540 research outputs found

    When the bullet moves! Surgical caveats from a migrant intraspinal bullet

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    Rarely, spinal gunshot injuries result in migrating intraspinal bullets. Use of MRI is controversial and other radiographic imaging might mimic an extradural bullet, even though it is intradural and migratory. Here, we present a case of spinal missile injury resulting in an intraoperatively mobile intradural bullet. The challenges faced during diagnosis and surgical removal are described. We also show that intraoperative ultrasonography may be useful in clarifying whether the bullet is intradural. A 32-year-old male presented with weakness and paraesthesia in his right leg following an accidental gunshot injury to his spine. Facet joint destruction and an intraspinal bullet were detected. Immediate surgical removal and transpedicular instrumentation was performed. The surgical procedure was complicated by lack of an identifying dural perforation at the bullet entry point and a gliding bullet inside the spinal canal during surgery. Gliding of the bullet was caused by the pushing effect of the bone rongeur and further gliding was avoided by performing the next laminectomy with an electric drill. Where other modalities indicated for a possible extradural location, intraoperative USG clearly showed the intradural position of the bullet and provided clear images without major artifacts. Surgical treatment of a mobile intradural bullet is challenging and open to surprises. Location of the bullet may shift as result of surgical procedure itself. Laminectomy should be performed with a power drill. Where fluoroscopy was inadequate and MRI not available, intraoperative USG proved useful in ascertaining the intradural versus extradural position of the bullet and allowed for a tailored dural opening

    Occurrence of anthrax in Kars district, Turkey.

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    The aims of the study were to determine the prevalence of anthrax by bacteriologic methods in cattle and sheep between January 2000 and September 2001 and to determine the distribution of this zoonotic disease in humans in Kars district, Turkey. Bacillus anthracis was isolated and identified in 34 out of 38 (91%) cattle and 11 out of 17 (64%) sheep samples obtained from organs suspected of anthrax. The records of the Governmental Health Branch showed that 89 cases of cutaneous anthrax were diagnosed in humans during the study periods in the same district

    Osteoporoz Hakkındaki Türkçe Videolarda Hangi Bilgiler Verilmektedir ve YouTube Güvenilir ve Kaliteli Bilgiler Sağlıyor mu: YouTube Videolarının Sistematik Bir Analizi

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    Objective: This study aims to evaluate what information is given in Turkish videos about osteoporosis on YouTube and to determine the quality and reliability of the videos. Materials and Methods: The first 50 Turkish videos about osteoporosis on YouTube were evaluated in terms of quality, reliability, and information level. Two searches were conducted for related content on YouTube and two orthopedics surgeons evaluated the videos simultaneously. The Global Quality score (GQS) (1-5) and DISCERN (15-75) scoring systems were used to assess the quality of the video content. With the Osteoporosis Specific scale (1-29), it was questioned what information specifically about osteoporosis was given in the videos while the accuracy of the video source information was evaluated with the Journal of American Medical Association (JAMA) score (1-4). Descriptive data regarding the number of views, comments, likes, dislikes were recorded, as well as the upload date to YouTube and the duration of the videos. The popularity of videos was evaluated with the video power index. Results: Considering the messages given in the videos, the most frequent information was “decrease in bone mass” with 41 videos. This was followed by “osteoporosis is a risk of fracture” and “there are risk factors for osteoporosis.” The Osteoporosis Specific score was low 8.92. The mean DISCERN score was 25.020 (15-75) and the mean GQS was 1.98 (0-5), indicating low quality. The JAMA score (1-4) for which the video source was questioned showed a low level of reliability of 1.66. Videos about osteoporosis prepared by people other than healthcare professionals were more popular (82.25 vs. 56.80) (cc=0.296, p=0.037). Conclusion: The content of the videos on YouTube osteoporosis is generally inadequate or inaccurate. Higher quality and informative videos based on international guidelines can contribute to patient compliance and increase public awareness of osteoporosis. ©Copyright 2022 by the Turkish Osteoporosis Society / Turkish Journal of Osteoporosis published by Galenos Publishing House

    Exploiting the Lability of Metal Halide Perovskites for Doping Semiconductor Nanocomposites

