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    Comparison of pain, plantar foot sensation, posturalcontrol, fear of movement and functional level betweenwomen patients with early stage gonarthrosis and womenpatients with late stage gonart

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    Bu çalışma, erken ve geç evre gonartrozlu kadın hastalarda ağrı, taban altı basınç duyusu, postüral kontrol, hareket korkusu ve işlevsel seviyenin karşılaştırılması amacıyla planlanmıştır. Çalışmaya, İstanbul Medipol Üniversite Mega Hastanesi Ortopedi ve Travmatoloji polikliniğine diz ağrısıyla başvuran ve 'Amerikan Romatoloji Derneği (ACR)' ölçütlerine göre gonartroz tanısı konulan tek taraflı semptomatik gonartrozlu 62 kadın alındı. Hastalar, Kellgren-Lawrence ölçütleri esas alınarak erken ve geç evre olmak üzere iki gruba ayrıldı. Evre 1&2 (erken) 31 gonartrozlu kadın hasta ve evre 3&4 (geç) 31 gonartrozlu kadın hasta çalışmaya dâhil edildi. Hastaların yaş, boy, kilo, özgeçmiş, baskın taraf, eğitim düzeyi, meslek bilgileri ile yakınma süreleri kaydedildi. Ağrı şiddeti numerik derecelendirme ölçeği ile sorgulandı. Taban altı basınç duyusu değerlendirmesi için hafif dokunma, vibrasyon ve iki nokta ayrımı testleri kullanıldı. Postüral kontrol, Berg denge ölçeği ile değerlendirildi. Hareket korkusunu belirlemek için Tampa kinezyofobi ölçeği kullanıldı. İşlevsel seviye, 'kalk ve yürü testi' ile 'diz incinme ve osteoartrit sonuç skoru' kullanılarak değerlendirildi. Çalışmanın sonuçları değerlendirildiğinde, hastaların en çok merdiven inip çıkma sırasında ağrı çektikleri saptanmıştır. Erken evredeki hastaların ağrı şiddetlerinin geç evreye göre daha düşük olduğu bulundu, fakat bu fark anlamlı değildi (p>0.05). Erken evredeki hastaların baskın taraf 1. metatars başı, baskın olmayan taraf 5. metatars başı ve baskın olmayan taraf topuk hafif dokunma duyusu geç evreye göre daha yüksek bulundu. Erken evredeki hastaların vibrasyon duyusu geç evreye göre daha yüksekti. Erken evredeki hastaların baskın taraf orta nokta, baskın taraf topuk, baskın olmayan taraf trans-metatars, baskın olmayan taraf orta nokta, baskın olmayan taraf topuk iki nokta ayrımı duyusunun geç evreye göre daha yüksek olduğu bulundu. Erken evredeki hastaların postüral kontrollerinin geç evreye göre daha yüksek olduğu bulundu. Erken evredeki hastaların kinezyofobi seviyelerinin geç evreye göre daha düşük olduğu bulundu. Erken evredeki hastaların işlevsel seviyelerinin geç evreye göre daha yüksek olduğu bulundu. Geç evre gonartrozlu hastaların hissettikleri ağrı şiddeti erken evreye göre daha yüksekti fakat bu sonuç anlamlı değildi. Üç farklı ölçüt ile değerlendirilen taban altı basınç duyusu sonuçlarında, erken evre gonartrozlu hastaların hafif dokunma duyusu geç evre gonartrozlu hastalardan daha iyi olduğu bulundu. Vibrasyon duyusu, geç evre gonartrozlu hastalarda erken evre gonartrozlu hastalardan daha kötüydü. Geç evre gonartrozlu hastaların iki nokta ayrımı duyusu erken evre gonartrozlu hastalarınkinden daha kötüydü. Hastalığın ilerlemesiyle hastaların postüral kontrolünün de olumsuz etkilendiği tespit edildi. Yine hastalığın ilerlemesiyle hastaların kinezyofobi seviyelerinin de arttığı görüldü. Geç evre gonartozlu hastaların işlevsel seviyeleri erken evre gonartrozlu hastalarınkinden daha kötüydü. Ağrı şiddeti hariç araştırılan tüm değişkenlerde gonartrozun radyolojik olarak geç evreye ilerlemesi ile erken evre arasında anlamlı bir fark tespit edilmiştir. Bu sonuçlar nedeniyle tüm bu değişkenlerin özellikle geç evre gonartrozlu hastalarda kapsamlı bir şekilde değerlendirilmesi ve bu sonuçlar ışığında tedavi programı uygulanması gerektiğine inanmaktayız. Ayrıca bu çalışma gonartrozlu hastalarda taban altı basınç duyusunun araştırılması hususunda literatürde ilktir ve bundan sonraki yapılacak olan çalışmalara da ışık tutacağı düşünülmektedir.COMPARISON OF PAIN, PLANTAR FOOT SENSATION, POSTURAL CONTROL, FEAR OF MOVEMENT AND FUNCTIONAL LEVEL BETWEEN WOMEN PATIENTS WITH EARLY STAGE GONARTHROSIS AND WOMEN PATIENTS WITH LATE STAGE GONARTHROSIS