Relationship of Conflict Resolution Styles in Marriage with Marital Adjustment and Satisfaction

This review focuses on the relationship between spouses’ conflict resolution styles and marital happiness, firstly the conceptualizations of marital satisfaction and marital adjustment were defined and their differences were discussed. Prior studies show that marital adjustment and satisfaction are two concepts related to marital happiness but need to be separated from each other. Then, the relationships between spouses’ approaches to their marital conflicts and their marital happiness were considered in this review. Conflict is a natural part of all marriages but the couples’ approaches to marital conflicts may lead to constructive or destructive outcomes for their relationships. One of the most important goals of many intervention programs developed for distressed couples is to provide spouses with the ability to resolve their conflicts constructively. Findings showed that constructive conflict resolution (considering conflict as a social problem that could be solved with cooperation, striving to satisfy the needs of both parties, and finding out solutions together) leads to an increase in marital satisfaction and marital adjustment. Destructive behaviors with hostile intentions focused on self-interest (physical and verbal aggression and oppression) seem to be negatively related to marital adjustment and satisfaction. Besides these negative coping behaviors, it will be beneficial for spouses to gain awareness of behaviors such as submission, protective buffering, and underestimating the coping capabilities of the partner with an overprotective attitude, which are not based on hostile intentions in dealing with problems but can have devastating consequences in the long term

Evaluation of pulmonary hydatid cyst cases

AbstractsBackgroundThe incidence of pulmonary hydatid cyst has been high in developing countries such as Turkey.ObjectiveThe aim of this study was to evaluate the clinical presentation, treatment and outcomes of pulmonary hydatid cyst disease at a tertiary centre.MethodsA total of 138 patients, aged betwen 9 and 72 years with pulmonary hydatid cyst were diagnosed between 2000 and 2008 in 2nd thoracic surgery clinic at our hospital. Clinical characteristics of patients, epidemiological features, cyst diameters and localizations, laboratory findings, surgical approaches were recorded and analyzed.ResultsThe most frequent symptoms of pulmonary hydatid cyst were chest pain and cough (44.9%, 37.6%). According to cyst size, there was no difference between younger than twenty and older age groups (p>0.05). Twenty-two patients had complicated cyst cases. Most of them were symptomatic (90.9%). Association of complicated cyst with hepato-pulmonary involvement was significantly higher as compared with single hydatid cyst (p=0.01). Cystectomy was performed in 84.05% of patients and post-operative mortality was seen in only one patient due to pulmonary embolism.ConclusionAssociation of lung and liver hydatid cyst increased the risk of occurrence of a complicated pulmonary hydatid cyst. Choice of surgical approach had satisfactory results and post-operative mortality was low

