Yazarlar
- Uzun, Sevda(79)
- Kulakaç, Nurşen(40)
- Turan, Ibrahim(33)
- Demir, Selim(32)
- Türkkan, Tuğba(24)
- Aydin, Aydanur(23)
- Topal, Fevzi(22)
- Aliyazicioglu, Yuksel(21)
- Tuncer, Metin(21)
- Bayrakdaroglu, Serdar(19)
- Demirağ, Hatice(19)
- Hintistan, Sevilay(18)
- Topal, Meryem(18)
- Yılmaz, Coşkun(18)
- Bayrakdaroğlu, Serdar(15)
- Yilmaz, Coskun(15)
- Mentese, Ahmet(14)
- Reis, Hatice Catal(14)
- Demir Doğan, Melike(13)
- Emirza, Elif Güzide(13)
- Memetoglu, Mehmet Erdem(13)
- Tuncer, Gülsüm Zekiye(13)
- Bülbül, Kenan(12)
- Cin, Aynur(12)
- Düzgün, Azer Özad(12)
- Koçak, Tevfik(12)
- Odaci, Hatice(12)
- Oğuzhan, Hatice(12)
- Tonkaz, Duygu Erkal(12)
- Tonkaz, Mehmet(12)
- Turk, Veysel(12)
- Ceylan, Halil Ibrahim(11)
- Kilinc, Kagan(11)
- Köse, Aslı(11)
- Merdan, Mehmet(11)
- Acet, Tuba(10)
- Aksoy, Bahar(10)
- Aydin Sayilan, Aylin(10)
- Baltaci, Cemalettin(10)
- Deger, Orhan(10)
Yayınlar
- MakaleAçık Erişim2020Scopus SJRQ3Educating children through their parents to prevent child sexual abuse in Turkey
Apaydın Cırık, Vildan; Efe, Emine; Velipaşaoğlu, Sevtap
Purpose: The aims of this study were to train parents to recognize and prevent child sexual abuse (CSA); evaluate the problems encountered by parents; and evaluate the overall effectiveness of the CSA training program. Design and Methods: The study used a pretest/posttest design. The study was conducted with a sample of 58 children (aged 3-6 years) and 64 parents. Findings: Children who received CSA prevention education from their parents demonstrated improved knowledge about private parts and about what they should do if they suspect sexual abuse. The parents stated that they encountered some problems (other family members objected to the child being given such training). Practise Implications: Children's risk of abuse may be reduced if their parents teach them about CSA correctly.
AtıfScopus26WoS23OpenAlex36
İncele - MakaleAçık Erişim2020Scopus SJRQ3Excess lifetime cancer risk due to natural radioactivity in Gümüşhane Province, NE Turkey
Maden, Nafiz; Akaryali, Enver; Gücer, Mehmet Ali
In this study, 162 in situ measurements of 238U, 232Th, and 40K radionuclide concentrations dataset taken by the gamma-ray spectrometer in Gümüşhane, Turkey are presented. The gamma ray measurements were performed by a 512-channel, three-window gamma-ray spectrometry equipment made by GF Instruments. We first observed the radionuclides of the 238U,232Th, and 40K values in Gümüşhane. We then calculated the hazard indices of gamma radiation such as annual effective dose equivalent (AEDE), internal and external hazard index (Hin, Hex), and excess lifetime cancer risk (ELCR) based on the radionuclide abundances of 238U, 232Th, and 40K for the first time. In Gümüşhane, the average activity concentrations of radionuclides 238U, 232Th, and 40K were measured as 58.7 ± 34.3 Bq kg-1, 62.7 ± 37.2 Bq kg-1, and 1026.8 ± 486.0 Bq kg-1, respectively. The average outdoor annual effective dose equivalent and ELCR values were 132.2 ± 63.2 mSv yr-1 and 0.40 ± 0.19 × 10-3, respectively. Numerical results indicate that the radiological parameters (AEDE and ELCR) obtained for Gümüşhane Province were greater than the world’s mean values.
