bluuebunny/crossref_metadata_2025_split huggingface dataset:
İnme nedeniyle hemipleji gelişen hastalarda rehabilitasyon sonuçları ile maliyet arasındaki ilişki
Authors: YETİŞGİN Alparslan , SATIŞ Serap 
Published: August 2019

Amaç: Bu çalışmada, inme nedeniyle hemipleji gelişen hastaların
rehabilitasyon sonuçları ile maliyet arasındaki ilişkinin değerlendirilmesi
amaçlandı.Materyal ve
Metod: Harran Üniversitesi
Araştırma ve Uygulama Hastanesi Fizik Tedavi ve Rehabilitasyon (FTR)
Kliniğinde, Nisan 2016 ila Şubat 2019 tarihleri arasında yatarak rehabilitasyon
tedavisi uygulanmış inme hastaların dosyaları retrospektif olarak tarandı. İlk
defa inme geçirip hemipleji sekeli olan, inme sonrası 4 ay içinde yatarak
rehabilitasyon tedavisine başlanan hastalar dahil edildi. Hastaların demografik
ve klinik özellikleri yanı sıra hastane faturaları incelendi.Bulgular: Yaş ortalaması 60.8±11.3 yıl olan 28 (13 kadın, 15 erkek) hasta dahil
edildi. Hastaların %82.1’inde etiyoloji iskemik nedenli iken, %17.9’unda
hemorajikti. Hipertansiyon (HT) en sık (%82.1) eşlik eden komorbidite olup,
bunu diabetes mellitus (%46.4) takip etmekteydi. Kadın hastaların hepsinde HT
varken erkeklerde bu oran %61.5 idi (p=0.0013).
Hastaların sadece %10.7’sinde ek hiçbir sistemik hastalık yoktu. Bir hasta dışında tüm hastalara farklı
branşlara konsültasyon istenirken, %71.4 ile Dahiliye bunlar arasında en sıktı.
65 yaş ve üzeri hastaların %80’inde Psikiyatri konsültasyonu istenirken, bu
oran 65 yaş altındakilerde %16.7 idi (p=0.001). Omuz ağrısı en sık
komplikasyondu (%35.7). 65 yaş ve üzeri hastaların %50’sinde omuz ağrısı varken
65 yaş altında bu oran %10 idi (p=0.034). FTR kliniğinde ortalama yatış süresi
59.9±31.4 gün ve fatura ortalaması 10.660±6130.8 TL idi. Rehabilitasyon
programı sonunda hastaların %82.1’inde fonksiyonel ambulasyon skalasında
ilerleme kaydedildi.

Sonuç: İnme rehabilitasyonu ile hastaların fonksiyonel durumlarında gelişme
sağlanmakla beraber ciddi bir ekonomik yük meydana getirmektedir. Bu maliyeti
azaltmak için başta HT olmak üzere inmeye yol açabilecek sistemik hastalıkların
tanı ve tedavisinin uygun şekilde yapılması bu mali yükün azalmasına neden olabilir.
A comparative study between levobupivacaine 0.5% plus lignocaine 2% or bupivacaine 0.5% plus lignocaine 2% for peribulbar block in cataract surgery
Authors: Shah Jigna , Bhatt Kajal A. 
Published: August 2019

Background and Aim: Local anesthetic techniques are increasingly popular for ophthalmic surgery. Levobupivacaine, the pure S (-) enantiomer of bupivacaine, has strongly emerged as a safer alternative for regional anesthesia than its racemic sibling, bupivacaine. The present Study was performed with an aim to compare between levobupivacaine 0.5% or bupivacaine 0.5% both in a mixture with lignocaine 2% for peribulbar block in cataract surgery.Methodology: In this prospective double blind study, all the patients were randomly divided in two groups, Group B patients received inj bupivacaine 0.5% (5 ml) + lignocaine 2% (5 ml) + hyaluronidase (5 IU/ml), and Group L patients received inj levobupivacaine 0.5% (5 ml) + lignocaine 2% (5 ml) + hyaluronidase (5 IU/ml) for peribulbar block by akinetic technique to provide anesthesia for cataract surgery. The study was conducted for the period of one year. After routine pre anesthetic assessment, a peripheral intravenous (i.v.) line was inserted in 6 hours fasted patient and standard monitoring was conducted and recorded, including heart rate (HR), noninvasive arterial blood pressure (BP), electrocardiogram (5 leads), and peripheral oxygen saturation (SpO2). Motor block was evaluated by assessment of akinesia in four quadrants using general akinesia scoring system. Results: There were no significant difference between groups with respect to the akinesia score (p = 0.24) at 2, 5 and 10 min, the number of supplementary injections (p = 0.83) and initial and total required volume of local anesthetics (p = 0.78 and p = 0.79). There was no significant difference between the groups regarding surgeon and patient satisfaction (p > 0.52). Similarly the verbal rating scales assessed at three different occasions were not significantly different between the groups (p > 0.05). The need for additional intra-operative topical anesthetic was similar between the groups (p = 0.64).Conclusion: Peribulbar block with a mixture of levobupivacaine 0.5% and lignocaine 2% or bupivacaine 0.5% and lignocaine 2% provides similar block quality and efficacy.Citation: Shah J, Bhatt KA. A comparative study between levobupivacaine 0.5% plus lignocaine 2% or bupivacaine 0.5% plus lignocaine 2% for peribulbar block in cataract surgery. Anaesth pain & intensive care 2019;23(2):192-197
Failure to Pace
Authors: Choudhury Minati , Irpachi Kalpna 
Published: August 2019

