Determination of anxietyl Levels of pregnant women living in rural areas

The research was planned as a descriptive and cross-sectional to determine the anxiety levels of pregnant women living in a village in a region located in the Mediterranean Region of Turkey. The research took part between December 2020 and April 2021 with 230 women who were 16, 22, and 35 weeks pregnant. Data collection tools consist of the "Pregnant Identification Form" and "Cambridge Anxiety Scale (CAS)." The data were assessed by number, percentage, mean, standard deviation analysis of variance, Kruskal Wallis H, and Mann Whitney U tests in a computer environment. A statistically significant difference was determined between the age group of the spouses of the pregnant women, household size, income status and the number of pregnancies at 16 weeks of pregnancy, and the mean scores they got from the CAS (p<0,05). All pregnant women at 16, 22, and 35 weeks who stated that they had a risky situation in their current pregnancy had mean CAS scores that were statistically significantly higher than those who stated that there was no risky situation in their pregnancy (p<0,05). Consequently, it was observed that as the week of pregnancy increased, the anxiety level increased as well, and there were some variables that increased anxiety in pregnant women. Health professionals should determine the situations causing anxiety in pregnant women and act sensitively accordingly and provide training and consultancy services

AN INVESTIGATION OF THE VIEWS ON THE LAKE OF THE TEACHERS WHO WORK IN THE VICINITIES OF LAKE AVLAN, TURKEY

Several problems such as the deterioration in water regime, climate’s getting harsh, desertification and the decrease in agricultural productivity have been experienced in and around Lake Avlan which was dried in 1970’s entirely for the purpose of opening new cultivation areas. Upon the deterioration, the gates of the regulators were closed by the Ministry of Environment upon the written demand from almost 3000 people from the vicinity by the organization of a mayor and 37 village headmen. Lake Avlan is the first wetland on which a decision of restoration has been taken upon the demand from the people in the vicinity, including the villagers who were given a piece of land from the lake. When the things experienced with the case are taken into consideration, it is observed that the perception of education on environment has changed and the importance of education on environment increased. The education for environment is aimed to raise individuals who are aware of local, regional, national and global problems; who approach these problems with concern and sensitivity; who spend effort voluntarily for thesolution of such problems; and those whose ecological culture, environmental moral and environmental consciousness is high (Atasoy&amp;Ertürk, 2008). The aim of this study is to identify the views of the teachers who work in the schools in the vicinity of Lake Avlan on the lake. The participants of the study are 14 teachers as 9 males and 5 females. The study was designed as a case study, which is one of the methods of qualitative research. The data used in the study were collected by giving interviews to the teachers and were analyzed using content analysis technique. The findings revealed that the teachers rendered superficial information on the social and socioeconomic structure of the Lake Avlan; that they bear confusing ideas about the physical form of the lake and that the information they provide is not sufficient. They all share the idea that Lake Avlan has not been preserved and based upon each participant’sexplanations, the study reached the same conclusion.  Article visualizations

Contribution of Leukocyte Platelet Aggregates To Development of Thrombosis In Patients With Advanced Cancer

Objective:The aim of our study was to determine the correlation between leukocyte platelet aggregates and thrombosis in patients with solid tumors who are susceptible to inflammation and thrombosis.Material and Method:In this study, we compared laboratory and clinical data of 28 metastatic gastrointestinal tumors, 33 metastatic lung tumors, 29 operated tumor patients, for a total of 90 patients with a control group consisting of 12 healthy volunteers followed at Namik Kemal University Oncology clinic in between 2013 -2014.Results:According to the results, monocyte platelet aggregates level of metastatic gastrointestinal tumors and operated tumors were found to be significantly higher compared to the control group (p: 0.05, 0.029, respectively. No significant difference was observed between the groups in the levels of thrombin-antithrombin III complex and neutrophil lymphocyte ratio. When all groups were analyzed to assess the hypercoagulopathy, deep vein thrombosis frequency were identified as 22% (18 patients). The rate was 17% in operated tumors, and was 21% in metastatic lung tumors. The incidence of deep vein thrombosis in metastatic gastrointestinal tumors was found to be 35%. There was no significant difference between patients with and without deep vein thrombosis about age, monocyte platelet aggregates, granulocyte platelet aggregates, thrombin-antithrombin III complex and high-sensitivity C-reactive protein levels.Conclusion:In conclusion, to the best of our knowledge for the first time we found leukocyte platelet aggregate values increases in cancer patients of different stages and different tissue origin. To confirm the results we have achieved, and to demonstrate the potential impact of this information in estimation of thrombotic events in cancer patients more studies conducted in larger groups of patients are needed

