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Öğe Developing a scale to measure information and communication technology utilization levels(Ekip Buro Makineleri A., 2010) Kutluca T.; Arslan S.; Özpinar I.The aim of this study is to develop a scale to measure candidate teachers' utilization level of Information and Communication Technologies (ICT). This study was designed as a quantitative survey research. The validity and reliability of the scale were calculated with the data coming from 300 candidate teachers. The structural validity of the scale was sought with factor analysis and reliability was checked with Cronbach Alpha analysis. The factor analysis revealed that load of the factors ranged between 0,40 and 0,80, Kaiser-Meyer Olkin value is 0,90, and Cronbach Alpha value, internal consistency coefficient calculated for the sake of reliability, was determined as 0,91. The reliability coefficient values for each factor were; Anxiety 0,75; Confidence 0,76; Attitude 0,81; Esteem 0,84. At the end of the research, it was determined that the 30-item scale towards measuring candidate teachers' state of using ICT was a scale with proper reliability and validity.Öğe Diagnostic difficulties in anomalies of intestinal rotation and fixation(Logos Medical Publishing, 2012) Turan C.; Arslan S.; Güzel M.; Küçükaydın M.Objective: To emphasize difficulties in the diagnosis of intestinal rotation anomalies and choice of diagnostic techniques. Material and Methods: Patients with operative diagnosis of malrotation and fixation anomalies between January 2000-December 2010 were studied retrospectively. Diagnostic methods, preoperative and operative diagnosis, surgical techniques, additional anomalies observed and complications were noted. Results: A total of 25 patients, 13 males and 12 females aged between 1 day and 5.5 years (mean age 28 days) were evaluated. 19 patients were operated with diagnosis of intestinal (10 patients) or duodenal (6 patients) atresia and congenital diaphragmatic hernia (3 patients) established after plain erect xrays. There was intestinal atresia with malrotation in only 4 of 10 patients with diagnosis of intestinal atresia and only malrotation in the remaining 6 patients (one of them had midgut volvulus). Of the six patients operated due to duodenal atresia, duodenal atresia and malrotation were found in 3 and only duodenal atresia in 3 patients. On the other hand, there was malrotation in patients with omphalocele (1) and congenital megacolon (1) during the operation. In only 4 patients (16 %), true diagnosis of malrotation was possible with baryum enema and serial xrays with oral contrast. Incision of Ladd's bands was made to remove obstruction due to malrotation and appendectomy (8 patients) and fixation of caecum (3 patients) were added to this procedure. One patient died due to sepsis and one patient who was operated for midgut volvus died from short bowel syndrome. Conclusion: It is believed that the most useful diagnostic method for malrotation is to establish the caecal position by baryum enema and serial xrays with oral contrast. © 2019 Polish Academy of Sciences. All rights reserved.Öğe Jejunoileal perfora tion and volvulus ca used by multiple magnet ingestion(Klinicka Bolnica Sestre Milosrdnice, 2015) Arslan S.; Basuguy E.; Zeytun H.; Okur M.H.; Aydogdu B.; Arslan M.S.Foreign body ingestion is a common problem in children, but magnet ingestion is relatively rare. However, when it occurs, it tends to have a high rate of complications. This is a case report of a 3-year-old child who swallowed multiple magnetic toys, subsequently developing jejunoileal perforation and volvulus. This case report indicates that it is best to surgically remove multiple ingested magnets without delay to avoid intestinal perforation, fistula, and other complications such as volvulus.