41 research outputs found
Ocular blood flow and choroidal thickness changes after carotid artery stenting
No full textPurposes: To evaluate changes in ocular blood flow and subfoveal choroidal thickness in patients with symptomatic carotid artery stenosis after carotid artery stenting. Methods: We included 15 men (mean age, 63.6 +/- 9.1 years) with symptomatic carotid artery stenosis and 18 healthy volunteers (all men; mean age, 63.7 +/- 5.3 years). All participants underwent detailed ophthalmologic examinations including choroidal thickness measurement using enhanced depth-imaging optic coherence tomography. The patients also underwent posterior ciliary artery blood flow measurements using color Doppler ultrasonography before and after carotid artery stenting. Results: Patients lacked ocular ischemic symptoms. Their peak systolic and end-diastolic velocities increased to 10.1 +/- 13.1 (p=0.005) and 3.9 +/- 6.3 (p=0.064) cm/s, respectively, after the procedure. Subfoveal choroidal thicknesses were significantly thinner in patients with carotid artery stenosis than those in the healthy controls (p=0.01). But during the first week post-procedure, the subfoveal choroidal thicknesses increased significantly (p=0.04). The peak systolic velocities of the posterior ciliary arteries increased significantly after carotid artery stenting (p=0.005). We found a significant negative correlation between the mean increase in peak systolic velocity values after treatment and the mean preprocedural subfoveal choroidal thickness in the study group (p=0.025, r=-0.61 7). Conclusions: In patients with carotid artery stenosis, the subfoveal choroid is thinner than that in healthy controls. The subfoveal choroidal thickness increases after carotid artery stenting. Carotid artery stenting treatment increases the blood flow to the posterior ciliary artery, and the preprocedural subfoveal choroidal thickness may be a good predictor of the postprocedural peak systolic velocity of the posterior ciliary artery
Single arterial access for Ecpella and jugular venous cannulation provides full mobility on a status 1 heart transplant recipient
No full textConcomitant treatment with veno‐arterial extracorporeal membrane oxygenation (VA‐ECMO) and Impella may improve outcomes in patients with cardiogenic shock compared with VA‐ECMO alone. Here, we explain a new method to introduce Impella and ECMO through the same arterial access site and jugular venous cannulation to accomplish a mobile patient concept
External jugular vein aneurysm in a young woman: An uncommon cause of neck mass
No full textAbstractExternal jugular vein aneurysms are extremely rare pathologies compared to arterial ones. The patients often present with a painless mass in the neck that becomes visible while coughing and straining. Palpation of a soft and compressible swelling over the external jugular vein is a diagnostic hallmark. Doppler ultrasound examination is considered as the golden standard for the radiological diagnosis that allows a precise determination and confirmation of an aneurysm. Surgical excision is performed mostly for cosmetic concerns and symptomatic aneurysms. In this article, we present the clinical aspects, radiological and microscopic findings, diagnosis and surgical treatment of an external jugular vein aneurysm in a young female patient to emphasize the typical clinical presentation of this rare entity
Is Surgical Approachment to a Retained and Fractured Guide Wire Inside Coronary Artery Necessary Followings Coronary Angiography?
No full textFiction, language and expression techniques in Yiğit Okur's novels
No full textEdebiyat türlerinin birçoğunda kalem oynatan Yiğit Okur, bu türler arasında en etkili mesaiyi roman türüne ayırmıştır.1995 yılından itibaren yazmaya başladığı roman serüvenine ölümüne kadar dokuz tane sığdırmıştır. Birer veya ikişer yıl arayla yayımladığı bu romanlarda farklı psikolojik durumlar, toplumu derinden etkileyen sosyolojik olaylar ve özellikle birbirine zıt duygu ve düşünceler üzerinde durmuştur. Yazarın hukuk fakültesinden mezun olup uzun yıllar avukatlık yapması onun olay kavramına yakın olmasına ön ayak olmuştur. Bundan dolayı romanlardaki kurguyu alt kurgularla desteklemiş olay içinde olayı yaratabilmiştir. Modern roman özelliklerine uygun olan bu eserlerinde yazar, Türk edebiyatına özellikle bu türde çeşitli katkılar sağlamıştır. Romanların konularını günlük hayattan alan yazar bu bağlamda gerçek hayattan fazlasıyla beslenmiş ve otobiyografik etkileri eserlerine uygulayabilmiştir. Kişinin çocukluk çağındaki psikolojik durumlarını esas alıp bazı kuramlar gözeterek kahraman yaratma yoluna gitmiştir. Yazarın geniş bir çerçevede bütünlük arz eden romanlarındaki kurgu, dil