Evaluation of nomophobia and related factors in high school students

Objective: The aim of the study is to evaluate the 'nomophobia' which is determined as fear of being without access to cell phone, among high school students. Methods: This cross-sectional study was done on December 21st, 2018 in Besiktas at an Anatolian High School with the ethical committee and administrative approvals. In this study, the minimum sample size was 268 among 878 students, and 307 have been reached. Every grade in the school accepted as a stratum. Participants were chosen due to the population of each stratum. The survey was including 29 question, which contains a nomophobia scale valid in Turkish, and seven multiple-choice, two open-ended questions were used. Chi-square test and multiple linear regression analysis were done for data analysis and p<0.05 value accepted significant. %5 were used for standard deviation of prevalence and 95% for the confidence interval. Results: 52.8% of participants were female, %47.2 were male. 25.7% of the participants were 9th, 27.0% were 10th, 19.9% were 11th, 27.4% were 12th grade. 45.3% of participants' fathers and 42.3% of mothers had college degree. All participants had nomophobia with different levels of severity due to defined criteria; 48.5% of participants had mild, 45.6% had moderate, 5.9% had severe nomophobia. Mothers' and fathers' education level have no impact on nomophobia. Most participants were using their phones 2-4 hours per day (48.5%). Nomophobia is significantly high among long-hour-users. 77% were using the phone for social media. They have significantly higher nomophobia. 48.0% were checking their phone when they woke up, this group had significantly higher nomophobia. 44.0% of participants had 3-6 actively used applications. Nomophobia severity had a significant relationship with the number of applications in cell phones. Discussion: In the research population all students have nomophobia. Consequently, understanding psychologic reasons and awareness related to nomophobia should increase for its prevention

Üniversite öğrencilerinde akademik erteleme ve yordayıcıların değerlendirilmesi

Amaç: Erteleme davranışı, olumsuz sonuçları olabileceğinin bilinmesine rağmen bir eyleme başlamayı ya da eylemi bitirmeyi geciktirmektir. Erteleme davranışı bireylerde kaygı ve rahatsızlıklara sebep olarak günlük yaşam kalitesini bozabilmektedir. Ertelemenin bir alt türü olarak akademik erteleme, özellikle öğrenciler arasında yaygındır. Bu çalışmanın amacı Marmara Üniversitesi Tıp Fakültesi öğrencileri arasında erteleme davranışı gösterenlerin ortalama erteleme skorunu ve öğrencilerin genel ağırlıklı not ortalamasına (GANO) etkisini araştırmak ve bireylerin kişilik özellikleri ile erteleme davranışının ilişkisini değerlendirmektir. Gereç ve Yöntem: Çalışmamızda, katılımcılara 12 adet sosyodemografik soru, Tuckman akademik erteleme ölçeği (TAEÖ), Rosenberg Öz Saygı ölçeği ve Hewitt ve Flett çok boyutlu mükemmeliyetçilik ölçeğini (HFMÖ) içeren sorular çevrimiçi olarak sorulmuştur. Bulgular: Araştırmaya, 1’den 6’ya kadar tüm sınıflardan 227 öğrenci katılmıştır. Katılımcıların %62,1’i kadınlardan oluşmaktadır. Fiziksel aktivite alışkanlığı olanların akademik erteleme davranışı daha az görülmüştür (p=0,012). Geliri yetersiz olanların sosyal odaklı mükemmeliyetçiliği daha fazla görülmüştür (p=0,033). Psikiyatrik hastalık tanısı almış katılımcıların, TAEÖ ve HFMÖ arasında da istatiksel olarak anlamlı ilişki bulunmuştur (p<0,05). Sonuç: Sosyal odaklı mükemmeliyetçiliği yüksek olan katılımcıların daha fazla akademik erteleme davranışı sergiledikleri ortaya konmuştur. Öz saygı seviyesi düşük olan öğrencilerin daha çok akademik erteleme davranışı gösterdikleri ve sosyal odaklı mükemmeliyetçilik düzeylerinin yüksek olduğu gözlenmiştir. Psikiyatrik hastalık tanısı almış katılımcıların mükemmeliyetçiliğin sosyal alt boyutu ve akademik ertelemeyle ilişkisi istatistiksel olarak anlamlıdır. Katılımcıların GANO değerleri ile akademik erteleme davranışı, öz saygı ve sosyal odaklı mükemmeliyetçilik arasında istatistiksel olarak anlamlı bir ilişki bulunmamıştır.Objectives: Procrastination can be described as the delay of a task despite being aware of the potential negative consequences this behaviour can create. Procrastination behavior can cause anxiety and discomfort, therefore it can disturb the life quality. Academic procrastination which is a subtype of procrastination, is common among students. Our aim is to evaluate the mean score of procrastination among students of Marmara University Faculty of Medicine, its effects on the grade point average (GPA) of the students and its relationships with personality factors. Materials and Methods: In our study a sociodemographic questionnaire including 12 questions, Tuckman academic procrastination scale (TAPS), Roseberg Self-esteem scale and the Hewitt and Flett Multidimensional Perfectionism scale (HFPS) were completed by the participants online. Results: Two hundred twenty-seven students from all classes from 1 to 6th grade participated in the study. 62.1% of the participants are women. Academic procrastination was less common in those with physical activity habits (p=0.012). Socially prescribed perfectionism was observed more in those with insufficient income (p=0.033). A statistically significant relationship was found between psychiatric illness and TAPS, HFPS (p<0.05). Conclusion: As a result, it has been revealed that participants with high socially focused perfectionism exhibit more academic procrastination behavior. Students with low self-esteem levels exhibit more academic procrastination and their socially prescribed perfectionism levels are high. It was observed that the relationship between the socially prescribed perfectionism and academic procrastination of the participants diagnosed with psychiatric illness was statistically significant. There was no statistically significant relationship between GPA and academic procrastination behavior, self-esteem and socially prescribed perfectionism

