bluuebunny/crossref_metadata_2025 huggingface dataset:
Uso-abuso de sustancias y otras áreas de riesgo psicosocial en preuniversitarios
Authors: García Lara Germán Alejandro , Hernández Solís Soledad , Ocaña Zúñiga Jesús , Cruz Pérez Oscar
Published: August 2021

El propósito del estudio es analizar el riesgo al uso-abuso de sustancias (UAS) en relación con variables como la conducta antisocial [CA], relaciones con amigos [RA], salud mental [SM], nivel educativo [NE], relaciones familiares [RF] e interés laboral [IL]. El estudio es cuantitativo, con un diseño no experimental, transeccional, en que se aplica el Cuestionario de Tamizaje de Problemas en Adolescentes en 1206 estudiantes preuniversitarios de Tuxtla Gutiérrez, Chiapas, México. El índice de riesgo global (IRG) es mayor en estudiantes hombres de 17 años, de escuelas privadas, para RF, RA y NE, y éste aumenta al disminuir el promedio escolar. El análisis de regresión lineal arroja valores para la pendiente cercanos a 0.30 entre el IRG y SM, NE y CA, no así para UAS. Algunos reactivos para UAS señalan índices significativos de abuso en aspectos relacionados con el estado de ánimo o las relaciones interpersonales, dimensiones de particular relevancia para la pertenencia y adecuación al grupo de pares en la construcción de la identidad psicosocial. Ello confirma el imperativo de intervenir en escolares varones con bajo rendimiento escolar desde una perspectiva integral que considere su SM, RA, RF y CA, lo que en el ámbito universitario puede realizarse mediante los departamentos de tutorías.
Una discusión crítica del trabajo y del trabajador contemporáneo
Authors: Hernández Gómez Adriana Irene
Published: August 2021

El trabajo se ha modificado en las últimas décadas; los importantes avances científicos y tecnológicos han marcado nuevas maneras de vivir, de crear lazos y de trabajar. Estos cambios estructurales han provocado que el trabajo cada día sea más flexible, más inestable, más cambiante y más precario. Los trabajadores, a todos niveles, se enfrentan a esta situación, con una serie de consecuencias a nivel psíquico y social. El objetivo de este trabajo es presentar, por un lado, el panorama del trabajo contemporáneo y por otro lado hacer hincapié en la importancia de sostener una mirada crítica respecto de lo que acontece en el mundo de los trabajadores hoy en día. La psicología deberá detenerse sobre el análisis de las formas de organización del trabajo y sobre dichas transformaciones, de manera que la investigación e intervención en este campo se haga de manera mucho más crítica.
Fabrication of Material Handling or Material Lifting Crane
Authors: Ramteke Aryan , Mahajan Mahesh , Sheikh Amaan , Bhaisare Ayush , Bharatkar Karan , Dharme Prof. Mangesh
Published: August 2021

Our Monkey hoist / Crane is basically use full to construction of multi-story building for lifting of bricks cement bags and concrete etc. With the lifting capacity from 200kg to 700kg. For height of 10m to 150m. In the development of mini crane that are fabricated in tandem with the latest technological advancements. Owing to their design, these cranes allow easy access to sites, where another crane may fail. These cranes are basically used in construction sites for lifting of bricks, steel, concrete, sand, cement and tiles. Acknowledged for their reliable service life, safe operation and compact dimensions, these can be availed from us at aggressive prices.
Perspectiva de la mezcla de marketing para la comercialización de queso zarumeño
Authors: Villavicencio Maria Fernanda , Zaruma Jiménez John Kelvin , Gamboa Salcedo Rosalva Beatriz , Sornoza Guerra Mónica Andreina
Published: August 2021

Objetivo: Analizar el comportamiento del mercado objetivo, para diseñar una guía estratégica basada en el marketing mix, que contribuya de manera eficiente en la comercialización de queso Zarumeño en los cantones de la parte baja de la provincia de El Oro. Método: Investigación con enfoque cuantitativo. Muestreo probabilístico estratificado por afijación proporcional. Resultados: El 62.1% de la población consume lácteos producidos en el cantón Zaruma, de ellos el 86.1% consumen queso zarumeño. La falta de consumo en mayor porcentaje es por inaccesibilidad y ausencia de registro sanitario. Conclusiones: La mezcla de marketing permitirá fortalecer el posicionamiento del producto, su ventaja competitiva y plantear estrategias de comercialización y promoción adecuadas.
A genealogy of the critical discourses on the authoritarianism of the Brazilian Criminal Procedure Code
Authors: Borges Clara Maria Roman
Published: August 2021

This paper presents an investigation on the critical discourses thatattribute the authoritarianism of the Brazilian criminal procedure to a legacy ofthe fascist Italian criminal procedural legislation of 1930. At first, it reveals theimpossibility of this comparison by the lack of sources for verifying if there wasindeed the influence of Italian fascist law in the Brazilian Criminal Procedure Codeof 1941. Then, it is analyzed how this critical discourse diffuses among Braziliancriminal procedural law scholars from the 1990’s, due to their networks of academicand professional contacts, establishing a rupture with previous criticisms. Finally,the research aims to demonstrate how this approach between the Brazilian Codeand the Rocco Code was artificial and prevents Brazilian criminal procedurallaw scholars from realizing the influences of other foreign laws in legislation andcurrent judicial practices and prevents them from creating strategies to ensurethe implementation of constitutional guarantees in these new procedural forms.
Effects of n-3 polyunsaturated fatty acid supplementation on pregnancy outcomes: a systematic review and meta-analysis
Authors: Hao Yingying , Sun Xiaoshi , Wen Ningning , Song Dan , Li Hong
Published: August 2021

Introduction

There are limited studies exploring the effects of n-3 PUFA supplementation on pregnancy outcomes. The goal of this study was to review relevant studies in order to determine the effect of n-3 polyunsaturated fatty acid (n-3 PUFA) supplementation on pregnancy outcomes based on eligible randomized controlled trials (RCTs).

