Serbest Muhasebeci Mali Müşavirlerin İş – Yaşam Dengesi Üzerine Bir Araştırma: Diyarbakır Örneği

Hizmet sektörünün doğrudan müşteri memnuniyetine yönelik olmasının getirdiği stres ile emek yoğunluğu göz önünde bulundurulduğunda-sadece uzun çalışma saatleri ve ucuz ücret gibi yaygın iki faktörün bile, Serbest Muhasebeci Mali Müşavirliği meslek olarak benimseyen iş-yaşam dengesininin mesleki koşullardan etkilemesi kaçınılmazdır. Araştırma Serbest Muhasebeci Mali Müşavirlerin iş-yaşam dengesini Diyarbakır evreni üzerinden incelemek amacıyla hazırlanmıştır. Araştırmaya, 40 kadın ve 107 erkek olmak üzere 147 kişi dahil edilmiştir. Araştırmadan elde edilen bulgulara göre; eğitim, kişisel yaşamın işe etkisi ve eşle beraber çalışmanın etkisi üzerinde anlamlı etkiler yaratmaktadır. Bununla birlikte medeni durum, işin kişisel yaşama etkisi üzerinde anlamlı bir etki yaratırken; katılımcı grubuna ait diğer kişisel bilgilerin iş-yaşam dengesi üzerinde herhangi bir etki yaratmadığı tespit edilmiştir

Clustering patient mobility patterns to assess effectiveness of health-service delivery

BACKGROUND: Analysis of patient mobility in a country not only gives an idea of how the health-care system works, but also can be a guideline to determine the quality of health care and health disparity among regions. Even though determination of patient movement is important, it is not often realized that patient mobility could have a unique pattern beyond health-related endowments (e.g., facilities, medical staff). This study therefore addresses the following research question: Is there a way to identify regions with similar patterns using spatio-temporal distribution of patient mobility? The aim of the paper is to answer this question and improve a classification method that is useful for populous countries like Turkey that have many administrative areas. METHODS: The data used in the study consist of spatio-temporal information on patient mobility for the period between 2009 and 2013. Patient mobility patterns based on the number of patients attracted/escaping across 81 provinces of Turkey are illustrated graphically. The hierarchical clustering method is used to group provinces in terms of the mobility characteristics revealed by the patterns. Clustered groups of provinces are analyzed using non-parametric statistical tests to identify potential correlations between clustered groups and the selected basic health indicators. RESULTS: Ineffective health-care delivery in certain regions of Turkey was determined through identifying patient mobility patterns. High escape values obtained for a large number of provinces suggest poor health-care accessibility. On the other hand, over the period of time studied, visualization of temporal mobility revealed a considerable decrease in the escape ratio for inadequately equipped provinces. Among four of twelve clusters created using the hierarchical clustering method, which include 64 of 81 Turkish provinces, there was a statistically significant relationship between the patterns and the selected basic health indicators of the clusters. The remaining eight clusters included 17 provinces and showed anomalies. CONCLUSIONS: The most important contribution of this study is the development of a way to identify patient mobility patterns by analyzing patient movements across the clusters. These results are strong evidence that patient mobility patterns provide a useful tool for decisions concerning the distribution of health-care services and the provision of health care equipment to the provinces

Assessments of Masonry Buildings and Historical Structures during the 2020 Sivrice-Elazığ Earthquake

Turkey is located on a seismically active region. The active fault zones, primarily the North Anatolian Fault and East Anatolian Fault, constitute a center to the movements. On 24 January 2020 at local time 20:55, an earthquake of Mw = 6.8 struck Sivrice, Elazığ located in eastern part of Turkey. After this main shock, 1185 aftershocks were recorded until February 8, 2020. The main event resulted in 41 human casualties and 1632 injured. Also, 45 people were salvaged from the debris. The earthquake mostly affected to Elazığ and Malatya provinces. 633 buildings were demolished, 10492 buildings were severely damaged, 2161 buildings were moderately damaged, and 16046 buildings were slightly damaged in the affected region. This paper focus on evaluating the damages and failures of masonry, adobe, and historical structures in the affected areas around Elazığ and Malatya provinces

