CONTRIBUTIONS OF THE MANAGEMENT SKILLS OF MANAGERS TO ORGANIZATIONAL CLIMATE ACCORDING TO THE OPINIONS OF EMPLOYEES WORKING IN DIRECTORATE OF YOUTH SERVICES AND PROVINCIAL DIRECTORATE OF YOUTH AND SPORTS

This study was conducted in order to reveal the effects of management skills of managers to organizational climate, according to the opinions of employees working in the Directorate of Youth Services and Provincial Directorate of Youth and Sports. The sample group of the study comprises of 73 randomly chosen employees from five cities (Elazığ: 17 employees, Diyarbakır: 10 employees, Gümüşhane: 14 employees, Isparta: 18 employees and Kırklareli: 14 employees). In order to collect the data for the study, “Contributions of Perceived Management Skills of Managers to Organizational Climate Scale”, which was developed by Akar (2006), was adopted. The Scale form consists of 4 subscales and a total of 30 matters. These are “Job Centeredness”, “Tolerance”, “Close Control” and “Contempt”. In the data analysis, frequency and percentage calculations were used. In terms of the mean points on the scale, determinant statistics, normality analysis, and homogeneity results were examined. Due to the inability of the data to present a normal distribution, in independent pair group comparisons, Mann-Whitney U test of non-parametric tests was adopted while Kruskal-Wallis H test was adopted in multiple group comparisons. The statistical meaningfulness degree Alpha (α) error rate was adopted as p<0.05. The following results were obtained as a result of the mentioned tests: No statistically significant difference was observed according to the sample group’s variables of marital status and educational level. In the “Job Centeredness” subscale of the scale, meaningful differences were observed in the professional seniority (0.041<p) and service time (0.039<p). In the “Tolerance” subscale, meaningful differences were observed in the variables of gender (0.012<p) and professional seniority (0.045<p). Furthermore, in the “Contempt” subscale, meaningful differences were observed in the variable of the place of duty (0.015<p).  Article visualizations

Quality changes of spotless shad during storage at different conditions

KORAL, SERKAN/0000-0001-7424-2481; Kose, Sevim/0000-0001-6029-0458WOS: 000377012900006This study investigates the effect of using ice in combination with refrigeration on the sensory, physico-chemical and microbiological attributes of spotless shad during storage. Spotless shad kept in ice under refrigerated conditions had better sensory, physicochemical and microbiological quality as compared with control groups. the shelf life of samples kept at ambient temperature without ice was 2 days. Using ice and refrigeration only extended the shelf-life for 3 days and 4 days, respectively, while ice application with refrigeration further increased the shelf-life by 10 days. Physico-chemical and microbiological results usually supported sensory values. Histamine values were below EU (European Union) and FDA permitted levels for the shelf-life of fish

Ranolazine improved left ventricular diastolic functions and ventricular repolarization indexes in patients with coronary slow flow

IntroductionCoronary slow flow (CSF) is a condition commonly encountered during angiography. Recent studies have shown the adverse effects of CSF on left ventricular diastolic functions. CSF reportedly increases the novel ventricular repolarization parameters. Ranolazine is a preparation with a prominent anti-anginal activity that has positive effects on anti-arrhythmic and diastolic parameters. In this context, this study was carried out to investigate the effects of ranolazine on left ventricular diastolic functions and repolarization in patients with CSF.Material and methodsForty-six patients with CSF and 29 control subjects were included in the patient and control groups, respectively. Both groups received ranolazine for one month and were evaluated using 12–lead electrocardiography, conventional echocardiography, and tissue Doppler imaging at the baseline and after one month of ranolazine treatment.ResultsCorrected P, QT dispersion, and Tp-e interval values were significantly higher in the patient group than in the control group. There was a significant decrease in isovolumic relaxation time (IVRT) and deceleration time (DT) values after the ranolazine treatment compared to the baseline values in the patient group but not the control group. A significant increase was observed in the mean E and A velocities and the mean E/A ratio after the ranolazine treatment compared to the baseline values in the patient group. Additionally, there was a significant difference between the Tp-e interval and corrected P dispersion values measured after the ranolazine treatment compared to the baseline values in the patient group but not in the control group.ConclusionThis study's findings demonstrated that ranolazine positively affected impaired diastolic functions and repolarization parameters, particularly in patients with CSF

