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The Quality of Life and Loneliness among Older Adults in Third Age University: Case-Control Study
No full textBackground/Purpose: The aim of study is to assess the feeling of loneliness and quality of life among older adults in Third Age University (3AU) compared to those who are not in 3AU. Methods: Between February 1 and March 29, 2022, a case-control study of 311 older adults was conducted; 91 older adults were in 3AU group, and 220 community dwelling individuals were in control group. The Loneliness Scale for Elderly (LSE) and the World Health Organization Quality of Life Instrument Older Adults Module (WHOQOL-OLD) were administered to all participants. Results: 311 older adults completed an anonymous online self-reported survey. Adjusted model analysis showed that the attending 3AU is independently associated with higher WHOQOL-OLD score and lower LSE score (for WHOQOL-OLD ? = 4.40 95% CI = 1.22–7.58, p ? 0.05, and for LSE ? =-1.29, 95% CI =-2.38–0.20, p ? 0.05). Conclusion: The attending 3AU has the potential to positive impact on the quality of life and loneliness of older adults. © 2025 Elsevier B.V., All rights reserved
Effect of Atmospheric Plasma Treatment on Mechanical Properties of 3D-Printed Continuous Aramid Fiber/PLA Composites
No full textIn this study, an aluminum heating block with two inlets (for the Polylactic acid (PLA) filament and the continuous aramid fiber) was produced and placed onto an extruder, and continuous-aramid-fiber-reinforced PLA composites were fabricated by using the nozzle impregnation method. Layer height values of 0.4 mm, 0.6 mm, and 0.8 mm and hatch spacing values of 0.6 mm, 0.8 mm, and 1.0 mm were used for the investigation of the processing parameters on the properties of composites by differentiating the reinforcement volume fraction. Additionally, atmospheric plasma treatment was used for the surface modification of the reinforcement fiber. The properties of composites reinforced by using surface-modified fibers were also investigated in order to reveal the efficacy of the atmospheric plasma treatment on the properties of composites. The effect of the atmospheric plasma treatment on the fiber properties was investigated by using scanning electron microscopy (SEM), Fourier-transform infrared spectroscopy (FT-IR), and X-ray photoelectron spectroscopy (XPS). Continuous-aramid-fiber-reinforced PLA composites were characterized mechanically by fiber pull-out, tensile, and flexural testing. The fracture surfaces of composites were analyzed by using SEM. The combination of a reduced layer height and a narrower hatch spacing yielded the best mechanical performance, with a tensile strength of 410.25 MPa achieved at a 0.6 mm layer height and a 0.4 mm hatch spacing. This combination minimizes void formation, enhances fiber alignment, and strengthens interlayer adhesion, leading to superior mechanical properties. The FTIR and XPS results showed that atmospheric plasma modification can enhance the interfacial bonding strength by improving the surface morphology and increasing the content of polar groups on the fiber surface. By combining optimized manufacturing conditions with the atmospheric plasma treatment, the mechanical performance of continuous-aramid-fiber-reinforced PLA composites was enhanced. © 2025 Elsevier B.V., All rights reserved
The Phenomenon of Age in Western Anatolia Local Dance Culture in Turkey
No full textAge is an important factor in traditional dance in Turkey. In particular, the concept of dancing in a specific order depending on age, signifies certain value systems that vary from locality to locality. In these cases, biological age is transformed into a more fluid and dynamic concept by a discourse of the body, determined by the social structure. More specifically, during their life cycle, children, teenagers, adults and elderly people perform different tasks in traditional dance contexts. While the individual is presenting his/her own persona through dancing, he/she also illustrates the expectations of the position within the society to which he/she