bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Framework Of Big Data As Service Platform For Access Control & Privacy Protection Using Blockchain Network
Authors: Et. al. Santosh Kumar Sharma, 
Published: May 2021

Big Data As A Service Is Used In Today’s Scenario To Handle And Process The Big Amount Of Data Which Are Generated From Different Source Every Day. Since Data Is Stored On The Cloud Platform, The System Could Suffer A Failure And Give Attackers The Opportunity To Launch Various Categories Of Attacks.Manyresearcheshave Been Done In This Domain To Provide Security And Protection To The Data On Cloud. The Blockchain Technology Is A Secure, Distributed And Privacy-Preserving Decentralized Ledger Where The Transactions Are Flexible, Secure,Verifiable And Permanent Way.Here, The Transaction Data Is Encrypted Andkept In A Wrapped Block (I.E., Record) Which Are Spreadthrough The N/W In A Provable And Unabashedmode Across The Entire Network To Enhance Information Security And Data Privacy. In This Paperwe Have Proposed A Framework For An Access Control With Privacy Protection In Bdaas Based On Blockchain Technology. Here Blockchain Technology Is Used Only For Storing The Transaction Log Information Whenever Any Kind Of Event Log Occurred In System.
Robotic or laparoscopic approach for hysterectomy: comparison of operative outcomes and cost
Authors: KARAKAŞ Sema , DEMİRAYAK Gökhan , ERDOĞAN Şakir Volkan , ERDOĞAN Aliye , ÖNDER Ayşe Büşra , ÖZDEMİR İsa Aykut , COMBA Cihan , SÜZEN ÇAYPINAR Sema , EKİN Murat , YAŞAR Levent , AFŞAR Selim 
Published: May 2021

Purpose: The present study aimed to compare surgical outcomes and cost analysis of robotic-assisted surgery (RAS) and conventional laparoscopic surgery (CLS) hysterectomy procedures.
Materials and Methods: The patients who underwent total robotic hysterectomy or total conventional laparoscopic hysterectomy with or without bilateral salpingo-oophorectomy due to benign gynecological disorders such as uterine fibroid, abnormal uterine bleeding, endometrial hyperplasia, adenomyosis, persistent ovarian cysts, chronic pelvic pain were retrospectively evaluated.
Results: A total of 80 women underwent RAS or CLS hysterectomy during the study period. The mean total operative time was 187 ±10 min. in RAS and 133 ±24 min. in CLS groups, respectively. The mean total cost of the RAS hysterectomy group was 17.710 TL, and CLS hysterectomy group was 7000 TL.
Conclusion: Both CLS and RAS hysterectomies for benign gynecological indications are safe surgical procedures with negligible complication rates. RAS is a more expensive procedure compared to CLS.
Multiple skleroz ile periodontal sağlık arasındaki ilişki: klinik- immunolojik çalışma
Authors: ALKAYA Bahar , ÖZCAN Mustafa , HAYTAÇ Mehmet Cenk , DEMİRKIRAN Meltem , BALAL Mehmet 
Published: May 2021

