bluuebunny/crossref_metadata_2025_split huggingface dataset:
morada moderna y contemporánea de la memoria colectiva:
Authors: Lázaro Villaverde Fabricio , Cota Castillejos Edith 
Published: December 2023

En el siglo XX dentro del proyecto de Modernidad, la muerte colectiva es una herida abierta en la psique humana, su posible cicatriz en el territorio simbólico son los memoriales como espacios de reflexión y catarsis, donde se ritualizan tragedias y subliman procesos de pérdida y duelo como instrumentos de terapia social que en ocasiones resultan más un olvido que una memoria activa.
El texto estructura un recorrido a través de dos conceptos: promenade architecturale y memoria, circunscritos al mito griego de Mnemosyne, desde donde observar críticamente una selección de memoriales desde la segunda mitad del siglo XX como genealogía reverberada en memoriales contemporáneos de México y la discusión sobre la pertinencia de ellos como herramienta política de olvido en una sociedad lacerada por tragedias naturales, violencia de estado y delincuencia organizada.
Estudio retrospectivo de 10 pacientes adultos con enfermedad ampollar autoinmune por inmunoglobulina A lineal
Authors: Merenzon Sabrina , Di Milia Mónica Beatriz , Cabral Campana Luciana , Dickson Cinthia , Label Marcelo Gabriel 
Published: December 2023

Antecedentes: la enfermedad ampollar autoinmune por IgA lineal (EIAL) es una afección adquirida, crónica, poco frecuente, que cursa con ampollas subepidérmicas y presencia de depósitos de IgA en un patrón lineal, en la zona de la membrana basal (ZMB), observados por inmunofluorescencia directa (IFD) o técnicas inmunohistoquímicas.
Objetivo: determinar las características epidemiológicas y clínicas, y la respuesta al tratamiento de los pacientes con EIAL.
Diseño: estudio descriptivo, observacional y retrospectivo.
Materiales y métodos: se evaluaron las historias clínicas de 648 pacientes que asistieron al sector de enfermedades ampollares autoinmunes del Servicio de Dermatología del Hospital General de Agudos Dr. José María Ramos Mejía entre noviembre de 1997 y diciembre de 2021. Se incluyeron pacientes de ambos sexos mayores de 18 años que presentaban síntomas clínicos y resultados de IFD compatibles con EIAL.
Resultados: se estudió la evolución de 10 pacientes con diagnóstico de EIAL (1,54% del total de los pacientes). El sexo más afectado fue el femenino. La edad promedio de presentación fue de 52,5 años. Solo el 20% tenían compromiso mucoso. Todos los pacientes presentaron en la IFD depósitos lineales de IgA en la ZMB. El 60% fueron tratados con dapsona en combinación con metilprednisona.
Conclusiones: destacamos la heterogeneidad del cuadro clínico y que la entidad se define por el hallazgo de depósitos de IgA en la IFD, con un patrón lineal siguiendo la ZMB. En este estudio, a diferencia de lo publicado en la literatura, la edad de presentación fue menor, el compromiso mucoso fue menos frecuente y se observó el estrés emocional como un factor desencadenante no mencionado en la bibliografía.
Retrospective analysis of clinical characteristics, diagnosis, treatment and complications of children with acute pancreatitis: single-center results
Authors: BAŞKOCAGİL Ersin , GÜMÜŞ Meltem , YORULMAZ Alaaddin , EMİROĞLU Halil Haldun 
Published: December 2023

