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    Midterm outcomes after arthroscopic repair of partial rotator cuff tears: A retrospective study of correlation between partial tear types and surgical technique

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    Objective: Patients who underwent arthroscopic repair for partial rotator cuff tears were evaluated retrospectively. This study purposed to assess the postoperative clinical results of arthroscopic treatment of intratendinous rotator cuff tears and to investigate the effect of the tear type on the postoperative clinical outcomes. Methods: Overall, 60 patients {[}36 women and 24 men; mean age: 48.6 +/- 12.2 years (range 33-67 years)] who underwent arthroscopic repair of Ellman stage 3 partial rotator cuff tear were evaluated retrospectively. These patients were grouped into the following three groups: articular-sided tears, bursal-sided tears, and intratendinous tears, with 20 patients included in each group. Subacromial decompression, acromioplasty, and tear repair without transforming to full-thickness tear were applied to the bursal-sided tears. The same technique was performed for intratendinous ruptures, with the only technical difference was that the capsular tissue was preserved during debridement of intratendinous tears. The articular-sided tears were transformed to complete tears and repaired arthroscopically. The preoperative and postoperative ASES scores and range of motion improvements were evaluated in all patients. The mean follow-up time was 44 +/- 6.5 months (range: 36-62 months). Results: No significant intergroup differences were observed concerning the age and the mean follow-up duration (p=0524, p=0.665). A similar increase in ASES scores was observed for all three types of tears (bursal-sided tears: 31.09-82.65; articular-sided tears: 35.50--84.00; intratendinous tears: 34.01-83.49). Statistically, no significant intergroup difference was observed concerning ASES score improvement (p=0.585). An increase in mean forward flexion, abduction, and external rotation were observed, especially, a statistically significant increase in flexion (p=0.001) and abduction (p=0.001) in all three types of tears. No patient experienced any intraoperative or postoperative complications. Conclusion: The results of arthroscopic treatment of intratendinous tears were similar to the other types of partial tears, and the results of arthroscopic treatment of grade 3 partial rotator cuff tears revealed satisfactory outcomes, regardless of the type of the tear

    Multicenter study of levodopa carbidopa intestinal gel in Parkinson's disease: the Turkish experience

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    Background/aim: Our purpose was to determine the efficacy of levodopa carbidopa intestinal gel (LCIG) in a series of Turkish patients with Parkinson's disease (PD). Materials and methods: We had telephone calls with 54 patients from 11 neurology centers who were on LCIG treatment, and 44 patients or their caregivers were included in an eight-item survey between September 2015 and June 2016. The reliability and validity of the survey were evaluated with intraclass correlation coefficients for every question separately. Results: Average age of the patients were 63.48 and the duration of PD was 12.79 years. Average LCIG treatment period was 15.63 months. Percentages of the patients who reported they were `better' after LCIG treatment were as follows: 80\% for time spent off, 55\% for dyskinesia, 65\% for tremor, 85\% for gait disorder, 50\% for pain, 50\% for sleep disorders, 42.5\% for depression, 32.5\% for incontinence, and 70\% for activities of daily living. Cronbach's alpha was 0.795 and the intraclass correlation coefficient was reliable for the items. Conclusion: As detected by a survey performed by telephone calls with good interrater reliability, patients with PD improve with LCIG treatment in many aspects of the disease