Amaç: Multiple Sklerozlu hastalarda nörolojik bulguların şiddeti ile periodontal durum arasındaki potansiyel ilişkinin klinik ve enflamatuar belirteçler kullanılarak değerlendirilmesidir.
Gereç ve Yöntem: Multiple Skleroz (MS) tanısı konulmuş, 18-69 yaş arası 131 hasta çalışmaya dahil edildi. Çalışma grupları hastalara verilen Genişletilmiş Engellilik Durumu Ölçek skorlarına (EDSS) göre oluşturuldu. Birinci grup EDSS ≤3, ikinci grup ≥3,5 şeklinde planlandı. Ağız içi muayenede cep derinliği (CD), diş eti çekilmesi (DEÇ), gingival indeks (GI), plak indeksi (PI) değerleri kaydedildi. Hastalardan diş eti oluğu sıvısı (DOS) örneği alındı. Elde edilen veriler sonucunda EDSS skorları farklı olan gruplar arasındaki klinik ve immünolojik ölçümlerin karşılaştırılması hedeflendi.
Bulgular: Çalışmanın sonucunda EDSS skoru yüksek olan grupta GI, PI, CD, DEÇ ölçümleri EDSS skoru düşük olan gruba göre daha yüksek bulunurken, immünolojik ölçümler arasında fark gözlenmemiştir. Korelasyon, regresyon analizlerinde ise periodontal sağlığın EDSS ve pro-inflamatuar sitokin IL-6 ile ile ilişkili olduğu gözlenmiştir.
Sonuç: Çalışmanın sonucuna göre MS hastalarında hastalığın şiddeti arttıkça periodontal klinik durumların da olumsuz yönde etkilendiği görülmüştür. Bu konunun daha iyi anlaşılabilmesi için daha geniş kitlelerde yapılacak immünolojik, genetik, nörolojik çalışmalara ihtiyaç vardır.
Bir psikiyatri kliniğinde Psikosomatik Araştırmalar için Tanı Ölçütleri (DCPR) ve D tipi kişiliğin değerlendirilmesi
Authors: GÜRBÜZ Mahmut , GENİŞ Bahadır , KARAYTUĞ Mahmut Onur , COŞAR Behçet 
Published: May 2021

Amaç: Bu çalışma psikiyatri servisinde tedavi gören psikotik olan ve olmayan hasta gruplarını DCPR sendromları ve Tip D kişilik açısından karşılaştırmayı, hastalık şiddeti ile Psikosomatik Araştırmalar için Tanı Ölçütleri(DCPR) sendromları ve Tip D kişilik arasında anlamlı bir ilişki olup olmadığını araştırmayı amaçlamıştır.
Gereç ve Yöntem: Çalışmaya Gazi Üniversitesi Tıp Fakültesi Psikiyatri servisinde yatmakta olan 200 erişkin hasta alınmıştır. Hastalar psikotik olan (n:98) ve olmayan (n:102) şeklinde gruplandırılmıştır. Katılımcılara Sosyodemografik Veri Formu, Kısa Psikiyatrik Değerlendirme Ölçeği(KPDÖ), Tip D kişilik ölçeği ve DCPR Sendromları için yarı yapılandırılmış klinik görüşme uygulanmıştır.
Bulgular: Ölüm Korkusu ve Süreğen Somatizasyon sendromlarının psikotik olmayan grupta anlamlı oranda yüksek olduğu saptanmıştır. Tip D kişiliği oluşturan alt bileşenler gruplar arasında ayrı ayrı değerlendirildiğinde, Olumsuz Duygulanım puanlarının psikotik bozukluğu olmayanlarda anlamlı düzeyde yüksek olduğu görülmüştür. Psikotik bozukluğu olanlarda KPDÖ puanları ile Ölüm Korkusu, Psikiyatrik Bozukluğa İkincil İşlevsel Somatik Belirtiler, Demoralizasyon ve Tip D kişilik varlığı arasında anlamlı bir ilişki saptanmıştır.
Sonuç: DCPR ile değerlendirilen hastalar psikotik olup olmamalarına göre farklı DCPR sendromları tanılarını daha fazla oranda almışlardır. Psikotik Bozukluğu olanlarda DCPR sendromları hastalığın şiddetini göstermede bir yordayıcı olabilir.
Effect of the anxiety to catch coronavirus (COVID-19) on bedtime procrastination
Authors: KIRAÇ Ramazan , SÖYLER Sait , YILMAZ Göksel , UYAR Seda 
Published: May 2021

Purpose: The novel Coronavirus (Covid-19) affects societies economically, socially, psychologically, and behaviorally. Sleep is one of the behavioral factors that affect the immune system. In this context, this study aims to examine the effect of the anxiety to catch the Covid-19 on bedtime procrastination.
Materials and Methods: The research is cross-sectional and quantitative research. The data were collected by questionnaire technique. In the study, “Athlete’s Anxiety to Catch the Novel Coronavirus (Covid-19) Scale (AACNCS)” and “Bedtime Procrastination Scale” were used. The scales were distributed through online platforms, and a total of 768 individuals were included in the study
Results: The results of the research revealed that the anxiety to catch the Covid-19 affected bedtime procrastination positively. The study has concluded that women’s anxiety and bedtime procrastination level is higher. The mean score of bedtime procrastination was higher for those who do not have to work outside. The findings exhibit that those with chronic diseases in their family are more anxious to catch the Covid-19.
Conclusion: It is possible to state that health communication efforts should be carried out to reduce the anxiety level of the society. Besides, activities should be carried out to protect the mental health of society through preventive mental health services.
The effect of thiol/disulfide homeostasis on chronic obstructive pulmonary disease-related mortality
Authors: ÇALIŞKAN Hacı Mehmet , İLANBEY Bilal , ZORLU Duygu , ERTÜRK Zamir , ÇELİK Burak , ERSOY Süleyman 
Published: May 2021

