Pregnancy-related lumbopelvic pain in early postpartum period and risk factorr

Background: Pregnancy-related lumbopelvic pain is known as lower back and pelvic girdle pain of unclear etiology, which affects almost half of pregnant women, often starts at 18 weeks and decreases at 6 months postpartum. The purpose of this study is to identify the risk factors in patients with pregnancy-related lumbopelvic pain in early postpartum period and determine the factors associated with pain in patients suffering from lumbopelvic pain at 1 month postpartum.Methods: 339 women of 18-40 years of age who were in the 1st month of postpartum period were included in the study. Socio-demographic data, gynecological history and method of delivery were recorded for all subjects. All subjects were evaluated for pregnancy-related lumbopelvic pain. The Oswestry disability index was used for functional evaluation and the Beck depression inventory was used for assessment of depression.Results: 114 (33.6%) patients had a history of pregnancy-related lumbopelvic pain. 59 (18.9%) patients had ongoing pain at 1 month postpartum. When patients were divided into two groups, consisting of women with and without lumbopelvic pain at 1 month postpartum, no statistical difference was observed between two groups in terms of age, parity, employment status, smoking status, depression score, method of delivery, type of anesthesia, and emergency or elective cesarean section. When the risk factors affecting postpartum lumbopelvic pain were evaluated by using the Stepwise Logistic regression analysis, weight gain during pregnancy, body mass index and presence of lumbopelvic pain during previous pregnancy were found to be independent risk factors (p<0.05).Conclusion: Pregnancy-related lumbopelvic pain is a significant cause of disability that affects many pregnant women. Control of weight gain during pregnancy could be important in avoiding the development of lumbopelvic pain. In patients experiencing lumbopelvic pain in previous pregnancies, necessary measures should be taken against development of lumbopelvic pain during a new pregnancy.

Müslüman tüketicilerin israf davranışlarının rasyonel tüketim ve gösterişçi tüketim bağlamında incelenmesi : kültürlerarası bir karşılaştırma.

