Sağlık Bilimleri Fakültesi / Faculty of Health Sciences

Permanent URI for this collectionhttps://hdl.handle.net/11727/1402

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A Comprehensive Investigation Of Biopsychosocial Determinants Influencing Primary Dysmenorrhea Among University Students
(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-05-17) Yalvac, Canan Oksuz; Topal, Cansu Akdag; Boztepe, Handan
Dysmenorrhea, characterized by pain and related symptoms, significantly impacts women's quality of life in work and education, prompting a comprehensive evaluation of associated factors. The objective of this study was to utilize structural equation modeling (SEM) to analyze and assess the biopsychosocial factors influencing dysmenorrhea among university students. Three hundred and thirty-nine university students were included in this cross-sectional descriptive study. Data were collected using the Participant Information Form, the Beck Anxiety Scale (BAS), the Beck Depression Scale (BDS), the Multidimensional Scale of Perceived Social Support (MSPSS), the Adverse Childhood Experiences Scale (ACES), the Pain Catastrophizing Scale (PCS) and the Visual Analogue Scale (VAS). It was determined that the variables of pain onset (t = 3.24, p < .05) and age at menarche (t = -2.16, p < .05) showed a significant relationship with the model. The variables of the PCS (t = 16.87, p < .001), BDS (t = 3.06, p < .05), and BAS (t = 5.13, p < .001) showed a significant relationship with the model. Social factors in the model were examined, and a family history of dysmenorrhea and the ACES variables did not contribute significantly to the model (p > .05). The study indicates primary dysmenorrhea influenced by biological and psychological factors. Nurses should conduct holistic assessments and provide comprehensive care for affected women.
Development And Psychometric Analysis Of Care Needs Scale For Mothers Of Children With Congenital Heart Disease
(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-07-02) Ay, Ayse; Semerci, Remziye; Savas, Eyan Hanzade; Saridag, Kuebra Nur Kabakci
Purpose: This cross-sectional study aimed to create and evaluate a care needs scale for mothers of children with congenital heart disease (CHD) to determine its psychometric properties. Design and methods: This methodological research was conducted with 155 mothers whose children were diagnosed with CHD and were treated at a university hospital. The study's methodology included scale development, specialist opinions, and a pilot test. Data analysis involved descriptive statistics, exploratory and con firmatory factor analyses, and reliability assessments. Results: The 11 -item scale was created using component analysis, expert comments, and pilot testing. It was divided into two categories: Information Needs Regarding Disease and Treatment and Needs Regarding Care. The Exploratory Factor Analysis revealed a 2 -factor structure, explaining 41.5% of the variance. Reliability analysis showed reliable dimensions, and Tukey's scalability test indicated the scale requires separate dimension evaluation. The model fi t indices were obtained as CMIN/DF (72.751/41) =1.774, GFI = 0.925, IFI = 0.923, TLI = 0.893, CFI = 0.920, RMSEA = 0.071, SRMR = 0.063. The Cronbach's alpha coef ficient for subdimension 1 was 0.758, and for subdimension 2 was 0.678, indicating reliable dimensions. Conclusion: The developed scale provides a valuable tool for assessing the care needs of mothers of children with CHD, contributing to enhancing maternal support programs in pediatric cardiology clinics. Practice implications: Assessment of the care needs of mothers who have children with CHD is promising for the development of educational programs on this subject and to ensure the competence of mothers for care. (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
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.
