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Perspectives of Turkish Neurosurgeons on Concussion/Mild Traumatic Brain Injury: a National Survey
No full textAIM: To evaluate the adherence to and awareness of current concussion/mild traumatic brain injury (mTBI) guidelines among Turkish neurosurgeons. MATERIAL and METHODS: A cross-sectional electronic survey was administered to all members of the Turkish Neurosurgical Society (n=1875 neurosurgeons) between January and February 2024. The 208 respondents (11.1%) were categorized based on years of neurosurgery specialization, type of current institution, residency program accreditation, and current institution accreditation. RESULTS: The majority of the participants (66.3%) were employed in Tertiary-level Healthcare (TLH) institutions. In TLH settings, Emergency Medicine Practitioners (EMPs) were primarily responsible for the initial computed tomography (CT) scan for pediatric patients, while this decision was also made by EMPs for adult patients, regardless of years of experience in neurosurgery specialization. Participants enrolled in residencies at accredited institutions were more likely to obtain detailed patient histories. The rates of adherence to current guidelines were comparable across institutions, regardless of their accreditation status. CONCLUSION: This pioneering study evaluating neurosurgeons' adherence to and awareness of concussion/mTBI guidelines revealed a uniformity in compliance among Turkish practitioners, irrespective of years of experience, institutional type, or accreditation status
The Effects of Living Apart From Their Families on Mood and Eating Habits of Pamukkale University Medical Faculty Students
No full textMissed Nursing Care and Its Causes and Effects on Moral Distress in Neonatal Intensive Care Nurses
No full textTeki, Rabia Nur/0000-0001-5624-5945Background: Deficiencies emerge in the care provided by nurses because of the complex treatment plans, shortage of labour resources and communication problems in neonatal intensive care units (NICUs). Knowing how to provide quality patient care but being unable to maintain it because of individual or institutional issues can lead to moral distress among nurses. Aim: This study aimed to examine missed nursing care in NICUs and its relationship with the moral distress experienced by nurses. Study Design: This was a cross-sectional study. This study included a sample of 153 NICU nurses. The data were collected online between January and May 2024 using a descriptive information form, the Missed Care Survey-Paediatric Form, and the Moral Distress Scale-Revised for Paediatric Nurses. Results: The mean age of the participants was 31.22 years, and on average, they cared for 3.42 +/- 0.96 patients per day. The medical condition of the child under care (t = 2.954, p .001), duration of working in the NICU (F = 15.901, p .001), inadequate number of nurses (F = 3.626, p = .029) and job satisfaction (F = 3.359, p = .037) were listed as variables affecting the reasons for missed nursing care. Communication (beta = .275, p = .018) and labour resources (beta = .216, p = .021), subdimensions of the Missed Care survey used in the study, were predictive factors that positively affected moral distress. Conclusions: The factors associated with missed care should be explored as strategies to reduce moral distress. Managers should focus on integrating effective communication techniques into nursing care and increasing the labour resources to reduce missed nursing care, thus improving the moral distress levels of NICU nurses. Relevance to Clinical Practice: Understanding the factors associated with missed care and developing related strategies can complement the efforts of NICU managers, educators and nurses in reducing moral distress
Stratigraphic Revision of the Selendi, Güre, and Uşak Neogene Basins, Western Anatolia
