221 research outputs found
Klinik psikoloğun psikoterapötik tedavi sözleşmesinden doğan sorumluluğu
Psikoterapötik tedavi sözleşmesi, serbest çalışan klinik psikolog ile danışan arasında kurulan, psikoloğun ücret karşılığında danışanın psikiyatrik rahatsızlığının tedavisi için psikoterapi yaklaşımları içerisinde danışanın psikiyatrik rahatsızlığının niteliğine göre seçtiği ve psikoterapi uyguladığı özel hukuk sözleşmesidir. Klinik psikoloğun sözleşmeden kaynaklanan yükümlülüklerin başında psikoterapötik tedavi gelmektedir. Klinik psikolog sözleşmeden kaynaklanan yükümlülüklerini özenle yerine getirmelidir. Burada sır saklama, sadakat gösterme, aydınlatma yükümlülüğü, kayda geçirme yükümlülüğü gibi durumlar ele alınmıştır. Psikoloğun psikoterapötik sözleşmesinden kaynaklanan bu yükümlüklerine aykırı hakaret ederek danışana zarar vermesi halinde sorumluluğu doğacaktır. Psikoterapötik tedavi sözleşmesinde zarara uğrayan danışan maddi ve manevi zararlarının tazminini talep edebilir. Danışan uğramış olduğu zararları, hukuka aykırılığı ile illiyet bağının varlığını ispat etmek zorundadır. Buna karşılık olarak ise klinik psikolog da kusurunun bulunmadığını ispat etmekle yükümlüdür.A psychotherapeutic treatment contract is a private law contract between a self-employed clinical psychologist and a client, where the psychologist, in return for a fee, selects and performs psychotherapy according to the nature of the client's psychological disorder within the psychotherapy approaches for the treatment of the client's psychological disorder. Psychotherapeutic treatment is the primary obligation of the clinical psychologist arising from the contract. The clinical psychologist must fulfil his/her contractual obligations diligently. Here, situations such as confidentiality, loyalty, obligation to inform, obligation to record are discussed. If the psychologist causes harm to the client by violating these obligations arising from the psychotherapeutic contract, his/her responsibility will arise. The client who suffers damage in the psychotherapeutic treatment contract may claim material and moral damages. The client must prove the existence of a causal link between the damages suffered and the illegality. In return, the clinical psychologist is obliged to prove that he/she is not at fault
Analyzing and Presenting Data with LabVIEW
LabVIEW is an abbreviation for Laboratory Virtual Instrument Engineering Workbench and allows scientists and engineers to develop and implement an interactive program. LabVIEW has been specially developed to take measurements, analyze data, and present the results to the user. You determine what the device looks like, rather than the manufacturer of the device. LabVIEW has a very large library of functions and subprograms (subVIs) that can help you during your programming and use without occupying memory. Hidden programming problems that you may encounter in traditional programming languages are less common in LabVIEW. LabVIEW also includes different applications such as serial device control, data analysis, data presentation, data storage and communication over the internet. Analysis library; It includes versatile and useful functions such as signal generation, signal processing filters, Windows statistics and regressions, linear algebra and array arithmetic. Due to the graphical nature of LabVIEW, it is an innate data presentation package. You can view the data in any form you want. Chart, graph and user-defined graph are among the output options that can be used. As a scientist or an engineer, you frequently measure physical changes such as temperature, pressure, time, mass, electric current, light intensity, radioactivity etc. You generally need to analyze and present the data. When you have large amounts of data, you need to use software to analyze and present the data. LabVIEW makes these actions easy for you. Because LabVIEW includes hundreds of built-in and add-on functions you need that make it easy to create a user-friendly interface. In this chapter, we focus on data analysis and presentation
Performing DISC Personal inventory analysis in job postings using artificial intelligence methods
