bluuebunny/crossref_metadata_2025_split huggingface dataset:
Emlőrák miatti szervmegtartó műtétek reszekciós széleinek vizsgálata. Multicentrikus retrospektív elemzés
Authors: Fakan Bernadett , Baranyi Eszter , Horváth Réka , Kálmán Endre , Kulka Janina , Tölgyesi Katalin , Török Miklós , Udvarhelyi Nóra , Zombori Tamás , Cserni Gábor 
Published: June 2019

Abstract: Introduction: Breast conserving surgery for breast cancer requires the analysis of surgical margins. If the tumor is not removed completely, additional treatments (reoperation, boost irradiation) are generally recommended. Aim: To analyze the information content of histopathology reports on surgical margins in consecutive cases of breast conservation for invasive female breast cancer, to evaluate the frequency of incompletely removed tumors and to estimate the rate of further treatments after incomplete removal. Method: Analysis of margin related data of consecutive histopathology reports from 8 Hungarian pathology units with locoregional treatment related data in case of unsafe margins. Results: 386 reports were analyzed after exclusions. 200 and 32 cases were identified as having unsafe margins according to the previous (<5 mm) and the new (0 mm) definition of unclear margin, respectively. Unsafe margins were more common with lobular carcinomas. Specimens with clear margins weighed more. Reoperations for unsafe margins were performed in 43/180 and 12/22 cases according to the previous and the new definitions, respectively. Only 75/137 patients without reoperation received boost irradiation of the tumor bed; information on boost radiotherapy was often missing. Residual cancer was identified in 15/43 reoperated patients, of whom 9 had >0 mm margin distance. Conclusions: Some pathology reports lack information on surgical margins. Unsafe margin rates decreased with the new definition. Residual cancer may be left behind in case of clear margins with no ink on tumor. Neither reoperation, nor boost radiotherapy is given to some patients with unclear surgical margins. Orv Hetil. 2019; 160(26): 1036–1044.
О книге Л. Грэхэма и тульских оружейниках
Authors: Герасимов Григорий Иванович 
Published: June 2019

Цитирование: Герасимов Г.И. (2019) О книге Л. Грэхэма и тульских оружейниках // Мир России. Т. 28. № 3. С. 176–186. DOI: 10.17323/1811-038X-2019-28-3-176-186
В статье рассматриваются отдельные (в известной мере ошибочные) положения работы Лорена Грэхэма «Сможет ли Россия конкурировать? История инноваций в царской, советской и современной России», которые широко используются отечественными авторами. Также критическому анализу подвергается «“скачкообразная” российская модель технологического развития», обоснованная Л. Грэхэмом, в частности, на примере Тульского оружейного завода. Автор статьи на основе исследований, посвященных истории тульского оружейного производства, приводит примеры неправомерных манипуляций Л. Грэхэма историческим материалом, а также прямых фальсификаций с целью скорректировать события и приходит к выводу, что реальная история Тульского оружейного завода не подтверждает ни теорию Л. Грэхэма, ни его предположения о техническом и технологическом отставании Тульского оружейного завода, приведшего к поражению в Крымской войне 1853–1856 гг. Многие факты из истории тульского оружейного производства, которыми Л. Грэхэм обосновывает свою модернизационную теорию и ее необходимость для России, на поверку оказываются искаженными. Предложения Л. Грэхэма, направленные на ликвидацию технического и технологического отставания России от Запада, сводятся к необходимости принятия западного либерально-демократического пути развития. Однако история России свидетельствует, что каждый раз, когда в нашей стране побеждал либерализм, она вместо ожидаемого движения вперед либо скатывалась в пучину диктатуры (период сталинского правления), либо распадалась, а ее экономика деградировала, как это случилось в 1990-е годы. Автор статьи делает вывод, что «модернизационный транзит» непригоден для России и ее народов: нашей стране нужна своя оригинальная теория развития, базирующаяся на достоверных фактах и собственном мировоззренческом фундаменте.
О полимотивации врачей: уроки реформ
Authors: Чирикова Алла Евгеньевна 
Published: June 2019

