The effects of perceptions about Turkish baths on future intentions in context of thermal tourismTermal turizm kapsamında hamamlarla ilgili algıların gelecek niyeti üzerine etkileri

This study aims to explore the service quality perceptions of visitors who experience the Turkish baths in Eskisehir and determine the effects of these perceptions’ on future intentions. The future intention includes behaviors that formed within customers' experience after the acquired service. Within this context, the future intention topics discussed in the study were revisit intention and recommendation factor. Research population constituted visitors benefiting from Turkish baths in Eskisehir Center hot water region. There are 14 baths businesses located in the area. Data is gathered through survey method. The survey consisted two parts. In the first part, there were six expressions to determine the demographic characteristics of participants. The second part consisted 16 expressions to determine the perception and future intentions of the participants regarding Turkish baths. 369 surveys which are collected by convenience sampling method are analyzed with a statistic software and interpreted in accordance with the aims of study. Results indicate that service quality perceptions about Turkish baths have influence on future intentions (r=,458) and 20,9% of future intentions could be explained with perceptions about Turkish baths. ÖzetBu araştırma Eskişehir’de termal hamam deneyimlerinde bulunan ziyaretçilerin hamamlardaki hizmet kalitesi algılarına ilişkin değerlendirmelerini ortaya koymak ve bu algıların gelecek niyeti üzerindeki etkisini belirlemek maksadıyla yapılmıştır. Çalışmada gelecek niyeti kapsamında ele alınan konu; hamamlardan yararlanan müşterilerinin aldıkları hizmet sonrası sahip olduğu düşüncelerdir. Bu çerçevede tekrar ziyaret niyeti ve tavsiye faktörü gelecek niyeti olarak adlandırılmıştır. Araştırma evrenini Eskişehir Merkez Sıcak Sular bölgesinde yer alan hamamlardan yararlanan ziyaretçiler oluşturmaktadır. Söz konusu bölgede 14 hamam işletmesi yer almaktadır. Araştırmada veri toplama yöntemi olarak anket tekniği kullanılmıştır. Anket iki bölümden oluşmaktadır. Birinci bölümde katılımcıların demografik özelliklerini belirlemeye yönelik 6 ifade bulunmaktadır. İkinci bölümde ise katılımcıların hamamlarla ilgili algılarını ve gelecek niyetlerini belirlemeye yönelik 16 ifade yer almaktadır. Kolayda örnekleme yöntemine göre 396 kişiden elde edilen veriler, güncel istatistik programında analiz edilerek, araştırmanın amacı doğrultusunda yorumlanmıştır. Araştırmada hamamlar ile ilgili hizmet kalitesi algılarının gelecek niyeti üzerinde etkisi olduğu (r=,458); gelecek niyetinin % 20,9’unun hamamlar ile ilgili algılarla açıklanabileceği tespit edilmiştir

INVESTIGATION OF THE EFFECT OF NeuROPLAY METHOD ON DEVELOPMENTAL PROCESSES OF CHILDREN WITH AUTISM SPECTRUM DISORDERS AND PARENTAL INTERACTIONS

This study was conducted to examine the effect of neuroPLAY on the developmental processes and parental interactions of children with autism spectrum disorder. A mixed method was used in the study. In the quantitative dimension of the study, 41 children with an autism spectrum disorder age 18-42 months, and in the qualitative dimension five children and their parents with autism spectrum disorder were included. The qualitative dimension of the study was used and the observation method was carried out in the institutional environment through individual participant and unattended and video recordings in the home environment. Observation was conducted both to determine the developmental process of the child and the parental interaction and to monitor the process of applying the parent/caregiver's neuroPLAYy method. In the quantitative dimension, experimental design is used. The experimental training period lasted at least 3 months as neuroPLAY. Prior to the start of the experimental training period, five days of training were given to parents and caregivers, and the experts provided feedback on the parent/caregiver through the process of observation. The results of the research show that neuroPLAY has positive effects on developmental processes and parental interactions of children with autism spectrum disorder

NöroPLAY Yönteminin İzleminde Kullanılan NöroPLAY Oyun Davranış Değerlendirme Ölçeği ve NöroPLAY Ebeveyn Oyun Davranış Değerlendirme Ölçeğinin Geliştirilmesi

