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Investigation of cervical joint position sensation and cervical deep flexor muscle endurance in healthy individuals: pilot study
Full text linkAmaç: Bu çalışma, sağlıklı bireylerin servikal bölge eklem pozisyon hissi ve derin servikal flexor kas enduransını ve bu parametrelerin birbirleri arasındaki ilişkiyi incelemek amacıyla bir pilot çalışma olarak planlandı.
Yöntem: Çalışma 18-50 yaş aralığında sağlıklı (n=15) birey dahil edildi. Çalışmaya katılanların 11’i kadın, 4’ü erkektir. Çalışmaya katılmaya gönüllü olan bireylerin sosyodemografik bilgileri alındıktan sonra servikal eklem pozisyon hissleri eklemi yeniden pozisyonlama testi ile fleksiyon, ekstansiyon, sağsol lateral fleksiyon, sağ-sol rotasyon olmak üzere 6 yönde gerçekleştirildi. Her bir yön arasında 1 dakika ara verildi. Hareket yönlerinin ve tekrarların her biri için orjinden sapma x ve y eksenlerindeki sapma
‘cm’ cinsinden not edildi. .Referans noktasından konum noktasına çizilen çizgi ( R ) eklem konumu hatası olarak kabul edildi. Santimetre cinsinden ölçülen yeniden konumlandırma hataları; Açı= tan−1 [R/90cm] formülü ile açısal olarak hesaplandı. Servikal derin fleksör kas enduransı ‘Derin Servikal Fleksör Endurans Testi’ ile değerlendirildi. Çalışmaya katılan bireylere supin pozisyonda uzanması ve başını yataktan 2.5 cm kadar kaldırması istendi. Boğaz kıvrımlarının kaybolması ve başın yerle teması
durumunda teste son verildi. Geçen süre kronometre ile takip edildi ve geçen süre saniye cinsinden not alındı. Bulgular: 15 kişilik sağlıklı grubun fleksiyon yönündeki eklem pozisyon hatası aritmetik ortalaması 3.94(±0,41) derece, ekstansiyon yönündeki eklem pozisyon hatası ortalaması 3.75(±0,35) derece, sağ rotasyon yönündeki eklem pozisyon hatası ortalaması 3,97(±0.29) derece, sol rotasyon yönündeki eklem pozisyonlama hatası ortalaması 3.86(±0.35) derece, sağ lateral fleksiyon yönündeki eklem
pozisyonlama hatası aritmetik ortalaması 3.65(±0.49) derece, sol lateral fleksiyon yönündeki eklem pozisyonlama hatası aritmetik ortalaması 3,35(±0.45) derece ve derin fleksör kas enduransı aritmetik ortalaması 69.06(±15,14) saniye olarak bulundu. Sağlıklı bireylerde servikal eklem pozisyon hissi ile servikal derin fleksör kas enduransı arasında bir ilişki bulunmadı (p>0.05). Tartışma: Bu çalışma sağlıklı bireylerde servikal derin fleksör kas enduransı, servikal eklem pozisyon hissi verilerini vermek ve aralarındaki ilişkiyi göstermek için bir önbilgi niteliğindedir. Gelecek
çalışmalar için daha büyük bir popülasyon ile çalışma yapılması önerilir.Objective: This study was planned as a pilot study to investigate the cervical joint position sense and deep cervical flexor muscle endurance of healthy individuals and the relationship between these parameters. Method: Healthy individuals (n=15) aged between 18-50 years were included in the study. Eleven of the participants were female and four were male. After the sociodemographic information of the individuals who volunteered to participate in the study was obtained, cervical joint position sensations were performed with the joint repositioning test in 6 directions: flexion, extension, right-left lateral flexion, right-left rotation. There