Turkey Department Research Articles

The role of emergency medicine specialists and general practitioners in yellow zone patient management: A case in the Sakarya Province

AbstractBackgroundEmergency departments in Turkey employ both emergency medicine specialists (EMSs) and general practitioners due to an insufficient number of EMSs. Patients are triaged into green, yellow, and red codes based on urgency. Typically, EMSs manage more critical patients (yellow and red codes), while general practitioners handle less urgent cases (green codes).ObjectiveThis study investigates differences in patient management approaches between EMSs and general practitioners in the yellow zone of an emergency department in the Sakarya Province.MethodThis retrospective, cross‐sectional study was conducted at the Sakarya Training and Research Hospital from 31 December 2020 to 31 December 2021. The study included patients aged 18 and older who were assigned to the yellow zone and discharged by the attending physician. Data on patient monitoring times, consultation requests, hospitalization rates, resource utilization, readmission rates, and hospital revenue contributions were collected and analyzed. Statistical analyses were performed using IBM SPSS version 21, comparing the performance of EMSs and general practitioners.ResultThe study included 59 physicians (14 EMSs and 45 general practitioners) and a large number of patients. EMSs had significantly more experience, shorter consultation request times, and higher ICU admission rates. They also ordered fewer MRIs and USGs per patient and made more consultation requests. There was no significant difference between EMSs and general practitioners in terms of the number of examinations, patient observation times, ward hospitalization rates, CT orders, readmission rates, and hospital revenue contributions.ConclusionEMSs demonstrated more efficient use of emergency department resources, effective consultation processes, and higher ICU admission rates, indicating better patient management. Despite the limited scope of this single‐center study, the findings highlight the importance of EMSs in improving emergency care quality. Further research is needed to validate these results across multiple centers.

Exploring the relationship between teachers’ competencies in AI-TPACK and digital proficiency

AbstractIn recent years, there has been a growing emphasis on integrating Artificial Intelligence (AI) applications in educational settings. As a result, it is essential to assess teachers’ competencies in Technological, Pedagogical, and Content Knowledge (TPACK) as it pertains to AI and examine the factors that influence these competencies. This study aims to analyze the impact of digital proficiency on teachers’ AI-TPACK competencies. The study utilized a correlational survey model and involved 401 teachers from various provinces and departments in Turkey. The data collection tools included a personal information form, an AI-TPACK scale, and a digital proficiency scale. The collected data were analyzed using structural equation modeling. The research findings revealed that teachers’ AI-TPACK competencies were below average, whereas their levels of digital proficiency were above average. Furthermore, a significant relationship between teachers’ AI-TPACK and digital proficiency levels was identified, with digital proficiency as a significant predictor of AI-TPACK competencies. Based on the research findings, recommendations for future studies are provided.

The adherence of Turkish emergency departments to geriatric guideline recommendations.

This study aims to determine the availability of geriatrics-friendly protocols, pieces of equipment, and physical environments alongside potential opportunities of improvement in the emergency departments of our country. This prospective, cross-sectional study was conducted between the 1st and 29th of February, in the year 2024, within the AI, AII, B group- and university hospitals in Turkey. A questionnaire form consisting of three subdivisions in which general pieces of information, information regarding appropriate personnel/management for geriatrics-friendly emergency departments, equipment/materials, and the presence of physical environments was presented online to the participants and the responses that were provided online were evaluated. The study was conducted with a total of 175 participants from hospital emergency departments. The number of hospitals with monthly older patient application amounts of 500 and above was 133 (76.0%). It was observed that personnel/management knowledge was, relative to guideline suggestions, at low levels. When the appropriateness of personnel/management knowledge and total equipment/materials were compared to hospital roles, it was determined that university hospitals adhered closest to the guideline and that inter-group differences were significant (p < 0.001). It was determined that the compliance of emergency departments in Turkey with the criteria specified in the geriatric emergency department guidelines is at very low levels.

Student Views on Literacy in Music Education in Theatre DepartmentsBurcu

In this study, it was aimed to examine student views on music education in theater departments. Case study model, which is one of the qualitative research methods, was used in the research. The study group within the scope of the research consists of 10 undergraduate-II students of Trabzon University State Conservatory Performing Arts Department. In order to obtain the data, an interview form prepared by the researcher was created with “Google Form”. Content analysis method was used to analyze the data. According to the data obtained in the study, it was determined that music courses in theater departments in Turkey are mostly “Singing” courses. It was found that the number of music courses in theater departments during undergraduate education is low. According to the opinions of theater students, it was concluded that music education is very important and necessary in their departments. In line with these results, suggestions were made to increase the duration and number of music courses in theater departments.

