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Considering both the ecological niches of fungi and the different benefits they provide to humans, it is expected that students have a high level of scientific knowledge about living things in this kingdom. In the study, it was aimed to examine the learning of secondary school students about living things in the fungi kingdom. The research, which was carried out as a case study, was carried out with 52 secondary school students studying in the Central Anatolia Region of Türkiye in the 2022-2023 academic years. In the research, it was determined that the students had misconceptions and lack of knowledge about the classification of living things in the fungi kingdom, their diet, ecological functions and their effects on human life. The students stated that fungi take place in the world of plants, feed by photosynthesis and are used in making yogurt. According to these results, it is recommended to conduct studies on textbooks, teaching methods and teachers that cause students' misconceptions about living things in the fungi kingdom.

Abstract In this study, the performance of a novel organic tea compost developed for the first time in the world from raw tea waste from tea processing factories and enriched with worms, beneficial microorganisms, and enzymes was tested in comparison to chemical fertilizers in tea plantations in Rize and Artvin provinces, where the most intensive tea cultivation is carried out in Turkey. In the field trials, the developed organic tea vermicompost was incorporated into the root zones of the plants in the tea plantations in amounts of 1000 (OVT1), 2000 (OVT2) and 4000 (OVT4) (kg ha-1). The experimental design included a control group without OVT applications and positive controls with chemical fertilizers (N: P: K 25:5:10, (CF) 1200 kg ha-1) commonly used by local growers. The evaluation included field trials over two years. The average yields obtained in two-year field trials in five different areas were: Control (6326), OVT1 (7082), OVT2 (7408), OVT4 (7910), and CF (8028) kg ha-1. Notably, there was no significant statistical difference in yields between the organic (at 4000 kg ha-1 ) and chemical fertilizers (at 1200 kg ha-1). The highest nutrient contents were obtained when CF and OVT4 were applied. According to the average values across all regions, the application of OVT4 increased the uptake of 63% N, 18% K, 75% P, 21% Mg, 19% Na, 29% Ca, 28% Zn, 11% Cu and 24% Mn compared to the control group. The application of chemical fertilizers increased the uptake of 75% N, 21% K, 75% P, 21% Mg, 28% Na, 27% Ca, 30% Zn, 18% Cu and 31% Mn compared to the control group. The organic fertilizer treatment had the lowest levels of antioxidants compared to the control groups and the chemical fertilizers. It was also found that the organic fertilizer increased the levels of amino acids, organic acids and chlorophyll in the tea plant. Its low antioxidant activity and proline content prepared them for or protected them from stress conditions. With these properties, the biotechnologically developed organic tea compost fertilizer has proven to be very promising for tea cultivation and organic plant production.

The present study aims to evaluate the relationship between smartphone addiction and depression in primary care. Three hundred fifty-two people who participated in our research, designed as a cross-sectional study, filled out the Short Version of the Smartphone Addiction scale and Beck’s Depression Inventory. Among the participants, 28.9% were found to have smartphone addiction and 52.3% were found to have depressive symptoms. The mean score of participants in the Smartphone Addiction Scale was 24.32 ± 11.24 points (n = 352). The mean score in Beck’s Depression Inventory was 10.80 ± 7.94 points. A positive significant relationship was found between depression frequency and social media usage duration (1–2 hours/ day) and length of social media usage (≥5 hours/day). A weak but positive and significant correlation was found between Smartphone Addiction Scale and Beck’s Depression Inventory (r = 0.147; p = .006). In the regression analysis, it was determined that having an income between 1000 and 1999 TL, having a computer at home, having other addictions other than smoking, and being addicted to a smartphone increase the risk of depression development. The relationship between smartphone addiction and depression should be given attention. The factors influencing smartphone addiction should be considered. Especially the social media and smartphone usage should be limited.

