193 research outputs found
Life at war and the heroic illusions created to cope with war: a study of Stephen Crane and Tim O'Brien
No full textThis thesis will examine the fictional war novels, The Red Badge of Courage by Stephen Crane and Going after Cacciato by Tim O‘Brien. It will examine the heroic illusions created by soldiers on the frontline as psychological coping mechanisms as a means to escape the realities of war. It will also examine how Stephen Crane and Tim O‘Brien create protagonists and characters that struggle to understand the conflicts within themselves as consequences of their developing point of view toward themselves, their war comrades, and their society‘s values and how each of these writers through observing battlefield experience comes to question the meaning of war and its effects. Stephen Crane and Tim O‘Brien investigate the moral and cultural values of their respective societies. Crane portrays the Victorian era O‘Brien examines1960‘s America. Each novel asks us to view their war with both irony and sympathy.M.A.L.S.Includes bibliographical referencesby Gaye L. Alle
KOAH'ta TNF-a308 G/A, TGF-B 1 G/A gen polimorfizmleri ve hava yolu direncinin değerlendirilmesi
No full textKronik obstrüktif akciğer hastalığı (KOAH) periferik hava yollarında obstrüktif bronşiyolit ve parankimal harabiyet sonucu gelişen kronik hava akım kısıtlanmasıyla karakterize bir hastalıktır. KOAH gelişiminde diğer risk faktörlerinin yanı sıra genetik faktörlerin belirleyici olduğu bildirilmektedir. En belirgin fizyopatolojik değişiklik olan hava akımı kısıtlanması ise hava yolu direncinde artma ve akciğerin elastik geri çekilme gücündeki azalmaya bağlıdır. Rutin spirometrik testler ile hava akımı kısıtlanması saptanır. Hava yolu direnci ölçümü doğrudan hava yolunun çapını yansıtan bir parametre olması nedeni ile önemlidir.
Bu araştırmada bazı sitokin gen polimorfizmlerinin KOAH gelişimindeki rolü araştırıldı. Ayrıca KOAH olguları ve sağlıklı sigara içicilerinde hava yolu direnci değerlendirildi.
KOAH’lı olgularda TNF-α 308 G/A ve TGF-β 1 800 G/A gen polimorfizmleri ile hava yolu direncinin değerlendirilmesi amacıyla toplam 264 olgu çalışmamıza dahil edildi. Olgular SFT ve sigara içme öykülerine göre 3 gruba ayrıldı. 75 KOAH’lı (Grup I), 139 sağlıklı sigara içicisi (Grup II) ve 50 sigara içmemiş sağlıklı kontrol (Grup III) olmak üzere TNF-α 308 G/A polimorfizm ve TGF-β 1 800 G/A polimorfizm sıklığı açısından gruplar karşılaştırıldı. Gruplar arasında istatistiksel olarak anlamlı bir fark bulunmadı (p>0.05). Ayrıca, ortalama Raw açısından gruplar arasında istatistiksel olarak anlamlı farklılık bulunmadı (p> 0.05). Ortalama sRaw KOAH olgularında anlamlı bir şekilde farklı ve Grup I’de daha yüksek saptandı (p< 0.0001). FEV1, FEV1/FVC ve sRaw değerleri arasında anlamlı ve negatif bir korelasyon bulundu (p< 0.05).
Sonuç olarak, bu çalışma TNF-α 308 G/A polimorfizm ve TGF-β 1 800 G/A polimorfizmlerinin KOAH gelişimi için bir risk oluşturmayabileceğini ortaya koymuştur. Ayrıca çalışmamızda hava yolu direncini değerlendirmede sRaw’ın Raw’dan daha tercih edilebilir olduğunu gösterdik. Toplumuz için KOAH gelişimine risk oluşturabilecek genetik faktörlere ve hava yolu direncine yönelik yeni çalışmaların daha geniş hasta gruplarında ülkemizin farklı bölgelerinden yapılması gerektiği inancındayız.
