Examination of grip strength, wrist proprioception and fine motor skills in smartphone use

International Mediterranean Congress (5. : 2024 : Mersin-Türkiye)Amaç: Bu çalışma, gençlerde akıllı telefon kullanımında kavrama kuvveti, el bileği propriosepsiyonu ve ince motor becerisini incelemek amacıyla yapıldı. Yöntem: Çalışmaya, 18-25 yaş arası Akıllı telefon bağımlısı olan 40 genç dahil edildi. Katılımcıların sosyodemografik özellikleri alındıktan sonra, Akıllı Telefon Bağımlılığı Akıllı Telefon Bağımlılığı Kısa Form ile akıllı telefon kullanımları incelendi. Katılımcılar, günlük akıllı telefonla kullanım sürelerine göre üç gruba ayrıldı (1. Grup (Günde 1-2 saat), 2. Grup (Günde 3-4 saat) ve 3. Grup (Günde 5-6 saat)). Katılımcıların kaba kavramaları Jamar el dinamometresi ile, el bileği eklem pozisyon hissi dört farklı pozisyonda (fleksiyon, ekstansiyon, radyal ve ulnar deviasyon) gonyometrik platform ile, ince motor becerileri ise Purdue Pegboard Testi ile değerlendirildi. Bulgular: Gençlerde, gruplar arasında Kavrama Kuvveti puanlarında anlamlı farklılık olmadığı görüldü (p>0,05). İstatiksel olarak farklılık görülmese de akıllı telefon kullanma süresi 5-6 saat aralığında olan gençlerin, 1-2 saat aralığında kullanıcı olan gençlere göre kavrama kuvveti puanları daha yüksekti. Akıllı telefon kullanımında; Katılımcıların, akıllı telefon kullanım sürelerine arasında fleksiyon ekstansiyon ve ulnar deviasyon propriyosepsiyon puanları arasında anlamlı bir fark olmadığı (p>0,05), radial deviasyon propriyosepsiyon değerlerinde anlamlı bir fark olduğu görüldü (p>0,05). Gruplar arasında İnce Motor Becerileri akıllı telefon kullanım süreleriyle anlamlı bir farklılık olmadığı sonucuna varıldı (p>0,05). Sonuç: Çalışmamızın sonuçlarını incelediğimizde Akıllı telefon bağımlısı genç bireylerde akıllı telefon kullanım süresi ile kavrama kuvveti, ince motor becerilerilerinin değişmediği, radial deviasyon yönde el bileği propriyosepsiyonun akıllı telefon kullanımı ile değiştiği sonucuna varıldı.Purpose: This study was conducted to examine grip strength, wrist proprioception and fine motor skills in smartphone use in young people. Method: 40 young people aged 18-25 who are addicted to smartphones were included in the study. After the sociodemographic characteristics of the participants were taken, their smartphone usage was examined with the Smartphone Addiction Short Form. Participants were divided into three groups according to their daily smartphone usage time (Group 1 (1-2 hours per day), Group 2 (3-4 hours per day) and Group 3 (5-6 hours per day)). Participants' gross grasp was evaluated with a Jamar hand dynamometer, wrist joint position sense was evaluated with a goniometric platform in four different positions (flexion, extension, radial and ulnar deviation), and fine motor skills were evaluated with the Purdue Pegboard Test. Results: In young people, there was no significant difference in Grip Strength scores between groups (p>0.05). Although there was no statistical difference, the grip strength scores of young people who used smartphones for 5-6 hours were higher than those who used smartphones for 1-2 hours. In smartphone use; It was observed that there was no significant difference in the flexion extension and ulnar deviation proprioception scores of the participants according to the duration of their smartphone use (p>0.05), but there was a significant difference in the radial deviation proprioception values (p>0.05). It was concluded that there was no significant difference between the groups in Fine Motor Skills and smartphone usage time (p>0.05). Conclusion: When we examined the results of our study, it was concluded that grip strength and fine motor skills did not change with the duration of smartphone use in young individuals addicted to smartphones, and wrist proprioception in the radial deviation direction changed with smartphone use.No sponso

Effects of robotic-assisted gait training on physical capacity, and quality of life among chronic stroke patients: a randomized controlled study