ANALYSIS OF STUDENT SELECTION FOR SPORT SCIENCES FACULTIES: THE CASE OF SIVAS REPUBLIC UNIVERSITY, TURKEY

The interest in Physical Education and Sports Departments in Turkey is increasing every year and the number of faculties and colleges providing education in this field is increasing day by day. Special aptitude exams are held for student recruitment and the physical abilities of the candidates are tested in these exams. In Sivas Cumhuriyet University, the School of Physical Education and Sports was transformed into the Faculty of Sports Sciences. There are Physical Education and Sports Teaching, Coaching Education, and Sports Management departments within the faculty. Student admission is done by special aptitude exam every year. In recent years, there has not been a unity in the examinations of Physical Education and Sports Schools throughout Turkey, so there is a need for a scientific evaluation of the examination systems. In this study, the accuracy of different exam systems in our country is investigated and the effect of exam parameters on passing the exam is examined.&lt;p&gt; &lt;/p&gt;&lt;p&gt;&lt;strong&gt; Article visualizations:&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;img src="/-counters-/soc/0089/a.php" alt="Hit counter" /&gt;&lt;/p&gt;

Distribution of Instrument Education Specialization of Academic Staff of Music Education Departments in Turkey

Distribution of Instrument Education Specialization of Academic Staff of Music Education Departments in Turkey

Radiotherapy for benign diseases in Turkey: apatterns of care survey of the Turkish Society for Radiation Oncology (TROD 05-002).

We aimed to investigate the patterns of radiotherapy (RT) care in cases of benign diseases in Turkey. Aquestionnaire survey was sent to all radiation oncology (RO) departments in Turkey. The number of patients treated for benign disease between 2015 and 2020 was requested. Alist of benign conditions was given, and information on the number of patients per disease, single and total doses prescribed, weekly fractions, radiation type, energy, and device was requested. Of the 138 RO departments, 29(21%) responded. The data received concerned 15(52%) university, 10(34%) public, and four (14%) private hospitals. Atotal of 130,846 patients were treated with RT in these departments. Of these patients, 6346 (4.85%) were treated for benign conditions. The most common benign diseases treated with RT were meningioma (35%), plantar fasciitis (19%), schwannoma (16%), arteriovenous malformation (11%), and pituitary adenoma (7%). Most centers performed RT for paraganglioma, heterotopic ossification, vertebral hemangioma, and Graves' ophthalmopathy, but none treated arthrosis. Wide variations were observed across the departments. Radiosurgery for intracranial pathologies was performed intensively in four centers. By contrast, RT for plantar fasciitis was predominantly treated in five centers, one of which had more than 1000 patients. The ratio of patients who underwent RT for benign diseases in Turkey among all patients who underwent RT was 4.85%. The common pattern of RT in 72% of patients was radiosurgery for intracranial benign diseases, followed by low-dose RT for plantar fasciitis in 19%.

Examining the Abstract Components of the Latest ELT M.A. Theses and PhD Dissertations of the Most Accomplished Universities in Turkey

The purpose of this study is to examine the latest abstracts of M.A. theses and PhD dissertations of 10 ELT departments in Turkey so as to observe the latest tendency in the abstract components of the ELT field. The components of a well written abstract are research paradigms, samples, sample size, method, sample type, research design, data collection tools, and data analysis techniques. The abstracts of the latest 10 MA theses and 10 PhD dissertations available in “YÖK Ulusal Tez Merkezi” (National Thesis Center) were reviewed and analyzed in terms of the availability of these components. These 10 universities were selected from the top achievers determined by University Ranking by Academic Performance (URAP) in 2020-2021. Criterion sampling was employed. This non-interactive qualitative study utilized descriptive document analysis. A constructivist view was taken to interpret the presence and absence of specific element in the abstracts. MS Excel was the program used for analysis. The results showed that none of the students expressed research paradigms but all expressed data collection tools they used. All PhD students stated who their samples were but type of sampling implemented was not stated. While most of the MA students specified their samples, only a couple specified type of sampling they used. The availability of sample size was exactly the same for both groups. PhD students named research designs more than MA students. Yet, MA students named more sampling strategies, methods, and data analysis in their abstracts.

