Gynecomastia Treatment with Liposuction: Clinical Experience

Aim: Gynecomastia is the visible enlargement of the male breast tissue either due tophysiologic, pathologic or drug-related causes. Physiological and pathological gynecomastiaoccurs because of the derangement of the estrogen and androgen metabolism. Drug-relatedgynecomastia is seen when using drugs affecting this hormone metabolism as well as a sideeffect of different drugs. Successful treatment of gynecomastia was reported with medicaltreatment and cessation of the possible causative drugs especially in early period, and withdirect excision, endoscopic subcutaneous mastectomy and excision with liposuction treatmentsin the late period.Material and Methods: In this study, we reported our results of gynecomastia treatment withsuction assisted wet liposuction in 3 different planes using 3 different thickness cannulas inGrade I, II and III patients. Forty five patients were operated between 2009 and 2019 usingthis technique in our clinique. All patients were followed for up to a minimum of 6 months toobserve the complication rate and the final aesthetic result.Results: Within the 45 patients evaluated in this study, the complication rate was 6.7%, thesuccess rate of the operation was 93.3% and the patient satisfaction was 91.1%. Gynecomastiatreatment in general -especially liposuction- was reviewed and our results were evaluatedbased on the literature results.Conclusion: There are many different options for gynecomastia treatment. In this study, weconcluded that in Grade I, II, and III patients good results can be achieved and patientsatisfaction is high in gynecomastia treatment with wet liposuction

THE EFFECT ON HISTORICAL EMPATHY SKILL USING OF MEMOIRS IN HISTORY TEACHING

Bu çalışmada, Tarih dersinde hatıratların kullanılmasıyla öğrencilerin tarihsel empati becerilerinin geliştirilmesi amaçlamaktadır. Bu araştırma kapsamında öncelikle Milli Mücadele dönemini konu alan hatırat eserleri incelenmiş ve ünite kazanımlarına uygun olan bölümlerinden alıntılar yapılmıştır. Araştırmacılar tarafından uygun görülen farklı yazarlara ait toplam 37 hatırat eserinden yararlanılmıştır. Uygulamada kullanılacak etkinlikler hazırlanırken bu alıntılar kullanılmıştır. Çalışma grubu öğrencilerinin hatırat metinlerini daha iyi anlaması ve analiz etmesi için bazı okuma stratejileri ve grafik düzenleyiciler kullanılmıştır. Bu araştırma ortaokul son sınıf (8. sınıf) öğrencileriyle T.C. İnkılap Tarihi ve Atatürkçülük dersinde, eylem araştırması yürütülmüştür. Uygulamaya katılan öğrencilerin tarihsel empati boyutundaki kazanımları betimsel analiz yöntemi kullanılarak incelenmiştir. Araştırma, Ankara ili merkez ilçesine ait bir devlet ortaokulunda (n=35) 15 saat (7,5 hafta) boyunca yürütülmüştür. Araştırmanın uygulaması ilgili dersin "Ya İstiklal, Ya Ölüm " ünitesinin öğretim sürecinde gerçekleştirilmiştir. Çalışma grubuna hatıratlar kullanılarak oluşturulan öğretim etkinlikleri uygulanmış ve sürecin sonunda öğrencilerin tarihsel empati beceri düzeylerinin durumuna bakılmıştır. Araştırmanın deneysel uygulaması yapılan çalışma grubu öğrencilerinin tarihsel empati beceri düzeyleriyle ilgili betimsel analiz bulgularına bakıldığında, TC İnkılap Tarihi ve Atatürkçülük dersinin öğretiminde hatıratların kullanımının öğrencilerin tarihsel empati becerilerine olumlu etkide bulunduğu görülmüştür. Öğrencilerin anlatımlarında kendi kurgularını kullandıkları, kendilerini tarihsel kişilerin yerine koyarak, yaşanabilecek olayları bağımsız bir şekilde ortaya koydukları görülmüştür. Araştırmanın bulgularına göre hatıratların tarih öğretiminde kullanılabilecek uygun bir öğretim materyali olduğu söylenebilirIn this study, it is aimed to develop the students’ historical empathy skills via using memoirs in History lesson. Scope of this research, it was firstly examined memoir works that are subject the period of The National Struggle and citations were made from their sections appropriate to the unit gains. A total of 37 memoirs belonging to different authors' works were used that were considered appropriate by researchers. The citations were used preparing activities for use in implementation. Some reading strategies and graphic organizers were used to analyze and better understanding of the memoir texts of study group students. This research was conducted with the secondary school senior class (8th Grade) students in Turkish Republic Revolution History and Kemalism Lesson holding qualitative research method that was used in the form of action research. The gains of students who participated in implementation were examined using descriptive analysis. The research was carried out during 15 hours (7,5 weeks) in a public schools (n=35) in central county in Ankara city. The implementation of research was done in the teaching process of “Either Freedom or Death” unit of the lesson. Teaching activities which had been developed using memoirs were applied to the study group and the status of historical empathy skill levels of students were analyzed at the end of the process. Looking at the findings of descriptive analysis related to historical empathy skill levels of study group students who performed the experimental implementation of the research, it was observed that the use of memoirs in teaching of the Turkish Republic Revolution History and Kemalism lesson has positive effects on students' historical empathy skills. It was observed that students use their own fiction in their narratives, independently put forward the events that might arise, by putting themselves in the place of historical characters. According to the findings of the study that memoirs are suitable teaching material can be used in history teachin

