Diğer Atıf Dizinlerdeki Yayınlar

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Diğer Dizinlerdeki Yayınlar / Publications in Other Citation Indexes

Listeleniyor 1 - 20 / 161

The Effect of Quiet Quitting on Job Performance: A Research on Health Sector Employees
(Türk Kooperatifçilik Kurumu, 2024) Karalinç, Turgay
Quiet quitting which has become frequently used in today’s health sector, has become one of the concepts that should be addressed as a priority in the quest towards achieving United Nations Sustainable Development Goals (UN-SDG’s -3 and 8), which highlights good health well-being and decent sustainable growth respectively. The quiet quitting process, which starts with the decrease in the job performance of employees who are lost in the culture of hustle and bustle, understanding employees plays a major role in achieving business goals and objectives is the core of the present study. In this context, the aim of the study is to determine the effect of quiet quitting perceptions of healthcare professionals on their job performance. To this end, the present study leverages on a survey of over 385 respondents in the health sector to operationalize the study objective. As a result of the correlation analysis between quiet quitting and job performance, a moderately significant negative relationship was found with the strength of r=-0.417 and the significance level of p<0.05. The regression analysis performed to analyze the effect of quiet quitting on job performance (?=-0.306; p<0.05) determined its negative effect. Further empirical findings obtained as a result of the difference tests (T- test, ANOVA), significant differences were determined at the p<0.05 significance level between gender, status, age, income and education regarding the quiet quitting of the participating healthcare workers. Additionally, significant differences were detected between gender, status, age, income and education regarding the job performances of the participating healthcare workers at the p<0.05 significance level.
The Effect of Listening to White Noise and Heart Sound on Pain During Sternum Dressing in Newborn: A Randomized Control Trial Study
(Gümüşhane Üniversitesi, 2024) Aslan, Meltem; Pek, Hatice
The research was conducted as a randomized controlled experimental study to determine the effect of listening to white noise and heart sounds during the sternum dressing process on the pain felt by newborns who underwent congenital heart surgery. The research sample consisted of 48 (white noise:16, heart sound:16, control:16) newborns who underwent cardiac surgery in a training and research hospital in Istanbul and met the sample selection criteria. Newborn Pain Scale (NIPS) was used to assess pain. There was a significant difference in physiological parameter values between the groups during the sternum dressing (p<0.001). The NIPS pain scores during the sternum dressing procedure differed across groups (p<0.001). Newborns in the control group had significantly higher NIPS pain scale scores compared to those in the heart sound and white noise group, while the heart sound group scored similarly to the white noise group (p<0.001). These findings support the hypothesis that listening to white noise and heart sounds during sternum dressing in newborns is an effective methods for reducing pain.
Use of M-health Application to Figure Out Post-natal Depression, an Evidence-based Study
(Journal of Advances in Medicine and Medical Research, 2023) Mustafa, Nasir
Background: Post-natal depression is a clinical condition that may go undiscovered. A common mental health issue and one of the main factors contributing to mother sorrow and poor health is postpartum depression (PPD). The disease is prevalent on a global scale in a range of 10 to 15%. The high-risk phase, the first four to six weeks, is when symptoms typically manifest. However, it could appear up to a year after birth. Traditional depressed symptoms like mood swings, crying fits, losing consideration for a kid, despite suicide thoughts are signs. PPD impacts growth and development but also the mother's health. In the past few years, postpartum depression research has gained momentum. The illness and its effects are still largely unknown to the General public. Furthermore, not many people are aware of the PPD risk factors. There hasn't been much research done on the variations in symptoms and suitable preventive actions between cultures. PPD risk factors include obstetrical and podiatric variables in addition to some that are comparable to those for classic depression. The evolution of a clinical issue needs medical attention, where study-proven results suggested great compassion, efficient and satisfactory precision in outcomes especially prompt accomplish, simple to elucidate, in cultural terms appropriate, and economical. The objective of this study, to generate organizational paradigms for identifying the risk of postnatal depression after a week of child delivery, accordingly permit quick interruption, and also, to create a digital health application for the latest platform such as (Google Health Studies, Mountain View, Medication Management, Point-of-Care Diagnostics) along with the elite implementation for both pregnant mothers and physician that desire to observe their patient’s test. Methodology: The study was a prospective cohort study. A set of prognostic paragons used for computing the chance of post-natal depression was utilized device acquisition capabilities and record evidence practically PPD mothers gathered from different hospitals. The analysis was implemented through a hold-out technique. A simple scheme diagram and framework for organizing the figure. Idol picture portrait (IPO) of the mobile health application was tracked. Results: The results showed that the study of Naive Bayes demonstrated the significant equilibrium among specificity and sensitivity through the prognostic paradigm for post-natal depression, after a few days of delivery. It was unified toward the clinical verdict assist method for the Android m-application. Unique strategy can permit the premature prognostic and identification of post-natal depression so long as it satisfies the requirements of a potent screening trial with a great degree of specificity and sensitivity which is rapid to execute, simple to interact with, ethically perceptive, sympathetic, and economical.
