Tanıdığım Necip Fazıl

Taha Toros Arşivi, Dosya No: 161-Necip Fazıl Kısakürekİstanbul Kalkınma Ajansı (TR10/14/YEN/0033) İstanbul Development Agency (TR10/14/YEN/0033

COVID-19 Salgını Erken Dönemlerinde Genel Popülasyonda Uyku Kalitesini Etkileyen Etmenlerin Belirlenmesi

Objective: This study aimed to determine the factors affecting sleep quality in the general population during the early phase of the Coronavirus disease-2019 (COVID-19) pandemic. Materials and Methods: This was a cross-sectional study and included 595 people who were surveyed online. The data were collected through the "socio-demographic characteristics form", "Pittsburgh Sleep Quality index" and "Generalized Anxiety Disorder scale-7". Results: In this study, sleep quality among individuals was found to be poor, and as the level of generalised anxiety increased, sleep quality decreased. Sleep quality was found to be poor those living in urban areas and those with chronic diseases. Conclusion: The results of the study can be used to develop therapeutic strategies and implement social policies to support people with sleep difficulties.Amaç: Bu çalışma Koronavirüs hastalığı-2019 (COVID-19) salgını erken dönemlerinde genel popülasyonda uyku kalitesini etkileyen etmenlerin belirlenmesi amacı ile planlanmıştır. Gereç ve Yöntem: Bu çalışma kesitsel tipte olup “online survey” (çevrimiçi anket) ile ulaşılan 595 kişi ile tamamlanmıştır. Veriler ‘‘sosyodemografik özellikler formu”, “Pittsburgh Uyku Kalitesi indeksi”, “Yaygın Anksiyete Bozukluğu ölçeği-7” ile toplanmıştır. Bulgular: Bu çalışmada bireylerin uyku kalitesi kötü olup, yaygın anksiyete düzeyi arttıkça uyku kalitesi azalmaktadır. Kentsel bölgede yaşayanlarda ve kronik hastalığı olanlarda uyku kalitesi kötü bulunmuştur. Sonuç: Sonuçlar, bu süreçte uyku güçlüğü çeken bireyleri desteklemek için terapötik stratejilerin geliştirilmesi ve sosyal politikaların uygulanması için kullanılabili

Foreign language learning anxiety of foreign students while learning Turkish as a foreign languageTürkçeyi yabancı dil olarak öğrenen yabancı uyruklu öğrencilerde yabancı dil öğrenme kaygısı

The aim of this study is to examine the anxiety  levels of foreign students towards Turkish language , to determine their relations with the four main language skills ( writing , speaking, listening, reading) which are generally accepted as the main language skills, to determine the other difficulties they face while learning a foreign language, to diagnose continuity condition of the anxiety after they have started learning Turkish and finding out possible solutions for the issues sourcing from anxiety. The participants of this research are 19 students who studied at different departments of Necmettin Erbakan University in 2016-2017 academic year.They all participated the study voluntarily. The qualitative research model has been used as a research model in this study. A semi-structured interview form developed by the researches containing 6 open ended questions has been used as a data collection tool. The main results and themes that are obtained from data analysis can be summarized as follows: anxiety theme during the the process of learning Turkish, language , language proficency theme, strategy themes during language learning process, linguistic competencies theme, effects of social environment theme and motivational contributions of the instructors’ theme. There are also some suggestions both for language teachers and learners in the conclusion part of the study.Extended English abstract is in the end of PDF (TURKISH) file.ÖzetBu çalışmada, yabancı dil olarak Türkçe öğrenen bireylerde bulunan Türkçe öğrenmeye ilişkin kaygıların neler olduğunun ortaya konması; bu kaygıların, dilin dört temel becerisi yazma, konuşma, dinleme ve okuma becerilerinin hangileri ile ilgili olduğunun belirlenmesi, yabancı dil öğrenmede karşılaştıkları diğer sorunların saptanması, Türk dilini öğrenmeye başladıktan sonra bu kaygılarının ve sorunlarının devam edip etmediğinin tespit edilmesi, devam eden kaygılarının ve sorunlarının hangi aşamada olduğu, tespit edilen kaygı ve sorunların çözümüne yönelik önerilerin ortaya konması amaçlanmıştır.Buna yönelik olarak  araştırmada, Necmettin Erbakan Üniversitesi’nde 2016-2017 öğretim yılında Türkçe öğrenim gören 19 yabancı uyruklu öğrenciyle çalışılmıştır. Araştırma nitel araştırma yöntemi ile gerçekleştirilmiştir. Çalışmada veri toplama aracı olarak ise araştırmacılar tarafından hazırlanmış olan 6 açık uçlu soruyu içeren yarı yapılandırılmış görüşme formu kullanılmıştır. Verilerin analizi sonucunda elde edilen öncelikli temalar şunlardır: Türkçe öğrenme sürecinde yaşanan kaygı temaları, dil yeterliliği temaları, sosyal çevrenin etkisi temaları, öğrenme sürecindeki strateji temaları ve motivasyon temaları olarak belirlenmiştir. Çalışmanın sonuç bölümünde ise hem öğrencilere hem de öğretim elemanlarına önerilerde bulunulmuştur