belongs. For this reason, age-related dance information, such as the expectations of skills within local dance cultures, the relationships between certain age groups, traditional forms of dancing, and the transmission of dance knowledge from generation to generation, facilitates an understanding of the social relationship between the individual and society. Therefore, to observe dancing longitudinally over time and across the generations is to provide us with important information that explains how and why traditional dance contexts are created. This paper will introduce age-related "male village chamber institutions" that continue to exist in Anatolia. The function of these institutions in traditional dance culture will be discussed using the example of Izmir-Bergama region, Kozluca village. Drawing on field research carried out in 2009, the paper includes qualitative description based on participatory observation and information obtained through oral history studies regarding the traditional dance environments organised by various age groups. It explores the relations between people in the different age groups, and in doing so it analyzes the relationship between individuals and society in traditional dance contexts in terms of age. © 2025 Elsevier B.V., All rights reserved
Otolog fasya ile pubovajinal sling cerrahisi ile ilişkili komplikasyonlar: mesane perforasyonu ve diğerleri: Olgu sunumu
No full textPubovaginal sling operation is the incontinence surgery preferred by surgeons and patients who want to avoid complications caused by synthetic meshes. In this surgical method, autologous mesh taken from the patient's rectus fascia is generally used as sling material. Although the method prevents some complications caused by synthetic meshes, it causes other complications of its own. In our case report, we explained how we managed complications in a patient who had pubovaginal sling surgery with autologous fascia, perioperative and postoperative complications occurred.Pubovajinal sling operasyonu sentetik meşlerin yol açtığı komplikasyonlardan kaçınmak isteyen cerrah ve hastaların tercih ettiği inkontinans cerrahisidir. Bu cerrahi yöntemde genelde hastanın rektus fasyasından alınan otolog meş sling materyali olarak kullanılmaktadır. Yöntem sentetik meşlerin yol açtığı bazı komplikasyonları önlemesine rağmen kendine özgü başkak komplikasyonlara neden olmaktadır. Vaka sunumumuzda otolog fasya ile pubovajinal sling cerrahisi olan, ancak perop ve postop komplikasyonlar meydana gelen hastada komplikasyonları nasıl yönettiğimizi aktardık. Not: Olgu sunumu 11. Ulusal Ürojinekoloji Kongresinde poster bildirisi olarak sunulmuştur
RISK FACTORS AND MANAGEMENT OF LUNG CANCER IN IDIOPATHIC PULMONARY FIBROSIS: A COMPREHENSIVE REVIEW
No full textIdiopathic pulmonary fibrosis (IPF) is a fatal lung disease. Lung cancer (LC) is among the most crucial comorbidity factors in patients with IPF. IPF patients that are diagnosed with LC have a reduced mean survival time. Therapeutic strategies for LC in patients with IPF need to be adapted according to the individual treatment risk. Life-threatening acute exacerbation (AE) of IPF may occur in association with cancer treatment, thereby severely restricting the therapeutic options for IPF-associated LC. Because LC and anticancer treatments can worsen the prognosis of IPF, the prevention of LC is as critical as managing patients with IPF. © 2025 Elsevier B.V., All rights reserved
Exploring CHAPS as a Potential Measurement for Auditory Processing and Cognitive Ability in Children with Hearing Loss
