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The Effect on Pain of Buzzy® and ShotBlocker® during the Administration of Intramuscular Injections to Children: A Randomized Controlled Trial

  • Birsen, Sivri Bilgen;Serap, Balci
    • Journal of Korean Academy of Nursing
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    • v.49 no.4
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    • pp.486-494
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    • 2019
  • Purpose: To investigate the effect of $Buzzy^{(R)}$ and $ShotBlocker^{(R)}$ on reducing pain induced by intramuscular penicillin injections in children. Methods: This was a randomized controlled study. A total of 150 Turkish children aged 7~12 years who presented to our pediatric emergency clinic and met the inclusion criteria were recruited. The children were randomly assigned to each group (control=50, $Buzzy^{(R)}=50$, $ShotBlocker^{(R)}=50$). Data were collected using an information form, the State-Trait Anxiety Inventory for Children, Visual Analog Scale, and Faces Pain Scale-Revised. Results: The children in the control group had significantly higher pain scores during the penicillin injection than the children in the $ShotBlocker^{(R)}$ and $Buzzy^{(R)}$ groups. The children in the $Buzzy^{(R)}$ group had significantly less pain than the children in both the $ShotBlocker^{(R)}$ and control groups (p<.001). Conclusion: $Buzzy^{(R)}$ was more effective compared with $ShotBlocker^{(R)}$ in this study.

Ali Bey Hüseyinzade and His Impact on National Thought in Turkey and the Caucasus

  • UZER, UMUT
    • Acta Via Serica
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    • v.3 no.2
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    • pp.135-150
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    • 2018
  • Ali Bey $H{\ddot{u}}seyinzade$ (1864-1940) was one of the most significant Azerbaijani Turkish intellectuals in the late nineteenth and early twentieth centuries, formulating Azerbaijani national identity around its Turkish, Islamic and territorial dimensions. His solution to the ambiguities of the identity crisis among the Turkic-Muslim people of Azerbaijan was Turkification, Islamization and Europeanization for the Turkic and Muslim peoples of the Caucasus and Ottoman Turkey. Ali Bey $H{\ddot{u}}seyinzade$ was an influential Azerbaijani Turkish intellectual who had a direct impact on Turkish nationalists in the late Ottoman Empire and early Republican Turkey. $H{\ddot{u}}seyinzade^{\prime}s$ formulation of the triple processes of Turkification, Islamization and Europeanization spread among the Azerbaijani and Ottoman Turkish intellectuals in their respective countries. This article aims to discuss the ideas of Ali Bey $H{\ddot{u}}seyinzade$, especially regarding nationality, religion and Westernism and their impact on intellectuals and policy makers in the Caucasus and Turkey. His physical odyssey from Tsarist Russia into the Ottoman Empire is indicative of his ideological proclivities and his subsequent influence on the Turkish-speaking peoples in the two major empires in the late nineteenth and early twentieth centuries.

The Contagion of Covid-19 Pandemic on The Volatilities of International Crude Oil Prices, Gold, Exchange Rates and Bitcoin

  • OZTURK, M. Busra Engin;CAVDAR, Seyma Caliskan
    • The Journal of Asian Finance, Economics and Business
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    • v.8 no.3
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    • pp.171-179
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    • 2021
  • In the international markets, financial variables can be volatile and may affect each other, especially in the crisis times. COVID-19, which began in China in 2019 and spread to many countries of the world, created a crisis not only in the global health system but also in the international financial markets and economy. The purpose of this study is to analyze the contagious effect of the COVID-19 pandemic on the volatility of selected financial variables such as Bitcoin, gold, oil price, and exchange rates and the connections between the volatilities of these variables during the pandemic. For this aim, we use the ARMA-EGARCH model to measure the impact of volatility and shocks. In other words, it is aimed to measure whether the impact of the shock on the financial variables of the contagiousness of the epidemic is also transmitted to the markets. The data was collected from secondary and daily data from September 2th 2019 to December 20th, 2020. It can be said that the findings obtained have statistically significant effects on the conditional variability of the variables. Therefore, there are findings that the shocks in the market are contaminated with each other.