Chiari Malformation type 1 (CM-I) is a neurological disorder characterized by morphological defects including excessive cerebellar tonsillar ectopia and associated manifestations. We used 3D amplified MRI on a cohort of healthy and CM-I subjects to investigate the brain’s intrinsic motion, its association with the morphology and patient’s symptomatology, and surgical outcomes. We observed that the regional brain motion in CM-I was significantly higher than that of the healthy subjects, with anterior-posterior (AP) and superior-inferior (SI) displacements in cerebellar tonsils and medulla having the highest differences between the healthy and CM-I (∼45%–∼73% increased motion in the CM-I group). Interestingly, we found the ratio of neural tissue in the foramen magnum to be directly correlated with the SI tonsillar motion (r=0.58). Tonsillar herniation was directly correlated with the AP motion of the tonsils (r=0.61), and AP and medial-lateral (ML) motions of the medulla (r=0.66, and r=0.57). Subjects with higher tonsillar ML motion prior to surgery showed improved outcome (p=0.03, and AUC=0.95). Although we did not observe a significant correlation between the brains motion and morphometrics on the CM-I symptoms (perhaps due to our small sample size), illustrative cases increase our hope for the development of a future tool based on brain biomechanics.

Paroxysmal sympathetic hyperactivity (PSH) is a state of autonomic dysfunction characterized by symptoms such as tachypnea, tachycardia, hypertension, hyperthermia, sweating, and dystonia. It can occur after traumatic brain injury, hypoxic-ischemic encephalopathy, and diseases such as stroke. Hypoxia, extensive axonal damage, and young age are believed to predispose to the development of PSH. These patients may be diagnosed with pulmonary embolism, septicemia, or epileptic seizures. Delays in diagnosis prolong hospital stay. Here, we present an 81-year-old man who developed PSH after a recurrent stroke and our management.

Background: Columellar strut grafts (CSG) are effective in providing the unity of the nasal tip with a weak,short, medial, or middle crura. However, its effect on tip stabilization is minimal. The CSG may be fixated to an autoextension at the caudal septum to augment the stabilization capacity of the strut. Septal auto-extension may not be applicable in cases with a short/shortened caudal septum, which can be solved by designing an extension in the middle of the CSG, which can be called an “inverted T-shaped CSG.” Methods: Patients who underwent tip stabilization with an inverted T-shaped CSG between January 2019 and November 2021 were selected for this research. All patients underwent open structural rhinoplasty. The inverted T-shaped CSG was prepared similarly to the standard strut. However, spike-like extension was preserved in the middle of the strut, branching out at a right angle. The T-shaped CSG was settled between the medial crura. Then, the extension was fixated to the caudal septum. Medial crura were sutured over the inverted T-shaped CSG, and stability was established. Preoperative, peroperative, and postoperative images were analyzed. Results: This technique was used in 64 patients. The average age was 37 years (26-48 years). Thirty-five patients were female, and 29 were male. Forty-one patients had undergone primary rhinoplasty, and 23 had undergone secondary rhinoplasty. The mean patient follow-up was 14 months (8-22 months). Statistical analysis was used to compare tip projection ratios and nasolabial angle calculations. A statistically meaningful difference was observed between preoperative, immediate postoperative, and 1-year postoperative measurements of the projection ratio and nasolabial angle increase in all cases, and this projection was observed to be maintained at 1 year. The inverted T-shaped CSG provided satisfactory tip stabilization in all patients. Conclusion: The inverted T-shaped CSG is a good alternative for tip stabilization with graft economy, without columellar retraction, overortation, stiffness, in short/shortened septae.

