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    Technical Approaches for Preservation of the Temporalis Muscle in Neurosurgery: A Systematic Review

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    Background:The temporalis muscle is commonly dissected and mobilized during craniotomy. Cosmetic and functional complications may arise from the improper handling of this muscle. Surgery for recurrent pathologies may be challenging due to adhesions and muscle damage.Material and methods:A systematic review following PRISMA guidelines was conducted to consolidate literature on the potential techniques used for preserving the temporalis muscle during neurosurgical interventions. PubMed, Scopus, and Web of Science were systematically searched using predefined criteria from inception to 2025. A qualitative synthesis was done summarizing the primary cranial pathology, type of surgical approach, the technical clue for temporalis muscle preservation, follow up and complications.Results:We included 27 eligible articles with a total number of 811 patients. About 508 (62.6%) of patients underwent pterional approach, while 150 (18.4%) patients had decompressive craniotomies. Aneurysm clipping was the surgical indication in 172 (21.2%) patients, while decompressive surgery was done for traumatic brain injuries in about 48 (5.9%) patients. Osteoplastic temporalis muscle flap was used in 178 (21.9%) patients, while some authors sutured the temporalis muscle to the cranioplasty plate in 79 (9.7%) patients. Fixation of the temporalis muscle to the bone using sutures through small holes was done in 100 (12.33%) patients. No chewing problems were recorded among all the patients analyzed. Temporalis muscle atrophy was observed in only 13 (1.6%) patients.Conclusion:Proper manipulation of the temporalis muscle during surgery is crucial for the vitality of its fibers and to prevent postoperative functional or cosmetic drawbacks.Emerging Sources Citation Inde

    Sporcularda Zihinsel Dayanıklılık ile Algılanan Ebeveyn Tutumları Arasındaki İlişkide Erken Dönem Uyum Bozucu Şemaların Aracı Rolü

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    Bu çalışmanın amacı, algılanan ebeveyn tutumları, erken dönem uyum bozucu şemalar ve sporcuların zihinsel dayanıklılığı arasındaki ilişkiyi şema terapi modelinden analiz etmektir. Çalışmanın örneklemini en az 2 yıllık lisanslı spor deneyimi olan, 18–30 yaş aralığında, bireysel veya takım sporlarıyla uğraşan 153’ü kadın ve 172’si erkek olmak üzere toplam 325 sporcu oluşturmaktadır. Verilerin toplanması için demografik bilgi formu, “Young Şema Ölçeği - Kısa Form 3,” “Kısaltılmış Algılanan Ebeveyn Tutumları Ölçeği-Çocuk Formu” ve “Sporda Zihinsel Dayanıklılık Envanteri” nden yararlanılmıştır. Aracılık analizi sonuçları, başarısızlık (R2 = .25, p < .001) ve dayanıksızlık şemalarının (R2=.109, p < .001) algılanan ebeveyn reddi ile zihinsel dayanıklılık arasındaki ilişkiye kısmen aracılık ettiğini göstermiştir. Sobel testi incelendiğinde ise dayanıksızlık şemasının algılanan ebeveyn aşırı korumacılığı ile sporcuların zihinsel dayanıklılığı arasındaki ilişkide tam aracılık etkisi (z=-3.52, p < .001), başarısızlık şemasının ise algılanan ebeveyn duygusal yakınlığı ile zihinsel dayanıklılık arasındaki ilişkide kısmi aracılık etkisi (z=3.84, p < .001) gösterdiği görülmüştür. Bu bağlamda algılanan ebeveyn tutumlarının başarısızlık ve dayanıksızlık şemalarının aracı etkisiyle sporcuların zihinsel dayanıklılığı üzerinde etkili olduğu ifade edilebilir

    Investigation of the Effect of 8 Week Ball Handling and Ball Skill Training on Passing and Shooting Accuracy of Male Athletes Receiving Training in a Football School for the Ages of 8-10

