60-72 aylık çocukların mizaç özellikleri ile problem çözme becerileri arasındaki ilişkinin incelenmesi

Araştırmanın amacı, 60-72 aylık çocukların mizaç özellikleri ile problem çözme becerileri arasındaki ilişkinin incelenmesidir. Çalışma grubunu; 2018-2019 eğitim-öğretim yılı İstanbul ili Millî Eğitim Bakanlığı’na bağlı resmi eğitim veren bağımsız okul öncesi eğitim kurumuna devam eden 60-72 aylık 168 çocuktan oluşmaktadır. Çalışmada nicel araştırma desenlerinden ilişkisel tarama yönteminden yararlanılmıştır. Araştırmada “Aile Çocuk Demografik Bilgi Formu”, “Çocuklar İçin Kısa Mizaç Ölçeği” ve “Problem Çözme Becerisi Ölçeği” kullanılmıştır. Çalışmanın sonucunda, çocukların Mizaç Ölçeği Sıcakkanlılık alt boyutundan en yüksek puana sahip oldukları tespit edilirken, en düşük puanı Tepkisellik alt boyutundan aldıkları belirlenmiştir. Sebatkarlık alt boyutunda kız çocuklarının erkek çocuklarına göre daha yüksek puan aldıkları saptanmıştır. Bir diğer ifade ile kızların erkeklere oranla daha fazla sebatkar olduğu belirlenmiştir. Çocukların problem çözme becerisi ile sıcakkanlılık ve sebatkarlık mizaç puanları arasında orta düzeyde pozitif yönlü anlamlı bir ilişki vardır. Ayrıca çocukların tepkisellik mizaç puanları ile problem çözme becerisi arasında negatif yönlü orta düzeyde anlamlı bir ilişkiye rastlanmıştır

Higher Perceived Stress Increases the Subjective Reporting of ADHD: A Sample of Medical Students

This study aimed to evaluate the subjective Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms with self-reported ratings and objective neurocognitive tests among medical students. Also, we examined to identify the psychological factors that predict ADHD reporting among medical students. Medical students (N=57) completed self-report questionnaires, and neurocognitive tests were conducted for attention measures. Participants had a mean age of 20.3 years, and 69.0% were female. High levels of perceived stress, state-trait anxiety, and current and childhood ADHD symptoms were possible risk factors; however, only higher perceived stress was a risk factor for the possibility of reporting themselves as ADHD in medical school students [odds ratio [OR] =1.184, 95% confidence interval [CI] = [1.015; 1.381]]. Higher perceived stress levels, the more reported ADHD subjectively in medical students. Objective attention measures had no impact on reporting ADHD subjectively. Screening for perceived stress is necessary for medical students, especially those with subjective ADHD symptoms

Consider Eating Disorders in the Differential Diagnosis of Acute Abdomen in the Ages of Adolescence

An adolescent girl applied to the pediatric emergency outpatient clinic with a complaint of acute abdomen. On abdominal ultrasonography, it was suspected of intussusception. However, when her medical history was expanded, it was discovered that she had a recent eating episode followed by multiple vomiting and had lost weight because of an intense food restriction causing severe constipation. Briefly, we presented an adolescent eating disorder patient who clinically mimics acute abdomen due to secondary hypokalemia, hypomotility, and constipation

Bleeding risk in patients with acute coronary syndrome in a Turkish population results from the Turkish acute coronary syndrome registry (TACSER) study

Objective Bleeding is one of the most important causes of mortality in patients with acute coronary syndrome (ACS). This study therefore aimed to investigate bleeding risk in patients with ACS who were scheduled to receive dual antiplatelet therapy (DAPT) in Turkey. Methods This was a multicentre, observational, cross-sectional cohort study. The study population included 963 patients with ACS from 12 centres in Turkey. We used the Predicting Bleeding Complication in Patients Undergoing Stent Implantation and Subsequent Dual Antiplatelet Therapy (PRECISE-DAPT) score to predict the bleeding risk for all the patients. The patients were divided into high (>= 25) or low (= 25). Compared with the male patients, the female patients had higher PRECISE-DAPT scores (28.2 +/- 15.7 vs 18.4 +/- 13.6,P = 25 was 53%, while among the male patients, the score occurred at a rate of 22%. The female patients had lower haemoglobin (Hb) levels than the male patients (12.1 +/- 1.7 vs 13.8 +/- 1.9,P < .001) and lower creatinine clearance (70.7 +/- 27.5 vs 88.7 +/- 26.3,P < .001). The in-hospital bleeding rates were higher among the patients with high PRECISE-DAPT scores than among those who did not have high scores. Furthermore, the patients with high PRECISE-DAPT scores had a higher in-hospital mortality rate compared with those with low PRECISE-DAPT scores (1% vs 0%,P = .11). Conclusions The mean PRECISE-DAPT score was high among the patients with ACS in this study, indicating that the bleeding tendency was high. This study showed that the PRECISE-DAPT score may help physicians determine the type and duration of DAPT, especially in patients with ACS in Turkey

