En-Gendering the Police: Women\u27s Police Stations and Feminism in São Paulo

This article contributes to feminist state theory and studies of women\u27s police stations in Latin America by examining the processes shaping the multiple and changing positions of explicit alliance, opposition, and ambiguous alliance assumed by policewomen regarding feminists since the creation of the world\u27s first women\u27s police station in 1985 in São Paulo. While studies of women\u27s police stations tend to overlook the political conjuncture, much of the literature on the state and gender explains the relationship between the state and women\u27s movements as a function of the political regime. I argue for a more grounded feminist state theory, taking into account interactive macro and micro, local and international forces. As this case study demonstrates, policewoman-feminist relations evolve due to interactions between the political conjuncture, the hegemonic masculinist police culture, developments in the feminist discourse on violence against women, and the impact of the contact policewomen sustain with women clients

Cooperative communications with multilevel/AES-SD4-CPFSK in wireless sensor networks

In this paper, a new joint multilevel data encryption and channel coding mechanism is proposed, which is called "multilevel/advanced encryption standard-systematic distance 4-continuous phase frequency shift keying" (ML/AES-SD4-CPFSK). In the proposed scheme, we have not only taken advantage of spatial diversity gains but also optimally allocated energy and bandwidth resources among sensor nodes as well as providing high level of security and error protection for cooperative communications in wireless sensor networks. Relay protocols of cooperative communications, such as amplify-and-forward and decode-and-forward with/without adversary nodes, have been studied for 4CPFSK, 8CPFSK, and 16CPFSK of ML/AES-SD4-CPFSK. We have evaluated the error performances of multilevel AES for data encryption, multilevel SD-4 for channel coding, and various CPFSK types for modulation utilizing cooperative communications in wireless sensor networks. According to computer simulation results, significant diversity gain and coding gain have been achieved. As an example, bit error rate (BER) performance of 10(-5) value has been obtained at a signal-to-noise ratio (SNR) of -6 dB for SD-4-CPFSK scheme in a compared related journal paper, whereas in our proposed system, we have reached the same BER value at a SNR of -23 dB with amplify-and-forward with direct path signal protocol in 16-level AES, two-level SD-4 coded 16CPFSK, and at the same time, we have reached the same BER value at a SNR of -22 dB with amplify-and-forward without direct path signal protocol in 16-level AES, two-level SD-4 coded 16CPFSK

Patient satisfaction with their pain management and comfort level after open heart surgery

WOS: 000350724400002Objective The aim of this study is to determine patient satisfaction with pain management and comfort levels after undergoing open heart surgery. Design This descriptive study was performed between January 31 and April 29, 2011. Setting The study was conducted in the cardiovascular surgery clinic of Region Training-Research hospital in Erzurum, Turkey. Subjects Fifty two patients (32 males, 20 females; mean age 58.4 years; range 25 to 77 years) who had undergone open heart surgery were included in the study. Main outcome measure(s) The patient data was collected using Personal Information Form, Pain Satisfaction Surveys and General Comfort Scales at the time of discharge. The Pain Satisfaction Survey is a survey tool which was developed by the 'American Pain Society' in 1991. The General Comfort Scale was developed by Kolcaba in 1992 and its validity and reliability in a Turkish setting was tested by Kuguoglu and Karabacak in 2004. Results In this study, 61.5% of the patients underwent coronary artery bypass graft surgery, 30.7% aorta and/or mitral valve replacement and 7.7% aneurysm repair. The mean scores of pain intensity immediately after surgery, at first post-operative ambulation, at 24 hours before discharge and at discharge were 7.07+2.6, 6.71+2.7, 6.32+2.4 and 4.57+2.3, respectively. Most subjects (88.5%) reported a wait time of 15 min as the longest time they had to wait for pain medication and patient satisfaction with pain management was found to be high. The mean score of comfort level at discharge was 3.16+0.2 and there was no statistically significant difference between the comfort level and pain rating at discharge (r=-0.225, p>0.05). Conclusion It was found that pain intensity gradually decreased as patients neared hospital discharge and their overall satisfaction with the nurses' pain management was high

An Assessment of the 100 Most Frequently Cited Articles Regarding Extracorporeal Membrane Oxygenation in the Literature

