Irreversible Electroporation in Pancreatic Cancer

Pancreatic cancer is the deadliest of the gastrointestinal tract with 5-year survival rates of less than 5%. Given common asymptomatic early disease course, most patients (50%) present with an already metastatic disease, while only 20% can undergo potentially curative resection. The remaining 30% present with locally advanced disease, defined as extended vascular encasement, where the risk of surgical therapy often outweighs its benefits. Traditional thermal local ablative modalities (RFA, MWA, or cryotherapy) have the disadvantage that they are not applicable in proximity to vital vascular structures, which are abundant in the peripancreatic region. Irreversible electroporation (IRE) is an emerging non-thermal alternative that induces apoptosis of tumor cells by the delivery of short repetitive impulses of high-voltage electric current. Given its mostly non-thermal modality, IRE is not hampered by a heat-sink effect and is applicable with little risk around vascular structures, bile and pancreatic ducts. Recent research suggests that local tumor destruction through IRE improves overall survival, progression-free survival and quality of life in patients with locally advanced pancreatic cancer

Evaluation of Diplomatic Bilateral Cooperation within the City of Ankara

The term ‘urban diplomacy' is used to describe the various activities performed that pertain to international relations between cities. The aim of this study is to evaluate the urban diplomacy of the city of Ankara in the context of bilateral cooperation. Qualitative research is used to determine the nature of measures related to bilateral cooperation and obtain relevant quantitative data. The department archives of the Department of Foreign Relations and the Directorate of Foreign Relations of Ankara Metropolitan Municipality were used for research purposes during March 8-9, 2022. The study concludes that diplomatic bilateral cooperation within the city of Ankara was conducted according to the parameters of Turkish foreign diplomacy and in harmony with national diplomacy. It was also concluded that the relationship between urban politics and bilateral cooperation was influenced by the same political party controlling both central and local governments. In terms of the relationship with urban policies, activities related to bilateral cooperation are determined as a means of promoting the city, rather than providing urban services for Ankara

Assessment the effect of diabetes education on self-care behaviors and glycemic control in the Turkey Nursing Diabetes Education Evaluating Project (TURNUDEP): a multi-center study

Background: Diabetes education in Turkey is provided by diabetes nurse educators in almost all healthcare organizations. However, the education is not standardized in terms of learning content, duration, and methods. This multi-center study was performed to assess the self-care behaviors and glycemic control following education provided to the patients with type 2 diabetes mellitus by diabetes nurse educators. Methods: This was a descriptive and cross-sectional study and included 1535 patients admitted to 28 public hospitals for the treatment of type 2 diabetes mellitus. The education was assessed by using a Patient Identification Form and Self-care Scale. Results: The proportion of individuals who received diabetes education within the last year was 78.5%, with 46.7% of them having received it once. Of the patients, 84.8% reported that they received diabetes education individually. It was found that the proportion of individuals who received education about oral antidiabetics (78.5%) and glucose testing at home (78.5%) was higher than the proportion of individuals who received education about exercise (58.8%) and foot care (61.6%). The status of diabetes education, education intervals, and the correlation of the education method with self-care and glycemic control was evaluated. Self-care and glycemic control levels were better among the patients who received diabetes education thrice or more and in patients who received education both individually and in a group (p < 0.05). Conclusions: Approximately three-quarters of individuals with type 2 diabetes mellitus received education by diabetes nurse educators in Turkey. Diabetes education is positively correlated with self-care and glycemic control levels among patients with type 2 diabetes mellitus. Efforts for generalization and standardized education for all diabetes patients are necessary. © 2022, The Author(s)

Evaluation of Leukemia and Solid Tumors in Refugee Children in Turkey: A Tertiary Center Experience

