Sosyal Medya Kullanımının Kurum Çalışanlarının Olumlu Elektronik Ağızdan Ağıza İletişimine Etkisinin Yol Analizi ile İncelenmesi: Aile ve Sosyal Politikalar Bakanlığında Bir Uygulama

Sosyal medyada kurumlar hakkında yapılan olumlu elektronik ağızdan ağıza iletişim önemli bir değere sahiptir. Sosyal medya kullanan kurum çalışanları bu değerin oluşumunda kurum ve kamusu arasında bir köprü oluşturmaktadır. Bu çalışmanın amacı kurum çalışanlarının sosyal medya kullanımı ile olumlu elektronik ağızdan iletişimi arasındaki ilişkiyi incelemek ve literatüre dayanarak geliştirilen yapısal modeli test etmektir. Araştırma 619 (375 erkek, 244 kadın) Aile ve Sosyal Politikalar Bakanlığı çalışanı ile gerçekleştirilmiştir. Çalışmanın veri toplama araçları Sosyal Medya Kullanım Ölçeği (SMKÖ) ve Olumlu Elektronik Ağızdan Ağıza İletişim Ölçeğidir. Ölçüm modeli oluşturulmadan önce değişkenlerin yapısı test edilmiş ve yapısal eşitlik modeline dahil edilecek kadar verimli olduğu gözlemlenmiştir. Daha sonra önerilen model test edilmiştir. Analiz neticesinde, sosyal medya kullanım uyumunu ölçen Sosyal Uyum ve Duygusal Bağlantı (SUDB) ve Sosyal Rutinlere Uyum (SRU) alt boyutlarının her ikisinin çalışmaya katılan kurum çalışanlarının kurumları hakkında olumlu ağızdan ağıza iletişimleri üzerinde anlamlı ve olumlu bir etkisi olduğu görülmüştür. Kurum içi halkla ilişkiler uygulamalarında bu olumlu etki göz önünde bulundurulmalıdı

The Impact of Hospitalization Time on Major Cardiovascular Event Frequency in Patients with ST-Elevation Myocardial Infarction Over a 6-Month Follow-up

MakaleWOS:000964102000002Aim: The mortality rates related to acute myocardial infarction have significantly decreased recently due to early-period cardiovascular interventions. Some studies have shown that there is no difference in cardiovascular outcomes between the early discharge and the late one. In this study, we planned to investigate the effects of early and late discharge on the frequency of major events in patients treated for acute ST-segment elevation myocardial infarction (STEMI) in our clinic. Methods: Angiography records, demographic characteristics, and laboratory parameters of the patients who were diagnosed with acute STEMI in our clinic between February 2020 and December 2021 were examined. Patients were classified as being in Group 1 (discharge within 48 h) or Group 2 (discharge after 48 h), and rates of recurrent hospitalization, heart failure attacks, cardiovascular events, and death were compared between the two groups. Results: A total of 321 patients were included in our study. There were 129 patients in Group 1 and 192 patients in Group 2. There was no difference between the two Groups in terms of gender, age, or affected coronary vessels. The ejection fraction was lower in the late discharge group (p=0.004). The postoperative ventricular arrhythmia rate was found to be statistically significantly higher in the late discharge group (p=0.046). There was no difference in cardiovascular events between the first and sixth months in either group (p-values of 0.096 and 0.649, respectively). Conclusion: Considering the positive economic and psychosocial effects of early discharge for the patient and physician, when planning the discharge of patients with STEMI, patients with low comorbidity, unaffected ejection fractions, no malignant arrhythmia in their follow-up, and appropriate laboratory parameters can be evaluated for early discharge

İntertrokanterik kırıklarda hangi sınıflandırma sistemi daha kullanışlıdır? AO/ASIF ya da Jensen?

