bluuebunny/crossref_metadata_2025_split huggingface dataset:
HASTANEDE YATAN HASTALARDAN ALINAN REKTAL SÜRÜNTÜ ÖRNEKLERİNDE VANKOMİSİNE DİRENÇLİ ENTEROKOK TARANMASI: STRATEJİK DEĞERLENDİRME
Authors: ALÇİ Gamze , GÜNEŞER Deniz , GÜNER Ayfer , KARAHASAN Ayşegül 
Published: December 2021

Vankomisine dirençli enterokoklar (VRE), hastaneye yatış süresini uzatmakta, ve özellikle immünsüpresif hastalarda enfeksiyon gelişme riskini arttırabilmektedir. VRE taşıyıcılığı ve gelişebilen enfeksiyonların yayılmasını önlemek için tarama ve temas izolasyonları önerilmektedir. Kolonizasyon tarama politikası sağlık kuruluşlarının hastane enfeksiyon komitelerince uygulanan yönerge/kılavuzlarına göre gerçekleştirilmektedir. Bu retrospektif çalışmada, Marmara Üniversitesi Pendik Eğitim ve Araştırma Hastanesinde yatırılarak izlenen hastalardan alınan rektal sürüntü örneklerindeki VRE oranlarının belirlenmesi, tarama yapılan hastalarda gelişen VRE enfeksiyonlarıyla ilişkisinin değerlendirilmesi ve maliyet analizi yapılarak rektal sürüntü örneklerinin taranmasında klinik ve maliyet etkinliğin belirlenmesi amaçlanmıştır.
1 Ocak- 31 Aralık 2019 tarihleri arasında tüm birimlerde yatan hastalardan hastanemiz Hastane Sürveyans Politikası’na göre alınan rektal sürüntü örnekleri taşıma besiyerinde (Citotest, China) laboratuvara gönderilmiştir. ChromID VRE (bioMérieux, Fransa) besiyerine ekimi yapılan ve inkübasyon sonrasında menekşe rengi üreyen koloniler vankomisin dirençli (VR) Enterococcus faecium, yeşil renkte üreyen koloniler VR Enterococcus faecalis olarak ön tanı almıştır. Tanımlama matriks aracılı lazer dezorpsiyon iyonizasyon-uçuş zamanlı kütle spektrometresi (MALDI-TOF MS) cihazı (bioMérieux, Fransa) ile doğrulanmıştır.
Çalışma sürecinde 771 hastadan 1710 örnek alınmıştır. Erişkin örneklerinin % 7,9’unda (68/1362) , pediatri örneklerinin % 8,3’ünde (29/348), tüm örneklerin toplam % 8,1’inde (137/1710) VRE pozitifliği saptanmıştır. Her iki grupta da en yüksek pozitiflik oranı yoğun bakım hastalarındadır. Kemik iliği ve solid organ transplantasyon ünitelerinden gönderilen örneklerdeki pozitiflik oranları pediatri hastalarında % 8,82 iken, erişkin hastalarda %3,0 olarak saptanmıştır . Izole edilen toplam 137 VRE kökeninin % 77,4‘ü VR E. faecium’dur. VRE kolonizasyonu saptanan 108 erişkin hastanın üçünde kan, biyopsi ve idrar örneklerinde VRE saptanmış; tarama pozitifliği, klinik örnek pozitifliğinden önce belirlenmiştir. VRE kolonizasyonu saptanan 29 pediatri hastasının birinde idrar örneğinde VRE saptanmış ancak tarama pozitifliği klinik örnek pozitifliğinden 17 gün sonra ortaya çıkmıştır. Sadece sarf malzemeler dikkate alındığında örnek başına maliyet; VRE üremesi saptanmayan hastalar için ₺9,18 (1,62$), VRE üremesi saptanan hastalar için ₺35,38 (6,26$) olarak hesaplanmıştır.
Verilerimiz hastane enfeksiyon kontrol komitesine sunulmuş ve mali kaynakların, harcanan emeğin ve zamanın daha etkin kullanılması için 2020 yılı itibariyle hastanemizde VRE taraması sadece pediatrik hematoloji, onkoloji ve kemik iliği nakil hastalarında rutin olarak yapılmaya başlanmıştır.
SANTRAL SİNİR SİSTEMİ İNFEKSİYONU TANILI 98 OLGUNUN KLİNİK ÖZELLİKLERİ
Authors: ALTUNAL Lütfiye Nilsun , ÖZTÜRK Servet , AYDIN Mehtap , ÖZEL Ayşe Serra , KADANALI Ayten 
Published: December 2021

