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Öğe Did radiation exposure increase with chest computed tomography use among different ages during the COVID-19 pandemic? A multi-center study with 42028 chest computed tomography scans(Galenos Publishing House, 2023) Coşkun M.; Çilengir A.H.; Çetinoğlu K.; Horoz M.; Sinci A.; Demircan, Betül; Uluç E.PURPOSE To determine whether radiation exposure increased among different ages with chest computed tomography (CT) use during the coronavirus disease-2019 (COVID-19) pandemic. METHODS Patients with chest CT scans in an 8-month period of the pandemic between March 15, 2020, and November 15, 2020, and the same period of the preceding year were included in the study. Indications of chest CT scans were obtained from the clinical notes and categorized as infectious diseases, neoplastic disorders, trauma, and other diseases. Chest CT scans for infectious diseases during the pandemic were compared with those with the same indications in 2019. The dose-length product values were obtained from the protocol screen individually. RESULTS The total number of chest CT scans with an indication of infectious disease was 21746 in 2020 and 4318 in 2019. Total radiation exposure increased by 573% with the use of chest CT for infectious indications but decreased by 19% for neoplasia, 12% for trauma, and 43% for other reasons. The mean age of the patients scanned in 2019 was significantly higher than those scanned during the pandemic (64.6 vs. 50.3 years). A striking increase was seen in the 10–59 age group during the pandemic (P < 0.001). The highest increase was seen in the 20–29 age group, being 18.6 fold. One death was recorded per 58 chest CT scans during the pandemic. Chest CT use was substantially higher at the beginning of the pandemic. CONCLUSION Chest CT was excessively used during the COVID-19 pandemic. Young and middle-aged people were exposed more than others. The impact of COVID-19-pandemic-related radiation exposure on public health should be followed carefully in future years. © 2023, Turkish Society of Radiology. All rights reserved.Öğe The Effect of White Noise and Brahms’ Lullaby on Pain in Infants during Intravenous Blood Draw: A Randomized Controlled Study(InnoVision Communications, 2023) Midilli T.S.; Ergin E.Objective • This study investigates the effects of white noise and Brahms’ lullaby in managing pain in infants who were administered with intravenous blood draws in a pediatric blood-sampling unit. Design • This study was an experimental, randomized controlled trial. Setting • This study was conducted on 0–12-month-old infants admitted to a pediatric blood-sampling unit of a university hospital in Turkey between July and October 2019. Participants • The sample comprised 59 infants 0–12 months of age. The infants were randomly assigned to three groups: (a) white noise, (b) Brahms’ lullaby, and (c) control. Outcome measures • We evaluated the pain of the infants according to the Neonatal Infant Pain Scale (NIPS). We measured their pain and crying time before, during, and after the procedure. Results • The means of the NIPS scores of the infants in the white noise and Brahms’ lullaby groups were lower than that of the control group before, during, and after the procedure. The means of the NIPS scores of the infants in the white noise and Brahms’ lullaby groups were significantly lower than that of the control group during and after the procedure (P <.05). The crying time of the infants in the white noise and Brahms’ lullaby groups were significantly lower than that of the control group after the procedure (P <.05). Conclusion • The white noise and Brahms’ lullaby used during the intravenous blood draw procedure reduced the pain of infants. © 2023, InnoVision Communications. All rights reserved.