20 research outputs found
Could Value-Based Purchasing Approach Be Used in Assessment of Healthcare Delivery Outputs?
No full textIn spite of increasing expenditures for health services, the lack of improvement in the quality and patient safety at the desired level brought about the search for reform of the reimbursement mechanisms. The main purpose of the present review is a search for a comprehensive answer for the question of "Can Value-based Purchasing (VPB) approach emerged as such kind of quest and applications developed in this context be used to evaluate the outputs of health service delivery?". According to the studies, the VBP approach and especially Hospital Value-based Purchasing Program and Hospital-Acquired Conditions Program which are the two applications developed under this approach can provide effective results in evaluating the outputs in health services and improving quality and patient safety. The data show that the VBP approach in health care has the potential to contribute significantly to improving the quality and patient safety level of the health care service and to keep costs under control. In this context, Hospital Value-based Purchasing and Hospital-Acquired Conditions Programs draw attention in terms of its potential to be implemented especially in the public sphere in our country. The realization of the research and applications in our country aimed at revealing the potential benefits of the mentioned programs will facilitate the evaluation
Sağlık Hizmet Sunumunun Çıktılarını Değerlendirmede Değer Bazlı Satın Alma Yaklaşımı Kullanılabilir mi?
No full textEvaluation of three different techniques for measuring wound area in diabetic foot ulcers: a reproducibility study
No full textObjective: Wound surface area can be measured with several assessment tools, including a manual planimetric method, ImageJ software and three-dimensional wound measurement (3DWM) methods. This study aimed to determine the advantages of each method as well as the concordance between them. Method: This reproducibility study included adult patient volunteers with diabetic foot ulcers (DFUs). Wounds with ambiguous borders were excluded. All included wounds were sequentially assessed with each of the three measurement methods, and the time for each measurement was recorded with a chronometer. SPSS and MedCalc package software were used for all statistical analyses. Results: A total of 20 patients with 20 DFUs took part in the study. According to the measurement method, the average wound area was 6.41cm(2) by the manual planimetric method, 6.53cm(2) by ImageJ and 6.32cm(2) by 3DWM. Correlation analyses revealed correlation coefficients of 0.997 between the manual planimetric method and ImageJ, 0.929 between the manual planimetric method and 3DWM, and 0.929 between ImageJ and 3DWM. Bland-Altman analysis was used to determine whether these three measurement methods could be used interchangeably. There was no significant difference between the three measurement methods and, therefore, it was concluded that they could be used interchangeably. Wound area measurement times were 173.35 +/- 19.38 seconds by the manual planimetric method, 61.60 +/- 9.21 seconds by ImageJ and 36.90 +/- 6.91 seconds by the 3DWM method. Conclusion: the three measurement methods studied can be used interchangeably, as each method is highly concordant with the other two. the fastest method was 3DWM and the manual planimetric method was the slowest
A NOTE ON HARMONIC MAPS OF STATISTICAL MANIFOLDS
No full textWe show an existence and uniqueness result for a class of maps from a flat statistical manifold into a Riemannian manifold in a given homotopy class when the target Riemannian manifold is of negative sectional curvature under a global topological non-triviality condition. We also show that due to dualistic structure of the domain manifold the result is still valid in dual coordinates.TUBITAK (Turkish Scientific and Technological Research Council)Turkiye Bilimsel ve Teknolojik Arastirma Kurumu (TUBITAK) [113F296]The author expresses her deep gratitude to TUBITAK (Turkish Scientific and Technological Research Council) since this work is supported under the project number 113F296 entitled as "Harmonic maps, affine manifolds and their applications to information geometry"
RILEM TC 243-SGM report: grouting for historic architectural surfaces
No full textHistoric Structures are commonly coated with mortar layers (plasters, renders, flooring) for protection and decoration. These well finished architectural stratigraphic surfaces often suffer from deterioration, such as lack of adhesion or detachment between support and mortar layers and even between mortar layers. Grouting and filling voids between delaminated layers can be an effective intervention if the layers are compact. This paper deals with aspects pertinent to the selection, design and implementation of a grout for the in situ stabilization and preservation of historic architectural surfaces. It presents the methodological approach, in accordance with the conservation principles, including sections on diagnosis, study and assessment of the deterioration phenomena, definition of grout requirements, selection of proper ingredients for custom-made or commercial grouts, as well as making and testing trial mixes, field testing and Assessment of the effectiveness of grouting. The aim of this paper, that is elaborated in the frame of RILEM TC 243 SGM, is to serve as a guide for users of lime-based grouts for the reattachment and reinstatement of historical architectural surfaces.Green Open Access added to TU Delft Institutional Repository 'You share, we take care!' - Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Applied MechanicsHeritage & Technolog
Organizational behavior and management in family businesses/ Edited by Omer Yazici.
