Sağlık Bilimleri Fakültesi / Faculty of Health Sciences
Permanent URI for this collectionhttps://hdl.handle.net/11727/1402
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Item Comparison of the Post Treatment Outcomes of a Conservative Physiotherapy Protocol for Subacromial Impingement Syndrome in Terms of Acromion Morphology(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-04-19) Turhan, Beguemhan; Dogan, Hilal; Maden, CagtayObjective: The present study aimed to compare the results of a conservative physiotherapy (CP) protocol for subacromial impingement syndrome (SIS) in terms of the morphological types of acromion. Methods: Fifty patients participated in the present study, and they were divided into 3 groups according to the acromion morphology types. A 8-week CP (4-week treatment period at the clinic and, in addition, an exercise program at home for 4 weeks) was applied to all patients. The patients were evaluated in terms of pain (at rest and activity) by the Visual Analog Scale, range of motion (ROM), joint position sense (laser pointer), muscle strength (digital dinamometer), and functionality (the Shoulder Pain and Disability Index, SPADI) before and after the treatment. Result: In the pre- and post-treatment changes (delta), the shoulder flexion angle increased less in the type 3 group than in the type 1 and type 2 groups (p<0.05). In the shoulder abduction angle, there was a similar increase in the type 3 group compared to the type 2 group, while there was less increase in the type 1 group (p<0.05). It was determined that there was more deviation in the change value of shoulder abduction position sense in the type 3 group compared to the other groups (p<0.05). There was no difference between the groups in the change values of pain, muscle strength, or the SPADI score (p > 0.05). Conclusion: Type 3 acromion may have a handicap in improving shoulder flexion and abduction ROM and shoulder abduction position compared to other types.Item Early Breast Development In Girls: The Power Of Greyscale Sonography And Sonoelastography(Başkent Üniversitesi Sağlık Biimleri Fakültesi, 2024-02-27) Keceli, Merter; Akyurek, NesibeObjective: Accurate distinction between central pubertal precociousness (PP) and premature thelarche (PT) is important to guide treatment. Both greyscale ultrasonography (US) and sonoelastography can be used to examine breast tissue. The aim of this study is to investigate the performance of breast US and strain elastographic (SE) in the diagnosis of increased breast volume in girls. Methods: Sixty-three girls with breast development up to 8 years of age and diagnosed with PP and PT were included in the prospective study. Basal luteinizing hormone (LH), follicle-stimulating hormone (FSH), and estradiol (E2) values were obtained. Each bud was considered as a unit in US. Mediolateral (ML) and anteroposterior diameters (AP) were measured, and US grading was performed. Breast SE was examined, and strain index (SI) was calculated. US and laboratory findings were compared. Results: Of the 121 buds examined, 39 (32.2%) were with PP (6.97 +/- 2.44 years) and 82 (67.8%) were with PT (6.51 +/- 2.52 years). Diameters were correlated with bone age, LH, FSH, and US grade. The mean AP showed a moderate difference in favour of PP between the groups (P < .06). The mean ML was higher in PP (P < .01). There was a difference in mean SI values (P < .004). Sensitivity and specificity were 71% and 61% for ML and 72% and 56% for SI, respectively. Conclusion: Both ML and US grading may help discriminate PP from PT. The role of sonoelastography requires further investigation.Item The Effects Of Orlistat On Oxidative Stress, Recognition Memory, Spatial Memory And Hippocampal Tissue In Experimentally Induced Obesity In Rats(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-03-22) Yigit, Ayse Arzu; Kilinc, Sevtap; Olcuoglu, Rukiye; Arnous, Elif AzraThis study investigates the impact of orlistat on oxidative stress, spatial memory, recognition memory, and hippocampal tissue in obese rats. The study groups were divided into