Başkent Üniversitesi Kurumsal Akademik Arşivi
Başkent Üniversitesi DSpace, üniversitemiz tarafından doğrudan veya dolaylı olarak yayınlanan kitap, makale, tez, bildiri, rapor ve araştırma verisi gibi tüm akademik kaynakları uluslararası standartlarda dijital ortamda depolar. Bu sistem, üniversitemizin akademik performansını izlemeye aracılık eder, kaynakları uzun süreli saklar ve yayınların etkisini artırmak amacıyla telif haklarına uygun olarak Açık Erişim imkanı sağlar.
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Risk Factors of Long-Term Graft Loss in Renal Transplant Recipients with Chronic Allograft Dysfunction
(Başkent Üniversitesi, 2010-12) Khalkhali, Hamid Reza; Kazemnejad, Anoushirvan; Hajizadeh, Ebrahim; Ghafari, Ali
Background: Graft loss owing to chronic allograft dysfunction is a major concern in renal transplant recipients. We assessed the affect of immune and nonimmune risk factors on death-censored graft loss in renal transplant recipients with chronic allograft dysfunction.
Materials and Methods: We performed a retrospective, single-center study on 214 renal transplant recipients with chronic allograft dysfunction among 1534 renal transplant recipients at the Urmia University Hospital from 1997 to 2005. Data registry includes details from all renal transplants. The renal transplant recipient information is regularly updated to determine current graft function, graft loss, or renal transplant recipient’s death. The selection criteria were a functional renal allograft for at least 1 year and a progressive decline in allograft function.
Results: Increasing donor age (RR=1.066; P < .001), recipient age (RR=1.021, P = .0), recipient weight (RR=1.024; P = .029), and waiting time on dialysis to transplant. (RR=1.047; P = .006), pretransplant hypertension (RR=3.126; P < .001), pretransplant diabetes (RR=5.787; P < .001), delayed graft function (RR=6.087; P < .001), proteinuria (RR=2.663; P = .001), posttransplant diabetes (RR=2.285; P = .015), posttransplant hypertension (RR=2.047; P = .017), and AR (RR=3.125; P < .001). Patients in stage 2 at the beginning of chronic allograft dysfunction relative to stage 1 (RR=4.823; P < .001) and patients in stage 3 at the beginning of chronic allograft dysfunction relative to stage 1 (RR=123.06; P < .001) were significant risk factors for death-censored graft loss. Using mycophenolate mofetil versus azathioprine reduced death-censored graft loss (RR=0.499; P ≤ .001).
Conclusion: We found that age of donor, pretransplant hypertension, pretransplant diabetes, type of immunosuppression (mycophenolate mofetil vs azathioprine), delayed graft function, proteinuria, and stage of allograft dysfunction at the start of chronic allograft dysfunction are the major risk factors for late renal allograft dysfunction.
Experiences Of Nurses Providing Care To Hospitalized Patients With Acute Mania In Türkiye: A Phenomenological Study
(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-04-27) Oksuz, Emine; Mersin, Sevinc; Ucgun, Tugce; Sarikoc, Gamze
The main purpose of this study was to determine the experiences of nurses who care for hospitalized patients experiencing an acute manic episode. This qualitative study was carried out with 15 nurses working in a psychiatric ward in T & uuml;rkiye. Data were collected through semi -structured in-depth individual interviews and focusgroup interviews in which the face-to-face interview technique was used. Two main themes emerged from the analysis of the qualitative data: (1) the difficulties experienced and (2) the most effective elements of care. Under the first main theme, the following sub -themes emerged: difficulties in setting boundaries, safety concerns, difficulties in managing the patient's demands, inability to choose the appropriate word(s), and the "emotional whirlwind" experienced. The second main theme, on the other hand, included the following sub -themes: meeting basic needs, ensuring treatment compliance, encouragement to engage in physical activity, and having a sufficient number of qualified personnel. The study revealed that the nurses had difficulties in caring for their manic patients. On the basis of these results, it is recommended that nurses be given counseling and training on setting boundaries, ensuring safety, managing the patient's demands, coping with their own emotions, and communicating better. In addition, the study identified the importance of nursing interventions to meet patients' basic needs, encourage them to engage in physical activity, and ensure treatment compliance, and the importance of there being an adequate number of qualified personnel. These results may help students and other nurses in terms of assessing and setting priorities in cases needing acute psychiatric care.
Flow Rate-Dependent Properties Of Sno2 Thin Films Deposited By Ultrasonic Spray Pyrolysis
(Başkent Üniversitesi Mühendislik Fakültesi, 2024-05-02) Gunes, Ibrahim; Sarica, Emrah; Ozcan, Hakan Bilal; Terlemezoglu, Makbule; Akyuz, Idris
This study unveils the outcomes of fabricating and characterizing SnO2 thin films through ultrasonic spray pyrolysis. Also, it focuses on the effect of manipulating flow rates on their structural, optical, and electrical characteristics. Structural analysis revealed that the films exhibited a tetragonal rutile structure and (200) crystallographic planes become preferential as the flow rate increases. Crystallite size and lattice strain were calculated using the Debye-Scherrer and Williamson-Hall methods, demonstrating that higher the flow rate resulted in larger crystallite sizes and reduced lattice strain. SEM images showed that all films have uniform and consistent film thickness and grain size enlarged with the solution flow rate as well. The films exhibited high optical transparency (>80%) in the visible spectrum, making them suitable for transparent conductive applications. The band gap of the films decreased gradually with flow rates, and the Urbach energy slightly increased. Hall effect measurements revealed higher flow rates resulted in lower sheet resistance (lowest is 1.32 x 10(2) Omega/sq) and higher carrier mobility (highest is 22.12 cm(2)/V.s), indicating improved electrical properties. These findings offer valuable perspectives for forthcoming researches.
A Revisit To The Plane Problem For Low-Frequency Acoustic Scattering By An Elastic Cylindrical Shell
(Başkent Üniversitesi Mühendislik Fakültesi, 2024-03-16) Yucel, Hazel; Ege, Nihal; Erbas, Baris; Kaplunov, Julius
The proposed revisit to a classical problem in fluid-structure interaction is due to an interest in the analysis of the narrow resonances corresponding to a low-frequency fluid-borne wave, inspired by modeling and design of metamaterials. In this case, numerical implementations would greatly benefit from preliminary asymptotic predictions. The normal incidence of an acoustic wave is studied for a circular cylindrical shell governed by plane strain equations in elasticity. A novel high-order asymptotic procedure is established considering for the first time all the peculiarities of the low-frequency behavior of a thin fluid-loaded cylinder. The obtained results are exposed in the form suggested by the Resonance Scattering Theory. It is shown that the pressure scattered by rigid cylinder is the best choice for a background component. Simple explicit formulae for resonant frequencies, amplitudes, and widths are presented. They support various important observations, including comparison between widths and the error of the asymptotic expansion for frequencies.
DENEME 123
(DENEME DURSUN AKSOY, 2026-01-02) DENEME123