GÖÇ

Uluslararası Bakalorya Programı A1 dersi Türkçe alanında çalışılan bu tezde, Orhan Pamuk’un “Kafamda Bir Tuhaflık” adlı yapıtında odak figür ve ailesi üzerinden göç izleği incelenmiştir. Odak figür ve ailesinin göç süreci boyunca yaşadığı zorluklar, diğer figürlerle olan ilişkileri ve yalnızlık süreci açıklanmıştır. Bu tezin amacı, yapıtta göç sürecinin yaratabileceği sorunları, bireylerin bu süreçte yaşadıkları zorlukları, odak figür ve ailesi üzerinden ortaya koymaktır. İki bölümden oluşan tezin ilk bölümünde köyden kente göç süreci ve kent yaşamının zorlukları ve aile ilişkileri üzerinden incelenmiştir. Tezin ikinci bölümünde ise odak figürün ve ailesinin şehre göçünden yıllar sonra yaşanan şehir hayatındaki değişim incelenmiş ve bu değişimin figürler üzerindeki etkisi açıklanmıştır. Sonuç kısmında ise odak figürün yalnızlığının sebepleri ve onda yarattığı duygular belirtilmiştir

Does mean platelet volume (MPV) have a role in evaluation of erectile dysfunction and its severity?

Purpose: The mean platelet volume (MPV) has important role in the pathophysiology of vascular diseases as a marker of the platelet activity. To investigate the association between mean platelet volume and erectile dysfunction (ED) and to search whether this marker can be used for diagnosis of ED. Materials and methods: Of the 312 patients with ED of various degrees, 122 patients without ED (IIEF-5>21) were included in this prospective study. Severity of ED was determined according to IIEF-5 questionnaire. MPV, fasting serum glucose, cholesterol, low density lipoprotein (LDL) and serum testosterone levels are also recorded. The mean platelet volume was calculated by the Coulter counter technique and sexual function was determined by International Index of Erectile Function erectile function domain (IIEF-5). Results: The mean age of patients was 58.4 years. The mean MPV value of patients with ED was significantly higher compared to the non-ED patients (8.91 vs. 8.22, p=0.0001). The severity of ED was shown to have a positive strong correlation with MPV values (r=0.719, p=0.001). Mean serum triglyceride, glucose, total cholesterol and LDL cholesterol levels were noted higher in patients with ED. MPV values were found to be significantly higher in patients with ED. Conclusion: MPV level shows significant correlation with severity of ED. This cheap laboratory test can have potential to be a marker of ED. Further prospective larger studies with vascular wall thickness measurements should be conducted

GÖÇ

Uluslararası Bakalorya Programı A1 dersi Türkçe alanında çalışılan bu tezde, Orhan Pamuk’un “Kafamda Bir Tuhaflık” adlı yapıtında odak figür ve ailesi üzerinden göç izleği incelenmiştir. Odak figür ve ailesinin göç süreci boyunca yaşadığı zorluklar, diğer figürlerle olan ilişkileri ve yalnızlık süreci açıklanmıştır. Bu tezin amacı, yapıtta göç sürecinin yaratabileceği sorunları, bireylerin bu süreçte yaşadıkları zorlukları, odak figür ve ailesi üzerinden ortaya koymaktır. İki bölümden oluşan tezin ilk bölümünde köyden kente göç süreci ve kent yaşamının zorlukları ve aile ilişkileri üzerinden incelenmiştir. Tezin ikinci bölümünde ise odak figürün ve ailesinin şehre göçünden yıllar sonra yaşanan şehir hayatındaki değişim incelenmiş ve bu değişimin figürler üzerindeki etkisi açıklanmıştır. Sonuç kısmında ise odak figürün yalnızlığının sebepleri ve onda yarattığı duygular belirtilmiştir

İkinci Dünya savaşı'nın ateş hattındaki tanığı : Yusuf Ünal

Ankara : İhsan Doğramacı Bilkent Üniversitesi İktisadi, İdari ve Sosyal Bilimler Fakültesi, Tarih Bölümü, 2016.This work is a student project of the The Department of History, Faculty of Economics, Administrative and Social Sciences, İhsan Doğramacı Bilkent University.by Çekiç, Can Eyup

Urolithiasis practice patterns following the COVID-19 Pandemic: Overview from the EULIS Collaborative Research Working Group