Optimum design of cantilever retaining walls under seismic loads using a hybrid TLBO algorithm

  • Temur, Rasim
    • Geomechanics and Engineering
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    • v.24 no.3
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    • pp.237-251
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    • 2021
  • The main purpose of this study is to investigate the performance of the proposed hybrid teaching-learning based optimization algorithm on the optimum design of reinforced concrete (RC) cantilever retaining walls. For this purpose, three different design examples are optimized with 100 independent runs considering continuous and discrete variables. In order to determine the algorithm performance, the optimization results were compared with the outcomes of the nine powerful meta-heuristic algorithms applied to this problem, previously: the big bang-big crunch (BB-BC), the biogeography based optimization (BBO), the flower pollination (FPA), the grey wolf optimization (GWO), the harmony search (HS), the particle swarm optimization (PSO), the teaching-learning based optimization (TLBO), the jaya (JA), and Rao-3 algorithms. Moreover, Rao-1 and Rao-2 algorithms are applied to this design problem for the first time. The objective function is defined as minimizing the total material and labor costs including concrete, steel, and formwork per unit length of the cantilever retaining walls subjected to the requirements of the American Concrete Institute (ACI 318-05). Furthermore, the effects of peak ground acceleration value on minimum total cost is investigated using various stem height, surcharge loads, and backfill slope angle. Finally, the most robust results were obtained by HTLBO with 50 populations. Consequently the optimization results show that, depending on the increase in PGA value, the optimum cost of RC cantilever retaining walls increases smoothly with the stem height but increases rapidly with the surcharge loads and backfill slope angle.

A simple chemical method for conversion of Turritella terebra sea snail into nanobioceramics

  • Sahin, Yesim Muge;Orman, Zeynep;Yucel, Sevil
    • Journal of Ceramic Processing Research
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    • v.19 no.6
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    • pp.492-498
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    • 2018
  • In this study, a sea shell was converted into bioceramic phases at three different sintering temperatures ($450^{\circ}C$, $850^{\circ}C$, $1000^{\circ}C$). Among the obtained bioceramic phases, a valuable ${\beta}-TCP$ was produced via mechanochemical conversion method from sea snail Turritella terebra at $1000^{\circ}C$ sintering temperature. For this reason, only the bioceramic sintered at $1000^{\circ}C$ was concentrated on and FT-IR, SEM/EDX, BET, XRD, ICP-OES analyses were carried out for the complete characterization of ${\beta}-TCP$ phase. Biodegradation test in Tris-buffer solution, bioactivity tests in simulated body fluid (SBF) and cell studies were conducted. Bioactivity test results were promising and high rate of cell viability was observed in MTT assay after 24 hours and 7 days incubation. Results demonstrated that the produced ${\beta}-TCP$ bioceramic is qualified for further consideration and experimentation with its features of pore size and ability to support bone tissue growth and cell proliferation. This study suggests an easy, economic method of nanobioceramic production.

Cephalic lateral crural advancement flap

  • Bulut, Fuat
    • Archives of Plastic Surgery
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    • v.48 no.2
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    • pp.158-164
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    • 2021
  • Background In lower lateral cartilage (LLC) surgery, cephalic trimming poses risks for the collapse of the internal and external nasal valves, pinched nose, and drooping deformity. The cephalic lateral crural advancement (CLCA) technique presented herein was aimed at using a flap to increase nasal tip rotation and support the lateral crus, in addition to the internal and external nasal valves, by avoiding grafts without performing excision. Methods This study included 32 patients (18 female and 14 male) and the follow-up period for patients having undergone primer open rhinoplasty was 12 months. The LLC was elevated from the vestibular skin using the CLCA flap. A cephalic incision was performed without cephalic trimming. Two independent flaps were formed while preserving the scroll ligament complex. The CLCA flap was advanced onto the lower lateral crus while leaving the scroll area intact. The obtained data were analyzed retrospectively. Results The mean age of the patients was 31.6 years (range, 20-51 years). The Rhinoplasty Outcome Examination scores after 12 months varied from 90 to100 points, and 93% of patients reported perfect satisfaction. At a 1-year follow-up, the patients' nasal patency (visual analogue scale) rose from 4.56±1.53 (out of 10) to 9.0±0.65 (P<0.001). Conclusions The CLCA flap led to better nasal tip definition by protecting the scroll area, increasing tip rotation, and supporting the internal and external nasal valves without cephalic excision.

Are women with small endometriomas who undergo intracytoplasmic sperm injection at an elevated risk for adverse pregnancy, obstetric, and neonatal outcomes?

  • Verit, Fatma Ferda;Kucukakca, Ayse Seyma Ozsuer
    • Clinical and Experimental Reproductive Medicine
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    • v.48 no.1
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    • pp.80-84
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    • 2021
  • Objective: The aim of the study was to investigate pregnancy, obstetric, and neonatal outcomes in women with small (<4 cm) unilateral endometriomas. Methods: This retrospective study included 177 patients: 91 patients with small endometriomas and 86 controls with unexplained or tubal factor infertility who were treated at the Süleymaniye Gynecology and Maternity Training and Research Hospital Infertility Unit between January 2010 and July 2015. The groups were matched with regards to demographic characteristics such as age, body mass index, and infertility duration. All of the women in this study conceived via intracytoplasmic sperm injection. We compared pregnancy, obstetric, and neonatal outcomes between these groups. Results: Women with endometriomas had a higher biochemical pregnancy rate, but lower clinical pregnancy and live birth rates than women with unexplained and tubal factor infertility (p<0.05 for all). However no significant differences were found in terms of obstetric and neonatal complications between the two groups (p>0.05 for all). Conclusion: In this study, we found that women with endometriomas less than 4 cm were more prone to early pregnancy complications. We also showed that this group did not have any increased risks of late pregnancy, obstetric, and neonatal complications.