Цитирование: Чирикова А.Е. (2019) О полимотивации врачей: уроки реформ // Мир России. Т. 28. № 3. С. 6–26. DOI: 10.17323/1811-038X-2019-28-3-6-26
Настоящая статья базируется на материалах эмпирического исследования мотивации врачей и векторах ее изменений в условиях реформирования системы российского здравоохранения. Исследование проводилось методом интервью. В качестве эмпирической базы исследования выступили главные и рядовые врачи из нескольких медицинских организаций Москвы. Всего нами было проведено 37 интервью с руководителями и врачами медицинских организаций трех разных типов: в Федеральном институте, в двух городских клинических больницах скоровспомощного профиля и двух городских поликлиниках (центральной и ее филиале). Анализ мотивационной иерархии, характерной для врачебного сообщества, убедительно показал, что мотивация врачей представляет собой сложное и подвижное образование, и это свидетельствует о выраженности феномена полимотивации у врачей. Важно, что в мотивационной иерархии врачей материальные стимулы имеют большое, но не единственное значение, которое выражается врачами весьма точно – «не только деньги». Реформы, которые сейчас проводятся в московской медицине, частично учитывают этот факт. Однако чтобы эти результаты имели больший эффект, необходимо не просто повышать заработную плату, но контролировать оснащенность аппаратурой, организационную перестройку работы врачей, перейти от системы хаотичной организации системы профессионального развития к ее целенаправленной реализации. Именно профессиональный рост, согласно полученным результатам, может оказаться тем долгосрочным мотивационным фактором, в отношении которого (в отличие от денег) нет привыкания.
Impact of high amylase level in drainage fluid after gastric cancer surgery: Is it a complication or suspicious biochemical measurement?
Authors: HASBAHÇECİ Mustafa , CENGİZ Merve Büşra , AKÇAKAYA Adem , MALYA Fatma Ümit , KUNDUZ Enver , BEKTAŞOĞLU Hüseyin Kazım 
Published: June 2019

Purpose: Pancreatic fistula is a
potential postoperative complication with variable definitions, incidences and
risk factors. We intended to evaluate its impact after gastric surgery. Materials and Methods: A total of 28 consecutive patients
who underwent curative open gastrectomy with lymphadenectomy for gastric
adenocarcinoma were retrospectively analyzed. Patients’ demographics,
peri-operative and pathological data were collected. Pancreatic fistula that
was diagnosed and graded according to International Study Group of Pancreatic
Fistula’s system was identified as main variable.Results: Mean age of
patients was 58.8±10.1 years with a female to male ratio of 9/19. Grade
A pancreatic fistula was diagnosed in six patients (21.4%). There was no grade B and C pancreatic
fistula. Drain amylase level was significantly higher in patients with
pancreatic fistula (p=0.0001). There was no significant difference with regard
to amount of drainage, length of hospital stay and duration of drains in
patients with and without fistula. No significant association was shown between
development of fistula and patients’ demographics, peri-operative and
pathological data.

Conclusion: The development of grade A
pancreatic fistula after gastric surgery does not appear to be a major
complication with clinical consequences. High amylase level in the drainage
fluid can be considered as a biochemical measure only.
Evaluation of patients with dizziness who applied to emergency service
Authors: KOÇER Mürsel , AVCI Akkan , GÜLEN Müge , AVCİ Begüm Şeyda , SATAR Salim , KOÇ Filiz 
Published: June 2019

