Journal Cover
  • The Assessment of the Attitudes of Health Sciences Faculty Students
           towards Dating Violence

    • Authors: Şengül CANGÜR; Tuğçe BAŞVER, Büşra TEMÜR, Sedef ODABAŞ, Feyzanur DEMİR, Sümeyra KILIÇ, Betül AKAY, Melike GENÇ, Büşra TAŞKIN, Beyza DİRİ
      Abstract: Aim: This study was prepared in a cross-sectional and correlational type to determine the attitudes of Duzce University Faculty of Health Sciences students towards dating violence and to examine the factors affecting it.Material and Methods: The data of a total of 313 students constituting the research sample were obtained using personal information form and Attitudes towards Dating Violence Scales (the attitudes towards male and female psychological and physical dating violence scales). Appropriate statistical tests were applied according to the data type and the meeting of test assumptions.Results: 50.5% of the students participating in the study stated that they had a dating relationship, 19% were exposed to violence in dating relationships, and 14.6% stated that they used violence in dating relationships. In the study, when a significant difference was found in terms of at least one attitude scale’ score distribution towards dating violence according to gender, place of residence, family type, and income level of the family (p0.05 for each).Conclusion: With this study, it is thought to determine the attitudes and behaviors of university students towards dating violence, it will contribute to the plans to be made to change their negative attitudes and behaviors towards violence positively.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Newborn Hearing Screening Results of Duzce Province in the Western Black
           Sea Region

    • Authors: Ahmet KÖDER; Abdullah BELADA
      Abstract: ABSTRACTAim: We aimed to evaluate the results of newborn hearing screening (NHS) conducted at Düzce Atatürk State Hospital, and review the results with the relevant literature. Material and Methods: The hearing screening results of 20071 newborns whose hearing screening was conducted at Düzce Atatürk State hospital between January 2011 and December 2018 were evaluated retrospectively in this study. Refugees were not included in the study. Newborns without risk factors who came to the first test were evaluated with transient evoked otoacoustic emissions (TEOAE). If they failed from the first screening test were evaluated again 15 days later with TEOAE. Newborns who failed the second screening test were evaluated a third time with ABR. Newborns with risk factors were first evaluated with auditory brainstem response (ABR).The risky newborns who failed the first screening test were evaluated second time with ABR. Results: Hearing loss was present in 62 (0.30%) of the 20071 newborns and was unilateral in 35 (0.17%) and bilateral in 27 (0.13%) subjects.Conclusion: For the rehabilitation of babies with hearing loss, their treatment should be started as early as possible. Newborn hearing screening tests are a screening program that has been successfully applied in our country for many years and enables the detection of babies with hearing loss. With this screening program, babies with hearing loss can be detected at an early stage and their treatment and rehabilitation can be provided. The results of our study are consistent with other hearing screening results from our country.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Evaluation of Patients Who were Referred to Our Outpatient Clinic with
           Suspicious Sexual Contact

    • Authors: Dilek YEKENKURUL
      Abstract: Aim: Sexually transmitted infections are preventable, common diseases with serious complications and high morbidity. Patients with suspicious sexual contact in Turkish society, find it difficult to consult a physician due to public pressure. Patients with suspicious sexual contact who applied to the Infectious Diseases and Clinical Microbiology outpatient clinic were analyzed.Material and Methods: Patients (62 patients) over the age of 18, who applied to Infectious Diseases and Clinical Microbiology outpatient clinic with suspicious sexual contact, between March 2018-January 2019, were included in the study. The demographic characteristics of the patients such as age, gender, marital status; also complaints, using of condom, physical examination findings, and all examinations during the six-month follow-up were recorded.Results: In this study, 56 (90%) male and 6 (10%) female patients with a mean age of 33.40 ± 14.11 years were included. High percentage (58;93%) of patients didn’t use condoms during sexual contact, 21(34%) of the patients had more than one partner, the most common diagnosis was urethritis (21; 34%), one patient in a bisexual relationship was diagnosed with acute HIV infection, and was observed that the diagnosis of syphilis (9; 15%) was quite high.Conclusion: Results such as the low rate of use of condoms made us think that there is a lack of knowledge about sexually transmitted diseases in the society. Considering the possibility of increasing infection rates in the coming years; we think that the necessary importance should be given to sexually transmitted diseases and frequent public trainings should be provided.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • The Effect of Thyroxine Therapy on Cardiovascular Risk Factors in Patients
           with Subclinical Hypothyroidism

