The effect of jet-lag on serum concentrations of thyroid stimulating hormone and prolactin: A case report

Introduction: This case report is about the importance of sleeping status for analysis of thyroid hormone stimulating hormone (TSH) and prolactin (PRL) which arose from discordant results of a patient who was referred for serum TSH and PRL testing within 12-hour period after an intercontinental flight. Case description: An adult male patient was admitted to our laboratory for serum TSH and PRL tests and came back questioning the accuracy of his previous results. Further investigations: A new analysis with a new sample was offered. His new results were not consistent with his previous results. What happened: It was revealed that the night before the first sampling, he travelled back to Turkey from The United States of America and came to testing within 12 hours after the arrival. Discussion: Sleeping status is one of the factors that can affect laboratory results. Intercontinental flights causing jet-lag can alter the secretions of TSH and PRL which are predominantly modulated by thyrotropin-releasing hormone (TRH). Main lesson: Travel history and sleeping status are important factors to be evaluated prior sampling for hormone analysis. Patients must be informed about the importance of sampling timing

THE RELATIONSHIP OF POSTTRAUMATIC STRESS DISORDER WITH CHILDHOOD TRAUMAS, PERSONALITY CHARACTERISTICS, DEPRESSION AND ANXIETY SYMPTOMS IN PATIENTS WITH DIAGNOSIS OF MIXED ANXIETY-DEPRESSION DISORDER

Background: The purpose of the current study is to investigate the relationship of symptoms of Posttraumatic Stress Disorder (PTSD) to childhood trauma and personality characteristics among patients with the diagnosis of mixed anxiety-depression disorder. Subjects and methods: A total of 130 patients who were admitted to the psychiatry outpatient and were diagnosed with mixed anxiety-depression disorder were conveniently sampled in the current study. In order for the researchers to complete the assessment, the patients with a history of at least one traumatic experience (40.8%, n=53) were asked to complete a socio-demographic form, the Beck Anxiety Inventory and Beck Depression Inventory, the Childhood Trauma Questionnaire-Short Form, the Posttraumatic Stress Disorder Checklist-Civilian Version, and the Eysenck Personality Questionnaire Revised/Abbreviated Form. Results: One hundred thirty patients participated in the current study. In the study, 40.8 % of the patients (n=53) reported that they had been exposed to at least one traumatic event during their lifetime. Patients with a history of at least one traumatic experience (40.8%, n=53) were separated into two groups: those with a diagnosis of PTSD (n=21) (39.6%) and those without PTSD (n=32) (60.4%) (cut off score is 50 and above). The mean comparisons concluded that the group with PTSD and the group without PTSD were significantly different from each other in terms of depression and anxiety symptom severity, neuroticism, and history of physical abuse and neglect. Spearman’s correlation analysis revealed that PTSD severity was significantly and positively correlated with neuroticism, and with depression and anxiety symptom severity, as the scores were significantly and negatively correlated with extraversion. The two-step logistic analysis first revealed the severity of the depression symptom, and secondly, physical abuse significantly predicted PTSD in the PTSD group. Conclusions: In patients with anxiety and/or depressive disorder, PTSD is one of the most frequently-observed comorbid psychiatric disorders. The current study revealed that a history of childhood trauma, neuroticism, and introversion can be considered risk factors for PTSD among patients with mixed anxiety-depression disorder in adulthood. Therefore, it should be taken into consideration that those neurotic and introverted patients with childhood trauma history could be more at risk for PTSD

Mahler’in Ayrışma-Bireyleşme Kuramına Göre Küçük Kara Balık Kitabı’nın İncelenmesi

