bluuebunny/crossref_metadata_2025 huggingface dataset:
Insight role of TiO2 to improve the photocatalytic performance of WO3 nanostructures for the efficient degradation of ciprofloxacin
Authors: Tahir Muhammad Bilal , Farman Sohail , Rasheed Adil , Alrobei Hussein , Shahzad Khurram , Ali Arshid Mahmood , Muhammad Shabbir
Published: July 2021

The current research work is to investigate the photocatalytic efficiency and degradation of ciprofloxacin using WO3/TiO2 nanoparticles under visible light irradiation. The nanoparticles of tungsten trioxide (WO3) and its composite with titanium dioxide (TiO2) i.e. WO3/TiO2 was prepared by hydrothermal method. Four basic characterizations were performed to study the prepared sample materials. To study the morphology of the prepared samples, scanning electron microscopy (SEM) was used. The results of SEM clearly showed that tungsten trioxide (WO3) has Rectangular shaped structure. The average size of the pure Tungsten trioxide nanoparticles was about 40–540 nm. The composite of WO3/TiO2 has spherical structure. The reason behind that was the addition of TiO2 in WO3 changes the morphology of pure WO3, and transformed the rectangular structure to a spherical structure. The presence of TiO2 changes the position and orientation of the nanorods in all possible directions. For the detailed analysis of the functional groups present in these samples, band gap, and optical properties of these samples, Fourier transform infrared spectroscopy (FTIR), ultraviolet visible (UV–VIS) spectroscopy and Photoluminescence (PL) emission spectroscopy was used. UV–Vis spectroscopy results showed that the bandgaps of prepared catalysts vary within the range of 2.76 – 2.5 eV. This decrease in bandgap is directly related with the concentration ratio of TiO2 in WO3. The maximum excitation wavelength observed at 440 nm. The maximum degradation efficiency was at 2% of WO3/TiO2 composite catalyst due to unique morphological structure and increase rate of photo absorption.
Missed Traumatic Conoventricular Septal Defect: A Case Report
Authors: Cheng Mingjin , Huang Niuliu , Ning Chengdong , Huo Qianlun
Published: July 2021

Traumatic ventricular septal defects (VSDs) after penetrating trauma to the left chest are rare. Most of the traumatic VSDs are located in the muscular ventricular septum, and a few reports place them in the membranous ventricular septum. There has been no report of traumatic conoventricular VSD by penetrating trauma. We present a case of penetrating cardiac injury (PCI). The rupture of the right ventricular free wall was found and repaired in emergency operation. This is the first report of the use of auricular forceps to control cardiac rupture bleeding. After operation, we found traumatic conoventricular VSD, which was repaired under cardiopulmonary bypass.
A Modified Hypothermic Circulatory Arrest Technique Improves Early and Near-Midterm Results in Patients with Acute Type A Aortic Dissection
Authors: Li Huadong , Yu Hong , Dong Nianguo , Wu Long
Published: July 2021

Background: The hypothermic circulatory arrest (HCA) is an indispensable step in the surgical treatment of an acute type A aortic dissection (ATAAD), which could greatly affect the postoperative outcome. We modified the HCA technique and validated the feasibility and superiority of the new approach relative to the conventional method.
Methods and results: Eighty-eight patients with ATAAD were enrolled in this study between May 2016 and April 2018. Of those, 36 patients in the Conventional treatment group had circulatory arrest at 25°C for about 16-28 minutes, while 52 patients in the Modification group underwent a circulatory arrest at 28°C for only 1-3 minutes. The preoperative clinical data and postoperative clinical outcomes were compared between the two groups. No intraoperative mortality occurred in any of the cases. No significant differences were observed in the aortic cross-clamp times during the cardiopulmonary bypass (CPB) between the two groups. In the Modification group, several indicators, such as mechanical ventilation time, postoperative 48-h drainage volume, blood transfusion volume, the ICU-stay time and postoperative hospital stay, were reduced significantly as compared with those in the Conventional group. Whereas three postoperative deaths in the hospital occurred in the Conventional treatment group, all the patients in the Modification group were cured. There is no difference in the incidence of postoperative complications between the two groups. The patients had a 100% follow up with a mean of 17 ± 6 months.
Conclusions: A moderate hypothermia with a short circulatory arrest is a safe and effective HCA approach that provides satisfactory early and near-midterm results in the patients who received ATAAD treatment.
Impact of Body Mass Index on Survival of Metastatic Renal Cancer
Authors: Salgado Jose Javier , Fernandez-Pello Sergio , Ruger Laura , Gonzalez Ivan , Alonso Laura , Rodriguez-Villamil Luis
Published: July 2021

