146 research outputs found

    Convergence between theoretical perspectives in women-gender and development literature regarding women’s economic status in the Middle East

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    In this article, the women-gender and development literature is examined focusing on the strengths and weaknesses of various approaches in explaining the impact of development on women’s economic status. My intention is to review the major theoretical orientations in order to compare their understanding of how development affects women's employment. The article starts with issues of development per se, then considers the specific questions related to women’s status. The purpose is to identify convergence between the theories and to distinguish alternative interpretations incorporating the concepts of the major theories in the development literature, which could help to understand the evolving economic status of Middle Eastern women.Publisher's Versio

    Alternative Pathways to the Deployment of Concentrated Solar Thermal Technologies in Turkey

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    EU H2020 Programme Horizon STE: Implementation of the Initiative for Global Leadership in Solar Thermal Electricity Project ( No: 838514

    Sample collection into sterile vacuum tubes to preserve arsenic speciation in natural water samples

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    The accurate speciation analysis of arsenic is a serious concern for water quality monitoring programs. Because the preservation of sample integrity until analysis is one of the most important aspects of speciation, this study aims to compare the performance of four different sample preservation methods under diverse conditions of sample quality. Natural samples with different characteristics were collected into the following containers to study their effectiveness: (1) standard high-density polyethylene bottle with no preservative; (2) empty, sterile Vacuette tube with no preservative; (3) sterile tripotassium ethylenediaminetetraacetic acid (K3EDTA) Vacuette tube with K3EDTA additive; and (4) empty, sterile Vacuette tube with added hydrochloric acid (HCl). Known concentrations of arsenite [As(III)] were also added to each container to monitor the oxidation of As(III) to arsenate [As(V)]. The results revealed recovery ratios exceeding 95% in all containers with sterile vacuum conditions. In particular, the K3EDTA Vacuette tube yielded a recovery very close to 100% of the spiked As(III), which is known to rapidly oxidize to As(V). Overall, collecting the sample into a container under sterile vacuum conditions and using a universally accepted preserving agent such as EDTA or HCl significantly improved the preservation of the original species distribution in the water matrix studied, compared to sampling without the use of preservation methods. After validation by future research, these sterile vacuum tubes can possibly be utilized for collecting and storing samples for the routine speciation analysis of other elements such as selenium, chromium, and antimony.Scientific and Technological Research Council of Turkey (109Y029

    Örgütsel Sinizm ile Örgütsel Vatandaşlık Davranışı Arasındaki İlişkilerin İncelenmesi ve Bir Araştırma

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    Bu araştırmanın amacı, örgütsel sinizm ile örgütsel vatandaşlık davranışı arasındaki ilişkiyi araştırmaktır. Bu ilişkiyi incelemek amacıyla, Kocaeli’de faaliyet göstermekte olan büyük ölçekli bir işletmenin 192 çalışanına anket uygulanmıştır. Elde edilen veriler güvenilirlik testi ile faktör ve regresyon analizlerine tabi tutulmuştur. Yapılan istatistiksel analizler sonucunda örgütsel sinizm ile örgütsel vatandaşlık davranışı arasında anlamlı ve olumsuz yönde bir ilişkinin bulunduğu tespit edilmiştir

    The Effect of Training About Sleep Hygiene on HbA1c Levels of Type 2 Diabetes Mellitus Patients: A Randomized Controlled Trial

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    Objective: In this study, we aimed to reveal whether training on sleep hygiene have an effect on blood glucose regulation of type 2 diabetes patients. Materials and methods: Those with even protocol numbers were included in the case group and those with odd numbers were included in the control group. Pittsburgh sleep quality index was applied face-to-face to all patients included in the study and at the first admission sleep hygiene training was given to the case group. HbA1c values were noted separately as first and second visit for both groups. Those with known sleep disorders and language or psychiatric problems that would prevent them from answering the questionnaire were excluded from the study. Differences between demographic and clinical features of groups were evaluated using chi-square and Student’s t-tests. Comparisons of the case and control groups before and after sleep hygiene training were evaluated using ANCOVA test adjusted for BMI and DM duration. Results: A total of 347 Type 2 diabetes patients included in this randomized controlled trial (113 case 234 control). Significant difference was observed in the HbA1c values measured before and after the training of the case group. The second mean HbA1c (8.13 ± 2.03 mmol/L) of the control group was significantly higher than the second mean HbA1c (7.51 ± 1.42 mmol/L) values of the case group (p = 0.004). Conclusions: Our study revealed that in addition to classical diabetes treatment, sleep hygiene training also has a positive effect on blood glucose regulation of patients

