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The Validity, Reliability, and Responsiveness of the Turkish Version of the Adolescent Health Promotion Scale-Short Form
No full textThe aim of this study is to examine the validity, reliability, and responsiveness of the Turkish version of the Adolescent Health Promotion-Short Form (AHP-SF). This cross-sectional study was completed with 1483 students. Confirmatory factor analysis (CFA) supported the construct validity of the scale, demonstrating a good model fit with acceptable fit indices. Discriminant validity was established, revealing that lower AHP-SF scores were associated with an increased likelihood of unhealthy weight and chronic diseases. Reliability analyses revealed strong internal consistency, with Cronbach's alpha and McDonald's omega values indicating a high level of homogeneity among items. Test–retest reliability showed excellent stability, with no significant score differences between the two administrations. Differential item functioning (DIF) related to age suggests some items may perform differently for younger and older adolescents. However, most items showed negligible DIF, indicating reliable measurement of health-promoting behaviors across age groups. Item discrimination, difficulty, infit, and outfit results were within acceptable values. The AHP-SF is a valid and reliable tool for evaluating health-promoting behaviors of adolescents in Turkey. Nurses can assess health-promoting behaviors of adolescents in a short time by using this scale. © 2025 Wiley Periodicals LLC
Spor yapan ve yapmayan çocukların benlik saygısı ve evrensel ahlaki değerlerinin incelenmesi
No full textBu çalışmanın amacı, spor yapan ve yapmayan 11, 12, 13 yaşındaki çocukların benlik saygısı ve evrensel ahlaki değerlerinin karşılaştırılmasıdır. Bu araştırmada, Rosenberg tarafından geliştirilip Çuhadaroğlu tarafından Türkçeye uyarlanan Benlik Saygısı Ölçeği, Umar ve Kanger tarafından geliştirilen Evrensel Ahlaki Değerler Ölçeği kullanılmıştır. Evrensel Ahlaki Değerler Ölçeği bilişsel, duygusal ve davranışsal olarak üç alt faktörü içermektedir.
Çalışma evrenini, 11-12-13 yaş grubu, Denizli ve Uşak illerindeki 2023-2024 öğretim yılında, resmi ve özel ortaokullarda eğitim gören toplam da 53306 çocuk kapsamaktadır. Örneklem ise Uşak, Denizli illerinden uygun örnekleme yöntemi ile ulaşılan gönüllü 820 çocuk katılımcıdır. Araştırmaya 852 katılımcı katılmış ve 32 katılımcının işaretlemelerinin sistematik yapılması nedeniyle araştırmaya dahil edilmemiştir. Araştırma bulgularına göre,
spor yapan ve yapmayan çocukların benlik saygısı ve evrensel ahlaki değerleri arasında anlamlı fark bulunmamıştır. Takım sporu yapan, bireysel spor yapan ve spor yapmayan çocukların benlik saygısı ve evrensel ahlaki değerlerinde anlamlı fark bulunmamıştır. Yapılan spor branşına göre, benlik saygısı ve evrensel ahlaki değerlerde anlamlı fark bulunmamıştır. Çocukların cinsiyetine göre yapılan analizlerinde, benlik saygısında erkekler lehine anlamlı fark bulunmuştur. Evrensel ahlaki değerlerler ve alt boyutları olan bilişsel, duygusal ve davranışsal boyutların hepsinde kadınlar adına anlamlı fark bulunmuştur. Benlik saygısı ile evrensel ahlaki değerler pozitif, düşük düzeyde, anlamlı ilişki içindedir. Aile eğitimi, bulunulan ortamın ahlaki ikliminin doğru olması ve felsefeyle ahlakın iç içe öğretilmesinin önemi gibi bazı önerilerin benlik saygısı ve evrensel ahlaki değerlerin kazanımına katkı sağlayacağı düşünülmektedir.The aim of this study is to compare the self-esteem and universal moral values of children aged 11, 12, and 13 who participate in sports with those who do not. The research utilized the Self-Esteem Scale developed by Rosenberg and adapted into Turkish by Çuhadaroğlu, as well as the Universal Moral Values Scale developed by Umar and Kanger. The Universal Moral Values Scale includes three sub-factors: cognitive, emotional, and behavioral. The study population includes a total of 53,306 children