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    Bu araştırmanın amacı, 8–10 yaş arası futbol okulunda eğitim alan erkek sporculara uygulanan 8 haftalık topa yatkınlık ve topla beceri çalışmalarının, sporcuların pas ve şut isabet oranları üzerindeki etkisini incelemektir. Her iki gruba araştırma öncesinde ön test, çalışma sonrasında ise son test olarak pas ve şut isabet oranlarını ölçen uygulamalar yapılmıştır. Bu çalışma içerisinde 8-10 yaş arası futbol eğitimi alan çocuklara 8 haftalık topa yatkınlık ve topla beceri antrenmanları uygulanmış ve bunun sonucunda pas ve şut isabeti etkisi incelenmiştir. Ön test-son test kontrol grubu desenine sahip deneysel çalışmada, 25 kişi deney, 25 kişi kontrol grupları olarak toplamda 50 sporcu yer almıştır. Bulgular, deney grubunda hem pas hem de şut becerilerinde istatistiksel olarak anlamlı gelişmeler olduğunu ortaya koymuştur. Pas isabetinde 2,08 puanlık (p < 0,001) ve şut isabetinde 3,20 puanlık (p < 0,001) artışlar, uygulanan programın etkinliğini açıkça göstermiştir. Buna karşın, kontrol grubunda anlamlı bir gelişme gözlenmemiştir. Elde edilen sonuçlar, topa yatkınlık temelli eğitimin yalnızca istatistiksel olarak anlamlı değil, aynı zamanda pratikte performans artırıcı etkiler sağladığını göstermektedir. Ayrıca, düşük başlangıç seviyesine sahip deney grubunun, zamanla kontrol grubuyla eşit ya da daha iyi performansa ulaşması, eğitimin özellikle gelişim ihtiyacı olan çocuklar için etkili bir araç olduğunu göstermektedir. Bu sonuçlar, hedefe yönelik beceri temelli çalışmaların, küçük yaş gruplarındaki sporcularda pas ve şut isabet performansını geliştirmede etkili olduğunu ortaya koymaktadır. Çalışma, çocuk yaş grubunda teknik beceri eğitiminin planlı ve sistematik şekilde uygulanmasının önemini vurgulamaktadır.The purpose of this study was to examine the effects of an eight-week ball handling and ball skills training program administered to male athletes aged 8–10 years old training in a football school on their passing and shooting accuracy. Both groups received a pretest before the study and a posttest after the study, measuring passing and shooting accuracy. In this study, children aged 8–10 receiving football training received an eight-week ball handling and ball skills training program, and the resulting effects were examined on passing and shooting accuracy. A total of 50 athletes participated in the experimental study, 25 in the experimental and 25 in the control groups. The findings revealed statistically significant improvements in both passing and shooting skills in the experimental group. Increases of 2.08 points (p < 0.001) in passing accuracy and 3.20 points (p < 0.001) in shooting accuracy clearly demonstrated the effectiveness of the program. In contrast, no significant improvement was observed in the control group. The results demonstrate that ball-handling-based training not only yields statistically significant but also provides performance-enhancing effects in practice. Furthermore, the fact that the experimental group, with its low initial level, achieved performance equal to or better than the control group over time demonstrates that the training is an effective tool, particularly for children with developmental needs. These results demonstrate that goal-oriented, skill-based training is effective in improving passing and shooting accuracy in young athletes. The study highlights the importance of planned and systematic implementation of technical skills training in childre

