bluuebunny/crossref_metadata_2025_split huggingface dataset:
Shall we use a mesh in every patient undergoing repair surgery for umbilical hernia? a prospective study
Authors: Özkan Hakan , AREN Acar , GÖKÇE Aylin Hande 
Published: February 2019

Purpose: The aim of this study is to compare the outcomes in patients with umbilical hernia who underwent suture-only repair (primary suture repair and Mayo’s repair) to those with mesh (hernia repair with prolene or the Ventralex Hernia Patch (VHP) hernia repair).Materials and Methods: ASA 1 and ASA 2 patients who had no medical condition requiring surgical intervention other than umbilical hernia were included in this study.. Small hernias were repaired by suturing only while mesh repair was used for medium size and large hernias. Among parameters to be assessed were presence of comorbidities, hernia repair techniques, postoperative complications, and postoperative recurrence rates by repair techniques. Follow-up assessments including physical examinations and/or ultrasound studies were performed to evaluate potential recurrences and other complications. Results: A total of 153 patients were included in the study. The incidence of seroma formation was significantly higher in the prolene mesh group than others. Recurrences occurred in four out of 25 patients who underwent primary repair (16%) and three out of 69 patients who underwent Mayo’s repair (4.3%). Recurrence rates were statistically significantly higher in the primary suture repair group than the other groups. Conclusion: In this study, overall recurrence rate following umbilical hernia repair was found to be 4.57%. Recurrences were not observed in mesh group. Low complication and recurrence rates suggest that this technique may be an appropriate surgical modality to repair umbilical hernias 2 cm or less in size. Umbilical hernia repair with mesh appears to be superior over than tissue-suture repair without mesh.
The role of mean platelet volume and ischemia modified albumin levels in early periods of acute mesenteric ischemia: an experimental study
Authors: CANTİLAV Güvenç , BİLECİK Tuna , BÜLBÜLLER Nurullah 
Published: February 2019

The aim of this study was to determine the role of mean platelet volume (MPV) and ischemia modified albumin (IMA) in early diagnosis of acute mesenteric ischemia (AMI).Materials and Methods: In this study, 18 Wistar Albino rats were randomly assigned to 3 experimental groups with 6 rats in each group as; sham group without laparotomy, control group with laparotomy and mesenteric ischemia-induced group. Platelet count, MPV and IMA were studied at the end of the 120th min of superior mesenteric artery obstruction in AMI group and at the same time in other groups. Results: In AMI group MPV and IMA values were significantly higher compared with other 2 groups, while platelet count was significantly lower . There was not any statistically significant difference between control and sham groups regarding these parameters. Conclusion: Further clinical studies are required to define the role of these parameters in early diagnosis of AMI since AMI is a highly mortal disease if not diagnosed promptly
Sağlık bilimlerinde araştırma ve yayın etiği
Authors: KÜPELİ Serhan 
Published: February 2019

Son
yıllarda akademik atama ve terfi başvurularında istenilen asgari puan ve asal
eser kriterlerinin önemli oranda yükseltilmesi ve başlatılan “akademik teşvik” uygulaması nedeniyle akademisyenlerin
yayın yapma arzusu önceki yıllara oranla önemli ölçüde artmış, gerek ulusal
gerekse uluslararası dergilere gönderilen makale sayılarında neredeyse bir
patlama yaşanmıştır. Bilimsel araştırma ve yayın sürecinde dürüst davranmada esas
sorumluluk araştırmacılar ve yazarlarda olsa da etik ihlallerin önlenmesinde
hakemler, editörler, üniversiteler, üniversitelerin bağlı olduğu kurumlar ve
bağımsız mahkemeler gibi denetleyicilere de önemli görevler düşmektedir. Alınacak
önlemler arasında en önemlisi kanımızca araştırmacı ve yazarlar için üniversitelerde
formal eğitimin bir parçası olarak araştırma ve yayın etiği ilkelerinin
öğretilmesi, bu eğitimin belli aralıklarla mezuniyet sonrası da devam ettirilmesi
olarak öne çıkmaktadır. Bilimsel dergilerdeki editör ve hakem kadrosunun da etik
ihlaller konusunda yetkin olması, periyodik olarak araştırma ve yayın etiği konusunda
makale veya derleme yayınlayarak tüm çevrelerin bu konuda bilgilendirilmesi diğer
önemli bir unsurdur. Benzer eğitim ve bilgilendirmenin üniversite üst yönetimi,
etik kurullar ve üniversitelerin bağlı bulunduğu kurumlar için de belli zaman aralıkları
ile yapılması ve kanun ve yönetmeliklerin günümüz koşullarına cevap verecek şekilde
güncellenmesi etik ihlallerin önüne geçebilmek için zorunlu görünmektedir.
Tümörogenezisde endoplazmik retikulum stres cevabının rolü
Authors: EVYAPAN Gülşah , AY Gülsevinç , CÖMERTPAY Gamze , LÜLEYAP H. Ümit 
Published: February 2019

