bluuebunny/crossref_metadata_2025_split huggingface dataset:
A betegség- és kezelésdokumentáló szövegek közösségivé válása az újmédiában
Authors: Zelena András 
Published: April 2019

Elméleti háttérNapjainkban egyre nagyobb hangsúly helyeződik az élet legkülönfélébb eseményeinek közlésére és megosztására az újmédia (web2.0) felületein. E felület lehet a szociális média, a fájl- vagy videómegosztó-oldalak valamelyike, vagy blog. Tanulmányom fókuszába a betegség- és kezelésdokumentáló írásokat emelem, és kiemelt figyelmet fordítok a narratológia és a közösségi feldolgozás lehetőségdimenzióinak bemutatására. A lélektan és kommunikációtudomány interdiszciplináris elméleti bázisának továbbgondolásával e komplex kérdéskör elemzését végzem el.CélA kommunikáció és veszteségközzététel hagyományos rítusainak, valamint az újmédia (különös tekintettel a szociális média) felületein megjelenő betegségnapló közzétételének egymáshoz illeszthetőségét vizsgálom. Megválaszolandó kérdésem, hogy a betegségnaplókból mi épül be az újmédia keretrendszerébe, s hogyan alakulnak az interperszonális kapcsolatok, milyen szupportív gesztusokra számíthat a betegségnaplóját blogformában nyilvánossá tévő személy?MódszerMélyinterjúkat és dinamikus-nondirektív interjúkat vettem fel a blogírók jelentős részével kórházi osztályon, több adatközlővel pedig strukturált interjút (otthoni, rehabilitációs tartózkodása idején) vettem fel (n szumma = 27). Adatközlőim szocioökonómia státusza: arányos női–férfi megoszlás (14 nő, 13 férfi), 8 befejezett általános iskolától a MA/MSC szintig minden edukáltságú adatközlő megjelent, jellemzően főváros vagy főváros környéki lakhellyel rendelkeztek, és onkológiai betegséggel kezelték őket). Az általam „egyszerű véletlen mintavétellel” tüzetesebb elemzésre kiválasztott naplószövegek szerkesztettségét is vizsgálom grammatikai és szemantikai szempontból is.EredményekAz újmédiában való nyilvánossá tétel segítségével a lehetséges támogató gesztusokat, továbbá a terápiás írás lehetőségeit mutatom be, s a mindezt nemzetközi teoretikusok munkájával vetem össze. Úgy találtam, hogy a visszacsatolások (reagálások, kommentek, különböző emotikonokkal való válaszadás) révén a betegségélmény közösségi élménnyé válik, feltételezhető a közösségi együttérzés, támogatás jelenléte. Az újmédia színterein megjelenő közlések segítik az egyéni feldolgozást.KövetkeztetésekA cikkben vázolt folyamatok szintetizálása és értelmezése a pszichológia- és kommunikációtudomány vonatkozó elméleteinek, valamint az új hazai és a nemzetközi kutatások eredményeinek fényében további összevetési lehetőségeket kínál. A terápiás naplóírás a blogger előnyére válik, és ez a folyamat további elemzésre érdemes.
A főúri lakóhelyek lakosztályainak funkcionális elrendezése és higiénés felszerelése a 18–19. században
Authors: Fekete J. Csaba 
Published: April 2019

