Results of a long-term performance and follow-up of Endovenous Laser Ablatıon procedures performed for treating great saphenous vein incompetence

Objective: To assess the value of endovenous laser ablation (EVLA) for treating great saphenous vein (GSV) incompetence. Methods: We reviewed the overall results of EVLA procedures performed on 554 patients in our clinic between March 2011 and December 2015. Evaluations were made concerning the situations of the great saphenous vein (GSV), the energy used in the treatments, and the results obtained. We also investigated if there was a possibility to detect failure of EVLA treatment at an early stage. Results: From a total of 657 GSVs that were subjected to EVLA treatment, the procedure was found to be successful for 611 GSVs and unsuccessful for 46 GSVs (success rate: 93%). In 38 of the 46 GSVs, a thrombus formation was detected by color Doppler ultrasonography (CDUS) at the postoperative first month (82.6%). Conclusion: EVLA is a reliable and successful method utilized for the treatment of GSV incompetence. It is concluded that the detection of a thrombus in the GSV tract during the first postoperative follow-up month is an indicator for revascularization. © 2018, Professional Medical Publications. All rights reserved

The Effect of Universal Design for Learning on the Academic Achievement and Self-Regulation Skills of High School Students in English Course

The purpose of the present study is to examine the effect of Universal Design ror Learning (UDL) on high school students’ learning a new grammar structure and self regulation skills in the English course. The study was carried out throughout 12 weeks with 64 students studying in two different 10th grade classes in Zonguldak province in the spring term of 2015-2016 academic year. In the study, two different groups were designated as the experimental group and the control group. During the courses, UDL was utilised as a teaching model in the experimental group, whereas traditional method was conducted in the control group. As one of the examples of quasi-experimental models, non-equivalent control group design was used in this study.  Data was gathered with the help of an achievement test and self-regulation scale. These instruments were applied as a pre-test and a post-test in two groups. As a consequence, it was ascertained that UDL model is significantly and positively more effective on high school students’ academic achievements and self regulation alike than traditional method. Keywords: Universal design for learning,  academic achievement, self regulation skills,  high school students

Islamic Political Thought in the Great Seljuk Era, Nurullah Yazar

Büyük Selçuklular 431-708/1040-1308 yılları arasında varlığını sürdürmüş ve adını Oğuzların ordu komutanı Selçuk Bey’den almış bir hanedanlıktır. Tarih sahnesinde önemli başarılar gerçekleştirmiş olan bu devlet çeşitli yönleriyle muhtelif araştırmalara konu olmuştur. Eserin başlığında yer alan siyaset kavramı tüm zorluklarıyla birlikte toplumun yönetim işlerini üstlenmek ve onların mutlu olmasını sağlamaktır. Dünya tarihinde isminden söz ettirmiş devletler, yönetim ve siyasî yaklaşımları çerçevesinde çeşitli araştırmaların konusunu teşkil etmiştir. Büyük Selçuklu Dönemi İslam Siyaset Düşüncesi kitabı yukarıda zikredilen her iki konuyu da ihtiva eden bir özelliğe sahiptir. Eser, özelde İslam tarihi genelde ise tarih açısından mühim bir dönemi ihata eden Selçuklu Devleti’nin siyaset düşüncesini ortaya koymak için kaleme alınmıştır. Açılan her başlığın son satırlarında amacına yönelik ifadeler kullanan Yazar’ın gayesine ulaştığını ifade etmek yerinde olacaktır

Konya’nın Günümüze Ulaşamayan Selçuklu Mescitleri

1073 yılında Bizans hâkimiyetinden çıkıp Türk-İslâm medeniyetiyle tanışan Konya, 1097 yılında Anadolu Selçuklu Devleti’nin başkenti olmuş ve bu unvanını 235 yıl boyunca sürdürmüştür. Bu dönem Konya’nın imâr açısından yeterince şenlendirilmesine sebep olmuştur. Bu nedenle Konya’nın her sokağında Selçuklu özgününe ait cami, mescit, medrese ve türbe gibi bir yapı kimliği bulabilirsiniz. Bu eserlerin birçoğunun plan, mimari ve süsleme özellikleriyle anıtsal özellikler göstermesi ise Konya’nın başkentliğine yapılan bir vurgu olarak görülmelidir. Hiç şüphesiz, Konya’daki Selçuklu devrinde inşâ edilmiş yüzlerce eserin önemli bir bölümünü mescitler oluşturmaktadır. Söz konusu bu eserlerin bir kısmı günümüze kadar ulaşabilmiş, geçirdikleri onarımlarla yenilenmiş ve “ömrü uzun” olmuşlardır. Bir kısmı da maalesef başta yerel kurumlar tarafından bilinçli ve bilinçsiz bir şekilde yıkıma uğrayarak belki bir kitabe, bir çini parçası olarak müze teşhirlerinde hatırasını yaşatmakta; belki de sadece bir arşiv kaydında karşımıza çıkmaktadırlar. İşte bu makalede, çağdaş ve güncel kaynaklar ile sadece kitabeleri veyahut eski bir fotoğrafıyla tespit edilebilen Konya’daki Selçuklu mescitleri ele alınmıştır. Konya’nın Selçuklu’ya ait her sokağında bir o kadar nezaketli ve bir o kadar da anıtsal özellikler gösteren bu mescitlerin bazen yol açma bahanesiyle yıkıldıklarını bilmek acı vermekle birlikte, günümüzün hem mevzuat hem de daha bilinçli insan altyapısıyla karşılaştırıldığında umut vermektedir

