75 research outputs found

    Mediterranean Diet Quality Index (MDQI) of the pregnant women

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    Introduction: This study aimed to determine pregnant women's nutritional status and habits in the middle and low-income groups and the level of compliance with the Mediterranean diet. The Mediterranean diet supports healthy fetal growth and development by providing sufficient nutrients for pregnant women and protecting against the development of obstetrical pathologies. Materials and Methods: One hundred and thirty-two pregnant women aged 17-45 were included. The demographic characteristics and anthropometric measurements, systolic blood pressure, fasting, and postprandial blood glucose values were noted.24-hour recall was determined and The Mediterranean Diet Quality Index (MDQI) developed by Gerber et al. was used to assess nutritional status. Nutritional habits and food attitude changes during gestation were recorded. Results: Overall, 15.2% of the pregnant women had good, 54.5% had medium-good, and %29.5 had medium-poor adherence to MDQI. The dietary macronutrient intakes were close to the daily dietary recommended intakes (DRI); however, micronutrient intakes were below the recommendations. Pre-pregnancy mean BMI was found to be 26.4 kg/m2. Conclusions: According to the mean pre-pregnant BMI, the pregnant women were overweight, and their adherence to the Mediterranean diet needed to be improved. General measures should be taken to improve pregnant women's diets and micronutrient intakes, even in the Mediterranean countries where this diet is the daily nutrition habit of local inhabitant pregnant women

    Assesment of Upper Gastrointestinal Bleeding in the Pediatric Emergency Department

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    Introduction:Upper gastrointestinal bleeding is an important emergency problem that can occur at any age in childhood and requires urgent treatment for the underlying cause. Etiological causes of gastrointestinal bleeding vary by age and geographic region. In this study; we aimed to investigate the demographic characteristics, etiological causes, endoscopic intervention results, and the relationship between analgesic/antipyretic drug use and bleeding in patients admitted to the pediatric emergency department with upper gastrointestinal bleeding.Methods:The records of patients aged 1 month to 18 years who presented to our pediatric emergency department with upper gastrointestinal bleeding between January 2017 and 2019 were retrospectively reviewed. Demographic features, complaints at admission, etiological reasons, endoscopy findings, diagnoses, and antipyretic/analgesic drug use were recorded.Results:There were 108 patients presenting with upper gastrointestinal bleeding, and 53.7% of the patients were male. The mean age was 76.7±58.3 months. Hematemesis was present in 100 patients. Symptoms of the patients; vomiting was present in 82.4%, upper respiratory tract infection in 36.1%, fever in 29.6%, and abdominal pain in 25.9%. There were 52 patients with a history of antipyretic and/or analgesic drug use. An endoscopic examination was performed in 74 patients. In patients who underwent endoscopic examination; pathological changes were detected in 26 of 32 patients who used drugs and 30 of 42 patients who did not use drugs.Conclusion:In patients presenting to the pediatric emergency department with upper gastrointestinal bleeding, the bleeding is usually acute and self-limiting, but requires prompt diagnosis and treatment. Approximately half of the patients in our study had a history of antipyretic/analgesic drug use in etiology. When the endoscopic findings of drug users and non-users were compared, no statistically significant difference was observed in terms of pathological findings

    5-6 yaş grubu çocuklarda farklı hareket eğitim modellerinin fiziksel gelişim ve fiziksel uygunluk özelliklerine etkisinin incelenmesi