    • Authors: Selvihan BEYSEL; Mahmut APAYDIN, Mustafa ÇALIŞKAN, Mustafa ÖZBEK, Erman ÇAKAL
      Abstract: Aim: Subclinical hypothyroidism (SH) has a deleterious effect on cardiovascular risk factors (CVR); however it should be treated or not is stil controversial. The aim of our study is to determine CVR in patients with SH, and to investigate the short term effect of thyroxine treatment on CVR. Material and Methods: Patients with SH (n=30), and age- and sex-matched control group (n=40) were included in this retrospective study. SH patients were treated by 50μg/day thyroxine for 3 months. Pre-treatment CVR was compared with post-treatment CVR. Results: Sex distribution and mean age were similar between control (female 66.7%; age 45.76±14.55 years) and SH (female 77.3%; age 45.23±12.02 years) groups (p>0.05). Body mass index (BMI) was high in SH group (32.66±5.57 kg/m2) than in control group (25.13±3.20 kg/m2, p
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Comparison of Angiocatheter and Thorax Tube in the Treatment of
           Pneumothorax in Newborn Patients

    • Authors: Murat KABAKLIOĞLU; Murat KAYA
      Abstract: Aim: In pneumothorax, which is one of the life-threatening emergencies, early diagnosis and appropriate treatment are important to reduce complications and mortality. Treatment is provided by evacuation of air from the pleural space with underwater drainage using needle thoracentesis or fine catheter and tube thoracostomy techniques.Material and Methods: Between March 2014 and March 2021, neonatal intensive care unit medical records were retrospectively reviewed, and newborns with pneumothorax were evaluated. Information about drainage methods, duration of treatment, efficacy of treatment and complications were obtained. The patients were divided into two groups. A chest tube was placed in the patients in the first group, and a venous catheter was placed in the patients in the second group.Results: Pneumothorax was detected in 1.85% (n:23) of 1242 patients in our neonatal intensive care unit. Eight patients underwent tube thoracostomy and 12 patients underwent underwater sealed drainage with venous catheter, while three patients resolved spontaneously.Conclusion: Tube thoracostomy in neonatal pneumothorax may lead to serious complications especially in extremely premature babies. It is not possible for someone who does not have experience in this field to do this operation. In addition, since the surgical procedure requires a certain period of time, the patient may worsen during the procedure. In order to eliminate the disadvantages of tube thoracostomy, it is possible to evacuate the air in the pleural space with a simple method, especially in the treatment of neonatal pneumothorax by using a branula.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Recurrent Ameloblastoma: Case Report

    • Authors: Ayşe TAŞ; Tarık Ali UĞUR, Selmi YILMAZ
      Abstract: Ameloblastoma is a benign tumor that occurs in the jaw area. It is most commonly seen in the 20-50 age range. It involves the mandible more often than the maxilla and occurs in 80% of the mandibular molar region and ramus region. Ameloblastoma grows slowly and also tends to expand and destroy bone. In the current classification, ameloblastoma is divided into four groups as traditional, unicystic, extraosseous / peripheral and metastasizing. Ameloblastomas are non-encapsulated tumors and therefore infiltrate the surrounding tissue. This situation increases the risk of tumor recurrence. Therefore, marginal resection must be performed in large ameloblastoma cases. In this case, it is aimed to present the clinical and radiological features of a 67-year-old male patient, who had been operated in another center 33 years ago and has now recurred to large dimensions.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Determining Attitudes of Nurses Towards Violence Against Women

    • Authors: Hümeyra HANÇER TOK; Atilla Senih MAYDA
      Abstract: Aim: The aim of this study is to define the attitudes of the nurses towards the violence on women and the factors influencing these attitudes.Material and Methods: The research was planned as cross-sectional. The group of the study consisted of 320 nurses working in a university hospital. The sample was not selected, it was aimed to reach the entire universe, but 291 (91.25%) nurses could be reached. The research data were collected by using the personal information form and the İSKEBE attitude scale towards violence against women. Average, standard deviation, number, percent Kruskal-Wallis and Man-Whitney U tests were used. Significance value was determined as p
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Evaluation of the Relationship Between Surgical Treatment Indication and
           Ultrasonography Findings in Patients We Follow Up for Invagination

