THE EFFECT OF FLIPPED CLASSROOM MODEL APPLICATIONS ON HIGH SCHOOL STUDENTS’ CLASSROOM ENGAGEMENT AND CLASSROOM LIFE PERCEPTIONS IN TEACHING ENGLISH

This study investigated the effect of technology-enhanced flipped classroom model applications on high school students’ classroom engagement and classroom life perceptions in teaching English. In the study, pretest and posttest experiment-control group quasi-experimental design was used. The experimental group was taught using the flipped method and the control group was taught using the current conventional method. The study was conducted with 45 students attending 9th grade for 8 weeks. The data from classroom engagement inventory and classroom life perception scales were collected quantitatively. According to the findings, there was a significant difference in terms of classroom engagement levels. When the classroom engagement inventory sub-dimensions were examined, significant differences were found in the experimental group in terms of cognitive engagement and affective engagement sub-dimensions. However, there was not a significant difference between the two groups in terms of behavioral engagement–compliance, behavioral engagement-effortful classroom participation and disengagement sub-dimensions. On the other hand, there was a significant difference in terms of classroom life perception levels. When the classroom life perception scale sub-dimensions were examined, significant differences were found in the experimental group in terms of student feelings related to the classroom environment and student feelings related to the teacher sub-dimensions. However, there was not a significant difference between the two groups in terms of student feelings related to other students sub-dimension.&nbsp

Serum Neudesin Levels in Obese Adolescents

Objective: Advances in knowledge of neurotrophic factors are now revealing the complex control of energy homeostasis and appetite, as well as the crucial role these factors play in nervous system function. The aim of this study was to assess serum levels of neudesin in adolescents with obesity and to examine the relationship between these levels and metabolic outcomes. Methods: Adolescents, aged 10-17 years were enrolled. Subjects were divided into normal weight, obese and morbidly obese subgroups. Serum neudesin concentrations were compared between the groups. Results: In total, 88 adolescents were recruited, of whom 30 (34.1%) were normal weight, 15 (17.0%) were obese and 43 (48.9%) were morbidly obese. Neudesin levels were significantly lower in obese adolescents than in the control group (p=0.013). A correlation analysis applied to the whole study group revealed a negative correlation between serum neudesin concentration and body mass index (BMI) z scores (r=-0.40, p<0.001). Serum neudesin levels tended to increase in adolescents with metabolic syndrome, insulin resistance, dyslipidaemia, and hypertension but the differences were not significant (p=0.259, p=0.246, p=0.259, and p=0.523, respectively). Conclusion: Serum neudesin levels were significantly correlated with BMI z score in obese adolescents. Generally, serum neudesin levels were low in obese and morbidly obese adolescents and tended to increase with the appearance of metabolic disorders. Both obesity and associated metabolic disorders have multifactorial causes. Therefore, we suggest that the role of the neudesin molecule in the regulatory mechanisms of obesity and metabolic disorders should be further investigated with well-designed studies enrolling larger groups

