bluuebunny/crossref_metadata_2025_split huggingface dataset:
Toraks cerrahisinde postoperatif analjezi yönetimi: iki yıllık deneyimlerimiz
Authors: ÜLGER Gülay , ZENGİN Musa , BALDEMİR Ramazan , ALAGÖZ Ali , SAZAK Hilal 
Published: December 2021

Amaç: Toraks cerrahisi, en ağrılı cerrahi prosedürlerden biri olarak kabul görmektedir. Toraks cerrahisinden sonra gelişen ağrı; atelektazi ve pnömoni gibi solunum komplikasyonları, daha uzun hastane yatış süreleri, yaşam kalitesinin azalması ve ağrının postoperatif kronik ağrıya dönüşmesi gibi olumsuz sonuçlara neden olabilir. Toraks cerrahisi geçiren hastalarda postoperatif analjezi uygulamalarımızı ve sonuçlarını retrospektif olarak incelemeyi amaçladık.
Gereç ve Yöntemler: Çalışmamız, Haziran 2019 ve Haziran 2021 tarihleri arasında toraks cerrahisi geçiren ve postoperatif analjezi takibi yapılan 563 hastaya ait verinin retrospektif olarak incelenmesi ile yapıldı. Hastalara uygulanan postoperatif analjezi yöntemi, vizüel analog skala (VAS) skorları, uygulanan ek analjezi tedavisi ve gelişen komplikasyonlar değerlendirildi.
Bulgular: Hastaların %28,42’si kadın olup, en sık uygulanan cerrahi %64,30 oranla akciğer rezeksiyonlarıydı. Hasta kontrollü analjezi (HKA) , 458 (%81,35) hastada intravenöz, 105 (%18,65) hastada epidural yol ile uygulanmıştı. Intravenöz HKA için VAS skor ortalamaları postoperatif 1. saatte 4,1, 24. saatte 2,0 ve 48. saatte 1,2 idi. Epidural HKA için ise 1.saatte 3,9, 24.saatte 2,0 ve 48.saatte 1,4 olarak değerlendirilmiştir. Intravenöz HKA uygulanan hastalarda yan etki oranları %6,99, epidural HKA uygulanan hastalarda %37,14 olarak değerlendirilmiştir.
Sonuç: Kliniğimizde sıklıkla malignite cerrahisi yapılmaktadır. Bu hastalarda torasik paravertebral blok (TPVB) ve intravenöz analjezi kombinasyonu ile elastomerik infüzyonla uygulanan torasik epidural analjezide benzer analjezik sonuçlar elde edilmiştir. Komplikasyon oranları TPVB ve intravenöz analjezi kombinasyonu yapılan grupta daha az olmakla birlikte her iki grupta da klinik olarak kabul edilebilir sınırlarda olarak bulunmuştur. Analjezi protokollerinin ve algoritmaların klinisyenlerin deneyimi ve uygulanan cerrahi işleme göre belirlenmesinin etkin analjezi sağlayacağını düşünmekteyiz.
The relationship between red blood cell distribution width and isolated coronary ectasia
Authors: KARABULUT Dilay , YILDIZ Cennet , KARABULUT Umut , ŞAHİNGÖZ ERDAL Gülçin , TURHAN Nihan , AKTÜRK İbrahim Faruk , BİLGE Müge , OFLAR Ersan , BİNGÖL Gülsüm , IŞIKSAÇAN Nilgün 
Published: December 2021

