Sağlık Bilimleri Fakültesi / Faculty of Health Sciences

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

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Activity performance problems of patients with cardiac diseases and their impact on quality of life
(2015) Duruturk, Neslihan; Tonga, Eda; Karatas, Metin; Doganozu, Ersin; 26311919
[Purpose] To describe the functional consequences of patients with cardiac diseases and analyze associations between activity limitations and quality of life. [Subjects and Methods] Seventy subjects (mean age: 60.1+/-12.0 years) were being treated by Physical Medicine and Rehabilitation and Cardiology Departments were included in the study. Activity limitations and participation restrictions as perceived by the individual were measured by the Canadian Occupational Performance Measure (COPM). The Nottingham Extended Activities of Daily Living (NEADL) Scale was used to describe limitations in daily living activities. To detect the impact of activity limitations on quality of life the Nottingham Health Profile (NHP) was used. [Results] The subjects described 46 different types of problematic activities. The five most identified problems were walking (45.7%), climbing up the stairs (41.4%), bathing (30%), dressing (28.6%) and outings (27.1%). The associations between COPM performance score with all subgroups of NEADL and NHP; total, energy, physical abilities subgroups, were statistically significant. [Conclusion] Our results showed that patients with cardiac diseases reported problems with a wide range of activities, and that also quality of life may be affected by activities of daily living. COPM can be provided as a patient-focused outcome measure, and it may be a useful tool for identifying those problems.
THE ACUTE EFFECT OF COMBINED PRECONDITIONING STRATEGIES ON ANAEROBIC PERFORMANCE AND PHYSIOLOGICAL PARAMETERS IN AMATEUR SOCCER PLAYERS
(2019) Yilmaz, Atakan; 0000-0002-4520-0220
Introduction: The use of preconditioning strategies (PConSt) alone has a positive impact on performance. The aim of this study will be to understand the effects of combined preconditioning strategies on performance. Materials and methods: The following PConSt were combined: morning resistance exercise (MRE), active warm-up (AW-U), hormonal preconditioning ( HP), post-activation potentiation (PAP) and ischemic preconditioning (IPC). Seventeen recreational active male (age: 24.45 +/- 3.55 years, height: 181.26 +/- 5.76 cm, body weight: 79.82 +/- 233 kg) volunteered for this study. The Wingate anaerobic power and capacity test (WAnT) was used to determine anaerobic performance. All participants were randomly assigned to pre-test, PConSt and Sham interventions. For the PConSt group, MRE, IP, AW-U, HP and PAP were implemented sequentially before the WAnT. No effect strategies were used for the Sham intervention. Results: The findings indicated significant increases in anaerobic performance after combined training in the Peak Power (PP) and Performance Decrement (p < 0.05). A percentage change of 18.11% was found in the PP values obtained after PConSt and Sham interventions, and an increase of 9.55% was observed when the percentage increase from the sham intervention was removed in order to eliminate the psychological effect. Conclusion: It was found that a combined preconditioning strategy intervention increases anaerobic performance.
Acute effect of scapular proprioceptive neuromuscular facilitation (PNF) techniques and classic exercises in adhesive capsulitis: a randomized controlled trial
(2016) Balci, Nilay Comuk; Yuruk, Zeliha Ozlem; Zeybek, Aslican; Gulsen, Mustafa; Tekindal, Mustafa Agah; 27190456
[Purpose] The aim of our study was to compare the initial effects of scapular proprioceptive neuromuscular facilitation techniques and classic exercise interventions with physiotherapy modalities on pain, scapular dyskinesis, range of motion, and function in adhesive capsulitis. [Subjects and Methods] Fifty-three subjects were allocated to 3 groups: scapular proprioceptive neuromuscular facilitation exercies and physiotherapy modalities, classic exercise and physiotherapy modalities, and only physiotherapy modalities. The intervention was applied in a single session. The Visual Analog Scale, Lateral Scapular Slide Test, range of motion and Simple Shoulder Test were evaluated before and just after the one-hour intervention in the same session (all in one session). [Results] All of the groups showed significant differences in shoulder flexion and abduction range of motion and Simple Shoulder Test scores. There were statistically significant differences in Visual Analog Scale scores in the proprioceptive neuromuscular facilitation and control groups, and no treatment method had significant effect on the Lateral Scapular Slide Test results. There were no statistically significant differences between the groups before and after the intervention. [Conclusion] Proprioceptive neuromuscular facilitation, classic exercise, and physiotherapy modalities had immediate effects on adhesive capsulitis in our study. However, there was no additional benefit of exercises in one session over physiotherapy modalities. Also, an effective treatment regimen for shoulder rehabilitation of adhesive capsulitis patients should include scapular exercises.
