Adaptation of career goal feedback scale to Turkish: validity and reliability study

Bu çalışmada Kariyer Hedefi Geribildirim Ölçeğinin (KHGÖ) Türkçeye uyarlanması amaçlanmıştır. Araştırma, iki farklı üniversite ve beş farklı lisede öğrenim gören toplam 1.068 öğrenci üzerinde yapılmıştır. Ölçeğin yapı geçerliğini test etmek için yapılan doğrulayıcı faktör analizi sonucunda, Türkçeye uyarlanan ölçeğin altı boyutlu ve 24 maddeden oluşan özgün formunun doğrulandığı görülmüştür. Ölçeğin Cronbach Alpha iç tutarlık katsayısı üniversite öğrencilerine ait veri grubunda .88, lise öğrencilerine ait veri grubunda .85 olarak bulunmuştur. Ölçeğin test-tekrar test korelasyon katsayısı üniversite öğrencilerine ait veri grubunda .77, lise öğrencilerine ait veri grubunda ise .73 olarak hesaplanmıştır. KHGÖ’nün uygulanan İngilizce ve Türkçe formları arasındaki korelasyonun pozitif ve yüksek düzeyde ilişkili olduğu görülmüştür. Ölçeğin madde-toplam korelasyonları üniversite öğrencilerinde .36 ile .62, lise öğrencilerinde ise .31 ile .56 arasında değiştiği bulunmuştur. Ölçeğin uyum geçerliği için yapılan analizlerde KHGÖ’nün Kariyer Stresi Ölçeği ile pozitif ve yüksek düzeyde, Genel Öz-Yeterlik Ölçeği ile negatif ve orta düzeyde ilişkilere sahip olduğu belirlenmiştir. Araştırma bulguları, KHGÖ’nün altı faktörlü orijinal yapısının doğrulandığına ve kariyer hedeflerine ilişkin geribildirimleri değerlendirmede geçerli ve güvenilir bir ölçüm aracı olarak kullanılabileceğine ilişkin önemli kanıtlar sağlamaktadır.In this study, it was aimed to adapt the Career Goal Feedback Scale (CGFS) to Turkish. The research was conducted on 1.068 students from two different universities and five different high schools. As a result of confirmatory factor analysis conducted to test the validity of the structure of the scale, it was seen that the original form consisting of six dimensions and 24 items which was adapted to the Turkish was confirmed. The Cronbach Alpha internal consistency coefficient of the scale was found to be .88 in the data group of the university students and .85 in the data group of the high school students. Test-retest correlation coefficient of the scale was calculated as .77 in the data group of university students and .73 in the data group high school students. Correlations between the English and Turkish forms of the CGFS were found to be positively and highly correlated. The item-total correlations of the scale were found to vary between .36 and .62 for university students and between .31 and .56 for high school students. In the analyzes made for the concurrent validity of the scale, it was determined that the CGFS had a positive and high correlation with the Career Stress Scale and negative and medium correlation with the General Self-Efficacy Scale. The research findings provide important evidence that the six-factor original structure of the CGFS is validated and can be used as a valid and reliable measurement tool for assessing feedback on career goals

Proximal tibiofibular joint arthrodesis due to recurrent giant ganglion cyst causing peroneal nerve palsy

Ganglion cysts are masses that we encounter frequently in our daily practice, usually in the upper extremity, less frequently in the lower extremities, and rarely cause compression symptoms. We present a case of a massive ganglion cyst of the lower limb causing peroneal nerve compression, managed with excision and proximal tibiofibular joint arthrodesis to prevent recurrence.Examination and radiological imaging of a 45-year-old female patient who was admitted to our clinic showed new-onset weakness in right foot movements and numbness on the dorsum of the foot and lateral cruris, a mass consistent with a ganglion cyst expanding the muscle was detected in the peroneus longus muscle. In the first surgery, the cyst was carefully resected. After three months, the patient came with a repeated mass on the lateral side of the knee. After confirmation of the ganglion cyst with clinical examination and MRI, a second surgery was planned for the patient. In this stage, we performed a proximal tibiofibular arthrodesis for the patient. Her symptoms recovered during the early follow-up period and no recurrence occurred during the two years of the follow-up period.Although the treatment of ganglion cysts seems easy, it can sometimes be challenging. We think that arthrodesis may be a good treatment option in recurrent cases

The use of external fixator and iliac crest bone graft in traumatic metacarpal bone defect

