Ufuk Universitesi Akademik Acikerisim Sistemi
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Single-step hysteroscopic myomectomy for submucous leiomyoma
No full textObjective: Leiornyomas are most commonly observed benign tumors in the female genital tract. Depending on the size, number, and location, the complete resection of Type 0, 1, and 2 leiomyomas by hysteroscopy can be completed in a single-step or multi-step procedure. The purpose of this study is to document the cases of hysteroscopic myomectomy performed via the resectoscopic technique in the gynecology department of a university hospital. Moreover, we assessed the applicability of single- or multi-step hysteroscopic myomectomy with respect to the diameter of the leiomyoma. Materials and Methods: We retrospectively reviewed the records of hysteroscopic myomectomy performed between 2012 and 2018. According to the diameter of the submucous leiomyomas, we divided 46 patients into 2 groups. Group 1 (n=25) consisted of patients with submucous leiomyomas = 3 cm in diameter. We recorded the number of removed leiomyomas and completed hysteroscopy sessions. Results: Myomectomy was completed by single-step hysteroscopy in all the patients of group 1, whereas eight patients in group 2 needed multiple sessions of hysteroscopy. None of the patients in group 1 had fluid overload; however, two patients in group 2 had mild asymptomatic hyponatremia. Conclusion: The success of hysteroscopic myomectomy depends on the diameter, localization, and number of the leiomyomas. This study revealed that Type 0, 1, and 2 leiomyomas of less than 3 cm can be resected by single-step hysteroscopy. For larger leiomyomas, the possibility of need for further sessions should be shared with the patients
African policy in the reign of AK Party: The process of making policy and mission organizations
No full textTürkiye'nin 2002'de Ak Parti ile birlikte yaşamış olduğu siyasi iktidar değişimi, siyasetin etkide bulunabileceği bütün alanlarda değişimi beraberinde getirmiştir. Bu değişimin gerçekleşmiş olduğu en önemli alanlardan bir tanesi de dış politika olmuştur. Türk dış politikası bu dönemde birçok yeni siyasi değer edinerek farklı coğrafyalarda bulunan siyasi, kültürel ve ekonomik yapılar ile ilişkilerini geliştirmeye başlamış ve bölgesel açılım politikaları gerçekleştirmiştir. Bu açılım politikalarının gerçekleştirildiği ve ilişkilerin eskiye nazaran çok daha ileri bir seviye geldiği önemli bölgelerden bir tanesi de Afrika kıtasıdır. Türkiye, Afrika kıtasında en fazla temsil edilen ülkeler arasında ilk dörtte bulunmakta ve dış politika misyon araçları olan büyükelçilikler, TİKA, Yunus Emre Enstitüsü, Türkiye Maarif Vakfı ve YTB ile birlikte kıtanın tamamında farklı alanlarda çalışmalar yürütmektedir. Bu çalışma Türkiye'nin Afrika politika yapım sürecini 2002 yılından itibaren değişen dış politika perspektifini esas alarak sorgulmakta ve yeni politika perspektifi çerçevesinde oluşan dış misyon kuruluşlarının Kıta'daki faaliyetlerini incelemektedir.The change of political power in 2002 with AK Party in Turkey brought with it changes in all areas where politics could have any impact. One of the most important areas in which these changes were seen was the foreign policy field. In this period, Turkish foreign policy acquired many new political values, and began to develop its relations with political, cultural and economic structures in different geographical areas, realizing regional initiatives. One of the important regions where these initiatives were performed and relations reached a much higher level than before was the African continent. Turkey ranks among the top-four countries that are most represented in the African Continent, and performs activities in different fields throughout the continent together with foreign policy mission instruments such as Embassies, TIKA, Yunus Emre Institute, Turkish Maarif Foundation and YTB. This study investigates the African Policy-making process of Turkey based on the changing foreign policy perspective since 2002, and examines the activities of foreign mission organizations that have been formed within the framework of the new policy perspective in the continent
Sources of stress effects of career management of the employees: An evaluation on the employees of a public agency