Erector spinae plane block vs interscalene brachial plexus block for postoperative analgesia management in patients who underwent shoulder arthroscopy

Background Interscalene brachial plexus block (ISB) is the gold standard method used for postoperative analgesia after arthroscopic shoulder surgery. Ultrasound guided erector spinae plane block (ESPB) is an interfascial plane block. The aim of this study is to compare the analgesic efficacy of ESPB and ISB after shoulder arthroscopy. The primary outcome is the comparison of the perioperative and postoperative opioid consumptions. Methods Sixty patients with ASA score I-II planned for arthroscopic shoulder surgery were included in the study. ESPB was planned in Group ESPB (n = 30), and ISB was planned in Group ISB (n = 30). Intravenous fentanyl patient-controlled analgesia was administered to both groups in the postoperative period. Intraoperative and postoperative opioid and analgesic consumption of both groups, side effects and complications related to opioid use, postoperative pain scores and rescue analgesic use were recorded in the first 48 h postoperatively. Results Pain scores were significantly higher in the ESPB group in the first 4 h postoperatively than in the ISB group (p < 0.05). The total fentanyl consumption and number of patients using rescue analgesics in the postoperative period were significantly higher in the ESPB group (p < 0.05). The incidence of nausea in the postoperative period was significantly higher in the ESPB group (p < 0.05). Conclusions In our study, it was seen that ISB provided more effective analgesia management compared to ESPB in patients underwent shoulder arthroscopy surgery

Türkiye'de koroner yoğun bakım ünitelerindeki hastane içi mortalite (MORCOR-TURK) çalışmasında hasta temel karakteristikleri ve öngördürücüleri

OBJECTIVE: The MORtality in CORonary Care Units in Türkiye (MORCOR-TURK) trial is a national registry evaluating predictors and rates of in-hospital mortality in coronary care unit (CCU) patients in Türkiye. This report describes the baseline demographic characteristics of patients recruited for the MORCOR-TURK trial. METHODS: The study is a multicenter, cross-sectional, prospective national registry that included 50 centers capable of 24-hour CCU service, selected from all seven geographic regions of Türkiye. All consecutive patients admitted to CCUs with cardiovascular emergencies between September 1-30, 2022, were prospectively enrolled. Baseline demographic characteristics, admission diagnoses, laboratory data, and cardiovascular risk factors were recorded. RESULTS: A total of 3,157 patients with a mean age of 65 years (range: 56-73) and 2,087 (66.1%) males were included in the analysis. Patients with arterial hypertension [1,864 patients (59%)], diabetes mellitus (DM) [1,184 (37.5%)], hyperlipidemia [1,120 (35.5%)], and smoking [1,093 (34.6%)] were noted. Non-ST elevation myocardial infarction (NSTEMI) was the leading cause of admission [1,187 patients (37.6%)], followed by ST elevation myocardial infarction (STEMI) in 742 patients (23.5%). Other frequent diagnoses included decompensated heart failure (HF) [339 patients (10.7%)] and arrhythmia [272 patients (8.6%)], respectively. Atrial fibrillation (AF) was the most common pathological rhythm [442 patients (14%)], and chest pain was the most common primary complaint [2,173 patients (68.8%)]. CONCLUSION: The most common admission diagnosis was acute coronary syndrome (ACS), particularly NSTEMI. Hypertension and DM were found to be the two leading risk factors, and AF was the most commonly seen pathological rhythm in all hospitalized patients. These findings may be useful in understanding the characteristics of patients admitted to CCUs and thus in taking precautions to decrease CCU admissions

The relationship of systemic and pulmonary arterial sti̇ffness parameters with HFPEF scores (H2FPEF, HFa-PEFF) and diastolic dysfunction parameters in heart failure patients with preserved ejection fraction