Material and methods

Qualified studies were searched by keywords in PubMed, the Cochrane library and Embase. Studies from other pertinent sources were also reviewed, and RCTs published before January 2021 were reviewed. For each study, we assessed and synthesized the outcomes by relative risk (RR) or weighted mean difference (WMD) combined with 95% confidence interval (95% CI).

Results

We included 13 studies with 9069 patients. Compared with the control group, n-3 PUFA significantly decreased the incidence of preterm delivery (RR: 0.898, 95%CI: 0.819~0.984) and low birthweight (RR: 0.797, 95%CI: 0.655~0.970); increased the birth weight (WMD: 99.340, 95%CI: 10.503~188.177) and birth length (WMD: 0.449, 95%CI: 0.236~0.663). There was no significant difference in pregnancy-induced hypertension, preeclampsia, intrauterine growth retardation (IUIG), early preterm delivery, anti-hypertensive therapy, gestational diabetes and head circumference at birth between the two groups.

Conclusions

The available evidence shows that n-3 PUFA is not beneficial in reducing the incidence of maternal pregnancy outcomes such as gestational diabetes mellitus and hypertension; but it is beneficial to neonatal health such as decreasing the incidence of preterm delivery and low birthweight and increasing birth weight and birth length.
O ENSINO DA CIDADE NA GEOGRAFIA: UMA EXPERIÊNCIA DO PIBID- PROGRAMA INSTITUCIONAL DE BOLSAS DE INICIAÇÃO À DOCÊNCIA
Authors: Silva Thaís Patricia Paulino da
Published: August 2021

Introdução: A cidade é uma construção social formada pelo trabalho humano. É a partir das relações sociais entre homem e natureza que ao longo do tempo e do espaço foram desenvolvidos objetos e ações que dinamizaram o espaço urbano. O presente trabalho traz um breve relato da experiência do PIBID – Programa de Institucional de Bolsas de Iniciação à Docência desenvolvido por meio do sub projeto : O ensino da cidade na Geografia da Universidade Estadual de Alagoas- UNEAL campus V- Zumbi dos Palmares. Objetivos: O principal objetivo é mostrar o protagonismo da temática cidade no âmbito geográfico salientando as experiência das oficinas realizadas com os estudantes das Escolas: Escola Estadual Dr. Carlos Gomes de Barros e Escola Monsenhor Clóvis Duarte, ambas do município de União dos Palmares- AL. A pesquisa participativa envolveu alunos das séries 7º, 8º, e 9º ano das Escolas parceiras. Material e método: O trabalho baseia-se em estudos bibliográficos, documental, oficinas em sala de aula, aulas práticas e pesquisa de campo abordando o caráter qualitativo utilizando o conceito de território usado e trabalhando com as categoria geográficas lugar e território. Para melhor aprofundamento e coleta de dados foi feito uma geodiagnose através da aplicação de questionários para estudantes e professores das Escolas acerca da abordagem da cidade na sala de aula por meio da disciplina de geografia. Resultados: Os resultados mostram que ainda hoje a temática cidade é mencionada de forma superficial, descritiva elencada em princípios quantitativos de uma geografia ainda tradicional incapaz de apreender as novas dinâmicas do espaço urbano no atual período técnico-científico-informacional. Desse modo, com o projeto desenvolvido os alunos conseguiram compreender o espaço em que viviam e a cidade em moravam e seu papel enquanto agente transformador do espaço geográfico. Conclusão: Dessa forma, o professor deve se abrir para novas formas de ensino e abordagem da geografia escolar, visando o aprendizado do aluno estimulando uma visão de mundo crítica se utilizando da geografia como ferramenta para a libertação.
Misión actual de la Compañía de Jesús
Authors: Ellacuría Ignacio
Published: August 2021

No hay resúmenes disponibles.

Revista latinoamericana de teología, Vol. 10, No. 29, 1993: 115-126.
Liberación
Authors: Ellacuría Ignacio
Published: August 2021

No hay resúmenes disponibles.

Revista latinoamericana de teología, Vol. 10, No. 30, 1993: 213-232.
Ignacio Ellacuría, el hombre y el cristiano. “Bajar de la cruz al pueblo crucificado” (II)
Authors: Sobrino Jon
Published: August 2021

No hay resúmenes disponibles.

Revista latinoamericana de teología, Vol. 11, No. 33, 1994: 215-244.
Reflexiones sobre la evangelización en la actualidad
Authors: Sobrino Jon
Published: August 2021

No hay resúmenes disponibles.

