bluuebunny/crossref_metadata_2025_split huggingface dataset:
Klinik örneklerden izole edilien karbapeneme dirençli Acineobacter baumannii suşlarında metallo-beta-laktamaz enzimi varlığının iki farklı fenotipik yöntemle araştırılması
Authors: CESUR Salih , KINIKLI Sami , DOĞAN Kader , BÜYÜKDEMİRCİ Ayşe , YAĞCI Serap , ATAMAN HATİPOĞLU Çiğdem , KILIÇ Esra Kaya , DİNÇ Bedia 
Published: August 2018

Amaç:
Acineobacter
baumannii (A.
baumannii) suşları pekçok antibiyotik grubuna karşı direnç geliştirebilen
nozokomiyal infeksiyon etkenleridir. A. baumannii
suşlarında karbapenem grubu anibiyotiklere karşı direnç mekanizmalarından
birisi de meallo-beta-laktamaz enzimi üretimidir. Metallo-beta-laktamaz enzimleri (VIM, IMP
vb.) aztreonam dışındaki tüm beta-laktamazları inhibe eden, çinko iyonuna
gereksinim duyan enzimlerdir. Bu
çalışmanın amacı, karbapeneme dirençli A.
baumannni suşlarında metallo-beta-laktamaz varlığının iki farklı fenoipik yöntemle araştırılmasıdır.
Gereç
ve Yöntem: Çalışmaya çeşitli klinik örnekleden
izole edilen karbapeneme dirençli 82 A. baumannii
suşu dahil edildi. Bakteri identifikasyonu konvansiyonel yönemler ve BD Phoenix
(Becton Dickinson, USA) otomatize sistemi ile gerçekleştirildi. Antibiyotik
duyarlılık testleri EUCAST önerileri doğrulusunda disk difüzyon yöntemiyle
belirlendi. MBL varlığı kombine disk yöntemi ve modifiye Hodge testi ile araştırıldı.
Bulgular:
Karbepeneme dirençli 82 A. baumannii
suşunun 3’ünde (% 3.7), kombine disk yöntemiyle MBL enzimi saptanırken,
Modifiye Hodge testi çalışılan 70 A. baumannii
suşunun 27 (%39)’sinde MBL üretimi saptandı.

Sonuç: Hastanemizde karbapeneme dirençli A.baumannii suşlarında kombine disk
yöntemiyle MBL enzimi pozitifliği düşük oranda saptanırken, modifiye Hodge
testi ile yüksek oranda saptanmıştır. İki yöntem arasında korelasyon
saptanmamıştır. Sonuç olarak, MBL enzim varlığının referans
yöntem olan moleküler yöntemlerle belirlenerek iki fenotipik yöntemden
hangisinin daha uygun olduğunun belirlenmesi uygun bir yaklaşım olacaktır.
Gastrointestinal poliplerin retrospektif analizi: 1 yıllık dönem
Authors: ZENGİN Mehmet 
Published: August 2018

Amaç: Anabilim
dalımızda tanı alan gastrointestinal sisteme ait polipektomi materyallerinde
izlenen bulguların literatür ile uyumu ve varsa farklı özelliklerin tespiti
için bu çalışmayı planladık.Gereç
ve Yöntem: Çalışmamızda 2017 yılı içinde anabilim dalımızda tanısı
konulan gastrointestinal sisteme ait 325 adet polipektomi materyali
lokalizasyon, çap, yaş ve histopatolojik tiplerine göre incelendi.Bulgular: Hastaların
yaş dağılımı 5-88 arasında değişmekte olup, yaş ortalaması 62,3 yıl, ortalama
çap 5,8 mm olarak saptandı. Poliplerin yerleşim yeri açısından bakıldığında %72,6’ü
kolon, %24’ü mide, %0,3’ü ise ince barsak ve anastomoz bölgesi yerleşimliydi.
Kolon poliplerinin büyük kısmının sigmoidde (%33,0), mide yerleşimli poliplerin
ise büyük kısmının antrumda (%26,9) oldukları saptandı. Gastrointestinal sistem
poliplerinde histopatolojik tipler bakımından en büyük hasta grubunu (%49,8)
hiperplastik polip oluştururken; %25,5
olgu ile tübüler adenom ikinci sırada yer almaktaydı.