İstismara Uğramış Bireylerde Kullanılan Ergoterapi Yaklaşımlarının İncelenmesi
(Hacettepe Üniversitesi, 2024) Küçük, Melike; Aydın, Suzan
İstismarın, dünyada ve ülkemizde günden güne arttığı bilinmektedir. 13 farklı istismar türü vardır ve bunların her biri bireyler üzerinde farklı etkiler bırakmaktadır. Ergoterapi müdahalelerinin, bireylerin aktivite/rol yeterliliği üzerine etkisi oldukça fazladır. Ergoterapistler bireylerin öz saygı ve öz yeterliliklerini artırmasında, başa çıkma stratejileri geliştirmesinde, günlük yaşam aktiviteleri ve okupasyonel performansın arttırılmasında bireylere yardımcı olmaktadır. Ayrıca ergoterapistler bireylerin kötü deneyimlerini atlatılmasında da bireylere yardımcı olmaktadır. Bu çalışmada istismara uğramış bireylerde kullanılan ergoterapi yaklaşımlardan bahsetmek, literatürdeki bilgi eksikliğini gidermek, diğer meslek gruplarıyla multidisipliner bir ekip oluşturmak ve bu alanda sosyal hizmetlerle ortak amaca hizmet ettiğini göstermek ve ergoterapistlere istismara uğramış bireylere yaklaşım konusunda yol göstermek amaçlanmıştır. Ergoterapi ve istismar hakkında literatürde sınırlı sayıda çalışma yapılmıştır. Yapılan çalışmaların neredeyse tamamı ergoterapi yaklaşımlarının istismara uğramış bireyler üzerindeki olumlu etkisini yansıtmaktadır. Bu da bu alanda gelecekte yapılacak çalışmalara umut vermektedir. Tüm bunlar dikkate alındığında daha çok çalışma ile literatüre daha fazla kanıta dayalı uygulama yaklaşımı eklenmesi bilimsel açıdan bir ihtiyaçtır.
Çalışanların Duygusal Zekâsının Örgüt Performansına Etkisi
(Vedat Yılmaz, 2024) Şeker, Cemile; Kaya, Aslı
Bu araştırmanın amacı duygusal zekânın örgüt performansı üzerindeki etkisini literatür bağlamında incelemek ve hazırlanmış olan araştırmaların yetersizliğini vurgulamaktır. Literatür taraması yapılırken Google Akademik, ScienceDirect, Wep of Science gibi indeksler taranmıştır. Yapılan literatür taramasında, duygusal zekanın bir çok değişkeni etkileyerek örgütsel performansa katkı sağladığı tespit edilmiştir. Bu değişkenler, lider etkinliği, iş tatmini, yaratıcılık, öğrenme, motivasyon, ağ oluşturma, iletişim becerileri, örgütsel vatandaşlık, dönüşümcü liderlik özellikleri, işten ayrılma niyeti gibi değişkenlerdir. Literatür taraması sonucu elde edilen bilgilere göre; duygusal zekâ ile ilgili yapılmış birçok çalışmaya rağmen, şu ana kadar bu değişkenler, duygusal zekâ ve örgüt performansı arasındaki ilişki ve etkilere net bir bakış açısı sağlayan, özelliklede yurt içinde yeterli sayıda araştırmanın olmadığı görülmektedir. Duygusal zeka ve örgüt performansı ilişkisin de yukarıda ifade edilen değişkenlerin etkilerinin, ilişkilerinin ve rollerinin neler olduğu hakkında yapılan çalışmaların yetersizliği literatür için büyük bir kayıptır. Bu sebeple, bu kavramlar arasındaki ilişkilerin sistematik bir bütünlük içinde incelenmesi gerekliliği, bu araştırmanın temel gerekçesini oluşturmaktadır.
