71 research outputs found
The Views of Teachers about Home Education Services
The students who cannot get involved in mainstream and formal education and who are in need of special training because of several reasons can benefit from home education services, alternatively. Home education services are an inseparable and important part of education system. When the literature is examined, it is seen that there is so little research done on home education services. So, the purpose of this research is to determine both application-oriented and process-oriented views of teachers who participate in home education services. In accordance with this purpose, both application and process oriented views of the teachers who participate in home education services are determined by the open ended questions based on literature. The provided questions are applied on working group after put into final form thanks to the views of leading experts. In this research, which is a qualitative research type and descriptive case study, the working group includes three teachers who are defined by the homogeneous sampling of purposeful sampling methods and working in home education services in Agri province. Descriptive analysis has been used for analysing the data taken from the research. Charts are used for the presentation of findings. According to the findings of the research; all of the teachers in working group believe that home education services are necessary and useful. It has been determined that the teachers in working group consult to home education services for different reasons, they have various problems in implementation of process and they have given common answers for the part of the deficients of the process and suggestions for filling the deficiencies. It has been believed that this research will contribute to literature. Keywords: Home education services, the views of teachers, educatio
Engelli Ve Engelli Olmayan Ergen Bireylerin Algıladıkları Sosyal Destek İle İntihar Olasılığı Arasındaki İlişkinin İncelenmesi
İntihar sıklığının arttığı günümüzde ergenlik döneminde gençlere intiharı düşündüren sebeplerin belirlenmesi, özellikle risk altındaki ergenlerin zamanında fark edilebilmesi açısından son derece önemlidir. Bu kapsamda, engelli ve engelli olmayan ergenlerde algılanan sosyal destek ile intihar olasılığı arasındaki ilişkinin incelenmesi amaçlanmaktadır. Araştırmanın örneklemini, 127 engelli, 148 engelli olmayan toplam 275 ergen; evrenini ise, İstanbul, Ankara ve Malatya illerinde, 9/11. sınıflarda eğitim gören ve 15/17 yaş aralığında bulunan engelli ve engelli olmayan ergenler oluşturmaktadır. Katılımcılara, SosyoDemografik Bilgi Formu, İntihar Olasılığı Ölçeği, Çok Boyutlu Algılanan Sosyal Destek Ölçeği uygulanmıştır. Veriler SPSS programıyla analiz edilmiştir. Çalışmadan elde edilen sonuçlara göre; hem engelli hem de engelli olmayan ergenlerde sosyal destek artıkça intihar olasılığı azalmaktadır. İntihar olasılığını azaltan en önemli sosyal desteğin aileden alınan destek olduğu anlaşılmıştır. Sonuç olarak; sosyal beceri eğitimlerinin verilmesi, sosyal destek sistemlerinin arttırılması intiharın önlenmesinde önem taşımaktadır
Organizational attractiveness: a scale adaptation study
Bu çalışmanın amacı, Highhouse vd. (2003) tarafından geliştirilen Örgütsel Çekicilik Ölçeğini (ÖÇÖ) Türkçe’ye kazandırmak ve geçerlik ve güvenirlik analizlerini yapmaktır. Ölçek, öncelikle araştırmacılar ve bir dil uzmanı tarafından Türkçe’ye çevrilmiş, ardından ifadeler iki dilli 15 uzmanın görüşüne başvurularak dil ve anlam uygunluğu bakımından değerlendirilmiştir. Öneriler doğrultusunda son şeklini alan Türkçe form iki aşamada uygulanmıştır. İlk aşamada, test-tekrar test güvenirliğini sınamak amacıyla ölçek iki hafta ara ile 50 öğrenciye uygulanmıştır. Test tekrar-test güvenirlik katsayısı birincil değerlendirme için 0,85, ikincil değerlendirme için 0,89 