144 research outputs found
Congenital Mucocele of the Nasal Dorsum: A Case Report
Congenital nasal dorsum cysts are very rare lesions. Its differential diagnosis lies between gliomas, dermoid cysts and encephaloceles. We present a case of solitary congenital external nasal cyst with no intranasal fistulous tract connection in a newborn. Histopathologic analysis of the mass demonstrated findings consistent with an external mucocele. Total excision with external open approach provided the cure with good cosmetic outcome. This is the first report presenting an external mucocele in a newborn in the literature. External mucoceles should be kept in mind in the differential diagnosis of congenital nasal dorsum masses
New horizons in bank mergers: A quantum spherical fuzzy decision-making framework for analyzing Islamic and conventional bank mergers and enhancing resilience
This study explores the implications of merging two fundamentally different types of banks: Islamic and conventional banks. The research aims to provide insight into the unique opportunities and challenges presented by such a merger and to offer strategic guidance for future mergers. A balanced scorecard-based strategic analysis using a Quantum Spherical Fuzzy Decision-Making Approach was used to develop short- and long-term strategic plans for the merged bank. The balanced scorecard included 12 key performance indicators (KPIs) in 4 groups, and the methodology incorporated several questions to guide the analysis. The results of the study offer valuable insights into the potential opportunities and challenges of merging these two types of banks, as well as strategic recommendations for stakeholders at all levels. The study serves as a useful guideline for future mergers between similar or different types of banks. Overall, the findings suggest that a well-planned merger strategy is essential for avoiding challenges and maximizing the benefits of merging Islamic and conventional banks. By integrating the strengths of both types of banks, a merged entity could create a competitive advantage and potentially improve financial performance. However, this requires careful consideration of cultural differences, regulatory challenges, and other factors that could impact on the success of the merger
Serving SDGs via bank mergers: A neuro quantum fuzzy approach for qatari banks
Determining the right merger strategy for banks is an important step. In this way, risks can be managed more effectively, and long-term financial performance can be achieved. However, there are many different factors that affect this process. It is not optimal for banks to consider all factors due to budget constraints. In this context, it is important to determine the most important ones among these criteria. Accordingly, the purpose of this study is to evaluate alternative merger strategies for banks. For this purpose, 12 different Sustainable Development Goals (SDGs)-based criteria are selected. Multi stepwise weight assessment ratio analysis (M-SWARA) methodology is used to compute the weights of these items. The main contribution of this study is that the implications of the merger process on SDGs can be examined. Furthermore, a new methodology (M-SWARA) is proposed in this study that has an increasing impact on the methodological originality. The findings indicate that increasing profitability has the greatest weight (0.095). Similarly, market share is found as the second most critical factor (0.092) for merger decisions in the banking industry. A profitable bank can attract more investors and with the help of this situation it can be much easier to raise capital and access funding from capital markets. These issues can be used to finance projects that align with SDGs, such as renewable energy, affordable housing, or clean water initiatives. In addition to this situation, profitability can also have a positive impact on innovation and technological advancement. With sufficient resources, a bank can invest in research and development, technological infrastructure, and innovative products and services. Owing to these investments, sustainable development can be promoted
Üreter Obstrüksiyonu Oluşturulan Ratlarda HES 130/0.4’ün Eritrosit Deformabilitesi Üzerine Etkileri
