bluuebunny/crossref_metadata_2025_split huggingface dataset:
The relationship between osteoporosis and non-dipper hypertension in postmenopausal women
Authors: ÇAKMAK Tolga , KADİFE İskender , AYHAN Erkan , IŞIK Turgay 
Published: October 2023

Aims: Previous studies have shown association between hypertension and osteoporosis, however has not been evaluated alterations of circadian blood pressure patterns. The present study investigated the effects of osteoporosison the circadian blood pressure assessed by ambulatory blood pressure monitoring.
Methods: 68 patients (mean age: 61.3±8.7 years, 34 dipper and 34 non-dipper patients) with postmenopausal hypertension (HT) were prospectively enrolled in this study. Ambulatory blood pressure monitoring was performed on all patients. We measured bone mineral density (BMD) and T-score by dual X- ray absorptiometry at the lumbar spine. The receiver operating characteristics (ROC) curve was used to demonstrate the sensitivity and specificity of lumbar spine BMD, optimal cut - off value for predicting non-dipper hypertension (NDHT).
Results: T-score and BMD in non-dipper patients were lower than the dipper patients. There was a significant correlation between the rate of fall in night of mean blood pressure and both lumbar spine T-score and lumbar spine BMD (r= 0.330 and P =0.006 vs r=0.322 and P =0.007, respectively). A lumbar spine BMD
The effect of COVID-19 pandemic on stroke admissions to a city
Authors: METİN Salih , AYGÜN Hüseyin , HAKİ Cemile 
Published: October 2023

Aims: The COVID-19 pandemic has brought about significant changes in healthcare around the world. The idea that hospital admissions due to cerebrovascular diseases may be affected during global epidemics made us do this study. In this study, we aimed to evaluate the effects of the pandemic and curfew restrictions on stroke applications and admissions in Bursa at the local level.
Methods: Our study was conducted by retrospectively scanning the patients who received treatment for cerebrovascular diseases in our hospital between 01.01.2018 and 31.12.2021. The admission dates, ages and International Classification of Diseases (ICD-10) codes of the patients included in the study were recorded. ICD-10 codes were categorized as bleeding (I60/I61/I62), infarct (I63), nonspecific (I64/I67), other (I65/I66/I68/I69) for use in analyses. Patients under the age of 18 and patients with missing file data were excluded from the study. The files of a total of 6997 patients were accessed.
Results: When in this study look at the number of patients by years, it was seen that there were 1326 people in 2018, 1562 people in 2019, 1916 people in 2020, and 2187 people in 2021. It is noteworthy that if we call the years 2018-2019, when there is no COVID-19 pandemic, as prepandemic, and if we call the years 2020-2021, when the COVID-19 pandemic is experienced, as pandemic, the cases due to infarction (I63) increase approximately twice. In the chi-square analysis we performed between categorical diagnoses and years, a statistical difference was found between years and diagnoses (p
Evaluation of the readability of consent forms used in cardiovascular surgery clinics
Authors: KAYA İbrahim Çağrı 
Published: October 2023

Aims: The readability of the informed consent forms, which are a power of attorney agreement between the physician and the patient, is very important especially in clinics where high-risk procedures such as cardiovascular surgery are performed. In this study, we aimed to determine the readability levels of consent forms, which are frequently used in cardiovascular surgery clinics, according to accepted scales.
Methods: The readability level of the 15 patient consent forms recommended by the Turkish Society of Cardiovascular Surgery to its members; word counts, syllable counts, letter and character counts were calculated using Ateşman and Bezirci-Yılmaz formulas.
Results: Consent forms included in the study were found to be readable at the 11-12th grade level according to the Ateşman scale and at the high school level in the Bezirci-Yılmaz scale. These texts have also been studied at international scales and it has been determined that they are at the level of readability that requires undergraduate education.
Conclusion: Research and data from the Turkish Statistical Institute show that the average year of schooling in our country is 6.5, and the ratio of high school graduates or equivalent to the entire population is 22.3%. We advocate simplifying the informed consent forms recommended by the Turkish Society of Cardiovascular Surgery, from the level that requires high school education to the 6-year education level, which is the average schooling year in Turkey.
A six-year retrospective evaluation of odontogenic infections in pediatric patients requiring hospitalization
Authors: YILMAZ ASAN Canay , EREN Cemil , DOĞRUEL Fatma , DEMİRBAŞ Ahmet Emin 
Published: October 2023

