bluuebunny/crossref_metadata_2025 huggingface dataset:
NÓS AMAMOS O BRASIL
Authors: Mazetti Mariana , Souza Humberto Levy , Abreu Amanda De , Dos Santos Carlos Henrique , Santana Natalia
Published: April 2018

O trabalho consiste em um vídeo-registro de 3’08’’ de duração, de uma ação realizada em dezembro de 2017, em um local da cidade de Pelotas onde diariamente repete-se uma cena: um fusca vermelho com frases pintadas em branco por toda sua extensão como “intervenção militar já!” e “estou cansado de ser feito de trouxa’’. Este fusca pode ser encontrado diariamente estacionado em frente à brigada dos bombeiros na rua Gomes Carneiro esquina com Rua XV de Novembro.
NO ME LLAMES DOLORES
Authors: Cezar Laura Lopes
Published: April 2018

LolaNo me llames Dolores, llámame Lola,la que siempre va sola por Barcelona buscando follón (...)Ay, ay, ay, ay... Lola.Ay, ay, ay, ay... Lola. (...)Me pregunto si es capricho,si es a ti a quien necesito,¡Bienvenido Manué! (...)Busca, busca, busca que busca2Lola es atrapada en Passeig de Gràcia por la seducción de la ciudad escaparate, sinlos “Manueles,” se detiene en las imágenes del deseo (será este Javier?). Anónima,como los maniquíes que se sobreponen de forma líquida a la ciudad, Lola sigue unavez más, sola por Barcelona.Ay, ay, ay, ay... Lola.
KURUTMA YARDIMCI MADDELERİNİN DONDURARAK KURUTULMUŞ TAFLAN TOZLARININ ÖZELLİKLERİ ÜZERİNE ETKİSİ
Authors: TALİH Meryem , DİRİM Safiye Nur
Published: April 2018

Bu çalışmada, farklı konsantrasyonlarda kurutma yardımcı
maddeleri içeren taflan püresinin dondurularak kurutulması ve elde edilen
taflan tozlarının özelliklerinin belirlenmesi hedeflenmiştir. Bu amaçla; taflan
püresine gam arabik, peyniraltı suyu tozu ve maltodekstrin (%5, 15 ve 25m/m,
km’de) ilave edilerek, dondurarak kurutucuda kurutulmuştur. Katkısız taflan
tozunun nem içeriği %7.71 ve su aktivitesi değeri 0.250 olarak belirlenmiş;
katkılı tozlarda ise en düşük nem içeriği %25 maltodekstrin katkılı (%3.16), en
düşük su aktivitesi değeri ise %25 gam arabik katkılı (0.220) taflan tozlarında
ölçülmüştür. Yığın ve sıkıştırılmış yığın yoğunluğu değerleri sırasıyla
99.75-242.85kg/m3 ve 136.06-329.11kg/m3 aralığında
değişmiştir. Taflan tozlarında en düşük ıslanabilirlik süresinin 2.82sn, en
yüksek sürenin ise 35.47sn olduğu gözlenmiştir. Taflan tozlarının
dağılabilirlik ve higroskopite değerleri sırasıyla %66.05-82.42 ve %2.05-7.17
arasında değişmektedir. Taflan tozlarının morfolojisi incelendiğinde, plaka
şeklinde oldukları ve maltodekstrin katkılı örneğin en pürüzsüz yapıda olduğu
belirlenmiştir.
The clot thickens: an incompletely ligated left atrial appendage
Authors: Thomas Merrill , Grodzinsky Anna , Zink Martin
Published: April 2018

Our patient presented with known mechanical mitral valve endocarditis documented by 2D transesophageal echocardiogram (TOE) from a recent hospitalization at an outside facility. On admission to our center, there was no prior knowledge of an incompletely ligated left atrial appendage (LAA) according to patient- or family-reported history, review of outside records or the outside facility’s 2D TOE report. A 3D TOE performed at our center to assess her pathology, since a month had passed from her prior hospitalization, revealed a LAA ligation with evidence of communication to the left atrium and with clot present in the appendage. This case report highlights the common finding of incomplete closure of the LAA following surgical ligation, thus making it inadequate for stroke prevention in patients with atrial fibrillation, and that 3D TOE plays a valuable role in assessing the durability of LAA ligation.
Normativity of Scientific Laws (I): Two Kinds of Normativity
Authors: Mets Ave
Published: April 2018

[full article, abstract in English; only abstract in Lithuanian]

This article presents the results of a broader research project which aims to argue for the normativity of scientific laws. Usually scientific laws are regarded as descriptive, which contrasts them to prescriptive norms. To show their normativity, I utilize the logical account of explicitly normative systems by Carlos Alchourrón and Eugenio Bulygin (1971). I identify the characteristic elements of normativity and analyse accounts of implicit normativity in science using those terms to show the affinities of explicit and implicit normativities. The research project continues with the substantiation of the normativity of scientific laws in detail and the results will be presented in Normativity of Scientific Laws (II) (Mets 2018).
On the Difference between the Two Barbaras
Authors: Pabijutaitė Živilė
Published: April 2018

[full article, abstract in English; only abstract in Lithuanian]

The paper deals with the problem of the “two Barbaras” in the Aristotelian modal syllogistic. The problem consists in Aristotle’s differing views on two at a first sight similar in nature syllogisms of mixed assertoric (X) and necessary (L) premises: Barbara LXL and Barbara XLL. The fact that Aristotle believed the first syllogism to be valid and the second one – not, has been received either 1) negatively, because both Barbaras have been held to be invalid, or 2) negatively, because both Barbaras have been held to be valid, or 3) positively, by giving a reason why the two Barbaras differ. We commit ourselves to the position (3) by proving that modal propositions for Aristotle have their modalities de dicto and that Aristotelian modal operators act according to their own separate rules where only the type of the modality of a major premise is relevant for the modal status of the conclusion.
Liberalizmas kaip kultūros filosofija
Authors: Jokubaitis Alvydas , Jokubaitis Linas
Published: April 2018

[straipsnis ir santrauka lietuvių kalba; santrauka anglų kalba]

