bluuebunny/crossref_metadata_2025 huggingface dataset:
Analisis Drainasi di Saluran Cakung Lama Akibat Hujan Maksimum Tahun 2013 dan 2014
Authors: Harsanto Puji , Lesmana Surya Budi , Devianty Sherly
Published: March 2022

Flooding is an annual disaster for Indonesia. Jakarta is a city that each year nearly always experienced by flooding. The rapid development made the impervious area dropped drastically. Micro drainage is not capable of passing the volume of direct runoff. It makes many regions in Jakarta experienced by floodwaters. The aim of this research is to analyze the micro drainage capacity in Cakung Lama River. Simulations are performed with HEC-RAS 1D. The flood data is maximum rainfall on 2013 and 2014. Two scenarios normalization is done for reducing the inundated area around the river. Based on the simulation results, the existing conditions are not able to accommodate the discharge due to maximum rainfall 2013 dan 2014. Normalization of the river will give good results if the width of the river 5 m and the depth of the river is 3 m.
Klasifikasi Wajah Kambing Peranakan Ettawa (PE) Jantan Berbasis Perseptron
Authors: Chamim Anna Nur Nazilah , Soesanto Adhi , Soesanti Indah
Published: March 2022

Goat Peranakan Ettawa ( PE ) is a kind of superior goat derived from goat crosses, between Ettawa (Jamnapari ) from India and Kambing Kacang (Bean Goat) from Java. A factor to determine quality of goat PE is it’s face. More than 30 cm ears length and the head color is black represents good quality. More better the quality of goat face, means higher selling price. In this study, male goat face is classified into class good quality, less good, and not good at data such as photo / image In the market, classification done by visual observation, so many farmers have difficulty in classifying the face of a goat. For that purpose, a system is needed that capable for classifying a goat face to facilitate farmers in classifying.This classification system uses Perceptron Method, is a method of guided learning using characteristic as input those are ears length, black value and brown face value. Images are used as training images as much as 9 images, and test images are 20 images. This system could classificating PE goat face with success rate of 95% and 1 error from 20 testing images. Error occured because the background was detected as black and image taking that not precise.
Perancangan Perangkat Lunak untuk Ekstraksi Ciri dan Klasifikasi Pola Batik
Authors: Soesanti Indah
Published: March 2022

The popularity of batik patterns in Indonesia has varied. Industrial modern devices in imaging have supported batik pattern recognition and classification. The important of product pattern information could not naturally visible. The information about batik pattern can be achieved by using the appropriate software design of image processing for extracting the features. One of the potential procedures is the unsupervised classification method based on specific feature.  In this research, the specific feature extraction based on the eigenimage of batik pattern was done. In the final step, the nearest distance eigenimage between reference batik image and test batik image was used to identify the batik from the classical pattern field point of view. The results of batik image identification conformed 96.67% with the reference batik images.
Sifat-sifat Tarik dan Flexural Komposit Serat Sabut Kelapa Unidireksional/Poliester
Authors: Sudarisman Sudarisman , Kamiel Berli P , Rahadi Slamet
Published: March 2022

The purpose of this study is to investigate the tensile and flexural properties of unidirectional coconut fiber/polyester composite materials, and to describe their failure modes. Specimens were cut from fiber/polyester composite plates containing various fiber contents. Materials being used in this study are coconut fiber that was previously alkali-treated and polyester resin matrix. Whilst tensile testing was carried out in accordance with the ASTM D3039 standard, flexural testing was based on the ASTM D790 standard. Failure surfaces of the representative specimens were then observed under an optical microscope, and their digital photo macrographs were captured for image analysis in order to describe their respective fiber distribution pattern and to determine their respective actual fiber volume fraction, Vf, by means of an open source software called ImageJ. It was found out that the actual Vf of the four composite plates being produced were 10.7%, 17.6%, 27.4% and 40.5%. It was revealed that while tensile strength increases with the increase of Vf, while failure strain, modulus elasticity and flexural strength decreases. The average highest tensile strength, tensile failure strain, and tensile modulus of elasticity were found being 30.01 MPa at Vf = 40.5%, 0.027 mm/mm at  = 0%, and 1.47 GPa at Vf = 0%, respectively. The average highest flexural strength, failure strain and modulus of elasticity were observed being 153.92 MPa at Vf = 10.7%, 0.0358 mm/mm at Vf = 0%, and 3.242 GPa at Vf =10.7%, respectively. It was observed that specimens were failed by fiber pull out and debonding.
Analisa Kegagalan Sambungan Las Pada Tiang Penyangga Dermaga
Authors: Syahputra Koko Nusyi , Nugroho Aris Widyo
Published: March 2022

Welded join failure analysis of broken jetty head strut has been carried out to find out the root cause of the failure which was obverved at the ring welding. Specimens being made of unbroken and broken struts were characterized and analyzed. The results show that the chemical composition of the based metal and the strut welded  joins especially their phosporus content were close to that of the ASTM A 252 grade 2 standard.   A common phenomenon was noted on the hardness testing result where the hardness numbers of the weld metal zone were found being higher than those of the base metal. The Widmanstatens stucture was noticed on both the weld metal and the coarse grain zone.  Further examination of the macrostructures revealed that blow holes and incomplete fusions were detected on the weld metal of the broken struts.  These flaws may the root cause of the failure because they acted as an initial crack that may propagate until fracture.
Aplikasi Metode Time Cost Trade Off Pada Proyek Konstruksi: Studi Kasus Proyek Pembangunan Gedung Indonesia
Authors: Priyo Mandiyo , Aulia Muhamad Raa’uf
Published: March 2022