Revista latinoamericana de teología, Vol. 13, No. 39, 1996: 281-305.
African graphic systems: a preliminary study, with reference to the history and theory of graphic design
Authors:   , Carey Piers Christian
Published: August 2021

This project has investigated African graphic systems, both writing systems and systems of symbolic graphics. These systems are commonly used in Graphic Design, but those of African origin have been largely ignored in both the applied discipline, and in its History and Theory. The project has attempted to explain this in historical and theoretical terms: its motivation is described in terms of countering the exclusion of African visual culture in the face of historical and ideological factors such as colonialism and globalisation. The project's research aims were to collect as much information as feasible on these systems; and to classify them according to such criteria as their language or cultural group, their location, and the functional nature of the systems. From this body of information a smaller number of representative systems were selected for further description and discussion, in order to highlight the variety of systems existing in Africa, their historical development, and techniques and materials used. These selected systems were then used as inspiration and raw material for a body of applied Graphic Design work, which is intended to provide a visual introduction to the material, and to promote and advocate the revaluation of this cultural material. Information has mainly been gathered by means of library and internet search, in order to establish approximately the extent of the literature in the public sphere. Because of the obscurity of most of this information, it has been gathered from such other disciplines as Linguistics, Anthropology, or History. The project has established the existence of a large number of graphic symbols and systems, and gathered a body of literature and references about them. Many are poorly documented, if at all, and even those for which extensive literature
Analyzing ozone variations and uncertainties at high latitudes during Sudden Stratospheric Warming events using MERRA-2
Authors: Bahramvash Shams Shima , Walden Von P. , Hannigan James W. , Randel William J. , Petropavlovskikh Irina V. , Butler Amy H. , de la Cámara Alvaro
Published: August 2021

Abstract. Stratospheric circulation is a critical part of the Arctic ozone cycle. Sudden stratospheric warming events (SSWs) manifest the strongest alteration of stratospheric dynamics. Changes in planetary wave propagation vigorously influence zonal mean zonal wind, temperature, and tracer concentrations in the stratosphere over the high latitudes. In this study, we examine six major SSWs from 2004 to 2020 using the Modern-Era Retrospective analysis for Research and Applications, Version 2 (MERRA-2). Using the unique density of observations around the Greenland sector at high latitudes, we perform comprehensive comparisons of high latitude observations with the MERRA-2 ozone dataset during the six major SSWs. Our results show that MERRA-2 captures the high variability of mid stratospheric ozone fluctuations during SSWs over high latitudes. However, larger uncertainties are observed in the lower stratosphere and troposphere. The zonally averaged stratospheric ozone shows a dramatic increase of 9–29 % in total column ozone (TCO) near the time of each SSW, which lasts up to two months. The SSWs exhibit a more significant impact on ozone over high northern latitudes when the polar vortex is mostly elongated as seen in 2009 and 2018 compared to the events in which the polar vortex is displaced towards Europe. The regional impact of SSWs over Greenland has a similar structure as the zonal average, however, exhibits more intense ozone anomalies which is reflected by 15–37 % increase in TCO. The influence of SSW on mid stratospheric ozone levels persists longer than their impact on temperature. This paper is focused on the increased (suppressed) wave activity before (after) the SSWs and their impact on ozone variability at high latitudes. This includes an investigation of the different terms of tracer continuity using MERRA-2 parameters, which emphasizes the key role of vertical advection on mid-stratospheric ozone during the SSWs.
A case study of a ducted gravity wave event over northern Germany using simultaneous airglow imaging and wind-field observations
Authors: Sarkhel Sumanta , Stober Gunter , Chau Jorge L. , Smith Steven M. , Jacobi Christoph , Mondal Subarna , Mlynczak Martin G. , Russell III James M.
Published: August 2021

Abstract. An intriguing and rare gravity wave event was recorded on the night of 25 April 2017 using a multi-wavelength all-sky airglow imager over northern Germany. The airglow imaging observations at multiple altitudes in the mesosphere and lower thermosphere region reveal that a prominent upward propagating wave structure appeared in O(1S) and O2 airglow images. However, the same wave structure was observed to be very faint in OH airglow images, despite OH being usually one of the brightest airglow emissions. In order to investigate this rare phenomenon, the altitude profile of the vertical wavenumber was derived based on collocated meteor radar wind-field and SABER temperature profiles close to the event location. The results indicate the presence of a thermal duct layer in the altitude range of 85–91 km in the south-west region of Kühlungsborn, Germany. Utilizing these instrumental datasets, we present an evidence to show how a leaky duct layer partially inhibited the wave progression in the OH airglow emission layer. The coincidental appearance of this duct layer caused the wave amplitudes to diminish, resulting to exhibit as the faint wave front in the OH airglow images during the course of the night over northern Germany.
Development of a surface roughness curve to estimate timing of earthflows and habitat development in the Teanaway River, central Washington State, USA
Authors: Schanz Sarah Anne , Colee Armistead Peyton
Published: August 2021

Abstract. Salmon habitat is enhanced by the wide valleys and channel heterogeneity created by landslides. Earthflows, which are slow moving and fine-grained mass movements, can further potentially alter habitat by constricting valleys and sustaining delivery of debris and fine sediment. Here, we examine the influence of earthflows on salmon habitat in the Teanaway River basin, central Cascade Range, Washington. We mapped earthflows based on morphologic characteristics and relatively dated earthflow activity using a flow directional surface roughness metric called MADstd. The relative MADstd ages are supported by six radiocarbon ages, three lake sedimentation ages, and 20 cross-cutting relationships, indicating that MADstd is a useful tool to identify and relatively date earthflows, especially in heavily vegetated regions. Our age and MADstd distributions reflect a period of earthflow activity in the mid-Holocene and some sustained movement through the late Holocene that is primed by regolith production in the Pleistocene and early Holocene and triggered by a warm and wet climate during the mid-Holocene. The timing of earthflows is coincident with stabilization of salmon habitat and abundant salmon populations, indicating the fine sediment from earthflows did not negatively impact habitat. Wide valleys formed upstream of valley-constricting earthflows have added habitat zones, which may be of increased importance as climate change causes lower flows and higher temperatures in the Teanaway basin over the next century.
Power and Empowerment in Transdisciplinary Research: A Negotiated Approach for Peri-Urban Groundwater Problems in the Ganges Delta
Authors: Hermans Leon M. , Narain Vishal , Kempers Remi , Gomes Sharlene L. , Banerjee Poulomi , Hasan Rezaul , Salehin Mashfiqus , Khan Shah Alam , Hossain A.T.M. Zakir , Islam Kazi Faisal , Huda Sheikh Nazmul , Banerjee Partha Sarathi , Majumder Binoy , Majumder Soma , Thissen Wil A. H.
Published: August 2021