Santral sinir sistemi (SSS) infeksiyonları farklı birçok mikroorganizma ile gelişebilen, beyin meninks ve parankiminin enflamasyonu ile karakterize hastalıklardır. Hastaların sağ kalımında erken tanı ve etkin tedavi uygulanması önem arz etmektedir. Çalışmamızda SSS infeksiyonu tanısıyla takip edilen hastaların klinik özelliklerinin irdelenmesi amaçlanmıştır.
Ümraniye Eğitim ve Araştırma Hastanesi’nde ve Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi’nde Şubat 2013 ve Aralık 2020 yılları arasında toplum kökenli SSS infeksiyonu tanısı konan 98 hastanın verileri retrospektif olarak değerlendirilmiştir.
SSS infeksiyonu tanısı konan 98 hastanın % 62’sinin (61) erkek, yaş ortalamasının 53,5±7,4 olduğu görülmüştür. Yapılan sınıflamaya göre hastaların 43’ü (% 44) akut bakteriyel menenjit, 38’i (% 39) aseptik menenjit ensefalit, sekizi (% 8) tüberküloz menenjiti, beşi (% 5) beyin absesi, dördü (% 4) fungal menenjit tanısı almıştır. Beyin absesi tanılı hastaların % 80’inde, fungal menenjit tanılı hastaların % 50’sinde, akut bakteriyel menenjit tanısı konan hastaların % 31’inde predispozan bir faktör olduğu görülmüştür. Akut bakteriyel menenjit hasta grubunun beyin omurilik sıvısı kültüründe en sık Streptococcus pneumoniae (% 14), Escherichia coli (% 7) ve Listeria monocytogenes (% 7) üremiştir. Aseptik menenjit ensefalit grubunda ise en sık belirlenen etken VZV (% 18) ardından HSV tip 1 (% 5) ve HSV tip 2 (% 5) olmuştur. Fungal menenjit tanısı ile takip edilen hastaların hepsinde Cryptococcus neoformans izole edilmiştir. Tüberküloz menenjiti ile takip edilen hastaların % 50’sinde komplikasyon gelişmiştir.
Çalışmamızda, akut bakteriyel menenjit hastalarında en sık S.pneumoniae, aseptik menenjit-ensefalit hastalarında da en sık VZV izole edilmiştir. Bulgularımız SSS infeksiyonu tanılı hastaların yönetiminde yol gösterici olacaktır.
Mainstream digitale e altre immagini urbane. Una ricerca empirica nel sito UNESCO di Palermo
Authors: Caravello Emanuela 
Published: December 2021

The research deepens the role of new technologies in the construction of geographical imaginaries investigating the dimension of the offer related to the cultural heritage of the city of Palermo. The study was conducted using qualitative methods and provided for the application of two research techniques: participant observation and semi-structured interviews. By interpreting the results produced, the contribution aims to highlight the predominance of an urban image, linked to the UNESCO inclusion of the site in the World Heritage List, which is conveyed through new technologies. Developing a reflection on the alternative capacity of new media to dislocate and challenge shared images, the study will also examine the role of technologies in the production of imaginative counter-geographies.
Reagire alla pandemia: l’arte e la ricerca che (r)esistono
Authors: Oddi Giulia 
Published: December 2021