No full textIn a re-examination of the Neogene stratigraphy of the U ; scedil;ak, G ; uuml;re, and Selendi basins of western Anatolia, western Turkey, the stratigraphic position of the previously defined ; Idot;nay Group is revised, which was previously considered to be of the Middle Miocene age. Based on mammalian biochronology and stratigraphic relationships, two sequences are identified, separated by conformable/transitional contacts within the former group: the Middle Miocene G ; uuml;re Group is composed of the Fak ; imath;l ; imath; Formation, characterized by alluvial fan deposits, and the lacustrine Derbent Formation. Radiometric dating of alkaline volcanics laterally associated with G ; uuml;re Group sediments in the U ; scedil;ak and G ; uuml;re basins, and mammalian fossils re-evaluated into the MN5-6 biozones in the Selendi Basin, indicate early Middle Miocene. Considering the stratigraphic relationship with the overlying early Late Miocene ; Idot;nay Group as redefined, we estimate that the G ; uuml;re Group was deposited in the Middle Miocene. The ; Idot;nay Group is characterized by a lateral-vertical transition from alluvial deposits of the Ahmetler Formation to the overlying lacustrine Ulubey Formation. An MN9-10 fauna, containing deinotheres, was found within the latter formation.Our field surveys conducted for this study were carried out within the framework of projects coded 97-20A and 9815 by the General Directorate of Mineral Research and Exploration (Ankara, Turkiye). We are grateful to Dr. Engin UEnay for providing access to his unpublished micro-mammal data, to Dr. OEzguer Karaoglu for his helpful comments on an earlier version of the manuscript, to the two anonymous reviewers for their valuable feedback, and to the editors, particularly Dr. Susan Turner (Brisbane), for her assistance with the English language and style of the final manuscript.General Directorate of Mineral Research and Exploration (Ankara, Turkiye) [97-20A, 9815
Pamukkale Üniversitesi öğrencilerinde gıda güvencesizliğinin yaşam kalitesi üzerine etkisinin değerlendirilmesi
No full textÜniversite eğitimi, öğrencilerin bilgi ve becerilerini geliştirdiği
önemli bir dönemdir.Ancak, birçok öğrenci bu süreçte aynı zamanda e konomik zorluklarla da mücadele etmektedir. Gıda güvencesizliği, üniversite öğrencilerinin karşılaştığı önemli sorunlardan biridir. Öğrencilerin gıda güvencesizliğinin yaşam kaliteleri üzerine etkisini belirlemek ve bu konuda ön l emler almak önemlidir. Bu çalışmada, üniversite öğrencilerinde gıda güvencesizliğinin yaşam kalitesine etkisi belirlenerek, bu konuda
uygulanabilecek politikalar için kanıt sağlanması amaçlanmıştır. Örneklem büyüklüğü hesaplanması için e tki büyüklüğü =0,2 , 95 güven düzeyi ( 0,05) ve 95 istatistiksel güç ( =0,95) kullanılarak minimum örneklem büyüklüğü 1302 kişi olarak belirlenmiştir. Potansiyel yanıt vermeme durumları göz önüne alınarak 15’ lik bir artış uygulanmış ve çalışmada hedeflenen örneklem büyüklüğü 1495 kişi olarak hesaplanmıştır. Araştırmada, kolayda örnekleme yöntemi (convenience sampling)
kullanılmıştır. Veri toplama aracı olarak 45 soruluk anket formu uygulanmıştır. Yaşam kalitesi SF 12 Ölçeği kullanılarak ölçülmüştür. Araştırma öncesinde etik kurul izni ve gerekli kurumsal izinler alınmıştır. Veri analizi için SPSS 23.0 programı kullanılmıştır. Ölçümsel değişkenlerin karşılaştırılması nda Mann Whitney U veya Kruskall Wallis
Testleri, yaşam kalitesiyle ilişkili etmenlerin değerlendirilmesinde çoklu doğrusal re gresyon(backward) analizi kullanılmıştır Katılımcıların yaklaşık yarısı gıda güvencesizliği yaşamaktadır. Yapılan regresyon analizine göre; erkeklerde (B =1,936, p 0,001)0,001), bekarlarda (B = 4,012, p = 0,006), çekirdek ailede yaşayanlarda (B =1,568, p =0,010 )), gelir durumu iyi olanlarda (B = 1,858, p 0,001)0,001), anne öğrenim durumu lise
ve üzeri olanlarda (B = 1,129, p = 0,003), kronik hastalığı olmayanlarda (B = 4,150, p 0,001) ve gıda güvencesi olanlarda (B =0,234, p 0,001) fiziksel bileşen puanları daha yüksek bulunmuştur. Mental bileşen puanı ise erkeklerde (B = 2,553, p 0,001)0,001),1. sınıf öğrencilerinde (B =1,171, p = 0,042), gelir durumu iyi olanlarda (B =2,853,p 0,001)0,001), sigara içmeyenlerde ve bırakanlarda (B= 2,078, p = 0,001), akademik başarı
