19 research outputs found

    INTRODUCING THE COORDINATE SYSTEM TO KINDERGARTEN CHILDREN: A DEVELOPMENTAL APPROACH

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    The coordinate system is a fundamental tool for many daily activities, yet it is usually taught to children in middle school. Research suggests that children should be exposed to the coordinate system at a younger age, using methods appropriate to their developmental level. This paper presents a set of instructional activities designed to teach kindergarten children the basic concepts and principles of the coordinate system. The activities were implemented in two early childhood institutions in Istanbul, Türkiye. Arranged in a developmental progression from simple to complex and from concrete to abstract, they align with the children's developmental levels. We discussed what we learned from our implementations of the activities. Detailed suggestions are presented for teachers introducing young children to the coordinate system.  Article visualizations

    Evaluation of 5 Years Profile of an Infant Cleft Lip and Palate Clinic

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    The aim of this report was to present the distribution of patients and treatment modalities of all cleft lip and palate (CLP) patients accepted for treatment in the newborn cleft clinic at the Marmara University, Faculty of Dentistry, Department of Orthodontics, during the 5 years from October 2001 to October 2006, and to summarize the structure and organization of the clinic. The goal was to initiate a nationwide exchange of opinions among orthodontic clinics that deal with the treatment of newborn CLP patients, to communicate clinical experience and information, and to make a step forward in standardizing records as a basis for future multicentered research. Even though preoperative orthopedics for newborn cleft lip and palate patients is still a matter of controversy, it has been adopted in our clinic, and the use of feeding plates and nasoalveolar molding is chosen according to the cleft type. Along with the medical history, digital pictures, maxillary and nasal impressions, and written treatment documentation are the basic records. Of the 263 newborn patients who have been accepted for treatment within the last 5 years, only one had a median cleft, 23.2 % were bilateral, 41.8 % were unilateral, 34.6 % were isolated cleft palate patients; while 95 % of the unilateral cases and 85 % of the bilateral cases have been treated via nasoalveolar molding. Patients are being followed up in 6 month intervals after the primary repair, with consultation of a pediatric dentist, a speech therapist, and the surgeon, where necessary. It is obvious that comprehensive cleft care can only be provided by specialists, who dedicate the majority of their time to cleft care in a common separate location and in an interdisciplinary fashion. In order to establish a national health policy that provides optimum conditions and sufficient financial contribution, it is necessary to join specialists all over Turkey in a cleft network and to establish a national data pool as soon as possible

    Evaluation of Internet Information about Lingual Orthodontics Using DISCERN and JAMA Tools

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    Objective:To investigate the quality and reliability of websites providing information about lingual orthodontics in Turkish.Methods:An internet search was conducted on March 6th, 2017, using popular search engines in Turkey: GoogleTM, bingTM, YAHOO!®, and Yandex® for the keywords “lingual ortodonti, görünmeyen braketler, and görünmeyen teller”. The top 10 websites for each keyword and search engine were examined, and duplicates, irrelevant websites, websites showing scientific articles, and orthodontic supplies market sites were excluded. The remaining 58 sites were assessed using the DISCERN instrument and JAMA benchmarksResults:The authors of the remaining sites were orthodontists (48%) and dentists (5%), while 46% of the websites did not state author names. Ninety-one percent lacked references, and 87% lacked a date. Only 30% were balanced and unbiased. The mean overall DISCERN score was very poor (43%) or poor (40%). Of the 58 websites, 48% (28 sites) met authorship, 7% (4 sites) attribution, 71% (41 sites) disclosed website ownership, and 3% (2) currency benchmarks of JAMA.Conclusion:Information on the internet related to lingual orthodontics is poor. Clinicians should warn patients that information on the internet about lingual orthodontics might be inadequate, and they should direct patients to higher-quality websites

    CONTENT ANALYSIS OF META-ANALYSIS STUDIES MADE IN MATHEMATICS EDUCATION IN TURKEY

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    The aim of this research is to determine the trends of academic articles and postgraduate theses that employ the meta-analysis method in the field of mathematics education and that were published in Turkey between 2011 and 2020. Using the qualitative research method, this research aims to examine with descriptive content analysis the studies carried out in the field of mathematics education by using the meta-analysis approach. The data of this research consists of academic articles and postgraduate theses prepared using the meta-analysis approach in the field of mathematics education at the national level between 2011 and 2020. The data collection tool of the research is the "Publication classification form", which was prepared by the researcher. The data of the research were analyzed by descriptive content analysis. The reliability of the research was determined by the consensus formula of Miles and Huberman (1994). The studies examined in the research are classified according to years, study type, independent variable, dependent variable, effect sizes, and effect directions. For the findings of the research, frequency and percentage tables of the studies examined were created. In the findings of the research; It was concluded that the studies were carried out mostly in 2019, academic articles and theses were mostly examined together in the studies, the Computer-Aided Mathematics Teaching method was the most frequently investigated subject through the meta-analysis, academic success was investigated as the dependent variable, and the effect sizes of the studies were moderate and their directions were mainly positive. It is recommended to conduct a meta-analysis of recently used distance education methods and of the new constructivist approaches.  Article visualizations