Amaç: Plazma genişleticilerinin uygulanması, önemli cerrahi, hemorajik şok ve travmayı içeren çeşitli klinik koşullardaki kritik hastaları yönetmek için çok önemlidir. Bununla birlikte, hidroksietil nişastanın (HES) eritrosit agregasyonu üzerindeki etkileri tartışmalıdır. Bu nedenle, deneysel tek taraflı üreteral tıkanıklık ile oluşturulan böbrek yetmezliğinde HES 130/0.4'ün eritrosit deformabilitesi üzerindeki etkilerini araştırmayı amaçladık. Yöntem: Toplam 24 rat kontrol, HES 130/0.4, Üreter Obstrüksiyon (ÜO) ve ÜOHES 130/0.4 olmak üzere dört gruba ayrıldı. Üreteral tıkanıklık gruplarına ketamin anestezisi altında düşük abdominal insizyon yapıldı. Sağ üreterin distaline ulaşıldıktan sonra 2.0 mersilen ile bağlandı, daha sonra geç dönemde böbrek yetmezliği için 3 hafta bekledi. 20 mL.kg-1 HES 130/0.4 (Voluven), HES 130/0.4 ve ÜO-HES 130/0.4 grubuna intravenöz olarak verildi. 24 saat sonra ratlar sakrifiye edildi. Deformabilite ölçümleri bir fosfat tamponlu salin (PBS) tamponu içinde% 5 hematokrit kullanılarak gerçekleştirildi. Bulgular: Her grupta rölatif rezistans kontrol grubuna göre arttı (p<0.0001). Her grupta eritrosit deformabilite indeksi kontrol grubuna göre anlamlı derecede yüksek bulundu (Grup K-Grup HES, p=0.023, Grup K-Grup ÜO, p<0.0001, Grup K-Grup ÜO-HES, p<0.0001) . ÜO-HES grubunda HES grubuna kıyasla eritrosit deformabilite indeksi önemli derecede arttı (p=0.031, p=0.021, sırasıyla). HES 130/0.4 uygulaması ile üreteral obstrüksiyon yapılmış sıçanlarda eritrosit deformabilitesinde herhangi bir değişiklik olmadığı belirlendi (p = 0.785). Sonuç: HES 130/0.4 kullanımı, üreteral obstrüksiyonu yapılan sıçanlarda eritrosit deformabilitesi üzerinde olumsuz bir etkiye sahip değildir. HES 130/0.4 kullanırken bu endikasyonların doğru kullanılması gerektiğini düşünüyoruzAim: The administration of plasma expanders is crucial for managing critically ill patients across a range of clinical conditions, including major surgery, hemorrhagic shock, and trauma. However, the effects of hydroxyethyl starch (HES) on erythrocyte aggregation remain controversial. For this reason, we aimed to investigate the effects of HES 130/0.4, performed renal insufficiency by experimentally unilateral ureteral obstruction, on erythrocyte deformability. Materials and Methods: A total of 24 rats were divided into 4 groups; Control, HES 130/0.4, Ureter Obstruction (UO) and UO-HES130/0.4. Urethral obstruction groups were treated with ketamine anesthesia with a low abdominal incision and reached to the distal of right ureter and sutured with 2.0 mersilen then waited for 3 weeks for late term renal insufficiency. 20 mL.kg-1 of HES 130/0.4 (Voluven) were infused intravenously to the HES 130/0.4 and UO-HES130/0.4 group. After 24-hour, rats were sacrificed. Deformability measurements were performed using 5% haematocrit in a phosphate-buffered saline (PBS) buffer. Results and Discussion: Relative resistance was increased in all groups compared to the control group (p<0.0001). In all groups, erythrocyte deformability index was found to be significantly higher than the control group (Group C-Group HES, p=0.023, Group C- Group UO, p<0.0001, Group C-Group UO-HES, p<0.0001). UO-HES group had significantly increased erythrocyte deformability index compared with the HES group (p=0.031, p=0.021, respectively). It was determined that HES 130/0.4 application did not change erythrocyte deformability in ureteral obstructed rats (p=0.785). Conclusion: The use of HES 130/0.4 has no negative effects on erythrocyte deformability in ureteral obstructed rats. We think that indications should be used correctly when using HES 130/0.
Türk Limanlarındaki Boş Konteyner Akış Dengesinin Araştırılması
Container transportation is the most preferred maritime commercial freight distribution in entire world except liquefied product transportation by tankers and bulk carriers. Totally 95% volume of general cargo is transported by container ships in the world due to fast, cheap andsafe carrying potential of the goods transfer. Containerization has become recent phenomena in the field of maritime transportation and the quantity of goods transported by containers is increasing day by day as well as the total container number to use for the commercial activity. Due to very high mobility in the field of container transportation, port traffic estimation, availability of containers, storage, deposition and allocation of empty containers have become recent problems in maritime transportation area. In this study some major container ports of Turkey which are stand for 80 % of total container operations are analyzed toseek for empty container balance. After detailed statistical evaluation of national container transportation figures for Haydarpaşa, Kumport, İzmir, Mardaş, Marport and Mersin, several interviews and discussions have been made with port authorities and governing departments. As a result, it is observed that there is no empty container accumulation problem in the examined ports except Haydarpaşa and Kumport. Based on general statistics, Turkish container ports currently do not suffer from empty container problem as overall container circulation close to equilibrium but the problem has a potential to create a risk on developinginternational trade of Turkey.Keywords: Empty container, repositioning, container ports, TurkeyKonteyner taşımacılığı günümüz denizciliğinde sıvı yükler dışındaki yüklerde en fazla tercih edilen taşıma türüdür. Dünyada ki genel kargo yüklerinin % 95’i güvenilir, ucuz ve bir defada çok