Effects of chromosomal translocations on sperm count in azoospermic and oligospermic cases

Purpose: A number of mechanisms have been proposed for the effect of chromosomal translocations on spermatogenesis and sperm maturation. However, there are still numerous ambiguous issues regarding these two processes. The aim of this study is to evaluate the effect of chromosome break areas on sperm count in the light of the literature. Material and Methods: The study was conducted on the data of 16 male patients with reciprocal or Robertsonian translocation among 152 patients who were admitted to Adana Numune Training and Research Hospital and Kanuni Sultan Suleyman Training and Research Hospital Genetic Diagnosis Centers between 2013 and 2016 due to azoospermia and oligospermia. Results: 11 of these patients had reciprocal and five patients had Robertsonian translocations. All the patients with Robertsonian translocations were detected with azoospermia. Of the patients with reciprocal translocation, five of them were azoospermic and six of them were severe oligospermic. Conclusion: A total of 21 chromosomal breakpoints were identified in the 11 patients with reciprocal translocations. These chromosomal breakpoints may contribute to the clarification of ambiguous issues related to spermatogenesis and sperm maturation. The results also showed the importance of genetic counselling in patients with translocations

Evaluation of nutritional status in pediatric intensive care unit patients: the results of a multicenter, prospective study in Turkey

IntroductionMalnutrition is defined as a pathological condition arising from deficient or imbalanced intake of nutritional elements. Factors such as increasing metabolic demands during the disease course in the hospitalized patients and inadequate calorie intake increase the risk of malnutrition. The aim of the present study is to evaluate nutritional status of patients admitted to pediatric intensive care units (PICU) in Turkey, examine the effect of nutrition on the treatment process and draw attention to the need for regulating nutritional support of patients while continuing existing therapies.Material and MethodIn this prospective multicenter study, the data was collected over a period of one month from PICUs participating in the PICU Nutrition Study Group in Turkey. Anthropometric data of the patients, calorie intake, 90-day mortality, need for mechanical ventilation, length of hospital stay and length of stay in intensive care unit were recorded and the relationship between these parameters was examined.ResultsOf the 614 patients included in the study, malnutrition was detected in 45.4% of the patients. Enteral feeding was initiated in 40.6% (n = 249) of the patients at day one upon admission to the intensive care unit. In the first 48 h, 86.82% (n = 533) of the patients achieved the target calorie intake, and 81.65% (n = 307) of the 376 patients remaining in the intensive care unit achieved the target calorie intake at the end of one week. The risk of mortality decreased with increasing upper mid-arm circumference and triceps skin fold thickness Z-score (OR = 0.871/0.894; p = 0.027/0.024). The risk of mortality was 2.723 times higher in patients who did not achieve the target calorie intake at first 48 h (p = 0.006) and the risk was 3.829 times higher in patients who did not achieve the target calorie intake at the end of one week (p = 0.001). The risk of mortality decreased with increasing triceps skin fold thickness Z-score (OR = 0.894; p = 0.024).ConclusionTimely and appropriate nutritional support in critically ill patients favorably affects the clinical course. The results of the present study suggest that mortality rate is higher in patients who fail to achieve the target calorie intake at first 48 h and day seven of admission to the intensive care unit. The risk of mortality decreases with increasing triceps skin fold thickness Z-score

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 (&lt;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

Biyoteknolojinin transhümanizm ve evrim bağlamındaki yeri : insan genom projesi ve etik tartışmalar

