Sürdürülebilir Kalkınma Amaçları
Yazarlar
- Uzun, Sevda(87)
- Merdan, Mehmet(70)
- Duran, Celal(56)
- Baltaci, Cemalettin(52)
- Kulakaç, Nurşen(51)
- Ozdes, Duygu(51)
- Kaygusuz, Abdullah(47)
- Öztürk, Serkan(42)
- Demir, Selim(40)
- Karsli, Orhan(37)
- Turan, Ibrahim(37)
- Dokuz, Abdurrahman(36)
- Gücer, Mehmet Ali(36)
- Sipahi, Ferkan(36)
- Araz, Onur(35)
- Kandemir, Raif(31)
- Vural, Alaaddin(31)
- Topal, Fevzi(30)
- Kurt, Kemal(29)
- Ürkek, Bayram(29)
- Maden, Nafiz(28)
- Acet, Tuba(27)
- Alemdag, Selcuk(26)
- Arslan, Mehmet(26)
- Ayaydin, Hasan(26)
- Akaryali, Enver(25)
- Aydin, Faruk(25)
- Baltacı, Cemalettin(25)
- Yücel, Cem(25)
- Akar, Zeynep(24)
- Barut, Abdulkadir(24)
- Ozturk, Samet(24)
- Pala, Fahrettin(24)
- Peker, Iskender(24)
- Topal, Meryem(24)
- Yildiz, Salih(24)
- Öz, Mehmet(24)
- Aliyazicioglu, Yuksel(23)
- Bostan, Sedat(23)
- Kankal, Murat(23)
Yayınlar
- MakaleYalnız künye2011An approximate solution of a model for HIV infection of CD4+ T cells
Merdan, M.; Gokdogan, A.; Erturk, V.S.
In this paper, the approximate solution of the differential system modeling HIV infection of CD4+ T cells is obtained by a reliable algorithm based on an adaptation of the standard variational iteration method (VIM), which is called the multi-stage variational iteration method(MSVIM). A comparison between MSVIM and the fourthorder Runge-Kutta method (RK4-method) reveal that the proposed technique is a promising tool to solve the considered problem.
- MakaleYalnız künye2011Experimental and analytical system identification of Eynel arch type steel highway bridge
Altunişik, Ahmet Can; Bayraktar, Alemdar; Sevim, Bariş; Özdemir, Hasan
This paper describes a full scale arch type steel highway bridges, its finite element modelling and Operational Modal Analysis. Eynel Highway Bridge which has arch type structural system with a total length of 336 m and located in the AyvacIk county of Samsun, Turkey is selected as a case study. The bridge connects the villages which are separated with Suat Uǧurlu Dam Lake. The three dimensional finite element model is constructed using project drawings and an analytical modal analysis is then performed to generate natural frequencies and mode shapes in the three-orthogonal directions. The ambient vibration tests on the bridge deck under natural excitation such as traffic, human walking and wind loads are conducted using Operational Modal Analysis. Sensitive seismic accelerometers are used to collect signals obtained from the experimental tests. To obtain experimental dynamic characteristics, two output-only system identification methods are employed namely, Enhanced Frequency Domain Decomposition method in the frequency domain and Stochastic Subspace Identification method in time domain. The correlation between the finite element model and experimental results is studied. Good agreement is found between dynamic characteristics in the all measurement test setups performed on the bridge deck. It is demonstrated that the ambient vibration measurements using Enhanced Frequency Domain Decomposition and Stochastic Subspace Identification methods are enough to identify the most significant modes of steel highway bridges. It is seen that there are some differences between analytical and experimental natural frequencies and experimental natural frequencies are generally bigger than the others.
