilnosti
Authors: Drozg Vladimir , Flegar Špela , Horvat Mateja , Maček Sašo , Nerat Aljoša , Petrovič Nina , Vajs Tanja
Published: April 2024

V prispevku so prikazane nekatere značilnosti Svečinskih goric, ki kažejo regionalno strukturo območja. Prikazana je ogroženost z naravnimi nesrečami, socialno ekonomske razmere, spreminjanje kulturne pokrajine, gospodarske dejavnosti na območju, kakovost bivalnega okolja ter posledice obmejnosti. Današnje podeželje je preplet agrarnega in urbanega. Koncentracija enih in drugih značilnosti je element členjenosti območja. V vzhodnem in jugovzhodnem delu Svečinskih goric urbani elementi prevladujejo nad agrarnimi, na severnem in zahodnem delu pa je izrazitejša agrarna pokrajina.
Prostorski konflikti v izbranih blokovnih stanovanjskih soseskah v Mariboru
Authors: Drozg Vladimir
Published: April 2024

Besedilo obravnava prostorske konflikte, ki se pojavljajo v blokovnih stanovanjskih soseskah v Mariboru. Ureditve v soseskah, kakršne so nastale pred 50 leti, ne ustrezajo več današnjemu načinu bivanja. Prepoznanih je bilo več vrst konfliktov: konflikti v namenski rabi zemljišč, predvsem zaradi zmanjševanja zelenih površin na račun parkirišč, vizualna degradacija objektov zaradi neprimerno nameščenih klimatskih naprav in zastekljevanja balkonov, konflikti zaradi neprimerno parkiranih avtomobilov, konflikti zaradi pomanjkanja oskrbnih dejavnosti v soseskah ter konflikti zaradi opuščanja socialnih prostorov.
Exploitation and use of non-metal mineral resources of the Tuzla Canton
Authors: Nezirović Senada
Published: April 2024

This paper analyzes the spatial distribution of potential non-metallic mineral resources in the area of Tuzla Canton. Available non-metallic mineral resources of the Tuzla Canton are classified into three groups: energy (coal), industrial processing (rock salt, limestone, quartz sand, brick clay and magnesite) and construction materials (gravel and sand). Identification of non-metallic mineral resources of Tuzla Canton described and enumerated all the resources by their importance and use, giving a brief analysis of their economic exploitation. Based on field research, current knowledge, collection of various information and documents, the author tries to point out in the paper the economic importance of non-metallic mineral resources and their participation in the economic development of the Tuzla Canton.
KC Pekarna – Mariborski skvot
Authors: Virant Zala
Published: April 2024

Območja skvotov so sestavni deli vseh večjih mest in so posledica socialno prostorske diferenciacije. Takšna območja so glavna središča produkcije alternativne kulture. V Mariboru je alternativna scena locirana na območju Kulturnega centra Pekarna. V prispevku prikazujemo razvoj in nastanek skvota v Mariboru, njegove morfološke lastnosti, dejavnosti, ki tam trenutno potekajo ter lastnosti socialne skupine, ki skvot obiskuje. Kulturni center Pekarna je prostor drugačnosti, novosti in alternativnosti, ki ima poseben pomen v urbanem okolju ter poseben pomen za pripadnike alternativne kulture.