388 research outputs found
TEXTUAL BACKGROUND OF MUSTAFA KUTLU’S TAHİR SAMİ BEY’İN ÖZEL HAYATI
No full textMetinlerarasılık, her metnin kendinden önceki metinlerle ilişkili olduğu esasına dayanır. Gerçeğe duydukları güvensizlikle eski metinlere yönelen postmodern yazarlar, metin- lerasılığa büyük bir meşruiyet kazandırmıştır. Son dönem Türk hikâyeciliğinde kendine özgü bir yer edinmiş olan Mustafa Kutlu, postmodernizmin düşünsel yönüne karşıdır. Bununla birlikte o da postmodernizmin edebiyatın sınırlarını genişletmesinden fayda- lanmış; üstkurmaca ve metinlerarasılığı yoğun biçimde kullanmıştır. Metinlerarasılığa gelenek ve kendi edebî geçmişi ile bağ kurma anlamını yükleyen yazar, Tahir Sami Bey’in Özel Hayatı adlı hikâyesini etkilendiği dört metne göndermeler ve anıştırmalar yaparak kurmuştur. Bu yazıda Kutlu’nun adı geçen hikâyesinin metinsel arka planı iki aşamada ele alınmaktadır. Söz konusu hikâye, üstkurmaca kullanımı ve anlatıcı söylemi açısın- dan Ahmet Mithat’ın Müşahedat romanı ve Sait Faik’in “Birahanedeki Adam” hikâyesi ile karşılaştırılmıştır. Ardından Tahir Sami Bey’in hayat hikâyesi ile Ahmet Hamdi Tanpınar’ın Saatleri Ayarlama Enstitüsü ve Sabahattin Ali’nin Kürk Mantolu Madonna romanları arasındaki benzerlikler irdelenmiştir. Bu karşılaştırmalı okuma ile Mustafa Kutlu’nun metinlerasılığa yüklediği işlev ortaya çıkarılmaya çalışılmıştırIntertextuality is based on the principle that each text is related to previous texts. Postmodern writers, who have turned to old texts with their distrust of reality, have given a great legitimacy to intertextuality. Mustafa Kutlu, who has a unique place in contemporary Turkish short story, is against the intellectual aspect of postmod- ernism; however, he also benefits from postmodernism’s influence on literature and uses metafiction and intertextuality extensively. Attributing the meaning of connecting with tradition and his own literary past to intertextuality, the author constructs his story, Tahir Sami Bey’in Özel Hayatı, by making references and allu- sions to the four texts he is influenced by. In this study, the textual background of the aforementioned story of Kutlu is discussed in two stages. The short story in question is compared with Ahmet Mithat’s Müşahedat and Sait Faik’s “Birahaned- eki Adam” in terms of its use of metafiction and narrator discourse. Then, the similarities between Tahir Sami Bey’in Özel Hayatı and Ahmet Hamdi Tanpınar’s Saatleri Ayarlama Enstitüsü and Sabahattin Ali’s Kürk Mantolu Madonna are examined. Through this comparative reading, this study attempts to reveal the function at- tributed to intertextuality by Mustafa Kutlu
Lung Hyperinflation as Treatable Trait in Chronic Obstructive Pulmonary Disease: A Narrative Review
No full textMaud Koopman,1– 3 Rein Posthuma,1– 3 Lowie EGW Vanfleteren,4 Sami O Simons,2,3 Frits ME Franssen1– 3 1Research and Development, Ciro+, Horn, the Netherlands; 2NUTRIM, Institute of Nutrition and Translational Research in Metabolism, University Maastricht, Maastricht, the Netherlands; 3Department of Respiratory Medicine, Maastricht University Medical Center (MUMC+), Maastricht, the Netherlands; 4COPD Center, Institute of Medicine, Sahlgrenska University Hospital, University of Gothenburg, Gothenburg, SwedenCorrespondence: Frits ME Franssen, CIRO+, Hornerheide 1, Horn, 6085, NM, the Netherlands, Email [email protected]: Lung hyperinflation (LH) is a common clinical feature in patients with chronic obstructive pulmonary disease (COPD). It results from a combination of reduced elastic lung recoil as a consequence of irreversible destruction of lung parenchyma and expiratory airflow limitation. LH is an important determinant of morbidity and mortality in COPD, partially independent of the degree of airflow limitation. Therefore, reducing LH has become a major target in the treatment of COPD over the last decades. Advances were made in the diagnostics of LH and several effective interventions became available. Moreover, there is increasing evidence suggesting that LH is not only an isolated feature in COPD but rather part of a distinct clinical phenotype that may require a more integrated management. This narrative review focuses on the pathophysiology and adverse consequences of LH, the assessment of LH with lung function measurements and imaging techniques and highlights LH as a treatable trait in COPD. Finally, several suggestions regarding future studies in this field are made.Keywords: COPD, hyperinflation, treatable trait, emphysema, phenotyp
Cohomology and Deformations of left-symmetric Rinehart Algebras
No full textWe introduce a notion of left-symmetric Rinehart algebras, which is a generalization of a left-symmetric algebras. The left multiplication gives rise to a representation of the corresponding sub-adjacent Lie-Rinehart algebra. We construct left-symmetric Rinehart algebra from O-operators on Lie-Rinehart algebra. We extensively investigate representations of a left-symmetric Rinehart algebras. Moreover, we study deformations of left-symmetric Rinehart algebras, which is controlled by the second cohomology class in the deformation cohomology. We also give the relationships between O-operators and Nijenhuis operators on left-symmetric Rinehart algebras.arXiv admin note: text overlap with arXiv:1710.03749, arXiv:1312.6526, arXiv:1808.01909 by other author
Caring for patients with COPD and COVID-19:a viewpoint to spark discussion
No full textNo abstract availabl
No princípio era o mar... A ubiquidade do materno e a problemática da identidade na alergia
No full textA autora usa o Rorschach para procurar as qualidades
do processo de construção da identidade na alergia
tal como são estudadas em psicossomática pelo modelo
multidimensional de Sami-Ali.
