Eğitim Sendika Yönetici ve Üyelerinin MEB İnsan Kaynakları Yönetimi Uygulamalarına İlişkin Görüşleri

Bu çalışmanın amacı, eğitim sendikaları yönetici ve üyelerinin Milli Eğitim Bakanlığı’nın (MEB) İnsan Kaynakları Yönetimi (İKY) uygulamalarına ilişkin görüşlerini belirleyerek, amaç ve işlevlerinin sendikaların savundukları değerlerle ne ölçüde uyuştuğunu saptamaktır.  Araştırma betimsel olarak ele alınmış nitel bir çalışmadır. Çalışmada olgubilim deseni kullanılmış, katılımcılar amaçlı örnekleme yöntemlerinden kolay ulaşılabilir durum örneklemesi ile saptanmıştır. Katılımcılar, Kayseri’de görevli 12 sendika üyesinden oluşmaktadır. Veri toplama aracı olarak yarı yapılandırılmış görüşme formu kullanılmış, veriler betimsel analizi tekniği ile çözümlenmiştir. Araştırmada katılımcı görüşleri doğrultusunda ulaşılan sonuçlar şu şekildedir: MEB İnsan Kaynakları Genel Müdürlüğü, planlama ve seçme işlemlerini bilimsel verileri göz önüne almadan, kamu personeli seçme sınavı sonuçları doğrultusunda yapmaktadır.  İnsan kaynaklarını geliştirme uygulamaları hizmet içi eğitim faaliyetleri etrafında toplanmaktadır. Değerlendirme ve ücret ödemede kriterler bulunmamaktadır. Sağlık ve sosyal güvenlik uygulamaları yetersiz olup ödenen ücretle sağlanan hizmet denk değildir. Bütünleştirme ve iş ilişkilerinde özellikle atama ve yer değiştirme konusunda çok sık mevzuat değişikliği yapılmış, bu durum aile bütünlüğü ve iş yerinde çalışma barışına zarar verip yönetici atamalarında sorunları beraberinde getirmiştir. İşten ayrılma ve sonrasına yönelik özel bir uygulama olmayıp, emekli olan personel takip edilmemektedir. Ulaşılan genel sonuç, ilgili müdürlüğün amacına uygun hizmet etmeyip, işlevsel olması için geliştirilmesi gerekmektedir

The effect of hysteroscopic polypectomy on the gene expression of endometrial receptivity markers: HOXA10, HOXA11 and LIF

The aim of this study is to determine the effect of hysteroscopic polypectomy on the mRNA expression levels of the endometrial receptivity markers, namely, homeobox A10 (HOXA10), homeobox A11 (HOXA11) and leukemia inhibitory factor (LIF). Twenty-five reproductive-aged women with endometrial polyps underwent hysteroscopy. Samples were taken at the mid-secretory phase using hysteroscopic polypectomy and 4 months after polypectomy, and the change in mRNA expression levels of normalized HOXA10, HOXA11 and LIF genes were determined using Reverse Transcription Quantitative Real Time-Polymerase Chain Reaction (RT-qPCR). The results show that mRNA levels of HOXA10 and HOXA11 taken prior to surgery and 4 months after the complete hysteroscopic removal of polyps were not significantly different (P=0.79 and P=0.14, respectively). Moreover, a marked difference could not be obtained between preoperative and postoperative endometrial LIF mRNA expression levels (P=0.86). As a conclusion, these results indicate that mRNA levels of HOXA10, HOXA11 and LIF genes, three of molecular markers of endometrial receptivity, are not affected by hysteroscopic polypectomy