Amaç: Bu çalışmanın amacı AO/ASIF and Jensen sınıflama sistemlerinin gözlemcilerin kendi içindeki (intraobserver) ve gözlemciler arası (interobserver) uyumunu saptamak ve deneyimli ve deneyimsiz ortopedik cerrahlar tarafından uygulandığındaki uyumu kıyaslamaktı. Hastalar ve Yöntemler: Altmış intertrokanterik femur kırığına ait ön-arka ve yan radyografiler, iki gruba (G1, G2) ayrılmış 10 ortopedik cerrah tarafından üçer ay ara ile AO ve Jensen sınıflamaları kullanılarak incelendi ve sınıflandırıldı. Her grupta beş cerrah vardı. Grup 1'dekiler beş yıldan daha az, Grup 2'dekiler 10 yıldan daha fazla deneyimli idiler. İntraobserver ve interobserver varyasyonların belirlenmesinde Kappa istatistiksel analizi kullanıldı. Bulgular: Alt grupları kullanılmadan yapılan AO sınıflaması için intraobserver uyum kappa değeri 0.67 (0.47-0.90), interobserver uyum kappa değeri 0.42 (0.10-0.73) olarak bulundu. Jensen sınıflaması için intraobserver uyum kappa değeri 0.57 (0.35-0.80), interobserver uyum kappa değeri 0.30 (0.10-0.60) olarak bulundu. Altgruplar kullanılarak yapılan AO sınıflama sistemi için intraobserver uyum kappa değeri 0.49 (0.21-0.81) ve interobserver uyum kappa değeri 0.23 (0.09-0.51) olarak bulundu. Sonuç: Bu çalışmada, kullanılan sınıflama sistemlerinin dezavantajlarının olmasına karşın, intertrokanterik kırıklarda alt gruplar kullanılmadan yapılan AO sınıflamasının, Jensen ve alt gruplar kullanılarak yapılan AO sınıflamasına göre daha kullanılabilir olduğu gösterilmiştir.Objectives: The aim of this study was to determine intra- and interobserver reliability of AO/ASIF and Jensen classification systems, and to compare reliability when applied by unexperienced and experienced orthopaedic surgeons. Patients and Methods: The anteroposterior and lateral radiographs of 60 intertrochanteric hip fractures were reviewed and classified by two groups (G1, G2) of orthopaedic surgeons using the AO and Jensen classification systems on two separate occasions three months apart. Each group consisted of five orthopaedic surgeons. Group 1 had less than five years, and group 2 had more than 10 years of experience. Kappa statistical analysis was used for determination of intra- and interobserver variation. Results: For the AO classification system without subgroups, the mean kappa value was 0.67 (range 0.47-0.90) for intraobserver variation and 0.42 (range 0.10-0.73) for interobserver variation. For the Jensen classification, the mean kappa value was 0.57 (range 0.35-0.80) for intraobserver variation and 0.30 (range 0.10-0.60) for interobserver variation. For the AO classification system with subgroups, the mean kappa value was 0.49 (range 0.21-0.81) for intraobserver variation and 0.23 (range 0.09-0.51) for interobserver variation. Conclusion: Although these classification systems have disadvantages, this study suggests that AO system without subgroups is more useful than Jensen and AO system with subgroups to classify intertrochanteric fractures of the proximal femur

Contaminants in Animal Products

Organic and conventional animal products may include residues of veterinary drugs and environmental contaminant. Food contaminants can cause consumer illness such as allergy, immunosuppression, cancer, teratogenicity, mutagenicity and genotoxicity. Therefore, their control is an important issue in terms of public health. In this article, information is given about contaminants such as bacterial, fungal, metal pesticides and veterinary drug that can be found in organic and conventional animal products. In addition, the effects of various cooking and freezing processes on contaminants in animal foods and their legal regulation have been mentioned

Determination of water production functions of silage maize under different irrigation regimes

