Diagnostic value of neutrophil to lymphocyte ratio to rule out chronic obstructive pulmonary disease exacerbation from acute heart failure in the emergency department

INTRODUCTION: This study was performed to determine whether neutrophil-lymphocyte ratio (NLR) optimizes the differential diagnosis of acute chronic obstructive pulmonary disease (COPD) exacerbation and acute heart failure (AHF) in patients admitting to the emergency department (ED) with dyspnoea.  MATERIAL AND METHODS: The study group included 241 patients (135 males and 106 females) who were admitted to the ED with a complaint of dyspnoea between January 2016 November 2018 and were hospitalized with diagnosis of acute COPD exacerbation or AHF.  RESULTS: White blood cell count, neutrophil, haemoglobin, haematocrit, NLR, and C-reactive protein values in patients with COPD exacerbation were significantly higher compared to those with AHF (p < 0.05). The largest areas under the ROC curve were obtained with NLR. The cut-off value for NLR was 9.39, with a sensitivity of 71% and a specificity of 61%.  CONCLUSIONS: In conclusion, the NLR has diagnostic value to the conventional clinical assessment in patients with acute dyspnoea at ED, especially with acute COPD exacerbation requiring inpatient management. This may be an additional tool during the differential diagnosis of dyspnoea for emergency physicians in hospitals without advanced laboratory facilities

Yetimhane'den 5 yıldızlı otele

Taha Toros Arşivi, Dosya No: 1-Adalarİstanbul Kalkınma Ajansı (TR10/14/YEN/0033) İstanbul Development Agency (TR10/14/YEN/0033

113 yıllık Cemilzade tadı

Taha Toros Arşivi, Dosya No: 112-Pastahaneler, Bozacılar, Gazozcular, Börekçiler, Turşucular, Sucularİstanbul Kalkınma Ajansı (TR10/14/YEN/0033) İstanbul Development Agency (TR10/14/YEN/0033

Researches in Reseource Foundation The Registries Hurufat: Example Of Kangırı

Bu çalışmanın hazırlanmasındaki amaç, Vakıflar Genel Müdürlüğü Arşivinde muhafaza edilen Hurûfât Defterleri (Rûznâmçe Defterleri)’ni, Kaza-i Kangırı (Çankırı) örneğinde bilim dünyasına tanıtmaktır. Bu defterler dönemin kaza idari yapısına göre tutulmuş, kazaların isimleri alfabetik sıraya göre dizilerek vakıf işlemleri ilgili kazanın isminin altına yazılmış ve defterler ismini bu alfabetik sıradan almıştır. Tutulduğu zaman dilimi göz önünde bulundurulursa, Kangırı Hurûfât Defterleri’nin yaklaşık iki asırlık bir dönemi daha özelde tespit edilebilme olanağını sunduğu görülecektir. Kangırı Kazası’nı ihtiva eden 26 adet Hurûfât Defteri incelendiğinde, Osmanlı Dönemi’nde Kangırı merkezindeki mahalleler, kasaba ve köyler tespit edilecek, bunun yanı sıra buralarda hizmet veren vakıflar, vakıf müesseseler ve ifa edilen görevler ortaya çıkarılacaktır. Böylece üzerinde çalışılan bölgenin idari yapısı ve kültürel zenginliği daha da netleşecektir

A classification on the concept of governance

The governance concept has been come into use within the period started upon the narrowing of nation-state borders. And when it comes to the present day, it fronts us as a concept which “exists in everywhere at the same time” and there isn’t any significant classification in the literature. The purpose of the study is to make a classification on the concept of governance. In the study, the governance concept is addressed in 3 different categories as according to dimension of management, form of implementation and function. Classification according to dimension of management consists of cultural, national and local governance concepts. This distinction indicates the limits of authority transfer of the national or federal governments to global organizations upwards and local governments downwards. Classification based on form of implementation consists of macro-, meso- and micro-governance concepts. Macro-governance focuses on political implementations, whereas meso- and micro-governance are composed of project and plan based implementations. And classification according to function consists of political, economic and institutional governance concepts. Political governance is such as to support achieving the target for economic development. Moreover, the political and economic conditions of a country contribute to the determination of institutional governance environment

