Hemşirelik Öğrencilerinde Şefkat Korkusunun Mesleki Değerlere Bağlılık ile İlişkisi

Amaç: Bu çalışma, hemşirelik öğrencilerinde şefkat korkusunun mesleki değerlere bağlılık ile ilişkisini belirlemek amacıyla yapılmıştır. Yöntem: Tanımlayıcı ve ilişki arayıcı olarak 2022 yılında gerçekleştirilen çalışmaya Sakarya’da bir üniversitedeki 121 hemşirelik öğrencisi katılmıştır. Veriler Öğrenci Tanılama Formu, Şefkat Korkusu Ölçeği ve Hemşirelerin Mesleki Değerleri Ölçeği-Revize (HMDÖ-R) kullanılarak toplanmıştır. Verilerin değerlendirilmesinde yüzdelik, ortalama, Spearman korelasyon analiz; non-parametrik analizde Mann-Whitney U testi ve Kruskal Wallis testi kullanılmıştır. Bulgular: Öğrencilerin Şefkat Korkusu Ölçeği’ne göre başkalarına anlayış ve şefkat göstermekten korkma düzeyinin ortalamaya yakın olduğu, başkalarından gelen şefkate karşılık vermekten korkma ve kendine şefkat göstermekten korkma düzeyinin ortalamanın altında olduğu belirlenmiştir. Öğrencilerin HMDÖ-R puan ortalamasının ortalamanın üzerinde olduğu tespit edilmiştir. Öğrencilerin kendine anlayış ve şefkat göstermekten korkma düzeyi ile mesleki değerlere bağlılık arasında negatif yönde anlamlı farklılık olduğu bulunmuştur (p lt;0,01). Ayrıca cinsiyet ile Şefkat Korkusu Ölçeği alt boyutları arasında istatistiksel olarak anlamlı farklılık olduğu (p lt;0,05). Sonuç: Öğrencilerin kendine karşı anlayış ve şefkat göstermekten korkma düzeyi azaldıkça mesleki değerlere bağlılık düzeylerinin arttığı belirlenmiştir

Skeletal Side Effects of Systemic Isotretinoin Treatment: Do They Depend on Age, Gender, Treatment Duration, Daily Dose and Isotretinoin-Naiveness?

Introduction: Systemic isotretinoin is the most effective treatment modality in acne vulgaris; however, both patients and physicians hesitate to use it due its side effects. Objectives: The aim of this study is to determine the prevalence of fatigue, myalgia and low back pain during systemic isotretinoin treatment; and to determine their relationship with age, gender, treatment duration, daily isotretinoin dose and isotretinoin-naiveness of the patient. Methods: This is a cross sectional study including the acne vulgaris patients, aged between 13 to 40 years, who have at least received one month of oral isotretinoin treatment. Patients were questioned for side effects during their follow-up visits; a physical therapy and rehabilitation specialist further evaluated patients complaining of low back pain. Results: Fatigue was reported by 4.4% of the patients, myalgia by 2.8% and low back pain by 25% of the patients; 2.2% had inflammatory and 22.8% had mechanical low back pain. None of the patients had sacroiliitis. All the side effects that were examined were found to be independent of age, gender, isotretinoin dosage (mg/kg/day), treatment duration and isotretinoin-naiveness. Conclusions: The side effects are not as common as feared; thus, patients and physicians should not hesitate to use systemic isotretinoin in indicated cases.

Covid-19 ve Nörolojik Bozukluklar

Dünya Sağlık Örgütü tarafından 11 Mart 2019’da pandemi olarak kabul edilen COVID-19 hastalığının pandeminin ilk döneminde öncelikle solunum yollarını etkileyen ve ciddi akut solunum yetmezliğine (SARS) neden olan bir viral enfeksiyon olduğu kabul edilmiştir. Zaman içinde vasküler sistemler başta olmak üzere diğer organ sistemlerini ve en önemlisi de diğer sistemlerle beraber nörolojik sistemleri ve hatta bazen sadece nörolojik sistemleri etkilediği ortaya konmuştur. Ciddi semptomu olmayan hastalarda bile koku alma kaybı sık olarak görülmekte olup bazı hastalarda ilk veya tek belirti olabilmektedir. Viral enfeksiyonun iyileşmesine rağmen koku alma fonksiyonunun aynı hızla kazanılamaması yaşam kalitesini etkileyen önemli bir nörolojik tutulumdur. Dünyada pandemi sürecinde vaka bildirimleri ve klinik verilerin analizleri ile hızlı bilgi akışı devam etmektedir. Bu yazıda literatür incelemesi ile dünyada bildirilen nörolojik tutulumlar ışığında kranial sinir tutulumları, serebrovasküler hastalıklar ve inme, ansefalit, epilepsi, Guillain Barré sendromu, psikiyatrik bozukluklar ile ilgili güncel bilgilerin paylaşılması amaçlanmıştır

