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Color Me Rich – Mohan Deep : Spotlight
March 21, 2016 by Bhavya
Color Me Rich
Mohan Deep
A sensitive love story of a handsome and talented struggling painter Akash Saigal. What happens when he marries an extremely rich and beautiful artist and art investor Zenobia Taraporevala?
J J School of Art, Mumbai.
Taking a charcoal pencil, Akash Saigal started drawing the wood-and-stone structure, popularly known as 'Kipling Bungalow'. He was sketching sitting on a bench on which, in another era, K K Hebbar, M F Husain, Syed Haider Raza, Sadanand Bakre, V S Gaitonde, even Dadasaheb Phalke had sat with their sketchbooks, sketching the house where the author of The Jungle Book was born.
Ganpat Gupte appeared along with two of his gang. Gupte was the nephew of a minister, or so he claimed, and had the arrogance that comes with power.
"Ae Akash, kae karto?"
Akash looked up at the trio and said, "Nothing much. Just a drawing."
"Okay. What is the day today?"
"I should have known.Tere ko blue shirt hai na?"
Akash didn't get the connection, but Gupte's chamchas laughed knowingly.
"Didn't you get it?"
The three boys sang in unison, "Monday, blue shirt. Tuesday, black shirt. Wednesday, blue shirt. Thursday black shirt. Friday, blue shirt. Saturday, black shirt. Sunday…laundry!"
If Akash was hurt, he didn't show it. He laughed sheepishly and continued sketching the bungalow.
But he would never forget this.
The elevator zoomed up, taking Akash directly to the penthouse on the 60th floor of Apollo Towers, and stopped with stomach-curdling smoothness. The door slid open to reveal his luxuriously done-up lounge.
He came out of the lift, turned down the passage, and walked over the deep-pile rug to the lounge.
He had returned from the salon.
He felt cleaner and fresher after his bimonthly facial – only Tanveer could give him a satisfactory shave – and pedicure. He liked to have his moustaches- like John Lennon's – done like in the Sixties, and he liked sideburns.
His head was still heavy from drinking until the late hours, but he looked much better than he felt. His studio was to the right, almost hidden behind the lavish bar facing him as he entered.
Perched 550 feet above the city of Mumbai, he could see the Queen's Necklace and the World Trade Centre. From Zenobia's bedroom, the Gateway of India and the high dome of the Taj Mahal Hotel.
Pran smiled at him.
Akash returned the smile, picked up the bottle of Blue Label and poured himself a stiff drink.
"Isn't it a little early for a drink?"
Without saying anything, Akash smiled, and switched on the TV.
The TV screen flashed a story over a video shot of Zenobia with him in happier times, followed by a shot of the Mumbai Police Commissioner's heritage Gothic-style building and a subtitle: 'Mumbai Police give clean chit to Akash Saigal.'
The newsreader said:
"Based on the findings of the forensic department and investigation, the Mumbai Police has declared the death of noted artist and socialite Zenobia Taraporevala suicide. It may be recalled that a year ago, Zenobia died from a fall from her 60th-floor penthouse. There were questions about her death. Was it a suicide, or an accident, or was she pushed to her death? Her husband, the famous artist Akash Saigal, was under a cloud all these months. It has now been established that tired of being confined to a wheel chair after a car accident, a depressed Zenobia committed suicide."
Pran jumped out of his seat, still listening to the newsreader with open-mouthed amazement. He shouted: "Wow!"
Both the men hugged.
A shot of Prime Minister Narendra Modi now flashed on the screen, as the newsreader continued, "Prime Minister Narendra Modi will visit Singapore…."
Akash smiled tiredly at Pran.
"You already knew about it?"
Akash nodded and absent-mindedly picked up an envelope. He took out the card, glanced at it, and pushed it back. It was an invitation to his own function.
"Boss, when do we leave?" Pran asked.
"We have lots of time. The inauguration is after three hours, and the ministers never come on time. Agar aa bhi gaya toh hamari woh Fareeda baithi hai. Sambhal legi. Dad will take care of it. Chal baith, tu bhi le."
"No, not me. I'm driving," Pran said solemnly.
Akash knew that this was not the time to drink. He shouldn't appear sloshed in front of the entire world and the prying media. He took another sip, and changed the news channel.
And found himself staring at a picture of Zenobia on the screen. The still picture changed to a video shot of Zenobia and he at a party.
The newsreader was ranting:
"In India, the law mandates that the husband be questioned for cases involving the death of a woman within seven years of marriage. Akash and Zenobia had been married for barely two-and-a-half years. And Zenobia had died under mysterious circumstances, falling from the French window of her penthouse! The police always look for 'the other woman' in a case like this."
The TV showed a shot of Suma, followed by a video shot of Suma and Akash emerging from the JW Marriott in Juhu. The newsreader went on: "And they found her in Suma. Suma Malkani, the beautiful ghazal singer."
The State Minister for Cultural Affairs, Nanasaheb Palekar, was to launch the art school, named after Zenobia Taraporevala-Saigal, that evening at Powai. There had been several protests because of the controversy over her death, but the minister ignored them all.
A protest was planned for the same day by Kapila Khandelval's NGO. It was unclear whether the NGO would go ahead with the protest or cancel it in view of the clean chit given to Akash by the police.
This project had been his baby and Zenobia's dream. The government had given the land and the Taraporevalas had put in the money. Fareeda had inserted a business angle even in this dream project of Zenobia's. The Zenobia-Akash Saigal School of Art had become the Zenobia-Akash Saigal School of Art and Business Management. She also had plans for a Madame Tussauds Wax Museum in an annex. The minister had given the nod for that, too.
Akash's mobile rang.
He looked at the screen and let it ring.
Taking a sip of his drink, he moved towards his den. He stepped into his room, and before he could shut the door, the phone near the bar table rang.
"Boss?" Pran said. "Fareeda is on the line."
Fareeda would be having kittens without him. Akash's association with the project had given it respectability and even a cultural cause, and got the plot at one-eighth its market value, and all the permissions.
"Fuck her!" Akash said, but he answered the phone anyway.
Fareeda seemed frantic.
"The media will be here in three hours. And the minister, too."
Akash said, "Fuck the media!" and hung up.
The TV newsreader went on:
"Before Akash Saigal hit the big time, he lived in a small apartment in Adarsh Nagar, in the western suburbs. His paintings didn't earn him enough to buy a decent vehicle. He travelled by buses and cabs. While Zenobia almost took a sabbatical, Akash shot to fame with his mixed media and three-dimensional installations after marrying her."
Leaning against the soft, cool leather of a luxurious sofa, Akash said, "Cigarettes?"
Pran was already sliding open the glass door of a cabinet. A carton of Marlboros had just one packet left. He gave the packet to Akash, grinned, and threw the carton in the trash box.
They might have been sharing the same flashback, the same past.
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Mohan Deep, is an Indian author, painter and Feng Shui Master. Mohan Deep is the author of 'The Mystery and Mystique of Madhubala' (1996), 'It's My Life' (Novel) (1997), 'Simply Scandalous: Meena Kumari' (1998), 'Eurekha!' – an unauthorized biography of Rekha. (1999), 'Four Options' (2000), 'Feng Shui for the Bold & Beautiful, the Rich and Famous' (2001) and 'Nehru and the Tantrik Woman' (2002). After a sabbatical of a decade, during which he touched upon the lives of people as a Feng Shui Master, he was back with The Five Foolish Virgins( 2013). Mohan Deep is arguably the only Indian author to write what is often described as controversial, unauthorized star biographies in India. Columnist-journalist and former editor of 'Illustrated Weekly of India', Khushwant Singh called him 'a truly gifted gossip writer'. "The maverick writer", like columnist-reviewer-poetess.
Tara Patel described him has also been called William Goldman of Bollywood's stars (By Behram Contractor, the Editor of Afternoon Despatch & Courier) (Source) Kitty Kelly of India (By R K Bajaj, the Editor of 'The Daily'). Interestingly, almost every book he has wrote/penned has invited controversies for its bold content.
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Zvi Rav-Ner (; * 1950 in Świdnica, Polen) ist ein israelischer Diplomat. Von April 2009 bis 2014 war er Botschafter in Polen.

