The Relationship of Mental Toughness and Emotional Eating: The Example of a Female Wrestler

Emotional eating is the act of eating to cope with stress and pressure, and it is assumed that this behavior increases as the level of self-control decreases. Several factors, including anxiety about winning and fear of injury, can cause stress in athletes. An athlete’s high mental toughness is closely related to their ability to easily cope with such stress factors. It is still a matter of curiosity how negative psychological factors affect emotional eating in athletes with low mental toughness. This study investigated the relationship between emotional eating and mental toughness in female wrestlers. Emotional Eating Questionnaire and Sports Mental Toughness Questionnaire were applied to 69 female wrestlers. The data were analyzed using descriptive statistics, T-test, ANOVA, and Pearson correlation tests. It was found that the participants were low emotional eaters and accepted all of the mental toughness sub-dimensions. There was a significant difference in emotional eating total score and “disinhibition" score according to nationality status (p<0.05). The findings suggested a positive and significant relationship between sub-dimensions of emotional eating and sub-dimensions of mental toughness (p<0.05). It was concluded that national female wrestlers tended to eat more emotionally than non-national athletes and had more difficulty preventing the urge to eat. As female wrestlers’ mental toughness levels increased, they tended to eat emotionally and felt guilty about eating

Evaluation of nutritional status in pediatric intensive care unit patients: the results of a multicenter, prospective study in Turkey

IntroductionMalnutrition is defined as a pathological condition arising from deficient or imbalanced intake of nutritional elements. Factors such as increasing metabolic demands during the disease course in the hospitalized patients and inadequate calorie intake increase the risk of malnutrition. The aim of the present study is to evaluate nutritional status of patients admitted to pediatric intensive care units (PICU) in Turkey, examine the effect of nutrition on the treatment process and draw attention to the need for regulating nutritional support of patients while continuing existing therapies.Material and MethodIn this prospective multicenter study, the data was collected over a period of one month from PICUs participating in the PICU Nutrition Study Group in Turkey. Anthropometric data of the patients, calorie intake, 90-day mortality, need for mechanical ventilation, length of hospital stay and length of stay in intensive care unit were recorded and the relationship between these parameters was examined.ResultsOf the 614 patients included in the study, malnutrition was detected in 45.4% of the patients. Enteral feeding was initiated in 40.6% (n = 249) of the patients at day one upon admission to the intensive care unit. In the first 48 h, 86.82% (n = 533) of the patients achieved the target calorie intake, and 81.65% (n = 307) of the 376 patients remaining in the intensive care unit achieved the target calorie intake at the end of one week. The risk of mortality decreased with increasing upper mid-arm circumference and triceps skin fold thickness Z-score (OR = 0.871/0.894; p = 0.027/0.024). The risk of mortality was 2.723 times higher in patients who did not achieve the target calorie intake at first 48 h (p = 0.006) and the risk was 3.829 times higher in patients who did not achieve the target calorie intake at the end of one week (p = 0.001). The risk of mortality decreased with increasing triceps skin fold thickness Z-score (OR = 0.894; p = 0.024).ConclusionTimely and appropriate nutritional support in critically ill patients favorably affects the clinical course. The results of the present study suggest that mortality rate is higher in patients who fail to achieve the target calorie intake at first 48 h and day seven of admission to the intensive care unit. The risk of mortality decreases with increasing triceps skin fold thickness Z-score

Reliable Listen-Before-Talk Mechanism for Medical Implant Communication Systems

18th IEEE International Conference on e-Health Networking, Applications and Services (Healthcom) -- SEP 14-16, 2016 -- Munich, GERMANYWOS: 000391459700114Health care applications of wireless communication have been finding places dramatically. One of these applications is communication of implantable medical devices (IMD)s. It is expected that the number of IMDs will increase greatly in the near future. As a result, significant congestion will be experienced in medical implant communication service (MICS) band, leading to interference problems. In this study, we propose reliable listen-before-talk (LBT) mechanism at low signal-to-noise ratios (SNR) s for medical implant communication systems in order to mitigate the interference effects. In our method, we have just brought out power difference between mean peak and mean lowest power spectral values and it provides reliable and simple monitoring of MICS channels' occupation fastly. Our proposed method has superior performance when threshold power level is considered according to the federal communication commission (FCC) Part 95 regulatory standard.IEE

Secure Transmission of Commands Using Multicarrier Structure for Wireless Implantable Medical Devices

