Pelvic floor disorders, their management and protective educational programs have become popular in recent years. The aim of this study is to determine the level of knowledge about pelvic floor health and level of awareness about factors related to pelvic floor health in Turkey. This cross sectional study is conducted on women and men between January and September of 2021 in Turkey. The knowledge level of pelvic floor was assessed with Pelvic Floor Health Knowledge Quiz (PFHKQ). Oneway ANOVA test was used for comparing pelvic floor knowledge according to the education levels and the age groups. Chi square test and pearson chi square test were used for calculating binary variables, effect size and confidence interval values between participants’ pelvic floor knowledge level and gender. A total of 1215 (1115 women, 100 men) participants completed the study. Men had less knowledge about the topics related to pelvic floor and the awareness of those that have graduated from higher education on these issues was found to be higher compared to the other education levels.Turkish society has insufficient knowledge about the relationship between the pelvic floor and the other body systems, the causes and the types of pelvic problems. Women have more knowledge than men and those who have at least graduate education have more information than elementary and high school levels. In the future, educational programs emphasizing these points regarding the pelvic floor within the scope of preventive treatment may be planned to cover the general population
Omurganın fizyolojik sagital düzlem eğriliklerinden olan torakal kifoz ve lumbal lordozdaki değişiklikler adolesanlarda ilerleyen dönemlerde bir çok soruna yol açabilir. Bu çalışmada amacımız; sedanter, sporcu ve skolyoz tanısı olan adolesanların omurgalarındaki sagital düzlem parametrelerini değerlendirerek birbirleriyle karşılaştırmak ve saptanan anormal eğrilik varlığında bu eğriliklerdeki değişikliklerden kaynaklanabilecek olası yaralanmaları önlemektir. Gereç ve Yöntemler: Çalışmaya 15-18 yaş aralığında olan 27 sedanter, 28 sporcu ve 18 adolesan idiopatik skolyoz (AİS) tanısı alan genç birey olmak üzere toplam 73 kişi (46 kız, 27 erkek) katılmıştır. Sagital düzlem parametrelerinin ölçümü için yerçekimine bağlı inklinometre (Baseline® Bubble® Inclinometer) kullanılmıştır. Bunlara ek olarak skolyoz tanısı alan katılımcıların gövde rotasyon açısı (Angle of Trunk Rotation, ATR) ve Cobb açısı değerleri de ölçülmüştür Bulgular: Skolyoz grubunda kifoz açısı her iki gruptan da anlamlı olarak daha az bulunmuştur(p<0,05). Skolyoz grubunun lumbal lordoz açı değerleri, sporcu grubundan anlamlı olarak daha fazla bulunmuştur (p=0,020). Skolyoz grubunun ortalama ATR değeri 9.67° ve Cobb değeri ise 21.11° idi. Cinsiyete göre incelendiğinde ise torakal kifoz açısı erkeklerde, lumbal lordoz açısı ise kızlarda anlamlı olarak daha yüksek bulunmuştur (sırasıyla p=0.000; p=0,003). Sonuç: Sonuçlarımız AİS tanısı alan adolesanlarda sedanter ve sporcu gençlere göre fizyolojik sagital spinal parametrelerde anormal değişiklikler olduğunu; erkeklerde torakal kifoz açısının, kızlarda ise lumbal lordoz açısının daha fazla olduğunu göstermiştir. Spinopelvik kompleksin de değerlendirildiği, farklı spor branşıyla uğraşan sporcuların ve farklı eğrilik paternlerine sahip bireylerin de dahil edildiği çalışmalara ihtiyaç vardır.
