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Öğe Exercise-induced muscle oxygenation changes in fibrosing interstitial lung diseases: a near-infrared spectroscopy study(Mattioli 1885, 2025) Pehlivan, Esra; Zeren, Melih; Özcan, Zeynep Betül; Karaahmetoğlu, Fulya Senem; Demirkol, Barış; İlhan, Umut; Ataç, Amine; Çetinkaya, ErdoğanBackground: The impact of fibrosing interstitial lung disease (F-ILD) on the oxygenation of peripheral and respiratory muscles during exercise remains poorly understood. Specifically, it's unclear whether regional blood flow influences exercise capacity in these patients, and if so, to what degree. Objectives: This study aimed to investigate changes in oxygenation and blood flow volume of the intercostal (IC) and quadriceps femoris (QF) muscles during exercise in patients with F-ILD. Methods: Muscle oxygenation (SmO2) and total haemoglobin (tHb) changes of IC and QF were measured in 36 F-ILD patients using near-infrared spectroscopy (NIRS) during six-minute walking test (6MWT). Resting, minute-by-minute change, and average data were analyzed. Results: At rest, SmO(2)was significantly higher in IC compared to QF (p<0.001). When adjusted for SmO(2)at rest, SmO(2)at the different time points during 6MWT, average SmO(2)during 6MWT, and lowest SmO2 during 6MWT did not differ between QF and IC muscles. Also, SmO(2 )did not vary significantly during 6MWT in either QF (F=2.193) or IC muscle (F=1.262). THb increased more in QF than in IC. THb of IC inversely correlated to respiratory functions and 6MWT distance. Conclusion: Peripheral and respiratory muscle oxygenation in F-ILD seems to be normal. However, blood flow volume in exercising muscle, not muscle oxygenation, may be a contributing factor to exercise intolerance. Patients with poorer respiratory function may require excessive blood flow in their respiratory muscles which in turn may limit the blood flow available for exercising peripheral muscles.Öğe Can Vitamin D reduce the need for SSRI by modulating serotonin synthesis? : a review of recent literature(Springer Nature, 2025) Bostan, Zekiye Zeynep; Bulut, Melike Sare; Gezmen Karadağ, MakbulePurpose of Review: This study aims to analyze the effects of vitamin D on serotonin synthesis, release, and function in the brain, and to explore its relationship with various psychiatric disorders. Recent Findings: The hormone calcitriol plays a vital role in regulating a multitude of biological processes within the human body. Its deficiency can lead to significant adverse effects on overall health and well-being, including physical and psychological consequences. Evidence indicates that vitamin D may exert influences through receptors in the brain, modulating serotonin production and influencing emotional and cognitive processes. Recent studies propose that elevated serum vitamin D may enhance mood and alleviate depressive states. The impact of vitamin D on cognitive function and behavior remains an area of ongoing investigation. This literature review analyses the available evidence on how vitamin D intake impacts the severity of illness and medication requirements in diverse psychiatric disorders. A review of the literature suggests that there may be a correlation between vitamin D and serotonin, which could potentially contribute to more favorable outcomes in the context of illness. Vitamin D may increase the amount of serotonin in the synaptic gap, which is the intended use of selective serotonin reuptake inhibitors (SSRIs), with its effect on the increase in serotonin release. Summary: According to reports, vitamin D supplementation in conjunction with SSRI group medication provides an additive effect for the management of psychiatric disorders.Öğe The effect of internet addiction on surgical nurses' malpractice tendencies: Turkish sample(Springer Nature, 2025) Gezginci Akpınar, Elif; Orhan, Büşra Nur; Göktaş, SonayBackground This study aimed to determine the effect of surgical nurses' internet addiction on their malpractice tendencies. Methods The descriptive cross-sectional study included 1051 nurses working in the surgical awards of 10 hospitals in Istanbul. Data were collected using a descriptive characteristics form, the Internet Addiction Scale, and the Malpractice Tendency Scale. An increase in the score on the internet addiction scale indicates that internet addiction increases. In contrast, an increase in the score on the malpractice tendency scale indicates that malpractice tendency decreases. Data were analyzed using independent groups t-test, one-way ANOVA test, Pearson correlation and linear regression analyzes with IBM SPSS Statistics version 22.0 software. Results A weak negative