238 research outputs found

    Stratejik kentsel planlama ve gelecek çalışmaları : dünya örnekleri ve yöntemler

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    Gelismekte olan ülkelerde görülen mega-kentler ve dünya ekonomisi açısından odak olusturan ve gelismis ülkelerde bulunan New York, Londra, Paris, Frankfurt, İstanbul, Tokyo gibi “küresel kentler”, ekonomik ve kültürel çekim noktaları, yeniliklerin yasanması için merkezler, ve kaynakların verimli kullanımı için uygun alanlar olarak büyük bir birikime sahiptirler. Bununla birlikte, yoksulluk, esitsizlik, issizlik, altyapı ve hizmet sektöründeki yetersizlik, trafik karmasası, suç, siddet gibi birçok sorun içinde bir potansiyel merkez durumundadırlar.publisher versio

    Stratejik kentsel planlama ve gelecek çalışmaları : dünya örnekleri ve yöntemler

    Get PDF
    Gelismekte olan ülkelerde görülen mega-kentler ve dünya ekonomisi açısından odak olusturan ve gelismis ülkelerde bulunan New York, Londra, Paris, Frankfurt, İstanbul, Tokyo gibi “küresel kentler”, ekonomik ve kültürel çekim noktaları, yeniliklerin yasanması için merkezler, ve kaynakların verimli kullanımı için uygun alanlar olarak büyük bir birikime sahiptirler. Bununla birlikte, yoksulluk, esitsizlik, issizlik, altyapı ve hizmet sektöründeki yetersizlik, trafik karmasası, suç, siddet gibi birçok sorun içinde bir potansiyel merkez durumundadırlar.publisher versio

    Effect of Contact Force on Pulsed Field Ablation Lesions in Porcine Cardiac Tissue.

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    BACKGROUND Contact force has been used to titrate lesion formation for radiofrequency ablation. Pulsed Field Ablation (PFA) is a field-based ablation technology for which limited evidence on the impact of contact force on lesion size is available. METHODS Porcine hearts (n=6) were perfused using a modified Langendorff set-up. A prototype focal PFA catheter attached to a force gauge was held perpendicular to the epicardium and lowered until contact was made. Contact force was recorded during each PFA delivery. Matured lesions were cross-sectioned, stained, and the lesion dimensions measured. RESULTS A total of 82 lesions were evaluated with contact forces between 1.3 g and 48.6 g. Mean lesion depth was 4.8 ± 0.9 mm (standard deviation), mean lesion width was 9.1 ± 1.3 mm and mean lesion volume was 217.0. ± 96.6 mm3 . Linear regression curves showed an increase of only 0.01 mm in depth (Depth = 0.01*Contact Force + 4.41, R2 = 0.05), 0.03 mm in width (Width = 0.03*Contact Force + 8.26, R2 = 0.13) for each additional gram of contact force, and 2.20 mm3 in volume (Volume = 2.20*Contact Force + 162, R2 = 0.10). CONCLUSIONS Increasing contact force using a bipolar, biphasic focal PFA system has minimal effects on acute lesion dimensions in an isolated porcine heart model and achieving tissue contact is more important than the force with which that contact is made. This article is protected by copyright. All rights reserved

    Local stellar kinematics from RAVE data: III. Radial and Vertical Metallicity Gradients based on Red Clump Stars

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    We investigate radial and vertical metallicity gradients for a sample of red clump stars from the RAdial Velocity Experiment (RAVE) Data Release 3. We select a total of 6781 stars, using a selection of colour, surface gravity and uncertainty in the derived space motion, and calculate for each star a probabilistic (kinematic) population assignment to a thin or thick disc using space motion and additionally another (dynamical) assignment using stellar vertical orbital eccentricity. We derive almost equal metallicity gradients as a function of Galactocentric distance for the high probability thin disc stars and for stars with vertical orbital eccentricities consistent with being dynamically young, e_v<=0.07, i.e. d[M/H]/dR_m = -0.041(0.003) and d[M/H]/dR_m = -0.041(0.007) dex/kpc. Metallicity gradients as a function of distance from the Galactic plane for the same populations are steeper, i.e. d[M/H]/dz_{max} = -0.109(0.008) and d[M/H]/dz_{max} = -0.260(0.031) dex/kpc, respectively. R_m and z_{max} are the arithmetic mean of the perigalactic and apogalactic distances, and the maximum distance to the Galactic plane, respectively. Samples including more thick disc red clump giant stars show systematically shallower abundance gradients. These findings can be used to distinguish between different formation scenarios of the thick and thin discs.Comment: 27 pages, including 15 figures and 4 tables, accepted for publication in MNRA

    Turner syndrome and associated problems in turkish children: A multicenter study

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    Objective: Turner syndrome (TS) is a chromosomal disorder caused by complete or partial X chromosome monosomy that manifests various clinical features depending on the karyotype and on the genetic background of affected girls. This study aimed to systematically investigate the key clinical features of TS in relationship to karyotype in a large pediatric Turkish patient population. Methods: Our retrospective study included 842 karyotype-proven TS patients aged 0-18 years who were evaluated in 35 different centers in Turkey in the years 2013-2014. Results: The most common karyotype was 45,X (50.7%), followed by 45,X/46,XX (10.8%), 46,X,i(Xq) (10.1%) and 45,X/46,X,i(Xq) (9.5%). Mean age at diagnosis was 10.2±4.4 years. The most common presenting complaints were short stature and delayed puberty. Among patients diagnosed before age one year, the ratio of karyotype 45,X was significantly higher than that of other karyotype groups. Cardiac defects (bicuspid aortic valve, coarctation of the aorta and aortic stenosi) were the most common congenital anomalies, occurring in 25% of the TS cases. This was followed by urinary system anomalies (horseshoe kidney, double collector duct system and renal rotation) detected in 16.3%. Hashimoto’s thyroiditis was found in 11.1% of patients, gastrointestinal abnormalities in 8.9%, ear nose and throat problems in 22.6%, dermatologic problems in 21.8% and osteoporosis in 15.3%. Learning difficulties and/or psychosocial problems were encountered in 39.1%. Insulin resistance and impaired fasting glucose were detected in 3.4% and 2.2%, respectively. Dyslipidemia prevalence was 11.4%. Conclusion: This comprehensive study systematically evaluated the largest group of karyotype-proven TS girls to date. The karyotype distribution, congenital anomaly and comorbidity profile closely parallel that from other countries and support the need for close medical surveillance of these complex patients throughout their lifespan. © Journal of Clinical Research in Pediatric Endocrinology