Introduction: Metacarpal bone fractures often lead to significant shortening in the phalanges; it can be caused by variable conditions, ranging from idiopathic, and infective to traumatic causes. There are very rare reports of metacarpals shortening in idiopathic primary hypoparathyroidism cases in the literature. Traumatic metacarpal shortening differs from congenital agenesis [2]. This condition leads to both functional and cosmetic limitations which affect the patient's quality of life. Case report: A 22-year-old male patient was admitted to our outpatient clinic with a traumatic left-hand fracture that caused a bone defect in the second metacarpal shaft leading to bone loss, shortening and flexion limitation in the second finger of the left hand, and a flexion contracture in the first metacarpophalangeal joint. For the treatment plan, an external fixator was set on the second metacarpal of the left hand for a 23 mm elongation over a period of 58 days, elongation rate was organized as 1 mm/day. After achieving the planned elongation, another operation was planned for the reconstruction of the bone defect that has occurred due to trauma in the second metacarpal bone. An osteotomy was performed for extracting an iliac crest graft and inserting it into the bone defect after debridement of scar tissue. For the first metacarpophalangeal joint, an arthrodesis was performed through the use of plate and screws. Multiple studies have showed a common complication of pin tract infections, which were controlled with oral antibiotics and local wound care [10, 11]. Proper alignment and union were achieved with early, stable fracture fixation of low-velocity gunshot wounds of the metacarpal. With early rehabilitation, treatment was provided without an increase in morbidity. [11]. Conclusion: It is possible to obtain acceptable surgical results when the method of fixation of the defect with autograft is used after lengthening with external fixator in pseudoarthrosis with metacarpal defect

Investigation of the effectiveness of career intervention program based on career construction theory

Bu araştırmanın amacı, Kariyer Yapılandırma Kuramı temelli geliştirilen kariyer müdahale programının lise öğrencilerinin kariyer uyum yeteneklerine ve kariyer uyum tepkilerine etkisini incelemektir. Çalışma grubu 27’si deney grubu, 27’si kontrol grubu olmak üzere 54 lise öğrencisinden oluşmaktadır. Çalışmada öntest-sontest kontrol gruplu yarı deneysel desen kullanılmıştır. Katılımcıların kariyer uyum yeteneklerini ölçmek amacıyla Kariyer Uyum Yetenekleri Ölçeği-Yeni Form ve kariyer uyum tepkilerini ölçmek amacıyla Öğrenci Kariyer Yapılandırma Envanteri kullanılmıştır. Araştırmada deney grubu öğrencilerine yedi oturumluk bir kariyer müdahale programı uygulaması yapılmıştır. Deney grubu ile kontrol grubunun kariyer uyum yetenekleri ve kariyer uyum tepkileri toplam ve alt boyut puanlarının öntest-sontest puan ortalamaları arasındaki farkın anlamlılığını incelemek amacıyla bağımsız örneklemler için t-testi yapılmıştır. Sontest ile izleme testi puan ortalamaları arasındaki farkın anlamlılığı ise bağımlı örneklemler t-testi ile analiz edilmiştir. Araştırma sonucunda Kariyer Yapılandırma Kuramı temelli geliştirilen kariyer müdahale programının, lise öğrencilerinin kariyer uyum yeteneklerini geliştirdiği ve kariyer uyum tepkilerini arttırdığı ortaya konulmuştur. Ayrıca aynı etkinin dört hafta sonra yapılan izleme ölçümlerinde de sürdüğü görülmüştür.The purpose of this study is to examine the effectiveness of career intervention program based on Career Construction Theory (CCT) on career adapt-abilities and career adapting responses. Participants of the study group consist of 54 high school students (27 students in the experimental group, 27 students in the control group). The Career Adaptabilities Scale-New Form, which measures the career adaptabilities, and The Student Career Construction Inventory, which measures career adapting responses, were used in the research. In the study, a seven-session career intervention program was applied to the experimental group students. Independent samples t-test was conducted in order to analyze the significance of the difference between experimental and control groups in terms of career adapt-abilities and career adapting responses, and the pretest-posttest average scores of the subscales. In order to test the permanence of the experimental intervention, the scales were applied again four weeks after the intervention in the experimental group. The significance of the difference between the post-test and follow-up test mean scores was analyzed with the dependent samples t-test. As a result of the research, it has been revealed that the career intervention program developed based on CCT improves the career adapt-abilities and career adapting responses of the high school students. Also, the same effect was found for the follow-up measures performed four weeks later

Development and validation of the Turkish five-factor short form of the Career Adapt-Abilities Scale (CAAS-5-SF)