Dokuz Tip Mizaç Ölçeği'nin Geçerlik ve Güvenirliği

The aim of this study is to develop a scale compatible with the Nine Types Temperament Model (NTTM), which did not have any prior measurement tools to scientifically prove its reliability and validity. NTTM is created by re-evaluating the Enneagram System –a system that defines nine personality types- used for analyzing and comprehending ego mechanisms. Nine Types Temperament Scale (NTTS) which is a self-rated instrument composed of 91 items with three-point Likert type was developed from this model and applied to 990 participants. Confirmatory factor analyses were carried out in order to evaluate whether the scale fits to the model related to the temperament model. In exploratory factor analyses of the scale eigen values of nine factors vary between 8.089 and 1.661, and represent 39.04% of the total variance. In confirmatory analyses of the scale CFI value is 0.88, GFI value is 0.845, IFI value is 0.88 and RMSEA value is 0.054. Test-retest reliability of the scale was evaluated with 46 participants. Cronbach alpha value of the whole scale is 0.75, while Cronbach alpha values for every temperament type were calculated as 0.77, 0.79, 0.68, 0.71, 0.80, 0.74, 0.71, 0.83 and 0.77 respectively. Concurrent validity was performed with Cloninger's TCI (Temperament and Character Inventory) and Akiskal's TEMPS-A (Temperament Evaluation of Memphis, Pisa, Paris and San Diego Autoquestionnaire Version). The types of NTTM showed significant correlations with TCI and TEMPS-A. Results of the study support that NTTS is a reliable and valid scale.Bu çalışmada, benlik mekanizmalarını dokuz kişilik tipi ile açıklayan Enneagram Sistemi'nin yeniden yorumlanması ile oluşturulan ve günümüzde geçerlik ve güvenirliği bilimsel açıdan kanıtlanmış bir ölçüm aracı bulunmayan Dokuz Tip Mizaç Modeli (DTMM) ile uyumlu bir ölçek geliştirilmesi amaçlanmıştır. 91 maddeden oluşan ve üçlü Likert tipi bir öz bildirim ölçeği olan Dokuz Tip Mizaç Ölçeği (DTMÖ) 990 üniversite öğrencisine uygulanmıştır. Ölçeğe uygulanan açıklayıcı faktör analizlerinde dokuz faktörün öz değerleri 8.08 ve 1.66 arasında değişmekte ve toplam varyansın %39.04'ünü temsil etmektedir. Ölçeğin modele uygunluğunu saptamak için doğrulayıcı faktör analizi uygulanmıştır. Ölçeğin doğrulayıcı faktör analizi sonuçlarına göre CFI değeri 0.88, GFI değeri 0.845, IFI değeri 0.88 ve RMSEA değeri 0.054'tür. Ölçeğin test-tekrar test güvenirliği 46 katılımcıyla sınanmıştır. Ölçeğin tümü için Cronbach alfa değeri 0.75, tipler için sırasıyla 0.77, 0.79, 0.68, 0.71, 0.80, 0.74, 0.71, 0.83, 0.77’dir. Ölçeğin eş zamanlı geçerliği Cloninger'in MKE (Mizaç ve Karakter Envanteri) ve Akiskal'in TEMPSA( Temparement Evaluation of Memphis, Pisa, Paris and San Diego- Autoquestionnaire) ölçekleriyle sınanmıştır. DTMM'deki tipler TCI ve TEMPS-A ile anlamlı bağıntılar göstermiştir. Araştırmanın sonuçları DTMÖ'nün geçerli ve güvenilir bir ölçek olduğunu desteklemektedir

