119 research outputs found

    Conflicts Encountered with Bridge Team from the Perspective of Vessel Traffic Service Operators: A Research Within E-Navigation Concept

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    The hazards that threaten marine navigation safety in the intensive routes and critical straits need to be managed effectively. To manage these risks, the concept of e-navigation has been offered to all stakeholders of marine transportation. E-navigation basically aims to organize, serve, and exchange marine information systematically. It is considered that the relations between the stakeholders may constitute significant conflicts in exchanging marine information. The main purpose of this study is to reveal the sources of conflicts and risk scores on navigation operations encountered with the bridge team from the perspective of vessel traffic services operators (VTSOs). In order to determine the sources of the conflicts, the conflict-related literature has been thoroughly reviewed, a semi-structured interview form was developed, and the VTS supervisors have been interviewed. In discovering the sources of conflicts, content analysis has been carried out from the interviews. The findings have been discussed with the relevant experts, and risk scales have been developed to evaluate the risks of conflicts. The frequency of conflicts and the results have been evaluated by the VTSOs employed at the Center of VTS in İstanbul, and risk scores have been defined. The risk scores related to the conflicts indicated on the risk matrix and e-navigation designed solutions have been compared and discussed. The findings reveal that there are certain similarities between the high-scored risks regarding communication quality and reporting systems. Although e-navigation solutions focus on improving technical issues. Conflicts caused by interpersonal, cognitive, and personal features that are not covered by e-navigation solutions have an important place among the conflict sources

    Political discourses on Alevis and Alevism during AKP era

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    Turkish secularism has been employed as a foundation of modernization since the founding of the Turkish Republic. But it has also been criticized severely, given its dilemmas. One basic dilemma is caused by the fact that Sunnism, the faith held by the majority, has become established as one of tenets of the Turkish national identity by the founders. The role and influence of Sunnism have been enhanced with multi-party democracy, to be accelerated after the 1980 coup. As a result, the non-Sunnis have faced difficulties and discrimination when practicing their faith. Political discourses about the largest non-Sunni group, the Alevis, are studied in this master’s thesis, in relation with the discussion, perception and presentation of their demands regarding the practice of Alevism during the 2000s. Like in previous periods, different parties used different discourses to defend or challenge the status quo. Unity has been a popular discourse, strengthened by the conspiracy and separatism discourses, used to justify the status quo and the differential treatment of non-Sunnis. Alevis, on the other hand, have used diversity and identity discourses to demand their rights, until the 2000s. The 2000s has been a debated period regarding transformations in terms of democracy, secularism and pluralism. During this era, Alevis began using democracy and equal citizenship discourses, leaving the identity and diversity discourse. On the other side, unity discourse has become to be increasingly used with reference to faith. But the debates has not led to positive, concrete outcomes for Alevis except for the increasing visibility of their faith and demands

    Effect of intracanal medicaments used in endodontic regeneration on the push-out bond strength of a calciumphosphate-silicate-based cement to dentin

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    International Congress on Preventive Dentistry -- MAR 05-08, 2018 -- Erzurum, TURKEYWOS: 000433113200014PubMed ID: 29805399Objective: To evaluate the effects of various endodontic regeneration agents on the push-out bond strength of Endosequence Root Repair Material (ERRM) to root-canal dentin. Methods: Fifty single-rooted human teeth were selected and instrumented to obtain a standard internal diameter of 1.5 mm. Specimens were randomly divided into four experimental groups and treated with an intracanal medicament [calcium hydroxide (CH), double antibiotic paste (DAP), triple antibiotic paste (TAP), TAP with amoxicillin (mTAP)] and a non-treated control group. Medicaments were removed after three weeks, and ERRM was applied to all specimens. The coronal portion of each root was then sliced into 2-mm-thick parallel transverse sections (2 slices per tooth, n=20 slices per group), and a push-out test was used to measure the bond strength of ERRM to dentin. Data were analyzed using Bonferroni-corrected Mann-Whitney tests, with the level of significance set at p<0.05. Results: The push-out bond strength of the CH group was significantly higher than that of the TAP, DAP and mTAP groups (p<0.005). Furthermore, the bond strength of the control group was higher than the bond strength of both the DAP and mTAP groups. Conclusion: The use of CH in clinical practice may help improve the adhesion of ERRM to dentin.Kavokerr, Sark Dis, Disman, Colgate, GC, ROCS, Gumgumix, Kurukahveci Mehmet Efendi, Vivident, Voco, Megage