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    1.ÖZET 5-6 YAŞ GRUBU ÇOCUKLARDA FARKLI HAREKET EĞİTİM MODELLERİNİN FİZİKSEL GELİŞİM ve FİZİKSEL UYGUNLUK ÖZELLİKLERİNE ETKİSİNİN İNCELENMESİÇalışmamız okul öncesi 5-6 yaş grubu çocukların fiziki gelişim ve fiziki uygunluk düzeylerinin, atletizm ve halk oyunları eğitim modellerinin aracılığı ile geliştirilmesine katkıda bulunmak ve hangi eğitim modelinin daha iyi olduğunu saptamak amacıyla yapılmıştır. Çalışmamıza gönüllü olarak katılan 5 ve 6 yaş aralığındaki çocuklar 20’ si deney (atletizm), 20’si deney (halk oyunları), 20’ si kontrol grubu olmak üzere toplam 60 kişiden oluşmaktadır. Deney grublarına 4 ay boyunca haftada 3 gün 40 dk süreyle alanları ile ilgili eğitim uygulanmıştır. Kontrol grubu günlük okul öncesi eğitim programına devam etmiştir. Değerlendirme her çocuk için ayrı ayrı 5 antropometrik (boy uzunluğu, vücut ağırlığı, oturarak boy, kulaç uzunluğu, bacak uzunluğu) ve 5 motor özelliklerini kapsayan (denge, esneklik, durarak uzun atlama, sağ ve sol el pençe kuvveti, disklere dokunma) testler uygulanarak gerçekleşmiştir.Yapılan istatistiksel analizler sonucunda; atletizm grubunun, ön-son test; boy, kilo, kulaç uzunluğu, oturma yüksekliği, durarak uzun atlama, sol el pençe kuvveti, sağ el pençe kuvveti, dengede durma süresi, disklere dokunma süresi ve oturarak uzanma mesafesi ölçüm değerlerinde (p0,05).4 ay çalışma süresi sonrası yapılan istatistik analizler sonucunda okul öncesi çocuklarımızın atletizm ve halk oyunlarına yönelik eğitim çalışmalarında fiziksel gelişim ve fiziksel uygunluk niteliklerinde mutlak gelişim değerleri artarken kontrol grubundaki çocukların mutlak gelişim değerleri düşük olduğu saptanmıştır. Anahtar Kelime : Fiziksel Gelişim, Fiziki Uygunluk, 5-6 Yaş Grubu Çocuklar2.SUMMARYTHE ANALYSIS OF THE IMPACT OF THE DİFFERENT MOVEMENT PROGRAMME MODELS ON THE PHYSICAL DEVELOPMENT AND DEVELOPMENTALLY APPROPRİATE PRACTİCE OF THE 5-6 YEARS OF THE AGE GROUPSThe aim of this study is to contribute to improvement of physical development and physical appropriateness level of preschool children aged 5-6 by means of athletics and folk dance education models and to determine which educational model is better. 60 children aged 5-6, 20 of which are experimental group (atletics), 20 of which are experimental group (folk dance), 20 of which are control group have participated in this study voluntarily. Education related to their fields has been applied to experimental groups for 4 months 3 days per week and 40 min for each day. Control group has continued daily preschool education programme. Each child has been assessed separately by taking tests 5 of which have anthropometric (height, weight, sitting height, stroke lenght, leg lenght), 5 of which have motor features (balance, elasticity, static long jump, right paw and left paw strenght, touching discs). As a result of the statistical analysis, a significant difference as (p0,05). As a consequence of mathematical-statistical analysis after a 4-month-study, it has been determined that in athletics and folk dance oriented educational studies, in physical development and physical appropriateness qualifications, absolute development values of preschool children have become better and higher while absolute development values of children in control group have been lower. Key Words: Physical Development, Physical Appropriateness, Children aged 5-

    Can Gastric Helicobacter Pylori Eradication Increase by Eradication of Oral Helicobacter Pylori by Periodontal Treatment? Literature Review

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    Periodontal diseases are chronic infectious diseases caused by microbial dental plaque local-ized on teeth. Periodontitis is very common worldwide. When not treated, it can cause alveolar bone loss and attachment loss and lead to loss of function in teeth over time, and the final pic-ture may be tooth loss. Helicobacter pylori is a spiral-shaped pathogen that can cause a wide range of diseases ranging from chronic gastric to gastric cancer, primarily colonized in the stomach and gastrointestinal system. Therefore, elimination of this potentially harmful bacterium is important. Although initially conventional systemic eradication therapy was successful, increasing antibiotic resistance and side effects decreased their success rates in the clinical setting. Additionally, increasing recurrence rates have prompted researchers to seek for alternative res-ervoirs for Helicobacter pylori. After isolation of Helicobacter pylori from dental plaque by culture method, researchers conducted trials to see whether the oral cavity could be a potential shelter for Helicobacter pylori. The following studies have detected Helicobacter pylori in the oral cavity. Interestingly, the Helicobacter pylori prevalence was higher in the oral cavity than in the stomach. Systemic antibiotics do not affect particularly Helicobacter pylori in dental plaque due to its biofilm structure. Therefore, it must be removed mechanically as in periodontal disease. As a matter of fact, clinical studies have shown that Helicobacter pylori infection treatment eradicates the bacteria in the stomach but does not affect the bacteria in the oral cavity. Moreover, clinical studies showed that periodontal treatment increases the success rate of gastric eradication therapy when used as an adjunct to the conventional triple eradication therapy. Based on these data, coordination of gastroenterologists with dentists may increase the success rate of gastric Helicobacter pylori eradication treatment. Therefore, the aim of this review is to discuss the existing evidence for the presence of Helicobacter pylori in the oral cavity and the contribution of periodontal treatment as an adjunct to gastric Helicobacter pylori eradication therapy

