39 research outputs found
Dichlorido-1ÎșCl,3ÎșCl-bisÂ{ÎŒ-2,2âČ-[proÂpane-1,3-diylbis(iminoÂmethylÂene)]diÂphenolÂato}-1:2Îș6 O,N,NâČ,OâČ:O,OâČ;2:3Îș6 O,OâČ:O,N,NâČ,OâČ-tricopper(II)
The title linear trinuclear copper(II) complex, [Cu3(C17H20N2O2)2Cl2], was obtained from N,NâČ-bisÂ(2-hydroxyÂbenzÂyl)-1,3-propaneÂdiamine and CuCl2. The overall charge of the three Cu2+ ions is balanced by four deprotonated phenol groups and two Clâ ligands. The complex is centrosymmetric with the central Cu2+ occupying a special position (). This Cu2+ ion is coordinated by the four phenolate O atoms in a square-planar fashion. The second Cu2+ occupies a general position in a square-pyramidal fashion. Two phenolate O atoms and two amine N form the basal plane, with Clâ ligands occupying the fifth coordination site
Diferenças entre as estratégias de coping em pacientes adultos com transtorno bipolar e seus familiares em comparação com controles saudåveis
Introduction: The objective of this study was to compare patients with bipolar disorder (BD), their first-degree relatives and a group of healthy controls in terms of use of adaptive and maladaptive coping strategies, exploring differences between specific types of strategies and their correlations with clinical variables. Methods: This was a cross-sectional study enrolling 36 euthymic patients with BD, 39 of their first-degree relatives and 44 controls. Coping strategies were assessed using the Brief COPE scale. Results: Significant differences were detected in the use of adaptive and maladaptive strategies by patients, their firstdegree relatives and controls. Patients used adaptive strategies less often than the patientsâ relatives (p<0.001) and controls (p=0.003). There was no significant difference between firstdegree relatives and controls (p=0.707). In contrast, patients (p<0.001) and their relatives (p=0.004) both exhibited higher scores for maladaptive coping than controls. There was no significant difference regarding the use of maladaptive strategies between patients and their relatives (p=0.517). Conclusions: First-degree relatives were at an intermediate level between patients with BD and controls regarding the use of coping skills. This finding supports the development of psychosocial interventions to encourage use of adaptive strategies rather than maladaptive strategies in this population.Introdução: O objetivo deste estudo foi comparar os pacientes com transtorno bipolar (TB), seus familiares de primeiro grau e um grupo de controles saudĂĄveis em termos de uso de estratĂ©gias adaptativas e nĂŁo adaptativas, explorando diferenças entre tipos especĂficos de estratĂ©gias e suas correlaçÔes com variĂĄveis clĂnicas. MĂ©todos: Estudo transversal, envolvendo 36 pacientes com TB eutĂmicos, 39 familiares de primeiro grau e 44 controles. As estratĂ©gias de enfrentamento foram avaliadas usando a escala Brief COPE. Resultados: Foram detectadas diferenças significativas no uso de estratĂ©gias adaptativas e nĂŁo adaptativas por pacientes, seus familiares e controles. Os pacientes usaram estratĂ©gias adaptativas com menos frequĂȘncia do que os familiares (p<0,001) e controles (p=0,003). NĂŁo houve diferença significativa entre familiares dos pacientes e controles (p=0,707). Por outro lado, os pacientes (p<0,001) e seus familiares (p=0,004) exibiram pontuaçÔes mais elevadas para coping nĂŁo adaptativo em relação aos controles. NĂŁo houve diferença significativa quando os pacientes foram comparados com seus familiares (p=0,517). ConclusĂ”es: Familiares de primeiro grau estavam em um nĂvel intermediĂĄrio entre pacientes com TB e controles no que diz respeito ao uso de habilidades de enfrentamento. Esta descoberta apoia o desenvolvimento de intervençÔes psicossociais para incentivar o uso de estratĂ©gias adaptativas em vez de estratĂ©gias inadequadas nessa população
O tĂ©rmino de tratamento em psicoterapia psicanalĂtica