Alarm Fatigue Among Nurses Working in Intensive Care and Other Inpatient Clinics
(2023) Karahan, Azize; Kav, Sultan; Cevik, Banu; Citak, Ebru Akgun; Ugurlu, Ziyafet; Fulser, Berrak; 0000-0001-6698-2121; 0000-0003-0361-7498; 0000-0003-1396-854X; 37092200; B-8478-2015; KIH-9136-2024
BACKGROUND: Alarm fatigue is an important technological hazard that adversely affects patient safety and the healthcare team. Nurses can be exposed to an excessive amount of alarms during their work which may lead to alarm fatigue. OBJECTIVE: To determine the experiences of alarm fatigue among nursesworking in intensive care units and other inpatient clinics. METHODS: This descriptive study was conducted in university hospitals in five cities in Turkey between August and December 2019. A total of 592 nurses participated in this study. The data was collected using questionnaires and the Visual Analog Scale (0 to 10 points) was used to determine the level of alarm fatigue. RESULTS: More than half of the nurses experienced problems, especially false alarms, caused by devices. Alarm fatigue decreased with increasing age and working years. Nurses reported appropriate actions in solving problems, but also had practices that may increase the risk of error, such as turning off or muting alarms or turning off equipment. CONCLUSION: Alarm fatigue is mostly caused by false alarms. It can lead to physical fatigue, increased workload and decreased concentration, resulting in an increased possibility of error. Management of alarm fatigue is necessary in preventing a compromise in patients' safety and improving quality of care.
Apparently We Cannot Live, We are like Infectious Zombies: A Qualitative Research on Personal and Familial Experiences of Health Workers in the Filiation Teams in Turkey during the COVID-19 Pandemic
(2022) Karatas, Mustafa; Gure, Merve Deniz Pak; Duyan, Veli; https://orcid.org/0000-0002-0998-2552; 35658819
This study aims to examine the experiences of health workers in filiation teams in Turkey. The qualitative research model has been used. 375 health workers have participated using a non-probability sampling method. The data were collected over the internet using the questionnaire. The data have been analyzed with the MAXQDA and various code-sub codes-segment maps and code matrices have been used. The results expressed in two dimensions: instrumental and emotional areas. It has been observed that issues such as burnout, loss of motivation, and future anxiety have often been coded due to poor working conditions of the filiation teams, lack of rewards, and other factors. They have been determined as experiencing social stigma along with fear of infecting their families, and therefore have problems with child care, visiting adult family members in the risk group. It is recommended to develop psychosocial support services and improve organizational conditions.
Are Turkish Elite Sailors Competing in Laser and 470 Classes Ready for The Olympics?
(2017) Cinar-Medeni, Ozge; Pekyavas, Nihan O.; Uzun, Ayse; Fatmanur, E. R.; Suveren, Ceren; Colakoglu, Fatma F.; Baltaci, Gul; AAC-6522-2020
BACKGROUND: Aerobic and anaerobic capacity, muscle strength and balance skills are important parameters in sailors. We aimed to investigate the aerobic and anaerobic capacity, knee muscle strength, hand grip strength and balance of elite Turkish sailors competing in 470 and Laser classes selected for the Olympic team and to establish the differences in physical fitness status between sailors competing in 470 and Laser classes. METHODS: Nine Laser and ten 470 sailors were evaluated. A treadmill VO2max test for aerobic capacity, a Wingate cycle ergometer test for anaerobic power and capacity, an isokinetic knee muscle strength assessment at 60 degrees/s and 120 degrees/s angular velocities (output data were flexor peak torque, extensor peak torque and H/Q strength ratio), an isometric hand grip strength assessment and a star excursion balance test (SEBT) were performed. RESULTS: Laser and 470 sailors showed similar physical fitness values and no difference was found between sailing classes (P>0.05) for all test results. Most of the sailors' H/Q strength ratios were lower than normal values. CONCLUSIONS: This study shows that the physical requirements of Laser and 470 sailors are similar; however, they are both at risk of knee injury because of low H/Q strength ratios. Athletic trainers and physiotherapists working with sailors should also consider the H/Q strength ratio because low values of H/Q strength ratio are seen in this population. The results of this study may constitute a basis for further studies because we have reported the results of several physical fitness tests together and in a detailed manner.
