Malatya İli Çayırköy Mahallesi’ndeki Donatısız Yığma Yapıların Hasar Tespit Çalışmaları Örneği Üzerinden Mimarın Rolünün Değerlendirilmesi

Çalışma, mimarların deprem sonrası hasar tespitindeki kritik rolüne odaklanmaktadır. Hasar tespit çalışmaları sırasında mimarlar, inşaat mühendisleriyle iş birliği içinde deprem sonrası yapı hasarlarını analiz ederek, duvarlardaki çatlaklar ve taşıyıcı elemanların durumunu detaylı bir şekilde inceleyerek, yapının hasar derecelerini belirlemektedirler. Bu çalışma, mimarların, yapıların deprem sonrası durumunu değerlendirme sürecinde önemli bir rol üstlenebileceğini ve deprem risklerine karşı alınacak önlemlerde multidisipliner çalışmaların önemini, Malatya İli Çayırköy Mahallesi’ndeki Donatısız Yığma Yapılar hasar tespit çalışmaları özelinde, vurgulamaktadır. Sahadan örneklerle birlikte donatısız yığma yapı stoğunun deprem sonrası durumunun gösterildiği bu çalışmada, mevcut kırsal konut stoğunun deprem yüküne dayanıksız olduğu bir kez daha ortaya konmuştur. Afet sonrasında ve hatta afet öncesinde yapılı çevrenin oluşumunda ve korunmasında mimar – mühendis işbirliğinin önemini gösteren bu incelemenin, ileride yapılacak farklı araştırmalar içinde önemli bir bilgi kaynağı olacağı düşünülmektedir

Cepstral Peak Point Analyses of Patients Recovering from Supraglottic Laryngectomy

Objective:The aim of this study is to evaluate smoothed cepstral peak point and laryngostrobosopic results in patients who underwent supraglottic laryngectomy.Method:Ten patients who underwent transcervical supraglottic laryngectomy with bilateral modified radical neck dissection, and who completed at least 12 months of follow-up, were included. All patients underwent laryngostroboscopic evaluation at study commencement; glottal closure and mucosal wave pattern were examined. Voice records were taken at fundamental frequency and smoothed cepstral peak point were analysed. Voice handicap index-10 was requested to be completed. Ten healthy individual constituted control group. Results were compared.Results:The mean smoothed cepstral peak points were 1.53-5.91 in the supraglottic laryngectomy group and 4.6-6.06 in controls, a significant difference. The fundamental frequency ranged from 174.49 to 197.25 Hz in the supraglottic laryngectomy group and from 118.57 to 197.61 Hz in the control group, also a significant difference. Laryngostroboscopic evaluation revealed no significant between-group differences in closure, but the mucosal waves differed significantly. Voice handicap index was significantly lower in supraglottic laryngectomy patients.Conclusion:Supraglottic laryngectomy reduces smoothed cepstral peak point and affects the mucosal wave, reducing voice quality

Diagnosis of comorbid migraine without aura in patients with idiopathic/genetic epilepsy based on the gray zone approach to the International Classification of Headache Disorders 3 criteria

BackgroundMigraine without aura (MwoA) is a very frequent and remarkable comorbidity in patients with idiopathic/genetic epilepsy (I/GE). Frequently in clinical practice, diagnosis of MwoA may be challenging despite the guidance of current diagnostic criteria of the International Classification of Headache Disorders 3 (ICHD-3). In this study, we aimed to disclose the diagnostic gaps in the diagnosis of comorbid MwoA, using a zone concept, in patients with I/GEs with headaches who were diagnosed by an experienced headache expert.MethodsIn this multicenter study including 809 consecutive patients with a diagnosis of I/GE with or without headache, 163 patients who were diagnosed by an experienced headache expert as having a comorbid MwoA were reevaluated. Eligible patients were divided into three subgroups, namely, full diagnosis, zone I, and zone II according to their status of fulfilling the ICHD-3 criteria. A Classification and Regression Tree (CART) analysis was performed to bring out the meaningful predictors when evaluating patients with I/GEs for MwoA comorbidity, using the variables that were significant in the univariate analysis.ResultsLonger headache duration (<4 h) followed by throbbing pain, higher visual analog scale (VAS) scores, increase of pain by physical activity, nausea/vomiting, and photophobia and/or phonophobia are the main distinguishing clinical characteristics of comorbid MwoA in patients with I/GE, for being classified in the full diagnosis group. Despite being not a part of the main ICHD-3 criteria, the presence of associated symptoms mainly osmophobia and also vertigo/dizziness had the distinguishing capability of being classified into zone subgroups. The most common epilepsy syndromes fulfilling full diagnosis criteria (n = 62) in the CART analysis were 48.39% Juvenile myoclonic epilepsy followed by 25.81% epilepsy with generalized tonic-clonic seizures alone.ConclusionLonger headache duration, throbbing pain, increase of pain by physical activity, photophobia and/or phonophobia, presence of vertigo/dizziness, osmophobia, and higher VAS scores are the main supportive associated factors when applying the ICHD-3 criteria for the comorbid MwoA diagnosis in patients with I/GEs. Evaluating these characteristics could be helpful to close the diagnostic gaps in everyday clinical practice and fasten the diagnostic process of comorbid MwoA in patients with I/GEs