İnsanlığın dünyayı anlama ve etrafını keşfetme uğraşı yüzyıllardır devam etmektedir. Bu uğraş insan bedeninin keşfi ve biyoloji ile öze yönelirken en büyük yardımcısı da gelişen teknoloji olmaktadır. Bilişim ve teknolojinin hâkim olduğu dünyamızda insanların kendi yarattığı biyoteknolojik sorunlarla başa çıkmaya çalıştığı görülmektedir. Bu tezin konusu biyoteknolojinin transhümanizm ve evrim bağlamındaki yeri, İnsan Genom Projesi ve beraberinde gelişen genetik mühendisliği, CRISPR-Cas9 teknolojisi ve etik tartışmalardır. Bu konunun araştırılmasındaki amaç ise gelişen teknolojinin insan hayatlarından ziyade artık insan bedenine daha fazla etki etmesi ve bu durumun yeterince tartışılmamasıdır. Olumlu ya da olumsuz çok büyük etkileri olacağı belli olan bu konu hakkında özellikle sosyal bilimler araştırmaları ve literatürdeki eksiklik dikkat çekmiştir. Araştırmanın hedefi bu eksikliği giderecek, kaynak olacak, genel kapsamlı bir derleme ortaya koymaktır.Araştırmada nitel araştırma yöntemlerinden literatür taraması kullanılmıştır. Analitik bir çalışma olan bu tez de insanın teknolojiyi nasıl şekillendirdiğinden çok, teknolojinin insana nasıl şekil vermeye başladığı gözler önüne serilmiştir. Geçmişteki devrimlerden çok daha hızlı içine sürüklendiğimiz bu biyoteknoloji devriminin olası sonuçları, sadece yaşayan kuşağı etkilemekle kalmayıp sonraki tüm nesillerin tamamını da etkileyeceğini öngörmektedir.Araştırmada biyoteknoloji aracılığı ile insan değişiminin getireceği belli etik sorunlar ele alınmıştır. Biyoteknolojinin sosyal çıktıları ve etkilerinin yer aldığı bu tez ayrıca biyoetiğin, etik ve uygulamalı felsefe aracılığıyla sadece akademi içinde kalmayıp gündelik yaşamda da yer bulmasını hedeflemiştir. --------------------The effort of humanity to understand the world and to discover its surroundings has been going on for centuries. While this struggle is directed towards the essence with the discovery of the human body and biology, its biggest help is the developing technology. It is seen that in our world where information and technology is dominant, people are trying to deal with the biotechnological problems created by them.The subject of this thesis is the place of biotechnology in the context of transhumanism and evolution, the Human Genome Project and the accompanying genetic engineering, CRISPR-Cas9 technology and ethical discussions. The aim of researching this issue is that developing technology has more impact on the human body than on human lives and this situation is not discussed enough. On this subject, which has obviously positive or negative effects, the social sciences research and the lack of literature are noteworthy. The aim of the research is to provide a general and comprehensive review that will compensate for this shortcoming.In the research, a literature review, one of the qualitative research methods, was used. In this thesis, which is an analytical study, it is revealed how technology began to shape people rather than how it shapes technology. The possible consequences of this biotechnology revolution, which we have been dragged into much faster than the previous revolutions, predicts that it will not only affect the living belt, but also all subsequent generations.In the research, certain ethical problems that human change will bring through biotechnology are discussed. This thesis, which includes the social outcomes and effects of biotechnology, also aims to make bioethics find a place in daily life, not only within the academy through ethical and applied philosophy

Çocuklara yönelik süreli yayınlarda çevre konusunun din eğitimi açısından incelenmesi

Anahtar Kelimeler: Çevre, Çevre Sorunları, Çevre Temizliği, Dini Çocuk Dergileri, Çocuk Eğitimi, Din Eğitimi.ÖZETÇOCUKLARA YÖNELİK DİNİ SÜRELİ YAYINLARDA ÇEVRE KONUSUNUN DİN EĞİTİMİ AÇISINDAN İNCELENMESİ Araştırmada, çocuklara yönelik dini süreli yayınlarda Diyanet, Bizim Bahçe, Birdirbir ve Can Kardeş Çocuk Dergileri’nin çevre konusundaki yazıları belirlenerek din eğitimi açısından incelenmeye çalışılmıştır. Araştırma girişle birlikte 5 bölümden oluşmaktadır. Giriş bölümünde, araştırmanın amacı, önemi, yöntemi ve sınırlılıklarından bahsedilmiştir. Araştırmanın ikinci bölümünde, tezin temelini oluşturan kavramsal ve kuramsal çerçeve üzerinde durularak, çevre, ekoloji, çevre sorunları açıklanmış, çevre sorunlarına yönelik çözüm arayışları araştırılmıştır. Üçüncü bölümde çevre konusu İslamî açıdan ele alınarak Kur’an-ı Kerim ve Peygamber’in sünnetinden örneklerle insan-çevre ilişkisinin nasıl olması gerektiği üzerinde durulmuştur. Dördüncü bölümde araştırma kapsamındaki dergilerde çevre konusundaki yazılar belirlenerek incelenmiş ve değerlendirilmiştir. Beşinci ve son bölümde ise araştırmanın sonuçları değerlendirilmiş, önerilere yer verilmiştir. Keywords: environment, environment problems, environment cleanup, religious children’s magazine, child education, religious education. AbstractAnalyzing Environmental Issue in Terms of Religious Education in Religious Broadcasting for ChildrenIn this research, environmental issues have been inspected in terms of religious education by assigning the articles about environmental issues in Diyanet, Bizim Bahçe, Birdirbir and Can Kardeş Çocuk religious broadcastings. Including the introduction, the research consists of five parts: The introduction tells about the aim, importance, method and limits of the research. In the second part of the research, emphasizing conceptual and theoretical frame, which form the basis of the thesis, environment, ecology, environment problems have been explained and the solutions regarding the environment problems have been searched. In the third part, the issue of how should be the relationship between the individual and environment has been elaborated by dealing with the environment issue in terms of Islamic point of view, with references to the Holy Qoran and the Sunnah, In the fourth part, the articles throughout the magazines within the scope of the research have been studied and evaluated. In the fifth and last part, the results of the research have been assessed and suggestions were given place