Pioneer 31Y43 ve Dekalb C-955 mısır çeşitleri ile yapılan bu çalışma 2007-2008 yılları arasında, Adnan Menderes Üniversitesi Ziraat Fakültesi Araştırma ve Uygulama Çiftliğinde yürütülmüştür. Araştırma tesadüf bloklarında bölünmüş parseller deneme desenine göre üç tekerrürlü ve iki faktörlü olarak yürütülmüştür. Denemelerde 3 gün aralıklarında A sınıfı buharlaşma kabından oluşan birikimli buharlaşmanın % 0, % 30, % 70 ve % 100'nün karşılandığı dört su düzeyi incelenmiştir. Uygulanan sulama konuları yeşil ot verimi üzerine etkili olmuştur. Çeşitlere göre mevsimlik bitki su tüketimi 92.3-695 mm arasında değişmiştir. Ortalama yeşil ot verimi ise 1693.8-7028.9 kg/da arasında değişmiştir. En yüksek verim su kısıtı uygulanmayan P konusundan 4 sağlanmıştır. Verim ile mevsimlik su tüketimi arasında ikinci dereceden eşitlikler elde edilmiştir. İki yıllık ortalama değerlere göre, verim tepki etmeni (ky) sırasıyla 0.75 (P31Y43) ve 0.79 (C-955) olarak belirlenmiştir. Sonuç olarak, su kaynağının yeterli olduğu koşullarda sulama suyu ihtiyacının tam karşılandığı P konusunun 4 uygun olacağı; diğer taraftan su kaynağının sınırlı olduğu koşullarda ise P konusunun uygun olacağı sonucuna 3 varılabilir.The study with Pioneer 31Y43 and Dekalb C-955 corn hybrid have been conducted in the fields of the Research and Application Farm of Faculty of Agriculture at Adnan Menderes University, during the years of 2007 and 2008. Experiment was set up out in split plot design with two factors and three replications. In the trials, irrigation water was applied to treatments as 0 %, 30 %, 70 % and 100 % of three days cumulative evaporation from Class A Pan. Water applied in different level influenced forage yields in different manner.. The seasonal evapotranspiration values ranged from 92.3 to 695 mm in the treatments. The average forage yield varied from 1693.8 to 7028.9 ka/da. Highest yield was obtained from the well irrigation treatment P . Significant second order 4 relations were found for forage yield and seasonal evapotranspiration. Yield response factor (ky) value of 0.75 - 0.79 were determined based on averages of two years. As a result, the P treatment (full irrigated) could be used 4 under no water shortage. On the other hand, the P treatment could be used in semiarid regions where irrigation 3 water supplies are limited

Pnömonili sığırlarda miyeloid hücrelerde eksprese edilen mid-regional pro-adrenomedullin ve soluble tetikleyici reseptörün serum düzeyleri

This study aimed to determine the serum levels of two inflammatory biomarkers, named, mid-regional pro-adrenomedullin (MR-Pro ADM) and soluble triggering receptor expressed on myeloid cells (sTREM-1), in cattle diagnosed with pneumonia. For this purpose, 40 patient female cattle, which were aged 2-7 years and displayed coughing, dyspnea, nasal discharge, anorexia and abdominal respiration, and 15 healthy female cattle within the same age range, were evaluated. The diseased cattle underwent clinical and radiological examinations and were sampled for blood prior to receiving treatment. The healthy subjects also underwent clinical examination and were sampled for blood once. Blood samples were used for biochemical and hematological measurements. While the diseased group had higher serum levels of MR-Pro ADM (86.38±6.33), compared to the healthy control group (61.81±4.96); the pneumonic cattle had lower levels of sTREM-1 (75.93±1.86), in comparison to the healthy group (96.55±9.13). In conclusion: MR-Pro ADM and sTREM-1 levels are very important diagnostically in cattle with pneumonia.Bu çalışma, pnömoni tanısı konulan sığırlarda mid-regional pro-adrenomedullin (MR-Pro ADM) ve miyeloid hücrelerde eksprese soluble tetikleyici reseptör olmak üzere iki enflamatuvar biyobelirteç ile bazı biyokimyasal ve hematolojik parametrelerin serum düzeylerinin belirlenmesini amaçladı. Bu amaçla 2-7 yaş arası öksürük, nefes darlığı, burun akıntısı, iştahsızlık ve abdominal solunumu gösteren 40 hasta dişi sığır ve aynı yaş aralığında 15 sağlıklı dişi sığır değerlendirildi. Hasta sığırlar tedavi edilmeden önce klinik ve radyolojik muayenelere tabi tutuldu ve kan örnekleri alındı. Sağlıklı sığırlar ayrıca klinik muayeneye tabi tutuldu ve bir kez kan örnekleri alındı. Kan örnekleri biyokimyasal ve hematolojik ölçümler için kullanıldı. Hasta grupta MR-Pro ADM serum düzeyleri (86,38±6,33) kontrol grubuna (61,81±4,96) göre daha yüksek bulundu. Hasta sığırların sTREM-1 seviyeleri (75,93±1,86) sağlıklı gruba kıyasla (96,55±9,13) karşılaştırıldığında istatistiksel olarak anlamlı düşük bulundu. Sonuç olarak: MR-Pro ADM ve sTREM-1 seviyeleri pnömonili sığırlarda diagnostik açıdan oldukça önemlidir