correlation was found between the surgical nurses' total scores on the Internet Addiction Scale and Malpractice Tendency Scale (r=-0.422 p < 0.001). Internet addiction total score was also negatively correlated with malpractice tendency subscale scores for medication and transfusion administration safety (r=-0.450 p < 0.001); infection prevention (r=-0.416 p < 0.001); patient monitoring, device, and material safety (r=-0.321 p < 0.001); fall prevention (r=-0.325 p < 0.001), and communication (r=-0.332 p <= 0.001). In linear regression analysis, an increase in internet addiction overall and in the lack of control subscale was associated with greater malpractice tendency (ss=-0.422 and ss=-0.243, respectively). Internet addiction explained a total of 17.7% of the total change in malpractice tendency (R2 = 0.177). Conclusion Surgical nurses showed increased malpractice tendency as their internet addiction level increased. This relationship was seen in all domains of malpractice, including medication and transfusion administration safety, infection and fall prevention, communication, and patient monitoring, device, and material safety. It is recommended that in-service training be planned for conscious internet use to limit the time nurses spend on the internet during working hours.Öğe The acute effects of motor imagery combined with action observation breathing exercise on cardiorespiratory responses, brain activity, and cognition: a randomized, controlled trial(Wiley-Hindawi, 2025) Atak, Ebrar; Ataç, AmineBreath and brain activity have been integral to daily life since time immemorial. Cognition and cardiorespiratory responses are closely interlinked, necessitating further investigation into their dynamics. The potential benefits of combining motor imagery (MI) and action observation (AO) based breathing exercises in rehabilitation have not been fully explored. This study was aimed at assessing the acute effects of MI combined with AO on cognitive function and cardiorespiratory responses. Thirty-three healthy adults were randomized into MI combined with AO breathing (MI+AO), active respiratory exercise (ARE), and control groups, with equal distribution across groups. Electroencephalography (EEG) data were collected using a Muse EEG headband, and cognitive function was assessed using the Montreal Cognitive Assessment (MoCA) while imagining activities were measured via the Kinesthetic and Visual Imagery Questionnaire (KVIQ). Significant improvements in the Timed Up and Go (TUG) test and systolic blood pressure were observed in the ARE group (p < 0.05), alongside improvements in MoCA and KVIQ scores (p < 0.05). EEG data revealed significant decreases in delta and theta power at the temporoparietal (TP) location in the ARE group (p < 0.05). These findings suggest that MI and AO, when combined with respiratory exercises, may serve as effective passive strategies to support cognition and cardiorespiratory function, particularly in individuals who struggle to actively participate in pulmonary rehabilitation.Öğe Non-invasive Raman and XRF study of Mīnā’ī decoration, the first sophisticated painted enamels(Multidisciplinary Digital Publishing Institute (MDPI), 2025) Colomban, Philippe; Şimşek Franci, Gülsu; Ngo, Anh-Tu; Gallet, XavierMīnā’ī wares, crafted during the 12th–13th centuries, represent some of the earliest examples of sophisticated painted enamel decoration by potters. Due to the thinness of these enamel layers, their detailed characterization remains challenging, even with the use of advanced techniques, such as Proton-Induced X-ray Emission (PIXE) analysis and Rutherford Backscattering Spectrometry (RBS). This study provides the first combined non-invasive analysis, using X-ray fluorescence (XRF) and Raman spectroscopy, of five shards attributed to mīnā’ī wares. For comparison, two İznik shards from the 17th century, which feature similarly styled but thicker enamel decorations, were also analyzed. Interestingly, the mīnā’ī paste was found to contain lead and tin, suggesting the use of a lead-rich frit in its composition. This finding was confirmed through micro-destructive analysis, using Scanning Electron Microscopy with Energy Dispersive Spectroscopy (SEM–EDS). Elements, such as rubidium (Rb), strontium (Sr), yttrium (Y), and zirconium (Zr), produced significant XRF signals and effectively distinguished mīnā’ī wares from İznik wares. A uniform tin-rich glaze, measuring 300–500 µm in thickness, was used as a base layer for the much thinner painted mīnā’ī enamels. The colored areas (blue, turquoise, red, green, black, white, eggplant) revealed the presence of various coloring agents and phases, such as spinels, chromite, and ions like Cu2+ and Co2+, as well as opacifiers like cassiterite and lead–calcium/potassium arsenates. Two distinct cobalt sources were identified: one associated with arsenic and the other with manganese and nickel. These cobalt sources are comparable to those used in İznik pottery. For the first time, boron was detected in the blue enamel of mīnā’ī wares.