İstanbul Kent Üniversitesi Araştırma ve Akademik Performans Sistemi
DSpace@Kent, İstanbul Kent Üniversitesi’nin bilimsel araştırma ve akademik performansını izleme, analiz etme ve raporlama süreçlerini tek çatı altında buluşturan bütünleşik bilgi sistemidir.
Güncel Gönderiler
Öğe Türü:Öğe, Association between dental development and midpalatal suture maturation in growing patients: A CBCT-based study(Springer Nature, 2026) Şavkan, İpek; Altundal, Gizem; Yüce, Fatma; Çöl, Nazmiye CerenThis study aimed to investigate the relationship between midpalatal suture maturation and maxillary and mandibular first and second molar development in growing patients and to determine whether any observed association persisted after accounting for chronological age and sex. Cone-beam computed tomography records of 90 growing patients were retro spectively evaluated. Midpalatal suture maturation was classified using the Angelieri method, and molar development was assessed according to the Nolla classification. Associations were evaluated using Spearman rank correlation analysis in the total sample and separately by sex. Ordinal logistic regression was used as the main regression analysis, and binary logistic regression was additionally performed after grouping the stages as non-advanced and advanced maturation. First molars showed almost complete root development from Angelieri Stage B onward, whereas second molars demonstrated a more gradual increase across advancing sutural maturation stages. Mean Nolla values for second molars increased from approximately 6.4–8.0 in Stages A–B to 9.0 or above in Stages D–E. Significant positive correlations were found between midpalatal suture maturation and all evaluated molars, with the strongest correlation observed for the mandibular second molar, followed by the maxillary second molar. In regression analyses, molar development was associated with sutural maturation in unadjusted models; however, after adjustment for chronological age and sex, none of the molar-related associations remained statistically significant following correction for multiple comparisons. Chronological age remained the dominant factor associated with MPS maturation. Molar development, particularly second molar maturation, may reflect the overall maturational trajectory but showed limited independent predictive value and should not be used alone to estimate the morphological status of the midpalatal suture.Öğe Türü:Öğe, Tooth wear severity and temporomandibular joint degenerative findings on cone-beam computed tomography: A cross-sectional study in adults(Wiley, 2026) Altundal, Gizem; Özdemir, Ceyda Deniz; Zorlu, Ece; Yüce, Fatma; Biren, SibelBackground: Tooth wear is commonly assumed to be a marker of parafunctional load and, by extension, of mechanical stress on the temporomandibular joint (TMJ); whether greater wear accompanies greater degeneration in the same joint has rarely been tested. Objective: To determine whether tooth wear severity is associated with ipsilateral CBCT- detected TMJ degeneration in adults with TMD symptoms. Methods: In this cross- sectional study, 80 adults (160 joints; mean age 27 years; 80% female) underwent standardised tooth- wear scoring (Smith and Knight index, 0–4) and blinded CBCT assessment of osteophyte, erosion, subchondral cyst, flat tening and sclerosis, categorised as no, indeterminate or definite osteoarthritis by established imaging criteria. Side- wear was modelled against same- side findings with generalised estimating equations for paired- joint clustering, and patient- level wear by logistic regression, adjusted for age, sex and Angle class with Bonferroni correction across the prespecified primary outcomes. Results: Osseous findings were prevalent (flattening 86.9%, osteophyte 50.0%, erosion ≥ Grade 1 66.2%) and 75.6% of joints met criteria for definite osteoarthritis. Tooth wear showed no association with any joint outcome: adjusted odds ratios per +5 side- wear clustered around unity for osteophyte (1.01, 95% CI 0.79–1.27), subchondral cyst (1.00, 0.76–1.32) and definite osteoarthritis (0.95, 0.71–1.27), none reaching Bonferroni- corrected or nominal significance. Patient- level analyses were similarly null. Wear increased with age (Spearman ρ = 0.65, p < 0.001). Conclusion: Tooth wear severity was not associated with ipsilateral TMJ degeneration. The assumed positive link with TMJ osseous change was not observed; wear alone does not appear to be a reliable clinical proxy for joint loading.Öğe Türü:Öğe, Comparative effects of three myofascial release techniques on pectoralis minor tightness: A randomized controlled trial(Elsevier, 2026) Aksan Sadıkoğlu, Büşra; Akgüller, Tuğba; Analay Akbaba, YıldızBackground: Pectoralis minor (PM) tightness may cause scapular anterior tilting, leading to rounded shoulder posture (RSP). Techniques such as stretching, manual or self-myofascial release (SMR), and instrument-assisted soft tissue mobilization (IASTM) are used to restore PM length. Purpose: The aim of this study was to compare the acute effects of three different myofascial release techniques in asymptomatic individuals with PM tightness. Methods: Thirty-nine subjects were randomized into three groups: the IASTM group, the manual myofascial release (MMR) group, and the SMR group. The PMI index was used to assess PM length and was the primary outcome measure. RSP, glenohumeral (GH) total arc motion, skin temperature and Pressure pain threshold (PPT) were secondary outcome measures. Results: Significant within-group improvements in PMI were observed following IASTM (p = 0.007) and MMR (p = 0.042), whereas no significant change occurred following SMR (p > 0.05). RSP improved significantly in the MMR (p = 0.003) and SMR (p = 0.006) groups. GH total arc motion increased significantly following IASTM and MMR (both p = 0.010). PPT and skin temperature did not change significantly within any group (all p > 0.05). Although post-intervention differences were observed for PMI, GH total arc motion, and skin temperature, change-score comparisons revealed no significant between-group differences for either the primary or secondary outcomes (all p > 0.05). Conclusion: IASTM, MMR, and SMR produced comparable immediate effects in individuals with PM tightness. These findings suggest that all three interventions may be considered viable options for the immediate man agement of PM tightness.