Arpüz

Taha Toros Arşivi, Dosya No: 112-Meyhanelerİstanbul Kalkınma Ajansı (TR10/14/YEN/0033) İstanbul Development Agency (TR10/14/YEN/0033

The Effects of The Problem-Based Learnıng Supported by Experiments in Science Course: Students' Inquiry Learning and Reflective Thinking Skills

This study aims to investigate the effect of the problem-based learning method supported by experiments on the inquiry learning skills of secondary school students and their reflective thinking skills for problem-solving. This research uses a quasi-experimental design with a pretest-posttest control group. This study consists of 21 students in the experimental group and 22 students in the control group from the sixth grade of a public secondary school in Turkey. The inquiry learning skills and reflective thinking skills scale for problem-solving were used as data collection tools in the research. The Electricity Transmission unit was carried out in the experimental group with problem-based learning scenarios supported by the experiment. Activities based on the science course curriculum were carried out in the control group. SPSS-21 was used to analyze the data. As a result of the study, it was concluded that the post-test scores of the inquiry learning skills scale of the students in the experimental group differed statistically significantly from those of the control group students, and this difference was in favor of the experimental group. No significant difference was found between the experimental and control groups in post-test scores regarding reflective thinking skills for problem-solving

Accuracy of large language models in thyroid nodule-related questions based on the Korean thyroid imaging reporting and data system (K-TIRADS)

We read with great pleasure the review article “Updated Primer on Generative Artificial Intelligence and Large Language Models in Medical Imaging for Medical Professionals” by Kim et al. [1] which was published online in the Korean Journal of Radiology in February. The authors impressively presented a very comprehensive overview of generative artificial intelligence, and also discussed the background and working principles of large language models (LLMs). Inspired by this article, we would like to present this letter, in which we investigate the performance of LLMs on questions related to thyroid nodules based on the Korean Thyroid Imaging Reporting and Data System (K-TIRADS)

The relationship between HbA1c and carotid intima-media thickness in type 2 diabetic patients

Introduction: The aim of this study was to investigate the relationship between HbA1c and carotid intima-media thickness (cIMT) which is noninvasive marker of atherosclerosis in type 2 diabetic patients. Methods: 81 type 2 diabetic patients were enrolled in this study. Demographic, clinical and laboratory features of the patients were obtained from hospital records. cIMT values were measured by high resolution B-mode ultrasound. Patients were divided into two groups according to cIMT values: cIMT < 0,9 mm group and cIMT ≥ 0,9 mm group. Increased cIMT values were accepted as ≥ 0,9 mm. Then we compared HbA1c and other collected features between normal and increased cIMT groups. Results: 69,2% of the patients were female, 30,8% were male. The mean age of the patients were 58,4±10,7 year. The mean HbA1c values of the patients were 8,6±2,03%. The mean cIMT values of the patients were 0,74±0,22 mm. Result with Student T test and ROC curve analysis HbA1c values were’nt different between the groups (p >0.05). Conclusion: in this present study we demonstrated that HbA1c could not be a marker for subclinical atherosclerosis in diabetic patients.Pan African Medical Journal 2016;

Convergence Analysis for a Modified SP Iterative Method

We consider a new iterative method due to Kadioglu and Yildirim (2014) for further investigation. We study convergence analysis of this iterative method when applied to class of contraction mappings. Furthermore, we give a data dependence result for fi…xed point of contraction mappings with the help of the new iteration method

AN INVESTIGATION OF THE VIEWS ON THE LAKE OF THE TEACHERS WHO WORK IN THE VICINITIES OF LAKE AVLAN, TURKEY

Several problems such as the deterioration in water regime, climate’s getting harsh, desertification and the decrease in agricultural productivity have been experienced in and around Lake Avlan which was dried in 1970’s entirely for the purpose of opening new cultivation areas. Upon the deterioration, the gates of the regulators were closed by the Ministry of Environment upon the written demand from almost 3000 people from the vicinity by the organization of a mayor and 37 village headmen. Lake Avlan is the first wetland on which a decision of restoration has been taken upon the demand from the people in the vicinity, including the villagers who were given a piece of land from the lake. When the things experienced with the case are taken into consideration, it is observed that the perception of education on environment has changed and the importance of education on environment increased. The education for environment is aimed to raise individuals who are aware of local, regional, national and global problems; who approach these problems with concern and sensitivity; who spend effort voluntarily for thesolution of such problems; and those whose ecological culture, environmental moral and environmental consciousness is high (Atasoy&Ertürk, 2008). The aim of this study is to identify the views of the teachers who work in the schools in the vicinity of Lake Avlan on the lake. The participants of the study are 14 teachers as 9 males and 5 females. The study was designed as a case study, which is one of the methods of qualitative research. The data used in the study were collected by giving interviews to the teachers and were analyzed using content analysis technique. The findings revealed that the teachers rendered superficial information on the social and socioeconomic structure of the Lake Avlan; that they bear confusing ideas about the physical form of the lake and that the information they provide is not sufficient. They all share the idea that Lake Avlan has not been preserved and based upon each participant’sexplanations, the study reached the same conclusion.  Article visualizations

Is grand multiparity a risk factor for the development of postmenopausal osteoporosis?

