Sağlık Hizmetleri MYO, Terapi ve Rehabilitasyon Bölümü, Makale Koleksiyonu
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Öğe İnvestigation of psychological resilience and care burden of parents caring for children with special healthcare needs in Turkey: A cross-sectional study(W.B. Saunders, 2025) Ceylan, Ali; Demirdel, ErtuğrulAim: The study was planned to investigate the resilience and care burden of caregiving parents in Turkey. Methods: Demographic and descriptive characteristics were recorded. Psychological resilience was assessed using the Brief Resilience Scale (BRS) and caregiving burden was assessed using the Zarit Caregiving Burden Scale (ZCBS). Independent Sample t-test and ANOVA Mann-Whitney U and Kruskall Wallis tests were used to analyze the data.Multivariate variance analysis was performed with post-hoc tests to determine the differences between the groups. Significance p < 0.05 was accepted. Results: A total of 112 caregivers, 97 of whom were women, with a mean age of 39.84 ± 10.73 years, participated in the study. The mean age of with children with special healthcare needs was 10.83 ± 8.56 years, 61.6 % were male, and 42.9 % had both physical and mental disabilities. In children with special health needs, 41.1 % had mobility limitations, 43.8 % had communication problems, 44.6 % had learning problems and 31.3 % had nutritional problems. The level of mobility limitation, communication, learning and nutrition problems in children with special healthcare needs and the presence of chronic disease or musculoskeletal system problems in caregivers were found to be associated with care burden (p < 0.05). Psychological resilience of caregivers of those with moderate care burden was lower than those with mild care burden (p < 0.05). There was a negative, moderately significant relationship between caregivers' psychological resilience and care burden (r = −0.356; p < 0.001). Conclusion: New strategies should be developed to increase psychological resilience and reduce the burden of care in caregivers of complex children with special healthcare needs. Implications to practice: The lived experience of caregivers who support children with special healthcare needs can be improved with psychological and practical care support from health professionals. © 2025 Elsevier Inc.Öğe Relationship between epicardial adipose tissue thickness and sedentary time, physical activity level, and physical performance in patients with hypertension(SpringerNature, 2025) Süygün, Emine Tunç; Yağlı, Naciye Vardar; Süygün, HakanEpicardial adipose tissue is associated with the development of cardiovascular disease and its increase is positively correlated with blood pressure elevation in hypertensive individuals. In the literature, being physically active has been shown to be effective in the treatment of hypertension and reduction of epicardial adipose tissue thickness. The aim of this study was to evaluate the relationship between epicardial adipose tissue thickness and sedentary time, physical activity level and physical performance in patients with hypertension. The physical and demographic characteristics of the 40 patients with hypertension were collected with sociodemographic form. Waist/hip circumference was measured with tape measure and epicardial adipose tissue thickness with echocardiography device. Physical activity levels and sedentary time were recorded via IPAQ-7. Physical performance was determined using the 30-s sit-and-stand test. There was a moderate negative correlation between epicardial adipose tissue thickness and IPAQ-7 score (rho: -0.568 p < 0.001) and a high negative correlation between epicardial adipose tissue thickness and sit-and-stand test score (rho: -0.794 p < 0.001). There was no relationship between epicardial adipose tissue thickness and daily sitting time, BMI, or hip circumference. There was moderate positive correlation between epicardial adipose tissue thickness and age (rho: 0.504 p: 0.001) and low positive correlation between waist circumference (rho: 0.322 p < 0.05).This study demonstrated that the epicardial adipose tissue thickness was negatively associated with activity and performance in hypertensive patients, but not with daily sitting time. These results underscore the importance of physical activity in the management and prevention of chronic diseases.