was a 1 minute break between each direction. For each of the movement directions and repetitions, the deviation from the origin in the x and y axes was noted in ‘cm’. The line drawn from the reference point to the position point (R) was considered as the joint position error. Repositioning errors measured in centimetres were calculated angularly with the formula Angle= tan−1 [R/90cm]. Cervical deep flexor muscle endurance was evaluated with the ‘Deep Cervical Flexor Endurance Test’. The individuals participating in the study were asked to lie in the supine position and raise their head 2.5 cm from the bed. The test was terminated in case of disappearance of the throat folds and contact of the head with the ground. The elapsed time was monitored with a stopwatch and the elapsed time was noted in seconds. Results: In the healthy group of 15 people, the arithmetic mean of joint positioning error in flexion was 3.94(±0,41) derece degrees, the arithmetic mean of joint positioning error in extension was 3.75(±0,35) degrees, the arithmetic mean of joint positioning error in right rotation was 3,97(±0.29) degrees, the arithmetic mean of joint positioning error in left rotation was 3.86(±0.35) degrees, arithmetic mean of joint positioning error in the right lateral flexion direction was 3.65(±0.49) degrees, arithmetic mean of joint positioning error in the left lateral flexion direction was 3,35(±0.45) degrees and arithmetic mean of deep flexor muscle endurance was 69.06(±15,14) seconds. No correlation was found between cervical joint position sense and cervical deep flexor muscle endurance in healthy subjects (p>0.05). Discussion: This study is preliminary to provide data on cervical deep flexor muscle endurance, cervical joint position sense and to show the relationship between them in healthy individuals. A larger population is recommended for future studies.No sponso
The place of a gluten-free diet in the management of hashimoto thyroiditis
Full text linkHashimoto tiroiditi ve Graves hastalıkları, sırasıyla hipotiroidi ve hipertiroidiye yol açan ve en yaygın görülen otoimmün tiroid hastalıklarıdır. Son yıllarda Hashimoto tiroiditinde gluten tüketiminden kaçınmak, popüler bir eğilim haline gelmiştir. Glutensiz diyetin ana ilkesi, içerisinde
gluten bulunan buğday, arpa, çavdar, yulaf ve bunları içeren bütün yiyecek, içecek, ilaç ve besin takviyelerinin diyetten çıkarılmasıdır. Ancak glutensiz diyet aslında bir ince bağırsak enteropatisi olan çölyak hastalığı için mevcut bir tedavi şeklidir. Ayrıca gluten eliminasyonundan sonra hastalar,
selenyum, iyot, magnezyum, çinko ve bakır eksikliği açısından risk altında olmaktadır. Bunun yanında glutensiz diyetler, sürdürülmesi zor ve pahalı diyetlerdir. Glutensiz diyetin, Hashimoto tiroiditi gibi otoimmün tiroid hastalıklarının ilerlemesi ve potansiyel komplikasyonları açısından fayda sağlayabileceği bildirilmektedir. Hashimoto tiroiditi hastaları değerlendirilirken, mutlaka eşlik eden çölyak hastalığının varlığı da sorgulanmalıdır. Glutensiz diyetin Hashimoto tiroiditi hastalığının yönetiminde kullanılmasına dair yapılan çalışmalar yetersizdir
ve glutensiz diyetin Hashimoto tiroiditi olan hastalara önerilmesi için yeterli kanıt bulunmamaktadır.
