检索结果-南通市图书馆

The Factors of Musculoskeletal Pain in Geriatric Patients and the Relationship between Pain and Quality of Life

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

International Journal of Clinical Medicine 2017年第8期8卷 504-513页

作者： Esra Cicekci Zuhal Ozisler Sumru Ozel sibel Unsal-Delialioglu Cem Ozisler Diyarbakir Gazi Yasargil Education and Research Hospital PMR Clinics Ministry of Health Diyarbakir Turkey Ankara Physical Medicine and Rehabilitation Education and Research Hospital PMR Clinics Ankara Turkey Ankara Diskapi Yildirim Beyazit Education and Research Hospital InternalMedicine-Rheumatology Clinics Ankara Turkey

Aim: The purpose of the study was to assess the musculoskeletal pain frequency and intensity, to pinpoint the factors affecting the pain and to research their effect on patients’ quality of life. Methods: 203 patients over 65 who came to our Physical Therapy and Rehabilitation clinic were included in the study. Intensity of comorbid diseases were calculated by using Cumulative Illness Rating Scale (CIRS). Geriatric Pain Measure-24 (GPM) was used to assess the pain intensity, Geriatric Depression Scale-15 (GDS) was used to detect the presence of depression and Short Form-36 (SF-36) was used to determine quality of life. Results: The median age of the patients was 72.9 ± 6.36 (65 - 92) years. 97% of patients complained of pain. GPM total value mean of the patients was 61.9 (0 - 99.9). GPM scores were significantly higher in patients who were female (p Conclusions: Low education, being single, presence of comorbidities and being a housewife all relates to pain intensity, yet the most important factors are being female and presence of depression. Pain intensity is connected to low quality of life. We think this study will show a path to program geriatric population’s healthcare needs.

关键词： Elderly Pain Quality of Life

Confirmation of the Record of the Serpent Eel, Ophisurus serpens （Family： Ophichthidae） from Mersin Bay （NE Mediterranean, Turkey）

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Environmental Science and Engineering(B) 2016年第11期5卷 523-527页

作者： Deniz Erguden Yusuf Kenan Bayhan sibel Alagoz Erguden Ayhan Altun Department of Marine Sciences Faculty of Marine Sciences and Technology University of lskenderun Technical lskenderun31220 Turkey Vocational School of Kahta University of Adtyaman Kahta 02400 Turkey Vocational School of lmamoglu University of Cukurova Imamoglu 01700 Turkey

A specimen of the serpent eel, Ophisurus serpens, with a total length of 190.2 cm was caught off the coast of Mersin （Incekum）, Turkey on November 2014 during trawling. This manuscript presents the first digitized specimen of O. serpens from the Mersin Bay （northeastern Mediterranean）, and hence, confirms the presence of the species in the northeastern Mediterranean despite a suspicious previous report, possibly mistaken with Echelus myrus, of the species from Yumurtahk Bay. Remarks on the morphology and geographical distribution of the species in the Mediterranean Sea, Turkey are given.

关键词： Generalized extreme value distribution ozone selection of variables.

Modification of Clay Crystal Structure with Different Alcohols

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Natural Resources 2017年第11期8卷 709-715页

作者： M. Ozgur Seydibeyoglu sibel Demiroglu Metehan Atagur Selmin Yanar Ocaktan Department of Materials Science and Engineering Izmir Katip Celebi University Izmir Turkey Nanotechnology Graduate Program Izmir Katip Celebi University Izmir Turkey DYO Paint Company Izmir Turkey

Clays attract attention as a nano size material to reinforce the polymers and resins. In this study, montmorillonite clay was modified using industrial solvents that are used in the paint industry. It was shown that the water contact angle could be varied from 20? to 140? which is a real influence for the clay mineral. X-ray diffraction analysis shows that planar basal space could be altered significantly from 12.57 to 15.40 nm showing 22.5% increase in the interlayer spacing and that is really critical for many polymers and coating applications. This study will highlight many new clay nanocomposites and the formation of various clay nanocomposites.

关键词： Clay Solvent X-Ray Diffraction Water Contact Angle

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

土耳其低视力患者的病因及特征(英文)

国际眼科杂志 2014年第5期14卷 802-806页

作者： Sezen Akkay Yelda Buyru Ozkurt sibel Aksoy Aysu Arsan 伊斯坦布尔苏丹穆罕默德法提赫培训和研究医院土耳其34742

目的：探讨土耳其配戴助视器的低视力患者的病因和特点,及其与父母近亲结婚是否有关系。方法：回顾性研究了2009/2013年间伊斯坦布尔诊所接受236例低视力患者。分析年龄、性别分布、低视力原因、近亲结婚、低视力辅助类型规定及视力变... 详细信息

