A Comparison of Clinical and Radiological Outcomes of Different Anatomical Regions Plate osteosynthesis in Cats with Body of Ilium Fractures

Pelvis fractures in cats are one of the most common orthopedic problems that cause serious injuries. Pelvic fractures are between 20-32% out of all fractures in cats. Os Ilium fractures constitute 18-46% of pelvic fractures. In the presented study, the post-operative clinical and radiological results of placing the plate on the dorsal, ventral and lateral of the corpus ossis ilii in cats with os ilium fractures were evaluated.Twenty three cats (different races, ages and sex) with corpus ossis ilium and multiple fractures (sacro-iliac joint luxation, acetabulum fractures, os ischium fractures) were used as a materials. Anamnesis, clinical and neurological examinations of patients were taken and 3 groups were formed for this study. Group 1; In 7 cases, the plate was placed in the dorsal of the body of ilium, in group 2, 7 cases in the lateral of body of ilium and in Group 3; in 6 cases, in the ventral of the body of ilium. Operations were performed under general anesthesia. LC-DCP plate or reconstruction plates were used for fixation. There was no narrowing in the pelvic canal and no screw loosening in cases applied dorsally and ventrally. In 6 (85.7%) of 7 cases, there was no narrowing in the pelvic canal in lateral application. Only one case had problem. Recovery rate (85.7%) in all cases.In conclusion, in cases of os ilium fracture in cats, no difference was observed between the clinical and radiological (narrowing in the pelvic canal) results of placing LC-DCP or reconstruction plates on the dorsal, lateral and ventral of the bone in the post-operative period. Thus, screw loosening did not occur. But, case selection is important in the lateral, dorsal or ventral application of the plate in os ilium fractures. If the surgical intervention has passed 5-6 days, double plate application provides a better prognosis. Dorsale plate application provides ease of manipulation when compared to ventral application. Also, if the fracture line close to the acetabulum, lateral application should be preferred

The Factors Affecting the Organizational Silence of the Nurses And The Other Clinical-care Providers in Turkey,

The organizational silence of nurses, midwives, and health-care assistants who play a key role to establish the communication in the health-care team is relatively more significant when compared to other occupations. The results of organizational silence can be examined in organizational, individual and social scale. The purpose of this study is to find out the reasons of organizational silence and the relations among these reasons. In the scope of analysis, descriptive statistcs, reliability analysis, correlation analysis, ANOVA analysis and Regression analyses have been used by using PASW 18.0 package software to analyze the data gathered from 256 nurses, midwives and health-care assistants in a university hospital. In this study it has been found out that the organizational silence reasons differ according to age, education status, working year, occupation, working department and gender. It has also been determined that the administrative and organizational reasons, the fears related to work, the lack of experience, the fear of isolation and the fear of disturbing relations differ according to demographical variables. Since there is generally not a compensantion for a mistake in health-care service, to remove the damages of the reasons of organizational silence in health-care sector which is relatively more significant than the other sectors is possible when the necessary precautions are taken and the reasons are identified correctly. The relations, similarities and the differences among the sectors can be presented, if the organizational silence studies both in health-care sector and in different sectors are carried out more

Health Tourısm In Turkey And Practıcal Example Of Its Economıc Dımensıons,

Turkey has made significant progress in health tourism within the last 20 years and began to compete with the most successful countries in health tourism. Also, the income obtained from health tourism has an important impact on the income obtained in health sector in Turkey and makes great contribution to the economy. This study aims to investigate the place of health tourism in health sector and its impacts on it. Within this context, various statistical data regarding the spending on health and health tourism between 2004-2013 was used. The data obtain from TUIK (Turkish Statistical Institute) was analysed via PASW Statistics 18 (SPSS-Statistical Package for Social Sciences) package program. Within the scope of the analysis, frequency tables and regression tests were used. The research findings illustrated that private hospitals were preferred more in health tourism, Germany, Bulgaria and Iraq are among the countries that send most health tourists, service is obtained more in other branches and eye and oncology fields and health tourism income is affected by the number of the tourists. The results of the study indicated that foreigners make up 70% of total health tourists in 2013, the rate of health spending in health tourism is 2.3% and health tourism income increased total heath income significantly

