348 research outputs found

    Parotis bezinden kaynaklı sialolipom]

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    Sialolipoma which is composed of adipocyte cells and glandular tissue is a rare salivary gland tumor. Sialolipomas can be found in the major and minor salivary glands but most commonly in the parotid gland. Sixty year old male presented with a painless, buccal mass, which had been growing slowly over two year. On physical examination a soft mass was detected on parotid gland. On ultrasonography examination 4×3×2 cm sized hypoechoic mass with limited lobulated contours was detected in the right parotid gland. Lesion had been excised totally. According to microscopic examination; the diagnosis was sialolipoma. Sialolipoma is a rare variant of salivary gland tumors and it should be kept in mind for differential diagnosis of buccal masses. © 2017 by Türkiye Klinikleri

    Öğretmenlerin “Öğretmenlik Mesleğinin İmajı” Hakkındaki Görüşleri

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    DergiPark: 532641tredBu araştırmanınamacı, Elazığ İl Milli Eğitim Müdürlüğü’ne bağlı ilkokul, ortaokul ve liselerdegörev yapan öğretmenlerin “öğretmenlik mesleğinin imajı” hakkındaki görüşlerinibelirlemektir. Bu araştırma, nitel araştırma yöntemleri arasında yer alan olgubilim (fenomenoloji)  deseninde gerçekleştirilmiştir.  Araştırmanın çalışma grubunu 2017-2018 eğitimöğretim yılında Elazığ İl Milli Eğitim Müdürlüğü’ne bağlı ilkokul, ortaokul veliselerde görev yapan öğretmenler oluşturmaktadır. Katılımcılar ile öngörüşmeler yapılarak, görüşlerini belirtmekten kaçınmayacaklarını belirten 40öğretmen çalışma grubuna dahil edilmiştir. Araştırma verileri, yarıyapılandırılmış görüşme formu ile elde edilmiştir. Elde edilen verilerinanalizinde içerik analizi yöntemi kullanılmıştır. Araştırma sonuçlarına göre, öğretmenleröğretmenlik mesleği imajını genel olarak olumsuz gördüklerini ve meslekiimajlarının geçmişe oranla daha kötü durumda olduğunu belirtmişlerdir. Meslekiimajlarına katkıda bulunmak için öğretmenlerin yapması gerekenlerde, en fazlakendini geliştirme-yenileme ifadesi; MEB ve siyasilerin yapması gerekenlerdeise, ekonomik şartlar iyileştirilmeli ve öğretmenlere saygı gösterilmeli-değerverilmeli ifadeleri ön plana çıkmıştır.

    A new approach on the development of a nonlinear model for micro pelton turbines

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    In this study, a new approach that is closer to the real turbine without abandoning the advantages of nonlinear modeling simplicity compromising the simplicity of the nonlinear model is proposed. The purpose of the study is to contribute to making theoretical studies of microhydroelectric power plants (MHPPs) more realistic. Studies on their control, especially frequency control, have increased with the expansion of grid-connected power plants. However, some problems have occurred when converting simulation studies of the frequency control to practical studies. The reasons for these problems are that the systems cannot be modeled completely. In this study, first, the nonlinear model equations of a Pelton turbine are primarily constituted. The efficiency curve of the turbine is then obtained experimentally and added to the nonlinear model. The simulation results are compared with the data obtained from the prototype MHPP with a Pelton turbine developed in the laboratory. Finally, it is seen that the proposed method is successful. Thus, with the help of the proposed method, theoretical studies that researchers do can be easily converted into practical applications.FÜBAP (Project No: MF.11.06)

    Synthesis, crystal structure and spectroscopic studies of a new silver complex derived from [1-(3-pyridinyl) ethanone]

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    In this work, a new silver (I) complex, [Ag(3-pye)2(H2O)](NO3) where 3-pye=1-(3-pyridinyl) ethanone, has been synthesized and characterized by elemental analyses, FT-IR, fluorescence spectroscopy, and single X-ray crystallography. The X-ray diffraction analysis revealed that the Ag(I) complex crystallized in the monoclinic system with the C2/c space group. Computational studies were performed using DFT approache on the present complex to get insight into the structural parameters, spectral characteristics and electronic properties. The characterization results were found to be consistent with the proposed structure of the complex, and the DFT approach supported the experimental results. Also, Hirshfeld surface analysis was used to identify the non-covalent interactions within the crystal structure as well as to visualize the conformity of the crystal structure

    Analysis of water loss management performance of water utilities and development of basic performance ındicator analysis tool

