Effects of the Covid-19 Pandemic on Forensic Case in Children

Objective: Forensic cases have an important place in applications to pediatric emergency units. With the pandemic period, there have been changes in the frequency and characteristics of emergency services. In this study, it was aimed to investigate the effects of the pandemic on forensic cases in children. Material-Method: The files of the patients who were admitted to Necmettin Erbakan University Meram Medical Faculty Pediatric Emergency Unit between March 2019 and March 2021 and defined as forensic cases were analyzed retrospectively from the hospital information management system. Results: 505 (48.4%) of the forensic cases were girls and, 538 (41.6%) were boys. When the frequency of admission was evaluated according to the genders, no significant difference was found between the genders (p>0.05). The median age of all cases was 3 (0.4-17.85) years. Of the patients, 652 (62.5%) were treated as outpatients and 391 (37.5%) were treated as inpatients. Of the patients, 569 (54.5%) were diagnosed before the pandemic, and 473 (45.5%) after the pandemic. The diagnosis of foreign body in the nose was more common in boys, and the diagnosis of suicide attempt was more common in girls. It was determined that the cases were hospitalized more frequently during the pandemic period, the cases of foreign bodies in the gastrointestinal tract were less, and the cases of abuse were higher. Conclusion: The social restrictions experienced during the pandemic period, the closure of schools and workplaces have caused changes in the characteristics of forensic cases. More studies are needed to investigate the effect of the pandemic on forensic cases in children

Otizm Spektrum Bozukluğu olan çocukların oyun becerilerine yönelik yapılan lisansüstü tezlerin incelenmesi

Play is essential to the development of children's skills, promoting learning, socialisation, language, and communication. However, Autism Spectrum Disorder (ASD) hinders natural play learning and requires additional support. This study examines Turkish postgraduate theses on ASD play interventions, taking into account years, age, gender, participants, methods, effectiveness, and role of play. 20 theses (14 master's, 6 doctoral) from 2008 to 2023 were analysed using qualitative document analysis. 11 used to play as an aim, 7 as a tool, and 2 as both. The studies mainly involved males between the ages of 1 and 19. Experimental designs predominated, often single-subject research. All play interventions were found to be effective for people with ASD. The review supports researchers and calls for more qualitative/group designs to provide richer evidence.Oyun, öğrenme, sosyalleşme, dil ve iletişimi teşvik ederek çocukların becerilerinin gelişimi için çok önemlidir. Ancak, Otizm Spektrum Bozukluğu (OSB) doğal oyun öğrenimini engeller ve ek destek gerektirir. Bu çalışma, OSB oyun müdahaleleri üzerine Türkiye'de yapılan lisansüstü tezleri yıl, yaş, cinsiyet, katılımcılar, yöntemler, etkinlik ve oyunun rolünü dikkate alarak incelemektedir. 2008-2023 yılları arasında yapılmış 20 tez (14 yüksek lisans, 6 doktora) nitel doküman analizi kullanılarak analiz edilmiştir. 11'i oyunu bir amaç, 7'si bir araç ve 2'si hem amaç hem araç olarak kullanmıştır. Çalışmalar çoğunlukla 1 ila 19 yaş arasındaki erkek katılımcıları kapsamıştır. Deneysel tasarımlar ağırlıktadır ve genellikle tek denekli araştırmalar şeklinde yürütülmüştür. Tüm oyun müdahalelerinin OSB'li bireyler için etkili olduğu görülmüştür. İnceleme, araştırmacıları desteklemekte ve daha zengin kanıtlar sağlamak için daha fazla nitel/grup tasarımı yapılması çağrısında bulunmaktadır

Nepotizm algısında demografik özelliklerin rolü: Otel işletmeleri işgörenleri üzerinde bir araştırma

Bu araştırmanın amacı, örgütlerde önemli bir sorun grubunu oluşturan nepotizme (akraba, eş-dost kayırmacılığı) ilişkin, işgören algılarının bazı demografik özelliklerine göre değişip değişmediğini ortaya koymaktır. Bu kapsamda araştırma kapsamındaki otel işletmeleri işgörenlerinin nepotizm algılarının belirlenmesinde anket tekniğinden faydalanılmış ve nepotizm ölçeği araştırma kapsamındaki Afyonkarahisar'da faaliyet gösteren beş yıldızlı otel işletmeleri işgörenleri üzerinde uygulanmıştır. Anket tekniği ile elde edilen verilerin çözümlenmesinde betimsel istatistiklerin yanı sıra t-testi ve varyans analizlerinden faydalanılmıştır. Bu kapsamda araştırmaya katılan otel işletmeleri işgörenlerinin nepotizm algıları orta düzeye yakın gerçekleşmiş olup, işgörenlerin bazı demografik özellikleri ile nepotizm algılamaları arasında farklılıklar tespit edilmiştir. Söz konusu sonuçlar araştırmanın amacı doğrultusunda yorumlanarak konuya yönelik öneriler geliştirilmiştir.The aim of this research is to determine whether the perceptions of the employees change in terms of nepotism, (favoritism of relatives, kith and kin) which constitutes an important problem in organizations. In this context, in the determination of the nepotism perceptions of the employees in hotels in the scope of the research, the survey technique was utilized, and then the survey including the nepotism scale was applied to the hotel business employees in Afyonkarahisar. In the analysis of the data obtained by the questionnaire technique, t-test and variance analyzes were used in addition to descriptive statistics. In this context, the nepotism perceptions of hotel employees' participating in the survey were found to be close to the middle level, and significant differences were found out according to some demographic characteristics of the hotel employees and their nepotism perceptions. These mentioned results were interpreted in the direction of the research purpose and suggestions were developed about this subject issue

