Bir Eylem Araştırması: İlkokul 3. Sınıf Müzik Dersi Kazanımlarına Yönelik Şarkı Dağarcığı Oluşturma

The purpose of this research is to determine the current situation of the song syllabus used in the implement of the outcomes of the primary school 3rd grade music lesson, to understand the effectiveness of this song repertoire in the learning-teaching process by creating a new song repertoire and to contribute to improving the quality of teaching. Research is designed as an action research from qualitative research designs. The action plan consists of the songs that the researcher composed according to the outcomes, lesson plans and songs recorded. In the framework of the research, the action plan was applied in a total of 8 weeks and music lessons between March 27, 2014 – May 21, 2014. Practice of the research was carried out with the participation of 30 students and class teachers in the third grade of an elementary school in the Central District of Isparta Province in the spring term of the 2013-2014 academic year. The research data were collected by using data collection tools consisting of personal information forms, semi-structured interviews, student, teacher and researcher diaries. "QSR-Nvivo 10", a computer-aided qualitative data analysis program, was used in the audio recordings of semi-structured interviews and in the analysis of video recordings of implementation lessons. The analysis of qualitative data was carried out with descriptive analysis and content analysis, and the findings were interpreted in the direction of the research questions.According to the results of the study, singing is performed in music lessons. It is seen that students remember songs but the achievements haven’t been reached. However, during the implementation period and afterwards, it has been seen that the lessons were carried out in accordance with the action plans, that the teacher awareness of the lesson outcomes was expanded, that the students can reach to the lesson outcomes desired to be given in the music lessons with the song repertoire prepared according to the outcomes in this process. In addition, it has been determined that the students' ability to singing, listening, playing and coexisting improve with their song recordings and become aware of the areas of composition and performance during the implementation process. Findings are discussed within literature framework, suggestions offered for implementation and future research.Bu araştırmanın amacı ilkokul 3. sınıf müzik dersi kazanımlarının gerçekleştirilmesinde kullanılan şarkı dağarcığına ilişkin mevcut durumu belirlemek, yeni bir şarkı dağarcığı oluşturarak bu şarkı dağarcığının öğrenme-öğretme sürecindeki etkililiğini anlamak ve öğretimin niteliğini geliştirmeye katkı sunmaktır. Araştırma nitel araştırma desenlerinden eylem araştırması şeklinde tasarlanmıştır. Eylem planını; araştırmacının kazanımlara göre bestelediği şarkılar, ders planları ve şarkıların kayıtları oluşturmaktadır. Araştırma çerçevesinde eylem planı 27.03.2014-21.05.2014 tarihleri arasındaki toplam 8 haftada ve müzik derslerinde uygulanmıştır. Araştırmanın uygulaması 2013-2014 öğretim yılı Bahar Döneminde Isparta İli Merkez İlçesinde bulunan bir ilkokulun üçüncü sınıfındaki 30 öğrenci ve sınıf öğretmeninin katılımı ile gerçekleştirilmiştir. Araştırma verileri kişisel bilgi formları, yarı yapılandırılmış görüşmeler, öğrenci, öğretmen ve araştırmacı günlüklerinden oluşan veri toplama araçları kullanılarak elde edilmiştir. Yarı yapılandırılmış görüşmelerin ses kaydı ve uygulama derslerinin video kayıtlarının çözümlemesinde bilgisayar destekli nitel veri analiz programı olan “QSR-Nvivo 10” kullanılmıştır. Nitel verilerin analizi betimsel analiz ve içerik analizi ile gerçekleştirilmiş ve elde edilen bulgular araştırma soruları doğrultusunda yorumlanmıştır.Araştırma sonuçlarına göre müzik derslerinde şarkı söyleme çalışmaları yapılmaktadır. Öğrencilerin şarkıları hatırladıkları ancak, kazanımlara ulaşmadığı görülmektedir. Bununla birlikte uygulama süreci ve sonrasında, derslerin eylem planları doğrultusunda yürütüldüğü, öğretmenin ders kazanımı farkındalığının arttığı, öğrencilerin bu süreçte kazanımlara göre hazırlanan şarkı dağarcığı ile müzik derslerinde verilmek istenen ders kazanımlarına ulaşabildiği görülmüştür. Ayrıca, uygulama sürecinde öğrencilerin şarkı kayıtları ile söyleme, dinleme, çalma ve birliktelik becerilerinin geliştiği, besteleme ve seslendirme alanlarına karşı farkındalık kazandığı tespit edilmiştir. Alan yazın çerçevesinde sonuçlar tartışılmış, uygulama ve gelecekteki araştırmalara yönelik öneriler sunulmuştur