Öğe The Predictive Value of the Systemic Immune-Inflammation Index for the Progression of Lower Urinary Tract Symptoms in Men(Asian Pacific Organization for Cancer Prevention, 2023) Horsanali M.O.; Dil E.; Caglayan A.; Ekren F.; Ozsagir Y.O.Introduction: This retrospective cross-sectional observational study aimed to investigate the predictive value of the systemic immune-inflammation index (SII) for the progression of lower urinary tract symptoms (LUTS) in men with benign prostatic hyperplasia (BPH). Material and method: A total of 280 patients diagnosed with LUTS were analyzed, and their demographic characteristics, laboratory results, urological parameters, and SII levels were recorded retrospectively. Results: Clinical progression of LUTS was observed in 43.2% of the patients, with 23.9% undergoing surgery and 21.4% progressing to acute urinary retention. The study found that elevated SII levels were significantly correlated with disease progression and worse outcomes. Multivariate analysis revealed that peak urinary flow rate, erectile function scores, and platelet levels were risk factors for predicting clinical progression in LUTS/BPH patients. Conclusion: The findings suggest that systemic inflammation and immune dysregulation play a role in BPH pathogenesis and the development of LUTS. Incorporating SII assessment into routine clinical practice could aid in risk stratification, treatment decision-making, and monitoring of disease progression in LUTS/BPH patients. This work is licensed under a Creative Commons Attribution-Non Commercial 4.0 International License.Öğe The importance of GRACE risk score in the development of high-grade atrioventricular conduction blocks after non-st-segment elevation myocardial infarction(Verduci Editore s.r.l, 2023) Uyan U.; Aydin C.; Gül İ.OBJECTIVE: The development of high-grade atrioventricular block (HG-AVB) after acute coronary syndrome (ACS) increases morbidity and mortality rates. A significant portion of HG-AVBs resolve spontaneously after revascularization. We aimed to evaluate the power of the GRACE scoring system in predicting the development of HG-AVB and its importance in determining the need for cardiac pacemakers. PATIENTS AND METHODS: Patients who applied to our center between July 2020 and February 2023 were included in the study. 600 patients [340 (56.6%) male, mean age 65.4±13.6] without ST-segment elevation (NSTEMI) and who underwent revascularization were evaluated within the scope of the study. The heart rhythms of the patients were evaluated from the electrocardiograms (ECG) at admission. Patients with HG-AVB and other patients were divided into two groups. The heart rhythms of these patients were evaluated during their hospitalization. Then, HG-AVB patients were also divided into two groups (with and without PPM need). Demographic, laboratory, angiographic, and echocardiographic characteristics of these patients were evaluated. RESULTS: Morbidity and mortality were higher in the HG-AVB group. These patients had longer intensive care and hospital stays. The mean age, creatinine value, GRACE score (GS), total cholesterol (TC), and RCA lesion rates were higher in the HG-AVB group; hemoglobin level was found to be lower. As a result of regression analysis, RCA lesion, hemoglobin value, GRACE score, creatinine, and TC levels were predictors of HG-AVB development. In determining the need for PPM, these variables were found to be effective. ROC analysis was performed for GS, which predicted the development of HG-AVB, and the cut-off value was found to be 185.5. CONCLUSIONS: The development of HG-AVB after NSTEMI is an important health problem. By detecting these patients and those who may need PPM beforehand, various complications can be prevented, and the length of stay in the hospital can be shortened. Calculation of GS is an important parameter that can be used to predict the development and course of HG-AVB. © 2023 Verduci Editore s.r.l. All rights reserved.Öğe The association of meatal stenosis and infant circumcision(Turkish National Pediatric Society, 2023) Tiryaki S.; Issi Y.Background. The association of meatal stenosis with age at circumcision is controversial. We noticed a high rate of meatal stenosis in a region where early circumcision is traditional. The aim of this study is to compare the age at circumcision between boys with or without meatal stenosis. Methods. After ethical approval, families of children with meatal stenosis were questioned about age at circumcision and reason for circumcision. Control group consisted of patients with diagnoses other than penile abnormalities, a normal urethral meatus, and having no symptoms about urination. Patients with a history of therapeutic circumcision were excluded from the