PREVALENCE AND RELATED FACTORS OF LIMITED HEALTH LITERACY IN PATIENTS WITH CHRONIC MUSCULOSKELETAL DISEASES

Purpose: Not knowing the dimensions of inadequate health literacy is an important public health issue not just for healthcare professionals but all population. It is, therefore, necessary to ensure that politicians see this as an investment and to encourage service to productive resources. It is important to be aware of limited health literacy to develop new and different strategies. The aim of this study was to determine the prevalence of limited health literacy and to examine the relationship between health readiness and socio-demographic characteristics in patients with chronic musculoskeletal disorders. Methods: A total of 423 patients who have different chronic musculoskeletal disorders were recruited into the study. The level of health literacy was measured using Rapid Estimate of Adult Literacy in Medicine and Newest Vital Sign instruments. The cognitive level of participants was estimated using Mini-Mental Status Examination Test. Results: Approximately 17.3 percent of participants assessed using Rapid Estimate of Adult Literacy in Medicine had limited health literacy. More than 27.2 percent of participants evaluated using the Newest Vital Sign had limited literacy and lower numeracy skills. Conclusion: Limited health literacy and numeracy skills are common in patients who have different chronic musculoskeletal disorders. It is associated with older age, lower level of education, and lower cognitive level. Healthcare literacy can be improved with various strategies in health services, and more successful outcomes can be obtained in treatment

Readability levels of health education materials used in physical therapy and rehabilitation clinics

Amaç: Bu çalışmanın amacı fizik tedavi ve rehabilitasyon kliniklerinde kullanılan sağlık eğitim materyallerinin okunabilirlik düzeylerini belirlemekti. Yöntem: Bu çalışmada fizik tedavi ve rehabilitasyon kliniklerinde kullanılan 44 broşürün ilk 100 kelimelik bölümündeki cümle, sözcük ve hece sayıları belirlendi. Broşürlerin okunabilirlik düzeylerinin belirlenmesinde Ateşman ve Çetinkaya-Uzun formülleri kullanıldı. İki değerlendirme yöntemiyle elde edilen okunabilirlik puanlarının ilişkisi analiz edildi. Sonuçlar: Ateşman ve Çetinkaya-Uzun formülleri ile hesaplanan okunabilirlik puanları sırasıyla 65.211.0 (% 95 BCa; 62.2-68.4) ve 38.4 5.8 (% 95 BCa; 36.9-40.2) idi. İki değerlendirme yöntemiyle elde edilen okunabilirlik puanları arasında kuvvetli ve pozitif bir ilişki (r96.2, % 95 BCa; 93.5-98.3) vardı. Ateşman sınıflandırma yöntemiyle 30 (% 68.2) broşür zor ve/veya oldukça zor okunabilir olarak sınıflandırıldı. Otuz dört broşür en az 8-9 yıllık eğitimi tamamlayan kişiler için hazırlanmıştı. Dokuz (% 20.5) broşürü anlamak ve anlamlandırmak için okurların en az 1012 yıllık bir eğitimi tamamlaması gerekliydi. Tartışma: Çalışmadan elde edilen sonuçlardan, zor okunabilirlikleri nedeniyle halen fizik tedavi ve rehabilitasyon kliniklerinde kullanılan broşürlerin beklenilen yararı sağlayamayacağı ileri sürülebilir. Hastalara ve yakınlarına verilen herhangi bir yazılı materyalin okunabilirliğinin kontrol edilmesi gereklidir.Purpose: The aim of this study was to determine the readability levels of health education materials used in the physical therapy and rehabilitation clinics. Methods: In the study, the numbers of sentences, words and syllables were identified in the first 100-word sections of the 44 brochures used in the physical therapy and rehabilitation clinics. Ateşman and çetinkaya- Uzun formula were used to determine the readability levels of the brochures. Correlation of the readability scores obtained using the two evaluation methods was also analyzed. Results: Readability scores calculated with Ateşman and çetinkaya-Uzun formula were 65.2±11.0 (95% BCa; 62.2-68.4), and 38.4± 5.8 (95% BCa; 36.9- 40.2), respectively. There was a strong and positive correlation between the readability scores obtained using the two evaluation methods, (r96.2, 95% BCa; 93.5-98.3). Using Ateşman classification approach, 30 brochures (68.2%) were leveling as hard and/or slightly hard-to- read. Thirty-four (77.3%) brochures had been prepared for the people who completed at least an 89 grade level of education. To be able to understand and explain the meaning of nine (20.5%) brochures, readers should have completed at least a 10-12 grade level of education. Conclusion: From the results of the study, we may speculate that the brochures used currently in the physical therapy and rehabilitation clinics cannot achieve intended benefits due to their hard-to-read nature. The readability check is necessary for any print material that is given to patients or his/her relatives

