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Curcumin plays an important role in controlling the physiological mechanisms of inflammation and protein degradation. The aim of this study is to investigate the effect of curcumin in turmeric on muscle damage in athletes. The present research is a quasi-experimental study applied for 45 volunteers from different active sports which were selected as a statistical sample with relative random sampling and received the desired supplement or placebo for two weeks, and were randomly divided into three groups: Maltodextrin placebo control group, (Pla 0.1gr/Kg/day), experimental group 1: intake of curcumin turmeric (Cur 1000mg/day) one hour before the test, experimental group 2: intake of curcumin turmeric (Cur 1000mg/day) immediately after the test. Before warm-up and protocol, immediately after protocol and 24 hours after resistance training protocol which included lower body leg press and upper body chest press with 80% of 1RM, 5 cc venous blood was collected from upper arm vein using syringe, and creatine kinase (CK) and lactate dehydrogenase (LDH) indices were measured by photometric method. Eventually, the obtained results were analyzed with SPSS24 software. The mean value of CK and LDH in the second phase after taking curcumin compared to the first phase and the control group, showed a significant decrease (p 0.05). Thus, it can be concluded that curcumin contained in turmeric reduces the indicators of muscle damage (CK and LDH) in athletes.

Background This study aimed to compare short- and long-term outcomes after robotic versus laparoscopic approach in patients undergoing curative surgery for rectal cancer. Methods Patients undergoing elective robotic and laparoscopic resection for rectal cancer were included. Perioperative clinical characteristics, postoperative short- and long-term outcomes were compared between groups. Results There were 72 and 44 patients in robotic (RG) and laparoscopic (LG) groups respectively. No differences were detected regarding patients' demographics, histopathologic outcomes, conversion rates and 30-day overall postoperative complication rates. Operative time was longer in the RG (341 ± 111.7 vs. 263 ± 97.5 min, p = 0.001) and length of stay was longer in the LG (4.4 ± 1.9 vs. 6.4 ± 2.9 days, p = 0.001). The 5-year overall and disease-free survival rates were similar (97.1% and 94.9%, p = 0.78; 86.2% and 82.7%, p = 0.72) between the groups. Conclusion This study showed both short and long-term outcomes of a limited number of included patients between the robotic and laparoscopic surgery were similar. However, future studies and randomized trials are necessary to establish these findings.

Background Data regarding the outcomes of pure minimally invasive techniques of radical gastrectomy are scarce. We aimed to compare short-term post-operative outcomes in patients undergoing totally minimally invasive radical gastrectomy with the da Vinci Xi® robotic system versus straight laparoscopy for gastric adenocarcinoma. Methods Between December 2013 and March 2018, robotic and laparoscopic radical gastrectomy performed in two centres were included. Both groups were compared with respect to perioperative short-term outcomes. Results Ninety-four patients were included in the study. Anticoagulant and neoadjuvant chemotherapy use were higher in the robotic group (p = 0.02, p = 0.02). There were conversions in the laparoscopy group whereas no conversions occurred in the robotic group (p = 0.052). Operating time in the robotic group was longer (p = 0.001). The number of harvested lymph nodes in the laparoscopic group was higher (p = 0.047). Conclusion Totally robotic technique with the da Vinci Xi® robotic system provides similar short-term results compared to laparoscopic surgery in radical gastrectomy.

Today, one of the primary goals of many schools in non-native English-speaking countries is to improve their students' level of English Competency. Many different approaches are used for this goal. In this study, one of these approaches, Action Learning Management Development (ALMD) Approach has been examined to study the present state and desirable state in academic management approaches to develop Siriwat Wittaya Primary students’ English Competency. A survey was conducted at Siriwat Wittaya School to determine the applicability of ALMD to increase English Competency of Primary students. The questionnaire was applied to 2 administrators and 12 foreign teachers who teach their subjects in English in Primary at Siriwat Wittaya School. The results were analyzed in SPSS program. Mean, standard deviation and PNI analyzes were performed for each stage in the ALMD both for the present state and the desirable state. As a result of the analysis, it was found that the writing skills’ priority need were high. According to the results of the analysis and the feedback from the teachers, it was revealed that some changes should be made in the ALMD approach. Because of this need, Project-Based Development (PBD) approach has been developed. The proposed PBD Approach consisted of 5 stages; need analysis (analyze and present problems), projects (set and agree on mutual goals), action plan (set joint diagnosis strategies and environment), action (develop and implement joint action plans) and evaluation (examine the results of action taken, revise strategies and leave participants self-supporting). There are some features that are not found in ALMD such as need prioritization and dynamic development. As a further study, the approach is planned to be tested with wide application through broad participation of Primary foreign teachers.

