35 research outputs found
Variants In Origin Of The Left Circumflex Coronary Artery With Angiography In A Turkish Population. AYFER MAVI, ALPER SERÇELİK, REŞAT AYALP, TURAN PESTEMALCI, TALANTBEK BAYTRALIEV, ERDEM GUMUSBURUN
No full textYeni medya ortamlarında üre-tüketicilik ve katılım olgusu: Ekşi sözlük ve okan bayülgen'in talk show'unda etkileşim
No full textDijitallik, etkileşimsellik, katılım ve kullanıcı türevli içerik üretimi gibi başlıca özellikleri ile geleneksel medyadan ayrılan yeni medya ortamlarının erişim ve kullanım olanaklarının artması, gündelik yaşam pratiklerinin bu ortamlar dolayımıyla siber uzama taşınmasına yol açmıştır. Bu durum, izleyicilerin medya metinleri karşısındaki konumunu ve izleme alışkanlıklarını da etkilemiştir. İzleyiciden kullanıcıya dönüşüme yol açan bu etki, sosyal medya kullanımı ile eş zamanlı izleme pratiklerinin oluşmasına yol açmıştır. Yeni medya ortamlarının, kullanıcıya sağladığı katılım, etkileşim ve kullanıcı türevli içerik üretimi özellikleri; eş zamanlı izleme pratiklerinin izleme eyleminden alınan hazzı arttırmasını sağlamakta ve döngüsel bir biçimde katılıma teşvik etmektedir. Gerçekleşen katılım, aynı zamanda televizyon metinlerine yönelik bir geribildirim mekanizması olarak önem taşımaktadır.
Bu çalışmada, yaşanan dönüşüm süreci ve eş zamanlı izleme pratikleri, katılım ve etkileşime açık yapısal özellikler taşıyan talk show türü üzerinden ele alınmıştır. Bu doğrultuda, katılım olgusu Okan Bayülgen’in sunduğu Muhallebi Kralı ve Medya Kralı programları hakkında Ekşi Sözlük’te yer alan kullancı türevli içerikler üzerinden incelenmiştir.
The increase of usage and access opportunities of new media with its features such as digitalisation, interactionism, participation and user differentiable content production caused the movement of daily life practices toward cyber space. This situation also affected the position of audiences before media texts and their watching habits. The process of transformation from audience to user generated by this impact also caused the development of watching practices concurrently. The participatory, interactionist and user differentiable content production features of new media, increase the pleasure in watching activities and encourage participation in a circular way. The existing participation is also very important as a feedback aimed at television texts at the same time.
In this thesis, this transformation process and concurrent watching practices are analysed by the kind of talk show which has participatory and interactionist structural features. In this context, the fact of participation is anlysed with the programs of Muhallebi Kralı and Medya Kralı presented by Okan Bayülgen and the user differentiable contents appear in Eksi Sözlük
Yalan Habere Karşı Tutum ve Davranışlar: Üç Üniversite Örneğinde Durum Araştırması
No full textLack of legal regulations and difficulties in enforcement, supporting the easy manipulation and provocation of the masses are among the major disadvantages of social media. Users can the opportunity to send information, photos, videos and narratives about the news events that they witness firsthand through their social media accounts. The malicious use of private and corporate accounts, which had the opportunity to spread the fake information and content quickly, caused their social networks to have a negative reputation for hosting fake news. The news or information process that develops without discipline can naturally cause different effects and confusion. Therefore, the manipulative effect of fake news or information and the evaluation of the impact processes are of great importance. The purpose of this study is to explain the evaluation of fake news of individuals who may be exposed to fake news, to determine decision and impact processes, attitudes and behaviors in dealing with false news. This researchis a descriptive field research using a quantitative research method. Surveyis preferred as the data collection technique. Within the scope of the study aquestionnaire was applied to 230 students studying at three universities in Ankara, Samsun and Eskisehir on a voluntary basis. The stratified sampling method, which is a probabilistic sampling