4 month old female child diagnosed a case of long QT syndrome with recurrent polymorphic ventricular tachycardia (VT) storm with moderate left ventricular (LV) dysfunction with status epilepticus presented with recurrent seizures in an emergency. Patient was intubated and put on mechanical ventilation. Recurrent seizures subsided with intravenous midazolam and anticonvulsants. In view of unstable rhythm, recurrent polymorphic VT storm and unstable haemodynamic, patient required antiarrhythmic agents such as flecainide and multiple inotropic supports. There was frequent pause dependent VT hence it was decided to put on permanent pacemaker. A repeated pacing attempt failed and on table plan for cardiac sympathectomy was made. However, the parents refused for the later. The patient left back with her own rhythm and parents are prognosticated.
Faktor yang Mempengaruhi Akseptor dalam Memilih Alat Kontrasepsi Suntik
Authors: Hasnani Fenti Hasnani 
Published: August 2019

Abstract
Non-specific low back pain is the symptom of lower back pain that occurs without an obvious cause, the diagnosis is based on exclusion of specific pathology. Non-specific low back pain can result in pain, muscle spasm and muscle imbalance, it can decrease the stability of the abdominals and lower back, limitation in lumbar mobility , changes posture, and it’s couse make disability in patients with non-specific low back pain. Exercise therapy for non-specific low back pain is high recommend to increased stability and correct posture of the spine. The purpose of this study is to determine the effect of McKenzie Exercise to reduce patient disability in non-specific low back pain.
Method: This research applied pre experimental research method with one group Pre and Post Test Design. The research was conducted in Dr Soeradji Tirtonegoro hospital Klaten. There were 16 subjects taken for this research. Disability was measured by oswestry disability index (ODI) before and after treatment. Subject get Mckenzie exercise with the frequens are 2 times a weak in a month
Result: Statistical test results obtained, have a decline ODI score at the McKenzie Exercise have done with a value of p = 0.000. This means that Mckenzie excercise can reduce patients disability in non-specific low back pain.

Keywords: McKenzie exercises, disability, non-specific low back pain, oswestry disability index.
Mckenzie Excercise dalam Penurunan Disabilitas Pasien Non-Specific Low Back Pain
Authors: Kurniawan Ganesa Puput Dinda 
Published: August 2019

Non-specific low back pain merupakan gejala nyeri pinggang bawah yang terjadi tanpa penyebab yang jelas, diagnosisnya berdasarkan eklusi dari patologi spesifik. Non-specific low back pain dapat mengakibatkan nyeri, spasme otot dan imbalance muscle, sehingga stabilitas otot perut dan punggung bawah mengalami penurunan, mobilitas lumbal terbatas, perubahan postur, dan mengakibatkan disabilitas pada pasien non-specific low back pain. Pemberian terapi latihan pada kasus non-specific low back pain sangat dianjurkan untuk peningkatan stabilitas dan koreksi postur pada tulang belakang, terapi latihan ini bisa berupa McKenzie exercise. Tujuan penelitian ini untuk mengetahui pengaruh mckenzie excercise dalam penurunan disabilitas pasien non-specific low back pain.
Jenis penelitian ini merupakan penelitian pre eksperimental dengan mengunakan rancangan one group pre and post test design. Penelitian dilaksanakan di RSUP Dr Soeradji Tirtonegoro Klaten. Subjek sebanyak 16 pasien yang memenuhi kriteria yang ditetapkan peneliti. Disabilitas diukur dengan oswestry disability index (ODI) sebelum dan sesudah pelatihan. Subjek diberikan mckenzie excercise dengan frekuensi 2 kali semingu selama 1 bulan.
Hasil uji statistik didapatkan, terjadi penurunan skor ODI pada pemberian mckenzie excercise dengan nilai p=0,000. Ini berarti mckenzie excercise dapat menurunkan disabilitas pada pasien non-specific low back pain.
Characterization and Impact of Silver nanoparticles on cell growth, lipid, carbohydrate and fatty acids of Chlorella vulgaris and Dictyochloropsis splendida
Authors: Shanab Sanaa Mahmoud Metwally , Partila Abir M , Ali Hamdy Elsayed Ahmed , Abdullah Mohd A 
Published: August 2019

