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This study aimed to investigate the relationship between chronotype, video game addiction, and sleep quality in school-age children using structural equation modeling. It was performed using structural equation modeling, with 545 secondary school students in northern Turkey meeting the inclusion criteria. Data were collected through face-to-face interviews utilizing the Personal Information Form, the Morningness Eveningness Scale for Children (MESC), the Video Game Addiction Scale for Children (VASC), and the Sleep Quality Scale. The findings revealed that the average video game addiction score of children was 55.22, which was associated with poor sleep quality and efficiency. Additionally, chronotype was found to mediate the relationship between video game addiction and both sleep quality (β = 0.024; p < 0.001) and sleep efficiency (β = −0.068; p < 0.001). The model was found to be close to acceptable levels for the variables according to the fit indices. [ABSTRACT FROM AUTHOR]

Objective: The connection between adult separation anxiety disorder (ASAD) and nomophobia has been poorly investigated. The aim of this study is to evaluate whether there is a relationship between ASAD and nomophobia. Method: The sample consisted of 68 university students diagnosed with ASAD and 77 university students without ASAD. All participants were evaluated by a structured clinical interview, Adult Separation Anxiety Questionnaire (ASA), Separation Anxiety Symptom Inventory (SASI), Nomophobia Questionnaire (NMP-Q), and Smartphone Addiction Scale-Short Version (SAS-SV). Results: Participants with ASAD had longer daily phone usage times and had a higher frequency of checking the phone during the day and the rates of carrying a charger than controls. Compared to the control group, participants with ASAD had significantly higher ASA, SASI, NMP-Q, and SAS-SV scores and more severe nomophobia levels. The ASA scores were significantly positively correlated with SASI, NMP-Q, and SASSV. Regarding predictors of nomophobia, ASA, SASI, and SAS-SV scores had a positive and significant effect on nomophobia, and predicted nomophobia. Conclusion: Our research adds to the body of knowledge on nomophobia by demonstrating that people with ASAD are susceptible to developing nomophobia. Clinicians should be aware of the association between ASAD and nomophobia, and nomophobia may be an important concept that should be considered in the therapy approach to patients with ASAD. [ABSTRACT FROM AUTHOR]

Aim: Tinnitus occurs when a sound is detected in the ear in the absence of external auditory stimuli. It can impact daily activities, leading to issues with concentration, emotional distress, and sleep disturbances. The objective of this study is to examine the state of sleep quality in patients with tinnitus. Materials and Methods: A total of 81 patients (42 females, 39 males) who presented to the clinic within the past six months and had experienced subjective tinnitus for at least six months were included in the study. The Tinnitus Handicap Index (THI), Pittsburgh Sleep Quality Index (PSQI), and Insomnia Severity Index (ISI) questionnaires were utilized. Results: There was a moderate statistically correlation between THI and both PSQI (r=0.411; p=<0.001) and ISI (r=0.436; p=0.003). Higher THI scores were associated with higher PSQI and ISI scores. Conclusion: Assessing sleep quality is essential in the management of tinnitus, as it plays a role in managing tinnitus and improving the quality of life of those affected. [ABSTRACT FROM AUTHOR]

Background: Schizophrenia is a chronic mental disorder, characterized byacute exacerbation and remission phases. Immune system has a role in the pathophysiology of schizophrenia. High mobility group box-1 (HMGB-1) is a macrophage secreted protein activating immune cells to produce cytokines. The aim of this study was to evaluate HMGB-1 levels among patients with schizophrenia both in acute exacerbation and remission phases. Methods: Consecutive schizophrenia patients in acute exacerbation and remission phases were enrolled and compared with each other and with age-sex matched healthy subjects. Patients were assessed with the Scale for the Assessment of Positive Symptoms (SAPS), Scale for the Assessment of Negative Symptoms (SANS), Brief Psychiatric Rating Scale (BPRS), Clinical Global Impression Scale (CGI). Results: Mean HMGB-1 levels were not significantly different in acute exacerbation phase versus remission phase schizophrenia patients (2.139±0.564 g/L vs. 2.326± 0.471 g/L, p=0.335) and both were individually higher than the control group (1.791±0.444 g/L, p=0.05 for acute exacerbation vs control, p=0.002 for remission vs control). In remission phase schizophrenic patients, HMGB-1 levels were positively correlated with Scale For The Assessment of Positive Symptoms (r=0.447, p=0.015) and BPRS (r=0.397, p=0.033) scores and HMGB-1 levels were independently associated with BPRS. Conclusions: Serum HMGB-1 levels were shown to be increased in patients with schizophrenia patients irrespective of phase, there were no differences between patients in acute exacerbation and remission phase in terms of biomarker and HMGB-1 levels were related to symptom severity according to psychiatric scales among patients in remission phase of schizophrenia.

