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The aim of this study is to examine the Internet addiction among adolescents in relation to their sociodemographic characteristics, communication skills, and perceived familial social support. This cross-sectional research is conducted in the high schools in some city centers, in Turkey, in 2013. In this study, cluster sampling was used. In each school, a class for each grade level was randomly selected, and all the students in the selected classes were included in the sample. One thousand seven hundred forty-two students aged between 14 and 20 years were included in the sample.The mean Internet Addiction Scale (IAS) score of the students was found to be 27.9 ± 21.2. According to the scores obtained from IAS, 81.8% of the students were found to display no symptoms (<50 points), 16.9% were found to display borderline symptoms (50-79 points), and 1.3% were found to be Internet addicts (≥80 points). According to the results of the binary logistic regression, male students and the students in single sex vocational schools were found to report higher levels of borderline Internet addiction. It was also observed that the IAS score increases when the father's educational level increases and when the students' school performance is worse. On the other hand, the IAS score decreases when the student grade level, perceived family social support, and communication skills scores increase.The risk factors for Internet addiction are being a male, low academic achievement, inadequate social support and communication skills, and father's high educational level.

Background: Myocardial perfusion scintigraphy (MPS) is a well-established diagnostic tool. The sensitivity and specificity of single photon emission computed tomography (SPECT) MPS (p = 0.661, z = -0.438) (Cardiol J 2016; 23, 1: 71-77)

Objective. Bedside ultrasonography (US) is a new imaging modality that has begun to be used in the Pediatric Emergency Unit to evaluate inferior vena cava (IVC) diameter for intravascular volume status. In this article, we aimed to evaluate IVC diameter with bedside US before and after the fluid therapy in dehydrated children. Methods. A total of 124 dehydrated patients were enrolled, aged 8 months to 17 years. The maximum diameters of the IVC and aorta (AO) were measured. IVC/AO ratio and IVC collapsibility index IVC–CI were calculated before and after the fluid therapy and correlation with the degree of dehydration and laboratory parameters was investigated. Results. Of the 124 patients, 49.2% (n = 61) were male, the mean age was 7.5 ± 4.94 years. The IVC/AOs ratio was increased in mild and moderate/severe groups after fluid therapy compared to before fluid administration. While the mean rate of heart rate, blood urea nitrogen (BUN), creatinine, and uric acid values were higher in the moderate/severe group, potassium and HCO3 were lower. There was no significant change in AO diameter and IVC–CI after fluid therapy in all groups. When the factors affecting the IVC/AOs ratio were analyzed with the logistic regression backward model; the IVC/AO ratio was found to increase as the degree of dehydration decreased (Adj.β = −0.318) and as the age (Adj.β = 0.242) and CRP (Adj.β = 0.186) value increased. Conclusion. The IVC/AO ratio can be a promising index for the assessment and grading of dehydration in children, and cutoff values that vary according to age are necessary for a more objective assessment of dehydration.

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Ö ÖZ ZE ET T A Am ma aç ç: : Kronik hastalıklara neden olan ve/veya zemin hazırlayan önde gelen riskli durum ve davranışların sağlık çalışanlarındaki prevalansını ortaya koymak. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Kesitsel olan bu çalışma, 2009 yılında Türkiye'de Yozgat İl merkezinde çalışan sağlık personelinin tamamı (n=913) üzerinde yapılmış ve araştırmaya 835 kişi katılmıştır. Veriler, araştırmacı tarafından literatüre dayalı olarak hazırlanan anket formunun katılımcılar tarafından doldurulmasıyla toplandı. Verilerin analizinde ikili lojistik regresyon analizi kullanıldı. B Bu ul lg gu ul la ar r: : Kronik hastalıklar açısından belirlenen 10 riskli durum ve davranıştan sağlık çalışanları arasında yüksek oranda görülenler, yetersiz sebze-meyve tüketme, yetersiz egzersiz yapma, yemeklerde yağı ve tuzu kısıtlamama, yük-sek beden kitle endeksi (BKİ)'ne sahip olma ve sigara içme (sırayla %87,0, %79,8, %80,6, %77,8, %51,2, %43,1) iken, düşük oranda görülenler ise haftada bir veya daha sık alkol alma, iki yıl içinde kan basıncı ve kan şekerini, beş yıl içinde kan kolesterolünü ölçtürmemektir (sırayla %3,0, %7,7, %17,2, %17,4). Sağlık çalışanlarının 1/5'i (%19,5) ≤3 riskli davranışa, 1/4'ü (%26,7) ise ≥6 riskli davranışa sahiptir. S So on nu uç ç: : Sağlık çalışanları arasında sağlık memurları, erkekler, eşinden ayrılmış/eşi ölmüş olanlar ve yaşamından memnun olmayanlar daha riskli davranmaktadır. Sağlığın korunması, yükseltilmesi ve sağlık çalışanlarının konu hakkındaki duyarlılığının artırılması için "sağlıklı yaşam davranışları" konusunun sağlık personelinin mezuniyet öncesi ve sonrası eğitim programlarına eklenmesi önerilmektedir.A An na ah ht ta ar r K Ke el li im me el le er r: : Sağlık tutumu; kronik hastalık; prevalans; sağlık personeli A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The aim of this study was to establish the prevalence of the prominent risky behaviors and conditions that may lead to and/or create a predisposition to chronic diseases among healthcare workers. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : This cross-sectional study included all healthcare workers (n=913) actively working in the province center of Yozgat in 2009; 835 healthcare workers participated in the study. The data were gathered by a questionnaire prepared by the investigator, based on the literature. Data were analyzed by binary logistic regression analysis. R Re es su ul lt ts s: : Among the 10 risky behaviors and situations related to chronic diseases, the highest rates were for inadequate fruit and vegetable consumption, insufficient exercise, and not restraining salt and fat intake (87.0%, 79.8%, 80.6%, 77.8%, respectively). The lowest rates were for alcohol intake once a week or more often, not having blood pressure and blood sugar measured within the past two years, and cholesterol within the past five years (3.0%, 7.7%, 17.2%, 17.4%, respectively). While 19.5% of the participants had three or less risky behaviors, 26.7% had six or more. C Co on nc cl lu us si io on n: : Amo...

Aggression, an increasing problem among adolescents, is a potential threat to public health as it can lead to violence. Determining the factors causing aggression plays an important role in taking measures to reduce violence. This study aimed at determining the level of aggression among adolescents and at identifying the factors associated with high levels of aggression. This cross-sectional study was conducted with 2,409 Turkish adolescents. Data were collected with the Socio-demographic Questionnaire, Aggression Scale, Perceived Social Support Scale, and Communication Skills Attitude Scale. Data were analyzed using descriptive statistics, the chi-square test, t-test, and logistic regression. The participants' mean aggression score was 91.83 ± 24.05, and 24.0% of the adolescents' aggression levels rated high. According to the logistic regression model, aggression was 1.26 times higher among males, 1.92 times higher among those who perceived their mental health as poor, 1.58 times higher among those with suicidal ideation, 1.29 times higher among those who did not get prepared for university entrance exams, and 1.62 times higher among those who perceived their school performance as poor. Perceived family social support was a protective factor against high aggression. Approximately one out of every four adolescents in the two Turkish high schools where the study was conducted was determined to display high levels of aggression. Therefore, in order to reduce aggression among adolescents, programs such as coping management and coping with anger should be applied by nurses. Programs should include not only students but also families.