Population balance models (PBMs) for milling processes are based on two fundamental concepts: specific breakage rate function and breakage distribution function, which vary with particle size as well as design–operation conditions. The solution of the inverse problem, i.e., the estimation of these two functions’ parameters, may cause falsified kinetics and breakage distribution mechanisms. This perspective article aims to expose and mitigate various aspects of potential falsification, thus enabling the development of a robust PBM. Through an in-depth analysis of historical approaches to the PBM inverse problem and experimental observations, as well as the author’s recent contributions to the inverse methodology within the context of back-calculation methods, six principles have been offered: (i) include the governing physical phenomena and reduce errors in model building; (ii) reduce the number of model parameters via size–operation-dependent functional forms, hybrid approaches for back-calculation, and combination with CFD–DEM and other mechanistic models; (iii) generate a dense particle size distribution data set obtained at various milling times and/or locations; (iv) ensure a grid-independent solution with a sufficient number of size classes; (v) use a global optimization-based back-calculation method for parameter estimation and provide standard errors of the estimates; and (vi) test the predictive capability of the PBM. This perspective article boosts awareness of various challenges involved in the solution of the inverse PBM problem as pertinent to milling processes and provides researchers with six principles to minimize falsified kinetics.

Introduction Diagnosing and treating lung cancer in early stages is essential for survival outcomes. The chest X-ray (CXR) remains the primary screening tool to identify lung cancers in the UK; however, there is a shortfall of radiologists, while demand continues to increase. Image analysis by machine-learning software has the potential to support radiology workflows with a focus on immediate triage of suspicious X-rays. The RADICAL study will evaluate Qure.ai’s ‘qXR’ software in reducing reporting time for suspicious X-rays in NHS Greater Glasgow & Clyde.Methods and analysis This is a stepped-wedge cluster-randomised study consisting of a retrospective technical evaluation and prospective clinical effectiveness study alongside the assessment of acceptability via qualitative work and evaluation of cost-effectiveness via a cost utility analysis. The primary objective is to assess the clinical effectiveness of qXR to prioritise patients suspected with lung cancer on CXR for follow-up CT. Secondary objectives will look at the utility, safety, technical performance, health economics and acceptability of the intervention. The study period is 24 months, consisting of an initial 12 month data collection period and a 12 month follow-up period. All the standard care CXRs from outpatient and primary care requests will be securely transmitted to Qure.ai software ‘qXR’ for interpretation. Images with features of cancer will be flagged as ‘Urgent Suspicion of Cancer’ and be prioritised for radiologist review within the existing reporting workflow.Ethics and dissemination The study will follow the principles of Good Clinical Practice. The protocol was granted REC approval in August 2023 from North West—Greater Manchester West Research Ethics Committee (REC 23/NW/0211). This study was registered on clinicaltrials.gov (NCT06044454). An interim report will be produced for use by the Scottish Government. The results from this study will be presented at artificial intelligence, radiology and respiratory meetings and published in peer-reviewed journals.Trial registration number NCT06044454.

Objective: The aim of this study was to biomechanically compare a new lateral-pinning technique, in which pins engage the medial and lateral columns of the distal humerus in a divergent configuration in both the axial and sagittal planes instead of the coronal plane, with the cross-pin, and with 2 and 3 coronally divergent lateral-pin techniques in a synthetic humerus model of supracondylar humerus fractures. Methods: Thirty-six identical synthetic models of the humerus simulating a standardized supracondylar humerus fracture were included in this study. They were divided into 4 groups based on the pin configuration of fixation: the new 3-lateral pin-fixation technique (group A), 2 crossed pins (group B), 3 divergent lateral pins (group C), and 2 divergent lateral pins (group D). Each model was subjected to combined axial and torsional loading, and then torsional stability and torsional stiffness (Nmm/°) were recorded. Results: Group A had greater rotational stability than groups C and D but had no statistically significant additional rotational stability compared with group B (P=.042, P=.008, P=.648, respectively), whereas group B had greater rotational stability than only group D (P=.020). Furthermore, group A demonstrated higher internal rotational stiffness compared with groups C and D (P=.038, P=.006, respectively). Group B had better internal rotational stiffness than group D (P=.015). There was no significant difference in internal rotational stiffness between groups A and B (P=. 542), groups B and C (P=.804), and groups D and C (P=.352). Although no statistically significant differences existed between groups A and B, the modified pin configuration exhibited the highest torsional stability and stiffness. Group D showed the lowest values in all biomechanical properties. Conclusion: This study has shown us that this new lateral-pinning technique may provide torsional resistance to internal rotational displacement as strong as the standard technique of crossed-pin configuration of fixation. Furthermore, with this new pin configuration, greater torsional resistance can be obtained than with either the standard 2- or the standard 3-lateral divergent pin configuration.

