• 제목/요약/키워드: Sakarya

검색결과 116건 처리시간 0.021초

Impact of Prognostic Factors on Survival Rates in Patients with Ovarian Carcinoma

  • Arikan, Sevim Kalsen;Kasap, Burcu;Yetimalar, Hakan;Yildiz, Askin;Sakarya, Derya Kilic;Tatar, Sumeyra
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권15호
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    • pp.6087-6094
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    • 2014
  • Purpose: The aim of the present study was to invesitigate the impact of significant clinico-pathological prognostic factors on survival rates and to identify factors predictive of poor outcome in patients with ovarian carcinoma. Materials and Methods: A retrospective chart review of 74 women with pathologically proven ovarian carcinoma who were treated between January 2006 and April 2011 was performed. Patients were investigated with respect to survival to find the possible effects of age, gravida, parity, menstruel condition, pre-operative Ca-125, treatment period, cytologic washings, presence of ascites, tumor histology, stage and grade, maximal tumor diameter, adjuvan chemotherapy and cytoreductive success. Also 55 ovarian carcinoma patients were investigated with respect to prognostic factors for early 2-year survival. Results: The two-year survival rate was 69% and the 5-year survival rate was 25.5% for the whole study population. Significant factors for 2-year survival were preoperative CA-125 level, malignant cytology and FIGO clinical stage. Significant factors for 5-year survival were age, preoperative CA-125 level, residual tumor, lymph node metastases, histologic type of tumor, malignant cytology and FIGO clinical stage. Logistic regression revealed that independent prognostic factors of 5-year survival were patient age, lymph node metastasis and malignant cytology. Conclusions: We consider quality registries with prospectively collected data to be one important tool in monitoring treatment effects in population-based cancer research.

Dietary Habits Contributing to the Cancer Prevention Among Health College Students in Turkey

  • Nogay, Nalan Hakime;Akinci, Ayse Cil;Sert, Havva;Kurtulus, Zeynep;Gedik, Selda
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권3호
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    • pp.963-968
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    • 2012
  • This descriptive study was made to evaluate the dietary habits contributing to cancer prevention of 319 health college students. Data collection form included questions about demographic characteristics and 33 statements which evaluate dietary habits contributing to cancer prevention. Among the students, 56.1% consumed fast food outside the home/dormitory twice a week or more and 47% never exercised. Moreover, 63.9% of the students reported that their dietary habits changed negatively and 69% stated that their fruit and vegetable consumption decreased after starting the health college. The students mostly paid attention to preserving food and water consumption while they paid least attention to maintaining healthy weight and whole grain consumption. Female students, those who paid attention to the amount and calorie of the food they consumed, students who did not consume fast food, and students who exercised twice a week or three times a week had better dietary habits contributing to cancer prevention (p<0.05). According to these results we recommend that interventions which will reduce fast food consumption and increase fruit and vegetable consumption and exercising in university students should be implemented. For this purpose, appropriate conditions for preparing and preserving healthy food should be provided as well as increasing the frequency of vegetable containing meals and providing fruits and salads in every meal at school cafeterias.