Chronic Obstructive Pulmonary Disease (COPD) is characterized by chronic air flow limitation developed due to small airway disease and parenchymal destruction. It is suggested that genetic factors are predictor of the development for COPD as well as other risk factors. The most significant pathophysiological change that is air flow limitation is due to increase in air flow rezistance and decrease in elastic recoil. Routine spirometric tests determine the air flow restriction. Measurement of the air flow rezistance is also a very important parameter because of directly reflects the airway diameter.
The role of some cytokin gen polymorphisms in the development of COPD was investigated in this study. In addition air flow rezistance was evaluated in COPD patients and healthy cigarette smokers.
264 patients with COPD was included to evaluate TNF-α 308 G/A, TGF-β 1 800 G/A gene polymorphisms and airway rezistance in our study. The subjects divided into three groups according to their PFTs and smoking history. 75 patients with COPD (Group I), 139 healty cigarette smokers (Group II) and. 50 healty non-smokers (Group III) were compared in terms of TNF-α 308 G/A and TGF-β 1 800 G/A polymorphisms. There was no statistically significant difference between groups (p>0.05).Furthermore, there was no statistically significant difference between the groups for the mean Raw (p> 0.05). Mean sRaw was determined as statisticaly significant and high in the first group (p< 0.0001). There was a significant and negative correlation between the FEV1, FEV1/FVC and sRaw values (p< 0.05).
In conclusion, this study established that TNF-α 308 G/A polymorphism and TGF-β 1 800 G/A polymorphism may not be a risk factor for the development of COPD. Furthermore, we demonstrated that using sRaw is more preferable than Raw to evaluate airway rezistance in our study. We believe that new the studies of the genetic factors that could be a risk for development of COPD and airway rezistance should be performed with larger patients population from different regions of our countr
Work experiences of professional West Indian immigrant women in the United States: an exploratory study
No full textThis dissertation explores the work experiences of professional West Indian immigrant English-speaking women in the United States. Much study has been dedicated to the experiences and success of West Indian immigrant women and men in service and domestic roles. The study explores these professional immigrant women's experiences attaining career success in United States racial society. Data was obtained from 12 professional West Indian immigrant women using semi-structured interviews conducted by the researcher. These interviews explored: the participants'; experiences with immigration, their employment experiences as immigrants, the challenges they faced in their work environments, their experiences in attaining career success and their experiences interacting with non-West Indians and with individuals born in the United States. Major findings include migration motivated by financial and educational improvement, mixed experiences with West Indian cohesiveness and general job satisfaction. Challenges at work included cultural differences, ethnic/racial tensions, being excluded by Americans, low expectations for professional West Indian women, slower career progression, limited professional and social interaction with non-West Indians, greater efforts expended in balancing work-family demands, weakened family relationships with relations back home, and limited use and reliance on mentors and professional networks and associations. Qualitative analysis revealed a high level of career success among these West Indian women, attended by significant psychological, emotional, financial and professional costs. The challenges faced by these Black professional West Indian women in the United States mirror those encountered by African Americans in various studies. Due to their meritocratic outlook and socialization to de-emphasize race, the professional West Indian women of this study were initially unprepared to maneuver these challenges and some struggled to attain career success. Additionally, higher levels of social and professional interactions (for example mentoring relationships and professional networking) with non-West Indians and West Indians of these professional West Indian women were associated with higher levels of career success in the United States.Psy.DIncludes bibliographical references ( p. 174-178)by Kyla-Gaye Simone BarrettIncludes abstrac
