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Addressing disparities: unmet health needs and its impact on health-related quality of life
No full textThis study focuses on unmet health needs in T & uuml;rkiye and their effects on health-related quality of life. It also aims to examine how cardiovascular diseases influence individuals' quality of life. To achieve these objectives, data from the T & uuml;rkiye Health Surveys, conducted by Turkish Statistical Institute, were analyzed. The study sample of individuals aged 18 and over. After excluding incomplete responses, a total of 70 000 observations were included in the analysis. To assess the quality of life, 15 questions from the surveys were selected based on their compatibility with the EQ-5D-3 L scale. The validity and reliability of these items were tested through factor analysis. Descriptive statistics, t-tests and regression models were used to analyze the data. The findings revealed that unmet health needs significantly reduce health-related quality of life. Individuals who could not access healthcare services due to financial difficulties, transportation issues or long waiting times reported lower quality of life scores. Furthermore, women, individuals with lower educational attainment and income levels and those diagnosed with cardiovascular diseases were found to have significantly lower quality of life. The study concludes that unmet health needs remain a critical health concern in T & uuml;rkiye, especially among disadvantaged and chronically ill populations. It is recommended that policymakers prioritize strategies to reduce financial and systemic barriers in healthcare access. Increasing educational and economic opportunities and enhancing support for patients with chronic diseases could contribute to improving overall health outcomes. Addressing these disparities will help align the healthcare system with the evolving needs of the population and promote a more equitable approach to health service delivery
İntrakraniyal Cerrahi Geçiren Hastalarda Taburculuk Sonrası Karşılaşılan Güçlükler: İntegratif Derleme
No full textHacettepe Üniversitesi Hastaneleri Tıbbi Biyokimya Doğrulama Laboratuvarının 2024-2025 Yasa Dışı Madde Doğrulama Ve Metanol Analizleri
No full text“Only Strict Teachers Are Respected—I Became Father Ayten”: Gendered Microaggressions in Schools
No full textEFFECTS OF AMBIENT TEMPERATURE AND BACTERIAL SPECIES ON ANTEMORTEM BLOOD ALCOHOL CONCENTRATIONS
No full textTemporal fossa radio- and sonoanatomy revisited: a multimodal approach to standardizing temporalis muscle thickness measurement
No full textTemporalis muscle thickness (TMT) has gained increasing importance as a parameter for predicting sarcopenia, dysphagia, and functional outcomes, particularly in cranial pathologies such as stroke. However, the complex anatomy of the temporal fossa presents a significant challenge for the reliable assessment of TMT. This review aims to overcome this difficulty by providing a comprehensive analysis of the sonoanatomy and radiologic structure of the temporal fossa. Detailed anatomical relationship, including fascial planes, fat pads, and bony structures are presented with high-resolution images and videos. In addition to this thorough anatomical evaluation, the study introduces a novel, standardized TMT measurement technique designed to be applicable across CT, MRI, and ultrasound modalities. This technique aims to enhance the comparability of measurements and to support the use of TMT as a more effective biomarker in the evaluation and follow-up of sarcopenia, dysphagia, and other orofacial conditions
Hastanın Aldığı Radyasyonun Ölçülmesi/Kayıt Edilmesi, Doz Takip Sistemleri
No full textHastalıkların tanı ve tedavisinde oldukça önemli rol oynayan radyolojik görüntülemeler günümüzde tıbbi uygulamaların vazgeçilmez bir parçası haline gelmiştir. Ancak bu süreç, radyasyon maruziyetinin ve potansiyel sağlık risklerinin de artışına sebep olmaktadır. Hastaların radyasyondan korunması için gerekçelendirme, optimizasyon ve tanısal referans düzeylerinin belirlenmesi gibi stratejiler uygulanmaktadır. Bu kapsamda hasta dozlarının ölçülmesi, kaydedilmesi ve analiz edilmesi kritik öneme sahiptir. Gelişen dijital teknolojilerle birlikte doz takip sistemleri (DTS), radyasyon dozunun takibi ve optimizasyonunda önemli araçlar haline gelmiştir. DTS, radyolojik tetkiklerden elde edilen doz verilerini toplar, analiz eder ve raporlar. Bu sistemler, hasta güvenliğini artırmanın yanı