A főúri lakóhelyek térszervezésének belső hierarchiáját leginkább lakótereik kialakításának és kiszolgálásának módja tükrözi. Hazánkban a 17. századi lakórendeltetések terei még nem alkottak funkcionális egységet – önálló lakosztályt. Már létezett ugyan a kettős, differenciált közlekedési rendszer: a szobasoron keresztüli reprezentatív, és a pitvaron, folyosón keresztüli kiszolgáló forgalom, de ez ekkor még az épület egészét, közösségi tereit is átszőtte. A higiénés felszerelést a hálószoba falában elhelyezett külső- vagy belsőaknás száraz árnyékszék és a mosdófelszerelés biztosította. A későbbi főúri lakosztályok archetípusait a nemek szerint megosztott és az udvari státus szerint tagozott 17. századi lakótérsorokban találhatjuk meg.
A hazai főúri lakóhelyek lakosztályainak 18. századi legmagasabb színvonalú megoldása az uralkodói vendégek számára kialakított vendéglakosztályokban vagy a legmagasabb rangú tulajdonosi lakosztályok formájában találhatók meg. A hálószoba reprezentatív feltárását – a társasági terek folytatásaként – az előszoba kezdte. A lakosztály személyzeti kiszolgálása közvetlen és rejtett volt. A hálószobához egy–három kabinet kapcsolódott írószoba, öltöző vagy mosdó, illetve garderobe rendeltetéssel. A száraz árnyékszék a hálószobából nyílt, olyan hátulról megoldott tisztítási lehetőséggel, amely a lakosztály használóinak megzavarása nélkül történhetett. A kapcsolódó belső melléklépcső a személyzeti kiszolgálás gyors, diszkrét lebonyolítását tette lehetővé. A belső kiszolgáló tércsoport köré fogatolt lakosztálytípus az 1720-as évektől terjedt el hazánkban, és a század második felében vált általánossá, meghatározóan a kéttraktusos elrendezésű épületekben.
A 19. századi lakosztályok kialakításának elvei a megelőző század elvein alapultak. A megnőtt komfort- és higiénés igények a fürdőszoba megjelenésével átszervezték a lakosztály rendszerét. A napi rendszerességű mosdás, a fürdés funkciójának önálló tere és beépített berendezése a 19. század közepén jelent meg hazánkban. Első látványos formája – amely a 20. század elejéig továbbélt – a lakosztály hálószobájához kapcsolódó öltözőszoba alkóvos térbővülete volt, mélyített fürdőmedencével. A 19. század végének beépített, lábakon álló kádjai már saját kis helyiségbe, a fürdőszobába – a hálószoba és az öltöző mellé – a kabinetek sorába kerültek.
Polypharmacy in Patients with Ovarian Cancer
Authors: Oldak Sean , Ioannou Stephanie , Kamath Priyanka , Huang Marilyn , George Sophia , Slomovitz Brian , Schlumbrecht Matthew 
Published: April 2019

Abstract

Objective
Polypharmacy has been associated with morbidity and mortality in patients with cancer. Data about polypharmacy among patients with ovarian cancer are limited. The primary objective of this study was to evaluate polypharmacy in a cohort of patients with ovarian cancer and to assess the evolution of polypharmacy from initial presentation to 2 years posttreatment. A secondary objective was to evaluate differences in polypharmacy between a subset of patients primarily treated in our comprehensive cancer center (CCC) and our safety net hospital (SNH).

Methods
Women treated for ovarian cancer between January 1, 2011, and December 31, 2016, were included. Data were abstracted from the electronic medical record. Medication safety was assessed using the established Anticholinergic Burden (ACB) scale and the Beers criteria. Statistical analyses were performed using paired t tests and Cox proportional hazards models, with significance set at p &lt; .05.

Results
The study included 152 patients. The majority of patients had high-grade serous carcinoma. Hypertension was the most common medical problem. The mean number of medications at the time of diagnosis was 3.72. Paired testing demonstrated significant patient-level increases in the number medications at 2 years following initial diagnosis (4.16 vs. 7.01, p &lt; .001). At the CCC, 47.4% of patients met criteria for polypharmacy at diagnosis compared with 19.4% at the SNH (p &lt; .001). By 2 years postdiagnosis, 77.6% of patients at the CCC met criteria for polypharmacy compared with 43.3% at the SNH (p = .001). The use of any medications on the ACB scale (p &lt; .001) increased significantly between initial diagnosis and 2 years for the entire population. Polypharmacy was not a significant predictor of overall survival.

Conclusion
Polypharmacy worsens as women go through ovarian cancer treatment. Both at initial presentation and at 2 years postdiagnosis, rates of polypharmacy were higher at the CCC. Polypharmacy did not have an effect on survival in this cohort.