Aim: Isolated coronary artery ectasia (CAE) is an abnormal dilatation of the coronary artery which cause ischemia. RDW has been investigated in several cardiovascular disorders and has also been recently proposed as a predictive biomarker of adverse outcomes in patients with these conditions. We hypothesized that increased RDW would be associated with isolated CAE because both are associated with inflammation.
Material and Methods: We studied 140 subjects, including 69 patients with isolated CAE, 71 patients with angiographically normal controls. Baseline clinical characteristics and laboratory findings, including RDW, were compared among two groups.
Results: The level of RDW was significantly higher in isolated CAE than normal controls (14,36±1,61vs 13,59±1.57, p=0.005). In addition, the levels of glomerular filtration rate and creatinin, high density lipoprotein and low density lipoprotein were significantly lower in isolated CAE than normal controls (76,43±19,64 vs 100,36±18,3 and 0,9±0,28 vs 0,74±0,25, 43,39±10,09 vs 48,4±13,67, 121,36±32,05 vs 143,70±55,33 p=0,001, p=0,001, p=0,01, p=0,004 respectively). In a ROC curve analysis, a RDW value of 13,5 was identified as an effective cut off point for the discrimination of the presence or absence of isolated CAE (Area Under curve [AUC]: 0.71, CI 95%, 0.62-0.80, p
The relationship between symptoms and QRS duration in patients with idiopathic ventricular premature complex
Authors: AKIN Halil , ALTINTAŞ Bernas , ÖZKALAYCI Flora , KAYA İlyas , AKTAN Adem , KÜP Ayhan , ONUK Raşit , USLU Abdulkadi , AKYÜZ Abdurrahman , BARMAN Hasan 
Published: December 2021

Aim: Premature ventricular complexes are one of the most common arrhythmias and, when not treated, can cause serious complications such as dilated cardiomyopathy and ventricular tachycardia. In our study, we investigated the relationship between QRS duration and symptoms in patients with idiopathic premature ventricles complex (IPVC).
Material and Methods: This is a multicenter, cross-sectional study involving 242 consecutive patients with more than 1,000 idiopathic PVC and normal QRS duration in 24-hour Holter follow-up who attended cardiology clinics in 18 different centers between January 2019 and May 2019. The relationship between the QRS durations was investigated by dividing the patients into 2 groups as symptomatic (n: 128) and asymptomatic (n: 114).
Result: The average age of 242 patients was 51 ± 13 and 52.4% (127) of them were male patients. In the symptomatic IPVC group, sinus QRS duration, PVC QRS duration, coupling interval, and prematurity index were statistically significantly higher than the asymptomatic IPVC group. In the multivariate logistic regression analysis, a significant relationship was found between the sinus QRS duration (odds ratio (OR) = 1.3, 95% confidence interval (CI) = 1.01-1.05, p = 0.002) and symptoms in patients with IPVC. In the ROC analysis performed to show the power of sinus QRS duration in predicting symptoms in patients with IPVC, Area Under Curve (AUC) value was found as = 0.547 95% CI: 0.454-0.640, p = 0.320 (Figure 1).
Conclusion: In patients with IPVC; The prolonged sinüs QRS duration was found to be superior to other parameters in patients being symptomatic.
The challenges of the medical doctors working in the intensive care unit during COVID-19 pandemic
Authors: ŞAHİNTÜRK Helin , ULUTAŞ İrem , GÜLLEROĞLU Aykan , YEŞİLER Fatma İrem , AİTAKHANOVA Manat , ZEYNELOGLU Pınar , GEDİK Ender 
Published: December 2021

Aim: Healthcare professionals working in intensive care unit (ICU) have been in the frontline from the beginning of COVID-19 pandemic. We aimed to evaluate the technical and psychological difficulties encountered by medical doctors working in the ICU of the hospitals within XXX University Faculty of Medicine during this pandemic.
Material and Methods: A questionnaire consisting of 52 questions was applied to the medical doctors working in the ICUs of Başkent University affiliated centers.
Personal protective equipment (PPE) includes; surgical mask, N95: N95 mask, face shield, glove, overalls, overshoe, goggles, intubation cabin.
Results: Out of the 73 ICU physicians who were invited to participate, 62 (84.9%) of them completed the survey. Out of 59.7% of the participants stated that they did not feel safe while caring for the patients. The most common reason for their insecurity was the fear of contamination (70.3%). Out of 69.4% ICU physicians stated that their anxiety level was moderate. It was observed that the anxiety level of ICU physicians decreased as the number of patients followed up increased (p = 0.025), the increase in the number of hospital beds was found to be significantly associated with increased anxiety level (p = 0.015). It was found that the presence of anxiety complaint increased the state of having high anxiety related to COVID-19 disease 28.3 times (p = 0.001).
Conclusion: We found that more than half of the physicians participating in our study didn’t have any problem of protective personal equipment (PPE) deficiency, which is one of the most important technical difficulties. Regarding psychological difficulties, we found that doctors who had anxiety complaints before had much more difficulties in managing the pandemic process than others.
Ostomi kapatılan hastalarda negatif basınçlı insizyon yönetim sistemi kullanımının etkinliği
Authors: TOPCU Ramazan , SEZİKLİ İsmail , KENDİRCİ Murat , ŞAHİNER İbrahim Tayfun 
Published: December 2021

