Effects of relaxation exercises on the ways of coping with stress and anxiety level in primiparous pregnant women diagnosed with preterm labor

This experimental study aims to evaluate the effects of relaxation exercises on the ways of coping with stress and anxiety level in primiparous women diagnosed with preterm labor. The study included a total of 60 pregnant women who were admitted to the outpatients clinics of the Department of Obstetrics and Gynecology at a tertiary setting between November 2012 and February 2014. Of these women, 30 were allocated into the intervention group and 30 were allocated into the control group. The Pregnant Women Identity Information Form, Ways of Coping with Stress Inventory, and State-Trait Anxiety Inventory were used as data collection tools.The pregnant women in the intervention group achieved higher scores in the State-Trait Anxiety Inventory in the first assessment and lower scores in the final assessment, and the difference from baseline was significantly different (p<0.005). The women in the control group achieved lower scores in the State-Trait Anxiety Inventory in the first assessment and higher scores in the final assessment, and the difference from baseline was significantly different (p<0.005). The scores of pregnant women in the intervention group in efficient ways of coping subscale increased as from the baseline (p<0.005), whereas there was an increase in the scores of women in the control group in inefficient ways of coping subscale and the difference was statistically significant (p<0.005). Our study results suggest that relaxation exercises are effective in reducing anxiety and coping with stress in pregnant women with imminent premature labor

Ebe ve Hemşire Öğrencilerinde Tükenmişlik Düzeyi Ve Etkileyen Faktörler

Bu araştırma, Selçuk Üniversitesi Sağlık Bilimleri Fakültesi Ebelik ve Hemşirelik Bölümü öğrencilerinin tükenmişlik düzeylerini ve bu düzeyleri etkileyen faktörleri saptamak amacıyla yapılmıştır. Tanımlayıcıtipteki bu çalışmanın verileri NisanMayıs 2012 tarihleri arasında toplanmıştır. Araştırmaya toplam 627 öğrenci katılmıştır. Veri toplama aracıolarak Maslach Tükenmişlik Ölçeği ve araştırmacılar tarafından geliştirilen kişisel bilgi formu kullanılmıştır. Kişisel bilgi formunda yer alan cinsiyet, medeni durum, öğrenim gördükleri bölüm, bölüm tercihinden memnun olup olmama durumu, sosyal etkinliklere katılım, not ortalamaları, sınıf düzeyleri, ailelerinin ikamet ettiği yer gibi değişkenlerle öğrencilerin tükenmişlik düzeyleri karşılaştırılmıştır. Maslach Tükenmişlik ölçeği ise duygusal tükenme, duyarsızlaşma ve kişisel başarıhissi olmak üzere üç boyuttan oluşmaktadır. Araştırmanın istatistiksel analizleri SPSS 16,0 paket programında normal dağılım gösterip göstermemelerine göre Oneway ANOVA testi, Tukey HSD testi, Mann Whitney U testi, Kruskal Wallis ve student t testi kullanılarak yapılmıştır. Not ortalamasıile tükenmişlik düzeylerinin karşılaştırılmasında ise korelasyon analizi kullanılmıştır. Sonuçlar % 95’lik güven aralığında, anlamlılık

Percutaneous cryoablation of follicular thyroid carcinoma metastasis to the pancreas

The following is a technical report of the successful cryoablation of pancreatic metastasis originating from follicular thyroid carcinoma. The patient was a 72-year-old female who underwent total thyroidectomy and radioiodine ablation for follicular carcinoma. One year after surgery, a positron emission tomography-computed tomography (PET-CT) examination, performed to demonstrate the source of the increased thyroglobulin, showed a fluorodeoxyglucose (FDG) avid mass located in the body of the pancreas. A percutaneous tru-cut biopsy was performed that revealed follicular thyroid carcinoma metastasis to the pancreas. Because of the patient’s comorbidities, the patient underwent percutaneous cryoablation and made a successful recovery over the following 13 months. At the most recent follow-up, the thyroglobulin level was undetectable, and a PET-CT scan showed no FDG avid mass in the pancreas. To our knowledge, follicular carcinoma metastasis of the pancreas is extremely rare, and this is the first report of successful cryoablation of a metastatic tumor in the pancreas

