26 research outputs found
Concomitant thyroid cancer in patients with primary hyperparathyroidism in an endemic goitre region
No full textWOS: 000398426800003PubMed ID: 28447590OBJECTIVE: Primary hyperparathyroidism (pHPT) is often accompanied by underlying thyroid pathology and 1 to 36% of these thyroid pathologies are malignant. How the identification of these lesions affects patient management is unclear. We present a single-center experience with the prevalence of concomitant thyroid cancer in patients who underwent parathyroidectomy for pHPT: MATERIALS AND METHODS: This was a retrospective cohort study. Two hundred-two patients with primary hyperparathyroidism included study. Demographic data, clinical findings, and final histopathological diagnosis were recorded retrospectively. RESULTS: Preoperative cervical ultrasound examination revealed co-existent thyroid abnormalities in 117 (57.9%) patients. Mean age of these patients was 57.8 +/- 12.2 years and 88% were female. Sixty-three (53.9%) of the patients with thyroid abnormalities, underwent preoperative fine needle aspiration biopsy (FNAB). Cytology result was malignant in one (1.6%) patient, benign in 47(85.7%) patients, indeterminate in six (9.5%) patients and Hurthle cell neoplasm in two (3.2%) patients. Ninety-four (80.3%) of the patients underwent simultaneous thyroid surgery. Final pathology of the thyroid specimen was malignant in 26 (12.9%) patients. Sixteen of the malignant patients had preoperative FNAB. Preoperative FNAB result of these patients was malignant in one patient, indeterminate in two patients and benign in 13 patients. CONCLUSION: By implementing a comprehensive approach to patients with pHPT who present with thyroid disease, concomitant pathology may be elucidated preoperatively. But, this approach will not facilitate the detection of otherwise unsuspected thyroid cancer in an endemic goitre region
O realismo maravilhoso em Cem Anos de Solidão: um elemento de representação das memórias do autor
No full textIn One Hundred Years of Solitude, by Gabriel García Márquez, we found a wealth of unusual events: dead roam at night; woman ascends to heaven to extend a blanket; a levite priest by eating chocolate; yellow butterflies follow a man wherever he goes. These are just a few of the several passages in which the wonderful is in full state in the daily lives of the characters. Taking into account that each author uses wonderful realism in his own way, the purpose of this study is precisely to show how the unusual is constituted in the work in question, through the analysis of excerpts in which this literary resource is present. From this method, we try to unravel its possible relations with the author's history and the context in which it arose. In the course of our investigation, we conclude that this strategy serves, in this particular novel, as a poetic element of representation of the author's memories, which confers unity to the text and ends up generating a sense of identification with Latin American culture in the process of forgetfulness. From a bibliographical research, we use as theoretical support some scholars, such as: Emir Rodriguez Monegal (1968) and Irlemar Chiampi (1980), who discuss about the literary renewal of which Gabo is part, Pollak (1989) and Pedruzzi (2014) as regards the question of memory, Selma Calasans (1988; 2004), Alejo Carpentier (1985) and Gabriel García Márquez (1979; 2007), who talk about wonderful realism and