A Rare Cause of Diplopia: Idiopathic Orbital Myositis

Orbital myositis is an entity affecting the ocular muscles, especially the medial rectus. These cases are usually referred to clinics with complaints such as diplopia, orbital/periorbital pain, limitation in ocular movements, increased pain with eye movements, proptosis, swelling of the eyelid and/or hyperemia in the conjunctiva. Orbital myositis is usually idiopathic and autoimmunity is often suspected in etiology. In this article, we present a 15-year-old girl who presented with diplopia, pain in both eyes, anomalous head posture, periorbital edema and was diagnosed with idiopathic orbital myositis through history, clinical findings and imaging methods

Evaluation of Vascular Involvement in Children with Celiac Disease

Aim:Celiac disease is associated with an increased risk of cardiovascular disease due to inflammation and autoimmunity involved in its pathophysiology. We aimed to evaluate vascular involvement in children with celiac disease based on their augmentation index, carotid pulse wave velocity, carotid intima-media thickness, echocardiographic findings, and blood pressure.Materials and Methods:This cross-sectional and controlled study was performed at a single center between 2018 and 2019. The study population consisted of 44 patients with celiac disease who had been on a gluten-free diet for at least one year.Results:We compared celiac patients with a healthy group. While the celiac patients had significantly higher carotid intima media thickness and carotid pulse wave velocity values, there was no difference in the augmentation index values. There was no significant difference in carotid artery intimal medial thickness, augmentation index and carotid pulse wave velocity values between the diet-compliant and non-compliant groups.Conclusion:Although hypertension was not detected, arterial stiffness and carotid intima media thickness measurements were higher in the celiac disease patients compared to the healthy controls. This showed that these parameters can be used in early vascular damage assessment. These measurements, which are non-invasive and repeatable, can be a guide for the monitoring of the development of preclinical atherosclerosis in the follow-up of the pediatric patients diagnosed with celiac disease

Etkileşimli simülasyonla zenginleştirilmiş sorgulayıcı : araştırma yöntemin dokuzuncu sınıf öğrencilerin enerji konusundaki başarı ve tutumlarına etkisi .

The aim of this research study is to explore how the inquiry learning instruction and the expository learning instruction as teaching methods contribute to the effect of interactive simulation enriched instructions (interactive simulation enriched inquiry learning instruction and interactive simulation enriched expository learning instruction) on ninth grade students’ achievement in and attitude towards energy. Therefore, a distinction between teaching method (inquiry learning and expository learning) and simulation use (with simulation vs. without simulation) was made and they were used as independent variables. The design of the study is 2x2 factorial experimental design with four treatment groups: (1) an inquiry learning method with the simulation group, (2) an inquiry learning method without the simulation group, (3) an expository learning method with the simulation group, and (4) an expository learning method without the simulation group. The availability of the computer laboratory, number of the computers and number of ninth grade classrooms (at least 4) that a teacher instructs of the schools in Çankaya were used as criterions of purposive sampling procedure. Then, the study was conducted with 269 students from eight classes of two public Anatolian High Schools in the spring semester of 2014-2015.Two instruments were used to gather data: energy unit achievement test and energy unit attitude scale. These instruments were administered as pre-tests, post-tests and retention-tests and used for assessing students’ achievement in and attitude towards energy. The data were analyzed by using Multivariate Analysis of Covariance (MANCOVA). The results revealed that: (1) inquiry and expository groups significantly differ in the achievement scores with a medium effect size, in favor of the inquiry groups, (2) with simulation and without simulation groups significantly differ in the achievement scores with a small effect size, in favor of the with simulation groups, (3) there is a significant interaction effect between teaching method and simulation use is observed for achievement scores, especially, simulation use have worked better with the inquiry method in increasing achievement scores with a small effect size, (4) no significant difference was found for attitude towards energy between the all groups.Ph.D. - Doctoral Progra

Liver transplantation of a child with child a cirrhosis and severe hepatopulmonary syndrome

Hepatopulmonary syndrome (HPS) is a clinical state defined by a chronic hepatic disorder, intrapulmonary vascular dilatation, and altered gas exchange resulting in hypoxemia. Cirrhosis of the liver is the most common condition associated with HPS. A 3-year-old boy who presented with end-stage liver disease and severe hepatopulmonary syndrome underwent orthotopic liver transplantation (OLT). The findings of HPS resolved immediately after OLT. His status is within normal limits at 6 months after liver transplantation

Simülasyonla Zenginleştirilmiş Araştırmacı-Sorgulayıcı Öğretim Yönteminin Uygulanması ve Bu Uygulanmanın Öğrencilerin Başarı, Motivasyon ve Başarı Motivasyonu Üzerindeki Etkililiğinin Belirlenmesi

Bu çalışmada, öğrencilerin başarı, tutum ve başarı motivasyonları göz önünde bulundurularak, simülasyonla zenginleştirilmiş araştırmacı-sorgulayıcı öğretim yönteminin etkinliği incelenecektir. Bu amaçla geliştirilen simülasyon ile desteklenmiş öğretim yönteminin kolaylıkla müfredata entegre edileceği planlanmakta ve bu yöntemin doğru uygulanmasının, öğrencilerin başarı, tutum ve başarı motivasyonları üzerinde olumlu etkilerinin olacağı düşünülmektedir