Öğe Investigation of inspiratory muscle training efficiency before bronchoscopic lung volume reduction: a randomized controlled trial(Sociedad Espanola de Neumologia y Cirugia Toracica (SEPAR), 2025) Pehlivan, Esra; Çetinkaya, Erdoğan; Özcan, Zeynep Betül; Karaahmetoğlu, Fulya Senem; Çörtük, Mustafa; Ataç, Amine; Çınarka, HalitIntroduction: Pulmonary rehabilitation (PR) is recommended prior to bronchoscopic lung volume reduction (BLVR) procedures to optimize patient outcomes. However, there's a lack of clear guidance on PR content. The aim of our study is to examine the effect of adding inspiratory muscle training (IMT) to standard PR before BLVR on exercise capacity, dyspnea, fatigue level and quality of life. Methods: Sixty-four patients were randomly assigned to either the PR Group (PRGr) or the PR with IMT group (IMTGr). Both groups underwent an 8-week standard PR program, including breathing exercises, muscle strengthening, and walking. Additionally, IMTGr received IMT sessions. Outcome measures comprised six-minute walking distance (6MWD), maximal inspiratory and expiratory pressures (MIP, MEP), peripheral muscle strength, modified Medical Research Council dyspnea score, fatigue symptom scale, spirometric parameters, Saint George Quality of Life Questionnaire (SGRQ), International Physical Activity Questionnaire Short Form (IPAQ-SF), and Hospital Anxiety and Depression Scale. Results: Our study found no significant difference in exercise capacity improvement between IMTGr and PRGr. However, IMTGr showed significant improvement in MIP compared to PRGr. Both groups experienced improvements in dyspnea, fatigue, and depression scores, as well as enhancements in 6MWD, MEP, peripheral muscle strength, IPAQ-SF and SGRQ scores. Conclusion: Adding IMT to PR did not show a significant difference between groups among BLVR-eligible patients. However, improved respiratory muscle strength may have positive clinical implications. Further research is needed to explore short and long-term effects.Öğe Does the use of protective face masks affectemporomandibular joint function?(Professional Medical Publications, 2025) Özdemir Görgü, Sena; Yıldırım, Yasin; Kaya, Pınar; Ergezen, Gizem; Uzuner, EdaObjective: Long-term mask use can trigger or exacerbate various health issues. This prospective experimental study evaluated the impact of protective face masks on masseter muscle activity and temporomandibular joint (TMJ) function reported by participants. Methods: This prospective, experimental tudy was conducted to investigate the effect of face masks on TMJ function, we used surface electromyography to assess masseter muscle activity at rest, during maximum contraction of the masseter muscle, and while reading a text. We also evaluated the intensity of the masseter muscle pain using an algometer. The participants underwent these evaluations at the Istanbul Medipol University between July and October 2022. Results: The study included 24 female participants with an average age of 28.5±5.40 years. After at least five hours of daily N95 mask use, a significant increase in masseter muscle activity was observed at rest and during speech (p=0.01; p=0.04, respectively). However, no significant changes in the maximum contraction of masseter muscle or pain threshold were observed (p>0.05). Conclusion: This study found that the use of N95 mask is associated with restricted TMJ movements and discomfort, and an increase in its use is associated with restricted TMJ movements, discomfort, and increased masseter muscle activity. Questions regarding mask-wearing-related habits should be included in the routine lifestyle assessment of patients who report TMJ complaints.