Yöresel Organik Ürünlerde Üretim ve Pazarlama Problemleri

Tarımsal ürün üretim sistemlerinde kimyasal girdi kullanılmadan, tamamen doğal girdilerle yapılan ürün yetiştiriciliği organik tarım olarak adlandırılmaktadır. Artan nüfusa paralel olarak ortaya çıkabilecek gıda açığına karşı tarımsal üretimi artırmaya yönelik çeşitli uygulamalar yapılmış ve önemli gelişmeler kaydedilmiştir. Sağlıklı beslenme ve çevre sağlığı açısından oldukça önemli bir uygulama olan organik tarım üretim modeli ülkemizin birçok kırsal kesiminde yerine getirilmesine rağmen tarımsal üretimle uğraşan kişiler bu önemli ürünlerden yeterince kazanç elde edememektedirler. Bu durumun en önemli sebepleri üreticilerin ürettikleri ürün konusunda yeterince bilgi sahibi olmamaları ile ilişkili olarak üretim, işleme ve paketleme yöntemlerinin ürün kalitesi ve sağlığına uygun bir şekilde düzenlenememesi ile pazarlama imkânlarından yeterince faydalanamama gibi durumlardır. Organik tarımsal üretim açısından önemli bir potansiyele sahip olan yöresel ürünlerin uygun yöntemlerle üretilip işlenerek daha sağlıklı şartlarda tüketicilere sunulmalarının sağlanması durumunda kırsal kesimdeki tarımsal ürün yetiştiricilerinin elde edecekleri gelirde artış sağlanabileceği gibi insan ve çevre sağlığına da önemli katkılar sağlanacaktır

Sustainability Organic Agriculture and Livestock Production with Respect to European Union in Eastern Anatolia and East Black Sea Regions

The majority of farm households in Turkey and especially the Eastern Anatolia are still based on low-input semi subsistence agriculture and livestock production. Despite a slow decline in recent years, agriculture and livestock production remains a major employer in Turkey and it is a significant contributor to the country’s gross domestic product, GDP. Whist Turkey is one of the EU candidate countries, is self sufficient in food production and Turkish agriculture is poorly structured inefficient, with farming in the Eastern Anatolia being mainly subsistence farming. Yet, these traditional rural structures combined with poor access to low level of education and low level of off-farm unemployment problem makes the situation more complicated and unsustainable. The best way to promote sustainability, better and higher production of Eastern Anatolian and rural Turkey is to invest in the local people, villages through improved, continuing and effective agricultural and livestock programs in particular. Investment in human capital especially in the rural areas leads to more employment opportunities through entrepreneurship and innovation in organic agriculture and livestock production. A holistic approach to developing and improving supply chains could unlock the potential for sophisticated, state-of-the-art organic agriculture and livestock producers and businesses in the region to become EU and global players. Eastern Anatolian livestock producers and the farmers have the ambitions to take part in future progress because the region is naturally organic not by design but default. It is for sure that present potential of the region has not been fully determined and utilized. EU has greatly benefited from previous enlargements economically, politically and socially. When European Union (EU) and Turkish Government relations considered and accession of Turkey to EU would be the logical consequence of the previous accessions. The screening on chapter 11 (Agriculture and rural development) is one of the important criteria and Turkey is working on to meet these benchmarks

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Tıbbi ve aromatik bitki ekstraktlarının balarısı (Apis mellifera L.) kolonilerinin bazı fizyolojik özellikleri üzerine etkisi

In this study, the effects of extracts obtained from medicinal and aromatic plants added to syrups used to feeding honeybee (Apis mellifera L.) colonies on some physiological characteristics of colonies were investigated. The experiment was carried out on 6 groups of 5 colonies. These groups are syrup (S), syrup + Urtica dioica (SU), Syrup + Melissa officinalis (SM), Syrup + Hypericum perforatum (SH), Syrup + Achillea millefolium (SA) and syrup + Thymus serpyllum (ST). As a result of the research, the sealed brood area data were determined as 3013.24±1939.26, 3107.00±2060.42, 3270.81±2194.80, 3091.20±1962.69, 3273.90±2095.49 and 3613.06±2348.27 cm2 in S, SU, SM, SH, SA, ST groups, respectively. When we compare the honey yields of the experimental groups, according to group S, SU increased by 18.48%, SM 43.10%, SH 16.04%, SA 27.35% and ST 53.86%. Therefore, syrup + medicinal and aromatic plant extract mixture given to honey bee colonies may have a positive effect on colony development and honey yield.Bu çalışmada, bal arısı (Apis mellifera L.) kolonilerinin beslenmesinde kullanılan şuruplara eklenen tıbbi ve aromatik bitkilerden elde edilen ekstraktların, kolonilerin bazı fizyolojik özellikleri üzerindeki etkileri araştırılmıştır. Denemede 5’er koloniden oluşan 6 grup bulunmaktadır (şurup (S), şurup + Urtica dioica (SU), Şurup + Melissa officinalis (SM), Şurup + Hypericum perforatum (SH), Şurup + Achillea millefolium (SA) ve şurup + Thymus serpyllum (ST). Araştırma sonucunda, kapalı kuluçka alanı S, SU, SM, SH, SA, ST gruplarında sırasıyla, 3013,24±1939,26, 3107,00±2060,42, 3270,81±2194,80, 3091,20±1962,69, 3273,90±2095,49 ve 3613,06±2348,27 cm2 olarak tespit edilmiştir. Ayrıca ek beslenmenin arı kolonilerinin bal verimi açısından S grubuna göre, SU %18,48, SM %43,10, SH %16,04, SA % 27,35 ve ST % 53,86 oranında artış göstermiştir. Balarısı kolonilerine verilen şurup + tıbbi ve aromatik bitki ekstraktı karışımının koloni gelişimi ve bal verimi üzerinde etkili olabildiği tespit edilmiştir

