Muhalif basında Köy Enstitülerinin kapanış serüveni

Ankara : İhsan Doğramacı Bilkent Üniversitesi İktisadi, İdari ve Sosyal Bilimler Fakültesi, Tarih Bölümü, 2012.This work is a student project of the The Department of History, Faculty of Economics, Administrative and Social Sciences, İhsan Doğramacı Bilkent University.by Hamdi Özdiş.Özdiş, Hamdi. HIST 200-11, 17, 18ÖZDİŞ HIST 200-11, 17, 18/27 2011-1

Partitioning of heavy metals in the ISTAC medical waste incinerator

This study investigates the partition of heavy metals in slag from the rotary kiln (SL), second combustion chamber ashes (SCCA), filter cake (FC) from a bag filter and flue gas (FG) emissions (both in particulate and gas phases) of the Istanbul medical waste incinerator (ISTAC). Eleven targeted heavy metals (As, Cd, Co, Cr, Cu, Hg, Mn, Ni, Pb, Sb and TO in four matrices were analysed for eight different date samples in 2008. The results obtained were evaluated according to the metal species, furnace temperatures and other factors that affect the formation and accumulation of the metals in the incineration cycle. According to the results, combustion temperatures, reactor configuration and waste contents are the dominant parameters determining the volatility and partitioning of metals in the combustion systems. The biggest waste portions were obtained for the SL and the dominant metal species for the SL and SCCA were Cu (505,9 +/- 99,3 and 697,4 +/- 577,7 mg per kg dry mass for SL and SCCA respectively) and Mn (238,0 +/- 154,6 and 199,9 +/- 180,4 mg per kg dry mass for SL and SCCA respectively). In the FC, the dominant species was Cu (166,8 +/- 128,1 mg per kg dry mass) and this was followed by Mn, Ni and Hg. It is thought that cement and activated lignite, which were added to the process as adsorbent materials, were affecting the contents of the FC. Metals were divided into particulate and gas phases and maximum concentrations were observed for Ni, Mn and Cr in a particulate phase of FG. Emission factors were considered and mass balance calculations for metals were also conducted in the study.ISTAC (Istanbul Environment Management of Industry and Trade Co. Ltd.)We gratefully acknowledge ISTAC (Istanbul Environment Management of Industry and Trade Co. Ltd.) for supporting our study

The Probable Cause of Hypouricemia; Xanthinuria

Xanthinuria and hereditary renal hypouricemia usually leads to hereditary hypouricemia. Hypouricemia is defined as having serum uric acid level lower than 2 ml/dl. Xanthinuria is an autosomal recessive disease that can be occasionally seen in all ages. As a result of enzyme or cofactor deficiency, xanthine and hypoxanthine do not convert to uric acid and accumulate in the blood and increase the excretion in urine. The level of uric acid is detected very low either in serum or in urine. In this study, a case of a seventy-seven-year-old female patient in which hypouricemia was detected and who had the diagnosis of xanthinuria was discussed

Is increased colon subepithelial collagen layer thickness in diabetic patients related to collagenous colitis? An immunohistochemical study

In this study, we evaluated immunohistochemically whether increased thickness of the colon subepithelial collagen layer in diabetic patients relates to collagenous colitis

Diagnostic evaluation of patients presenting with hirsutism

Amaç: Hirsutizm, kadınlarda androjen duyarlı bölgelerde erkeklerdekine benzer şekilde terminal kılların bulunmasıdır. Çalışmamızda hirsutizm şikayeti olan hastalarda etyolojiye yönelik araştırma yaparak hirsutizme neden olan hastalıkların sıklığının belirlenmesi amaçlanmıştır.Yöntemler: Çalışmaya Mustafa Kemal Üniversitesi Tıp Fakültesi Endokrinoloji ve Metabolizma Hastalıkları Bilim Dalı polikliniğine hirsutizm nedeniyle başvuran 40 hasta alındı. Hastalarla ilgili demografik, klinik ve laboratuvar parametreler incelendi.Bulgular: Çalışma sonucu hirsutizmin en sık nedeninin polikistik over sendromu olduğunu göstermiştir. İkinci en sık neden idiopatik hirsutizm bulunmuştur.Sonuç: Bu çalışmayla birlikte etnik ve kültürel farklılığın yoğun olduğu bölgemizde ilk olarak hirsutizmin etyolojik faktörleri incelenmiştir. Cushing sendromu, hiperprolaktinemi, non klasik adrenal hiperplazi, androjen salgılayan tümörler gibi nadir görülen durumlarda hirsutizmin ayrıcı tanısında düşünülmelidir.Objective: Hirsutism, similar to men, is the presence of terminal hairs in androgen-to sensitive areas in women. The present report aimed to study etiology and determine the prevalence of the diseases that causes hirsutism in these patients.Methods: In this study, total number of 40 patients who admitted because of hirsutism to Department of Endocrinology and Metabolism clinic was enrolled. Demographic, clinical and laboratory parameters of the patients were evaluated.Results: Result of the study showed that polycystic ovary syndrome is the most common cause of hirsutism. The second most common cause was found as idiopathic hirsutism.Conclusion: By the present study, etiologic factors of hirsutism were examined firstly in our region in which Ethnic and cultural diversity is concentrated. In rare cases like Cushing's syndrome, hyperprolactinemia, non-classic adrenal hyperplasia, androgen-secreting tumors should be considered in the differential diagnosis of hirsutism

Suboptimal use of non-vitamin K antagonist oral anticoagulants: Results from the RAMSES study

WOS: 000384041400052PubMed ID: 27583892This study aimed to investigate the potential misuse of novel oral anticoagulants (NOACs) and the physicians' adherence to current European guideline recommendations in real-world using a large dataset from Real-life Multicenter Survey Evaluating Stroke Prevention Strategies in Turkey (RAMSES Study).RAMSES study is a prospective, multicenter, nationwide registry (ClinicalTrials.gov identifier NCT02344901). In this subgroup analysis of RAMSES study, patients who were on NOACs were classified as appropriately treated (AT), undertreated (UT), and overtreated (OT) according to the European Society of Cardiology (ESC) guidelines. The independent predictors of UT and OT were determined by multivariate logistic regression.Of the 2086 eligible patients, 1247 (59.8%) received adequate treatment. However, off-label use was detected in 839 (40.2%) patients; 634 (30.4%) patients received UT and 205 (9.8%) received OT. Independent predictors of UT included >65 years of age, creatinine clearance 50mL/min, urban living, existing dabigatran treatment, and HAS-BLED score of <3, whereas that of OT were creatinine clearance <50mL/min, ongoing rivaroxaban treatment, and HAS-BLED score of 3.The suboptimal use of NOACs is common because of physicians' poor compliance to the guideline recommendations in patients with nonvalvular atrial fibrillation (NVAF). Older patients who were on dabigatran treatment with good renal functions and low risk of bleeding were at risk of UT, whereas patients who were on rivaroxaban treatment with renal impairment and high risk of bleeding were at risk of OT. Therefore, a greater emphasis should be given to prescribe the recommended dose for the specified patients