Influence of birth cohort, age and period on suicide mortality rate in Turkey, 1983-2013

Objective: This study is designed to evaluate the potential effects of age, period and cohort (APC) on trends in suicide between 1983 and 2013 in Turkey. Methods: Mortality data were obtained from the Turkish Statistical Institute. The data were grouped into seven age groups, four periods and ten birth cohorts. A nonlinear regression model was estimated for both sexes. The effects of age, period and cohort were parameterized using natural spline smoothing functions. Results: There were 61,795 deaths recorded as suicides during the investigated time period, where 64.5% occurred in males (n = 39,862) and 35.5% in females (n = 21,933). There is an upward trend in mortality by age until the end of the study period for males and females. Age effect is decreased until the forties, kept decreasing during the middle ages, and sharply increased after the sixties. The death rates for females declined from 1999 until the end of the study period. For males, the death rates increased until the end of the study period. Conclusion: If the current trends continue, it can be expected that these effects will continue to reduce female mortality and increase male mortality. Future studies on suicide, strongly focused on specific factors attributed to period effects, are needed in Turkey. © National Institute of Public Health, Prague 2019

Boron content of Lake Ulubat sediment: A key to interpret the morphological history of NW Anatolia, Turkey

Freshwater Lake Ulubat (c. 1.5 m deep and c. 138 km2) receives sediment from a 10.414 km2 area in the seismically active Susurluk Drainage Basin (SDB) of NW Turkey. The B and trace element contents of the lake infill seem to be a link between the fresh landforms of the SDB and the lacustrine sediment. Deposition in Lake Ulubat has been 1.60 cm.a-1 for the last 50 a according to radionucleides; however the sedimentation rate over the last millennium was 0.37 cm.a-1 based on 14C dating. The B content of the lacustrine infill displays a slight increase at 0.50 m and a drastic increase at 4 m depth occurring c. 31 a and c. 1070 a ago respectively. Probably the topmost change corresponds to the start of open mining in the SDB and the second one to the natural trenching of borate ore-deposits. These dates also show indirectly a 1.4 cm.a-1 erosion rate during the last millennium as the borate beds were trenched up to 15 m. By extrapolation, it is possible to establish that the formation of some of the present morphological features of the southern Marmara region, especially river incision, began in the late Pleistocene, and developed especially over the last 75 ka

Wind control on the accumulation of heavy metals in sediment of Lake Ulubat, Anatolia, Turkey

Freshwater Lake Ulubat (zmean = 1.5-2.0 m and Area = ~138 km2), NW Anatolia, Turkey was filled in by fine-to-medium-grain silts during the late Holocene. Deposition in Lake Ulubat has been 1.6 cm yr-1 for the last 50 years, but the sedimentation rate over the last ~1,600 years was lower (0.37 mm yr-1). The organic matter and carbonate contents of the infill show cyclic changes that reflect environmental fluctuations. The silt-dominated lithology and the vertically uniform heavy metal distributions are probably due to wind-controlled sedimentation in the lake. Heterogeneous mud, derived from a large, mountainous drainage basin, is deposited in the lake mostly during summer, June to October, when conditions are hot and calm. Winter months are stormier and sediments are re-suspended due to the shallow water depth and the effect of waves on the lake bottom. It is likely that re-suspended sediments, particularly fine-grained particles, together with the heavy metals, are transported out of the lake via the outlet, especially during periods of high lake level. This resuspension and removal process probably caused the lake sediments to become silt-dominated and depleted in heavy metals. The role of broad shallow lakes in sequestering sediments and heavy metals can be described more accurately when wind data are considered. Such information may also be helpful for land-use planning in downstream areas

Future user research for exertion games

Exertion is gaining currency in digital game design. Exertion games promise increased athletic performance and hence health benefits. They also offer enhanced engagement due to the coupling of physical engagement with digital gameplay. Addressing these converging perspectives is one of the challenges currently faced by researchers. To illustrate the implications for game user research and provoke reflection about future challenges, we describe our current research on Joggobot, a flying robot companion for joggers. We present a set of questions from our work that we believe represent some of the key challenges researchers will face when considering robots in exertion games. Through these questions, we aim to support research into the future of exertion games and develop guidance for designers to create better game experiences that leverage the many benefits of exertion for player

Large N limit of SO(N) scalar gauge theory

In this paper we study the large $N_c$ limit of SO(N_c) gauge theory coupled to a real scalar field following ideas of Rajeev. We see that the phase space of this resulting classical theory is Sp_1(H)/U(H_+) which is the analog of the Siegel disc in infinite dimensions. The linearized equations of motion give us a version of the well-known 't Hooft equation of two dimensional QCD.Comment: 16 pages, no figure

Guidance in author instructions of hematology and oncology journals: A cross sectional and longitudinal study.