Endoscopic Endonasal Approach to a Giant Dentigerous Cyst
(İstanbul Üniversitesi, 2022) Yılmaz, Eren; Altundağ, Aytuğ; Karamik, Pelin; Yıldırım, Düzgün; Behzatoğlu, Kemal
Dentigerous cysts constitute 20% of all odontogenic cysts and are often located in the mandible and maxilla. They are often seen at young ages and in men. Patients are usually asymptomatic, and the diagnosis is established by dental radiographs in routine scans. Surgery is recommended for dentigerous cysts because ameloblastoma, intraosseous mucoepidermoid carcinoma, or intraosseous squamous cell carcinoma may develop from them. Generally the transoral route is preferred over the endoscopic route for dentigerous cysts located in the maxilla. In addition to the question of the transnasal versus oral approach to dentigerous cysts, another controversy is the removal or marsupialization of the entire cyst. In our 10-year-old male patient, a cyst that completely filled the right maxillary sinus and eroded the lateral and anterior wall of the maxillary sinus was treated with transnasal endoscopic surgery. The cyst wall and 3 permanent teeth were removed endoscopically. No post-operative complications were observed. The patient’s age and the location and size of the cyst play an important role in the choice of treatment. Furthermore, the most accurate way to choose the appropriate treatment is to make the treatment decision with a multidisciplinary approach.
Determinants of clinical course and mortality in COVID19 patients with hematological disorders: real life data from a single center
(Prusa Medical Publishing, 2022) Deveci, Burak; Döşemeci, Levent; Aslan, Ayşe; Asal, Gökhan; Üstün, Bilge; Yıldırımer Akar, Meltem; Toptaş, Tayfur; Yavuz Taşlıpınar, Mine; Saba, Rabin
Objectives: Patients with hematological disorders are often immunosuppressive due to underlying diseases, immunosuppressive therapies or cytotoxic chemotherapeutics. In the case of coronavirus disease 2019 (COVID19), they are at high risk of poor prognosis. Therefore, the present study aimed to evaluate the determinants of clinical course and mortality in COVID-19 patients with hematological disorders. Methods: Sixty-two hospitalized patients older than 18 years with documented COVID-19 and hematological disorders were included in the study. The clinical and laboratory data of the patients were recorded. Age, gender, overall follow-up time, duration of hospitalization, neutropenia, D-dimer levels, disease status, presence of underlying diseases, prior autologous and allogeneic stem cell transplant, immunosuppressive drug use, chemotherapy within 28 days, pneumonia, secondary bacterial infection, intubation, survival and mortality of the patients were evaluated. Results: Twenty-eight (45.2%) of 62 patients died due to COVID-19 and its complications. It was observed that presence of pneumonia, secondary bacterial infection, intubation, neutropenia developed after the diagnosis of COVID-19, and elevated D-dimer levels were associated with significant mortality. A D-dimer level of > 1.2 µg/dL was found to be associated with 5.02 fold increase in the risk of death, with 60.7% sensitivity and 76.5% specificity. Presence of rheumatologic diseases also affected survival negatively. Conclusions: D-dimer levels have high predictive value for mortality. Considering the identified risk factors, it can be concluded that broad spectrum antibiotics can be administered earlier for prevention of high mortality rates in COVID-19 patients with underlying hematological disorders. These observations can give confidence to clinicians that delivery of effective anticancer regimens should continue during this difficult pandemic.
Psychometric Properties of the Turkish Version of the Facial Clinimetric Evaluation Scale for Patients with Bell's Palsy
(Bayçınar Tıbbi Yayıncılık, 2022) Badıl Güloğlu, Sevtap; Çelik, Mustafa
Objectives: This study aimed to translate the Facial Clinimetric Evaluation (FaCE) scale into Turkish and then validate the Turkish version (FaCE-T) for use in Turkish patients. Patients and Methods: This reliability and validity study was conducted between July 2018 and October 2019. Thirty patients (14 males, 16 females; mean age: 48.2±7.8 years, range 18 to 72 years) with unilateral and peripheral facial paralysis who were able to write and read Turkish were included in the study. The control group consisted of 52 healthy subjects (24 males, 28 females; mean age: 41.3±9.6 years, range 18 to 73 years) with intact facial nerves and no history of facial paralysis. The reliability of the FaCE-T was analyzed according to its internal consistency and test-retest reproducibility. Test-retest reliability was computed by comparing the FaCE-T outcomes received at the first and second visits of the study group. Discriminant validity was computed by comparing the FaCE-T scores of the study and control groups. The responsivity to changes in Bell’s palsy effects have been analyzed by comparing the pre- and post-treatment FaCE-T scores of the patients. Results: In the study group, total and subscale FaCE-T scores were significantly lower than in the control group (p=0.0001). In the study group, FaCE-T scores and the total score were significantly higher after treatment than before treatment (p=0.0001). The internal consistency of the FaCE-T scale was high, and Cronbach's alpha was 0.960 before treatment and 0.893 after treatment. A significant difference was not observed between the first and last test evaluations of the FaCE-T scale in facial mobility, facial comfort, oral function, eye comfort, lacrimal comfort, social function, and the total score (all p>0.05). Conclusion: In this study, the FaCE-T questionnaire was found to be reliable, consistent, and valid for the Turkish population. The FaCE-T questionnaire is an appropriate questionnaire for the assessment of disease-specific quality of life in Turkish patients with facial paralysis.