Öğe Efficacy of ursodeoxycholic acid in reducing the necessity of cholecystectomy due to pre-existing and subsequently formed gallstones in patients who underwent laparoscopic sleeve gastrectomy(BMC, 2025) Demirpolat, Muhammed Taha; Çelikkaya, Muhammet Oğuz; Ertekin, Süleyman Çağlar; Başak, Fatih; Şişik, AbdullahBackgroundIn this study, we aimed to investigate whether ursodeoxycholic acid (UDCA) would reduce the necessity of cholecystectomy in patients diagnosed with asymptomatic gallstones after laparoscopic sleeve gastrectomy (LSG) and in patients diagnosed with asymptomatic gallstones before LSG.MethodsBetween July 2020 and November 2022, at least 2-year follow-ups of patients who underwent LSG for obesity were retrospectively analyzed. Patients with pre-existing asymptomatic gallstones during preoperative evaluation, those with UDCA treatment (group 1), and observation group (group 2). Patients with newly formed gallstones in postoperative outpatient clinic follow-up, those with UDCA treatment (group A), and those without UDCA treatment (group B).ResultsA total of 425 patients included. At the end of the first year, patients who had newly formed gallstones after LSG had a higher total weight loss percentages (TWL%) (39.8 +/- 6.1) compared to those who did not develop gallstones (37.9 +/- 7.4), which were statistically significant (p = 0.004). Among patients who developed gallstones postoperatively, UDCA treatment was associated with a significantly lower cholecystectomy rate in patients with newly formed gallstones postoperatively (p = 0.025), while no significant difference was shown in patients with preoperative gallstones (p = 0.631).ConclusionUDCA is a promising option for reducing the need for cholecystectomy in patients with post-LSG gallstones, but it appears ineffective for pre-existing gallstones.Öğe Distinctive delta and theta responses in deductive and probabilistic reasoning(Wiley, 2025) Sevim, Emir Faruk; Yıldırım, Yasin; Ünsal, Esra; Dalmızrak, Esra; Güntekin, BaharIntroductionThe neural substrates of reasoning, a cognitive ability we use constantly in daily life, are still unclear. Reasoning can be divided into two types according to how the inference process works and the certainty of the conclusions. In deductive reasoning, certain conclusions are drawn from premises by applying the rules of logic. On the other hand, in probabilistic reasoning, possible conclusions are drawn by interpreting the semantic content of arguments.MethodsWe examined event-related oscillations associated with deductive and probabilistic reasoning. To better represent the natural use of reasoning, we adopted a design that required participants to choose what type of reasoning they would use. Twenty healthy participants judged the truth values of alternative conclusion propositions following two premises while the EEG was being recorded. We then analyzed event-related delta and theta power and phase-locking induced under two different conditions.ResultsWe found that the reaction time was shorter and the accuracy rate was higher in deductive reasoning than in probabilistic reasoning. High delta and theta power in the temporoparietal, parietal, and occipital regions of the brain were observed in deductive reasoning. As for the probabilistic reasoning, prolonged delta response in the right hemisphere and high frontal theta phase-locking were noted.ConclusionOur results suggest that the electrophysiological signatures of the two types of reasoning have distinct characteristics. There are significant differences in the delta and theta responses that are associated with deductive and probabilistic reasoning. Although our findings suggest that deductive and probabilistic reasoning have different neural substrates, consistent with most of the studies in the literature, there is not yet enough evidence to make a comprehensive claim on the subject. There is a need to diversify the growing literature on deductive and probabilistic reasoning with different methods and experimental paradigms.Öğe Could DTI unlock the mystery of subjective tinnitus: it's time for parameters that go a little out of the routine(Springer, 2024) Yılmaz, Eren; Yıldırım, Düzgün; Tekcan Şanlı, Deniz Esin; Elpen, Pınar; Gösterişli Tüzüner, Filiz; Gökmen İnan, Neslihan; Şirin, Ahmet; Yağımlı, Mustafa; Tozan, Hakan; Şanlı, Ahmet Necati; Kandemirli, Sedat GirayIn this study, it was aimed to assess the microstructural changes in the main central auditory pathway in cases with subjective tinnitus. In total, 101 subjects (52 cases with bilateral subjective non-pulsatile tinnitus and 49 healthy cases as the control group) were included in the study. Participants underwent pure tone audiogram and Diffusion Tensor Imaging-Magnetic Resonance Imaging (DTI-MRI) examination with a 3 Tesla MRI device. The number of tracts, tract length, volume, and quantitative anisotropy (QA) and normalized quantitative anisotropy' (nQA) values were calculated by plotting cochleocortical pathways from the cochlear nerve to ipsilateral and contralateral Heschl's gyrus (HG). In pure tone audiometry, the control group had lower hearing thresholds than cases with tinnitus. Fibres and nQA values from the right cochlear nerve to the right HG were significantly lower in the tinnitus group than in the control group. Cochlear nuclei voxel counts were significantly decreased in the tinnitus group. Both cochlear nucleus volumes were higher in the tinnitus group than in the control group. nQA values in both cochlear nuclei were decreased in the tinnitus group. This study showed that the most commonly affected part in subjective non-pulsatile tinnitus cases is the cochlear nucleus. Therefore, the cochlear nucleus should be evaluated more carefully in cases presenting with subjective tinnitus.