Seismic Assessment of the Historical Sütlü Minaret Mosque

Historical masonry structures that connecting the past to the present have great importance because they represent the experiences and characteristics of various cultures. Therefore, the protection of historical structures is important. In this study, the structural response of the historical masonry Mosque was evaluated through dynamic analyses. For this purpose, the Sütlü Minaret Mosque which is located in Malatya, Turkey, was investigated. The three-dimensional model of the historical mosque was generated with ANSYS software. The material properties of the mosque were obtained with experimental tests. The time history analyses were used to obtain the seismic behavior of masonry mosque. In the time history analyses, six different strong ground motion records, including the 2020 Elazığ earthquake, were used. After the analysis, displacement and stress values in the mosque were given. The absolute peak displacement value among these earthquake records was obtained from the 1999 Düzce earthquake and the highest principal compressive and tensile stress values were determined for the 2010 Darfield earthquake. Also, the crack regions which occurred in the mosque after the 2020 Elazığ earthquake were compared with the dynamic analysis result of the 2020 Elazığ earthquake. The crack regions formed after the Elazığ earthquake are similar to the possible crack regions formed after the dynamic analysis

The Effects of Different Types of Fly Ash on the Compressive Strength Properties of Briquettes

The aim of this study is to evaluate the effect of the different types of fly ash on the compressive strength properties of sintered briquettes. Thermal gravimetric (TG) analysis was carried out. The chemical composition and physical properties of the materials used were determined. Particle size distribution and microstructure elemental analyses of the materials used were carried out by a particle size analyzer (Mastersizer) and a scanning electron microscope (SEM-EDS). Following the characterization of the materials, briquettes were prepared by sintering at different temperatures. Compressive strength test results of the briquette samples indicated that briquettes with a compressive strength value of 47.45 N/mm2 can be produced. The results obtained exceed the Turkish standard (TS EN 771-1) requirements (9.8–23.54 N/mm2). SEM-EDS results showed that briquette samples made with Tunçbilek (T) fly ash had a higher percentage of the glassy phase than the other briquette samples. Due to this microstructure, it results in higher compressive strength value

PEDİATRİK HASTADA UNİLATERAL KONDİL KIRIĞI TEDAVİSİ: OLGU SUNUMU

Pediatrik hastada mandibula kondil kırıkları ciddi komplikasyonlara neden olabilen maksillofasiyal yaralanmalardır. Kondil kırıkları, mandibulanın en sık görülen kırıklarıdır. Tedavide açık ve kapalı yöntemler kullanılmaktadır. Özellikle pediatrik hastalarda kapalı yöntem, açık yönteme oranla daha çok tercih edilmektedir. Bu olgu sunumunun amacı, travma sonucu unilateral kondil kırığı olan hastanın kapalı yaklaşımla tedavi öncesi ve sonrası erken dönem klinik ve radyolojik bulgularının değerlendirilmesidir. Bu olgu sunumunda, masadan düşme sonucu kliniğimize başvuran ( 2, ♂ ) hastada unilateral kondil kırığının alt çeneye uygulanan oklüzyonu yükseltilmiş sert plak ve Barton bandajıyla tedavisi ele alındı. Haftalık yapılan kontroller sonucu 1.ay sonunda semptomlarda iyileşme ve kırık bölgesinde kallus oluşumu izlendi. Anahtar Kelimeler: Kondil kırığı, Mandibula, Pediatrik Hast

Relationship Between Chronic Obstructive Pulmonary Disease and Severity of Diabetic Retinopathy

The negative effects of chronic obstructive pulmonary disease (COPD) on diabetes mellitus (DM) patients are known. For these reasons, we aimed to investigate the effect of COPD on the severity of diabetic retinopathy (DRP) in patients with DM. Materials and Methods: This prospective cross-sectional study included one-hundred and fifty-six eyes of 156 patients with COPD and DM. Multinomial logistic regression models were applied to evaluate the independent relationships between DRP and COPD, including adjusting for patients’ characteristics. Results: After adjustment for potential confounders, patients with low-level COPD were found to have less PDR and severe PDR. (RRR 0.01 95% CI 0.01-0.03, RRR 0.01 95% CI 0.01-0.08, respectively). Conclusion: The findings suggest an increased risk of DRP severity in patients with severe COPD. Ophthalmologists following these patients should consider the relationship between COPD and DRP

Evaluation of attention-motivation level, studying environment and methods of medical faculty students