Besin Alerjisi Olan 0-2 Yaş Çocukların Annelerinde Anksiyete ve Bakım Veren Külfetinin Değerlendirilmesi
(Galenos Yayınevi, 2022) Yücel, Esra; Yılmazbaş, Nimet Pınar; Erbilgin, Seda; Terzi, Özlem; Özçeker, Deniz
Amaç: Besin alerjisi olan hastalar ve aileleri sağlıklı bireylere göre düşük yaşam kalitesi, anksiyete, depresyon ve strese sahip olup, ebeveynlerde bakım veren külfeti yüksektir. Çalışmamızda 0-2 yaş arası gıda alerjisi hastalarının annelerine eşlik edebilecek anksiyete bozukluğunun değerlendirilmesi ve gıda alerjisi olan hastaların annelerinde külfetin incelenmesi amaçlandı. Gereç ve Yöntem: Gıda alerjisi olan 0-2 yaş arası çocukların annelerine ve kontrol grubu olarak sağlıklı çocukların annelerine sosyodemografik veriler, Hastane Anksiyete ve Depresyon Ölçeği (HADÖ), Psikolojik Belirti Tarama Listesi (SCL 90-R) ve Zarit Bakıcı Yükü Ölçeği ile ilgili anket uygulandı. Bulgular: Çalışmaya gıda alerjisi olan 67 çocuk annesi ve sağlıklı çocuğu olan 74 anne alındı. Zarit Bakım Veren Külfet Ölçeği puanı, gıda alerjisi olan çocukların annelerinde sağlıklı çocukların annelerine göre anlamlı olarak daha yüksekti (p=0,018). Besin alerjisi olan çocukların anneleri, genel SCL 90-R ölçeğinde anlamlı olarak daha yüksek bir genel puana sahipti (p=0,045). Besin alerjisi olan çocukların annelerinde HADÖ puanı anlamlı olarak yüksekken, Hastane Depresyon Ölçeği puanında fark yoktu (sırasıyla p=0,045, p=0,825). Sonuç: Annelerin külfet, anksiyete, depresyon gibi duygusal durumlarının değerlendirilmesi ve besin alerjisi ile baş etmeye çalışma stratejileri ihmal edilebilir. Bu nedenle besin alerjisi olan özellikle küçük yaştaki çocukların annelerinin psikososyal destek gereksinimleri değerlendirilmeli ve gerekli yönlendirme sağlanmalıdır.
Substantial Role of Big Data in Global Outbreak: From Tracking and Diagnosing Virus to Vaccine Discovery
(İstanbul Üniversitesi-Cerrahpaşa Sağlık Bilimleri Fakültesi, 2022) Zahoor, Hina; Mustafa, Nasir
The recent pandemic is ramification of coronavirus SARS-CoV2. This outbreak has greatly affected every domain of individuals’ lives. It has spread over 214 countries and over 392 million positive cases were reported till February 6, 2022. Due to the latest breakthroughs in the sphere of digital divide, Big Data can aid in dealing with the enormous data of COVID-19 derived from state health surveillance, health monitoring, and daily briefing of government bodies. “Big data” is huge amounts of facts that work wonderfully. It has become a subject of particular interest for the last 2 decades due to its unseen significant potential in it. The purpose of the current review is to overview the potential applications of Big Data. Furthermore, issues and challenges associated with the solutions to the pandemic situations were highlighted and last, recommendations were provided for effective control of the pandemic situation. This review is an effort to provide a fresh insight into the way of big data in terms to stop the pandemic outbreak.
