bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluating the Inpatient Pediatric Ethical Consultation Service
Authors: Watt Kelsey , Kirschen Matthew P. , Friedlander Joel A.
Published: March 2018

OBJECTIVES:

Pediatric ethical consultation services (ECSs) have been proliferating at medical centers, with little data available on evaluating their implementation. The objective of this study was to evaluate the pediatric ECS and understand the ethical issues occurring within a single quaternary-level pediatric hospital.

METHODS:

A retrospective chart review of documented ethics consultations at a large pediatric hospital from November 2010 to November 2013 was performed and data was abstracted per the US Department of Veterans Affairs’ Domains of Ethics in Health Care. An anonymous, prospective survey regarding ethical issues encountered was distributed electronically to ∼3500 inpatient staff from November 2013 through January 2014. Ethical domains, demographics, feelings of distress by staff, and location of occurrence data were collected. These data were compared with formally documented ethics consults from the retrospective chart review and ECS activity during the same period.

RESULTS:

A total of 47 ethics consults were documented between 2010 and 2013, primarily in the domains of end-of-life care (19; 40%) and shared decision-making (17; 36%). Sixty-three staff members (92% female; 42% nurses; 20% attending physicians) logged an encountered ethical issue between November 2013 and January 2014, corresponding to only 5 documented ethics consults in the same time period. Domains included end-of-life care (18; 28.5%), shared decision-making (13; 20.6%), everyday workplace (11; 17.4%), professionalism (8; 12.6%), and resource allocation (7; 11%). Eighty-one percent of subjects reported personal or professional distress.

CONCLUSIONS:

On the basis of this single-center study in which we reviewed formal documentation, we determined that formal pediatric ECSs are underused, particularly for ethical domains that cause staff members moral distress.
A Quality Improvement Intervention to Improve Inpatient Pediatric Asthma Controller Accuracy
Authors: Hogan Alexander H. , Rastogi Deepa , Rinke Michael L.
Published: March 2018

OBJECTIVES:

Our objective was to investigate if a rigorous quality improvement (QI) intervention could increase accuracy of pediatric asthma controller medications on discharge from an inpatient hospitalization.

METHODS:

Our interprofessional QI team developed interventions such as improving documentation and creating standardized language to ensure patients were discharged on an appropriate asthma controller medication and improve assessment of asthma symptom control. Each week of 2015–2016, the first 5 patients discharged with status asthmaticus from the pediatric wards were reviewed for documentation of the 6 asthma control questions and accuracy of the discharge controller therapy. Correct discharge medication was defined as being prescribed the age-appropriate medication and dose on the basis of baseline controller therapy, compliance with baseline medication, and responses to asthma control assessment. The weekly proportion of control questions that were accessed and correct controller medications that were prescribed were analyzed by using Nelson rules and interrupted time series.

RESULTS:

A total of 240 preintervention and 252 postintervention charts were reviewed. The primary outcome of the median proportion of patients discharged on appropriate controller therapy improved from 60% in preintervention data to 80% in the postintervention period. The process measure of proportion of asthma control questions that were assessed improved from 43% in the preintervention period to 98% by the final months of the intervention period. Both of these changes were statistically significant as per Nelson’s rules and interrupted time series analyses (P = .02 and P < .001, respectively, for postintervention break).

CONCLUSIONS:

An interdisciplinary QI team successfully improved the accuracy of asthma controller therapy on discharge and the inpatient assessment of asthma control questions.
Supporting Self-Management in Children and Adolescents With Complex Chronic Conditions
Authors: Lozano Paula , Houtrow Amy
Published: March 2018

Self-management improves health outcomes in chronic illness not only by improving adherence to the treatment plan but also by building the individual’s capacity to navigate challenges and solve problems. Support for self-management is a critical need among children and adolescents with (medically and/or socially) complex chronic conditions. Self-management support refers to services that health systems and community agencies provide to persons with chronic illness and their families to facilitate self-management; it is a collaboration between the patient, family, and care providers. Evidence has guided the development of self-management support approaches and tools for adults and has led to an increased adoption of best practices in adult chronic illness care. However, adult models fail to account for some key differences between children and adults, namely, the integral role of parents and/or caregivers and youth development over time. There is a need for self-management support models that take into account the developmental trajectory across the pediatric age range. Effective approaches must also recognize that in pediatrics, self-management is really shared management between the youth and the parent(s) and/or caregiver(s). Health systems should design care to address self-management for pediatric patients. Although clinicians recognize the importance of self-management in youth with complex chronic conditions, they need standardized approaches and tools to do the following: assess the self-management skills of youth and families, assess modifiable environmental influences on chronic conditions, collaboratively set self-management goals, promote competence and eventual autonomy in youth, share the responsibility for self-management support among nonphysician members of the health care team, and leverage community resources for self-management support.
STUDI KASUS INFEKSI TILAPIA LAKE VIRUS (TiLV) PADA IKAN NILA (Oreochromis niloticus)
Authors: Koesharyani Isti , Gardenia Lila , Widowati Zakiyah , Khumaira Khumaira , Rustianti Dita
Published: March 2018

