bluuebunny/crossref_metadata_2025 huggingface dataset:
Technological Determinism: A Social Process with Some Implications for Ambulance Paramedics
Authors: McIntyre Dennis
Published: December 2018

Medical technology has been presented as a driving force behind a range of social changes, both positive and negative. These changes include escalating health care costs and inequalities in health care outcomes, the deskilling and hyperskilling of health care practitioners, and increased human longevity and quality of life. Medical technology is sometimes clouded by mystique in that each new drug, device, or machine tends to appear as a thing with a life of its own, as if the technology not only arrived independent of social, cultural, political and economic forces but was also the driving force for social change. By not considering the emergence and adoption of a medical technology as a social process, the resulting social change appears as a natural consequence of technological innovation. This has been termed technological determinism.

This paper examines technological determinism as a social process and provides some explanation as to why ineffective, expensive, and harmful medical technologies have proliferated since the late 1970's. Four implications arising from technological determinism are identified, and they all have consequences for Ambulance Paramedics and their everyday practice as health care professionals.

Firstly, the intuition acquired as a skilled practitioner cannot be replaced by technology and an increase in invasive interventions has resulted in increased iatrogenesis. Secondly, there can be the blocking of a more effective and/or cheaper technology due to the resistance of powerful commercial and/or status groups. Thirdly, borrowing/sharing the technological symbols of an already dominant group may only serve to continue and/or construct a subordinate relationship. Fourthly, there can be a devaluing of Ambulance Paramedics when success is attributed to a technology rather than the skills of practitioners who use it.
The Politics of Professionalisation: Some Implications for the Occupation of Ambulance Paramedics in Australia
Authors: Mahony Kerry
Published: December 2018

A range of health care occupational communities have travelled down various pathways in a quest for professional status. Some have been more successful than others and the evidence indicates that the most successful occupational communities pursued political strategies and tactics. This paper draws on their experiences to suggest ways that Australian ambulance paramedics could proceed in their quest for increased professional status and autonomy.
Theories of Clinical Judgment and Decision-Making: A Review of the Theoretical Literature
Authors: Shaban Ramon Z.
Published: December 2018

This paper provides a survey of the terrain of theories of human judgment and decision-making (JDM). It provides an introduction, overview, and some insight into the understanding of some conceptual theories, frameworks, and the literature of JDM. This paper is in no way an exhaustive meta-analysis of the literature on JDM, nor is it intended to be. It does not seek to categorise and compare existing theories of judgment and decision-making or critically evaluate each in terms of others, nor does it seek to reclassify existing categories. Indeed much of the debate in the literature is about that very issue—how researchers and theorists view, characterise, categorise and apply existing theory of JDM in existing philosophies, ‘schools-of-thought’, and professional domains. The problematic, controversial, and, in the view of some researchers, inappropriate attempts to do so are well-documented [1-4]. This paper will provide an overview of the competing accounts that various theories and philosophies place on judgment and decision-making.
The current workforce status of prehospital care in china
Authors: Hou Xing-Yu , Lu Chuan-Zhu
Published: December 2018

The Chinese Emergency Medicine System is primarily composed of three sectors; prehospital care, emergency department in a city hospital, and intensive care unit ward. While all sectors are integral to the system, the prehospital care system is less developed than the others. There are many possible contributors to the under-development of the prehospital care system, however, workforce issues may play a significant role. Firstly, there is no officially recognised paramedic profession in China. The staff members working in the prehospital care system are medical doctors, registered nurses, patient-carriers, and drivers. Secondly, these doctors and nurses are either over-qualified or under-qualified for practicing in the prehospital care system. Lastly, Chinese health professionals have taken actions to improve the current workforce status with initiatives such as short-term training workshops for doctors and nurses, implementation of a trial unit in a university, and development of a Major Degree of Emergency Medicine in a medical university. All of these actions are important steps toward improving the current workforce status in the prehospital care system. However, a long term workforce development plan is still essential for the Chinese system, and implementation of a professional paramedic education system in a medical university/college in China, may provide the solution.
Social and Environmental Influences Affecting the Risk of Development of Meningococcal Disease: Considerations for Prehospital Care
Authors: Burgess Stephen
Published: December 2018

After briefly reviewing the clinical features, major sequelae and initial treatment of invasive meningococcal disease, and reviewing the international and domestic incidence of meningococcal disease, the epidemiological risk factors for meningococcal disease found in the literature are summarised. These findings and the heterogeneity of sub-population risk, especially in relation to indigenous populations, are then discussed. The implications of these discussions are then applied to paramedic practice as a component of primary health care. The author argues that consideration of such data is important in developing recommendations for the development of system planning and clinical practice guidelines.
Readers’ Perceptions of the Journal of Emergency Primary Health Care: A Cross-Sectional Study
Authors: Macdonald Rhona , Boyle Mal
Published: December 2018

Objective

The Journal of Emergency Primary Health Care (JEPHC) is a subscription free, peerreviewed online publication, intended to promote the publication of emergency primary health care research covering original studies, editorials and reviews. Data collected from annual surveys have been utilised since 2003 to provide the journal's Editorial Team and Management Committee with readers’ preferences and perceptions of the journal in relation to planning and development of quality standards and content appropriate to the journal's readership. This study provides a comparative analysis of survey results from the 2004 and 2006 surveys. The objective of this study was to provide the journal's Editorial Team and Management Committee with results from the survey to assist future planning.