Öğe Reduced resting and task-related alpha activity in mine workers: implications for occupational health and neurodegenerative risk(Elsevier B.V., 2024) Çelik, Samet; Yıldırım, Ebru; Güntekin, BaharUnderground mine workers face many risk factors at work sites that are known to affect the neural system. Observational studies report that these risk factors precede neuromuscular and neurodegenerative disorders, especially in old-age miners. Neurodegenerative disorders have electrophysiological, anatomical, and functional changes long before symptoms are seen in older adults. Therefore, this study investigated whether risks faced by miners at young ages were reflected in electrophysiological signals. Twenty-one underground miners and twenty-two above-ground workers matched with them in terms of age, education, and working duration were included in this study. Participants were recorded with a 20-channel EEG during the resting-state (eyes open and closed; EO-EC) and the perception of the International Affective Picture System Paradigm (IAPS). Time-frequency analyses were performed for alpha frequency. Rs-EEG results showed a statistically significant difference in alpha power between the EO and EC states in the control group. However, there was no statistical difference in alpha power between these two conditions in the miners. Additionally, we noted a more pronounced decrease in alpha responses in the posterior region during EC in the miners. The group's main effects were statistically significant in event-related alpha responses during emotional responses. Accordingly, event-related alpha responses of the miner group were lower than the control group in terms of both power spectrum and phase-locking. Underground mine workers are cognitively and emotionally affected by risks in the work environment. Electrophysiological changes seen in young underground workers may be a harbinger of neurodegenerative disorders in miners' old age. Our research findings may lead to the development of occupational neuroscience, social policies, and worker health, which are necessary to improve working conditions for mineworkers.Öğe The effect of stretching exercises applied to caregivers of children with development disabilities on musculoskeletal muscle mobility and respiratory function(Multidisciplinary Digital Publishing Institute (MDPI), 2024) Ataç, Amine; Atak, EbrarWe aimed to investigate the effect of stretching exercises applied to the hamstring, one of the posterior muscle chains, on musculoskeletal flexibility, chest mobility, and respiratory function. Proprioceptive neuromuscular facilitation and static stretching exercises were applied to 30 healthcare personnel caring for children with developmental delays using a crossover randomized study design. Posterior muscle chain mobility was assessed using the popliteal angle test (PAT) for the hamstring muscle, the mobility of the lumbar muscles was assessed using the Schober test (ST), and the mobility of the posterior chain muscles as a whole was assessed using the finger-to-floor distance test. Chest mobility was measured using chest circumference measurements and lung volumes were measured using the pulmonary function test (PFT). The results showed that stretching exercises applied to the hamstrings led to significant improvements in PAT, ST, and chest mobility in the direction of maximal expiration (p < 0.05), without being superior to each other. Ten males (33.3%) and twenty females (66.7%) who met the inclusion criteria were analyzed. The mean age of the participants was 26.6 ± 5.9 years, the mean height was 169.53 ± 8.67 cm, the mean weight was 65.26 ± 12.03 kg, and the mean body mass index was 22.58 ± 3 kg/m2. Chest inspiratory mechanics also showed a low positive correlation with posterior muscle mobility (r = 0.381; p = 0.038). There was no significant change in PAT. Within the framework of the myofascial theory, stretching exercises that can contribute positively to the musculoskeletal and respiratory system structures of healthcare professionals can be recommended and encouraged to healthcare professionals.