Liberalai neturi tik jiems būdingos politikos sampratos, nes privalo siūlyti ir neliberalams priimtiną politinio teisingumo sampratą. Be šito jie nepateisintų liberalų vardo. Liberalų politinė koncepcija nėra vien tik jų tapatumo pagrindas. Moralės požiūriu jie taip pat neturi tik savo koncepcijos. Apie moralinius dalykus liberalai kalba remdamiesi ta pačia politinio teisingumo matrica. Tai sukuria paradoksą. Politinis liberalų tapatumas nukreipia į moralę, o ši – į politiką. Straipsnio tikslas – paaiškinti šį paradoksą. Siekiama įrodyti, kad politinis liberalizmas yra kultūros filosofija. Neturėdami savo politikos ir moralės sampratos, liberalai gina tam tikrą požiūrį į kultūrą. Jų politinė filosofija yra kultūros filosofijos dalis. Šis dalykas įrodinėjamas naudojant alternatyvą Rawlso pirminės pozicijos koncepcijai – paskutinės pozicijos idėją.
E. Husserlio egologinės sąmonės sampratos kritika E. Voegelino darbuose
Authors: Caturianas Dovydas
Published: April 2018

[straipsnis ir santrauka lietuvių kalba; santrauka anglų kalba]

Nė viename iš savo darbų E. Voegelinas nėra detaliau susiejęs savo Husserlio fenomenologijos kritikos su vėliau išplėtota politine filosofija. Siekiant užpildyti šią spragą, straipsnyje aptariama Husserlio egologinės sąmonės koncepcijos kritika Voegelino esė rinkinyje „Anamnesis“ ir šios kritikos reikšmė jo brandžiajai politinei filosofijai, kurią geriausiai reprezentuoja „Naujojo politikos mokslo“ projektas. Remiantis šia analize teigiama, kad egologinės sąmonės kontekstų ribotumo įsisąmoninimas ir šio ribotumo peržengimas Voegelino filosofijoje reiškė pamatinę racionalaus klasikinio politikos mokslo sugrąžinimo sąlygą. Ne-objektinę, ne intencionalią (huserliškąja prasme) struktūrą turinčios patirtys ir jų eksplikacija Voegelino politinėje filosofijoje buvo tvarią visuomeninę ir politinę tvarką laiduojančių principų šaltinis, tuo pat metu suteikiantis galimybę įveikti vadinamąjį „vertybinį demonizmą“ socialiniuose moksluose.
Hume’o giljotina ir teisinis pozityvizmas
Authors: Baltrimienė Milda
Published: April 2018

[straipsnis ir santrauka lietuvių kalba; santrauka anglų kalba]

Straipsnyje analizuojama Hume’o giljotinos – tezės, jog iš fakto teiginių negali būti išvedami normatyviniai teiginiai, – įtaka teisinio pozityvizmo filosofijai. Teisinio pozityvizmo teorijos pabrėžia, jog teisė yra socialinėmis konvencijomis pagrįstas reiškinys, apibrėžiamas ir paaiškinamas remiantis vien socialiniais faktais. Todėl teisės analizė turi apsiriboti deskriptyviais teiginiais, o rėmimasis normatyviniais argumentais lemia samprotavimo klaidas. Pavyzdžiui, kaip nurodoma teisinio pozityvizmo teorijose, iš samprotavimų, koks teisinis reguliavimas yra pats tinkamiausias, negalima dedukuoti, jog jis turėtų būti privalomas. Todėl rėmimasis Hume’o giljotina buvo vienas iš svarbiausių veiksnių formuojantis pamatinėms teisinio pozityvizmo nuostatoms. Straipsnyje siekiama pagrįsti, jog vis dėlto teisinis pozityvizmas, siekdamas paaiškinti teisės normatyvumą, susiduria su teoriniais prieštaravimais, kurie lemia, jog Hume’o giljotina gali būti pritaikoma ir pačioms teisinio pozityvizmo nuostatoms.
Presenteísmo, fatores de risco e repercussões na saúde do trabalhador de enfermagem
Authors: De Oliveira Ana Lívia Castelo Branco , Da Costa Girlene Ribeiro , Fernandes Márcia Astrês , Gouveia Márcia Teles de Oliveira , Rocha Silvana Santiago
Published: April 2018

Objetivo: contextualizar y reflexionar sobre el modelo de los sistemas de Betty Neuman en la relación entre el presentismo, el ambiente de trabajo y la salud del trabajador de enfermería.Síntesis del contenido: se trata de un estudio cualitativo teórico y reflexivo basado en el marco teórico de Betty Neuman. Las reflexiones se basan en estudios publicados entre el 2009 y el 2017, en la literatura nacional e internacional.Conclusiones: se observó que el presentismo trae daños a los trabajadores de enfermería en los ámbitos físico, psicológico, socio-cultural, desarrollista y espiritual por los agentes estresantes favorecidos en el ambiente de trabajo, tales como excesiva carga de trabajo, mala salud, peligros físicos y ergonómicos. Por lo tanto, combatir el presentismo depende de la sana interacción entre el individuo y el entorno en el que vive y trabaja, y debe considerar aspectos de prevención y promoción a partir de la disminución los factores estresores.
Estratégias lúdicas utilizadas em enfermagem — Uma revisão integrativa
Authors: Fernandes Carla Sílvia Neves da Nova , Ângelo Margareth
Published: April 2018

Objetivo: identificar y analizar el conocimiento producido en la literatura científica sobre la utilización de juegos en la formación en enfermería.Síntesis de contenido:se trata de una revisión de la literatura realizada en el motor de búsqueda Scopus®, usando descriptores específicos en portugués e inglés, y publicados entre el 2010 y el 2016. De los 58 artículos, se seleccionaron 10, lo que ha permitido identificar diferencias y convergencias, posibilitando la agrupación por cuatro áreas temáticas: tipología de juego, áreas temáticas del juego, ámbito de aplicación de los juegos y metodologías de evaluación de la estrategia.Conclusiones: los resultados evidencian la mayor utilización de esta estrategia en la formación para enfermeros, a nivel de pregrado. Se encuentran algunos vacíos en el marco de los mecanismos de evaluación de estas estrategias. Se sugiere la continuidad de estudios sobre el impacto de los juegos en el cuidado.
Precision and accuracy of the static GNSS system for surveying networks used in Civil Engineering
Authors: Correa Muñoz Nixon Alexander , Cerón-Calderón Liliana Alejandra
Published: April 2018