AtıfScopus7WoS7OpenAlex6
İncele - MakaleAçık Erişim2020Scopus SJRQ2The Effect of the Fear of COVID-19 on Healthcare Professionals’ Psychological Adjustment Skills: Mediating Role of Experiential Avoidance and Psychological Resilience
Seçer, I; smail; Ulaş, Sümeyye; Karaman-Özlü, Zeynep
As the COVID-19 outbreak is rapidly spreading all over the world, it’s secondary consequences will negatively affect both societies and individuals. The target group, expected to be exposed to the secondary negative consequences most intensely during the pandemic process and afterward, is undoubtedly the healthcare professionals. In this research, the impact of the fear that healthcare professionals in Turkey developed against the outbreak of COVID-19 on their psychological adjustment skills is examined, and in this context, the mediating role of experiential avoidance and psychological resilience is examined. In this context, an answer was sought for the question “Does experiential avoidance and psychological resilience have a mediating role in the impact of COVID-19 fear on psychological adjustment skills of healthcare professionals?” The research was carried out with a total of 370 healthcare professionals reached via online data collection method. Structural equation modeling was used in the data analysis process, and as a result, it was determined that the fear of COVID-19 had a negative effect on the psychological adjustment in healthcare professionals; however, psychological resilience was found to have a protective function that limits this effect, and experiential avoidance has a risk factor that aggravates this effect. Findings obtained from the research are discussed in the context of the literature.
AtıfScopus54WoS47OpenAlex75İncele - MakaleAçık Erişim2020Scopus SJRQ3Determining the quality of life and the sleep quality in patients with benign prostate hyperplasia
Kulakaç, Nurşen; Sayılan, Aylin Aydın
Research question: How is the quality of life and quality of sleep affected in patients with benign prostatic hyperplasia?. Research problem: The aim of this study was to evaluate the quality of life and quality of sleep in patients with benign prostatic hyperplasia (BPH) and to identify the relationship between them. Nocturia is one of the main symptoms associated to BPH, causing significant sleep disturbances, including sleep interruptions. Such sleep interruptions may significantly impair quality of life. Literature review: The assessment of nocturia and its impact on quality of life and sleep quality in patients living with benign prostatic hyperplasia (BPH) has been poor in terms of clinical research; moreover, there is a lack of specific methods to assess this impact. Methodology: The sample of this descriptive study consisted of all patients with the diagnosis of BPH who were admitted to the urology outpatient clinic of a state hospital in Turkey. The data were collected from 212 patients with BPH who accepted to participate in the study in January-June 2018. All patients gave consent prior to inclusion in the study. The Pittsburgh Sleep Quality Index and the WHOQOL-BREF (World Health Organization Quality of Life Scale - Brief Form) were used as the principle data collection tools. Percentage, t test, correlation and one-way variance analysis test were used to evaluate the data. Results: The mean age of the patients was 67.50 ± 8.89 years and 63.2% of them were first diagnosed with benign prostatic hyperplasia 2.13 years ago. The lowest and the highest average scores that the patients obtained from the WHOQOL-BREF were their social and environmental domains scores, respectively. In all, 20.2% of the patient were found to have poor sleep quality (global score ≥ 5). The results showed that there was a positive correlation between the mean scores of the sleep quality of the patients and their quality of life physical domain subscale. It was also found that there was a significant negative correlation between night urination and the sleep quality in BPH patients (P <.05). Conclusions: It was determined that low quality of life in BPH patients is associated with low sleep quality. Personal characteristics, frequent night urination and working status are important determinants of the relationship between quality of life and sleep quality.