Background: Many efforts have been made to increase the productivity of microalgae for biodiesel productions. The use of silver nanoparticles is the novel way to elicit stress responses with enhanced lipid level.

Results: In this study, the biosynthesis of extracellular silver nanoparticles (AgNPs) was reported and their impacts as elicitors on the cell growth and metabolite contents of Chlorella vulgaris and Dictyochloropsis splendida were evaluated. The production of AgNPs was achieved by the reduction of silver nitrate (AgNO3) solution, after incubation at 35°C overnight with Pseudomonas aeruginosa supernatant, and exposed to gamma irradiation at 100 Gy for 1.5 mins.
The biosynthesis was confirmed by the maximum absorption peak at 455 nm with the UV–Vis Spectrophotometer. The Atomic Force Microscopy (AFM) recorded the spherical nanoparticles size of 10 nm, while the Dynamic Light Scattering (DLS) recorded the size range of 6.7 to 12.1 nm (84.2%) and the particles were monodispersed. The Gas Chromatography/Mass Spectroscopic analysis of the bacterial filtrate before reaction with AgNO3 suggested the presence of ethylene glycol derivatives which may act as a reducing agent of silver ions to silver nanoparticles. Lower AgNPs concentrations (1, 3 and 5 mg/L) enhanced the lipid production but at the expense of cell growth. All AgNPs concentrations however displayed a negative impact on carbohydrates content. The lipid profile of the AgNPs-treated algae showed the appearance or disappearance, and increase or decrease of certain fatty acids, as compared to the untreated control. The Saturated Fatty Acids represented the highest composition (61-67%) of the total fatty acids and Palmitic acids (16:0) were dominant (43.06-46.57%).

Conclusion: Lipids of this composition could withstand autoxidation during storage and are perfect feedstock for biodiesel and other lipid based applications.
Explicit Methods in Number Theory
Authors: Belabas Karim , Poonen Bjorn , Rodriguez Villegas Fernando 
Published: August 2019

The aim of the series of Oberwolfach meetings on ‘Explicit methods in number theory’ is to bring together people attacking key problems in number theory via techniques involving concrete or computable descriptions. Here, number theory is interpreted broadly, including algebraic and analytic number theory, Galois theory and inverse Galois problems, arithmetic of curves and higher-dimensional varieties, zeta and

L

-functions and their special values, modular forms and functions.

The meeting provides a forum for presenting new methods and results on concrete aspects of number theory. Considerable attention is paid to computational issues, but the emphasis is on aspects that are of interest to the pure mathematician. In this respect the meetings differ from virtually all other computationally oriented meetings in number theory (most notably the ANTS series), which have a tendency to place actual implementations, numerical results, and cryptographic implications in the foreground.
The 2018 meeting featured a mini-course on nonabelian Chabauty theory, so several of the talks were on this topic; the other talks covered a broad range of topics in number theory.
Legacies and memories of violence in <i>Becos da memória</i>
Authors: Lehnen Leila 
Published: August 2019

Este ensaio reflete sobre como o conceito de “violência lenta” (slow violence) (Nixon, 2011) estrutura a narrativa do romance Becos da memória (2006), de Conceição Evaristo. Nixon define a “violência lenta” como um processo diacrônico de marginalização que afeta principalmente grupos nas margens econômicas e minorias raciais. A violência lenta é também, segundo Nixon, muitas vezes menos visível. Ela se manifesta em diferentes esferas, incluindo a depredação e a marginalização ambiental. É a faceta ambiental que distingue a violência lenta da violência estrutural, ainda que ambas expressões intersectem. O texto de Evaristo revela não somente quais são as consequência da violência estrutural (Galtung, 1969), mas também como este tipo de violência influencia a experiência espacial e, pelo tanto, a vivência cotidiana, de populações pobres e racializadas. Nesse sentido, o romance de Evaristo aborda os efeitos da violência lenta sobre comunidades marginalizadas. Dessa forma, Becos da memória traz à tona, a confluência entre meio ambiente e a experiência de vida de população social e espacialmente marginalizadas.
Histopathology and elastography discordance in evaluation of breast lesions with acoustic radiation force impulse elastography
Authors: Toprak Nurşen , Yokus Adem , Gündüz Mahir , Akdenız Huseyın 
Published: August 2019