Malignancy and Complication Rate in Reoperation of Recurrent Goiter

WOS: 000386037900005Objective: The aim of this study was to evaluate the fine needle aspiration biopsy findings of recurrent goiter patients who were operated subtotally or lobectomised for benign causes, and to determine the malignancy and complication rates for those who were reoperated. Methods: Between 2008 and 2009, 114 patients diagnosed with recurrent goiter were involved in this study. The cytological findings of 158 nodules and histological findings of 18 patients with reoperation were examined. The complications of primary surgery and reoperation of recurrent goiter were determined. Results: The operation indications were euthyroid multinodular goiter in 106 of the patients and toxic multinodular goiter in 8 of them. The average time elapsed from the time of the first operation was 16.5 +/- 7.5 years. The patients with a fine needle aspiration biopsy resulted in 6 with suspicion of malignancy, 3 with malignancy, 5 with hurtle cell cytology, 7 with cellular microfollicular lesion, 1 patient with toxic multinodular goiter and 2 with inadequate cellular cytology; a total of 24 patients (21%) were asked for reoperation. Among the 18 patients who accepted reoperation, pathology results discovered 2 papillary microcarcinomas and 2 papillary thyroid carcinomas. A total of 7 of the 18 patients with reoperation had surgical complications: 3 had vocal cord paralysis and 4 had hypoparathyroidism. Conclusion: In our study, we found that a high rate of recurrent goiter patients required reoperation and there was a considerable amount of complication rate of reoperative thyroid surgery. To eliminate the potential risk of reoperation, we recommend a total thyroidectomy instead of subtotal thyroidectomy or lobectomy as the surgery of choice for the primary surgery with benign indications

Papillary Carcinoma Arising in Struma Ovarii

Struma ovarii, which is classified as benign or malignant, is a mature ovarian teratoma consisting mainly of the thyroid tissue. Here, we present the case of malign struma ovarii in a patient with right adnexal mass. In a 53-year-old female, who was referred to our hospital with pelvic pain, abdominopelvic imaging revealed a cystic lesion measuring 15x14 cm in diameter in the right adnexa. Total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed. Microscopic evaluation revealed a 1.5x1x0.5 cm papillary carcinoma focus in frozen sections of the mural nodule which was observed inside the cyst. Following the surgical procedure, the patient’s TSH levels were kept low by thyroxine treatment, and it was decided to follow the patient by annual measurement of thyroglobulin levels and pelvic imaging. There is not a common consensus on optimal treatment of malignant struma ovarii. Treatment options depend on cases or case series. Turk Jem 2015; 19: 112-11

Clinical presentation of Von Hippel Lindau syndrome type 2B associated with VHL p.A149S mutation in a large Turkish family

YILMAZ, Engin/0000-0001-8873-7645WOS: 000331638200020PubMed: 23673869Von Hippel Lindau (VHL) syndrome is an autosomal dominant disorder characterized by benign and malignant tumors. This study presents the clinical and genetic features of VHL syndrome in a Turkish family. For the diagnosis of pheochromocytoma-related diseases, 49 family members from three generations were evaluated between March 2008 and January 2013. Family members were examined to identify components of pheochromocytoma- related genetic syndromes through physical examination, laboratory tests, and imaging methods. For the causative mutation, sequence analysis of VHL gene was performed. Nine patients were diagnosed with pheochromocytoma. Lumbal spinal hemangioblastoma and pancreatic neuroendocrine tumor without pheochromocytoma were detected in one patient. In patients with pheochromocytoma, additional tumors, such as retinal angioma, renal cell carcinoma, pancreatic serous cystadenoma, and pancreatic neuroendocrine tumors were detected. All patients were diagnosed as VHL syndrome type 2B. Sequence analysis of VHL gene revealed heterozygous p.A149S mutation in all symptomatic patients and in seven of the asymptomatic family members. This is the first study that identified VHL p.A149S mutation in a Turkish family with VHL syndrome. However, VHL p.A149S mutation was identified in an American family by Atuk et al. (J Clin Endocrinol Metab, 83:117-120, 14) and the family was defined as VHL type 2A. In our study, the family was identified as VHL type 2B. This variability in the phenotypic features suggests that further studies are required to beter assess the genotype-phenotype correlation in such cases

UNCORRECTED PROOF-IN PROCESS Original Investigation

Mitral annular plane systolic excursion in the assesment of the left ventricular diastolic dysunction in obese adult