Investigation of Eight Grade Students&apos; Knowledge Level about Global Environmental Problems

Abstract This study aims to identify the knowledge level of eight grade students about global problems like greenhouse effect, the deformation of the ozone layer, acid rains and the destruction of biological diversity to analyze the gender and location factor of the students&apos; knowledge level about global environmental problems. 201 randomly selected eight grade students from central schools of Ankara and Burdur attended to this study. 20 item-scale is used as data collection tool in the research. The percentage and frequency values of the students&apos; answers are analyzed. The sum of points is tested for analyzing the variation of gender and location of education factor of students. The conclusive data obtained from this research points out that students have very low knowledge level about reasons and the negative effects of some global environmental problems. In the conclusion of this research; the total points which students get from the global environmental problems survey noticeably vary by the location where they are educated but not changed by the gender factor

The Determination of Final Year Nursing Students' Perceptions on Internship Program

Giriş: Hemşirelik eğitiminde önemli bir yere sahip olan uygulama alanları, öğrencilere öğrendiklerini uygulama, profesyonel rolleri ile ilgilimodeller görme, var olan sistemin işleyişini gözleme olanağı verirler. Amaç: Çalışmanın amacı hemşirelik lisans entegre eğitimprogramında eğitim gören hemşirelik öğrencilerinin internlik programı sonundaki kazanım ve önerilerini değerlendirmektir.Yöntem: Tanımlayıcı olan çalışmanın örneklemini, lisans programında internlik uygulaması yapan 77 son sınıf hemşirelik öğrencisioluşturmuştur. Veriler, araştırmacılar tarafından geliştirilen bir anket formu ile elde edilmiştir. Form, açık uçlu soru ve kapalı uçluönermeden oluşmaktadır. Formdaki 10 soru öğrencilerin tanıtıcı bilgilerini, programa ilişkin önerilerini, 17 önerme ise internlik programınınhedeflerini içermektedir. Veriler, yüzdeliklerle değerlendirilmiştir. Bulgular: İnternlik programı sonunda öğrencilerin çoğunluğu programınkendilerine bilgi ve beceri kazandırarak mesleğe hazırladığını, bu deneyimi yaşamaktan memnun olduklarını belirtmişlerdir (%71.4).Öğrencilerin internlik programında belirlenen hedeflere en yüksek %96.1 ve en düşük %81.8 oranında ulaştıkları saptanmıştır. Öğrencilerinöğretim elemanlarından teorik bilgi ve uygulama becerisi ile ilgili daha fazla danışmanlık yapmalarını istedikleri saptanmıştır. Klinikpersonelden ise kendilerini iş yükünü azaltan kişiler olarak görmemelerini (%77.9) istemişlerdir. Sonuç: internlik programı öğrencilerinmesleki yeterliklerinin artmasına, kendilerini güvenli ve mesleğe hazır hissetmelerine katkı sağlamaktadır. Ancak bu programda öğrencilereğiticilerden daha etkin bir danışmanlık hizmeti beklemektedirler. Background: Practicum areas have an important role in nursing education which enables the students to practice what they have learned.Such areas also let the students to face the models which prepare them for their future roles and the ability to observe the functioning of theexisting system. Objectives: The aim of the study is to evaluate of the gains and recommendations related to internships program of the finalyear undergraduate students majoring in a nursing. Methods: The sample of this descriptive study consisted of 77 final year students whowere doing internships as a part of their undergraduate nursing education. The data were obtained through a questionnaire developed by theresearchers. The questionnaire form included open-ended questions and closed propositions. The 10 open-ended statements were related tothe students' details and their suggestions for the program while 17 statements were connected to the objectives of the internship. The datawere calculated through the percentage values. Findings: Most of the students (90.9%) expressed that the internship program furnishedthem with knowledge and skills for their future profession at the end of internships program. They also stated that they were satisfied withthis internship training experience (71.4%). It was identified that in terms of reaching the goals of the internship program the highest rate was96.1% and the lowest was recorded as 81.8%. Another finding was that the students asked for more consultancy on theoretical knowledgeand practical skills from their lecturers. They wanted the staff of the hospitals not to consider them as assistant who lessen their workload(77.9%). Conclusion: Internships program contributed to enhance the students' professional competencies, they feel self-confident and readyfor the profession. However, the students expected more consultancy from their lecturers

