The Role of Postmodern Consumers' Materialistic Tendencies and Brand Attitudes on Fashion Product Buying Decisions

Günümüzde küreselleşmeden dolayı teknoloji ve sosyal çevre hızla değişmektedir. Üretim ve tüketim de teknolojik gelişmelerle birlikte değişime uğramıştır. Tüketiciler bu dönemde farklı davranışlar sergilemektedir. Dolayısıyla postmodern toplum, modern topluma tepki olarak gelişen tüketim odaklı bir topluma dönüşmüştür. Postmodernizmde tüketim faaliyetleri bireylerin ihtiyaçlarını karşılamaktan çok farklı bir anlam ifade etmektedir. Bu tüketim şeklinde, mallar daha çok sembolik değerleri nedeniyle tercih edilmektedir. Postmodern tüketici, kendini tüketim yoluyla yeniden keşfeden, heyecan verici tüketim deneyimleriyle bireyselleşmiş kimlikler geliştiren kişilerdir. Ayrıca markalar aracılığıyla diğer tüketicilerin önünde kendini sergileyerek sosyal olarak güçlü görülmeye çalışmaktadır. Bu nedenle araştırmanın amacı, postmodern tüketicilerin moda ürünleri satın alma kararında marka tutumu ve materyalist eğilimlerinin etkisini araştırmak olarak belirlenmiştir. Bu amaca göre Manisa ilinde yaşayan 388 katılımcıya çevrimiçi ortamda kolayda örneklem yolu ile anket yapılarak veriler toplanmıştır. Araştırma da dört ayrı ölçek kullanılmıştır. Çalışma SPSS 21 istatistik programıyla değerlendirilmiştir. Cronbach’s Alpha katsayısı ile ölçeklerin güvenirliliği test edilmiştir. Daha sonra Kolmogorov-Smirnov testi, frekans analizi, korelasyon ve regresyon analizi yapılmıştır. Elde edilen sonuçlara göre baktığımızda model bütün olarak anlamlıdır. Tüketicilerin moda ürünleri satın alma kararında tüketici özellikleri ve marka tutumlarının pozitif yönde etkisinin olduğu görülmektedir. Ayrıca marka tutumunun postmodern tüketici özelliklerine göre satın alma kararı üzerindeki etkisi daha fazladır. Sonuç olarak işletmelerin postmodern tüketicilerin özelliklerini, materyalist eğilimlerini ve marka tutumlarını da ele almaları gerekmektedir.   Nowadays, technology and social environment are changing rapidly due to globalization. Production and consumption have also changed with technological developments. Consumers exhibit different behaviors during this period. Therefore, postmodern society has turned into a consumption-oriented society emerged as a reaction to modern society. In postmodernism, consumption activities refer to a meaning different than meeting individuals’ needs.  Goods are mostly preferred due to their symbolic values. Postmodern consumers are people who reinvent themselves through consumption and develop individualized identities through exciting consumption experiences. Additionally, they try to be seen as socially powerful by presenting themself in front of other consumers through brands. Therefore, this research attempts to investigate the effect of brand attitude and materialistic tendencies on postmodern consumers' decision to purchase fashion products. Accordingly, data were collected through online survey from 388 participants living in Manisa using convenience sampling method. Four scales were used in the research. The hypotheses are tested with the SPSS 21 statistical program. The reliability of the scales was tested with Cronbach's Alpha coefficient. Then, Kolmogorov-Smirnov test, frequency analysis, correlation and regression analysis were performed. According to the obtained results, the model is meaningful as a whole. The findings reveal that consumer characteristics and brand attitudes have a positive effect on consumers' decision to purchase fashion products. In addition, brand attitude has a greater impact on the purchasing decision than postmodern consumer characteristics. As a result, businesses need to address all these matters

Modified pectoral nerve block versus bi-level erector spinae plane block for postoperative analgesia after radical mastectomy surgery: a prospective, randomized, controlled trial

Background Regional anesthesia techniques constitute an important part of successful analgesia strategies in the perioperative care of patients undergoing breast surgery. The advent of ultrasound-guided regional anesthesia has led to the development of fascial plane blocks. The large array of blocks available for postoperative analgesia in breast surgery has increased the accessibility of regional anesthesia but has also created a dilemma of choice. This study compared the analgesic efficacy of the ultrasound-guided modified pectoral nerve (PECS) block and erector spinae plane block (ESPB) in patients undergoing radical mastectomy. Methods Seventy women were enrolled in this prospective, double-blind, randomized control trial. After exclusion, 67 female patients who underwent radical mastectomy were finally analyzed. Ultrasound-guided PECS blocks and ESPBs were performed with 30 ml 0.25% bupivacaine. Postoperative morphine and pain scores were compared between the groups. Results Postoperative total morphine consumption in the first 24 h was significantly higher in the PECS group (P < 0.001). The ESPB group exhibited significantly reduced morphine consumption at all postoperative time points. Numeric rating scale scores were lower in the ESPB group at 6, 12, and 24 h postoperatively at rest and when coughing. Conclusions Ultrasound-guided bi-level ESPBs provided better postoperative analgesia than PECS blocks after radical mastectomy surgery

