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Immersive virtual reality versus cervical mobilization: The effects on joint position sense and pain for chronic neck pain - a randomized controlled trial
No full textBackground: Joint position sense (JPS) deficits and pain are among symptoms observed in patients with chronic neck pain (CNP). Objective: To examine the effects of immersive virtual reality (VR) and cervical mobilization (CM) on JPS and pain in patients with CNP. Methods: This randomized controlled study included 45 patients with CNP, aged 18 to 65. Patients were divided into three groups: VR+traditional exercise, CM+traditional exercise, and traditional exercise alone. The primary outcomes were JPS and pain. The secondary outcomes were balance, functional disability, global perceived effect, and quality of life. Balance outcomes included baropodometric outcomes, 10-meter walking test, foursquare step test, and single leg stance test. All patients completed 10 treatment sessions, with outcomes measured before and after the intervention. Results: There were no statistically significant additional effects of VR or CM on improving JPS or pain relief when added to traditional exercises (p > 0.05). The changes in all balance outcomes, functional disability, and global perceived effect were also similar for the three groups (p > 0.05). The combination of CM or VR and traditional exercises resulted in greater improvement in social function quality of life compared to traditional exercises alone (MD = 21.15, 95 % CI: 9.46, 32.85, Cohen's d = 1.52). Conclusion: The addition of VR or CM to traditional exercises offers no additional benefits for JPS, pain, balance, and function, for individuals with CNP
Adaptation and Validation of the Creative Performance Pressure Scale in the Turkish Context
No full textPurpose – The primary aim of this study is to adapt the Creative Performance Pressure scale developed by Liu et al. (2022) into Turkish and to comprehensively evaluate its factor structure and reliability. Additionally, the Routine Performance Pressure (Mitchell et al., 2018) and Creative Requirements (Unsworth et al., 2005) scales were also adapted into Turkish and assessed through convergent and divergent validity analyses, thereby contributing to the comprehensive validation of these measures. The second aim, aligned with the first, is to examine the effects of creative performance pressure, routine performance pressure, and creative requirements on employee well- being, work stress, and organizational creativity through these scales. Within the scope of this second aim, the study also seeks to establish the predictive validity of the scales. Design/methodology/approach – Collaborative translation technique was used to ensure conceptual and linguistic equivalence of the scale items. Structural validity was tested through confirmatory factor analysis, while internal consistency was assessed using Cronbach’s alpha and composite reliability coefficients. Predictive validity was examined via path analysis. Differences between public and private sector white-collar employees were analyzed using multi-group analysis. The study is theoretically grounded in Cognitive Appraisal and Conservation of Resources theories. Results – The adapted scales demonstrated satisfactory levels of structural validity and reliability for use in the Turkish context. The results revealed significant sectoral differences in the perception of performance pressures and creative requirements, which were found to influence levels of work stress, organizational creativity, and psychological well-being. Discussion – By adapting these scales into Turkish for the first time, the study contributes to the local literature. The findings emphasize that the impact of creative demands and pressures varies across sectors. Therefore, sector-specific strategies are needed to manage work-related stress effectively and foster creativity. Moreover, a balanced and mindful approach to managing these pressures is essential for safeguarding and improving employees’ psychological well-being
Quality and applicability of clinical practice guidelines developed for dental implantology: A systematic scoping review
No full textBackground: Clinical practice guidelines (CPGs) facilitate safe and effective procedures in implant dentistry. However, approaches to their development are diverse and may vary in quality. This article evaluates the quality of clinical practice guidelines in dental implantology. Methods: A scoping review of CPGs published in implantology was conducted. We searched for CPGs in implantology published between January 2000 and July 2020 in MEDLINE, EMBASE, and Google Scholar. Webpages of 52 national dental associations were also searched. Four researchers assessed the quality of the selected CPGs following the Appraisal of Guidelines for Research & Evaluation (AGREE) II instrument. Results: Ninety CPGs were included for analysis. The 6-domain mean score (M) of all included CPGs was 4.3% with median (Mdn) and standard deviation (SD) values of 0.8 and 4.5, respectively. Domain-specific scaled scores revealed that "scope and purpose" (M = 65.3) and "clarity of presentation" (M = 61.1) were the domains with the highest scaled scores. In contrast, the "applicability" and "editorial independence" had the lowest scaled domain scores (M = 13.7 and M = 46.6, respectively). The mean overall CPG assessment score was 4.3 (Mdn = 4.5; SD = 0.8). Conclusion: Standardized methods for guideline development are already available. Patients' role is critical to ensuring that CPGs meet their values and needs. National dental associations, universities, and researchers need to collaborate in the dissemination of clinical practice guidelines (CPGs)
Comparison of Clear Aligners and Fixed Orthodontic Appliances from the Patient's Perspective: A Questionnaire-Based Study
No full textPurpose: This study aimed to evaluate and compare the treatment experiences of individuals undergoing orthodontic care with clear aligners or fixed appliances. Materials and Methods: This cross-sectional study included 90 individuals aged 12–20 years receiving active orthodontic treatment (clear aligners: n=45; fixed appliances: n=45). A structured face-to-face questionnaire including Likert-type and multiple-choice items was used to assess pain, oral hygiene, and appliance usability. Non-parametric continuous variables were analyzed with the Mann–Whitney U test, while categorical variables were evaluated using Chi-square and linear-by-linear association tests. Statistical significance was set at p0.05). Conclusions: This study demonstrated that clear aligners and fixed appliances differ substantially in their effects on patient experience across multiple domains. These findings underscore the importance of incorporating not only biomechanical considerations but also individual patient factors – such as lifestyle, communication needs, and oral hygiene habits – when planning orthodontic treatment
Exosomes: New Biomarker and Therapeutic Candidates in Autism Spectrum Disorder Research.
No full textInvestigation of the Relationship of Depression, Stress and Social Support with Quality of Life in Construction Workers
No full textBackground: Construction workers work under difficult conditions and with inflexible working hours. Quality of life is important in the lives of individual, and to evaluate and analyze the factors affecting construction workers. Objective: This study aims to examine the relationship between depression, stress, social support levels and quality of life in construction workers. Methods: The study included 88 individuals. Quality of life was assessed using the WHOQOL-Brief; for depression level was used Beck Depression Inventory; for social support was used the MSPSS, and stress levels were used the PSS-4. Results: There was a negative correlation between WHOQOL-Brief and Beck Depression Inventory (r = -0.507, p < 0.01) and PSS-4 (r = -0. 423, p < 0.01), and there was a positive correlation between the MSPSS and WHOQOL-Brief (r = 0.328, p = 0.002). Discussion: In construction workers, increased levels of depression and stress and decreased levels of social support negatively affect their quality of life. Therefore, stress, social support, and depression should be evaluated in detail, and employers should consider these factors to improve the quality of life and well-being of their employees