Sağlık Bilimleri Fakültesi / Faculty of Health Sciences
Permanent URI for this collectionhttps://hdl.handle.net/11727/1402
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Item Evaluation of Cardiopulmonary Resuscitation Knowledge Levels of Physiotherapists in Turkey(2023) Kilic, Rabia Tugba; Mese Buranse, Melike; Yosmaoglu, Hayri Baran; 0000-0001-7356-8500; IVH-4699-2023Purpose: The aim of this study was to evaluate the knowledge level of physiotherapists working in Turkey about Cardiopulmonary Resuscitation (CPR).Methods: It is a cross-sectional study conducted between August and October 2021. Data were collected by sending an online questionnaire form to a total of 275 physiotherapists, 164 (59.63%) male and 111 (40.37%) female, who agreed to participate in the study. In order to evaluate the level of CPR knowledge, the questionnaire prepared by taking the 2010 American Heart Association-European Resuscitation Council CPR guideline as a guide, consists of 26 questions and is self-administered.In the first part of the questionnaire, 5 questions containing personal information (age, gender, institution of employment, duration of employment, etc.); in the second part, there are 12 questions on the perception of CPR training and its value, and in the third part, 10 questions aiming to measure the current knowledge level about CPR. In the CPR knowledge score, 0-5 points range was evaluated as low, 6-10 point range was evaluated as high.Results: The most work setting was the hospital (41.50%) and the main scope of work was the musculoskeletal system (37.80%). While the rate of those who encountered a CA case anywhere was 28.40%, this rate was 20.70% in the work setting. Most of the participants (67.30%) had received CPR training. While 59.50% of those who received training found the training incompetent in CPR practice, 71.90% found themselves. CPR certificate was not related to field of study, age, gender and years of experience (p > 0.005). The rate of CPR certification among those working at the hospital was higher than those working at the university(p=0.014). The mean theoretical CPR knowledge score was 5 +/- 0.12, which showed that CPR knowledge levels were low.CPR knowledge score; It was higher in those who received CPR training than those who did not, and those who considered themselves competent in CPR practice compared to those who did not see it as sufficient (p=0.001).Conclusion: Our results showed that the majority of physiotherapists have CPR certification, but the majority of those with CPR certification have insufficient knowledge of CPR and feel incompotent in this regard.Future research that wishes to better evaluate the practice of CPR should evaluate physical therapists' actual CPR competence with hands-on methods rather than a theoretical assessment.Item The Effect of Cultural Values on Leadership Behavior: A research on Turkish and American Managers(2015) Ercan, Umit; Sigri, Unsal; 0000-0002-8870-7398; ADV-8340-2022Leadership is afield of study, which is considerably affected by the cultural differences. A large number of researchers have attempted to prove the effect of cultural differences on leadership behavior. Yet, the complex nature of the cross-cultural studies has prevented to reach definite results. The aim of this study is to investigate the effect of cultural values and differences on leadership behavior. To this end, the sample consisting of Turkish and American managers has been tested by using Bass and Avolio's (1997) Multifactor Leadership Questionnaire (MLQ/5X) and Schwartz's (1992) Personnel Values Questionnaire (PVQ-IV). The findings of the research have showed that there are differences between Turkish and American leaders regarding cultural values, and the effects of these differences on their leadership behavior have been discussed in the conclusion section.Item The Effects of Exercise Program on Satisfaction Level in Unilateral Above Knee Amputees(2015) Anaforoglu, Bahar; Erbahceci, Fatih; Tuzun, Emine Handan; Sonmezer, EmelPurpose: To investigate the effects of exercise program performed under the supervision of a physiotherapist, on prosthetic satisfaction level in unilateral above knee amputees. Methods: 19 unilateral above knee amputees, with the mean age of 39.3+/-12.8 years were enrolled in this study. The sociodemographic and clinical characteristics and properties of the prostheses of the participants were recorded. All cases attended to a 10 session exercise program. They continued the exercises after the program finished. The satisfaction level of the patients concerning comfort, appearance weight of the prosthesis and walking with prosthesis were assessed by Visual Analog Scale (VAS) before and 2 months after the treatment. Results: When compared pre and post-treatment results, comfort of the prosthesis (p=0.048), satisfaction with the appearence of prosthesis (p=0.01), and walking ability (p=0.033) were statistically different. Discussion: In the present study, it is demonstrated that the exercise program affected prosthetic satisfaction levels positively in unilateral above knee amputees.Item Relationship Between Vitamin B12, Homocysteine and Oxidative Stress in Juvenile Idiopathic Arthritis(2016) Bicer, Nihan Cakir; Aksoydan, Emine; Zeybek, Cigdem Aktuglu; Barut, Kenan; Kasapcopur, OzgurJuvenile idiopathic arthritis (JIA), which is one of the rheumatic diseases, is a systemic inflammatory