Comparison of Video Head Impulse Test Results of Pediatric Patients with Dizziness with Healthy Volunteers
(İstanbul Üniversitesi, 2022) Yılmaz, Eren; Yağcı, İbrahim; Kesimli, Mustafa Caner; Altundağ, Aytuğ
Objective: The Video Head Impulse Test (V-HIT) is a non-invasive diagnostic test that evaluates the functions of the semicircular canals separately. This test records eye movements in response to head movements, and the vestibulo-ocular reflex gain (VOR-G) is calculated. V-HIT is frequently used in diagnosing adult patients and has been increasingly used in children in recent years. Indeed, V-HIT measurements may be useful in the diagnosis, especially in pediatric patients where vestibular pathologies are difficult to evaluate. In this study, V-HIT findings of pediatric patients with dizziness were examined, and the results were compared with healthy volunteers. Methods: Thirteen pediatric patients who applied to our clinic with dizziness and nine healthy children were included in the study. The necessary evaluations and radiological imaging were performed, and children diagnosed with any pathology were excluded. Each patient underwent GN Otometrics ICS Impulse V-HIT examination, and the results were recorded. The Video Head Impulse Test (v-HIT) results of children with vertigo were compared with those of healthy volunteers and analyzed. Results: The mean age of the patients included in the study was 10.5±3.5 years (range: 5-16). Five of these children were boys, and 8 were girls. In the control group, there were five girls and four boys, and their mean age was 9.3±3.9 years (range: 5-16). None of the children had any additional disease. When the groups were compared, the left anterior canal and left lateral canal VOR-Gs were significantly different between the patients and healthy volunteers (p=0.027 and p=0.007, respectively). No statistically significant difference was observed between the groups in terms of the right anterior canal, right lateral canal, left posterior canal, and right posterior canal VOR-G measurements (p=0.928, p=0.738, p=0.588, and p=0.780,). Conclusion: V-HIT, a non-invasive method for evaluating the etiology of vertigo in children, can be easily applied even in very young children. The use of glasses suitable for children will facilitate the procedure.
Comparison of the effects of physiotherapy and ergotherapy applications on independent movement in hip fracture patients with hemiarthroplasty and PFN-A
(İnönü Üniversitesi Tıp Fakültesi, 2022) Bildik, Celaleddin; Çağlayan Kahraman, Hamit; Avsever, Nur Seren; Altın Demirbağ, Sinem; Koçak, Aslı; Yılmaz, Barış
Aim: In this study, our aim is to compare the effects of post-hip fracture hemiarthroplasty or PFN-A applications on the post-operative hip joint to provide enough range of motion to assist in daily activities, helping to regain lost muscle strength and to compare the effects on independent movement. Materials and Methods: 15 patients who underwent hemiarthroplasty (Group 1) and 15 patients who underwent PFN-A (Group 2) were included in this study. These patients were aged between 50-80 who had operated at least 3 months ago, had no other lower extremity operation or trauma in the last 6 months, did not have any other physical and mental problems that prevented physiotherapy and occupational therapy due to the hip fracture. Physical therapy and occupational therapy methods were applied to both groups after surgery. These two groups were evaluated with the early postoperative period, after physical therapy and after occupational therapy, the Lower Extremity Functional Scale, Functional Independence Scale, Barthel Daily Living Activities Index, Harris Hip Assessment Scale and Timed Get Up and Go tests. Results: After physical therapy applied according to the early postoperative period; a significant difference was obtained for all patients in the evaluations made with lower extremity function scale, Functional independence scale, timed up and go test, and Harris hip assessment scale. In addition to this treatment, a significant difference was achieved for all patients after the ergotherapy methods. Statistically significant differences were not found for Barthel’s daily life activities test. Conclusion: The negative thoughts created by the limitations in the functions of the elderly people is reduced with the ergotherapy application plan and providing support both physically and psychologically. The emotional changes that vary on according to the level of dependency of the patients, the use of auxiliary devices is taught in elderly individuals, especially considering their desire to be independent, their functions were restored with the multiple working method and the quality of life is increased.
Tıkayıcı uyku apne sendromunda östaki tüpü disfonksiyon anketi kullanımı
(Bayçınar Tıbbi Yayıncılık, 2022) Demirbilek, Nevzat; Evren, Cenk; Çelik, Mustafa
Amaç: Bu çalışmada, tıkayıcı uyku apne sendromu (TUAS) hastalarında Östaki Tüpü Disfonksiyon Anketi-7 (ÖTDA-7) kullanılarak östaki tüpü disfonksiyonu (ÖTD) araştırıldı. Hastalar ve Yöntemler: Çalışmaya polisomnografik inceleme ile TUAS tanısı konulan 96 hasta (78 erkek, 18 kadın; ort. yaş 39.4±12.2 yıl; dağılım 18-64 yıl) alındı. Tüm hastalara ÖTDA-7 uygulandı. Yaş, cinsiyet, septum deviasyon varlığı, Epworth Uykululuk Skalası, apne-hipopne indeksi (AHİ), en düşük oksijen satürasyonu ve oksijen desatürasyon indeksi parametreleri kayıt altına alındı. Hastalar AHİ skoruna göre hafif, orta ve ağır TUAS gruplarına ayrıldı. Her gruptaki olguların parametreleri kıyaslandı ve ÖTDA-7 anket skorlarıyla ilişkisi değerlendirildi. Bulgular: Ağır TUAS olan grupta dördüncü soru puanı ve toplam puan, hafif ve orta TUAS olan gruplardan anlamlı olarak daha yüksekti (tümü için p<0.05). Orta TUAS olan grupta dördüncü soru puanı ve toplam puan hafif TUAS olan gruptan anlamlı olarak daha yüksekti (tümü için p<0.05). Oksijen desatürasyon indeksi ile soru 1, 3, 4, 6 ve 7’nin puanları ve toplam puan arasında anlamlı pozitif ilişki vardı (tümü için p<0.05). Sonuç: Ağır TUAS saptanan hastalarda anket skorları hafiforta TUAS saptanan hastalara kıyasla daha yüksek idi. Bu veriye dayanarak TUAS olgularında ÖTD ve ona bağlı diğer patolojilerin de gelişebileceğini vurgulamak isteriz.
