Sağlık Bilimleri Fakültesi / Faculty of Health Sciences
Permanent URI for this collectionhttps://hdl.handle.net/11727/1402
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Item Experiences Of Nurses Providing Care To Hospitalized Patients With Acute Mania In Türkiye: A Phenomenological Study(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-04-27) Oksuz, Emine; Mersin, Sevinc; Ucgun, Tugce; Sarikoc, GamzeThe main purpose of this study was to determine the experiences of nurses who care for hospitalized patients experiencing an acute manic episode. This qualitative study was carried out with 15 nurses working in a psychiatric ward in T & uuml;rkiye. Data were collected through semi -structured in-depth individual interviews and focusgroup interviews in which the face-to-face interview technique was used. Two main themes emerged from the analysis of the qualitative data: (1) the difficulties experienced and (2) the most effective elements of care. Under the first main theme, the following sub -themes emerged: difficulties in setting boundaries, safety concerns, difficulties in managing the patient's demands, inability to choose the appropriate word(s), and the "emotional whirlwind" experienced. The second main theme, on the other hand, included the following sub -themes: meeting basic needs, ensuring treatment compliance, encouragement to engage in physical activity, and having a sufficient number of qualified personnel. The study revealed that the nurses had difficulties in caring for their manic patients. On the basis of these results, it is recommended that nurses be given counseling and training on setting boundaries, ensuring safety, managing the patient's demands, coping with their own emotions, and communicating better. In addition, the study identified the importance of nursing interventions to meet patients' basic needs, encourage them to engage in physical activity, and ensure treatment compliance, and the importance of there being an adequate number of qualified personnel. These results may help students and other nurses in terms of assessing and setting priorities in cases needing acute psychiatric care.Item Validity And Reliability Of Turkish Version Of The Secondary Screening Instrument For Targeting Educational Risk Questionnaires(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-04-01) Tokgoz-Yilmaz, Suna; Hancer, Hale; Orak, OzgeObjective: The Secondary Screening Instrument for Targeting Educational Risk Questionnaires (Secondary S.I.F.T.E.R.) is a scanning tool for teachers to evaluate the challenges and educational risks faced by deaf and hard of hearing (DHH) students. In Turkey, there is a need for a screening tool to identify academic risks among DHH students. This study aimed to adapt the Turkish version of the Secondary S.I.F.T.E.R. (Secondary S.I.F.T.E.R.-T) and evaluate its validity and reliability. Materials and Methods: The Secondary S.I.F.T.E.R.-T was translated and cross-culturally adapted. Subsequently, the Secondary S.I.F.T.E.R.-T was administered by teachers of 104 DHH students (group 1) and 69 normal-hearing students (group 2) in the 6th to 12th grades to evaluate. Results: In the validity analysis of the Secondary S.I.F.T.E.R.-T, the item-total correlation coefficients, content validity ratio, and index were found to be compatible with the literature, and the subscale and total scale scores of the two groups were significantly different. High internal consistency reliability was determined using Cronbach's alpha, split-half Spearman-Brown correlation, and Guttman's coefficients. A scoring grid was developed to identify low-, middle-, and high-performing students. Conclusions: The validity and reliability analyzes of the Secondary-S.I.F.T.E.R.-T were found to be acceptable, and scoring grids were determined. Secondary-S.I.F.T.E.R.-T can be used as a screening tool to identify academic risks among DHH students in Turkey.Item Post-Activation Performance Enhancement On Change Of Direction Speed: Effects Of Heavy Back-Squat Exercise(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-05-01) Aytac, T.; Esatbeyoglu, F.; Kin-Isler, A.Aims. - The purpose of this study was to investigate the acute effects of a heavy back-squat exercise on change of direction performance. Methods. - Eighteen male team sports athletes (age 23.6 +/- 3.3y) performed T-test and 505 Test in consecutive sessions with and without heavy back-squat exercise applied as three sets of three repetitions at 90% of 1 RM as a conditioning activity in a randomized order. Change of direction tests were repeated at time intervals of 15 seconds, 2, 4, 8, 12 and 15 minutes after those two different conditions. Results. - In 505 Test, no significant condition effect, time effect or condition-time interaction were found (P > 0.05). In T-test, there was no significant condition effect (P > 0.05); however, time effect and condition x time interaction were significant (P < 0.05). Conclusion. - The findings of this study showed that the conditioning activity applied to elicit post-activation performance enhancement did not have any significant effect on 505 Test; on the contrary, in T -Test, the conditioning activity led to fatigue, rather than a potentiation effect. (c) 2023 Elsevier Masson SAS. All rights reserved.Item The Effect of Theory-Based Care on Breastfeeding Self-Efficacy, Anxiety and Breast Milk Release(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-04-12) Gurel, Reyyan; Erenel, Ayten SenturkObjective: The effect of nursing care provided according to Dennis' breastfeeding self-efficacy theory on breastfeeding self-efficacy, anxiety, and breast milk secretion was evaluated. Methods: In this quasi-experimental study, 60 mothers in the first week postpartum were examined. The mothers and their supporters in the