Design, spectroscopy, quantum chemical study and Hirshfeld analysis of single crystal ferrocene-based boronate ester

© 2021Ferrocene-based boronate ester (FeBE), given by the C18H21BFeO2 formula, has been prepared by the reactions of 4,4-Bis(hydroxymethyl)-1-cyclohexene and ferrocene boronic acid and the Dean-Stark system have been used for the remove the water formed during the reaction. The structure of this boronate ester has been characterized using 1H, 13C, and 11B NMR (Nuclear magnetic resonance), FT/IR (Fourier Transform Infrared) spectroscopy, UV/Vis absorption spectroscopy (Ultraviolet Visible spectroscopy), LC-MS/MS spectrometer (Liquid Chromatography with tandem mass spectrometry), elemental analyses, and Single Crystal XRD. Further, the intermolecular H-bonds and π-ring interactions have been demonstrated through 3D-Hirshfeld surface (HS) analysis. The compound has crystallization in the monoclinic space group I2/a, a = 20.74(9), b = 6.05(3), c = 25.12(10) Å, β = 90.06(4)°, and V = 3155.0(2)Å3 in the unit cell. Further, the molecular geometry, FT/IR frequencies, UV/Vis wavelengths were obtained by using the DFT (Density Functional Theory) with LanL2DZ

Predictors of meeting physical activity recommendation before and during COVID-19 pandemic in adults

Introduction: This study aimed to determine the variables that predict whether WHO's global recommendation for physical activity (PA) before and during the COVID-19 pandemic can be met among adults. Material and Methods: A total of 921 adults voluntarily participated in this study. A demographic information form and the Physical Activity Assessment Questionnaire for Turkish people were administered by self-report. The participants were also asked whether they regularly do PA and if the duration of PA is over 150 minutes. Results: The number of adults doing regular PA at the level recommended by WHO significantly decreased during the COVID-19 pandemic, and the rate of not doing regular PA significantly increased compared to the period before the COVID-19 pandemic (p<0.05). Variables that reduce the likelihood of doing regular PA at the recommended level include being male, being under 45 years old, being married, having high school education or below, having a moderate and low-income, having a high BMI, and having a high recreational sedentary screen time (RSST) during the COVID-19 pandemic. Conclusions: The results of this study provide a priori information for implementations aimed at improving the recommended PA level for adults during social isolation or lockdown

The effect of aquatic and land exercises on pain, health related quality of life, kinesiophobia and disability in chronic low back pain: A randomized clinical trial

Background: This study aims to compare the effectiveness between aquatic exercise interventions and land-based exercises in the treatment of Chronic Low Back Pain.&nbsp;Methods: Thirty patients were randomly allocated to land exercise (n=15) and aquatherapy group (n=15). Both groups underwent Hot pack, conventional TENS, and continuous ultrasound. A water-based exercise program was conducted in the aquatherapy group for 15 patients in an indoor swimming pool. The land-based exercise program included abdominal and back strengthening exercises. All assessments were done before and after the treatments (4th week). The pain and functional status of patients were evaluated.&nbsp;Results: There were no statistically significant differences in the demographic features between groups. The pre and post-therapy differences between groups showed no significant results between groups in VAS, MODI, TAMPA, and the standardized SF-36 (p&gt;0.05).&nbsp; There was a significant improvement in SF-36 role-emotional score in the land exercises group compared to aquatic exercises (p ≤ 0.05). The pre and post-therapy differences within groups showed a significant decrease in VAS score in aquatic exercises group (p&lt;0.05), a similar observation was noted in the land exercises group too (p&lt;0.05). There was also a significant decrease in ODI, TAMPA, and the physical functioning component of SF-36 in land exercises group.&nbsp;Conclusions: The findings from this study show similar benefit of aquatic exercises and land exercises on pain, disability, health related quality of life and kinesiophobia in chronic low back pain, even land exercises has significant effect in emotional role domain of health-related quality of life.&nbsp;</p

The Upper Extremity Functional Index (UEFI): Cross-cultural adaptation, reliability, and validity of the Turkish version