Abstract. The co-creation of knowledge through a process of mutual learning between scientists and societal actors is an important avenue to advance science and resolve complex problems in society. While the value and principles for such transdisciplinary water research have been well established, the power and empowerment dimensions continue to pose a challenge, even more so in international processes that bring together participants from the global north and south. We build on earlier research to combine known phases, activities and principles for transdisciplinary water research with a negotiated approach to stakeholder empowerment. Combining these elements, we unpack the power and empowerment dimension in transdisciplinary research for peri-urban groundwater management in the Ganges Delta. Our case experiences show that a negotiated approach offers a useful and needed complement to existing transdisciplinary guidelines. Based on the results, we identify responses to the power and empowerment challenges, which add to existing strategies for transdisciplinary research. A resulting overarching recommendation is to engage with power and politics more explicitly from the inception of transdisciplinary activities, as a key input for problem framing.
Rapid-scan electron paramagnetic resonance using an EPR-on-a-Chip sensor
Authors: Künstner Silvio , Chu Anh , Dinse Klaus-Peter , Schnegg Alexander , McPeak Joseph E. , Naydenov Boris , Anders Jens , Lips Klaus
Published: August 2021

Abstract. Electron paramagnetic resonance (EPR) spectroscopy is the
method of choice to investigate and quantify paramagnetic species in many
scientific fields, including materials science and the life sciences. Common EPR spectrometers use electromagnets and microwave (MW) resonators, limiting
their application to dedicated lab environments. Here, novel aspects of
voltage-controlled oscillator (VCO)-based EPR-on-a-Chip (EPRoC) detectors are discussed, which have recently gained interest in the EPR community. More specifically, it is demonstrated that with a VCO-based EPRoC detector,
the amplitude-sensitive mode of detection can be used to perform very fast
rapid-scan EPR experiments with a comparatively simple experimental setup to
improve sensitivity compared to the continuous-wave regime. In place of a
MW resonator, VCO-based EPRoC detectors use an array of injection-locked VCOs, each incorporating a miniaturized planar coil as a combined microwave source and detector. A
striking advantage of the VCO-based approach is the possibility of replacing the conventionally used magnetic field sweeps with frequency sweeps with
very high agility and near-constant sensitivity. Here, proof-of-concept
rapid-scan EPR (RS-EPRoC) experiments are performed by sweeping the frequency of the EPRoC VCO array with up to 400 THz s−1, corresponding to a field sweep rate of 14 kT s−1. The resulting time-domain RS-EPRoC signals
of a micrometer-scale BDPA sample can be transformed into the corresponding absorption EPR signals with high precision. Considering currently available technology, the frequency sweep range may be extended to 320 MHz, indicating that RS-EPRoC shows great promise for future sensitivity enhancements in the
rapid-scan regime.
We Are Not Your Soldiers
Authors: Rugoff Stephanie
Published: August 2021

We Are Not Your Soldiers brings veterans into high school and college classrooms to engage in dialogue with students as they share their experiences in the U.S. military where they were part of the vast machine carrying out policies of domination via wars, interventions, police actions, surveillance, drones or bases. Hearing directly from veterans speaking from their hearts, often revealing very personal insights, can be a life-changing experience for many students. The veterans share vivid stories of how they were affected by the military and of the wars where so many have lost their humanity or their lives. Students are encouraged to voice ideas and questions in an environment where each person speaking is treated with respect. The students respond, showing great empathy for the veterans while also expressing shock at the information they communicate. Responses are profound and questions are many.
Introduction to Migration Curriculum in Women’s Human Rights Teaching and Advocacy Resource
Authors: Richter Eva
Published: August 2021

This essay provides an introduction and link to the Migration Curriculum in the Women’s Human Rights Teaching and Advocacy Resource.
FAKTOR-FAKTOR YANG MEMPENGARUHI PENATAUSAHAAN BARANG MILIK DAERAH DI KABUPATEN YAHUKIMO
Authors: Tandibiring Riswanjaya , Allo Layuk Paulus K. , Wijaya Anthonius H. Citra
Published: August 2021

This study aims to identify determinants in managing the goods for local government in Yahukimo regency. The research question designed was what were the determinants of the goods for local government management? The aspects in this research comprised of; 1) bookkeeping, inventory and reporting which were based on registration process of the goods for local government; and 2) the recording that is based on category and codification of the goods for local government.

The management of goods for local government is mandated under the Regulation of Ministry of Home Affairs no. 17 in 2007 titled Technical Management of The Goods for Regional/Local Governments. According to this regulation, the goods for local government management is defined as assets management activities that are consist of bookkeeping, inventory and reporting for goods of local governments in Indonesia.

