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Öğe The Effect of Osteopathic Manipulative Treatment Adjunct on Stabilization Splint Treatment in Temporomandibular Joint Anterior Disc Displacement with Reduction Disorder: A Quantitative Analysis, Pilot Study(MDPI, 2025) Aklar, Ayca; Bal, Burcu; Tasdelen, Neslihan; Ertas, GokhanObjective: This study aimed to quantitatively assess the efficacy of osteopathic manipulative treatment (OMT) as an adjunct to stabilization splint treatment for temporomandibular joint anterior disc displacement with reduction (ADDwR) disorder. Method: Thirty-eight joints were evaluated in this study. OMT, in addition to splint treatment, was administered to the study group, and the control group only received splint treatment. Before and after the treatments, the quality of life, the pain levels of distinct body regions, and the sleep quality were evaluated, while mandibular movements were assessed and condyle–disc position differences measured on magnetic resonance images. Results: In all the life qualities, except social functionality, increases after treatment were present for both control and study groups, but the increase was significant in bodily pain for the control group (p = 0.034) while increases were significant in physical functionality (p = 0.018), general health perception (p = 0.027), and reported health transition (p = 0.019) for the study group. Significant pain reduction in all body regions was seen in the study groups (p = 0.007–0.033), but the decrease was only significant for the temporomandibular joint for the control group (p = 0.011). The sleep quality significantly improved for the study group (p = 0.018). Limited after-treatment improvements in the condyle–disc positions were determined for both the normal joints and joints with ADDwR in the study group. Conclusions: The application of OMT adjunct to splint treatment increases quality of life and sleep, reduces bodily pain, and improves condyle–disc positions over the MRIs of TMJ.Öğe Does inspiratory muscle training affect expiratory muscle thickness in respiratory intensive care patients? A pilot randomized controlled study(W B SAUNDERS CO-ELSEVIER INC, 2025) Benli, Reyhan Kaygusuz; Yilmaz, Baris; Yurdalan, S. UfukBackground: This randomized controlled trial aimed to compare abdominal muscle thickness between intensive care patients and healthy controls, and to evaluate the impact of IMT on expiratory muscle thickness using ultrasound. Methods: In this single-blind randomized controlled trial, 20 post-extubation intensive care patients were randomly assigned to either an a conventional physiotherapy (CP) group or IMT + CP group. Both interventions were applied for five days. An additional 10 healthy individuals served as controls for comparison. Abdominal muscle thicknesses-including external oblique (EOA), internal oblique (IOA), transversus abdominis (TRA), and rectus abdominis (RA)-were measured using ultrasound. Maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) were also recorded. Results: At baseline, healthy controls had significantly higher MIP, MIP% predicted, MEP, MEP% predicted, and RA muscle thickness compared to both patient groups (p < 0.05). Following intervention, both IMT and CP groups showed significant improvements in MIP (p < 0.05), but only the IMT group demonstrated significant increases in MEP, MEP% predicted, IOA, and RA muscle thickness (p < 0.05). The IMT group showed significantly greater improvements in MIP, MEP, IOA, and RA muscle thickness compared to the CP group (p < 0.05). Conclusion: Post-extubation IMT may improve not only inspiratory but also expiratory muscle strength and abdominal wall thickness. These findings suggest that IMT could support weaning processes in intensive care, although larger studies are needed.Öğe Skeletal muscle alterations in type 2 diabetes mellitus with and without dyslipidemia(BioMed Central Ltd, 2025) Satman, Ilhan; Dayican, Damla Korkmaz; Calikoglu, Fulya; Sahin, Humeyra Rekali; Perone, Francesco; Akinci, BuketBackground Diabetic dyslipidemia, a common comorbidity in people with type 2 diabetes, has been reported to be associated with adverse metabolic outcomes. Skeletal muscle is a key organ impacted by metabolic disorders; however, the specific effects of diabetic dyslipidemia on skeletal muscle mass, strength, and performance remain unclear. The aim of this study was to assess the skeletal muscle alterations of people with type 2 diabetes with and without dyslipidemia. Methods This retrospective study included 144 participants (mean age 51.3 +/- 7.1 years; 103 female, 41 male) aged 40-65 years. Body composition was assessed using bioelectrical impedance analysis (BIA), muscle strength via dynamometer, and functional capacity with the 6-minute walk test (6MWT). To minimize the confounding effect of longer diabetes duration in the diabetic dyslipidemia group, propensity score matching (PSM) was performed using a 1:1 nearest-neighbor method. All analyses were