DETERMINATION OF ATTITUDE AND STRESS LEVELS OF MIDWIVES, NURSES AND PHYSICIANS WORKING IN OBSTETRICS AND GYNECOLOGY CLINICS REGARDING COVID-19 PANDEMIC

Background: This study aimed to determine the attitude and stress levels of midwives, nurses and physicians working in gynecology and obstetrics clinics towards the COVID-19 pandemic. Subjects and methods: This descriptive and cross-sectional study was conducted with 134 healthcare workers in obstetrics and gynecology clinics. The Personal Information Form, the Attitude form for the COVID-19 pandemic and the Perceived Stress Scale were used for collecting the data. Results: It was found that the total average score of the healthcare workers\u27 attitude scale was 55.61+-5.97. The total score average of healthcare workers on the perceived stress scale was found to be 28.28+-7.43. Conclusion: It was determined that the attitudes of healthcare professionals towards the COVID-19 pandemic and the perceived stress for the COVID-19 pandemic were at moderate levels

DETERMINATION OF ATTITUDE AND STRESS LEVELS OF MIDWIVES, NURSES AND PHYSICIANS WORKING IN OBSTETRICS AND GYNECOLOGY CLINICS REGARDING COVID-19 PANDEMIC

Background: This study aimed to determine the attitude and stress levels of midwives, nurses and physicians working in gynecology and obstetrics clinics towards the COVID-19 pandemic. Subjects and methods: This descriptive and cross-sectional study was conducted with 134 healthcare workers in obstetrics and gynecology clinics. The Personal Information Form, the Attitude form for the COVID-19 pandemic and the Perceived Stress Scale were used for collecting the data. Results: It was found that the total average score of the healthcare workers\u27 attitude scale was 55.61+-5.97. The total score average of healthcare workers on the perceived stress scale was found to be 28.28+-7.43. Conclusion: It was determined that the attitudes of healthcare professionals towards the COVID-19 pandemic and the perceived stress for the COVID-19 pandemic were at moderate levels

Dynamic accommodation measurement using Purkinje reflections and ML algorithms

We developed a prototype device for dynamic gaze and accommodation measurements based on 4 Purkinje reflections (PR) suitable for use in AR and ophthalmology applications. PR1&2 and PR3&4 are used for accurate gaze and accommodation measurements, respectively. Our eye model was developed in ZEMAX and matches the experiments well. Our model predicts the accommodation from 4 diopters to 1 diopter with better than 0.25D accuracy. We performed repeatability tests and obtained accurate gaze and accommodation estimations from subjects. We are generating a large synthetic data set using physically accurate models and machine learning

Wearable multi-color RAPD screening device

In this work, we developed a wearable, head-mounted device that automatically calculates the precise Relative Afferent Pupillary Defect (RAPD) value of a patient. The device consists of two RGB LEDs, two infrared cameras, and one microcontroller. In the RAPD test, the parameters like LED on-off durations, brightness level, and color of the light can be controlled by the user. Upon data acquisition, a computational unit processes the data, calculates the RAPD score and visualizes the test results with a user-friendly interface.Multiprocessing methods used on GUI to optimize the processing pipeline. We have shown that our head-worn instrument is easy to use, fast, and suitable for early-diagnostics and screening purposes for various neurological conditions such as RAPD, glaucoma, asymmetric glaucoma, and anisocoria

Chiral Devices for Terahertz Waves Based on Tunable Metamaterials

There are exceptional advantages in the region where Terahertz (THz) frequency takes place that could be identified as; a non-ionizing bio-innocuous property, transparent characteristics in cardboard or textiles, and extremely discriminating absorption spectral lines which can provide a “genetic code” of various bio-materials. [1,2]. The resonant effects at various terahertz frequencies that were displayed by metamaterials have created to accomplish a very important situation. Metamaterials are virtually desirable platforms for investigating chiral effects. In order to enhance these effects, producing the tunable chiral devices attracted lots of attention. Among the phase change materials for chiral metamaterials, graphene is a promising candidate due to its astonishing properties specifically in the THz and far infrared region. In this study, a chiral metamaterial gammadion structure is designed and fabricated on both sides of the sapphire substrates. A commercial COMSOL and CST Microwave Studio programs are used to design and optimize the chiral metamaterial. Numerical simulations are based on the interaction of the chiral structure with linearly and circularly polarized light. In the experimental side, a resistive evaporation and dc magnetron sputtering method is used for the deposition of gold and Sb2Se3 films respectively. A single layer graphene is used, that is grown on a copper foil by chemical vapor deposition. The thin graphene layer transferred on the Sb2Se3 coated sapphire substrates. The conventional UV lithography and ion beam etching techniques are used for patterning process. The THz characterization measurements were performed in order to assess the THz frequency response and to demonstrate the dynamically tunable chiroptical response using optical pumping [3,4]. The active polarization manipulation capability of the Sb2Se3/graphene chiral metamaterial with frequency tunability are investigated both numerically and experimentally.XVI Photonics Workshop : Book of abstracts; March 12-15, 2023; Kopaonik, Serbi

Rectus sheath hematoma: three case reports

<p>Abstract</p> <p>Introduction</p> <p>Rectus sheath hematoma is an uncommon cause of acute abdominal pain. It is an accumulation of blood in the sheath of the rectus abdominis, secondary to rupture of an epigastric vessel or muscle tear. It could occur spontaneously or after trauma. They are usually located infraumblically and often misdiagnosed as acute abdomen, inflammatory diseases or tumours of the abdomen.</p> <p>Case presentation</p> <p>We reported three cases of rectus sheath hematoma presenting with a mass in the abdomen and diagnosed by computerized tomography. The patients recovered uneventfully after bed rest, intravenous fluid replacement, blood transfusion and analgesic treatment.</p> <p>Conclusion</p> <p>Rectus sheath hematoma is a rarely seen pathology often misdiagnosed as acute abdomen that may lead to unnecessary laparotomies. Computerized tomography must be chosen for definitive diagnosis since ultrasonography is subject to error due to misinterpretation of the images. Main therapy is conservative management.</p