olarak bulunmuştur. Uygulamanın ikinci aşamasında anket 257 öğrenciye uygulanarak ölçeğin iç tutarlılık katsayısı 0,89 olarak bulunmuştur. Yapılan analizler sonucunda ÖÇÖ’nün özgün ölçekte olduğu gibi üç faktörlü bir yapı gösterdiği belirlenmiştir. Hiçbir madde atılmadan 15 madde ile üç boyutu ölçen geçerli ve güvenilir bir ölçek elde edilmiştir.The purpose of the study is to investigate the validity and reliability of the organizational attractiveness scale which is developed by Highhouse et al. (2003) in Turkey. The 15 item scale was first translated into Turkish by researchers and one language expert, and then, translated sentences evaluated by 15 bilingual experts in terms of expression and linguistic suitability. In compliance with suggestions, the Turkish form was finalized and implemented in two stages. In the first stage, in order to analyze the reliability of test re-test, the scale was implemented with 50 students twice within two weeks and the reliability coefficient was found as 0,85 and 0,89 respectively. In the second stage, the scale was implemented with 257 students and the Cronbach Alpha was found as 0,89. As a result of the analysis, it was determined that Organizational Attractiveness Scale has a three dimensional structure as it is in the original form. Without excluding any items, a valid and reliable scale which consists of three dimensions and fifteen items were obtained
Örgütsel Çekicilik : Bir Ölçek Uyarlama Çalışması
The purpose of the study is to investigate the validity and reliability of the organizational attractiveness scale which is developed by Highhouse et al. (2003) in Turkey. The 15 item scale was first translated into Turkish by researchers and one language expert, and then, translated sentences evaluated by 15 bilingual experts in terms of expression and linguistic suitability. In compliance with suggestions, the Turkish form was finalized and implemented in two stages. In the first stage, in order to analyze the reliability of test re-test, the scale was implemented with 50 students twice within two weeks and the reliability coefficient was found as 0,85 and 0,89 respectively. In the second stage, the scale was implemented with 257 students and the Cronbach Alpha was found as 0,89. As a result of the analysis, it was determined that Organizational Attractiveness Scale has a three dimensional structure as it is in the original form. Without excluding any items, a valid and reliable scale which consists of three dimensions and fifteen items were obtained.Bu çalışmanın amacı, Highhouse vd. (2003) tarafından geliştirilen Örgütsel Çekicilik Ölçeğini (ÖÇÖ) Türkçe’ye kazandırmak ve geçerlik ve güvenirlik analizlerini yapmaktır. Ölçek, öncelikle araştırmacılar ve bir dil uzmanı tarafından Türkçe’ye çevrilmiş, ardından ifadeler iki dilli 15 uzmanın görüşüne başvurularak dil ve anlam uygunluğu bakımından değerlendirilmiştir. Öneriler doğrultusunda son şeklini alan Türkçe form iki aşamada uygulanmıştır. İlk aşamada, test-tekrar test güvenirliğini sınamak amacıyla ölçek iki hafta ara ile 50 öğrenciye uygulanmıştır. Test tekrar-test güvenirlik katsayısı birincil değerlendirme için 0,85, ikincil değerlendirme için 0,89 olarak bulunmuştur. Uygulamanın ikinci aşamasında anket 257 öğrenciye uygulanarak ölçeğin iç tutarlılık katsayısı 0,89 olarak bulunmuştur. Yapılan analizler sonucunda ÖÇÖ’nün özgün ölçekte olduğu gibi üç faktörlü bir yapı gösterdiği belirlenmiştir. Hiçbir madde atılmadan 15 madde ile üç boyutu ölçen geçerli ve güvenilir bir ölçek elde edilmiştir
Örgütsel Çekicilik : Bir Ölçek Uyarlama Çalışması