    Restoratıon Proposal For Gürcüzade Mehmet Ali Bey House In Amasya

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    Bu tez çalışması, Amasya ili Merkez ilçesi Hacı İlyas Mahallesi Gani Sokak’ta bulunan Gürcüzade Mehmet Ali Bey Konutu’nu konu etmektedir. Çalışmanın amacı, geleneksel Amasya evleri özelliklerini yansıtan Gürcüzade Mehmet Ali Bey Konutu’nun, mevcut durumunu sistematik olarak belgelemek, restitüsyonu ile özgün özelliklerini ortaya çıkarmak ve koruma kuralları ışığında restorasyon önerisi hazırlayarak gelecek nesillere aktarılmasını sağlamaktır. Çalışma kapsamında, Amasya ili ve Hacı İlyas Mahallesi’nin genel özellikleri, kentin planlama ve koruma tarihi incelenmiş, Gürcüzade Mehmet Ali Bey Konutu’nun mevcut durumu, yapıdaki değişim ve bozulmalar belgelenmiş, Amasya kent merkezinde, Gürcüzade Mehmet Ali Bey Konutu ile aynı dönemde ve teknikte inşa edilmiş konutlar tespit edilmiş ve yapının özgün durumunu yansıtan restitüsyon çalışması; yapının kendisinden, yapı dışı kaynaklardan ve karşılaşmalı çalışmadan elde edilen veriler ışığında hazırlanmış, çalışma sonucunda geleneksel Amasya evlerinin özgün özelliklerini yansıtan konutun, sürdürülebilir koruma bilinci ile kentte bulunan diğer yapılara örnek olacak restorasyon projesi hazırlanmıştırThis thesis is about Gürcüzade Mehmet Ali Bey House which is located in Gani Street of Hacı İlyas Quarter of central district of Amasya. The aim of thesis study is to document the current situation of Gürcüzade Mehmet Ali Bey House, which reflects the characteristics of traditional Amasya houses, to reveal its original features with its restitution, to prepare a restoration proposal which will serve as an example for its environment and to transfer it to future generations in the light of conservation principles. Within the scope of the study, the current situation of Gürcüzade Mehmet Ali Bey House, changes, and deteriorations have been documented. Archival study has been carried out, and the houses built in the same period with the Gürcüzade Mehmet Ali Bey House in Amasya city center have been identified. The restitution study has been made in the light of the data obtained from the house itself, archival documents and the comparative study. As a result of the study, the restoration project of the house reflecting the original characteristics of traditional Amasya houses has been prepare

    Assessment of soil-geocell interaction behavior by laboratory pullout tests

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    In this study, soil-geocell interaction behavior was investigated by using the large scale laboratory pullout test box. The large scale pullout box (1500 mm length, 1000 mm wide and 700 mm height) was designed and built to determine the behavior of the soil-geocell interaction. A total of 18 pullout tests were conducted under 10, 25 and 50 kPa vertical uniform pressure. The soil used in this study was poorly graded sand with specific gravity (G(s)) of 2.67, the average particle size (D-50) of 1.6 mm, maximum and minimum void ratios were 0.79 and 0.43, correspondingly. The maximum and minimum dry unit weights of the sand were found to be 14.52 and 18.10 kN/m(3). The model pullout tests were performed at relative densities of 50\%. The internal friction angle of the sand at relative density of 50\% determined from direct shear tests was 39 degrees. The displacements and deformations were measured to obtain the distribution of stress on the geocell. The results show that the displacements and deformations reach higher values at the near of front wall of the test box. In this study, as we expected that increase in vertical load results in increase in the pullout forces. Within the scope of this study, the variation of the SxL (cell number x length) parameter, which is expressed to determine the effect of the dimensions of geocell elements on the pulling force, on pullout forces is determined. It is concluded that there is a correlation between values of SxL and pullout forces in soils. Moreover, pullout interaction factor for geocells reinforcement decrease with increasing normal pressure

    Determınatıon Of Thermophysıcal Propertıes Of Dolomıte And Bauxıte Based Nanofluıds And Effect On Performance Of Thermal Systems

