Intraoperative Halo-Femoral Traction in Surgical Treatment of Adolescent Idiopathic Scoliosis Curves between 70° and 90°: Is It Effective?

Study Design A retrospective clinical study. Purpose To analyze the surgical outcomes of intraoperative halo-femoral traction (HFT) in patients with adolescent idiopathic scoliosis (AIS) with Cobb angles between 70° and 90° and flexibility 70°. However, few studies have evaluated the results of HFT in AIS patients with Cobb angles between 70° and 90° and flexibility <35%. Methods The study comprised 24 AIS patients (18 females, six males; mean age, 17.4 years; mean preoperative Cobb angle, 80.1°; range, 70°–90°) who underwent surgery using intraoperative HFT. Neurological status was constantly assessed during the surgery using intraoperative neurophysiological monitoring. Results The mean follow-up period was 33.5 months. Radiographic outcomes demonstrated 85.7% correction of the major Cobb angle. Coronal and sagittal balance was achieved in all the patients, and shoulder levels were equalized. The traction was discontinued when a decrease in spinal cord potentials was observed during the surgery. Conclusions Intraoperative HFT is an effective and reliable method for the management of scoliosis curves between 70° and 90°. The most significant advantages of the method are avoidance of the morbidities related to anterior surgery, osteotomy, or vertebral column resection; its contribution in helping achieve adequate reduction and optimum balance by the gradually increased corrective force, lack of any need for extreme correction force during instrumentation; and the high correction rates achieved

Metastatic Serous Carcinoma Initially Presented As An Incarcerated And Strangulated Umbilical Hernia: A Rare Case Report

Introduction: We report a rare case of a metastatic serous ovarian carcinoma presented as an incarcerated and strangulated umbilical hernia.Presentation of case: A 54 year-old female was admitted to the hospital with a painful mass around the umblical region. It was elucidated during clinical history that the mass had been present for 3 to 4 years without pain. An incarcerated and strangulated umbilical hernia including a solid mass and mesenteric fat was detected on physical examination. She underwent an urgent operation for strangulated umbilical hernia. The pathological diagnosis of the hernia material was reported as carcinoma compatible with serous ovarian carcinoma metastasis. Concurrently, total abdominal histerectomy and bilateral salphingo-oopherectomy, pelvic and paraaortic lymph node dissection, omentectomy and sigmoid colon resection were performed. Histopathological evaluation confirmed the serous carcinoma originated from the left ovary.Conclusion: In the literature, some metastatic tumors have been reported to be presented as umbilical metastasis rarely. However, the present case is the first metastatic ovarian cancer that initially presented as an incarcerated and strangulated umbilical hernia in the literature, to the best of our knowledge. 

Türk idare hukukunda idari işlemlerde gerekçe ilkesi

ÖZETTÜRK İDARE HUKUKUNDA İDARİ İŞLEMLERDE GEREKÇE İLKESİİdarenin çeşitlenen kamu hizmetlerini yerine getirirken bireylerin haklarını etkileyen idari işlemler yapması bu işlemlerin oluşumunun belli kurallara bağlanması ihtiyacını ortaya çıkarmıştır. Gerekçe yükümlülüğü de idari işlemin hukuka uygunluğunu sağlama amacı gütmektedir. Yasalaşmış bulunan tüm genel idari usul kanunlarında gerekçe ilkesine yer verilmiştir. Bunun yanında genel idari usul kanunu bulunması hukuk devleti ilkesinin gereklerinden kabul edilmektedir. Bu bakımdan çalışmanın başında idari usulün tanım ve işlevi üzerinde durulmuştur. Gerekçe ilkesi, kanunilik, kuvvetler ayrılığı, adil yargılanma, dinlenilme hakkı ve bilgi edinme hakkı ile yakın ilişki içinde bulunmaktadır. Bundan dolayı gerekçe yükümlülüğü çalışmada özellikle savunma hakkı ve hukuk devleti ilkesi yönünden incelenmiştir. Bunun yanında gerekçe ilkesinin kapsamı ile idare ve yargı organı bakımından işlevleri anlatılmaya çalışılmıştır. Ayrıca çalışmanın son kısmında Danıştay’ın idari işlemlerde gerekçe yükümlülüğüne ilişkin yaklaşımı üzerinde durulmuştur.Anahtar Kelimeler: Adil Yargılanma Hakkı, Gerekçe İlkesi, Hukuk Devleti, İdari İşlem, İdari Usul, Takdir Yetkisi, Yönetimde Açıklık.ABSTRACTTHE DUTY TO GIVE REASONS OF ADMINISTRATIVE ACTS IN TURKISH ADMINISTRATIVE LAWAdministration use administrative acts for performing public services which have been varied increasingly, but administrative acts are be able to result in negative effects on rights of people. For this reason, the necessity of administrative procedure acts have been arised. The duty to give reasons aim to provide legality of administrative acts. All of legalized administrative procedure acts have the duty to give reasons. Besides, administrative procedure acts are accepted a requirement of rule of law. So, in the beginning of the thesis, the definition and function of administrative procedure has been discoursed. There is a relation between the duty to give reasons with lawfulness, principle of separation of powers, right to a fair trial, right to be heard and right to information. Hence, the duty to give reasons have been considered especially with regard right to defence and rule of law. In addition to this, covering of the duty to give reasons and functions in terms of administration and judicial branch have been explained. At the end of thesis, Council of State’s approach about the duty to give reasons have been examined.Keywords: Administrative Act, Administrative Procedure, Discretion, Right to a Fair Trial, Public Participation, Rule of Law, The Duty to Give Reasons