Otizmli Çocuğu Olan Ailelerin Desteklenmesine Yönelik Yapılan Bilişsel Davranışçı Terapi Temelli Çalışmaların İncelenmesi

Otizmli bireylerin anne ve babaları, ebeveynlik rollerini yerine getirirken birçok zorluk yaşarlar ve genellikle diğer ebeveynlerden daha fazla olumsuz duygu durumuna sahiptirler. Bu ebeveynleri psikolojik açıdan destelemek için kanıta dayalı müdahalelerin yapılması alanyazında birçok araştırmada önemli bir konu olarak vurgulanmıştır. Bu çalışmada, otizmli bireylerin anne babalarına yönelik gerçekleştirilen Bilişsel Davranışçı Terapi temelli araştırmaların sistematik bir incelemesi yapılmıştır. Araştırmada, dahil etme kriterlerine uyan 20 çalışma yer almıştır. Bu çalışmalar, katılımcı özellikleri, bağımlı değişkenler ve ölçme araçları, izleme çalışmaları ve sonuçlar kategorilerine göre derlenmiş ve gelecek araştırmalar için çeşitli önerilerde bulunulmuştur

Bovine aortic arch and idiopathic pulmonary artery aneurysm associated with bronchial compression

AbstractThe left common carotid artery originating from the brachiocephalic trunk is termed the bovine aortic arch. Although it is the third most-common normal variant found in 9% humans, the origin of this term remains unclear. Until now, It has not been reported in the literature bovine aortic arch togetherness with pulmonary aneurysm and bronchial compression. Herein, we present a case with bovine aorta arch and pulmonary artery aneurysm associated with bronchial compression, which is incidentally detected by X-ray film. A 56-year-old Caucasian female admitted to the cardiology clinic with complaint of chest pain. Physical examination was unremarkable. Blood biochemistry values and cardiac markers were in normal range. Chest radiography revealed a widened mediastinum and prominent pulmonary conus with no active pulmonary disease. A subsequent transthoracic echocardiography revealed left ventricular hypertrophy, left atrial enlargement (diameter: 41mm), mild mitral and tricuspid valve insufficiency, dilatation of main pulmonary artery (parasternal short-axis view diameter: 33mm), normal pulmonary artery pressure and normal left ventricular systolic function. Computed tomography revealed bovine aortic arch associated with pulmonary artery aneurysm (diameter: 53mm). And left main bronch of trachea was critically squeezed by aortic arch. Aortic and pulmonary vascular anomalies should be considered in patients with chest pain. And, identification with imaging modalities is important for prevention of chronic and irreversible complications

Fabrication of polymer nanofiber-conducting polymer fabric and noncontact motion sensing platform

10th Japanese-Mediterranean Workshop on Applied Electromagnetic Engineering for Magnetic, Superconducting, Multifunctional and Nano Materials, JAPMED’10 2017; Izmir; Turkey; 4 July 2017 through 8 July 2017Conductive polymer-electrospun polymer nanofiber network was combined to host iron oxide nanoparticles providing micrometer thick sensing interface. The sensor has fabricated as freestanding fabric exhibiting 10 to 100 KOhm base resistivity upon bias applied. The moving object has been sensed through the electrostatic interactions between fibers and object. The sensing range has been found to be 1-5 cm above the surface of fabric. By the controlled combination of conductive polymers electrospun polymer nanofibers effective device miniaturization has been provided without loss of performance. The noncontact motion sensor platform has unique flexibility and light weight holding a potential for wearable sensor technology

Age and sex-based distribution of lumbar multifidus muscle atrophy and coexistence of disc hernia: an MRI study of 2028 patients

PURPOSEWe aimed to investigate the prevalence of lumbar multifidus muscle (LMM) atrophy in patients having mechanical low back pain with and without disc hernia.METHODSIn total, 2028 lumbar magnetic resonance imaging scans of low back pain patients (age range, 18–88 years) were re-evaluated retrospectively. LMM atrophy was visually assessed in axial sections of L4-L5 and L5-S1 levels.RESULTSLMM atrophy prevalence at both levels was significantly higher in subjects ≥40 years compared with younger adults (P < 0.001). LMM atrophy was significantly more frequent in women than in men (P < 0.001). Among patients with low back pain without hernia, LMM atrophy was significantly more frequent than normal muscle (n=559 vs. n=392; P < 0.001). Frequency of LMM atrophy in low back pain patients without disc hernia was 13%. Hernia was more frequent in patients with LMM atrophy compared with patients without atrophy (P < 0.001).CONCLUSIONLMM atrophy is more common in women; its prevalence and severity are observed to increase with advancing age, and disc hernia is found more frequently in individuals with LMM atrophy