No full textÇalışma hayatındaki artan rekabet koşullarının yanı sıra değişen ve gelişen şartlar, kişiler açısından zorluklar yaşamasına ve stresle karşı karşıya kalmasına sebep olmaktadır. Çalışanların verimliliklerini olumsuz yönde etkileyen stres hem çalışanın hem de örgütün veriminde azalmalara sebep olur. Kurumlar ise artan bu rekabet koşullarında sürekliliğini sağlayabilmesi için en önemli kaynaklarından biri olan işgücünü yani insan faktörünü verimli bir şekilde kullanması gerekmektedir. İnsan faktörünü verimli kullanma kariyer yönetimi kavramının önemini artırmaktadır. Bu çalışmada stres kavramının tanımı, kapsamı ve stres kaynakları ile kariyer kavramının tanımı, kapsamı ve kariyer yönetimi üzerinde durulmaya çalışılacaktır. Çalışmanın birinci bölümünde; stresin tanımı, aşamaları, stresin kaynakları(bireysel, örgütsel, Çevresel), stresin sonuçları ve stres yönetimi incelenmiştir. İkinci bölümünde; kariyer kavramının tanımı, kariyer yönetimi, kariyer planlama ve kariyer geliştirme üzerinde durulmuştur. Son bölümde ise stres kaynaklarının seçilen üç kamu kurumu çalışanlarının kariyer yönetimi üzerindeki etkilerini ölçmek amacıyla bir anket çalışması yapılmış ve sonuçları analiz edilerek yorumlanmıştır.Besides the increasing competition conditions in working life, changing and developing conditions cause people to face difficulties and stress. The stress which negatively affects the work of personnel, lead to a reduction in the productivity of both the employee and the organization. In order to ensure continuity in these competitive conditions, the employer must use the human resource whichis the most important sources of employment world. The necessity of using human resource effectively leads us to notion of the carrer management. In this study, the description, content of stress concept, and stress sources, and the definition, scope of career concept and career management will be emphasized. In the first part of the study; it was investigated that definition and stages of stress, stress sources (reasons-individual, organizational, environmental), consequences of stress and stress management. In the second part; it was focused on definition of career concept, career management, career planning and career development. The last part of the study; a survey was conducted to measure the effects of the sources of stress on career management of the employees of three public institutions. To this survey, the results were analyzed and interpreted
Foreign policy practices as Iran's Shia Crescent target
No full textİran olarak bildiğimiz topraklar birçok millete, kavimlere çok çeşitli tarihi sahnelere şahit olmuş olan Ortadoğu'da ki önemli bölgelerden biridir. Bu şahit olunan tarih sahnelerinin, oyunlarının çok köklü değişimlere sebep olan olguları öne çıkan özellikleri ile araştırmak çalışmamızın esasını teşkil etmektedir. Bu çalışma ile İran İslam Devrimi gerçekleşmeden önceki süreci, gerçekleşmesini hızlandıran etkileri ve devrimden sonra oluşan siyasi, toplumsal, askeri yapılarda nasıl bir değişim içine girildiğini göstermek ve bu yapıyı açıklamak amaçlanmıştır. ABD'nin Irak'ı işgal etmesiyle birlikte İran bölgede bulunan Şii nüfuzunu kendi etki alanına toplamak istemiştir. Bununla birlikte İran'ın bu kitleyi kendi dış politika ideolojisi çerçevesinde yönlendirerek bir Şii Hilali oluşturma iddiası gündeme gelmiştir. Fakat iddia edilen bu oluşum ortaya atılan söylemler kadar somut bir durum değildir. Ayrıca Şii Hilali söylemi ile görülen her ne kadar mezhep temelli politikalar ise de bunun yanında esas amacın İran'ın dış politikada Şii nüfuzu üzerinden daha etkin olmasını sağlamak olduğu görülmektedir. Hazırlanan çalışmada nitel araştırma yöntemi kullanılarak; çeşitli literatür taramaları yapılmıştır. Ulusal ve uluslararası kaynaklardan da faydalanılmış olunan bu çalışmada şahsi olarak gözlenmiş olan gelişmeler de eklenmiştir.The lands we know as Iran is one of the important regions in the Middle East, which has witnessed many nations and tribes and various historical scenes. It is essential for our study to investigate the facts of these witnessed history scenes and the events that cause fragrant changes. Again with this study, it is a study created to Show the process before the Iran Islamic Revolution took place, the effects that accelerated its realization, and how the political, social and military structures that emerged after the revolution had been changed and to explain these structure. With the us invasion of Iraq, Iran wanted to gather the Shuf population in the region to its influence. However, Iran's claim to create a Shia Crescent by directing this mass within the framework of its own foreign policy ideology has been raised. However, this alleged formation is not as concrete as the nouns put forward. Also, although there are sectarian-based policies with the Shia Crescent discourse, it is seen that my main goal is to make Iran more effective than the Shia population in foreign policy. Using the qualitetive researc method in the prepared study, I made several literature searches. In this study, which also benefited from national and international sources, the developments observed in person were also added
Is mean platelet volume and inflammatory activity really correlated in patients with ankylosing spondylitis?
