ASSESSMENT OF ANAEROBIC POWER WITH ARM AND LEG WINGATE TESTS IN ATHLETES

The research was carried out with the aim of determining and assessing arm anaerobic power, leg anaerobic power and aerobic capacity in individuals with different branches of active sports. A total of 60 subjects engaged in active sports at Elite level in different branches participated in the study. These branches are; wrestling (group G, n:10), football (Group F, N = 10), bicycle (BI group, n = 10), boxing (BO group, n = 10), taekwondo (TA group, n = 10), and tennis (TE group, n = 10). The research was carried out in the performance Laboratory of Selçuk University School of Physical Education and Sports. For anaerobic measurements, two separate Monark branded Wingate ergometers for arm and leg were used. Shuttle run tests were performed for aerobic measurements. SPSS for Windows 15.0 package program was used in the calculation and assessment of the obtained data. The normality distribution of the measured parameters was determined by the Shapiro-Wilks test. One-way variance analysis (ANOVA) was used to determine the differences between sports branches. In determining the source of difference, the LCD and Dunnett's C were applied from Post-Hoc tests. Significance level was taken as 0.05 in this study. As a result of the leg Wingate ergometer test, the peak power values of wrestlers were found to be significantly different at p<0.05 level compared to those of football, boxing, taekwondo and tennis players. The results of arm Wingate ergometer test showed that the peak power values of the boxers and wrestlers were significantly different in p<0.05 compared to the athletes in other branches. When their MaxVO2 levels were examined, it was observed that the values of cyclists differ significantly in p<0.05 compared to the average of athletes in other branches except wrestlers.  Article visualizations

Nucleated red blood cells as predictor of all-cause mortality in emergency department

Bacground: Nucleated red blood cells (NRBCs) are immature erythrocytes that are not normally detected in the blood of healthy adults. The detection of these cells in peripheral blood is associated with increased mortality and poor prognosis. In this study, we aimed to investigate whether NRBCs predict for all causes of death in patients admitted to the emergency department (ED). Method: This study was conducted retrospectively between January 2019 and December 2019 in academic emergency department, faculty of medicine. We included all patients who died of non-traumatic causes and The control group consisted of patients discharged from the ED. NRBCs and other laboratory parameters were compared between the two groups. The primary outcome is all-cause mortality in the ED. Multivariate logistic analysis was performed. Results: A total of 204 patients (119 male) were included in the study. The mean age of the patients was 66.7 ± 14.6 years. NRBC value was higher in those who died (678.43 ± 655.16/ μl) compared to the control group (22.55 ± 57.86/ μl) (P 0 /μl (sensitivity 94,12%, specificity 82,35%, Area Under Curve (AUC) =0.97). In the multivariate logistic regression analysis, the NRBC was associated with all-cause mortality in the ED (odds ratio,OR = 1.020, confidence interval, CI = 1.012–1.028). Conclusıons: High blood levels of nucleated red blood cells at admission to the emergency department may be associated with increased mortality. © 2020 Elsevier Inc

Analysis of Injuries During Sacrifice in Feast of Sacrifice

Objective: This study included patients who applied to the Emergency Department of Gaziantep University hospital with injuries that occurred during the sacrifice in first day of the Feast of Sacrifice of 2017.Methods: Forty seven patients applied to our emergency department due to the injuries that occurred during animal slaughter and meat processing on the first day of in total of four-day feast in 2017.Results: Total of 25.5% of these patients were female (n=12) while 74.5% were male (n=35). The mean age was 37.7±12.5 for males, 40.3±12.6 for females 38.05±12.35 for overall group. None (except for one (2.1%) of the accident victims was animal slaughterer and all of the injuries were in form of self-injury. There was tendon laceration in 10.6% (n=5) of the patients and skin and subcutaneous tissue laceration in 42 patients (89.3%). Cephalic vein laceration was detected in only one patient (2.1%) as arteriovenous injury. In one patient (2.1%) the digital nerve was partially lacerated. Five of the patients (10.6%) were hospitalized and the others were discharged after their treatment in emergency department. No permanent disability or loss of function was observed in one month's follow-up.Conclusion:The injuries that may be encountered during sacrifice are preventable injuries. Accidental injuries caused by application of the sacrifice will be minimized when it’s performed by professionals

Outcomes of Unilateral Inferior Oblique Myectomy Surgery in Inferior Oblique Overaction Due to Superior Oblique Palsy

