An Assessment of the Relationship between Urban Air Quality and Environmental Urban Factors in Urban Regeneration Areas

Urban air pollution has been increasing due to ever increasing population, rapid urbanization, industrialization, energy usage, traffic density. The purpose of the study is to examine the relation between urban air quality and urban environmental factors in urban regeneration areas. Two common air polluters (SO2 and PM10) are considered in the study. The data are collected for Cigli district, including the level of air pollutants, the local natural gas service lines and planning decisions for the years between 2007 and 2011. According to the examinations, urban environmental factors and planning decisions affect the urban air quality in urban regeneration areas.© 2016. The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK. Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.Keywords: Urban air pollution; urban regeneration; quality of lif; environmental factors Introductio

An Assessment of the Relationship between Urban Air Quality and Environmental Urban Factors in Urban Regeneration Areas

Urban air pollution has been increasing due to ever increasing population, rapid urbanization, industrialization, energy usage, traffic density. The purpose of the study is to examine the relation between urban air quality and urban environmental factors in urban regeneration areas. Two common air polluters (SO2 and PM10) are considered in the study. The data are collected for Cigli district, including the level of air pollutants, the local natural gas service lines and planning decisions for the years between 2007 and 2011. According to the examinations, urban environmental factors and planning decisions affect the urban air quality in urban regeneration areas

Examination of the Relationship between Urban Air Pollution and Urban Planning Decisions in Cigli Case, Izmir (Turkey)

The air pollution problem remains, although significant improvements have been seen in urban air quality over the last years. Despite the size and variety of studies on urban air pollution, the usage of spatial statistics has been extremely limited. This study aims to show that the spatial statistic techniques can well be used to examine and explain the air pollution levels in urban areas. The data for the sulphur dioxide (SO2) and nitrogen dioxide (NO2) concentrations are measures using passive diffusion tubes at the 67 monitoring sites in the district of Çiğli (Izmir), which are selected through a spatial systematic sampling process. The tubes were exposed for a 2-week period in August 2015. For the determination of the level of clustering for high values and low values of SO2 and NO2 concentrations, Getis-Ord G* local statistics are calculated. There are five points with high values of SO2 surrounded by low values, three points of NO2, where the results are statistically significant at the 0.10 level. The findings indicate that the presence of the industrial zone, the form of fossil fuels (coal or natural gas) used in heating, and topography are the strong determinants urban air pollution.© 2016. The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK. Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.Keywords: Urban air pollution; planning decisions; spatial autocorrelation; air pollutant

The Relationship between Urban Air Pollution and Urban Planning Decisions

The air pollution problem remains, although significant improvements have been seen in urban air quality over the last years. This study aims to show that the spatial statistic techniques can well be used to examine and explain the air pollution levels in urban areas. The data for SO2 and NO2 concentrations are measures using passive diffusion tubes at the 67 monitoring sites in the district of Çiğli (Izmir). The tubes were exposed for a 2-week period in August 2015. For the determination of the level of clustering for high values and low values of pollutants, Getis-Ord G* local statistics are calculated. There are five points with high values of SO2 surrounded by low values, three points of NO2, where the results are statistically significant at the 0.10 level. The presence of the industrial zone, the form of fossil fuels used in heating, and topography are strong determinants urban air pollution.Keywords: Urban air pollution, planning decisions, spatial autocorrelation, air pollutants eISSN 2398-4279 © 2018. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. https://doi.org/10.21834/ajqol.v3i11.134

Clinimetric properties of the Turkish translation of a modified neck disability index

<p>Abstract</p> <p>Background</p> <p>Neck pain is a common problem that can greatly affect a person's activities of daily living. Functional status questionnaires are important in assessing this effect, and are used to follow up neck pain management programs. The Neck Disability Index (NDI) is the first-created scale for neck pain-related disability and is widely translated and in common used in many countries. Our aim is investigate to clinometric properties of a Turkish version of modified NDI and to give a choice in daily practise of versions to be used.</p> <p>Methods</p> <p>The modified NDI was applied to 30 patients for reliability. 185 patients participated in the validity study. All patients were recruited from the outpatient clinic of our department. The scale was translated by the forward and backward translation procedure according to the COSMIN criteria. The test was repeated at 48 hours interval for reliability study. SPSS-10.0, software was used for statistical analyses. The Intraclass correlation coefficient was used for the test- retest reliability of the modified NDI. Cronbach α was used for internal consistency. Factor analysis was used for construct validity. The validity of the modified NDI with respect to the SF-36, HAD, VAS pain, VAS disability was assessed using Spearman correlations.</p> <p>Results</p> <p>The Intraclass correlation coefficient between first and second (within 48 hours) evaluation of test (rs) was 0.92. Questions 1,4,6,8,10 were shown to have excellent reliability. (rs > 0.9). Question 10 was the most frequently challenged question because "recreational and social activities" do not have not the same meanings in Turkey than in western countries. This required that detailed explanations be provided by the investigators. Cronbach's alpha for the total index was 0.88. A single factor accounting for 80.2% of the variance was obtained. Validity studies demonstrated good and moderate correlations (rs) among NDI, HAD, VAS, physical function subtitle of SF 36 (0.62, 0.76, 0.68).</p> <p>Conclusions</p> <p>The modified NDI-Turkish version is a reliable and valid test and is suitable for daily practise.</p

Prognostic model to predict postoperative acute kidney injury in patients undergoing major gastrointestinal surgery based on a national prospective observational cohort study.

