Yazarlar

  • MakaleAçık Erişim2023Scopus SJRQ3
    A needful, unique, and in-place evaluation of the injuries in earthquake victims with computed tomography, in catastrophic disasters! The 2023 Turkey-Syria earthquakes: part II

    Tonkaz, Gokhan; Sengul, Demet; Bekci, Tumay; Sengul, Ilker; Cakir, Ismet Mirac; Onder, Ramazan Orkun; Tonkaz, Duygu Erkal; Eryuruk, Uluhan; Aksoy, Iskender; Veiga, Eduardo Carvalho de Arruda

    OBJECTIVE: This study aimed to determine the computed tomography findings associated with very recent catastrophic 2023 Turkey-Syria earthquake-related injuries and their anatomotopographic distribution in the adult population.METHODS: The incorporated computed tomography scans of 768 adult cases who had been admitted to the hospital and had undergone computed tomography imaging after these tragic disasters had been examined on the Teleradiology Reporting System of the Turkish Ministry of Health. To this end, the injuries were classified into six categories: head, thoracic, spinal, pelvic, extremity, and abdominal injury, with three age groups (18-34, 35-64, and 365 years) and four different imaging intervals (<24, 24-48, 49-72, and >72 h).RESULTS: This study incorporated 316 (41.1%) cases on the first day, 57 (7.5%) on the second day, 219 (28.5%) on the third day, and 176 (22.9%) on the fourth day after the earthquake or later. Of the 768 cases, 109 (14.2%) had a head injury, 100 (13.0%) had a thoracic injury, 99 (12.9%) had a spinal injury, 51 (6.6%) had a pelvic injury, 41 (5.4%) had an extremity injury, and 11 (1.4%) had an abdominal injury.CONCLUSION: In these regrettable earthquake disasters, we determined a high ratio of head injuries, which was closely followed by thoracic and spinal injuries, in our preliminary outcomes for the pediatric population, Part I. The frequency of abdominal injuries was low among individuals who experienced the earthquake. Last but not least, we have noticed a higher likelihood of spinal injury in individuals older than 65 years in the studied population.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfWoS5OpenAlex4
    Web of SciencePubMedİncele
  • MakaleAçık Erişim2023Scopus SJRQ3
    A needful, unique, and in-place evaluation of the injuries in earthquake victims with computed tomography, in catastrophic disasters! The 2023 Turkey-Syria earthquakes: part I

    Cakir, Ismet Mirac; Sengul, Ilker; Bekci, Tumay; Tonkaz, Gokhan; Eryuruk, Uluhan; Onder, Ramazan Orkun; Aksoy, Iskender; Bayar, Ayse Elif; Tonkaz, Mehmet; Sengul, Demet

    OBJECTIVE: This study was carried out to evaluate the injuries in pediatric earthquake victims due to the 2023 Turkey-Syria earthquakes with computed tomography and determine the anatomotopographic distribution of injuries. METHODS: The material of this retrospective study consisted of the computed tomography findings of 257 pediatric cases injured in the 2023 Turkey-Syria earthquakes, and those were divided into subgroups based on their age group, i.e., 0-4, 5-9, 10-14, and 15-18 years, and the type of injury, i.e., head, maxillofacial, thoracic, abdominal, pelvic, and spinal injuries. RESULTS: Earthquake-related injuries had been detected in 102 (39.6%) patients. Of the 29 patients with multiple injuries, 17, 10, and 2 had injuries in two, three, and four topographic regions, respectively. The most common injury was a head injury, which was detected in 48 (18.7%) cases, followed by thoracic injury, spinal injury, pelvic fracture, abdominal injury, and maxillofacial fracture, which were detected in 40 (15.6%), 22 (8.5%), 19 (7.4%), 10 (3.9%), and 6 (2.3%) patients, respectively. The cranial bone fractures and intracranial injuries were significantly more frequent in the 0-4 years age group compared with other age groups (p=0.028 and p=0.024, respectively). The rib fractures with spinal and pleural injuries were significantly more common in the 15-18 years age group compared with others (p=0.016, p=0.004, and p=0.002, respectively). CONCLUSION: The head injury was the most common earthquake-related injury in pediatric cases. Herein, it was more common in younger children compared with other age groups, whereas rib, spine, and pleural injuries were more common in older children.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfWoS7OpenAlex8
    Web of SciencePubMedİncele
  • MakaleAçık Erişim2023Scopus SJRQ3
    An Automatic Approach for Bone Tumor Detection from Non-Standard CT Images

