Erdem Asma (AKA Captain Dont's) Blog: Understanding Military Conflict: Four Essential Questions for Citizens

Monday, March 02, 2026

Understanding Military Conflict: Four Essential Questions for Citizens

Whenever a significant geopolitical event occurs—particularly one as consequential as a war that will shape world history—citizens must ask four fundamental questions: Why did this happen? What was its purpose? Where does it lead? And how should we respond? These questions form the analytical framework necessary for democratic accountability and informed public discourse.

As we examine the current conflict with Iran, now in its early stages, these questions become urgently relevant. This analysis seeks to provide clarity on the origins, motivations, and implications of this military engagement from a political science perspective.

The Origins of Conflict: Agency and Decision-Making

Primary Actors and Motivations

The current military action originated not from direct American security imperatives but from sustained diplomatic pressure by Israeli Prime Minister Benjamin Netanyahu. Over the course of seven visits to the White House in the past year, Netanyahu consistently advocated for U.S. military involvement in regime change operations targeting Iran.

This represents a significant departure from traditional justifications for military intervention. The stated rationale has evolved from immediate nuclear threats to broader strategic objectives. Netanyahu himself acknowledged that this military action represents the culmination of a forty-year strategic vision rather than a response to imminent danger.

The Importance of Historical Accuracy

Documenting these origins accurately serves multiple purposes beyond immediate analysis. Historical narratives shape collective memory and influence future policy decisions. When the origins of conflicts become obscured or deliberately misrepresented over time, societies lose the capacity to learn from past mistakes.

The pattern of historical revision is well-documented across numerous conflicts. Initial justifications often differ substantially from how events are remembered decades later. By establishing a clear record at the outset, we create accountability mechanisms that can inform future deliberations about military engagement.

Strategic Calculations and Regional Power Dynamics

The Pursuit of Regional Hegemony

From a realist perspective in international relations theory, Israel's strategic objectives align with classical great power behavior. The pursuit of regional hegemony—the ability to dominate one's geographic sphere without constraint—represents a fundamental ambition of rising powers throughout history.

Israel possesses several strategic advantages that support this ambition:

• Status as the region's acknowledged nuclear power.

• Advanced technological capabilities.

• Robust defense partnerships with Western powers.

• Significant economic development relative to regional neighbors.

The Iranian government represented the most significant obstacle to Israeli regional dominance. Through proxy organizations including Hezbollah, Hamas, and Houthi forces, Iran maintained the capacity to contest Israeli actions and constrain its freedom of operation throughout the Middle East.

Emerging Competition: Israel, Türkiye, and the Future of Syria

From a regional power perspective, the collapse of Cold War–era hegemonic discipline has opened space for three principal contenders: Iran and its “Axis of Resistance” proxies, Türkiye, and Israel. Iran’s attempt to leverage Hamas and Hezbollah to encircle Israel and gain prestige among Sunni Arab publics has largely failed, leaving its proxies weakened and its regional reputation damaged. This vacuum has elevated both Israel and Türkiye as the two most capable remaining contenders for influence from the Eastern Mediterranean to Syria and beyond.

Syria has become the central arena where these ambitions intersect. Israel’s military presence and strikes in Syria are justified as efforts to prevent hostile forces from consolidating along its borders and to maintain a demilitarized buffer south of Damascus. Türkiye, by contrast, has occupied large swathes of northern Syria since 2016 and now enjoys close ties with the new Syrian government, after years of backing Islamist rebel formations such as HTS. Turkish leaders see any move to fragment Syria or formalize sectarian or ethnic enclaves as a direct threat to their national security and have publicly warned they will intervene to prevent such outcomes.

Israel’s agenda is often read by regional analysts as favoring a fragmented Syria composed of weak sectarian or ethnic entities that cannot threaten its security and that can serve as buffers. This perception, combined with Israeli airstrikes on sites reportedly scoped by Türkiye for future bases, has driven Ankara to accelerate military modernization, including indigenous weapons development and new fighter-jet acquisitions from European partners, in part to narrow Israel’s qualitative edge. While both governments have an interest in avoiding a direct clash, overlapping operations, gray-zone activities, and proxy engagements in Syria increase the probability of incidents that could escalate if not carefully managed.

Territorial and Political Objectives

Beyond neutralizing Iranian influence, Israeli strategic planning encompasses territorial expansion into portions of Syria and Lebanon, along with consolidation of control over disputed territories. These objectives follow predictable patterns of state behavior in international relations, where dominant regional powers seek to expand their sphere of influence and secure strategic buffers.

Collateral Consequences: The Gulf States

Impact on American Allies

The Gulf Cooperation Council (GCC) nations—Bahrain, Oman, Kuwait, United Arab Emirates, Qatar, and Saudi Arabia—represent some of America's most significant strategic partnerships in the Middle East. These countries host American military installations, facilitate critical energy infrastructure, and increasingly serve as centers for international diplomacy.

The current conflict has placed these allies in an untenable position. Iranian missile strikes have targeted facilities across the Gulf region, including:

• Critical energy infrastructure in Saudi Arabia.

• International airports in Dubai and Abu Dhabi.

• Military installations hosting American personnel.

• Desalination plants essential for civilian water supply.

Erosion of Alliance Credibility

The perceived inability or unwillingness of the United States to defend these partners during hostilities initiated at American participation undermines decades of alliance-building. When allied nations experience attacks on critical infrastructure while hosting American forces, questions naturally arise about the value of such partnerships.

This erosion of confidence carries long-term implications for American strategic positioning. Gulf states may reconsider their alignment with Western powers, potentially seeking alternative security arrangements or adopting positions of neutrality in future conflicts.

The Question of American Interests

Divergence Between Allied and National Objectives

A central question in democratic accountability concerns whether military action serves American national interests or primarily advances the strategic objectives of allied nations. In this case, substantial evidence suggests the latter.

American military and diplomatic leadership expressed significant reservations about this course of action. The risks were well understood:

1. Regime change operations historically produce unstable outcomes.

2. No viable succession plan existed for Iranian governance.

3. Regional destabilization could trigger refugee crises.

4. American personnel face elevated risk without clear strategic gain.

Despite these concerns, the decision proceeded based on commitments to allied interests rather than calculated American strategic advantage.

The Precedent of Unilateral Allied Action

A critical dynamic emerged when Israeli leadership indicated willingness to proceed unilaterally regardless of American participation. This created a coercive dilemma: either join the operation to potentially moderate its scope, or face the consequences of allied action taken without coordination.

This represents a significant shift in alliance dynamics. Traditionally, the patron power (in this case, the United States) exercises substantial influence over client state military operations through financial leverage and security guarantees. The inversion of this relationship—where the smaller ally effectively compels larger partner participation—merits serious examination.

Historical Context: Patterns of Influence

The Last Presidential Restraint

Historical analysis reveals that President John F. Kennedy was the last American executive to impose meaningful constraints on Israeli strategic ambitions. In 1962, Kennedy demanded inspection of nuclear facilities at Dimona and threatened to cut aid if Israel pursued nuclear weapons development without transparency.

Following Kennedy's assassination in November 1963, Vice President Lyndon Johnson reversed this policy, effectively granting approval for Israeli nuclear development. Since that turning point, no American administration has successfully imposed significant constraints on Israeli strategic decision-making despite providing billions in annual assistance.

Implications for Sovereignty and Alliance Management

This pattern raises fundamental questions about sovereignty and alliance management. When a recipient of substantial foreign aid can effectively dictate the military policy of its benefactor, traditional power dynamics have been substantially altered.

Political scientists distinguish between:

• Symmetric alliances where partners possess roughly equivalent power and influence.

• Asymmetric alliances where a dominant partner exercises disproportionate influence.

• Inverted alliances where the ostensibly weaker partner shapes the stronger partner's behavior.

