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COVID-19 pandemisi, çoğu yaşam alanında olduğu gibi eğitim ile ilgili birçok belirsizliği de doğurmuştur. Bu belirsizlikten en yoğun etkilenen öğrenci gruplarından biri de Spor Bilimleri Fakültelerinde öğrenim gören son sınıf öğrencileridir. Bu araştırmanın amacı, Spor Bilimleri Fakültesi son sınıf öğrencilerinin belirsizliğe tahammülsüzlük (BT) düzeyi ve olumlu gelecek beklentileri (OGB) arasında stresle başa çıkma (SB) tarzlarının rolünü ortaya koymaktır. Araştırmanın katılımcı grubunu 8 farklı üniversitenin spor bilimleri fakültelerinde öğrenim gören ve araştırmaya gönüllü katılan 170 kadın, 253 erkek toplam 423 son sınıf öğrencisi oluşturmaktadır. Araştırma verileri COVID-19 pandemisi I. dalgası esnasında Belirsizliğe Tahammülsüzlük Ölçeği, Stresle Başa Çıkma Tarzları Ölçeği, Olumlu Gelecek Beklentisi Ölçeği aracılığıyla toplanmıştır. Aracılık analizi ve Bootstrap testi sonuçları, öğrencilerin BT düzeyleri ve OGB arasındaki ilişkide stresle başa çıkmada etkili ve etkisiz yönelimin aracılık etkisini doğrulamaktadır. Bu araştırmanın bulgularına göre; BT düzeyi düştükçe SBT-Etkili yönelim artmakta ve etkili yönelimin aracılığı ile OGB artmaktadır. Öte yandan BT düzeyi arttıkça SBT- etkisiz yönelim puanları artmakta ve etkisiz yönelimin aracılığı ile OGB azalmaktadır. Bulgular belirsizliğe tahammülsüzlük, geleceğe yönelik olumlu beklentiler ve stresle başa çıkma ile ilgili literatür çerçevesinde tartışılmıştır.

Objectives: Many factors affect the results of acute recanalization treatment and prognosis of ischemic stroke patients. Some markers which has a role in inflammation process cause atherosclerosis that leads to ischemic stroke. We aimed to evaluate the relationship between admission laboratory findings and prognosis in patients to whom acute recanalization therapy were applied. Methods: In our study, we evaluated 139 acute stroke patients to whom acute recanalization therapies had been applied. Demographic data, glomerular filtration rate, uric acid, albumin, lipid profile, C-reactive protein, fibrinogen values were evaluated. Admission and discharge National Institutes of Health Stroke Scale and modified Rankin Scale scores were recorded. The effect of laboratory parameters on prognosis was examined. P

Objective: Nicotine addiction is a common health problem in psychiatric disorders. The aim of this study was to analyze the effects of rTMS on comorbid nicotine addiction in patients receiving recurrent Transcranial Magnetic Stimulation (rTMS) therapy for major depressive disorder (MDD) and obsessive-compulsive disorder (OCD). Method: Data of 32 patients (23 MDD, 9 OCD) were evaluated retrospectively. We compared the Hamilton Depression Rating Scale (HAM-D), Beck Anxiety Inventory (BAS), Yale-Brown Obsession Compulsion Scale (Y-BOCS), and Fagerström Test for Nicotine Dependence (FTND) scores at three time points (before treatment "0th week", at the end of treatment “6th week”, and 12 weeks after this assessment “18th week”). Results: The patients’ mean age was 40.47±10.20, 13(40.6%) were women. A significant reduction was found in HAM-D, BAS, FTND at weeks 6 (p

Objective: This study aims to investigate the effects of repetitive transcranial magnetic stimulation (rTMS) treatment in a group of treatment-resistant obsessive-compulsive disorder (OCD) patients and to examine the relationship between various sociodemographic and clinical variables and treatment response. Materials and Methods: Data including The Yale–Brown Obsessive Compulsive Scale (Y-BOCS) scores and various clinical and sociodemographic characteristics of 27 treatment-resistant OCD patients who received 30 sessions of low-frequency rTMS (LF-rTMS) treatment on the left dorsolateral prefrontal cortex (DLPFC) were analyzed. Results: Mean Y-BOCS scores decreased significantly across week 0 and the 3rd week (t(26)=10.59, p