Evaluation of Occupational Safety Courses Given in Undergraduate Departments in Turkey and Investigation of the Effect on Working Life

In this study, using the general survey model, which is one of the quantitative research methods, the evaluation of the occupational safety courses given in undergraduate departments in Turkey and their effects on working life were examined for 440 people who received their undergraduate education and started their working life. An appropriate sampling method was preferred in the sample selection of the study. According to the research, the effect of occupational health and safety courses on working life, the contribution of occupational health and safety education, and occupational health and safety education’s contribution to awareness show significant differences according to age, gender, department, and work experience. When the relationship between them is examined, these relationships are positive and moderate. The results and survey average scores show that the theoretical courses on occupational health and safety in undergraduate programs of universities in Turkey are insufficient and should be supported by practice and training in working life.

Opinions of lecturers in music education department about assessment and evaluation of the violin and viola exams

Trying to obtain reliable models for the assessment of instrumental performance in music education, which is a dimension of education, involves various challenges. The difficulties during the assessment become more complex, especially in instruments such as violin and viola, which require a large number of skills. The aim of this study is to determine how the assessment-evaluation process is carried out in violin and viola final exams in Music Education Departments in Turkey. The research is a qualitative study designed with a case study design. The study group consists of 22 lecturers conducting violin and viola courses in music education departments in 16 different universities in Turkey in the academic year 2022- 2023. The data collected through a semi-structured interview form were analyzed using descriptive and content analysis techniques. As a result of the study, it was seen that the participants mostly evaluated the students in the final exams with a commission consisting of string instruments instructors, however, a considerable number of instructors evaluated the students only by themselves. Most of the participants stated that they evaluated the students in the final exams on criteria such as violin viola grip, bow grip, application of bowing techniques, playing monophonic etudes, playing works or parts of works, musicality, physical setup, scale playing and arpeggio playing. The results that proper physical setup, proper violin viola grip and bow grip prevent physical problems, improve technical skills, contribute to correct intonation and increase tone quality are predominantly noticeable. It has been determined that playing scales and arpeggios creates a preliminary preparation for the etudes and pieces to be played by the student, applying different bowing techniques shows the level of the student, playing monophonic etudes provides technical gains and playing duophonic etudes contributes to intonation. It was concluded that playing a piece or part of a piece contributes to musicality, and playing with piano accompaniment enables the piece to be played in intonation, tempo and integrity by recognising its original form. In addition to these evaluation criteria mentioned by the participants, it was stated that students should be evaluated in terms of performance during the semester, attitude towards the exam, vocalization of maqam melodies, attendance to the lesson and awareness of the repertoire played in the exam.

Missed nursing care in pediatric emergency departments in Turkey: A cross-sectional study

ObjectiveA pediatric emergency department deals with a vast number of patients and a high load of emergent/high-priority healthcare practices. Therefore, at times, it is possible to experience missed nursing care in this department. This study aims to ascertain the types of and reasons for missed nursing care cases in pediatric emergency departments in Turkey. MethodThis is a cross-sectional survey study. Survey data were collected from 155 nurses using the “Introductory Information Form” and the “MISSCARE-Pediatric Emergency Department Survey.” ResultsGastrostomy care, colostomy care, tracheotomy care, and teaching about hospital discharge were the care practices most often missed. The volume of patients, urgent patient situations, an inadequate number of nurses in charge, too many inexperienced nurses in the department, and assignment of work outside the scope of the job are the main reasons for missed care. ConclusionPediatric emergency department patients experience missed nursing care and nurses should be supported more in order for them to provide efficient care to children.