Assessment of the knowledge and attitudes about the management of dental trauma among ear, nose and throat physicians

Purpose Ear, nose and throat physicians (ENTp) encounter dental trauma (DT) when patients refer to the emergency department, as well as during operations such as tonsillectomy and suspension laryngoscopy. This study aimed to investigate the attitudes and knowledge of ENTp about managing DT, and motivation for further education. Methods This study was a cross-sectional observational survey on a sample of ENTp from 15 different private/public hospitals. A questionnaire of 22 questions was divided into three parts: the level of professional experience and the frequency of encountering DT; specific questions on the management of DT; self-assessment of educational approach and level of knowledge regarding DT. Results A total of 128 surveys were accomplished and included in the evaluation. A larger percentage (96.9%) of the participants have experienced at least one case in the practice, and one-third (31.3%) have encountered more than ten DT cases. Although the duration of experience significantly affected the total number of correct responses to knowledge and attitudes regarding DT questions (p:0.028), more than half of the participants (44.38%) responded incorrectly to the questions. The majority of participants (97.7%) stated that they had no education on DT, and 90.6% were willing to receive DT training. Conclusions The results of this study emphasize the deficiency of ENTp' knowledge level about the management of DT. In addition, results demonstrated the enthusiasm of ENTp for further training, which can contribute to the requirement of education for providing appropriate management of DT cases

Kuğulu Parkın tarihi, sosyal, kültürel ve ekonomik etkileri

Ankara : İhsan Doğramacı Bilkent Üniversitesi İktisadi, İdari ve Sosyal Bilimler Fakültesi, Tarih Bölümü, 2013.This work is a student project of the The Department of History, Faculty of Economics, Administrative and Social Sciences, İhsan Doğramacı Bilkent University.by İbrahim Mert Öztürk.Öztürk, İbrahim Mert. HIST 200-11ÖZTÜRK HIST 200-11/10 2012-1

Comparison of serum maternal adiponectin concentrations in women with isolated intrauterine growth retardation and intrauterine growth retardation concomitant with pre-eclampsia

Objective: the aim of this study was to compare serum maternal adiponectin concentrations in pregnant women with isolated intrauterine growth retardation (IUGR) and in pregnant women with IUGR concomitant with pre-eclampsia (IUGRcwPE). Material and Methods: Thirty patients with isolated IUGR (group 1), 20 patients with IUGRcwPE (group 2), and 30 healthy controls (group 3) between age 18-40 were included into the study. Venous blood samples of those patients were obtained in the starving state. Adiponectin con- centrations were measured by enzyme-linked immunosorbent assay in serum obtained after centrifugation. To find the differences between the groups, student t-test and one-way ANOVA statistical methods were used. Results: There were no differences between the groups in terms of age, body mass index, gestational age, and parity (p>0.05). the values of amniotic fluid index (p<0.001) and weight gained during pregnancy (p=0.017) were significantly different when compared among the three groups. the mean concentrations of adiponectin were 94.041 pg/mL in the IUGR group, 55.717 pg/mL in the IUGRcwPE group, and 51.831 pg/mL in the control group. Both of the differences between the IUGR and IUGRcwPE groups (p value; <0.05) and IUGR and control groups were statis- tically significant (p value; <0.001). However, there were no significant differences between the IUGRcwPE group and control group (p>0.05). Conclusion: We found that IUGR increased maternal serum adiponectin concentrations; however, this rise does not occur in pregnant women with IUGRcwPE

