108 research outputs found

    The Use of an Anterior Abdominal Wall Peritoneal Flap in the Laparoscopic Repair of Vesicouterine Fistula

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    Vesicouterine fistula (VUF) is a rare type of genitourinary fistula. Lower-segment cesarean section is the leading cause of VUF. Patients mostly present with the classical triad of menouria, amenorrhea, and urinary incontinence, with the history of a previous cesarean section. Conservative management with catheterization and open, laparoscopic, and robotic surgeries are the prescribed treatment options. We present the case of a 35-year-old woman who presented with cyclical menouria and urinary incontinence. After diagnosis of VUF by cystoscopy, the laparoscopic approach was chosen. During the procedure, we used anterior abdominal wall peritoneum and adjacent adipose tissue interposition for the first time, instead of omental interposition, because of the unavailability of omentum. The postoperative period was uneventful, and the procedure was successful. In conclusion, the laparoscopic approach is feasible and the anterior abdominal wall peritoneal flap can be used instead of omentum for tissue interposition when the omentum is not available

    A review on applications of the 112 Emergency Call Center in Çanakkale in the Covid-19 process

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    oai:acikerisim.aku.edu.tr:11630/10758Türkiye‟de sağlık, güvenlik, yangın, sel gibi acil durumlara iliĢkin talepler 110, 112, 155, 156 gibi ayrı numaralardan iletilmekteydi. Acil yardım numaralarının sayıca fazla olması, uygulamada zorluklar yaĢanmasına; zaman ve kaynak israfına, can ve mal kayıplarına neden olabilmekteydi. Bu nedenle Avrupa Birliği‟nin (AB) 29.07.1991 tarihli kararı kapsamında “Tek Avrupa Acil Çağrı Numarası” olarak belirlenen 112 hattı, Türkiye‟de de kullanılmaya baĢlanmıĢtır. Bu bağlamda kurulan acil çağrı merkezleri (AÇM), Türkiye‟de COVID-19 sürecinde en aktif kurumlardan biri olarak dikkati çekmektedir. Süreç içerisinde AÇM bünyesine vefa sosyal destek grupları (VSDG) ve il/ilçe salgın denetim merkezleri (ĠSDEM) de dahil edilerek daha hızlı ve kaliteli bir hizmet amaçlanmıĢtır. 112 AÇM personeli, katılan birimler ile birlikte COVID-19 sürecinde daha hızlı ve koordineli bir biçimde çalıĢmaktadır. Bu çalıĢmada Çanakkale 112 AÇM‟nin salgın sürecindeki etkililiği uygulamalar kapsamında değerlendirilmiĢtir. AÇM‟lerin Türkiye‟de yeni bir yapılanma olması ve olağanüstü bir dönemde hizmet verme durumunun inceleniyor olması çalıĢmanın önemini oluĢturmaktadır. ÇalıĢmanın amacı ise Çanakkale 112 AÇM uygulamalarının salgın sürecindeki iĢlevselliğini incelemek ve kente sunduğu katkıları değerlendirmektir. Nitel araĢtırma yöntemi ile oluĢturulan araĢtırmada birey deneyiminin ve toplumsal gerçekliğin esas alınması nedeniyle fenomenolojik desen tercih edilmiĢtir. AraĢtırma kapsamında tesadüfi örneklem yöntemi ile seçilen Çanakkale 112 AÇM‟de görevli 18 personel ile yarı yapılandırılmıĢ mülakat tekniği kapsamında görüĢmeler gerçekleĢtirilmiĢtir. GörüĢmeler sonucunda Çanakkale 112 AÇM‟nin salgın boyunca aktif bir biçimde çalıĢtığı, vefa ve ĠSDEM birimlerin büyük bir özveri ile kente katkılar sunduğu, hizmet sunum sürecinde personelin 112‟nin bilinirliği, bütçe, hizmet içi eğitim, entegrasyon gibi konularda sorunlar yaĢadığı bulgularına ulaĢılmıĢtır. Elde edilen bulgular MAXQDA 2020 nitel veri analizi programı ile değerlendirilmiĢ ve araĢtırmaya dair öneriler sunulmuĢtur.Requests related to emergencies such as health, security, fire, flood are sent from separate numbers such as 110, 112, 155, 156 in Turkey. The high number of emergency help numbers causes difficulties in implementation; can cause waste of time and resources, loss of life and property. For this reason, the 112 line which was determined as the "Single European Emergency Call Number" within the scope of the decision of the European Union dated 29.07.1991, started to be used in Turkey as well. Established in this context, emergency call centers (ECM) draw attention as one of the most active institutions in the COVID-19 process in Turkey. A faster and higher quality service was aimed by including loyalty social support groups (VSDG) and provincial/district epidemic control centers (ISDEM) within the body of ACM during the process. 112 ECM staff work more quickly and in coordination with the participating units during the COVID-19 process. In this study, the effectiveness of Canakkale 112 ECM in the epidemic process was evaluated within the scope of applications. The importance of the study is that ECM‟s are a new structuring in Turkey and their state of service in an extraordinary period is being examined. The aim of the study is to examine the functionality of Çanakkale 112 MCH applications during the epidemic process and to evaluate their contributions to the city. The phenomenological design was preferred due to the fact that the individual experience and social reality were taken as the basis in the research, which was created with the qualitative research method. Within the scope of the research, interviews were conducted with 18 personnel working in Canakkale 112 ECM, selected by random sampling method, within the scope of semi-structured interview technique. As a result of the interviews, it was found that Çanakkale 112 ECM was working actively during the epidemic, the loyalty and ISDEM units made contributions to the city with great devotion, and the personnel had problems in terms of awareness of 112, budget, in-service training and integration during the service delivery process. The findings were evaluated with the MAXQDA 2020 qualitative data analysis program and suggestions for the research were presented

    Supporting novice mathematics teachers: The impact of an e- mentoring and video-based professional development program on teachers? noticing skills

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    Karadeniz Technical University Scientific Research Foundation [7178]The study was supported by Karadeniz Technical University Scientific Research Foundation with the project number 7178.This paper focuses on e-mentoring of novice mathematics teachers as professional development, and reports findings of the e-mentoring practices enriched with videos to improve noticing skills of novice teachers. A single group pre- and post-test study was conducted with the participation of 17 mentees, novice middle school mathematics teachers. Participants' noticing skills were assessed through a whole-class teaching video shown to them before and after the intervention. The responses of the teachers to the video assessment were analyzed considering attending, interpreting and decision-making dimensions of noticing. The results revealed that the ementoring program improved the novice mathematics teachers' noticing skills significantly in all dimensions.WOS:000978797700007Emerging Sources Citation IndexarticleUluslararası işbirliği ile yapılmayan - HAYIRMayıs2023YÖK - 2022-2
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