COVID-19 was first reported as a novel pulmonary infectionin December 2019 [1]. Apart from being a potentially lethalcondition, COVID-19 is also affecting health care strategiesfor other medical conditions. Ficarra et al [2] have madesuggestions regarding urological surgeries during theCOVID-19 pandemic. However, the authors focused on allurological pathologies and reported information from Italy,a country that seemed to be the epicenter of the pandemicin Europe [2]. Therefore, we sought to obtain an up-to-dateperspective on how the routine practice patterns of expertEuropean endourologists changed (or adapted) during theCOVID-19 pandemic via a survey. By focusing on expertexperience coming from the field, we aimed to provide analgorithm to guide the management of urinary stonedisease during this unprecedented time of extraordinarystress on the global endourology community

How does the COVID-19 pandemic affect the preoperative evaluation and anesthesia applied for urinary stones? EULIS eCORE-IAU multicenter collaborative cohort study

Stone disease is a unique condition that requires appropriate management in a timely manner as it can result in both emergent conditions and long term effects on kidney functions. In this study it is aimed to identify the up-to-date practice patterns related to preoperative evaluation and anesthesia for stone disease interventions during COVID-19 pandemic. The data of 473 patients from 11 centers in 5 different countries underwent interventions for urinary stones during the Covid-19 pandemic was collected and analyzed retrospectively. Information on the type of the stone related conditions, management strategies, anesthesiologic evaluation, anesthesia methods, and any alterations related to COVID-19 pandemic was collected. During the preoperative anesthesia evaluation thorax CT was performed in 268 (56.7%) and PCR from nasopharyngeal swab was performed in 31 (6.6%) patients. General anesthesia was applied in 337 (71.2%) patients and alteration in the method of anesthesia was recorded in 45 (9.5%) patients. A cut-off value of 21 days was detected for the hospitals to adapt changes related to COVID-19. Rate of preoperative testing, emergency procedures, conservative approaches and topical/regional anesthesia increased after 21 days. The preoperative evaluation for management of urinary stone disease is significantly affected by COVID-19 pandemic. There is significant alteration in anesthesia methods and interventions. The optimal methods for preoperative evaluation are still unknown and there is discordance between different centers. It takes 21 days for hospitals and surgeons to adapt and develop new strategies for preoperative evaluation and management of stones

European association of urology section of urolithiasis and international alliance of urolithiasis joint consensus on retrograde intrarenal surgery for the management of renal stones

Background: Retrograde intrarenal surgery (RIRS) has become the preferred treatment modality for nephrolithiasis. However, because of ongoing uncertainties regarding the optimal perioperative management, operative technique, and postoperative follow-up, as well as a lack of standardization for outcome reporting, consensus is needed to achieve more uniform clinical practice worldwide. Objective: To develop recommendations for RIRS on the basis of existing data and expert consensus. Design, setting, and participants: A protocol-driven, three-phase study was conducted by the European Association of Urology Section of Urolithiasis (EULIS) and the International Alliance of Urolithiasis (IAU). The process included: (1) a nonsystematic review of the literature to define domains for discussion; (2) a two-round modified Delphi survey involving experts in this field; and (3) an additional group meeting and third-round survey involving 64 senior representative members to formulate the final conclusions. Outcome measurements and statistical analysis: The results from each previous round were returned to the participants for re-evaluation of their decisions during the next round. The agreement threshold was set at 70%. Results and limitations: The panel included 209 participants who developed 29 consensus statements on the following topics of interest: (1) perioperative infection management; (2) perioperative antithrombotic therapy; (3) fundamentals of the operative technique; and (4) standardized outcome reporting. Although this consensus can be considered as a useful reference for more clinically oriented daily practice, we also acknowledge that a higher level of evidence from further clinical trials is needed. Conclusions: The consensus statements aim to guide and standardize clinical practice and research on RIRS and to recommend standardized outcome reporting. Patient summary: An international consensus on the best practice for minimally invasive surgery for kidney stones was organized and developed by two international societies. It is anticipated that this consensus will provide further guidance to urologists and may help to improve clinical outcomes for patients

Epidemiological, Clinical, and Laboratory Features of Children With COVID-19 in Turkey

Objectives: The aim of this study is to identify the epidemiological, clinical, and laboratory features of coronavirus disease 2019 (COVID-19) in children