ve anlatım teknikleri çalışmamızda esaslı olarak incelenmiş ve çeşitli kanılara varılmıştır. Bunlar yapılırken yazarın öz yaşam gerçekliği, romanlarını tahlil noktasında büyük fayda sağlamıştır.Yiğit Okur, whoplayspen in many of thel iterarygenres, has devoted the most influential shift among these genres to the novel genre. He began writing novels from 1995 until his death, which included nine. These novels, which he published one or two years apart, focused on different psychological situations, sociological events that deeply affect society, and in particular on opposing feelings and thoughts. The author graduated from law school and worked as a lawyer for many years, leading him to be close to the concept of events. Therefore, he supported the fiction in the novels with sub-fictions and was able to create the event within the event. In these works, which conform to modern novel characteristics, the author made various contributions to Turkish literature, especially in this genre. In this context, the author, who tookt hesubjects of the novels from daily life, was more than nurtured from real life and was able to apply autobiographical influences to his works. Some theories based on the psychological conditions of the person's childhood and took into consideration the path of creating a hero. In our study, the techniques of fiction, language and expression in the novels of the author, which have integrity in a broad framework, were examined and various opinions were reached. While these were being done, the author's own reality of life was of great benefit to the point of analyzing his novels
‘’The association of normal tension glaucoma with Buerger’s disease: a case report‘’
No full textBackground: To report a case of a 48-year-old man with Buerger's disease who presented with bilateral normal-tension glaucoma (NTG). Case presentation: A 48-year-old man who had been diagnosed with Buerger's disease 12 years ago, and received bilateral below-the-knee amputations for ischemic ulcers of the lower limbs, presented at our clinic due to a sudden loss of visual acuity in the left eye. A fundus exam revealed a cup-to-disc ratio of 0.5 for the right eye and 0.8 for the left eye, arteriolar constriction in both eyes, retinal edema in the inferopapillary area, and splinter hemorrhages and soft exudate in the left eye. We diagnosed the patient as having acute nasal branch retinal artery occlusion in the left eye and bilateral NTG, as a result of the ophthalmologic examination and the other findings. Conclusion: Although the pathomechanism of NTG is still unknown, previous studies have suggested that patients with NTG show a higher prevalence of vasospastic disorders. We present the second report of NTG associated with Buerger's disease to be described in the literature.WoSScopu
Theme and structure in Yiğit Bener's novels and stories
No full textİlk hikâyesini 1991 yılında okuyucuya sunan Yiğit Bener, bugün hâlâ eser vermeye devam etmektedir. Bener'in bugüne kadar dört romanı, iki hikâye kitabı, iki deneme derlemesi, üç çocuk kitabı ve birçok çevirisi bulunmaktadır. Yiğit Bener, eserlerinde genellikle 12 Eylül sürecini, ötekiyi, ötekileştirmeyi, ruhsal ve fiziksel şiddeti, ölümün meşrulaştırılmasını, eşitsizliği, antimilitarizmi, nefreti, cinselliği, düzeni bozan iktidarı, bozuk düzeni ve feminizmi işlemiştir. Yazar, konu ve tema olarak ele aldığı tüm bu sorunları ve olguları kendi yaşantısının izleri üzerinde ya da insana ait gerçeklikler düzleminde kurgulayarak okuyucuya sunmuştur. Yiğit Bener'in romanları ve hikâyeleri üzerine tematik ve biçimsel yapıyı ele alan bir tez çalışması bulunmamaktadır. Bu sebeple Bener'in romanları ve hikâyeleri tüm yönleriyle incelenmeye çalışılmıştır.Yiğit Bener who wrote his first story in 1991, today still continues to compose his works. Bener has four novels, two story books, two essay compilations, three children's books and many translations till now. In his works, Yiğit Bener has generally mentioned the political period of September the 12th, othering in communities and lives of "others", mental and physical violence, legitimation of death, inequality, antimilitarism, hatred, sexuality, the power of government that disrupts the social order, corrupted social order and feminism. The author has presented all these problems and facts that he deals with as subject and themes to the reader by constructing them on the traces of his own life or on the field of human realities. There is no thesis that studied on Yiğit Bener's novels or stories dealing with the thematic and formal structure. For this reason,in this work Bener's novels and stories have been tried to be examined in all aspects
In Memduh Şevket Esendal stories fiction and narration techniques