Hafif müzikte sentez arayışları

Taha Toros Arşivi, Dosya No: 481-Muhtelif Gazete Kupürleri (Musiki İle İlgili)Unutma İstanbul projesi İstanbul Kalkınma Ajansı'nın 2016 yılı "Yenilikçi ve Yaratıcı İstanbul Mali Destek Programı" kapsamında desteklenmiştir. Proje No: TR10/16/YNY/010

Serum copeptin level can be a helpful biomarker in evaluation of myocardial perfusion scintigraphy results

Background: Myocardial perfusion scintigraphy (MPS) is a well-established diagnostic tool. The sensitivity and specificity of single photon emission computed tomography (SPECT) MPS to detect significant coronary lesion were 86% and 74%, respectively. The aim of this study was to examine the role of serum copeptin in evaluation of MPS. Methods: Sixty-two consecutive patients underwent both SPECT MPS using 99mTc-sestamibi and transthoracic echocardiography were enrolled prospectively. Age, gender, height, weight, presence of cardiovascular risk factors were recorded. Exercise treadmill test (ETT) with modified Bruce protocol was used to induce coronary ischemia during MPS. While performing MPS, blood samples for serum copeptin level were drawn three times at pre-exercise, at the peak of ETT, and 6 h after ETT, respectively. The patients were enrolled into three groups according to MPS results (normal, equivocal and ischemia). Results: The study included 62 patients (23 with normal, 20 with equivocal, 19 with ischemia on MPS). Pre-, peak-, and post-exercise B-type natriuretic peptide and troponin I values were similar across the groups (p > 0.05 for all comparisons). Serum copeptin values for pre- and peak-exercise were similar among all groups (p = 0.883 and p = 0.089). Post-exercise copeptin values of the normal and equivocal groups were similar (p = 0.661, z = –0.438) while that of the ischemia group was significantly higher than both the normal (p < 0.001) and equivocal group (p < 0.001). Conclusions: Serum copeptin was found to be increasing significantly in case of ischemia on MPS. It may be used in differentiation of equivocal results from false positive results.

Percutaneous endovascular therapy for symptomatic chronic total occlusion of the left subclavian artery

CONCLUSION Balloon angioplasty and stenting for chronic total occlusion of the left subclavian artery is safe and effective, with good acute success rate and mid-term patency. Prospective randomised studies on larger patient populations would provide more precise results

Long-term prognosis of patients with heart failure: Follow-up results of journey HF-TR study population

Background: Despite advances in therapeutic management of patients with heart failure, there is still an increasing morbidity and mortality all over the world. In this study, we aimed to present the 3-year follow-up outcomes of patients included in the Journey HF-TR study in 2016 that has evaluated the clinical characteristics and management of patients with acute heart failure admitted to the hospital and present a national registry data. Methods: The study was designed retrospectively between November 2016 and December 2019. Patient data included in the previously published Journey HF-TR study were used. Among 1606 patients, 1484 patients were included due to dropout of 122 patients due to inhospital death and due to exclusion of 173 due to incomplete data. The study included 1311 patients. Age, gender, concomitant chronic conditions, precipitating factors, New York Heart Association, and left ventricular ejection fraction factors were adjusted in the Cox regression analysis. Results: During the 3-year follow-up period, the ratio of hospitalization and mortality was 70.5% and 52.1%, respectively. Common causes of mortality were acute decompensation of heart failure and acute coronary syndrome. Angiotensin receptor blockers, beta-blockers, statin, and sacubitril/valsartan were found to reduce mortality. Hospitalization due to acute decompensated heart failure, acute coronary syndrome, lung diseases, oncological diseases, and cerebrovascular diseases was associated with the increased risk of mortality. Implantation of cardiac devices also reduced the mortality. Conclusions: Despite advances in therapeutic management of patients with heart failure, our study demonstrated that the long-term mortality still is high. Much more efforts are needed to improve the inhospital and long-term survival of patients with chronic heart failure

RELATIONSHIP BETWEEN CAROTID ARTERY DOPPLER FLOW VELOCITY AND EXTENT OF CORONARY ARTERY DISEASE

Conclusion: To Patients with carotid artery disease have a high incidence of concomitant coronary artery disease, which is not different between the patients treated conservatively and stenting. In addition, the extension of coronary artery disease (not the presence) were associated with these two Doppler parameters