This study was planned to investigate the comparison of pain, plantar foot sensation, postural control, fear of movement and functional level between women patients with early stage gonarthrosis and women patients with late stage gonarthrosis. Total 62 woman with gonarthrosis who applied to Istanbul Medipol University Mega Hospital Orthopedia and Traumatology outpatient clinic and Istanbul University Capa Medical Faculty Orthopaedics and Traumatology outpatient clinic with knee pain and diagnosed unilateral or bilateral symptomatic gonarthrosis according to American College of Rheumatology (ACR) criteria included to the study. Patients were divided into two groups as early and late stage according to Kellgren Lawrence criteria. 31 women patients with stage 1&2 (early) gonarthrosis and 31 women patients with stage 3&4 (late) gonarthrosis were included in the study. Patients' age, height, weight, medical history, dominant side, education level, occupation, complaint duration were noted. Patients were assessed by numeric rating scale for pain intensity. Light-touch pressure, vibration and two point discrimination tests were used for the assessment of plantar foot sensation. Postural control were assessed by Berg balance scale. Tampa kinesiophobia scale was used to determine fear of movement. Functional mobility were assessed by using 'time up and go test' and 'knee injury and osteoarthritis outcome score'. When the results of the study were evaluated, it was determined that the patients had the most pain during stair climbing-descending. Early stage patients had lower pain severity than late stage patients, but this difference was not significant (p>0.05). Early stage patients were found to have higher light-touch pressure sensation on 1st metatarsal head of dominant side, 5th metatarsal head of non-dominant side, heel of non-dominant side than late stage patients. Early stage patients had a higher sensation of vibration than late stage patients. The patients in the early stage were found to have higher two point discrimination sensation on middle of dominant side, heel of dominant side, trans-metatarsal of non-dominant side, middle of non-dominant side, heel of non-dominant side than late stage. Postural control of early stage patients were found to be higher than late stage patients. Early stage patients had lower kinesophobia levels than late stage patients. Functional levels of early stage patients were found to be higher than late stages. The severity of pain felt by patients with late stage gonarthrosis was higher than the patients with early stage gonarthrosis, but this result was not significant. Patients with early stage gonarthrosis were found to have better light-touch pressure than late stage patients. The vibration sensation was worse in patients with late stage gonarthrosis than patients with early stage gonarthrosis. The two-point discrimination of patients with late stage gonarthrosis was worse than patients with early stage gonarthrosis. It was also found that the postural control of the patients was adversely affected by the progress of the disease. It was seen that the kinesophobia levels of the patients increased with the progress of the disease. Functional levels of patients with late stage gonarthrosis were worse than patients with early stage gonarthrosis. There was a significant difference between late stage of gonarthrosis and early stage of gonarthrosis radiologically in all parameters studied except pain severity. Thus, we believe that all these parameters should be evaluated extensively especially in patients with late stage gonarthrosis, treatment program should be planned in light of these results. In addition, this study preliminary in the literature related to investigation of plantar foot sensation in patients with gonarthrosis and it is thought that it will highlight to the studies concerning plantar foot sensation in patients with gonarthrosis in the future

    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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