Anterior spinal artery (ASA) infarcts are also called Beck syndrome. It has a sudden onset and often has radicular or girdle like pain. Flask tetraplegia/paraplegia (within minutes and hours), flask bladder, thermoanesthesia, analgesia, flammable pain are other findings. A small number of ASA infarction cases in which onset with dyspnea or apnea have been reported. With this case report, it is aimed to keep in mind that the ASA infarcts can apply with respiratory arrest which is an atypical clinic. A 21-year-old female patient applied with weakness in the whole body and respiratory distress that developed suddenly. Respiratory arrest developed during her examinations, she was intubated and taken to the intensive care unit. Except for a vague upper respiratory tract infection and polycystic ovary syndrome, there was no medical histories. In her neurological examination, she was tetraplegic, deep tendon reflexes were hypoactive, Babinski sign was bilaterally positive. In addition to the Guillain-Barre and myasthenic crisis, examinations were planned for all differential diagnosis. Meanwhile in the cranial and cervical MR, a T2 hyperintense pathological signal was observed, which started from the bulbus level, followed along the cervical and upper thoracic vertebra. Spinal cord infarcts are extremely rare compared to cerebral infarcts. Infarcts are most frequently observed in the lower thoracic segments and conus medullaris. This young patient who applied with respiratory arrest and having a long segment anterior spinal infarction including bulbus, entire cervical and upper thoracic level, is presented because of its rarity.

INTRODUCTION: Siberkondria is the behavior of people looking for information about their health on the internet in a repetitive and continuous manner. This concept is more common in the field of mental health in recent years due to the more use of technology in our daily lives. In this study, it was aimed to examine the demographic variables that affect cyberchondria behavior and to investigate the related concepts. METHODS: A total of 430 people, 254 women and 176 men, participated in this study. A questionnaire form including demographic data form, Cyberchondria Severity Scale, Anxiety Sensitivity Index-3, Intolerance to Uncertainty Scale and Somatosensory Amplification Scale was applied to the participants. RESULTS: Cyberchondria mean scores were found to be significantly higher for female participants (t(428)=3,445; p

Objective: Substance use in pregnancy is a critical public health problem that is associated with several harmful maternal and fetal outcomes. This study was conducted to investigate the pregnancy, delivery experiences of women with substance use disorder (SUD) and the problems they encounter while using healthcare services. Method: In the study, the qualitative research design of case study was used. This study was conducted between February 2019 and 2020 at a SUD clinic. The method of purposive sampling was used in the study. The population of the study consisted of the files of female patients who visited the clinic in the period of 01.01.2010-2018, and these files were retrospectively analyzed. The patients who turned out to be Beta HCG-positive in these files constituted the population of the study. The study was completed with 8 patients. The data of the study were collected between 01.02.2019 and 2020. The data collection instrument consisted of two parts including a “Participant Information Form” on the descriptive information of the women and a “Semi-Structured Interview Form”. The interviews were audio-recorded and transcribed by removing all identifying information. Afterwards, the interview data were coded, interpreted and reported. Results: The pregnant women with substance use stated that their pregnancy was unplanned and found out late, most stated they were afraid when they learned about their pregnancy due to some reasons, most said they sought help from healthcare personnel, half stated they could not receive help from healthcare personnel, and some said they were exposed to the stigmatizing behaviors of healthcare personnel. Conclusion: Pregnant women using substances encounter many obstacles in receiving and continuing treatment during their pregnancy and after delivery.

GİRİŞ VE AMAÇ:Bu çalışmada bir üniversite hastanesi psikiyatri kliniğinde yatarak tedavi gören hastalarda elektrokonvülsif terapi (EKT) uygulamaları ile ilgili sosyodemografik ve klinik özelliklerin ortaya koyulması amaçlanmıştır YÖNTEM VE GEREÇLER:1 Ocak 2014 – 31 Aralık 2019 yılları arasında yatarak tedavi gören 3589 hastadan EKT uygulanan 301 hasta çalışmaya dahil edilmiştir. Hastaların sosyodemografik ve klinik özellikleri retrospektif olarak değerlendirilmiştir. BULGULAR:Kliniğimizde 6 yıllık dönemde yatarak tedavi gören 3589 hastadan 301’ine (%8,3) EKT uygulandığı saptandı. Hastaların 198’i (%65,8) kadın, 103’ü (%34,2) ise erkekti. Hastalara ortalama 8,64±2,43 seans EKT uygulandığı saptandı. Hastaların %87,7’sinin tam veya kısmi fayda gördüğü %12,3’ünün ise hiç fayda görmediği saptandı. EKT uygulamasının en sık duygudurum bozukluğu tanısı almış hastalara (%77,4), ikinci sıklıkta psikotik bozukluğu olan hastalara (%16,9) yapıldığı görüldü. Hastaların 44’ünde (%14,6) komplikasyon meydana geldiği ve bu komplikasyonların en sık konfüzyon, baş ağrısı ve unutkanlık olduğu görüldü. TARTIŞMA VE SONUÇ:Bu çalışma EKT’nin etkili, güvenilir ve yan etki riski oldukça düşük bir tedavi olduğunu göstermiştir.