Background: Acute illness, existing co-morbidities and surgical stress response can all contribute to postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery. The aim of this study was prospectively to develop a pragmatic prognostic model to stratify patients according to risk of developing AKI after major gastrointestinal surgery. Methods: This prospective multicentre cohort study included consecutive adults undergoing elective or emergency gastrointestinal resection, liver resection or stoma reversal in 2-week blocks over a continuous 3-month period. The primary outcome was the rate of AKI within 7 days of surgery. Bootstrap stability was used to select clinically plausible risk factors into the model. Internal model validation was carried out by bootstrap validation. Results: A total of 4544 patients were included across 173 centres in the UK and Ireland. The overall rate of AKI was 14·2 per cent (646 of 4544) and the 30-day mortality rate was 1·8 per cent (84 of 4544). Stage 1 AKI was significantly associated with 30-day mortality (unadjusted odds ratio 7·61, 95 per cent c.i. 4·49 to 12·90; P < 0·001), with increasing odds of death with each AKI stage. Six variables were selected for inclusion in the prognostic model: age, sex, ASA grade, preoperative estimated glomerular filtration rate, planned open surgery and preoperative use of either an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker. Internal validation demonstrated good model discrimination (c-statistic 0·65). Discussion: Following major gastrointestinal surgery, AKI occurred in one in seven patients. This preoperative prognostic model identified patients at high risk of postoperative AKI. Validation in an independent data set is required to ensure generalizability

Evaluation of nutritional status in pediatric intensive care unit patients: the results of a multicenter, prospective study in Turkey

IntroductionMalnutrition is defined as a pathological condition arising from deficient or imbalanced intake of nutritional elements. Factors such as increasing metabolic demands during the disease course in the hospitalized patients and inadequate calorie intake increase the risk of malnutrition. The aim of the present study is to evaluate nutritional status of patients admitted to pediatric intensive care units (PICU) in Turkey, examine the effect of nutrition on the treatment process and draw attention to the need for regulating nutritional support of patients while continuing existing therapies.Material and MethodIn this prospective multicenter study, the data was collected over a period of one month from PICUs participating in the PICU Nutrition Study Group in Turkey. Anthropometric data of the patients, calorie intake, 90-day mortality, need for mechanical ventilation, length of hospital stay and length of stay in intensive care unit were recorded and the relationship between these parameters was examined.ResultsOf the 614 patients included in the study, malnutrition was detected in 45.4% of the patients. Enteral feeding was initiated in 40.6% (n = 249) of the patients at day one upon admission to the intensive care unit. In the first 48 h, 86.82% (n = 533) of the patients achieved the target calorie intake, and 81.65% (n = 307) of the 376 patients remaining in the intensive care unit achieved the target calorie intake at the end of one week. The risk of mortality decreased with increasing upper mid-arm circumference and triceps skin fold thickness Z-score (OR = 0.871/0.894; p = 0.027/0.024). The risk of mortality was 2.723 times higher in patients who did not achieve the target calorie intake at first 48 h (p = 0.006) and the risk was 3.829 times higher in patients who did not achieve the target calorie intake at the end of one week (p = 0.001). The risk of mortality decreased with increasing triceps skin fold thickness Z-score (OR = 0.894; p = 0.024).ConclusionTimely and appropriate nutritional support in critically ill patients favorably affects the clinical course. The results of the present study suggest that mortality rate is higher in patients who fail to achieve the target calorie intake at first 48 h and day seven of admission to the intensive care unit. The risk of mortality decreases with increasing triceps skin fold thickness Z-score

The reliability of Turkish translation of quick exposure check (QEC) for risk assessment of work related musculoskeletal disorders

Work Related Musculo-Skeletal Disorders (WRMSDs) are a common health problem and one of the major causes of disability. Exposure to risk factors of musculoskeletal disorders and the change in exposure can be measured by observational assessment techniques. One of the techniques is QEC ( Quick Exposure Check), which was developed by Li and Buckle in 1998. We designed this study to translate QEC to Turkish and investigation of QEC's reliability among cleaners. The study was conducted among 20 cleaners who were randomly chosen from 200 subjects working at Istanbul University, Istanbul Medical Faculty Hospital. Test-retest reliability of QEC was investigated by intraclass correlation coefficient ( ICC) and Bland Altman method. The reliability coefficients of QEC items were found between 0.589 and 1. Among those QEC items, wrist hand position, back position, using vehicle, work period, were found statistically the most reliable between measurements. The items' reliability of QEC was generally fair to good. For this reason, we suggest that, QEC would be helpful for evaluation of WRMSD risk assessment to those who work in the field of work health and safety in the industry of Turkey