• Asian Pacific Journal of Cancer Prevention
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• v.15 no.17
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• pp.7321-7326
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• 2014

Background: Sexual health and function frequently are overlooked by healthcare professionals despite being identified as an essential aspect of patient care. Patients with cancer have identified sexuality issues as being of equal importance to other quality-of-life issues. Objectives: The aim of this study was to determine the views and attitudes of oncology nurses caring for cancer patients regarding sexual counseling. Participants and Methods: A descriptive cross-sectional study was conducted on the web site of the Turkish Oncology Nurses Association. With the participation of 87 nurses from oncology departments, the study determined that most nurses do not evaluate and counsel patients regarding their sexual problems and many difficulties prevent them from focussing on sexual health. The most important reasons for ignoring sexual counseling were the absence of routine regarding sexual counseling in oncology departments, the belief that the patient may become ashamed and the nurses' self-evaluation that they have insufficient skills and education to counsel in this subject. Conclusions: The most important variables in sexual evaluation and counseling are long years of service in the profession and a postgraduate degree.

• Computers and Concrete
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• v.12 no.4
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• pp.413-429
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• 2013

The primary aim of this study is to develop a three dimensional finite element (FE) model to predict the axial stress-strain relationship and ultimate strength of the FRP-wrapped UHPC columns by comparing experimental results. The reliability of four selected confinement models and three design codes such as ACI-440, CSA-S806-02, and ISIS CANADA is also evaluated in terms of agreement with the experimental results. Totally 6 unconfined and 36 different types of the FRP-wrapped UHPC columns are tested under monotonic axial compression. The values of ultimate strengths of FRP-wrapped UHPC columns obtained from the experimental results are compared and verified with finite element (FE) analysis results and the design codes mentioned above. The concrete damage plasticity model (CDPM) in Abaqus is utilized to represent the confined behavior of the UHPC. The results indicate that agreement between the test results and the non-linear FE analysis results is highly satisfactory. The CSA-S806-02 design code is considered more reliable than the ACI-440 and the ISIS CANADA design codes to calculate the ultimate strength of the FRP-wrapped UHPC columns. None of the selected confinement models that are developed for FRP-wrapped low and normal strength concrete columns can safely predict the ultimate strength of FRP-wrapped UHPC columns.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.12
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• pp.4859-4862
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• 2015

Background: Fatigue, stress and pain are common symptoms among cancer patients, affecting the quality of life. The purpose of the present study was to determine the effect of distant Reiki on pain, anxiety and fatigue in oncology patients. Materials and Methods: Participants in the control group received usual medical and nursing care during their stay. The intervention group received usual care plus five distant Reiki sessions, one each night for 30 min. A face to face interview was performed and patient personal and illness related characteristics were evaluated using the Patient Characteristics form. Pain, stress and fatigue were evaluated according to a numeric rating scale. Results: The experimental group was predominantly composed of women (71.4%), married individuals (40%), and primary school graduates (40%). The control group was predominantly male (72.7%), married (60%), and primary school graduates (60%). The control group demonstrated greater levels of pain (p=0.002), stress (p=0.001) and fatigue (p=0.001). The Reiki group pain score (p <0.0001), stress score (p <0.001) and fatigue score were also significantly lower. Conclusions: The results of this study indicate that Reiki may d ecreasepain, anxiety and fatigue in oncology patients.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.10
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• pp.5693-5697
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• 2013

Background: Changes in the attitudes and behavior of relatives of breast cancer patients concerning cancer prevention and screening after diagnosis in a loved one were evaluated. Materials and Methods: Forty-three questions were used to collect data from the relatives of the breast cancer patients who had been living with their relatives for at least one year. Results: The study group was composed of 171 female relatives (median age: 43, range: 17-82 yr). After the patients were diagnosed with breast cancer, changes in the attitudes and behavior of their relatives toward the prevention and screening of cancer were evident in 78 (45.6%) of the study participants (e.g. eating habits, quit or reduced smoking, exercise habits). In addition, it was noted that some characteristics of the relatives had different effects on different attitudes and behavior. Conclusions: Awareness on breast cancer among the relatives of breast cancer patients is useful for the management of health and social problems that can be seen in these individuals. At the same time, this information could help countries determine whether their actual level of healthcare for early cancer diagnosis, prevention, and screening are adequate.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.10
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• pp.4261-4264
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• 2015

The aim of the study was to evaluate the level of anxiety and pain in women with breast cancer. Patients who had been treated with modified radical mastectomy or breast conserving surgery were included. Data were gathered using the state-trait anxiety inventory and the visual analog scale. The pain levels and analgesic consumption of the patients were evaluated after surgery. The study sample consisted of 150 women. The mean age of the participants was $50.54{\pm}10.02$. Most of the patients (58%) received breast conserving surgery. The mean state anxiety score was $44.74{\pm}11.91$, and the mean trait anxiety score was $48.78{\pm}9.48$ before surgery. The mean pain level on the first day following surgery was $3.26{\pm}1.91$ and analgesic consumption was $2.98{\pm}1.08$. There was no correlation between patient pain and anxiety levels. There was very slightly positive correlation between trait anxiety and total analgesic consumption. Assessing the levels of anxiety in breast cancer patients before surgery may contribute to the determination of postoperative pain.