Obesity has been established as a risk factor for renal cell carcinoma (RCC). Recently, studies have described obesity as a probable protecting factor in the metastatic stage of RCC. In this study, we assessed the relationship between body mass index (BMI) and overall survival in patients under systemic therapy.The correlation between BMI and overall median survival was studied in 76 patients diagnosed with metastatic RCC under systemic therapy. The groups were divided into overweight and obesity (BMI > 25 kg/m2) and underweight or normal (BMI < 25 kg/m2). Statistical analysis was performed using the Cox regression model adjusted by gender.A total of 76 patients were studied: 16 women (21%) and 60 men (79%). The median BMI was 27.96 kg/m2; 24 patients (31.6%) had low BMI and 52 (68.4%) had high BMI. Median overall survival in the group with BMI > 25 kg/m2 was 17 months (95% confidence interval [CI]: 13–34 months), while in the group with BMI ≤ 25 kg/m2, it was 14 months (95% CI: 8–20 months). When adjusted by gender, the group with BMI > 25 kg/m2 presented a hazards ratio of 0.54 (95% CI: 0.30–0.96), P = 0.044 (Log Rank).A high BMI significantly acts as a protecting factor. We observed an increased overall survival of overweight and obese patients within the context of metastatic RCC under systemic treatment. These data confirm the findings published in other studies that suggest the role of lipid metabolism in this type of tumors.
Strategi Komunikasi Pemberdayaan Masyarakat pada Perguruan Tinggi Islam
Authors: Yanti Fitri , Amaliah Eni
Published: July 2021

This article discusses communication strategies for community empowerment carried out by universities. In an effort to achieve optimal targets, the role of effective commu­nication is very pivotal. In this case, the right empowerment communication strategy is to place communicators as moti­vators, dynamists, innovators, and facilitators for social change. In this regard, students, lecturers, or companion teams as communicators must be on a par with the commu­nity. It means that communicator and audience, expert and user, and sender and receiver interchange roles in a mutually beneficial two-way interaction through which qualified social empowerment can be reached. The communicator functions as a driving force for the community to be able to realise their potential independently in order to become more empo­wered. This communication strategy is appropriate for the bottom-up intervention model of community empowerment; self-help and togetherness model, integrative-interconnected model, and asset based community-driven development.
Komunikasi Antarpribadi Masyarakat Beda Agama di Surakarta:
Authors: Sihabuddin  , Supriyadi Agus , Widiyowati Estu
Published: July 2021

This study aims to analyse the interpersonal communication within multi-religious society in Gendingan village, Surakarta. Using a descriptive qualitative method and symbolic interactionalism approach, the findings indicate that a harmony produced by interpersonal communication amongst people in Gendingan is a reflection of one's obedience to the religion and the result of the understanding to his/her religious. In addition, based on symbolic interaction perspective, it is found that, first, the communicator's response to communicants within multi-faith society affected by the environment. Second, the tolerance is allowed but it has remained limited, regardless reducing the meaning of tolerance. Third, there are changes of religious symbolic meaning that affect interpersonal communication actions within multi-religious communities.
Dakwah Majelis Dzikir Islahul Ummah di Gerung Lombok Barat
Authors: Udin MS , Saladin Bustami
Published: July 2021

Da'wah means encouraging people to do good and preventing them from doing evils according to Allah's instructions. In a broad sense, da'wah is not only intended to convey the message of Islam to non-Muslims in order to convert to Islam, but it also to lead someone who has bad morals (naughty people) to return to the right path of Allah Swt. This article examines the role of the Majelis Dzikir of Islahul Ummah in West Lombok in conducting da'wah. Using descriptive qualitative research methods and in-depth interviews, this study concludes that this majelis dhikr is able to preach effectively to Gerung community. It can be seen form the provided data that number of followers of this majelis dhikr has continued to increase around 700 worshipers. In terms of the quality, the majority of the congregation admitted that have experienced the quality of positive changes: from bad to good; from good to better.
E-government em portais públicos de municípios
Authors: Neves Fabrício , Silva Polyana
Published: July 2021

As plataformas digitais de governos são percebidas pela literatura como uma ferramenta eficaz para aumentar a entrega de informações, interação com usuários e prestação de serviços de governos, sendo um dos aspectos mais visíveis dos cidadãos em relação à gestão pública. No entanto, a interação dos cidadãos com os governos ainda não está clara. Os efeitos práticos para a condução de um governo eletrônico, capazes de ampliar essa relação, ainda são invisíveis. Este artigo tem o objetivo de fornecer uma compreensão sobre como os portais públicos são utilizados como ferramenta de governo eletrônico em governos locais, destacando como os conceitos relacionados ao governo eletrônico têm sido empregados empiricamente. O estudo adota uma abordagem qualitativa, analisando cinco municípios de uma microrregião do estado da Bahia. As informações foram obtidas por meio de uma triangulação que envolveu entrevistas semiestruturadas, análise dos portais e aplicação de questionários de opinião aos cidadãos. As análises indicam uma ausência de ações de convencimento e de processos internos alinhados dos governos, que acabam gerando um descolamento entre a prática e as políticas de governança digital, o que resulta em baixa participação dos cidadãos e desconhecimento dos canais de comunicação governamentais. O estudo contribui para a literatura de governo eletrônico e dá mais informações sobre como pessoas e organizações afetam o uso de tecnologias, fornecendo elementos que podem guiar gestores públicos motivados a aumentar a relação e a comunicação com a sociedade. Destaca-se a necessidade de investigar, no nível organizacional, os fenômenos de transformação digital em governos.
Metacognição, perfil empreendedor e percepção de sucesso
Authors: Estrela Pedro Marlus Cavalcante de Albuquerque , Bruni Adriano Leal , Lima Filho Raimundo Nonato
Published: July 2021