Introduction: Seasonal influenza hadmany epidemics and pandemics throughout history and caused millions of peoplegetting sick with severer progress and even death in the risk group. Having theinfluenza vaccination is essential for healthcare staff to protect their healthas well as other individuals of the society. The present study aimed todetermine the approaches of all healthcare personnel and candidates in RizeTraining and Research Hospital providing tertiary healthcare services and toanalyze their causes for not having the vaccination.Methods: The present cross-sectionalresearch was carried out in Rize (Turkey). A questionnaire applied to 898volunteers among 2200 hospital staff. Results: It was detectedthat the median age of the participants is 25 years; 61.0% of the participantsare female; 59.8% of them are single; 69.8% do not have any children and 38.0%have a graduate degree. The rate of having vaccination once within lifetime wasdetected as 41.6% and the highest rate was observed in the physician groupwhereas the lowest rate was observed in the nursing student group. The causesfor avoiding to have the vaccination included the considerations about theineffectiveness of the vaccination, having influenza and the delay of arrivalof the vaccination to the hospital. However, the rate of having vaccination wasdetermined as 2.6% within all healthcare staff for this year. The majority ofthe participants who had the vaccination consisted of the nurses who considerthemselves within the risk group. Conclusions: A significantdecrease was detected in the vaccination rates of the healthcare staff whencompared with previous years. The awareness should be increased to increase thevaccination rates. For this purpose, training should be organized, and thesustainability of such training should be provided.

Although there are studies on the effect of alexithymia on expressed emotion, emotion expression in people with alexithymia was not specifically examined. This study aimed to investigate the relationship between alexithymia and emotional expression styles and whether emotional intelligence and empathy mediate this relationship. A total of 254 teacher candidates were evaluated using the Toronto Alexithymia Scale, Empathy Quotient Scale, Trait Emotional Intelligence Questionnaire, and Emotional Expression Styles Inventory. We performed the analyses using structural equation models. Our results revealed that alexithymia indirectly affected the expression style of happiness and sadness emotions negatively and emotional intelligence and empathy played a mediator role in this effect of alexithymia. Also, an indirect positive relationship was identified between alexithymia and anger expression style, and it was found that this relationship was mediated by emotional intelligence. Accordingly, emotional expression styles were also related to other variables. The present study also determined that alexithymia level was significantly and negatively correlated with emotional intelligence and empathy levels. This is the first study to reveal that alexithymia is related to emotional expression styles and that emotional intelligence and empathy also have mediator roles in emotional expression styles. expression styles were also related to other variables. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Higher Education & Science / Yüksekögretim ve Bilim Dergisi is the property of Zonguldak Bulent Ecevit Universitesi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Criminal behavior in children emerges as a result of a complex process. If the criminal behavior is repetitive and preventive interventions are not applied, it can also lead to the emergence of criminal behavior in adulthood. In our study, we aimed to compare the parental temperament characteristics of juvenile delinquents with those of non-offending children of similar age and gender. The study group included parents of 69 juvenile delinquents aged between 12 and 15, while the control group consisted of parents of 73 non-offending children of the same age range. Data was collected using a demographic information form prepared by researchers and the TEMPS-A (Temperament Evaluation of Memphis, Pisa, Paris, San Diego Autoquestionnaire) Temperament Scale. The study group included 37 fathers and 32 mothers, while the control group included 40 fathers and 33 mothers. Parents in the study group had less education than those in the control group, and psychopathology was more common. The study group's parents experienced more legal issues on average. In comparison to the control group, fathers in the study group scored higher for cyclothymic temperament, hyperthymic temperament, and irritable temperament. Compared to the control group, mothers in the study group scored higher on all temperamental variables. The fathers' assessments of their depressive and anxious temperaments did not differ significantly. Fathers in the study group scored higher on the cyclothymic, hyperthymic, and irritable temperament scales. There was a considerable difference in the prevailing temperament type between the groups. Moms in the research group had significantly higher temperament scores than those in the control group. [ABSTRACT FROM AUTHOR]