SOME NEW IDENTITIES CONCERNING THE HORADAM SEQUENCE AND ITS COMPANION SEQUENCE

  • Keskin, Refik;Siar, Zafer
    • 대한수학회논문집
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    • 제34권1호
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    • pp.1-16
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    • 2019
  • Let a, b, P, and Q be real numbers with $PQ{\neq}0$ and $(a,b){\neq}(0,0)$. The Horadam sequence $\{W_n\}$ is defined by $W_0=a$, $W_1=b$ and $W_n=PW_{n-1}+QW_{n-2}$ for $n{\geq}2$. Let the sequence $\{X_n\}$ be defined by $X_n=W_{n+1}+QW_{n-1}$. In this study, we obtain some new identities between the Horadam sequence $\{W_n\}$ and the sequence $\{X_n\}$. By the help of these identities, we show that Diophantine equations such as $$x^2-Pxy-y^2={\pm}(b^2-Pab-a^2)(P^2+4),\\x^2-Pxy+y^2=-(b^2-Pab+a^2)(P^2-4),\\x^2-(P^2+4)y^2={\pm}4(b^2-Pab-a^2),$$ and $$x^2-(P^2-4)y^2=4(b^2-Pab+a^2)$$ have infinitely many integer solutions x and y, where a, b, and P are integers. Lastly, we make an application of the sequences $\{W_n\}$ and $\{X_n\}$ to trigonometric functions and get some new angle addition formulas such as $${\sin}\;r{\theta}\;{\sin}(m+n+r){\theta}={\sin}(m+r){\theta}\;{\sin}(n+r){\theta}-{\sin}\;m{\theta}\;{\sin}\;n{\theta},\\{\cos}\;r{\theta}\;{\cos}(m+n+r){\theta}={\cos}(m+r){\theta}\;{\cos}(n+r){\theta}-{\sin}\;m{\theta}\;{\sin}\;n{\theta},$$ and $${\cos}\;r{\theta}\;{\sin}(m+n){\theta}={\cos}(n+r){\theta}\;{\sin}\;m{\theta}+{\cos}(m-r){\theta}\;{\sin}\;n{\theta}$$.

Investigation of photon, neutron and proton shielding features of H3BO3-ZnO-Na2O-BaO glass system

  • Mhareb, M.H.A.;Alajerami, Y.S.M.;Dwaikat, Nidal;Al-Buriahi, M.S.;Alqahtani, Muna;Alshahri, Fatimh;Saleh, Noha;Alonizan, N.;Saleh, M.A.;Sayyed, M.I.
    • Nuclear Engineering and Technology
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    • 제53권3호
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    • pp.949-959
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    • 2021
  • The current study aims to explore the shielding properties of multi-component borate-based glass series. Seven glass-samples with composition of (80-y)H3BO3-10ZnO-10Na2O-yBaO where (y = 0, 5, 10, 15, 20, 25 and 30 mol.%) were synthesized by melt-quench method. Various shielding features for photons, neutrons, and protons were determined for all prepared samples. XCOM, Phy-X program, and SRIM code were performed to determine and explain several shielding properties such as equivalent atomic number, exposure build-up factor, specific gamma-ray constants, effective removal cross-section (ΣR), neutron scattering and absorption, Mass Stopping Power (MSP) and projected range. The energy ranges for photons and protons were 0.015-15 MeV and 0.01-10 MeV, respectively. The mass attenuation coefficient (μ/ρ) was also determined experimentally by utilizing two radioactive sources (166Ho and 137Cs). Consistent results were obtained between experimental and XCOM values in determining μ/ρ of the new glasses. The addition of BaO to the glass matrix led to enhance the μ/ρ and specific gamma-ray constants of glasses. Whereas the remarkable reductions in ΣR, MSP, and projected range values were reported with increasing BaO concentrations. The acquired results nominate the use of these glasses in different radiation shielding purposes.

Quality of Life in Older Adults with Cochlear Implantation: Can It Be Equal to That of Healthy Older Adults?