düzeyi iyi olan larda (B = 1,763, p = ve gıda güvencesi olanlarda (B = 0,243,p0,001)0,001) daha yüksek bulunmuştur.daha yüksek bulunmuştur. Sonuç olarakSonuç olarak gıda güvencesizliği gıda güvencesizliği öğrencilerin öğrencilerin yaşamyaşam kalitelerini kalitelerini olumsuz olumsuz etkilemektedir.etkilemektedir. Gıda güvencesizliğinin üniversite Gıda güvencesizliğinin üniversite öğrencilerinin yaşam kalitesinöğrencilerinin yaşam kalitesine olumsuz etkileri göz önüne alındığında, kanıta dayalı e olumsuz etkileri göz önüne alındığında, kanıta dayalı ve sürdürülebilir müdahale programlarının geliştirilmesi gereklidir.ve sürdürülebilir müdahale programlarının geliştirilmesi gereklidir.University education is an important period in which students develop their
knowledge and skills. However, many students also struggle w ith economic
difficulties during this period. Food insecurity is one of the important problems faced
by university students. It is important to determine the effect of food insecurity on
students' quality of life and to take measures in this regard. In th is study, it was aimed
to determine the effect of food insecurity on the quality of life of university students and to provide evidence for policies that can be implemented in this regard. For the sample size calculation, the minimum sample size was determ ined as 1302 people using the effect size =0.2, 95% confidence level =0.05) and 95% statistical power (1 =0.95). Considering the potential non response situations, an increase of 15% was applied and the targeted sample size was calculated as 1495 pe ople. In the study,
convenience sampling method was used. A 45 question questionnaire was used as a data collection tool. Quality of life was measured using the SF 12 Scale. Ethics committee permission and necessary institutional permissions were obtained before the research. SPSS 23.0 programme was used for data analysis. Mann Whitney U or Kruskall Wallis Tests were used to compare measurable variables, and multiple linear regression (backward) analysis was used to evaluate factors related to quality of li fe.
Approximately half of the participants experience food insecurity. According to the regression analysis; men (B = 1,936, p0,001), singles (B = 4,012, p = 0,006). Physical component scores were found to be higher in those living in nuclear families (B =1,568, p = 0,010), those with good income (B = 1,858, p 0,001), those whose mother's education level was high school and above (B = 1,129, p = 0,003), those without chronic diseases (B = 4,150, p 0,001) and those with food security (B = 0,234, p 0, 001). The mental component score was higher in males (B = 2,553, p0,001), first year students (B = 1,171, p = 0,042), those with good income (B =2,853, p0,001), non smokers and quitters (B = 2,078, p = 0,001), those with good
academic achievement (B = 1 ,763, p = 0,001) and those with food security (B = 0,243,p0,001). As a result, food insecurity negatively affects students' quality of life. Given p0,001). As a result, food insecurity negatively affects students' quality of life. Given the negative effects of food insecurity on university students' quality of life, evidencethe negative effects of food insecurity on university students' quality of life, evidence--based and sustainbased and sustainable intervention programmes need to be developed.able intervention programmes need to be developed
Understanding the Impact of the Pandemic on University Students: Changes in Sleep, Eating Patterns, and Psychological Well-Being