We implemented a field check for calibrating surveying equipment. It was geo-referenced with a Total Station Theodolite and by implementing procedures concerning repeatability and reproducibility. We carried out GNSS (Global Navigation Satellite System) static positioning with double frequency equipment, sensitizing occupation times, day times, uncorrected coordinates subjected to a differential correction procedure and type of coordinates obtained. This facilitated an evaluation of precision and accuracy for the GNSS system with the static method, which gave a global RMS (root mean square) error of 1 cm for conditions with no multi-path effect and 4cm for field calibration points close to buildings. Additionally, we found optimal results for occupation times of 30 minutes, and the need to use planar Cartesian coordinates to ensure compatibility with the surveys using electronic measurement of distances, which allows for the use of the static GNSS system in precise surveys for different applications in Civil Engineering.
What are the differences between engineering journal performances?
Authors: Pavas Andres
Published: April 2018

In recent Editorial letters of Ingeniería e Investigación the performance of engineering scientific journals has been reviewed to provide information with regard to their ranking, which could be used by editors and authors for improving their productivity. Journal performance refers to the set of indicators that allow to compare quantitatively different journals. This editorial letter revisits the topic and formulates the following question: what are the difference in performance of engineering journals?
Statin tedavisinde hasta uyumu: Medya ne kadar etkili?
Authors: Dincer Gökhan , Dincer Zeynep Sayın , Alsancak Aybüke Demir , Alsancak Yakup , Gümüş Enes , Tekin Oğuz
Published: April 2018

Amaç: Son dönemlerde görsel ve yazılı medya aracılığıyla statin grubu ilaç kullanımının gereksiz olduğuna ya da yan etkilerinin bulunduğuna yönelik tartışmalar yaşanmaktadır. Çalışmamızda, güncel kılavuzların önerdiği biçimde statin tedavisi kullanma endikasyonu bulunan hastalarda, tedavi uyumuna medyanın etkisinin araştırılması amaçlandı.Yöntem: Statin tedavisi kullanmakta olan hastalar, tedaviyi bırakmış olan hastalar ve aile hekimliği polikliniğinde ilk kez dislipidemi tanısı konulup statin tedavisi endikasyonu olan hastalar çalışma grubunu oluşturdu. Çalışmaya 286 hasta dahil edildi. Hastaların demografik ve klinik özellikleri, kardiyovasküler hastalık risk faktörleri, başvuru esnasındaki lipid düzeyleri belirlendi. Çalışma Avrupa Kardiyoloji Derneği 2011 Dislipidemi Tedavi Kılavuzunun önerileri doğrultusunda yürütüldü.Bulgular: Hastaların %76,2’sine (s=218/286) daha önceden dislipidemi tanısı ile statin tedavisi başlandığı saptandı. Daha önce statin başlanan hastaların %54,1’i (s=118/218) son beş yıl içerisinde ilaç kullanmayı bırakmıştı. Lipid düşürücü ilaç kullanmaya devam eden hastaların sadece %36,6’sının hedef LDL değerlerine ulaştığı tespit edildi. Daha önce başlanmış olan statin tedavisini bırakan hastaların %52,9’u tedaviyi, statinler ile ilgili olarak medyada yer alan olumsuz haberlerden etkilendikleri için bırakmıştı. Endikasyonu olanlara önerilen lipid düşürücü ilaç tedavisini reddeden hastaların %93,8’inin yine medyada çıkan haberleri gerekçe gösterdiği gözlendi.Sonuç: Bu çalışma statin kullanan ve kullanması gereken hastaların tedaviye devamlılığını ve uyumunu göstermesi bakımından önemlidir. Çalışmamız, daha önce reçete edilen ancak tedaviyi bırakan ve tedavi başlanmasını kabul etmeyen hastaların çok önemli bir kısmında yazılı ya da görsel medyanın olumsuz etkilerinin bulunduğunu göstermiştir.
Anadolu tıp tarihi - Bölüm I
Authors: Yalçın Bektaş Murat , Ünal Mustafa , Pirdal Hasan , Selçuk Yasin
Published: April 2018

Anadolu tarihte hem bilimsel hem de kültürel açıdan modern uygarlığa birçok konuda öncülük etmiş bir toprak parçasıdır. Bu bilim dallarından biriside tıptır. Anadolu’daki tıp tarihi Antik, Hitit, Antik Helenistik, Roma, Bizans çağları ve Türklerin Anadolu’ya Göçleri Sonrası Dönem (Anadolu Selçuklu ve Osmanlı) olarak incelenebilir. Antik çağda Anadolu’da yaşayan ilk uygarlıklar hastalıkların doğaüstü nedenlerden ortaya çıktığını düşünüyorlardı. Anadolu üzerinde kurulduğu bilinen ilk imparatorluk olan Hititler zamanında hekimlik bir meslek olarak tanındı. Antik Helenistik dönemde ise Hipokrat hastalıkları doğaüstü sebeplerle değil ilk kez materyalist ve rasyonel bir bakış açısına göre açıklanmaya çalışılmıştı. Hipokrat ayrıca doktorların sahip olması gereken meslek ahlakı kurallarını (Etik kuralları) belirlemiştir. Anadolu, Roma imparatorluğu hâkimiyetine girdikten sonra başta Galen olmak üzere Anadolu’da doğmuş birçok hekim tıbba önemli katkı yapmışlardır. Roma döneminde özellikle askeri cerrahide önemli gelişmeler olmuştur. Roma imparatorluğu ikiye ayrılıp doğuda Bizans Devleti ortaya çıkınca dünyadaki ilk hastaneler hizmet vermeye başlamış ancak kilise tıp uygulamalarını tekelleştirmiştir. Bu nedenle tıp bilimi Rönesans dönemine teolojik yapının baskısından kendini kurtaramamıştır. Aşağıdaki derlemede Anadolu tıbbı hakkında ilk dört dönem hakkında kısaca bilgi verilmeye çalışılmıştır.
Ergen danışma merkezine başvuranların Beck Depresyon Ölçeği ve CES Depresyon Ölçeği ile değerlendirilmesi
Authors: Geroğlu Berk , Mergen Haluk , Tekgül Bakiye Nurdan , Alanyalı Fikret Merter
Published: April 2018