Kadınların Prenatal Kayıp Durumunda Ebelerden Beklentileri

ÖZET KADINLARIN PRENATAL KAYIP DURUMUNDA EBELERDEN BEKLENTİLERİ Hülya A. Adnan Menderes Üniversitesi Sağlık Bilimleri Enstitüsü Ebelik Anabilim Dalı Yüksek Lisans Tezi, Aydın, 2019 Araştırmanın amacı kadınların prenatal kayıp durumunda ebelerden beklentilerini belirlemektir. Araştırma analitik kesitsel olarak Eylül 2015 - Temmuz 2019 tarihleri arasında Gaziosmanpaşa İlçe Sağlık Müdürlüğü’ne bağlı 24 ASM’de gerçekleştirilmiştir. Araştırmaya ASM’lere başvuran, araştırmaya katılmayı kabul eden 20 yaş ve üzeri evli olan 434 kadın alınmıştır. Kadınların yaş ortalaması 37,4±12,0 yaş, %39,9’u ilkokul mezunu, %65,7’si ev hanımı, eşlerinin %39,8’i ilköğretim mezunu, %42,6’sı serbest meslek sahibi olduğu belirlenmiş ve %50,7’sinin geliri gidere denk algıladığı, %86,6’sının sosyal güvencesinin olduğu saptanmıştır. Kadınların %94,9’unun gebelik geçirdiği, %45,6’sının gebelik kaybı yaşadığı bulunmuştur. Yaşanılan gebelik kaybının nedeni sorgulandığında; %34,0’ünün kayıp nedenini bilmediği belirlenmiştir. Kadınların bu süreçte sağlık kuruluşuna başvuru oranı %86,6’dır. Sağlık kuruluşunda kendisi ile ilgilenen sağlık personelinin kim olduğu sorgulandığında; kadınların %7,8’i bu kişinin ebe olduğunu ifade etmiştir. Gebelik kaybına ilişkin kadınların %37,9’u danışmanlık almıştır. Kadınların %55,4’ü gebelik kaybı ile ilgili ebelerin yaklaşımını bilmiyorum şeklinde yanıtlamış ya da soruyu cevapsız bırakmıştır. Prenatal kayıp yaşayan kadınlar ile kayıp yaşamayan kadınların ebelik yaklaşımına ilişkin olumlu iletişim, izlem ve bakım beklentisi her iki grup bakımından benzer bulunmuştur. Psikolojik destek, danışmanlık ile eğitim beklentilerine bakıldığında ise gruplar arasındaki farkın anlamlı olduğu saptanmıştır. Araştırmada, tüm kadınların ebelerden olumlu iletişim, izlem ve bakım beklentisi olduğu ancak prenatal kayıp yaşayan kadınların bunlara ek olarak psikolojik destek, danışmanlık ve eğitim beklentilerinin kayıp yaşamayan kadınlara göre daha fazla olduğu sonucuna ulaşılmıştır. Anahtar Kelimeler: Beklenti, ebelik, kadın, ölüm, prenatal kayıp, yasKABUL VE ONAY SAYFASI .................................................................................................. ii TEŞEKKÜR .............................................................................................................................. iii SİMGELER VE KISALTMALAR ........................................................................................... vi TABLOLAR DİZİNİ ................................................................................................................ vii ÖZET ......................................................................................................................................... ix ABSTRACT ............................................................................................................................... x 1. GİRİŞ ...................................................................................................................................... 1 2. GENEL BİLGİLER ................................................................................................................ 4 2.1. Kayıp, Ölüm ve Yas Kavramları ......................................................................................... 4 2.2. Prenatal Kayıplar ................................................................................................................. 5 2.2.1. Abortus Tanımı …………………………. ....................................................................... 7 2.2.2. Abortus Sınıflandırması .................................................................................................... 7 2.2.2.1. Spontan Abortus ............................................................................................................ 8 2.2.2.2. Habitüel Abortus ........................................................................................................... 9 2.2.2.3. Septik Abortus ............................................................................................................... 9 2.2.2.4. İndüklenen Abortus ....................................................................................................... 9 2.2.2.4.1. Elektif Abortus ......................................................................................................... 10 2.2.2.4.2. Terapötik Abortus ..................................................................................................... 10 2.2.3. Ölü Doğum ..................................................................................................................... 10 2.3. Prenatal Kayıp Sonrası Süreç ............................................................................................ 11 2.4. Prenatal Kayıp Yaşayan Kadın ve Ailelerine Yönelik Ebelik Yaklaşımı ......................... 14 3. GEREÇ VE YÖNTEM ......................................................................................................... 17 3.1. Araştırmanın Şekli ............................................................................................................. 17 3.2. Araştırmanın Yapıldığı Yer ve Özellikleri ........................................................................ 17 3.3. Araştırmanın Zamanı ......................................................................................................... 17 3.4. Araştırmanın Evreni ve Örneklemi.................................................................................... 18 3.5. Araştırmaya Alınma ve Araştırmadan Dışlanma Kriterleri ............................................... 19 3.6. Veri Toplama Araçları ....................................................................................................... 19 3.6.1. Tanıtıcı Bilgi Formu (Ek 1) ............................................................................................ 19 3.7. Ön Uygulama ..................................................................................................................... 20 3.8. Verilerin Toplanması ......................................................................................................... 20 v 3.9. Verilerin Değerlendirilmesi ............................................................................................... 20 3.10. Araştırmanın Güçlükleri .................................................................................................. 21 3.11. Araştırmanın Etik Yönü................................................................................................... 21 4. BULGULAR ........................................................................................................................ 22 4.1. Kadınların Sosyo-Demografik ve Obstetrik Özellikleri .................................................... 22 4.2. Kadınların Gebelik Kayıpları ile İlgili Özellikleri ............................................................ 25 4.3. Kadınların Kayıp ile İlgili Ebelik Bakımı Beklentisi ve Görüşlerine İlişkin Özellikleri .. 29 5. TARTIŞMA .......................................................................................................................... 31 6. SONUÇ VE ÖNERİLER ..................................................................................................... 37 6.1. Sonuçlar ............................................................................................................................. 37 6.2. Öneriler .............................................................................................................................. 38 KAYNAKLAR ......................................................................................................................... 40 EKLER ..................................................................................................................................... 46 Ek 1: Tanıtıcı Bilgi Formu ....................................................................................................... 46 Ek 2: Adnan Menderes Üniversitesi Tıp Fakültesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurul’u Ön Onayı ................................................................................................... 50 Ek 3: İstanbul İli Projeler ve ARGE Birimi İzin Yazısı ........................................................... 51 Ek 4: Bilgilendirilmiş Gönüllü Olur Formu ............................................................................. 55 Ek 5: Adnan Menderes Üniversitesi Tıp Fakültesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu Başkanlığı Son Onayı ................................................................................. 59 ÖZGEÇMİŞ .............................................................................................................................. 6