Öğe The Evidential of the tradition of the companions and Tabi'i in nahw(Cumhuriyet Univ, Fac Theology, 2024) Çokyürür, Mehmet ZahidIn Arabic grammar, Hadith is also included in the practice of istishhad, although not as much as the other narrative evidence. In some circles, only the words of the Prophet (pbuh) are understood when it comes to istishhad with hadith in grammar. However, the concept of hadith is a broader content than this and includes the words of the Companions and the tabi'i. When the views on istishhada in the grammatical literature are reviewed, it is seen that not only the words of the Prophet but also the sayings of the Companions and even some of the tabi'in are taken as reference. Based on information, hypotheses such as the place of the sayings of the Companions and the tabi'in in the hadiths, who are the Companions and the tabi'in whose sayings are used in istishhad, and the quantitative and qualitative status of their effects on istishhad come on the agenda. On the other hand, the question of whether the sayings of the Companions and the tabi'in, some of whom were Arabs, can be considered within the 'Arabic tradition' is another strong question mark that comes to mind. Based on these assumptions, we have come to the conclusion that a conclusion can be reached in this research by pursuing the following objectives: 1-The relationship between the sayings of the Companions and the tabi'in and the Arabic dialect 2- The nature and limitations of the hadith in the conceptual dimension 3- Determining the practice of theoretical discussions within the framework of istishhad with the hadith, as well as the practice of istishhad with the sayings of the Companions and the tabi'is in the literature. 4- Determine the compatibility of theory and practice in the literature according to the data obtained. Accordingly, in the research, first of all, both in the early period and in the late period, istishhad. Under these headings, firstly, the general attitude of the relevant scholar in terms of istishhad with hadith was briefly mentioned, and then both a remarkable example of istishhad with the companions' sayings was tried to be included and the qualitative and quantitative aspects of the attitudes of istishhad with the companions' sayings were tried to be pointed out. The result of this research is that in the early period, grammar scholars such as al-Sibawayhi (d. 180/796), Yahya b. Ziyad al-Fara (d. 207/822), al-Akhfash wal-Awsat (d. 215/830 [?]) and al-Mubarri (d. 286/900) took the sayings of the leading names of the Companions such as Hazrat 'Umar (d. 23/644) and Hazrat 'Ali (d. 40/661), who were famous for their eloquence, as a basis, albeit to a lesser extent, and in the late period, Zamakhshari (d. 538/1144) was the first to use the sayings of these two Companions. 538/1144), and in time, thanks to the famous scholars of the later period, especially 'Abd al-Rahman b. 'Abdallah Suhayli (d. 581/1185), Ibn Malik al-Ta'i (d. 672/1274), al-Radi al-Astarabadi (d. after 688/1289), Abu Hayyan al-Andalusi (d. 745/1344), and Ibn Hisham al-Nahwi (d. 761/1360), more sahabi and tabi'i jawls entered the grammatical literature. In the final analysis, it has been concluded that in practice, under the name of istishhad with hadith, in addition to the words of the Prophet (pbuh) himself, some of the sayings of the Companions and the tabi'in are also included, and that these sayings are closer to the category of hadith, although they have a place in the Arabic tradition. Again, in the late period, scholars such as Zamakhshari, Ibn Hazm (d. 456/1064), Suhayli, and Ibn Jaruf al-Ishbili (d. 609/1212), in addition to the sayings of the Prophet (s.a.s. ) himself, also included the sayings of the Prophet (s.a.s.).Öğe A study on the awareness and attitudes of mothers with children aged 0-6 towards autism in terms of various variables(Taylor & Francis Ltd, 2024) Köroğlu, Alper Yusuf; Ataman, Safa A.; Kösretaş, BarışThe aim of the study was to examine mothers' awareness and attitudes towards autism. The current study was conducted within the framework of the quantitative research method of the correlational survey model, involving 511 mothers between the ages of 18-50 with preschool-aged children. Among the participating mothers, 49.3% were in the 18-33 age range, while 50.7% were in the 34-50 age range. Regarding the number of children, 36.8% of mothers had one child, 46.0% had two children, 13.9% had three children, and 3.3% had four or more children. In terms of educational background, 7.0% had primary education, 16.8% had high school education, 15.5% had associate degrees, 43.6% had bachelor's degrees, and 17.0% had postgraduate degrees. Data were collected using a demographic information form developed by the researchers, along with two different scales: the 'Preschool Children Mothers' Autism Awareness Scale' and the 'Societal Attitudes Toward Autism Scale.' The findings suggest that, to reduce the stress levels of mothers with children diagnosed with autism spectrum disorder (ASD) and enhance their preparedness, it is recommended to increase the awareness and knowledge levels of prospective mothers regarding ASD before pregnancy. Additionally, interventions aimed at changing negative attitudes and addressing educational deficiencies related to autism in mothers may influence their awareness and the sub-dimensions of the attitude scale.