16. Yüzyıla ait bir şiir mecmuasının incelenmesi (1b-50a)

Şiir mecmuaları Klâsik Türk edebiyatında önemli bir yere sahiptir. Bu mecmualar, edebiyatımızda 15. yüzyıldan itibaren görülmeye başlamıştır. Daha sonra bu mecmualar divan ve tezkirelerin dışında Klâsik Türk edebiyatı araştırmalarında kaynak olarak kullanılmışlardır. Şiir mecmualarında yayınlanmış divanlarda yer alan şiirlerin yanı sıra, mürettep divanı veya divançesi olmayan şairlerin şiirleri de mevcuttur. Aynı zamanda bu mecmualarda çeşitli şairler tarafından yazılan nazireler de yer alır. Şiir mecmuaları müellifin zevkine göre seçtiği şiirlerden oluştuğu için o dönemin şiir anlayışını aksettirirler. Bu çalışmada, Millet Kütüphanesi’ndeki Ali Emîrî Manzum 674’te kayıtlı 16. yüzyıla ait bir şiir mecmuasının 1b-50a varakları arasındaki 207 şiir, transkripsiyon metoduyla Latin harflerine aktarılmış, söz konusu şiirler yayımlanmış divanlar, yüksek lisans ve doktora tezlerindeki şiirler ile karşılaştırılmış ve aradaki farklar dipnotta belirtilmiştir. Mecmuanın söz konusu varakları arasında 16. yüzyıla ait şairlerin şiirleri yer almaktadır

Akromegalia może wiązać się z zaburzeniami rozkurczu dolnego zwieracza przełyku (LES)

  Introduction: Although prolonged small intestine and colonic transit time has been demonstrated in acromegaly patients, the influence of acromegaly on oesophagus motility and the pathological mechanisms involved are still not clarified. We aimed to investigate manometric measurements to ascertain whether oesophagus motility is affected in active acromegaly patients. Material and methods: The study was performed in an institutional referral centre at a tertiary care hospital. Twenty-three acromegaly patients (mean age 43.2 ± 13.2 years) and 25 sex- and age-matched healthy control subjects (mean age 48.6 ± 7.9 years) were recruited to a case-control study. Oesophageal manometry was performed using MMS (Medical Measurement Systems, Netherlands) Solar GI — Air Charged Intelligent Gastrointestinal Conventional Manometry. Results: In manometric measurements the lower oesophageal sphincter pressure was 18 ± 7 mmHg in acromegaly patients and 15.6 ± 4.4 mm Hg in controls, and there was no significant difference (p = 0.17). The percentage of relaxation was 64.8% and 81.8%, respectively, and it was significantly lower in acromegaly patients than in controls (p < 0.001). Additionally, the duration of relaxation was found to be 4 ± 1.9 seconds and 5 ± 1.7 seconds in patients and controls, respectively (p = 0.049). Conclusions: Our study has demonstrated a significant reduction in the percentage and duration of lower oesophageal sphincter relaxation in oesophagus motility even in acromegaly patients without any gastrointestinal symptoms. Further clinical and pathophysiological studies are required to clarify the underlying mechanisms of gastrointestinal motility disorders in acromegaly. (Endokrynol Pol 2015; 66 (4): 308–312)    Wstęp: Chociaż u pacjentów chorujących na akromegalię wykazano wydłużony czas pasażu żołądkowo-jelitowego, wpływ akromegalii na motorykę przełyku oraz powiązane z tym mechanizmy patologiczne nadal nie są wyjaśnione. Celem pracy było zbadanie za pomocą pomiarów manometrycznych czy motoryka przełyku ulega zmianie u pacjentów z aktywną akromegalią. Materiał i metody: Badanie przeprowadzono w ośrodku referencyjnym w szpitalu specjalistycznym. Dwudziestu trzech pacjentów chorujących na akromegalię (śr. wiek 43,2 ± 13,2 lat) oraz w grupie kontrolnej 25 osób dopasowanych pod względem płci i wieku (śr. wiek 48,6 ± 7,9 lat) zostało zakwalifikowanych do badania kliniczno-kontrolnego. Manometrię przełyku wykonano za pomocą MMS (Medical Measurement Systems, Holandia) Solar GI. Wyniki: W pomiarach manometrycznych u pacjentów ciepiących na akromegalię, ciśnienie dolnego zwieracza przełyku wynosiło 18 ± 7 mm Hg, a u osób kontrolnych wynosiło ono 15,6 ± 4,4 mm Hg, nie było więc znaczącej różnicy między grupami (p = 0,17). odsetek rozkurczu wynosił odpowiednio 64,8% i 81,8% i był on znacznie niższy u pacjentów z akromegalią (p < 0,001). Ponadto, długość trwania rozkurczu wynosiła odpowiednio 4 ± 1,9 sek. i 5 ± 1,7 sek. (p = 0,049). Wnioski: Niniejsze badanie wykazało znaczną redukcję odsetka i czasu trwania rozkurczu dolnego zwieracza przełyku w motoryce przełyku, nawet u pacjentów z akromegalią bez objawów żołądkowo-jelitowych. Należy przeprowadzić dalsze badania kliniczne i patofizjologiczne, aby wyjaśnić mechanizmy leżące u podłoża zaburzeń motoryki żołądkowo-jelitowej u pacjentów chorujących na akromegalię. (Endokrynol Pol 2015; 66 (4): 308–312)