Background The relationship between collateral circulation and prognosis after endovascular treatment in anterior circulation strokes has been reported in many studies.

Purpose: The relationship between public expenditure and revenue that determines the budget balance in the explanation of budget deficits is very important. This study aimed to examine the association between public spending and income in Turkey. Methodology: This article applies the continuous wavelet transform method (CWT) to study the relationship between government revenues and expenditures in Turkey. The study, which covers the period 2006-2020, consists of monthly data. The following four CWT tools were used in the analysis: Wavelet Power Spectrum, Cross Wavelet Power, Wavelet Coherence, and Phase Difference. Results: The results of the study, controlling taxes rather than expenditures, play a key role in reducing fiscal deficits in Turkey in the short term. It is revealed that the dynamics of the budget balance in the medium term can be explained by the spend-tax hypothesis and that the tax burden can be alleviated by spending cuts. In the long term, results were obtained that support the spend-tax hypothesis. Conclusion: The paper reveals that taxes play an important role in controlling budget deficits in the short run. It turns out that the dynamics of the budget balance can be explained in the medium term by expenditure cuts and then the tax burden can be alleviated. In the long run, implementing fiscal policies based on public spending rather than taxation will be more effective against budget deficits.

Energy is mentioned as a concept that affects the policies of the country with the consumption of natural resources, with the production types in alternative and different ways, and with the effect of the economy of the countries. It is offered in various courses from primary school to university, teaching of energy sources. And while this is also important as a field of expertise, energy resources are taught as a course in many universities in undergraduate education. It was necessary to do such a study, to determine the general knowledge and behavior of Geography teacher candidates within the scope of energy resources course. This study is a case study of qualitative research methods. Qualitative research is the method by which data is produced without statistical operations or any other numerical means in any way. In addition, the qualitative research method is focused on one main case and based on the opinions of the participants. It is important to have flexibility in the research designed and to have an inductive analysis, qualitative research techniques. The case study is an in-depth description and examination of a limited system. In this study, in-depth and detailed views of the Energy Resources course were taken from the geography teacher candidates during the undergraduate period. Phenomenology design, one of the qualitative research methods, was used in the study. The desire to convey the candidates' views more clearly and clearly is the reason why we use this design. Critical approach has also been used in the interpretation of phenomenological design. We did this to broaden our perspective on the study.

This study examines the complex and time-varying relationship between residential energy demand (including electricity, geothermal, and solar energy) and climate change using wavelet analyses with monthly USA data from January 1990 to March 2023. The results show that residential energy demand and climate change indicators exhibit a time-varying interrelationship with cyclical and lag effects. Specifically, before 2021, a positive correlation between residential electricity demand and carbon dioxide (CO2) emissions in short-term frequencies was found, but the relationship reversed thereafter, with an increase in CO2 levels influencing and decreasing residential electricity demand. In the long run frequencies, the link between residential power consumption and CO2 emissions shifted over time, exhibiting inconsistent co-movement. The co-movements between residential geothermal and CO2 show predominantly positive correlations, with CO2 leading the relationship in the short run, while geothermal leads the co-movements in the long run. In both short and long-term frequencies, the dependency and co-movement between residential solar and CO2 are mixed, with residential solar leading to positive correlations and CO2 leading to negative correlations. Therefore, improved insulation, energy-efficient windows, and high-efficiency heating systems can all assist in reducing heat loss and the total energy demand for domestic heating and subsequently low CO2 emissions.