Prognostic value of systemic inflammation response index in patients with persistent human papilloma virus infection

Objectives: Persistent human papilloma virus (HPV) infection is a risk factor for the progression of cervical neoplasia into invasive carcinoma. Many inflammatory markers obtaining from hemogram parameters as platelets, monocytes, lymphocytes, and neutrophils or their ratios are still under investigation in recent decades, especially in the oncology era. Indeed, there have not been enough data about the relationship between these parameters and cervical cancer in the literature. Our primary aim was to investigate the possible relationship between the persistent HPV, which is one of the significant risk factors of cervical cancer, and these inflammatory markers. Further, we can add an easy follow-up parameter in women with persistent HPV infection. Material and methods: The study included patients between 30–65 years old, tested positive for HPV, and afterward had an HPV control test between January 2015 and June 2020. Results: The study included 114 HPV DNA-positive patients. The mean age was 43 (standard deviation 8.7), and 41 of them (36%) had persistent HPV, but the remaining 73 (64%) did not. The baseline neutrophil/lymphocyte ratio (NLR) value was 2.1, platelet/lymphocyte ratio (PLR) was 133, monocyte/lymphocyte ratio (MLR) was 0.28, and systemic inflammation response index (SIRI) was 0.9. All the parameters were significantly higher in the persistent HPV group compared to the non-persistent group. Patients who had 0.65 and under this had a significantly lower risk of persistent HPV. Conclusions: Persistent HPV disease can be predicted with an elevated SIRI, NLR, and other hematologic parameters. So, we can closely follow up with these patients with different algorithms to prevent cervical cancer

Radiological screening of abdominal aortic aneurysm in individuals over 65

Objective: The aims of this study were to determine the prevalence of AAA in aged 65 years and above that had been referred for US screening, the association between risk factors for atherosclerosis and AAA, and the effectiveness of screening a population aged 65 years and above with atherosclerosis risk factors using ultrasound (US). Methods: Patients 65 years and over who had undergone US examination for any reason were invited to participate. The 600 patients (335 male, 265 female) who agreed to participate completed a survey of atherosclerosis risk factors. Aneurysm levels in patients with infrarenal or suprarenal AAA were measured using US. Statistical analysis was performed to identify the relationship between AAA and several atherosclerosis risk factors. Results: Of the 600 patients, 35 (5.8%; 33 male and 2 female) patients were diagnosed with AAA. Males and females represented 94.3% and 5.7% of the AAA-diagnosed population, respectively, and 5.5% and 0.3% of the screened population, respectively. Thirty of the AAA-diagnosed patients (85.7%) were between 65 and 79 years and 5 (14.3%) 80 years and above. A significant relationship was found between AAA and advanced age, male sex, smoking, and coronary artery disease and an inverse relationship between AAA and diabetes mellitus (p<0.05). Conclusion: Individuals age 65 and over with atherosclerotic risk factors for AAA should be screened to prevent possible rupture. Performance of US in radiology clinics is an effective means of identifying these patients

READY MIXED CONCRETE CONSTITUENT MATERIALS; PLASTICIZING CHEMICAL ADMIXTURES AND EFFECTS ON FRESH AND HARDENED PROPERTIES