06.03.2018 tarihli ve 30352 sayılı Resmi Gazetede yayımlanan “Yükseköğretim Kanunu İle Bazı Kanun Ve Kanun Hükmünde Kararnamelerde Değişiklik Yapılması Hakkında Kanun” ile 18.06.2018 tarihli “Lisansüstü Tezlerin Elektronik Ortamda Toplanması, Düzenlenmesi ve Erişime Açılmasına İlişkin Yönerge” gereğince tam metin erişime açılmıştır.Tarih boyunca insan hayatının vazgeçilmez bir eylemi konumunda bulunan tüketim olgusunun taşıdığı anlamlar zaman içerisinde çeşitli değişim ve dönüşümlere uğramıştır. Bu değişim ve dönüşümler içinde yaşanılan döneme ait kültürün bir yansıması olarak değerlendirilmektedir. Kültürü oluşturan diğer unsurlar gibi din olgusu da bireylerin davranışları üzerinde, özellikle de tüketim kalıpları üzerinde büyük etkisi olan bir faktör olarak değerlendirilmektedir. Bu açıdan değerlendirildiğinde İslam dinine mensup Müslüman bireylerin tüketim davranışları hem işletmeler hem de araştırmacılar için oldukça önemli bir konu olarak değerlendirilmeye başlamıştır. Bu çalışmanın amacı İslam kaynaklarında belli tavsiyeler ve uyarılarla şekillendirilmiş olan israf kavramına dünyanın farklı bölgelerinden ve farklı kültürlerden Müslüman tüketicilerin bakış açılarını ortaya koymak ve kültürler arasında israf olgusuna yönelik algılar arasındaki benzerlik ve farklılıkları ortaya koymaktır. Bu kapsamda fayda temeline dayanan rasyonel tüketim ve ihtiyaç gidermekten çok maddi zenginliği ve kişisel zevkleri sergileme aracı olarak gösterişçi tüketim kavramlarının israf davranışı üzerindeki etkisi kültürlerarası bir yaklaşımla anlaşılmaya çalışılmaktadır. Bu amaç doğrultusunda Türkiye, Katar ve Endonezya'dan Müslüman bireylerle anket çalışması yapılmıştır. Bu uygulamayla Müslüman tüketicilerin dindarlık düzeyleri, gösterişçi ve rasyonel tüketim davranışları ile israf olgusuna yaklaşımları ölçülmüştür. Elde edilen veriler ışığında bireylerin dindarlık düzeyinin rasyonel tüketim ve gösterişçi tüketim davranışları ile israf kavramına yaklaşımları üzerindeki etkileri ortaya konmaktadır. Yapılan çeşitli analizler ışığında kültürler arasında hem dindarlık hem de tüketim bağlamında belli farklılıklar ve benzerlikler olduğu sonucuna ulaşılmıştır. Araştırmanın yürütüldüğü toplumların dindarlık ve gelir seviyesindeki farklılıkların rasyonel tüketim, gösterişçi tüketim ve israf algısı üzerinde önemli etkiye sahip olduğu sonucuna ulaşılmıştır.Throughout history the meaning of consumption phenomenon which is an essential action of human life has undergone various changes and transformations over time. This change and conversion is considered as a reflection of the culture of an exact period. Religion as a component of culture has a great influence on the behavior of individuals especially when it is considered within consumption patterns. From this perspective consumption behavior of Muslim individuals began to be evaluated as an important topic by both businesses and researchers. The main objective of this study is to explain the similarities and differences between the perceptions of Muslim consumers from different region and different cultures towards extravagance which is regulated by certain recommendations and warnings in Islamic sources. In this context the effect of rational and conspicuous consumption on extravagance is investigated through a cross-cultural approach. For this purpose a survey was conducted through Muslim individuals from Turkey, Qatar and Indonesia. Through this study the religiosity degree, conspicuous and rational consumption behavior and the view on extravagance of Muslim consumers were measured. According to the data obtained from the study revealed the effects of religiosity degree of people on rational consumption and conspicuous consumption behavior and the view on the concept of extravagance. The results showed that there are certain differences and similarities among cultures both in the context of religiosity and consumption patterns. The results also revealed that the differences between religiosity degree and the level of income has a significant effect on rational, conspicuous consumption and extravagance behavior

Transient osteoporosis of the hip associated with pregnancy: case report

Transient osteoporosis of the hip associated with pregnancy is a clinical condition with an unclear etiology seen in pregnant women in the 3rd trimester that may lead to severe pain and disability. In this article we present a case getting transient osteoporosis associated with pregnancy based on clinical and radiological findings and discussed it under the guidance of the literature

Evaluation of hearing and cochlear function by audiometric testing in patients with hyperemesis gravidarum

INTRODUCTION: The aim of this study was to investigate cochlear functions in patients with hyperemesis gravidarum (HG).METHODS: Twenty-nine HG patients (58 ears) and 31 healthy control subjects (62 ears) were included. Audiometry testings at 250 and 500 Hz and 1, 2, 4, 8, 10, 12, 14, 16 kHz were performed to the patients and controls.RESULTS: Mean age of patients with HG was 26,5 ± 4,4 years and the mean age of control group was 28,0 ± 4,2 years. At the time of the tests mean gestational age of the HG group and controls were 9 and 11 weeks respectively. No differences were observed between the groups in tympanic membrane status, or other otolaringological evaluations. No significant differences were observed in audiometric tests at any frequencies between the groups (p values for all > 0.05).CONCLUSION: There was not a difference between pregnant cases with HG and cases with normal pregnancy in terms of audimetric tests. Cochlear functions are not affected remarkably in women with HG

Firmaların Konvansiyonel Banka ve Katılım Bankası Tercihini Etkileyen Faktörlerin Belirlenmesine Yönelik Nitel Bir Araştırma: Karabük İlinden Kanıtlar