Objective: Evaluating study environments, attention–motivation levels while studying, and studying methods of students is ex-tremely important for obtaining purposed results. This study aimed to determine study environments, attention–motivation levels while studying, and studying methods of medicine faculty students. Methods: Gaziantep University School of Medicine students completed the questionnaire that included questions regarding study environments, attention–motivation levels, and studying methods. The students were asked 11 open-ended questions and 29 Likert-type questions. Statistical analyses of these questions were performed, and some of the questions correlated among them. Results: The statistically significant differences were determined between the average grade and questions: “I have difficulty in focusing on the subject before starting to study,” “I easily lose concentration while studying,” “I use some pharmaceuticals (except vitamins) for increasing my motivation while studying,” “I use some pharmaceuticals (except vitamins) for increasing my attention while study,” and “I only study during exams.” A significant association was also observed between the average grade and the accommodation of students. Conclusion: Improving the physical conditions of the study environment of medicine faculty students will contribute to increas-ing their academic success. Making students aware of the components that negatively affect attention and motivation will also positively affect the academic success of students. In addition, determining studying methods of medicine faculty students will contribute to improving personal education strategies

Tıp fakültesi derslerinin verimliliği, işleniş şekli ve öğrencilerin devam kontrolünün değerlendirilmesi

Amaç: Öğrenci ve eğiticinin tercih ettiği ders ve ders aralarının ideal sürelerinin belirlenmesi, gün içindeki en uygun ders saatlerinin tespiti ve derse katılım hakkındaki düşüncelerinin incelenmesi verilen eğitim kalitesini arttırmada faydalı olacaktır.Ayrıca ders sırasında eğiticinin dikkat düzeyine etki eden unsurların incelenmesi de derslerin daha verimli işlenmesini sağlayacaktır. Gereç ve Yöntem: Bu çalışmada, tıp fakültesi öğrenci ve eğiticilerin ders ve ders arası süresi, derslerin en verimli geçtiği zaman aralığı, derse devam zorunluluğu, eğiticinin ders anlatım yöntemi hakkındaki fikirlerinin belirlenmesi ve eğiticinin öğrencilerin dersteki tutumları ile ilgili görüşlerinin tespiti amaçlanmıştır. Tanımlayıcı tipte olan bu araştırma 44 öğretim üyesi ve 480 öğrenci üzerinde gerçekleştirilmiştir. Veriler, katılımcıların tanımlayıcı özelliklerini sorgulayan açık uçlu sorular ile teorik derslerin verimliliği, işlenişi ve teorik derslere katılım konusu hakkında öğrencilerin düşüncelerini irdeleyen Likert ölçeği ile hazırlanmış 29 soruluk anket formu ile elde edilmiştir.Bulgular: Öğrenciler ve eğiticilerin teorik-pratik ders sürelerinin yeterli olduğunu ve sabah saatlerinde teorik derslerin daha verimli geçtiğini düşünmektedirler. Kahvaltı yapılan günlerde öğrencilerin derslere daha iyi odaklandıkları görülmektedir. Eğitici ve öğrenciler, parmak izi yöntemiyle yapılan devam kontrol uygulamasının derslere olan ilgi ve ders başarısı üzerinde olumlu bir etkisinin olmadığını düşünmektedirler. Öğrenciler, slayt sayısının fazla olduğu derslerde konuya odaklanmakta zorluk çekerken eğiticilerin bu durumun öğrencilerin konuya olan ilgilerini etkilemediğini düşünmektedirler. Sonuç: Bu verilerin ders programlarının etkin şekilde hazırlanmasında, öğrencilerin kahvaltı alışkanlıklarının iyileştirilmesinde ve öğretim metodolojilerinin geliştirilmesinde katkı sağlayacağını düşünmekteyi

Accessory Nerve Anatomy in Anterior and Posterior Cervical Triangle: A Fresh Cadaveric Study

Objective: To understand the variations and normal course of the accessory nerve (CNXI) to help more accurate and confident neck dissection.Methods: The course of the CNXI in the neck, its relationship to the surrounding anatomic structures and the factors affecting its course were investigated.Results: A total of 100 neck dissections were performed on 50 fresh cadavers. Eleven division variations were observed at the anterior triangle. The location of CNXI at the posterior border of the sternocleidomastoid muscle (PBSCM) was investigated and the ratio between the distance from the mastoid apex (MAA) to CNXI at the PBSCM and the distance from MAA to the posterior border where the PBSCM is attached to the clavicle increased as height of the subject increased (p<0.05).Conclusion: It must be kept in mind that it is better to search for CNXI in taller subjects more inferiorly at the posterior border of the sternocleidomastoid muscle