Endoplazmik Retikulum (ER) ökaryotik hücrelerde bulunan, hücre içi kalsiyum homoastasizi, lipid sentezi, proteinlerin işlenmesi ve katlanmasından sorumlu olan bir organeldir. Hatalı katlanmış veya katlanmamış proteinlerin artması durumunda ortaya çıkan hücresel cevap endoplazmik retikulum stresi olarak adlandırılır. Değişen çevre koşullarına adaptasyonu sağlamak amacıyla evrimsel süreçte korunmuş bir mekanizma olan Katlanmamış Protein Cevabı (UPR) ile uyum sağlanmaya çalışılmaktadır. Ancak endoplazmik retikulum stresi ile başa çıkılamadığı durumlarda apopitoz tetiği çekilerek hücre ölümü meydana gelmektedir. Endoplazmik retikulum stresinin indüklediği apopitoz yolağında; CCAAT/enhance binding protein (C/EBP) homolog protein (CHOP), Mitojen tarafından aktive edilmiş protein kinaz (MAP kinaz) kaskadı, Bcl-2-ilişkili X protein (Bax/Bak), İnozitol Gerektiren Kinaz 1 (IRE1) ve kaspaz-12 gibi birçok molekül görev almaktadır. Endoplazmik retikulum stresinin kanser hücresi proliferasyonu ve sağkalımı üzerinde büyük bir etkisi vardır. Son yapılan araştırmalar endoplazmik retikulum stresi ve katlanmamış protein cevabının, kanserde önemli rol oynadığını göstermiştir. Nitekim, tümör hücrelerinin büyümesinde ve çevresel değişikliklere adaptasyonda rol oynayan katlanmamış protein cevabının, genellikle kanser hücrelerinin lehine çalışan bir süreç olarak kullanıldığı bulunmuştur. Endoplazmik retikulum stresinin tetiklediği katlanmamış protein cevabında tam olarak aydınlatılamamış bazı mekanizmaların varlığı, tedaviye giden süreci olumsuz yönde etkilemekte olduğundan bu mekanizmaların tam olarak aydınlatılmasıyla birlikte; hastalıkların daha iyi anlaşılması ve yeni tedavi stratejilerinin geliştirilmesinin de önü açılacaktır. Bu derlemede; kanser hücrelerinin endoplazmik retikulum stres cevabı ile proliferasyonlarını nasıl sürdürebildikleri, katlanmamış protein cevabı ekseninde ele alınacak ve bunun altında yatan moleküler mekanizmalara genel bir bakış yapılacaktır.
Sulu Çözeltideki Bor İyonlarının Sepiyolit İle Giderimi
Authors: ARIKAN Tuğba 
Published: February 2019

Türkiye’de
sulama sularını en fazla kirleten toksik elementlerin başında bor
bulunmaktadır. Endüstriyel işlemler sonucunda ortaya çıkan ağır metaller
toprak, su ve atmosfere karışarak canlı organizmaların yaşamını etki altında bırakmakta
ve çevre kirliliğine sebep olmaktadır.
Biyolojik olarak parçalanıp yok olmadıklarından dolayı organizmalarda
depolanan ve besin zincirlerine giren atık sulardaki ağır metal iyonları,
birtakım işlemlere tabi tutularak standartlara uygun hale getirilmelidir.
Çalışmamızda, Eskişehir yöresinden alınan sepiyolitin, çalışma koşullarına
bağlı olarak, sulu çözeltilerdeki bor (III) iyonlarını adsorplama kapasitesi
araştırılmıştır. Bu amaçla, borik asit çözeltisi kullanılarak bor
iyonunun adsorpsiyonu ve adsorpsiyon olayını etkileyen pH, adsorban miktarı
gibi değişkenlerin adsorpsiyon kapasitesi üzerindeki etkileri belirlenmiştir.
Deney sonuçları, çözelti pH değerinin arttıkça adsorplanan bor miktarının
arttığını göstermiştir. Adsorpsiyon verimi (%), adsorban miktarının artması ile
belirli bir adsorban miktarına kadar artmış, belirli bir değerden sonra ise
büyük bir değişime sebep olmamıştır. İstatistiksel olarak değerlendirme
yapıldığında adsorpsiyon kapasitesi üzerinde en önemli değişkenin adsorban
madde miktarı olduğu saptanmıştır.
ANALYSIS OF ECONOMIC POTENTIALS, TRANSFORMATION OF SHIFTING STRUCTURES AND ECONOMIC SPECIALIZATION: POST TERRITORIAL SPLIT IN ACEH
Authors: Iskandar Mizaj , Nurrahmi Febri 
Published: February 2019