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    Su kayıp yönetiminde, sistem davranışının izlenmesi ve sistem performansının uygun göstergelere göre analiz edilmesi işletme koşullarının iyileştirilmesi açısından oldukça önemlidir. Ancak bu analizlerin doğru, düzenli, sistematik ve hassas bir şekilde yapılması için uygun hesaplama araçlarının kullanılması gerekir. Bu nedenle, bu çalışmada kentsel su kayıp yönetiminde su kayıpları ile mücadelede süreç performansının analiz edilmesi ve izlenmesi amacıyla literatür esas alınarak en uygun göstergeler belirlenmiştir. Bu göstergelerin belirlenmesinde Uluslararası Su Birliği (IWA) ve diğer kuruluşlar tarafından önerilen göstergeler detaylı bir şekilde analiz edilmiş ve su kayıp yönetimi açısından en uygun göstergelerin seçilmiştir. Belirlenen bu performans göstergelerinin sistematik bir şekilde hesaplanması ve performansın izlenmesi için web tabanlı “GGS temel performans analizi hesaplama aracı” geliştirilmiştir. Bu hesaplama aracı temel olarak, hacimsel ve yüzdesel göstergeleri, servis bağlantı ve hat uzunluğu başına göstergeleri, idari ve fiziki kayıp, ekonomik ve maliyet, arıza ve şebeke rehabilitasyon göstergelerini içermektedir. Bu hesaplama aracının detayları paylaşılmış, sağladığı avantajlar tartışılmış ve örnek veriler için analiz yapılmıştır. Geliştirilen bu hesaplama aracının, İdarelerin su kayıp yönetimi ve bileşenleri açısından performansının analiz edilmesi, izlenmesi ve aktif kaçak kontrolü faaliyetleri için süreç performansının değerlendirilmesinde önemli katkılar sağlayacağı düşünülmektedir.In water loss management, monitoring system behavior and analyzing system performance according to appropriate indicators is very important for improving operating conditions. However, appropriate calculation tools should be used to make these analyzes accurately, regularly, systematically and precisely. Therefore, in this study, the most appropriate indicators were determined based on the indicators proposed IWA and other organizations in literature in order to analyze and monitor the process performance in water loss management. A web-based "GGS basic performance analysis calculation tool" has been developed to systematically calculate these indicators and monitor performance. This tool basically includes volumetric and percentage indicators, service connection and per line length indicators, administrative and physical loss, economic and cost, failure and network rehabilitation indicators. The details of this tool were detailed, its advantages were discussed by analyzing of sample data set. It is believed that this analysis tool developed in this study will provide significant contributions to the analysis and monitoring of the performance of the Utilities in terms of water loss management and its components, and to evaluate the process performance for active leakage control activitie

    Basic soil properties and soil classification of hazelnut cultivation area in the eastern black sea region, case study; Ünye-Tekkiraz district

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    The objective of this research was to investigate physical, chemical and morphological properties, classification and mapping of soils of hazelnut cultivation in Ünye-Tekkiraz district of The Eastern Black Sea Region. The study area is located between west of the Ordu and south of the Samsun provinces, at coordinates 4542495- 4537485 N and 342549-347523 E and total area is approximately 31.5 km2. Average annual precipitation and temperature are 1162.4 mm and 14.2 oC, respectively. Elevation varies from 200 m to 550 m above sea level. According to soil taxonomy, the soil temperature regime and moisture regime were classified as mesic and ustic, respectively. Most of the study areas have been commonly used for hazelnut cultivation, whereas southern part of the study area generally cover small forest and pasture lands. In the study area, distribution of geological pattern is palaeocene and eocene rocks consisting of sandstone, siltstone and marl including widely distributed and altered eocene aged volcano-clastics which are composed of basalt and andesite. After examination of topographic, land use, geologic and geomorphologic maps and land observation, 15 profile places were excavated in the study area. The soil samples were taken from each profile based on genetic horizons and their analyses were done in the laboratory. According to the results of laboratory analyses by taking into consideration of soil taxonomy, 11 different soil series were classified and described. Two them were classified as Entisol due to their young age and five are Inceptisol, three are Alfisol, and one is Vertisol. Whereas Hatipler seri has the largest area (14.7 %), Yenicuma Dere soil seri has the smallest area in the study area (3.2 %)

    Bariatrik cerrahi sonrası viseral organ yağ infiltrasyon değişikliklerini izlemenin etkili yöntemi: İdeal IQ sekansı