Öğe Research on Asylum-Seeking Preschool Children In Turkey: A Systematic Review(2024) Demirel, Özlem Yılmaz; Köroğlu, Alper Yusuf; Ataman, Safa Alparslan; Kösretaş, BarışThis study was conducted with the systematic review method to determine the studies conducted on children who are asylum-seekers in preschool period in Turkey and their results. Systematic reviews are important research projects that should be conducted by examining all studies conducted on a certain subject within a certain protocol. For this reason, the current study was carried out with the studies searched in Google Scholar and YÖKTEZ database by using the keywords \"asylum-seeking children\", \"asylum-seeking child\", \"refugee children\", \"refugee child\" without any date restriction in the research process. While the inclusion criteria for the systematic review were determined as studies conducted with children in the 0-6 age group, the exclusion criteria were determined as studies on children over the age of 6. Because of the keywords determined, a total of 2039 studies were reached and all of them were analyzed one by one. From these studies, 43 studies that were suitable for the study were identified. After removing duplicate studies, 29 studies that met the inclusion and exclusion criteria were included. When the studies were analyzed, it was seen that the problem of asylum-seekers is not limited to adults. Children are most affected by this situation.Öğe Kamu Kurumunda Çalışan Engelli Memurların Mesleki Yaşantılarına Yönelik Görüşleri(2023) Ataman, Safa A.; Karaaslan, Özcan; Kösretaş, Barış; Yavuz, MehmetBu çalışmanın amacı kamu sektöründe çalışan engelli memurların mesleki yaşantılarına yönelik görüşlerini incelemektir. 30 katılımcı ile yarı yapılandırılmış görüşme tekniği ile yüzyüze görüşme ve ses kaydı yapılmıştır. Katılımcıların demografik özellikleri için araştırmacı tarafın- dan geliştirilen “Kişisel Bilgi Formu” uygulanmıştır. Formda cinsiyet, yaş, eğitim durumu, yetersizlik türü, meslek yılı gibi değişkenler sorul- muştur. Katılımcılara gönüllü katıldıklarını gösteren “Gönüllü Katılım Formu” uygulanmıştır. Katılımcıların görüşlerini analiz etmek için be- timleyici yöntem kullanılmıştır. Katılımcıların görüşleri doğrultusunda çalışma ortamı, mesleğe bakış açısı ve çevrenin engelli birey ve mesleğine yönelik olmak üzere bulgular 3 ana tema altında incelenmiştir. Katılımcılar, iş yüklerinin fazla olduğunu, fizikî koşulların iyileştirilmesi gerektiğini, eğitim ve engel durumuna göre istihdam edilmediklerini, meslektaşlarından ve yöneticilerinden olumsuz tutumlarla karşılaştıklarını belirtmişlerdir. Gelecekteki çalışmalar için özel ve kamu sektöründe çalışan engellilerin görüşlerinin ve cinsiyet eşitliliğinin incelenmesi önerilmektedir.Öğe Investigation of psychological characteristics of young adults during the COVID-19 pandemic period(2021) Türkmen, Ayşe Sonay; Ceylan, Ali; Topuz, AyşeObjective: Aim of this study was to investigate the possible effects of changing living conditions due to COVID-19 in young adult individuals. Methods: The study was conducted as a descriptive relation-seeker-type. A total of 551 young people were reached. Questionnaire, Perceived Stress Scale, Health Anxiety Scale-Short Form and Maudsley Obsessive Compulsive Question List were used. For Analysis was used number, percentage, mean, standard deviation, chi-square, t test, ANOVA, Tukey-HSD and Pearson correlation tests. Results: The average age of the participants was 22.60 ± 3.49 years. 74% are women, 88.6% are single, 53.4% are students (health). The average stress score of individuals is 30.44±7.86, the average HAS-1 is 14.32±6.22, the average HAS-2 is 3.43±2.34 and the average MOCQ is 17.79±7.19. In terms of obsessive-compulsive disorder, 10% (n=55) of the participants showed low trends, 29.9% (n=165) moderate, and 60.1% (n=331) showed a high level of trend.It was determined that individuals’ perceived stress, anxiety and obsessive-compulsive behavior levels changed according to variables such as age, gender, marital status, occupation, presence of chronic disease, smoking and quarantine status (p<0.05). Conclusion: It was determined that young people experienced psychological problems due to the COVID-19 outbreak, and these problems changed according to demographic characteristic.