    New Mediterranean biodiversity records (October, 2014)

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    The Collective Article 'New Mediterranean Biodiversity Records' of the Mediterranean Marine Science journal offers the means to publish biodiversity records in the Mediterranean Sea. The current article is divided in two parts, for records of alien and native species respectively. The new records of alien species include: the red alga Asparagopsis taxiformis (Crete and Lakonikos Gulf, Greece); the red alga Grateloupia turuturu (along the Israeli Mediterranean shore); the mantis shrimp Clorida albolitura (Gulf of Antalya, Turkey); the mud crab Dyspanopeus sayi (Mar Piccolo of Taranto, Ionian Sea); the blue crab Callinectes sapidus (Chios Island, Greece); the isopod Paracerceis sculpta (northern Aegean Sea, Greece); the sea urchin Diadema setosum (Gökova Bay, Turkey); the molluscs Smaragdia souverbiana, Murex forskoehlii, Fusinus verrucosus, Circenita callipyga, and Aplysia dactylomela (Syria); the cephalaspidean mollusc Haminoea cyanomarginata (Baia di Puolo, Massa Lubrense, Campania, southern Italy); the topmouth gudgeon Pseudorasbora parva (Civitavecchia, Tyrrhenian Sea); the fangtooth moray Enchelycore anatina (Plemmirio marine reserve, Sicily); the silver-cheeked toadfish Lagocephalus sceleratus (Saros Bay, Turkey; and Ibiza channel, Spain); the Indo-Pacific ascidian Herdmania momus in Kastelorizo Island (Greece); and the foraminiferal Clavulina multicamerata (Saronikos Gulf, Greece). The record of L. sceleratus in Spain consists the deepest (350-400m depth) record of the species in the Mediterranean Sea. The new records of native species include: first record of the ctenophore Cestum veneris in Turkish marine waters; the presence of Holothuria tubulosa and Holothuria polii in the Bay of Igoumenitsa (Greece); the first recorded sighting of the bull ray Pteromylaeus bovinus in Maltese waters; and a new record of the fish Lobotes surinamensis from Maliakos Gulf.peer-reviewe

    Cardiovascular disease, chronic kidney disease, and diabetes mortality burden of cardiometabolic risk factors from 1980 to 2010: a comparative risk assessment

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    Background High blood pressure, blood glucose, serum cholesterol, and BMI are risk factors for cardiovascular diseases and some of these factors also increase the risk of chronic kidney disease and diabetes. We estimated mortality from cardiovascular diseases, chronic kidney disease, and diabetes that was attributable to these four cardiometabolic risk factors for all countries and regions from 1980 to 2010. Methods We used data for exposure to risk factors by country, age group, and sex from pooled analyses of populationbased health surveys. We obtained relative risks for the eff ects of risk factors on cause-specifi c mortality from metaanalyses of large prospective studies. We calculated the population attributable fractions for- each risk factor alone, and for the combination of all risk factors, accounting for multicausality and for mediation of the eff ects of BMI by the other three risks. We calculated attributable deaths by multiplying the cause-specifi c population attributable fractions by the number of disease-specifi c deaths. We obtained cause-specifi c mortality from the Global Burden of Diseases, Injuries, and Risk Factors 2010 Study. We propagated the uncertainties of all the inputs to the fi nal estimates. Findings In 2010, high blood pressure was the leading risk factor for deaths due to cardiovascular diseases, chronic kidney disease, and diabetes in every region, causing more than 40% of worldwide deaths from these diseases; high BMI and glucose were each responsible for about 15% of deaths, and high cholesterol for more than 10%. After accounting for multicausality, 63% (10\ub78 million deaths, 95% CI 10\ub71\u201311\ub75) of deaths from these diseases in 2010 were attributable to the combined eff ect of these four metabolic risk factors, compared with 67% (7\ub71 million deaths, 6\ub76\u20137\ub76) in 1980. The mortality burden of high BMI and glucose nearly doubled from 1980 to 2010. At the country level, age-standardised death rates from these diseases attributable to the combined eff ects of these four risk factors surpassed 925 deaths per 100 000 for men in Belarus, Kazakhstan, and Mongolia, but were less than 130 deaths per 100 000 for women and less than 200 for men in some high-income countries including Australia, Canada, France, Japan, the Netherlands, Singapore, South Korea, and Spain. Interpretation The salient features of the cardiometabolic disease and risk factor epidemic at the beginning of the 21st century are high blood pressure and an increasing eff ect of obesity and diabetes. The mortality burden of cardiometabolic risk factors has shifted from high-income to low-income and middle-income countries. Lowering cardiometabolic risks through dietary, behavioural, and pharmacological interventions should be a part of the globalresponse to non-communicable diseases
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