performed on matched groups. ROC analysis was conducted for variables showing significant differences. Results After PSM, people with diabetic dyslipidemia showed significantly lower skeletal muscle mass and skeletal muscle index (SMI), higher body fat percentage, and reduced 6MWD compared to those with diabetes alone (p < 0.05). In women with diabetic dyslipidemia, handgrip strength was significantly lower. ROC analysis revealed moderate predictive value for skeletal muscle mass (AUC = 0.682), SMI (AUC = 0.654), and 6MWD (AUC = 0.628). Conclusion This study demonstrated that people with diabetic dyslipidemia had lower skeletal muscle mass, SMI, and decreased physical performance compared to people with diabetes alone, even after matching for diabetes duration. These findings demonstrate early sarcopenic and dynapenic changes and highlight the need to consider skeletal muscle health and lipid abnormalities together in diabetes management.Öğe Volumetric Three-Dimensional Evaluation of the Pharyngeal Airway After Orthognathic Surgery in Patients with Skeletal Class III Malocclusion(Multidisciplinary Digital Publishing Institute (MDPI), 2025) Oz, Aslihan Zeynep; El, Hakan; Palomo, Juan MartinBackground: Orthognathic surgery significantly alters the dimensions of the pharyngeal airway. This study's objective was to assess alterations in the pharyngeal airway volume via cone-beam computed tomography (CBCT) after orthognathic surgery in patients with skeletal Class III malocclusion. Methods: This retrospective study analyzed CBCT images from 23 patients with skeletal Class III malocclusion (13 females, 10 males), who were categorized into two groups based on the surgical approach: double-jaw and single-jaw surgery. The double-jaw group included 13 patients who underwent bilateral sagittal split osteotomy (BSSO) and Le Fort I osteotomy, whereas the single-jaw group included of 10 patients who had underwent BSSO only. CBCT images were evaluated both before surgery and at a minimum of three months after surgery. The oropharyngeal volume (OP), nasopharyngeal volume (NP), total airway volume, posterior airway space (PAS), and the most constricted area at the base of the tongue (minAx) were measured. Statistical analyses were performed using either paired t-tests or Wilcoxon signed-rank tests depending on data normality, with a significance level set at p < 0.01. Results: In the double-jaw group, a significant volumetric increase was observed in the nasopharynx (5316 +/- 1948 mm(3) to 6064 +/- 1899 mm(3); p = 0.010) and oropharyngeal volume decreased from 17,097 +/- 5675 mm(3) to 14,290 +/- 5835 mm(3); however, this reduction was not statistically significant (p = 0.017). In contrast, the single-jaw group showed a significant reduction in oropharyngeal volume from 15,620 +/- 5040 mm(3) to 12,444 +/- 4701 mm(3) (p = 0.010), with no significant change in nasopharyngeal volume (p = 0.551). Total airway volume significantly decreased only in the single-jaw group (from 20,452 +/- 7754 mm(3) to 16,846 +/- 6529 mm(3), p = 0.010). Additionally, both groups exhibited marked decreases in PAS and minimum axial area values (all p < 0.01). Conclusions: Orthognathic surgery led to a significant volumetric increase in the nasopharynx in the double-jaw group, whereas the oropharynx volume significantly decreased only in the single-jaw group. Additionally, both surgical approaches resulted in a marked reduction in PAS and minimum axial area values, highlighting a notable impact on posterior airway dimensions.Öğe Cross-Cultural Adaptation and Validation of the Dance Functional Outcome Survey for Turkish Dancers (DFOS-TR)(CIENCE & MEDICINE INC, 2025) Tekin, Demet; Agopyan, Ani; Bronner, ShawIn dance, injuries are significant factors that can bring an active dance career to an end. A patient-reported outcomes questionnaire with established validity and reliability is useful for determining and evaluating the functional status of dancers before or after injuries. However, no valid and reliable survey is available in Turkish to assess dancers' functionality levels. The objective of this study was to translate, culturally adapt, and validate the characteristics of the Turkish version of the Dance Functional Outcome Survey (DFOS-TR) in adult dancers. METHODS: The DFOS-TR underwent forward translation, reconciliation, backward translation, and thorough review by an expert committee to ensure optimal alignment with the original English DFOS. A sample of 113 dancers (55 injured and 58 healthy) voluntarily participated in the research. Construct validity was assessed by comparing DFOS-TR to SF-36 using Pearson correlations; exploratory factor analysis and internal consistency were conducted; and sensitivity was evaluated through the generation of receiver operating characteristic curves and calculation of the area under the curve (AUC). Test-retest reliability was assessed by examining 26 dancers over a 15-day period, employing intraclass correlation (ICC). Various methods