Ayşegül Demir - Academia.edu (original) (raw)

Papers by Ayşegül Demir

Research paper thumbnail of Local residents' and foreign tourists' intention towards ecotourism: A research in the Antalya city

Turizam

The main aim of this research is to investigate local residents' and foreign tourists' in... more The main aim of this research is to investigate local residents' and foreign tourists' intentions to participate in ecotourism practices by using attitudes towards ecotourism, likeability of tourist landscapes, intention to participate in ecotourism, and environmental knowledge in ecotourism. Local residents and foreign tourists took part in the research. According to the findings, local residents and foreign tourists have high averages in terms of attitude towards ecotourism, likeability of tourist landscapes, and environmental knowledge, but, have low averages in terms of their intention to participate in ecotourism. Local residents have more positive attitude towards ecotourism and higher environmental knowledge levels than foreign tourists.

Research paper thumbnail of The Platelet/Lymphocyte Ratio in Patients with Ischemic Stroke Treated with Intravenous Thrombolysis and Its Relationship with Mortality, Disability, and Prognosis

Istanbul Medical Journal

Introduction: The platelet/lymphocyte ratio (PLR) has been studied frequently to determine the pr... more Introduction: The platelet/lymphocyte ratio (PLR) has been studied frequently to determine the prognosis of cardiovascular diseases, chronic inflammatory diseases, and malignancies. Particularly, the PLR is an indicator of systemic inflammation and atherosclerosis. In this study, we aimed to evaluate the value of the PLR and its relationship with mortality, cerebral hemorrhagic transformation, and short-term prognosis in patients with stroke treated with intravenous thrombolysis. Methods: Two hundred fifty stroke patients treated with intravenous thrombolysis were included in the study. Initial symptoms, comorbidities, and localization of cerebral ischemia were recorded. Disability was scored on the National Institutes of Health (NIH) stroke scale. At the 24 th and 72 nd hours after treatment, hemorrhagic transformation was evaluated by brain computed tomography. The in-hospital mortality rate was calculated. Patients were divided into groups according to the difference in the NIH stroke scale (between admission and discharge). Serum platelet and lymphocyte levels and PLR values were determined. Results: There were 128 (51.2%) female and 122 (48.8%) male patients included in the study. Their mean age was 71.88±12.36 years. The lymphocyte count was low and the PLR was high in patients with a high level of initial disability (p<0.01). The lymphocyte count was higher in patients with clinical improvement (p=0.023). The lymphocyte count was lower and the PLR was higher in patients who died (p<0.01). The platelet level was lower in patients with hemorrhagic transformation (p=0.024). The lymphocyte level and PLR were similar in the hemorrhagic transformation groups (p=0.156, p=0.675). Conclusion: In this study, it was determined that mortality is related to the PLR, and hemorrhagic transformation is related to platelet levels in patients with ischemic stroke treated with intravenous thrombolysis.

Research paper thumbnail of Immigrant Problem From A Group of Health Professionals’ Point of View: A Qualitative Study

Türkiye bulunduğu coğrafi konum ve son dönemde gelişen bazı sosyal olaylar neticesinde fazla sayı... more Türkiye bulunduğu coğrafi konum ve son dönemde gelişen bazı sosyal olaylar neticesinde fazla sayıda göçmen almıştır. Bunun sonucunda Türk vatandaşları ile yeni gelen göçmenler arasında birçok problem ortaya çıkmıştır. Yaşanılan problemlerin önemli bir kısmı sağlık alanında meydana gelmektedir. Bu bağlamda çalışmanın amacı; bir grup sağlık çalışanının bakış açısıyla göçmenlerin ve sağlık çalışanlarının karşılaştıkları sorunları saptamaktır. Araştırmanın çalışma grubunu Çanakkale Ezine İlçe Devlet Hastanesi acil servisi ve istasyonunda görev yapan 2 hekim, 2 hemşire ve 3 acil tıp teknisyeni (ATT) olmak üzere toplam 7 sağlık çalışanı oluşturmuştur. Araştırma, nitel araştırma yöntemlerinden fenomenoloji (olgu bilim) deseni kullanılarak yapılmıştır. Araştırmada veri toplama aracı olarak yarı yapılandırılmış görüşme formu kullanılarak, veriler ses kayıt cihazı ile kayıt edilmiştir. Toplanan veriler betimsel analiz yöntemi ile analiz edilmiştir. Araştırmanın sonucunda "Sağlık çalışanl...

Research paper thumbnail of Original research-Orijinal araştırma

The efficacy of micronized flavonoid fraction (450 mg diosmin plus 50 mg hesperidin) in the treat... more The efficacy of micronized flavonoid fraction (450 mg diosmin plus 50 mg hesperidin) in the treatment of lymphedema after axillary dissection Aksiller diseksiyon sonrası kolda gelişen lenf ödem profilkasisinde mikronize flavonoid fraksiyonunun etkinliği

Research paper thumbnail of Myalgia-arthralgia and Associated Factors in Patients with COVID-19