Purpose: Our study investigates the correlation between thiol/disulfide homeostasis and mortality among chronic obstructive pulmonary disease (COPD) patients with hypercapnic respiratory failure (HRF).
Materials and Methods: This cross-sectional prospective study comprises a total of 104 subjects, including 64 HRF patients admitted to the Emergency service due to respiratory failure and 40 healthy controls. HRF patients were further divided into two subgroups as those in whom mortality occured after 1 month (n=14), and those who survied (n=50). Thiol/disulfide homeostasis was evaluated using a novel and automated assay developed by Erel and Neselioglu.
Results: The total thiol (TT) and native thiol (NT) levels were significantly lower in the HRF group than the control group, whereas the mean disulfide (Ds)/TT and Ds/NT values were significantly higher. The Ds levels were not significantly different between the groups. On the other hand, Ds, Ds/TT, and Ds/NT values of surviving HRF patients were significantly lower than those of the HRF patients who died. In this article we found that Ds may be an indicator of mortality in COPD (sensitivity: 85.7%, specificity: 70%, AUC: 0.793, 95% CI: 0.673-0.884, p
Outcome of incudostapedial reconstruction with endoscopic modified butterfly tympanoplasty
Authors: KAPLAMA Mehmet , ERDEN Burak , AK Semih 
Published: May 2021

Purpose: The aim of this study was to evaluate the results of endoscopic butterfly tympanoplasty in perforations that involve the ossicular chain pathologies.
Materials and Methods: We assessed the outcome of endoscopic modified butterfly tympanoplasty in 29 patients. The study included those with large tympanic membrane perforations covering the manubrium of malleus and has ossicular chain pathologies, operated via endoscopic transcanal tympanoplasty.
Results: The tympanic membrane closure rate was 89.7% (26 of 29 ears). The mean air conduction in the pre- and postoperative period was 37.75±5.20 dB and 18.96±6.52 dB, respectively, with a statistically significant decrease of 18.79±7.33. The mean pre- and the postoperative air-bone gap was 27.82±4.74 dB and 9.17±4.89 dB, respectively, with a statistically significant decrease of 18.62±7.11
Conclusion: The endoscopic modified butterfly tympanoplasty technique is a minimally invasive technique that can provide successful results in large perforations with defective incudostapedial joint.
Blood Adipokins in Young People with Early Ischemic Heart Disease on the Background of Abdominal Obesity
Authors: Ragino Yu. I. , Shcherbakova L. V. , Oblaukhova V. I. , Polonskaya Ya. V. , Stakhneva E. M. , Kuzminykh N. A. , Kashtanova E. V. 
Published: May 2021

Aim To study blood adipokines spectrum in people aged 25–44 years with early ischemic heart disease (IHD), including that associated with abdominal obesity (AO).Material and methods A cross-sectional study was performed on a random sample of the population aged 25–44 years in Novosibirsk. 1457 subjects (653 men, 804 women) were evaluated. This study included 123 people divided into four study subgroups: subgroup 1, with IHD associated with AO (n=24); subgroup 2, with IHD and without AO (n=25); subgroup 3, without IHD and with AO (n=44); and subgroup 4, without either IHD or AO (n=30). Concentrations of serum adipokines were measured simultaneously by multiplex assay with a Luminex MAGPIX flow fluorometer and by immune enzyme assay with a MULTISCAN analyzer.Results Subjects with early IHD had lower blood concentrations of adipsin and visfatin than subjects without IHD. Subjects with early IHD associated with AO had higher blood concentrations of adipsin, plasminogen activator inhibitor-1, and leptin and lower concentrations of monocyte chemoattractant protein-1 (MCP-1) and visfatin compared to subjects with early IHD and without AO. The multivariate logistic regression analysis showed that lower blood concentrations of MCP-1 were associated with a likelihood of early IHD.Conclusion In young people aged 25–44 years, lower blood concentrations of MCP-1 were associated with a likelihood of early IHD, including that associated with AO.
Peculiarity of clinical course of postpericardiotomy syndrome in different methods of surgery and postoperative antithrombotic therapy
Authors: Mangileva T. A. , Kazantseva O. A. , Karaseva I. V. 
Published: May 2021

