12 research outputs found
Sunucu taraflı programlama dillerinde fonksiyonel dil ile nesne tabanlı programlama dillerinin karşılaştırılması
06.03.2018 tarihli ve 30352 sayılı Resmi Gazetede yayımlanan “Yükseköğretim Kanunu İle Bazı Kanun Ve Kanun Hükmünde Kararnamelerde Değişiklik Yapılması Hakkında Kanun” ile 18.06.2018 tarihli “Lisansüstü Tezlerin Elektronik Ortamda Toplanması, Düzenlenmesi ve Erişime Açılmasına İlişkin Yönerge” gereğince tam metin erişime açılmıştır.Internet'in günümüzde neredeyse her alanda kullanılması kaçınılmaz olarak herkesinbu teknolojiye ilgi duymasını sağlamıştır. Özellikle online alışveriş, bankacılık,online rezervasyonlar gibi işlemler çok yaygın kullanılmaktadır. Bu işlemler isegüvenlik gerektiren sunucu taraflı programlama teknolojinin kullanılması ilegerçekleştirilmektedir.Bu çalışmada, yaygın kullanılmakta olan sunucu taraflı programlama dillerininkarşılaştırılması amaçlanmıştır. Fonksionel ve nesne tabanlı dillerinin yaygınkullanımı nedeniyle bu iki tekonolojinin karşılaştırılması tercih edilmiştir. Bu amaçlabir online malzeme stok takip projesi hem PHP hem de JSP teknolojisi iletasarlanmıştır. Her iki ayrı projede yapılan testler sonucunda fonksiyonel ve nesnetabanlı dillerin sunucu üzerinde çalışma performanslarının ölçülmesigerçekleştirilmiştir.xiNowadays, everybody is interested in Internet technology because of Internet isbeing used almost every field. Especially, online purchase, banking, onlinereservations etc. processes is commonly used. To use these processes is requiredserver side programming.In this area, server side programming languages which are commonly used are aimedto compare them. Functional languages and object oriented languages are comparedbecause they are being used in common.An online material stock tracing project was developed using PHP and JSPtechnologies. Each project was tested and the performance of the object oriented andfunctional programming languages have been simulated.xi
The Effect of Transportation Investments on Urban Logistics: Istanbul Sample
This paper defines the term of urban logistics, describes its significance, scope, shareholders, the factors affecting it, as well as the relevant performance criteria. Herein you will also find detailed information about the COST 321, a European Action which is considered as important for the urban logistics sector. This study outlines the urban logistics sector in Turkey, including the current transportation networks of Istanbul, a metropolis which has so far been experiencing an unplanned urbanization. In addition, the article claims that due to its geographical position, industrial opportunities, ever-growing population, connections, and infrastructure, urban transportation has become more of an issue for the city. This study also analyzes endeavors of the last decade that aim to solve these above-mentioned problems, and their impacts. These impacts were analyzed based on the findings about COST 321, and possible logistics solutions were suggested within the study
The Effect of Transportation Investments on Urban Logistics: Istanbul Sample
This paper defines the term of urban logistics, describes its significance, scope, shareholders, the factors affecting it, as well as the relevant performance criteria. Herein you will also find detailed information about the COST 321, a European Action which is considered as important for the urban logistics sector. This study outlines the urban logistics sector in Turkey, including the current transportation networks of Istanbul, a metropolis which has so far been experiencing an unplanned urbanization. In addition, the article claims that due to its geographical position, industrial opportunities, ever-growing population, connections, and infrastructure, urban transportation has become more of an issue for the city. This study also analyzes endeavors of the last decade that aim to solve these above-mentioned problems, and their impacts. These impacts were analyzed based on the findings about COST 321, and possible logistics solutions were suggested within the study
Effect of Prophylactic Antibiotic Use in the Development of Antibiotic Resistance in Children with Recurrent Urinary Tract Infections
Amaç: Tekrarlayan idrar yolu enfeksiyonlarında (İYE) antibiyotik proflaksisi günümüzde tartışmalı da olsa kullanılmaya devam edilmektedir. Biz bu çalışmada, kendi kliniğimizde takip ettiğimiz tekrarlayan İYE'de kullanılan profilaksinin antibiyotik direnç gelişimine etkisinin olup olmadığını gözlemlemeyi amaçladık.Yöntemler: Bu çalışma Bülent Ecevit Üniversitesi Tıp Fakültesi Pediatri Departmanı'nca takip edilen bir ay ile 16 yaş arası tekrarlayan idrar yolu enfeksiyonu olan hastalarda yapılmıştır. Hasta dosyaları retrospektif olarak taranarak antibiyotik proflaksisi alan 50 ve almayan 100 hasta çalışmaya dahil edildi. Hastaların idrar tetkikleri, sonraki kültürlerindeki üremeleri ve bunların antibiyotik dirençleri gruplar arasında karşılaştırıldı. Bulgular:Hastaların %43,3 erkek, %56,7 kızlardan oluşmaktaydı ve ortalama yaşları 42,7±44,2 ay (1 ay-16 yaş) idi. Tüm kültürlerde en sık üreyen bakteri %58,4 ile Escherichia Coli (E. coli) idi. Profilaksi alan ve almayan gruplar arasında kültürde üreyen bakterilerin dağılımı açısından bir fark saptanmadı. Kızlardaki idrar kültürlerinde E. coli görülme oranı erkeklerden daha fazlaydı (p<0,001). Her iki grupta idrar kültürlerinde üreyen tüm bakterilerin antibiyotiklere direnci karşılaştırıldığında istatistiksel olarak anlamlı fark