method, was used in sample determination. In order to reveal the attitude and behavior patterns against fake news, the age range and gender variables of the sample representing the formal student population of three universities were taken into consideration. A questionnaire consisting of the use of media, the process of encountering fake news, the decision process of believing / not believing in the news, and verification is applied. As a result of the research, it was revealed that this sample found the visual content more convincing, false news with propaganda and guiding features was common, and it was common in magazine, politics and economy news types.Hukuki düzenlemelerin eksikliği ve uygulanma güçlüğü, kitlelerin kolayca yönlendirilebilmesini, kışkırtılabilmesini desteklemesi, sosyal medyanın önemli dezavantajları arasında yer almaktadır. Kullanıcılar, sosyal medya hesapları aracılığıyla, ilk elden şahit oldukları haber değeri taşıyan olaylar hakkında bilgi, fotoğraf, video ve anlatım gönderebilme olanağına sahip olmuştur. Yalan/yanıltıcı bilgi ve içeriklerin hızlı bir biçimde yayılması sosyal ağları yalan haber barındırma açısından olumsuz bir üne kavuşturmuştur. Disiplinsiz gelişen haber/bilgi süreci doğal olarak farklı etkilere ve karmaşaya neden olabilmektedir. Bu nedenle, yalan haberlerin ya da bilgilerin kullanıcıya etkisive karar süreçlerinin değerlendirilmesi büyük önem taşımaktadır. Bu çalışmanın amacı yalan haberlere maruz kalabilen bireylerin, yalan haber değerlendirmesini açıklamak, yalan haberle başa çıkmada karar ve etki süreçleri, tutum ve davranışlarını belirlemektir. Bu araştırma nicel araştırma metodu kullanılan betimleyici bir alan araştırmasıdır. Veri toplama tekniği olarak anket tercih edilmiştir. Çalışma kapsamında Ankara, Samsun ve Eskişehir’deki üç üniversitede öğrenim gören230öğrenciye gönüllülük esasıyla anket uygulanmıştır.Örneklem belirlemedeolasılığa dayananörnekleme yöntemi olan tabakalı örnekleme yöntemi kullanılmıştır. Yalan habere karşı tutum ve davranış örüntülerini ortaya çıkarmak için,üç üniversitenin örgün öğrenci evrenini temsil eden örnekleminyaş aralığıve cinsiyet değişkenleri dikkate alınmıştır. Örgün öğretim öğrencisi olmaları, dolayısıyla teknolojiye yakın, sosyal medyakullanıcısı öğrencilerin medya kullanımı, yalan haberle karşılaşma süreci, habere inanma/inanmama karar süreci, doğrulatma kategorilerinden oluşan anket uygulanmaktadır.Araştırma sonucunda bu örneklemingörsel nitelikli içerikleri daha inandırıcı bulduğu,propaganda ve yönlendirici özellikteki yalan haberlerin çoğunlukta olduğu ve magazin, siyaset, ekonomi haber türlerinde yaygın olduğuortaya çıkmıştır.
Growing perceived threat and prejudice as sources of intolerance: evidence from the 2015 Turkish general elections
No full textTolerance is a central concept for a society's democratic foundations. Many forms of populism threaten tolerance and are a growing concern for consolidated liberal democracies as well developing ones. Right-wing ideology, heightened nationalism, and xenophobic rhetoric toward minorities are threatening social cohesion, public unity, and liberal values. Turkey, subject to various destabilizing recent events, faces specific challenges amid political, social, and economic uncertainties. Using two waves of a nationally representative survey, conducted after each of two general elections in 2015, we studied changes in the behavioral indicators of intolerance in the Turkish electorate. We found that perceived threat and prejudice explain changes in public intolerance during this period. We discuss the implications of our results for the standing of democracy in Turkey.TUBA GEBIP AwardEarlier versions of this article were presented at the Empirical Studies in Political Analysis workshop and at the European Political Science Association annual meeting in 2016. We are indebted to comments provided in these panels, in addition to those by several scholars, including Selim Erdem Aytac, Rezarta Bilali, Alper Ecevit, Ekrem Karakoc, and Birol Yesilada. Part of this research was funded by the TUBA GEBIP Award to the first author
Frequency in the anomalous origin of the left main coronary artery with angiography in a Turkish population.
