Shall We Resect the Tip of Manubrium Mallei in Tympanoplasty?

ObjectivesIn tympanoplasty operations if perforation is related with malleus handle, malleus handle is desepithelised. We planned this research to investigate whether the epithelial remnants remain as a result of this desepithelisation or not.MethodsThe 35 patients who were performed tympanoplasty operation were divided into two groups. In the first group which included 13 patients the tip portion of manubrium mallei were cut off without desepithelisation. In the second group which included 22 patients the tip portions of manubrium mallei were cut off after the meticulous desepithelisation. The presence of squamous epithelium was examined histopathologically on the specimens.ResultsSquamous epithelium was observed in 9 of the 13 non-desepithelised specimens and in 6 of 22 desepithelised specimens.ConclusionIn tympanoplasty operations despite careful desepithelisation, squamous epithelial remnants may remain on the malleus handle. So the tip of manubrium mallei could be resected to prevent the future development of cholesteatoma

Comparison of Human Response Against Earthquake and Tsunami

The evacuation response against the earthquake and tsunamis is very important for the reduction of human damages against tsunami. But it is very difficult to predict the human behavior after shaking of the earthquake. The purpose of this research is to clarify the difference of the human response after the earthquake shock in the difference countries and to consider the relation between the response and the safety feeling, knowledge and education. For the objective of this paper, the questionnaire survey was conducted after the 21st July 2017 Gokova earthquake and tsunami. Then, consider the difference of the human behavior by comparison of that in 2015 Chilean earthquake and tsunami and 2011 Japan earthquake and tsunami. The seismic intensity of the survey points was almost 6 to 7. The contents of the questions include the feeling of shaking, recalling of the tsunami, the behavior after shock and so on. The questionnaire was conducted for more than 20 20 people in 10 areas. The results are the following; 1) Most people felt that it was a strong shake not to stand, 2) All of the questionnaires did not recall the tsunami, 3) Depending on the area, they felt that after the earthquake the beach was safer than being at home. 4) After they saw the sea drawing, they thought that a tsunami would come and ran away. Fig. 1 shows the comparison of the evacuation rate within 10 minutes in 2011 Japan, 2015 Chile and 2017 Turkey.. From the education point of view, education for tsunami is not done much in Turkey. From the protection facilities point of view, the high sea walls are constructed only in Japan. From the warning alert point of view, there is no warning system against tsunamis in the Mediterranean Sea. As a result of this survey, the importance of tsunami education is shown, and evacuation tends to be delayed if dependency on facilities and alarms is too high

Ocular Manifestations of Bilateral Ethmoidal Sinus Mucopyocele: Case Report

Mucoceles of the paranasal sinuses are slowly growing, epithelium-lined cystic lesions with sterile content. When the mucocele content becomes infected with a bacterial super-infection, the lesion is defined as mucopyocele. Mucoceles or mucopyoceles are commonly located in the frontal and anterior ethmoidal sinuses and can manifest with ocular signs and symptoms, mostly proptosis. In this report, we demonstrate a case of bilateral ethmoidal mucopyocele in a 53-year-old female who presented with reduced vision, diplopia, and proptosis. Computed tomography (CT) scanning of the paranasal sinuses revealed cystic lesions filling the maxillary sinuses and anterior ethmoidal cells bilaterally and causing erosion in the walls of the sinuses. After marsupialization of the mucopyoceles was performed by endoscopic sinus surgery, the symptoms of the patient recovered rapidly. (Turk J Ophthalmol 2011; 41: 354-6

Influence of The Phase Balance and Cooling Conditions on The Microstructure and Corrosion Behavior of Solution-treated 1.4462 Duplex Stainless Steel

In this study, effect of cooling rate on the microstructure and corrosion behavior of the solutiontreated 1.4462 alloy was investigated. 1.4462 alloy was heat-treated at 1000 °C, 1120 °Cand 1200 °C for different duration in order to obtain various phase balance. Two different cooling regimes (rapid cooling and steady cooling) were applied following the solution treatment processes. Also, effect of sigma phase was investigated together with ferrite and austenite phases for steady cooled samples. After heat treatment processes, samples were characterized by an optical microscope (OM), image analysis and scanning electron microscope (SEM). Moreover, hardness tests and electrochemical corrosion tests were applied. According to results, Ferrite ratio and ferrite grain size were increasing with increasing solution treatment temperature and time. Also, ferrite phase was more dominant compared to sigma phase for hardness of the solution-treated samples. Moreover, existing of sigma in higher amount promoted the observation of Epit value

Numerical assessment of tsunami attack on a rubble mound breakwater using OpenFOAM (R)

A numerical assessment study of tsunami attack on the rubble mound breakwater of Haydarpasa Port, located at the southern entrance of the Istanbul Bosphorus Strait in the Sea of Marmara, Turkey, is carried out in this study using a Volume-Averaged Reynolds-Averaged Navier-Stokes solver, IHFOAM, developed in OpenFOAM (R) environment. The numerical model is calibrated with and validated against the data from solitary wave and tsunami overflow experiments representing tsunami attack. Furthermore, attack of a potential tsunami near Haydarpasa Port is simulated to investigate effects of a more realistic tsunami that cannot be generated in a wave flume with the present state of the art technology. Discussions on practical engineering applications of this type of numerical modeling studies are given focusing on pressure distributions around the crown-wall of the rubble mound breakwater, and the forces acting on the single stone located behind the crown-wall at the rear side of the breakwater. Numerical modeling of stability/failure mechanism of the overall cross-section is studied throughout the paper

