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In this study, it was aimed to determine the relationship between the organizational vulnerability and the self-confidence levels of teachers working in public secondary schools in Ankara. The study employed the relational survey model, one of the survey models and causal comparative model. The population of the study consisted of 16171 teachers working in nine central districts of Ankara, and the sample consisted of 377 teachers determined by using the stratified sampling method. Research data were collected with the Organizational Vulnerability Scale and the Self-Confidence Scale. In the analysis of the data, the statistics such as percentage, frequency and arithmetic mean were used to describe the situations related to the variables. In order to test whether the teachers' organizational vulnerability and the self-confidence levels varied significantly depending on the independent variables, t-test and one-way analysis of variance were used. The degree and the direction of the relationship between organizational vulnerability and self-confidence were determined by using the Pearson correlation coefficient, and whether self-confidence predicted organizational vulnerability was determined through multiple regression analysis. According to the analysis results, the teachers' level of defenselessness was relatively higher than their levels of sadness, incompetence and intolerance. The teachers' organizational vulnerability was found to not vary significantly depending on the variables of gender, school type, professional experience and union membership. However, their levels of defenselessness, sadness and general vulnerability were found to vary significantly depending on their education level and their level of incompetence was found to vary significantly depending on their branch. The teachers' level of self-confidence was found to not vary significantly depending on the variables of gender, union membership, education level and school type; however, their levels of intrinsic and general self-confidence were found to vary significantly depending on their branch and their levels of extrinsic self-confidence and general self-confidence were found to vary significantly depending on the variable of professional experience. There was low and negative correlation between the level of incompetence and the levels of intrinsic and extrinsic self-confidence. Self-confidence does not significantly predict organizational vulnerability. [ABSTRACT FROM AUTHOR]

High-level leader visits serve as credible signals in international relations, as they not only reveal the priorities of states in foreign relations but also convey messages to third parties. Observations of Turkey's elevated diplomatic encounters with Iran, China, and Russia suggest a potential deviation from the West, while visits to Middle Eastern capitals are interpreted as evidence of Turkey's Islamization. Beyond these individual cases, is it possible to identify a pattern of motivations that determine Turkey's visit dynamics? By constructing a novel dataset from primary sources like official state documents, " Turkey Visits ," which spans the period from 1989 to 2022, this study aims to both characterize the distribution patterns of high-level leader visits and investigate the underlying factors that influence these patterns. [ABSTRACT FROM AUTHOR]

Background/ObjectivesSubjects/MethodsResultsConclusionsTo investigate the long-term efficacy and safety of adalimumab(ADA) in the treatment of patients with serpiginous choroiditis (SC) refractory to conventional therapy through quantitative parameters.A retrospective analysis was conducted on patients diagnosed with SC clinically and through fundus autofluorescence(FAF). Patients receiving ADA treatment were included. Demographic and clinical characteristics of the patients, association with tuberculosis (TB) infection, number of immunosuppressive therapies, recurrences, best corrected visual acuity (BCVA) change, and ADA-related side effects were recorded. The progression rate before and after ADA was calculated based on the area involved by FAF.Sixteen eyes of 8 patients (3 female/5 male) were enrolled to the study. The median (IQR) age was 53.5 (16.5) years. Diagnosis was SC in 4, ampiginous choroiditis in 3, and TB-related serpiginous-like choroiditis in 1 patient. Peripapillary involvement was present in 10 of 16 eyes. The area involved by FAF continued to progress under ADA treatment, however the progression rate was decreased (p = 0.143).The BCVA was preserved (p = 0.772). The number of systemic and local treatments decreased with ADA (p = 0.025 and 0.019, respectively). Additionally, the number of recurrences was reduced with ADA (p = 0.002). Median (IQR) follow-up was 45(28.75) months. Two patients experienced ADA-related side effects (pulmonary TBand rash).Our findings suggest a promising role for ADA in halting the progression of SC and have implications for improving outcomes. Despite the evidence in the literature at the level of case reports, ADA can be used effectively with close monitoring for potential risks. [ABSTRACT FROM AUTHOR]

Purpose: To compare the intraocular pressure (IOP)-lowering efficiency of gonioscopy-assisted transluminal trabeculotomy (GATT) and trabeculectomy (TRAB) with mitomycin C in patients with primary open-angle glaucoma (POAG) and pseudoexfoliative glaucoma (PEXG)., Methods: In this retrospective comparative study, consecutive patients with POAG or PEXG who underwent GATT or TRAB by a single surgeon and with a follow-up period of at least 1 year were included. Surgical success rates, change in best-corrected visual acuity, IOP, the need for antiglaucoma medication, surgical complications, and the need for additional glaucoma surgery were compared. Surgical success was defined as an IOP reduction of ≥30% or an IOP of ≤18 mmHg. Complete success was defined as without medication. Qualified success was defined as with or without topical medication., Results: The mean baseline IOP was 27.4 ± 8.3 and 24.6 ± 7.6 mmHg (P = 0.13) with the mean number of medications being 3.7 ± 1.0 and 3.7 ± 1.1 (P = 0.98) in TRAB and GATT, respectively. At 12 months, the mean IOP was 15.3 ± 3.5 and 12.5 ± 4.6 mmHg (P = 0.24) with the mean number of medications being 0.9 ± 1.2 and 0.8 ± 1.4 (P = 0.76) after GATT and TRAB, respectively. IOP was lowered from baseline by 52.7% ± 17.5% after TRAB and 45.7% ±18.6% after GATT (P = 0.12). There was no decrease in best-corrected visual acuity in either group. The qualified surgical success rate was 94.4% in the GATT group and 94.9% in the TRAB group (P = 0.75). Percentage of complete success was 64.1% and 52.8% (P = 0.22) after TRAB and GATT, respectively., Conclusion: In patients with POAG and PEXG, GATT was as effective and safe as TRAB in lowering IOP and reducing the number of antiglaucomatous drugs., (Copyright © 2024 Copyright: © 2024 Indian Journal of Ophthalmology.)

This study aimed to assess the effect of the status of the tendon and patient factors on patient satisfaction after rotator cuff repair. Forty-six patients treated for tears with a minimum of 5-year follow-up were included. Gender, age, and active smoking status were recorded. Pain visual analogue scale, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, Simple Shoulder Test, and Single Assessment Numeric Evaluation were recorded preoperatively and at the last follow-up. Patients were divided into groups of highly satisfied (HS) and vaguely satisfied (VS) patients. Patients were evaluated with MRI both preoperatively and at their last follow-up. Of the 46 patients, 17 were HS and 29 were VS. The HS group had 7 re-ruptures, 4 of which were progressed tears, whereas the VS group had 15 re-ruptures, 4 of which were progressed tears. There was no difference in the rate of re-ruptures or progressed tears between groups. The HS group had a higher frequency of males. However, frequencies of active smoking or osteoarthritis of grade 2 or higher were lower in the HS group. It was shown that patient satisfaction after repair depends on patient-related factors like gender and smoking rather than tendon healing or degeneration., Competing Interests: The authors have no funding and conflicts of interest to disclose., (Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.)