Kitlesel kaynak kullanımı ve yaşamboyu öğrenenler: Açıköğretim fakültesi kalite elçileri örneği

This study examines the Open Education Faculty Quality Ambassadors case as a crowdsources example in the context of the Quality Ambassadors Project. In the context of the study, qualitative case research method was adopted; Data were collected through interview and observation. According to the research findings obtained through interviews, being a Quality Ambassador is associated with the themes of success, belonging and contribution. One of the main reasons that triggers being a Quality Ambassador is to share students' own experiences with the Open Education System and other students and to enrich their learning processes in this way. Students who are Quality Ambassadors have generally been more successful academically due to the responsibilities and activities they have undertaken, and they have developed skills such as an investigative approach and critical perspective. There are opinions that the activities carried out as the Quality Ambassador improve the existing contents and increase the Quality of the Open Education System. The findings obtained from the observation notes show that Quality Ambassadors are more involved in the system and their institutional affiliation as a student has increased

Is Tuberculosis a Challenge in the Management of Lung Cancer?

Objective: The coincidence of tuberculosis (TB) and lung cancer (LC) at the initial diagnosis or the development of TB during the course of LC is a challenge in the management of both diseases. Herein we reviewed 10 LC patients who coincidentally had TB and evaluated the challenges in the management of both diseases. Methods: The files of patients were retrieved from an archive, and available study forms were completed. Results: The study included 10 LC and TB patients during a 4 year-period. The sites of TB were the lung (seven patients), mediastinal lymph nodes (LN) (one patient), cervical LN (one patient), and subcutaneous nodules (one patient). LC and TB were simultaneously diagnosed in four patients. The diagnosis of pulmonary TB was confirmed by sputum culture two months after LC diagnosis in four patients. TB was diagnosed later in the follow-up period in two patients. Only one patient with early-stage LC who had undergone surgical resection tolerated anti-TB therapy well. In one patient, TB caused the over-staging of LC. In one patient, LC had progressed during the course of anti-TB therapy. Hepatotoxicity was the leading adverse reaction due to anti-TB therapy. Conclusion: These patients highlighted the importance of considering TB in the course of LC, especially in countries with a high TB prevalence. TB may cause the advanced staging of LC at the initial diagnosis; chemotherapy may worsen the TB course or cause reactivation TB. Reactivation TB may be considered as the progression of LC without tissue diagnosis or sputum analysis. The tolerability of anti-TB therapy is poor in these patients