Este estudo buscou identificar em que medida a metacognição exerce efeito sobre a percepção de sucesso, mediada pelo perfil empreendedor. A amostra analisada envolveu 194 egressos dos cursos de Administração, Ciências Contábeis e Economia de instituições de ensino superior públicas e privadas do estado de Sergipe. Os procedimentos envolveram o uso de modelagem de equações estruturais e os resultados indicaram que a orientação de objetivos apresenta relação significativa direta e indireta com a percepção de sucesso. O conhecimento metacognitivo e a experiência metacognitiva possuem relações indiretas significativas com a percepção de sucesso, e esta relação ocorre com as dimensões “autorrealização” e “líder” do perfil empreendedor. Como contribuição deste estudo, identificaram-se características metacognitivas que podem ser aperfeiçoadas para melhorar a percepção de sucesso, como, por exemplo: definir frequentemente objetivos; compreender a relação entre tarefas e objetivos; estabelecer objetivos específicos; avaliar com frequência o progresso de uma tarefa; selecionar a melhor opção para a resolução de problemas; usar estratégias assertivas no passado; obter conhecimento prévio de uma tarefa; fragmentar problemas em pequenas partes; pensar antes de realizar uma tarefa; usar diferentes estratégias; organizar o tempo e informações; selecionar informações importantes; e utilizar a intuição para formular estratégias.
Deep AutoEncoders in Recommender Systems: An Application about Internet of Things Service Recommendation
Authors: BİRİM Sule
Published: July 2021

The Internet of Things (IoT) is a system that includes small interconnected devices sharing information through the Internet. Future expects an increasing number of services in IoT devices. Therefore, recommending IoT services will be a vital task for the future of IoT and the convenience of the users. This study aims to find the best methodology to provide IoT service recommendation. With this aim, this study proposes deep autoencoders methodology to recommend services and applications to users based on the devices they own. Deep autoencoders utilize neural networks to predict user service preference matrix. The data used in this study is constructed from a real-world Social IoT dataset. The results showed that deep autoencoders outperformed the state-of-the-art recommendation methods. According to the results, Deep autoencoders improved performance indicators varying between 13.5% and 69.5% compared to other methods. Findings also indicate that the performance of the deep autoencoders can be enhanced by using ELU (exponential linear units), a specific type of activation function. This study contributes to the IoT service recommendation literature by proposing a superior approach when compared to the traditional recommendation techniques.
Automated Game Mechanics and Aesthetics Generation Using Neural Style Transfer in 2D Video Games
Authors: ŞEN Deniz , KÜÇÜKKAYKI Hasan Tahsin , SÜRER Elif
Published: July 2021

Video game research is an ever-changing and dynamic area where sophisticated methods and algorithms are being developed. Procedural content generation (PCG), which aims to merge user-generated assets with algorithms to automate and improve video game content, has been the core of this sophistication. However, the outcomes are primarily reflected in game aesthetics, not in the game mechanics and gameplay. In this study, we introduce the “game scene as a canvas” concept where simple prototype game development pipelines, that can convert a 2D game-level image into a game development environment with ready-to-use colliders and artistically different styles that enhance the game aesthetics, are introduced. To do so, edge-based and color-based features of the input game level image are extracted using the Canny edge detector, Simple Linear Iterative Clustering, and Felzenszwalb segmentation. The Unity game engine is then used to generate colliders based on the provided edge and color features where the game level is style transferred with spatial control. Results of different neural style transfer algorithms are presented on benchmark games such as Super Mario and Kid Icarus. Results show that this study can become a promising tool to simplify 2D video game development, focusing on game mechanics and aesthetics.
Türkiye'de Kişisel Verilerin Korunması ve Vatandaş Algısının Ölçülmesi
Authors: ARINMIŞ UZUN Sündüs
Published: July 2021

Kişisel veri kavramı ve kişisel verilerin korunması konusu ülkemizde son yıllarda oldukça gelişim göstermiştir. Dünya genelinde meydana gelen ilerlemeler ve tartışmalar doğrudan ülkemizdeki gündemi etkilemektedir. Analitik Hiyerarşi Süreci modeli ayrıştırma, yargıların karşılaştırılması ve önceliklerin sentezi şeklinde üç ana ilke üzerine kurulmuştur. Model kriterlerin önem derecelerinin hesaplanmasını ve alternatifler arasından seçim yapılmasını kolaylaştırmaktadır. Bu çalışmanın amacı, ülkemizde kişisel verilerin işlenmesi ve korunmasına yönelik kavramsal bilgi vermek, konu ile ilgili dünyada ve ülkemizdeki gelişimi hakkında genel bir çerçeve çizmek, son yıllarda gündem olan big data (büyük veri) kavram ve uygulamalarıyla kişisel verilerin korunması ilişkisini incelemek ve son olarak kişisel verilerin işlenmesi ve korunması konusunda vatandaş algısının ölçülerek uygulanması gereken politika hakkında öneriler sunmaktadır. Bu amaçlardan yola çıkarak kişisel verilerin işlenmesi ve korunması konusunda vatandaş algısını ölçmek için beş ana kriter, yirmi alt kriter belirlenmiş ve hiyerarşik yapı oluşturulmuştur. Çalışmanın sonunda kişisel verilerin işlenmesi ve korunması konusunda en önemli kriterin gereklilik olduğu ve güvenilirlik yoğun politikanın seçilmesinin uygun olacağı değerlendirilmektedir.
Личностная зрелость в материалах свободного самоописания: имплицитная теория рейтера
Authors: Дружинина Александра Егоровна , Костенко Василий Юрьевич
Published: July 2021

