A PEDIATRIC CASE WITH CUTANEOUS LEISHMANIASIS

Leishmaniasis bazı kum sinekleri ile taşınan parazitik bir hastalıktır. Leishmania türleriintrasellüler yerleşim göstererek farklı klinik tablolar oluşturlar. Bunlar kutanöz, visseral vemukokutanöz leishmaniasis olarak adlandırılır. Dünyanın bir çok bölgesinde endemikenfeksiyon yapar. Kutanöz leishmaniasis, Türkiye\'nin batı ve güneydoğu bölgelerinde endemikolarak görülmektedir. Kliniği, parazit ve konak ile ilgili çeşitli faktörlere bağlı olarakoldukça farklılık gösterebilmektedir.Burada hastanemize başvurusundan iki yıl önce yüz bölgesinde ülseratif lezyonları ortayaçıkan ve lezyondan yapılan direk yaymalarında leishmania amastigotları görülen iki buçukyaşındaki erkek hastayı sunduk.Leishmaniasis is a parasitic disease that is transmitted through a bite of some species ofsandflies. It is caused by obliged intra-cellular protozoa of the genus Leishmania and isresponsible for a broad spectrum of clinical syndromes: cutaneous leishmaniasis, visceralleishmaniasis and mucocutaneous leishmaniasis. Leishmaniasis is an endemic infection inmany parts of the world. Cutaneous leishmaniasis is endemic in the western and southeasternparts of Turkey. Its clinical presentations are extremely diverse and dependent on avariety of parasite and host factors.Here we reported two years and six month old male child who had ulcerative lesions on theface that had persisted two years before the admission to our hospital and leishmaniaamostigotes were seen on direct smears prepared from the lesion

LITERATURE SURVEY ABAUT DEMAND FORECASTING IN INDUSTRY

Companies should understand the events correctly and produce appropriate solutions within the framework of a good plan to protect and develop their current situation. For companies, the possibility of surviving is parallel with the accuracy of these predictions in increasing competition environment. According to this idea, demand forecast has vital importance for all companies. The purpose of the forecast is to predict situations companies may face in the future, using different data and techniques and take action in advance. Demand forecasting is to determine the demand level of a product or some products of a company for a specific time in the future. There are many methods used to forecast demand which are critical for companies. İn this study, explained demand forecasting methods and made literature survey

Mengen aşçılığı ve Mengen Aşçılık ve Turizm Festivali (1981-2015)

Ankara : İhsan Doğramacı Bilkent Üniversitesi İktisadi, İdari ve Sosyal Bilimler Fakültesi, Tarih Bölümü, 2016.This work is a student project of the The Department of History, Faculty of Economics, Administrative and Social Sciences, İhsan Doğramacı Bilkent University.by Yiğit, Aslı

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)