CHANGING HABITS: THE EFFECT OF CULTURAL CONSUMPTION ON RESTAURANT PREFERENCES

The purpose of this research is to examine the effect of cultural omnivorousness levels on restaurant preferences. Qualitative research approach was adopted in this study. At the same time, ethnographic interview method was used in order to examine the cultural consumption patterns of individuals in the study.  As a result of the research, the findings are presented in two categories: cultural participation and the relationship between cultural participation and restaurant preferences. The result of the research shows that some people interviewed have a different and hierarchical judgment of taste in restaurant preferences. Cultural consumption, as a reflection of cultural omnivorousness, serves to make sense of people's tastes/likes. However, there has not been found such an examination of restaurant choice and its use in cultural omnivorousness studies. This article fills the identified gap, adding to the discussion about restaurant choice and cultural consumption

THE EFFECT OF PHASE CHANGE MATERIALS ON ROOM TEMPERATURE FOR WINTER AND SUMMER

The efficient use of our existing energy resources is as important as finding new energy sources, since the demand for energy is increasing day by day. Heating and cooling loads in buildings constitute a large part of energy consumption. Therefore, it is very important to improve the energy performance of buildings. The utilization of phase change materials to increase the energy efficiency of buildings is one of the recent research topics. In this study, the effect of phase change materials on room temperature for winter and summer months was investigated numerically by defining real environmental conditions in the virtual environment. Phase change material with thermophysical properties suitable for Mediterranean climate conditions was selected for summer and winter. It can keep the room temperature at a slightly lower level during the daytime in summer and the room temperature higher in winter than in the insulated state case. As a result, phase change materials can be used as a natural air conditioner in the summer, as well as a natural heater at night in the winter. On the other hand, smart bricks can be produced that can absorb the heat transmitted from the inside to the outside by using different phase-change materials

Severe ovarian hyperstimulation syndrome in spontaneous pregnancy treated successfully with cabergoline

Ovarian hyperstimulation syndrome (OHSS) is a relatively common complication in infertile patients treated with exogenous gonadotropins. Ovarian hyperstimulation in spontaneous pregnancies is a rare but possible. The pathogenesis of spontaneous OHSS is not well known. Risk factors for OHSS are young age, polycystic ovaries, low body mass index, high gonadotropin dose, increased estradiol and human chorionic gonadotropin levels, multiple pregnancy, OHSS history, molar pregnancy and hypothyroidism. In this report we present a case of severe spontaneous OHSS with a brief summary of the literature. She was hospitalized and treated in the clinic with the diagnosis of severe OHSS accompanying spontaneous pregnancy

A qualitative ınquiry into ıdentifying teachers’ destructive leadership behaviors

Yıkıcı liderlik, kurumun yönetsel süreçlerini ve örgüt üyelerinin motivasyonunu sistematik bir şekilde tahrip etmeye yönelik süreç olarak tanımlanabilir. Bu çalışmada, liderliğin olumsuz yönünü oluşturan yıkıcı öğretmen davranışları ve bu davranışların etkilerini öğrencilerin bakış açısından incelemek amaçlanmaktadır. Araştırmanın çalışma grubunu İstanbul’un Bakırköy, Bahçelievler, Fatih, Güngören, Kadıköy ve Zeytinburnu olmak üzere altı ilçesinden 27 öğrenci oluşturmaktadır. Katılımcılar uygun örnekleme yöntemine göre belirlenmiştir. Elde edilen verilerin analizi sonucunda öğretmenlerin yıkıcı liderlik davranışlarını oluşturan davranış temaları ile yıkıcı liderliğin öğrenciler üzerindeki etki temalarına ilişkin bulgulara ulaşılmıştır. Bu bağlamda öğrenci motivasyonunu düşürücü etkenler, motivasyon düşürücü davranışların etkileri, başarısızlık durumunda öğretmen davranışları, yıkıcı davranışlar sonrası öğrenci tepkileri, başarıyı önemsemez davranışlar, değer verildiğini gösteren davranış beklentileri, meslek seçiminde öğretmenlerden beklentiler, öğretim sürecindeki eksik yönler, öğretime ilişkin öğretmenden beklentiler, teknolojik aletleri kullanma düzeyleri, derse katılımı düşüren öğretmen davranışları, öğretmenlere yönelik beklenmeyen davranışlar alt temalarına ulaşılmıştır. Çalışmanın bulguları öğrenciler üzerinde olumsuz etkileri olan yıkıcı liderlik davranışlarına dikkat çekmektedir. Öğretmenlerin bu doğrultuda farkındalıklarının artırılmasına yönelik hizmet içi eğitim faaliyetleri düzenlenebilir.Destructive leadership can be defined as the process of systematically destroying the administrative processes of an organization as well as its members’ motivation. This study aims to determine the behaviors constituting the destructive aspects of teacher leadership in schools and the effects these behaviors have on students. The study group of the research consists of 27 students from six districts in Istanbul: Bakırköy, Bahçelievler, Fatih, Güngören, Kadıköy, and Zeytinburnu. Participants have been determined in accordance with the convenience sampling method. As a result of the data analysis, findings were reached regarding the behavioral themes forming the destructive leadership behaviors of teachers and the effects destructive leadership behaviors have on students. The study has arrived at factors that decrease student motivation and the effects of motivation-lowering behaviors under the sub-themes of teacher behaviors in case of failure, student reactions after destructive behaviors, behaviors that do not care about success, expectations of appreciative behavior, teachers’ expectations when choosing the profession, deficiencies in the teaching process, teachers’ expectations from teaching, technological tool usage levels, teacher behaviors that decrease class participation, and behaviors not expected from teachers. The findings of the study reveal destructive leadership behaviors to have negative effects on students. As a result, activities such as in-service trainings can be organized to raise teachers’ awareness in this direction