Sonuç:
Gastrointestinal sistem poliplerini analiz ettiğimiz çalışmamızda sonuçlarımız
literatür bulguları ile benzerlik göstermektedir.
Kırım Kongo kanamalı ateşi ile karışan Q ateşi olgusu
Authors: KINIKLI Sami , HATİPOĞLU Çiğdem Ataman , CESUR Salih , YÜKSEKKAYA Esra , BÜYÜKDEMİRCİ Ayşe 
Published: August 2018

Q ateşi, Coxiella burnetii’nin neden olduğu zoonotik bir enfeksiyondur.
Başlıca enfeksiyon kaynağı sığır, koyun ve keçi gibi çiftlik hayvanlarıdır.
İnsanlara bulaş genellikle enfekte partiküllerin solunması, kontamine süt veya
süt ürünlerinin ağız yoluyla alınmasıyla olur. Q ateşi geniş bir yelpazede
klinik bulgularla ortaya çıkabilir. Akut Q ateşi kliniğinin genelde
asemptomatik veya hafif seyirli ateşli hastalık şeklinde olması nedeni ile akut
olgularının tanısı atlanabilir. Akut enfeksiyonlar sporadik veya bazen
salgınlar şeklinde ortaya cıkabilir. Ateşle birlikte pnömoni, hepatit veya
diğer hastalık bulgularıyla başvuran olgularda epidemiyolojik ilişki de varsa Q ateşi ayırıcı tanıda akla gelmelidir. Kırım
Kongo kanamalı ateşi (KKKA) ile Q ateşi semptom, klinik ve laboratuvar
bulguları ile karışabilmektedir. Bu yazıda; Bolu ili ilçesinde yaşayan ve
hayvancılıkla uğraşan ateş, üşüme-titreme, baş ağrısı, göz
arkasında ağrı şikayetleri ile başvuran, Q ateşi tanısı konulan bir erkek hasta
sunuldu. Laboratuvar testlerinde; trombositopeni, transaminaz değerlerinde ve
CPK değerinde yükseklik olması nedeniyle başlangıçta KKKA ön tanısı konan hastada
KKKA için PZR ve serolojik testleri negatifti,
Q ateşine yönelik istenen
indirekt floresan antikor testinde Coxiella burnetii
IgG (Faz 2) 1/128 pozitif saptanması ile tanı konuldu.
Doksisiklin tedavisi başlanan hastanın klinik ve laboratuvar bulguları düzeldi.
Sonuç olarak, hayvancılıkla uğraşan, yüksek ateş, baş ağrısı
ve karaciğer enzim testlerinde yükseklik saptanan olgularda ayırıcı tanıda Q
ateşi de akılda tutulmalıdır.
Haller hücresi varyasyon sıklığı ve maksiller sinüzit ile ilişkisinin bilgisayarlı tomografi ile değerlendirilmesi
Authors: YILMAZSOY Yunus , ARSLAN Serdar 
Published: August 2018

