Subakromiyal sıkışma sendromlu hastalarda video oyunları tabanlı egzersiz eğitiminin ağrı, fonksiyonellik ve yaşam kalitesi üzerine etkilerinin incelenmesi

Çalışmamızın amacı subakromiyal sıkışma sendromlu hastalarda konservatif fizyoterapi ile birlikte uygulanan video oyunları tabanlı egzersiz eğitiminin etkinliğini araştırmaktır. Çalışmamıza subakromiyal sıkışma sendromu tanılı 40-65 yaş arasındaki Neer evrelemesine göre Evre II ve Evre III sınıflamasına dahil olan olgular alındı. Çalışmamıza dahil edilen 50 hasta randomize olarak iki gruba ayrıldı. Birinci gruba (n=25) konservatif fizyoterapi ve video temelli yaklaşım egzersizleri, ikinci gruba (n=25) sadece konservatif fizyoterapi uygulandı. Her iki grup da 20 seans tedaviye alındı. Olgular tedavi öncesi ve tedavi sonrası ağrı (VAS), eklem hareket açıklığı ve ağrılı ark (gonyometre), kas kuvveti (dinamometre), eklem pozisyon hissi (lazer imleç yardımlı açı tekrarlama testi), fonksiyonellik (DASH ve SPADI), yaşam kalitesi (SF-36 Kısa Form) açısından değerlendirildi. Her iki grupta da ağrı şiddetinde ve ağrılı ark değerlerinde azalma, eklem hareket açıklığı ve kas kuvveti değerlerinde artış, eklem pozisyon hissi deviasyonlarında azalma, fonksiyonellik düzeyinde artış ve yaşam kalitesinde iyileşme görüldü (p0.05). Ağrı, horizontal adduksiyon kas kuvveti, eklem pozisyon hissi, SPADI disabilite, SPADI toplam ve SF-36'nın sosyal işlevsellik parametresinde fark bulundu (p<0.05). Çalışmamızın sonucunda konservatif fizyoterapi ile birlikte uygulanan video temelli egzersiz yaklaşımının sadece konservatif tedaviye göre ağrının azalması, eklem pozisyon hissinde artış ve fonksiyonellik düzeyinde artış sağlaması açısından etkin olduğu görüldü. Bu nedenle subakromiyal sıkışma sendromlu hastaların konservatif tedavisinin video temelli egzersizle desteklenmesi gerektiğini düşünmekteyiz

2004 İlköğretim Programının “Ölçme-Değerlendirme” Boyutu İle İlgili Yapılan Araştırmaların Değerlendirilmesi

This research aimed to evaluate studies conducted on the “measurement and evaluation” dimension of 2004 primary curriculum. For that reason, descriptive scan model was used in the research. The meta-analysis and content analysis were employed to analyze research studies. The scope of the study is 49 declarations and 40 articles that were done for complementary measurement and evaluation approaches upon evaluation of new elementary curriculums between 2004 and 2011, and that could be reached by researchers. Evaluation has revealed these results: Studies are mostly between 2006 and 2010, qualitative and descriptive scan models are employed as research models, teachers are determined as target groups more, studies are conducted more in and west districts. Result and suggestions of conducted studies are included in this study, too. Lastly, evaluations based on studies are made and suggestions are developed considering result and suggestions of conducted studies.Bu araştırmada, 2004 ilköğretim programının “ölçme-değerlendirme” boyutu ile ilgili yapılan araştırmaların değerlendirilmesi amaçlanmıştır. Bunun için araştırmada betimsel tarama modeli kullanılmıştır. Araştırmaların analizinde ise meta-analiz ve içerik analizi kullanılmıştır. Araştırmanın çalışma kapsamını, 2004-2011 yılları arasında yeni ilköğretim programlarının değerlendirilmesi ile tamamlayıcı ölçme-değerlendirme yaklaşımlarına yönelik yapılmış olan ve araştırmacılar tarafından ulaşılabilen 49 bildiri ve 40 makale oluşturmaktadır. Yapılan değerlendirme sonucunda şu sonuçlara ulaşılmıştır: Araştırmaların, 2006-2010 yılları arasında yoğunlaştığı, araştırma modeli olarak nitel ve betimsel tarama modellerinin kullanıldığı, veri toplama aracı olarak en fazla anket ve görüşmenin seçildiği, hedef gruplar olarak daha çok öğretmenlerin belirlendiği, yapılan araştırmaların daha çok iç ve batı bölgelerde uygulandığı ortaya çıkmıştır. Bu çalışmada ayrıca yapılan araştırmaların sonuç ve önerilerine de yer verilmiştir. En son olarak da araştırmalara dayalı olarak yapılan değerlendirmeler ve araştırmaların sonuç ve önerileri de göz önüne alınarak öneriler geliştirilmişti

