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High admission levels of γ-glutamyltransferase predict poor myocardial perfusion after primary percutaneous intervention
Yuksel, Uygar Cagdas;Celik, Turgay;Celik, Murat;Bugan, Baris;Iyisoy, Atila;Yaman, Halil;
Clinics , 2011, DOI: 10.1590/S1807-59322011001000010
Abstract: objective: this retrospective study aimed to investigate the relationship between admission levels of serum y-glutamyltransferase and poor myocardial perfusion after primary percutaneous coronary intervention in patients with acute myocardial infarction. introduction: reperfusion injury caused by free radical release and increased oxidative stress is responsible for the pathophysiology of the no-reflow phenomenon in patients with acute myocardial infarction undergoing primary percutaneous coronary intervention. serum ?-glutamyltransferase is an established marker of increased oxidative stress. methods: the study population consisted of 80 patients (64 men and 16 women, mean age = 67.5 + 6.6 years) with thrombolysis in myocardial infarction 0/1 flow pre-procedurally. the patients were divided into two groups according to thrombolysis in myocardial perfusion grades that were assessed immediately following primary percutaneous coronary intervention. the two groups (group 1 and group 2) each consisted of 40 patients with thrombolysis in myocardial perfusion grades 0-1 and thrombolysis in myocardial perfusion grades 2-3, respectively. results: admission pain to balloon time, ?-glutamyltransferase and creatine kinase-mb isoenzyme levels of group 1 patients were significantly higher than those of group 2 patients. pain to balloon time, ?-glutamyltransferase, peak creatine kinase-mb isoenzyme, low left ventricular ejection fraction and poor pre-procedural thrombolysis in myocardial infarction grade were significantly associated with poor myocardial perfusion by univariate analysis. however, only pain to balloon time and ?-glutamyltransferase levels showed a significant independent association with poor myocardial perfusion by backward logistic regression analysis. adjusted odds ratios were calculated as 4.92 for pain to balloon time and 1.13 for ?-glutamyltransferase. conclusion: high admission ?-glutamyltransferase levels are associated with poor myocardial perfusion in pa
Turkish Foreign Relations in the Post-Cold War Era
Atila Eralp
Revista CIDOB d'Afers Internacionals , 2006,
Abstract: This article deals with the orientation of Turkish foreign policy in its transition from the Cold War to the post-Cold War period. During the Cold War, the Turkish Government ran its foreign policy believing in the uniformity of the Western Alliance (the United States and Europe) and in close co-operation with the West, especially with the United States. After the changes which have occurred in the international arena in the last few years, this orientation has changed to the point where it can be stated that the Turkish governmental elites have other opportunities and alternatives. With regard to the EU, the article underscores the idea that if Turkey continues progressing toward accession, some day this country couldplay an important role in the design of EU policy in the eastern Mediterranean.
Mineral waters of the Pannonian basin spas in the Republic of Serbia
Klimo Atila
Srpski Arhiv za Celokupno Lekarstvo , 2011, DOI: 10.2298/sarh1104203k
Abstract: Introduction. The fact itself that thermo-mineral waters and mud have healing effects has always attracted attention throughout the history to exploit, explore and study their benefit on the human body. Modern lifestyle and the speed of life endanger man’s psycho-physical health. This is why people more often return to old time proven values, the nature and natural health resorts. Objective. To establish hydro-geological conditions for the formation of mineral water and to summarize their balneological characteristics in spas, i.e., in rehabilitation centres of the Pannonian basin of the Republic of Serbia, where underground waters are still actively exploited for balneotherapy. Methods. By retrospective descriptive analysis, a recapitulation of hydro-geological conditions for the formation of mineral waters was made and their balneological characteristics were established in eight spas of the Pannonian basin. Results. The healing spas of the Pannonian basin are predominated by HCO3 (2.9 g/l - 4.6% milival), iodic (up to 6.5 mg/l), slightly alkaline (pH up to 8.1) thermal-mineral water (temperature up to 72°C, bounty to 36.6 l/s) with a significant content of Br (up to 8.1 mg/l), Fe (to 6.0 mg/l), metaboron (up to 60 mg/l) and metasilicon acid (up to 95 mg/l). They are used for external application, bathing and showering. Conclusion. Once the Pannonian Sea (the Paratethys), today a wide plain terrain is a tectonic depression of the lower Pannonian pont age with compact type aquifers. In the geological column of sedimentary rocks a large underground aquifer was formed with free water of high mineralization, high temperature and geothermal properties above the average in relation to the European hydrogeological standards. Therefore, the Pannonian basin can be rightly called a thermal valley with the predominance of sodium hydro-carbonate (alkaline) iodine healing water of enviable abundance and reserves.