    Four Intoxication Cases Related to the Misuse of Sage Oil

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    Infantile colic is excessive crying of infants younger than 4 months. Families of children suffering from infantile colic attend to the emergency department frequently and the etiology is not well-known. However many families of chil­dren suffering from infantile colic try pharmacologic and non-pharmacologic treatment, they are sleepless and ex­hausted and are affected negatively. Sage oil is in volatile form and it is recommended to apply 1-2 drops on plantar and tummy region of the body by massage for the treat­ment of infantile colic. Most of drugs used for infantile colic are drops and used orally. Families who do not learn detailed usage information may use it orally or may pre­sumed another drug while suffering from sleepless and drowsiness. Herein we reported 4 cases of sage oil intoxi­cation because of wrong information of wrong application of sage oil. We aimed to reduce the prescribing of sage oil in the treatment of infantile colic and emphasize to give more information about proper use of sage oil

    Türkiye’de ulusal akne haftasında yapılan bilgilendirme seminerlerinin katılımcıların akne hakkındaki bilgi düzeylerine etkisi

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    Background and Design: To investigate the contribution of informative presentations about acne vulgaris and questionnaires administered before and after informative meetings on patients' awareness and consciousness. Materials and Methods: Participants were asked to fill out a 20-question survey before and after informative seminars in hospitals and secondary and high schools as part of National Acne Week. The level of statistical significance was set as p <= 0.05. Results: A total of 466 participants completed the survey before and after the seminar, and the mean age of the participants was 17.4 +/- 6.9. Before the seminar, 31.1% of participants thought that acne is originated from the liver, whereas this figure decreased to 16.7% after the seminar. In all, 47.6% of participants consulted doctors and 23.9% consulted social media to seek information about acne; however, after receiving training, 77% preferred to consult a doctor. Of the participants, 51.1% were expecting to see the results of acne treatment in 1 or 2 weeks, whereas 83.3% stated that the effects would be seen in 2 or 3 months after the seminar. When the participants' educational background was grouped as "secondary-high school-other," a statistically significant difference was obtained (p<0.05). Conclusion: Our study features both patients' misconceptions and their incorrect attitudes about acne, and their level of knowledge improved significantly as a result of educational seminars. The relative benefit derived from educational seminars was positively related to the participants' highest level of education.Amaç: Akne vulgaris ile ilgili bilgilendirme toplantısı öncesi ve sonrasında uygulanan anket formları ile bilgilendirici sunumların akne hakkındaki farkındalık ve bilinç düzeylerine katkısını incelemek amaçlanmaktadır. Gereç ve Yöntem: Ulusal Akne Haftası kapsamında hastane, ortaokul ve lise dengi okullarda verilen bilinçlendirme eğitimi öncesi ve sonrasında katılımcılardan 20 soruluk bir anket doldurmaları istendi. İstatistiksel anlamlılık düzeyi p≤0,05 olarak kabul edildi. Bulgular: Eğitim öncesi ve sonrasında anket formunu dolduran 466 kişinin yaş ortalaması 17,4±6,9 idi. Eğitim öncesi katılımcıların %31,1’i aknenin karaciğer kaynaklı olduğunu düşünürken, eğitim sonrası bu oran %16,7’ye indi. Akne hakkında bilgi almak için eğitim öncesi katılımcıların %47,6’sı doktora, %23,9’u sosyal medyaya başvururken, eğitim sonrası %77’si doktora başvurmayı tercih edeceğini belirtti. Katılımcıların %51,1’i akne tedavisinin 1-2 hafta içerisinde etkisini göstereceğini beklerken, eğitim sonrası %83,3’ü 2-3 ay kullandıktan sonra yanıt alınabileceğini belirtti. Kişilerin öğrenim durumları, “ortaokul-lise-diğer” olarak gruplandırıldığında, eğitim sonrası gruplar arasında öğrenim durumlarına göre istatistiksel olarak anlamlı bir farklılık saptandı (p=0,005). Sonuç: Çalışmamız bireylerin hem akne hakkındaki yanlış bilgi ve tutumlarını ön plana çıkarmakta, hem de hekimlerin vereceği eğitim seminerleri ve bilgilendirme toplantıları ile bilgi düzeylerinde kayda değer bir gelişme sağlanacağını göstermektedir

