bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENGARUH EKSPLOITASI BERLEBIHAN POPULASI PREY PADA MODEL PREDATOR PREY HOLLING II, PEMANENAN DAN PERLINDUNGAN PREY
Authors: Pusawidjayanti Kridha 
Published: November 2022

Pada artikel ini, kami membahas tentang model predator prey dengan fungsi respon holling tipe II, perlindungan pada prey dan pemanenan pada kedua populasi. Hal ini diasumsikan bahwa laju pertumbuhan prey lebih tinggi dibandingkan dengan laju pemanenan. Model ini ditemukan ada tiga titik equilibrium yaitu dan . Simulasi numerik ditunjukkan tidak hanya untuk memperlihatkan titik equilibriumnya tetapi juga untuk melihat efek eksploitasi pada populasi prey. Hasil dari penelitian ini adalah jika populasi prey di ekploitasi secara besar-besaran akan menyebabkan kepunahan pada populasi prey.Kata Kunci: eksploitasi, populasi, pemanenan dan perlindungan.
Double Blood Culture Policy Is More Effective Than Single In Neonatal Intensive Units
Authors: KONAK Murat , KILINÇ Muhammed Yaşar , DİKMEN İbrahim , UYGUN Saime Sündüs , TÜRK DAĞI Hatice , SOYLU Hanifi 
Published: November 2022

Aim: Blood culture (BC) sampling and antibiotic administration are common practices in Neonatal Intensive Care Units(NICUs). However, false positive BC results might affect clinician’s decision and lead to inappropriate antibiotic treatments. The aim of this study was to investigate the effect of double culture on clinical application.
Material and Methods: The study was conducted retrospectively. The blood culture results of the patients admitted to the NICU between 2016-2019 were analyzed. Considering sepsis before 2017, we took only one sample from the patient. After this period, we started to take double blood cultures. Time frames of BCs were investigated to two groups as early and late onset sepsis fistly, and then subgroups as; a-) Group 1, BCs in the first 24 hours, b-)Group 2, between 24 to 72 hours, and c-)Group 3, after 72 hours.
Results: Total of 1747 BC samples were taken in study. Majority of BCs were in Group 3(62%). Male/female ratio was 1.3:1. Staphylococcus Epidermidis(S. Epi) was major source for the contamination. But, by taking dBCs, we were able to eliminate most S.Epi contamination in Group 2 (11%vs.3%) and in Group 3(41%to14%). We were able to identify some resistant Gr(-) pathogens in one arm although the other arm was negative, by taking dBC.
Conclusions: Our study indicates that dBC policy in NICUs could help to clinicians for judicious decision in antibiotic use and decrease unnecessary antibiotic exposure of infants. Also it could be enable to detect some highly pathogen microorganism easily.
Key words: Newborn, Septicemia, Blood culture, Coagulase Negative Staphylococci, contamination
Is intraarticular enjections effective on pain management in patients with late stage primer gonarthrosis during COVID-19 pandemic? A single centre experience
Authors: GEDİKBAŞ Mete , BAYRAM Yusuf 
Published: November 2022

Background: Primary gonarthrosis is a progressive disease that increases with age and leads to limitations in activities of daily living. Until surgery is performed, nonsteroidal anti-inflammatory drugs, intraarticular injections, and physical therapy methods are used.
Purpose: This study aims to compare the clinical outcomes of intra- articular corticosteroid (CCS) and hyaluro nic acid (HA) injections for pain relief in primary gonartrhosis in COVID -19 pandemic period.
Study Design: Retrospective Cohort Study.
Methods: In this study, 88 patients who underwent intra-articular CCS and HA injection between August 2020 and March 2021 due to Kellgren-Lawrence stage 2 and higher gonarthrosis were investigated. Patients were divided into two groups. Group I represents the patients who received HA injections, and group II represents the patients who received CCS injection. Western Ontario and McMaster Universities Arthritis Index (WOMAC) and Knee Society Score (KSS) scores were used for the preoperative and postoperative functional evaluations of the patients.
Results: Group I included 40 patients and group II included 48 patients. The mean age was 59.4 ± 7.3 years, and the average follow-up period was 12 ± 2,6 months. The pre-intervention WOMAC scores were 13,5 in Group I and 13.6 in Group II, KSS scores were 26,5 in Group I and 25,2 in Group II. While there was a significant change in the control at month 1 in both groups, no difference was found between the groups. At the 6th month control, the improvement in group 1 continued at a significant level compared to the pre-injection period, while group 2 returned to the pre-injection level. (p
Multisystem inflammatory syndrome in a male adolescent after his second Pfizer-BioNTech COVID-19 vaccine: a report from Turkey
Authors: ALP Hayrullah , DOĞAN Melih Timuçin 
Published: November 2022

