Change in Critical Thinking Levels of the Nursing Students During Learning Experiences

Giriş: Eleştirel düşünme; kendine güven, atılganlık, sorumluluk alma, problem çözme becerilerini gerektiren karmaşık bir süreçtir. Eleştireldüşünme gücünü kazanmada öğrencilerin etkin rol aldığı eğitim yöntemlerini kullanmak önemlidir. Amaç: Çalışma, entegre müfredat veinteraktif eğitim yöntemleri uygulanan hemşirelik bölümü öğrencilerinin eleştirel düşünme düzeylerini belirlemek amacıyla yapılmıştır.Yöntem: Çalışma, derslerin modüler sistemle, entegre müfredat ve interaktif eğitim yöntemiyle işlendiği bir sağlık yüksekokulundayapılmıştır. Okulda, 2005-2006 Eğitim-Öğretim yılında entegre müfredata geçilmiş ve hemşirelik bölümüne kayıt yaptıran bütün öğrenciler(N = 47) çalışmaya alınmıştır. Öğrencilere birinci sınıfta sosyodemografik özelliklere ilişkin anket formu; birinci, üçüncü ve dördüncü sınıftaWatson-Glaser Eleştirel Akıl Yürütme Gücü Ölçeği uygulanmıştır. Veriler, homojenlik ve tekrarlı ölçümlerde varyans analizi testleri iledeğerlendirilmiştir. Bulgular: Çalışmaya katılan öğrencilerin, %31.9'unun 18 yaşında olduğu, %51.1'inin kendisini atak-girişken olaraktanımladığı, %93.6'sının çekirdek ailede yaşadığı, %55.3'ünün annesinin, %34.3'ünün babasının ilkokul mezunu olduğu belirlenmiştir.Öğrencilerin üçüncü sınıftaki eleştirel düşünmeye ilişkin tüm ölçek puan ortalamalarının birinci ve dördüncü sınıfa göre fazla olduğusaptanmıştır (p < .001). Yapılan tekrarlı ölçümlerde özellikle çıkarsama, yorumlama ve tartışmaların değerlendirilmesi alt ölçek ve geneltoplam puan ortalamaları arasındaki farkın istatistiksel olarak önemli olduğu belirlenmiştir (p < .05). Sonuç: Entegre müfredat ve interaktiföğretim yöntemiyle yapılan eğitimin öğrencilerin eleştirel düşünme düzeyleri üzerinde olumlu etkisi olduğu görülmektedir. Background: Critical thinking is a complex process that requires self-confidence, assertiveness, taking responsibility and problem solvingskills. In developing critical thinking ability, it is important to use educational methods that students play active role. Objectives: The aim ofthis study was to determine the critical thinking levels of nursing students' that applied integrated curriculum and interactive educationalmethods. Methods: The study was conducted in a health school that taught lessons with integrated curriculum, interactive educationalmethods and modular system. The school was adopted an integrated curriculum in the academic year 2005-2006. The research groupconsisted of all nursing students (N = 47) attending to nursing department. The data was collected by a questionnaire form (in the first-grade)and Watson-Glaser Critical Thinking Appraisal Scale (in the first, third and fourth-grades). The data were evaluated by tests of homogeneityand analysis of variance for repeated measurements. Results: Of the students, 31.9% were 18 years old, 51.1% described as confidentassertivethemselves, 93.6% lived in nuclear family were determined. Also, 55.3% their mother and, 34.3% their father were graduated fromprimary school. All the critical thinking mean scores of students measured in the third-grade were higher than the first and fourth-grade (p <.001). In repeated measurements, it was determined were statistically significant differences between the mean scores of interpretation,evaluation of the discussions subscales and total (p < .05). Conclusion: It is seen that education used integrated curriculum and interactiveeducational methods are a positive impact on critical thinking levels of nursing students

A rare case of sarcoidosis involving the middle turbinates: an incidental diagnosis

BACKGROUND: Sarcoidosis is a chronic, systemic granulomatous disease of unknown etiology that features noncaseating granulomas in many body regions. Sinonasal involvement is rare but is also suspected to be underreported. CASE PRESENTATION: We present the case of a 39-year-old woman who was incidentally diagnosed with isolated sarcoidosis involving the middle turbinates. Histopathologic examination of resected concha bullosa material and an extensive panel of diagnostic tests revealed a diagnosis of isolated sarcoidosis. Since no systemic manifestations were detected, topical corticosteroid (nasal spray) was administered in the postoperative period. Throughout the 12 months after surgery, the patient remained free of symptoms and all nasal endoscopy examinations were normal. CONCLUSION: Although isolated nasal involvement of sarcoidosis is rare, otorhinolaryngologists should consider this condition in a differential diagnosis for sinonasal complaints