Purpose: The aim of this study was to evaluate the demographic characteristics of the patients presenting to the emergency room with dizziness, the etiologic causes leading to the complaints and the laboratory findings as well as the prognosis.Materials and methods: The file data of a total of 5,056 patients admitted to the Adana Numune Training and Research Hospital Emergency Medicine Clinic between January 2013 and January 2015 were reviewed retrospectively. Mean, standard deviation, median, lowest, highest, frequency and ratio values were used in the descriptive statistics of the data. Results: Two thousand nine hundred four of the patients were female (57.4%), 2,152 were male (42.6%) and the average age was 53.6 (± 18.2) years. It was determined that the complaints were common in the population between the ages of 51-70, and peripheric peripheral vertigo (n: 4.130, 81.6%), systemic causes (n: 664, 13.1%), and central vertigo (n: 249, 4.9%) were the most prevalent etiologies, respectively. It was determined that 83% of the patients were discharged following necessary procedures in the emergency room.Conclusion: Dizziness is one of the most important symptoms that bring patients to the emergency services. While many etiologies play a part, it is determined that neurological and cardiological evaluations must be done. Patients can mainly be managed in emergency services by simple maneuvering or medical treatment options.
Evaluation of depression among children and adolescents with brucellosis without neurological involvement
Authors: AKALTUN İsmail , KARA Soner Sertan , AYAYDIN Hamza , KARA Tayfun 
Published: June 2019

Purpose: Brucella infection may appear with varying clinical manifestations, from subclinical infection to severe bacteremia or central nervous system infections. The aim of this study was to compare depression rates in brucellosis cases without neurobrucellosis with a non-brucellosis control group.Materials and Methods: One hundred and twenty children and adolescents, 60 with brucellosis and 60 controls, were included in the study. All subjects were administered the Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children -Present and Lifetime Version-Turkish Version (K-SADS-PL-T), and psychiatric evaluation was performed on the basis of DSM-5 diagnostic criteria. Subjects were also assessed with the administration of the Children's Depression Inventory (CDI) and a detailed information form.Results:Depression was diagnosed in 16 (26.7%) of the patients with brucellosis, and in 3 (5%) of the control group, the incidence being significantly higher in the case group (p=0.002). CDI scores were also higher in the case group than in the control group (p&lt; 0.001).Conclusion:The higher rate of depression in children and adolescents with brucellosis, even in the absence of neurological involvement, suggests the importance of these cases being evaluated in psychological terms.
Ebelik öğrencilerinin sosyal zeka düzeyleri ile meslek algıları arasındaki ilişki
Authors: AKÇA Emine , GÖKYILDIZ SÜRÜCÜ Şule , AKBAŞ Meltem , ŞENOĞLU Ayşe 
Published: June 2019

Amaç: Bu çalışma; ebelik öğrencilerinin sosyal zekâ düzeyleri ile meslek algıları arasındaki ilişkiyi belirlemek amacıyla tanımlayıcı olarak yapılmıştır.Gereç ve Yöntem: Kesitsel olarak yapılan araştırmanın örneklemini 15 Nisan-1 Mayıs 2018 tarihleri arasında okulda bulunan ve araştırmaya katılmayı gönüllü olarak kabul eden 174 ebelik öğrencisi oluşturmuştur. Veriler “Kişisel Bilgi Formu”, “Tromso Sosyal Zeka Ölçeği (TSZÖ)” ve “Ebelerin Mesleği Algılama Biçimleri ve Gelecekten Beklentilerini Sorgulayan Anket Formu” ile yüz yüze görüşme yöntemi kullanılarak toplanmıştır.Bulgular: Çalışmaya katılan öğrencilerin yaş ortalamaları 20,99±2,385’tir. Öğrencilerin %91,4’ü bekar, %85,1’i çekirdek aile yapısına sahip ve %63,8’i yaşamını en çok ilde geçirmiştir. Öğrencilerin %31,6’sı 1. sınıf öğrencisidir. Çalışmada öğrencilerin %66,1’i bölümünü isteyerek seçtiğini ve %82,2’si bölümünü sevdiğini bildirmiştir. Öğrencilerin TSZÖ toplam puan ortalamaları 71,79±10,040’tır. Mesleğe adanmışlıkları olumlu olan, atamaları adaletli bulmayan, kurumda özlük haklarına ilişkin yeterince bilgilendirilmediklerini düşünen, mesleğinin toplumun gelişimine katkıda bulunduğunu düşünen ve mesleki anlamda sosyo-kültürel faaliyetlere katılan” öğrencilerin sosyal zeka düzeylerinin istatistiksel olarak daha yüksek olduğu saptanmıştır.Sonuç: Araştırmada ebelik öğrencilerinin sosyal zeka düzeyleri yüksek ve sosyal zekanın öğrencilerin meslek algısı ve gelecekten beklentilerini olumlu yönde etkilediği bulunmuştur.
Üniversite öğrencilerinde uykusuzluk, yorgunluk ve ağrıda kullanılan tamamlayıcı ve alternatif yöntemler
Authors: ÜNAL Kevser Sevgi , GÖZÜYEŞİL Ebru , TAR Edanur 
Published: June 2019