Comments on “Sigmoid volvulus in pregnancy: Case report and literature review”

1Department of General Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey 2Department of Pediatrics, Haseki Education and Research Hospital, Istanbul, Turkey Address of correspondence: Sabri Selcuk Atamanalp, Prof. MD, Department of General Surgery, Faculty of Medicine, Ataturk University, 25040, Erzurum, Turkey. E-mail: [email protected], Phone: 0090.442.3447560, Fax: 0090.442.3446528 Financial support and sponsorship: None. Conflicts of interest: There are no conflicts of interest. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

Orthorexia and Eating Attitudes in Health Sciences Students

ABSTRACT Background: The prevalence of eating disorders and orthorexia nervosa has steadily increased and this situation may lead to severe physical, psychological, and social disorders. Aim: The aim of this study was to investigate the prevalence of disordered eating attitudes and orthorexia tendencies among university students studying in various Health Sciences departments in Turkey. Subjects and Methods: The study subjects were selected from Health Sciences Faculty students. Among the students who accepted the study, 639 people were reached by simple random sampling method. The EAT-40 and ORTO-15 which are validated instruments for the screening of abnormal eating behaviors and orthorexia nervosa respectively, were used as measurement tools. Results: The majority of the students who participated in the study were found to exhibit orthorexic tendencies, and male students had a higher orthorexic tendency in comparison to female students (p = 0.022). More specifically, the students studying in the Department of Nutrition and Dietetics had lower orthorexic tendencies compared with the students from other departments. There was no significant relationship between BMI values and the mean ORTO-15 scores, whereas the mean EAT-40 score was found to increase statistically significantly with increased BMI (p = 0.038). There was a statistically significant difference between the departments and classes in terms of mean EAT-40 scores, whereas no difference was found regarding gender. Conclusion: Orthorexia nervosa is a common problem for university students studying in health-related departments. Interestingly, the orthorexic tendencies of girls and students studying in the Nutrition and Dietetics department were found to be lower in this study. It was determined that all students except the Nutrition and Dietetics department had orthorexia tendencies. More comprehensive studies are needed to better understand orthorexia nervosa and healthy lifestyle interaction.

Academic Stress in Online Higher Education

With the unprecedented impacts of the COVID-19 outbreak, higher education institutions have faced a number of challenges, one of which is the transition to online education. University students have experienced varying levels of stress as the largest group affected by this transition. The perceived level of academic stress experienced by university students in this new system has become significant for the improvement in online learning at the tertiary level. Therefore, this study aimed to measure the level of academic stress among university students including the components of pressures to perform, perceptions of workload, academic self-perceptions, and time restraints during online learning. In order to measure the level of academic stress among university students, a quantitative research design was adopted through gathering statistical data from 147 undergraduate students studying online in different departments in Turkey utilizing “The Perception of Academic Stress Scale” including the components of pressures to perform, perceptions of workload, academic self-perceptions, and time restraints during online learning. The results of this quantitatively designed study revealed that the perceived level of academic stress among university students was found as neutral in general; regarding the components of "Pressures to Perform" as high, of “Perceptions of Workload”, "Academic Self-Perceptions" and "Time Restraints" as neutral. Some statistically significant differences were also detected in the perceived level of academic stress in relation to the variables of gender, age (Gen X vs Gen Y), year of study, satisfaction with the learning and home environments.

Apple Harvest and Problems in Turkey

Modern Concepts & Developments in Agronomy Apple Harvest and Problems in Turkey Yasemin Vurarak1*, Mehmet Emin Bilgili1, Ahmet İnce2 and Ali Uzdil1 1Eastern Mediterranean Agricultural Research Institute Directorate, Turkey 2Department of Agricultural Machinery and Technologies Engineering, Turkey *Corresponding author: Yasemin Vurarak, Eastern Mediterranean Agricultural Research Institute Directorate, 01375 Adana, Turkey Submission: January 27, 2023;Published: February 06, 2023 DOI: 10.31031/MCDA.2023.12.000785 ISSN 2637-7659Volume12 Issue 2

Evaluation of Patients Presenting to the Emergency Department with Suicidal Drug Poisoning

Introduction: Drug intoxications may be associated with accidental or suicidal ingestion of toxic agents. In both cases, emergency treatment includes administration of the relevant antidote and gastric decontamination. If necessary, patients are followed up in wards and intensive care units, whereas a group of patients are discharged directly from the emergency department. Materials and Methods: The aim of this study was to conduct a retrospective evaluation of examination findings, laboratory investigations, duration of treatments, psychiatric follow-up studies, hospitalization rates and mortality rates in patients admitted to our emergency department due to drug intoxication between 2017 and 2018. Results: Of the 126 patients included in our study, 83 were female, with a mean age of 33.58 ± 13.58 years and a range of 18 to 92 years. Of all patients, 76 were hospitalized in the ward and 1 in the intensive care unit, while 49 were treated in the emergency department. One patient had mortality on the eighth day of hospitalization. Eighty-six patients had been on psychiatric treatment prior to admission, whereas 82 patients were referred to the psychiatry department after admission. The rate of psychiatric consultation was significantly higher in patients who were hospitalized in any department due to drug intoxication than in patients who were discharged directly from the emergency department (p &amp;lt;0.001). Conclusion: Drug intoxications continue to be a growing problem for physicians working in emergency departments in Turkey as well as in the world. The incidence of drug intoxications was higher in patients who had previously applied to psychiatry outpatient clinics than those who had not. Our study highlighted the shortcomings of physicians in emergency departments in referring this patient group to the psychiatry department. There is a duty for health professionals in emergency departments to direct patients to receive adequate psychosocial support.