Separation and determination of some metals in sodium trimetaphosphate media, with cation-exchange chromotography

S&uuml;lfolanmış bir polystiren re&ccedil;ine olan Dowex 50W-X8 (200-400 mesh) &uuml;zerinde, 0,01 ile 0,3 M arasında sodyum trimetafosfat konsantrasyonları kullanılarak bazı elementlerin dağılım katsayıları incelenmiştir. Dağılım katsayılarının değerlendirilmesiyle 0.1 M sodyum trimetafosfat kullanılarak elementlerin ayrılmaları sağlandı. K&uuml;&ccedil;&uuml;k miktardaki ayırmalar i&ccedil;in her elementten 0.5&rsquo;er&nbsp; mg, b&uuml;y&uuml;k miktardaki ayırmalar i&ccedil;in her elementten 30&rsquo;ar mg kullanıldı. Sonu&ccedil;lardan anlaşılacağı gibi sodyum trimetafosfat, incelenen elementler i&ccedil;in yeni bir el&uuml;ent olarak kullanılabilir. Bu ayırmalar i&ccedil;in sodyum trimetafosfat, diğer el&uuml;entlere g&ouml;re bazı avantajlara sahiptir. Kuyruk etkisi &ccedil;ok k&uuml;&ccedil;&uuml;k, ayırma zamanı diğer bilinen metotlardan daha kısadır. El&uuml;syon pikleri dar ve hemen hemen simetriktir. Kalitatif ve kantitatif incelemeler spektroflorometre ile yapılmıştır.&nbsp;Anahtar Kelimeler: Sodyum Trimetafosfat, metal iyonlarının ayrılması, iyon değişimi kromatografisi.In this study it was thought that sodium trimetaphosphate can be studied as an eluent for the separation of elements with ion exchange method. For this purpose the elements which are suitable were selected. Firstly the distribution coefficients of these  elements (Ba, Cd, Co, Ga, K, Ni, Zn  ve  Pd) with Dowex 50W-X8, 200-400 mesh, a sulphonated polystyrene resin were determined by using different concentration ranges between 0.01-0.3 M of sodium trimetaphosphate. By concidering of these distribution coefficients separation were performed with 0.1 M sodium trimetaphosphate at room temperature. For quantitative and qualitative small scale separation, 0.5 mg of each element and for preparative large scale separation 30 mg of each was used. From the obtained  results it has been seen that sodium trimetaphosphate can be used as a new elution agent for determination and preparative separation of mentioned metal ions. For the separation of these metals, sodium trimetaphosphate as elution agent has the following advantages over the other elution agents. The tailing effects are very small and the separation time much shorter than the other known methods. The elution peaks are narrow and nearly symmetrical. Qualitative and quantitative determination of ions were done by using  spectrofluorimeter method. Keywords: Sodium trimetaphosphate, metal ions separations, cation-exchange chromatography