Ikan nila atau Oreochromis niloticus merupakan ikan konsumsi masyarakat di Indonesia. Kasus kematian massal ikan nila terjadi di beberapa lokasi budaya di Jawa, Lombok, dan Sumatera yang disebabkan oleh infeksi Orthomyxovirus, dan disebut sebagai Tilapia Lake Virus (TiLV). Tujuan penelitian ini adalah untuk mendeteksi adanya infeksi TiLV dengan metode semi-nested Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR) pada kasus kematian massal ikan nila. Lokasi pengambilan sampel di Desa Sigerongan Kecamatan Lingsar, Lombok, Nusa Tenggara Barat. Analisis deteksi RT-PCR menggunakan sampel organ otak, ginjal, limpa, dan hati, selanjutnya dilakukan sekuensing. Hasil pengamatan terhadap gejala klinis terhadap ikan nila moribund terlihat kondisi mata yang buram/katarak, serta cekung, abrasi kulit, serta perubahan warna tubuh menjadi lebih gelap. Hasil analisis RT-PCR menunjukkan bahwa kejadian kematian massal pada ikan nila suspektif diakibatkan oleh infeksi RNA virus TiLV. Analisis sekuensing menunjukkan bahwa TiLV dari sampel ikan nila di Lombok mempunyai kesamaan identitas genetik 97% dengan TiLV asal Israel (Genebank Accession Number KU 751816.1).Oreochromis niloticus is the main consumption fish commodity in Indonesia. The mortality cases of Nile tilapia have occurred in several culture sites in Java, Lombok, and Sumatra due to the infection of Orthomyxovirus, Tilapia Lake Virus (TiLV). The purpose of this study was to detect the presence of TiLV infection in mass mortality case of Nile tilapia culture using the semi-nested Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR). Fish samples were sourced from Segerongan Village Lingsar District, Lombok, West Nusa Tenggara. For RT-PCR analysis, samples from fish brain, kidney, spleen, and liver were collected and treated for sequencing analysis. The visual observation on the moribund tilapia had found several specific clinical symptoms such as eye cataract with sunken eyes, skin abrasion, and darkened body coloration. The result of RT-PCR analysis showed that mass mortalities of tilapia fish had been suspective caused by the infection TiLV RNA virus. The sequencing analysis showed that TiLV samples from Lombok have a genetic similarity of 97% with TiLV from Israeli (Genebank Accession Number KU 751816.1).
A Qualitative Investigation into Practitioners’ Perspectives of the Coping-Infused Dialogue through Patient-Preferred Live Music Protocol
Authors: Silverman Michael Joseph
Published: March 2018

The Coping-Infused Dialogue through Patient Preferred Live Music (CID-PPLM) protocol was designed to integrate receptive music therapy with a discussion of stressors and coping skills. However, to better understand the advantages and disadvantages of the protocol within the contemporary evidence-based practice framework, investigation with protocol practitioners is warranted. The purpose of this study was to understand practitioners’ perspectives of the CID-PPLM protocol. Specific research questions included practitioners’ perspectives of the following: (1) What are potential advantages of the CID-PPLM protocol and how might it function with adult medical patients? (2) What are potential disadvantages of the CID-PPLM protocol and how might it be improved? Five practitioners participated in individual semi-structured interviews. Themes were identified via thematic analysis. Member checking and trustworthiness were used. Participants had positive, as well as constructive, perceptions of the CID-PPLM. Emerging themes included: CID-PPLM provides choice, control, support, and autonomy; CID-PPLM allows for individualized patient responses within a distinct therapeutic interaction; and the CID-PPLM can be restrictive. Emerging themes and sub-themes can be used to modify the CID-PPLM and provide a framework for new protocols to offer clinicians additional flexibility to best serve adult medical patients. Implications, limitations, and suggestions for future research are provided.
Analisis Probabilistic Fracture Mechanics Pada Evaluasi Keandalan Bejana Tekan Reaktor Secara 3-D
Authors: Hartini Entin , Himawan Roziq , Susmikanti Mike
Published: March 2018

Analisis integritas material sangat diperlukan pada Reactor Pressure Vessel (RPV). Komponen tersebut merupakan pressure boundary yang berfungsi untuk mengungkung material radioaktif. Adanya retak pada dinding dapat mempengaruhi integritas RPV tersebut. Penelitian ini bertujuan melakukan analisis fracture mechanics menggunakan model probabilistik untuk evaluasi keandalan RPV. Model probabilistik digunakan untuk pendekatan karakter random dari kuantitas input seperti sifat mekanik material dan lingkungan fisik. Karakter random dari kuantitas input menggunakan teknik sampling berdasarkan probability density function.  Material yang digunakan pada RPV adalah baja feritik (SA 533). Analisis fracture mechanics dilakukan berdasarkan metode elemen hingga (FEM) menggunakan perangkat lunak MSC MARC. Output dari MSC MARC adalah nilai J integral untuk mendapatkan nilai stress intensity factor (SIF) pada evaluasi keandalan bejana tekan reaktor 3D. Hasil perhitungan menunjukan bahwa SIF probabilistik lebih dulu mencapai nilai batas fracture toughness  dibanding  SIF deterministik. Nilai SIF yang dihasilkan dengan metode probabilistik adalah 95,8  MPa m0,5, sedangkan dengan metode deterministik adalah 91,8 MPa m0,5, rasio crack (a/c) semakin kecil akan dihasilkan nilai SIF yang semakin besar.Kata kunci: Probabilistic fracture mechanics, bejana tekan, 3-D.
Revolusie of reformasie? Die moontlike betekenis van Guillaume Groen van Prinsterer (1801-1876) se besinning daaroor vir vandag
Authors: Van Der Wal B
Published: March 2018