24th Signal Processing and Communication Application Conference (SIU) -- MAY 16-19, 2016 -- Zonguldak, TURKEYWOS: 000391250900162Wireless communication has growing interests in health care domain, especially in implantable medical devices (IMD). Because of the open nature of the wireless signals, providing a secure communication between IMD and physician device becomes a significant concern. In this study, we propose a security mechanism against eavesdroppers to protect the data sent by a physician. The importance of keeping these data in safe stems from the fact that the data consists of commands and remote control information which are vital for the patients. In the proposed method, secure transmission of command data by embedding and hiding data in multicarrier structure and less complex reception for IMD with customized frequency dehopping technique is employed. As indicated in performance evaluations, even with super computers, an eavesdropper can not decode the protected data in tremendous amount of time (years).IEEE, Bulent Ecevit Univ, Dept Elect & Elect Engn, Bulent Ecevit Univ, Dept Biomed Engn, Bulent Ecevit Univ, Dept Comp Eng

Magnetic resonance-based pelvimetry and tumor volumetry can predict surgical difficulty and oncologic outcome in locally advanced mid-low rectal cancer

WOS: 000447980700002PubMed ID: 29961173PurposeTo investigate the impact of the pelvic dimensions and tumor volume on surgery in locally advanced rectal cancer.MethodsPatients who underwent open surgery after neoadjuvant long-course chemoradiation for primary rectal cancer were included. The predictive value of magnetic resonance-based pelvic measurements and tumor volume on the surgical difficulty and oncologic outcome were analyzed.Results125 patients were included. The independent risk factors related to the circumferential resection margin status were the pT stage [odds ratio (OR) 3.64, confidence interval (CI) 1.409-7.327] and tumor volume after neoadjuvant chemoradiotherapy (OR 1.59, CI 1.018-2.767). The operative time (p=0.014, OR 1.453) and pelvic depth (p=0.023, OR 1.116) were independent predictive factors for anastomotic leak. The median follow-up was 72 (2-113) months. Local recurrence was seen in 17 (14.1%) patients. Anastomotic leak (OR 1.799, CI 0.978-3.277), the circumferential resection margin status (OR 3.217, CI 1.262-7.870) and the relative tumor volume rate (OR 1.260, CI 1.004-1.912) were independent prognosticators of local recurrence. The 5-year overall survival was 66.7%. The circumferential resection margin status (hazard ratio: 4.739, CI 2.276-9.317), pN stage (OR 3.267, CI 1.195-8.930) and relative tumor volume rate (OR 2.628, CI 1.042-6.631) were independent prognostic factors for the overall survival.ConclusionsRelative dimensions of the tumor in the pelvis influence the local recurrence and overall survival rates. Magnetic resonance-based measurements can predict the difficulty of surgery and allow surgeons to consider the appropriate surgical approach

SERUM LEVELS OF OXIDATIVE STRESS MARKERS IN SUBCLINICAL AND OVERT HYPOTHYROIDISM VERSUS CONTROL GROUP IN POPULATION OF KUTAHYA CITY, TURKEY

Background: Overproduction of oxygen-related free radicals and inadequate antioxidant defense are critical in hypothyroidism, as they might lead to future life-threatening diseases. The objectives of this study were to compare serum levels of oxidative stress markers; total oxidant status (TOS), total antioxidant status (TAS), oxidative stress index (OSI), paraoxonase-1 (PON-1), and arylesterase (ARYL) in patients with subclinical hypothyroidism (SH) and overt hypothyroidism (OH) versus healthy controls in population of Kutahya city, Turkey

Is advanced age a hesitation for cytoreductive surgery and hyperthermic intraperitoneal chemotherapy in colorectal cancer?

WOS: 000452413200012Purpose: The purpose of this study was to assess the feasibility and safety of cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) in elderly patients with peritoneal carcinomatosis of colorectal cancer. Methods: Patients who underwent curative complete CRS and HIPEC for peritoneal carcinomatosis of colorectal cancer with minimum follow-up of 24 months were included in the analysis. Charlson comorbidity index and ECOG performance status were used to evaluate preoperative condition. Patients were tiered into two groups according to age (= 65 years). Postoperative morbidity, mortality, recurrence, and overall survival were compared between groups. Results: One-hundred patients were meeting the inclusion criteria. Median age was 56 years (ranging, 20-86). The origin of peritoneal carcinomatosis (PC) was colon in 77 and rectum in 23 patients. There were 31 patients in the elderly group. Mean hospital stay was 17 +/- 11.8 and 16.8 +/- 14.3 days in young and elderly groups (p=0.937). In young patients, postoperative morbidity was seen in 26 (37.6%) patients versus 9 (29%) patients in elderly group (p=0.272). Mortality was higher in elderly group (n=4, 12.9%) than in the younger group (n=5, 7.2%), but the difference was not statistically significant (p=0.287). Median follow-up was 25 months (ranging, 2-112). Local and/or distant recurrence occurred in 30 (43.4%) patients in the young group and 9 (29%) patients in elderly group (p=0.169). Two-years disease-free survival was similar: 67.1% in the young and 74% in the elderly groups (p=0.713). Conclusions: CRS and HIPEC offer comparable oncologic outcome in meticulously selected medically-fit elderly patients without increased postoperative morbidity and mortality