Diagnostic Importance of 3D CT Images in Klippel-Feil Syndrome with Multiple Skeletal Anomalies: A Case Report

Murvet Yuksel,Hamza Karabiber,K. Zafer Yuksel,Gonul Parmaksiz 대한영상의학회 2005 Korean Journal of Radiology Vol.6 No.4

We present here the case of a 12-year-old boy who had Klippel-Feil syndrome with renal, cardiac and multiple skeletal anomalies, and we show the relevent three-dimensional computed tomography images. Our patient had a triple renal pelvis, mitral valve prolapsus, multiple cervical vertebrae fusions, cervical ribs, hypoplasia of the right thumb, spina bifida of L5, lumbalization at the right side of S1 and a sacral curved defect. In this study, we discuss the atypical clinical features and the diagnostic value of three-dimensional CT for evaluating the skeletal anomalies of the Klippel-Feil syndrome cases.

Association of ABO Blood Group and Risk of Lung Cancer in a Multicenter Study in Turkey

Urun, Yuksel,Utkan, Gungor,Cangir, Ayten Kayi,Oksuzoglu, Omur Berna,Ozdemir, Nuriye,Oztuna, Derya Gokmen,Kocaman, Gokhan,Coskun, Hasan Senol,Kaplan, Muhammet Ali,Yuksel, Cabir,Demirkazik, Ahmet,Icli, Asian Pacific Journal of Cancer Prevention 2013 Asian Pacific journal of cancer prevention Vol.14 No.5

Background: The ABO blood groups and Rh factor may affect the risk of lung cancer. Materials and Methods: We analyzed 2,044 lung cancer patients with serologically confirmed ABO/Rh blood group. A group of 3,022,883 healthy blood donors of Turkish Red Crescent was identified as a control group. We compared the distributions of ABO/Rh blood group between them. Results: The median age was 62 years (range: 17-90). There was a clear male predominance (84% vs. 16%). Overall distributions of ABO blood groups were significantly different between patients and controls (p=0.01). There were also significant differences between patients and controls with respect to Rh positive vs. Rh negative (p=0.04) and O vs. non-O (p=0.002). There were no statistically significant differences of blood groups with respect to sex, age, or histology. Conclusions: In the study population, ABO blood types were associated with the lung cancer. Having non-O blood type and Rh-negative feature increased the risk of lung cancer. However, further prospective studies are necessary to define the mechanisms by which ABO blood type may influence the lung cancer risk.

Quasi-static cyclic displacement pattern for seismic evaluation of reinforced concrete columns

Yuksel, E.,Surmeli, M. Techno-Press 2011 Structural Engineering and Mechanics, An Int'l Jou Vol.37 No.3

Although earthquakes generate random cyclic lateral loading on structures, a quasi-static cyclic loading pattern with gradually increasing amplitude has been commonly used in the laboratory tests because of its relatively low cost and simplicity compared with pseudo-dynamic and shake table tests. The number, amplitudes and sequence of cycles must be chosen appropriately as important parameters of a quasi-static cyclic loading pattern in order to account for cumulative damage matter. This paper aims to reach a new cyclic displacement pattern to be used in quasi-static tests of well-confined, flexure-dominated reinforced concrete (RC) columns. The main parameters of the study are sectional dimensions, percentage of longitudinal reinforcement, axial force intensity and earthquake types, namely, far-fault and near-fault.

Analysis of Radiofrequency Ablation of Small Renal Tumors in Patients at High Anesthetic and Surgical Risk: Urologist Experience with Follow-up Results in the Initial Six Months

Yuksel, Mehmet Bilgehan,Karakose, Ayhan,Gumus, Bilal,Tarhan, Serdar,Atesci, Yusuf Ziya,Akan, Zafer Asian Pacific Journal of Cancer Prevention 2013 Asian Pacific journal of cancer prevention Vol.14 No.11

