New-onset or Exacerbated Occupational Hand Eczema among Healthcare Workers During the COVID-19 Pandemic: A Growing Health Problem

Hand hygiene is one of the cornerstones in ensuring effective infection control during the Coronavirus disease 2019 (COVID-19) outbreak. We aimed to investigate the prevalence of new-onset occupational HE during the COVID-19 outbreak in healthcare workers (HCWs) and the clinical course, clinical features, and risk factors of occupational hand eczema (HE). A total of 159 volunteer HCWs (female: n=112; male: n=47, mean age=35.55±7.03 years) working in a pandemic hospital were included. Participants were questioned in terms of daily hand hygiene, use of gloves, and signs and symptoms associated with HE before and during the COVID-19 pandemic. HCWs were divided into two groups classified as non-COVID and COVID, according to the unit they worked in. In our study, 55 participants reported new-onset signs and/or symptoms associated with HE during the COVID-19 pandemic. 59 participants described an increase in signs and/or symptoms associated with HE. The presence of newly-formed or increased signs and/or symptoms associated with HE was found to be 71.7%. A significant increase in dryness, itching, pain/burning, erythema, and scaling was observed (P<0.05). No difference was found between the COVID and non-COVID groups in terms of newly formed and/or increased signs and symptoms (P>0.05). The study included a limited number of participants, and the participants self-reported the signs and symptoms associated with HE. During the COVID-19 period, there has been a significant increase in the signs and symptoms of occupational HE as a result of increased hand hygiene practices in HCWs

New-onset or Exacerbated Occupational Hand Eczema among Healthcare Workers During the COVID-19 Pandemic: A Growing Health Problem

Hand hygiene is one of the cornerstones in ensuring effective infection control during the Coronavirus disease 2019 (COVID-19) outbreak. We aimed to investigate the prevalence of new-onset occupational HE during the COVID-19 outbreak in healthcare workers (HCWs) and the clinical course, clinical features, and risk factors of occupational hand eczema (HE). A total of 159 volunteer HCWs (female: n=112; male: n=47, mean age=35.55±7.03 years) working in a pandemic hospital were included. Participants were questioned in terms of daily hand hygiene, use of gloves, and signs and symptoms associated with HE before and during the COVID-19 pandemic. HCWs were divided into two groups classified as non-COVID and COVID, according to the unit they worked in. In our study, 55 participants reported new-onset signs and/or symptoms associated with HE during the COVID-19 pandemic. 59 participants described an increase in signs and/or symptoms associated with HE. The presence of newly-formed or increased signs and/or symptoms associated with HE was found to be 71.7%. A significant increase in dryness, itching, pain/burning, erythema, and scaling was observed (P<0.05). No difference was found between the COVID and non-COVID groups in terms of newly formed and/or increased signs and symptoms (P>0.05). The study included a limited number of participants, and the participants self-reported the signs and symptoms associated with HE. During the COVID-19 period, there has been a significant increase in the signs and symptoms of occupational HE as a result of increased hand hygiene practices in HCWs

Differentially private attribute selection for classification

Veri madenciliği ve makine öğrenmesi çözümlerinin en önemli ön aşamalarından biri yapılacak analizde kullanılacak verinin özniteliklerinin uygun bir alt kümesini belirlemektir. Sınıflandırma yöntemleri için bu işlem, bir özniteliğin sınıf niteliği ile ne oranda ilişkili olduğuna bakılarak yapılır. Kişisel gizliliği koruyan pek çok sınıflandırma çözümü bulunmaktadır. Ancak bu yöntemler için öznitelik seçimi yapan çözümler geliştirilmemiştir. Bu çalışmada, istatistiksel veritabanı güvenliğinde bilinen en kapsamlı ve güvenli çözüm olan diferansiyel mahremiyete dayalı özgün öznitelik seçimi yöntemleri sunulmaktadır. Önerilen bu yöntemler, yaygın olarak kullanılan bir veri madenciliği kütüphanesi olan WEKA ile entegre edilmiş ve deney sonuçları ile önerilen çözümlerin sınıflandırma başarımına olumlu etkileri gösterilmiştir.Selecting a relevant subset of attributes is one of the most important data preprocessing steps of data mining and machine learning solutions. For the classification task, selection is based on the correlation between an attribute and the class attribute. There are various studies on privacy preserving classification. However, there is no attribute selection solution for such work in the literature. In this study, novel attribute selection methods based on the state of the art solution in statistical database security, known as differential privacy, are proposed. The proposed solutions are implemented with the popular data mining library WEKA and experimental results confirm the positive effects of the proposed solutions on classification accuracy.Publisher's Versio

