<title>Abstract</title> Purpose To investigate prospectively the effect of testosterone treatment applied to patients with micropenis for hypospadias surgery on depth general anesthesia during surgery. Also, make recommendations awareness who have used sex reassignment under in early period. Methods Our study is a prospective cohort and was conducted by Department Anesthesiology, Intensive Care Pain Management Tekirdağ Namık Kemal University Hospital. We recorded (IM) 2 weeks ago, 1.1–1.2...

Hypertension is one of the most important risk factors for cardiovascular and cerebrovascular events. Inflammatory processes occupy an place in pathogenesis hypertension. Many studies have studied inflammatory markers responsible onset hypertension organ damage. In this study, we investigated whether systemic immune-inflammation index (SII) (platelet × neutrophil/lymphocyte), - new can be used to predict events hypertensive patients.Ambulatory blood pressure monitoring results between...

ARCHITECTURAL DESIGN QUALITY ASSESSMENT BASED ON ANALYTIC HIERARCHY PROCESS: A CASE STUDY OZET VE ANAHTAR SOZCUKLER Abstract Architectural design quality is hard to evaluate due its complexity. Defining criteria, setting forth a methodology and deciding on who going assess the for whom are also on-going discussions date. To this end, tools have been developed, yet they mostly used post-occupancy evaluation, thereby not contributing stages in progress. This article aims reveal new, Analytic...

Introduction and Objective . TAP block has gained popularity to provide postoperative analgesia after abdominal surgery but its advantage over epidural is disputed. For lower surgeries, been the gold standard time-tested technique for providing analgesia, contraindications same would warrant need other equally good analgesic techniques. The objective of this study compare efficacy both Materials Methods Eighty patients in ASA I-II risk group, undergone an elective C-section, were randomly...

Tumor Necrosis Factor-α (TNF-α) and Interleukin-1β (IL-1β) are among the cytokines released secondary to surgical stress response. The objective of this study was investigate effect a Transversus Abdominis Plane (TAP) block on postoperative pain its immunomodulatory activity through proinflammatory cytokines.TAP (study group; n=40) or p-TAP (placebo n=40). Patients in TAP group underwent an Ultrasound (US) guided unilateral using 20-cc 0.5% bupivacaine solution. sham isotonic TNF-α IL-1β...

Depression was prominent among 40 alcoholics in an alcohol treatment program. Untreated depression may increase risk for relapse to problem drinking. The structured diagnostic interview schedules, DIS and Zung, showed good agreement were effective instruments the detection of alcoholics.

politikaları ile birlikte sosyal, kültürel ve siyasal uyum süreçleri özellikle sermayeyi kentsel gelişmeye yönlendirmesiyle mekânı da biçimlendirmektedir.

Policy switching, radical socioeconomic changes, integration and globalisation were started in 1980s. New urban space developments have been accelerated 1990s provided identity policies 2000s. Luxurious shopping malls, hotels, ultra-posh residences within the city gated communities on peripheries formed. Thus, geography, silhouette are being converted through tall buildings that signify created prestige, status, power competition with global capital. By foresight cities which gotten ahead of...

Prone positioning has been found to improve oxygenation in most patients with acute respiratory distress syndrome (ARDS). The study aimed investigate the effectiveness of prone position ARDS.The is one ventilator techniques included recent guidelines for syndrome. This was a retrospective evaluation records 100 ARDS who were administered mechanical ventilation our intensive care unit. All placed total 12 hours per day at 4-hour intervals (supine-prone) while admitted unit.This participants....

Objectives: It was seen that recurrence and metastasis after breast cancer surgery are related to the immune response of host. Anesthetic agents modulate surgical stress or directly impair functions system cells. In our study, we aimed compare effects nonsteroidal anti-inflammatory drugs erector spinae plane block, which among methods use for postoperative analgesia, on neutrophil/lymphocyte ratio platelet/lymphocyte in patients undergoing surgery. Methods: One hundred female aged 18-75...

Introduction The cervical plexus block (CPB) has been used for a long time both analgesia and anesthesia in carotid endarterectomy thyroid operations. To be unfamiliar with the technique its perceived difficulty, potential risks, possible adverse effects such as intravascular injection limited broader use before practical of ultrasound. We hypothesize that can provide adequate tracheostomy cases excellent comfort when combined translaryngeal block. Methods This double-blinded, randomized 29...