disease characterized by chronic and erosive synovitis that involves peripheral joints. In patients who had been diagnosed with JIA, increasing proinflammatory cytokines, metabolic abnormalities associated with systemic inflammation, may provoke vascular endothelial damage which can cause atherosclerosis. Homocysteine is another metabolite among the factors causing endothelial dysfunction. Homocysteine is an intermediate metabolite which is formed during the conversion of methionine to cysteine and high levels of homocysteine in blood can lead to vascular damage. Dietary folate and vitamin B12 deficiency can cause an increase in blood homocysteine levels. Vitamin B12 is essential for the transfer of methyl group and cell division in humans, but it is also important for the proliferation, maturation and regeneration of the nerve cells. In addition, "functional vitamin B12 deficiency" in which blood vitamin B12 level is in the normal range and without severe clinical symptoms like anemia has also been reported. Studies have showed that vitamin B12 deficiency can lead to oxidative stress without causing significant increase in homocysteine levels by its effects on cytokines, growth factors, nitric oxide metabolism, antioxidant enzymes and producing reactive oxygen species.Item The Effects of Two Different Water Exercise Trainings on Pain, Functional Status and Balance in Patients with Knee Osteoarthritis(2018) Kunduracilar, Zuhal; Sahin, Hulya Guvenir; Sonmezer, Emel; Sozay, Seyhan; 0000-0002-8460-7699; 29475802; AAJ-2936-2021Methods: Eighty-nine female patients who had been diagnosed with knee osteoarthritis were divided into three groups as two experimental and a control group. All groups have received the standard therapy (hotpack, ultrasound, TENS). Both experimental groups underwent water exercise program. While Group 1 performed lower extremity exercise training, Group 2 performed upper extremity exercises as well as trunk exercises in addition to the lower extremity exercises used in the Group 1. The third group was control group who did not receive water exercise treatment. The pain severity was measured with the Visual Analog Scale (VAS). Functional status was assessed by using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Balance was evaluated by using the single leg stance test. Results: The change in VAS scores from pre-to post-treatment was highest in Group 1 (p < 0.001). On the other hand, the change in WOMAC pain, stiffness and physical function values from pre-to post-treatment was highest in Group 2 (p < 0.001). Discussion: Water exercise training was found to be beneficial in the treatment of knee osteoarthritis in both groups. Moreover, adding upper extremity and trunk exercises to the lower extremity exercises was found to be more effective for improving the function. (C) 2018 Elsevier Ltd. All rights reserved.Item Physiotherapist-Patient Interaction: A Qualitative Analysis(2021) Yilli, Sercan; Sogut, Bensu; Kalmaz, Serkan; Altay, Faruk; Gunduz, Sualp; Arslan, Damla; Sezik, Ebru Gul; Turgut, ElifPurpose: Eliciting main concerns of the patients is defined as determining a patient's agenda. Setting a patient's agenda is extremely important for planning patient-centered care and planning individualized rehabilitation program. This study aimed to describe agenda elicitation in rehabilitation, to determine the frequency of encounters in which physiotherapists elicited the patients with musculoskeletal disorders agenda, the proportion and timing of interrupted answers. Methods: This research is a qualitative study which has three steps systematic analysis has carried out. In the first phase, 137 clinical encounters and seven blinded physiotherapists were included in this study. In the second phase, the first physiotherapist-patient interaction, including open and closed-ended questions, were asked by physiotherapists, was recorded. In the third phase, thematic analysis of the elicitation of the patient agenda characteristics was performed. Results: Physiotherapists elicited the patient's agenda in 76.60% of clinical encounters. In those encounters in which physiotherapists elicited patient concerns, the clinician interrupted the patient after a median of 14.60 seconds (min-max, 1 to 120 seconds). In the un-interrupted encounters in which physiotherapists elicited patient concerns, the patients with musculoskeletal disorders were stated their agenda in 47.70 +/- 35.70 seconds. Conclusion: In general, most of the physiotherapists emphasize to elicit the patient's agenda; however, they interrupt the patient's expression significantly sooner. Eventually, the failure to elicit the patient's agenda inhibits evaluating patients' needs, and this would lead to failure in planning the rehabilitation program based on individual needs.Item Hegemonic Masculinity in Yasar Kemal's Demirciler carsisi Cinayeti and Yusufcuk Yusuf Novels(2021) Seker, Aziz; Ozcan, EmreIn recent years, with the widespread use of gender approaches in the literature of social sciences, the phenomenon of masculinity has become one of the central issues of the disciplines of sociology and cultural anthropology. In addition, in studies within the sociology of literature and literature, analyzes have gained momentum via conceptualizations such as patriarchy, gender inequality, masculine domination, and masculinity. Considering that novels, which can work on social reality around