    Efficacy of Parasacral Transcutaneous Electrical Nerve Stimulation in Children with Refractory Detrusor Overactivity

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    Objective: This study aimed to evaluate the effectiveness of parasacral transcutaneous electrical nerve stimulation (p-TENS) in children with detrusor overactivity (DO) who were subjected to standard medical treatment, urotherapy, and/or biofeedback. Materials and Methods: Thirty-two children (female: 17, male: 15) underwent p-TENS because of refractory lower urinary tract dysfunction symptoms between 2017 and 2019. Children with neurogenic bladder (n=7) and dysfunctional voiding (n=13) were excluded. The data of 12 children diagnosed with DO after the urodynamic study (boys: 8, girls: 4), were evaluated for treatment response 6 months after the last session. p-TENS was performed using S2-3 dermatome 2 days a week for 3 months. Each session lasted 20 min with a frequency of 10 Hz and generated a pulse of 250 μs. Results: The median age of 12 children was 11 years (interquartile range 25-75, range: 9.5-12.5). Incontinence is the main complaint. Significant improvement in uroflow parameters was detected in all children. Urgency, urge incontinence (p=0.016), and constipation (p=0.031) rates were significantly decreased. Voiding dynamics revealed improved voiding patterns (pre/post tower shaped pattern; n=7 vs. n=2), and incontinence was completely resolved in nine children (75%). Conclusion: P-TENS has emerged as a therapeutic alternative in children with DO refractory to standard treatment protocol and medication

    Children in 2077: Designing Children’s Technologies in the Age of Transhumanism

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    What for and how will we design children’s technologies in the transhumanism age, and what stance will we take as designers? This paper aims to answer this question with 13 fictional abstracts from sixteen authors of different countries, institutions and disciplines. Transhumanist thinking envisions enhancing human body and mind by blending human biology with technological augmentations. Fundamentally, it seeks to improve the human species, yet the impacts of such movement are unknown and the implications on children’s lives and technologies were not explored deeply. In an age, where technologies can clearly be defined as transhumanist, such as under-skin chips or brain-machine interfaces, our aim is to reveal probable pitfalls and benefits of those technologies on children’s’ lives by using the power of design fiction

    Evaluation of patients with fibrotic interstitial lung disease: Preliminary results from the Turk-UIP study

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    OBJECTIVE: Differential diagnosis of idiopathic pulmonary fibrosis (IPF) is important among fibrotic interstitial lung diseases (ILD). This study aimed to evaluate the rate of IPF in patients with fibrotic ILD and to determine the clinical-laboratory features of patients with and without IPF that would provide the differential diagnosis of IPF. MATERIAL AND METHODS: The study included the patients with the usual interstitial pneumonia (UIP) pattern or possible UIP pattern on thorax high-resolution computed tomography, and/or UIP pattern, probable UIP or possible UIP pattern at lung biopsy according to the 2011 ATS/ERSARS/ALAT guidelines. Demographics and clinical and radiological data of the patients were recorded. All data recorded by researchers was evaluated by radiology and the clinical decision board. RESULTS: A total of 336 patients (253 men, 83 women, age 65.8 +/- 9.0 years) were evaluated. Of the patients with sufficient data for diag-nosis (n=300), the diagnosis was IPF in 121 (40.3%), unclassified idiopathic interstitial pneumonia in 50 (16.7%), combined pulmonary fibrosis and emphysema (CPFE) in 40 (13.3%), and lung involvement of connective tissue disease (CTD) in 16 (5.3%). When 29 patients with definite IPF features were added to the patients with CPFE, the total number of IPF patients reached 150 (50%). Rate of male sex (p<0.001), smoking history (p<0.001), and the presence of clubbing (p=0.001) were significantly high in patients with IPE None of the women <50 years and none of the men <50 years of age without a smoking history were diagnosed with IPE Presence of at least 1 of the symptoms suggestive of CTD, erythrocyte sedimentation rate (ESR), and antinuclear antibody (FANA) positivity rates were significantly higher in the non-IPF group (p<0.001, p=0.029, p=0.009, respectively). CONCLUSION: The rate of IPF among patients with fibrotic ILD was 50%. In the differential diagnosis of IPF, sex, smoking habits, and the presence of clubbing are important. The presence of symptoms related to CTD, ESR elevation, and EANA positivity reduce the likelihood of IPF
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