Background: Even though robotic therapy is becoming more commonly used in research protocols for lower limb stroke rehabilitation, there still is a significant gap between research evidence and its use in clinical practice. Therefore, the present study was designed assuming that the wearable mobile gait device training for chronic stroke patients might have different effects on functional independence when compared to training with a stationary gait device. The present study aims to examine the effects of gait training with ExoAthlet exoskeleton and Lokomat Free-D on functional independence, functional capacity, and quality of life in chronic stroke patients. Methods: The present study included 32 chronic stroke patients. Participants were randomly divided into two groups. Functional independence of patients was evaluated by using Functional Independence Measure (FIM), physical function was assessed by using the 30-second chair stand test (30-CST), functional capacity was measured by using the 6-Minute Walk Test (6MWT), and quality of life was assessed by using Short Form 36 (SF36). All participants underwent a conventional physiotherapy program for eight weeks, three sessions per week, and each session lasted 60 min. After the physiotherapy program, one group received gait training by using ExoAthlet exoskeleton (ExoAtlet 1 model/2019, Russia), while the other group received training by using Lokomat Free-D (Hocoma, Lokomat Pro Free-D model/2015, Switzerland). Participants were assessed at baseline and post-intervention. Results: Results achieved in this study revealed that there was a statistically significant difference between FIM, 30-CST, 6MWT, and SF36 scores before and after the treatment in both groups (p 0.05). However, there was a statistically significant difference between Exoskeleton ExoAthlet and Lokomat FreeD groups in terms of SF-36 sub-parameters “vitality”, “mental health”, “bodily pain”, and “general health perception” (p < 0.05). Conclusions: This study demonstrated that the use of ExoAthlet exoskeleton and Lokomat Free-D in addition to conventional physiotherapy, was effective in improving functional independence, physical function, functional capacity, and quality of life among chronic stroke patients. Incorporation of robotic gait aids into rehabilitation for chronic stroke patients might offer significant advantages.No sponso

Neural network predictions of (α, n) reaction cross sections at 18.5±3 MeV using the Levenberg-Marquardt algorithm

In recent developments, artificial neural networks (ANNs) have demonstrated their capability to predict reaction cross-sections based on experimental data. Specifically, for predicting (a,n) reaction cross-sections, we meticulously fine-tuned the neural network’s performance by optimizing its parameters through the Levenberg-Marquardt algorithm. The effectiveness of this approach is corroborated by notable correlation coefficients; an R-value of 0.90928 for overall correlation, 0.98194 for validation, 0.99981 for testing, and 0.94116 for the comprehensive network prediction. We conducted a rigorous comparison between the results and theoretical computations derived from the TALYS 1.95 nuclear code to validate the predictive accuracy. The mean square error value for artificial neural network results is 7620.92, whereas for TALYS 1.95 calculations, it has been found to be 50,312.74. This comprehensive evaluation process validates the reliability of the ANN based on the Levenberg-Marquardt algorithm in approximating the reaction sections, thus demonstrating its potential for comprehensive investigations. These recent developments confirm the feasibility of using ANN models to gain insight into (a,n) reaction cross-sectionsNo sponso

Investigation of cervical joint position sensation and cervical deep flexor muscle endurance in healthy individuals: pilot study