Amaç: Ergenlerde en sık kullanılan depresyon tarama ölçeklerinden ikisi Beck Depresyon Ölçeği (BDÖ) ve CES Depresyon Ölçeği (CES-DÖ)’dir. Çalışmamızda birincil olarak ergen danışma merkezine başvuranların depresyon sıklığının bu iki ölçek kullanılarak belirlenmesi ve risk faktörü olabilecek sosyodemografik özelliklerin ortaya konması amaçlanmıştır.Gereç ve Yöntem: Nisan 2015 - Haziran 2015 tarihleri arasında Gençlik Danışmanlık ve Sağlık Hizmet Merkezi’ne başvuran ergenler çalışmaya alınmıştır. BDÖ ve CES-DÖ 12-19 yaş arası ergenlere uygulandı. Verilerin analizinde SPSS 20 demo paket programı kullanıldı.Bulgular: Çalışmaya 103 kişi dahil edilmiş olup, yaş ortalamaları 15,18±1,63 (12-19) yıl idi. Katılımcıların %68,9’u (n=71) kız, %69,9’unun (n=72) eğitim düzeyi lise, %68,9’unun (n=71) aylık hane geliri 1000-3000 Lira arasında, %95,1’inin (n=98) anne ve babası hayatta, %65,0’ının (n=67) anne ve babası birlikte yaşamakta, %83,5’i (n=86) çekirdek aile yapısına sahip, %64,1’inin (n=66) anketin yapıldığı yıl içerisinde Temel Eğitimden Ortaöğretime Geçiş Sistemi Sınavı (TEOG) veya Lisans Yerleştirme Sınavı (LYS)’na katılmayacak olduğu saptandı. Uygulanan ölçekler ince-lendiğinde; BDÖ ortalama değerleri 15,82±9,33 (1-45), CES-DÖ ortalama değerleri 23,70±11,71 (4-52) olarak hesaplandı. BDÖ’ye göre; katılımcıların %28,2’si (n=29) minimal depresyon, %35,0’ı (n=36) hafif depresyon, %27,2’si (n=28) orta depresyon, %9,7’si (n=10) şiddetli depresyon sınıfında yer aldı. CES-DÖ’ye göre; katılımcıların %31,1’i (n=32) normal, %22,3’ü (n=23) sınırda depresyon, %46,6’sı (n=48) ileri depresyon sınıfında yer aldı.Sonuç: Ergenler psikiyatrik problemleri için birinci basamak sağlık kuruluşlarını yeterince tercih etmemektedirler. Ergenler ve aileleri birinci basamakta depresyon tanı ve tedavi hizmeti alabilecekleri konusunda bilgilendirilmelidirler.
Kilo konuşmalarının psikolojik faktörler üzerindeki etkisi: Pilot çalışma
Authors: Karaköse Tuğrul , Baykara Buse
Published: April 2018

Amaç: Kilo konuşmaları; olumsuz beden imgesi, düşük benlik saygısı, beden memnuniyetsizliği, ince olmaya yönelik sosyokültürel bir baskı, bedenle ilgili bilişsel çarpıtmalar ile ilişkili olan bir olgudur. Bu çalışmada kilo konuşmalarının depresyon, yaşam doyum ve beden kitle indeksi üzerindeki etkisinin araştırılması amaçlanmıştır.Yöntem: Çalışmanın evreni 107 kadın katılımcıdan oluşmaktadır. Çalışmanın verileri anket yoluyla ve internet üzerinden 21 Aralık 2015 – 31 Ocak 2016 tarihleri arasında toplanmıştır. Olumsuz Beden Konuşmaları, Yaşam Doyum Ölçeği ve Beck Depresyon Ölçeği kullanılmıştır. Verilerin analizinde korelasyon analizi, Student t ve Mann Whitney U testleri kullanılmıştır. Veriler PASW 18 (SPSS/ IBM, Chicago, IL, USA) paket programı ile analiz edilmiştir.Bulgular: Kilo konuşmaları daha çok kilolu ve obez katılımcılarda görülmüştür. Ayrıca kilo konuşmalarının, depresyonun derecesi üzerinde arttırıcı bir etkisi olduğu saptanmıştır. Beden kitle indeksinin (BKİ) artmasına bağlı olarak kilo konuşmalarının, beden kaygılarının ve karşılaştırmasının arttığı saptanmıştır. Kilo konuşmaları medeni durum ve yaş gibi faktörlerden etkilenmemektedir. Yaşam doyumunun beden kaygısı, BKİ ve kilo konuşmaları gibi faktörlerden etkilenmediği saptanmıştır.Sonuç: Kilo konuşmaları olgusunun yeme tutumu, BKİ, depresyon gibi risk faktörlerinin üzerindeki etkisinin dikkate alınması gerekmektedir.
Yeni nesil sentetik bir kannabinoid olan bonzai’nin solunum sistemi üzerine etkileri
Authors: Güzel Murat , Yalçın Anıl , Yavuz Erdinç , Erenler Ali Kemal , Tomak Leman , Baydın Ahmet
Published: April 2018

Amaç: Bu çalışmada sentetik bir kannabinoid olan Bonzai’nin hastaların solunum parametreleri üzerine etkisini değerlendirdik.Gereç ve Yöntem: Aralık 2013 ile Aralık 2014 arasında Samsun Eğitim ve Araştırma Hastanesi Acil Servisi’nde takip edilen ve Bonzai kullanım öyküsü olan 52 hastanın tıbbi kayıtları retrospektif olarak incelendi. Hastalar ilaç alımından hastaneye başvuru arası geçen süre, semptomlar, vital bulgular, fizik muayene bulguları, arteriyel kan gazı analizi ve diğer laboratuvar testleri ile değerlendirildi.Bulgular: Ortalama hastaneye başvuru süresi 89.7±57.8 (Min. :30; Max.:250) dakikaydı. En sık görülen semptomlar 23 hastada (44.2%) bozulmuş mental durum, 13 hastada (25.0%) ajitasyon, 12 hastada (23.0%) halüsinasyonlar, 8 hastada (15.4%) ataksi, 2 hastada (3.8%) bulantı ve kusmaydı. Takipne tüm hastalarda mevcuttu. Bununla uyumlu olarak tüm hastaların kan gazı analizlerinde hiperkapni ve hipoksi saptandı. Ortalama parsiyel oksijen basıncı (PaO2), parsiyel karbondioksit basıncı (PaCO2) ve alveolar-arteriyel oksijen gradient (A-a O2) değerleri sırasıyla 67.6±29.8 mmHg, 50.4±8.6 mmHg ve 19.4±26.6 mmHg olarak bulundu. Hastaneye başvuru süresi ile kan gazı değerleri arasında istatiksel olarak ters bir ilişki saptandı (p=0,001).Sonuç: Sentetik bir kannabinoid Bonzai kullanım öyküsü ile acil servise başvuran hastalarda solunum depresyonu çok sıktır. Hastaların erken oksijenizasyon ve repiratuvar destek açısından değerlendirilmesi önemlidir.
Yetişkin bireylerde kardiyovasküler hastalık riskinin değerlendirilmesi
Authors: Eray Ahmer , Set Turan , Ateş Elif
Published: April 2018

