Review of Strategies in Promoting Attendance for Cervical Screening

Demirtas, Basak Asian Pacific Journal of Cancer Prevention 2013 Asian Pacific journal of cancer prevention Vol.14 No.5

Background: The importance of cervical screening has been addressed in numerous studies. However, reviews conducted to explore of strategies to promoting attendance for cervical screening have been limited. This study aimed to explore strategies to promote attendance for cervical screening. Materials and Methods: A literature search from databases (1994-2011) was undertaken to include papers that identified strategies related to the cervical screening. Results: Twenty-four papers were included in this review. The review of existing strategies identified valuable information on cervical screening and areas that could be improved in meeting womens' needs. Conclusions: The review highlighted important aspects of cervical screening that could be further addressed by promoting strategies to attendance. Assessing women's health beliefs, inpatient cervical cancer screening, nurse-led screening, and cognition-emotion focused programs are among the strategies to promote attendance for pap smear testing.

Determination of Sexual Problems of Turkish Patients Receiving Gynecologic Cancer Treatment: a Cross-sectional Study

Demirtas, Basak,Pinar, Gul Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.16

Background: The present study aimed to determine the prevalence and types of sexual problems of Turkish patients receiving gynecologic cancer treatment. Materials and Methods: A cross-sectional convenience sample of 168 women completed the Index of Female Sexual Function (IFSF) and a Patient Identification Form in a hospital in Ankara, Turkey. Mean IFSF scores of the patients were low ($15.7{\pm}5.72$, out of a possible 45), indicating high rates of sexual problems. Results: Women frequently reported problems with dyspareunia (97.1%), vaginal dryness (97.6%), decreased sexual desire (91.1%), and difficulties of sexual arousal (92.9%) related with the cancer treatment process. They reported increased sexual problems following the period of treatment as compared to before treatment (p<0.05). Sexual dysfunction was associated with low educational and income levels, advanced age, TAH-BSO-LND surgery (total abdominal hysterectomy-bilateral salphingoopherectomylymph node dissection), experiencing side effects of chemotherapy, receiving chemotherapy in addition to surgery and radiotherapy (CT+RT+Surgery), and having a large number of chemotherapy cycles (p<0.05). Conclusions: Patients hoped for and expected counseling from healthcare professionals about their sexual functioning in relation to cancer treatments. Nurses and physicians can help to improve the overall quality of life for gynecologic cancer patients through sexual counseling.

Promoting Attendance at Cervical Cancer Screening: Understanding the Relationship with Turkish Womens' Health Beliefs

Demirtas, Basak,Acikgoz, Inci Asian Pacific Journal of Cancer Prevention 2013 Asian Pacific journal of cancer prevention Vol.14 No.1

Background: The aim of the study was to identify the relationship between 'Health Belief Model Scale for Cervical Cancer and the Pap Smear Test' subscale scores and demographic/gyneco-obstetric characteristics. Materials and Methods: This cross-sectional study was conducted with 256 women. Data were obtained using the 'Demographic and Gyneco-Obstetric Identification Form' and the 'Health Belief Model Scale for Cervical Cancer and the Pap Smear Test. Results: The percentage of women who had heard about the Pap test was 77.7 whereas only 32.4% had actually undergone the test. Some 45.7% of the women stated that they did not know the reason for having a Pap test. Women who had obtained a Pap smear test had statistically significantly fewer perceived barriers than those who had never had (p<0.05). Scores with regard to the subscales including 'Benefits of Pap Smear Tests and Health Motivation', 'Perceived Seriousness of Cervical Cancer', 'Susceptibility to Cervical Cancer' and 'Cervical Cancer Health Motivation' did not differ with demographic/gyneco-obstetric characteristics such as womens' educational level, whether or not young age at first marriage, whether or not having family history of female cancer, and whether or not having had a Pap test (p>0.05). Conclusions: Increasing knowledge about benefits of Pap smear tests, increasing motivation to obtain Pap Smear Test and increasing perceived seriousness of cervical cancer could promote attendance at cervical cancer screening. Different strategies are needed for behavioural change. Implementation of educational programmes by nurses in a busy environment could result in a major clinical change, based on the findings of this study.

Effective mode shapes of multi-storey frames subjected to moving train loads

Demirtas, Salih,Ozturk, Hasan Techno-Press 2020 Coupled systems mechanics Vol.9 No.4

This paper deals with the effect of the mode shapes on the dynamic response of a multi-storey frame subjected to moving train loads which are modelled as loads of constant intervals with constant velocity using the finite element method. The multi-storey frame is modelled as a number of Bernoulli-Euler beam elements. First, the first few modes of the multi-storey frame are determined. Then, the effects of force span length to beam length ratio and velocity on dynamic magnification factor (DMF) are evaluated via 3D velocity-force span length to beam length ratio-DMF graphics and its 2D projections. By using 3D and 2D graphics, the directions of critical speeds that force the structure under resonance conditions are determined. Last, the mode shapes related to these directions are determined by the time history and frequency response graphs. This study has been limited by the vibration of the frame in the vertical direction.

NEW APPROACHES OF INVERSE SOFT ROUGH SETS AND THEIR APPLICATIONS IN A DECISION MAKING PROBLEM

DEMIRTAS, NAIME,HUSSAIN, SABIR,DALKILIC, ORHAN The Korean Society for Computational and Applied M 2020 Journal of applied mathematics & informatics Vol.38 No.3

We present inverse soft rough sets by using inverse soft sets and soft rough sets. We study different approaches for inverse soft rough set and examine the relationships between them. We also discuss and explore the basic properties for these approaches. Moreover we develop an algorithm following these concepts and apply it to a decision-making problem to demonstrate the applicability of the proposed methods.