WOS:000962029400001This study develops and validates the fifteen-item Turkish version of the Career Adapt-Abilities Scale Short Form (CAAS-5-SF) with a cooperation dimension. The data of the study were collected from 1.575 different high school students (aged between 15 and 18 years) in Turkiye. It has been observed that the scale has acceptable validity and reliability values. Significant relationships were obtained between the CAAS-5-SF and perceived stress, problem-solving self-efficacy and career adaptation responses

The roles of M30 and M65 in the assessment of treatment response and prognosis in patients with non-small cell lung cancer, who receive neoadjuvant treatment

Aim of the study: To investigate the efficacy of evaluating prognosis and response to lung cancer treatment using M30 and M65 antigens, which are indicators of necrosis.Material and methods: Forty-eight patients with lung cancer, who were planned to receive neoadjuvant chemotherapy, and 38 healthy volunteers were enrolled in the study. Using M30 and M65 levels, cytokeratin 18 levels were measured twice: before and 48 hours after the first chemotherapy treatment. Apoptotic and total necrosis levels were determined by measuring the M65 and M30 levels.Results: The M30 and M65 antigen levels in the patient group were significantly higher than in the control group (p < 0.001). The M30 and M65 antigen levels were significantly higher 48 hours after the chemotherapy compared with before the chemotherapy (p < 0.001). There were no significant differences in M65 levels between patients who responded to treatment and patients who progressed. The M30 levels increased significantly in patients with disease progression (p = 0.694 and p = 0.024, respectively). No significant differences in serum M30 and M65 antigen levels were found when compared between the surviving and deceased patients (p = 0.126 and p = 0.340, respectively).Conclusions: A significant increase was detected in serum M30 and M65 levels in patients with lung cancer. There was a greater increase in serum M30 levels in patients who did not respond to the chemotherapy. This result gives rise to the thought that evaluating apoptosis and total necrosis through M30 and M65 measurements alone only in patients receiving neoadjuvant chemotherapy would be insufficient for specifying the effectiveness of the treatment

Parciální trhliny skafolunátního vazu; lokalizace, přidružená poranění vnějších vazů a odezva konzervativního léčení před instabilitou: Průřezová studie

PURPOSE OF THE STUDY Scapholunate interosseous ligament (SLIOL) tears with accompanying extrinsic ligament rupture have been associated with scapholunate (SL) instability. SLIOL partial tears were examined in terms of tear localization, grade and accompanying extrinsic ligament injury. Conservative treatment responses were scrutinized according to injury types. MATERIAL AND METHODS Patients with SLIOL tear without dissociation were evaluated retrospectively. Magnetic resonance (MR) images were reexamined in terms of tear localization (volar, dorsal or combined volar and dorsal tears), grade of injury (partial or complete) and extrinsic ligament injury accompaniment (RSC, LRL, STT, DRC, DIC). Injury associations were examined with MR imaging. All patients treated conservatively were recalled at their first year for re-evaluation. Conservative treatment responses were analyzed according to pre- and post-treatment first year visual analog scale for pain (VAS), disabilities of the arm, shoulder and hand questionnaire (DASH) and Patient-Rated Wrist Evaluation (PRWE) scores. RESULTS In our cohort, 79% (n: 82/104) of patients had SLIOL tear and 44% (n: 36) of them had accompanying extrinsic ligament injury. The majority of SLIOL tears and all extrinsic ligament injuries were partial tears. In SLIOL injuries, volar SLIOL was most commonly damaged portion (45%, n: 37). DIC (n: 17) and LRL (n: 13) were most frequently torn ligaments, radiolunotriquetral (LRL) injury generally co-existed with volar tears and dorsal intercarpal ligament (DIC) with dorsal tears regardless of injury time. Extrinsic ligament injury accompaniment was associated with higher pre-treatment VAS, DASH and PRWE scores than isolated SLIOL tears. Injury grade, location and extrinsic ligament accompaniment had no significant effect on treatment responses. Test scores reversal was better in acute injuries. CONCLUSIONS On imaging SLIOL injuries, attention should be paid to the integrity of secondary stabilizers. In partial SLIOL injuries, pain reduction and functional recovery can be achieved with conservative treatment. Conservative approach can be the initial treatment option in partial injuries especially in acute cases regardless of tear localization and injury grade if secondary stabilizers are intact. Key words: scapholunate interosseous ligament, extrinsic wrist ligaments, carpal instability, MRI of wrist, wrist ligamentous injury, volar and dorsal scapholunate interosseous ligament