help us to establish a connection with the novel in evidence.Em Cem Anos de Solidão, de Gabriel García Márquez, encontramos um cabedal de eventos insólitos: mortos vagam durante a noite; mulher ascende ao céu ao estender um lençol; um padre levita ao comer chocolate; borboletas amarelas seguem um homem para onde quer que ele vá. Essas são apenas algumas das várias passagens em que o maravilhoso se encontra em estado pleno no cotidiano das personagens. Levando em consideração que cada autor se vale do realismo maravilhoso a seu modo, o objetivo deste estudo é, justamente, evidenciar de que forma o insólito se constitui na obra em questão, mediante à análise de trechos nos quais esse recurso literário se faz presente. A partir desse método, procuramos desvendar suas possíveis relações com a história do autor e com o contexto em que surgiu. No decorrer de nossa investigação, concluímos que tal estratégia serve, nesse romance em específico, como um elemento poético de representação das memórias do autor, que confere unidade ao texto e que acaba gerando um sentimento de identificação com uma cultura latino-americana em processo de esquecimento. Partindo de uma pesquisa bibliográfica, utilizamos como suporte teórico alguns estudiosos, como: Emir Rodriguez Monegal (1968) e Irlemar Chiampi (1980), que discutem a respeito da renovação literária da qual Gabo faz parte, Pollak (1989) e Pedruzzi (2014) no que concerne à questão da memória, Selma Calasans (1988; 2004), Alejo Carpentier (1985) e Gabriel García Márquez (1979; 2007), que dialogam sobre realismo maravilhoso e nos ajuda a estabelecer uma conexão com a obra em evidência
Porous polyurethane film fabricated via the breath figure approach for sustained drug release
No full textBozdoğan, Betül (Aksaray Author)The breath figure (BF) method is an effective process for fabricating porous polymeric films. In this study, we fabricated porous polymer films from thermoplastic polyurethane (PU) through static BF with CHCl3 as a solvent under 55-80% relative humidity. The porous PU films were prepared within various pore structures and sizes, which were adjustable, depending on the fabrication conditions. The humidity and exposure time were examined as variable parameters affecting the surface morphology, wettability, and cytotoxicity. Atorvastatin calcium, a hyperlipidemic agent, was loaded into the porous films during the casting process, and the drug-loading and drug-releasing behaviors of the porous PU membranes were evaluated. Approximately 60-80% of the drug was released in 14 days. The films exhibited sustained drug-release performances because of the hydrophobicity and nonbiodegradable nature of PU for perivascular drug administration
Outpatient burn management and unnecessary referrals
No full textBACKGROUND: This study aimed to determine the profile of burn patients presented in our polyclinic and evaluate the current status in comparison to the treatment methods of past series. METHODS: Burn patients presented in the polyclinic in a one-year period were included into this prospective study. The records of all patients were examined in respect of gender, age, burn percentage, burn location, cause of burn, degree of burn, dressing material, number of dressings, type of treatment, place of trauma, and month of trauma. RESULTS: From a total of one thousand seven hundred and ninety-five patients presented, management was completed in the polyclinic for one thousand five hundred and