Comparision of clinical and electrophysiological staging in Carpal Tunnel Syndrome

Amaçlar: Karpal tünel sendromu teshis edilen hastalarda klinik ve elektrofizyolojik evrelemeler arasındaki iliskinin arastırılmasıdır. Gereç ve yöntemler: Karpal tünel sendromu saptanan 127 el (90 hasta) incelendi. Hastalar klinik olarak ve elektrofizyolojik olarak evrelendi. Her iki evreleme arasındaki iliski incelendi. Karpal tünel sendromu tanısı, medyan sinir trasesindeki, parestezi, agrı, medyan sinir innervasyonlu alanlarda duyu kaybı, medyan sinir innervasyonlu kaslarda motor güçsüzlük ve atrofi olması, Phalen testi veTinel testi pozitifligi ile konuldu. Bulgular: Hastaların klinik evrelemesi ile elektrofizyolojik evrelemesi arasında anlamlı bir iliski saptandı (p=0.000). Hastaların klinik evreleri arttıkça elektrofizyolojik olarak da agır derecelerde karpal tünel sendromu ile uyumlu bulgular elde edilmekteydi. Sonuç: Pratikte klinik ve elektrofizyolojik olarak uyumsuz vakalara rastlansa da hastaların medyan sinir kompresyonunun derecesi klinik muayeneler ile tahmin edilebilir düsüncesindeyiz.Objectives: The aim of the study was to investigate the relationship between the clinical and electrophysiological stages in patients diagnosed with carpal tunnel syndrome. Material and methods: One hundered twentyeight hands (90 patients) with carpal tunnel syndrome were investigated. Patients were staged clinically and electrophysiologically. The relationship between these stages was investigated. Diagnosis of carpal tunnel syndrome was made according to the presence of paresthesia, pain in the innervation area of the median nerve, weakness and atrophy in the median nerve innervated muscles, positive Phalen and Tinnel tests. Results: A significant correlation was found between clinical and electrophysiological staging of patients. The electrophysiological findings were more severe as the clinical stage progressed. Conclusions: We suggest that although there may sometimes be a discordance between clinical and electrophysiological stages in clinical practice, the severity of the compression of the median nerve can usually be estimated by clinical examination

Obsessive- compulsive disorder in the parkinson disease

Purpose: Obsessive disorder assessment using Leyton Obsessional Inventory was done in patients with idiopathic Parkinson's Disease. Materials and Methods: Fifty patients diagnosed with Parkinson's disease according to United Kingdom Parkinson's Disease Society Brain Bank (UK-PDSBB) criteria and 37 healty individuals were included in the study.All subjects were assesed by the same psychiatrist using the Leyton obsessional inventory. Results: The Leyton obssesional scores were higher in the Parkinson's disease group than in the control group (p<0,001). In addition, correlation was found between the severity of disease and degree of obsession (p:0,771). Conclusion: Parkinson's disease is a neurodejenerative disorder with predominant motor symptoms but with progression , nonmotor symptoms also emerge. The patient's qualty of life may be much affected by these nonmotor symptoms. Diagnosis and treatment of the pyschiatric symptoms in Parkinson's disease may help improve life quality

In a real-life setting, direct-acting antivirals to people who inject drugs with chronic hepatitis c in Turkey

