Dinin aileyi koruyucu fonksiyonu: (Ümraniye-Erenköy örneği)

Din ve aile bütün toplumlarda var olan iki önemli sosyal kurumdur. Bu iki kurum karşılıklı etkileşim içindedirler. Özellikle geleneksel aile, dinî inanç ve pratiklerin öğretildiği, uygulandığı yerdir. Böylece aile dinin yeni nesillere aktarılması konusunda önemli bir rol oynar.Dinin aileye etkisi doğrudan ve dolaylı olmak üzere iki yönlü olarak ele alınabilir. Dinin "evlenin, çoğalın, aile yuvasını bozmayın vb". şeklindeki emir ve tavsiyeleri, ailenin korunması konusunda doğrudan rol oynar. Yine din, toplumda oluşturduğu zihniyetle ve ahlâki normlara temel teşkil etmesiyle ailenin korunması ve güçlenmesi konusunda önemli bir fonksiyon yerine getirir.Din, kurulmadan önce ailenin sağlam temellere oturması için bazı tedbirler aldığı gibi, kurulduktan sonrada ailenin parçalanmaması ve çözülmemesi için de tedbirler almıştır. Örneğin din, ailede geçimsizliklere dolayısıyla boşanmalara neden olan evlilik dışı ilişkileri yasaklayarak ailenin korunması konusunda önemli bir fonksiyon üstlenir. Din aynı zamanda sabır, fedakarlık, iyi geçinme, sevgi, saygı gibi güzel huyları överek ailede geçimsizliklerin azalmasına zemin hazırlar. Din, aile ile ilgili olumsuz görüş düşünce ve uygulamaların karşısında yer alarak her zaman aile kurumunu destekleyici bir rol oynar. The religion and the family are two important social associations in all societies. Tehese two associations have been in a mutual effect. It's the place where especially the traditional family, religional belief and applications are taughtand applied. Therefore, a family plays an influential part in transforming the religion to new generations.The affection of the religion to the family can be in a direct or indirect way. The orders and advices of religion such as "marry, reproduce, not damage the family concept...........etc." play a direct role in protection of the family. With forming mentality and moral norms in society, religion also functions as to protect and strengthen the family.Just as, religion took some precautions to have a strong basis before it's formed, it also took precautions against any damage and disengagement in family after it's formed. For example, religion has an important function as forbidding the extramarital relations which can cause in compatibilities in connection with the divorces in the family. It also lessens the incompatibilities of the family with prasing and encourging the good habits like patience, self-sacrifice, kind-hearted, love and respect.It plays a supporting role in a family association by objecting the negative views, thoughts and applications

Ascending Aorta Saccular Aneurysm: An Unexpected Reason For Acute RCA Occlusion

Abstract Saccular aortic aneurysms are rare pathologies which are true aneurysms that contain all histological layers of the aorta. Although an aortic diameter of 3 cm or more is generally accepted as an aneurysm, the surgical indication age is usually above 5 cm. SAA, on the other hand, can be operated by its diagnosis, since they are dysmorphic aneurysms and more prone to rupture regardless of their diameters. As in our case, a SAA may cause acute coronary syndromes, patients may apply with acute myocardial infarction. Although a SAA involving a coronary ostia is a very rare cause of acute coronary syndrome, it still should be kept in mind. In November 2022, A 57 year old male patient with inferior AMI due to an occlusive complication of a sacculary aneurysm involving the right coronary artery (RCA). Consequently, the patient was operated urgently. Aneurysm was excised and a graft coronary artery bypass was performed to RCA. Postoperative follow-up and treatment were uneventful and the patient was discharged on the 11th postoperative day

Utility of Amplitudes of Positive Sharp Waves and Fibrillation Potentials

Objective: Fibrillation potentials and positive sharp waves are pathologic spontaneous potentials which originate disconnection anywhere betweenanterior hornof medulla spinalisto muscle fiber in the motor unit. In clinical practice, the presence and if present the intensity of the spontaneous denervation potentials has been evaluated. In this study, the relations between their amplitudes and parameters like lesion duration, lesion type, level of lesion, age of patient and size of recorded muscle were aimed to be examined beside the presence of spontaneous denervation potentials

A case of thrombocytopenia associated with the use of hydroxychloroquine following open heart surgery

INTRODUCTION: Thrombocytopenia is a common problem occurring in patients and drug-induced thrombocytopenia is a significant cause of thrombocytopenia. PRESENTATION OF CASE: We present an unusual case of thrombocytopenia that was considered to be associated with the use of hydroxychloroquine in the late term following open heart surgery. DISCUSSION: The drug-induced thrombocytopenia, mechanical destruction of the platelets, and hemodilution are common causes of low platelet count. Although drug-induced immune thrombocytopenia has a mild clinical course in most cases (in this case it has severe clinical course), some patients may experience life-threatening hemorrhages. The decision to discontinue the drug that is deemed to be responsible from the drug-induced thrombocytopenia (DITP) relies on the clinical condition of the patient. The diagnosis is mostly established by discontinuation, exclusion, and correlation because the tests performed to detect drug-dependent antibodies (DDAbs) for the diagnosis of DITP are time-consuming, and these tests are also not commonly available. The authors of the current study diagnosed DITP by discontinuation of the drug. We suggest that the use of hydroxychloroquine could be severe thrombocytopenia occurring after open heart surgery. CONCLUSION: The medication history must be carefully reviewed in patients presenting with thrombocytopenia, and if the medications could cause thrombocytopenia must be discontinued