were employed, including ICC, standard error of measurement (SEM), minimal detectable change at the 95% confidence interval (MDC95), and standardized response mean (SRM). DFOS-TR scores were compared using paired samples t-test and two-way repeated measures ANOVA (p<0.05). The scores of injured dancers were examined to identify any floor or ceiling effects. RESULTS: The DFOS-TR demonstrated very high test-retest reliability (ICC=0.84). Single-factor loading in exploratory factor analysis confirmed the scale's unidimensionality and high internal consistency (a=0.79), A positive moderate correlation was found between SF-36 physical component and DFOS-TR total score (r=0.44; p=0.046) and activities of daily living (ADL) subscore (r=0.58; p=0.006). Cut-off value of 85.5 for DFOS-TR total score yielded in 87.3% sensitivity and 36.2% specificity. The scale did not exhibit ceiling or floor effects among the injured dancers, indicating robust measurement properties. CONCLUSION: The DFOS-TR can be used as a reliable, internally consistent, and effective measurement tool for Turkish-speaking dancers in health as well as during and after lumbar or lower extremity injuries.Öğe Mental Health in a Digital World: How Problematic Cell Phone Use and Personality Predict Fear of Missing Out (FoMO) in Gen Z University Students from Türkiye and the U.S.(YERKURE TANITIM & YAYINCILIK HIZMETLERI A.S, 2025) Yüksel,Peri; Huiqiao, HouObjective: The authors sought to examine the association between Fear of Missing Out (FoMO), mental health, personality traits, and social media use among Turkish and U.S. university students, belonging to Generation Z (Gen Z), born between 1997 and 2012, a cohort deeply immersed in technology and social media from an early age. Methods: The present online survey study included 637 university students aged 18-25 (20.09% male, 78.65% female, 1.26% other) from T & uuml;rkiye (86.03%) and the US (14.97%). Participants completed 19 sociodemographic questions, a 17-item FoMO Scale, and a 44-item Personality Inventory. The study analyzed the relationship between FoMO, mental health, personality traits, and social media use across different platforms. Results: Findings revealed that frequent cell phone use and higher FoMO scores were significantly associated with problematic social media use. TikTok users reported higher FoMO compared to non-users. Additionally, there was a positive correlation between the number of social media platforms used and FoMO. Social media use driven by boredom and passive observation further increased FoMO. Associations between FoMO and personality traits highlighted the role of individual differences in social media behaviors. Conclusion: The study highlights the need for tailored interventions that address both social media usage patterns and personality traits to reduce the negative impact of FoMO on mental health. While Gen Z are digital natives, they need to become digital experts to navigate the mental health challenges exacerbated by curated content and the prevalence of FoMO on social media. Universities play a crucial role in raising awareness and supporting students in managing these psychological pressures by promoting balanced digital behaviors. A deeper understanding of the interplay between digital behaviors, personality traits, and cultural contexts can inform future interventions aimed at reducing FoMO and enhancing the well-being of young people in an increasingly interconnected world.Öğe Anatomical Relationship of the Mylohyoid Ridge, Lingual Concavity, and Mandibular Canal: A Retrospective CBCT Study(Multidisciplinary Digital Publishing Institute (MDPI), 2025) Girit, Melike Nur; Ansen, Gamze; Pence, Kadriye Betul; Yuzbasioglu, NeslihanBackground/Objective: This study aimed to determine the position of the mylohyoid ridge (MR) and lingual concavity (LC) in the mandible and their relationship with the mandibular canal (MC) and submandibular fossa, to provide anatomical guidance for surgical procedures in this region. Methods: A retrospective analysis was performed on cone beam computed tomography (CBCT) scans from 200 adult patients who had undergone imaging for dental treatment. On cross-sectional images at the level between the first and second molar roots, the following measurements were obtained: LC horizontal depth, LC height, LC depth, MR height, MR depth, and the distances from MR to MC (MR–MC) and LC to MC (LC–MC). Results: Mean values were: LC horizontal depth: 3.72 ± 0.90 mm, LC height: 11.74 ± 2.01 mm, LC depth: 12.54 ± 3.03 mm, MR height: 17.66 ± 2.60 mm, MR depth: 6.87 ± 2.38 mm, MR-MC: 8.30 ± 2.00 mm, and LC-MC: 3.72 ± 0.87 mm. All parameters were symmetrical between the right and left sides of the mandible, with no significant sex differences. The positions of the MR and LC were related to each other, and the position of the MC was related to the positions of the LC and MR. There was no correlation between the horizontal depth of the LC and the position of the MR, LC and MC. Conclusions: The vertical positions of the MR and LC are related to each other and MC. Therefore, it can be used as a landmark in implant surgery.