22 research outputs found

    The Second International: The Impact of Domestic Factors on International Organization Dysfunction

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    Cataloged from PDF version of article.This article explores the role of domestic factors in international organization dysfunction, exemplified by the failure of the Second International to agree on a common stance and policy for the prevention of the First World War. Focusing on the French and cof these socialist parties. It concludes that these domestic differences were the source of discrepancy and lack of orchestrated action among the members of the Second International. As a result of these differences, the Second International failed to coordinate and produce a binding resolution that would commit its members to a uniform action against war, hence culminating in international organization dysfunction. © 2013 The Authors. © 2013 Political Studies Association

    Building Democracy to Last: The Turkish Experience in Comparative Perspective

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    This study analyses the relationship between checks and balances and democracy, focusing on Turkey in comparative perspective. In a large-N setting, the effects of checks and balances on the quality of democracy are examined. The findings reinforce the essential relationship between democracy and checks and balances. The article then discusses the implications of the the findings for Turkey. It stresses the need for horizontal accountability via checks and balances vested in different state agencies. In addition to state-level checks and balances, the importance of societal actors as sources of accountability is also elaborated. The study identifies the need for vertical accountability, not only through free elections but also by creating a political setting in which pluralistic media and civil society can thrive. In light of findings, the article stresses the need for a new constitutional framework that can embrace both state- and societal-level checks and balances. © 2015 Taylor & Francis

    Embedded neopatrimonialism: Patriarchy and democracy in Turkey

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    This article argues that patriarchal discourses can play a legitimizing role for the undemocratic elements of regimes. It focuses on neopatrimonial regimes in contemporary politics, which create impediments to democracy. Showing neopatrimonialism's link to patriarchal discourses, the study highlights the need to situate neopatrimonialism beyond its dominant contemporary usage as material exchange between the ruler and the ruled for political support. The Turkish case is analyzed to show how neopatrimonial acts of politicians are justified with a patriarchal discourse that is paternalistic and serves to reinforce personalistic rule, delegitimize opposition, and suppress pluralism. © The Author 2017. Published by Oxford University Press. All rights reserved

    The effect of lateral osteotomy of septorhinoplasty on nasolacrimal duct functions: A radionuclide imaging study

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    Background: The aim of this study was to evaluate the effects of lateral osteotomy of septorhinoplasty on nasolacrimal duct functions by dacryoscintigraphy. Methods: The study group comprised 60 nasolacrimal systems of 30 consecutive patients who underwent septorhinoplasty. Dacryoscintigraphy images were taken in the preoperative period and postoperative 1st week and 3rd month. After Tc-99m pertechnetate instillation, dynamic images were obtained every 15 seconds. For cases of normal drainage, the study was terminated after 10 minutes but when obstruction was suspected, external ocular massage and rapid nasal inspiration were applied and the test was extended for an additional 10 minutes. Systems were classified either as passage without massage (normal nasolacrimal test), passage with massage (physiological obstruction), or presac or postsac obstruction (partial or complete obstruction) according to test results. Transit time was determined for cases with normal test or physiological obstruction. Results: In the preoperative period eight systems (two presac and six postsac) had obstruction. There were a total of 11 (18.3%) additional systems with obstruction (4 presac and 7 postsac) in the 1st postoperative week and patient symptoms were not in complete agreement with the test results in this period. By the 3rd month, nine systems (three presac and six post sac) had obstruction. Transit time was prolonged in both the postoperative 1st week and the postoperative 3rd month tests compared with the preoperative tests (p = 0.000 and p = 0.023, respectively). Conclusion: We did not encounter any permanent obstructions after lateral osteotomy of rhinoplasty. Temporary obstructions in the 1st postoperative week improved to normal preoperative status by the postoperative 3rd month. Copyright © 2005, OceanSide Publications, Inc., U.S.A

    Effects of intramuscular and peritonsillar injection of tramadol before tonsillectomy: A double blind, randomized, placebo-controlled clinical trial

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    Background/aims: Our objective was to investigate the efficacy of intramuscular injection and peritonsillar infiltration of tramadol to prevent pain in children undergoing tonsillectomy. Methods: In a double-blinded trial, 45 children were randomized into three groups: infiltration anesthesia with tramadol (2 mg kg-1) to the peritonsillar area (INF group, n = 15), intramuscular analgesia with tramadol (2 mg kg-1) (IM group, n = 15), and the placebo controls (PL group, n = 15). Visual analog scale (VAS) scores for pain assessment, heart rate (HR) and mean arterial pressure (MAP) during and after anesthesia were recorded. Results: Mean HR values were higher in INF than PL group at 10th, 20th, and 30th minutes of operation (P < 0.05). Nine children required analgesics within the first hour after surgery in PL compared to 1 child in INF group (P = 0.036). VAS scores on awakening were significantly better in INF than PL group (P = 0.015). The difference between IM and PL groups was not significant for any of the parameters. Conclusion: Peritonsillar infiltration with tramadol provided good intraoperative analgesia, less postoperative pain on awakening and lower analgesic requirement within the first hour after surgery. © 2007 Elsevier Ireland Ltd. All rights reserved

    Evaluation of nasal mucociliary functions with rhinoscintigraphy in coal workers' pneumoconiosis

