The Evaluation of Urban Historic Sites Rehabilitation Project for Tourism Destination: Case Study of Hamamonu/Ankara

The main purpose of this study is the evaluation of Hammonu rehabilitation project from two viewpoints. First, Hamamonu district have been evaluated with urban identity and conservation. Hamamonu district reflects the effects of rehabilitation project on conservation historical values of old and unused parts of the city in Ankara. It also has been deemed worthy of 2011 European Destination of excellence award. Second, the site has been evaluated from the tourists' perspective giving some assessments and perceptions of users about the area. The Altindag Municipality has been selected Hamamonu district as the rehabilitation project due to the historical values and urban regeneration necessities in central part of Ankara. Since 2006, Altindag Municipality have reconstructed or completely rebuilt many buildings and designed pedestrian zone in an area of around 210 hectares. The rehabilitation team tried to restore the original charm of the district which reflects traditional styles of Turkish Republic to attract inhabitants back and make the place an interesting destination for tourists. Our study has been developed mainly based on field survey and questionnaire. Visitors (native and/or foreign) have analyzed and tried to evaluate their ideas about the district, as a tourism destination, post Hamamonu rehabilitation project with randomly selected questionnaire. In summary, it has been tried to distinguish how much this project is successful in urban identity and historical values conservation beside its international successes

Spirituality, Spiritual Care Perceptions and Moral Sensitivity of Senior Nursing Students: A Multicenter and Cross-Sectional Study

Aim: The objective of this study was to investigate the perception of spiritual care and moral sensitivity of senior nursing students receiving education in five different regions of Turkiye. Method: This study used a multicenter, descriptive and cross-sectional survey design.Data were collected with the Spirituality and Spiritual Care Rating Scale and the Moral Sensitivity Questionnaire in the research. A total of 590 senior nursing students, studying in five different universities in five different regions of Turkiye, participated in this research. Results: The mean total score of students on the Spirituality and Spiritual Care Rating Scale was 4.06±0.70 and Moral Sensitivity Questionnaire was 5.44±1.12. There was a significant relationship between the mean total scores on the Spirituality and Spiritual Care Rating Scale and the Moral Sensitivity Questionnaire (p<0.05). Conclusion:It is recommended to benefit from different and innovative educational practices related to spirituality and moral sensitivity in nursing education, and to conduct interventional and longitudinal studies on these issues

An action plan for promoting physical activity in women and sensitive to social gender equity: Case of Bartin/Turkey

The purpose of this paper was to investigate physical activity opportunities from the point of gender issue of Bartin City, also to investigate in the context of the important health indicators of the Healthy Cities Union such as physical environment, inequalities, physical and social infrastructure of the city. Additionally, the second aim is to determine the effects of these conditions to the physical and mental health of the women. In this context, it is prepared an action plan for women including the decisions of a plan that is sensitive to the social gender equity and aiming to improve the physical environment and physical and social infrastructure that is appropriate for increasing to the characteristics of life qualities in the case of Bartin. Interviews with women who live in Bartin city have been conducted in order to investigate the influence of the environment on physical activity of women. Especially, the subject of socialization and health of women is the main concern of this study. Action plan aimed to increase the physical activity levels of women living in Bartin

Public Health - Urban Landscaping Relationship and User's Perceptions

This paper focuses on landscape features which make it possible for people to be healthy physically and psychologically and connected socially. The research is based upon a questionnaire, observation and related literature. The questionnaire design consists of questions which would identify people preferred choice of the outside places (to overcome stress, bring peace of mind and relaxation). It also questions what is the people opinion and expectations about the design elements which are placed in the outside places. For this reason, this questionnaire was given to different social groups (age, gender etc.) in Ankara, Turkey in order that their opinion and expectations about the design features of landscape places (especially parks, streets, open space, shopping centers) where they voluntarily spent their time in their daily life are distinguished. This work considers generally the urban area design which encourages the physical activities in urban life as well as its preventing elements. It considers which elements support the individual, psychological health, which elements are a powerfully support for social connection, and result in positive effects on urban life

Comparison Of Multichannel Intraluminal Impedance-Ph Monitoring And Reflux Scintigraphy In Pediatric Patients With Suspected Gastroesophageal Reflux