Background:Home exercise programs are widely used in the treatment of knee osteoarthritis (OA). However, adherence to these exercises decreases in the long term due to different factors. In recent years, new approaches are being developed to increase exercise adherence (EA) for patients with OA. Although it is known that EA is low in Turkish patients, there is no study that examines the barriers of adherence to home exercise programs in patients with OA by qualitative research methods.Objectives:Aim of our study was to investigate the barriers and facilitators for adherence of home-based exercises for knee osteoarthritis management from the perspective of physiotherapists and patients.Methods:A Qualitative study by using focus groups discussions and semi-structured interviews were designed to investigate the barriers and facilitators to home-based exercise program adherence for OA. Two researchers facilitated focus group interview. Participants of focus group members were eight physiotherapists (PT) working with OA with different experience levels. Third researcher conduct the interviews which lasted 30-60 minutes with patients (patients with knee OA, n=5 ages>50). Data were audio recorded, transcribed verbatim and thematically analyzed with NVIVO 12 software. Three researchers conducted the thematic analysis to ensure the validity.Results:In total, 25 main themes from the focus group discussions and interviews were determined. Major barrier themes from focus group were (a) beliefs to exercise benefits (b) patient education and (c)fear avoidance beliefs on exercise; from the interviews were (a)negligence of self-management (b)fatigue and (c)patient education. Patients and therapists all agreed for patient education is one of the most important factors for home EA. Patients wanted to get education on arthritis management. A patient said:“Actually, the clinicians should give information more deeply. I don’t know which is correct for me after therapy, resting or moving?”Major facilitator themes from the focus group were (a)motivation from PT (b)client-centred exercise (c)digital technology; from interviews were (a) motivational approaches of therapists (wats-up messages) (b) having pain and (c)patient education for disease management. Therapists agreed on that personalized exercise is the most important facilitator. A therapist commented,“If the personalized exercise given the patient with correct intensity and repetitions, I don’t think that patients would not do their home exercises.”Conclusion:This is the first qualitative study about exercise adherence in knee osteoarthritis in Turkey. It has been determined that the lack of education and motivation are the most important barriers. More studies are needed to examine the factors affecting EA for patients with OA. In future studies, implementations to increase home EA on Turkish patients with OA should be investigated by qualitative research methods.References:[1]MacKay C. Qualitative study exploring the factors influencing physical therapy management of early knee osteoarthritis in Canada. BMJ 2018 open.[2]Carmona-Terés, Understanding knee osteoarthritis from the patients’ perspective: a qualitative study.” BMC musculoskeletal disorders 18.1 (2017): 225.[3]Marlene F.Exercise for osteoarthritis of the knee: a Cochrane systematic review. British journal of sports medicine 2015 49(24).Disclosure of Interests:None declared
Bu çalışmanın amacı, radyoaktif jeofizik kuyu logu araştırmalarından elde edilen Uranyum, Toryum, Potasyum ve Gamma-Ray verileri ile laboratuvar çalışmaları neticesinde hesaplanan Uranyum rezerv miktarları arasındaki ilişkilerin incelenmesidir. Çalışmada kullanılan veriler Nevşehir ili sınırları içerisinde toplanmış olup, toplam 34 sondaj çalışmasından karot alınarak elde edilmiştir. Bu karot numuneler laboratuvar ortamında incelenerek rezerv miktarının belirlenmesine yönelik fiziksel parametreler elde edilmiştir. Kuyu logu ve laboratuvar verilerine toplamda 38 olmak üzere basit ve çoklu regresyon analizlerii yapılmıştır. Regresyon analizleri sonucundaile her bir model için belirleme katsayısı (R 2 ), standart hata miktarları gibi istatistiksel değerler hesaplanmış ve Uranyum değerinin ve rezerv miktarının kestirimine yönelik olarak ampirik bağıntılar önerilmiştir.
This research aims to examine the relationship between the critical thinking dispositions of preservice teachers and their decoding skills in information and communication technologies (decoding skills-ICT). As a research method, survey and correlational research models from quantitative research approaches were used. Research universe is a Faculty of Education at a state university in Turkey. With the use of the convenience sampling method, 262 preservice teachers who voluntarily participated in the online survey constitute the sample of the research. The research data were obtained using the Marmara Critical Thinking Dispositions Scale (MCTDS) and the Decoding Skills in Information and Communication Technologies (decoding skills-ICT) Scale in the 2020-2021 academic year. Among the significant findings of the study are that the average scores of preservice teachers for decoding skills-ICT are at an average level and the average scores for critical thinking dispositions are high. Finally, it has been found in the study that there is a moderately positive relationship between critical thinking dispositions and decoding skills-ICT. According to regression analysis, decoding skills-ICT explains 17.8% of the variance of critical thinking dispositions. This study also aimed to investigate the relationship between decoding skills-ICT and different higherlevel thinking skills and to examine the impact of attitudes, dispositions, and skills of different groups of participants on decoding skills-ICT.
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