1957 emigrierte Rav-Ner mit seinen Eltern nach Israel. Von 1969 bis 1972 leistete er seinen Militärdienst. Danach studierte er von 1972 bis 1976 an der Universität Tel Aviv und erhielt seinen Bachelor of Arts (B.A.). 1977 begann er im israelischen Außenministerium zu arbeiten. Nachdem er von 1978 bis 1980 im Southern-Eastern Mediterranean Department, einer Abteilung des Außenministeriums, tätig gewesen war, wurde Rav-Ner 1980 Zweiter Sekretär an der israelischen Botschaft in Helsinki, Finnland. Später erfolgte seine Beförderung zum Ersten Sekretär. 1983 wechselte er an die israelische Botschaft in Bukarest, wo er als Erster Sekretär und Deputy Chief of Mission fungierte. 1985 kehrte Rav-Ner nach Israel zurück und wurde Botschaftsrat sowie Stellvertretender Direktor der Osteuropa-Abteilung des Außenministeriums. Von diesem Posten wechselte Rav-Ner 1988 an die israelische Botschaft in London und arbeitete dort bis 1993 als Minister Counsellor für Public Affairs. Während dieser Zeit fungierte er 1990 als Geschäftsträger an der israelischen Botschaft in Warschau. Von 1993 bis 2001 war er Direktor der Zentraleuropa-Abteilung des israelischen Außenministeriums. Rav-Ners nächster Posten führte ihn erneut nach London, wo er nun von 2001 bis 2006 Gesandter an der israelischen Botschaft war. 2004 war er Geschäftsträger der Botschaft. 2006 wurde er erneut Direktor der Zentraleuropa-Abteilung und blieb dies bis 2009. Von 2009 bis 2014 war er der israelische Botschafter in Polen.

Rav-Ner ist seit 1973 verheiratet. Er ist Vater zweier Söhne und einer Tochter.

Weblinks
 Biografie auf der Internetseite der israelischen Botschaft (englisch)

Einzelnachweise

Israelischer Botschafter in Polen
Geboren 1950
Pole
Israeli
Mann

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It's the beauty of glass that makes the ordinary extraordinary. It's the extraordinary team behind the glass that makes us successful. Our success is directly related to our talented, experienced employees, who enjoy their trade and care about their customers. We strive to provide exceptional service, and work together as a team to satisfy each client.
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Vol. 5 No. 3 (2010) /
Evaluation of the Norwegian R&D Tax Credit Scheme
Ådne Cappelen
Erik Fjærli Statistics Norway
Torbjørn Hægeland Statistics Norway
Frank Foyn Statistics Norway
Jarle Møen Norwegian School of Economics and Business Administration
Arvid Raknerud Statistics Norway
Marina Rybalka Statistics Norway
Keywords: R&D tax credit, R&D subsidies, Innovation policy, Norway
We find that the Norwegian R&D tax credit scheme introduced in 2002 mainly works as intended. The scheme is cost-effective and it is used by a large number of firms. It stimulates these firms to invest more in R&D, and, in particular, the effect is positive for small firms with little R&D experience. The returns on the R&D investments supported by the scheme are positive and generally not different from the returns to other R&D investments. We have found examples of what can be interpreted as tax motivated adjustments to the scheme, but to some extent this must be accepted as a cost to subsidy and support schemes intended for use by a large number of economic agents. This is particularly so when attempts are made to keep administrative expenditures and control routines at a low level.
Senior Researcher, Research Department, Statistics Norway
Erik Fjærli, Statistics Norway
Researcher, Research Department, Statistics Norway
Torbjørn Hægeland, Statistics Norway
Statistics Norway
Frank Foyn, Statistics Norway
Senior adviser
Department of Economic Statistics
Jarle Møen, Norwegian School of Economics and Business Administration
Department of Finance and Management Science
Norwegian School of Economics and Business Administration
Arvid Raknerud, Statistics Norway
Marina Rybalka, Statistics Norway
Junior Researcher
ALSOS, G. A., Claussen, T., Ljunggren E., Madsen, E. L. (2007). Evaluering av SkatteFUNNs atferdsaddisjonalitet. I hvilken grad har SkatteFUNN ført til endret FoU-atferd i bedriftene? NF-rapport nr. 13/2007, Nordlandsforskning, Bodø.
BLOOM, N., Griffith, R., Van Reenen, J. (2002). Do R&D tax credits work? Evidence from a panel of countries 1979-1997, Journal of Public Economics, 85, 1-31.
CAPPELEN, Å., Fjærli, E., Foyn, F., Hægeland, T., Møen, J., Raknerud, A., Rybalka, M. (2008). Evaluering av SkatteFUNN - Sluttrapport, Rapporter 2008/2, Statistisk sentralbyrå, Oslo.
CAPPELEN, Å., Raknerud A., Rybalka M. (2007a). Resultater av SkatteFUNN - patentering og innovasjoner, Rapporter 2007/36 Statistisk sentralbyrå, Oslo.
CAPPELEN, Å., Raknerud, A., Rybalka, M. (2007b). Effekter av SkatteFUNN på foretakenes produktivitet og lønnsomhet, Rapporter 2007/22, Statistisk sentralbyrå, Oslo.
CAPPELEN, Å., Raknerud, A., Rybalka, M. (2007c). Effekter av SkatteFUNN på foretakenes produktivitet og lønnsomhet, Økonomiske analyser, 6/2007, 54-61.
DAVID, P. A., Hall, B. H., Toole, A. A. (2000). Is public R&D a complement or a substitute for private R&D? A review of econometric evidence. Research Policy, 29(4-5), 497-529.
FJÆRLI, E. (2007). Skattemotivert tilpasning til SkatteFUNN-ordningen, Rapporter 2007/50, Statistisk sentralbyrå, Oslo.
FOYN, F., Kjesbu, K. A. (2006). Brukernes vurdering av SkatteFUNN-ordningen, Rapporter 2006/7, Statistisk sentralbyrå, Oslo.
FOYN, F. Lien, G. (2007). Administrativ gjennomgang og brukervurdering av SkatteFUNN, Rapporter 2007/49, Statistisk sentralbyrå, Oslo.
GARCIA-QUEVEDO, J. (2004). Do Public Subsidies Complement Business R&D? A Meta-analysis of the Econometric Evidence. Kyklos, 57, 87-102.
GRILICHES, Z. (2000). R&D, Education and Productivity A Retrospective. Harvard University Press, Cambridge, Massachusetts.
HALL, B. (2002): The Financing of Research and Development. Oxford Review of Economic Policy, 18(1), 35-51.
HALL, B., Van Reenen, J. (2000). How Effective Are Fiscal Incentives for R&D? A Review of the Evidence. Research Policy, 29, 449-469.
HÆGELAND, T., Møen, J. (2007a). Input additionality in the Norwegian R&D tax credit scheme, Reports 2007/47, Statistics Norway.
HÆGELAND, T., Møen, J. (2007b). The relationship between the Norwegian R&D tax credit scheme and other innovation policy instruments, Reports 2007/45, Statistics Norway.
IENTILE D. Mairesse, J. (2009). A policy to boost R&D: Does the R&D tax credit work? EIB Papers 6/2009, European Investment Bank.
JAFFE, A. B (2002). Building programme evaluation into the design of public research-support programmes, Oxford Review of Economic Policy, 18, 22-34.
MOHNEN, P., Lokshin, B. (2009). What does it take for an R&D tax incentive policy to be effective?, UNU-MERIT Working Paper No. 2009-14.
MØEN, J. (2007). Should Finland Introduce an R&D tax credit? BETA Scandinavian Journal of Business Research, 2, 2007, 62-72.
OECD (2007). OECD Economic Surveys Norway, 2007/2.
WIESER, R. (2005). Research and Development Productivity and Spillovers: Empirical Evidence at the Firm Level, Journal of Economic Surveys, 19(4), 587-621.
Cappelen, Ådne, Fjærli, E., Hægeland, T., Foyn, F., Møen, J., Raknerud, A., & Rybalka, M. (2010). Evaluation of the Norwegian R&D Tax Credit Scheme. Journal of Technology Management & Innovation, 5(3), 96-109. https://doi.org/10.4067/S0718-27242010000300007
Vol. 5 No. 3 (2010)

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Grand J Urol 2022;2(1):26-32, DOI: 10.5505/GJU.2022.02886
How Did The COVID-19 Pandemic Affect Urology Outpatient Clinic Applications?