Osteosarkopenide Beslenme Yaklaşımları: Geleneksel Derleme
(Türkiye Klinikleri Yayınevi, 2022) Can, Başak; Şanlıer, Nevin
İlk kez 2017 yılında tanımlanmış olan osteosarkopeni; kemik yoğunluğu, kas kütlesi ve bu 2 dokunun fonksiyon kaybı ile karakterize bir geriatrik sendromdur. Klinikte 2 kronik kas-iskelet sistemi sorunu olan osteoporoz ve sarkopeninin birlikteliği ile tanımlanır. Osteosarkopenili bireyler daha yüksek kırık, düşme, morbidite ve mortalite riski ile karşı karşıya olup yaşlı bireylerin yaşam kalitesini düşürmektedir. Çeşitli çalışmalar, osteosarkopeni prevalansının %5-37 arasında değiştiğini göstermektedir. Ülkemizde ise osteosarkopeni oldukça yeni bir kavram olup yapılan prevalans çalışmaları yetersizdir. Osteosarkopeninin patogenezi çok faktörlüdür. Osteoporoz ve sarkopeni mekanizmaları ile benzerlikler gösterirken tanı ve tedavilerinde de aynı yöntemler kullanılabilmektedir. Sendromun yavaşlatılması veya durdurulması için osteoporoz ve sarkopenide olduğu gibi öncelikle kas ve kemik metabolizmasını hedef alan tedavi yöntemlerine odaklanılmalıdır. Bu tedavi yöntemleri arasında egzersiz, farmakolojik müdahaleler, yaşam tarzı değişiklikleri ve spesifik besin ögesi takviyeleri yer almaktadır. Literatürde osteoporoz ve sarkopeninin beslenme tedavisi ile protein, kalsiyum, D vitamini ve omega-3 yağ asitleri hakkında çeşitli çalışmalar mevcuttur. Bu çalışmalarda, yaşlı bireylerin günde en az 1,2 g/kg protein; 1.000 IU D vitamini ve 500-600 mg kalsiyum alması önerilirken, omega-3 yağ asitleri hakkında ortak bir kanıya ulaşılamamıştır. Türkçe literatürde osteosarkopeni ve beslenme yaklaşımları hakkında yapılmış kapsamlı ve güncel bilgilerden oluşan bir derlemeye rastlanmamıştır. Bu derlemenin amacı, güncel araştırmalar ışığında osteosarkopeninin tanımı, epidemiyolojisi ve beslenme tedavisini özetlemektir.
Transformational Attributes, Emotional Intelligence and Perceived Benefits of Training are The Core Ingredients of Managerial Organizational Commitment
(Abdullah Kuzu, 2023) Zahoor, Hina; Çengel, Özgür; Yozgat, Uğur
One of the main issue to extensive concept analysis from the perspective of healthcare sector is the domain’s rapid-changing panorama. The concept of transformational leadership in terms of health managers is a new insight that has been highlighted in the study. In this current study, a sample of 261 individuals employed in managerial roles within the hospitals was included. Results show that there is a positive correlation between the sub variables of transformational leadership with organizational commitment and its dimensions. The results also indicate that the emotional Intelligence have a significant moderator effect on the association between the dimensions of transformational leadership and organizational commitment in the context of Pakistani health sector. Moreover, the results also indicate that the study also found that perceived benefits of training has a significant mediating role in the relationship between the dimensions of transformational leadership and organizational commitment. This shows that the training programs may produce more positive results when health managers understand the training benefits, which is likely to boost their commitment to the hospitals. Hence, it is suggested that hospitals should arrange training sessions timely to improve transformational leadership competencies of health managers. The research is the effective contribution to the contemporary literature on the role of transformational leadership in healthcare from the developing country prospect.
