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Now showing 1 - 10 of 398
  • Article
    Citation - WoS: 13
    Citation - Scopus: 13
    Evaluation of procedural and clinical outcomes of transcatheter aortic valve implantation: A single-center experience
    (Kare Publ, 2020) Karaduman, Bilge Duran; Kayaoğlu, Hüseyin Ayhan; Keleş, Telat; Bozkurt, Engin
    Objective: Transcatheter aortic valve implantation (TAVI) is an established alternative to surgical aortic valve replacement. Our study aimed to evaluate the implementation of TAVI at our large-volume center, having an all-comer patient population with short and long-term follow-ups. Methods: This retrospective, single-center analysis included 556 consecutive patients with symptomatic severe aortic stenosis (AS) who underwent TAVI between July 2011 and December 2019. Results: The mean age of the entire population was 77.6±7.9 years, and 54.9% were women. The Society of Thoracic Surgeons (STS) mean score of the cohort was 6.0%±3.5%. The balloon-expandable valve (Sapien XT, Sapien 3; Edwards Lifesciences, Irvine, California) was the most frequently used valves in this cohort (94.6%). Transfemoral access was used in 96.3% of patients. Implantation success was achieved in 96.6% of cases. During the TAVI procedure, 7.2% of patients required permanent pacemaker implantation, with 37.5% in the Lotus valve group needing the most permanent pacemakers. The mean length of hospital stay for the entire cohort was 4.5±2.3 days. Overall, 22 (3.9%) in-hospital deaths occurred before hospital discharge. The mean follow-up period was 15.1±14.9 months for all patients, and a significant improvement was noted in all echocardiographic parameters and functional capacity. Paravalvular leak (PVL) was documented in 18.9% patients, mild in 17.9%, and moderate in 1% at discharge. No cases with severe PVL, necessitating additional procedures. The multiple logistic regression analysis revealed that sex, STS score, baseline SYNTAX score, bicuspid valve morphology, common femoral artery diameter, and post-TAVI PVL were independent predictors of overall mortality. Conclusion: To our knowledge, this study, which is the largest single-center real-world experience of TAVI in Turkey, demonstrated low complication rates with favorable short- and mid-term THV performance in patients undergoing TAVI.
  • Article
    Citation - WoS: 2
    Citation - Scopus: 2
    Low Carbon Architectural Design
    (Gazi Univ, 2018) Balku, Saziye; Bal Kocyigit, Filiz; Architecture; Energy Systems Engineering
    Tendency towards sustainable energy resources is increasing and leading engineers and architects make joint efforts. Renewable energy potential present in nature can be used more efficiently so that while energy consumption is reducing, rate of energy gain, on the other hand, increases by architectural design methods. A sailing club in Golbasi, Ankara is designed as a low carbon building for optimum usage of solar and wind energy. It can be concluded using an energy efficient architectural design for a building before its construction makes it possible to meet the electrical and heat energy requirements at minimum cost and environmental friendly.
  • Article
    Citation - WoS: 9
    Citation - Scopus: 9
    Sr addition and its effect on the melt cleanliness of A356
    (Iop Publishing Ltd, 2020) Atakav, Baturalp; Gursoy, Ozen; Erzi, Eray; Tur, Kazim; Dispinar, Derya
    Strontium modification of Al-Si alloys has known to have several beneficial effects such as increased feedability, the formation of fibrous Si and increased mechanical properties. However, in the presence of Sr, during melting and holding durations, the oxide structure of the dross may change which leads to several problems during casting operations. In this work, the amount of Sr was changed and the melt was held for 1 h. Reduced Pressure Test (RPT) was used to asses melt quality change and it was found that cleanliness was increased due to the fading of Sr.