No full textIncludes bibliographical references.Family firms constitute more than 80% of businesses and employ 60% of the workforce worldwide. This book presents valuable insights about how these firms operate and how their employees feel. It explores HR management issues, family integration as a source of competitive advantage, the financial management practices of family firms. In addition to offering a comprehensive analysis of managerial issues in family businesses, it also provides state of the art findings about these challenges.Chapter 1. Socially Responsible Human Resource Management Practices in Family Firms / Abdulkadir Altinsoy & Mert Öner -- Chapter 2. Institutionalization in Family Businesses: A Model Proposal / Erhan Polat -- Chapter 3. Institutionalizaton of Family Businesses and Corporate Entrepreneurship / Kerem Kaptangil -- Chapter 4. Attitudes Against Institionalization in Family Businesses and the Perspectives of the New Generation / Nuran Varişli -- Chapter 5. Professionalization Problems in Family Businesses / Mursel Guler & Isik Altunal -- Chapter 6. The Importance of the Family Constitution in the Institutionalization of Family Businesses / Gulbeniz Akduman & Zeynep Hatipoğlu -- Chapter 7. Cutlure of Change in the Institutionalization of Family Firms / Münevver Bayar -- Chapter 8. The Role of the Financial Management Department in Family Businesses / Meziyet Sema Erdem -- Chapter 9. External Financing Solutions for Family Firms / Hüseyin Öcal -- Chapter 10. Social Media Management in Family Businesses / Osman Özdemir & Kadir Özdemir -- Chapter 11. Family Businesses from Marketing Perspectives / Ismail Simsir & Ilhan Sag -- Chapter 12. Innovation Management Strategies in Family Firms / Özgür Çark -- Chapter 13. Talent Management Strategies in Family Firms / Ahmet Kaya -- Chapter 14. Women's Entrepreneurship as Corporate Culture in Turkish Family Businesses and its Development Process in Turkey / Ahmet Turan Öztürk.1 online resource (259 pages
Investigation of the properties of Al7075-HTC composites produced by powder metallurgy
No full textEven though aluminium matrix composites have been used in many different application areas, the improvement of its mechanical, tribological, and corrosion properties is crucial for enlargement of its application areas. To achieve this, many ceramic-based and carbon-based additives have been used. However, eco-friendly and low production cost hydrothermal carbons (HTCs) have not been used, yet. In this study, three different amounts of HTCs (0.25, 0.50, and 1.00 wt.%) produced from cellulose were used as a reinforcement material in Al 7075 by powder metallurgy for the first time. According to the mechanical, tribological, and corrosion test results, all of the mentioned properties of Al 7075 alloy were improved by reinforcing with HTCs. As a consequence of this study, HTCs can be used as appropriate reinforcement materials for the aluminium matrix composites.Karabuk University in Turkey [FOA-2020-2185]The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study is supported by the Scientific Research Projects (Grant No: FOA-2020-2185) of Karabuk University in Turkey
RILEM TC 277-LHS report: properties of lime-based renders and plasters—discussion of current test methods and proposals for improvement
No full textRenders and plasters have significant functions in buildings. Their functionality is closely related to their properties, which depend on the mortar itself, the application technology, the interaction with the environment and the substrate. There are many basic characteristics that influence the performance of renders and plasters; however, many of them are interrelated, thus the set of characteristics to be determined in each case is different, depending on the specific at each time use. These characteristics, their interrelations and the grouping of them are discussed and schematically described in the first and introductory section. Three groups are considered for renders and plasters: properties of fresh mortars; properties related to the hygric behaviour; and the mechanical behaviour. The properties of lime-based mortars measured in laboratory are highly affected by factors, such as: need of long time for development of representative values for prediction of their life-time behaviour, proper climatic conditions adequate for carbonation or/and