WOS: 000374665200006PubMed: 27800253Objectives: To present the outcomes of unilateral inferior oblique myectomy performed in patients with inferior oblique overaction due to superior oblique palsy. Materials and Methods: Twenty-seven eyes of 27 patients that underwent inferior oblique myectomy surgery for superior oblique palsy between 2002 and 2008 were included. Inferior oblique overaction scores (between 0-4) at preoperative, early postoperative (within 1 week after surgery) and late postoperative (earliest 6 months) visits were reviewed. Results: There were 12 male and 15 female patients. Eighteen were operated on the right eye, and 9 were operated on the left eye. The mean age was 15.62 +/- 13.31 years, and the mean follow-up was 17 +/- 11.28 months (range, 6-60 months). Patients who had horizontal component and V-pattern deviation were excluded. Preoperative and early postoperative inferior oblique overaction scores were 2.55 +/- 0.75 and 0.14 +/- 0.36, respectively, and the difference was statistically significant (p<0.01). This improvement was maintained up to the late postoperative period. Conclusion: Due to its promising short-term and long-term results, inferior oblique myectomy can be the first choice of surgery for inferior oblique overaction due to superior oblique palsy

Assessment of the homophobic attitudes of the emergency department professionals: descriptive survey study

INTRODUCTION: Homophobia can be defined as fear, hatred, discrimination, and even violent feelings and behaviors developed towards individuals with sexual orientations different to other individuals of the same sex. Our study was conducted to assess the levels of homophobia among emergency medicine specialists, practitioners, nurses, and other health care professionals working in the emergency department (ED). MATERIAL AND METHODS: This study was carried out as a descriptive survey study in Gaziantep, Turkey, between July 7, 2018 and August 30, 2018. The data was collected using a Google survey form link sent to volunteers via mobile phone. RESULTS: The mean age of the patients was 30.85 ± 7 (20-53) years. While 77.5% (n = 117) of the volunteers who participated in the study worked in state hospitals, 11.3% (n = 17) worked in a private hospital. The Cronbach's Alpha value was calculated as 92.3 and the scale average score as 85.42 ± 12.33 as a result of the evaluation of the Likert-type scale. While 69 (45.7%) people were lower in homophobia, 82 (54.3%) were higher in homophobia. A difference in attitudes towards homosexuals was only observed between those who had a homosexual friend or acquaintance and those who did not (p = 0.009). Accordingly, those with homosexual friends were determined to be less homophobic. On the other hand, it was observed that those with a homosexual acquaintance and those with no homosexual acquaintances were more homophobic. CONCLUSION: In our study, it was shown that emergency medicine specialists and other health professionals working in the ED exhibit high levels of homophobic attitudes and behaviors. Including lesbian, gay, bisexual, transgender, intersex (LGBT-I) health problems in in-service trainings may contribute to the improvement of homophobic attitudes. Copyright © 2021 Via Medic

Spindle Cell Carcinoma of the Tongue: A Rare Tumor in an Unusual Location

Spindle cell carcinoma is a rare biphasic tumor consisting of epithelial and mesenchymal components. Presence of this tumor type in the tongue has rarely been reported. Herein, a case of 55-year-old woman who presented with a polypoid lesion at her tongue has been reported. Surgery was performed and pathologic examination revealed a spindle cell carcinoma. We present this rare tumor with an unusual location to contribute in part to the better understanding and awareness of this rare malignancy

Relative importance of anxiety and motivational variables in predicting language achievement for college learners of Chinese

The growing worldwide enthusiasm in learning Chinese calls for more research on learner characteristics in Chinese classrooms to better inform teaching practice. Language anxiety, which falls under the umbrella of learner’s affect, is considered an important affective aspect that negatively influences language learning and acquisition. As research on language anxiety mainly focused on the learning of Western languages, this study constitutes an initial attempt to investigate anxiety in the learning of Chinese through the testing of a structural model. The purpose of the study was to examine the relative importance of language anxiety in predicting Chinese achievement when motivation, integrativeness, and attitudes toward the learning situation were controlled. The study took place in a Southwestern university in China. Adopting a correlational design, this study measured 14 variables from which five constructs were formed—anxiety, motivation, integrativeness, attitudes toward learning situation, and Chinese achievement. The anxiety measures were from the Chinese language learning anxiety scale. The motivational measures were adapted from the international attitude and motivation test battery. The achievement measures included a HSK listening test, a HSK reading test, and students’ final course grades. A total of 223 students from the International College participated in this study. Students completed a written survey containing all the anxiety and motivational measures. Then they took the HSK listening and reading test. Students’ course grades in the Comprehensive Chinese course were collected at the end of the spring semester. The findings of structural equation modeling suggested that language anxiety negatively predicted Chinese achievement when motivation and attitudes toward the learning situation were controlled. Students’ attitudes toward the learning situation predicted their motivation, but motivation did not predict Chinese achievement. The follow-up analysis showed that motivation predicted student’s course grades but not their performance on the HSK tests. It can be concluded that language anxiety had a negative effect on language achievement for international learners of Chinese. Teachers were recommended to have an awareness of the nervousness and discomfort experienced by their students in language classrooms and to take measures to create a low-anxiety learning environment