    Reis, Hatice Catal; Bayram, Bulent

    Image processing techniques are applied in many fields of science. This study aims to detect tumors in the foot and create 3D models via computed tomography (CT), as well as to produce biometric data. 1 039 CT images were obtained from a server. The parameters used were a collimation of 64 detectors, a scanning thickness of 0,5-3 mm, and a pixel size of 512 x 512, with a radiometric resolution of the 16-bit gray levels. Noise reduction, segmentation, and morphological analysis were performed on CT scans to detect bone tumors. In addition, this study used digital image processing techniques to create a virtual three-dimensional (3D) model of bone tumors. The performance of our proposal was evaluated by analyzing the receptor operating characteristics (ROC). According to the results, the sensitivity, specificity, and precision in tumor detection were 0,96, 1, and 0,98%, respectively, with a 0,99% average F-measure. Radiologist reports were used for the sake of comparison. The proposed technique for detecting bone tumors of the foot via CT can help radiologists with its increased precision, sensitivity, specificity, and F-measure. This method could improve the diagnosis of foot and ankle tumors by allowing for the multidirectional quantification of abnormalities.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfWoS1OpenAlex2
    Web of Scienceİncele
  • MakaleYayıncıda açık erişim2023
    PSYCHOLOGICAL EFFECTS AND PSYCHOLOGICAL RESILIENCE OF THE COVID-19 OUTBREAK IN TURKEY

    Ulutasdemir, Nilgun; Yigitalp Rencber, Sureyya; Öztürk Çopur, Ebru

    The population of the cross-sectional and descriptive study consisted of individuals living in Turkey between 19 May and 19 July 2020. Due to the pandemic, 3035 people who agreed to participate in the research were reached via online survey method. Sociodemographic data form and Beck's Anxiety Inventory were used as data collection tools. 59.1% of the participants in the study are women and the average age is 35.16 +/- 13.4. 0.8% of individuals stated that they were infected with coronavirus, 21.4% stated that they had a family member or close circle affected by coronavirus disease, 6.3% stated that they had relatives who died from this disease, and 9.9% stated that they applied for quarantine as a suspected patient. While 89.3% of individuals stated that they stayed at home, 79.2% stated that they had been away from home for the last two weeks. It was found that the mean scores of Beck's Anxiety Inventory were higher in women, those in the older age group, those who were married, those with higher education levels, and those who perceived their socioeconomic status as low. In this study, it was determined that individuals living in Turkey experienced high levels of anxiety due to coronavirus.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2023
    Studying the Relationship between the Attitude towards Gender Roles of Parents and the Quality of Parent-Child Relationship in Nurses

    Cirik, Vildan Apaydin; Aksoy, Bahar; Bulut, Elif

    Gender role attitudes show people's attitudes about appropriate role activities for women and men. Many family-related factors, including parents' beliefs and behavior, can affect how people view gender roles. Nurses as health care providers can play a role in helping to form health values and behaviors at different levels. The purpose of this study was to investigate the relationship between the attitude toward gender roles of parents and the quality of parent-child relationships in working female nurses. This study was correlational descriptive research that was conducted on 135 female nurses working in selected hospitals. Statistical analysis was done using SPSS version 23. The average age of the participants was 32.62 years, the average score of attitude towards gender roles in nurses was 170.47, and it was reported in the range of 139 to 185. The mean attitude score in the dimension of the femininity role was equal to 64.06, in the dimension of the masculinity role was equal to 54.78, and in the social desirability dimension was equal to 51.64. The average score of the parent-child relationship was 142.19. The results showed a direct and significant relationship between the score of attitude towards gender roles and parent-child relationships in female nurses (P < 0.05, R = 0.187). The results of this study can be used in various areas of education and awareness of parents and school parents to influence the quality of relationships, values, and attitudes of children and parents and to change the public opinion of society about the positive role of women and men in building society.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus14OpenAlex13
    Scopusİncele
  • MakaleYalnız künye2023Scopus SJRQ3
    A barrier to participation in cervical cancer screenings: fatalism