Öğe The relationship between sleep quality and posture: a study on university students(Multidisciplinary Digital Publishing Institute (MDPI), 2024) Badau, Adela; Badau, Dana; Şarvan Cengiz, Şebnem; Coşkun, Ebrar ŞevvalThe aim of this study is to investigate body posture, physical exercises, head–neck relationship, and sleep quality among university students. A total of 96 students, with an average age of 20.86 ± 1.24 years and an average BMI of 23.41 ± 2.56, voluntarily participated in the study. The REEDCO Posture Evaluation (RPE) was used to assess the participants’ body posture scores. Head and neck measurements were taken using the Apecs-AI Posture Evaluation and Correction System® (Apecs Posture Analysis Pro Plus Version 8.2.6). Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Pearson correlation analysis indicated that increased caffeine consumption was associated with poorer sleep quality (r = 0.267, p < 0.05). Additionally, increased participation in physical activities was associated with improved sleep quality, with those engaging in sports having better sleep quality scores (r = ?0.278, p < 0.05). As physical activity increased, REEDCO scores decreased (r = ?0.423, p < 0.05), while scores for right head (r = 0.210, p < 0.05) and left head (r = 0.247, p < 0.05) increased. Significant negative correlations were found between REEDCO scores and right head (r = ?0.296, p < 0.05) and left head (r = ?0.463, p < 0.05) scores. In conclusion, due to the limited number of studies investigating head–neck relationships and sleep quality, definitive conclusions cannot be drawn; further and more comprehensive research is needed.Öğe Observation of the ϒ(3S) meson and suppression of ϒ states in Pb-Pb collisions at sqrt[s_{NN}]=5.02 TeV(American Physical Society, 2024) Tumasyan, A.; Adam, W.; Andrejkovic, J. W.; Bergauer, Thomas; Chatterjee, S.; Damanakis, Konstantinos; Dragicevic, M.The production of Upsilon(2S) and Upsilon(3S) mesons in lead-lead (Pb-Pb) and proton-proton (pp) collisions is studied in their dimuon decay channel using the CMS detector at the LHC. The Upsilon(3S) meson is observed for the first time in Pb-Pb collisions, with a significance above 5 standard deviations. The ratios of yields measured in Pb-Pb and pp collisions are reported for both the Upsilon(2S) and Upsilon(3S) mesons, as functions of transverse momentum and Pb-Pb collision centrality. These ratios, when appropriately scaled, are significantly less than unity, indicating a suppression of Upsilon yields in Pb-Pb collisions. This suppression increases from peripheral to central Pb-Pb collisions. Furthermore, the suppression is stronger for Upsilon(3S) mesons compared to Upsilon(2S) mesons, extending the pattern of sequential suppression of quarkonium states in nuclear collisions previously seen for the J/psi, psi(2S), Upsilon(1S), and Upsilon(2S) mesons.Öğe Respiratory responses and isocapnic buffering phase in child and youth soccer players during an incremental exercise test(Frontiers Media SA, 2024) Korkmaz Eryılmaz, Selcen; Karakaş, Selçuk; Boyraz, Cumhur; Günaştı, Özgür; Kılcı, Abdullah; Özdemir, Çiğdem; Özgünen, Kerem; Koç, Muhammed; Adaş, Ümit; Kurdak, SadiPurpose: This study investigated the respiratory response and isocapnic buffering (IB) phase during an incremental exercise test to exhaustion in 16 child soccer players (11.9±0.9 years) and 18 youth soccer players (18.2±2.9 years). Methods: The IB phase was calculated as the difference in oxygen uptake (VO2) between the respiratory compensation point (RCP) and metabolic threshold (MT) and expressed in either absolute or relative values. Results: The maximal oxygen uptake (VO2max) was higher in youth players than in child players. For youth players, VO2max was measured at 55.9 ± 3.6 mL min?1 kg?1 and 74.9 ± 4.8 mL min?1 kg?0.75, while for child players, VO2max was 50.8 ± 4.1 mL min?1 kg?1 and 67.2 ± 6.1 mL min?1 kg?0.75 (p < 0.001). MT and RCP occurred at 69.8 ± 6.7% and 90.9 ± 6.9% of VO2max in child players and at 73.9 ± 5.1% and 91.5 ± 4.5% of VO2max in youth players, respectively. The two groups had no significant difference (p > 0.05). Absolute IB (10.6 ± 2.8 vs 9.7 ± 3.1 mL min?1 kg?1), relative IB (23.1 ± 5.7 vs 19.1 ± 6.1), and the ratio of RCP VO2 to MT VO2 (1.3 ± 0.09 vs 1.24 ± 0.09) were similar in child and youth players (p > 0.05). There was no difference in minute ventilation (V?E, mL min?1 kg?1) and respiratory exchange ratio during exercise between the two groups (p > 0.05). During exercise, respiratory frequency, ventilatory equivalent for carbon dioxide (VE/VCO2) and oxygen (VE/VO2), VE/VCO2 slope, end-tidal O2 pressure were higher in child players than in youth players, while tidal volume (L kg?1), O2 pulse, and end-tidal CO2 pressure were lower (p < 0.05). Conclusion: Despite differences in aerobic capacity and ventilatory response to exercise, child players showed similar IB phase as youth players. Although child players have lower ventilation efficiency than youth players, the higher ventilation response for a given VCO2 may provide an advantage in regulating acid-base balance during intense exercise.