Are University Students Aware of Skin Cancer, Prevention and Early Detection? A Survey from Turkey
(2014) Ugurlu, Z.; Isik, S. Avci; Balanuye, B.; Budak, E.; Elbas, N. O.; Kav, S.; AAD-2664-2020
Artificial Intelligence in Business Management Education and Research
(2020) Sigri, Unsal; Kibaroglu, Gamze Guner; 0000-0002-8870-7398; ADV-8340-2022
Assessing Health Science Students' Attitudes Towards Persons with Disabilities in Turkey
(2017) Coban, Arzu Icagasioglu; Ozden, Seda Attepe; Tekindal, Mustafa Agah; https://orcid.org/0000-0002-4060-7048; U-9270-2018
Purpose: The aim of this research was to determine attitudes towards persons with disabilities among prospective health care professionals. Materials and Methods: Attitudes were measured using the Attitudes towards Persons with Disabilities Inventory developed in Turkey, which consists of 43 statements. Participants were 273 undergraduate students from a health sciences faculty in Turkish university via stratified sampling. We examined associations between Attitudes towards Persons with Disabilities Inventory scores and socio-demographics variables. Results: The students generally had positive attitudes towards persons with disabilities. The most positive attitudes were among students from lower-income families (M=198.5, SD=3.5 Significance Level=0.05). Students from the Physiotherapy and Rehabilitation and the Social Work departments had more positive attitudes. Conclusions: The findings indicate a need to revise the curricula of departments to prepare students to effectively work with persons with disabilities.
Assessment of Risk Factors of Obesity and Diet on Breast Cancer in Ankara, Turkey
(2016) Kiziltan, Gul; Alim, Nural Erzurum; 28083060
Objective: To determine the risk factors of obesity and diet on breast cancer in Ankara, Turkey. Methods: A case-controlled study was carried out on newly diagnosed 40 breast cancer patients [patient group (PC)] and 40 volunteer individuals [control group (CG)] with no diagnosis of cancer and history of cancer in the family with similar characteristics to the age and gender-matched patient group between March and July 2016. All the individuals were administered a questionnaire by face-to-face interview method. Results: The mean menarche age, age at first birth and menopause age were 13.0 +/- 1.17, 22.6 +/- 3.78 and 44.33 +/- 2.39 years in PG and 12.3 +/- 0.95, 21.6 +/- 2.99, 46.71 +/- 2.41 years in CG, respectively. The mean BMI values were determined as 28.1 +/- 6.75 kg/m(2) in PG and 30.1 +/- 6.18 kg/m(2) in CG (p>0.05). It was determined that intake of vitamin C and fiber decreases the risk of breast cancer. Also, eating quickly and smoking were risk factors for breast cancer (p<0.05). Conclusion: This study indicated that there are relationships between menarche age, menopause age, and age at first birth, eating quickly, smoking and breast cancer. Conversely, there are significant negative relationships between dietary fiber, vitamin C intake and breast cancer. As a result, it can be said that there is a link between breast cancer and lifestyle factors and a reduction in the risk of developing breast cancer can be achieved through changes in diet, one of the lifestyle factors.