Öğe Özel gereksinimli bireylerin eğitsel tanılama ve değerlendirme sürecinde iş birliği: Aile deneyimleri(Gazi Eğitim Fakültesi, 2022) Dayı, Eylem; Ataman, Safa Alparslan; Kösretaş, BarışBu çalışma, rehberlik araştırma merkezlerinde (RAM) özel gereksinimli bireylerin eğitsel değerlendirme süreçleriyle ilgili ailelerin deneyimler ve iş birliği düzeylerini inceleyen nitel bir çalışmadır. Çalışmaya, Türkiye’de eğitsel tanılama, değerlendirme ve yerleştirme süreci içerisinde RAM tarafından değerlendirilen 22 özel gereksinimli bireyin ailesi katılmıştır. Özel eğitim değerlendirme sürecinde ailelerle iş birliği yarı yapılandırılmış görüşme yöntemiyle sorgulanmıştır. Ailelerden alınan deneyimler dört tema altında toplanmıştır. Aileler deneyimlerini, sonuçların paylaşılması, yıllık değerlendirme süreci ve iş birliğine yönelik öneriler ile bulgular çalışma kapsamında sunulmuştur. Sonuçlarda, eğitsel tanılama ve değerlendirme sürecinde ailelerin olumlu ve olumsuz deneyimleri olduğu, iş birliği ile ilgili yaşanılan sınırlılıklar, beklentileri olduğu, süreçle ilgili hak ve sorumlulukları konusunda bilgi sahibi olmadıkları şeklinde deneyimler ifade edilmiştir. Yine aile deneyimlerinden RAM’lar arasında farklı uygulamalar olduğu, ailelerle iş birliğinin ve aile katılımın istenen düzeyde olmadığı, eğitsel tanılama ve değerlendirme sürecinde çeşitli düzenlemelerin yapılması ile ilgili beklentileri olduğu ortaya çıkmıştır.Öğe Mekanik bel ağrısı olan bireylerin kor endurans ile esneklik, denge ve alt ekstremite performans ilişkisi: Kesitsel bir araştırma(Türkiye Klinikleri Yayınevi, 2022) Ceylan, Ali; Demirdel, ErtuğrulÇalışma, mekanik bel ağrısı (MBA) olan bireylerin kor endurans süreleri ile esneklik, denge ve alt ekstremite performansı arasındaki ilişkiyi incelemek amacıyla planlandı. Gereç ve Yöntemler: Çalışmaya yaş ortalaması 37,62±10,82 yıl olan 71 birey dahil edildi. Bireylerin demografik ve fiziksel özellikleri kaydedildi. Ağrı şiddeti Görsel Analog Skala (GAS) ile ölçüldü. Kor endurans süresinin değerlendirilmesinde ise McGill gövde endurans testleri kullanıldı. Esneklik otur-uzan testi, gövde ekstansiyon, sağ/sol gövde lateral fleksiyon; statik denge gözler açık ve kapalı tek ayak üzerinde durma; dinamik denge ise Y denge testleri ile ölçüldü. Bireylerin alt ekstremite performansları 30 saniye Otur-Kalk Testi ve Merdiven İnip Çıkma Testi ile değerlendirildi. Veriler uygun istatistiksel yöntemlerle analiz edildi.Anlamlılık p<0,05 olarak kabul edilmiştir. Bulgular: Bireylerin kor endurans sürelerinin gövde sağ ve sol lateral fleksiyon ile gövde fleksiyon esneklikleri, alt ekstremite performansı, statik ve dinamik denge yetenekleri ile ilişkili olduğu belirlendi (p<0,05). Sonuç: Kor endurans sürelerinin bireylerin esnekliğini, denge yeteneklerini ve alt ekstremite performanslarını etkilediği görüldü. MBA’lı bireylere tedavi sürecinde fizyoterapist tarafından verilecek kişiye özgü kor endurans eğitimleri ile bireylerin esneklik, denge ve fiziksel performanslarında gelişme sağlanacağını düşünmekteyiz. Ayrıca multidisipliner bir yaklaşım ve koruyucu rehabilitasyon uygulamalarının yanı sıra, edinilecek doğru postural alışkanlıklar ile bel ağrısı görülme sıklığı ve sağlık harcamalarının azaltılabileceği kanısındayız.Öğe Examination of the effectiveness of 12-week Nordic Walking exercise in prediabetic individuals(Pamukkale University, 2022) Özdamar, Mustafa; Erkek, Özgen Kılıç; Tümkaya, Süleyman; Özdamar, Hatice Çağla; Özdamar, Ali; Pakyürek, Hilmiye; Ata, Melek TunçPurpose: Pneumonias, which are infections of the lung parenchyma, are divided into two groups as community acquired pneumonia (CAP) and hospital acquired pneumonia. CAP is very common and CAP can be mortal. Healthcare-Associated Pneumonia (HAP) is defined as pneumonia that develops in patients who have used antibiotic or hospitalization in the past three months and who are fed by a nasogastric tube. In recent studies, the term multidrug-resistant CAP has been used instead of HAP. In this study, it was aimed to compare the laboratory results, causative bacterial pathogens and fatality rates of CAP and multidrug-resistant CAP patients on the first day of hospitalization. Material and method: Patients with CAP and multi-drug-resistant CAP who were admitted to the Infectious Diseases and Clinical Microbiology Clinic between 09/01/2018-03/20/2020 were recruited. Results: 129 patients with CAP and 64 patients with multidrug-resistant CAP were studied. Underlying disease was found in 96.9% (62) patients in the multidrug-resistant CAP group and in 79.8% (103) patients in the CAP group. A significant difference was found between the two groups (p=0.003). 