study. Results. Between November 2016 and November 2020, 115 patients with meatal stenosis were admitted. All were corrected with ventral meatotomy under general anesthesia. Median age at circumcision was 3 (min:0-max:111) monthsand age at admission was 74 (min:22-max:194) months. Control group consisted of 205 boys. Median age at circumcision was 5 (min:0-max:122) months and age at admission was 96 (13-202) months. There was a statistically significant difference between groups in terms of age at circumcision (p=0.024) but none for age at admission (p=0.356). There was a twofold increase in the meatal stenosis rate (39% vs. 23%) if circumcision was performed before age one (p=0.018). There was no difference between the patients circumcised in the newborn period and later (38% vs 36%, p=0.778). Conclusions. Our study supports the previous reports suggesting a relation of risk for meatal stenosis and age at circumcision and presents data that age one might be a cutoff for this risk. © 2023, Turkish National Pediatric Society. All rights reserved.Öğe Secondary rotator cuff insufficiency after anatomic total shoulder arthroplasty(Journal of Bone and Joint Surgery Inc., 2023) Ardebol J.; Pak T.; Kılıç, Ali İhsan; Hwang S.; Menendez M.E.; Denard P.J.»Secondary rotator cuff insufficiency is a challenging complication after anatomic total shoulder arthroplasty.»Acute tears may be amenable to open or arthroscopic repair in some instances.»Chronic attritional tears are best managed with revision to reverse shoulder arthroplasty, especially in the elderly.»Increased glenoid inclination, larger critical shoulder angle, oversized humeral components, thicker glenoid components, and rotator cuff muscle fatty infiltration have all shown to contribute to tear risk. © 2023 Journal of Bone and Joint Surgery Inc.. All rights reserved.Öğe Acute Side effects and health care requirements in breast cancer patients treated with radiotherapy(2024) Temiz G.; Cankaya G.; Ozturk A.; Ozgen Z.OBJECTIVES: To identify the unmet needs of breast cancer patients undergoing radiotherapy METHODS: A pretest-posttest single-group experimental design, a variation of the experimental research approach, was employed in this investigation. The study's sample consisted of 28 breast cancer patients undergoing radiotherapy at the radiation oncology clinic of a training and research hospital between November 2021 and April 2022. The sample size was determined using G*Power 3.1 software. Data were collected using an Information Form, Radiotherapy Acute Side Effects Follow-up Form, and the Supportive Care Needs Scale (SCNS-SF34). RESULTS: Participants reported experiencing side effects such as difficulty swallowing, sore throat, cough, weakness, loss of appetite, skin sensitivity, discomfort, pain, and skin reactions. These reactions moderately impacted their daily activities, psychological well-being, and unmet needs in terms of patient care and support. CONCLUSION: Breast cancer patients undergoing radiotherapy may not express every side effect they experience to healthcare professionals. This study will contribute to the literature in terms of raising awareness by emphasizing the importance of addressing the comprehensive needs of breast cancer patients throughout their radiotherapy treatment journey. Copyright: © Saudi Medical Journal.Öğe The Relationship Between TIMI Flow and MAPH Score in Patients Undergoing Primary Percutaneous Coronary Intervention for STEMI(International Heart Journal Association, 2023) Yurdam F.S.; Kiş M.The MAPH (mean platelet volume, age, total protein and hematocrit) score is a newly developed simple scoring system for patients with STEMI that has been associated with satisfactory predictive values to determine thrombus burden in STEMI patients. Therefore, the aim of our study was to determine the relationship between the MAPH risk score and TIMI flow in patients with STEMI. The study included 260 patients who underwent primary percutaneous coronary intervention between December 2019 to July 2022, and had TIMI 0 flow in the responsible coronary artery due to STEMI. According to the TIMI flow score after stent implantation, the patients were classified into either the no-reflow group (n = 59) or the normal flow group (n = 201). In order to