eleven cases with a mean age of 27.9 years, with a female: male ratio of 0.88. While most patients were in the 18-64 age group, hot liquid burn was the leading cause in all age groups (p<0.05, p<0.001). Of the total patients, 89.6% were injured at home (p<0.001). The extremities were determined as the body area most often burned (p<0.001). While a single dressing was applied to 446 patients (29.5%), in 64.9% of cases polyclinic follow-up was terminated after the frst 3 dressings. The mean number of dressings was greater in patients with deep dermal burns (mean 14.5, median 14, p<0.001). CONCLUSION: A higher incidence of burns was found due to increasing urban populations compared to previous years. Currently, the majority of patients are referred to a healthcare facilty near their residences for follow-up after a few dressings. Unnecessary presentation at specialist centers increases the workload of these centers and creates a burden of wasted time and transport expense for the patients. The application of current burn treatment principles in primary and secondary health facilities will reduce the workload of reference centers. © 2015 TJTESAMAÇ: Polikliniğimize başvuran yanık hasta profilini ortaya koymak ve tedavi yönetimini geçmiş seriler ile karşılaştırarak güncel durumu değerlendirmektir. GEREÇ VE YÖNTEM: Bir yıl süreyle polikliniğimize başvuran hastalar ileriye yönelik çalışmaya alındı. Tüm hastaların kayıt altına alınan cinsiyet, yaş, yanık yüzdesi, yanık yeri, yanık nedeni, yanık derecesi, pansuman malzemesi, pansuman sayısı, tedavi şekli, olay yeri ve olayın olduğu aya göre dağılımı incelendi. BULGULAR: Toplam 1795 hastanın yönetimleri poliklinikte tamamlanan 1511’inin ortalama yaşı 27.9, kadın/erkek oranı 0.88 olmuştur. Çoğunluğu 18-64 yaş hastalar oluştururken tüm gruplarda sıcak sıvı yanığı ilk sıradaydı (p<0.05, p<0.001). Hastaların %89.6’sı evde yaralanmıştı (p<0.001). Ekstremiteler diğer bölgelere göre daha sık yanan vücut bölgesiydi (p<0.001). Hastaların 446’sına (%29.5) tek pansuman uygulanırken %64.9’u ilk üç pansuman sonrasında hastanemiz poliklinik takipleri sonlandırılmıştır. Derin dermal yanıklı hastalarda ortalama pansuman sayısı daha fazla olmuştur (ortalama 14.5, ortanca 14, p<0.001). TARTIŞMA: Geçmiş yıllar ile yapılan karşılaştırmada il nüfusu artışından daha yüksek yanık insidansı bulunmuştur. Halen hastaların çoğunluğu az sayıda pansuman sonrası takipleri için evlerine yakın sağlık birimlerine yönlendirilmektedir. Mevcut durumda hastaların deneyimli merkezlere gereksiz başvuruları ile bu merkezlerin iş yükünün artırılması yanında hastalara ilave ulaşım yükü ve zaman israfı yaşatılmaktadır. Güncel yanık tedavi prensiplerinin birinci ve ikinci basamakta edinilmesi ile referans merkezin iş yükü azaltılabilecektir
Correction to:Investigating recurrence in pilonidal sinus disease: results of a nationwide, multicenter study in Turkey (PISI TURKEY)
No full textThe collaborative Author names are missing in the published proof. The Supplementary material is updated with 2 additional names in the collaborative Author’s list. Ali Yalcinkaya, Ahmet Yalcinkaya, Sezai Leventoglu, Bengi Balci, Alp Ozgun Borcek, Elif Ozeller, Ece Ozturk, Gulsum Sueda Kayacan, Berkay Enes Karaca, Ahmet Faruk Oyanik, Omer Faruk Gul, Basak Bolukbasi, Huseyin Gobut, Cagri Buyukkasap, Aydin Yavuz, Dara Aydin, Zeynep Akdagcik, Alina Pataeva, Douigou Hasan, Omar Hussein, Arda Ozgur Ozturk, Cem Arda Elumar, Ali Derman Dere, Asra Zeynep