Turkish Journal Of Neurology, 2021

Objective: This study aimed to investigate the psychogenic impact of coronavirus disease-2019 (CO... more Objective: This study aimed to investigate the psychogenic impact of coronavirus disease-2019 (COVID-19) and its association with myalgia-arthralgia in patients who are hospitalized with COVID-19. Materials and Methods: This study includes patients who were hospitalized with COVID-19 and whose diagnoses were confirmed by thoracic computed tomography findings and positive polymerase chain reaction test. Characteristics of pain were evaluated using the pain quality assessment scale (PQAS). Posttraumatic stress disorder (PTSD) was evaluated with the impact of event scale-revised (IES-R). Scoring over 33 was considered a cutoff point for "probable PTSD". These patients were named PTSD (+). PTSD (+) and PTSD (-) groups were compared in terms of PQAS and laboratory parameters. Results: Of the participants, 70 (42.9%) were females and 93 (57.1%) were males. The mean IES-R score was 36.89±11.76. The prevalence of PTSD was 47.9% (n=78). The most common pain was back pain (n=52, 50.5%). Patients with myalgia-arthralgia had higher total IES-R score and subgroup scores (p=0.008, p=0.010, p=0.006, and p=0.012, respectively). The patient group with PTSD had higher PQAS score (p=0.001). Additionally, this group had lower leukocyte (p=0.002) and lymphocyte counts (p=0.010) and higher serum creatine kinase level (p=0.02). Conclusion: Approximately half of the patients who were hospitalized with COVID-19 had PTSD, with a higher incidence and severity of myalgia-arthralgia. Therefore, myalgia-arthralgia was associated with PTSD in patients who were hospitalized with COVID-19.

Research paper thumbnail of Aşırı Ebeveynlik, Ençoklamacı Karar Verme Eğilimleri ve Kariyer Karasızlığı İlişkisi: Sinop Örneği

Avrasya Uluslararası Araştırmalar Dergisi, 2020

Aşırı ebeveynlik, anne ve/veya babanın çocuklarının üzerinde kurdukları bir tahakküm biçimi olara... more Aşırı ebeveynlik, anne ve/veya babanın çocuklarının üzerinde kurdukları bir tahakküm biçimi olarak ifade edilebilir. Ebeveynlik biçimindeki bu tarz, çocukların ençoklamacı karar verme eğilimleri göstermelerinin nedeni olarak sayılabilir. Ayrıca, çocukların içinde yaşadıkları toplumda sosyalleşme biçimleri de bu ebeveyn tarzı ile doğrudan ilişkilidir. Bu nedenle, ençoklamacı karar verme eğilimleri gösteren kişilerin, aşırı ebeveynlik gösteren ailelerin çocuklarının, demokratik ve izin verici ailelerin çocuklarına nazaran, ilerdeki yaşamlarının büyük bir kısmını kapsayacak olan mesleki hayatlarını belirleme konusu önemli olmaktadır. Çünkü, ençoklamacı karar verme eğilimleri sebebiyle kariyer kararsızlığını daha fazla yaşayacaklarını söylemek mümkün görünmektedir. Bu çalışmada, Sinop ili örneği temel alınarak aşırı ebeveynlik, ençoklamacı karar verme eğilimleri ve kariyer kararsızlığı arasındaki ilişki sosyolojik eksende incelenmektedir. Örneklemi, toplamda 300 katılımcıdan oluşan üniv...

Research paper thumbnail of Örümcek mi Böcek mi? 5.Sınıf Öğrencileri İçin Argümantasyon Tabanlı Sınıflandırma Etkinliği

Bu calismanin amaci, 5. Sinif ogrencilerinin canlilarin siniflandirilmasi konusununda argumantasy... more Bu calismanin amaci, 5. Sinif ogrencilerinin canlilarin siniflandirilmasi konusununda argumantasyon becerilerinin gelistirmesidir. Bu amac dogrultusunda, siniflandirma unitesinin ogretimi icin argumantasyon tabanli 3 ders saati suren bir etkinlik tasarlanmistir. Etkinlik Turkiye’nin kuzeydogu illerinden birinde 20 adet 5. Sinif ogrencisi ile grup calismasi seklinde yurutulmustur. Ogrencilerin argumanlarini iceren posterleri incelendiginde ogrencilerin argumanlarinda verileri kullanmakla birlikte ust duzey argumantasyon uretmeleri icin gerekli olan karsit arguman ve curutuculerle argumanlarini destekledikleri gorulmustur. Fakat hic bir grup 5. duzey arguman uretmemistir.

Research paper thumbnail of Sociology Dimension of Innovation

In this study, it is aimed to examine the sociological dimensions of innovation. Innovation has e... more In this study, it is aimed to examine the sociological dimensions of innovation. Innovation has emerged because of the needs related to social, cultural, and economic social conditions. This state of regeneration can be compared to the human body rebuilding itself at any moment. In addition to traditional cooperation models in financial, technological, and social terms, innovation can be made possible by the realization of cooperation between talented individuals, institutions and organizations with different cultures and backgrounds. In the study, the sociological dimensions of innovation have been created because of the theoretical compilation of related studies after a detailed literature review. During the review of the literature on the subject, content analysis is performed, and it is seen that three sociologically different themes about innovation come to the fore. These themes are Competitive lifestyle (social simulation), technology-oriented consumption habits (technological innovation) and quality-oriented economic relationships (quality innovation). The study emphasizes the correlation between these three themes and innovation. As a result, eight categories play a decisive role in innovation: impact, people and talent, partnership, coplacement centers, community identification, outreach and dissemination, management and governance, and business model, financial plan, and sustainability. Due to the interaction between themes defined as innovation and competitive lifestyle, technology-oriented consumption habits and quality-oriented economic relations, there is a dynamic network between people-oriented relationships and technology-oriented behavior and consumption patterns. While shaping this social network, every factor that innovation interacts with should be handled in a holistic manner.