O presente artigo descreve algumas consideraçÔes a respeito do processo de tĂ©rmino em psicoterapia psicanalĂtica, encontradas na literatura. O objetivo Ă© discorrer sobre aspectos e recomendaçÔes que caracterizam a fase final do tratamento, considerando que a mesma Ă© percebida de forma singular pela dupla: terapeutapaciente. Alguns autores destacam a capacidade do ego do paciente, o alcance de objetivos determinados na terapia, a superação de ansiedades e inibiçÔes, entre outros, como indicadores para a conclusĂŁo do tratamento. Tais critĂ©rios e demais questionamentos serĂŁo descritos ao longo deste estudo, contemplando principalmente o fechamento integral do processo, observando brevemente alguns aspectos relacionados Ă s interrupçÔes. O fim da terapĂȘutica desperta, tanto em quem se trata quanto nos profissionais, angĂșstias primitivas que devem ser elaboradas por ambos, portanto, reconhecidas e trabalhadas ao mĂĄximo durante o tratamento.This article compiles some considerations about the end of the process in psychoanalytic psychotherapy, found in the literature. The objective is to discuss aspects and recommendations that characterize the final phase of the treatment considering that it is perceived in a unique way by each of the dual therapist / patient. Some authors emphasize the capacity of the ego, the achievement of determined goals, the overcoming of anxieties and inhibitions, among others, as indicators for the conclusion of this modality of psychological care. These criteria and other questions will be better described throughout this study, contemplating the complete closure, that is, without stopping the interruptions. The end of the therapy awakens, both in those who are treated and in the professionals, primitive anxieties that must be elaborated by both, therefore, recognized and worked to the maximum during the treatment
Cognitive performance and psychosocial functioning in patients with bipolar disorder, unaffected siblings, and healthy controls
Objective:: To assess cognitive performance and psychosocial functioning in patients with bipolar disorder (BD), in unaffected siblings, and in healthy controls. Methods:: Subjects were patients with BD (n=36), unaffected siblings (n=35), and healthy controls (n=44). Psychosocial functioning was accessed using the Functioning Assessment Short Test (FAST). A sub-group of patients with BD (n=21), unaffected siblings (n=14), and healthy controls (n=22) also underwent a battery of neuropsychological tests: California Verbal Learning Test (CVLT), Stroop Color and Word Test, and Wisconsin Card Sorting Test (WCST). Clinical and sociodemographic characteristics were analyzed using one-way analysis of variance or the chi-square test; multivariate analysis of covariance was used to examine differences in neuropsychological variables. Results:: Patients with BD showed higher FAST total scores (23.90±11.35) than healthy controls (5.86±5.47; p < 0.001) and siblings (12.60±11.83; p 0.001). Siblings and healthy controls also showed statistically significant differences in FAST total scores (p = 0.008). Patients performed worse than healthy controls on all CVLT sub-tests (p < 0.030) and in the number of correctly completed categories on WCST (p = 0.030). Siblings did not differ from healthy controls in cognitive tests. Conclusion:: Unaffected siblings of patients with BD may show poorer functional performance compared to healthy controls. FAST scores may contribute to the development of markers of vulnerability and endophenotypic traits in at-risk populations
TEM Investigation of the Developement of the Microstructure of Mica Glass Ceramics
