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Abstract This study aimed to investigate the immediate effects of manual therapy (MT) on the respiratory functions of healthy young individuals. The study included 104 participants, consisting of university students (87 females, 17 males, mean age 20.1 ± 2.2). Participants were randomly assigned to the MT (experimental; n = 52) and sham-MT (control; n = 52) groups. The experimental group underwent thoracic manipulations and mobilizations along with diaphragm mobilization. In the control group, the hands were placed on the same regions, but no specific intervention was applied. All participants underwent respiratory function testing before and after the intervention using a portable spirometer (PEF- Peak expiratory flow; FEV 1- Forced expiratory volume in 1 s; FVC- Forced vital capacity and FEV1/FVC- Tiffeneau index). In the experimental group, there was a significant increase in the mean PEF value following MT application from 296.3 ± 110.8 to 316.1 ± 119.1 (p = 0.018). Conversely, the mean PEF value in the control group showed a slight decrease from 337.1 ± 93.3 to 324.5 ± 89.2 (p = 0.002). No significant changes were observed in FVC, FEV1, or FEV1/FVC values pre- and post-intervention in either groups. A single MT session led to a significant improvement in PEF in healthy young individuals. Further research is needed to explore the long-term effects of MT on respiratory functions and its potential implications in clinical practice. Trial registration ClinicalTrials.gov: NCT05934240 (06/07/2023).

It is important to determine the level of social media addiction in the working population and to determine its relationship with sleep quality, and how both variables affect the work performance of the employees. In this study, it was aimed to determine the effects of social media addiction levels and sleep quality of employees at Amasya University on their work performance. The population of the cross-sectional study consisted of staff in all employment types at Amasya University. Sociodemographic data form, Social Media Addiction Scale-Adult Form (SMAS-AF), Pittsburgh Sleep Quality Index (PSQI), and Work Role Functioning Questionnaire (WRFQ) were applied by face-to-face survey method between August 15 and October 15, 2022. A total of 148 individuals participated in the study. The total score on the SMAS-AF was 40.0 (20-84), the PSQI total score was 6.0 (1-15) and the WRFQ total score was 92.5 (6-100). The WRFQ was found to be lower in individuals with associate degrees or higher education, females, and academic staff (p=0.042; p=0.010 and p=0.008 respectively). The WRFQ total score indicated low, moderate, and negative significant correlations with the SMAS-AF and PSQI total scores (r= -0.333 and -0.344, respectively, p< 0.001). It was found that as the level of social media addiction increased and sleep quality deteriorated, work role functionality was negatively affected. A holistic approach, including behavioral problems, should be exhibited in the evaluation of work performance.

IntroductionWhile the Thrombite device differs from the Solitare stent with its Helical open-side structure feature, it shows great similarity with its other features. We assessed the Thrombite device’s effectiveness and safety in this study.Materials and methodsThe study was a retrospective analysis of patients who were included in the Turkish Interventional Neurology database and who had mechanical thrombectomy with the Thrombite device as the first choice between January 2020 and January 2023. The type of study is descriptive research.ResultUsing the Thrombite thrombectomy device, 525 patients received treatment. The median baseline National Institutes of Health Stroke Scale (NIHSS) score was 13, the median initial Alberta Stroke Program Early Computed Tomography (ASPECT) score was 8, and the mean patient age was 68.6+11.7 years. Between the groin puncture and the successful recanalization, the median time was 34 minutes (interquartile range [IQR]: 15–45). 48.2% (modified treatment in cerebral infarction; mTICI) 2b/3% and 33.9% (mTICI 2c/3) were the first-pass recanalization rates. In the end, 87.7% of patients had effective recanalization (thrombolysis in cerebral infarction 2b/3). In the “first-pass” subgroup, the favorable functional result (modified Rankin Scale 0–2) was 51.8%, while it was 41.6% for the entire patient population. The rate of embolization into new territory/different territory were 2.1/0.1%. 23 patients (4.5%) had symptomatic hemorrhage.ConclusionThe Thrombite device showed a good safety profile and high overall successful recanalization rates in our experience.

Amaç: Üniversite öğrencileri sosyal medya bağımlılığı ve eşlik eden davranışsal bozukluklar yönünden en fazla risk altında olan yaş grubunda yer almaktadır. Bu çalışmada ebelik ve hemşirelik bölümü öğrencilerinin, sosyal medya bağımlılığı ve sağlıklı beslenmeye yönelik tutumları arasındaki ilişkinin belirlenmesi amaçlanmıştır. Gereç ve Yöntemler: Kesitsel tipteki çalışma için gerekli veriler çevrimiçi anket yöntemi ile elde edildi. Sosyal medya kullanım düzeyinin ölçümünde “Sosyal Medya Bağımlılığı Ölçeği (SMBÖ)” kullanıldı. Sağlıklı beslenmeye yönelik tutumlarının ölçümünde ise “Sağlıklı Beslenmeye İlişkin Tutum Ölçeği (SBİTÖ)” uygulandı. İstatistiksel anlamlılık düzeyi tüm testler için p lt;0,05 olarak kabul edildi. Bulgular: Çalışmaya katılan 188 öğrencinin SMBÖ puan ortalaması 100,6±31,0; SBİTÖ puan ortalaması ise 75,5±8,8 bulundu. Yalnız yaşayan öğrencilerde SBİTÖ puanı daha düşük saptanırken, ortalama hanehalkı gelir düzeyi asgari ücret üstünde olanlarda SMBÖ puanı daha yüksek bulundu. Öğrencilerin SMBÖ puanları ile SBİTÖ puanları arasında düşük derecede negatif ve anlamlı korelasyon saptandı. Sonuç: Sosyal medya kullanımı arttıkça, sağlıklı beslenmeye ilişkin tutumun olumsuz yönde etkilendiği belirlenmiştir. Sağlıklı yaşam davranışları kazandırmada, davranışsal bağımlılıklara yönelik önleyici çalışmalar gerekmektedir.

Aim:It has been reported that the increased neutrophil/lymphocyte ratio (NLR) is associated with a poor prognosis in Coronavirus disease-2019 (COVID-19) patients. We aimed to correlate three consecutive computed tomography severity score (CT-SS) values with simultaneous NLR and other laboratory parameters and investigate their temporal changes effects on the prognosis of COVID-19 patients.Methods:This single-center cross-sectional study included 99 (aged ≥18 years) COVID-19 patients hospitalized between March 1, 2021, and June 30, 2021. Demographic data, laboratory findings, and intensive care unit (ICU) admissions were obtained from electronic medical records. We divided patients into two groups: ICU and non-ICU patients A radiologist calculated three consecutive chest CT-SSs using a 25-point visually semiquantitative system. Spearman’s rho correlation was used to evaluate correlations between CT-SSs and laboratory parameters in ICU and non-ICU patients.Results:The study population included 99 patients with a mean age of 61.17±14.36 years. Significant associations were found between the third-highest values of CRP (p=0.005), D-dimer (p=0.007), lactate dehydrogenase (p=0.027), and ICU admission. While there was no statistical significance between the first and second CT-SS and ICU admissions, there was a significant relationship between the third CT-SS and ICU admissions (p=0.013). Moderate positive correlations between the first NLR and CT-SS (p=0.025, r=0.488) and the second NLR and CT-SS (p=0.001, r=0.650) were found in ICU patients.Conclusion:Our results demonstrate the importance of late follow-up chest CT and laboratory parameters for the prognosis and ICU admissions of COVID-19 patients.