Sağlık Pazarlaması Ve Uygulamaları,

Özel alanda sağlık sektöründeki gelişmeler ve özel sağlık kuruluşlarının hızla artması beraberinde artan rekabet ve maliyetler, müşteri memnuniyeti, kaliteli hizmet talepleri vb. nedenlerle sağlık sektöründe pazarlama faaliyetleri her geçen gün daha da önem kazanmaktadır. Bu bağlamda pazarlama anlayışı kapsamında hizmet kalitesi ve sağlık turizmine yönelik olarak katılımcılara 35 sorudan oluşan anket uygulanmıştır. Araştırma Denizli, Ankara, Afyon ve İstanbul ili kapsamında 892 katılımcı ile gerçekleştirilmiştir. araştırmada kullanılan anketin güvenirlik katsayısı 0.896 olarak bulunmuştur. Araştırmadan elde edilen verilerin analizinde SPSS 18 İstatistik programı kullanılmıştır. Analiz kapsamında, güvenilirlik analizi, frekans tabloları, betimleyici istatistikler, Korelasyon analizlerinden faydalanılmıştır. Araştırma sonunda, katılımcıların Türk sağlık turizmine ilişkin görüşleri, alınan hizmet ve tesis fiyatlandırması, sağlık kurumlarının hijyen ve genel özellikleri ile genel bilgi ve görüşler faktörleri arasında cinsiyet, milliyet, hizmet tipi, ülke ve gelire göre orta ve kuvvetli düzeyde pozitif yönlü ilişki bulunmuştur

Kamu Ve Özel Sağlık Kurumlarında Çalışan Personelin Ücret Beklenti Düzeylerinin Uygulamalı Örneği,

Günümüzde daha kaliteli, etkin, verimli ve sürekli bir sağlık hizmeti sunumunda sağlık kurumu çalışanlarının kurum amaçları doğrultusunda etkin ve verimli bir biçimde organize edilmeleri gerekmektedir. İyi bir personel yönetimine sahip kurumlar çalışanlarının özelliklerini ve beklentilerini değerlendirerek bu yönde tedbirler almalı ve iyileştirmelerde bulunmalıdırlar. Sağlık kurumlarında hem iş doyumu hem de örgütsel bağlılığın artmasında çalışanların beklentilerinin karşılanması ve uygun çalışma koşulları göz ardı edilmemesi gereken bir konudur. Özellikle İş doyumunu etkileyen çevresel ve örgütsel faktörlerden biride ücret-maaş faktörüdür. Çalışanların ücret yönünden tatmin edilmelerinin iş doyumunu artıracağı söylenebilir. Bu çalışmada katılımcı görüşleri doğrultusunda başta ücrete yönelik olmak üzere çalışma koşullarının kalite ve yeterliliği, iş değişikliği ve ücretle ilişkili olarak sosyal hayattaki olumsuzluk konularına dair genel bir durum değerlendirmesi yapılması amaçlanmıştır. Bu bağlamda araştırmaya rast gele yöntemle seçilmiş toplam 1350 özel ve kamu sağlık kurumlarında çalışan sağlık personeli katılım sağlamıştır. Araştırma Türkiye evreni içerisinde İstanbul, İzmir, Bursa, Ankara, Diyarbakır, Trabzon, Tekirdağ, Adana, Edirne ve Çorum illeri örneklemi çerçevesinde gerçekleştirilmiştir. Araştırmada 5’li likert ölçekten oluşan 30 soruluk bir anket kullanılmıştır. Kullanılan anketin Cronbach’s Alpha değeri 0.872 bulunmuştur. Analize tabi tutulan veriler SPSS 18 İstatistik programı ile analiz edilmiştir. Analiz kapsamında, güvenilirlik analizi, frekans tabloları, betimleyici istatistikler, faktör analizi ve Kruskal Wallis analizlerinden faydalanılmıştır. Araştırma sonunda, katılımcıların cinsiyet, yaş, eğitim, iş tecrübesi ve kurumdaki konum değişkenlerine göre çalışma koşulları, iş değişimi, ücret ve gelir düzeyinin sosyal hayattaki olumsuz etkileri boyutlarında etkili olduğu, kurum tipi değişkeninin ise sadece çalışma koşuları boyutunda etkili olduğu saptanmıştır