Aim: In the present study, the purpose was to evaluate the demographic and clinical data of pediatric patients, who had pancreatitis, who were followed up as outpatients or in the wards, and to evaluate the treatment modalities used along with nutritional status, length of hospital stays, and complications.
Methods: This study was carried out by retrospectively evaluating the files of 166 patients identified by INSPPIRE Criteria who were followed up at the Department of Pediatric Gastroenterology, Faculty of Medicine, at xx University between 2011 and 2021. The age, gender, height, weight, known disease, drugs used, follow-up periods by us, complaints on admission, the etiological reason for the diagnosis, type of pancreatitis, length of hospital stay, treatment modalities applied, and complications of the patients were recorded. The PAPPS Scores, Ranson Admission Scores, and Ranson 48th hour Scores of the patients were analyzed.
Results: A total of 120 patients (72.3%) had AP, 25 patients (15.1%) had CP, and 21 patient (12.7%) had ARP. According to the Atlanta Criteria, 82.5% were mild and 17.5% were moderate. The most common complaint was abdominal pain and the most common cause was found to be idiopathic. There was a weak and positive correlation between the PAPPS Score, Ranson Admission Score, and length of hospital stay.
Conclusion: In the diagnosis and follow-up of pancreatitis, it is important to determine the severity of the disease and to reveal the etiology. Establishing and applying standard approaches for early diagnosis and treatment of patients will lead to prognostic improvement and prevent related complications.
Comparative evaluation of retrograde intrarenal surgery using ureteral access sheath and fluoroscopy: a retrospective analysis on kidney stone treatment
Authors: DOĞAN Kazım 
Published: December 2023

Aims: This study aimed to investigate the outcomes of retrograde intrarenal surgery (RIRS) with and without the utilization of ureteral access sheath (UAS) and fluoroscopy for treating kidney stones and its implications on postoperative complications.
Methods: Employing a retrospective design, we analyzed the records of 314 patients subjected to RIRS due to kidney stones. Patients were categorized into two groups based on the application of fluoroscopy and UAS (Group 1) versus non-application (Group 2). Various metrics, including stone-free rates, residual stone rates, and postoperative complications, were compared between the groups.
Results: The results showed no significant differences between the two groups regarding patient age, stone size, and several demographic parameters. However, there was a considerable reduction in operation duration in Group 2 (20.96±5.97 minutes) compared to Group 1 (26.15±5.41 minutes), where UAS and fluoroscopy were applied, with p=0.001. Furthermore, post-treatment results highlighted a decline in residual stone rates and an enhancement in stone-free rates, though differences between groups were not significant. The incidence of postoperative complications, like fever, urinary tract infections, and ureteral stenosis, was assessed, revealing no differences between the two groups.
Conclusion: The application of RIRS without UAS and fluoroscopy appears to be a promising approach to treating kidney stones, offering similar outcomes regarding stone removal efficacy and postoperative complications compared to the traditional method with UAS and fluoroscopy. This research emphasizes the potential of a less invasive method, warranting further studies to understand its broad implications.
Trauma symptoms, sleep quality and related factors in the early post-earthquake period
Authors: ÖZTÜRK Hayriye Mihrimah , DAYMAZ Didem , KOCAKAYA Hanife , AKKOYUN Ayşe Zeynep , SAYGUN Meral 
Published: December 2023

Aim: Traumatic life events such as earthquake are frequently encountered problems both in our country and all over the world. The aim of this study was to determine sleep quality, trauma level and related factors and to evaluate the effects of gender, damage status and losses in adults who were admitted to the psychiatry outpatient clinic among individuals who were placed in Kırıkkale University student dormitories immediately after the 6 February 2023 earthquakes that affected a wide geography in our country.
Methods: 64 volunteers were included in the study between March 2023 and June 2023. After the participants' complaints and sociodemographic characteristics were questioned, the Pittsburgh Sleep Quality Index (PSQI) and the Scale That Determines the Level of the Trauma after the Earthquake (PETLDS) were applied to the participants to determine their sleep quality and trauma levels after the earthquake.
Results:
The mean age of the participants was 45.5±15.5, and 75.0% of them were women. Fear/anxiety and insomnia were the most frequently reported complaints by the participants. The mean of the participants' PSQI scores was 10.5±4.4, and 43 participants (79.6%) had poor sleep quality in the last month. The mean score of the participants' PETLDS was determined as 76.6±17.9. When the subscales were examined, it was determined that the emotional limitation and cognitive restructuring scores were higher than the behavioral, affective and sleep problems. When the participants were compared in terms of damage in their homes, it was found that the participants with moderately or more damaged houses had statistically higher emotional, cognitive restructuring and sleep problems and total trauma scores compared to the participants with a solid or slightly damaged house (respectively; p=.017, p=.023, p=.010, p=.040). Individuals with moderately or more damaged houses had higher PSQI scores but this difference did not reach statistical significance (p=.061).
Conclusion: The earthquakes that occurred in our country on and after 6 February 2023 affected a large area and resulted in millions of people being directly or indirectly affected. To minimize the physical and psychological damage that earthquakes may cause, post-disaster management should be carried out well, and it should be noted that it is a priority to support earthquake victims psychologically as well as their social and medical needs.
Effects of smoking on the cardiopulmonary modulation during physical exercise in middle-aged non-obese healthy individuals
Authors: KOÇAK Ajar , YILDIRIM Onur , COŞGUN Ayhan , TÜRKKANI Mustafa Hamidullah 
Published: December 2023