Purpose of the study:This study aims to determine the potential for economic growth of the parent and split regions after the implementation of the territorial split policy. It specifically looks at the economic position of parent and new regions in the Aceh province, identifies the superior sectors, the structure of regional economies, and interregional differences in economic performance in Aceh after the territorial splits.
Methodology:This study used secondary data from BPS Aceh which will be further analyzed using the Klassen Typology, Location Quotient (LQ) and Shift Share (SS).
Main Findings:Klassen typology analysis shows that there are three districts in the fast-progressing and fast-growing category, Central Aceh, West Aceh, and Nagan Raya. Nagan Raya is the only newly established district, formerly part of West Aceh. All parent and new regions have superior sector which should be put into priority by their regents/mayors. According to the findings, it can be concluded that the parent and split regions have financially benefited from the territorial split.
Applications of this study:This study provide information to government stakeholders in Aceh and Indonesia in developing their annual state budget and development plan.
Novelty:Aceh is one of the provinces in Indonesia who has many split regions. However, there are no studies examining the economic development of the split regions. This topic is very significant to be further studied in order to evaluate the effectiveness of the territorial split policy in Indonesia.
Extending The Use And Effectiveness Of The Monopoly® Board Game As An In-Class Economic Simulation In The Introductory Financial Accounting Course
Authors: Shanklin Stephen B. , Ehlen Craig R. 
Published: February 2019

This paper extends the use of the Monopoly® board game as an economic simulation exercise designed to reinforce an understanding of how the accounting cycle impacts the financial statements used to evaluate management performance. This extension adds elements of debt not previously utilized to allow for an introduction of the fundamentals of ratio analysis at a foundation level in financial accounting instruction. This extended approach uses the rules and strategies of a familiar board game to create a simulation of business and economic realities, which then becomes an effective, interactive, in-class financial accounting practice set. The unique combination of each player’s skill and luck provides for unlimited outcome possibilities, delivering an interpretive result that students can neither predict nor easily manipulate. This pedagogical approach serves to provide students with a sense of proprietorship in the activities of the instruction and fosters a competitive spirit to succeed in class activities that will ultimately be presented to the entire class. While the instructor surrenders a significant level of control in the class exercise, the uniqueness of each Monopoly® team’s game results requires active engagement in-class and additional individual effort on the follow-up assignments outside the classroom. In the previous use of the Monopoly® board game, the class activity provided a valuable parallel for reality in practicing the financial accounting cycle and emphasizing its use by external parties. Because of the dynamic sense of capturing the “real-time” aspect of the game into finished financial statements for analysis, students start to sense a greater appreciation for the role that accounting cycle activities play in business reporting and the assessment of operating results. Using the Monopoly® board game in the first course in financial accounting tends to generate a higher level of competitive energy in the classroom experience, with more actively engaged students grasping the nature and purpose of the financial accounting system more quickly and actively than with other pedagogical approaches previously used. More recently, using Microsoft Excel to reflect the game results and present the financial statements has added to the robust learning experience achieved by incorporating the Monopoly® board game.
Fuerzas competitivas que moldean la estrategia en la gerencia del sector mipyme del distrito de Santa Marta -Magdalena, Colombia-
Authors: Donawa Torres Zoraima Aurelia , Morales Martínez Eugenia Cristina 
Published: February 2019