Research paper thumbnail of Ailede Engelli Birey Olmanın Ağırlığı: “İnsan Eti Ağırdır”

Bu calisma, ailede engelli birey olmanin agirligini, bedenin tamamen biyolojik bir varlik oldugu ... more Bu calisma, ailede engelli birey olmanin agirligini, bedenin tamamen biyolojik bir varlik oldugu fikrine karsi cikan, bedenin toplum tarafindan sekillendirildigi, sinirlandirildigi hatta yeniden yaratildigi ve bedene atfedilen niteliklerin, anlamlarin, bedensel sinirlamalarin hepsinin sosyal urunler oldugu gorusunu temel alan Peter L. Berger ve Thomas Luckmann’in Sosyal Insaci Yaklasiminin perspektifinden ele alinmistir. Calismada, Izmir ilinde yasayan ve Izmir merkez ilcelerine bagli engelli derrneklerine uye olan 13 erkek ve 13 kadin fiziksel engelli katilimci ile derinlemesine yapilandirilmamis gorusmeler yapilmistir. Saha arastirmasinin bulgulari, gorusmeler sonrasinda olusturulan temalar ve alt temalar kategorize edilerek betimsel analiz teknigi ile betimlenmis ve yorumlanmistir. Bu calismada sonuc olarak, ailede engelli birey olmanin agirligi, engellilerin kendileri disinda toplumsal olana gonderme yapilarak aile uyeleri arasindaki iliskilerde ‘dil’ ve ‘anlamli otekiler’ kavra...

Research paper thumbnail of Decrease in Pulse Wave Velocity is Associated with Clinical Improvement in Patients with Ischemic Stroke

Journal of Stroke and Cerebrovascular Diseases, 2020

Background: Arterial stiffness is an independent determinant of cardiovascular and cerebrovascula... more Background: Arterial stiffness is an independent determinant of cardiovascular and cerebrovascular risks. The relationship between the increase in arterial stiffness parameters and the severity of stroke has been shown in previous studies. We aimed to investigate the association between clinical improvement and changes in arterial stiffness parameters in patients presenting acute ischemic stroke. Methods: A total of 107 patients were enrolled in this study. On the first and seventh day of the hospitalization, 24 h non-invasive blood pressure was monitored and arterial stiffness parameters were measured. The National Institutes of Health Stroke Scale (NIHSS) was used to determine the severity of stroke, and the Modified Rankin Scale was used to determine dependency and to evaluate functional improvements. Results: Arterial stiffness parameters of augmentation index (AIx@75) and pulse wave velocity (PWV) were significantly higher in patients who died during hospitalization than patients who were discharged (respectively p <0.001, p = 0.04). In the group with clinical improvement, PWV values measured on the seventh day were significantly lower than PWV values measured on the first day (p = 0.032). When the changes in PWV value measured on the first and seventh day for both groups were analyzed using mixed ANOVA test, p value were significant (p = 0.033). Multivariate binary logistic regression analyses showed that negatively change in PWV and CDBP independently predicts the clinical improvement. Conclusions: Increased AIx@75 and PWV appear to be associated with higher in-hospital mortality rates in patients with acute ischemic stroke. Additionally, clinical improvement in patients with ischemic stroke is associated with a decrease in PWV .

Research paper thumbnail of Evaluation of Sensory Nerve Conduction Studies and Hematologic Parameters in Restless Legs Syndrome