No full textWe estimated the frequency of anatomic variations in origin of the left coronary artery in a Turkish population by analyzing the angiographic data of 10,042 consecutive adult patients undergoing coronary angiography. Among 10,042 adult patients, 5 (0.04%) patients (4 men and 1 woman, age range 40-74, median 58 years old) had anomalous origin of the left main coronary artery. The left main coronary artery arose from the right coronary sinus of Valsalva in 2 (0.019%) patients (both of them had a retro-aortic course), from above the left coronary sinus of Valsalva in 2 (0.019%) patients, and from above the non-coronary (posterior)-left coronary commisure in 1 (0.009%) patient. Anomalous origin of the left main coronary artery is potentially a serious condition, as it can lead to myocardial infarction and sudden cardiac death under physical exertion. Therefore, greater effort for early detection and surgical repair of this anomaly are warranted. The angiographic recognition of anomalous origin of this vessel may prove useful for physicians dealing with diagnosis and treatment of anomalies of the left main coronary artery.</p
Therapeutic value of lymphadenectomy and adjuvant radiotherapy in uterine corpus confined endometrioid-type cancer
No full textBackground: To determine the efficacy of lymphadenectomy and adjuvant radiotherapy in patients with endometrioid-type cancer confined to the uterine corpus. Methods: A total of 323 patients were evaluated. Patients were stratified according to depth of myometrial invasion (DMI) and tumor grade. Results: Lymphadenectomy was performed in 83% of the entire cohort. Age (<60 vs. ≥60) and DMI affected disease-free survival. Addition of lymphadenectomy improved the disease-specific survival. The improved effect of lymphadenectomy was only observed in DMI ≥½ and grade 2 tumor (78.5% vs. 95.4%). However, that effect in this group was determined in patients with more than 50 removed lymph nodes. Performing adjuvant radiotherapy and the type of the radiotherapy (vaginal brachytherapy vs. external beam radiotherapy) were not significant for disease-free and disease-specific survival. In the entire cohort, loco-regional recurrence occurred in 3.1% and 4.4% of patients with or without adjuvant radiotherapy, respectively. However, these rates were 2.6% and 13.6% for patients with DMI ≥½ and grade 2 who were older than 60 years, respectively. Conclusion: Lymphadenectomy should be performed in patients with DMI ≥½ and grade 2 to improve survival. Adjuvant vaginal brachytherapy may only be given to patients who are older than 60 years old with moderate differentiation and deep myometrial invasion to reduce loco-regional recurrence
Amphricrine carcinoma of the cervix-adeno neuroendocrine tumor: A case report Servikal ampikrin adeno-nöroendokrin karsinom: Olgu sunumu
No full textAdenoneuroendocrine carcinoma is a very rare form of cervical carcinoma that includes both endocrine and exocrine components. In general terms, these carcinomas progress aggressively and show early metastases due to the neuroendocrine component. The most important criteria related to prognosis is the stage of the disease. Without clearly determined therapeutic protocols this carcinoma is generally seen at earlier ages and causes high mortality. Many radiotherapy and multidrug chemotherapy protocols are used after surgical intervention. Detection of the neuroendocrine component of cervical tumors is achieved through immunohistochemical staining. Herein, we present a woman aged 50 years who was admitted to the hospital with abdominal pain and postmenopausal vaginal bleeding whose examination revealed a cervical tumor. A pathologic examination after surgery resulted as “adenocarcinoma and large cell neuroendocrine carcinoma.” Afterwards, a combined chemotherapy regimen (cisplatin + etoposid) was administered to the patient and 6 months of progress is evaluated in this report