    • Authors: Murat KAYA; Murat KABAKLIOĞLU
      Abstract: Aim: The most important cause of surgical acute abdomen in children under two years of age is intussusception. This study was planned to show the relationship between patients requiring surgical treatment and ultrasonography findings.Material and Methods: Intussusception patients who were followed up in Duzce University Medical Faculty Research and Application Hospital Pediatric Surgery Clinic between 01/01/2011-31/12/2020 were included in this study. The information was obtained retrospectively of file scanning. Results: The average age of our patients was 2.5 years, and most of them were seen to apply in the summer months, when diarrhea is common. Most of the patients (98 patients and 62.8%) were diagnosed with the target sign finding in USG. Twenty-two of the patients (14.1%) were diagnosed with intussusception with a measurement of 20mm, and 36 patients (23.1%) with a measurement of >20mm. While 50% of patients diagnosed under two years of age were diagnosed with intussusception as a target sign on USG, this rate was 60 patients (75%) in patients 2 years old, and there was a statistically significant difference (p=0.04). This was a finding consistent with the greater need for surgical treatment in patients under 2 years old. Conclusions: Patients under the age of two who are diagnosed with a measurement of >20 mm on USG, especially, should be observed more closely than others in terms of the need for surgical treatment. Since most of the non-operated patients are diagnosed with USG with target sign findings, they can be observed more comfortably in their observation.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • A Research to Determine the Factors Affecting Blood Donation

    • Authors: Fuat YALMAN; Yalçın KARAGÖZ
      Abstract: Aim: In this study, it was aimed to determine the factors that are effective in donating blood.Material and Methods: The universe of the research consists of young, middle and elderly individuals who live in Samsun city center and use health services. The sample of the study consists of 400 participants. The convenience sampling method was used in the study. The data were collected by the online (online survey technique) survey technique. The total number of questionnaires evaluated and used in data analysis is 400. SPSS 26 and AMOS 24 package programs were used in the analysis of the data. Explanatory factor analysis and confirmatory factor analysis techniques were used in the study.Results: The draft scale which is consisted of 37 items is applied on participants and the dataobtained is analysed. First, exploratory factor analysis is conducted on data. At this stage, 11 items, which are found not to load on any factor, are removed from the scale and eventually 5 factors including 26 items are formed. Subsequently, confirmatory factor analysis is conducted with the determined factors. It is concluded that there is a good fit between measurement model and the observed data. As a result, the validity of the scale developed by using exploratory factor analysis is confirmed with confirmatory factor analysis. Also, Cronbach α coefficient of the scale is found to be 0,945 and therefore it is concluded that the scale is quite reliable. In addition, according to the results of the ANOVA analysis, it was determined that the participants' opinions about the factors that affect blood donation differ significantly according to age and all subgroups of the profession.Conclusion: It was concluded that the developed scale was a valid and reliable tool to measure the attitudes of individuals towards determining the factors that affect donating blood.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Examining of the Effect of COVID-19 Pandemic Period on Anxiety and Quality
           of Life in Mother of Children with Special Needs

    • Authors: Feride YARAR; Seda BAYRAMOĞLU, Hande ŞENOL
      Abstract: Aim: COVID-19 is a virus that was first identified as a result of research conducted in a group of patients who developed respiratory symptoms in China. This study was planned to examine the effect of COVID-19 pandemic period on anxiety and quality of life in mothers of children with special needs.Material and Methods: Eighty-seven mothers with children with special needs and mean age 39.3 ± 8.94 yr were included in the study. Demographic data form, question form prepared for COVID-19 pandemic period, Nottingham Health Profile (NHP) and Beck Anxiety Inventory (BAI) were used. Results: 83.9% (n=73) of the mothers had information about COVID-19, 57.5% (n=50) of them stated that their children's mental health was’nt affected by this process and 63.2% (n=55). However, 60.9% (n=53) reported that their health was affected during this process, but didn’t feel exhausted during this period. There was a significant difference between the child's mental health and the mother's social isolation score, which is NHP sub-parameter. A significant difference was found between the mother's mental health and the NHP sub-parameter, emotional reaction and social isolation scores. Significant difference between the mother's burnout status and NHP sub-parameter emotional reaction, sleep, social isolation , NHP T , BAI scores has been found. Conclusions: COVID-19 affects the anxiety and quality of life of mothers with children with special needs. Therefore, studies with larger participation are needed in this field in the literature.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Evaluation of Bone and Joint Involvement in Patients Followed with the
           Diagnosis of Brucellosis