A comparison of different methods for the determination of glomerular filtration rate in elderly patients with chronic renal failure

The aim of the present study was to asses the accuracy of prediction equations in elderly patients with advanced renal disease (ARD). Twenty-three elderly patients (> 60 years) with chronic kidney disease (CKD) stages 3-5 underwent technetium-99 m-diethylenetriaminepentaacetic acid (Tc-99m-DTPA) radionuclide measurement of glomerular filtration rate (GFR). To predict GFR, estimation formulas [Cockcroft-Gault (CG), 6-variable Modification of Diet in Renal Disease (6-var-MDRD) and the corrected 24-hour creatinine clearance (24-h CCL) method] were used. Estimates of bias and precision were obtained to compare prediction equations of GFR with standard radionuclide measurement. In the present study, all the prediction equations overestimated the GFR measured with the radionuclide method. Six-var-MDRD and 24-h CCL methods correlated better with standard radionuclide measurements compared to the CG formula (Rc of 0.53 and 0.50 vs. 0.41, respectively) as for GFR prediction, but they were still insufficiently accurate. Glomerular filtration rate prediction equations correlate poorly with standard radionuclide measurements and their use may lead to late initialization of renal replacement therapy in elderly patients with ARD. Therefore, measurement by standard radionuclide method (Tc-99m-DTPA) is recommended to accurately assess GFR in elderly patients with ARD

Mentalexo approach for diagnosis of psychiatric disorders

Introduction: Psychiatric disorders cause a high burden of disease and disability for the society. Liquid biopsies provide potent opportunities for screening programs, diagnosis, prognostic stratification and treatment monitorization. Previously, the liquid biopsy studies were mainly focused on the several malignancies without proper screen methods, but this approach has also a strong potential for decreasing disease burden in CNS pathologies. The main restriction for the diagnosis of CNS diseases is the lack of the methods to receive biochemical/functional information form a tightly enveloped compartment. The hypothesis/theory: In this proposal, we aim to develop a fast and cheap diagnostic platform based on the detection of exosomes originating from the central nervous system (CNS) cells. We intended to develop a sensor device with minimum maintenance costs, which is highly specific and sensitive for psychiatric diseases. Evaluation of the hypothesis/idea: In order to give background information for our proposal; we began with reviewing the concept of liquid biopsies and adaptation of this concept for psychiatric disorders. Then we discussed the conventional and novel methods for the detection of extracellular vesicles (EV). Furthermore, we discussed the detection of exosomes originating from central nervous system and methods analyzing the content of the EVs. Additionally, we reviewed the imaging techniques for detection and visualization of EVs. Empirical data: We used in silico research tools (MetaCore (TM) version 6.37, Clarivate Analytics, and ExoCarta database) to detect appropriate disease specific exosomal markers. We proposed our design for the detection of EVs based on the immune-capture of EVs and detection of surface antigens via the antibody conjugated fluorophores. We also proposed a design to increase the channels for detection of exosomal antigens by using bioinformatics methods, including pathway networks, RDOC matrices and exosome databases which we called Mentalexo approach. We applied this approach on depression and addiction disorders in order to find appropriate exosomal markers. Consequences of the hypothesis and discussion: We believe that our proposal may contribute to the conception of new diagnostic devices focusing on the detection of exosomes in psychiatric conditions

Missed opportunities for chronic diseases prevention in a primary health care center in Istanbul [Istanbul'da bir birinci basamak saǧlık kuruluşunda kronik hastalıklardan korunmada kaçırılmış fırsatlar]

AIM: The aim of the study was to investigate missed opportunities about chronic diseases and related risk factors in a primary health care center in Istanbul. METHOD: This descriptive study was held in a Primary Health Care Center in Istanbul with the study population consisted of 500 people which were applicated in one month period. Participants were asked; if they were questioned by their physician about major risk factors (smoking, obesity, diabetes mellitus, hypertension, coroner heart disease in family, glysemic level, cholesterol level) and regular exercise practice according to Primary Care 2006 Guidelines. The data was evaluated by descriptive statatistics, chi square test. RESULTS: The median age of the participants were 40 (25.p; 32-75.p;52) and 76.4% of them were female. 50.4% of participants were overweight, 20.8% of them were obese. 36.2% of them were smoking, 22.0% were hypertensive, 10.4% were hiperglysemic. There were around 90.0% missing opportunities screening and management of obesity and blood cholesterol level, 70.0% about hypertension and 85.0% about diabetes. CONCLUSION: Opportunities about chronic diseases and their risk factors are being missed and asking about risk factors are neglected in primary health care center