Methods

A cross-sectional methodology based on data collected from questionnaire surveys utilised in 2004 and 2006, was used to solicit the views and content requirements of visitors to JEPHC. Data collected from all survey responses (n=100 in 2006 and n=44 in 2004) was intended to provide a snapshot of the journal's readership in relation to professional status, content preferences and usefulness of editorial standards as means of supporting research needs, and encouraging future research content. As this article evaluates and reports the results of a quality audit, ethics approval was not required.

Results

The majority of respondents from both surveys were identified mainly as paramedics, while remaining respondents represented a cross section of other health professionals, educators and researchers. Reasons given by most respondents for visiting JEPHC were to locate peerreviewed articles and case histories relevant to clinical practice. Most respondents rated JEPHC equally with other peer-reviewed journals. The majority of respondents (86%) indicated that they would consider writing for the journal, while 50% of those who indicated that they would not, expressed a lack of skills, motivation or knowledge as being the main reasons. Less than 50% of respondents in the 2006 survey indicated that they knew about the Journal Impact Factor or its usefulness to research.

Conclusion

As the majority of respondents in both surveys were identified mainly as paramedics, results from the study cannot be generalised to the wider population of emergency primary health care professionals. The large difference in sample sizes between the 2004 and 2006 surveys renders inferential statistics relating to quality, as problematic. Identification and consistency of content that is of most interest to readers is evident in both surveys. However, to more accurately determine relevance and quality of content, and the significance of publishing standards which are representative of the journal's wider readership, modification of the survey design and/or setting may be required to attract a higher response rate in future surveys.
Developing a web-based education program for people with asthma in rural and remote areas
Authors: Boyd Leanne , Archer Frank
Published: December 2018

Introduction
A needs analysis was conducted to investigate barriers to optimal emergency asthma care in rural Australia. The findings revealed that utilisation of ambulance services for asthma was suboptimal despite improved outcomes in cases where paramedic intervention was sought. Asthma Foundations of Australia funded the development, implementation and evaluation of the `Ambulances for Asthma’ program to address this issue. This paper aims to describe the role the community played in the development and evaluation of the program. The key domains of pedagogy, format, usability, navigation, interactivity and delivery have been utilised to provide a framework for program review.
Methods
A Project Steering Group comprising key stakeholders was convened to establish best practice management of out-of-hospital asthma in rural areas. A multimedia education package incorporating a website, brochure/CD and poster was developed. Human-computer interface testing and focus groups were used to refine the program pre-implementation. Evaluation questionnaires and focus groups were utilised post implementation.
Results
The vast majority (76%) of respondents agreed that the program was user friendly. A large proportion (90.5%) of participants felt more confident with their asthma knowledge and 64% of the participants were more likely to call an ambulance for their asthma as a result of the education package.
Conclusion
The use of community based feedback to develop and refine the `Ambulances for Asthma’ program resulted in high levels of user satisfaction. The findings show that the program has potential as a decision aid for people with asthma in rural Australia.
Embedding Information Literacy into the Prehospital Care Curriculum
Authors: Hamilton Leanne
Published: December 2018

This paper presents a teaching and learning model applied within a first year core subject taught within the Prehospital Care course at Charles Sturt University. The aim of the model is to improve the quality of the first year student learning experience, and facilitate the development of graduate attributes that improve learning outcomes and address paramedic occupational needs. This model was the outcome of a process of critical reflection by the author and collaboration between academics, educational designers, learning skills and librarian staff at Charles Sturt University.
Why Paramedics Require “Theories-of-Practice”
Authors: Campeau Anthony
Published: December 2018

This article discusses the role of Theories-of-Practice for health care professionals and specifically focuses on the need for such theories in the paramedic profession. Key benefits to the development of paramedic theory include occupational differentiation and self-awareness, and identification of appropriate research topics.
Almost all paramedic research, training and practice are focused on specific patient care assessments and interventions. A quick perusal of any Emergency Medical Service or prehospital care journal will reveal an impressive list of research articles that are focused on demonstrating the value (or absence thereof) of patient care procedures. This is important work, and indeed such research is required in order to appropriately define the medical aspects of paramedics’ scopes-of-practice. However, there is an equally important need to research and develop theory about the whole practice of paramedicine as a profession. This perspective is different from narrowly focusing on discrete, technical patient care interventions, because it seeks to define the occupation more comprehensively, inclusive of all types of professional knowledge. When considering professional matters such as these, one cannot avoid comparisons to other professions and the interest in such theories among other health professions has been variable.
Ureteric Obstruction as An Unrecognised Cause of Acute Pancreatitis in the Emergency Setting
Authors: Raj Mariolyn , Murray Spencer
Published: December 2018

Objectives

Acute severe pancreatitis has a high mortality rate (10 to 30 %) and the aetiology of the pancreatitis itself influences the severity assessment and ultimately the treatment.1 Up to 20% of cases of acute pancreatitis are said to be due to unusual causes such as viral infection, trauma and drugs. However to date, there have been no reports in the literature of ureteric obstruction and infection causing acute pancreatitis.

Methods

We report on a case of a 77-year-old male who presented to the Emergency Department with acute pancreatitis occurring in the setting of an obstructed and infected right urinary system.

Results

We outline the pathway to diagnosis and management in this patient and highlight the difficulties associated with reaching an accurate diagnosis in the acute setting.