This paper examines the impact of Covid-19 pandemic on the ‘situated art’ and on the geo-social methodology of research. The centralization of daily activities in the domestic spaces, caused by the pandemic, has had important repercussions on the topic of the doctoral research – the artistic use of public space – and on the ‘design’ of the research itself. So, the aims of the work are to show how a research project can change as needed and how the geo-social researcher must constantly adapt to reality and its transformations. In addition to presenting the criticalities encountered by ‘buskers’ and by the researcher, particular importance will be given to the alternative working methods introduced to overcome this collective crisis.
Posizionamenti transfemministi. Saperi situati e pratiche spaziali nel movimento Non Una di Meno
Authors: Sabatini Francesca , Palermo Gabriella 
Published: December 2021

The aim of this paper is to analyse, through the toolbox of gender geography, the methodology of positionality and situated knowledge. The article examines some spatial practices of the transfeminist movement Non Una di Meno that involve us both as researchers and activists. The different forms of territorialisation and ways of “doing with” the space of the movement, are here presented through the specific cases of the demonstrations organised during the Covid-19 pandemic on the 25th of November 2020 and 8th March 2021. This enables us to present the methodology of positionality, and to analyse how feminist spatial practices can be the object of research and vice versa.
Decision Making Pattern of Farm Women in Different Farm and Non-farm Activities
Authors: Saikia P. 
Published: December 2021

The present study was undertaken to study the decision making pattern of farm Women in different farm and non-farm activities with following objectives i) to study the selected personal and socio personal and socio-economic characteristic of rural women and ii) to analyze the decision making pattern of rural women in different farm and non farm activities The study was conducted in Six Districts of Assam. A purposive cum simple random sampling technique was adopted for selecting the respective samples for the study. Altogether 1200 farm women were selected for the present study. Data was collected personally by interview method. The findings reveals that farm women belonged to low socio-economic status, less than fifty per cent of farm women took independent decision in maintenance of house (35.25%), followed by buying food items for family consumption (34.17%) and crop harvesting and transporting (33.75%). majority (78.75%) of farm women took joint decision in purchase of household items, purchase of implements (73.66%) followed by selling of crops and where to sell (72.42%), buying of clothes for family members (67.25%).
Comparing the Performance of Four Sinc Methods for Numerical Indefinite Integration
Authors: Akinola Richard Olatokunbo 
Published: December 2021

Aims/ Objectives: To compare the performance of four Sinc methods for the numerical approximation of indefinite integrals with algebraic or logarithmic end-point singularities.
Methodology: The first two quadrature formulas were proposed by Haber based on the sinc method, the third is Stengers Single Exponential (SE) formula and Tanaka et al.s Double Exponential (DE) sinc method completes the number. Furthermore, an application of the four quadrature formulas on numerical examples, reveals convergence to the exact solution by Tanaka et al.s DE sinc method than by the other three formulae. In addition, we compared the CPU time of the four quadrature methods which was not done in an earlier work by the same author.
Conclusion: Haber formula A is the fastest as revealed by the CPU time.
Microwave Assisted Extraction of Berberine and Preparation of Berberine Hydrochloride from Berberis Aristata Variety of Nepal, and Quantification using RP-HPLC and HPTLC Methods
Authors: Manikyam Hemanth Kumar , Tripathi Prathibha , Joshi Jyoti , Balasubramanian Jayaram , Patil Sandeep Balvant , Lamichhane Trishna , Lamichhane Janardan 
Published: December 2021