Amaç: Bu çalışma, sağlıklı bireylerin servikal bölge eklem pozisyon hissi ve derin servikal flexor kas enduransını ve bu parametrelerin birbirleri arasındaki ilişkiyi incelemek amacıyla bir pilot çalışma olarak planlandı. Yöntem: Çalışma 18-50 yaş aralığında sağlıklı (n=15) birey dahil edildi. Çalışmaya katılanların 11’i kadın, 4’ü erkektir. Çalışmaya katılmaya gönüllü olan bireylerin sosyodemografik bilgileri alındıktan sonra servikal eklem pozisyon hissleri eklemi yeniden pozisyonlama testi ile fleksiyon, ekstansiyon, sağsol lateral fleksiyon, sağ-sol rotasyon olmak üzere 6 yönde gerçekleştirildi. Her bir yön arasında 1 dakika ara verildi. Hareket yönlerinin ve tekrarların her biri için orjinden sapma x ve y eksenlerindeki sapma ‘cm’ cinsinden not edildi. .Referans noktasından konum noktasına çizilen çizgi ( R ) eklem konumu hatası olarak kabul edildi. Santimetre cinsinden ölçülen yeniden konumlandırma hataları; Açı= tan−1 [R/90cm] formülü ile açısal olarak hesaplandı. Servikal derin fleksör kas enduransı ‘Derin Servikal Fleksör Endurans Testi’ ile değerlendirildi. Çalışmaya katılan bireylere supin pozisyonda uzanması ve başını yataktan 2.5 cm kadar kaldırması istendi. Boğaz kıvrımlarının kaybolması ve başın yerle teması durumunda teste son verildi. Geçen süre kronometre ile takip edildi ve geçen süre saniye cinsinden not alındı. Bulgular: 15 kişilik sağlıklı grubun fleksiyon yönündeki eklem pozisyon hatası aritmetik ortalaması 3.94(±0,41) derece, ekstansiyon yönündeki eklem pozisyon hatası ortalaması 3.75(±0,35) derece, sağ rotasyon yönündeki eklem pozisyon hatası ortalaması 3,97(±0.29) derece, sol rotasyon yönündeki eklem pozisyonlama hatası ortalaması 3.86(±0.35) derece, sağ lateral fleksiyon yönündeki eklem pozisyonlama hatası aritmetik ortalaması 3.65(±0.49) derece, sol lateral fleksiyon yönündeki eklem pozisyonlama hatası aritmetik ortalaması 3,35(±0.45) derece ve derin fleksör kas enduransı aritmetik ortalaması 69.06(±15,14) saniye olarak bulundu. Sağlıklı bireylerde servikal eklem pozisyon hissi ile servikal derin fleksör kas enduransı arasında bir ilişki bulunmadı (p>0.05). Tartışma: Bu çalışma sağlıklı bireylerde servikal derin fleksör kas enduransı, servikal eklem pozisyon hissi verilerini vermek ve aralarındaki ilişkiyi göstermek için bir önbilgi niteliğindedir. Gelecek çalışmalar için daha büyük bir popülasyon ile çalışma yapılması önerilir.Objective: This study was planned as a pilot study to investigate the cervical joint position sense and deep cervical flexor muscle endurance of healthy individuals and the relationship between these parameters. Method: Healthy individuals (n=15) aged between 18-50 years were included in the study. Eleven of the participants were female and four were male. After the sociodemographic information of the individuals who volunteered to participate in the study was obtained, cervical joint position sensations were performed with the joint repositioning test in 6 directions: flexion, extension, right-left lateral flexion, right-left rotation. There was a 1 minute break between each direction. For each of the movement directions and repetitions, the deviation from the origin in the x and y axes was noted in ‘cm’. The line drawn from the reference point to the position point (R) was considered as the joint position error. Repositioning errors measured in centimetres were calculated angularly with the formula Angle= tan−1 [R/90cm]. Cervical deep flexor muscle endurance was evaluated with the ‘Deep Cervical Flexor Endurance Test’. The individuals participating in the study were asked to lie in the supine position and raise their head 2.5 cm from the bed. The test was terminated in case of disappearance of the throat folds and contact of the head with the ground. The elapsed time was monitored with a stopwatch and the elapsed time was noted in seconds. Results: In the healthy group of 15 people, the arithmetic mean of joint positioning error in flexion was 3.94(±0,41) derece degrees, the arithmetic mean of joint positioning error in extension was 3.75(±0,35) degrees, the arithmetic mean of joint positioning error in right rotation was 3,97(±0.29) degrees, the arithmetic mean of joint positioning error in left rotation was 3.86(±0.35) degrees, arithmetic mean of joint positioning error in the right lateral flexion direction was 3.65(±0.49) degrees, arithmetic mean of joint positioning error in the left lateral flexion direction was 3,35(±0.45) degrees and arithmetic mean of deep flexor muscle endurance was 69.06(±15,14) seconds. No correlation was found between cervical joint position sense and cervical deep flexor muscle endurance in healthy subjects (p>0.05). Discussion: This study is preliminary to provide data on cervical deep flexor muscle endurance, cervical joint position sense and to show the relationship between them in healthy individuals. A larger population is recommended for future studies.No sponso

Geriatrik bireylerde reaksiyon zaman egzersizlerinin fiziksel fonksiyonellik ve yaşam kalitesi üzerine etkisi-kontrolsüz bir çalışma