AtıfScopus2WoS2OpenAlex1İncele - MakaleAçık Erişim2020Scopus SJRQ2The Mediator Role of Academic Resilience in the Relationship of Anxiety Sensitivity, Social and Adaptive Functioning, and School Refusal With School Attachment in High School Students
Seçer, İsmail; Ulaş, Sümeyye
School has an important function in providing the environment for young people to acquire many skills and knowledge required by contemporary life, but the problems of attachment to school and problematic attendance all over the world reveal an increasing statistic. It is thought that some negative processes such as anxiety sensitivity, social and adaptive functioning, and school refusal can affect this problem. On the other hand, it is considered that the academic resilience of young people has an important protective function in terms of these risk factors. For this purpose, the mediator role of academic resilience between anxiety sensitivity, social and adaptive functioning, and school refusal and school attachment were examined in a Turkish sample of 452 high school students. In the process of data collection, the school refusal assessment scale, social and adaptive functioning scale, and academic resilience scale were adapted and used in the Turkish culture. In the data analysis, the structural equation model was used to determine the direct and indirect predictive effects between the variables. The results of the study showed that academic resilience fully mediated the relationship between anxiety sensitivity and school attachment, whereas it partially mediated the relationship between social and adaptive functioning and school refusal and school attachment. Based on the results of the study, it was evaluated that high academic resilience has a strong protective function against the problems of negative school attachment and problematic school absenteeism among young people, and this finding was discussed within the context of literature.
AtıfScopus45WoS22OpenAlex54İncele - BildiriYalnız künye2020Evaluation of home health care vehicle routing methods by intuitionistic fuzzy AHP
Peker, Iskender; Caybasi, Gokhan; Buyukozkan, Gulcin; Gocer, Fethullah; Kahraman, C.; Cevik Onar, S.; Oztaysi, B.; Sari, I.U.; Cebi, S.; Tolga, A.C.
In our country, Home Health Care (HHC) units support people who are fully bed-dependent in order to provide health services at the right time, place and conditions. Vehicle Routing Problem (VRP) is used for cost, speed and distance optimization in delivering products or services to customers. In addition, there will be improvements in HHC and it will also save on transportation, storage and labor costs by determining the most appropriate VRP’s solution methods. In this respect, the aim of this study is to determine the best VRP’s solution method which can increase the efficiency of HHC. The proposed approach is based on Intuitionistic Fuzzy Analytic Hierarchy Process (IF-AHP) method which is a strong technique for dealing with uncertainties. According to results, the most important criteria is “time based factors”. Meta-heuristic is the appropriate solution algorithms for VRP in HHC.
AtıfScopus3OpenAlex4İncele - MakaleAçık Erişim2020Scopus SJRQ1Machine learning and classical forecasting methods based decision support systems for covid-19
Ünlü, Ramazan; Namli, Ersin
From late 2019 to the present day, the coronavirus outbreak tragically affected the whole world and killed tens of thousands of people. Many countries have taken very stringent measures to alleviate the effects of the coronavirus disease 2019 (COVID-19) and are still being implemented. In this study, various machine learning techniques are implemented to predict possible confirmed cases and mortality numbers for the future. According to these models, we have tried to shed light on the future in terms of possible measures to be taken or updating the current measures. Support Vector Machines (SVM), Holt-Winters, Prophet, and Long-Short Term Memory (LSTM) forecasting models are applied to the novel COVID-19 dataset. According to the results, the Prophet model gives the lowest Root Mean Squared Error (RMSE) score compared to the other three models. Besides, according to this model, a projection for the future COVID-19 predictions of Turkey has been drawn and aimed to shape the current measures against the coronavirus.