Aims: Odontogenic infections in pediatric patients are common conditions which need to rapid treatment because of the progression of the infection into deep facial spaces. This study aimed to investigate the treatment modalities and clinical findings of hospitalized patients because of odontogenic infections.
Methods: The study sample was collected from patient’s medical records. Demographic data, clinical findings, hospital length, source of the infection and laboratory findings were compared.
Results: 330 patients were included and the study competed with 111 girls (34%) and 219 boys (66%) with a mean age of 6.81±3.25 years (min:1-max:17). 173 (%52) patients were treated for buccal space infection. The average duration of hospital stay was 2.69±0.78 days (min: 1, max: 6) in all cases and hospital stay was statistically higher in boys than girls (p=0.019). The duration of hospitalization was statistically higher in patients with fossa canina infection (p
Utility of immature granulocyte count in differentiating between pyelonephritis and cystitis in pediatric patients
Authors: NARSAT Mehmet Ali , GÜLTEN Sedat , YILDIZ Eren 
Published: October 2023

Aims: Immature granulocyte (IG) is an easily accessible and inexpensive test that can be measured in hemogram parameters without additional analysis. It can be used in differentiation because of its practical applicability. This study aimed to investigate the role of IG count and inflammation-related complete blood count (CBC) parameters in differentiating between cystitis (CYS) and pyelonephritis (PYL) in pediatric patients.
Methods: This retrospective cross-sectional study analyzed data from 79 pediatric patients (40 with PYL and 39 with CYS) who presented at a hospital pediatric outpatient clinic between January 2020 - February 2021. In addition to clinical symptoms and signs, laboratory and urinalysis results were evaluated. Laboratory analyses focused on IG count, IG percentage, and all hemogram parameters.
Results: No significant demographic differences were observed between the PYL and CYS groups (p>0.05). IG counts, and C-reactive protein levels significantly differed between the two conditions (p
Evaluation of the relationship between digital mammography radiation dose and patient age, breast volume and density
Authors: ECE Bünyamin 
Published: October 2023

Aims: To determine the average radiation dose values in patients who underwent routine screening mammography in our hospital, establish the relationship between breast density and volume, and investigate other factors affecting radiation dose.
Methods: Screening bilateral mammography was retrospectively evaluated within the specified period of 2 months. Patient age, breast density ratio, mammographic size of the breast, calculated breast volume, tube voltage, current, exposure time (ms), compression force (kg), compression thickness (mm), and radiation dose (mGy) given in each projection were recorded separately for each patient. According to the BI-RADS, breast densities classified as types A-B were considered non-dense, while types C-D were considered dense breasts. The 75th percentile dose value (mGy) was chosen as the cutoff for high dose group. Logistic regression analyses were used to examine the factors affecting radiation dose.
Results: 1720 mammograms from 430 patients were studied. 276 (64.2%) breasts were non-dense, while 154 (35.8%) breasts were dense. The mean total breast volume was 595±334 ml, compression thickness was 36.5±12.0 mm, and radiation dose was 2.04±0.75 mGy. There was a negative correlation between radiation dose and age (r=-0.330, p
The relationship between serum soluble ACE 2 protein level and the clinical course of COVID-19 disease
Authors: KORKMAZ Derya , KÖKEN Tülay , KOCA Halit Buğra , ORHAN Semiha , DEMİRTÜRK Neşe 
Published: October 2023

Aims: The angiotensin converting enzyme 2 (ACE 2) molecule, which mediates the entry of the virus into the cell, plays a very important role in the pathogenesis of COVID-19 disease. However, its effect on prognosis has not been fully explained. In this study, it was aimed to investigate the relationship between soluble ACE 2 (sACE 2) levels in the blood and the course of the disease.
Methods: sACE 2 levels at 0, 3 and 5 days were measured in patients with mild, moderate and severe COVID-19 pneumonia who were hospitalized between March 15, 2020 and August 30, 2020.
Results: 69 patients, 35 (51.5%) female and 34 (49.3%) male, with a mean age of 64.3±2.1 were included in the study. 42.0% of the patients had mild, 30.4% moderate, 27.5% severe pneumonia. Clinical follow-up of 7 patients resulted in death. There was no statistically significant difference between sACE 2 levels and gender, severity of pneumonia, initial hospitalization, presence of intubation and mortality.
Conclusion: sACE 2 levels were not associated with disease severity and inflammatory markers. Studies in larger patient populations are needed to explain the relationship between sACE 2 activity and SARS-CoV-2 infection and to develop new treatment strategies.
“Structured with contemporary education methods” regarding anaesthesiology and reanimation internship education evaluation of student feedback
Authors: BAKIR Mesut , RUMELİ Şebnem , YALIN Mehmet Rıdvan , ÇELİK Fatma 
Published: October 2023