A qualitative research method was applied to obtain descriptive data. An in-depth interview technique was used to collect qualitative data through interviewing key informants. The key informants were selected based on their major involvement in managing goods of the local governments in 5 local agency units in Yahukimo regency. The 5 local agencies were from Forestry, Health, Agriculture, Fishery and Plantation Service, the Regional Secretariat and Financial and Assets Management Agency in Yahukimo Regency.

The results of this research revealed that the management of goods for local government in Yahukimo regency was ineffective as mandated by the Regulation of Ministry of Home Affairs no. 17 in 2007. There were some factors of which determining this ineffectiveness. The limitations of human resources in terms of the qualities as well as quantities, the constraints of budget for the goods management, and low coordination within local government agencies were some of the identified caused of the ineffectiveness. From the inventory management context, the causes of ineffectiveness were the low number of staff for inventory, the unavailability of costs for inventory and the low skillful treasurers for government goods. Meanwhile, the reasons of low goods management reporting were the absence of punishments and rewards systems, the low human resources capacities in regards with government goods treasurers, and low commitments from managers of the local government regarding trainings to empower their staff.

Key words: management of goods for local government, Yahukimo regency
SELF ASSESSMENT IMPROVEMENT STRATEGIES (TAXPAYER COMPLIANCE, TAXPAYER INSPECTION, AND TAX MORALE APPROACH)
Authors: Herlambang Misra
Published: August 2021

Self-assessment system approach is a system in which taxpayers are given the authority to report their own income to the tax service office. The purpose of this research is to explore the implementation and strategies to support in improving the self-assessment system in KPP Pratama Kendari City. This study describes taxpayer compliance, tax audit, and self-assessment system strategies through the tax morale approach. The results of this study indicate that the implementation of taxpayer compliance still needs to be improved, tax audits have been carried out optimally, and tax morale raises three topics, namely trust in government, trust in court and legal systems, and trust in tax officials.
EVALUASI PENATAUSAHAAN ASET TETAP PADA KANTOR DINAS OLAHRAGA DAN PEMUDA PROVINSI PAPUA
Authors: Aibekob Adonia Abigael , Falah Syaikhul , Kambu Arius
Published: August 2021

This study aims to obtain a clear picture of the effects of recording, inventorying and reporting on the administration of fixed assets at the Papua Province Sports and Youth Office. The type of data used is qualitative data and quantitative data. Primary and secondary data is the data source used. Data collection techniques are used, namely field data and library data studies. The study was conducted using quantitative descriptive data analysis techniques consisting of research instrument test, classic assumption test, and multiple regression analysis. The results of the study show that recording, inventorying and reporting partially has a positive and significant effect on the administration of fixed assets at the Papua Province Sports and Youth Office. Recording, Inventory and Reporting simultaneously have a positive and significant effect on the administration of fixed assets at the Papua Province Sports and Youth Office. Recording is the dominant factor that has a significant effect on the administration of fixed assets at the Papua Province Sports and Youth Office
Risky Attitudes and Behaviors of HIV-Positive People After Diagnosis
Authors: Atalay Sabri , Albayrak Ucak Hazal , Ersan Gursel , Sönmez Ufuk
Published: August 2021

Objective: HIV/AIDS cases are increasing rapidly in our country. Although there are many transmission routes, unprotected sexual intercourse is the main reason for the increase in HIV prevalence. Despide newly data in the literature that show there is no HIV transmission from partners who have been given viral suppression by antiretroviral therapy, evaluation of sexual behavior pattern is still important for resource control. The aim of this study was to evaluate the changes in sexual behavior after diagnosis, the level of knowledge about safe sexuality, and the attitudes and behaviors of informing the sexual partner about HIV status in HIV-infected individuals under follow-up and treatment. Methods: A questionnaire consisting of fifteen questions was filled out by the volunteers who were followed up in the HIV outpatient clinic of our hospital and the data were evaluated with SPSS statistical package program. Results: The mean age of the fifty participants was 38 years. Most of them are men, 40% stated that they are gay and 40% of them are married. Seventy percent of the respondents stated that the frequency of risky sexual behavior decreased after being diagnosed with HIV. However, perhaps the most striking finding of our study is that approximately one third of the participants never informed their sexual partner about their HIV status and 44% said they did not use condoms during sexual intercourse. More than half of the participants stated that they would like to receive information about safe sex and sexually transmitted infections. They also stated that they wanted to get this information from physicians. Conclusion: As a result, there is a decrease in risky sexual behaviors after diagnosis in HIV positive patients. However, risky behaviors such as not using condoms still continue. Therefore, it is necessary to ensure that viral loads are negative with regular antiretroviral therapy and to promote safe sexual behavior.
Retinal Detachment Due to Choroidal Metastasis in a Patient with Lung Cancer
Authors: Ekinci Ferhat , Dirican Ahmet , Altınışık Muhammed , Yılmaz Ovalı Gülgün , Erdoğan Atike Pınar , Göksel Gamze
Published: August 2021

Some of the lung cancers are diagnosed at metastatic stage and symptomatic ocular metastasis is very rare. Therefore, eye examination and orbital imaging are not routinely performed in lung cancer staging. Retinal detachment was detected in our patient who had visual loss in the left eye. In the imaging, choroidal metastasis was seen and the diagnosis of underlying lung adenocarcinoma was thought to be related. It is a rare presentation in the presence of eye-related symptoms that provides dramatic improvement in quality of life with early diagnosis and therefore should be kept in mind.
Parathyroid Lesions: Our single center experience for the last 5 years
Authors: Ekmekci Sümeyye , Üstün Mehmet , Adali Yasemen , Demirli Atıcı Semra , Küçük Ülkü , Pala Emel Ebru
Published: August 2021