The Effect of Healthcare Workers' Suffering Violence on their Organizational Commitment During the Covid-19 Pandemic: The Case of Türkiye
(European Society of Medicine, 2023) Eriş, Hüseyin; Büyükaslan, Hasan; Bucak, Feray; Kaya, Aslı
Purpose: The rate of violence that increased in the healthcare sector in recent years increased more during the COVID-19 pandemic. This situation caused several problems like depression, anxiety, and professional and organizational commitment among healthcare workers. This study aims to determine whether healthcare workers who worked for State and Private Hospitals in Şanlıurfa, Turkey, suffered any type of violence (verbal, physical, and sexual) at least one time during the pandemic and the effect of this incident on the organizational commitment level of healthcare workers. Methods: This descriptive study was conducted between 01.02.2022 and 30.05.2022, and 408 healthcare workers on duty participated and completed the questionnaire. Results: 70.6% of the healthcare workers stated they suffered violence during the COVID-19 pandemic. When examining the type of violence that healthcare workers suffered, 52.9% of them stated they suffered verbal violence, 4.2% of them stated they suffered physical violence, and 24% of those stated they suffered both verbal and physical violence. The rate of those who did not suffer violence was 18.9%. Conclusion: That the regression coefficient was negative means that there was a negative relationship between the level of violence and the loyalty of workers; as the level of violence increased, the level of worker loyalty decreased, or similarly, as the level of violence decreased, the level of worker loyalty increased. In other words, it was expected that a 1-unit decrease in the level of violence would lead to a 0.260-unit increase in the level of worker loyalty.
Is the appendix length/diameter ratio an early-indicator for the perforation in acute appendicitis?
(İnönü Üniversitesi Tıp Fakültesi, 2018) Ekici, Uğur; Tatlı, Faik; Kanlıöz, Murat
Aim: Acute appendicitis is the most frequent reason for the stomachaches resulting in the surgery. The acute appendicitis perforation might create complications that are of vital importance. In this study, it is aimed to examine the relationship of appendix length/ diameter ratio with acute appendicitis perforation. Material and Methods: Using the pathology results of appendectomy materials of 144 patients that applied to emergency service between March 2013 and May 2014 and were operated due to the suspicion of acute appendicitis, the length/diameter ratios were calculated. The patients were divided into 2 groups as perforated appendicitis and non-perforated appendicitis. The number of patients and the length/diameter ratios were calculated and recorded for both groups. Pearson’s Chi-Square test was used for statistical analysis. Results: In pathological examination of 144 patients involved in this study, non-complicated acute appendicitis was diagnosed in 123 (85.4%) patients, while 21(14.6%) patients were found to have perforation. In present study, the results indicating that the length/ diameter ratio might be used as early indicator for the perforation were achieved. When the appendix length/diameter ratio declined below 10, then the perforation frequency significantly increased (p<0.01). Conclusion: Knowing these rate can help the surgeon in early surgical intervention, so the possible complications of perforated appendicitis might be decreased via early surgical intervention.
Anterior cruciate ligament injuries at the office workers who have irregular sport activity on the artificial surfaced playing areas
(Ersin Hacıoğlu, 2018) Korkmaz, Özgür; Malkoç, Melih; Gürcan, Serkan
Aim: The aim of this study is to evaluate the anterior cruciate ligament (ACL) tears in Turkish office workers on the artificial playing surfaces. Materials and Methods: Eighty-seven patients who were operated for anterior cruciate ligament tear that had injuries on artificial surfaced playing areas (ASPA)s were evaluated retrospectively. Evaluations were undertaken using Lysholm and Tegner Activity Scale pre-operatively and in the last follow-up. Injury mechanisms, shoe types, frequency of sporting activity, time of warm-up exercises before sporting activity were assessed. Types of ASPA’s, body mass index (BMI) and return to work period were also determined. Results: Increase in Lysholm and Tegner activity scale between the preoperative and postoperative scores was found to be statistically significant (p<0.001). ACL tear occurred with non-contact injury in 65 patients, 22 patients had ACL tear with direct contact trauma. Football activity on the ASPAs is social allocation rather than a sportive activity. The rate of wearing special designed shoes for ASPA in sporting activities was low. The mean frequency of sporting activity was 1.4 times/month and the mean warm-up exercise time was 6.42 minutes. Sixty-nine ASPAs were made with 3th generation turf, 18 were 2nd generation turf. The mean BMI was 23.32 kg/m². The mean period for return to work was 17.41 weeks. Conclusion: Irregular sportive activity with insufficient equipment on the ASPA causes serious ACL injuries that have to be managed by surgical procedures with loss of working time and economical casualties.