Outcomes of high-risk breast lesions diagnosed using image-guided core needle biopsy: results from a multicenter retrospective study

PURPOSEThe clinical management of high-risk lesions using image-guided biopsy is challenging. This study aimed to evaluate the rates at which such lesions were upgraded to malignancy and identify possible predictive factors for upgrading high-risk lesions.METHODSThis retrospective multicenter analysis included 1.343 patients diagnosed with high-risk lesions using an image-guided core needle or vacuum-assisted biopsy (VAB). Only patients managed using an excisional biopsy or with at least one year of documented radiological follow-up were included. For each, the Breast Imaging Reporting and Data System (BI-RADS) category, number of samples, needle thickness, and lesion size were correlated with malignancy upgrade rates in different histologic subtypes. Pearson’s chi-squared test, the Fisher–Freeman–Halton test, and Fisher’s exact test were used for the statistical analyses.RESULTSThe overall upgrade rate was 20.6%, with the highest rates in the subtypes of intraductal papilloma (IP) with atypia (44.7%; 55/123), followed by atypical ductal hyperplasia (ADH) (38.4%; 144/375), lobular neoplasia (LN) (12.7%; 7/55), papilloma without atypia (9.4%; 58/611), flat epithelial atypia (FEA) (8.7%; 10/114), and radial scars (RSs) (4.6%; 3/65). There was a significant relationship between the upgrade rate and BI-RADS category, number of samples, and lesion size Lesion size was the most predictive factor for an upgrade in all subtypes.CONCLUSIONADH and atypical IP showed considerable upgrade rates to malignancy, requiring surgical excision. The LN, IP without atypia, pure FEA, and RS subtypes showed lower malignancy rates when the BI-RADS category was lower and in smaller lesions that had been adequately sampled using VAB. After being discussed in a multidisciplinary meeting, these cases could be managed with follow-up instead of excision

Uluslararası göç bağlamında Körfez ülkelerindeki yabancı işgücü varlığının sosyoekonomik analizi: Katar, Suudi Arabistan ve Birleşik Arap Emirlikleri örneği

körfez ülkelerinde göç hareketleri ABSTRACT Migration in the Gulf Stat

Comparison of balance and coordination abilities between patients with asthma and healthy subjects

Bu çalışmanın amacı sağlıklı bireyler ile astımlı olguların denge ve koordinasyon yeteneklerini karşılaştırmaktır. Araştırmaya Pamukkale Üniversitesi Göğüs Hastalıkları Anabilim Dalında takip edilen 18-50 yaş aralığında, GINA Kriterlerine göre astım tanısı almış 49 gönüllü olgu (Çalışma grubu) ve 51 sağlıklı gönüllü olgu (Kontrol grubu) dahil edildi. Astımlı olguların yaş ortalaması 35,3±10,3 yıl, sağlıklı bireylerin yaş ortalaması 36,17±8,47 yıl olarak hesaplandı (p>0,05). Olguların dengelerini değerlendirmek için portatif bilgisayarlı kinestetik denge cihazı, beş kez otur kalk testi, süreli kalk yürü testi ve berg denge ölçeği; koordinasyonlarını değerlendirmek için parmak burun ve topuk parmak ucu vurma koordinasyon testleri kullanılmıştır. Astımlı olgular ile sağlıklı bireylerin denge ve koordinasyon test sonuçları karşılaştırıldığında statik denge total skorunda, dinamik denge total skorunda, beş kez otur kalk testinde, süreli kalk yürü testinde, berg denge ölçeğinde, parmak burun ve topuk parmak ucu vurma koordinasyon testinde istatistiksel olarak anlamlı fark bulunmuştur (p0,05). Balance was assessed with Kinestetic Ability Trainer, five times sit to stand test, timed up and go test and berg balance scale. Coordination ability was assesed with finger nose test and Toe tapping test. When the results belonging to the groups were compared, there were significant difference in SportKAT550 total static score, total dynamic score, five sits and stand, Timed up and go, berg balance scale, finger nose test and toe tap test between the groups (p<0,05). Results of our study showed that a decrease in the balance and coordination capabilities was found in asthmatic patients. We think that balance and coordination which are important elements of most activities of daily living should be evaluated in patients with asthma

Gezi hareketi: yer/mekan gerilimi, söylemsel pratikler ve toplum ilişkisi üzerine bir analiz.