INTRODUCTION: Parathyroid neoplasms are tumors seen in about 0.1% of the population.Although parathyroid adenomas are the most common,carcinomas are also rarely seen.Our aim in this study is to evaluate the clinical, laboratory and histopathological characteristics of patients who underwent parathyroidectomy in our hospital in the last 5 years. METHODS: 156 patients who underwent parathyroidectomy in our hospital and examined in the pathology department were included in the study.The types of operations performed in cases were grouped as those who underwent only parathyroid excision and those who underwent thyroid partial/total excision with parathyroid excision.Age,gender, pre- and post-operative parathyroid hormone values, size,weight,pathological diagnosis of the parathyroid gland, presence of complications,comorbidities and clinical follow-up were evaluated. RESULTS: 84% of 156 cases were female,16% were male.The mean age is 53.82+13.49.The mean preoperative parathyroid hormone levels of the cases are 415.18+491.15 mg/dl, and the mean post-operative parathyroid hormone levels are 64.02+110.72 mg/dl.The mean volume of parathyroid tissues was calculated as 5.13+8.85 and the mean weight as 2.78+2.88 g. Pathological diagnoses are 83.3% adenoma,10.9% hyperplasia,2.6% atypical adenoma, 1.9% carcinoma, 0.6% normal parathyroid and 0.6% lymph node.It was observed that as the postoperative PTH level increased,the weight of the parathyroid gland increased and the lesion weight was higher in males.The addition of thyroidectomy to the treatment, conventional parathyroidectomy instead of the minimally invasive method,and the high size and volume of the parathyroid gland were found to be associated with complicated complications in the postoperative period. DISCUSSION AND CONCLUSION: In terms of thyroid pathologies that may accompany,it will be more appropriate to evaluate preoperative cases in detail and to continue the treatment with minimally invasive methods for the comfort of the patient in postoperative processes.It is highly important to always take a multidisciplinary management in the approach to parathyroid masses and to evaluate the clinical, laboratory, intraoperative and pathological findings of the case together.
The Association Between Maternal Hypoglycemia on the 75 g Glucose Tolerance Test and Maternal-Neonatal Outcomes: A Matched Case Control Study
Authors: Öztürk Emine , Yıldız Şükrü
Published: August 2021

Objective: The aim of this study was to determine whether pregnant women who developed maternal hypoglycemia during the 75 g Oral Glucose Test (OGT) were at an increased risk for adverse obstetric and neonatal outcomes. Methods: This case-control study was conducted from computer-based medical records of women who delivered in a tertiary center between January 2015 and December 2018. OGT had been performed with 75 gr glucose for gestational diabetes screening at 24-28 weeks of gestation. The pregnants with 1st-hour blood glucose levels less than 90 mg/dl (low GT) were matched with normoglycemic patients according to age, body mass index (BMI), gravida and gestational weeks. Obstetric and neonatal outcomes were assessed. Results: Of the 1249 pregnant women included in the study, 62 (4.9%) were in the Low GT group. Admission to the neonatal intensive care unit (NICU) showed a rate of 3.48 increase in the Low GT group (95% confidence interval: 1.05-11.47, p=0.04). There was no difference between the two groups in the other obstetric and neonatal parameters such as: preeclampsia, preterm delivery, birth weight, and weight gained during pregnancy and the 5-minute Apgar scores adjusted for gestational age (SGA) of the fetus. Conclusion: Low 75 g OGT results are significantly associated with increased risk of neonatal intensive care unit (NICU) admissions.
Evaluation of the Patients with Antenatal Hydronephrosis Diagnosed Ureteropelvic Junction Obstruction with the Hydronephrosis Severity Score
Authors: Erfidan Gökçen , Soyaltın Eren , Özdemir Tunç , Arslansoyu Çamlar Secil , Alaygut Demet , Mutlubaş Fatma , Kasap Demir Belde
Published: August 2021

Objective: Ureteropelvic junction obstruction is the main cause of obstructive antenatal hydronephrosis. Although surgery is the traditional treatment modality, there is still no consensus on surgical indications. We aimed to analyse the patients referred as antenatal hydronephrosis and diagnosed with ureteropelvic junction obstruction with Hydronehprosis Severity Score that has been developed by Babu at al. Method: The patients who were admitted with antenatal hydronephrosis in 2013-2018 and diagnosed as ureteropelvic junction obstruction and followed up in our clinic for at least one year were evaluated. The cases with unilateral hydronephrosis were included. Those with vesicoureteral reflux, horseshoe kidney, hydroureter, ureterovesical junction obstruction were excluded. Renal ultrasonography and nuclear scintigraphy results were re-evaluated. They were grouped as mild (0-4), moderate (5-8) and severe (9-12) based on scoring of three parameters; differantial renal function, drainage curve pattern and US grade. Clinical outcomes were also classified in three groups; resolution (grade 1-no hydronephrosis), persistance (grade 2-3 hydronephrosis) and surgical intervention. The relation between the scores and clinical outcomes were analysed. Results: A total of 57 patients were evaluated. 2 with horseshoe kidney, 4 with vesicoureteralreflux, 7 with bilateral hydronephrosis, 4 with ureteric outlet obstruction, 12 with incomplete records were excluded. Finally, 28 patients were included. Hydronephrosis was resolved in 4 (14.2%), persisted in 5 (17.8%) and surgical intervention was required in 19 (67.8%) patients. 1/5 patients with mild, 15/20 patients with moderate and 3/3 patients with severe HSS underwent surgery. 77.2% of the patients with a total score of ≥6 initially required surgical intervention at their follow-up. Conclusion: HSS may provide a significant predictive value for surgical intervention for the patients classified as “mild” or “severe” at the initial evaluation. In the “moderate” group, the risk increases in the patients with HSS≥6. Existing data should be evaluated with larger case series.
The Role of Allergen Sensitivity on Pityriasis Alba
Authors: Özdoğru Emine Ece , Gönülal Melis
Published: August 2021