Bilindiği gibi bankalar, reel sektöre kaynak sağlayarak ülke kalkınmasında önemli rol oynamaktadırlar. Ülkelerin kalkınması, bankacılık sektörünün topladığı mevduatı kredi olarak ekonomik birimlere sunması ile gerçekleşmektedir. Özellikle KOBİ ölçeğindeki firmaların kaynak ihtiyacının sağlanması ile ülkede katma değerli inovatif ürünlerin üretimi sağlanmakta, istihdam artışı ile milli gelirin artışı sağlanmaktadır. Ülkeler, ekonomik büyümelerini sağlamak için kaynak yetersizliği yaşayan ve gelişme potansiyeli yüksek olan firmaların üretim yapabilmelerini teşvik amacıyla bankacılık sektöründeki farklı banka grupları ile fon sağlamaya yardımcı olabilmektedir. Ayrıca bankacılık sektörüne yeni bankaların girmesi ile firmalara finansman sağlama konusunda rekabet artışı sağlanabilmekte ve böylece kredi maliyetlerinin düşmesi ve firmaların kredi alabilme fırsatının artması mümkün olabilmektedir. Bu kapsamda faizsiz bankacılık prensiplerine göre çalışan katılım bankaları, firmalara kredi sağlamada alternatif oluşturma ve faiz hassasiyeti için seçenek oluşturmaktadır. Son zamanlarda Türkiye’de kamu bankaları tarafından kurulan katılım bankalarının sektöre girmesinin, katılım bankacılığı sektörünün gelişmesi ve büyümesi noktasında önemli bir motivasyon kaynağı olması beklenmektedir.Ölçeğe göre firmaların bankacılık işlemlerinden faydalanma düzeyleri farklılık gösterecektir. Ayrıca firmaların sahip ve yöneticilerinin bankacılık işlemleri konusundaki tecrübe ve uzmanlıkları yanında faizsiz işlem yapma isteği banka tercihini farklılaştırabilecektir. Gerek mevduat bankaları gerekse katılım bankaları, sağladıkları bankacılık ürün ve hizmetleri ile potansiyel müşterilerin ilgilerini çekmeye çalışmakta ve birbirleriyle rekabet etmektedir.Çalışmada Karabük ilinde faaliyet gösteren firmaların bankacılık işlemlerini gerçekleştirirken hangi banka türünü tercih ettikleri veya bu tercihi yaparken hangi faktörleri dikkate aldıklarını belirlemek amaçlanmıştır. Bu amaçla araştırmada nitel araştırma yöntemi tercih edilmiştir. Nitel araştırma yönteminin önemi, nicel yöntemlere kıyasla daha derinlemesine verilere ulaşabilme imkânı sunması olduğu söylenebilir. Bu çerçevede farklı sektörlerde faaliyet gösteren firmaların banka tercih veya seçimi üzerinde etkili faktörleri belirlemek amacıyla genelden özele yönelik sorularla araştırma amacına yönelik cevaplar aranmıştır. Böylece firmaların banka tercih veya seçimini etkileyen faktörlerin belirlenmesinde yol gösterici sonuçların ortaya çıkarılması beklenmektedir

Evaluation of hearing and cochlear function by audiometric testing in patients with hyperemesis gravidarum

INTRODUCTION: The aim of this study was to investigate cochlear functions in patients with hyperemesis gravidarum (HG).METHODS: Twenty-nine HG patients (58 ears) and 31 healthy control subjects (62 ears) were included. Audiometry testings at 250 and 500 Hz and 1, 2, 4, 8, 10, 12, 14, 16 kHz were performed to the patients and controls.RESULTS: Mean age of patients with HG was 26,5 ± 4,4 years and the mean age of control group was 28,0 ± 4,2 years. At the time of the tests mean gestational age of the HG group and controls were 9 and 11 weeks respectively. No differences were observed between the groups in tympanic membrane status, or other otolaringological evaluations. No significant differences were observed in audiometric tests at any frequencies between the groups (p values for all > 0.05).CONCLUSION: There was not a difference between pregnant cases with HG and cases with normal pregnancy in terms of audimetric tests. Cochlear functions are not affected remarkably in women with HG