- MakaleAçık Erişim2011Production of human milk fat substitute with medium-chain fatty acids by lipase-catalyzed acidolysis: Optimization by response surface methodology
Ilyasoglu, Huri; Gultekin-Ozguven, Mine; Ozcelik, Beraat
The aim of this study was to synthesize human milk fat substitute (HMFS) enriched with medium-chain fatty acids (MCFAs) by Lipozyme® RM IM-catalyzed acidolysis. The reaction substrates (tripalmitin, hazelnut oil fatty acids and Neobee® fatty acids) were specially chosen to mimic human milk fats and to enrich HMFS with MCFAs. Substrate molar ratio, reaction temperature and enzyme content were used to model and to optimize the reaction conditions via response surface methodology. The experiment was carried out at the optimal condition generated from the model yielded structured lipids with caprylic acid (12.8 g/100 g), capric acid (10.6 g/100 g) and palmitic acid (30 g/100 g). These values were found similar to the values predicted by the model (15.9 g/100 g, 14.1 g/100 g and 33.3 g/100 g). It can be concluded that the potential use of the structured lipids (SLs) produced in infant formulas provide energy source delivering a reduced calorie value for newborn, term and preterm infants.
- MakaleAçık Erişim2011Solutions for 4D cadastre - with a case study on utility networks
Döner, Fatih; Thompson, Rod; Stoter, Jantien; Lemmen, Christiaan; Ploeger, Hendrik; van Oosterom, Peter; Zlatanova, Sisi
The increasing complexity and flexibility of modern land use requires that cadastres need to manage information on the third and temporal (fourth) dimension. This article considers the registration of legal space of utility networks in cadastre in this 3D + time (=4D) context. A requirement analysis in three countries that have methods to register utility networks complying with their legal, organizational and technical structure (Turkey, the Netherlands and Queensland, Australia) is the basis for three alternatives for 4D cadastre to register utility networks. The three alternatives are analysed with respect to legal, organizational and technical cadastral requirements. This article presents a case study and a prototype from the Netherlands. In this country by law utilities are considered to be real estate objects with obligatory registration of ownership and geometry. This study shows that the 3D space and separate temporal attributes approach (state-based model) is a very promising solution to maintain temporal changes of utility networks and that this approach is to be preferred above the current practice, where the 3D and temporal aspects are not considered when registering a network.
- MakaleAçık Erişim2011Quality characteristics of registered cultivars and advanced lines of durum wheats grown in different ecological regions of Turkey
Sakin, Mehmet A.; Sayaslan, Abdulvahit; Duzdemir, Oral; Yuksel, Ferhat
In this study, pastaquality- associated characteristics of 25 durum wheat genotypes were investigated. Durum wheat genotypes consisted of 13 advanced experimental lines and 12 registered cultivars that were grown in three different locations of Turkey for 2 yr. Genotype, location, year and their interactions were found to be statistically significant in terms of all investigated quality characteristics. Mean quality parameters for the genotypes varied as follows: yellowberry kernel 1.7-6.1%, pigment content 3.67-8.31 mg kg-1, lipoxygenase (LOX) activity 12.9-27.9 EU g-1, protein content 10.8-11.8% (14% mb), gluten index (GI) 12-61, sodium dodecyl sulphate-sedimentation volume 17.3-28.7 mL, specific sedimentation volume 1.60-2.52 mL. Of the genotypes, 10 contained γ-gliadin 45 and six γ-gliadin 42 proteins. Except for Zenit, none of the registered cultivars and advanced experimental lines investigated in this study were able to meet simultaneously the requirements for high-quality pasta products; yet certain experimental lines prevailing in specific quality characteristics, such as Line-Gdem- 2, Line-Gdem-12 and Line-20, may be used for further breeding purposes. The results of this study also imply that grain yield and quality should be taken collectively into consideration in wheat breeding programs.