calculate the MAPH score, ROC analysis was performed to find the cutoff point for each component of the MAPH score. MAPH scores were calculated (MPV + Age + Protein + Hematocrit) for both groups. Our study was a retrospective, observational study. In the multivariable regression analysis, the MAPH score (OR: 0.567; 95%CI: 0.330-0.973, P = 0.04) and glycoprotein IIb/IIIa inhibitors (OR: 0.249; 95%CI: 0.129-0.483, P < 0.001) were parameters found to be independent predictors of TIMI flow. An MAPH score value > 2.5 predicted the presence of low TIMI coronary flow in patients with STEMI, with 78% specificity and 45% sensitivity (ROC area under curve: 0.691, 95% CI: 0.617-0.766, P < 0.001). The MAPH risk score is simple, inexpensive, and quick to calculate. A high MAPH score may be an indi-cator of coronary no-reflow in patients with STEMI. © 2023, International Heart Journal Association. All rights reserved.Öğe Search for Inelastic Dark Matter in Events with Two Displaced Muons and Missing Transverse Momentum in Proton-Proton Collisions at ?s=13 TeV(American Physical Society, 2024) Hayrapetyan A.; Tumasyan A.; Adam W.; Andrejkovic J.W.; Bergauer T.; Chatterjee S.; Damanakis K.A search for dark matter in events with a displaced nonresonant muon pair and missing transverse momentum is presented. The analysis is performed using an integrated luminosity of 138 fb-1 of protonproton (pp) collision data at a center-of-mass energy of 13 TeV produced by the LHC in 2016.2018. No significant excess over the predicted backgrounds is observed. Upper limits are set on the product of the inelastic dark matter production cross section ?(pp ? A? ? ?1?2) and the decay branching fraction ?(?2 ? ?1?+?-), where A? is a dark photon and +++?1 and ?2 are states in the dark sector with near mass degeneracy. This is the first dedicated collider search for inelastic dark matter. © 2024 American Physical Society. All rights reserved.Öğe The effect of footbath applied to patients receiving hemodialysis treatment on comfort, fatigue, and dialysis symptoms: A randomized controlled study(John Wiley and Sons Inc, 2024) Güler S.; Şahan S.; Ülker T.; Sipahioğlu M.H.Introduction: This study aimed to evaluate the effect of warm water footbaths on comfort, fatigue, and dialysis symptoms in patients undergoing hemodialysis. Methods: Data were collected from a total of 58 patients, 31 in the intervention group and 27 in the placebo group. The data in the study are collected using the intervention and control group informed volunteer Form, Patient Demonstration Form, foot Bath Application Monitoring Chart, fatigue VAS Scale Form, Dialysis Symptom Index, and Hemodialysis Comfort Scale (HCS). Results: In the second follow-up in the intervention group, HCS was determined to significantly increase all sub-size and total score averages by the first trace (p < 0.05). VAS fatigue point averages were significantly lower (p < 0.05) in the intervention group. Conclusion: It was determined that the footbath applied to patients who received hemodialysis treatment increased comfort and reduced fatigue and dialysis symptoms. © 2023 International Society for Apheresis and Japanese Society for Apheresis.Öğe Evidence for the Higgs boson decay to a Z boson and a photon at the LHC(American Physical Society, 2024) Aad G.; Abbott B.; Abeling K.; Abicht N.J.; Abidi S.H.; Aboulhorma A.; Abramowicz H.The first evidence for the Higgs boson decay to a Formula Presented boson and a photon is presented, with a statistical significance of 3.4 standard deviations. The result is derived from a combined analysis of the searches performed by the ATLAS and CMS Collaborations with proton-proton collision datasets collected at the CERN Large Hadron Collider (LHC) from 2015 to 2018. These correspond to integrated luminosities of around Formula Presented for each experiment, at a center-of-mass energy of 13 TeV. The measured signal yield is Formula Presented times the standard model prediction, and agrees with the theoretical expectation within 1.9 standard deviations. © 2024 CERN, for the ATLAS and CMSs Collaboration.