Balci, Rasim Ozturk, Yasar Copelci, Murat Kartal, Serkan Tayar, Mustafa Yeni, Tolga Kalayci, Ramazan Yavuz, Bulent Calik, Semra Demirli Atici, Selen Ozturk, Gizem Kilinc, Korhan Tuncer, Cengiz Aydin, Mustafa Yener Uzunoglu, Alp Yildiz, Aybala Yildiz, Can Sahin, Mehmet Caglikulekci, Elbrus Zarbaliyev, Murat Sevmis, Baris Sevinc, Nurullah Damburaci, Omer Karahan, Ozgen Isik, Said Kural, Xhenet Hysejni, Ahmet Aktas, Baris Yildiz, Gultekin Ozan Kucuk, Ahmet Can Sari, Mert Candan, Mehmet Mahir Ozmen, Cem Emir Guldogan, Emre Gundogdu, Munevver Moran, Mevlut Recep Pekcici, Saygin Altiner, Enes Cebeci, Tugba Yigit, Bedri Burak Sucu, Mert Col, Omer Faruk, Ozkan Hanife, Seyda Ulgur, Murat Kalin, Emre Furkan Kirkan, Abdullah Yildiz, Sema Yukseksag, Cagri Buyukkasap, Erdinc Kamer, Mesut Ozogul, Nihan Acar, Melek Gokova Bekler, Arif Atay, Halis Bag, Server Sezgin Uludag, Ahmet Necati Sanli, Sefa Ergun, Ergin Erginoz, Veysi Basbayandur, Mehmet Faik Ozcelik, Ahmet Askar, Yuksel Altinel, Adnan Hacim, Serhat Meric, Merve Tokocin, Talar Aktokmakyan, Yunus Aktimur, Kamil Ozdogan, Fikret Calikoglu, Tugba Koc Calikoglu, Ahmet Barcin, Ahmed Salhat, Guray Durmaz, Volkan Ozben, Erman Aytac, Zumrud Aliyeva, Arda Ulas Mutlu, Mert Tanal, Mustafa Fevzi Celayir, Aydin Eray, Tufan Ali Yuksel, Elif Baran, Banu Yigit, Erhan Eroz, Aykhan Abbasov, Hakan Yanar, Huseyin Onur Aydin, Murathan Erkent, Tugan Tezcaner, Tevfik Avci, Murat Kus, Mehmet Abdussamet Bozkurt, Adem Ozcan, Nezihe Berrin Dodur Onalan, Serhan Yilmaz, Yasin Kara, Ali Kocatas, Fatih Yanar, Ali Fuat Kaan Gok, Irem Karatas, Berke Sengun, Ilknur Erenler Bayraktar, Onur Bayraktar, Zulal Emsal, Irem Dalkilic, Cengiz Dibekoglu, Sami Acar, Erman Ciftci, Yunus Yapalak, Cihad Tatar, Mert Mahsuni Sevinc, Ali Emre Nayci, Egemen Saygili, Yavuz Selim Komek, Bayram Kaymak, Fatih Altintoprak, Emrah Akin, Necattin Firat, Emre Gonullu, Ugur Can Dulger, Atilla Kurt, Sinan Soylu, Musa Serin, Omer Topcu, Ali Cihat Yildirim, Mehmet Fatih Ekici, Sezgin Zeren, Ismail Ahmet Bilgin, Tayfun Karahasanoglu, Ismail Hamzaoglu, Afag Aghayeva, Bilgi Baca, Inci Sahin, Osman Bozbiyik, Mustafa Ozgur Kilincarslan, Mustafa Ali Korkut, Erhan Akgun, Cemil Caliskan, Tayfun Yoldas, Timucin Erol, Hilmi Anil Dincer, Omer Cennet, Muhammed Salih Suer, Muhammet Bunyamin Dalkilic, Ibrahim Alkan, Busenur Kirimtay, Emre Balik, Emre Ozoran, Ibrahim Halil Ozata, Derya Salim Uymaz, Tutku Tufekci, Salih Nafiz Karahan, Orhan Agcaoglu, Naciye Cigdem Arslan, Mehmet Yilmaz, Orhan Ureyen, Can Murat Kale, Enver Ilhan, Eray Kara, Semra Tutcu Sahin, Onur Haspolat, Alperen Dalkiran, Ergun Yuksel, Mehmet Kocaoglu, Omer Tasan, Cevdet Tokat, Cihan Ozen, Alptug Mertcan Koc The Original article has been corrected.</p
Correction to:Investigating recurrence in pilonidal sinus disease: results of a nationwide, multicenter study in Turkey (PISI TURKEY)
No full textThe collaborative Author names are missing in the published proof. The Supplementary material is updated with 2 additional names in the collaborative Author’s list. Ali Yalcinkaya, Ahmet Yalcinkaya, Sezai Leventoglu, Bengi Balci, Alp Ozgun Borcek, Elif Ozeller, Ece Ozturk, Gulsum Sueda Kayacan, Berkay Enes Karaca, Ahmet Faruk Oyanik, Omer Faruk Gul, Basak Bolukbasi, Huseyin Gobut, Cagri Buyukkasap, Aydin Yavuz, Dara Aydin, Zeynep Akdagcik, Alina Pataeva, Douigou Hasan, Omar Hussein, Arda Ozgur Ozturk, Cem Arda Elumar, Ali Derman Dere, Asra Zeynep Balci, Rasim Ozturk, Yasar Copelci, Murat Kartal, Serkan