Byna daagliks berig die media oor revolusionêre bewegings en hulle soms bloedige aksies. Ook in Suid-Afrika beoog die regering tans ŉ (sogenaamde demokratiese) revolusie op sosiaal-ekonomiese gebied. In die lig daarvan probeer hierdie ondersoek antwoorde op die volgende twee belangrike vrae vind: (1) Wat is die geestelike dryfveer, die karaktertrekke en die implikasies van ŉ revolusionêre manier van samelewingsverandering? (2) Wat presies behels die alternatief van ŉ Christelike reformatoriese benadering? Die opus magnum van die denker, Groen van Prinsterer (1801-1876), Ongeloof en revolutie, verskyn in 1847, ŉ jaar voor Karel Marx se revolusionêre Kommunistiese Manifes en bevat waardevolle insigte wat vandag nie vergeet mag word nie. 170 Jaar gelede het hierdie leier van die Nederlandse Réveil - ŉ merkwaardige Christelike herlewing - ook voor die keuse gestaan van revolusie of reformasie. Daarom dien sy werk in hierdie bydrae as inspirasie vir verdere besinning. Ongelukkig dra min mense in Suid-Afrika en ook elders (buite Nederland) nog kennis van sy denke. Daarby is daar geen lektuur oor hom in Afrikaans beskikbaar nie en selfs min in Engels wat die leemte sou kon vul. Hierdie ondersoek wil dus ook in hierdie behoefte ŉ bydrae lewer.
Die aard en plek van die geheel-dele relasie - gesien vanuit 'n algemeen-wysgerige sowel as 'n vakfilosofiese perspektief
Authors: Strauss D
Published: March 2018

Hierdie artikel is gerig op die onderliggende breëre wysgerige en vakfilosofiese onderbou van 'n sinvolle verstaan van die geheel-dele relasie. Die nodige begripsonderskeidinge staan in kontras tot die onvermoë van diere om logies-analities genormeerd te kan dink en handel. Die regop gestalte, vrye hand en opponerende duim wat vir kultuurvorming gereedstaan onder leiding van die geestelik-gestempelde blik belig die uniekheid van die mens. Die argument wat gevoer word plaas die geheel-dele relasie binne die ruimte-aspek en skenk dan aandag aan die uniekheid en samehang wat tussen die ruimte-aspek en die ander aspekte van die werklikheid bestaan. Die oorspronklike sin van getal (eenheid en veelheid) en die oorspronklike sin van ruimte (kontinue uitgebreidheid wat die geheel-dele relasie impliseer) word in die eensydige ismiese posisies van individualisme en universalisme skeefgetrek. Laasgenoemde dui op 'n oorspanning van die geheel-dele relasie. Die lang geskiedenis waarin hierdie twee opponerende sienings 'n rol sou speel, gryp terug tot by die Griekse denke. Sommige outeurs meen selfs dat hierdie twee stellingnames so diep gewortel is dat dit as opponerende wêreldbeskouings gesien moet word. Die sistematiese onderskeidinge en insigte wat in hierdie artikel ontwikkel word, sal in 'n opvolgartikel nader uitgewerk word en wel deur ondersoek in te stel na die moontlikhede en beperkings van die geheel-dele relasie vir ons verstaan van die menslike samelewing.
In jarelange verbondenheid: Adam Small en die Cape Flats Players
Authors: Willemse H
Published: March 2018

Adam Small het dikwels verwys na die amateurtoneelgeselskap die Cape Flats Players wat sedert 1972 gereeld sy dramas en revues opgevoer het, veral in die Wes-Kaapse gemeenskappe. Hierdie artikel lewer verslag van die verhouding tussen Small en die toneelgroep, 'n verbintenis waaroor nog nie uitgebreid navorsing gepubliseer is nie. In die stuk Afrikaanse toneelgeskiedenis word aanvanklik die rol van Dramsoc, die studentetoneelgroep van die Universiteit van Wes-Kaapland, die onmiddellike voorganger van die Cape Flats Players, beskryf met die fokus op die eerste Kaapse opvoering van Kanna hy kô hystoe in Augustus 1972. Daarna word die rigtende invloede van onder meer swartbewustheid belig wat die toneelgeselskap gevorm het, gevolg deur 'n beskrywing van die omstandighede wat aanleiding gegee het tot die bedanking van Small as universiteitsdosent en regstreeks gelei het tot die ontstaan van die Players. Die artikel word afgesluit met 'n kort oorsig van die groep se aktiwiteite en hul verskillende gehore.
Die Konstitusionele Hof se kultuurdiversiteitsopdrag aan die onderwys: Aanloklike bestemming anderkant 'n ongekaarte mynveld
Authors: Beckmann J
Published: March 2018

Kultuurgebaseerde konflik in die onderwys is endemies in ŉ land wat so kultuurdivers soos Suid-Afrika is. Hoewel kulturele regte deur die reg gereguleer word, ontstaan daar tog konflik tussen kulture wat selfs in hofgedinge uitloop en die funksionering van skole negatief beïnvloed. In die Pillay-hofsaak het Hoofregter Pius Langa gesê dat kultuurdiversiteit in die onderwys verwelkom en gevier moet word en nie gevrees moet word nie. Die viering van diversiteit klink aanloklik maar dit is nie duidelik hoe dit altyd moontlik is nie. In hierdie artikel bespreek ek enkele dimensies van die moeilik-definieerbare begrip kultuur aan die hand van enkele regs- en ander perspektiewe. Ek verwys ook na die Standard for the Principalship (2016) waarin dit gestel word dat goeie hoofde van alle Suid-Afrikaanse skole die beginsels van ubuntu hul eie moet maak en in hul bestuurspraktyk moet verreken. Dit kan tot die marginalisering van ander kulture lei. Die bestaan van ŉ tradisionele Afrika-kultuur (naamlik ubuntu) en ŉ Westers-kapitalistiese kultuur en die implikasies daarvan word bespreek. Onderwysbestuurders is soms eerder aan kulturele norme as die reg gehoorsaam omdat hulle in ŉ spanningsveld tussen die twee stelle aansprake moet funksioneer. Ek sluit af met ŉ voorbeeld van ŉ geval waar die regte van ŉ kwesbare groep naamlik skooldogters aangetas is deur mense wat kulturele norme bo die reg gehoorsaam het. Ek beoog om in ŉ opvolgartikel meer gevalle onder die soeklig te plaas. Voordat die ideaal van regter Langa verwerklik kan word, moet daar eers deur ŉ spreekwoordelike mynveld beweeg word.
Conference Session III: Advocacy. Presented by Kevin Smith, the Dean of Libraries at the University of Kansas.
Authors: Pavy Jeanne Adele
Published: March 2018