Ahmet Emre Cinislioglu, Nazan Cinislioglu, Saban Oguz Demirdogen, Fatih Kursat Yilmazel, Sibel Guclu Utlu, Ibrahim Karabulut, Senol Adanur, Ozkan Polat
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Objective: The Coronavirus Disease-2019 (COVID-19) is particularly more common and deadly among older men who also constitute a significant portion of urology patients. In this study, we aimed to evaluate the change in the diagnostic spectrum in urology outpatient applications after the declaration of pandemic compared to the pre- pandemic period. Materials and Methods: All patients were enrolled between February 12 and May 6, 2020. Demographic, and clinical data of the patients were analyzed pertaining to the period of 4 weeks before, and the first, and second 4 weeks after declaration of the pandemic. Data obtained from the database such as age, gender, diagnoses were anonymized. Recurrent applications with the same diagnosis within ten days after the first presentation were excluded from the analysis. Results: Compared to the pre-pandemic period a significant decrease in the number of patients applied to the urology outpatient clinics after declaration of the pandemic, and in the frequency of diagnoses of prostate diseases, and urine transport, storage and emptying disorders and a significant increase in the frequency of diagnoses of urinary system stone disease, benign or malignant bladder diseases, upper urinary system tumors, and sexual dysfunction were observed after declaration of the pandemic. Conclusion: The risk perception of COVID-19 disease may cause changes in the diagnostic distribution of patients applied to the urology outpatient clinics. During periods of outbreak, the health system must be redesigned by focusing on outpatients.
Acute Proximal Tubular Necrosis Due to Cidofovir Usage in BK Virus Related Hemorrhagic Cystitis in an Allogeneic Stem Cell Transplanted Patient
Sebnem Izmir Guner, Mustafa Teoman Yanmaz, Ekrem Guner, Pinar Seymen, Melike Nalbant Moray, Isin Kilicaslan
Hemorrhagic cystitis (HS) is a frequently seen complication of bone marrow transplantation. This condition occurs depending on the preparatory regimen of bone marrow transplantation. The BK virus (BKV), a human polyomavirus, is a small double helix DNA virüs belonging to the Papovaviridae family. It is commonly found in societies as an occult infection. Whereas, cidofovir (CDV), an acyclic nucleoside phosphonate, is used as a proven antiviral agent against polyomaviruses. In this case report, acute proximal tubular necrosis due to cidofovir used in hemorrhagic cystitis caused by BK virus, and its treatment in a patient diagnosed with T-lymphoblastic lymphoma in remission, and underwent allogeneic stem cell transplantation, was presented.
Relationship Between SUVmax and ADC Values of Metastatic Lymph Nodes Detected by Ga-68 PSMA PET/MR in Prostate Cancer Patients
Fuad Aghazada, Ali Kibar, Rabia Lebriz Uslu Besli, Muhammet Sait Sager, Haluk Burcak Sayman, Kerim Sonmezoglu
Objective: Our aim is to assess if there is a relationship between maximum standardized uptake (SUVmax) and apparent diffusion coefficient (ADC) values of reactive and metastatic lymph nodes, also to compare ADC values of reactive and metastatic lymph nodes in prostate cancer patients. Materials and Methods: We have retrospectively investigated 20 patients diagnosed with prostate cancer who underwent Ga-68 PSMA PET/MR imaging. Three metastatic and three reactive lymph nodes classified according to the level of PSMA Ga-68 uptake in PET/MR were chosen for each patient. SUVmax and ADCmean values were calculated for each lymph node separately. SPSS version 22 was used for statistical analysis. Results: A total of 120 lymph nodes in 20 prostate cancer patients were assessed. There was a moderate negative correlation between SUVmax values and ADCmean values of metastatic lymph nodes (p=0.009, r=-0.333). However, there was no significant correlation between SUVmax values and ADCmean values of reactive lymph nodes. ADCmean values of metastatic lymph nodes were significantly lower than those of reactive lymph nodes (p=0.0001). Conclusion: PET/MR, which combines both advantages of PET and MRI, is an important tool for the diagnosis and management of prostate cancer. We have found that SUVmax values of metastatic lymph nodes were inversely correlated with ADCmean values and combination of both parameters may increase the diagnostic accuracy of Ga-68 PSMA PET/MR in the detection of lymph node metastasis.
A Cause of Recurrent Urinary Retention in Pregnancy; Retroverted Uterus: Case Report
Mehmet Sevim, Baris Sengul, Okan Alkis, Bekir Aras, Sahin Kabay
Acute urinary retention is one of the most common situations encountered in urological emergencies. It is more frequently seen in older men. Acute urinary retention in pregnant women is a rare condition but it may cause abortus, preterm labor and rarely uterine ischemia. It is very difficult to reveal the causes of acute urinary retention in pregnant women. One of them is acute urinary retention due to retroverted uterus which is observed in 11% of pregnant women. In this case, we discussed a young pregnant patient who presented to our outpatient clinic with complaints of recurrent urinary retention due to retroverted uterus.
Grand J Urol 2021;1(3):146-149, DOI: 10.5222/GJU.2021.79188
COVID-19-Associated Retroperitoneal Hemorrhage: Same Complication, Two Different Types of Treatment
Sengul Aydin Yoldemir, Isil Kibar Akilli, Muge Bilge, Esra Canbolat Unlu, Sebnem Izmir Guner, Ekrem Guner, Kadriye Kart Yasar
One of the reasons for the high mortality in COVID-19 patients is the increased risk of disseminated intravascular coagulation (DIC) and venous thromboembolism. For this reason, the use of anticoagulant treatments has become widespread. One of the rare complications of anticoagulant therapy is retroperitoneal hemorrhage. These hemorrhagies require immediate intervention. Retroperitoneal hemorrhage should be kept in mind among the many complications that develop in the patient who was followed up during the pandemic period. For this purpose, we present 2 cases who developed spontaneous retroperitoneal bleeding while clinically recovering under COVID-19 treatment.
Testicular Torsion and Contralateral Torsion of the Appendix Testis
Oguzhan Yusuf Sonmez, Mehmet Sevim, Halil Ibrahim Ivelik, Burak Isler, Bekir Aras
Testicular torsion is a urological emergency that results in deterioration of the blood supply of the testicle and ischemia as a result of the rotation of the spermatic cord around itself. It may show a wide clinical variety with inflammatory manifestations varying from mild abdominal pain to severe scrotal pain. Orchiectomy may be required in cases which are delayed and cannot be operated urgently. Torsion of the testis and epididymis are other frequently seen causes of acute scrotum in children. Growth of masses and hormonal stimulation in the adolescent age cause an increase in the tendency of the torsion of appendix testis which have a small pedicle and epididymis. In the presence of sudden scrotal pain, testicular torsion should be considered, if there is clinical suspicion, patients should be evaluated with color doppler ultrasound (CDUS) and scrotal exploration should be performed immediately. A 20-year-old male whose clinical picture, and scrotal ultrasonography suggested the presence of testicular torsion is presented in this case report.
A Rare Prostate Pathology: Mantle Cell Lymphoma: A Case Report and Literature Review
Selman Unal, Halil Uzundal, Turker Soydas, Asim Ozayar, Arslan Ardicoglu, Aydan Kilicarslan
Primary or secondary lymphoma of the prostate is a rare condition. Mantle cell lymphoma (MCL) represent 4-9% of all lymphomas. Prostate involvement with MCL is very rare, with only 11 reported cases up to now. Here we present a case with lower urinary tract symptoms and prostate-specific antigen (PSA) elevation diagnosed with MCL of the prostate. Prostate biopsy was performed in a 70-year-old patient due to increased PSA. After the pathology result was reported as prostatic MCL, imaging studies and sampling of additional pathological specimens were performed for staging. An improvement was observed in the urinary system complaints of the patient who started chemotherapy regimen. While prostatectomy was performed in some of the prostatic MCL cases reported previously, in some, no additional treatment was required after chemotherapy. Our case is the only prostatic MCL case with elevated PSA levels, but did not receive the diagnosis of prostate cancer. Physicians should keep in mind that, prostatic MCL can present with nonspecific symptoms. Staging should be performed in patients whose histopathologic diagnosis is lymphoma of the prostate so as to determine appropriate treatment options.
