bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of Rational Laboratory Practice on Hospital Procedure Costs Based on Evidence-Based Medicine: Case Study In A University Hospital
Authors: KAPLAN Zekeriya , BOZDEMİR Enver 
Published: September 2021

Objective: By integrating the rational laboratory system into hospital processes with evidencebased medicine applications, it is ensured that hospital resources are used more effectively and
efficiently by preventing unnecessary test requests and reducing laboratory operation costs.
Methods: The data in this qualitative study are the primary data and were obtained through
document review and focus group (physician) interviews. The data in question were analyzed
comparatively before the Rational Laboratory Application (RLA) (between 01.06.2018-
31.12.2018) and after the RLA (between 01.06.2019-31.12.2019). The universe of the study
consists of all the data in the laboratory of Düzce University Health Application and Research
Center Hospital (DUHARCH). In this universe, the data evaluated for rational laboratory
application constitute the sample of the research.
Results: Before the RLA, a total of 446,300 test requests were made in the seven months (in
2018) and the cost of these tests was determined to be 1,591,063 ₺ ($ 330,782.33). After the
RLA, a total of 475,585 test requests were made in the seven months (in 2019), and the cost of
these tests was determined to be 1,537,903 ₺ ($ 271,235.10). It was found that after RLA, there
was a 6.56% increase in the number of examination requests compared to before RLA, but as an
amount, costs fell by 3.34% on a ₺ basis and 22% on a $ basis. In the unit-based analysis, it was
seen that successful units were surgical, and unsuccessful units were internal units that requested
more tests.
Conclusions: It was concluded that the rational laboratory system based on evidence-based
medicine reduces hospital processing costs, provided that patient safety is protected, so this
method can be a tool for more effective and efficient use of hospital resources.
A Comparison of the Effectiveness of Hypnotherapy and Cognitive Behavioral Therapy in the Treatment of Primary Vaginismus
Authors: TAŞTAN Kenan , YORUK Nurcan , IŞIK Memet 
Published: September 2021

Objective: This study compared the therapeutic effectiveness of hypnotherapy and cognitive behavioral therapy in patients with primary vaginismus previously assessed by a psychiatrist and a gynecologist
Methods: We performed as a single-center, cross-sectional study in 35 patients with primary vaginismus
Results: Successful coitus was achieved by 19 (95%) individuals in the hypnotherapy group and by 14 (93.3%) members of the cognitive behavioral therapy group. These success rates were similar (p=0.681). The mean number of sessions until successful coitus was significantly lower in the hypnotherapy group (p=0.000).
Conclusions: hypnotherapy and cognitive behavioral therapy can be applied with similar high success rates in the treatment of vaginismus. However, success may be achieved with fewer sessions with hypnotherapy.
Evaluation of Adaptation to Guidelines on the Management of Chronic Obstructive Pulmonary Diseases in Family Medicine
Authors: ODABAŞ Öznur Kübra , DOĞAN Deniz , YILMAZ Tarık Eren , ÖZKARA Adem 
Published: September 2021

Objective: Chronic Obstructive Pulmonary Disease (COPD) has become increasingly important in recent years. The CAT (COPD Assessment Test) and mMRC (Modified British Medical Research Council) scales can be used in the clinical evaluation of the patients according to GOLD the COPD Protection Diagnosis and Treatment Guideline guideline. Patients were divided into groups A, B, C and D using the scales with the combined assessment scheme proposed by GOLD, and recommended treatment scheme for each step is determined. In this study, it is planned to investigate whether COPD patients getting the optimal treatment according to GOLD guideline. It is also aimed to expand the use of these scales in Family Medicine practice, which helps understanding the clinical status of patients.
Method: This is a descriptive, cross-sectional study. 218 patients were included in the study. The questionnaire form of the study was applied to the patients and the patients were evaluated and scored with the help of these scales. Statistical analysis of the data obtained in this way was done by the SPSS program.
Result: According to the CAT result, compliance with the guideline was 8.4% in group A, 22.3% in group B, 5.8% in group C and 77% in group D. In the evaluation made according to the mMRC result, compliance with the guideline was 12.5% in group A, 24.7% in group B, 0% in group C, and 77.7% in group D. It was determined that only 40.8% of patients according to mMRC and only 33% according to CAT were receiving the optimal treatment that was completely suitable for their groups.
Conclusion: Patients with stable COPD had significantly higher use of bronchodilator drugs than recommended. The use of this scale by Family Doctors, will be important in determining the needs for treatment and COPD patients follow-up.
Perakende İşletmelerinde Satılan Markaların Memnuniyet ve Güven İlişkisi İçerisinde Tekrar Satın Alma Niyetine Etkisi
Authors: ÇAVUŞOĞLU Sinan , DEMİRAĞ Bülent 
Published: September 2021

