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Search results for: Ecem Uygun

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class="col-md-9 mx-auto"> <form method="get" action="https://publications.waset.org/abstracts/search"> <div id="custom-search-input"> <div class="input-group"> <i class="fas fa-search"></i> <input type="text" class="search-query" name="q" placeholder="Author, Title, Abstract, Keywords" value="Ecem Uygun"> <input type="submit" class="btn_search" value="Search"> </div> </div> </form> </div> </div> <div class="row mt-3"> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Commenced</strong> in January 2007</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Frequency:</strong> Monthly</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Edition:</strong> International</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Paper Count:</strong> 9</div> </div> </div> </div> <h1 class="mt-3 mb-3 text-center" style="font-size:1.6rem;">Search results for: Ecem Uygun</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">9</span> Religious Discrimination Against Small Business Owners: Evidence from the 1875 Cadastral Survey of Istanbul</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Burak%20Unveren">Burak Unveren</a>, <a href="https://publications.waset.org/abstracts/search?q=Ecem%20Uygun"> Ecem Uygun</a>, <a href="https://publications.waset.org/abstracts/search?q=%C3%96zdemi%CC%87r%20Teke"> Özdemi̇r Teke</a> </p> <p class="card-text"><strong>Abstract:</strong></p> A large body of literature documents how the Ottoman Empire's economic decline in relation to Western Europe was exacerbated by the unequal legal treatment of its subjects based on creed. Motivated by this debate, we empirically explore whether property taxes collected from businesses in Istanbul discriminated against or favored non-Muslims after the cadastral survey of the capital in 1875. The survey was conducted to determine the property taxes. And the process was potentially susceptible to the biased views of the surveyors who calculated the taxes payable via their subjective appraisals of all real properties. According to our results, in contrast to widely held beliefs regarding 19th-century Istanbul, the number of Muslim shop owners is higher than that of non-Muslims. Moreover, we find evidence for taxes collected from non-Muslim shop and store owners to be higher compared to Muslims, even after controlling for all physical features (e.g., size, location, etc.). These results directly pertain to the fiscal capacity of the Ottoman state and its economic divergence from Europe in the 19th century. Surprisingly, the data also indicates no statistically different tax differentials between male and female property owners. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=economic%20history" title="economic history">economic history</a>, <a href="https://publications.waset.org/abstracts/search?q=taxation" title=" taxation"> taxation</a>, <a href="https://publications.waset.org/abstracts/search?q=small%20business" title=" small business"> small business</a>, <a href="https://publications.waset.org/abstracts/search?q=discrimination" title=" discrimination"> discrimination</a> </p> <a href="https://publications.waset.org/abstracts/162895/religious-discrimination-against-small-business-owners-evidence-from-the-1875-cadastral-survey-of-istanbul" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/162895.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">71</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">8</span> Green Synthesis of Silver Nanoparticles Using Echinacea Flower Extract and Characterization</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Masood%20Hussain">Masood Hussain</a>, <a href="https://publications.waset.org/abstracts/search?q=Erol%20Pehlivan"> Erol Pehlivan</a>, <a href="https://publications.waset.org/abstracts/search?q=Ahmet%20Avci"> Ahmet Avci</a>, <a href="https://publications.waset.org/abstracts/search?q=Ecem%20Guder"> Ecem Guder</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Green synthesis of silver nanoparticles (AgNPs) was carried out by using echinacea flower extract as reducing/protecting agent. The effects of various operating parameters and additives on the dimensions such as stirring rate, temperature, pH of the solution, the amount of extract and concentration of silver nitrate were optimized in order to achieve monodispersed spherical and small size echinacea protected silver nanoparticles (echinacea-AgNPs) through biosynthetic method. The surface roughness and topography of synthesized metal nanoparticles were confirmed by using Atomic Force Microscopy (AFM). High-Resolution Transmission Electron Microscopic (HRTEM) results elaborated the formation of uniformly distributed Echinacea protected AgNPs (Echinacea-AgNPs) having an average size of 30.2±2nm. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Echinacea%20flower%20extract" title="Echinacea flower extract">Echinacea flower extract</a>, <a href="https://publications.waset.org/abstracts/search?q=green%20synthesis" title=" green synthesis"> green synthesis</a>, <a href="https://publications.waset.org/abstracts/search?q=silver%20nanoparticles" title=" silver nanoparticles"> silver nanoparticles</a>, <a href="https://publications.waset.org/abstracts/search?q=morphology" title=" morphology"> morphology</a> </p> <a href="https://publications.waset.org/abstracts/72673/green-synthesis-of-silver-nanoparticles-using-echinacea-flower-extract-and-characterization" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/72673.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">423</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">7</span> Solving Weighted Number of Operation Plus Processing Time Due-Date Assignment, Weighted Scheduling and Process Planning Integration Problem Using Genetic and Simulated Annealing Search Methods</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Halil%20Ibrahim%20Demir">Halil Ibrahim Demir</a>, <a href="https://publications.waset.org/abstracts/search?q=Caner%20Erden"> Caner Erden</a>, <a href="https://publications.waset.org/abstracts/search?q=Mumtaz%20Ipek"> Mumtaz Ipek</a>, <a href="https://publications.waset.org/abstracts/search?q=Ozer%20Uygun"> Ozer Uygun</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Traditionally, the three important manufacturing functions, which are process planning, scheduling and due-date assignment, are performed separately and sequentially. For couple of decades, hundreds of studies are done on integrated process planning and scheduling problems and numerous researches are performed on scheduling with due date assignment problem, but unfortunately the integration of these three important functions are not adequately addressed. Here, the integration of these three important functions is studied by using genetic, random-genetic hybrid, simulated annealing, random-simulated annealing hybrid and random search techniques. As well, the importance of the integration of these three functions and the power of meta-heuristics and of hybrid heuristics are studied. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=process%20planning" title="process planning">process planning</a>, <a href="https://publications.waset.org/abstracts/search?q=weighted%20scheduling" title=" weighted scheduling"> weighted scheduling</a>, <a href="https://publications.waset.org/abstracts/search?q=weighted%20due-date%20assignment" title=" weighted due-date assignment"> weighted due-date assignment</a>, <a href="https://publications.waset.org/abstracts/search?q=genetic%20search" title=" genetic search"> genetic search</a>, <a href="https://publications.waset.org/abstracts/search?q=simulated%20annealing" title=" simulated annealing"> simulated annealing</a>, <a href="https://publications.waset.org/abstracts/search?q=hybrid%20meta-heuristics" title=" hybrid meta-heuristics"> hybrid meta-heuristics</a> </p> <a href="https://publications.waset.org/abstracts/57629/solving-weighted-number-of-operation-plus-processing-time-due-date-assignment-weighted-scheduling-and-process-planning-integration-problem-using-genetic-and-simulated-annealing-search-methods" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/57629.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">469</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">6</span> Analyzing the Factors Effecting Ceramic Porosity Using Integrated Taguchi-Fuzzy Method</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Enes%20Furkan%20Erkan">Enes Furkan Erkan</a>, <a href="https://publications.waset.org/abstracts/search?q=%C3%96zer%20Uygun"> Özer Uygun</a>, <a href="https://publications.waset.org/abstracts/search?q=Halil%20Ibrahim%20Demir"> Halil Ibrahim Demir</a>, <a href="https://publications.waset.org/abstracts/search?q=Zeynep%20Demir"> Zeynep Demir</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Companies require increase in quality perception level of their products due to competitive conditions. As a result, the tendency to quality and researches to develop the quality are increasing day by day. Cost and time constraints are the biggest problems that companies face in their quality improvement efforts. In this study, factors that affect the porosity of ceramic products are determined and analyzed in a factory producing ceramic tiles. Then, Taguchi method is used in the design phase in order to decrease the number of tests to be performed by means of orthogonal sequences. The most important factors affecting the porosity of ceramic tiles are determined using Taguchi and ANOVA analysis. Based on the analyses, the most affecting factors are determined to be used in the fuzzy implementation stage. Then, the fuzzy rules were established with the factors affecting porosity by the experts’ opinion. Thus, porosity result could be obtained not only for the specified factor levels but also for intermediate values. In this way, it has been provided convenience to the factory in terms of cost and quality improvement. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=fuzzy" title="fuzzy">fuzzy</a>, <a href="https://publications.waset.org/abstracts/search?q=porosity" title=" porosity"> porosity</a>, <a href="https://publications.waset.org/abstracts/search?q=Taguchi%20Method" title=" Taguchi Method"> Taguchi Method</a>, <a href="https://publications.waset.org/abstracts/search?q=Taguchi-Fuzzy" title=" Taguchi-Fuzzy"> Taguchi-Fuzzy</a> </p> <a href="https://publications.waset.org/abstracts/68667/analyzing-the-factors-effecting-ceramic-porosity-using-integrated-taguchi-fuzzy-method" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/68667.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">439</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">5</span> Solving Process Planning, Weighted Earliest Due Date Scheduling and Weighted Due Date Assignment Using Simulated Annealing and Evolutionary Strategies</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Halil%20Ibrahim%20Demir">Halil Ibrahim Demir</a>, <a href="https://publications.waset.org/abstracts/search?q=Abdullah%20Hulusi%20Kokcam"> Abdullah Hulusi Kokcam</a>, <a href="https://publications.waset.org/abstracts/search?q=Fuat%20Simsir"> Fuat Simsir</a>, <a href="https://publications.waset.org/abstracts/search?q=%C3%96zer%20Uygun"> Özer Uygun</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Traditionally, three important manufacturing functions which are process planning, scheduling and due-date assignment are performed sequentially and separately. Although there are numerous works on the integration of process planning and scheduling and plenty of works focusing on scheduling with due date assignment, there are only a few works on integrated process planning, scheduling and due-date assignment. Although due-dates are determined without taking into account of weights of the customers in the literature, here weighted due-date assignment is employed to get better performance. Jobs are scheduled according to weighted earliest due date dispatching rule and due dates are determined according to some popular due date assignment methods by taking into account of the weights of each job. Simulated Annealing, Evolutionary Strategies, Random Search, hybrid of Random Search and Simulated Annealing, and hybrid of Random Search and Evolutionary Strategies, are applied as solution techniques. Three important manufacturing functions are integrated step-by-step and higher integration levels are found better. Search meta-heuristics are found to be very useful while improving performance measure. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=process%20planning" title="process planning">process planning</a>, <a href="https://publications.waset.org/abstracts/search?q=weighted%20scheduling" title=" weighted scheduling"> weighted scheduling</a>, <a href="https://publications.waset.org/abstracts/search?q=weighted%20due-date%20assignment" title=" weighted due-date assignment"> weighted due-date assignment</a>, <a href="https://publications.waset.org/abstracts/search?q=simulated%20annealing" title=" simulated annealing"> simulated annealing</a>, <a href="https://publications.waset.org/abstracts/search?q=evolutionary%20strategies" title=" evolutionary strategies"> evolutionary strategies</a>, <a href="https://publications.waset.org/abstracts/search?q=hybrid%20searches" title=" hybrid searches"> hybrid searches</a> </p> <a href="https://publications.waset.org/abstracts/67706/solving-process-planning-weighted-earliest-due-date-scheduling-and-weighted-due-date-assignment-using-simulated-annealing-and-evolutionary-strategies" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/67706.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">462</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">4</span> Design and Performance Analysis of Resource Management Algorithms in Response to Emergency and Disaster Situations</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Volkan%20Uygun">Volkan Uygun</a>, <a href="https://publications.waset.org/abstracts/search?q=H.%20Birkan%20Yilmaz"> H. Birkan Yilmaz</a>, <a href="https://publications.waset.org/abstracts/search?q=Tuna%20Tugcu"> Tuna Tugcu</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This study focuses on the development and use of algorithms that address the issue of resource management in response to emergency and disaster situations. The presented system, named Disaster Management Platform (DMP), takes the data from the data sources of service providers and distributes the incoming requests accordingly both to manage load balancing and minimize service time, which results in improved user satisfaction. Three different resource management algorithms, which give different levels of importance to load balancing and service time, are proposed for the study. The first one is the Minimum Distance algorithm, which assigns the request to the closest resource. The second one is the Minimum Load algorithm, which assigns the request to the resource with the minimum load. Finally, the last one is the Hybrid algorithm, which combines the previous two approaches. The performance of the proposed algorithms is evaluated with respect to waiting time, success ratio, and maximum load ratio. The metrics are monitored from simulations, to find the optimal scheme for different loads. Two different simulations are performed in the study, one is time-based and the other is lambda-based. The results indicate that, the Minimum Load algorithm is generally the best in all metrics whereas the Minimum Distance algorithm is the worst in all cases and in all metrics. The leading position in performance is switched between the Minimum Distance and the Hybrid algorithms, as lambda values change. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=emergency%20and%20disaster%20response" title="emergency and disaster response">emergency and disaster response</a>, <a href="https://publications.waset.org/abstracts/search?q=resource%20management%20algorithm" title=" resource management algorithm"> resource management algorithm</a>, <a href="https://publications.waset.org/abstracts/search?q=disaster%20situations" title=" disaster situations"> disaster situations</a>, <a href="https://publications.waset.org/abstracts/search?q=disaster%20management%20platform" title=" disaster management platform "> disaster management platform </a> </p> <a href="https://publications.waset.org/abstracts/11467/design-and-performance-analysis-of-resource-management-algorithms-in-response-to-emergency-and-disaster-situations" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/11467.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">338</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">3</span> Rare Diagnosis in Emergency Room: Moyamoya Disease</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ecem%20Deniz%20K%C4%B1rkpantur">Ecem Deniz Kırkpantur</a>, <a href="https://publications.waset.org/abstracts/search?q=Ozge%20Ecmel%20Onur"> Ozge Ecmel Onur</a>, <a href="https://publications.waset.org/abstracts/search?q=Tuba%20Cimilli%20Ozturk"> Tuba Cimilli Ozturk</a>, <a href="https://publications.waset.org/abstracts/search?q=Ebru%20Unal%20Akoglu"> Ebru Unal Akoglu</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Moyamoya disease is a unique chronic progressive cerebrovascular disease characterized by bilateral stenosis or occlusion of the arteries around the circle of Willis with prominent arterial collateral circulation. The occurrence of Moyamoya disease is related to immune, genetic and other factors. There is no curative treatment for Moyamoya disease. Secondary prevention for patients with symptomatic Moyamoya disease is largely centered on surgical revascularization techniques. We present here a 62-year old male presented with headache and vision loss for 2 days. He was previously diagnosed with hypertension and glaucoma. On physical examination, left eye movements were restricted medially, both eyes were hyperemic and their movements were painful. Other neurological and physical examination were normal. His vital signs and laboratory results were within normal limits. Computed tomography (CT) showed dilated vascular structures around both lateral ventricles and atherosclerotic changes inside the walls of internal carotid artery (ICA). Magnetic resonance imaging (MRI) and angiography (MRA) revealed dilated venous vascular structures around lateral ventricles and hyper-intense gliosis in periventricular white matter. Ischemic gliosis around the lateral ventricles were present in the Digital Subtracted Angiography (DSA). After the neurology, ophthalmology and neurosurgery consultation, the patient was diagnosed with Moyamoya disease, pulse steroid therapy was started for vision loss, and super-selective DSA was planned for further investigation. Moyamoya disease is a rare condition, but it can be an important cause of stroke in both children and adults. It generally affects anterior circulation, but posterior cerebral circulation may also be affected, as well. In the differential diagnosis of acute vision loss, occipital stroke related to Moyamoya disease should be considered. Direct and indirect surgical revascularization surgeries may be used to effectively revascularize affected brain areas, and have been shown to reduce risk of stroke. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=headache" title="headache">headache</a>, <a href="https://publications.waset.org/abstracts/search?q=Moyamoya%20disease" title=" Moyamoya disease"> Moyamoya disease</a>, <a href="https://publications.waset.org/abstracts/search?q=stroke" title=" stroke"> stroke</a>, <a href="https://publications.waset.org/abstracts/search?q=visual%20loss" title=" visual loss"> visual loss</a> </p> <a href="https://publications.waset.org/abstracts/73630/rare-diagnosis-in-emergency-room-moyamoya-disease" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/73630.