The current relationship increasingly resembles the third category—a phenomenon worthy of systematic study.

Domestic Political Implications

The Absence of Public Mandate

Democratic legitimacy requires that significant military commitments reflect public will as expressed through electoral processes. Pre-conflict polling indicated minimal public support for military operations against Iran. This support has declined further as casualties mount and consequences become apparent.

The disconnect between elite policy preferences and public opinion creates potential for domestic political instability. When governments pursue military action without popular mandate, they undermine the foundations of democratic accountability.

The Acceleration of Social Change During Wartime

Historical analysis demonstrates that warfare accelerates social and political trends. Civil liberties typically contract during military conflicts as governments prioritize security over individual rights. Political discourse becomes more polarized. Dissent faces increased pressure for conformity.

These patterns emerge reliably across diverse political systems and time periods. Britain interned domestic political opponents during World War II despite its democratic traditions. The United States restricted civil liberties substantially during both World Wars and subsequent conflicts.

Current trends suggest similar dynamics. Calls for restricting speech, investigating dissent, and questioning the loyalty of those who opposed military action have intensified rapidly. These developments threaten the open discourse essential for democratic governance.

Syria’s Internal Settlement and the Israel–Türkiye Question

Beyond great power competition, Syria’s internal constitutional future has become a live debate that will shape regional stability regardless of Israeli or Turkish preferences. The core question concerns how power will be distributed among regions, communities, and the central state after years of civil war, demographic shifts, and external intervention. Kurdish forces, who hold significant territory and have borne much of the ground fighting, are even less willing than before to accept a strongly centralized Damascus and will resist any attempt to deploy national forces or HTS-aligned units in their regions.

Minority communities—Druze among them—have generally articulated maximal public demands that resemble robust federalism rather than outright partition: a single flag, currency, and army, with strong local governments and local law enforcement, and clear constitutional prohibitions on using the national army for internal repression. Such arrangements echo federal models in established democracies, where deployment of national forces in domestic provinces is tightly constrained. Over time, a census is likely to reveal that minorities have shrunk substantially under HTS rule and war conditions; if no single minority retains more than a small percentage of the population, Sunni majority fears of regional autonomy may ease. In that scenario, religious Sunni Arabs would dominate national politics, with their primary opposition emerging from a coalition of secular Sunnis and religious minorities—assuming some degree of political pluralism is permitted.

In this context, the prospect of an Israel–Türkiye conflict is best understood as a structural risk rather than an imminent inevitability. Ankara has declared it will oppose any attempt to divide or permanently demilitarize Syria in ways that appear to legitimize long-term foreign occupation or empower Kurdish entities it deems terrorist affiliates. Israel, for its part, has supported some Syrian minorities seeking autonomy and insists on retaining operational freedom inside Syria until it judges the regime sufficiently stable and non-threatening. Analysts note that relations between the two states are already described as a “cold war,” with deconfliction lines in place but mutual suspicion growing. Both sides are modern militaries, both are tied in different ways to Western security architectures, and both have much to lose from open conflict, making indirect competition—through proxies, gray-zone operations, and diplomatic contests for Sunni Arab support—the more likely trajectory.

The Path Forward: Policy Recommendations

Immediate Operational Priorities

Several immediate steps could mitigate ongoing risks:

1. Declare objectives achieved and withdraw. Continued operations without clearly defined, achievable goals invite mission creep and escalating casualties. Declaring victory following the achieved objective (elimination of Iranian leadership) provides an exit pathway.

2. Prioritize American civilian evacuation. Hundreds of thousands of American citizens remain in the region, many unable to secure transportation due to disrupted air travel and maritime routes. The State Department must prioritize citizen welfare over diplomatic considerations.

3. Reassert alliance management. The United States must clearly communicate that allied nations cannot unilaterally commit American military forces. Future operations require explicit American consent based on American interests.

4. Restore air defense to Gulf partners. The redeployment of air defense systems from Saudi Arabia to Israel left critical infrastructure vulnerable. Restoring these defensive capabilities demonstrates commitment to longstanding alliances.

Structural Reforms for Long-Term Accountability

Beyond immediate crisis management, several structural reforms merit consideration:

Foreign Lobbying Transparency

The influence of foreign-funded lobbying organizations on American policy requires greater transparency and potentially stricter regulation. Democratic governance suffers when foreign interests can effectively purchase policy outcomes through lobbying expenditures.

The Foreign Agents Registration Act (FARA) provides a framework for such transparency but faces inconsistent enforcement. Strengthening these mechanisms while respecting First Amendment protections represents a delicate but necessary balance.

Dual Citizenship in Government Service

Many democracies restrict individuals holding multiple citizenships from serving in sensitive governmental positions. The logic is straightforward: divided loyalties create potential conflicts of interest in policy-making.

The United States should consider whether individuals holding citizenship with foreign powers should occupy positions involving national security decision-making or military command. This standard should apply uniformly regardless of which foreign nations are involved.

Declassification and Historical Accountability

Excessive governmental secrecy undermines democratic accountability and fuels conspiracy theories. When citizens cannot access basic information about historical events—including assassinations, terrorist attacks, and military operations—they lose confidence in governmental institutions.

A systematic review of classification standards, particularly for events now decades old, would restore some measure of public trust while harming no legitimate security interests.

The Spiritual Dimension: Values in Conflict

Religious Leadership and Military Violence

Religious communities face particular challenges during wartime. Leaders must balance patriotic support for national defense with theological commitments to principles including just war theory, protection of innocents, and the inherent dignity of all persons.

When religious leaders enthusiastically endorse violence against civilian populations or describe God as primarily a "God of war," they depart from theological traditions emphasizing peace, reconciliation, and the sanctity of human life. Such rhetoric serves political rather than spiritual purposes.

Christian just war theory, developed over centuries by theologians including Augustine and Thomas Aquinas, establishes strict criteria for justified military action:

• Just cause (defense against aggression).

• Right intention (genuine pursuit of peace, not conquest).

• Legitimate authority (properly constituted government).

• Proportionality (means proportionate to ends).

• Discrimination (protection of noncombatants).

• Last resort (exhaustion of peaceful alternatives).

Religious leaders who abandon these principles in favor of uncritical nationalism abdicate their prophetic role in favor of political convenience.

The Importance of Moral Restraint

Democratic societies depend on moral restraint—the willingness to limit the exercise of power based on ethical principles rather than pure capability. When leaders celebrate death, dehumanize enemies, or dismiss civilian casualties as "cost-free," they erode the moral foundations that distinguish democratic societies from authoritarian regimes.

Reverence for human life, even enemy life, does not constitute weakness. It represents recognition that all persons possess inherent dignity that transcends national boundaries or political conflicts. Societies that lose this recognition lose an essential element of their humanity.

Conclusion: Democracy Requires Truth

Democratic governance cannot function without accurate information. When governments systematically mislead citizens about the origins of conflicts, the motivations behind military action, or the costs being incurred, they undermine the consent of the governed.

This analysis has sought to establish several fundamental points:

• The current conflict originated from allied pressure rather than direct American security threats.

• Strategic objectives center on regional hegemony rather than defensive necessity.

• Significant American allies face substantial harm from operations they did not request.

• American casualties serve foreign strategic objectives more than national interests.

• Democratic accountability requires honest assessment of these dynamics.

Citizens have both the right and the responsibility to demand truthful accounting from their leaders. When military action occurs, the public deserves clear answers about why American forces are deployed, whose interests are being served, and what constitutes success.

The path forward requires reasserting democratic accountability over military policy, prioritizing genuine American interests over allied preferences, and maintaining the moral restraint that distinguishes democratic societies from their authoritarian competitors.