    • Authors: Şeyhmus KAVAK; Şehmuz KAYA
      Abstract: Aim: Brucellosis is an important problem all over the world. The most common form is bone-joint involvement. In this study, we planned to reveal our experiences by examining the epidemiological, clinical, laboratory and radiological features of brucellosis cases with and without bone-joint involvement.Material and Methods: This retrospective clinical study includes the data of 443 patients who were followed up with the diagnosis of brucellosis between December 2014 and August 2019. The epidemiological, clinical, laboratory and radiological findings of the patients were obtained from the patient files and hospital database. Patients were divided into two groups as with and without bone-joint involvement and their data were compared statistically.Results: A total of 443 patients who were followed up with a diagnosis of brucellosis were included in the study. 92 (20.8%) of these patients had bone-joint involvement of brucellosis (sacroileitis, spondylodiscitis, arthritis, bursitis, synovitis). Magnetic resonance imaging method was used for diagnosis in patients with bone-joint involvement. Patients with bone-joint involvement had longer duration of complaints, and acute phase reactants and agglutination titers were higher.Conclusion: Bone-joint involvement in brucellosis is very important as it may cause inadequate treatment and may end with sequelae. Radiological imaging is important in the diagnosis of bone-joint involvement, but unnecessary requests should also be avoided. Symptom duration, acute phase reactants, agglutination titer may be guiding for this.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Life Cycle and the Role of Sustainable Nutrition

    • Authors: Seren KURTGİL; Yasemin BEYHAN
      Abstract: Although sustainable nutrition is not a new notion, it has become noteworthy today due to its low environmental impact, contributing to the nutritional needs of present and future generations and to nutritional and nutritional security. It is predicted that the world population will reach approximately 10 billion with an increase of 32% by 2050 and chronic diseases related to nutrition will increase. With these trends, food demand is predicted to double by the middle of the century. If current dietary trends continue, deaths from noncommunicable diseases are projected to account for an average of two-thirds of the global disease burden, reaching 52 million by 2030. While the developments in food production and supply enable food to reach wider masses; on the other hand, it poses many environmental threats such as climate change, decrease in biodiversity, decrease in soil and fresh water resources. Research shows that changes in food production, distribution and food selection can result in significant reductions in food-related greenhouse gas emissions. This review aims to emphasize the importance of sustainable nutrition in the light of current literature.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Evaluation of Vitamin D and Zinc Levels in Pre-School Boys with Iron
           Deficiency Anemia

    • Authors: Gürkan ÇIKIM; Filiz ALKAN BAYLAN
      Abstract: OAim: In this study, it was aimed to investigate whether there is a change in zinc and vitamin D levels, considering that vitamin D and zinc levels, which play a role in many vital reactions in preschool boys with iron deficiency anemia (IDA), may also be affected and cause health problems.Material and Methods: The study was performed on 30 boys (Group I) and 30 completely healthy boys (Group II) who were diagnosed with IDA in the pre-school age group of 2-6 years. In the study, hemoglobin (Hb), hematocrit (Htc), MCV, RDW, Iron, Iron binding, Ferritin, Zinc and vitamin D levels were evaluated. Results: In terms of vitamin D, and zinc levels; Group I levels were lower than group II (p
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Inadvertent perioperative hypothermia care algorithm