- MakaleYalnız künye2011Characteristics of seismic activity in the Western, Central and Eastern parts of the North Anatolian Fault Zone, Turkey: Temporal and spatial analysis
Öztürk, Serkan
Characteristics of seismic activity along the North Anatolian Fault Zone are analyzed between 1970 and 2010. Magnitude completeness changes between 2.7 and 2.9 in the North Anatolian Fault Zone. The frequency-magnitude distribution of earthquakes is well represented with a b-value typically close to 1. A clear decrease in temporal distribution of b-value is observed before the strong main shocks. Correlation dimension values are relatively large and the seismic activity is more clustered at larger scales in the North Anatolian Fault Zone. A statistical assessment is made in order to detect the current seismic quiescence anomalies in the beginning of 2010. Eight significant anomalous zones throughout the North Anatolian Fault Zone are detected. These are centered at: (1) 41.08°N-28.58°E (around Silivri), (2) 41. 47°N-29.51°E (in the Black Sea), (3) 40.69°N-29.78°E (including Izmit), (4) 40.26°N-26.46°E (around Gelibolu, Canakkale), (5) 40.59°N-31.03°E (including Duzce fault), (6) 40.86°N-35.30°E (around Amasya), (7) 39.48°N-39.74°E (around Erzincan), and (8) 39.06°N-40.50°E (around Bingol).
- MakaleYalnız künye2011Using landsat data to determine land use/land cover changes in gümüşhane, Turkey
Döner, Fatih
Sustainable land use and development require timely, accurate and detailed information of land resources as well as changes in the land resource. 'What is changing in where' question is answered by multiple observations over a period of time. Remote sensing technology provides such a monitoring requirement. The aim of this study was to analyze land use/ land cover (LU/LC) changes between 1975 and 2000 in Gümüs ̧hane, Turkey, using satellite images. Three Landsat images from 1975, 1987 and 2000 were used to determine changes. A post classification technique was used based on a hybrid classification approach (unsupervised and supervised). Images were classified into five LU/LC types; urban, agriculture, forest, pasture and other lands. It is found that significant changes in land cover occurred between the years 1975 and 2000. The results showed an increase in urban, forest and agriculture and a decrease in pasture and other lands between 1975 and 2000. In this period, urban land increased from 1.25 to 3.78% of the total area. While the area of pasture decreased from 26.74 to 23.44% of the total area, the area of forest and agriculture increased from 37.32 to 39.51% and from 8.83 to 13.27%, respectively.
- MakaleYalnız künye2011Effect of plant growth-promoting rhizobacteria and manure on yield and quality characteristics of Italian ryegrass under semi arid conditions
Yolcu, Halil; Turan, Metin; Lithourgidis, Anastasios; Çakmakçi, Ramazan; Koç, Ali
Plant growth-promoting rhizobacteria (PGPR) appeared as a promising alternative for organic fertilization. A field experiment was carried out to evaluate the effects of PGPR and solid cattle manure application on yield, quality, and mineral concentrations of Italian ryegrass (Lolium multiflorum Lam.) under semi arid conditions in Turkey. The treatments included: three manure application rates (i.e. M1, 10; M2, 20; and M3, 30 Mg ha -1), five PGPR strains (i.e. RC11, Bacillus subtilis; RC21, Variovorax paradoxus; RC105, Paenibacillus polymyxa; RP24/3, Paenibacillus polymyxa; and RF29/2, Pseudomonas putida), and a control (without bacteria or manure application). Manure application did not increase yield of Italian ryegrass, whereas the treatments with RC21 and RP24/3 rhizobacteria provided the highest dry matter yield. All PGPR and manure applications increased crude protein concentration of Italian ryegrass. The M3 manure rate and most treatments with PGPR (except RC11) produced greater crude protein yield than that of control. In addition, concentrations of P, S, Mg, Cu, Zn, and Fe in most PGPR and manure applications were greater than those of control.
- MakaleAçık Erişim2011In vitro inhibition of α-carbonic anhydrase isozymes by some phenolic compounds
Öztürk Sarikaya, Sevim Beyza; Topal, Fevzi; Şentürk, Murat; Gülin, Ihami; Supuran, Claudiu T.