Evaluation of elementary science textbooks according to Bloom Taxonomy

Bu çalışma üçüncü yazarın yüksek lisans tezinin bir bölümünden oluşmaktadır. Bu çalışmanın bir kısmı, Çanakkale’de 6-9 Haziran 2013 tarihlerinde düzenlenen, “5th International Congress of Educational Research”de sözlü bildiri olarak sunulmuştur.Bu çalışmanın amacı Cumhuriyet’in ilanından günümüze program değişimine bağlı olarak 6., 7. ve 8. sınıf Fen Bilimleri ders kitaplarında bulunan soruların Bloom Taksonomisine göre Bilişsel Alan Basamakları açısından incelenmesidir. Elde edilen veriler doğrultusunda soruların yıllara göre karşılaştırılması yapılarak programlardaki değişikliklerin kitaplardaki sorulara etkisine vurgu yapılmak amaçlanmıştır. Araştırmada veri toplama amacıyla, 1926, 1948, 1974, 1992, 2000, 2004 ve 2013 yıllarında hazırlanan yedi farklı Fen Bilimleri programı incelenmiştir. Kitaplar Bloom Taksonomisi’nin Bilişsel Alan Basamaklarını oluşturan bilgi, kavrama, uygulama, analiz, sentez ve değerlendirme basamaklarına uygunluğuna göre analiz edilmiştir. Bu çalışma sonucunda, 1926 yılından günümüze müfredat değişimine bağlı olarak 6., 7. ve 8. sınıf Fen Bilimleri ders kitaplarında yer alan soruların fen programlarının değişimine bağlı kalmaksızın alt düzey düşünme becerilerini ölçtüğü tespit edilmiştir. 1926 ve 2013 programlarına göre hazırlanan 6. sınıf ders kitaplarındaki soruların üst düzey düşünme becerilerini ölçtüğü sonucuna varılmıştır. 7. sınıflar arasında ise 1926 ve 1948 programlarına göre hazırlanan ders kitaplarındaki sorular üst düzey düşünme becerilerini ölçerken, 2004 programına göre hazırlanan ders kitabındaki soruların alt düzey becerileri ölçtüğü tespit edilmiştir. Programlara göre hazırlanan 8. sınıf ders kitapları incelendiğinde 1926 programı en iyi iken, 2004 ve 2013 programına göre hazırlanan ders kitaplarındaki soruların alt düzey düşünme becerilerini ölçmesi nedeniyle en zayıf program olduğu saptanmıştır.The aim of this study is to analyze the effect of changes in middle school science texbooks’ questions from 1926 to 2013. Middle school science textbooks’ questions analyzed and classified based on Bloom’s Taxonomy of Cognitive Domain. Textbooks were selected from declaration of Republic of Turkey to present day. Data obtained from seven different science curricula prepared in 1926, 1948, 1974, 1992, 2000, 2004 and 2013. The questions analyzed based on Bloom’s Taxonomy of Cognitive Domain levels including knowledge, comprehension, application, analysis, synthesis and evaluation. As a result, since 1926 science curricula, regardless of changes in science curricula, questions in textbooks have been prepared to assess low level cognitive skills. It was concluded that 6th grade science textbooks’ questions which were prepared according to 1926 and 1948 science programs assess higher-order thinking skills. Among 7th grade science textbooks, programs of 1926 and 1948 were led to measure higher-order thinking skills while questions in 2004 program measured lower-level skills. While 8th grade science textbooks prepared according to 1926 program was found to have more qualified questions than the questions prepared according to 2004 and 2013 program which were assess the lower level thinking skills