WOS: 000428803700002PubMed ID: 29636605Objective: In this study, we investigated the relationship between the development of postmenopausal osteoporosis and parity. Materials and methods: The retrospective study included 129 postmenopausal women who were divided into three groups depending on the number of parity: Group I, = 10. The mean age of the subjects was 57.71 +/- 5.02 years. Results: No significant difference was found among the three groups regarding body mass index values, duration of menopause, mean thyroid stimulating hormone values and frequency of diabetes. Among the three groups, no significant difference was found in terms of the frequency of lumbar osteoporosis (p>0.05), whereas a significant difference was found regarding the frequency of femoral osteoporosis (p=0.012; p<0.05). Conclusion: It was revealed that femoral bone mineral density significantly decreased as the number of parity increased

Transcatheter Closure of a Muscular Ventricular Septal Defect By Amplatzer Ductal Occluder II

Ventricular septal defect has been targeted as a defect to close with transcatheter methods. In recent years with the advent of new devices percutaneous closure of ventricular septal defect has been used in many centers with encouraging results. Introduction of Amplatzer occluder devices has been resulted in increase the number of implants in recent years. Beside this, a few devices can be used for transcatheter closure of muscular ventricular septal defects. We report a successful transcatheter closure of muscular outlet ventricular septal defect in a 4 years of age child with Amplatzer Ductal Occluder II

The evaluation of eustachian tube paratubal structures using magnetic resonance imaging in patients with nasal obstruction

Amaç: Bu çalışmada tek taraflı nazal tıkanıklığı olan hastaların östaki tüpü paratubal yapıları manyetik rezonans görüntüleme (MRG) yöntemi ile değerlendirildi. Hastalar ve Yöntemler: Ocak 2018 - Aralık 2020 tarihleri arasında kliniğimizde tek taraflı burun kitlesi tanısı ile izlenen ve MRG tetkiki ile değerlendirilen toplam 30 hasta (17 erkek, 13 kadın; ort. yaş: 56 yıl; dağılım, 18-67 yıl) çalışmaya dahil edildi. Çekilen MRG kesitlerinde, tensor veli palatini ve levator veli palatini kaslarının elde edilen en geniş kesit üzerinden kalınlığı, uzunluğu ve ortalama kas volümleri ölçülerek, sağlam taraf ölçümleri ile karşılaştırıldı. Bulgular: Hastaların nazal tıkanıklık olan tarafların ortalama tensor veli palatini kası kalınlığı, uzunluğu ve volümü sırasıyla 3.7±0.6 mm, 26.4±2.1 mm ve 2.1±0.5 cm³ idi. Ortalama levator veli palatini kası kalınlığı, uzunluğu ve volümü sırasıyla 5.7±0.5 mm, 23.9±2.3 mm ve 3.0±0.6 cm³ idi. Tıkanıklık olan ve olmayan tarafların paratubal yapıları arasında istatistiksel olarak anlamlı bir farklılık izlenmedi (p>0.05). Sonuç: Bu çalışmada tek taraflı nazal tıkanıklığın östaki tüpü paratubal yapılarında anlamlı bir değişiklik yapmadığı görüldü. Ancak bu konuda daha uzun süreli ve geniş serili klinik çalışmalara ihtiyaç vardır.Objectives: In this study, we aimed to evaluate the eustachian tube paratubal structures of patients with unilateral nasal obstruction using magnetic resonance imaging (MRI). Patients and Methods: Between January 2018 and December 2020, a total of 30 patients (17 males, 13 females; mean age: 56 years; range, 18 to 67 years) who were followed with a diagnosis of unilateral nasal mass in our clinic and evaluated by MRI were included in the study. The thickness, length, and mean muscle volumes of tensor veli palatini and levator veli palatini muscles were measured from the largest section obtained from the MRI sections and compared with the healthy side measurements. Results: The mean tensor veli palatini muscle thickness, length, and volume of the patients with nasal obstruction were 3.7±0.6 mm, 26.4±2.1 mm, and 2.1±0.5 cm³, respectively. The mean levator veli palatini muscle thickness, length, and volume were 5.7±0.5 mm, 23.9±2.3 mm, and 3.0±0.6 cm³, respectively. There was no statistically significant difference between the paratubal structures of the sides with and without obstruction (p>0.05). Conclusion: This study showed that unilateral nasal obstruction did not pose a significant change in the eustachian tube paratubal structures. However, further large-scale, longer-term clinical studies are needed on this subject

New immunohistochemical markers in the differential diagnosis of nonsmall cell lung carcinoma

Background/aim: The aim of this study was to investigate Napsin-A, NTRK-1, NTRK-2, Desmoglein-3, and Desmocollin-3 in the differential diagnosis and prognosis of nonsmall cell lung cancer. Materials and methods: The expression of Napsin-A, NTRK-1, NTRK-2, and Desmoglein-3 was examined by immunohistochemistry in 50 squamous cell carcinomas and 50 adenocarcinomas. Desmocollin-3 was investigated in 29 squamous cell carcinoma and 29 adenocarcinoma cases. Associations between expression profiles of Napsin-A, NTRK-1, NTRK-2, Desmoglein-3, and Desmocollin-3 in lung cancers and clinicopathological variables were analyzed. Results: Napsin-A staining was statistically significant in detecting adenocarcinomas versus squamous cell carcinomas. The sensitivity of Napsin-A for adenocarcinomas was 96% and the specificity was 100%. NTRK-2 and Desmocollin-3 staining were statistically significant in detecting squamous cell carcinomas versus adenocarcinomas. Desmoglein-3, Napsin-A, and NTRK-2 had no effect on survival. Disease-free survival time was significantly shorter in cases that were moderately positive with NTRK-1. Conclusion: Our data suggest that Napsin-A, NTRK-2, and Desmocollin-3 are useful markers in the differentiation of nonsmall cell lung cancer. © TÜBİTAK