No full textObjectives: The primary goal was to investigate the suitability of CHAPS for assessing cognitive abilities and auditory processing in people with hearing loss (HL), specifically in the domains of auditory processing, verbal working memory, and auditory attention. Method: The study comprised 44 individuals between the ages of seven and 14, 22 with HL (N = 11 males) and 22 with normal hearing (N = 10 males). Individuals' auditory attention, working memory, and auditory processing skills were assessed in the study, and selfreport questionnaires were used. The evaluation utilized the Sustained Auditory Attention Capacity Test (SAACT), Working Memory Scale (WMS), Filtered Words Test, Auditory Figured Ground Test (AFGT), and the Children's Auditory Performance Scale (CHAPS). Analyses were conducted, including group comparisons, correlation examinations, and receiver operating characteristic evaluations. Results: There were significant differences in CHAPS total, attention, noise, quiet, and multiple inputs between groups. No significant differences were seen in CHAPS-ideal and CHAPS-auditory memory across groups. The study of SAACT and its subscores WMS and its subscores, FWT, and AFGT revealed a significant difference between groups, caused by the poor performance of persons in the HL group compared to those in the NH group. The SAACT and its subscores correlated significantly with CHAPS-attention. The AUC calculation showed that The SAACT and CHAPS-attention distinguished persons with or without HL (p < 0.05). WMS-STM and WMS-total correlated with CHAPS auditory memory subscale; however, WMS-VWM did not. AUC values for WMS and its subscores showed significant discrimination in identifying children with or without HL (p < 0.05), whereas CHAPS-auditory memory did not (AUC = 0.665; p = 0.060). FWT and AFGT had a significant relationship with CHAPS-noise and CHAPS-multiple inputs subscales. The CHAPS-quiet and CHAPS-ideal subtests only correlated with AFGT. CHAPS-quite and CHAPS-ideal did not exhibit significant discriminative values (p < 0.05) for identifying children with or without HL, while CHAPS-noise, CHAPS-multiple inputs, FWT, and AFGT did. Conclusion: The CHAPS-attention subscale could be a trustworthy instrument for assessing auditory attention in children with HL. However, the CHAPS-auditory memory subscale may not be suitable for testing working memory. While performance-based auditory processing tests showed improved discrimination, the CHAPS-noise and CHAPS-multiple inputs subtests can still assess hearing-impaired auditory processing. The CHAPS-quiet and CHAPS-ideal subtests may not evaluate auditory processing. © 2025 Elsevier B.V., All rights reserved
Kanser Tanısı Olan Çocuklara Uygulanan Terapötik Oyunun Yaşam Kalitesi Ve Semptom Kontrolüne Etkisi
No full textStudy aimed to investigate effect of therapeutic play on quality of life and symptom control of children with cancer. Participants were 15 children, aged 6-12, who were diagnosed with cancer, and treated in oncology-hematology clinics. Data were collected from two university hospitals between 2019-2021. It was quasi-experimental clinical research with single-group pretest-posttest model. Pediatric Patient Information Form, PedsQL Cancer Module, and Visual Analog Scale for symptoms were used as data collection tools. Mean PedsQL Cancer Module total score of children was 57.97±14.83 before therapeutic play and 62.08±12.97 after therapeutic play. There was no statistical difference between time-dependent median PedsQL Cancer Module total scores of children (p>0.05). According to Visual Analog Scale for symptoms, there was statistically significant difference in all symptoms after therapeutic play intervention (p?0.05). Study showed that therapeutic play affected symptom control of pediatric patients receiving long cancer treatment. No statistically significant difference was found between scores children obtained from PedsQL Cancer Module Child Report before, during, and after therapeutic play intervention. However, PedsQL Cancer Module Child Report total score increased. © 2025 Elsevier B.V., All rights reserved
Evde kullanılan fetal doppler cihazlarının gebelikte baba-bebek bağlanması üzerindeki etkisi: Randomize kontrollü çalışma