control, high fat diet-induced obese (HFDIO), HFDIO+orlistat (HFDIO+ORL) groups, each consisting of 8 animals. While control fed with standart diet, HFDIO and HFDIO+ORL fed with high-fat diets for 8 weeks to induce obesity. Then, ORL treated 10 mg/kg for 7 weeks, while control and HFDIO get water. At 16th week, novel object recognition (NOR) and Morris water maze (MWM) tests were performed. TNF-alpha, IL-1beta levels in hippocampal tissue, and total/native thiol/ disulphide levels in serum were measured. TNF-alpha level of HFDIO was higher than control, while lower in HFDIO+ORL compared to HFDIO as like IL-1beta level. On the contrary, serum total thiol level was lower in HFDIO than control and higher in HFDIO+ORL compared to the HFDIO, while disulphide level was opposite of the total thiol levels. While recognition index was higher in HFDIO+ORL, in MWM, latency of finding platform in HFDIO was higher than control and latency of HFDIO+ORL was very similar to control in 2-4 days. The HFDIO group demonstrated decrease in time spent in platform zone compared to control, whereas time spent of the HFDIO+ORL was higher than HFDIO. Our study demonstrates that orlistat administration exerts beneficial effects on oxidative stress, spatial memory, recognition memory, and hippocampal tissue in obese rats. It shows that orlistat may have potential therapeutic implications for obesity-related cognitive impairments and hippocampal dysfunction.Item Bintrafusp Alfa With CCRT Followed by Bintrafusp Alfa Versus Placebo With CCRT Followed by Durvalumab in Patients With Unresectable Stage III NSCLC: A Phase 2 Randomized Study(Başkent Üniversitesi, 2024-03-06) Vokes, Everett E.; Mornex, Francoise; Sezer, Ahmet; Cheng, Ying; Fang, Jian; Baz, David Vicente; Cil, Timucin; Adjei, Alex A.; Ahn, Myung-Ju; Barlesi, Fabrice; Felip, Enriqueta; Garon, Edward B.; Audhuy, Francois; Ito, Rena; Sato, Masashi; Eggleton, S. Peter; Martin, Claudio Marcelo; Reck, Martin; Robinson, Clifford G; Paz-Ares, LuisIntroduction: Preclinical evaluation of bintrafusp alfa (BA) combined with radiotherapy revealed greater antitumor effects than BA or radiotherapy alone. In a phase 1 study, BA exhibited encouraging clinical activity in patients with stage IIIB or IV NSCLC who had received previous treatment. Methods: This multicenter, double-blind, controlled phase 2 study (NCT03840902) evaluated the safety and efficacy of BA with concurrent chemoradiotherapy (cCRT) followed by BA (BA group) versus placebo with cCRT followed by durvalumab (durvalumab group) in patients with unresectable stage III NSCLC. The primary end point was progression -free survival according to Response Evaluation Criteria in Solid Tumors version 1.1 as assessed by the investigator. On the basis of the recommendation of an independent data monitoring committee, the study was discontinued before the maturity of overall survival data (secondary end point). Results: A total of 153 patients were randomized to either BA (n = 75) or durvalumab groups (n = 78). The median progression -free survival was 12.8 months versus 14.6 months (stratified hazard ratio = 1.48 [95% confidence interval: 0.69-3.17]), in the BA and durvalumab groups, respectively. Trends for overall response rate (29.3% versus 32.1%) and disease control rate (66.7% versus 70.5%) were similar between the two groups. Any -grade treatment -emergent adverse events occurred in 94.6% versus 96.1% of patients in the BA versus durvalumab groups, respectively. Bleeding events in the BA group were mostly grade 1 (21.6%) or 2 (9.5%). Conclusions: BA with cCRT followed by BA exhibited no efficacy benefit over placebo with cCRT followed by durvalumab in patients with stage III unresectable NSCLC. (c) 2023 International Association for the Study of Lung Cancer. Published by Elsevier Inc. This is an open access article under the CC BY -NC -ND license (http:// creativecommons.org/licenses/by-nc-nd/4.0/).Item Cardiovascular Multimodality Imaging In Women: A Scientific Statement Of The European Association Of Cardiovascular Imaging Of The European Society