Repositorio de la Asociación Española de Neuropsiquiatría
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Killi Kum Zeminlerin Dayanımı Üzerinde Yüksek Fırın Cürufunun Etkileri
No full textBu çalışmada, killi kum bir zeminin dayanımı üzerinde endüstriyel bir atık ürün olan yüksek fırın cürufunun (YFC) etkileri araştırılmıştır. Bu sebeple, kullanılacak zemin, öncelikle çeşitli laboratuvar deneylerine maruz bırakılarak zeminin geoteknik özellikleri tespit edilmiştir. Ardından, ağırlıkça %5 ila %30 aralığında değişen oranlarda YFC zemine katılarak test numuneleri hazırlanmıştır. Hem katkısız (saf) hem de stabilize zemin numunelerine standart proktor deneyi uygulanarak optimum su içerikleri ve maksimum kuru birim hacim ağırlıkları tayin edilmiştir. Bu su içeriklerinde hazırlanmış olan saf ve stabilize zemin numuneleri, 1 ve 7 günlük kür sürelerini tamamladıktan sonra serbest basınç ve Kaliforniya taşıma gücü oranı (CBR) deneylerine tabi tutulmuştur. Deney sonuçları dikkate alındığında, en efektif katkı oranı 7 günlük kür süresi sonunda %10 YFC katkılı numunelerden elde edilmiştir. Bu orandaki numunelerin serbest basınç mukavemeti ve CBR değeri, sırasıyla saf zemine göre 1,18 ve 1,81 kat artış göstermiştir. Bu sonuçlara göre, killi kum zeminlerin serbest basınç dayanımı ve taşıma gücü üzerinde %10 YFC katkısının önemli bir iyileştirici etkiye sahip olduğu görülmüştür
Effects of parent- and child-related behavioral feeding problems in early childhood on malnutrition
No full textObjective: Children's responses to food and their caregivers during normal developmental periods are known as feeding behavior. For the healthy development of these behaviors, parent and child relationships must also be healthy. Therefore, we aimed to investigate the effect of behavioral feeding problems on primary malnutrition (PM).Method: The Behavioral Pediatric Nutrition Assessment Scale (BPFAS) was administered to 300 malnourished and 300 control pediatric patients aged from 9 months to 4 years who were referred to our pediatric gastroenterology outpatient clinic. Pre-and posttreatment data were compared between the two groups.Results: There was no statistically significant difference between patients with and without malnutrition in terms of gender and age (p = 0.191, p = 0.128, respectively). Total behavioral frequency (TBF) and total behavioral problem (TBP) scores were significantly higher in the malnutrition group (p 85 increases the risk of developing malnutrition 3.731 times, a child TBF score of >62 increases it 2.644 times, and a parental TBF score of >21 increases it 4.82 times (p < 0.001). When anthropometric measurements and BPFAS scores of 127 PM patients who received behavioral therapy with enteral products and who attended follow-up were compared with their pretreatment data, there was a significant improvement (p < 0.05).Conclusion: Our study showed that behavioral feeding problems may increase the risk of PM and that behavioral therapy together with enteral products has a positive effect on treatment. Therefore, in addition to nutritional support in patients with PM, offering behavioral feeding therapy to parents will positively affect both the child's physical development and the relationship between the parents and their child.& COPY; 2022 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved
Laccase immobilization on bacterial cellulose produced in a mulberry pomace waste extract medium: Characterization and use for dye decolorization
No full textThe present study aimed to immobilize laccase on dry bacterial cellulose (BC) produced by Komagataeibacter xylinus B759 in mulberry pomace waste extract as a low-cost and natural waste by-product and to determine the effectiveness of the obtained laccase immobilized BC (Lac/BC) for textile dye decolorization. The highest BC yield obtained after optimization studies was as 1.70 g/L in pH 8.0 medium at 32 degrees C after 15 days. BC and Lac/BC structures were characterized by different instrumental techniques. A transition to more amorphous character was observed with the binding of the enzyme structure. The morphological properties and fiber structure of the BC and enzyme-linked cellulose structures were examined by SEM and AFM analyses. Obtained Lac/BC pieces were used for the decolorization of Reactive Blue 171 (RB 171) and Reactive Blue 198 (RB 198) diazo dyes during the repeated-batch process. As a result of using 12 pieces of Lac/BC, 93% and 98% decolorization values were obtained for the RB 171 and RB 198 dyes in the first use, while the color removal was still 83% and 51% at the 8th use, respectively. The results showed that BC produced in a mulberry pomace waste extract can be used for laccase immobilization and Lac/BC is an effective and promising system for textile dye decolorization.Inonu University Scientific Research Projects Coordination Unit [FYL-2021-2627]ACKNOWLEDGMENTS This study was supported by Inonu University Scientific Research Projects Coordination Unit (Project No: FYL-2021-2627)
