Browsing by Author "Bulut, Esra"
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Item İnflamatuar barsak hastalığı olan bireylerde hastalık tipi, aktivitesinin cinsel yaşantı ve hayat kalitesi üzerine etkisi(Tıp Fakültesi, 2015) Bulut, Esra; Törüner, Murat; TıpIn Inflammatory Bowel Diseases (IBD) patients, there is an impaired quality of life (QoL) and sexual dysfunction. However, there might be some differences between countries because of different cultures and socio-economical alterations. In this study, we aimed to evaluate the frequency of sexual dysfunction and the level of QoL in Turkish IBD patients. Methods : We evaluated 112 IBD patients (64 patients with Ulcerative colitis: 57%) and 42 control subjects. All patients and control subjects were asked to fill three questionnaires (SF 36, Hospital Anxiety and Depression Scales (HAD), Arizona Sexual Experience Scale (ASEX)). Demographic characteristics are collected and disease activity was determined for each patient. Results : In all evaluated patients, demographic data (age, disease activity, gender, education) was not differ from each other. Inpatient subjects had more severe disease than outpatient subjects as expected.Smokers and ex-smokers were more frequent in Crohn's Disease group whereas there were no difference in alcohol consumption. HAD-D scores were significantly higher in both Ulcerative colitis (UC) and Crohn's Disease (CD) patients when compared to control group (8 vs 5). However, there was no difference between 2 disease groups. HAD-A scores were significantly higher in CD group when compared to UC and control subjects (p:0.01). There was no difference between UC and control group. Female patients had more anxiety scores, there were no correlation between depression scores and gender. Both HAD-D and HAD-A scores are positively correlated with educational status. When SF-36 scores were evaluated, in both disease groups, scores were worse than control group as expected, whereas there was no difference between UC and CD patients. Sexual dysfunction frequency was different between three groups, however, patients with more severe disease had more sexual dysfunction (61% vs 73%). Conclusions : In conclusion, we found no difference between CD/UC groups and control group for sexual dysfunction scores. However, with the increase in disease activity, both UC and CD patients have more sexual dysfunction than control subjects. Disease activity was also found to be positively correlated by anxiety and depression score whereas, there was a negative correlation between disease activity and QoL. Anxiety and depression were seen more frequently in highly educated subgroup.Item The Place And Importance Of Magnopolıs In The Mıthrıdatıc Wars(Ankara Üniversitesi Dil Tarih ve Coğrafya Fakültesi, 2019-09-30) Bulut, Esra; Arslan, Mustafa; Other; OtherThe city later known as Magnopolis was captured by Mithridates Eupator VI (133-63 BC) and then named Eupatoria to honour him. However, according to Appian, the citizens of the city later accepted Roman rule and for this reason was ruined by the very same founder. Strabo claims that the founding of the city was still unfinished, when Mithridates Eupator VI destroyed it. In any case, Pompeius started redeveloping the city and completed its foundation. At the same time, Pompeius changed the city’s name to Magnopolis after himself, referring to the title “Magnus” which Sulla had conferred on him. Also, Pompeius included the settlements around the city in its borders, so that as a result of this policy the population of the city increased considerably. In addition to all these events, the location of the city was so important that it contributed to its rise during those times. Additionally, due to its strategic position and its location on the trade route between Bithynia and Armenia, the city witnessed formerly unparalleled development in terms of economic growth and population expansion. This paper reports on a study of Magnopolis, referring to its important geopolitical-geostrategic position and the trade routes of the region.