Background: People who inject drugs (PWID) should be treated in order to eliminate hepatitis C virus in the world. The aim of this study was to compare direct-acting antivirals treatment of hepatitis C virus for PWID and non-PWID in a real-life setting. Methods: We performed a prospective, non-randomized, observational multicenter cohort study in 37 centers. All patients treated with direct-acting antivirals between April 1, 2017, and February 28, 2019, were included. In total, 2713 patients were included in the study among which 250 were PWID and 2463 were non-PWID. Besides patient characteristics, treatment response, follow-up, and side effects of treatment were also analyzed. Results: Genotype 1a and 3 were more prevalent in PWID-infected patients (20.4% vs 9.9% and 46.8% vs 5.3%). The number of naïve patients was higher in PWID (90.7% vs 60.0%), while the number of patients with cirrhosis was higher in non-PWID (14.1% vs 3.7%). The loss of follow-up was higher in PWID (29.6% vs 13.6%). There was no difference in the sustained virologic response at 12 weeks after treatment (98.3% vs 98.4%), but the end of treatment response was lower in PWID (96.2% vs 99.0%). In addition, the rate of treatment completion was lower in PWID (74% vs 94.4%). Conclusion: Direct-acting antivirals were safe and effective in PWID. Primary measures should be taken to prevent the loss of follow-up and poor adherence in PWID patients in order to achieve World Health Organization’s objective of eliminating viral hepatitis

Evaluating the difficulties faced by primary school teachers in teaching Turkish in country side

Bu araştırmada kırsal kesimlerde Türkçe öğretimde yaşanan güçlüklere ilişkin öğretmen görüşleri öğrenilmeye çalışılmıştır. Araştırma kapsamında Şanlıurfa ilinde görev yapan 75 sınıf öğretmeni ile birebir görüşmeler yapılmıştır. Böylelikle yaşanan güçlüklerin asıl muhatabı olan sınıf öğretmenlerinden sorunlar detaylı bir şekilde öğrenilmeye çalışılmıştır. Araştırma Türkçe öğretiminde yaşanan güçlükleri Güneydoğu Anadolu bölgesi özelinde ele alması açısından önemlidir. Araştırmanın örneklemini Şanlıurfa ilinde kırsal nüfusun yüksek olduğu Eyyübiye, Haliliye, Karaköprü ve Suruç ilçelerindeki köy okullarında görev yapan sınıf öğretmenleri oluşturmaktadır. Araştırma kapsamında öğretmenlere Türkçe öğretimine ilişkin sekiz alt problem sorulmuştur. Araştırmanın alt problemleri her sınıf düzeyinde ayrı ayrı ele alınarak öğretim düzeyine göre yaşanan ortak güçlükler öğrenilmeye çalışılmıştır. Öğretmenlerin görüşme sırasındaki cümlelerinden alıntılar yapılmıştır. Böylelikle yaşanan güçlükler birinci ağızdan aktarılmaya çalışılmıştır. Bununla birlikte elde edilen verilerin frekans ve yüzdeleri hesaplanmış hesaplanan frekans ve yüzdeler daha sonra araştırmacı tarafından yorumlanmıştır. Araştırma sonucunda birinci sınıf öğretmenleri %31.25 oranla öğrencilerin Türkçe bilmemesinden dolayı iletişim kuramamakta, ikinci sınıf öğretmenleri %38.8 öğrencilerin okuduğunu anlamamasında, üçüncü sınıf öğretmenleri %25 oranla okuma yanlışlarında, dördüncü sınıf öğretmenleri %33.33 oranla öğrencilerin okuduğunu anlamamasında sorun yaşadığı görülmüştür. Yaşanan sorunların tüm sınıf düzeylerinde ortak nedenleri ise öğrencilerin Türkçeyi yeterli düzeyde bilmemesi ve ailelerin ilgisizliği olarak belirtilmiştir. Bulgular doğrultusunda öneriler sunulmuştur.In this research, the opinions of teachers about the difficulties of teaching Turkish in the rural regions are aimed to learn. For the extent of research, 75(seventy-five) primary-school teachers who serve/work in Şanlıurfa are talked one to one. In this way, the problems can be learned in a detailed way from the real addressees of the experienred difficulties who are the primary-scholl teachers. The research is important because of the speciality of processing in South-Eastern Anatolia. The research's somple compeses of primary-scholl teachers who are working in Eyyubiye, Haliliye, Karaköprü and Suruç, districts of Şanlıurfa that have higy level of rural population. Eight sub-problems about teaching Turkish are asked to the teachers fort he extent of research. The sub-problems of research are taken ant for every each class seperately and common difficulties are being learned acconding to the training level. The sentences of teachers during the meeting are quated. İn this way, the difficulties about theaching Turkish are learned from the first sources. Nanetheless, the frequency and perccents of gained data are cakulated by the researchers. As a result of research, the first-class teachers have difficulties in communication becawe of the students not knowing Turkish with the percent of %31.25, the second class teachers have difficulties with the students who percent of %38.8, the third class teachers have difficulties reading mistakes of students with the percent of %25, the fourth-class teachers have difficulties with the students who do not understand what they are reading with the percent of %33.33. The common reasons of these difficulties are the students who do not know Turkish sufficently and irrelevent families. According to the findings,suggestions are offered

