167 research outputs found

    İlkokul öğrencilerinin sosyalleşmesinde öğretmen etkisinin veli görüşlerine göre incelenmesi (Kocaeli İli Körfez İlçesi örneği)

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    06.03.2018 tarihli ve 30352 sayılı Resmi Gazetede yayımlanan “Yükseköğretim Kanunu İle Bazı Kanun Ve Kanun Hükmünde Kararnamelerde Değişiklik Yapılması Hakkında Kanun” ile 18.06.2018 tarihli “Lisansüstü Tezlerin Elektronik Ortamda Toplanması, Düzenlenmesi ve Erişime Açılmasına İlişkin Yönerge” gereğince tam metin erişime açılmıştır.Bu araştırma ilkokul 3. ve 4. sınıf öğrencilerinin sosyalleşmesinde öğretmen etkisinin ilişkin veli algılarının belirlenmesine ve bu konuda önerilerin oluşturulabilmesi amacıyla yapılmıştır. Bu çalışmanın amacına ulaşılmasında, tarama yöntemi kullanılmıştır. Araştırmanın çalışma grubunu, 2016–2017 Eğitim-Öğretim yılında Kocaeli İli Körfez İlçesi sınırları içinde bulunan ilkokul 3. ve 4. sınıflarda eğitim almakta olan öğrencilerin velileri oluşturmaktadır. Araştırmanın örneklemini ise rastgele yöntemle seçilmiş 10 farklı okuldan 512 veli oluşturmuştur. Araştırmanın veri kaynağını anket formları aracılığıyla toplanan veriler oluşturmaktadır. Veri toplama aracı olarak araştırmacı tarafından geliştirilen 'Öğrencinin Sosyalleşmesinde Öğretmen Etkisi' isimli ölçek kullanılmıştır. Anket formları ile toplanan verilerin çözümlenmesinde ise SPSS 18.0 programı kullanılmıştır. Verilerin çözümlenmesinde; öncelikle tüm bağımsız değişkenler için tanımlayıcı istatistik olan frekans (N), yüzde (%), ortalama (X ̅), standart sapma (Ss) değerleri ortaya konmuştur. Ölçeğin her bir maddesi için ise yine frekans, ortalama, standart sapma ve bağıl değişkenlik katsayısı (V) hesaplanmıştır. Öğrencinin sosyalleşmesinde öğretmen etkisine yönelik veli algılarının belirlenmesi için de bağımsız grup T Testi, Kruskal-Wallis H testi, Tek Yönlü Varyans Analizi(ANOVA) ve tamamlayıcı Post Hoc Tekniği olarak da Scheffe Testi uygulanmış ve sonuçlar değerlendirilmiştir. Yapılan analizler sonucunda, veli algılarının onların yaş, eğitim seviyesi, ekonomik gelir düzeyi, cinsiyet, sahip oldukları toplam çocuk sayısı gibi değişkenlere göre anlamlı farklılık gösterdiği bulgusuna ulaşılmıştır. Bu durumun tersi olarak ebeveynlerin evli ya da bekar olması ve öğrencinin okuduğu sınıf seviyesi değişkenlerinin ise veli algılarında anlamlı farklılaşmaya neden olmadığı sonucu elde edilmiştir.This research was carried out in order to determine the parents' perceptions of the teacher effect in the socialization of elementary school 3rd and 4th grade students and to make suggestions in this regard.The scanning method was used to achieve the purpose of their study. The study group of the reseach constituted the parents of the students who are studying in the 3rd and 4th grade primary schools located in the borders of Kocaeli and Körfez in 2016-2017 education year.The sample of the reasearch was 512 parents from 10 different schools selected by random method. The data source of the research is to data collected through the questionnare forms.The "Effect of teacher in the socialization of student" named scale developed by the researcher was used as data collection tool.SPSS 18.0 program was used to analyze the collected data with the questionnare forms.In the analysis of the data, firstly frequency,percentage,average and standart deviation values which are descriptive statistic for all independent variables are presented.For each item of the scale,frequency average,standart deviation and realtive variability coefficient were calculated.In the socialization of the student ,the independent group T test,Kruskal-Wallis H test,one-way ANOVA and the Scheffe test as the complementary Post Hoc technique were applied in the determination of the parental perceptions for teacher effect and the results were evaluated. As a result of the analysis, ıt was found that the parents perceptions differ significiantly according to their age,education level ,economic income level,sex,total number of children they have. As opposed to the fact that the parents are married or single and the class level variables read by the student do not cause significiant differentiation in parents' perceptions