One of the application fields of DISC selfevaluation analysis was introduced to predict people's performance and orientation in their working life. Each letter in the word DISC represents an essential personal characteristic, dividing the profiles of people in business life into four essential parts. In the current study, DISC analysis is conducted on job postings to match the person with the job posting. The current study was based on the analysis of 3 different datasets with job postings in English, Turkish and Romanian prepared by using web scraping methods and then labeled in accordance with DISC criteria. Several different machine learning algorithms have been performed on the DISC analysis outputs, and they reached the best results with accuracy values of around over 96% on the English dataset, around over 95% on the Turkish dataset, and around over 96% on the Romanian dataset, for both D, I, S, C models.Aralı
Derotational Osteotomies for The Late Treatment of Brachial Plexus Injury
Obstetric brachial plexus palsy [OBBP] can affect the function of the upper extremity. Most of the injuries are limited to the upper spinal nerves and heals spontaneously. However, some of them will have incomplete recovery after OBBP often results in weakness of the external rotators [teres minor and infraspinatus] muscles compared to the internal rotators [teres major, pectoralis major, latissimus dorsi] muscles. The predominance of the internal rotators and adductor muscles over external rotators leads to an internal rotation contracture. The development of internal rotational deformity may progress to increased glenoid retroversion and posterior humeral head subluxation. If the surgeon does not repair internal rotation deformity, the humeral head is forced into a posterior position causing a complete posterior dislocation. Many procedures are performed to treat these deformities: In the young child, improving the remodeling of the glenohumeral joint, capsulectomy, and subscapular release are introduced. Tendon transfers of the shoulder have good results for motion but fail to restore the glenohumeral joint. The failure of improving joint alignment may represent the loss in clinical improvement over time. In older children, a humeral osteotomy can be an alternative to realign the limb into external rotation, improve appearance, and enhance eating, washing hair, and scratching the back of the neck. We will discuss all the techniques along with their advantages and disadvantages
Effect of final irrigation with sodium hypochlorite at different temperatures on postoperative pain level and antibacterial activity: a randomized controlled clinical study
Objective: To evaluate the effect of final irrigation of root canals with NaOCl solution at different temperatures on postoperative pain level and antimicrobial activity. Methodology: 45 patients were randomly divided into three groups using a web program according to the irrigation selected: NaOCl 2ºC, NaOCl 25ºC and NaOCl 45ºC. First root canal samples were collected before treatment (S1). After chemo-mechanical preparation, final irrigation was performed with the selected irrigant (NaOCl 2ºC, NaOCl 25ºC and NaOCl 45ºC) and second samples were collected (S2). Samples were subjected to quantitative real-time polymerase chain reaction to evaluate the levels of total bacteria. The root canal treatments were completed and the participants were given instructions to record postoperative pain levels at 24, 48 and 72 hours, 5 days and 1 week after treatment using a visual analog scale (VAS). Results: The reduction in the number of total bacterial cell equivalents from S1 to S2 was statistically significant in all groups (p<0.001). The NaOCl 2˚C group reported significantly less postoperative pain than the NaOCl 45˚C group (p<0.05). Postoperative analgesic intake was significantly higher in the NaOCl 45˚C group than in the NaOCl 2˚C group (p<0.05). Conclusion: We conclude that final irrigation with NaOCl at different temperatures results in similar antibacterial effectiveness. Final irrigation with cold NaOCl (2˚C) is better than NaOCl 45˚C when comparing postoperative pain levels
The relationship between SOD1 and Hsp70 expression in broiler ileum throughout post-hatching development