Öğe Management and treatment of splenic trauma in children(Edizioni Luigi Pozzi S.r.l., 2015) Arslan S.; Guzel M.; Turan C.; Doğanay S.; Kopru M.AIM: TO assess types of splenic traumas, accompanying injuries, their management and results. METHODS: We studied the reports of 90 patients (64 boys, 26 girls) who were treated for splenic injuries as a result of blunt abdominal trauma between 2005-2012. Age, sex, hospitalization time, mechanisms of traumas, accompanying injuries and management methods were recorded. RESULTS: Causes of trauma were falls from height (46 patients, 51 %), pedestrian traffic accidents (17 patients, 19%), passenger traffic accidents (11 patients, 12%), bicycle accidents (10 patients, 11%) and falling objects from height (6 patients, 6.6%). Splenic injury alone was observed in 57patients (63.3%) and other organ injuries together with splenic injury in 33 patients (36.7%). Splenectomy was performed in six patients (6.6%) due to hemodynamic instability and small intestine repair due to small intestine injury in one patient (1.1%). None of these patients died from their injuries. CONCLUSION: A large proportion of splenic injuries recover with conservative therapy. Some of the advantages of conservative therapy include short hospitalization time, less need for blood transfusion, and less morbidity and mortality. Falls from height and traffic accidents are important factors in etiology. The possibility of other organ injuries together with splenic injuries should be considered.Öğe Operative and non-operative management ofchildren with abdominal gunshot injuries(Turkish Association of Trauma and Emergency Surgery, 2018) Arslan M.Ş.; Zeytun H.; Arslan S.; Basuguy E.; Okur M.H.; Aydoğdu B.; Göya C.BACKGROUND: Non-operative management (NOM) is a standard treatment method for solid organ injuries worldwide. There is no consensus on the management of gunshot wounds (GSW) because of the higher frequency of hollow viscus injuries (HVI) and the unpredictable depth of tissue damage produced by kinetic energy transfer during retardation of the bullet. Here we aimed to reevaluate indications for surgery and NOM based on our pediatric patients with abdominal GSW. METHODS: We performed a retrospective analysis of patients evaluated and treated for abdominal GSW at University of Dicle between January 2010 and October 2016. Patients with hemodynamic instability, signs of peritonitis on serial abdominal examination, and free air in the abdomen underwent laparotomy; these were included in group I (n=17). Patients managed non-operatively were included in group II (n=13). RESULTS: Our statistical analysis showed significantly lower Hb levels and systolic blood pressure levels (p<0.001) and higher pulse rate, higher mean injury severity score, and longer length of stay at intensive care unit in patients in group I than in those in group II (p<0.001). We further detected colon perforation (n=10) and small bowel perforation (n=7) in patients in group I; liver laceration (n=4), splenic injury (n=1), and renal injury (n=3) but no solid organ injury or HVI (n=5) were detected in patients in group II. CONCLUSION: The major drawback of NOM is the difficulty in diagnosing HVI in abdominal GSW, which may delay treatment. We suggest that patients with solid organ damage who are hemodynamically stable and exhibit no signs of peritonitis upon serial abdominal exam may be treated with NOM. © 2018 Turkish Association of Trauma and Emergency Surgery.Öğe The outcome of percutaneous nephrolithotomy using intravenous catheter for obtaining percutaneous access as a treatment for renal stone disease in children: A Pilot Study(Urology and Nephrology Research Centre, 2016) Arslan M.S.; Zeytun H.; Basuguy E.; Arslan S.; Aydogdu B.; Okur M.H.Purpose: Using percutaneous nephrolithotomy (PNL), it is easy to reach stones in various parts of the kidney via a single access tract. In the current study, we set out to demonstrate that the intravenous catheter is a safe way to gain renal access, and that PNL is safe in children. Materials and Methods: We retrospectively reviewed the medical records of patients who underwent PNL as a treatment for renal stone disease at our center between September 2013 and December 2014. There were no specific exclusion criteria. We used 14 gauge intravenous catheter for renal access in all cases. Results: Eleven of the 32 patients (34.4%) were female and 21 (65.6%) were male. The mean ± SD patient age was 4.7 ± 3.71 years (9 months-16 years). Six patients (18.7%) were infants less than 1 year of age. Fifteen of the stones (46.8%) were located in the right kidney, and 17 of the stones (53.1%) were located in the left kidney. The average stone size was 13.9 ± 4.8 mm (range, 12-28). The average duration of operation was 69.7 ± 10.4 minutes (range, 50-110), and the average duration of fluoroscopy was 2.21 ± 1.06 minutes (range, 1-6). There were complications in 5 of the cases (15.6%). Conclusion: The access and dilatation stages are quite important. We propose that the intravenous catheter is a safe and inexpensive tool for renal access in PNL in pediatric age group patients.