Ciudad, Estado y sistema internacional: el mundo árabe en el sistema occidental
Atila , Mark
Iconos : Revista de Ciencias Sociales , 2002,
On the promulgation of the new Hungarian Civil code
Duda? Atila
Zbornik Matice Srpske za Drustvene Nauke , 2011, DOI: 10.2298/zmsdn1135093d
Abstract: Apart from previous partial codifications and system-laws, the first civil code in Hungary was promulgated in 1959. After the beginning of transition in 1989, despite the great number of amendments to the existing Civil code, to issue of recodification of civil law in Hungary became inevitable. This process began in 1998 when the Government appointed a committee with most renowned Hungarian legal scholars as members, which had the task to prepare a draft version of a new civil code. The committee has worked devotedly on the text of the draft for nearly a decade. In 2003 it published the so-called Concept and Syllabus of the new civil code in order to enable the public to get knowledge of the planned subject matter of the draft and, what is even more important, enable it to contribute to the quality of the draft by expressing critical remarks and suggestions. The committee, having taken into account the opinion of the public, continued its work on the draft and published the first full text of the draft in 2006. 2007 marked a turning point in the codification procedure when, to general astonishment, the Ministry of Justice took over the task of drafting a civil code, by which the drafting committee's mandate on the preparation of the new civil code ceased to exist, before it even could have had a chance to process the remarks the public had had on the 2006 draft. The Ministry published its first version of the draft in 2007, and a second one in 2008. In the same year, the committee, whose mandate has ceased to exist in 2007, published its, by then unofficial, version of the draft in order to make the achievements of its nearly decade-long work available to public in authentic form. The Ministry's second draft was adopted in 2008 by the Government and submitted to the Parliament as a bill to be enacted. The Parliament, after it had been in legislative procedure for a year or so, finally adopted the new Civil code of Hungary, though with a very slim majority. However, the President, using his constitutional powers, denied promulgating it, just as the subsequently enacted Law on the Implementation and Entering into Force of the new Civil Code. The President, who is, by the way, one of the most prominent civil law scholars in Hungary, expressed his deepest doubts in respect of the enactment of the new Civil code, both in terms of its substantial flaws and the manner in which the legislative draft and bill have been prepared. Using his right to suspensive veto he could not bring to naught the new Civil code, but he succeeded in postponing its promulgation and
Demografik Farkl l klar n Gücü Verimlili ine Etkisi
Selcuk Universitesi Sosyal Bilimler Enstitusu Dergisi , 2009,
Abstract: Globalization phenomenon is not only effected organisations and shape of managements it is also effected expectation ofcustomers and labourforce by changing and shaping these factors. Anyway organisations are more aware, know what they want,allocate good and bad service and also we are vis a vis to customer structure of giving reaction if it is necessary against to badservice. Therefore all studies in organisation focused on customer. Organisations neglecting customer focused service have gotdifficulties for their life and competition.Customer focused services can secure with employees which are motiveted and has got work satisfaction. Consequently inestablishments with best organized, best facilities but negative employee attitude would be getting reason of bad perception oncustomers, but avarage organization with positive attitude of employee it would be getting customer pleasure.Regarding to enterprises it is occured o concept “Key Efficiency Scale”. This is not enough for measuring all phisical output.Otherwise it is measuring product or services which are big part of company profession. For example some insuarance companiesefficiency of claim service is measuring with number of claims to whom study duration.Hospitals are kind of organisations which have got interaction with public authority and social domination groups. From thisspeciality the management of hospitals also complex and difficult. Althogh speedy population increase, extension of average livingduration, rising of health aware, changing of patients demand, incresing necessity of medical practicing, excessive competition,high technology become widespread of medical area. All these things