Grand J Urol 2021;1(1):9-13, DOI: 10.5222/GJU.2021.97269
False Penile Fracture: Case Series and Literature Review
Deniz Noyan Ozlu, Kamil Gokhan Seker, Emre Sam, Yusuf Arikan, Joshgun Huseynov, Yurdagul Cetin Seker, Emel Sam, Fatih Akkas, Nadir Kalfazade
Objective: Penile fracture is one of the urological emergencies that require early surgical intervention. False penile fracture, on the other hand, is a condition that presents with similar clinical features and can be treated conservatively. In this study, in the light of the literature, it was aimed to present the clinical and operative results of 8 patients who were operated on with a prediagnosis of penile fracture and then diagnosed with a false penile fracture. Material and Methods: Data of 8 patients who were diagnosed with a false penile fracture between January 2006 and September 2019 were retrospectively analyzed. Patients" demographic characteristics, preoperative, intraoperative and postoperative data were retrospectively analyzed. Results: Mean age of the patients was 39.12 (28-54) years. The most common complaints were penile swelling and ecchymosis. The most common etiological factors were as follows: sexual intercourse in 6, masturbation in 1, and manual bending of the erect penis in 1 patient. All operations were performed by degloving the penis from the circumcision line. Superficial dorsal vein injury was detected in 6, and nonspecific dartos bleeding was detected in 2 patients. There were no intraoperative complications. Wound site infection developed in 1 patient postoperatively. No erectile dysfunction, penile curvature, and sensory disturbances were detected in any patient. Conclusion: It is difficult to distinguish a false penile fracture from true penile fracture clinically or radiologically. False penile fracture can be treated conservatively without the need for surgery. Surgery should still be the first-line treatment option in suspected patients. Studies with larger patient series are needed on this subject.
Focal Ablation Therapies in Prostate Cancer
Oztug Adsan
Focal ablation therapies in prostate cancer have been actively evaluated in the light of recent literature. According to published data,focal ablation therapies appear to be well tolerated and have an acceptable side effect profile. Moreover, while clinical outcomes were not homogenous, short-term oncological results of some focal ablation therapies such as laser and irreversible electroporation (IRE) have been found as good as curative ones. While waiting long-term oncological results, focal ablation therapies in prostate cancer are beinmg used increasingly.
Urological Research and Education in Covid-19 Pandemic
Ozdem Levent Ozdal, Senol Tonyali, Arslan Ardicoglu
The new coronaviruses outbreak caused by SARS-CoV-2 (COVID-19) originated from the Chinese region of Wuhan in the last quarter of 2019 affected approximately 75 million people all around the world and caused over 1.6 million deaths []. COVID-19 is a highly contagious viral infection and its main routes for transmission are the person to person contact, touch, and aerosol. While it has detrimental effects on respiratory and cardiovascular systems it also can be found in digestive and urinary systems. The frequently experienced symptoms are fever, dry cough, dyspnea, fatigue, and loss of appetite []. With an ongoing effort, several researchers focused on investigating a drug or vaccine to end the pandemic. Currently, despite there is no drug specifically approved for COVID-19 treatment, there has been more than one vaccine from different nations to prevent the virus spread. Prior to the COVID-19 pandemic, virology research constituted less than 2% of all biomedical research. But this rate has been increased to 10-20% which represents the incredible adaptation potential of the research community. By the way, the COVID-19 pandemic led to a massive influx of publication not only by virologists and infectious health specialists but also by almost all medical disciplines. To facilitate early dissemination of knowledge prior to any peer-review, many articles have been uploaded preprint services []. It is not realistic to assume that a qualified and strict peer-review process could compensate for the high number of submissions. Moreover, someone must be aware that those non-peer-reviewed materials could be picked up by the media and spread to the population. Social distancing and transmission issues have also led to travel and social restrictions that resulted in many trials to be suspended or delaying in patient recruitment []. It is wellknown that generally large-scale randomized trials were not set up in time in the previous pandemic. However, the use of modern information technologies in combination with oldfashioned randomization might lead to the rapid gain of viable results nowadays. Countries might be encouraged to establish clinical-trial networks to activate and arrange large multi-center studies []. COVID-19 pandemic deeply affects not only urological patient care but also urology residency education. Work hours modified and residences redeployed to serve in pandemic services in many countries. This situation came along with the problem of interrupted urologic training and unmet minimal case requirements. Generally, online learning curricula have been well-adopted by urologists. However, recent studies have been shown that such changes caused emotionally and physically stressful situations for trainees []. In conclusion, it is obvious that Coronavirus will continue to be in our daily life for a while. Thus, maintaining research and education is vital in all disciplines of medicine. Contributing to the scientific area with respect to essential requirements and ethics will support the development of all humanity in this crisis. Hereby, We would like to congratulate you on the first issue of your journal planned to be released in such a difficult time and wish you to have significant contributions to the field of urology in a strictly scientific manner. Sincerely yours.
Tumor Surgeries Delayed Due to the COVID-19 Pandemic; Renal Cell Carcinoma Progressing from Stage T1b to T3b: A Case Report
Kadir Karkin, Hakan Ercil, Umut Unal, Guclu Gurlen, Ferhat Ortoglu, Ediz Vuruskan
COVID-19 is a highly contagious disease. This condition affects the decision of both the patient and the surgeon about the surgery of newly diagnosed cancer patients and it may also result in delays in cancer surgeries because of the limitations in healthcare applications. In our particular case, it was aimed to present the transition of the cancer from the localized stage to distant spread stage cancer since the patient who was pre-diagnosed with RCC and who was recommended surgery, did not want to undergo surgery due to COVID-19 pandemic and its risks. Our case was a 49-year-old female patient. In her computed tomography, a 58x70 mm heterogeneously enhancing solid lesion which showed exophytic extension from the middle zone of the right kidney to the lower pole was observed. Surgery was recommended for the patient but the patient claimed that she did not want to undergo surgery due to the risk of COVID-19 pandemic. The patient made an application for the surgery 8 months later. The new magnetic resonance imaging of the patient showed that there was a mass lesion of approximately 76x76x80 mm in size, which involved middle-lower part of the right kidney and extended into the opening of the renal vein VCI by invading the renal vein. Radical nephrectomy and thrombectomy procedure was applied to the patient with RCC? tumor. Due to psychosocial problems caused by the pandemic, surgeries are delayed and an acceleration of the cancer progression from the localized stage to the distant spread stage occurs indispensably.
Retrospective Evaluation of the Performance of Leukocyte Parameter of the Automated Urine Analyzer and Its Concordance with Urine Culture
Murat Koser, Nilgun Isiksacan, Ramazan Korkusuz, Gulcin Sahingoz Erdal, Pinar Atar, Fatih Akkas, Ekrem Guner
Objective: Complete urinalysis (CUA) is one of the indispensable screening tests of clinical laboratories. The compatibility of this test with urine culture is of indispensable importance in the diagnosis and treatment of urinary tract infections. We aimed to evaluate the suitability of the leukocyte parameter measured in the microscopic units of the fully automated urine analyzers which replace traditional methods, by grouping them according to the results of chemical analysis. Materials and Methods: Leukocyte counts in the reported CUA results of 4685 outpatients and the results of 113 urine cultures studied on the same day were analyzed. Noncentrifugated urine samples were included in the analysis. Cells were digitally imaged by flow microscopy. Chemical analyzes were performed using dual wavelength reflectance method. Urine samples were evaluated after 24 hours of incubation. Results: High power field (HPF) values were recorded by grouping the leukocyte counts as negative, trace, 1+, 2+ and 3+. The arithmetic means of HPF values of the groups were calculated as 1.2, 2.1, 5.0, 11 and 208 white blood cell (WBCs/HPF). Bacterial growth was detected in 19 of 113 patients and no reproduction was observed in the remaining 94 cases. When results of microscopic examinations and chemical analysis were compared with the culture results, the analytical sensitivity, specificity, positive, and negative predictive values for microscopic urinalysis were 25%, 86%, 61.3%, and 58.3%, respectively. While, the analytical sensitivity, specificity, positive, and negative predictive values for chemical analysis of urine were 25.8%, 87.7%, 69.7%, and 51.4%, respectively. Conclusion: The workload of medical laboratories is increasing, and the use of urine autoanalyzers may be preferred for busy laboratories. In the diagnosis and follow-up of urinary tract infections, complete urinalysis by autoanalysers in which the harmony of their microscopy and chemical units are closely monitored, may reduce the need for unnecessary requests for urine culture, but it cannot replace urine culture.
Is There a Relationship Between Biochemical Recurrence and Insulin-like Growth Factor-1 in Patients with Surgical Border Negative Radical Prostatectomy?
