Dropout and compliance to physical exercise in menopausal osteopenic women: the European “happy bones” project

IntroductionDecline in muscle mass and bone density seem to be two of the most disabling side effects of menopause that negatively affect women's quality of life. Promoting physical activity protocols in the workplace can represent a focal point in the prevention and management of several diseases. The study aims to evaluate the compliance and drop-out of menopausal osteopenic women engaged in combined training performed inside and outside the workplace. Strength and balance were analyzed to evaluate the effect of this protocol on osteoporosis prevention and the risk of falling.Methods73 menopausal women were enrolled in 5 European countries. They performed 72 lessons of a combined training proposed in the working place (IW) or sport center (SC).ResultsOut of the total 39 women enrolled in the IW, 12.8% had to leave the program, while out of the 34 women enrolled in SC, 41.2% did not complete the training. According to the compliance results, 47% of women that completed the trained IW and 85% in the SC recorded high compliance (p = 0.019). Moreover, the strength of the lower limbs (p < 0.001) and static balance (p = 0.001) significantly improved in the whole group.DiscussionIn conclusion, proposing well-structured training in the workplace for menopausal women seems to reduce drop-out. Strength and balance results suggest its positive impact on bone health and risk of falls, despite where it is performed

Green roof runoff modelling in Dublin for climate resilience : runoff reduction performance of a single green roof for stormwater management using hydrological modelling with climate change projections

This thesis aims to show the runoff reduction performance of green roofs based on climate change projection scenarios using hydrological simulation tools for mitigating and adapting to flooding events in a flood prone city, Dublin. Green roofs like other sustainable urban drainage systems are able to reduce and delay runoff but the reduction performance depend on many design features as well as external factors. Simulation methods can be used to tailor and enhance the design of green roofs to create a more sustainable urban drainage system while adapting future weather conditions that depend on climate change and mitigate the risk of flooding. Currently, hydrological simulation methods are more frequently used to assess the design, deployment and the impact of sustainable drainage solutions but more studies are needed that includes that are based on simulations validated with real life data and climate change projection models. This study is based on a model validated with real life data and uses climate change projetion model to assess the future implications of climate change and the impact of a green roof could have in stormwater management in Dublin. The model is created using Soil and Water Assessment Tool (SWAT) and calibrated according to a green roof deployed in Dublin based on observed runoff from the green roof. The model is later used with weather parameters taken from a climate change projection model. The runoff obtained from this model is bias corrected using the runoff from the model that uses the historical weather parameters. A further analysis of the urbanization trends of Dublin which will affect the future of the city and its stormwater management strategies and flooding problems. The runoff reduction is assessed compared to the foreseen changes in the land use of the city. Main findings show the green roof is able to reduce %26-%55 of the runoff while the performance drops in more frequent and intense rain events. It is observed that climate change models are subjected to significant biases for weather parameters, especially for precipitation and bias correction on input variables or outputs is strongly advised. The urbanization trend shows Dublin, like many other cities will be more impervious in the future which will add to the effects of climate change. Multiple green roofs together with other sustainable drainage systems can create a cascading effect on overall runoff of the city, alleviating risk of flooding

The Relationship between the Future Anxiety and Psychological Resilience of Adolosence: The Mediating Role of Life Satisfaction

In this study, the effect of mediating role of life satisfaction in high school students' relationship between future anxiety and psychological resilience is investigated. Also, it is aimed to investigate whether the variables differ according to gender. The study included 278 female (68.5%) and 178 male (31.5%) high school students. In this study, Academic and Occupational Future Anxiety Scale, Child and Youth Resilience Measure, Life Satisfaction Scale and Personal Information Form were used. In this analysis using relational screening model, the mediator role analysis of Baron and Kenny was performed to determine the mediator effect of life satisfaction with t-test. In the study, it is observed that life satisfaction has a partial mediator role in the relationship between future anxiety and psychological resilience It is not seen that life satisfaction significantly differentiated according to gender variable in favor of males but there is no significant difference in future anxiety and psychological resilience variables

Workplace physical violence, verbal violence, and mobbing experienced by nurses at a university hospital

Background/aim: The aim of this study was to determine the frequency of and risk factors for physical violence, verbal violence, and mobbing experienced by nurses in a university hospital. Materials and methods: This was a cross-sectional study conducted at Gazi University Medical Faculty Hospital. A questionnaire form recommended by the WHO and the International Labor Organization was administered through face-to-face interviews to determine the violence experienced in the past 12 months by nurses. Results: The prevalence of physical violence, verbal violence, and mobbing was 13.9\%, 41.8\%, and 17.1\%, respectively. Working more than 40 h per week increased the risk of physical violence by 1.86 times. The majority of nurses who experienced verbal violence and mobbing were significantly more willing to change their work, their institution, and their profession if given the opportunity. Fewer than one-fourth of the victims indicated they reported any incident. Conclusion: We knew that the prevalence of physical violence, verbal violence, and mobbing were high among nurses and that incidents were underreported, and the study corroborated this information. What this study adds to the topic is that long working hours increased the prevalence of physical violence and was defined as an important contributory factor

Rotavirus infections in children in Turkey: A systematic review

We aimed to describe rotavirus epidemiology and clinical findings including extraintestinal manifestations in a setting that has yet to introduce rotavirus vaccines in the national immunization program. A literature search was performed by using the key words ``Turkey{''} and ``rotavirus.{''} Ninety-eight studies published between 1987 and 2016 including epidemiological, clinical, and genotypical data at least 1 year duration were included. There were a total of 117 741 children with diarrhea and 26 566 rotavirus gastroenteritis with a median detection rate 31.8\% (95\% CI, 31.3-32.4) under 5 years of age. The rate of dehydration was 47\% (95\% CI, 23.4-91.6). There were 328 cases reported to be presenting with a various complication related to rotavirus in 2750 children in eight studies. The overall complication rate was 11.7\% (95\% CI, 10.7-12.9). The cumulative incidence of the most common genotypical combinations circulating worldwide was only 59.7\% (G9{[}P8], 25\%; G1{[}P8], 22\%; G2{[}P4], 5.6\%; G3{[}P8], 2.6\%; G4{[}P8], 4.5\%) whereas mixed, untypeable, and other genotypes were 2.4\%, 15\%, and 22.9\% respectively. Our results point out the importance of rotavirus vaccination by presenting that rotavirus may cause severe complications besides severe gastroenteritis. The role of strain diversity in the variability of clinical presentations of rotavirus infections needs to be further investigated

Breast cancer survivors suffer from persistent postmastectomy pain syndrome and posttraumatic stress disorder (ORTHUS study): a study of the palliative care working committee of the Turkish Oncology Group (TOG)

Persistent postmastectomy pain syndrome (PMPS) is one of the most important disturbing symptoms. Posttraumatic stress disorder (PTSD) is an anxiety disorder which is characterized by reactions to reminders of the trauma that has been experienced. The purpose of this study is to evaluate the predictors of PMPS and PTSD in Turkish breast cancer survivors and the correlation between PMPS and PTSD

Assessment of the Relationship Between Vitamin D Level and Non-specific Musculoskeletal System Pain: A Multicenter Retrospective Study (Stroke Study Group)

Objective: In this study, it was aimed to evaluate the relationship between vitamin D level and pain severity, localization and duration in patients with non-specific musculoskeletal pain