Amaç: Bu araştırmada yabancı
uyruklu öğrencilerin ağrı, uykusuzluk ve yorgunlukta tamamlayıcı, alternatif
yöntemler kullanma durumlarının incelenmesi
amaçlanmıştırGereç ve Yöntem:Tanımlayıcı ve ilişki arayıcı tipte yapılan bu araştırma Türkiye’de bir
üniversitede öğrenim gören 100 uluslararası öğrenci ile yürütülmüştür. Araştırmacılar tarafından literatür bilgileri
doğrultusunda hazırlanan öğrencilerin sosyo- demografik özellikleri (cinsiyet,
yaş, kalınan yer v.s) ve TAT kullanımı
ile ilişkili bazı özellikleri değerlendiren 30 soruluk veri toplama formudur.Verilerin değerlendirilmesinde yüzde, frekans ve ortalama testleri
kullanılmıştır. Bulgular:Araştırmaya katılan yabancı uyruklu öğrencilerin yaş ortalaması
21.52’dir.Öğrencilerin %43 kadın, %57 si
ise erkek öğrencilerden oluşmaktadır. Öğrencilerin %79’u Suriyeli, %15’i Afgan,
%6’sı Türkmen uyruklu’dur. Yabancı uyruklu öğrencilerin %49’u uyku problemi ile karşılaştıklarında, %34’ü
yorgunluk durumunda, %13’ü ise ağrı yönetiminde tamamlayıcı alternatif tedavi (TAT)
kullanımına başvurdukları belirlenmiştir. Öğrencilerin %45’i ağrı yönetiminde,
%27’si yorgunluk’da, %21’i uyku problemi ile karşılaştıklarında farmakolojik yöntemlere başvurdukları
saptanmıştırSonuç:Bu çalışmada öğrencilerin en çok uyku problemi ile karşılaştıklarında
TAT yöntemlerine başvurdukları, ağrı yönetiminde ise farmakolojik yöntemleri
tercih ettikleri belirlenmiştir.
Bipolar bozuklukta özkıyım davranışlarının değerlendirilmesi
Authors: UĞUR Kerim , TAMAM Lut , ÖZPOYRAZ Nurgül , DEMİRKOL Mehmet Emin 
Published: June 2019