    • Authors: Aylin GÜÇLÜ; Mevlüde KARADAĞ
      Abstract: The aim of the study was to develop an Inadvertent Perioperative Hypothermia (IPH) care algorith in line with evidence-based information as a guiding tool for nurses to make decisions about IPH care in clinics. To cover the period 2010-2020, in Pubmed, Cohrane, Google Academy, CIHNAL, Science Direct, Clinical Key databases: Hypothermia, unwanted (inadvertent, unplanned, not planned, unintended), perioperative, guideline, protocol, algorithm key words were searched in Turkish and English. Guidelines with a high level of evidence, systematic reviews and meta-analyzes were included in the evaluation. In accordance with the inclusion criteria, in line with the information obtained from 6 guides and 2 systematic reviews, the interventions were grouped as preoperative, intraoperative and postoperative, and an algorithm was developed for the prevention and care of IPH. The use of algorithms for the care of IPH is important for nurses to make fast and correct decisions to prevent complications that may occur before, during and after surgery. In this context, the use of algorithms is an important tool for nurses in facilitating clinical decision making and providing care with evidence-based interventions. It is recommended to apply this IPH care algorithm in clinics, to make the validity and reliability and to increase the algorithms for nursing interventions.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Analysis of The Relationship between Blood Groups and Lung Cancer Risk
           Depending on Histology

    • Authors: Canan EREN; Ayten GÜNER AKBIYIK, İlker Nihat ÖKTEN
      Abstract: Aim: Blood group antigens are the first genetic markers discovered. ABO blood groups which are expressed on red blood cell membranes are reported to be associated with malignancy risk. The present study aimed to investigate whether there is an association between blood groups and patients with lung cancer.Material and Methods: In our study, ıt was reviewed 587 patients with lung cancer whose ABO/Rh blood types were serologically confirmed. Patients were classified according to blood groups (O, A, B, AB), Rh factor (+, −) and histological types of lung cancer as Non-small cell lung carcinoma (NSCLC) and Small cell lung carcinoma (SCLC). The adenocarcinoma (AC) and squamous carcinoma (SC) as subtypes of NSCLC were recorded. The relationship of ABO/Rh blood groups with clinical features, such as age, sex and histological subtype were evaluated.Results: There was no significant association between pathological results and blood groups O, A, B and AB. SCLC patients had significantly higher frequency of blood type B Rh (-) when compared to NSCLC patients.Conclusion: We observed an association between risk of lung cancer and ABO blood groups. Although the Rh factor is not effective by itself, patients with the B Rh (-) blood group may have a higher risk than SCLC. Examining the relationship of blood group subtypes with lung cancer cells at the molecular level would be useful to clarify the relationship between lung cancer and blood groups.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Pediatric Patient with Pars Planitis Associated with Lyme Disease: A Rare
           Presentation: Case Report

    • Authors: Nurdan ARICAN
      Abstract: Lyme-associated uveitis is more common in adults, but very rare in children. Ophthalmological symptoms are seen in a minority of Lyme cases. Uveitis is seen in less than 1% and different clinical features can be seen. For the diagnosis of Lyme-associated uveitis, positive ELISA, immunoblot serology, exclusion of other causes by various tests in differential diagnosis, efficacy of antibiotics after primary resistance to steroid therapy alone, tick bite, living in an endemic area and the presence of systemic clinical symptoms should be investigated. In our report, we aimed to present a very rare Lyme disease-related intermediate uveitis in an 11-year-old male patient who had a history of tick bite 4 months ago and was diagnosed with pars planitis and peripheral retinal vasculitis. Recurrence was observed after being asymptomatic for 6 months after the treatment. However, our case was successfully treated with a new course of antibiotics in addition to steroid therapy.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Antifungal activity of Salvia verticillata subsp. verticillata against
           fungal pathogens