Dennis Theory-Based Nursing Care group were trained. Before the training, mothers were given the personal information form and the breastfeeding diary form to be filled out for 15 days. The perception of breastfeeding self-efficacy of mothers was evaluated using the "Postpartum Breastfeeding Self-Efficacy Scale". Their anxiety was determined using the "State Anxiety Scale", and breast milk release was assessed using the "Daily Form for Baby's Adequate Nutrition". The parameters were measured on the first day and 15 days after the training. Routine hospital standard nursing care was provided to the mothers in the control group. Results: The number of formulas given by mothers in the Dennis Theory-Based Nursing Care group to their babies was significantly lower than the number of formulas given by the mothers in the control group (Z=-0.90, p<.001). While the post-evaluation breastfeeding self-efficacy scores of the mothers in the experimental group were significantly higher (Z=-6.82, p<.001), the post-evaluation anxiety scores were significantly lower than those of the mothers in the control group (Z=-6.38, p<.001). Conclusion: We found that applying Dennis' Theory-Based Nursing Care increased the breastfeeding self-efficacy level of the mothers and decreased their level of anxiety and the number of formulas that the babies received.Item Dietary Iron Intake Aggravates Dyslipidaemia By Elevating Ferritin Levels In Patients With Insulin Resistance And Cardiovascular Diseases: A Cross-Sectional Study(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-05-23) Bayram, B.; Turker, P. F.Dietary iron intake causes the elevation of ferritin levels, and higher iron intake might improve insulin resistance and cardiovascular diseases. The aim of this study was to determine the relationship between dietary iron intake and serum ferritin levels, insulin resistance, and nutritional status in patients with cardiovascular disease. Health information of individuals were obtained with a questionnaire form. There were a total of 103 patients, 59 male (57.3%) and 44 female (42.7%). Patients also filled a questionnaire on dietary habits, a 3-day food record. There was a statistically significant difference between ferritin quartiles and total cholesterol, HDL-C, non-HDL-C, LDL-C/HDL-C ratio, and TG/HDL-C ratio (P < 0.05). Study data show that dietary iron intake was associated with the elevation of serum ferritin levels (P < 0.05) and this difference was significant in Q1 and Q4 groups in post-hoc analysis. There was a negative correlation between serum ferritin levels and total cholesterol and HDL-C in patients with insulin resistance (r = -0.384, P < 0.05; r = -0.520, P < 0.05). In conclusion we found a strong association between serum ferritin levels and inflammation, causing an oxidative stress, atherosclerosis, and bringing along cardiometabolic diseases such as cardiovascular diseases and type 2 DM.Item Modern And Traditional Cooking Methods Affect The Antioxidant Activity And Phenolic Compounds Content of Trachystemon Orientalis (L.) G. Don(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-04-25) Demirel Ozbek, Yagmur; Saral, Ozlem; Turker, Perim FatmaTrachystemon orientalis (L.) G. Don is a medicinal plant with beneficial effects on human health. Its antioxidant and phenolic compound content is higher than most natural plants. This is the first study on the cooking of this consumed plant. This study investigated how different cooking methods and times affect the antioxidant activity and phenolic compound content of Trachystemon orientalis (L.) G. Don. The Folin-Ciocalteu method (FCR), ferric-reducing antioxidant power (FRAP), copper-reducing antioxidant capacity (CUPRAC), and 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical scavenging activity were used to evaluate the antioxidant activity and total phenolic content (TPC). Phenolic compounds were also determined by high-performance liquid chromatography (HPLC). Microwave cooking, stir-frying and sous vide increased TPC and antioxidant activity (p<0.05). Steaming decreased TPC and antioxidant activity (p<0.05). It was determined that the best cooking method and time was stir-frying for 15 minutes (TPC, CUPRAC and FRAP values 45.18 +/- 3.91 mg GAE/g DW, 15559.39 +/- 106.90 mmol Troloks/g DW and 555.10 +/- 24.05 mu mol Fe (II)/g DW, respectively). Raw Trachystemon orientalis (L.) G. Don was detected with caffeic acid (31.53 +/- 0.25 mg/100 g DW). New phenolic compounds (protocatechuic acid and p-coumaric acid) were formed by boiling, stir-frying, microwaving, and sous vide methods. In conclusion, regarding antioxidant activity and phenolic compounds of Trachystemon orientalis (L.) G. Don; the best cooking methods are microwave, stir-frying, and sous vide (p<0.05). The most wrong cooking method is steaming (p<0.05).Item Examination Of Workload Perception, Burnout, And Perceived Organizational Support In Emergency Healthcare Professionals: A Structural Equation Model(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-02-28) Dogan, Aysun; Ertugrul, Bekir; Akin, KutayJob stress is one of the important factors affecting employee behavior. One of the most important factors in reducing burnout caused by stress is organizational support. In this context, the aim of this study is to identify the moderating role of perceived organizational support in the effect of workload perception on burnout within the emergency healthcare professionals' universe. The data for this study were collected from 703 health professionals working in emergency health services in three major cities of Turkey. The relationships and the model of the study is analyzed by the Structural Equation Model technique. The results indicate that perceived workload is a factor that causes employee burnout, and