Öğe Organizational and Individual Antecedents of Resistance to Change: Organizational Climate and Technology Readiness(Sciendo, 2025) Eyitmiş, Ahmet Melih; Zümrüt, Muhammet ZekiBackground and purpose: There is interest in barriers to change in organizations. This research discusses factors affecting resistance to change based on employees’ technological competencies. This research aims to determine the mediating role of technology readiness in the effect of organizational climate in health institutions on resistance to change. Methodology: Research data were collected from 389 employees working in the healthcare sector. SPSS Process 2.13 macro was used to analyze the model. Results: According to the analysis results, organizational climate positively affected technology readiness. Additionally, organizational climate reduced resistance to change. In addition, employees’ readiness for technology reduced resistance to change. Finally, the mediating role of technology readiness (motivating and blocking factors) in the effect of organizational climate on resistance to change was significant. Further, a positive organizational climate in healthcare institutions increased employees’ readiness for new technologies and significantly reduced employees’ resistance to change. Conclusion: Creating a positive organizational climate can be vital in successfully implementing change processes in the healthcare sector. At the end of the research, theoretical and practical suggestions were presented. The research contributes to the literature by addressing the antecedents of resistance to change from organizational and individual perspectives.Öğe Balance and biomechanics: exploring lower extremity biomechanics in Parkinson’s disease(Springer Science and Business Media Deutschland GmbH, 2025) Duzenli, Senanur; Gunduz, Merve Sevinc; Yilmaz, Aysen Elif; Erdal, Yuksel; Mustafaoğlu, RüstemBackground: Postural instability (PI) is a symptom seen in 16% of Parkinson Disease (PD) patients and has limited response to dopaminergic therapy. Understanding the factors contributing to PI, such as biomechanical changes, is important for the development of non-pharmacological treatment. Aims: To investigate the relationship between lower extremity biomechanics and balance parameters in PD patients. Methods: A total of 18 participants (n = 9 female) were enrolled in the study. Lower extremity biomechanics were evaluated using a combination of measurements, including femoral anteversion angle, Q angle, leg length, navicular drop test (NDT), gastrocnemius shortness, range of motion (ROM) assessments, and the Foot Posture Index (FPI). Balance was assessed through the Postural Stability Test, Fall Risk Index (FRI), and the Mini-BESTest. Results: A significant correlation was observed between FRI and femoral anteversion (r = 0.58, p = 0.011) as well as hip flexion ROM (r = 0.67, p = 0.002) and lateral malleoli curvature (r = 0.48, p = 0.04). Overall Stability Index (OSI) was significantly associated with NDT (r = 0.53, p = 0.024) and forefoot abduction/adduction (r = 0.67, p = 0.002). The Anteroposterior Stability Index (APSI) correlated with NDT (r = 0.47, p = 0.048), knee flexion ROM (r = 0.47, p = 0.045), and forefoot abduction/adduction (r = 0.65, p = 0.004). Moreover, Mini-BESTest scores were associated with hip abduction (r = 0.55, p = 0.017), ankle plantar flexion (r = 0.63, p = 0.005), and knee flexion ROM (r = 0.47, p = 0.048). Conclusions: This study demonstrated that lower extremity biomechanical features, including alignment and joint mobility, are significantly linked to balance and fall risk in individuals with PD. Incorporating biomechanical assessments into clinical evaluations may aid in developing individualized treatment strategies for balance disorders in PD.Öğe Effect of different factors on microleakage and fracture strength of CAD-CAM produced inlays(John Wiley and Sons Inc, 2025) Subaşı, Meryem Gülce; Pekkan, Gürel; Arslan Malkoç, MeralPurpose: To investigate the effects of occlusal finish line, material, cement, and aging type on the microleakage and fracture strength of inlay restorations in vitro. Materials and Methods: Mesio-occluso-distal (MOD) inlay cavities were prepared in all teeth with an occlusal finish line in the form of a butt joint (BJ) or hollow-ground chamfer (HC) in one wall (buccal) (n = 80 each). Inlay restorations were designed using a computer-aided design and computer-aided manufacturing (CAD-CAM) device and milled from blocks (lithium disilicate ceramic [IPS e.max CAD] [LD] and resin nanoceramic [Lava Ultimate] [RN] [n = 40 each]). Inlay restorations were cemented to each tooth with dual-cure resin cement (RelyX Ultimate) (RU) or dual-cure self-adhesive resin cement (RelyX U200) (RU2) (n = 20 each). Specimens were divided into two groups (control [C] and thermomechanical aging [TM]) (n = 