Amaç: Araştırma tüketicilerin markaya ve perakendeciye olan güven ve memnuniyet algılarının değerlendirilmesi ve bu algıların tekrar satın alma niyetlerine etkilerini belirlemek amacıyla gerçekleştirilmiştir.
Tasarım/Yöntem: Araştırma kapsamında tesadüfi olmayan örneklemelerden “kolayda örneklem” yöntemi uygulanmıştır. Örneklem sayısı 410 anket formunda yer alan verilerden yola çıkarak değerlendirilmiştir. Araştırmada hipotezlerin test edilmesi için Smart PLS 3 (Partial Least Squares) istatistik programı kullanılmıştır.
Bulgular: Elde edilen sonuçlara göre markaya duyulan memnuniyetin markaya duyulan güven ve perakende işletmesine duyulan memnuniyeti; perakende işletmesine duyulan memnuniyetin, perakende işletmesine duyulan güveni ve tekrar satın alma niyetini; markaya duyulan güvenin, perakende işletmesine duyulan güveni; perakende işletmesine duyulan güvenin de tekrar satın alma niyetini olumlu yönde etkilediği tespit edilmiştir. Araştırmada ayrıca markaya duyulan güven ve memnuniyetin perakende işletmesine yönelik tekrar satın alma niyeti üzerindeki etkisinde, perakende işletmesine duyulan güven ve memnuniyetin aracı etkisinin olduğu belirlenmiştir.
Sınırlılıklar: Araştırmanın ilk kısıtı örneklem sayısına ilişkindir. Gelecek çalışmalarda farklı büyüklükte bir örneklem tercih edilebilir. Ayrıca bu araştırmada sadece bilgisayar satın alan tüketiciler seçilmiştir. Bu durum, diğer ürünlere genelleştirilen sonuçlar üretmeyi zorlaştırmıştır.
Özgünlük/Değer: Araştırma, markalara ilişkin tüketici değerlendirmelerinin perakendeciye yönelik algıları etkileyebileceğini göstererek, perakende hizmet ortamlarındaki bulguları genişletmektedir. Araştırma bu yönüyle özgünlük göstermektedir.
Ku70 is Associated with the Frequency of Chromosome Translocation in Human Lymphocytes After Radiation and T-Cell Acute Lymphoblastic Leukemia
Authors: Cheng Zhenbo , Wang Yupeng , Guo Lihuang , Li Jiancheng , Zhang Wei , Zhang Conghui , Liu Yangxu , Huang Yue , Xu Keqian 
Published: September 2021

Abstract
Background: Chromosome translocation is one of the most common chromosomal causes to T-cell acute lymphoblastic leukemia (T-ALL). Ku70 is one of the key factors of error-prone DNA repair that may end in translocation. So far, the direct correlation between Ku70 and translocation has not been assessed. Our study aimed to investigate the association of Ku70 and translocation in human lymphocytes after radiation and T-ALL. Methods: Peripheral blood lymphocytes (PBLs) from volunteers and human lymphocyte cell line AHH-1were irradiated with X-rays to form chromosome translocations. The frequency of translocation was detected by fluorescence in situ hybridization (FISH), meanwhile, the expression of Ku70 was also detected by reverse transcription-quantitative polymerase chain reaction (RT-qPCR) and western blot. Furthermore, Ku70 interference, overexpression and chemical inhibition were used in AHH-1 cell lines to confirm the correlation. Finally, we detected the expression of Ku70 in T-ALL samples with or without translocation. Results: Expression of Ku70 and frequencies of translocation were both significantly increased in PBLs after irradiated by X-rays, and a positive correlation between the expression (both mRNA and protein level) of Ku70 and the frequency of translocation was detected (r = 0.4877, P = 0.004; r = 0.3038, P = 0.0358 respectively). Moreover, Ku70 interference decreased the frequency of translocations while the frequency of translocations was not significantly affected after Ku70 overexpression. The expression of Ku70 and frequencies of translocation were both significantly increased in cells after irradiated combined with chemical inhibition (P <0.01). The protein level and mRNA level of Ku70 in T-ALL with translocation were significantly higher than T-ALL with normal karyotype (P = 0.009, P = 0.049 respectively). Conclusions: Ku70 is closely associated with the frequency of chromosome translocation in human lymphocytes after radiation and T-ALL. Ku70 might be a radiation damage biomarker and a potential tumor therapy target.
Thumb Proprioception in Hypermobile and Non-Hypermobile Adults: An Observational Study
Authors: Fonseka Leon , Massy-Westropp Nicola , Milanese Steve , Burlakoti Arjun 
Published: September 2021