Amaç:Kolorektal cerrahide, son yıllarda özellikle stoma kapatıldıktan sonra insizyon yerinde yara iyileşmesi esnasında postoperatif komplikasyonları iyileştirmeye yönelik çalışmalar artmıştır. Özellikle cerrahi alan enfeksiyonları(CAE) ve yara ayrışması için negatif basınçlı insizyon kapama yöntemi (NBİKY) uygulamaları başlamıştır.
Çalışmalarda potansiyel olarak kontamine olma olasılığı yüksek yaralar üzerine uygulanan insizyonel negatif basınç uygulanması, CAE ve yara ayrışma gibi komplikasyonlar oranlarında azalma sağladığına dair veriler bulunmaktadır.
Bu çalışmada amaç, stoma kapatılması sonrası yara iyileşmesi esnasında postoperatif komplikasyonların üzerinde NBİKY’nin etkili olup olmadığını araştırmaktır.
Yöntem: Ocak 2018- Aralık 2020 tarihleri arasında stoma kapatılması ameliyatı olmuş 64 hasta retrospektif olarak incelendi. Hastalar NBİKY uygulananlar ile konvansiyonel yara bakımı (KYB) yapılanlar olarak iki grupta incelendi.
Bulgular:Retrospektif olarak değerlendirilen 64 hastanın %39,6’sına (n:25) NBİKY, %60,4’üne (n:39) KYB uygulandı. Her iki grupta da en fazla kolorektal kanserlere bağlı stoma açıldığı görüldü .Her iki grup postoperatif yara yeri komplikasyonu olan CAE açısından karşılaştırıldığında istatiksel olarak anlamlı fark sapandı (p: 0,032).1.grupta 2 (%8,0) 2.grupta 12 (%30,8) hastada cerrahi alan enfeksiyonu görüldü. Yara ayrışması, evisserasyon, skar açısından her iki grup karşılaştırıldığında istatiksel olarak anlamlı fark saptanmadı. Hastanede kalış süresi ve postoperatif insizyonel herni açısından karşılaştırıldığında belirgin istatiksel anlamlılık görüldü (Sırasıyla p: 0,050 ve p: 0,018) .
Sonuç:NBİKY uygulaması konvansiyel yara bakımı ile karşılaştırıldığında kapatılan stoma insizyon yerinde belirgin olarak CAE, hastanede kalış, maliyet ve postoperatif herni oluşumunu azaltması konusunda üstün olduğu görülmektedir. Bu sonuçlar rutin uygulama açısından umut vericidir. Ancak bu çalışmaları destekleyecek büyük vaka sayıları olan randomize kontrollü prospektif çok merkezli çalışmalara ihtiyaç olduğunu düşünmekteyiz.
Knowledge, attitudes, and behaviors of academics regarding travel-related infections
Authors: YANIK YALÇIN Tuğba , SÜNBÜL Mustafa , LEBLEBİCİOĞLU Hakan 
Published: December 2021