Digital Media and Children

Today, digital media occupies an important place in human life and children live in this technological environment. Exposure to excessive and inappropriate digital media content, especially in early childhood, when brain development is important, has negative effects both in childhood and adulthood. Excessive and poor quality digital media use has been found to be associated with early effects such as sleep problems, negative self-regulation skills, cyberbullying, psychological disorders, and adult diseases such as obesity and cardiovascular disease. In the light of these data, the American Academy of Pediatrics does not recommend screen use for children before 18 months, except for video chat. It is important for parents to choose quality content in the use of digital media, to be a role model for their children, to guide them and to keep in touch with their children while using the screen

Different Therapeutic Approach to Idiopathic Normal Pressure Hydrocephalus: Lumboperitoneal Shunts Versus Ventriculoperitoneal Shunts

Objective:Idiopathic normal pressure hydrocehalus (iNPH) or Adam-Hakims syndrome is an uncommon but important cause of dementia, gait disturbance and bladder incontinence. Our aim was to compare the efficacy and complication rates of ventriculoperitoneal and lumboperitoneal shunts in the treatment of iNPH.Method:This is a retrospective study conducted in 25 patients who were treated with either ventriculoperitoneal or lumboperitoneal shunts for iNPH between 2003 and 2012. Age, gender, clinical presentation, methods of treatment, and complication rates were recorded.Results:Two of the twelve patients in lumboperitoneal shunt (LPS) group were revised; 1 distal catheter infection was replaced by a ventriculoperitoneal shunt (VPS). In addition, there was one revision for wound detachment (due to scratching by the patient). In VPS group (13 patients), one of the patients was complicated with subdural haemorrhage 3 months after the operation and extraction of shunt was carried out immediately. Moreover one dysfunctioning VPS was revised with a LPS after 3 years.Conclusion:Our results indicate that when the patients are properly selected for shunt insertion, both LPSs and VPSs, are effective in controlling all the clinical manifestations of iNPH with positive results

1-3 yaş grubu çocuğu olan annelerin oyuncak seçimi konusunda bilgi ve uygulamalarının incelenmesi

Objective: This study was descriptive research whıch conducted to determine of knowledge and applications about toy selections of mothers who have chıld 1-3 age groupMethods: This study was taken 250 mothers who agreed to participate in research and who have chıld 1-3 age group, admitted to state hospital in chıld polyclinc in Odemis between 20th November-20thJanuary.Results: It was found that %34.0 of mothers in research found itself sometimes sufficient about toy selection, %82.8 of them didn’t receive any information abaout toy selection, %78.4 of them read the warnings on the purchase of toys, %83.6 of them was attention when bought toys that the chıld’s age, %86.4 of them was attention when bought toys that the chıld’s gender, %94.8 of them was attention when bought toys that the toy was safe, %88.8 of them cleaned up toys.Conclusion: Mothers who participated in research determined to need for information about toy selections for chıldren according to age group.Ama&ccedil;: 1-3 yaş grubu &ccedil;ocuğu olan annelerin oyuncak se&ccedil;imi konusunda bilgi ve uygulamalarını belirlemek amacıyla yapılmış tanımlayıcı bir araştırmadır.Y&ouml;ntem: Araştırmaya, 20 Kasım 2008 - 20 Ocak 2009 tarihleri arasında &Ouml;demişte bulunan Devlet Hastanesi &Ccedil;ocuk Polikliniklerine başvuran, 1-3 yaş gurubu &ccedil;ocuğu olan ve araştırmaya katılmayı kabul eden 250 anne alınmıştır.&nbsp; Bulgular: Araştırmaya katılan annelerin %34&rsquo;&uuml;n&uuml;n oyuncak se&ccedil;imi konusunda kendini bazen yeterli bulduğu, %82,8&rsquo;inin oyuncak se&ccedil;imi konusunda hi&ccedil;bir yerden bilgi almadığı, %78,4&rsquo;&uuml;n&uuml;n oyuncak satın alırken &uuml;zerindeki uyarıları okuduğu, %83,6&rsquo;sının oyuncak satın alırken &ccedil;ocuğun yaşına, %86,4&rsquo;&uuml;n&uuml;n ise &ccedil;ocuğun cinsiyetine dikkat ettiği, %94,8&rsquo;inin oyuncak alırken oyuncağın tehlikesiz olmasına dikkat ettiği, %88,8&rsquo;i oyuncakları temizlediği bulunmuştur.Sonu&ccedil;: Araştırmaya katılan annelerin &ccedil;ocukların yaş gruplarına g&ouml;re oyuncak se&ccedil;imi konusunda bilgi gereksinimi olduğu belirlenmiştir. &nbsp

