The Effect of Practices Accompanied By Instruments on the Elementary Students' Achievement and Atitudes Towards Music Lessons

DergiPark: 371296trakyasobedBu çalışmada enstrüman eşlikli uygulamaların ilköğretim öğrencilerinin müzik dersine yönelik başarı ve tutumlarına etkisini belirlemek amaçlanmıştır.Çalışma, İlköğretim 6.sınıf öğrencileri, 2011-2012 bahar yarı yılı, ve eşlik çalgısıolarak piyano ile sınırlandırılmıştır. Deneysel modele göre yapılan araştırmada aşağıdaki sorularıncevapları aranmıştır: Enstrüman eşlikli uygulamaların öğrencilerin müzikdersi başarılarına yöneliketkisi nedir? Enstrüman eşlikli uygulamaların öğrencilerin müzik dersine yönelik tutumlarınaetkisi nedir? Uygulama sonucunda, öğrencilerin müzik dersi başarı düzeylerinde ve müzikdersine yönelik tutum düzeylerinde gelişim olup olmadığı incelenmiştir. Araştırmasonucunda, enstrüman eşlikli uygulamaların, müzik dersi gören öğrencilerin derseyönelik başarılarını ve tutumlarını önemli ölçüde ve olumlu yönde etkilediği ortayaçıkmıştır.Thisstudy aims to determine the effect of practices accompanied by instruments onthe 6th grade students' achievement and attitudes towards music lessons. Thestudy has sought answers to the following questions based on the experimentalmodel: What are the effects of the practices accompanied by instrument on thestudents?                 success in themusic lesson? What are the effects of the practices accompanied by instrumenton the student’s attitude towards the music lesson? According to this results,when the knowledge level of the students in the control group and experimentalgroup was compared at the end of the experiment, the knowledge level ofstudents in the experimental group was found to be higher than the controlgroup students knowledge level. When the attitude of the students in thecontrol group and experimental group towards music lesson is compared at theend of the experiment, the attitude of students in the experimental grouptowards the lesson is found to be stronger than the control group studentsattitude

Investigation of Methods to Increase Energy Efficiency in Old Buildings: A Case Study on a School Building Constructed in 2007

In this study, the energy efficiency study of the school building whose construction was completed in 2007 was conducted. First of all, information about energy consumption and the amount of CO2 emission released into the atmosphere was obtained by measuring the building elements, heating system, piping and lighting system. Afterward, some suggestions were made in the areas where energy consumption is high and inefficient, in line with efficiency-increasing methods, considering the relevant standards and regulations. Finally, with these proposed improvements, the energy savings of the building, the economic value of this savings and the reduction in carbon emission are calculated. As a result of the study, 65.04 kWh/m2 energy and 0.012 tonCO2/m2 carbon emission savings per unit area, 334 379 kWh/year energy and 66.18 tonCO2/year carbon emission savings, the investment cost of 319 653 TL as 65.2 TL/m2 per unit area., and 6.1 years payback period was calculated

Migration of Ventriculoperitoneal Shunt Catheter into the Inguinal Hernia Sac in a Patient with Hydrocephalus

Literatürde ventriküloperitoneal (VP) şant kataterinin intestinal perforasyon, inguinal herni, peritonit gibi abdominal komplikasyonlara neden olabileceği bildirilmiştir. Hidrosefali nedeniyle VP şant takılmış 2 aylık erkek hastanın klinik takibinde, şant ameliyatından otuz gün sonra sol kasığında şişlik saptandı. Yapılan abdominal ultrasonografi ve direkt grafi tetkiklerinde hastanın sol skrotumu içerisinde VP şant kateterinin distal ucunun izlenmesi üzerine hasta Çocuk Cerrahisi Bölümü tarafından değerlendirildi. Hastaya sol inguinoskrotal herni tanısı koyularak ameliyat edildi. Kateter ucu karın içerisine redükte edilerek yüksek ligasyon ile inguinal herni onarımı yapıldı. Hastanın ameliyat sonrası üç aylık takibi sonunda nüks ve/veya komplikasyon izlenmedi. Sonuç olarak VP şant takılan hastalarda inguinoskrotal komplikasyonlar akılda tutulmalıdır. VP şant ameliyatı sonrası kasık bölgesindeki şişlikler inguinal herni açısından değerlendirilmeli ve erken tanı ve tedavi için aile bilgilendirilmelidir.Ventriculoperitoneal (VP) shunt devices can cause some abdominal complications such as intestinal perforation, inguinal hernia, peritonitis. A two-month-old male who had underwent VP shunt surgery thirty days ago was admitted for swelling in his left inguinal region. Abdominal ultrasonography and X-ray examination revealed that distal part of VP shunt catheter had migrated into the left scrotum and therefore the patient was consulted to the Pediatric Surgery Department. During operation, the shunt catheter was reimplanted into the abdomen and the inguinoscrotal hernia was repaired by using the high ligation technique. No recurrence and/ or complication was occured in the patient during his three-month follow-up. In conclusion, inguinoscrotal complications should be kept in mind for patients who have VP shunts and present with a swelling in the inguinal region. This swelling should be evaluated in terms of inguinal hernia and the family should be informed for early diagnosis and treatment