As John Henry Newman wrote: "Eternal God, in whose perfect kingdom no sword is drawn but the sword of righteousness, no strength known but the strength of love, so mightily spread abroad your spirit, that all peoples may be gathered under the banner of the Prince of Peace as children of one Father to whom be dominion and glory now and forever."

These words remind us that genuine security emerges not from unconstrained military power but from justice, restraint, and respect for human dignity—principles that must guide policy in both war and peace.

#MiddleEastPolitics #Geopolitics #ForeignPolicy #InternationalRelations #PoliticalScience #WarAndPeace #USForeignPolicy #IsraelIran #IranCrisis #GulfStates #GlobalSecurity #RegionalHegemony #EnergyPolitics #WorldNews #DemocracyAndPower #MediaNarratives #ConflictAnalysis #HashtagDiplomacy #Syria #Turkey #KurdishIssue #IsraelTurkeyRelations #SyrianConflict #RegionalPowerPolitics

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Looking for a JOB - How to Be the Next Hire

Making You the Most Viable Next Hire
Being flexible, creative and adaptable in today’s economy is the cornerstone to survival. The job search is no different and, with unemployment rising, requires just as much vigilance. One way you can keep your options open and make yourself even more marketable is by considering Consulting in addition to your quest for full-time employment. Often perceived as an “either-or” scenario, Consulting offers you just as many benefits as it does your “would be” employer:

Track record of Fixing Problems?
Career wise, people typically fall into one of two categories: those who thrive on problem solving and the prospect of a new challenge –or- someone who is exceptionally good at steering the ship once it is on course. If the thought of fixing something that is broken appeals to you (versus has you thinking about reaching for the Tylenol), then Consulting might be an avenue to explore.

A More Flexible Interview
Quite often, what a company needs is someone to tackle a specific problem, not a new full-time employee. Identifying this in the interview and being able to present yourself as the solution to their problem (at a lower cost), can ultimately create a job tailor made for you and your skill set. No one can compete against that.

Dating Before Marriage
A consulting engagement can give you the opportunity to see if this company is a nice place to visit or a great place to live. The only thing worse than a prolonged job search, is ending up in a position that results in you being unemployed again in 6-12 months. Consulting lets you do more due diligence than you could ever accomplish in an interview.

“Consulting” on Your Resume
To many recruiters, seeing “consulting” as your current role without any clients/engagements is just a way to dress up being out of work. But, with a list of key accomplishments at those engagements, you show that you are in demand, have more control over your search and are broadening your experience. The latter is extremely important if you are looking to transition industries.

Change Agent
For companies looking to make some sort of change internally (and you should like this if you have a track record of fixing problems), consulting is a more preferred approach versus hiring a permanent employee. It is much easier to come in as a consultant, effect the course correction and then hand it off to the internal leadership.

Money
Besides the obvious benefit of having income during your search, it also gives you breathing room to be more objective in selecting your next job.

It’s Easier to Find a Job When You Already Have One
So much of what makes this true is that fact that when you are employed, you tend to be a bit more objective because you have a “bird in hand.” Consulting (in addition to easing that financial strain, which helps here) can provide the self-assurance that comes along with being employed, which can get whittled away while unemployed.

Presenting yourself as a viable consultant or full time employee isn’t mutually exclusive. Rather, they are simply two sides to the same coin. For the companies where you interview, this will only make you more viable and versatile in your eyes. For you, there is nothing to lose. The worst thing that happens here is you generate some income to inevitable financial strain of your job search. On the other hand, you might just find through this process that you discover your next career move.

Bağdat Caddesi

Gel de parmaklara hakim ol, yapma bir Caddebostan, Bağdat Caddesi nostaljisi şimdi!...diğer bir deyişle 'Karşı taraf' . Cok uzun seneler yazları gittiğim, son yıllarda ise her Türkiye'ye gittiğimde kaldığım Istanbul'un bir başka eşşiz köşesi.
1960'lı 70'li yıllarda köşkleriyle, bahçelerinden salkım salkım sarkan ortancalarıyla, billur gibi denizliyle, 'sayfiye' yeri olmasıyla meşhur Erenköy, Suadiye, Caddebostan.

Dükkanların az, ağaçların çok olduğu, bunca yıl geçmesine rağmen hala güzelliğini koruyan Bağdat Caddesi. On, onbir yaşımdan itibaren yazlarım geçti oralarda. Sokaklarda oynanırdı o zamanlar, öyle pek araba filan geçmezdi. Doyasıya bisiklete binilir, el birakarak gitmek büyük marifet sayılır Erenköy, Saskınbakkal, Göztepe bisikletle rahat rahat gidilir dönülürdü. Deniz için bazı sokakların denize vardıkları noktalarda bulunan kayıkhanelerden saatlik ücretle kayık kiralanır, kadın erkek kürek çekmeyi bilir, kayıktan denize girilirdi. Bazı gençler dalıp iskele ayaklarından midye toplar bazıları ise sığ kumda zıpkınla vatos avlarlardı. Sokaklardan dondurmacılar geçerdi o zamanlar. Simdiki gibi binbir çeşit ne gezer 'Dondurma, Kaymaaak' diye bağıran dondurmacının küçücük arabasında sadece kaymaklı ve limonlu dondurma olur, bazen ise çeşit olsun diye vişneli bulunurdu.

Caddebostan Plajı'nın yanı sıra bir de üyelikle girilebilen klüpler vardı. Marmara Yelken Klubü başta olmak üzere, Balıkadamlar, Caddebostan Yat Klübü ve İstanbul Yelken. Eğer bunlardan birine üyeyseniz veya üye bir arkadaşınız varsa bazı sporları yapma veya izleme olanağınız olur, voleybol, ping pong oynar, kıyıdan yelkenlilerin yarışlarını izlerdiniz. Denizin ortasında ise köfteciler vardı. Bunlardan aklımda kalanı ise mayomuzun kenarına sıkıştırdığımız parayla yüzdüğümüz, veya kayıkla yanaştığımız 'Fıştak'tı. Dönerken yüzülüyorsa demirlemiş kayıklara tutuna tutuna, dinlene dinlene yüzülürdü.

Akşamüstüne doğru herkesi bir 'piyasa' heyecanı alırdı. Saçlar yıkanır, bildiğımız ütüyle ütülenerek düzeltilir, ve (Bağdat) Cadde'ye binbir tur atmaya çıkılırdı. Bir aşağı, bir yukarı. Parkur ise genellikle Santral Durağı'ndan Saşkınbakkala kadardı. O zaman 'cafe' adeti bir elin parmaklarını geçmez, 'Borsa'da yer bulabilmek için hızlı davranmak gerekir, 'Divan' ise gençlere çok pahalı geldiğinden ancak hafif 'yaşı geçmiş'lerin duraklama mekanı olurdu. Hali varaba sahiakti oldukça yerinde olan birkaç genç ise bir aşağı bir yukarı arabayla giderek Mustang veya Corvette'leriyle gelene geçene hava atarlardı.

Geceleri ise açık hava sinemalarının keyfine doyulmazdı. Caddebostan'daki Ozan Sineması'nda genellikle Türk filmleri oynar, çıkınca biraz aşağıda, Caddebostan Maksim Gazino'sunun (MIGROS)yakınındaki büfe'de 'zümküfül' yenirdi (Bir çeşit sosisli sandoviç ) Yabancı filmlerin mekanı ise Budak Sineması'ydı (Şimdiki CKM). Yastıgını kapıp tahta iskemlelere yerleştirdikten sonra, çekirdeğini çıtlatarak izlenirdi filmler. Bazen bu sinemalarda Cem Karaca gibi o zamanın ünlü sesleri konserler verir, bazıları ağaç tepelerinden konser izlerdi.