Differences in Eating Behaviours and Mothers Attitudes Between Baby-Led Weaning vs. Traditional Spoon-Feeding Approaches in Turkiye
(APPETITE, 2024-12-01) Karagoz, Incilay; Bayram, Sinem); Caliskan, Hilal; Yilmaz, Can Selim
This study was aimed to examine the differences in eating behaviours and mothers attitudes between baby-led vs. traditional spoon-feeding approaches and its effect on eating behaviours in preschool children. The study was conducted with 150 mothers of children aged 2-6, who applied to the Pediatrics Polyclinic of Bas,kent University Ankara Hospital, between December 2022 and February 2023. Sociodemographics, biochemical parameters were recorded to form. Maternal attitudes and eating behaviours of children were evaluated with Mother's Attitudes Towards the Feeding Process Scale (MATFP) and Early Childhood Adaptive Eating Behaviour Scale (ECAEB), respectively. The mean age of the children was 43.80 +/- 11.04 months and 51.3% of them were girls. A weak negative correlation was found between the ECAEB total scores and the child age (r = -0.196, p < 0.05). A moderate positive correlation was found between the total scores of the MATFP and ECAEB (r = 0.699, p < 0.001). There wasn't significant difference between the MATFP total scores who chose baby-led weaning or traditional feeding (p > 0.05). According to the ECAEB; aggression and reaction to main meal order subgroup scores of children who consumed pureed vegetables until the ninth month were higher than those who didn't consume them (p < 0.05). Mothers who prefer the TSF offer their babies more blenderized and pureed foods, while those who prefer the BLW serve fork-mashed, steamed and sliced foods (p < 0,05). As the mothers' subscale scores for negative affect during meals, attitudes about insufficient/unbalanced feeding, negative feeding strategies, forced feeding, reaction to viewpoint of others increase, so did their subscale scores for child reluctance, eating refusal associated with sensory causes, aggression, reaction to main meal order increase. Consequently, it's believed that maternal attitudes and actions should be taken into account while evaluating the eating habits of toddlers.
Digital Competence Of Faculty Members In Health Sciences Measured Via Self-Reflection: Current Status And Contextual Aspects
(PEERJ, 2024-11-11) Ersoy, Halil; Baskici, Cigdem; Aytar, Aydan; Strods, Raimonds; Ratinika, Nora Jansone; Fernandes, Antonio Manuel Lopes; Neves, Hugo; Blazeviciene, Aurelija; Vaskelyte, Alina; Wikstrom-Grotell, Camilla; Paakkonen, Heikki; Soderlund, Anne; Fritz, Johanna; Kav, Sultan
This descriptive study aims to determine the digital competence level of faculty members who teach in the health sciences, empirically considering possible contextual aspects. Two data collection instruments were used: a self-reflection questionnaire to assess digital competence, and a survey querying demographics and aspects of teaching and learning context. In total, 306 health sciences faculty members from six universities voluntarily participated the study. The results revealed that a majority of the faculty members have intermediate (integrator or expert) level of digital competence, which is described as being aware of the potential use of digital technology in teaching and having a personal repertoire for its use under various circumstances. Age, digital teaching experience, perception of work environment, and previous teaching experience in fully- or partially-online courses were identified as influencing factors for digital competence. Faculty members in health sciences were able to integrate digital technologies in their teaching practices. Health education institutions may facilitate the use of digital technologies in teaching and learning environments. Moreover, institutions or stakeholders should consider that digital competence requires practice and experience in meaningfully-designed digital environments and tools.
Does Chronic Subjective Tinnitus Affect Cognitive Performance In Adults with Hearing Thresholds of 25 dB and Less Between 0.5-4 kHz
(JOURNAL OF THE AMERICAN ACADEMY OF AUDIOLOGY, 2024) Deniz-Sakarya, Merve; Cinar-Satekin, Merve; Yaldiz, Zahide C. B.; Tokgoz-Yilmaz, Suna
Background In literature, the cognitive performance results of normal hearing individuals with tinnitus are inconsistent. It also differs in the control of other factors that may affect cognition. Purpose This study aimed to determine the differences in attention and memory performance between normal hearing individuals with chronic subjective tinnitus and age-sex-education-matched healthy controls. Study Sample Normal hearing individuals with subjective chronic tinnitus between 18 and 55 years of age, who have normal cognitive abilities (tinnitus group, n = 30) and age-sex-matched normal hearing individuals without tinnitus who have normal cognitive abilities (control group, n = 30) were included in this study. Data Collection The Montreal Cognitive Assessment Test measured participants' general cognitive screening, and depressive symptoms were measured by Beck Depression Inventory (BDI). Tinnitus Handicap Inventory was used to determine the tinnitus handicap levels. Attention performance was evaluated with Stroop Test-TBAG Form, and short-term and working memory performances were evaluated with the Wechsler Adult Intelligence Scale-Revised (WAIS-R)-Digit Span Test. Results The tinnitus and control groups' depressive symptom scores were similar concerning the BDI ( p = 0.90). There was no statistically significant difference between both groups according to the completion time of the five sections of the Stroop Test, the number of errors and corrections of the Stroop 5 test, and the (WAIS-R)-Digit Span Test scores ( p > 0.05). Conclusion In our study, the Stroop Test and Digit Span Test performances of individuals with tinnitus and normal hearing were similar to the control group. Despite previous studies claiming an effect of tinnitus on cognition, our contrary findings are discussed in the light of other demographic, audiological, and psychological measurement variables, especially hearing loss.