Aim To compare features of the disease course and the effectiveness of nonsteroidal anti-inflammatory drug (NSAID) treatment of postpericardiotomy syndrome (PPS) in patients after coronary bypass (CB) surgery who were treated with antiplatelet drugs and in patients after surgical correction of heart valve disease (CHVD) who received the anticoagulant warfarin for prevention of thrombotic complications. Material and methods This study included 89 patients of whom 53 patients had underwent CB and 36 patients had underwent CHVD. At 15 [13; 15] days after surgery, the severity of inflammatory response, the state of coagulation hemostasis, and hematocrit were studied. At 5 days after the first test, blood count and measurement of C-reactive protein were repeated. Echocardiography was used to determine the presence and volume of pleural effusion. For prevention of thrombotic complications, antiplatelet drugs were administered after CB and warfarin was administered after CHVD. PPS was detected in 35 (66 %) patients after CB and 18 (50 %) patients after CHVD. The ibuprofen treatment (600 mg twice a day) was administered to all patients with PPS. If positive changes in inflammatory markers were absent during the NSAID treatment, ibuprofen was replaced with prednisolone 0.5 mg/kg body weight with subsequent laboratory and instrumental monitoring. Results Patients after CHVD treated with warfarin had higher values of international normalized ratio (INR) and activated partial thromboplastin time (aPPT) and lower values of prothrombin index (PTI), fibrinogen (p<0.001 for all), hemoglobin (p=0.0016), and hematocrit (p=0,0032) than patients after CB treated with antiplatelet drugs. 21 (40 %) patients with PPS required changing the anti-inflammatory therapy from ibuprofen to prednisolone. These patients displayed hypocoagulation, which was evident as reduced PTI (p=0.0023) and fibrinogen (p=0.0209), increased INR (p=0.0291) and aPPT (p=0.0416), and a higher incidence of pericardial effusion (p=0.0080). The insufficient effectivity of NSAIDs that required administration of prednisolone was more frequently observed in patients after CHVD (61 % vs. 29 %, р=0.037).Conclusion Hypocoagulation observed in patients after CHVD due to the anticoagulant treatment with warfarin was associated with more severe course of PPS and lower effectiveness of the NSAID treatment compared to patients after CB. This results in more frequent replacement of NSAIDs with glucocorticoids in the treatment of patients after CHVD.
Wstęp pastoralny do księgi Ezechiela
Authors: Jasiński Andrzej S. 
Published: May 2021

Księga Ezechiela nie należy do pism często czytanych w liturgii mszalnej. Jej orędzie nie jest jednak drugorzędne. Pismo powstało w okresie wygnania babilońskiego, w VI w. przed Chr. Odnosi się do zawiłej historii dziejów Izraela, zerwania przymierza z Jahwe i do konsekwencji wynikających z tych wydarzeń. Izrael został nazwany ludem buntowniczym (Ez 2, 3). Był obciążony grzechami, które sięgały całej przeszłości narodu (Ez 16; 20; 23). Ezechiel został powołany, aby wytłumaczyć zesłańcom aktualny stan, w jakim się znalazł Izrael w Babilonii. Zapowiada sąd, lecz po nim nastąpi odnowa narodu. Struktura Księgi zawiera następujące części: wstęp (Ez 1, 1-3, 15), wyrocznie przeciwko Izraelowi (Ez 3, 16-24, 27), wyrocznie przeciw obcym narodom (Ez 25, 1-32, 32), wyrocznie o zbawieniu (Ez 33, 1-48, 35). Zwraca się również uwagę na szczególny charakter tekstu Ez 40-48 (druga wizja świątyni). Księga Ezechiela ostrzega przed katastrofą, jaką człowiek sam sobie gotuje. Nie jest jednak dziełem katastroficznym (choć zawiera takie obrazy), jest pismem nadziei. Odpowiada na najgłębsze oczekiwania człowieka, który zrzucając maskę, ma odwagę przyznać się do swojej małości i przyjąć rękę Jahwe. Było to doświadczenie Ezechiela, który podzielił się swoimi przeżyciami nie tylko z najbliższym otoczeniem, lecz także poprzez swą Księgę – z każdym poszukującym człowiekiem.
Социальная безопасность атомных предприятий: социально-исторический анализ
Authors: Кареева Анна 
Published: May 2021