Conclusion

We report on this unusual case of acute pancreatitis in the emergency setting. By illustrating this case we aim to promote awareness of and encourage clinicians to consider ureteric obstruction as a possible cause of acute pancreatitis, in their workup of patients in the emergency department.
Becoming Professional in the 21St Century
Authors: Trede Franziska
Published: December 2018

Becoming professional in the 21st century is an increasingly complex journey in a globalised, constantly changing and “next gen” technology-focused world with an increasing pursuit of professionalisation by many occupations. For an individual, becoming a professional is a process that develops not only specific knowledge and technical skills, but also a sense of responsibility to self and others, duty of care, leadership and human agency. We will argue that one of the keys to becoming professional is for both students and graduates to continue to learn, understand and integrate different ways of knowing, practising and talking about practice as they develop and extend their professional identity and expertise. The implications and challenges for learning and teaching to become a professional include exposing students to the paradoxes, contradictions and ethical dilemmas in professional practice; providing opportunities to reflect and suspend premature problem solving; helping learners recognize the imperfection of what we currently know; and instilling a sense of curiosity and desire to learn as well as a sense of belonging to a professional group.
Protective Jurisdiction, Patient Autonomy and Paramedics: The Challenges of Applying the Nsw Mental Health Act
Authors: Townsend Ruth , Luck Morgan
Published: December 2018

Paramedics form part of the frontline response to mental health care in the community. Changes to mental health laws across the country have seen an increase in the role and responsibilities paramedics have in assessing, treating and managing mental health patients. The increasing complexity of the paramedic role associated with these changes requires a clear understanding of the legal, ethical and organisational requirements that accompany them. This paper will examine the relevant legislative principles and ethical dilemmas that are raised by these changes and will demonstrate the need for further research to assist in the development and implementation of strategies to assist paramedics in providing optimal patient care to a vulnerable section of the community.
From Learning Activities to the Meaning of Life: Fostering Professionalism in Canadian Paramedic Education
Authors: Bowles Ronald
Published: December 2018

This article explores the development of professionalism in paramedic programs of the Justice Institute of British Columbia (JIBC), Canada. Professionalism is currently defined as a set of competencies that are embedded as a set of skills and knowledge to be mastered, then applied in simulations and a field practicum. In the second part of the article, professionalism is examined as a broader concept and suggestions are presented for fostering the development of professionalism in the current redevelopment of the JIBC's Advanced Care Paramedic program.
Manual Handling Risks Associated with the Transportation of Bariatric Patients in Australia
Authors: Cowley Stephen , Leggett Susan
Published: December 2018

Objectives

Identify the factors that affect the risks and the adoption of risk control measures during the care of bariatric (morbidly obese) patients by paramedics and fire fighter first responders in Australia.

Methods

Focus groups were conducted in neutral locations in two Australian state capitals; a suburban region of Melbourne which straddled the rural and metropolitan boundaries; and a large regional Victorian town.

Results

Carers of bariatric patients are exposed to manual handling injury risk throughout the journey that bariatric patients take within the healthcare and funeral systems. In focussing on paramedics and fire service first responders, as key groups within that journey, it was found that the risks are significant but are not quantifiable. The injury risk is influenced by the nature and design of the range of environments within which patient movement is undertaken; the limited range of handling equipment available for use with bariatric patients; and the efficacy of organisational procedures and training. Adoption of risk controls is hampered by the absence of a standard definition of the term “bariatric” and gaps in the information flow during the bariatric patient journey through the health care system. Various definitions of bariatric are applied in different sectors and there are limitations to the use of both weight and body mass index in those definitions.

Conclusion

There is a lack of knowledge about how to safely manage the unique needs of bariatric patients. It appears that few streamlined systems have been established for patient management, and many cases are managed as if they are an isolated experience. There is little documentation of systems or case studies and thus very little sharing of the knowledge. Improvements in manual handling risk control for carers requires greater inter and intra-industry collaboration, which in turn requires an agreed definition of “bariatric”.
Mencipta Ruang Global Indonesia di Majalah Maskapai Penerbangan Garuda Indonesia Colours (Globalizing Indonesia in Colours, Garuda Indonesia In-Flight Magazine)
Authors: Dhona Holy Rafika
Published: December 2018

Globalisasi adalah isu penting dalam komunikasi. Majalah maskapai penerbangan adalah salah satu medium komunikasi yang erat terkait dengan masalah globalitas. Ber-genre traveling, majalah maskapai penerbangan menjadi teknologi komunikasi yang tidak hanya memediasi, tetapi juga mengonstruksi sebuah ruang tertentu sesuai dengan sifat globalnya. Penelitian ini membahas bagaimana majalah maskapai penerbangan Garuda Indonesia Colours mengonstruksi tempat-tempat di Indonesia. Menggunakan analisis wacana multimodal pada features The Archipelago Journal edisi 2016, penelitian ini menemukan bahwa majalah ini mengonstruksi tempat-tempat di Indonesia sebagai ruang global melalui modalitas dalam teksnya dan cara kerja produksi.
Managing an “America First” Strategy: Donald Trump’s transition from a private to a public executive
Authors: Da Vinha Luis
Published: December 2018