Tayar, Mustafa Yeni, Tolga Kalayci, Ramazan Yavuz, Bulent Calik, Semra Demirli Atici, Selen Ozturk, Gizem Kilinc, Korhan Tuncer, Cengiz Aydin, Mustafa Yener Uzunoglu, Alp Yildiz, Aybala Yildiz, Can Sahin, Mehmet Caglikulekci, Elbrus Zarbaliyev, Murat Sevmis, Baris Sevinc, Nurullah Damburaci, Omer Karahan, Ozgen Isik, Said Kural, Xhenet Hysejni, Ahmet Aktas, Baris Yildiz, Gultekin Ozan Kucuk, Ahmet Can Sari, Mert Candan, Mehmet Mahir Ozmen, Cem Emir Guldogan, Emre Gundogdu, Munevver Moran, Mevlut Recep Pekcici, Saygin Altiner, Enes Cebeci, Tugba Yigit, Bedri Burak Sucu, Mert Col, Omer Faruk, Ozkan Hanife, Seyda Ulgur, Murat Kalin, Emre Furkan Kirkan, Abdullah Yildiz, Sema Yukseksag, Cagri Buyukkasap, Erdinc Kamer, Mesut Ozogul, Nihan Acar, Melek Gokova Bekler, Arif Atay, Halis Bag, Server Sezgin Uludag, Ahmet Necati Sanli, Sefa Ergun, Ergin Erginoz, Veysi Basbayandur, Mehmet Faik Ozcelik, Ahmet Askar, Yuksel Altinel, Adnan Hacim, Serhat Meric, Merve Tokocin, Talar Aktokmakyan, Yunus Aktimur, Kamil Ozdogan, Fikret Calikoglu, Tugba Koc Calikoglu, Ahmet Barcin, Ahmed Salhat, Guray Durmaz, Volkan Ozben, Erman Aytac, Zumrud Aliyeva, Arda Ulas Mutlu, Mert Tanal, Mustafa Fevzi Celayir, Aydin Eray, Tufan Ali Yuksel, Elif Baran, Banu Yigit, Erhan Eroz, Aykhan Abbasov, Hakan Yanar, Huseyin Onur Aydin, Murathan Erkent, Tugan Tezcaner, Tevfik Avci, Murat Kus, Mehmet Abdussamet Bozkurt, Adem Ozcan, Nezihe Berrin Dodur Onalan, Serhan Yilmaz, Yasin Kara, Ali Kocatas, Fatih Yanar, Ali Fuat Kaan Gok, Irem Karatas, Berke Sengun, Ilknur Erenler Bayraktar, Onur Bayraktar, Zulal Emsal, Irem Dalkilic, Cengiz Dibekoglu, Sami Acar, Erman Ciftci, Yunus Yapalak, Cihad Tatar, Mert Mahsuni Sevinc, Ali Emre Nayci, Egemen Saygili, Yavuz Selim Komek, Bayram Kaymak, Fatih Altintoprak, Emrah Akin, Necattin Firat, Emre Gonullu, Ugur Can Dulger, Atilla Kurt, Sinan Soylu, Musa Serin, Omer Topcu, Ali Cihat Yildirim, Mehmet Fatih Ekici, Sezgin Zeren, Ismail Ahmet Bilgin, Tayfun Karahasanoglu, Ismail Hamzaoglu, Afag Aghayeva, Bilgi Baca, Inci Sahin, Osman Bozbiyik, Mustafa Ozgur Kilincarslan, Mustafa Ali Korkut, Erhan Akgun, Cemil Caliskan, Tayfun Yoldas, Timucin Erol, Hilmi Anil Dincer, Omer Cennet, Muhammed Salih Suer, Muhammet Bunyamin Dalkilic, Ibrahim Alkan, Busenur Kirimtay, Emre Balik, Emre Ozoran, Ibrahim Halil Ozata, Derya Salim Uymaz, Tutku Tufekci, Salih Nafiz Karahan, Orhan Agcaoglu, Naciye Cigdem Arslan, Mehmet Yilmaz, Orhan Ureyen, Can Murat Kale, Enver Ilhan, Eray Kara, Semra Tutcu Sahin, Onur Haspolat, Alperen Dalkiran, Ergun Yuksel, Mehmet Kocaoglu, Omer Tasan, Cevdet Tokat, Cihan Ozen, Alptug Mertcan Koc The Original article has been corrected.</p
Correction to:Investigating recurrence in pilonidal sinus disease: results of a nationwide, multicenter study in Turkey (PISI TURKEY) (International Journal of Colorectal Disease, (2025), 40, 1, (194), 10.1007/s00384-025-04921-x)
No full textThe collaborative Author names are missing in the published proof. The Supplementary material is updated with 2 additional names in the collaborative Author’s list. Ali Yalcinkaya, Ahmet Yalcinkaya, Sezai Leventoglu, Bengi Balci, Alp Ozgun Borcek, Elif Ozeller, Ece Ozturk, Gulsum Sueda Kayacan, Berkay Enes Karaca, Ahmet Faruk Oyanik, Omer Faruk Gul, Basak Bolukbasi, Huseyin Gobut, Cagri Buyukkasap, Aydin Yavuz, Dara Aydin, Zeynep Akdagcik, Alina Pataeva, Douigou Hasan, Omar Hussein, Arda Ozgur Ozturk, Cem Arda Elumar, Ali Derman Dere, Asra Zeynep Balci, Rasim