Objective: To reveal the profile and practice in patients with acute stroke who received intravenous tissue plasminogen activator (IV tPA) and/or neuro-interventional therapy in Türkiye. Materials and Methods: On World Stroke Awareness Day, May 10, 2018, 1,790 patients hospitalized in 87 neurology units spread over 30 health regions were evaluated retrospectively and prospectively. Results: Intravenous tPA was administered to 12% of 859 cases of acute ischemic stroke in 45 units participating in the study. In the same period, 8.3% of the cases received neurointerventional treatment. The rate of good prognosis [modified Rankin score (mRS) 0–2] at discharge was 46% in 83 patients who received only IV tPA [age: 67 +- 12 years; National Institutes of Health Stroke Scale (NIHSS): 12 +- 6; hospital stay, 24 +- 29 days]; 35% in 51 patients who underwent thrombectomy (MT) alone (age: 64 +- 13 years; NIHSS: 14.1 +- 6.5; length of hospital stay, 33 +- 31 days), 19% in those who received combined treatment (age: 66 +- 14 years; NIHSS: 15.6 +- 5.4; length of hospital stay, 26 +- 35 days), and 56% of 695 patients who did not receive treatment for revascularization (age: 70 +- 13 years; NIHSS: 7.6 +- 7.2; length of hospital stay, 21 +- 28 days). The symptom-to-door time was 87 +- 53 minutes in the IV treatment group and 200 +- 26 minutes in the neurointerventional group. The average door-to-needle time was 66 +- 49 minutes in the IV tPA group. In the neurothrombectomy group, the door-to-groin time was 103 +- 90 minutes, and the TICI 2b-3 rate was 70.3%. In 103 patients who received IV tPA, the discharge mRS 0–2 was 41%, while the rate of mRS 0–1 was 28%. In 71 patients who underwent neurothrombectomy, the mRS 0–2 was 31% and mRS 0–1 was 18%. The door-to-groin time was approximately 30 minutes longer if IV tPA was received (125 +- 107 and 95 +- 83 minutes, respectively). Symptomatic bleeding rates were 4.8% in IV recipients, 17.6% among those who received only MT, and 15% in combined therapy. Globally, the hemorrhage rate was 6.8% in patients receiving IV tPA and 16.9% in MT. Conclusion: IV thrombolytic and neurointerventional treatment applications in acute ischemic stroke in Türkiye can provide the anticipated results. Heterogeneity has begun to be reduced in our country with the dissemination of the system indicated by the 'Directive on Health Services to be Provided to Patients with Acute Stroke.'

Village Institutes were educational institutions in Türkiye that were structured in line with the educational, economic, social and political needs of the period. They constituted an important dimension of the works carried out to develop the country economically propagate the newly founded republic and its basic principles to the public. These institutions aimed to train well-equipped village teachers to develop the villages and the villagers in every aspect. The teachers who graduated from these institutions also shouldered the task of strengthening the bond between the village and the villagers and the state and the republic. The curriculum that determined the education process of the Village Institutes was first put into practice in 1943. Educational activities were carried out in line with the "education in work, education for work, education with work" principle. The students were active and educational activities were done holistically in these institutions. Furthermore, the students had the opportunity to apply the knowledge they had learned in the culture courses for themselves and in the agriculture courses through technical courses. However, in these educational institutions, the curriculum diverged partially from this aforementioned main principle after 1947. In the 1947 curriculum, which was revised in line with the criticisms made for the 1943 program, the agriculture and technical courses were reduced, and the culture courses were increased. With the 1953 Teacher Training Schools and Village Institutes curriculum, the five-year education increased to six years and the technical and agricultural courses were greatly reduced. Since the Village Institutes were closed in 1954, this curriculum could not be implemented for a long time. For this reason, it would not be wrong to state that the 1943 curriculum was the curriculum which that was developed and implemented in such a way as to fully meet the basic aims and principles of the Village Institutes.