The election of Donald Trump as America’s forty-fifth president took much of the world by surprise. Throughout his presidential campaign, Trump assured the electorate that he would solve the nation’s problems and implement an “America First” strategy which emphasises nationalism and unilateral action. He consistently contrasted his managerial skills with the ineptitude of career politicians and promised to make the best deals for America. However, the initial year of the Trump presidency has not generated the much-anticipated foreign policy successes and confusion and uncertainty have surfaced regarding America’s global leadership. Many of the difficulties the administration has faced in implementing its foreign policy strategy stem from the President’s unique management style. The current paper analyses the challenges Trump has encountered in employing his corporate management style in the Presidency and the effects it has had on America’s ability to lead the liberal international order.
On the Remainder Term of Some Bivariate Approximation Formulas Based on Linear and Positive Operators
Authors: Bărbosu Dan
Published: December 2018

The paper is a survey concerning representations for the remainder term of Bernstein-Schurer-Stancu and respectively Stancu (based on factorial powers) bivariate approximation formulas, using bivariate divided differences. As particular cases the remainder terms of bivariate Bernstein-Stancu, Schurer and classical Bernstein bivariate approximation formulas are obtained. Finally, one presents some mean value properties, similar to those of the remainder term of classical Bernstein univariate approximation formula.
On the Bézier Variant of the Srivastava-Gupta Operators
Authors: Kajla Arun
Published: December 2018

In the present paper, we introduce the Bézier variant of the Srivastava-Gupta operators, which preserve constant as well as linear functions. Our study focuses on a direct approximation theorem in terms of the Ditzian-Totik modulus of smoothness, respectively the rate of convergence for differentiable functions whose derivatives are of bounded variation.
A Survey on Estimates for the Differences of Positive Linear Operators
Authors: Acu Ana Maria , Hodış Sever , Raşa Ioan
Published: December 2018

We survey some results concerning differences of positive linear operators from Approximation Theory, and present some new results in this direction.
HALEPA FERMANI VE SONRASI GİRİT’TE YAPILAN DÜZENLEMELER
Authors: Ali Cengiz Hasan
Published: December 2018

Osmanlı Devleti yirmi beş yıllık
bir mücadeleden sonra 1669 yılında Girit adasının tamamına hâkim olmuştur. Daha
sonra çıkarılan özel kanunlarla da adada bulunan Türk ve Rum halkının huzur
içinde yaşaması için dini ve örfi konularda serbest olmalarını sağlamıştır. Yunanistan’ın
bağımsızlığını kazanmasından sonra Girit Rumlarını sürekli kışkırtması, Osmanlı
Devleti’nin zayıflayan idaresi, Rus tahrikleri ve Fransız ihtilali ile
uyandırılan milliyetçilik akımının etkileriyle adada huzurlu dönem sona ermiş
ve Girit’te Osmanlı idaresine karşı isyan olayları görülmeye başlanmıştır.
Belirli aralıklarla görülen bu isyan olayları karşısında Osmanlı idaresi, Rum
halkına bazı tavizler vererek bu olayları bastıracağını ve Avrupalı devletlerin
buraya müdahalelerine engel olacağını düşünmüştür. Verilen bu tavizlerden biri
de Halepa Fermanıdır.

Girit Rumları, 20 Kasım 1878’de
yürürlüğe giren Halepa Fermanı ile muhtariyet kazanmışçasına serbest bir idare
tarzına sahip olmuşlardır. Belirli bir süre sonra bu ayrıcalıklardan da memnun
kalmayan Rumlar, tekrar isyan etmişlerdir. Osmanlı Devleti, adada başlayan bu
isyan olaylarını bastırmak ve devam eden Avrupa devletlerinin baskılarını azaltmak
amacıyla Rumlara yeni tavizler vermek zorunda kalmıştır. Verilen bu yeni
tavizler de sorunları çözemediği gibi Girit’in Yunanistan’a bağlanmasını
hızlandırmıştır.
OPHELIA: DELİLİĞİN DİLİ, DİLİN DELİLİĞİ
Authors: Baş Elif
Published: December 2018

Shakespeare’in Hamlet oyununda
belki de en az göze çarpan karakterlerden biri Ophelia’dır. Oyunda çok az
sahnede yer alması, yer aldığı sahnelerde ise çoğu kez sessiz kalışı Ophelia’nın
yıllarca göz ardı edilmesine, hatta derinlik barındırmayan bir karakter olarak değerlendirilmesine
neden olmuştur. Oysa Ophelia, güç ve iktidar peşinde olanların entrikalarını
anlamlandırmaya çalıştığı için pasif görünmektedir. Bu yüzden Ophelia’nın sessizliğini,
aktif zihinsel ve duygusal bir süreç olarak okumak daha doğru olacaktır. Zira Ophelia’nın
aklını yitirdikten sonra kullandığı çok anlamlı, isyankâr ve bir o kadar da
eğlenceli dil, tam da Ophelia’nın sessiz olduğu süreçte gözlemlediği
ikiyüzlülüklerin yansımasıdır. Bu dil, onun çevresinde olup bitenlerden bihaber
saf bir karakter olmadığını ortaya koyar. Buradan yola çıkarak, bu çalışmada
öncelikli olarak Ophelia’nın delirmeden önceki sessiz hali ve deliliğine giden
süreç irdelenecektir. Böylece, Shakespeare’in deliliği fizyolojik belirtilerle ortaya
koymak yerine, deliliğe özgü nasıl bir dil yarattığı incelenecek ve Ophelia
karakterine dair detaylı bir analiz ortaya konulacaktır.
KADIN ÇEVİRMENLERİN ÇEVİRİ GRUPLARI VE KOLEKTİF ÇEVİRİ ÇALIŞMALARI ARACILIĞIYLA TÜRKÇEDE FEMİNİST KADIN YAZARLAR VE ESERLERİ
Authors: Taş Seda
Published: December 2018