In his presentation on Advocacy at the 2017 Kraemer Copyright Conference, Kevin Smith offered participants suggestions on how to engage various stakeholders on copyright issues.  Using a model of advocacy derived from the environmental movement, Smith encouraged participants to acquire a strong understanding of the incentives and barriers that are in play for decision makers involved in this issue, and to tailor one’s approach to the specific audience addressed.  Stakeholders bring different perceptions of how to achieve the balancing purpose of copyright and advocates must grasp the motives present on all sides of the issue.   He makes the case for telling stories alongside data in presenting a position because narratives are usually more interesting and memorable than the rules and abstract principles they demonstrate.  Smith also offered guidance on how to address risk in copyright contexts, and extolled the positive impact created by simply behaving in a respectful and friendly way toward everyone involved in the conversation.
Breakout Session: Leveraging Licensing to Increase Access
Authors: Polchow Michelle
Published: March 2018

The Affordable Course Materials Initiative (ACMI) is a library-driven program established by University of California, Los Angeles (UCLA), designed to leverage existing library resources, encourage open educational resources (OER) content creation, identify cost-effective digital projects and modify existing license agreements in order to create reduced cost course materials for students, as an alternative to rising commercial textbook costs.  The faculty incentivized program encourages instructors to partner with the library to leverage free or low-cost resources, adjusting syllabi and assignments as needed.  ACMI’s two-year pilot resulted in convincing evidence that the service supported a broad and diverse range of campus disciplines, achieved substantial cost savings, served as a catalyst for community building with multiple stakeholders, and gained campus administration recognition with an ongoing commitment of financial support to permanently integrate the initiative as an ongoing component of library services.
Transrektal Prostat İğne Biyopsisinin Erektil Fonksiyon Üzerine Etkisi
Authors: Ergün Osman
Published: March 2018

Amaç:
Transrektal ultrasonografi eşliğinde prostat biyosi işleminin, hastaların
cinsel fonksiyonu üzerine olan etkilerini, işlem öncesinde ve sonrasında farklı
zaman aralıkları ile değerlendirmek.Hastalar  ve yöntem: Çalışmaya işlem
öncesi IPSS ve IIEF doldurtulan ve işlem sonrası bu formlar tekrar 1. ve 3.
aylarda doldurtulmuş olan ve biyopsi sonucu prostat kanseri ile uyumlu gelmeyen
80 hasta alındı. IIEF-5’e göre hastaların erektil fonksiyonları 5 kategoriye
ayrıldı; 5-7: ağır erektil disfonksiyon (ED), 8-11: orta ED, 12-16: hafif-orta
ED, 17-21: hafif ED, 22-25: ED olmayan.Bulgular:
Hastaların  %45’ i (36/80) üç günden
fazla süren rektal kanama şikayeti bildirdiler. Üç günden uzun süren
hematospermi ve/veya hematüri şikayeti hastaların %78,8’ inde (63/80) gözlemlendi.
Biyopsi öncesi IIEF skor ortalaması 24.29±8.40 idi. Biyopsi sonrası 1. ve 3.
aylardaki IIEF skor ortalamaları sırası ile 20.31±9,6 ve 22.36±8.88 idi
(p<0,05). Biyopsi öncesi ED’ u olmayan  hasta grubunda biyopsi sonrası 1. ayda ED
görülme oranı %31.57 (18/57)  idi. Bu
oranın 3. ayda %5.26’ ya (3/57) gerilediği tespit edildi. Başlangıçta ED’u
olmayan hasta grubunda biyopsi sonrası görülen ED’un şiddeti, IIEF-5’e göre
17-21 arası olup hafif ED sınıflamasına girmekte idi.

Sonuç:
Biyopsi ilişkili cinsel disfonksiyon ihtimali, prostat biyopsisi geçiren tüm
hastalarda olasıdır. Fakat çalışmamıza dayanarak denebilir ki; biyopsi sonrası
seksüel disfonksiyon, özellikle de erektil disfonksiyon çoğu zaman geçici bir
durumdur.
Groundwater Modeling and Governance: Contesting and Building (Sub)Surface Worlds in Colorado’s Northern San Juan Basin
Authors: Kroepsch Adrianne C.
Published: March 2018

As groundwater use has surged globally and computing power has grown, groundwater modeling has become a regular feature of subsurface-oriented governance.  Our improved ability to “see” underground with models has not, however, generated epistemic consensus on the inner workings of subsurface systems. Here, I ask how and why that is the case.  I pursue this line of inquiry in the context of groundwater governance in the American West.  Specifically, I trace a decade of groundwater modeling at the heart of a protracted and legally influential groundwater dispute in the state of Colorado to show how models served as mathematical spaces for competing subsurface stakeholders to test and contest opposing visions of groundwater flows, rights, and responsibilities. Drawing from the Science & Technology Studies literature on global climate modeling, I argue that groundwater models are more than simulations of subsurface systems; they are tools of “world building” that embed, enact, and also circumscribe subsurface politics.
Shelf Projects: The Political Life of Exploration Geology in Senegal
Authors: D'Avignon Robyn
Published: March 2018

