Resilience among Turkish adolescents: A multi-level approach

The objective of this study is to determine the components that contribute to psychological resilience in adolescents and to determine if physical exercise, emotion control, or self-efficacy are more effective predictors of resilience. Data from participants was collected through a personal information form, the International Physical Activity Questionnaire—Short Form, the Self-Efficacy Scale for Children, the Emotion Regulation Scale for Children and Adolescents, and the Psychological Resilience Scale for Children and Adolescents. The data were gathered online from 16 out of the 81 provinces in Turkey, representing 7 different regions, using convenience sampling. The study sample comprised 505 adolescents, with 309 females and 196 males. The average age of the participants was 15.66 years, with a standard deviation of 1.34. The data obtained from the students was analyzed using SPSS 27.0 statistical software. The Chi-Square test was employed to establish the correlation between the demographic features of adolescents and their levels of physical activity. The relationship between the independent variables and the dependent variable was determined using correlation analysis and hierarchical regression analysis. According to the analyzed results, there was a substantial positive correlation between physical activity and resilience, reappraisal and resilience, and self-efficacy and resilience. In addition, it was noted that physical activity alone explains 4.8% of the overall variation in resilience and is a significant predictor of resilience. The inclusion of reappraisal in the model resulted in a partial prediction of resilience by physical activity. However, the primary strength of the model was attributed to reappraisal. The inclusion of self-efficacy in the model resulted in a significant prediction of resilience, accounting for 36.8% of the total variance. The self-efficacy variable had a higher impact level compared to the other variables. Furthermore, the inclusion of self-efficacy in the model resulted in the elimination of the influence of physical activity on resilience. The research conclusions point out that self-efficacy has a greater impact on psychological resilience compared to physical activity and emotion regulation

Evidence of association of vitamin D receptor Apa I gene polymorphism with bone mineral density in postmenopausal women with osteoporosis

The vitamin D receptor (VDR) was the firstcandidate gene to be studied in relation to osteoporosis, andmost attention has focused on polymorphisms situated nearthe 3' flank of VDR. The aim of this study was toinvestigate the association about VDR gene Apa I polymorphismwith bone mineral density (BMD) in postmenopausalwomen with osteoporosis. We studied a total of 136postmenopausal women with a mean age of 56.36±10.29 years. Among them, a total of 75 had osteoporosis,37 had osteopenia, and 24 had normal BMD. Venous bloodsamples were obtained for evaluation of bone metabolismand genotyping. The VDR Apa I genotype was determinedby polymerase chain reaction-restriction fragment lengthpolymorphism. BMDs at the lumbar spine and hip weremeasured by dual-energy X-ray absorptiometry. Postmenopausalwomen with aa genotype had significantly lowerBMD values (grams per centimeter square) at lumbar spinescompared to persons with AA genotype. Also, postmenopausalwomen with AA genotype had significantly higherserum Ca level than the subjects with aa genotype. Inconclusion, our result may indicate that VDR Apa I genepolymorphism may be responsible for a important part ofthe heritable component of lumbar spine BMD in postmenopausalwomen, possibly related to impaired calciumabsorption from the bowel

Localization and Amount of Thyroid Remnant in Totally Thyroidectomized

Objective:To determine the frequency, localization and amount of thyroid remnant in extracapsular thyroidectomized patients.Methods:We postoperatively evaluated the thyroid bed of 38 totally thyroidectomized patients using thyroid scintigraphy, a thyroid uptake study and bilateral neck ultrasonography (US) to determine the extent of residual thyroid tissues.Results:In scintigraphic assessment, thyroid remnant was not seen in the thyroid bed in 13 cases, minimal thyroid remnant was detected in 15 cases, and visible uptake was seen in 10 cases. Ultrasonographic findings revealed the presence of remnant in 12 cases. However, US did not detect all remnant tissues diagnosed by TS.Conclusion:This study demonstrates that minimal thyroid remnant is left in the majority of cases, even after extracapsular total thyroidectomy, especially in the upper and middle zones

An Usual Painful Bipartite Patella

Most bipartite patellae are asymptomatic and observed only as an incidental finding when the knee is radiographed for other reasons. Although bipartite patella is usually asymptomatic, it can become painful in subjects following overuse or injury. Most of the patients with painful bipartite patella respond relatively well to nonsurgical treatment. When the pain is persistent and resistant to those conservative treatments, a certain type of surgical procedures can be applied. In this report, we present a case of symptomatic bipartite patella in a patient with no underlying disease