Ozturk, Yasar Copelci, Murat Kartal, Serkan Tayar, Mustafa Yeni, Tolga Kalayci, Ramazan Yavuz, Bulent Calik, Semra Demirli Atici, Selen Ozturk, Gizem Kilinc, Korhan Tuncer, Cengiz Aydin, Mustafa Yener Uzunoglu, Alp Yildiz, Aybala Yildiz, Can Sahin, Mehmet Caglikulekci, Elbrus Zarbaliyev, Murat Sevmis, Baris Sevinc, Nurullah Damburaci, Omer Karahan, Ozgen Isik, Said Kural, Xhenet Hysejni, Ahmet Aktas, Baris Yildiz, Gultekin Ozan Kucuk, Ahmet Can Sari, Mert Candan, Mehmet Mahir Ozmen, Cem Emir Guldogan, Emre Gundogdu, Munevver Moran, Mevlut Recep Pekcici, Saygin Altiner, Enes Cebeci, Tugba Yigit, Bedri Burak Sucu, Mert Col, Omer Faruk, Ozkan Hanife, Seyda Ulgur, Murat Kalin, Emre Furkan Kirkan, Abdullah Yildiz, Sema Yukseksag, Cagri Buyukkasap, Erdinc Kamer, Mesut Ozogul, Nihan Acar, Melek Gokova Bekler, Arif Atay, Halis Bag, Server Sezgin Uludag, Ahmet Necati Sanli, Sefa Ergun, Ergin Erginoz, Veysi Basbayandur, Mehmet Faik Ozcelik, Ahmet Askar, Yuksel Altinel, Adnan Hacim, Serhat Meric, Merve Tokocin, Talar Aktokmakyan, Yunus Aktimur, Kamil Ozdogan, Fikret Calikoglu, Tugba Koc Calikoglu, Ahmet Barcin, Ahmed Salhat, Guray Durmaz, Volkan Ozben, Erman Aytac, Zumrud Aliyeva, Arda Ulas Mutlu, Mert Tanal, Mustafa Fevzi Celayir, Aydin Eray, Tufan Ali Yuksel, Elif Baran, Banu Yigit, Erhan Eroz, Aykhan Abbasov, Hakan Yanar, Huseyin Onur Aydin, Murathan Erkent, Tugan Tezcaner, Tevfik Avci, Murat Kus, Mehmet Abdussamet Bozkurt, Adem Ozcan, Nezihe Berrin Dodur Onalan, Serhan Yilmaz, Yasin Kara, Ali Kocatas, Fatih Yanar, Ali Fuat Kaan Gok, Irem Karatas, Berke Sengun, Ilknur Erenler Bayraktar, Onur Bayraktar, Zulal Emsal, Irem Dalkilic, Cengiz Dibekoglu, Sami Acar, Erman Ciftci, Yunus Yapalak, Cihad Tatar, Mert Mahsuni Sevinc, Ali Emre Nayci, Egemen Saygili, Yavuz Selim Komek, Bayram Kaymak, Fatih Altintoprak, Emrah Akin, Necattin Firat, Emre Gonullu, Ugur Can Dulger, Atilla Kurt, Sinan Soylu, Musa Serin, Omer Topcu, Ali Cihat Yildirim, Mehmet Fatih Ekici, Sezgin Zeren, Ismail Ahmet Bilgin, Tayfun Karahasanoglu, Ismail Hamzaoglu, Afag Aghayeva, Bilgi Baca, Inci Sahin, Osman Bozbiyik, Mustafa Ozgur Kilincarslan, Mustafa Ali Korkut, Erhan Akgun, Cemil Caliskan, Tayfun Yoldas, Timucin Erol, Hilmi Anil Dincer, Omer Cennet, Muhammed Salih Suer, Muhammet Bunyamin Dalkilic, Ibrahim Alkan, Busenur Kirimtay, Emre Balik, Emre Ozoran, Ibrahim Halil Ozata, Derya Salim Uymaz, Tutku Tufekci, Salih Nafiz Karahan, Orhan Agcaoglu, Naciye Cigdem Arslan, Mehmet Yilmaz, Orhan Ureyen, Can Murat Kale, Enver Ilhan, Eray Kara, Semra Tutcu Sahin, Onur Haspolat, Alperen Dalkiran, Ergun Yuksel, Mehmet Kocaoglu, Omer Tasan, Cevdet Tokat, Cihan Ozen, Alptug Mertcan Koc The Original article has been corrected.</p
In terms of it's effect on spiritual journey of the disciple the concept of "Nisbah"
No full textNisbet, sadık kimselerin nefsi’nin iradi bir şekilde edindiği faziletlerin, gayr-ı iradi bir şekilde sirayet etmesi durumuna verilen isimdir. Böylelikle sirayet edecek olan erdemleri, bu işin nasıl ve ne şekilde gerçekleşeceğini incelemek yazının temel amacını oluşturmaktadır.
“Kâmil bir zattan başka birine akseden hallere ‘Nisbet’ denir.” “Bu haller şer-i şerifin gerekleri olan vecibeler cinsinden olursa buna ‘İslam nisbeti’ denir. Aşk ve muhabbet cinsinden olursa buna da ‘cezbe nisbeti’ denir. Ahlak nevinden olana: Ahlak, Erdem Nisbeti, sohbet nevinden olana: Sohbet Nisbeti adı verilir. İntikal Nisbeti ve Mürid Nisbeti adında olan türleri de mevcut olabilmektedir.