Since the early 2000s, southeastern Senegal has emerged as a premier gold exploration and mining frontier. At present, the Sabodala gold mine, owned by the Canadian company Teranga Gold, is the only operational gold mine and mill in Senegal. But two more open-pit gold operations are scheduled to open this year, and several other companies have announced discoveries of industrial-scale deposits. By documenting the shifting ownership and exploration of the Sabodala deposit, this article draws attention to how the protracted phase of mineral research shapes the political life of mining operations in Africa and elsewhere in the global South. Geological exploration in colonial and post-colonial Senegal, as in much of Africa, has relied heavily on the expertise of indigenous miners and smelters. Mining Sabodala has thus unearthed multi-vocal and contested histories of gold discovery. Historians of science have established that field assistants and experts in Africa have produced agronomic and medical knowledge typically credited to “the West.” By extending this argument to gold exploration, the article brings African history into dialogue with an emergent anthropology of subterranean knowledge production.
Engaging the Underground: An STS Field in Formation
Authors: Kinchy Abby J. , Phadke Roopali , Smith Jessica M.
Published: March 2018

Rather than existing a priori, the underground comes to be through interlinked political, economic, cultural, and technoscientific practices and processes. Underlying each of these are issues of knowledge, expertise and power that STS is uniquely positioned to explore. In this thematic collection, our focus on the underground draws attention to the work, knowledge, and placemaking activities of those engaged in mining and energy development. We focus on how questions about extraction and burial are posed and deliberated through maps and models. More generally, we highlight the contributions of STS Underground, a network that in its nascent stage is helping to connect the many STS scholars who seek to use the underground as a source, site, and symbol for thinking of the future of the field, as well as their personal interventions as engaged scholars.
Engaging STEM Ethics Education
Authors: Joyce Kelly Ann , Darfler Kendall , George Dalton , Ludwig Jason , Unsworth Kristene
Published: March 2018

The automation of knowledge via algorithms, code and big data has brought new ethical concerns that computer scientists and engineers are not yet trained to identify or mediate. We present our experience of using original research to develop scenarios to explore how STS scholars can produce materials that facilitate ethics education in computer science, data science, and software engineering. STS scholars are uniquely trained to investigate the societal context of science and technology as well as the meaning STEM researchers attach to their day-to-day work practices. In this project, we use a collaborative, co-constitutive method of doing ethics education that focuses on building an ethical framework based on empirical practices, highlighting two issues in particular: data validity and the relations between data and inequalities. Through data-grounded scenario writing, we demonstrate how STS scholars and other social scientists can apply their expertise to the production of educational materials to spark broad ranging discussions that explore the connections between values, ethics, STEM, politics, and social contexts.
BIOL 354W - Research Methods in Advance Microbiology v12
Authors: Leon Rosa
Published: March 2018

This protocol series will guide students through the experience of analyzing metagenomic data.
Yarasa ve orman ilişkisi üzerine bir değerlendirme
Authors: YORULMAZ Tarkan , ÜRKER Okan , ÖZMEN Rıdvan
Published: March 2018

Dünyada 5490 memeli türü yayılış göstermektedir. 1300 türle yarasalar toplam memelilerin yaklaşık dörtte birini oluşturmaktadır. Yarasalar beslenmek, tünemek ve üremek için çok farklı habitatları ve ekosistemleri kullanabilirler. Bu alanların en önemlilerinden biri ormanlardır. Ormanlar, yarasaların kimi zaman tüneme ve barınma yeri iken, kimi zaman da beslenme alanlarıdır. Bu çalışmada, ormanların yarasalar açısından önemi ve yarasaların ormanlarda yaşadıkları genel problemlere yönelik çözüm önerilerine vurgu yapılmak istenmiştir. Türkiye’de yaşayan 39 yarasa türünün 30’unun ormanla doğrudan veya dolaylı yönden ilişkili olduğu ifade edilmiştir. Yarasaların tüneme ve beslenmeleriyle ilgili çalışmalar derlendiğinde, Türkiye’de ormanla ilişkisi tespit edilmiş 30 yarasa türünden 28’inin ormanları beslenme amaçlı kullandığı kaydedilmiştir. Ormanlarla ilişkili olduğu ifade edilen bu 30 yarasa türünden 15’inin ise ormanları tüneme amaçlı kullandığı rapor edilmiştir. Yarasaların ormanlarda yaşlı ağaçları, gevşek kabuk arkalarını, bazı kuş yuvalarını, devrilmiş ağaç kütüklerini, çeşitli doğal süreçlerle oluşmuş ağaç yarıklarını, kovuklarını ve boşluklarını tercih ettiği bilinmektedir. Yarasaların yaşaması muhtemel olan ormanlık alanlarda ışık tuzakları, dedektörler ve ağlar kullanılarak teşhisleri yapılabilmektedir. Ayrıca yarasalara takılan izleme cihazları ile orman içerisinde hangi alanları tüneme ve beslenme amacıyla tercih ettikleri, mevsimsel olarak orman içerisindeki aktivitelerinin nasıl olduğu da izlenebilmektedir. Orman alanlarında bilinçsiz ve kontrolsüz ağaç kesimleri, çeşitli nedenlere bağlı gözlenen habitat parçalanmaları, orman yangınları, böceklere yönelik kimyasal mücadele, madencilik faaliyetleri ve rüzgâr türbinlerinin kurulması gibi insan faaliyetleri, ormanı kullanan yarasaları tehdit etmektedir. Bu tarz olumsuz insan faaliyetlerinin önlenebilmesi için orman amenajman planlarına biyolojik çeşitlilik verilerinin entegrasyonu, böceklerle biyolojik mücadele, bilimsel odaklı çevresel etki değerlendirme çalışmaları ve halkın bilinçlendirilmesi gibi çalışmalara ihtiyaç duyulmaktadır.
Screening for Atrial Fibrillation Using Smartphones and Smartwatches
Authors: Burri Haran ,   Cardiology Department, University Hospital of Geneva, Geneva, Switzerland
Published: March 2018