Gynecomastia Treatment with Liposuction: Clinical Experience

Aim: Gynecomastia is the visible enlargement of the male breast tissue either due tophysiologic, pathologic or drug-related causes. Physiological and pathological gynecomastiaoccurs because of the derangement of the estrogen and androgen metabolism. Drug-relatedgynecomastia is seen when using drugs affecting this hormone metabolism as well as a sideeffect of different drugs. Successful treatment of gynecomastia was reported with medicaltreatment and cessation of the possible causative drugs especially in early period, and withdirect excision, endoscopic subcutaneous mastectomy and excision with liposuction treatmentsin the late period.Material and Methods: In this study, we reported our results of gynecomastia treatment withsuction assisted wet liposuction in 3 different planes using 3 different thickness cannulas inGrade I, II and III patients. Forty five patients were operated between 2009 and 2019 usingthis technique in our clinique. All patients were followed for up to a minimum of 6 months toobserve the complication rate and the final aesthetic result.Results: Within the 45 patients evaluated in this study, the complication rate was 6.7%, thesuccess rate of the operation was 93.3% and the patient satisfaction was 91.1%. Gynecomastiatreatment in general -especially liposuction- was reviewed and our results were evaluatedbased on the literature results.Conclusion: There are many different options for gynecomastia treatment. In this study, weconcluded that in Grade I, II, and III patients good results can be achieved and patientsatisfaction is high in gynecomastia treatment with wet liposuction

Does bladder outlet obstruction affect distance between the ureteric orifices in patients with benign prostate hyperplasia?

Objectives: Many morphological changes occur in the bladder due to bladder outlet obstruction (BOO) in pa-tients with benign prostate hyperplasia (BPH). In the present study we evaluated the relationship between in-terureteric distance (IUD) of the orifices and BOO in BPH patients.Materials and methods: Thirty-seven consecutive pa-tients with lower urinary tract symptoms at the urology polyclinic included in the study. Patients divided into 2 groups according to maximal flow rate (Qmax). The first group constituted of 18 patients with Qmax < 15ml/s and the second group constituted of 19 patients Qmax > 15ml/s. The IUD measurement was performed with Doppler ultrasonography.Results: There was no significant difference between the groups regarding mean age and prostate volume. Mean IUD in the first group was 32.7±5.4 mm and mean IUD in the second group was 31.5±5.1 mm. There was no statistically significant difference between the groups regarding the IUD.Conclusions: Data obtained from the study revealed that measurement of IUD with Doppler ultrasonography not significantly related to BOO