  • Tokat, Taskin;Muderris, Togay;Bozkurt, Ergul Basaran;Ergun, Ugurtan;Aysel, Abdulhalim;Catli, Tolgahan
    • 대한청각학회지
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    • 제25권3호
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    • pp.138-145
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    • 2021
  • Background and Objectives: This study aimed to evaluate the audiologic results after cochlear implantation (CI) in older patients and the degree of improvement in their quality of life (QoL). Subjects and Methods: Patients over 65 years old who underwent CI at implant center in Bozyaka Training and Research Hospital were included in this study (n=54; 34 males and 20 females). The control group was patient over 65 years old with normal hearing (n=54; 34 males and 20 females). We administered three questionnaires [World Health Organization Quality of Life-BREF (WHOQOL-BREF), World Health Organization Quality of Life-OLD (WHOQOL-OLD)], and Geriatric Depression Scale (GDS) to evaluate the QoL, CIrelated effects on activities of daily life, and social activities in all the subjects. Moreover, correlations between speech recognition and the QoL scores were evaluated. The duration of implant use and comorbidities were also examined as potential factors affecting QoL. Results: The patients had remarkable improvements (the mean score of postoperative speech perception 75.7%) in speech perception after CI. The scores for the WHOQOL-OLD and WHOQOL-BREF questionnaire responses were similar in both the study and control groups, except those for a two subdomains (social relations and social participation). The patients with longer-term CI had higher scores than those with short-term CI use. In general, the changes in GDS scores were not significant (p<0.05). Conclusions: The treatment of hearing loss with CI conferred significant improvement in patient's QoL (p<0.01). The evaluation of QoL can provide multidimensional insights into a geriatric patient's progress and, therefore, should be considered by audiologists.

The effect of fiber reinforcement on behavior of Concrete-Filled Steel Tube Section (CFST) under transverse impact: Experimentally and numerically

  • Yaman, Zeynep
    • Structural Engineering and Mechanics
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    • 제82권2호
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    • pp.173-189
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    • 2022
  • This study presents an experimental and numerically study about the effects of fiber reinforcement ratio on the behavior of concrete-filled steel tubes (CFST) under dynamic impact loading. In literature have examined the behavior of GFRP and FRP wrapped strengthened CFST elements impact loads. However, since the direction of potential impact force isn't too exact, there is always the probability of not being matched the impact force of the area where the reinforced. Therefore, instead of the fiber textile wrapping method which strengthens only a particular area of CFST element, we used fiber-added concrete-filled elements which allow strengthening the whole element. Thus, the effect of fiber-addition in concrete on the behavior of CFST elements under impact loads was examined. To do so, six simply supported CFST beams were constructed with none fiber, 2% fiber and 10% fiber reinforcement ratio on the concrete part of the CFST beam. CFST beams were examined under two different impact loads (75 kg and 225 kg). The impactors hit the beam from a 2000 mm free fall during the experimental study. Numerical models of the specimens were created using ABAQUS finite element software and validated with experimental data. The obtained results such as; mid-span displacement, acceleration, failure modes and energies from experimental and numerical studies were compared and discussed. Furthermore, the Von Misses stress distribution of the CFST beams with different ratio of fiber reinforcements were investigated numerically. To sum up, there is an optimum amount limit of the fiber reinforcement on CFST beams. Up to this limit, the fiber reinforcement increases the structural performances of the beam, beyond that limit the fiber reinforcement decreases the performances of the CFST beam under transverse impact loadings.

Quality of Life in Older Adults with Cochlear Implantation: Can It Be Equal to That of Healthy Older Adults?

  • Tokat, Taskin;Muderris, Togay;Bozkurt, Ergul Basaran;Ergun, Ugurtan;Aysel, Abdulhalim;Catli, Tolgahan
    • Journal of Audiology & Otology
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    • 제25권3호
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    • pp.138-145
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    • 2021
  • Background and Objectives: This study aimed to evaluate the audiologic results after cochlear implantation (CI) in older patients and the degree of improvement in their quality of life (QoL). Subjects and Methods: Patients over 65 years old who underwent CI at implant center in Bozyaka Training and Research Hospital were included in this study (n=54; 34 males and 20 females). The control group was patient over 65 years old with normal hearing (n=54; 34 males and 20 females). We administered three questionnaires [World Health Organization Quality of Life-BREF (WHOQOL-BREF), World Health Organization Quality of Life-OLD (WHOQOL-OLD)], and Geriatric Depression Scale (GDS) to evaluate the QoL, CIrelated effects on activities of daily life, and social activities in all the subjects. Moreover, correlations between speech recognition and the QoL scores were evaluated. The duration of implant use and comorbidities were also examined as potential factors affecting QoL. Results: The patients had remarkable improvements (the mean score of postoperative speech perception 75.7%) in speech perception after CI. The scores for the WHOQOL-OLD and WHOQOL-BREF questionnaire responses were similar in both the study and control groups, except those for a two subdomains (social relations and social participation). The patients with longer-term CI had higher scores than those with short-term CI use. In general, the changes in GDS scores were not significant (p<0.05). Conclusions: The treatment of hearing loss with CI conferred significant improvement in patient's QoL (p<0.01). The evaluation of QoL can provide multidimensional insights into a geriatric patient's progress and, therefore, should be considered by audiologists.

