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Böbrek Nakli Yapılan Hastalarda Sosyo-demografik ve Klinik Özelliklerin İmmünosupresif Uyumuna Etkisinin Değerlendirilmesi: Tek Merkezli Çalışma
No full textAmaç: Bu araştırmada böbrek nakli yapılan hastaların ilaç uyum oranlarını, sosyo-demografik ve klinik özelliklerin immünosupresif uyumuna etkisini değerlendirmek amaçlanmaktadır. \r\rMateryal ve Metot: Araştırma tek merkezli olarak kesitsel tanımlayıcı planlandı ve gerçekleştirildi. Araştırmaya organ nakli merkezinde son 6 yılda (2015-2021) böbrek nakli yapılan 210 hasta dahil edildi. Araştırmada veri toplama araçları olarak; “Hasta Bilgi Formu”, Böbrek Nakli Hastaları İçin İlaç İzlem Formu”, “İmmünosüpresif Tedaviye Uyum Ölçeği” kullanıldı. \r\rBulgular: Çalışmaya alınan hastaların İmmünosüpresif Tedaviye Uyum Ölçeği toplam puanları ortalama 11,16±0,82 olarak bulundu ve %57,9’unun immünosupresif ilaç kullanımına çok iyi uyum gösterdiği belirlendi. Sosyodemografik özelliklerden evli, üniversite mezunu, yüksek gelire sahip olanlarda İmmünosüpresif Tedaviye Uyum Ölçeği toplam puanları yüksek bulundu. Klinik özelliklerden ise bir günde kullanılan ilaç adedi arttıkça katılımcıların İmmünosüpresif Tedaviye Uyum Ölçeği puanlarının azaldığı saptandı. İlaç kullanımına yönelik eğitim alanlarda, immünosupresif ilaçların yan etkileri olmayan katılımcılarda İmmünosüpresif Tedaviye Uyum Ölçeği toplam puanları daha yüksek bulundu. \r\rSonuç: Böbrek nakli yapılan merkezlerde hastaların immünosupresif ilaç uyumlarının düzenli olarak kontrol edilmesi, uyumsuzluğa etki eden faktörlerin belirlenerek uyumu arttırıcı doğru yaklaşım yöntemlerinin geliştirilmesi, yaygınlaşması, süreklilik kazanması ve bunun hastane protokollerine eklenmesi gerektiğini düşünmekteyiz
How Do Mobile Wallets Improve Sustainability in Payment Services? a Comprehensive Literature Review
No full textHOPALI, EGEMEN/0000-0003-3714-3374; Kalender, Zeynep Tugce/0000-0002-9491-7252; Vayvay, Ozalp/0000-0003-0504-3395; Turhan, Deniz/0000-0002-9430-1140Easy access to the Internet, smartphones, and mobile-based banking change customer shopping intentions. As a crucial component of financial technology (Fintech), mobile wallets enable customers to shop via smartphones. Mobile wallets present a cashless transactional method, cost-efficient services, and traceable options that improve sustainability in payment services. Over the last decade, mobile wallet services have evolved and attracted considerable attention from customers and companies. Due to the need for a comprehensive mobile wallet literature survey, this article aims at filling this research gap by covering articles published between 2012 and 2022 over the Scopus, Web of Science, and Science Direct databases. A clear filtering policy was conducted to observe the related article topics. Thus, 128 articles that met the inclusion and exclusion criteria were analyzed. Moreover, the articles were initially classified into three main groups, which was performed via scanning and categorizing all studies in the last ten years from different databases. In addition, the literature was systematically reviewed, providing a better understanding of mobile wallets and contributing to the literature by researching how this service can be improved for payment services with a focus on sustainability. The conducted literature review revealed that mobile wallets could be promoted in terms of environmental traceability, customer lifetime value, and security.Science Citation Index Expanded - Social Science Citation Inde
Hemşirelerin Verimlilik Tutumlarının Farklı Vardiyalar İle Bireysel ve Mesleki Özelliklerine Göre Karşılaştırılması
Get PDFAmaç: Bu çalışmanın amacı farklı vardiyalarda çalışmakta olan hemşirelerin verimlilik tutumlarının farklı vardiyalarda çalışma durumlarına ve diğer bağımsız değişkenlere göre değişip değişmediğini araştırmaktır. Yöntem: Tanımlayıcı tipteki bu çalışmaya ABC Üniversitesi Hastanesinde çalışan toplam 176 hemşire dâhil edilmiştir. Tanımlayıcı bilgi formu ile Verimliliğe İlişkin Tutum Ölçeğini içeren veri toplama aracı gerekli izinler alındıktan sonra gece ve gündüz vardiyalarında çalışan hemşirelere ulaştırılmış ve çalışmaya katılmaya gönüllü olan hemşireler tarafından doldurulmuştur. Doldurulan anketler bilgisayar ortamına aktarıldıktan sonra tanımlayıcı istatistikler (yüzde, ortalama, standart sapma) ile parametrik (bağımsız gruplarda t-testi ve tek