    Duru, Gökcem; Topatan, Serap

    Cervical cancer is a significant disease affecting women’s health in terms of its incidence and is one of the most preventable cancers. However, participation in early cervical cancer-screening programs has been unsatisfactory for various reasons. In this descriptive, relationship-seeking study, we examined the relationship between fatalism tendency, an individual barrier to participation in early cancer screening programs, and women’s attitudes toward the early diagnosis of cervical cancer and undergoing the Pap smear test. Research data were collected between August 1, 2019 and December 1, 2019, in a city in northern Turkey from 602 women using a participant information form, the Attitudes Toward Early Diagnosis in Cervical Cancer Scale, and the Fatalism Tendency Scale. We found that fatalistic tendencies in women were a predictor of their attitudes toward the early diagnosis of cervical cancer (odds ratio [OR] = −0.64, β =.47, p <.001) and undergoing the Pap smear test (OR = 1.01, β = −.15, p <.001). Women with high fatalism tendencies had a more negative attitude toward the early diagnosis of cervical cancer and their participation rate in Pap smear screening programs was low. Therefore, nurses must consider women’s fatalistic tendencies and attitudes toward cancer when organizing educational and informational programs that encourage participation in cervical cancer screening.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus9WoS7OpenAlex11
    ScopusWeb of SciencePubMedİncele
  • Derleme MakaleAçık Erişim2023Scopus SJRQ3
    Climate change in Türkiye and its impact on oncology nurses

    Kaya, Afşin Ahmet; Aydin, Aydanur; Bağcivan, Gülcan

    Climate change threatens human life and health by negatively affecting the basic components of health such as clean air, safe drinking water, nutritious food supply, and safe shelter. Türkiye is a country that is largely exposed to climate change with its cosmopolitan location, which is a bridge between Asia and Europe. Due to climate change, serious effects are seen in all sectors from energy to agriculture, from the economy to health. Climate change is defined as the most important global health threat of the next century, and the problems it brings are seen as the most important pressure factor for the life opportunities of future generations. Food and fresh water availability, rising sea levels, abnormal weather events, migration, and diseases are thought to affect human health. A multidisciplinary approach is required to adapt to climate change’s health effects and reduce its negative health effects. In addition, it is predicted that diseases that are about to disappear will re-emerge and become threats. It is thought that as a result of the contamination of food and water resources with the changing ecosystem, some infections will increase and society will face them. Nurses are both affected by climate change and its effects on public health. Nurses who remain in this situation have a great role in providing effective awareness for raising public awareness. In recent years, oncology clinics have not been affected by fire, earthquakes, and pandemics in our country. In this respect, it can be stated that the health service in Turkish oncology clinics is carried out uninterruptedly and by experts in the field. We learned during the pandemic that the whole world is unprepared for the future effects of climate change. In this direction, nurses should think about solutions for the problems related to climate change in the future.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 13 · İklim Eylemi
    AtıfScopus2WoS2OpenAlex2
    ScopusWeb of SciencePubMedİncele
  • MakaleYalnız künye2023Scopus SJRQ2
    Assessment of Knowledge, Emotion, and Attitude Levels of Kindergarten and Elementary School Teachers on the Disaster Management and Pediatric First Aid

    Kaya, Afsln Ahmet; Ayker, Bereket

    Objectives: This study's aim is to assess the disaster management and pediatric first aid-related knowledge, emotion, and attitude levels of of kindergarten and elementary school teachers, as the professionals that are first to provide interventions in the case of a disaster to children ages 0-8, who are considered to be among the vulnerable groups in the context of a disaster. Methods: A total of 119 teachers working in the kindergarten and elementary schools located in the GÜmÜşhane province of Turkey were included in the study and were asked to fill in a questionnaire that comprises 3 sections. Data collection tools included a sociodemographic questionnaire, teachers' disaster management knowledge levels, and teachers' pediatric first-aid knowledge, emotion, and attitude levels. Results: Analysis of the scores obtained by the teachers from the questionnaire revealed that the teachers, who participated in the study, had a high level of disaster management knowledge and a moderate-to-high level of pediatric first aid knowledge. Conclusions: It is suggested as a result of this study that the disaster risks and injuries or losses of life associated with disasters that may occur at schools may be reduced with disaster management and first-aid interventions.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 4 · Nitelikli Eğitim
    AtıfScopus5WoS3OpenAlex6
    ScopusWeb of SciencePubMedİncele
  • MakaleAçık Erişim2023Scopus SJRQ3
    The Effects of Hawthorn (Crataegus oxyacantha) Fruit Extract on Performance, Carcass and Some Serum Parameters of Broilers Reared Under Heat-Stress Conditions[2]