Smartphones and smartwatches are used for a multitude of purposes in our daily lives. They are equipped with sensors that may monitor our patients’ health. This article provides an overview on how they may be used to screen for atrial fibrillation, and discusses the current status of this technology.
Noninvasive Phase Mapping of Atrial Flutter in Humans – Comparison with Invasive Mapping
Authors: Wissner Erik ,   Asklepios Klinik St Georg, Hamburg, Germany, Kalinin Vitaly ,   EP Solutions SA, Yverdon-les-Bains, Switzerland, Kalinin Alexander ,   EP Solutions SA, Yverdon-les-Bains, Switzerland, Sopov Oleg ,   Bakoulev Research Centre for Cardiovascular Surgery, Moscow, Russia, Chmelevsky Mikhail ,   EP Solutions SA, Yverdon-les-Bains, Switzerland, Metzner Andreas ,   Asklepios Klinik St Georg, Hamburg, Germany, Revishvili Amiran ,   Bakoulev Research Centre for Cardiovascular Surgery, Moscow, Russia, Kuck Karl-Heinz ,   Asklepios Klinik St Georg, Hamburg, Germany
Published: March 2018

Introduction: The present study compared invasive activation and phase mapping to noninvasive phase mapping in patients with cavotricuspid isthmus (CTI)-dependent atrial flutter (AFl) using a novel noninvasive epicardial and endocardial electrophysiology system (NEEES). Methods: Four patients with CTI-dependent AFl underwent simultaneous invasive and noninvasive mapping using an electroanatomical mapping system and the NEEES. A mapping catheter aligned along the tricuspid valve region provided data on local activation times analysing unipolar and bipolar electrograms (EGs). Invasive and noninvasive EGs were processed using the same phase mapping algorithm. Results: Activation times obtained invasively and noninvasively from phase-processed unipolar EGs demonstrated close correlation with activation times obtained from invasive bipolar EGs. Noninvasively reconstructed phase maps accurately delineated the activation sequence of CTI-dependent AFl. Conclusion: Noninvasive phase mapping can accurately delineate the activation pattern of CTIdependent AFl and may be useful in other types of macro-reentrant tachycardias.
Intermittent Left Bundle Branch Block – A Challenging Case of Rare Electrocardiogram Phenomenon
Authors: Ameen Muhammad ,   Bronx-Lebanon Hospital Center, Internal Medicine, Bronx, New York, NY, US
Published: March 2018

We aim to present this rare phenomenon of intermittent left bundle branch block (LBBB) in a patient with aspergillus endocarditis, as a case for arrhythmia round. Intermittent LBBB is an unusual phenomenon. Though first described over six decades ago, only a few cases have been reported and pathophysiological basis remains unknown.
Pseudoseizure with Pseudo-ventricular Tachycardia
Authors: Karabulut Ozlem ,   Health Sciences University, Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey, Ozeke Ozcan ,   Health Sciences University, Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey, Erbay Ilke ,   Health Sciences University, Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey, Ekici Ertan ,   Health Sciences University, Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey, Cay Serkan ,   Health Sciences University, Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey, Ozcan Firat ,   Health Sciences University, Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey, Topaloglu Serkan ,   Health Sciences University, Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey, Aras Dursun ,   Health Sciences University, Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey
Published: March 2018

Psychogenic nonepileptic seizures (PNES), or pseudoseizures, are paroxysmal episodes that resemble, and are often misdiagnosed as, epileptic seizures; however, they are psychological (i.e., emotional, stress-related) in origin. Unlike epileptic seizures, PNES do not result from an abnormal electrical discharge from the brain; they are a physical manifestation of a psychological disturbance. We present an interesting case of PNES with pseudo-ventricular tachycardia due to body movement related artefacts. A careful analysis of the whole 12-lead electrocardiogram is required to rule out an artefact-related appearance of ventricular tachycardia. Correct interpretation of electrocardiograms and their co-relation to clinical history and presentation is key.
The Reagan Administration as the Origin of the Shift from Citizen Building to Consumer Building in American Education
Authors: Davis Alex
Published: March 2018

Current American education is comprised of and influenced by a myriad of complex legislative, technological, and cultural representations of consumption, however this historic-educational study specifically examines how the Reagan administration discursively initiated the consumerizing educational framework.  While existing research studies the neoliberal implications on education, this study addresses the neoliberal reforms under President Reagan within the discursive paradigm of its consumerizing impact.  By using Critical Discourse Analysis on a selection of Presidential proclamations, speeches, and national educational reports, this study examines and elucidates how the Reagan administration created the consumerizing framework for American education. By understanding the results through the Frankfurt School concept of integration and expanding on Bowles and Gintis’ educational theory, this study argues that Reagan’s reforms created a consumerizing framework in American education.
Avaliação do desenvolvimento motor de lactentes dependentes de servidores em instituição de ensino superior no Amazonas
Authors: Dos Santos Furtado Michelle Alexandrina , Silva Gonçalves Barbosa Mendonça Ayrles , Da Costa Lameira Ana Beatriz , Fernandes Ferreira Lucio
Published: March 2018