AtıfScopus16WoS12OpenAlex15İncele - MakaleYalnız künye2020Scopus SJRQ2Rosa canina Extract has Antiproliferative and Proapoptotic Effects on Human Lung and Prostate Cancer Cells
Kilinc, Kagan; Demir, Selim; Turan, Ibrahim; Mentese, Ahmet; Orem, Asim; Sonmez, Mehmet; Aliyazicioglu, Yuksel
Although several studies have investigated the cytotoxic effects of different Rosa species, there has been only limited research into the cytotoxic effect of Rosa canina. The purpose of this research was to evaluate the antioxidant properties, phenolic characterization, and cytotoxic effects of R. canina on human lung (A549) and prostate (PC-3) cancer cells and the possible mechanisms involved. The antioxidant properties and phenolic characterization of the extract were determined using spectrophotometric methods and RP-HPLC, respectively. The cytotoxic activity of the extract was determined using the MTT assay. The mechanism involved in the extract’s cytotoxic effect was then evaluated in terms of apoptosis, the cell cycle, mitochondrial membrane potential (MMP), and caspase activity using fluorometric and luminometric methods. The TPC value of the extract was 58.97 ± 2.22 mg gallic acid equivalents per gram sample, and ascorbic acid and p-coumaric acid were detected as major phenolics in the extract. R. canina extract exhibited a selective cytotoxic effect on A549 and PC-3 cells compared to normal fibroblast cells. The extract induced cell cycle arrest at the G1 phase and apoptosis via reduced MMP and increased caspase activity in these cells. Phytomedical applications of R. canina may represent promising approaches in the treatment of cancer.
AtıfScopus36WoS34OpenAlex40İncele - MakaleYalnız künye2020Scopus SJRQ2The Effect of Laughter Therapy on Anxiety: A Meta-Analysis
Demir Doǧan, Melike
This meta-Analysis was conducted to determine the effect of laughter therapy on anxiety. Randomized controlled clinical trials were reviewed on Google Scholar, PubMed, and ISI Web of Sciences databases. Four randomized controlled trials consisting of 157 participants were included in the meta-Analysis. Hedge's g test statistics were used to show the common effect between the laughter therapy and control groups in the meta-Analysis. Laughter therapy can decrease anxiety levels (standardized mean difference =-1.144; 95% CI,-1.950 to-0.338). Laughter therapy is an effective complementary method to decrease anxiety.
AtıfScopus38WoS30OpenAlex63İncele - MakaleYalnız künye2020Scopus SJRQ2Effects of kinesio tape application on pain, anxiety, and menstrual complaints in women with primary dysmenorrhea: A randomized sham-controlled trial
Toprak Celenay, Seyda; Kavalci, Basak; Karakus, Aysenur; Alkan, Afra
Aim: To investigate the effects of kinesio tape (KT) application on pain, anxiety, and menstrual complaints in women with PD and compare this application with control and sham tape (ST). Methods: Fifty-one women with PD were randomized into three groups: KT, ST, and control groups. No tape application was performed in the control group. KT was applied on the sacral and suprapubic regions with the ligament technique in the KT group, while it was applied on the trochanter major with no technique in the ST group. Pain, anxiety level, and menstrual complaints were assessed before and after the applications. Results: The decreases in pain, anxiety levels, and some menstrual complaints after the application were higher in the KT group than those in the other two groups (p < 0.05). Conclusion: KT application seems to be an effective method in decreasing pain, anxiety level, and some menstrual complaints in women with PD.
AtıfScopus23WoS18OpenAlex28İncele - MakaleYalnız künye2020Scopus SJRQ2Disaster Risk Perception of University Students
Mızrak, Sefa; Aslan, Ramazan
Stakeholders responsible for disaster management need to understand students' disaster risk perception in order to increase community resilience. The aim of this study was to develop a scale to determine disaster risk perception of university students on campus and to investigate the disaster risk perception of the students of Gümüşhane University in Turkey. The data of the study were collected from 617 students and analyzed by means of SPSS and AMOS programs. Descriptive statistics, factor analysis, Mann–Whitney U test, Kruskal–Wallis H test, and structural equation model were applied. Consequently, a valid and reliable scale consisting of four factors (exposure, anxiety, effect, and uncontrollable) was obtained. According to the students, rockfall was most likely to occur on campus. Gender and type of school had a significant effect on disaster risk perception, while disaster experience, disaster education, disaster volunteer, and class level did not have a significant effect on disaster risk perception. Students with chronic illness had significantly higher perceptions of the uncontrollable. The structural equation model showed that exposure, effect, and uncontrollable were significant and positive predictors of anxiety.