    Kaya, Hacer

    Background: The present experiment was conducted to investigate the effect of heat stress (HS) and hawthorn (Crataegus oxyacantha) fruit extract (HFE) on performance, carcass characteristics and serum parameters in broiler chickens. Methods: Experimental treatments included two different ambient temperatures (24°C: thermoneutral conditions, or 35°C: HS conditions) and three different HFE (0, 0.2 and 0.4 ml/L) in a 2×3 factorial arrangement. A total of 300 1-day-old broiler chicks were randomly allotted 1 of 6 treatments with five replicates. A total of 300 1-day old broiler chicks were randomly allocated to 6 groups with five replications of 10 birds each. HFE supplementation had no effect on growth performance, carcass characteristics and visceral weight in stressed groups (P>0.05). It was also determined that it has a lowering effect on serum malondialdehyde (MDA), free fatty acid (FFA), triacylglyceride (TAG), total lipid (TL) and low density lipoproteins (LDL) (P<0.05), but it has no effect on other parameters (P>0.05). Result: As a result, it is thought that the addition of HFE to the drinking water of broiler chickens exposed to HS has no effect on the performance characteristics, HFE has a hypolipidemic effect and would be beneficial in order to strengthen the immune system.

    • SDG 2 · Açlığa Son
    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus2WoS2OpenAlex1
    ScopusWeb of Scienceİncele
  • MakaleYalnız künye2023Scopus SJRQ1
    Do earthquake survivors want to escape the threats of earthquakes and why?

    Özdemir, Ahmet; Mızrak, Sefa

    Destructive earthquakes and the possibility of experiencing destructive earthquakes may cause people to move from their area to safer ones. However, despite high earthquake risk, people may not want to leave the area they reside for various reasons. The objective of this study was to investigate whether earthquake experience, earthquake insurance, satisfaction with city, self-efficacy, risk perception, social support, post-earthquake insecurity and price gouging was correlated with relocation willingness in an earthquake-prone area. Data were collected using a survey from 1114 people residing in Kocaeli (Türkiye), where a devastating earthquake occurred in 1999. 610 people who participated in the study were affected by this earthquake and 504 people were not affected. In order to better understand the impact of earthquake exposure on relocation willingness, ordinal logistic regression analyzes were performed separately for the earthquake affected and unaffected sample. The result showed that the relocation willingness of the unaffected participants was higher than the relocation willingness of the affected participants. People who were psychologically affected by the earthquake were more likely to relocate. Satisfaction with the city reduced the participants' relocation willingness mostly. The fear of earthquakes and perceived insecurity after a future earthquake increased all participants' relocation willingness. It is hoped that this study will guide scientists and disaster managers working in regions where destructive disasters may occur to improve strategies related to relocation policy and earthquake risk reduction.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 11 · Sürdürülebilir Şehirler ve Topluluklar
    AtıfScopus10WoS9OpenAlex10
    ScopusWeb of Scienceİncele
  • MakaleAçık Erişim2023Scopus SJRQ3
    A study on the relationship between sociodemographic characteristics and job stress and satisfaction among healthcare workers in Turkey during the COVID-19 pandemic; [Ispitivanje utjecaja sociodemografskih karakteristika na profesionalni stres i zadovoljstvo u zdravstvenih radnika u Turskoj tijekom pandemije bolesti COVID-19]

    Tuna, Hasan; Türkmen, Osman Oǧulcan; Albayrak, Sirer

    The aim of this study was to determine the sociodemographic characteristics that affect job stress and job satisfaction in 454 healthcare workers (physicians, nurses, midwives, technicians, and other healthcare personnel) working with COVID-19 patients in primary healthcare institutions in Turkey with a cross-sectional, web-based survey between 9 and 30 August 2021. The survey included a personal information form, a standard job stress scale, and the Minnesota Satisfaction Questionnaire. The levels of job stress and job satisfaction did not differ between male and female respondents. Singles reported lower job stress and higher job satisfaction than the married respondents. Job stress did not differ between departments, but respondents on the front line who worked in a COVID-19 intensive care unit (ICU) (at any point and/or at the time of the study) or the emergency department reported lower job satisfaction than those working in other departments. Similarly, while stress did not differ by educational status, satisfaction of respondents with bachelor's or master's degree was lower than that of the rest. Our findings also suggest that working in a COVID-19 ICU and age are significant predictors of higher stress, whereas lower education, working in a COVID-19 ICU, and being married are good predictors of lower satisfaction. Further research should include other sociodemographic variables that may affect stress and satisfaction at work, and similar studies should follow up to see what was left in the wake of the pandemic.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 8 · İnsana Yakışır İş ve Ekonomik Büyüme
    • SDG 10 · Eşitsizliklerin Azaltılması
    AtıfScopus5OpenAlex6
    ScopusWeb of SciencePubMedİncele
  • MakaleAçık Erişim2023Scopus SJRQ2
    Attachment Anxiety and Interpersonal Relationship Styles: The Mediating Role of Interpersonal Cognitive Distortions