Öğe Investigation of Age and Gender Effects on the Middle Ear With Wideband Tympanometry in Adults(2024) Kavruk H.; Öztürk B.OBJECTIVES: Several studies have reported the effects of age and gender on the middle ear of adults using wideband acoustic immittance (WAI) that measures middle ear function over a range of frequencies rather than the traditional measures with a single probe tone. Although these results are often based on WAI measurements under ambient pressure, using WAI under varying ear-canal pressures (wideband tympanometry [WBT]) may be able to provide more information about age and gender effects on the middle ear. The aim of this study is to examine the effects of age and gender on the middle ear with WBT in three different age groups consisting of young, middle-aged, and older adults. DESIGN: A total of 95 adults with normal middle ear function were assessed, including 32 young adults (16 men, 16 women, aged 20 to 39 years), 31 middle-aged adults (15 men, 16 women, aged 41 to 60 years), and 32 older adults (16 men, 16 women, aged 65 to 82 years). WBT measurements were performed from 226 to 8000 Hz using Interacoustics Titan. Energy absorbance data at tympanometric peak pressure (EA TPP ) and ambient pressure (EA AP ) at 1/3 octave frequencies, and resonance frequency (RF) data were analyzed according to age and gender variables. RESULTS: Analysis results showed that the mean EA TPP was significantly higher from 500 to 794 Hz and at 5040 and 6350 Hz, and significantly lower from 1587 to 3175 Hz in older adults compared with young adults. The mean EA AP was significantly lower from 1587 to 3175 Hz, and significantly higher at 5040 and 6350 Hz in older adults compared with young adults. There was no significant difference in the mean EA TPP and mean EA AP at any frequency between young and middle-aged adults, and middle-aged and older adults. RF was significantly lower in older adults compared with young adults. In all age groups, men had higher mean EA TPP and mean EA AP at lower frequencies and lower mean EA TPP and mean EA AP at higher frequencies than women. Men had slightly lower RF than women in young and older adults, while men had significantly lower RF than women in middle-aged adults. CONCLUSIONS: This study demonstrated that there are possible age and gender effects on the middle ear that may affect the mechanical transmission of sound. It may be useful to consider this finding in clinical evaluation in adults of different ages and genders, and to establish age- and gender-specific WBT norms in the adult population. Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.Öğe Mid-term effects of two different Kinesio tape treatments in female patients with subacromial impingement syndrome: Randomized controlled ultrasonographic study(Hanley and Belfus Inc., 2023) Umay-Altaş E.; Ecem-Konak H.; Ünsal-Delialioğlu S.; Şahin-Onat; Günay-Uçurum S.Study Design: Randomized controlled study. Purpose of the study: To evaluate the effect of Kinesio Tape (KT) applied differently in patients diagnosed with Subacromial Impingement Syndrome (SIS) on acromiohumeral distance (AHD) and supraspinatus tendon (SsT) thickness using ultrasound (US) and its effect on pain, upper limb functional status and hand grip muscle strength in the short and mid-term. Methods: The 90 patients diagnosed with unilateral SIS by clinical examination were randomized into 3 groups. In addition to exercise therapy, the deltoid in group 1 and the supraspinatus muscle in group 2 were taped from insertion to origin. Group 3, which was the control group, was applied 9 sessions of sham taping for 3 weeks. Cases were evaluated for AHD and SsT thickness, pain was evaluated with the Visual Analog Scale (VAS), function with the Disabilities of the arm, shoulder and hand (DASH) and the Western Ontario Rotator Cuff Index (WORC), and hand grip strength (HGS) using a dynamometer before, and 3rd week and 3rd month after the KT application. Results: There was a significant improvement in all parameters in the short and mid-term intra group comparisons in Group 1 and 2 after taping (P <.05). In intergroup comparisons, significant improvement was achieved in all parameters in Group 1 and Group 2 in the mid and short term compared to the control group (P <.05). In comparison of Group 1 and Group 2, HGS in the short term (p: 0.07) and the SsT thickness in the short and mid-term (p: 0.36, p: 0.85) did not exhibit any difference. The improvement