Time and cost are very infuential to the success and failure of a project. The measurement of project can be seen by the short time arrangment and minimum cost without denying the quality of project result. Systematically project management is very needed to make sure the time of project realization appropriate with the contract or it can be done faster so the cost will be able to be pressed. Moreover it is also to avoid paying the fine caused by the project lateness. The purpose of this research is to calculate the cost change and time project arrangment by adding work time variation and employed increment, then compare the result between fine cost and cost changing after the overtime and employee increment. Data in this research is secondary data from implementer contractor. Data analysis is used Microsoft Project 2007 program and time cost trade off method. The result from Microsoft Project 2007 program is critical path and result from time cost trade off method is duration velocity and increment cost in every activity that fasten. The result of this research indicated that (1) Time and cost optimum result of the adding work time (overtime) obtained at the age of project 242 days of work with total cost of project Rp. 10.481.732.644,58 with time efficiency project 24 days (9,02%) and cost efficiency project Rp. 43.019.556,39 (0,41%). (2) Time and cost optimum result of the employee increment obtained at the age of project 243 days of work with total cost project  Rp. 10.482.934.084,43 with time efficiency project 23 days (8,65%) and cost efficiency project Rp. 41.818.116,54 (0,40%). (3) The best choise is with adding work time (overtime), because it produces time and cost efficiency highest with time efficiency project 24 days (9,02%) and cost efficiency project Rp. 43.019.556,39 (0,41%). (4) Cost expedite duration project (adding overtime or employee increment) cheaper than the cost that should be paid if the project failed and have to pay the fine.
Dampak Parkir Khusus Wisata Terhadap Simpang Bersinyal Jalan Perkotaan: Studi Kasus Persimpangan Ngabean, Yogyakarta
Authors: Mahmudah Noor , Tubagus Adhytia
Published: March 2022

The development of Special Region of Yogyakarta has been occuring rapidly due to this region is well known as student city and the primary tourism destination in Indonesia. One of the transportation problems related to the tourism activities is traffic conflict due to parking area of tourism bus in Ngabean, Yogyakarta City. Therefore it is needed to evaluate signalized junction around the parking area in order to reach the optimal performance. The study carried out among other by conducting field survey to the existing condition (performance) of signalized junction either in the weekend (Saturday) and weekday (Monday), especially by evaluating the degree of saturation (ds). The analysis results showed that the degree of saturation in the weekend is 0,89, which is higher than the allowed one (ds=0,85). Since the degree of saturation in the weekday is 0,76 so it is relatively good. The scenarios (model) applied to improve the overall junction performance are by estricting (prohibiting) left turning on red (LTOR) and by carrying out road widening. The final result obtained from the scenario (model) is the degree of saturation (ds) becomes lower than the allowed value (0,830,85) for all approaches in the signalized junction.
Penyiraman Otomatis Pada Tanaman Atap Rumput Gajah
Authors: Al-Muqorrobin Muhammad Izzuddin , Chamim Anna Nur Nazzilah
Published: March 2022

Watering is an important step to mantain the condition of a plant, but most people dont know how good watering is, like the time of watering, watering composition that match with the plant. Almost all of green roof in any type is not using automatic system but manually watering it, that make watering the green roof become very hard to do. In this case, many people think that having a green roof is very difficult, especially in maintain it. From this problem, writer want to convince people that having a green roof is not as difficult as it look. With combining the watering methode, green roof, and surface irrigation, then writer want to make something that can help people to mantain plant especially green roof plant. The objective of this papers is to make and to know how Green Roof Automatic Watering System’s work. Using Atmega16 chip, writer made an electronic circuit that programmed by C language that will automatically watering the plant if the sensor detect the percantage above 10%. The sensor is a couple of bar that transmit voltage in between the bar past through the soil. The sensor then will transmit the data to Chip to be processed, and if they meet the condition, the IC MOC3021 will be activated, then the AC Current will automatically charge the load (pump). This electronic circuit then applied to a prototype of extensive green roof with 30’ which is a diagonal. Layering of the green roof from the first to the last is waterproof, cubical fern root (to maintain water cyclus), soil, and the plant (especially grass type). From the application, writer can make a conclusion that this green roof automatic watering system work well and can stand up to 1 month use.
Perancangan Fondasi Pada Tanah Timbunan Sampah (Studi Kasus Di Tempat Pembuangan Akhir Sampah Piyungan, Yogyakarta)
Authors: Widianti Anita , Wahyudi Dedi , Diana Willis
Published: March 2022

Tempat Pembuangan Akhir Sampah (TPAS) merupakan kebutuhan setiap daerah guna mengatasi masalah sampah. Apakah lahan yang sangat luas tersebut  nantinya dapat dimanfaatkan kembali ? Berdasarkan pertanyaan itulah penelitian ini dilakukan. Tujuan dari penelitian ini adalah untuk merancang fondasi berdasarkan daya dukung tanah yang mampu menahan beban dan penurunan yang tidak berlebihan dari hasil uji sondir di lapangan.Penelitian dilakukan di zona pertama dari TPAS Piyungan, Yogykarta  yang merupakan zona di mana proses penimbunan dan pemadatannya telah selesai.  Hasil uji sondir pada dua titik digunakan sebagai dasar untuk merancang fondasi dari struktur bangunan dua lantai, dengan mengacu pada Standar Tata Cara Perhitungan Struktur Beton Untuk Bangunan Gedung, SK SNI-T-15-1991-03.Dari hasil analisis menunjukkan bahwa fondasi telapak dapat digunakan dengan kedalaman 1,6 m. Fondasi tersebut  dirancang berukuran 100 cm x 100 cm dengan ketebalan 25 cm, jumlah tulangan sebanyak 8 buah dengan diameter 10 mm dan spasi tulangan 12 cm.
Pengaruh Beban Pada Permukaan Tanah Dan Frekuensi Gempa Terhadap Respon Seismik Linier Elastis Lapisan Tanah
Authors: Pujianto As’at
Published: March 2022

Respon seismik lapisan tanah akibat gempa merupakan suatu parameter gerakan tanah akibat gempa. Selama getaran merambat dari pusat gempa sampai ke permukaan tanah, maka faktor tanah sebagai penghantar getaran mempunyai peran yang sangat penting. Berbagai parameter penting mengenai jenis tanah tersebut meliputi keadaan geologi secara lokal dan kondisi tanah itu sendiri. Di samping itu juga ada beberapa faktor yang berpengaruh terhadap respon tanah, di antaranya adalah indeks plastisitas (PI), kandungan frekwensi gempa serta keadaan beban diatas permukaan lapisan tanah. Beban pada permukaan lapisan tanah akan berpengaruh terhadap kekakuannya. Kekakuan tanah yang mempunyai beban lebih kecil akan berbeda dengan tanah yang mempunyai beban lebih besar. Dengan keadaan seperti itu maka tanah yang mempunyai berat beban bangunan berbeda akan menghasilkan respon yang berbeda juga. Penelitian dengan menggunakan satu data profil tanah tanpa beban dan lima variasi pembebanan telah dilakukan, akibat gempa Koyna dan Bucharets yang telah dinormalisai, sehingga hanya mempunyai perbedaan frekuensi. Analisis hitungan menggunakan program sederhana dengan dasar metode analisis dinamika struktur “Multi Degree of Freedom” dan pemodelan matematis lapisan tanah berupa model “Shear Building” serta penyelesaian problema dinamik dengan metode numerik “Central Difference”. Hasil analisis menunjukan bahwa Semakin besar beban mengakibatkan simpangan semakin kecil. Dengan percepatan maksimum sama akibat gempa Koyna dan Bucharest, namun mempunyai frekuensi yang berbeda,  mengakibatkan respon yang tidak sama besar. Parameter percepatan tanah bukan satu-satunya parameter yang dapat dipakai untuk mengetahui damage potential suatu gempa tetapi terdapat parameter lain yang harus diperhatikan. Kandungan frekuensi gempa Koyna maupun Bucharest terhadap frekuensi struktur masih cukup jauh (tidak berimpit), sehingga jika terjadi gempa dengan frekuensi tersebut struktur tanah tidak akan mengalami resonansi.
Penyesuaian Impedansi Antena Open Dipole RF 217 MHz Menggunakan Metode Single Stub
Authors: Prasaja Bledug Kusuma , Sirat M Abdulah K
Published: March 2022