AtıfScopus40WoS30OpenAlex57İncele - Derleme MakaleAçık Erişim2020Scopus SJRQ4Coronavirus disease 2019 infection and nursing in patients undergoing hemodialysis treatment
Demirag, Hatice; Hintistan, Sevilay
Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2. Patients undergoing chronic hemodialysis treatment are at a high risk of serious complications if infections occur because of suppressed immune system, cardiovascular disease, and important comorbidities, such as diabetes mellitus. To control and prevent the spread of the outbreak to patients and other healthcare professionals, it is necessary to be informed about COVID-19, to diagnose cases early, and to be treated. The purpose of this review is to discuss the communication, transport, predialysis screening and triage, and COVID-19 nursing management in patients undergoing hemodialysis treatment.
AtıfScopus2WoS3OpenAlex1TR Dizin2İncele - MakaleYalnız künye2020Scopus SJRQ2Development of a healthy corn-based snack with sage (Salvia officinalis L.) seed
Yuksel, Ferhat; Ilyasoglu, Huri; Baltaci, Cemalettin
A healthy corn-based snack was developed from the corn flour and sage (Salvia officinialis L.) seed flour. The effects of the process variables (sage seed flour: 0–15%, frying temperature: 170–190 °C, and frying time: 40–60 s) on the nutritional properties, fatty acid composition and oxidative stability of the snack chips were evaluated via Response Surface Methodology (RSM). The response models explaining 72–96% variability in the responses were obtained. Only sage seed flour presented significant effects on the nutritional properties (p < 0.05). The interaction term of sage seed flour and frying temperature showed significant effects on the fatty acid composition (p < 0.05). The sage seed flour could decrease total starch and in vitro glycemic index and increase total dietary fiber. The snack chips contained unsaturated fatty acids more than 60%, and their oils had acceptable peroxide value. The fortification of corn-based snack with sage seed enhanced the nutritional value.
AtıfScopus9OpenAlex9İncele - MakaleYalnız künye2020Scopus SJRQ2Discovery and evaluation of inhibitory activity and mechanism of arylcoumarin derivatives on Theileria annulata enolase by in vitro and molecular docking studies
Yakarsonmez, Sinem; Danis, Ozkan; Mutlu, Ozal; Topuzogullari, Murat; Sariyer, Emrah; Yuce-Dursun, Basak; Turgut-Balik, Dilek
Abstract: In this study, the inhibition potential of 3- and 4-arylcoumarin derivatives on Theileria annulata enolase (TaENO) was assessed for the first time in the literature. Firstly, protein stabilization analyses of TaENO were performed and it was found that the enzyme remains stable with the addition of 6 M ethylene glycol at + 4 °C. Inhibitor screening analyses were carried out using 25 coumarin derivatives on highly purified TaENO (> 95%), and four coumarin derivatives [4-(3,4-dimethoxyphenyl)-6,7-dihydroxy-2H-chromen-2-one (C8); 4-(3,4-dihydroxyphenyl)-7,8 dihydroxy-2H-chromen-2-one (C9); 4-(3,4-dihydroxyphenyl)-6,7-dihydroxy-2H-chromen-2 one (C21); and 3-(3,4-dihydroxyphenyl)-7,8-dihydroxy-2H-chromen-2-one (C23)] showed the highest inhibitory effects with the IC50 values of 10.450, 13.170, 8.871 and 10.863 µM, respectively. The kinetic results indicated that these compounds inhibited the enzyme by uncompetitive inhibition. In addition, the successful binding of the most potent inhibitor (C21) into TaENO was confirmed by using MALDI-TOF mass spectrophotometry. Molecular docking analyses have predicted that C8 and C21 coumarin derivatives which showed high inhibitory effects on TaENO were interacted with high affinity to the potential regions out of the active site. Taken together, these coumarin derivatives (C8, C9, C21 and C23) are first known potent, nonsubstrate, uncompetitive inhibitors of TaENO and these results will facilitate further in vitro and in vivo analysis toward structure-based drug design studies. Graphic abstract: [Figure not available: see fulltext.]