    Adölesanlarda Fiziksel Aktivite Düzeyleri Üzerine Bir İzlem Kohort Çalışması

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    Amaç: Düzenli fiziksel aktivite (FA), sağlığın korunması ve kronik hastalıkların önlenmesi açısından hayati öneme sahiptir. Ancak, küresel bulgular adölesan dönemde FA’da tutarlı bir azalma olduğunu göstermekte, Türk adölesanların da son on yıllarda giderek artan hareketsizlik düzeyleri yaşadığı bildirilmektedir. Adölesan dönem, FA alışkanlıklarının oluştuğu ve uzun dönem sağlık sonuçlarını etkilediği kritik bir gelişim evresini temsil etmektedir; ancak Türkiye’de bu konuda uzunlamasına kanıtlar sınırlıdır. Bu çalışma, prospektif kohort tasarımı kullanılarak adölesanlar arasında 18 aylık süreçte FA’daki değişimleri incelemeyi amaçlamıştır. Yöntem: Bu çalışma, prospektif kohort çalışması olarak planlanmıştır. Kasım–Aralık 2022 döneminde temel anketi tamamlayan 296 adölesan (5.–8. sınıf, 11–13 yaş), bunlardan rastgele seçilen bir okuldan 192 öğrenci Mayıs–Haziran 2024’te tekrar takip edilmiştir. Her iki zamanda da antropometrik ölçümler ve Fiziksel Aktivite Anketi–Çocuklar için Versiyonunun (PAQ-C) Türkçe geçerlilik çalışması yapılmış formu kullanılarak FA düzeyleri değerlendirilmiştir. Bulgular: Toplam 157 katılımcı (erkek, n=74; kız, n=83) her iki zamanda da değerlendirmeyi tamamlamıştır. Erkeklerde dokuz PAQ-C maddesinin altısında, kızlarda ise iki maddede anlamlı düşüş gözlenmiştir (p&lt;0,05). Okul zamanı FA (maddeler 2–4) belirgin olarak azalmış, boş zaman ve ders dışı FA (maddeler 1 ve 5–9) ise büyük ölçüde değişmemiştir (p&gt;0,05). Cinsiyet farklılıkları, erkeklerde kızlara kıyasla daha büyük azalmalar olduğunu göstermiştir. Sonuç: On sekiz aylık dönemde adölesanlarda FA düzeylerinde düşüş gözlenmiş, en belirgin azalmalar okul zamanı FA’da ve erkeklerde görülmüştür. Bu bulgular, Türkiye’de ergen FA’sının uzunlamasına izlenmesinin gerekliliğini ortaya koymaktadır. Türkiye’de ergenlerde FA’nın takip edilmesine yönelik çalışmalar halen sınırlıdır

    The Relation Between Personality Traits and Chemotherapy Symptoms of Cancer Patients

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    Objective:This study is important as it is one of the first studies to evaluate the relationship between personality traits and symptoms. Methods:This study was planned as descriptive and cross-sectional. The study was conducted with 468 patients who were voluntary to participate in the study and applied to the chemotherapy unit in a private oncology hospital in Istanbul between January-June 2019. Data were obtained using the Patient Information Form, Chemotherapy Symptom Assessment Scale (C-SAS), and Big Five Inventory. Results:The data were evaluated on computer environment. The mean age of the patients was 59.46±11.78 years, 59.8% are female, 35.7% were secondary school graduate, and 36.5% were housewives.When the mean scores of the big five inventory were examined, it was found that the mean scores were 29.72±3.38 in Extraversion subscale, 28.31±5.62 in Agreeableness subscale, 27.14±4.44 in Conscientiousness subscale, 25.26±3.31 in Neuroticism subscale, and 28.31±5.62 in Openness subscale. One-unit increase in neuroticism was determined to increase post-treatment nausea by 1.14 times, diarrhea by 1.28 times, change in sexual life by 1.14 times, feeling pessimistic and sad by 1.071 times, and feeling anxious and distressed by 1.08 times. Conclusion:It was observed that the personality traits of cancer patients were correlated with the symptoms they experienced related to chemotherapy and the symptoms decreased with the increase of openness, extraversion, agreeableness and conscientiousness characteristics and the symptoms increased with the increase of neuroticism characteristic.These results indicated that healthcare professionals should consider personnel characteristics of cancer patients while evaluating the symptoms they experienced and providing care

    Ultrasound Measurements of Pelvic Floor and Diaphragm Muscles in Chronic Obstructive Pulmonary Disease Patients With Urinary Incontinence