Background: To evaluate the results of various types of radiofrequency ablation (RFA) treatment of renal tumors in patients with excessive anesthetic and surgical risk. Materials and Methods: Data for RFA performed in in high risk patients were retrospectively evaluated. Other RFA applications in patients with no anesthetic and/or surgical risk were excluded. RFA was by ultrasound or CT guided percutaneous (USG/CT-PRFA) and retroperitoneally or transperitoneally laparoscopic (R/T-LRFA) techniques under general or local anethesia. Follow-up data of enhanced CT or MRI after 1, 3 and 6 months were analysed for twelve RFA applications. Results: The RFA applications included 4 (40%) left-sided, 5 (50%) right-sided and 1 (10%) bilaterally RFA (simultaneously 1 right and 2 left). The localizations of tumors were 2 (16.6%) upper, 5 (41.6%) mid and 5 (41.6%) lower pole. The RFA applications included 9 (75%) USG-PRFA, 1 (8.3%) CT-PRFA, 1 (8.3%) T-LRFA and 1 (8.3%) R-LRFA. The mean age was $65.3{\pm}8.5$ (52-76) years. The mean tumor size was $29.6{\pm}6.08$ (15-40) mm. No complications related to the RFA were encountered in any of the cases. Failure (residual tumour) was determined in 8.3% (1/12) of USG-RFA application. The success rate was thus 91.7% (11/12). Other 1st, 3rd and 6th months follow-up data revealed no residua and recurrence. Conclusions: RFA application appears to be safe as a less invasive and effective treatment modality in selected cases of small renal tumors in individuals with excessive anesthetic and also surgical risk.

Investigation of the Effect on the Physical and Mechanical Properties of the Dosage of Additive in Self-consolidating Concrete

Yuksel Esen,Eyyup Orhan 대한토목학회 2016 KSCE JOURNAL OF CIVIL ENGINEERING Vol.20 No.7

The objective of this study was to investigate the effect of superplasticizer and mineral admixture contents on the properties of Self-Consolidating Concrete (SCC). Silica fume was used as a mineral admixture and polycarboxylate based third generation superplasticizer was used as a chemical admixture. In order to determine the optimum admixture dosages; trial mixes were prepared with varying admixture dosages. Nine concrete mixtures with different admixture dosages were prepared from trial mixes. Hardened concrete properties and self-compactability criteria of these series were determined and test results were compared between these SCC mixtures. It was observed that 10S1.3A (10% Silica Fume, 1.3% Superplasticizer) and 10S1.5A (10% Silica Fume, 1.5% Superplasticizer) mixtures show the best performance with regard to fresh and hardened concrete properties.

A review of ICT related courses in pre-service teacher education programs

Yuksel Goktas 서울대학교 교육연구소 2008 Asia Pacific Education Review Vol.9 No.2

This study investigated teacher educators', prospective teachers', and K-12 teachers' opinions about the effectiveness of ICT related courses and the ways to improve the courses in Turkey's pre-service teacher education programs. The researchers used both quantitative and qualitative research approaches within the data collection and analysis processes. The data were collected from 111 teacher educators, 1,330 prospective teachers, and 1,429 K-12 teachers through questionnaires; and from 6 teacher educators, 6 prospective teachers, and 6 K-12 teachers through interviews. Even though a majority of the participants felt that ICT related courses are effective, most participants recommended that these courses need to be redesigned to be more beneficial in practice.

Four flap suspension technique for prevention of bottoming out after breast reduction

Yuksel Kankaya,Melike Oruc,Nezih Sungur,Ozlem Colak Aslan,Koray Gursoy,Kadri Ozer,U?ur Kocer 대한외과학회 2015 Annals of Surgical Treatment and Research(ASRT) Vol.90 No.1