Aims and Background
Hypermobility is a common presentation in the community and is reported related to higher rates of injury and musculoskeletal pain, however the mechanism underpinning this relationship remains unclear. Poor proprioception in hypermobile joints has been proposed as a potential mechanism. This study aims to determine if there is a difference in proprioceptive acuity, as measured by joint position reproduction, in adults with generalised joint hypermobility.
Design and methods
A convenience sample of 26 university students and staff (mean age 29.23 years, range 18-47) were recruited, of which 12 participants displayed generalised joint hypermobility, and 14 did not. A laser light, mounted to the dominant thumb, was used to test joint position reproduction sense by pointing to targets using a unilateral active-active position reproduction protocol.
Results/Findings
Test reliability across a range of targets was poor to good (intraclass correlation coefficients ranged from 0.1163 to 0.7256), indicating significant variability between participants. No significant differences was found in absolute angle of error between generalised joint hypermobility and non-generalised joint hypermobility participants. For direction of error in relation to the proprioceptive targets, only 30° thumb extension above horizontal was found to be significantly different between the hypermobile and non-hypermobile groups, with hypermobile participants tending to underestimate distance to target. Age and sex were not correlated to thumb proprioception.
Application and Conclusion
The difference found in direction of error and tendency to underestimate angular distance may be protective against straying into possibly injurious end-ranges; however, larger studies are recommended to confirm this.
Acceptance of an Informational Antituberculosis Chatbot Among Korean Adults: Mixed Methods Research
Authors: Kim Agnes Jihae , Yang Jisun , Jang Yihyun , Baek Joon Sang 
Published: September 2021

Background
Tuberculosis (TB) is a highly infectious disease. Negative perceptions and insufficient knowledge have made its eradication difficult. Recently, mobile health care interventions, such as an anti-TB chatbot developed by the research team, have emerged in support of TB eradication programs. However, before the anti-TB chatbot is deployed, it is important to understand the factors that predict its acceptance by the population.

Objective
This study aims to explore the acceptance of an anti-TB chatbot that provides information about the disease and its treatment to people vulnerable to TB in South Korea. Thus, we are investigating the factors that predict technology acceptance through qualitative research based on the interviews of patients with TB and homeless facility personnel. We are then verifying the extended Technology Acceptance Model (TAM) and predicting the factors associated with the acceptance of the chatbot.

Methods
In study 1, we conducted interviews with potential chatbot users to extract the factors that predict user acceptance and constructed a conceptual framework based on the TAM. In total, 16 interviews with patients with TB and one focus group interview with 10 experts on TB were conducted. In study 2, we conducted surveys of potential chatbot users to validate the extended TAM. Survey participants were recruited among late-stage patients in TB facilities and members of web-based communities sharing TB information. A total of 123 responses were collected.

Results
The results indicate that perceived ease of use and social influence were significantly predictive of perceived usefulness (P=.04 and P<.001, respectively). Perceived usefulness was predictive of the attitude toward the chatbot (P<.001), whereas perceived ease of use (P=.88) was not. Behavioral intention was positively predicted by attitude toward the chatbot and facilitating conditions (P<.001 and P=.03, respectively). The research model explained 55.4% of the variance in the use of anti-TB chatbots. The moderating effect of TB history was found in the relationship between attitude toward the chatbot and behavioral intention (P=.01) and between facilitating conditions and behavioral intention (P=.02).