Untersuchung der Keimbildung und des Kristallisationsverhaltens einer mit Zirkoniumoxid verstĂ€rkten Glimmerglaskeramik mit Na- Fluorphlogopit als kristalliner Hauptphase. Es der Einfluss des Zirkoniumoxides auf die Keimbildung untersucht. Die Möglichkeiten und Mechanismen der mechanischen Verfestigung der vorkristallisierten Glaskeramik in einem zweiten Temperschritt durch gezielte GefĂŒgeeinstellung, Wachstum der Zirkoniumoxidkristalle auf eine umwandlungsfĂ€hige GröĂe, sowie durch Ausscheidung anderer Phasen wurden im zweiten Teil untersucht. Ziel war die Optimierung der Bearbeitbarkeit nach der ersten Kristallisation und eine bestmögliche Verfestigung durch die zweite Kristallisation. Keimbildung und Kristallisation Die in der Literatur hĂ€ufig beschriebene tröpfchenförmige Entmischung konnte nicht beobachtet werden. Die Keimbildung wird wesentlich durch die primĂ€re Ausscheidung von nanokristallinem Zirkoniumoxid begĂŒnstigt. Ohne Zirkoniumoxid erfolgt im gewĂ€hlten Zusammensetzungsbereich des Grundglases eine homogene Keimbildung von Phlogopit mit einem Keimbildungsmaximum im Bereich der Transformationstemperatur Tg des Glases. Bei einer Zusammensetzung mit sechs Masseprozent Zirkoniumoxid lassen sich homogene einphasige GlĂ€ser herstellen, wenn die Abmessungen nicht zu groĂ sind, so dass die AbkĂŒhlung in wenigen Minuten erfolgt. Andernfalls wĂŒrde bereits wĂ€hrend der AbkĂŒhlung die unkontrollierte Ausscheidung von Zirkoniumoxid-Dendriten erfolgen. Eine Temperaturbehandlung bei ca. 60 â 100 °C oberhalb von Tg fĂŒhrt zur homogenen Ausscheidung von ZirkoniumoxidâNanokristallen und anschlieĂender heterogener Keimbildung von Chondrodit- und PhlogopitâKristallen. Die maximale Keimbildungsrate erhöht sich hierdurch um mehr als 20-tausendfach. Das Maximum der Keimbildung wird zu höheren Temperaturen verschoben und die Induktionszeit drastisch verkĂŒrzt. Somit können in technisch interessanten Zeiten genĂŒgend Keime erzeugt werden um ein feinkristallines GefĂŒge zu erhalten. In den untersuchten GlĂ€sern erfolgt die Kristallisation ohne vorangehende amorphe Phasentrennung. Unterhalb einer Temperatur von 1060 °C wachsen gestörte Glimmerkristalle mit gegenĂŒber der regulĂ€ren Stöchiometrie erhöhtem AlâAnteil. Bei gröĂeren Glimmerkristallen lassen sich makroskopisch gekrĂŒmmte, dendritisch verzweigte Wachstumsformen erkennen. Als Ursache hierfĂŒr konnten Störungszonen im Gitteraufbau der Glimmer ausgemacht werden. ZusĂ€tzliche, eingeschobene {001}-Halbebenen fĂŒhren zu einer Verbiegung der benachbarten durchgehenden Netzebenen und ermöglichen dem Kristall die Wachstumsrichtung um einen kleinen Winkelbetrag zu Ă€ndern. In der Summe entstehen so die makroskopisch gekrĂŒmmten und verzweigten Kristalle. Anders als fĂŒr die bekannten sphĂ€risch aggregierten Glimmerkristalle angenommen, ist hier also kein durch die Glasmatrix vorgegebener Zwang fĂŒr die gekrĂŒmmte Morphologie entscheidend. Vielmehr fĂŒhren Wachstumsstörungen, die aufgrund der nichtstöchiometrischen, Al-reichen und hochviskosen Glasmatrix auftreten, zu Gitterfehlern in deren Folge die Glimmerkristalle gekrĂŒmmt wachsen. Bei höheren Temperaturen und höherer MobilitĂ€t der fĂŒr den Phlogopit erforderlichen Baueinheiten erfolgt die Rekristallisation zu stöchiometrischem Phlogopit. Verfestigung Die Zugabe von Zirkoniumoxid hat einen wesentlichen Einfluss auf die Festigkeit der Glimmerglaskeramik. Bereits nach der ersten Kristallisation wurden Biegefestigkeiten bis 290 MPa gemessen, gegenĂŒber 120 MPa ohne Zirkoniumoxid. In diesem Stadium liegen die Zirkoniumoxidkristalle noch in einem nicht umwandlungsfĂ€higen nanokristallinen Zustand vor. Durch die heterogene Keimbildung an ZrO2âKristallen wird ein feinkörniges PhlogopitgefĂŒge möglich, wodurch eine Verfestigung gegeben ist. UmwandlungsfĂ€hige ZrO2-Teilchen in der Restglasmatrix nach der zweiten Kristallisation konnten nachgewiesen werden. Damit wurde der Prozess der UmwandlungsverstĂ€rkung qualitativ nachgewiesen. Es trat jedoch keine signifikante Erhöhung der BruchzĂ€higkeit ein. Die höhere Biegefestigkeit nach der zweiten Kristallisation wird deshalb durch umwandlungsinduzierte OberflĂ€chendruckspannung erklĂ€rt. MikrorissverstĂ€rkung ist ein weiterer bekannter Verfestigungsmechanismus. Mikrorisse an bereits umgewandelten ZrO2-Teilchen wurden jedoch nicht beobachtet. Kristallisation weiterer Phasen Durch unterschiedliche Keimbildung und geringe