Physical Education and Sports of High School Students’ Habits of Shopping on Facebook,

Originally intended to serve as a social communication tool, Facebook now offers a variety of services for its users. One of these services is online shopping that we can consider within the framework of social trade concept. These social networks are used for marketing purposes in sports sector and Facebook as one of these social networks enables its users to do online shopping and plays an important role in sports marketing. The study mainly aims at identifying the opinions of Turkish SPTS (physical education and sports of high school) students in their habits of online shopping via Facebook and examining whether these opinions vary according to demographic variables. In this regard, a questionnaire with 3 sections and 34 questions in total was administrated to 788 participants. Following the survey, it was found that majority of the participants use Facebook and their habits of online shopping on Facebook are particularly high. It was also found that students use Facebook more often, and this habit is higher in those with higher education (university and above) than those with lower education. Participants access companies, receive information about products and services, and do shopping via Facebook. Moreover, it was concluded that income status, educational status, age, gender, internet usage level (Facebook) and job status (occupation) were related to users’ perception of advertisement and their purchasing

First report of the recently introduced, destructive powdery mildew Erysiphe corylacearum on hazelnut in Turkey

Hazelnut (Corylus avellana) is Turkey’s most valuable agricultural export, and an essential source of income for many families in the Black Sea Region. In spring 2013, hazelnut leaves, fruit clusters and shoots showing powdery mildew infection symptoms different from those observed previously were discovered in Giresun, Ordu and Trabzon provinces of Turkey. The disease has become epidemic throughout all hazelnut production areas spreading from east to west of the Black Sea Region over the subsequent years. Erysiphe corylacearum was identified as the causal agent of this new and highly destructive powdery mildew based on its morphological characteristics and analyses of DNA sequences of the internal transcribed spacer (ITS) and 28S regions of the ribosomal DNA. Pathogenicity of this species was examined in an infection test and proven for the first time. To our knowledge, this is the first report of E. corylacearum on Corylus avellana worldwide

Replicated evidence that endophenotypic expression of schizophrenia polygenic risk is greater in healthy siblings of patients compared to controls, suggesting gene-environment interaction. The EUGEI study

Background First-degree relatives of patients with psychotic disorder have higher levels of polygenic risk (PRS) for schizophrenia and higher levels of intermediate phenotypes. Methods We conducted, using two different samples for discovery (n = 336 controls and 649 siblings of patients with psychotic disorder) and replication (n = 1208 controls and 1106 siblings), an analysis of association between PRS on the one hand and psychopathological and cognitive intermediate phenotypes of schizophrenia on the other in a sample at average genetic risk (healthy controls) and a sample at higher than average risk (healthy siblings of patients). Two subthreshold psychosis phenotypes, as well as a standardised measure of cognitive ability, based on a short version of the WAIS-III short form, were used. In addition, a measure of jumping to conclusion bias (replication sample only) was tested for association with PRS. Results In both discovery and replication sample, evidence for an association between PRS and subthreshold psychosis phenotypes was observed in the relatives of patients, whereas in the controls no association was observed. Jumping to conclusion bias was similarly only associated with PRS in the sibling group. Cognitive ability was weakly negatively and non-significantly associated with PRS in both the sibling and the control group. Conclusions The degree of endophenotypic expression of schizophrenia polygenic risk depends on having a sibling with psychotic disorder, suggestive of underlying gene–environment interaction. Cognitive biases may better index genetic risk of disorder than traditional measures of neurocognition, which instead may reflect the population distribution of cognitive ability impacting the prognosis of psychotic disorder