Öğe The impact of different telerehabilitation methods on peripheral muscle strength and aerobic capacity in COPD patients: a randomized controlled trial(Multidisciplinary Digital Publishing Institute (MDPI), 2024) Ataç, Amine; Pehlivan, Esra; Karaahmetoğlu, Fulya Senem; Özcan, Zeynep Betül; Çınarka, Halit; Çörtük, Mustafa; Baydili, Kürşad Nuri; Çetinkaya, ErdoğanLung diseases have profound effects on the aging population. We aimed to hypothesize and investigate the effect of remote pulmonary telerehabilitation and motor imagery (MI) and action observation (AO) methods on the clinical status of elderly chronic obstructive pulmonary disease (COPD) patients. Twenty-six patients were randomly assigned to pulmonary telerehabilitation (PtR) or cognitive telerehabilitation (CtR) groups. The programs were carried out 3 days a week for 8 weeks. The 6-min walk test (6MWT), modified Medical Research Council dyspnea score, blood lactate level (BLL), measurement of peripheral muscle strength (PMS), and electromyography activation levels of accessory respiratory muscles were the main outcomes. There was a statistically significant improvement (p < 0.05) in both groups in the 6MWT distance and in secondary results, except for BLL. Generally, in the mean muscle activity obtained from the electromyography measurement after the program, there were statistically significant increases in the PtR group and decreases in the CtR group (p < 0.05). There was a statistically significant increase in PMS in both groups. An active muscle-strengthening program has the same benefits as applying the muscle-strengthening program to the patient as MI and AO. CtR can be a powerful alternative rehabilitation method in respiratory patients who cannot tolerate active exercise programs.Öğe Proton conductivity and dielectric studies on chitosan/polyvinyl alcohol blend electrolytes: synergistic improvements with ionic liquid and graphene oxide(Elsevier B.V., 2024) Yılmazoğlu, Mesut; Okkay, Hikmet; Abacı, Ufuk; Çoban, OzanThis study investigates the impact of ionic liquid, 1-methylimidazolium tetrafluoroborate (IL) and graphene oxide (GO) on the performance of chitosan/polyvinyl alcohol (CS/PVA)-based composite electrolytes. Fourier-transform infrared (FTIR) spectroscopy and scanning electron microscopy (SEM) confirm the successful incorporation of IL and GO, affecting the structural and morphological properties of the electrolytes. Thermogravimetric analysis (TGA) reveals enhanced thermal stability in GO-doped samples, with increased residual weight at high temperatures, while IL addition leads to higher initial weight loss due to its hygroscopic nature. Ionic conductivity measurements demonstrate that the CS/PVA/IL-GO(4.0) composite achieves the highest proton conductivity of 1.76 × 10?3 S/m at 300 K and 1 MHz, surpassing other samples and aligning with top values reported in literature. Dielectric studies show a significant increase in dielectric constant to 9.55 × 104 at 300 K and 20 Hz for CS/PVA/IL-GO(4.0), attributed to enhanced dipole alignment and polarization effects. The loss tangent analysis indicates the shortest relaxation time of 2.07 × 10?4 s for CS/PVA/IL-GO(4.0), correlating with its superior proton conductivity. These findings highlight the potential of CS/PVA/IL-GO electrolytes for advanced energy storage and conversion applications, suggesting further research into GO dispersion and long-term stability for optimized performance in practical devices.Öğe Normative values and calculation formulas of respiratory muscle strength of adults in Turkish society: a population-based study(AVES, 2024) Pehlivan, Esra; Çınarka, Halit; Baydili, Kürşad Nuri; Uyaroğlu, Mehmet Burak; Baştürk, Pınar; Ataç, AmineOBJECTIVE: This study aimed to establish normative values for maximum inspiratory pressure and maximal expiratory pressure in the Turkish population while creating specific equations to calculate these values. MATERIAL AND METHODS: The study involved 219 healthy adults, with a minimum of 50 individuals in specific age ranges: 20–29, 30–39, 40–49, and 50–60 years. Each age group comprised at least 25 males and 25 females. Participants were required to be free from health conditions influencing respiratory muscle strength and non-smokers. Measurements of maximum inspiratory pressure and maximal expiratory pressure were recorded for all participants. RESULTS: As a result of the regression analysis performed for the maximum inspiratory pressure values, the model P value was <.001, and the R2 value was found to be 0.261. The equation obtained as a result of the model was: 82.583 ? 