Early Breast Development In Girls: The Power Of Greyscale Sonography And Sonoelastography
(Başkent Üniversitesi Sağlık Biimleri Fakültesi, 2024-02-27) Keceli, Merter; Akyurek, Nesibe
Objective: 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.
Economic Burden Of Short-Acting Beta-2 Agonist (Saba) Overuse Among Asthma Patients In Türkiye: A Cost Analysis With Respect To The Updated Gina Treatment Recommendations
(BMC PULMONARY MEDICINE, 2024-10-21) Yorgancioglu, Arzu; Aksu, Kurtulus; Cura, Ceyhun; Yaman, Yigit; Dinc, Melda; Malhan, Simten
BackgroundThis cost of illness study aimed to determine economic burden of short-acting beta 2-agonist (SABA) overuse in T & uuml;rkiye from payer perspective with respect to the updated GINA 2022 treatment recommendations.MethodsA total of 3,034,879 asthma patients comprised the study population, via estimations extrapolated from the T & uuml;rkiye arm of the global SABINA III study. The economic burden (costs related to the drug use and severe exacerbations) was compared in subgroups of overall (>= 0 canisters/year) vs. GINA-recommended (0-2 canisters/year, hypothetical population) SABA use and in subgroups of appropriate use (0-2 canisters/year, real population) vs. overuse (>= 3 canisters/year) of SABA with extrapolation of SABINA T & uuml;rkiye data to the T & uuml;rkiye asthma population.ResultsRecommended SABA use was predicted to prevent 127,505 of 157,512 severe exacerbations per year in mild asthma patients and 2,668,916 of 3,262,800 severe exacerbations per year in moderate-severe asthma patients. Annual cost burden of not applying recommended SABA use (overall [>= 0 canisters/year] vs. GINA-recommended [0-2 canisters/year] SABA use) in mild asthma and moderate-severe asthma patients was calculated to be 20.43 million and 427.65 million in terms of severe exacerbations, and to be 829,352 and 7.20 million in terms of drug costs, respectively. The total annual economic burden arising from not applying recommended SABA use was estimated to be 456.11 million. Appropriate use (0-2 canisters/year) vs. overuse (>= 3 canisters/year) of SABA was associated with decreased frequency of severe exacerbations per year in mild asthma (from 129,878 to 27,634) and moderate-severe asthma (from 2,834,611 to 428,189) patients. SABA overuse in mild and moderate-severe asthma patients was estimated to yield an additional annual cost of 16.38 million and 385.59 million, respectively in terms of severe exacerbations, and a total 11.30 million additional drug cost. The overall annual economic burden arising from SABA overuse was estimated to be 413.27 million.ConclusionsThe estimated annual total economic burden arising from not applying recommended SABA use (456.11 million) and SABA overuse (413.27 million) with respect to the updated GINA 2022 treatment recommendations indicates the substantial cost burden of SABA overuse to the Turkish National Health System, corresponding up to 26% of the total direct cost of asthma reported in our country.
Effect Of Hamstring Flexibility On Cervical Range Of Motion And Deep Neck Flexor Endurance In Healthy Young Adults: A Study To Explore Myofascial Tensegrity Network
(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-07-16) Ozyurek, Seher; Aktar, Burcin; Kosova, Altay; Aydin, Ebru; Turedi, Rubeysa; Pekyavas, Nihan Ozunlu
Introduction: According to the concept of biotensegrity, the whole body consists of fascial lines. The relationship between muscles and fascia is important to ensure full and proper range of motion. This study investigated the effect of hamstring flexibility on cervical range of motion and deep neck flexor muscle endurance. The aim was to explore the relationship between the hamstring muscles and neck region in the myofascial tensegrity network. Method: Sixty healthy participants with a median age of 22.0 years (24 male, 36 female) were included. Hamstring flexibility was categorized as "normal (n = 31)" or "limited (n = 29)" according to hip flexion angle (HFA) using the passive straight leg raise (PSLR) test. Active cervical range of motion was measured by the Clinometer smartphone application, and the following movements were recorded: flexion, extension and lateral flexion. The craniocervical flexion test was performed to evaluate deep neck flexor endurance using performance index and highest-pressure score. The Mann-Whitney U test was used for statistical analysis. Results: No significant differences in cervical range of motion were observed between the groups (p > 0.05). Participants with limited hamstring flexibility presented lower deep neck flexor muscle endurance scores (performance index and highest-pressure score) than participants with normal hamstring flexibility (p = 0.002, and p = 0.012, respectively). Conclusion: The results suggest that hamstring flexibility can influence deep neck flexor muscle endurance in healthy young adults. This preliminary clinical finding supports the hypothesis of a myofascial network between the hamstring muscles and neck region.