Internet Addiction on Psycho-Social Symptoms of Happiness and Aggression through Difficulties in Emotion Regulation: Evidence Following COVID-19 Pandemic

Background: Internet usage has increased during the pandemic. The aim of this study is to examine the relationship between internet addiction (IA), happiness, and aggression in the context of difficulties in emotion regulation (DER). The psycho-social symptoms of the COVID-19 pandemic appear to be more persistent over time compared to its physical symptoms, especially regarding Internet addiction in the young population. This study seeks to understand these effects on happiness and aggression through difficulties in emotion regulation. Participants and Procedure: The sample of this study consisted of 325 university students. Data were gathered using the Young Internet Addiction Scale Short Form, Oxford Happiness Scale Short-Form, Difficulties in Emotion Regulation Scale Brief-Form, and Buss-Perry Aggression Questionnaire. Results: The results showed that internet addiction was negatively related to happiness, and this relationship was mediated by difficulties in emotion regulation. Similarly, internet addiction was positively related to aggression, and this relationship was fully mediated by difficulties in emotion regulation as well. Conclusion: These research findings emphasize the need for creating effective interventions to enhance emotion regulation skills in internet-addicted adults. The results are discussed in light of the effects of the coronavirus pandemic

Clinical Performance and Patient Satisfaction of Hybrid Contact Lenses in Patients with Keratoconus

Objectives:The aim of the study was to evaluate the fitting process, clinical performance, and patient satisfaction of hybrid contact lenses (HCL) in patients with keratoconus (KC).Materials and Methods:Sixty-eight KC patients (35 female, 33 male) who were prescribed HCL were included in the study. Corneal topographic parameters, best corrected visual acuity (BCVA) with eyeglasses, the number of HCL trials, prescribed HCL base curve (BC), and visual acuity with HCL were recorded from hospital records. A contact lens satisfaction survey was sent to the patients via email or WhatsApp and the data was statistically analyzed using IBM SPSS Statistics version 22.0.Results:The study included 110 eyes of 68 patients with a mean age of 27.34±8 years (range: 12-48 years). According to the Amsler-Krumeich classification, 35.5% of the eyes were stage 1, 50.9% were stage 2, and 13.5% were stage 3 or 4. Mean K1, K2, and Kmean values were 7.14±0.50 mm (range 5.72-8.30 mm), 6.63±0.49 mm (range 5.07-7.84 mm), and 6.89±0.48 mm (range 5.39-8.06 mm), respectively. The average number of lens trials was 1.59±0.82 (range 1-4). The mean BC of the prescribed HCL was 6.84±0.50 mm (range 5.60-8.00 mm). BCVA with glasses was 0.36±0.2 (range 0.05-0.8), and 0.80±0.14 (range 0.3-1.0) with HCL (pmean value and in most of the patients, fitting was successful with the first or second CL trial. The overall satisfaction score was moderate to good and the disadvantages were low comfort compared to soft CL, difficulty with insertion and removal, short lens life, and high cost