3.218 × gender ? 0.093 × age + 9.534 × height + 0.343 × weight. As a result of the regression analysis performed for maximal expiratory pressure values, the model P value was <.001, and the R2 value was found to be 0.285. The equation obtained as a result of the model was: 157.165 ? 35.522 × gender ? 0.271 × age–42.036 × height + 0.787 × weight. CONCLUSIONS: The newly developed equations offer valuable tools for evaluating respiratory muscle strength in the Turkish population. These results confirm the importance of using maximum inspiratory pressure and maximal expiratory pressure to monitor changes in each patient, while also emphasizing the necessity of reliable reference equations.Öğe Determining the relationship between obesity and problematic internet use among adolescents(Iranian Scientific Society Medical Entomology, 2021) Durmuş, Göksel; Ortabağ, Tülay; Özdemir, SerpilBackground: Obesity has become widespread among adolescents throughout the world. This study aimed to determine the relationship between problematic internet use and obesity among 10-19 yr old adolescents. Methods: The descriptive study was carried out in a private elementary and high school in Gaziantep Province in the Eastern Turkey in 2016-2017. Overall, 474 adolescents and 938 their parents were enrolled. Data collection form consisted of three parts. The first part included questions about sociodemographic characteristics of the adolescent and his/her parents. The second part included data on anthropometrical measurements, dietary habits and physical activity level. Third part of the data collection form included Problematic Internet Usage Scale. First, anthropometrical measurements of the adolescents were recorded. Then, the data collection forms were applied to adolescents and their parents. Results: 34.8% of adolescents were overweight and obese. Approximately four out of ten male adolescents and three out of ten female adolescents were overweight or obese (P<0.05). Girls had less problematic internet use behaviors (P<0.05). There were statistically significant differences between age, sex, socioeconomic status, unhealthy eating habits and problem internet usage (P<0.05). Conclusion: Periodic screening should be done to determine the prevalence of obesity and problematic internet usage. Training programs on regular physical activity and healthy nutrition should be prepared and guidance services should be provided for the reduction of obesity rates and the protection of ideal weight.Öğe Determinants of sleep disturbance and sleep quality in children of mothers with fibromyalgia(Turkish League Against Rheumatism, 2023) Kartaloğlu, Işıl Fazilet; Karagül, Sevil; Arslan, ŞuleObjectives: This study aimed to determine whether maternal diagnosis of Fibromyalgia syndrome (FMS) affects the sleep quality of children. Patients and methods: This prospective study was conducted with 80 female participants (mean age: 36.2 +/- 5.9 years; range 25 to 50 years) and their 80 children (27 males, 53 females; mean age: 6.6 +/- 2.6 years; range 2 to 12 years) between August 2019 and November 2020. The FMS group included 40 female FMS patients and their children, whereas the control group consisted of 40 healthy females and their children. In addition to sociodemographic variables, functional status was evaluated by the Fibromyalgia Impact Questionnaire (FIQ), which was completed by mothers with FMS, and the Children's Sleep Habits Questionnaire (CSHQ) was used to evaluate the sleep quality of all children. Results: There was no statistically significant difference between the two groups in terms of demographic characteristics ( p > 0.05). The CSHQ score of the two groups was above 41 points and was at a clinically significant level. The median value for the CSHQ score was 60.5 and 52 in the FMS and control groups, respectively. Sleep time, waking up at night, parasomnias, disrupted breathing during sleep, and sleepiness scores were higher in the FMS group than in the control group, and the differences were statistically significant (p < 0.001). The delayed falling asleep score, which was reversely coded, was lower in the FMS group than in the control group, and the difference was statistically significant (p < 0.001). Conclusion: This pilot study showed that the children of mothers with high Fibromyalgia Impact Questionnaire scores had sleep disorders. Maternal diagnosis of FMS negatively affects the sleep quality of children.