Trigeminal neuralgia secondary to vertebrobasilar dolichoectasia and basilar artery aneurysmis is rare. An 85-year-old male patient who takes Carbamazepine for trigeminal neuralgia was presented to the hospital with complaints of speech disorder and weakness on the left side. On cranial imaging, diffusion restriction in the right half of the pons, vertebrobasilar dolicoectasis and fusiform aneurysmatic dilatation in the basilar artery were observed. After the anti-agregan treatment, the patient whose endovascular and surgical treatment was not considered, was discharged (modified Rankin Score-mRS=0). The patient is followed up with Acetylsalicylic acid 100 mg/day and Carbamazepine 400 mg/day drug treatment without any problems.

Turizmin nispeten yeni bir alt dalı olan arkeoturizm, son zamanlarda miras turizmine dönük artan ilgide önemli bir rol oynamaktadır. Dünyanın farklı bölgelerindeki kritik miras alanları, ev sahibi ülkelerde birçok kişi için iş fırsatı yaratmanın yanı sıra bu ülkelere büyük ekonomik girdi sağlayıcılar haline gelmiştir. Ancak, aynı şey Paleolitik Çağ'dan bu yana antik kültürlerin kesintisiz izlerini barındıran devasa bir alan olarak benzersiz olmasına rağmen, Anadolu (Asia Minor) için geçerli değildir. Uygun bir arkeoturizm planlaması ve çevre yönetimi, Türkiye’nin genel refahına katkıda bulunan, bölgenin kültürel, ekonomik ve bütüncül gelişiminin anahtarı olacaktır., Archaeotourism, a relatively new sub-branch, has played significant roles in the recently growing interest in heritage tourism. Critical heritage areas in different parts of the world have become great economic contributors to their host countries, generat-ing job opportunity for many. However, the same thing is not valid for Asia Minor alt-hough it is unique as a huge area to host continual traces of ancient cultures from the Palaeolithic Age. A proper archaeotourism planning and environment management can be the key to cultural, economic and integrational development of the region, contrib-uting to the overall wellbeing of Turkey.

Genotype distribution of hepatitis C virus (HCV) can vary over the years between different patient groups and regions. The prevalence of intravenous drug users (IVDU) is known to increase in our country, yet there are a limited number of studies investigating the distribution of HCV genotypes in this group. These data are essential for monitorization of the changes in HCV epidemiology. The present study aimed to evaluate the five-year results of HCV genotyping among patients infected with HCV related to IVDU and unrelated to drug use. Plasma samples of 720 patients (HCV antibody, HCV RNA positive), which were sent to our laboratory for HCV genotyping between January 2014-March 2019 were analyzed. HCV RNA extraction from plasma samples was performed in the automated-extraction system of EZ1 advanced (Qiagen, Germany) using the EZ1 virus mini kit v2.0 (Qiagen, Germany). Amplicons were obtained by amplifying the 5’NCR and core gene region in the Rotorgene 6000 real-time PCR (Qiagen, Germany) device with the HCV RNA real-time quantitative 2.0 (NLM, Italy) kit. For the genotyping, a commercial line probe assay (LIPA) based on in vitro reverse hybridization GEN-C2.0 kit (NLM, Italy) which can distinguish 1, 2, 3, 4, 6 genotypes and 1a, 1b, 2a/c, 2b, 3a, 3b, 3c, 3k, 4a, 4b, 4c/d, 4e, 4f, 4h, 5a, 6a/b, 6g, 6f/q, 6m, 7a subtypes of HCV, based on variations in the 5’-NCR and core regions was used. HCV genotype distribution of 266 IVDU (93.2%: male; median age: 25 ± 6.82) and 454 non-drug users (51.3%: male; median age: 56.5 ± 16.06) were examined. In order of frequency in the group with IVDU; genotype 1a, 3a, 1b, 4c/d, 2b, 4, 3 were observed and genotype 1, 2a/c and mixed genotype (1+3a) were detected in one patient. In the group without IVDU, in order of frequency; genotype 1b, 1a, 3a, 1, 2a/c, 4 were observed and genotype 2b, 4c/d, 5a, 6a/b, 6 and mixed genotype (3+4) were detected in one patient. Genotypes 1a and 3a were significantly higher in the IVDU group (p< 0.00001, p< 0.00001), while 1b was significantly higher in patients without IVDU (p< 0.00001). Genotypes 1a and 3a were more common in young men (p< 0.00001, p= 0.000163), while 1b was higher in middleaged women (p< 0.00001). The incidence of genotypes 1b (p= 0.021) and 3a (p= 0.012) was higher in foreign nationals than the Turkish patients. When the HCV genotype distribution was examined by years, it was observed that the percentages of genotype 1b and 1a were decreasing, while the percentage of genotype 3a was increasing. As a result, in this study, HCV genotype distribution among IVDU was observed to be different from the general population without IVDU. It was found that genotypes 1a and 3a were more common in the IVDU group. As in the other regions of our country, genotype 1b was found most frequently in the general population. Genotype 3a increases significantly compared to years. In our study, the determination of genotypes existing in different parts of the world may be due to the foreign nationals living in our city and our region is a tourism center. It is also necessary to investigate whether there is an increase in IVDU over the years.

