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Mobbing and Suicide: A Case Study on Suicide Incidents in Turkey
Full text linkThe frequency and persistence of mobbing behavior, which can occur in all professional groups and organizations, has devastating effects on the victim and in some cases leads to suicide. In this study, the characteristics of the individuals who committed suicide due to workplace mobbing and how they experienced this situation was examined through newspaper news on the internet. Case study, which is a qualitative research approach, was used as the research design. Descriptive content analysis was performed in order to analyse the data. The analyses were made after news about suicide incidents in Turkey were found on the internet by typing "mobbing and suicide". 12 of these suicide cases were associated with mobbing by researchers. These cases were examined in terms of variables such as gender, age, profession, type of suicide, suicide note, psychiatric treatment, mobbing claim and type of mobbing. As a result of the analysis, a relationship was found between mobbing and suicide. It has been determined that the majority of those who commit suicide due to mobbing are women and the age range where suicides occur most frequently is the 25-34 age range. It has been found that the majority of those who commit suicide are single. It has been claimed that the professional group in which suicides occur most frequently is doctors and the most common form of suicide is jumping from a height. It has been determined that some of those who committed suicide received psychiatric treatment. It has been observed that almost half of those who committed suicide left a suicide note. The most common forms of mobbing are It has been revealed that these are threats, work pressure, humiliation, isolation, disregard, gossip, slander, interference with lifestyle, arbitrary practices, obstruction of professional advancement and physical violence
The Id, Ego and Superego in Shakespeare's "A Midsummer Night’s Dream"
Full text linkDealing with human nature, literature is considered to be intertwined with the science of psychology. Psychoanalysis is a method of descending to the unconscious sources of desires, instincts and thoughts and bringing conflicts to the consciousness. Sigmund Freud previously divides the human personality into two systems as unconscious and conscious; however, he then reaches the distinction between ‘id’, ‘ego’ and ‘superego’. While the id works in accordance with instincts, the superego pays regard to morality, but the ego tries to equalize these requests with the reality of the outside world under appropriate conditions. This study aims to analyze the psychological attitudes underlying the behaviors of the characters in William Shakespeare’s "A Midsummer Night’s Dream" through the Freudian concepts of id, ego and superego. Shakespeare changes spaces from society (reality) to nature (dream) in order to arrive at comedy. The Athenians Theseus and Hippolyta are doubled with their fairy counterparts Oberon and Titania, and this doubling offers that the forest in the play is the dreamscape of Athens in which suppressed personalities can emerge. There is reality in daytime and Theseus and Egeus are controlled by the superego in the society. Here, the male-dominant world causes unhappiness to Lysander and Hermia through oppression. There is dream in night-time and the characters are surrounded by the id in the forest. Here, the male-dominant world causes happiness through wish-fulfilment. There is a struggle within all the lovers between the patriarchal superego and the primitive id. The use of psychoanalytic theory in drama is put forward to help readers appreciate this literary text from a different aspect
Diyarbakır Camileri Süsleme Programında Kakma Tekniği
No full textDiyarbakır Camileri Süsleme Programında Kakma Tekniği
The predictive effect of shock index on mortality in patients with acute heart failure
Full text linkBackground: The predictive usefulness of the shock index (SI), which is determined as a proportion of
heart rate (HR) to systolic blood pressure (SBP), and age-adjusted SI (SI × age) for clinical outcomes other
than mortality in acute heart failure (AHF) is not well established. This research aimed to examine whether
SI and SI × age measured non-invasively at a patient’s bedside can identify mortality risk in patients admitted
to the coronary care unit (CCU) with AHF.
Methods: This research was carried out as a retrospective case-control study. Indices were calculated. The
receiving operating characteristic (ROC) and Youden index were applied to calculate the optimal SI and SI
× age cut-off for estimating mortality. Using multivariate analysis to determine independent indicators of
mortality in patients with AHF.
Results: A total of 1,468 patients who were hospitalized at the CCU with AHF were included. The
population’s median age was 81 (73–91) years and 53.7% were male. In the survivor group, the median SI
was 0.6 (0.5–0.75), and the median SI × age was 46 (38–58). In the non-survivor group, the median SI was
0.62 (0.55–0.81) and the median SI × age was 53 (44–66). According to the Youden index, the best value of
SI was 0.56 with a specificity of 46% and a sensitivity of 70%, and the best value of SI × age was 44.8 with
a specificity of 48% and a sensitivity of 76%. In the multivariate analysis, the power of SI × age to predict
mortality was 2.39 times greater than other independent predictors.