    Kaya, Feridun; Odacı, Hatice; Yazıcı Çelebi, Gülin

    In the current study, we investigated attachment anxiety and interpersonal cognitive distortions as predictors of interpersonal relationship styles. In this context, we conducted this study to describe the relationships between attachment anxiety, interpersonal cognitive distortions, and interpersonal relationship styles, and to explore the mediating role of interpersonal cognitive distortions in the relationship between attachment anxiety and interpersonal relationship styles. A total of 342 adult women, 201 of whom were married (58.8%) and 141 of whom were single (41.2%), participated in the study, which was conducted based on the correlation model. In the study, data collection tools included the Experiences in Close Relationships Scale, the Interpersonal Relation Styles Scale, and the Interpersonal Cognitive Distortions Scale. In the study, mediation analyses were conducted, and the results indicated that interpersonal cognitive distortions had a partial mediating role in the relationship between attachment anxiety and interpersonal relationship styles.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus6WoS5OpenAlex7
    ScopusWeb of Scienceİncele
  • MakaleAçık Erişim2023
    Reflection of COVID-19 in The Context of Posttraumatic Growth in Turkish Society

    Yiğitbaş, Çağla; Elkoca, Ayşe; Özcan, Handan

    The aim of the study was to determine whether the COVID-19 pandemic had a positive impact on posttraumatic growth and to identify the influential factors. Quantitative method was used. A descriptive cross-sectional study was conducted. Permissions were obtained before the research. The sample size was calculated with the formula t2xs2/d2. After the calculation, 106 people who consented to participate in the study were reached. Data were collected by convenience sampling method. The mean age of the participants was 31.61 ± 11.05 years. 58.5% of the participants were female and 44.3% were married. The rate of those who said they had a high income was 9.4%. More than half of the participants stated that they experienced anxiety due to the pandemic, and more than half stated that they had this disease at home. Those who reported that they were not currently working, those who thought that their mental health was affected, and those who reported experiencing anxiety due to the pandemic had higher scores on the Posttraumatic Growth Inventory. Posttraumatic growth and its sub-dimensions were found to make a difference in terms of some sociodemographic characteristics. Repeating this research in different cultural societies will be decisive and clarifying in terms of results.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 8 · İnsana Yakışır İş ve Ekonomik Büyüme
    • SDG 10 · Eşitsizliklerin Azaltılması
  • MakaleAçık Erişim2023
    Determinants of Individual Worries on Food Insecurity in Afghanistan

    Karapınar Kocağ, Esra

    According to the United Nations (UN), more than 30 per cent of the world’s population experienced food insecurity moderately or severely in 2020 and Sustainable Development Goal 2 clearly claims to end hunger by 2030. Afghanistan within those regions with severe food insecurity has become prominent as both environmental deterioration due to climate change and ongoing conflict affects this situation twice as much. Using Food Insecurity Experience Scale (FIES-2018) data that was provided by Food and Agriculture Organization of the United Nations (FAO), this paper provides evidence on the determinants of individual worry on having enough food with a sample of 998 individuals through a probit model. Findings reveal that having a college degree significantly reduces the probability of being worried not to have enough food. Further, living in a rural area increases this probability, while being in a richer income quintile and having one more adults in the household decreases it. Empirical evidence of this research suggests a few policy implications. Education should be generalised in the society; and production techniques in the rural areas should be improved to increase the level of production and to save the environment. These efforts might increase the wage level that would help to increase household income to alleviate food insecurity.