Aim: Academics frequently travel to different countries to attend scientific meetings, putting them at risk of contracting serious infectious diseases. We aimed to investigate the knowledge, attitudes and behaviors of academics from Ondokuz Mayıs University regarding travel medicine and pre-travel advice.
Material and Methods: We administered a questionnaire consisting of 25 questions to academic staff, who traveled abroad. The questionnaire consisted of five sections: demographic information, preparation before travel, during the travel, after the travel, and general information about travel health.The chi-square test was used in the statistical assessment of proportional differences, and multivariate analysis was used in the assessment of the effect of independent variables on knowledge of travel health centers.
Results: Two hundred academics participated in the study. Before traveling, 91.5% of participants reviewed general information about their destination and 10.5% recieved vaccination before travel. Sixty-five participants were familiar of the Directorate General of Health for Border and Coastal Areas of Turkey (DHBC), and 86% of them were at the Faculty of Medicine and most of them were male (72%). There was a statistically significant difference between those who knew about DHBC and members of the Faculty of Medicine and male compared to remaining participants.
Conclusion: Medical doctors' attitudes and level of knowledge about travel health were higher than those of other faculties. However, this group had a low rate of knowledge that the DHBC provides information about travel health.
Cartographic analysis of the distribution of degraded lands (on the example of the Рoltava region)
Authors: Lashko Serhii , Shelkovska Inna , Halchenko Nadiia , Klyuka Olena 
Published: December 2021

Cartographic analysis can be considered as one of the means of the land monitoringsystem, in particular, by the distribution of degradation processes. The work is proposed to createfor regions of cartogram of total distribution of degraded agricultural land and cartograms offraction of agricultural lands that have undergone water and wind erosion, acidification, salinization,with indispensable drawing on these cartograms of the river network scheme.
The zoning of the Poltava region is presented and analyzed in terms of the total distribution ofdegraded agricultural land, as well as separately by the particles of water, wind erosion,acidification, salinization.According to the relative distribution of degraded agricultural lands (without taking intoaccount the overlap of various types of degradation) within the Poltava region, there are 2 groups ofdistricts of increased land degradation: 1) northern (covers 7 districts – Pyriatyn, Chornukhy, Lubny,Lokhvytsia, Myrhorod, Hadiach, Zinkiv) and 2) southeastern (covers 3 districts – Kobeliaky, NoviSanzhary and Mashivka).Water erosion is inherent in districts with significant difference in heights and largest forestcover. This is primarily Dykanka, Zinkiv, Reshetylivka districts (watershed between rivers of Psel andVorskla), Lokhvytsia and Chornukhy districts (watershed between rivers of Sula and Udai) and theChutove district (watershed between rivers of Vorskla and Orel). Wind erosion covers predominantlynorthwestern, north and southeastern districts – Pyriatyn, Chornukhy, Hrebinka, Lokhvytsia,Hadiach, Mashivka, Novi Sanzhary.Cartograms of distribution of degraded land are supplemented by the river network on them.The method of their creation is described. The cartographic method is substantiated by theinterconnection of the districts of increased acidification of soils with basins of the rivers Udai andVorskla, and the districts of minimum acidification of soils – with the basin of the river Khorol.Salinization of soils of the Poltava region should be associated, obviously not with superficial,and with groundwater. In the future, it is recommended to use for a cartographic analysis of thedistribution of degraded lands additionally maps of groundwater hydroisogyps.
HIATOS DO HUMANO: PROCESSOS DE CRIAÇÃO EM DANÇA MOTIVADOS PELA PANDEMIA DA COVID-19
Authors: Do Nascimento Diego Ebling , Lopes Sílvia da Silva 
Published: December 2021

A pesquisa em dança foi motivada pelas reflexões e pelos sentidos que o afastamento social ocasionado pela pandemia da COVID-19 produziu em nossos corpos. A escolha metodológica tem como estratégia a pesquisa guiada-pela-prática e está fundamentada na pesquisa performativa e na abordagem fenomenológica. O processo artístico foi impulsionado pela interrogação “como a experiência da pandemia pode nos transformar?”. O texto está dividido em três partes: a primeira aborda o processo de concepção da obra, a segunda expõe o referencial teórico-metodológico e, por fim, a terceira parte descreve o processo de criação e compartilha três cenas do Hiatos do Humano.
Kentsel dönüşüm uygulamalarının başarısı ve kente katkıları: Karşıyaka Bostanlı Mahallesi Örneği (İzmir)
Authors: ALTUĞ Sinan , MALKOÇ TRUE Emine 
Published: December 2021