sıra, radyasyon maruziyetini azaltmaya ve görüntüleme kalitesini optimize etmeye olanak tanır. Ancak DTS’nin etkin şekilde kullanılabilmesi için veri doğruluğu, personel eğitimi ve sistem entegrasyonu gibi konulara dikkat edilmesi gerekmektedir. Bu derlemede, doz metriklerinden görüntü kalitesi değerlendirmelerine, DTS’nin temel bileşenlerinden yapay zeka uygulamalarına kadar geniş bir çerçevede doz yönetimi süreçleri, hasta güvenliği ve görüntüleme kalitesinin dengelenmesine yönelik öneriler ele alınmıştır.Imaging, which plays a crucial role in the diagnosis and treatment of diseases, has become an indispensable part of modern medical practice. However, this process has also led to increased radiation exposure and potential health risks. Strategies such as justification, optimization, and the establishment of diagnostic reference levels are implemented to protect patients from radiation. In this context, the measurement, recording, and analysis of patient doses are of critical importance. With the advancement of digital technologies, dose tracking/management systems (DTS) have emerged as vital tools for monitoring and optimizing radiation doses. DTS collect, analyze, and report dose data obtained from radiological procedures. These systems not only enhance patient safety but also help minimize radiation exposure and optimize imaging quality. However, to ensure the effective use of DTS, attention must be paid to data accuracy, staff training, and system integration. This review addresses a wide range of topics related to dose management processes, including dose metrics, image quality assessment, the fundamental components of DTS, and artificial intelligence applications. Additionally, it provides recommendations for balancing patient safety and imaging quality
Değer Kavramı Temelinde Kuçuradi ve Veblen’in Yaklaşımlarıyla Özgürlüğün Yorumu
No full textBu çalışmanın amacı, bireyin makina çağında, üreten özne değil tüketen nesne haline geldiği yapıyı eski kurumsal iktisat yaklaşımı çerçevesinde değer kavramı ile temellendirerek tanımlamaya çalışmaktır. Kuçuradi’ye göre, değerlendirilen şeyin benzerleri arasındaki yeri o şeyin doğru değer bilgisidir ve değer yargılardan ve inançlardan bağımsızdır. Eğer değerin belirlenmesinde veya doğru değer bilgisi elde edilse bile değerlendirme sürecinde değer yargıları, inançlar ve kültürel normlar etkiliyse o zaman doğru değer bilgisinden ve değerlendirme sürecinden bahsedemeyiz. Özgürlük ise, doğru değer bilgisi ve doğru değerlendirme süreci sonucunda –değer yargılarından etkilenmeden- eylemin ve düşüncenin tutarlı olabilme durumudur. Kuçuradi’nin değer yargılar olarak tanımladığı kavramlar Veblen’in yaklaşımındaki kurumlarla paralellik göstermektedir. Bu durumun bir örneği olan gösteriş tüketiminde insanların tercihi mal ve hizmetlerin doğru değer bilgisine dayanmamaktadır. Tüketici tercihini elde edeceğini düşündüğü statü ve güç göstergesine bağlı olarak yapmaktadır. Bu bağlamda, bu çalışmanın amacı insanın sistemin devamlılığını sağlayan bir nesne olduğunu göstermek ve özgürlüğünün sorgulanabilirliğini ortaya koymaktır.The aim of this study is to try to define the structure in which the individual becomes a consumer object rather than a producer subject in the machine age, based on the concept of value within the framework of the old institutional economics approach. According to Kuçuradi, the place of the evaluated thing among its similar ones is the true value knowledge of that thing and is independent of value judgments and beliefs. Suppose If value judgments, beliefs, and cultural norms are effective in determining the value or even if the correct value information is obtained, in the evaluation process. In that case, we cannot talk about the true value of knowledge and the evaluation process. Freedom is the state of being able to be consistent in action and thought because of correct value knowledge and a correct evaluation process (without being affected by value judgments). The concepts that Kuçuradi defines as value judgments are parallel to the institutions in Veblen's approach. In conspicuous consumption, which is an example of this situation, where the individual's choice is not based on the correct value information of goods and services. The consumer makes her their choice based on the status and power she they think she they will gain. In this context, the aim of this study is to show that the human is an object that ensures the continuity of the system and to reveal the questionability of freedom