    • SDG 1 · Yoksulluğa Son
    • SDG 2 · Açlığa Son
    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 10 · Eşitsizliklerin Azaltılması
    AtıfScopus2OpenAlex2
    ScopusTR Dizinİncele
  • MakaleYalnız künye2023Scopus SJRQ1
    Needs of caregivers of patients with palliative neurological problems: a qualitative study

    Ulutaşdemİr, Nilgün; Ay, Halil; Göçmen, Adalet; Uzun, Sevda; Kulakaç, Nurşen

    Objective: This article aimed to investigate the needs of caregivers of patients with palliative neurological problems and contribute to the solution proposals. Material-method: Phenomenological research design, a qualitative research design, was used in the study. The article was conducted with 16 relatives of patients with palliative neurological problems. The interviews were conducted using face-to-face in-depth semi-structured interview form. Colaizzi’s phenomenological analysis method used for the analyse. Results: In the analysis of the data, three categories, eight main themes, and seventeen sub-themes emerged. As a result of the interviews with the participants, the category of the effect of neurological palliative disease on the quality of life of individuals was gathered under three main themes, namely mental, physical, and social effects, and in the process of coping with the disease requiring neurological palliative care, two main themes were identified as emotion-focused coping and problem-focused coping. Conclusion: It was concluded in our study that having a patient in palliative care has psychological, social, and physical effects on the relatives of the patients. The burden of caregiving mostly affects the relatives of patients negatively. Relatives of patients mostly need time for themselves, moral support, and companion support.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus18WoS24OpenAlex30
    ScopusWeb of Scienceİncele
  • Kitap BölümüYalnız künye2023
    Artificial intelligence in health and applications

    Köse, Asli

    Artificial intelligence technologies are tools that develop with the contribution of different disciplines from statistics to computer science. These tools contribute to the health sector in many ways, from reducing medical errors, especially in costs, to increasing the patient's accessibility to health services. In addition to the contributions of artificial intelligence technologies, there are ethical concerns and concerns about the use and dissemination of these technologies. The recent COVID-19 pandemic has supported the increase in the level of patient participation in healthcare processes and the transfer of personalized applications to digital environments. Within the scope of this research, artificial intelligence concepts and applications in the field of health will be included. The advantages and disadvantages of artificial intelligence applications in the field of health service delivery will be evaluated.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus10OpenAlex8
    Scopusİncele
  • MakaleYalnız künye2023Scopus SJRQ1
    The effectiveness of post-disaster psychotherapeutic interventions: A systematic review and meta-analysis study

    Semerci, Murat; Uzun, Sevda

    Objective: This study aimed to determine the level of impact of post-disaster psychotherapeutic interventions. Material method: For this systematic review and meta-analysis study, the studies were accessed through the databases of PubMed, Web of Science, EBSCOhost, Google Scholar, and YÖK Thesis Center in July-September 2022 without any year limitation. As a result of the examinations, 27 studies were included in the study. The data were synthesized by meta-analysis and narrative methods. Results: According to the results of this systematic review and meta-analysis, post-disaster psychotherapeutic interventions were found to be effective (SMD:−0838, %95 CI: −1,087- 0.588; Z = −6588, p = 0.000, I2 = %95,249). Individuals who have undergone psychotherapeutic interventions experience either no or fewer post-traumatic stress disorder symptoms. The country/continent of the research, the types of psychotherapeutic interventions, the type of disaster, and the measurement tool used influence the effectiveness of the psychotherapeutic interventions. Psychotherapeutic interventions applied especially after earthquakes, one of the types of disasters, were found to be effective. In addition, EMDR, cognitive behavioral therapy, psychotherapy, and exposure method were found to reduce posttraumatic stress disorder symptoms in individuals in the post-disaster period. Conclusion: Post-disaster psychotherapeutic interventions have positive impacts on people and improve their mental health.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus13WoS12OpenAlex17
    ScopusWeb of SciencePubMedİncele
  • MakaleAçık Erişim2023Scopus SJRQ1
    Transfer Learning Approach and Nucleus Segmentation with MedCLNet Colon Cancer Database