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), continues to spread rapidly through human populations, presenting across a continuum of severity from a symptomatic carriage to multi-organ failure and death. Multisystem inflammatory syndrome in children (MIS-C) is a new phenomenon reported worldwide with temporal association with SARS-CoV-2. Multisystem inflammatory syndrome in children is a complication of the SARS-CoV-2 infection, while myocarditis is a rare adverse effect to messenger ribonucleic acid (mRNA) SARS-CoV-2 vaccines, especially in males aged 12–17 years . On the other hand, postimmunization myocarditis is a known rare adverse event after other vaccinations, such as smallpox . Today, rare cases of MIS-C and myocarditis after mRNA SARS-CoV-2 vaccinations have been reported in children or adolescents .
We present details on a 15-year-old previously healthy Turkish male adolescent who fulfilled the diagnostic criteria for MIS-C after the Pfizer-BioNTech vaccine.
Evaluation of Acute Phase Reactants in Patients with Ankylosing Spondylitis
Authors: DEMİRER AYDEMİR Ferhan , CAN Gerçek , USLU Sadettin , KENAR Gökçe , BİRLİK Merih , ÖNEN Fatos 
Published: November 2022

Objective: To determine the high levels of acute phase reactants (APR) of ankylosing spondylitis (AS) patients at diagnosis and follow-up, and to investigate the relationship between patients’ high levels of APR and patients’ disease activity levels and clinical characteristics.
Material and Methods : 948 patients who were diagnosed with AS according to the modified 1984 New York criteria and followed-up at the university rheumatology clinic were included in this study. The patients’ erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) levels across all visits were retrospectively reviewed through the registry and the hospital’s database.
Results: At first visit, high levels of CRP and ESR were observed in 626 (68.5%) and 578 (64.6%) patients respectively. During follow-up 84.6% of patients had high CRP and 69.5% patients had high ESR, however in 10% of patients APRs did not increase at all. There was good correlation between ESR and CRP (r=0.666, p=0.000). A better correlation was observed at first visit between CRP and BASDAI (r=0.81, p=0.23) or ASDAS (r=0.468, p=0.000) compared to ESR and BASDAI (r=0.111, p=0.02) or ASDAS (r=0.334, p=0.000). Compared to BASDAI, ASDAS with either ESR (p=0.00) or CRP (very high disease activity-p=0.000, inactive disease-p=0.001) had better performance in evaluating the activity of the patient in inactive and very high levels of severe disease.
Conclusions: Our results showed, high levels of acute phase reactants is not rare in AS patients. APR should be considered the most significant laboratory diagnostics in the evaluation of AS and/or response to the treatment.
Occupational risk perception of nursing students, affecting factors and their association with occupational accidents: A crosssectional, multicenter study
Authors: TÜREN Sevda , EFİL Sevda , BÜLBÜL Elif , YENİ Tuğba , YILDIZ AYVAZ Meryem , ATAKOĞLU YILMAZ Rahime 
Published: November 2022

Aim: Occupational risks by leading to accidents and diseases can adversely affect the health of nursing students and can cause serious injuries. Therefore, students are expected to be aware of these risks in order to be aware of occupational accidents or diseases and take precautions. This study was aimed to evaluate the occupational risk perception of nursing students and the factors affecting it and their association with occupational accidents.
Material and Methods: Study was carried out with 728 nursing students in six universities. The data were collected using “Data Gathering Form” prepared by researchers and “Occupational Risk Perception Scale (ORPS)”.
Results: The mean age was 20.8±1.65 (min.18-max.35) years and the majority (82.0%) of the participants were females. Clinical practice areas were defined as high risk areas by the 65.1% of the students. Number of the students encountered any health threatening occupational accidents in clinical practice was 223 (30.6%). ORPS score was significantly higher in women, health vocational high school graduates, students with previos occupational health and safety training and students those who encountered occupational accidents before (p
Barriers associated with seasonal influenza vaccination uptake among nurses: A cross-sectional study
Authors: YALÇIN GÜRSOY Melike , SAĞTAŞ Furkan 
Published: November 2022

Aim: The aim of this study is to evaluate the barriers associated with seasonal influenza vaccination uptake among nurses
Material and Method: This web-based survey conducted in Turkey, from November to December 2021. A cross-sectional study included 390 nurses. The data were collected online by the researchers through a survey form that prepared in line with the literature. Descriptive statistics and chi-square analysis were used to evaluate the data (p
Sporadic diffuse gastric ganglioneuromatosis causing gastric outlet obstruction in an adult patient: A rare case report and literature review
Authors: Banik Arijita , B.M Soumya , Bijjaragi Seema , Kulkarni Vardendra , H.R Chandrasekhar 
Published: November 2022