Objective: This study was conducted to investigate the effects of reaction time (RT) exercises on functional independence, static balance, fall risk, upper and lower extremity RT, and quality of life in older adults. Methods: Forty participants aged 65-77 years were included in the study. Participants’ functional independence was evaluated using the Functional Independence Scale, static balance using the SingleLeg-Squat Test, fall risks using the Morse Fall Scale, lower- and upper-extremity RT’s using the Light Trainer Flash Light Exercise System (Model LTV2, Turkey, 2017), and their quality of life using the Short Form-36. RT exercises were performed using the Light Trainer Flash Light Exercise System for six weeks, three days a week. Measurements were repeated after the treatment. Results: In the older adults examined, there was a significant difference between before and after the 6-week exercise protocol in functional independence, static balance, fall risk, upper- and lowerextremity RT, and quality of life (p<0.05). Conclusion: The study showed that a 6-week RT exercise program had positive effects on functional independence, static balance, fall risk, upper- and lower-extremity RT, and quality of life in older adults. The results showed that reaction-time exercises can be added to rehabilitation protocols for older adults and can be used in clinical settings.Amaç: Bu çalışma, geriatrik bireylerde reaksiyon zaman (RZ) egzersizlerinin fonksiyonel bağımsızlık, statik denge, düşme riski, üst ve alt ekstremite RZ ve yaşam kalitesi üzerindeki etkilerini araştırmak amacıyla yapılmıştır. Yöntemler: Çalışmaya, 65-77 yaş aralığında 40 geriatrik birey dahil edildi. Geriatrik bireylerin sosyodemografik özellikleri kaydedildikten sonra fonksiyonel bağımsızlıkları, Fonksiyonel Bağımsızlık Ölçeği ile, statik dengeleri Tek Ayak Üzerinde Durma Testi ile, düşme riskleri Morse Düşme Ölçeği ile, alt ve üst ekstremite RZ'ler, Light Trainer Flash Light Exercise System (Model LTV2, Türkiye, 2017) ile yaşam kaliteleri Kısa Form-36 ile değerlendirildi. Bireylere altı hafta süreyle, haftada üç gün Light Trainer Flash Light Exercise System ile RZ egzersizleri yaptrıldı ve 6 hafta sound değerlendirme parametreleri bakımından ölçümler tekrarlandı. Bulgular: Geriartrik bireylerde, altı haftalık RZ egzersiz ve sonrası sonuçları arasında fonksiyonel bağımsızlık, statik denge, düşme riski, bilişsel beceri, üst ve alt ekstremite RZ ve yaşam kalitesi bakımından anlamlı fark olduğu görüldü (p<0,05). Sonuç: Çalışma, 6 haftalık RZ egzersiz programının yaşlı yetişkinlerde fonksiyonel bağımsızlık, statik denge, düşme riski, üst ve alt ekstremite RZ'si ve yaşam kalitesi üzerinde olumlu etkileri olduğunu gösterdi. Sonuçlar, RZ egzersizlerinin yaşlı yetişkinler için rehabilitasyon protokollerine eklenebileceğini ve klinik ortamlarda kullanılabileceğini gösterdi.No sponso

Turkish adaptation, validation, and reliability of the US Adult Food Security Survey Module (AFSSM) in university students

Objective: To evaluate the validity and reliability of the Turkish version of the US Adult Food Security Survey Module (AFSSM). Design: A cross-sectional study collected data from 117 university students. The AFSSM Questionnaire was completed by all participants. Psychometric evaluation for scale, content, construct, and convergent validity and reliability of the scale was tested. The construct validity was assessed by Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) on data collected from university students. Cronbach’s α (internal consistency) and composite reliability were used to assess the reliability (p<0.05). Setting: Students were recruited from the university. Participants: This research was conducted with volunteer university students with a mean age of 22.74 ± 4.19 years. Results: Three factors were extracted from 8 items through EFA: (1) inadequate nutrition, (2) economic concern, and (3) hunger. These factors accounted for 77.4% of the total variance, and factor loadings ranged from 0.755 to 0.953. Cronbach’s α was 0.769. The results of the CFA suggested the fit indices were acceptable (χ2/SD = 0.235, root mean error of approximation: 0.034, goodness-of-fit index: 0.994, comparative fit index: 0.992, and normed fit index: 0.986). Conclusions: This is the first study that validates and reports the Turkish version of AFSSM in university students and the results of our study show that the Turkish AFSSM is a valid and reliable tool for determining food security in university students. AFSSM can be used by researchers to examine the food security of university students.No sponso