Posterior surgical approach to dumbbell schwannoma at thoracic vertabrae level: a case report

Schwannomlar periferik sinir kılıfı schwann hücrelerinden gelişirler ve iyi huylu yumuşak doku tümörlerinin %5'ini oluştururlar. Ekstramedüller yerleşimli bu tümörler bazen omurilik sinir köklerini takip ederek intervertebral foramenden çıkar ve kum saati veya halter seklinde kitle meydana getirirler.Torakal bölgede halter tarzı schwannomlarda çeşitli cerrahi yaklaşımlar uygulanabilmektedir. En sık kullanılan girişim posterior yaklaşımla laminektomi ve kostotransversektomidir. Ancak bazı otörler bu girişimin ekstraspinal kısımların rezeksiyonu için yetersiz kalacağını ve torakotomi eklenmesi gerekliliğini vurgulamaktadır. 35 yasında torakal 11 halter schwannomu olan bir bayan olgu sunulmuştur. Posterior girişimle laminektomi ve minimal kostotransversektomi yapılarak iyi sınırlı tümör total olarak çıkarılmıştır. Bu tür tümörlerde sadece posterior girişimin yeterli oldugu, anterior ya da posterolateral girişimlerin daha büyük ve invazif olan diğer halter tarzı görünüm veren tümörler için önerilebileceği düşünülmektedir.Schwannomas originate from schwann cells of peripheral nerve sheats and account for 5% of benign soft tissue tumors. These tumors located extramedullary, sometimes may exit from intervertebral foramina and following the the spinal nerve roots may lead to dumbbell shaped mass. Several different surgical approaches can be used to operate these dumbbell tumors. Most commonly used approach is the laminectomy and costotransversectomy with posterior approach. But some authors propose that this approach is not enough to remove extraspinal parts of the tumor, emphasizing the necessity of thoracotomy.We present a 35 year old woman with a dumbbell shaped schwannoma at Th11 level. The tumor completely was removed with posterior approach by laminectomy and minimal costotransversectomy.We propose that only posterior approach may be enough to remove these tumors, and anterior or posterolateral approaches may be prefered in bigger and more invasive dumbbell tumors

Isolated diaphragmatic rupture and herniation related with a minor blunt trauma-a case report

Künt travma sonrası diafragma rüptürü nadir görülür. Künt travma nedeniyle hospitalize edilen hastaların ortalama % 0.8- 1.6 sında meydana gelmektedir. Bu çalısmada minor künt travma nedeniyle görülen izole diafragma rüptürü ve ince barsak herniasyonu olan bir olgu sunulmustur. Hastada toraks bosluguna herniasyon nedeniyle intestinal obstruksiyon mevcuttu. Minor künt travmalardan sonra ortaya çıkan izole diafragmatik rüptüre baglı intestinal obstruksiyon olguları oldukça nadirdir. Preoperatif dönemde izole diyafragma rüptürlerinin tanısını koymak oldukça güçtür. Künt veya penetran travma sonrası gelisen diafragma rüptürlerinde tanı koyabilmek için bu olasılık akla gelmelidir. Geç dönemde, travma öyküsünün arastırılması, bu tanının konmasını kolaylastıracaktır. Diyafragma yaralanmalarında tanı koymada süpheci yaklasım, toraksın fizik muayenesi, ve akciger grafisi yararlı olacaktır.Rupture of the diaphragm after blunt trauma is uncommon, occurring in approximately 0.8%-1.6% of patients who are hospitalized with blunt trauma. A case of diaphragmatic rupture and intestinal herniation following a minor blunt trauma is reported in this article. The patient experienced intestinal obstruction owing to herniation into the thoracic cavity An isolated injury after minor blunt trauma, the cases of diaphragmatic rupture with intestinal obstruction have been rarely reported. Isolated diaphragmatic rupture in general may be a difficult injury to recognize during preoperative period. Following blunt or penetrating traumas, in order to diagnose diaphragmatic ruptures, this possibility should be considered. In the later phases, questioning history of trauma would make it an easier diagnosis.Ahigh index of suspicion, physical examinaton of the chest, and x-ray film are helpful for diagnosis of diaphragmatic injury

