Giriş: Sözlü müzik, insanların duygularını ve düşüncelerini yansıtan önemli araçlardan biridir. Müzik, ayrıca duyguları harekete geçirerek insanı ve toplumu etkileme gücüne de sahiptir. Bireylerin, doktora bakışı ve doktordan beklentileri de o kültüre ait olan müzik içerisinde kendini gösterir. Öte yandan, topluma veya halk kültürüne mal olmuş bir müzik eseri içerisinde yer alan ifadeler ise toplumun doktora bakışını etkileyebilir. Amaç: Bu çalışmada Türkiye’de toplumsal kültürün önemli bir parçası olan şarkı ve türküler içerisinde Doktor, Hekim ve Tabip sözcükleri bulunan müzik eserleri incelenerek, (...) bu eserlere doğrudan veya dolaylı olarak yansıtılmış olan hasta-hekim ilişkisinin niteliğinin araştırılması amaçlanmıştır. Gereç ve Yöntem: Bu çalışma tanımlayıcı tipte bir araştırmadır. Doktor, Hekim ve Tabip kelimelerinin yer aldığı şarkı/türküler belirlenmiş ve kategorize edilmiştir. Bulgular: İncelenen 190 eserde Doktor, Hekim ve Tabip kelimelerinin yer aldığı ifadeler çare bulamayan/tedavi edemeyen ve çare bulması/tedavi etmesi beklenen şeklinde ana iki kategoriye ayrılmıştır. Bu iki grup dışında kalan yirmi iki eser ise diğer grup olarak değerlendirilmiştir. Sonuç: Müzik eserlerinin ve içerisinde yer alan sözlerin, zamanın süzgecinden damıtılarak yıllar içerisinde oluşan bir birikimle meydana gelen toplumsal kolektif bilinci yansıttığı dikkate alınacak olursa, türkülerde yer alan hekim algısının, sağlık politikaları ve sosyal medyanın saman alevi gibi hareketlilik gösteren gündeminden etkilenen anlık bir bakıştan ziyade, o halkın kültüründeki uzun süreli ve kalıcı hekim algısını daha gerçekçi bir şekilde yansıttığı düşünülebilir. (shrink)

Based on a question posed by global philosophy of religion project regarding the absence of literal attribution of omnibenevolence to God in the Qur’ān, this paper aims to examine how to understand perfect goodness in Islam. I will first discuss the concept of perfect goodness and suggest that perfect goodness is not an independent attribute on its own and it is predicated on other moral attributes of God without which the concept of perfect goodness could hardly be understood. I will (...) examine perfect goodness by a specific emphasis on the attribute of justice as one of the conditions to be satisfied by a perfectly morally good being. In so doing, I will appeal to the distinctions made among great-making properties by Daniel Hill, and Al-Ghazālī’s definition of justice by applying them to God’s moral attributes. I will argue that justice has a crucial role in maximality-optimality balance between great-making properties and it seems quite difficult, if not impossible, to conceive of goodness without justice. Having said that, I will claim that the conceptual frame I suggest sheds light on why omnibenevolence is not literally attributed to God in the Qur’ān. Then, I will briefly show how the divine attributes mentioned in the Qur’ān and the discussions about divine names and attributes in the Islamic tradition supports the understanding of perfect goodness I defend. Consequently, I will try to show that far from indicating that the Islamic concept of God doesn’t involve perfect goodness, the Qur’ān establishes the proper meaning of perfect goodness by focusing on its constitutive attributes, and thus provides us with a sound conception of it. (shrink)

Myocardial geometric remodeling is a response to increased stress which includes increased afterload situations during clinical conditions. In this review, we have focused on early and late geometric features in aortic stenosis, importance of recognition of these findings and consequences due to progression of valve disease. We have also pointed out the similarities in early focal and global myocardial geometric remodeling in acute and chronic conditions as hypertension and acute stress cardiomypathy which are associated with myocardial functional and geometric response (...) to acute or chronic stress exposure and relevant increased afterload. In aortic stenosis, target organ involvement in disease progression has been evaluated and discussed in the report. In addition to quantitative evaluation of valve disease, importance of myocardial involvement and global assessment of patients with aortic stenosis also have been mentioned in the report. Finally, we have discussed the importance of global myocardial geometric changes and timing for surgery before development of heart failure in this specific group of patients. (shrink)

Objective: Lung cancer is the most common cause of morbidity and mortality. Platinum-based chemotherapy, which is the primary line of treatment, offers limited benefit due to drug resistance and side effects. Berberine (BBR), which is characterised by its potent and safe anticancer activity, represents a promising combination option in chemotherapy. To overcome the limitations in lung cancer chemotherapy, we investigated whether BBR and cisplatin (CIS) exert synergistic effects on non-small cell lung cancer cell line (A549) based on cytotoxicity and apoptotic (...) response markers. -/- Methods: The potential cytotoxic effects of the combination treatment were evaluated using the MTT and Chou-Talalay methods. Elisa assays were also performed to measure the levels of the pro-apoptotic protein Bax and the effector protein caspase (Cas)-3. -/- Results: The results showed that BBR alone reduced A549 cell viability in a dose-dependent manner and synergized with CIS (CI =0.34±0.05 at IC50 concentrations). Elisa results showed that the combined treatment (both at IC50 concentrations) modulated apoptotic signalling pathways in A549 cells. Bax and Cas3 protein levels were dramatically enhanced in A549 cells treated with CIS +BBR compared to control (0.5% DMSO) (p < 0.001). -/- Conclusion: Our results suggest that BBR can synergistically enhance the therapeutic effect of CIS in A549 cells. The potential therapeutic efficacy of BBR as part of a combination in current chemotherapy should be supported by in-depth research and clinical studies on the molecular mechanisms associated with cancer. (shrink)