Berberis aristata a Himalayan woody spiny shrub with yellow flowers and red berries commonly called as Daruharidra in Sanskrit and locally in Nepal is called as Chutro or Chitra. The root and stem are the two parts widely used in traditional medicines of India and China. Berberine is the key active ingredient present in stem and root parts. Berberine hydrochloride is the derivative of berberine. The present study aimed to study the microwave assisted extraction of berberine and its conversion into berberine hydrochloride and quantifying by RP-HPLC and HPTLC methods.In the present paper we have mentioned microwave assisted extraction of berberine and preparation of berberine hydrochloride in detail. Berberine extracted from roots of Berberis aristata using microwave assisted extraction in 80% ethanol to obtain 20% pure berberine crude by HPTLC densitometry at 350 nm absorption. The crude berberine was further purified to berberine hydrochloride by adding 10% Hcl in aqueous solution of berberine and allowed to crystallize at 5 0C over 24 hours. The crystals were further purified and recrystallized in ethanol and subjected to RP-HPLC. Reverse phase HPLC was carried out on Shimadzu UV detector at wave length of 265 nm using Acetonitrile-0.1% phosphoric acid solution (50:50) (add 0.1g sodium dodecyl sulfonate per 100ml) as the mobile phase; Phenomenex RP-column (250 mm × 4.6 mm, 5 μm), With flow rate 1.0 mL/minute, 5 µL injection volume, column temperature 25 0C for run time of 35 minutes, and retention time of berberine hydrochloride was 12.008 minutes with purity of 82% and recovery of 90% yield obtained.
Effect of Different Approaches of Nutrient Application on Yield, Nutrient Uptake, Nutrient use Efficiency and Economics of Carrot
Authors: Bhavya N. , Basavaraja P. K. , Saqeebulla H. Mohamed , Gangamrutha G. V. 
Published: December 2021

A field experiment was conducted during Kharif 2017 at Devanahalli village, Bengaluru rural district of Karnataka to evaluate the effect of different approaches of nutrient application on yield, nutrient uptake and use efficiency by carrot (Daucus carota L.). The experiment was laid out in randomized complete block design replicated thrice with eight treatments comprisingT1 (STCR target 20 tha-1 through inorganics), T2 (STCR target 20 tha-1 through integrated), T3 (STCR target 25 tha-1 through inorganics), T4 (STCR target 25 tha-1 through integrated), T5 (RDF (75: 63: 50) N, P2O5, K2O kg ha-1+ FYM), T6 (LMH /STL + FYM), T7 (Farmers practice (92.6:159:0) N, P2O5 kg ha-1 + FYM), T8 (Absolute control).Results revealed that significantly higher root (27.51 t ha-1) and shoot (16.48 t ha-1) yield were recorded in STCR target of 25 t ha-1 through integrated approach. Similarly, higher total uptake of nitrogen, phosphorus and potassium (297.07 kg, 57.48 kg and 253.81 kg ha-1, respectively) by carrot and the higher apparent recovery efficiency (0.35, 0.08 and 0.58 kg kg-1 of N, P2O5 and K2O, respectively) and agronomic nutrient use efficiency (26.10, 12.37 and 48.25 kg kg-1 of N, P2O5 and K2O, respectively) were recorded in the same STCR target of 25 t ha-1 through integrated approach. However, the better profit was recorded (value cost ratio: 43.30) in STCR target of 25 t ha-1 through inorganics. The STCR target of 25 t ha-1 through integrated approach had the most positive effect for the carrot cultivation.
Incidence of Erectile Dysfunction in Patients of Diabetes Mellitus
Authors: Tunio Yar Muhammad , Farhad Ruqayya , Dars Abdul Ghaffar , Mangrio Ghullam Mustafa , Laghari Ummama , Chachar Tarique Shahzad 
Published: December 2021