Amaç: Çalışmamızın amacı erişkin bireylerde Systematic Coronary Risk Estimation (SCORE) risk tahmini sistemine göre kardiyovasküler risk değerlendirmesi yapılarak sonuçlarının incelenmesidir.Yöntem: Bu araştırma Kasım 2016 ile Mayıs 2017 tarihleri arasında Karadeniz Teknik Üniversitesi Tıp Fakültesi Aile Hekimliği Anabilim Dalında tanımlayıcı kesitsel olarak yapıldı. Farabi Hastanesi aile hekimliği polikliniğine başvuran 40-70 yaş aralığındaki 155 gönüllü katılımcının onamları alındıktan sonra sosyodemografik ve tıbbi bilgiler anketi yüz yüze görüşme yöntemiyle uygulandı. Katılımcıların kan basıncı ölçümleri ile hastanemizde çalışılmış glukoz ve kolesterol değerleri kaydedildi. Bütün bu veriler ışığında bireylerin kardiyovasküler risk faktörleri ve SCORE risk belirleme sistemi kullanılarak kardiyovasküler hastalık (KVH) riskleri değerlendirildi.Bulgular: Katılımcıların yaş ortalaması 50,3±7,5 yıldı. Bunların %20,6’sı (n=32) erkek, %79,4’ü (n=123) kadındı. Kardiyovasküler risk düzeyleri açısından katılımcıların %17,4’ü (n=27) düşük riskli, %47,7’si (n=74) orta riskli, %24,5’i (n=38) yüksek riskli, %10,3’ü (n=16) çok yüksek riskli idi. Cinsiyete göre kardiyovasküler risk düzeyleri arasında istatistiksel olarak anlamlı bir fark yoktu (p=0,111). Katılımcıların eğitim durumu, çalışma durumu, yaşadığı yer, ailede erken yaşta KVH öyküsü olup olmaması ile kardiyovasküler risk düzeyleri ve skorları arasında istatistiksel olarak anlamlı bir fark bulunmadı (p>0,05).Sonuç: Çalışmamızda katılımcıların kardiyovasküler hastalıklar açısından yaklaşık yarısının orta derecede, üçte birinin de yüksek veya çok yüksek derecede riskli olduğunu belirledik. Bu bulgular KVH’lerin ne derece önemli bir sağlık sorunu olduğunu ve önlenmesi amacıyla öncelikle bireysel düzeyde kapsamlı bir risk değerlendirmesi yapılması gerektiğini göstermektedir. Bu hastalıkların önlenmesi amacıyla SCORE gibi risk tahmini sistemleri kullanılarak, periyodik sağlık taramalarıyla öngörülebilir riskleri belirlemek ve gerekli önlemleri almak akılcı olacaktır.
Periyodik ateş, aftöz stomatit, farenjit ve servikal adenit (PFAPA) sendromu: Bir olgu sunumu
Authors: Kutlu Ruhuşen , Büyükyörük Cennet
Published: April 2018

Çocuklarda tekrarlayan veya periyodik ateş şikayetlerine daha sık rastlanmaktadır. PFAPA sendromu, etiyolojisi bilinmeyen, ani başlayan yüksek ateş, aftöz stomatit, farenjit ve servikal lenfadenopati ile seyreden ve tekrarlayıcı özellik gösteren çocukluk çağındaki periyodik ateşin yaygın bir nedenidir. Genellikle 5 yaşından küçük çocuklarda ve erkeklerde daha sık görülen bu sendrom selim seyirlidir, uzun dönemde sekel bırakmaz. Klinik tablo oldukça iyi tanımlanmasına rağmen hastalığa özgü laboratuvar bulgularının olmaması tanıyı güçleştirmektedir. Hastalar gereksiz yere antibiyotik tedavisi almaktadırlar. Tedavide tek doz steroid ve bazı vakalarda tonsillektomi uygulanmaktadır. Genellikle PFAPA sendromu ergenlik döneminde düzelir, ancak bu durumun yetişkinliğe kadar devam edeceğine dair kanıtlar artmaktadır. Burada, aile hekimliği polikliniğimize tekrarlayan yüksek ateş, tonsillit ve aftöz stomatit şikayeti ile başvuran 4 yaşında bir erkek çocuk olgusu sunuldu. Bu makalede PFAPA sendromu ile ilgili bilgiler gözden geçirilmiş ve birinci basamakta tanı koymanın önemi vurgulanmıştır.
Energy use caps under scrutiny: An ecological economics perspective
Authors: Kiss Veronika
Published: April 2018

This paper highlights the need to limit resource use, especially energy resource use in the global economy. First, the scientific literature on capping resource use in light of three primary issues (sustainable scale, fair distribution, efficient allocation) is reviewed, as ecological economics suggests that these concerns must be addressed to move towards sustainability. Second, the paper examines how several tools proposed for capping energy use can or cannot deliver effective responses to the three primary concerns in ecological economics. Finally, recommendations are provided for future research on understanding and analysing energy capping tools to effectively achieve both environmental and social goals.
The effects of the crisis on the convergence process of the Western Balkan countries towards the European Union
Authors: Siljak Dzenita , Nagy Sándor Gyula
Published: April 2018

