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Öğe Determination of job stress levels of physical education and sport teachers(Campus EDUCA SPORTIS S.L., 2025) Hergüner, Gülten; Yücel, Ali Serdar; Bal, Fatih; Özpınar, Saliha; Yaman, Çetin; Korkmaz, Murat; Kuyucu, Mihalis MichaelThis study investigates how the job stress levels of physical education and sport teachers vary according to gender, age, educational status and job position. Within the scope of the research, the data obtained from 520 teachers were used and the job stress questionnaire was evaluated under four main subheadings. The results of Bartlett's test and Kaiser-Meyer-Olkin (KMO) coefficient for the suitability of the data for factor analysis showed that the data were quite suitable for factor analysis; while the workload sub-heading explained the highest variance with 26.7%, skill use explained 14.2%, decision freedom explained 12.03% and social support explained 11.6% of the total variance. In the analyses based on gender differences, it was determined that male teachers had higher levels of workload stress, while female teachers had higher levels of skill use, decision freedom and social support stress. In the analyses conducted between age groups, no significant differences were found in the sub-dimensions. Similar results were obtained in the analyses conducted according to education levels. In the analyses conducted according to job positions, it was determined that administrators did not differ from non-administrators in all dimensions. These results show that it is important to customise job stress management strategies according to gender, age and job positions. It is emphasised that general stress management strategies should be developed to cover all demographic groups. © 2025, Campus EDUCA SPORTIS S.L.. All rights reserved.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.Öğe Management of microcomplications of diabetes mellitus: Challenges, current trends, and future perspectives in treatment(MDPI, 2024) Yapışlar, Hande; Gürler, Esra BihterDiabetes mellitus is a chronic metabolic disorder characterized by high blood sugar levels, which can lead to severe health issues if not managed effectively. Recent statistics indicate a significant global impact, with 463 million adults diagnosed worldwide and this projected to rise to 700 million by 2045. Type 1 diabetes is an autoimmune disorder where the immune system attacks pancreatic beta cells, reducing insulin production. Type 2 diabetes is primarily due to insulin resistance. Both types of diabetes are linked to severe microvascular and macrovascular complications if unmanaged. Microvascular complications, such as diabetic retinopathy, nephropathy, and neuropathy, result from damage to small blood vessels and can lead to organ and tissue dysfunction. Chronic hyperglycemia plays a central role in the onset of these complications, with prolonged high blood sugar levels causing extensive vascular damage. The emerging treatments and current research focus on various aspects, from insulin resistance to the intricate cellular damage induced by glucose toxicity. Understanding and intervening in these pathways are critical for developing effective treatments and managing diabetes long term. Furthermore, ongoing health initiatives, such as increasing awareness, encouraging early detection, and improving treatments, are in place to manage diabetes globally and mitigate its impact on health and society. These initiatives are a testament to the collective effort to combat this global health challenge.Öğe Comparison of the Results of BAL and ETA Culture in Intubated COVID-19 Patients(Nigerian Journal of Clinical Practice, 2024) Kılıç, Hasan Hüseyin; Gözüküçük, RamazanBackground: The isolation of pathogens using bronchoalveolar lavage (BAL) culture or endotracheal aspirate (ETA) culture may enhance the treatment success for secondary pneumonia due to COVID-19, thereby reducing the risk of morbidity and mortality. Aim: This study aimed to retrospectively analyze the results of BAL and ETA cultures in intubated COVID-19 patients and to determine whether BAL has an advantage over ETA. Methods: We routinely perform BAL culture via bronchoscopy or ETA culture within the first 48 h after intubation. We retrospectively reviewed cases that underwent BAL and ETA. The patients were divided into two groups: Group B (BAL) and Group E (ETA). Various parameters were evaluated and compared between the two groups. Results: The demographic data and blood test results were similar between the two groups. However, ICU stay, duration of intubation, and culture positivity were significantly higher in Group B. Although not statistically significant, the mortality rate was higher in Group E. The most commonly isolated microorganisms were Candida species. Conclusion: The observed mortality rates were consistent with the existing literature. Since the microorganism isolation rate is higher with BAL, leading to more effective antimicrobial treatment, early deaths were prevented, and ICU stay durations were prolonged. Conversely, these durations were shorter in the ETA group due to higher mortality. In intubated COVID-19 patients, a more effective treatment process can be achieved by clearing the airway with fiberoptic bronchoscopy and tailoring the treatment based on BAL culture results. This approach may positively impact prognosis and mortality rates.