yönlü varyans analizi) ve parametrik olmayan (Mann Whitney U Analizi ve Kruskall Wallis) karşılaştırma analizleri kullanılmıştır. Bulgular: Sabit ve vardiyalı çalışma durumlarına göre Verimliliğe İlişkin Tutum Ölçeği’nin Mesleğe Bağlılık ve Ödüllendirme alt boyutlarında gruplar arasında istatistiksel olarak anlamlı fark olduğu saptanmıştır (p<0,05). Karşılaştırmalı analizlerde, gelir durumu, kurumdan memnuniyet, birimden memnuniyet, kurumda çalışma süresi, birimde çalışma süresi, ücret gibi diğer bağımsız değişkenlere göre de alt grupların verimlilik düzeyleri arasında istatistiksel olarak anlamlı farklılıklar saptanmıştır (p<0,05). Özgünlük: Hemşirelerin verimlilik tutumları çalıştıkları vardiyaya ve bazı kişisel ve mesleki özelliklerine göre değişkenlik göstermektedir
Comparison of Motorcyclists' Hand Grip Strength and Reaction Time
No full textThe purpose of this study was to compare hand grip strength and reaction times in male motorcycle racers grouped according to different ages and the classes of motorcycle used and determine the relation between these characteristics. Sixty-five healthy male motorcycle racers were divided into four groups according to their age and the power of the motorcycles' engine: (Group-1 [G1] = 600CC/23-34 years; Group-2 [G2] = 600-CC/35-48 years; Group-3 [G3] = 1000-CC/23-34 years; Group-4 [G4] = 1000-CC/35-48 years). Then, Nelson's reaction time and maximal hand grip strength were measured for both hands. There were no significant differences between the groups' grip strength (p>0.05). It was found that G1's right-and left-hand reaction time was faster than that of G2, and G1's left-hand reaction time was faster than that of G3 (p<0.05). The right-hand visual reaction time was found to have a negative weak correlation with the left-hand absolute grip strength (r=-0.247, p=0.047), and there was a weak positive correlation between the left-hand visual reaction time and height (r=0.315, p=0.011). G1's right-hand visual reaction time was better than that of G2 (p < 0.001), and G1's visual left-hand reaction time was better than those of G2 (p < 0.034) and G3 (p < 0.011). Although the absolute and relative hand grip strength values did not differ according to the ages and the engine power of the motorcycle used, it was found that the simple reaction time increased with increasing age.Turkish Motorcycle FederationThe authors kindly thank the motorcycle racers who participated in this study, as well as the Turkish Motorcycle Federation that supported this project.Emerging Sources Citation Inde
Assessment of the Effectiveness of Patient Education and Interviews in Improving Medication Adherence of Renal Transplant Recipients
No full textBackground Non-compliance with immunosuppressive drugs has been reported as the most significant cause of graft loss. Since non-compliance with immunosuppressive drugs is preventable, certain approaches based on the risk factors and causes of non-compliance can help eliminate this problem. Aims The purpose of this study is to assess the effectiveness of patient education and interviews in improving medication adherence of renal-transplant recipients. Materials and methods This study was designed as a randomized controlled trial. Using the G*Power program, the sample size was calculated as 60 subjects, with 30 in both the intervention group and control group. Data collection tools included a patient information form, a pretest-posttest, a drug monitoring form for kidney transplant patients, the Immunosuppressive Therapy Adherence Scale, measurement of tacrolimus blood levels, and a training booklet. Results The mean knowledge score in the intervention group was 12.17 +/- 3.39 at baseline, and it increased to 20.73 +/- 1.57 after the intervention. The mean scores on the Immunosuppressant Therapy Adherence Scale were 11.67 +/- 0.55 and 10.70 +/- 0.99 in the intervention group and control group, respectively. There was a statistically significant difference between the pre- test and post-test means on the Immunosuppressant Therapy Adherence Scale in the intervention group. The mean Immunosuppressant Therapy Adherence Scale score was higher in the intervention group. In the measurement of tacrolimus blood levels, medication adherence was found the be higher in the intervention group. The difference between the groups was statistically significant. There was a positive correlation between the tacrolimus blood levels and the Immunosuppressant Therapy Adherence Scale scores in both groups. Conclusions To conclude, our results have demonstrated that patient education and interviews improve immunosuppressant medication adherence in renal transplant recipients. Using direct or indirect methods proved similar outcomes, suggesting that both evaluation methods are safe.Emerging Sources Citation Inde
