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Search Results: 1 - 10 of 715 matches for " Suzan Akp?nar "
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Left atrial appendix thrombus presenting with acute coronary syndrome in a patient with rheumatic mitral stenosis
Arzu Kalayc?,Suzan Akpnar,Ahmet Güler,Can Yücel Karabay
Anadolu Kardiyoloji Dergisi , 2013,
Abstract:
Pregnancy and heart valve disease
Onur Akpnar
Anadolu Kardiyoloji Dergisi , 2009,
Abstract: Rheumatic valve diseases are still a frequently encountered problem in developing countries. Valve disease has a high morbidity and mortality rate in pregnant patients. In this review the diagnosis, management and follow-up of the pregnant women with various valvular heart diseases are discussed.
Developing Communication Skills of EFL Teacher Trainees
Kadriye Dilek Akpnar
Journal of Language and Linguistic Studies , 2009,
Abstract: Higher Education Council of Turkey has added a one term course named as “Effective Communication Skills” to the curriculum since 2006 in Foreign Language Education Departments because of the crucial importance of communication in the information society. In order to test the effectiveness of this course, a research project was developed by looking at the pre-and post course interviews conducted with first year teacher trainees about communication skills compared with the fourth year students’ ideas who did not take the course. This paper describes both the significance of effective communication skills and the benefits of the course for developing teacher trainees’ effective communication skills. The implementations and suggestions for teacher education has also been discussed.
The Effect of Interactive Computer Animations Accompanied with Experiments on Grade 6th Students’ Achievements and Attitudes toward Science
E. Akpnar,O. Ergin
International Journal of Emerging Technologies in Learning (iJET) , 2007,
Abstract: The aim of the present study was to investigate the effect of instruction including interactive computer animations accompanied with experiments over traditionally designed Instruction in 6th grade students’ physics achievement and attitudes toward science. In this study, a quasi-experimental pretest-posttest design was used. As a data collection instruments, physics achievement test and attitude scale toward science were administered to experimental and control group. In the experimental group, the materials were used while doing the experiments and then they did the same experiments interactively on the computer. In the control group, the experiments were done only by materials and the students did not use the computer during the experiments. The findings indicated that there was no significant difference between groups with respect to achievement before the treatment and there was a significant difference between the groups in favor of experimental groups after the treatment. The means of attitude towards science showed no significant difference between the groups before and after treatment.
A Draft Ethics Curriculum Based on Ethical Issues Experienced by Family Doctors in Düzce
Akpnar A et al.
Konuralp Tip Dergisi , 2013,
Abstract: Aim: To determine ethical issues experienced by family doctors in Düzce, the pilot province for implementation of the primary health care reform 'Transformation in Health' in Turkey in 2005.Method: We conducted this study between May and June 2007 in Düzce. A self-administered-questionnaire prepared by the researchers included 13 ethical issues inquiring about physicians' frequency of encounter, difficulty in managing the problem, and learning needs in ethical topics. Results: Fifty-seven percent of family doctors who were practicing in Düzce (56/98) took part in the study. Most of them (89.3%) were in practice over a year, had more than 3000 registered patients (80.4%) with homogenous distribution (67.9%). Physicians reported to encounter ethical dilemmas related to informed consent (72.7%), conflict of self-interest and altruism (44.6%), determining competency (41.8%), claims of alternative therapy (41.0%), relationship with representatives of drug companies (39.2%), truth-telling (28.6%), and resource allocation (27.3%) at least once a month. Participants were experienced difficulties when solving dilemmas related to determining competency in patients, reporting incompetency of a colleague, informed consent, best interest of the child, truth-telling, conflict of self-interest and altruism, respectively. Best interest of the child, truth-telling, determining competency in patients, protecting others' interest and gaining informed consent were prioritized topics for education. Conclusion: Our results implied that family doctors experienced difficulties in ethical conduct during daily clinical practice. The most frequently mentioned ethical issues were evaluated with respect to expressed learning needs which served to develop a draft ethics curriculum.
AN UNCONSUMMATED MARRIAGE: A CASE REPORT
Ersin Akpnar,Esra Saat??
Marmara Medical Journal , 2007,
Abstract: Vaginismus is described as “recurrent or persistent involuntary contraction of the perineal muscles surrounding the outer third of the vagina when vaginal penetration is attempted with penis, finger, tampon, or speculum. The purpose of this case report is to investigate the treatment model of a patient with vaginismus who benefited from Cognitive Behavioral Therapy (CBT) in a couple (woman 21, man 23 years old) admitting to family practice for treatment of vaginismus. The duration of marriage was 19 months. The marriage was unconsummated. The diagnosis was made using DSM-IV criteria. They have been assessed initially and after treatment by Golombok-Rust Inventory of Sexual Satisfaction (GRISS) index. The initial scores of communication, sensuality, erectile dysfunction and premature ejaculation and the total scores of the GRISS indicated accompanying sexual dysfunction in man. Sensate focus and gradual desensitization (vaginal self-dilatation) methods with cognitive restructuring techniques were used. The overall sexual functioning of the woman showed improvement.
Is It Suitable to Diagnose Acute Rheumatic Fever with Anti-Streptolysin O?