Assessment of variables determining the health management departments' efficiency with analytical hierarchy process.

This study was conducted to determine the variables that play a role in the efficiency of Health Management departments in Turkey and the ranking of them in order of importance. These variables were determined by systematic analysis. The Prisma method was used in the systematic analysis approach. Input and output variables used in studies assessing the efficiency of higher education institutions in the literature were listed. The ranking of these variables was determined by Analytical Hierarchy Process (AHP) method. The questionnaire used for the AHP analysis and the judgments of 127 academicians working in Health Management Departments in universities in Turkey were assessed. The first three input variables found as a result of the AHP were "the number of registered undergraduate students per faculty member", "the number of faculty members", and "the number of other academic staff". The most important three output variables included "the number of articles searched on SCI, SSCI, SCI-E", "the number of papers presented in international congresses", and "the count of publications published in international peer-reviewed journals". To achieve positive developments in the efficiency of Health Management Departments, it is recommended to carry out studies to increase the number of qualified publications.

Untold Story of an Intercontinental Pioneering Neurosurgeon: Vahdettin Turkman, M.D.

Neurosurgery has a long history of pioneers who established the science and inspired future generations to practice evidence-based neurosurgery around the world. This article presents one of neurosurgery's earliest pioneers, Dr. Vahdettin Turkman, who contributed to neurosurgical practice globally from east to west (Iraq, Tukey, England, Germany and the United States) in the early 1960s. This paper is the result of numerous interviews conducted in Turkey, Iraq, USA, and Canada. During Dr. Turkman's brief life, he accomplished a great deal that contributed to the global advancement of modern neurosurgery. Dr. Turkman's contributions and achievements have inspired many neurosurgeons trained at Ankara and Hacettepe Universities, Neurosurgery Departments in Turkey, and around the world. We honor Dr. Turkman and pay tribute to his memory.

Analysis of English Language Teaching Programmes Course Syllabus at ELT Departments in Turkey

Analysis of English Language Teaching Programmes Course Syllabus at ELT Departments in Turkey

Evaluation of Cardiology Consultation Quality and Quantity Requested from Emergency Departments in Turkey

Introduction: Emergency cardiac consultation is a very big part of cardiology practice and there is not any trial evaluating this subject qualitatively and quantitatively with different perspectives yet. We wanted to investigate this process in terms of correlation between emergency physicians and cardiologists. Methods: Patients who are consulted in a cross-sectional and prospectively 5 different public hospitals were included in the study. In order to examine the nature and intensity of the cardiology consultations and also the diagnostic compatibility, electrocardiography (ECG) and to investigate the adequacy of the first medical treatment were chi-square and correlation analyzes. A P value &lt;0.05 was accepted as a statistical significance limit. Results: Totally 627 patients (502 patients by practitioners and 125 patients by emergency medicine specialists) were consulted to cardiology. The most common admission cause was chest pain (%47.8), and the most common cause of consultation was having no/weak idea about patient’s clinical diagnosis (%39.9). The diagnosis consistency of 48% of consulted patients by EMS was excellent while it was 32.1% in practitioners (p=0.001). Good and excellent ECG interpretation of EMS was 72.8% and it was 50.7% in practitioners (p&lt;0.001). Good and excellent first medical treatment were 46.4% in EMS while it was 38,4 in practitioners (p=0.05). Nearly half of consultations (48.8%) were considered as definitely unnecessary or unnecessary by cardiologists. There was statistically significant correlation between the necessity of consultation and last decision (r=0.811, p&lt;0.001). Conclusion: There is a big variability in emergency cardiac consultations from the standpoint of consultation necessity, ECG interpretation, first medical management quality and accurate diagnosis.