aged 11-13 from public and private middle schools in Denizli and Uşak provinces during the 2023-2024 academic year. The sample consists of 820 volunteer children from Uşak and Denizli provinces, selected using convenience sampling. Out of 852 participants, 32 were excluded from the study due to systematic errors in their responses. The findings indicate that there is no significant difference in self-esteem and universal moral values between children who participate in sports and those who do not. Similarly, there are no significant differences in self-esteem and universal moral values among children engaged in team sports, individual sports, and those who do not participate in sports. There is also no significant difference based on the type of sport practiced. Gender-based analysis revealed a significant difference in self-esteem in favor of boys. However, significant differences were found in universal moral values and its sub-dimensions—cognitive, emotional, and behavioral—in favor of girls. Self-esteem and universal moral values are positively, though weakly, related. It is suggested that family education, a morally sound environment, and the integration of philosophy and ethics into teaching may contribute to the development of self-esteem and universal moral values
Öğretmenlerin hesap verebilirlik algıları
No full textBu çalışmada, öğretmenlerin hesapverebilirlik algıları ve bunun öğretmenlerin kişisel özelliklerine göre farklılık gösterip göstermediği araştırılmıştır. Araştırma nicel tarama modelinde yapılmıştır. Eleman örnekleme yöntemiyle Denizli metropol ilçelerindeki resmi ortaokullarda görev yapan 377 öğretmene ulaşılmıştır. Öğretmenlerin hesapverebilirlik algılarını ölçmek için Cerit, Kadıoğlu-Ateş ve Kadıoğlu (2017) tarafından uyarlanan “Öğretmen Hesapverebilirlik Eğilimi Ölçeği” kullanılmış ve elde edilen veriler, parametrik testlerle analiz edilmiştir. Araştırmada öğretmenlerin hesapverebilirlik algılarının dışsal hesapverebilirlik bağlamında orta düzeyde iken içsel hesapverebilirlik ve genel hesapverebilirlik bağlamında yüksek düzeyde olduğu sonucuna ulaşılmıştır. Öğretmenlerin hesapverebilirlik algıları kıdem ve eğitim düzeyine göre benzer iken cinsiyet, yaş, kariyer basamağı ve medeni duruma göre farklılık göstermektedir. Erkek öğretmenlerin dışsal hesapverebilirlik ve genel hesapverebilirlik algılarının daha yüksek olduğu saptanmıştır. Ayrıca, öğretmenlerin yaşları arttıkça hesapverebilirlik düzeylerinde de bir artışın olduğu; “öğretmen” unvanlı öğretmenlerin hesapverebilirlik algılarının “uzman öğretmen” unvanlı öğretmenlere göre daha yüksek olduğu ve sonucuna ulaşılmıştır
Effects of Orientation and Postprocessing on the Bonding of 3-Dimensional Printed Brackets To Printable Permanent Crown Resin
No full textIntroduction: This study aimed to evaluate the effects of different printing orientations and postcuring processes on the bonding performance of 3-dimensional (3D)-printed brackets to permanent crown resin. Methods: A total of 90 disk-shaped specimens (2 mm thickness and 10 mm diameter) were manufactured from printable resin material (Formlabs Permanent Crown, Formlabs Inc, Somerville, Mass). The 3D printed brackets were fabricated at 3 build angles (0 degrees, 45 degrees, and 90 degrees) with a 50 mm layer thickness. Each group consisted of 30 brackets. After printing, the postprocessing was performed either with or without glycerin immersion. Each printed resin surface and bracket base were sandblasted with 50 mm aluminum oxide particles before the bonding procedure. The 3D printed brackets were bonded with a conventional orthodontic composite resin (Transbond XT Primer, 3M Unitek, Monrovia, Calif) to printable resin surfaces. After thermal cycling, the shear bond strength (SBS) test was applied, and bonding failure was examined under a stereomicroscope at 103 magnification. Two-way analysis of variance, post-hoc Tukey, and chi-square tests were used for data analysis. Results: Both orientation