Sonra sonra o köşkler birer birer yıkılmaya, yerlerin uzun uzun binalar dikilmeye, Cadde'deki evlerin yerlerini dükkanlar almaya, arabalar çoğalmaya, faytonlar yok olmaya, tekerlekli dondurmacıların yerini Algida'cılar almaya başladı. Ama ne mutlu ki tüm büyümeler, kalabalıklaşmalar rağmen 'Cadde'yi bozmayı başaramadı! O hala 'Cadde', İstanbul'un ,Türkiye'nin en güzide caddesi hala boydan boya yürümekten zevk aldığım, bir yerde oturup geleni geçeni izlemenin keyfini her yıl bir iki hafta yaşayabildiğim bir yer.

The best way to improve health care requires physicians and other stakeholders

My honest approach for how to improve the care is to support a methodology such as being self-serving. I would like to start a program to introduce a software-based point-of-care tool for obtaining patient feedback. This real time information can be used with clients to positively impact the patient experience, nurse engagement, physician (soft skills) competence and overall quality. In my perspective the criteria for fulfilling the demand for finding the best way to improve healthcare is that it need be simple to implement, impactful and cost effective. The most impact to healthcare improvement will come from process improvement and healthcare provider recruitment AND retention. The by-products will be reduced cost of care and improved patient satisfaction. This applies to hospitals and private practices. Based on current studies and the economy, supplying adequate healthcare to the community is already tough and is going to get more challenging. Recruiting sufficient healthcare coverage will boost revenue and provide some improvement to patient satisfaction (wait time and access). However, failure to retain the medical staff will significantly hurt the outcome. With high demand and low supply, it will be well worth the time and money to present "we have the greenest pastures here". The method mentioned above may be called such as point-of-care through successful implementations that may turn in to popular key parts of process improvement. You need to have some feedback from the patients and the physicians in order to measure the processes that should be or are currently being improved. In order to achieve this you have to create the acronym HOSPITAL to help those in Healthcare recall the numbers of different types of inefficiencies in any medical facility. Those who have been exposed to Six Sigma and Lean have an appreciation for improvement opportunities and generally view things through differently trained eyes that can see within all those facilities. Publishing the results of the similar programs online may offer a transparent access to the consumers to monitor these inefficiencies. Welcoming any feedback relative to this and encourage your staff to consider this method or similar training methods for their teams will be highly critical for the outcome. We have to understand that it is impossible to solve a problem that we are unaware of. By providing even the most basic tools at the lowest level possible, these problems have a way of surfacing. While everyone recognizes that healthcare systems and organizations need to improve, I think not enough time is spent on firstly identifying the key stakeholders, and secondly properly ENGAGING them. I strongly believe that not enough time is spent trying to engage physicians in this process. In my experience too many of these "improvement strategies" are top-down decisions by non-clinical managers who failed to conduct any research into what physicians might want or what stumbling blocks there are/were to get them to adopt the new technologies. EMR/EHR/CPOE are prime examples - all of these require a breakdown in the normal activity flow of providers, as it requires them to either find and log on to a terminal or carry a bulky instrument. Almost all clients and colleagues I have worked with resent and resist those methods. And look how few MDs are part of Healthcare consulting firm teams. IMHO, I believe more energy should be spent engaging rather than alienating MDs as a first step, then doing the same for patients in order to get buy in from the two key stakeholders as I see it. I've always found that engaging these stakeholders on projects from the beginning results in more buy-in and most importantly, better recommendations/outcomes (a better product).

BJK FOREVER

Karga kartalların sırtına oturur ve boynunu ısırır. Kartal cevap vermez, kargayla savaşmaz; kargaya zaman veya enerji harcamaz, bunun yerine sadece kanatlarını açar ve göklerde yükselmeye başlar. Uçuş ne kadar yüksek olursa, karganın nefes alması o kadar zor olur ve sonunda karga oksijen eksikliği nedeniyle düşer. Kartaldan öğrenin ve kargalarla savaşmayın, sadece yükselmeye devam edin. Yolculuk için gelebilirler ama yakında düşecekler. Dikkat dağıtıcı şeylere yenik düşmenize izin vermeyin....yukarıdaki şeylere odaklanmaya devam edin ve yükselmeye devam edin!! Kartal ve Karga dersi

PEZEVENK

Dünya ahvalinden haberi yoktur
Sohbeti din ile açar pezevenk
Komşusu aç iken kendisi toktur
Sanki melek olmuş uçar pezevenk
Karanlık işlerde zıplama ister
Evine granit kaplama ister
Dünya mektebinden diploma ister
İnsanlık dersinden kaçar pezevenk
Herkesin kabına çeşmesi akmaz
Erkek sinekleri hareme sokmaz
Fakir komşusunun yüzüne bakmaz
Selâmsız sabahsız geçer pezevenk
Sanırsın Allah'la akde oturmuş
Cennete giderken macun götürmüş
Hûriler'i dizip işi bitirmiş
Şimdi gılmanları seçer pezevenk
Aydınlığa düşman yobazın dölü
Hû çekerken şişmiş ağzında dili
Erbâbi, ülkede bunlardan dolu
Durmadan zehrini saçar pezevenk

Âşık Erbabi

by Erdem Asma on Thursday, August 5, 2010 at 11:05pm

Mission of working together to achieve a common goal

Under extreme conditions, immense amounts of stress, and insurmountable odds, still set your mission to always find a way. 🎯 Than a successful transformation needs more than only a vision so THINK BIG, support the cultural shift, and imagine the future as if it were the present. 🤝 Customer Centricity goes beyond listening and understanding – it´s about challenging each other, co-creating value adding IT solutions, and delivering best-in-class services where quality, speed and cost are in balance. 💭 Agile is more than a set of tools, frameworks, and methodologies, it´s a mindset – with our new way of working we bring IT closer to the business and business closer to IT. 💡 One of my key takeaways: By leveraging the team power, always have eachothers back, we can achieve great things while sailing through one of the most liberating route to success. As Darwin said: “It´s not the strongest of the species that survives, nor the most intelligent, but the one that is the most responsive to change.”

To get to know the person better you are going to marry

To get to know the person better you are going to marry, you need to see how he behaves in these four situations. 1- How he feels and how he behaves when he's hungry? If he is not emotionally mature, the hungry person begins to behave impatiently and selfishly. 2- When he’s angry at something or someone I would observe carefully how he reacts, how he behaves. The anger of the selfish person and the anger of the mature person are different. I would say that the best indicator of a person's maturity is how he manages his anger. 3- What does he do when he feels lonely? Does he shot himself down to the world and run away from everyone everything and be offended by every single thing, blame everyone, or can he be friends with his loneliness and accept these states of life with a calm maturity? 4- How does he behave when he is tired? It shows whether a person is selfish or not, how he feels and behaves best when he is tired. The mature person who understands the importance of his relationship (affair) with always considering others well-being in mind, no matter how tired they are.

Rejected on a Job Application due to being Overqualified

Overqualified means that someone is performing the role at a higher level. That the person possesses a skillset more/over and above than what is expected in the role. Age has nothing to do with being overqualified. Someone who’s 28 could be overqualified too. When hiring, it is about finding person who is the right fit, for the right role with the right motivation who also fits with the team/corporate culture. Questions to the person applying for a role at a lower level could be: ‘why are you looking to take a step back in your career?’ and ‘since the role doesn’t sit at your current level, do you realize that the compensation is not on par with your current package/expectations?

Have you ever thought about this?

