• Restorative Dentistry and Endodontics
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• 제48권4호
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• pp.34.1-34.12
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• 2023

This systematic review aimed to investigate whether minimally invasive root canal preparation ensures higher fracture resistance compared to conventional root canal preparation in endodontically treated teeth (ETT). A comprehensive search strategy was conducted on the "PubMed, Web of Science, and Scopus" databases, alongside reference and hand searches, with language restrictions applied. Two independent reviews selected pertinent laboratory studies that explored the effect of minimally invasive root canal preparation on fracture resistance, in comparison to larger preparation counterparts. The quality of the studies was assessed, and the risk of bias was categorized as low, moderate, or high. The electronic search yielded a total of 1,767 articles. After applying eligibility criteria, 8 studies were included. Given the low methodological quality of these studies and the large variability of fracture resistance values, the impact of reduced apical size and/or taper on the fracture resistance of the ETT can be considered uncertain. This systematic review could not reveal sufficient evidence regarding the effect of minimally invasive preparation on increasing fracture resistance of ETT, primarily due to the inherent limitations of the studies and the moderate risk of bias.

• Structural Engineering and Mechanics
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• 제88권1호
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• pp.13-23
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• 2023

Seismic risk assessment studies are one of the most crucial instruments for mitigating casualties and economic losses. This work utilizes fragility curves to evaluate the seismic risk of single-story precast buildings, which are generally favored in Marmara's organized industrial zones. First, the precast building stock in the region has been categorized into nine sub-classes. Then, seven locations in the Marmara region with a high concentration of industrial activities are considered. Probabilistic seismic hazard assessments were conducted for both the soil-dependent and soil-independent scenarios. Subsequently, damage analysis was performed based on the structural capacity and mean fragility curves. Considering four different consequence models, 630 sub-class-specific loss curves for buildings were obtained. In the current study, it has been determined that the consequence model has a significant impact on the loss curves, hence, average loss curves were computed for each case investigated. In light of the acquired results, it was found that the loss ratio values obtained at different locations within the same region show significant variation. In addition, it was observed that the structural damage states change from serviceable to repairable or repairable to unrepairable. Within the scope of the study, 126 average loss functions were presented that could be easily used by non-experts in earthquake engineering, regardless of structural analysis. These functions, which offer loss ratios for varying hazard levels, are valuable outputs that allow preliminary risk assessment in the region and yield sensible outcomes for insurance activities.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제27권3호
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• pp.146-157
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• 2024

Purpose: Celiac disease (CD) is one of the most prevalent food-related illnesses in children, with a global prevalence of approximately 1.4%. CD can create an emotional burden, particularly on mothers, who are mainly responsible for managing challenges related to adherence to a gluten-free diet, high food costs, and food problems in schools and social areas. There is a gap in the literature, and parental experiences of raising children with CD should be explicitly examined. This qualitative study sought to provide insights into the experiences of parents raising a child with CD in the Turkish context. Methods: This study used a descriptive qualitative research methodology and conducted individual semi-structured video-based dyadic interviews with 19 parents. Results: Participants experienced both challenges and motivators through management of their children's CD. Analyses of the interview transcripts through the data uncovered three main themes focusing primarily on parental concerns: (1) parental challenges in child's disease management, (2) supportive care needs, and (3) parental expectations. Conclusion: A multidisciplinary team should approach the child and family immediately after diagnosis, and facilities should support parents with continuing education and psychological, financial, and social assistance.

• Advances in concrete construction
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• 제6권2호
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• pp.199-220
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• 2018

In this study, the effects of sulphuric acid on the mechanical performance and the durability of Engineered Cementitious Composites (ECC) specimens were investigated. The carbon fiber reinforced polymer (CFRP) and basalt fiber reinforced polymer (BFRP) fabrics were used to evaluate the performances of the confined and unconfined ECC specimens under static and cyclic loading in the acidic environment. In addition, the use of CFRP and BFRP fabrics as a rehabilitation technique was also studied for the specimens exposed to the sulphuric acid environment. The polyvinyl alcohol (PVA) fiber with a fraction of 2% was used in the research. Two different PVA-ECC concretes were produced using low lime fly ash (LCFA) and high lime fly ash (HCFA) with the fly ash-to-OPC ratio of 1.2. Unwrapped PVA-ECC specimens were also produced as a reference concrete and all concrete specimens were continuously immersed in 5% sulphuric acid solution ($H_2SO_4$). The mechanical performance and the durability of specimens were evaluated by means of the visual inspection, weight change, static and cyclic loading, and failure mode. In addition, microscopic changes of the PVA-ECC specimens due to sulphuric acid attack were also assessed using scanning electron microscopy (SEM) to understand the macroscale behavior of the specimens. Results indicated that PVA-ECC specimens produced with low lime fly ash (LCFA) showed superior performance than the specimens produced with high lime fly ash (HCFA) in the acidic environment. In addition, confinement of ECC specimens with BFRP and CFRP fabrics significantly improved compressive strength, ductility, and durability of the specimens. PVA-ECC specimens wrapped with carbon FRP fabric showed better mechanical performance and durability properties than the specimens wrapped with basalt FRP fabric. Both FRP materials can be used as a rehabilitation material in the acidic environment.