79.7% (51) patients in the multidrug-resistant CAP group and 19.4% (25) patients in the CAP group used antibiotics in the last three months. It was found to be significantly higher in the multidrug-resistant CAP group (p=0.000). Conclusion: The underlying disease and the use of antibiotics in the last three months increase the risk of developing multidrug-resistant CAP. Mortality rate was found to be higher in this patient group. In order to encounter less multidrug-resistant CAP problem, it is necessary to pay attention to the rules of rational use of antibiotics in medical practice.Öğe A randomized controlled trial: effectiveness of 10-week Nordic Hamstring exercise training and subsequent detraining in healthy young men(Pamukkale University, 2022) Özdamar, Hatice Çağla; Erkek, Özgen Kılıç; Akkaya, Habip Eser; Toprak, Emine Kılıç; Küçükatay, Z. Melek BorPurpose: Nordic Hamstring Exercise (NHE) is used to increase hamstring muscle strength, prevent injuries. We aimed to reveal the acute, long-term effects of NHE, followed by detraining on demographic measurements, flexibility, anaerobic power, damage, fatigue, oxidative stress, blood lactate levels. Material and method: A total of 40 sedentary healthy male participated the experiments. 20 of them underwent 10 weeks of progressive NHE followed by detraining. Muscle architecture was determined by ultrasonography, strain ratio by elastography. Anaerobic power was assessed by standing long jump, vertical jump, flexibility by sit reach tests. Creatine kinase activity, oxidant/antioxidant parameters were measured from venous blood by commercial kits. Results: NHE allowed subjects to lose weight, which was reversed by detraining of 5 weeks. Exercise caused an increase in knee angles that wasn't affected by detraining. 10-week NHE caused a partially reversed increase in anaerobic performance upon detraining. NHE resulted in increment of biceps femoris long head area, pennation angle which were reversed by detraining of 10-weeks. Blood lactate, muscle pain, fatigue were increased after each exercise session. NHE didn't change oxidative stress but, 5-week detraining resulted in an increase in total oxidant capacity, oxidative stress index. Detraining of 10 weeks caused a reduction of these parameters. Conclusions: It has been observed that most of the gains obtained with 10-week progressive NHE are reversed with 5-week detraining. These results may guide the selection of the exercise type to increase performance and muscle strength.Öğe Effectiveness of game-based core exercise in children with non-neuropathic bladder dysfunction and comparison to biofeedback therapy(John Wiley and Sons Inc, 2022) Kılçık, Melek Havva; Özdemir, Filiz; Elmas, Ahmet TanerObjectives: This study was planned to evaluate the effectiveness of game-based core exercises in children diagnosed with non-neuropathic bladder dysfunction and compare this effectiveness to that of the biofeedback treatment method. Methods: The study included 48 children, aged 6–13 years, who were diagnosed with non-neuropathic bladder dysfunction. The children satisfying the inclusion criteria were selected by drawing lots from the population with the method of nonprobability random sampling. The patients were divided into three groups: group I, “game-based core stabilization exercise training”; group II, “biofeedback program”; and group III, “game-based core stabilization exercise training in addition to the biofeedback program.” The Dysfunctional Voiding and Incontinence Symptom Scale (DVISS) scores and uroflowmetry values of the patients were evaluated before and after the treatment. Results: The mean age of the participants was 8.81 ± 2.08 years. There was a statistically significant difference between the pretreatment and post-treatment DVISS scores in all three groups (p <.05). However, no significant difference was found among the groups. There was no statistically significant difference in the uroflowmetry results of the patients in group I and II before and after the treatment. In group III, the time to maximum flow rate after treatment was significantly reduced, and the average flow rate was significantly increased. Conclusions: According to the results of this study, the use of game-based exercises along with biofeedback treatment may reduce DVISS scores in children with non-neuropathic bladder dysfunction. A combination of the two methods may have positively affected the uroflowmetry results of the patients. We think that game-based exercises will contribute to the literature as a new treatment option in the treatment of non-neuropathic bladder dysfunction.