Live Cell Imaging of Bone Marrow Stromal Cells on Nano-pitted and Polished Titanium Surfaces: A Micro-Incubator in vitro Approach

Current orthopedic implants are not conducive for optimal integration of the biomaterial with newly-formed tissue (osseointegration) inside a patient’s body. In this study, medical-rade Ti-6Al-4V was used as a substrate due to its biocompatibility and ability to facilitate cellular adhesion and proliferation. Live cell imaging was conducted on bone marrow stromal cells, genetically modified to express the green fluorescent protein (GFP), from the 24-96 hours growth period, with the first 24 hours of growth being held inside a lab-scale incubator. Periodic images were recorded on nanopitted anodized and polished Ti-6Al-4V substrates to study how substratestiffness influences adhesion and proliferation. Collected images were analyzed for mitosis, adhesion, and filopodia-stretchability using ImageJ, an image processing program. Images were enhanced in order to perform cell counts at 24, 48, 72, and 96 hours of growth. Continuous recordings were produced to account for the number of mitosis occurrences and cellular migration on each of the substrates. Based on the conducted experiments, it appears that polished Ti-6Al-4V has a higher cell adherence than “nanopitted” anodized surface and an improved rate of proliferation which may be because the cells once adhered on the nano-pitted surface have less ability to detach in-order to undergo mitosis.https://engagedscholarship.csuohio.edu/u_poster_2014/1004/thumbnail.jp

Global Retinoblastoma Presentation and Analysis by National Income Level.

Importance: Early diagnosis of retinoblastoma, the most common intraocular cancer, can save both a child's life and vision. However, anecdotal evidence suggests that many children across the world are diagnosed late. To our knowledge, the clinical presentation of retinoblastoma has never been assessed on a global scale. Objectives: To report the retinoblastoma stage at diagnosis in patients across the world during a single year, to investigate associations between clinical variables and national income level, and to investigate risk factors for advanced disease at diagnosis. Design, Setting, and Participants: A total of 278 retinoblastoma treatment centers were recruited from June 2017 through December 2018 to participate in a cross-sectional analysis of treatment-naive patients with retinoblastoma who were diagnosed in 2017. Main Outcomes and Measures: Age at presentation, proportion of familial history of retinoblastoma, and tumor stage and metastasis. Results: The cohort included 4351 new patients from 153 countries; the median age at diagnosis was 30.5 (interquartile range, 18.3-45.9) months, and 1976 patients (45.4%) were female. Most patients (n = 3685 [84.7%]) were from low- and middle-income countries (LMICs). Globally, the most common indication for referral was leukocoria (n = 2638 [62.8%]), followed by strabismus (n = 429 [10.2%]) and proptosis (n = 309 [7.4%]). Patients from high-income countries (HICs) were diagnosed at a median age of 14.1 months, with 656 of 666 (98.5%) patients having intraocular retinoblastoma and 2 (0.3%) having metastasis. Patients from low-income countries were diagnosed at a median age of 30.5 months, with 256 of 521 (49.1%) having extraocular retinoblastoma and 94 of 498 (18.9%) having metastasis. Lower national income level was associated with older presentation age, higher proportion of locally advanced disease and distant metastasis, and smaller proportion of familial history of retinoblastoma. Advanced disease at diagnosis was more common in LMICs even after adjusting for age (odds ratio for low-income countries vs upper-middle-income countries and HICs, 17.92 [95% CI, 12.94-24.80], and for lower-middle-income countries vs upper-middle-income countries and HICs, 5.74 [95% CI, 4.30-7.68]). Conclusions and Relevance: This study is estimated to have included more than half of all new retinoblastoma cases worldwide in 2017. Children from LMICs, where the main global retinoblastoma burden lies, presented at an older age with more advanced disease and demonstrated a smaller proportion of familial history of retinoblastoma, likely because many do not reach a childbearing age. Given that retinoblastoma is curable, these data are concerning and mandate intervention at national and international levels. Further studies are needed to investigate factors, other than age at presentation, that may be associated with advanced disease in LMICs

Exergo-economic cost accounting for PW4000 turbofan engine and its components

You The several series of PW4000 high bypass turbofan engine have used so far in many aircrafts. These commercial engines have played a crucial role on passenger and freight transportations. Namely, these engines are closely related to the environment impacts and security of energy supply. In this article, exergoeconomic analysis which is useful tool to investigate existing potential for improvement of the a system efficiency were carried out. The assesment, design and optimization of energy consuming systems are performed by means of these analyses. Therefore, thermo-economic costs were assigned to existing exergetic values of PW400 engine. Also exergo-economic performance parameters were evaluated. Finally, exergoeconomic deputy parameters were examined to understand relations with exergo-economic parameters. Based on the results of exergo-economics analysis, for Fan and exhaust, specific thrust costs are estimated 5.7051 $/hkN and 68.45$/hkN respectively. Also exergo-economics factor of PW4000 is found 7.958 % , while relative cost difference is determined at highest rate with 24.458 % for combustion chamber . With examination relations between economic variables and exergo-economic performance parameters, the change between 0.6 and 1.2 $/kg in the fuel price leads to increase the exhaust and fan specific thrust costs with 82.4701$/hkN and 5.4332 $/hkN respectively. It is expected that conclusions of this study are helpful to notify exergo-economic impact of PW4000 engine Also, it may be benchmarking for similar gas turbine engines