A Review of Commercial Electric Vehicle Charging Methods

Electric Vehicles (EVs) are rapidly becoming the forerunners of vehicle technology. First electric vehicles were overlooked because of not having adequate battery capacity and because of low efficiency of their electric motors. Developing semiconductor and battery technologies increased the interest in the EVs. Nevertheless, current batteries still have insufficient capacity. As a result of this, vehicles must be recharged at short distances (approximately 150 km). Due to scheduled departure and arrival times EVs appear to be more suitable for city buses rather than regular automobiles. Thanks to correct charging technology and the availability of renewable energy for electric buses, the cities have less noise and CO2 emissions. The energy consumption of internal combustion engines is higher than of the electric motors. In this paper, studies on the commercial electric vehicle charging methods will be reviewed and the plug-in charging processes will be described in detail. This study strives to answer the questions of how plug-in charging process communication has performed between the EV and Electric Vehicle Supply Equipment (EVSE).</p

Galaxy Clusters Associated with Short GRBs. II. Predictions for the Rate of Short GRBs in Field and Cluster Early-Type Galaxies

We determine the relative rates of short GRBs in cluster and field early-type galaxies as a function of the age probability distribution of their progenitors, P(\tau) \propto \tau^n. This analysis takes advantage of the difference in the growth of stellar mass in clusters and in the field, which arises from the combined effects of the galaxy stellar mass function, the early-type fraction, and the dependence of star formation history on mass and environment. This approach complements the use of the early- to late-type host galaxy ratio, with the added benefit that the star formation histories of early-type galaxies are simpler than those of late-type galaxies, and any systematic differences between progenitors in early- and late-type galaxies are removed. We find that the ratio varies from R(cluster)/R(field) ~ 0.5 for n = -2 to ~ 3 for n = 2. Current observations indicate a ratio of about 2, corresponding to n ~ 0 - 1. This is similar to the value inferred from the ratio of short GRBs in early- and late-type hosts, but it differs from the value of n ~ -1 for NS binaries in the Milky Way. We stress that this general approach can be easily modified with improved knowledge of the effects of environment and mass on the build-up of stellar mass, as well as the effect of globular clusters on the short GRB rate. It can also be used to assess the age distribution of Type Ia supernova progenitors.Comment: ApJ accepted versio

Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome : Insights from the LUNG SAFE study

Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods: In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence of hyperoxemia (PaO2 > 100 mmHg) on day 1, sustained (i.e., present on day 1 and day 2) hyperoxemia, or excessive oxygen use (FIO2 ≥ 0.60 during hyperoxemia). Results: Of 2005 patients that met the inclusion criteria, 131 (6.5%) were hypoxemic (PaO2 < 55 mmHg), 607 (30%) had hyperoxemia on day 1, and 250 (12%) had sustained hyperoxemia. Excess FIO2 use occurred in 400 (66%) out of 607 patients with hyperoxemia. Excess FIO2 use decreased from day 1 to day 2 of ARDS, with most hyperoxemic patients on day 2 receiving relatively low FIO2. Multivariate analyses found no independent relationship between day 1 hyperoxemia, sustained hyperoxemia, or excess FIO2 use and adverse clinical outcomes. Mortality was 42% in patients with excess FIO2 use, compared to 39% in a propensity-matched sample of normoxemic (PaO2 55-100 mmHg) patients (P = 0.47). Conclusions: Hyperoxemia and excess oxygen use are both prevalent in early ARDS but are most often non-sustained. No relationship was found between hyperoxemia or excessive oxygen use and patient outcome in this cohort. Trial registration: LUNG-SAFE is registered with ClinicalTrials.gov, NCT02010073publishersversionPeer reviewe