perceived organizational support is a factor that reduces employee burnout. This study contributes to researchers and health managers by revealing the importance of workload planning and organizational activities that support employees to reduce burnout in health workers.Item A scientometric analysis of fairness in health AI literature(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-02-19) Alberto, Isabelle Rose I.; Alberto, Nicole Rose I.; Altinel, Yuksel; Blacker, Sarah; Binotti, William Warr; Celi, Leo Anthony; Chua, Tiffany; Fiske, Amelia; Griffin, Molly; Karaca, Gulce; Mokolo, Nkiruka; Naawu, David Kojo N.; Patscheider, Jonathan; Petushkov, Anton; Quion, Justin Michael; Senteio, Charles; Taisbak, Simon; Tirnova, Ismail; Tokashiki, Harumi; Velasquez, Adrian; Yaghy, Antonio; Yap, KeaganArtificial intelligence (AI) and machine learning are central components of today's medical environment. The fairness of AI, i.e. the ability of AI to be free from bias, has repeatedly come into question. This study investigates the diversity of members of academia whose scholarship poses questions about the fairness of AI. The articles that combine the topics fairness, artificial intelligence, and medicine were selected from Pubmed, Google Scholar, and Embase using keywords. Eligibility and data extraction from the articles were done manually and cross-checked by another author for accuracy. Articles were selected for further analysis, cleaned, and organized in Microsoft Excel; spatial diagrams were generated using Public Tableau. Additional graphs were generated using Matplotlib and Seaborn. Linear and logistic regressions were conducted using Python to measure the relationship between funding status, number of citations, and the gender demographics of the authorship team. We identified 375 eligible publications, including research and review articles concerning AI and fairness in healthcare. Analysis of the bibliographic data revealed that there is an overrepresentation of authors that are white, male, and are from high-income countries, especially in the roles of first and last author. Additionally, analysis showed that papers whose authors are based in higher-income countries were more likely to be cited more often and published in higher impact journals. These findings highlight the lack of diversity among the authors in the AI fairness community whose work gains the largest readership, potentially compromising the very impartiality that the AI fairness community is working towards.Item Examination of Burnout Levels and Social Support Resources of Healthcare Workers in Filiation Teams During COVID-19 Pandemic in Turkey(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-02-28) Duyan, Veli; Guere, Merve Deniz Pak; Karatas, MustafaThis study aims to examine the level of burnout and social support of healthcare workers in filiation teams during the period of COVID-19 in Turkey. A total of 1028 healthcare workers have been reached. The sociodemographic questionnaire, Maslach Burnout Inventory (MBI), and Multidimensional Scale of Perceived Social Support (MSPSS) have been used. SPSS was used to analyze the data. Descriptive statistics were created, and independent t-tests and Pearson correlation tests were performed. 69.5% of the participants were females. The participants consisted of midwives (21.2%), nurses (15.5%), doctors (14.1%), psychologists (10.8%), and dentists (10.7%). The MSPSS scale scores of the participants were 62.66 +/- 16.96; family 22.87 +/- 5.85, friends 21.14 +/- 6.30, and significant other person 18.65 +/- 7.95. MBI scale scores are 54.05 +/- 10.77, emotional exhaustion 18.12 +/- 8.36, depersonalization 4.53 +/- 3.45, and personal achievement 31.40 +/- 7.04. The study showed that females have higher levels of emotional exhaustion and, as education levels, the population of the region, daily working hours, patient burden, and death of coronavirus-infected colleagues increase, and burnout levels increase.Item Which Method Is More Effective for the Treatment of 1-2 cm Renal Pelvis Stones in Obese Patients: Extracorporeal Shock Wave Therapy or Flexible Ureterorenoscopy?(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-04-24) Karkin, Kadir; Aydamirov, Mubariz; Aksay, Bugra; Kaplan, Eyup; Gurlen, GucluObjective: This study aimed to compare the clinical outcomes and complications of obese patients who underwent extracorporeal shock wave lithotripsy (ESWL) and flexible ureterorenoscopy (FURS) for treating 1-2 cm renal pelvic stones. Methods: This study included 89 patients with a body mass index (BMI) >30 who underwent ESWL and FURS surgeries for 10-20 mm renal pelvic stones between January 2015 and July 2023. Three months after the treatments, patients underwent full abdominal computed tomography (CT) and were examined for stone -free status and the presence of residual stones. The presence of >= 4 mm residual stones on imaging was considered a failure, and these patients were treated again. Demographic data, stone characteristics, stone -free rate (SFR) three months after the procedure, surgery/procedure time, and complications such as bleeding, urosepsis, and collecting system perforation were compared between the groups. Results: The patients included in the study were divided into two groups: ESWL (n=46) and FURS (n=43). Demographic and clinical data were similar between the groups. Retreatment rates were higher in the ESWL group compared to the FURS group. The mean procedure time was similar between the groups (p=0.085). The three-month SFR was found to be higher in the FURS group (88.3% vs. 73.9%; p=0.043). There was no difference in complication rates between groups. Conclusion: FURS is a more effective treatment method than ESWL in obese patients with stones 1-2 cm in size located in the renal pelvis.