Turkish Journal Of Neurology, 2020

Amaç: Huzursuz bacaklar sendromu (HBS) bacaklarda yanma gibi duysal yakınmalar ile ortaya çıkan b... more Amaç: Huzursuz bacaklar sendromu (HBS) bacaklarda yanma gibi duysal yakınmalar ile ortaya çıkan bir hastalıktır. Hastalar bacaklarını hareket ettirmek isterler. Semptomlar istirahatle ve geceleri belirginleşir. Bu çalışma ile HBS'de duysal sinir iletimlerinin hematolojik kan parametreleri ile ilişkisinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Çalışmaya 45 HBS'li hasta ve 45 sağlıklı kontrol dahil edildi. Hastaların yaş, cinsiyet ve kronik hastalıkları sorgulandı. Hemoglobin, ortalama korpusküler hacim (MCV), ortalama korpusküler hemoglobin (MCH), ortalama korpusküler hemoglobin konsantrasyonu (MCHC) ve ferritin değerleri kaydedildi. Ulnar, medyan ve sural duysal sinir amplitüd, latans ve iletim hızı elektronöromiyografi laboratuvarında değerlendirildi. Veriler SPSS 21 kullanılarak tanımlayıcı, parametrik ve nonparametrik testler ile analiz edildi. Bulgular: Çalışmada 22 (%49) kadın ve 23 (%51) erkek HBS'li hasta vardı. Yaş ortalaması 57,31±14,47 yıl idi. Hemoglobin (g/dl) 14,06±1,88; MCV (fl) 85,70 (55,7-96,5); MCH (pg) 28,45 (17,6-32,5) ve ferritin (ng/ml) 31,30 (4-848) seviyelerindeydi. HBS ve kontrol grubu arasında kan değerleri açısından fark saptanmadı (p>0,05). Sural sinir iletim hızı HBS'li hastalarda daha düşüktü (p=0,01). Sural sinir latansı daha uzundu (p=0,01). Diğer sinir iletimleri hasta ve kontrol grubunda benzerdi (p>0,05). Sonuç: HBS patogenezinde santral sinir sistemi dopaminerjik mekanizmaları, genetik geçiş ve düşük ferritin değerleri ön plandadır. Periferik sinir sistemi üzerinde daha az durulmaktadır. Bu çalışmada HBS hastalığı ile sural sinir iletim hızı ve latansı arasında ilişki olduğu belirlenmiştir. Ancak ferritin seviyesi ve sinir iletimleri arasında ilişki saptanmamıştır. Anahtar Kelimeler: Huzursuz bacaklar sendromu, duysal sinir, ferritin Objective: Restless legs syndrome (RLS) presents with sensory symptoms such as burning in the legs, patients want to move their legs. Symptoms become apparent at rest and at night. The aim of this study was to investigate the relationship between sensory nerve conduction and hematologic parameters in RLS. Materials and Methods: Forty-five patients with RLS and 45 healthy controls were included in the study. Age, sex, and chronic diseases of the patients were questioned. Hemoglobin, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), and ferritin values were recorded. Ulnar, median, and sural sensory nerve amplitude, latency and conduction velocity were evaluated in a electroneuromyography laboratory. Data were analyzed using descriptive, parametric and nonparametric tests with the SPSS 21 software. Results: There were 22 (49%) female and 23 (51%) male patients with RLS in the study. The mean age was 57.31±14.47 years. Mean blood values were as follows: Hemoglobin (g/dl) 14.06±1.88; MCV (fl) 85.70 (55.7-96.5); MCH (pg) 28.45 (17.6-32.5), and ferritin (ng/ml) 31.30 (4-848). There was no difference in terms of blood values between RLS and control group (p>0.05). Sural nerve conduction velocity was slower in patients with RLS (p=0.01). Sural nerve latency was longer (p=0.01). Other nerve conduction parameters were equal in the study and control groups (p>0.05) Conclusion: Central nervous system dopaminergic mechanisms, genetic transmission, and low ferritin levels are the main factors in the pathogenesis of RLS. There is less focus on the peripheral nervous system. In this study, sural nerve conduction velocity and latency were associated with RLS. However, there was no correlation between ferritin levels and nerve conduction.

Research paper thumbnail of Acute Ischemic Stroke in Patient with Coronavirus Disease

Turkish Journal Of Neurology, 2020

Research paper thumbnail of The Effect of Modeling Activities on Grade 5 Students’ Informal Reasoning About a Real-Life Issue

Research in Science Education, 2019

This research investigated the effect of modeling activities on grade 5 students' informal reason... more This research investigated the effect of modeling activities on grade 5 students' informal reasoning about a real-life issue. An instrumental case study was conducted with 17 students (7 female and 10 male) at a public middle school in Turkey. Data were collected through semistructured interviews and student worksheets. The students' informal reasoning patterns were analyzed using the informal reasoning pattern rubric; informal reasoning qualities were analyzed using the argumentation quality rubric. Furthermore, a content analysis was conducted to distill the relationship between informal reasoning and the students' models. Findings indicated that the students did not use emotive reasoning patterns in the post-interview, failed to create high-quality informal reasoning, and referred to the modeling activities in different components of their reasoning.

Research paper thumbnail of Sustainability practices of Turkish hotels: A research in the city of Antalya, Turkey

Turizam, 2016

The main purpose of this research was investigating the current sustainability practices as well ... more The main purpose of this research was investigating the current sustainability practices as well as training given to personnel and the use of discipline systems of 5-star hotels operating in the Antalya Region of Turkey. Questionnaires used to survey responsible personnel recruited in the sampled 5-star hotels were evaluated seperately. SPSS 20.0 was used for the statistical evaluations. Regarding sustainability, 11 out of the 34 hotels sampled recruited environmental managers to provide training, implementation and control processes. Most of the sampled hotels gave information on waste management & recycling, energy savings and natural resource management topics to their personnel. Additionally, sampled hotels believed that trainings given on sustainability increase conscious awareness and sensitivity to the environment, quality of lifeand resourcesavings.From a practical perspective, the results of the research would be of help for tourism professionals, researchers and decision makers.This research is among the few to address current sustainability practicesof 5-Star Hotels in Antalya, Turkey in terms of current systems, training and best-practice policies.

Research paper thumbnail of Mortality and morbidity risk factors in the surgery of peptic ulcer perforation

Cumhuriyet Medical Journal, 2012

Aim. The efficacy of modern medical treatment has played an important role in decreased incidence... more Aim. The efficacy of modern medical treatment has played an important role in decreased incidence and differentation of the epidemiology of ulcer perforation. But a similar rate of differentiation in mortality and morbidity was not observed. The effect of more simple surgical procedures and the factors associated with mortality and morbidity in ulcer perforation, were the subject of this study. Methods. The files of 126 patients who were operated due to peptic ulcer perforation between 1998 and 2005 were analyzed in retrospective manner. Patients were divided into two groups as primary repair group and definitive surgery group. Factors affecting the choice of surgical treatment, perforation etiology, predisposing factors associated with mortality and morbidity rate were evaluated. Results. A hundred and fourteen 114 (90.5%) patients were male and 12 (9.5%) of them were female. The mean age was 50.7 (± 13.5). Primary repair group included 103 (81.7%) patients whereas definitive surgery group included 23 (18.3%) patients. The overall mortality and morbidity rates in primary repair group and definitive surgery were, 3.9% and 15% respectively. Conclusion. Primary repair has regained popularity in time. The factors associated with mortality and morbidity were age, concomitant disease, and delayed admission.