Öğe Ön lisans fizyoterapi teknikeri programı öğrencilerinin mesleki farkındalık düzeyleri: Kesitsel bir araştırma(Türkiye Klinikleri Yayınevi, 2022) Ceylan, Ali; Yağcı Şentürk, AysunYapılan bu çalışma ile ön lisans fizyoterapi programlarında öğrenim gören öğrencilerin, mesleki farkındalık düzeylerini ortaya koymak hedeflendi. Gereç ve Yöntemler: Bu araştırma, 2 ayrı meslek yüksekokulunda öğrenim gören 275 fizyoterapi programı öğrencisi ile gerçekleştirildi. Çalışmanın verileri, katılımcıların demografik bilgilerini ve mesleki farkındalıklarını sorgulayan 25 soruluk çevrim içi bir anket aracılığı ile toplandı. Veriler, %95 güven aralığında, p<0,05 anlamlılık düzeyinde değerlendirildi. Bulgular: Çalışmaya katılan öğrencilerin %76’sı kadın olup; tüm katılımcıların yaş ortalaması 20,06±2,00 idi. Katılımcıların bildirimleri doğrultusunda fizyoterapi teknikerlerinin görev ve sorumlulukları hakkında bilgi sahibi oldukları, meslek seçiminde araştırma yaptıkları, sahip olacakları unvanı bildikleri görüldü. Öğrencilerin, kendi istekleri ve sağlığa ilgi duymaları ya da farklı lisans programlarına geçiş imkânı tanıması nedeniyle fizyoterapi teknikerliğini tercih ettikleri belirlendi. Mezun olunan lise türünün ve cinsiyetin, öğrencilerin mesleki görev ve sorumlulukları hakkındaki bilgi düzeylerini etkilediği saptandı (p<0,05). Buna karşılık fizyoterapi teknikeri öğrencilerinin, fizyoterapist meslek grubunun görev ve sorumlulukları ile de anlam karmaşası yaşadığı görüldü. Sonuç: Fizyoterapi teknikerlerinin mesleki yetki ve sorumluluklarını içeren bir konu, ders müfredatında yer almalıdır. İnterdisipliner sistem içinde yer alan diğer meslek gruplarının görev tanımlarının da bilinmesi, fizyoterapi teknikeri adaylarında mesleki farkındalığın artırılmasına ve mesleki etik ihlallerinin önlenmesine katkı sağlayabilir.Öğe An Investigation of temporomandibular pain, headache, and fatigue in relation with long-term mask use during the COVID-19 pandemic period(Taylor and Francis Ltd., 2022) Çarikci, Sena; Sarı, Yasemin Ateş; Özcan, Esra Nur; Baş, Sevilay Seda; Tuz, Kübra; Ünlüer, Nezehat ÖzgülObjective: To investigate the effects of long-term mask use on temporomandibular pain, headache, and fatigue during the COVID-19 pandemic period via a survey. Methods: The survey was sent online, and symptoms associated with mask use, perception of mask discomfort, temporomandibular dysfunction, fatigue, headache, and trigger points of temporomandibular joint were evaluated. Results: For the study, 909 people were screened. Head, neck, face, throat, ear, and jaw pain, cheek tension, teeth clamping, acne, mask trace, palpitation, and voice and sleep disorders were different between groups (p < 0.05). The individuals’ temporomandibular dysfunction and fatigue were different between groups (p < 0.05). Conclusion: Long-term mask use can cause many symptoms, such as headache, jaw pain, and fatigue. Furthermore, increased mask-wearing time can trigger all these symptoms. The authors recommend relaxing breaks and exercises for neck, jaw, and face muscles along with the use of appropriate masks to minimize negative symptoms.Öğe An examination of the anxiety states of Turkish health care workers during the COVİD-19 pandemic: a cross-sectional study(NLM (Medline), 2022) Ceylan, Ali; Zirek, Emrahb; Akturk, Sibel Ocakc; Çalık, Bilge BaşakcıOBJECTIVE: The aim of this study was to evaluate the anxiety experienced by health care workers in different branches during the COVID-19 pandemic. METHODS: The cross-sectional study included 373 health care workers. Data were collected using an online questionnaire consisting of the Sociodemographic Form (32 items related to the working conditions of health care professionals during the COVID-19 pandemic) and the Penn State Concern Questionnaire. RESULTS: The anxiety levels of the female workers were significantly higher (p<0.001). The total Penn State Concern Questionnaire points were determined to be statistically significantly higher in those who need to protect the family during the pandemic (p=0.03), who were dissatisfied with their profession (p<0.001), and those whose workload had increased during the pandemic (p=0.007). CONCLUSIONS: The study results demonstrated that the levels of anxiety of health care workers during the COVID-19 pandemic could be increased by young age, low level of experience, female gender, increased workload, and dissatisfaction with the profession.