Ănderungen des Fluorgehaltes der GlĂ€ser konnten im zweiten Kristallisationsschritt Kornerupin, Mullit oder Spinell als weitere Phase kristallisiert werden. Kornerupin kristallisierte in Form von langen Nadeln. Schon ein geringer Anteil Kornerupin fĂŒhrte zu einer deutlich höheren HĂ€rte und ElastizitĂ€tsmodul. Die BruchzĂ€higkeit nahm etwas ab, ein signifikanter Einfluss auf die Biegefestigkeit war nicht festzustellen. Die Bearbeitbarkeit wurde signifikant schlechter. AuĂerdem fĂŒhrten relativ geringe Mengen Kornerupin zu einer starken Opakisierung des Materials. Mullit und Spinell zeigten beide eine gute VertrĂ€glichkeit mit dem GlimmergefĂŒge, es wurden hohe Festigkeiten erreicht. Im Gegensatz zu den Kornerupin-Nadeln, welche GefĂŒgeĂŒbergreifend wuchsen, kristallisierte, je nach Fluorgehalt, Mullit oder Spinell in den glasigen Bereichen zwischen den Glimmerkristallen. Ein negativer Einfluss auf die Bearbeitbarkeit wurde nicht festgestellt. Proben mit mehr Mullit sind jedoch weniger transluzent als Proben mit ĂŒberwiegend Spinell. Bearbeitbarkeit Durch den Einsatz von Zirkoniumoxid und dessen gezielter Ausscheidung in einem zweistufigen Kristallisationsprozess wurden bearbeitbare Glimmerglaskeramiken mit deutlich höheren Festigkeitswerten hergestellt, als die der bisher bekannten Glimmerglaskeramiken. Der Widerspruch zwischen guter Bearbeitbarkeit und hoher Festigkeit konnte nicht aufgehoben werden. Es ist zwar eine Bearbeitung der Proben mit spanenden Werkzeugen möglich. Die verstĂ€rkten Proben sind jedoch deutlich schwerer zu bearbeiten, als die unverstĂ€rkten. Eine Optimierung war möglich, indem der Glimmeranteil erhöht wurde. Da die Proben mit höherem Glimmeranteil eine niedrigere HĂ€rte hatten, konnte ein inverser Zusammenhang zwischen der gemessenen HĂ€rte und der Bearbeitbarkeit festgestellt werden. Dem ursprĂŒnglichen Ziel entsprechend wurde durch die zweite Kristallisationsstufe eine Steigerung der Festigkeit erzielt, bei gleichzeitig verminderter Bearbeitbarkeit. Die hohen Erwartungen an die zweistufige Kristallisation konnten jedoch nicht erfĂŒllt werden. Vielmehr ist bereits in einem einstufigen Prozess eine hohe Festigkeit bei noch akzeptabler Bearbeitbarkeit möglich.The nucleation mechanism of the mica crystals of a machineable mica-glass-ceramic and the growth of the crystals were investigated. The influence of zirconia on nucleation and crystallization was a main topic. It was the aim of this work to understand the mechanical strengthening of this type of glassceramic during a second crystallization step at a temperature, which was higher than the first crystallization temperature. Strengthening was thought to occur due to the growth of the zirconia particles to a size, where transformation toughening is possible, due to a uniform fine grain size and due to additional phases, which crystallize during the second heat treatment. It was further the aim to optimize the machineability of the glass-ceramic after a first crystallization step and to achieve a high strength after the second crystallization step. The material should be useful as a dental CAD/CAM restauration. Nucleation and crystallization In the literature an amorphous phase separation (APS) is described, which enhances the nucleation of mica crystals in similar glass compositions. The TEM did not show APS in the investigated glasses. Nucleation is promoted by a primary crystallization of nanosized zirconia particles. Without the addition of zirconia a homogeneous nucleation of mica crystals occurs and the maximum nucleation rate is near the transformation temperature of the glass. Homogeneous glasses could be fabricated with the addition of up to 6 wt. % zirconia. A heat treatment of the glass blank with 6 wt. % zirconia at 60 to 100 °C above Tg leads to a homogeneous crystallization of nanocrystalline zirconia particles. These zirconia particles are heterogeneous nucleation sites for the subsequent crystallization of mica crystals and also of a chondrodite-like