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Bilateraly Diaphragmatic Traumatic Rupture with Delayed and Liver Herniation of Right Diaphragmatic Rupture
Hatice ?ztürkmen Akay,Refik ülkü
Dicle Medical Journal , 2004,
Abstract: Bilateraly diyafragmatic rupture is a rare pathology. The incidence isregarded 0.8-5%. Here we reported a bilateraly diyafragmatic rupture withdelayed right diyafragmatic liver herniation. We review the literature andwe mentioned the important radiologic findings of the patology withultrasonoghraphy, Computed tomography, and magnetic resonanceimaging.
Non-Invasive Mechanic Ventilation Using in Flail Chest, Caused By Blunt Chest Trauma
Serdar Onat,Alper Avc?,Refik ülkü,Cemal ?z?elik
Dicle Medical Journal , 2008,
Abstract: A 75-year-old woman admitted our faculty emergency room with shortness of breath, and chest pain after traffic accident’s second hour. She was diagnosed as bilateral multipl rib fractures, left clavicula fracture, and left flail chest by phsical and radiological examinations. She was transfered to Chest Surgery Depatment’s intensive care unit. The patient was undergone non-invasive mask mechanic ventilation support, because of the decreasing of blood oxygen saturation and increasing of arteriel blood partial carbondioxide pressure. The treatment of non-invasive mechanic ventilation was succesfull for ventilation support. With this report, we would like to attentioned that non-invasive mechanic ventilation for blunt chest trauma patients could be used succesfully and could be used instead of endotracheal invasive mechanic ventilation.
Thoracic Wall Necrotizing Fasccitiss in a Neonate: a Case Report
Serdar Onat,Alper Avc?,Refik ülkü,Menduh Oru?
Journal of Clinical and Analytical Medicine , 2010, DOI: 10.4328
Abstract: Necrotizing fasciitis (NF) is a rapidly progressive and potentially life-threatening infection of superficial fascia and subcutaneous tissue. Thoracic wall is one of the rarest locations for NF. Broadspectrum antibiotics receiving, early surgical debridement, and skin grafting are life saving in NF. We report a 7-day-old female neonate who had left sided thoracic wall NF. She had undergone extensive surgical debridement within 4 hours of hospital admission, and reconstruction of skin defect by split-thickness skin grafting later. Early diagnosis is important, as prompt surgical debridement offers the best chance for survival. Early and extensive surgical debridement is a widely accepted clinical approach and the mainstay of effective treatment. The goals of surgical intervention are to remove all necrotic tissues, and to help control the progression of NF. Reconstruction of skin defects should be performed by early split-thickness skin grafting like our patient or primary closure. Because early wound resurfacing prevents fluid, electrolyte, and protein loss from the wound site, and decreases secondary infection. Although chest wall NF is rare in neonates, it is a rapidly spreading, highly lethal infection. A high index of suspicion, early diagnosis, and aggressive approach are essential to its successful treatment.
Does Zika Really Have the Capacity to Affect the Nervous System and Cause Microcephaly or Intracranial Calcifications?  [PDF]
Lawrence Broxmeyer, Refik Kanjhan
Modern Research in Inflammation (MRI) , 2016, DOI: 10.4236/mri.2016.52003
Abstract: Although the Centers for Disease Control and Prevention (CDC) reports that brain abnormalities in infants with laboratory-confirmed Zika infection include microcephaly, disrupted brain growth, intracranial calcifications, and abnormal eye findings—it is not known presently if the Zika virus itself causes any of these. In a recent 2016 review of Zika dealing with possible brain abnormalities appearing with Zika, Melo et al. mention that among the Flaviviruses, which Zika is, such brain insults and pathologic findings are practically unheard of. Melo et al. conclude that until more cases are diagnosed and more histopathological proofs are obtained, the possibility of other causes besides Zika cannot be ruled out. This paper considers just such other possible causes that have, to this point, escaped general notice. The Aedes aegypti and other Aedes species can transmit tiny viral-like, cell-wall-deficient mycobacterial forms, independent of viruses, yet prevalent in the very same Rhesus Monkey used in the original 1952 Zika communication—which spoke of “A filterable transmissible agent”. In addition, the universal fetal prenatal vaccination of Brazilian neonates is considered, strongly discouraged by The Royal Children’s Hospital in Melbourne, which forbids BCG vaccination of pregnant women and those immunosuppressed or already having tuberculosis (TB) or AIDS. And finally thought is focused on the prime candidate itself, towards explaining what an alternative cause for “Zika” might look like—an infectious agent with transmissible, filterable, viral-like forms. One which can be transmitted by the very same Aedes mosquitoes that carry Zika—one that is neurotrophic, and extremely prevalent in Brazil—and that can disrupt brain growth, cause microcephalus, cause a fever, is sexually transmissible, instigates Guillain-Barré syndrome and causes cranial calcifications—the
Global Existence, Uniqueness of Weak Solutions and Determining Functionals for Nonlinear Wave Equations  [PDF]
ülkü Dinlemez
Advances in Pure Mathematics (APM) , 2013, DOI: 10.4236/apm.2013.35064

We consider the initial-boundary value problem for a nonlinear wave equation with strong structural damping and nonlinear source terms in IR. We prove the global existence and uniqueness of weak solutions of the problem and then we will study the determining modes on the phase space \"\" by using energy methods and the concept of the completeness defect.