Теория развития эго (также в литературе — теория развития личности, англ. Theory of Ego Development) Джейн Лёвинджер (1976) описывает, как личность на протяжении жизни проходит через стадии становления зрелости. Результаты значительного количества эмпирических исследований демонстрируют, что теория концептуально целостна, а соответствующая ей методика — Тест неоконченных предложений Вашингтонского университета (Washington University Sentence Completion Test; WUSCT; НПВУ) — психометрически устойчива (Manners & Durkin, 2001). Несмотря на это, в теории обнаруживается значительное количество пробелов, среди которых можно упомянуть (1) вопрос об отражении её центрального конструкта — «эго» — на уровне данных, a также (2) разрыв между регламентированной и реальной процедурой оценивания уровня развития эго. Настоящее исследование посвящено преимущественно рассмотрению вышеупомянутых пробелов и в перспективе направлено на их устранение. Основной целью данной работы выступает проверка возможности диагностики уровня развития личности на материалах свободного самоописания (МСС; Визгина, 2011). Ожидается, что данная цель будет достигнута посредством интервьюирования рейтеров методики НПВУ на предмет их имплицитных теорий относительно стадий личностного развития. Рейтеры (люди, обученные интерпретировать результаты методики в соответствии с руководством) раскроют свои теории на материалах МСС. Ожидаемые результаты включают в себя обоснование использования МСС в качестве альтернативного способа измерения личностной зрелости, а также операциональное определение эго. Предполагается, что полученные результаты значительно поспособствуют дальнейшему развитию теории Лёвинджер.
Процесс адаптации китайских студентов к учёбе в Байкальском государственном университете (взгляд студента)
Authors: Краснюк Ирина Николаевна , Хэ Хаонань
Published: July 2021

В статье рассматриваются проблемы адаптации и коммуникации студентов из Китая, обучающихся в Байкальском государственном университете (БГУ). На основе опроса китайских студентов подготовительного факультета, 1 и 2 курсов, выявлены проблемы, препятствующие адаптации студентов в России, к учебе в БГУ.
Особенности социально-психологической адаптации сотрудников полиции
Authors: Першина Кристина Вячеславовна
Published: July 2021

В данной статье рассматриваются особенности социально-психологической адаптации сотрудников полиции, конкретно патрульно-постовой службы. Представлено эмпирическое исследование особенностей адаптации у девушек и юношей. Выявлено, что имеются различия по следующим показателям: «Адаптация», «Самоопределение», «Эмоциональный комфорт», «Внутренний контроль», «Стремление к доминированию», уровень развития коммуникативных способностей, «Личностный адаптационный потенциал», «Поведенческая регуляция», «Моральная нормативность».
Психологическое сопровождение формирования личностных качеств военнослужащих и сотрудников силовых ведомств
Authors: Юдин Денис Владимирович
Published: July 2021

В статье представлен анализ личностных характеристик, влияющих на качественное выполнение психологического сопровождения военнослужащих и сотрудников силовых ведомств, в период служебной деятельности, психологическими структурами.
KAPSAYICI EĞİTİM BAĞLAMINDA “HIÇKIRIK” FİLMİNİN ANALİZİ
Authors: Kaya Nisa G.
Published: July 2021

Kapsayıcı eğitim, birey içi ve bireyler arası farklılıkları dikkate alarak tüm öğrencilerin gereksinimleri doğrultusunda ilgili destek ve eğitim hizmetlerinden yararlanması yoluyla bir arada öğrenmelerini destekleyen bir yaklaşım olarak tanımlanmaktadır. Bu çerçevede, sadece özel gereksinimi olan öğrenciler değil, toplumdaki tüm kesimlerin kültürel, sosyal ve ekonomik ayırım olmaksızın eğitim hakkı, temel insan haklarından biri olarak kabul edilmektedir. Bu çalışmada, 2018 yılı Hindistan yapımı “Hıçkırık” adlı film içerik analizi yöntemi ile incelenmiştir. Filmde kekemelik engeli olan bir öğretmenin sosyo-ekonomik yönden dezavantajlı öğrencileri ile yaşadıkları olaylar anlatılmaktadır. Kapsayıcı eğitime ilişkin olarak belirlenen ‘tutumlar’, ‘eşit fırsatlar’ ve ‘öğretim’ temaları altında alt temalar belirlenerek filmden temalara ilişkin örnekler incelenmiştir. Sonuç olarak, filmde bireysel farklılıklara saygı, olumsuz önyargılarla baş etme, engelleri aşmak, güçlü yönleri keşfetme, hedef belirleme ve farklılaştırılmış öğretim konularında örnekler verildiği belirlenmiştir. Bu bağlamda, filmin eğitim amaçlı olarak, eğitim fakültesi öğrencileri ile öğretmenlere izletilmesi önerilebilir. Ayrıca film, kapsayıcı eğitim konusunda toplumsal farkındalığın arttırılmasına katkı sağlayabilir.
The Effect of the PECS Alternative Communication System on Vocal Speech Acquisition in Children with Autism
Authors: Popova O.A. , Filina N.M.
Published: July 2021