No full textBACKGROUND: Covid-19 is one of the world's major pandemics. It has affected millions of people in various ways. OBJECTIVE: This study investigates the influence of pandemic-induced shifts in eating and sleeping behaviors on the psychological well-being of university students. METHODS: The study adopted a cross-sectional research design. A total of 604 students participated in the study. The Personal Form, the Psychological Well-Being Index, and the Pittsburgh Sleep Quality Index were used to collect data. The research was conducted between October 2021 and December 2022. RESULTS: The participants reported a mean psychological well-being score of 40.76 +/- 9.38, alongside a Pittsburgh Sleep Quality Index score of 7.46 +/- 3.30. Analysis revealed a significant negative correlation between the mean psychological well-being scores and the Pittsburgh Sleep Quality Index scores (p 0.01). Throughout the pandemic, the participants experienced a decline in physical activity, an increase in their body weight, and a change in their eating habits. While psychological well-being remained relatively high, sleep quality was notably poor. Notably, improvements in psychological well-being corresponded with enhancements in sleep quality, suggesting a reciprocal relationship between the two variables. CONCLUSIONS: The pandemic negatively impacted the physical activity and body weight of young adults. This study highlights the importance of promoting physical activity among university students during pandemics and similar crises to reduce adverse effects on body weight. It also highlights the importance of educating students about the importance of healthy sleep and how to maintain good sleep hygiene
Meslek dersi öğretmenlerinin mesleki tükenmişlik düzeyleri ile örgütsel bağlılık düzeyleri arasındaki ilişki
No full textÖğretmenlerin mesleki tükenmişlikleri ile örgütsel bağlılıkları arasındaki ilişkinin araştırıldığı bu çalışma ilişkisel tarama modelinde nicel bir araştırmadır. Araştırmada meslek dersi öğretmenlerinin mesleki tükenmişlik düzeyleri düşük düzeyde ve örgütse l bağlılık düzeyleri yüksek düzeyde ölçülmüştür. Öğretmenlerinin mesleki tükenmişlik düzeyleri yaş,medeni durum, eğitim düzeyi, okul türü, kıdem, çalışılan ilçe ve okul kıdemine göre farklılık göstermemiş cinsiyet, atölye dersine girme ve koordinatörlük görevine göre farklılık göstermiştir. Örgütsel bağlılık düzeyleri cinsiyet, medeni durum, eğitim düzeyi, koordinatörlük görevi ve kıdeme farklılık göstermediği ancak yaş, atölye görevi, okul türü,görev yapılan ilçe ve okul kıdemine göre ise anlamlı farklıl ık gösterdiği görülmüştür. Erkek öğretmenlerin mesleki tükenmişlik düzeylerinin kadın öğretmenlerden yüksek çıkmıştır. Öğretmenlerin örgütsel bağlılık düzeyleri 46 50 yaşlardaki öğretmenlerle 51 yaş ve üstündeki öğretmenler arasında ve 46 50 yaşlardaki öğr etmenler lehine yüksek olduğu görülmüştür. Öğretmenlerin mesleki tükenmişlik düzeylerine bakıldığında atölye dersine girmeyen öğretmenlerin mesleki tükenmişliklerinin daha yüksek olduğu görülmektedir.
Koordinatörlük görevi olmayan öğretmenlerin koordinatör lük görevi olanlardan daha yüksek düzeyde mesleki tükenmişlik düzeyine sahip oldukları görülmüştür. Öğretmenlerin örgütsel bağlılık düzeyleri okul türlerine göre anlamlı farklılık göstermektedir. MESEM lerde çalışan öğretmenlerle halk eğitim merkezinde çal ışan öğretmenler arasında
MESEM lerde çalışan öğretmenler lehine yüksek olduğu görülmüştür. Merkezefendi de çalışan öğretmenlerin örgütsel bağlılıklarının Pamukkale de çalışan öğretmenlerden daha yüksek olduğu tespit edilmiştir. Öğretmenlerin örgütsel bağl ılık düzeyleri okul kıdemlerine göre
göre 11--5 yıl kıdemlilerle 65 yıl kıdemlilerle 6--10 yıl kıdemliler arasında ve 610 yıl kıdemliler arasında ve 6--10 yıl okul kıdemli öğretmenlerle 10 yıl okul kıdemli öğretmenlerle 1111--15 yıl okul kıdemliler arasında ve 115 yıl okul kıdemliler arasında ve 1--5 yıl kıdemlilerle 115 yıl kıdemlilerle 11--15 yıl okul kıdemlilerin daha 15 yıl okul kıdemlilerin daha yüksek örgütsel bağlılık düzeyine sahiyüksek örgütsel bağlılık düzeyine sahip oldukları görülmüştür. p oldukları görülmüştür. Öğretmenlerin mesleki Öğretmenlerin mesleki tükenmişlik düzeyleri ile örgütsel bağlılık düzeyleri arasında negatif yönlü ve düşük düzeyde tükenmişlik düzeyleri ile örgütsel bağlılık düzeyleri arasında negatif yönlü ve düşük düzeyde ilişki tespit edilmiştir.ilişki tespit edilmiştir
Us-Guided Percutaneous Core Needle Biopsy Via the Complete Transhepatic Approach: a Reliable Option for Deep Abdominal Lesions