Treatment of ventilator-associated pneumonia (VAP) caused by Acinetobacter: results of prospective and multicenter ID-IRI study
No full textVentilator-associated pneumonia (VAP) due to Acinetobacter spp. is one of the most common infections in the intensive care unit. Hence, we performed this prospective-observational multicenter study, and described the course and outcome of the disease. This study was performed in 24 centers between January 06, 2014, and December 02, 2016. The patients were evaluated at time of pneumonia diagnosis, when culture results were available, and at 72 h, at the 7th day, and finally at the 28th day of follow-up. Patients with coexistent infections were excluded and only those with a first VAP episode were enrolled. Logistic regression analysis was performed. A total of 177 patients were included; empiric antimicrobial therapy was appropriate (when the patient received at least one antibiotic that the infecting strain was ultimately shown to be susceptible) in only 69 (39%) patients. During the 28-day period, antibiotics were modified for side effects in 27 (15.2%) patients and renal dose adjustment was made in 38 (21.5%). Ultimately, 89 (50.3%) patients died. Predictors of mortality were creatinine level (OR, 1.84 (95% CI 1.279-2.657); p = 0.001), fever (OR, 0.663 (95% CI 0.454-0.967); p = 0.033), malignancy (OR, 7.095 (95% CI 2.142-23.500); p = 0.001), congestive heart failure (OR, 2.341 (95% CI 1.046-5.239); p = 0.038), appropriate empiric antimicrobial treatment (OR, 0.445 (95% CI 0.216-0.914); p = 0.027), and surgery in the last month (OR, 0.137 (95% CI 0.037-0.499); p = 0.003). Appropriate empiric antimicrobial treatment in VAP due to Acinetobacter spp. was associated with survival while renal injury and comorbid conditions increased mortality. Hence, early diagnosis and appropriate antibiotic therapy remain crucial to improve outcomes
TUR-PSO: A cross-sectional, study investigating quality of life and treatment status of psoriasis patients in Turkey
No full textPsoriasis is a common inflammatory disease that has a severe impact on quality of life. There is lack of data regarding epidemiological and clinical features of psoriasis patients in Turkey, a country with a population of 76million. The aim of this study was to define the demographic and clinical characteristics, quality of life and treatment patterns of psoriasis patients in Turkey. A cross-sectional observational study was conducted at 40 centers, chosen from geographically diverse locations in Turkey. Patients diagnosed with psoriasis were assessed by investigators who were specialists of dermatology using standardized study questionnaire forms. Dermatology Life Quality Index (DLQI) and EuroQol-5 dimension (EQ-5D) forms were also filled out by each patient. 3971 psoriasis patients were included in this study. 24.2% of plaque psoriasis patients had moderate to severe psoriasis (Psoriasis Area and Severity Index, 10). Mean DLQI was 7.03 +/- 6.02; quality of life was moderately, severely or very severely affected in 49.2% of patients. The most severely affected component of EQ-5D was anxiety/depression. Among all patients, 22.9% were not receiving any treatment, 39.8% were receiving only topical treatment, 11.5% were on phototherapy, 26.1%, were taking conventional systemic agents and 4.1% were on a biologic treatment. 