57 research outputs found

    Determining the Teacher Education Needs for the Treatment of the Problem Behaviors of Students with Autism Spectrum Disorder

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    This study was carried out to test the effect of the training program developed for teachers who are involved in the education of students with ASD to enable them to provide quality education in the education and training process. To determine the teacher training needs for the treatment of problem behaviors that occur in students with Autism Spectrum Disorder (ASD) is the aim of this study. For this purpose, inter-views under four sub-headings were conducted. These titles are the determination of behavior, programming, program implementation, and Program Evaluation. In the research, a qualitative case study design was preferred. The data were obtained from 22 teachers working with ASD students through face-to-face interviews, audio and video recordings using semi-structured interview forms. The analysis of the data was done through the descriptive analysis technique. As a result of the research, most of the teachers stated that they did not find themselves sufficient regarding the problem behaviors and treatment of students with ASD. The in-depth results of the study were discussed in line with the teacher needs, relevant qualitative research, and implications for future research and applications were suggested

    Incidence, hospital costs and in-hospital mortality rates of surgically treated patients with traumatic cranial epidural hematoma

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    Background: In this study, the patients who were operated in two clinics due to traumatic cranial epidural hematoma (EDH) were assessed retrospectively and the factors that increase the costs were tried to be revealed through conducting cost analyses.Methods: The patients who were operated between 2010 and 2016 with the diagnosis of EDH were assessed in terms of age, sex, trauma etiology, Glasgow coma scale (GCS) at admission, the period from trauma to hospital arrival, trauma-related injury in other organs, the localization of hematoma, the size of hematoma, length of stay in the intensive care unit (ICU), length of antibiotherapy administration, number of consultations conducted, total cost of in-hospital treatments of the patients and prognosis.Results: Distribution of GCS were, between 13-15 in 18 (36%) patients, 9-13 in 23 (46%) patients and 3-8 in 9 (18%) patients. The reasons for emergency department admissions were fall from high in 29 (58%) patients, assault in 11 (22%) patients and motor vehicle accident in 10 (20%) patients. The average cost per ICU stay was 2838 (range=34320571 (range=343-20571 ). The average cost per surgical treatment was 314 $. ICU care was approximately 9 times more expensive than surgical treatment costs. The mortality rate of the study cohort was 14% (7 patients).Conclusion: The prolonged period of stay in the ICU, antibiotherapy and repeat head CTs increase the costs for patients who are surgically treated for EDH

    Incidence, hospital costs and in-hospital mortality rates of surgically treated patients with traumatic cranial epidural hematoma

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    Background: In this study, the patients who were operated in two clinics due to traumatic cranial epidural hematoma (EDH) were assessed retrospectively and the factors that increase the costs were tried to be revealed through conducting cost analyses. Methods: The patients who were operated between 2010 and 2016 with the diagnosis of EDH were assessed in terms of age, sex, trauma etiology, Glasgow coma scale (GCS) at admission, the period from trauma to hospital arrival, trauma-related injury in other organs, the localization of hematoma, the size of hematoma, length of stay in the intensive care unit (ICU), length of antibiotherapy administration, number of consultations conducted, total cost of in-hospital treatments of the patients and prognosis. Results: Distribution of GCS were, between 13-15 in 18 (36%) patients, 9-13 in 23 (46%) patients and 3-8 in 9 (18%) patients. The reasons for emergency department admissions were fall from high in 29 (58%) patients, assault in 11 (22%) patients and motor vehicle accident in 10 (20%) patients. The average cost per ICU stay was 2838 (range=34320571 (range=343-20571 ). The average cost per surgical treatment was 314 $. ICU care was approximately 9 times more expensive than surgical treatment costs. The mortality rate of the study cohort was 14% (7 patients). Conclusion: The prolonged period of stay in the ICU, antibiotherapy and repeat head CTs increase the costs for patients who are surgically treated for EDH

    The interrelations of radiologic findings and mechanical ventilation in community acquired pneumonia patients admitted to the intensive care unit: a multicentre retrospective study

