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    KORONER ARTER BYPASS CERRAHİSİNDE DESFLURAN VE SEVOFLURANIN MİYOKARDİYAL KORUNMA VE İNFLAMASYON ÜZERİNE ETKİLERİNİN KARSILASTIRILMASI

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    Çalısmamızda koroner arter bypass greftleme cerrahisi geçirecek hastalarda intraoperatif miyokard iskemisi açısından desfluran ve sevofluran anestezi uygulamalarının ST-segmenti, kardiyak enzim ve TNF-a düzeyleri üzerine etkilerini karsılastırmayı amaçladık. Elektif koroner arter bypass greftleme cerrahisi planlanan toplam 31 olgu iki gruba randomize edildi ve Grup D’ye desfluran, Grup S’de yer alan hastalara sevofluran anestezik ajan olarak kullanıldı. Operasyon boyunca remifentanil sabit infüzyon dozunda uygulandı ve anestezi derinligi bispektral indeks degerleri 40-60 arasında olacak sekilde inhalasyon anestezigi yüzde konsantrasyonu degistirilerek ayarlandı. ntraoperatif dönemde hemodinamik parametreler, ST-segment degisiklikleri, kalp debisi ve kullanılan volatil ajanların minimum alveolar konsantrasyon degerleri takip edildi. Anestezi indüksiyonu öncesi, intraoperatif ve postoperatif belirli dönemlerde miyokardiyal iskemi ve inflamasyon düzeyinin belirlenmesi amacıyla kardiyak enzim ve tümör nekrotizan faktör- (TNF- ) ölçümü için kan örnekleri alındı. Gelisen intraoperatif ve postoperatif komplikasyonlar kaydedildi. Her iki grup arasında kaydedilen hemodinamik parametreler, ST-segment degisikligi, kalp debisi ve bispektral indeks degerleri arasında farklılık gözlenmedi. Minimum alveolar konsantrasyon degerlerinde remifentanile baglı oldugu düsünülen azalmanın Grup D’de Grup S’ye göre anlamlı olarak fazla oldugu görüldü. Kreatin kinaz-MB ve troponin-T degerlerinde gruplar arasında farklılık bulunmadı. Grup D’de postoperatif 2. saatte ölçülen TNF- düzeyleri Grup S’ye göre anlamlı olarak daha az tespit edildi. Grup S’de cilt sonlanması ve postoperatif 24. saatte ölçülen TNF- degerleri Grup D’ye göre daha azdı. Sonuç olarak, desfluran ve sevofluranın koroner arter bypass greftleme cerrahisi anestezisinde ST-segment degisikligi, kreatin kinaz-MB ve troponin-T ile belirlenebilen miyokardiyal korunmayı benzer oranda sagladıgı ve erken postoperatif dönemde desfluran ve sevofluranın TNF-İ düzeyleri ile gösterilen inflamasyon yanıtını benzer miktarda baskıladıgı kanısına vardık.The aim of this study is, in terms of intraoperative myocardial ischemia, to compare the effects of desflurane with sevoflurane to ST-segment changes, cardiac enzyme and tumour necrosis factor- (TNF- ) values in patients undergoing coronary artery bypass grafting surgery (CABGS). Thirty-one patients undergoing elective CABGS were randomly allocated into two groups; in Group D desflurane and in Group S sevoflurane was administered. Remifentanil was administered at a constant infusion dose during the operation and depth of anesthesia was adjusted by modifying volatile anesthetics delivered fraction to achieve an anesthetic state with a bispectral index value in the range of 40-60. Hemodynamic parameters, ST-segment changes, cardiac output and minimum alveolar concentrations (MAC) were recorded. Blood samples were drawn for cardiac enzyme and TNF- assay before induction of anesthesia and at intra- and postoperative time periods. Intraoperative and postoperative complications were recorded. Hemodynamic parameters, ST-segment changes, cardiac output and bispectral index values were similar between the two groups. Reduction of MAC values attributed to remifentanil were significantly higher in Group D than Group S. Creatine kinase-MB and troponin-T values were similar between the groups. In Group D TNF- levels at the postoperative 2nd hour was found significantly lower than Group S. The skin closure and postoperative 24th hour TNF- values were lower than Group D. We conclude that, during the anesthesia for CABGS desflurane and sevoflurane protect the myocardium identically that can be detected by ST-segment changes, creatine kinase-MB and troponin-T levels and at the early postoperative period desflurane and sevoflurane blocks the inflammatory response similarly, which can be shown by TNF- values

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods

    Author Index

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    koamabayili/VECTRON-author-checklist: VECTRON author checklist

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    We have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used

    Author Under Sail The Imagination of Jack London, 1893-1902

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    In Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Intro -- Title Page -- Copyright Page -- Dedication -- Contents -- Acknowledgments -- Introduction -- 1. Spirit Truth -- 2. From Absorption to Theatricality and Back Again -- 3. "I Will Build a New Present" -- 4. Sons as Authors -- 5. Fathers as Publishers -- 6. The Daughter as Author -- 7. Lovers as Authors -- 8. At Sea with the Family -- 9. Yellow News, Yellow Stories -- 10. The Return Home -- Notes -- Bibliography -- Index -- About Jay WilliamsIn Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Description based on publisher supplied metadata and other sources.Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, YYYY. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
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