The aim of the paper is to analyze economic convergence of the Western Balkan countries towards the European Union member states with two types of measurement methodology, sigma and beta convergence. Sigma convergence measures the dispersion of real per capita GDP among the countries and beta convergence is based on the neoclassical growth theory. The main hypothesis of the paper is that the recent financial crisis has negatively affected the convergence process of the Western Balkan countries towards the twenty-eight member states of the European Union (EU-28). The relationship between selected macroeconomic variables and the rate of per capita GDP growth are econometrically tested. Sigma and beta convergence are estimated for the period 2004-2013 and two sub-periods: 2004-2008 and 2009-2013. The empirical findings support the hypothesis of economic convergence. The negative effects of the crisis on per capita GDP growth are confirmed, resulting in a slower convergence process. Dissimilarities between the growth patterns of the analyzed groups show the considerable heterogeneity of growth, i.e. the convergence clubs.
The effect of geriatric status on the subjective speed of time in elderly
Authors: Melehin A.
Published: April 2018

The changes in the subjective passage of time at a later age is polyetiological and polymorphism. In this regard, the aim of this study is to investigate the nature of the impact of changes in geriatric status on the subjective speed of time flow at a old age. The study involved three groups of respondents: 55— 60 years — 120 people (17 men and 103 women, of 56.6±1.8 years); 61—74 years — 120 people (13 men and 107 women, 66,7±3.9 years) and 75—90 years — 50 (11 men and 39 women of 79.4±3.5 years). Research methods were divided into diagnostic units, focused on comprehensive geriatric assessment of the health status, as well as evaluating the specificity of the subjective speed of time in daily activities, past and present, and different ages of respondents. It is shown that in contrast to the chronological, subjective assessment of the age allows to detail the range of changes in the subjective passage of time at a old age. Older people who evaluated their subjective age, there has been rapid over time. When assessing subjective age chronological age is identical to the observed uncertainty in the rating of the subjective speed of time flow. Those respondents who evaluated their subjective age over chronological age noted the slow passage of time. It is shown that the level of education, status, social resources (work and family status), changes in geriatric status (polymorbidity, cognitive functioning, symptoms of depression and subjective feelings of loneliness), a subjective age are the predictors that determine the subjective speed of time flow at a old age.
The Factor of Visual Symmetry Perception in Aesthetic Experience
Authors: Artemenkov S.L. , Shookova G.V. , Mironova K.V.
Published: April 2018

The article deals with the formation of aesthetic experience in connection with the perception of physical symmetry of objects and their images. An overview of modern works on the psychology of aesthetic perception in the context of the problem of the perception of symmetry is presented. The phenomenon of symmetry preference in visual perception is illustrated by arguments in its favor and data on its situationality. The ecological context of symmetry in animals and plants is touched in connection with the phenomenon of fluctuating asymmetry as an undirected deviation in the symmetry of a two-sided structure normally distributed in the population. Mathematical models of symmetry of forms and their multiscale representation are discussed. The analysis of the study of the Zen stone garden perceptual peculiarities from the position of the medial axes’ model is carried out.On the basis of the provisions of the transcendental psychology of perception, a hypothesis is advanced about the meta-sensory origin of the aesthetic sense, based on the process of interrelation of the internal symmetrical mechanisms of visual perception and the cognitive processes of creating figurative representations. The relation to the principle of symmetry in the context of the transcendental psychology of perception is shown.
The third millennium dementia epidemic
Authors: Tjan Richard
Published: April 2018

The global dementia epidemic now and in the future is mainly caused by the steady increase in the population of older persons, where around 2 billion people will be 60 years of age and older by 2050.(1,2) As a consequence, in that year  there will be 135 million people with dementia, particularly in low- and middle-income countries where 60% of the more than 47 million cases (2015 estimate) are living now.(2)
Guava leaf juice effect towards number of megakaryocytes in bone marrow of thrombocytopenic mice
Authors: Atik Nur , Amrullah Al Hadi , Rahmadi Andri Reza
Published: April 2018

BackgroundDengue virus infection that most frequently occur in tropical and subtropical regions can cause many symptoms, one of which is a decrease in thrombocyte count. Recent studies showed that guava leaf extract can increase the thrombocyte count in rats. The present study aimed to determine the effect of guava leaf juice in increasing the number of megakaryocytes in the bone marrow of thrombocytopenic mice.MethodsThis study was of experimental design. The study subjects were 24 mice (Mus musculus). The mice were randomly divided into four groups that were subjected to intervention for 14 days. Group 1 was given guava leaf juice (56 mg/kg) and quinine (14 mg/kg), group 2 guava leaf juice (56 mg/kg) only, group 3 was given quinine (14 mg/kg) and group 4 distilled water. After 14 days, from the bone marrow of the femoral bones of each of the mice, hematoxylin eosin stained histologic preparations were made. Anova test was used to analyze the data.ResultsThe mean megakaryocyte count per field of view in group 1 (2.83), group 2 (3.30), group 3 (2.24) and group 4 (2.93). Anova test results for all groups showed significant differences between groups (p<0.05). The mean megakaryocyte count was increased in group 1 compared to group 3, but the difference was statistically not significant (p=0.206).Conclusion Guava leaf juice can increase the megakaryocyte count in the bone marrow of thrombocytopenic mice. This suggests a potential role of guava leaf juice in improving the platelet count in thrombocytopenic disorders.
Flatfoot decreases school functioning among children < 11 years of age
Authors: Damayanti Yuke , Hadisoemarto Panji Fortuna , Defi Irma Ruslina
Published: April 2018

Background Flatfoot is a musculoskeletal abnormality commonly found in children that could result in a reduction of quality of life because of its related symptoms and functional abnormalities. This study aimed to determine the association between flatfoot and the quality of life among children 5-18 years of age. Methods A cross sectional design was used in this study of children aged 5-18 years. The diagnosis of flatfoot was made in accordance with the Chippaux-Smirak Index classification, whereas general and domain-specific quality of life were measured using the Indonesian version of PedsQL™ that has been previously validated. Mann Whitney test was used to compare quality of life between children with flatfoot and normal feet, along with other variables that potentially may influence a child’s quality of life. Results A total of 79 out of 120 subjects was used to analyze the data. There was a statistically significant difference in the quality of life score in the school functioning domain between children with flatfoot (64.46 ±18.22) and those with normal feet (75.90 ±17.29) in children <11 years of age (p=0.029). Apart from this, the study did not find any statistically significant differences in the total quality of life score or in other quality of life domains between the two groups. Conclusions Flatfoot significantly decreases children’s quality of life in the school functioning domain. Early detection and correction of flatfoot may be necessary to improve the educational attainment of children suffering from this condition.
Evaluation of used eye drop containers for microbial contamination in outpatient department of tertiary care teaching hospital
Authors: P. Bachewar Narendra , Deshmukh Durgesh , Choudhari Sachin R. , Joshi R. S.
Published: April 2018