Türk idare hukukunda idari işlemlerde gerekçe ilkesi

TÜRK İDARE HUKUKUNDA İDARİ İŞLEMLERDE GEREKÇE İLKESİ İdarenin çeşitlenen kamu hizmetlerini yerine getirirken bireylerin haklarını etkileyen idari işlemler yapması bu işlemlerin oluşumunun belli kurallara bağlanması ihtiyacını ortaya çıkarmıştır. Gerekçe yükümlülüğü de idari işlemin hukuka uygunluğunu sağlama amacı gütmektedir. Yasalaşmış bulunan tüm genel idari usul kanunlarında gerekçe ilkesine yer verilmiştir. Bunun yanında genel idari usul kanunu bulunması hukuk devleti ilkesinin gereklerinden kabul edilmektedir. Bu bakımdan çalışmanın başında idari usulün tanım ve işlevi üzerinde durulmuştur. Gerekçe ilkesi, kanunilik, kuvvetler ayrılığı, adil yargılanma, dinlenilme hakkı ve bilgi edinme hakkı ile yakın ilişki içinde bulunmaktadır. Bundan dolayı gerekçe yükümlülüğü çalışmada özellikle savunma hakkı ve hukuk devleti ilkesi yönünden incelenmiştir. Bunun yanında gerekçe ilkesinin kapsamı ile idare ve yargı organı bakımından işlevleri anlatılmaya çalışılmıştır. Ayrıca çalışmanın son kısmında Danıştay’ın idari işlemlerde gerekçe yükümlülüğüne ilişkin yaklaşımı üzerinde durulmuştur. Anahtar Kelimeler: Adil Yargılanma Hakkı, Gerekçe İlkesi, Hukuk Devleti, İdari İşlem, İdari Usul, Takdir Yetkisi, Yönetimde Açıklık. ABSTRACT THE DUTY TO GIVE REASONS OF ADMINISTRATIVE ACTS IN TURKISH ADMINISTRATIVE LAW Administration use administrative acts for performing public services which have been varied increasingly, but administrative acts are be able to result in negative effects on rights of people. For this reason, the necessity of administrative procedure acts have been arised. The duty to give reasons aim to provide legality of administrative acts. All of legalized administrative procedure acts have the duty to give reasons. Besides, administrative procedure acts are accepted a requirement of rule of law. So, in the beginning of the thesis, the definition and function of administrative procedure has been discoursed. There is a relation between the duty to give reasons with lawfulness, principle of separation of powers, right to a fair trial, right to be heard and right to information. Hence, the duty to give reasons have been considered especially with regard right to defence and rule of law. In addition to this, covering of the duty to give reasons and functions in terms of administration and judicial branch have been explained. At the end of thesis, Council of State’s approach about the duty to give reasons have been examined. Keywords: Administrative Act, Administrative Procedure, Discretion, Right to a Fair Trial, Public Participation, Rule of Law, The Duty to Give Reasons