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    Aim: The aim of this study is to demonstrate the efficiency of non-invasive imaging method-MR proton density fat fraction (PDFF); ideal IQ sequence- on detecting the effects of bariatric surgery on liver and pancreatic fatty infiltration. Materials and Methods: Thirty-nine patients (25 females, 14 males) who underwent bariatric surgery between May 2016 and April 2017 were analyzed retrospectively in this study. Body mass index (BMI) and body weight (BW) values of all patients were noted one week before and one month after bariatric surgery, and meanwhile an unenhanced upper abdominal MR imaging was performed. Liver fat fraction (LFF), pancreas fat fraction (PFF), liver volume (LV) and craniocaudal length of liver (LL) were measured with MR-PDFF and T2 weighted images. Changes in all parameters after the surgery were recorded and the correlation of these changes with the change in LFF was analyzed. Results: At the end of first month of bariatric surgery, a significant decrease on mean values of LFF and PFF has been observed along with a decrease of LV, LL, BW and BMI (p<0.0001). A moderate positive linear correlation was observed between LFF and PFF, LV, LL (r=0.69, 0.61, 0.49; respectively) while a weak positive linear correlation was noticed between LFF and BMI, BW (r=0.34, 0.21; respectively). Conclusion: Ideal IQ sequence enables quantitative analysis of fatty infiltration of the liver and pancreas and thus may be used as a non-invasive tool to monitor the positive effects of the bariatric surgery on fatty infiltration of these visceral organs in the postoperative period.Amaç: Bariatrik cerrahinin karaciğer ve pankreas yağ infiltrasyonu üzerindeki etkilerinin saptanmasında non-invaziv görüntüleme yönteminin-MR proton dansite yağ fraksiyonu (PDFF); ideal IQ sekansı-etkinliğini göstermeyi amaçladık. Gereç ve Yöntem: Bu çalışmada Mayıs 2016 ile Nisan 2017 tarihleri arasında obezite cerrahisi geçiren 39 hasta (25 kadın, 14 erkek) retrospektif olarak incelendi. Tüm hastaların vücut kitle indeksi (VKİ) ve vücut ağırlığı (VA) değerleri bariatrik cerrahiden bir hafta önce ve bir ay sonra kaydedildi ve bu esnada kontrastsız üst abdomen MR görüntülemesi yapıldı. MR-PDFF ve T2 ağırlıklı görüntülerle karaciğer yağ fraksiyonu (KYF), pankreas yağ fraksiyonu (PYF), karaciğer hacmi (KV) ve karaciğer kraniyokaudal uzunluğu (KKU) ölçüldü. Ameliyat sonrası tüm parametrelerdeki değişiklikler kaydedildi ve bu değişikliklerin KYF’deki değişiklik ile korelasyonu analiz edildi. Bulgular: Bariatrik cerrahinin 1. ayının sonunda KYF ve PYF ortalama değerlerinde anlamlı azalma ile birlikte KV, KKU, VA ve VKİ’de azalma gözlendi (p<0,0001). KYF ile PYF, KV, KKU arasında orta derecede pozitif bir doğrusal korelasyon gözlenirken (sırasıyla r=0,69, 0,61, 0,49), KYF ile VKİ, VA arasında (sırasıyla r=0,34, 0,21) zayıf bir pozitif doğrusal korelasyon fark edildi. Sonuç: İdeal IQ sekansı, karaciğer ve pankreasın yağ infiltrasyonunun kantitatif analizini sağlar ve bu nedenle postoperatif dönemde bariatrik cerrahinin bu viseral organların yağ infiltrasyonu üzerindeki olumlu etkilerini izlemek için non-invaziv bir araç olarak kullanılabilir

    Mini clinical evaluation exercise in undergraduate dermatovenereology education: An experience of University of Pamukkale, Medical Faculty

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    Background and Design: Mini Clinical Evaluation Exercise (Mini-CEX) is being widely used in medical education and is a reliable and valid method for the assessment of residents' competency in medical interviewing, physical examination, humanistic qualities/professionalism, clinical judgment, counseling skills, organization, and efficiency. In order to enhance formative evaluation methods in our faculty, we planned to apply the method to students on dermatovenereology training. Materials and Methods: The Mini-CEX was performed by residents to 42 medical students. At first, 5 residents were evaluated by a faculty member with Mini-CEX and were informed about their application-oriented evaluator roles. The students were informed prior to conducting the assessment. Standard Mini-CEX form was used for the assessment. The participants were rated in 7 competencies and each was rated using a 9-point Likert scale. At the end of each encounter, students and evaluators rated their satisfaction with Mini-CEX using a 9-point Likert scale. Student's t-test and one-way ANOVA were used for statistical analysis. Student feedback was evaluated with "grounded theory". Results: A total of 50 assessments, 44 in outpatient and 6 in inpatient clinic, were performed. Satisfaction with the Mini-CEX was rated by the evaluators and the students as 7,16 and 7,98, respectively. There was no significant difference between the evaluators in terms of student satisfaction. Average time spent on observing the encounter and in giving feedback was 16.5 and 6.5 minutes, respectively. There was no significant difference between assessors in terms of time spent observing and giving feedback. Average scores of assessed clinical competencies were between 4,28 and 8,14. The highest scores were reported on humanistic qualities/ professionalism whereas the lowest were reported on clinical judgment skills. Discussion: According to our data, we believe that Mini-CEX may be used as an assessment tool in medical education. However, further researches should be carried out by different observers for Mini-CEX to be a part of medical education program
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