Effects of Multi-Gravitational Suspension-Based Therapy on Posture, Physical Fitness, Quality of Life, Depression, and Sleep Quality in Women Without Regular Exercise Habits
(SOMATOSENSORY AND MOTOR RESEARCH, 2024) Aydogdu, Ecem Sevim Berk; Ersin, Aybuke; Kelecek, Selen; Melek, Mine; Pekyavas, Nihan Ozunlu
BackgroundMulti-gravitational suspension-based therapy (M-Gravity) is a comprehensive discipline based on the principles of non-gravity, which serves to increase the quality of life and holistic health of the individual with the rehabilitation content of non-pressure inversion therapy and suspension systems.AimsTo examine the effects of M-Gravity exercise on posture, physical fitness, quality of life, depression, and sleep quality in women without regular exercise habits.MethodsThis study included 20 women without regular exercise habits, who participated in M-Gravity exercise and 20 women who did not participate in any exercise program. Posture was measured by the New York posture rating chart, flexibility of the hamstring and pectoral muscles were assessed with flexibility tests, and endurance of the core muscles was measured with plank test. Depression levels were measured by Beck Depression Inventory, sleep quality was measured by Pittsburgh Sleep Quality Index, and Nottingham Health Profile was used to measure the perceived health levels of the subjects. Measurement of the core stability was performed with the Stabilizer Pressure Biofeedback. Two evaluations were made at baseline and after 4 weeks of exercise program.ResultsAlthough statistically significant results were achieved for all parameters in the M-Gravity group, no differences were observed in the control group between baseline and post-test scores (p < 0.05).ConclusionsWe came to the idea that eight sessions of M-Gravity program may have positive effects on posture, physical fitness and quality of life in women who do not have regular exercise habits.
Effects Of Pilates Exercises And Whole- Body Vibration Exercises Training On Body Composition, Flexibility, And Balance In Healthy Women: Randomized Controlled Pilot Study
(TURKISH JOURNAL OF PHYSIOTHERAPY REHABILITATION-TURK FIZYOTERAPI VE REHABILITASYON DERGISI, 2024-12) Kalkan Balak, Busra; Ozlem Yuruk, Zeliha
Purpose: This study aims to compare the effects of pilates and whole-body vibration exercise training on body composition, flexibility, balance, and functional strength of core muscles in healthy women. Methods: Thirty-six healthy women were divided into three groups: a pilates group, a whole-body vibration (WBV) exercise group, and a control group. The pilates group received training using the 'Reformer (R),' while the WBV group used the 'Power Plate (R).' Both groups trained twice a week for eight weeks, with sessions lasting 45-60 minutes each. The control group did not receive any training. Body composition was assessed using body mass index (BMI), the waist-to-hip ratio, and bioelectrical impedance analysis. Sit-and-Reach Test for flexibility, Functional Reach Test for balance, and Sit-ups and Modified Push-ups Test for core muscle strength. Assessments were made before and after training. Results: In the group comparisons, significant differences in BMI and some bioelectrical impedance parameters were observed in the WBV group (p<0.05). However, no significant changes in body composition were found in the pilates and control groups and no difference was found between the three groups (p>0.05). Flexibility showed significant differences among the three groups (p<0.01). Functional core strength increased in both the pilates and WBV groups (p<0.05), but no significant differences were observed in balance and strength comparisons between the groups (p>0.05). Conclusion: Results indicate that WBV training affected body composition, and both exercise groups improved flexibility, balance, and core strength. However, WBV was not superior to pilates. Further research is needed for generalizability.