görülmedi. Buna karşın profilaksi grubunda idrar kültüründe E. coli üreyenlerde amoksisilin/klavulanik asit, seftriakson ve piperasiline karşı artmış direnç saptandı. Bu fark istatistiksel olarak anlamlı bulundu. Bu çalışmada da en sık antibiyotik direnci %71,9 ile ampisiline karşı gözlendi.Sonuç: Biz bu çalışmada E. coli dışındaki ajanlarda proflaksinin dirence çok katkısının olmadığını gözlemledik. Kendi hastanemizde özellikle proflaksi alan bir çocuk için ampirik tedavide direnç artışı saptanan antibiyotiklerin tercih edilmemesini önermekteyiz.Aim: Although prophylactic antibiotic treatment is still debatable, it is currently in use in recurrent urinary tract infections (UTIs). In the present study, we aimed to observe if prophylactic antibiotic use had any effect on the development of antibiotic resistance in patients with recurrent UTIs who we followed up in our clinic. Methods: The present study was performed on patients aged between one month and 16 years, who had recurrent UTIs, and were followed up by the Department of Pediatrics at Bülent Ecevit University Medical School. Patient files were retrospectively reviewed, and 50 patients who received antibiotic prophylaxis and 100 patients without prophylaxis were enrolled in the study. Urinary tests, subsequent urinary culture results, and antibiotic resistances were compared between the groups. Results: The mean age was 42.7±44.2 months. The most frequently cultured isolated bacterium was Escherichia coli (E. coli) (58.4%). No difference was determined in bacteria in cultures between prophylaxis receivers and non-receivers. Isolation rate of E. coli was higher in urinary cultures in females than in males (p<0.001). When antibiotic resistance of all urinary culture-isolated bacteria was compared between the two groups, there was no statistically significant difference. However, an increased resistance against amoxicillin/clavulanic acid, ceftriaxone, and piperacillin was determined in prophylaxis group in whom E. coli was grown. In this study, general antibiotic resistance was most frequently observed against ampicillin (71.9%). Conclusion: In the present study, we observed that prophylaxis did not contribute so much to resistance other than E. coli. We recommend not preferring antibiotics which have increased resistance in our institution especially in children receiving prophylaxis for empirical treatment
The Profile and Management of Glaucoma in Adult Aphakic Patients Following Complicated Cataract Surgery
Objectives: To determine the profile and clinical course of glaucoma in adult aphakic patients following complicated cataract surgery.
Materials and Methods: Retrospective chart review of 22 adult aphakic patients (29 eyes) with glaucoma.
Results: Mean age was 57.69±14.18 years when aphakia occurred. Mean age at time of presentation to our glaucoma clinic was 62.57±12.47 years. Mean follow-up time was 42.83±57.04 months. Changes between the first and last follow-up visits were as follows: mean intraocular pressure decreased from 26.21±13.86 mmHg to 18.14±9.63 mmHg (p=0.003); mean number of glaucoma medications used increased from 1.41±1.27 to 2.07±1.04 (p=0.005); and mean vertical cup/disc ratio increased from 0.69±0.25 to 0.78±0.24 (p=0.024). Glaucoma was managed using medications in 26 eyes (89.7%), whereas 3 eyes underwent surgical treatment. However, surgery alone was not sufficient to control intraocular pressure and additional glaucoma medications were needed.
Conclusion: Prevention of glaucomatous optic neuropathy in aphakic patients is challenging both medically and surgically. Although a significant decrease in intraocular pressure can be achieved with glaucoma medications, glaucomatous disc changes may progress
Post-thoracotomy pain relief with subpleural analgesia or thoracic epidural analgesia: randomized clinical trial
ABSTRACT CONTEXT AND OBJECTIVE: Post-thoracotomy pain is a severe and intense pain caused by trauma to ribs, muscles and peripheral nerves. The current study aimed to compare subpleural analgesia (SPA) with thoracic epidural analgesia (TEA) in patients undergoing thoracotomy. DESIGN AND SETTING: Randomized study at Ankara Numune Education and Research Hospital, in Turkey. METHODS: Thirty patients presenting American Society of Anesthesiologists physical status I-III were scheduled for elective diagnostic thoracotomy. The patients were randomized to receive either patient-controlled SPA or patient-controlled TEA for post-thoracotomy pain control over a 24-hour period. The two groups received a mixture of 3 µg/ml fentanyl along with 0.05% bupivacaine solution through a patient-controlled analgesia pump. Rescue analgesia was administered intravenously, consisting of 100 mg tramadol in both groups. A visual analogue scale was used to assess pain at rest and during coughing over the course of 24 hours postoperatively. RESULTS: In the SPA group, all the patients required rescue analgesia, and five patients (33%) required rescue analgesia in the TEA group (P < 0.05). Patients who received subpleural analgesia exhibited higher visual analogue scores at rest and on coughing than patients who received thoracic epidural analgesia. None of the patients had any side-effects postoperatively, such as hypotension or respiratory depression. CONCLUSION: Thoracic epidural analgesia is superior to subpleural analgesia for relieving post-thoracotomy pain. We suggest that studies on effective drug dosages for providing subpleural analgesia are necessary