and postprocessing had significant effects on SBS. The 3D-printed brackets with 90 degrees and glycerin immersion postcuring demonstrated the highest (13.74 +/- 4.52 MPa), whereas 45 degrees orientation without glycerin showed the lowest (7.06 +/- 4.32 MPa) SBS. All specimens had cohesive-type bonding failures mainly accompanied by bracket fractures and without surface damage. The least fracture was found in 3D-printed brackets with the highest SBS. Conclusions: The 3D printed brackets with 90 degrees orientation and glycerin immersion postprocessing demonstrated the best bonding performance when applied to the printable permanent crown resin material. (Am J Orthod Dentofacial Orthop 2025;167:362-70
Fluid Inclusion Studies on Copper - Gold Mineralization in Hacımeter - Tekman (erzurum)
No full textIn the Erzurum-Tekman region, the oldest unit in the study area is represented by the Karataştepe Metamorphics, which are overlain by units belonging to the Şahvelet Ophiolites. Copper mineralizations in the Tekman area are generally observed as lenses within metavolcanic rocks, which are commonly associated with the region's widespread ophiolitic rocks. The most common ore minerals identified are pyrite, magnetite, and chalcopyrite, while quartz is the predominant gangue mineral. Fluid inclusion studies have determined that the primary inclusions in quartz have temperatures ranging from 150 to 183°C and salinities between 0.00 and 4.182 wt% NaCl. The data obtained regarding the mineralization indicate that the ErzurumTekman mineralization is a typical example of Cyprus-type deposits. KEYWORDS: Erzurum, Tekman, Copper, Gold, Fluid InclusionErzurum-Tekman bölgesindeki inceleme alanında en yaşlı birim olarak Karataştepe Metamorftitleri oluşturmakta olup üzerinde Şahvelet Ofiyolitlerine ait birimler yüzeylemektedir. Tekman bölgesindeki bakırlı oluşumlar genellikle bölgede yaygın olarak gözlenen ofiyolitik kayaçlarla birlikte gözlenen meta-volkanik kayaçlar içerisinde mercekler şeklinde gözlenmektedir. Cevher minerali olarak en yaygın pirit,manyetit, kalkopirit gözlenirken, gang minerali olarak kuvars gözlenmektedir. Sıvı kapanım çalışmalarında kuvarslardaki birincil kapanımların sıcaklıklarının (150- 183°C) ve tuzluluklarının 0.00 - 4.182 %NaCl olduğu belirlenmiştir. Cevherleşmeye ait elde edilen veriler Erzurum-Tekman cevherleşmesinin Kıbrıs tipi yatakların tipik örneklerinden birisi olduğuna işaret etmektedir. ANAHTAR KELİMELER: Erzurum, Tekman, Bakır, Altın, Sıvı Kapanı
Short-Term Effect of Different Physical Therapy Modalities on Neck Mobility in Healthy Young Adults
No full textPurpose: To investigate the short-term effects of hot pack, intermittent traction and low-level laser combined with stretching exercises and stretching exercises alone on neck mobility in individuals with no past pain history but flexibility loss. Material and Methods: Sixty (60) participants were randomly divided into 4 groups. All participants performed cervical stretching exercises. Cervical intermittent traction wad added to Group I, low level laser therapy was added to group II, hot pack was added to group III. Range of motion (ROM) of the neck, occiput-wall distance (OWD) and, coronoid process- tragus distance (CPTD) was assessed at the beginning and end of the study. Results: The results of this study showed that all physical therapy modalities were effective in increasing lateral flexion ROM and OWD score (p.05). Hot packs combined with stretching exercises increased the CPTD score (p=.001) in addition to lateral flexion ROM and OWD score. However, plus interventions were not superior (p>.05) to stretching exercises alone in increasing neck mobility. Conclusion: In conclusion, both stretching exercises alone and combined with hot pack, intermittent traction, and low-level laser increased neck mobility in healthy young adults. Even if not combined with any physical therapy modality, stretching exercises alone may increase neck mobility