В статье рассматривается социальная безопасность с позиции социального института. Опираясь на теорию институциональных матриц С.Г. Кирдиной нами выделены внутренняя (устойчивая) и поверхностная (институциональная) структуры данного института. К внутренней структуре относятся такие элементы как глобальность, систематичность проявления, проникновение во все уровни социума, сформированность устойчивых социальных отношений, наличие чувства страха, превентивный характер используемых мер по устранению негативных последствий социальных рисков. Поверхностную структуру составляют виды безопасности. В приложении к российскому предприятию проведен анализ социальной безопасности на макро, мезо и микроуровнях. На макроуровне субъектом социальной безопасности выступает отрасль. Отраслевое руководство стремится обезопасить входящие в ее состав предприятия от негативных последствий социальных рисков. Для этого формирует принципы, стратегию, тактику, социальную политику и ее направления единые для всех входящих в ее состав предприятий. Всего в статье выделены восемь направлений социальной политики, которые современное предприятие может использовать для минимизации негативных последствий, возникающих в его социальной среде рисков. Дивизион (мезоуровень) и конкретное предприятие (микроуровень) выступают объектами социальной безопасности. Принцип минимального универсума, предложенный В.Г. Немировским, позволил выявить три уровня социальной безопасности предприятия (вещественно-энергетический, функционально-организационный, информационный). Социально-исторический анализ помог проследить социальную безопасность конкретных промышленных предприятий атомной отрасли, таких как ГХК, СХК и ПО «Маяк», в разные исторические периоды их существования (период становления, расцвета, кризиса и модернизации). Проведенный анализ позволил утверждать, что каждый исторический период развития предприятия оказывает прямое влияние на социальную безопасность атомных предприятий. Нам также удалось выявить уровни социальной безопасности для каждого из них.
Response of Tannat (<i>Vitis vinifera</i> L.) to pre-flowering leaf removal in a humid climate
Authors: Arrillaga Leandro , Echeverría Gerardo , Izquierdo Bruno , Rey Juan José , Pallante Alejandra , Ferrer Milka 
Published: May 2021

The aim of this study was to test the effect of pre-flowering leaf removal (PFD) on grape sanitary status, yield, source-sink balance and berry composition. A completely random block design experiment was conducted over four seasons in a commercial vineyard of the Tannat/SO4 combination located in the south of Uruguay (34° 35´30 S, 56° 15´23 O). The PFD treatment was compared with a commercial defoliation (CC) comprising partial leaf removal between the fruit set and cluster closure stages (four leaves from the first node), a traditional practice carried out by winegrowers. Both treatments received equal phytosanitary management during the study. The results were conditioned by seasonal meteorological conditions, particularly rainfall, temperature and evapotranspiration. The seasonal effect was significant for yield components, berry composition and source-sink balance. The PFD treatment resulted in the lowest yields in all four years and modified the primary and secondary composition of berries. It also showed a higher anthocyanin potential in 2016, 2017 and 2019, related to a higher percentage of exposed clusters, lower yield and/or higher leaf to fruit ratio. In 2017, environmental conditions were more favourable for the development of bunch rot, and lower values of incidence (3 %) were recorded for the PFD treatment compared to CC (22 %), due to greater exposure of bunches and less compact bunches. The PFD vines showed a steady reduction in dry matter production capacity, mainly explained by the steady reduction in yields. The Tannat variety showed a differential response to PFD depending on the weather during the growth cycle. Under humid climate conditions, pre-flowering defoliation proved to be effective for yield control, by reducing bunch rot incidence, and for improving some attributes in terms of grape composition. This work provides useful information for grape growers in humid regions on how to improve the sanitary status and quality of their production.
RELATO DE CASO: SÍNDROME DA SULFONA EM PACIENTE COM HANSENÍASE
Authors: Gonçalves Tatiane Silva , Pereira Ellen Cristina Gonçalves , Sales Netto Pedro Ribeiro de , Freire Rafaela Alen Costa , Mendes Seyna Ueno Rabelo 
Published: May 2021