Öğe Türü:Öğe, The relationship between clinical leadership perceptions and teamwork attitudes: An analysis in the context of emergency healthcare services(Acıbadem Mehmet Ali Aydınlar University, 2026) Kavraz Güney, Yaren; Karabulut, Ahu TuğbaPurpose: Clinical leadership is closely associated with teamwork effectiveness in emergency healthcare settings, where rapid decision-making, coordination, and communication are essential. The purpose of this study was to examine the relationship between clinical leadership perceptions and teamwork attitudes among healthcare professionals working in emergency healthcare services. Teamwork attitudes are examined within the framework of communication, mutual support, leadership, team structure and situation monitoring dimensions in this study. Methods: This study was conducted with a quantitative research design on 290 healthcare professionals who work in private hospitals and ambulance services in Istanbul. Data were collected using a structured questionnaire consisting of three sections: demographic and work-related questions, the Clinical Leadership Scale, and the Teamwork Attitudes Questionnaire. Frequency distribution analysis, confirmatory factor analysis, correlation, and regression analyses were performed on the collected data by using SPSS and AMOS. Results: Higher perceptions of clinical leadership were positively and significantly associated with all dimensions of teamwork attitudes, including communication, situation monitoring, mutual support, leadership, and team structure. Furthermore, the analysis revealed significant and positive results among these variables. Conclusions: The findings suggest that clinical leadership is closely associated with positive teamwork attitudes in emergency healthcare services. Strengthening clinical leadership competencies and promoting a teamwork-oriented culture may contribute to improving teamwork processes, healthcare quality, and patient safety.Öğe Türü:Öğe, Dil ve konuşma terapisi son sınıf öğrencilerinin ailelerle iş birliği deneyimleri(Dil ve Konuşma Terapistleri Derneği, 2026) Kanbur, Begüm; Oğuz, ÖzlemAmaç: Bu araştırmanın amacı, dil ve konuşma terapisi bölümü 4. sınıf öğrencilerinin klinik uygulamalar sırasında ailelerle kurdukları iş birliğine ilişkin algılarını, karşılaştıkları güçlükleri ve geliştirdikleri stratejileri ortaya koymaktır. Yöntem: Araştırma, fenomenolojik desenle yürütülen nitel bir çalışmadır. Klinik uygulama stajını yürüten 4. sınıf Dil ve Konuşma Terapisi bölümü öğrencilerinden oluşan 22-24 yaş arası 10 kadın ve 2 erkek olmak üzere 12 katılımcı Amaçlı örnekleme yöntemiyle seçilmiştir. Görüşme formu araştırmacılar tarafından alanyazın taranarak geliştirilmiş ve uzman görüşleri-pilot uygulama doğrultusunda son hâli verilmiştir. Veriler, sekiz soruluk yarı yapılandırılmış görüşme formuyla toplanmıştır. Görüşmeler Microsoft Teams üzerinden çevrimiçi olarak yapılmıştır. Verilerin analizinde tematik analiz yöntemi kullanılmış, inandırıcılığı desteklemek amacıyla katılımcı teyidi gerçekleştirilmiştir. Bulgular: Araştırmanın verileri analiz edilerek “Roller ve Sorumluluklar”, “Terapötik Süreçte Karşılaşılan Güçlükler ve Baş Etme Stratejileri”, “Klinik Uygulamanın İletişimsel ve Profesyonel Becerilerin Gelişimine Katkısı” ve “Klinik Uygulamaya Hazırlık Sürecinde Eksiklikler ve Geliştirilmesi Gerekenler” olmak üzere dört ana tema ve alt temalar belirlenmiştir. Katılımcılar terapötik süreçte iletişim kurma, bilgilendirme, rehberlik etme ve aile katılımını destekleme rollerini benimsediklerini ifade etmiştir. Ailelerin sürece aktif katılımının sağlanması, ev içi uygulamaların izlenmesi ve geri bildirimlerin alınması terapistin sorumlulukları arasında belirtilmiştir. Katılımcıların terapötik süreçte ailelerin bilgi eksiklikleri, devamlılık sorunları ve evde yanlış uygulamaları gibi güçlüklerle karşılaştığı belirlenmiştir. Katılımcılar klinik uygulamanın etkili iletişim kurma, empati geliştirme ve profesyonel dil kullanma becerilerini güçlendirdiğini belirtmişlerdir. Ayrıca katılımcılar teorik eğitimin uygulamaya hazırlık açısından yetersiz kaldığını ve simülasyon, vaka analizi ile süpervizyon destekli çalışmaların eğitime dahil edilmesi gerektiğini vurgulamışlardır. Sonuç: Katılımcıların ailelerle iş birliğin; bilgi paylaşımı, etkili iletişim kurabilme, süreklilik gösteren katılım ve rehberlik süreçleri çerçevesinde tanımladıkları görülmüştür. Terapötik süreçte katılımcıların ailelerden kaynaklanan çeşitli zorluklarla karşılaştıkları ve bu zorlukları farklı stratejiler geliştirerek yönetmeye çalıştıkları belirlenmiştir. Klinik uygulama sürecinin öğrencilerin hem iletişimsel hem de mesleki becerilerini geliştirmede önemli katkı sağladığı görülmüştür. Simülasyon temelli eğitimlerin ve süpervizyon destekli klinik hazırlık süreçlerinin güçlendirilmesi mesleki yeterliğin artırılması açısından önem taşımaktadır.