Amaç: Araştırmanın amacı; kentsel dönüşüm uygulamalarının gerek fiziksel / mekânsal gerekse ekolojik yönden kente katkılarını ortaya koymak ve söz konusu sürecin teoride sözü edilen hedeflerine uygunluğunu sorgulamaktır.
Materyal ve Yöntem: Araştırma kapsamında; 2016 - 2018 yılları arasında, İzmir ili Karşıyaka ilçesi Bostanlı Mahallesi’nde, kentsel dönüşüm uygulamasına tabi tutulmuş 37 adet yapı, uygulamanın “kent ekosistemine etkisi” ve “kentsel yoğunluğa etkisi” yönleriyle değerlendirilmiştir.
Veri toplama çalışmaları; 01 Eylül 2019 - 30 Kasım 2019 tarihleri arasında, çalışma için özgün olarak hazırlanmış gözlem formları aracılığıyla araştırma alanlarının yerinde incelenmesi / gözlenmesi yoluyla yürütülmüştür.
Araştırma Bulguları ve Sonuç: Yapı kullanma izin belgeleri bulunan yapılar arasından rastgele olarak seçilen yapıların hiçbirinde çatı bahçesi, güneş enerjisi ve yağmur suyu toplama sistemi bulunmadığı, 37 yapıdan 19’unda canlı donatı kullanılırken, sadece 1 yapının nitelik ve nicelik açısından yeterli olduğu görülmüştür. Yenilenen yapılarda birim sayısında artış olduğu buna karşılık yeterli otopark alanı yaratılmadığı belirlenmiştir.
OBTAINING CONDITIONS FOR TECHNOLOGY NEUTRALITY OF COMMUNICATION SYSTEMS WITH MINIMUM COUPLING LOSS METHOD
Authors: Korsun Volodymyr , Tychynskyi Anatolii 
Published: December 2021

Background. Technology neutrality is widely used in frequency bands, where communication systems are evolving, but there are strict restrictions on the parameters and deployment of base stations of different technologies using adjacent channels. Ways to mitigate this effect have not been sufficiently studied and require further analysis and development.
Objective. The purpose of this article is to investigate the methodology for obtaining technical conditions of technological neutrality with minimum coupling loss method to determine the value of additional filtering requirements and present the results of practical implementation of this technique.
Methods. The method of detailed power analysis of frequency characteristics of filters for base stations’ transmitter and receiver is applied.
Results. The article presents the results of obtaining minimal guard band and additional filtering requirements in the adjacent channels of transmitter and receiver belonging to different technologies. Examples of practical implementation of the minimum guard band and frequency characteristics of additional filters are given.
Conclusions. The general method of determining the technical conditions for ensuring technology neutrality is presented and the value of the minimal required guard band between the adjacent transmitter and receiver channels is obtained.
Pengembangan Media Pembelajaran Multimedia Interaktif Menggunakan Microsoft PowerPoint pada Materi Peluang Kelas XII
Authors: Al Hilal Adam Yunus , Aulia Nanang Nabhar 
Published: December 2021