Hem feminist hareketlerinin
ortaya çıkışı hem de kadın çalışmalarının gelişiminde aktif bir mücadelenin
parçası olan feminist söylemin kurucusu feminist kadın yazarların eserlerinin ve
düşüncelerinin Türk yazınında yer bulmasında ve Türk okurlarca tanınmasında,
kadın çevirmenlerin oluşturdukları çeviri grupları ve kolektif çevirileri
çalışmaları çok önemli bir rol oynamıştır. Kadın çeviri grupları ve çeviri
çalışmaları feminizmin Türkiye’de yayılmasına öncülük etmekle kalmamış,
feminist söylemin çevirisine yönelik bir tartışma zeminin oluşmasına ve çeviri
çalışmaların giderek artmasında da kapıları aralamışlardır. Bu çalışmada, kadın
çevirmenlerin oluşturdukları çeviri grupları ve kolektif çeviri çalışmaları
aracılığıyla feminist söylemin önde gelen feminist kadın yazarları ve eserleri
konusunda erek okuru bilinçlendirme yönündeki adımları mercek altına
alınmaktadır. Bu doğrultuda, kadın çevirmen grupları tarafından Türkçeye
çevrilen ve çevirmenlerin ön sözünü içeren erek metinlerden bir bütünce
oluşturulmuştur. Bir yan metin olan ön sözler1, çeviri sürecine ilişkin çeşitli
bilgiler sunmaları açısından çeviribilimde betimleyici çalışmalar için çok zengin
bir araştırma alanı oluşturmaktadırlar. Çalışmanın kuramsal çerçevesinde
çeviribilimci Hans Vermeer’in “skopos kuramı” temel alınmakta ve öne sürmüş
olduğu “skopos”, “iş”, “işveren”, “uzman” gibi kavramlardan yararlanılarak ön
sözler incelenmektedir. Böylece kadın çeviri gruplarının kolektif çalışmaları
aracılığıyla hem feminist çeviri çalışmalarına ilişkin süreçlerin farklı boyutlarına
ışık tutulacağı ve farkındalık yaratılacağı hem de kadın çevirmenlerinin üstlendikleri
rolün görünürlüğüne katkı sağlanacağı düşünülmektedir.
BATI TRAKYA TÜRK AĞIZLARINDA ŞİMDİKİ ZAMAN EKİNİN VARYANTLARI ÜZERİNE
Authors: Özden Muharrem
Published: December 2018

Anadolu ve
Rumeli ağızları üzerine yapılan çalışmalar bugüne kadar oldukça büyük bir mesafe
kat etmiştir. Bu çalışmaların çok büyük bir bölümü ağızların sınıflandırılması
üzerinde durmuştur. Ağızlar genel olarak fonetik ve morfolojik ölçütler esas
alınarak sınıflandırılmıştır. “-(I)yor” şimdiki zaman ekindeki fonetik
farklılıklar ağızların sınıflandırılmasında en çok kullanılan ölçütlerden
birisi olmuştur. Bu ekin tarihi dönemlerden itibaren çeşitli sebeplerle çokça
varyantı oluşmuştur. Ancak ağızların sınıflandırılmasında “-(I)yor” ekinin
varyantları bazen tek başına bir ölçüt olarak yeterli olmayabilir. Ekin bir
ölçüt olarak yeterli olmadığı durumlarda yapılan sınıflandırma başka ölçütlerle
desteklenmek zorundadır. Bu çalışmada “-(I)yor” şimdiki zaman ekinin Batı
Trakya Türk ağızlarındaki kullanım çeşitliliği üzerinde durulacaktır. Çalışmaya
Batı Trakya’nın Meriç (Evros) bölgesi dâhil edilmemiştir.
TÜRK GÜREŞİNDE KİSPET, KİSPET USTALIĞI VE KİSPET ÜZERİNE İNANIŞLAR
Authors: Dervişoğlu Mehmet
Published: December 2018

Küreselleşen dünyada, baskın kültürlerin diğer kültürleri
asimile etmesi, dünya çapında yok olmaya yüz tutmuş kültürlerin tekrar
canlandırılması için uluslararası koruma programlarının geliştirilmesine sebep
olmuştur. 17 Ekim 2003 tarihinde imzalanan ve Türkiye’nin de 2006 yılında taraf
olduğu Somut Olmayan Kültürel Mirasın Korunması Sözleşmesi, ülkeler için kültür
sorununu uluslararası bir sorumluluk alanı haline getirmiştir. Bundan sonra,
bahsettiğimiz şekliyle yerel kültürel ürünleri dünyaya tanıtmak adına Türkiye’den
sema gösterileri, âşıklık geleneği gibi kültürel değerlerimizin yanında 2010
yılında Kırkpınar Yağlı Pehlivan Güreşleri de UNESCO’nun “Dünya Kültür Mirası”
listesine alınmıştır. Yağlı güreşlerin Türk spor ve eğlence kültüründe çok
mühim bir mevkii bulunmaktadır. Bu mevkii sadece sporun teknikleriyle değil
güreşin elementleri diyebileceğimiz kispet, yağ, cazgır, davulcu-zurnacı vb.
ile dolmuştur. Özellikle pehlivanın yarısı diye tanımlanan kispet yağlı güreşin
olmazsa olmazıdır. Özel bir isçilik isteyen kispet, her deri ustasının
yapabileceği bir iş değildir. Yağlı güreşin kökeninde bulunan İslami unsurlar
tasarımından, giyimine kadar kispete de tesir etmiştir. Bu bağlamda
çalışmamızda kispet, kispet üzerine inanışlar ve kispet ustalığı ele
alınmıştır.
The Determinants of Tourist Preferences of the Mediterranean Region in Turkey
Authors: Yilmaz Emrah Sitki , Aytekin Mehmet
Published: December 2018