Electrophysiological Correlation and Gradation of Patients Prediagnosed With Carpal Tunnel Syndrome

DergiPark: 378999tmsjAims: In this study, it is aimed to detect electrophysiological correlation of patients who were referred to TrakyaUniversity Medical Research Center Neurology Clinics Electromyography (EMG) lab in 2014 with Carpal Tunnel Syndrome (CTS) pre-diagnosis and grade them based on electrophysiological features.Methods: Electromyography (EMG) records of 174 patients who were sent to electromyography lab in 2014 withCarpal Tunnel Syndrome (CTS) pre diagnosis were scanned retrospectively. Patients were recorded with the data of gender and age. Correlation between pre diagnosis and electrophysiological diagnosis were reported statistically by using Kappa and McNemar tests. Patients were classified based on sex using Chi-square test. Number and percentages, arithmetic mean± standard deviation, median (minimum-maximum) were used as descriptive analysis. Results: Out of all electrophysiological diagnosis, 62 patients (35.6%) were consistent with pre diagnosis when 112(64.4%) were inconsistent. Out of patients who were diagnosed with Carpal Tunnel Syndrome (CTS) according to their electromyography (EMG) findings, 31 patients (48.4%) had mild syndrome.Conclusion: A big inconsistency between pre diagnosis and electromyography (EMG) results was detected. It isimportant to make a more careful and detailed examination to fix this proble

Validade e confiabilidade da versão turca da escala de avaliação do Ambiente de Aprendizagem Clínica, Supervisão e Professor de Enfermagem (CLES+T)

Aim: A methodological type of study was conducted for the purpose of investigating the validity and reliability of the Turkish version of the Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T) evaluation scale of the clinical learning environment of students, clinical nurses, and educators. Methods: Sample was comprised of 602 Turkish nursing students with clinical practice experience at the hospital. The CLES+T, developed by Saarikoski, was used for data collection. Language equivalency, internal consistency, item-total correlation, and structure validity were conducted within the scope of the validity and reliability study on the CLES +T scale. Results: It was determined that item-total correlations of four items were lower than 0.30, and those items were removed from the scale as a result of item analysis. The Cronbach’s alpha value of the scale was 0.93-0.99; item total point correlations of the scale varied between 0.45 and 0.66; six factors were identified in the CLES+T factor analysis study, with a total variance explained by these six factors of 64%. Conclusion: According to the findings of the research, the CLES+T Turkish version was found to be a valid and reliable scale, which can be used to evaluate satisfaction of nursing students with their clinical education in TurkeyObjetivo: Um estudo do tipo metodológico foi desenvolvido com o propósito de investigar a validade e a confiabilidade da versão turca da escala de avaliação do Ambiente de Aprendizagem Clínica, Supervisão e Professor de Enfermagem (CLES + T) no ambiente de aprendizagem clínica de estudantes, enfermeiros clínicos e educadores. Métodos: A amostra foi composta por 602 estudantes de enfermagem turcos com experiência na prática clínica hospitalar. O CLES + T, desenvolvido por Saarikoski, foi utilizado para coleta de dados. Equivalência de linguagem, consistência interna, correlação item-total e validade de estrutura foram avaliados no escopo do estudo de validade e confiabilidade na escala CLES + T. Resultados: As correlações item-total de quatro itens foram inferiores a 0,30, e tais itens foram removidos da escala como resultado da análise de itens. O valor alfa de Cronbach da escala foi de 0,93-0,99; as correlações itemtotal da escala variaram entre 0,45 e 0,66; seis fatores foram identificados na análise fatorial da escala, com uma variância total explicada por esses seis fatores de 64%. Conclusão: De acordo com os resultados da pesquisa, a versão turca do escala CLES+T foi considerada válida e confiável, a qual pode ser usada para avaliar a satisfação de estudantes de enfermagem com sua educação clínica na Turquia.Objetivo: Se realizó un estudio de tipo metodológico con el fin de investigar la validez y la fiabilidad de la versión turca de la escala de evaluación del entorno de aprendizaje clínico, la supervisión y la enfermera docente (CLES + T) del entorno clínico de aprendizaje de estudiantes, enfermeras clínicas, y docentes. Métodos: La muestra estuvo compuesta por 602 estudiantes de enfermería turcos con experiencia en práctica clínica en el hospital. Se utilizó el CLES + T, desarrollado por Saarikoski, para la recopilación de datos. Se realizaron la equivalencia idiomática, la consistencia interna, la correlación ítem-total y la validez de la estructura dentro del alcance del estudio de validez y confiabilidad en la escala CLES + T. Resultados: se determinó que las correlaciones ítem-total de cuatro ítems eran inferiores a 0.30, y se eliminaron de la escala como resultado del análisis. El valor alfa de Cronbach de la escala fue 0.93-0.99; las correlaciones de puntos totales de los ítems de la escala variaron entre 0.45 y 0.66; se identificaron seis factores en el estudio de análisis del factor CLES + T, con una varianza total explicada por estos seis factores del 64%. Conclusión: según los resultados de la investigación, se encontró que la versión turca de CLES + T era una escala válida y confiable, que se puede utilizar para evaluar la satisfacción de los estudiantes de enfermería con su educación clínica en Turquí