Of Cardiology(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-03-27) Almeida, Ana G.; Grapsa, Julia; Gimelli, Alessia; Bucciarelli-Ducci, Chiara; Gerber, Bernhard; Ajmone-Marsan, Nina; Bernard, Anne; Donal, Erwan; Dweck, Marc R.; Haugaa, Kristina H.; Hristova, Krassimira; Maceira, Alicia; Mandoli, Giulia Elena; Mulvagh, Sharon; Morrone, Doralisa; Plonska-Gosciniak, Edyta; Sade, Leyla Elif; Shivalkar, Bharati; Schulz-Menger, Jeanette; Shaw, Leslee; Sitges, Marta; von Kemp, Berlinde; Pinto, Fausto J.; Edvardsen, Thor; Petersen, Steffen E.; Cosyns, BernardCardiovascular diseases (CVD) represent an important cause of mortality and morbidity in women. It is now recognized that there are sex differences regarding the prevalence and the clinical significance of the traditional cardiovascular (CV) risk factors as well as the pathology underlying a range of CVDs. Unfortunately, women have been under-represented in most CVD imaging studies and trials regarding diagnosis, prognosis, and therapeutics. There is therefore a clear need for further investigation of how CVD affects women along their life span. Multimodality CV imaging plays a key role in the diagnosis of CVD in women as well as in prognosis, decision-making, and monitoring of therapeutics and interventions. However, multimodality imaging in women requires specific consideration given the differences in CVD between the sexes. These differences relate to physiological changes that only women experience (e.g. pregnancy and menopause) as well as variation in the underlying pathophysiology of CVD and also differences in the prevalence of certain conditions such as connective tissue disorders, Takotsubo, and spontaneous coronary artery dissection, which are all more common in women. This scientific statement on CV multimodality in women, an initiative of the European Association of Cardiovascular Imaging of the European Society of Cardiology, reviews the role of multimodality CV imaging in the diagnosis, management, and risk stratification of CVD, as well as highlights important gaps in our knowledge that require further investigation.Item Role Of The Nurse In Patient Education And Follow-Up Of People Receiving Oral Chemotherapy Treatment: An International Survey (Vol 16, Pg 1075, 2008)(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-02) Kav, Sultan; Johnson, Judi; Rittenberg, Cynthia; Fernandez-Ortega, Paz; Suominen, Tarja; Olsen, Pia Riis; Patiraki, Elisabeth; Porock, Davina; Dahler, Annette; Toliusiene, Jolanta; Tadic, Dusanka; Tadic, Dusanka; Roy, Vijay; Wang, Qi; Colak, Meric; Saca-Hazboun, Hanan; Makumi, David; Kadmon, Ilana; Ami, Sarah Ben; Anderson, Elsie; Clark-Snow, RebeccaItem Experiences Of Physicians On Defensive Medicine: A Qualitative Study From Türkiye(INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT, 2024-02-11) Baskici, Cigdem; Dagdevir, Sude NurThis study aimed to investigate the experiences of physicians regarding defensive medicine (DM) practices. A qualitative study was developed with a descriptive phenomenological approach and the study was conducted in a university hospital in Turkiye. Data were collected between 1 February 2022 and 15 March 2022 via face-to-face, in-depth interviews from 21 participants. Inductive content analysis, which is very suitable for use in health-related research, was used. The analysis of the interview data resulted in 3 main themes, 9 themes, and 24 sub-themes. Main themes described the experiences of physicians: reasons for DM practices, consequences of DM practices, and measures to prevent DM practices. The findings showed the multidimensional nature of DM practices that must be considered in the strategies to be developed to prevent this behavior.Item Role Of The Nurse In Patient Education And Follow-Up Of People Receiving Oral Chemotherapy Treatment: An International Survey (Vol 16, Pg 1075, 2008)(SUPPORTIVE CARE IN CANCER, 2024-01-21) Kav, Sultan; Johnson, Judi; Rittenberg, Cynthia; Fernandez-Ortega, Paz; Suominen, Tarja; Olsen, Pia