Carbonic anhydrase inhibitors (CAIs) are a class of pharmaceuticals used as antiglaucoma agents, diuretics, antiepileptics, in the management of mountain sickness, gastric and duodenal ulcers, neurological disorders or osteoporosis. We report here the inhibitory capacities of some phenolic compounds against three human CA isozymes (hCA I, hCA II, and hCA VI) and the gill carbonic anhydrase of the teleost fish Dicentrarchus labrax (European seabass) (dCA). The isozymes showed quite diverse inhibition profiles with these compounds. These data may lead to design novel CAIs with a diverse inhibition mechanism compared to sulfonamide/sulfamate inhibitors.
- MakaleYalnız künye2011Total electricity and hydroelectric energy generation in Turkey: Projection and comparison
Akpinar, A.; Kömürcu, M.I.; Özölçer, I.H.; Şenol, A.
The main goal of this study is to forecast total electricity and hydroelectricity energy generation using historical electricity energy production data in order to determine the future level of electricity and hydroelectricity energy generation in Turkey. For this purpose, Turkey's electricity energy sector was reviewed during the period of 1940-2005. The total electricity and hydroelectricity energy generation were then modelled using historical energy generation data as years with regression analysis. Additionally, the portion that hydroelectric energy generation of Turkey has within total electricity energy production and probable meeting capacity of Turkey's hydroelectric potential of its future total demand was determined. According to the results, it is deduced that hydropower energy will have portion of 13.6% within the total electricity energy generation in 2030. In addition, it is concluded that the whole of Turkey's technical and economical hydroelectric energy potential that is equal 129.9 billion kWh will be used in the year of 2102 if the current trend continues.
- MakaleYalnız künye2011Investigation of water length effects on the modal behavior of a prototype arch dam using operational and analytical modal analyses
Sevim, Bariş; Bayraktar, Alemdar; Can Altunişik, Ahmet
This study determines the water length effects on the modal behavior of a prototype arch dam using Operational and Analytical Modal Analyses. Achievement of this purpose involves construction of a prototype arch dam-reservoir- foundation model under laboratory conditions. In the model, reservoir length was taken to be as much as three times the dam height. To determine the experimental dynamic characteristics of the arch dam using Operational Modal Analysis, ambient vibration tests were implemented for empty reservoir and three different reservoir water lengths. In the ambient vibration tests, the dam was vibrated by natural excitations provided from small impact effects and the response signals were measured using sensitive accelerometers. Operational Modal Analysis software process signals collected from the ambient vibration tests, and Enhanced Frequency Domain Decomposition and Stochastic Subspace Identification techniques estimated modal parameters of the dams. To validate the experimental results, 3D finite element model of the prototype arch dam was modeled by ANSYS software for empty reservoir and three different reservoir water lengths, and dynamic characteristics of each model were determined analytically. At the end of the study, experimentally and analytically identified dynamic characteristics compared to each other. Also, changes on the natural frequencies along to water length are plotted as graphs. Results suggest that reservoir water complicates the modal behavior of the arch dam significantly.
- MakaleYalnız künye2011The effects of some organic and chemical fertilizer applications on yield, morphology, quality and mineral content of common vetch (Vicia sativa L.)
Yolcu, Halil
A field experiment was conducted to evaluate the effects of some organic and chemical fertilizers on morphological, yield and quality properties and mineral contents of common vetch (Vicia sativa L.) between 2007 and 2008 in Gümüşhane, Turkey. Treatments were control (no fertilizer), liquid manure (LM = 51-52 L ha -1N), chemical fertilizer (CF = 30 kg N ha -1+ 80-100 kg P 2O 5ha -1), three leonardite doses (L 1= 2.8; L 2= 5.6 and L 3= 8.4 kg N ha -1), three zeolite doses (Z 1= 0.4; Z 2= 0.8 and Z 3= 1.2 N kg ha -1) and three solid cattle manure doses (SM 1= 34-35 kg N ha -1, SM 2= 68-70 kg N ha -1, SM 3= 102-105 kg N ha -1). Dry hay yield (DHY), leaf weight, stem weight, plant height, leaf number, crude protein content (CP), crude protein yield (CPY), acid detergent fiber (ADF), neutral detergent fiber (NDF), Ca, Fe, K, Mg, B, Cu, Mn, Na, Ni, P, Pb, S and Zn contents were determined. Organic and chemical fertilizer applications had significant effect (P<0.01) on DHY, leaf weight, stem weight, CP, CPY and mineral contents except leaf number, ADF and NDF in the both years. The plant height were significantly (P<0.05) affected by the treatments in the first year. The SM 2application in the first year and control and LM applications in the second year resulted to obtain improved yield components and crude protein yield. Z 2and Z 3applications also loomed large in terms of mineral contents.