Evaluation of Relationship Between Mandibular Third Molars and Mandibular Canal: Comparison of Findings Obtained by Panoramic Radiography and Cone-Beam Computed Tomography

Statement of the problem: It is important for oral surgeons to determine the precise location of mandibular third molar before extraction. The close rela-tionship of mandibular canal and mandibular third molar is a risk factor for alveolar nerve damage. Objective: The purpose of this study is to assess the relationship between mandibular canal and the mandibular third molar which has already been seen in close relationship on panoramic radiograph (PR) by the compari-son of findings of the cone-beam computed tomography (CBCT) and the PR. Materials & Methods: Close relationship between the mandibular third molar and mandibular canal was scanned in 180 patients by the PR. Images were also obtained by CBCT from patients among which a close-relationship was detected between mandibular canal and mandibular third molar. Results: Close relationship was detected between mandibular third mo-lar and mandibular canal on 26 of 180 PR and evaluated 46 mandibular third molars. In 41 cases, both the findings in PR and in CBCT images showed comp-liance with each other. As a result it was clearly seen that the mandibular third molars which were detected to be in close relationship on PR were mostly also in close relationship with mandibular canal on CBCT-images. Conclusions: If the close relationship is not seen on the panoramic ima-ges then there is no need to get CBCT for extracting the mandibular third mo-lars. By this way complication risks are eliminated with less radiation. However CBCT should be definitely used in cases which complete assessment cannot be made in no way due to artifacts such as superposition in PR

Characterization of P(Hema-Gma)-Ida Membrane to Adsorbing Leather Dye

Different chemical substances and too much water are used during leather production. Therefore, the waste water load of the leather industry is harmful to the environment. One of the pollution source is the production of leather coloring process is a further need to focus on the removal of dye waste waters subject. These water-soluble dyes have a small organic molecular size. Besides the environmental hazards that these dyes cannot be underestimated, they also have harmful effects on human health. In this study, poly (hydroxyethyl methacrylate-glycidyl methacrylate) p (HEMA-GMA) hydrogel membranes were synthesized by UV polymerization method. The hydrogel synthesized is modified with imino diacetic acid (IDA) and then chelated with trivalent chromium ions. The chelating capacity of the membranes were determined according to the time, pH and concentration parameters. Dynamic swelling test, elemental analysis, ninhydrin analysis and adsorption, desorption and reusability performances of membranes were also determined. As a result of the analyzes, it was understood that the hydrogel membrane had high adsorption capacity. The adsorption capacity of the p (HEMA-GMA) -IDA-Cr (III) hydrogel membrane did not decrease even after 5 desorption. At the end of the fifth cycle, the membrane was found to have a dye-binding capacity of about 92%. According to these results, the reusable property of the membrane also makes it cost effective as well as effective adsorption

Evaluation of the Relationship Between the Level of Vitamin D in Maternal Blood and Breast Milk and Postpartum Depression