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    Isı transferi için temel akışkan olarak en çok kullanılan su, etilen glikol, mineral yağlar gibi geleneksel akışkanlar zayıf ısı aktarım karakteristikleri nedeniyle ısıl sistemlerde istenilen performansı sağlayamamaktadırlar. Bu dezavantaj nanopartiküllerin temel akışkan ile süspansiyon oluşturulmasıyla giderilmeye çalışılmaktadır. Bu çalışmada temel akışkan olarak su, etilen glikol, etilen glikol-su (50:50) kullanılarak iki adım metoduyla farklı konsantrasyonlarda (%1, %2, %4) dolomit ve boksit nanoakışkanları hazırlanmış, hazırlanan nanoakışkaların termofiziksel özellikleri belirlenmiş ve ısıl sistemlerdeki performansa etkileri incelenmiştir. Spex tipi bilyeli öğütücüde optimum şartlarda sırasıyla 24,5 nm ve 38,9 nm boyutunda dolomit ve boksit nanopartikülleri elde edilmiştir. Nanoakışkanların kararlılıklarının belirlenmesinde zeta potansiyeli ölçüm yöntemi kullanılmıştır. Hazırlanan nanoakışkanların termal iletkenlik, özgül ısı, vizkozite ve yüzey gerilimi gibi termofiziksel özellikleri deneysel olarak ölçülmüştür. Dolomit nanoakışkanının, boksit nanoakışkanına göre daha üstün termofiziksel özelliklere sahip olduğu belirlenmiştir. Isı borusu deneylerinde kullanılan sistem, 1 m uzunluğunda, iç ve dış çapı sırasıyla 13 mm ve 15 mm olan çift fazlı kapalı bakır borudur. Deneylerde evaporatör bölümüne 200 W, 300 W ve 400 W ısıtma gücü uygulanmış ve kondenser bölümünde farklı debilerdeki (5 g/s, 7,5 g/s, 10 g/s) su ile soğutma gerçekleştirilmiştir. Isı borusu duvar sıcaklığı, termal direnci ve verimi temel akışkanların ve nanoakışkanların ısı borusunda çalışma akışkanı olarak kullanımıyla ayrı ayrı incelenmiş ve elde edilen sonuçlar karşılaştırılmıştır. Nanoakışkanlar, üstün termal özelliklerinden dolayı ısı borusunda çalışma akışkanı olarak kullanıldıklarında, temel akışkanlara göre evaporatör bölgesinin ortalama sıcaklığını daha fazla düşürmüşlerdir. 200 W ısıtma gücü ve 10 g/s soğutma suyu debisinde dolomit-EG nanoakışkanı çalışma akışkanı olarak kullanıldığında evaporatör bölgesindeki ortalama duvar sıcaklığı etilen glikol kullanıldığı duruma göre 26,25 °C düşmüştür. 200 W ısıtma gücü, 5 g/s debide, %2 konsantrasyondaki dolomit-su nanoakışkanı kullanıldığında ısı borusu termal direncinde saf suya göre %36,84 iyileşme görülmüştür. 400 W, 10 g/s debide dolomit-etilen glikol nanoakışkanı çalışma akışkanı olarak kullanıldığında etilen glikole kıyasla ısı borusu veriminde %47 artış sağlamıştırConventional fluids such as water, ethylene glycol, mineral oils, which are most commonly used as base fluids for heat transfer, cannot provide the desired performance in thermal systems due to their poor heat transfer characteristics. This disadvantage is tried to be overcome by suspending the nanoparticles with the base fluid. In this study, dolomite and bauxite nanofluids were prepared by using two-step method in different concentrations (1%, 2%, 4%) using water, ethylene glycol, ethylene glycol-water (50:50) as the base fluid, and the thermophysical properties of the prepared nanofluids were determined and effects on performance of thermal systems were investigated. Dolomite and bauxite nanoparticles of 24.5 nm and 38.9 nm were obtained in the Spex type ball mill under optimum conditions, respectively. Zeta potential measurement method was used to determine the stability of nanofluids. Thermal conductivity, specific heat, viscosity and surface tension of the prepared nanofluids were measured experimentally. Dolomite nanofluid has superior thermophysical properties compared to bauxite nanofluid. The system used in the heat pipe tests is a two phase closed copper pipe with a length of 1 m, inner and outer diameter of 13 mm and 15 mm, respectively. In the experiments, 200 W, 300 W and 400 W heating power were applied to the evaporator section and cooling was performed with different flow rates (5 g/s, 7.5 g/s, 10 g/s) in the condenser section. Heat pipe wall temperature, thermal resistance and efficiency were investigated separately by using the base fluids and nanofluids as working fluids in the heat pipe and the obtained results were compared. Because of their superior thermal properties, nanofluids have reduced the average temperature of the evaporator section more than base fluids when used as working fluid in the heat pipe. When the dolomite-EG nanofluid was used as the working fluid at 200 W heating power and 10 g/s cooling water flow rate, the average wall temperature in the evaporator section decreased by 26.25 °C compared to ethylene glycol. At a heating power of 200 W and a flow rate of 5 g/s, thermal resistance of the heat pipe improved by 36.84% when 2% concentration of dolomite-water nanofluid was used. At the conditions of 400 W and 10 g/s, the dolomite-ethylene glycol nanofluid used as working fluid provided a 47% increase in heat pipe efficiency compared to ethylene glyco

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