Qualifying with Different Types of Quizzes in an Online EFL Course: Influences on Perceived Learning and Academic Achievement

This quasi-experimental study explored how different online exam types differentiate learners’ academic achievement and perceived learning. The participants comprised 95 undergraduate students enrolled in an English course at a Turkish university in three groups, each taking a different type of quiz: with multiple-choice, open-ended, and mixed type questions. The results indicated that the academic achievement of the students in multiple-choice and open-ended groups increased and that quiz results improved the most for the multiple-choice group relative to the other groups. The study found a moderate level of significant relationship between cognitive and affective perceived learning and multiple-choice quiz scores. In addition, the study found a weak level of significant relationship between cognitive and affective perceived learning and mixed-design quiz scores, and between cognitive learning and the academic achievement scores of the mixed-design group. Semi-structured online interviews undertaken to further explain the quantitative data displayed positive influences of the different types of quizzes in terms of study behaviors and satisfaction. The findings of this study are expected to shed light for practitioners aiming to use different online assessment types

Technology-dependent Children and Home Care

Today, with the rapid development in the field of healthcare technology which is reflected in medicine and patient care, the number of children who are dependent on technological tools and in need of special care, and sustain life in the home environment is rapidly increasing. These children require a multidisciplinary, multifunctional care at home. In the provision of care, healthcare workers, such as physicians, nurses, physiotherapists, social workers and psychologists, work in coordination. The aim of this review was to draw attention to the care of the technology-dependent children at home. In order to achieve the goals of the care given to the technology-dependent child, inclusion of the family in the provision of care is of importance. In order to improve the care given to these children at home, home care services must be well planned and their families should be trained on the issue because delaying the discharge of these children may increase their risk of developing a hospital-acquired infection and can extend the length of their stay in the hospital. This not only increases hospital costs but also leads to the occupation of a bed in the pediatric intensive care unit. Therefore, home healthcare is an alternative for technology-dependent children with chronic diseases and for their families. Therefore, more efforts should be made to plan and evaluate home care services, to set up support and training systems, and to make legal arrangements

Technology-dependent Children and Home Care

Günümüzde sağlık teknolojileri alanındaki hızlı gelişmelerin tıp ve hasta bakımına yansımasıyla birlikte teknolojik aletlere bağımlı olarak ev ortamında yaşamını sürdüren, özel bakım ihtiyacı olan çocuk sayısı giderek artmaktadır. Bu gruptaki çocuklara evde multidisipliner, multifonksiyonel bir bakım gerekmektedir. Bakımın sunulmasında hekim, hemşire, fizyoterapist, sosyal hizmet uzmanı, psikolog gibi sağlık çalışanları işbirliği içindedir. Bu derlemenin amacı teknolojiye bağımlı çocuğun evde bakımı konusuna dikkat çekmektir. Teknolojiye bağımlı çocuğun bakım hedeflerine ulaşması açısından ailenin bakıma dahil edilmesi önemlidir. Bu çocukların evde bakımlarının iyileştirilmesi için evde bakım hizmetlerinin iyi planlanarak ailelerin eğitilmesi gereklidir. Çünkü bu gruptaki çocukların taburcu edilmelerinin geciktirilmesi, hastane enfeksiyonu edinme riskini arttırabilir; hastanedeki kalış süresini daha da uzatabilir. Bu durum hem hastane masraflarının artmasına hem de çocuk yoğun bakım yatağı işgaline neden olmaktadır. Bu nedenle evde sağlık bakımı, teknolojiye bağımlı süreğen hastalığı olan çocuklar ve aileleri için uygun bir alternatiftir. Evde bakım hizmetlerinin planlanması, değerlendirilmesi, destek ve eğitim sistemlerinin oluşturulması, yasal düzenlemelerin yapılması gibi konularda çalışmalara gereksinim vardır.Today, with the rapid development in the field of healthcare technology which is reflected in medicine and patient care, the number of children who are dependent on technological tools and in need of special care, and sustain life in the home environment is rapidly increasing. These children require a multidisciplinary, multifunctional care at home. in the provision of care, healthcare workers, such as physicians, nurses, physiotherapists, social workers and psychologists, work in coordination. the aim of this review was to draw attention to the care of the technology-dependent children at home. in order to achieve the goals of the care given to the technology-dependent child, inclusion of the family in the provision of care is of importance. in order to improve the care given to these children at home, home care services must be well planned and their families should be trained on the issue because delaying the discharge of these children may increase their risk of developing a hospital-acquired infection and can extend the length of their stay in the hospital. This not only increases hospital costs but also leads to the occupation of a bed in the pediatric intensive care unit. Therefore, home healthcare is an alternative for technologydependent children with chronic diseases and for their families. Therefore, more efforts should be made to plan and evaluate home care services, to set up support and training systems, and to make legal arrangements