Get PDFPosterior fossa epidural hydatid cyst in the adult
Get PDFHydatid cyst is an important parasitic disease especially
in endemic regions. Hydatid cysts are most commonly found in the
liver and lungs and only 1% to 2% of the cysts reach the brain.
Intracranial hydatid cysts are usually supratentorial and majority of
cases are children and young adults. In this case report, a 55-yearold
woman who lives in rural area in Turkey, admitted to our clinic
with severe headache, neck pain, gait disturbance, and vomiting.
Her neurological examination revealed cerebellar ataxia and left
dysmetria. Radiological findings were compatible with hydatid
cyst. On the 3rd of antihelmintic therapy, the patient underwent
suboccipital craniotomy and epidural cyst was excised using Dowling
technique without rupture of the cyst wall. Patient’s symptoms
improved postoperatively. Although hydatid cyst in posterior fossa
is a very rare entity, it should be kept in mind in patients with
intracranial cystic lesions who live in endemic regions
Serum ferritin and vitamin D levels should be evaluated in patients with diffuse hair loss prior to treatment
Get PDFIntroduction: Various factors like physiological and emotional stress, drugs and nutritional deficiencies can result
in hair loss. Results of laboratory tests examining the underlying aetiology of hair loss vary in patients.
Aim: We aimed to compare the serum levels of ferritin, folate, vitamin B12, zinc, thyroid stimulating hormone and
vitamin D in patients complaining of diffuse hair loss and in healthy individuals.
Material and methods: Fifty-four patients with hair loss (47 females, 7 males) and 55 healthy individuals within
the control group (47 females, 8 males) were included in this study. Serum levels of ferritin, folate, vitamin B12, zinc,
thyroid stimulating hormone and 25-hydroxyvitamin D were evaluated in all participants retrospectively.
Results: Serum concentrations of folate, vitamin B12, zinc and thyroid stimulating hormone were similar in the two
groups. However, the mean serum ferritin and 25-hydroxyvitamin D levels were significantly lower in patients with
hair loss than in healthy individuals. The mean serum ferritin levels of the patients and healthy individuals were
14.72 ±10.70 ng/ml and 25.30 ±14.41 ng/ml, respectively. The mean serum 25-hydroxyvitamin D levels of the patients
and healthy individuals were 14.03 ±8.09 ng/ml and 17.01 ±8.59 ng/ml, respectively. Eleven (20.4%) patients had
low serum ferritin levels, while 43 (79.6%) patients had low vitamin D levels.
Conclusions: The results obtained from this study reveal that serum ferritin and 25-hydroxyvitamin D levels are
generally low in patients complaining of hair loss. Therefore, serum ferritin and vitamin D levels should be evaluated
and supplemented prior to treatment in all patients complaining of diffuse hair loss
Epidermal growth factor stimulates rabbit achilles tendon histologically and biomechanically healing
Get PDFBackground. Epidermal Growth Factor (EGF) stimulates epidermis cell growth, proliferation and differentiation in skin regeneration. The aim of this study was to pre-clinically
investigation of the role of EGF in tendon healing.
Methods. One cm defects were created at the right Achilles tendons of 30 New Zealand
White rabbits. Ten rabbits were allocated to one of three groups: Group-1-(Sham) tendon
defect with a gap that was splinted with a non-absorbable suture; Group-2-(EGF +)
tendon defect with a gap that was splinted with a non-absorbable suture and a 25 µg/kg
EGF injection into the defect; Group-3-(Scaffold + EGF) tendon defect was grafted with
a biodegradable, porous Polycaprolactone (PCL) scaffold loaded with 25 µg/kg EGF and
stabilized with a non-absorbable suture. Animals were sacrificed at 8 weeks post-surgery
and Achilles tendon repair and healing status was investigated using histopathologic and
biomechanical analysis methods.