Retrospective analysis of the frequency and variety of skin lesions in patients diagnosed with sarcoidosis and examined by dermatology in a tertiary health care facility
No full textAim: The aim of this retrospective study is to examine the frequency and clinical features of skin lesions in patients with sarcoidosis and to compare them with the literature. Materials and Methods: The files of patients diagnosed with sarcoidosis in the last 10 years in our hospital were reviewed retrospectively. Age, gender, age at diagnosis, dermatology consultation or dermatological examination findings were recorded for all patients. Results: Thirty (69.8%) of the patients diagnosed with sarcoidosis were female and 13 (30.2%) were male. The mean age was 49.7 ± 12.2. When the patients are grouped according to the age ranges at which they are diagnosed, there are 1 (%2.3) patient between the ages of 10-19, 4 (%9.3) patients between the ages of 20-29, 6 (%13.9) patients between the ages of 30-39, 16 (%37.2) patients between the ages of 40-49, 8 (%18.6) patients between the ages of 50-59 and 8 (%18.6) patients over the age of 60. The mean age at which female patients were diagnosed with sarcoidosis was 47.56±12.85, and the mean age at which male patients were diagnosed with sarcoidosis was 41.86±13.81 years. The mean follow-up period of the patients was 4.0±3.1 years. Thirty-one (72.1%) of all patients were examined in dermatology. Dermatological findings including erythema nodosum were detected in 8 (18.6%) patients. Conclusion: Sarcoidosis is a multisystemic disease that can progress with various clinical findings and should be considered in the differential diagnosis with its frequent or rare findings. In this study, in which the data of patients diagnosed with sarcoidosis in the last 10 years in our hospital were evaluated, our findings were generally similar to the literature data
Surface Applications of T-Bezier curves
No full textIn controlling the shapes in the surface design, we create the rotational surfaces using T-Bezier curves with two shape parameters. Here, shape parameters play an important role in shape design. Finally, we give the characterizations of the mean and Gaussian curvatures for these rotational surfaces according to the shape parameters
Evaluation of Salivary Glands by Ultrasonography and Inflammatory Markers in Children with Autoimmune Thyroiditis
No full textIntroduction: Although more common in adults, autoimmune thyroiditis (AT) is one of the most common thyroid diseases in children and adolescents. Salivary gland involvement has been described in many studies of patients with AT. Several inflammatory scores are used to assess the inflammatory status of patients with systemic autoimmune diseases. We aimed to sonographically evaluate the parotid and submandibular salivary glands with inflammatory parameters in patients with AT in our study. Methods: Our study population consisted of 37 consecutive pediatric AT patients and 29 healthy control subjects. Ultrasonographic and laboratory evaluations of the study population were performed. Jamovi and MedCalc software were used to analyze the data. Results: The volume of the thyroid gland in the patients was significantly higher than that in the control group (p=0.030), while there was no difference in the volume of the salivary glands. Multiple logistic regression analysis was planned to assess the predictability of salivary gland involvement in patients with the disease. Both systemic immune-inflammation index (SII) and pan-immune inflammation value (PIV) were found to be predictors of salivary gland involvement in AT patients. Conclusion: We found that both SII and PIV inflammatory markers are predictive of salivary gland parenchymal changes in patients with AT, and SII is likely to be more valuable than PIV at this time
La fragmentación de la identidad en la disociación y en las psicosis
No full textIn current psychiatry, there is a great interest in elucidating the existing similarities and differences between psychotic experiences and dissociative ones; especially, the pathogenic dynamics that give rise to both of them, as well as the most effective therapeutic approaches in each case. From the point of view of plural identity, these two experiences make up the two great functional biographic crises that give rise to identity fragmentation, with the loss of their unity and continuity, in addition to the loss of their autonomy and self-esteem. Both of them are differentiated by the repression and dissociation mechanisms that exist in their origin. That said, any approach or hypothesis that we may use to try to understand these two types of experiences should not be limited to understanding them in their current representations and with the keys that we currently call “scientific”, because experiences of this type have existed throughout the history of humanity, reconceptualized differently in other cultural, spiritual, religious or moral keys.En la psiquiatría actual tenemos mucho interés en dilucidar las semejanzas y las diferencias existentes entre las experiencias psicóticas y las experiencias disociativas, y en especial las dinámicas