Assessment of the Physicochemical and Antioxidant Profile of Dried Goji Berries
(2021) Agagunduz, Duygu; Koseler-Beyaz, Esra; Duman, Sinem; 0000-0003-0010-0012; AAS-9583-2020
This study aimed to determine the physicochemical properties and antioxidant capacity of the dry goji berry fruit. Sun-dried goji berry fruits (Lycium barbarum) harvested in Manisa-Turkey and sold in the local market were collected. Total phenolic content (TPC) was determined by the Folin-Ciocalteu method, and the ferric reducing ability of plasma (FRAP) assay was utilized for antioxidant activity. 2,6 dichlorophenolindophenol spectrophotometric method was used in the ascorbic acid analysis. Mineral contents and the percentage contribution to the recommended daily allowance (RDA) of dry fruits were determined. TPC values of samples were 207.2 +/- 1.51 mg GAE/100 g and their antioxidant activities were found to be 32.6 +/- 1.82 mu mol TE/g. The fruit samples of 100 gram included 31.0 +/- 1.62 mg of ascorbic acid. Mineral contents and the percentage contribution to the RDA of 100 grams of dry goji berry fruits were as follows: calcium:49.0 mg (5.0%), phosphorus:370.0 mg (67.2%), sodium:1.32 mg (94.2%), potassium: 193.0 mg (>4000%), magnesium:120.0 mg (36.9%), iron:0.04 mg (0.3%), copper: 0.01 mg (0.7%) and manganese:0.008 mg (0.26%), The results of the present study suggest that goji berry cultivated in not only Asia but also Turkey certainly deserve further investigation because it contains a significant amount of vitamin C and some essential minerals, and with its phenolic content/antioxidant capacity even if it is traditionally sun-dried.
Association between Injury History and Performance of Male Elite Ice Hockey Players
(2020) Balci, Nilay Comuk; Akbasli, Oguzhan; Dogan, Ilknur Ezgi; Kara, Ozgun Kaya
The aim of this study is to examine the relationship between past injuries and the on-ice and off-ice performance of elite male ice hockey players. This study included participation of 50 elite male ice hockey players (age 23.8 +/- 5.3 years). Off-ice performance was measured by 30m Sprint Test, Broad Jump Test, Push-up Test, Hexagon Agility Test, and Plank Test, while on-ice performance was measured by 30m On-ice Sprint Test and Cornering "S" Turn Agility Test. Examination of the athletes' history of injury included their previous injury site, type, number and mechanism of injuries. In the push-up test, there was a significant difference between the athletes who had left hand and right knee injuries and those who had a dislocation injury (p <0.05). A statistically significant difference was determined between athletes who had a puck injury and who had not according to their performance on the cornering s turn agility test results( p <0.05). A statistically significant difference was also found between athletes who had an overuse injury and who had not according to their performance on the 30m sprint and hexagon agility test results(p <0.05). Lastly, there was a significant correlation between on-ice tests and off-ice broad jump, push-up and plank tests (r=-0.310-0.540; p<0.05).This study demonstrates that the push-up test could be the most effective test for determining level of performance after an athlete has suffered an injury. Furthermore, on-ice test results were shown to have a correlation with off-ice plank test results, which could bean indicator of an athlete's core muscle strength following an injury.
Association of Mini Nutritional Assessment with anthropometric measurements and muscle strength in elderly people: a neglected risk group
(2021) Hoca, Mustafa; Turker, Perim F.
Aim: Elderly individuals that are one of the neglected risk group are at a higher risk for health problems owing to inadequate and unbalanced nutrition. Nutritional status is also an important determinant of health in people over 65 years of age. Screening and diagnostic instruments are important in the recognition of the elderly people in evaluating the results of malnutrition. Unfortunately, there is no gold standard for the detection of malnutrition in elderly people. In this study, we aimed to assess the association of Mini Nutritional Assessment with anthropometric measurements and muscle strength in elderly people. Materials and Methods: A cross-sectional study included 210 elderly volunteers. Anthropometric measurements were taken, body mass index (BMI) values were calculated and muscle strength was evaluated by a hand dynamometer. Nutritional status was assessed using the Mini Nutritional Assessment (MNA) screening tool. The study was approved by Research Ethics Committee. Results: Elderly individuals with a BMI value of >= 30 kg/m(2) had significantly lower right and left hand grip strengths than BMI values of 18.5-24.9 kg/m(2) and 25-29.9 kg/m(2). However, elderly individuals with a BMI of >= 30 kg/m(2) had significantly higher waist/ hip ratio, waist/height ratio, body fat percentage, waist, hip, calf, neck and mid-upper arm circumferences than BMI values of 18.5-24.9 kg/m(2) and 25-29.9 kg/m(2). Additionally, a positive and statistically significant correlation was determined between the right- and left-hand grip strengths and the MNA score in women. Conclusion: To improve the nutritional status, elderly people should be monitored at regular intervals by obtaining anthropometric and muscle strength measurements and performing nutritional status screening tests.