- MakaleYalnız künye2011Aromatisation in adducts of a-terpinene: Influence of hindered internal Rotations
Kaya, Afşin Ahmet; Şengül, Mehmet Emin; Menzek, Abdullah; Kayaardi, Ibrahim; Karakuş, Murat; Şahin, Ertan
Each adduct of α-terpinene with p-quinone and 1,4-naphthoquinone in Ac2O/Et3N at 180 °C gives two aromatic products, one of which had a distinctive smell formed by the loss of an ethylene group. Here, we report the crystal structure of (1RS, 4RS)-1-isopropyl-4-methyl-1,4-dihydro- 1,4-ethanoanthracene-9,10-diyl diacetate. It is crystallised in an orthorhombic space group, Pbca, with cell dimensions a = 10.2899(7), b = 19.7804(9), c = 19.7519(8) Å and Z = 8. According to its NMR and X-ray diffraction data, the isopropyl and acetate groups slowly rotate.
- MakaleAçık Erişim2011The effect of material properties on the seismic performance of Arch Dams
Sevim, B.
The paper investigates the effect of material properties on the seismic performance of arch dam-reservoir-foundation interaction systems based on the Lagrangian approach using demand-capacity ratios. Type-5 arch dam is selected as a numerical application. The linear time history analyses of the arch dam-reservoir-foundation interaction system are carried out for different material properties. The foundation is taken into account as massless; behaviour of the reservoir is assumed to be linearly elastic, inviscid and irrotational. The north-south component of the Erzincan earthquake in 1992 is chosen as a ground motion. Dynamic equations of motions obtained from 3-D finite element modelling of the coupled system are solved by using the Newmark integration algorithm. The damage levels of the coupled system for the different material properties are demonstrated by using demand-capacity ratios and cumulative inelastic durations. The time histories and maximum values of the displacements and principal stresses, and performance curves, are obtained from linear analyses. It is clearly seen from the study that the different material properties affect the seismic behaviour of the dam.
- MakaleYalnız künye2011Restructuring of Turkey's electricity market and the share of hydropower energy: The case of the Eastern Black Sea Basin
Uzlu, Ergun; Akpinar, Adem; Kömürcü, Murat Ihsan
This paper presents the historical development of Turkey's electricity power sector, the efforts for introducing competition in the power industry in Turkey, and the concerns regarding restructuring in Turkey. The contribution of the hydropower energy potential in Turkey to the reconstruction of the electricity structure in Turkey is also investigated. Then, among the 25 hydrological basins in Turkey, the Eastern Black Sea Basin located in the northeast of Turkey, which has great advantages from the view point of small hydropower potential or hydropower potential without storage, is chosen as the case study to carry out some investigations concerning its potential and to analyze the contribution of the private sector (the corporate body) in regard to the development of hydro potential in this basin within the scope of the 4628 Electricity Market Law. With this law, concerning the restructuring of the electricity market, private sector investments in this segment have increased. In total, 1524 hydroelectric power projects with 22 360 MW installed capacity has been implemented until January 22nd, 2009 and this figure is continuously rising.
