High altitude and blood pressure in children.

We aimed to evaluate the blood pressure of children who had similar demographic characteristics but lived at different altitudes. Blood pressure of the children attending primary schools in Izmir (sea level: n = 425) and Van (altitude: 1725 m, n = 291) were measured by mercurial sphygmomanometer for this study. They were similar with respect to age, sex, weight, height, and BMI. Mean age of the children was 10.51 +/- 0.87 years (range: 9 to 12 years), and 358 (50 percent) of them were female. Mean systolic blood pressure was significantly higher in the children living in Van than in the children living in Izmir (104.72 +/- 11.2 vs. 97.96 +/- 25.5 mmHg, respectively, p < .001). Similarly mean diastolic blood pressure was significantly higher in the children living in Van than in the children living in Izmir (63.98 +/- 9.3 vs. 59.91 +/- 10.0 mmHg, respectively, p < .001). When blood pressure was evaluated with regard to height percentile, the number of children with a blood pressure over 90 percentile were 19 (4.5 percent) and 48 (16.5 percent) for systolic blood pressure, and 25 (5.9 percent) and 37 (12.7 percent) for diastolic blood pressure among the children living in Izmir and Van, respectively (p < .001). Systolic and diastolic blood pressures were found to increase in parallel to the increase in body mass index in children living in Van (r = 0.358, p < .001 and r = 0.235, p < .001, respectively). However, blood pressures were not correlated to body mass index in children living in Izmir. A difference of 1700 m in altitude was associated with higher systolic and diastolic blood pressure levels in children with similar demographic characteristics, and at this altitude, body mass index and blood pressure showed a positive correlation

Cronotopías del mandato familiar en novelas argentinas de la postdictadura

Nuestro trabajo actual de investigación se desenvuelve en torno al problema de novelas argentinas contemporáneas que tematizan el período de la dictadura militar (1976-1983). Para trabajar metódicamente este corpus en gestación apelamos a la noción de cronotopía bajtiniana, categoría generadora de relatos que ordenan diferentes formas de la experiencia humana y regulan la aparición de sujetos y discursos identitarios. En este artículo desarrollamos una breve serie que llamamos "cronotopía del mandato familiar" y en la que los jóvenes protagonistas sufren diferentes aprendizajes y pruebas vinculadas con los acontecimientos de la dictadura que los convierten en sujetos alienados, mutilados o escindidos.Our present work focuses on the investigation of contemporary Argentinean novels that deal with the period of the military dictatorship (1976-1983). In order to work metodologically on this corpus in progress, we appeal to the notion of the so-called Bachtinian chronotopy, generating category of stories which organize different forms for the human experiences and regulate the emergency of subjects and identity speeches. In this article we develop a brief series referred as the "chronotopy of the family mandate", in which young protagonists go through various learning experiences and tests related to the happenings of a terrible time that render them into alienated and exscinded subjects

Post-covid interstitial lung disease: how do we deal with this new entity?

Background: In the postacute phase of coronavirus disease-2019 (COVID-19), survivors may have persistent symptoms, lung function abnormalities, and sequelae lesions on thoracic computed tomography (CT). This new entity has been defined as post-COVID interstitial lung disease (ILD) or residual disease. Aims: To evaluate the characteristics, risk factors and clinical significance of post-COVID ILD. Study design: Multicenter cross-sectional analysis of data from a randomized clinical study. Methods: In this study, patients with persistent respiratory symptoms 3 months after recovery from COVID-19 were evaluated by two pulmonologists and a radiologist. post-COVID ILD was defined as the presence of respiratory symptoms, hypoxemia, restrictive defect on lung function tests, and interstitial changes on follow-up high-resolution computed tomography (HRCT). Results: At the three-month follow-up, 375 patients with post-COVID-19 syndrome were evaluated, and 262 patients were found to have post-COVID ILD. The most prevalent complaints were dyspnea (n = 238, 90.8%), exercise intolerance (n = 166, 63.4%), fatigue (n = 142, 54.2%), and cough (n = 136, 52%). The mean Medical Research Council dyspnea score was 2.1 ± 0.9, oxygen saturation was 92.2 ± 5.9%, and 6-minute walking distance was 360 ± 140 meters. The mean diffusing capacity of the lung for carbon monoxide was 58 ± 21, and the forced vital capacity was 70% ± 19%. Ground glass opacities and fibrotic bands were the most common findings on thoracic HRCT. Fibrosis-like lesions such as interlobular septal thickening and traction bronchiectasis were observed in 38.3% and 27.9% of the patients, respectively. No honeycomb cysts were observed. Active smoking [odds ratio (OR), 1.96; 95% confidence interval (CI), 1.44-2.67), intensive care unit admission during the acute phase (OR, 1.46; 95% CI, 1.1-1.95), need for high-flow nasal oxygen (OR, 1.55; 95% CI, 1.42-1.9) or non-invasive ventilation (OR, 1.31; 95% CI, 0.8-2.07), and elevated serum lactate dehydrogenase levels (OR, 1.23; 95% CI 1.18-1.28) were associated with the development of post-COVID ILD. At the 6-month follow-up, the respiratory symptoms and pulmonary functions had improved spontaneously without any specific treatment in 35 patients (13.4%). The radiological interstitial lesions had spontaneously regressed in 54 patients (20.6%). Conclusion: The co-existence of respiratory symptoms, radiological parenchymal lesions, and pulmonary functional abnormalities which suggest a restrictive ventilatory defect should be defined as post-COVID-19 ILD. However, the term “fibrosis” should be used carefully. Active smoking, severe COVID-19, and elevated lactate dehydrogenase level are the main risk factors of this condition. These post-COVID functional and radiological changes could disappear over time in 20% of the patients