Development of Biscuit Formulation Enriched With Tomato Paste Waste Using Integrated Ahp-Topsis Method
No full textA high amount of waste is generated in tomato paste production. This waste contains tomato peel and seeds which are rich in food components such as carotenoids, phenolic compounds, mineral matters, dietary fibers, proteins, and fats. Therefore, it draws attention as a good enrichment material. In this study, biscuit production was carried out using tomato paste production waste powder (TPWP) at ratios of 0% (control), 6% (TPW6), 12% (TPW12), and 18% (TPW18). In the study, firstly, various chemical, physical, and sensory properties of the biscuit samples were determined. In biscuits, the amount of protein, fat, ash, total dietary fiber, insoluble dietary fiber, P, K, Ca, Mg, Mn, total phenolic, lycopene and beta-carotene contents, a* and b* color values, and antioxidant activity value increased significantly as the TPWP addition ratio increased (p 0.05); carbohydrate ratio, energy value, and L* value decreased significantly (p 0.05). In light of the results from sensory analysis, the samples produced by adding TPWP up to 12% had similar scores as the control sample in terms of color, odor, hardness, and chewiness parameters (p > 0.05). In addition, overall acceptability scores and taste decreased with the increase in the TPWP addition ratio. Finally, biscuit samples were examined in terms of functional (total dietary fiber, lycopene, beta-carotene, and antioxidant activity) and sensory properties (taste, color, chewiness) using the integrated AHP-TOPSIS method, and the optimum product formulation was determined as TPW12 according to these criteria. Total dietary fiber, total phenolic contents and antioxidant activity of TPW12 were found to be approximately 2.2-, 5.6- and 13.6- fold higher compared to the control sample, respectively. Additionally, lycopene and beta-carotene contents of TPW12 were 6.57 and 14.75 ppm, whereas no lycopene and beta-carotene were detected in the control sample. The results of the study revealed that TPWP could be an excellent source of dietary fiber, lycopene and beta-carotene for biscuits.Scientific and Technological Research Council of Turkiye (TUBITAK)Open access funding provided by the Scientific and Technological Research Council of Turkiye (TUBITAK)
Aile Hekimliği Polikliniğine Başvuran Hipotiroidi Hastalarının Levotiroksin Kullanımı Konusundaki Bilgi Düzeyleri, Davranışları ve İlaç Uyumlarının Değerlendirilmesi
No full textHypothyroidism is a chronic disease characterized by a slowdown in metabolism due to the deficiency or ineffectiveness of thyroid hormones. Hypothyroidism, commonly encountered in primary healthcare settings as an endocrine disorder, can lead to significant health problems such as hypertension, dyslipidemia, cognitive impairments, and neuromuscular dysfunction if left untreated. Primary hypothyroidism is 8-9 times more common in women compared to men and increases with age. Levothyroxine (LT4) is an effective standard treatment for hypothyroidism; however, patient adherence to medication significantly influences treatment success. Ensuring medication compliance in chronic diseases is critical to reducing morbidity and mortality rates, as well as healthcare costs. This study aims to evaluate the knowledge levels, behaviors, and medication compliance of hypothyroid patients regarding levothyroxine use at Pamukkale University Faculty of Medicine Family Medicine Outpatient Clinic. This study was designed as a cross-sectional and descriptive research. It was conducted at Pamukkale University Family Medicine Outpatient Clinic between August 1 and November 30, 2024. The study population consisted of hypothyroid patients who applied to the outpatient clinic, and the entire population was targeted without selecting a sample. Inclusion criteria for participation included being 18 years or older, using levothyroxine, and completing the questionnaire fully. Data were collected