Introdução: O desenvolvimento motor (DM) é um processo sequencial e contínuo de mudanças no comportamento humano que estão relacionados à idade. O DM do lactente é marcado por importante interação com o meio, sendo vulnerável aos riscos físicos e socioambientais, quando existentes. A Alberta Infant Motor Scale (AIMS) é um instrumento de avaliação infantil que tem como objetivo principal analisar o DM de lactentes.Objetivo: Correlacionar o perfil motor de crianças de 0 a 18 meses de idade, dependentes de servidores da Universidade Federal do Amazonas – UFAM, com os principais fatores de risco relacionados à atrasos no DM.Método: Estudo observacional transversal, em que lactentes foram avaliados utilizando questionários de variáveis clínicas, socioeconômicas, ambientais e aplicação da AIMS.Resultados: Foi constatado que 80% da amostra apresentou adequado DM, relacionado aos positivos fatores socioeconômicos e ambientais. Apenas dois lactentes apresentaram alterações no desenvolvimento, relacionadas a posição viciosa do W-sitting.Conclusão: Nos dependentes de servidores da UFAM não foi observada a presença de fatores de risco tradicionais associados ao DM. Contudo, a permanência do “W-sitting” apresentou-se como um potencial fator de risco para o atraso no DM, já que crianças apresentando tal padrão demonstraram alteração no DM, mesmo sem outros fatores associados.
Peripheral regulatory T cells and anti-inflammatory cytokines in children with juvenile idiopathic arthritis
Authors: Sznurkowska Katarzyna , Boćkowska Małgorzata , Zieliński Maciej , Plata-Nazar Katarzyna , Trzonkowski Piotr , Liberek Anna , Kamińska Barbara , Szlagatys-Sidorkiewicz Agnieszka
Published: March 2018

Background Juvenile idiopathic arthritis (JIA) is a chronic, heterogenous inflammatory disease of unclear pathogenesis. JIA is hypothesized to be linked to a defective immune regulation. Anti-inflammatory cytokines belong to the best known regulatory factors. T-regulatory cells are a crucial cellular component of immune tolerance. One of their functions is synthesis of interleukin 10 (IL-10) and transforming growth factor beta1 (TGF-ß1).The aim of this study was to determine the proportion of T-regulatory cells (CD4+CD25highFOXP3+) in peripheral blood, and serum levels of TGF-ß1 and IL-10 in patients with JIA.Methods: The study included 25 patients with newly diagnosed JIA: oligoarthritis (n=17) and polyarthritis (n=8). Control group was comprised of 17 healthy children. CD4+CD25highFOXP3+ T cells in peripheral blood were quantified by means of three-color flow cytometry. Serum concentrations of TGF-ß1 and IL-10 were estimated with ELISA.Results: The proportion of peripheral CD4+CD25highFOXP3+cells in patients with JIA was significantly higher than in the controls (p=0.04). The two groups did not differ significantly in terms of their TGF-ß1 and IL-10 concentrations.Conclusions: At the time of the diagnosis, children with JIA present with elevated proportion of T-regulatory cells (CD4+CD25highFOXP3+) in peripheral blood. Anti-inflammatory cytokines, IL-10 and TGF-ß1, are not upregulated in the serum of patients with JIA, and therefore should not be considered as biomarkers of this condition.
“The Opposite of the Skeleton Inside of Me”: Women’s Poetry as Feminist Activism
Authors: LaFollette Kristin
Published: March 2018

This article provides an exegesis and utilizes the author’s original poetry to show that women’s poetry is a form of feminist activism. The exegesis discusses Audre Lorde and Sylvia Plath, authors who have traditionally used poetry as an outlet for opposing the patriarchal oppression that women face. The author follows the exegesis with seven of her poems as a representation of how poetry can further feminist activism and work toward breaking down outdated gender norms and patriarchal ideology.
Poetic Existential: A Lyrical Autoethnography of Self, Others, and World
Authors: Rawlins L. Shelley
Published: March 2018

“Poetic Existential” is a collection of lyrical autoethnography. This body of work explores existential themes relating to globalization and the immigration/refugee humanitarian crisis, “freedom” as personal/political/geographical ideology, and my own experiences of being a situated self alongside others. Lyrical poetry coaxes a person to embody and present experience through restrained (Faulkner 52), yet evocative descriptions – without the neat folds and contextual blanketing common to many narrative approaches. The challenge of autoethnographic poetry is to perform a focused crystallization of experience via lyrical aesthetics (arrangement, word choice, rhythm, rhyme, phrase and line structure, etc.). In the accompanying artist statement, I theorize my poetic engagement with attention paid to what the lyric facilitates in my scholarly work. In this exploratory fusion of lyrical expression, autoethnography, and existentialism, I hope to summon the aesthetic powers of poetry in the service of self-reflexivity, and in relation to the plight of millions of disenfranchised others.
Unpacking Self and Silence: Looking Inward, Looking Outward, Looking Through
Authors: Khan Momina A
Published: March 2018

Looking inward as a mother, I see that autobiographical narrative inquiry has further deepened my understanding that my children’s dual identity (Muslim Canadians) is not breaking them apart, rather putting them together. Looking outward as a researcher, poetic representation has given me a voice where, instead of fearing silence, I am able to “inhabit a more ambiguous and flexible sense of self” (Boler, 1999, p. 176). I am able to act as an interpreter between the chaos of my experiences and an assembly of unbroken monologues and sporadic dialogues. Finally, looking through as an amateur poet, I practice poetry “as a method of inquiry to move into [my] own impossibility, where anything might happen—and will” (St. Pierre, 2005, p. 973). I create opportunities for meaning making and insights as my stories and poems resonate for others, and in how my stories inform, enhance, and deepen parents’ and educators’ knowledge and conceptualizations of an inclusive school community.
An Inquiry into Self-Immolation as Social Protest
Authors: Filippelli Sandra Elaine
Published: March 2018