Öğe Küresel salgın Covid-19, bağışıklık ve ev temelli egzersizler(2021) Ceylan, Ali; Demirdel, ErtuğrulKoronavirüs hastalığı (COVID-19), bireylerde solunum ve fiziksel fonksiyonlar ile hastalığa bağlı gelişen korku, panik ve endişe gibi nedenlerle psikolojik işlevlerde bozukluğa sebep olan oldukça bulaşıcı ve sistemik bir hastalıktır. Önlenemeyen hızda yayılım gösteren COVID-19 salgını nedeniyle birçok ülke kısmi ve genel karantina uygulamasına giderek, vatandaşlarının evde kalmalarını tavsiye etmiştir. Bulaş riskini azaltmak amacıyla uygulanan kısıtlamaların fiziksel aktiviteye katılımı olumsuz etkilediği, bireylerin sedanter yaşam biçimini benimsemesine neden olabileceği belirtilmektedir. Salgın sürecinde alınan zorunlu tedbirler, fiziksel aktivite seçeneklerinin sınırlı olması veya fiziksel aktivitenin tümüyle ortadan kaldırılması anlamına gelmemelidir. Mevcut istikrarsız bir çevrede sağlıklı kalmak ve bağışıklık sistemini güçlendirmek amacıyla evde fiziksel aktivite güçlü bir sağlık için gereklidir. Herhangi bir nedenle hareketsiz kalmak, kalp sağlığını zayıflatır ve uzun dönemde koroner arter hastalığı ve ani kardiyak ölüm riskini artırır. Ev temelli fiziksel aktivitelerin, kısıtlamalardan dolayı evde kalan kişiler için bir egzersiz eğitimi olmasının yanı sıra, salgın sürecinde sağlıklı kalmak ve salgının ortaya çıkarabileceği muhtemel olumsuz durumların azaltılması için de önem arz etmektedir. Hem fiziksel hem de bilişsel sağlığımızı geliştirmek ve süreci daha sağlıklı atlatabilmemiz, sağlığın korunması ve güçlendirilmesi ile bağışıklığın devamı için ev temelli egzersizler tavsiye edilmektedir.Öğe Beliren yetişkinlerin Covid-19 hakkındaki bilgileri ve yaşamlarında meydana gelen değişimler(Hacettepe Üniversitesi, 2021) Türkmen, Ayşe Sonay; Ceylan, Ali; Topuz, AyşeBu çalışma, ülkemizdeki beliren yetişkinlerin COVID-19 hakkındaki bilgileri ve yaşamlarında meydanagelen değişimlerin incelenmesi amacıyla yapılmıştır.Gereç ve Yöntem: Çalışma kesitsel olarak tanımlayıcı türdedir. Çalışmanın evrenini ülke genelinde yaşayan18-30 yaş aralığındaki kişiler oluşturmaktadır. Örneklem büyüklüğü 551 kişi olarak belirlenmiştir.Araştırmacılar tarafından oluşturulan soru formu online ortamda ulaşılabilen tüm bireylere gönderilmiştir. Eldeedilen verilerin analizi SPSS 21 paket programında sayı, yüzde, ortalama, standart sapma, Mann Whitney U veKruskall Wallis testleri kullanılarak yapılmıştır. Anlamlılık p<0,05 olarak kabul edilmiştir.Bulgular: Gençlerin yaş ortalaması 22,60±3,49 yıldır. Çalışmada yer alan gençlerin çoğunluğu kadın (%74),bekar (%88,6) ve öğrenci (%63,6) olduğunu, kronik bir hastalığının olmadığını (%91,8), sigara (%79,4) ve alkol(%92,4) kullanmadığını bildirmiştir. Katılımcıların çoğunluğu (%92,7) “Salgın süresince sosyal ortamlardamaske kullanımına olabildiğince hassasiyet gösterdim” ifadesine çoğunlukla katıldığını; “Görmediğimiz birvirüsten korkmaya gerek olmadığını düşünüyorum” ifadesine ise katılmadığını (%63,3) belirtmiştir.Katılımcıların eğitim durumuna, yaşadığı yerleşim yerine ile sigara ve alkol kullanım durumuna göre COVID-19salgınının onlarda oluşturduğu değişime yönelik maddeler açısından gruplar arasında anlamlı farklar olduğugörülmüştür (p<0,05).Sonuç: Çalışma kapsamında katılımcıların COVID-19 nedeni ile bazı olumsuz deneyimler yaşadığı ve budeneyimlerin katılımcıların yaş, cinsiyet, ikamet yeri gibi demografik özelliklerden etkilendiği sonucunavarılmıştır. Salgınla mücadeleyi olumsuz yönde etkileyen grupların (erkekler, kırsal bölgede yaşayanlar, 18-25yaş, sigara kullanmayanlar) COVID-19 sürecinde beslenme, hijyen, sosyal mesafe, COVID-19’un sağlık veinsanlar üzerinde yol açabileceği olumsuz sonuçlar hakkında eğitimlerine öncelik gösterilerek uygulamalarınıiyileştirmelerinin sağlanması önerilmektedir.Öğe Kamu çalışanlarının fizyoterapistlik mesleğine bakışı(Hacettepe Üniversitesi, 2021) Ceylan, Ali; Demirdel, ErtuğrulBu çalışma kamuda çalışan bireylerin fizyoterapistlik mesleği ile ilgili bilgi düzeylerini ortaya koymakamacıyla planlanmıştır. Gereç ve Yöntem: Çalışmamız, kamu kurumlarında çalışan, fizyoterapist olmayan veçalışmaya katılmak için gönüllü olan kişiler ile gerçekleştirildi. Araştırmacı tarafından literatür taranarakoluşturulan 18 soruluk anket formu hazırlandı. Tanımlayıcı türde tasarlanan çalışmada ölçümle belirlenendeğişkenler için ortalama ±standart sapma, sayımla belirlenen değişkenler için yüzde (%) ve frekans değerlerhesaplandı. Bulgular: Çalışmamıza yaş ortalaması 35,53±7,44 yıl olan 109 (%34,7) kadın, 205(%65,3) erkekolmak üzere toplam 314 kamu personeli katıldı. Kamu çalışanları ülkemizde fizyoterapistlik mesleğininbağımsız bir meslek grubu olmadığını, mesleğin yeterince tanınmadığını, yeterli itibarı ve saygınlığı görmediğinive fizyoterapistlerin özlük haklarını savunan bir sivil toplum kuruluşunun bulunmadığını ifade etmişlerdir.Katılımcıların