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    Cesium lead halides have intrinsically unstable crystal lattices and easily transform within perovskite and nonperovskite structures. In this work, we explore the conversion of the perovskite CsPbBr3 into Cs4PbBr6 in the presence of PbS at 450 °C to produce doped nanocrystal-based composites with embedded Cs4PbBr6 nanoprecipitates. We show that PbBr2 is extracted from CsPbBr3 and diffuses into the PbS lattice with a consequent increase in the concentration of free charge carriers. This new doping strategy enables the adjustment of the density of charge carriers between 1019 and 1020 cm-3, and it may serve as a general strategy for doping other nanocrystal-based semiconductors.M.C. has received funding from the European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie Grant Agreement No. 665385. ICN2 acknowledges funding from Generalitat de Catalunya 2017 SGR 327. ICN2 is supported by the Severo Ochoa program from Spanish MINECO (Grant No. SEV-2017-0706) and is funded by the CERCA Programme/Generalitat de Catalunya. This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 823717 – ESTEEM3. M.V.K. acknowledges the support by the European Research Council under the Horizon 2020 Framework Program (ERC Consolidator Grant SCALE-HALO Grant Agreement No. 819740) and by FET-OPEN project no. 862656 (DROP-IT)

    Diversity and Community Composition of Methanogenic Archaea in the Rumen of Scottish Upland Sheep Assessed by Different Methods

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    Acknowledgments We thank Bob Mayes and Dave Hamilton of the James Hutton Institute for their permission and help in sampling the sheep digesta. Gillian Campbell and Pauline Young provided an excellent DNA sequencing service. We also thank Dr Matthew McCabe for preparing V6–V8 amplicon libraries. Author Contributions Conceived and designed the experiments: RJW. Performed the experiments: RJW BG NM SMW CJC. Analyzed the data: TJS MW SMW CJC RJW. Contributed reagents/materials/analysis tools: NM RJW MW SMW CJC. Contributed to the writing of the manuscript: TJS MW SMW CJC RJW.Peer reviewedPublisher PD

    Genetic characterization of native donkey (Equus asinus) populations of Turkey using microsatellite markers

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    This study presents the first insights to the genetic diversity and structure of the Turkish donkey populations. The primary objectives were to detect the main structural features of Turkish donkeys by microsatellite markers. A panel of 17 microsatellite markers was applied for genotyping 314 donkeys from 16 locations of Turkey. One hundred and forty‐two alleles were identified and the number of alleles per locus ranged from 4 to 12. The highest number of alleles was observed in AHT05 (12) and the lowest in ASB02 and HTG06 (4), while ASB17 was monomorphic. The mean HO in the Turkish donkey was estimated to be 0.677, while mean HE was 0.675. The polymorphic information content (PIC) was calculated for each locus and ranged from 0.36 (locus ASB02) to 0.98 (locus AHT05), which has the highest number of alleles per locus in the present study. The average PIC in our populations was 0.696. The average coefficient of gene differentiation (GST) over the 17 loci was 0.020 ± 0.037 (p < 0.01). The GST values for single loci ranged from −0.004 for LEX54 to 0.162 for COR082. Nei’s gene diversity index (Ht) for loci ranged from 0.445 (ASB02) to 0.890 (AHT05), with an average of 0.696. A Bayesian clustering method, the Structure software, was used for clustering algorithms of multi‐locus genotypes to identify the population structure and the pattern of admixture within the populations. When the number of ancestral populations varied from K = 1 to 20, the largest change in the log of the likelihood function (ΔK) was when K = 2. The results for K = 2 indicate a clear separation between Clade I (KIR, CAT, KAR, MAR, SAN) and Clade II (MAL, MER, TOK, KAS, KUT, KON, ISP, ANT, MUG, AYD and KAH) populations. © 2020 by the authors. Licensee MDPI, Basel, Switzerland

    NoCry: No More Secure Encryption Keys for Cryptographic Ransomware

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    Since the appearance of ransomware in the cyber crime scene, researchers and anti-malware companies have been offering solutions to mitigate the threat. Anti-malware solutions differ on the specific strategy they implement, and all have pros and cons. However, three requirements concern them all: their implementation must be secure, be effective, and be efficient. Recently, Genç et al. proposed to stop a specific class of ransomware, the cryptographically strong one, by blocking unauthorized calls to cryptographically secure pseudo-random number generators, which are required to build strong encryption keys. Here, in adherence to the requirements, we discuss an implementation of that solution that is more secure (with components that are not vulnerable to known attacks), more effective (with less false negatives in the class of ransomware addressed) and more efficient (with minimal false positive rate and negligible overhead) than the original, bringing its security and technological readiness to a higher level
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