using questions covering sociodemographic information, statements measuring knowledge about thyroid and thyroid medications, and the Modified Morisky Scale. The data were analyzed using SPSS 25.0 software, with statistical evaluations conducted using both parametric and non-parametric tests. The study included 213 hypothyroid patients with a mean age of 41.11 ± 14.56 years. Of the participants, 86.9% were female, and 39.4% held a university degree. A family history of hypothyroidism was present in 62% of the participants, and 20.2% had undergone thyroid surgery. Among those using levothyroxine, 99.5% took the medication in the morning, and 98.6% took it on an empty stomach. However, only 30.5% correctly knew that there should be at least a 4-hour interval between LT4 and other medications like iron and calcium. While 65.7% of participants showed high motivation in medication use, 87.3% demonstrated a high level of knowledge. Younger age groups and those with higher educational attainment exhibited significantly higher knowledge levels (p0.05). This study revealed that hypothyroid patients generally have good knowledge about levothyroxine use, though there are notable gaps regarding drug interactions and proper usage intervals. Medication compliance was found to be largely adequate. However, to further improve adherence and address knowledge deficiencies, expanding patient education and informational programs is recommended. Special attention should be given to older individuals and those with lower educational backgrounds to enhance their knowledge. Additionally, raising awareness about drug interactions and ensuring regular patient monitoring could significantly improve treatment outcomes. Keywords: Hypothyroidism, Levothyroxine, Medication compliance, Treatment adherence, Family Medicine.Hipotiroidi, tiroid hormonlarının yetersizliği veya etkisizliği sonucu ortaya çıkan metabolizmanın yavaşlamasıyla karakterize kronik bir hastalıktır. Hipotiroidizm, özellikle birinci basamak sağlık hizmetlerinde sık karşılaşılan bir endokrin bozukluk olup, tedavi edilmediğinde hipertansiyon, dislipidemi, bilişsel bozukluklar ve nöromüsküler disfonksiyon gibi ciddi sağlık sorunlarına yol açabilir. Primer hipotiroidi, kadınlarda erkeklere oranla 8-9 kat daha sık görülür ve yaşla birlikte görülme sıklığı artar. Hipotiroidi tedavisinde kullanılan levotiroksin (LT4), etkili bir tedavi yöntemi olmakla birlikte, hastaların ilaç kullanımına uyumları tedavi başarısını doğrudan etkiler. Kronik hastalıklarda tedaviye uyumun sağlanamaması, morbidite ve mortalite oranlarını artırmakta, sağlık harcamalarını da olumsuz etkilemektedir. Bu çalışmada, Pamukkale Üniversitesi Tıp Fakültesi Aile Hekimliği Polikliniğine başvuran hipotiroidi hastalarının levotiroksin kullanımı konusundaki bilgi düzeyleri, ilaç kullanım davranışları ve tedaviye uyumlarının değerlendirilmesi amaçlanmıştır. Bu çalışma, kesitsel ve tanımlayıcı bir araştırma olarak tasarlanmıştır. Çalışma, Pamukkale Üniversitesi Aile Hekimliği Polikliniğinde 1 Ağustos-30 Kasım 2024 tarihleri arasında gerçekleştirilmiştir. Çalışmanın evrenini, polikliniğe başvuran hipotiroidi hastaları oluşturmuş ve örneklem seçilmeden evrenin tamamına ulaşılması hedeflenmiştir. Araştırmaya katılım için 18 yaş ve üzeri olmak, levotiroksin kullanıyor olmak ve anketi eksiksiz doldurmak gibi kriterler belirlenmiştir. Veriler, sosyodemografik bilgileri içeren sorular, tiroid ve tiroid ilaçları hakkındaki bilgi düzeyini ölçen önermeler ve Modifiye Morisky Ölçeği kullanılarak toplanmıştır. Verilerin analizi SPSS 25.0 yazılımı ile yapılmış, parametrik ve non-parametrik testler kullanılarak istatistiksel değerlendirmeler gerçekleştirilmiştir. Çalışmaya 213 hipotiroidi hastası katılmış olup, yaş ortalamaları 41,11 ± 14,56'dır. Katılımcıların %86,9'u kadın, %39,4'ü üniversite mezunudur. Hastaların %62'sinde ailede hipotiroidi öyküsü bulunurken, %20,2'si tiroid cerrahisi geçirmiştir. Levotiroksin kullananların %99,5'i ilacı sabah