Detection of bifid mandibular condyle using computed tomography

Objective: To determine the frequency and characteristics of bifid mandibular condyle (BMC) using computed tomography (CT) evaluation. Study Design: A retrospective study was carried out using the CT records of 550 patients referred to the Medical School of Erciyes University (Kayseri, Turkey) between 2007 and 2010. T-tests were used to compare frequency of BMC between the left and right sides and between female and male patients. Statistical analysis was performed using SPSS software and a chi-squared test. Results: Of the 550 Patients, 10 patients (1.82%) were found to have BMCs. Five patients were female (50%) and five were male (50%). Of these 10 patients, 7 (70%) had unilateral and 3 (30%) had bilateral BMCs. As a result, a total of 13 BMCs were found in 10 patients. No statistically significant differences were found between either the right- and left-sided BMCs or between female and male patients (p >.05). Conclusions: To our knowledge, this is the first retrospective study investigating the prevalence and characteristics of BMC using computed tomography. Although BMC is an uncommon anomaly, it may be a more frequent condition in the Turkish population. Further studies and research on the orientation of duplicated condylar heads should be carried out

Yüzeyi Fonksiyonelize Edilmiş Nanoparçacıklar ile Kararlı Nanoakışkan Hazırlanması ve Isıl İletkenlik Değişiminin Belirlenmesi