: Gastrointestinal ganglioneuromatosis is a rare benign neural neoplasm, consists of hyperplasia of nerve fibers, ganglion cells, and schwann cells in the wall of stomach and intestine. The disease may affect any part of the gastrointestinal tract but involvement of stomach is extremely unusual. Mainly are of three types: polypoid ganglioneuromas, ganglioneuromatous polyposis, and diffuse ganglioneuromatosis. To our knowledge, only two cases were reported as diffuse ganglioneuromatosis located in the stomach.: 27-years male patient, admitted with complaint of dysphagia for both solid and liquid and recurrent non-bilious vomiting since 1 week underwent Billroth - 1 procedure and antral segment of stomach was sent for histopathological examination. A histopathological diagnosis of Diffuse Gastric Ganglioneuromatosis with muscular mural hypertrophy was made. The presence of ganglion cells and positive staining for S-100 and NSE confirms the diagnosis.Obstructive gastrointestinal symptoms with a possibility of diffuse ganglioneuromatosis is mainly a disease of young children and infant. But an adult patient, which is an unusual age group, presenting with obstructive gastrointestinal symptoms, the rare possibility of Diffuse ganglioneuromatosis and intestinal neuronal dysplasia should be considered and investigated in order to avoid unnecessary and extensive surgical intervention.
Information seeking behaviour of teachers and students of jan nayak Ch. Devi Lal Vidyapeeth, Sirsa
Authors: Panda Subhajit , Veer Ram 
Published: November 2022

Information is now considered to be essential to daily life. Libraries act as a hub for always giving the correct information to the right individuals. User studies must be acknowledged as a crucial component of the information packages. Libraries and other information providers should be aware of how people find information to improve the services they offer. This paper describes a survey designed to determine the information-seeking behaviour of Teachers and Students at Jan Nayak Ch. Devi Lal Vidyapeeth, Sirsa. Almost 200 respondents (44.4%) are chosen for the study from the 450 targeted samples. Additionally, a systematic, closed-ended questionnaire was used to gather the data. This study calculates the weighted average of the supplied criteria in addition to percentage analysis in order to make the acquired data more visible and easier to interpret. According to the study's findings, the targeted samples are likely to conduct their own independent research and encounter certain challenges because there are few pertinent information sources available in libraries. The report also recommended expanding informal communication as a way to facilitate information flow.
A comparative study of outcome of radial head fracture treated with radial head replacement and radial head excision alone
Authors: James Boblee , Varma Narendra , Anand Gokul 
Published: November 2022

: Radial head fractures are the most common fractures of the elbow with an estimated incidence of 2.5 to 2.9/10,000 people/ year. The incidence of radial head fractures is reported to be between 1.7 to 5.4 percent of all fractures. : This study aims to assess the clinical outcome of excision arthroplasty and prosthesis replacement in treatment of comminuted radial head fractures. : Patients with radial head fracture presenting to orthopaedics department and emergency room were included for the study. Excision arthroplasty was performed in 25 patients and replacement arthroplasty was performed in 25 patients. The functional outcome of both the procedure were compared using DASH, MEPS and Broberg and morrey scoring system. : Based on the DASH score Replacement group showed good improvement at the end of the 6 month follow-up with the mean score of 15.9 (P=0.042). Based on the MEPS score the mean MEPS score showed replacement group had a good improvement at the end of 6 month follow-up with the mean score of 15.9 (P=0.042). : From this study we concluded, radial head replacement is a reasonable option for unreconstructable radial head fractures. Radial head replacement can achieve effective radiocapitellar contact that will improve the stability in valgus, posterolateral, and axial loading of the forearm. This treatment option has satisfactory short- and mid-term results even with other combined elbow injuries.
Challenges in discharging elderly patients post hip fracture – Functional outcomes
Authors: Yadav Rashmi , Chawla Pushkar , Kumar Ritabh 
Published: November 2022