10 each). Microleakage and fracture strength tests were performed. The failure types were determined. Microleakage data (mm3) and fracture strength data (N) were analyzed by 4-way analysis of variance (ANOVA). Pairwise comparisons were made by Bonferroni testing. Fisher–Freeman–Halton testing was used to examine the relationship between categorical data. The correlation between microleakage and fracture strength was analyzed using Pearson's correlation analysis (p = 0.05). Results: Although the occlusal finish line, cement, and aging type affected the microleakage (p < 0.001), only the occlusal finish line type affected the fracture strength (p = 0.007). Relationships between the microleakage and fracture strength data were nonsignificant in all subgroups. Conclusions: For inlay restorations, an HC finish line and RU resin cement can be recommended. © 2025 by the American College of Prosthodontists.Öğe MRI-based alzheimer's disease classification using vision transformer and time-series transformer: a step-by-step guide(Elsevier B.V., 2025) Alp, Sait; Akan, Sara; Akan, TaymazThis study introduces a reproducible pipeline for classifying Alzheimer's Disease from structural brain MRI utilizing a joint transformer architecture that integrates Vision Transformer and Time-Series Transformer models. The proposed framework uses pre-trained ViT for feature extraction from 2D slices of MRI volumes, followed by sequential modeling with a transformer-based classifier to capture inter-slice dependencies. The method is evaluated on the ADNI dataset, involving both binary (AD vs. NC) and multiclass (AD, MCI, NC) classification tasks across axial, sagittal, and coronal planes.Öğe Predictors of stages of adoption of colorectal cancer screening among adults attending primary healthcare centers in Turkey(Springer, 2025) Dönmez, Elif; Ercan Toptaner, Nadire; Ata, Elvan E.; Dülger, Zeynep; Acar, OnurPurpose Although colorectal cancer (CRC) screening programs are known and recommended for reducing the mortality and morbidity rates from CRC, the adherence rates for the fecal occult blood test (FOBT) and colonoscopy are low among adult individuals. Moreover, CRC screening behaviors of primary health care patients remain largely unknown. The purpose of this study was to examine the predictors of stages of adoption for CRC screening in primary health care patients. Methods This cross-sectional study was carried out in primary health care centers with 498 adults between the ages of 50 and 70 years. The data were collected using the “Descriptive Form” and the “Instruments to Measure CRC Screening Benefits and Barriers.” Results The results indicate that colonoscopy was better known compared to FOBT, and information sources of screening tests were mostly relatives and family physicians. Most participants were at the precontemplation stage. Education level, employment status, income level, health status, having a patient diagnosed with CRC in the family, and having information about screening were related to the perception of benefits of having a FOBT and colonoscopy. On the other hand, adherence to colonoscopy, lack of knowledge about screening, and provider recommendation were related to perceived barriers. In addition, perceived benefits and barriers were predictive factors of earlier stages of adoption for FOBT and colonoscopy. Conclusion The results of the study demonstrate that primary care providers have crucial roles for increasing CRC screening in the community. Interventions to improve screening adherence rates should be tailored to individuals in particular stages of adoption for CRC screening.Öğe Comparison of conventional and modified sling suture techniques in free gingival graft operations-a randomized controlled clinical trial(BMC, 2025) Shakiliyeva, Sanubar; Şahin, Demet; Günpınar, Sadiye; Gursel, MihtikarBackground: The aim of this study was to investigate the effects of conventional suture (CS) and modified sling suture (MSS) techniques, applied in free gingival graft (FGG) surgery using gingival unit graft (GUT) and conventional graft (CG) techniques, on clinical parameters and graft dimensions. Methods: 52 individuals having Cairo Type 2 (RT2) and Type 3 (RT3) gingival recessions in mandibular anterior were divided into four groups as (a) GUT + MSS (n = 13), (b) GUT + CS (n = 13), (c) CG + MSS (n = 13) and (d) CG + CS (n = 13). Keratinized tissue width (KTW), relative gingival recession height (rGRH), and relative vestibule depth (rVD) measurements were recorded using a digital caliper and UNC 15 periodontal probe. Dimensional changes (Δ) of the graft surface area (GSA) was determined by ImageJ software. All measurements were done at baseline, 1st and 3rd months. Results: It was determined that the increase in KTW in the 1st and 3rd months in GUT + CS group was significantly higher than GUT + MSS group (p < 0.05). There was no statistically significant difference in Δ rVD and Δ rGRH values between the groups. When ΔGSA (mm2) values were compared between the groups, the decrease in the 1st and 3rd months in the CG + MSS group was found to be significantly higher than the GUT + MSS and GUT + CS groups (p < 0.05). Conclusion: Within the limits of this study, it can be concluded that keratinized tissue can be obtained successfully with both GUT or CG techniques in FGG surgery, on the other hand, regardless of the suture technique, GUT showed less graft shrinkage than CG.