NUMERICAL MODELLING OF SOLITARY WAVE EXPERIMENTS ON RUBBLE MOUND BREAKWATERS

Performance of a rubble mound breakwater protecting Haydarpasa Port, Turkey, has been tested under tsunami attack by physical model tests conducted at Port and Airport Research Institute (Guler et al, 2015). It is aimed to understand dynamic force of the tsunami by conducting solitary wave tests (Arikawa, 2015). In this study, the main objective is to perform numerical modelling of solitary wave tests in order to verify accuracy of the CFD model IHFOAM, developed in OpenFOAM environment (Higuera et al, 2013), by comparing results of the numerical computations with the experimental results. IHFOAM is the numerical modelling tool which is based on VARANS equations with a k-ω SST turbulence model including realistic wave generation, and active wave absorption. Experiments are performed using a Froude scale of 1/30, measuring surface elevation and flow velocity at several locations in the wave channel, and wave pressure around the crown wall of the breakwater. Solitary wave tests with wave heights of H=7.5 cm and H=10 cm are selected which represent the results of the experiments. The first test (H=7.5 cm) is the case that resulted in no damage whereas the second case (H=10 cm) resulted in total damage due to the sliding of the crown wall. After comparison of the preliminary results of numerical simulations with experimental data for both cases, it is observed that solitary wave experiments could be accurately modeled using IHFOAM focusing water surface elevations, flow velocities, and wave pressures on the crown wall of the breakwater (Figure, result of sim. at t=29.6 sec). ACKNOWLEDGEMENTSThe authors acknowledge developers of IHFOAM, further extend their acknowledgements for the partial supports from the research projects MarDiM, ASTARTE, RAPSODI, and TUBITAK 213M534

Performance of rubble mound breakwaters under tsunami attack, a case study: Haydarpasa Port, Istanbul, Turkey

Ports are one of the most vulnerable coastal utilities in case of marine natural hazards such as tsunamis and need to be protected against their devastating effects. Thus, studying the effects of tsunamis on protective structures such as breakwaters is critical. The Sea of Marmara is a part of an active earthquake zone that has generated tsunamis in the history. In terms of population density, coastal utilization, and economic potential, Marmara coastline seems most vulnerable to marine hazards. The availability of natural stones allows for wide use of rubble mound breakwaters as coastal protective structures in Turkey. The stability of these types of structures under the attack of storm waves has already been studied. However, their stability and performance under the effect of long waves and tsunami attacks have not yet been studied experimentally. The present study is a case study focusing on Haydarpasa Port, located at the southern entrance of Istanbul Bosphorus Strait (North coast of the Sea of Marmara). It aims to investigate the performance level of the port in case of tsunami attack. Physical model experiments were conducted in the 105-m long wave flume in the Port and Airport Research Institute (PARI), Japan, with a Froude-type length scale of 1/30. The experiments conducted to test the stability of rubble mound breakwater were twofold: (i) solitary wave experiments and (ii) tsunami overflow experiments. The heights of incoming tsunami waves were selected from results of simulations were conducted in the same region (Oyo Int. Co., 2007; Ayca, 2012; Yalciner et al., 2014; Guler et al., 2014; Aytore, 2015). First, the incoming solitary wave heights were selected as 5, 7.5, and 10 cm. Using the overflow heights obtained from solitary wave experiments, i.e., wave height at the top of crown wall when the solitary waves are overtopping the crown wall, tsunami overflow experiments were conducted ranging from an overflow height of 1.1 cm to 4.6 cm. Results of these experiments showed that Haydarpasa Breakwater, especially the crown wall of the breakwater, is not stable under a moderate tsunami attack. Therefore, an improved cross section was also tested under the same conditions, and the improvement proved successful

An experimental study on the motion of solid spheres under solitary wave attack

In the present study, the motion of a single and the motion and collision of two spheres on a horizontal area under solitary wave attack are investigated, constituting a unique and integrated dataset. Sixteen experimental cases are considered on four experimental configurations changing the number of spheres, the porosity of the bottom, water levels, and the breaking condition of the solitary waves (non-breaking or breaking). The motion of the spheres is tracked using a color-detection-based image-processing algorithm. The experiments reveal four significant results: (i) The rate of damping on the porous bottom is 1.65 times of impermeable bottom on average. (ii) The water level changes the characteristics of the motion of the spheres significantly due to the friction forces and vortex structures created by the interaction of waves with moving spheres. (iii) The dimensionless terminal velocities of the spheres in the non-breaking cases are 1.38 times of breaking solitary wave cases on average. (iv) The type of solitary wave and the water level significantly affect the collision behavior; however, the bottom condition does not have an apparent contribution to the collision behavior