This article describes the positive effect of teaching the PECS (Picture exchange communication system) alternative communication system on vocal speech acquisition in children with autism spectrum disorders (ASD). Materials from an empirical study of three children with ASD and other mental disorders aged 2—4 years are presented. Measurements were made of the number of communication initiatives in children, in the form of requests using PECS pictures for three months. As a result of teaching communication using the PECS system, two out of three children had vocalization responses, in the form of words and phrasal speech. All three children demonstrated a decrease in the number of challenging behavior episodes as they learned functional communication. It was found out that learning to ask with the help of PECS has a positive effect on the vocalizations in children with autism and other mental disorders. Children trained to communicate using the PECS alternative communication system demonstrate less challenging behavior, acquire functional communication skills, which, in general, improves the quality of life of the child’s family
The Effect of Covid-19 Pandemic Period on the Organizational Culture of Public Relations Agencies
Authors: Akbulut Deniz , Üstünbaş Birgül
Published: July 2021

Covid-19 pandemic has spread to the whole world from Wuhan, China in December, 2019 and seriously changed the daily life. While various measures have been taken to fight against the global pandemic in the whole world, transformations have occurred in business manners in many countries including Turkey. The public relations sector, which is an applied communication discipline managing the communication processes between the organization and target audience, has been affected by this process. Thus, how the pandemic period has affected the business manners of agencies and how the public relations profession has been actualized in agencies have been an object of interest. The main question of this study is how the pandemic period has affected the organizational culture in public relations agencies, and will these effects cause permanent changes in business manners in the agencies after the pandemic. The fact that most people have started making grocery shopping online due to Covid- 19 has increased the share of e-trade in the sector of Fast Moving Consumer Goods (FMCG), which are also known as packaged consumption products. Public relations agencies serving in this sector have accelerated their communication activities especially during the pandemic. A semi-structured interview technique was applied to the representatives of seven public relations agencies serving in the fast moving consumer goods sector within the framework of the questions formed in line with the factors affecting the corporate culture according to Mondy (communication, motivation, leadership, management process, organizational structure and management style) in this study. The study found that hybrid working order (telecommuting/office working) was adopted by agency employees, the concept of office hours disappeared in agencies, the service process became 24/7 by the agency, digital communication tools accelerated the communication processes, and the business capacity of agencies increased. It is observed in line with these factors that pandemic period has caused both positive and negative permanent behavioral changes in the organizational culture of agencies.
The Example of Fanatik Newspaper Within the Context of The Evolution of Communication From Traditional Media to New Media Tools During the Covid-19 Pandemic
Authors: Bölükbaşı Selahattin
Published: July 2021

Fanatik Newspaper has been chosen as a sample in explaining the evolution of communication from traditional media to new media tools during the Covid-19 pandemic period, as Fanatik uses both media platforms efficiently. During the pandemic period, in which people didn’t go out or even avoid meeting their relatives, it’s been harder to reach daily newspapers to be informed about developments. After the 1990s, humanity has already become acquainted with internet journalism, which led to a decrease in the purchase of newspapers, and people started following the developments mostly from other platforms such as computers and mobile phones. And the advent of Covid-19 increased people’s dependence to digital platforms as a result of the restrictions implemented by the states. This study includes a video interview with Ömer Necati Albayrak, who has been the editor of Fanatik since 2012, and the data collected about newspapers and online journalism during the pandemic. The meeting was originally planned to be held face-to-face, yet because of the pandemic, it had to be held over Zoom, one of the relatively new media applications. The questions asked in the interview were prepared in line with the location feature that’s in social networks (URL-1). Both qualitative and quantitative analysis methods were used in this study. With the content analysis performed with quantitative methods, information about the circulation and advertising revenues of the newspapers in Turkey in the last ten years were collected. As a result of both studies, it has been recorded that people mostly follow the news from the internet sites, however; the circulation of the newspapers, which declined at the beginning of the pandemic, increased again later. In consequence of the findings, although the evolution of communication from traditional media to new media seems to have been completed during the pandemic, it has been detected those newspapers are preferred more when it comes to advertising revenue.
Cinema and New Media Possibilities in the Pandemic
Authors: Kavas Burcu
Published: July 2021

Cinema, which started to digitalize in the 20th century, continues to be integrated with digital publishing platforms that emerged with the development of new media technologies in the 21st century. With the coronavirus pandemic that affected the whole world in 2019, digital broadcasting platforms became popular as an alternative cinema event in the quarantine process. Various precautions have been taken around the world for the coronavirus pandemic. As a result of the quarantine precaution, the local and global cinema industry was negatively affected. Cinema industry which is a collective production and screening process, has been interrupted by the suspension of the filming and the closing of the movie theaters during the quarantine. New media created a movement area for the cinema industry in this process. In this sense, the aim of this study is examining the researches on the effect of the coronavirus pandemic on the cinema and the effect of new media tools and opportunities on the cinema sector.
Extreme Digitalization and Its Effects on Individual and Social Life During the Post Corona Pandemic Period
Authors: Özsoy Arzu
Published: July 2021