Objective: Pityriasis alba is mostly seen in individuals with a history of atopy, although it may occur in non-atopic individuals. Despite many hypothesis, no certain etiologic factor for pitryriasis alba has been determined. We aimed to investigate the roles of environmental factors, inhalant and food allergy sensitization in its etiopathogenesis. Methods: We noted patients’ and controls’ age, gender, education level of parents, xerosis, hand soap type, bathing frequency, bath water temperature, wind condition in the location, using sun screen cream, sun exposure time, results of inhalant allergen and food allergen testing. Inhalant allergy test was carried out through a skin prick test for children older than two years, and a food allergy test was carried out through prick to prick test for children of all ages. Results: The findings showed that there were significant relationships between pityriasis alba and xerosis, inhalant allergen sensitization (p<0.0001, p=0.009, respectively). Conclusion: We conclude that xerosis and inhalant allergen sensitization are associated with pityriasis alba. Therefore, we think that clinicians should suggest moisturizers to patients with pityriasis alba and make their inhalant allergy tests in clinical follow-up of patients.
Analysis of Social Service Specialist Support in the Pediatric Emergency Department: A Single-center Descriptive Study
Authors: Bardak Şefika , Berksoy Emel , Gökalp Gamze , Nalbant Tuğçe , Demir Şule , Demir Gülşah , İNAN Aysun , Anıl Murat
Published: August 2021

INTRODUCTION: Our main objective was to evaluate the demographic, epidemiological and clinical characteristics of patients aged 0-18 years who needed social service support in a pediatric emergency department. Our secondary aim was to remind the social service practices in emergency services and to describe the patient profile that frequently needed social service support. METHODS: Patients admitted to the pediatric emergency department between January 2010 and December 2018 were included in this descriptive and retrospective study. Age, gender, nationality, diagnosis at admission, consultations, reasons of social service consultation, problems determined by social service specialist and interventions were recorded via hospital information management system. RESULTS: Total number of patients consulted to social service during the study was 324. The mean age of the patient group was 11 ± 6 years, 206 (63.6%) were female, 118 (36.4%) were male; 283 (87.3%) were Turk, 41 (12.7%) were Syrian. The most common follow-up reasons were suicide with 133 patients (41%), trauma with 65 patients (20.1%), and substance abuse with 36 patients (11.1%). The most common social service consultation reason was suspected abuse-neglect (87.7%). As a result of social service evaluation, 116 (35.8%) had relationship problems, 73 (22.5%) had behavioral problems, 56 (17.3%) had abuse and/or neglect suspicion, 34 (10.5%) had either patient’s or family's adherence problem, 20 (6.2%) had environmental problems and 5 (1.5%) had legal problems. Only 20 patients (6.2%) had no problem. DISCUSSION AND CONCLUSION: In conclusion, social service support was needed the most for the patients who attempted suicide and consultation was requested the most due to suspicion of abuse and neglect. Thus, inclusion of social service specialists in pediatric emergency departments can play a key role in protection and safety of child health.
Rare Mesenchimal Tumors of The Large Bowel: Colonic Lipomas
Authors: Uğurlu Levent , Aydın Cengiz
Published: August 2021

Objective: Colonic lipomas are the second most common benign tumor after polyps. Although large lipomas cause bleeding, perforation and invagination, they are generally asymptomatic. Symptomatic lipomas are treated with surgical and endoscopic methods. By presenting our case series on colonic lipomas in the light of the literature, we aimed to show that most of the lipomas, albeit large, do not require intervention. Methods: Colonoscopy procedures performed between 01.06.2013 and 01.03.2019 due to colorectal cancer (CRC) screening and follow-up, rectal bleeding, changes in bowel habit and anemia were included in the study. Data including age, gender, indication and colonoscopy findings of patients with lipomas larger than two cm in their large intestines were recorded. Results: Colonoscopy was performed on 4072 patients. Colonic lipoma larger than 2 cm was detected in 17 patients. Ten patients (58.8%) were female and seven patients (41.2%) were male. The mean age was 60.8 ± 8.8 years. Colonoscopy was performed in seven patients (41.2%) for CRC scanning, two patients (11.8%) for CRC follow-up, three patients (17.6%) for change in bowel habit, three patients (17.6%) for rectal bleeding, and two patients (11.8%) for anemia. The mean lesion size was 3.7 ± 1.5 cm. Lesions were seen in 14 lipomas (56%) in the right colon, six lipomas (24%) in the transverse colon, and five lipomas (20%) in the left colon. Conclusion: Colon lipomas are often not recognized or misdiagnosed due to factors such as insufficient colon cleansing or insufficient right colon intubations due to the patient’s inability to tolerate, insufficient attention and experience of the endoscopist. With the increase of awareness about colonic lipomas, we believe that only a few of the lesions diagnosed will require an invasive procedure.
Comparison of Treatment Outcomes After Arthroscopic Repair and Biceps Tenotomy in Patients with Isolated Slap Lesions
Authors: Yıldız Vahit
Published: August 2021