Nisbet kavramı tam da burada, müridin geleneksel terbiye usullerine ilave olarak orta çıkar. Tasavvuf öğretisinin kaynağı kuran ve sünnettir. Bu sebeple bir takım ahlak öğretilerinde olduğu gibi sadece teorik ahlak esas alınmaz. Teoriyi de kapsayan ve daha ziyade aksiyonlarda kendini belli eden teori ve pratiğin cem edildiği moral yapısına ulaşım hedeflenir. Fikirde ve işte tevhid olma durumudur. Eylemin vuku bulması için kişide herhangi bir zorlama olmadan, rahatça iyiliğin sergilenmesi bu yapıya ulaşmanın gayesini oluşturmaktadır.
Tevbe suresinin 119. ayetinde bildirildiği üzere: “Ey îmân edenler! Allah’tan korkun ve sâdıklarla beraber olun!” Dikkat edilirse emir sâdık olunuz değil sâdıklarla beraber olunuz şeklindedir. Bu hitaptan anlaşılmaktadır ki beraber olunma halinin kişiye olan etkisi başka türlüdür. Konumuzun da özünü ihtiva eden işte tam da bu durumdur. Birlikteliğin maverasında mevcut bulunan ve aksetmeye meyyal nice nice hallerin bekleyip durmasıdır. Sirayet edecek olan hallerin neler olduğunu ve kişiyi nasıl etkileyeceğini açıklamak hedeflenmektedir.
Kemâlât sahibi gönlün miratı, rahmânî nisbetlerini muhtaç ve talip kişiye aksettirir. Bu mukabele edimi sayesinde mürid farkına varmadan irşâd olunur. Nazar, rabıta, tefekkür, ihsan gibi kavramların maverasında, bahsedilen bu nisbet/yansı durumu bizatihi mevcuttur.
İbadetlerin: sabır, tevekkül, kanaat, teslimiyyet, eşitlik, cömertlik, ihsan, dürüstlük gibi ahlaki erdemleri ihtiva etmesi ve bunların “Nisbet” dediğimiz özel bir usul ile aksetmesi sonucunda gerçekleşen ve tasavvuf ilk dönem literatüründe var olan “Hal” kavramından çeşitli yönlerden farklılık arz eden “İslam Nisbeti” müridi terbiyede farklı bir metod olarak diğer yöntemlerden ayrılır. İbadetlerin hallerinin aksetmesi İslam Nisbeti, ibadetlerin ve Hakkın sevgisinin aksetmesi ise Muhabbet Nisbeti olarak karşımıza çıkar. Müellif Hânî’nin bahsettiği Nisbet kavramının, övülen ahlaki vasıfları temin etmek için mühim bir tasavvufî yöntem olduğu, ibadetlerin ihtiva ettiği erdemlerin yansımasını ve bu ameliyenin yakınlık sebebi ile sağlandığı tespit edilmiştir.Nisbah: : The condition where the virtues acquired voluntarily by the nafs are transmitted in an involuntary way is called Nisbah.
"The states that are transmitted from a Kâmil person to another person are called ' Nisbah'."If these states are of the kind of obligations that are the requirements of Sharia, It has been called Islam’s Nisbah, and if they are of the kind of love and affection, it is called 'the nisbah of love'. That which is of the type of morality. Morality, Virtue, Nisbah which is type of conversation: It has been called Nisbah of Conversation. There are also types called the Nisbah of Intikal and Mürid’s Nisbiyat.
The origin of Sufism teaching is the Quran and the Sunnah. For this reason, unlike some moral teachings, only theoretical morality is not taken as basis. It is aimed to reach a dualist moral structure in which theory and practice, which includes theory and manifests itself in actions, are combined. It has meant to be in the harmony of thought and work. Purpose of reaching this dualist structure is to demonstrate goodness freely, without any pressure on the person for the action to take place.
As stated in the 119th verse of At-Tawbah Surah: “O believer! Fear Allah and be around faithful. If you pay attention, the command is not to be loyal but, be around faithful.
It has been understood from this address that the effect of being together on a person is different. It is exactly this situation that contains the essence of our subject. It has been the biding of situations that exist in periphery of togetherness and tend to be reflected.
The mirāt of the perfected heart reflects its merciful nisbahs to the seeker. Through this act of reciprocation, the murid is discipled without realizing it. This situation of reflection is present in the context of concepts such as nazar, rabita, contemplation, and bestowal.
