Predictors Affecting Breast Self-Examination Practice among Turkish Women

Doganer, Yusuf C.,Aydogan, Umit,Kilbas, Zafer,Rohrer, James E.,Sari, Oktay,Usterme, Necibe,Yuksel, Servet,Akbulut, Halil,Balkan, Salih M.,Saglam, Kenan,Tufan, Turgut Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.20

Background: Breast cancer (BC) is the most common cancer among females in Turkey. Predictors affecting the breast self-examination (BSE) performance vary in developing countries. Objective: To determine the frequency of BSE performance and predictors of self-reported BSEs among women in the capital city of Turkey. Materials and Methods: This cross-sectional study was conducted on 376 Turkish women using a self-administered questionnaire covering socio-demographic variables and BSE-related features. Results: Of the participants, 78.7% (N=296) reported practicing BSE, whereas 9.5% (N=28) were implementing BSE regularly on a monthly basis, and only 5.7% (N=17) were performing BSE regularly within a week after each menstrual cycle. Multivariate logistic regression modeling revealed that BSE performance was more likely in younger age groups [20-39 years] (p=0.018, OR=3.215) and [40-49 years] (p=0.009, OR=3.162), women having a family history of breast disease (p=0.038, OR=2.028), and housewives (p=0.013, OR=0.353). Conclusions: Although it appears that the rates of BSE performers are high, the number of women conducting appropriate BSE on a regular time interval basis is lower than expected. Younger age groups, family history of breast diseases and not being employed were identified as significant predictors of practicing BSE appropriately. Older age and employment were risk factors for not performing BSE in this sample.

Environmental Radioactivity and High Incidence Rates of Stomach and Esophagus Cancer in the Van Lake Region: A Causal Relationship?

Akan, Zafer,Baskurt, Busranur,Asliyuksek, Hizir,Kam, Erol,Yilmaz, Ahmet,Yuksel, Mehmet Bilgehan,Biyik, Recep,Esen, Ramazan,Koca, Dogan Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.1

This study examined the incidence rates of cancer cases (averages for 2006-2010) and relationships with environmental radioactivity levels. Soil and water samples were collected from provincial and district centers of Van city and the outdoor gamma doses were determined using a portable gamma scintillation detector. Gross alpha and beta, (226)Ra, (232)Th, and (40)K activities were measured in both tap water and soil samples. Although high rates of stomach and esophagus cancers have been reported previously in Van the underlying reasons have not hitherto been defined. Incidences of cancers were highest in the Gurpmar (326.0) and Ozalp (377.1) counties (p<0.001). As to the results of the gross alpha and gross beta radioactivity measurements in the drinking water, these two counties also had high beta radionuclide levels: Gurpmar ($140mBq/dm^3$) and Ozalp ($206mBq/dm^3$). Even if within the normal range, a relation between the higher rate of the incidence of stomach and esophagus cancers with that of the higher rate of beta radionuclide activity was clear. On Spearman correlation analysis, the relation between higher beta radionuclide levels and cancer incidence was found to be statistically significant (p<0.01). According to the results of the analysis, Van residents receive an average 1.86 mSv/y annual dose from outdoor gamma radiation, ingestion of radionuclides in the drinking water, and indoor $^{222}Rn$ activity. Moreover, gross alpha and beta activities were found to be extremely high in all of the lakes around the city of Van, Turkey. Further investigations with long-term detailed environmental radiation measurements are needed regarding the relationship between cancer cases and environmental radioactivity in the city of Van.

A LONGITUDINAL STUDY OF TURKISH MARKETING ACADEMIA: WHAT HAS CHANGED, WHAT HAS NOT IN A DECADE?

B. Zafer Erdogan,Semra Dogan,M.Sami Islek 글로벌지식마케팅경영학회 2018 Global Marketing Conference Vol.2018 No.07

Predictors of Knowledge Level and Awareness towards Breast Cancer among Turkish Females

Aydogan, Umit,Doganer, Yusuf C.,Kilbas, Zafer,Rohrer, James E.,Sari, Oktay,Usterme, Necibe,Yuksel, Servet,Akbulut, Halil,Balkan, Salih M.,Saglam, Kenan,Tufan, Turgut Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.1

Background: Breast cancer (BC) is the most-common malignancy of women worldwide. Though there are differences among developed and developing countries, BC remains the most common cancer type of women in Turkey. Objective: This study aimed to identify the level of knowledge, awareness, and their potential predictors towards BC in Ankara, Turkey. Materials and Methods: The present descriptive study was conducted on 376 females attending a breast health outpatient clinic. A self-administered questionnaire was designed to evaluate knowledge level about BC and predictors effecting its level. Data analysis was performed using the chi-square test. A value of p<0.05 was considered statistically significant. Results: Mean age of the participants was $46.2{\pm}9.93$ (22-75). The majority (92.6 %) were married; 41.5% were educated less than nine years. Most of the women were housewives (82.7%) and, were living in an urban region (86.4%). Predictors of effecting responses to seven knowledge and awareness questions about BC varied from demographic features including older age groups, higher educational levels, being married, living in an urban area, being employee, smoking, having greater BMI to additional attributes associated breast health such as the increased number of births, applying for the purpose of control, positive family history of breast diseases, any diagnoses of breast diseases and performing BSE practice. Conclusions: It was determined that females in Turkey have better knowledge of BC than other developing countries even though it is not at the desired level. These findings revealed that females should be more informed about BC risk factors, prognosis and treatments by primary health-care providers to counteract the ascending burden of this disease.