Bu çalışmanın amacı Küçük Kara Balık kitabındaki Küçük Kara Balık’ın yaşam olaylarının, bu yaşam olaylarına gösterdiği tepkilerin ve duygularının Mahler’in Ayrışma-Bireyleşme Kuramı kapsamında değerlendirilmesi, karakterin başından geçenlerin Mahler’in teorisi ile örtüşen ve çatışan yerlerinin tartışılmasıdır. Mahler’in kuramı ayrışma-bireyleşmeyi, farklılaşma, alıştırma, yeniden yakınlaşma ve bireyliğin pekişmesi ve coşkusal nesne sürekliliğinin başlangıcı olmak üzere dört alt evre üzerinden incelemektedir. Küçük Kara Balık kitabında asıl incelenen ve ana karakter olan Küçük Kara Balık, annesiyle yaşayan ve amacı dereden ayrılarak denize ulaşmak olan küçük bir balıktır. Çalışma boyunca Küçük Kara Balık karakterine özellikle son üç alt evre açısından odaklanılmış ve anne ile yaşanılan sorunların karakterin davranışları üzerindeki etkileri tartışılmıştır. Karakterin öfke eşiğinin düşüklüğünün ve yaşadığı yutulma korkusunun anne ile öngörülen ilişkinin kurulamadığından kaynaklı olduğu, ancak bu durumun bireyleşme sürecinde kendisi için engelleyici bir faktör olmadığı düşünülmüştür.Publisher's Versio

Exploring Attitudes Toward “Sugar Relationships” Across 87 Countries: A Global Perspective on Exchanges of Resources for Sex and Companionship

The current study investigates attitudes toward one form of sex for resources: the so-called sugar relationships, which often involve exchanges of resources for sex and/or companionship. The present study examined associations among attitudes toward sugar relationships and relevant variables (e.g., sex, sociosexuality, gender inequality, parasitic exposure) in 69,924 participants across 87 countries. Two self-report measures of Acceptance of Sugar Relationships (ASR) developed for younger companion providers (ASR-YWMS) and older resource providers (ASR-OMWS) were translated into 37 languages. We tested cross-sex and cross-linguistic construct equivalence, cross-cultural invariance in sex differences, and the importance of the hypothetical predictors of ASR. Both measures showed adequate psychometric properties in all languages (except the Persian version of ASR-YWMS). Results partially supported our hypotheses and were consistent with previous theoretical considerations and empirical evidence on human mating. For example, at the individual level, sociosexual orientation, traditional gender roles, and pathogen prevalence were significant predictors of both ASR-YWMS and ASR-OMWS. At the country level, gender inequality and parasite stress positively predicted the ASR-YWMS. However, being a woman negatively predicted the ASR-OMWS, but positively predicted the ASR-YWMS. At country-level, ingroup favoritism and parasite stress positively predicted the ASR-OMWS. Furthermore, significant cross-subregional differences were found in the openness to sugar relationships (both ASR-YWMS and ASR-OMWS scores) across subregions. Finally, significant differences were found between ASR-YWMS and ASR-OMWS when compared in each subregion. The ASR-YWMS was significantly higher than the ASR-OMWS in all subregions, except for Northern Africa and Western Asia

A Study on Consumer’s Healthcare Service Demand in Health Economics: The Case of Konya