Conclusions: SI and SI × age calculated in the CCU may be valuable prognostic markers for identifying
AHF patients at high risk for adverse outcomes
Evaluation of Emergency Care Services During COVID-19 Pandemic: Healthcare Staff Perspectives
Full text linkBackground: Emergency Departments (EDs) are critical and vital in the healthcare system. The
main aim of EDs is to provide healthcare in the shortest time, fast and with high quality. Therefore,
the services provided in the EDs should be well organized, carried out carefully and provided in good
conditions. However, in the current situation, EDs are in a difficult situation both in Turkey and in
the world because of COVID-19 pandemic which had significant negative effects on the EDs. ED
healthcare staff are facing an enormous mental burden as well as physical exertion when caring for
patients potentially infected with COVID-19. There is limited literature regarding the psychological
effects of this type of disease outbreak on healthcare staff.
Aim: This study aimed to investigate the experiences of ED healthcare staff regarding the emergency
care services during the COVID-19 pandemic.
Methods: This study utilised cross-sectional design. The data were collected from the 256 ED
healthcare staff working in nine different hospitals located in Mardin, Turkey between 15/05/2021 and
15/08/2021. The data were analysed using descriptive statistics by using SPSS.
Results: 256 participants were included in the study. 58.6% of participants were nurses, 19.5% of
them were general practitioners and 21.9% of them were emergency medical technicians. 67.2% of
participants infected with COVID-19 and almost all of them (94.1%) have been psychologically affected
by the pandemic process. It was determined that nurses were separated from their families at the highest
rate (78%) during this period.
Conclusion: More than half of the ED healthcare staff have had problems accessing protective
equipment, and have been separated from their families during the pandemic due to the risk of COVID-19
transmission. Although the number of ED visits decreased due to restrictions at the beginning of the
pandemic, ED visits increased again with the abolition of restrictions
Investigation of Blood Natural Killer Cell Activity in Normozoospermic Fertile, Oligozoospermic, Severe-Oligozoospermic, Oligoastenoz
Full text linkGiriş: İnfertilite çiftleri ve toplumu birçok açıdan olumsuz etkileyen ve gittikçe yaygınlaşan bir sağlık problemidir. Bu
problemlerin %30-40’ının erkek kaynaklı olduğu tahmin edilmektedir.
Amaç: Farklı derecelerde infertilite problemi olan erkek bireyler ile normal sperm sayısı ve konsantrasyonuna sahip
bireylerde (normozoospermi) doğal öldürücü (Natural Killer: NK) hücre aktivitesinin değişip değişmediğinin belirlenmesi
amaçlanmıştır.
Gereç ve Yöntem: Sperma analizleri sonucu oligozoospermi, şiddetli-oligozoospermi, oligoastenoozospermi, azoospermi
ve idiopatik olduğu belirlenen bireyler ile normozoospermi teşhisi konan bireylerden (n:120) alınan kan numunelerinden
NK hücre aktiviteleri ölçüldü.
Bulgular: Yapılan ölçümler sonucunda normozoospermi grubu en düşük değer (544.46 pg/ml) alırken şiddetli
oligozoospermi grubundan en yüksek değer (1005.90 pg/ml) alınmıştır. NK hücre aktivitesi ise oligozoospermi,
oligoastenozoospermi, azoospermi ve idiyopatik gruplarda sırasıyla 797.60 ± 428.55 pg/ml, 905.34 ± 430.60 pg/ml, 757.66
± 541.16 pg/ml ve 639.44 ± 385.50 pg/ml olarak ölçüldü. Şiddetli oligozoospermi grubu ile diğer gruplar arasında NK
aktivitesi farkı önemli (p0.05).
Sonuç: İnfertilite derecesi şiddetli oligozoospermi olan bireylerde NK hücre aktivitesinin normozoospermi, oligozoospermi,
oligoastenozoospermi, azoospermi ve idiopatik gruplarından daha yüksek olduğu belirlenmiştir.Introduction: Infertility is a health problem that negatively affects couples and society in many ways and is becoming
increasingly common. It is estimated that 30-40% of these problems are caused by men.
Aim: It was aimed to determine whether natural killer (Natural Killer: NK) cell activity changes in male individuals with
different degrees of infertility problems and in individuals with normal sperm count and concentration (normozoospermia).
Materials and methods: NK cell activities were measured from blood samples taken from individuals who were determined
to be oligozoospermia, severe-oligozoospermia, oligoastenoozospermia, azoospermia and idiopathic as a result of semen
analysis with from individuals diagnosed normozoospermia (n:120).
