Systematic ICT Integration Model for Hearing Impaired Youths

The panelists, each one of them are the faculty at the School for the Handicapped, the only higher education institution for hearing impaired students in Turkey, will describe and present the findings of their ongoing “action research” project based on the “Systematic ICT Integration Model” which essentially provides an easy-to-follow structure and most importantly requires teacher-designers to explicitly justify why the technology is used, and how to effectively incorporate the technology

ORIGINAL WORKS IN ACCOUNTING SCIENCE: ANALYSIS OF TURKISH LITERATURE

Bu çalışmanın amacı; muhasebe alanında yazılmış kitapların içerik ve yazarlar bakımından profilini çıkarmak, yıllar itibariyle hangi konuların önem kazandığını belirlemek ve benzer konularda araştırma yapacak akademisyenlere ışık tutmaktır. Kitapyurdu ve Idefix web siteleri ile Gazi, Seçkin, Ekin ve Türkmen gibi önde gelen yayınevlerinin internet sitelerinde yer alan, Türkçe yazılmış 510 eser incelenmiştir. Araştırma kapsamında bilgisayarlı muhasebe, muhasebe denetimi, yönetim ve maliyet muhasebesi, dış ticaret işlemleri muhasebesi, banka muhasebesi, finansman yöntemleri ve türev araçlara yönelik muhasebe işlemlerine ilişkin konuların güncelliklerini korudukları saptanmıştır. Ayrıca güncel, ekonomik ve hukuki gelişmelere paralel olarak Enflasyon Muhasebesi, Muhasebe ve Finansal Raporlama Standartları, Entegre Raporlama konularının ön plana çıktığı görülmektedir. Muhasebe alanında yayımlanan kitapların en çok (68 adet) Gazi Kitabevinden çıktığı ve yayın yapan kişilerin çoğunlukla akademisyen olduğu ise diğer bulgulardır.The purpose of this study; to profess books written in the field of accounting in terms of content and authors, to determine which topics have gained importance over the years and to shed light on academics who will conduct research on similar topics. 510 books written in Turkish on Kitapyurdu and Idefix websites and websites of leading publishers such as Gazi, Seçkin, Ekin and Türkmen were examined. Within the scope of the research, it has been determined that the subjects related to computerized accounting, accounting control, management and cost accounting, foreign trade transactions accounting, bank accounting, financing methods and accounting transactions for derivative instruments remain current. In addition, it is observed that Inflation Accounting, Accounting and Financial Reporting Standards, Integrated Reporting issues come to the fore in parallel with the current economic and legal developments. Other findings are that the books published in the field of accounting are the most (68) out of Gazi Bookstore and the publishers are mostly academicians

Minimal residual disease (MRD) detection with translocations and T-cell receptor and immunoglobulin gene rearrangements in adult acute lymphoblastic leukemia patients: a pilot study

Objective: Monitoring minimal residual disease has become increasingly important in clinical practice of ALL management. Break-point fusion regions of leukaemia related chromosomal aberrations and rearranged immunoglobulin (Ig) and T cell-receptor (TCR) genes are used as leukaemia specific markers in genetic studies of MRD.Material and Methods: A total of 31 consecutive patients with newly diagnosed ALL were screened for eligibility criteria. Of those 26 were included in the study. One patient with partial response following induction therapy and four patients who were lost to follow-up after induction were excluded from the study; thus 21 patients were evaluated for MRD by using polymerase chain reaction (PCR), heteroduplex analysis, sequencing and quantitative real time PCR techniques. Results: Chromosomal aberrations were detected in 5 (24%) of the patients and were used for MRD monitoring. Three patients had t(9;22) translocation, the other 2 had t(4;11) and t(1;19). MRD-based risk stratification of the16 patients analysed for Ig/TCR rearrangements revealed 3 low-risk, 11 intermediate-risk and 2 high-risk patients.Conclusion: MRD monitoring is progressively getting to be a more important predictive factor in adult ALL patients. As reported by others confirmed by our limited data there is a good correlation between MRD status and clinical outcome in patients receiving chemotherapy. The pilot-study presented here is the first that systematically and consecutively performs a molecular MRD monitoring of ALL patients in Turkey

Comparison of the Results of Conventional and Laparoscopic Methods of Lymph Node Dissection Performed in Endometrial Cancer Surgery