Comparison of paracetamol and diclofenac prescribing preferences for adults in primary care

Introduction: The most frequently prescribed analgesic drugs in primary care centers in Turkey are diclofenac and paracetamol, respectively. In this study, we aimed to compare paracetamol-included prescriptions (PIP) and diclofenac-included prescriptions (DIP) generated for adult patients in primary care. Methods: In this cross-sectional study, PIPs (n = 280 488) and DIPs (n = 337 935) created for adults by systematic sampling among primary care physicians working in Istanbul in 2016 (n = 1431) were examined. The demographic characteristics, diagnoses, and additional drugs in PIPs and DIPs were compared. Results: Women constituted the majority in both groups (69.8% and 67.9%, respectively; P < 0.05), and mean age at PIP (52.6 +/- 18.8 years) was lower compared to DIP (56.3 +/- 16.1 years), (P < 0.05). In single-diagnosis prescriptions, 11 of the 15 most common diagnoses in PIP were respiratory tract infections (47.9%); three pain-related diagnoses formed 4.6% of all these prescriptions. In DIP, the number of pain-related diagnoses, mostly of musculoskeletal origin, was eight (28.5%); four diagnoses (7.8%) were upper respiratory tract infections. While hypertension was the third most common diagnosis in PIP (6.1%), it was ranked first in DIP (8.0%). The percentage of prescriptions with additional analgesic (14.0% versus 18.3%, P < 0.001), proton-pump inhibitor (13.8% versus 18.4%; P < 0.001), and antihypertensive (22.0% versus 24.8%, P < 0.001) was lower in PIP compared to DIP. However, the percentage of prescriptions with antibiotics (31.3% versus 14.7%, P < 0.001) was higher in PIP. Conclusion: Paracetamol appears to be preferred mostly in upper respiratory tract infections compared to the preference of diclofenac rather in painful/inflammatory musculoskeletal conditions. The presence of hypertension among the most commonly encountered diagnoses for these analgesic drugs points to challenges in establishing the diagnosing-treatment match and indicates potential irrational prescribing practice, especially for interactions

Short Term Effects of Diltiazem on Renal Functions: A Controlled Clinical Study

OBJECTIVE: We aimed to study acute effects of diltiazem on renal functions and its renoprotective effects in patients with chronic kidney disease (CKD)

Short Term Effects of Diltiazem on Renal Functions: A Controlled Clinical Study

OBJECTIVE: We aimed to study acute effects of diltiazem on renal functions and its renoprotective effects in patients with chronic kidney disease (CKD).\ud MATERIAL and METHODS: Among patients with CKD followed-up in our unit, fifty patients using diltiazem as a part of their treatment(the treatment group) and fifty patients not using diltiazem (the control group) were selected. Besides demographic parameters; blood pressures, creatinine, proteinuria and creatinine clearance levels at the baseline, first week, and third and sixth months were recorded.\ud \ud RESULTS: The groups were matched for the mean creatinine clearance at baseline. The course of mean creatinine clearance were similar in both groups (p=0.29). There was no significant change in serum creatinine or creatinine clearance after initiation of diltiazem in the treatment group. Baseline proteinuria was higher in treatment group (p=0.012). Proteinuria at the sixth month was significantly higher in the control group compared with basal and first week levels (p<0.001 and p=0.007, respectively). But there was no change in the treatment group regarding proteinuria. Serum albumin levels were not statistically significantly different in the groups (p=0.69).\ud \ud CONCLUSION: Diltiazem has no acute effect on serum creatinine and creatinine clearance in patients with CKD. It may prevent the probable increase in proteinuria

Investigation of diclofenac and paracetamol prescribing for adults in primary care

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Osmanlı Ceza Hukuku: Mufassal Nazariyyat-ı Ceza

Yazı çevrimini yaptığımız ve "Mufassal Nazariyyat-ı Ceza" (Ayrıntılı Ceza Kuramları) başlığını taşıyan bu kitap, Osmanlı Devleti'nde Tanzimat'la birlikte başlayan kanunlaştırma hareketleri çerçevesinde 1810 tarihli Fransız Ceza Kanunu'ndan iktibas edilen ve Cumhuriyet'in ilk yıllarına (1926'ya) kadar yürürlükte kalan 1858 (1274) tarihli Ceza Kanunu'na (Ceza Kanunname-i Hümayunu'na) dayalı olarak ve Fransızca kaynaklardan yararlanmak suretiyle yazılmış bir eserdir. İstanbul Hukuk Fakültesi'nde (Mekteb-i Hukuk-ı Şahane'de) ders kitabı olarak da okutulduğu anlaşılan bu yapıt, günümüz ceza hukuku genel hükümler derslerinde ve eserlerinde ele alınan konuları içeren, felsefi ve akademik derinliği olan, önemli mukayeseli hukuk bilgilerini barındıran bir mahiyete sahip olduğu gibi aynı zamanda ders kitabı sadeliğini de haizdir. Eserde bugün dahi kullandığımız birçok kavram ve kurumun, bunlarla ilgili güncel bazı tartışmaların izlerinin bulunabilmesi itibariyle eserin Cumhuriyet dönemi Türk ceza hukuku öğretisinde de önemli atıflar aldığı görülmektedir.(ARKA KAPAKTAN