The debate about the value of biomedical publications led to recommendations for improving reporting quality. It is unclear to what extent these recommendations have been endorsed by journals. We analyzed whether specific recommendations were included in author instructions, which journal characteristics were associated with their endorsement, how endorsement of the domains changed and whether endorsement was associated with change of impact factor between 2010 and 2015. We considered two study samples consisting of "Hematology" and "Oncology" journals of the Journal Citation Report 2008 and 2014, respectively. We extracted information regarding endorsement of the (1) recommendations of the International Committee of Medical Journal Editors, of (2) reporting guidelines, (3) requirement for trial registration and (4) disclosure of conflicts of interest. Data extraction was done by reading the author instructions before conducting a text search with keywords. We calculated a global generalized linear mixed effects model for endorsement of each of the four domains followed by separate multivariable logistic regression models and a longitudinal analysis. We defined endorsement as the author instructions saying that they approve the use of the recommendations. In 2015, the ICMJE recommendations were mentioned in author instructions of 156 journals (67.5%). CONSORT was referred to by 77 journals (33.3%); MOOSE, PRISMA, STARD and STROBE were referred to by less than 15% of journals. There were 99 journals (42.9%) that recommended or required trial registration, 211 (91.3%) required authors to disclose conflicts of interest. Journal impact factor, journal start year and geographical region were positively associated with endorsement of any of the four domains. The overall endorsement of all domains increased between 2010 and 2015. The endorsement of any domain in 2010 seemed to be associated with an increased impact factor in 2014. Hematology and oncology journals endorse major recommendations to various degrees. Endorsement is increasing slowly over time and might be positively associated with the journals' impact factor

A new straight line reconstruction methodology from multi-spectral stereo aerial images

In this study, a new methodology for the reconstruction of line features from multispectral stereo aerial images is presented. We take full advantage of the existing multispectral information in aerial images all over the steps of pre-processing and edge detection. To accurately describe the straight line segments, a principal component analysis technique is adapted. The line to line correspondences between the stereo images are established using a new pair-wise stereo matching approach. The approach involves new constraints, and the redundancy inherent in pair relations gives us a possibility to reduce the number of false matches in a probabilistic manner. The methodology is tested over three different urban test sites and provided good results for line matching and reconstruction

Large N limit of SO(N) gauge theory of fermions and bosons

In this paper we study the large N_c limit of SO(N_c) gauge theory coupled to a Majorana field and a real scalar field in 1+1 dimensions extending ideas of Rajeev. We show that the phase space of the resulting classical theory of bilinears, which are the mesonic operators of this theory, is OSp_1(H|H )/U(H_+|H_+), where H|H refers to the underlying complex graded space of combined one-particle states of fermions and bosons and H_+|H_+ corresponds to the positive frequency subspace. In the begining to simplify our presentation we discuss in detail the case with Majorana fermions only (the purely bosonic case is treated in our earlier work). In the Majorana fermion case the phase space is given by O_1(H)/U(H_+), where H refers to the complex one-particle states and H_+ to its positive frequency subspace. The meson spectrum in the linear approximation again obeys a variant of the 't Hooft equation. The linear approximation to the boson/fermion coupled case brings an additonal bound state equation for mesons, which consists of one fermion and one boson, again of the same form as the well-known 't Hooft equation.Comment: 27 pages, no figure

Perspective of turkish medicine students on cancer, cancer treatments, palliative care, and oncologists (ares study): A study of the palliative care working committee of the turkish oncology group (TOG)

Cancer is one of the most common causes of death all over the World (Rahib et al. in Cancer Res 74(11):2913–2921, 2014; Silbermann et al. in Ann Oncol 23(Suppl 3):iii15–iii28, 2012). It is crucial to diagnose this disease early by effective screening methods and also it is very important to acknowledge the community on various aspects of this disease such as the treatment methods and palliative care. Not only the oncologists but every medical doctor should be educated well in dealing with cancer patients. Previous studies suggested various opinions on the level of oncology education in medical schools (Pavlidis et al. in Ann Oncol 16(5):840–841, 2005). In this study, the perspectives of medical students on cancer, its treatment, palliative care, and the oncologists were analyzed in relation to their educational status. A multicenter survey analysis was performed on a total of 4224 medical school students that accepted to enter this study in Turkey. After the questions about the demographical characteristics of the students, their perspectives on the definition, diagnosis, screening, and treatment methods of cancer and their way of understanding metastatic disease as well as palliative care were analyzed. The questionnaire includes questions with answers and a scoring system of Likert type 5 (absolutely disagree = 1, completely agree = 5). In the last part of the questionnaire, there were some words to detect what the words “cancer” and “oncologist” meant for the students. The participant students were analyzed in two study groups; “group 1” (n = 1.255) were phases I and II students that had never attended an oncology lesson, and “group 2” (n = 2.969) were phases III to VI students that had attended oncology lessons in the medical school. SPSS v17 was used for the database and statistical analyses. A value of p < 0.05 was noted as statistically significant. Group 1 defined cancer as a contagious disease (p = 0.00025), they believed that early diagnosis was never possible (p = 0.042), all people with a diagnosis of cancer would certainly die (p = 0.044), and chemotherapy was not successful in a metastatic disease (p = 0.003) as compared to group 2. The rate of the students that believed gastric cancer screening was a part of the national screening policy was significantly more in group 1 than in group 2 (p = 0.00014). Group 2 had a higher anxiety level for themselves or their family members to become a cancer patient. Most of the students in both groups defined medical oncologists as warriors (57% in group 1 and 40% in group 2; p = 0.097), and cancer was reminding them of “death” (54% in group 1 and 48% in group 2; p = 0.102). This study suggested that oncology education was useful for the students’ understanding of cancer and related issues; however, the level of oncology education should be improved in medical schools in Turkey. This would be helpful for medical doctors to cope with many aspects of cancer as a major health care problem in this country. © 2018, American Association for Cancer Education