Este procedimento é apresentado como uma nova
forma de conceber a projecção interpretando as
produções Rorschach com o objectivo de considerar as
suas dimensões corporais para além de uma forma
simbólica de leitura.
Acentua-se a prevalência da figura materna como a
principal característica da dimensão relacional desta
patologia dando-se-lhe o nome de ubiquidade materna.The author uses the Rorschach to search the qualities
of the identity process in allergy as they are
studied in psychosomatic by Sami-Ali’s multidimensional
model.
She presents this procedure as a new form of conceive
projection by interpreting the Rorschach’s productions
in order to consider their corporal dimensions
beyond a symbolic way of reading them.
By doing so she streches the prevalent mother’s
figure as the main characteristic in the relational dimensiom
of this pathology, nayming it maternal
ubiquity.info:eu-repo/semantics/publishedVersio
Organizational Learning and Knowledge DevelopmentPeculiarities in Small and Medium Family Enterprises
No full textThe aim of this theoretical contribution is to analyze the processes of organizational learning and knowledge development within the small and medium sized family firm. Due to its founding characteristics, family SME seems to be a closed, hermetic and rigid organization. Besides, the specificity of mechanisms of learning and knowledge management, in general, within this entity are justified by:- First, the overlapping of "family" and "company" spheres: the family sphere realizes a unique contribution because it constitutes a supplementary source of knowledge inbound to the company compared to a firm without family involvement, - Then, the frequency of the exchanges within the organization: the processes of exchange of piece of information and knowledge take place not only in the organizational context but also and especially in the family context. The family meetings constitute, for example, supplementary occasions for exchange and sharing of knowledge.Schematically, two major characters inherent to this entity constitute obstacles to organizational learning. Indeed, conservatism and independence orientation strongly influence the processes of learning and knowledge development.The literature suggests that the family system attempts to create and maintain a cohesiveness that supports the family "paradigm" which is described as the core assumptions, beliefs, and convictions that the family holds in relation to its environment. Information that is not consistent with this paradigm is resisted or ignored (Davis, 1983). The search for security, conformism and tradition are characteristic of conservative organizations. Particularly to the family firm, the conservative posture could be studied through three dimensions (Miller and ali., 2003). First, on the governance level, the conservatism is exhibited by the plateauing and the growing rigidity of the owner-manager and by the inefficacy of the board of directors. Second, on the strategy level, conservative family SME favorites its actual markets, customers and products and globally is unwilling to change and adopt new paradigms. Then, on the organizational and cultural levels, this entity tends to be closed and introvert. These three components have an impact on knowledge development as the conservatism tends to limit the variation and the exposition to new environments. In short, within this entity the level of organizational knowledge would be weak.The second variable influencing the processes of development of knowledge within family SME is the independence orientation. This orientation is a consequence of the family long-term commitment to the business. Paradoxically, this commitment has two contradictory effects on growth. First, it implies the pursuit of future development and continuity of the firm to make sure that the family heritage is passed on to the following generations. On the other hand, commitment implies a strategy of conservation of the heritage which passes by a strong seek for the independence. Aiming to guarantee its continuity, the (small and medium-sized) family firm establishes an independence orientation of three different types. First, from the financial point of view, it avoids as much as possible turning to outside partners (Hirigoyen, 1985). Then, on the human plan, it would be favorable to the appointment of family members or individuals belonging to the close relational circle to the posts of direction and would be reluctant to the recruitment of professional directors. Finally, to maintain the decision-making in hands of the family, the family firm tends to avoid the inter-organizational relations, cooperative investments, and tries to limit the sharing of the control of its investments. The contribution of outsiders (financiers, directors or partner organizations) can, however, be precious to the company. And the introversion would be a major obstacle to the perpetuity of the firm because it inhibits growth. As a consequence, independence orientation limits the accumulation of knowledge because, on one hand, the horizons of the company will be limited and little varied, and on the other hand, the potential valuable knowledge contribution of outsiders is excluded.The study of these variables raises questions about the efficacy of the organizational memory within the family firm. This organization runs particular risks because of the peculiarity of its knowledge management mechanisms. Because of its founding natural characteristics, the family firm nurtures mechanisms which reinforce the causal ambiguity (Nelson and Winter, 1982) by strengthening the voluntary effort to avoid either a too fast imitation or the loss of knowledge-based resources if the individual or the group