AtıfScopus5WoS5OpenAlex6İncele - Derleme MakaleYalnız künye2020Scopus SJRQ3Buckwheat: A useful food and its effects on human health
Yilmaz, Hacı Ömer; Ayhan, Nurcan Yabanci; Meriç, Çağdaş Salih
Buckwheat is a plant used for many purposes, such as consumed as a food and used in the treatment of diseases. It is a good source of many vitamins and minerals and has balanced nutritional value. Because of its nutrient content and many positive effects on human health, buckwheat has become a functional food, recently. Main effects of buckwheat on human health are its hypotensive, hypoglycemic, hypocholesterolemic, neuroprotective and antioxidant effects. Thus, it is considered an alternative food component in dietary treatment for chronic and metabolic diseases, such as diabetes, hypertension and celiac disease. Also, its rich nutrient content supports daily diet and provides a better eating profile. As a result, buckwheat is accepted as a functional food, suggested to improve human health and is used in the treatment of diseases. The aim of this review is to explain some positive effects of buckwheat on human health.
AtıfScopus64WoS43OpenAlex63İncele - MakaleYalnız künye2020Scopus SJRQ1The effect of expressed breast milk, swaddling and facilitated tucking methods in reducing the pain caused by orogastric tube insertion in preterm infants: A randomized controlled trial
Apaydin Cirik, Vildan; Efe, Emine
Background: Orogastric tube feeding is used to support the nutrition of preterm infants. Although nonpharmacological methods are effective in reducing the pain caused by orogastric tube insertion, only limited studies have been found addressing this pain. No study has used combined nonpharmacological methods to reduce this orogastric tube insertion pain. Objective: This randomized controlled study aims to compare the effects of expressed breast milk, swaddling, facilitated tucking, expressed breast milk+swaddling, expressed breast milk+facilitated tucking and routine care methods on preterm infant pain and the physiological parameters (i.e., heart rate, oxygen saturation) before, during and after orogastric tube insertion procedures. Design: Randomised controlled trial. Setting: Three level III neonatal intensive care units in Turkey. Method: Preterm infants born at 32–34 weeks gestation were randomly assigned to six groups: routine care (n = 33), swaddling (n = 30), facilitated tucking (n = 32), expressed breast milk (n = 31), swaddling+expressed breast milk group (n = 30), and facilitated tucking+expressed breast milk group (n = 31). Orogastric tube insertion included four phases: baseline (the last one minute of 30 min without stimuli), the insertion, recovery (one minute after insertion), and recovery (two minutes after insertion). The four phases were videotaped. Premature infant pain profile score, heart rate and oxygen saturation were assessed by two independent evaluators who were blinded to the purpose of the study. Data were assessed by analysis of variance for the multiple repeated measurements, bonferroni and generalised estimating equation logistic regression. Results: There was a significant main effect of the intervention groups for all the pain and physiological parameters (heart rate: F = 3.99, p = 0.001; oxygen saturation: F = 5.22, p<0.001; pain profile 1 score: F = 9.55, p<0.001; pain profile 2 score: F = 9.74, p<0.001). The use of the nonpharmacological methods combined or alone was more effective in reducing infants’ pain profile score and physiological variables than routine care. Infants receiving swaddling+expressed breast milk had significantly lower pain profile scores during the insertion (phase2) (5.2 ± 1.7) than those receiving routine care (9.5 ± 3.6), swaddling (8.8 ± 2.9), facilitated tucking (7.2 ± 3.2), expressed breast milk (7.9 ± 2.6), facilitated tucking+expressed breast milk (6.6 ± 2.3) (p<0.001). The breast milk group had 6.195 times more pain than the swaddling+expressed breast milk, while the facilitated tucking group had 6.301, the facilitated tucking+expressed breast milk group had 3.107, the control group had 13.015, and the swaddling group had 7.892 times more pain. Conclusion: The swaddling+expressed breast milk method is clinically better pain relief nonpharmalogical option and is the recommended method to nurses for the orogastric tube insertion procedures, preterm infants.