In 100 years like in 2123 we will all be buried with our relatives and friends. Strangers will live in our homes we fought so hard to build, and they will own everything we have today. All our possessions will be unknown and unborn, including the car we spent a fortune on, and will probably be scrap, preferably in the hands of an unknown collector. Our descendants will hardly or hardly know who we were, nor will they remember us. How many of us know our grandfather's father? After we die, we will be remembered for a few more years, then we are just a portrait on someone's bookshelf, and a few years later our history, photos and deeds disappear in history's oblivion. We won't even be memories. If we paused one day to analyze these questions, perhaps we would understand how ignorant and weak the dream to achieve it all was. If we could only think about this, surely our approaches, our thoughts would change, we would be different people. Always having more, no time for what's really valuable in this life. I'd change all this to live and enjoy the walks I've never taken, these hugs I didn't give, these kisses for our children and our loved ones, these jokes we didn't have time for. Those would certainly be the most beautiful moments to remember, after all they would fill our lives with joy. And we waste it day after day with greed, greed and intolerance.

Yasarken Neler Yapmali ;-)

SAĞLIK:

1. Çok su için.
2. Kahvaltıyı kral, öğle yemeğini prens ve akşam yemeğini de dilenci gibi yiyin.
3. Ağaçlarda ve bitkilerde yetişen yiyecekleri çok ve fabrikalar da üretilen yiyecekleri az yiyin.
4. 3 E ile yaşayın -- Energy, Enthusiasm, and Empathy (enerji, heyecan ve duygu paylaşımı).
5. Kendinize zaman ayırın
6. Daha çok oyun oynayın.
7. 2008'de okuduğunuzdan daha fazla kitap okuyun.
8. Her gün en az 10 dakika sessiz olarak oturun.
9. 7 saat uyuyun.
10. Her gün 10–30 dakika yürüyüş yapın ve yürürken gülümseyin.

KİŞİLİK:

11. Hayatınızı başkalarınınkiyle karşılaştırmayın. Onların seyahatinin ne hakkında olduğu belirsiz....
12. Kontrol edemeyeceğiniz olumsuz düşüncelere veya şeylere sahip olmayın. Bunun yerine enerjinizi olumlu şekilde şu an için harcayın.
13. Kendinizi fazla abartmayın; sınırlarınızı bilin.
14. Kendinizi çok da ciddiye almayın; kimse yapmıyor.
15. Kıymetli enerjinizi gevezelikle, dedikoduyla boşa harcamayın.
16. Uyanık iken daha fazla hayal kurun.
17. Kıskançlık, çekememezlik zamanın boşa harcanmasıdır. İhtiyacınız olan her şeye sahipsiniz.
18. Geçmiş meseleleri unutun. Partnerinizin geçmiş hatalarını hatırlatmayın. Bu durum mevcut mutluluğunuzu bozar.
19. Hayat, birisine kin duyarak zamanı boşa harcamak için çok kısadır.
20. Geçmişinizle barış yapın ki, şimdiki zamanı bozmasın.
21. Senden başka hiç kimse senin mutluluğundan sorumlu değildir.
22. Hayatın bir okul olduğunu ve öğrenmek için burada o lduğumuzu unutmayın. Problemler, cebir dersi gibi gelip giden, ancak aldığımız derslerin bir ömür boyu devam ettiği eğitim programının bir parçasıdır.
23. Daha fazla gülümseyin ve gülümsetin
24. Her tartışmayı kazanmak durumunda değilsiniz. Aynı fikirde olmamak için anlaşın.

SOSYAL YAŞANTI:

25. Ailenizi sık arayın.
26. Her gün diğerlerine iyi bir şey verin.
27. Herkesi her şey için affedin.
28. 70 yaşından büyük ve 6 yaşından küçük kimselerle vakit geçirin.
29. Her gün en az 3 kişiye gülümseyin, tanımadığınız en az 1 kişiye "GÜNAYDIN" deyin.
30. Başkalarının sizin hakkınızda ne düşündüğü sizi hiç ilgilendirmesin.
31. Hasta olduğunuz zaman, işiniz size bakamaz ama aileniz ya da arkadaşınız bakabilir.

HAYAT:

32. Doğru şeyi yapın!
33. Faydalı, güzel veya neşe dolu olmayan her şeyden uzak durun.
34. İyilikler her şeyi güzelleştirir.
35. Bir durum iyi veya kötü olsun, nasılsa değişecektir.
36. Nasıl hissettiğinizin önemi yok, haydi kalkın, giyinin ve ortaya çıkın.
37. En iyisine henüz sıra gelmedi.
38. Sabah canlı olarak uyandığınız zaman, buna sevinin.
39. Maneviyatınız daima mutludur. Öyleyse mutlu olun.

“The Mother’s Prayer for Its Daughter” from Tina Fey's new book, Bossypants ...

First, Lord: No tattoos. May neither Chinese symbol for truth nor Winnie-the-Pooh holding the FSU logo stain her tender haunches.

May she be Beautiful but not Damaged, for it’s the Damage that draws the creepy soccer coach’s eye, not the Beauty.

When the Crystal Meth is offered, May she remember the parents who cut her grapes in half And stick with Beer.

Guide her, protect her

When crossing the street, stepping onto boats, swimming in the ocean, swimming in pools, walking near pools, standing on the subway platform, crossing 86th Street, stepping off of boats, using mall restrooms, getting on and off escalators, driving on country roads while arguing, leaning on large windows, walking in parking lots, riding Ferris wheels, roller-coasters, log flumes, or anything called “Hell Drop,” “Tower of Torture,” or “The Death Spiral Rock ‘N Zero G Roll featuring Aerosmith,” and standing on any kind of balcony ever, anywhere, at any age.

Lead her away from Acting but not all the way to Finance. Something where she can make her own hours but still feel intellectually fulfilled and get outside sometimes And not have to wear high heels.

What would that be, Lord? Architecture? Midwifery? Golf course design? I’m asking You, because if I knew, I’d be doing it, Youdammit.

May she play the Drums to the fiery rhythm of her Own Heart with the sinewy strength of her Own Arms, so she need Not Lie With Drummers.

Grant her a Rough Patch from twelve to seventeen. Let her draw horses and be interested in Barbies for much too long, For childhood is short – a Tiger Flower blooming Magenta for one day – And adulthood is long and dry-humping in cars will wait.

O Lord, break the Internet forever, That she may be spared the misspelled invective of her peers And the online marketing campaign for Rape Hostel V: Girls Just Wanna Get Stabbed.

And when she one day turns on me and calls me a Bitch in front of Hollister, Give me the strength, Lord, to yank her directly into a cab in front of her friends, For I will not have that Shit. I will not have it.

And should she choose to be a Mother one day, be my eyes, Lord, that I may see her, lying on a blanket on the floor at 4:50 A.M., all-at-once exhausted, bored, and in love with the little creature whose poop is leaking up its back.

“My mother did this for me once,” she will realize as she cleans feces off her baby’s neck. “My mother did this for me.” And the delayed gratitude will wash over her as it does each generation and she will make a Mental Note to call me. And she will forget. But I’ll know, because I peeped it with Your God eyes.

~Tina Fey

by Erdem Asma on Tuesday, April 19, 2011 at 9:23pm

Beethoven's Love Letter "my eternally beloved"

July 6 1806, in the morning by Ludwing Van Beethoven~

"My angel, my all, my very self - Only a few words today and at that with pencil (with yours) - Not till tomorrow will my lodgings be definitely determined upon - what a useless waste of time - Why this deep sorrow when necessity speaks - can our love endure except through sacrifices, through not demanding everything from one another; can you change the fact that you are not wholly mine, I not wholly thine - Oh God, look out into the beauties of nature and comfort your heart with that which must be - Love demands everything and that very justly - thus it is to me with you, and to your with me. But you forget so easily that I must live for me and for you; if we were wholly united you would feel the pain of it as little as I - My journey was a fearful one; I did not reach here until 4 o'clock yesterday morning. Lacking horses the post-coach chose another route, but what an awful one; at the stage before the last I was warned not to travel at night; I was made fearful of a forest, but that only made me the more eager - and I was wrong. The coach must needs break down on the wretched road, a bottomless mud road. Without such postilions as I had with me I should have remained stuck in the road. Esterhazy, traveling the usual road here, had the same fate with eight horses that I had with four - Yet I got some pleasure out of it, as I always do when I successfully overcome difficulties - Now a quick change to things internal from things external. We shall surely see each other soon; moreover, today I cannot share with you the thoughts I have had during these last few days touching my own life - If our hearts were always close together, I would have none of these. My heart is full of so many things to say to you - ah - there are moments when I feel that speech amounts to nothing at all - Cheer up - remain my true, my only treasure, my all as I am yours. The gods must send us the rest, what for us must and shall be - Your faithful Ludwing"

by Erdem Asma on Tuesday, April 5, 2011 at 1:42am

The surprising benefits of lemon!~Limonun Faydalari

This is the latest in medicine, effective for cancer!

