Determination of Physical Education and Sports Teachers' Nutrition Habits and Physical Activity Levels in the Global Epidemic (Covid-19) Process

This research was conducted to determine Physical Education and Sports teachers' nutritional habits and physical activity levels during the global epidemic (covid-19) process. 156 (121 male, 35 female) volunteer physical education and sports teachers working in Elazig province participated in the study. In order to determine the demographic information of participants, the personal information form; to determine the nutritional habits and physical activity levels, the "Investigation of Nutrition Habits and Nutrition Knowledge Levels" developed by Yücel (2015) and to determine the physical activity levels, the short form of the "International Physical Activity Questionnaire" were applied to participants. The SPSS package program was used in the analysis of the data and the significance level was accepted as p<0.05. According to the research results, it was determined that 89.1% of physical education and sports teachers did not receive nutrition education, 62.2% had a chronic disease, 27.6% were in the age range 43 and above, 67.3% were married, 59% were between 171-180 cm, 38.5% were between 71-80 kg, 27.6% had a seniority between 6-10 years and 42,9% had income between 4001-5000 TL. 47.4% of the teachers stated the effect of the state's "Stay at Home" project on physical activity as no, 37.2% yes, 15.4% partially and most of them stated that body weight increased during the pandemic period. It was observed that the mean scores of the participants' nutritional habits before the pandemic were lower than their mean scores during the pandemic period and a statistically significant difference was determined (p <0.05). In addition, before the pandemic, it was seen that the physical activity score averages of the participants were higher than the physical activity score averages during the pandemic period, and statistically significance was determined (p<0.05). As a result, it was observed that the eating habits of the physical education and sports teachers participating in the study were negatively affected during the pandemic period, and their physical activity levels decreased. In this context, we believe that the promotion of regular physical activities as well as adequate and balanced nutrition during the epidemic period will contribute to the individuals to overcome the epidemic with minimum damage

Effect of the COVID-19 Pandemic on Eating Habits and Food Purchasing Behaviors of University Students

COVID-19 disease, which spread rapidly all over the world after the first case was detected, became the primary agenda of the countries. Radical measures have been taken by governments to prevent the spread of the disease. Precautions and warnings to prevent disease caused some changes on daily life activities of people. University students who have to stop education are among the groups most affected by this disease sociologically, psychologically and physiologically. The aim of this study was planned and conducted to determine the effect of COVID-19 on university students' eating habits and food purchasing behavior. The study was completed with 866 university students education and training at the faculty of health sciences. Research data was obtained by online questionnaire. This questionnaire has been prepared with the information obtained as a result of the literature review and the opinions of experts by researchers. The questionnaire includes questions about eating habits and food purchasing behaviors. A result of the study, COVID-19 disease caused significant changes in the eating habits and food purchasing behaviors of university students. In general, it was found that the participants increased their consumption compared to before COVID-19, they paid more attention to hygiene while food purchasing

The Effect of Subcutaneous Teriparatide Treatment on Mobility, Back Pain, and Patient Satisfaction in Patients with Vertebral Osteoporotic Fractures: A Cross-Sectional Study with 36-Month Follow-up

Aim:Although the effectiveness of teriparatide on bone mineral density (BMD), fracture risk, and back pain in severe osteoporosis is known, no comprehensive study has been conducted in the Turkish population regarding its impact on mobility and patient satisfaction. This study aimed to evaluate the effectiveness of teriparatide treatment on mobility, back pain, and patient satisfaction in patients with osteoporotic vertebral fractures, as well as its side effects in midterm follow-up.Methods:The study was designed as a retrospective, cross-sectional study. Between February 2018 and April 2023, 50 consecutive patients (mean age 69.9±9.0 years; range, 53 to 94 years) who were diagnosed with vertebral fractures due to severe osteoporosis and had received 20 μg/day subcutaneous teriparatide (median, 18 months) were included in the study. The patients were evaluated using BMD measurements, blood tests, radiological imaging, a visual pain score (VAS-pain), mobility assessments [Functional Ambulation Classification (FAC)], and patient satisfaction levels at baseline, 6th, and 18th months.Results:At 6 and 18 months, a significant decrease in VAS-pain and a significant increase in BMD and FAC were observed (p<0.001 for all values). The improvement observed at 6 months continued to increase until the 18th month. 96% of the patients reported being satisfied or very satisfied with the treatment. The treatment of three patients (6%) was discontinued because of side effects in the 15th month of treatment. After the completion of teriparatide treatment, two patients developed clinical vertebral fractures during follow-up. No life-threatening side effects or laboratory abnormalities were observed in any patient.Conclusion:Teriparatide treatment in severe osteoporotic vertebral fractures with back pain has shown a dramatic reduction in pain and significant improvement in ambulation levels, providing high patient satisfaction with reasonable side effects

Vitamin D Deficiency and Chronic Widespread Pain

Vitamin D acts as a steroid hormone possessing important functions in calcium and phosphorus balance and bone health. The presence of vitamin D receptors (VDRs) in many tissues in the human body shows that this vitamin might have effects other than its role in maintaining bone health. Hence, many studies in the last two decades have reported an association between vitamin D deficiency and many musculoskeletal and extra-skeletal diseases. Despite the presence of clear evidence suggesting a causative relationship between musculoskeletal pain and osteomalacia developing as a result of long-term and severe vitamin D deficiency, a putative relationship between vitamin D deficiency and chronic widespread pain (CWP) has recently been an exciting area of discussion. The hypothetical role of vitamin D in the pathophysiology of pain, the availability of VDRs in the muscle tissue and central nervous system, particularly in the hypothalamus, and the reports on the development of muscle hypersensitivity associated with vitamin D deficiency, have provided a basis for a putative relationship between CWP and vitamin D status. This review will discuss these two problems that commonly occur within the general population, and endeavour to reveal this relationship in light of currently available studies