Öğe Beyond conventional wisdom: unexplored risk factors for penile fracture(Sexual Medicine, 2024) Arıkan, Mehmet Gürkan; Akgül, Burak; Türk, Semih; Tantekin, Ömer Onur; Çakıroğlu, Basri; Arda, ErsanBackground Sexual intercourse is a predominant cause of penile fractures (PF). Aim To evaluate the relationship between body metrics and the severity of PF, identifying how anthropometric factors of patients and their partners influence the incidence and severity of PF. Methods This study analyzed 47 patients with PF over 9 years across multiple centers. Demographic and anthropometric data were collected for both patients and their partners. Injuries were categorized by the sexual position or activity causing them, including partner-related positions (man-on-top, woman-on-top, and doggy-style) and isolated actions (rolling-over, blunt trauma, masturbation, or manipulation). Statistical analysis was performed using the ?2-test. Outcomes The study aimed to uncover correlations between body metrics and the risk profile for PF, focusing on body mass index (BMI), weight, height, and age. Results The majority of PFs occurred during sexual activities (74.5%), particularly in “doggy” and “man-on-top” positions. Urethral involvement was observed in 10.6% of cases. Significant correlations were found between patient and partner ages (r = 0.915), patient BMI and weight (r = 0.874), patient height and weight (r = 0.502), and partner weight and BMI (r = 0.805). Higher BMI in patients was linked to delayed hospital visits (r = 0.377), and frequent sexual activity was strongly correlated with urethral complications (r = 0.727). Clinical Implications These findings emphasize the importance of considering body metrics in assessing PF risk and could guide future preventive strategies and clinical interventions. Strengths & Limitations The study’s strength lies in its comprehensive analysis of anthropometric factors and their correlation with PF severity. Limitations include a relatively small sample size and the potential for reporting bias in sexual activity data. Conclusion The study confirms sexual intercourse as the main cause of PF and highlights significant links between anthropometric factors and fracture severity. Higher BMI and weight in partners are associated with more centrally located fractures and urethral injuries, particularly in taller patients or those with larger partners.Öğe Combined Minimally Invasive Esthetic Rehabilitation of Dental Fluorosis-5-year Follow-up: Case Report(2024) Dokumacigil, Gökhan; Korkut, Bora; Yılmaz Atalı, PınarDental fluorosis (DF) is a specific esthetic issue characterized by a persistent condition in which there is a disruption in enamel development, leading to the formation of hypomineralized enamel. The resulting unusual appearance varies in intensity, presenting as mildly white and opaque to dark brown, and significantly impacts individuals' esthetic features and self-confidence. The objective of this case report was to assess the efficacy of microabrasion, dental whitening, and resin infiltration in terms of resolving lesions, tracking the sensitivity of teeth, and evaluating patient satisfaction over a period of time. A minimally invasive treatment approach in a 27-year-old woman with severe DF is detailed. The treatment plan involved enamel microabrasion, in-office bleaching, and two weeks of at-home bleaching, followed by resin infiltration for the affected tooth under rubber dam isolation. After a 5-year follow-up, the assessment of the patient's esthetic appearance indicated a successful treatment of teeth affected by DF.Öğe Investigation of the effects of some demographic characteristics of female athletes on emotional intelligence and life satisfaction(2024) Yücel, Ali Serdar; Kuyucu, Michael Mihalis; Hergüner, Gülten; Yaman, Çetin; Özpınar, Saliha; Bal, Fatih; Korkmaz, MuratIn many subjects and fields, emotional intelligence refers to the ability of individuals to understand, express and manage their own emotions and the emotions of others. Especially sport is known to have a significant effect on emotional intelligence. In this study, it was aimed to examine the effects of some demographic characteristics of female athletes on emotional intelligence and life satisfaction. The participants were all women and analyses were performed by taking into account age groups, sports branches and education departments. Emotional intelligence and life satisfaction scales were evaluated by factor analysis and the suitability of the data was confirmed by Bartlett's test. The internal consistency of the questionnaire was evaluated with Cronbach's alpha coefficients. Anova, Kruskal Wallis and Jonckheere-Terpstra tests were used to analyse the data. All analyses were performed with SPSS v22.0. 