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Bacterial nosocomial infection in Medical Faculty Hospital
No full textNosocomial infections have become a universal health problem and they increase the morbidity and mortality in hospitalized patients. They also pose of major financial burden for health care expenses. We analyzed the surveillance data for bacterial nosocomial infections (defined according to the Centers for Disease Control criteria) in Selçuk University Hospital which were encountered between May 1997 - January 1999. Six hundred and thirty nine episodes were recorded among 35,479 hospitalized patients( 1.8%). The distribution of these episodes according to the inpatient services were as follows Reanimation 179 (29.0 %), Pediatrics 127(19.9 %), General Surgery 80(12.5 %), Internal Medicine 63(9.8 %), Neurology 49(7.7 %), Orthopedics 42(6.6 %), Neurosurgery 38(5.9 %), Cardiothoraxic and Vascular Surgery 33(5.2 %), Respiratory Diseases 26 (4.4 %), The distribution of bacterial nosocomial infections according to site was as follows: Urinary Tract 214(33.0 %), Respiratory 210(30.0 %), Surgical Incision SiteI21(20.2 %), Skin and Soft-Tissue 58(9.8 %), Bacteriemia 26(3.6 %), Genital Tract 6(2.8 %) and Central Nervous System 4(0.5 %). The microorganisms isolated from these episodes were as follows; E. coli (20.1 %), S. aureus (18.9 %), Pseudomonas sp. (16.2 %), Enterobacter sp. (9.3 %) and Klebsiella sp (8.0%)
Ossifying fibromyxoid tumor in nasal cavity
No full textBaş ve boyun bölgesinde, özellikle genç yaş grubunda görülen yumuşak dokunun ossifying fibromikzoid tümörleri primer olarak maksiller sinüs antrumundan kaynaklanırlar. Ancak bu tümörlerin ender olarak nazal kaviteden de köken aldıkları görülmüştür. Bu çalışmada, ondört yaşında bir kız çocuğunun nazal kavitesinde saptanan bir ossifying fibromiksoid tümörün klinik, patolojik ve immünohistokimyasal özellikleri sunulmuştur.Ossifying fibromyxoid tumor of soft tissue especially seen in young age-group primarily originates from maxillary sinus antrum in the head and neck region. Yet these tumors rarely arise from the nasal cavity. In this study a fourteen year-old-girl with a nasal mass is presented and clinical, histopathological and immunohistochemical features of the tumor are defined
Effect Of The Organizational Health On Satisfaction Gained From The Performance Assessment System İn Banking Sector
No full textÖrgütlerin rekabet üstünlüğü sağlayabilmeleri için önemli bir unsur olan örgüt sağlığı, bir örgütün yoğun rekabet ortamında ayakta kalabilmesinde oldukça etkilidir. Örgütün çevresiyle uyum içinde varlığını sürdürebilmesi ve kendi yeteneklerini fark etmesi sağlıklı örgütler sayesinde olabilmektedir. Çalışmada özellikle yurt dışında fazlaca incelenen ülkemizde de ilgi görmeye başlayan bir konu olan örgüt sağlığının performans değerleme sisteminden duyulan memnuniyet üzerindeki etkisi araştırılmıştır. Lyden ve Klingele tarafından geliştirilen 20 soruluk örgüt sağlığı ölçeğinden yararlanılan çalışma, Afyonkarahisar ilindeki banka çalışanlarına yapılmıştır. Yine performans değerleme sisteminden duyulan memnuniyeti ölçmeye yönelik 31 soru sorulmuştur. Analizlerin sonucunda örgüt sağlığının performans değerleme sisteminden duyulan memnuniyete etkisi olduğu belirlenmiştir.As an important factor for organizations to be able to provide a competitive advantage, the organizational health is highly effective for the survival of an organization in the fierce competition environment. It is possible to be able to continue the existence of an organization with its environment in harmony and realize its abilities by means of the healthy organizations. In the present study, as an issue examined in many studies especially in abroad and also attracting attention in our country, the effect of the organizational health on satisfaction gained from the performance assessment system was investigated. Developed by Lyden and Klingele in order to measure the organizational health and consisting of 20 questions, the organizational health scale was used in the study that was carried out with bank employees in Afyonkarahisar city. 31 questions were also asked for evaluating the satisfaction gained from the performance assessment system. As a result of the analysis, it was determined that the health of the organization had a positive and significant effect on the satisfaction with the performance assessment system. It has been determined that organizational health has a positive and significant effect on satisfaction, effective application and system knowledge, which is one of the performance assessment dimension
Inflammatory biomarkers derived from whole blood cell count in atrial fibrillation patients
No full textAim This study aimed to evaluate the potential relationships between atrial fibrillation (AF) and hematological indices, such as neutrophil / lymphocyte ratio (NLR), mean platelet volume (MPV), platelet / lymphocyte ratio (PLR), mean platelet volume / platelet (MPV / PLT), neutrophil / monocyte ratio (NMR), lymphocyte / monocyte ratio (LMR), systemic immune inflammation index (SII, platelet x neutrophil / lymphocytes), and monocyte / high-density lipoprotein ratio (MHR), that can be obtained from the complete blood count (CBC test).Material and method This retrospective study included 150 patients aged 40-80 yrs who were diagnosed with AF, and 91 age- and gender-matched controls. Hematological indices and inflammation markers were evaluated.Results In the AF group, NLR, PLR, SII, MHR, and MPV / PLT were elevated, and LMR was low. Multivariate regression analysis showed that hematological indices NLR, SII, and MHR were significant, independent, predictive factors for AF. ROC curves revealed the following significant sensitivity and specificity values: NLR 75 %, 52.3 %; LMR 61.3 %, 67.3 %; SII 67.4 %, 64.6 %; MHR 100 %, 56 %.Conclusion NLR, PLR, LMR, SII, MPV / PLT, and MHR may be useful in the early prediction of AF development. It is strongly emphasized that among these variables, MHR, may be the best independent variable that can be used to predict AF