The place of a gluten-free diet in the management of hashimoto thyroiditis

Hashimoto tiroiditi ve Graves hastalıkları, sırasıyla hipotiroidi ve hipertiroidiye yol açan ve en yaygın görülen otoimmün tiroid hastalıklarıdır. Son yıllarda Hashimoto tiroiditinde gluten tüketiminden kaçınmak, popüler bir eğilim haline gelmiştir. Glutensiz diyetin ana ilkesi, içerisinde gluten bulunan buğday, arpa, çavdar, yulaf ve bunları içeren bütün yiyecek, içecek, ilaç ve besin takviyelerinin diyetten çıkarılmasıdır. Ancak glutensiz diyet aslında bir ince bağırsak enteropatisi olan çölyak hastalığı için mevcut bir tedavi şeklidir. Ayrıca gluten eliminasyonundan sonra hastalar, selenyum, iyot, magnezyum, çinko ve bakır eksikliği açısından risk altında olmaktadır. Bunun yanında glutensiz diyetler, sürdürülmesi zor ve pahalı diyetlerdir. Glutensiz diyetin, Hashimoto tiroiditi gibi otoimmün tiroid hastalıklarının ilerlemesi ve potansiyel komplikasyonları açısından fayda sağlayabileceği bildirilmektedir. Hashimoto tiroiditi hastaları değerlendirilirken, mutlaka eşlik eden çölyak hastalığının varlığı da sorgulanmalıdır. Glutensiz diyetin Hashimoto tiroiditi hastalığının yönetiminde kullanılmasına dair yapılan çalışmalar yetersizdir ve glutensiz diyetin Hashimoto tiroiditi olan hastalara önerilmesi için yeterli kanıt bulunmamaktadır. Bu çalışmada, otoimmün tiroid hastalıklarından Hashimoto tiroiditinin yönetiminde glutensiz diyet uygulamaları ile ilgili yapılan çalışmaları derlemek, bilimsel açıdan değerlendirmek ve literatüre yeni bilgiler kazandırmak amaçlanmıştır.Hashimoto's thyroiditis and Graves' disease are the most common autoimmune thyroid diseases that cause hypothyroidism and hyperthyroidism, respectively. In recent years, avoiding gluten consumption in Hashimoto's thyroiditis has become a popular trend. The main principle of the gluten-free diet is to exclude wheat, barley, rye, oats and all foods, beverages, medicines and nutritional supplements containing gluten from the diet. But the gluten-free diet is actually an existing form of treatment for celiac disease, a small intestinal enteropathy. In addition, after gluten elimination, patients are at risk for selenium, iodine, magnesium, zinc and copper deficiencies. In addition, gluten-free diets are difficult and expensive to maintain. It is reported that a gluten-free diet may provide benefits in terms of progression and potential complications of autoimmune thyroid diseases such as Hashimoto's thyroiditis. When evaluating patients with Hashimoto's thyroiditis, the presence of concomitant celiac disease should also be questioned. Studies on the use of a gluten-free diet in the management of Hashimoto's thyroiditis are insufficient and there is insufficient evidence to recommend a gluten-free diet to patients with Hashimoto's thyroiditis. In this study, it was aimed to review the studies on gluten-free diet practices in the management of Hashimoto's thyroiditis, one of the autoimmune thyroid diseases, to evaluate them scientifically and to provide new information to the literature.No sponso

Environmental toxicology and human health

No sponso

Urban street imageability in Manama old town, Bahrain

International Architectural Sciences and Applications Symposium (3. : 2023 : Naples, Italy)Urban Design Quality Assessment has been developed as an important approach for the study of urban quality with several criteria and measures. This research used Imageability for the assessment of urban design quality in the streets of old Manama, the capital of the Kingdome of Bahrain. It has been going through many developments that brought many changes to the urban quality of the city. These developments have been mainly concentrated in the northern part of the city giving it a new modern character. Old Manama, on the southern side of the new city, kept its traditional urban structure. There is always a need to study the quality of urban design in such situations to understand the relationship between traditionality and modernity, and continuity and change. The assessment depended mainly on a field survey of some streets with observation and photographing. The photos then were analyzed to explore the quality Imageability through these streets. The research shows that Imageability has distinguished aspects in old Manama but still there is a need for improvement. This research also highlights the subjectivity and inaccuracy of using such criteria and measures for the study of urban character and still there is a lot to be done to improve these criteria and tools.Antalya Bilim Universit

Mobile care app development process: using the ADDIE model to manage symptoms after breast cancer surgery (step 1)

The use of mobile applications is widespread in patient monitoring or education today. This study aims to describe the design and development process of a mobile app that supports patient self-care after breast cancer surgery. We used the ADDIE model to develop and test the mobile app. ADDIE (Analysis, Design, Development, Implementation, Evaluation) is a systematic approach based on a standard instructional design model for creating training materials. The model consists of fve phases, each with its own set of steps. Once the steps within each phase are completed, the model progresses to the next phase, ultimately resulting in a “usable” product. Diferent team collaborations were established within each phase, and support was obtained from multiple experts during the design process. Thanks to this model, the information that patients need was transformed into a technological product. This article, which explains the stages of the product design process for mobile applications, provides information that may be helpful to researchers working on similar products.No sponso