Aims: This study aims to evaluate our training program, which is carried out with contemporary education methods in anaesthesia internship, for the students of our faculty, with student feedback.
Methods: In order to evaluate the comments of the students about the internship content, 1051 feedback forms filled out since 2008 were examined. There were 16 questions in the form, 15 of which were closed-ended and 1 open-ended.
Results: In the general evaluation of the internship program, 48.4% (n=509) of the students evaluated it as very productive and 46.1% (n=484) as productive. The percentage of respondents who said they were proficient in the "skill of vascular access," one of the abilities taught on models during clinical skills training and later used on patients, was 95.1% (n=999). 29.7% (n=312) of the students admitted that their "intubation practice" was inadequate.
Conclusion: It is crucial that the anaesthetic internship, which teaches one of the most fundamental medical skills—airway safety—be developed in accordance with the feedback received from the students. Standardised applied training programs increase the successful outcome of anaesthesia internship education.
The leuko-glycemic index can predict multivessel disease in the elderly acute myocardial infarction population? a retrospective cohort study
Authors: DEMİR Mevlüt 
Published: October 2023

Aims: Cardiovascular diseases are still the leading cause of death, as the cause of approximately 30% of all deaths in the world and half of all deaths due to cardiovascular diseases also consist of individuals aged 70 and older. The leukoglycemic index (LGI) is a new parameter associated with mortality, complication, and prognosis in cardiovascular diseases. It can be applied easily at the bedside, has a low cost, and consists of a combination of leukocytes and glucose. In our study, we aimed to evaluate the predictive effect of leukoglycemic index on multivessel disease in elderly patients over 65 who were hospitalized with acute myocardial infarction.
Methods: In our retrospective cohort study, patients over 65 who were hospitalized with the diagnosis of acute myocardial infarction were included. LGI was calculated with the formula: blood glucose × white blood cell/1000. All datas about patients were collected from the electronic hospital information system, patient files and our hospital’s archive.
Results: The patients were divided into two groups: single-vessel disease and multivessel disease. The laboratory parameters of the patients were compared, and LGI (1532.5 (577.7-3770.3) vs 2077.9 (646.6-5301); p
Strategi Digital Marketing Communications Gym ‘Fortis Calisthenics’ Dalam Meningkatkan Engagement
Authors: Jannah Husniatul , Saifulloh Muhammad , Prihatiningsih Nunuk 
Published: October 2023

Seiring semakin meningkatnya penggunaan media sosial dewasa ini dan ketatnya persaingan di industri gym, membuat perusahaan tertarik melakukan strategi digital marketing communication untuk meningkatkan engagement. Khalayak begitu banyak terkena terpaan konten-konten digital di media sosial sehingga sulit untuk menyadari konten yang menarik dan unik. Oleh karena itu diperlukan suatu strategi yang tepat untuk mempengaruhi perhatian dan meningkatkan kesadaran khalayak online. Berdasarkan uraian permasalahan tersebut, maka tujuan penelitian ini adalah untuk mengetahui strategi digital marketing communication GYM ‘Fortis Calisthenics’ dalam meningkatkan engagement. Penelitian ini menggunakan model SOSTAC dan model RACE untuk membahas penelitian tentang strategi digital marketing. Pendekatan kualitatif dengan jenis penelitiannya deskriptif. Metode studi kasus. Pengumpulan data melalui wawancara mendalam. Analisis data kualitatif dengan mengkategorikan jawaban. Triangulasi data menggunakan triangulasi sumber dan teori. Temuan hasil penelitian menunjukkan bahwa Strategi digital marketing communication GYM ‘Fortis Calisthenics’ dalam meningkatkan engagement yakni mengacu pada konsep SOSTAC dan RACE. Strategi yang diterapkan yakni push strategy dengan secara aktif dan reguler memposting digital konten di media sosial Instagram dan TikTok untuk menarik perhatian dan meningkatkan engagement. Digital konten yang diposting mencakup monday workout, jadwal latihan, dan kegiatan lainnya. Saran penelitian: Sebaiknya tim media sosial GYM ‘Fortis Calisthenics’ lebih kreatif dan inovatif lagi didalam membuat konten agar terlihat menarik, seperti membuat konten cara hidup sehat dan konten tentang konsumsi makanan untuk olahraga Calisthenics sehingga hal ini dapat menambah pengetahuan penonton
Implementasi Marketing Public Relations PT Gojek Dalam Penggunaan Aplikasi Gopay Bagi Customer
Authors: Aditiansyah Muhammad Fajri , MLT Rialdo Rezeky , Hamzah Radja Erland 
Published: October 2023