Cancer care is progressively became as a significant worldwide challenge. Wars can cause destructions and delays in cancer diagnosis and treatment of displaced people. Cancer cure rates need to be improved in indefensible populations such as refugees. In this study, we purposed to highlight the clinical peculiarities and outcomes of refugee children with cancer in our hospital. Our purpose was to present our findings and contribute to improve the health care for these children. Seventy one refugee pediatric patients admitted to the oncology and hematology units of our hospital between April 2011 and January 2019 were included in this study. The demographic characteristics of the patients at the initial diagnosis, their countries of origin, living conditions, histopathological diagnoses, treatments, relapse, and mortality data were analyzed retrospectively from the patient files. The median age of patients was 6.5±4.5 years, and the male-to-female ratio was 39/32. While 44 patients (61.9%) presented with complaints and had primary diagnoses in our hospital, the remaining 27 patients (38.1%) were diagnosed in their country and applied to our hospital for treatment. Our mean follow-up period was 18.2±18.8 months (1-90 months). As a result, 44 patients (62%) were alive and 22 (31%) were dead. The survival rate without relapse in the second year was 83.6%. Two and fiveyear survival rates were 77.5% vs. 58.1% respectively. Compared to Turkish children, lower survival rates were found in refugee children. In addition to cancer-specific factors such as tumor type and stage, some problems such as shelter, communication, adherence to treatment, and difficulties supplying medicine may be responsible for lower survival rates in refugee children. Further studies are needed to improve the survival rates of patients

Primary pulmonary adenoid cystic carcinoma located at the end of the terminal bronchiolus : Case repo

Pulmonar adenoid kistik karsinoma genellikle trakea ve ana bronş gibi merkezi hava yollarında yerleşik, tükrük bezi tipinde, nadir bir malign solunum yolu tümörüdür. Periferal akciğerden kaynaklanan adenoid kistik karsinoma oldukça enderdir. Burada, 52 yaşında bir kadının sağ akciğer alt lobu terminal bronşiyol distalinde gelişmiş adenoid kistik karsinomayı rapor ettik.Pulmonary adenoid cystic carcinoma is a rare salivary gland-type malignant neoplasm of respiratory tract that is usually located in the central airways such as trachea and main bronchus. Adenoid cystic carcinoma arising from the peripheral lung is quite rare. Here, we report adenoid cystic carcinoma that developed at the end of the terminal bronchiol of the right lung lower lobe of a 52-year-old woman

Chapter Irreversible electroporation in pancreatic cancer

Pancreatic cancer is the deadliest of the gastrointestinal tract with 5-year survival rates of less than 5%. Given common asymptomatic early disease course, most patients (50%) present with an already metastatic disease, while only 20% can undergo potentially curative resection. The remaining 30% present with locally advanced disease, defined as extended vascular encasement, where the risk of surgical therapy often outweighs its benefits. Traditional thermal local ablative modalities (RFA, MWA, or cryotherapy) have the disadvantage that they are not applicable in proximity to vital vascular structures, which are abundant in the peripancreatic region. Irreversible electroporation (IRE) is an emerging non-thermal alternative that induces apoptosis of tumor cells by the delivery of short repetitive impulses of high-voltage electric current. Given its mostly non-thermal modality, IRE is not hampered by a heat-sink effect and is applicable with little risk around vascular structures, bile and pancreatic ducts. Recent research suggests that local tumor destruction through IRE improves overall survival, progression-free survival and quality of life in patients with locally advanced pancreatic cancer

Boron Carbide as an Electrode Material: Tailoring Particle Morphology to Control Capacitive Behaviour

In this study, boron carbide powders consisting mainly of nano/micro fibers or polyhedral-equiaxed particles were synthesized via the sol–gel technique, and the influence of particle morphology on electrochemical performance of boron carbide electrodes was investigated. Thermal decomposition duration of the precursors played a determinant role in the final morphology of the synthesized boron carbide powders. The morphology of boron carbide powders successfully tuned from polyhedral-equiaxed (with ~3 µm average particle size) to nano/micro fibers by adjusting the thermal decomposition duration of precursors. The length and thickness of fibers were in the range of 30 to 200 µm and sub-micron to 5 µm, respectively. The electrochemical performance analysis of boron carbide powders has shown that the particle morphology has a considerable impact on the boron carbide electrodes electrochemical performance. It was found that the synergetic effects of polyhedral-equiaxed and nano/micro fiber morphologies exhibited the best electrochemical performance in supercapacitor devices, resulting in the power and energy density of 34.9 W/kg and 0.016 Wh/kg, respectively