Effects Of Progressive Muscle Relaxation Exercises On The Vital Signs And Fatigue In Kidney Transplant Patients: A Randomized Controlled Trial
(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-05-03) Yagiz, Seyda Uzun; Isik, Sevcan Avci
PurposeMultiple effective nursing interventions are needed to manage deviations from normal vital signs and fatigue experienced by kidney transplant patients. In this study, we investigated the effect of progressive muscle relaxation (PMR) exercises on vital signs and fatigue in kidney transplant patients.MethodWe conducted a randomized controlled experimental study with 52 patients (intervention = 26, control = 26) who underwent kidney transplantation at a university hospital in Turkey and met the inclusion criteria. The "Descriptive Characteristics Form", "Vital Signs Monitoring Form", and "Fatigue Severity Scale" were used to record data on the patients. Then, the patients in the intervention group (baseline assessment) were trained to perform PMR exercises, asked to practice, and followed up (first follow-up). Patients were recommended to perform PMR exercises for 20 min every day for four weeks. The second follow-up in the second week after discharge and the third follow-up at the end of the fourth week were performed in the outpatient clinic.ResultsWe found that the pulse rate, body temperature, and arterial blood pressure decreased over time and oxygen saturation increased in the patients of the intervention group. The PMR exercises decreased fatigue in these patients. The arterial blood pressure and oxygen saturation values differed significantly across different time points among the patients in the control group. The difference in the scores of fatigue severity between the pre-follow-up and the third follow-up in the control group was not significant.ConclusionPMR exercises were found to be an effective nursing intervention in regulating vital signs and reducing fatigue in renal transplant patients.
Empathy And Lgbti Perspectives Among University Nursing Students In Turkiye
(ARCHIVES OF PSYCHIATRIC NURSING, 2024-12) Topal, Cansu Akdag; Ucgun, Tugce; Gurel, Reyyan
Objective: The research aims to understand the factors influencing nursing students' attitudes towards the LGBTI community, given the importance of culturally competent and inclusive care in healthcare. Method: A descriptive and relationship-seeking design was used. The study was completed by 386 nursing students. Data were collected with "Personal Information Form, LGBTI Attitude Scale (LGBTI-AS) and Toronto Empathy Scale (TEQ)". Hierarchical regression analysis was used to identify predictors of attitudes towards LGBTI individuals among nursing students. Results: The total mean score of the Awareness to LGBTI Attitude Scale was 2.47 +/- 1.0 (moderate attitudes). The findings revealed that female students and senior nursing students exhibited more positive attitudes, while those with friendships with LGBTI individuals and higher empathy levels showed greater acceptance and understanding towards the LGBTI community (p p < 0.001). The results showed that 22 % of the total variance in the LGBTI attitude could be explained in model 3 (F = 27.43, R2 variation = 0.224, p = 0.001). Conclusion: The study highlights the importance of integrating LGBTI-related content into nursing curricula and promoting empathy-building activities. These findings underscore the significance of empathy in shaping positive attitudes and emphasize the need for comprehensive educational strategies to promote inclusivity in healthcare.
Evaluation Of Dynamic Balance, Functionality And Anthropometric Characteristics In Alpine And Nordic Skiers
(TURKISH JOURNAL OF PHYSIOTHERAPY REHABILITATION-TURK FIZYOTERAPI VE REHABILITASYON DERGISI, 2024-12) Tekin, Beril; Kurkcuoglu, Ayla; Gul Ates, Eylem
urpose: The dynamic balance ability, functionality level, and anthropometric structure of elite athletes are closely related to their performance during sports activities. Therefore, this study was designed to evaluate the dynamic balance, functional performance, and anthropometric characteristics of Alpine and Nordic skiers, which are different ski disciplines, and to investigate the relationships between these parameters. Methods: The studywas carried out on licensed Nordic skiers (n=29) and Alpine skiers (n=33). Dynamic balance was evaluated with the Y Balance Test, and functionality was evaluated with the Single Leg Hop for Distance Test. Sitting height and anthropometric measurements of the lower extremities were taken and recorded. Results: The Y Balance Test result for Nordic skiers were higher (p=0.007). The results of the Single Leg Hop for Distance Test were similar in both groups (p=0.534). Lower limb length (p=0.044), thigh length (p=0.005), and leg length (p=0.005) were longer in Nordic skiers. A positive moderate correlation was found between the Y Balance Test and Single Leg Hop for Distance Test in both groups (Alpine skiing r=0.583; p <0.001; Nordic skiing r=0.457; p=0.013). A positive moderate correlation was found between sitting height and dynamic balance (r=0.432; p=0.012) and between leg length and the Single Leg Hop for Distance Test (r=0.442; p=0.010) only in Alpine skiers. Conclusion: In conclusion, this study revealed certain differences regarding the dynamic balance, functional performance, and anthropometric characteristics of Alpine and Nordic skiers and presented guiding results in organizing of training programs for ski disciplines and in the prevention of injuries in ski athletes.