Fenomena pemakaian digital dalam kehidupan manusia di Revolusi Industri 4.0 semakin meningkat tajam, salah satunya terciptanya aplikasi financial technology Gopay yang merupakan milik perusahaan PT. Gojek. Perusahaan transportasi online ini menciptakan aplikasi GoPay sebagai alat pembayaran konsumen untuk berbagai kebutuhan. Keberhasilan aplikasi GoPay hingga dapat diterima masyarakat luas dikarenakan adanya peran marketing public relations. Berdasarkan uraian tersebut, maka penelitian ini bertujuan untuk Marketing Public Relations PT Gojek dalam mengimplementasikan Penggunaan Aplikasi Gopay Bagi Customer. Penelitian ini menggunakan teori marketing public relations dan konsep PENCIL untuk mengulas Marketing Public Relations PT Gojek dalam mengimplementasikan penggunaan aplikasi Gopay. Paradigma penelitian ini menggunakan konstruktivisme, jenis penelitian deskriptif, dan metode studi kasus dengan teknik pengumpulan data yang digunakan berupa wawancara, observasi, studi kepustakaan dan dokumentasi. Hasil penelitian dan kesimpulan menunjukkan bahwa alasan marketing public relations mempromosikan aplikasi GoPay dikarenakan masyarakat saat ini ingin melakukan segala aktivitas secara praktis dan simple seperti aktivitas untuk pembayaran apa pun tanpa biaya yang besar. Kemudian, konsep PENCIL (publications, events, news, community involvement, inform, social responsibility, lobyying) telah diterapkan dengan baik oleh humas PT Gojek didalam penggunaan aplikasi GoPay.
Prototype of Melon Fruit Quality Sorter Based on Skin Texture Using Local Binary Pattern Histogram
Authors: Yuliawan Rozaq Arminnur , Firmansyah Riza Agung 
Published: October 2023

Cucumis Melo L is one of the popular fruits in Indonesia. The numerous benefits and various contents of melon make it highly valuable for human health. Determining the quality of melon is crucial, considering its numerous benefits and contents. The quality of melon is determined by the presence of net-like patterns on the surface of the fruit's skin when it is ripe for harvest. Currently, conventional methods that rely on direct visual observation are still commonly used to sort the quality of melons. Therefore, a prototype system was developed to sort the quality of melons based on the texture of their skin. The purpose of this system is to reduce errors caused by eye fatigue and variations in accuracy during the sorting process. In this research, the feature extraction method of the local binary pattern (LBP) was employed, along with the K-Nearest Neighbor (KNN) method for classification. The classification was divided into two grades: Grade A and Grade B melons. The testing phase involved 200 data samples, with each grade consisting of 100 data samples. The results of the testing phase showed a success rate of 96% for the system. Based on the percentage, it can be concluded that the system has successfully performed well in sorting the quality of melons based on the texture of their skin.
Floating Tone in Èsùkù
Authors: Fáladé Ọpéyemí Williams  
Published: October 2023

This paper examines floating tone in Èsùkù - one of the dialects of Akpes spoken in Àjọwá community in Àkókó North West local Government area of Òndó State. Scholars have shown that, floating tone performs functions such as: completed action, negation, agreement, genitive marker, etc. In this paper, it is establish that, a floating tone acts as genitive marker in a noun-noun construction and show completed action in a declarative sentence. Findings in this study show that, apart from /ɔní-/ which serves as genitive marker in the speech form, Èsùkù also has a floating high tone [́] as genitive marker in a noun-noun construction. It is observe that, a floating high tone aligns with the final vowel of the first noun (N1) to form a contour which later simplifies to a level high tone. It is observe the elision of V2 in V1#V2 environment in a genitive construction. The theoretical model employed in analyzing the data in this work is the Autosegmental Phonology because of its problem-solving efficiency in the areas of tone, vowel harmony, and nasality. Descriptive research methodology was adopted for this paper. In eliciting data, the researcher visit the community that speaks the speech form under focus. The study contributes to knowledge in the area of tone analysis in Esuku because no work exists in that area.
Prevalence of aortic aneurysms and dissections in patients with systemic vessel aneurysms and dissections; matched case-control study using a national sample cohort
Authors: Song Jihye , Lim Yong Cheol , Kim Do Jung 
Published: October 2023