Foramen Magnum Decompression and Duraplasty is Superior to Only Foramen Magnum Decompression in Chiari Malformation Type 1 Associated with Syringomyelia in Adults

Study DesignRetrospective cohort study.PurposeTo compare surgical results of foramen magnum decompression with and without duraplasty in Chiari malformation type 1 (CM-1) associated syringomyelia (SM).Overview of LiteratureThe optimal surgical treatment of CM-1 associated with SM is unclear.MethodsTwenty-five cases of CM-1 with SM were included. There were 12 patients (48%) in the non-duraplasty group and 13 patients (52%) in the duraplasty group. The rate of improvement, state of postoperative SM size, amount of tonsillar herniation, preoperative symptom duration, complications and reoperation rates were analysed.ResultsThe rate of clinical improvement was significantly higher with duraplasty (84.6%) than without (33.3%, p <0.05). The rate of postoperative syrinx regression was significantly higher in the duraplasty group (84.6%) than in the non-duraplasty group (33.3%, p <0.05). One case in the duraplasty group needed a reoperation compared with five cases in the non-duraplasty group (p =0.059).ConclusionsDuraplasty is superior to non-duraplasty in CM-1 associated with SM despite a slightly higher complication rate

Turner syndrome and associated problems in turkish children: A multicenter study

Objective: Turner syndrome (TS) is a chromosomal disorder caused by complete or partial X chromosome monosomy that manifests various clinical features depending on the karyotype and on the genetic background of affected girls. This study aimed to systematically investigate the key clinical features of TS in relationship to karyotype in a large pediatric Turkish patient population. Methods: Our retrospective study included 842 karyotype-proven TS patients aged 0-18 years who were evaluated in 35 different centers in Turkey in the years 2013-2014. Results: The most common karyotype was 45,X (50.7%), followed by 45,X/46,XX (10.8%), 46,X,i(Xq) (10.1%) and 45,X/46,X,i(Xq) (9.5%). Mean age at diagnosis was 10.2±4.4 years. The most common presenting complaints were short stature and delayed puberty. Among patients diagnosed before age one year, the ratio of karyotype 45,X was significantly higher than that of other karyotype groups. Cardiac defects (bicuspid aortic valve, coarctation of the aorta and aortic stenosi) were the most common congenital anomalies, occurring in 25% of the TS cases. This was followed by urinary system anomalies (horseshoe kidney, double collector duct system and renal rotation) detected in 16.3%. Hashimoto’s thyroiditis was found in 11.1% of patients, gastrointestinal abnormalities in 8.9%, ear nose and throat problems in 22.6%, dermatologic problems in 21.8% and osteoporosis in 15.3%. Learning difficulties and/or psychosocial problems were encountered in 39.1%. Insulin resistance and impaired fasting glucose were detected in 3.4% and 2.2%, respectively. Dyslipidemia prevalence was 11.4%. Conclusion: This comprehensive study systematically evaluated the largest group of karyotype-proven TS girls to date. The karyotype distribution, congenital anomaly and comorbidity profile closely parallel that from other countries and support the need for close medical surveillance of these complex patients throughout their lifespan. © Journal of Clinical Research in Pediatric Endocrinology

A research on teacher professional law on the basis of teachers' rights and freedoms

The “Teaching Profession Law” came into force in February 2022 to regulate the professional rights of teachers. The scope and purpose of this law are to regulate the professional development and career steps of teachers. This research aimed to determine the opinions of teachers about the new law of the profession. It is a descriptive study in survey design. Teachers (379 female, 285 male) from all school types, teaching levels, geographical regions, and seniority participated voluntarily in this study. Teachers think that the new professional law will not improve their rights and increase the prestige of the profession. Teachers think that the new law of professional development is not adequately discussed or discussed based on scientific data. According to teachers, the new professional law does not encourage professional development. Teachers stated that though they generally support the need for such a profession law, the new law should be discussed more opportunities that are promising should be offered to teachers