Moving marketing strategies, which are changed through digital channels, into the social media environment, has led to changes in customer preferences in the tourism sector and is affected by the comments made in social media. Despite the fact that numerous studies have examined the impact of online customer comments on purchasing behaviour, most of these studies have used descriptive statistics and have ignored the empirical estimations. This study is aimed at examining the influence of the criteria obtained by content analysis on the star ratings given to the hotels based on the comments about the hotel on the TripAdvisor site. In this context, Mediterranean region hotels, which hold an important place in the tourism sector of Turkey, have been viewed, and the 25 hotels with the highest number of comments on the TripAdvisor site were selected, and 9000 comments from these hotels as well as the topic of the study were analysed with panel data methodology. As a result of the analyses made, it was determined that the criteria of the location and the accessibility of the hotels, the food and beverage concept presented by the hotels, the quality of the personnel–service, the cleaning elements, and the entertainment–animation programs were influential on the star ratings given to the hotels. It was also found that the architectural structure of the hotels and the other customers’ recommendation criteria are less important than the star ratings given to the hotel when compared to other specified criteria.
Influence of Liver Condition and Copper on Selective Parameters of Post-Mortem Dog Tissue Samples
Authors: Corsato Alvarenga Isabella , Aldrich Charles Gregory , Jewell Dennis E.
Published: December 2018

One of the liver functions is copper storage, which can be toxic when in excess. The objective of this retrospective study was to determine the relationship between hepatic copper and pathology conditions in stored samples from 55 post-mortem dogs (37 Beagles, 12 Labrador Retrievers, and 6 Labrador Mixes). The analyses evaluated data from blood chemistry and complete blood count (CBC) that were measured immediately before euthanasia, and liver biopsies which were harvested at necropsy and frozen at −80 °C. Slides for microscopic evaluation were prepared, and liver copper and plasma metabolites were measured. Hepatic copper was correlated (p ≤ 0.001) with monoacylglycerols, 13-HODE + 9-HODE (13-hydroxy-9,11-octadecadienoic acid + 9-hydroxy-10,12-octadecadienoic acid), and stearoyl-arachidonoyl-glycerophosphocholine. This indicates lipid metabolism modification and cell membrane oxidation. However, hepatic copper was not related to liver histopathology severity or altered liver biomarkers. The severity of liver pathology was positively correlated (p ≤ 0.05) with liver enzymes, bile salts, and glycerophosphocholines, suggesting cholestasis and altered lipid and amino acid metabolism. Liver neoplasia had increased (p ≤ 0.05) metabolites derived from nucleotides, along with an increase (p ≤ 0.05) in α-ketoglutarate from the energy and amino acid metabolism (p ≤ 0.05), suggesting rapid cell division. This study offers further insight regarding changes in metabolism due to hepatic tissue damage.
Emerging Chryseobacterium indologenes Infection in Indian Neonatal Intensive Care Units: A Case Report
Authors: Mehta Rishika , Pathak Ashish
Published: December 2018

Antibiotic-resistant pathogens and nosocomial infections constitute common and serious problems for neonates admitted to neonatal intensive care units worldwide. Chryseobacterium indologenes is a non-lactose-fermenting, gram-negative, health care-associated pathogen (HCAP). It is ubiquitous and intrinsically resistant to several antibiotics. Despite its low virulence, C. indologenes has been widely reported to cause life-threatening infections. Patients on chronic immunosuppressant drugs, harboring invasive devices and indwelling catheters become the nidus for C. indologenes. Typically, C. indologenes causes major health care-associated infections such as pneumonia, empyema, pyelonephritis, cystitis, peritonitis, meningitis, and bacteremia in patients harboring central venous catheters. Management of C. indologenes infection in neonates is not adequately documented owing to underreporting, particularly in India. Because of its multidrug resistance and the scant availability of data from the literature, the effective empirical treatment of C. indologenes is challenging. We present an uncommon case of bacteremia caused by C. indologenes in a preterm newborn baby with moderate respiratory distress syndrome who was successfully treated. We also provide a review of infections in the neonatal age group. Henceforth, in neonates receiving treatments involving invasive equipment use and long-term antibiotic therapy, multidrug resistant C. indologenes should be considered an HCAP.
Multidisciplinary Design Optimization for a Centrifugal Compressor Based on Proper Orthogonal Decomposition and an Adaptive Sampling Method
Authors: Zhang Lizhang , Mi Dong , Yan Cheng , Tang Fangming
Published: December 2018