Genomic surveillance during the first two years of the COVID-19 pandemic – country experience and lessons learned from Türkiye

BackgroundTürkiye confirmed its first case of SARS-CoV-2 on March 11, 2020, coinciding with the declaration of the global COVID-19 pandemic. Subsequently, Türkiye swiftly increased testing capacity and implemented genomic sequencing in 2020. This paper describes Türkiye’s journey of establishing genomic surveillance as a middle-income country with limited prior sequencing capacity and analyses sequencing data from the first two years of the pandemic. We highlight the achievements and challenges experienced and distill globally relevant lessons.MethodsWe tracked the evolution of the COVID-19 pandemic in Türkiye from December 2020 to February 2022 through a timeline and analysed epidemiological, vaccination, and testing data. To investigate the phylodynamic and phylogeographic aspects of SARS-CoV-2, we used Nextstrain to analyze 31,629 high-quality genomes sampled from seven regions nationwide.ResultsTürkiye’s epidemiological curve, mirroring global trends, featured four distinct waves, each coinciding with the emergence and spread of variants of concern (VOCs). Utilizing locally manufactured kits to expand testing capacity and introducing variant-specific quantitative reverse transcription polymerase chain reaction (RT-qPCR) tests developed in partnership with a private company was a strategic advantage in Türkiye, given the scarcity and fragmented global supply chain early in the pandemic. Türkiye contributed more than 86,000 genomic sequences to global databases by February 2022, ensuring that Turkish data was reflected globally. The synergy of variant-specific RT-qPCR kits and genomic sequencing enabled cost-effective monitoring of VOCs. However, data analysis was constrained by a weak sequencing sampling strategy and fragmented data management systems, limiting the application of sequencing data to guide the public health response. Phylodynamic analysis indicated that Türkiye’s geographical position as an international travel hub influenced both national and global transmission of each VOC despite travel restrictions.ConclusionThis paper provides valuable insights into the testing and genomic surveillance systems adopted by Türkiye during the COVID-19 pandemic, proposing important lessons for countries developing national systems. The findings underscore the need for robust testing and sampling strategies, streamlined sample referral, and integrated data management with metadata linkage and data quality crucial for impactful epidemiological analysis. We recommend developing national genomic surveillance strategies to guide sustainable and integrated expansion of capacities built for COVID-19 and to optimize the effective utilization of sequencing data for public health action

Vibration-controlled transient elastography for non-invasive screening of liver fibrosis and steatosis in Turkish patients with A cross-sectional

Background and Aim: The prevalence of fibrosis and steatosis in patients with psoriasis, as determined by vibration-controlled transient elastography (VCTE), has not been evaluated in Turkiye to date. The present cross-sectional study aims to present the first systematic screening results, focusing on two primary objectives: 1) establishing the prevalence of fibrosis and steatosis, and 2) identifying independent predictors for liver stiffness measurement (LSM) and controlled attenuation parameter (CAP) values in this patient population. Materials and Methods: Patients were eligible for inclusion if they had a confirmed diagnosis of psoriasis by a qualified dermatologist based on characteristic signs and symptoms and histopathological examination, and had undergone VCTE for LSM and CAP measurements. Results: The diagnosis of severe fibrosis and cirrhosis - identified by LSM values of 10.0-13.9 and >= 14.0 kPa, respectively - was significantly prevalent (7.0% and 10.1%, respectively) among a sizeable cohort of relatively young Turkish patients with psoriasis (n=328; mean age: 49.5 +/- 12.7 years). Additionally, severe steatosis, as diagnosed by VCTE and characterized by a CAP value exceeding 290 dB/m, was identified in up to 43.3% of patients. Although body mass index (BMI) was the only variable found to be an independently associated with LSM, multivariable linear regression analysis failed to identify any statistically independent predictor of CAP values. Conclusion: The prevalence of hepatic fibrosis and steatosis in Turkish patients with psoriasis is far from negligible, with BMI identified as an independent risk factor for fibrosis