Diyabetes mellituslu hastalarda tinea pedis ve onikomikoz sıklığı ve etkenleri

TEZ7228Tez (Uzmanlık) -- Çukurova Üniversitesi, Adana, 2009.Kaynakça (s.37-42) var.vii, 43 s. : rnk.res. ; 29 cm.The aim of this study is to evaluate...Çalışmamızda kontrol grubuyla karşılaştırmalı...Bu çalışma Ç.Ü. Bilimsel Araştırma Projeleri Birimi Tarafından Desteklenmiştir. Proje No

Provisional legal protection measures in family law

Toplumların gelişip ilerlemesi, belirli bir düzen içerisinde yaşaması aile kurumunun iyi bir şekilde düzenlenmesi ve varlığını gereği gibi devam ettirmesi ile mümkündür. Hukukumuzda aile kurumu, 1982 Anayasası' nın 41' inci maddesinin ilk iki fıkrasında "Aile, Türk toplumunun temelidir ve eşler arasında eşitliğe dayanır. Devlet, ailenin huzur ve refahı ile özellikle ananın ve çocukların korunması ve aile planlamasının öğretimi ile uygulanmasını sağlamak için gerekli tedbirleri alır, teşkilâtı kurar." şeklinde vücut bulmuştur. Mezkur Anayasal düzenlemenin uygulanabilmesi açısından eşlerin evlilik birliğinden doğan hakları ve yükümlülüklerine çeşitli kanunlarda yer verilmiş, toplumun temeli olan evlilik birliğinin korunması amaçlanmıştır. Kanunlarda yer alan evlilik birliğinden doğan yükümlülüklerin yerine getirilmemesi veya evlilik birliğine ilişkin önemli bir konuda uyuşmazlığa düşülmesi halinde, eşlere hâkime başvurarak gerekli müdahalenin yapılmasını isteme hakkı tanınmıştır. Bu şekilde Devlet, aile birliğinin korunması için gerekli tedbirleri alma görevini mahkemeler aracılığıyla yerine getirmiş olmaktadır.Developments of societies is only possible with providing families with necessary regulations for determined living conditions and maintaining its presence as its required. In Turkish law, family takes place as "The family is the foundation of Turkish society and based on the equality between spouses. The state shall take the necessary meanures and establish the necessary organization to ensure the peace and welfare of the family, especially where the protection of mother and children is involved, and recognizing the need for education in the practical application of family planning" in article 41 of constitution (1982). In order to implement aforementioned article of constitution, varital rights and responsibility are given place in various laws. And it is aimed to protect the conjugal union which is the foundation of Turkish society. In case spouses fail to fulfill their responsibilities of conjugal union which take place in laws, or if they have disputes over important issues of conjugal union, spouses have right to litigate in order to ensure the necessary interference. By this way, the state fulfills its duty to protect the family unity

Investigation of the effectiveness of support and training courses in the context of science courses according to the opinions of students, parents and teachers