Yüksek Lisans TeziBu çalışmanın amacı; tüketici teorisinden hareketle tüketicinin sağlık hizmet talebine yönelik yapıyı keşfetmek ve tüketicinin sağlık hizmet talebini ölçen bir ölçme aracı geliştirmektir. Çalışma Konya Büyükşehir Belediyesi il sınırları içerisinde merkez üç ilçede yaşayan 18- 65 yaş aralığında bireylere, online 892 anket uygulanmıştır. Anket ile toplanan veriler SPSS ve IBM SPSS AMOS programları kullanılarak analiz edilmiştir. Ölçeğin geçerlilik ve güvenilirlik analizleri yapılmıştır. KMO değeri 0.802 ve Bartlett küresellik testi ise ( =3489.867, p = 0.000) anlamlı olduğu bulunmuştur. AFA için temel bileşenler analizi, varimax yöntemi ile analiz gerçekleştirilmiş olup ölçek maddelerine ait faktör yüklerinin 0.52 ile 0.86 arasında değişmekte olduğu tespit edilmiştir. Ölçeğe ait alt boyutlar “Sağlık Hizmeti İhtiyacı”, “Sağlık Hizmeti Niteliği”, “Sağlık Hizmeti Ödeme İsteği” olarak belirlenmiş ve toplam açıklanan varyans %49.05 olduğu bulunmuştur. Yapı geçerliliği için DFA yapılmış ve DFA model uyumu değerleri incelendiğinde, 2 X /sd =3.87, RMSEA= 0.06, SRMR=0.06, IFI =0.92, CFI= 0.92, GFI=0.95, AGFI=0.93, TLI = 0.90 model uyumlu bulunmuştur. Güvenilirlik analizi için Cronbach Alfa değeri “Sağlık Hizmeti İhtiyacı” alt faktörü için 0.68, “Sağlık Hizmeti Niteliği” alt faktörü için 0.70, “Sağlık Hizmeti Ödeme İsteği” alt faktörü için 0.80, ölçeğin geneli için Cronbach Alfa 0.76 değeri hesaplanmıştır. Ölçek toplam 16 madde ile 3 alt faktörlü son halini almıştır. En son ölçek alt boyutları ile demografik değişkenler T testi ve Anova analizine tabi tutulmuştur. Sağlık hizmet ihtiyacı ve yaş arasında anlamlı farklılık olduğu bulunmuş, sağlık hizmeti ödeme isteği ile de ilçe, eğitim durumu ve gelir düzeyi arasında anlamlı farklılıklar olduğu tespit edilmiştir.The aim of this study; Based on the consumer theory, to explore the structure of the consumer's health service demand and to develop a measurement tool that measures the consumer's health service demand. Research 892 online questionnaires were applied to individuals between the ages of 18-65 living in three central districts within the provincial borders of Konya Metropolitan Municipality. The data collected by the questionnaire were analyzed using SPSS and IBM SPSS AMOS programs. The validity and reliability analyzes of the scale were made. KMO value was 0.802 and Bartlett test of sphericity ( 2 X = 3489.867, p = 0.000) was found to be significant. Principal component analysis for EFA and analysis were performed with varimax method, and factor loads of scale items were found to vary between 0.52 and 0.86. The sub-dimensions of the scale were determined as “Healthcare Service Need”, “Healthcare Service Characteristic” and “Healthcare Service Willingness to Pay” and the total explained variance was found to be 49.05%. CFA was performed for construct validity and when CFA model fit values were examined, it was found that 2 X /sd =3.87, RMSEA = 0.06, SRMR=0.06, IFI =0.92, CFI= 0.92, GFI=0.95, AGFI=0.93, TLI = 0.90. For the reliability analysis, the Cronbach Alpha value was calculated as 0.68 for the “Healthcare Service Need” sub-factor, 0.70 for the “Healthcare Service Characteristic” subfactor, 0.80 for the “Healthcare Service Willingness to Pay” sub-factor, and a Cronbach Alpha value of 0.76 for the overall scale. The scale was finalized with a total of 16 items and 3 sub-factors. The last scale sub-dimensions and demographic variables were subjected to T test and Anova analysis. It was found that there was a significant difference between the need for healthcare services and age, and there were significant differences between the willingness to pay for healthcare services and the district, education level and income level

Psychometric Properties of the Responsibility Scale

This paper aims to develop a free-access reliable and valid scale measuring perceived personal responsibility and discuss its psychometric properties. In the literature responsibility has dened in different ways. Most of the research focus on its situation-dependency, but it is possible to nd some limited research about personal responsibility. Within this context, two sets of data collected. The rst data was for factor analysis and split half reliability. Second data was to study concurrent validity. Results revealed that the scale has three constructs, namely, emotional, cognitive, and behavioral factors. Both scale and the factors have good reliability and validity values.Literatürde sorumluluk kavramı farklı şekillerde tanımlanmaktadır. Araştırmaların çoğu sorumluluğun duruma bağımlı oluşuna odaklanmaktadırlar ancak kişisel sorumluluk ile ilgili kısıtlı da olsa araştırma ile karşılaşmak mümkündür. Bu yazı, kişisel sorumluluk kavramını ölçmek amacıyla bir ölçek geliştirmek ve psikometrik özelliklerini değerlendirmektedir. Ayrıca ücretsiz erişim sağlayan bu ölçek ile diğer araştırmacıları teşvik edilmesi amaçlanmaktadır. Bu bağlamda iki set veri toplanmıştır. İlk veri seti, faktör analizi ve test - yarı test güvenilirliği içindir. İkinci data ise çakışmalı geçerlilik (concurrent validity) için kullanılmıştır. Sonuçlar, ölçeğin duygusal, bilişsel ve davranışsal olmak üzere sorumluluğun üç boyutlu olduğunu göstermiştir. Tüm ölçek ve faktörlerin geçerlilik ve güvenilirlik değerleri iyi olarak bulunmuştur