This study aims to analyse the Gezi Movement, emerged in the last days of May 2013 against Taksim Pedestrianization Project which is conceptualized starting in 2007 by İstanbul Metropolitan Municipality and spread to whole country in a record time in June 2013 and lasted effectively for a month and continued during and after the research time, in terms of architecture and the society together with the discourses revealed in this process. The relationships between the society, the place and the places, and the discursive statements were examined to reveal the reasons behind this intense and instant public support and to explore the spatial meaning of the Gezi Movement in detail, which has attracted attention of many disciplines besides architecture, with starting from a cemetery to the Gezi Park to Taksim Square and then to the rest of İstanbul and to a larger geographical scale. This research focuses on the reinterpretation of the Movement in terms of qualities of “place and “place-making”, evaluated as a way of being part of decision-making process about the city for the citizens, and how this social attitude reflects to the place/space. This thesis further aims to reawaken the concept of “Right to the City” and reveal the new kind of identities of citizens, emerged during the Movement. It was evaluated that the Gezi Park promoted the dissemination of the Movement with its physical properties and increasingly transportation of the similar values and the spirit to the other places which integrated the citizens and made Turkey the place of the Movement. This type of place understanding and the spirit in the Movement helped to create the urban memory as well with the public activities. Furthermore, the babbling, the irony, the self-expression, the words and the images appeared in the walls or the grounds in the demonstration places made the Movement different from the previous demonstrations, which promoted the Movement to be researched in terms of the discursive practices in this study. The method throughout the study was to find tools and examples for the dissemination of the Movement by the help of analysis, reports, written documents and daily media. On the whole, this thesis is an attempt to substantiate the Gezi as public space as to architecture, place-making and settings. It tries to reveal the citizen rights by analysing the place-based power struggle, the public space, and the daily life experiences within the limits of the Gezi Movement and provides the documentation and the examination of the experiences, the movements which happened before, and the information about the Project, which is required for better awareness of the society.M.Arch. - Master of Architectur

Uluslararası göç bağlamında Körfez ülkelerindeki yabancı işgücü varlığının sosyoekonomik analizi: Katar, Suudi Arabistan ve Birleşik Arap Emirlikleri örneği

ÖZETkörfez ülkelerinde göç hareketleriABSTRACTMigration in the Gulf Stat

Ortaokul matematik öğretmenlerinin doğrular ve açılar konusu öğretimleri sırasındaki soru sorma kullanımlarına ilişkin bir durum çalışması.

The purpose of the study was to identify tools that help teachers to use in teacher questioning in middle-grade mathematics classrooms. In addition to this, the study aimed to examine teachers’ questioning behaviors concerning teachers' question types and the interaction among the tools for questioning and question types. This study was applied a multiple case with two middle grade mathematics teachers. The participant teachers were video recorded for the lines and angles topic. In one of the classroom, technology was included, and there was a non-technology enhanced classroom environment for the other classroom. The findings of the study showed that, in total, there were six categories of tools for questioning, which included information technology, printed supplementary materials, teacher drawings, student ideas, analogies, and real-life examples. Participant teachers used guiding, probing, and factual questions during their instructions. Participant teachers differed from each other in the types of questions and characteristics of the types of the questions they used throughout the lessons. The relations among the tools for questioning showed that for Teacher Caner, printed supplementary book was closely in relation to students’ questions or ideas while for Teacher Barış, supplementary book was closely related to his drawings while solving worked examples. The relations among the tools for questioning and question types of the teachers showed that Teacher Caner was used tools for questioning with all question types while Mr. Barış was only used guiding questions with all his tools for questioning. The findings of the study were discussed and the further studies were suggested.Ph.D. - Doctoral Progra

Deeper look into deprovincialization hypothesis: the mediating role of ingroup identification in contact-prejudice association

Deprovincialization hypothesis of intergroup contact has great potential to demonstrate favorable effects of contact in improving intergroup attitudes, yet previous studies did not find a consistent relationship between contact and deprovincialization. With two studies, I aimed to investigate if the multicomponent model of ingroup identification and deprovincialization mediates contact - prejudice link. Study 1 involved two serial mediation models including first the components of ingroup identification in parallel and deprovincialization in sequel; second, satisfaction and collective narcissism in parallel and deprovincialization in sequel, in the association between contact and attitudes (N = 315, Mage = 33.96, SDage = 13.15). Results indicated that only the centrality component mediated contact and attitudes through deprovincialization. Also, collective narcissism but not satisfaction mediated this association via deprovincialization. Study 2 (N = 144, Mage = 21.69, SDage = 2.56) aimed to replicate Study 1 with imagined contact manipulation, yet the models did not show the previous effects with the use of imagined contact with Syrians. Findings emphasized the deprovincializing role of centrality and collective narcissism in association with more positive outgroup attitudes