Koah'lı hastalarda atak nedeni ile hastane yatışlarının maliyet analizi: Başkent Üniversitesi Ankara Hastanesi Örneği
No full textKronik Obstrüktif Akciğer hastalığı (KOAH) tüm dünyada kişiler ve toplumların ekonomik yükünün önemli bir parçasını oluşturan önemli bir mortalite ve morbidite nedenidir. KOAH önlenebilir ve tedavi edilebilir bir hastalık olmasına rağmen tekrarlayan semptomlar ve akut alevlenmelerle karakterizedir. 2010 yılında Amerika Birleşik Devletlerinde KOAH maliyeti 50 milyar dolar olarak tahmin edilmiştir. Maliyet hastalığın şiddeti ile artmaktadır ve hastane yatışı maliyetin önemli bir kısmını oluşturmaktadır. KOAH’ın Türkiye’deki mortalite ve morbiditesinin ekonomik maliyeti henüz iyi bilinmemektedir. Literatürde Ülkemizde KOAH’lı hastaların hastane yatışının ekonomik yükünü yansıtan birkaç bölgesel çalışma vardır. Bu çalışmada, KOAH akut ataklı hastaların yaklaşık hastane yatış maliyetini ortaya koymayı amaçladık. Ayrıca, hastane yatış maliyetini etkileyen faktörleri de ortaya koymayı hedefledik. Bu amaçla 1 Ocak 2011-31 Aralık 2013 tarihleri arasında Başkent Üniversitesi Hastanesi Göğüs Hastalıkları Kliniği’ne yatırılan KOAH atak’lı hastalar (n:90) retrospektif olarak çalışmaya dahil edildi. Bütün hastaların yaş, cins, hastanede yatış süresi gibi demografik özellikler kaydedildi. Ayrıca hastaların grip aşısı öyküsü, aldıkları antibiyotik tedavileri, mekanik ventilasyon uygulaması ve yoğun bakımda kalışları kaydedildi
Francofonía y literatura: análisis del cuento “Khary-Gaye” de Birago Diop
No full textThis article begins with a general introduction to the concept of “Francophonie” (its origins and the different geographic regions that it comprises, in the framework of the Research Project about the main XXth and XXIst century writers belonging to “Francophonie”); after that, there is a brief presentation of the Senegalese author Birago Diop and it ends with a succinct analysis of his tale “Khary-Gaye”. En este artículo, se empieza por una introducción general al concepto de la Francofonía (sus orígenes y las diferentes regiones geográficas que cubre, en el marco del Proyecto de Investigación sobre principales escritores/as de la francofonía de los siglos XX y XXI); luego se efectúa una breve presentación del autor senegalés Birago Diop y se finaliza con un análisis somero de su cuento “Khary-Gaye”.
Kardiyopulmoner egzersiz testinin kullanıldı?ı bilimsel çalışmalar: Türkiye'den bir bakış
No full text[Abtract Not Available
Kardiyopulmoner egzersiz testinin kullanıldığı bilimsel çalışmalar: Türkiye’den bir bakış
No full text[Abstract Not Avaiballe
Pious tales and dirty stories : the Young Australians Best Book Award (YABBA)
No full textDeposited with permission of the author. © 1995 Susan Gaye La Marca.A study of the older readers' section of Young Australians Best Book Award (YABBA) from 1986 to 1991, based on analysis of 21,351 voting forms from this period. Through analysis of the data from these voting forms, ranking authors and titles, comparing gender preferences, the source of the book voted for, school type and school location were all compiled into graphs and tables. Appropriate comparisons have been made between variables across the six year period, to give some idea of the voting population involved in the older readers' section of YABBA and their preferences and motivations. A follow up survey of voters and YABBA organisers in 1992 attempted to further enhance this data by collecting information on voter preferences, opinions and possible influences on the voting process. The study attempts to place YABBA in the context of the wider children's literature community and discuss briefly its historical development with reference to other children's choice awards, their strengths and weaknesses. A relevant discussion on popularity versus literary merit is related to the ongoing discussion of YABBA in comparison to the Children's Book Council awards. Later chapters include a discussion of the most popular YABBA titles (seven highest rating titles) with particular emphasis given to YABBA's two most popular authors - Paul Jennings and Robin Klein. Humour is an important factor in the popularity of many YABBA titles and this is discussed as are developments since 1991 and the long-term future of YABBA
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