The relationship between mean intelligence quotient (IQ), hand preferences and visual memory (VM) were investigated on (N = 612) males and females students trained in different educational programs in viewpoint of laterality. IQ was assessed by cattle's culture Fair intelligence test-A (CCFIT-A). The laterality of the one side of the body was assessed by a questionnaire with 20 items. For VM, word lists with 15 items derived from the root of the Turkish word "to run" were projected on a screen. Subjects were allowed to see the words for 30 sec., and write down the remembered-words in 40 sec. There was any relationship between the hand preferences and IQ levels in right-and left-hander for first ten items (Q1, p>0.05), and also there was no relationship between the hand preferences and remembered words (RW) in left-hander (p>0.05). There was, however, a negative relationship between the hand preferences and RW in right-handers (p<0.05). For second ten items (Q2), there was no relationship between the hand preferences and IQ of left-handed subjects (P<0.05), but there was a positive relationship between the hand preferences and IQ in right hander (p<0.05). However, there was no relationship between hand preferences and non remembered words (NRW) (p>0.05). It was concluded that there was a relationship between the laterality, NRW and IQ in right hander.

Academics are an occupational group that works at an intense pace. The number of studies on chronotype and night eating behavior in academics is limited, and there is insufficient data on whether fear of COVID-19 is also a risk for developing eating disorders. This study aimed to investigate the relationship between chronotype and night eating syndrome (NES) and examine the influence of fear of COVID-19 on night eating behavior in academics. The study data were collected using the personal information form, "Morningness-Eveningness Questionnaire, The Night Eating Questionnaire (NEQ), and the Fear of COVID-19 Scale." According to the chronotypes of the academicians, it was determined that the score compatible with NES and the scores of the Fear of COVID-19 Scale differed statistically significantly, and the score compatible with NES and Fear of COVID-19 Scale scores were also higher in the evening type at a rate of 29.2% compared to other chronotypes (p <.05). The Fear of COVID-19 scale and Morningness-Eveningness Questionnaire scores were significantly correlated with the Night Eating Questionnaire (R =.391 R2 =.153 p <.05). The variables of the Fear of COVID-19 Scale and the Morningness-Eveningness Questionnaire explained 15% of the total variance of the Night Eating Questionnaire scores. Considering that academics are a group that works without the concept of overtime and whose work intensity is high, it is clear that studies should be conducted to raise awareness to protect the physical health of academics and prevent the development of eating disorders. There is a need for studies that question the relationship between chronotype, diet, and health. [ABSTRACT FROM AUTHOR]

Aim: The goal of this study was to find out how common sleep disorders are among university students and to see how they relate to depression, anxiety, stress levels, personality factors, and overall quality of life. Materials and Methods: This study comprised a total of 856 students. Initially, Pittsburg Sleep Quality Index (PSQI) and a Sociodemographic Data Form were applied. Those with a PSQI score of ≥6 were scheduled for a second interview and a psychiatric interview was conducted. The participants were divided into two groups as those diagnosed with insomnia (n=104) and control group (n=95). Both groups were applied Insomnia Severity Index (ISI), Depression Anxiety Stress Scale (DASS), Eysenck Personality Questionnaire-Revised/Abbreviated Form (EPQR-S), and Short Form-36 (SF-36). Results: Point prevalence of insomnia among study participants was 12.1%. Insomnia was more common in those who have just started university, were staying in dormitories, had a physical disorder, were smoking, had no regular breakfast habits, and were using electronic media more frequently. When compared to the control group, the ISI scores, DASS depression, anxiety, and stress scores, and EPQR-S neuroticism scores were statistically substantially higher in the insomnia group. Physical function, role limitation (physical), pain, general health, vitality (energy), social function, role limitation (emotional), and mental health were statistically substantially lower in the insomnia group than in the control group on the SF-36 subscales. Conclusion: Insomnia is a prevalent affliction among college students. In students with insomnia, depression and anxiety disorders are more common. Insomnia is also linked to a low quality of life and certain personality features. [ABSTRACT FROM AUTHOR]

Answers 1. The common characteristics, symptoms, and signs in both cases are: They were both born via cesarean section because of fetal distress, both had severe perinatal asphyxia, both needed [...]

