Browsing by Author "Çakar, E"
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Item The Effect of Preoperative Oral Carbohydrate Solution Intake on Patient Comfort: A Randomized Controlled StudyCakar, E; Yilmaz, E; Çakar, E; Baydur, HPurpose: The study was conducted to investigate the effect of preoperative oral carbohydrate loading on the preoperative discomforts and postoperative complications of patients undergoing elective thyroidectomy. Design: A randomized controlled clinical trial. Methods: Ninety patients scheduled for thyroidectomy were divided into three groups: (1) those receiving a carbohydrate-rich drink (CHD), (2) those receiving an overnight 5% glucose intravenous infusion, and (3) those fasting from midnight. The preoperative discomforts and postoperative complications of patients were evaluated using the Visual Analog Scale (VAS). The patients' vital signs and blood glucose levels were measured perioperatively. Findings: In the preoperative assessment, hunger, thirst, mouth dryness, chill, and headache adjusted for age, gender, body mass index, and duration of the operation were all found to be significantly higher in the glucose and fasting groups than the CHD group (P < .01). In the postoperative period, the fasting group experienced more vomiting and pain compared with the CHD group (P < .05). A significant difference was found between the groups in terms of diastolic blood pressure and pulse rate in the preoperative and intraoperative periods (P < .05). Conclusions: The CHD treatment before thyroidectomy increases patient comfort by reducing preoperative discomfort (such as hunger, thirst, dry mouth, fatigue and headache) and early postoperative complications (vomiting and pain).Item Ageing effect on compressibility, permeability and shear strength of clayey soils exposed to salt solutionsÇakar, E; Yukselen-Aksoy, YThe present study investigated the ageing effect on compressibility, permeability and shear strength behavior of kaolin and bentonite samples in the presence of NaCl and CaCl2 solutions. The compressibility, permeability and shear strength parameters were determined on the 60, 190, and 250 days cured samples. The results have shown that, the kaolin sample becomes more compressible in the presence Ca2+ ions with ageing. Generally, the normalized compression index values of bentonite samples increased at the end of 60 days and 250 days curing time periods. The normalized permeability value of kaolin decreased by ageing in the presence of Na+ ions almost twofold. The permeability values of bentonite increased both in NaCl and CaCl2 solutions during ageing. In the presence of Na+ ions kaolin had higher max. shear stress value than Ca2+ ions. When the max. shear stress values of 0, 60 and 190 days samples were compared, it was seen that NaCl solution had no significant effect on the shear strength of kaolin sample. However, the shear strength of kaolin increased in the CaCl2 solution during ageing. In the presence of Ca2+ ions the max. shear stress value of bentonite was higher. The results of this study have shown that ageing has significant effects on the compressibility, permeability and shear strength of kaolinitic and bentonitic clayey soils.Item Clash of Past and Present: Production of Historical and Representational Spaces in Oscar Wilde's PoetryÇakar, EThis study aims to determine the function of space and how it is depicted in Oscar Wilde's (1854-1900) selected poems. Wilde is one of the important literary and cultural figures of the Victorian era. He criticized the traditional moral codes and values of the Victorian era in which he was born and rejected many Victorian poetic aspects. Wilde used characters and places of ancient Greek mythology in his poems and developed a poetic sensitivity that focused on the real places and characters of the city. The brothel, the prison and the streets of London are some of the places that he used in his poems. Within this framework, it can be said that Wilde is one of the leading poets who shaped the fin de siecle poetry. In this study, French thinker Henri Lefebvre's (1901-1991) theory of space is applied to discuss the function of space in Wilde's poetry. Lefebvre's book The Production of Space, published in 1974, was influential in the second half of the twentieth century as it examined the historical development of the concept of space and evaluated it politically. The analysis of the poems from Lefebvre's perspective will reveal Wilde's use of space in relation to the conflict between past and present, and the attitude of the individual who wants to escape from society.Item Unmasking the Caspian tiger: visibility, disguise, and identity in Murathan Mungan's poetryÇakar, EIn Murathan Mungan's poetry, the themes of mask, visibility, and disguise capture social complexities and individual struggles in 1980s T & uuml;rkiye. Mungan uses symbols like the mask, nylon crocodile, and Caspian tiger to reflect on the fragmentation of self, class disparities, and the prevalence