Seismic response of hunchbacked block type gravity quay walls

Earthquakes near major cities may cause big social and economic impacts. Damages to port facilities may cripple the economy. The past twenty years' experience has proven the high vulnerability of the port facilities. This fact, along with the economic importance of port structures, indicates the need for better seismic design approaches for berth structures and cargo handling facilities. In the recent decades, there have been many incidences of failure of gravity type quay walls. These failures have stimulated research interest in the development of performance-based design methods. In this paper, two different hunchbacked block type quay walls with different back face shape were studied. A series of 1-g shaking tank tests was performed using a 1/10 scaled block type quay wall with gravel backfill materials on firm non-liquefiable sea bed conditions subjected to different harmonic loads. The shaking tank tests provided insight into the wall displacements and the total dynamic pressures by analyzing pressure components at the contact surface between the saturated gravel backfill soil and the wall. It is concluded that the back-face shape of the walls is an important factor and the larger positive slope of the wall improves the overall seismic stability

Neutropenic enterocolitis and colonic perforation in a patient with breast carcinoma treated with taxane-based chemotherapy: a case report and review of the literature

Neutropenic enterocolitis or typhlitis is one of the rare but high mortality acute complications of neutropenia that develops in immunosuppressed patients due to chemotherapy. It is a segmental cecal and ascending colon inflammation that can progress to necrosis and perforation. Although it is mostly observed in myelosuppressed and immunosuppressed patients, like those who have leukemia and lymphoma, it can also be observed in malignancies treated with myelosuppressive chemotherapy. It has been reported particularly in patients with solid tumors treated with taxane-based chemotherapy. In this article, a 40-year-old patient with invasive ductal breast carcinoma is presented, who was diagnosed with neutropenic enterocolitis and colonic perforation that developed 6 days after chemotherapy (Docetaxel 75 mg/m2 and cyclophosphamide 600 mg/m2). If neutropenic fever, abdominal pain, abdominal distension, and tenderness develops in a patient under taxane-based chemotherapy, neutropenic enterocolitis is a condition that must definitely be considered. It should be noted that it is possible to reduce mortality and morbidity by means of appropriate antibiotics and a timely surgical intervention

Hemşirelik Öğrencilerinin Yaşlı Bireylere Yönelik Tutumları ve Empatik Yaklaşım Becerileri