    Anatomy of spinal nerves in the first Turkish illustrated anatomy handwritten textbook

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    “Teşrih-ül Ebdan ve Tercümânı Kıbale-i Feylesûfan” is the first handwritten anatomy textbook with illustrations written in Turkish in 17th century by Şemseddîn-i İtâḳî. “Teşrih” has different meanings such as anatomy, skeleton, and cutting a corpse into pieces [1]. “Teşrih-ül Ebdan ve Tercümânı Kıbale-i Feylesûfan ” means dissection of the body and scholars’ birth knowledge [2]. Since this is the first handwritten textbook in Turkish, it has great importance in the development of medicine in Ottoman Empire. This book was written while Grand Vizier Recep Pasha was in power, and it was dedicated to the Sultan of that period, Murat the IVth [3, 4]. It is thought that the book was written in 163

    Internal thoracic artery-inferior epigastric artery as a collateral pathway in aortoiliac occlusive disease

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    ObjectiveIn patients with aortoiliac occlusion, the internal thoracic artery-inferior epigastric artery (ITA-IEA) collateral is one of the collaterals supplying blood flow to the lower extremity, and the interruption of this collateral may cause severe leg ischemia. The aim of this study was to evaluate by color duplex ultrasonography scans the ITA-IEA pathway and its significance as a collateral in providing lower-extremity perfusion in aortoiliac occlusive disease.MethodsColor duplex ultrasonography scans were prospectively performed in 64 consecutive patients with aortoiliac occlusion. Blood flow measurement in the ITA, IEA, and common femoral artery was done on both sides. The patients were stratified according to occlusion level (aorta, common iliac artery, external iliac artery), and the data obtained from such groups were compared.ResultsIn 95% of patients with aortoiliac occlusion, the ITA-IEA pathway was functioning as a collateral, with mean collateral flow of 66 ± 48 mL/min, and its average contribution to lower-extremity perfusion was 38% ± 23%. Additionally, a moderately positive correlation was found between flows of ITA and IEA (r = 0.55, P < .0001). Depending on the level of occlusion, the collateral flow and its contribution to perfusion progressively decreased from the proximal to distal aortoiliac occlusion level. Furthermore, the difference in the ITA-IEA flow volume was statistically significant between occlusion levels (P = .009), but the differences in the perfusion contribution were not different among levels (P = .311). There was also no statistical difference between the groups concerning collateral flow volume and contribution to lower-extremity perfusion in relation to unilateral or bilateral occlusion of the iliac artery, the state of distal run-off being good or poor, or the clinical findings being mild or severe.ConclusionIn patients with aortoiliac occlusion, the ITA-IEA collateral pathway is an important route providing lower-extremity perfusion. Additionally, Doppler sonographic flow measurements of the contribution of the ITA-IEA route to lower-extremity perfusion may provide beneficial diagnostic information necessary for the pretreatment work-up of patients with aortoiliac occlusion, especially for whom the ITA is planned to be used as a coronary artery graft

    Effects of weight loss on ventricular systolic and diastolic functions and left ventricular mass assessed by tissue doppler imaging in obese geriatric women: preliminary report