Evaluation of the Prevalence of Incidental HBV, HCV and HIV Infection Among Patients Presenting to the Emergency Department: A Prospective Cross-sectional Study

Aim: In this study, we randomized the patients without known hepatitis-B, hepatitis C and HIV infection who presented to the emergency department (ED). We measured the serum levels of HBsAg, Anti-HCV and Anti-HIV antibodies besides biochemical tests regarding the diagnostic process of the main complaint resulting in presentation to the ED. In this way, we aimed to determine the prevalence of occult chronic viral diseases among patients presenting to the ED and the risk of ED employees was evaluated. Materials and Methods: The study included 800 patients who had presented to the ED for any reason over two month and who had no history of infectious viral disease. Results: Four hundred and thirthy-four (54.2%) of the patients were male, 366 (45.8%) were female, and the mean age was 32.7 (+/- 16.9) years. The rate of presence of a person with an infectious viral disease at the patient's home was 1%, 0.5% and 0.0% for HBV, HCV, and HIV, respectively. The overall history of HBV vaccination was 15.5% in our study sample. HBsAg, anti-HCV and HIV-positivity were 2%, 0.8% and 0.0%, respectively. Conclusion: The prevalence of HBV- and HCV-positivity in patients admitted to the ED who did not have any known chronic viral disease was consistent with the general population prevalence. No significant change in the prevalence of HCV compared to previous years can be explained by the absence of a protective vaccine. The absence of HIV-positivity can be explained by the low rate of HIV-positivity in our country

Evaluation of nutritional status in pediatric intensive care unit patients: the results of a multicenter, prospective study in Turkey

IntroductionMalnutrition is defined as a pathological condition arising from deficient or imbalanced intake of nutritional elements. Factors such as increasing metabolic demands during the disease course in the hospitalized patients and inadequate calorie intake increase the risk of malnutrition. The aim of the present study is to evaluate nutritional status of patients admitted to pediatric intensive care units (PICU) in Turkey, examine the effect of nutrition on the treatment process and draw attention to the need for regulating nutritional support of patients while continuing existing therapies.Material and MethodIn this prospective multicenter study, the data was collected over a period of one month from PICUs participating in the PICU Nutrition Study Group in Turkey. Anthropometric data of the patients, calorie intake, 90-day mortality, need for mechanical ventilation, length of hospital stay and length of stay in intensive care unit were recorded and the relationship between these parameters was examined.ResultsOf the 614 patients included in the study, malnutrition was detected in 45.4% of the patients. Enteral feeding was initiated in 40.6% (n = 249) of the patients at day one upon admission to the intensive care unit. In the first 48 h, 86.82% (n = 533) of the patients achieved the target calorie intake, and 81.65% (n = 307) of the 376 patients remaining in the intensive care unit achieved the target calorie intake at the end of one week. The risk of mortality decreased with increasing upper mid-arm circumference and triceps skin fold thickness Z-score (OR = 0.871/0.894; p = 0.027/0.024). The risk of mortality was 2.723 times higher in patients who did not achieve the target calorie intake at first 48 h (p = 0.006) and the risk was 3.829 times higher in patients who did not achieve the target calorie intake at the end of one week (p = 0.001). The risk of mortality decreased with increasing triceps skin fold thickness Z-score (OR = 0.894; p = 0.024).ConclusionTimely and appropriate nutritional support in critically ill patients favorably affects the clinical course. The results of the present study suggest that mortality rate is higher in patients who fail to achieve the target calorie intake at first 48 h and day seven of admission to the intensive care unit. The risk of mortality decreases with increasing triceps skin fold thickness Z-score