Penyesuaian impedansi merupakan suatu masalah yang sangat penting untuk diperhatikan pada saat menginstalasi antena suatu pemancar. Gelombang yang dipantulkan kembali ke pemancar akan mengakibatkan panas dan kerusakan pada penguat akhir pemancar, sehingga menyebabkan penurunan daya atau daya yang dihasilkan oleh pesawat pemancar tidak akan maksimal. Penelitian dilakukan untuk mengetahui seberapa besar impedansi antena berkontribusi pada matching impedance (penyesuaian impedansi), menggunakan metode single stub tuner. Hasilnya adalah Pada pengukuran yang menggunakan kabel koaksial RG-55 A/U, posisi paling match terjadi pada jarak 30 cm dari antena ke arah generator sehingga stub dipasang secara permanen pada jarak tersebut, sedangkan  pada pengukuran yang menggunakan kabel koaksial 5D-2W, posisi paling match terjadi di antena itu sendiri dan tidak ditemukan posisi match pada saluran sehingga stub tidak dipasang. Pada kabel koaksial RG-11/U, posisi paling match terjadi pada jarak 20 cm dari antena ke arah generator sehingga stub dipasang secara permanen pada jarak tersebut.
Alat Perangkap Tikus Elektronis
Authors: Arianto Alfi , A Fathul Qodir
Published: March 2022

Alat perangkap atau jebakan biasanya digunakan oleh seseorang yang ingin menangkap hewan buruannya. Alat perangkap yang umum digunakan disekitar rumah adalah alat perangkap tikus. Tikus merupakan salah satu hewan liar yang sering berkeliaran disekitar rumah. Selain sering memakan bahan makanan yang berada di rumah, kotoran-kotoran dari tikus ini juga dapat mendatangkan berbagai penyakit. Masalah akan muncul ketika menangkap tikus menggunakan sangkar perangkap yang sudah ada yaitu jumlah tikus yang mampu ditampung dalam satu sangkar perangkap hanya satu ekor tikus saja. Perancangan alat perangkap tikus elektronis ini terdiri dari dua bagian yaitu bagian rangkaian elektronika dan bagian mekanik, dengan persyaratan dapat mendeteksi tikus yang masuk ke dalam perangkap, mempunyai sangkar pengumpul, dapat menggiring tikus ke sangkar pengumpul, dan dapat memberi informasi adanya tikus yang tertangkap. Hasinya adalah alat dapat bekerja dengan spesifikasi mempunyai rangkaian sensor inframerah, rangkaian relai pengatur pintu perangkap, rangkaian timer 10 detik dan 15 detik, dan rangkaian power supply 12 volt dan 9 volt.
Demographic, clinical, and laboratory parameters in predicting postoperative nausea/vomiting in patients with thoracic epidural analgesia in thoracic surgery
Authors: ÜLGER Gülay , BALDEMİR Ramazan , ZENGİN Musa , SAZAK Hilal , ALAGÖZ Ali
Published: March 2022

Aim: In thoracic surgery, many factors; such as long duration of surgery and the use of volatile anesthetics may increase the frequency of postoperative nausea/ vomiting (PONV). Recent studies suggests that inflammatory markers such as neutrophils lymphocytes ratio (NLR) can predict PONV. The aim of this study is to postoperatively examine the role of demographic, laboratory, and clinical data in predicting PONV in patients who underwent thoracotomy and received thoracic epidural analgesia (TEA).

Material and Methods:Data were collected for patients who underwent elective thoracic surgery and were administered TEA between March 2017 and December 2020. Patients' demographic data, laboratory parameters, and clinical characteristics; such as American Association of Anesthesiologists (ASA) I-II-III, erythrocyte distribution width (RDW), NLR, postoperative visual analog scale (VAS), were scanned. All patients who developed PONV were included in Group 1. Hospital records were used to select Group 2 patients who did not develop PONV.

Results: The incidence of PONV was determined as 14.77%. There was a statistically significant difference between the groups in terms of ASA and 24-hour VAS scores (p < 0.05). Patients with PONV had statistically significantly higher 24-hour VAS scores(p < 0.05). PONV was statistically significantly higher in patients with ASA III compared to other ASA groups (p < 0.05). Multivariate analysis suggests that ASA, RDW and 24-hour VAS are significant in predicting PONV. Lower RDW, higher ASA and 24-hour VAS increase the risk of PONV.

Conclusion: Demographic data, laboratory parameters, and clinical characteristics were evaluated concerning their correlation with PONV in this study. It was observed that the frequency of PONV might increase in patients with low RDW levels. In addition, higher VAS values and ASA physical score were also found to increase the risk of PONV in patients who underwent thoracotomy and administered TEA
Transkatater aort kapak implantasyonunun böbrek fonksiyonları üzerine etkisi
Authors: BİNGÖL Gülsüm , KESKİN MERİÇ Bengisu , TOK Ozge	ozden , HÜRAL Refika , KOCAŞ Cüneyt , NASİFOV Muharrem , YILDIZ Ahmet , DOĞAN Sait Mesut , GÖKTEKIN Ömer , ÖKÇÜN Barış
Published: March 2022

Amaç: Ciddi Aort Darlığı (AD) olan hastalarda TAVI ,aort kapak obstrüksiyonunu ortadan kaldırarak kardiyak outputu arttırır. Sol ventrikülden çıkan akımın iyileşmesi, böbreklerin kan akımını artırarak renal perfüzyonu artırır ve bozulmuş renal fonksiyonun düzelmesini sağlayabilir. Bunun yanında, TAVI sırasında kontrast madde kullanımına bağlı ya da transfemoral kateterizasyon sırasında aterom plaklarının ve kolesterol kristallerinin saçılması sonucu alt ekstremite veya renal arter embolizasyonuna bağlı akut böbrek yetersizliği gelişebilir. Bu çalışmanın amacı; TAVI’nın böbrek fonksiyonları üzerine 1. aydaki etkisini belirlemek ve hastaların eşlik eden hastalıklarının sonuca etkisi olup olmadığını saptamaktı.

