Clinical trials

Aim: The aim of this study is to evaluate the effects of computer-assisted games and high-fidelity simulation methods in developing intramuscular (IM) injection application skills among nursing students. The goal is to identify the differences in students' knowledge level, skills, self-directed learning levels, and satisfaction levels. Method: The research is designed as a pre-test/post-test two-group randomized experimental study. The independent variables of the study are the teaching methods used to enhance students' IM injection skills. The dependent variables are the students' knowledge, skills, self-directed learning, and satisfaction levels. Data Collection Tools: Student Information Form, IM Injection Knowledge Form, IM Injection Application Checklist, Visual Analogue Scale, Self-Directed Learning Styles Scale Implementation Phase: Informed consent will be obtained from students who agree to participate in the study. The students will receive theoretical information about the IM injection application. They will be randomly assigned to two groups, with each group receiving different teaching methods. As a result, the students' knowledge and skill levels will be evaluated. Expected Outcomes: It is anticipated that the research will compare the effects of computer-assisted games and high-fidelity simulation methods on nursing students' IM injection application skills. This study emphasizes the necessity of new teaching methods in nursing education and aims to enhance students' clinical practice competencies.

This study aims to investigate the effects of fatigue induced by isokinetic exercise on passive and active joint position sense in postmenopausal women diagnosed with knee osteoarthritis (gonarthrosis). A healthy control group matched for age and sex will also be included for comparative analysis. Participants will undergo proprioceptive assessments before and after an isokinetic fatigue protocol. We hypothesize that (1) fatigue will impair both passive and active joint position sense in patients with gonarthrosis, (2) active joint position sense will be more affected than passive sense, and (3) the deterioration in proprioception will be greater in the gonarthrosis group compared to healthy controls.

Shooting in archery requires tremendous postural stability to minimize oscillations when the upper body area is under high muscle tension. Postural oscillations depend especially on the alignment of the target and the arrow and the center of gravity being within the base of support. In addition, it has been reported that heart rate changes and breathing patterns affect postural control and therefore performance. Increasing pulse values during shooting negatively affect shooting performance by causing increased postural oscillations and body shaking. The breathing pattern directly affects postural oscillations by affecting the heart rate.It has been reported that the diaphragm has important effects on breathing and trunk control due to its anatomical connections and that the diaphragm movement during breathing is synchronized with the stabilization function. During breathing, the diaphragm descends into the abdominal cavity, causing a positive pressure increase in the intra-abdominal region. Due to this increasing pressure, it expands the abdominal area to the limit allowed by the abdominal muscles and the abdominal wall. Then, with the eccentric contraction of the abdominal muscles, the descent of the diaphragm is blocked at a certain point and the abdominal muscles resist the movement of the diaphragm. In response to this counter-reaction, the diaphragm realizes inspiration by providing a 3-dimensional expansion by opening the lower ribs to the posterolateral. It has been reported that the stabilization effect of the diaphragm is the result of its contraction especially towards these sides, therefore a good level of thoracic mobilization will increase the lateral contraction capacity of the diaphragm. This is ultimately associated with a stronger stabilization effect. On the other hand, impairment of synchronization may result in spinal segments being under excessive stress and reducing stability. Studies in patients and healthy individuals have shown that diaphragmatic breathing contributes to balance by increasing the strength of the diaphragm and deep core muscles. Shooting performance in archery is closely related to the correct breathing pattern and diaphragmatic movement, as it is affected by trunk mobility and postural stability. On the other hand, when we look at the contents of archery training, there are general condition-increasing exercises, special muscle strengthening exercises, methods for developing mental skills and techniques, and methods such as diving and bungee jumping as new training methods. It was observed that exercises were not included in the training programs. The aim of this study is to investigate the scope of postural stability and target stability of thoracic mobilization techniques and diaphragmatic breathing training in order to reveal the stabilization level of the diaphragm at the optimum level in archers.