Öğe Investigation of the effect of ultraprocessed food consumption on asthma using pulmonary function tests(Sage Publishing, 2025) Özçalkap İçöz, Rümeysa; Alpaslan, Mehmet; Tural, SedaBackground: NOVA is a food classification system that classifies foods according to the scope and purpose of food processing, rather than nutrients. Asthma is usually characterized by chronic inflammation and respiratory symptoms such as wheezing, shortness of breath, chest tightness, cough, and variable expiratory airflow limitation. According to the NOVA food classification system, consumption of ultraprocessed foods (UPF) can affect asthma symptoms. Aim: In this study, the relationship between UPF consumption and pulmonary function test (PFT) results of asthma patients in adults aged 18 to 65 was investigated using biochemical parameters. Methods: This study was a cross-sectional study and, was conducted with 339 asthmatic participants diagnosed with asthma and receiving medical treatment. The participants' consumption of UPF was determined using a food frequency questionnaire. The evaluation of forced expiratory volume in one second (FEV1) (L/s) and forced vital capacity (FVC) (L/s) in the respiratory function tests was based on the percentage of the measured and expected values. Results: Although no significant relationship was found between % FEV1 expected value and UPF consumption (P > 0.05), it was concluded that % FVC expected and % FEV1/FVC values decreased with increasing UPF consumption (P < 0.05). Conclusion: It has been concluded that consumption of UPF worsens respiratory function and asthma prognosis. Therefore, replacing UPF and beverage products with healthier foods or food processing methods will play an important role in maintaining health.Öğe Exploring Medium- and Long-Term Respiratory and Functional Sequelae in Young Adults Post-COVID-19(MDPI, 2025) Ekşi, Büşra Ülker; Kısa, Eylül Pınar; Harputlu, Özge Ertan; Kara Kaya, Begüm; Hoşbay, Zeynep; Akıncı, BuketBackground and Objectives: Long COVID-19 syndrome may cause difficulties in functionality during daily life in young people. Our objective was to investigate the respiratory and functional sequelae in young adults with asymptomatic or mild COVID-19 compared with healthy peers 3-6 months and 6-12 months after COVID-19 infection. Materials and Methods: Participants aged 18-25 who had COVID-19 within the last 3-6 months (Post-COVID Group 1, n = 25) and 6-12 months (Post-COVID Group 2, n = 25) and age-gender-matched healthy controls (n = 25) were included in this study. Respiratory functions and muscle strength were measured. Physical function was assessed with 6 min walking test (6MWT) and an Incremental Shuttle Walk Test (ISWT). The 1 min sit-to-stand test (1-MSTST) and hand grip strength (HGS) were used to assess muscle performance. Fatigue and dyspnea severity were questioned. Results: The FVC%pred (p = 0.023) and MEP (p = 0.034) were higher, and 1-MSTST repetitions were lower in Post-COVID Group-1 compared to Post-COVID Group-2 (p = 0.029). The PEF%pred (p = 0.025), MEP (p = 0.001), and ISWT distance were lower in Post-COVID Group-2 compared to healthy controls. The number of 1-MSTST repetitions and 6MWT distance were lower in Post-COVID Group-1 (p = 0.003, p = 0.001) and Post-COVID Group-2 (p = 0.003, p = 0.017) than in healthy controls. Exercise-induced blood lactate change during the ISWT, HGS, fatigue, and dyspnea were not significantly different between post-COVID groups and healthy controls. Conclusions: Young adults who pass asymptomatic or mild SARS-CoV-2 infection exhibit a decline in FVC%pred, PEF%pred, lower extremity muscle performance, and physical function within 3-6 months. In addition, the deterioration in respiratory and physical functions becomes apparent within 6-12 months.Öğe Online cognitive behavioral stress management program for breast cancer patients(Nobel Ilac, 2024) Savaş, Esra; Keleş, Merve; Tin, ÖzlemObjective: Breast cancer is a challenging process that affects the diagnosed people and their social environment psychologically, physiologically, socially, and economically. The main purpose of this study is to investigate the effectiveness of the Online Cognitive Behavioral Stress Management (CBSM) for Cancer program, which is structured for people diagnosed with cancer to develop coping methods that will enable them to cope with the stress they experience healthily and actively. The research question is whether attending the CBSM program is effective for the psychological well-being of breast cancer patients or not. Material and