Research paper thumbnail of Local residents' and foreign tourists' intention towards ecotourism: A research in the Antalya city

Turizam

The main aim of this research is to investigate local residents' and foreign tourists' in... more The main aim of this research is to investigate local residents' and foreign tourists' intentions to participate in ecotourism practices by using attitudes towards ecotourism, likeability of tourist landscapes, intention to participate in ecotourism, and environmental knowledge in ecotourism. Local residents and foreign tourists took part in the research. According to the findings, local residents and foreign tourists have high averages in terms of attitude towards ecotourism, likeability of tourist landscapes, and environmental knowledge, but, have low averages in terms of their intention to participate in ecotourism. Local residents have more positive attitude towards ecotourism and higher environmental knowledge levels than foreign tourists.

Research paper thumbnail of The Platelet/Lymphocyte Ratio in Patients with Ischemic Stroke Treated with Intravenous Thrombolysis and Its Relationship with Mortality, Disability, and Prognosis

Istanbul Medical Journal

Introduction: The platelet/lymphocyte ratio (PLR) has been studied frequently to determine the pr... more Introduction: The platelet/lymphocyte ratio (PLR) has been studied frequently to determine the prognosis of cardiovascular diseases, chronic inflammatory diseases, and malignancies. Particularly, the PLR is an indicator of systemic inflammation and atherosclerosis. In this study, we aimed to evaluate the value of the PLR and its relationship with mortality, cerebral hemorrhagic transformation, and short-term prognosis in patients with stroke treated with intravenous thrombolysis. Methods: Two hundred fifty stroke patients treated with intravenous thrombolysis were included in the study. Initial symptoms, comorbidities, and localization of cerebral ischemia were recorded. Disability was scored on the National Institutes of Health (NIH) stroke scale. At the 24 th and 72 nd hours after treatment, hemorrhagic transformation was evaluated by brain computed tomography. The in-hospital mortality rate was calculated. Patients were divided into groups according to the difference in the NIH stroke scale (between admission and discharge). Serum platelet and lymphocyte levels and PLR values were determined. Results: There were 128 (51.2%) female and 122 (48.8%) male patients included in the study. Their mean age was 71.88±12.36 years. The lymphocyte count was low and the PLR was high in patients with a high level of initial disability (p<0.01). The lymphocyte count was higher in patients with clinical improvement (p=0.023). The lymphocyte count was lower and the PLR was higher in patients who died (p<0.01). The platelet level was lower in patients with hemorrhagic transformation (p=0.024). The lymphocyte level and PLR were similar in the hemorrhagic transformation groups (p=0.156, p=0.675). Conclusion: In this study, it was determined that mortality is related to the PLR, and hemorrhagic transformation is related to platelet levels in patients with ischemic stroke treated with intravenous thrombolysis.

Research paper thumbnail of Immigrant Problem From A Group of Health Professionals’ Point of View: A Qualitative Study

Türkiye bulunduğu coğrafi konum ve son dönemde gelişen bazı sosyal olaylar neticesinde fazla sayı... more Türkiye bulunduğu coğrafi konum ve son dönemde gelişen bazı sosyal olaylar neticesinde fazla sayıda göçmen almıştır. Bunun sonucunda Türk vatandaşları ile yeni gelen göçmenler arasında birçok problem ortaya çıkmıştır. Yaşanılan problemlerin önemli bir kısmı sağlık alanında meydana gelmektedir. Bu bağlamda çalışmanın amacı; bir grup sağlık çalışanının bakış açısıyla göçmenlerin ve sağlık çalışanlarının karşılaştıkları sorunları saptamaktır. Araştırmanın çalışma grubunu Çanakkale Ezine İlçe Devlet Hastanesi acil servisi ve istasyonunda görev yapan 2 hekim, 2 hemşire ve 3 acil tıp teknisyeni (ATT) olmak üzere toplam 7 sağlık çalışanı oluşturmuştur. Araştırma, nitel araştırma yöntemlerinden fenomenoloji (olgu bilim) deseni kullanılarak yapılmıştır. Araştırmada veri toplama aracı olarak yarı yapılandırılmış görüşme formu kullanılarak, veriler ses kayıt cihazı ile kayıt edilmiştir. Toplanan veriler betimsel analiz yöntemi ile analiz edilmiştir. Araştırmanın sonucunda "Sağlık çalışanl...

Research paper thumbnail of Original research-Orijinal araştırma

The efficacy of micronized flavonoid fraction (450 mg diosmin plus 50 mg hesperidin) in the treat... more The efficacy of micronized flavonoid fraction (450 mg diosmin plus 50 mg hesperidin) in the treatment of lymphedema after axillary dissection Aksiller diseksiyon sonrası kolda gelişen lenf ödem profilkasisinde mikronize flavonoid fraksiyonunun etkinliği

Research paper thumbnail of Myalgia-arthralgia and Associated Factors in Patients with COVID-19

