804 research outputs found

    Forecasting tourist arrivals to Turkey

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    Modeling and forecasting techniques of the tourist arrivals are many and diverse. There is no unique model that exactly outperforms the other models in every situation. Actually a few studies have realized modeling and forecasting the tourist arrivals to Turkey and these studies have not focused on the total tourist arrivals. These studies have focused on the tourist arrivals to Turkey country by country (or OECD countries). In addition to this, structural time series models have not been used in modeling and forecasting the tourist arrivals to Turkey. In this sense, this paper is the first study which uses the seasonal autoregressive integrated moving average model and the structural time series model in order to forecast the total tourist arrivals to Turkey. Two different models are developed to forecast the total tourist arrivals to Turkey using monthly data for the period 2002-2013. The results of the study show that two models provide accurate predictions but the seasonal autoregressive integrated moving average model produces more accurate short-term forecasts than the structural time series model. It is noted that the seasonal autoregressive integrated moving average model shows a very successful performance in the forecasting the total tourist arrivals to Turkey

    Impact of health care system on socioeconomic inequalities in doctor use

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    This study examines the impact of health system characteristics on social inequities in health care use in Europe, using data from national surveys in 13 European countries. Multilevel logistic regression models are estimated to separate the individual level determinants of generalist and specialist use from the health system level and country specific factors. The results suggest that beyond the division between public and private funding and cost-sharing arrangements in health system, the role given to the general practitioners and/or the organization of the primary care might be essential for reducing social inequities in health care utilisation.Equity, Health system, Doctor utilisation, Multilevel, International

    Effect of a French Experiment of Team Work between General Practitioners and Nurses on Efficacy and Cost of Type 2 Diabetes Patients Care

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    This study aims to assess the efficacy and the cost of a French team work experiment between nurses and GPs for the managing of type 2 diabetes patients. Our study was based on a case control study design in which we compare the evolution of process (standard follow-up procedures) and final outcomes (glycemic control), and the evolution of cost. The study is realized for two consecutive periods between type 2 diabetes patients followed within the team work experiment (intervention group) or by "standard" GPs (controlled group). After 11 months of follow-up, we showed that patients in the intervention group, compared with those in the controlled group, have more chances to remain or to become: correctly followed-up (with OR comprise between 2.1 to 6.8, pPrimary health care, Diabetes mellitus, Health care team, Comparative study, Outcome and process assessment, Cost analysis

    THE STRUCTURE AND CONTEXT IN MONOLINGUAL SPECIALISED DICTIONARIES FOR LEARNERS

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    Genel sözlükler, kullanıcıların dil öğrenme ihtiyaçları ile ilgili metinlere odaklanmaktadır. Özel alan sözlükleri ise kullanıcıların belirli bir konu alanındaki öğrenme ve bilimsel metin üretme ihtiyaçları ile ilgili metinlere odaklanmaktadır. Özel alan sözlükleri, daha deneyimli sözlük kullanıcıları için bir referans kaynağı olarak kabul edilmektedir. Belirli bir konu alanının öğrenicisi, genel sözlükteki sınırlamalarla yetinmeyip özel alan sözlüğünün sunduğu veriler aracılığıyla ilgili alandaki üst dili daha iyi kavrar. Özel alan sözlüğü hazırlanmasında, “dış metin” ve “sözcük listesi” oluşturulması öncü adımlar olarak değerlendirilebilir. Bu aşamada sözlük hazırlayıcısı, hedef kullanıcının bilgi düzeyi, dil yeterliliği ve ihtiyaçlarına uygun hareket etmek zorundadır. Bergenholtz ve Gouws, özel alan sözlükleri ile ilgili üç kullanıcı tipinden söz eder: i) Uzmanlar, ii) Yarı uzmanlar, iii) Uzman adayları. Kaldı ki bu üç grubun dil yeterlilikleri de farklı düzeylerde olabilir. Sözlük hazırlayıcısı, farklı kullanıcı gruplarına göre sözlüksel metnini tasarlamalıdır. Araştırmada; özel alan sözlüklerinin hazırlanmasındaki aşamalar, izlenmesi gereken yaklaşım ve yöntem, hedef kullanıcı profili vb. kuramsal konular ele alınmış ve seçilen terimler (arı, doğru ve ek) farklı özel alan sözlüklerindeki tanımlarıyla karşılaştırmalı olarak incelenmiştir. İnceleme, TDK’nin genel ağ sayfasındaki (http://tdk.gov. tr/index.php?option=com_bilimsanat&view=bilimsanat) özel alan sözlüklerinden elde edilen veriler üzerinden yürütülmüştür. Araştırma ile Türkiye’deki özel alan sözlükçülüğüne kuramsal ve uygulamalı açıdan katkı sağlanması amaçlanmıştır. Araştırma; Fuertas-Olivera’nın editörlüğünü yaptığı Specialised dictionaries for learners adlı kitapta yer verilen çerçeveye uygun bir şekilde yapılandırılmıştır. İnceleme, betimsel bir araştırma niteliğindedir.General dictionaries focus on texts related to language learning_x000D_ needs of users. The specialised dictionaries focus on texts related_x000D_ to the learning needs of users in a specific subject field. Specialised_x000D_ dictionaries are considered as a reference source for more experienced_x000D_ dictionary users. The learner of a particular subject field does not_x000D_ content with the limitations in the general glossary, but better understand_x000D_ the specialised field’s language by means of the data provided by the_x000D_ specialised dictionary. In the preparation of the specialised dictionary;_x000D_ the creation of external text and specialised field’s word list can be_x000D_ considered as pioneering steps. At this stage, the dictionary maker has_x000D_ to act according to the knowledge, language proficiency and needs of_x000D_ the target user. Indeed, Bergenholtz and Gouws, speak of three types of_x000D_ users related to specialised dictionaries: i) Experts, ii) Semi experts, iii)_x000D_ Expert candidates. Moreover, the language proficiency of these three_x000D_ groups may be at different levels. The dictionary maker should design_x000D_ the lexical text according to different user groups. In the study; stages_x000D_ of preparation of specialised dictionaries, approach and method to be_x000D_ followed, theoretical issues such as target user profile are discussed._x000D_ In addition, selected terms (bee, pure; correct and addition/affixe) are_x000D_ examined in comparison with their definitions in different specialised_x000D_ dictionaries. Research has been conducted with the data obtained_x000D_ from the TDK web page (http://tdk.gov.tr/index.php?option=com__x000D_ billion&view=bilimsanat).With this research, it is intended to contribute_x000D_ the particular area of the field in Turkish lexicography both theoretically_x000D_ and practically. Research is structured according to the frame given_x000D_ in the book titled as Specialised Dictionaries for Learners edited by_x000D_ Fuertas-Olivera. The study is a descriptive research