Yusuf Kasap, Emre Uzun, Bugra Bilge Keseroglu, Sedat Tastemur, Cavit Ceylan, Muhammed Emin Polat
Objective: Levels of insulin-like growth factor 1 (IGF-1) have been associated with prostate carcinoma. We have investigated whether IGF-1 level has an early predictive value for the biochemical relapse in the prostate carcinoma patients with a negative surgical margin who underwent curative surgery. Materials and Methods: We retrospectively analyzed 82 patients who were followed-up regularly and did not receive neoadjuvant or adjuvant chemotherapy. We classified patients as having Gleason scores ≥7 and
Multipl Masses Diagnosed as Oncocytoma in Both Kidneys
Mustafa Orhan Nalbant, Omer Yildiz, Elif Hocaoglu, Ercan Inci
A 67-year-old male patient who had multiple solid masses in both kidneys in another center ultrasound examination was referred to our clinic for further examination. He had no known chronic or syndromic disease. The patient was evaluated with dynamic contrast enhanced upper abdominal magnetic resonance imaging (MRI). In MRI, homogeneous enhancing solid lesions with hypointense central stellate scar and non-enhancing cysts was seen in both kidneys. Diffusion restriction was observed in the periphery of the solid lesion in the lower pole of right kidney which was considered suspicious for malignancy and biopsy was performed from this lesion (Figure 1). Pathology result reported as oncocytoma so follow-up decision was made for the patient. In the follow-up, the masses in the left kidney increased in size and diffusion restriction developed in the upper pole of the left kidney (Figure 2). This lesion was also biopsied because of suspect imaging finding, the result was reported as oncocytoma as well. At the same time, the patient was evaluated for tuberous sclerosis and Birt-Hogg-Dube syndrome as they associated with multiple bilateral oncocytomas. There was no similar signs, semptoms and imaging findings related to these genetic syndromes in the family members of the patient. Informed written consent was obtained from the patient for this report. Figure 1: A-Homogeneous enhancing, B- Multipl solid lesions with hypointense central stellate scar and non-enhancing cysts in both kidneys, C- Diffusion restriction was observed in the periphery of the solid lesion in the lower pole of right kidney (Coronal and axial view of enhanced abdominal MRI) Figure 2: A- Although having homogeneous enhancement with hypointense central stellate scar, B- Solid lesions in the left kidney increased in size, C- Peripheral diffusion restriction developed in the upper pole of the left kidney on follow-up MRI (Coronal and axial view of enhanced abdominal MRI) Renal oncocytoma is a benign renal tumor and up to three-quarters of patients with a renal oncocytoma are asymptomatic []. So its diagnosis is incidental on abdominal imaging. Possible signs and symptoms of a renal oncocytoma include hematuria, flank pain and an abdominal mass []. Both oncocytomas and renal tumors show similar enhancement but the central scar and the inversion pattern of enhancement have been associated with oncocytomas []. The "central stellate scar" sign refers to a central zone of fibrous connective tissue, with the bands of fibrosis radiating toward the periphery of the lesion is a characteristic radiological finding described of renal oncocytoma []. Central scar cannot be distinguished on imaging from the necrosis commonly found in renal cell carcinoma []. The underlying cause of most isolated renal oncocytomas is unknown; however, multiple oncocytomas can occur in people with certain genetic syndromes such as tuberous sclerosis and Birt-Hogg-Dube syndrome. Isolated oncocytomas usually seen as a single tumor affecting one kidney, on the other hand renal oncocytomas that are part of a genetic syndrome often affects both kidneys with multipl tumors [,]. Renal oncocytomas which are part of a genetic syndrome are associated with mutations. Birt-Hogg-Dube syndrome is caused by mutations in FLCN gene while tuberous sclerosisis caused by mutations in the TSC1 or TSC2 genes []. It can be hard to distinguish oncocytoma from renal cell carcinoma with only imaging studies. Biopsy is often needed to confirm the diagnosis []. Most patients are treated with surgery to confirm the diagnosis since the distinction between oncocytoma and renal cell carcinoma can not be made with imaging methods alone. Whether oncocytoma is strongly considered, partial nephrectomy can be done as a more conservative method []. Ethics Committee Approval: N/A. Informed Consent: An informed consent was obtained from the patient. Publication: The results of the study were not published in ful lor in part in form of abstracts. Peer-review: Externally peer-reviewed. Conflict of Interest: The authors declare that they have no conflict of interests. Financial Disclosure: The authors declare that this study received no financial support.
Current Approaches in Prostate Cancer Radiotherapy
Didem Karacetin
Prostate cancer is one of the most common tumor in males. Radical prostatectomy, radiotherapy and watchful waiting are the main treatment options in localized disease. Radiotherapy together with hormonotherapy is accepted as the standard of care in patients with advanced stages. Surgery or radiotherapy has comparable local control and survival outcomes in localized disease. During recent years a significant reduction in the rate of serious side effects has been achieved due to the development of modern radiotherapy techniques. With the use of these techniques such as Intensity-modulated radiotherapy (IMRT), Image-guided radiotherapy (IGRT), Stereotactic body radiotherapy (SBRT), high doses can be given safely and the rates of serious short-or long-term side effects have not exceeded 1 percent. Modern radiotherapy techniques allow dose escalation for the target volume, and due to its achievement of sharp dose gradient around the target volume and enable to increase radiation doses homogeneously within the target volume without exceeding the tolerance doses in organs at risk. In the last few years hypofractionation has gained popularity in the curative radiotherapy of prostate cancer.
The Comparison of Penile Doppler Ultrasonography Findings with Serum Lipid Parameters in Hyperlipidemic Patients with Erectile Dysfunction
Mustafa Tasdemir, Unal Oztekin, Mehmet Caniklioglu, Hafize Aktas
Objective: The aim of this study is to investigate the effect of hyperlipidemia on the development of erectile dysfunction (ED) in hyperlipidemic patients with ED. Materials and Methods: Twenty-five patients who applied to the radiology clinic were included in the study. All patients have only hyperlipidemia as a risk factor of ED. The patients were evaluated in terms of ED by using International Index of Erectile Function (IIEF) form. Before and after oral treatment with daily doses of 10 mg atorvastatin, all parameters were measured. Paired t-test was used to compare vascular velocities between lipid profiles and Erectile Function Domain Scores (EFDS) and IIEFs, before and after treatment separately. Results: Cholesterol levels of 96% of patients were higher than 200 mg/dl and 52% of them had abnormal penile Doppler ultrasonography (PDU) findings. Patients with abnormal PDU findings had lower cholesterol levels than those with normal PDU findings. Significant differences existed between patients with normal and abnormal PDU in the high triglyceride group as for pre-, and post-treatment values . Pre-, and post-treatment EFD and IIEF scores were comparable. Conclusion: It can be said that a relationship exists between hyperlipidemia and erectile dysfunction. Therefore, lipid profile of a patient admitted with ED may be analyzed routinely
Presentation of a Rare Case: Acute Kidney Failure Developed Following Complete Urinary Bladder Herniation and Management of Postoperative Voiding Dysfunction
Mecit Celik, Muhammed Emin Polat, Caglar Sarioglu, Bugra Bilge Keseroglu
Inguinal bladder herniation is seen in 1% -4% of all inguinal hernia cases; most of them are asymptomatic and come up with swelling in the groin. In symptomatic cases, nonspecific findings such as lower urinary tract symptoms or pain due to strangulation of the hernia sac are seen. Two-stage micturition (manual pressure to the scrotum to empty residual urine) is a pathognomonic sign for the advanced case. Vesicoureteral reflux (VUR), bilateral hydronephrosis, urinary tract infection, acute kidney failure and bladder wall necrosis are complications that may be seen if the problem is not appropriately managed. Preoperative diagnosis rates are low (
The Eternal Dilemma: Fat-poor Angiomyolipoma
Omer Yildiz, Mustafa Orhan Nalbant, Elif Hocaoglu, Ercan Inci
A 55-year-old female patient admitted to the emergency department with one week long abdominal pain. In the physical examination of the patient, no clinical finding other than sensitivity was observed. The laboratory tests were normal. Because there was discordance between the patients clinical findings and laboratory tests, ultrasound exam was performed to exclude acute abdomen and a mass was detected in the anterior of left kidney's upper pole. There upon, the patient was discharged with recommendations and directed to the urology department. The patient had no history of malignancy or surgical history. Contrast enhanced abdominal magnetic resonance (MR) was performed for the lesion characterization. In the abdominal MRI, a lesion was detected in the anterior region of the left kidney's upper pole which is 36x20 mm in size. The lesion was hypointense on T2 weighted images (WI), slightly hyperintense on T1WI and had central cystic area. Since the mass was closely adjacent to the tail of the pancreas and had similar signal intensity with the pancreas on T2WI and postcontrast images, the origin of the lesion could not be made clearly between left kidney and pancreatic tail (Figure 1-5). Therefore, histopathologic verification was recommended for preoperative management. It was reported as angiomyolipoma, wihch is rich in smooth muscle and poor in fat, after staining with actin and HMB-45 along with immunohistochemical staining obtained as a result of the biopsy procedure. Figure 1: Axial T2 weighted (Contrast-enhanced abdominal magnetic resonance images of the patient) Figure 2: In phase (Contrast-enhanced abdominal magnetic resonance images of the patient) Figure 3: Out of phase (Contrast-enhanced abdominal magnetic resonance images of the patient) Figure 4: T1 Weighted, fat saturated T1 weighted (Contrast-enhanced abdominal magnetic resonance images of the patient) Figure 5: Post contrast images revealed a solid mass with central cystic area (Contrast-enhanced abdominal magnetic resonance images of the patient) Renal angiomyolipomas are the most common benign kidney tumors. Non invasive diagnostic capacity between benign and malignant lesions is not yet at the desired standard. Approximately 10-17% of the resected kidney tumors are benign, and 2-6% of them are reported as angiomyolipomas []. Angiomyolipomas contain smooth muscle tissue, blood vessels and macroscopic fat areas in varying proportions []. In most cases, it is diagnosed radiologically without any further examination due to the macroscopic fat content. In the radiological diagnosis of angiomyolipoma, we use findings such as containing densities below -10 HU in computerized tomography (CT) examination or showing suppression in fat saturated sequences in MRI []. In addition, chemical shift suppression techniques are useful in MRI in cases when there is a small amount of fatty tissue []. On the other hand, in 4.5% of angiomyolipomas, fatty tissue may not be seen radiologically []. Since the imaging findings of these fat-poor lesions, containing less than 25% fat, cannot be distinguished from RCC and they pose a serious problem []. RCCs, especially clear cell carcinomas, may also contain fat, but unlike angiomyolipomas, this adipose tissue is located at intracellular space and we use signal loss in out of phase MR sequence to differentiate RCC from angiomyolipoma []. Angiomyolipomas carry the risk of bleeding, especially in sizes over 4 cm and sometimes, fat densities can be overlooked due to intralesional bleeding and they can be confused with RCC []. Although new methods such as CT histogram [] and specific MR sequences [,] have been used in the separation of fatpoor angiomyolipoma and RCC with new developments in radiology and technology, the application and reliability of these methods in daily practice are not sufficient. Ethics Committee Approval: N/A. Informed Consent: An informed consent was obtained from the patient. Publication: The results of the study were not published in ful lor in part in form of abstracts. Peer-review: Externally peer-reviewed. Conflict of Interest: The authors declare that they have no conflict of interests. Financial Disclosure: The authors declare that this study received no financial support.