  • Article
    Citation - WoS: 4
    Citation - Scopus: 4
    Integrating Family-Centered Care To Child Health and Diseases Nursing Course Via Distance Education
    (Taylor & Francis inc, 2023) Ozbay, Sevil Cinar; Ozbay, Ozkan; Boztepe, Handan
    The aim of this study was to determine the impact of an online Child Health and Diseases Nursing course emphasizing family-centered care upon the perceptions of nursing students toward family-centered care. A one-group pretest-posttest model was used in this study. The research participants consisted of 88 students studying at X University, Faculty of Health Sciences, Department of Nursing. While 67.1% of the students stated that there were obstacles in implementing family-centered care, 73.9% stated that there were no facilitating elements in implementing of family-centered care. A statistically significant difference was found between the mean scores of the students' posttest family-centered care attitude and parents' attitude at the end of the training. This study provides insights into family-centered care, which could be used in crafting policies and interventions in nursing education in Turkey. Such insights could foster positive perceptions of family-centered care among student nurses.
  • Article
    Knee Hyperextension in Chronic Stroke: Associated Biomechanical and Neuromuscular Factors
    (Elsevier Sci Ltd, 2025) Korkusuz, Sueleyman; Korkusuz, Busra Seckinogullari; Ozgoren, Nihat; Aritan, Serdar; Ceren, Ali Naim; Topcuoglu, Mehmet Akif; Balkan, Ayla Fil
    Background: This study aimed to determine the gait phase in which knee hyperextension occurs in stroke patients and to investigate the factors associated with knee hyperextension. Methods: This study included 30 stroke patients aged between 40 and 70 years with maximum knee hyperextension during the stance phase of gait. Muscle strength was evaluated with manual muscle test, and muscle tone was assessed with the Modified Ashworth Scale. Kinematic evaluation of the patients was made using the motion analysis system. Additionally, categorisation was made according to the stance phase of gait, where knee hyperextension was at its highest. Findings: A weak relationship was found between maximum knee hyperextension angle and gastrocnemius spasticity, a moderate relationship between knee flexor muscle strength, and a moderate relationship between ankle dorsiflexor muscle strength. In addition, a weak relationship was found between the maximum knee hyperextension and pelvic retraction angles. According to this clustering, it was observed that 66.67 % of the participants (20 people) showed maximum knee hyperextension in the single support phase. It was observed that the participants who had maximum knee hyperextension, especially after the mid-stance phase, had higher mean gastrocnemius spasticity. It was also observed that participants in Cluster 4, with a greater amount of maximum knee hyperextension, had the worst clinical parameters. Interpretation: Our study observed that the degree of maximum knee hyperextension was related to knee flexor and ankle dorsiflexor muscle strengths, gastrocnemius spasticity and pelvic retraction. As clinical parameters worsened, maximum knee hyperextension was thought to occur late in the stance phase. Clinical Trial code: NCT05679700
  • Article
    Citation - WoS: 20
    Citation - Scopus: 24
    A Study on the Key Soft Skills for Successful Participation of Students in Multinational Engineering Education
    (Tempus Publications, 2017) Fernandez-Sanz, Luis; Teresa Villalba, Maria; Amelio Medina, Jose; Misra, Sanjay; Computer Engineering
    Soft-skills have proved to be a necessary complement to technical skills in today's multinational workplaces. As universities are facing the challenge of promoting internationalization and mobility in students and teachers, they have to decide how to help their students in developing these skills as well as increase their awareness on the cultural differences in multinational settings. After a long trajectory of participation in multinational educational experiences, the authors launched a survey to check if their previous findings on the preferred soft skills by educational experts and managers still remain valid after 5 years. Another goal of the study was the analysis of the link between preference for specific soft skills and cultural background in each country as characterized by Hofstede's indicators. The data collected from 123 experts from 45 different countries have confirmed the existence of a stable core set of preferred soft skills at global level and also for European countries. Results have also shown links between specific cultural indicators and preference for some soft skills.