Can The Neutrophil/Leukocyte Ratio Be Used As An Acute Phase Reactant In Patients Diagnosed With Recurrent Aphthous Stomatitis?

Aim:Systemic inflammatory response can be detected using several laboratory methods, such as C-reactive protein (CRP). The purpose of this study was to assess inflammation using widely used and more easily available blood count parameters. The purpose of this study was to show changes in hematological and biochemical laboratory characteristics in recurrent aphthous stomatitis (RAS), and to assess the practicability of the neutrophil/lymphocyte ratio (NLR) as an acute phase reactant like CRP, in patients diagnosed with RAS.Materials and Methods:265 patients with a clinical diagnosis of RAS at the Namık Kemal University Research and Practice Center Dermatological and Venereal Diseases Clinic in 2010-2015 were included in the study following a retrospective review of the patient files. A control group of 299 healthy individuals was also established. Hemoglobin, leukocyte, neutrophil and lymphocyte values were recorded from the patient files, and the neutrophil/leukocyte ratio (NLR) was calculated.Results:No significant difference was determined in leukocyte, neutrophil, lymphocyte or NLR values between the RAS and control groups (p>0.05), while significant differences were observed in terms of CRP and sedimentation values (p<0.01).Conclusion:NLR cannot be used like CRP as an inflammation marker in RAS patients. New studies investigating biological markers capable of supporting clinical diagnosis and follow-up in these patients are required

Adrenocortical oncocytic neoplasm presenting with Cushing's syndrome: a case report

<p>Abstract</p> <p>Introduction</p> <p>Oncocytic neoplasms occur in several organs and are most commonly found in the thyroid, kidneys and salivary glands. Oncocytic neoplasms of the adrenal cortex are extremely rare and are usually non-functioning.</p> <p>Case presentation</p> <p>We report the case of an adrenocortical oncocytic neoplasm with uncertain malignant potential in a 31-year-old man with Cushing's syndrome. The patient had been operated on following diagnosis of a 7 cm adrenal mass. Following surgery, the Cushing's syndrome resolved. The patient is still alive with no metastases one year after the surgery.</p> <p>Conclusion</p> <p>Adrenocortical oncocytic neoplasms must be considered in the differential diagnosis of both functioning and non-functioning adrenal masses.</p