Amaç: Bu çalışmada düzenli olarak Bipolar Bozukluk tanısıyla izlenen hastalarda özkıyım davranışının, hastaların sosyodemografik ve klinik özellikleri, dürtüsellik ve çocukluk çağı travmaları ile ilişkisi araştırılmıştır.Gereç ve Yöntem: Çalışmaya polikliniğimize başvuran Bipolar Bozukluk tanısıyla izlenen 91 hasta dahil edilmiştir. Çalışma verileri tarafımızca oluşturulan Duygudurum Bozuklukları Hasta Kayıt Formu, SCID-I, SCID-II, Young Mani Değerlendirme Ölçeği, Hamilton Depresyon Değerlendirme Ölçeği, Özkıyım Davranışı Ölçeği, Çocukluk Çağı Travmaları Ölçeği ve Barratt Dürtüsellik Ölçeği kullanılarak toplanmıştır. Tüm tanısal işlemler ve görüşmeler aynı psikiyatrist tarafından yapılmıştır.Bulgular:Çalışmaya dahil edilen 91 hastanın 52’si kadın, 39’u erkekti. Çalışmamızda 91 bipolar bozukluk hastasının 40’ında özkıyım girişimi öyküsü vardı. Özkıyım girişiminde bulunan grupta hastalık sürecinin daha çok depresif ve karma ataklarla seyrettiği, ataklar arası dönemde işlevselliğin kısmi etkilenmiş olduğunu ve psikotik özellikli daha ağır atak sıklığının daha fazla olduğunu bulduk. Bunun yanında iki grup arasında çocukluk çağı travmaları ve dürtüsellik için istatiksel olarak anlamlı ilişki bulamadık.Sonuç:Bipolar Bozukluk yaşam boyu süren ve işlevselliği büyük oranda bozan bir hastalıktır. Bipolar bozukluk yüksek oranlarda özkıyım girişimi ve tamamlanmış özkıyım ile ilişkilidir. Bu açıdan özkıyım davranışında bulunan hastalarla bulunmayan hastalar arasındaki sosyodemografik, klinik ve diğer değişkenlerin araştırılması ve olası risk faktörlerinin tespiti hastalarda gelişebilecek olası özkıyım davranışını önlemede etkili olacaktır.
In Silico Structural Prediction and Production of a Chimeric Recombinant Dickkopf-1 (DKK-1) Antigen
Authors: Malaei Fatemeh , Rasaee Mohammad Javad , Latifi Ali Mohammad , Rahbarizadeh Fatemeh 
Published: June 2019

Dickkopf (DKK) family of proteins are known as antagonists for the Wnt-β-catenin signaling pathway. It is suggested that the Dickkopf-1 (DKK-1) has a role in several diseases such as hepatocellular carcinomas, hepatoblastomas, Wilms’ tumors, lung cancer and Myeloma bone disease.
The aim of the present study was to produce a chimeric-recombinant DKK-1 protein in order to induce immune response against the antigen.
The recombinant Dickkopf-1 (rDKK-1) protein was designed using bioinformatics analysis. The standard methods were used for cloning, expression and purification. The structure of recombinant protein was analyzed by spectroscopy methods. Enzyme-linked immunosorbent assay (ELISA) and Western blotting were performed to confirm the recombinant protein using a commercial anti-DKK-1 (whole protein) polyclonal antibody. The immunogenicity of the recombinant DKK-1 was assessed by immunizing, intraperitoneally, BALB/C mice four times with the 31-kDa and 45-kDa purified rDKK-1 cloned in pET28a and pET32a vectors respectively. The antibody titer was measured in due course of time.
Stronger immunogenic parts of the protein were selected based on in-silico predictions and recombinant protein was successfully designed. The chimeric gene was sub-cloned, expressed, purified and refolded. The purified protein was confirmed by Western blotting and ELISA. The three dimensional structural was confirmed by CD spectrum and predicted structures by bioinformatics tools, revealed the stability of helix structures. rDKK-1 protein was capable of inducing immune response with high titer antibody and excessive humoral immune response. No significant difference was observed between immunization by 31-kDa and 45-kDa antigen.
Urban Legends – American and/or Global Folklore
Authors: Kovačević Ivan 
Published: June 2019

Development of modern technology, foremostly that of the internet, has made feasible an, up to now, unimaginable reciprocity in the field of anthropological research. If only the wealthy scientific communities were be privy to a global research, while the rest of the world was deprived, the fast flow of information has made possible that each of its users be in the possession of relevant information for the study of, until now, unapproachable turfs, such as the US. Urban legends epitomize a paramount illustration of the possibility of examining American folklore from any world viewpoint, not least Serbia. That is possible for urban legends generated in America, are disseminated through the classic channels of globalization, and through the aforementioned World Wide Web.
The study of urban legends activates reflexivity of traditional anthropological subject- diffusion, in the shape of dissecting reception and evolution of pursuit of generating native urban legends. Such a stance is taken by the study of urban legends in Serbia.
Cokelore (Fine and Best)
Authors: Kovačević Ivan 
Published: June 2019