Bu araştırmada NöroPLAY yönteminin izleminde NöroPLAY Oyun Davranışı Değerlendirme Ölçeği ve NöroPLAY Ebeveyn Oyun Davranışı Değerlendirme Ölçeğinin geliştirilmesi amaçlanmıştır.  Çalışma grubu 18-42 ay aralığında olan 91 çocuktan oluşmaktadır. Ölçeklerin yapı geçerliliklerini belirleyebilmek amacıyla açımlayıcı faktör analizi yöntemi kullanılmıştır. Maddelerin bulundukları yapıya hizmet etme derecelerinin incelenmesi için düzeltilmiş madde -toplam korelasyonu değerlendirilmiştir. Ölçek puanlarının güvenirliğinin değerlendirilmesinde Cronbach alfa ve McDonald omega güvenirlik katsayıları kullanılmıştır. Ölçeklerin yapısı ile ilgili kanıtlar elde edildikten sonra hatırlanma etkisini de ortadan kaldırmak amacıyla altı ay sonra aynı örneklemden tekrar veri toplanarak yapının doğrulanması amacıyla doğrulayıcı faktör analizi gerçekleştirilmiştir. Doğrulayıcı faktör analizi gerçekleştirilirken veri çoklu normal dağılım göstermediği için kestirim yöntemi olarak güçlü maksimum olabilirlik (robust maximum likelihood) yöntemi kullanılmıştır. Doğrulayıcı faktör analizi sonucunda elde edilen uyum indeksi değerleri, faktör yük değerleri ve hata varyansları incelenerek model veri uyumu değerlendirilmiştir. Öçeklerden elde edilen ölçümlerin geçerli ve güvenilir olduğu ortaya konulmuştur

Evaluation of patients with fibrotic interstitial lung disease: Preliminary results from the Turk-UIP study

OBJECTIVE: Differential diagnosis of idiopathic pulmonary fibrosis (IPF) is important among fibrotic interstitial lung diseases (ILD). This study aimed to evaluate the rate of IPF in patients with fibrotic ILD and to determine the clinical-laboratory features of patients with and without IPF that would provide the differential diagnosis of IPF. MATERIAL AND METHODS: The study included the patients with the usual interstitial pneumonia (UIP) pattern or possible UIP pattern on thorax high-resolution computed tomography, and/or UIP pattern, probable UIP or possible UIP pattern at lung biopsy according to the 2011 ATS/ERSARS/ALAT guidelines. Demographics and clinical and radiological data of the patients were recorded. All data recorded by researchers was evaluated by radiology and the clinical decision board. RESULTS: A total of 336 patients (253 men, 83 women, age 65.8 +/- 9.0 years) were evaluated. Of the patients with sufficient data for diag-nosis (n=300), the diagnosis was IPF in 121 (40.3%), unclassified idiopathic interstitial pneumonia in 50 (16.7%), combined pulmonary fibrosis and emphysema (CPFE) in 40 (13.3%), and lung involvement of connective tissue disease (CTD) in 16 (5.3%). When 29 patients with definite IPF features were added to the patients with CPFE, the total number of IPF patients reached 150 (50%). Rate of male sex (p<0.001), smoking history (p<0.001), and the presence of clubbing (p=0.001) were significantly high in patients with IPE None of the women <50 years and none of the men <50 years of age without a smoking history were diagnosed with IPE Presence of at least 1 of the symptoms suggestive of CTD, erythrocyte sedimentation rate (ESR), and antinuclear antibody (FANA) positivity rates were significantly higher in the non-IPF group (p<0.001, p=0.029, p=0.009, respectively). CONCLUSION: The rate of IPF among patients with fibrotic ILD was 50%. In the differential diagnosis of IPF, sex, smoking habits, and the presence of clubbing are important. The presence of symptoms related to CTD, ESR elevation, and EANA positivity reduce the likelihood of IPF

Ankara'da yaşayan farklı sosyo-ekonomik statü gruplarının algıları.

