Ortaöğretim kurumlarındaki yöneticilerin ve öğrencilerin ders dışı etkinliklere bakış açılarının incelenmesi

This purpose has been done to determine high-school end class of students and the in charge of directors that institution secondary education at Muğla, view of the angle extramural activities.It was included the contents of study, high-school end class of students and the in charge of directors that institution secondary education at Muğla province. This explore, it was added in the total 551 subjects, 114 director and 437 high-school end class of students. Working under the scope of the included in the 40 subjects of the question of course to determine the activities for survey hardened.It was centralized, research also get the data SPSS version 16.0 package program, frequency, per cent crosstab, and k-square analysis methods. It established, statistical the adoption of the p<0,05 significance level k-square of solution. As a result of the achieved according to the findings, determined the schools of priorities extracurricular activities with 39,4% football,  67,7% like a great a lesson the majority of the student the event a positive success of the affected, 59,6% with course of the students of the body activities training prefer teacher, was with 72,8% school non course activities at most to play a role that should be directing, should be with 93,9% non course activities in the implementation of the parents brought difficulty and 59,6% with course of the students of the activities said the goal is to attract attention. Extramural activities among students left analyzed effects, a meaningful difference right the answers of directors and students. (p>0,05)Have been found to inhibit, Schools extramural activities hold physical means asked the parents and children different causes such activities to keep away from the students work of the non a lecture participation in activities.Bu çalışma, Muğla ili Ortaöğretim kurumlarındaki yöneticiler ve  lise son sınıf öğrencilerinin ders dışı etkinliklere bakış açılarının incelenmesi amacıyla yapılmıştır.Muğla ili merkezindeki orta öğretim kurumlarında görev yapan yöneticiler ve lise son sınıf öğrencileri bu çalışmanın kapsamına dahil edilmiştir. Bu araştırmaya 114 yönetici ve 437 lise son sınıf öğrencisi toplamda 551 denek katılmıştır. Çalışma kapsamına dahil edilen deneklere 40 sorudan oluşan ders dışı etkinlikleri belirleme anketi uygulanmıştır.Araştırmamızda elde edilen veriler SPSS versiyon 16.0 paket programında, frekans, yüzde, crosstab ve k-kare analiz yöntemleri uygulanmıştır. K-kare  çözümlemesinin istatistiki kabulü için p<0,05 anlamlılık düzeyi belirlenmiştir.Araştırmamızın sonucunda elde edilen bulgulara göre, okullarda uygulanan öncelikli ders dışı etkinlik %39,4 ile futbol, %67,7 gibi büyük bir çoğunluğun ders dışı etkinliğin öğrencinin başarısını olumlu etkilediği, %59,6 ile öğrencilerin ders dışı etkinliklerinde beden eğitimi öğretmenin tercih edildiği, %72,8 ile okulun ders dışı etkinliklerde en fazla oynaması gereken rolün yönlendirme olması gerektiği, %93,9 ile ders dışı etkinliklerin uygulanmasında veliler güçlük çıkardığı ve %59,6 ile öğrencilerin ders dışı etkinliklere katılım amaçlarının dikkat çekmek olduğu belirlenmiştir. Ders dışı etkinliklerin öğrenciler arasında bıraktığı etkiler incelendiğinde öğrenciler ve yöneticilerin verdikleri cevaplar arasında anlamlı bir farklılığa rastlanmamıştır. (p>0.05)Okulların ders dışı etkinlikleri düzenleyebilecek fiziki imkanlara sahip olamaması ve velilerin çocuklarını farklı nedenlerle bu tür etkinliklerden uzak tutmaya çalışması öğrencilerin ders dışı etkinliklere katılımını engellemektedir

A comparative analysis of four different surgical methods for treatment of sacrococcygeal pilonidal sinus.

Objectives: Although many surgical methods have been described for sacrococcygeal pilonidal sinus treatment, the best option is still controversial. We aimed to compare postoperative outcomes of these different methods in terms of advantages and disadvantages. Methods: The records of 320 patients undergone surgery for primary or recurrent pilonidal sinus between May 2013 and May 2017 were retrospectively analyzed. Demographical data, pre operative stories, wound site infection, seroma development, wound dehiscence, time of healing, duration of return to work, and if there is any recurrence of 303 patients included in the study were recorded. Upon wide local excision, the first surgeon performed marsupialisation and the lay open technique, second surgeon performed vertical excision and primary closure, third surgeon performed Limberg flap transposition and fourth surgeon performed Karydakis' flap transposition. Results: There was no significant difference between the patients in terms of demographical characteristics. The duration of surgery was statistically significantly higher in primary closure method (p = 0.001). The mean duration of return-to-work was statistically significantly lower in primary closure method (p = 0.002). In primary closure method, the recurrence rate was found to be statistically significantly higher than the other methods (p = 0.009). Conclusion: We do not suggest the use of primary closure method in treatment of pilonidal sinus. Because of lower rates of recurrence and shorter durations of return to work, the Karydakis and Limberg methods are seen as safer methods when compared to lay-open and marsupialization method

Comparison of the Effectiveness of Halofuginone Lactate and Paromomycin in the Treatment of Calves Naturally Infected with Cryptosporidium parvum