- MakaleYayıncıda açık erişim2011Analysis of support requirements for a tunnel portal in weak rock: A case study from Turkey
Kaya, Ayberk; Bulut, Fikri; Alemdaǧ, Selçuk; Sayin, Aytuna
In this paper, engineering geological properties of the entrance portal section of Konakönü Tunnel, located on Black Sea Coastal Highway, Turkey, is studied. Moderately weathered basaltic and andesitic tuffs orderly to be driven by the entrance portal section. Tunnel portal design in weak rock presents some special challenges to the designers, since misjudgements in the design of tunnel can lead to very costly failures. The entrance portal was analyzed by empirical and numerical methods. Both field and laboratory studies were carried out during this study. Field studies involved geological mapping, detailed discontinuity surveying and sampling. Laboratory tests were carried out to determine the physico-mechanical and elastical properties of rock units. For this purpose, tunnel stability analyses were performed at the entrance portal section. The RMR (rock mass rating), Q (rock mass quality), RMi (rock mass index), NATM (new Austrian tunnelling method) and GSI (geological strength index) systems were employed for empirical rock mass quality determination and preliminary tunnel portal support design. The parameters calculated by the empirical methods were used as input parameters for the FEM (finite element method) analysis. The results from the two methods were compared and preliminary support designs were carried out. This comparison suggests that for more reliable support design, empirical and finite element methods should be combined.
- MakaleYalnız künye2011The effect of fin pitch on heat transfer and fluid flow characteristics in the entrance region of a finned concentric passage
Kuvvet, Kemal; Yavuz, Tahir
In this study, the heat transfer and fluid flow characteristics in the unfinned and internally finned concentric passage (smooth and finned annulus) are investigated experimentally. The turbulence characteristics, mean flow, pressure drop and heat-transfer parameters in the entrance region of a concentric passage of diameter ratio 0.2 are measured. The hot-wire anemometer and the liquid-crystal technique are used for the turbulence and mean flow and the heat transfer measurements, respectively. The finned passage is designed as the fin width (W) of 2 mm, the fin height (H) of 2, 4, 6 and 8 mm and the fin pitch (P) of 20, 30 and 40 mm. Reynolds number ranges from 1.8 .104 to 1.24.105 and from 1.65.104 to 7.65.104 for flow and pressure drop and heat transfer measurements, respectively. Experiments are performed for the smooth and finned concentric passages by varying flow and fin parameters and the effects of the fin pitch are investigated. The developing of fluid flow is analyzed and the variation of turbulence intensity, friction factors, local and mean convective heat transfer coefficients in the smooth and finned concentric passages are obtained. Results obtained in the finned concentric passages are compared with the results of the smooth passage. For the average Nusselt numbers and friction factor, empirical equations are developed. As a result, it is seen that the friction factor in the finned passage increases between 3.61 and 18.05 times while the average Nusselt number augments between 1.36 and 5.23 times on the inner surface and between 1.03 and 1.80 times on the outer surface.
- MakaleYalnız künye2011Determination of seasonal changes in olive oil by using differential scanning calorimetry heating thermograms
Ilyasoglu, Huri; Ozcelik, Beraat
Thermal properties (upon heating) of extra virgin olive oils (EVOOs) from Aegean cultivars were determined to evaluate the possibility of using differential scanning calorimetry (DSC) as a tool for monitoring seasonal changes in chemical composition. Chemical properties of the samples were analyzed to assess the relationship between the thermal properties and chemical properties as well. The thermal properties of Aegean cultivars were found to be influenced by major components (palmitic acid, oleic acid, linoleic acid, triolein and palmitodiolein). The melting offset temperature, the temperature range of melting and the melting enthalpy of Aegean cultivars presented significant differences with respect to crop season (p < 0.05). DSC may be utilized to evaluate compositional changes with respect to crop season.