Objective:
The aim of this study was to evaluate the overall effects of smoking and its duration on various cardiopulmonary modulation mechanisms during physical exercise in middle-aged non-obese healthy individuals.
Materials and Methods:
Two hundred forty-three (142 smokers and 101 non-smokers), middle-aged, non-obese, healthy individuals were evaluated in this cross-sectional study. Parameters of pulmonary function including forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and FEV1/FVC ratio were evaluated using a spirometer and systolic pulmonary artery pressure (sPAP) were measured by echocardiography on rest and during various levels of exercise. A treadmill exercise test was used to assess heart rate recovery index (HRRI), the chronotropic index (CI) and the maximum rate of oxygen consumption during exercise (VO2max).
Results:
Resting sPAP values were higher and FEV1, FVC and FEV1/FVC values were lower among smokers. As compared to resting values; FEV1 and FEV1/FVC ratio in smokers decreased significantly at peak exercise level (2.66±0.54 vs 2.35±0.49, p
An evaluation of risk factors for overall complications after curative gastrectomy in gastric cancer patients aged 65 or over
Authors: ŞENOL Serdar , KUŞAK Mustafa , SARI Ahmet Can , KARA Mehmet Emin 
Published: December 2023

Aim:
The purpose of this study was to identify risk factors for postoperative complications in patients with gastric cancer aged 65 or over.
Methods:
Data from medical records in our database were reviewed and analyzed retrospectively. Two hundred twenty-nine patients with histologically confirmed gastric cancer underwent curative gastrectomy in our clinic between January 2017 and December 2021. Eighty-eight patients younger than 65 and 21 with previous histories of abdominal surgery, multi-visceral resection, emergency surgery due to perforation, bleeding, or obstruction, 18 with preoperative radiotherapy or chemotherapy were excluded. The remaining 102 patients, aged 65 years or over, were included in the study. Patient characteristics, intraoperative findings, and postoperative complications were evaluated.
Results:
Postoperative complications with Clavien–Dindo grade ≥ II were observed in 29 patients (28.4%). Univariate analysis showed that the prognostic nutritional index (
Does end-tidal carbon dioxide monitoring in gastrointestinal endoscopy have a clinical advantage?
Authors: ÖZDEN Mesure Gül Nihan , KARSLI Serpil , BAKAN Nurten 
Published: December 2023

Aims: In current guidelines recommended CO2 monitoring for patient safety and comfort in sedation for gastrointestinal endoscopy. We aimed to investigate whether carbon dioxide monitoring, which was developed for the early detection of adverse respiratory events shows the expected benefit in its clinical use.
Methods: Asa I-II patients, average age 48±15, were divided into two groups, standard monitoring was performed on Group S (n=30), and EtCO2, Integrated Pulmonary Index measurements were added to the Group K (n=30). Patients received Fentanyl 1µgr/kg, propofol 1 mg/kg and propofol 10-30 mg in a bolus by providing BIS to be 60-85. Adverse respiratory events were recorded. The time to Fast-tracking score being 14 was recorded and patients with two consecutive Fast-tracking scores of 14 were discharged. Patient satisfaction was questioned the next day.
Results: There is no difference between groups in heart rate and mean arterial pressure, and decreased during the procedure compared to baseline in both groups. While EtCO2 was similar at all times, IPI was lower than baseline. While the processing time was 21±6 in Group S, it was 38±11 in Group K. No adverse respiratory events occurred. Recovery heart rates, peripheral oxygen saturation, mean arterial pressure and scores were similar. There was no difference in patient satisfaction.
Conclusions: There wasn’t a clinical advantage with measuring EtCO2 added to the standard monitoring in gastrointestinal tract endoscopy. We believe that more studies are needed on optimum monitoring during moderate sedation in patients with less clinical risk.
Can surgical embolectomy or by-pass surgery be the first treatment option in ischemic cerebrovascular pathologies?
Authors: ÇAKIN Hakan , GEDİZ Tolga 
Published: December 2023