Purpose: Bottoming-out deformity is accepted as the most important disadvantage of inferior pedicle breast reduction. For prevention of this deformity, different techniques are used in combination with inferior pedicle. In this study, we aimed to prevent bottoming-out deformity by producing an internal bra effect through combination of inferior pedicle technique with 2 superior and 2 inferior dermal flaps that were raised from each side of the pedicle. Methods: Thirteen patients whose medical records became available during the follow-up period at Ankara Training and Research Hospital from January 2010 to January 2015 were included in this study. We retrospectively obtained patient medical records including demographic characteristics and clinical data. Superior dermal flaps were planned on both sides of the pedicle 2 cm inferior to the lower border of areola and inferior dermal flaps were planned 6 cm inferior to the superior dermal flaps. The superior and inferior dermal flaps were secured to the periosteum of the 2nd and 4th ribs respectively with permanent sutures. Results: Preoperatively, the average distance between the inframammary fold and areola was 13.9 cm (range, 11–18 cm). The average amount of breast parenchymal resection was 745 g (range, 612–1,496 g). The average distance between the inframammary fold and the lower border of the areola was 7.9 cm (range, 7.5–9 cm) on the postoperative first-year measurements. Conclusion: In conclusion, according to our study, suspension technique to prevent bottoming-out deformity is associated with an easier technique without the need for alloplastic or allogenic materials. Since fixation is performed to the ribs instead of soft tissues like the pectoral fascia or muscle, we believe that this fixation is more long lasting and can be an effective alternative to other suspension techniques.

Effect of High Temperature in Concrete for Different Mineral Additives and Rates

Yuksel Esen,Alper Kurt 대한토목학회 2018 KSCE JOURNAL OF CIVIL ENGINEERING Vol.22 No.4

In this study, the change of the effect of high temperature in concrete by the types of mineral additives was examinedexperimentally. For this purpose, CEM I 42,5 R cement was used together with different minerals such as Barite, Diatomite, Silicafume, F class Fly ash that are added in a substituted manner at the rates of 10%, 20%, 30% and 40% by volume. Dry unit weights,underwater weights and water saturated weights of these concrete samples with mineral additives with 28-day strength werefound. Ultrasonic Pulse Velocity (UPV) measurements of the concrete samples, the water absorption percentages by weight ofwhich were determined, were performed. The samples which were then exposed to high temperatures such as 200, 400, 600 and800°C were left for cooling at room temperature, and then, their compressive strength was measured. While the highest waterabsorption rates were in Diatomite reinforced concrete, the highest compressive strengths were obtained in Silica fume reinforcedconcrete.

Behavior of tunnel form buildings under quasi-static cyclic lateral loading

Yuksel, S. Bahadir,Kalkan, Erol Techno-Press 2007 Structural Engineering and Mechanics, An Int'l Jou Vol.27 No.1

In this paper, experimental investigations on the inelastic seismic behavior of tunnel form buildings (i.e., box-type or panel systems) are presented. Two four-story scaled building specimens were tested under quasi-static cyclic lateral loading in longitudinal and transverse directions. The experimental results and supplemental finite element simulations collectively indicate that lightly reinforced structural walls of tunnel form buildings may exhibit brittle flexural failure under seismic action. The global tension/compression couple triggers this failure mechanism by creating pure axial tension in outermost shear-walls. This type of failure takes place due to rupturing of longitudinal reinforcement without crushing of concrete, therefore is of particular interest in emphasizing the mode of failure that is not routinely considered during seismic design of shear-wall dominant structural systems.

Pervasive spectrum sharing for public safety communications

Yuksel, Murat,Guvenc, Ismail,Saad, Walid,Kapucu, Naim Institute of Electrical and Electronics Engineers 2016 IEEE communications magazine Vol.54 No.3

<P>Next-generation public safety communications (PSC) systems must sustain high-speed, ultra reliable wireless data transmissions. Moving toward this next generation of PSCs warrants a new perspective of increased heterogeneity in emerging wireless architectures and increased multiplexing of wireless spectrum. To realize this vision, models that incentivize users to opportunistically share their spectrum as substrates over possibly multiple hops, and decentralized and open techniques that seamlessly exploit these substrates for public safety applications are much needed. The value of such multihop and multi-technology pervasive spectrum sharing (PSS) is more pronounced for application scenarios in which the need for spectrum access is vital, and infrastructure-less operation is necessary. This article introduces PSS as a new architecture where sharing is the norm, and outlines its vision, principles, and technical challenges.</P>