Implications for Practice
Awareness of escalating numbers of medications and potentially adverse interactions is crucial among women with ovarian cancer, who are at high risk for polypharmacy.
MR Spektroskopi Temelli Beyin Tümörü Teşhisinde Lojistik Regresyon Uygulaması
Authors: ALTUN Sinan , Alkan Ahmet 
Published: April 2019

Beyin tümörü
teşhisinin, birçok hastalık teşhisinde olduğu gibi farklı yöntemler
kullanılarak doğrulanması gerekmektedir. Çünkü yanlış teşhis doğrudan insan
hayatını etkilemektedir. MR Spektroskopi ilk başta laboratuvar çalışmalarında
kullanılmıştır. Daha sonra MR Spektroskopinin su ve yağ haricindeki
metobolitleri ölçebildiği keşfedilmiştir. Bu keşifle beraber, MR Spektroskopi beyin tümörü teşhisinde doğrulayıcı
bir yöntem olarak kullanılmaya başlanmıştır. MR Spektroskopi ile kolin, kreatin
ve N-Asetil Aspartat metobolit değerleri ölçülür. Bu değerlerin doğru
yorumlanması ciddi bir uzmanlık gerektirir. Yapılacak bir uzman karar destek
sistemi hızlı ve doğru teşhis açısından önemlidir. Çalışma MRS temelli beyin
tümörü teşhisi için yapılabilecek uzman karar destek sisteminin temeli olan
sınıflandırma yöntemlerinin başarımlarının karşılaştırmasını içermektedir.
Lojistik Regresyon yöntemi ve Naive Bayes yöntemi WEKA programında çalışılmıştır.
Naive Bayes’ de % 87 başarım, Lojistik regresyonda % 90 başarım elde
edilmiştir. ROC değerleri ise Naive Bayes için 0,912, Lojistik Regresyon için
0,977 olarak hesaplanmıştır. % 87 sınıflandırma ve 0,912 ROC hesaplaması yüksek
bir başarıdır, ancak Lojistik Regresyon daha iyi sınıflandırma ve ROC alan
hesaplaması yapmıştır. Bu da MRS temelli beyin tümörü teşhisinde uzman karar
destek sistemi oluşturmak için Lojistik Regresyonun, Naive Bayes yöntemine göre
daha uyumlu olabileceğini göstermektedir.
ENVIRONMENTAL PROBLEMS OF TREATMENT OF SALINE LANDS FOR AGRICULTURAL NEEDS IN THE FIRST AGRO-CLIMATIC ZONE OF THE STAVROPOL TERRITORY
Authors: Loshakov A. V. , Klyushin P. V. , Shirokova V. A. , Khutorova A. O. , Savinova S. V. 
Published: April 2019

Aim. The aim of the study is to assess the environmental problems and develop a proposal for the identification and analysis of the state of saline and solonetzic lands. Basing on this research, it is crucial to develop proposals for the effective use of lands for the agricultural needs in the first agro-climatic zone of the Stavropol Territory.Methods. Monitoring studies of agricultural lands were carried out using modern methods which include both remote sensing and annual local surveys in areas of the first agro-climatic zone of the Stavropol Territory. Based on this, agricultural land was divided into four groups: highly productive, productive, low productive and unproductive.Results. It has been established that the territory of the first agro-climatic zone is represented by agricultural lands for more than 95%, and over the 16-year study period, the area of these lands increased by 27,906 ha. Salinization of land is global in nature, since the total area of land with a degree of salinity is 644,334 ha, that is, more than 37% of agricultural land in this agroclimatic zone is already salinized to varying degrees. In addition, solonetzic complexes are widespread here.Conclusion. We have established that in order to increase the efficiency of the use of these lands, their qualitative zoning with the subsequent development of agromeliorative measures is necessary. This division of land reflects their qualitative condition, degree of exposure to various degradation processes, the possibility of further land use, a set of measures for the preservation, restoration and protection of these lands and securing the corresponding status of a particular zone based on the developed regulations.
FORECASTING VALUES OF CHROMATICITY OF DRINKING AND SOURCE WATERS USING ARIMA MODEL AND NEURAL NETWORK
Authors: Makarov D. V. , Kantor E. A. , Krasulina N. A. , Greb A. V. , Berezhnova Z. Z. 
Published: April 2019