Results: NK cell activity in blood was observed as the lowest in normozoospermia (544.46 pg/ml), but the highest value
measured in severe oligozoospermia group (1005.90 pg/ml). On the other hand, NK cell activity was measured 797.60 ±
428.55 pg/ml, 905.34 ± 430.60 pg/ml, 757.66 ± 541.16 pg/ml and 639.44 ± 385.50 pg/ml in oligozoospermia,
oligoastenozoospermia, azoospermia and idiopathic groups respectively. While the difference in NK activity between the
severe oligozospermia group and the other groups was significant (p<0.05), the differences between the other groups were
not significant (p >0.05).
Conclusion: It was determined that NK cell activity was higher in individuals with severe oligozoospermia than
normozoospermia, oligozoospermia, oligoastenozoospermia, azoospermia and idiopathic individuals
Anesthesia in Common Pediatric Congenital Syndromes
Full text linkKonjenital sendromlu çocuk hastalar nadir hastalıklar olsa da uzmanlık eğitimi aldığımız sağlık kuruluşlarında bu hasta grubu ile karşılaşmaktayız. Konjenital sendromlu çocuklarda anestezi açısından önemli birçok özellik bulunabilir. Zor hava yolu sıklığında artış, hipertansiyon, subglottik stenoz, obstrüktif uyku apnesi, epilepsi sıklığında artış gibi anestezi yönetiminde önemli özellikleri olabilir. Konjetinal sendromlu çocuklarda anestezi yönetimi özellikli ve zorlu olabileceğinden preoperatif dönemden başlayarak hazırlıklı olunmalıdır
An Empirical Investigation on Growth and Institutional Structure Relations in Central Asian and Caucasian Countries
Full text linkWhether economic and political institutions have an impact on countries’ economic growth performances is one of the important research topics discussed in the literature. Former socialist Central Asian and Caucasian countries trying to adapt into market economy have not yet completed their transition processes, but they have managed to grow their economies in comparison to previous periods. The aim of this study is to analyse the relationship between the growth performances and institutional structures of the Central Asian and Caucasian countries of Azerbaijan, Armenia, Georgia, Kazakhstan, Kyrgyzstan
and Tajikistan between the years 2000-2018 by using the decision variables of civil rights, economic freedom, political stability,rule of law and GDP per capita. According to the analysis results obtained via Grey Relational Analysis method by assigning equal importance to all variables, Kazakhstan is found to be the highest-ranking country among all examined countries for all periods. The authoritarian tendencies that these countries have shown during their market economy transitions with regards to matters related to institutional structure have been found to be the reason why countries’ economic efforts have failed to
yield results
COVID-19 Pandemisi Türkiye’nin Yeşil Büyüme Göstergeleri Bakımından OECD Karşısındaki Performansını Değiştirdi mi?
No full textPandemiler başta politik, ekonomik, sosyal, kültürel ve çevresel olmak üzere pek çok açıdan toplumların değişim sergilemelerine neden olmaktadırlar. Bu değişimlerin muhtemel etkileri üretim ve tüketimin gerilemesi, gelirin azalması, işsizliğin artması, ticaretin düşmesi, enerji talebi ve çevre kirliliğinin azalmasıdır. COVID-19 pandemisi de küresel ekonomiyi anlamlı bir şekilde etkilemiştir. Ülkeler, gelişmişlik düzeylerine göre bu gelişmelerden farklı şekilde etkilenmiştir. COVID-19 pandemisi Türkiye ekonomisini de etkilemeye devam etmektedir. Bu çalışmanın amacı, COVID-19 pandemisinin Türkiye’nin OECD karşısındaki yeşil büyüme performansında bir etkiye yol açıp açmadığını kümeleme analizi uygulayarak belirlemektir. 46 yeşil büyüme göstergesi kullanılarak uygulanan kümeleme analizi bulguları, Türkiye’nin dahil olduğu ülke grubunun COVID-19 pandemisi sonrasında değiştiğini göstermiştir. Türkiye pandemi öncesinde Şili ve Kolombiya gibi ülkeler ile aynı grupta yer alırken, pandemi sonrasında çevresel kalitenin iyileştirilmesine katkı sunan önemli yenilenebilir enerji potansiyeline sahip Danimarka, İsveç, Norveç, Avustralya, Lüksemburg ve Finlandiya gibi ülkeler ile aynı grupta yer almaya başlamıştır