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Remote Cerebellar Hemorrhage Presenting with Cerebellar Mutism after Spinal Surgery : An Unusual Case Report

  • Sen, Halil Murat;Guven, Mustafa;Aras, Adem Bozkurt;Cosar, Murat
    • Journal of Korean Neurosurgical Society
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    • v.60 no.3
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    • pp.367-370
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    • 2017
  • Dural injury during spinal surgery can subsequently give rise to a remote cerebellar hemorrhage (RCH). Although the incidence of such injury is low, the resulting hemorrhage can be life threatening. The mechanism underlying the formation of the hemorrhage is not known, but it is mostly thought to develop after venous infarction. Cerebellar mutism (CM) is a frequent complication of posterior fossa operations in children, but it is rarely seen in adults. The development of CM after an RCH has not been described. We describe the case of a 65-year old female who lost cerebrospinal fluid after inadvertent opening of the dura during surgery. Computerized tomography performed when the patient became unable to speak revealed a bilateral cerebellar hemorrhage.

Lumbar Epidural Varix Mimicking Disc Herniation

  • Bursali, Adem;Akyoldas, Goktug;Guvenal, Ahmet Burak;Yaman, Onur
    • Journal of Korean Neurosurgical Society
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    • v.59 no.4
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    • pp.410-413
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    • 2016
  • Lumbar radiculopathy is generally caused by such well-recognized entity as lumbar disc herniation in neurosurgical practice; however rare pathologies such as thrombosed epidural varix may mimic them by causing radicular symptoms. In this case report, we present a 26-year-old man with the complaint of back and right leg pain who was operated for right L4-5 disc herniation. The lesion interpreted as an extruded disc herniation preoperatively was found to be a thrombosed epidural varix compressing the nerve root preoperatively. The nerve root was decompressed by shrinking the lesion with bipolar thermocoagulation and excision. The patient's complaints disappeared in the postoperative period. Thrombosed lumbar epidural varices may mimic lumbar disc herniations both radiologically and clinically. Therefore, must be kept in mind in the differential diagnosis of lumbar disc herniations. Microsurgical techniques are mandatory for the treatment of these pathologies and decompression with thermocoagulation and excision is an efficient method.

Misunderstandings and Difficulties in Learning Sequence and Series: A Case Study

  • Akgun, Levent;Duru, Adem
    • Research in Mathematical Education
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    • v.11 no.1
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    • pp.75-85
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    • 2007
  • This paper analyzes the difficulties with the learning of sequence and series of the second-year students who participated in a year long whole class at the university level. The research was carried out at the end of students' third semester. These students were randomly selected. They were applied to one paper and pencil test containing eight task items on sequence and series. In this study, qualitative method (case study design) was used to explore students' difficulties and misunderstandings in learning sequence and series. Students' responses to the questions were divided into three categories: These were "correct", "partial correct" and "false or no responses". Students' responses to the paper and pencil test were evaluated. The results show that students had difficulties and misunderstandings in series and sequence.

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Response evaluation of historical crooked minaret under wind and earthquake loadings

  • Ural, Ali;Dogangun, Adem;Meraki, Sakir
    • Wind and Structures
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    • v.17 no.3
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    • pp.345-359
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    • 2013
  • Turkey has been hosted various civilizations throughout centuries and it has become one of the oldest settlements all over the world due to the geographical location. Therefore, it has accommodated innumerable historical structures remain from the past civilizations. Protection and conservation of these historical constructions should be the major points for continuity of history. Crooked minaret is one of between these historical invaluable structures. It is located at the city of Aksaray and it dates back approximately 800 years. The minaret has lost its vertical position in time and bends on the North-West direction. In this study, general information is given about minarets and some restoration recommendations are given for crooked minaret based on performed some finite element structural analyses. These analyses are considered into three cases; 1-Dead loading, 2-Wind loading, and 3-Earthquake loadings. Results from the analyses are discussed detailed and some useful recommendations are given in the end of the study.