Gereç ve Yöntemler:Bu çalışmaya, 2015-2019 yılları arasında ciddi AD ile takip edilip TAVI yapılan toplam 68 hasta dahil edildi. Tüm hastalarda işlem öncesi ve işlemden 1 ay sonra bakılan kreatinin ve GFR değerleri cinsiyete ve eşlik eden hastalıklara göre retrospektif olarak belirlendi ve değerlendirmeler bu temelde yapıldı.

Bulgular: Hastaların ortalama yaşı 78.6+7,86, ortalama sol ventrikül ejeksiyon fraksiyonu ise (LVEF ) %56.1+7,82 idi. Mevcut sonuçlar, AD’nIn düzeltilmesinden sonra 1. ayda komorbiditesi bulunan hastaların böbrek fonksiyonlarında düzelme olmadığını aksine ek hastalığı olmayan hastalara göre anlamlı derecede kreatinin değerlerinde artma ve GFR değerinde düşme olduğunu göstermektedir. Diğer komorbidite durumlarının aksine işlem öncesi kronik böbrek hastalığı olanlarda ise 1. ayda kreatinin değerlerinde anlamlı bir artış saptanmamıştır .

Sonuç: Çalışmamızda işlem öncesi kronik böbrek hastalığı olan hastalarda böbrek koruması açısından daha titiz olunduğunu ve bu hastalarda kronik böbrek hastalığına sebep olan majör etkenin ciddi AD olması sebebiyle ciddi AD'nın ortadan kalkması ve buna bağlı artan kardiyak debinin böbrek fonksiyonları üzerine olumlu etki yaratarak denge sağladığını düşünüyoruz.
Pandemi sürecinde göğüs hastalıkları yoğun bakımda COVID-19 dışı hastalarda tanı konulan toplum kaynaklı veya hastanede gelişen tüm enfeksiyonlar azaldı mı?
Authors: ÇELİK Deniz , YILDIZ Murat
Published: March 2022

Giriş: COVID-19 pandemisi nedeniyle sağlık personelinde el hijyeni, alkol bazlı dezenfektan kullanımı, eldiven, maske ve diğer bariyer önlemlerin kullanımında farkındalık artışı gözlenmektedir. Çalışmamızın amacı, 2019 ve 2020 yıllarının ilk 6 aylarında COVID-19 tanısı dışlanmış, yoğun bakım izlemi gereken hastalarda oluşan enfeksiyonların oranlarında bir farklılık olup olmadığını karşılaştırmaktır.

Gereç ve Yöntemler: 01/01/2019-30/06/2019 arasındaki 6 ay süreyle (kontrol grubu) ve 01/01/2020-30/06/2020 arasındaki 6 ay süreyle (vaka grubu) ikinci basamak Göğüs Hastalıkları Yoğun Bakım Ünitesine (GYBÜ) kabul edilen tüm hastalar çalışmaya dahil edildi. Çalışmamızda hariç bırakma kriteri yoktu. COVID-19 PCR pozitifliği tespit edilen veya COVID-19 PCR testi negatif olsa da klinik ve radyolojik kuşkuyla COVID-19 hastalığı düşünülen, ve/veya spesifik tedavi başlanmış/devam eden hiçbir hasta bu dönemde bu yoğun bakımımıza alınmadığı için çalışmamıza da dahil edilmediler.

Bulgular: Çalışmanın kontrol grubu (n=327) ve vaka grubu (n=260) demografik bulgular ve genel özellikleri bakımından benzerdi. Gruplar arasında yaş, cinsiyet, hastanın GYBÜ’ne nakil geldiği yer, hastanın taburcu edildiği yer, GYBÜ öncesi üçüncü basamak yoğun bakımda entübasyon öyküsü, evde USOT ve/veya NIMV cihazlarının bulunması, eve raporlanan cihaz tipleri ve taburculuk sonrası takipte mortalite durumları, GYBÜ’de NIMV ihtiyacının olması ve NIMV gün sayısı, üçüncü basamak YBÜ’de yatış gün sayısı ve NIMV uygulama gün sayısı açısından gruplar arasında istatistiksel olarak anlamlı ilişki bulunmadı. Kontrol grubu ile vaka grubu arasında hastalardan alınan tüm kültürlerin üreme durumu ve kültürlerde üreyen mikroorganizmalar açısından istatistiksel olarak anlamlı farklılık izlenmedi (sırasıyla; p=0.775 ve p=0.137).

Sonuç: Çalışmamızda GYBÜ’de çalışan sağlık personelinin el hijyeni ve bariyer önlemler hakkında farkındalığında artış olmasına rağmen gerek yüksek riskli dirençli bakteriyel üremelerde dönemler arasında farklılık izlenmemesi gerekse de tanı konulan enfeksiyonlarda dönemler arasında farklılık olmaması enfeksiyon kontrol önlemlerinin içselleştirildiğini ve uygulandığını göstermektedir.
High sensitive modified Glasgow prognostic score for predicting ın-hospital mortality ın elderly patients with non-st elevation myocardial infarction
Authors: DİNÇ ASARCIKLI Lale , KAFES Habibe , AÇAR Burak , İNAN Duygu , GENÇ Duygu , DAYI Sennur Unal
Published: March 2022

Aim: Inflammation and malnutrition are poor prognostic markers in acute coronary syndromes. In this study, we aimed to investigate the association between high sensitive modified Glasgow prognostic score (HS-mGPS), derived from C-reactive protein and serum albumin levels, and in-hospital mortality of elderly patients with non-ST elevation myocardial infarction (NSTEMI).

Material and Methods: Included subjects were recruited from three different tertiary health centers. Totally, 282 eligible patients aged >65 years with diagnosis of NSTEMI were retrospectively enrolled. Global Registry of Acute Coronary Events (GRACE) risk score for in-hospital mortality and HS-mGPS was calculated for each patient. Subjects were categorized according to their inflammation-based scores ((high HS-mGPS group (HS-mGPS ≥1, n=124) vs. low HS-mGPS group (HS-mGPS =0, n=158)).