BACKGROUND/AIMS: The aim of this study was to evaluate the most common 100 publications related to extra-corporeal membrane oxygenation (ECMO) in the literature

An Assessment of the 100 Most Frequently Cited Articles Related to Bicuspid Aortic Valve in the Literature

BACKGROUND/AIMS Bicuspid aortic valve disease may cause both aortic stenosis and regurgitation; therefore, it manifests as different symptoms. Aortic stenosis in patients with bicuspid aortic valve exhibits ambiguous hemodynamic effects; moreover, it may remain asymptomatically until the effective orifice area is narrowed below 1.5-2 cm(2). In this study, we aimed to evaluate 100 articles related to bicuspid aortic valve that have been most frequently cited in the literature. MATERIAL and METHODS The study was performed using advanced mode of the search engine server Institute for Scientific Information Web of Science. For this purpose, the words TS=bicuspid or TI=bicuspid were reviewed. The search was carried out, and the 100 most cited articles were determined. The total and annual cite count for each article and information about the authors and the journals were determined via WOS and PubMed. RESULTS The mean cite count of the 100 most cited articles was found to be 238.10 +/- 227.48. The annual cite counts of the studies varied from 4 to 185, and the mean value was calculated as 20.93 +/- 25.25. The first 3 subjects were clinical BAV (41%), pathology of BAV (15%), and genetics of BAV (15%). There was no statistically significant difference between the continent of the corresponding author and overall and annual cite counts. In addition, no statistically significant difference was observed between the journal's continent and overall and annual cite counts (p>.05). CONCLUSION This study is the first in the literature to identify the 100 most cited articles related to BAV. The majority of these studies were based on clinical evaluation of BAV. We found an increase in the number of studies on percutaneous transcatheter interventions over the last 5 years

Compassion fatigue among forensic medicine specialists in Turkiye: A cross-sectional study

Compassion fatigue explains the reduced caregiving capacity of healthcare workers as a consequence of repeated exposure to patients' suffering. It is aimed to evaluate compassion fatigue and factors affecting this situation in forensic medicine specialists who evaluate cases that are victims of permanent trauma due to their profession. Data collection forms including demographic data and a short compassion fatigue scale (SCFS) in healthcare workers were filled out online by volunteer forensic experts. 113 forensic experts participated. It was determined that participants' total SCFS score average was 36.86±21.01, secondary trauma sub-dimension average was 12.39±7.74, occupational burnout sub-dimension average was 24.47±14.52. The total mean score of SCFS of the participants who evaluated less sexual assault was statistically significantly higher. The total mean score of SCFS and the mean of occupational burnout sub-dimension of the participants who did autopsy were found to be statistically significantly lower. The occupational burnout sub-dimension average of those who performed autopsy above the monthly autopsy median value was found to be statistically significantly lower. Sub-dimension average of burnout of participants in the first five years of their professional life was found to be statistically significantly higher. It is noteworthy that total and sub-dimension average scores of forensic medicine specialists in Turkey are significantly lower than those of different professions, especially health workers, in different countries. While this may be an indication that occupational depersonalization has developed over the years among forensic medicine specialists in Turkey, especially those who evaluate autopsy and sexual assault cases, from a different perspective, it can be said that increasing professional experience and working in harmony with the education received have a positive effect on compassion fatigue and burnout. [Med-Science 2023; 12(4.000): 1099-106