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    Background and aims: Obesity is one of the most common diseases in the world. Particularly in elderly subjects, the effects of weight loss on cardiac functions have not been previously investigated by means of pulsed wave tissue doppler imaging (PWTDI). Using PWTDI, we examined the effects of weight loss on cardiac functions and left ventricular (L V) mass in obese geriatric women. Methods: Thirteen obese women aged 66-83 years (mean age 71.2+/-4.9 yrs) with a body mass index 35.6-49 kg/m(2) (mean body mass index 39.9+/-4.3 kg/m(2)) were evaluated by echocardiography and PWTDI. Only subjects with uncomplicated obesity were included. All measurements, including anthropometric variables, systolic and diastolic indices, and LV Mass, were made before and after a 6-month Orlistat plus hypocaloric diet. Myocardial systolic wave (Sm) velocity, isovolumic acceleration (IVA), myocardial precontraction time (PCTm) and the PCTm to contraction time (CTm) ratio were calculated as systolic indices. Early diastolic wave (Em), late diastolic wave (Am), Em to Am ratio, myocardial relaxation time (RTm), deceleration time (DT) and isovolumic relaxation time (IVRT) were determined as diastolic measurements. Results: Subjects lost an average of 8.4+/-1.2 kg. LV mass decreased significantly after weight loss (p<0.001). In addition, IVRT decreased significantly (p=0.038). Only RTm decreased significantly (p=0.016), whereas other PWTDI parameters of LV remained the same. In the right ventricle, Sm velocity, IVA, Em, and Am velocities were similar. However, the PCTm to Am ratio decreased significantly (p=0.006), and the Em to Am ratio increased (p=0.04) and RTm decreased significantly (p=0.016) after weight loss. Conclusions: In obese geriatric women, weight loss improves ventricular diastolic functions and decreases LV mass. It also contributes to partial improvement in right ventricular systolic function. (Aging Clin Exp Res 2010; 22: 206-211) (C) 2010, Editrice Kurti

    Principal Functions of Non-Selfadjoint Difference Operator with Spectral Parameter in Boundary Conditions

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    We investigate the principal functions corresponding to the eigenvalues and the spectral singularities of the boundary value problem (BVP) −1−1+++1=, ∈ℕ and (0+1)1+(0+1)0=0, where () and () are complex sequences, is an eigenparameter, and , ∈ℂ for =0, 1

    Comparison of Manual and Automated Scoring Techniques in Polysomnography

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    Objective:Polysomnography (PSG) scoring can be performed manually or with an automated programme. The purpose of this study is to compare two different scoring techniques in PSG.Methods:The sleep recordings of 120 patients with obstructive sleep apnoea (OSA) suspicion who underwent PSG at ear nose and throat clinic of Akdeniz University Hospital between January and June 2013 were retrospectively analysed. Patients were divided into 4 groups according to the apnoea-hypopnea index (AHI): AHI30 (severe OSA). There were 30 patients in each group. Manually scored recordings were reanalysed with an automated programme and the results, including sleep stages and respiratory events, were compared.Results:A total of 86.400 epochs of 120 patients were reanalysed. In all patients, the total sleep time and sleep efficiency were decreased with automated scoring by 29 min and 6%, respectively (p=0.001). The percentage of stage I sleep was higher and REM was lower, respectively (p=0.001 for both parameters). In automated scoring, the number of cases of obstructive and central apnoea were lower (p=0.001), and the number of cases of hypopnoea, mean apnoea duration and hypopnoea duration were higher (p=0.001, p=0.001 and p=0.039, respectively). There were no statistically significant differences in the total AHI and REM AHI between two scoring techniques (p=0.053 and p=0.319, respectively). However, NREM AHI was significantly higher in the automated scoring (p=0.002). Sensitivity, specificity, positive predictive value and negative predictive value of automated scoring were 98.88%, 93.33%, 97.80% and 95.55%, respectively.Conclusion:Automated scoring is not sufficiently accurate for many sleep parameters. Inconsistency between the two techniques is apparent, especially in patients with mild to moderate forms of OSA

