Cervical Cancer Screening in an Early Diagnosis and Screening Center in Mersin, Turkey

Nayir, Tufan,Okyay, Ramazan Azim,Nazlican, Ersin,Yesilyurt, Hakki,Akbaba, Muhsin,Ilhan, Berrin,Kemik, Aytekin Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.16

Cancer is a major public health problem due to the jeavy disease burden, fatality and tendency for increased incidence. Of all cancer types, cervical cancer is reported to be the fourth most common cancer in women, and the seventh overall, with an estimated 528,000 new cases worldwide in 2012. It features a long preclinical phase with slowly progressing precancerous lesions such as CIN 2 and 3 and adenocarcinoma in situ. Therefore, screening programs such as with Pap smear tests may play an important role in cervical cancer prevention. The purpose of this study was to present results of a Pap smear screening survey for cervical cancer targeting women living in an urban area in the province of Mersin, located in the Mediterranean region of Turkey. This community-based descriptive study included women living at Akdeniz county of Mersin province. A total of 1,032 screened women between 30 and 65 ages within the routine screening programme constituted the study population. The mean age of the participants was $43.8{\pm}8.6$ (min. 30, max. 65) years. The percentage of the participants who had previously undergone smears was 40.6%. Epithelial cell changes were found in 26 (2.5%) participants, with ASC-US in 18 (1.7%), ASC-H in 2 (0.2%), LSIL in 5 (0.5%) and HSIL in 1 (0.1%). The most common clinical presentation together with epithelial changes was abnormal vaginal discharge. Taking into account the presence of women who had never undergone Pap test; it should be offered at primary level of health care in the form of a community-based service to achieve reduced morbidity and mortality rates.

Pozzolanic properties of trachyte and rhyolite and their effects on alkali-silica reaction

Baki, Vahiddin Alperen,Nayir, Safa,Erdogdu, Sakir,Ustabas, Ilker Techno-Press 2021 Advances in concrete construction Vol.11 No.4

The alkali-silica reaction (ASR) is a highly complex chemical reaction which causes damage to concrete and thus adversely affects the durability and service life. Significant damage can occur in concrete structures due to cracking because of the chemical reactions taking place. Various mineral and chemical additives have been used so far to mitigate ASR and/or to reduce its adverse effects. In this study, ground trachyte and rhyolite provided from Rize-Çağrankaya region, Turkey, were used to investigate their effectiveness in controlling ASR-induced damage by substituting them with cement at certain ratios. In this context, initially the possible use of trachyte and rhyolite as pozzolanas was determined in accordance with BS EN 450-1 and TS 25 standards by considering their pozzolanic activities and then their effectiveness in mitigating the ASR was evaluated as per ASTM C 1567-13. In experimental study, blends of trachyte and rhyolite were prepared by substituting them by cement at 25%, 35%, and 50% percentage. Totally 7 mixes were prepared and three samples of 25×25×285 mm mortar bars were prepared from each batch. The length changes of the mortar bars were determined at the end of 3, 7, 14 and 28 days of exposure. SEM, along with XRD analyses were performed to examine and elementally determine the ASR products that have been formed. The results obtained have shown that ground trachyte and rhyolite used in this study can be used as pozzolanas in concrete and they can also significantly mitigate ASR-induced damage as the substitution ratio increases.

Effects of cement dosage and steel fiber ratio on the mechanical properties of reactive powder concrete

Erdogdu, Sakir,Kandil, Ufuk,Nayir, Safa Techno-Press 2019 Advances in concrete construction Vol.8 No.2

In this study, the mechanical properties of reactive powder concrete (RPC) with a constant cement to silica fume ratio of 4 were investigated. In the experimental program, reactive powder concretes with steel fiber at different ratios were produced. Five productions using quartz sand with a maximum grain size of 0.6 mm were performed. A superplasticizer with a ratio of 3% of the cement was used for all productions. $40{\times}40{\times}160mm$ prismatic specimens were prepared and tested for flexural and compression. The specimens were exposed to two different curing conditions as autoclave and standard curing condition. Autoclave exposure was performed for 3 hours under a pressure of 2 MPa. It was observed that the compressive strength of concrete, along with the flexural strength exposed to autoclave was quite high compared to the strength of concretes subjected to standard curing. The results obtained indicated that the compressive strength, along with the flexural strength of autoclaved concrete increased as the amount of cement used increases. Approximately 15% increase in flexural strength was achieved with a 4% steel fiber addition. The maximum compressive strength that has been reached is over 210 MPa for reactive powder concrete for the same steel fiber ratio and with a cement content of $960kg/m^3$. The relationship between compressive strength and flexural strength of reactive powder concrete exposed to both curing conditions was also identified.

External Jugular Vein Catheterization Using ‘Intra-Atrial Electrocardiogram’

Dilek Karaaslan,Ugur Altinisik,Tulay Tuncer Peker,Esra Nayir,Sadik Ozmen 연세대학교의과대학 2009 Yonsei medical journal Vol.50 No.2

Purpose: To investigate the reliability of intra-atrial electrocardiogram (ECG) use for external jugular vein (EJV) catheterization. Materials and Methods: Patients undergoing open heart surgery in Suleyman Demirel University Hospital between February and June 2006 were included in the study. Using a sterile Seldinger technique, a triple lumen polyurethane central venous catheter was introduced (Certofix® Trio V 720, length 20 cm, 7 French) under intra-atrial ECG guidance. The presence of an increase in P-wave size was recorded. Just after the surgery, a portable chest X-ray was taken. The method was considered to be successful when a change in P-wave could be seen and the catheter was in the superior vena cava, as well as when there was no change in P-wave and the catheter was not in the superior vena cava. Results: In six patients (12%), we were not able to advance the guidewire. In the remaining 44 patients, the catheter was inserted without problem. Eight of these 44 catheters were positioned in the innominate vein, with a malposition ratio of 18%. The success rate of external jugular vein cannulation with intra-atrial ECG was 95%. No complications occured related to the EJV cannulation. Conclusion: Considering that it is easily accessed without complication, and the malposition is successfully detected by intra-atrial ECG, EJV is a suitable access for central venous cannulation when internal jugular vein (IJV) is not usable. Purpose: To investigate the reliability of intra-atrial electrocardiogram (ECG) use for external jugular vein (EJV) catheterization. Materials and Methods: Patients undergoing open heart surgery in Suleyman Demirel University Hospital between February and June 2006 were included in the study. Using a sterile Seldinger technique, a triple lumen polyurethane central venous catheter was introduced (Certofix® Trio V 720, length 20 cm, 7 French) under intra-atrial ECG guidance. The presence of an increase in P-wave size was recorded. Just after the surgery, a portable chest X-ray was taken. The method was considered to be successful when a change in P-wave could be seen and the catheter was in the superior vena cava, as well as when there was no change in P-wave and the catheter was not in the superior vena cava. Results: In six patients (12%), we were not able to advance the guidewire. In the remaining 44 patients, the catheter was inserted without problem. Eight of these 44 catheters were positioned in the innominate vein, with a malposition ratio of 18%. The success rate of external jugular vein cannulation with intra-atrial ECG was 95%. No complications occured related to the EJV cannulation. Conclusion: Considering that it is easily accessed without complication, and the malposition is successfully detected by intra-atrial ECG, EJV is a suitable access for central venous cannulation when internal jugular vein (IJV) is not usable.