    Reis, Hatice Catal; Turk, Veysel

    Machine learning has been recently used especially in the medical field. In the diagnosis of serious diseases such as cancer, deep learning techniques can be used to reduce the workload of experts and to produce quick solutions. The nuclei found in the histopathology dataset are an essential parameter in disease detection. The nucleus segmentation was performed using the colorectal histology MNIST dataset for nucleus detection in this study. The graph theory, PSO, watershed, and random walker algorithms were used for the segmentation process. In addition, we present the 10-class MedCLNet visual dataset consisting of the NCT-CRC-HE-100 K dataset, LC25000 dataset, and GlaS dataset that can be used in transfer learning studies from deep learning techniques. The study proposes a transfer learning technique using the MedCLNet database. Deep neural networks pre-trained with the proposed transfer learning method were used in the classification with the colorectal histology MNIST dataset in the experimental process. DenseNet201, DenseNet169, InceptionResNetV2, InceptionV3, ResNet152V2, ResNet101V2, and Xception deep learning algorithms were used in transfer learning and the classification studies. The proposed approach was analyzed before and after transfer learning with different methods (DenseNet169 + SVM, DenseNet169 + GRU). In the performance measurement, using the colorectal histology MNIST dataset, 94.29% accuracy was obtained in the DenseNet169 model, which was initiated with random weights in the multi-classification study, and 95.00% accuracy after transfer learning was applied. In comparison with the results obtained from empirical studies, it was demonstrated that the proposed method produced satisfactory outcomes. The application is expected to provide a secondary evaluation for physicians in colon cancer detection and the segmentation. Graphical Abstract: [Figure not available: see fulltext.].

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus29WoS21OpenAlex37
    ScopusWeb of SciencePubMedİncele
  • MakaleYalnız künye2023Scopus SJRQ2
    COVID-19 Vaccine Acceptance, Trust in Vaccine, Anxiety Levels, and Related Factors in Turkish Society

    Aydln, Merve; Kulakaç, Nurşen; Uzun Şahin, Ceyda

    Background: Vaccine acceptance and trust in vaccines pose a complex process affected by many factors. The present study was conducted to determine coronavirus disease 2019 (COVID-19) vaccine acceptance, trust in vaccines, anxiety levels, and related factors in Turkish society. Methods: The data of this cross-sectional and descriptive-correlational study were collected with the snowball method by using an online questionnaire throughout Turkey. The study was conducted between March 15 and April 3, 2021, with 3148 participants from 7 regions and 81 cities in Turkey. Results: It was found that the participants accepted the vaccine at 72.8%, and the trust rate in the vaccine was 66.0%. It was also found that women, single participants, those who had immune system diseases, and with COVID-19 had higher Coronavirus Anxiety Scale scores at significant levels. According to Logistic Regression Analysis, gender, age, trust in the vaccine, perception of risk levels regarding COVID-19, and coronavirus anxiety levels are factors affecting the intentions of participants to accept/reject the vaccine. It was determined that male participants were more likely to accept the coronavirus vaccine (P = 0.028). It was found that health-care employees had higher trust in the coronavirus vaccine (P = 0.006) and acceptance rates (P = 0.010) at significant levels compared with the general population. Conclusion: The COVID-19 vaccine acceptance rate in Turkish society was found to be high, and the level of trust in vaccines and anxiety levels were above the moderate level.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus1WoS1OpenAlex1
    ScopusWeb of SciencePubMedİncele
  • MakaleAçık Erişim2023
    Financial Wellbeing during Covid-19 Pandemic: Concerns about Medical Costs; [Covid-19 Salgını Sırasında Finansal Refah: Tıbbi Maliyetlerle İlgili Endişeler]

    Kocağ, Esra Karapinar

    Financial wellbeing which represents a great concern for individuals regardless of their social status or their current employment situation constitutes an important element of overall individual wellbeing. Within a broader structure of financial wellbeing, concerns about medical costs have gained a vital importance particularly following the pandemic. Identifying what factors influence this growing concern is critical to tackle with the problem and improve individual wellbeing. Hence, this study is expected to shed light on such an important individual and national concern. To that end, this paper utilizes Global Financial Inclusion Database which is based on national representative surveys of about 128,000 adults across more than 120 countries. Empirical analysis in which ordered probit model was applied aims to investigate if there exists an association between financial concerns about medical costs and COVID-19. Findings of the empirical investigation reveal that being in the group of those who are very worried about financial hardship due to Covid-19 outbreak increases the probability of reporting being very worried about medical cost payments by about 34.5 percentage points. Therefore, it is seen that pandemic detrimentally related to individuals’ increased concerns over medical costs. These findings are expected to guide policy makers on the management of healthcare system and measures to improve individual wellbeing.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfOpenAlex1
    Scopusİncele