It is seen that individuals use digital tools and digital media more than ever, due to the developments of Covid 19 virus worldwide, corona epidemic measures in different dimensions in each country and social distance rules. Within the scope of corona measures, user behaviors and digital habits have started to differentiate and intensify in this extremely isolated process where new living rules are applied. In the global arena, individuals from different ages and socio-economic groups in many different countries have come to share on their social media accounts that they experience problems such as "crammed tracking", excessive online shopping, etc., in the quarantine restrictions. While the use of excessive digital tools and media causes a wide variety of physical and mental illnesses, it also causes visible positive and negative changes in the lives of individuals. The aim of this study is to provide a general view and recommendations for individual and social changes in the context of extreme digitalization during the corona epidemic period.
Changes and New Trends in Health Communication
Authors: Narcı Mustafa , Konuk Kandemir Nebiye
Published: July 2021

Health communication can be considered in terms of different groups such as communication of healthcare professionals with each other, patient-healthcare worker communication, patient-patient communication and patient relatives communication with each other. Communication is the primary tool in ensuring health literacy and disseminating effective health information to the wider audience. Effective health communication raises awareness about health problems, risks and solutions; influences and strengthens individuals' attitudes. All mass media are used within the scope of health education to develop and adopt healthy living habits in society in order to improve health. The dizzying developments and changes in communication technologies have diversified and enriched the ways to obtain more information and support about health problems. The transition from monologue to dialogue in the internet field has caused the transformation from one-way information transmission to dynamic, multi-faceted interactive and discussions. Thus, the period began in which not only consuming but also producing users took part. While this has improved those who use social networks, it has also made it difficult to control health information. The coexistence of the media's potential to generate negative behavior as well as the possibilities and capacity to develop positive health behaviors also constitutes a paradoxical situation. Individuals who try to collect information about diseases and treatment methods by using new media tools sometimes risk their health with false information. In addition, the communication between the different groups mentioned above through forums on online platforms takes on a remarkable new form in terms of patient-patient communication. In this context, the aim of the study is to discuss the transformation of patient-patient communication on online platforms within the framework of the literature.
Use of Virtual Reality Technology In the Digitalization Process of Education: Four Model Museum
Authors: Erol İhsan Emre , Bayrak Tamer , Yengin Deniz
Published: July 2021

Along with the developing technology and the social risks human faces, the society’s trends towards digital technology is inevitable. Undoubtedly, the interest of individuals in digital technologies has directly affected all sectors. The transformation of societies depending on their technological needs and conveniences offered by technology has formed new supply-demand balances, and sectoral changes have occurred in line with the demands of the society that was formed by the supply-demand balance. From a sectoral point of view, communication and related technologies have also been affected by all these transformations. Major developments in communication technologies have also led to changes in all sub-disciplines that are dependent on it. These changes have been so great that it has become necessary to explain separately and academically each of them. As a new and spreading technology, virtual reality technology is considered as a new opportunity by means of its key concept definitions and the successful implementation of both communication and educational processes. Especially, considering the qualities of generation Z, and the fact that the education processes are for generation Z; the probability of success of an education process by using virtual reality technology can be expected to increase. In this context, a study named “Four Model Museum” was carried out within the body of Istanbul Aydın University Faculty of Communication, New Media Applications and Research Center, which uses virtual reality technology and targets Public Relations undergraduate students. Within the scope of the study, the curricula prepared for Public Relations students were examined and four Models in Public Relations, which were considered as suitable subjects, were selected. Scenarios were prepared in the context of selected topics and sound were recorded in recording studios of Istanbul Aydın University, department of Radio, Television, and Cinema. Adhering to the scenario, 3D models, coatings, and finally, virtual reality software were developed. In this study, the scenario and content of the virtual reality education software named "Four Model Museum" were examined and analyzed within the framework of communication science.
COVID-19 and Ageism: Has the Pandemic Allowed Prevailing Ageist Attitudes to Go Viral?
Authors: Rooprai Paul , Mistry Neel
Published: July 2021

Current perceptions of older adults are often met with prejudice and misconceptions that constitute what has been characterized as ‘ageism’. Rarely are older persons considered indispensable members of the population who deserve our respect and support. While it is unclear if and when this pandemic will end, what is clear is how COVID-19 has unveiled the prevalent ageist attitudes against older people, underscoring an unsettling discourse about age and human worth that has allowed us to easily question the value of older adults. In this commentary, we highlight specific recommendations that can be made to combat ageism during and after the COVID-19 pandemic, with exploration of vaccine administration and inequities across long-term care homes.
The maternal and fetal outcome of repeat previous one caesarean section
Authors: Jain Uma , Jain Deepali , Sengar Shaily , Gupta Preeti
Published: July 2021