Results from a cervical cancer screening program in Samsun, Turkey

Background: Cervical cancer is a preventable disease. This study aimed to share the results of the national cervical cancer screening program performed in primary health care institutions in Samsun between 2015 and 2019. Methods: Women aged 30–65 years who were screened for cervical cancer in screening centers of Samsun between January 01, 2015, and December 31, 2019, were included in this descriptive study. The data were obtained from the automation program of the “National Human Papilloma Virus (HPV) Laboratory Application” used by the Provincial Directorate of Health Cancer Unit through filtering the completion time of the tests, and all results were evaluated without sampling. Thus, data were presented using descriptive statistics. Results: The mean age of 89,302 women included in the cervical cancer screening program was 45.9 ± 9.0 years. Of the samples obtained from the participants, 1.0% were determined as insufficient material, 94.1% as HPV-negative, and 4.9% as HPV-positive. The most common HPV genotypes were 16, 51, 31, and 52. Of the 4337 HPV-positive women, 74.7% of the pap smear results were negative (including infection, 36.5%), and the most common premalignant lesions were atypical squamous cells of undetermined significance in 7.1% and low-grade squamous intraepithelial lesions in 6.9%. HPV 16/18 was also observed in 31.7% of HPV-positive women. Seven hundred ninety-five women were referred to a specialist physician for further examination and treatment within the scope of the screening algorithm. Conclusion: Detecting HPV-positivity by reaching more women within the national cervical cancer screening program’s scope is vital in fighting against this disease. The effectiveness of cancer screening programs should be increased by ensuring community participation through awareness activities. © 2022, The Author(s)

Dyadic death due to family custom in marriage

In dyadic death, a there is a lack of studies addressingthe effectiveness of the family pressure through thesedeaths. In this study, the effectiveness of the customs onthe marriages is discussed with a related case of dyadicdeath.A 27 years old male and a 19 years old female were founddead in a car out of a city center away from hometown. Inthe external examination, there was an entrance woundon the right temporal region and an exit wound on theleft temporal region of the man, and the contrary for thewoman. Both of the exit wounds were contact wound.Both of the deceased were originally from the east partof Turkey and stated to be single; and the woman wasreported to the security units as missing two days beforethe incident. As the motivation of the suicide, a note nearto the man was explaining that the deceased couple lovedeach other for one year yet the family of the women hadnot let them to get married.Being an obstacle for the marriage even for adults and acause of suicide because of family pressure is indicativeof strict application of the family customs, in Turkey. Theauthors propose that issue of whether the 84. Article ofthe Turkish Penal Code should be or not applied as a deterrentfactor reducing pressure of family customs

Morphometric risk factors effects on anterior cruciate ligament injury

Objectives: This study aims to compare the morphometric differences between patients with and without an anterior cruciate ligament (ACL) injury and to investigate the anatomical risk factors associated with ACL injury. Patients and methods: Between February 2020 and February 2022, a total of 100 patients (57 males, 43 females; mean age: 36.2 +/- 6.8 years; range, 18 to 45 years) who were operated for isolated non-contact ACL tear as the patient group and a total of 100 healthy individuals (58 males, 42 females; mean age: 35.0 +/- 6.9 years; range, 18 to 45 years) without an ACL tear as the control group were included. Magnetic resonance imaging scans of the knee joint were included in the study. Morphological variables of the ACL, distal femur, proximal tibia, and menisci were measured. Results: The mean ACL inclination angle and medial meniscus bone angle were 37.7 +/- 3.8 and 20.2 +/- 2.9 in the patient group and 48.1 +/- 3.3 and 25.0 +/- 2.9 in the control group. According to the results of multivariate analysis, those with small ACL inclination angle and medial meniscus bone angle were more likely to have ACL tear (odds ratio: 0.128, intraclass correlation coefficient: 0.038-0.430, p= 0.001). Conclusion: Small ACL inclination angle and medial meniscus bone angle can be a risk factor for ACL tear

An exceptional group of non-small cell lung cancer difficult to diagnose: Evaluation of lipid-poor adrenal lesions