A centrifugal compressor is required to increase aerodynamic efficiency, ensure structural integrity, and reduce processing costs. This paper presents a dimension reduction technique based on proper orthogonal decomposition (POD) in combination with an adaptive sampling method to reduce computational costs. Design of experiment (DOE) is first used to choose initial sampling points. Then, parts of the sampling points are selected to format the snapshot matrix. Subsequently, the number of principal components to be retained is determined after POD analysis. An adaptive sampling point adding approach is used to increase new sampling points. The approach places more points around the regions of initial optimum designs by learning the information from previous data through POD analysis. Finally, the POD coefficients are selected to act as new design variables in the following multidisciplinary design optimization process. The method is first tested by three mathematical benchmark functions. The proposed method is then used to optimize a centrifugal compressor, of which the results are verified by tests. A normalized isentropic efficiency improvement of 3.7% and 3.0% in the maximum speed state and cruise state has been obtained after optimization. Additionally, the processing costs are reduced by about 30% owing to the number of blades reduced.
University–Community Partnerships Using a Participatory Action Research Model to Evaluate the Impact of Dance for Health
Authors: Atkins Rahshida , Deatrick Janet A. , Bowman Cory , Bolick Ansley , McCurry Ian , Lipman Terri H.
Published: December 2018

Little is known about fostering sustainable, collaborative community-academic partnerships that effectively improve physical activity and health in residents of under resourced communities using Participatory Action Research (PAR) driven models. The purpose of this PAR study was to evaluate the impact of an urban, intergenerational, and physical activity dance program by identifying community preferred measurable outcomes that promote program participation and sustainability. A descriptive, qualitative design was employed using semi-structured interview guides to facilitate discussions for two adult focus groups and one youth focus group. Exactly 19 community-residing adults and six youth who lived in urban neighborhoods in West Philadelphia participated in the discussions. The audiotapes were transcribed and analyzed using directed content analysis. Five outcome themes emerged and included: (1). Enhancing the psychological and emotional well-being of the individual, (2). Enhancement of social well-being and management of interpersonal relationships and responsibilities (3). Enhancing and promoting physiologic well-being (4). Changes in health promoting behaviors and skill acquisition, and (5). Concerns about accessibility of dance for health and other physical activity programs in the community. Focused attention to measuring community preferred outcomes can promote sustainability of Dance for Health and possibly other urban-based physical activity dance programs.
Gem-Quality Tourmaline from LCT Pegmatite in Adamello Massif, Central Southern Alps, Italy: An Investigation of Its Mineralogy, Crystallography and 3D Inclusions
Authors: Diella Valeria , Pezzotta Federico , Bocchio Rosangela , Marinoni Nicoletta , Cámara Fernando , Langone Antonio , Adamo Ilaria , Lanzafame Gabriele
Published: December 2018

In the early 2000s, an exceptional discovery of gem-quality multi-coloured tourmalines, hosted in Litium-Cesium-Tantalum (LCT) pegmatites, was made in the Adamello Massif, Italy. Gem-quality tourmalines had never been found before in the Alps, and this new pegmatitic deposit is of particular interest and worthy of a detailed characterization. We studied a suite of faceted samples by classical gemmological methods, and fragments were studied with Synchrotron X-ray computed micro-tomography, which evidenced the occurrence of inclusions, cracks and voids. Electron Microprobe combined with Laser Ablation analyses were performed to determine major, minor and trace element contents. Selected samples were analysed by single crystal X-ray diffraction method. The specimens range in colour from colourless to yellow, pink, orange, light blue, green, amber, brownish-pink, purple and black. Chemically, the tourmalines range from fluor-elbaite to fluor-liddicoatite and rossmanite: these chemical changes occur in the same sample and affect the colour. Rare Earth Elements (REE) vary from 30 to 130 ppm with steep Light Rare Earth Elemts (LREE)-enriched patterns and a negative Eu-anomaly. Structural data confirmed the elbaitic composition and showed that high manganese content may induce the local static disorder at the O(1) anion site, coordinating the Y cation sites occupied, on average, by Li, Al and Mn2+ in equal proportions, confirming previous findings. In addition to the gemmological value, the crystal-chemical studies of tourmalines are unanimously considered to be a sensitive recorder of the geological processes leading to their formation, and therefore, this study may contribute to understanding the evolution of the pegmatites related to the intrusion of the Adamello pluton.
Simultaneous Determination of Nε-(carboxymethyl) Lysine and Nε-(carboxyethyl) Lysine in Different Sections of Antler Velvet after Various Processing Methods by UPLC-MS/MS
Authors: Gong Rui-ze , Wang Yan-hua , Wang Yu-fang , Chen Bao , Gao Kun , Sun Yin-shi
Published: December 2018

Nε-(Carboxymethyl) lysine (CML) and Nε-(carboxyethyl) advanced glycation end-products (AGEs) and are frequently used as markers of AGE formation. AGEs, such as CML and CEL, have harmful effects in the human body and have been closely linked to many diseases such as diabetes and uremia. However, details on the contents of CML and CEL after applying different antler velvet processing methods are lacking. In this research, a robust lysine (CEL) are two typical UPLC-MS/MS method has been developed for the simultaneous determination of CML and CEL in various sections of antler velvet processed with different methods. In addition, factors affecting the CML and CEL contents are discussed. The CML contents of antler velvet after freeze-drying, boiling, processing without blood, and processing with blood were 74.55–458.59, 119.44–570.69, 75.36–234.92, and 117.11–456.01 μg/g protein, respectively; the CEL contents were 0.74–12.66, 11.33–35.93, 0.00–6.75, and 0.00–23.41 μg/g protein, respectively. The different contents of CML and CEL in the different samples of antler velvet result from the different interactions of the protein and lysine at different temperatures. These data can be used to estimate the potential consumer intake of CML and CEL from antler velvet and for guiding producers on how to reduce the production of CML and CEL.
Self-Calibration and Performance Control of MEMS with Applications for IoT
Authors: Clark Jason
Published: December 2018

