Turkish Validity and Reliability of DREEM Questionnaire used in Assessment of Learning Environment in Physiotherapy and Rehabilitation Undergraduate Education

Purpose: To create a version of the DREEM (The Dundee Ready Education Environment Measure) questionnaire used in the evaluation of the educational environment in health sciences in Turkish and investigate its validity and reliability. Methods: The Turkish form of the questionnaire was created as a first step of our study. It was answered by 401 undergraduate students studying at Marmara University Faculty of Health Sciences (in Turkey) at the department of Physiotherapy and Rehabilitation. The SPSS 11.5 software package program was used in the analysis of the obtained data. Results: 55% (n=221) of the students who participated in the study were female and 45% (n= 180) were male with an average age of 21.34 ± 2.04 years. Reliability analysis was performed with internal consistency analysis (Cronbach Alpha analysis). In the internal consistency analysis, the Cronbach Alpha coefficient was calculated as 0.92 and the internal consistency of the questionnaire was determined. The validity of the questionnaire was assessed by Explanatory Factor Analysis. According to the analysis, 6 factors were revealed. Since the data explained 53.38% of the total variance, the DREEM survey was accepted to have construct validity. Conclusion: Our study proved that the Turkish version of the DREEM questionnaire is valid and reliable to use in physiotherapy and rehabilitation learning environment. It was concluded that DREEM is an effective tool for the evaluation and regulation of education in the institutions providing undergraduate education.Key Words: DREEM, Physiotherapy Education, Validity, Reliability, Learning EnvironmentDOI: 10.7176/JHMN/78-0

Differences in steep quality and body mass index in asthmatic children and healthy control group

Introduction: Childhood asthma has become a serious public health problem. Obesity has been determined to be one of the risk factors of asthma. Aim: We aimed to determine the difference in body mass index (BMI) and sleep quality in pediatric asthmatic individuals compared to their peers. Method: Thirty children aged 8-17 years were followed up in the Pediatric Outpatient Clinic for asthma along with 30 healthy children. The BMI percentile values of the children were recorded. The Pittsburgh Sleep Quality Index was used to assess sleep quality. Results: Each group in our study had 10 girls and 20 boys. The mean age was found to be 11.76 +/- 2.69 years in asthma group and 11.33 +/- 2.29 years in the healthy group. The asthma group were found to be more obese than the healthy group (P = 0.033). There was a significant difference between groups interested in a sport (P = 0.028) and steep quality (P = 0.007). Conclusion: It was observed that the asthma group had more obesity and poorer sleep quality than the healthy group. Further, it was determined that in the asthma group, the level of interest in any sport was less than that in the healthy group. We think that high obesity in the asthma group reduces the effect of corticosteroids, and the continuity of nighttime cough symptoms causes deterioration in sleep quality. We conclude that participation in sports activities should be encouraged to reduce the level of obesity in asthmatic children. (C) 2021 Codon Publications. Published by Codon Publications

Haemodynamic effects of physiotherapy programme in intensive care unit after liver transplantation

Objective. To determine the haemodynamic effects of intensive care physiotherapy after liver transplantation. Patients and methods. Thirteen patients were included in the study after liver transplantation. The following physiotherapy programme were applied to the patients in intensive care unit: Respiratory physiotherapy, active joint movements, sitting in bed (first task), sitting at the edge of bed (second task), standing (third task), sitting out of bed (fourth task) and walking (fifth task). Heart rate (HR), mean, systolic and diastolic blood pressures (MBP, SBP, DBP), peripheral oxygen saturation (SpO(2)), respiration rate (RR) were recorded before treatment, after each task, after treatment and at the fifth minute of recovery. Pain level was assessed with Visual Analogue Scale (0-10). Results. When compared with supine position before treatment, all of the parameters except RR increased after the first task whereas HR, SBP, MBP and pain increased after the second task. After the third task only HR and pain increased. There was no significant difference between the fourth task and pre-treatment values while HR, DBP and pain increased after the fifth task. When measurements of pre-treatment, immediately after treatment and the fifth minute of recovery were compared HR, MBP and pain increased after treatment whereas HR, RR and pain decreased after recovery. There was no significant difference between pre-treatment values and fifth minute of recovery measurements. Conclusion. Returning to initial values after a 5-min period shows that cardiopulmonary changes caused by intensive care physiotherapy after liver transplantation are responded at physiological limits