stiklal Sava na Do ru Milli Bilincin Do u u ///Born of National Awareness to the War of Independence
History Studies : International Journal of History , 2010,
Abstract: After Ottoman Empire was defeated in the First World War, faced with the danger of losing their independence and lands, Turkish people started a national struggle for independence under the leadership of Mustafa Kemal, despite the poverty and lack of money. One of the most important issue must be considered here is how a nation whose army was demobilized, capital was occupied and financial-emotional resources exhausted, could rised. Which events did let this rise? Due to the the attitudes of non-Muslims and allies and occupations in Anatolia, Turkish Nation took action against all of Entente Powers. On the other hand the attitutes of stanbul Goverment and deposition of the administrators supported the national struggle in Anatolia were other important factors that motivated Turkish Nation. Eventually Mustafa Kemal and his friends took action considering the nation's will and determination for being an independent coutry. The article that was stated in Amasya Circular as “the independence of nations could only be provided by the nation's will and determination” is another sign of this situation.
The Applicability of the Moral Virtues Scale in Higher Education / Moral Erdemler l e inin Yüksek retimde Uygulanabilirli i
E?itim Bilimleri Ara?t?rmalar? Dergisi , 2011,
Abstract: This research was conducted to develop a valid and reliable likert type scale to measure the perceptions of students towards moral virtues expected from academic staff in higher education. 242 students from Faculty of Education in Harran University constitue the study group of this research. In this study Kaiser-Meyer-Olkin (KMO) and Barlett test, factor analysis, simple component analysis and varimax rotation techniques were utilized. According to the exploratory factor analysis results, the scale consists of seven factors including: respect, justice, loyalty, courage, honesty, grace, and trust with a total of 50 five-Likert type items. Total variance explained was computed as 65.5%. Item factor loadings in the related scale range from 0.30 to 0.78. It was found out for sub scale of scale between 0.72 and 0.95 and the level of 0.97 for whole scale. Results of analysis revealed that Moral Virtues Scale is a valid and reliable scale can be used in higher education.
Infinite-Hamiltonian Structures of the Riemann Equation
Refik Turhan
Physics , 2005,
Abstract: We give two distinct infinite-Hamiltonian representations for the Riemann equation. One with first order Hamiltonian operators and another with third order-first order Hamiltonian operators. Both representations contain an arbitrary function of the dynamical variable. We prove that all the Hamiltonian operators of the Riemann equation are mutually compatible.
Non-autonomous Degenerate KdV Systems
Refik Turhan
Physics , 2002,
Abstract: Non-autonomous degenerate KdV systems in (1+1) dimensions are considered for integrability classification. Integrability of the systems is associated with the existence of a recursion operator. Some new non-autonomous degenerate two-component KdV systems are found.
On a Recently Introduced Fifth-Order Bi-Hamiltonian Equation and Trivially Related Hamiltonian Operators
Daryoush Talati,Refik Turhan
Symmetry, Integrability and Geometry : Methods and Applications , 2011,
Abstract: We show that a recently introduced fifth-order bi-Hamiltonian equation with a differentially constrained arbitrary function by A. de Sole, V.G. Kac and M. Wakimoto is not a new one but a higher symmetry of a third-order equation. We give an exhaustive list of cases of the arbitrary function in this equation, in each of which the associated equation is inequivalent to the equations in the remaining cases. The equations in each of the cases are linked to equations known in the literature by invertible transformations. It is shown that the new Hamiltonian operator of order seven, using which the introduced equation is obtained, is trivially related to a known pair of fifth-order and third-order compatible Hamiltonian operators. Using the so-called trivial compositions of lower-order Hamiltonian operators, we give nonlocal generalizations of some higher-order Hamiltonian operators.
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