Background: The rates of adverse maternal and neonatal outcomes have increased significantly in the last decade. Patients with repeated caesarean deliveries also have a greater risk of placenta previa, placenta accrete, uterine rupture, bowel and bladder injury, and unplanned hysterectomy.Methods: This retrospective study was performed between 01 April 2017 to 31 March 2021, at a private hospital to know about the surgical difficulties and maternal and neonatal complications encountered in cases of repeated LSCS. The outcome of 1028 women admitted with a history of previous LSCS was studied.Results: The 613 patients were given a trial of labour. 40.07% of patients delivered normally. The most common indication for repeat LSCS was CPD in 20.94% and fetal distress 20.12%. The most common complication observed was adhesion in 37.65%. Scar dehiscence in 8.92 %, scar rupture in 0.64%, uterine atony in 4.8%, placenta previa in 3.57%, placenta accrete in 0.64%, injury to the bladder was seen in 0.97%, caesarean hysterectomy was done in only 2 cases and gaped wound was found in 1.13% of cases. 19.15% of neonates were admitted to NICU. Apgar score <7 at 5 minutes in 14.77%. premature neonates were 8.44% RDS was found in 7.62%, birth asphyxia was found in 2.92% cases and neonatal sepsis was found in 1.13%.Conclusions: The dramatic increase in caesarean section rates over the past three decades has been associated with a corresponding increase in maternal morbidity but there a continuous decrease in neonatal morbidity and mortality rates because of advances in neonatal medicine.
Systemic inflammatory index a simple marker of thrombo-inflammation and prognosis in severe COVID-19 patients
Authors: Ramesh Jayanthy , Varghese Johann , Reddy S. L. Sagar , Rajesh Moganti
Published: July 2021

Background: COVID-19 pandemic has challenged the healthcare resources globally, inspiring the need for identifying simple, economical biomarkers. COVID-19 is an immune-inflammatory disorder and systemic inflammatory index (SII) derived from the peripheral blood has been proposed as a marker.Methods: Retrospective study of severe COVID-19 hospitalized patients (total N=154 including diabetic subset N=57). Data regarding hematological variables such as absolute neutrophil count (ANC), absolute lymphocyte count (ALC), platelet count along with thrombo-inflammatory proteins, D-dimer, C-reactive protein (CRP) were extracted from medical records. SII was calculated from ANC×platelets/lymphocyte count. Clinically applicable cut-offs were derived using the receiver operating characteristic curve (ROC) analysis for SII, CRP and D-dimer. Correlations between hematological parameters and D-dimer, CRP were analyzed to validate them as biomarkers of thrombo-inflammation and as predictors of clinical outcome.Results: Among 154 severe COVID-19 patients, significant association with mortality was seen with respect to ANC (p<0.001), SII (p=0.01), CRP (p=0.004) and D-dimer (p=0.001). In the total COHORT, based on ROC curve, applicable cut-off for outcome prediction were for SII 14.85×105 (area under curve (AUC)-0.691, sensitivity-67%, specificity-64%,odds ratio (OR)-3.44), CRP 19.7 mg/l (AUC-0.718, OR-5.71), D-dimer 0.285 mcg/ml (AUC-0.773, OR-6.94) respectively. In the diabetic subset, the cut-offs for SII 14.85×105 (AUC-0.68, sensitivity-80%, specificity-54%, OR-4.7), CRP 52.5 mg/l (AUC-0.723, OR-5.36) and D-dimer 0.285 mcg/ml (AUC-0.771, OR-11.3) respectively.Conclusions: Clinically applicable thresholds for SII serve as reliable biomarkers of thrombo-inflammation and prognosis in severe COVID-19 patients. Diabetic patients with similar thresholds had higher risk and prediction for mortality. In the resource constrained health care settings, who might not afford D-dimer, SII may serve as an economical bio-maker.
Study of incidence of central line associated blood stream infections in patients admitted in intensive care unit
Authors: Dubey Prachi , Varma Sanjay , Kujur Anupam , Sharma Bhuwan
Published: July 2021

Background: Central venous catheterization is a relatively common procedure in many branches of medicine particularly in anaesthesia and intensive care medicine. Central venous catheters give an easy access for giving drugs as well as for sampling of blood, but they can also be a cause of blood stream infection and sepsis.Methods: Patients who requiring central venous catheter were selected, relevant blood investigations were done before insertion of catheter and after 48 hours after insertion. With the suspicion of new infection, physical examination and laboratory work-ups were carried out to identify the other source of infection.Results: Total 96 patients were selected with mean age of 40.0±13.89 years. The incidence of central line-associated bloodstream infection/catheter-related bloodstream infection (CLABSI/CRBSI) in our hospital based study in intensive care units comes out 34.37%. The CLABSI/CRBSI patients (n=33) on general physical examination 5 patients have bradycardia, hypertension hypothermia oliguria altered mental status hypotension tachypnea tachycardia and 26 patients have developed fever during the course of illness. The predominant organism isolated in CLABSI/CRBSI patients is Staphylococcus aureus. Central venous catheters are useful in getting access and also source of blood stream investigation. Site of catheter, duration of catheter and co morbidities acts as risk factor for infection.Conclusions: By knowing the risk factors to cause catheter related infections, risk of getting infection can be lowered by using aseptic technique during insertion and proper catheter care and this can further reduces morbidity and mortality related to central venous catheters.
Open tibial fracture with severe soft tissue injury and bone loss managed with ipsilateral fibular transport and its complications: a case report
Authors: Mukhopadhaya John , Gupta Arvind , Sinha Amit K.
Published: July 2021