ObjectiveAneurysms in systemic arteries are rare, and little is known about their relationship with aortic aneurysms. In this study, we aimed to evaluate the prevalence of aortic aneurysms and dissections (AAD) in patients with other systemic vessel aneurysms and dissections (OVAD) and identify their potential risk factors.MethodsThis cross-sectional study used a nationwide representative cohort sample from the Korea National Health Insurance Service-National Sample Cohort database. We defined OVAD as systemic vessel aneurysms and dissections excluding intracranial and aortic dissections and aneurysms. With a total of 690 OVAD patients and 2,760 non-OVAD matched controls, we investigated the prevalence of AAD in patients with OVAD and potential risk factors for their concurrence using the χ2 test and logistic regression.ResultsThe prevalence of AAD in patients with OVAD was 10.6% (73/690) and 0.3% (9/2,760) in patients with non-OVAD. The adjusted odds ratio (OR) for having concurrent AAD with OVAD was 37.56 (95% CI: 18.29–77.12, p &lt; 0.001) after stratification by sex, age, income, region of residence and after adjustment for hypertension, diabetes mellitus, dyslipidemia, and extent of disability. The adjusted ORs of AAD were significantly higher in females [adjusted OR = 47.63 (95% CI: 10.72–211.55)], and individuals aged ≥60 years [adjusted OR = 28.18 (95% CI: 13.42–59.17)], as well as those without hypertension [adjusted OR = 95.44 (95% CI: 18.21–500.23)], diabetes mellitus [adjusted OR = 46.39 (95% CI: 18.85–114.17)], without dyslipidemia [adjusted OR = 60.99 (95% CI: 20.83–178.56), p &lt; 0.001 for all]. The prevalence of AAD significantly differed by according to specific sites of OVAD in carotid artery, upper extremity artery, iliac artery, lower extremity artery, and splanchnic artery (p &lt; 0.001 for all).ConclusionsThe prevalence of AAD in patients with OVAD was 37.56 times higher than that in the matched population. We may approach aneurysms as systemic diseases and further investigations of pathophysiology would help to clarify the relationships between AAD and OVAD.
Low-iodine 40-keV virtual monoenergetic CT angiography of the lower extremities
Authors: Fahrni Guillaume , Mingas Thomas , Deliessche Arthur , Hraichi Smail , Rotzinger David C. , Si-Mohamed Salim A. , Boccalini Sara , Douek Philippe 
Published: October 2023

IntroductionTo evaluate a reduced iodine volume protocol for lower extremity CT angiography (CTA) using dual-energy CT (DECT).MethodsThis retrospective study included consecutive patients who underwent lower extremity CTA from June to December 2022. A 10 ml 1:1 mixed test bolus was performed, followed by a 40 ml full bolus at a 2.5/s injection rate, using 400 mg/ml iodine contrast media. Conventional and 40 keV virtual monoenergetic images (VMI) were reconstructed. For both reconstructions, five main artery segments were assessed with a 3-point image quality score as well as quantitative attenuation, signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) measurements with diagnostic quality thresholds (respectively &gt;150 HU and &gt;3).ResultsForty patients were included in the study (mean age 68 ± 12 yo). 200 artery segments were assessed. Median qualitative image scores were 3 [IQR, 3, 3] for both reconstructions. 40 keV VMI upgraded qualitative scores for 51 (26%) of patients, including 9 (5%) from nondiagnostic to diagnostic quality. 40 keV VMI obtained attenuation and CNR diagnostic quality for respectively 100% and 100% of segments, compared with 96% and 98% for conventional images (p &lt; 0.001). Distal artery segments showed the most differences between 40 keV VMI and conventional images.ConclusionA low-iodine lower extremity CTA protocol is feasible, with 40 keV virtual monoenergetic spectral reconstruction enabling maintained diagnostic image quality at the distal artery segments.