Background: Cryptosporidiosis is one of the most important problems among neonatal ruminants. Cryptosporidium parvum is the agent causing the disease. Cryptosporidium infection, responsible for diarrhea, dehydration, weight loss and death in neonatal ruminants, leads to significant economic losses for producers. In calves naturally or experimentally infected with cryptosporidiosis, many agents have been reported to have therapeutic and protective effects. The objective of this study was to compare the effectiveness of halofuginone lactate and paromomycin in the treatment of calves naturally infected with Cryptosporidium parvum.Materials, Methods & Results: Twenty calves between 7 and 20 days of age and naturally infected were included in the study. There were two different treatment groups in the study. The first group of calves were administered 100 µg/kg/day halofuginone lactate for 7 days and the second group of calves were administered 100 mg/kg/day paromomycin for 7 days. In addition, antibiotic and vitamin C were applied to all calves. Jugular venous blood samples were obtained pre-treatment and on the 7th day after the treatment. Routine clinical examinations of the calves were performed on days 0, 1, 3, 5 and 7 and rectal stool samples were collected for the detection of Cryptosporidium oocysts.  Severe diarrhea, dehydration, depression and weight loss were observed in calves in both treatment groups. A significant decrease (P < 0.05) was observed for both groups in oocyst count on days 3, 5 and 7 compared to days 0 and 1. Improvements in blood parameters, stool characters and clinical scoring of both groups were observed in post-treatment.Discussion: Many pharmaceuticals or compounds have been tested for animal with cryptosporidiosis and only very few of them have shown a partial protective activity in ruminants when used prophylactically. Halofuginone lactate and paromomycin are commonly recommended as both therapeutic and protective agents. However, the effectiveness of the two therapeutic agents in natural infections has not been compared and, in the meantime, recommendations for a rational use are also not sufficiently documented in calves with cryptosporidiosis. Paromomycin is an aminoglycoside antibiotic used to control C. parvum infection in animals. Paromomycin reduces oocyst shedding and the number of days with diarrhea in experimentally infected calves when used prophylactically. Halofuginone lactate is a synthetic quinazolinone with cryptosporidial activity in the merozoite and sporozoite stages of C. parvum. It is recommended for both therapeutic and prophylactic use in cryptosporidiosis. In this study, although paromomycin (100 mg/kg/day for 7 days) and halofuginone lactate (100 µg/kg/day for 7 days) led to a decrease in oocyst shedding from day 1, a statistically significant decrease (P < 0.05) was observed from day 3. The results of this study show that the decrease in oocyst shedding in both treatment groups, improvements in clinical findings and recoveries in hematologic, blood gas and serum biochemistry values are similar. Even though these drugs do not eliminate the infection, they decrease both the severity of diarrhea and contribute to recovery. In conclusion, the results of this study indicated that halofuginone lactate and paromomycin were effective in the treatment of calves naturally infected with cryptosporidiosis. Therefore, we recommend that both drugs should be used in the treatment of calves naturally infected with Cryptosporidium parvum

Bridge treatment for early cholecystectomy in geriatric patients with acute cholecystitis: Percutaneous cholecystostomy

BACKGROUND: The main cause of acute cholecystitis (AC) is gallstones, and the incidence of gallstones in elderly patients is high

Fatty Acid Transport Receptor Soluble Cd36 And Dietary Fatty Acid Pattern In Type 2 Diabetic Patients: A Comparative Study

Recently, it has been remarked that dietary fatty acids and fatty acid receptors might be involved in the aetiology of diabetes. Therefore, this study was conducted to determine the relationship between dietary fatty acid pattern, fatty food preferences and soluble CD36 (sCD36) and insulin resistance in type 2 diabetes mellitus (DM). The study was carried out with thirty-eight newly diagnosed type 2 DM patients and thirty-seven healthy volunteers, aged 30-65 years. In the study, socio-demographic characteristics, dietary fat type and fatty acid pattern of individuals were recorded. After anthropometric measurements were taken, blood CD36, glucose, TAG and insulin levels were analysed. The results showed that although the type of fatty acid intake did not differ between the groups (P>0.05), the consumption of olive oil in the type 2 DM group was lower than the control group (P0.05). Crucially, elevated sCD36 levels increased the type 2 DM risk (OR 1.21, P<0.05). In conclusion, sCD36 level may be a possible biomarker, independent from the dietary fatty acid pattern, for type 2 DM owing to its higher levels in these patients. Therefore, the new insights make CD36 attractive as a therapeutic target for diabetes.WoSScopu

A prospective randomized multicenter study of Turkish Society of Urooncology comparing two different mechanical bowel preparation methods for radical cystectomy

WOS: 000321597600023PubMed ID: 21546277Objective: To investigate the outcomes and complication rates of urinary diversion using mechanical bowel preparation (BP) with 3 day conventional and limited BP method through a standard perioperative care plan. Materials and methods: This study was designed as a prospective randomized multicenter trial. All patients were randomized to 2 groups. Patients in standard 3-day BP protocol received diet restriction, oral antibiotics to bowel flora, oral laxatives, and saline enemas over a 3-day period, whereas limited the BP arm received liberal use of liquid diet, sodium phosphate laxative, and self administered enema the day before surgery. All patients received same perioperative treatment protocol. The endpoints for the assessment of outcome were anastomotic leakage, wound infection, wound dehiscence, intraperitoneal abscess, peritonitis, sepsis, ileus, reoperation, and mortality. Bowel function recovery, including time to first bowel movement, time to first oral intake, time to regular oral intake, and length of hospital stay were also assessed. Results: Fifty-six patients in 3-day BP and 56 in limited BP arm were evaluable for the study end points. Postoperatively, 1 patient in limited BP and 2 patients in 3-day BP arm died. There was no statistical difference in any of the variables assessed throughout the study, however, a favorable return of bowel function and time to discharge as well as lower complication rate were observed in limited BP group. Conclusions: Regarding all endpoints, including septic and nonseptic complications, current clinical research offers no evidence to show any advantage of 3-day BP over limited BP. (C) 2013 Elsevier Inc. All rights reserved