    An aggressive aneurysmal bone cyst of the proximal humerus and related complications in a pediatric patient

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    Clinical behavior of aneurysmal bone cyst (ABC) in younger patients can be more aggressive than that in older children and adults. Angular deformity and shortening can occur due to growth plate destruction or tumor resection. A 11-year-old boy who had been operated twice in another center for an ABC located in the left proximal humerus presented to the author’s institution with complaints of pain, deformity and shortening of the left arm. Plain radiographs revealed left proximal humerus nonunion with a large defect. Reconstruction with nonvascularized fibular autograft was applied and left upper extremity was immobilized in a velpou bandage. At the third-month follow-up, graft incorporation was observed in the distal part; however, proximal part did not show adequate healing on radiographs. Additional immobilization in a sling for 3 months was advised to the patient and his family. However, they were lost to follow-up and readmitted to the author’s institution at the 12th month postoperatively. Radiographs showed failure of the fibular graft fixation and nonunion of the humerus. Autogenic bone grafts, either vascularized or nonvascularized are the best treatment method for the large defects after tumor curettage or resection. Nonvascularized grafts are technically much easier to use than vascularized grafts and provide excellent structural bone support at the recipient side. However, they may take several months to be fully incorporated. In addition, good therapeutic outcomes require patience and collaboration with the patient and parents. Most importantly, the patient should be monitored closely

    Evaluation of ear, nose and throat involvement in pemphigus vulgaris in comparison with pemphigus severity scoring systems: a cross-sectional study

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    Pemphigus vulgaris (PV) frequently affects the mucous membranes of the ear, nose, and throat (ENT). Since ENT examination is not a routinely performed procedure, the exact involvement of PV remains unrecognized. The available severity scoring systems (Pemphigus Disease Area Index (PDAI) and Autoimmune Bullous Skin Disorder Intensity Score (ABSIS)) for PV do not include a full ENT examination. This study was designed to evaluate the real extent of PV in ENT areas and to find out the specific scores which indicate the need for ENT examination. The patients were evaluated for ENT manifestations by endoscopic examination whether or not they exhibited symptoms. PDAI, ABSIS, and ENT scores were calculated, and the results were compared for correlation and significance. The mucosal involvement was more severe when scored by ENT examination than when assessed by PDAI or ABSIS. The ENT score was significantly associated with symptoms and endoscopic findings, especially when PDAI ≥15 and/or ABSIS ≥17. ENT endoscopic examination could result in more accurate grading in PV. In particular, performing such an examination should be considered in patients, especially when PDAI ≥15 and/or ABSIS ≥17, regardless of ENT symptoms. </p

    Evaluation of ear, nose and throat involvement in pemphigus vulgaris in comparison with pemphigus severity scoring systems: a cross-sectional study

    Get PDF
    Pemphigus vulgaris (PV) frequently affects the mucous membranes of the ear, nose, and throat (ENT). Since ENT examination is not a routinely performed procedure, the exact involvement of PV remains unrecognized. The available severity scoring systems (Pemphigus Disease Area Index (PDAI) and Autoimmune Bullous Skin Disorder Intensity Score (ABSIS)) for PV do not include a full ENT examination. This study was designed to evaluate the real extent of PV in ENT areas and to find out the specific scores which indicate the need for ENT examination. The patients were evaluated for ENT manifestations by endoscopic examination whether or not they exhibited symptoms. PDAI, ABSIS, and ENT scores were calculated, and the results were compared for correlation and significance. The mucosal involvement was more severe when scored by ENT examination than when assessed by PDAI or ABSIS. The ENT score was significantly associated with symptoms and endoscopic findings, especially when PDAI ≥15 and/or ABSIS ≥17. ENT endoscopic examination could result in more accurate grading in PV. In particular, performing such an examination should be considered in patients, especially when PDAI ≥15 and/or ABSIS ≥17, regardless of ENT symptoms. </p
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