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">267</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">2</span> Lipid Emulsion versus DigiFab in a Rat Model of Acute Digoxin Toxicity</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Cansu%20Arslan%20Turan">Cansu Arslan Turan</a>, <a href="https://publications.waset.org/abstracts/search?q=Tuba%20Cimilli%20Ozturk"> Tuba Cimilli Ozturk</a>, <a href="https://publications.waset.org/abstracts/search?q=Ebru%20Unal%20Akoglu"> Ebru Unal Akoglu</a>, <a href="https://publications.waset.org/abstracts/search?q=Kemal%20Aygun"> Kemal Aygun</a>, <a href="https://publications.waset.org/abstracts/search?q=Ecem%20Deniz%20K%C4%B1rkpantur"> Ecem Deniz Kırkpantur</a>, <a href="https://publications.waset.org/abstracts/search?q=Ozge%20Ecmel%20Onur"> Ozge Ecmel Onur</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Although the mechanism of action is not well known, Intravenous Lipid Emulsion (ILE) has been shown to be effective in the treatment of lipophilic drug intoxications. It is thought that ILE probably separate the lipophilic drugs from target tissue by creating a lipid-rich compartment in the plasma. The second theory is that ILE provides energy to myocardium with high dose free fatty acids activating the voltage gated calcium channels in the myocytes. In this study, the effects of ILE treatment on digoxin overdose which are frequently observed in emergency departments was searched in an animal model in terms of cardiac side effects and survival. The study was carried out at Yeditepe University, Faculty of Medicine-Experimental Animals Research Center Labs in December 2015. 40 Sprague-Dawley rats weighing 300-400 g were divided into 5 groups randomly. As the pre-treatment, the first group received saline, the second group received lipid, the third group received DigiFab, and the fourth group received DigiFab and lipid. Following that, digoxin was infused to all groups until death except the control group. First arrhythmia and cardiac arrest occurrence times were recorded. As no medication causing arrhythmia was infused, Group 5 was excluded from the statistical analysis performed for the comparisons of first arrhythmia and death time. According to the results although there was no significant difference in the statistical analysis comparing the four groups, as the rats, only exposed to digoxin intoxication were compared with the rats pre-treated with ILE in terms of first arrhythmia time and cardiac arrest occurrence times, significant difference was observed between the groups. According to our results, using DigiFab treatment, intralipid treatment, intralipid and DigiFab treatment for the rats exposed to digoxin intoxication makes no significant difference in terms of the first arrhythmia and death occurrence time. However, it is not possible to say that at the doses we use in the study, ILE treatment might be successful at least as a known antidote. The fact that the statistical significance between the two groups is not observed in the inter-comparisons of all the groups, the study should be repeated in the larger groups. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=arrhytmia" title="arrhytmia">arrhytmia</a>, <a href="https://publications.waset.org/abstracts/search?q=cardiac%20arrest" title=" cardiac arrest"> cardiac arrest</a>, <a href="https://publications.waset.org/abstracts/search?q=DigiFab" title=" DigiFab"> DigiFab</a>, <a href="https://publications.waset.org/abstracts/search?q=digoxin%20intoxication" title=" digoxin intoxication"> digoxin intoxication</a> </p> <a href="https://publications.waset.org/abstracts/73758/lipid-emulsion-versus-digifab-in-a-rat-model-of-acute-digoxin-toxicity" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/73758.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">235</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1</span> Epigastric Pain in Emergency Room: Median Arcuate Ligament Syndrome</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Demet%20Devrimsel%20Dogan">Demet Devrimsel Dogan</a>, <a href="https://publications.waset.org/abstracts/search?q=Ecem%20Deniz%20Kirkpantur"> Ecem Deniz Kirkpantur</a>, <a href="https://publications.waset.org/abstracts/search?q=Muharrem%20Dogan"> Muharrem Dogan</a>, <a href="https://publications.waset.org/abstracts/search?q=Ahmet%20Aykut"> Ahmet Aykut</a>, <a href="https://publications.waset.org/abstracts/search?q=Ebru%20Unal%20Akoglu"> Ebru Unal Akoglu</a>, <a href="https://publications.waset.org/abstracts/search?q=Ozge%20Ecmel%20Onur"> Ozge Ecmel Onur</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Median Arcuate Ligament Syndrome (MALS) is a rare cause of chronic abdominal pain due to external compression of the celiac trunk by a fibrous arch that unites diaphragmatic crura on each side of the aortic hiatus. While 10-24% of the population may suffer from compression of celiac trunk, it rarely causes patients to develop symptoms. The typical clinical triad of symptoms includes postprandial epigastric pain, weight loss and vomiting. The diagnosis can be made using thin section multi-detector computed tomography (CT) scans which delineate the ligament and the compressed vessel. The treatment of MALS is aimed at relieving the compression of the celiac artery to restore adequate blood flow through the vessel and neurolysis to address chronic pain. Case: A 68-year-old male presented to our clinic with acute postprandial epigastric pain. This was patients’ first attack, and the pain was the worst pain of his life. The patient did not have any other symptoms like nausea, vomiting, chest pain or dyspnea. In his medical history, the patient has had an ischemic cerebrovascular stroke 5 years ago which he recovered with no sequel, and he was using 75 mg clopidogrel and 100 