D.H. Lawrence'ın Oğullar ve Sevgililer ve Elfriede Jelinek'in Piyanist eserlerindeki narsisistik anne tasviri

Bu araştırma, D. H. Lawrence'ın Oğullar ve Sevgililer ve Elfriede Jelinek'in Piyanist eserlerindeki narsisistik anne tasvirine odaklanmaktadır. Narsisistik ebeveyn ve narsisistik birey bu çalışmada anlatılmaktadır. Ayrıca bu tez narsisistik annelerin sorunlu davranışlarını içerir. Narsisistik annelerin çocuklarıyla işlevsel olmayan etkileşimleri olduğuna şüphe yoktur. Çünkü onlar üstünlükleri olduğuna inanırlar ve empatiden yoksundurlar. Bu inancın bir sonucu olarak narsist duyguların yetişkinler ve çocuklar arasında kaosa neden olduğu anlaşılmaktadır. Bu araştırma metinsel edebi analiz olarak yazılmıştır ve iki bölümden oluşmaktadır. Birinci bölümde narsisizm, narsisistik ebeveyn-çocuk ilişkisi, Oidipus kompleksi, Lacan'ın kavramları olan objet petit a ve jouissance, narsisistik anne tasviri ve edebiyattaki narsisizm hakkında bilgiler verilmiştir. İkinci bölümde narsisist anne tasviri üzerinden Oğullar ve Sevgililer ile Piyanist eserleri karşılaştırması sunulmaktadır. Bu çalışma narsisizmin edebiyattaki yansımalarını incelemek için uygun terminolojiyi kullanır. Ek olarak, edebiyatta narsisist annelerin farklı cinsiyetteki çocukları üzerindeki etkileri, narsisist annelerin edebi eser örneklerinde nasıl tanımlandığı ve narsisist bireylerde ebeveynlik duygusunun farklılıkları incelenmiştir.This study examines narcissistic mother figures in Sons and Lovers by D. H. Lawrence and The Piano Teacher by Elfriede Jelinek. In this work, a narcissistic parent and a narcissistic individual are described. In addition, the problematic behaviors of narcissistic mothers are outlined in this thesis. Clearly, narcissistic mothers have dysfunctional relationships with their children. Because they believe themselves to be superior and lack empathy. As a result of this belief, it is acknowledged that narcissistic feelings contribute to chaos between adults and children. This research is composed of two chapters and uses the textual analysis methodology. The first chapter discusses narcissism, the narcissistic parent-child relationship, the Oedipus complex, Lacan's concepts of objet petit a and jouissance, the description of a narcissistic mother, and narcissism in literature. The second chapter uses the narcissistic mother figure to compare the novels Sons and Lovers and The Piano Teacher. This study examines the literary reflections of narcissism using terminology pertinent to the concept. In addition, the effects of narcissistic mothers on their children of different genders in literature, the definitions of narcissistic mothers in literary works, and the differences in parental feelings among narcissistic individuals are investigated

Beyaz Türk Kimdir? Kavramın Oluşum Sürecinin Ve Içeriğinin Tarihsel Olarak Incelenmesi

This thesis explains which meanings do the discourse “white Turk” comprises of and the stages of the evolution thereof. Critical Discourse Analysis is used to focus on how the distinction between “We” and “Others” is formed through the meanings produced by the media in connection wiht white Turkism. The discourse white Turk was designed as an ideal prototype in modernization imagination of the official ideology; and the public approval on such social prototype was gained through media and symbolic elites. The people who are not, or are unable to be, part of that white Turk prototype, which is determined according to the cultural patterns such as life styles, consumption habits, leisure activities, have been exposed to symbolic violenceby the media elites. The white Turk discourse gas a proponsity to reduce other subjects to passive and groundless essences. In the columns reviewed, it has been observed that the white Turks are associated with the urban, liberal, educated middle classes.Bu tez, beyaz Türk söyleminin hangi anlamları içerdiğini ve söylemin geçirdiği aşamaları açıklamaktadır. Eleştirel söylem analizi yöntemi kullanılarak, beyaz Türklükle ilgili medya tarafından üretilen anlamlarla, “biz” ve “öteki” ayrımının nasıl oluşturulduğu üzerinde durulmuştur. Beyaz Türk söylemi, resmi ideolojinin modernleşme muhayyilesinde bir ideal tip olarak tasarlanmış, bu sosyal tipin kamuoyunda kabulü medya ve simgesel seçkinler vasıtasıyla olmuştur. Yaşam tarzları, tüketim alışkanlıkları, boş zaman etkinlikleri gibi kültürel örüntülerle belirlenen beyaz Türk tipolojisine dahil olmayan ya da olamayanlar, medya elitleri tarafından sembolik şiddete maruz kalmıştır. Beyaz Türk söylemi, kendi dışındaki özneyi edilgen, pasif ve tarihsiz bir öze indirgeme eğilimindedir. İncelenen köşe yazılarında, beyaz Türklerin, Batılılaşma akımına ayak uydurmuş, kentli, liberal, eğitimli orta sınıflarla ilişkilendirildiği görülmüştür