Bu çalışmada, otoimmün tiroid hastalıklarından Hashimoto tiroiditinin yönetiminde glutensiz diyet uygulamaları ile ilgili yapılan çalışmaları derlemek, bilimsel açıdan değerlendirmek ve literatüre yeni bilgiler kazandırmak amaçlanmıştır.Hashimoto's thyroiditis and Graves' disease are the most common autoimmune thyroid diseases that cause hypothyroidism and hyperthyroidism, respectively. In recent years, avoiding gluten consumption in Hashimoto's thyroiditis has become a popular trend. The main principle of the gluten-free diet is to exclude wheat, barley, rye, oats and all foods, beverages, medicines and nutritional supplements containing gluten from the diet. But the gluten-free diet is actually an existing form of treatment for celiac disease, a small intestinal enteropathy. In addition, after gluten elimination, patients are at risk for selenium, iodine, magnesium, zinc and copper deficiencies. In addition, gluten-free diets are difficult and expensive to maintain. It is reported that a gluten-free diet may provide benefits in terms of progression and potential complications of autoimmune thyroid diseases such as Hashimoto's thyroiditis. When evaluating patients with Hashimoto's thyroiditis, the presence of concomitant celiac disease should also be questioned. Studies on the use of a gluten-free diet in the management of Hashimoto's thyroiditis are insufficient and there is insufficient evidence to recommend a gluten-free diet to patients with Hashimoto's thyroiditis. In this study, it was aimed to review the studies on gluten-free diet practices in the management of Hashimoto's thyroiditis, one of the autoimmune thyroid diseases, to evaluate them scientifically and to provide new information to the literature.No sponso
Effect of online mindfulness‑based physical exercise program on psychological well‑being and life satisfaction during the Covid‑19 pandemic
No full textThe aim of this study was to examine the effectiveness of a mindfulness-based physical exercise program on university students’ psychological well-being and life satisfaction. In the study, a randomized control group pre-test, post-test, and follow-up test design was used. The study group consisted of 60 students (30 in an experimental group and 30 in a control group) continuing their education in different faculties of a foundation university during the Covid-19 pandemic in Turkey. A personal information questionnaire, Psychological Well-Being Scale and Life Satisfaction Scale were used to collect the study data. The Mindfulness-Based Physical Exercise Program was implemented in the experimental group, once a week for 8 sessions. The results suggested significant differences between the psychological well-being and life satisfaction posttest scores of the experimental and control groups in favor of the experimental group. In the sub-dimensions of psychological well-being, significant differences were found between the experimental and control groups in post-test scores of environmental mastery, personal growth, and purpose in life. There was no significant difference between the psychological well-being, positive relationships with others, autonomy, environmental mastery, purpose in life, and self-acceptance subdimensions except personal growth sub-dimensions, and life satisfaction post-test and follow-up test scores of the university students in the experimental group. In the post-test comparisons of two groups, a significant difference was found between total psychological well-being, environmental mastery, personal growth, purpose in life, and self-acceptance, in favor of the experimental group.No sponso
The Effects of Telerehabilitation-Based Exercise Therapy on Motor and Non-Motor Clinical Outcomes in Adults With Facial Palsy: A Randomized Controlled Trial
No full textRecent case reports have emphasized the essential clinical contribution of telerehabilitation in the treatment of facial palsy. However, no randomized controlled trial has yet demonstrated the effects of telerehabilitation-based facial exercise therapy. Thus, we aimed to investigate the effectiveness of video exercise-based telerehabilitation on motor and non-motor clinical outcomes in adults with facial palsy. We conducted a randomized controlled trial with 40 peripheral facial palsy patients. Those in the experimental group (EG) received four weeks of telerehabilitation-based video exercises and routine care. Those in the control group (CG) received only routine care. All participants were evaluated with the Facial Disability Index (FDI), the Facial Clinimetric Evaluation Scale (FaCE), Short Form-12 (SF-12), the Hospital Anxiety and Depression Scale (HADS), the House-Brackmann Scale (H-B) and the Telemedicine Satisfaction and Usefulness Questionnaire (TSUQ), both before and after the interventions. Both groups demonstrated a significant improvement in FDI, FaCE, and SF-12 PCS scores (p < .05). In addition, there was a significant improvement only in EG on the SF-12 MCS score (p < .05), and there was a significant gain only in CG on the HADS-Depression score (p < .05). While these results provide a further contribution to our understanding of telerehabilitation benefits in mental health variables related to quality of life for facial palsy patients, we found no EG and CG differences on the physical components of treatment.No sponso