Dokuz Tip Mizaç Ölçeği Ergen (DTMÖ-E) Formunun Geçerlik- Güvenirliği ve Ergenlerde Dikkat Eksikliği Hiperaktivite Bozukluğu İle Mizaç Tipleri Arasındaki İlişki

The purpose of this study is developing adolescent form (11-16 years old) of Nine Types Temperament Scale (NTTS) depending on Nine Types Temperament Model (Study 1) and evaluating and searching the relationship between Attention Deficit and Hyperactivity Disorder (ADHD) and Types of NTTM (Study 2). Sample of Study I consist of 1240 students who are between 11 and 16 years old. Pilot form of the Scale which consists of 90 items is tested with confirmatory factor analysis and with convergent and discriminant validity and the last version of the measure which consist of 82 items is prepared. Basic Personality Traits Inventory (BPTI) which depends on Fife Factor Model is used for Criterion-related validation. Results show that NTTS-A is valid and reliable measure for evaluating temperament types between 11-16 years adolescents. Their fit index is calculated as χ2 /df <3; SRMR, 0.06; RMSEA, 0.045; CFI, 0.909: TLI, 0901 supported to validity data. Sample of Study II consist of 56 adolescents who are diagnosed with ADHD according to DSM-IV diagnosis criteria and 56 students who does not get diagnosed with ADHD or mental retardation/medical disorder. Temperament types of participants are evaluated by the agency of Study-I and NTTS-A, which is developed appropriate for Turkish culture. Indication of the study shows that there are more NTT7 and NTT8 in NTTM types between adolescents with ADHD than the group, who are not diagnosed with ADHD. As a result, it is discussed that traits which belong to some temperament types could have a predisposing effect on emergence of ADHD, experiencing these traits extreme severely could cause a view similar to ADHD and ADHD which is a neurodevelopmental disease could interact with temperament traits of person, in that way it could illustrate ADHD clinic. Available findings support critics about that students are labelled as ADHD specially in the last years in education environment even if they have mostly not developmental problems and students are diagnosed easily with limited observations. However, it is asserted that diagnosis based on temperament, treatment and psychosocial support programmes could be formed and effects of ADHD, which is a factor interacting with temperament traits, on personality structure of adolescents on their development process, could be predicted. Our study has the feature of being the first measure developing study which is intended to evaluate temperament types of adolescents between 11-16 years old and also it is has the feature of being the first study which searches relationship between NTTM types and ADHD.Bu çalışmanın amacı, Dokuz Tip Mizaç Modeli (DTMM)’ne dayalı olarak erişkinler için geliştirilen Dokuz Tip Mizaç Ölçeğinin (DTMÖ) 11-16 yaş arası ergen formunu (DTMÖ-E) geliştirmek (Çalışma I) ve DTMM tipleri ile Dikkat Eksikliği Hiperaktivite Bozukluğu (DEHB) arasındaki ilişkiyi incelemek ve değerlendirmektir (Çalışma II). Çalışma I’in örneklemi 11-16 yaş aralığındaki 1240 öğrenciden oluşmaktadır. 90 maddeden oluşan ölçeğin pilot formu doğrulayıcı faktör analizi, yakınsak ve ayırma (diskriminant) geçerliği ile test edilmiş ve ölçeğin 82 maddelik son hali hazırlanmıştır. Ölçüt geçerliği için ise Beş Faktör Modeli’ne dayanan Temel Kişilik Özellikleri Envanteri (TKÖE) kullanılmıştır. Sonuçlar, DTMÖ-E’nin 11-16 yaş arası ergenlerin mizaç tiplerini değerlendirmede kullanılabilecek geçerli ve güvenilir bir ölçek olduğunu göstermektedir. Uyum indeksleri χ2 /df <3; SRMR, 0.06; RMSEA, 0.045; CFI, 0.909: TLI, 0901 olarak geçerlik verilerini destekler nitelikte hesaplanmıştır. Çalışma II’nin örneklemi ise DSM-IV tanı ölçütlerine göre DEHB tanısı almış 56 ergen ve mental retardasyon / tıbbi rahatsızlık ve DEHB tanısı bulunmayan 56 öğrenciden oluşmaktadır. Katılımcıların mizaç tipleri, Çalışma-I ile Türk kültürüne uygun olarak geliştirilen DTMÖ-E aracılığıyla değerlendirilmiştir. Çalışmanın bulguları, DEHB’li ergenler arasında DTMM tiplerinden DTM7 ve DTM8’in DEHB tanısı almayan gruba göre daha fazla bulunduğunu göstermektedir. Sonuç olarak, bazı mizaç tiplerine ait özelliklerin DEHB ortaya çıkmasına yatkınlaştırıcı etkisinin olabileceği, bu özelliklerin aşırı şiddette yaşanmasının DEHB benzeri bir görünüm ortaya çıkarabileceği ve nörogelişimsel bir hastalık olan DEHB’in kişinin mizaç özellikleri ile etkileşerek DEHB kliniğini sergileyebileceği tartışılmıştır. Mevcut bulgular, eğitim çevrelerinde öğrencilerin özellikle son yıllarda sıklıkla gelişimsel bir sorun olmadığı halde DEHB olarak etiketlenmesi ve sınırlı gözlemlerle kolay tanı konmasıyla ilgili eleştirileri destekleyebilecek niteliktedir. Bunun yanı sıra DTMM’nin yaklaşımı sayesinde mizaç temelli tanı, tedavi ve psikososyal destek programlarının oluşturulabileceği ve mizaç özellikleriyle etkileşen bir faktör olarak DEHB’in ergenlerin gelişim süreçlerinde kişilik yapısına nasıl bir etkide bulunacağının öngörülebileceği öne sürülmektedir. Çalışmamız, Türkiye’de 11-16 yaş arasındaki ergenlerin mizaç tiplerini değerlendirmeye yönelik ilk ölçek geliştirme çalışması olmanın yanı sıra, DTMM tipleri ile DEHB arasındaki ilişkiyi inceleyen ilk çalışma olma özelliğindedir

A comparison of clinical, laboratory and chest CT findings of laboratory-confirmed and clinically diagnosed COVID-19 patients at first admission