Ultrasound-guided PENG block versus intraarticular corticosteroid injection in hip osteoarthritis: a randomised controlled study

  • Selin Guven Kose;Halil Cihan Kose;Feyza Celikel;Serkan Tulgar;Omer Taylan Akkaya
    • The Korean Journal of Pain
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    • 제36권2호
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    • pp.195-207
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    • 2023
  • Background: This study aimed to compare the effectiveness of the pericapsular nerve group (PENG) block and intra-articular injection (IAI) of steroid-bupivacaine in the treatment of hip osteoarthritis (OA). Methods: After randomization, patients received either a PENG block or IAI under ultrasound-guidance. Clinical evaluations were recorded at baseline, day 1, and weeks 1, 4, and 8 post-intervention. The numerical rating scale (NRS), Western Ontario and McMaster Universities Arthritis Index (WOMAC), Harris Hip Scale (HHS) scores, pain medication use determined by a quantitative analgesic questionnaire, and patient satisfaction were evaluated. Results: Sixty patients were included in this study. NRS scores improved significantly for both groups during the follow-up compared to pretreatment (P < 0.001), with better pain scores for the PENG group (P < 0.001) at day 1 with larger effect size (Cohen's d = 4.62), and IAI group at 4 (Cohen's d = 5.15) and 8 (Cohen's d = 4.33) weeks (P < 0.001). There was no significant difference in pain medication consumption (P = 0.499) and patient satisfaction (P = 0.138) between groups. Patients in the IAI group experienced significant improvement in HHS (Cohen's d = 2.16, P = 0.007) and WOMAC (Cohen's d = 1.02, P = 0.036) scores at 8 weeks compared to the PENG group. Conclusions: The ultrasound-guided PENG block provides effective pain relief which improves functionality and quality of life in hip OA patients up to 2 months. The PENG block can be considered an easy, safe, and useful alternative treatment modality for hip OA.

아나톨리아 반도의 지질구조: 대륙 충돌에 따른 구조적 성장 (Geologic Structure of the Anatolian Peninsula: Tectonic Growth of Collisional Continental Margins)