AtıfScopus49WoS40OpenAlex71İncele - MakaleAçık Erişim2020Scopus SJRQ4Effect of the COVID-19 pandemic on eating habits and food purchasing behaviors of university students
Yılmaz, Hacı Ömer; Aslan, Ramazan; Unal, Cihan
COVID-19 disease, which has spread rapidly all over the world since the first case was detected in December 2019, has become the primary focus in every country. Radical measures have been taken by governments to prevent the spread of the disease. Precautions and social rules have required drastic changes to daily life activities everywhere. University students who have had to interrupt their educations are one of the affected groups by this disease sociologically, psychologically and physiologically. The aim of this study was planned and conducted to determine the effect of COVID-19 on university students' eating habits and food purchasing behaviors. The study was completed in April 2020 with 866 university students studying and training at the Faculty of Health Sciences, Gümüşhane, Turkey. Research data was obtained by online questionnaire. The questionnaire was prepared with information obtained from a literature review and the opinions of experts. It included questions about eating habits and food purchasing behaviors. The basic result of the study was that COVID-19 disease has caused significant changes in the eating habits and food purchasing behaviors of university students. Primarily, they now paid greater attention to hygiene when food purchasing, and had increased their consumption compared to previously, since they were now home 24 hours a day, seven days a week.
AtıfScopus30WoS22OpenAlex55İncele - MakaleAçık Erişim2020The Value of Cardiotrophin-1 in the Diagnosis, Severity, and Prognosis of Pulmonary Embolism
Pasli, Sinan; Asik, Olgun; Imamoglu, Melih; Çiçek, Mustafa; Yadigaroglu, Metin; Dogramaci, Seniz; Mentese, Ahmet; Sahin, Mursel; Tatli, Ozgur
Aim: Pulmonary embolism (PE) is a life-threatening condition that requires early diagnosis and treatment. There is still a need for precise and non-invasive biomarkers that can be used to diagnose PE. This study aimed to determine the diagnostic value of Cardiotrophin-1 (CT-1) in patients with acute PE and ascertain the relationship between serum CT-1 level and disease prognosis and severity. Materials and Methods: In this prospective study, the serum CT-1 levels of 165 patients with suspected acute PE were measured. The patients were divided into two groups, PE (+) and PE (-), based on their computed tomography angiography results. Their serum CT-1 levels were compared. Results: The CT-1 levels of the PE (+) group (median=4.18 pg/mL, range=3.57-9.55 pg/mL) was non-significantly (p=0.08) different from those of the PE (-) group (median=4.38 pg/mL, range=3.57-51.64 pg/mL). Based on the severity of the condition, there were significant differences (p=0.001) in the CT-1 levels of the patients in the intermediate-low risk group (median=4.19 pg/mL, range=3.62-5.32 pg/mL), intermediate-high risk group (median=4.06 pg/mL, range=3.57-9.31 pg/mL) and high risk group (median=5.01 pg/mL, range=3.89-9.55 pg/mL). Based on the clinical course, the CT-1 levels of the patients in the good clinical course group (median=4.15 pg/mL, range=3.57-9.31 pg/ml) were significantly different (p=0.004) from those in the poor clinical course group (median=4.53 pg/mL, range=3.66-9.55 pg/mL). Conclusion: CT-1 level was not observed to be a precise biomarker for the diagnosis of acute PE. However, our study demonstrated that the serum CT-1 levels can be used as a biomarker for ascertaining the severity and prognosis of patients with PE.