    Derin kapanış ve ön açık kapanış olgularında kondil konumu ve hareketlerinin sam artikülatörü ile incelenmesi

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    Altçene eklemi bozukluğunun etyolojisinde dişsel kapanışın da rol oynadığı düşünülmektedir. Konuyla ilgili yayınlarda, geleneksel olarak en sık bahsedilen kapanış özelliklerinden birisi derin kapanış, son yıllarda önem verilmeye başlanan kapanış özelliği ise ön açık kapanıştır. Eklem bozukluğu için risk oluşturduğu düşünülen bir başka özellik de sentrik ilişki-alışılmış kapanış konumlarının uyumsuzluğudur. Bu çalışmanın amacı normal kapanış, derin kapanış ve ön açık kapanış gösteren, eklem hastalığı olmayan bireylerde, sentrik ilişki-alışılmış kapanış uyumsuzluğunu, kondil hareketlerini, maksimum açma yeteneğini ve kondillerin radyografik görüntülerini saptamak ve grupları bu değişkenler açısından birbiriyle karşılaştırmak, bu alanda normatif veriler sağlamaktır. Denekler altçene eklemi bozukluğu riski taşımayan dişsel kapanış özelliklerine sahip, 18-32 yaşlarında, sağlıklı bireyler arasından seçilmiştir. Normal kapanış, derin kapanış ve ön açık kapanışı olan 30'ar kişilik üç grup oluşturulmuştur. Bütün deneklerin keserler arası maksimum açma aralığı kaydedilmiş, Altçene Konum Belirleyicisi (AKB) aygıtı kullanılarak sentrik ilişki-alışılmış kapanış uyumsuzlukları ölçülmüş, aksiyografik kayıtları alınmış ve panoramik radyografileri üzerinde kondil morfolojileri değerlendirilmiştir. Bulgularımız ön açık kapanış olgularında dik yöndeki sentrik ilişki-alışılmış kapanış uyumsuzluğunun daha fazla olduğunu, derin kapanış grubunda yatay yönde klinik önem gösterebilecek miktarlardaki uyumsuzluğun daha fazla olduğunu, sadece normal kapanış grubunda, uyumsuzluk göstermeyen birey bulunduğunu ve bunun da tek bir kişiyle (% 3) sınırlı olduğunu, sentrik ilişkiden alışılmış kapanış konumuna geçerken kondillerin genel olarak aşağı ve öne doğru hareket ettiğini göstermiştir. Maksimum açma aralığı derin kapanış olgularında ve erkeklerde daha fazladır. Çene hareketleri sırasında kaydedilen kondil yolları ön açık kapanış grubunda daha kısa, kondil yolu eğimleri daha diktir. Bütün deneklerin % 23'ünün kondillerinde radyografik olarak erozyon bulgusuna, % 83'ünde ise düzleşme bulgusuna rastlanmıştır. En yüksek erozyon oranı ön açık kapanış grubunda, en yüksek düzleşme oranı derin kapanış grubunda bulunmuştur. Ön açık kapanışı olan bireylerde ve kadınlarda ince kondillere daha sık rastlanmakta, ince kondillerde ise erozyona daha sık rastlanmaktadır. Sonuç olarak, sağlıklı eklemlere sahip bireyler için ön açık kapanış olgularının yukarıda sayılan özellikler bakımından normal kapanış gösteren olgulardan farklı olduğu gösterilmiştir. Bu farklar kısmen ve daha az oranlarda, derin kapanış olguları için de geçerlidir. Ancak bulgularımızın altçene eklemi bozukluğu etyolojisi açısından önemini saptamak için sağlıklı bireyler yerine altçene eklemi bozukluğuna sahip daga fazla sayıda birey üzerinde benzer yöntemlerin kullanılacağı araştırmalara gerek duyulmaktadır. EVALUATION OF CONDYLAR POSITIONS AND MOVEMENTS IN DEEP BITE AND OPEN BITE CASES USING THE SAM ARTICULATOR SUMMARY Etiology of temporomandibular disorders (TMD) is known to be multifactorial. Factors such as deep bite maintained their importance in the dispute about the role of occlusal factors in TMD over years. Anterior open bite is another occlusal feature believed to interfere with normal joint function. Both, deep bite and open bite, are two extremes of vertical incisal guidance, which in turn is suspected to effect condylar positions and movement patterns. The aim of this study is to compare normal overbite, deep bite and open bite cases with clinically healthy temporomandibular joints. Our goal was to establish normative data concerning the difference of condylar positions in centric relation (CR) and habitual or centric occlusion (CO) ; condylar pathways; maximum interincisal distance; and radiographic findings of condylar appearance. Study groups consisted each of 30 non-TMD subjects with healthy, intact dentitions, aged between 18-32 years. The SAM 3 articulator, SAM-Mandibular Position Indicator (MPI) and SAM-Axiograph were used to collect data. Condylar shape, flattening and erosions were evaluated on panoramic radiographs. Our findings revealed greater CR-CO differences in the vertical plane in open bite cases; increased number of big transverse discrepancies in deep bite cases; and great variability in the direction of movements from CR to CO. CR-CO coincided in only one subject (3 %) in the normal overbite group for all three planes and both sides, and also almost only in normal overbite cases for one or two planes on both sides. Maximum opening distances were greater in the deep bite group and also in men for the total sample. Open bite cases had steeper, but significantly shorter pathways recorded during excursive jaw movements. Of the total sample, 23 % showed evidence of erosion and 83 % evidence of flattening of condyles on radiographic images. Erosion rates were higher in the open bite group, but flattening was seen much more often in the deep bite group. On radiographs of women and in open bite cases we observed rather thin condyles, while erosion seemed to occur more on thin condyles. Conclusively it can be said that open bite cases show some significant differences from normal overbite cases for the above mentioned features in nonpatients. Differences exist to a lesser degree for deep bite cases as well. Further research is needed to find out about the role these features play in the etiology of TMD