Rev.esc.adm.neg
Las estrategias gerenciales promueven la productividad, impulsando a las empresas a satisfacer las necesidades del entorno, incrementando así su productividad. Teniendo esto en cuenta, el objetivo de esta investigación se centra en identificar la aplicación de tácticas ante las fuerzas competitivas que moldean la estrategia en la gerencia del sector de las mipymes del distrito de Santa Marta –Colombia-. Como base teórica se utilizaron los planteamientos de autores como Fred David (2013), Michael Porter (2009), Richard Daft (2011) y Charles Hill y Gareth Jones (2009), entre otros y en el aspecto metodológico se trabajó desde el parámetro positivista, no experimental, transeccional descriptivo y de campo.La población objeto del estudio estuvo constituida por 40 empleados de cinco empresas y los datos fueron recolectados a través de un cuestionario tipo Likert. Los resultados indicaron que los gerentes de las empresas aplican estrategias para enfrentar las fuerzas competitivas y fortalecer el éxito en el mercado manteniendo a largo plazo su posición competitiva a costa de sus rivales en el sector
Style Translation in an English Version of Tunisian Mustapha Tlili’s novel The Lion Mountain: A Cognitive Basis to Assessment
Authors: Majhad Khalid , Bnini Chakib , Kandoussi Mohammed 
Published: February 2019

<em>Style is every literary author’s identity marker. No translation can ever claim success if it does not reflect the marked stylistic features of the original. This paper assesses the English translation of Tunisian Mustapha Tlili’s novel Lion Mountain in terms of its reproduction of the spirit of the source text, that is the totality of effects generated by the author’s stylistic manners. A cognitive basis to assessment means that the author’s style is a direct expression of his state of mind, his attitudes and beliefs. This model, inspired by the work of Chinese translator and theorist Jin Di (2003), uses a hermeneutic four-stage analysis of literary texts (i.e. penetration, acquisition, transition and presentation), that makes it possible to deal in a rather systematic manner with every aspect of the literary text, namely its spirit, substance, overtone, flavor and imagery. The assessment will demonstrate how translating successes or failures result directly from successes or failures in applying one or more of these hermeneutics-inspired four stages. </em>
Acute Leriche Syndrome in Pancreatic Adenocarcinoma: A Case Report
Authors: Mosa Eftychia , Manouvelou Stamo , Tolia Maria , Tsoukalas Nikolaos , Ardavanis Alexandros , Stasinopoulou Myrsini , Kyrgias George , Tavernaraki Aggeliki 
Published: February 2019

Introduction:
Coexistance of pancreatic carcinoma and Leriche syndrome is an extremely
rare pathological condition. Leriche syndrome is defined as occlusion of the distal aorta at
the bifurcation into the common iliac arteries.

Case Report:
We report the case of a 57-year old male patient with a locally advanced pancreatic
tumor that during chemotherapy presented Leriche syndrome. Four months after the diagnosis and
although the initial staging by MRI had only revealed a few atheromatic lesions of the abdominal
aorta, the patient complained about claudication of the legs and hypoesthesia. Angiography with
multi-detector computed tomography (MDCTA) was performed using aortography protocol and
three-dimensional reconstruction of the images followed, deCmonstrating the relationship between
pancreatic carcinoma and Leriche syndrome.

:
Review of the literature revealed that acute abdominal thrombosis is rare in cancer
patients. To our knowledge, complete occlusion of the aorta in a patient with pancreatic cancer has
not been reported yet.
Implantable Device Positioning based on Magnetic Field Detection using Genetic Algorithm in Body Area Biosensor Networks
Authors: Ogose Shigeaki , Mori Shintaro , Sekii Takahiro 
Published: February 2019

Background:Minimally invasive medical care by the aid of Information Communication Technology (ICT) has attracted considerable attention. Sensor nodes including implantable devices within the bio-sensor network or Body Area Network (BAN) have been utilized to reduce the burden on patients. To control the operation of devices properly or collect vital data effectively, it is important to obtain accurate information on their position.Methods:This paper provides an effective positioning method based on the detection of magnetic fields generated from implantable devices using the Genetic Algorithm (GA). After providing the principle of the proposed method, some laboratory test measurement results are given to confirm its effectiveness.Results:Magnetic field detection using multiple magnetic field sensors was achieved. From the results of multiple point measurements on the three-dimensional components of the magnetic field strength, the position of the target was obtained with a smaller error. Laboratory test measurement results are in good agreement with the theoretical values.Conclusion:The proposed positioning method is an effective and an economical approach. It is also effective for detecting moving devices such as a capsule endoscope in a human body. With the aid of the GA, high-speed detection is obtained with a low calculation costs. The compressed sensing method reduces the number of measurement points.
Sleep Apnea throughout the First Two Years of Life: Assessment of the Effect of Pacifiers in Patients with ALTE
Authors: Levrini Luca , Nosetti Luana , Letizia Riggi , Laura Montericcio , Agosti Massimo 
Published: February 2019