Results. Group-2-(EGF +) had greater adipocyte development (moderate) than Group1-(Sham) and Group-3-(Scaffold + EGF). Group-2-(EGF +) and Group-3-(Scaffold +
EGF) had greater peripheral nerve development (weak) than Group-1-(Sham). Group-2-
(EGF +) had greater vascularization (moderate) than Group-1-(Sham) and Group-3-(Scaffold + EGF). Group-2-(EGF +) had greater collagen Type-III development (moderate) than Group-1-(Sham) and Group-3-(Scaffold + EGF). Group-3-(Scaffold + EGF)
had greater collagen Type-I development (moderate) than Group-1-(Sham) and Group2-(EGF +). Groups did not display statistically significant differences for load to failure
or elongation at failure. Group-2-(EGF +) and Group-3-(Scaffold + EGF) displayed less
stiffness that the control (healthy contralateral Achilles tendon) (p 0.05).
Conclusions. The application of EGF and scaffold displayed superior histological tendon
healing evidence, but there was no significant difference in terms of biomechanics
The role of export credit agencies in export financing and the supports of Turk Eximbank
No full textÜlkelerin gelişmesinde ve büyümesinde ihracatın ne kadar önemli bir etken olduğu gözlemlenmektedir. Özellikle gelişmekte olan ülkelerin büyüme hızlarında ihracatın etkisinin, sağlıklı bir büyüme ve kalkınma için en önemli unsur olduğu saptanmıştır. Türkiye Cumhuriyeti'nin kurulmasıyla birlikte ülkenin hızla kalkınması için iç sanayinin büyümesine önem verilmiş ve korumacı politikalar uygulanmıştır. 24 Ocak 1980 kararlarının alınmasıyla liberal dış ticaret politikası benimsenmiş ve ithal ikameci sanayileşme stratejisi bırakılmıştır. İhracata dayalı dış ticaret politikası uygulamalarının izlenmesiyle ihracat teşvikleri önem kazanmıştır. Türkiye'nin tarihsel gelişiminde ihracatta hızlı bir büyüme elde edilememiştir. Genellikle iç tüketim odaklı büyümeler sebebiyle ihracatın ithalatı karşılama oranı düşük kalmıştır. İthal ikameci politikalar izlense de ithalatın büyüklüğü, ülke için sorun olmaya devam etmiştir. Dünya ticaretinin ve ülke ekonomilerininin hızla büyümesi, korumacı politikalardan uzaklaşılmasını sağlamış ve serbest dış ticaret politikası benimsenmiştir. İhracatın özendirilmesi ve teşvik edilmesi amacıyla 1987 yılında Türk Eximbank kurulmuştur. Türk Eximbank, ihracatın artırılmasını sağlamak için kredi, garanti ve sigorta hizmetleri sunmaya başlamıştır. Çalışmanın amacı, uluslararası ihracat destek kuruluşları bağlamında Türk Eximbank'ın kredi, sigorta ve garanti programlarına geniş bir açıdan bakmaktır.It is obvious that "exportation" plays a crucial role in the development and growth of the countries. Especially for developing countries, the effect of exportation on growth rates stands out for healthy economic growth and development. From the establishment of Turkish Republic, importance has been given to domestic industry's growth for the rapid development of the country and therefore protectionist policies have been applied. With the adoption of January 24, 1980 decisions, liberal foreign trade policy was adopted and the "import substitution for industrialization" strategy was abandoned. Export incentives have gained importance as a result of application of exports-based foreign trade policy. During the historical development of Turkey, rapid growth in exports could not be achieved. Mainly, because of the growth focused on domestic consumption, the import coverage ratio of exports has remained at low levels. Although import substitution policies have been applied, the size of imports have remained as a problem for the country. The rapid growth of world trade and country economies has led to the removal of protectionist policies and free foreign trade policy has been adopted. Türk Eximbank was established in 1987 to encourage and support Turkish exports. Türk Eximbank has begun to offer credit, guarantee and insurance services to increase exports serving as Turkey's official export credit agency. The aim of this study is to look at Türk Eximbank's credit, insurance and guarantee programs from a broad perspective in the context of international export support organizations