phase. The maximum nucleation rate is enhanced by a factor of 20- thousand compared to the zirconia free glass. The high nucleation rate makes it possible to produce a fine-grained mica-glass-ceramic in a reasonable time. No APS in advance to crystallization was detected in the zirconia containing glasses as well. At temperatures above 1060 °C, when the mobility in the glassy matrix is higher, the formation of mica crystals with regular Al-content takes place. This happens by a recrystallization process. Strengthening The addition of zirconia dramatically influences the strength of the glass-ceramic. The bending strength is up to 290 MPa after the first crystallization step, compared to 120 MPa without zirconia. At this point the zirconia particles are nanocrystalline. Because of their small grain size there is no contribution of a transformation toughening effect. The strenghtening is thus attributed to the fine-grained microstructure, which is a result of the heterogeneous nucleation of mica on zirconia particles. The process of transformation toughening was demonstrated qualitatively. There was no significant increase of the thoughness value. This is in conformity with the theory, because the amount of transformable zirconia particles is too low to create a measurable volume effect. The further increase of strength of up to 350 MPa during the second crystallization is therefore attributed to a transformation enhanced surface compression. It is possible to crystallize either kornerupine, mullite or spinel phases during the second crystallization step by applying different nucleation regimens and by different fluorine contents. Kornerupine crystallizes with a long needle-like morphology. Kornerupine comes along with higher hardness values and higher Youngs-Modulus, but transparency, machineability and fracture toughness values decreased. Mullite or spinel phases crystallized in the small glassy pockets between the mica crystals. Machineability The addition of zirconia to a mica-glass-ceramic and the controlled crystallization in a two step crystallization process results in a machineable glass-ceramic with significant higher strength than known machineable glass-ceramics. The conflict between good machineability and high strength could not be overcome. Though it was possible to machine the high strength glass-ceramic for example with hard metal tools, the machineability of the zirconia containing glass-ceramic was lower than the machineability of the glass-ceramic without zirconia and also lower than the commercial low strength mica-glass-ceramic MacorÂź. An optimization was possible by increasing the percentage of the mica crystals. The samples with higher crystalline content had lower hardness values, which explains the better machineability of these samples. According to the original aim, the strength increased during the second crystallization and the machineability decreased. It is questionable however, if the rather small enhancement of the mechanical properties justifies a second heating step. Good strength values are attained even after the first crystallization and machineability is adequate in some cases
Determining the endurance performance in women futsal players during the season of preparation and competition
YĂK Tez No: 489787Kadın futsal oyuncularında hazırlık ve mĂŒsabaka döneminde (8 haftalık sĂŒreç) dayanıklılık özelliÄinin belirlenmesi amacı ile yapılan çalıĆmamıza DĂŒzce Ăniversitesi Kadın Futsal Takımı sporcularından (antrenman yaĆı 5.14±0.86yıl, yaĆ 21.28±1.38yıl, boy 163.28±4.87cm, vĂŒcut aÄırlıÄı 54.30±5.33kg) 14'ĂŒ gönĂŒllĂŒ olarak katılmıĆtır. Sporcuların vĂŒcut kompozisyonlarını belirleyebilmek için boy, kilo ve Beden Kitle Ä°ndeksi (BKI), aerobik kapasitelerini belirleyebilmek için Yo-yo aralıklı toparlanma testi 1 (Yo-yo Intermediate Recovery Test 1 - YIRT1), anaerobik kapasitelerini belirleyebilmek için tekrarlı sprint testi (Repeated Sprint Ability - RSA) ve laktat konsantrasyonlarını