Amaç: Bu çalışmadaki amacımız HFpEF hastalarının rutin kontrolleri esnasında non-invaziv şekilde ekokardiyografik olarak ölçülebilen pulmoner pulse wave transit time (pPTT), pulmoner arteryel sertlik (PAS) ve tansiyon holter cihazıyla bakılabilen aortik sertliğe yönelik parametrelerin; HFpEF skorlamaları (H2FPEF, HFA-PEFF), bu skorlamalar kılavuzluğunda tanı konan HFpEF hastaları ve diyastolik disfonksiyon ile olan ilişkisini ortaya koymaktır. Yöntem: Çalışmamıza merkezimiz kardiyoloji kliniğinde takipli klinik, laboratuvar ve ekokardiyografik olarak tanı konmuş 52 HFpEF hastası ve Kardiyoloji polikliniğine muayene olup kalp yetmezliği olmayan 49 adet kontrol grubu hasta olmak üzere toplam 101 vaka alındı. Ekokardiyografi ile değerlendirme konvansiyonel ekokardiyografi, doku doppler görüntüleme, strain görüntüleme yöntemleriyle yapıldı. HFpEF tanısını destekleyen diyastolik parametreler ve pulmoner arteryel sertliğe yönelik ekokardiyografik parametreler hesaplandı. Aort sertliğine yönelik değerlendirme PWA monitörle yapıldı. Hastaların demografik özellikleri, laboratuar bulguları, pulmoner arteryel parametreleri de içeren ekokardiyografi bulguları ve aort sertliğine yönelik sonuçları kontrol grubuyla karşılaştırıldı. Bulgular: Yaş, cinsiyet, diyabet, hipertansiyon, hiperlipidemi, koroner arter hastalığı ve sigara öyküsünü içeren temel özellikler HFpEF ve kontrol grubu arasında benzerdi. PAS, HFpEF grubunda kontrol grubuna kıyasla daha yüksek (18.4(15.7-21.8) / 14.2(13-16.3),Objective: Our aim in this study is to determine the parameters of pulmonary pulse wave transit time (pPTT), pulmonary arterial stiffness (PAS), and aortic stiffness that can be measured with a blood pressure holter device, which can be measured non-invasively echocardiographically during routine controls of HFpEF patients; HFpEF scores (H2FPEF, HFA-PEFF) are to reveal the relationship between HFpEF patients diagnosed under the guidance of these scores and diastolic dysfunction. Method: A total of 101 cases, 52 HFpEF patients followed up in the cardiology clinic of our center, diagnosed clinically, laboratory and echocardiographically, and 49 control group patients who were examined in the cardiology outpatient clinic and did not have heart failure, were included in our study. Evaluation with echocardiography was performed with conventional echocardiography, tissue Doppler imaging, and strain imaging methods. Diastolic parameters supporting the diagnosis of HFpEF and echocardiographic parameters for pulmonary arterial stiffness were calculated. Evaluation of aortic stiffness was made with a PWA monitor. Demographic characteristics, laboratory findings, echocardiographic findings including pulmonary arterial parameters and results of aortic stiffness were compared with the control group. Results: Baseline features including age, gender, diabetes, hypertension, hyperlipidemia, coronary artery disease, and smoking history were similar between HFpEF and control group. PAS was higher in the HFpEF group compared to the control group (18.4(15.7- 21.8) / 14.2(13-16.3), p<0.001), significantly and positively correlated with the scores in the study group (r:0.35, p<0.001 (H2FPEF) / r:0.55, p<0.001 (HFA-PEFF)). pPTT was found to be higher in the HFpEF group compared to the control group (0.184(0.16-0.21) / 0.13(0.12-0.15), p<0.001), and it was significantly and positively correlated with the scores in the study group (r:0.35, p< 0.001 (H2FPEF) / r:0.66, p<0.001 (HFA-PEFF)). In the PWA monitor recordings for aortic stiffness, it was found that PWV was significantly higher in the HFpEF group than in the control group (9.5±1.9 / 7.7±2.4, p<0.001), and it was significantly and positively correlated with the scores in the study group (r:0.35, p. <0.001 (H2FPEF) / r:0.37, p<0.001 (HFA-PEFF)). vii Conclusion: Pulmonary arterial stiffness, pulmonary pulse wave transit time and aortic stiffness parameters, which can be measured by non-invasive methods, were found to be statistically significantly higher in HFpEF patients. In our study; These parameters, which have been shown to be significant and correlated with many values in H2FPEF and HFAPEFF scoring, are important in that they play a complementary role in the diagnosis of HFpEF and can be used as a predictive value in the diagnosis process