The aim of this study is to compare the cognitive maps of different socio-economic status groups living in Ankara. In-group and inter-group relations of divergent socio-economic status groups are the main focus of the study. In this perspective, perceptions of urban social space are examined in order to comprehend the in-group and inter-relations. Discussions are held both at city level and neighborhood level. These discussions are based on the research that was conducted between September 2003- February 2004 in the neighborhoods of Ankara; namely, Mamak, as a lower class neighborhood, Keçiören, Batikent, Yeni Mahalle, as lower-middle class neighborhoods, Gazi Osman Pasa, Bahçeli, Ümitköy, Bilkent, Oran as middle class and upper-middle class neighborhoods. I studied with an accidental sample of 39 urbanites living in these neighborhoods of Ankara. In order to determine the socio-economic status of the respondents, Murat Güvenç̕s (2001a) spatial differentiation and socio-economic status map was used as a guide. While examining the perceptions of urban social space, spatial behavior patterns and urban daily activities, this study aims to clarify definitions of ءus̕ and ءother̕, which inevitably create divisions in social geography of Ankara. Tensions between different socio-economic status groups reinforce these divisions in the city space of Ankara. Especially, limited social interaction between different socio-economic status groups in urban social space has crucial role in the construction of the boundaries between various divisions.M.S. - Master of Scienc

A case with acute celiac crisis

Çölyak hastalığının belirti ve bulguları geniş bir yelpazeye yayılır. Bazı hastalar asemptomatik olabildiği gibi bazı hastalarda ise hastalığın çok nadir ve ciddi bir komplikasyonu olan çölyak krizi görülebilmektedir. Burada genel durum bozukluğu hipokalemi, hipoalbüminemi kliniği ile başvuran; glutensiz diyet, steroid tedavisi ve elektrolit replasmanı ile klinik bulguları düzelen bir olgu sunulmuştur. Özellikle kronik ishali olan ve hiponatremi, hipokalemi, hipoalbüminemi, metabolik asidoz tablosunda gelen hastaların ayırıcı tanısında çölyak hastalığına ait nadir görülen ve mortalitesi yüksek bir komplikasyon olan akut çölyak krizi göz önünde bulundurulmalı ve en kısa sürede tedaviye başlanmalıdır.Celiac disease presents with a wide spectrum of symptoms and signs. Some patients may be asymptomatic though some may present with acute celiac crisis, which is a rare and serious complication of celiac disease. Here we present a patient who presented with a physically ill appearance, hypokalemia, hypoalbuminemia and was treated successfully with gluten-free diet, steroids and electrolyte replacement therapy. Acute celiac crisis, which is a rare complication of celiac disease with increased mortality, should be considered in differential diagnosis of patients with chronic diarrhea, hypernatremia, hypokalemia, hypoalbuminemia and metabolic acidosis and appropriate treatment should be started as soon as possible

Sleep disturbances and serum vitamin D levels in children with autism spectrum disorder

Sleep problems are among the most prevalent comorbidities experienced by children with Autism Spectrum Disorder (ASD). There is a clinical and physiological basis for a link between 25(OH) D levels and sleep disorders. In this study we aimed to investigate the frequency of sleep disorders in ASD patients and its association with 25(OH) D levels, and whether or not these frequencies changed after 25(OH) D treatment. This prospective study included 60 consecutive patients diagnosed with ASD and matched healthy controls between the ages of 4 and 10. Patients then underwent 25(OH) D replacement therapy according to their deficiency levels. Pre- and post-therapy values were compared. Sleep disturbance was detected in 78.3% of ASD patients (n = 60) and 33.3% of the control group (n = 60). When we compared the pretreatment scores of sleep disturbance between ASD and control groups (n = 60), there were significant differences in bedtime resistance, sleep anxiety, parasomnias, daytime sleepiness, sleep duration, sleep-onset delay, night wakings subscales, and total scale score (p 0.05). In ASD patients, there was a significant negative correlation between serum 25(OH) D levels and the night wakings subscale (r = -0.301, p = 0.019). In control patients, there was a significant negative correlation between serum 25(OH) D levels and daytime sleepiness subscales (r = -0.269, p = 0.038). The results indicate that it may be suitable to use 25(OH) D replacement therapy in ASD patients and healthy individuals with sleep disturbances

STATISTICAL ANALYSIS OF THE AIRGAP OF OFFSHORE STRUCTURES

Ph.DDOCTOR OF PHILOSOPH