Association of the Relationship Between Nutritional Status and Certain Biochemical Parameters in Obese Children
(2021) Ozcelik-Ersu, Dilek; Kiziltan, Gul
The prevalence of childhood obesity is increasing globally. Adiposity is more concentrated in subcutaneous tissue in women and visceral fat tissue in men. Abdominal obesity is more commonly associated with metabolic diseases in men. The results showed that the mean BMIz scores of boys was higher than girls, but total body fat was lower than girls. Total body fat free mass, water and muscle mass were higher in boys than girls. It was determined that children aged 10-17 years consumed fatty and sugary snacks and sugary drinks at school. Food consumption containing the carbohydrate, fat, saturated fat and cholesterol were higher in boys than girls. As a result, it was thought that it would be more beneficial and reliable to use anthropometric methods showing body composition together with BMI zscore while evaluating body weight in adolescents. While nutritional counseling, it may be beneficial to consider that the energy and nutrient requirements of male adolescent individuals and their daily food consumption are higher than girls. When the results of the study are evaluated, we mention that it would be appropriate to evaluate girls more carefully in terms of iron deficiency anemia and diseases such as insulin resistance and diabetes.
Associations between Life-Time Physical Activity Levels, Sedentary Time and Health Outcomes among Older Adults
(2020) Yilmaz, Fikriye; Yilmaz, Atakan; 0000-0002-4520-0220; AAZ-4775-2020; AAM-8875-2021
Study Objectives: The aim of the study was to evaluate the associations between the participation levels of the elderly in physical activities through their lives, their sedentary time, and health outcomes. Methods: The data of the study were collected in 2017 with a questionnaire, in which 300 older adults were selected by convenience sampling method in Ankara, Turkey. The questionnaire consists of questions for determining the socio-demographic characteristics and health status of older adults, life-time physical activity indicators, and sedentary time. The research was evaluated with descriptive statistics, Chi-square analysis, Independent Samples t-test, and Pearson correlation coefficient. Results: 53.7% of the 300 older adults participating in the study were female and the average age was 67.74 +/- 3.67 years. 58.3% of the participants were categorized as physically "active" currently or in two periods of their lives. The average sedentary time of participants was 5.7 hours for one day. According to Chi-square analysis, those who were younger, those with lower household income, those who evaluated their health status as good and who had no chronic diseases were physically more active (p < 0.05). Independent samples t-test results demonstrated that the quality of life scores of those who were physically active was higher in comparison to those who were inactive (p < 0.05). According to independent samples t-test, the average sedentary time of those who evaluated their health status as good and those with a chronic disease was found to be shorter. It was found that there was a negative moderately significant relationship between sedentary time and quality of life scores among older adults. Conclusion: In this study, it was concluded that life-time physical activity levels and sedentary time of older adults were an important indicator for their health outcomes.