Conclusions
This study can be used to inform future design of anti-TB chatbots and highlight the importance of services and the environment that empower people to use the technology.
Impacts of Photovoltaic Systems on a Brazilian Distribution Feeder using OpenDSS
Authors: Eduardo Mateus Costa Santos de Oliveira  , Marcelo Escobar de Oliveira  , Luis Gustavo Wesz da Silva  
Published: September 2021

The growing demand for electricity, environmental concerns renewable energy sources and improved electricity supply has created a new scenario in the global electricity sector. So, it has been necessary adjustments and reanalysis of the electrical networks.which for the most part were not built to be active networks, with distributed generation of energy. Thus, the present work proposes to analyse the behavior of the indices of losses and voltage levels of areal Brazilian feeder, which does not have details of the actual load profiles of the consumers. In this approach, different load profiles and the impacts caused by different penetration levels of distributed generators in the network will be considered. For these analysis will be used OpenDSS that has been used by companies and researchers around the world. The analysed feeder is very extensive and is located in a electric utility in the interior of Brazil and the generation assumed is the photovoltaic that has grown substantially in the country. In the results will be noted those impacts can be positives and negatives to the system.
New PV Metrology for performance appraisal of Poly-Silicon PV Modules in Eastern Indian climatic Zone
Authors: Debashis Majumdar  , Dr. Sudipta Basu Pal  , Dr. Rajiv Ganguly  
Published: September 2021

An appropriate number of series-connected supercapacitors (SC) forming an SC bank has been used for the first time as the load to PV generators in course of their electrical characterization. Exhaustive estimates of standard PV parameters along with figures of merits like Fill-factor(FF) and performance ratio(PR) have yielded consistent results under naturally varying levels of insolation and ambient temperature prevalent in West Bengal of India. Regression analysis of selected PV parameters has indicated values above 0.997 for poly-Si PV modules which currently constitute the only essential building blocks for PV arrays in the Indian sub-continent. Work is in progress for the adoption of this simple, user-friendly, and easily scalable I-V plotter in PV Indian industries and field trials.
أثر العرف في وقوع الطلاق
Authors: Hussein Yunus S. 
Published: September 2021

العرف عند الأصوليين هو ما استقر في النفوس من جهة شهادات العقول، وتلقته الطباع السلیمة بالقبول، فهو مصدر من مصارد التشريع الإسلامي إذا توفرت فيه الشروط والضوابط التي وضعها علمائنا الأجلاء. فإذا نظرنا في واقع الناس في كوردستان نجد أنهم تعارفوا على استعمال الطلاق المعلق على شرط أو الحلف به لتقوية عزيمتهم أو حمل غيرهم على فعل شيء أو تركه، كما أنهم يكثرون من صيغة الطلاق الثلاث سواءً بلفظ واحد (أنت طالق ثلاثاً) أو بتكرار اللفظ (أنت طالق أنت طالق أنت طالق) لتأكيد طلاقهم وتغليظه، فهل أعرافهم هذه في الطلاق مؤثرةٌ في الحكم الشرعي من حيث إيقاعه أو عدم إيقاعه واعتباره يميناً في حالة الطلاق المعلق؟ وأيضاً في حالة الطلاق الثلاث هل يعتبر عرفهم في تفسيره بطلقة واحدة مؤكدة وعدم إيقاعه ثلاثاً؟ بعد النظر في أحكام كل من الطلاق المعلق والطلاق الثلاث وأقوال الفقهاء فيها وأدلتهم من أمهات كتب الفقه ومنابعه، وعرض العرف السائد في المسألتين على ضوابط العرف المعتبر تبين لي أن العرف السائد في المسألتين هو عرف معتبر شرعاً ويصح أن يكون دليلاً يعتد به في ترجيح قول على قول؛ لذا ترجّح لدي القول باعتبار قصد المطلق، فإن أراد بتعليق طلاقه اليمين والقسم لم يقع طلاقه ولم تجب عليه الكفارة، أما إن أراد به الطلاق عند تحقق الشرط فيقع طلاقه، وفي مسألة الطلاق الثلاث المسألة فرجحت القول بوقوع الطلاق الثلاث طلقة واحدة فقط. والله ولي التوفيق.
The Prevalence of Microorganisms and Antibiotics Activity Tests of Natural and Industrial Products in Surgical Site Infections in Referral Hospitals in Erbil City, Kurdistan Region – Iraq
Authors: Thanoon Raid D. , Mohammed Yara M. 
Published: September 2021