Read carefully & you be the judge.

Lemon (Citrus) is a miraculous product to kill cancer cells. It is 10,000 times stronger than chemotherapy.

Why do we not know about that? Because there are laboratories interested in making a synthetic version that will bring them huge profits. You can now help a friend in need by letting him/her know that lemon juice is beneficial in preventing the disease. Its taste is pleasant and it does not produce the horrific effects of chemotherapy. How many people will die while this closely guarded secret is kept, so as not to jeopardize the beneficial multimillionaires large corporations? As you know, the lemon tree is known for its varieties of lemons and limes. You can eat the fruit in different ways: you can eat the pulp, juice press, prepare drinks, sorbets, pastries, etc... It is credited with many virtues, but the most interesting is the effect it produces on cysts and tumors. This plant is a proven remedy against cancers of all types. Some say it is very useful in all variants of cancer. It is considered also as an anti microbial spectrum against bacterial infections and fungi, effective against internal parasites and worms, it regulates blood pressure which is too high and an antidepressant, combats stress and nervous disorders.

The source of this information is fascinating: it comes from one of the largest drug manufacturers in the world, says that after more than 20 laboratory tests since 1970, the extracts revealed that: It destroys the malignant cells in 12 cancers, including colon, breast, prostate, lung and pancreas ... The compounds of this tree showed 10,000 times better than the product Adriamycin, a drug normally used chemotherapeutic in the world, slowing the growth of cancer cells. And what is even more astonishing: this type of therapy with lemon extract only destroys malignant cancer cells and it does not affect healthy cells.

Institute of Health Sciences, 819 N. L.L.C. Cause Street, Baltimore, MD1201

Tıpta son yenilik, kansere karşı etkili! Limon, kanser hücrelerini öldüren mucizevi bir mahsul. Kemoterapiden 10,000 kat daha güçlü!!! Neden biz bunları bilmiyoruz? Çünkü bazı laboratuarlarda üretilen sentetik ilaçlarla birileri çok büyük karlar elde ediyor. Şimdi bir arkadaşına bu maili yollayarak limon suyunun kanseri önleyici faydalarını bilmesini sağlayabilirsin. Limonun tadı güzel ve kemoterapinin korkunç yan etkilerine sebep olmuyor. Multimilyonerlerin sahip olduğu büyük şirketlerin karlarına zeval gelmesin diye bu sır saklanırken daha kaç kişi ölecek? Bildiğiniz gibi limon ağacı, limon ve lim (yeşil limon) gibi çeşitleriyle bilinir. Bu meyveyi farklı şekillerde yiyebilirsiniz: posasını yiyebilir, suyunu sıkabilir, içecekler hazırlayabilir, şerbetler ve tatlılar yapabilirsiniz. Bir çok erdemleriyle tanınır, ama en ilginç olanı tümör ve kistler üzerine olanıdır. Bu bitki her tür kanser tipine karşı kanıtlanmış bir çaredir. Bazıları kanserin her türlü varyasyonuna karşı yararlı olduğunu söylüyor. Bakteri enfeksiyonları ve mantarlara karşı anti mikrobal spektrum olduğu, kurt ve parazitlere karşı etkili olduğu kabul ediliyor. Yüksek tansiyonu dengeliyor. Bunlar dışında stresle savaşan, sinir bozukluklarına iyi gelen antidepresan etkisi var. Bu bilginin alındığı kaynak gerçekten büyüleyici: Dünyanın en büyük ilaç üreticilerinden birinden öğrenildiğine göre; 1970'ten beri 20'den fazla farklı laboratuar test etti ve sonuç olarak limon ekstresinin 12 kanser tipinde kötü huylu hücreleri yok ettiği ortaya çıktı! Bu kanserler içinde kolon, göğüs, prostat, akciğer ve pankreas kanserleri de var. Kanser hücrelerinin büyümesini yavaşlatmada limon ağacı bileşenlerinin Adriamycin adlı bütün dünyada genellikle kemoterapide kullanılan ilaçtan 10,000 kat daha iyi olduğu gösterildi. Daha da hayret verici olan; limon ekstreleri ile yapılan bu terapi sadece kötü huylu kanser hücrelerini yok ediyor ve sağlıklı hücrelere hiçbir etkisi bulunmuyor.

by Erdem Asma on Wednesday, February 23, 2011 at 8:25am

To all who likes to know, today is the fist day of Ramadan!

It is required to fast for the duration of the month every year in Islam for all healthy Muslims.

Islam order the Muslims to stop eating , drinking , smoking and some other marriage activities from morning Fajr prayer till evening Maghrib prayer. Ramadan is 29 or 30 days depends on the moon followed by 3 days Eid holiday. In the evening after Maghrib prayer, until sunrise the life get back to normal, they can eat, drink and etc. Wish you peace, happiness and divine blessing. Ramadan Mubarak.

by Erdem Asma on Wednesday, August 11, 2010 at 9:14am

Pakize Suda'dan

KASABA esnafından biri olmalıydı kocam.

Akşam, güneş batmadan

Dükkanını kapatıp eve gelmeliydi.

Evimiz mümkünse bahçeli olmalıydı.

Yaz akşamları sulayıp serin serin oturmalıydık.

Ben, orta boylu tıknazca, ev hanımı olmalıydım.

Cinsiyeti önemli değil, eli ayağı düzgün iki çocuğumuz olmalıydı.

Derslerine yardım etmeye yetecek eğitimim olmamalıydı.

Ama ara sıra ''Dersinizi bitirdiniz mi?'' diye sormalıydım.

Daha çok üstleri başlarıyla...

Yedikleri içtikleriyle. ..

Öksürükleri, aksırıklarıyla ilgilenmeliydim.

Yavaştan yavaştan çeyizlerini düzmeliydim.

Her ayın 15'i kabul günüm olmalıydı.

Ellerime sağlık, kekler,poğaçalar yapmalıydım.

İnce belli bardaklarda çaylar ikram etmeliydim.

Sabahları hırkamı omzuma alıp komşuya kahve içmeye geçmeliydim.

Patlıcan, biber kızartmalı,reçel kaynatmalıydım.

Akşamları özene bezene sofrayı kurmalıydım.

Kocam ajansı dinlerken ben lafa girmeliydim,

O, ''Sus hanım bi dakka'' demeliydi.

Böyle dese de beni çok sevmeliydi.

O uyuklamalı, ben bulaşık yıkamalı, çocuklar ders çalışmalıydı.

Bazen akşam oturmasına komşular gelmeliydi.

Öyle Haremlik selamlık gibi değil ama kadın erkek ayrı oturmalıydık.

Erkekler memleketi kurtarırken biz bütün kasabayı dilimizden

geçirmeliydik.

Herkes birbirinin kocasına, karısına ''Falanca Bey'', ''Filanca Hanım''

diye hitap etmeliydi.

Yanlışlkla bacağımız, göğsümüz biraz açılıverse

Yüzümüz kızarmalı,hemen toparlanmalıydık.

