• Asian Pacific Journal of Cancer Prevention
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• v.16 no.11
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• pp.4653-4658
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• 2015

Background: Palliative therapies have an important role in increasing the quality of healthcare and in dealing with physical and psychosocial problems due to cancer. We here aimed to evaluate the managerial perspectives and opinions of the hospital managers and clinical directors about specialized palliative care centers. Materials and Methods: This study was conducted in two large-scale hospitals in which oncology care is given with medical directors (n:70). A questionnaire developed by the researchers asking about demographic characteristics and professional experience, opinions and suggestions of medical directors about providing and integrating palliative care into healthcare was used and responses were analyzed. Results: Potential barriers in providing palliative care (PC) and integrating PC into health systems were perceived as institutional by most of the doctors (97%) and nurses (96%). Social barriers were reported by 54% of doctors and 82% of nurses. Barriers due to interest and knowledge of health professionals about PC were reported by 76% of doctors and 75% of nurses. Among encouragement ideas to provide PC were dealing with staff educational needs (72%), improved working conditions (77%) and establishing a special PC unit (49)%. An independent PC unit was suggested by 27.7% of participants and there was no difference between the hospitals. To overcome the barriers for integration of PC into health systems, providing education for health professionals and patient relatives, raising awareness in society, financial arrangements and providing infrastructure were suggested. The necessity for planning and programming were emphasized. Conclusions: In our study, the opinions and perspectives of hospital managers and clinical directors were similar to current approaches. Managerial needs for treating cancer in efficient cancer centers, increasing the capacity of health professionals to provide care in every stage of cancer, effective education planning and patient care management were emphasized.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.17
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• pp.7769-7779
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• 2015

Background: This study was conducted with the purpose of evaluating the effect of skin cancer training provided to maritime high school students on their knowledge and behaviour. Materials and Methods: The study had a quasi-experimental design with pre-test and post-test intervention and control groups. Two maritime high schools located in the city of Antalya were included within the scope of the study between March and June 2013, covering a total of 567 students. Results: While the knowledge mean scores of students regarding skin cancer and sun protection did not vary in the pre-test ($6.2{\pm}1.9$) and post-test ($6.8{\pm}1.9$) control group, the knowledge mean scores of students in the experimental group increased from $6.0{\pm}2.3$ to $10.6{\pm}1.2$ after the provided training. Some 25.4% of students in the experimental group had low knowledge level and 62.2% had medium knowledge level in the pre-test; whereas no students had low knowledge level and 94.3% had high knowledge level in the post-test. It was determined that tenth grade students, those who had previous knowledge on the subject, who considered themselves to be protecting from the sun better, had higher knowledge levels and their knowledge levels increased as the risk level increased. It was found that the provided training was effective and increased positively the knowledge, attitude and behaviour levels of students in the experimental group in terms of skin cancer and sun protection. Conclusions: Along with the provided training which started to form a lifestyle, appropriate attitudes and behaviours concerning skin cancer and sun protection could be brought to students who will work in outdoor spaces and are members of the maritime profession within the risk group.

• Asian-Australasian Journal of Animal Sciences
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• v.20 no.4
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• pp.529-535
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• 2007

The nutritive values of leaves of Citrus grandis, Citrus aurantium, Citrus oranges, Citrus limon, and Citrus deliciosa were evaluated by chemical composition and in vitro gas production techniques. There were significant (p<0.001) differences among citrus species in terms of chemical composition. Crude protein (CP) contents ranged from 123.0 to 148.3 g/kg DM. Neutral detergent fibre (NDF) and acid detergent fibre (ADF) contents were varied with species in the range 219.4-355.4 and 215.0-278.8 g/kg DM respectively. Condensed tannin (CT) contents were ranged from 5.9 to 10.2 g/kg DM. The PEG addition significantly (p<0.001) increased the gas production and some estimated parameters of citrus tree leaves. However, species showed variable responses to polyethylene glycol (PEG) treatment. There were also significant (p<0.001) differences among species in terms of gas production and estimated parameters. The OMD and ME contents of citrus leaves without PEG supplementation were ranged from 66.5 to 73.3% and 9.8 to 10.9 MJ/kg DM respectively. The improvement in gas production, organic matter digestibility (OMD) and metabolizable energy (ME) with PEG emphasized the negative effect of tannins on digestibility. The increase (%) in the estimated OMD and ME contents ranged from 5.5 to 9.8% and 5.7 to 10.2% respectively. All citrus tree leaves studied in this experiment have potential nutritive values indicated by high crude protein content, OMD, ME and low fiber values.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.8
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• pp.3457-3460
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• 2014