Background and objectives: To study the prevalence of microorganisms and antibiotics activity tests of natural and industrial products, SSIs were found in referral hospitals in Erbil, Iraq's Kurdistan province. MethodsPus samples were collected from 29 surgical patients using sterile swabs and primed for culture collection. Disc diffusion method was used to determine the bacterial activity of three types of plants (cinnamon, ginger, and radish) against three bacterial species including Staphylococcus aureus, Proteus spp., and S.epidermidis. Result: Overall 29 pus samples were processed for culture testing. One gram negative bacterium (7.14%) and thirteen gram positive cocci (92.85%) were isolated from the 14 bacteria. The three most potent isolates were found to be resistant to the variable of tested antibiotics, while they showed any sensitivity to the tested plant extracts. Cinnamon, ginger, and radish extracts were discovered to be among the few variable effective plant extracts against the tested pathogenic bacteria isolates. Conclusion: The data collected from this research showed a better way of explanation of the microorganism’s etiology of surgical site infections (SSIs) in hospitals where they might have epidemiological and healing insinuations.
Keywords: Surgical Site Infections, Bacteria isolated from wounds, antimicrobial resistance, pus, plant extract.
ANALISIS PENGGUNAAN CAMPUR KODE DALAM VLOG ATTA HALILINTAR : KAJIAN SOSIOLINGUISTIK
Authors: Paino Novhira Putri 
Published: September 2021

AbstrakPenelitian ini bertujuan untuk mengetahui bentuk campur kode pada vlog Atta Halilintar berdasarkan kajian Sosiolinguistik. Data atau video yang dianalisis yaitu tiga video dari channel youtubenya Atta Halilintar. Pada kesempatan kali ini penyusun akan membahas tentang Analisis Penggunaan Campur Kode dalam Konten Video Atta Halilintar pada tahun 2020. Data penelitian ini berupa tuturan dari video youtube Atta Halilintar. Penelitian ini menggunakan penelitian kualitatif dengan metode deskriptif yang menghasilkan data deskriptif berupa kata-kata yang bertujuan untuk memahami fenomena sosial termasuk fenomena kebahasaan. Teknik yang digunakan dalam pengumpulan data adalah teknik catat. Data diperoleh secara langsung dengan pencatatan semi struktur yakni mentranskrip ungkapan suara dan video dari handphone kemudian dianalisis untuk mengetahui bagaimana bentuk campur kode tersebut. Pada penelitian ini ditemukan dua jenis campur kode, yaitu jenis campur kode ke dalam, dan jenis campur kode ke luar. Hasil dari penelitian ini, jenis campur kode dominan adalah jenis campur kode ke luar sebanyak 86 data atau 97%, sedangkan jenis campur kode campur kode ke dalam berjumlah 2 data atau 3%.Kata Kunci : campur kode, vlog, Atta HalilintarAbstractThis research was conducted to determine the form of code mixing in the Atta Halilintar vlog video in sociolinguistic studies. The data or videos that will be discussed are three videos from Atta Halilintar's YouTube channel. On this occasion the compilers will discuss the Analysis of the Use of Mix Codes in the Atta Halilintar Vlog in 2020. The data of this research is in the form of a speech from the Atta Halilintar youtube video. This study uses qualitative research with descriptive methods that produce descriptive data in the form of words that aim to understand social phenomena including linguistic phenomena. The technique used in data collection is the note taking technique. The data were obtained directly by recording semi-structures, namely transcribing voice and video expressions from cellphones, then analyzed to determine how the code was mixed. In this study, two types of code mixing were found, namely the inward mixing type and the outward code mixing type. The results of this study, the dominant code mixing type was the outgoing code mixing type as much as 86 data or 97%, while the inward code mixing type amounted to 2 data or 3%. Keywords: code mix, vlog, Atta Halilintar.
Cartographic visualization of density: exploring the opportunities and constraints of Heat Maps
Authors: Pokojski Wojciech , Panecki Tomasz , Słomska-Przech Katarzyna 
Published: September 2021

Abstract
The authors of the review aim to understand and assess cartographic Heat Maps’ (HM) designs, tools, and applications. The paper consists of two parts. First describes HM in the context of neocartography and map design by tackling such issues as definition, input data, methods of density determination and generalization, colour schemes, legend construction, and base maps. The second part assesses the range of 17 tools used for creating HM. Tools are divided into non-GIS tools (visualization tools and programming libraries) and GIS applications (desktop and webGIS). GIS desktop software has been selected due to its popularity and wide application. Paper presents an expert assessment of this software with the use of a research questionnaire. The analysis made it possible to develop a division of tools based on their embedding in computer programs and applications and taking into account the types of visualization. It also made it possible to indicate tools that can be used by both professional GIS users (e.g. analysts, cartographers) and the general public, including teachers using HM to visualize geo data for geography lessons. The limitation of the review was the analysis from the expert’s point of view. It would be desirable to include novices perspectives in future studies due to the wide demand for visualization.