25 research outputs found

    Hyperbilirubinemia due to minor blood group (anti-E) incompatibility in a newborn: A case report

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    In addition to Rh and ABO incompatibilities subgroup incompatibilities may rarely play a role among the causes of hemolytic anemia and indirect hyperbilirubinemia in newborns. The most common minor blood group antigens that cause blood incompatibility between the mother and baby are C, c, E, e, Kell, Duffy, Diego, Kidd and MNSs antigens. In this article, a newborn in whom hyperbilirubinemia due to anti-E minor blood group incompatibility developed and was treated with phototherapy succesfully is presented and minor blood group incompatibilities due to anti-E are reviewed

    Assessment of the relation of violence and burnout among physicians working in the emergency departments in Turkey

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    ABSTRACT BACKGROUND: Violence and burnout are frequently seen among medical doctors; however, the relation is not clear. This study aimed to assess the violence and its possible effects on burnout in physicians working in emergency units

    Evaluation Of Different Outlier Detection Methods For Gps Networks

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    GPS (Global Positioning System) devices can be used in many applications which require accurate point positioning in geosciences. Accuracy of GPS decreases due to outliers resulted from the errors inherent in GPS observations. Several approaches have been developed to detect outliers in geodetic observations. It is important to determine which method is most effective at distinguishing outliers from normal observations. This paper investigates the behavior of conventional statistical test methods (Data Snooping (DS), Tau and t tests), some robust methods (Andrews's M-Estimation, Huber's M-Estimation, Tukey's M-Estimation, Danish Method, Yang-I M-Estimation, Yang-II M-Estimation, and fuzzy logic method in detection of outliers for three GPS networks having different characteristics. Test results are evaluated and the performances of different methods are presented quantitatively.WoSScopusPubMe

    Liquid-liquid equilibria of water plus butyric acid plus nonanol ternary system

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    Liquid-liquid equilibrium (LLE) data for the water + butyric acid + nonanol system have been determined experimentally at the temperatures of 298.15 K, 308.15 K and 318.15 K. Tie-line compositions were correlated by Othmer-Tobias method. The universal quasichemical functional group activity coefficient (UNIFAC) and modified UNIFAC methods were used to predict the phase equilibrium in the system using the interaction parameters between CH3, CH2, COOH, OH and H2O functional groups. Distribution coefficients and separation factors were evaluated for the immiscibility region

    Death Due To Gas Pressure Of Blank Firing Gun: a Case Report

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    Gaz tabancaları şekil, boyut ve çalışma prensipleri itibariyle gerçek modellerinden hiçbir farkı bulunmayan, ancak namluları farklı olan ateşli silahlardır. Namluda ve kullanılan fişeklerde herhangi bir değişiklik yapılmadan bu silahlarla bitişik atış mesafesinden yapılan atışlarda özellikle kafa ve boyun bölgesinde ölümcül yaralanmalar meydana gelebilmektedir. Bizim olgumuzda; yapılan dosya tetkikinde gaz tabancasının ateş alması sonucu, kişinin başından yaralandığı, kaldırıldığı hastanede dört gün sonra öldüğü radyolojik incelemede beyinde herhangi bir metalik imaj tespit edilmediği kayıtlıdır. Otopside haricen kafada sağ temporalde önde üzeri sütüre yara, iç muayenede bu bölgede 1,5X2 cm boyutlarında kemik defekti olduğu, baş açıldığında beyinde yaygın subaraknoidal kanama, kıvamda yumuşama, kontüzyon olduğu görülmüştür. Göğüs ve batın açıldığında travmatik-patolojik özellik saptanmamıştır. Ölümün kafa travmasına bağlı kafatası kırığıyla müterafık beyin kanaması, beyin doku harabiyeti sonucu meydana gelmiş olduğu, bu yaralanmanın kurusıkı olarak adlandırılan ateşli silahla husulünün mümkün olduğu kanaatine varılmıştır. Bu çalışmada genellikle zararsız görülen gaz tabancası ile yapılan bitişik atışlarda sadece gaz basıncına bağlı kafatası kemiği gibi kemik yapının bile kırılarak ölüm meydana gelebileceğini ve bu silahların satışıyla ilgili düzenleme yapılması gerektiğini vurgulamayı amaçladık.There is no difference between gas guns and the actual gun models in terms of shape, size and working principle except barrel. Fatal injuries may occur particularly in the head and neck region using adjacent firings with these guns without any barrel and bullet changes. In the present case, a head trauma associated with gas gunshot, no intracranial foreign body on radiologic examination and death four days after the hospital admission were provided from the chart review. During autopsy, a sutured wound on the right temporal head externally and a 1.5x2 cm bone defect in this region on internal examination was observed. Diffuse subarachnoid hemorrhage, softening of tissue consistency and contusions was detected in the brain when the head opened. Traumatic or pathological features were not observed when the chest and abdomen opened. It was concluded that death was related to skull fracture, brain hemorrhage and tissue injury due to head trauma which possibly caused by blank gunshot injury. In this case report, we aimed to emphasize death which may results with skull fracture due to gas pressure from adjacent firings with gas guns and new regulations should be made on the sale of the gas guns

    Assessment of the relation of violence and burnout among physicians working in the emergency departments in Turkey.

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    BACKGROUND: Violence and burnout are frequently seen among medical doctors; however, the relation is not clear. This study aimed to assess the violence and its possible effects on burnout in physicians working in emergency units. METHODS: This cross-sectional study targeted all physicians working in the emergency units of Pamukkale University Hospital, County and City Hospitals, 112 Emergency Services, and Private Hospitals in Denizli. Data were obtained by means of a self-administered questionnaire that consisted of questions on the demographics of the participants, Turkish version of the Maslach Burnout Inventory, and of the perpetrators of violence. What was also documented on the questionnaire was whether participants had been subjected to or had witnessed any verbal or physical violence during the previous one month of emergency physicians' certification program. RESULTS: A total of one hundred and seventy-four physicians were included into the study (85% of the targeted group). Many of the participants were between 24 and 59 years of age, with a mean age of 36.8±5.8 years. Married male doctors working in the City Hospital made up the majority. There were significant associations between emotional exhaustion and total violence (p=0.012) and verbal violence (p=0.016); depersonalization and total violence (p=0.021) and verbal violence (p=0.012). CONCLUSION: The results presented here indicated that there was a strong relation between burnout and violence experienced by physicians working in emergency units. Violence in the emergency department has a substantial effect on the physicians' well-being
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