Numerical Study Of Nonlinear Oscillations And Pattern Formation İn Glow Discharge Semiconductor System

We studied asystem consisted of a planar glow discharge layer with short length in the forward direction and wide lateral dimensions, which iscoupled to a semiconductor layer with low conductivity. The whole structure is sandwiched between two planar electrodes, to which a dc voltage is applied. Experiments show that such a system can create different homogeneous stationary and homogeneous oscillating modes, patterns with spatial and spatiotemporal structures. We developed and applied full three-dimensional fluid numerical code to study temporal and spatial pattern formation in this system

Almanya'daki Türkçe Öğretmenlerinin Covid-19 Salgını Döneminde Katıldığı Çevrimiçi Seminerlerle İlgili Betimsel Bir Analiz

Almanya Federal Cumhuriyeti'nde görev yapan Türkçe ve Türk Kültürü Dersi öğretmenlerine yönelik 2020 Mayıs- Haziran aylarında toplam 69 çevrimiçi seminer düzenlenmiştir. Seminerlere Almanya Federal Cumhuriyeti’nde görev yapan MEB Türkçe ve Türk Kültürü Dersi öğretmenleri katılmış; her bir seminerden sonra öğretmen görüşleri alınmıştır. Araştırmanın evrenini 2019-2020 eğitim öğretim yılı itibarı ile Almanya'da görevli 1338 Türkçe öğretmeni, örneklem grubunu ise MEB tarafından görevlendirilen 506 Türkçe ve Türk Kültürü dersi öğretmeni oluşturmaktadır. Araştırmacı grubu tarafından geliştirilen veri toplama anketi Mayıs -Haziran 2020 aylarında (pandemi dönemi) verilen çevrimiçi seminerlere paralel olarak uygulanmıştır. Bu çalışmada öğretmenlerin yurt dışındaki öğretmenlere verilen seminerler belli bir farkındalığın oluşmasını sağlamış; yurt dışı teşkilatının öğrenen organizasyonlar olarak öğretmenlerin bu tür programlara ilgi düzeyleri, varlığı/yokluğu, katılım sayısı ve sıklığı ile ölçümlenerek değerlendirilmiştir. Elde edilen bulgular, bu tür seminer çalışmalarının gelecek dönemlerde de yapılmasının elzem olduğunu ortaya koymuştur.In May-June 2020, 69 online seminars, attended by Turkish and Turkish Culture course teachers working in the Federal Republic of Germany, were held. After each seminar, the opinions of the teachers were taken. The population of the study consists of 1338 Turkish teachers having worked in Germany in the academic year 2019-2020, whereas the sample group consists of 506 Turkish and Turkish Culture course teachers assigned by the Turkish Ministry of Education. Developed by the researcher group and serving as a basis for data collection, the questionnaire was applied at the same time as the online seminars given in May-June 2020 (pandemic period). In this study, the seminars given to teachers abroad provided a certain awareness; As an educational institution of the foreign organization, teachers' level of interest in such programs have been evaluated by measuring their presence/absence, number, and frequency of participation. The findings obtained revealed that it is essential to carry out such seminars in the future, as well