34% of the participants were 18-21 years old, 45% were 22-25 years old and 21% were over 26 years old. 31% were interested in team sports and 69% were interested in individual sports. The fields of education are 37% coaching, 32% physical education and sports teaching, 31% sports management. According to the factor analysis results, Bartlett's test p<0.001 and KMO coefficient 0.896 were found. Cronbach's alpha coefficients ranged between 0.583 and 0.924. While some factors differed according to age, no difference was found according to sport branch. While evaluation of own emotions and social skills differed according to departments, other factors did not differ. Participants over 26 years of age had low scores in the use of emotions and life satisfaction factors. These findings provide important clues for developing strategies for improving emotional intelligence and increasing life satisfaction.Öğe Actitudes de los padres deportistas ante los hábitos alimentarios de sus hijos(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.Öğe Predictive values and relationships of serum PSA levels, delta neutrophil index, neutrophil-lymphocyte ratio and other hematological parameters in patients with acute prostatitis(Urologia, 2024) Uyanık, Bekir Sami; Çakıroğlu, Basri; Gözüküçük, RamazanBackground: This study aimed to evaluate the predictive values and relationships of serum prostate-specific antigen (PSA) levels, delta neutrophil index (DNI), neutrophil-lymphocyte ratio (NLR), and other hematological parameters in patients diagnosed with acute prostatitis. Methods: Serum PSA levels and hemogram parameters of patients diagnosed with acute prostatitis were retrospectively analyzed. Healthy patients of the same age group were assigned to the control group. WBC, neutrophil, lymphocyte, thrombocyte (PLT), mean platelet volume (MPV), plateletcrit (PCT), NLR, and DNI were determined. Serum total PSA and C-reactive protein (CRP) levels were also assessed. Results: Total PSA levels (3.48 [1.11-6.66]) in the acute prostatitis (AP) group were significantly higher than those of healthy men (0.82 [0.47-1.39]) (p < 0.001). Total CRP levels (3.88 [1.50-22.03]) in the AP group were significantly higher than those in healthy men (1.15 [0.89-2.00]) (p < 0.001). The sensitivity and specificity of PSA at a cutoff value of 1.52 were 68.4% and 79.7%, respectively. The NLR value in the AP group was 2.62 (1.87-4.42), compared to 1.63 (1.18-2.20) in the healthy group (p < 0.001). Differences in WBC, neutrophil, and lymphocyte counts were also statistically significant (p < 0.001). There were no significant differences in PLT, PCT, or DNI values. Significant positive correlations were observed between PSA, CRP, and DNI values (all p < 0.001). Conclusion: This study demonstrated the usefulness of NLR, PSA, CRP, and WBC as predictors of acute prostatitis. NLR is a simple, inexpensive inflammation parameter that correlates well with CRP levels.Öğe Exploring the Relationship Between HMGB1, CXCL12, CXCR4, and CXCR7 in the Context of Adriamycin-Induced Cardiotoxicity(2024) Emrence, Zeliha; Punar, Şeyma; Taşkın, Eylem; Güven, Celal; Sarıman, Melda; Abacı,NeslihanHigh-mobility group box-1 (HMGB1), known as an abundant and highly conserved nuclear protein, plays a pivotal role in initiating inflammation, tissue healing, and the immune response following various forms of cell damage. The chemokine C-X-C motif chemokine ligand 12 (CXCL12) forms a signaling axis known as CXCL12/ CXCR4/CXCR7, along with the receptors CXCR4 and CXCR7. Our study aimed to explore the connection between HMGB1 and the involved chemokine axis, CXCR4, CXCL12, and CXCR7, in the context of adriamycin-induced cardiotoxicity. Materials and Methods: We performed RNA interference to suppress HMGB1 expression in H9c2 cardiac myoblast cells. Adriamycin, an anti-tumor antibiotic known for causing cardiotoxicity, was used in conjunction with HMGB1 suppression. We investigated the combined and individual effects of these factors. Gene expression analysis was conducted through qRT-PCR 36 and 48 h post-treatment. Results: Adriamycin treatment increased the expression of CXCL12, CXCR4, and CXCR7. Notably, our study observed significant changes in gene expression when HMGB1 was downregulated and adriamycin was administered. These findings suggest potential molecular mechanisms associated with adriamycin-induced cardiotoxicity, emphasizing the significance of the CXCR4/CXCL12 axis and the impact of HMGB1 modulation. Conclusion: Our study provides insights into the molecular interplay between HMGB1 and the CXCL12/CXCR4/CXCR7 ligand-receptor axis in the context of adriamycin-induced cardiotoxicity. The results shed light on further research to enhance therapeutic approaches or advance new strategies to address this cardiotoxicity.