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      • Breast Cancer Awareness among Turkish Nursing Students

        Celik, Sevim,Tasdemir, Nurten,Sancak, Hulya,Demirel, Merve,Akman, Ozlem,Kara, Merve Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.20

        Background: This study conducted to determine breast cancer awareness and influencing factors among nursing students in the West Black Sea Region in Turkey. Materials and Methods: This cross-sectional descriptive study was conducted between April-May, 2014. The sample was 270 female nursing students. Data were collected by Personal Information Form and Champion's Health Belief Model Scale (CHBMS). Results: The students' mean age was $21.6{\pm}2.09$ and 81.1% had knowledge about breast cancer from their academic education. It is found that 63.7% of the students performed Breast Self-Examination (BSE) and 11.1% had a family member diagnosed with breast cancer. The CHBMS mean score of the students was $117.7{\pm}14.5$. Conclusions: Breast cancer awareness of nursing students is on a good level and was affected by family history of breast cancer and health beliefs.

      • Patients with Cancer and their Relatives Beliefs, Information Needs and Information-Seeking Behavior about Cancer and Treatment

        Kav, Sultan,Tokdemir, Gamze,Tasdemir, Reyhan,Yalili, Ayse,Dinc, Didem Asian Pacific Journal of Cancer Prevention 2012 Asian Pacific journal of cancer prevention Vol.13 No.12

        Purpose: To identify cancer patient and relatives beliefs, information needs, information-seeking behavior and information sources about cancer and treatment. Methods: This research was conducted at two hospitals of a university. Data was collected via questionnaires and the Turkish version of the Miller Behavioral Style Scale (MBSS) to assess information-seeking behavior. The sample included 82 patients and 54 relatives. Results: Patients were receiving treatment mostly for breast, gynecologic, lung cancer and leukemia/ lymphoma. All of them indicated that they want to be informed by a doctor about their diagnosis and treatment first. Other information sources were internet, media and nurses. The majority of the patients and half of their relatives agreed that "cancer is curable and preventable disease". Only 2.5% of patients agreed with the statement "I don't want to get information about disease which disturbs me". According the data obtained from MBSS; the mean patients MBSS score ($6.41{\pm}3.2$) was higher than their relatives ($5.46{\pm}3.1$). Respondents with higher education and younger age indicated more information-seeking behavior. Conclusions: Patients and their relatives differ in some of their information-seeking behavior. Patients beliefs and their strategies for coping with their illness can constrain their wish for information and their efforts to obtain it. Healthcare professionals need to assess and be sensitive to the information-seeking behavior of cancer patients and their relatives.

      • KCI등재

        Autogenous Shrinkage, Pozzolanic Activity and Mechanical Properties of Metakaolin Blended Cementitious Materials

        Burcu Akcay,Mehmet Ali Tasdemir 대한토목학회 2019 KSCE JOURNAL OF CIVIL ENGINEERING Vol.23 No.11

        In the literature, there are some conflicting results regarding the influence of metakaolin (MK) addition on autogenous shrinkage behavior of cementitious materials. In this study, with the aim of identifying how the use of MK changes the properties of cementitious materials, cement was partially replaced by MK in different proportions (8%, 16%, and 24%) in pastes produced with variable water/binder ratios (w/b; 0.28, 0.35 and 0.42). The temperature development and calcium hydroxide consumption by thermogravimetric analysis were observed to better characterize the effects of MK on the autogenous shrinkage behavior. The mechanical properties such as compressive strength and flexural strength were experimentally investigated. The results show that the addition of MK has contrasting effects on autogenous shrinkage during early ages depending on the w/b ratio. Thermogravimetric analysis showed that the amount of stratlingite was smaller in pastes with low w/b ratios than in pastes with high w/b ratio. The calcium hydroxide consumption with the pozzolanic reaction of MK was significant even at 2 days, but consumption ratios with respect to the reference paste slowed down at 7 to 28 days.