Objective: Causing a global pandemic, the coronavirus disease 2019 (COVID-19) has caused millions of people to become infected and many more die. In this study we aimed investigate whether routinely evaluated clinical laboratory values ​​can predict mortality patients with COVID-19 disease.Materials Methods: our study, routine parameters 89 hospitalized in general intensive care unit diagnosis COVID 19 were retrospectively analyzed. The aggregate index systemic inflammation (AISI) other...

Objectives: Due to the complex breast innervation, postoperative analgesia after surgery is a challenge for anesthesiologists. The erector spinae plane block (ESP) newly defined promising technique this purpose. Since description by Forero, ultrasound-guided has performed several surgeries analgesia. Many regional methods pectoral nerve (PECs), serratus (SPB), were described in literature maintaining Among all these anesthesia techniques, paravertebral (PVB) most studied and found be valid...

Today, most companies have difficulties in following and meeting customer expectations. In a fast-changing business environment, can achieve sustainable competitive advantage only by increasing their performance. The importance given to innovation the success of implementation management provide means improve main purpose this study is determine whether has any impact on company Innovation Scale developed Gunday his colleagues (2011) Company Performance Karabag (2008) are brought together...

In large thyroidal masses with excessive tracheal shift, the laryngeal opening is usually in normal position and intubation may not be difficult. However, some cases, such as retrosternal big thyroid glands, airway management can get challenging. Failure to successfully manage difficult airways responsible for 30% of deaths attributed anesthesia, approximately 600 annually. Successful awake performed 88-100% by considering appropriate experience anesthesiologist a fiberoptic bronchoscope....

Objective: Early detecting acute renal failure is important by the aspect of determination disease's severity and grade organ dysfunction. The Acute Dialysis Quality Initiative workgroup designed a classification system for kidney injury (AKI) named as RIFLE (Risk, Injury, Failure, Loss function, End-stage disease). aim our study to assess development in intensive care units patients, factors affecting it effect over mortality via using score. Material Methods: age, height, weight, gender,...

Yapi uretiminde, genellikle, yapim evresinde planlanan maliyetin asildigi gorulmektedir. Bu sorun yapi kalitesini de etkilemekte ve surecinde zorluklarla karsilasilmaktadir. calismada, evresinde, planlanmasi denetiminin saglanmasi amaci ile bir “maliyet yonetim modeli” sunulmaktadir. Modelin ana yapisi, planlanmasina denetimine yonelik farkli calismalarin butunu olusturacak sekilde duzenlendigi uc asamadan olusmaktadir. Her biri sistem tarif eden sonrakine girdi teskil bu asamalar, kendi...

&lt;p class="0abstract"&gt;The development of a tool to analyse data collected in car road tests is presented, allowing better understanding the Physics motion. Using measured fuel consumption and main variables related vehicle displacement, it possible make corrections influence disturbing factors clearly improve quality based evaluations. Thus, rate continuously recorded during motion vehicle, whereas power required ensure displacement can be calculated using simulation model with path....

Araştırmanın amacı işletmelerin yabancı pazarlara yayılma yöntemlerinin insan kaynakları fonksiyonu üzerindeki etkilerini incelemektir. İşletmelerin yöntemlerinden ‘Doğrudan Yabancı Yatırım’ ve ‘Stratejik İşbirlikleri’ ele alındığı çalışmada, bu yöntemlerin fonksiyonunu pozitif olarak etkilediği sonucuna ulaşılmıştır. Çalışmanın sonuçlarından biri, fonksiyonları kararlarının merkezi belirlendiğidir. Özellikle, “işçi işveren ilişkileri yönetimi süreci genel merkeze bağlı belirlenmektedir”...

Objective: Nowadays, the painless childbirth preference of expectant mothers is gradually increasing. The most important and first objective in labor analgesia should be safety mother baby. Our this study to compare effects combined spinal-epidural (CSE) epidural on quality labour analgesia.Methods: was performed prospectively 40 primigravid pregnant women who requested were included ASAI-II group, between September 1, 2018, November 30, 2018. Pregnant had single fetus at 36-42 weeks, have...