Results: Both groups were similar regarding admission blood pressure levels, coronary angiography findings, treatment modalities and GRACE scores. Patients with high HS-mGPS had higher admission heart rate and longer hospitalization duration compared to low HS-mGPS group. In-hospital mortality rates were higher in high HS-mGPS group compared to low HS-mGPS group (21.8% (n=27) vs. 3.2% (n=5), respectively, P
AV fistül oluşturulması sırasında heparin ve antibiyotik kullanımı gerekli mi değil mi?
Authors: KASİMZADE Ferit , DENIZ Gokay , AYTEKİN Bahadır
Published: March 2022

Amaç: Hemodiyaliz amaçlı Arteriovenöz (AV) fistül oluşturulmasında enfeksiyon ve erken trombozdan korunmak için heparin ve antibiyotiklerin preoperatif kulanım gerekliliği halen tartışılmaktadır. Bu yazıda, iki farklı nosyon retrospektif olarak karşılaştırıp bu gerekliliği tartışmaktayız.

Gereç ve Yöntemler:2015-2020 yılları arasında hemodiyaliz amaçlı tüm AV fistül ameliyatlarını inceledik. 456 hastanın 242'sine herhangi bir premedikasyon uygulanmazken, diğer 214 hastaya işlem öncesi 80-100 mg/kg heparin ve 1 gr sefazolin iv verildi ve taburcu olduktan sonra antibiyotik tedavisi 1 haftaya tamamlandı. Bu iki farklı yöntemin enfeksiyon ve erken dönem açıklık oranlarını karşılaştırdık.

Bulgular: Ön kol AV fistül oluşturulan hastalar heparin ve antibiyotik kullanan premedikasyon grubu ile kontrol grubu olarak gruplandırıldı. Gruplar arasında komorbit hastalıklar ve demografik veriler açısından fark yoktu. İstatistiksel olarak anlamlı olmasa da premedikasyon grubunda hematom oranları yüksek saptandı (%2, %0,9, p=0,45). Postoperatif ilk kontrolde erken açık kalma oranları ve 3 ayda diyalize ulaşan fistül oranları açısından anlamlı bir fark yoktu. Her iki grupta da fistül enfeksiyonu gözlenmedi.

Sonuç: Premedikasyon olarak heparin ve antibiyotikler damar yolu girişimlerinde enfeksiyonun önlenmesine veya erken trombozu önlenmesine katkı sağlamamaktadır. AV fistül oluşturma herhangi bir antibiyotik ve heparin olmadan güvenle yapılabilir.
Correlation of cancer status and brown adipose tissue activity on 18F-flourodeoxyglucose positron emission tomography/computed tomography
Authors: ARAZ Mine , GÜLPINAR Başak , GÜNDÜZ Pınar , ÖZKAN Elgin , ŞAHİN Mustafa
Published: March 2022

Aim: In this study, we aimed to compare brown adipose tissue (BAT) activity on 18F-Flourodeoxyglucose Positron Emission Tomography (PET)/Computed Tomography(CT) in patients with and without active cancer.

Material and Methods: Results of the patients who underwent 18F-FDG PET/CT between January 2014 and February 2018 in Nuclear Medicine Department were evaluated retrospectively. Age, gender, body mass index (BMI), serum levels of glucose, bilirubin, total cholesterol (T-chol), low-density lipoprotein (LDL) and triglyceride (TG) of the patients were noted from the hospital database. Mean outdoor temperature of the day during PET/CT imaging was searched from National Weather Service archives. Diagnosis and disease activity status on PET/CT imaging were evaluated retrospectively. Standardized uptake value (SUV) and brown adipose tissue volume (BAV) were calculated on PET/CT images. Additionally, hepatic attenuation index and subcutaneous adipose tissue thickness (SCATT) were calculated from CT images. Difference between median SUV and BAV among groups with and without active cancer was analyzed.

Results: Totally 78 (54 F; 24 M; mean age 34.415.6) patients who underwent 18F-FDG PET/CT for different oncological indications were included in the analysis. All the patients had different degrees of BAT uptake on PET/CT images. Median (min-max) values for SUV, BAV and SCATT were found as 8.0 (2.7-37.0), 26.9 (2.1- 116.0) cm3 and 15.0 (3.0- 46.0) mm, respectively. Hepatic attenuation index was 0-5%, 6-30% and >30% in 56 (71%), 20 (26%) and 2 (3%) patients, respectively. Active disease was observed in 26 (33%) patients during PET/CT imaging. In the evaluation of the distribution of the adipose tissue parameters, median SUV (p=0.008) and BAV (p=0.008) of groups with and without active cancer were found statistically significant.

Conclusion: BAT activity in patients with active cancer seems to be higher than that in patients without active disease, supporting the possible role of adipose tissue activation on cancer development and progression.
Can systemic inflammatory index (SII) and MELD score predict survival in liver metastatic colorectal cancer?
Authors: KARADAĞ İbrahim , KARAKAYA Serdar
Published: March 2022

Aim: In this study, it was aimed to investigate whether the blood neutrophil lymphocyte ratio (NLR), platelet lymphocyte ratio (PLR) and model for end-stage liver disease (MELD) score at the time of liver metastasis in colorectal cancers (CRC) predict overall survival (OS) and their prognostic roles.

Materials and Methods: 1250 colorectal cancer patients followed up in our oncology center between 2015-2020 were retrospectively screened and 203 patients with liver metastatic colorectal cancer (LMCRC) were included in the study. Blood NLR, PLR and MELD scores at the time of liver metastasis were calculated retrospectively .

Results: Liver specific OS (LSOS) was 22 months (95% CI: 16.82-27.18) in patients with an NLR ratio of 2.5 or less, while it was 10 months (95% CI: 6.59-13.41) in patients with an NLR rate above 2.5 (p=0.004). LSOS was 19 months (95% CI: 14.33-23.36) in patients with a PLR rate of 150 or less, and 10 months (95% CI: 5.52-14.47) in patients with a PLR rate above 150 (p=0.0042). There was a negative correlation between MELD score and LSOS (r.-0.152, p=0.031). In the multivariate regression analysis, high NLR rate was found to be an independent prognostic factor for LSOS (HR:95% CI:1.08-1.98).