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    BACKGROUND: We evaluated patients admitted to the intensive care units with the diagnosis of community acquired pneumonia (CAP) regarding initial radiographic findings. METHODS: A multicenter retrospective study was held. Chest x ray (CXR) and computerized tomography (CT) findings and also their associations with the need of ventilator support were evaluated. RESULTS: A total of 388 patients were enrolled. Consolidation was the main finding on CXR (89%) and CT (80%) examinations. Of all, 45% had multi-lobar involvement. Bilateral involvement was found in 40% and 44% on CXR and CT respectively. Abscesses and cavitations were rarely found. The highest correlation between CT and CXR findings was observed for interstitial involvement. More than 80% of patients needed ventilator support. Noninvasive mechanical ventilation (NIV) requirement was seen to be more common in those with multi-lobar involvement on CXR as 2.4-fold and consolidation on CT as 47-fold compared with those who do not have these findings. Invasive mechanical ventilation (IMV) need increased 8-fold in patients with multi-lobar involvement on CT. CONCLUSION: CXR and CT findings correlate up to a limit in terms of interstitial involvement but not in high percentages in other findings. CAP patients who are admitted to the ICU are severe cases frequently requiring ventilator support. Initial CT and CXR findings may indicate the need for ventilator support, but the assumed ongoing real practice is important and the value of radiologic evaluation beyond clinical findings to predict the mechanical ventilation need is subject for further evaluation with large patient series

    "Belonging” in the gentrified Golden Horn/Halic neighbourhoods of Istanbul

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    Mainstream gentrification research predominantly examines experiences and motivations of the middle-class gentrifier groups, while overlooking experiences of non-gentrifying groups including the impact of in situ local processes on gentrification itself. In this paper, I discuss gentrification, neighbourhood belonging and spatial distribution of class in Istanbul by examining patterns of belonging both of gentrifiers and non-gentrifying groups in historic neighbourhoods of the Golden Horn/Halic. I use multiple correspondence analysis (MCA), a methodology rarely used in gentrification research, to explore social and symbolic borders between these two groups. I show how gentrification leads to spatial clustering by creating exclusionary practices and eroding social cohesion, and illuminate divisions that are inscribed into the physical space of the neighbourhood

    Coupling Analyses of Antennas on Cylindrical Tubes

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    This work has been developed as a part of DLR’s (Deutsches Zentrum für Luft- und Raumfahrt) activities in Installed Performance of Antennas on Aerostructures – IPAS project, which is being undertaken by ten European partners. The main purposes of the present research are to study the coupling effects of microstrip antennas conformed on cylindrical structures and the validation of numerical tools. The investigations have been performed using different antenna geometries. Comparison between the predictions using different software will be presented. The advantages and disadvantages of every tool will be discussed. Finally, the numerical results are compared with the measurements performed in the DLR’s Antenna Open Test Range – AMA

    A Packet Processor For A Learning-Based Routing Protocol

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    As the Internet expands significantly in number of users, servers, routers and other networking products, the IP based network architecture must evolve and change. There are already proposed alternative packet-switched network models that would eliminate some of the problems of IP based networks. Recently proposed Cognitive Packet Networks (CPN) is one of them and it shows similarity with the discrete active networks. CPN uses a neural network model with a reinforcement learning algorithm to find routes. In this paper, we present a packet processor architecture which supports this fast adaptive routing algorithm. Copyright 2005 ACM

    A Network Processor For A Learning Based Routing Protocol

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    Recently, Cognitive Packet Networks (CPN) is proposed as an alternative to the IP based network architectures and shows similarity with the discrete active networks. In CPN, there is no routing table, instead reinforcement learning (Random Neural Networks) is used to route packets. CPN routes packets based on QoS, using measurements that are constantly collected by packets and deposited in mailboxes at routers. The applicability of the CPN concept has been demonstrated through several software implementations. However, higher data traffic and increasing packet processing demands require the implementation of this new network architecture in hardware. In this paper, we present a network processor architecture which supports this learning based protocol. ©2004 IEEE
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