Baltaci, Gul/0000-0002-6513-2499; EKER, LEVENT/0000-0001-7301-4073; Yuruk, Zeliha Ozlem/0000-0002-4408-6489WOS: 000356810600009PubMed: 25322741BACKGROUND: Turkish version of the Upper Extremity Functional Index (UEFI) may help to assess shoulder function in patients with shoulder impingement syndrome (SAIS). OBJECTIVE: To translate and cross-culturally adapted UEFI into Turkish and to assess its acceptability, reliability, validity in patients with SAIS. METHODS: This study conducted with 93 SAIS participants. UEFI, the short version of the Disability of the Arm, Shoulder and Hand scale (Quick DASH), the Shoulder Pain and Disability Index, and the Short Form-36 Health Survey (SF-36) were administered. Acceptability was assessed in terms of refusal rate, rates of missing responses, and administration time. Test-retest reliability was assessed with intra class correlation coefficient (ICC), internal consistency was assessed with Cronbach's alpha coefficient. Validity was assessed by floor and ceiling effects, skew of distributions and Pearson's correlation coefficients. RESULTS: Cronbach's alpha coefficients for the UEFI at Time 1 and Time 2 were as follows: alpha = 0.89 and alpha = 0.89. Average measure ICC was 0.80. The UEFI score demonstrated strong negative correlations with SPADI total score and Quick DASH score. There was not a significant correlation between the UEFI and mental health subscale score derived from SF-36. CONCLUSIONS: The Turkish version of UEFI is acceptable, valid, and reliable

Diz Osteoartriti Olan Yaşli Hastalarda De Morton Mobilite Indeksi'nin Türkçe Versiyonunun Kabul Edilebilirlik, Geçerlik Ve Güvenirliği

Giriş: De Morton Mobilite İndeksi yaşlılarda fonksiyonel mobiliteyi değerlendirmek için yenigeliştirilmiş bir ölçektir. Bu çalışmanın amacı, De Morton Mobilite İndeksi'ni Türkçe'ye çevirmekve diz osteoartriti olan yaşlı hastalarda psikometrik özelliklerini araştırmaktı.Gereç ve Yöntem: De Morton Mobilite İndeksi'nin Türkçe versiyonu çeviri-geri çeviri yöntemi ile geliştirildi. Hastalar (n100) indeksin yeni oluşturulan Türkçe versiyonu, "The Western Ontario and McMaster Universities Osteoarthritis Index" ve "Timed Up and Go Test" kullanılarakdeğerlendirildi. Kabul edilebilirlik, değerlendirmeyi kabul etmeme sıklığı ve uygulama süresi ile değerlendirildi. Taban ve tavan etkisi ve dağılımların çarpıklığı ölçüldü. Ölçümlerde sınıf içi korelasyon katsayısı, standart hata ve minimum saptanabilir değişim skorları hesaplandı. Pearson korelasyon katsayısı ölçüldü. Bulgular: İndeksin ortalama tamamlanma süresi 7.8 dakika, cevaplanma oranı ise 99% idi.Güvenilirlik analizi 40 hastada yapıldı. Sınıf içi korelasyon katsayısı (2,1), standart hata, minimumsaptanabilir değişim90 ve minimum saptanabilir değişim95 değerleri sırası ile 0.95, 3.15, 7.33 ve8.71 bulundu. De Morton Mobilite İndeksi skorlarının normal olarak dağılım gösterdiği ve tabanveya tavan etkisi olmadığı görüldü. Geçerlik analizi 99 diz osteoartritli hastada değerlendirildi. DeMorton Mobilite İndeksi, "Timed Up and Go Test" ve "The Western Ontario and McMaster Universities Osteoarthritis Index"in fiziksel fonksiyon, ağrı ve tutukluk alt ölçekleri arasındaki korelasyon katsayıları sırası ile -0.69, -0.70, -0.39 ve -0.32 bulundu.Sonuç: Diz osteoartriti olan yaşlı hastalarda De Morton Mobilite İndeksi'nin Türkçe versiyonu kabul edilebilir, güvenilir ve geçerli bir mobilite değerlendirme ölçümüdür.Introduction: The de Morton Mobility Index is a newly developed instrument that assessesthe mobility in elderly. The aim of the study was to translate the de Morton Mobility Index intoTurkish and investigate its psychometric properties in elderly patients with knee osteoarthritis.Materials and Method: The Turkish version of the de Morton Mobility Index was developed using the forward-backward translation method. Patients (n100) were assessed using theTurkish version of the index, Western Ontario and McMaster Universities Osteoarthritis Index,and Timed Up and Go test. Acceptability was assessed in terms of refusal rate, and administration time. Floor and ceiling effects and skew of the distribution were measured. Intra-class correlation coefficients, standard error of measurement, and minimal detectable change scores werecalculated. The Pearson's correlation coefficients were measured. Results: Average time to complete the index was 7.8 minutes. The response rate was 99%.The reliability analyses were conducted with 40 patients. The intra-class correlation coefficient(2,1), standard error of measurement, minimal detectable change90, and minimal detectable change95 were 0.95, 3.15, 7.33, and 8.71, respectively. The de Morton Mobility Index scoreswere normally distributed, and had no floor or ceiling effects. Ninety-nine knee osteoarthritis patients were analyzed for validity. Correlation coefficients between the de Morton Mobility Index,Timed Up and Go test and the Western Ontario and McMaster Universities Osteoarthritis Indexphysical function, pain and stiffness subscales were -0.69, -0.70, -0.39, and -0.32, respectively.Conclusion: The Turkish version of the de Morton Mobility Index is an acceptable, reliableand valid measure for assessing mobility in elderly patients with knee osteoarthritis