cultural, political and economic conditions, are a serious object of study for the sociology of literature, it can be understood why these conceptualizations come to the fore front. Eventually, literature does not correspond to an autonomous field outside of social history, and the reality of masculinity is not external to this history. Yasar Kemal, one of the important representatives of modern Turkish literature, presents the social and cultural structure and relations of production of the period to the reader in his own unique style. The phenomenon of masculinity emerges as the junction point of socio-economic, cultural and political structure and human relations, which it analyzes especially through the cukurova region. From this point of view, in this study, his novel Akcasazin Agalari, in which consists of two volumes as Demirciler Carom Cinayeti and Yusufcuk Yusuf opens to a discussion within the framework of hegemonic masculinity.Item Investigation of Occupational Accidents Health Workers in Nursing Services Are Exposed To(2020) Ugurlu, Ziyafet; Ozhan Elbas, Hatice Nalan; Gunay, AylinIntroduction: In this study, occupational accidents experienced by health personnel (nurses, midwives, emergency medical technicians, paramedics, operating room technicians, assistant health technicians and care support personnel) working in the nursing services of our hospital between 2013-2018 were investigated. Materials and Methods: This study was carried out retrospectively. Three hundred and seventy-four occupational accident forms of health personnel (nurses, midwives, emergency medical technicians, paramedics, operating room technicians, assistant health technicians and care support personnel) reported to the nursing services were evaluated. The data were categorized according to age, sex, title and unit, working year, accident, date and time of the accident. Descriptive statistics (number, percentage, median, mean, standard deviation) and chi-square test were used in the evaluation of the data. Results: It was determined that 84.2% of the health personnel who reported occupational accidents were females, 46.9% were in the 18-25 age group, and 93.1% were high school, associate degree and university graduates. The majority of health personnel were nurses (69.5%), approximately half (47.8%) of the health workers reporting accidents were working in surgical units and intensive care units, 77.0% had been working for 5 years or less, and the occupational accident rate was the highest in 2017 (37.2%). When occupational accident reports were examined, it was found that there was no seasonal feature and the frequency of occupational accidents was higher in 08:00-20:00 shifts (67.9%). Considering the classification of occupational accidents, it was found that 53.2% of these injuries were caused by needlestick and sharp injuries, 33.7% by physical risks damaging musculoskeletal system and 13.1% by biological risks due to blood and body fluids exposure. It was found that the highest number of occupational accidents occurred during treatment (34.7%) and 49.7% were caused by needlestick. Conclusion: It was determined that the health personnel working in surgical areas have a higher risk of occupational accidents. Approximately half of the occupational accidents occurred frequently during treatment due to needlestick and consequently, needlestick and sharp injuries took the first place. It is necessary to identify situations that threaten employee health, develop policies aiming to prevent occupational accidents and take preventive measures to prevent infection risk due to needlestick and sharp injuries and biological risks in terms of employee health.Item Determination of sleep quality, fatigue, and concentration in nurses according to their shifts and chronotype(2020) Karahan, Azize; Abbasoglu, Aysel; Ugurlu, Ziyafet; Isik, Sevcan Avci; Kilic, Gulsen; Elbas, Nalan OzhanItem The Necessity of Sector Carrying Capacity in Multinational Companies' FDI Location Choice(2019) Baskici, Cigdem; Ercil, Yavuz; AAI-6607-2020The aim of this study is to define the carrying capacity as a new criterion in multinational companies' foreign direct investment (FDI) location choice. The validity of such a definition requires the existence of a causal relationship between FDI and the number of companies at the investment location. As carrying capacity is a function of the sector population, FDI refers to the decisions of foreign investors regarding location choice. With this in mind, the company numbers and FDI data used belonging to 34 sub-sectors of Agriculture, Industry and Services sectors in Turkey between the years of 2006-2016 were analyzed. The Granger causality test was applied to investigate the causal relationship between the company numbers and FDI. As a result of the findings, a causality relationship between the number of companies and FDI was determined in 29 of the 34 sub-sectors. A causality relationship could not be found in 2 sub-sectors. Analysis was not possible in the remaining 3 sub-sectors because of a lack of data. The results show that carrying capacity can be used as decision criterion in multinational companies' FDI location choice. In addition to this main result of the study, predictions for the investment decision are presented in the light of the analyses along with evaluations of the carrying capacity of the Agriculture, Industrial and Services sectors.