Glofitamab in relapsed/refractory diffuse large B-cell lymphoma: Real-world data

Glofitamab is a CD3xCD20 bi-specific antibody with two fragments directed to the CD20 antigen and a single CD3-binding fragment. Encouraging response and survival rates were recently reported in a pivotal phase II expansion trial conducted in patients with relapsed/refractory (R/R) B-cell lymphoma. However, the real-world data of patients of all ages with no strict selection criteria are still lacking. Herein, this retrospective study aimed to evaluate the outcomes of diffuse large B-cell lymphoma (DLBCL) patients who received glofitamab via compassionate use in Turkey. Forty-three patients from 20 centers who received at least one dose of the treatment were included in this study. The median age was 54 years. The median number of previous therapies was 4, and 23 patients were refractory to first-line treatment. Twenty patients had previously undergone autologous stem cell transplantation. The median follow-up time was 5.7 months. In efficacy-evaluable patients, 21% and 16% of them achieved complete response and partial response, respectively. The median response duration was 6.3 months. The median progression-free survival (PFS) and overall survival (OS) was 3.3 and 8.8 months, respectively. None of the treatment-responsive patients progressed during the study period, and their estimated 1-year PFS and OS rate was 83%. The most frequently reported toxicity was hematological toxicity. Sixteen patients survived, while 27 died at the time of the analysis. The most common cause of death was disease progression. One patient died of cytokine release syndrome during the first cycle after receiving the first dose of glofitamab. Meanwhile, two patients died due to glofitamab-related febrile neutropenia. This is the largest real-world study on the effectiveness and toxicity of glofitamab treatment in R/R DLBCL patients. The median OS of 9 months seems promising in this heavily pretreated group. The toxicity related mortality rates were the primary concerns in this study

Tocilizumab treatment in severe COVID-19: a multicenter retrospective study with matched controls

Coronavirus disease-2019 (COVID-19) associated pneumonia may progress into acute respiratory distress syndrome (ARDS). Some patients develop features of macrophage activation syndrome (MAS). Elevated levels of IL-6 were reported to be associated with severe disease, and anti-IL-6R tocilizumab has been shown to be effective in some patients. This retrospective multicenter case-control study aimed to evaluate the efficacy of tocilizumab in hospitalized COVID-19 patients, who received standard of care with or without tocilizumab. Primary outcome was the progression to intubation or death. PSMATCH (SAS) procedure was used to achieve exact propensity score (PS) matching. Data from 1289 patients were collected, and study population was reduced to 1073 based on inclusion-exclusion criteria. The composite outcome was observed more frequently in tocilizumab-users, but there was a significant imbalance between arms in all critical parameters. Primary analyses were carried out in 348 patients (174 in each arm) after exact PS matching according to gender, ferritin, and procalcitonin. Logistic regression models revealed that tocilizumab significantly reduced the intubation or death (OR 0.40, p = 0.0017). When intubation is considered alone, tocilizumab-users had > 60% reduction in odds of intubation. Multiple imputation approach, which increased the size of the matched patients up to 506, provided no significant difference between arms despite a similar trend for intubation alone group. Analysis of this retrospective cohort showed more frequent intubation or death in tocilizumab-users, but PS-matched analyses revealed significant results for supporting tocilizumab use overall in a subset of patients matched according to gender, ferritin and procalcitonin levels

The Turkish experience with therapeutic plasma exchange: A national survey

WOS: 000473249400014PubMed ID: 31036516Therapeutic plasma exchange (TPE) is used to treat more than 60 diseases worldwide and has drawn growing interest. Little is known about the current situation of TPE activity in Turkey, so we developed a survey to obtain information about this timely topic. We collected data on TPE from 28 apheresis units throughout Turkey. We performed a total of 24,912 TPE procedures with 3203 patients over the past decade. Twenty years ago, the majority of procedures were performed for neurological and hematological disorders, and today, most TPE procedures are done for the same reasons. The only historical change has been an increase in TPE procedures in renal conditions. Currently, renal conditions were more frequently an indication for TPE than rheumatic conditions. Fresh frozen plasma was the most frequently used replacement fluid, followed by 5% albumin, used in 57.9% and 34.6% of procedures, respectively. The most frequently used anticoagulants in TPE were ACD-A and heparin/ACD-A, used with 1671 (52.2%) and 1164 (36.4%) patients, respectively. The frequency of adverse events (AEs) was 12.6%. The most common AEs were hypocalcemia-related symptoms, hypotension, and urticaria. We encountered no severe AEs that led to severe morbidity and mortality. Overall, more than two thirds of the patients showed improvement in the underlying disease. Here, we report on a nationwide survey on TPE activity in Turkey. We conclude that there has been a great increase in apheresis science, and the number of TPE procedures conducted in Turkey has increased steadily over time. Finally, we would like to point out that our past experiences and published international guidelines were the most important tools in gaining expertise regarding TPE