Amaç: Çalışmamızda sinonazal bölge
anatomik varyasyonlarından olan Haller hücresinin görülme sıklığını ve sinüzit
ile ilişkisini bilgisayarlı tomografi (BT) ile değerlendirilmesini amaçladık.Gereç ve Yöntem: Bolu İzzet Baysal Devlet Hastanesi’nde 1 Ocak 2017-30 Mayıs 2018
tarihleri arasında multislice (Toshiba) 16 kesitli BT ile çekilen sinüs BT
görüntüleri retrospektif olarak incelendi, Haller hücresinin görülme sıklığı
belirlendi. Maksiller sinüsdeki mukozal değişikliklerin değerlendirilmesinde Mc
Gay Lund sınıflandırması kullanıldı. Bulgular: Çalışmamıza dahil edilen 196 hastadan sadece bir hastada
herhangi bir varyasyon izlenmemiştir. Haller hücresi görülme sıklığı %15,8
olarak tespit edildi. Tüm hastalarda maksiller sinüzit görülme sıklığı ise %63,7
idi. Hastalarda Haller hücre varyasyonu bulunması ile aynı tarafta maksiller sinüzit
mevcut olması arasında istatistiksel
olarak bağlantı tespit edilmedi. Haller hücre varyasyonu olan hastalarda aynı
yönde maksiller sinüzit bulunma oranı %54,9 iken kontrol grubunda %63,3 olarak
tespit edilmiştir. İki grup arasında da sinüzit varlığı açısından istatistiksel
olarak anlamlı fark saptanmadı.

Sonuç:
Paranazal
sinüslerin anatomisinin ayrıntılı bir şekilde ortaya konması hem tanı hem
tedavi açısından önem arz etmektedir.
Decision-making processes when paramedics refer patients away from hospital: a scoping review.
Authors: Sheffield Kelly , O'Meara Peter , Verrinder Glenda 
Published: August 2018

<p><strong>ABSTRACT</strong></p><p><strong>Title:</strong> Decision-making processes when paramedics refer patients away from hospital: a scoping review.</p><p><strong>Background: </strong>Paramedic practice faces increasing service demand with decision-making and referral pathways needing to change. Patients with low acuity clinical presentations do not necessarily require ambulance transport to an emergency department, and previous studies show alternative referral pathways can be effective, safe and efficient. Decision-making processes within the context of referring patients needs to be examined. </p><p><strong>Objectives: </strong>To examine the literature related to paramedic decision-making when referring patients to alternative care services, instead of transporting to hospital.</p><p><strong>Methods:</strong> In this scoping review, the literature between 2005 and 2015 of service providers was examined. Key search terms were developed to search five databases and Internet search engines.</p><p><strong>Results:</strong> Four studies were specifically related to decision-making. Research into the broader topic of paramedics referring patients to alternative medical services other than hospital emergency departments were located, and thirteen relevant studies were included in this review.</p><p><strong>Conclusions:</strong> Key factors including clinical experience, education, protocol use, referral processes, and holistic healthcare approaches all influence decision-making of paramedics when referring patients away from hospital. Further research into these factors is required to better understand how they influence and interact with each other.</p>
Improving Cardiac Arrest Care in Ireland
Authors: Hennelly David 
Published: August 2018

<p>The National Ambulance Service (NAS) serves a population of almost 4.6 million people in the Republic of Ireland, the service responds to over 300,000 ambulance calls each year. The NAS employs over 1,600 staff across 100 locations and has a fleet of approximately 500 vehicles. Emergency Medical Services attempt resuscitation on just under 2000 Out of Hospital Cardiac Arrest (OHCA) cases each year.</p><p>Over the past two years the National Ambulance service has engaged with both the country’s leading resuscitation experts and our international counterparts in a collaborative project focused on developing and expanding the National Ambulance Services response to out of hospital cardiac arrest. The One Life Project not only represents our commitment to improve standards of care it also represents our commitment to measure and publicly report on clinical outcomes of patients. </p>
Paramedic Transition into an Academic Role in Universities: A Demographic and Qualification Survey of Paramedic Academics in Australia and New Zealand
Authors: Munro Graham , O'Meara Peter , Kenny Amanda 
Published: August 2018