Effect of surface treatment and luting agent type on shear bond strength of titanium to ceramic materials

  • Karaokutan, Isil;Ozel, Gulsum Sayin
    • The Journal of Advanced Prosthodontics
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    • v.14 no.2
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    • pp.78-87
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    • 2022
  • PURPOSE. This study aimed to compare the effect of different surface treatments and luting agent types on the shear bond strength of two ceramics to commercially pure titanium (Cp Ti). MATERIALS AND METHODS. A total of 160 Cp Ti specimens were divided into 4 subgroups (n = 40) according to surface treatments received (control, 50 ㎛ airborne-particle abrasion, 110 ㎛ airborne-particle abrasion, and tribochemical coating). The cementation surfaces of titanium and all-ceramic specimens were treated with a universal primer. Two cubic all-ceramic discs (lithium disilicate ceramic (LDC) and zirconia-reinforced lithium silicate ceramic (ZLC)) were cemented to titanium using two types of resin-based luting agents: self-cure and dual-cure (n = 10). After cementation, all specimens were subjected to 5000 cycles of thermal aging. A shear bond strength (SBS) test was conducted, and the failure mode was determined using a scanning electron microscope. Data were analyzed using three-way ANOVA, and the Tukey-HSD test was used for post hoc comparisons (P < .05). RESULTS. Significant differences were found among the groups based on surface treatment, resin-based luting agent, and ceramic type (P < .05). Among the surface treatments, 50 ㎛ air-abrasion showed the highest SBS, while the control group showed the lowest. SBS was higher for dual-cure resin-based luting agent than self-cure luting agent. ZLC showed better SBS values than LDC. CONCLUSION. The cementation of ZLC with dual-cure resin-based luting agent showed better bonding effectiveness to commercially pure titanium treated with 50 ㎛ airborne-particle abrasion.

Nuclear energy consumption, nuclear fusion reactors and environmental quality: The case of G7 countries

  • Cakar, Nigar Demircan;Erdogan, Seyfettin;Gedikli, Ayfer;Oncu, Mehmet Akif
    • Nuclear Engineering and Technology
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    • v.54 no.4
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    • pp.1301-1311
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    • 2022
  • Global climate change brings environmental quality sensitivity, especially in developed countries. Developed countries use non-renewable energy sources intensively both in their own countries and in other countries, they make productions that cause an enormous rate of increase in CO2 emissions and unsustainable environmental costs. This has increased the interest in environmentally friendly alternative energy sources. The aim of this study is to investigate the impact of nuclear energy consumption and technological innovation on environmental quality in G7 countries using annual data over the period 1970-2015. The Panel Threshold Regression Model was used for the analysis. Empirical findings have indicated that the relationship between nuclear energy consumption and carbon emissions differs according to innovation for nuclear power plants. It was also concluded that nuclear energy consumption reduces carbon emissions more after a certain level of innovation. This result shows that the increase in innovative technologies for nuclear power plants not only increases energy efficiency but also contributes positively to environmental quality.

Efficient power allocation algorithm in downlink cognitive radio networks

  • Abdulghafoor, Omar;Shaat, Musbah;Shayea, Ibraheem;Mahmood, Farhad E.;Nordin, Rosdiadee;Lwas, Ali Khadim
    • ETRI Journal
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    • v.44 no.3
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    • pp.400-412
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    • 2022
  • In cognitive radio networks (CRNs), the computational complexity of resource allocation algorithms is a significant problem that must be addressed. However, the high computational complexity of the optimal solution for tackling resource allocation in CRNs makes it inappropriate for use in practical applications. Therefore, this study proposes a power-based pricing algorithm (PPA) primarily to reduce the computational complexity in downlink CRN scenarios while restricting the interference to primary users to permissible levels. A two-stage approach reduces the computational complexity of the proposed mathematical model. Stage 1 assigns subcarriers to the CRN's users, while the utility function in Stage 2 incorporates a pricing method to provide a power algorithm with enhanced reliability. The PPA's performance is simulated and tested for orthogonal frequency-division multiplexing-based CRNs. The results confirm that the proposed algorithm's performance is close to that of the optimal algorithm, albeit with lower computational complexity of O(M log(M)).