Sleep and Epilepsy

It is well known that clinical and EEG manifestations of many epilepsy syndromes are related to sleep-and-waking cycles. Epilepsies are thought as disorders reflecting abnormalities in neuronal networks underlying sleep process. Patients with epilepsy, on the other hand, are generally reported to have poor sleep quality when compared with healthy controls. Furthermore, poor sleep quality or sleep-deprivation may worsen seizure control and set a vicious cycle. Anti-epileptic drugs may also affect sleep architecture. Here, we aim to review the complex relationship of sleep and epilepsy in the light of relevant literature

Funkcija i važnost organizacija za provjeru činjenica u eri lažnih vijesti: Teyit.org, primjer iz Turske

The recent increase in usage of concepts such as ‘fake news’ or ‘post-truth’ reveals the importance of digital literacy especially on social media. In the digital era, people’s views on different topics are attempted to be manipulated with disinformation and fake news. Fake content is rapidly replacing the reality among new media users. It is stated with concepts such as ‘filter bubbles’ and ‘echo chambers’ that there is a greater tendency for people to be fed with content that is ideologically appropriate to their own views and to believe in fake news in this content. This article analyzes the structure and functioning of fact-checking organizations in the context of preventing propagation of fake news and improving digital literacy. The research is based on content analysis of verification activities of the fact-checking organization Teyit.org, which is a member of International Fact-Checking Network in Turkey, between January 1 and June 31, 2018. By conducting in-depth interviews with the verification team, propagation of fake news on social networks, fact-checking processes and their methods of combating fake news are revealed. Our article found that fake content spreading specifically through the Internet predominantly consists of political issues.Sve veća upotreba pojmova kao što su „lažne vijesti“ ili „post-istina“ otkriva koliko je važna digitalna pismenost, osobito na društvenim mrežama. U digitalnoj eri mišljenja ljudi o pojedinim temama pokušavaju se mijenjati dezinformacijama i lažnim vijestima, pa korisnici novih medija sve više prihvaćaju lažne vijesti kao stvarnost. Pojmovi kao što su „mjehurići filtri“ (engl. filter bubbles) i „komore odjeka“ (engl. echo chambers) ukazuju na tendenciju da se ljude hrani sadržajem koji je ideološki u skladu s njihovim pogledima i koji podržava lažne vijesti. Ovaj rad analizira strukturu i funkcioniranje organizacija za provjeru činjenica u kontekstu prevencije propagiranja lažnih vijesti i poboljšanja digitalne pismenosti. Istraživanje je temeljeno na analizi sadržaja verifikacijskih aktivnosti organizacije za provjeru činjenica Teyit.org u Turskoj, članice Međunarodnog udruženja za provjeru činjenica, i to tijekom šest mjeseci, od 1. siječnja do 31. lipnja 2018. S članovima tima za provjeru činjenica provedeni su dubinski intervjui kako bi se otkrili procesi provjere činjenica i metode za borbu s lažnim vijestima. Ovaj rad pokazuje da se lažni sadržaj koji se širi internetom u najvećoj mjeri tiče politike

Planimetry investigation of the corpus callosum in temporal lobe epilepsy patients

Objective: To evaluate the effects of temporal lobe epilepsy (TLE) on corpus callosum (CC) morphometry in patients with TLE. Methods: This retrospective study was conducted at the Faculty of Medicine, Tekirdag Namik Kemal University, Tekirdag, Turkey between November 2010 and December 2013. The epileptic syndrome diagnosis was based on International League Against Epilepsy criteria, and this study was conducted on the MRIs of 25 epilepsy patients and 25 control subjects. We classified the patients according to their duration of epilepsy: = 10 years. The projection area length (PAL) of the CC was also estimated. Total brain volumes (TBV) were measured on CT images. Results: The mean values of TBV for patients with TLE and the control group were not statistically different, but the CC PAL values were statistically different. The mean CC PAL values of under and over 25 years of age in patients with TLE were statistically different. The mean values of TBV of under and over 10 years duration of TLE were small statistically, but the CC PAL values were statistically different. Conclusion: The results indicate a clear influence of TLE on the structure of the CC rather than TBV

Mean Platelet Volume in Patients with Obstructive Sleep Apnea and Its Relationship with Simpler Heart Rate Derivatives