Relationship Between Sleep Duration and Coronary Artery Disease in Older Adults

Purpose: Insomnia, a frequent geriatric syndrome, is thought to be linked with coronary artery disease and increased mortality. The aim of our study was to examine the relationship between sleep duration and coronary artery disease (CAD) and cardiovascular risk factors. Materials and Methods: In this study, patients who applied to the geriatric outpatient clinic for comprehensive geriatric assessment were retrospectively evaluated. Patients were divided into two groups according to the six hours of ideal sleep assumption: those who slept less than six hours and those who slept six hours or more. Results: A total of 2255 patients (age 72±6 years, 63.3% female) were included in this study. Patients who were sleeping less than 6 hours were older (14.4% vs. 10.3%; p=0.005) and most of them were female (69.5% vs. 60.2%; p<001). Coronary artery disease (31.9% vs. 25.9%; p= 0.003), falls (31.8% vs. 25.3%; p=0.002) and depression (25.7% vs. 21.3%; p=0.022) were more common, while hypertension ( 68.5% and 72.5%; p=0.049) were less common in the short sleep duration group. The regression analysis showed that short sleep duration was significantly associated with CAD (OR:1.39; 95% CI:1.14-1.7; p=0.001), falls history (OR:1.25; 95% CI:1.02-1.5; p=0.026), age (OR:1.01; 95% CI:1.01-1.04; p=0.001), male gender (OR:0.63; 95% CI:0.51-0.76; p<0.001), and hypertension (OR:0.74; %95 CI:0.6-0.9; p=0.003). Conclusion: Similar to the literature, CAD was observed more frequently in patients who slept less than 6 hours in our results. Considering this relationship between short sleep duration and CAD, it is important to question sleep duration in comprehensive geriatric assessment

Intensive Care Management of Critical and Severe SARS-CoV-2 Infection in Pregnancy: A Retrospective Observational Study

Objective: This study examined the clinical consequences of pregnancy coexisting with severe acute respiratory syndrome coronavirus 2 in the intensive care unit (ICU). Materials and Methods: The study was designed as a retrospective observational study. After the ethical approval of the local ethics committee, the study was conducted for a period when the number of young coronavirus disease-2019 (COVID-19) cases increased in our country. The patients enrolled in the study were pregnant/puerperal patients followed up in our third-level ICU. Results: The mean age of 35 pregnant women included in the study was 29.57±4.36 years. Twenty-one of the births (80.8%) were preterm births. Twelve (34.3%) patients received invasive mechanical ventilation (IMV), and 5 (41.7%) of these patients were deceased. Twenty-six (74.3%) underwent a cesarean section (C/S). There were 5 (14.3%) patients who needed extracorporeal membrane oxygenation and 3 (8.5%) patients who needed continuous renal replacement therapy. The 28-day neonatal mortality rate for 26 births was 3.8%. The maternal mortality rate in the ICU was 14.3%. Conclusion: The preterm birth rate was high in our pregnant patients followed up in the ICU with a diagnosis of COVID-19. Because of clinical and radiological progression in pregnant women, it is difficult to indicate any gestational week in which maternal outcomes are better to undergo C/S. IMV mortality is not higher than in non-pregnant patients, so endotracheal intubation should not be avoided in appropriate patients, whether pregnancy continues or not. The absence of fully vaccinated patients in the study group revealed the protective effect of vaccination during pregnancy

Fair Logistics

Today, the importance of fair logistics has increased as a result of the development of fair business activities in national and the international arena. Companies providing fair logistics services carry out services such as the transportation of products, customs clearance, packaging, set up of stands and collection and repackaging. In this case, the enterprises participating in the fairs are in an advantageous position both financially and in the safe establishment of their stands in the fair area. However, there are some disadvantages as well as advantages of trade fair logistics. Examples of problems such as the products not being brought to the fairground on time due to problems at the customs or the wrong or missing products are found in the products. It can be said that a successful fair logistics management depends on good planning and good coordination. When the literature is reviewed, it is seen that there are very few studies on fair logistics. When evaluated in this context, it can be said that this study is a resource for fair logistics