The purpose of this study is to realize the challenges experienced by elderly patients with hip fracture and their caregivers after discharge. A total of 65 files of elderly hip fracture operated patients were assessed and out of them responses from 53 patients collected through telephonic conversation over a period of 3 weeks. The responses received from the patient and their attendants were evaluated using the EQ-5D quality of life tool and their challenges noted. The most common fractures reported in the elderly are at the wrist, spine and hip. Hip fractures in elderly generally occur after a simple fall. If timely medical attention is not provided or appropriate care not taken the future of the patient after a hip fracture is certain – a dramatic reduction in the quality of life and possibly the beginning of the end of life. The purpose of this study is to evaluate the outcomes of elderly patients with hip fracture following surgery and the challenges they experienced after discharge from the hospital. A total of 53 patients were selected for the study who underwent hip surgery at Indian Spinal Injuries Centre. This is a descriptive study carried over a period of 13 months from August 2019 to August 2020. EQ-5D is used to characterize current health status of the patients. It consists of five domains and a visual analogue score. Feedback was collected from the patients and their attendants over telephone with a minimum follow up of 3 months. VAS score was calculated for every patient individually. Collected data was entered in MS Excel sheet. Challenges faced by the patients and their caregivers were documented. Out of 53 patients, 12 had died (22.6%), 07 patients responded themselves to the call and 34 calls were responded by the care givers. Most of the patients had intertrochanteric fractures 56.6% (30 patients) followed by neck femur fracture 24.5% (13 patients). On average every patient was suffering from a minimum of two comorbidities. The average length of hospitalization was 6.8 days. : This study suggests that integrated care involving geriatricians in pre-operative optimization of the patient should come in immediate practice. The role of post-surgery rehabilitation is invaluable but often an underestimated modality. The concerns of the patients and their family members regarding home care after discharge are genuine and need to be addressed. Information sharing is the key to reducing anxiety. Consideration for a cost-effective step-down facility must be considered by private institutes and government authorities.
Biomechanical effects of the tibial slope angle change on total knee prosthesis: 3D finite elements analysis
Authors: Arı Bunyamin , Korkmaz Murat , Özer Alaettin 
Published: November 2022

: In total knee arthroplasty, finding the correct tibial slope angle while placing the prosthesis affects the joint load. In our study; the load on the tibial insert and the notch of the insert as a result of flexion of the knee joint 0-30-60-90 degrees at each inclination in prostheses applied with posterior inclination angles of 0,3,5 and 7 degrees was examined in the three-dimensional right knee finite element structural model. In this way, it was aimed to reveal at which slope the resulting load is the lowest. The finite element structural model was created using the 3D 2.5 number right knee solid model. Two types of analysis were performed to examine the effect of angle change of the PE Insert on tibia component; static structural analysis with static loads at certain fixed flexion angles, and transient analysis with time for varying loadings at dynamically changing flexion angles with rotation of the knee between 0-90 degrees. In the 0 and 30 degree models, the least load on the tibial insert was found at 7 degree tibial slop angle (11.6 and 9.87 mpa, respectively), in 60 and 90 degree models at 5 degree tibial slop angle (9.07 and 11.4 mpa respectively). In the models of 0 and 30 degrees, no pressure occured on the tibial insert notch at 3,5,7 degrees of tibial slop angles, while in the 60 degree model, a pressure of 0,153 MPa occured at all 0,3,5,7 degrees at 0 degrees tibial insert slop angle and this pressure was centered at the junction with the tibial insert. The higher the load on the tibial insert, the greater wear of the tibial insert in the knee prosthesis. For this reason, it is important with which slop angle the tibial insert should be placed during surgery.
Can 900 MHz and 2100 MHz radiofrequency radiation exposure induce endoplasmic reticulum stress and apoptosis in rat thymus?
Authors: KAYA Ergi , KIRIMLIOĞLU Esma , ER Hakan , OKAN Aslı , ÖZEN Şükrü , DEMİR Necdet 
Published: November 2022