ve %98,6'sı aç karnına almaktadır. Ancak, LT4 ile diğer ilaçlar arasında en az 4 saat beklenmesi gerektiği bilgisi yalnızca %30,5 oranında doğru bilinmektedir. Katılımcıların %65,7'si ilaç kullanımında yüksek motivasyona, %87,3'ü ise yüksek bilgi düzeyine sahiptir. Genç yaş gruplarında ve yüksek eğitim seviyesinde bilgi düzeyi anlamlı şekilde daha yüksektir(p0,05). Bu çalışma, hipotiroidi hastalarının levotiroksin kullanımı konusundaki bilgi düzeylerinin genel olarak iyi olduğunu, ancak ilaç etkileşimleri ve doğru kullanım süreleri gibi kritik konularda bilgi eksikliklerinin bulunduğunu ortaya koymuştur. İlaç uyumu ise büyük ölçüde yeterli seviyede bulunmuş, ancak tedaviye uyumu artırmak ve bilgi eksikliklerini gidermek için hasta eğitimi ve bilgilendirme programlarının yaygınlaştırılması gerektiği sonucuna varılmıştır. Özellikle yaşlı bireylerde ve düşük eğitim seviyesine sahip hastalarda bilgi düzeyini artıracak müdahalelerin sağlık hizmetlerine entegrasyonu önerilmektedir. Ayrıca, ilaç etkileşimleri konusunda farkındalık oluşturulması ve hastaların düzenli takibi ile tedavi başarısının artırılması sağlanabilir. Anahtar kelimeler: Hipotiroidi, Levotiroksin, İlaç uyumu, Tedavi uyumu, Aile Hekimliğ
Pre-Alpine Illitization Ages From the Palaeozoic Sequences of the Tauride Belt, Southern Turkiye: New Data for a Late Palaeozoic Event in Northern Gondwana
No full textUysal, Ibrahim Tonguc/0000-0002-8263-8774Due to the effects of the Alpine orogeny, it is extremely difficult to obtain age data for pre-Alpine geological events for northern Gondwana. This study aims to study the metamorphism in Precambrian (Ediacaran) metaclastic rocks of the Geyik Dagi unit and re-evaluate the geodynamic models of the northern Gondwana-margin based on the geochronology of illite diagenesis in the Late Silurian to Carboniferous shales of the Aladag and Geyik Dagi units of the Taurides, in southern Turkiye. The average illitization (diagenesis) ages of similar to 275 Ma and similar to 165 Ma correspond to the periods of main unconformities between the Middle Carboniferous and the Late Permian and the Triassic and the Late Jurassic. The fossil records from below and above the unconformity plane between the Middle Carboniferous and the Late Permian indicate a gap of > 70 Ma. Mineralogical and organic matter reflectance data indicate a temperature difference of similar to 50 degrees C between Permian and Carboniferous units indicating different thermal gradients below and above the hiatus. This thermal event coincides with the maximum burial depth resulting from the Palaeozoic subsidence curve of the Geyik Dagi Unit. Mineral and organic petrography-based thermal indicators indicate a pre-Alpine (Variscan) regional tectonic event, confirmed here for the first time by combined mineralogical, organic-petrographic, and isotopic age data. The new data may have the potential to re-evaluate geodynamic models of the northern Gondwana-margin during the Late Palaeozoic. The illitization ages associated with the Alpine metamorphism are ascribed to ophiolite emplacement during the Cretaceous and to tectonic events during the Eocene compressional period, which led to the present nappe structure of the Taurides.Radiometric dating was partly funded through a grant from the Queensland State Government allocated to the Queensland Geothermal Energy Centre of Excellence (QGECE). Support by Hal Gurgenci (former QGECE's director) is particularly acknowledged. We thank Yue-xing Feng and Ai Duc Nguyen (University of Queensland, Australia) for their help with analytical work and technical assistance to perform Rb-Sr analyses. We also thank to Editor-in-Chief Prof. Dr. Robert Stern, Dr. Mathias Hueck and two anonymous reviewers for their valuable contributions to the improving of the manuscript and for their constructive suggestions.Scientific and Technological Research Council of Trkiye; Queensland State Government; Queensland Geothermal Energy Centre of Excellence (QGECE