Our experience in laparoscopic hysterectomy: A single center experience

Amaç: Bu çalışmanın amacı temel demografik özellikleri benzer olan hastalardan oluşan, ilk 30 Laparoskopik histerektomi (LH) operasyonu ve daha sonra yapılan 62 adet LH operasyonunun perioperatif sonuçlarını karşılaştırmaktır. Yöntemler: Çalışmamıza Bucak Devlet Hastanesi Kadın Hastalıkları ve Doğum Kliniği ile Düzce Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Anabilim Dalı'nda Ocak 2012 ile Ekim 2013 tarihleri arasında opere edilen toplam 92 adet hasta dahil edilmiştir. Aynı cerrah tarafından LH operasyonu ilk defa uygulanmaya başlandıktan sonra yapılan ilk 30 hasta ile Grup 1 oluşturulmuştur. İlk 30 hastadan sonra opere edilen kalan 62 hasta ile Grup 2 oluşturulmuştur. Bulgular: Grup 1 ve Grup 2'deki hastalar arasında yaş, parite sayısı ve geçirilmiş pelvik cerrahi öyküsü oranı açısından istatistiksel olarak anlamlı farklılık tespit edilmedi (p0,813; p0,706 ve p0,410). Grup 1 ve Grup 2'deki hastalar arasında operasyon süresi (dk.), delta hb (gr/dl),hospitalizasyon süresi (gün) ve komplikasyon oranı açısından istatistiksel olarak anlamlı farklılık tespit edilmedi (p0,197; p0,085; p0,086 ve p0,353). Sonuçlar: Laparoskopik histerektomi günümüzde düşük komplikasyon oranları ve yüksek hasta memnuniyeti olan bir operasyon yöntemi olsa da artan cerrahi tecrübenin her zaman iyi peroperatif sonuçları garanti etmediği akılda tutulmalıdır.Objective: The aim of this study is to compare the perioperative outcomes of first 30 Laparoscopic Hysterectomy operations (LH) with the subsequent ones in patients similar with basic demographic characteristics. Methods: A total of 92 patients operated in Bucak State Department of Obstetrics and Gynecology and Düzce University Hospital, Faculty of Medicine, Department of Obstetrics and Gynecology between January 2012 and October 2013 were included in this study. LH operations performed for the first time by the same surgeon in 30 patients were formed Group 1. The remaining 62 patients, operated after the first 30 patients were formed Group 2. Results: No statistically significant difference was detected in terms of age, parity, and previous history of pelvic surgery between Group 1 and Group 2 (p 0.813, p 0.706 and p 0.410). There was not any statistically significant difference between Group 1 and Group 2 in terms of operation time (min.), delta hb (g/dl), hospitalization time (day), and complication rate (p 0.197 and p 0.085, p 0.086 and p 0.353). Conclusion: As today LH is a promising method of operation with low complication rates and high patient satisfaction, it should be kept in mind that increased surgeon experience does not always assure good surgical outcome

Essential Tremor and Alexithymia

Objective: Essential tremor (ET) is the most common cause of tremor. We know that this disease, which was presumed to be monosymptomatic until recently, may be accompanied by motor findings and a series of non-motor findings other than action tremor. Alexithymia can be defined as not being able to name emotions, express emotions, distinguish emotions from each other, or living without being aware of one’s own emotions. The aim of our study was to evaluate alexithymia in patients with ET. Materials and Methods: Forty-four patients with ET (mean age=38.22±18.05 years) and 46 control subjects (mean age=37.17±10.68 years) were included in the study. The Fahn-Tolosa-Marin Tremor Rating Scale was used for the patient group and the Toronto Alexithymia Scale (TAS), Beck Depression Inventory and Beck Anxiety Inventory were applied to both groups. Results: The mean TAS was 49.16±8.94 in the patient group and 42.34±6.27 in the control group (p<0.001). The comparison between subgroup scores showed that the patient group had difficulty in recognizing their feelings and increase in externally-oriented thinking. Conclusion: Our study has shown that alexithymia may be present in patients with ET. Studies involving larger patient groups and imaging in this respect will be useful in illuminating the place of alexithymia in the non-motor symptom spectrum of the disease