Effect of Pilates Exercises on the Body Composition of Fasting Females
No full textErsin, Aybuke/0000-0002-2645-5850; Guclu, Duygu/0000-0003-2218-4261; Batar, Nazli/0000-0001-9527-5709; Sevdin, Sezen/0000-0002-5961-8054Objective: This study aimed to evaluate the changes in the body composition of individuals who fasted and did Pilates at least twice a week during Ramadan versus those who fasted but did no Pilates. Methods: This was an experimental study conducted on 60 healthy women who were admitted to the Noi Pilates in Istanbul Turkey, which was a private Pilates studio. The study was carried out on 60 grown-up, healthy women between 18 and 65 years of age who fasted in Ramadan 2019, some of whom did Pilates and some who did not. The women involved in the study had been doing Pilates for 6 months prior to Ramadan and did Pilates at least 3 times a week during Ramadan. Results: Significant increases were observed in body mass index (BMI), triceps skin-fold thickness (SFT), muscle mass and fat percentage in the fasting and non-pilates group (p<0.05). Our study found the change in the percentage of triceps SFT and fat in women who did Pilates to be more than those who did not. BMI, muscle mass, waist circumference and hip circumference of women who did Pilates and who did not do Pilates during Ramadan did not differ compared to the first measurements, and neither of the two methods dominated in terms of these variables. Conclusion: While a long period of fasting in Ramadan leads people to inactivity, personalized exercise and nutrition programs planned by experts may result in weight loss, especially for obese and slightly overweight people
Respiratory Muscle Endurance in Obesity Hypoventilation Syndrome
No full textDusgun, Elif Sena/0000-0003-0419-1150; KURAN ASLAN, GOKSEN/0000-0002-0169-0707BACKGROUND: An increase in respiratory work load and resistance to respiration cause a decrease in respiratory muscle endurance (RME) in patients with obesity hypoventilation syndrome (OHS). We aimed to evaluate and compare RME in subjects with OHS and a control group using an incremental load test and compare the RME of subjects with OHS in whom noninvasive ventilation (NIV) was and was not used. METHODS: Forty subjects with OHS (divided according to body mass index [BMI] as group I: 30-40 kg/m(2); and group II: 6 40 kg/m(2)) and 20 subjects with obesity (control group: 30-40 kg/m(2)) were included in the study. RME was evaluated using the incremental load test, and respiratory muscle strength (RMS) was evaluated using mouth pressure measurements. The 6-min walk test, Epworth Sleepiness Scale (ESS), Pittsburgh Sleep Quality Index (PSQI), Fatigue Severity Scale (FSS), EQ-5D Health-Related Quality of Life Questionnaire (EQ-5D), and the Obesity and Weight-Loss Quality of Life Instrument (OWLQOL) were performed. RESULTS: RME and RMS (%) in group I were lower than the control group (P=.001, P=.005, and P=.001, respectively). No significant difference was found between the 3 groups in terms of 6-min walk distance (6MWD) percentage predicted values (P=.98). RME in the NIV user group was higher than the non-user group (P 5.006). ESS, total PSQI, and FSS scores in the control group were less than group I (P=.01, P=.009, and P=.005, respectively) and group II (P 5.01, P <.001, and P <.001, respectively). The EQ-5D scores of the control group were higher than group II only (P=.005 and P=.005, respectively). There were no differences in OWLQOL between the groups (P=.053). CONCLUSIONS: RME was low in subjects with OHS but higher in those who used NIV. The incremental load test could be performed easily and safely in a clinic setting.Istanbul University-Cerrahpasa Research Foundation [29713]This study was supported by Istanbul University-Cerrahpasa Research Foundation, project number 29713.Science Citation Index Expanded - Social Science Citation Inde
James Joyce’un Ulysses Romanında Biçim: Parçalanma ve Kapanış