AIM To evaluate the agreement of multichannel intraluminal impedance-pH monitoring (MII-pHM) and gastroesophageal reflux scintigraphy (GES) for the diagnosis of gastroesophageal reflux disease. METHODS Seventy-five consecutive patients with suspected gastroesophageal reflux disease (GERD) underwent 24-h combined MII-pHM recording and one hour radionuclide scintigraphy during the course of the MII-pHM study. Catheters with 6 impedance channels and 1 pH sensor were placed transnasally. Impedance and pH data analysis were performed automatically and manually. For impedance monitoring, reflux was defined as a retrograde 50% drop in impedance, starting distally and propagating retrogradely to at least the next two more proximal measuring channels. Reflux index (RI, percentage of the entire record that esophageal pH is < 4.0) greater than 4.2% for pHM and number of refluxes more than 50 for 24 h for MII were accepted as positive test results. At scintigraphy, 240 frames of 15 seconds duration were acquired in the supine position. Gastroesophageal reflux was defined as at least one reflux episode in the esophagus. After scintigraphic evaluation, impedance-pH recordings and scintigraphic images were evaluated together and agreement between tests were evaluated with Cohen’s kappa. RESULTS Sufficient data was obtained from 60 (80%) patients (34 male, 56.7%) with a mean age of 8.7 ± 3.7 years (range: 2.5-17.3 years; median: 8.5 years). Chronic cough, nausea, regurgitation and vomiting were the most frequent symptoms. The mean time for recording of MII-pHM was 22.8 ± 2.4 h (range: 16-30 h; median: 22.7 h). At least one test was positive in 57 (95%) patients. According to diagnostic criteria, GERD was diagnosed in 34 (57.7%), 44 (73.3%), 47 (78.3%) and 51 (85%) patients by means of pHM, MII, GES and MII-pHM, respectively. The observed percentage agreements/κ values for GES and pHM, GES and MII, GES and MII-pHM, and MII and pHM are 48.3%/-0.118; 61.7%/-0.042; 73.3%/0.116 and 60%/0.147, respectively. There was no or slight agreement between GES and pHM alone, MII alone or MII-pHM. pH monitoring alone missed 17 patients compared to combined MII-pHM. The addition of MII to pH monitoring increased the diagnosis rate by 50%. CONCLUSION No or slight agreement was found among pH monitoring, MII monitoring, MII-pH monitoring and GES for the diagnosis of gastroesophageal reflux disease.PubMedWoSScopu

The hla groups and their relationship with clinical features in turkish children and adolescents with celiac disease

Background. We aimed to investigate the relationship between human leukocyte antigens (HLA)-groups and clinical features, and degree of intestinal injury in children with celiac disease (CD). Methods. Study group included 73 (50 females, 68.5%) children with CD. Demographic and clinical features, accompanying autoimmune diseases, family history for CD and degree of damage in small intestinal mucosa (according to Marsh classification) at the time of diagnosis were determined. Twenty-two siblings of celiac patients without CD (15 females, 65.2%) consisted control group 1, and 66 (40 females, 60.6%) people from the normal population consisted control group 2. Results. The allele frequencies of HLA B8, B50, C6, C7, DR3, DR7, DQ2, and DR3 homozygosity were higher in the patient group. HLA DQ2 positivity was 89% in the patient group, 73.9 and 45.5% in control groups 1 and 2, respectively (p <0.0001). HLA A30, C14, DR11, DQ3 frequency were lower in patients compared to both control groups. HLA-DR15 alleles in patient and control group 1 was significantly lower compared to the general population (p <0.05). Thirty (41.1%) patients had typical, 43 (58.9%) patients had atypical presentation. Thirteen (17.8%) patients had other autoimmune diseases. There was no association between coexisting autoimmune diseases and the HLA antigens. Fifteen patients (20.5%) had a positive family history for CD; patients with HLA A69, B41 and C12 alleles had a higher positive family history (p <0.05). Intestinal mucosal damage was as follows: 5 patients (6.8%) had Marsh 2, 25 (34.3%) Marsh 3a, 28 (38.4%) Marsh 3b, 15 (20.5%) Marsh 3c. Patients with HLA-DR15 alleles had more frequent Marsh 3a lesions (p <0.05). Conclusions. B8, B50, C6, C7, DR3, DR7, DR3/DR3, DQ2 alleles were risk factors for CD in the Turkish population. HLA C14, DR11, DR15, and DQ3 alleles were found to have a protective role in the same population