- MakaleYalnız künye2011Petrochemistry and U-Pb zircon ages of adakitic intrusions from the pulur massif (eastern pontides, ne Turkey): Implications for slab rollback and ridge subduction associated with Cenozoic convergent tectonics in the eastern Mediterranean
Eyuboglu, Yener; Santosh, M.; Chung, Sun-Lin
The well-preserved magmatic arc in the eastern Pontides orogenic belt of northeastern Turkey offers critical clues on convergent margin tectonics associated with the late Mesozoic-early Cenozoic geodynamic evolution of the eastern Mediterranean region. Here we investigate the petrology, geochemistry, and U-Pb zircon chronology of adakitic intrusions from the Pulur region in the southern zone of the eastern Pontides belt. The intermediate to felsic intrusives in the Pulur region are characterized by the presence of abundant plagioclase, amphibole, and biotite phenocrysts. The rocks display extreme light rare earth element enrichment (LaN YbN p13.69-51.08); high Al2O3 (15.46-17.47 N Nwt%), Na2O (3.57-8.43 wt%), Sr (324.8-1468 ppm), and La (13.9-55.8 ppm) concentrations; a high Sr/Y ratio (35-473); and low Y (3-12.6 ppm) and heavy rare earth element concentrations, closely comparing with the typical features of adakites. Zircons extracted from the Pulur adakites show euhedral crystal shapes, oscillatory zoning patterns, andhigh Th/U ratios (up to 3.33) consistent with their magmatic origin. Their 206Pb/238U ages show a range of 55.21-53.07 Ma, correlating the magmatism to the early Eocene. We propose a tectonic model involving the initiation of a slab rollback and simultaneous opening of a slab window during ridge subduction in a south-dipping sub duction zone for the origin of the Tertiary adakitic and nonadakitic magmatism in the eastern Pontides orogenic belt. We also identify a close relation between slab rollback processes and back arc extension, which led to the opening of the Tertiary basins in the southern part of the eastern Pontide orogenic belt. The eastern Pontide orogenic belt is one of the world's largest metallogenic provinces, and it hosts various economic mine ralizations such as volcanogenic massive sulfide, epithermal gold-silver, porphyry copper-molybdenum, skarn-type, and chromite. However, the adakitic intrusions exposed in the southern part of the eastern Pontide orogenic belt are devoid of ore deposits, which leads us to propose that the Lutetian or later nonadakitic granitic intrusions exposed at the north of the Gumushane-Bayburt-Ispir line were probably responsible for the epithermal gold mineralization in this belt.
- MakaleYalnız künye2011Mild and severe anal incontinence after lateral internal sphincterotomy: Risk factors, postoperative anatomical findings and quality of life
Kement, M.; Karabulut, M.; Gezen, F.C.; Demirbas, S.; Vural, S.; Oncel, M.
Aim: This study aims to evaluate the risk factors for incontinence after lateral internal sphincterotomy (LIS) and assess quality of life in different levels of incontinence. Methods: All consecutive patients (n = 253) with chronic anal fissure who underwent LIS between 2003 and 2006 were retrospectively reviewed. All patients were questioned for possible anal incontinence according to the Wexner Incontinence Score (WIS). Demographics, vaginal delivery history, additional procedures and surgeon's experience were evaluated as risk factors. Endoanal ultrasound (EUS) was performed in incontinent patients to assess the thickness of the remaining internal sphincter and to evaluate any injury in the external sphincter. Quality of life was questioned with SF-36. Results: Twenty-eight (11.7%) patients suffered from incontinence (mean WIS = 3.6 ± 2.5). The search for a risk factor was unsuccessful when continent and incontinent groups were compared. In subgroup analyses, patients were found to be suffering from mild (WIS <5, n = 19) or severe (WIS >5, n = 9) incontinence. Vaginal delivery history was found more often in the severely incontinent subgroup than in the continent group (p < 0.05). Also, vaginal delivery history and the additional procedures were more frequently observed in the severely incontinent subgroup than in the mildly incontinent subgroup. EUS did not find any external sphincter injury in these cases. WIS had negative correlations with the physical and mental component scores of SF-36. Conclusion: In our opinion, the threat for incontinence is unpredictable; however, vaginal delivery history may increase the risk of severe incontinence.