The impact of socio-economic factors on air quality: the case of China
No full textIn this research, we investigate the impact of socio-economic factors on air quality in China from 1994 to 2023 by employing Fully Modified Ordinary Least Squares (FMOLS) and Canonical Cointegrating Regression (CCR) techniques in estimations. The research centers on a composite air quality index that incorporates key pollutants, including household air pollution, NOx exposure, ozone exposure, PM2.5 exposure, and SO2 exposure. Specifically, the research's core goal is to explore how economic growth, energy consumption patterns, human capital development, factor income distribution, urbanization, and economic globalization have an impact on air quality in a rapidly developing nation like China. The empirical analysis reveals that economic growth, as measured by GDP per capita, and fossil fuel energy consumption are major contributors to air pollution. This underscores the environmental costs associated with China's rapid economic expansion. Conversely, better air quality is associated with a higher share of renewable energy consumption, improvements in human capital, and a more equitable distribution of labor income. The latter suggests that a fairer distribution of income from labor can contribute to environmental sustainability, possibly by reducing income disparities that drive excessive consumption patterns or encouraging greater investment in cleaner technologies. The study also reveals that urban population growth and economic globalization, including trade and financial globalization, put additional pressure on air quality. This demonstrates the difficulty of balancing economic growth and urban development with environmental protection, emphasizing the need for policies that promote sustainable energy use, improve education, ensure fair income distribution, and carefully manage urban growth and economic globalization in China to address air quality issues.No sponso
Turkish adaptation, validation, and reliability of the US Adult Food Security Survey Module (AFSSM) in university students
Full text linkObjective: To evaluate the validity and reliability of the Turkish version of the US Adult Food Security Survey Module (AFSSM). Design: A cross-sectional study collected data from 117 university students. The AFSSM Questionnaire was completed by all participants. Psychometric evaluation for scale, content, construct, and convergent validity and reliability of the scale was tested. The construct validity was assessed by Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) on data collected from university students. Cronbach’s α (internal consistency) and composite reliability were used to assess the reliability (p<0.05). Setting: Students were recruited from the university. Participants: This research was conducted with volunteer university students with a mean age of 22.74 ± 4.19 years. Results: Three factors were extracted from 8 items through EFA: (1) inadequate nutrition, (2) economic concern, and (3) hunger. These factors accounted for 77.4% of the total variance, and factor loadings ranged from 0.755 to 0.953. Cronbach’s α was 0.769. The results of the CFA suggested the fit indices were acceptable (χ2/SD = 0.235, root mean error of approximation: 0.034, goodness-of-fit index: 0.994, comparative fit index: 0.992, and normed fit index: 0.986). Conclusions: This is the first study that validates and reports the Turkish version of AFSSM in university students and the results of our study show that the Turkish AFSSM is a valid and reliable tool for determining food security in university students. AFSSM can be used by researchers to examine the food security of university students.No sponso
Sustainable urban design principles in low-cost housing, Sheikh Zayed City, Gaza, Palestine
No full textPrinciples upon which Palestinian housing policies depend should respond to the growing need for housing especially after the urban and housing genocide that have been systematically practiced by the Israeli forces invaded Gaza in October 2023 and still going on at the time of writing these lines. Providing low-cost housing for the needy and
deprived is among the important policies to consider. Israel forces have been since 2000 destroying thousands of houses resulting in the displacement of tens of thousands of Palestinians especially during the Israeli barbaric war on Gaza in 2009. Since then, cooperation between Palestinian social organizations in Gaza has gained greater importance in applying principles of sustainable urban design. Several housing projects have been established in Gaza in the previous years by Arab and foreign donors. This research provides an analysis of sustainable urban design principles in Shaykh Zayed City project in Bait Lahya, Gaza before being destroyed by the inhumane savage Israeli
invasion. It was the first low-cost housing project in Gaza after the year 2000 to provide homes for the displaced by the Israeli encroachments. It has been revealed that despite the great efforts paid in this project to apply sustainability principles, there is still a need for more requirements to provide a model for future housing projects in Gaza especially under the current disaster and the emergencies it creates for the people of Gaza.No sponso