• Asian Pacific Journal of Cancer Prevention
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• 제16권5호
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• pp.2003-2007
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• 2015

Background: Elevated serum alpha-fetoprotein (AFP) levels in adults are considered abnormal. This parameter is used mostly in the diagnosis and follow-up of hepatocellular carcinomas and yolk sac tumors. Among the other rare tumors accompanied with elevated serum AFP levels, gastric cancer is the most common. In this study, we evaluated the follow-up and comparison of the treatment and marker response of patients with metastatic gastric cancer who had elevated serum AFP levels. Materials and Methods: We performed a retrospective study, including all consecutive patients with advanced gastric cancer, who received systemic chemotherapy with elevated AFP level. Results: Seventeen metastatic gastric cancer patients with elevated AFP levels at the time of diagnosis were evaluated. Fourteen (82.4%) were males and three (17.6%) were females. The primary tumor localization was the gastric body in 8 (76.4%), cardia in 7 (41.2%), and antrum in 2 (11.8%). Hepatic metastasis was observed in 13 (76.4%) at the time of diagnosis. When the relationship of AFP levels and carcinoembryonic antigen (CEA) response of the patients with their radiologic responses was evaluated, it was found that the radiologic response was compatible with AFP response in 16 (94.1%) patients and with CEA response in 12 (70.6%); however, in 5 (29.4%) patients no accordance was observed between radiological and CEA responses. Conclusions: Follow-up of AFP levels in metastatic gastric cancer patients with elevated AFP levels may allow prediction of early treatment response and could be more useful than the CEA marker for follow-up in response evaluation.

• Asian Pacific Journal of Cancer Prevention
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• 제16권5호
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• pp.1913-1917
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• 2015

Background: Oesophageal squamous cell carcinoma (ESCC) is endemic in the Eastern Anatolian region of Turkey. The present study was performed to identify risk factors for ESCC that specifically reflect the demography and nutritional habits of individuals living in this region. Materials and Methods: The following parameters were compared in 208 ESCC patients and 200 control individuals in the Eastern Anatolian region: age, sex, place of living, socioeconomic level, education level, smoking, alcohol intake, nutritional habits, and food preservation methods. Results: The mean age of ESCC patients was 56.2 years, and 87 (41.8%) were 65 years-old or older. The ratio of women to men in the patient group was 1.39/1. ESCC patients consumed significantly less fruit and yellow or green vegetables and more hot black tea, 'boiled yellow butter', and mouldy cheese than did control individuals. Residence in rural areas, smoking, and cooking food by burning animal manure were also significantly associated with ESCC. Conclusions: The consumption of boiled yellow butter and mouldy cheese, which are specific to the Eastern Anatolian region, and the use of animal manure for food preparation were identified as risk factors in this region. Further studies are required to potentially identify the carcinogenic substances that promote the development of ESCC in this region.

• Earthquakes and Structures
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• 제10권5호
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• pp.1233-1251
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• 2016

In this paper, it is aimed to determine the stochastic response of a suspension bridge subjected to spatially varying ground motions considering the geometric nonlinearity. Bosphorus Suspension Bridge built in Turkey and connects Europe to Asia in Istanbul is selected as a numerical example. The spatial variability of the ground motion is considered with the incoherence, wave-passage and site-response effects. The importance of site-response effect which arises from the difference in the local soil conditions at different support points of the structure is also investigated. At the end of the study, mean of the maximum and variance response values obtained from the spatially varying ground motions are compared with those of the specialised cases of the ground motion model. It is seen that each component of the spatially varying ground motion model has important effects on the dynamic behaviour of the bridge. The response values obtained from the general excitation case, which also includes the site-response effect causes larger response values than those of the homogeneous soil condition cases. The variance values calculated for the general excitation case are dominated by dynamic component at the deck and Asian side tower. The response values obtained for the site-response effect alone are larger than the response values obtained for the incoherence and wave-passage effects, separately. It can be concluded that suspension bridges are sensitive to the spatial variability of ground motion. Therefore, the incoherence, the wave-passage and especially the site-response effects should be considered in the stochastic analysis of this type of engineering structures.