holding it leaves the organization (Arrégle, 1995). In short, family firms show an inclination to concentrate the processes of knowledge management around its tacit dimension by encouraging its formation contrarily to the explicit component. However the weak externalization of knowledge coupled with the avoidance of sharing outside the family causes serious risks. First, an obvious risk of deterioration is present because of the weak importance of the organizational protection mechanisms and the strong reliance on individual memory. Moreover, we suggest a risk of erosion of knowledge due to the fragmentation caused by successions that do not preserve the unity of the firm. There is risk of "fragmentation" of the strategic knowledge if the company is shared between the potential successors. This risk would be less pronounced if a prior sharing of knowledge with outside directors had been engaged.Another particularity of family firms is about the intergenerational transmission and transfer of knowledge (Cabrera-Suarez and ali., 2001). Mechanisms inciting to intergenerational transfer of knowledge must be set up because of the negative impact of conservatism and independence on organizational knowledge and due to the fragility of family firm organizational memory.Organizational knowledge, family business, conservatism, independence orientation
Implementation of a screening and management pathway for chronic obstructive pulmonary disease in patients with atrial fibrillation
No full textAims Chronic obstructive pulmonary disease (COPD) negatively impacts the efficacy of heart rhythm control treatments in patients with atrial fibrillation (AF). Although COPD is recognized as a risk factor for AF, practical guidance about how and when to screen for COPD is not available. Herein, we describe the implementation of an integrated screening and management pathway for COPD into the existing pre-ablation work-up in an AF outpatient clinic infrastructure. Methods and results Consecutive unselected patients accepted for AF catheter ablation in the Maastricht University Medical Center+ were prospectively screened for airflow limitation using handheld (micro)spirometry at the pre-ablation outpatient clinic supervised by an AF nurse. Patients with results suggestive of airflow limitation were offered referral to the pulmonologist. Handheld (micro)spirometry was performed in 232 AF patients, which provided interpretable results in 206 (88.8%) patients. Airflow limitation was observed in 47 patients (20.3%). Out of these 47 patients, 29 (62%) opted for referral to the pulmonologist. The primary reason for non-referral was low perceived symptom burden. Using this screening strategy 17 (out of 232; 7.3%) ultimately received a diagnosis of chronic respiratory disease, either COPD or asthma. Conclusion A COPD care pathway can successfully be embedded in an existing AF outpatient clinic infrastructure, using (micro)spirometry and remote analysis of results. Although one out of five patients had results suggestive of an underlying chronic respiratory disease, only 62% of these patients opted for a referral. Pre-selection of patients as well as patient education might increase the diagnostic yield and requires further research
Undiagnosed sleep apnea in patients with atrial fibrillation: An underutilized opportunity for antiarrhythmic management
No full textEstonsko ve stínu ruské hrozby: Jak vnímají Estonci snahy NATO o posílení jejich bezpečnosti?
No full textThis thesis is applying the neglected concept of assurance on assuring efforts of NATO towards Estonia. This small Baltic republic lives in a fear of conflict with its Russian neighbour which would be impossible to win without help from abroad. The author asks, whether the effort to assure Estonians, that NATO would come to help in case of conflict is successful and what can be improved. To reveal, whether Estonia is assured, the author conducted research interviews in Tallinn with Estonians from the state administration, military, academics, experts from think-tanks and journalist. To get a full picture, the author also used public opinion polls. The thesis uses the concept of assurance as it was defined by Jeffrey W. Knopf. The concept is understudied and almost not used for empirical research. Importance of assuring allies is rising in contemporary's world and this thesis is trying to fill the research gap and show a possible direction for further research on the assurance of allies. Last but not least, the author is contributing to the debate about the defence of the Baltics.Diplomová práce pomocí opomíjeného konceptu ujištění (assurance) vyhodnocuje snahy NATO o ujištění Estonska před ruskou hrozbou. Estonci se obávají možného konfliktu s Ruskou federací, ve kterém by sami neměli šanci zvítězit. Autor se snaží zjistit, jestli je snaha NATO o ujištění Estonců, že by nezůstali v případě konfliktu sami, úspěšná a co by případně mohlo NATO zlepšit. Práce využívá rozhovory s Estonci, které autor pořídil přímo v Tallinnu. Mezi respondenty jsou zastoupeni úředníci z ministerstev, vojáci, akademici, experti z think- tanků či novinář. Kromě rozhovorů práce využívá i průzkum veřejného mínění. Diplomová práce využívá definici konceptu assurance podle Jeffreyho W. Knopfa. Koncept není v praxi příliš používaný a téměř nikdo se mu nevěnuje ani z teoretického hlediska. Ujištění spojenců přitom v současném světě nabývá na důležitosti. Tato diplomová práce se snaží přispět k rozvoji konceptu, naznačit další možný vývoj empirického výzkumu a v neposlední řadě přispět do debaty ohledně obrany Pobaltí.Department of Security StudiesKatedra bezpečnostních studiíFakulta sociálních vědFaculty of Social Science
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