    Defınıng optımal retrıeval polıcy ın an automated storage and retrıeval system

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    Gelişen teknoloji, değişken müşteri talepleri, ürün çeşitliliği ve üretim sistemlerinin hızlı bir gelişim içinde olması işletme faaliyetlerinde önemli yer tutan depolama faaliyetlerini kritik bir noktaya taşımıştır. Bu durum ise depolama sistemlerinin ve faaliyetlerinin etkinleştirilmesi gerekliliğini ortaya çıkarmıştır. Yapılan çalışmada bir firmada kullanılan otomatik depolama sistemi için stok ataması, depolama ve stoktan çekme maliyetlerini minimize eden matematiksel bir model hazırlanmıştır. Model küçük boyutlu problemler için çözülmüştür ve optimal sonuç elde edilmiştir. Ancak problemin kombinatoryal bir yapıya sahip olması, büyük boyutlu problemin matematiksel model yardımıyla çözümünü güçleştirmiştir. Bu nedenle büyük boyutlu problemin çözümünde metasezgisel bir teknik olan tavlama benzetimi yöntemi kullanılarak çözüm yapılmış ve firma için uygun bir sipariş çekme politikası önerilmiştir.Improving technology, variable customer demands, variety of products and incresing improvement of production systems has brought storage facilities, which has an important role on business operations, to a critical point. This circumstance has revealed the necessity on activating of storage systems and operations. In this study, mathematichal model, which minimizes simultaneously storage allocation, storage retrieval and storage keeping costs, is generated for an AS/RS system of an enterprise. The mathematical model has runned for small solution space and optimal solution is obtained. The existing problem has an NP hard structure that's why this circumstance complicates to solve the existing problem with mathematical modelling in large solution space. That's why in this paper a simulated annealing algorithm, which is a metaheuristic technique, is presented for problems that have large solution space and an optimal order policy is proposed for handled firm

    Literature survey: Order picking policy and automated storage and retrieval systems (As/Rs)

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    Bir işletmenin en temel amacı, meydana getirdiği bir ürün veya hizmeti tüketicisine ulaştırıp çalıştığı, hizmet verdiği alanda gelir sağlamaktır. İşletmelerin varlıklarını devam ettirebilmeleri ve rekabet üstünlüğü sağlayabilmeleri için, ellerindeki kaynakları yüksek verimlilikle, yüksek kalitede ve düşük maliyetle sağlamaları gerekmektedir. Bir işletmede depolama faaliyetleri toplam işletme maliyetleri içinde önemli bir paya sahiptir. Sipariş toplama ise, depolama faaliyetleri arasında en maliyetli ve en çok işgücü gerektiren işlemlerden bir tanesidir. Sipariş toplama, müşteri siparişlerinin çizelgelenmesi ve kümelenmesi, siparişlerin zemine bırakılması, stok alanlarından parçaların toplanması ve siparişlerin elden çıkarılması proseslerini içermektedir. Yapılan çalışmada, sipariş toplama politikaları ve otomatik depolama ve boşaltma sistemleri üzerine literatür araştırması yapılmıştır. Sipariş toplama politikaları ve otomatik depolama sistemleri üzerine yapılan çalışmalar incelenerek, çalışmalarda kullanılan yaklaşımlar ve literatüre katkıları üzerinde durulmuşturMain purpose of an enterprise is to obtain gain in its business the area in which it products materials or it presents service to customers. In order to carry on their presence and to supply rival business advantage, enterprises have to use resources efficiently in case of high quality and low costs. Storage facilities costs encloses an important percantage of total enterprise costs. Order picking is one of the most labour intensive and cost effective operation of storage operations. Order picking process contains operations like scheduling of customer orders, grouping of orders, picking orders from storage locations, carrying orders to I/O points. In this paper a literature review on order picking policies and AS/RS systems is given. In this paper gains of the previous studies in literature and the approaches that are used in previous studies in literature is presented by analysing previous studies on order picking policies and AS/RS systems

    The roles of ANRIL polymorphisms in periodontitis: a systematic review and meta-analysis

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    Objectives The aim of this study is to investigate the potential role of ANRIL polymorphisms in susceptibility to periodontitis. Methods The authors searched Pubmed, Web of Science, and Scopus up to April 2021 to identify all published studies without any language restriction on the association between ANRIL and periodontitis. A meta-analysis of all ANRIL variants replicated by three or more studies was performed by testing multiple genetic models of association. Pooled odds ratios and 95% confidence intervals (CI) were used to estimate associations. Tests for sensitivity and publication bias were performed. Results Twenty-two variants in the ANRIL gene were examined for their potential association with the risk of periodontitis. However, only 4 (rs1333048, rs1333042, rs2891168, rs496892) are replicated at least three or more studies. The ANRIL rs1333048 was the most replicated polymorphisms with five articles, seven different populations comprising of 1331 cases, and 2624 controls. The pooled overall analysis showed that rs1333048, rs1333042, rs2891168, and rs496892 polymorphisms were associated with susceptibility to periodontitis in the whole population in allele contrast and dominant models. Moreover, similar to the overall analysis, rs1333048 polymorphism showed a significant association with grade C periodontitis (known as aggressive periodontitis in 1999 classification) in allele contrast (OR = 1.16) and dominant models (1.19). Interestingly, subgroup analysis also showed rs1333048 polymorphism might influence predisposition to a slowly progressive form of periodontitis (known as chronic periodontitis in 1999 classification). Conclusion Our findings suggest that the ANRIL rs1333048, rs1333042, rs2891168, and rs496892 polymorphisms might influence predisposition to periodontitis, particularly in Caucasians. Clinical significance ANRIL gene may represent a potential risk marker for periodontitis
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