Öğe Assessment of health literacy and HPV knowledge among university students: An observational study(Medicine, 2024) Şenocak Taşçı, Elif; Baş, Dilşat; Kayak, Simge; Anik, Sema; Erözcan, Aleyna; Sönmez, ÖzlemHealth literacy (HL) level is related to promotion of health, improved health behaviors, and early diagnosis of diseases, as well as the appropriate use of health services. Human papillomavirus (HPV) vaccination is the primary method of protection against cervical cancer and recommended for women aged 9 to 27. This study aims to assess the university students' knowledge about HPV and the association between HL and HPV vaccination. In this cross-sectional and descriptive study, an electronic survey was used. Demographic characteristics and anthropometric measurements of the participants were questioned. HPV Knowledge Scale (HPV-KS) and Turkish Health Literacy Scale (THLS-32) were used to evaluate HPV knowledge and HL. Statistical analyzes were performed with SPSS version 26. A total of 361 university students (74% women), aged 21.98 ± 4.72 years, were included in the study. About 52% of the participants were health sciences students. The total THLS-32 score was 34.68 ± 9.37 (95% CI = 33.71-35.65), and the total adequate/excellent HL level was 51%. The mean HPV-KS score of the participants was 10.28 ± 8.15 (95% CI = 9.44-11.12) of a possible 35. Health sciences students had higher rates of HPV awareness (78% vs 65%; P = .007). General HPV knowledge level was significantly better among women (P < .001), >20 years (P = .002), and those with a family history of cancer (P < .001) and significantly lower among students at prep or first year of school (P < .001). There was a weak, positive relation between THLS-32 and HPV-KS score (R = 0.136; P = .01). Participants with higher levels of HPV knowledge (P = .034) and total HPV-KS score (P = .025) were statistically significantly higher in students with adequate/excellent HL. Our results reveal that knowledge about HPV vaccination is closely related to HL levels. Educational interventions on HL may be considered to increase HPV vaccination rates.Öğe Efficacy of the Mediterranean Diet Containing Different Macronutrients on Non-Alcoholic Fatty Liver Disease(2024) Uluçay Kestane, Vahibe; Baş, MuratThis study aimed to investigate the effects of the typical Mediterranean diet (TMD), low-carbohydrate Mediterranean diet (LCMD), and low-fat Mediterranean diet (LFMD) on biochemical findings, fatty liver index (FLI), anthropometric measurements, and body composition in individuals with obesity with non-alcoholic fatty liver disease (NAFLD) and insulin resistance. This study included 63 participants with obesity with insulin resistance diagnosed with NAFLD by ultrasonography to investigate the effects of an 8-week energy-restricted TMD, LCMD, and LFMD on biochemical findings, FLI, fibrosis-4 index (FIB-4), anthropometric measurements, and body composition. Patients were randomized into three groups and were interviewed face-to-face every week. According to the food consumption records (baseline end), the difference in the amount of sucrose and total fat consumed in the TMD group; the difference in energy intake from sucrose, monounsaturated fatty acids, and oleic acid in the LCMD group; and the difference in energy intake from fiber, sucrose, monounsaturated and polyunsaturated fatty acids, and cholesterol in the LFMD group showed significant correlations with liver enzymes and FLI (p < 0.05). In conclusion, although it has a different macronutrient composition, the Mediterranean diet may positively affect biochemical parameters and FLI in individuals with NAFLD, albeit in different ways.Öğe Immediate Effects of High-Intensity Blood Flow Restriction Training on Muscle Performance and Muscle Soreness(Routledge Journals, Taylor & Francis Ltd, 2024) Korkmaz Dayıcan, Damla; Ülker Ekşi, Büşra; Yiğit, Şafak; Utku Umut, Gulsena; Özyürek, Burçin; Yılmaz, Hayrettin Emir; Akıncı, BuketPurpose: The aim was to investigate the immediate effects of high-intensity resistance training with blood flow restriction (HIRT-BFR) on rectus femoris (RF) muscle activity, reaction time, muscular performance, and delayed onset muscle soreness (DOMS) in healthy young adults. Methods: Twenty-four healthy young adults were randomized into the HIRT-BFR group or HIRT group. Both groups performed a single session of training with 80% of 1RM, 8 repetitions, 2 sets, and 3 minutes rest to RF muscle. The activity and reaction time of the dominant extremity RF muscle were evaluated by superficial electromyography (sEMG), muscular performance by single-leg squat test, and DOMS by the Visual Analog Scale. Results: Single-leg squat performance was significantly increased in HIRT-BFR (p = .001) and HIRT group (p = .04). Additionally, in HIRT group resting average (p = .03), resting maximal voluntary contraction % (p = .04), and relaxation minimum (p = .02) values of RF were significantly increased. DOMS level decreased significantly in HIRT-BFR (p < .001) and HIRT group (p = .019). The differences were similar in the groups for sEMG parameters, muscle performance, and DOMS level. Conclusion: We observed that HIRT-BFR and HIRT were similar in terms of muscle activation, reaction time, muscular performance of the RF, and DOMS level.