Turkish Journal Of Neurology, 2021

Objective: This study aimed to investigate the psychogenic impact of coronavirus disease-2019 (CO... more Objective: This study aimed to investigate the psychogenic impact of coronavirus disease-2019 (COVID-19) and its association with myalgia-arthralgia in patients who are hospitalized with COVID-19. Materials and Methods: This study includes patients who were hospitalized with COVID-19 and whose diagnoses were confirmed by thoracic computed tomography findings and positive polymerase chain reaction test. Characteristics of pain were evaluated using the pain quality assessment scale (PQAS). Posttraumatic stress disorder (PTSD) was evaluated with the impact of event scale-revised (IES-R). Scoring over 33 was considered a cutoff point for "probable PTSD". These patients were named PTSD (+). PTSD (+) and PTSD (-) groups were compared in terms of PQAS and laboratory parameters. Results: Of the participants, 70 (42.9%) were females and 93 (57.1%) were males. The mean IES-R score was 36.89±11.76. The prevalence of PTSD was 47.9% (n=78). The most common pain was back pain (n=52, 50.5%). Patients with myalgia-arthralgia had higher total IES-R score and subgroup scores (p=0.008, p=0.010, p=0.006, and p=0.012, respectively). The patient group with PTSD had higher PQAS score (p=0.001). Additionally, this group had lower leukocyte (p=0.002) and lymphocyte counts (p=0.010) and higher serum creatine kinase level (p=0.02). Conclusion: Approximately half of the patients who were hospitalized with COVID-19 had PTSD, with a higher incidence and severity of myalgia-arthralgia. Therefore, myalgia-arthralgia was associated with PTSD in patients who were hospitalized with COVID-19.

Research paper thumbnail of Aşırı Ebeveynlik, Ençoklamacı Karar Verme Eğilimleri ve Kariyer Karasızlığı İlişkisi: Sinop Örneği

Avrasya Uluslararası Araştırmalar Dergisi, 2020

Aşırı ebeveynlik, anne ve/veya babanın çocuklarının üzerinde kurdukları bir tahakküm biçimi olara... more Aşırı ebeveynlik, anne ve/veya babanın çocuklarının üzerinde kurdukları bir tahakküm biçimi olarak ifade edilebilir. Ebeveynlik biçimindeki bu tarz, çocukların ençoklamacı karar verme eğilimleri göstermelerinin nedeni olarak sayılabilir. Ayrıca, çocukların içinde yaşadıkları toplumda sosyalleşme biçimleri de bu ebeveyn tarzı ile doğrudan ilişkilidir. Bu nedenle, ençoklamacı karar verme eğilimleri gösteren kişilerin, aşırı ebeveynlik gösteren ailelerin çocuklarının, demokratik ve izin verici ailelerin çocuklarına nazaran, ilerdeki yaşamlarının büyük bir kısmını kapsayacak olan mesleki hayatlarını belirleme konusu önemli olmaktadır. Çünkü, ençoklamacı karar verme eğilimleri sebebiyle kariyer kararsızlığını daha fazla yaşayacaklarını söylemek mümkün görünmektedir. Bu çalışmada, Sinop ili örneği temel alınarak aşırı ebeveynlik, ençoklamacı karar verme eğilimleri ve kariyer kararsızlığı arasındaki ilişki sosyolojik eksende incelenmektedir. Örneklemi, toplamda 300 katılımcıdan oluşan üniv...

Research paper thumbnail of Örümcek mi Böcek mi? 5.Sınıf Öğrencileri İçin Argümantasyon Tabanlı Sınıflandırma Etkinliği

Bu calismanin amaci, 5. Sinif ogrencilerinin canlilarin siniflandirilmasi konusununda argumantasy... more Bu calismanin amaci, 5. Sinif ogrencilerinin canlilarin siniflandirilmasi konusununda argumantasyon becerilerinin gelistirmesidir. Bu amac dogrultusunda, siniflandirma unitesinin ogretimi icin argumantasyon tabanli 3 ders saati suren bir etkinlik tasarlanmistir. Etkinlik Turkiye’nin kuzeydogu illerinden birinde 20 adet 5. Sinif ogrencisi ile grup calismasi seklinde yurutulmustur. Ogrencilerin argumanlarini iceren posterleri incelendiginde ogrencilerin argumanlarinda verileri kullanmakla birlikte ust duzey argumantasyon uretmeleri icin gerekli olan karsit arguman ve curutuculerle argumanlarini destekledikleri gorulmustur. Fakat hic bir grup 5. duzey arguman uretmemistir.

Research paper thumbnail of Sociology Dimension of Innovation

In this study, it is aimed to examine the sociological dimensions of innovation. Innovation has e... more In this study, it is aimed to examine the sociological dimensions of innovation. Innovation has emerged because of the needs related to social, cultural, and economic social conditions. This state of regeneration can be compared to the human body rebuilding itself at any moment. In addition to traditional cooperation models in financial, technological, and social terms, innovation can be made possible by the realization of cooperation between talented individuals, institutions and organizations with different cultures and backgrounds. In the study, the sociological dimensions of innovation have been created because of the theoretical compilation of related studies after a detailed literature review. During the review of the literature on the subject, content analysis is performed, and it is seen that three sociologically different themes about innovation come to the fore. These themes are Competitive lifestyle (social simulation), technology-oriented consumption habits (technological innovation) and quality-oriented economic relationships (quality innovation). The study emphasizes the correlation between these three themes and innovation. As a result, eight categories play a decisive role in innovation: impact, people and talent, partnership, coplacement centers, community identification, outreach and dissemination, management and governance, and business model, financial plan, and sustainability. Due to the interaction between themes defined as innovation and competitive lifestyle, technology-oriented consumption habits and quality-oriented economic relations, there is a dynamic network between people-oriented relationships and technology-oriented behavior and consumption patterns. While shaping this social network, every factor that innovation interacts with should be handled in a holistic manner.