<p align="center"><span style="text-decoration: underline;">Abstract</span></p><p><span style="text-decoration: underline;">Objectives</span></p><p> To identify the demographic and qualification characteristics of paramedic academics holding teaching and research positions at universities in Australia and New Zealand offering entry-level undergraduate or postgraduate degree programs in paramedicine.</p><p><span style="text-decoration: underline;">Methods</span></p><p> A 17 item online normative internet survey was used to obtain demographic and qualification characteristics about the target group. The survey was divided into five categories: demographic data, professional qualifications, educational qualifications, learning and teaching experience, and level of academic skills. Data were collected over a two-month period in 2013 and then collated and reported utilising the capabilities of the Survey Monkey program.</p><p><span style="text-decoration: underline;">Results</span></p><p> Of the estimated 66 eligible participants, 30 responded to the survey, 70% were male, the average age when entering academia was 43 years, and the average age when initially entering paramedicine was 23 years. Two-thirds completed their paramedic training in Australia and New Zealand, with the other third training in the UK, US, or Canada. There was a wide-range of levels of training and qualification reported with three having a PhD on entering academia, while most had little to no experience in research, academic writing, and publication.</p><p><span style="text-decoration: underline;">Conclusions</span></p><p> Issues of the transference of cultural and professional capital from one community of practice (CoP) into another, the variance in the levels of academic qualifications amongst paramedics when entering academia, and the resources needed to mentor and educate a large majority of these new academics pose significant challenges to new academics and the universities employing them.</p><p>Key words: paramedicine, university, degree, transition, role</p>
The Elephant in the Room (Clinical Image)
Authors: Alrashed Dhari , Fogarty Eoin 
Published: August 2018

<p>Packaging is an important part of transfer medicine. Appropriate packaging in a “layered” manner is widely accepted as a safer way to move patients who may have various cables or tubes attached.</p><p>In our practise we use modified ventilator airway tubing, approximately 0.5 metres in length with a slit down the longitudinal axis to contain these cables and/or tubes. This tubing has become colloquially known as “Elephant tubing”</p><p>This tubing is typically used to contain ECG wires and medication giving sets. The Oxygen saturation probe wires and one intravenous access is typically left out during the transfer process in order to be able to access same.</p><p> </p>
Paramedic assessment of frailty: An exploratory study of perceptions of frailty assessment tools
Authors: Harris Wayne , Lucas Peter Vincent , Eyles Helen , Parker Leigh 
Published: August 2018

<p><strong>Introduction: </strong>Frailty is recognised as a significant variable in the health of older adults. Early identification by paramedics of those at risk of frailty may assist in timely entry to an appropriate clinical care pathway. Early referral to such pathways has been shown to improve patient outcomes and quality of life, as well as deliver economic benefits. To date, little research has been completed regarding assessment of frailty by paramedic professionals using validated assessment tools. The objective of this study was to determine paramedicine students’ perceptions of screening tools to facilitate assessment and knowledge of frailty of older adults. The Edmonton Frail Scale (EFS) and the Groningen Frailty Index (GFI) were determined suitable for this purpose.</p><p><strong>Methods</strong>: The research adopted a mixed methods approach using a survey tool developed to gather both qualitative and quantitative data from students at the completion of a structured aged care clinical placement. Thematic analysis of the qualitative data identified key features of the tools, while a Likert-type scale was used to measure perspectives about the suitability of the tools for use in paramedic practice.</p><p><strong>Results</strong>: Thirty-seven paramedicine students were invited to participate in the study. Thirteen were able to use both tools to conduct frailty assessments and submitted survey responses. Student perspectives indicated both the EFS and GFI are potentially suitable for paramedicine and as clinical learning tools regarding geriatric assessments. Median time to administer the tools was eight minutes for the EFS and ten minutes for the GFI.</p><p><strong>Conclusion</strong>: Paramedicine students support a frailty assessment tool to assist clinical decision making regarding older adults. Further appraisal of validated frailty assessment tools by operational paramedics in a pre-hospital environment is warranted to determine absolute utility for Australian paramedics.</p>
Evolution of the general practice pharmacist’s role in England: a longitudinal study
Authors: Bradley Fay , Seston Elizabeth , Mannall Ceinwen , Cutts Chris 
Published: August 2018

