The positive relation starting on the first few days of life between the mother and the baby is called attachment. The study has been planned to reveal the relation between the baby and primipara and multipara mothers. The research has been carried out in a defining and attachment-seeking way. The population of the research consists of the mothers who have a four-month old baby registered in a health center in a Health Group Presidency in Istanbul between November 2010 and February 2011. The sample is 50 multipara and 50 primipara mothers. In collecting data, Maternal Attachment Inventory (MAI) and the form for the identification of the mother and the baby have been used. In statistical evaluation, t Test, Mann Whitney U test and Chi-Square test have been used. The average MAI point of primipara mothers (97.34±34.61) is significantly higher than that of multipara mothers (95.22±5.63). When compared the average MAI points of the groups in relation with their demographic features, it has been found that the average MAI points of primipara mothers who voluntarily got pregnant and had male babies and were under 30 is significantly higher. The attachment of primipara mothers is higher than that of multipara mothers. And also among primipara parents, those who are under 30, voluntarily got pregnant and had male babies have a higher degree of attachment.

The aim of this research is to evaluate the effect of pregnancy on women’s sexual function, body image and pelvic floor functions. This descriptive and prospective study was conducted with 61 women who were in the fourth month of the postpartum period. This descriptive and prospective study was conducted during December 2009 - December 2010 in the obstetrics and gynecology outpatient clinic of a training and research hospital in Istanbul. Participants had appointments three times in the first and third trimester and in the fourth month of the post-partum period. The data was collected by Information Form, The Female Sexual Function Index, Fecal Incontinence Quality of Life Scale, Urogenital Distress Inventory Short Form, Incontinence Impact Questionnaire Short Form and The Body Exposure during Sexual Activities Questionnaire. Experiencing problems in sexual intercourse during pregnancy was found higher than before pregnancy and the postpartum period. Pregnancy and delivery negatively impact women\

Congenital isolated pleural effusion is a rare condition. This report demonstrated a female neonate diagnosed antenatal with an isolated congenital pleural effusion, with infected empyema by Enterococcus faecalis. Without a blood stream, there would be neither infection nor other risk factors such as Proper clinical, laboratory diagnosis and appropriate management of the rare clinical entity discussed in this report. This is the first case of idiopathic congenital pleural effusion, with Enterococcus faecalis infection in neonates reported in Saudi literature.

ABSTRACT\nOBJECTIVE: circumcision and hernia repair are well known surgical procedures. The aim of this study was to compare both surgeries in a group of children of comparable age with respect to; size of the wound, postoperative analgesic requirements, and time required to return to normal activity as judged by mothers. Assessment was made at the time of surgery and one week post surgery at the clinic.\nPATIENTS AND METHODS: Twenty six pediatric patients who ranged in age from 3 months to two years (mean age7.8 months), and 22 pediatric patient who range in age from 3weeks to two years (mean age 9.2 months) underwent hernia repair. All procedures in the two groups were done under general anesthesia. None of the hernia cases were complicated by incarceration or strangulation or associated with cryptorchidism; there were no complications in both groups, such as infection, or significant bleeding. We used fisher exact test for statistical analysis.\n RESULTS: Both procedures were comparable with respect to wound size. Postoperative analgesic requirements were more in the circumcision group which is statistically significant, while the time needed to return to normal activity is more with circumcision without statistical significant difference.\n CONCLUSIONS: Circumcision is comparable to herniotomy in the pediatric age group, except for the postoperative analgesia which is required more with circumcision and it should be taken in our consideration, and a protocol for post operative analgesia should be established.

The paper examined Business ethics impacts on performance of selected Small and Medium enterprises in Lagos State, Nigeria. Survey research method was adopted. The population of study was 2086 made up of SMEs operators, employees and customers of selected SMEs from which sample of 1400 were selected using multistage and convenience sampling technique. Questionnaire as research instrument was validated through content validity while reliability through test-re- tests method with Cronbach alpha 0.72. Multinomial regression analysis was used to determine the extent business ethics brings variation in organizational performance. The study revealed a strong positive correlation between business ethics and organizational performance. High business ethics towards organizational goals enhances performance. The paper concluded that effective performance of the SMEs depends on high business ethics. Managers concerned about competitive edge in the market may find it appropriate to embrace sound business ethics. Researchers are encouraged to identify variables that may modify relationship nature.

Objectives: The most common drug that is used for secondary prevention after coronary artery bypass surgery is aspirin. In this study the relation between aspirin resistance and bypass graft patency was investigated in patients with the history of coronary artery bypass grafting surgery who undergo coronary angiography. \nMaterial and Methods: 50 patients who had taken 100 mg or more aspirin regularly for at least 4 weeks and underwent coronary angiography were included. Empedance aggregometry was used to determine aspirin resistance and graft patency was compared with frequency of aspirin resistance.\nResults : when all grafts were evaluated at least one graft of 22 patients was found to be occluded. Aspirin resistance was found in 32% (n=7) of these patients. The total number of grafts included was 130. The number of saphenous grafts was 84 and that of left internal mammary artery (LIMA) was 46. In aspirin resistance group 11 of 34 grefts (2) and in aspirin sensitive group 18 of 96 grefts (,7) were found to be occluded and the difference was statistically significant (p=0,044). Mean platelet volume was significantly higher in aspirin resistance group.\nConclusions: Aspirin resistance was found to be an important factor causing bypass graft occlusion . We believe that In patients with coronary artery bypass grafting the response of aspirin treatment should be evaluated with empedance aggregometry method and the treatments of these patients should be modified according to these results.