in all other parameters in group 1 was statistically significant. Conclusion: The findings of our study provide definitive evidence for the effectiveness of KT treatment depending on the method of tape application employed. © 2022Öğe Probing Small Bjorken-x Nuclear Gluonic Structure via Coherent J=? Photoproduction in Ultraperipheral Pb-Pb Collisions at ?sNN = 5.02 TeV(American Physical Society, 2023) Tumasyan A.; Adam W.; Andrejkovic J.W.; Bergauer T.; Chatterjee S.; Damanakis K.; Dragicevic M.Quasireal photons exchanged in relativistic heavy ion interactions are powerful probes of the gluonic structure of nuclei. The coherent J=? photoproduction cross section in ultraperipheral lead-lead collisions is measured as a function of photon-nucleus center-of-mass energies per nucleon (WPb?N) over a wide range of 40 < WPb?N < 400 GeV. Results are obtained using data at the nucleon-nucleon center-of-mass energy of 5.02 TeV collected by the CMS experiment at the CERN LHC, corresponding to an integrated luminosity of 1.52 nb?1. The cross section is observed to rise rapidly at low WPb?N, and plateau above WPb?N ? 40 GeV, up to 400 GeV, entering a new regime of small Bjorken-x (?6 × 10?5) gluons being probed in a heavy nucleus. The observed energy dependence is not predicted by current quantum chromodynamic models. © 2023 CERN, for the CMS Collaboration.Öğe Re-examining the characteristics of pediatric multiple sclerosis in the era of antibody-associated demyelinating syndromes(W.B. Saunders Ltd, 2022) Yılmaz Ü.; Gücüyener K.; Yavuz M.; Öncel İ.; Canpolat M.; Saltık S.; Ünver O.Background: The discovery of anti-myelin oligodendrocyte glycoprotein (MOG)-IgG and anti-aquaporin 4 (AQP4)-IgG and the observation on certain patients previously diagnosed with multiple sclerosis (MS) actually have an antibody-mediated disease mandated re-evaluation of pediatric MS series. Aim: To describe the characteristics of recent pediatric MS cases by age groups and compare with the cohort established before 2015. Method: Data of pediatric MS patients diagnosed between 2015 and 2021 were collected from 44 pediatric neurology centers across Türkiye. Clinical and paraclinical features were compared between patients with disease onset before 12 years (earlier onset) and ?12 years (later onset) as well as between our current (2015–2021) and previous (<2015) cohorts. Results: A total of 634 children (456 girls) were enrolled, 89 (14%) were of earlier onset. The earlier-onset group had lower female/male ratio, more frequent initial diagnosis of acute disseminated encephalomyelitis (ADEM), more frequent brainstem symptoms, longer interval between the first two attacks, less frequent spinal cord involvement on magnetic resonance imaging (MRI), and lower prevalence of cerebrospinal fluid (CSF)-restricted oligoclonal bands (OCBs). The earlier-onset group was less likely to respond to initial disease-modifying treatments. Compared to our previous cohort, the current series had fewer patients with onset <12 years, initial presentation with ADEM-like features, brainstem or cerebellar symptoms, seizures, and spinal lesions on MRI. The female/male ratio, the frequency of sensorial symptoms, and CSF-restricted OCBs were higher than reported in our previous cohort. Conclusion: Pediatric MS starting before 12 years was less common than reported previously, likely due to exclusion of patients with antibody-mediated diseases. The results underline the importance of antibody testing and indicate pediatric MS may be a more homogeneous disorder and more similar to adult-onset MS than previously thought. © 2022 European Paediatric Neurology SocietyÖğe Evaluation of Immediate Effects of Straw Phonation Exercise and Determination of the Ideal Performance Time in Healthy Adults(Elsevier Inc., 2023) Tetik-Hacıtahiroğlu K.; Düzenli-Öztürk S.Purpose: The ideal performance time of straw phonation exercise, one of the semi-occluded vocal tract exercise types, in which optimal effects are seen in healthy voices is still unknown. The aim of this study was to investigate the immediate effect of straw phonation exercise in healthy adults after 1, 3, 5, 7, and 10 minutes, considering: acoustic parameters, electroglottographic parameters, auditory-perceptual general voice quality, the