hydration, sensitivity to the suction of water by the substrate. The last two factors—environment and substrate—have an important role for rendering and plastering with lime-based mortars, since both their exposed surfaces and the substrate areas they cover are large. Due to those specificities, the current test methods that have been mainly developed for cement-based mortars are not always fitted to characterize lime-based mortars, and in particular to assess lime-based renders and plasters. In section two the main characteristics and current standardized test methods are discussed based on experience in using them. Furthermore, needs of improvement are identified and changes are proposed, or, in some cases, new methods are outlined. Some of the most significant changes proposed are the possibility, as an option, to apply the mortar on a porous substrate, instead of moulding specimens in metallic moulds, together with modifications on curing conditions and times of mixing and testing. Additionally, test methods developed at laboratory to evaluate the cracking tendency due to restrained shrinkage and to determine the modulus of elasticity of under checking mortars are proposed, as well as alternative test methods for adhesion. In the case of testing other properties, smaller changes are proposed, in order for the standardized test methods to be adapted to the particularities of lime-based renders and plasters. As conclusions, in the third section, a synthesis of the proposed changes and complementary tests has been made in formulated tables, that could be considered as a first approach of adapted requirements for better performance of lime-based mortars for renders and plasters.Green Open Access added to TU Delft Institutional Repository 'You share, we take care!' - Taverne project https://www.openaccess.nl/en/you-share-we-take-care. Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Heritage & Architectur
Effect of an Educational Intervention Based on Bandura's Theory on Foot Care Self-Efficacy in Diabetes: A Prospective Quasi-Experimental Study
No full textThe purpose of this study is to evaluate the foot care self-efficacy of diabetic foot patients and the effect of an educational intervention for improving it. This study was of a semi-experimental design and was conducted between January and December 2019 in a diabetic foot council of a university hospital. After power analysis to determine sample size, 33 participants meeting the inclusion criteria were included in the study. A Patient Identification Form and Diabetic Foot Care Self-Efficacy Scale (DFCSES) were used to collect data. of the patients, 51.5% were male and the mean age was 54.91 +/- 16.61 years. the mean score of DFCSES was 50.18 +/- 20.88 before education and 72.67 +/- 20.74 after education. the educational intervention has large effects on self-efficacy (d= 1.233), perceived knowledge level on diabetic foot (d= 1.102), perceived health status (d= 0.859), and perceived quality of life (d= 0.807). Educational intervention was found to be an effective way to improve foot care self-efficacy, perceived knowledge level on diabetic foot, perceived health status, and perceived quality of life
Turkish Adaptation of Diabetic Foot Ulcer Scale-Short Form
No full textThe purpose of this study was to evaluate the validity and reliability of the Turkish version of the Diabetic Foot Scale-Short Form (DFS-SF). the study was cross-sectional and conducted between January and October 2019 in a diabetic foot council of a university hospital. A total of 194 diabetic foot patients participated in the study. A Patient Identification Form and DFS-SF were used for data collection. Forward and backward translations were used in language validity. Expert opinions were obtained to determine the Content Validity Index. To determine construct validity, exploratory factor analysis and confirmatory factor analysis were used. Cronbach's alpha internal consistency coefficient, item-scale correlation, and test-retest reliability were used to evaluate reliability. It was found that Content Validity Index was 0.97 (0.86-1.00), the factor loading of scale varied from 0.378 to 0.982, Cronbach's alpha value varied from 0.81 to 0.94, and item-total correlations were between 0.30 and 0.75. the Turkish version of the DFS-SF was found valid and reliable to measure the quality of life of diabetic foot patients