PurposeIt is known that, besides its benefits, ultrasound (US) elastography may show discordance findings, leading to biopsy, so this technique has some limitations. The purpose of the present study was to compare histopathological results and shear wave velocity (SWV) values in patients, to reveal discordance findings, and to investigate its statistical significance in making the decision for biopsy with SWV values.Material and methodsA total of 190 patients presenting with breast lesions were included in the study. The mean age of the patients was 39.87 ± 13.56 years. All morphological features of lesions were evaluated by B-mode US. The mean SWV values were measured using the region of interest (ROI) through all lesions with ARFI elastography. An ultrasound-guided Tru-Cut needle biopsy was performed, and histopathologic data were obtained.ResultsThe SWV values of false positive benign lesions, such as: granulomatous mastitis, sclerosing adenosis, chronic inflammation, fat necrosis, fibrotic breast tissue, and scar tissue, were as high as the SWV values of malignant lesions. Sensitivity was found as 91.6% and specificity as 40.9% for SWV values in ARFI US.ConclusionsOur results showed that breast lesions showed false positivity (59.1%) and false negativity (8.3%) in ARFI US. Elastography is useful and sensitive in the evaluation of breast lesions, but some benign lesions may mimic malignant lesions; thus, this information should not be underestimated in biopsy decision-making for elastography users.
Diagnostic triad of pulmonary anthracofibrosis in spiral CT scan – a retrospective study
Authors: Kahkouee Shahram , Khabbaz Shaghayegh S. , Keshavarz Elham , Kiani Arda , Hajinasrollah Ghazal , Anvar Amine Ghaffari 
Published: August 2019

IntroductionAnthracosis, a form of pneumoconiosis commonly caused by air pollution and other environmental factors, is a new entity in respiratory disorders. Bronchoscopy and transbronchial lung biopsy (TBLB) are the gold standard of diagnosis. Herein, we evaluated the results of bronchoscopy and chest computed tomography (CT) scans of 187 anthracotic patients.Material and methodsBetween April 2016 and April 2017, 187 cases (99 males, mean age 65 ± 10.2 years) who underwent flexible bronchoscopy and TBLB for various indications were considered for this study. CT examinations of these patients were reported as “blind to bronchoscopy results” by two experienced board-certified radiologists.ResultsAccording to the results of bronchoscopy and TBLB, 100 patients were diagnosed as anthracotic. CT scans confirmed 71 of these cases as anthracosis. Sensitivity, specificity, PPV, NPV, and accuracy of hyperdense non-calcified mediastinal and hilar lymph nodes, known as “brilliant lymph nodes”, compared to bronchoscopy were 55%, 92%, 89%, 64%, and 72%, respectively (CI: 95%). Also, there was a positive correlation between anthracosis and brilliant lymph nodes (p-value = 0). Analysis of hyper-attenuated lung with bronchoscopy estimated sensitivity, specificity, PPV, NPV, and accuracy gave 41%, 94%, 89%, 58%, and 65%, respectively (CI: 95%). The specificity of brilliant lymph nodes, hyper-attenuated lung, and multi-segmental atelectasis as a diagnostic “triad of anthracosis” was 100%.ConclusionsBased on our analyses, the triad of brilliant lymph nodes, hyper-attenuated lung, and multi-segmental atelectasis was identified as a reliable set of imaging findings for the diagnosis of anthracosis.
Photochemical production of ozone and emissions of NOx and CH4 in the San Joaquin Valley
Authors: Trousdell Justin F. , Caputi Dani , Smoot Jeanelle , Conley Stephen A. , Faloona Ian C. 
Published: August 2019