Öğe The role of primary nocturnal enuresis in the aetiology of overactive bladder syndrome(Polish Urological Assoc, 2023) Çakıroğlu, Basri; Arıkan, Mehmet Gürkan; Taş, Tuncay; Bilir, BurakIntroduction The aim of this study was to investigate the effect of nocturnal enuresis (NE) in childhood on the development and course of overactive bladder (OAB) in adulthood. Material and methods Between January and September 2021, data from patients who visited the Urology Outpatient Clinic with OAB symptoms were collected. Patients with a history of diabetes mellitus, neurological diseases, bladder outlet obstruction, active urinary system infection, or previous medical treatment for OAB and those who did not agree to join the study were excluded. Patients with a diagnosis of NE in childhood were classified as group 1, and patients without a diagnosis of NE were classified as group 2. Demographic data were recorded. Frequency of incontinence, and the number of daytime voids and nocturia were evaluated according to a three-day voiding diary. In addition, the maximum urinary flow ratio (Qmax), bladder wall thickness, and postvoid residual volume were determined using uroflowmetry and pelvic ultrasound. Results After applying the inclusion/exclusion criteria, the mean age of the study group of 103 patients, consisting of 34 women and 69 men, was 32.85 +/- 11.20 years (18-65), and the mean BMI of both groups was 26.62 +/- 3.34 (19.49-39.18). Sixty-five of 103 patients (63.1%) had a history of childhood NE diagnosis. Patients in the group with a history of NE were younger than those without a history of NE. Conclusions The earlier onset and more intense course of OAB symptoms in patients diagnosed with NE in childhood suggests that NE may be a triggering factor in the aetiology of OAB.Öğe Preventive Measures for Safer Orthognathic Surgery: Key Points(Sage Publications Inc, 2024) İsçi, Kemal Devrim; Muluk, Nuray Bayar; Güngör, Enes; Cingi, CemalObjectives: The aim of this article is to review safer orthognathic surgery. Methods: The literature survey was performed in PubMed, EBSCO, UpToDate, ProQuest Central databases of Kırıkkale University, and Google and Google Scholar databases. Results: Patients with dentofacial skeletal defects may benefit from orthognathic surgery, which entails surgically modifying parts of the facial skeleton to restore the right anatomic and functional relationship. Careful investigation of the soft tissue via clinical examination and supporting pictures, evaluation of the structure via standardized radiographs, and evaluation of the dental via study dental casts are all necessary to successfully correct maxillofacial abnormalities. Orthognathic surgery can involve either the maxilla, the mandible, or both. Improving the dynamics of nasal airflow may necessitate simultaneous intranasal surgery consisting of septoplasty and reduction of the inferior turbinate. In some patients, a genioplasty and neck liposuction may be recommended to enhance the final result. Le Fort I osteotomy, Le Fort II osteotomy, Le Fort III osteotomy, maxillary segmental osteotomies, sagittal split osteotomy of the mandibular ramus, vertical Ramal osteotomy, inverted L and C osteotomies, and mandibular body segmental osteotomies are all examples of well-established osteotomies that can be used to reposition facial skeletal elements and redefine the face. Conclusion: Preventative strategies for risk-free orthognathic surgery include maintaining blood flow, shielding teeth, bone, and neurovascular systems, and bolstering the patient’s diet.Öğe Health information systems with technology acceptance model approach: A systematic review(Elsevier Ireland LTD, 2024) Tetik, Gözde; Türkeli, Serkan; Pınar, Sevcan; Tarim, MehveşIn the rapidly evolving landscape of information technologies, individuals and organizations must adapt to the digital age. Given the diversity in users' knowledge and experience with technology, their acceptance levels also vary. Over the past 30 years, various theoretical models have been introduced to provide a framework for understanding user acceptance of technology. Among these, the Technology Acceptance Model (TAM) stands out as a key theoretical framework, offering insights into why new technologies are either accepted or rejected. Analyzing user acceptance of technology has thus become a critical area of study. Healthcare organizations aim to assess the perceived efficacy and user-friendliness of a given technology. This will help health organisations design and implement HIS that meet users' needs and preferences. In this context, how does the TAM clarify the acceptance and use of Health Information Systems (HIS)? To address this inquiry, a comprehensive literature review will be carried out. The systematic review involved 29 studies issued between 2018 and 2023 and searched the databases Pubmed, Scopus, Wos and Ulakbim TR Index. The PRISMA flowchart was used to identify the included studies. According to the results, some variables stand out in the acceptance and utilisation of HIS. Among the users of HIS, it can be said that the results relating to nurses stand out. In particular, there are studies which emphasise that 'gender' is a crucial factor in explaining the models. Another crucial finding of the current systematic review is the need to train users in the acceptance and use of HIS.