A NOTE ON GENERALIZATIONS OF BAILEY'S IDENTITY INVOLVING PRODUCTS OF GENERALIZED HYPERGEOMETRIC SERIES

  • Kilicman, Adem;Kurumujji, Shantha Kumari;Rathie, Arjun K.
    • Communications of the Korean Mathematical Society
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    • v.37 no.2
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    • pp.575-583
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    • 2022
  • In the theory of hypergeometric and generalized hypergeometric series, the well-known and very useful identity due to Bailey (which is a generalization of the Preece's identity) plays an important role. The aim of this research paper is to provide generalizations of Bailey's identity involving products of generalized hypergeometric series in the most general form. A few known, as well as new results, have also been obtained as special cases of our main findings.

Dickkopf-1 Levels in Turkish Patients with Bladder Cancer and its Association with Clinicopathological Features

  • Kaba, Mehmet;Pirincci, Necip;Benli, Erdal;Gecit, Ilhan;Gunes, Mustafa;Yuksel, Mehmet Bilgehan;Tok, Adem;Kemik, Ahu Sarbay
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.1
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    • pp.381-384
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    • 2014
  • Background: Evidence indicates that Dickkopf-1 (DKK-1) levels may be a biomarker for cancer risk. The aim of this study was to assess DKK-1 and its correlation with clinic-pathological features in patients with bladder cancer. Materials and Methods: DKK-1 levels were determined in serum samples from 90 patients with bladder cancer before transurethral tumor resection. The concentrations of DKK-1 were determined by using enzyme linked immune-sorbent assay (ELISA). Results: Elevated preoperative DKK-1 levels were associated with tumor stage (p<0.001), grade (p<0.001) and histological grade (p<0.001). Conclusions: The results of our study demonstrated that the level of serum DKK-1 is correlated with both disease progression and increase in the tumor grade. Preoperative serum DKK-1 elevation may thus represent a novel marker for the determination of bladder cancer and the detection of patients with a likely poor clinical outcome.

Investigation of the structural performance of a masonry domed mosque by experimental tests and numerical analysis

  • Seker, Burcin S.;Cakir, Ferit;Dogangun, Adem;Uysal, Habib
    • Earthquakes and Structures
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    • v.6 no.4
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    • pp.335-350
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    • 2014
  • Historical masonry mosques are the most important structures of Islamic societies. To estimate the static and dynamic behavior of these historical structures, an examination of their restoration studies is very important. In this study, Kara Mustafa Pasha Mosque, which was built as a domed mosque by Kara Mustafa Pasha between 1666-1667 in Amasya, Turkey, has been analyzed. This study investigates the structural behavior and architectural features of the mosque. In order to determine specific mechanical properties, compression and three-point bending tests were conducted on materials, which have similar age and show similar properties as the examined mosque. Additionally, a three-dimensional finite element model of the mosque was developed and the structural responses were investigated through static and dynamic analyses. The results of the analyses were focused on the stresses and displacements. The experimental test results indicate that the construction materials have greatly retained their mechanical properties over the centuries. The obtained maximum compression and tensile stresses from the analyses have been determined as smaller than the materials' strengths. However, the stresses calculated from dynamic analysis might cause structural problems in terms of tensile stresses.

Novel high performanced and fouling resistant PSf/ZnO membranes for water treatment

  • Sarihan, Adem;Eren, Erdal
    • Membrane and Water Treatment
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    • v.8 no.6
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    • pp.563-574
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    • 2017
  • Antibacterial effective, high performanced, novel ZnO embedded composite membranes were obtained by blendig ZnO nanoparticles with polysulfone. IR, TG/DTG, XRD and SEM analysis were performed to characterize structure and morphology of ZnO nanoparticles and composite membranes. Contact angle, EWC, porosity and pore structure properties of composite membranes were investigated. Cross-flow filtration studies were performed to investigation of performances of prepared membranes. It was found from the cross section SEM images that ZnO nanoparticles dispersed homogenously up to additive amount of 2% and the membrane skin layer thicknesses increased in the presence of ZnO. Contact angle of pure PSf membranes were reduced from $70^{\circ}$ to $55^{\circ}$ after addition of 4% ZnO. Porosity of composite membrane contains 1% ZnO was higher about 22% than pure PSf membrane. BSA rejection ratio and PWF of 0.5% ZnO embedded composite membrane became 2.2 and 2.3 times higher than pure PSf membrane. It was determined from flux recovery ratios that ZnO additive increased the fouling resistance of composite membranes. Also, the bacterial killing ability of ZnO is well known and there are many researches related to this in the literature. Therefore, it is expected that prepared composite membranes will show antibacterial effect.