Relata-se o caso de uma mulher portadora de hanseníase que estava em tratamento com PQT-MB/OMS e apresentou 4 semanas após o início do tratamento, febre, mal-estar, fraqueza, icterícia, edema e erupções cutâneas em pés e mãos, hepatite, prurido, disfagia, anemia hemolítica, linfonodo submandibular, além de náuseas, vômitos e dor epigástrica. Os exames laboratoriais demonstraram diminuição da hemoglobina, leucocitose, eosinofilia, aumento das transaminases hepáticas, hiperbilirrubinemia indireta, hipoalbuminemia, DHL e TAP elevados. Estabeleceu-se diagnóstico de Síndrome da Dapsona, sendo o tratamento da hanseníase suspenso e a paciente orientada a retornar o tratamento após alta hospitalar, com substituição da dapsona.
Palavras-chave: Hanseníase; Dapsona, Síndrome da Sulfona.
ABSTRACT
We report the case of a woman with leprosy who was treated with MDT-MB/ WHO and presented 4 weeks after the start of treatment, fever, malaise, weakness, jaundice, edema and rashes in feet and hands, hepatitis, pruritus, dysphagia, haemolytic anemia, submandibular lymph node, as well as nausea, vomiting and epigastric pain. Laboratory tests showed decreased hemoglobin, leukocytosis, eosinophilia, increased hepatic transaminases, indirect hyperbilirubinemia, hypoalbuminemia, DHL and elevated TAP. A diagnosis of Dapsone Syndrome was established, treatment of leprosy was suspended and the patient was advised to return treatment after hospital discharge, with replacement of dapsone.
Keywords: Leprosy; Dapsone; Sulfone Syndrome.
ABDOME AGUDO OBSTRUTIVO POR DIVERTÍCULO DE MECKEL EM ADULTO
Authors: Oliveira Stéphanie Gonçalves , Machado Bárbara Chaves Lopes , Cuellar Pedro Manuel Gonzalez Cuella , Dias Fellipe Camargo Ferreira , Guedes Virgílio Ribeiro 
Published: May 2021

O Divertículo de Meckel é a anomalia congênita mais encontrada no intestino delgado. A alteração é causada pela obliteração incompleta do ducto onfalomesentérico. Geralmente a doença diverticular é assintomática e a probabilidade de manifestar sintomas, como obstrução intestinal, diminui com a idade. Embora à maioria permaneça em silêncio, é importante sempre considerar o divertículo de Meckel como um diagnóstico diferencial em todos os pacientes que apresentem abdome agudo para evitar morbidade e mortalidade associada a complicações tardias.
Palavras-chave: divertículo de Meckel; obstrução intestinal; abdome agudo obstrutivo.
ABSTRACT
The Meckel Diverticulum is the most common congenital anomaly found in the small intestine. The change is caused by incomplete obliteration of the omphalomesenteric duct. Diverticular disease is usually asymptomatic and the likelihood of manifesting symptoms, such as bowel obstruction, decreases with age. Although most remain silent, it is important to always consider Meckel's diverticulum as a differential diagnosis in all patients with acute abdomen to avoid morbidity and mortality associated with late complications. The following report is about a rare case of obstructive acute abdome in adult patients caused by the presence of a meckel diverticulo.
Keywords: meckel diverticulum; intestinal obstruction; obstructive acute abdomen.