Research paper thumbnail of Ailede Engelli Birey Olmanın Ağırlığı: “İnsan Eti Ağırdır”

Bu calisma, ailede engelli birey olmanin agirligini, bedenin tamamen biyolojik bir varlik oldugu ... more Bu calisma, ailede engelli birey olmanin agirligini, bedenin tamamen biyolojik bir varlik oldugu fikrine karsi cikan, bedenin toplum tarafindan sekillendirildigi, sinirlandirildigi hatta yeniden yaratildigi ve bedene atfedilen niteliklerin, anlamlarin, bedensel sinirlamalarin hepsinin sosyal urunler oldugu gorusunu temel alan Peter L. Berger ve Thomas Luckmann’in Sosyal Insaci Yaklasiminin perspektifinden ele alinmistir. Calismada, Izmir ilinde yasayan ve Izmir merkez ilcelerine bagli engelli derrneklerine uye olan 13 erkek ve 13 kadin fiziksel engelli katilimci ile derinlemesine yapilandirilmamis gorusmeler yapilmistir. Saha arastirmasinin bulgulari, gorusmeler sonrasinda olusturulan temalar ve alt temalar kategorize edilerek betimsel analiz teknigi ile betimlenmis ve yorumlanmistir. Bu calismada sonuc olarak, ailede engelli birey olmanin agirligi, engellilerin kendileri disinda toplumsal olana gonderme yapilarak aile uyeleri arasindaki iliskilerde ‘dil’ ve ‘anlamli otekiler’ kavra...

Research paper thumbnail of Decrease in Pulse Wave Velocity is Associated with Clinical Improvement in Patients with Ischemic Stroke

Journal of Stroke and Cerebrovascular Diseases, 2020

Background: Arterial stiffness is an independent determinant of cardiovascular and cerebrovascula... more Background: Arterial stiffness is an independent determinant of cardiovascular and cerebrovascular risks. The relationship between the increase in arterial stiffness parameters and the severity of stroke has been shown in previous studies. We aimed to investigate the association between clinical improvement and changes in arterial stiffness parameters in patients presenting acute ischemic stroke. Methods: A total of 107 patients were enrolled in this study. On the first and seventh day of the hospitalization, 24 h non-invasive blood pressure was monitored and arterial stiffness parameters were measured. The National Institutes of Health Stroke Scale (NIHSS) was used to determine the severity of stroke, and the Modified Rankin Scale was used to determine dependency and to evaluate functional improvements. Results: Arterial stiffness parameters of augmentation index (AIx@75) and pulse wave velocity (PWV) were significantly higher in patients who died during hospitalization than patients who were discharged (respectively p <0.001, p = 0.04). In the group with clinical improvement, PWV values measured on the seventh day were significantly lower than PWV values measured on the first day (p = 0.032). When the changes in PWV value measured on the first and seventh day for both groups were analyzed using mixed ANOVA test, p value were significant (p = 0.033). Multivariate binary logistic regression analyses showed that negatively change in PWV and CDBP independently predicts the clinical improvement. Conclusions: Increased AIx@75 and PWV appear to be associated with higher in-hospital mortality rates in patients with acute ischemic stroke. Additionally, clinical improvement in patients with ischemic stroke is associated with a decrease in PWV .

Research paper thumbnail of Evaluation of Sensory Nerve Conduction Studies and Hematologic Parameters in Restless Legs Syndrome

Turkish Journal Of Neurology, 2020

Amaç: Huzursuz bacaklar sendromu (HBS) bacaklarda yanma gibi duysal yakınmalar ile ortaya çıkan b... more Amaç: Huzursuz bacaklar sendromu (HBS) bacaklarda yanma gibi duysal yakınmalar ile ortaya çıkan bir hastalıktır. Hastalar bacaklarını hareket ettirmek isterler. Semptomlar istirahatle ve geceleri belirginleşir. Bu çalışma ile HBS'de duysal sinir iletimlerinin hematolojik kan parametreleri ile ilişkisinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Çalışmaya 45 HBS'li hasta ve 45 sağlıklı kontrol dahil edildi. Hastaların yaş, cinsiyet ve kronik hastalıkları sorgulandı. Hemoglobin, ortalama korpusküler hacim (MCV), ortalama korpusküler hemoglobin (MCH), ortalama korpusküler hemoglobin konsantrasyonu (MCHC) ve ferritin değerleri kaydedildi. Ulnar, medyan ve sural duysal sinir amplitüd, latans ve iletim hızı elektronöromiyografi laboratuvarında değerlendirildi. Veriler SPSS 21 kullanılarak tanımlayıcı, parametrik ve nonparametrik testler ile analiz edildi. Bulgular: Çalışmada 22 (%49) kadın ve 23 (%51) erkek HBS'li hasta vardı. Yaş ortalaması 57,31±14,47 yıl idi. Hemoglobin (g/dl) 14,06±1,88; MCV (fl) 85,70 (55,7-96,5); MCH (pg) 28,45 (17,6-32,5) ve ferritin (ng/ml) 31,30 (4-848) seviyelerindeydi. HBS ve kontrol grubu arasında kan değerleri açısından fark saptanmadı (p>0,05). Sural sinir iletim hızı HBS'li hastalarda daha düşüktü (p=0,01). Sural sinir latansı daha uzundu (p=0,01). Diğer sinir iletimleri hasta ve kontrol grubunda benzerdi (p>0,05). Sonuç: HBS patogenezinde santral sinir sistemi dopaminerjik mekanizmaları, genetik geçiş ve düşük ferritin değerleri ön plandadır. Periferik sinir sistemi üzerinde daha az durulmaktadır. Bu çalışmada HBS hastalığı ile sural sinir iletim hızı ve latansı arasında ilişki olduğu belirlenmiştir. Ancak ferritin seviyesi ve sinir iletimleri arasında ilişki saptanmamıştır. Anahtar Kelimeler: Huzursuz bacaklar sendromu, duysal sinir, ferritin Objective: Restless legs syndrome (RLS) presents with sensory symptoms such as burning in the legs, patients want to move their legs. Symptoms become apparent at rest and at night. The aim of this study was to investigate the relationship between sensory nerve conduction and hematologic parameters in RLS. Materials and Methods: Forty-five patients with RLS and 45 healthy controls were included in the study. Age, sex, and chronic diseases of the patients were questioned. Hemoglobin, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), and ferritin values were recorded. Ulnar, median, and sural sensory nerve amplitude, latency and conduction velocity were evaluated in a electroneuromyography laboratory. Data were analyzed using descriptive, parametric and nonparametric tests with the SPSS 21 software. Results: There were 22 (49%) female and 23 (51%) male patients with RLS in the study. The mean age was 57.31±14.47 years. Mean blood values were as follows: Hemoglobin (g/dl) 14.06±1.88; MCV (fl) 85.70 (55.7-96.5); MCH (pg) 28.45 (17.6-32.5), and ferritin (ng/ml) 31.30 (4-848). There was no difference in terms of blood values between RLS and control group (p>0.05). Sural nerve conduction velocity was slower in patients with RLS (p=0.01). Sural nerve latency was longer (p=0.01). Other nerve conduction parameters were equal in the study and control groups (p>0.05) Conclusion: Central nervous system dopaminergic mechanisms, genetic transmission, and low ferritin levels are the main factors in the pathogenesis of RLS. There is less focus on the peripheral nervous system. In this study, sural nerve conduction velocity and latency were associated with RLS. However, there was no correlation between ferritin levels and nerve conduction.