TÜBİTAK MAG Proje01.04.2019Çok çesitli uygulama alanına sahip olan nanoakıskanlar, ısı transferi sistemlerinde, kullanılanakıskanların ısıl iletkenlik katsayısını arttırmak amacıyla baz akıskanın içerisine, ısıl iletkenligiyüksek nano boyutlarda parçacıklar katılmasıyla üretilirler. Nanoakıskanların hazırlanması,hazırlanan nanoakıskanın ısıl iletkenliginin arttırılması her ne kadar basit görünse de çokkarmasık bir sistemdir. Nanoakıskanların ısıl iletkenliginin artması ve ısı transferiuygulamalarında kullanılabilirligi, hazırlanan nanoakıskanın kararlılıgından, viskozitesinekadar birçok önemli parametre ile baglantılıdır. Isıl iletim katsayısı ne kadar artmıs olursaolsun, kararlı olmayan nanoakıskanların kısa sürede çökmesi ve viskozitesinin baz akıskanagöre fazlaca artıs göstermesi, ısı transferi sistemlerinde basınç düsüsüne, korozyona vetıkanıklıklara neden olmaktadır. Tüm bunlar göz önüne alındıgında, hazırlanannanoakıskanların pratikte kullanımı için bu parametrelerin incelenmesi ve birbiri ile olanbaglantılarının ortaya konulması gerekmektedir. Bu projede kararlı nanoakıskanlarınhazırlanması ve ısıl iletkenliklerinin belirlenmesinin yanı sıra bu parametrelerin birbiri ilebaglantısının aydınlatılması hedeflenmistir.Baz akıskan olarak su, etilen glikol (EG) ve kompresör yagı kullanılan bu projede,nanoparçacık olarak farklı yüzey alanlarına sahip grafen nanoplateletler (GNP) ve tek duvarlıkarbon nanotüpler (SWCNT) kullanılmıstır. Nanoakıskan kararlılıgının saglanması amacıyla,polietilen glikol türevi polihedral oligomerik silseskuokzan (PEG-POSS) nanoakıskanlarda ilkkez yüzey aktif madde olarak bu projede kullanılmıstır. Ayrıca hazırlanan akıskanlarınkararlılıgının artması için pH ayarlaması yapılmıstır. SWCNT içeren su bazlı nanoakıskanlarınhazırlanmasında 50 dk ve 100 dk olmak üzere iki farklı ultrasonikasyon süresi kullanılarak ısıliletkenlige etkisi incelenmistir. Kararlılık degerlendirmesi için UV-Vis Spektrofotometrisi veZeta Potansiyeli ölçümleri yapılmıstır. Bu projede örneklerin santrifüj edilmesi gibi farklıislemler sayesinde nanoparçacık konsantrasyonunun zeta potansiyeline etkisi basarıylaincelenmistir. Isıl iletkenlik ölçümleri 3-omega yöntemiyle gerçeklestirilmistir. Ayrıca farklıyüzey alanlarına sahip nanoparçacıkların kullanılması, farklı konsantrasyonlarda yüzey aktifmadde kullanımı ve farklı baz akıskanlarla çalısılması; bu örneklerin reolojik davranısı, ısıliletkenlik ve yüzey gerilimi ile temas açısı gibi ısı transferi sistemlerinde önem tasıyanözelliklerinin belirlenmesi ve bu özellikleri etkileyen parametrelerin incelenmesi, bu projeyi çokyönlü ve basarılı bir çalısma haline getirmistir.Nanofluids, which have a wide range of applications, are produced by the addition of nanosizedparticles having high thermal conductivity to the base fluid to increase the thermalconductivity of the fluids used in heat transfer systems. Preparing the nanofluids andincreasing the thermal conductivity of the nanofluid are very complex process. The increase ofthermal conductivity of nanofluids and its usage in heat transfer applications are related withmany important parameters from the stability of the nanofluids to their viscosity. No matter howmuch the thermal conductivity is increased, the rapid sedimentation of unstable nanofluids andthe increase in viscosity of nanofluids over that of the base fluid lead to pressure drop,corrosion, and clogging in heat transfer systems. Considering all these, it is necessary toexamine these parameters and to make connections with each other for the practical use ofprepared nanofluids. In this project, it is aimed to prepare stable nanofluids and determine theirthermal conductivity and to clarify the connection of these parameters.Distilled water, ethylene glycol (EG), and compressor oil were used as base fluid. Graphenenanoplatelets (GNP) with different surface areas and single walled carbon nanotubes(SWCNT) were used as nanoparticles. Polyethylene glycol-derived polyhedral oligomericsilsesquioxane (PEG-POSS) was used for the first time in literature, as a surface active agentin nanofluids in order to ensure their stability. In addition, pH value was adjusted to increasethe stability of the nanofluids. In the preparation of water-based nanofluids containing SWCNT,the effect of two different ultrasonication times, 50 min and 100 min, on thermal conductivitywas investigated. UV-Vis Spectrophotometry and Zeta Potential analyses were performed forstability assessment. In this project, the effect of nanoparticle concentration on zeta potentialhas been studied successfully through different processes such as centrifugation and dilutionof samples. Thermal conductivity measurements were carried out by 3ω method. In additionto the usage of different carbon based nanoparticles, various concentrations of surface activeagent, and 3 different base fluids; studying the other factors (e.g. pH, ultrasonication time etc.)affecting the thermal, rheological, and surface properties of nanofluids in heat transfer systemhas made this project a multi-faceted and successful work.Key Words: GNP, SWCNT, nanofluids, 3ω thermal conductivity, viscosity

Gender difference in prevalence of signs and symptoms of temporomandibular joint disorders: a retrospective study on 243 consecutive patients