Synthesis of Fe and Cu metal complexes derived from 'SNS' Pincer type ligands and their efficient catalyst precursors for the chemical fixation of

WOS: 000462800500002Two novel tridentate SNS pincer type ligands, 2,6-bis[[(2-methoxyphenyl)thio]methyl]pyridine (L1) and 2,6-bis[[(2-chlorophenyl)thio]methyl]pyridine (L2), each possessing two sulfur and one nitrogen donor functionalities (SNS), based on 2,6-bis(thioether)pyridine ligands were prepared and metallised with and metal salts. Two new unanticipated complexes were obtained from the L2 ligand, the dimeric bidentate Cu(I) complex and tridentate Fe(II) complex while two new tridentate pincer-type complexes M(-L1)] () were formed from the L1 ligand. It was observed that the structure of this Cu(I) complex has a tetrahedral geometry using single crystal X-ray diffraction analysis. In addition, catalytic properties of metal complexes towards the formation of cyclic carbonates from and epoxides were investigated. The less sterically hindered Fe(II) complex with the L1 ligand (2) showed the best catalytic activity. Several parameters including temperature, time, epoxide identity and pressure were investigated to find the optimum catalytic reaction conditions. Moreover, DFT studies of these compounds are presented in the study.Presidency of Scientific Research Projects of University GaziantepGaziantep University [FEF-13-06]This work has been supported by the Presidency of Scientific Research Projects of University Gaziantep (FEF-13-06)

ACCEPTABILITY, RELIABILITY AND VALIDITY OF THE TURKISH VERSION OF THE DE MORTON MOBILITY INDEX IN ELDERLY PATIENTS WITH KNEE OSTEOARTHRITIS

WOS: 000348605900012Introduction: The de Morton Mobility Index is a newly developed instrument that assesses the mobility in elderly. The aim of the study was to translate the de Morton Mobility Index into Turkish and investigate its psychometric properties in elderly patients with knee osteoarthritis. Materials and Method: The Turkish version of the de Morton Mobility Index was developed using the forward-backward translation method. Patients (n= 100) were assessed using the Turkish version of the index, Western Ontario and McMaster Universities Osteoarthritis Index, and Timed Up and Go test. Acceptability was assessed in terms of refusal rate, and administration time. Floor and ceiling effects and skew of the distribution were measured. Intra-class correlation coefficients, standard error of measurement, and minimal detectable change scores were calculated. The Pearson's correlation coefficients were measured. Results: Average time to complete the index was 7.8 minutes. The response rate was 99%. The reliability analyses were conducted with 40 patients. The intra-class correlation coefficient( 2,1), standard error of measurement, minimal detectable change90, and minimal detectable change95 were 0.95, 3.15, 7.33, and 8.71, respectively. The de Morton Mobility Index scores were normally distributed, and had no floor or ceiling effects. Ninety-nine knee osteoarthritis patients were analyzed for validity. Correlation coefficients between the de Morton Mobility Index, Timed Up and Go test and the Western Ontario and McMaster Universities Osteoarthritis Index physical function, pain and stiffness subscales were -0.69, -0.70, -0.39, and -0.32, respectively. Conclusion: The Turkish version of the de Morton Mobility Index is an acceptable, reliable and valid measure for assessing mobility in elderly patients with knee osteoarthritis