Diyarbakır İl Sağlık Müdürlüğü’nce Sağlık Tesislerine ait 36 ay süreli Hastane Bilgi Yönetim Sistemi (HBYS) Ocak ayında yapılan ve yaklaşık maliyeti 48 milyon 101 bin TL’lik ihale mahkemeye taşındı.
DİYARBAKIR GAZETE– (ÖZEL) -Gazi Yaşargil Eğitim ve Araştırma Hastanesi’nin Sağlık Bilgi Sistemleri için son ihale Ocak ayında yapıldı. İhaleye Monad Yazılım ve Bilgisayar Eğitim Danışmanlık Sanayi ve Ticaret Anonim Şirketi, Fonet Bilgi Teknolojileri Anonim Şirketi, Sisoft Sağlık Bilgi Sistemleri Anonim Şirketi ve Akgün Bilgisayar Program ve Hizmetleri Sanayi Ticaret A.Ş. katıldı.
Yaklaşık maliyeti 48 milyon 101 bin TL olan ihalede, Monad 37 milyon TL, Fonet 52 milyon TL, Sisoft 56 milyon TL ve Akgün Bilgisayar ise 58 milyon TL teklif verdi. İhale ilk aşamada bir firmaya, ardından başka bir firmaya verildi. İhaleye katılan üçüncü firma olan Sisoft Firması, usulsüzlükler olduğu iddiasıyla, ihaleyi yargıya taşıdı.
YÜRÜTMENİN DURDURULMASINI İSTEDİ
Ankara İdare Mahkemesi’nde dava açan Sisoft Firması, ihalenin verildiği ilk firmanın teklifinin hatalı olduğunu, ihalede usulsüz işlem yapıldığını, firmanın koşulları sonradan yerine getirdiğini iddia etti. Firmanın yaptığı itiraz reddedildi. Sisoft Firması, bunun üzerine Ankara İdare Mahkemesi’nden Kamu İhale Kurul kararının yürütmesinin durdurulması ve kararın iptal edilmesini talep etti.
‘HAK KAYBINA UĞRADIK’
Sisoft Firması, firmanın hak kaybına uğradığını belirttiği dilekçesinde şu ifadelere yer verdi: “Kamu İhale Kurulu’nun kararı ile ‘teklifi değerlendirme dışı bırakılması gereken ihale komisyonu kararına göre, …. isimli istekli firma haksız olarak en avantajlı teklif sahibi olarak belirlenmiş, işi alma yeterliliği olmadığı halde ihale uhdesinde bırakılmış ancak yeterliliği tam ve eksiksiz olan firmamız ise en avantajlı ikinci firma dahi olarak belirlenmemiştir. Kamu İhale Kurulu tarafından alınan karar hatalı ve eksik olup kararın iptal edilmesi gerekmektedir.”
İLK İHALE 2015 YILINDA GERÇEKLEŞTİ
Öte yandan ilk HBYS ihalesi 2015 yılında Dönemin Kamu Hastaneleri Başkanı Murat Kanğın döneminde gerçekleştirildiği öğrenildi.
İddialara göre; 2015 yılında yapılan ihalenin üzerinden 8 yıl geçmesinin ardından 2023 yılında tekrar birleştirilmiş olarak yapılan ihale M firmasına verilmek istenir. S firması itiraz eder. İtiraz üzerine M firması elenir. Arkasında hiç hesapta olmayan F firması devreye girer. İhale 48 milyon 101 bin TL ile F firmasına bırakılır. F Firması ağır ağır bu işe hazırlanmaktadır. İlgililer tüm dönen rakamlarını kamu ihale kurumunda görebilir. İlk yapılan ihalenin üzerinden 8 yıl gibi bir süreç geçerken, bu süreçte 4 İl Sağlık Müdürü, Başkan ve başkan yardımcıları, bir kısım teknik Personeller ile HBYS sorumlu memuru değişti.
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It can even produce androgenic side effects that embody acne, physique hair growth,
and so on. It may also suppress the production of
natural testosterone in the body. In summary, PCT is an important course of that
bodybuilders and athletes go through after completing a cycle of anabolic steroids.
It helps to revive the body’s pure hormone production and cut back the chance of unwanted facet effects.
If you are utilizing Anavar, you will want to observe a proper
PCT protocol to ensure that you preserve the features you could have made and
keep away from any negative unwanted effects.
In medical analysis, when women take megadoses of Anadrol for very long durations of time, masculinization does not occur.
These are two of essentially the most efficacious bulking steroids combined in a single cycle.
Therefore, in case your food regimen accommodates Anadrol in a means that doesn’t trigger any
fluid retention (low energy or low sodium), the physique can stay comparatively dry whereas packing on vital quantities of muscle.
In our expertise, the one steroid that is equal to Anadrol, by way of anabolism and rising weight acquire, is Dianabol.
Both substances can enhance oil production within the skin, resulting in clogged pores and
the development of acne. This facet impact is more
common in individuals who’re already vulnerable to acne or have a
historical past of acne. It is price noting that testosterone is on the market in numerous ester varieties, similar to testosterone cypionate, enanthate, and propionate.
The ester hooked up to the testosterone molecule
affects its release price and half-life within the physique.
When stacking with Anavar, testosterone cypionate or
enanthate are often most well-liked as a result
of their longer half-life, permitting for less frequent injections.