Objective: This study aimed to evaluate the relationship between postpartum depression (PPD) and vitamin D levels in maternal blood and breast milk. Material and Methods: The study included women who presented to a polyclinic between December 2017 and_x000D_ August 2018, 4-6 weeks after having given live birth, who were aged between 18 and 40 years and married, gave birth after a planned single_x000D_ pregnancy, were feeding their baby with only breast milk and stated that they were taking vitamin D supplementation at the dose recommended by the Ministry of Health. The depression status of the women who agreed to participate in the study by signing the volunteer informed_x000D_ consent form was evaluated using the Edinburgh Postpartum Depression Scale (EPDS). Two groups were formed as Group 1: EPDS score_x000D_ <13 (n=44) (without PPD) and Group 2: EPDS score ≥13 (n=31) (with PPD). The vitamin D levels in breast milk and maternal blood in both_x000D_ groups were compared. Results: 75 female patients included in the study had a mean age of 29.80±4.54 years. The mean vitamin D levels in_x000D_ breast milk and maternal blood were found to be 13.26±5.39 ng/mL and 17.14±6.79 ng/mL, respectively. In terms of depression status, no_x000D_ statistically significant difference was found between the groups regarding the serum vitamin D levels and the mean level of vitamin D in breast_x000D_ milk (p=0.463, p=0.847). Conclusion: No significant correlation was determined between the vitamin D levels in maternal blood and breast_x000D_ milk and PPD, while vitamin D was found to be low both in maternal blood and breast milk

Comparison of Sociodemographic and Clinical Characteristics of Patients with Bipolar Disorder with and without Guardianship Decision

Aim:We aimed to compare the sociodemographic and clinical variables of the patients with bipolar disorder (BD), who were required guardianship by Mental Health Hospital’s Health Board.Materials and Methods:This retrospective study consisted of 201 patients with BD-1, aged between 18 and 65 years, who were sent to medical health board in order to prepare a report on whether guardianship was required by the courts. Sociodemographic and clinical variables data form including age, marital status, education, employment, the number of episodes, the history of electroconvulsive therapy (ECT), the type of medication, the number of hospitalization, and the history of suicide were used.Results:One-hundred (49.75%) patients with BD were required guardianship decision (GD). The mean age of the group with GD (43.57±11.53 years) was significantly higher than the group without GD (39.54±10.73 years). There was a significant relationship between GD and marital status and employment. The group with GD had significantly higher number of total and manic episodes, duration of hospitalization, and duration of illness than the group without GD. A significant relationship was found between GD and medical comorbidity, history of ECT, the presence of psychotic Manndelusion, and treatment with antipsychotic, lithium and valproic acid. Paranoid-persecution, reference, and bizarre types of delusion were found to be related to GD.Conclusion:A significant relationship was found between GD and marital status, employment, duration of illness, number and duration of hospitalizations, number of total and manic episodes, medical comorbidity, and history of ECT, presence of psychotic delusions, and type of treatment. Clinicians should be aware of these variables during the decision of guardianship for patients with BD

Evaluation of the presence of SARS-COV-2 in the vaginal fluid of reproductive-aged women

Objectives: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is mainly transmitted through respiration and direct contact. The status of the infection in the female genital system is still unknown. The study aimed to evaluate whether SARS-CoV-2 is present in the vaginal fluid of women with COVID-19 infection in reproductive period.Material and methods: Women who were between the ages of 18–50 years and clinically confirmed to have COVID-19 infection at our hospital between 20 April–31 May 2020 were included in the study. Women who were in their menstrual cycle during the study and who had a known cervical intraepithelial lesion and/or cancer, sexually transmitted disease and history and/or symptoms of vaginitis were excluded from the study. In patients in whom no pathology was detected during the examination, a sample was taken from the vaginal fluid for PCR by using Dacron tip swab. Analysis was performed with Genesig Real-Time PCR COVID-19 kit (Primer Design, England).Results: Eighteen women who were in reproductive period and diagnosed with severe COVID-19 pneumonia were included in the study. The mean age of the patients was 38.16 ± 8.54. None of the patients were in their menopause period. The clinical symptoms of these women were similar to those of confirmed severe COVID-19 cases. SARS-CoV-2 was found to be negative in the samples taken from the vaginal fluid in all patients.Conclusions: SARS-CoV-2 virus was not detected in the vaginal fluid of the patients who tested positive for COVID-19 in reproductive period