The modeling of processes and formulations significantly enhances product development in the pharmaceutical industry [...]

In soil science, the allocation of soil samples to their respective origins holds paramount significance, as it serves as a crucial investigative tool. In recent times, with the increasing use of proximal sensing and advancements in machine-learning techniques, new approaches have accompanied these developments, enhancing the effectiveness of soil utilization in soil science. This study investigates soil classification based on four parent materials. For this purpose, a total of 59 soil samples were collected from 12 profiles and the vicinity of each profile at a depth of 0–30 cm. Surface soil samples were analyzed for elemental concentrations using X-Ray fluorescence (XRF) and inductively coupled plasma–optical emission spectrometry (ICP-OES) and soil spectra using a visible near-infrared (Vis-NIR) spectrometer. Soil samples collected from soil profiles (12 soil samples) and surface (47 soil samples) were used to classify parent materials using machine learning-based algorithms such as Support Vector Machine (SVM), Ensemble Subspace k-Near Neighbor (ESKNN), and Ensemble Bagged Trees (EBTs). Additionally, as a validation of the classification techniques, the dataset was subjected to five-fold cross-validation and independent sample set splitting (80% calibration and 20% validation). Evaluation metrics such as accuracy, F score, and G mean were used to evaluate prediction performance. Depending on the dataset and algorithm used, the classification success rates varied between 70% and 100%. Overall, the ESKNN (99%) produced better results than other classification methods. Additionally, Relief algorithms were employed to identify key variables for each dataset (ICP-OES: CaO, Fe2O3, Al2O3, MgO, and MnO; XRF: SiO2, CaO, Fe2O3, Al2O, and MnO; Vis-NIR: 567, 571, 572, 573, and 574 nm). Subsequent soil reclassification using these reduced variables revealed reduced accuracies using Vis-NIR data, with ESKNN still yielding the best results.

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has led to significant reductions in transplantation, motivated in part by concerns of disproportionately more severe disease among solid organ transplant (SOT) recipients. However, clinical features, outcomes, and predictors of mortality in SOT recipients are not well described.MethodsWe performed a multicenter cohort study of SOT recipients with laboratory-confirmed COVID-19. Data were collected using standardized intake and 28-day follow-up electronic case report forms. Multivariable logistic regression was used to identify risk factors for the primary endpoint, 28-day mortality, among hospitalized patients.ResultsFour hundred eighty-two SOT recipients from >50 transplant centers were included: 318 (66%) kidney or kidney/pancreas, 73 (15.1%) liver, 57 (11.8%) heart, and 30 (6.2%) lung. Median age was 58 (interquartile range [IQR] 46-57), median time post-transplant was 5 years (IQR 2-10), 61% were male, and 92% had ≥1 underlying comorbidity. Among those hospitalized (376 [78%]), 117 (31%) required mechanical ventilation, and 77 (20.5%) died by 28 days after diagnosis. Specific underlying comorbidities (age >65 [adjusted odds ratio [aOR] 3.0, 95% confidence interval [CI] 1.7-5.5, P