of ideology in all aspects of everyday life. Against the backdrop of political turmoil and censorship, Mungan handles the challenges of a society full of pressures for conformity and goes beyond the destructive effects of the coup without being propagandistic. His style allows both self-protection and subtle resistance under an oppressive regime. By unraveling the dichotomy between authenticity and pretense, Mungan prompts readers to ponder the masks and the quest for genuine self-expression. Thus, this paper highlights Mungan's contribution to modern Turkish poetry by revealing the strong link between personal narratives and sociopolitical circumstances, offering a fresh discussion about the themes of identity, subjectivity, and resistance.Item Quality of life and related variables in patients with ankylosing spondylitisBodur, H; Ataman, S; Rezvani, A; Bugdayci, DS; Çevik, R; Birtane, M; Akinci, A; Altay, Z; Günaydin, R; Yener, M; Koçyigit, H; Duruöz, T; Yazgan, P; Çakar, E; Aydin, G; Hepgüler, S; Altan, L; Kirnap, M; Ölmez, N; Soydemir, R; Kozanoglu, E; Bal, A; Sivrioglu, K; Karkucak, M; Günendi, ZTo evaluate quality of life (QoL) and related variables in patients with ankylosing spondylitis (AS), a chronic inflammatory disease of the spine. Nine-hundred and sixty-two patients with AS from the Turkish League Against Rheumatism AS Registry, who fulfilled the modified New York criteria, were enrolled. The patients were evaluated using the Assessment of SpondyloArthritis International Society core outcome domains including Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), fatigue (BASDAI-question 1), pain (last week/spine/due to AS), Bath Ankylosing Spondylitis Functional Index (BASFI), Bath Ankylosing Spondylitis Metrology Index (BASMI), Bath Ankylosing Spondylitis Radiology Index (BASRI), Maastricht Ankylosing Spondylitis Enthesitis Score (MASES) and two QoL questionnaires (the disease-specific ASQoL and generic the Short Form-36 [SF-36]). The mean ASQoL score was 7.1 +/- A 5.7. SF-36 subscales of general health, physical role and bodily pain had the poorest scores. ASQoL was strongly correlated with disease duration, BASDAI, fatigue, BASFI, BASMI, BASRI, MASES, pain and SF-36 subscales (P < 0.001). SF-36 subscales were also strongly correlated with BASDAI and BASFI. Advanced educational status and regular exercise habits positively affected QoL, while smoking negatively affected QoL. In patients with AS, the most significant variables associated with QoL were BASDAI, BASFI, fatigue and pain. ASQoL was noted to be a short, rapid and simple patient-reported outcome (PRO) instrument and strongly correlated with SF-36 subscales.Item Description of the registry of patients with ankylosing spondylitis in Turkey: TRASD-IPBodur, H; Ataman, S; Bugdayci, DS; Rezvani, A; Nas, K; Uzunca, K; Emlakcioglu, E; Karatepe, AG; Durmuus, B; Sezgin, M; Ayhan, F; Yazgan, P; Duruöoz, T; Yener, M; Gürgan, A; Kirnap, M; Çakar, E; Altan, L; Soydemir, R; Çapkin, E; Tekeoglu, I; Aydin, G; Günendi, Z; Nacir, B; Salli, A; Öztürk, C; Memis, A; Turan, Y; Kozanoglu, E; Sivrioglu, KA web-based application patient follow-up program was developed to create a registry of patients with ankylosing spondylitis (AS) by the Turkiye Romatizma Arastirma Savas Dernegi (TRASD) AS Study Group. This study describes the methodological background and patient characteristics. The patient follow-up program is a web-based questionnaire, which contains sections on socio-demographic data, anamnesis, personal and family history, systemic and musculoskeletal examination, laboratory and imaging data and treatment. Between October 1, 2007 and February 28, 2009, 1,381 patients from 41 centers were included in the registry (1,038 males [75.2%]; mean age 39.5 +/- A 10.7 years). Mean disease duration was 12.1 +/- A 8.5 years, and mean time from initial symptom to diagnosis was 5 +/- A 6.8 years (median 2 years). HLA-B27 positivity was detected in 73.7% of 262 patients tested. Manifestations of extraarticular involvement were anterior uveitis (13.2%), psoriasis and other skin and mucous membrane lesions (6%) and inflammatory bowel disease (3.8%). The prevalence of peripheral arthritis was 11.2%. In 51.7% of patients, the Bath AS Disease Activity Index was a parts per thousand yen4. But since our patients consisted of the ones with more severe disease who referred to the tertiary centers and needed a regular follow-up, they may not represent the general AS population. Disease-modifying anti-rheumatic drugs were being used by 41.9% of patients, with 16.4% using anti-TNF agents. TRASD-IP (Izlem Programi: Follow-up program) is the first AS registry in Turkey. Such databases are very useful and provide a basis for data collection from large numbers of subjects. TRASD-IP gives information on the clinical and demographic profiles of patients, and the efficacy and safety of anti-TNF drugs, examines the impact on quality of life, and provides real-life data that may be used in cost-effectiveness analyses.