Aim: The aim of this study is to compare high sensitive Troponin T (hs-TnT), total antioxidant capacity (TAC), total oxidant capacity (TOC), oxidative stress index (OSI), ischemia-modified albumin (IMA) levels and IMA/albumin ratios (IMAR) with the results of coronary angiography (CAG) in patients diagnosed with ACS at the emergency department. Materials and Methods: Over a period of nine months, patients that were diagnosed with ACS at the emergency department, admitted to the cardiac intensive care unit, subjected to percutaneous CAG and over the age of 18 were included in the study. Results: One hundred twenty five patients with suspected ACS and 52 healthy volunteers were included in the study. When the patients were evaluated with regards to the length of time between symptoms and arrival, TAC levels were found to decrease especially after the 6th hour. There was no significant difference between TOC, OSI, IMA and IMAR values in this regard. Conclusion: In early-phase ACS, levels of TOC, OSI, IMA and IMAR rise from the 0th hour onwards. TAC levels gradually decrease after the early phase of ischemia. Therefore, oxidants and antioxidants can be used for early diagnosis of ischemia in ACS, as well as for estimating time of ischemia onset. [ABSTRACT FROM AUTHOR]

Summary: Question answering is a fundamental problem for artificial intelligence research. State‐of‐the‐art question answering systems, such as search engines, can answer well‐formed factual questions. However, they fail on nonfactual and natural language queries. On the other hand, crowdsourcing leverages human intelligence to present solutions for problems, which are hard for computers. In the process of crowdsourcing, aggregating the responses from the crowd is a big challenge of itself. This work presents a model that integrates artificial intelligence with crowdsourcing to answer difficult natural language multiple choice questions. We build a crowdsourced mobile gaming experience for "Who wants to be a millionaire?" TV quiz show to test our methods. We use lightweight artificial intelligence models in aggregating the crowd responses. Our methods are able to answer even the hardest questions with very high accuracy. The experiment results suggest that building a super player for "Who wants to be a millionaire?" is feasible using our models. This study shows that facilitating crowdsourcing with artificial intelligence is an important tool for answering questions, which trouble state‐of‐the‐art question answering systems. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Pediatric Disease / Türkiye Çocuk Hastalıkları Dergisi is the property of Turkish Journal of Pediatric Disease and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Online Turkish Journal of Health Sciences (OTJHS) / Online Türk Sağlık Bilimleri Dergisi is the property of Oguz KARABAY and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Noise exposure, the main cause of hearing loss in countries with lot of industries, may result both in temporary or permanent hearing loss. The goal of this study was to investigate the effects of parenteral papaverine and piracetam administration following an acoustic trauma on hearing function with histopathologic correlation.Materials and Methods: Eighteen Wistar albino rats exposed to noise for 8 h in a free environment were included. We divided the study population into three groups, and performed daily intraperitoneal injections of papaverine, piracetam, and saline, respectively, throughout the study. We investigated the histopathologic effects of cellular apoptosis on inner hair cells (IHCs) and outer hair cells (OHCs) and compared the distortion product otoacoustic emissions (DPOAEs) thresholds among the groups.Results and Discussion: On the 3rd and 7th days, DPOAE thresholds at 8 kHz were significantly higher both in papaverine and piracetam groups compared with the control group (P = 0.004 for 3rd day, P = 0.016 and P = 0.028 for 7th day, respectively). On the 14th day, piracetam group had significantly higher mean thresholds at 8 kHz (P = 0.029); however, papaverine group had similar mean thresholds compared to the control group (P = 0.200). On the 3rd and 7th days following acoustic trauma, both IHC and OHC loss were significantly lower in both papaverine and piracetam groups. On the 7th day, the mean amount of apoptotic IHCs and OHCs identified using Caspase-3 method were significantly lower in both groups, but the mean amount identified using terminal deoxynucleotidyl transferase dUTP nick end labeling method were similar in both groups compared to the control group.Conclusion: We demonstrated the effects of papaverine and piracetam on the recovery of cochlear damage due to acoustic trauma on experimental animals using histopathologic and electrophysiologic examinations. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study was to compare computed tomography (CT) and radiography (XR) images of patients presented to the emergency department with ankle trauma and undergone CT imaging, and to describe the fractures for which XR is insufficient and the characteristics of these fractures. Material and Methods: This retrospectively designed study included patients presented to the emergency department with ankle trauma between January 2016 and December 2017. Patients who had ankle trauma, who performed XR and CT imaging were included in the study. The XR and CT images were reinterpreted by a radiologist. Results: Three hundred and sixteen patients were enrolled in the study. Of the patients, 137 (43.4%) had fracture on XR and 168 (53.2%) had fracture on CT. The most common bone fractures were detected lateral malleolus and distal tibia fractures. The sensitivity and specificity of XR in detecting fracture compared to CT were 75% and 93%, respectively. Sixty-three (20%) of the patients had two simultaneous fractures. The sensitivity and specificity of XR in detecting two simultaneous fractures were 56% and 94%, respectively. Twelve (3.8%) of the patients had distal tibial, medial malleolus and lateral malleolus fractures (trimalleolar fracture). The sensitivity and specificity of XR in detecting trimalleolar fracture were 17% and 100%, respectively. Conclusion: XR has a low sensitivity in identifying ankle fractures. The sensitivity is much lower in cases of two simultaneous fractures and trimalleolar fractures. Therefore, CT imaging should be preferred in patients with complex ankle injuries. [ABSTRACT FROM AUTHOR]