The purpose of the study is to investigate the validity and reliability of the organizational attractiveness scale which is developed by Highhouse et al. (2003) in Turkey. The 15 item scale was first translated into Turkish by researchers and one language expert, and then, translated sentences evaluated by 15 bilingual experts in terms of expression and linguistic suitability. In compliance with suggestions, the Turkish form was finalized and implemented in two stages. In the first stage, in order to analyze the reliability of test re-test, the scale was implemented with 50 students twice within two weeks and the reliability coefficient was found as 0,85 and 0,89 respectively. In the second stage, the scale was implemented with 257 students and the Cronbach Alpha was found as 0,89. As a result of the analysis, it was determined that Organizational Attractiveness Scale has a three dimensional structure as it is in the original form. Without excluding any items, a valid and reliable scale which consists of three dimensions and fifteen items were obtained.Bu çalışmanın amacı, Highhouse vd. (2003) tarafından geliştirilen Örgütsel Çekicilik Ölçeğini (ÖÇÖ) Türkçe’ye kazandırmak ve geçerlik ve güvenirlik analizlerini yapmaktır. Ölçek, öncelikle araştırmacılar ve bir dil uzmanı tarafından Türkçe’ye çevrilmiş, ardından ifadeler iki dilli 15 uzmanın görüşüne başvurularak dil ve anlam uygunluğu bakımından değerlendirilmiştir. Öneriler doğrultusunda son şeklini alan Türkçe form iki aşamada uygulanmıştır. İlk aşamada, test-tekrar test güvenirliğini sınamak amacıyla ölçek iki hafta ara ile 50 öğrenciye uygulanmıştır. Test tekrar-test güvenirlik katsayısı birincil değerlendirme için 0,85, ikincil değerlendirme için 0,89 olarak bulunmuştur. Uygulamanın ikinci aşamasında anket 257 öğrenciye uygulanarak ölçeğin iç tutarlılık katsayısı 0,89 olarak bulunmuştur. Yapılan analizler sonucunda ÖÇÖ’nün özgün ölçekte olduğu gibi üç faktörlü bir yapı gösterdiği belirlenmiştir. Hiçbir madde atılmadan 15 madde ile üç boyutu ölçen geçerli ve güvenilir bir ölçek elde edilmiştir
Mastoid Emissary Vein Canal Incidence and Its Relationship with Jugular Bulb and Sigmoid Sulcus Anatomical Variations
Objective:We aimed to investigate the mastoid emissary vein (MEV) canal incidence and to identify its relationship with jugular bulb (JB) and sigmoid sulcus anatomical variations.Methods:We retrospectively reviewed 1,300 patients with temporal bone computed tomography (CT) scans in January 2016 to March 2020. The presence and the diameter of the MEV canal, and the anatomical variations of the sigmoid sulcus and the JB were reviewed by two radiologists. High riding JB, JB diverticulum, dehiscent JB, and anterior and lateral protrusion of the sigmoid sulcus were evaluated. All variables were summarized using descriptive statistics. The differences between the groups for categorical data were investigated using the chi-square test. Numeric variables were compared with the Mann-Whitney and the Kruskal-Wallis tests. Logistic regression models were constructed.Results:The study included 1,269 patients of whom 694 were female (54.7%) and 575 were male (45.3%). Their mean age was 39.01±18.47. Among them 915 (72.1%) had the right and 871 (68.6%) had the left MEV canal. Men were more likely to have the MEV canal on both sides. The presence of the right and left MEV canals was associated with the ipsilateral dominant JB/sigmoid sulcus. The left MEV canal was associated with the left high riding JB and right dehiscent JB.Conclusion:This is the largest patient population reported in the literature and allows a more precise estimate of the MEV canal incidence. We also classified the diameter of the MEV canal to identify clinically relevant, prominent MEV incidence. This is also the first study to demonstrate a relationship between the presence of the MEV canal, and the JB and sigmoid canal variations. Since both the prominent MEV and the JB variations may be symptomatic, knowing this association between them may have clinical relevance
Okul Öncesi Dönemdeki Çocukların Okuldaki Oyun Olanaklarının İncelenmesi