Heat shock proteins (Hsps) are molecular chaperones that play critical functions in the survival and development of cells. Hsps influence adaptive and innate immune responses and may promote cross-talk between the two systems. Superoxide dismutases (SODs) are metalloenzymes that play an essential role in the body's defense against oxidative stress by efficiently removing excess reactive oxygen species. This study is an experimental study that was conducted to determine the relationship between SOD1 and Hsp70 expression in the ileum during the post-hatching development of the broiler. In the study, samples were taken from ileum tissue of 0-, 21- and 42-day-old broilers were used as material. While the Hsp70 immunoreactivity observed in the epithelial cells was specific to a few cells on day 0, it was detected in more villus epithelial cells on days 21 and 42. The Hsp70 expression in the ileum increased from the age 0 to up to day 42, especially in villus epithelial cells. In sections stained by SOD1, the ileum's villus epithelial cells and smooth muscle cells showed an intracytoplasmic reaction. From day 21 to day 42, a regular increase in SOD1 expression was detected in the crypt and villus epithelial cells. As a remarkable finding, a more intense intracytoplasmic staining was detected in villus epithelial cells located at the apex of intestinal villi. In conclusion, it was observed that SOD1 and Hsp70 expression increased in the ileum tissue throughout post-hatching development in broilers with a positive correlation with age. Based on the histological findings, it can be concluded that SOD1 and Hsp70 play a critical protective role in the small intestine after hatching and contribute to the rapid development of the intestine
Attitudes towards mobile learning of the Faculty of Education and the Faculty of Tourism students
Mobil cihazlar, teknolojik araçların ve İnternetin birlikte gelişiminin önemli bir temsilcisi konumundadır. Artan işlem gücüne karşın donanımsal olarak küçülen ve taşınabilirliği nedeniyle mobil olarak adlandırılan bu cihazların hayatta her geçen gün önemi artmaktadır. Eğitim alanı da mobil cihazların kullanıldığı alanlardan biridir. Bu araştırmada da eğitim alanında mobil teknolojilere yönelik öğrenci tutumları araştırılmıştır. Bu kapsamda 2014-2015 eğitim öğretim yılında eğitim fakültesi ve turizm fakültesi öğrencilerinden toplam 450 öğrenciye ulaşılmıştır. Eğitim ve turizm fakültesi öğrencilerine demografik veri anketi ve “Mobil Öğrenmeye Yönelik Tutum Ölçeği” araştırma verilerini toplamak için uygulanmıştır. Bu iki fakülte temel alınarak ve “Mobil Öğrenmeye Yönelik Tutum Ölçeği” kullanılarak öğrencilerin mobil öğrenmeye yönelik tutumları farklı değişkenler açısından incelenmiştir. Araştırma sonucunda eğitim fakültesinde öğrenim gören öğrencilerin turizm fakültesinde öğrenim gören öğrencilere oranla daha fazla mobil öğrenmeye yönelik olumlu tutuma sahip oldukları, fakülte kontrol altında tutulmak kaydıyla cinsiyet, öğrenim görülen sınıf, mezun olunan lise türü ve kalınan yerde İnternete sahip olma durumlarına göre tutumlar farklılaşmazken kendine ait mobil cihaz/bilgisayar olma durumuna göre ise mobil öğrenmeye yönelik tutumun farklılaştığı sonucuna ulaşılmıştır.Mobile devices are an important representative of technological tools and the Internet development together. The importance of these devices which are called mobile due to their portability and which have shrunken hardware although their improved processing power is increasing in everyday life. The field of education is one of the areas where mobile devices are used. In this study, students’ attitudes towards mobile technology in education have been investigated. In this context, 450 students from the faculties of education and tourism have been reached in 2014-2015 academic year. Students’ attitudes towards mobile learning are analyzed in terms of different variables based on these two faculties, using Mobile Learning Attitude Scale. Research results indicated that the faculty of education students have more positive attitude towards mobile learning compared to the faculty of tourism students. According to the results, controlling faculty variable, although attitudes do not differentiate in terms of gender, grade level, graduated high school and the presence of Internet connection at households; attitudes towards mobile learning differentiate in terms of mobile device-computer possession
Development of A New Tool to Analyze Injury Risk: Turkish Get Up Injury Risk Tool