Isolated Adrenal Gland Injury After Blunt Trauma
Ramazan Azar, Yurdagul Cetin Seker, Kamil Gokhan Seker, Ismail Taskent
A 36-year-old male patient was admitted to the emergency department with abdominal and left side pain 1.5 hours after an in-vehicle traffic accident. The patient had no history of comorbidity or surgery. The patient did not receive any anticoagulant or antiplatelet therapy prior to the trauma. Vital signs of the patient were stable (Blood pressure 145/100 mmHg, pulse 98 beats/min, and temperature 37.2°C). Physical examination revealed no additional pathology except left side pain and left upper quadrant tenderness in deep palpation. White blood cells were found to be 17.330/mm3, hemoglobin level 17.34 mg/dL, and hematocrit 48.83% in the complete blood count examination. There was no abnormality in the biochemical analysis. An evaluation focused on sonography for trauma (FAST) in the emergency department was negative. Contrast-enhanced thoracoabdominal computed tomography (CT) scan was performed. Abdominal CT revealed a 44x42 mm left central hyperdense and peripheral hypodense adrenal mass (63 hounsfield unit) and periadrenal fat strands. Additionally, a cortical cyst was observed in the upper pole of the left kidney (Figure 1). The lesion was evaluated as an adrenal hematoma. No other injuries were detected, especially no injury to the spleen or kidney. No rib or spine fractures were observed. The patient was treated conservatively with bed rest, parenteral fluid, antibiotherapy, and analgesics. Hemoglobin and biochemical parameters remained constant. Endocrinology consultation was requested for adrenal insufficiency. Endocrinological evaluations revealed no pathology. The control abdominal CT performed 7 days later showed that the hematoma did not progress (40x37 mm, central density is prominent) (Figure 2). The patient was discharged without any problems. An abdominal CT scan was planned to evaluate the resolution of the adrenal hematoma 1 month later. The patient was asymptomatic during the follow-up. No abscess or infection format was observed. Informed written consent was obtained from the patient for this report. Figure 1: A- Left adrenal hematoma 44x42 mm attenuated central hyperdense and peripheral hypodense round mass in the adrenal gland, B- Periadrenal fat stranding, C- Left kidney upper pole simple cortical cyst (Axial view of enhanced abdominal CT scan) Figure 2: Control abdominal CT; regression of hematoma and increased appearance of central hyperdensity (Axial view of enhanced abdominal CT scan) Adrenal gland injury is a rare clinical picture caused by motor vehicle accidents, sports injuries, or blunt abdominal trauma after falling [–]. Isolated adrenal gland injury is rare due to its small size, deep retroperitoneal position on the upper abdomen, and presence of full-fat tissue around it. Most adrenal gland injuries are associated with multiple adjacent skeletal and organ injuries []. Adrenal gland injuries have been reported in approximately 2-3% of all thoracoabdominal injuries []. Unilateral adrenal injuries occur 5 times more on the right side than on the left (77% versus 15%), and bilateral adrenal injuries occur in 8% of cases in trauma []. Being usually silent and self-limiting, it does not require major operative intervention. However, it may be potentially life-threatening in some cases. The most common symptom is pain; other clinical presentations vary greatly, and it does not produce any specific symptoms or biomarkers. Abdominal pain, side pain, nausea, vomiting, hypotension, hypertension, a palpable side mass, agitation, mental status changes, and lowgrade fever may occur []. The emergency physician should be aware of the possibility of organ damage associated with adrenal injury and the potential for adrenal insufficiency especially if an unusual complaint is presented after blunt trauma (unexplained hypotension, electrolyte disorder, and pain that does not go away despite analgesics) []. Although ultrasonography is noninvasive, easily accessible, and inexpensive, it is dependent on the person and can sometimes be inadequate when evaluating retroperitoneal organs. CT is the gold standard for detecting adrenal gland injury as in all trauma cases []. CT scan findings of adrenal gland injury include hyperdensity, periadrenal fat stranding infiltration, and ipsilateral diaphragmatic crural thickening [,]. Furthermore, the need to monitor and rule out an underlying adrenal neoplasm should be taken into account in these patients due to possible bleeding to a pre-existing adrenal mass []. Surgery (adrenalectomy) and interventional radiologic procedures (embolization) may be needed although most adrenal gland injuries are treated conservatively. Treatment depends on the hemodynamic condition of the patient, the severity of the gland damage, bilateral gland involvement, and the extent of bleeding within the gland []. Ethics Committee Approval: N / A. Informed Consent: An informed consent was obtained from the patient. Publication: The results of the study were not published in full or in part in form of abstracts. Peer-review: Externally peer-reviewed. Conflict of Interest: The authors declare that they have no conflict of interest. Financial Disclosure: The authors declare that this study received no financial support.
D-dimer in the Diagnosis of Prostate Cancer
Hasan Salih Saglam, Haci Ibrahim Cimen
Objective: To investigate the value of D-dimer, a marker of fibrinolysis, in metastatic and non-metastatic prostate cancer. Materials and Methods: A retrospective analysis was performed on 138 male patients including 52 patients with prostate cancer and 86 with benign prostatic hyperplasia. Participants who had factors that altered D-dimer levels were excluded. The mean ages of the groups were similar (70 ± 8 vs 68 ± 8, p= NS). In addition, data regarding biochemical findings, prostate-specific antigen and hemostatic markers, including D-dimer, were retrieved from the database of our hospital. The cut-off point of D-dimer was 0.5 mg/L. Data from scintigraphy and magnetic resonance imaging (MRI) scans related to metastasis were also considered. Patients who showed findings of metastasis according to scintigraphy and lumbosacral MRI were accepted as having metastases. Positive findings in only scintigraphy in any area were considered suspicious for metastasis. Results: Patients with prostate cancer had higher D-dimer levels than benign prostate hyperplasia patients (p= 0.024). Sixteen patients with metastatic prostate cancer and suspicious for metastasis had markedly high D-dimer levels compared to benign prostate hyperplasia and non-metastatic prostate cancer patients. Conclusion: prostate cancer, especially when metastatic, may increase D-dimer levels.


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Celebrity hair & makeup
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Eau De Juice
And Just Like That writers respond to criticism
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The best ski wear to invest in now
Will we all get a day off for Prince Harry and Meghan Markle's wedding?