The purpose of this study is to examine the relationships between the levels of self-confidence and motivation of high school students participating sport contests at school and the various demographic variables (gender, high school type, sport age, sports branch and sport category). In the study, survey model, which is frequently used in descriptive research method is used. The population of the study consisted of students who studied at high schools and those who attended contests in Adıyaman, while sample consisted of 856 athletes, 39% of whom were female students (334) and 61% (522) of whom were male students. To collect data for the study, personal data form, ''Motivation in Sport'' scale, which was developed by Pelletier et al. (1995) and adapted to Turkish by Pelletier et al. and ''Self-confidence'' scale developed by Akın (2007) were used. SPSS 21.00 package program was used for data analysis. Multiple regression analysis, Pearson product-moment correlation co-efficient technique, independent t-test and one-way analysis of variance were performed in the quantitative data of the research. According to the findings obtained from the study, it was determined that there was a significant relationship between demographic information and self-confidence and motivation levels. While there was a significant difference in gender self-confidence level with intrinsic and extrinsic self-confidence and high school type sports branch, there was no significant difference between sport age and sport category. A significant relationship was found between the sub-dimension of non-motivation, intrinsic motivation and extrinsic motivation, and there was no significant relationship with other independent variables such as gender, sports branch, sport category and sport age. Based on these results, it is recommended that secondary school students participate in sports competitions to have some elements that may have positive effects on their self-confidence and motivation. © 2019 by authors, all rights reserved.

BACKGROUND In this study, we aimed to compare short- and long-term outcomes between laparoscopic totally extraperitoneal (L-TEP) and robotic transabdominal preperitoneal (R-TAPP) inguinal hernia repair. METHODS Patients were classified into two groups: L-TEP and R-TAPP. The groups were case-matched in a 1:1 ratio based on age, gender, and body mass index (BMI). RESULTS Out of 86 patients, 43 patients were matched in each group based on the study criteria. Demographics were comparable between the groups. Operative time was significantly longer for the R-TAPP compared to L-TEP (129.1 ± 47.2 min vs 92.5 ± 28.3 min; P

Background Stoma creation is a common procedure in colorectal surgery. Despite improved surgical techniques, ostomy-related wound complications may prolong the recovery period and impair health-related quality of life. Negative pressure wound therapy (NPWT), autolytic debridement agents, and silver dressings are often used for managing complex wound infection and dehiscence. These applications have the potential to increase patient comfort and accelerate recovery. Case We report our experience in a 66 year old female who had a wound dehiscence involving the ostomy after robotic abdominoperineal resection. Her medical history was significant for a rectovaginal fistula which occurred after a low anterior resection for rectal cancer 5 years ago. Interventions for treatment of the dehiscence were use of NPWT, autolytic debriding agent, and silver dressing. Conclusion Combined use of these interventions for dehiscence of an ostomy can minimize patient discomfort and accelerate wound healing.

Data regarding the outcomes of pure minimally invasive techniques of radical gastrectomy are scarce. We aimed to compare short-term post-operative outcomes in patients undergoing totally minimally invasive radical gastrectomy with the da Vinci XiBetween December 2013 and March 2018, robotic and laparoscopic radical gastrectomy performed in two centres were included. Both groups were compared with respect to perioperative short-term outcomes.Ninety-four patients were included in the study. Anticoagulant and neoadjuvant chemotherapy use were higher in the robotic group (p = 0.02, p = 0.02). There were conversions in the laparoscopy group whereas no conversions occurred in the robotic group (p = 0.052). Operating time in the robotic group was longer (p = 0.001). The number of harvested lymph nodes in the laparoscopic group was higher (p = 0.047).Totally robotic technique with the da Vinci Xi

Background Introduction of the da Vinci Xi system has facilitated the use of robotics in colorectal surgery. Nevertheless, data on the outcomes of robotic surgery for the treatment of colonic diverticulitis have remained scarce. Methods Patient demographics, clinical characteristics, and perioperative outcomes of the patients undergoing totally robotic with the da Vinci Xi system or laparoscopic surgery for left-sided colonic diverticulitis (LCD) were compared. Results Laparoscopic and robotic groups included 22 and 20 patients, respectively. There were no significant differences between the two groups in terms of patient demographics, clinical characteristics, operative time, and postoperative complications. There were three conversions in the laparoscopy group and no conversion in the robotic group (P = 0.23). Conversion to open surgery was associated with postoperative morbidity (P = 0.02). Conclusion Robotic surgery is an applicable alternative for the treatment of LCD. Robotic approach may potentially lower the risk of operative morbidity by reducing the requirement of conversion.