Injury risk analysis is critical to preventing injuries' physical and psychological impact. The purpose of this study was to develop a new tool to evaluate the risk of injury particular to the Turkish get up (TGU) exercise. According to expert opinions, the Turkish Get Up Injury Risk Tool (TUGIR) is a biomechanical assessment tool developed based on the Turkish Get Up (TGU) movement. It evaluates the alignment and quality of movement during the exercise to assess the risk of injury. The upper and lower quarter Y balance tests (YBTs) and Functional Movement Screening (FMS) were performed to determine construct validity. A total of thirty- three wrestlers performed all the tests. Reliability was assessed by internal consistency determined with Cronbach's alpha coefficients and inter-rater reliability determined with Kendall's coefficient of concordance. The injury risk cut-off value was calculated according to the Angoff method. The internal consistency of the TUGIR was found to be 0.77 and 0.76, respectively, quite reliable for the right and left sides. Kendall's concordance coefficient of the total score was determined to be 0.998 for both sides. The injury risk cut-off value was found to be %72 for the overall TUGIR score. A low to moderate association was observed between TUGIR and YBTs—FMS. The TUGIR is a novel, reliable, and valid tool for assessing injury risk in sports. This tool offers several advantages, including being an easy-to-use, low- cost, and comprehensive method that can reflect sports-specific biomechanical characteristics. This research could lead to the use of this tool to assess the risk of injury in other sports branches
Association of Mitral Annulus Calcification with High-Sensitivity C-Reactive Protein, Which Is a Marker of Inflammation
Objectives. There are limited clinical data revealing the relationship between mitral annular calcification (MAC) and systemic inflammation. The goal of the present study was to compare high-sensitivity C-reactive protein (hs-CRP) levels in patients with and without MAC and investigate the relationship between MAC and hs-CRP. Methods. One hundred patients with MAC who underwent transthoracic echocardiography (TTE) and 100 age-matched controls without MAC who underwent TTE were included in our study. Hs-CRP levels were compared between groups. Results. Prevalence of female gender, hypertension, and coronary artery disease were significantly higher in the MAC group than in the control group (64% versus 45%, P = 0.007, 42% versus 28%, P = 0.03 and 37% versus 18%, P = 0.003, resp.). On multivariate analysis, age, gender, and coronary artery disease were the only independent predictors of MAC. The levels of hs-CRP were higher in the MAC group than in the control group (2.02 ± 0.35 versus 1.43 ± 0.47 mg/dl, P < 0.001). This increase in hs-CRP levels in the MAC group persisted in patients without hypertension, coronary artery disease, and in male patients when compared to the control group. Conclusions. Our study demonstrated that hs-CRP, which is a sensitive marker of systemic inflammation, increased in patients with MAC
Coil embolization in 481 ruptured intracranial aneurysms: angiographic and clinical results
PURPOSEWe aimed to report our 13-year experience with the embolization of ruptured cerebral aneurysms using detachable coils and postembolization angiographic and clinical results. MATERIALS AND METHODSBetween June 1998 and September 2011, 481 patients with ruptured aneurysms were referred for endovascular treatment with detachable coils at our center. The technical feasibility, procedural complications, morbidity, mortality, and initial angiographic and clinical results were evaluated. RESULTSEndovascular treatment was successful in 95.6% of the patients. Postembolization angiography showed complete occlusion in 63.4%, a neck remnant in 30.8%, and incomplete occlusion in 5.8% of the aneurysms. A total of 331 patients were followed up. The overall angiographic results showed stable occlusion in 234 aneurysms (70.7%) and recurrence in 97 aneurysms (29.3%). During the follow-up period, stable angiographic occlusion was evident in 75% of the small, 61% of the large, and 38.5% of the giant aneurysms. Complications during the coiling procedure occurred in 75 procedures (15.6%). Ischemic complications were observed in 33 procedures (6.9%), and perforation of the aneurysm during the coiling occurred in 12 cases (2.5%). Five (41.7%) of 12 patients who had perforation during coiling died. The overall procedure-related morbidity and mortality were 5.6% and 2%, respectively. During the follow-up period, two patients (0.4%) had early rebleeding. None of the patients showed late rebleeding. In the follow-up, the retreatment rate was 12.6%. CONCLUSIONOur data confirm the feasibility, safety, and efficacy of endovascular coil embolization in patients with ruptured cerebral aneurysms
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