büyük çoğunluğu fizyoterapistlik mesleğinin 4 yıllık bir eğitimi olduğunu ve 10-20 yıldırülkemizde icra edildiğini bildirmişlerdir. Ayrıca katılımcılar, fizyoterapistlerin çoğunlukla; ortopedi vetravmatoloji alanında çalıştıklarını, sırt ve boyun ağrısında tedaviye katkı sağladıklarını, elektroterapiuygulamaları yaptığını, devlet hastanelerinde istihdam edildiğini belirtmişlerdir. Sonuç: Fizyoterapi bilimi ileilgili örgütlenmelerin yapacağı tanıtım ve bilgilendirmelerle mesleki farkındalığın artırılması gerekmektedir.Mesleğin ulusal düzeyde tanınması, ayrıca mevzuat eksikliklerinin tamamlanıp daha bağımsız mesleki yetkigörev ve sorumlulukların belirlenmesi için çalışmaların yapılması, ileride fizyoterapistlik mesleğinin toplumdakisaygınlığını, kabul edilebilirliğini ve tanınabilirliğini artırabileceği kanısındayız.Öğe Evaluation of posture and core endurance in elite junior climbers(Dokuz Eylül Üniv Inst Health Sciences, 2021) Özdemir, Filiz; Tutus, Nisanur; Kılçık, Melek Havva; Arslan, Faruk; Gürer, Hüseyin; Akçınar, FarukObjectives: Climbing, which is a popular sport in recent years, requires high performance and agility levels. The characteristics of climbers are still unclear. This study has been carried out to evaluate the posture and core endurance levels of climbers. Methods: Forty-nine elite climbers (mean age 15.02 +/- 2.68 years) and forty-four healthy sedentary controls (mean age 14.48 +/- 1.17 years) participated in this study. Postural assessment was conducted with New York Posture Rating Chart. McGill Core Endurance Test was used to assess the core endurance levels of the participants. Results: Of the participants included in the study, 58.2% were male and 41.8% were female. 69.3% of the climbers had been involved in climbing for more than 2 years. No statistically significant differences were found between in age, height, and body weight between the groups (p>0.05). A difference was observed in the core endurance scores between the groups (p<0.05). An increase was seen in the climbers' group when compared to the control group in the scores of the endurance levels of core flexors and right and left lateral core muscles (p<0.05). The postures of the climbers' group were also observed to be deteriorated when compared to the control group (p<0.05). Conclusion: The studies conducted on climbing which has become highly popular in recent years are limited considering the importance of the issue. We believe that including posture exercises and endurance training in the exercise programs of the sportspeople will contribute to their climbing performances as well as their overall health.Öğe Turkish translation of the patterns of activity measure-pain in patients with chronic low back and neck pain: Validity and reliability(W.B. Saunders, 2021) Süygün, Emine Tunç; Çelenay, Şeyda ToprakObjective: To translate the Patterns of Activity Measure-Pain (POAM-P) into Turkish and test its validity and reliability. Methods: A total of 252 patients with chronic low back and neck pain were included. The Turkish translation of the POAM-P (POAMP/T), which has subgroups of Avoidance, Overdoing, and Pacing, was performed in accordance with international recommendations. The POAMP/T was administered twice. Physical activity level was assessed with the International Physical Activity Questionnaire-7 (IPAQ-7), and psychologic status was assessed with the Hospital Anxiety (HADS-A) and Depression Scales (HADS-D). The internal and external construct validity, internal consistency, and test-retest reliability were analyzed. Results: Three related factorial structures were defined in Confirmatory Factor Analysis. Indexes and factor loads were found to be sufficient. A negative relationship was observed between avoidance and IPAQ-7 (rho = –0.328, p < .001), HADS-D (ρ = −0.163, p = .009), and HADS-A scores (ρ = −0.164, p = .009); whereas, a positive relationship was observed between overdoing and IPAQ-7 (ρ = 0.362, p < .001), HADS-D (ρ = 0.309, p < .001), and HADS-A scores (ρ = 0.325, p < .001). A negative correlation was found between pacing and IPAQ-7 (ρ = −0.200, p = .001), HADS-D (ρ = −0.507, p < .001), and HADS-A scores (ρ = −0.509, p < .001). The Cronbach alpha values for avoidance, overdoing, and pacing were obtained as 0.941, 0.917, and 0.940, respectively. The intraclass correlation coefficient for avoidance, overdoing, and pacing was found as 0.972, 0.973, and 0.972, respectively. Test and retest scores were similar (p >. 05). Conclusions: The Turkish version of the POAM-P is a valid and reliable scale for the assessment of pain-related activity patterns in patients with chronic low back or neck pain.