Dindar Facebook Etkisi: Türk Kullanıcılar Üzerine Bir Analiz
(Hakan Aydın, 2018) Gezginci, Gamze; Işıklı, Şevki
Dijitalleşme ve etkileşim, bir toplumsal kurum olarak din üzerine iki açıdan etkide bulunmaktadır: Dini iletişim ve dinin dijitalleşmesi. Geleneksel dini kurumlar ve dinle ilgilenen kullanıcılar, çeşitli motivasyonlarla sosyal medyayı, özellikle de Facebook’u kullanmaktadırlar. Facebook sadece Müslümanlar için değil, diğer din ve inançlar için de yeni bir irşat ve tebliğ (açıklama ve davet) vasıtası, propaganda aracı, toplanma ortamıdır. Bu araştırmada analiz edilen “Dindar Facebook” olgusu; içine din katılmış veya paylaşımları dinselleştirilmiş Facebook görünümlerini (paylaşım, etkileşim ve etkinlikleri) ifade etmektedir. Dindar Facebook üzerinden sürdürülen, temelde dinin sosyal medyadaki algılanış ve temsil biçimi, amacı ve etkisine dair fırsat ve tehditleri gündeme getiren tartışmalar iki kategoride ele alınabilir: 1) Dijitalleşmenin geleneksel din algısında radikal bir dönüşüme yol açma olasılığına dair “dijital din” tartışmaları, 2) Dini içerikli paylaşımların dinî samimiyet ve mahremiyete uygunluğuna dair “gösteriş/riya – teşvik/tebliğ” tartışmaları. Her iki tartışmaya ait bulgulara ulaşılan araştırmada tamamlayıcı iki tekniğe başvuruldu: Teorik çerçeveyi oluşturmak amacıyla literatür taraması ve “Dindar Facebook”a dair kullanıcı görüşlerini elde etmek amacıyla anket çalışması. Literatürde dijital dinin, geleneksel dini yapıların mevcut etkilerini azaltacağı, bunun yerini ise “yeni” bir dijital dinin alacağı dile getirilmektedir. Kullanıcıların, dini içerikli Facebook paylaşımlarını, muhafazakâr ve dini söyleme sahip mevcut siyasi iktidarla ilişkilendirme yönünde ciddi bir eğilim taşıdıkları görülmüştür.
Sınava Hazırlanan Öğrencilerde Sınav Kaygısının Beslenme Durumu Üzerine Etkisi
(Türk Tabipleri Birliği, 2023) Rashidi, Mahruk; Kanbur, Bahar Nur; Yıldırım, Gülay
Amaç: Bu çalışma sınava hazırlanan öğrencilerin sınav kaygısı ile beslenme alışkanlıkları arasındaki ilişkiyi değerlendirmek amacıyla planlanmıştır. Yöntem: Tanımlayıcı, kesitsel ve ilişkisel tipte planlanan araştırmanın örneklemini İstanbul’da özel bir kolejde okuyan, lise ve üniversite sınavlarına hazırlanan 166 öğrenci oluşturmuştur. Veriler; Anket Formu, Sınav Kaygı Envanteri, Beslenme Alışkanlıkları Ölçeği kullanılarak toplanmıştır. Verilerin analizinde; tanımlayıcı istatistikler, Mann Whitney U, KruskalWallis H, Student t testi, Oneway Anova testi ve Spearman Korelasyon testleri kullanılmıştır. Bulgular: Araştırmada kız öğrencilerin erkek öğrencilere, üniversite sınavlarına girecek olan 9.- 12. Sınıflarda okuyan öğrencilerin lise sınavlarına girecek 5.-8. Sınıf öğrencilerine göre daha fazla sınav kaygısı yaşadıkları saptanmıştır (p<0,05). Sınav kaygısı yüksek olan öğrencilerin vitamin desteği aldıkları, daha fazla çay veya kahve tükettikleri tespit edilmiştir (p<0,05). Günde 3 bardak veya daha fazla kahve içen öğrencilerin olumsuz beslenme alışkanlıklarının olduğu saptanmıştır (p<0,05). Sınav Kaygı Envanteri puan ortalaması 40,16±12,4’dür. Beslenme Alışkanlıkları Ölçeği puan ortalaması 121,72±21,1’dir. Öğrencilerin sınav kaygısı arttıkça olumsuz beslenme alışkanlıklarının arttığı ve iki değişken arasında anlamlı pozitif yönde bir ilişki olduğu saptanmıştır (r=0,356; p<0,001). Sonuç: Kız öğrencilerin ve üniversite sınavlarına girecek 9.-12. Sınıf öğrencilerinin daha fazla sınav kaygısı yaşadığı saptanmıştır. Öğrencilerin sınav kaygısı arttıkça olumsuz beslenme alışkanlıkları artmaktadır.

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