Objective: Atrial fibrillation (AF) is the most common directly preventable cause of ischemic stroke. There is no dependable neurology-based data on the spectrum of stroke caused by AF in our country. Within the scope of NeuroTek-Turkey, hospital-based data on acute stroke patients with AF were collected to contribute to the creation of acute stroke algorithms. Materials and Methods: Atrial fibrillation (AF) is the most common directly preventable cause of ischemic stroke. There is no dependable neurology-based data on the spectrum of stroke caused by AF in Türkiye. Within the scope of NöroTek-Türkiye (TR), hospital-based data on acute stroke patients with AF were collected to contribute to the creation of acute-stroke algorithms. Results: The rate of AF in patients hospitalized for ischemic stroke/TIA was 29.8%, of which 65% were known before stroke, 5% were paroxysmal, and 30% were diagnosed after hospital admission. The proportion of patients with AF who received 'effective' treatment [international normalization ratio ≥2.0 warfarin or non-vitamin K antagonist oral anticoagulants (NOACs) at a guideline dose] was 25.3%, and, either no medication or only antiplatelet was used in 42.5% of the cases. The low dose rate was 50% in 42 patients who had a stroke while taking NOACs. Anticoagulant was prescribed to the patient at discharge at a rate of 94.6%; low molecular weight or unfractionated heparin was prescribed in 28.1%, warfarin in 32.5%, and NOACs in 31%. The dose was in the low category in 22% of the cases discharged with NOACs, and half of the cases, who received NOACs at admission, were discharged with the same drug. Conclusion: NöroTekTR revealed the high but expected frequency of AF in acute stroke in Türkiye, as well as the aspects that could be improved in the management of secondary prophylaxis. AF is found in approximately one-third of hospitalized acute stroke cases in Türkiye. Effective anticoagulant therapy was not used in three-quarters of acute stroke cases with known AF. In AF, heparin, warfarin, and NOACs are planned at a similar frequency (one-third) within the scope of stroke secondary prophylaxis, and the prescribed NOAC dose is subtherapeutic in a quarter of the cases. Non-medical and medical education appears necessary to prevent stroke caused by AF.

Aim:Primary care physicians need to be aware of the types of traditional and complementary medicine (TCM) used by patients to be able to guide patients away from harmful approaches and to aim them toward useful or at least seeming benign approaches. This study aimed to determine the prevalence of the usage of TCM methods in Turkey and the level of knowledge and attitudes of applicants about these methods.Methods:The universe of this cross-sectional study consisted of individuals aged 18 and over who applied to the Family Health Centers and agreed to participate in the study in 12 provinces in different regions of Turkey between July and December 2016. The questionnaires were applied to the volunteer participants by the researchers using face-to-face interview techniques. The questionnaire had 25 questions.Results:80.6% of the participants benefited from TCM, and 86.4% stated they believed in the effectiveness of TCM. Women, university graduates of college who had private insurance used TCM (respectively; p=0.031; p=0.004; p=0.000), and women (83.3%) found TCM more useful than men (p=0.005). The most frequent reason for using TCM was “heard that it was useful”.Conclusion:The results of our study indicated that a large portion of Turkish primary care patients use TCM and recommend it to their relatives. Therefore, health policies and academic knowledge should be developed in this sense.

ABSTRACT Purpose: To evaluate the potential oncologic benefit of a visibly complete transurethral resection of a bladder tumor (TURBT) prior to neoadjuvant chemotherapy (NAC) and radical cystectomy (RC). Materials and Methods: We identified patients who received NAC and RC between 2011-2021. Records were reviewed to assess TURBT completeness. The primary outcome was pathologic downstaging (

The study aimed to determine the effects of torrefaction on the fuel properties of pellets. Therefore, firstly, torrefaction parameters of rose (Rosa Damascena Mill.) oil distillation solid waste and red pine sawdust were determined through the torrefaction optimization process in terms of temperature and holding time. Then, using the selected torrefaction parameters, 14 different raw and torrefied pellets containing RP, PS, and Turkish Elbistan Lignite were prepared in different weight ratios. Finally, the fuel properties of the prepared raw and torrefied pellets, namely dimensions, proximate analyses, higher heating values, tensile strength, durability, abrasive resistance, and water uptake resistances, were investigated. The findings demonstrated that the higher heating values and carbon content of raw biomass samples increased while their volatile matter content decreased. The use of lignite at high concentrations led to an increase in ash content and a decrease in the strength and durability of pellets, which should be emphasized. In addition, red pine sawdust was used in place of solid waste from rose oil distillation solid waste to produce pellets with greater strength. All pellet mixtures with torrefaction had higher heating values and energy densities despite the fact that their mass and energy efficiency had decreased. It was determined that torrefaction increased the pellets' resistance to absorbing water and gave them a more hydrophobic structure. Thus, it was determined that torrefaction could enhance the crucial fuel parameters of the biomass samples.