DergiPark: 426421tredBu çalışma ile, okul öncesidönemdeki çocuklara sunulan oyun olanaklarının okul öncesi öğretmen görüşlerinegöre incelenmesi amaçlanmıştır. Araştırmanın evrenini Türkiye’de Millî EğitimBakanlığı’na bağlı özel ve resmi anaokullarında görev yapan okul öncesiöğretmenleri oluşturmaktadır. Araştırma verileri araştırmacılar tarafındanhazırlanan Okul Öncesi Öğretmenlerin Gözünden Türkiye Oyun Profili AraştırmasıAnket Formu kullanılarak elde edilmiştir. Anket formunda, okul öncesiöğretmenlerinin cinsiyet, yaş, eğitim düzeyi, mesleki deneyim süresi, çalıştığıkurumun bulunduğu coğrafi bölge, çalıştığı yaş grubu ve sınıf mevcudubilgilerine ilişkin yedi, okul öncesi dönemdeki çocuklara sunulan oyunolanaklarına ilişkin öğretmen görüşlerinin belirlenmesine ilişkin on (çocuklarınen sevdiği aktiviteler, serbest oyuna ayrılan süre, oyun sırasında öğretmeninrolü, açık oyun alanları imkânları, risk faktörleri, oyun sırasında gerçekleşenkazalar ve ailelerin çocukların okuldaki oyunları üzerine görüşleri gibi) soruyer almaktadır. Sorulardan elde edilen cevaplar yüzde ve frekansla ortayakoyulmuş ayrıca açık uçlu sorulardan elde edilen cevaplarla öğretmenleringörüşlerine yer verilmişti
Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries
Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely
Diagnosis of comorbid migraine without aura in patients with idiopathic/genetic epilepsy based on the gray zone approach to the International Classification of Headache Disorders 3 criteria
BackgroundMigraine without aura (MwoA) is a very frequent and remarkable comorbidity in patients with idiopathic/genetic epilepsy (I/GE). Frequently in clinical practice, diagnosis of MwoA may be challenging despite the guidance of current diagnostic criteria of the International Classification of Headache Disorders 3 (ICHD-3). In this study, we aimed to disclose the diagnostic gaps in the diagnosis of comorbid MwoA, using a zone concept, in patients with I/GEs with headaches who were diagnosed by an experienced headache expert.MethodsIn this multicenter study including 809 consecutive patients with a diagnosis of I/GE with or without headache, 163 patients who were diagnosed by an experienced headache expert as having a comorbid MwoA were reevaluated. Eligible patients were divided into three subgroups, namely, full diagnosis, zone I, and zone II according to their status of fulfilling the ICHD-3 criteria. A Classification and Regression Tree (CART) analysis was performed to bring out the meaningful predictors when evaluating patients with I/GEs for MwoA comorbidity, using the variables that were significant in the univariate analysis.ResultsLonger headache duration (<4 h) followed by throbbing pain, higher visual analog scale (VAS) scores, increase of pain by physical activity, nausea/vomiting, and photophobia and/or phonophobia are the main distinguishing clinical characteristics of comorbid MwoA in patients with I/GE, for being classified in the full diagnosis group. Despite being not a part of the main ICHD-3 criteria, the presence of associated symptoms mainly osmophobia and also vertigo/dizziness had the distinguishing capability of being classified into zone subgroups. The most common epilepsy syndromes fulfilling full diagnosis criteria (n = 62) in the CART analysis were 48.39% Juvenile myoclonic epilepsy followed by 25.81% epilepsy with generalized tonic-clonic seizures alone.ConclusionLonger headache duration, throbbing pain, increase of pain by physical activity, photophobia and/or phonophobia, presence of vertigo/dizziness, osmophobia, and higher VAS scores are the main supportive associated factors when applying the ICHD-3 criteria for the comorbid MwoA diagnosis in patients with I/GEs. Evaluating these characteristics could be helpful to close the diagnostic gaps in everyday clinical practice and fasten the diagnostic process of comorbid MwoA in patients with I/GEs
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