BackgroundTo address the growing GP workforce crisis, NHS England (NHSE) launched the Clinical Pharmacists in General Practice scheme in 2015. The NHSE scheme promotes a newer, patient-facing role for pharmacists and, currently, there is little insight into the role and activities undertaken. All scheme pharmacists are enrolled on the general practice pharmacist training pathway (GPPTP).AimTo investigate the role evolution and integration of clinical pharmacists in general practice in England.Design and settingLongitudinal survey of all phase 1 GPPTP registrants working in general practice at start of (T1) and 6 months into (T2) training.MethodAn online longitudinal survey was administered to all phase 1 GPPTP registrants (n = 457) at T1 and T2, measuring their perceived knowledge, skill, and confidence, activities performed, and perceptions of practice integration, environment, and support. Descriptive statistics and non-parametric tests were conducted.ResultsResponse rates were 46% (T1) and 52% (T2); 158 participants completed both questionnaires. Perceived knowledge, skill, and confidence levels increased significantly from T1 to T2 for all areas, except for managing acute or common illness. Scope of practice increased significantly, particularly in patient-facing activities. Sharing office space with administrative staff was common and 13% of participants reported having no designated work area. Perceived integration at T2 was fairly high (median = 5 on a scale of 1–7) but GP clinical support was ‘too little’ according to one-third of participants.ConclusionFindings show not only patient-facing role expansion, but also practice environment and support issues. Pharmacists may appreciate more GP time invested in their development. Practices need to be realistic about this support and not expect an immediate reduction in workload.
Stability of thyroid function in older adults: the Birmingham Elderly Thyroid Study
Authors: Roberts Lesley , McCahon Deborah , Johnson Oliver , Haque M Sayeed , Parle James , Hobbs FD Richard 
Published: August 2018

BackgroundThyroid function tests (TFTs) are among the most requested tests internationally. However, testing practice is inconsistent, and potentially suboptimal and overly costly. The natural history of thyroid function remains poorly understood.AimTo establish the stability of thyroid function over time, and identify predictors of development of overt thyroid dysfunction.Design and settingLongitudinal follow-up in 19 general practices in the UK.MethodA total of 2936 participants from the Birmingham Elderly Thyroid Study (BETS 1) with a baseline TFT result indicating euthyroid or subclinical state were re-tested after approximately 5 years. Change in thyroid-stimulating hormone (TSH), free thyroxine (FT4), and thyroid status between baseline and follow-up was determined. Predictors of progression to overt dysfunction were modelled.ResultsParticipants contributed 12 919 person-years; 17 cases of overt thyroid dysfunction were identified, 13 having been classified at baseline as euthyroid and four as having subclinical thyroid dysfunction. Individuals with subclinical results at baseline were 10- and 16-fold more likely to develop overt hypothyroidism and hyperthyroidism, respectively, compared with euthyroid individuals. TSH and FT4 demonstrated significant stability over time, with 61% of participants having a repeat TSH concentration within 0.5 mIU/L of their original result. Predictors of overt hypothyroidism included new treatment with amiodarone (odds ratio [OR] 92.1), a new diagnosis of atrial fibrillation (OR 7.4), or renal disease (OR 4.8).ConclusionHigh stability of thyroid function demonstrated over the 5-year interval period should discourage repeat testing, especially when a euthyroid result is in the recent clinical record. Reduced repeat TFTs in older individuals is possible without conferring risk, and could result in significant cost savings.
Qué está pasando en el Área de Trabajo Social según el Web of Science
Authors: Martínez Sánchez Mª Ángeles , Rodríguez Fernández Francisco Luis , Cobo Martín Manuel Jesús , Herrera-Viedma Enrique 
Published: August 2018