The fact that worships contain moral virtues such as patience, trust, conviction, submission, equality, generosity, benevolence, honesty, and that they are reflected through a special method we call " Nisbah" The "Islamic Nisbah", which differs from the concept of "Hal" in the early literature of Sufism in various ways, is distinguished from other methods as a different method in educating the disciple. The reflection of the states of worship is called the Islamic Nisbah, and the reflection of worship and the love of God is called the Nisbah of Love. The Relation mentioned by the author Hani It has been determined that the concept of nisbet that she mentioned is an important Sufi method for providing the praised moral qualities, the reflection of the virtues contained in worships and that this action is provided due to closeness
Nationwide prospective audit for the evaluation of appendicitis risk prediction models in adults: Right iliac fossa treatment (RIFT) - Turkey
No full textBackground: Appendicitis is the most prevalent surgical emergency. The negative appendicectomy rate and diagnostic uncertainty are important concerns. This study aimed to assess the effectiveness of current appendicitis risk prediction models in patients with acute right iliac fossa pain. Methods: A nationwide prospective observational study was conducted, including all consecutive adult patients who presented with right iliac fossa pain. Diagnostic, clinical and negative appendicectomy rate data were recorded. The Alvarado score, Appendicitis Inflammatory Response (AIR), Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) and Adult Appendicitis Score systems were calculated with collected data to classify patients into risk categories. Diagnostic value and categorization performance were evaluated, with use of risk category-based metrics including 'true positive rate' (percentage of appendicitis patients in the highest risk category), 'failure rate' (percentage of patients with appendicitis in the lowest risk category) and 'categorization resolution' (true positive rate/failure rate). Results: A total of 3358 patients from 84 centres were included. Female patients were less likely to undergo surgery than men (71.5% versus 82.5% respectively; relative risk 0.866, 95% c.i. 0.834 to 0.901, P 0.001); with a three-fold higher negative appendicectomy rate (11.3% versus 4.1% respectively; relative risk 2.744, 95% c.i. 2.047 to 3.677, P 0.001). Ultrasonography was utilized in 56.8% and computed tomography in 75.2% of all patients. The Adult Appendicitis Score had the best diagnostic performance for the whole population; however, only RIPASA was significant in men. All scoring systems were successful in females patients, but Adult Appendicitis Score had the highest area under the receiver operating characteristic curve value. The RIPASA and the Adult Appendicitis Score had the best categorization resolution values, complemented by their exceedingly low failure rates in both male and female patients. Alvarado and AIR had extremely high failure rates in men. Conclusion: The negative appendicectomy rate was low overall, but women had an almost three-fold higher negative appendicectomy rate despite lower likelihood to undergo surgery. The overuse of imaging tests, best exemplified by the 75.2% frequency of patients undergoing computed tomography, may lead to increased costs. Risk-scoring systems such as RIPASA and Adult Appendicitis Score appear to be superior to Alvarado and AIR. © 2024 The Author(s). Published by Oxford University Press on behalf of BJS Foundation Ltd.Tibbi Akademi
Safety of Bariatric Surgery in ≥ 65-Year-Old Patients During the COVID-19 Pandemic
No full textBackground Age >= 65 years is regarded as a relative contraindication for bariatric surgery. Advanced age is also a recognised risk factor for adverse outcomes with Coronavirus Disease-2019 (COVID-19) which continues to wreak havoc on global populations. This study aimed to assess the safety of bariatric surgery (BS) in this particular age group during the COVID-19 pandemic in comparison with the younger cohort.Methods We conducted a prospective international study of patients who underwent BS between 1/05/2020 and 31/10/2020. Patients were divided into two groups - patients >= 65-years-old (Group I) and patients < 65-years-old (Group II). The two groups were compared for 30-day morbidity and mortality.Results There were 149 patients in Group 1 and 6923 patients in Group II. The mean age, preoperative weight, and BMI were 67.6 +/- 2.5 years, 119.5 +/- 24.5 kg, and 43 +/- 7 in Group I and 39.8 +/- 11.3 years, 117.7 +/- 20.4 kg, and 43.7 +/- 7 in Group II, respectively. Approximately, 95% of patients in Group 1 had at least one co-morbidity compared to 68% of patients in Group 2 (p = < 0.001). The 30-day morbidity was significantly higher in Group I ( 11.4%) compared to Group II (6.6%) (p = 0.022). However, the 30-day mortality and COVID-19 infection rates were not significantly different between the two groups.Conclusions Bariatric surgery during the COVID-19 pandemic is associated with a higher complication rate in those >= 65 years of age compared to those < 65 years old. However, the mortality and postoperative COVID-19 infection rates are not significantly different between the two groups