BACKGROUND: This study evaluated the prevalence of the signs and symptoms of temporomandibular joint disorder (TMD) among patients with TMD symptoms. METHODS: Between September 2011 and December 2011, 243 consecutive patients (171 females, 72 males, mean age 41 years) who were referred to the Department of Prosthodontics, Faculty of Dentistry, Karadeniz Technical University, Trabzon were examined physically and completed a questionnaire regarding age, gender, social status, general health, antidepressant drug usage, dental status, limited mouth opening, temporomandibular joint (TMJ) sounds, and parafunctions (bruxism, clenching). The data were analyzed using the chi-square test and binary logistic regression model (alpha = 0.05). RESULTS: With a frequency of 92%, pain in the temporal muscle was the most common symptom, followed by pain during mouth opening (89%) in both genders. TMJ pain at rest, pain in the masseter muscle, clicking, grinding, and anti-depressant use were significantly more frequent in females than males. Age (p=0.006; odds ratio 0.954; 95% CI 0.922-0.987) and missing teeth (p=0.003; odds ratio 3.753; 95% CI 1.589-8.863) had significant effects on the prevalence of TMD. CONCLUSION: Females had TMD signs and symptoms more frequently than males in the study population. The most common problem in both genders was pain

EFFECT OF DENTURE CLEANSERS ON THE COLOR STABILITY OF DIFFERENT DENTURE TEETH MATERIALS

Purpose: Denture cleansers are commonly used for cleaning partial and complete dentures. The purpose of this in vitro study was to evaluate the effect of denture cleansers on color stability of conventional acrylic, reinforced acrylic and porcelain denture teeth materials. Material and methods: Maxillary central incisors in A2 color were used from three types of denture teeth (n=10). Denture teeth kept in distilled water were considered as control group. Test specimens were immersed in denture cleansers, which prepared according to the manufacturers instructions. Color measurements were performed before immersion of cleansers, after 1 week and after 3 weeks with a colorimeter. Color changes (ΔE) of the specimens were calculated and the results were compared statistically with three way ANOVA. Results: Significant differences were found on the color changes of denture teeth after 1 week and 3 weeks of the immersion of denture cleansers (p<0,05). Also ΔE values were increased significantly with time (p<0,05). The lowest ΔE values were observed in distilled water. The lowest ΔE values were observed in porcelain teeth in all denture cleansers (p<0,05). Color changes of conventional acrylic and reinforced acrylic teeth in all denture cleansers after 3 weeks were acceptable. Conclusion: The greatest color change was observed in conventional acrylic resin teeth, reinforced acrylic and porcelain teeth, respectively, after immersion of denture cleansers

Evaluation of Maternal and Fetal Outcomes in the Adolescents Pregnancy

Objective: In this study, our aim is to compare discussing maternal and fetal problems non-adolescent pregnancy with maternal and fetal problems in adolescent pregnancy that seen in hospital. Methods: 15-19 years of age (50 patients) and 20-23 years (96 patients) who gave birth at the Gynaecologi­cal and Obstetric Clinic under the Faculty of Medicine of Dicle University between January 2015-October 2015 were retrospectively evaluated. Age at birth, parity, blood pressure, pulse, gestational age, complications at birth, cesarean section indications, maternal biochemical pa­rameters, patients with preeclampsia and preterm birth, maternal and fetal complications were recorded. Results: Total number of births between January 2015- October 2015 were 1715 patients in our clinic. 62 of them (3.6%) were observed in the adolescent group. Maternal blood transfusion needs were found to be significantly higher in the adolescent group (p=0.004). Fetal abnor­malities and fetal intensive care needs were found to be significantly higher in the adolescent group (p=0.014, p=0.018). Conclusion: Adolescent pregnancies were high-risk pregnancies in terms of maternal anemia and blood transfusion requirements and because of adverse perina­tal outcomes. Therefore, to reduce the adolescent preg­nancy and to minimize perinatal complications should be done more extensive studies

First-line treatment of patients with HER2-positive metastatic gastric and gastroesophageal junction cancer