Design of Self-Starting Hybrid Axial Flux Permanent Magnet Synchronous Motor Connected Directly to Line

Mustafa Eker,Mehmet Akar,Cem Emeksiz,Zafer Dogan,Ahmet Fenercioglu 대한전기학회 2018 Journal of Electrical Engineering & Technology Vol.13 No.5

In view of the current state of the reserves of electric energy generated resources and the share of electric motors in electricity consumption, many researches and studies related to efficiency in electric motors are being made. The presented work is related to the Axial Flux Permanent Magnet Synchronous Motor (AF-PMSM), which has recently undergone significant work based on the development of magnet and motor technology. In this study, a novel AF-PMSM was designed analytically through Finite Element Method (FEM) which can be started by connecting to a line such as an asynchronous motor in a transient state and can operate with high efficiency and power factor after synchronization in steady state without the need for an expensive motor drive. According to the obtained FEM results, a design with an efficiency class of IE4 of 5.5 kW shaft power, a 4 poles motor was obtained. As a result, economic calculations indicate that the extra cost of the designed Line start AF-PMSM with respect to the asynchronous motor is rapidly compensated by energy saving due to a more efficient operation, especially constant speed operations. As a result of the analysis obtained, the targeted values are reached. For induction motors and radial flux permanent magnet synchronous motors, a good alternative motor that can operate with high efficiency and power factor has been obtained.

Design of Self-Starting Hybrid Axial Flux Permanent Magnet Synchronous Motor Connected Directly to Line

Eker, Mustafa,Akar, Mehmet,Emeksiz, Cem,Dogan, Zafer,Fenercioglu, Ahmet The Korean Institute of Electrical Engineers 2018 Journal of Electrical Engineering & Technology Vol.13 No.5

In view of the current state of the reserves of electric energy generated resources and the share of electric motors in electricity consumption, many researches and studies related to efficiency in electric motors are being made. The presented work is related to the Axial Flux Permanent Magnet Synchronous Motor (AF-PMSM), which has recently undergone significant work based on the development of magnet and motor technology. In this study, a novel AF-PMSM was designed analytically through Finite Element Method (FEM) which can be started by connecting to a line such as an asynchronous motor in a transient state and can operate with high efficiency and power factor after synchronization in steady state without the need for an expensive motor drive. According to the obtained FEM results, a design with an efficiency class of IE4 of 5.5 kW shaft power, a 4 poles motor was obtained. As a result, economic calculations indicate that the extra cost of the designed Line start AF-PMSM with respect to the asynchronous motor is rapidly compensated by energy saving due to a more efficient operation, especially constant speed operations. As a result of the analysis obtained, the targeted values are reached. For induction motors and radial flux permanent magnet synchronous motors, a good alternative motor that can operate with high efficiency and power factor has been obtained.

Is There an Association between Blood Group and Survival in Pancreatic Cancer?

Kos, F. Tugba,Civelek, Burak,Seker, M. Metin,Arik, Zafer,Aksoy, Sercan,Uncu, Dogan,Ozdemir, Nuriye,Zengin, Nurullah Asian Pacific Journal of Cancer Prevention 2012 Asian Pacific journal of cancer prevention Vol.13 No.12

Background: An association between the ABO groups and pancreatic cancer has been shown previously, group A being significantly commoner in affected patients. We conducted the present study to investigate the prognostic effect of ABO blood group on overall survival of pancreas cancer patients. Methods: Patients who were diagnosed between 2005 and 2010 with pancreas cancer at Ankara Numune Education and Research Hospital were analyzed retrospectively. Patient demographics and ABO blood groups were obtained from medical charts. Results: Fifty pancreas cancer patients with known ABO blood group were included, 26 (52%) group A, 12 patients (24%) group 0, 9 (18%) group B, and 3 (6%) group AB. Blood group A pancreas cancer patient median age was 61.5 (39-80) years, with the median age of the other blood groups (B, AB,O) being 55.5 (32-74) years (p=0.14). 18% of patients with blood group A and 11% of the other blood group patients had metastasis (p=0.17) at the time of diagnosis. The median overall survival of blood group A pancreas patients was significantly lower than the other blood group patients, 7.6 (95%CI: 5.0-10.2) months versus 29.0 (95%CI: 0.0-68.8) months (p=0.05). Conclusions: Acccording to previously published cohort studies a relation may exist between ABO blood groups and cancer of pancreas. In this study we observed that pancreas cancer patients with blood group A have significantly worse overall survival than other blood groups.