Reward-to-risk ratios in Turkish financial markets

This paper investigates how reward-to-risk ratios compare among various government debt security (GDS) indices and sector indices in the Istanbul Stock Exchange. Risk is measured by either standard deviation or nonparametric and parametric value at risk. We find that the GDS indices have higher reward-to-risk ratios compared to the sector indices. GDS indices with longer maturities have lower reward-to-risk ratios and this reduction is especially pronounced when the ratios take downside risk into account. The reward-to-risk rankings for the sector indices are similar for each measure and the results are robust to currency conversion

THE RELATIONSHIPS BETWEEN ORGANIZATIONAL VALUES, JOB SATISFACTION, ORGANIZATIONAL SILENCE AND AFFECTIVE COMMITMENT

In this research, the relationships between organizational values, job satisfaction, organizational silence and affective commitment perceptions of managers and teachers working in schools were examined. The research data were collected from 706 school administrators and teachers. Four scales were used in the study: Management Scale According to Values, Teaching Satisfaction Scale, Organizational Silence Scale and Affective Commitment Scale. Structural Equation Modeling (SEM) was developed to determine the relationship between variables. The data obtained in the SEM show that all hypotheses of the study are accepted. According to these findings, organizational values positively affect job satisfaction and affective commitment. Organizational values have a negative effect on organizational silence. Job satisfaction has a positive effect affective commitment. Organizational silence negatively affects affective commitment. Job satisfaction increases the influence of organizational values on affective commitment with the role of mediator. Organizational silence diminishes the role of the mediator and the influence of organizational values on affective commitment.  Article visualizations

Kitabiyat

Kitabiyat bölümünde Araştırmacı Hasan Demirtaş Bursa ve Manisa’daki vakıflarla ilgili olmak üzere Bursa Büyükşehir Belediyesi ve Tapu Kadastro Genel Müdürlüğü’nün kültür hizmeti olarak yayımlanan iki kitabı ana hatlarıyla tanıtmaktadır. Oliver Leaman’ın “İslam Estetiği’ne Giriş” adlı 2010 baskılı kitabı Yazar Mehmet Kurtoğlu tarafından özetle sunulmaktadır. Vakıflar Genel Müdürlüğü tarafından 2014 yılı Vakıf Haftası “Vakıf ve İktisat” teması altında bir dizi etkinlik gerçekleştirilmiştir. Araştırmacı Ahmet Kılıç bu çerçevede Vakıflar Genel Müdürlüğü ve TOBB ETÜ işbirliği ile gerçekleştirilen sempozyumu değerlendirmekte ve etkinlikler hakkında bilgi aktarmaktadır

Risk-adjusted performances of world equity indices

This paper investigates whether equity indices of 24 emerging and 28 developed markets compensate their investors equally after taking risk into account. We place special emphasis on downside risk by calculating both nonparametric and parametric value at risk. We find that when all 52 markets are ranked based on their alternative reward-to-risk ratios, almost all of the countries in the top quartile are emerging markets whereas almost all of the countries in the bottom quartile are developed markets. These results are supported by the finding that pooled means of the reward-to-risk ratios are significantly higher for emerging markets compared to those of developed markets. Focusing on the period after the initiation of the recent financial crisis reveals that, although both developed and emerging markets suffered in terms of generating higher returns per unit risk, emerging markets continued to outperform developed markets and the outperformance became more pronounced

Reward-to-risk ratios in Turkish financial markets (Türkiye finans piyasalarında getiri-risk rasyoları)

This paper investigates how reward-to-risk ratios compare among various government debt security (GDS) indices and sector indices in the Istanbul Stock Exchange. Risk is measured by either standard deviation or nonparametric and parametric value at risk. We find that the GDS indices have higher reward-to-risk ratios compared to the sector indices. GDS indices with longer maturities have lower reward-to-risk ratios and this reduction is especially pronounced when the ratios take downside risk into account. The reward-to-risk rankings for the sector indices are similar for each measure and the results are robust to currency conversion