Background: Contaminated eyedrops are considered as serious risk factor for many iatrogenic ocular infections. Apart from the risk of infection, microbial contamination may alter the pH of the solution thereby reducing the efficacy of drugs. Presently many preservatives are added to these eye drops preparations to extend the duration of use. Hence authors aimed this study to find the contamination rates in such eye drop preparations.Methods: This was a prospective observational research conducted at Ophthalmology OPD, of tertiary care teaching hospital for the period of 2 months. Total fifty five used eyedrops were collected.Results: Authors found that 25.45% of the collected eye drops were contaminated with various organisms, viz. E. coli (10.90%), Staphylococcus aureus (9.09%), Pseudomonas aerugenosa (1.81%), Bacillus subtilis (1.81%) and Candida albicans (1.81%). Among various eyedrops, mydriatic (60%) eyedrops had the highest rate of contamination. We also found that, different preservatives in the eye drops were presents with different level of microbial contamination.Conclusions: The present study showed that there is a definite co-occurrence between eyedrop contamination and ocular infections irrespective of preservatives. This research raises a concern about questionable efficacy of preservatives.
A survey on the knowledge and perception of computer assisted learning among undergraduate medical students in a tertiary care teaching institute of North India
Authors: Jindal Amita , Kumar Raj , Bansal Nagma , Kaur Kamalpreet
Published: April 2018

Background: Computer assisted learning (CAL) in the classroom as well as laboratory in the medical profession has been rising in the present scenario worldwide. CAL can replace laboratory based animal experiments to a large extent and prevent the unnecessary harm or killing of animals. In India, only few studies have been conducted on CAL till date. Aims and objective of the study was to evaluate the knowledge and perception on CAL among undergraduate medical students.Methods: This cross sectional study was carried out on the medical students (MBBS-Second Professional) in the department of pharmacology at Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India. Feedback was obtained from 105 students who had already performed animal experiments in CAL laboratory.Results: It was seen that Computer simulated models (CSMs) are useful for undergraduate teaching (by 98.1%), CAL enrich learning experience about drug effects (by 97.1%), CSMs in CAL is user friendly (by 97.1%) and use of CSMs in teaching is ethical (by 97.1%).Conclusions: CAL is an innovative teaching and learning technique for the medical students. This is an effective mode of teaching pharmacology to the students and it also helps the students to apply their theoretical knowledge of drugs to the practical aspects (without use of animal) on computer simulated models.
A study of serious adverse drug reactions with antiepileptic drugs: a pharmacovigilance study
Authors: Khan Shaima Zafer , Abid Ali Mohammed , Subhani Ghulam , Ushasree T.
Published: April 2018

Background: Approximately 50 million people worldwide have epilepsy, making it one of the most common neurological diseases globally. There are currently more than 25 drugs in the market for the treatment of epilepsy, many of which have similar efficacy but differ in their tolerability profile. Besides unmatched beneficial potential of antiepileptic drugs, it is associated with many adverse reactions too. This study aims to identify the serious adverse reactions caused by prescribed antiepileptics, reported at the pharmacovigilance centre of government tertiary care centre.Methods: This is a retrospective, pharmacovigilance study of the antiepileptic drugs adverse reactions reported over a period of 1 year at a tertiary care centre.Results: A total of 120 ADRs of antiepileptic drugs were reported and collected at the pharmacovigilance centre. According to the WHO-ART system organ classification of ADRs, 78% of ADRs belonged to skin and appendages disorder. Based on the modified Hartwig and Siegel scale of severity, 60.8% ADRs were mild, 18.5% were moderate and 20.8 % were severe ADRs. The severe ADRs included: Steven-Johnson syndrome, Toxic epidermal necrolysis, Erythroderma, DRESS syndrome and Acute pancreatitis. Phenytoin has been found to be the antiepileptic drug causing the most number of severe ADRs amongst the prescribed antiepileptics. According to the modified Schumock and Thornton criteria most of the severe ADRs were not preventable.Conclusions: This study analyses the ADRs associated with antiepileptics reported at the pharmacovigilance centre. 20.8% ADRS were severe, this indicates that the epileptic patients should be closely monitored for ADRs, to avoid clinically significant harmful consequences. The awareness of ADRs would help physicians to identify patients with greater risk of ADRs and therefore, might benefit from ADRs monitoring and reporting programmes.
Electrolyte disorders in a young female following short-term omeprazole therapy
Authors: Amadi Collins , M. Owamagbe Emmanuel , S. Duru Ugochukwu
Published: April 2018

A 29 years old female presented to us in the metabolic clinic of the University of Port Harcourt Teaching Hospital (UPTH) on account of a week history of easy fatigability, weakness, and lower extremity muscle cramps associated with numbness and tingling sensation in the peri-oral area, fingers and toes. Two weeks prior to the onset of her presenting symptoms, she had visited a local pharmaceutical shop on account of a distressing epigastric discomfort and was subsequently placed on daily oral omeprazole 20mg daily for a month by a pharmacist. She had been on the omeprazole medication for two weeks before her present symptoms manifested. Her past medical history was not suggestive of hypoparathyroidism nor pancreatitis. She was married with three children and has an uneventful family, social and obstetric histories. On examination, she was a healthy well-oriented young female with positive Trousseau’s, Chvostek’s and epigastric tenderness signs. Further Laboratory evaluation revealed she had low plasma magnesium, low plasma albumin-corrected calcium, and low serum parathyroid hormone levels, while other laboratory parameters were essentially normal. A diagnosis of omeprazole-induced electrolyte disorders (hypomagnesaemia and hypocalcaemia) associated with hypoparathyroidism was made following the review of her clinical examination and laboratory findings. She was subsequently managed with oral magnesium supplements following the withdrawal of the omeprazole medication (replaced with oral ranitidine), monitored weekly, and full recovery was achieved after three weeks.
Comparison of microdebrider assisted adenoidectomy and adenoid curette adenoidectomy
Authors: . Shaweta , Azad Ramesh K. , Minhas R. S. , Mohindroo Shobha
Published: April 2018

Background: Adenoidectomy is the surgical procedure to remove the adenoids. It is conventionally performed using the curettage method. The aim is to compare between adenoid curette adenoidectomy and microdebrider assisted adenoidectomy.