Bu çalıĢmada spor takım eFANgelizmi ilefutbol izleyicilerinin seyirci, taraftar ve fanatik tutumları arasındaki iliĢkiyi ortaya koymak amaçlanmıĢtır. Bu amaç BeĢiktaĢ, Fenerbahçe, Galatasaray ve Trabzonspor taraftarları olmak üzere dört ayrı ana kütleden toplanan toplam 362 futbol izleyicisi üzerinde test edilmiĢtir. Verilerin toplanmasında futbol izleyicilerinin düzeylerini (seyirci, taraftar, fanatik) belirleyebilmek amacıyla “Futbol Taraftarı Fanatiklik Ölçeği” ve futbol izleyicilerinin takımla ilgili inançların ve takım merkezli etkileĢimlerin hararetli bir Ģekilde yayılması yoluyla harekete geçirilen taraftar davranıĢını belirlemek için ise “Spor Takımı Evangelizmi (eFANgelizmi) Ölçeği” kullanılmıĢtır. Verilerin analizinde normallik sınaması yapılarak verilerin normal dağıldığı tespit edilmiĢ ve parametrik testlerden yararlanılmıĢtır. AraĢtırmaya katılan futbol izleyicilerinin taraftar fanatiklik ölçeğine göre %34,8’i (126) fanatik, % 35,4’ü (128) taraftar ve %29,8’i seyircidir (sporsever); futbol izleyicilerinden fanatiklerin spor takımı eFANgelizmi seyirci ve taraftara göre anlamlı derecede yüksek bulunmuĢtur. Ayrıca spor takımı eFANgelizmi ile futbol taraftarı fanatiklik (Ģiddete yönelik düĢünce/eylem eğilimi ve kurumsal aidiyet) alt boyutları arasında pozitif yönlü bir iliĢki tespit edilmiĢtir. Buradan hareketle, fanatik ve taraftar olan eFANgelistlerin herhangi bir beklenti içerisine girmeden taraftarı oldukları takımları tanıtarak, takım merkezli etkileĢimlerin yayılmasını sağladıkları söylenebilir. The aim of this research is to reveal the correlation between sports team eFANgelism and the spectator, fan and fanatic attitudes of football Spectators. Besiktas, Galatasaray Fenerbahce, Trabzonspor fans, this goal was tested on a total of 362 football spectators gathered from four separate main masses: Galatasaray and Trabzonspor. The "football fan fanaticism scale “was used to determine the level of Football Spectators (spectators, fans, fanatics) and the” sports team evangelism scale “was used to determine fan behavior mobilized by the heated dissemination of Football Spectators' beliefs about the team and team-centered interactions. In the analysis of the data, a normality test was performed and it was determined that the data was distributed normally and parametric tests were used. According to the fan fanaticism scale, 34.8% (126) were fanaticism, 35.4% (128) were fans and 29.8% were spectators (sports fans); sports team eFANgelism of football spectators was found to be significantly higher than spectators and fans. In addition, a positive correlation was found between sports team eFANngelism and the lower dimensions of football fan fanaticism (tendency to think/act towards violence and institutional belonging). Based on this, it can be said that eFANgelists, who are fanatics and fans, promote the teams they are supporters of without any expectations, ensuring the spread of team-centered interactions.