Can coffee consumption be used to accelerate the recovery of bowel function after cesarean section? Randomized prospective trial

Objectives: To evaluate whether coffee consumption accelerates the recovery of bowel function after cesarean section or not.Material and methods: This study was designed as randomized controlled study. Patients were randomly assigned to oneof two groups: Ultimately, Group 1 (n = 51) was the study group and drank three cups of coffee after cesarean, whereasgroup 2 (n = 52) was not given any treatment. The primary outcome measure was the time to first defecation after surgery,the secondary outcomes were time to first bowel movement, passage of flatus, time to toleration of a solid diet, additionalantiemetic and analgesic requirement.Results: There were no significant differences in demographic variables between the groups. The mean time to passageof first flatus was significantly shorter in the study group than the control group (8.6 ± 3.3 h vs 11.3 ± 7.5 h, respectively;p = 0.022). First defecation was 20.7 ± 11.5 h for the study group and at 29.1 ± 14.3 h for the control group (p = 0.001). Inaddition, there was a significant difference in mean time to toleration of solid food between the study and control groups(8.78 ± 2.33 h vs 12.88 ± 4.2.60 h, respectively; p < 0.001).Conclusions: Coffee can be used in patients to enhance the recovery of gastrointestinal function after elective cesareansection

Evaluation of ear, nose and throat involvement in pemphigus vulgaris in comparison with pemphigus severity scoring systems: a cross-sectional study

Pemphigus vulgaris (PV) frequently affects the mucous membranes of the ear, nose, and throat (ENT). Since ENT examination is not a routinely performed procedure, the exact involvement of PV remains unrecognized. The available severity scoring systems (Pemphigus Disease Area Index (PDAI) and Autoimmune Bullous Skin Disorder Intensity Score (ABSIS)) for PV do not include a full ENT examination. This study was designed to evaluate the real extent of PV in ENT areas and to find out the specific scores which indicate the need for ENT examination. The patients were evaluated for ENT manifestations by endoscopic examination whether or not they exhibited symptoms. PDAI, ABSIS, and ENT scores were calculated, and the results were compared for correlation and significance. The mucosal involvement was more severe when scored by ENT examination than when assessed by PDAI or ABSIS. The ENT score was significantly associated with symptoms and endoscopic findings, especially when PDAI ≥15 and/or ABSIS ≥17. ENT endoscopic examination could result in more accurate grading in PV. In particular, performing such an examination should be considered in patients, especially when PDAI ≥15 and/or ABSIS ≥17, regardless of ENT symptoms. </p

Evaluation of ear, nose and throat involvement in pemphigus vulgaris in comparison with pemphigus severity scoring systems: a cross-sectional study

Pemphigus vulgaris (PV) frequently affects the mucous membranes of the ear, nose, and throat (ENT). Since ENT examination is not a routinely performed procedure, the exact involvement of PV remains unrecognized. The available severity scoring systems (Pemphigus Disease Area Index (PDAI) and Autoimmune Bullous Skin Disorder Intensity Score (ABSIS)) for PV do not include a full ENT examination. This study was designed to evaluate the real extent of PV in ENT areas and to find out the specific scores which indicate the need for ENT examination. The patients were evaluated for ENT manifestations by endoscopic examination whether or not they exhibited symptoms. PDAI, ABSIS, and ENT scores were calculated, and the results were compared for correlation and significance. The mucosal involvement was more severe when scored by ENT examination than when assessed by PDAI or ABSIS. The ENT score was significantly associated with symptoms and endoscopic findings, especially when PDAI ≥15 and/or ABSIS ≥17. ENT endoscopic examination could result in more accurate grading in PV. In particular, performing such an examination should be considered in patients, especially when PDAI ≥15 and/or ABSIS ≥17, regardless of ENT symptoms. </p