• Earthquakes and Structures
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• 제14권4호
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• pp.313-322
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• 2018

The present study is dedicated to investigate the SH body-as well as Love-waves propagation effects in porous media with uncertain porosity and permeability. A unified formulation of the governing equations for one-dimensional (1-D) wave propagation in anisotropic porous layered media is presented deterministically. The uncertainties around the above two cited parameters are taken into account by random fields with the help of Monte Carlo Simulations (MCS). Random samples of the porosity and the permeability are generated according to the normal and lognormal distribution functions, respectively, with a mean value and a coefficient of variation for each one of the two parameters. After performing several thousands of samples, the mathematical expectation (mean) of the solution of the wave propagation equations in terms of amplification functions for SH waves and in terms of dispersion equation for Love-waves are obtained. The limits of the Love wave velocity in a porous soil layer overlaying a homogeneous half-space are obtained where it is found that random variations of porosity change the zeros of the wave equation. Also, the increase of uncertainties in the porosity (high coefficient of variation) decreases the mean amplification function amplitudes and shifts the fundamental frequencies. However, no effects are observed on both Love wave dispersion and amplification function for random variations of permeability. Lastly, the present approach is applied to a case study in the Adapazari town basin so that to estimate ground motion accelerations lacked in the fast-growing during the main shock of the damaging 1999 Kocaeli earthquake.

• Journal of Korean Neurosurgical Society
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• 제58권5호
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• pp.454-461
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• 2015

Objective : In this study, we aimed to investigate the underlying ethiological factors in chiari malformation (CM) type-I (CMI) via performing volumetric and morphometric length-angle measurements. Methods : A total of 66 individuals [33 patients (20-65 years) with CMI and 33 control subjects] were included in this study. In sagittal MR images, tonsillar herniation length and concurrent anomalies were evaluated. Supratentorial, infratentorial, and total intracranial volumes were measured using Cavalieri method. Various cranial distances and angles were used to evaluate the platybasia and posterior cranial fossa (PCF) development. Results : Tonsillar herniation length was measured $9.09{\pm}3.39mm$ below foramen magnum in CM group. Tonsillar herniation/concurrent syringomyelia, concavity/defect of clivus, herniation of bulbus and fourth ventricle, basilar invagination and craniovertebral junction abnormality rates were 30.3, 27, 18, 2, 3, and 3 percent, respectively. Absence of cisterna magna was encountered in 87.9% of the patients. Total, IT and ST volumes and distance between Chamberlain line and tip of dens axis, Klaus index, clivus length, distance between internal occipital protuberance and opisthion were significantly decreased in patient group. Also in patient group, it was found that Welcher basal angle/Boogard angle increased and tentorial slope angle decreased. Conclusion : Mean cranial volume and length-angle measurement values significantly decreased and there was a congenital abnormality association in nearly 81.5 percent of the CM cases. As a result, it was concluded that CM ethiology can be attributed to multifactorial causes. Moreover, congenital defects can also give rise to this condition.

• Structural Engineering and Mechanics
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• 제23권4호
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• pp.409-430
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• 2006

The aim of this study is to investigate the reliability of strong motion records processed by causal and acausal Butterworth filters in comparison to the results obtained from a synthetic accelerogram. For this purpose, the fault parallel component of the Bolu record of the Duzce earthquake is modeled with a sum of exponentially damped sinusoidal components. Noise-free velocities and displacements are then obtained by analytically integrating the synthetic acceleration model. The analytical velocity and displacement signals are used as a standard with which to judge the validity of the signals obtained by filtering with causal and acausal filters and numerically integrating the acceleration model. The results show that the acausal filters are clearly preferable to the causal filters due to the fact that the response spectra obtained from the acausal filters match the spectra obtained from the simulated accelerogram better than that obtained by causal filters. The response spectra are independent from the order of the filters and from the method of integration (whether analytical integration after a spline fit to the synthetic accelerogram or the trapezoidal rule). The response spectra are sensitive to the chosen corner frequency of both the causal and the acausal filters and also to the inclusion of the pads. Accurate prediction of the static residual displacement (SRD) is very important for structures traversing faults in the near-fault regions. The greatest adverse effect of the high pass filters is their removal of the SRD. However, the noise-free displacements obtained by double integrating the synthetic accelerogram analytically preserve the SRD. It is thus apparent that conventional high pass filters should not be used for processing near-fault strong-motion records although they can be reliably used for far-fault records if applied acausally. The ground motion parameters such as ARIAS intensity, HUSID plots, Housner spectral intensity and the duration of strong-motion are found to be insensitive to the causality of filters.