Aim. In the present investigation artificial neural network (ANN) and ARIMA-model are compared for forecasting of data of colour of water.Methods. Data corresponds to the colour of water of groundwater and drinking water of water intake of south-east region of the Republic of Belarus. The definition of colour was carried out for the period from 2009 to 2017. twice a day, the time series of values included 5215 values. The parameters of the models were estimated by 85% of the time series values, and the remaining 15% of the values (the test period) compared the forecast values with the actual ones. Optimal configurations of ARIMA-models were determined from the results of comparing the averaged values of the root mean squared errors (RMSE); optimal configurations of ANN were determined from the results of comparing the averaged values of RMSE and correlation coefficients (CC) on the test periods.Results. Comparison of forecasting methods was carried out on the basis of the averaged values of mean absolute error and mean relative error on the test periods. It was revealed that ANN allows to obtain the predicted values of colour of water more accurate than ARIMA-model.Main conclusions. Software implementation of ANN in the MATLAB environment empowers with sufficient accuracy get forecast values of groundwater and drinking water for 100 values.
SPECIES COMPOSITION OF COMMERCIAL FISH CATCHES IN WATER BODIES OF THE STAVROPOL TERRITORY FOR THE PERIOD OF THE LATE XX – EARLY XXI CENTURIES
Authors: Mishvelov E. G. , Bakumenko I. A. 
Published: April 2019

Aim. The aim of the study is to analyze the species composition of commercial fish catches in water bodies of the Stavropol Territory for two periods from 1986 to the present.Methods. The first period from 1986 to 2003 is conventionally highlighted and the second period from 2009 to 2017. Data on linear and area characteristics of the territorial objects was obtained using Landsat 8 satellite imagery.Results. In 2017, in the fish industry of the Stavropol Territory, 10.8 thousand tons of marketable fish were produced, which was about 70% of the best production level in 1990. The share of common carp production was 58%, silver carp – 34%, white Amur – 5% , other carp fish species – 3%, trout and sturgeon – 1%. In 2017, 1415 tons of fish seeds were produced bringing the total to 19 million units, which is 4 times less than in 1990. The importance of fish catching in providing the population of the region with fish is not so great in comparison with fish farming. In different periods of the last thirty years, the total annual catch in regional state water bodies (reservoirs) ranged from a maximum of 1065 tons (1990) to a minimum of 82 tons (2016). The average annual catch in all state water bodies for the period 1986 – 2003 amounted to 357 tons; fish productivity was 32 kg, with fluctuations from 2 to 113 kg/ha in eleven water bodies. Over the past 9 years, since 2009, the average annual catch in all state water bodies has decreased and amounted to 285 tons.Conclusion. For the period of 1986-2003, the average annual catch of common carp and silver crucian carp was 94 tons each and 79 tons of silver carp; the total share of these three species in catches was 85%. Over the past 9 years (2009-2017), the total share of these fish in the catches has decreased to 66%. The average annual catch of common carp and silver carps was almost halved, while the catch of less valuable silver crucian carp increased and reached 103 tons.
ANALYSIS OF DYNAMICS AND SOURCES OF MANGANESE, COPPER, NICKEL AND ALUMINUM IONS FOUND IN THE TRANS-BORDER MIUS RIVER DURING THE PERIOD FROM 2003 TO 2017
Authors: Vorobyov E. V. , Usova E. V. , Orekhova Yu. V. 
Published: April 2019