31.3% of psoriasis patients with moderate to severe disease were treated with only topical agents and only 30.5% of moderate to severe psoriasis patients were receiving systemic therapy. Moderate to severe psoriasis has a considerable impact on quality of life. Treatment in Turkey of patients with moderate to severe psoriasis is insufficient.PfizerPfizerThis study was sponsored by Pfizer, employees of Pfizer contributed to the design of the study, interpretation of the results and development of the manuscript. Editorial assistance with manuscript development was provided by Susanne Gilbert of ACUMED (New York, NY, USA) and was funded by Pfizer. The authors acknowledge the contributions of the investigators: Dr Esra Ozsoy Adisen, Dr Vahide Baysal Akkaya, Dr Aye Esra Koku Aksu, Dr Hamza Aktas, Dr Aynur Akyol, Dr Sema Altun, Dr Ilknur Altunay, Dr Aysegul Altuntas, Dr E. Esra Arpag, Dr Burcak Bozdemir Aral, Dr Safak Arslan, Dr Gokcen Balci, Dr Emel Bulbul Baskan, Dr Cemal Bilac, Dr Ferihan Uslu Bilgin, Dr Ilgul Bilgin, Dr Omer Calka, Dr Burcin Dogan, Dr Tugba Ekmekci, Dr H. Meral Eksioglu, Dr Sevinc Elinc, Dr Mustafa Teoman Erdem, Dr Bema Sanli Erdogan, Dr Ayten Ferahbas, Dr Gonca Gokdemir, Dr Seyma Celik Gulecol, Dr Asli Gulel, Dr Ulas Guvenc, Dr Asli Hapa, Dr Seval Dogruk Kacar, Dr Basak Kandi, Dr Isin Kilic Karaarslan, Dr Yelda Karincaoglu, Dr Aylin Haskok Kazanci, Dr Sevgi Kilic, Dr Yildiz Kilinc, Dr Saliha Can Kirbas, Dr Rafet Koca, Prof. Dr Mukadder Kocak, Dr Selma Korkmaz, Dr Adem Kosklu, Dr Ergun Kusku, Dr Nurdan Seda Kutlu, Dr Hamdi R. Memisoglu, Dr Ahmet Metin, Dr Inci Mevlitoglu, Dr Ozgul Mustu, Dr Tuba Ozceyhan, Dr Mustafa Ozdemir, Dr Ayes Sebnem Ozkan, Dr Serap Ozturkcan, Dr Hatice Ozyigit, Dr Mustafa Turhan Sahin, Dr Muzaffer Sahin, Dr Mehmet Sakman, Dr Sezai Sasmaz, Dr Neslihan Sendur, Doc. Dr Nilgun Senturk, Dr Gamze Serarslan, Dr Engin Sezer, Dr Funda Tas, Dr Nazan Sengun Taslidere, Dr Nergiz Turan, Dr Muge Turkmen, Dr Isin Zehra Uluc, Dr Cahit Yavuz, Dr I. Halil Yavuz, Dr Savas Yayli, Dr Eylem Yilmaz, Dr Yasar Yilmaz, Dr Tulin Yuksel and Dr Ilknur Yorgun
Recurrence Pattern after Adjuvant Radiotherapy for Endometrioid Type Endometrial Cancer
No full textObjective: To define recurrence pattern of endometrioid type endometrium cancer performed adjuvant radiotherapy.Study Design: 351 patients who underwent at least total abdominal hysterectomy with bilateral salpingo-oophorectomy and followed by adjuvant radiotherapy (vaginal brachytherapy or pelvic radiotherapy or both) for endometrioid type endometrium carcinoma were included. The patients who received systemic adjuvant treatment after surgery were excluded from the study except for 18 patients who received concomitant chemo-radiotherapy. Recurrence was categorized as pelvic recurrence included areas distal to the pelvic inlet, as abdominal recurrence included areas between pelvic inlet and diaphragm and findings such as ascites and peritonitis carcinomatosa, and the rest of recurrences including lung, cutaneous, liver parenchyma and bone as extra-abdominal recurrence.Results: The median age was 57 years (range; 29-82). 236 patients had stage I, 25 had stage II, 63 had stage III and 14 had stage IV disease (by FIGO 2009). Lymph node metastasis was determined in 21.8% of patients who underwent lymphadenectomy (n: 289). The median follow-up time was 46 months (range; 1-190). Throughout follow-up, recurrence was developed in 55 (15.7%) patients. Only pelvic recurrence was determined in 11 (3.1%) patients. There was recurrence beyond the pelvis in 44 (80%) of the recurrent patients. Thirty-five (%63.6) of recurrent patients had extra-abdominal recurrence. Twenty-three (41.8%) of recurrent patients had stage IB disease. The recurrence developed in 10% of patients with stage I&II, whereas it was occurred in 31% of patients with stage III&IV (p<0.0001).Conclusion: Radiotherapy provides local control of the disease, but recurrence is likely to be extra-pelvic and extra-abdominal in this patient group.</jats:p