This poetic inquiry paper is a reflection on the phenomenon of self-immolation committed as compassionate protest. Whether the self-directed social protest of Vietnamese monk, Thích Quảng Đức, and Tibetan monastics and lay people, expresses selfless, altruistic action, dedicated to the greater good, merits reflection. Individuals seeking social justice in today’s troubled times may be interested in cultivating ahimsa, or non-violence, within themselves before attempting to implement it within their communities. In brief, they should change themselves before they change the world. With self-compassion that broadens to loving kindness and compassion for all, they may try to understand those from whom they seek justice before they commit to action. This inquiry concludes with ekphrastic poetry, “interpreting, troubling and addressing” (poets.org) the Tibetan painting, “Wheel of Life,” a depiction of the Buddhist concept of the “three poisons,” ignorance, desire, and anger, and contemplates their antidotes.
Praye(red)
Authors: Delgado Les
Published: March 2018

This performance uses a poem autoethnographically to engage the poet-researcher’s lived experiences in order to examine the relationship of their identity intersections (queer, Latinx, gender non-comforming) to their culture(s) through the current events that inform their experiences and identities. Identifying as gender non-comforming, the poet uses terms like “Latinx” and the pronoun “they” to simply state and relate to a line of Sylvia Plath’s the Bell Jar that “I am, I am, I am.” The usage of literature helps the poet become aware of what they are feeling. Using poetic autoethnography, these pieces strive to amplify the emotions—sadness, anger, anxiety, and fear—that stem from their positionality in relation to events like the tragedy in Orlando. Further, using poetry to engage in embodied and often hidden epistemic realities, the poet looks to the relationship of identity, culture, and the gender/queer, Latinx body that carries this cumulative knowledge from lived experience to lived experience to express those feelings. Using these poetic connections, the poet strives to question their existence in the current world, and make sense of their authenticity.
“Blackboxing it”: A Poetic Min/d/ing the Gap of an Imposter Experience in Academia
Authors: Moore Amber
Published: March 2018

Entering academia is a journey often fraught with many intense emotions, including shame, self-doubt, and fear. As such, this exploratory paper aims to expose and “dwell poetically” (James, 2009) on such feelings of novice academics, particularly the “imposter syndrome” experience, through an act of creative vulnerability and meaning making. Employing critical poetic inquiry, this paper offers and examines found poetry mined from a first year language and literacy education PhD student’s early academic writing. This poetry writing was done while simultaneously “minding the gap” existing in the “black box” of the PhD experience (Stanley, 2015), and framed through the lenses of the “personal” as “political” (Hanisch, 2000) and shame resilience theory (Brown, 2006), resulting in a poetry “cluster” (Butler-Kisber & Stewart, 2009) that “speaks shame” (Brown, 2006), composed with the aim to invite comfort, connection, and community, particularly with emerging scholars.
Review of the Sixth International Symposium on Poetic Inquiry: Breaking Through the Abstract: Poetry as/in/for Social Justice
Authors: Beymer Alecia
Published: March 2018

This is a review of the 6th International Symposium on Poetic Inquiry held at Bowling Green State University, and graciously hosted by Sandra Faulkner. This symposium meets biennially with presenters from many different areas of the world such as Nova Scotia, Canada, and New Zealand. The theme this year was poetry in/as/for social justice. In this review, I seek to think through some of the questions and uncertainties that arose over the course of the few days we met in November. We complicated meanings of social justice at this contemporary time and revisited formulations of social justice through past events. Within this review, I write a personal/theoretical piece embedded with citations from poets, and in the end compose a poem that is an amalgamation of language from presenters’ abstracts and my own ideas.
Politics and Religion vs. Law and Order in Nigeria: Implications for National and Regional Security.
Authors: Anadi, PhD Sunday K.M.
Published: March 2018

Since independence in 1960, Nigeria has grappled with the ominous challenge of building a sustainable bridge between its ever increasing populations divided not only along distinct multi-ethnic groups but also between two major diametrically opposed faiths [in content, structure, and tactics]- Christianity and Islam. The study was exploratory in nature, which adopted descriptive adequacy in articulating and examining the underlying alternatives factors that propel national politics and religious violence in Nigeria, thus producing a more comprehensive and total picture of the dynamics of the phenomena under investigation- the understanding of religious violence in Nigeria with minimum distortion.  Furthermore, the study adopted a survey method based on the perception of Government officials and Religious leaders regarding religious violence, with a corresponding sample size of 100. The study found that the seeming overwhelming implications of persistent religious violence for Nigeria are three folds; they include; sustained threat to national peace, unity, and security, undermines national political/economic development, as well as socio-cultural and religious harmony and cooperation. In addition, the study found that the present state of religious violence in Nigeria exacerbates bitterness, hatred, and mistrust among the federating units of Nigeria resulting to violent reactions and heightened intra-ethnic and religious clashes, with a volcanic potential to explode into secession by aggrieved groups, internecine civil war, pogroms and/or jihads. Finally, the study recommended that the Nigerian civil society must step up organized and peaceful agitations for fundamental changes in the structure and character of the Nigeria state through a Sovereign National Conference or credible constitution review effort. Also, the Nigerian government and the international community must seize the opportunity of current fragile peace in Nigeria, to implement a number of credible measures aimed at preventing a recurrence of widespread religious conflicts threatening to spill over to a civil war.