El objetivo de este trabajo es analizar la investigación que se ha desarrollado en el área de Trabajo Social de acuerdo a los trabajos publicados en revistas del área de Trabajo Social según las bases de datos bibliográficas de referencia internacional propiedad de Thomson Reuter, Web of Science y Journal Citation Reports. Para ello, recuperaremos desde el Web of Science todos los trabajos publicados en las revistas internacionales indexadas en la categoría de trabajo social del Journal Citation Report entre los años 2010-2015. Entonces, analizamos mediante técnicas de mapas de ciencia el contenido de los trabajos e identificamos los temas de investigación más relevantes, los temas emergentes, los temas en decadencia y temas periféricos
Las violencias en las historias de vida de las menores afincadas de forma permanente en la exclusión social
Authors: Moriana Gabriela 
Published: August 2018

En este artículo se presentan parte de los resultados de un trabajo de campo etnográfico realizado en distintos centros residenciales de servicios sociales específicos para mujeres de la comunidad valenciana. Su objetivo es conocer los tipos de violencia que sufrieron las mujeres institucionalizadas que iniciaron su trayectoria vital en la situación de exclusión social cuando eran menores de edad, desde su perspectiva y punto de vista. La metodología utilizada ha sido de índole cualitativa, se ha realizado observación participante y entrevistas en profundidad que, junto con los informes sociales y documentos personales, ha permitido elaborar sus historias de vida. Respecto a los resultados, cabe señalar, que en las trayectorias vitales analizadas subyacen distintos tipos de violencia contra las menores por parte de su familia nuclear y extensa: malos tratos físicos, psíquicos, económicos (explotación) y, sobre todo, sexuales; aquejándoles también la violencia contra las mujeres y de género que sufren sus madres. Pero además, y aun siendo menores de edad, ellas también sufren violencia de género y tienen que soportar la violencia que sus parejas ejercen contra sus hijas e hijos.
The Idea of Ideoplasty and Occult Phenomena in the Theoretical and Empirical Research of Julian Ochorowicz
Authors: Hess Karolina Maria 
Published: August 2018

ABSTRACT
Julian Leopold Ochorowicz (1850–1917) was a psychologist, philosopher, and inventor, as well as a photographer, journalist, and poet. As a positivist, he postulated strict research methods in science and treated psychology as a field of study to which the tools of natural sciences can be applied. Ochorowicz's interest in occult phenomena, which for him were not supernatural but just unexplained and misinterpreted qualities of the human body and mind, in time grew to be the most intriguing topic of his work. Ochorowicz wanted to experimentally examine medium-related and other occult phenomena, which he associated with hypnotic states. He used the term “ideoplasty” for a class of phenomena that he deemed theoretically possible, whereby psychic energy is transformed into material excretions. Ideoplasty was a part of his wider conception of transformations of energy (e.g., of power into motion), which combined his theoretical attitude in psychology and his technical inventions.
Evaluation of Ship Repair Services: A Case Study of Taiwan Shipping Companies' Selection
Authors: Lu Hua-An , Hsu Yu-Chang , Chu Ching-Wu 
Published: August 2018

Abstract
Ship repairers are long-term cooperative partners of shipping lines that keep ships in a safe condition. This industry is a professional and technical enterprise. This study explores the critical factors affecting the selection of ship repairers by shipping lines. Ship repair services can be divided into repair yards and repair shops. Repair yards provide berths and dry docks for conducting repair engineering, while repair shops actually perform the ship repairs. Through an investigation of experts, two analysis hierarchies for yards and shops based on a fuzzy multicriteria decision-making (FMCDM) approach are proposed and applied to evaluate the repair services across the Taiwan Strait. The most important criteria in the analyses are repairers' offer terms, relative costs of the service, and technique performance as well as the arrangement of the repair period. Chinese repair yards have attracted shipping lines because of their advantages with respect to costs and productive facilities.