Objectives: Electrical appliances are source of radiofrequency radiation (RFR). The effects of RFR on the organism are not fully understood. Endoplasmic reticulum (ER) stress is appeared by the accumulation of misfolded proteins in ER lumen. The aim of this study was to investigate the effects of 900 and 2100 MHz RFR exposure on the ER stress pathway in rat thymus.
Methods: Rats were divided into six groups: 1 week (w) and 10 w Sham rats were kept in plexiglass tubes for 2 hours/day without RFR, experiment groups were created as 1-w (acute) and 10 w (chronic) rats which exposed to 900 and 2100 MHz RFR for 2 h/day. There were 20 male Wistar rats in each group. Immunohistochemistry stainings were performed GRP78, CHOP, Cleaved (Clv.) Caspase 3 and Caspase 12.
Results: Expressions of GRP78 and Clv. Caspase3 in RFR groups is significantly higher than sham groups (p &lt; 0.001). In 900 MHZ-1 w rats, high levels of GRP78 expressions were at the cytoplasm of epithelial reticular cells. In other groups, GRP78 expressions were seen also at thymocytes. Expressions of CHOP in RFR rats were higher than sham rats (2100 MHz /Sham for 10 w; p &lt; 0.001, 900 MHz /Sham for 10 w; p = 0.004, 900 MHz /Sham for 1 w; p = 0.003). Localization of CHOP expressions was at the nucleus membrane and cytoplasm. The expression of Caspase 12 in RFR rats was higher than sham rats (900 MHz /Sham for 1 w; p = 0.006, other groups; p &lt; 0.001).
Conclusions: This study demonstrates RFR exposure could increase levels of ER stress pathway proteins and could cause apoptosis.
SELÇUK ÜNİVERSİTESİ MERAM TIP FAKÜLTESİ SAĞLIK ÇALIŞANLARINDA FONKSİYONEL GASTROİNTESTİNAL BOZUKLUKLARIN ROMA III KRİTERLERİ EŞLİĞİNDE SIKLIĞI VE BİRLİKTELİĞİNİN BELİRLENMESİ
Authors: KAYIKÇIOĞLU Erkan , DEMİR Ali 
Published: November 2022

Fonksiyonel gastrointestinal bozukluklar, herhangi bir yapısal ya da biyokimyasal
patoloji olmaksızın, çeşitli kombinasyonlarda, kronik ve tekrarlayıcı gastrointestinal
semptomları içeren bir sendromdur. Bugüne kadar, bu grup hastalıkların tanımlanması ve
sınıflandırılmasında çeşitli kriterler geliştirilmiş ve bunlardan en sık kullanılanı Roma kriterleri olmuştur.
ROMA III kriterlerine göre yaptığımız çalışmada, sorgulamaya aldığımız populasyon genç yaştaki sağlık çalışanları idi.
Fonksiyonel gastroduodenal bozuklukların tümünün sıklığı populasyonumuzda % 26,2 idi ve bu oran erkek-kadın ya da doktor-yardımcı sağlık personeli arasında istatistiksel farklılık göstermiyordu. Fonksiyonel gastroduodenal bozuklukların büyük çoğunluğu fonksiyonel dispepsi, fonksiyonel dispepsinin de büyük çoğunluğu post-prandiyal distress(sıkıntı) sendromu idi. Epigastrik ağrı sendromu nadirdi. Bunu geğirme bozuklukları ile
bulantı ve kusma bozuklukları izlemekteydi. Fonksiyonel dispepsi sıklığı bizim çalışmamızda,% 15,4 idi. Wang ve arkadaşları da Roma III kriterleri ile yaptıkları çalışmalarında sadece dispepsi oranını % 15,2, İBS overlapingi ile birlikte % 20,2 bulmuşlardı. Fonksiyonel barsak bozukluklarının sıklığı % 45,1 bulundu. Bu kadın-erkek, doktoryardımcı sağlık personeli arasında istatistiksel farklılık göstermiyordu. Bunun % 20,6’ sı spesifik olmayan barsak bozukluklarıydı. Fonksiyonel barsak bozukluklarının neredeyse
yarısını oluşturan bu grubu daha iyi tanımlayıcı ya da ayırt edici kriterler düzenlenebilir.
Bizim çalışmamızda İBS oranı % 10,1 idi. Wang’ ın çalışmasında da sadece İBS oranı %
10,9, dispepsi overlapingi ile birlikte % 15,9 hesaplanmıştır. Bu çalışma ülkemizde Roma III kriterleri kullanılarak tüm fonksiyonel gastrointestinal bozuklukların tarandığı ilk çalışmadır.
A REFORMA TRABALHISTA NO BRASIL E NA FRANÇA: mercado de trabalho e desigualdades sociais
Authors: Sousa Antonio Paulino de , Anjos Elisa Maria dos , Nascimento Eloy Natan Silveira , Silva Paulo Cesar Garré 
Published: November 2022

O presente artigo objetiva debater sobre o mercado de trabalho na contemporaneidade a partir das reformas trabalhistas realizadas no Brasil e na França, buscando compreender seus efeitos no mercado de trabalho, na garantia dos direitos dos trabalhadores e na produção do Direito do Trabalho. A reforma trabalhista indica que a sociedade está vivendo transformações profundas que destroem as instituições sociais. O que está em jogo é a institucionalização do trabalho sem o Direito do Trabalho e o aumento das desigualdades sociais. Para tanto, mostra as contradições entre tais reformas e os princípios desenvolvidos em organismos internacionais que orientaram a construção de regulamentações baseados na ótica da dignidade humana. Além disso, analisa os efeitos da reforma trabalhista brasileira na categoria profissional dos bancários.