Kocam kırk yılda bir, bir tek atmalı,

Neşelenip bir hicaz şarkı mırıldanmalıydı.

Şehvetten uzak şefkate yakın bir cinsel hayatımız olmalıydı.

Gözümüzü birbirimizde açmış olmalıydık, öyle de sürüp gitmeliydi.

Harama uçkur çözmemeliydik.

Zaten etrafımızda evli barklı komşularımızdan başka kadın olmadığından....

Dükkanda çelimsiz çıraktan gayrı, öyle sekreter falan çalışmadığından...

Ortalıkta gidilecek bar mar bulunmadığından...

Mankenler bizim kasabaya uğramadığından...

Ve de kocam, efendi bir adam olduğundan beni aldatamazdı.

Tamam, abarttım biraz.

Belki de böyle bir aile yapısı örneği kalmamıştır artık.

Ama, acaba diyorum...

Buna benzer bir hayat tarzı beni daha mutlu eder miydi?

Kendim de dahil uçuk kaçık insanlardan gına geldi artık.

Normalliği özlüyorum.

Özgürlüğün tadını çıkaralım derken suyunu çıkardık galiba.

Herkes çok zeki, çok akıllı, çok bilgili, çok şu, çok bu...

Ve de çok mutsuz...

Depresyona giren girene.

Çok bilmişliğin kimseye bir faydası yok galiba.

Pakize Suda

by Erdem Asma on Thursday, August 5, 2010 at 3:24pm

TANSİYON

Kalbin vücuda kanı dağıtmak için kullandığı güce tansiyon denir. Tansiyonun
ölçüm birimi mm/hg dir.
Büyük tansiyon; Kalbin sol kalpten kanı vücuda doğru pompalarken kullandığı güce denir. Buna birinci veya büyük tansiyon da denir.
Küçük tansiyon; Kalbin kan pompalanmasını bitirdikten sonra damarlarda ortaya çıkan basınca da ikinci veya küçük tansiyon denir.

YÜKSEK TANSİYON

Yapılan bilimsel çalışmalara ve Dünya Sağlık Teşkilatının tarifine göre yüksek tansiyon sınırı yaşla değişiklik göstermesine rağmen, orta yaşlı insanlarda büyük tansiyon en fazla 160 mmhg, küçük tansiyon ise en fazla 85 mmhg olmalıdır. TANSİYON halinde ve tekrar tekrar ölçümün sonucu verilenden daha yukarı rakamlar çıkıyorsa, hastada yüksek tansiyon var demektir. Yüksek tansiyon hastada çoğunlukla belirti yapmadığı halde, teşhis konduktan sonra, sebebi mutlaka açıklanmalı ve tedavisi mutlaka yapılmalıdır. Tedavisi uzun vadelidir. Tansiyonun %20'sinin sebebi bilinir. Sebebi bilinmiyor ve ortadan kaldırılamıyorsa, hayat boyu sürer. Başta şişmanlık olmak üzere, böbrek hastalıkları, hormon bozuklukları ve bazı kalp hastalıkları tansiyona sebep olabilir. Örneğin; hastada doğuştan böbrek damarı daralması varsa, ameliyatla damar ve açılır ve tansiyon hastalığı ortadan kalkar. Tansiyonda
kalıtım önemli rol oynar. Fazla tuz ve kırmızı et yenmesi de tansiyona sebep olan etkenler arasındadır.

Belirtileri;

Baş ağrısı,
Baş dönmesi,
bulantı,
Kulak çınlaması,
Burun kanaması,
Kalp ağrıları olarak sıralanır.

Tedavisi

Günümüzde tansiyon tedavisi her zaman için kontrol altına alınabilir. Az tuz, az kırmızı tüketilmelidir. Şişman hastaların kilo vermesi gerekir. Uyku düzeni olan stressiz, içki ve sigaradan uzak bir hayat tavsiye edilir.

Yapılan diyet sonucu tansiyon düşmüyorsa ilaç tedavisi verilir. İlaç alınımından sonra tansiyon düzene girse bile kesinlikle doktora danışmadan ilaç bırakılmamalıdır. Yüksek tansiyonun tedavisinde kan basıncı düşürmek için özellikle diyet uygulanır ancak tansiyon çok yüksek ve organik hastalıklardan kaynaklanıyor ise, diyet ve ilaç tedavisi aynı zamanda
uygulanır. Bu hastalığın kesin bir nedeni ve tedavisi olmaması, ömür boyu diyet uygulamayı gerektirmektedir. Yüksek tansiyonu şişmanlıktan kaynaklanan kişiler için en uygun tedavi şekli kilo vermektir. Yüksek tansiyonu olan şişmanlar için ilaç gerekli olduğu durumlarda yine kilo verilmeli ki böylelikle ilacın etkisi artabilsin. Tansiyon, damar setliği ve beyin kanamasının en önemli sebebidir.

Yüksek Tansiyonda Beslenme İlkeleri

Şişman kişilerde yüksek tansiyon ortaya çıkma olasılığı normal kilolu insanlara göre 2 mislidir ve şişmanların %70'inde yüksek tansiyon görülür. Yedikleri fazla yemekle daha fazla tuz almaları da tansiyonlarının daha yükselmesine sebep olur. İşte bu sebeplerden ötürü kilo vermesi şarttır. Yüksek tansiyon hastalarının günlük tuz kullanımını en aza indirilmeli (5-7 gram) hatta mümkünse hiç kullanılmamalıdır. Doğal besinlerden; yeşil yapraklı sebzeler, süt, et, yumurta, işlemmiş besinlerden; kek, bisküvi, konserveler, hazır çorbalar, ekmek, yarım yağlı margarin, zeytin, peynir, turşu, hardal, ketçap, mayonez, salata sosları en çok tuz içeren besinler olmalarından dolayı az kullanılmaları tavsiye edilir. Tansiyon düşürücü ilaçlar az tuz kullanıldığında daha tekili olurlar. Alkol kan basıncı arttıracağından ve kilo almaya sebep olacağından kullanılmamalıdır. Sigaranın tansiyonu arttırıcı etkisi olduğundan kesinlikle bırakılmalıdır, böylelikle tansiyon düşürücü ilaçların etkisi de artacaktır. Fazla miktarda hayvansal yağ içeren besinler yerine bitkisel yağları (mısır özü, zeytinyağı) tercih etmek gerekir. Doymuş hayvansal katı ve sıvı yağlar yerine doymamış bitkisel katı ve sıvı yağlar tercih edilmelidir. Tansiyon çok yüksek değilse, fazla olmamak kaydıyla çay ve kahve içebilir.EĞER VÜCUDUNUZA GEREKLİ BESİN DESTEKLERİ VERİRSENİZ, TANSİYON SİZE ZARAR
VERMEZ.

Düşük Tansiyon Nedir?

Sol kalbin kanı vücuda pompalarken gerekli basıncın düşük olması demektir. Bu basınç ölçüldüğünden ilk basınç 120'den düşük, ikincisi ise, 80'den düşük olmalıdır. Düşük tansiyona sebep olan nedenler çok çeşitlidir. Çoğunlukla insanın yapısına bağlıdır. Tansiyon düşmesi, ani ayağa kalkmalarda, beyin merkezinde ur olması durumunda, kalp adalesi zayıflaması, aort kapakçığının hastalanması gibi kalp hastalıkları söz konusu olduğu zamanlarda, böbrek üstü bezinin çalışması bozulduğunda veya hormon bozukluklarında meydana gelir.

Belirtileri Nelerdir?

Baş dönmesi,
Ani bayılmalar,
Terleme,
Bulantı,
Yorgunluk hissi gibi yüksek tansiyondaki belirtileri gözlenir.

Düşük Tansiyon Tedavisi Nasıl Yapılır?