Street parties COME AT US.
By Catriona Harvey-Jenner
Yesterday, the news finally came that Prince Harry had proposed to his girlfriend Meghan Markle. After getting engaged in London earlier this month, the couple will marry in Spring 2018 - which is less six months away.
And all this excitement is bringing back memories of April 2011, when William and Kate got married at Westminster Abbey. Obviously we loved seeing Kate's dress, and the first marital kiss on the balcony, etc etc, but we also really loved that we got a day off work to watch it all unfold.
Prince William and Kate Middleton's wedding was shared with the public
Ahead of the April 29, 2011 wedding, then-Prime Minister David Cameron announced that the Royal Wedding Day would be a public holiday for England, Wales and Northern Ireland to make sure that most people could properly celebrate the day. So will that happen again this time around?
Unfortunately it's looking unlikely, after Theresa May's official spokesman released a statement on the same day of the Royal engagement explaining, "There are no plans for a bank holiday." There isn't a precedent in this area for example. There was no bank holiday for Prince Andrew's wedding in 1986 or Prince Edward's in 1999."
While other MPs and the general public are calling on Theresa to change her mind, in reality a bank holiday is not guaranteed to be the case. It all depends on what kind of ceremony Meghan and Harry want to conduct. While Prince William and his bride opted for a traditional, very public affair at Westminster Abbey, it's been suggested that Prince Charles' younger son might not be as keen on that idea for his own nuptials.
The apparent source behind this information comes from Us Weekly (so we're not exactly going to take it as gospel) who said: "Pomp and pageantry is the last thing [Prince Harry] would want. I can see him wanting to get married at St George's Chapel at Windsor Castle. It would stop it from turning into a total media circus and give the day a sense of privacy that Harry so badly craves."
It took Prince Harry a long time to be photographed in public with Meghan, as he's renowned for maintaining his private life.
On the flip side, however, because Meghan is an American woman who's moved over to London to become part of the British royal family, there's every chance she might want to allow the public - who have been so welcoming of her - into their big day.
Plus, so far it looks like the couple are following tradition where the engagement is confirmed. Clarence House released an official statement this morning, and the couple will be conducting a photo call later today, followed by an official interview this evening. Does this mean their wedding will be similarly conventional for a royal?
Long before the couple even became engaged, it was confirmed that it would be possible for Meghan and Harry to get married in Westminster Abbey - despite the fact that Meghan has been married before.
A spokesperson for the famous church said earlier this year: "The Abbey follows the General Synod Ruling of 2002. Since then it has been possible for divorced people to be married in the Church of England."
Will the wedding take place at Westminster Abbey?
And a spokesperson for Meghan herself, who reportedly has a Jewish heritage, also confirmed earlier this year that the former actress' Jewish background would not prevent her from having an "interfaith" marriage to the British Prince.
So when it comes to the question of whether or not we'll all get an extra day off work next Spring to have celebratory street parties while we watch the ceremony unfold - it basically all depends on whether the couple opt for a private ceremony or not. And currently, as Clarence House's official statement revealed, "further details about the wedding day will be announced in due course."
So maybe don't start buying the Union Jack bunting quite yet.
Follow Cat on Instagram.
Prince Harry and Meghan Markle are engaged
Catriona Harvey-Jenner Features Editor Cat is Cosmopolitan UK's features editor covering women's issues, health and current affairs.
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Kelly Selected as Finalist for Dodd Trophy
NOTRE DAME, Indiana — After the sixthˆ 10-win season in his 11-year Irish tenure, Dick Corbett Head Football Coach Brian Kelly has been named a finalist for the Dodd Trophy, which honors a coach who couples a successful football season with academic excellence and character.
Finalists include five of the nation's top coaches in college football who embody the award's three pillars of scholarship, leadership and integrity, both on and off the field.
The Dodd Trophy fan vote will begin Tuesday, December 22 at 2 p.m., ET and end on Wednesday, December 23 at 9 p.m., ET. Fans can vote on Twitter and Facebook by retweeting or sharing the post of Kelly.
In his 30th season as a collegiate head coach in 2020 and 11th year at the University of Notre Dame, Dick Corbett Head Football Coach Brian Kelly owns the second-most wins (102ˆ) among all head coaches in Notre Dame's history, second only to Knute Rocke (105), and Kelly is the winningest active coach in the FBS with 273ˆ career wins.
Kelly has posted threeˆ undefeated regular seasons in his time at Notre Dame. He was named AP ACC Coach of the Year in 2020, and is the only three-time winner of the Home Depot Coach of the Year Award ('09, '12, '18).
In 2020, he notched his first win over an AP No. 1 team with the 47-40 win over Clemson (Nov. 7, 2020). With the 52-0 shoutout of South Florida, he became the third coach in Notre Dame history with three or more wins of at least 25 points over ranked teams, joining Lou Holtz and Frank Leahy (eight).
He joins Knute Rockne (13), Leahy, Ara Parseghian and Holtz (11) as the only Notre Dame coaches to spend 11 or more seasons on the Irish sidelines. He ranks second in winning percentage among active FBS coaches (.741ˆ) who have coached in 300 or more career games (Nick Saban – .795). He has finished .500 or better in 28-of-30 seasons as a head coach.
The winner of the Dodd Trophy will be announced the week of the New Year's Six bowl games.
ˆ – Includes 20 regular-season wins and two postseason appearances vacated under discretionary NCAA penalty.


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Gold Coast OR Lismore OR Online
Music and Creative Arts (3)
Nursing and Midwifery (2)
Brisbane - The Hotel School (1)
Coffs Harbour (14)
Melbourne - The Hotel School (1)
Sydney - The Hotel School (1)
Associate Degree of Information Technology - (2202321) - 2021
If you love computers, technology and what they can do, a career in information technology offers you endless employment opportunities at the cutting edge of change and innovation.	Our graduates...
Associate Degree of Creative Writing - (2207005) - 2021
Effective storytelling connects and engages an audience, whether they read, watch or listen, and creative writing skills are highly sought after by industries worldwide.	Take the first step...
Location: Lismore, Online
Bachelor of Legal and Justice Studies, Bachelor of Laws - (3206107) - 2021
If you want a legal degree with a difference and to make a difference as a legal professional, you need to know how the law operates and why. This double degree expands your career opportunities...
Bachelor of Occupational Therapy - (3007224) - 2021
Do you want a health career that could transform the lives of others by helping them achieve tangible results?	Occupational therapists' work is diverse. They adapt environments, activities or...
Location: Coffs Harbour, Gold Coast
Associate Degree of Civil Construction (Engineering and Management) - (2206400) - 2021
The civil construction industry is booming and there is strong demand for site supervisors and project managers. This course develops the fundamental technical and practical skills needed for...
Bachelor of Podiatry, Bachelor of Pedorthics - (3207309) - 2021
Enhance your career opportunities considerably with this accelerated double degree.	The Bachelor of Podiatry, Bachelor of Pedorthics equips you with the skills to become both a podiatrist and a...
Location: Gold Coast
Bachelor of Digital Media - (3007084) - 2021
Content is key and as creators of content, digital media specialists are in strong demand for communication and marketing roles across Australia.	This course prepares you to tell the stories that...
Location: Coomera, Lismore, Online
Bachelor of Contemporary Music - (3003140) - 2021
The Bachelor of Contemporary Music prepares you for a portfolio career in music — the multi-faceted career pathway that is now most common for contemporary musicians. Tailor your degree towards...
Location: Coomera, Lismore
Bachelor of Arts - (3007099) - 2021
The Bachelor of Arts focuses on human cultures, values and beliefs that will broaden your mind with challenging ideas. This course fosters transferable skills that are highly valued across all...


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English Bridge Union
John Armstrong of Derbyshire, who has died suddenly aged 56, was a member of the England Open Bridge team a week earlier at the European Bridge Championships. In the pair rankings for the championship Armstrong and his partner, John Holland of Manchester, were second to the Norwegian gold medallists.
Armstrong was England's most capped player in the Home Internationals in a career that spanned four decades. In 1987 Armstrong was in the British team that won silver in both the European and World championship, and then gold at the European Championships in 1991.
Armstrong was born in Ashbourne, Derbyshire in 1952. Both his parents were school teachers and John learned bridge as a teenager. He obtained a First at Cambridge University in mathematics. After University he moved to the Liverpool area for a job with Royal Insurance.
His long-time bridge partner was Graham Kirby. Their first international was in 1978. They earned 31 Camrose appearances for England concluding in 1997 when Kirby retired from international bridge to look after a young family. Armstrong had six internationals partnering Danny Davies before Davies took up a job in the United States.