No full textPurposeTo assess the feasibility, reliability, and diagnostic performance of ultrasound (US)-guided percutaneous core needle biopsy (PCNB) performed via the complete transhepatic approach (CTHa) for abdominal lesions.Materials and methodsThis study included 71 patients (31 males, 40 females) with a mean age of 64.8 +/- 13.9 years (range: 19-93) who underwent US-guided PCNB via the CTHa for abdominal lesions between January 2014 and December 2024. All biopsies were performed by interventional radiologists with at least five years of experience using a coaxial system and an 18-gauge automatic biopsy device. Patients were assessed for technical success, diagnostic yield, and complications, which were classified as major or minor based on the Society of Interventional Radiology (SIR) guidelines.ResultsTissue samples were successfully obtained in all cases, achieving a 100% technical success rate. Adequate material for pathological diagnosis was available in 63 of 71 patients (88.7%), while a definitive diagnosis could not be established in 11.3% of cases. Diagnostic yield was significantly influenced by lesion type (solid or mixed with cystic components) and anatomical location (p = 0.001 and p = 0.032, respectively). Complications occurred in 12.7% of patients, including 11.3% minor and 1.4% major complications. Univariate logistic regression analysis identified a history of malignancy, lesion size along the biopsy path, and the length of liver parenchyma traversed as significant predictors of complications (p = 0.012, 0.027 and 0.003 respectively). In the multivariate model, liver parenchyma length remained the only independent risk factor (p = 0.023).ConclusionUS-guided PCNB via the CTHa is a safe and effective option for abdominal lesions when extrahepatic access is not feasible. While longer liver tissue traversal increases the risk of minor complications, no major adverse events were observed. Careful procedural planning and consideration of lesion location and cystic content are essential to optimize diagnostic yield.Open access funding provided by the Scientific and Technological Research Council of Turkiye (TUBITAK).This study was conducted without any funding or financial support from external institutions. The authors did not receive support from any organization for the submitted workScientific and Technological Research Council of Turkiye (TUBITAK
Impact of Architecture Students' Study-Rest Schedules on Pain and Upper Extremity Functionality
No full textBackground: The intensity of architecture students' work-rest schedules can cause work-related musculoskeletal pain and upper extremity disfunction. Objective: The aim of this study is to examine the influence of architectural students' study-rest schedules on the musculoskeletal pain and upper extremity functionality. Methods: A total of 174 architectural students (99 female, 75 male) were included in the study. The questionnaire initially recorded demographic information. Data were collected using the body diagram of the Cornell Musculoskeletal Discomfort Questionnaire. The body diagram of the Cornell Musculoskeletal Discomfort Questionnaire was integrated with the Visual Analogue Scale. Pain intensity in the marked regions on the body diagram was evaluated with the VAS, and upper extremity functionality was assessed with the Quick Disabilities of the Arm, Shoulder and Hand questionnaire. Results: There was a difference in the pain intensity between male and female students (p 0.05). Students who had longer study duration and longer uninterrupted study duration experienced higher levels of pain intensity in most region of body and more effect on the functionality of the upper extremities (p 0.05). Conversely, there was a reduction in both pain intensity and upper extremity functionality impairment with increasing total rest time (p 0.05). Conclusions: According to the data obtained from the study indicated that students' study-rest schedules were associated with musculoskeletal pain and upper extremity functionality