Tansiyon düşüklüğü insanın yapısından kaynaklanıyorsa, bu hastalara spor yapmaları (yüzme, bisiklet sürme) aynı anda sıcak ve soğuk duş yapmaları, tuzlu ayran gibi tuzlu sıvılar almaları önerilir. Diğer nedenlerden kaynaklanan düşük tansiyon ise, nedenleri tedaviye yöneliktir. Örneğin; Böbrek üstü bezinin çalışması bozulmuş ise, bu durumu tedavi etmekle tansiyonda düzelmiş olacaktır.

by Erdem Asma on Thursday, July 29, 2010 at 6:06pm

Yine ayni rezalet!

Soru 1 : Dünyanın en tehlkeli teknolojik ürünü nedir?
What is the most dangerous tech product in the world?
Cevap 1 : Nükleer santral.
Nuclear reactors.

Soru 2 : Nükleer santrallerin en kötüsünü dünyaya yapan ülke hangisi?
Which country maintains the worst nuclear reactors?
Cevap 2 : Rusya.
Russia

Soru 3 : Rüşvetin en çok yendigi ülke hangisidir?
Country has a long history of bribery and corruption.
Cevap 3 : Rusya.
Russia

Soru 4 : Dünyada kilovat saati 6-7 cent olan nükleer santral elektiriğini Rusya'dan 12.35 cente 15 yıl boyunca alma anlaşması yapan ülke hangisidir?
While the average cost of the residential price of nuclear powered electricity in the world 6-7 cents per kWh, which country agreed to purchase it from 12.35 cents for the next 15 years?
Cevap 4 : TÜRKİYE!

by Erdem Asma on Sunday, July 11, 2010 at 3:53pm

Healthcare today and tomorrow from Captain's perspective

In the era of globalization, cut-throat competition is going on in healthcare industry, so healthcare organizations have to formulate right strategies at the right time and at economical cost for survival. The long-term success of a healthcare organization depends upon its ability to deliver best services with care at the right price and by maintaining financial health through operational efficiencies. As a healthcare professional with 12 years of experience in the sector I support the idea that the operational realization can be achieved only through successfully interfacing reliable computer based information systems that work in a harmony with the ideal current/future workflow throughout the organization. Today’s business may only get awarded for better clinical outcomes with reduced medical errors that will return to your organization as greater revenue. As a care provider highly dependent on accurate clinical information systems, which provide decision support and automate process tools capable of improving overall success and productivity. HIS vendor’s primary objective is to make the client prepared for not only remaining in business while facing the competition but to improve the financial outcome of the organization’s long term goals. The ultimate goal is to bridge the gaps between care giver and the encounters. This may only be achieved by the quality/accuracy of the data that you manage to gather during your everyday operations. In our day the biggest handicap is to learn how to eliminate the need to avoid unintended user contact and utilize the advance health information technology which provides better quality and faster interaction/ response times not only to continue growing financially strong but to extend with less force and results in fewer ratio of loss. Maintaining revenue integrity is the expertise to guide the business owners through but it is also supposed to be the care providers’ benefit while guaranteeing patients’ and healthcare professionals best benefit. Given that the effects of the financial trash hold in US economy annual healthcare expenditures are outgrowing, and the stakes are enormous regardless of the current economic crisis. But the critical point is to approach the dilemma from the perspective of the care provider since these high costs leave absolutely no room for inaccuracy. When undetected, most errors count against your annual revenue or long term limit on quality improvement. The way you invest misspent today can mean greater financial risk tomorrow. The complexities of clinically driven revenue management in healthcare, frequent regulatory change and continuous coding updates present intimidating challenges. In order to achieve the revenue integrity revenue consultants/specialists provide coaching in most critical fundamentals. To help the business office to send out to their payers the ultimate form and capability of efficiently transferred high volumes of claims in a timely manner once the staff verify for proper coding and accurate reimbursement. As a requirement, it is detrimental to maintain the ability to protect the patient data against any type of risk and abuse. By educating care providers in designing/building security in an experienced way can avoid patient information safety risks and claims submission mistakes while elevating their billing practices. Protection of the collected patient data should start with an analysis of possible threats, an identification of the costs of counter-measures and the decision on how security tools must be used on basis of a cost/benefit analysis. As there is no suitable product to be used by almost every solution, the healthcare IT management consultant’s experiences within the area offers a systematic approach how to implement adequate security in the healthcare enterprise. Since existing hospital access management systems always use point-to-point methods to implement integration, so they lack the support to complex hospital business processes and it is difficult to assure fluent execution of business processes, it is still difficult to adequately address revenue integrity due to the increasingly high number of changes in coding, coverage and payer guidelines, and be able to generate accurate claims without implementing and utilizing the most suitable software automation products. Otherwise it is only time and budget consuming for hospitals and medical system staffs. Fortunately the information technology is there to analytically guide the users through on the access management responsibilities, in addition to clinical others. In the year of 2009 still many organizations continue to struggle with manual processes. Auditing in paper based slow the process with limited reach in terms of the volume of claims reviewed as well as rules and edits applied. New electronic process solutions on the other hand focus on flagging unclean claims and identifying coding errors and more. They help the specialists to uncover duplicate files, gauge eligibility, or quickly review claims histories without referring on to the paper and give you the ability to track overpaid bills or duplicate bills which creates a significant financial difference. These solutions/software can monitor practices or providers over time however monitoring the efficiency of the data and manipulating the outcome may require further skills, which is especially critical in the age of electronically managed workflow implementations. As long as the vendors provide constructive feedback to their clients by upgrading the limits of intelligent technology since there is always plenty of room for growth and improvement to utilize the clean/accurate database. Once the demonstrative data stored it has to be filtered by the providers while understanding where the errors possibly stored. Software packages let payers equip their providers with remittance advice and reimbursement recommendations to assist in scrubbing future claims. With education on correct billing procedures, payers are helping to update their providers’ billing systems so future claims will not be returned unpaid. At the same time, the information that the provider gathers can improve payer provider relations by minimizing the friction and effort associated with deliberations regarding reimbursement rates. Revenue integrity technologies benefit those dedicated to improving their billing operation. As forward-thinking, organizations with the higher percentage of clean claims will ultimately lead to superior cash flow. However first to choose the right automation tools for the special needs of the organization, and installation followed by the integration with existing systems should be financially and timely well managed due to the risks of possible disruption or downtime. Furthermore, users in the scheduling, registration, medical records, billing departments should have to redesign their future workflows for electronic data input procedures and maybe apply customization to carry out an effective implementation. During the process of customizing/designing HIS products to successfully interface without distressing or necessitating major change to the rest rather than breaching the existing patient accounting system, the overall automation project requires successful implementation experience in managing account workflow. This support allows account representatives to focus on payer and guarantor follow-up while performing billing and collection practices. Best team with the most experience can guide the user to improve operational practice by creating business rules and workflow strategies to manage activities such as sending letters, attempting contacts and utilizing management reports. Once the business owner has the ability and knowledge to use the solutions in their best level of efficiency it will be easy to facilitate denial management by prioritizing and queuing accounts that need worked, tracking payer denials and automating your organization's denials response. Professionals such as myself better be proficient in clinical department workflows that are outside the business office therefore they can allow the provider to incorporate into their future workflow, improving exchanged information quality, timeliness and accuracy. As a final word, even though it is difficult, painful, and costly to participate in the process of developing and managing the health information system implementations due to the extensive numbers of subsystems/legacy systems along with the budgetary complications of the business process, overall the technology improves patient safety and service quality, saves time, provides higher accuracy rate, and helps the budget in the long run. Better control on the financial authority always means better chance to improve care quality.
Erdem Asma, MSM, PMP

Erdem Asma (AKA Captain Dont's) Blog

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