Armstrong then formed a partnership with Holland. Their first match for England in 2006 saw Armstrong overtake the record of 37 caps for England long held by Tony Forrester. Armstrong and Holland were also selected for a Home International weekend in 2007 and in March this year, before the Europeans.
Armstrong recorded six wins in the Gold Cup, the British knockout championship.
He had retired from his job in insurance and returned to his home town. Armstrong was keen on orienteering, a talented pianist and a devout catholic. He was both a gentle man and a gentleman, very well-liked and respected in the bridge world.
Armstrong never married. He predeceases his mother, two brothers and a sister.
P. D. Jourdain
Major International Appearances
European Championships: 1979 1983 1987 1989 1991* 1993 1995 2002 2006 and 2008
Bermuda Bowl: 1987 and 1991
World Olympiad: 1988 and 1992
* = 1st place
Camrose Trophy Selections: 1978 1979 1980 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1997 2000 2001 2002 2003 2004 2007 and 2008
Gold Cup Winner: 1986 1989 1990 1992 1993 and 1996
Crockfords Winner: 1982 1985 1987 and 2004
Autumn Congress Two Stars Pairs Winner: 2005
National Teams Congress winner: 1978 1985 1987 1989 and 1992
The Hubert Phillips Bowl Winner: 1983 1985 1986 1988 and 1991
Tollemache Cup winner: 1985 1987 and 1993
My EBU
Learn Bridge
EBU Information
Join the EBU
About the EBU
Archive and Awards
EBUScore
English Bridge and Diary
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Vegas Golden Knights Look To Bounce Back After Disastrous Game 1 Against Colorado
by James Murphy in NHL on May 31, 2021 10:04am
Vegas turned in a dismal Game 1 performance, losing to the Colorado Avalanche 7-1.
The Golden Knights will be without Ryan Reaves for the next two games due to suspension.
Marc-Andre Fleury is expected to start Game 2 in net for Vegas.
The Western Conference playoff series between the Colorado Avalanche and Vegas Golden Knights was expected to be one of the best matchups of the postseason. In Game 1, however, it was anything but as the Avalanche blitzed Vegas en route to a 7-1 blowout win. Vegas had no answer for the Avs top line of Nathan MacKinnon, Gabriel Landeskog and Mikko Rantanen but then again neither does anyone else.
As ugly as the Game 1 blowout was for Vegas it gives us more value here for a play on the Golden Knights in Game 2. It was all but inevitable that VGK would come out sluggish in this spot and facing a rested–and speed dependent–Colorado team made that lethargy even worse. Teams coming off of seven game series facing rested opponents is a time honored 'go against' spot in any sport and this spot was made all the worse by a 'quick turnaround' for Vegas. The Golden Knights beat the Minnesota Wild at home on Friday 6-2 to win their Best of 7 series in 7 games. They were on the ice to face the Avalanche less than 48 hours later. Colorado, meanwhile, had been off since completing a four game sweep of St. Louis on Sunday, May 23.
Vegas also used Game 1 as an opportunity to give Marc-Andre Fleury the night off in net. Fleury had played all 7 games in the first round–7 games in 14 nights–and desperately needed a rest before taking on the high octane Avs offense. Since the schedule wasn't going to afford him the opportunity to rest VGK coach Peter DeBoer had to do it himself. Robin Lehner has shouldered much of the blame for the loss and he was nowhere near sharp but there's plenty of blame to go around. Fleury has been the 'hot hand' for Vegas and DeBoer also wanted to give Lehner some playing time. Despite the criticism, DeBoer made his rationale clear:
"The decision to go with Robin was Flower just played seven games in 14 days, and an emotional Game . It was a perfect opportunity in our minds to use our other starter. That's been a strength of ours all year. We wanted Robin to get in a game and stay sharp, in case we needed him. So there was a lot of rationale to it."
Commenting on Lehner's play:
"The game tonight wasn't about Robin Lehner. We didn't play well enough in front of him."
Ironically, last season had Lehner in the diametrically opposite situation as he started 16 playoff games while Fleury served as backup. Lehner has done an excellent job 'putting bad starts behind him' and that has really been a strength of this entire VGK team since DeBoer took over the reins as head coach. Some teams watch their performance snowball downhill after a bad outing–the Knights simply aren't one of those teams.
Colorado's MacKinnon might very well be the best player in the NHL–even considering that McJesus guy in Edmonton–and the Avs top line is borderline unstoppable. McKinnon has eight goals in five playoffs game this year and linemate Mikko Rantanen has now picked up a point in 15 straight playoff games. Vegas has more depth throughout the lineup than Colorado, however, and despite the ugly Game 1 loss is more than capable of matching up with the Avs. Vegas and Colorado finished the regular season tied for the highest point total in the league at 82. Colorado got the Presidents' Trophy–and home ice during the playoffs–by virtue of more regulation wins. The Avs and Knights played eight times in the regular season with each team winning four.
Expect a strong effort from Vegas in Game 2 and look for the series to head to Southern Nevada tied at 1. Colorado will then have to deal with the (in)famously loud VGK home crowd at T-Mobile Arena which will be at 100% for the first time since the start of the COVID-19 pandemic.
NHL Head Coaches Rick Tocchet, John Tortorella Won't Return Next Year
NHL May 10, 2021 by Ross Everett
Tampa Bay, VGK Now Favored To Win Stanley Cup At Sportsbooks In Nevada and Colorado
NHL Jun 07, 2021 by James Murphy
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Home / Letter from Europe / Gracanica (Kosovo)
Gracanica (Kosovo)
When the celebrated English travel writer Edith Durham arrived at the monastery at Gracanica one hundred years ago, she came to a place that had virtually no experience of the twentieth century. It is an episode that Durham recalls in her book High Albania. The incumbents, evidently horribly worried by Durham's unmarried condition, interrogated their visitor about the keystones of modernity.
When the celebrated English travel writer Edith Durham arrived at the monastery at Gracanica one hundred years ago, she came to a place that had virtually no experience of the twentieth century. It is an episode that Durham recalls in her book High Albania. The incumbents, evidently horribly worried by Durham's unmarried condition, interrogated their visitor about the keystones of modernity:
"They asked me of the great world beyond the Turkish frontiers; if it were true that there is a railway that goes underground and another on the roofs of houses; of electricity and motor-cars."
Gracanica is a Serbian enclave just a twenty-minute drive south of Prishtina. If, as seems now very likely, Kosovo's imminent declaration of independence is recognised by some countries in the wider international community, then Prishtina will enjoy a new-found status as a capital city. A real achievement for a place that Edith Durham dismissed as "hopeless looking".
In the great game of nation-building, there are inevitably winner and losers. With Albanian interests in the ascendant in Kosovo, after eight years of international administration of the province, the two dozen or so Serbian Orthodox nuns who live and work at Gracanica monastery are naturally apprehensive about the future. What place for them in a potentially independent Kosovo that will surely have no great affection for a Serbian minority? A small contingent of Swedish peace-keeping troops and a large supply of barbed wire protect the monastery and its grounds - which are home not just to the nuns but also to the local Serbian Orthodox bishop and his entourage.
The nuns pray, keep bees, paint icons and attend to the marvellous Byzantine frescos that adorn the interior of the beautiful five-domed monastic church. NATO bombing of Kosovo in 1999 shook the building severely, but happily the church took no direct hits. It is a deeply religious place, but much more besides. There is something of the Serbian soul in this monastery, and any decent settlement for Kosovo's future really should include some accommodation for Serbian shrines and holy places that lie within the territory of the would-be independent republic. Kosovo's religious art, be it at Gracanica or elsewhere in Kosovo, is one of Serbia's prize cultural assets, and so surely not something that will be given up lightly.
Rebecca West was another early visitor to Gracanica, when she travelled through Yugoslavia in 1937. West quickly appreciated the monastery's importance to the Serbian diaspora. "It was as if Chartres Cathedral should stand alone on land that has been shorn of all that was France," she wrote in Black Lamb and Grey Falcon.
In the weeks ahead, as every spring, a great carpet of rich red peonies will slowly drape the meadows around Gracanica. For the nuns, as for many Serbs, the red meadows are potent reminders of Serbian blood spilt on the fields of Kosovo. Armies have fought before over Gracanica, and the Serbian embers in and around the monastery could so very easily be a flashpoint in the future. Gracanica is surely a place to watch in the weeks ahead.
source: https://www.hiddeneurope.co.uk/gracanica-kosovo
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