Role of Short-Term Percutaneous Mechanical Circulatory Support Devices as Bridge-to-Heart Transplantation

Cardiogenic shock is a life-threatening condition and mortality remains high if there is no response with medical therapy. Recently, short-term percutaneous mechanical circulatory support (pMCS) devices have increased in use for refractory cardiogenic shock. These devices can provide full treatment or bridging to long-term MCS devices if patients need long-term support. There are four types of well-known MCS devices including Impella (Abiomed, Danvers, MA), TandemHeart (CardiacAssist, Pittsburgh, PA), and extracorporeal membrane oxygenation (ECMO) and intra-aortic balloon pump for short-term and percutaneous application. In this chapter, we aim to discuss the physiologic concept, clinical evidences and applications, indications-contraindications, complications, and comparison of these most commonly used short-term pMCS devices for advanced heart failure

Investigation of the optimum longitudinal single transverse step location for a high-speed craft

One of the crucial aspects of the conceptual design of a stepped planing hull is the prediction of its performance. To improve performance, the prediction of total resistance must become more accurate. In the field of research, both towing tank experiments and numerical analysis may be used to achieve this goal. In this study, experiments were conducted initially to investigate total resistance of a relatively high-speed craft without a transverse step. Later, numerical computations were carried out to validate the experimental results. After it was determined that the test results and CFD methods were in good agreement, the experimental method continued to investigate the resistance properties of the hull with four different configurations to evaluate the optimal longitudinal position of a single transverse step. The ideal longitudinal position of the single transverse step was evaluated based on a similar relatively high-speed hull with a velocity of up to beam Froude number (FrB) 2.56 in this study, focusing on the FrB range between 2.30 and 2.45

Psychological Needs as the Predictor of Teachers' Perceived Stress Levels

The purpose of this study is to examine the relationship between teachers' psychological needs and perceived stress levels. First of all, the differentiation status of teachers' psychological needs and perceived stress levels in terms of gender, type of institution and type of the school variables was examined. Then, the psychological need's level of predicting the perceived stress was tested. This research was carried out by descriptive survey design. For this purpose, Personal Information Form, Perceived stress level scale and Psychological needs scale were applied to 498 primary school teachers (317 female 63.7% and 181 male 36.3%). T test, F test and multiple linear regression analysis were applied in addition to descriptive statistics in the analysis of data. According to the results obtained from the research, it was found that the dominance needs of teachers working in private schools were significantly higher than the teachers working in public schools. It was determined that the psychological needs of teachers do not vary by gender, but the perceived stress levels of female teachers were significantly higher than male teachers. Besides, it was concluded that primary school teachers' need for relationship and secondary school teachers' need for autonomy were significantly higher compared to teachers working in other institutions. It was also determined that the needs for success, autonomy and dominance from among psychological needs significantly predicted the perceived stress. The results obtained from the research were interpreted and suggestions for further research were put forward

Role of Cholesterol as a Risk Factor in Cardiovascular Diseases

Cardiovascular disease is the most common cause of death in adult population in the world. The disease includes numerous problems, many of which are related to a process called atherosclerosis. Atherosclerosis is a condition that develops when a substance called plaque builds up in the walls of the arteries. This plaque narrows the arteries, making it harder for blood to flow through. If a blood clot forms, it can stop the blood flow. This can cause a heart attack or stroke. There are many risk factors associated with cardio vascular disease (CVD). While some risk factors cannot be changed, such as family history, some of them can be modified with treatment such as abnormal blood lipid and sugar levels, obesity, smoking, and high blood pressure. Research makes it clear that abnormal blood lipid (fat) levels have a strong correlation with the risk of coronary artery disease, heart attack and coronary death. Cholesterol plays detrimental roles in the pathogenesis of atherosclerosis and CVD. In this chapter, we aim to summarize the relationship between blood cholesterol levels and CVD