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Fatma Özge Kayhan Koçak,Sumru Savas,Zeliha Fulden Saraç 대한노인병학회 2022 Annals of geriatric medicine and research Vol.26 No.2
Background: We investigated the prevalence and metabolic features of two definitions of metabolic syndrome (MS) between older patients with chronic thyroiditis treated with levothyroxine (LT4) and controls. We also assessed the ability of both criteria to predict cardiovascular (CV) risk. Methods: This cross-sectional, retrospective study included individuals aged ≥60 years who attended a geriatric outpatient clinic between January 2015 and December 2018. The LT4 treatment group was classified as having high or low CV risk based on the Framingham score. Results: This study enrolled 111 patients with chronic thyroiditis treated with LT4 and 131 patients without thyroid disease as the control group. The prevalence of MS according to the World Health Organization (WHO) criteria and American Association of Clinical (AACE) criteria was similar in the LT4 treatment (21.6% and 26.1%, respectively) and the control (30.5% and 34.4%, respectively) groups (p>0.05). While the prevalence of MS and CV risk did not differ significantly between the control and LT4 treatment groups, the prevalence of MS with both definitions was higher among individuals with high CV risk in the LT4 treatment group (p<0.05). For the prediction of CV risk, the sensitivity and specificity of the AACE criteria were higher than those of the WHO criteria in the LT4 treatment group. Conclusions: The prevalence of MS in euthyroid patients treated with LT4 was similar to that of patients without thyroid disease. When the LT4 treatment group was classified based on CV risk, MS was more common in those with a high CV risk.
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Fatma Özge Kayhan Koçak,Emin Taşkıran,Zehra Kosuva Öztürk,Sevnaz Şahin 대한노인병학회 2022 Annals of geriatric medicine and research Vol.26 No.3
Background: The use of potentially inappropriate medications (PIM) has become more common among nursing home residents (NHR). This study focused on drugs initially prescribed as pro re nata (PRN) medications and pill burden in association with PIM among NHR. Methods: This observational cross-sectional study was conducted between March and April 2019 on 225 adult NHR aged ≥60 years. Results: The prevalence of PIM was 47.6% among NHR according to the Screening Tool of Older Persons' Prescriptions (STOPP) criteria version 2. The most frequent PIM was the use of any drug prescribed without evidence-based clinical indication; most medication errors were associated with PRN medications. The prevalence rates of PRN in non-PIM and PIM users were 12% and 62.4%, respectively. PRN medications that most commonly caused PIM were non-steroidal anti-inflammatory drugs and proton pump inhibitors. The cut-off value for both medications and pills to correctly identify participants with PIM was 5.5. Pill burden had a similar sensitivity to polypharmacy in identifying individuals with PIM. Conclusion: Medication errors associated with PRN medications were overlooked as factors that increased the risk of PIMs. The most common error related to PRN medications was the continued daily use despite symptom resolution.
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The Westernization Process in Ottoman Women’s Garments: 18th Century~20th Century
Fatma KOÇ,Emine KOCA 이화여자대학교 아시아여성학센터 2007 Asian Journal of Women's Studies(AJWS) Vol.13 No.4
In Ottoman society, which maintained its tradition of clothing without change for a long time, the transformation of its dressing styles occurred via a long and protracted process. Westernization in Ottoman society started in the 17th and 18th Centuries, accompanied by attempts at modernizing and/or westernizing of fabrics, patterns, and colors. Along with the decrees of the administrative reforms, a process of westernization was put into motion. Changes in military costumes were undertaken and these then had an impact on civil costumes and clothing. Westernization in women’s attire underwent a slower process compared to that of men. Starting from the 17th Century till the formation of the Republic, women performed a silent but a decisive struggle relating to their concept of clothing. Westernization in a real sense for Turkish women came into practice in the era of the Republic of Turkey, founded by Kemal Ataturk. This study aims to discuss the process of westernization and the corresponding modifications that occurred in clothing in historical perspective.
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Example of iterative process in upcycled clothing design: Unused neckties and upholstery scraps
Emine Koca,Fatma Koç 복식문화학회 2020 服飾文化硏究 Vol.28 No.6
This study proposed a base framework for creating sustainable designs with textile production waste and unused neckties with the “design thinking” approach, which is an iterative process. It aimed to set an example of how fashion designers can plan and manage their clothing design processes in a more sustainable way by recycling textile production scraps and unused neckties into unique clothing pieces with the upcycling method. Unused neckties and upholstery scraps were turned into skirts, blouses, and dresses by using creative techniques in line with current fashion trends. In addition, the five-stage iterative design process followed was explained, and the way in which the waste textile materials gained value by being converted into unique garments was discussed in terms of the user and the designer. Through the study, it was observed that the smallest amount of textile waste can be transformed into upcycled clothing via the iterative process, and original, value-added products enjoyed by consumers can be created. In addition, it was observed that the design thinking approach improves the understanding of the context of the problem, creativity in the generation of insights and solutions, skills to materialize those solutions through iterative prototyping, and the ability to combine these factors. Promising ideas to help designers develop recycling strategies were also provided.
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