Licensing and controlling of private hospitals

1982 Anayasasında sağlık hizmetlerinin kamu ve özel sağlık kuruluşları tarafından sunulması öngörülmüştür. Bunun yanında Devletin sağlık hizmetlerini düzenleme, planlama ve denetleme işlevlerine vurgu yapılmıştır. Sağlıkta Dönüşüm Programı kapsamında, özel sağlık yatırımlarının sosyal güvenlik sisteminin içinde yer almasıyla birlikte özel sağlık kuruluşlarının sayıları hızla artış göstermiştir. Bu durum Devletin sağlık hizmetlerinin sunumu yanında planlama, düzenleme ve denetleme görev ve yetkisinin önemini de artırmıştır. Bu çerçevede, bu çalışmada Sağlık Bakanlığının özel hastanelerin ruhsatlandırılması ve denetimine ilişkin yetkileri, idare hukukunun genel ilkeleri ve yargı içtihatları göz önünde bulundurularak değerlendirilmiştir. Böylelikle sağlık hizmetinin asıl sahibi olan idarenin, denetim ve gözetim görevinin kapsamı ile bu göreve koşut olarak sorumluluğunu ortaya koymak amaçlanmıştır. Bu değerlendirmede özel hastanelerin örgütleniş ve işleyişine ilişkin pozitif hukuk kuralları, kamu hizmetinin genel ilkeleri çerçevesinde incelenmiştir. Bu kapsamda idarenin düzenleme yetkisi ile özel hastanelerin tabi olduğu hak ve yükümlülüklere değinilmiştir. İkinci bölümde, özel hastanelerin ruhsatlandırılması usulü incelenmiştir. Bu bağlamda sağlık planlamasının hukuki çerçevesi açıklanmış ve sağlık planlaması ile özel hastanelerin ruhsatlandırılması arasındaki ilişki irdelenmiştir. Ayrıca özel hastane ruhsatının, kolluk usulü olan ruhsattan farklı yönleri ortaya konulmuştur. Son bölümde ise Sağlık Bakanlığının özel hastaneler tarafından yürütülen sağlık hizmetleri üzerindeki denetim ve gözetim yetkisi üzerinde durulmuştur. Bu çerçevede özel hastanelerin tabi olduğu yükümlülükler ile bu yükümlülüklerin ihlali halinde uygulanacak yaptırımlar açıklanmıştır. Bu kapsamda sağlık hizmetinin asıl sahibi ve sorumlusu olan Sağlık Bakanlığının özel hastaneler üzerindeki denetim ve gözetim yetkisi sebebiyle doğan idari sorumluluğunun şartları incelenmiştir.In the 1982 Constitution the provision of health services by public and private health institutions was prescribed. In addition, functions of the State to regulate, plan and control health services was put emphasis on.Within the scope of Health Transformation Program, the number of private health institutions increased rapidly as private health investments were included in the social security system. This situation increased the importance of planning, regulation and controlling duties and powers of the State as well as the provision of health services. In this context, in this study the competence of the Ministry of Health regarding the licensing and controlling of private hospitals was evaluated by considering the case law and general principles of administrative law. Thus, it is aimed to reveal the scope and responsibility of the administration, which is the main owner of the health service, in parallel with this task. In this assessment, positive law rules regarding the organization and operation of private hospitals were examined within the framework of general principles of public service. In this context, the regulatory authority of the administration and the rights and obligations of private hospitals are mentioned. In the second section, the procedure for licensing private hospitals was examined. In this context, the legal framework of health planning was explained and the relationship between health planning and the licensing of private hospitals was examined. Furthermore, different aspects of the private hospital license from the license, which is administrative police, have been revealed. In the last section, the supervision authority of the Ministry of Health on the health services that carried out by private hospitals, was emphasized.Within this framework, the obligations that private hospitals are subject to and the sanctions to be applied in case of violation of these obligations were explained. In this context, the conditions of the administrative responsibility of the Ministry of Health, which is the main owner and responsible of the health service, due to the control authority over private hospitals, were examined

Discretion and duty to give reason in administrative acts

Kamu hizmetlerinin çeşitliliği, her türlü ayrıntının mevzuatta düzenlenememesi gibi sebepler idareye takdir yetkisi tanınmasını zorunlu kılmıştır. Ancak takdir yetkisinin kullanımı özellik arz etmektedir. İdari işlemlerin gerekçeli yapılması takdir yetkisinin daha etkin kullanımını sağlar. Nitekim gerekçe ilkesinin idari işlemin yapım aşamasında idarenin takdir yetkisini hukuka uygun kullanmasını sağlamak, idari işlemin yargısal denetimini kolaylaştırmak ve işlemin muhatabı bireyi ikna etmek işlevleri bulunmaktadır.Administration has discretion because of various public services and nature of legislation. But using of discretion has importance in administrative law. The duty to give reason in administrative acts provide using of discretion effectively. The duty to give reason have functions of using of discretion in compliance with laws, persuading people and making easy to judicial review of discretion

Legal regime of affiliation between foundations universities and private hospitals

Üniversiteler ile hastaneler arasında işbirliği, geçtiğimiz on yıllık süreçte, sağlık ve eğitim hizmetlerinin yürütülmesi bakımından yeni bir usul olarak düzenlenmiştir. Bu bağlamda vakıf üniversiteleri ile özel hastane arasındaki işbirliğinin şartları, konusu, yapılış usulü, süresi ve sona ermesi ile ilgili hususlar incelenmiştir. Bu kapsamda da vakıf üniversitesi ile özel hastane işbirliğinin hukuki sonuçları, eğitim ve sağlık hizmetleri yönünden ayrı ayrı ele alınmıştır.Affiliation between universities and hospitals has been regulated as a new procedure in the past decade in terms of running health and education services. Within this framework, the conditions, subject, the procedure, duration and termination of affiliation between foundation universities and private hospital were examined. In this context, the legal consequences of affiliation between foundation university and private hospital have been discussed separately in terms of education and health services

The role of family influence and academic satisfaction on career decision-making self-efficacy and happiness

WOS:000659933300001PubMed ID: 34072961Careers are a reality of life that need to be considered as multi-dimensional in today’s modern societies. Choosing a career is a complex process that coincides with high school and university ages, creating psycho-social stress. Considering the literature, the effects of different environmental factors have been revealed in separate studies. This study examines both individual and environmental factors together. By adopting a quantitative research method, we collected cross-sectional data through online questionnaires from 1130 university students. The association of family influence and academic satisfaction with happiness through career decision self-efficacy was meaningful using gender, age, income, and parents’ education as control variables. Family influence and academic satisfaction were positively correlated with career decision self-efficacy and happi-ness. In conclusion, we found that family influence and support, students’ work, and academic satisfaction are positively significant in terms of the career process and happiness. It was understood that the career reality should be considered with a holistic view that includes family, school, and work experience