No full textAmaç: Bu araştırma, evde Fetal Doppler cihazı kullanımının baba-bebek bağlanmasına etkisini değerlendirmeyi amaçlamaktadır. Babaların kalp atışlarını duyarak sürece katılımının bağlanmayı güçlendirebileceği varsayılmaktadır. Yöntem: Bu araştırma, evde Fetal Doppler Cihazı kullanımının baba-bebek bağlanmasına etkisini değerlendirmeye yönelik, niceliksel ve randomize kontrollü deneysel bir araştırmadır. Araştırma, Mayıs-Haziran 2025 tarihleri arasında İzmir Şehir Hastanesi Kadın Hastalıkları ve Doğum Polikliniği, Gebe Okulu ve NST Polikliniğine başvuran gebelerin eşleriyle yürütülmüştür. Evreni, belirtilen dönemde başvuru yapan 2565 gebe kadının eşi oluşturmuştur. G*Power programı ile hesaplanan örneklem büyüklüğü doğrultusunda her grup için 24 katılımcı hedeflenmiş; ancak çalışmaya 34 deney ve 42 kontrol grubu olmak üzere toplam 76 baba adayı dâhil edilmiştir. Araştırmada veri toplamak amacıyla iki bölümden oluşan bir form ve Rahim İçi Baba Bağlanma Ölçeği kullanılmıştır. Deney grubuna yönelik form 33, kontrol grubuna yönelik form ise 20 sorudan oluşmakta olup, katılımcıların sosyodemografik özellikleri, obstetrik bilgileri ve Fetal Doppler kullanım deneyimlerini kapsamaktadır. Prenatal bağlanmayı değerlendirmek amacıyla Dönmez ve Gümüşsoy (2019) tarafından geliştirilen ve 23 maddeden oluşan Rahim İçi Baba Bağlanma Ölçeği her iki gruba da uygulanmıştır. Veri toplama süreci, İzmir Şehir Hastanesi'ne başvuran, 24. gebelik haftası ve üzerindeki gebelerin eşleriyle yürütülmüş; deney ve kontrol gruplarına atama basit randomizasyon yöntemi ile yapılmıştır. Elde edilen veriler SPSS 25.0 ve DataBeeg 1.0 programlarıyla analiz edilmiştir. Tanımlayıcı istatistikler ile birlikte normal dağılıma sahip veriler için bağımsız örneklem t testi ve tek yönlü varyans analizi (ANOVA) kullanılmış, anlamlı fark saptanan analizlerde Bonferroni testi ile gruplar arası farkın yönü belirlenmiştir. Numerik değişkenler arası ilişki Pearson korelasyon testi ile incelenmiştir. Normal dağılım değerlendirmesinde çarpıklık ve basıklık değerlerinin ±3 aralığında olması kriteri esas alınmıştır Bulgular: Araştırma bulguları, bazı sosyodemografik değişkenlerin baba-bebek bağlanmasını anlamlı düzeyde etkilediğini göstermektedir. Deney grubunda eşlerin çalışma durumu, gelir seviyesi, sosyal güvence, aile tipi, gebelik izlemi yapılan kurum ve kontrole düzenli katılım gibi faktörlerde istatistiksel olarak anlamlı farklar saptanmıştır (p0.05). Bu bulgular, bağlanmanın bireysel deneyimlerin yanı sıra çevresel ve sosyal destekle de şekillendiğini göstermektedir. Sonuç: Bu araştırma, evde Fetal Doppler Cihazı kullanımının baba-bebek bağlanmasına etkisini incelemiş ve cihazı kullanan babaların bağlanma düzeylerinin anlamlı biçimde daha yüksek olduğunu ortaya koymuştur. Bulgular, fetal kalp atışlarını duymanın babalarda duygusal bağlanmayı güçlendirdiğini ve eş ilişkilerini olumlu yönde etkilediğini göstermektedir. Sonuç olarak, evde Fetal Doppler kullanımı, prenatal dönemde baba-bebek bağını destekleyen etkili bir yöntem olarak değerlendirilmektedir.Objective: This study aims to evaluate the effect of home use of a fetal Doppler device on father-baby attachment during pregnancy. It is hypothesized that the father's participation in the process by hearing the fetal heartbeat may strengthen the emotional bond with the baby. Method: This quantitative, randomized controlled experimental study was conducted to assess the impact of home use of fetal Doppler devices on father-baby attachment. The study was carried out between May and June 2025 at the Obstetrics and Gynecology Outpatient Clinic, Pregnancy School, and NST Clinic of İzmir City Hospital. The study population consisted of the spouses of 2,565 pregnant women who applied to the aforementioned units during the specified period. Based on the sample size calculation using the G*Power program, 24 participants per group were targeted; however, the study included 76 expectant fathers 34 in the intervention group and 42 in the control group. Data were collected using a two-part questionnaire and the Intrauterine Paternal Attachment Scale (IPAS). The questionnaire included 33 questions for the intervention group and 20 for the control group, covering sociodemographic characteristics, obstetric information, and fetal Doppler usage experiences. The IPAS, developed by Dönmez and Gümüşsoy (2019) and consisting of 23 items, was administered to both groups. The data collection process involved interviewing the spouses of pregnant women who were at 24 