Method: The study was completed with a total of 35 people, 17 in the experimental group and 18 in the control group. The pretest-posttest results of the experimental and control groups were analyzed. The independent sample t-test was used in the comparison of the two groups of experimental and control groups. Paired sample t-test was used to compare the pretest-posttest scores of each group. Results: There was a significant difference observed between the experimental and control groups in the post-test measurements in terms of psychosocial adjustment to illness, assessment of coping attitudes, depression, hope, state, and trait anxiety (p<0.001). There was no significant difference in the pre-test and post-test scores of the experimental and control groups in terms of mental adjustment to cancer. Conclusion: The CBSM program for breast cancer patients is effective in coping with daily and illness-related stress by increasing psychological well-being: increased psychosocial adjustment, adaptation and decreased depression, and anxiety. © 2024, Nobelmedicus. All rights reserved.Öğe Determining the attitudes of university and high school students towards sports by structural equation modelling(Sielae & Univ Coruna, Fac Filologia, 2024) Yücel, Ali Serdar; Korkmaz, Murat; Hergüner, Gülten; Yaman, Çetin; Bal, Fatih; Kuyucu, Mihalis MichaelSport is considered as an important service sector with its protective features for personal and public health, and developed countries regard sport as an indispensable part of their social life. The main purpose of this study is to assess factors affecting views of high school and university students towards sports. Within the scope of the study, the sample of the study is composed of 8546 students chosen with random method throughout Turkey. 5-point Likert scale consisting of 19 questions was used in order to determine views of the participants towards sports within the framework of the research. For analysing data, frequency analysis, reliability analysis and explanatory factor analysis were used in order to determine attitudes of students towards sports while structural equation model analyses were used in order to determine the relationship among the said factors regarding views towards sports. According to significance values of test statistics, all measured questions were statistically found significant for social- psychological attitude factor and physical mental attitude factor. According to the result of the model, there is a same-oriented and statistically significant relationship between social- psychological attitudes of students and their physical-mental attitudes. According to this result, when the views of students tend to be positive socially-psychologically towards sports, their physical-mental attitudes also become positive in parallel with this change. In line with the acquired result, it is necessary to demonstrate positive effects of sports on individuals socially, psychologically, physically and mentally in order to enable students to become more inclined to sports.Öğe Attitudes of sport parents towards children's eating habits(Campus Educa Sportis S.L., 2024) Özpınar, Saliha; Yücel, Ali Serdar; Korkmaz, Murat; Hergüner, Gülten; Yaman, Çetin; Sevil, Ümran; Kuyucu, Michael MihalisToday, parents have assumed important roles in shaping their children's eating habits in social and daily life. Especially the tendency of parents who do sports to transfer their healthy lifestyles to their children has positive effects on children's eating habits. This study examines the attitudes of parents on this issue and the effects of these attitudes on children's eating habits. In line with the aim of the study, the attitudes of parents who do sports towards their children's eating habits were investigated. The rationale of the study is to focus on how parents' attitudes towards nutrition affect their children's eating habits and the contribution of these attitudes to children's general health and sports performance. The findings of the study show that parents' nutrition attitudes are critical for children to develop a healthy lifestyle. This study was conducted between 2023-2024 and 860 parents and their children participated in the study. The data obtained from the study were collected using a 5-point Likert-type scale form with validity and reliability and analysed with SPSS 22.0 software. Various statistical techniques such as descriptive statistics, reliability analysis, independent sample t-test, ANOVA, factor and regression analyses were used in the study. The findings obtained at the end of the research show that parents' nutritional attitudes have significant effects on children's eating habits. Parents' attitudes towards healthy eating and physical activity positively affect children's eating habits. Children of parents who do sports develop healthier eating habits, are more active and take part in physical activities. The study reveals that parents' nutritional attitudes contribute to children's general health and sports performance. © 2024, Campus EDUCA SPORTIS S.L.. All rights reserved.