- MakaleAçık Erişim2019Sağlık hizmetleri meslek yüksekokulu öğrencilerinin genital hijyen davranışlarının incelenmesi
Hindistan, Sevilay; Tuncay, Birgül; Demirağ, Hatice; Cin, Aynur
Amaç: Bu çalışma, sağlık hizmetleri meslek yüksekokulu öğrencilerinin genital hijyen davranışlarının ince-lenmesi amacıyla planlanmıştır.Gereç ve Yöntem: Araştırmanın evrenini, Gümüşhane Üniversitesi Kelkit Sağlık Hizmetleri Meslek Yükse-kokulu paramedik kız öğrencileri (n=100) oluşturdu. Çalışma anketini doldurmayı kabul eden öğrencilere(n=97) “katılımcıların sosyo-demografik özellikler” ve “genital hijyen davranışları ölçeği”nin bulunduğu anketformu (Mayıs-Haziran 2018) dolduruldu. Verilerin değerlendirilmesinde (SPSS 18.00 paket programında) sa-yı-yüzdelik dağılımı, ortalama ve bağımsız t-testi kullanıldı.Bulgular: Katılımcıların yaş ortalamasının 20,01±1,12 (min:18, max:23) olduğu, %55,7’sinin birinci sınıf ol-duğu, %27’sinin Akdeniz bölgesinden geldiği tespit edilmiştir. Genital hijyen davranışları ölçeği puan orta-lamasının 86,89±7,124 (min:68, max:108) bulundu. Katılımcıların %70,1’inin haftada en az bir kez banyoyaptığı, %90,7’sinin iç çamaşırlarını sadece kendinin kullandığını fakat %2,1’inin başkalarıyla ortak kullandığı,%20,6’sının iç çamaşırlarını 3-4 günde bir değiştirdiği, %41,2’sinin tuvalete girmeden önce ellerini yıkadığı-nı, %2,1’inin tuvalleten sonra ellerinin yıkayıp yıkamadığı konusunda karasız olduğu, 63,9’unun tuvalettensonra temizliğini her zaman önden arkaya doğru yaptığı, %92,8’inin adet dönemlerimde sadece hazır pedkullandığı fakat %2,1’inin adet dönemlerinde bez kullandığı, %3,1’inin ped değiştirmeden önce ellerimi yıka-madığı fakat %92,8’inin ped değiştirdikten sonra ellerimi yıkadığı, %3,1’inin adetli iken pedini yalnızca iyicedolduğu zaman değiştirdiği belirlenmiştir.Sonuç: Sonuç olarak; kız öğrencilerin genital hijyen alışkanlıkları ve adet hijyeni alışkanlıklarında yetersizoldukları saptanmıştır. Öğrencilerin ped değişimi sırasında, tuvalete öncesi ve sonrasında el hijyenin önemi,genital enfeksiyonlar ve üreme sağlığı konusunda eğitim verilmesi gerektiği tespit edilmiştir.
AtıfOpenAlex14TR Dizin12İncele - MakaleAçık Erişim2019A Research for Determination of Administrative Problems in Inpatient Health Institution
Bostan, Sedat; Aslan, Sevil
Objective: The purpose of this study is determination of managerial problems encountered in inpatient health institutions with the views of the administrators which are work at various levels in public and private hospitals. Material and Methods: In this study, a 42-item likert-type questionnaire, which was formed by adapting from Yıldız's master's thesis study, was used. The data of the study were collected from the hospital administrators in İstanbul, Aksaray and Kahramanmaraş in 2016 by face-to-face survey method. The study was carried out in 350 hospitals in upper, middle and lower levels in 1 private hospital and 1 public hospital in each province. The validity of collected data were tested by Bartlett’s test and Cronbach’s alpha method was used for reliability of data. Results: As a result of factor analysis, the questions were collected under six factors. According to these results, the administrators were listed the managerial problems of the inpatient health institutions as follows; hospital settlement problems (3.13), management problems of human resources (2.82), general administrative problems (2.79) and communication problems (2.79). When the factors evaluated according to the demographic data, it was detected that significant differences in terms of age, gender and occupation. Conclusion: These results showed that female managers are more encountered with the problem of hospital settlement than other problems, while managers over age 50 and aged 20-29 are encountered with management problems of personnel incompleteness, general administrative, technological and communication problems. Moreover, it was found that administrative and nurse managers are more encountered with general administrative and technological problems than other problems, while administrative managers are encountered with problems of personnel incompleteness and management human resources. As a generalresult, it is thought that the hospitals which were not appropriately planned for health services causes administrative problems.
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