The effects of plasticizing admixtures on the properties of fresh and hardened ready mixed concrete were studied. Eightdifferent concrete mixtures were designed by two different polycarboxylate based plasticizing admixtures, CEM III/42,5 Ntype Portland cement, ground granulated blast furnace slag, natural sand, crushed limestone, and water. Flow ability of thefreshly mixed concretes were measured and the compressive strength tests were carried out on 150 mm cubic specimens atthe ages of 7 and 28 days. It was observed that flow values increased when the amount of admixture used in the mixturesincreased. The composition of the admixture affected the flow values of the mixtures significantly. Compressive strength testresults revealed that the increase in amount of slag in the amount of total binding material resulted in lower 7-days strengthvalues. Type of chemical admixtures significantly influenced the 7-days strength values. This was attributed to the differentsecondary effects of different plasticizing chemical admixtures. Type of chemical admixture influenced both 7-days strengthand 28-days strength even the mixtures had equal amounts of ingredients and also equal water/binder ratios. This resultshowed that plasticizing chemical admixtures can affect both early and later age strengths of ready mixed concrete even forequal water/binder ratios

Sensörinöral işitme kaybının iyileştirilmesine yönelik simule edilmiş işitme kaybı kullanılarak kişiye özel frekans kaydırma algoritmalarının geliştirilmesi.

The hearing and understanding problems of the people with high frequency hearing loss are covered within the scope of this thesis. For overcoming these problems, two main studies, developing hearing loss simulation (HLS) and applying new frequency lowering methods (FLMs) were carried out. HLS was developed with the suprathreshold effects and new FLMs were applied with different combinations of the FLMs. For evaluating the studies, modified rhyme test (MRT) and speech intelligibility index (SII) were used as subjective and objective measures, respectively. Before both of the studies, offline studies were carried out for specifying the significant parameters and values for using in MRT. For the HLS study, twelve hearing impaired subjects listened to unprocessed sounds and thirty six normal hearing subjects listened to simulated sounds. In the evaluation of the HLS, both measures gave similar and consistent results for both unprocessed and simulated sounds. In FLMs study, hearing impaired subjects were simulated and normal hearing subjects listened to frequency lowered sounds with the specified methods, parameters and values. All FLMs were compared with the standard method of hearing aids (amplification) for five different noisy environments. FLMs satisfied 83% success of higher speech intelligibility improvement than amplification in all cases. As a conclusion, the necessity of using subject-specific FLMs was shown to achieve higher intelligibility than with amplification only. Accordingly, a methodology for selection of the values of parameters for different noisy environments and for different audiograms was developed.Ph.D. - Doctoral Progra