Aim: The goal of this study was to determine how frequent erectile dysfunction is in diabetic people and what factors contribute to this condition.
Methods: In this study, type-2 diabetes patients were selected among outpatients who visited Diabetes Clinics regularly. For the first selection of patients, it was essential to have had a diagnosis of type 2 diabetes for at least six months but no more than 10 years. 1,080 male diabetic patients (with or without active ED symptoms) who visited the institute's Medicine or Psychiatry Outpatient Departments were included in the study throughout the period under consideration. The individuals' body mass index (BMI), blood sugar levels, and lipid profile were all measured. Erectile dysfunction became more common as people became older. ED was shown to be associated with elevated hemoglobin A1c (HbA1c), as well as hypertension, atherogenic dyslipidemia (low HDL-cholesterol and high triglycerides), metabolic syndrome, and depression in the study population. Male erectile dysfunction (ED) has been demonstrated to be prevented by physical activity, with men who exercised more being 10 percent less likely to develop ED than those who did not.
Results: Erectile dysfunction was shown to be prevalent in 32.21 percent of men. Patients with erectile dysfunction had a substantially higher mean age (58.4010.96 years) than those who did not have erectile dysfunction (51.0011.16 years) (p0.001).
Conclusion: In conclusion, glycemic control and other metabolic variables were linked to ED risk in people with type 2 diabetes, having a greater degree of physical activity was protective.
Effect of Cyriax Deep Friction Massage Versus Cryotherapy in Stage 1 & 2 of Adhesive Capsulitis: A Randomized Controlled Trial
Authors: Srivastava Saumya , Sukanya K. , Mittal Harramb 
Published: December 2021

Background: Adhesive capsulitis is one of the common pathologies of the Shoulder. The prevalence of adhesive capsulitis is estimated to be 2% to 5% of the general population. Several treatment techniques are existing for the improvement of adhesive capsulitis and Cyriax deep friction massage is a technique designed to improve adhesive capsulitis.
Objective: To compare between the effects of Cyriax deep friction massage and conventional physical therapy with Cryotherapy and conventional physical therapy in stage 1 &2 of adhesive capsulitis.
Methods/ Design: The study is a randomized controlled trial which included 34 subjects of the age group 40-85 years and were randomly assigned into two groups: group A (n=17) and group B (n=17). The Group A was given Cyriax deep friction massage with conventional physical therapy while group B was given Cryotherapy therapy with conventional physical therapy. Outcome measure were taken at baseline, and then taken on last day of sixth session by using Visual Analogue Scale (VAS), Range of Motion (ROM), and Shoulder Pain and Disability Index (SPADI). The treatment was given for 6 sessions over a period of two weeks.
Results: Group A showed greater improvement after 2 weeks of intervention with a statistical significance value for SPADI, VAS and ROM.
Conclusion: Cyriax deep friction massage with conventional physical therapy has significant effect on pain, range of motion and functional activity in patients with adhesive capsulitis.
Trial registration: prospectively registered in the clinical trial registry-India in the registration number of CTRI/2019/09/021375.
Efficacy of Tamsulosin as Compared to Placebo, in Reducing Post Operative Flank Pain during Voiding, in Patients with Ureteric Stent
Authors: Ali Arif , Dilawar Suhail , Suria Bilal , Sohu Safiullah , Mujtaba Ghulam , Hussain Shahid 
Published: December 2021

Objective: To evaluate the efficacy of tamsulosin in reducing post operative flank pain during voiding, in patients with ureteric stent.
Study Design: This is a Randomized control trial (RCT) study.
Place and Duration: Study carried out at Department of Urology, Jinnah Post Graduate Medical Centre, Hospital, Karachi, Pakistan, from June 2016 to November 2016.
Methodology: 60 patients aged between 15 – 45years, undergone placement of ureteric stent to treat ureteric and renal calculi and have pain score >4, were included in the study. Divided into two groups ‘group A’ and ‘group B’. In group ‘A’ and group ‘B’ Tamsulosin and Placebo was given respectively in patients with ureteric stent and reduction in post-operative flank pain was measured and compared. Tamsulosin was given post operatively when NPO is broken after 2 hours – 6 hours. Patients having uretral trauma, patients having BPH, patient underwent TURP or TURBT, patent having urinary tract infection and patients with pregnancy or lactating females were excluded. All patients were received intravenous antibiotic (Ceftrixone 1gr). Also all patients were receive oral analgesic (diclofenic sodium 50mg BID) and antispasmodics (Drotaverine 80mg BID). Patients were discharged after 24 hours. Postoperatively stent related flank pain during voiding was assessed via Pain Scale.
Results: 60 Patients who got operated for ureteric stent. In group ‘A’ there were 21 males (70%) and 9 females (30%), the mean age of group A was 35.67±5.99 as In group ‘B’ there were of 21 males (70%) and 9 females (30%) and mean age of group B was 35.04±6.42 (Table 1). Mean Pain score in ‘Group A’ (Tamsulosin) in week 1, 2, 3, 4, 5, 6 was 4.1, 3.5, 2.9, 2.3, 1.9, 1.3 respectively as shown in Table 2. Mean Pain score in ‘group B’ (Placebo) in week1, 2, 3, 4, 5, 6 was 6.9, 6.3, 5.9, 5.6, 5, 4.2 respectively as shown in Table 2. Average pain score in ‘group A’ and ‘group B’ came out to be 2.67 and 5.64 respectively (P value 0.005).
Conclusion: Alpha blockers reduces the post-operative flank pain and voiding complaints in patients with ureteric stent. Our study shows that the efficacy of Tamsulosin in reducing post-operatice flank pain in patients with uretercic stent is better than placebo.
Impact of Planned Teaching Program on COVID- 19 Vaccination in Terms of Knowledge and Attitude among the People in Selected Rural Area of Nadiad Taluka
Authors: Shivangi Patel , Jahnvi Pateliya , Pinal Makwana , Surbhi Chavda , Rajan Mahida , Nirali Chauhan , Aesha Patel , Dipika Chavda , Vaidya Arpita 
Published: December 2021