Riis; Patiraki, Elisabeth; Porock, Davina; Dahler, Annette; Toliusiene, Jolanta; Tadic, Dusanka; Pittayapan, Pongpak; Roy, Vijay; Wang, Qi; Colak, Meric; Saca-Hazboun, Hanan; Makumi, David; Kadmon, Ilana; Ami, Sarah Ben; Anderson, Elsie; Clark-Snow, RebeccaItem The Relationship Between Biological Rhythm And Perceived Social Support, Coping Styles And Medication Adherence İn Patients With Bipolar Disorder İn Türkiye(ARCHIVES OF PSYCHIATRIC NURSING, 2024-03-15) Ucgun, Tugce; Oksuz, EmineIntroduction: The disruption of biological rhythm (sleep, eating patterns, hormonal secretions, activities, and social life etc.) in individuals diagnosed with bipolar disorder makes it challenging to balance the mood of the patient and facilitates recurrence. Although social support, coping with stress, and medication adherence are known to affect prognosis, no study has been found to investigate the relationship between these factors and biological rhythm. Aim: This descriptive and correlational design study investigated the relationship between perceived social support, coping styles and medication adherence, and biological rhythm in individuals diagnosed with bipolar disorder. Method: This study was conducted with 111 patients receiving treatment in the outpatient clinics of the psychiatry department of two public hospitals in Ankara, Turkey. Biological Rhythm Interview of Assessment in Neuropsychiatry (BRIAN), Multidimensional Scale of Perceived Social Support (MSPSS), Coping Style Inventory (CSI), and Morisky Medication Adherence Scale (MMAS) were used for data collection. Results: The biological rhythm total and subscales scores were significantly and negatively related to perceived social support total, and subscales scores (p < 0.005). The biological rhythm total and most of its subscales scores were significantly and negatively related to medication adherence (p < 0.005). The biological rhythm total and domain scores were significantly and negatively related to seeking social support, self-confident, and optimistic subscales of CSI while significantly and positively related to helpless and submissive (p < 0.005). Discussion: In this study, a positive relationship was found between increased perceived social support, effective coping with stress, and adherence to medication. This study highlights that these factors may be helpful for the regulation of biological rhythm.Item "Being in the Digital Box". Academic Staff Experiences in Online Practical Teaching: A Qualitative Study From Six Universities and Countries(HELIYON, 2024-03-04) Baskici, Cigdem; Aytar, Aydan; Ersoy, Halil; Wiktsrom-Grotell, Camilla; Arell-Sundberg, Marina; Neves, Hugo; Coutinho, Veronica; Blazeviciene, Aurelija; Vaskelyte, Alina; Soderlund, Anne; Fritz, Johanna; Strods, Raimonds; Jansone-Ratinika, Nora; Kav, SultanThe COVID-19 pandemic has caused radical changes in education, as in everything else, bringing many challenges. Despite all the difficulties, the COVID-19 pandemic has enormous opportunities for online teaching and the use of digital technologies. A comprehensive understanding of this period is needed to investigate these opportunities. Thus, this study aims to explore the academic staff's experiences of online teaching and the use of digital technologies in practical skills -based courses in health care education. This study was conducted at six universities from six countries (Turkiye, Sweden, Finland, Portugal, Latvia, Lithuania). Data were collected between June 17, 2021 and November 30, 2021 via a focus group with an in-depth interview technique. 22 focus group interviews were conducted with a total of 117 participants. Colaizzi's method was used to evaluate the data to discover, comprehend, and define the experiences of academic staff. The analysis of the interview data resulted in 6 themes, 25 subthemes and 56 categories that captured participants' experiences regarding online teaching of practical skills and using digital technologies in health care education. The findings of the study provide crucial information that will help online teaching and digital technology for practical skills be successfully integrated.