Abstract. Midday summertime flight data collected in the
atmospheric boundary layer (ABL) of California's San Joaquin Valley (SJV)
are used to investigate the scalar budgets of NOx, O3, and
CH4, in order to quantify the individual processes that control near-surface concentrations, yet are difficult to constrain from surface
measurements alone: these include, most importantly, horizontal advection and
entrainment mixing from above. The setting is a large mountain–valley system
with a small aspect ratio, where topography and persistent temperature
inversions impose strong restraints on ABL ventilation. In conjunction with
the observed time rates of change this airborne budgeting technique enables
us to deduce net photochemical ozone production rates and emission fluxes of
NOx and CH4. Estimated NOx emissions from our principal
flight domain averaged 216 (±33) t d−1 over six flights
in July and August, which is nearly double the California government's
NOx inventory for the surrounding three-county region. We consider
several possibilities for this discrepancy, including the influence of
wildfires, the temporal bias of the airborne sampling, instrumental
interferences, and the recent hypothesis presented by Almaraz et al. (2018)
of localized high soil NO emissions from intensive agricultural application
of nitrogen fertilizers in the region and find the latter to be the most
likely explanation. The methane emission average was 438 Gg yr−1
(±143), which also exceeds the emissions inventory for the region by almost
a factor of 2. Measured ABL ozone during the six afternoon flights
averaged 74 ppb (σ=9.8 ppb). The average midafternoon ozone rise
of 2.8 ppb h−1 was found to be comprised of −0.8 ppb h−1 due to
horizontal advection of lower O3 levels upwind, −2.5 ppb h−1 from
dry deposition loss, −0.5 ppb h−1 from dilution by entrainment mixing,
and 6.9 ppb h−1 net in situ photochemical production. The O3
production rates exhibited a dependence on NO2 concentrations (r2=0.35) and no discernible dependence on methane concentrations (r2∼0.02), which are correlated with many of the dominant volatile organic compounds
in the region, suggesting that the ozone chemistry was predominantly
NOx-limited on the flight days. Additionally, in order to determine the
heterogeneity of the different scalars, autocorrelation lengths were
calculated for potential temperature (18 km), water vapor (18 km), ozone
(30 km), methane (27 km), and NOx (28 km). The spatially diffuse
patterns of CH4 and NOx seem to imply a preponderance of broad
areal sources rather than localized emissions from cities and/or highway
traffic within the SJV.
Inferring the timing of abandonment of aggraded alluvial surfaces dated with cosmogenic nuclides
Authors: D'Arcy Mitch K. , Schildgen Taylor F. , Turowski Jens M. , DiNezio Pedro 
Published: August 2019

Abstract. Information about past climate, tectonics, and landscape
evolution is often obtained by dating geomorphic surfaces comprising
deposited or aggraded material, e.g. fluvial fill terraces, alluvial fans,
volcanic flows, or glacial till. Although surface ages can provide valuable
information about these landforms, they can only constrain the period of
active deposition of surface material, which may span a significant period
of time in the case of alluvial landforms. In contrast, surface abandonment
often occurs abruptly and coincides with important events like drainage
reorganization, climate change, or landscape uplift. However, abandonment
cannot be directly dated because it represents a cessation in the deposition
of dateable material. In this study, we present a new approach to inferring
when a surface was likely abandoned using exposure ages derived from in situ-produced cosmogenic nuclides. We use artificial data to measure the
discrepancy between the youngest age randomly obtained from a surface and
the true timing of surface abandonment. Our analyses simulate surface dating
scenarios with variable durations of surface formation and variable numbers
of exposure ages from sampled boulders. From our artificial data, we derive
a set of probabilistic equations and a MATLAB tool that can be applied to a
set of real sampled surface ages to estimate the probable period of time
within which abandonment is likely to have occurred. Our new approach to
constraining surface abandonment has applications for geomorphological
studies that relate surface ages to tectonic deformation, past climate, or
the rates of surface processes.
Impact of hurricanes Irma and Maria on the Pacific Tsunami Warning Center initial tsunami warning capability for the Caribbean region
Authors: Sardina Victor , Walsh David , Koyanagi Kanoa , Weinstein Stuart , Becker Nathan , McCreery Charles , von Hillebrandt-Andrade Christa 
Published: August 2019

Abstract. In September 2017, hurricanes Irma and Maria wreaked havoc across the Caribbean region. While obliterating the infrastructure in the Caribbean nations found along their path, both hurricanes gradually destroyed the existing seismic networks. We quantified the impact of the hurricanes on the Pacific Tsunami Warning Center (PTWC) initial tsunami warning capability for the Caribbean region relying on the computation of theoretical earthquake detection and response times after accounting for hurricane-related station outages. The results show that the hurricanes rendered 38 % of the 146 stations available in the Caribbean inoperative. Within the eastern Caribbean region monitored by PTWC the hurricanes exacerbated outages to an astonishing 82 % of the available 76 seismic stations. Puerto Rico, the Virgin Islands, and the Lesser Antilles suffered the brunt of both hurricanes, and their seismic networks nearly disappeared. The double punch delivered by two successive category 5 hurricanes added up to 02:43 and 04:33 min to the earthquake detection and response times, effectively knocking out PTWC's local tsunami warning capabilities in the region. Emergency adjustments, including the temporary reduction of the number of stations required for earthquake detection and ML magnitude release, enabled a faster response to earthquakes in the region than otherwise possible in the aftermath of hurricanes Irma and Maria.