High rate of colistin and fosfomycin resistance among carbapenemase-producing Enterobacteriaceae in Turkey

When the problem with carbapenem-resistant Enterobacteriaceae (CRE) increases, the older antimicrobial agents such as colistin and fosfomycin are used for the treatment of these infections. In this study, the broth microdilution method for colistin and the agar dilution method for fosfomycin were used for a total of 147 multidrug-resistant (MDR) or extensively drug-resistant (XDR) strains of CRE. The study included Klebsiella pneumoniae (91.16%), Escherichia coli (7.48%), Enterobacter cloacae (0.68%), and Serratia marcescens (0.68%). All these strains produce various types of carbapenemase, including OXA-48, NDM, and KPC. Some of these strains also have three different carbapenemase mechanisms, including OXA-48 (78.23%), NDM (2.04%), and KPC (0.68%) or OXA-48 and NDM (10.88%), or OXA-48 and KPC (0.68%). About 76.19% of the strains and 67.35% of the strains were resistant for colistin and fosfomycin, respectively. A total of 21 out of 35 colistin-susceptible strains were found to be susceptible to fosfomycin. This study showed that the resistance rates of colistin and fosfomycin are high. The MDR and XDR strains of CRE are spreading in our region and thus a monitoring system for CRE should be followed. Moreover, the applicability of antimicrobial stewardship programs should be increased in all inpatient and outpatient settings

Investigation of MEFV gene polymorphisms (G138G and A165A) in adult patients with familial Mediterranean fever

AbstractAimVarious mutations have been identified in the Mediterranean fever (MEFV) gene which is reported to be responsible from Familial Mediterranean fever (FMF). In our study, we aimed to determine the frequency of the MEFV mutations in our region and to investigate the impact of G138G (rs224224, c.414A>G) and A165A (rs224223, c.495C>A) gene polymorphisms on the clinical findings of the disease.MethodsOne hundred and sixteen patients diagnosed with FMF and 95 control subjects were included in this study. We used the DNA sequence analysis method to identify the most prevailing 10 mutations located in exon 2 and 10 of MEFV gene.ResultsAs a result of the MEFV mutation analysis, the most common mutation was the M694V mutation allele with a frequency rate of 41.8%. When the patients group and control group were compared in terms of frequency of both polymorphic alleles (G polymorphic allele, observed in G138G and the A polymorphic allele, observed in A165A), the variation was observed to be statistically significant (p<0.001). It was found that the MEFV mutation types have no relation with clinical findings and amyloidosis (p>0.05).ConclusionsTo our knowledge, our study is the first study in the Southern Marmara region that reports the frequency of MEFV mutations. Our findings imply that the polymorphisms of G138G and A165A may have an impact on progress of the disease. We think that more studies, having higher number of cases and investigating the polymorphisms of MEFV gene, are needed

Complications of Robotic Surgery in Urology: Our Experience of 342 Procedures Including the Learning Curve

Objective:The aim of this study is to analyze the complications of all robot-assisted surgeries performed in our clinic and to investigate the effect of the learning curve on complications occurred.Materials and Methods:Data on a total of 342 robotic surgeries performed in our clinic between March 2015 and February 2018 was retrospectively analyzed. Two surgeons, who performed the surgery, were experienced in urological laparoscopic procedures. Intraoperative and postoperative complications were evaluated. According to the experience of robotic surgery, the complications were divided into two groups as those occurred in the first 18 months (March 2015-August 2016) and in the second 18 months (September 2016-February 2018). The complications were classified according to the Clavien-Dindo classification.Results:A total of 32 complications occurred in 31 of 342 patients undergoing robot-assisted surgery. The overall complication rate was 9.4%. The number of minor complications was 20 (62.5%), and the number of major complications was 12 (37.5%). Among all, 6.2% were intraoperative complications, 62.5% were postoperative complications, and 31.3% were medical complications. It was observed that the number of complications was plateaued after August 2016 and there was a statistically significant difference between the first and the second 18 months (p<0.05).Conclusion:Laparoscopic surgery experience alone is not enough to reduce complications in robot-assisted surgery and learning continues with every case. An experienced surgeon and robotic surgery team are needed for complex robotic surgeries