Aim. Transboundary rivers are complex enough to study which requires analysis of not only the polluting agents themselves but also geographic features and specifics of economic activities. The work is devoted to the study of the dynamics of pollution of the Mius River with ions of manganese, copper, nickel and aluminum, taking into account the peculiarities of the regions through which the river flows and the specifics of the anthropogenic load on the adjacent territories.Material and methods. The article considers some natural and anthropogenic factors that determine the increased content of metal ions in the transboundary river Mius, taking into account the peculiarities of the territory of the river. Based on the monitoring data from 2003 to 2017, the dynamics of river pollution by aluminum, manganese, copper and nickel were presented; monthly averages for the period under review were also given.Results. It is revealed that pollution has an annual periodicity which depends on natural factors and metallurgical industry, characteristic of Donbass. The negative effect of these metals on human health and environment was indicated.Conclusion. There is a connection between changes in concentrations of the metals of concern, which indicates the predominance of the anthropogenic source of metals over natural in the Mius River.
Kızılcık (Cornus mas L.) Genotiplerinin Yeşil Çelik İle Çoğaltılması Üzerine Araştırmalar
Authors: BALTA Mehmet Fikret , EROL İbrahim Ulvi , ÖZRENK Koray , KARAKAYA Orhan , UZUN Serkan 
Published: April 2019

Bu çalışma, farklı kızılcık (Cornus
mas L.) genotiplerinin yeşil çelik ile çoğaltma olanağının belirlenmesi
amacı ile yürütülmüştür. Araştırmanın bitkisel materyalini; ‘44-18’, ‘Güney
uzun’, ‘Güney yuvarlak’, ‘Mehmet’ ve ‘Turgut’ genotipleri ile Yalçınkaya-77 standart
kızılcık çeşidi oluşturmuştur. Çalışmada yeşil çelikler, incelenen bitkilerden
15 Haziran 2014 tarihinde alınmıştır. Hazırlanan çelikler iki gruba ayrılarak
yarısına 3500 ppm indol-3 bütirik asit (IBA) uygulaması yapılmış, diğer
yarısına ise herhangi bir uygulama yapılmamıştır (kontrol grubu). Dikimden 5
hafta sonra sökülen kızılcık çeliklerinde köklenme oranı, kalluslenme oranı, en
uzun kök, en kısa kök, kök dallanması, yaşayan çelik oranı ve köklenme kalitesi
özellikleri incelenmiştir. Çalışmada kontrol grubu çeliklerde incelenen
özellikler bakımından kayda değer bir sonuç elde edilememiştir. Araştırma
sonucuna göre, IBA uygulanan (3500 ppm) kızılcık yeşil çeliklerinde; köklenme
oranı % 80 ile % 100, kök sayısı
12.86 adet çelik-1 ile 42.94 adet çelik-1, kalluslenme
oranı % 13.30 ile % 73.30, en uzun kök boyu 7.74 mm ile 23.88 mm, en kısa kök
boyu 1.39 mm ile 3.77 mm, köklenme kalitesi 1.56 puan ile 2.93 puan arasında
belirlenmiştir. Sonuç olarak, fidan kalitesi üzerine etkili olan köklenme
oranı, kök sayısı ve köklenme kalitesi özellikleri “Mehmet” genotipinde diğer
genotiplere göre daha yüksek bulunmuştur. Bu genotipin kızılcık meyve türünde
yapılacak ıslah ve çeşit geliştirme çalışmalarında kullanılması önerilmektedir.
The influence of the shift work system on dietary factors contributing to the development of cardiovascular diseases
Authors: Dobrzyńska Małgorzata Anna , Górna Ilona , Kosewski Grzegorz , Kowalówka Magdalena , Bolesławska Izabela , Morawska Anna , Przysławski Juliusz 
Published: April 2019