      • Fracture behavior and pore structure of concrete with metakaolin

        Akcay, Burcu,Sengul, Cengiz,Tasdemir, Mehmet ali Techno-Press 2016 Advances in concrete construction Vol.4 No.2

        Metakaolin, a dehydroxylated product of the mineral kaolinite, is one of the most valuable admixtures for high-performance concrete applications, including constructing reinforced concrete bridges and impact- and fire-resistant structures. Concretes produced using metakaolin become more homogeneous and denser compared to normal-strength concrete. Yet, these changes cause a change of volume throughout hardening, and increase the brittleness of hardened concrete significantly. In order to examine how the use of metakaolin affects the fracture and mechanical behavior of high-performance concrete we produced concretes using a range of water to binder ratio (0.42, 0.35 and 0.28) at three different weight fractions of metakaolin replacement (8%, 16% and 24%). The results showed that the rigidity of concretes increased with using 8% and 16% metakaolin, while it decreased in all series with 24% of metakaolin replacement. Similar effect has also been observed for other mechanical properties. While the peak loads in load-displacement curves of concretes decreased significantly with increasing water to binder ratio, this effect have been found to be diminished by using metakaolin. Pore structure analysis through mercury intrusion porosimetry test showed that the addition of metakaolin decreased the critical pore size of paste phases of concrete, and increasing the amount of metakaolin reduced the total porosity for the specimens with low water to binder ratios in particular. To determine the optimal values of water to binder ratio and metakaolin content in producing high-strength and high-performance concrete we applied a multi-objective optimization, where several responses were simultaneously assessed to find the best solution for each parameter.

      • Lack of any Association between Blood Groups and Lung Cancer, Independent of Histology

        Oguz, Arzu,Unal, Dilek,Tasdemir, Arzu,Karahan, Samet,Aykas, Fatma,Mutlu, Hasan,Cihan, Yasemin Benderli,Kanbay, Mehmet Asian Pacific Journal of Cancer Prevention 2013 Asian Pacific journal of cancer prevention Vol.14 No.1

        Introduction: Lung cancer, the leading cause of cancer deaths, is divided into 2 main classes based on its biology, therapy and prognosis: non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC). Many cases are at an advanced stage at diagnosis, which is a major obstacle to improving outcomes. It is important to define the high risk group patients for early diagnosis and chance of cure. Blood group antigens are chemical components on erythrocyte membranes but they are also expressed on a variety of epithelial cells. Links between ABO blood groups with benign or malignant diseases, such as gastric and pancreas cancers, have been observed for a long time. In this study, we aimed to investigate any possible relationship between lung cancer histological subtypes and ABO-Rh blood groups. Materials and Methods: The files of 307 pathologically confirmed lung cancer patients were reviewed retrospectively. Cases with a serologically determined blood group and Rh factor were included and those with a history of another primary cancer were excluded, leaving a total of 221. The distribution of blood groups of the lung cancer patients were compared with the distribution of blood groups of healthy donors admitted to the Turkish Red Crescent Blood Service in our city in the year 2012. Results: There was no significant difference between patients with lung cancer of either type and the control group in terms of distribution of ABO blood groups and Rh factor (p: 0.073). There was also no relationship with non small cell cancer histological subtypes. Conclusions: In this study, we found no relationship between the ABO-Rhesus blood groups and NSCLC and SCLC groups. To our knowledge this is the first analysis of ABO blood groups in SCLC patients.