New Approaches of Inverse Soft Rough Sets and their Applications in a Decision Making Problem

Naime Demirtas,Sabir Hussain,Orhan Dalkilic 한국전산응용수학회 2020 Journal of applied mathematics & informatics Vol.38 No.3

We present inverse soft rough sets by using inverse soft sets and soft rough sets. We study different approaches for inverse soft rough set and examine the relationships between them. We also discuss and explore the basic properties for these approaches. Moreover we develop an algorithm following these concepts and apply it to a decision-making problem to demonstrate the applicability of the proposed methods.

Nonlinear finite element analysis of ultra-high performance fiber reinforced concrete beams subjected to impact loads

Gamze Demirtas,Naci Caglar,Yusuf Sumer 국제구조공학회 2022 Structural Engineering and Mechanics, An Int'l Jou Vol.82 No.1

Ultra-high performance fiber reinforced concrete (UHPFRC) is a composite building material with high ductility, fatigue resistance, fracture toughness, durability, and energy absorption capacity. The aim of this study is to develop a nonlinear finite element model that can simulate the response of the UHPFRC beam exposed to impact loads. A nonlinear finite element model was developed in ABAQUS to simulate the real response of UHPFRC beams. The numerical results showed that the model was highly successful to capture the experimental results of selected beams from the literature. A parametric study was carried out to investigate the effects of reinforcement ratio and impact velocity on the response of the UHPFRC beam in terms of midpoint displacement, impact load value, and residual load-carrying capacity. In the parametric study, the nonlinear analysis was performed in two steps for 12 different finite element models. In the first step, dynamic analysis was performed to monitor the response of the UHPFRC beam under impact loads. In the second step, static analysis was conducted to determine the residual load-carrying capacity of the beams. The parametric study has shown that the reinforcement ratio and the impact velocity affect maximum and residual displacement value substantially.

Evaluation of dental panoramic radiographic findings in edentulous jaws: A retrospective study of 743 patients "Radiographic features in edentulous jaws"

Kose, Taha Emre,Demirtas, Nihat,Karabas, Hulya Cakir,Ozcan, Ilknur The Korean Academy of Prosthodonitics 2015 The Journal of Advanced Prosthodontics Vol.7 No.5

PURPOSE. The aim of this study was to determine the frequency of significant panoramic radiographic findings and eventual treatment requirements before conventional or implant supported prosthetic treatment in asymptomatic edentulous patients. MATERIALS AND METHODS. A total of 743 asymptomatic edentulous patients were retrospectively evaluated using a digital panoramic system. We analyzed the radiographic findings, including impacted teeth, retained root fragments, foreign bodies, severe atrophy of the posterior maxillary alveolar bone, mucous retention cysts, soft tissue calcifications and radiopaque-radiolucent conditions. RESULTS. Four-hundred-eighty-seven (65.6%) patients had no radiographic finding. A total of 331 radiographic findings were detected in 256 (34%) patients. In 52.9% (n=175) of these conditions, surgical treatment was required before application of implant-supported fixed prosthesis. However, before application of conventional removable prosthesis surgical treatment was required for 6% (n=20) of these conditions. CONCLUSION. The edentulous patients who will have implant placement for implant-supported fixed prosthesis can frequently require additional surgical procedures to eliminate pathological conditions.

Two Cases of Multivessel Coronary Artery Ectasias Resulting in Acute Inferior Myocardial Infarction

Huseyin Gunduz,Saadet Demirtas,Mehmet Bulent Vatan,Mehmet Akif Cakar,Ramazan Akdemir 대한심장학회 2012 Korean Circulation Journal Vol.42 No.6

The incidence of multivessel coronary artery ectasias (CAEs) among patients undergoing coronary artery angiography is very rare. All three coronary vessels can be affected by CAE, but most patients have an isolated arterial ectasia, commonly the right coronary artery. In this report we present two cases with inferior myocardial infarction that was likely caused by thrombotic occlusion of CAEs.

Evaluation of dental panoramic radiographic findings in edentulous jaws: A retrospective study of 743 patients “Radiographic features in edentulous jaws”

Taha Emre Kose,Nihat Demirtas,Hulya Cakir Karabas,Ilknur Ozcan 대한치과보철학회 2015 The Journal of Advanced Prosthodontics Vol.7 No.5

PURPOSE. The aim of this study was to determine the frequency of significant panoramic radiographic findings and eventual treatment requirements before conventional or implant supported prosthetic treatment in asymptomatic edentulous patients. MATERIALS AND METHODS. A total of 743 asymptomatic edentulous patients were retrospectively evaluated using a digital panoramic system. We analyzed the radiographic findings, including impacted teeth, retained root fragments, foreign bodies, severe atrophy of the posterior maxillary alveolar bone, mucous retention cysts, soft tissue calcifications and radiopaque?radiolucent conditions. RESULTS. Four-hundred-eighty-seven (65.6%) patients had no radiographic finding. A total of 331 radiographic findings were detected in 256 (34%) patients. In 52.9% (n=175) of these conditions, surgical treatment was required before application of implant-supported fixed prosthesis. However, before application of conventional removable prosthesis surgical treatment was required for 6% (n=20) of these conditions. CONCLUSION. The edentulous patients who will have implant placement for implant-supported fixed prosthesis can frequently require additional surgical procedures to eliminate pathological conditions.