A systemic problem for microelectromechanical systems (MEMS) has been the large gap between their predicted and actual performances. Due to process variations, no two MEMS have been able to perform identically. In-factory calibration is often required, which can represent as much as three-fourths of the manufacturing costs. Such issues are challenges for microsensors that require higher accuracy and lower cost. Towards addressing these issues, this paper describes how microscale attributes may be used to enable MEMS to accurately calibrate themselves without external references, or enable actual devices to match their predicted performances. Previously, we validated how MEMS with comb drives can be used to autonomously self-measure their change in geometry in going from layout to manufactured, and we verified how MEMS can be made to increase or decrease their effective mass, damping, and or stiffness in real-time to match desired specifications. Here, we present how self-calibration and performance control may be used to accurately sense and extend the capabilities of a variety of sensing applications for the Internet of things (IoT). Discussions of IoT applications include: (1) measuring absolute temperature due to thermally-induced vibrations; (2) measuring the stiffness of atomic force microscope or biosensor cantilevers; (3) MEMS weighing scales; (4) MEMS gravimeters and altimeters; (5) inertial measurement units that can measure all four non-inertial forces; (6) self-calibrating implantable pressure sensors; (7) diagnostic chips for quality control; (8) closing the gap from experiment to simulation; (9) control of the value of resonance frequency to counter drift or to match modes; (10) control of the value of the quality factor; and (11) low-amplitude Duffing nonlinearity for wideband high-Q resonance.
Classification of Rice Heavy Metal Stress Levels Based on Phenological Characteristics Using Remote Sensing Time-Series Images and Data Mining Algorithms
Authors: Liu Tianjiao , Liu Xiangnan , Liu Meiling , Wu Ling
Published: December 2018

Heavy metal pollution in crops leads to phenological changes, which can be monitored by remote sensing technology. The present study aims to develop a method for accurately evaluating heavy metal stress in rice based on remote sensing phenology. First, the enhanced spatial and temporal adaptive reflectance fusion model (ESTARFM) was applied to blend Moderate Resolution Imaging Spectroradiometer (MODIS) and Landsat to generate a time series of fusion images at 30 m resolution, and then the vegetation indices (VIs) related to greenness and moisture content of the rice canopy were calculated to create the time-series of VIs. Second, phenological metrics were extracted from the time-series data of VIs, and a feature selection scheme was designed to acquire an optimal phenological metric subset. Finally, an ensemble model with optimal phenological metrics as classification features was built using random forest (RF) and gradient boosting (GB) classifiers, and the classification of stress levels was implemented. The results demonstrated that the overall accuracy of discrimination for different stress levels is greater than 98%. This study suggests that fusion images can be utilized to detect heavy metal stress in rice, and the proposed method may be applicable to classify stress levels.
IMPLICATIONS OF THE CURRENT TREND IN MORTGAGE VALUATION PRACTICE IN NIGERIA
Authors: Aluko Bioye Tajudeen
Published: December 2018

The emerging concern on the reliability of property valuations coupled with the attendant consequences of growing number of distressed banks in Nigeria necessitate this study. Therefore, the study examined the mortgage valuation process including sources of valuation instructions, bases and methods being adopted and their implications on lending decisions and valuation profession in the study area. To accomplish the study, questionnaires were randomly administered on samples of estate surveying and valuation firms and lending institutions respectively in Lagos Metropolis. The data emanating there from were analysed using frequency distributions, ranking mean and relative important index ranking. The study, prima facie, established that mortgage valuation has been an important input in lending decisions. It further showed the implications of the blind adoption of the cost approach, inconsistency amongst valuers and non ‐ inclusion of insurance valuation in the mortgage valuation process.

Būsto paskolų vertinimas Nigerijoje: esamų tendencijų prasmė

Santrauka

Ši tyrimą paskatino didėjantis rūpestis dėl nekilnojamojo turto vertinimu variantiškumo bei tikslumo ir nuskurdusiu Nigerijos banku sukelti padariniai. Kadangi, priimant sprendimą suteikti paskola, vertinti ja būtina, tyrimo išvados galbūt padėtu ieškoti politiniu sprendimu dėlnesuvaldomo banku žlugimo šalyje. Todėl darbe nustatyta ir ištirta būsto paskolų vertinimo svarba, įskaitant vertinimo instrukcijų šaltiniu, pagrindu ir taikomu metodu reikšme, nagrinėtas būsto paskolų vertinimas, priimat sprendimus suteikti paskola, ir vertintojo profesija šioje srityje. Anketomis ir pokalbiu metu apklaustos 59 atsitiktine tvarka atrinktos turto tikrinimo bei vertinimo firmos (iš 146 aktyviai veikiančiu; iš viso yra 239 tokio pobūdžio firmos) ir 42 skolinančios institucijos iš 89, veikiančiu Lagose. Gauti duomenys išanalizuoti skaičiuojant pasiskirstymą, garantavimas ir santykines svarbos indeksą. Tyrimu nustatyta, kad teikiamas paskolas vertinti yra svarbu. Tolesne analize parodę, kad į būsto paskolų vertinimąneįeina draudimo vertinimas, aklai pasirenkamas sąnaudųaspektas ir vertintoju nuomones dėl būsto paskolų skiriasi. Tai, kas išdėstyta, skirta vertintojams, skolintojams arba kitiems vertinimo paslaugu vartotojams ir turto rinkai apskritai.