• Food Science and Biotechnology
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• v.18 no.1
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• pp.79-83
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• 2009

Acidolysis of olive oil with omega-3 (n-3) polyunsaturated fatty acids (PUFAs) was carried out to produce a structured lipid. Novozym $435^{(R)}$ from Candida antarctica was used as the biocatalyst. Response surface methodology (RSM) was used to determine optimum conditions for lipase-catalyzed enrichment of olive oil. Three factors, 5 levels, central composite design was used. The effects of incubation time, temperature, and substrate mole ratio on incorporation ratio (n-3 fatty acids/total fatty acids, %) were investigated. From the evaluation of response surface graphs, the optimal conditions for incorporation of long chain n-3 PUFAs into olive oil were $40-60^{\circ}C$ for temperature, 30-45 hr for reaction time, and 3:1-5:1 (n-3 fatty acids/olive oil) for substrate mole ratio. Experiments conducted under optimized conditions predicted by the model equation obtained from RSM yielded structured lipids with 50.8% n-3 PUFAs. This value agreed well with that predicted by the model. Oxidative stability tests showed that the product was more susceptible to oxidation than unmodified olive oil. Antioxidant addition improved the oxidative stability of the product.

• Steel and Composite Structures
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• v.19 no.5
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• pp.1185-1201
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• 2015

The aim of this experimental research is to investigate the conformity of the four-bolt unstiffened moment end-plate connections consisting of European steel sections which do not meet the limitations specified for beam flange width and overall beam depth in ANSI/AISC 358-10 to the requirements of seismic application. However, the connections are satisfactory with the limitations required by Turkish Earthquake Code. For this purpose, four test specimens were designed and cyclic load was applied to three specimens while one was tested under monotonic loading to provide data for the calibration of the analytical models. The moment-rotation hysteresis loops and the failure modes for all test specimens are presented. A full three-dimensional finite element model is also developed for each test specimen for use to predict their behavior and to provide a tool for generating subsequent extensive parametric studies. The test results show that all specimens performed well in terms of rotation capacity and strength. Finite element models are found to be capable of approximating the cyclic behavior of the extended end-plate connection specimens.

• Environmental Engineering Research
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• v.24 no.4
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• pp.543-558
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• 2019

In comparison to alternative advanced wastewater treatment technologies, the main problem associated with membrane bioreactor (MBR) technology, which has become prominent in recent years, is biofouling. Within these systems, biofouling is typically the result of a biofilm layer resulting from bacterial gathering. One biological system that can be employed to interrupt the process of bacterial gathering is called 'Quorum Quenching (QQ)'. Existing QQ applications can be classified using three main types: 1) bacterial/whole-cell applications, 2) direct enzyme applications, and 3) natural sourced compounds. The most common and widely recognized applications for membrane fouling control during MBR operation are bacterial and direct enzyme applications. The purpose of this review was to identify and assess biofilm formation mechanism and results, the suggestion of the QQ concept and its potential to control biofilm formation, and the means by which these QQ applications can be applied within the MBR and present QQ MBR studies.

• The Journal of Asian Finance, Economics and Business
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• v.7 no.10
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• pp.9-21
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• 2020

The aim of this paper is to predict the Borsa Istanbul (BIST) 30 index movements to determine the most accurate buy and sell decisions using the methods of Artificial Neural Networks (ANN) and Genetic Algorithm (GA). We combined these two methods to obtain a hybrid intelligence method, which we apply. In the financial markets, over 100 technical indicators can be used. However, several of them are preferred by analysts. In this study, we employed nine of these technical indicators. They are moving average convergence divergence (MACD), relative strength index (RSI), commodity channel index (CCI), momentum, directional movement index (DMI), stochastic oscillator, on-balance volume (OBV), average directional movement index (ADX), and simple moving averages (3-day moving average, 5-day moving average, 10-day moving average, 14-day moving average, 20-day moving average, 22-day moving average, 50-day moving average, 100-day moving average, 200-day moving average). In this regard, we combined these two techniques and obtained a hybrid intelligence method. By applying this hybrid model to each of these indicators, we forecast the movements of the Borsa Istanbul (BIST) 30 index. The experimental result indicates that our best proposed hybrid model has a successful forecast rate of 75%, which is higher than the single ANN or GA forecasting models.

• Structural Engineering and Mechanics
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• v.18 no.2
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• pp.167-194
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• 2004

In this paper axial loading tests on low strength concrete members, which were confined with various thickness of carbon fiber reinforced polymer (CFRP) composite sheets are described. Totally 46 specimens with circular, square and rectangular cross-sections with unconfined concrete compressive strengths between 6 and 10 MPa were included in the test program. During the tests, a photogrammetrical deformation measurement technique was also used, as well as conventional measurement techniques. The contribution of external confinement with CFRP composite sheets to the compressive behavior of the specimens with low strength concrete is evaluated quantitatively, in terms of strength, longitudinal and lateral deformability and energy dissipation. The effects of width/depth ratios and the corner radius of the specimens with rectangular cross-section on the axial behavior were also examined. It was seen that the effectiveness of the external confinement with CFRP composite sheets is much more pronounced, when the unconfined concrete compressive strength is relatively lower. It was also found that the available analytical expressions proposed for normal or high strength concrete confined by CFRP sheets could not predict the strength and deformability of CFRP confined low strength concrete accurately. New expressions are proposed for the compressive strength and the ultimate axial strain of CFRP confined low strength concrete.