Conclusion: In this study, it was shown that higher NLR, PLR and MELD scores are associated with worse survival in LMCRC. NLR was revealed to be an independent prognostic factor for LSOS. Closer follow-up may be an option in patients with high SII and MELD scores when liver metastasis develops.
Kanser immünoterapisinde güncel yaklaşımlar ve immünoterapinin sınırlayıcı etkilerine genel bakış
Authors: KOCA Gül , SEYDOU Sakou , YILDIRIM Özlem
Published: March 2022

Günümüzde ileri evre kanserlerin tedavisindeki güçlükler henüz aşılamamıştır. Kemoterapi ve radyoterapdeki ilerlemelere rağmen, geleneksel kanser tedavisi, tümör ilerlemesini kontrol etmede yetersiz kalmakta ve tümör hücresinin ilaç direnci geliştirmesi ile tedavinin başarısı sınırlanmaktadır. Bu durum daha iyi tedavi seçeneklerinin araştırılmasını zorunlu kılmaktadır. İmmün kontrol noktası sinyallerini hedefleyen ilaçlar, immün sistem ile tümör arasındaki etkileşimlerin klinik önemini güçlendirerek, immün sistemin anti kanser aktivite göstermesini sağlanmaya çalışarak,kanser tedavisine yeni bir yaklaşım getirmiştir. İmmün sistem ve kanserle ilgili temel mekanizmaları hakkındaki bilgiler hızla artmaktadır. İmmün sistem, kendini ve kendinden olmayanı ayırt edecek şekilde tasarlanmıştır ve genetik rekombinasyon yoluyla tanıyabileceği antijen sayısı neredeyse sınırsızdır. Bu nedenle kanser hücrelerindeki mutasyonel olaylar, anormallikler ve farklılıklar kanserin gelişmesini veya ilerlemesini önlemede önemli bir rol oynayabilir. Bununla birlikte, tümörler immünsürvayanstan kaçmak için çeşitli mekanizmalar kullanabilir. İmmünoterapinin gelişimi büyük umut vadetse de, hastaların bir kısmında primer direnç gelişebilmekte ve bu hastalar immünoterapiden fayda görmemektedirler. Ayrıca, tedaviye yanıt veren hastalarda da klinik ilerlemede ortaya çıkabilen kazanılmış direnç, immünoterapinin başarısını sınırlayabilmektedir. Direnç mekanizmaları arasında, tümör mikro çevresindeki (TME) immün hücrelerinin işlevinin ve infiltrasyonunun azalmasına yol açan tümöre özgü yollar vardır. Direnç başlangıcını önlemek ve üstesinden gelmek için kemoterapi, radyoterapi ve yeni immünomodülatör ajanlarla kombinasyon tedavilerini öngören yeni stratejiler umut vericidir. Bu derlemede, immünoterapötik yaklaşımlar (İmmün Kontrol Noktası İnhibitörleri (ICI), Lenfosit- Düzenleyici Sitokinler, Kanser Aşıları, CAR T ve T Hücre Reseptörü (TCR), KostimülatörReseptörler), kanser immünoterapisi ile ilgili mevcut bilgiler ve immunoterapiye verilen hasta yanıtlarının incelenmesi hedeflenmiştir.
The invisible part of “ICEBERG”:Extraintestinal findings and celiac diseas
Authors: KARAKAYA Serdar , KARADAĞ İbrahim , METE Aslıhan , BULUR Oktay , UZMAN Metin , BEYAN Esin
Published: March 2022

Aim: Clinical manifestations of celiac disease (CD) can be quite different and varying. The number of CDs presenting with atypical symptoms is increasing day by day. Hence, we aimed to determine how many patients with CD were atypical celiac through examining their admission complaints, clinical characteristics, laboratory results, endoscopic findings, and pathological findings.

Material and Methods: Eighty-nine patients with CD aged over 18 years who were followed-up in Ankara Kecioren Training and Research Hospital Internal Medicine Clinic between 2007 and 2014 were included in the study. The files of the patients were reviewed retrospectively. Sex, age, hospital admission complaints, clinical characteristics, laboratory results, endoscopy findings, and pathology results of the patients were recorded.

Results: The median age of the patients in the study was 36, and 68.5% of them were female. The most common symptoms of the patients were fatigue (49.4%), anorexia (33.7%), and dyspepsia (22.5%), while diarrhea (19.1%), which is among the classical symptoms, was less common. 7.8% of the patients had no complaints at the time of admission, whereas 47.1% of them had only extraintestinal symptoms. At admission, 47% of the patients had anemia, 73.4% had iron deficiency, and 55.4% of them had vitamin B12 deficiency. When hemoglobin, ferritin, and vitamin B12 levels were compared before and after a gluten-free diet, a significant increase was determined. Transaminase elevation was detected in 25.3% of our patients at the time of diagnosis. When pre-treatment and post-treatment values were compared, a significant decrease was determined in those with high transaminase levels. In the pre-treatment serological test results of the patients, Ig A EMA positivity was the most common finding with a rate of 90.2%, followed by IgG EMA with 88.9%. In terms of pre-treatment endoscopy findings, 50.2% of our patients had normal appearance, 25.4% had a mosaic pattern, 12.6% had effacement of the duodenal folds, 12.6% had a nodular appearance, and 9.5% had a scalloping of the duodenal folds. When the pathology results of our patients were examined, 83.4% of them were at the advanced stage and with Marsh Type 3.

Conclusion: CD may present with atypical complaints such as extraintestinal findings, as in more than half of the patients in this study. Celiac disease should be taken into consideration, particularly in conditions such as iron deficiency, osteoporosis, and transaminase elevations, which are prevalent in the community. The prevalence of CD in our country is estimated to be around 1-2%; however, it is considered that there are more asymptomatic patients with atypical celiac disease. When diagnosing CD, the most crucial step is to consider the potential presence of CD during pre-diagnoses. Thus, CD should be included in the differential diagnosis, specifically in patients presenting with atypical symptoms.
Comparison of use of central venous catheter and arteriovenous fistula as initial vascular access in 735 patıents with end-stage renal disease
Authors: KARAKAYA Emre , AKDUR Aydıncan , BEYAZPINAR Deniz Sarp , KAVASOĞLU Lara , KAHRAMAN Gökhan , ŞİRİNOĞLU Tuğçe
Published: March 2022

Aim: Although arteriovenous fistula (AVF) has been shown as the first choice for hemodialysis (HD), its superiority over central venous catheter (CVC) is still controversial considering the risk factors. Aim was to compare AVF and CVC, which should be is used as the first vascular access in HD.