Evaluation of the Quality of Life and the Demographic and Clinical Characteristics of Patients With Pemphigus With Oral Mucosal involvement: A Multicenter Observational Study
(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-05-31) Polat, Asude Kara; Mulayim, Mehmet Kamil; Gur, Tugba Falay; Acar, Ayda; Bozca, Burcin Cansu; Ceylan, Can; Kilinc, Fadime; Guener, Rukiye Yasak; Albayrak, Huelya; Durdu, Murat; Aksu, Ayse Esra Koku; Nalbant, Fatma; Savk, Ekin; Bayramgurler, Dilek; Daye, Munise; Singer, Ralfi; Alatas, Emine Tugba; Erdemir, Vefa Asli; Gurel, Mehmet Salih; Uzun, Soner; Yayli, Savas
Introduction: Pemphigus vulgaris (PV) is an autoimmune disease primarily affecting the oral mucosa. Objectives: This study aimed to determine the demographic, clinical and treatment characteristics of PV patients with oral mucosal involvement and to assess the impact on their quality of life. Methods: We conducted a prospective observational study among 106 patients diagnosed with PV and presenting oral mucosal involvement. Demographic data, clinical and treatment characteristics, and quality of life questionnaires were recorded. Results: The study included 106 patients, 55 (51.89%) were male and there was a predominance of the mucocutaneous subtype in 83 individuals (78.38%). Oral mucosa was the initial site of manifestation in 44 patients (41.51%). Bilateral buccal mucosa was the most frequently affected site. The predominant symptom reported was a burning sensation, noted in 91 patients (85.85%). Oral mucosal examination revealed erosions in 85.85% of the patients. Systemic steroids were the most commonly administered treatment, and rituximab was used in 18 patients (16.98%). A positive and significant correlation was found between pemphigus severity and Oral Health Impact Profile-14, Dermatology Life Quality Index and Dermatological Quality of Life Scale scores (P < 0.05). The presence of superficial ulcers, flaccid bullae, lesion diameter >= 1 cm, and >10 lesions were factors that markedly diminished quality of life. Complete response to treatment was noted in all patients administered rituximab. Conclusions: The most common area of involvement was bilateral buccal mucosa, and the severity of PV closely correlated with a decline in quality of life measures. These results highlight the need for careful clinical oversight of PV, taking into account its effects on patients quality of life.
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, Mustafa
This 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.
Examination of Electrical and Dielectric Parameters of Au/n-Si Schottky Barrier Diodes (SBDs) with Organic Perylene Interlayer Using Impedance Measurements Under Various Illumination Intensities
(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-06-22) Bengi, S.; Cetinkaya, H. G.; Altindal, S.; Zeyrek, S.
This study examines a metal-semiconductor structure with an organic perylene interlayer by measuring capacitance (C) and conductance (G/w) versus voltage under various lighting conditions and illumination levels (dark and 50-250 mW cm(-2)) in a wide range of voltage (+/- 5 V). The increase in illumination results in an increase in capacitance and conductance values in the depletion and accumulation regions due to surface-state illumination (N-ss). The barrier height (Phi(B)) decreased from 1.617 eV (in the dark) to 0.543 eV (under 250 mW cm(-2)). The C-V plot demonstrates peak behavior before going negative at the accumulation region. As the illumination intensity increases, the peak magnitude also increases, and concurrently, its position shifts towards the densely accumulated region due to the illumination-induced changes in surface states (N-ss) and the subsequent reordering/restructuring of these states. The lowest value of capacitance corresponds to the highest value of conductance, and the negative value of C decreases as illumination increases. The Hill-Coleman and Nicollian-Brews methods were used to obtain the voltage/illumination-dependent profile of N-ss and R-s, respectively. The relaxation mechanism of the SBD was also explained using electric modulus formalisms. The slope of ln(sigma(AC))-ln(P) plot changed from 0.474 and 0.824 and so Au/C20H12/n-Si SBD can be used in photonic applications.
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, Kutay
Job 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.
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, Gamze
The 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.
Experiences Of Physicians On Defensive Medicine: A Qualitative Study From Türkiye
(INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT, 2024-02-11) Baskici, Cigdem; Dagdevir, Sude Nur
This 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.