目的：探讨土耳其配戴助视器的低视力患者的病因和特点,及其与父母近亲结婚是否有关系。方法：回顾性研究了2009/2013年间伊斯坦布尔诊所接受236例低视力患者。分析年龄、性别分布、低视力原因、近亲结婚、低视力辅助类型规定及视力变化。在回顾性研究中,根据世界卫生组织定义基于最佳矫正视力将视力分为（失明,视力〈20/400；视力严重受损,视力〈20/200～20/400；视力轻度到中度受损,视力〈20/60～20/200）。基于双眼主要病因,根据国际疾病分类第十版可以确定失明和低视力的病因。根据视力和患者需求规定了视力辅助,并使用平均值依标准差和频率对数据进行了描述。结果：研究包括236例患者,65%为男性,平均年龄为38.5依24.2岁（年龄范围6～95岁）,男性多于女性。年龄在15～30岁（35.6%）之间是最大的年龄群体。轻度至中度视力受损患者为122例,严重视力受损患者为84例,失明患者为30例,他们分别占总人数的51.6%、35.6%和12.7%。脉络膜疾病和视网膜疾病（62.7%）是导致视力低下的主要原因。老年低视力患者黄斑变性逐渐成为视力低下的首要原因（61.3%）。造成视力低下的原因有视网膜和脉络膜疾病（62.7%）,眼球震颤（23.7%）,视神经和视神经束疾病（11%）,先天性白内障（0.8%）及青光眼（1.7%）。88例患者（37.3%）为伽利略类型,116例患者（49.2%）为开普勒类型。18例患者（7.6%）在接受LVA后视力无明显改善。14例患者被准许使用放大镜矫正视力。在大多数患者中,使用LVA的近视和远视患者视力均得到改善。62例近亲结婚患者占总人数的26.3%。结论：14岁以上患者视力受损主要原因是视网膜和脉络膜疾病,15岁以下的患者常见原因为眼球震颤。在近亲结婚群体中黄斑营养不良和色素性视网膜炎患者显著增高。研究疾病病因学的遗传非常有效,因此,近亲结婚在土耳其仍是一大问题。

关键词：视力低下近亲结婚低视力辅助

Optimization of Medical Supply Chains and Forward Store Locations for Recurrent Homecare Patient Demand with Periodic Interruptions

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

American Journal of Operations Research 2018年第3期8卷 203-220页

作者： Ram Prashanth Radha Krishnan James C. Benneyan sibel B. Sonuc Healthcare Systems Engineering Institute Northeastern University Boston MA USA Ozyegin University Istanbul Turkey

Robust and cost-effective distribution is critical to any home delivery network growing company, both to meet demand under normal conditions and to adapt to temporary disruptions. Home healthcare is anticipated to be a rapidly growing modality of healthcare, itself the largest industry in the US and rife with optimization needs in areas such as logistics, scheduling, and supply chains. We develop two mixed integer programming models to optimize forward storage locations in the supply chain of a national consumable medical supplies company with consistent monthly repeating demand, temporary disruption of facility operations, and remote international manufacturers. Modified p-median single and multi-echelon models are used to determine optimal locations of warehouses and distribution facilities that minimize total transportation cost, with 13% savings in one application (approximately $1.4 million annually). Sensitivity analyses to a range of scenarios suggest that the optimal solution is robust across a number of potential scenarios.

关键词： Facility Location Medical Supplies Supply Chain Optimization Network Analysis

Hypersexuality after Modafinil Treatment： A Case Report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Pharmacy and Pharmacology 2015年第1期3卷 39-41页

作者： Suheyla Dogan Bulut Rlza Gokger Tulaci Semanur Turkoglu Serdar Bulut sibel Orsel Department of Psychiatry Ankara Dtskapt Ytldtrtm Beyaztt Teaching and Research Hospital Ankara 0600 Turkey

Modafinil is employed for the treatment of narcolepsy and other sleep disorders like idiopathic hypersornnia. Modafinil is involved in the modulation of orexin, a hypothalamic neuropeptide that regulates wakefulness. It also indicated that the drug interferes with the activity of additional neurotransmitters like hypocretin, histamine, gamma-aminobutyricacid, glutamate and norepinephrine. Modafinil can also block the dopamine transporter by increasing brain dopamine levels. Common side effects of modafinil include headache, nausea, nervousness, anxiety and trouble sleeping. Other side effects are affective lability, hyposexuality, personality change, aggression, abnormal dreams, irritability, suicidal ideas, mania, hypomania and psychotic exacerbation. In this case report, we present a 45 year old woman with idiopathic hypersomnia which is characterized primarily excessive day time sleepiness. Before modafinil treatment ESS （Epworth Sleepiness Scale） score of patient was 13. Treatment with Modafmil 200 mg daily within two weeks produced a subjective improvement in her daytime sleepiness （ESS score after treatment is 4）. But one week after the start of modafmil treatment, her sexual desire increased. Before this treatment, her sexual intercourse frequency was 1-2 times per week and after this treatment she wanted coitus every day. She has continual thoughts about sexuality. She didn＇t have any additional medication use or medical condition that increase sexual desire. Modafinil dose was decreased 100 mg/daythen to 50 mg/day. Her ESS score was 7 and daytime sleepiness had no effect on her life. After decreasing modafinil treatment her sexual desire returned to normal. Hypersexuality has not been reported as a side effect of modafinil yet. The pathophysiological mechanism of modafinil induced hypersexuality is not clear. In conclusion, clinicians should be aware of this rare significant side effect of modafinil and should maintain treatment with the lowest possible dos

关键词： Modafinil hypersexuality idiopathic hypersomnia.