Investigation of therapeutic ultrasound dose on muscle phantom: an experimental study investigation of therapeutic ultrasound dose

Objective: The study aims to investigate the standardized, traceable dose amounts that will create the desired therapeutic physiological change in the tissue and prevent the risk of tissue damage in the light of metrology principles Methods: In the study carried out in TÜBİTAK National Metrology Institute Medical Metrology Laboratory, a muscle phantom simulating the acoustic properties of muscle tissue was created and thermocouples were placed in it. Ultrasound at different intensities and durations at 1 MHz frequency was applied to the phantom. The temperature changes measured by the thermocouples were recorded. Each measurement was repeated three times and averaged Results: 14 minutes application at 1 W/cm2 density, 10 minutes application at 1.5 W/cm2 density, ~7 minutes application at 2 W/cm2 density, and ~4 minutes application at 2.5 W/cm2 density have been achieved for the temperature range needed to produce therapeutic effect. Conclusions: In order to achieve the therapeutic effect, the ultrasound doses used in the procedure should be checked. Measurements in multilayer phantoms would be useful in future research

The relationship between segmental trunk control and gross motor performance in low birth weight born infants

© 2022 Taylor & Francis Group, LLC.Objective: Trunk control is associated with gross motor development. This study examines the relationship between segmental trunk control and gross motor performance in low birth weight (LBW) infants Methods: A total of 42 LBW infants and 43 normal birth weight (NBW) infants aged 3–9 months were sampled for this cross-sectional study. All infants were evaluated one time by the Segmental Assessment Trunk Control (SATCo) and the Alberta Infant Motor Scale (AIMS) Results: Statistically high and significant correlations were found between gross motor performance and segmental trunk control in all sample populations (r = 0.835; p = .001). No statistically significant difference was found regarding the segmental trunk control between the groups (p = .119). The LBW infants with atypical motor development had poorer trunk control than the LBW infants with typical development (f = 5.480; p = .001). Conclusion: Our results show that LBW infants with atypical motor development had poorer trunk control than LBW infants with typical motor development. It was found that the segmental trunk controls of LBW infants were 0.398 times lower than in NBW infants

Cultural adaptation and validation of Patient and Observer Scar Assessment Scale for Turkish use

Background: This study aimed to evaluate cross-cultural adaptation, validation, and reliability of Patient and Observer Scar Assessment Scale (POSAS) for its Turkish use. Method: This study included 50 burn patients with hypertrophic scars who were aged 18-65 years (mean, 37.5 +/- 1.4years) and were admitted to Wound and Burn Treatment Center from February 2014 to April 2014. With regard to the cultural adaptation of POSAS from English to Turkish, the scale was translated by two people who worked in different health fields. POSAS was administered to the patients with a 1-week interval to evaluate the validity and reliability of the scale. Internal consistency of the scale was tested using the Cronbach alphamethod. Results: The Cronbach alpha value for the observer measurements was found to be 0.93 (excellent), and that for patient measurements was found to be 0.77 (good). Accordingly, the internal consistency of the scale was established. Conclusion: The Turkish version of POSAS is a valid, reliable and culturally appropriate survey for evaluating hypertrophic scars. We believe that the Turkish version of POSAS will be an important clinical/scientific tool in the field of burn physiotherapy in Turkey, which will lead to new researches in this field. (C) 2018 Elsevier Ltd and ISBI. All rights reserved