Hypernatremic dehydration: An unrare problem in newborns

Giriş: Serum sodyum seviyesinin 145 mEq/L’nin üzerinde olması olarak tanımlanan hipernatremi, yenidoğanda nispeten sık görülen bir elektrolit bozuklukluğudur. Gereç ve Yöntem: Bu retrospektif çalışmada Ocak 2007 ile Aralık 2008 arasında hastanemizde dehidratasyon nedeniyle izlenen ve serum sodyum düzeyi 145 mEq/L’nin üzerinde saptanan toplam 17 olgu çalışmaya alındı. Olguların dosyalarından anne yaşı, gebelik sayısı, doğum şekli, doğum ağırlığı, başvuru sırasındaki ağırlığı, postnatal yaşı, geliş yakınması, fififizik inceleme bulguları ve serum biyokimyasal ölçümleri kaydedildi. Bulgular: Olguların sekizi kız (%47.1), dokuzu erkekti (% 52.9). Ortanca (veri aralığı) olarak doğum ağırlığı 3340 gram (2600-4600), ağırlık kaybı %17.1 (10-30), postnatal yaş 6.2 gün (2-16), anne yaşı ise 24.9 yıl (21- 39) olarak saptandı. Olguların tamamı sadece anne sütüyle beslenmekteydi. Ortanca serum sodyum ve serum üre değerleri sırasıyla 158 mEq/L (149-192) ve 122 mg/dl (18-428) olarak bulundu. On iki olgu (%70.6) emmeme, iki olgu (%11.8) sarılık, üçü (%17.6) ise huzursuzluk yakınması ile başvurmuştu. Altı olguda (%35.3) nörolojik bulgular da eşlik etmekteydi. Oligoanürik ve/veya hipotansif olgulara sıvı yüklemesi ardından sıvı açığını yerine koyma tedavileri verildi. Sodyum düşüş hızı ortalama 0.50.2 mEq/saat (0.29-0.83) idi. Normal sodyum düzeylerine ulaşma zamanı 24-80 saat arasında değişmekteydi. Renal ultrasonografi yapılan (n6) olgulardan ikisinde pelvi-kalisiyel sistemde dilatasyon, birinde ise bilateral medüller nefrokalsinozis ile uyumlu görünüm saptanırken, kraniyal görüntüleme yapılan iki olguda bilateral talamik kanama saptandı. Yorum: Yenidoğanda nadir olmayan bir sorun olan hipernatremi, ciddi komplikasyonlara yol açabilir. Annelere beslenme eğitimi verilmesi yanı sıra, erken dönemde ağırlık kaybı açısından yakın izlem tablonun gelişiminin engellenmesinde önemlidir.Introduction: Hypernatremia described as a serum sodium level higher than 145 mEq/L, is a relatively common electrolyte disorder in newborn period. Material and Method: A total of 17 cases followed for dehydration and having a serum sodium level of >145mEq/L at our hospital between January 2007 and December 2008 were included in this study. Mother‘s age, number of gestation, route of delivery, birth weight, weight at presentation, postnatal age, complaints at admission, physical examination, and serum biochemical parameters were recorded from the files of the patients. Results: Among all patients, 8 (47.1%) were female and 9 (52.9%), male. Median birth weight was 3340 gr (range: 2600-4600 gr); median weight loss, 17.1% (10-30%), median postnatal age, 6.2 days (2-16 days); and age of the mother, 24.9 years (21-39 years). All the cases were breastfed. Median serum sodium level was 158 mEq/L (range: 149-192 mEq/L), and median urea level, 122 mg/dL (range: 18-428 mg/dL). Of these 17 newborns, 12 (70.6%), cases presented with feeding problems; 2 (11.8%) presented with jaundice, and 3 (17.6%) presented with irritability. Neurological findings were detected in 6 (35.3%) cases. Oligo-anuric and/or hypotensive cases received fluid replacement therapies after loading of fluid. Sodium decline rate was 0.5±0.2 mEq/hour (range: 0.29-0.83). Time to reach normal sodium levels ranged between 24 and 80 hours in our cases. While no pathology was detected in 3 of 6 patients underwent renal ultrasonography, dilatation in pelvicalicial system was found in 2 cases and bilateral medullar nephrocalcinosis was observed in one case. Two cases who underwent cranial imaging had bilateral thalamic hemorrhage. Conclusion: Hypernatremia, not an uncommon problem in the newborn, may cause serious complications. In addition to giving education to mothers about feeding, close monitoring of the cases in respect to weight loss during early neonatal period is important in prevention of hypernatremia

Superparamagnetic Iron Oxide Enhanced Magnetic Resonance Imaging in the Detection of Malignant Liver Lesions

Objective: To determine the value of superparamagnetic iron oxide (SPIO)-enhanced MR imaging in malignant liver lesions.Materials and Methods: Twenty patients with various hepatic masses or metastases were investigated with 1 tesla MR. T1-weighted FLASH and double- echo TSE T2-weighted sequences were applied before and after contrast injection. “Defining statistics” were prepared according to pre and postcontrast signal intensity measurements. Results: In this study there were 11 patients with metastases, 4 patients with hemangioma, 4 patients with HCC and one patient with a hemangioma and a metastasis at the same time. In cases wheret we found only hemangiomas, in all sequences, S/N ratios (p=0.043) and T2-weighted double-echo TSE with long TE SI change (p=0.043) were significant. While in the hemangiomas in T2-weighted double-echo TSE with long TE there is an decrease in the C/N ratios; in cases with metastasis and HCC, compared to other sequences significant increase in C/N ratio in T2-weighted double-echo TSE with short TE sequences was detected.Conclusion: SPIO-enhanced MR imaging can be used as a non-invasive radiologic technique for the detection focal liver lesions, to determine the number of lesions and also has a value in differentiating the benign lesions (especially hemangiomas) from primary tumors or metastatic malignant lesions