  • 유인창
    • 자원환경지질
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    • 제45권4호
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    • pp.465-476
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    • 2012
  • 아나톨리아 반도는 북쪽의 폰타이드 지판, 남쪽의 아나톨리드-토우리드 지판 및 남동쪽의 아라비안 석회암 대지를 포함하는 몇 개의 대륙 조각들로 구성되어 있다. 이러한 대륙 조각들은 제 3기 말에 하나의 대륙으로 병합되었으나 현생 이언 동안에는 고테티스해와 신테티스해와 같은 고해양에 의해 분리되어 있었다. 북쪽에 위치하는 폰타이드 지판은 고생대 동안에 바리스칸 조산운동과 중생대 동안의 키메리안 조산운동을 받은 증거들을 보존하고 있으며 비교적 약한 알파인 조산운동의 영향을 받는 등 라우라시아 대륙과 비슷한 지체구조 발달사를 보인다. 폰타이드 지판은 스트랜드자대, 이스탄불대, 사카라야대로 세분되며 이들은 백악기 중기에 하나의 지판으로 병합되었다. 남쪽에 위치하는 아나톨리드-토우리드 지판은 삼첩기에 곤드와나 대륙으로부터 분리되어 중생대 동안에 광역적인 탄산염 대지로 존재하는 등 곤드와나 대륙과 비슷한 지체구조 발달사를 보인다. 아나톨리드-토우리드 지판은 알파인 조산운동 시기에 의해 심하게 변형되었고 부분적으로 변성작용을 받아 변형과 변성의 시기와 형태를 기준으로 세분될 수 있다. 남동쪽에 위치하는 아라비안 석회암 대지는 아라비아 판의 북쪽 연장으로 고생대 동안에는 탄산염암이, 중생대 동안에는 쇄설성 퇴적암이 우세한 아나톨리드-토우리드 지판과 비슷한 층서를 보인다. 이러한 지판들이 마지막으로 합병된 이후 올리고세와 마이오세 동안에는 새로운 구조운동의 시기가 있었다. 이러한 신기구조운동은 주향이동성 단층작용과 확장, 육성 퇴적작용, 광역적인 칼크-알카리 계열의 화성작용 등으로 특징지어 지며 이러한 신기 구조운동은 아나톨리아 반도의 오늘날의 지형을 형성하는데 매우 중요한 역할을 하였다.

XELOX Plus Bevacizumab vs. FOLFIRI Plus Bevacizumab Treatment for First-line Chemotherapy in Metastatic Colon Cancer: a Retrospective Study of the Anatolian Society of Medical Oncology

  • Duran, Ayse Ocak;Karaca, Halit;Besiroglu, Mehmet;Bayoglu, Ibrahim Vedat;Menekse, Serkan;Yapici, Heves Surmeli;Yazilitas, Dogan;Bahceci, Aykut;Uysal, Mukremin;Sevinc, Alper;Hacibekiroglu, Ilhan;Aksoy, Asude;Tanriverdi, Ozgur;Arpaci, Erkan;Inanc, Mevlude;Dane, Faysal;Ozkan, Metin
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권23호
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    • pp.10375-10379
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    • 2015
  • Background: XELOX plus bevacizumab (XELOX-Bev) and FOLFIRI plus Bevacizumab (FOLFIRI - Bev) treatments are an effective strategies patients with metastatic colorectal cancer (mCRC).The aim of this study was to compare efficacy of first-line XELOX-Bev treatment vs FOLFIRI-Bev treatment for mCRC. Materials and Methods: A total of 409 patients with mCRC who received chemotherapy were included and divided into 2 groups. Group 1 (n=298) received XELOX-Bev and Group 2 (n=111) FOLFIRI-Bev. Comparisons were made in terms of overall (OS) and progression-free (PFS) survival, response rate (RR), and grade 3-4 toxicity. Results: Median follow-up was 11 months in Group 1 and 15 months for Group 2. Complete remission was observed in 29 (9.7%) and 2 (1.8%) patients, partial remission in 139 (46.6%) and 27 (24.5%), stable disease in 88 (29.5%) and 49 (44.1%) and progressive disease in 42 (14.1%) and 33 (30.0%) patients in Group 1 and 2, respectively. Median OS was 25 months (range 2-57 months, 95%CI; 22.2-27.7) for Group 1 and 20 months (range 1-67 months, 95%CI; 16.8-23.1) for Group 2 (p=0.036). Median PFS was 9.6 months (range 2-36 months, 95%CI; 8.8-10.4) for Group 1 and 9 months (range 1-44 months, 95%CI; 7.4-10.5) for Group 2 (p=0.019). Objective RR was 56.4% in Group 1 and 26.1% in Group 2 (p<0.001). Conclusions: First-line XELOX-Bev is more effective with a better response rate, prolongation of median PFS/OS, and a superior safety profile compared with FOLFIRI-Bev.