    Çocuklarda influenza A ve B enfeksiyonlarının klinik ve laboratuvar özelliklerinin karşılaştırılması

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    Aim: In this study, we aimed to compare the clinical and laboratory findings of Influenza A and Influenza B infections in children. Methods: The study included 1826 pediatric patients (aged <16 years) who were di¬agnosed with Influenza A (n=1400) and B (n=426) infections between 1 October 2019 and 30 April 2020. The patients were also divided into age groups: the age groups of 0–2 years, 3–9 years, and 10–16 years. The characteristic clinical and laboratory findings were compared. Results: Influenza A infection was significantly more common in patients aged <2 years and was significantly less common in patients aged 3–9 years. Body temperature was significantly higher in all age groups with Influenza A infection than in children with Influenza B infection. While leukocy¬tosis and lymphopenia were significantly more common in the Influenza A group, leukopenia and neutropenia were significantly more common in the Influenza B group. While acute otitis media was more common in Influenza A infection, myositis was more common in Influenza B infection. No significant difference was found between the Influenza A and B groups in terms of hospitalization rates. Of all patients, 98.3% were treated with oseltamivir. Conclusion: Our findings indicate that Influenza A and B infections are, in general, very similar in terms of symptoms. However, Influenza A infection is more common in very young children. It progresses with higher fever and is more frequently associated with pharyngeal hy¬peremia and acute otitis media, while leukopenia, neutropenia, conjunctivitis, nasal discharge, and myositis were found to be more common in Influenza B infection.Amaç: Bu çalışmada, çocuklarda İnfluenza A ve İnfluenza B enfeksiyonlarının klinik ve laboratuvar bulgularını karşılaştırmak amaçlanmıştır. Yöntem: Çalışma 1 Ekim 2019 ile 30 Nisan 2020 tarihleri arasında İnfluenza A (n=1400) ve B (n=426) enfeksiyonu tanısı almış 16 yaş altı 1826 çocuk hasta içerdi. Hastalar aynı zamanda yaş gruplarına ayrıldı: 0–2 (yıl) yaş grubu, 3–9 yaş grubu, ve 10–16 yaş grubu. Karakteristik klinik bulgu¬lar ve laboratuvar bulguları karşılaştırıldı. Bulgular: İnfluenza A enfeksiyonu <2 yaşındaki hastalarda anlamlı biçimde daha yaygın, 3–9 ya¬şındaki hastalarda anlamlı biçimde daha enderdi. Vücut sıcaklığı İnfluenza A enfeksiyonlu tüm yaş gruplarında İnfluenza B enfeksiyonlu çocuklara göre anlamlı biçimde daha yüksekti. İnfluenza A grubunda lökositoz ve lenfopeni anlamlı biçimde daha yaygınken, İnfluenza B grubunda lökopeni ve nötropeni anlamlı biçimde daha yaygındı. Akut orta kulak iltihabı İnfluenza A enfeksiyonunda daha yaygınken, miyozit İnfluenza B enfeksiyonunda daha yaygındı. Hastaneye yatış oranı açısından ise İnfluenza A ve B grupları arasında anlamlı fark bulunmadı. Tüm hastaların %98,3’ü oseltamivir ile tedavi edildi. Sonuç: Bulgularımız İnfluenza A ve B enfeksiyonlarının semptomlar açısından genel olarak çok benzer olduğuna işaret etmektedir. Bununla birlikte, İnfluenza A enfeksiyonu çok küçük çocuklarda daha yaygındır. Daha yüksek ateşle ilerler ve farengeal hiperemi ve akut orta kulak ilti¬habı daha sık görülür. Lökopeni, nötropeni, konjonktivit, burun akıntısı ve miyozitin ise İnfluenza B enfeksiyonunda daha yaygın olduğu tespit edilmiştir