PurposeThis study aims to identify chest computed tomography (CT) characteristics of coronavirus disease 2019 (COVID-19), investigate the association between CT findings and laboratory or demographic findings, and compare the accuracy of chest CT with reverse transcription-polymerase chain reaction (RT-PCR).MethodsOverall, 120 of 159 consecutive cases isolated due to suspected COVID-19 at our hospital between 17 and 25 March 2020 were included in this retrospective study. All patients underwent both chest CT and RT-PCR at first admission. The patients were divided into two groups: laboratory-confirmed COVID-19 and clinically diagnosed COVID-19. Clinical findings, laboratory findings, radiologic features and CT severity index (CT-SI) of the patients were noted. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of chest CT were calculated for the diagnosis of COVID-19, using RT-PCR as reference.ResultsThe laboratory-confirmed and clinically diagnosed COVID-19 groups consisted of 69 (M/F 43/26, mean age 50.9±14.0 years) and 51 patients (M/F 24/27, mean age 50.9±18.8 years), respectively. Dry cough (62.3% vs. 52.9%), fever (30.4% vs. 25.5%) and dyspnea (23.2% vs. 27.5%) were the most common admission symptoms in the laboratory-confirmed and clinically diagnosed COVID-19 groups, respectively. Bilateral multilobe involvement (83.1% vs. 57.5%), peripheral distribution (96.9% vs. 97.5%), patchy shape (75.4% vs. 70.0%), ground-glass opacities (GGO) (96.9% vs. 100.0%), vascular enlargement (56.9% vs. 50.0%), intralobular reticular density (40.0% vs. 40.0%) and bronchial wall thickening (27.7% vs. 45.0%) were the most common CT findings in the laboratory-confirmed and clinically diagnosed COVID-19 subgroups, respectively. Except for the bilateral involvement and white blood cell (WBC) count, no difference was found between the clinical, laboratory, and parenchymal findings of the two groups. Positive correlation was found between CT-SI and, lactate dehydrogenase (LDH) and C-reactive protein (CRP) values in the laboratory-confirmed COVID-19 subgroup. Chest CT and RT-PCR positivity rates among patients with suspected COVID-19 were 87.5% (105/120) and 57.5% (69/120), respectively. The sensitivity, specificity, PPV, NPV and accuracy rates of chest CT were determined as 94.2% (95% confidence interval [CI], 85.8–98.4), 21.57% (95% CI, 11.3–35.3), 61.90% (95% CI, 58.2–65.5), 73.3% (95% CI, 48.2–89.1) and 63.3% (95% CI, 54.1–71.9), respectively.ConclusionChest CT has high sensitivity and low specificity in the diagnosis of COVID-19. The clinical, laboratory, and CT findings of laboratory-confirmed and clinically diagnosed COVID-19 patients are similar

Thermal imaging camera technical evaluation on microbial composition of changes during of the aerobic stability of corn and wheat silage

Aerobik stabilite (silo ömrü), açılan bir silajın ısınmadan ve bozulmadan kaldığı sürenin uzunluğu olarak tanımlanmaktadır. Aerobik stabilite kompleks bir süreç olup, silolanan ürü-nün mikrobiyal bileşimi, fermantasyon özellikleri, silaj kütlesinin sıcaklığı ve silaj yoğunluğu oluşabilecek kayıpları etkilemektedir. Yemleme döneminde silaj kalitesinin mikrobiyolojik ve kimyasal analizlerle değerlendirilmesi; kalifiye personel, ekipman ve laboratuar gerektirirken, aynı zamanda pahalı ve zaman alıcı bir işlemdir Araştırmanın materyalini 75 günlük fermantasyon dönemi sonrasında açılan mısır ve buğday balya silajları oluşturmuştur. Silaj örnekleri her muamele grubunda 3?er tekerrür olmak üzere 7-8 oC, 24-25oC ve 32-33oC sıcaklıklarda aerobik stabilite testine tabi tutulmuşlardır. Aerobik stabilitenin 0., 1., 4., 6. 12. ve 15. günlerinde silaj örneklerinde kimyasal ve mikrobiyolojik parametrelere ilişkin analizler yürütülmüştür. Aynı zamanda, T200 IR marka termal kamera ile 1 m mesafeden silaj örneklerinde her muamele grubunda görüntüleme yapılarak değerlen-dirme sonuçları kaydedilmiştir. Daha sonra elde edilen veriler ThermaCAM software progra-mında değerlendirilmiştir. Araştırma sonucunda, termal kamera görüntüleme tekniğinin saha şartlarında silajların aerobik stabilitesini değerlendirmede pratik bir yöntem olarak değerlendi-rilebileceği yönündedir.Aerobic stability (silos life), and from the pop-upremainsintact as a silage warming is defined as the length of time. Aerobic stability is a complex process, the microbial composition of the ensiled product, fermentation characteristics, forage and silage mass temperature affects intensity losses that may occur. Because the evaluation of microbiological and chemical quality of the working face of a silage during the feed-out phase would require many samples, expensive laborand equipment, qualified personnel, and time consuming laboratory analyses, a simple method is necessary to accurately and quickly assess silage quality. The material of the study consisted of corn and wheat bale silages after 75 days fermentation period. Silage samples in each treatment group, including three replications 7-8°C, 24-25°C and 32-33°C temperature and were subjected to an aerobic stability test. Aerobic stability at 0, 1, 4, 6, 12 and 15 in the silage analysis on samples taken 15 days to be recurrence chemical and microbiological parameters were carried out. At the same time, making the T200 IR imaging brand evaluation results in each treatment group at 1 m from the silage samples were recorded with a thermal imaging camera. The data obtained was then evaluated in ThermaCAM software program. The results show that thermal camera imaging technique offers prospects as a practical method for assessing the aerobic stability of silages on farm