?. Emre ?a?l?yan,Onur Akpnar
Ko?uyolu Kalp Dergisi , 2011,
Abstract: In clinical practice, Anti-streptolizin O (ASO) levels are used for diagnosis of Acute Rheumatic Fever (ARF). We investigated to evaluate the accuracy of using ASO in patients with a murmur in physical examination, in patients with a suspicious ARF history and sometimes only in routine examination. When we evaluate 52 patients' data, high ASO levels was not associated with nor valve structures, neither ARF history. Therefore, we showed that using ASO of levels only is an incorrect application for diagnosis of ARF in clinical practice.
The Effects of Different Type Vasodilator Agents on Radial Artery Blood Flow: A Placebo-Controlled Clinical Study  [PDF]
Ahmet Feyzi Abacilar, Ugur Cetingok, Mehmet Be?ir Akpnar, Omer Faruk Dogan
World Journal of Cardiovascular Diseases (WJCD) , 2014, DOI: 10.4236/wjcd.2014.46039
Abstract: Background: The radial artery (RA) is being used as a second arterial conduit in coronary artery bypass grafting (CABG) patients. Vasospasm during the harvesting is the most common problem, yet. Our goal of this research is to evaluate the effects of different vasodilators on RA blood flow. Material and Method: In our 250 CABG patients who were included into the study, patients were divided into five groups which have the same number of the patients. Before the harvesting of the RA, Allen test and modified Allen test were performed. In group 1, sodium nitroprusside (SNP) was administered via central line. In group 2, nitrogliceryne was applied as a vasodilator agent. In group 3, diltiazem as a calcium channel blocker was used. In group 4, dobutamine was used with a dose of 3micro./kg/min. In the remaining patients, as a control group (CG), normal saline solution was used with the same protocol. RA length and radial artery flow, mean arterial blood pressure, central venous pressure, and heart rate were measured before and 10 minutes after drug administration. Results: No significant differences were found between the groups in respect to age, body surface area, cardiopulmonary bypass time, aortic cross clamp time. A multivariate general linear model was created and revealed the drug (specifically SNP and nitroglycerin) as a predictor to increase flow in the radial artery (p = 0.001 and p = 0.002), respectively. SNP has significantly decreased mean arterial pressure when we compared to nitroglycerin (p < 0.001). The blood flows of RA after dobutamine and calcium channel blocker administration has not changed significantly  (p > 0.05). Conclusions: Our study showed that SNP and nitroglycerin are very effective agents to provide the increasing of RA blood flow. However, statistical comparisons exhibited that intravenous SNP was a very effective vasodilating agent for RA than nitroglycerin.
Monitoring the dynamic behaviors of the Bosporus Bridge by GPS during Eurasia Marathon
H. Erdo an, B. Akp nar, E. Gülal,E. Ata
Nonlinear Processes in Geophysics (NPG) , 2007,
Abstract: Engineering structures, like bridges, dams and towers are designed by considering temperature changes, earthquakes, wind, traffic and pedestrian loads. However, generally, it can not be estimated that these structures may be affected by special, complex and different loads. So it could not be known whether these loads are dangerous for the structure and what the response of the structures would be to these loads. Such a situation occurred on the Bosporus Bridge, which is one of the suspension bridges connecting the Asia and Europe continents, during the Eurasia Marathon on 2 October 2005, in which 75 000 pedestrians participated. Responses of the bridge to loads such as rhythmic running, pedestrian walking, vehicle passing during the marathon were observed by a real-time kinematic (RTK) Global Positioning System (GPS), with a 2.2-centimeter vertical accuracy. Observed responses were discussed in both time domain and frequency domain by using a time series analysis. High (0.1–1 Hz) and low frequencies (0.00036–0.01172 Hz) of observed bridge responses under 12 different loads which occur in different quantities, different types and different time intervals were calculated in the frequency domain. It was seen that the calculated high frequencies are similar, except for the frequencies of rhythmic running, which causes a continuously increasing vibration. Any negative response was not determined, because this rhythmic effect continued only for a short time. Also when the traffic load was effective, explicit changes in the bridge movements were determined. Finally, it was seen that bridge frequencies which were calculated from the observations and the finite element model were harmonious. But the 9th natural frequency value of the bridge under all loads, except rhythmic running could not be determined with observations.
Greft Stent Implantation for Coronary Artery Perforation After Percutaneous Coronary Intervention
Yüksel Kaya,Nihat S?ylemez,Onur Akpnar
Ko?uyolu Kalp Dergisi , 2012,
Abstract: Coronary artery perforation is a rare, but life-threatening complication of percutaneous coronary interventions (PCI). The occurrence of perforation increased with newer interventional devices and techniques like rotablation, excimer laser coronary angioplasty, and routine high pressure balloon dilatation or chronic total occlusion interventions. We describe a case of unexpected Ellis stage 3 perforation following “routine” direct stenting of left anterior descending coronary artery (LAD) stenosis. The perforation was successfully sealed by a polytetrafluoroethylene-covered stent graft. In addition to the availability of covered stents, it is essential to be familiar with various skills necessary for successful management of these complications.
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