The Attitudes of The Undergraduate Nursing Students Towards Lesbian Women and Gay Men
(2016) Unlu, Hayriye; Beduk, Tulin; Duyan, Veli; 0000-0002-8662-7415; 0000-0003-4316-5756; 0000-0002-4514-9381; 27349619; AAG-1932-2020; AAU-9733-2021; M-7630-2018; B-7765-2018
Aims and objectives. This study was conducted to determine the attitudes of undergraduate nursing students towards lesbian women and gay men. Background. Nursing education in Turkey is conducted holistically; in other words, it is an integration of the physical, spiritual, mental and social realms. Students are therefore expected to not express any discrimination due to factors such as religion, language, race and gender. However, some serious problems still exist in terms of the practical applications of that philosophy. Design. This study was descriptive. Methods. This study included 964 students. The Attitudes towards Lesbian Women and Gay Men scale and a questionnaire were used to learn about the attitudes of undergraduate nursing students regarding gay men and lesbian women. Results. Results of this study have indicated that the attitudes of religiously educated and/or conservative students towards lesbian women and gay men were negative. Female students from families with high incomes and highly educated families attended social activities and read more than other female students. The students with free life choice options expressed very positive attitudes towards gay men. Conclusion. The nursing education curriculum should cover information about patients with diverse sexual orientations and their absolute rights for equally optimal healthcare. Strategies to discourage traditional gender role stereotypes and educational and media experiences for better acceptance of sexual minorities need to be developed by educational policy makers. Antidiscrimination policies protecting lesbian women and gay men should be developed by the legislative authorities and then taught to students during their nursing education. Getting familiar with diverse sexual orientations might create awareness among nursing students and reduce their attitudinal and behavioural prejudices and biases. Relevance to clinical practice. To provide equal healthcare services for all patients, nurses must have accurate information about lesbian women, gay men and modify their attitude and behaviour accordingly.
Audiological Findings In Distal Renal Tubular Acidosis
(2021) Ay, Ezgi; Alniacik, Asuman; Gurses, Emre; Arslan, Filiz; Gulhan, Bora; Alniacik, Asuman; Duzova, Ali; Bajin, Munir Demir; Sennaroglu, Levent; Genc, Gulsum Aydan; Ozaltin, Fatih; Topaloglu, Rezan; Başkent Üniversitesi
Authors at the boundary: Interaction of local and general scientific literature
(2018) Baskici, Cigdem; Atan, Suat; Ecil, Yavuz; 27467573
How a scientific literature is shaped both at the local and general level is an important question to answer. One practical way of achieving this task is to identify the roles played by authors (academicians) as actors creating and disseminating knowledge in the relevant literature. To this end, this study examines roles undertaken by authors in the field of learning organizations. Identifying role typologies first requires revealing the author citation network in the field. Citation network is a matrix that summarizes citations and citation numbers between authors. To construct this matrix, articles in the local and general literature in the field of learning organizations, published and indexed between January 01, 2015 and February 20, 2017, were collected from Google Scholar by using the Java-based Selenium Library. An author citation network with 19,525 actors was created from this list. A social network analysis was conducted to identify author roles, followed by a discussion of what these roles mean for the local literature. Despite defining four typologies, observing only one type of role typology indicates that the local literature is not well integrated with the general literature. This study recommends strategic assessments for increasing the contribution ability of local literature to general one. Using this approach, it would be possible to find answers to the questions of which roles to develop via which authors and relationships, and how to remove the obstacles to development of local literature.
Awareness of Nurses Working in Oncology About Drug Interactions
(2014) Karahan, A.; Isik, S. Avci; Abbasoglu, A.; Kav, S.; https://orcid.org/0000-0001-6698-2121; https://orcid.org/0000-0003-0361-7498; B-8478-2015; IYS-6237-2023; V-9745-2019
Awareness of Skin Cancer, Prevention, and Early Detection among Turkish University Students
(2016) Ugurlu, Ziyafet; Isik, Sevcan Avci; Balanuye, Berrak; Budak, Elif; Elbas, Nalan Ozhan; Kav, Sultan; 27981144
Objective: The aim of this study was to determine the awareness about skin cancer, prevention, and early detection among university students. Methods: This descriptive cross-sectional study was carried out with 404 students in a university located in Ankara, the capital city of Turkey. A 35-item questionnaire was used for data collection. Results: Less than half of the students (37.9%) had knowledge about skin cancer mostly through the internet (24.5%) and media (24.1%). Half of them aware of the risk factors; mostly as avoiding direct exposure to the Sun between 10 am and 4 pm (45.3%); smoking and alcohol (38.4%); having fair skin color (34.9%); and ultraviolet light exposure (25.7%). Only one-third of them (32.9%) are knowledgeable about skin cancer signs and symptoms, such as a change in color and appearance of the nevus/moles (24%). The majority of the responders (77.3%) did not know about screening tests for skin cancer and only 18 (4.5%) students were practicing skin self-examination. Conclusions: This study showed a lack of knowledge about skin cancer, prevention, and early detection among university students and reported the need for educational interventions to raise awareness in this target group.