belirleyebilmek için ise parmak ucundan laktat ölĂ§ĂŒmĂŒ yapılmıĆtır. Testler esnasındaki kalp atım seviyelerinin tespit edilebilmesi için ise Polar V800 cihazı kullanılmıĆtır. Ä°statistiksel deÄerlendirme için SPSS paket programından yararlanılmıĆtır. Kadın futsal oyuncularında hazırlık sezonunda VĂŒcut aÄırlıÄı, BKI, %yaÄ oranı, maksimal oksijen tĂŒketimi (MaxVO2), katedilen mesafe, YIRT1 sonrası laktat, yorgunluk zamanı, yorgunluk indeksi, toparlanma nabzı ve RSA sonrası laktat deÄerleri ön testte sırasıyla; 54.30±5.33kg, 20.38±2.04kg/cm2, 17.52±3.57%, 40.36±1.16ml/kg/dk, 471.42±138.72m, 11.22±1.60mmol, 1.50±0.77sn, 8.15±2.79%, 132.07±10.00atım/dk, 11.87±1.59mmol, son testte ise sırasıyla 52.06±5.38kg, 19.53±2.05kg/cm2, 15.65±4.08%, 41.60±1.14ml/kg/dk, 620.00±136.55m, 13.76±1.88mmol, 0.88±0.41sn, 5.92±2.98%, 122.64±8.22atım/dk, 13.35±1.28mmol olarak tespit edilmiĆtir. ĂalıĆmamız sonucunda kadın futsal oyuncularının performansları deÄerlendirildiÄinde hazırlık döneminde yapılan testlerden elde edilen veriler ile mĂŒsabaka döneminde yapılan testlerden elde edilen veriler arasında istatistiksel açıdan anlamlı farklılık olduÄu belirlenmiĆtir (p<0.01). Spearman korelasyon testi sonuçlarına göre Laktat ile toparlanma zamanı arasında p<0.05, toparlanma nabzı arasında p<0.01 dĂŒzeyinde, MaxVO2 ile toparlanma zamanı arasında p<0.01, yorgunluk indeksi arasında p<0.05 dĂŒzeyinde anlamlılık olduÄu tespit edilmiĆtir. Yine aynı Ćekilde toparlanma zamanı ile yorgunluk indeksi arasında p<0.05, en iyi zaman arasında p<0.01 dĂŒzeyinde anlamlılık olduÄu belirlenmiĆtir. Anahtar sözcĂŒkler: Dayanıklılık, Futsal, Laktat, Tekrarlı Sprint, Yo-Yo aralıklı toparlanma testi14 of the Duzce University women futsal players (training age 5.14±0.86years, age 21.28±1.38year, height 163.28±4.87cm, and body weight 54.30±5.33kg) participated voluntarily in our study aimed at determining the endurance performance in women futsal players during the period of preparation and competition. Height, weight and body mass index (BMI), Yo-yo intermediate recovery test 1 (YIRT1), repeated sprint ability (RSA) and fingertip lactate measurement are used for determining body compositions, aerobic capacities, anaerobic capacities and lactate concentrations of players respectively, whereas Polar V800 device is operated for making firm of heart rate during the tests. For statistical evaluations, it is benefited from SPSS software package. At pre-test of women futsal players during the preparation season, Body weight, BMI, body fat percentage, maximal oxygen update (VO2Max), travelled distance, lactate after YIRT1, fatigue time, fatigue index, recovery pulse and lactate values after RSA are determined as follows: 54.30±5.33kg, 20.38±2.04kg/m2, %17.52±3.57, 40.36±1.16ml/kg/min, 471.42±138.72m, 11.22±1.60mmol, 1.50±0.77sc, %8.15±2.79, 132.07±10.00pulse/min, 11.87±1.59mmol; at post-test these values are 52.06±5.38kg, 19.53±2.05 kg/m2, %15.65±4.08, 41.60±1.14ml/kg/min, 620.00±136.55m, 13.76±1.88mmol, 0.88±0.41sc, %5.92±2.98, 122.64±8.22pulse/min, 13.35±1.28mmol, respectively. As a consequence of our study, It is found that there are significant statistical differences between test results at preparation season and at competition season when performances of women futsal players are evaluated (p<0.01). According to spearman correlation test results, P-values have been found out to be p<0.05 between lactate and recovery speed, p<0.01 between recovery pulse, p<0.01 between VO2Max and recovery time and p<0.05 between fatigue indexes. Likewise, the statistical differences between recovery time and fatigue index and between best times are p<0.05 and p<0.01 levels respectively
Fonksiyonel gıda ĂŒrĂŒnlerine yönelik tĂŒketici tutumları: Ä°zmir'de bir uygulama