The population of the research was the university staff who work within the faculty of education. Among 51 university staff, 23 participate insports regularly and 28 of whom don't. In the research, Personal Information Form which was developed by the researcher; Maslach Burnout Scale, the study of the validity and the "Job Satisfaction Scale was used as a data collection tool. As a result of the research; it was found out that there was a significant difference between the university staff who do and don't do sports regularly in terms of job satisfaction and level of burnout, in favour of those who do sports regularly. No statistical difference was found when the job satisfaction and levels of burnout of the university staff who do and don't do sports regularly according to their professional experiences.

Today, one of the primary goals of many schools in non-native English-speaking countries is to improve their students' level of English Competency. Many different approaches are used for this goal. In this study, one of these approaches, Action Learning Management Development (ALMD) Approach has been examined to study the present state and desirable state in academic management approaches to develop Siriwat Wittaya Primary students’ English Competency. A survey was conducted at Siriwat Wittaya School to determine the applicability of ALMD to increase English Competency of Primary students. The questionnaire was applied to 2 administrators and 12 foreign teachers who teach their subjects in English in Primary at Siriwat Wittaya School. The results were analyzed in SPSS program. Mean, standard deviation and PNI analyzes were performed for each stage in the ALMD both for the present state and the desirable state. As a result of the analysis, it was found that the writing skills’ priority need were high. According to the results of the analysis and the feedback from the teachers, it was revealed that some changes should be made in the ALMD approach. Because of this need, Project-Based Development (PBD) approach has been developed. The proposed PBD Approach consisted of 5 stages; need analysis (analyze and present problems), projects (set and agree on mutual goals), action plan (set joint diagnosis strategies and environment), action (develop and implement joint action plans) and evaluation (examine the results of action taken, revise strategies and leave participants self-supporting). There are some features that are not found in ALMD such as need prioritization and dynamic development. As a further study, the approach is planned to be tested with wide application through broad participation of Primary foreign teachers.

Background Limited data exist regarding adoption of evolving robotic technology in surgery. This study evaluated trends and the current condition of robotic platforms in surgical specialties and general surgical subspecialties. Methods Between January 2013 and December 2017, all robotic operations performed in Turkey were included. Results In the study period, 13 760 robotic operations were performed at 32 hospitals. The median numbers of general surgical procedures were 43and eight cases per hospital and per general surgeon, respectively. The high-volume general surgeons performed 1734 (81%) of the cases. Forty-five percent and 55% of the general surgical operations were performed with the Xi and S/Si robots, respectively. Conclusion Use of the Xi platform seems to increase caseload in general surgery operations possibly by facilitating robotic colorectal surgery. Targeting the high-volume centres and surgeons for further training and implantation of upcoming robotic technology can be more effective in terms of increasing case volume and improving outcomes.

The degree of an individual patriotism is expected to influence his social duty performance and responsibility. So, it is a requirement to determine the factors effective on patriotism. So 555 students (F=307 n, M=248 n; M= 21 yrs) from Atatürk University participated in this study. Patriotism Attitude Scale (PAS) developed by Yazıcı (2010) was used to obtain the data. Data was analysed by In-depended T test and one way ANOVA at P=0.05 level. The results showed that there is a significantly difference between gender, family structure and performance level of sportive activities and the degree of patriotism attitude. There was not significantly difference between age and patriotism. The means of constructive patriotism (CP), subscale of PAS, among sport performing students are higher than sedentary subjects. Performance of sport activities has favourable effects on patriotism level. Sport activities have positive effects on the physical, social and cognitive development of students.

Polyarteritis nodosa is a rare disorder and a form of systemic vasculitis. A 48 year-old female was admitted to the hospital because menorrhagia and pelvic pain in February 1993. The patient underwent exploratory laparotomy resulting in a total hysterectomy and bilateral salpingo-oophorectomy for myoma of uterus and a right adnexal cystic mass. Histopathologic examination revealed left ovarian periarteritis nodosa. Further investigation and 9 months follow-up failed to show any systemic involvement. To our knowledge the isolated ovarian polyarteritis nodosa is the first case in the literature.