Background: Well-established treatment methods have been utilized for intracerebral vascular occlusion, including medical thrombolytic treatments, endovascular interventions, and surgical procedures.
Methods: This study focused on surgical recanalization techniques, illustrating them through six patients. In emergency scenarios at our hospital, late-term thromboembolectomy was performed on two patients who had experienced thromboembolic events.The other two patients were treated not in emergency conditions, but with by-pass surgery in the following week.Last two patients were in the group of patients who had reperfusion with recanalization surgery due to chronic ischemic intracerebral processes with clinical symptoms.
Results: One of the patient underwent emergency surgery for total infarction of the internal carotid artery (ICA), which remained unresponsive to other therapeutic approaches. Similarly, the second patient, who had undergone heart transplantation, required surgery due to unyielding small atheroma plaques originating from the main arteries after failed thrombolytic treatments. Successful recanalization procedures were achieved in both cases. Among the other patients who underwent semi-emergency surgery, one patient with internal carotid artery insufficiency after a traumatic process, another patient with left hemisphere vascular insufficiency after vascular disease, and another two patients who had vascular insufficiency due to occlusion of the main vascular structure by an aneurysm thrombus were operated on.
Conclusions: Our findings suggest that surgical intervention could be considered as the primary treatment option in selected cases for managing acute stroke or vascular insufficiency. In selected patients, rapid and first-line surgical treatment is satisfactory. This approach aligns with the need for more comprehensive investigations to determine the optimal approach in different scenarios of intracerebral vascular occlusion.
Knowledge levels of graduate and trainee dentists on antibiotic use in endodontics
Authors: TOPBAŞ Celalettin , KESKİN TUNÇ Serap , GÜDÜCÜOĞLU Hüseyin 
Published: December 2023

Objective: The aim of this study was to compare and evaluate the level of knowledge of dentists and dental students about the rational use of antibiotics (RUA), their clinical approaches when prescribing antibiotics, and student and graduate dentists.
Introduction: Rational use of medicines means that patients take their medicines according to their clinical needs, in appropriate doses, for sufficient time, and at the lowest cost to themselves and society. The RUA is very important in the treatment and prevention of bacterial infections.
Materials and Methods: The questionnaire, which was prepared on Google Forms for all graduate and trainee dentists in Turkey that we could reach and included questions about RUA and antibiotic use in dentists, was distributed to approximately 400 people, and 331 people returned the questionnaire.
Results: Of the respondents, 52.3% were dental students, and the remaining 47.7% were dental graduates. 94.8% of the participants reported that they received information about RUA from the faculty, followed by scientific publications, the internet and social media, the Ministry of Health, relatives, spouses, and friends, professional associations, and newspapers. The majority of participants, 303 people, answered the question, 'Can inappropriate use of antibiotics increase antimicrobial resistance? The majority of participants answered yes, while the remaining 18 answered no. The majority of participants, 62.1%, thought that antibiotics were prescribed more than necessary. Only 35% of participants (110 people) correctly answered the question about antibiotics that are not suitable for use during pregnancy and breastfeeding.
Conclusion: According to the results of our study, dentists have an important role to play in ensuring the RUA. Dentists should be regularly trained with updated curricula.
Comparison of sevoflurane insufflation and intravenous ketamine use in terms of failure rate in consecutive paediatrıc radiotherapy sessions: a cross-over study
Authors: GÜVEN AYTAÇ Betül 
Published: December 2023