Structural,Morphological and Optical Properties of Well-Ordered CdO Nanostructures Synthesized by Easy-Economical Chemical Bath Deposition Technique

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

光谱学与光谱分析 2016年第6期36卷 1998-2000页

作者： sibel Morkoc Karadeniz Tuba Kιlιnc Burcu Bozkurt Cιrak Tuba Irmak Sakaoglu Cagrι Cιrak Mehmet Ertugrul Ali Ercan Ekinci Department of Physics Art & Sciences Faculty Erzinean University 24100 Erzincan Turkey Department of Alternative Energy Sources Vocational School Erzincan University 24000 Erzincan Turkey Department of Electrical and Electronics Engineering Atattirk University 25040 Erzurum Turkey

In this Study,Cadmium Oxide(CdO)nanostructures were synthesized by using Chemical Bath Deposition *** synthesized process was carried out at room *** structural and optical properties of nanostructures was characterized by XRD,SEM and UV-Vis *** a result,the CdO nanostructures are oriented along(111)plane of cubic crystal *** morphology of CdO nanostructures showed interconnected prism-like and cauliflower-type cluster *** UV results of this structures with high absorbtion coefficient are observed to be in accordance with the CdO nanoparticles.

关键词： Chemical bath deposition CdO Nanostructures

The Effect of Consultations on the Cost of Pre-Anesthetic Assessment

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

International Journal of Clinical Medicine 2013年第11期4卷 496-498页

作者： Omer LErhan Azize Bestas Sait FOner Turkay Yucel sibel Ozcan Hasan Arik Department of Anesthesiology and Reanimation Firat University School of MedicineElazigTurkey Department of Anesthesiol-ogy and Reanimation Firat University School of MedicineElazigTurkey.

Background: In our study, researching the distribution of the consultations other than anaesthesia in compliance with the disciplines and ages of the patients and its effect on the assessment cost has been aimed. Methods: Our study has been conducted during 8 months by the retrospective assessment of the records of 3844 cases on which an elective surgical procedure was planned in the anesthesiology polyclinic of Firat University Hospital. The records of patients have been obtained through examining their files from the hospital record system. Results: The total number of patients whose consultations have been demanded was 367 (9.5%) and the number of male/female was 192/175. The number of cases about which more than one consultation has been demanded was determined as 87 (2.2%). The number of cases on which a method change for the anaesthesia was applied was 21 (5.7%), and the number of cases whose surgery was cancelled was 3 (0.81%). Requested consultation for each patient, the consultations of cardiology, chest diseases and internal medicine bring an additional cost on the total sum respectively as 37.2 TL (28.61 $), 29.8 TL (22.92 $) and 19.9 TL (15.30 $). Conclusions: We suggest that the cost analysis should be absolutely taken into consideration during the pre-anaesthetic assessment for the requirement of routine examinations.

关键词： Pre-Anaesthetic Asessment Consultations Costs

Bench-top aqueous two-phase extraction of isolated individual single-walled carbon nanotubes

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Nano Research 2015年第5期8卷 1755-1769页

作者： Navaneetha K. Subbaiyan A. Nicholas G. Parra-Vasquezt Sofie Cambre Miguel A. Santiago Cordoba sibel Ebru Yalcin Christopher E. Hamilton Nathan H. Mack Jeffrey L. Blackburn Stephen K. Doorn Juan G. Duque Chemistry Division Physical Chemistry and Applied Spectroscopy Group (C-PCS) Center for Integrated Nanotechnologies (CINT) and Materials Science & Technology Division (MST-7) Los Alamos National Laboratory Los Alamos New Mexico 87544 USA Experimental Condensed Matter Physics Laboratory University of Antwerp Antwerp B-2610 Belgium National Renewable Energy Laboratory Golden Colorado 80401 USA

Isolation and purification of single-walled carbon nanotubes （SWCNTs） are prerequisites for their implementation in various applications. In this work, we present a fast （-5 min）, low-cost, and easily scalable bench-top approach to the extraction of high-quality isolated SWCNTs from bundles and impurities in an aqueous dispersion. The extraction procedure, based on aqueous two-phase （ATP） separation, is widely applicable to any SWCNT source （tested on samples up to 1.7 nm in diameter） and independent of defect density, purity, diameter, and length. The extracted dispersions demonstrate that the removal of large aggregates, small bundles, and impurities is comparable to that by density gradient ultracentrifugation, but without the need for high-end instrumentation. Raman and fluorescence-excitation spectroscopy, single-nanotube fluorescence imaging, atomic force and transmission electron microscopy, and thermogravimetric analysis all confirm the high purity of the isolated SWCNTs. By predispersing the SWCNTs without sonication （only gentle stirring）, full-length, pristine SWCNTs can be isolated （tested up to 20 μm）. Hence, this simple ATP method will find immediate application in the generation of SWCNT materials for all levels of nanotube research and applications, from fundamental studies to high-performance devices.

关键词： carbon nanotubes aqueous two-phase (ATP)separation aggregate removal isolation sorting