Browsing by Author "Aycan, Cagri"
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Item Biofilm Formation Research of Coagulase-Negative Staphylococci Isolates' Isolated from Blood and Hand Culture at Nanofilm Covered Micro Plaques by Plasma Polymerization Technique: An Experimental Model(2017) Hortac Istar, Elvan; Gocmen, Julide Sedef; Cokeliler, Dilek; Mutlu, Mehmet; Kaleli Can, Gizem; Alparaslan, Sezin; Cetin, Ceren; Kartal, Naz; Ozcelik, Ugur Can; Aycan, Cagri; 0000-0002-4335-6897; 0000-0001-6423-7523; AAP-6138-2021Introduction: Coagulase-negative staphylococci (CNS) can protect themselves from the effects of antibiotics by producing biofilms through breeding on biomaterials, medical equipment and devices. It is possible to influence biofilm formation with the aid of various surface modifications. In our study, plasma polymerization method, which is a surface modification technique, was used. The plasma polymerization technique is an environmentally-friendly technique that allows you to modify the nanometer level only at the surface without affecting the stack using the fourth state of the material. The possibility to generate surfaces with different properties (hydrophilic, hydrophobic, biocompatible etc.) by the help of various monomers and gases has made this technique more popular. In this study, the effect of the microplate surfaces modified by three different monomers on the biofilm formation of CNS was investigated. Materials and Methods: A total of 60 isolated CNS isolates from blood and hand cultures were included into the study. As control strains, Staphylococcus epidermidis ATCC 35984, known to be biofilm positive, and S. epidermidis ATCC 12228 which do not form biofilm, were used. Slime formation was determined by the quantitative plaque assay method described by Christensen. In microplates, which were plain or modified by three different monomers, the biofilm formation behavior of all strains was investigated simultaneously and comparatively. Results: There was no difference in biofilm positivity between strains isolated from hand and blood. A total of 71.6% biofilm formation was observed on microplates, which were not coated with plasma technique, and on plasma-modified microplated surfaces, 80% (monomer: 3- mercaptopropionic acid), 65% (monomer: 2-hydroxyethyl methacylate) and 31.6% (monomer: ethylene glycol dimethacylate) biofilm formation was observed, respectively. It was found that ethylene glycol dimethacrylate in three monomers significantly inhibited biofilm formation when compared to other monomers. Conclusion: In recent years CNS, especially S. epidermidis has become the most frequently isolated bacteria in catheter infections and responsible for the 28% of nosocomial bacteremia. The widespread use of prosthetic and permanent devices has been shown as a reason for the increase in the frequency of this effect. In 90% of patients with S. epidermidis bacteremia, there is an intravascular catheter history. Biofilm is an extracellular structure containing water, proteins and carbohydrates and is responsible for the unwanted adhesion of microorganisms to host cells and artificial surfaces. The biofilm mechanism can be altered by the interaction between the material surface and the bacterial surface. In our study, in-vitro results were obtained showing the potential to reduce the risk of biofilm-associated infection by microorganism biofilm formation on modified surfaces with appropriate monomer selection.Item RESTLESS LEG SYNDROME FREQUENCY IN HEALTH WORKERS(2019) Ocal, Ruhsen; Atguden, Gizem; Aycan, Cagri; Balaban, Zeynep; Senar, Seran; Yavuz, Sena; 31517455Introduction - Restless Leg Syndrome (RLS) is a disease, primarily composed of sensational symptoms, caused by the urge to move lower extremities especially at night, and characterized by undesired feelings of the legs. Decreasing of the dopaminergic effect at night is thought to be responsible from these symptoms. RLS patients suffer from low quality of sleep affecting their daily life activities even causing socio-economic loss. Although RLS is a common and treatable disease, it can not be diagnosed easily due to the variability of symptoms. Aim - The purpose of this study is to determine the frequency of RLS among health workers and to define the disease causing factors. Method - A questionnaire was applied to 174 randomly selected health workers at Baskent University Medical Faculty (KA17/285). The demographic information, history of illnesses or usage of drugs, socioeconomic status, working hours and daytime sleepiness were questioned. Included in the questionnaire were diagnostic criteria for RLS, frequency assessment scale, and survey of sleep quality. We used "the diagnostic criteria of international RLS working group" for the diagnosis, and "Pittsburgh sleep quality index survey" to determine the quality of sleep. Reliability and validity studies were performed on both tests. Results - A significant relationship between socio-economic status and RLS was found (p<0.05) as an increase of RLS frequency in parallel with decreased socio-economic status. RLS was found to be common among health workers. We suggest that health workers should be checked regularly, and they should be informed about the disease in order to raise an awareness and hence increase their quality of life.