In some non-small cell lung cancer (NSCLC) patients, lipid-poor adrenal adenomas cannot be adequately differentiated from metastases using imaging methods. Invasive diagnostic procedures also have a low negative predictive value (NPV) in such cases. The current study aims to establish a specific and clinically practical metabolic parameter for lipid-poor adrenal lesions (ALs) in NSCLC patients. This diagnostic approach may prevent unnecessary abdominal enhanced computed tomography (CT), magnetic resonance imaging, or invasive diagnostic procedures. Sixty-four NSCLC patients with 69 lipid-poor ALs and 28 control patients with 30 benign lipid-poor ALs, who underwent FDG-PET/CT, were retrospectively reviewed. Two morphological and four metabolic parameters were analyzed in FDG-PET/CT images of NSCLC and control patients. Baseline and post-chemotherapy images of 64 NSCLC patients were re-evaluated according to the PERCIST 1.0. In cases where ALs could not be differentiated, follow-up FDG-PET/CT images were re-examined. The receiver operating characteristic (ROC) curve method was used for the evaluation of diagnostic parameters. Out of 69 ALs, 39 were determined as metastatic lesions (adrenal metastasis), while 30 lesions were considered non-metastatic (adrenal adenomas). The mean attenuation value, SUVmax AL/SUVmax primary tumor, SUVmax, SUVmax AL/liver, and SUVmax AL/SUVmean liver were significantly different between metastatic and benign ALs from NSCLC patients. The SUVmax AL/SUVmean liver ≥1.81 had the best positive (PPV, 94.3%) and negative (NPV, 82.4%) predictive values, and the highest specificity (93.3%), sensitivity (84.6%) and accuracy (86.9%). Lipid-poor ALs with SUVmax AL/SUVmean liver ≥1.81 can be accepted as malignant in NSCLC. However, if SUVmax AL/SUVmean liver is <1.81, a pathologic examination is required. Utilizing this cut-off value to decide on adrenal core biopsy may prevent its unnecessary use. Moreover, this diagnostic approach can save time and reduce the healthcare costs

Efecto de la radiación gamma sobre la microbiología y las propiedades del aceite del comino negro (Nigella sativa L.)

Black cumin samples obtained from the market have been irradiated under 2.5 kGy, 6 kGy, 8 kGy, and 10 kGy doses, respectively. Along with the increase in the dose of irradiation, both the free fatty acid and peroxide values of the samples increased, whereas oil contents, iodine numbers, refraction index and Rancimat values decreased. In the composition of fatty acids, while the percentages of unsaturated fatty acids decreased; trans fatty acid levels increased. Microbial count of the samples decreased as the dose of irradiation increased. It has been observed that total bacterial count as well as total count of yeast and mould reduced to the undetectable limit.Muestras de comino negro adquiridas en el mercado fueron irradiadas a dosis de 2.5 kGy, 6 kGy, 8 kGy y 10 kGy, respectivamente. Coincidiendo con el aumento en la dosis de irradiación, se incrementaron tanto la acidez libre, como el índice de peróxidos de las muestras, mientras que se redujeron en el aceite el índice de yodo, el índice de refracción y la resistencia a la oxidación medida por Rancimat. En la composición de ácidos grasos aumentaron los niveles de ácidos grasos trans, mientras que se redujeron los porcentajes de ácidos grasos insaturados. El recuento de microbios presentes en las muestras descendió, conforme aumentaba la dosis de irradiación aplicada. Se observó como los recuentos totales de bacterias, hongos y levaduras se redujeron hasta un límite indetectable

Böbrek nakli alıcısında splenik arter anevrizması

In this article, we present the first case of SAA (Splenic Artery Aneurysm) in a kidney transplantation recipient, which was incidentally detected during the preparation of the transplantation and successfully treated. A 25-mm SAA was detected at kidney transplant recipient during the preparation examination by abdominal ultrasonography. Splenic artery ligation and aneurysmectomy was performed before the transplantation. Intraoperative Doppler ultrasonography revealed that there were no abnormalities of the spleen blood supply. During the first month of follow-up, the patient remained asymptomatic and laboratory investigations revealed no abnormalities. Selective ligation and resection of SAAs combined with spleen preservation is a safe treatment modality for selected cases with favorable short and long-term results, allowing the permanent treatment of the SAA, while preserving the splenic function.Bu yazıda, böbrek nakli alıcısında, nakil hazırlığı sırasında tesadüfen tespit edilen ve başarıyla tedavi edilen ilk SAA (Splenik Arter Anevrizması) vakasını sunuyoruz. Karın ultrasonografi ile yapılan hazırlık incelemesinde böbrek nakli alıcılarında 25 mm SAA saptandı. Nakil öncesi splenik arter ligasyonu ve anevrizmektomi yapıldı. İntraoperatif Doppler ultrasonografi ile dalak kan akışında herhangi bir anormallik olmadığı gösterildi. Takibin ilk ayında hasta asemptomatik kaldı ve laboratuvar incelemelerinde herhangi bir anormallik görülmedi. Dalak korunarak SAA'ların seçici ligasyonu ve rezeksiyonu, splenik fonksiyonu korurken SAA'nın kalıcı tedavisine izin veren, olumlu kısa ve uzun vadeli sonuçları olan seçilmiş vakalar için güvenli bir tedavi yöntemidir