Effects of sustainable governance to sustainable development

Sustainable development advocates effective and efficient planning of both present and future use of resources. Governance, on the other hand, is based on the joint and coordinated management of multidimensional variables, which is the basis of the sustainability approach. This study aims to determine how much sustainable governance influences the fulfillment of multidimensional sustainable development. Multiple regression analysis was used to determine the variables that reveal the impact of governance on development in terms of sustainability while the gray relational analysis method was used to rank the countries. The results reveal that increases in the number of people using the internet in society, as well as in the levels of developments in e-government and human development, environmental performance, and political reform, all assist countries achieve their SDGs. Furthermore, it was found that governance has a positive and significant impact on SDGs. In addition, an MCDM model consisting of BWM and gray relational analysis was used to evaluate countries based on their performance in sustainable development, the economic, governance and environment. The gray relational analysis results, on the other hand, revealed that developed and wealthy countries ranked first, while underdeveloped countries experiencing instability, such as war and conflict, ranked last. The Nordic countries outperform other countries in terms of governance and sustainability, depending on the strength of their democracy and executive capacity. © 2022 by the authors

Vatandaşların kamu yönetimine güveni: Ampirik bir araştırma

Güven duygusu, bireyler arası sosyal ilişkilerde gündelik yaşamın ayrılmaz bir parçasını oluşturmaktadır. Ayrıca insanlar, sosyal hayatın getirmiş olduğu sorunların üstesinden gelebilmek için güvene gereksinim duymaktadırlar (Putnam, 2000). Bu bağlamda güven, bireyler arası ve toplumsal ilişkilerde öne çıkan bir unsurdur. Bununla birlikte, bireylerin yaşadıkları ev, çalıştıkları iş ya da seyahat ettikleri yerlerde güvende olma hissiyatı her daim ön plandadır. Öte yandan, aile ve çevre ilişkilerden doğan güven haricinde toplumda diğer kişilere olan güven düzeyinin düşük olması, her çeşit iktisadi işletmelerin ya da örgütlerin kurulması üzerinde olumsuz bir etkiye sahiptir (Fukuyama, 1995)

A rare entity bilateral first rib fractures accompanying bilateral scapular fractures

First rib fractures are scarce due to their well-protected anatomic locations. Bilateral first rib fractures accompanying bilateral scapular fractures are very rare, although they may be together with scapular and clavicular fractures. According to our knowledge, no case of bilateral first rib fractures accompanying bilateral scapular fractures has been reported, so we herein discussed the diagnosis, treatment, and complications of bone fractures due to thoracic trauma in bias of this rare entity

Büyükşehir belediyeleri web sitelerinin yönetişim ilkeleri açısından değerlendirilmesi

Local governments publicize information such as the agenda of local councils, minutes of council meetings, their annual budgets, the strategic plans, and the other essential documents on their official websites. This study aims to assess the official websites of local governments, which are the closest service units to the citizens, in terms of governance principles such as openness, transparency, and participation. The web pages of thirty metropolitan municipalities were evaluated in terms of competence with the Stapel scale and content analysis method according to the thirteen main criteria. The method of LBWA in weighting the criteria and CoCoSo method in the ranking of websites were used. The findings indicate that metropolitan municipality websites do not have sufficient levels in terms of transparency, audit, and accountability.Yerel yönetimler, meclislerin gündemi, konsey toplantı tutanakları, yıllık bütçeleri, stratejik planlar ve diğer temel belgeler gibi bilgileri resmî web sitelerinde yayınlar. Bu çalışma, vatandaşa en yakın hizmet birimi olan yerel yönetimlerin resmî web sitelerini açıklık, şeffaflık ve katılımcılık gibi yönetişim ilkeleri yönlerinden değerlendirmeyi amaçlamaktadır. Otuz büyükşehir belediyesinin web sayfaları, on üç ana kritere göre Stapel ölçeği ve içerik analizi yöntemi ile yeterlilik açısından değerlendirilmiştir. Kriterlerin ağırlıklandırılmasında LBWA yöntemi ve web sitelerinin sıralamasında CoCoSo yöntemi kullanılmıştır. Bulgular, büyükşehir belediyesi web sitelerinin şeffaflık, denetim ve hesap verebilirlik yönlerinden yeterli düzeylere sahip olmadığını göstermektedir

A rare and serious syndrome that requires attention in emergency service: traumatic asphyxia

Traumatic asphyxia is a rare syndrome caused by blunt thoracoabdominal trauma and characterized by cyanosis, edema, and subconjunctival and petechial hemorrhage on the face, neck, upper extremities, and the upper parts of the thorax. Traumatic asphyxia is usually diagnosed by history and inspection; however, the patient should be monitored more closely due to probable complications of thoracoabdominal injuries. Treatment is conservative, but the prognosis depends on the severity of the associated injuries. Herein we present a traumatic asphyxia due to an elevator accident in a 32-year-old male patient and discuss the diagnosis, treatment, and prognosis by reviewing the relevant literature

Evaluation of abdominal computed tomography findings in patients with COVID-19: a multicenter study

PURPOSE To evaluate the frequency of abdominal computed tomography (CT) findings in patients with coronavirus disease-2019 (COVID-19) and interrogate the relationship between abdominal CT findings and patient demographic features, clinical findings, and laboratory test results as well as the CT atherosclerosis score in the abdominal aorta. METHODS This study was designed as a multicenter retrospective study. The abdominal CT findings of 1.181 patients with positive abdominal symptoms from 26 tertiary medical centers with a positive polymerase chain-reaction test for severe acute respiratory syndrome coronavirus 2 were reviewed. The frequency of ischemic and non-ischemic CT findings as well as the association between CT findings, clinical features, and abdominal aortic calcific atherosclerosis score (AA-CAS) were recorded. RESULTS Ischemic and non-ischemic abdominal CT findings were detected in 240 (20.3%) and 328 (27.7%) patients, respectively. In 147 patients (12.4%), intra-abdominal malignancy was present. The most frequent ischemic abdominal CT findings were bowel wall thickening (n = 120; 10.2%) and perivascular infiltration (n = 40; 3.4%). As for non-ischemic findings, colitis (n = 91; 7.7%) and small bowel inflammation (n = 73; 6.2%) constituted the most frequent disease processes. The duration of hospital stay was found to be higher in patients with abdominal CT findings than in patients without any positive findings (13.8 ± 13 vs. 10.4 ± 12.8 days, P < 0.001). The frequency of abdominal CT findings was significantly higher in patients who did not survive the infection than in patients who were discharged after recovery (41.7% vs. 27.4%, P < 0.001). Increased AA-CAS was found to be associated with a higher risk of ischemic conditions in abdominal CT examinations. CONCLUSION Abdominal symptoms in patients with COVID-19 are usually associated with positive CT findings. The presence of ischemic findings on CT correlates with poor COVID-19 outcomes. A high AA-CAS is associated with abdominal ischemic findings in patients with COVID-19