mg acetylsalicylic acid. He was not using any other medication and did not have a story of cardiovascular disease. His vital signs were stable (BP:113/72 mmHg, Spo2:97, temperature:36.3°C, HR:90/bpm). In his electrocardiogram, there was ST depression in leads II, III and AVF. In his physical examination, there was only epigastric tenderness, other system examinations were normal. Physical examination through his upper gastrointestinal system showed no bleeding. His laboratory results were as follows: creatinine:1.26 mg/dL, AST:42 U/L, ALT:17 U/L, amylase:78 U/L, lipase:26 U/L, troponin:10.3 pg/ml, WBC:28.9 K/uL, Hgb:12.7 gr/dL, Plt:335 K/uL. His serial high-sensitive troponin levels were also within normal limits, his echocardiography showed no segmental wall motion abnormalities, an acute myocardial infarction was excluded. In his abdominal ultrasound, no pathology was founded. Contrast-enhanced abdominal CT and CT angiography reported ‘thickened diaphragmatic cruras are compressing and stenosing truncus celiacus superior, this is likely compatible with MALS’. The patient was consulted to general surgery, and they admitted the patient for laparoscopic ligament release. Results: MALS is a syndrome that causes postprandial pain, nausea and vomiting as its most common symptoms. Affected patients are normally young, slim women between the ages of 30 and 50 who have undergone extensive examinations to find the source of their symptoms. To diagnose MALS, other underlying pathologies should initially be excluded. The gold standard is aortic angiography. Although diagnosis and treatment of MALS are unclear, symptom resolution has been achieved with multiple surgical modalities, including open, laparoscopic or robotic ligament release as well as celiac ganglionectomy, which often requires celiac artery revascularisation. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=differential%20diagnosis" title="differential diagnosis">differential diagnosis</a>, <a href="https://publications.waset.org/abstracts/search?q=epigastric%20pain" title=" epigastric pain"> epigastric pain</a>, <a href="https://publications.waset.org/abstracts/search?q=median%20arcuate%20ligament%20syndrome" title=" median arcuate ligament syndrome"> median arcuate ligament syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=celiac%20trunk" title=" celiac trunk"> celiac trunk</a> </p> <a href="https://publications.waset.org/abstracts/74949/epigastric-pain-in-emergency-room-median-arcuate-ligament-syndrome" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/74949.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">261</span> </span> </div> </div> </div> </main> <footer> <div id="infolinks" class="pt-3 pb-2"> <div class="container"> <div style="background-color:#f5f5f5;" class="p-3"> <div class="row"> <div class="col-md-2"> <ul class="list-unstyled"> About <li><a href="https://waset.org/page/support">About Us</a></li> <li><a href="https://waset.org/page/support#legal-information">Legal</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/WASET-16th-foundational-anniversary.pdf">WASET celebrates its 16th foundational anniversary</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Account <li><a href="https://waset.org/profile">My Account</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Explore <li><a href="https://waset.org/disciplines">Disciplines</a></li> <li><a href="https://waset.org/conferences">Conferences</a></li> <li><a href="https://waset.org/conference-programs">Conference Program</a></li> <li><a href="https://waset.org/committees">Committees</a></li> <li><a href="https://publications.waset.org">Publications</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Research <li><a href="https://publications.waset.org/abstracts">Abstracts</a></li> <li><a href="https://publications.waset.org">Periodicals</a></li> <li><a href="https://publications.waset.org/archive">Archive</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Open Science <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Open-Science-Philosophy.pdf">Open Science Philosophy</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Open-Science-Award.pdf">Open Science Award</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Open-Society-Open-Science-and-Open-Innovation.pdf">Open Innovation</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Postdoctoral-Fellowship-Award.pdf">Postdoctoral Fellowship Award</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Scholarly-Research-Review.pdf">Scholarly Research Review</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Support <li><a href="https://waset.org/page/support">Support</a></li> <li><a href="https://waset.org/profile/messages/create">Contact Us</a></li> <li><a href="https://waset.org/profile/messages/create">Report Abuse</a></li> </ul> </div> </div> </div> </div> </div> <div class="container text-center"> <hr style="margin-top:0;margin-bottom:.3rem;"> <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank" class="text-muted small">Creative Commons Attribution 4.0 International License</a> <div id="copy" class="mt-2">&copy; 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