UZMANLAŞMA VE TIPTA BÜTÜNCÜL YAKLAŞIM ÜZERİNE BİR DEĞERLENDİRME

Endüstrileşme ile birlikte, ekonomik verimliliğin ve kitlesel üretimin artırılması amacıyla iş bölümüne gidilmesi, uzmanlaşmaya dayanan işlerin ortaya çıkmasına ve emek sürecinin değişmesine yol açmıştır. Bilgi birikiminin artmasıyla eski bütüncül dünya anlayışına sahip insan modeli yerini modern dönemin uzman insanına bırakmıştır. İş bölümü ve uzmanlaşmanın mesleklere yansıyan yönünde profesyonellik anlayışı gündeme gelmektedir. Yaşanan gelişmelerle birlikte tıp mesleğinde bölünmeler meydana gelmiş, modern tıp bilimsel uzmanlık alanlarını temel alan bir sisteme dönüşmüştür. Her bir alandan bir uzman hekimin sorumlu olduğu bu sistem, içinde bulunduğumuz yüzyılda uzmanlık alanlarının artışıyla kendini göstermektedir. Makro uzmanlık alanlarının mikro uzmanlık alanlarına doğru yöneldiği tıpta uzmanlaşma konusu, tıbbi ve sosyolojik manada incelenmesi gereken önemli bir olgudur. Anahtar Kelimeler: Uzmanlaşma, Bütüncül Yaklaşım, Tıpta Uzmanlaşma, Sağlık Sosyolojisi. JEL Sınıflandırma Kodları: I2

2,4-Dibromo-2,3-dihydro-1H-inden-1-yl acetate

In the title compound, C11H10Br2O2, the cyclo­pentene ring fused to the benzene ring adopts an envelope conformation, with the C atom attached to the Br atom as the flap. The crystal structure does not exhibit any classical hydrogen bonds. The mol­ecular packing is stabilized by van der Waals forces and π–π stacking inter­actions with a centroid–centroid distance of 3.811 (4) Å

Noninvasive assessment of liver fibrosis with the aspartate transaminase to platelet ratio index (APRI): Usefulness in patients with chronic liver disease: APRI in chronic liver disease

Background: The aspartate aminotransferases (AST) to platelet ratio index (APRI) may serve as a noninvasive marker to assess liver fibrosis. Objectives: To assess the diagnostic ability of the APRI for prediction of fibrosis in patients with chronic hepatitis B (CHB), chronic hepatitis C (CHC), and non-alcoholic fatty liver disease (NAFLD). Patients and Methods: This retrospective study included 207 patients with CHB,108 with CHC, and 140 patients with NAFLD. The APRI was calculated as (AST level/upper normal limit for AST)/platelet counts (109/L) x 100. The stage of liver fibrosis in patients with chronic viral hepatitis was graded using the METAVIR scale. The Kleiner system for grading fibrosis was used in patients with NAFLD. Results: Bivariate correlation analyses showed that the APRI was significantly associated with fibrosis scores in patients with CHC (p = 0.2634, p = 0.0059) and NAFLD (p = 0.2273, p = 0.0069), but not in those with CHB (p = 0.1005, p = 0.1495). Receiver operating characteristic (ROC) curves were used for assessing the ability of the APRI as a predictor of the absence or presence of liver fibrosis (fibrosis score of 0 vs fibrosis scores of 1-4). In patients with CHC, the APRI showed a sensitivity of 72.7% and a specificity of 62.4% for detection of fibrosis (p<0.01). In the NAFLD group, the APRI showed a sensitivity of 60.0% and specificity of 73.3% for detection of fibrosis (p<0.01). In patients with CHB, the APRI showed a sensitivity of 55.0% and a specificity of 75.4% for fibrosis (p=NS). Conclusions: The APRI shows an acceptable accuracy for the assessment of liver fibrosis in patients with CHC and NAFLD, but not in those with CHB

Green Synthesis and the formation kinetics of silver nanoparticles in aqueous Inula Viscosa extract

In this study, we present the production of silver nanoparticles in aqueous Inula Viscosa extract by the green synthesis approach at room temperature. The structural, morphological properties as well as formation kinetics of the synthesized silver nanoparticles were characterized by UV-VIS, STEM, XRD, Raman and FTIR measurements. Mono-dispersed and very stable silver nanoparticles with size of 15$\pm$5 nm and face-centered cubic crystal structure were synthesized in aqueous Inula Viscosa extract. The kinetic studies of silver nanoparticles formation in Inula Viscosa extract show that silver nanoparticle formation reaction reached the equilibrium within 24 h and fit in the first-order reaction kinetics. The results clearly show that the size of fabricated nanoparticles is independent on the dynamical formation process since the reaction time and initial silver ion concentration did not affect on size and morphology of the produced particles.Comment: 10 pages, 11 figure