    A pyridoindole antioxidant SMe1EC2 regulates contractility, relaxation ability, cation channel activity, and protein-carbonyl modifications in the aorta of young and old rats with or without diabetes mellitus

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    WOS: 000444557200004PubMed ID: 30054861We studied the effects of treatment with SMe1EC, a hexahydropyridoindole antioxidant, on vascular reactivity, endothelial function, and oxidonitrosative stress level of thoracic aorta in young and old rats with or without diabetes mellitus. The rats were grouped as young control (YC 3 months old), old control (OC 15 months old), young diabetic (YD), old diabetic (OD), young control treated (YCT), old control treated (OCT), young diabetic treated (YDT), and old diabetic treated (ODT). Diabetes was induced by streptozotocin injection and subsequently SMe1EC2 (10 mg/kg/day, p.o.) was administered to YCT, OCT, YDT, and ODT rats for 5 months. In young and old rats, diabetes resulted in hypertension, weight loss, hyperglycemia, and hypertriglyceridemia, which were partially prevented by SMe1EC2. SMe1EC2 also inhibited the diabetes-induced increase in aorta levels of AGEs (advanced glycosylation end-protein adducts), 4-HNE (4-hydroxy-nonenal-histidine), 3-NT (3-nitrotyrosine), and RAGEs (receptors for AGEs). The contractions of the aorta rings to phenylephrine (Phe) and KCL did not significantly change, but acetylcholine (ACh) and salbutamol relaxations were reduced in OC compared to YC rats. Diabetes induction increased Phe contractions in YC and OC rats, KCL contractions in YC rats, and did not cause further inhibition in already inhibited ACh and salbutamol relaxations in OC rats. We have achieved the lowest levels of ACh relaxation in YD rats compared to other groups. SMe1EC2 did not change the response of aorta to ACh, salbutamol and Phe in YC rats, and ameliorated ACh relaxations in OC and YD but not in OD rats. In YDT and ODT rats, increased Phe and KCL contractions, high blood pressure, and impaired salbutamol relaxations were amended by SMe1EC2. Phe contractions observed in YD and OD rats as well as KCl contractions observed in OC rats were the lowest levels when the rats were treated with SMe1EC2. When the bath solution was shifted to cyclopiazonic acid (CYP) or CYP plus Ca2+-free medium, the contraction induced by a single dose of Phe (3 x 10(-6) M) was more inhibited in YD and OD than in YC but not in OC rats. In SMe1EC2-treated rats, neither the presence of CFM nor CFM plus CYP exhibited a significant change in response of aorta to a single dose of Phe. These findings suggest that alpha 1-adrenergic receptor signaling is activated in both age groups of diabetic rats, diabetes activates K+-depolarization and calcium mobilization via Ca-V especially in the aorta of young rats, and sensitizes the aorta of old rats to the regulating effect of SMe1EC2. ACh relaxations were inhibited in YC rats, increased in OC rats and unchanged in YD and OD rats when aortic rings pretreated with TEA, an inhibitor of calcium-activated K+ channels (K-Ca), or 4-aminopyridine (4-AP), an inhibitor of voltage-sensitive K+ channels (K-V). ACh relaxations were inhibited in YCT, OCT, and YDT rats in the presence of 4-AP or TEA. In ODT rats, 4-AP did not change ACh relaxation but TEA inhibited. These findings suggest that the contribution of K-v and K-Ca to ACh relaxation is likely upregulated by SMe1EC2 when the relaxations were inhibited by aging or diabetes. We conclude that SMe1EC2 might be a promising agent for aging and diabetes related vascular disorders.Research Foundation of Gazi University [01/2010-126]; Research Foundation of Ankara University [10B336002]; COST Action [BM1203]; Slovak Academy of Sciences [APVV-51-017905]This article has been written by Prof. Karasu who is the leader of ADIC study group. We thank Ahmet Cumaolu and Elif Aydn for their technical help during measurement of some biomarkers. This work originally includes a part of the PhD thesis of Dr. Arzu Sakul and was partly supported by the Research Foundations of Gazi and Ankara Universities (GU-Project No. 01/2010-126, AU-Project No. 10B336002), COST Action BM1203 and the Slovak Academy of Sciences (VEGA grant APVV-51-017905)