Some studies show increased mean platelet volume (MPV) in obstructive sleep apnea (OSA). The aim of this study was to evaluate MPV in OSA patients without cardiovascular risk factors and the possible association of heart rate derivatives with MPV. A total of 82 patients (aged 30–70 years) were divided into 2 groups according to the presence of either OSA or non-OSA as the control group. The OSA group consisted of 52 patients and the control group consisted of 30 subjects. Neither group was significantly different in terms of MPV values as well as heart rate (HR) derivatives such as minimum HR, maximum HR, the difference between maximum HR and minimum HR, mean HR, and heart rate performance index (HRPI) [(HR max. − HR min.)/HR mean] (P > 0.05 for all variables). In multivariate analysis, platelet count and percentages of recording time spent at arterial oxygen saturation < 90% significant variables are associated with MPV (β±SE: −0.004 ± 0.002, 95% CI, −0.008 to −0.001; P = 0.034) and (β±SE: 2.93 ± 1.93, 95% CI, 0.167 to 5.69; P = 0.038). Consequently, our findings predominantly suggest that there is a casual and reciprocal interaction between MPV and autonomic activation

A Gradual Approach for Multimodel Journey Planning: A Case Study in Izmir, Turkey

Planning a journey by integrating route and timetable information from diverse sources of transportation agencies such as bus, ferry, and train can be complicated. A user-friendly, informative journey planning system may simplify a plan by providing assistance in making better use of public transportation. In this study, we presented the service-oriented, multimodel Intelligent Journey Planning System, which we developed to assist travelers in journey planning. We selected Izmir, Turkey, as the pilot city for this system. The multicriteria problem is one of the well-known problems in transportation networks. Our study proposes a gradual path-finding algorithm to solve this problem by considering transfer count and travel time. The algorithm utilizes the techniques of efficient algorithms including round based public transit optimized router, transit node routing, and contraction hierarchies on transportation graph. We employed Dijkstra’s algorithm after the first stage of the path-finding algorithm by applying stage specific rules to reduce search space and runtime. The experimental results show that our path-finding algorithm takes 0.63 seconds of processing time on average, which is acceptable for the user experience

Türkiye Ekonomisinde Sürükleyici Endüstri Analizi:2002-2012 Karşılaştırması

Interindustry analysis that researches alterations in qualitative and quantitative structures of industrial activity is being used as an analytical tool in the matter of monitoring development performance of economy. The aim of this study is to calculate backward linkages by Leontief approach and forward linkages by Ghosh approach based on 2002 and 2012 input output tables and analyse evolution in key sectors. Linkage findings reflecting the 'feedback' and 'stimulant' power of industries are utilized as indicators for optimization in allocation of resources and taking investment decisions. Findings of the study reveal that "manufacture of chemicals, chemical products", "manufacture of fabricated metal products", "recycling" and "research and "development" industries have lost the property of being key industry in relevant period. However only "basic metals” became as a key industry thereby reducing its import dependency. By the results of this study, it is expected to contribute to policymakers in developing policy

Hemşirelik Öğrencilerinin Aile İçi Şiddete Maruz Kalma Durumları ve Şiddete Bakış Açıları

Aim The study was performed in order to evaluate the domestic violence that the nursing students exposed and their perspectives on violence. Materials and Methods The sample was consisted of 229 students who were selected by simple random sampling method. Percentage, Pearson's chi-square and Fisher's exact tests were used in order to perform statistical analysis by the SPSS 17.0. Results 26.6% of students were exposed to domestic violence, 34.4% of these students were exposed to psychological violence, 26.2% of them were exposed to physical violence, 39.3% of them were exposed to both psychological and physical violence. Among the students who were exposed to domestic violence, the violence application rate was significantly high (p<0.01). Conclusion Our results has showed, predisposition to violent tendencies of the individuals who are personally exposed to domestic violence or any member of their family is exposed to domestic violence increase in a way that cannot be overlooked.Amaç Araştırma Sağlık Yüksekokulu öğrencilerinin aile içi şiddete maruz kalma durumları ve şiddete bakış açılarını değerlendirmek amacıyla gerçekleştirildi. Materyal ve Metod Örneklemi; Basit rastgele örnekleme yöntemiyle belirlenen 229 öğrenci oluşturdu. İstatistiksel analizler için SPSS (Statistical Package for Social Sciences) for Windows 17.0 programında yüzdelik, Pearson Ki-Kare testi ve Fisher exact test kullanıldı. Bulgular Araştırmaya katılan öğrencilerden 61 (% 26,6)’inin aile içi şiddete maruz kaldığı, aile içi şiddete maruz kalan öğrencilerden 21'inin (% 34,4) psikolojik, 16'sının (% 26,2) fiziksel, 24'ünün (% 39,3) hem psikolojik hem de fiziksel şiddete maruz kaldığı saptandı. Şiddete maruz kalan öğrencilerde şiddet uygulama oranı anlamlı olarak yüksek bulundu (p<0,01). Sonuç Bulgularımızda da görüldüğü gibi, kendisi ve ailesinden herhangi birinin şiddete maruz kalmasının, bireylerde şiddet eylemine yatkınlığı arttırdığı göz ardı edilemez bir gerçektir

Comparison of adjacent segment degeneration in patients using cervical cage and disc prosthesis in anterior cervical surgery