PURPOSETo evaluate the frequency of abdominal computed tomography (CT) findings in patients with coronavirus disease-2019 (COVID-19) and interrogate the relationship between abdominal CT findings and patient demographic features, clinical findings, and laboratory test results as well as the CT atherosclerosis score in the abdominal aorta.METHODSThis study was designed as a multicenter retrospective study. The abdominal CT findings of 1.181 patients with positive abdominal symptoms from 26 tertiary medical centers with a positive polymerase chain-reaction test for severe acute respiratory syndrome coronavirus 2 were reviewed. The frequency of ischemic and non-ischemic CT findings as well as the association between CT findings, clinical features, and abdominal aortic calcific atherosclerosis score (AA-CAS) were recorded.RESULTSIschemic and non-ischemic abdominal CT findings were detected in 240 (20.3%) and 328 (27.7%) patients, respectively. In 147 patients (12.4%), intra-abdominal malignancy was present. The most frequent ischemic abdominal CT findings were bowel wall thickening (n = 120; 10.2%) and perivascular infiltration (n = 40; 3.4%). As for non-ischemic findings, colitis (n = 91; 7.7%) and small bowel inflammation (n = 73; 6.2%) constituted the most frequent disease processes. The duration of hospital stay was found to be higher in patients with abdominal CT findings than in patients without any positive findings (13.8 ± 13 vs. 10.4 ± 12.8 days, P < 0.001). The frequency of abdominal CT findings was significantly higher in patients who did not survive the infection than in patients who were discharged after recovery (41.7% vs. 27.4%, P < 0.001). Increased AA-CAS was found to be associated with a higher risk of ischemic conditions in abdominal CT examinations.CONCLUSIONAbdominal symptoms in patients with COVID-19 are usually associated with positive CT findings. The presence of ischemic findings on CT correlates with poor COVID-19 outcomes. A high AA-CAS is associated with abdominal ischemic findings in patients with COVID-19.

Abstract We intended to compare the doctors with a convolutional neural network (CNN) that we had trained using our own unique method for the Lateral Pillar Classification (LPC) of Legg–Calve–Perthes Disease (LCPD). Thousands of training data sets are frequently required for artificial intelligence (AI) applications in medicine. Since we did not have enough real patient radiographs to train a CNN, we devised a novel method to obtain them. We trained the CNN model with the data we created by modifying the normal hip radiographs. No real patient radiographs were ever used during the training phase. We tested the CNN model on 81 hips with LCPD. Firstly, we detected the interobserver reliability of the whole system and then the reliability of CNN alone. Second, the consensus list was used to compare the results of 11 doctors and the CNN model. Percentage agreement and interobserver analysis revealed that CNN had good reliability (ICC = 0.868). CNN has achieved a 76.54% classification performance and outperformed 9 out of 11 doctors. The CNN, which we trained with the aforementioned method, can now provide better results than doctors. In the future, as training data evolves and improves, we anticipate that AI will perform significantly better than physicians.

Drawing on regulatory focus and brokerage literatures, we develop new theory that explains individuals' motivation to form and change their relationships in organizational networks. Specifically, we examine how promotion and prevention regulatory foci influence such relational processes as tie formation, maintenance, dissolution, and reconstitution. We further explore the relationship between motivational orientations of regulatory foci and relational orientations to brokerage (i.e., tertius iungens/gaudens) and develop a typology that outlines four major ego-level configurations. Each of the four configurations, labeled dutiful coordinators, aspirational arbitrators, versatile brokers, and indifferent egos, offers distinct predictions on network change and structuring. Overall, our theory contributes to organization theory by elaborating on the important role of ego motivation and strategy in organizational networks, and in so doing, advances research that focuses on individual agency in social networks and complements structuralist approaches to understanding social network dynamics. [ABSTRACT FROM AUTHOR]