ÖĞRENİLMİŞ İYİMSERLİK EĞİTİM PROGRAMININ 9. VE 10. SINIF ÖĞRENCİLERİNİN İYİMSERLİK DÜZEYLERİNE ETKİSİ

Bu araştırmada, öğrenilmiş iyimserlik eğitim programının 9. ve 10. Sınıf öğrencilerinin iyimserlik düzeylerine etkisi incelenmiştir. Araştırma 2008-2009 eğitim- öğretim yılında İstanbul ili Küçükçekmece ilçesindeki Gazi Anadolu Lisesi 9. ve 10. sınıfta öğrenim gören toplam 43 öğrenci ile yürütülmüştür. Araştırmada Yükleme Biçimi Envanteri ile Yaşam Yönelimi Envanteri kullanılmış ve araştırmacı tarafından hazırlanan öğrenilmiş iyimserlik eğitim programı uygulanmıştır. Araştırmada, programın etkililiğini test etmek amacıyla Tek Faktör Üzerinde Tekrarlanmış Ölçümler için İki Faktörlü Varyans Analizi yapılmıştır. Araştırmanın bağımsız değişkeni öğrenilmiş iyimserlik eğitim programı, bağımlı değişkeni ise öğrencilerin iyimserlik düzeyleridir. Toplam 217 öğrenci içerisinden Seligman Yükleme Biçimi Envanteri Olumsuz Bileşik Puan alt boyutuna göre deney ve kontrol gruplarına öğrenciler tespit edilmiştir. Deney grubundaki öğrencilere haftada 2 oturum 45 dak olmak üzere 8 oturumluk araştırmacı tarafından geliştirilen öğrenilmiş iyimserlik eğitim programı uygulanmış, kontrol grubuna araştırma süresince hiçbir işlem yapılmamıştır. Eğitim programının öğrencilerin geleceğe yönelik iyimserlik düzeylerine ve yükleme biçimi olarak iyimserlik düzeylerine etkisini incelemek amacıyla öğrencilerin ölçeklerden aldığı öntest-sontest puanları karşılaştırılmıştır. Ayrıca öğrencilerin geleceğe yönelik iyimserlik düzeyleri ile yükleme biçimi olarak iyimserlik düzeyleri ilişkisi araştırmanın diğer bir denencesidir. Araştırma sonucunda, deney grubundaki öğrencilerin geleceğe yönelik iyimserlik düzeylerinde anlamlı bir artış gözlenmezken, olumsuz yükleme puanlarında anlamlı düzeyde bir azalmanın, diğer bir ifadeyle yükleme biçimi olarak iyimserlik düzeylerinde anlamlı düzeyde bir artış olduğu tespit edilmiştir. Ayrıca yapılan analizler sonucunda olumsuz yükleme yapan öğrencilerin geleceğe yönelik iyimserlik puanları arasında anlamlı düzeyde ve negatif yönde bir ilişki olduğu tespit edilmiştir.The effect of the learned optimism training programme on the optimism level of the students at 9th and 10th classes was examined in this study. The study was conducted on total 43 students studying at 9th and 10th classes in Gazi Anadolu Lisesi (Gazi Anatolian High School) in Küçükçekmece district of İstanbul province in 2008 2009 education term. The Attribution Style Inventory and of which the reliability studies were repeated by the researcher and the Life Management Inventory, were used and the acquired optimism education programme that was made by the researcher was applied in the study. The Variance Analyses with Two Factors was made for the Repeated Measures on Single Factor in order to test the efficiency of this programme in the study. The acquired optimism education programme is the independent variable of the study and the optimism level of the students is the dependent variable of the study. The students were separated into experience and control groups according to the sub-dimension of Seligman Attribution Style Inventory Negative Combined Score among total 217 students. The acquired optimism education programme, that was developed by the researcher, was applied to the students in the experiment group as 8 sessions formed of separate 2 seasons lasting 45 minutes in one week and any process was not applied to the students in the control group during the study. The pre-test and post-test scores of the students from the measures were compared in order to analyse the effect of the education programme to the attribution style and to the future optimism level of the students. In addition to this, the relation between the future optimism level of the students and the optimism levels of the students as an attribution style is the another task of the study. A meaningful increase in the optimism level of the students in the experiment group for the future was not observed and a meaningful decrease in the negative attribution scores, in other words a meaningful increase in the optimism level as an attribution style, was determined at the end of the study. In addition to this, a meaningful and negative relation between the optimism scores for the future of the students making negative attribution was found as a result of the analysis done

THE EFFECT OF BRAIN-BASED LEARNING APPROACH TO ACHIEVEMENT, ATTITUDE AND RETENTION OF KNOWLEDGE IN 7 TH GRADE STUDENTS' SCIENCE CLASSES OF ELEMENTARY SCHOOL