Massive segmental bone defects of tibia present as a challenging task to manage specially when associated with extensive soft tissue injury. A 30 year old male presented to Paras HMRI hospital, Patna, post road traffic accident with Gustilo Anderson 3B comminuted open tibia shaft fracture and with an external fixator in situ with a grossly inflamed and infected wound. Initially patient was managed with serial wound debridement and skin grafting was done early to obtain adequate soft tissue coverage. The patient then underwent application of Ilizarov external fixator with plan of one level fibular osteotomy for ipsilateral fibular transport. With good outcome of the procedure clinically and radiologically, Ilizarov fixator was removed after time duration of about 1.3 years and limb was immobilized in plaster of Paris (POP) cast which was removed after 8 weeks. Within 1 month of removal of POP cast the patient presented to hospital again with complaints of pain and instability when his leg was run over by his child’s bicycle while playing. Diagnosed as fracture of proximal (transported) fibula he was managed then with locking plates; one of which was used as an internal fixator and the other as external fixator which was outside the body and acted as a support to the operated limb. After about 1 year the external locking plate was removed and patient was able to bear weight on his extremities. Despite various modalities to treat massive tibial gap, fibular transport procedure with Ilizarov external fixator seems to be the most viable option.
Chronic patellofemoral instability and pain treated effectively by anteromedial tibial tubercle transfer (Fulkerson osteotomy) with or without medial patellofemoral ligament reconstruction
Authors: Mukhopadhaya John , Gupta Arvind , Sinha Amit K. , Bhadani Janki S.
Published: July 2021

Background-Chronic patellar instability (subluxation and dislocation) and pain is a debilitating knee condition that frequently involves young, active patients. Bony malalignment and soft tissue injury (torn or stretched MPFL) is considered as a surgical indication for distal realignment in the form of Anteromedial tibial tubercle transfer(Fulkerson osteotomy) with or without MPFL reconstruction that effectively prevents the patella from tracking laterally and thus unloads the lateral patella while making the patellofemoral joint more congruous , stable and pain free.

Materials and method - It is a prospective study of 22 patients of chronic patellar instability and pain. Follow up ranged from 24 to 36(average 30) months. Preoperative assessment included clinical examination, Lysholm, IKDC score and Radiological examination (X-ray, CT scan and MRI). 18 patients with history of dislocation and pain having bony malalignment and torn MPFL were treated with Fulkerson osteotomy and MPFL reconstruction and 4 patients with history of subluxation and pain having bony malalignment only were treated with Fulkerson osteotomy alone. Patients were followed up with the help of X-rays at regular interval and the clinical outcome was measured using scoring system.

 Results-There was a significant improvement in postoperative assessment with regards to scoring system (Lysholm and IKDC) and knee pain. Union at osteotomy site for all patients was seen. None of the patients had further episode of dislocation or subluxation. Pain at femoral site of MPFL reconstruction in 2 cases persisted for 3 months followed by resolution of their symptoms. One of our patients had profuse swelling at the site of operation postoperatively which was treated with Rest, Ice Pack, Compression and Limb elevation. Out of 22 patients undertaken infection at osteotomy site was seen in 1 patient for which implant removal was done from osteotomy site after union.

 Conclusion-Anteromedial Tibial tuberosity osteotomy and MPFL reconstruction is a successful procedure to treat patellofemoral pain and instability.
Awareness about medical ethics among undergraduates after introduction of humanities in curriculum
Authors: Rajamohanan Remya Raj , Phansalkar Manjiri , Kuruvila Sheela
Published: July 2021

Background: Modern day medicine is full of ethical challenges. A structured training in ethics can help doctors in choosing the best course of action during an ethical dilemma. It will be interesting to explore the knowledge and aptitude regarding bioethics in medical students who are already undergoing structured modules on humanities.

Methods: A cross-sectional study was done involving final year part I, final year part II medical students and interns using a validated semi-structured self-administered questionnaire. Questions were predominantly about doctor patient relationship which could be assessed using Likert scale.

Results: Acceptable response of over 70% was seen only in response to two questions, both on respect for person. Majority of students did not have a clear concept about consent, privacy and confidentiality. However, most of them gave acceptable response to respecting patient and his wishes. There were many fence sitters in response to the questions regarding paternalistic attitude of doctors and physician autonomy. Majority of students did not give acceptable response in questions pertaining to beneficence and justice. No significant difference was seen between the various phases of medical education.

Conclusions: The students were not clear about most aspects of doctor patient relationship like physician autonomy, confidentiality and consent. We need to revamp our teaching to increase understanding of ethics among our medical students.
Davies Bouldin Index Algorithm for Optimizing Clustering Case Studies Mapping School Facilities
Authors: Arie Wijaya Yudhistira , Achmad Kurniady Dedy , Setyanto Eddy , Sanur Tarihoran Wahdan , Rusmana Dadan , Rahim Robbi
Published: July 2021

The lower Davies Bouldin Index (DBI) is considered the best clustering algorithm based on the criteria that yields a cluster set. The purpose of this research is to optimize the clustering results using DBI. The data sources used are the number of villages that have school facilities and the level of education is obtained from the government website (https://www.bps.go.id). The level of education in question is senior high school and vocational high school. The method used is k-means. The results show that from the number of clusters (k = 2, 3, 4, 5, 6) the optimal DBI for (k = 2) is obtained with a value of 0.168 for Measure Type = Mixed Measures. For the value of k = 2, a mapping of areas with L0 (low) = 31 province and L1 (high) = 3 provinces is obtained. The final centroids obtained for each cluster are L0 (315 and 155) and L1 (1710 and 1259). Based on the results of mapping by optimizing k-means and DBI, more than 90% of the villages still have school facilities, especially at the high school and vocational high school levels.