Aim: Childhood cancers are often treated with radiotherapy. During radiation therapy, sedation is often required for immobilization, especially for young children and patients with mental disabilities. Our study aimed to compare the efficacy of sevoflurane insufflation and intravenous ketamine for sedation during pediatric radiotherapy.
Materials and methods: This prospective, randomized, cross-over study was conducted between August and December 2020 on pediatric patients (1 month to 18 years) requiring sedation or general anesthesia for radiotherapy. 352 repeated sessions were conducted in the study involving 18 patients who participated. Two groups were categorized by session: ketamine (Group K) or sevoflurane (Group S).
Results: The study included the evaluation of 352 sessions for 18 patients Although there was no significant difference in procedure times between Group S and Group K during the sessions (p>0.05), Group K showed a significantly longer discharge time, higher failure rate, and higher score sedation scale in comparison to Group S (p
Obstacles Encountered by Medical Students in Conducting Academic Research - A Cross-Sectional Study
Authors: Bashir Ayesha , Raza Qasim , Hussain Danish , Iqbal Syeda Amna , Ali Akram , Azhar Muhammad , Shafique Kaiynat , Tahir Iqra 
Published: December 2023

Purpose: Research is the most important aspect for the betterment and enhancement of medical services that are provided to the community. Health training research is regarded as a critical activity in current medical training at the undergraduate level. The aim of this investigation was to identify the key obstacles that medical students face when performing academic research and to see if these issues differ between female and male students.
Materials and Methods: A cross-sectional research was carried out, encompassing 164 participants, wherein a modified questionnaire was deployed for data acquisition. Employing a simple random sampling methodology, data was gathered exclusively from final year undergraduate medical students from government and private universities of Faisalabad. Exclusions were made for individuals exhibiting isolated personalities, lack of willingness to participate in research, and those presenting psychological concerns. Data was analyzed using SPSS version 22 and presented in form of tables and graphs.
Findings: Participants mean age was 20.73±1.7. Out of 164 students, 60.4% were females and 39.6% were males. Most prominent obstacles were found to be limited monetary support or lack of funding for research, family responsibilities, lack of guidance from university professors, demotivating university authorities, social responsibilities, and lack of knowledge about statistical methods, limited availability of information sources, limited time, insufficient understanding of research procedures, and insufficient research abilities. There were no statistical significant differences found between male and female students regarding these perceived obstacles.
Implications to Theory, Practice and Policy: Institutes need to organize a variety of research-related activities, and teachers must encourage students to participate in research activities. International and local seminars should be organized for students to emphasize the importance of medical research. Teachers should involve students in research projects so that they can expand their knowledge. Because the sample size in this study was small, it must be replicated with a larger sample size in future studies. It is recommended that additional research be conducted to investigate the perspectives of university professors, research mentors, and university authorities in order to gain a comprehensive understanding of the challenges and potential solutions. Collaborate with university administration to identify potential sources of financial support for student research projects.
Volume de tronco de pirâmide utilizando a rapadura: aplicação de uma sequência de ensino investigativa (SEI)
Authors: Trajano Santana Leandro , Barros de Oliveira Dr. Glaydson Francisco , Floriano Paulino Otávio 
Published: December 2023

Na perspectiva de reduzir ou minimizar o distanciamento entre o conteúdo e o contexto social do aluno, o presente artigo apresenta uma experiência pedagógica com a geometria no Ensino Médio, ancorada nos fundamentos da etnomatemática. Para isso, foi aplicada uma Sequência de Ensino Investigativa (SEI) para ensinar o cálculo do volume do tronco de pirâmide com uma rapadura. Considera-se que a etnomatemática possibilitou o encontro do estudante com traços importantes da cultura local, por meio de questões relacionadas à produção de rapadura nos engenhos de cana-de-açúcar. A utilização da SEI possibilitou a investigação científica pelos estudantes e os colocou numa posição de indivíduos ativos durante o processo de desenvolvimento da sequência de atividades. Tanto que, de acordo com os resultados dos exercícios propostos e do questionário de satisfação, a maioria dos discentes aprovaram o desenrolar pedagógico e apresentaram aprendizagem dos conceitos e aplicações do conteúdo proposto. Portanto, este trabalho favoreceu a aprendizagem de competências e habilidades matemáticas que contribuirão para o exercício da cidadania.