Objective: The aim of this study was to determine a current approach to en bloc para-aortic lymphadenectomy and to compare the results of this new approach performed by way of laparotomy and endoscopically. Methods: This study was conducted on 191 patients with endometrial cancer (EC) who had undergone para-aortic lymph node (PaLN) dissection with the current method (en. bloc paraaortic lymphadenectomy; protect inferior mesenteric artery and superior hypogastric plexus) between January 2015 and September 2019. A description of the paraaortic lymphadenectomy technique was made in this study. Harvested lymph node counts, operational information, pathological features, postoperative complications, recurrence were presented. Results: A total of 191 EC patients were analyzed in two separate groups with regard to surgical approach. Open and minimally invasive surgery was composed of 141 and 50 patients, respectively. There was no difference between the groups in respect of age, body mass index, menopausal status, anesthesia time, chylous ascites, the presence of recurrence. We found in open surgery group that pre-operative CA125 level, amount of intraoperative bleeding, erythrocyte suspension transfusion, number of PaLNs, metastatic PaLN counts, and early postoperative complications were significantly higher than the other group. Conclusion: The current method has some advantages such as protecting normal body structures, resulting in the same lymph node counts with published articles by other authors previously, and having lower recurrence rates. Two approaches of the current technique are feasible, easy to perform and effective

Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults

There is concern about an emerging diabetes epidemic in Turkey. We aimed to determine the prevalence of diagnosed and undiagnosed diabetes, prediabetes and their 12-year trends and to identify risk factors for diabetes in the adult Turkish population. A cross-sectional, population-based survey, ‘TURDEP-II’ included 26,499 randomly sampled adults aged ≥ 20 years (response rate: 87 %). Fasting glucose and biochemical parameters were measured in all; then a OGTT was performed to identify diabetes and prediabetes in eligible participants. The prevalence of diabetes was 16.5 % (new 7.5 %), translating to 6.5 million adults with diabetes in Turkey. It was higher in women than men (p = 0.008). The age-standardized prevalence to the TURDEP-I population (performed in 1997–98) was 13.7 % (if same diagnostic definition was applied diabetes prevalence is calculated 11.4 %). The prevalence of isolated-IFG and impaired glucose tolerance (IGT), and combined prediabetes was 14.7, 7.9, and 8.2 %, respectively; and that of obesity 36 % and hypertension 31.4 %. Compared to TURDEP-I; the rate of increase for diabetes: 90 %, IGT: 106 %, obesity: 40 % and central obesity: 35 %, but hypertension decreased by 11 % during the last 12 years. In women age, waist, body mass index (BMI), hypertension, low education, and living environment; in men age, BMI, and hypertension were independently associated with an increased prevalence of diabetes. In women current smoking, and in men being single were associated with a reduced risk. These results from one of the largest nationally representative surveys carried out so far show that diabetes has rapidly become a major public health challenge in Turkey. The figures are alarming and underscore the urgent need for national programs to prevent diabetes, to manage the illness and thus prevent complications. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s10654-013-9771-5) contains supplementary material, which is available to authorized users

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Preparatory Ethics University prior to Participatory Technology Assessment (PEUPTA) : A New Approach to Public Engagement in Science and Technology

This paper provides a new approach to public engagement in science and technology. The work derives from the idea to recall the necessity of a paradigm shift for not only agent-focused, but also agent-centered as well interactive-deliberative engagement mechanisms with low or high policy relevancy. For this purpose, an evaluative synthesis is presented, aimed to offer the modern concept of the Ethics University as a preparatory element prior to the traditional Participatory Technology Assessment. The primary aim of a Preparatory Ethics University, in the form of a seminar with learning stations, would be to supplement and support existing participatory mechanisms. But also it would lay ground for new designs in public engagement processes. This interlinked concept shall increase effectiveness of public engagement and deliberation for decision-making purposes. Being informed about ethical matters in educative and reflective dialogues can be a fruitful pre-step to a well-informed decision during an important Technology Assessment. In this interdisciplinary work, I will first justify why public participation and deliberation was necessary and then present the understanding of public participation in science and technology. Second, I will present relevant public engagement concepts, as previously mentioned, and interlink them to point out combined strengths and benefits from a Preparatory Ethics University. Third, I will open a discussion about the challenges each concept poses, objections that might occur towards a Preparatory Ethics University prior to Participatory Technology Assessment, and the accompanying answers to those. I will conclude that this new approach creates substantive opinions, empowers, educates, and deliberates on complex and controversial issues while increasing reasonable decision-making. Thus, this new approach can be considered as a new type of public engagement in the field of science and technology