Skin manifestations following anti-COVID-19 vaccination: A multicentricstudy from Turkey

Purpose: After the emergence of the pandemic caused by the COVID-19 virus, vaccination with various vaccines has started to be implemented across the world. To identify dermatological reactions developing after the COVID-19 vaccines administered in Turkey and determine their clinical features and risk factors that may play a role in their development. Materials and Methods: The study included patients aged ≥18 years, who presented to 13 different dermatology clinics in Turkey between July 2021 and September 2021 after developing dermatological reactions following the administration of the COVID-19 vaccine. After providing written consent, the patients were asked to complete a standard survey including questions related to age, gender, occupation, comorbidities, the regular medication used, the onset of cutaneous reactions after vaccination, and localization of reactions. Dermatological reactions were categorized according to whether they developed after the first or second dose of the vaccine or whether they occurred after the inactivated or messenger RNA (mRNA) vaccine. The relationship between dermatological reactions and some variables such as gender and comorbidities was also evaluated. Results: A total of 269 patients [116 women (43.1%), 153 men (56.9%)] were included in the study. It was observed that the dermatological diseases and reactions that most frequently developed after vaccination were urticaria (25.7%), herpes zoster (24.9%), maculopapular eruption (12.3%), and pityriasis rosea (4.5%). The rate of dermatological reactions was 60.6% after the administration of the mRNA vaccine and 39.4% after that of the inactivated vaccine. There was a statistically significantly higher number of reactions among the patients that received the mRNA vaccine (p = 0.001). Conclusion: The most common reactions in our sample were urticaria, herpes zoster, and maculopapular eruption. Physicians should know the dermatological side effects of COVID-19 vaccines and their clinical features

Interview with Marjorie Harkins Buchanan Kiewit

In this interview with Julia Stringfellow, Marjorie Harkins Buchanan Kiewit, LU class of 1943, discusses her time as a student as well as her time on the Board of Trustees.https://lux.lawrence.edu/oralhistories/1036/thumbnail.jp

Naiv hepatit C enfeksiyonlu hastaların on-altı yıllık prognozu

Objectives: In this study, we aimed to evaluate the clinical course of treatment-naive patients infected with hepatitis C virus (HCV) who were followed up in various centers in Turkey. Materials and Methods: This was a retrospective study performed with the participation of 15 centers. Patients aged 18 years and older with HCV infection were included. Results: A total of 391 treatment-naive patients infected with HCV were included in this study. During the follow-up period, the final values of alanine aminotransferase, aspartate transaminase, and total protein were significantly decreased when compared to the initial values (p<0.001, p<0.001, and p=0.005, respectively). In the study group, 19.2% of the patients underwent liver biopsy and 4.1% underwent transient elastography (FibroScan). An increased histological activity index (HAI) score and fibrosis in the second biopsy were observed in one patient, only increased HAI in two patients and increased fibrosis in one patient, as shown on the FibroScan. In the 16 years of the study period, cirrhosis was radiologically detected in only one patient. Conclusion: Even if rapid progression is not observed, close monitoring of the clinical findings related to liver failure and fibrosis with invasive or non-invasive methods may be useful.Amaç: Bu çalışmada ülkemizin çeşitli merkezlerinde takip edilen naiv hepatit C virüs (HCV) ile enfekte hastaların klinik seyrini değerlendirmeyi amaçladık. Gereç ve Yöntemler: Bu çalışma retrospektif olarak 15 merkezin katılımıyla gerçekleştirilmiştir. Çalışmaya 18 yaş üstü, HCV enfeksiyonu olan hastalar dahil edilmiştir. Bulgular: Çalışmada 391 tedavi-naiv HCV enfeksiyonlu hasta yer almıştır. Hastaların takip süresinde son alanine aminotransferase, aspartate transaminase ve total protein değerleri ilk düzeyine göre önemli düzeyde azalmıştır (sırasıyla p<0,001, p<0,001, p=0,005). Çalışma grubunda hastaların %19,2’sine karaciğer biyopsisi, %4,1’ine elastografi (FibroScan) uygulanmıştır. Takip esnasında bir hastada ikinci biyopside histolojik aktivite indeksi (HAI) ve fibroziste artma, iki hastada sadece HAI’da artma, birinde FibroScan ile fibrozis değerinde artma olduğu gözlenmiştir. Bir hastada 16 yıl içinde radyolojik olarak siroz saptanmıştır. Sonuç: Hızlı progresyon gözlenmemekle birlikte hastaların izleminde karaciğer yetmezliği ile ilgili klinik bulguların ve invaziv veya noninvaziv yöntemlerle fibrozisin yakın takibi yararlı olabilir