Atypically localized glomus tumor causing anterior interosseous nerve syndrome: A case report

This article presents a 48-year-old male patient who presented with pain in the left forearm and weakness and clumsiness in the left hand of 6 months' duration. Flexor motor strength loss of the thumb and the index finger was present and neurophysiologic tests showed findings compatible with axonal injury in the anterior interosseous nerve (AIN) innervated muscles. Magnetic resonance imaging revealed a space-occupying lesion in the proximal forearm resembling a glomus tumor. Excision of the mass and release of the AIN were performed. Histopathology confirmed a glomus tumor, and the patient remains asymptomatic at 1 year postoperatively. We stress the importance of imaging studies in patients when a suspected secondary nature of nerve entrapment is present. Keywords: Glomus tumor, Anterior interosseous nerve syndrom

Sulfamethizole–2-amino-4,6-dimethoxypyrimidine (1/1)

In the title 1:1 co-crystal, C9H10N4O2S2·C6H9N3O2 [systematic name: 4-amino-N-(5-methyl-1,3,4-thiadiazol-2-yl)benzenesulfonamide–2-amino-4,6-dimethoxypyrimidine (1/1)], the sulfamethazole molecule is found in the form of the imidine tautomer. In the crystal, the components are linked by a pair of N—H...N hydrogen bonds, which generate an R22(8) loop. Further N—H...N and N—H...O hydrogen bonds link the dimers into [100] chains

A rare knee extensor mechanism injury: Vastus intermedius tendon rupture

Introduction: Quadriceps tendon injuries are rare. There is a limited number of studies in the literature, reporting partial quadriceps tendon ruptures. We did not find any study reporting an isolated vastus intermedius tendon injury in the literature. Presentation of case: A 22 years old professional rugby player with the complaints of pain in the right lower limb, decreased range of motion in right knee and a mass in the mid-anterior of the right thigh applied following an overloading on his hyperflexed knee during a rugby match. T2 sequence magnetic resonance images revealed discontinuity in the vastus intermedius tendon and intramuscular hematoma. The patient has been conservatively treated. Discussion: Quadriceps tendon ruptures generally occur after the 4th decade in the presence of degenerative changes. Our case is a young professional rugby player. Isolated vastus intermedius tendon rupture is unusual. Conservative treatment is performed as the intermedius tendon is in the deepest layer of the quadriceps muscle. Conclusion: We report the first case of isolated rupture of the vastus intermedius tendon in the literature and we claim that disorder may be succesfully treated with conservative treatment and adequate physiotheraphy

Simultaneous bilateral correction of genu varum with Smart frame

WOS: 000403656900001PubMed: 28617182Purpose: The aim of this study is to evaluate clinical and radiological results of simultaneous bilateral correction of genu varum with Smart frame. Methods: Between 2011 and 2015, a total of 25 patients (10 females, 15 males) who had bilateral genu varum deformity were operated bilaterally with tibial and fibular osteotomy in the same session, using Smart frame. The mean follow-up period was 28.7 (range, 13-45) months. All patients had bilateral tibial varus deformity. Femoral deformity was corrected in an earlier session in nine patients. Mechanical axis deviation (MAD), mechanical lateral distal femoral angle, mechanical medial proximal tibial angle (mMPTA) and posterior proximal tibial angle (PPTA) were measured preoperatively and postoperatively. Short Form-36 questionnaire was filled by the patients preoperatively and during the last follow-up. Results: The mean preoperative MAD was 37.6 mm (range, 9-98 mm), which improved to 8.4 mm (range, 3-44 mm) postoperatively (p < 0.05). The mean preoperative mMPTA was 76 degrees, which improved to 89 degrees (p < 0.05). The mean preoperative PPTA was 75.5 degrees, which improved to 80.3 (p < 0.05). Ten problems (20%), two obstacles (4%) and no sequelae occurred in 50 legs of 25 patients. Conclusions: In conclusion, Smart frame is an accurate and reliable method for performing bilateral simultaneous deformity correction in patients with bilateral genu varum deformity. It can be applied for various childhood-induced severe tibial deformities such as achondroplasia, rickets, skeletal dysplasia and Blount's disease