Background: Thymomas and thymic carcinomas are rare malignancies and devising clinically effective molecular targeted therapies is a major clinical challenge. The aim of the study was to analyze BLC2 and vascular endothelial growth factor receptor (VEGFR) expression and KRAS and EGFR mutational status and to correlate them with the clinical characteristics of patients with thymomas and thymic carcinomas. Materials and Methods: A total of 62 patients (mean age: $50.4{\pm}13.2$ years) with thymomas and thymic carcinomas were enrolled. The expression of BLC2 and VEGFR in tumor cells and normal tissues was evaluated by RT-PCR. The mutational status of the KRAS and EGFR genes was investigated by PCR with sequence specific primers. Results: The BLC2 and VEGFR expression levels did not differ significantly between tumor and normal tissues. Moreover, there were no clearly pathogenic mutations in KRAS or EGFR genes in any tumor. None of the molecular markers were significantly related to clinical outcomes. Conclusions: Changes in levels of expression of BLC2 and VEGFR do not appear to be involved in thymic tumorigenesis. Moreover, our data suggest that KRAS and EGFR mutations do not play a major role in the pathogenesis of thymomas and thymic carcinomas.

• International Journal of Computer Science & Network Security
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• v.22 no.9
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• pp.109-116
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• 2022

The energy corporation of Kosovo continuously monitors and analyzes the impact of its own activities on the environment. Regarding the environmental situation, energy corporation of Kosovo- ECK regularly informs and reports objectively to the competent state institutions, local municipal institutions and interested parties. ECK, through numerous contacts with the competent authorities, firstly with different ministers, harmonizes the positions regarding environmental issues in the direction of achieving certain environmental standards or legal requirements in order to gradually be in accordance with them, based on the real possibilities, especially the financial ones. From this point of view, the environmental issue is very sensitive, quite complex and represents one of the biggest challenges of society currently and in the future. The researched variables show a continuous increase in the need for electricity production in Kosovo and this increase in production conditions a wide range of environmental impacts both at the local, regional and global levels. The aim of the work is to reduce the emission of pollutants through the main variables without inhibiting the economic development of the country, i.e. to bring the pollution as a result of the activities of the ECK operation into compliance with the permitted environmental norms. As a result of ECK's operational activities, the following follows: Air pollution mainly as a result of emissions from TCs in the air, transport, etc. Water pollution - as a result of technological water discharges, Land degradation - as a result of surface mining activities of the entire mining area. The purpose of the paper is to research and analyze the main water variables in the area of the Kosova B power plant, which is to determine the degree of their pollution from the activities of the power plants, as well as to assess the real state of surface water quality and control the degree of pollution of these waters. Methodology of the work: The analyzes of the water samples were done in the company Institute "INKOS" JSC by simultaneous methods using different reagents.

• Nuclear Engineering and Technology
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• v.55 no.11
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• pp.4287-4294
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• 2023

In order to meet the energy demand, energy production must be done continuously. Hydrogen seems to be the best alternative for this energy production, because it is both an environmentally friendly and renewable energy source. In this study, the hydrogen fuel production of the peaceful nuclear explosives (PACER) fusion blanket as the energy source integrated with Fe-Cl thermochemical water splitting cycle have been investigated. Firstly, neutronic analyzes of the PACER fusion blanket were performed. Necessary neutronic studies were performed in the Monte Carlo calculation method. Molten salt fuel has been considered mole-fractions of heavy metal salt (ThF₄, UF₄ and ThF₄+UF₄) by 2, 6 and 12 mol. % with Flibe as the main constituent. Secondly, potential of the hydrogen fuel production as a result of the neutronic evaluations of the PACER fusion blanket integrated with Fe-Cl thermochemical cycle have been performed. In these calculations, tritium breeding (TBR), energy multiplication factor (M), thermal power ratio (1 - 𝜓), total thermal power (P_hpf) and mass flow rate of hydrogen (ṁ_H2) have been computed. As a results, the amount of the hydrogen production (ṁ_H2) have been obtained in the range of 232.24x10⁶ kg/year and 345.79 x10⁶ kg/year for the all mole-fractions of heavy metal salts using in the blanket.

• Asian-Australasian Journal of Animal Sciences
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• v.18 no.2
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• pp.203-208
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• 2005