Introduction: Vaccination is intended to prevent diseases. Vaccines saves 2-3 million lives every year. A COVID-19 vaccine is one of the best way to provide acquired immunity against COVID -19. The study aims to assess the effectiveness of planned teaching program in terms of knowledge and attitude [1].
Objective: To assess the impact of planned teaching program on COVID- 19 vaccination in terms of knowledge and attitude among the rural people.
Method: A quantitative study with one group pre test post test design was conducted at various rural places of Nadiad Taluka. A total 60 people were enrolled in to the study. A structured knowledge questionnaire and likert attitude scale was built that contained information regarding COVID 19 vaccination. The effect of teaching program was analyzed by statically
Results: T-test and chi square test was used to find the association with selected demographic variables. In the knowledge regarding COVID-19 vaccination range was 8, mean was 0.849 standard deviation was 0.357, standard error mean was 0.0595. In the attitude range was 33, mean was 4.345, standard deviation was 0.797, standard error mean was 0.132. A knowledge paired t-test value was 5.30 and the attitude paired t-test value was 6.57 was.
Conclusion: The planned teaching program was effective in increasing knowledge and attitude regarding COVID-19 vaccination among the rural people of Nadiad Taluka.
Academic Performance of Hearing Impaired Children Who Received Early Intervention
Authors: Choudhry Amin Fatima , Noor Hafiza Shabnum , Shahid Rabia , Mukhtar Tehreem , Zahra Syeda Mariam , Butt Ghazal Awais 
Published: December 2021

Aims: This study aims to assess the academic performance of children with hearing impairment who received early intervention in Lahore.
Study Design: Cross sectional survey design was used.
Place and Duration of Study: Data was collected from Special Institute/School; Hamza foundation academy Lahore, Pakistan for the duration of six months from March 2021 to September 2021.
Methodology: 97 students with moderate to severe sensorineural hearing loss children (aged in between 4 to 12), using hearing aids (HA’s) and cochlear implant (CI) were included by using purposive sampling technique. Hearing impaired children with other than sensorineural hearing loss and children who didn’t receive early intervention (hearing aids/implants or speech therapy) were excluded from this study.
Results: It was found that 97 children with hearing impairment achieved significantly in their test score (80 to 99%) across English, Science, and Mathematics as compared to Urdu and Islamiyat (70 to 79%) after the implementation of intervention strategies.
Conclusion: The study conclude that, while children with hearing impairment faced struggle in some areas of academics which includes listening and imitation in subjects like Urdu (structure of words) and Islamiyat (due to Arabic talafuz), their academic performance in Math, English, and Science is higher with overall achieved percentage between 80 to 99%.