Get PDFJames Joyce’un modernist edebiyatın başyapıtlarından biri kabul edilen Ulysses başlıklı romanı 1918-1920 yılları arasında tefrika edilmiş ve 1922 yılında kitap olarak yayımlanmıştır. Hem tefrika edildiği dönemde hem de yayımlanmasından bu yana Ulysses hakkında yoğun tartışmalar yapılmış, roman farklı yorumlama çerçevelerinden ele alınmaya çalışılmıştır. Bu yorumlama ve çözümleme çabalarında Ulysses’in olağanüstü bir çeşitlilik gösteren biçimsel özelliği her zaman önemli bir yer işgal etmiştir. Bu makalede James Joyce’un romanına yönelik belli başlı biçimsel çözümleme yaklaşımları üzerinde durulmakta, bu yaklaşımlarda Ulysses’e dair ne tür yorumlama pratikleri gerçekleştirildiği ve metnin tümüyle ilgili ne gibi anlam arayışlarına girişildiği ele alınmaktadır. Makalede yapılan tartışmada, Ulysses’in biçiminin müzikal okuması da dâhil olmak üzere, Homeros’un Odysseia destanını ve bu metnin içeriğini Joyce’un eserine birebir eşleyerek uygulamayı tercih eden yaklaşımların sorunlu yanları vurgulanmaktadır. Bunun yanında, Ulysses’in biçimsel çözümlemelerinde modernist edebiyatın ortaya çıktığı dönemin egemen toplumsal ve öznel deneyimi olan parçalanma ve bütünlük kaybı olgularının mutlaka merkezde yer alması gerektiği öne sürülmektedir
Time Difference Between Onsets of Lateral and Medial Hamstring Muscles During Gait in Patients With Patellofemoral Pain: a Preliminary Study
Get PDFOZTURK, Necla/0000-0002-6546-2914; CAN, FILIZ/0000-0003-0641-9956; Kilicoglu, Onder Ismet/0000-0003-0023-7094; Nadir Kuchimov, Shavkat Sevket/0000-0003-1481-8447Objective: Early activation of lateral hamstrings (LH) relative to medial hamstrings (MH) has been thought to be the cause of abnormal knee abduction and external rotation of the tibia, which affects the orientation of patellar tendon and increases lateral patellofemoral compression. Therefore, early activation of LH relative to MH is considered to have a role in the patellofemoral pain (PFP). The aim of this study was to investigate the time difference between MH and LH onsets in patients with PFP during gait. Methods: Thirteen patients with bilateral PFP (mean age 28.73 +/- 7.44 years) and 13 asymptomatic subjects (mean age 30.47 +/- 6.22 years) were recruited in the study. Gait analysis was performed using the ELITE system (BTS, Milano-Italy) with video cameras (TVC, BTS, Milano-Italy). Participants were requested to walk at a self-selected speed on a force platform, and EMG data were recorded from MH and LH muscles for 10 initial contacts by using TELEEMG (BTS, Milano-Italy). Time difference between the onsets of the MH and LH was calculated for each initial contact by using moving averaging method, then their mean was obtained for each participant. Results: The time difference between onsets of MH and LH was - 26.9 +/- 22.2 ms for PFP subjects and - 11.2 +/- 14.2 ms for control subjects, and LH mainly became activated earlier compared to MH in most of the subjects in both groups. There was a statistically significant difference between the time differences of the groups (p=0.041). Conclusion: Our findings suggest that LH displayed an earlier activation in subjects with PFP compared to control subjects during gait.Emerging Sources Citation Inde
Measurement of Perceived Psychological Safety: Integration, Review and Evidences for the Scale in the Context of Turkiye
Get PDFPsychological safety can predict many positive individual and organizational outcomes at work, and previous research addressed how psychological safety contributes to positive work attitudes and behaviors. In Turkey, there is quite an amount of research showing the contributing role of psychological safety perception on employees' positive performance behaviors and organizational effectiveness and innovativeness. However, previous research in Turkey does not adequately show the reliability and validity of the psychological safety scale, which was developed by Edmondson (1999). Based on the suggested requirement this study aimed to investigate the psychological safety perceptions of individuals who work in various sectors in Turkey. The adapted version of the psychological safety scale was used to gain evidence for the reliability and validity of the instrument in Turkey. In total, 585 individuals working in various industries and from various occupational groups participated in the research. Both exploratory factor analysis and the confirmatory factor analysis showed that Turkish adapted version of the psychological safety scale was valid and reliable.Emerging Sources Citation Inde