are reason of that hospital manage importance with effectiveand productive shape. Therefore it is necessitate to secure productivity increasing. It must be firstly doing increasing thelabourforce efficiency.This research realized the aim of determinig which demografic factors effected to hospital employees lobour forceproductivity. Main weight of this research is Afyonkarahisar Kocatepe University Hospital health employees. Total personel are720 but it is reached 457 personel sampling of total personel for this study.It is more difficult to measure labor productivity in service organizations than organizations which produce goods. Researchhas two main variable groups as depended and independed variables. Independed variables of research includes age, sex, marital status, education level, work experience at hospital. Dependedvariables of research includes 30 judgment.Survey form was used at research in ord
Selcuk Universitesi Sosyal Bilimler Enstitusu Dergisi , 2008,
Abstract: Management and organization culture are determinant factors which are determine theprocess time of an organization, its management and its changing. While management providesmanaging of the staff in an organization, organizational culture provides controling and directingof the staff. Management and organizational culture have great importance which are completingeach other for any organization.Management of the hospitals which are basic sub-systems of health sector is difficult andcomplex. For that reason, it is esential to answer such questions, building an organizationalculture in hospitals, which organizational structure is required for management of the hospital, atwhich stage does these culture starts etc. Because, in order to achieve an hospital, manager of thehospital must know organizational culture which is formed by behavior of servicing staff, theirshares, and their rights.The aim of this study is determining effectiveness of staff and managers who work in AfyonKocatepe University (AKü) Hospital on construction of personal organizational culture andorganizational culture.
D Kaynak Kullan m n n Verimlilik üzerine Etkisi(Hastane Y neticileri üzerine Bir Ara t rma ( Using Of Outsourcing Effects On Efficiency (A Research On Hospital Managers)
Atila Karahan
Bal?kesir üniversitesi Sosyal Bilimler Dergisi , 2009,
Abstract: Using Of Outsourcing Effects On Efficiency (A Research On Hospital Managers)Problem Statement: Today establisments are in a very big global competition. From this they must give great effort for making their function continuous and for having a good place in the market. With this aim in available conditions they are making their structure suitable. Outsourcing is giving possibility as a strategic management vehicle. Establishments have tandency to make outsource couse of focus to their basic function. They give out other functions from their basic functions to develope their competition structure. In addition to outsource decreasing costs, share in risks, developing quality, making elastic structure ets helps to ncrease performance of establishments. Resarch Aims: The aim of this study effects on efficiency using of outsourcing in the hospitals.Method: A questionniare has been applied to a total of 85 managers which works in university hospital (1), state hospital (15), special hospital (2) and branch hospital (2). The data have been evaluated by doing frequency distribution with correlation analysis which aims to reveal the existence of relation using SPSS program.Findings and Results: It has been observed that outsourcing helps to reduce the costs in hospitals and a positive relation between oursourcing and efficiency exists. Thus, it has been concluded that outsourcing increases efficiency in hospitals.Proposals: In hospitals which are the most important health care providers in a sector intense with service, it is obvious that outsourcing focuses respectively on cleaning, catering, security and automation with changes in understanding of providing health services it is thought that health services may also be provided by means of outsources in future. Because in may sector outsourcing is utilized effectively and efficiently.
Ocular myasthenia gravis coincident with thyroid ophthalmopathy
Yaman A,Yaman H
Neurology India , 2003,
Abstract: Graves' disease and myasthenia gravis are both auto-immune diseases and the coexistence of these two diseases is well recognized. Myasthenia gravis is more frequent in patients with thyroid disease. Here we present a case of thyroid ophthalmopathy and ocular myasthenia.
Authors' Reply
Yaman A,Yaman H
Neurology India , 2003,
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