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    BackgroundThe precise manner in which morphological properties of pelvic floor muscles (PFMs) and diaphragm muscle in Chronic Obstructive Pulmonary Disease (COPD) patients with Urinary Incontinence (UI) are affected remains unclear.AimThis study aimed to compare the ultrasound measurements of PFMs and diaphragm muscle in COPD patients with and without UI.MethodsThirty COPD patients with UI [UI group, age: 61.00 (42.00-70.00) years, body mass index: 27.86 (20.20-54.69) kg/m2] and thirty COPD patients without UI [N-UI group, age: 64.00 (47.00-70.00) years, body mass index: 27.11 (20.30-35.94) kg/m2] were included. The PFMs contaction assessment and diaphragm muscle morphological properties were evaluated using the Logiq S7/Expert ultrasound device. The percentage of change in thickness of diaphragm muscle, known as the diaphragm thickening fraction index (DTFI), was also calculated.ResultsIt was found that the PFMs contraction (p = 0.018) and DTFI (p = 0.016) values were significantly lower in the UI group compared to the N-UI group. No significant differences were observed in the diaphragm thickness score during the inspiration (p = 0.973) and expiration (p = 0.233) between the groups.ConclusionsPatients with COPD and UI exhibited diminished the PFMs contaction severity and DTFI compared to those with COPD but no UI. It should be considered that UI comorbidity in COPD may negatively affect PFMs contaction severity and diaphragm muscle morphological properties

    Comprehensive Bibliometric Analysis of Characteristics, Patterns, and Causes of Retractions in Pediatric Literature

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    This study aimed to systematically identify the key characteristics of retracted articles in pediatric literature and explore the patterns and reasons of pediatric retraction from 1995 to 2024. We searched PubMed and Retraction Watch databases to identify all retracted publications in the field of pediatrics. After the screening process, data were extracted into Excel. Statistical analysis was conducted using Jamovi and Excel. A correlation matrix was used for the important retraction-related factors. After screening, 590 unique retracted pediatric articles were included, with most of them, 572 (96.9%), having retraction notices available; 516 (87.5%) published as open access; 433 (73.4%) from Asia-mostly China; 348 (59%) retracted by the publisher; 301 (51.0%) published by Hindawi; 275 (46.6%) observational studies; and 221 (37.5%) retracted due to misconduct. Articles with four authors showed the highest retraction rate, and the retraction rate generally decreased as the number of authors increased. Most retractions occurred in 2023. The most common pediatric age group included in the retracted papers was children. The median H-index of authors of retracted papers was 8 for first authors and 10 for senior authors. The median time from submission to acceptance of retracted papers was 50 days and that from publication to retraction was 15 months. Additionally, time to retraction was positively correlated with the journal's impact factor (r = 0.106, p = 0.015) and the citation count (r = 0.213, p < 0.001) but showed no significant correlation with time to acceptance (r = - 0.019, p = 0.675). Conclusion: The increasing number of retracted pediatric papers reflects a growing concern with a complex pattern and various determinants. Researchers and publishers should adopt strong regulations and guidelines to improve the integrity of scientific research, especially pediatric research

    Effect of Progressive Muscle Relaxation on Postoperative Pain in Laparoscopic Living Kidney Donors: A Randomized Controlled Trial

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    Aim This study aimed to evaluate the effect of progressive muscle relaxation on postoperative pain in laparoscopic living kidney donors. Design This was a randomized controlled, single-blind trial. This study was conducted in accordance with the CONSORT statement. Methods This study was conducted between January and September 2023 and included 62 patients (study group = 31, control group = 31) who met the inclusion criteria and underwent laparoscopic living donor nephrectomy in the transplant service of a private hospital in Istanbul province. A power analysis was performed to calculate the sample size and the power of the study (G*Power 3.1). Study data were collected using a patient information form, a postoperative patient follow-up and evaluation form to record the total number of bolus requests and administrations via of boluses with the PCA device and additional analgesic needs, and the Visual Analog Scale (VAS). The data obtained in the study were analyzed on the SPSS 22.0 statistical software. Results Additional analgesic requirements did not differ significantly between groups where progressive muscle relaxation exercises were applied and the VAS score and bolus requirement were significantly lower than in the control group (p 0.05), the time to start mobilization was significantly earlier in the experimental group (X-2 = 8.808; p = 0.012 < 0.05). As a result of the study, it was found that progressive muscle relaxation exercises reduced postoperative pain, bolus requirements, and anxiety in patients undergoing living donor nephrectomy. Additionally, these exercises facilitated earlier mobilization following surgery

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