Bu araştırmanın amacı Fen Bilimleri dersi bağlamında DYK'ların etkililiğinin öğrenci, veli ve öğretmen görüşlerine göre incelenmesidir. Bu amacı gerçekleştirmek üzere araştırmada, nicel ve nitel verilerin birlikte kullanıldığı karma araştırma yöntem kullanılmıştır. Araştırmada kullanılan nicel veriler 2019-2020 eğitim-öğretim yılında 8. sınıfta öğrenim gören öğrencilerin (DYK'lara katılmış ve katılmamış) 7. sınıf Fen Bilimleridersi yılsonu notu, 8. sınıf Fen Bilimleridersi notları, LGS Fen Bilimleridersi net sayısı ve LGS puanlarıdır. Araştırmada kullanılan nitel veriler ise araştırmanın nicel kısmında örnekleme dâhil edilmiş olan öğrencilerden DYK'lara katılmış olanlardan, bu öğrencilerin velilerinden ve bu kurslarda göre almış öğretmenlerden alınan görüşlerdir. Araştırmanın evrenini 2019-2020 eğitim-öğretim yılında Kırıkkale il merkezinde bulunan resmi ortaokullarda öğrenim görmüş 8. sınıf öğlencileri oluşturmuştur. Araştırma kapsamında veri toplanacak okul belirlenirken evrende yer alan okuldan bir tanesi, amaçlı örnekleme yöntemlerinden tipik durum örneklemesi yöntemi kullanılarak seçilmiştir. Örnekleme dahil edilecek öğrencilerin seçiminde ise küme örneklemesi yöntemi kullanılmış,2019-2020 eğitim-öğretim yılında bu okulda 8. sınıf öğrencisi olan bütün öğrenciler (98 öğrenci) örnekleme dahil edilmiştir. Araştırmanın nitel kısmı için veri toplanırken oluşturulan çalışma grubunda nicel analiz kısmında verisi incelenen öğrencilerden DYK'lara katılan 17 öğrenci, bu öğrencilerin velilerinden 15 veli ve DYK'larda görev almış 16 Fen Bilgisi dersi öğretmeni yer almıştır. Araştırmaya veri sağlamak için kullanılan formlar uzman görüşleri doğrultusunda araştırmacı tarafından geliştirilmiştir. Toplanan nicel veriler SSPS programı, nitel veriler ise QDA Miner Lite veri çözümleme programı kullanılarak incelenmiştir. Yapılan nitel analizlerden elde edilen sonuçlara göre öğretmenlerin ve öğrencilerin tamamı, velilerin ise neredeyse tamamı DYK'ların akademik başarıyı artırdığı görüşündedir. Bu sonuç daha önce yapılan nitel araştırmaların sonuçları ile de örtüşür niteliktedir. Fakat araştırmanın nicel kısmında yapılan analizlerden elde edilen sonuçlar, DYK'ların akademik başarıyı artırdığı yönündeki görüşü desteklememektedir.The aim of this research is to examine the effectiveness of DYK in the context of Science lesson according to the opinions of students, parents and teachers. In order to achieve this aim mixed research method is used in which quantitative and qualitative data are used together. Quantitative data used in the research are the 7th grade Science course year-end grade, 8th grade Science course grades, LGS Science course net number and LGS grades of the 8th grade students (who attended and did not attend DYK) in the 2019-2020 academic year. are the scores. The qualitative data used in the research are the opinions taken from the students included in the sample in the quantitative part of the study, those who participated in DYKs, the parents of these students, and the teachers who took these courses. The universe of the research consists of 8th grade students who were educated in public secondary schools in Kırıkkale city center in the 2019-2020 academic year.While determining the school where data will be collected within the scope of the research, one of the schools in the universe was chosen as a sample by using the typical case sampling method, which is one of the purposive sampling methods. In the selection of the students to be included in the sampling, all students (98 students) who were 8th grade students in this school in the 2019-2020 academic year were included in the sample by using the cluster sampling method. While collecting data for the qualitative part of the study, the study group consisted of 17 students whose data were analyzed in the quantitative analysis part, who participated in the DYK, 15 parents of these students, and 16 science teachers who took part in DYK.The forms used to provide data for the research were developed by the researcher in line with expert opinions. The collected quantitative data were analyzed using the SSPS program, and the qualitative data were analyzed using the QDA Miner Lite data analysis program. According to the results obtained from the qualitative analyzes, all of the teachers and students, and almost all of the parents, are of the opinion that DYK increase academic achievement. This result is also consistent with the results of previous qualitative studies. However, the results obtained from the analyzes made in the quantitative part of the study do not support the view that DYKs increase academic achievement