Recent scoring systems predicting stone-free status after retrograde intrarenal surgery; a systematic review and meta-analysis

Introduction Several scoring systems and nomograms have been developed to predict the success of retrograde intrarenal surgery. But no meta-analysis for the performance of scoring systems has yet been performed. The aim of this study was to compare predictive ability of recent scoring systems for stone-free rate of retrograde intrarenal surgery. Materials and methods PubMed and Web of Science databases were searched systematically between April and May 2021. The scoring systems which were validated externally or studied at least by two different researcher groups were selected for further analysis. Of 59 records, 14 studies met the inclusion criteria (n = 4137). Area under curve (AUC) values of selected scoring systems were pooled in random or fixed effects. Thertest was used to quantify heterogeneity. Results Eight, 5, 8, 4 and 3 studies included in meta-analyses for the modified Seoul National University Renal Stone Complexity Score (S-ReSC), R.I.R.S., Resorlu-Unsal Score (RUS), S.T.O.N.E., and Ito's Nomogram, respectively. We found pooled AUC values 0.709 (95% CI 0.670-0.748), 0.704 (95% CI 0.668-0.739), 0.669 (95% CI 0.646 to 0.692), and 0.771 (95% CI 0.724 to 0.818), for first four of them, respectively. Heterogeneity was very high to pool AUC values for Ito's nomogram. Conclusions Although S.T.O.N.E. score showed higer pooled AUC value, this systematic review and meta-analysis has not revealed superiority of any scoring system. High heterogeneity between studies and dependencies between scoring systems make it difficult to design a comparative statistical model to generalize the findings. Also, limitations aside, neither scoring system has demonstrated good predictive/discriminative performance

The efficacy of cinacalcet in the treatment of hyperparathyroidism in Turkish hemodialysis patient population

WOS: 000393291900012OBJECTIVE: Cinacalcet reduces parathyroid hormone levels by increasing the sensitivity of the parathyroid gland to calcium. in this study, we firstly aimed to evaluate the efficacy of cinacalcet in Turkish hemodialysis patients. MATERIAL and METHODS: 4483 hemodialysis patients were screened and 469 patients who had used cinacalcet were included in the study. the patients were divided into 4 groups according to drug usage durations (Group 1: 3 months, Group 2: 6 months, Group 3: 9 months and Group 4: 12 months). the patients' Parathormone, Ca, P and CaxP levels at the 3rd, 6th, 9th and 12th months were compared to the start of treatment and previous months. RESULTS: the levels of Parathormone, Ca, P and CaxP significantly decreased compared to their initial levels in all groups (from 1412 pg/ml to 1222 pg/mL for Parathormone, p< 0,001) in the 3rd month. However, this reduction was not continued in the subsequent months (Parathormone: 1381 pg/ml for the 12th month). CONCLUSION: Cinacalcet may not provide adequate benefit in control of hyperparathyroidism in Turkish hemodialysis patient population

Solidification/stabilization of landfill leachate concentrate using different aggregate materials

The application of reverse osmosis for the treatment of landfill leachate is becoming widespread in Turkey as well as in Europe. A major drawback of this process is the production of concentrate, which could be as much as 30% of the feed stream, and high concentrations of salts and contaminants. The reverse osmosis concentrate is disposed of by using several methods including re-infiltration, drying, incineration and solidification/stabilization. In this study, solidification/stabilization (S/S) technology was studied for the treatment of reverse osmosis concentrate produced from landfill leachate. In order to benefit from its capability to absorb heavy metals, ammonia and some other pollutants, zeolite and different aggregate materials were used in solidification experiments. Main pollutants in the leachate concentrate, TOC, DOC, TDS and ammonia were successfully solidified and approximately 1% of TOC, DOC, TDS and ammonia remained in the eluate water. The results indicated that the landfill disposal limits could be attained by solidification/stabilization process. (C) 2012 Elsevier Ltd. All rights reserved