Research paper thumbnail of Acute Ischemic Stroke in Patient with Coronavirus Disease

Turkish Journal Of Neurology, 2020

Research paper thumbnail of The Effect of Modeling Activities on Grade 5 Students’ Informal Reasoning About a Real-Life Issue

Research in Science Education, 2019

This research investigated the effect of modeling activities on grade 5 students' informal reason... more This research investigated the effect of modeling activities on grade 5 students' informal reasoning about a real-life issue. An instrumental case study was conducted with 17 students (7 female and 10 male) at a public middle school in Turkey. Data were collected through semistructured interviews and student worksheets. The students' informal reasoning patterns were analyzed using the informal reasoning pattern rubric; informal reasoning qualities were analyzed using the argumentation quality rubric. Furthermore, a content analysis was conducted to distill the relationship between informal reasoning and the students' models. Findings indicated that the students did not use emotive reasoning patterns in the post-interview, failed to create high-quality informal reasoning, and referred to the modeling activities in different components of their reasoning.

Research paper thumbnail of Sustainability practices of Turkish hotels: A research in the city of Antalya, Turkey

Turizam, 2016

The main purpose of this research was investigating the current sustainability practices as well ... more The main purpose of this research was investigating the current sustainability practices as well as training given to personnel and the use of discipline systems of 5-star hotels operating in the Antalya Region of Turkey. Questionnaires used to survey responsible personnel recruited in the sampled 5-star hotels were evaluated seperately. SPSS 20.0 was used for the statistical evaluations. Regarding sustainability, 11 out of the 34 hotels sampled recruited environmental managers to provide training, implementation and control processes. Most of the sampled hotels gave information on waste management & recycling, energy savings and natural resource management topics to their personnel. Additionally, sampled hotels believed that trainings given on sustainability increase conscious awareness and sensitivity to the environment, quality of lifeand resourcesavings.From a practical perspective, the results of the research would be of help for tourism professionals, researchers and decision makers.This research is among the few to address current sustainability practicesof 5-Star Hotels in Antalya, Turkey in terms of current systems, training and best-practice policies.

Research paper thumbnail of Mortality and morbidity risk factors in the surgery of peptic ulcer perforation

Cumhuriyet Medical Journal, 2012

Aim. The efficacy of modern medical treatment has played an important role in decreased incidence... more Aim. The efficacy of modern medical treatment has played an important role in decreased incidence and differentation of the epidemiology of ulcer perforation. But a similar rate of differentiation in mortality and morbidity was not observed. The effect of more simple surgical procedures and the factors associated with mortality and morbidity in ulcer perforation, were the subject of this study. Methods. The files of 126 patients who were operated due to peptic ulcer perforation between 1998 and 2005 were analyzed in retrospective manner. Patients were divided into two groups as primary repair group and definitive surgery group. Factors affecting the choice of surgical treatment, perforation etiology, predisposing factors associated with mortality and morbidity rate were evaluated. Results. A hundred and fourteen 114 (90.5%) patients were male and 12 (9.5%) of them were female. The mean age was 50.7 (± 13.5). Primary repair group included 103 (81.7%) patients whereas definitive surgery group included 23 (18.3%) patients. The overall mortality and morbidity rates in primary repair group and definitive surgery were, 3.9% and 15% respectively. Conclusion. Primary repair has regained popularity in time. The factors associated with mortality and morbidity were age, concomitant disease, and delayed admission.