<p class="06IsiAbstrak">Penelitian ini bertujuan untuk mengetahui kelayakan media pembelajaran multimedia interaktif menggunakan <em>Microsoft PowerPoint</em> pada materi peluang kelas XII. Jenis penelitian ini adalah penelitian <em>research and development</em>. Langkah pengembangan penelitian ini mengacu pada model Borg and Gall. Penelitian dan pengembangan ini mengacu pada model pengembangan Borg dan Gall, yang menggunakan 10 tahap. Namun, dalam penelitian ini peneliti menyederhanakan menjadi 7 tahap. Penelitian ini merupakan penelitian dalam skala kecil yang terhalang oleh keterbatasan biaya, waktu, dan kesamaan tahap. Berdasarkan hasil penelitian, maka dapat disimpulkan bahwa media pembelajaran multimedia interaktif menggunakan <em>Microsoft PowerPoint</em> materi peluang dikembangkan telah layak digunakan dalam pembelajaran. Kelayakan ini didasarkan pada uji kelayakan ahli materi yang mendapatkan skor 38,5 artinya memiliki kategori sangat layak. Uji kelayakan ahli media yang mendapatkan skor 81,5 memiliki kategori sangat layak. Uji kelayakan dari pengguna pada uji coba awal yang mendapatkan skor 66,4 memiliki kategori sangat layak. Uji kelayakan pada uji lapangan produk utama yang mendapatkan skor 69 memiliki kategori sangat layak. Temuan ini menjadikan media pembelajaran ini dapat dijadikan alternatif media pembelajaran matematika oleh guru maupun siswa.</p><p class="06IsiAbstrak"> </p><p class="07KatakunciKeywords">This study aims to determine the feasibility of interactive multimedia learning media using Microsoft PowerPoint in class XII opportunity material. This type of research is research and development research. This research development step refers to the Borg and Gall model. This research and development refer to the Borg and Gall development model, which uses 10 stages. However, in this study the researcher simplified it into 7 stages. This research is research on a small scale which is hindered by the limitations of cost, time, and the similarity of stages. Based on the results of the study, it can be concluded that interactive multimedia learning media using Microsoft PowerPoint material opportunities developed has been feasible to use in learning. This feasibility is based on a material expert's feasibility test who gets a score of 38.5 which means it has a very decent category. The feasibility test of media experts who get a score of 81.5 has a very decent category. The feasibility test of users in the initial trial who got a score of 66.4 has a very decent category. The feasibility test on the main product field test which gets a score of 69 has a very feasible category. These findings make this learning media can be used as an alternative media for learning mathematics by teachers and students.</p>
Federal Statutes and Environmental Justice in the Navajo Nation: The Case of Fracking in the Greater Chaco Region
Authors: Atencio Mario , James-Tohe Hazel , Sage Samuel , Tsosie David J. , Beasley Ally , Grant Soni , Seamster Teresa 
Published: December 2021

Arguing for the importance of robust public participation and meaningful Tribal consultation to address the cumulative impacts of federal projects, we bridge interdisciplinary perspectives across law, public health, and Indigenous studies. We focus on openings in existing federal law to involve Tribes and publics more meaningfully in resource management planning, while recognizing the limits of this involvement when only the federal government dictates the terms of participation and analysis. We first discuss challenges and opportunities for addressing cumulative impacts and environmental justice through 2 US federal statutes: the National Environmental Policy Act and the National Historic Preservation Act. Focusing on a major federal planning process involving fracking in the Greater Chaco region of northwestern New Mexico, we examine how the Department of the Interior attempted Tribal consultation during the COVID-19 pandemic. We also highlight local efforts to monitor Diné health and well-being. For Diné people, human health is inseparable from the health of the land. But in applying the primary legal tools for analyzing the effects of extraction across the Greater Chaco region, federal agencies fragment categories of impact that Diné people view holistically. (Am J Public Health. 2022;112(1):116–123. https://doi.org/10.2105/AJPH.2021.306562 )
Estrategia de Bioeconomía y Sostenibilidad en Dcoop a través de la Innovación
Authors: López Feria Silvia , Barrero Domínguez Belén 
Published: December 2021

Europa necesita cambiar radicalmente su manera de producir, consumir, transformar, almacenar, reciclar y eliminar los recursos biológicos para hacer frente al crecimiento de la población mundial, al agotamiento de los recursos, al aumento de la presión sobre el medio ambiente y al cambio climático. La estrategia Europa 2030 propone la bioeconomía como elemento clave para el crecimiento inteligente y ecológico. Los avances en la investigación sobre bioeconomía y la absorción de la innovación permitirán mejorar la gestión de los recursos biológicos renovables y abrir mercados nuevos y diversificados de alimentos y bioproductos.
Siguiendo esta estrategia, Dcoop Sociedad Cooperativa Andaluza, desarrolla su actividad. La sostenibilidad en el sector agroalimentario es uno de los objetivos prioritarios de Dcoop, y para su consecución ha puesto en marcha prácticas sostenibles, tanto en su actividad industrial como productiva, trabajando, además, en varias líneas de innovación agrícola, ganadera, de aprovechamiento de los recursos naturales (subproductos) y de gestión de los residuos producidos durante los procesos productivos que desarrolla. El papel de Dcoop es ser la respuesta que necesita el campo -agricultores y ganaderos- y los consumidores a los desafíos que plantean el mercado global, el cambio climático y los nuevos estilos de vida.