    Measurement of The Centric Relation-Maximum Intercuspation Difference: MRI Versus The SAM® Mandibular Position Indicator

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    The aim of this study was to generate normative data about condylar positions and condyle-disc relationship in healthy individuals, and to compare condylar po -sitions on Magnetic Resonance Images (MRI) to articulator generated condylar positions measured with the SAM® Mandibular Position Indicator (MP!) regarding the difference between condylar positions in centric relation (CR) and maximum intercuspation (MI). The study group consisted of 30 subjects with normal occlusion and clinically healthy temporomandibular joints. Centric occlusion-maximum intercuspation differences were recorded using the SAM® MPI. Subsequent MR images were taken with the mandible in CR and MI, and the difference in condylar position compared to the MPI findings of the same subjects. MRI and MPI data of the same individuals did not coincide (antero-posterior: p=0.000; vertical: p=0.007), and condyles were concentric in 73% and 87% for right and left sides respectively

    Effects of Relapse Forces on Periodontal Status of Mandibular Incisors Following Orthognathic Surgery

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    The aim of this case-control study was to investigate the relationship between the relapse forces and periodontal changes in the mandibular incisor region, following orthognathic surgery. Ten subjects with mandibular prognathism were evaluated twice for mucogingival and alveolar changes, just before mandibular setback surgery, and 6.9 months postoperatively. The results were compared to two control groups, the first consisting of 10 subjects with no orthodontic history, and the second one consisting of 10 cases, undergoing fixed orthodontic treatment with completed leveling of lower incisors. The mean age of the study group was 20.52 years, while both control groups had a mean age of 19 years. Intra-group measurements within the surgery group revealed no significant changes postoperatively, but inter- group results showed a significant increase in the gingival index among control groups, and an increase of the Ramfjord index in the study group. In general, it can be concluded that Class III surgery patients are prone to develop a periodontal disease in the long term; however, our results did not show any specific effects of the early postoperative relapse forces on the mandibular incisor area

    Relationship of Maxillary First Molar Rotations with Malocclusions and Other Occlusal Variables

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    The aim of our study was to determine the relationship between the rotation of maxillary first molars and various features of malocclusions. Initial models of 1237 patients were used for this study. Models were evaluated according to dental malocclusion, cross bite, crowding, rotation of upper incisors, canines and premolars, diastemas, and rotation of mandibular molars. 21.7 % of the models had a Class I, 64.8 % Class II, and 13.4 % Class III dental relationship. In Class III cases a significant increase in maxillary molar rotation was observed, followed by Class II and Class I maloclusions. There were increased second maxillary molar rotation values in Class III maloclusions, but no difference between Class II and Class I. Cases with cross bite, only upper crowding, both upper and lower crowding and rotated upper premolars had a significant increase in maxilary molar rotations. On the contrary, cases with canine and incisor rotations and diastemas had significantly less maxillary molar rotations. No relationship was found between mandibular molar rotations and maxillary molar rotations. Although higher rotational values could be expected in Class II malocclusions due to early migration of maxillary molars, the results of the present study support a stronger association with Class III malocclusions. As a result, during treatment planning, especially in Class III malocclusions, correction of molar rotations routinely should be listed as a treatment objective
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