    Inegalites de recours aux soins en Europe. Quel role attribuable aux systemes de sante ?.

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    Cette étude évalue l’influence des caractéristiques des systèmes de santé sur l’équité horizontale du recours aux soins en Europe. L’utilisation d’un ensemble des données issues d’enquêtes nationales récentes de treize pays européens confirme l’existence d’inégalités sociales de recours aux soins, à besoin de soins égal, dans tous les pays étudiés et montre que l’ampleur des inégalités varie de manière significative entre les pays. Une analyse multiniveaux permet d’identifier différentes caractéristiques des systèmes de santé qui semblent contribuer à la réduction ou à la formation de ces inégalités. Les résultats soulignent l’importance du rôle des médecins généralistes et de l’organisation des soins primaires pour réduire ces inégalités au-delà du partage des coûts entre les sphères publique et privée.This study examines the impact of health system characteristics on social inequities in health care use in Europe, using data from national surveys in 13 European countries. Multilevel logistic regression models are estimated to separate the individual level determinants of generalist and specialist use from the health system level and country specific factors. The results suggest that beyond the division between public and private funding and cost-sharing arrangements in health system, the role given to the general practitioners and/or the organization of the primary care might be essential for reducing social inequities in health care utilisation.Économie de la santé; Soins médicaux; Pays de l'Union européenne;

    The Influence Of Socıo-Demographıc Factors On Organizational Alienation Of Accommodation Businesses Employees

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    In this study, the concept of alienation is analyzed in terms of organizational behavior discipline frame. As part of organizational behavior discipline, alienation is expressed as the server’s losing control over the product he produces or the service or inability of self-expression in business life. Basically, the concept of alienation is used to express alienation from the institution, occupation his own being, his valves, and society; in one sense it means a breakdown in all relations. The science of statistics plays an important role to identify the variable or variables effect the event in scientific studies and to determine their grades. Analysis of CHAID firms sub-sets by grouping the factors affecting the dependent variable in view of their importance level. In this term, the purpose of the research is to form to identify the employees’ organizational alienation level; demographic variables combined categories and sub-sets, working in accommodation services by using CHAID analysis technique

    Fibroadenoma of ectopic breast tissue of the axilla in an adolescent girl: Report of a rare entity

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    Ectopic breast tissue (EBT) is a well-described entity in the English  literature. However, fibroadenoma of the ectopic breast is a rare entity. We present a case of a 13-year-old adolescent girl with a subcutaneous mass in the right axilla that was pathologically identical to fibroadenoma seen in the EBT. To our knowledge, this is the second youngest patient reported with axillary EBT, which should be considered as a part of the differential diagnosis for axillary masses. Keywords: adolescent, axilla, ectopic breast tissue, fibroadenoma, mass Departments of aPediatric Surgery, bPathology, Sami Ulus Maternity and Children’s Hospital and cDepartment of Reproductive Endocrinology, Zubeyde Hanım Women Health Hospital, Ankara, Turke

    Les déterminants de la rentabilité économique des établissements de santé

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    L’objet de cette étude est d’identifier les déterminants de la rentabilité et, par là, de comprendre l’hétérogénéité des situations financières des établissements de santé à travers une approche multi-variée, en intégrant des facteurs structurels (activités, facteurs de production) et contextuels. Plusieurs sources, à la fois comptables, administratives et médicales, ont été mobilisées. L’échantillon retenu est constitué d’hôpitaux publics et de cliniques privées à but lucratif ayantune activité de court séjour entre 2005 et 2009. Les résultats mettent en évidence, outre l’importance des facteurs « organisationnels » (taux d’occupation des lits, durée de séjour, quantité de personnel), l’impact de la spécialisation sur la performance économique.The objective of this study is to identify the determinants of hospitals profitability and understand the heterogeneity of hospitals’ financial situations through a multivariate approach, incorporating structural (activities, inputs, specialization) and contextual factors. Several sources of information have been mobilized to handle this problem: clinical, financial and administrative data. The sample consists of public hospitals and private for-profit hospitals with activities in medicine, surgery or obstetrics throughout the period 2005-2009. The results indicate a significant influence of "organizational" factors (bed occupancy rate, length of stay) on the economic performance. The specialization would also contribute to profitability
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