The aim of this experiment was to determine the chemical composition of six commonly utilized fodder trees and shrub species in Turkey, namely Glycrrhiza glabra L, Arbutus andrachne, Carpinus betilus, Juniperus communis, Quercus libari L and Pistica lentiscus and its relationship with gas production and estimated parameters when incubated with rumen fluid in vitro. There were significant (p<0.001) differences between leaves in terms of crude protein (CP), acid detergent fiber (ADF), total condensed tannin (TCT), bound condensed tannin (BCT) and soluble condensed tannin (SCT). Crude protein contents ranged from 5.74% (Juniperus communis) to 12.59% (Glycrrhiza glabra L). Acid detergent fiber contents ranged from 25.14% (Glycrrhiza glabra L) to 39.23% (Juniperus communis). Total condensed tannin (TCT) contents of leaves ranged from 4.34% (Quercus libari L) to 20.34% (Juniperus communis). Acid detergent fiber (ADF) and total condensed tannin contents of leaves were negatively correlated with gas productions and some estimated parameters. Potential gas productions (A) of Glycrrhiza glabra L, Arbutus andrachne, Quercus libari L and Pistica lentiscus were significantly (p<0.001) higher than those of Carpinus betilus and Juniperus communis whereas gas production rate (${\mu}_{24}$) of Pistica lentiscus was significantly (p<0.001) higher than the others. Time (h) to produce 50% of total gas pool size ($T_{50}$) of Juniperus communis was significantly (p<0.001) lower than that of Carpinus betilus whereas time (h) to produce 90% of total gas pool size ($T_{90}$) of Juniperus communis was significantly lower than the others except for Pistica lentiscus. The metabolizable energy (ME) contents of leaves ranged from 8.86 to 10.39 MJ $kg^{-1}$ DM. The results obtained in this study suggested that browse species had a significant effect on chemical composition, gas production and estimated parameters of leaves. Leaves from Glycrrhiza glabra L with a considerable amount of CP had a high rank value in terms of ME. Therefore leaves from Glycrrhiza glabra L may have a high potential value for small ruminant animals in terms of rumen and whole digestibility. Leaves from other species studied require protein supplementation when they are the only feed consumed by ruminant animals.

• Asian-Australasian Journal of Animal Sciences
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• v.18 no.9
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• pp.1249-1254
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• 2005

The aim of this study was to determine the effect of maturity stage on the nutritive value of wild mustard straw in terms of chemical composition, in situ, in vitro dry matter degradability and calculated ME. The nutritive values of wild mustard, Sinapsis arvensis hays harvested at three stages were evaluated by chemical composition, in vitro gas production and in situ dry matter degradation methods. Gas production or dry matter (DM) degradation were determined at 0, 3, 6, 12, 24, 48, 72 and 96 h and their kinetics were described using the equation p = a+b(1-e$^{-ct}$). Maturity had a significant effect on both the chemical composition and degradability of wild mustard. Neutral detergent fibre (NDF) and acid detergent fibre (ADF) (p<0.001) increased with increasing maturity whereas the crude protein (CP) (p<0.001) decreased. The gas produced after 96 h incubation ranged between 64.7 and 81.5 ml per 0.200 g of dry matter. The gas production (ml) at all incubation times and estimated parameters decreased with increasing maturity of wild mustard. The gas production at all incubation times and estimated parameters (a, b (a+b), metabolizable energy (ME) and organic matter digestibility (OMD)) were negatively correlated with NDF and ADF. The DM disappearance after 96 h incubation ranged between 50.8 and 76.1%. The in situ DM disappearance at all incubation times and estimated parameters decreased with increasing maturity of wild mustard. The in situ dry matter disappearance at all incubation times and some estimated parameters (c, a, b and effective dry matter degradability (EDMD)) were negatively correlated with NDF and ADF but positively correlated with CP. The nutritive value of wild mustard continually changed as it matured. Wild mustard, harvested at the proper stage of maturity offers considerable potential as a high quality forage for ruminants during the winter feeding period. The present study showed that if higher quality forage is an objective, wild mustard should be harvested at the early flowering stage.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.7
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• pp.4115-4119
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• 2013

Background: Previous reports have shown that human epidermal receptor (HER)-3 overexpression may be associated with poor prognosis in patients with breast cancer, but results have been conflicting. In this study, we sought to investigate the prognostic significance of HER-3 immunohistochemical expression in patients with metastatic breast cancer. Methods: We retrospectively analyzed HER-3 immunohistochemical expression profiles in 45 paraffin-embedded specimens from patients who had been treated between 1996 and 2006 in the Department of Oncology of the Uludag University School of Medicine, Bursa, Turkey. Membranous or cytoplasmic dominant expression patterns of HER-3 were analyzed using the Rajkumar score and a cytoplasmic 4-point scoring system, respectively. Progression-free survival (PFS) and overall survival (OS) served as the main outcome measures. Results: The median PFS in the study participants was 9 months (interquartile range: 4.5-13 months), whereas the median OS was 20 months (interquartile range: 7.5-28 months). Categorization of the patient population according to HER-3 positive immunohistochemical expression did not reveal any statistically significant difference in terms of both PFS (p=0.70) and OS (p=0.81). The results of multivariable Cox regression analysis indicated that tumor size was the only independent predictor of PFS, whereas estrogen and progesterone receptor status was independently associated with OS. Conclusions: HER-3 immunohistochemical expression did not correlate with outcomes in Turkish patients with metastatic breast cancer. Although our results suggest that HER-3 expression in cancer specimens is not of prognostic significance, further prospective studies are warranted to confirm these results.