Türkiye'de Mali Yerelleşme ve Kamu Harcamaları Kompozisyonu İlişkisi

The concept of fiscal decentralization entered the literature in the 1960s. It became very popular in 1980s especially in developing countries. Turkey also took steps affected by this current fiscal decentralization. If the literature is researched, it is seen that while studies investigating the relationship between fiscal decentralization and macroeconomic variables such as inflation, growth and development are in the majority, the number of studies examining the effects of the fiscal decentralization on the composition of public expenditure is limited. The aim of this study is to contribute to fill the gap due to the scarcity of studies investigating the relationship between fiscal decentralization and public expenditure composition for Turkey and to reveal the effects on the composition of public expenditure arising from fiscal decentralization practices. For this purpose, a time series analysis is made depending on quarterly data of 2007Q1-2018Q3 period in Turkey with a bounds test methodology. Results showed that current spending increases with the increase in fiscal decentralization in Turkey. While the relationship between fiscal decentralization and transfer expenditures is negative, no statistically significant relationship has been found for investment expenditures.İÇİNDEKİLER KABUL VE ONAY …..…………………………………………………………...i YAYIMLAMA VE FİKRİ MÜLKİYET HAKLARI BEYANI ii ETİK BEYAN iii TEŞEKKÜR iv ÖZET vi ABSTRACT vi TABLOLAR DİZİNİ ix GRAFİKLER DİZİNİ x GİRİŞ 1 1.BÖLÜM: MALİ YERELLEŞME: KAVRAM VE AÇIKLAMALAR 4 1.1 İDARELERARASI MALİ İLİŞKİLER 4 1.1.1 İdarelerarası Mali İlişkilerin Düzenlenme Sebepleri 6 1.2 YERELLEŞME: TANIM, KAVRAM VE TÜRLERİ 9 1.2.1 Tanım ve Kavramlar 9 1.2.2 Yerelleşme Türleri……………………..……………………………….10 1.2.2.1 Siyasi Yerelleşme 10 1.2.2.2 İdari Yerelleşme 11 1.2.2.3 Mali Yerelleşme 13 1.2.2.3.1 Mali Yerelleşmenin Unsurları…………………….14 1.2.2.3.1.1 Giderlerin Tahsisi 14 1.2.2.3.1.2 Öz gelirlerin Tahsisi 17 1.2.2.3.1.3 İ.arası Mali Aktarımların Düz. 18 2.2.3.1.4 Yerel Borçlanmanın Düzenlenmesi 21 1.2.2.4 Ekonomik Yerelleşme 22 2.BÖLÜM: MALİ YERELLEŞMEYE İLİŞKİN LİTERATÜR VE TÜRKİYE 24 2.1. MALİ YERELLEŞME LİTERATÜR İNCELEMESİ 24 2.1.1 YABANCI ÜLKELER İÇİN YAPILAN ÇALIŞMALAR 26 2.1.2 TÜRKİYE İÇİN YAPILAN ÇALIŞMALAR 31 2.2. TÜRKİYE’DE YEREL YÖNETİMLERİN MALİ YAPISI 35 2.2.1 BELEDİYELERİN MALİ YAPISI 36 2.1.2 İL ÖZEL İDARELERİNİN MALİ YAPISI 38 2.2.3 MAHALLİ İDARELERİN MALİ YAPISI 41 2.3 SONUÇ ve DEĞERLENDİRME 43 3.BÖLÜM: MALİ YERELLEŞME ve KAMU HARCAMALARI KOMPOZİSYONU İLİŞKİSİ: TÜRKİYE İÇİN ZAMAN SERİSİ ANALİZİ 45 3.1. DEĞİŞKENLER VE AMPİRİK MODEL 45 3.2. EKONOMETRİK ANALİZ VE BULGULAR 50 3.2.1. Model 1’in Tahmini 50 3.2.2. Model 2’nin Tahmini 53 3.2.3. Model 3’ün Tahmini 57 3.3. SONUÇ VE DEĞERLENDİRME 58 SONUÇ 60 KAYNAKÇA 63 EK 1. ORİJİNALLİK RAPORU 67 EK 2. ETİK KURUL MUAFİYET FORMU 68  Mali yerelleşme kavramı 1960’lı yıllarda literatüre girmiştir. 1980’li yıllarda özellikle gelişmekte olan ülkelerde oldukça popüler olmuştur. Türkiye de bu akımdan etkilenerek mali yerelleşme adımları atmıştır. Literatür incelendiğinde mali yerelleşmenin; enflasyon, büyüme ve kalkınma gibi makroekonomik değişkenlerle ilişkisini araştıran çalışmaların çoğunlukta olduğu; kamu harcama kompozisyonuna etkisini inceleyen çalışmaların ise az sayıda olduğu gözlemlenmektedir. Bu çalışmanın amacı özellikle Türkiye için mali yerelleşme ve kamu harcama kompozisyonu ilişkisini araştıran çalışmaların azlığı nedeniyle oluşan boşluğun doldurulmasına katkı vermek ve mali yerelleşme uygulamaları neticesinde kamu harcama kompozisyonunda ne gibi değişiklikler meydana geldiğini ortaya çıkarmaktır. Bu amaçla Türkiye’de 2007Q1-2018Q3 dönemi üçer aylık verileri ile ekonometrik model kurularak sınır testi yöntemiyle bir zaman serisi analizi yapılmıştır. Yapılan analiz sonucunda Türkiye'de mali yerelleşme arttıkça cari harcamaların arttığı sonucuna ulaşılmıştır. Mali yerelleşme ile transfer harcamaları negatif ilişkili bulunurken, yatırım harcamaları ile istatistiksel olarak anlamlı bir ilişki bulunamamıştır