A socio-spatial analysis of urban transformation at a neighborhood scale: The case of the relocation of Kadifekale inhabitants to TOKI˙ Uzundere in I˙zmir

Particularly in the last two decades, urban governors have presented urban transformation projects as ideal solutions to help low-income urban residents improve their living conditions. However, the way they have been carried out and their consequences mean that these projects do not, in most cases, bring the expected improvements. Most projects involve relocating residents to new, more peripheral districts of the city, which causes social isolation and certain socio-spatial incompatibilities between their previous and new habitats. Using a case from Izmir in Turkey, this study aims to analyze such socio-spatial incompatibilities in the lives of low-income residents that are caused by relocation within the framework of urban transformation projects. One of Izmir's earliest inner-city gecekondu neighborhoods, Kadifekale was chosen by Izmir Metropolitan Municipality as a site for urban transformation due to the risk of landslide in the area. Before the start of the project, the neighborhood contained 7324 housing units accommodating rural-to-urban migrants, mainly from the southeast of Turkey. This urban transformation project aimed to relocate at least some of the inhabitants from their homes in Kadifekale to recently constructed apartment blocks in the TOKI˙ Uzundere Public Housing Project on the periphery of the city. Although many residents were reluctant to exchange their houses for new apartments, some were persuaded to move to TOKI˙, which was presented as the ideal solution by the municipal officials. This study critically evaluates the Kadifekale urban transformation project, particularly with regard to the relocation of some Kadifekale residents from their one- or two-story houses in Kadifekale to apartment blocks on the periphery of the city. The analysis is based on a comparison between the socio-spatial experiences of migrants in Kadifekale and their recent experiences in Uzundere and the possibility of certain incompatibilities in these two experiences. The argument aims to demonstrate the changed conditions of social life and daily life practices as a result of altered spatial properties at a neighborhood scale: their use of outdoor spaces, the meanings they attributed to neighborhood space ("intimacy of place" within categories of sensual (visual and olfactory) recognition), and their sociospatial network. The argument draws both implicitly and explicitly on Henri Lefebvre's spatial triad and De Certeau's conceptualization of tactic versus strategy as the major conceptual inspirations for this study. © 2015 Elsevier Ltd

Okul yöneticisi ve öğretmenlerin örgütsel sessizlik algilari

The aim of this study is to inquire about the perception of administrators and teachers on organizational silence. The study followed a survey model. Data were collected from primary schools in Elaziğ in 2009-2010 education year. The sample of this research consists of 444 administrators and teachers in 20 primary schools that were chosen randomly. The results of the study show that the perception of women on organizational silence is higher and the participants of different branches such as Turkish and English are more silent than the others. The participants that have been working at schools for at least 6 years have higher perception. The age and teaching years of the participants show that their perceptions on organizational silence are nearly at the same level

Is grand multiparity a risk factor for osteoporosis in postmenopausal women of lower socioeconomic status?

OBJECTIVE: We aimed to determine whether grand multiparity is a risk factor for osteoporosis among postmenopausal women of lower socioeconomic status. PATIENTS AND METHODS: We conducted a single center study between February 2012 and February 2013 on 50-60 year old postmenopausal women of lower socioeconomic status without a history of medical disease. Women with a body mass index (BMI) between 20 and 25 were included in the study. The grand multiparous group (group A) consisted of 38 women with 10 or more deliveries. Women with a history of three or fewer deliveries composed the control group (group B). Dual-energy x-ray absorptiometry was used to measure the bone mineral density (BMD) of the proximal femur neck and lumbar spine (L1-L4). RESULTS: The mean ages of groups A and B were found to be 54.3 ± 2.5 and 53.1 ± 2.7 years, respectively. Average parity in groups A and B was 11.1 ± 1.7 and 2.4 ± 0.7, respectively. Time since the onset of menopause was 3.6 ± 2.7 years in group A and 6.0 ± 2.9 in group B. The prevalence of osteoporosis was similar in both groups (71.1%-81.4%, p = 0.273). We found that grand multiparity was an ineffective indicator of either femoral or lumbar osteoporosis (p = 0.87 and p = 0.26), but osteoporosis five years after the onset of menopause was found to be significantly higher (p = 0.02). CONCLUSIONS: The duration of menopause is an independent risk factor of osteoporosis. However, the number of pregnancies is neither a determinant nor a protective factor for osteoporosis in postmenopausal women coming from a low socioeconomic background