No full textBu çalışmada Memduh Şevket Esendal'ın hikâyeleri, kurgu ve anlatım teknikleri açısından incelenmiştir. Bu alanda bir çalışmanın olmaması, araştırmanın yapılmasını gerekli kılmıştır. Memduh Şevket Esendal'ın on üç adet hikâye kitabı incelenmiş, hikâyelerde yer alan anlatım teknikleri belirlenmiş ve kurgunun oluşturuluş aşamasında hikâyelerde yer alan ortaklıklar saptanmaya çalışılmıştır. Bunun için önce tüm hikâyeler okunmuş ve ortak kurgu özellikleri ile hikâyelerde yer alan anlatım teknikleri belirlenmiştir. Sonraki aşamada kurgu ve anlatım teknikleri ile ilgili ikincil kaynaklar taranmış, bu tekniklerle ilgili etraflı bilgiler ışığında hikâyeler tekrar incelenmiş ve "Memduh Şevket Esendal" üzerine yazılan tezler taranarak konu ile ilgili olan bölümler araştırılmıştır. Memduh Şevket Esendal'ın hikâyelerinin kurgu ve anlatım teknikleri açısından incelenmesi sonucunda yazarın hikâyelerinin yazılış tarzı açısından iki döneme ayrıldığı görülür. Yazarın, 1923 yılında atandığı Bakü elçiliği görevindeyken Rus yazar Çehov'u tanımasına kadar olan dönemde "olay" ağırlıklı ve "anlatma" tekniğinin ön planda olduğu hikâyeler kaleme aldığı görülür. Bu dönemden sonra ise hikâyelerini, diyalogların ağırlıkta olduğu "gösterme" tekniği ile yazmıştır. Hikâyeler genellikle kişi, mekân ya da doğa tasvirleriyle başlamıştır. Hikâyelerin kurgulanma aşamasında özellikle mekân ve doğa tasvirlerinin, kişilerin sosyo-psiko-ekonomik durumlarına uygun olarak çizildiği görülmüştür. Kurgunun dışında, hikâyelerin anlatım teknikleri açısından da çeşitlilik gösterdiği saptanmıştır. Hikâyelerde iç monolog, bilinçakışı, mektup, özetleme, üstkurmaca, rüya gibi tekniklerin yanında fantastik öğeler, deneme ve nutuk tarzı anlatım tekniklerinin de kullanıldığı görülmüştür. Bu bağlamda Memduh Şevket Esendal'ın, hikâyelerinde, kendisinden önce Türk edebiyatında hikâye alanında bilinçli olarak kullanımına pek rastlanmayan modernist tekniklere yer verdiği söylenebilir. Hikâye türünde "durum" hikâyeciliği olarak bilinen tarzın öncüsü olduğu kabul edilen yazarın eserleri, kullanılan kurgu ve anlatım teknikleri açısından da Türk edebiyatında modernist hikâye alanında ilk örneklerdendir.In this study, Memduh Şevket Esendal's stories are examined in terms of fiction and narration techniques. The absence of a study in this field renders the research necessary to be conducted. Thirteen story books of Memduh Şevket Esendal were investigated, the narration techniques found in the stories were determined, and the common characteristics included in the stories in the process of forming the fiction were tried to be established. For this, firstly, all the stories were studied and the common fiction features and the narrative techniques in the stories were determined. In the next stage, secondary sources related to fiction and narration techniques were scanned, the stories were re-examined in the light of detailed information about these techniques, and the relevant chapters were searched by scanning the dissertations written on "Memduh Şevket Esendal". As a result of the investigation of Memduh Şevket Esendal's stories in terms of fiction and narration techniques, it is observed that the writer's stories are divided into two periods in terms of writing style. It is seen that the author wrote stories mainly about "event" and primarily by taking "narration" technique into account in the period until he got to know the Russian writer Chekhov when he was in charge of as a Baku Representative appointed in 1923. After this period, he wrote his stories using the "'illustration" technique, in which dialogues were predominant. Thestories generally begin with depictions of character, setting or nature. During the fictional phase of the stories, it is observed that particularly the depictions of setting and nature are convenient for the socio-psycho-economic conditions of the people. Apart from fiction, it has been observed that stories also vary in terms of narration techniques. In the stories, it has been observed that in addition to techniques such as inner monologue, stream of consciousness, letter, abridgement, metafiction, and dream, fantastic elements, essay and speech style narrative techniques are also used. In this context, it can be said that Memduh Şevket Esendal included modernist techniques in his stories, which were not used consciously in the field of stories in Turkish literature before him. The stories of the author, who is considered to be the pioneer of the style known as "situation" storytelling in the story genre, are also among the first examples in the field of modernist stories in Turkish literature in terms of the fiction and narration techniques that are used