Clenbuterol is utilized by bodybuilders due to its stimulating effects on metabolism.
We have discovered the risk of virilization to extend when stacking
Anavar and Winstrol collectively. Thus, we solely see this tried
in certain circumstances, similar to getting ready for an important competitors
the place there is stress to position excessive. With very cautious doses (5 mg), it might be possible to avoid virilizing
side effects; nevertheless, each lady could respond in one other
way. In terms of testosterone esters, there are usually few
reasons to inject anything apart from enanthate
or cypionate, as they’re cost-effective, less troublesome, and
don’t need to be administered frequently. Yes, on this occasion, we’ll gradually lower a patient’s dose to minimize adverse effects upon discontinuation.
Via careful dosage management and adherence to well being tips, people partaking in a Take A Look At and Anavar cycle can anticipate vital
positive aspects in muscle mass and a discount in physique fats.
The synergy between testosterone and Anavar fosters an surroundings conducive to muscle preservation and growth,
yielding a more defined and vascular physique. It’s clear that the success of such
a cycle hinges on a well-structured coaching program and a food regimen rich in protein. Customers must do not neglect that these substances are merely instruments to enhance their
onerous work and dedication to health. Security ought to by
no means take a backseat, and regular health check-ups are crucial to navigating the cycle effectively.
With the proper strategy, the Take A Look At and Anavar cycle could be a
highly effective ally in reaching one’s bodybuilding aspirations.
To fight this and preserve optimal sexual function, we prescribe Dostinex, otherwise identified as cabergoline.
This is a drug our doctors use to effectively deal with hyperprolactinemia, a situation the place the
body produces too much prolactin. We find Dostinex increases sexual libido
and erection quality relatively rapidly (1). The main side effects we come across on Deca Durabolin are low libido and erectile dysfunction, notoriously
known as Deca dick. Deca Durabolin may cause this impact due to its stimulating effect on prolactin ranges.
We have additionally seen HGH having cardiovascular
advantages when used within the therapy of sufferers deficient in endogenous progress hormone (5), having
a paradoxical effect and causing cardiac atrophy. HGH also increases cognitive capability due to development hormone receptors being expressed in mind areas, together with the cerebral cortex, choroid plexus, and
hippocampus (2). In 1985, the FDA approved the
first development hormone compound, known as somatrem (Protropin), in an attempt to treat endogenous
HGH deficiency and progress disorders. This steroid is mostly provided in oral kind
although you can even get it as an injectable.
The precise mechanism by which testosterone makes muscle greater just isn’t absolutely understood.
It is a gentle steroid that is often utilized by women and beginners because
of its low androgenic properties. Anavar works by increasing protein synthesis and
nitrogen retention within the muscles, which
finally ends up in increased muscle mass and strength.
However, in apply, we discover girls expertise a quantity of indicators of clinically low
testosterone ranges following anabolic steroid use. Beforehand, we cited a examine that said males taking 20 mg a day for 12 weeks skilled a 45% lower
in testosterone levels. This was an extreme cycle length,
with a regular cycle length of 6–8 weeks for men.
This is the SERM I use and recommend after most steroid cycles
where Proviron is utilized in a stack. You won’t get as shredded
on this cycle as you typically would when using Proviron. Nonetheless, it’s going to assist scale back a few of that water retention brought on by
Dbol due to Proviron’s anti-estrogenic results, and that’s the primary cause
for its addition here. Stacking Proviron with “wet” compounds that trigger
water retention may help dry you out and promote vascularity.
Given the price you’ll see on Oxandrolone on the market, many guys query why they should buy such
a mild steroid together with their bulking medicine.
However primarily based on the advantages that we
have mentioned – especially relating to Anavar for girls – the case can be made for
shelling out the money. The greatest time to run an Anavar cycle isn’t whenever you’re 40 pounds
obese and simply learning the means to use the hamstring curl machine,
but quite whenever you’ve been training seriously and
are slowing on positive aspects. If you’re missing motivation as a end
result of lessened strength and muscle gains, then you’ll have the ability to
really kickstart issues within the gym with var. As
A Outcome Of an Anavar cycle for men isn’t quite common and
there aren’t estrogen-related unwanted effects, some bodybuilders consider it
a joke when guys do use this drug by itself.
The individuals experienced a 64% reduction in total
testosterone levels and a 76% reduction in free testosterone levels.
This clearly signifies that the utilization of Anavar can have a considerable impression on pure testosterone
production. Research have proven that taking Anavar
can have an effect on testosterone ranges, however the extent
of the effect varies among people.
Beginners who’re getting their first expertise with steroids will find that Testosterone Propionate
brings about substantial muscle gains. It’s at all times simpler to realize more muscle tissue
together with your first cycles, with features changing into slower
as you grow and your physique grows. Facet effects ought to still be manageable at this stage,
although nearer attention will have to be paid
to cholesterol and blood strain levels. At this stage, you’ll almost certainly be looking at stacking,
which lets you keep Testosterone Propionate at decrease doses.
Increased protein synthesis results in elevated lean mass positive aspects, the
most potent effect of Testosterone Propionate for any bodybuilder.
Testosterone Propionate will present sooner features than most different types of testosterone just because it detaches from the ester
very quickly and begins getting to work to stimulate protein synthesis.
References:
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