    THE PREVALANCE OF MUCOSAL INVOLVEMENT IN PATIENTS WITH LICHEN PLANUS

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    Amaç: Liken planus toplumun yaklaşık %1-4\'ünü etkileyen inflamatuar mukokutan birdermatozdur. Literatürde liken planusun mukoza tutulumu sıklığı ile ilgili oldukçadeğişken veriler bulunmaktadır. Dolayısıyla kliniğimizdeki liken planuslu olgulardamukoza tutulumu sıklığının araştırılması amaçlanmıştır.Gereç ve yöntem: Eylül 2002-Aralık 2006 yılları arasında Dokuz Eylül ÜniversitesiTıp Fakültesi Dermatoloji Bölümü\'ne başvuran, klinik ve histopatolojik olarak likenplanus tanısı almış 53 olgu oral mukoza ve anogenital mukoza tutulumu açısındanretrospektif olarak değerlendirilmiştir.Bulgular: Olguların 34\'ünde (%64,2) mukoza yerleşimli liken planus döküleribelirlenmiştir. Dökülerin yerleşimi değerlendirildiğinde; 23 olguda sadece oral, 3 olgudasadece genital, 7 olguda oral + genital, 1 olguda ise oral+anal mukoza tutulumu saptanmıştır.Sonuç: Liken planuslu olgularda mukoza tutulumunun oldukça sık olması, rutin deribilimselbakıda oral ve anogenital mukoza muayenesinin önemini vurgulamaktadır.Objective: Lichen planus, which affects 1- 4% of the general population, is aninflammatory mucocutaneous disease. There are fairly variable data in the literatureabout the prevelance of the mucosal involvement of lichen planus. For this reason, weaimed to evaluate prevalance of mucosal involvement of patients with lichen planus.Material and method: Fifty-three patients, who applied to Dokuz Eylül UniversityHospital\'s Dermatology Department between September 2002 and December 2007,were diagnosed lichen planus clinically and pathologically and they wereretrospectively evaluated for oral and anogenital mucosal involvement.Results: Mucous membrane involvement was seen in 34 (64,2%) patients. Theassesment of the localisation of the lesions was; 23 patients only oral, 3 patients onlygenital, 7 patients oral and genital both, 1 patient oral and anal mucous membraneboth.Conclusion: The fact that themucosal involvement is verycommon in patients who have lichenplanus emphasizes the importance of routine examination of oral and anogenitalmucosae

    In a real-life setting, direct-acting antivirals to people who inject drugs with chronic hepatitis c in Turkey

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    Background: People who inject drugs (PWID) should be treated in order to eliminate hepatitis C virus in the world. The aim of this study was to compare direct-acting antivirals treatment of hepatitis C virus for PWID and non-PWID in a real-life setting. Methods: We performed a prospective, non-randomized, observational multicenter cohort study in 37 centers. All patients treated with direct-acting antivirals between April 1, 2017, and February 28, 2019, were included. In total, 2713 patients were included in the study among which 250 were PWID and 2463 were non-PWID. Besides patient characteristics, treatment response, follow-up, and side effects of treatment were also analyzed. Results: Genotype 1a and 3 were more prevalent in PWID-infected patients (20.4% vs 9.9% and 46.8% vs 5.3%). The number of naïve patients was higher in PWID (90.7% vs 60.0%), while the number of patients with cirrhosis was higher in non-PWID (14.1% vs 3.7%). The loss of follow-up was higher in PWID (29.6% vs 13.6%). There was no difference in the sustained virologic response at 12 weeks after treatment (98.3% vs 98.4%), but the end of treatment response was lower in PWID (96.2% vs 99.0%). In addition, the rate of treatment completion was lower in PWID (74% vs 94.4%). Conclusion: Direct-acting antivirals were safe and effective in PWID. Primary measures should be taken to prevent the loss of follow-up and poor adherence in PWID patients in order to achieve World Health Organization’s objective of eliminating viral hepatitis
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