The comparrision of the avarage of students succes in exams for transition to secondary education (SBS) and the placement exam for student success (ÖBSS)

Eğitimde değerlendirme türleri, programa girişte, süreçte ve çıkışta uygulanış amacına göre farklılık göstermektedir. Ülkemizde uygulanan büyük ölçekli değerlendirme sınavları temelde sıralama, seçme, yerleştirme, sorumlu tutma, gözlemleme ve durum belirleme olarak farklı amaçlara hizmet etmektedir. Bu çalışmada Milli Eğitim Bakanlığının (MEB) 2008-2009-2010 yıllarında uyguladığı Seviye Belirleme Sınavları (SBS) ile MEB mülga Eğitimi Araştırma ve Geliştirme Başkanlığının (EARGED) uyguladığı Öğrenci Başarılarını Belirleme Sınavlarıında (ÖBBS) aynı yıllarda, aynı öğrencilerin sınav başarı ortalamalarına ilişkin verileri karşılaştırılmıştır. 2008-2009-2010 yılı SBS ve ÖBBS verilerindeki alan başarıları sınıf ve yıl bazlı değerlendirilmiş, trendin gözlenmesi sağlanmıştır. Çalışma sonucunda SBS ve ÖBBS arasında öğrencilerin akademik başarılarının sıralanması bakımından benzerlik görülmüştür. Bu sonuç, bu iki sınavın birbirlerinin yerine kullanılabileceğini göstermektedir. Dolayısıyla öğrenciler üzerinde stres ve baskı oluşturmanın yanında uzun süreli sınav hazırlığı gerektiren, yarışma odaklı SBSnin kaldırılmasının faydalı olacağı görüşü kuvvet kazanmıştır. SBS yerine yapılabilecek izleme amaçlı değerlendirmelerle hem benzer sonuçlara ulaşılabilecek hem de öğretim çabalarının etkisiz kaldığı noktalar belirlenerek sürecin iyileştirmesine dönük çalışmalar yapılabilecektir.The kinds of evaluation in education differ depending on the input, progress and output of the curriculum. The large-scale evaluation exams implemented in our country serve, in general, different aims as grading, electing, placing, holding accountable, observing and indicating status. In this paper, the datas of average exam success of the same students gained from the Placement Exams for transition to secondary education (SBS) implemented in the years 2008-2009-2010 by the Ministry of National Education and the Placement Exam for Student Success (öBSS) implemented by the abolished Research and Improvement Presidency (EARGED) of the Ministry of National Education are compared. The field successes in the datas of SBS and öBBS in the 2008-2009- 2010 are evaluated based on class and year and the trend is provided to be observed. As a result of the study, it is seen that there is a similarity between the SBS and öBBS in terms of ordering the students academic success. This result shows that these two exams can be used interchangebly. Therefore, the opinion that removing the SBS, which is competition based and requires long-term exam preparation besides creating stress and pressure on the students, would be beneficial has gained strength. With the observation-aimed evaluations which can be done instead of SBS, it will be possible to have similar results and also do research to improve the process determining the underwhelming points of teaching efforts

The design parameters of heating systems in greenhouse

Bu çalışmada; seralar için sıcak sulu ısıtma sistemlerinin teknik tasarımı incelenmiştir. Sera ısıtma sistemlerinden beklenilen teknik özellikler ve seralarda ısıtma borularının yerleşimini etkileyen temel teknik etmenler açıklanmıştır. Plastik ve cam seralarda, ısı değiştirici olarak plastik ve çelik boru kullanılan sıcak sulu ısıtma sistemleri; tasarım özellikleri, sera iklimine etkileri, yetiştirme sistemlerine uygunluk ve teknik/ekonomik uygulanabilirlik bakımından değerlendirilmiştir. Isı değiştirici olarak kullanılması gereken ısıtma borusu uzunluğunun hesaplanması anlatılmıştır.This study deals with the investigation of heating systems with hot water in greenhouses. Basic criteria for greenhouse heating systems and the technical factors influencing installation of heating pipes in greenhouses were described. Plastic and steel pipe heating installations in plastic and glass greenhouses were evaluated in some respects: design parameters, influence on greenhouse climate and technical and economical feasibility. Calculation of the required length of the heating pipes used as a heat exchanger was described