Aim: To examine the prevalence of adjacent segment degeneration associated with the use of cages and disc prostheses in patients who underwent cervical disc surgery via an anterior cervical approach. Methods: We retrospectively reviewed the medical records of 60 patients who underwent cervical disc surgery via an anterior cervical approach at our clinic between 2018 and 2023. The patients were divided into two groups based on the type of implant used: those with a cervical cage (Group 1) and those with a cervical disc prosthesis (Group 2). Patients' demographic and clinical details, including age, gender, smoking habits, follow-up durations, and any additional comorbid diseases, were recorded. Radiological evaluations focused on degeneration rates in the segments adjacent to where either the cage or disc prosthesis was implanted. Results: In the study comparing two groups, participants' average ages were 48.9 in Group 1 and 48.1 in Group 2 (p=0.720). Group 1 had a higher proportion of smokers (p=0.052) and more discopathy (p=0.196). In terms of disc degenerations, variations existed but were not statistically significant (p=0.259). Utilizing the Pfirrmann grading, Group 1 had more Grade III degeneration (p=0.088) and a significantly higher presence of ossification or osteophytes (p=0.038). Both groups showed high rates of adjacent segment degeneration, yet Group 1 had notably more proximal degeneration (p=0.012). Stenosis and facet hypertrophy differences were not significant (p=0.417, p=0.071). Follow-up duration averaged around 38 months for both groups (p=0.929). Conclusions: No substantial difference in the overall incidence of adjacent segment degeneration between the two procedures. Nevertheless, further large-scale and long-term studies are essential to draw comprehensive conclusions regarding the optimal surgical intervention for cervical disc ailments

Nursing Students Exposed to Domestic Violence and Their Perspectives on Violence

Aim:The study was performed in order to evaluate the domestic violence that the nursing students exposed and their perspectives on violence.Materials and Methods:The sample was consisted of 229 students who were selected by simple random sampling method. Percentage, Pearson's chi-square and Fisher's exact tests were used in order to perform statistical analysis by the SPSS 17.0.Results:26.6% of students were exposed to domestic violence, 34.4% of these students were exposed to psychological violence, 26.2% of them were exposed to physical violence, 39.3% of them were exposed to both psychological and physical violence. Among the students who were exposed to domestic violence, the violence application rate was significantly high (p<0.01).Conclusion:Our results has showed, predisposition to violent tendencies of the individuals who are personally exposed to domestic violence or any member of their family is exposed to domestic violence increase in a way that cannot be overlooked

Effects of graduation and working as a health professional employee on the awareness of patient safety

Amaç Bu çalışmanın amacı mezuniyet ve profesyonel sağlık personeli olarak çalışmanın hasta güvenliği üzerine etkinliğini belirlemektir. Yöntem Bu prospektif tanımlayıcı çalışma Namık Kemal Üniversitesi Sağlık Yüksek Okulu Hemşirelik bölümünde yapıldı. Çalışmada Sağlık Yüksek Okulu son sınıf öğrencileri (n=44)ve aynı okuldan mezun olmuş, çalışan yeni mezun hemşireler (n=35) yer aldı. Sosyo-demografik özellikler ve hasta güvenliği ile ilgili bilinçle ilgili veriler, yüzyüze görüşme sonrası özel olarak hazırlanmış veri formuyla toplandı. Toplanan veriler SPSS for Windows 17.0 istatistik program kullanılarak analiz edildi. Pearson Ki-kare ve Fisher kesinlik testleri gruplar arası karşılaştırılmada kullanıldı. Bulgular Yeni mezun hemşireler öğrencilerle kıyaslandığında tıbbi hataları tanımada ve tıbbi hataya sebep olan özellikleri tanımada daha bilinçlidirler (p<0.05). Sonuç Okuldan mezuniyet ve profesyonel sağlık personeli olarak çalışmak bir hemşirenin hasta güvenliği üzerine bilincini arttırır.Aim The aim of this study is to assess the effects of graduation and working as a health professional employee on the awareness of patient safety. Methods This prospective descriptive study was performed in Health High School Nursing Department of Namık Kemal University. Final year students (n=44) studying in Health High School Nursing Department and junior nurses (n=35) recently graduated from the same school were involved. The data dealing with the socio-demographic characteristics and the awareness on the patient safety were collected by using a specially prepared data sheath following a face to face interview. The collected data was analyzed by using SPSS for Windows 17.0 statistical package program. Pearson Chi-Square and Fisher&amp;#8217;s Exact tests were the preferred for intergroup comparisons. Results Junior nurses compared to the student nurses were more aware of the identification of the medical errors and the characteristics that would lead to medical errors (p&lt;0.05). All participants agreed on that an orientation based education and working experience would be effective in decreasing medical error rates. Conclusion Graduation from the school and working as a health professional employee increases the awareness of a nurse on patient safety