Anaesthetic Management of a Patient with Pseudo-TORCH Syndrome

Background: Pseudo-TORCH syndrome is a rare, chronic disorder that is characterised by dimorphic features such as microcephaly, intracranial calcification, seizures, mental retardation, hepatosplenomegaly and coagulation disorders. Case Report: We present the anaesthetic management of a forty day-old boy with Pseudo-TORCH syndrome during magnetic resonance imaging. Microcephaly, growth failure, high palate and bilateral rales in the lungs were detected in pre-anaesthetic physical examination. The peripheral oxygen saturation was 88-89% in room-air and was 95% in a hood with 5 L/min oxygen. We planned general anaesthesia to ensure immobility during magnetic resonance imaging. After standard monitoring, general anaesthesia was induced with 8% sevoflurane in 100% O2. After an adequate depth of anaesthesia was reached, we inserted a supraglottic airway device to avoid intubation without the use of a muscle relaxant. Conclusion: In patients with Pseudo-TORCH syndrome, the perioperative anaesthetic risk was increased. We believe that using a supraglottic airway device to secure the airway is less invasive than intubation, and can be performed without the need of muscle relaxants

Comparison of Supreme Laryngeal Mask Airway and ProSeal Laryngeal Mask Airway during Cholecystectomy

Objective: This study compared the safety and efficacy of the Supreme Laryngeal Mask Airway (S-LMA) with that of the ProSeal-LMA (P-LMA) in laparoscopic cholecystectomy.Material and Methods: Sixty adults were randomly allocated. Following anaesthesia induction, experienced LMA users inserted the airway devices. Results: Oropharyngeal leak pressure was similar in groups (S-LMA, 27.8±2.9 cmH20; P-LMA, 27.0±4.7 cmH20; p=0.42) and did not change during the induction of and throughout pneumoperitoneum. The first attempt success rates were 93% with both S-LMA and P-LMA. Mean airway device insertion time was significantly shorter with S-LMA than with P-LMA (12.5±4.1 seconds versus 15.6±6.0 seconds; p=0.02). The first attempt success rates for the drainage tube insertion were similar (P-LMA, 93%; S-LMA 100%); however, drainage tubes were inserted more quickly with S-LMA than with P-LMA (9.0±3.2 seconds versus 14.7±6.6 seconds; p=0.001). In the PACU, vomiting was observed in five patients (three females and two males) in the S-LMA group and in one female patient in the P-LMA group (p=0.10).Conclusion: Both airway devices can be used safely in laparoscopic cholecystectomies with suitable patients and experienced users. However, further studies are required not only for comparing both airway devices in terms of postoperative nausea and vomiting but also for yielding definitive results

Ultrasonography-guided penile block for adult penile surgery

SCOPUS: le.jinfo:eu-repo/semantics/publishe

Three cases of mushroom poisoning with an unexpected initial presentation: acute kidney injury with Amanita proxima poisoning

Abstract Background Mushroom poisoning causes common gastrointestinal symptoms such as nausea and vomiting and is a well-known reason for acute hepatic failure. Acute kidney injury is a less common clinical presentation in mushroom poisoning. Recently, nephrotoxicity called Amanita nephrotoxic syndrome has been defined, caused by several Amanita mushrooms. It is characterized by moderate hepatotoxicity and oligoanuric acute kidney injury, which may require hemodialysis. Case presentation Case 1 was a 51-year-old female patient who was hospitalized with oliguria, nausea, and vomiting after eating mushrooms, required hemodialysis due to acute kidney injury, and developed pulmonary hemorrhage during her follow-up. Case 2 was a 55-year-old male patient who was hospitalized with anuria, nausea, and vomiting after eating mushrooms, required hemodialysis due to acute kidney injury, and developed acute coronary syndrome during his follow-up. Case 3 was a 59-year-old male patient who was hospitalized with oliguria, nausea, and vomiting after eating mushrooms, required hemodialysis due to acute kidney injury, and developed moderate hepatotoxicity during his follow-up. All cases were hospitalized at the same time interval with similar clinical features. Acute kidney injury was the initial presentation of all the cases, and they had only mild transaminase elevation with normal INR levels. They all required hemodialysis, and kidney injury was fully recovered. Conclusions Mushroom consumption must be questioned in acute kidney injury patients of unknown etiology where mushrooms are habitual despite deleterious consequences