21 research outputs found

    An analysis of the online information searching strategies and metacognitive skills exhibited by university students during argumentation activities

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    WOS: 000566406100002Argumentation and the use of metacognitive skills are effective when implementing and supporting online information searching strategies, Screen recordings, semi structured interviews, online information searching strategy inventory, and the metacognitive awareness inventory were used to collect data. Descriptive, predictive, relational and deductive analysis techniques were used for the analysis of the data. According to the results obtained, argumentation is an effective tool in developing metacognitive skills and information searching strategies. Purposeful thinking, selection of main ideas, evaluation and disorientation online searching strategies are used frequently in the argumentation processes. Argumentation activities strengthen the relationships between information searching strategies and metacognitive skills. Further, argumentation activities can be used to further individuals' experience with online information searching strategies, and to develop their metacognitive skills

    Evaluation of Diverting Ileostomy in Laparoscopic Low Anterior Resection for Rectal Cancer

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    Diverting ileostomy is believed to mitigate the effects of anastomotic complications in low anterior resections (LAR) for rectal cancer. However, there are no data about the effects of diverting ileostomy on the outcomes of laparoscopic LAR Methods: We retrospectively reviewed the medical records of 77 consecutive rectal cancer patients who had undergone laparoscopic LAR with (n = 23) or without (n = 54) diverting ileostomy. The patients' data were recorded and supplemented on short-term follow-up visits and included standard demographics, operative procedure, location of the cancer, and final pathologic diagnosis. We noted length of hospitalisation, complications, and time interval from ileostomy creation to closure. Morbidity and mortality were also included. Results: Surgical intervention requiring anastomotic leakage occurred in three patients who underwent laparoscopic LAR without diverting ileostomy. The anastomosis level of patients who underwent laparoscopic LAR with diverting ileostomy was significantly lower than that of patients who underwent laparoscopic LAR without diverting ileostomy (p < 0.05). Conclusion: Anastomosis level and total mesorectal excision are the main factors for creation of diverting ileostomy in laparoscopic LAR Laparoscopic LAR without diverting ileostomy could be selectively performed. Our study provides a basis for further prospective randomised studies on the role of diverting ileostomy in LAR

    The contributions of virtual colonoscopy to laparoscopic colorectal surgery

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    Background/Aims: Operative tumor or polypectomy site localization and synchronous colonic lesions are challenging problems especially in laparoscopic surgery. We designed this prospective study to determine the contributions of virtual colonoscopy to laparoscopic colorectal surgery

    Surgery for Intestinal Crohn's Disease: Results of a multidisciplinary approach

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    Objectives: Crohn's disease is a chronic inflammatory bowel disease that requires lifelong multidisciplinary management. Seventy percent of patients affected by Crohn's disease will require at least one surgical procedure over their lifetime. The aim of this retrospective study was to present our series of patients suffering from Crohn's disease who were scheduled for surgery by a multidisciplinary team

    Comparison of classical surgery and sutureless repair with duraseal or fibrin glue for duodenal perforation in rats Sıçanlarda oluşturulan duodenum perforasyonunda klasik cerrahi ile duraseal ya da fibrin yapıştırıcı ile yapılan dikişsiz onarımların karşılaştırılması

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    The purpose of the study was to compare classical primary suture repair and sutureless repair with fibrin glue or DuraSeal adhesion barrier for the closure of duodenal perforation in rats. METHODS Forty adult female Wistar Albino rats weighing between 250-300g were randomly divided into four equal groups. Primary repair, primary repair and omentoplasty, or application of fibrin glue or DuraSeal adhesion barrier was performed in each of the four groups, respectively. The bursting pressure, tissue hydroxyproline levels and histopathology were evaluated. RESULTS Bursting pressure values of the primary repair and primary repair and omentoplasty groups were significantly higher than in the fibrin glue and DuraSeal groups (p<0.001). There were no significant differences between the experimental groups regarding hydroxyproline levels and istological parameters. CONCLUSION The sutureless methods (Fibrin glue, DuraSeal) have no superior effects when compared with the conventional repair techniques. We observed similar results between the sutureless repair groups; thus, DuraSeal can be considered an alternative to fibrin glue for this purpose. This suggestion must be supported with new studies, however, which would be planned with other wound healing markers and different designs

    Predictive parameters of early postoperative complications in Crohn's disease: Single team experience

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    Background/Aims: Most of the patients with Crohn's disease (CD) may require at least one surgical procedure over their lifetime. However, these patients tend to have a high incidence of postoperative complications. The aim of this retrospective study was to investigate the predictive parameters of postoperative complications in CD
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