weeks of gestation or more and had applied to İzmir City Hospital. Group assignment was conducted using simple randomization. Data were analyzed using SPSS 25.0 and DataBeeg 1.0. Descriptive statistics were used, and independent samples t-test and one-way ANOVA were applied for normally distributed variables. Bonferroni post hoc analysis was used to determine the direction of significant differences. Pearson correlation was applied to examine relationships between numerical variables. The assumption of normality was evaluated based on skewness and kurtosis values within the ±3 range. Results: The findings indicated statistically significant relationships between some sociodemographic variables and father-baby attachment. In the intervention group, variables such as the spouse's employment status, income level, health insurance coverage, family structure, the type of institution providing prenatal care, and regular attendance at prenatal check-ups were significantly different compared to the control group (p0.05). These results suggest that attachment is influenced by both individual experiences and environmental and social support factors. Conclusion: This study examined the impact of home use of fetal Doppler devices on father-baby attachment and found that fathers who used the device had significantly higher attachment levels. The results indicate that hearing fetal heartbeats enhances emotional bonding and positively affects spousal relationships. In conclusion, the use of fetal Doppler at home is considered an effective method to support father-baby attachment during the prenatal period
Postoperative analgesic efficacy of preemptive and postoperative lornoxicam in femoropopliteal bypass surgery
No full textObjectives: In this study, we analyzed the effect of the application time of intravenous (IV) lornoxicam in preventing postoperative pain. Methods: This placebo-controlled study was conducted on 72 patients undergoing elective femoropopliteal bypass surgery. The patients were randomly divided into three groups. Group I (n=25) was administered IV 8 mg lornoxicam 20 minutes before incision and IV 2 mL saline at the end of the surgery; Group II (n=24) was administered IV 2 mL saline 20 minutes before incision and IV 8 mg lornoxicam at the end of the surgery; Group III (n=23) was administered IV 2 mL saline 20 minutes before incision and IV 2 mL saline at the end of the surgery. All patients used IV morphine via a patient-controlled analgesia device. Postoperative pain was measured using the visual analog scale (VAS), and patients with a VAS score >3 were administered intramuscular 75 mg naproxen sodium. Results: The VAS scores were significantly higher in Group III compared with Group I at the 0th, 1st, 2nd, and 3rd hours and with Group II at the 1st, 2nd, and 3rd hours (p0.05). Conclusion: Regardless of the time it is applied, lornoxicam reduces postoperative pain and consumption of opioids within the initial 3 hours. © 2025 Elsevier B.V., All rights reserved
Perinenin taçlanma aşamasında gebenin fetal başa dokunmasının doğumun ikinci evresinin süresine ve anne bebek etkileşimine etkisi
Get PDFBu araştırma, doğum yapan kadının taçlanma sırasında fetüsün başına dokunmasının, doğum eyleminin ikinci evresinin süresinin kısalmasına ve doğum sonrası anne-bebek etkileşiminin olumlu yönde etkilenmesine yönelik belirli bir müdahalenin etkisini değerlendirmek amacıyla yürütülen randomize kontrollü deneysel bir çalışmadır. Araştırmaya, İzmir ilinde bir hastanede uygun kriterleri karşılayan ve çalışmaya katılmayı kabul eden 68 doğum yapan gebe dahil edilmiştir. Araştırma verileri yüz yüze görüşme yöntemi ile; Tanıtıcı Bilgi Formu (TBF) ve Anne-Bebek Etkileşimi Değerlendirme Ölçeği (ABEDÖ) kullanılarak toplanmıştır. ABEDÖ üç dereceli Likert tipi yapıda bir ölçek olup; bebeğe duyarlılık, dokunma/tutma, göz teması, bakım sağlama ve duyguların ifadesi olmak üzere beş davranış kategorisinden oluşmaktadır. Her madde 0–2 arası puanlanmakta, toplam puan etkileşim düzeyini yansıtmaktadır. Bu çalışmada ölçeğin Cronbach alfa değeri birinci gün için 0,88; ikinci gün için 0,87 