Case summaries Case 1 A female newborn weighing 2,820 g was born at 38 weeks' gestation via cesarean section because of fetal distress and breech presentation. The emergency cesarean section [...]

The purpose of this paper is to examine the mediating role of strategic human resource management between the mechanisms of institutionalization made up institutionalization process and the stages of institutionalization. This issue is researched in the light of data collected through a survey of 125 businesses with human resources department, which are in Kocaeli organized industry region. The assessment of the data is done with structural equation modeling. The analysis shows that strategic human resource management has a positive effect on institutionalization process. The main limitations of this study are the quanti ty and quality of sample and the number of data that are used in this study. While the researches that examine theoretically the relations between institutional theory and strategic human resource management exist, the hypothesis in this study is analyzed by using empirical data. [ABSTRACT FROM AUTHOR]

Objective/Hypothesis This study aimed to compare application of the Müller maneuver (MM) and application of drug-induced sleep endoscopy (DISE) prior to surgery, in addition to MM, to further ascertain the location of an obstruction in the upper airway and whether the location would change the surgical treatment plan in patients with retropalatal obstruction. Study Design Prospective, clinical trial at a tertiary referral hospital. Methods This study included 39 obstructive sleep apnea patients who were recommended for surgical treatment. Patients were randomly divided into two groups: The first group (DISE plus MM) underwent a DISE (19 patients), in addition to the planned procedure according to MM. Meanwhile, the second group (MM only) underwent surgery based only on their MM evaluation (20 patients). Patients with retrolingual-localized obstructions were excluded, whereas patients with ≥ third-degree obstructions at the retropalatal level, according to DISE and/or MM, were included in the study. Results There was a significant improvement between pre- and postoperative polysomnography findings in both groups. However, the postoperative improvements between the groups were not statistically different. Because there was a significant change in the planned surgical procedures in the first group, there were significantly more combined surgeries followed by the DISE procedure. Conclusions Although the DISE resulted in more changes in the surgical treatment plan and higher rate of combined treatment compared to MM, we determined that this difference did not result in a significant difference in treatment success. Level of Evidence 4. Laryngoscope, 125:2220-2225, 2015 [ABSTRACT FROM AUTHOR]