participants' self-assessment regarding vocal effort, and laryngeal discomfort during exercise. Methods: This study included 69 participants (35 women, 34 men) with a healthy voice. Participants performed the exercise with straw for a total of 10 minutes. The data were collected before (m0) and immediately after exercises at the first (m1), third (m3), fifth (m5), seventh (m7), and tenth (m10) minutes of performance using sustained emission of vowel /a/ and a sentence. Results: There was an increase in the fundamental frequency at m7 and a decrease in the shimmer from m5 in men. The sound pressure level increased at m5 and m10 in women and from m1 in men. The Acoustic Voice Quality Index score decreased at m5 in men. The mean average closed quotient decreased at m10 in women. Auditory-perceptual general voice quality was optimal at m3 in women and at m5 in men, it deteriorated at m7 in women and at m10 in men. The vocal effort during the exercise increased at m7 in women and at m10 in men. The laryngeal discomfort during the exercise increased for both sexes at m10. Conclusions: The straw phonation exercise in healthy individuals promoted optimal effects on voice quality after 5 and 7 minutes for men and 3 and 5 minutes for women. Prolongation of the exercise time causes negative effects on voice quality and an increase in vocal effort and laryngeal discomfort presented by the participants. © 2023 The Voice FoundationÖğe UV index-based model for predicting synthesis of (pre-)vitamin D3 in the mediterranean basin(Nature Research, 2024) Kallioğlu M.A.; Sharma A.; Kallioğlu A.; Kumar S.; Khargotra R.; Singh T.The importance of solar radiation for the body’s ability to synthesize Vitamin D3 is well documented, yet the precise amount of sun exposure required to avoid Vitamin D insufficiency is less clear. To address this knowledge gap, this study sought to utilize the sun in a suitable period at the optimum dose by utilizing numerical simulations to determine the amount of Vitamin D3 synthesis in the skin according to season, time of day, and geographical location in Turkey. The study was carried out in three stages; in the first stage, daily, monthly, and annual values were determined in cases where the solar zenith angle has the active UV-B wavelength. The second stage determined the level of Vitamin D that can be synthesized in all skin types at 25% solar radiation exposure. In the third stage, the sun exposure time required for 1000 International Units (IU) for all skin types was calculated. According to the analysis, the yearly period of active synthesis of D3 on Earth lasts from the beginning of March to the third week of October. During the day, it is between 10:00 and 16:00. For 1000 IU/day, the average annual estimated times (minutes) are 5.05 for Type I, 6.3 for Type II, 7.6 for Type III, 11.35 for Type IV, 15.15 for Type V, and 25.25 for Type VI. The results of this paper will impact awareness for academic-medical users. © The Author(s) 2024.Öğe Transient Ischemic Attack (TIA) presenting with isolated anomic aphasia due to ischemia in the posterior cingulate gyrus in a 11-year-old girl(Taylor and Francis Ltd., 2023) Gazeteci Tekin H.; Öztekin Ö.Introduction: Anomic aphasia, characterized by difficulty in word finding, is a subtype without impairments in fluent speech, comprehension, reading, writing, and repetition. Recognizing pure anomic aphasia in this group is crucial for a comprehensive understanding of localization and brain functions. Case report: We present the case of an 11-year-old girl with transient ischemic attack and anomic aphasia. Neuroimaging identified abnormalities in the cingulate gyrus and temporo-occipital regions. No focal neurological findings were observed without aphasia. In terms of etiology, an MTHFR mutation was detected, and aside from this, no hematological or systemic cause could be identified. Conclusion: This case marks the first demonstration of posterior cingulate gyrus involvement in pure anomic aphasia. © 2023 Informa UK Limited, trading as Taylor & Francis Group.