Background:Apparent Life-Threatening Event (ALTE), Obstructive Sleep Apnea syndrome (OSAs) and Sudden Infant Death Syndrome (SIDS) are strongly correlated and few studies analyze the role that pacifiers play in such conditions.Objective:The aim of the study is to evaluate how pacifiers affect sleep apnea among children with a history of ALTE.Methods:10 subjects between 1 month and 2 years of age with a history of idiopathic ALTE were non-selectively recruited. Patients were subjected to cardio-respiratory monitoring at home for two consecutive nights; during the first night, the pacifier was not used, whereas the second night, the pacifier was used by the child for at least four hours sleep. Parents were given an assessment questionnaire to evaluate and report any irritation due to the pacifier use. All obtained traces were blindly analyzed by a pediatric specialist in sleep disorders, more specifically: Peripheral oxygen saturation (SpO2), heart rate (FC), Electrocardiogram (ECG) and the presence of apneas and/or hypopneas were assessed. In order to evaluate the differences between the average values collected from the two groups, a t-test was performed.Results:The use of the pacifier resulted in a statistically significant reduction in the number of pathological apneas/night (-1.7%;p= 0,0024), an improvement in the average SpO2(+ 0.8%;p= 0.3328) and an increase in the value of the minimum SpO2detected (+ 2%;p= 0.2571).Conclusion:The results show that the use of pacifiers improves the respiratory capacity of children that suffer from nocturnal apneas at night.
Screening for Underlying Osteoporosis in Fragility Fracture Patients: The Patients Perspective
Authors: Hanghøj Tei Randi Maria , Langdahl Bente , Brink Ole , Dreyer Pia 
Published: February 2019

Background:
Early detection and treatment of osteoporosis are essential in preventing fractures and fracture-related morbidity and mortality. Fractures beget fractures and it is relevant and well-documented beneficial to target osteoporosis screening in patients already suffering a fracture. The associated increased number of patients being confronted with a potential diagnosis of osteoporosis makes it worth considering how this affects patients.

Objective:
The aim of this study was to explore fracture patients’ experiences when confronted with the option of being screened for osteoporosis as the underlying reason of their fracture.

Methods:
In a phenomenological hermeneutic framework, semi-structured interviews were performed in 15 fragiligty fracture patients being offered screening for osteoporosis. Analysis inspired by Ricoeur consisting of naive reading, structural analysis, and critical analysis and discussion was applied.

Results:
Fracture patients were condemned to make a choice when confronted with the possibility of the early detection of osteoporosis. Many questions regarding prevention of new fractures and prospects in the case of a positive test result were raised. The major themes were related to the consequences of knowing what might be hidden in the bones, and the responsibility to prevent illness.

Conclusion:
The confrontation with the potential risk of osteoporosis provokes fear and worry in patients about lived daily life and anxiety about being treated as a sick person, but in return, it motivates patients to adopt a bone-healthy lifestyle. In general, patients prefer to be given knowledge of their bone health status over not knowing, and being able to seek further information on the condition facing them.
Economic Integration versus Social Avoidance: Assessing Neighborhood Relationships Between the Shanty Town of Calabar and its Surrounding Upper-class Gated Communities | Integração econômica vs evitamento social: analisando relações de bairro entre a favela de Calabar e os condomínios de elite circundantes
Authors: Treuke Stephan 
Published: February 2019

This research assesses the impact of neighborhood effects on the well-being of thirty inhabitants in Calabar, a shanty-town set within an upper-class area of Salvador (Brazil). We adopted a threefold methodological framework in order to explore the material, social and symbolic dimensions of the neighborhood effects based on a set of interviews. With regard to the material dimension, cross-class interactions via the employment nexus are fostered through geographic proximity; however social segmentation regarding access to schools, hospitals and leisure activities have reinforced the social hierarchies. In the social dimension, a high degree of cohesion and solidarity has entailed positive implications for the job search processes, access to resources and a strengthening of territorial identity. With the symbolic dimension, statistical discrimination has entailed deleterious effects on economic integration. In conclusion, the hypothesis of an opportunity-enriching environment should be subjected to careful scrutiny since the economic integration of the inhabitants neither bridges the social distances nor impedes place-based discrimination.