Material and Methods: Patients were divided into two groups according to the use of AVF and CVC. The groups were compared in terms of age, gender, body mass index (BMI), comorbidities, use of antiplatelet and anticoagulant agents, HD sessions per week, end stage renal disease (ESRD) duration, HD treatment duration, patency of vascular acces and number of changes.

Results: When patients were grouped, 499 patients were in the CVC group and 235 patients were in the AVF group. The mean age of patients in the AVF group was higher than that of the CVC group (p=0.010). The difference between the median ESRD duration of the patients in the CVC and AVF groups was statistically significant (5 vs 6 months) (p=0.004). The duration of HD treatment was significantly longer in the AVF group (p=0.031). The median patency of their CVC was 3 months, while the median patency of their AVF was 48 months (p
Adölesan idiopatik skolyozlu hastalarda uygulanan eş zamanlı çift rod rotasyon tekniğinin torakal kifoza etkisi
Authors: OKKAOGLU Mustafa Caner , EVREN Ali Teoman , DEMİRKALE İsmail , YARADILMIŞ Yüksel Uğur , ALTAY Murat
Published: March 2022

Amaç: Skolyoz, da koronal plan deformitesinin düzetilmesi kadar, torakal kifozun sağlanması da önemlidir. Çalışmamızın amacı, kliniğimizde uygulanan eş zamanlı dual-rod rotasyon tekniğinin (EDRT), torakal kifoz üzerine etkisinin tespit edilmesidir.

Gereç ve Yöntemler: Kliniğimizde, Ağustos 2011-Eylül 2017 arasında EDRT ile düzeltme uygulanan ve posterior spinal füzyon yapılan 23 Adölesan İdiopatik Skolyoz (AİS) hastası çalışmaya dahil edildi. Hastaların demografik bilgileri, Lenke sınıflaması, ameliyat öncesi, 2. yıl ve son kontrol Cobb açıları (PT, MT, T/L), torakal kifozu (T5-T12), apikal vertebral rotasyon derecesi, C7 translasyonu (koronal denge parametresi) ve sagittal vertikal aksı (SVA) ölçüldü.

Bulgular: Hastaların ortalama yaşı 14.4, Kadın:Erkek oranı 2.8:1, ortalama takip süresi 4.24 yıl (4-10 yıl) olarak bulundu. Hastaların %47’si (n=10) Lenke tip 1, %26’sı (n=6) tip 5, %17’si (n=4) tip 3, %13’ü (n=3) tip 6 eğriliğe sahipti. MT eğrilik ameliyat öncesi ortalama 44.3±3,2 derece, ameliyat sonrası ikinci yıl 9.5±2,3 derece ve son kontrolde 12.3±3,6 dereceydi. TL eğrilik ise ameliyat öncesi ortalama 54.3±2,9 derece, ameliyat sonrası ikinci yıl 7,4±5,1 derece ve son kontrolde 10,2±5,6 dereceydi. Torakal kifoz ameliyat öncesi ortalama 29.6±4,8 derece, ameliyat sonrası ikinci yıl 26.4±4,3 derece ve son kontrolde 28.4±4,5 dereceydi ve anlamlı değişiklik saptanmadı (p>0.05). C7 translasyonunun preop ortanca değeri 2,24 mm’yken, ikinci yıl ve son kontrolde sırasıyla 2,83 mm ve 1,32 mm; SVA’ın preop ortalama değeri -1,93 mm iken, ikinci yıl ve son kontrolde sırasıyla -2,81 mm ve -3,82 mm olarak bulundu. Apikal rotasyondaki değişim ise ameliyat öncesi 1,8 iken sonrası 1,6 olarak sabit kaldı.

Sonuç: EDRT koronal planda yeterince düzelme sağlamaktadır ancak torakal kifoza anlamlı etkisisi yoktur.
Identification of risk factors for ileus after orthopedic surgery: A comparative study
Authors: ERKENT Murathan , KARAKAYA Emre , HABERAL Elifcan , ŞİMŞEK Ekin Kaya , HABERAL Bahtiyar
Published: March 2022

Aim: To examine the risk factors for Post operative ileus encountered after orthopedic surgery.

Material and Methods: A total of 53 patients who were operated on by the orthopedics clinics who were consulted to the general surgery department during the postoperative period. Considering the etiology of the consultation, the patients were divided into 2 groups as ileus (n: 34) and non-ileus (n: 19).

Results: The median age of the patients in the ileus group was 75.5 (26-95). While hypertension (HT) was the most common comorbid disease in patients in the ileus group, (p=.001). While combined anesthesia was frequently preferred in the ileus group, (p=.022). Lower extremity surgeries were performed more frequently in the ileus group (p=.007). The length of hospital stay was found to be higher in the ileus group, (p=.040). In terms of complications according to the clavien dindo classification, grade 3b was more common in the ileus group, (p=.039). As a result of the binary regression analysis performed to determine the risk factors for ileus; age (odss ratio (OR) ) = 1.034,; 95% CI (1.004-1.065); p=.027), day 5 consultation ( (OR) = 0.073; 95% CI (0.014-0.368); p=.002), and HT ( (OR) = 7.042; 95% CI (2.017-24.589); p=.002).

Conclusion: Patients with geriatric and HT should also be prepared for ileus if lower extremity surgery is to be performed.
Frank sign may predict more advanced coronary artery disease in patients admitted with a first time acute coronary syndrome
Authors: GAYRETLİ YAYLA Kadriye , ÖZBAY Mustafa Bilal , YAKUT İdris , ÖZEN Yasin , KUYUMCU Mevlüt Serdar , KARANFİL Mustafa , ERTEM Ahmet , YAYLA Çağrı
Published: March 2022

Aim: Diagonal ear lobe crease (DELC), also called as Frank's sign, is a diagonal fold or wrinkle-like line in the skin of the earlobe. This sign detected on the physical examination was proposed as a surrogate marker for individuals at high risk of cardiovascular disease. The aim of our study was to assess the relationship between presence of DELC and the severity of coronary artery disease according to the SYNTAX score in patients with firstly diagnosed acute coronary syndrome (ACS).

Material and Methods: 356 patients admitted to the emergency department with the diagnosis of ACS from November 2015 to December 2016 were enrolled into the study. Patients were stratified into 3 groups: low SYNTAX score (< 23), high SYNTAX score (≥23) and patients with normal coronary.