Amaç: Bu araştırmada hemşirelik öğrencilerinin yaşlı bireylere yönelik tutumları ve empatik yaklaşım becerilerinin belirlenmesi amaçlanmıştır. Materyal-Metot: Araştırma kesitsel ve tanımlayıcı nitelikte bir çalışmadır. Araştırmanın verileri Ekim-Kasım 2017 tarihleri arasında toplanmış olup, örneklemini araştırmaya katılmaya gönüllü olan 220 son sınıf hemşirelik öğrencisi oluşturmuştur. Verilerin toplanmasında Öğrenci Tanıtım Formu, Kogan’ın Yaşlı İnsanlara Karşı Tutum Ölçeği ve Temel Empati Ölçeği kullanılmıştır. Verilerin analizinde sayı, yüzdelik dağılım, t testi ve ANOVA testi kullanılmıştır. Bulgular: Öğrencilerin Kogan Yaşlı Tutum Ölçeği toplam puan ortalamasının 136,18±9,17, Temel Empati Ölçeği puan ortalamasının ise 74,87±9,41 olduğu saptanmıştır. Kogan Yaşlı Tutum Ölçeği puan ortalamaları öğrencilerin yaşlı bakım biriminde çalışmayı isteme durumuna ve geriatri dersi alma durumuna göre anlamlı farklılık göstermiştir (p<0,05). Temel Empati Ölçeği puan ortalamaları öğrencilerin cinsiyetlerine, yaşlı bakım biriminde çalışmayı isteme durumuna, geriatri dersi alma durumuna ve en uzun yaşadığı bölgeye göre anlamlı farklılık göstermiştir (p<0,05). Sonuç: Öğrencilerin empatik yaklaşım becerilerinin ve yaşlı tutumlarının kısmen olumlu olduğu saptanmıştır. Öğrencilerin empatik yaklaşım becerileri; cinsiyet, yaşlı bakım ünitesinde çalışmaya istekli olma, geriatri dersleri alma ve uzun süre yaşanılan bölge gibi faktörlerden etkilenmektedir. Ayrıca yaşlı bakım biriminde çalışmayı isteyen ve geriatri dersi alan öğrencilerin yaşlılara karşı tutumları anlamlı düzeyde yüksektir.Objective: To determine the attitudes of nursing students towards aged people and their empathic approach skills. Material-Method: The study is a cross-sectional and descriptive study. The data of the study were collected between October and November 2017. The sample of the study was consisted of 220 senior nursing students who volunteered to participate in the study. Data were collected by using Student Information Form, Kogan’s Attitude Toward Old People Scale and Basic Empathy Scale. Analysis of the data was used number, percentage, t test and ANOVA analyzes. Results: It was determend that mean score of Kogan’s Attitude Toward Old People Scale was 136.18±9,17 and Basic Empathy Scale was 74.87±9.41. The mean scores of the Kogan’s Attitude Toward Old People Scale were found to be significantly different according to the status of the students who want to work in the elderly care unit and the status of taking geriatric course (p<0.05). The mean scores of Basic Empathy Scale scores were found to be significantly different according to the gender of the students, want to work in the elderly care unit, the status of taking geriatric course and the region where they lived the longest (p<0.05). Conclusions: The students’ elderly attitudes were found to be partially positive. Students’s empathic approach skills were affected by variables such as; sex, willingness to work in the elderly care unit, taking geriatrics courses and the region lived for a long time. In addition, the elderley attitudes of the students who want to work in the elderly care unit and who take geriatrics course are significantly higher

Melatonin Administration Enhances Testicular Volume, Testicular Blood Flow, Semen Parameters and Antioxidant Status during the Non-Breeding Season in Bafra Rams

Our objectives were to investigate the effects of exogenous melatonin on testicular volume (TV), testicular blood flow (TBF), and semen quality in Bafra rams during the non-breeding season. One group of rams (MEL, n = 5) received a 36 mg melatonin implant twice, with 30 days in between, while the other group (CON, n = 5) served as the control. TBF, TV, and semen quality parameters were determined at three-week intervals starting three weeks before until twelve weeks after the first melatonin implant. Testicular blood flow was determined in the supratesticular (STA) and marginal testicular artery (MA) using color Doppler ultrasound. Semen was collected and evaluated, and the total oxidative status (TOS) and total antioxidative status (TAS) was determined using an ELISA. The MEL group had increased (p 0.05) between the two groups in most semen quality parameters. However, TAS concentrations increased (p < 0.05) in the MEL group compared with the CON. The results of this study show that exogenous melatonin in the non-breeding season significantly increased both TBF and TV in Bafra rams. Therefore, giving rams implants with 36 mg melatonin twice at least one month prior to the non-breeding season is expected to improve testicular size and function and reproductive capacity

Klinik örneklerden izole edilen candida’lar ve antifungal duyarlılıkları

İstanbul Bilim Üniversitesi, Tıp Fakültesi.Son yıllarda immünosüpresif hastaların artması ile mantar infeksiyonlarının insidansında da artış gözlenmektedir. Risk grubunda bulunan hastalarda görülen mantar infeksiyonları büyük oranda Candida türlerinin yer aldığı fırsatçı patojenlerle gelişmektedir. Mantar infeksiyonlarının sıklığının artması ve ampirik antifungal kullanımının yaygınlaşması ile dirençli mantar suşları ortaya çıkmaktadır. Bu çalışmada klinik örneklerden izole edilen Candida türlerinin dağılımının saptanması ve antifungal duyarlılıklarının belirlenmesi amaçlanmıştır