Hastalıkların önlenmesi ve iyileĆtirilmesi için gıda ĂŒrĂŒnlerinin kullanılması bazı kĂŒltĂŒrler için yeni bir anlayÄ±Ć deÄildir. Ancak, gıda ĂŒrĂŒnlerinin saÄlık faydalarının vurgulanarak pazarlanması tĂŒm dĂŒnyada 1990'larda yeni bir eÄilim haline gelmiĆtir. Bu eÄilimin birbirini etkileyen iki bileĆeni bulunmaktadırĂŠ birincisi gıda teknolojilerindeki geliĆmeler, ikincisi tĂŒketicilerin uzun ve saÄlıklı yaĆam beklentisidir. TĂŒketicilerin ekstra saÄlık faydaları olan yeni ĂŒrĂŒnlere olan talebi ve gıda sektörĂŒndeki geliĆmeler, "fonksiyonel gıdalar" adı verilen yeni bir gıda ĂŒrĂŒn kategorisi yaratmıĆtır. Bu yeni kategori ile beraber, pazarlamacılar yeni ĂŒrĂŒnler geliĆtirme ya da var olan ĂŒrĂŒnlerini bazı iĆlemlerden geçirerek yeniden pazara sunma Ćansı elde etmiĆlerdir. Fonsiyonel gıda ĂŒrĂŒn kategorisi TĂŒrk tĂŒketicisi için göreceli olarak yenidir ve potansiyel pazar baĆarısı, tĂŒketici profili ve geleceÄi bilinmemektedir. Fonksiyonel gıdalara yönelik tĂŒketici tutumlarının araĆtırılması bu pazar ile ilgili bilgi saÄlaması açısından önemlidir. Bu bilgi, aynı zamanda pazarlamacıların tĂŒketici ihtiyaçlarına nasıl cevap vereceÄi konusunda yardımcı olacacaktır. Bu araĆtırma demografik deÄiĆkenlerin fonksiyonel gıdalara yönelik tĂŒketici tutumları ĂŒzerindeki etkilerini incelemeyi amaçlamaktadır. AraĆtırma, aynı zamanda cevaplandırıcıların fonksiyonel gıdalar ile ilgili farkındalıÄını ortaya çıkarmaya çalıĆmaktadır. 269 cevaplandırıcı Ä°zmir'in deÄiĆik bölgelerinde tesadĂŒfi olmayan örnekleme yöntemi ile seçilmiĆ ve yĂŒz yĂŒze detaylı bir anket uygulanmıĆtır. Sonuç olarak, demografik faktörlerin fonksiyonel gıdalara yönelik tĂŒketici tutumlarını kısmi olarak etkilediÄi bulunmuĆtur. Ancak, pazardaki esas engel bu ĂŒrĂŒn kategorisi ile ilgili farkındalık eksikliÄidir. Anahtar Kelimeler: Fonksiyonel Gıdalar, TĂŒketici DavranıĆı, Tutumlar Using food products to prevent or to cure some diseases is not a new concept for some cultures. However, marketing some food products by emphasizing its health benefits has become a new trend all over the world especially in 1990s. This trend has two interactive componentsĂŠ one is the technological developments in nutrition science, second is the consumers' expectancy about long and healthy life. Consumers' demand for new food products which have extra health benefits and the improvements in food sector developed a new category of foods which are called "functional foods". With this new category, marketers have chance to develop new products or promote already existing products by applying some nutritional processes. Functional food product category is relatively new for Turkish consumers and their potential market success, consumer profile and future is still unclear. Analyzing consumers' attitudes towards functional foods are important to gather some information about functional food market. This information may also help marketers in responding the consumer needs. The aim of this study is to explore the effects of demographic variables over attitudes towards functional foods. Besides, study tries to explore the respondents' awareness of the functional food products. Detailed survey is applied face-to-face to 269 respondents chosen by non-random sampling in different areas in Ä°zmir. As a result, it is found that some of the demographic variables partially affect the attitudes towards functional foods. However, the main constraint in the market about this food category is the lack of awareness. Key Words: Functional Foods, Consumer Behavior, Attitude
Estratégias de coping em pacientes com transtorno bipolar e em seus familiares
Introdução: Pacientes com Transtorno Bipolar (TB) e seus familiares apresentam nĂveis de estresse significativamente mais elevados que a população geral. Coping, utilizado para gerenciar situaçÔes estressantes, tem sido alvo de investigação e intervençÔes psicossociais em pacientes bipolares, auxiliando-os no manejo destes fatores e melhorando desfechos clĂnicos no tratamento. Objetivos: O presente estudo tem por objetivo primĂĄrio comparar pacientes com TB, seus familiares de primeiro grau e um grupo de controles saudĂĄveis quanto ao uso de estratĂ©gias de coping adaptativas e desadaptativas. Como objetivos