Fluoropyrimidine+cisplatin/oxaliplatin+trastuzumab therapy is recommended for the first-line treatment of HER2-positive metastatic gastric adenocarcinoma. However, there is no comprehensive study on which platinum-based treatment should be preferred. This study aimed to compare the treatment response and survival characteristics of patients with HER2-positive metastatic gastric or gastroesophageal junction (GEJ) cancer who received fluorouracil, oxaliplatin, and leucovorin (mFOLFOX)+trastuzumab or cisplatin and fluorouracil (CF)+trastuzumab as first-line therapy. It was a multicenter, retrospective study of the Turkish Oncology Group, which included 243 patients from 21 oncology centers. There were 113 patients in the mFOLFOX+trastuzumab arm and 130 patients in the CF+trastuzumab arm. The median age was 62 years in the mFOLFOX+trastuzumab arm and 61 years in the CF+trastuzumab arm (P = 0.495). 81.4% of patients in the mFOLFOX+trastuzumab arm and 83.1% in the CF+trastuzumab arm had gastric tumor localization (P = 0.735). The median progression-free survival (PFS) was significantly higher in the mFOLFOX+trastuzumab arm (9.4 months vs. 7.3 months, P = 0.024). The median overall survival (OS) was similar in both groups (18.4 months vs. 15.1 months, P = 0.640). Maintenance trastuzumab was continued after chemotherapy in 101 patients. In this subgroup, the median OS was 23.3 months and the median PFS was 13.3 months. In conclusion, mFOLFOX+trastuzumab is similar to CF+trastuzumab in terms of the median OS, but it is more effective in terms of the median PFS in the first-line treatment of HER2-positive metastatic gastric and GEJ cancer. The choice of treatment should be made by considering the prominent toxicity findings of the chemotherapy regimens

Omuz Sıkışma Sendromunda Iki Farklı Egzersiz Programının 3-Boyutlu Skapular Kinematik, Fonksiyonel Aktivite Düzeyi ve Ağrı Üzerine Etkinliğinin Karşılaştırılması

The aim of this study was to investigate the effect of traditional stretching-strengthening exercises and kinetic chain scapula-based exercises on pain intensity, functional activity level and scapular kinematics. Thirty-six patients diagnosed with subacromial impingement syndrome were included to the study and separated into 2 different exercise programs (control group versus kinetic chain group) during 12 weeks. Pain intensity during rest, activity and night were assessed by visual analog scale, functional activity level was assessed with Shoulder Pain and Disability Index, 3- dimensional scapular kinematics was analyzed with electromagnetic tracking system at baseline, 6th and 12th weeks after training. Kinematic recording of scapular internal-external rotation, upward-downward rotation and anterior-posterior tilt were assessed during abduction, flexion and scapular plane 30°, 60°, 90° and 120° elevation and lowering. 2*3 repeated measures ANOVA was used for statistical comparisons. All groups were showed decreased activity pain intensity at 6th (p.05), but kinetic chain exercises resulted in incresed external rotation, upward rotation and posterior tilt depend on shoulder movement planes and humerothoracic elevation levels (p.05), ancak kinetik zincir egzersizleri hareket düzlemeleri ve humerotorasik elevasyonun farklı seviyelerinde skapular eksternal rotasyon, yukarı doğru rotasyon ve posterior tiltte artışa neden oldu (p<.05). Sonuç olarak bu çalışma omuz sıkışma sendromunda egzersiz eğitiminin ağrı ve özür seviyesini azalttığını, ancak skapular kinematiğin yalnızca kinetik zincir egzersiz eğitimi ile değişebileceğini gösterdi. Dolayısıyla, klinikte skapular diskinezinin eşlik ettiği omuz sıkışma sendromunda kinetik zincir egzersiz eğitiminin kullanılması önerilmelidir

Orta yaş ve üzeri insanların internette sağlık bilgisi arama davranışları: örnek olay incelemesi

In the recent past, people were used to consult health care professionals or textbooks in order to find answer to health related questions. Now, the availability of medical information through electronic resources has changed people‘s information-seeking behaviors and, as a result, electronic information resources have become very popular and frequently used for health related searches. This study examines the online health information-seeking behaviors of middle aged and older people from Middle East Technical University and 100. Yıl neighbourhood, specially demographic and other factors effecting online health information seeking, the types of sought online health information, assessment of the online health information, and reliability criteria of middle aged and older online health information seekers. A cross-sectional design was used to collect data. Self-administered questionnaires were distributed to participants. The final sample was 248 middle aged and older people. Findings show that middle aged and older employees from Middle East Technical University and 100. Yıl neighbourhood are searching for health information especially for specific illnesses. They are using this information to self-treat or self-diagnose. Worse health conditions, expertise level in internet usage associates with searching behavior. Majority of the participants trust in information they found online but they do not share it with any health care professional.M.S. - Master of Scienc