Methods: From April 2016 to March 2017, 50 patients (34 males and 16 females), requiring adenoidectomy were randomized into two groups each of twenty five. Group A underwent microdebrider assisted adenoidectomy. Group B underwent conventional adenoidectomy using the curettage method. The parameters studied were intra-operative time, blood loss, residual tissue, associated trauma, and post-operative symptomatic relief and complications.  

Results: Microdebrider assisted adenoidectomy was significantly better in terms of residual tissue left behind as compared to adenoid curette adenoidectomy (p<0.001), similar operative blood loss and operative time with no difference in complications.

Conclusions: Microdebrider-assisted adenoidectomy is a safe and effective alternative to curettage method as it allows complete removal of adenoid tissue under direct vision.
Premodern Yoga Traditions and Ayurveda
Authors: Birch Jason Eric
Published: April 2018

The research for this article was prompted by the question: were Yoga and Āyurveda as intimately connected in premodern times as they to seem today? It attempts to give a preliminary answer by assessing the influence of Āyurveda on a corpus of mediaeval Yoga texts, in terms of shared terminology, theory and praxis. The date of this corpus ranges from the eleventh to the nineteenth century CE, and all of its texts teach physical techniques and an ascetic state of dormant meditative absorption (samādhi), either as auxiliaries within a system of Yoga or as autonomous systems in themselves. The physical techniques became known as Haṭhayoga and the ascetic state of samādhi as Rājayoga, and the texts in which they appear posit the practice (abhyāsa) of Yoga as the chief means to liberation (mokṣa). The article begins with a discussion of the terminology in these texts that is also found in the Bṛhattrayī, that is, the Carakasaṃhitā, the Suśrutasaṃhitā and Vāgbhaṭa’s Aṣṭāṅgahṛdayasaṃhitā. It proceeds to discuss the relevant theory (digestive fire, humoral theory, vital points, herbs) and praxis (āsana, ṣaṭkarma and therapy or cikitsā) of the yoga texts in question in order to assess the possible influence of Āyurveda.
Editorial - The End of an Era
Authors: Snow Kathy , Hepburn Gary , Young Carolyn
Published: April 2018

The End of an Era
PEMIKIRAN GERAKAN TURKI MUDA DALAM UPAYA MENJATUHKAN SULTAN ABDUL HAMID II (1876-1909 M)
Authors: Suryo Ediyono Tamara Gissela,
Published: April 2018

The purpose of this research are (1) to find the factors of the Young Turks Movement wanted to attempt the Sultan Abdul Hamid II and (2) to describe the consideration of Young Turk Movement in bringing down Sultan Abdul Hamid II. This study uses qualitative methods presented in descriptive. The technique of data collection was done through the study of library research. Books that became reference were book related to considerations of Young Turk and Sultan Abdul Hamid II. The author did data selection from the rest of the data obtained and then did the analysis. The results of the findings in this research are first, the Young Turks are movement against the reign of Sultan Abdul Hamid II which they regard as dictator. The Young Turk cooperated with liberal opposition to get rid of Sultan abdul Hamid II from his power. Second,the consideration of Young Turk Movement in bringing down Sultan Abdul Hamid II, is build a partnership with Zionism, replacing the Sultan, assault and murder.
STRATEGI PENERJEMAHAN TAMYĪZ DALAM BUKU AT-TIBYĀN FĪ ĀDĀBI CHAMALATIL-QUR’ĀN KARYA IMAM AN-NAWAWI
Authors: Abdul Malik Ahmad Falahudin,
Published: April 2018

This research aims to describe the types of tamyīz (accusative of specification) translation and strategies of translation applied by translator to translate tamyīz on Imam Nawawi’s At-Tibyān Fī Ādābi Chamalatil-Qur’ān (TACQ). The method used in this research is descriptive qualitative. Conducted by observation and marking technique, the collecting data was done by non-interactive method that is identifying and classifying the types of tamyīz found in source language, and matching them with target language translation. The analyzing data uses 3 steps i.e reducing data, presenting, and concluding. The results of this research reveal there are 3 types of tamyīz that are tamyīz asmāul a‘dād, tamyīz muchawwal ‘an mubtada’ and tamyīz muchawwal ‘an maf‘ūl. These types of tamyīz was translated into target language by set of constructs noun phrase, verb phrase, and counted noun phrase. Second, the translator applied 8 strategies of translation to translate tamyīz in TACQ. Among these strategies, the semantic strategy was the most used strategy than others. It was used in 64,29%, whereas structural strategy was used in 35,71%. It’s clear to conclude that the translator favors meaning aspect to translate message clearly and effectively in target language.
SALAM ATAU SELOMITA: TINJAUAN SASTRA DAN MASYARAKAT
Authors: Farhah Eva
Published: April 2018

This research aims to find out the social phenomenon in short story untitled Salam aw Selomita (1983). These phenomena are seen as a personification of activities or facts related to the setting of society, particularly Palestine society in which the short story takes place. The short story consists the continuing conflict and permanent battle in Palestine society that can provide for the readers several valuable social phenomena. Hence the short story was intended one of conveying aspiration means for present society. This research uses the theory of the sociology of literature as a subfield viewing literary facts as a reflection of society, an empirical reality experienced by Palestine society, and uses the method by revealing events that experienced by Palestine society represented by actor Salam or Selomita, a reflection of social facts in current Palestine society. The research’s results show that the social phenomenon in the short story untitled Salam or Selomita is kidnapping the Palestinians children conducted by colonialist. The kidnapping has left a deep grief and tears for the parents and the Palestinians.