Effects of Ensiling Alfalfa with Whole-crop Maize on the Chemical Composition and Nutritive Value of Silage Mixtures

  • Ozturk, Durmus;Kizilsimsek, Mustafa;Kamalak, Adem;Canbolat, Onder;Ozkan, Cagri Ozgur
    • Asian-Australasian Journal of Animal Sciences
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    • v.19 no.4
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    • pp.526-532
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    • 2006
  • The aim of this study was to evaluate the chemical composition, in vitro DM degradability, ME and OMD of alfalfa-maize silage mixtures in comparison to pure maize and alfalfa silages, and to test the existence of associative effects of ensiling alfalfa forage with whole-crop maize using the in vitro gas production technique. Ensiling alfalfa with whole-crop maize had a significant (p<0.001) effect on chemical composition, pH, in vitro DM degradability, OMD and estimated ME values of mixtures. DM content of the resultant silages significantly increased with increasing proportion of whole-crop maize in the mixtures, whereas the pH value, crude protein (CP), acid detergent fibre (ADF) and ash contents of mixtures decreased due to the dilution effect of whole-crop maize which was low in CP, ADF and ash. The pH values of all alfalfa-maize silage mixtures were at the desired level for quality silage. Gas production of alfalfa-maize silage mixtures at all incubation times except 12 h increased with increasing proportion of whole-crop maize. When alfalfa was mixed with whole-crop maize in the ratio 40:60, ME and OMD values were significantly (p<0.001) higher than other silages. Maximum gas production ($A_{gas}$) ranged from 65.7 to 78.1 with alfalfa silage showing the lowest maximum gas production. The results obtained in this study clearly showed that maximum gas production increased with increased percentage of whole-crop maize in the silage mixtures (r = 0.940, p<0.001). It was concluded that ensiling alfalfa with whole-crop maize improved the pH, OMD and ME values. However, trials with animals are required to see how these differences in silage mixtures affect animal performance.

The SOCS-1 -1478CA/del Polymorphism is not Associated with Colorectal Cancer or Age at Onset in Turkish Subjects

  • Hartavi, Mustafa;Kurt, Ender;Oral, Barbaros;Olmez, Omer Fatih;Cubukcu, Erdem;Deligonul, Adem;Avci, Nilufer;Manavoglu, Osman
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7583-7586
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    • 2013
  • Background: Suppressor of cytokine signaling (SOCS)-1 acts as a key regulator of many cytokine signaling pathways and its abnormal expression has been identified in several human malignancies, suggesting potential roles in carcinogenesis. The aim of this study was to investigate any association between the functional SOCS-1 -1478CA>del polymorphism and colorectal cancer (CC) as well as age at onset in a Turkish clinical sample. Materials and Methods: A total of 122 subjects were enrolled in this case-control study (70 CC cases and 52 controls). The SOCS-1 -1478CA>del polymorphism was genotyped using a polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) method. Results: The odds ratio of the del allele for CC relative to the CA allele was not significantly different between the groups (OR=0.71, 95% CI=0.41-1.22, p=0.27). This result did not change after adjustment for age and sex on multivariable regression analysis (OR=0.84, 95% CI=0.59-1.34, p=0.53). When the SOCS-1 -1478CA>del polymorphism was analyzed among CC patients in relation to the age at disease onset, we found no significant differences between subjects with the del/del, CA/del, and CA/CA genotypes. Conclusions: The results of our study did not point towards a major role of the SOCS-1 -1478CA>del polymorphism in the pathogenesis of CC in Turkish subjects.