patogénicas que dan lugar a unas y a otras, y los abordajes terapéuticos más eficaces en cada caso. Desde el punto de vista de la identidad plural, estas dos experiencias constituyen las dos grandes crisis biográficas funcionales que dan lugar a la fragmentación de la identidad, con la pérdida de su unidad y continuidad, además de su autonomía y autoestima. Ambas se diferencian por los mecanismos de represión y disociación que están en el origen de las mismas. Ahora bien, cualquier enfoque o hipótesis con la que tratemos de entender estos dos tipos de experiencias no debe limitarse a comprenderlas en sus representaciones actuales y en las claves que hoy llamaríamos “científicas”, porque experiencias de este tipo han existido a lo largo de la historia de la humanidad reconceptualizadas de forma distinta, en otras claves culturales, espirituales, religiosas o morales
Franco Rotelli: Obituario de Franco Rotelli
No full textFranco Rotelli (Casalmaggiore, 23 de julio 1942 -Trieste, 16 de marzo de2023), referencia obligada para quienes trabajamos en la salud mental, uno delos protagonistas de la reforma psiquiátrica en Italia y en el mundo, falleció el 16de marzo en Trieste a los 80 años. Colaborador de Franco Basaglia en la desinstitucionalizacióndel Hospital psiquiátrico San Giovanni de Trieste, le sucede ennoviembre de 1979 en la dirección triestina, una de las principales experiencias dela Reforma Psiquiátrica iniciada en la segunda mitad del siglo pasado, reconocidauniversalmente en la práctica de la salud mental por su crítica a las institucionestotales, manicomiales, y su priorización de la autonomía, la ciudadanía y el respetopor la dignidad en el trato con los sufridores psíquicos. Durante los años setenta yochenta fue líder de Psiquiatría Democrática y de la Internacional Psiquiátrica quefue el Réseau-Alternative à La Psychiatrie, en la que participaba en tiempos de Francola entonces semiclandestina Coordinadora de Psiquiatría, precursora de la actualAsociación Española de Neuropsiquiatría-Profesionales de la Salud Mental. Fueautor de libros imprescindibles, como Per la normalità, Taccuino di uno psichiatra:1967-19931 y Quale psiquiatria?2, e innumerables artículos
ENTELEKTÜEL YETERSİZLİĞE SAHİP ÇOCUKLARIN SPOR YAPMA DURUMLARINA GÖRE EBEVEYNLERİNİN STRES DÜZEYLERİNİN KARŞILAŞTIRILMASI
No full textBu araştırmanın amacı, spor yapan ve yapmayan entelektüel yetersizliğe sahip çocukları olan ebeveynlerin stres düzeylerini karşılaştırarak incelemektir. Araştırmada katılımcıların stres düzeyini belirlemek için nicel araştırma yaklaşımlarından, nedensel karşılaştırma araştırması deseni kullanılmıştır. Araştırmanın çalışma grubunu Malatya ve Muş illerinde özel eğitim rehabilitasyon merkezlerine devam eden ve spor kulüpleri bünyesinde özel sporcu olarak spor yapan 147 hafif düzey entelektüel yetersizliğe sahip bireyin ebeveynleri oluşturmaktadır. Araştırmada amaçlı örnekleme yöntemi kullanılarak araştırmaya gönüllü olarak katılmayı kabul eden 147 ebeveyn dahil edilmiştir. Araştırma verileri anket tekniği kullanılarak toplanmıştır. Katılımcıların demografik bilgilerinin tespiti için ‘Kişisel Bilgi Formu’, stres düzeylerinin belirlenmesi için ise Kaner (2001), tarafından Türkçeye uyarlanan ‘Aile Stresini Değerlendirme Ölçeği’ kullanılmıştır. Katılımcı gruplar arasındaki stres düzeyinin belirlenmesi, işlev yetersizliği, karamsarlık ve aile sorunları alt boyutları ve toplam puanların karşılaştırılması ile yapılmıştır. Elde edilen verilerin analizi için Mann-Whitney U Testi kullanılmıştır. Yapılan analizlerden elde edilen bulgular sonucunda, annelerin babalardan daha fazla çocuklarını spora yönlendirdikleri belirlenmiştir. Çocuğu spor yapan ebeveynler ile çocuğu spora katılım sağlamayan ebeveynler arasında işlevsel yetersizlik, karamsarlık boyutlarında ve aile stresi ölçeği toplam puanı karşılaştırmasında çocuğu spor yapmayan grup lehine istatiksel olarak anlamlı farklılıklar olduğu, aile sorunları alt boyutunda ise iki grup arasında anlamlı farklılık olmadığı tespit edilmiştir. Sonuç olarak araştırmada, çocuğu spor yapan ebeveynlerin çocuğu spor yapmayan ebeveynlerden daha az stres yaşadığı söylenebilir. Araştırma sonuçlarından yola çıkarak, entelektüel yetersizliği olan çocuğa sahip ailelerin stres düzeylerini azaltmaya yönelik gerçekleştirilecek sosyal destek programlarında, bu ebeveynlerin çocuklarının spora katılımına yönelik programlara ağırlık verilmesi gerektiği söylenebilir
Corticosteroid-induced avascular necrosis of the femoral head is increased in the treatment of COVID-19 pandemic
No full textIschemia of an appendage caused by dressing, tourniquet or hair is a rare, but devastating clinical entity. A six-year-old girl presented to the emergency department with necrosis of her right thumb caused by compressive dressing for four days. The patient was treated with an immediate surgical decompression and the thumb was saved. The patient had a full range of the thumb at 10 months of follow-up. In conclusion, instead of waiting for full demarcation, timely surgical interventions may protect the fingers from being amputated