Öğe Three-year clinical performance of direct restorations using low-shrinkage Giomer vs. nano-hybrid resin composite(Frontiers Media SA, 2024) Toz-Akalın, Tugba; Öztürk-Bozkurt, Funda; Kusdemir, Mahmut; Özsoy, Alev; Yüzbaşıoğlu, Emir; Özcan, MutluThe objective of this investigation was to compare the clinical performance of a nano-hybrid resin composite and a low-shrinkage Giomer resin composite. Material and methods: In total, 35 pairs of restorations were performed using either low-shrinkage Giomer (Beautifil II LS, Shofu Inc.) or nano-hybrid (Clearfil Majesty Posterior) resin composite in 35 patients by two operators using the relevant adhesives, i.e., FL-Bond II (Shofu Inc.) and Clearfil SE Bond (Kuraray), with the self-etching technique according to each manufacturer's instructions. Two clinicians assessed the restorations 2 weeks (baseline); 6 months; and 1, 2, and 3 years after the restorative procedures using FDI (World Dental Federation) criteria (Scores 1–5). Data were analyzed using the marginal homogeneity and McNemar tests. The survival rate was calculated using Kaplan–Meier survival analysis and the survival of the two groups was compared with the log-rank test (p = 0.05). Results: The mean observation period was 37.7 ± 6.8 months. All restorations completed their 3-year follow-up. The criteria were mainly rated with high (1 or 2) scores for quality in both groups. Only one restoration in the low-shrinkage Giomer resin composite group was accepted as a failure at the 2-year recall due to retention loss. Conclusion: At the 3-year follow-up, the performance of the restorations using the Giomer and the nano-hybrid resin composite were similar and clinically acceptable. Clinical relevance: The low-shrinkage Giomer resin composite exhibited a similar clinical performance to the nano-hybrid resin composite after 3 years in service with both materials displaying minor surface deteriorations at the 3-year recall. Clinical Trial Registration: https://clinicaltrials.gov, identifier: NCT02823769.Öğe The İmportance of hematological parameters in the prognosis of patients with severe COVID-19, A single-center retrospective study(Wolters Kluwer Medknow Publications, 2023) Gözüküçük, Ramazan; Kılıç, Hasan Hüseyin; Uyanık, Bekir Sami; Çakıroğlu, BasriBackground: Inflammation biomarkers known as acute phase reactants (APRs) show significant variations in serum concentrations during inflammation brought on by both viral and noninfectious diseases. The erythrocyte sedimentation rate (ESR), the C-reactive protein (CRP), the lactate dehydrogenase (LDH), the ferritin, the fibrinogen, the procalcitonin, the D-dimer, and the troponin I are all significant APRs. During inflammation, the serum levels of each of these positive APRs rise. The sensitivity and specificity of hematologic parameters and indices are as high as the inflammatory biomarkers mentioned above for monitoring disease severity and treatment response. Aim: We aimed to evaluate the differences in hematological parameters and indices, and to reveal their treatment and prognostic values, especially in deceased patients with COVID-19. Materials and Methods: The hemogram parameters of 169 critical patients with COVID-19 (125 males and 44 females) who received inpatient treatment at horizontal ellipsis . between 1 March 2020 and 31 December 2021 were analyzed retrospectively. The patients were divided into two groups-deceased (77) and surviving (92)-noting demographic data such as age and gender. All analyses were performed using SPSS 25.0. Results: Analyses of the hematological parameters used during the treatment processes revealed statistically significant differences between the two patient groups. White blood cell (WBC), neutrophil, and neutrophil-to-lymphocyte ratio (NLR) values were significantly higher (P = 0.019, P = 0.000 and P = 0.000, respectively) for deceased subjects, while lymphocyte, platelet and plateletcrit (PCT) values were significantly lower (for all values, P = 0.000). Platelet volume (MPV) and platelet distribution width (PDW), as well as MPV/PLT, PDW/PLT, MPV/PCT, and PDW/PCT, levels were significantly higher in deceased subjects (P = 0.000). Particularly in our deceased cases, receiver operating characteristic analyses were performed to reveal the importance of such analyses in prognostic status evaluation in COVID-19 since the hematological parameters are quite different. Cut-off values were determined for each parameter, and sensitivity and specificity ratios were calculated. While the sensitivities of MPV/PLT, PDW/PLT, MPV/PCT, and PDW/PCT indices are over 80%, neutrophil and white blood cell sensitivities were found to be lower (74%, 68.8%, respectively). Conclusion: In addition to NLR, which is an important biomarker, the hematological indices MPV/PLT, PDW/PLT, MPV/PCT, and PDW/PCT can be used to determine the risk of death in patients with severe COVID-19.