Objective: We compared the clinical outcomes after arthroscopic repair to those after biceps tenotomy in patients with isolated superior labrum anterior posterior (SLAP) Type 2-3 lesions. Methods: A total of 48 patients with isolated SLAP Type 2-3 lesions, who underwent either arthroscopic repair (n=024) or tenotomy (n=24) were included in the study. CONSTANT shoulder scores in the postoperative 40th month were compared between both groups. Tenotomy was performed for the second time in 6 patients who did not benefit from arthroscopic repair, and their CONSTANT scores estimated before and 12 months after tenotomy were compared. Results: The clinical outcomes were evaluated in the arthroscopic repair group. Preoperative and postoperative CONSTANT scores were 43.87 (8.32), and 71.41 (9.75) (p<0. 001), respectively. In the tenotomy group pre-, and postoperative CONSTANT scores were 40.25(8.63), and 90.04 (4.04) (p<0.001), respectively. There was not a significant difference between the two groups in terms of the preoperative scores (p=0.146), however, the comparison of the postoperative scores revealed a significant difference (p<0.001). The mean CONSTANT score was 50.3 (±5.64) at the end of 27th month, and the mean postoperative CONSTANT score was 86.8 (±7.16) at the 12th month in six patients whose complaints did not resolve and underwent repeat arthroscopic tenotomy (p<0.001). Conclusion: In our opinion, there is no criterion for repair or tenotomy in isolated SLAP lesions. In these patients, tenotomy may be preferred in the first place because it results in more favourable outcomes compared to repair. The cause of the pain that persists after repair of the SLAP lesion should not be considered as an incorrect, inadequate repair or a complication. In the first place, intolerable biceps tendinitis should be considered.
Evaluation of The Relationship Between Child's Anthropometric Measurements and Maternal Perception
Authors: Demirçelik Yavuz , Baltalı Oya
Published: August 2021

INTRODUCTION: In this study, it was aimed to investigate the children's height, weight and the perception of mothers about these values and to reveal the factors that may affect it. METHODS: This cross sectional study included a total of 210 children and their mothers who applied İzmir Tepecik Education Research Hospital Pediatric Health and Diseases policlinics. Survey questions consisting of a total of 30 questions including child’s socio-demographic characteristics, duration of breastfeeding, time to start additional food, eating habits, mother's evaluations of appetite, nutrition, height and weight about their children were asked. RESULTS: The rate of mothers who were found to perceive the child's weight incorrectly was 54.3 % and the rate of mothers who were found to perceive their height incorrectly was 51.5%. Misperception rates were higher in mothers who have underweight and short children. Increased sibling number, the low level of education in the family, and the low household income affected the mother’s perceptions in false direction. DISCUSSION AND CONCLUSION: In our study, it was seen that the ratio of mother’s misperceptions about their children's height and weight were about 50%. These misperceptions can cause the mother to be overly anxious about the child's nutrition and consequently develop negative nutritional behaviors which can lead to real nutritional problems such as low weight or obesity in the child. Therefore, more research is needed to reveal complications from maternal misperceptions.
Assessment of Factors Affecting the Treatment Efficacy of Radioactive Iodine (I-131) Therapy in Patients with Hyperthyroidism
Authors: Arık Ferhat , Gökay Ferhat , Erturk Arık Bade
Published: August 2021

Objective: Hyperthyroidism is an increase in hormone production in the thyroid gland and the exposure of tissues to the hormones of the thyroid glands in the circulation. The most common causes encountered are Graves’ Disease, Toxic Multinodular Goiter and Toxic Adenoma. The purpose of radioactive iodine treatment is to make patients become euthyroid or hypothyroid. Despite adequate treatment, hyperthyroidism persists or reccurs in some patients. The aim of our study is to investigate the factors affecting the efficacy of radioactive iodine treatment in hyperthyroidism. Methods: In this retrospective study, relevant clinical and laboratory data were recorded in database of Kayseri Training and Research Hospital, Endocrinology and Metabolism Diseases Outpatient Unit between 2013-2016. Results: A total of 79 cases including 17 (21%) male, and 62 (79%) female patients were enrolled in the study. There were 33 (42%) Graves’ disease 9 (11%) Toxic Multinodular Goitre and 37 (47%) Toxic Adenoma patients when grouped according to diagnoses. Mean age was 56.5 ± 16,80. Development of hypothyroidism or euthyroidism were accepted as efficient treatment, hyperthyroidism or recurrence were considered as treatment failure. In 71 (89%) patients, treatment efficiently resulted in hypothyroidism or euthyroidism, whereas in 8 (11%) patients, the treatment failed due to recurrence or persistent disease. Treatment was 100 % effective in Toxic Multinodular Goitre and Toxic Adenoma groups, while it was effective in 75.7 of patients with Graves’ Disease. Patients who did not use antithyroid drugs recovered faster than patients who did. Conclusion: Radioactive iodine therapy is an efficient treatment in patients with hyperthyroidism. It was determined that 1 mm increase in nodule size decreased the treatment efficacy by 1.07 times (p<0,05). However, there are many factors that affect the efficacy of this treatment. To elucidate these factors and improve clinical practice, prospective long-term studies providing more reliable data with larger samples needed.