secundĂĄrios, serĂŁo feitas anĂĄlises explorando diferenças de tipos especĂficos de coping utilizados pelos indivĂduos dos diferentes grupos (pacientes, familiares e controles), atravĂ©s da escala Brief COPE. Outras correlaçÔes com variĂĄveis clĂnicas serĂŁo exploradas, como fatores sociodemogrĂĄficos e clĂnicos, buscando encontrar relaçÔes com as estratĂ©gias de coping na amostra de pacientes com TB. MĂ©todo: Trata-se de um estudo transversal com amostragem por conveniĂȘncia. O estudo incluiu 36 pacientes eutĂmicos com TB, 39 familiares de primeiro grau destes pacientes e 44 controles. As estratĂ©gias de coping foram avaliadas atravĂ©s da Escala Brief COPE. Resultados: Diferenças significativas foram encontradas quanto ao uso de estratĂ©gias adaptativas e desadaptativas entre pacientes, familiares e controles. Pacientes utilizam em menor grau estratĂ©gias adaptativas, quando comparados aos controles. Por outro lado, os familiares demonstram maior uso de estratĂ©gias desadaptativas, semelhante ao que Ă© observado nos pacientes, diferindo do grupo controle. LimitaçÔes: O tamanho amostral Ă© um importante limitador para as conclusĂ”es do estudo. Ainda, as conclusĂ”es foram baseadas em dados transversais. A utilização de avaliaçÔes psicolĂłgicas e clĂnicas em estudos longitudinais permitiriam um melhor mapeamento das mudanças ou manutenção nos padrĂ”es psicolĂłgicos dos participantes. ConclusĂ”es: O grupo de familiares encontra-se em um nĂvel intermediĂĄrio entre pacientes e controles, ou seja, familiares fazem uso de estratĂ©gias desadaptativas em nĂveis semelhantes ao grupo de pacientes, mas apresentam maior uso de estratĂ©gias adaptativas, assim como o grupo controle. IntervençÔes psicossociais com este grupo sĂŁo justificadas, favorecendo o uso das estratĂ©gias adaptativas em detrimento das estratĂ©gias desadaptativas.Background: Patients with Bipolar disorder (BD) and their relatives exhibit significantly higher stress levels than the general population. Coping strategies, used to manage stressful situations, have been the subject of research and have also been used in psychosocial interventions with bipolar patients in order to help them manage stress factors and improve the clinical outcome of treatment. Objectives: This study has the objective to compare BD patients, their first-degree relatives and a group of healthy controls on the use of adaptive strategies and maladaptive coping. The specific objectives, analyzes will be made by exploiting differences in specific types of coping used by individuals from different groups (patients, relatives and controls) through the Brief COPE scale. Other correlations with clinical variables will be explored, such as demographic and clinical factors, trying to find relations with coping strategies in the sample of patients with BD. Method: This was a cross-sectional study with sampling by convenience, enrolling 36 patients with BD, 39 of their first-degree relatives and 44 controls. Coping strategies were assessed using the Brief COPE scale. Results: Significant differences were detected between use of adaptive and maladaptive strategies by patients, patients' relatives and controls. Patients used adaptive strategies less often than the patients' relatives and controls. In contrast, the patients' relatives reported greater use of maladaptive strategies than the controls and were similar to the patients in this respect. Limitations: The sample size is an important factor limiting the conclusions that can be drawn from this study. Furthermore, these conclusions are based on cross-sectional data. Conclusions: The group of patients' relatives were at an intermediate level between the patients and the healthy controls, i.e. family make use of maladaptive strategies at similar levels to the group of patients, but greater use of adaptive strategies, as well as the control group. This group merits psychosocial interventions to encourage use of adaptive strategies rather than maladaptive strategies