Bu çalışmanın amacı, beyin temelli öğrenme yaklaşımının ilköğretim 7. sınıf öğrencilerinin fen bilgisi dersindeki başarı, tutum ve bilgilerinin kalıcılığı üzerine etkisini incelemektir. Bu çalışmada, ön test-son test kontrol gruplu araştırma modeli kullanılmıştır. Araştırma, 2005-2006 eğitim-öğretim yılında, bir deney grubu ve iki kontrol grubu ile yapılmıştır. Bu çalışmaya, deney grubunda 30, kontrol gruplarında 30 ve 31 öğrenci olmak üzere toplam 91 ilköğretim 7. sınıf öğrencisi katılmıştır. Araştırmanın uygulaması fen bilgisi dersindeki İş yap-Enerji aktar konusunun öğretiminde gerçekleştirilmiştir. Deney grubundaki öğrencilere beyin temelli öğrenme yaklaşımıyla, kontrol gruplarındaki öğrencilere ise geleneksel öğretim yöntemleri ile öğretim yapılmıştır. Araştırma, haftada 3 saat olmak üzere toplam 24 ders saatini kapsayan süre içerisinde gerçekleştirilmiştir. Araştırmada veri toplamak amacı ile başarı testi, tutum ve algılama anketi ve beyin baskınlık aracı kullanılmıştır. Deneysel işlem öncesinde deney ve kontrol gruplarının denkliğini belirlemek amacı ile başarı testi, tutum ve algılama anketi, mantıksal düşünme testi ve öğrencilerin fen bilgisi karne notları kullanılmıştır. Son test olarak ise başarı testi ve tutum ve algılama anketi uygulanmıştır. Uygulama sürecinin sonunda, deney grubundan rasgele seçilen 5 öğrenci ile görüşme yapılmıştır. Ayrıca, uygulamanın bitiminden yaklaşık altı ay sonra tüm öğrencilere başarı kalıcılık testi uygulanmıştır. Araştırmadan elde edilen veriler SPSS (Statictical Package for Social Sciences Program, Version 10.0) ve ITEMAN (Item and Test Analysis Program, Version 3.00) programları ile analiz edilmiştir. İstatistiksel veri analizinde, tek faktörlü varyans analizi (ANOVA) ve t-testi kullanılmıştır. Yapılan analizlerden elde edilen sonuçlar şunlardır: Başarı son test puanlarında, deney ve kontrol grupları arasında, deney grubu lehine istatistiksel olarak anlamlı düzeyde bir fark vardır. Tutum son test puanlarında, deney ve kontrol grupları arasında, deney grubu lehine istatistiksel olarak anlamlı düzeyde bir fark vardır. Algılama son test puanlarında, deney ve kontrol grupları arasında, istatistiksel olarak anlamlı düzeyde bir fark yoktur. Başarı kalıcılık testi puanlarında, deney ve kontrol grupları arasında, deney grubu lehine istatistiksel olarak anlamlı düzeyde bir fark vardır. Ayrıca, yapılan görüşmede, öğrencilerin beyin temelli öğrenme yaklaşımına dayalı ders uygulamalarına yönelik oldukça olumlu görüşlere sahip oldukları saptanmıştır. kavga oyunu erkek oyunu 3d oyun güzel oyunlar The purpose of the study was to examine the effect of brain-based learning approach on achievement, attitude and retention of knowledge in 7th grade students' science classes. The pre/post-test control group research model was used in this study. The research was conducted with one experimental group and two control groups in 2005-2006 academic years. Totally 91 7th grade students, 30 in experimental group, 30 and 31 in control groups participated in this research. The study took place during the teaching of Do work-Transfer energy with of the science course. In the experimental group, students were taught according to the brain-based learning approach, while in control groups students were taught according to the traditional methods. All groups were taught three hours per week, twenty four hours in total. An achievement test, an attitude and perception questionnaire and a brain dominance instrument were used to collect data in the research. Before the experimental process, achievement test, attitude and perception questionnaire, logical thinking test and students' science lesson grades were used in order to establish the equivalence of experimental and control groups. Achievement test and attitude and perception questionnaire were given as post test. At the end of the intervention, an interview session was done with randomly chosen five students in the experimental group. Additionally, approximately six months after the intervention, achievement retention test was given to the students. The data were analysed by SPSS (Statictical Package for Social Sciences program version 10.0) and ITEMAN (Item and Test Analysis program version 3.00) software programs. In statistical data analysis, single factor variance analysis (ANOVA) and t-test were used. The results obtained from data analysis are as follows: There was a statistically significant difference on achievement in the post test between the experimental group and the control groups, in favor of the experimental group. There was a statistically significant difference on attitude in the pos test between the experimental group and the control groups, in favor of the experimental group. There was no statistically significant difference on perception in the post test between experimental group and control groups. There was a statistically significant difference on achievement permanence between the experimental group and control groups, in favor of the experimental group. Additionally, during the interview session students expressed a highly positive view about the teaching practices that were structured on the brain-based learning approach