İNDÜKSİYONLU ISITMA UYGULAMASI İÇİN AKIM BESLEMELİ PARALEL REZONANS DEVRELİ BİR İNVERTERİN SİMÜLASYONU VE GERÇEKLEŞTİRİLMESİ

Bu çalışmada, indüksiyonlu ısıtma uygulamaları için tek fazlı, köprü tipi, akım beslemeli paralel rezonans devreli bir inverterin Pspice programı kullanılarak simülasyonu ve prototip tasarımı pratik olarak gerçekleştirilmiştir. İnverter devresinde iki yönlü gerilim anahtarı olarak MOSFET kullanılmıştır. İndüksiyonlu ısıtma sistemi, ısıtma işlemi boyunca açık çevrim modunda çalıştırılmıştır. Deneysel sonuçlar, Pspice simülasyon programından elde edilen sonuçlarla karşılaştırılmış ve sonuçların birbiriyle uyum içinde olduğu görülmüştür

Radial sinir duyusal dalının iki taraflı izole kesisi

Bilateral injuries of the sensory branch of the radial nerve (SBRN) usually occur as a result of tight-handcuff neuropathy. In this case we aimed to present bilateral isolated cut of SBRN resulting an injury mechanism that has not been reported in the literature previously. A male twentyfour years old, a worker in a glass factory, presented to our clinic. The dorsolateral skin of his wrists were cut by breaking of the glass as a result of occupational accident and was primarily sutured in a healthcare center. The patient sought additional care after a month because of lingering numbness and pain, and surgery was planned. During surgery, scar tissue and neuroma at the cut ends of SBRN were excised, and bilateral SBRN cuts were repaired. Four weeks after operation, mild sensory deficit on the dorsal side of bilateral thumbs, and left first web space and flexion limitation on the right wrist were detected. At the 3rd month postoperative, right wrist joint range of motion was full, and sensory deficits, and hyperesthesia were decreased. The SBRN elicits the sensory innervation of the thumb dorsum and its injury does not cause important functional deficit. However because of susceptibility of SBRN to develop painful neuroma, diagnosis, treatment and follow up of isolated SBRN injury would be worthwhile for prevention of possible painful neuropathy disturbing quality of life

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

OIL PRICES AND BANKING STOCKS NEXUS: EVIDENCE FROM AN OILDEPENDENT COUNTRY

While the relationship between oil prices and stock markets is of great interest to economists, previous studies do not differentiate oil-exporting countries from oil-importing countries when they investigate the effects of oil price shocks on stock market returns. In this paper, we address this limitation using a structural VAR analysis. Our main findings can be summarized as follows: First, the magnitude, duration, and even direction of response by stock market in a country to oil price shocks highly depend on whether the country is a net importer or exporter in the world oil market, and whether changes in oil price are driven by supply or aggregate demand. Second, the relative contribution of each type of oil price shocks depends on the level of importance of oil to national economy, as well as the net position in oil market and the driving forces of oil price changes. Third, the effects of aggregate demand uncertainty on stock markets in oil-exporting countries are much stronger and more persistent than in oil-importing countries. Finally, positive aggregate and precautionary demand shocks are shown to result in a higher degree of co-movement among the stock markets in oil-exporting countries, but not among those in oil-importing countries

An Investigation of Transition Flow in Porous Media by Event Driven Molecular Dynamics Simulation

Aim of this study is to investigate the properties of mono-atomic gas flow through the porous medium by using Event-Driven Molecular Dynamics (EDMD) simulation in the transition regime. The molecules and the solid particles forming the porous structure were modelled as hard spheres hence molecule trajectories, collision partners, interaction times and post-collision velocities were calculated deterministically. The porous medium is formed of spherical particles suspended in the middle of the channel and these particles are distributed into the channel in a regular cubic array. Collisions of gas molecules with porous medium were provided by means of the specular reflection boundary condition. A negative pressure boundary condition was applied to the inlet and outlet of the porous media to ensure gas flow. Porosity, solid sphere diameter and Knudsen number (Kn) were initially input to the simulation for different Cases. Thus, the effects of these parameters on mass flow rate, dynamic viscosity, tortuosity and permeability were calculated by EDMD simulation. The results were compared with the literature and were found to be consistent