Rare disorders can be an underlying cause of cyclic vomiting: Familial Mediterranean fever, Helicobacter pylori gastritis, and cavernous transformation of the portal vein

Considering the etiology of cyclic vomiting syndrome (CVS) in childhood, a variety of underlying organic causes has been clearly identified in the literature. The aim of this study was to emphasize that endoscopic evaluation in the first step may help diagnosis and treatment in patients with CVS, unlike the CVS-related "North American Society for Pediatric Gastroenterology, Hepatology and Nutrition" (NASPGHAN) consensus statement in 2008

Addison hastalığı ve gebelik

Primer adrenal insufficiency is a rarely seen endocrine disorder. Our patient was a 28-year old primigravide woman with primary addison disease who had been receiving steroid replacement treatment for 18 years. We followed her from the first part of pregnancy to ceserean delivery with endocrinology clinic. No complications developed during and after pregnancyPrimer adrenal yetmezlik nadir görülen bir endokrinolojik hastalıktır. Çoğu idiopatiktir. Tip 1 diabetes mellitus, hipertiroidizm, hipotiroidizm, pernisiyöz anemi gibi otoimmun hastalıklarla ilişkilidir. Yirmi sekiz yaşında 18 yıldır Addison hastalığı nedeni ile tedavi gören ve gebelik istemi olan olguyu gebeliğin ilk haftalarından doğuma ve puerperal döneme kadar takip ettik. Endokrinoloji kliniği ile birlikte takip ettiğimiz hastada kortikosteroid tedavisi ile antenatal ve postnatal dönemde bir komplikasyona rastlamadık

Is grand multiparity a risk factor for osteoporosis in postmenopausal women of lower socioeconomic status?

OBJECTIVE: We aimed to determine whether grand multiparity is a risk factor for osteoporosis among postmenopausal women of lower socioeconomic status. PATIENTS AND METHODS: We conducted a single center study between February 2012 and February 2013 on 50-60 year old post-menopausal women of lower socioeconomic status without a history of medical disease. Women with a body mass index (BMI) between 20 and 25 were included in the study. The grand multi-parous group (group A) consisted of 38 women with 10 or more deliveries. Women with a history of three or fewer deliveries composed the control group (group B). Dual-energy x-ray absorp-tiometry was used to measure the bone mineral density (BMD) of the proximal femur neck and lumbar spine (L1-L4). RESULTS: The mean ages of groups A and B were found to be 54.3 ± 2.5 and 53.1 ± 2.7 years, respectively. Average parity in groups A and B was 11.1 ± 1.7 and 2.4 ± 0.7, respectively. Time since the onset of menopause was 3.6 ± 2.7 years in group A and 6.0 ± 2.9 in group B. The prevalence of osteoporosis was similar in both groups (71.1%-81.4%, p = 0.273). We found that grand multiparity was an ineffective indicator of either femoral or lumbar osteoporosis (p = 0.87 and p = 0.26), but osteoporosis five years after the onset of menopause was found to be significantly higher (p = 0.02). CONCLUSIONS: The duration of menopause is an independent risk factor of osteoporosis. However, the number of pregnancies is neither a determinant nor a protective factor for osteoporosis in postmenopausal women coming from a low socioeconomic background

A serious complication of percutaneous mitral valvuloplasty: Systemic embolism. How can we decrease it? Case history

PubMedID: 8638873Systemic embolism is a potential and severe complication of percutaneous balloon mitral valvuloplasty (PBMV). The incidence of systemic embolism during PBMV has been reported to be less than 5% and only 0.6% with the Inoue technique. This is less than that reported in closed commissurotomy series and about the same as in open commissurotomy. In the authors' series of 50 cases, the incidence of systemic embolism was 2% (1 case). The patient had mitral restenosis (after closed commissurotomy) with mild to moderate valvular and subvalvular calcification, and cerebral embolism occurred during the procedure. To prevent systemic embolism, the authors' standard policy was to perform transesophageal echocardiography (TEE), computed tomography, and magnetic resonance imaging before the procedure and to give heparin during the procedure and two months preceding it in cases with atrial fibrillation or with a history of previous embolism and to limit manipulation of the catheter in the left atrium. The authors believe that a close scrutiny in the selection of patients, improved technology of the dilating system, good experience with PBMV, and adequate heparinization are also of great importance in the prevention of thromboembolic complications