Patient and physician delay in the diagnosis and treatment of non-small cell lung cancer in Turkey.

AIM: The early diagnosis and treatment of lung cancer are important for the prognosis of patients with lung cancer. This study was undertaken to investigate patient and doctor delays in the diagnosis and treatment of NSCLC and the factors affecting these delays. MATERIALS AND METHODS: A total of 1016 patients, including 926 (91.1%) males and 90 (8.9%) females with a mean age of 61.5±10.1 years, were enrolled prospectively in this study between May 2010 and May 2011 from 17 sites in various Turkish provinces. RESULTS: The patient delay was found to be 49.9±96.9 days, doctor delay was found to be 87.7±99.6 days, and total delay was found to be 131.3±135.2 days. The referral delay was found to be 61.6±127.2 days, diagnostic delay was found to be 20.4±44.5 days, and treatment delay was found to be 24.4±54.9 days. When the major factors responsible for these delays were examined, patient delay was found to be more frequent in workers, while referral delay was found to be more frequent in patients living in villages (p<0.05). We determined that referral delay, doctor delay, and total delay increased as the number of doctors who were consulted by patients increased (p<0.05). Additionally, we determined that diagnostic and treatment delays were more frequent at the early tumour stages in NSCLC patients (p<0.05). DISCUSSION: The extended length of patient delay underscores the necessity of educating people about lung cancer. To decrease doctor delay, education is a crucial first step. Additionally, to further reduce the diagnostic and treatment delays of chest specialists, multidisciplinary management and algorithms must be used regularly

Citizenship ethics: German-Turkish return migrants, belonging, and justice

Due to copyright restrictions, the access to the full text of this article is only available via subscription.This article examines citizenship for German-Turkish return migrants attending monthly meetings of the Rückkehrer Stammtisch (Returner’s Meetings) in Istanbul. Meeting attendees call themselves “world citizens” and remain deeply concerned about disrespect and inequality they experience as ethnic minorities in Germany and as citizens in Turkey. Drawing on the anthropology of ethics, this research demonstrates the importance of ethical relationships for understanding these migrants’ experience of citizenship. Moving beyond work that views citizenship primarily in terms of state power and legal disciplining, this research demonstrates that citizenship for these migrants is focused heavily on an ethics of care and responsibility developed in the course of personal interactions with fellow citizens. This article also adds ethnographic specificity to the concepts of belonging and justice. It analyzes how ethical relationships established among meeting attendees confer feelings of comfort, intimacy, and a sense of shared humanity that structure migrants’ inclusion in national spaces.Fulbright-Hays DDRA Program ; Wenner-Gren Foundation for Anthropological Research ; American Research Institute in Turkey (ARIT) ; Institute of Turkish Studies (ITS) ; Social Science Research Council (SSRC) ; Center for German and European Studies (CGES) at the University of Wisconsin-Madiso

Solution-processed nanostructured ZnO/CuO composite films and improvement its physical properties by lustrous transition metal silver doping

This paper has reported the fabrication and characterization of pristine, and silver (Ag)-doped nanostructured ZnO/CuO composite thin films that have not been previously reported. The thin films were synthesized by the successive ionic layer adsorption and reaction (SILAR) technique. The morphological, crystalline structure, optical and electrical characterizations of the films have been achieved utilizing scanning electron microscopy (SEM), energy-dispersive spectrometry (EDS), atomic force microscopy (AFM), X-ray diffraction (XRD) analysis, Fourier transform infrared spectrum (FTIR) analysis, ultraviolet-visible (UV-Vis) spectrophotometry and the four-point probe measurements. Particle sizes of pristine and Ag-doped ZnO/CuO thin films were found to vary from 32 to 58 nm. Crystallite size was changed from 16.40 to 18.90 nm with changing Ag dopant in the ZnO/CuO composite film. FTIR spectra that have the absorption peaks at similar to 725 and similar to 510 cm(-1) referred to the stretching vibration of Zn-O and Cu-O bonds during the synthesis of ZnO/CuO nanofilms. The bandgap values of ZnO/CuO composite films increased from 2.05 to 2.36 eV as Ag content increased from 0 to 2 M%. The activation energies of the samples were obtained from the Arrhenius plots of sigma versus 1/T. The multiple activation process was observed. It was noteworthy that Ag-doping results in a significant difference in conductivity at all temperature values