Percutaneous transluminal balloon angioplasty in stenosis of native hemodialysis arteriovenous fistulas: technical success and analysis of factors affecting postprocedural fistula patency

PURPOSEWe aimed to determine the predictors of technical success and patency after percutaneous transluminal angioplasty (PTA) of de novo dysfunctional hemodialysis arteriovenous fistulas (AVF).METHODSWe performed a retrospective analysis of first time PTA in 228 patients (129 men, 99 women; mean age, 56.8±14.6 years). Anatomical (location, length, grade, and number of stenoses) and clinical variables (sex, age, prior AVF, diabetes mellitus, AVF age, side, and location) were reviewed.RESULTSA total of 330 stenoses were found in 228 patients. PTA was technically successful in 96.3% of the stenoses (n=319). Clinical success was achieved in 97.2% (n=321). Early dysfunction (within six months) was positively correlated with patient age (P < 0.001) and diabetes (P < 0.005). Older age (P < 0.001) and diabetes (P = 0.002) were associated with a lower primary patency rate. Patient age (P < 0.001), presence of diabetes (P = 0.023), length of stenosis (P = 0.003), early recurrence (P = 0.003) and presence of residual stenosis (P = 0.014) were associated with a lower secondary patency rate. CONCLUSIONPatency of dysfunctional hemodialysis fistulas can be maintained safely with continuous follow-up and repeated interventions without shortening the venous segment by surgical revision. Percutaneous approach to hemodialysis access stenosis is an alternative to the conventional surgical approach and PTA is an effective treatment method for dysfunctional AVF

Evaluation of oxidative stress in degenerative rotator cuff tears

Background: Oxidative stress occurs as a result of the disruption of the balance between the formations of reactive oxygen species and antioxidant defense mechanisms during the conversion of nutrients into energy. Increased body oxidative stress has been reported to be involved in the etiology of several degenerative and chronic diseases. We hypothesized that the body oxidative stress level is higher in patients with atraumatic degenerative rotator cuff tear than that in healthy individuals. Methods: The patients who underwent arthroscopic repair for atraumatic, degenerative rotator cuff tear were prospectively evaluated. A total of 30 patients (group 1, 19 females and 11 males; mean age: 57.33 ± 6.96 years; range: 50-77 years) and 30 healthy individuals (group 2, 18 females and 12 males; mean age: 56.77 ± 6 years; range: 51-72 years) were included in the study. The Constant and American Shoulder and Elbow Surgeons scoring systems were used to evaluate the clinical outcomes. Serum oxidative stress parameters of the patients and the control group were biochemically evaluated. Accordingly, thiol/disulfide (DS) balance (DS/native thiol [NT], DS/total thiol [TT]), Total Oxidant Status (TOS), oxidative stress index, and nuclear factor erythroid-2–associated factor-2 values were used as the biochemical parameters indicating an increase in the serum oxidative stress level. Total antioxidant status and NT/TT values served as the biochemical parameters indicating a decrease in the serum oxidative stress level. Results: The study follow-up duration was 12 months. A statistically significant increase was observed in American Shoulder and Elbow Surgeons and Constant scores of patients who underwent arthroscopic rotator cuff repair relative to that during the preoperative period (P = .01). The values of biochemical parameters (DS/NT, DS/TT, TOS, oxidative stress index, and nuclear factor erythroid-2–associated factor-2), which indicated an increase in the serum oxidative stress, were significantly higher in preoperative patients than those in postoperative patients, albeit the control group values were significantly lower than those of the postoperative patients. The biochemical parameters (NT/TT and total antioxidant status) indicating a decrease in the serum oxidative stress levels were significantly higher in the postoperative patients than those in the preoperative patients and significantly lower than those in the control group. Conclusion: High levels of markers indicating an increase in the serum oxidative stress in patients with degenerative rotator cuff rupture suggested that TOS may be involved in the etiopathogenesis of rotator cuff degeneration. Although the oxidative load decreases during the postoperative period, the fact that it is still higher than that in healthy individuals supports this claim. © 2022 Journal of Shoulder and Elbow Surgery Board of Trustee