Urban legends as a part of folklore frequently refer to large corporations creating what is known as the „mercantile legends“. „Coca-cola“ as one of those companies that has drawn the biggest attention of the folklore thought, for whose staple product the legends claim it disintegrates metal and bones, as well as that due to inattention during the filling of the bottles mice or some other rodent can be found in them. By analyzing the mostly widespread legends surrounding Coca-cola as a drink and „Coca-cola“ as a company, such as Mormon ownership, disintegrating powers and bottled mice, the thesis that urban legends can be formed as unconstructed social problems, forms its credibility. On the other hand, if the narratives refer to the consequences of the previously constructed social problems, they will comprise the meanings that correspond to some other segments of reality which can , again, on a specific level of abstraction be seen as unconstructed social problems.
Social Identity and Legal Personality – Collective Entities as Legal Entities?
Authors: Jovanović Miodrag 
Published: June 2019

The paper argues that the legal-theoretical treatment of the issue of promoting certain collective entities to the status of legal entities cannot be satisfactorily accomplished within the methodological models of either Hart’s analytical jurisprudence or Kelsen's Pure Theory of Law. The question of the conceptualization of collective rights proves to be largely a question of justification rather than one of mere analysis or description. In this sense, the paper proposes to elucidate various aspects of the problem of the legal shaping of the social identity of relevant collective entities with the purpose of constructing legal personality. The first section of this paper briefly shows that the question of legal personality is a general problem of legal theory, and that there is consequently nothing specifically new about collective entities as potential legal entities. The second section of the paper considers in greater detail the social and legal „construction of diversity“, on which the concept of collective rights is based. Finally, the paper suggests that the legal theory of collective rights can hardly accomplish these tasks without recourse to the methodological apparatus of both sociological and anthropological disciplines.
Some Observations on Cultural Opposites in Contemporary China: Kuming and Beijing Twenty Years Later
Authors: Vučinić Nešković Vesna 
Published: June 2019

This paper considers the cultural opposites observed in various segments of Chinese culture during the author's three stays in China over a period of twenty years. The first and second stay, in 1986 and 1989 respectively, coincided with the initial period of the implementation of modernization reforms in China, when their results were just beginning to be felt. The third stay was in 2009, towards the end of the third decade of reform implementation, at the time of an already developed market-oriented communism.
The paper's main thesis is that most of the phenomena observed in present-day urban China can be assigned to opposite categories, namely Chinese-Western and traditional- contemporary. Cultural opposites have been observed in the sphere of tourism and the behavior of both Chinese and foreign visitors, in the use of Chinese and English in notices and signs in public places, and in the promotion of traditional and modern architecture. In addition, they have been noted in the presentation of arts and crafts and industrial products, in the manner of consumption of hot drinks, and in the combining of Chinese and foreign cuisine. They are also evident in a Beijing Opera performance adapted both to the modern Chinese and to foreigners, and in the traditional Chinese exercises and western dances performed in public parks. In conclusion, the paper suggests that the process of establishing connections between China and the West is being carried on in a moderate and controlled way. In the globalization process cultural opposites coexist and merge, imparting new features to Chinese culture.
RASCH ANALYSIS OF THE EMPLOYABILITY SKILLS FOR ELECTRICAL TECHNOLOGY STUDENTS IN NIGERIA
Authors: Olojuolawe Sunday Rufus 
Published: June 2019

The study was guided by three research questions. The two results from the document analysis and interview were triangulated to generate the Interim framework of employability skills. To narrow the framework to meet the specific needs of electrical technology students in Colleges of Education, an item pool was designed to be able to survey the agreement index level of Electrical Technology experts. The Fleiss Kappa agreement ratio conducted gave 89.63%, 86.01%, and 81.86% respectively with a mean agreement of 85.83%. The 85.83% represents an â€˜almost perfect agreementâ€™ which is very good for producing a functional and narrow framework of employability skills (Jollands, 2015). The Winstep analysis gave the following results: item separation = 2.18, reliability = .83. the person separation = 3.85, and the person reliability = .94. Cronbach Alpha = .95. The result indicates three levels of the item. The most difficult items moderate, and the less difficult items.