Öğe Investigation of the relationships between mindfulness, emotional eating, weight control self-efficacy, and obesity in adolescents(W.B. Saunders, 2023) Bektas İ.; Gürkan K.P.Purpose: This research was conducted to examine the relationships between mindfulness, emotional eating, weight control self-efficacy, and obesity in adolescents. Design and methods: The research was conducted with 198 adolescents aged 13–18 years in three high schools in the central county of a province in Türkiye. Data were collected using a sociodemographic information form, the Mindful Attention Awareness Scale–Adolescents, the Emotional Eating Scale for Children and Adolescents, and the Weight-Efficacy Lifestyle Questionnaire for Adolescents–Short Form. In this study, adolescents' height and weight were measured to determine the effects of the study variables on their body mass indexes (BMIs). Results: The variables were analyzed according to BMI. The mean age of the adolescents participating in the research was 15.25 ± 1.01 years; 52% were female, and 85% were ninth-grade high school students. Their mean height was 170.33 ± 8.59 cm, and their mean weight was 62.24 ± 12.84 kg. The adolescents' BMI was found to have a low-level, significant negative correlation with their mindfulness, a low-level, significant positive correlation with their emotional eating, and a low-level significant negative correlation with their weight control self-efficacy. Adolescents' mindfulness, emotional eating, and weight control self-efficacy scores significantly predicted their BMI and explained 14.1% of the variance in their BMI levels. Conclusions: Mindfulness, emotional eating, and weight control self-efficacy in adolescents have a facilitating effect on the management of obesity. Implications to practice: Multidimensional programs should be developed that take into account the interaction of parents, children, and the environment, which will pave the way for the development of healthy nutrition behaviors and contribute to the prevention of obesity. © 2023 Elsevier Inc.Öğe Higher Upper Subscapularis Goutallier Grade and Coracohumeral Distance Narrowing Are Predictive of Subscapularis Tears in Patients Undergoing Arthroscopic Rotator Cuff Repair(W.B. Saunders, 2023) Kilic A.I.; Ardebol J.; Pak T.; Menendez M.E.; Denard P.J.Purpose: To evaluate the relation between subscapularis (SSC) Goutallier grade or coracohumeral distance (CHD) and SSC tears, as well as the relation between these radiographic variables and long head of the biceps tendon lesions. Methods: A retrospective analysis was conducted on prospectively maintained data on patients who underwent arthroscopic rotator cuff repair of SSC tears between 2011 and 2021 with at least 6 months of follow-up. Patients with identified subscapularis tears during arthroscopy were included. A control group was established by randomly selecting patients without SSC tears from the same study period. Goutallier grading and CHD were obtained from preoperative magnetic resonance imaging (MRI) scans. Receiver operating characteristic analysis was conducted to define optimal cutoff values for these diagnostic measures. Results: The study included 735 patients with SSC tears and 249 patients in the control group. Comparing subscapularis tear and intact groups’ Goutallier grades revealed significant differences in infraspinatus, upper and lower SSC, and overall SSC (P < .001). No significant difference was detected in supraspinatus Goutallier grade (P = .364). An SSC tear was observed in 58.3% (n = 265) of patients with Goutallier grade 0 of the upper SSC, 77.1% (n = 195) of patients with grade 1 changes, 98.7% (n = 155) with grade 2 changes, and 100% of grade 3 or 4 changes. Goutallier grade of the upper SSC showed a significant correlation with tear size (rs = 0.533; P < .01). CHD measurements were lower in individuals with SSC tears compared to those without tears (6.6 ± 1.7 vs 9.6 ± 1.8; P < .001). Upper SSC Goutallier grade >1 had an acceptable area under the curve (AUC) of 0.742. CHD of 7.96 mm or less had an excellent predictive AUC of 0.879. Conclusions: Higher Goutallier grade and CHD narrowing are potential associations predictive of SSC tears. Routine MRI assessment of muscle of the upper SSC and the CHD can contribute to the diagnostic accuracy of SSC tears and offer valuable information regarding the severity of such tears. Level of Evidence: Level III, diagnostic study. © 2023 Arthroscopy Association of North America