Aim. The aim of this study was to assess eating behavior in the groups of women who are working on different, unchanged shifts as well as identifying differences in the consumption of nutrients that may increase the risk of cardiovascular disease.Material and Methods. The study was carried out among 300 randomly selected women working in a permanent shift (morning, afternoon, night). In the study, the assessment of the daily intake was carried out using 24-h dietary recall. Anthropometric measurements were carried out to assess the nutritional status. The interview regarding the food consumption was complemented by dietary questionnaire about selected lifestyle parameters contributing to the development of cardiovascular disease and the type of their work.Results. The body mass index (BMI) in all groups was within the adequate values. The analysis of waist to hip ratio (WHR) showed that in the morning and night shift, was exceeded the adequate values recommended in the prevention of cardiovascular disease (WHR = 0.83 ± 0.1 in both groups). The analysis of the daily food rations of women revealed disparities regarding nutritional recommendations. Statistically significant differences in protein and saccharose intake were observed (p > 0.05). The average vitamin D content in the daily food rations of women was insufficient (average 1.4 µg per day); however, it was not statistically significant.Conclusions. The shift work system was influence on eating behaviors in study women. In particular in women which were worked on the night shift, which may contribute to the development of cardiovascular disease in the future.
Peculiarities of the Epidemic Situation on West Nile Fever in the Territory of the Russian Federation in 2018 and Forecast of its Development in 2019
Authors: Alekseychik I. O. , Putintseva E. V. , Smelyansky V. P. , Boroday N. V. , Alieva A. K. , Agarkova E. A. , Chesnokova S. N. , Fomina V. K. , Baturin A. K. , Zhukov K. V. , Shakhov L. O. , Pakskina N. D. , Demina Yu. V. , Ezhlova E. V. , Viktorov D. V. , Toporkov A. V. 
Published: April 2019

The epidemic rise in the incidence of West Nile fever (WNF) in the season of 2018 was observed in the countries of the European Union (EU) and bordering states and exceeded the values of all previously recorded epidemic rises of 2010–2012. An increase in the incidence rate was registered in the USA and Canada, however, it did not exceed the indicators of epidemic rises of 2007–2012. In the territory of the Russian Federation, the WNF epidemiological process became more intense mainly in the territory of the Southern and North Caucasian Federal Districts. In general, in Russia, the incidence rates were 2 times lower than the average annual rates, but significantly exceeded those of 2017. The epidemic process had a number of peculiarities in the seasonality, the structure of morbidity and the clinical manifestation of WNF. Genotyping of the isolated WNV RNA fragments from clinical and biological material showed that I, II and IV West Nile virus genotypes were circulating in the European part of Russia. Forecast of epidemic situation development in 2019 reveals further increase in the incidence and does not exclude the possibility of a significant localincrease of WNF incidence in certain regions of Russia.
Important Elements in the Quality Improvement Curriculum for Orthopaedic Residents
Authors: Vaughn Natalie H. , Hassenbein Susan E. , Black Kevin P. , Armstrong April D. 
Published: April 2019

Background:
Orthopaedic residency education requires trainees to participate not only in clinical and research endeavors but also in quality improvement (QI) projects. To our knowledge, little has been published on how to implement a structured QI curriculum as part of an orthopaedic residency program. This article describes a single institution’s experience with developing a longitudinal, integrated, and collaborative resident QI curriculum.

Methods:
The Six Sigma DMAIC (Define, Measure, Analyze, Improve, and Control) process was taught to residents as a formal curriculum at our institution beginning in 2014. A structured integrated process was developed for residents to work in teams and meet on a monthly basis. Since then, residents have developed multiple QI projects with measured outcomes. Serial surveys have been administered to the residents to collect feedback.

Results:
Seven major QI projects have been implemented by residents since the program’s initiation. The resident surveys revealed significant improvement in comfort level with organizing QI projects. Residents also reported being comfortable working in interprofessional teams and incorporating patient safety techniques into clinical practice.

Conclusions:
There are few guidelines that reflect how to initiate a formal QI curriculum in an orthopaedic residency program to promote a standardized and systematic way to approach QI projects. With a structured DMAIC education plan, an emphasis on graded responsibilities within a team setting, and responsiveness to resident feedback, orthopaedic programs can develop an effective QI program to allow residents to learn valuable patient safety practices, which allows residents to have a meaningful and impactful effect on QI initiatives that will serve them well as they enter clinical practice.