Results: Patients with DELC as percentage were statistically significantly different between all groups (p < 0.001). Higher number of DELC (OR = 0.497; 95% CI: 0.246-1.001; p = 0.043) was an independent predictor for a high SYNTAX score in the ACS patients after multiple linear regression analysis.

Conclusion: Frank’s sign can help primary practitioners to predict severity of CAD.
Multipl sklerozlu hastalarda dengenin değerlendirilmesinde Mini-BESTest ve manyetik rezonans görüntülemenin etkinliği
Authors: YÜKSEL Hatice , MUNGAN Semra
Published: March 2022

Amaç:Multipl skleroz (MS) santral sinir sisteminin demiyelinizan plaklarla seyreden nörodejeneratif bir hastalığıdır. MS’li hastaların önemli bir kısmı denge bozukluğundan şikayet eder. MS’li hastada denge durumunu değerlendirmede kullanılacak pratik ve kolay uygulanabilir testlere ihtiyaç halen devam etmektedir. Bu çalışmamızda MS’de dengeyi değerlendirmede Mini-BESTest’in ve manyetik rezonans görüntüleme (MRG) bulgularının etkinliğini araştırmayı amaçladık.

Gereç ve Yöntemler: Çalışmaya toplam 80 MS hastası dahil edildi. Hastalar ilk olarak EDSS skoru 2’nin altında (Grup 1), 2-2.5 (Grup 2) ve 3-3.5 olanlar (Grup 3) olmak üzere üç gruba ayrıldı. Ayrıca hastalar MRG bulgularına göre 1 Bölge, 2 Bölge ve 3 Bölge tutulumu olanlar olmak üzere ikinci kez gruplandırıldı. Hastalara Mini-BESTest ve 6-metre yürüme hızı testi uygulandı. Hastaların demografik ve klinik verileri kaydedildi.

Bulgular: EDSS skoruna göre gruplandırıldığında, Mini-BESTest skoru Grup3’de Grup 1 ve Grup 2’den anlamlı derecede daha düşüktü (p=0,001 ve p=0,001). Aynı zamanda Mini-BESTest Grup 2’de Grup 1’den anlamlı olarak düşüktü (p=:0,018). Yürüme hızı Grup 3’de Grup 1 ve Grup 2’den anlamlı derecede yavaştı (p=0,001 ve p=0,001). MRG bulgularına göre Mini-BESTest skoru 3 Bölge tutulumunda 1 Bölge ve 2 Bölge tutulumu olanlardan daha düşüktü (p=0,001 ve p=0,026). Ancak 1 Bölge ve 2 Bölge tutulumu olanlar arasında Mini-BESTest açısından farklılık yoktu. 3 Bölge tutulumu olanlarda yürüme hızı 1 Bölge tutulumu olanlardan daha yavaştı (p=0.004). Mini-BESTest ile EDSS arasında ters yönlü korelasyon (r:-0,621, p=0,001) varken Mini-BESTest ile yürüme hızı arasında doğru yönlü korelasyon saptandı (r:0,774, p=0,001).

Sonuç: Mini-BESTest MS’li hastalarda denge durumunun belirlenmesini sağlayan basit ve kolay uygulanabilir bir testtir. Mini-BESTest skoru ve MSS lezyon yaygınlığının basit bir MRG bölge sınıflaması sonuçları ile birleştirildiğinde, hastalarda hareket ve denge bozukluklarının erken saptanmasına olanak sağlayabilir.
Kırmızı hücre dağılım genişliği ile dirençli hipertansiyon arasındaki ilişki
Authors: BİLGE Önder , TAŞTAN Ercan , ÇAP Murat , IŞIK Ferhat , ŞENER Yusuf Ziya , OKŞUL Metin
Published: March 2022

Amaç: Eritrosit dağılım genişliğinin (RDW) kardiyovasküler hastalıklarla ilişkili olduğu bilinmektedir. Dirençli hipertansiyonu (DHT) olan hastalarda kardiyovasküler olay riski daha yüksektir. Bu çalışmada RDW ile dirençli hipertansiyon arasındaki ilişkiyi değerlendirmeyi amaçladık.

Gereç ve Yöntemler: Bu çalışmaya 24 saatlik ambulatuar kan basıncı ölçümü (AKBÖ) yapılan 69 (%43) dirençli hipertansiyon olmak üzere toplam 157 hasta dahil edildi. AKBÖ'den sonra RDW ve diğer laboratuvar parametreleri ölçüldü.

Bulgular: Çalışma popülasyonundaki ortalama yaş 57 ± 11 idi ve hastaların %77'si (121) kadındı. Hastalar kontrollü HT (KHT) ve DHT olarak iki gruba ayrıldı. RDW, KHT grubuna (14.1±1.2) kıyasla DHT grubunda (14.8±1.4) anlamlı olarak daha yüksekti; (p=0,002). Çok değişkenli lojistik regresyon analizi ile RDW (olasılık oranı [OR]: 1.684, %95 Güven Aralığı [GA]: 1.250-2.201 p
Erken evre mide kanserli hastalarda iskelet kas dansitesinin sağkalım üzerine etkisi
Authors: ŞAHİNLİ Hayriye , DOĞAN Özlem , YAZILITAŞ Doğan , İMAMOĞLU Gökşen İnanç , ALTINBAŞ Mustafa
Published: March 2022

Amaç : İskelet kas kaybı mide kanseri tanısı almış hastaların prognozu ile yakın koreledir. Çalışmamızda iskelet kas dansitesinin bilgisayarlı tomografi ile ölçümünün sağkalım üzerine etkisini araştırmayı amaçladık.

Gereç ve yöntemler: Çalışmaya toplam 62 hasta dahil edildi. İskelet kas dansitesi (HUAC) ölçümü yapıldı. Sağkalım üzerine etki eden faktörleri saptamak için ünivariate ve multivarite cox regresyon analizi yapıldı.

Bulgular: Evre, lenfovasküler invazyon, perinöral invazyon ve adjuvan tedavi alıp almama durumu ile sağkalım arasında anlamlı ilişki saptandı. HUAC değeri düşük olan erkek ve kadın hastaların sağkalımları hem ünivariate hem de multivariate analizde anlamlı olarak kötü tesbit edildi.

Sonuç: çalışmamızda erken evre mide kanserli hastalarda operasyon öncesi HUAC ölçümünün sağkalım ile bağımsız olarak ilişkisini gösterdik. İskelet kas dansitesi düşük olan hastalarda sağkalımlar anlamlı olarak düşük saptandı.