miktarda yük taşınabilmesi nedeniyle konteynerlerle taşınmakta olup, denizyolu ile gerçekleştirilen uluslararası ticaret hacmi, her geçen gün süratleartmaktadır. Dünyada kullanılan konteyner ağlarındaki hareketlilik yoğunlaştıkça, hem limanlardaki trafiğin tahmin edilmesi, hem de konteynerlerin temin edilmesi, depolanması ve sevk edilmesi, boş konteynerlerin yeniden konumlandırılması ve yönetilmesi büyük bir sorun haline gelmeye başlamıştır. Ticari faaliyetlerdeki dengesizlikler boş konteyner yönetiminin temel nedenini oluşturmaktadır. Bu dengesizlik sonucu kimi zaman liman veya depolarda konteyner yığınları oluşurken,kimi zaman da istenen yerde ve zamanda konteyner bulunamamaktadır. Durum yönetsel problem olarak ele alındığında maliyet ve teslimatta başlayan problemler, firma itibarını ve pazar durumunu etkileyen boyutlara kadar ulaşabilmektedir. Bu noktadan yola çıkılarak ülkemizin konteyner ticaret hacminin yaklaşık olarak % 80’ini oluşturan Gemport, Haydarpaşa, İzmir, Kumport, Mardaş, Marport ve Mersin limanlarınınkonteyner giriş ve çıkış istatiksel verileri değerlendirilmiştir. Liman otorite ve yetkilileri ile konuyla ilgili olarak görüşme ve mülakatlar yapılmıştır. Yapılan çalışmanın sonucunda incelenen limanlardan Haydarpaşa ve Kumport limanları dışındaki limanlarımızda boş konteyner yığılmasının yaşanmadığı görülmüştür. Genel olarak ülkemiz konteyner limanlarında boş konteyner sorununun yaşanmadığı fakat gelecekte yaşanması muhtemel bir risk olarak değerlendirilmesi gerektiği sonucuna ulaşılmıştır.Anahtar Kelimeler: Boş konteyner, yeniden konumlandırma, konteyner limanları, Türkiye
Paraoxonase and Arylesterase Activities, Lipid Profile, and Oxidative Damage in Experimental Ischemic Colitis Model
Objective. In the present study, since PON1 is known as an HDL-associated antioxidant enzyme that inhibits the oxidative modification of LDL and oxidative stress plays a role in the pathogenesis of mesenteric ischemia, we investigated the changes in PON1 activity and lipid profile in an experimental ischemic colitis model. Methods. Forty male Wistar albino rats were divided into two groups: the control group (N = 15) and the experimental group (N = 25). All animals were anesthetized with ether and ketamine anesthesia to undergo a midline laparotomy. Ischemic colitis was induced by marginal vessel ligation in the splenic flexura (devascularization process). A sham laparotomy was performed in the control group. All animals were sacrificed on the seventh postoperative day. Oxidative stress marker (malonyldialdehyde, MDA), lipid profile, and paraoxonase (PON-1) and arylesterase activities were determined. Histopathological evaluation was done under light microscopy, after sectioning and staining with hematoxyline and eosin. Statistical analysis was conducted using Student's t-test and Mann-Whitney U test, and P 0.05).Conclusions. PON1 and arylesterase play an important role in the pathophysiology of ischemic colitis
The Morphologic and Functional Features of LAD Myocardial Bridging at 64-Detector MDCT Coronary Angiography: Correlation with Coronary Artery Disease
Determination of macro and trace element levels of serum, tears, saliva, and hair samples in kilis goats with icp-ms
This study is focused on the evaluation of macro and trace elements concentration including sodium (Na), potassium (K), calcium
(Ca), magnesium (Mg), iron (Fe), copper (Cu), zinc (Zn), selenium (Se), nickel (Ni), titanium (Ti), manganese (Mn), cobalt (Co), and
chromium (Cr) of the serum, saliva, tears, and hair samples in Kilis goats. The study involved 33 goats without clinical signs of disease.
Individual serum, saliva, tears, and hair samples from each goat were collected for element quantifications through the inductively coupled
plasma mass spectrometry (ICP-MS) method after acid digestion in a microwave system. Element concentrations varied and depended on the
sample type. The most predominant element in serum and saliva samples was Na (3559±55.2 and 3265±53.6 mg/L, respectively), followed by
K>Ca>Mg. Potassium was the most abundant element analyzed in tears and hair samples (3506±305 and 4664±100.5 mg/L, respectively). The
major trace element was Fe in all sample types except hair samples. Nickel was detected only in serum samples (83.9±6.35 μg/L) and Mn was
detected only in hair samples (12903±3142 μg/L). In all samples, Co was below the detection limit. There was a significant correlation of some
elements between serum and hair (Na, K, Mg, Cu), tears and hair (K, Mg, Fe), serum and tears (K) samples. Trace elements concentration
did not pose a risk for deficiency or excess. It was concluded that tears and saliva are potential alternative materials for element analysis and
simultaneous tears, saliva, and hair along with serum could be useful in predicting the inorganic metabolic status of goats
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