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    WOS: 000230678900007PubMed: 15983442Objective: To compare nasal mucociliary clearance (NMC) functions in coal workers with pneumoconiosis, coal workers without pneumoconiosis and healthy controls by using technetium-99m-labeled macroaggregated albumin rhinoscintigraphy. Methods: Sixty-five of the 86 coal workers were clinically documented as suffering from coal workers' pneumoconiosis (CWP group). CWP workers were divided into two groups according to smoking status: 44 smokers (CWP-S) and 21 nonsmokers (CWP-NS). Twenty-one workers without pneumoconiosis (NCWP group) were similarly divided into two groups: 12 smokers (NCWP-S) and 9 nonsmokers (NCWP-NS). Thirty-three healthy male volunteers were selected for the control group [ 15 smokers (control-S), 18 nonsmokers (control-NS)]. The half-time (t(1/2)) value for the clearance of the radiopharmaceutical was calculated for each patient. Results: Mean t(1/2) values for CWP-S, CWP-NS, NCWP-S, NCWP-NS, control-S and control-NS were 25.10 +/- 7.75, 10.97 +/- 3.24, 14.68 +/- 4.98, 9.17 +/- 3.71, 19.15 +/- 5.04 and 15.08 +/- 5.11, respectively ( p < 0.001, Kruskal-Wallis variance analysis). Further, mean t(1/2) values of smokers versus nonsmokers in CWP, NCWP and control groups were compared, and it was found that although smoking prolonged nasal transport time in all three groups, the difference was significant only in the CWP group ( p < 0.001, p < 0.023 and p < 0.027, respectively, Bonferroni-adjusted Mann-Whitney test). Conclusion: Our findings demonstrated a synergistic detrimental effect of smoking with coal dust exposure on nasal transport time. Copyright (C) 2005 S. Karger AG, Basel

    Effect of adenoidectomy and/or tonsillectomy on cardiac functions in children with obstructive sleep apnea

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    Background/Aims: We aimed to determine the effects of adenoidectomy and/or tonsillectomy (AT) on cardiac functions in children with adenoid and/or tonsillary hypertrophy and obstructive sleep apnea syndrome (OSAS) by using echocardiography with tissue Doppler imaging facility (TDI). Methods: Twenty-nine children with adenoid and/or tonsillary hypertrophy and OSAS and 26 children with primary snoring entered the study. Cardiac functions were assessed by echocardiography with TDI in both groups. Tests were repeated in the OSAS group 6 months after treatment with AT. Results: Echocardiography showed a decrease in estimated pulmonary artery systolic pressure from 31 ± 4.2 to 13.1 ± 2.3 (p &lt; 0.001). In TDI, tricuspid Em and E m/Am increased from 11.0 ± 2.7 to 13.5 ± 2.7 cm/s (p &lt; 0.001), and 1.46 ± 0.52 to 1.82 ± 0.53 (p = 0.004), respectively, following AT, indicating improvement in right ventricular diastolic dysfunction. Similarly, mitral Em and Em/A m increased from 12.3 ± 2.1 to 16.3 ± 2.7 cm/s, and from 1.65 ± 0.51 to 2.30 ± 0.54, respectively (p &lt; 0.001). There was no significant difference between postoperative values and control group values. Conclusion: TDI is a technique able to detect diastolic dysfunction unnoticeable by conventional echocardiography. Following AT, we observed improvement in both left and right ventricular diastolic functions using TDI. Copyright © 2008 S. Karger AG

    A misdiagnosed keratoacanthoma turned out to be a metastatic parotid carcinoma

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    Distinguishing keratoacanthoma from well-differentiated squamous-cell carcinoma is often difficult on account of the clinical and histopathological similarities between them. Since the outcome of treatment depends on identifying the correct diagnosis and having the correct treatment on time, it is essential to differentiate keratoacanthoma and squamous-cell carcinoma as soon and accurately as possible. A paradigmatic case is herein reported. An 85 year-old female underwent total parotidectomy and ipsilateral neck dissection due to the squamous-cell carcinoma of the parotid gland. The investigations, in order to determine whether the tumour was a metastatic or a primary one, led to a misdiagnosis. A prior skin lesion, which was excised over her left cheek one year ago in another clinic, was diagnosed as keratoacanthoma. However, the histopathological revision of the specimen revealed that the lesion was in fact a squamous-cell carcinoma. Thus the parotid tumour was accepted as metastatic squamous-cell carcinoma rather than primary squamous-cell carcinoma

    A misdiagnosed keratoacanthoma turned out to be a metastatic parotid carcinoma [Erronea diagnosi di keratoacantoma in un caso di metastasi parotidea da carcinoma squamoso]

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    Distinguishing keratoacanthoma from well-differentiated squamous-cell carcinoma is often difficult on account of the clinical and histopathological similarities between them. Since the outcome of treatment depends on identifying the correct diagnosis and having the correct treatment on time, it is essential to differentiate keratoacanthoma and squamous-cell carcinoma as soon and accurately as possible. A paradigmatic case is herein reported. An 85 year-old female underwent total parotidectomy and ipsilateral neck dissection due to the squamous-cell carcinoma of the parotid gland. The investigations, in order to determine whether the tumour was a metastatic or a primary one, led to a misdiagnosis. A prior skin lesion, which was excised over her left cheek one year ago in another clinic, was diagnosed as keratoacanthoma. However, the histopathological revision of the specimen revealed that the lesion was in fact a squamous-cell carcinoma. Thus the parotid tumour was accepted as metastatic squamous-cell carcinoma rather than primary squamous-cell carcinoma
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