  • Article
    Citation - Scopus: 1
    Maintaining Software Through Bit-Parallelism and Hashing the Parameterized q-grams
    (Univ Osijek, Tech Fac, 2012) Prasad, Rajesh; Agarwal, Suneeta; Misra, Sanjay; Sharma, Anuj Kumar; Singh, Alok; Computer Engineering
    In the software maintenance, it is often required to find duplicity present in the codes. Two code fragments are equivalent, if one can be transformed into the other via consistent renaming of identifiers, literals and variables. This equivalency can be detected by parameterized string matching. In this matching, a given pattern is said to match with a substring of the text, if there exists a one-to-one correspondence between symbols of and symbols of. In this paper, we propose an efficient algorithm for this problem by using both the overlapping and non-overlapping q-gram. We show the effect of running time of the algorithm on increasing the duplicity present in the code.
  • Article
    Discussions on Perturbed Quasi-Metric Spaces
    (Yokohama Publishing, 2025) Karapinar, Erdal
    The main goal of this manuscript is to introduce the notion of perturbed quasi-metric spaces. Furthermore, it shall discuss the existence of basic fixed point theorems in the setting of perturbed quasi-metric spaces.
  • Article
    Citation - WoS: 1
    Citation - Scopus: 1
    Outcomes of Transcatheter Aortic Valve Implantation in Patients With and Without Diabetes Mellitus
    (Soc Brasil Cirurgia Cardiovasc, 2024) Ayhan, Huseyin; Guney, Murat Can; Keles, Telat; Bozkurt, Engin
    Introduction: Diabetes mellitus (DM) in patients undergoing cardiac transcatheter or surgical interventions usually is correlated with poor outcomes. Transcatheter aortic valve implantation (TAVI) has been developed as a therapy choice for inoperable, high-, or intermediate-risk surgical patients with severe aortic stenosis (AS). Objective: To evaluate the impact of DM and hemoglobin A1c (HbA1c) on outcomes and survival after TAVI. Methods: Five hundred and fifty-two symptomatic severe AS patients who underwent TAVI, of whom 164 (29.7%) had DM, were included in this retrospective study. Follow-up was performed after 30 days, six months, and annually. Results: The device success and risks of procedural-related complications were similar between patients with and without DM, except for acute kidney injury, which was more frequent in the DM group (2.4% vs. 0%, P=0.021). In-hospital and first-year mortality were similar between the groups (4.9% vs. 3.6%, P=0.490 and 15.0% vs. 11.2%, P=0.282, respectively). There was a statistical difference between HbA1c >= 6.5 and HbA1c <= 6.49 groups in total mortality (34.4% vs. 15.8%, P<0.001, respectively). The only independent predictors were Society of Thoracic Surgeons score (hazard ratio [HR] 1.28, 95% confidence interval [CI] 1.09-1.51; P=0.003) and HbA1c level >= 6.5 (HR 10.78, 95% CI 2.58-21.50; P=0.003) in multivariable logistic regression analysis. Conclusion: In this study, we conclude that DM was not correlated with an increased mortality risk or complication rates after TAVI. Also, it was shown that mortality was higher in patients with HbA1c >= 6.5, and it was an independent predictor for long-term mortality.
  • Article
    Citation - WoS: 5
    Citation - Scopus: 6
    Synthesis, X-Ray Data, and Hall Effect Measurements of Li-Doped Tl-Ba Superconductor
    (Wiley-v C H verlag Gmbh, 2003) Kayed, TS
    Lithium-doped Tl-based superconductor was prepared by adding an amount of 0.3 mol.% to the Tl1.8Ba2Ca2.2Cu3Ox compound. The usual solid-state reaction method has been applied under optimum conditions. The x-ray data of the sample show a tetragonal structure with a high ratio of Tl-2223 superconducting phase. The sample showed a transition at 125 K and the zero resistance was observed at 117 K. Longitudinal (transport) and transverse (Hall) resistivities were measured at different temperatures under different magnetic fields and the data were interpreted. A positive Hall coefficient was observed at normal state and a sign reversal appears at temperatures lower than the critical temperature. (C) 2003 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.