167 research outputs found
12th WORLD UNIVERSITIES WRESTLING CHAMPIONSHIP FREE STYLE COMPETITION TECHNICAL ANALYSIS
The purpose of this study was to make 12th World Universities Wrestling Championships Free style competition technical analysis. There were 85 participants from 19 countries participated in Çorum. The observation form prepared before the competitions with recorded by two researchers, technical analysis of the recordings were obtained. During the competitions, the scores obtained, warnings, winning types, successful techniques recorded in the technical analyze form. In statistical analysis, the percentage distributions for each parameter and match percentage rates were calculated. Statistical was performed by One Way ANOVA and LSD analysis of variance in group comparisons. The number of technical points taken for all weight groups in wrestling competitions were 789 points. The highest number of points was achieved in middleweight groups with 352 and with the maximum number of matches was made with 33 in the middleweight group. In the free style wrestling, ratio for one competition (ROC) was of received number of 10.38 points. Ratio of received points for one competition between weight groups found differences (p<0.05). The points of Middleweight group are higher from Lightweight and Heavyweight groups. Lightweight wrestlers 51.85% won by score and while 48.15% won by technical superiority. Middleweight wrestlers 48.48% won by score and while 51.52% won by technical superiority. Heavyweight wrestlers 75% won by score and while 25% won by technical superiority. Iran, Russia and Turkey participated in all category competitions. To get degrees, countries must matches at all sizes. Number of touch in Heavyweight wrestlers was more than from lightweight and middleweight wrestlers. Coaches in Countries must follow the wrestlers of competing countries. If necessary, it should go to the weight category setting. Some wrestlers recommended wrestled at the top category or bottom category. Article visualizations
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
Summary
Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally.
Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies
have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of
the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income
countries globally, and identified factors associated with mortality.
Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to
hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis,
exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a
minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical
status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary
intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause,
in-hospital mortality for all conditions combined and each condition individually, stratified by country income status.
We did a complete case analysis.
Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital
diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal
malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome
countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male.
Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3).
Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income
countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups).
Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome
countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries;
p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients
combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11],
p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20
[1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention
(ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety
checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed
(ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of
parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65
[0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality.
Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome,
middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will
be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger
than 5 years by 2030
Klinik Olarak Vas Deferens Agenezi Tanısı Olan Hastalarda Vas Deferens ve Seminal Vezikülün Magnetik Rezonans Görüntüleme ile Değerlendirilmesi
Alt Ekstremite Periferik Arter Hastalığı Değerlendirilmesinde Yeni Bir Yaklaşım: Hızlı Doppler Ultrasonografi
Tarımsal danışmanlık hizmetinin tarımsal üretim üzerine etkilerinin analizi : Balıkesir ili örneği
Tarımsal Danışmanlık Hizmeti (TDH)'nin, tarımsal işletmelerde, üretim, verim ve
dolayısıyla tarımsal gelir artışında önemli katkılar sunabileceği düşünülmektedir.
Bu çalışmada Balıkesir ilinde, TDH 'nden yararlanan ve yararlanmayan işletmeler,
birçok değişken dikkate alınarak karşılaştırılmış ve karşıt durum etki değerleme
yöntemi kullanılarak analiz yapılmıştır. Yörede, gayeli olarak belirlenmiş olan 143
işletmeyle yüz yüze anket uygulaması gerçekleştirilmiştir. 72 adet işletme
TDH'nden yararlanan işletmelerden, 71 işletme ise TDH'nden yararlanmayan
işletmelerden seçilmiştir. Anket çalışmaları 2014-2015 yıllarında yapılmıştır.
Başlıca üretici ve tarımsal işletme karakteristiklerinin (yaş, eğitim, deneyim,
hanedeki birey sayısı, arazi varlığı, hayvan varlığı vb.) belirlenmesinde,
tanımlayıcı istatistikler (aritmetik ortalama, standart sapma vb.) kullanılmıştır.
Yapılan etki değerleme analizine göre de, oıtalama müdahale etkisi (A TE)
değerleri incelendiğinde; tüm üreticilerin TDH'nden yararlanması durumunda,
işletme başına düşen yıllık ortalama toplam tarımsal gelir, üreticilerin hiçbirinin
TDH 'nden yararlanmaması durumuna göre elde edilecek gelirden 4.986 lı daha
fazla olacağı belirlenmiştir. TDH'nden (rnüdahaleden) yararlanmış işletmelerde,
TDH'nin etkisini ortaya koyan (ATET) analiz sonuçları değerlendirildiğinde ise;
TDH'nden yararlanan tüm üreticiler için, bu üreticilerin elde ettikleri yıllık toplam
tarımsal gelir, bu üreticilerin (TDH'nden yararlanan) TDH 'nden yararlanmaması
durumunda elde edecekleri gelirden 4.972 t daha fazla olduğu belirlenmiştir
Enhancement of the informed consent documents: suggestions about legibility, readability and text coherence
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