      • KCI등재

        The Comparison of Clinical Variables in Two Classifications: GOLD 2017 Combined Assessment and Spirometric Stage of Chronic Obstructive Pulmonary Disease

        ( Ipek Candemir ),( Pinar Ergun ),( Dicle Kaymaz ),( Filiz Tasdemir ),( Nurcan Egesel ) 대한결핵 및 호흡기학회 2018 Tuberculosis and Respiratory Diseases Vol.81 No.4

        Background: There are limited number of studies that investigate clinical variables instead of chronic obstructive lung disease (COPD) management according to Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2017 classification. The aim of the study was to investigate whether there was a difference between GOLD 2017 classification and spirometric stage in clinical variables in patients with COPD. The data of 427 male patients with stable COPD were investigated retrospectively. Methods: Patients were allocated into combined assessment of GOLD 2017 and spirometric stage. Age, amount of smoking, pulmonary function, modified Medical Research Council (mMRC), incremental shuttle walk test (ISWT), Hospital Anxiety-Depression Scale (HADS), St. George’s Respiratory Questionnaire (SGRQ), body mass index (BMI), and fat free mass index (FFMI) were recorded. Results: Seventy-three (17%) patients were in group A, 103 (24%) constituted group B, 38 (9%) were included in group C, and 213 (50%) comprised group D according to the combined assessment of GOLD 2017. Twenty-three patients (5%) were in stage 1, 95 (22%) were in stage 2, 149 (35%) were in stage 3, and 160 (38%) were in stage 4 according to spirometric stage. According to GOLD 2017, age, amount of smoking, mMRC, BMI, FFMI, SGRQ, HADS, forced vital capacity, forced expiratory volume in 1 second (FEV1), and ISWT were significantly different between groups. Ages, amount of smoking, FFMI, BMI, HADS of group A were different from B and D. Smiliar values of FEV1 were found in A- C and B-D. A and C had smiliar ISWT. According to spirometric stage, BMI, FFMI of stage 4 were statistically different. mMRC, ISWT, and SGRQ of stages 3 and 4 were different from other stages, amongst themselves. FEV1 was correlated with mMRC, SGRQ, anxiety scores, BMI, FFMI, and ISWT. Conclusion: This study showed that the GOLD ABCD classification might not represent the severity of COPD sufficiently well in terms of lung function or exercise capacity. The combination of both spirometric stage and combined assessment of GOLD 2017 is important, especially for estimating clinical variables.

      • Prognostic Value of SPARC Expression in Unresectable NSCLC Treated with Concurrent Chemoradiotherapy

        Kurtul, Neslihan,Eroglu, Celalettin,Unal, Dilek,Tasdemir, Erdem Arzu,Orhan, Okan,Zararsiz, Gokmen,Baran, Munevver,Kaplan, Bunyamin,Kontas, Olgun Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.20

        Background: The aim of the present study was to determine the predictive/prognostic value of the secreted protein, acidic and rich in cysteine (SPARC) in cases of unresectable, locally advanced, non-small cell lung cancer. Materials and Methods: The study included 84 patients with Stage IIIA-B non-small cell lung cancer, undergoing simultaneous chemoradiotherapy including radiotherapy at a dose of 66 Gy and weekly docataxel ($20mg/m^2$) and cisplatin ($20mg/m^2$). SPARC expression was studied in biopsy material by immunohistochemical methods and correlations with treatment responses or survival were evaluated. Results: Median overall survival was $16{\pm}2.73$ (11.55-20.46) months for low expression vs $7{\pm}1.79$ months (7.92-16.08) months for high expression (p=0.039), while median local control was $13{\pm}2.31$ (8.48-17.5) months for low expression vs $6{\pm}0.85$ (4.34-7.66) months for high expression (p=0.045) and median progression-free survival was $10{\pm}2.31$ (5.48-14.5) months for low expression vs $6{\pm}1.10$ (3.85-8.15) months for high expression (p=0.022). In both univariate and multivariate analyses, high SPARC expression was associated with significantly shorter overall survival (p=0.003, p=0.007, respectively), local control (p=0.008, p=0.036) and progression-free survival (p=0.004, p=0.029) when compared to low SPARC expression. No significant difference was detected between high and low SPARC expression groups regarding age, sex, T stage, N stage, histopathology and stage-related patient characteristics. Conclusions: High SPARC expression was identified as a poor prognostic factor in cases with locally advanced NSCLC treated with concurrent chemoradiotherapy.

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