olarak belirlenmiş ve ölçeğin yüksek düzeyde güvenilir olduğu saptanmıştır. Müdahale grubundaki gebelere, doğumun latent fazında fetüsün taçlanmış başına dokunma eğitimi verilmiştir. Doğum sırasında kadınların bebek başına dokunmaları sağlanırken, kontrol grubundaki gebelere herhangi bir girişim uygulanmamış, rutin bakım almışlardır. Verilerin değerlendirilmesi aşamasında tanımlayıcı istatistiksel metotlar, Fisher'in kesin testi, ANOVA, Spearman Sıra Korelasyonu, gruplar arası karşılaştırmalarda bağımsız gruplar t testi, grup içi karşılaştırmalarda ise bağımlı gruplar t testi (eşleştirilmiş t testi) kullanılmıştır. Gebelik süreci boyunca düzenli izlem yapılan kadınların ABEDÖ ilk değerlendirme puanları, düzenli izlem yapılmayanlara kıyasla istatistiksel olarak anlamlı düzeyde daha yüksek bulunmuştur (p<0,05). Doğum sonrası destek alma durumunun, ABEDÖ ilk değerlendirme puanları üzerinde istatistiksel olarak anlamlı olduğu saptanmıştır (p<0,05). Destek alan bireylerin ilgili ölçümden elde ettikleri puan (7,84±1,98), destek almayanlara göre daha yüksektir. Müdahale grubundaki gebelerin %58,8'inin doğumun birinci evre süresi 0-5 saat, kontrol grubundaki gebelerin ise yarısının (%50) 0-5 saat sürdüğü görülmüştür. Gruplar arasında doğumun birinci evre süresi bakımından yapılan karşılaştırmalarda istatistiksel olarak anlamlı fark saptanmıştır (p<0,05). Müdahale grubunun ABEDÖ taburculuk öncesi puan ortalaması 9,56 ± 1,07, kontrol grubunun ise 6,44 ± 1,91 olarak saptanmıştır. İki grup arasındaki farkın istatistiksel olarak anlamlı olduğu saptanmıştır (p<0,05), bu da müdahalenin etkili olduğunu göstermektedir. Araştırma sonucunda, doğum yapan kadının taçlanma sırasında fetüs başına dokunmasının, doğum sonu anne-bebek etkileşimini olumlu etkilediği ve doğumun ikinci evresini kısalttığı saptanmıştır.This randomized controlled experimental study was conducted to evaluate the effect of a specific intervention—maternal touching of the fetal head during crowning—on the duration of the second stage of labor and early postpartum mother-infant interaction. The study included 68 pregnant women who met the inclusion criteria and voluntarily participated at a hospital in İzmir, Türkiye. Data were collected through face-to-face interviews using the Descriptive Information Form and the Mother-Infant Interaction Assessment Scale (MIIAS). MIIAS is a three-point Likert-type observational scale that consists of five behavioral categories: responsiveness to the infant, touching/holding, eye contact, providing care, and emotional expression. Each item is scored from 0 to 2, with higher total scores indicating a higher level of interaction. In this study, the Cronbach's alpha value of the scale was found to be 0.88 on the first day and 0.87 on the second day, indicating high internal consistency. Participants in the intervention group received education on touching the crowning fetal head during the latent phase of labor and were supported to touch their baby's head during delivery. The control group received only routine care without any intervention. Data were analyzed using descriptive statistics, Fisher's exact test, ANOVA, Spearman's rank correlation, independent samples t-test, and paired samples t-test. Results showed that mothers who received regular antenatal follow-up had significantly higher initial MIIAS scores compared to those who did not (p<0.05). Similarly, postpartum support was associated with significantly higher initial MIIAS scores (p<0.05); the mean score of those who received support was 7.84±1.98. The duration of the first stage of labor was between 0–5 hours for 58.8% of the intervention group and 50% of the control group, with a statistically significant difference between groups (p<0.05). The mean MIIAS score before discharge was significantly higher in the intervention group (9.56 ± 1.07) than in the control group (6.44 ± 1.91) (p<0.05), indicating the effectiveness of the intervention. In conclusion, maternal touching of the fetal head during crowning was found to positively influence early postpartum mother-infant interaction and shorten the second stage of labor