    • Authors: Gorkem DULGER; Başaran DÜLGER
      Abstract: Aim: It was aimed to investigate the antifungal activity of the individual as well as the combine extract (leaf+root) of Salvia verticillata subsp. verticillata L. from Lamiaceae family which has ethnobotanical use.Material and Methods: The plant samples were collected during to flowering stage in June, Samandere village around, Duzce, Turkey. The collected plants were dried according to herbarium techniques. The powdered plant material was extraction using ethyl alcohol (96%). Antifungal effects of the extracts was evaluated for yeasts (Candida krusei ATCC 20298, C. parapsilosis ATCC 90112, C. guilliermondii ATCC 6260, C. albicans ATCC 10231, C. tropicalis ATCC 13808, C. glabrata ATCC 2001, Cryptococcus laurentii ATCC 34142, C. neoformans ATCC 90112, Geotrichum capitatum ATCC 28576, Debaryomyces hansenii DSM 70238, Rhodotorula rubra DSM 70403, and Kluyveromyces fragilis ATCC 8608) by visual broth microdilution method. Antifungal antibiotic ketoconazole was used in the study to compare the results.Results: MIC values ranged from 1.56 to 25.00 mg/mL. The extracts have shown potential antifungal effects against the yeast cultures. Notably, the combine plant extracts (both leaves and rootstock) possessed higher antifungal potency against C. neoformans, C. laurentii and G. capitatum. Conclusion: Our results demonstrated that the extracts of Salvia verticillata subsp. verticillata are used for the treatment of fungal infections as traditional medicine
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Short-Term Results of Patients Undergoing Arthroscopic Subacromial
           Decompression and Acromioplasty

    • Authors: Tacettin AYANOĞLU; Yasin Emre KAYA
      Abstract: Aim: The aim of this study is to evaluate the arthroscopic surgery results of cases with isolated subacromial impingement syndrome (SIS) that do not respond to conservative treatment.Material and Methods: 44 patients who had arthroscopic subacromial decompression and acromiplasty due to SIS between 2015 and 2018, were retrospectively analyzed. Patients with isolated subacromial impingement syndrome who did not respond to conservative treatment including drugs, physiotherapy, exercises and subacromial steroid injections were included. For the patients, preoperative and postoperative The American Shoulder and Elbow Surgeons Shoulder (ASES) Scores were measured.Results: Forty-four patients with a mean follow-up of 26.4 months (ranging from 24 to 35 months; SD: 7.3) and a mean age of 51.4 (ranging from 39 to 55; SD: 6.96) were reached. Thirty (68%) of the patients were female and fourteen (32%) were male. There were no significant differences between groups according to the age, sex, and follow-up time (p>0.50). There were type 3 acromion in total of 7 patients and type 2 acromion in 18 patients. The overall mean preperative ASES score was 38.8 (ranging from 36.6 to 41.8). And, the mean postoperaive ASES score was 84.9 (ranging from 76.2 to 88.3).Conclusion: The short-term clinical results of subacromial decompression and acromioplasty in patients who do not respond to conservative treatment has successfull results that support literature knowledge.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • The Effect of Doll Therapy on Cognitive Status and Agitation among Elderly
           with Dementia

    • Authors: Zeynep ARSLAN; Serap BULDUK
      Abstract: Aim: Agitation is one of the most important neuropsychiatric symptoms which affect the daily life of the patients along with cognitive decline among people with dementia. Doll therapy is a non-pharmacological method utilized in the management of behavioral symptoms like agitation for people diagnosed with moderate to severe dementia. In this respect, this study was conducted as an experimental design in order to test the effect of DT on cognitive state and agitation among long term institutionalized dementia patients. Material and Methods: The universe of the study is 110 elderly patients hospitalized in an institutionalized care center in a city. The size of the sampling was calculated using power analysis. The sample of the study consisted of DT (Doll Therapy) Group and C (Control group) including 16 and 19 patients respectively. Cohen-Mansfield Agitation Inventory (CMAI) and Mini Mental State Examination (MMSE) were used as data gathering tools. Results: The results were categorized as the beginning (T0), the week right after DT (T1), and as 3-months application (T2). The elderly in the group are similar in their socio-demographic features, nature of their institutional care, psychiatric and physical diseases, cognitive and agitation levels. A meaningful difference was found between DT and K groups in their CMAI total agitation level and Physical Non-Aggressive agitation level in favor of DT sample. However, the difference among CMAI Verbal Non-Aggressive, Verbal Aggressive and Physical Aggressive agitation sub dimensions and the change in MMSE levels did not prove to be significant. Conclusion: The results proved DT effective in stopping the progression of dementia but not the reversal of the process.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Evaluation of Stain Susceptibility of Different CAD/CAM Blocks After
           Immersion in Coffee

    • Authors: Soner ŞİŞMANOĞLU; Aliye Tuğçe GÜRCAN
      Abstract: Aim: Color stability is gaining more importance today due to majority of patients are seeking color matching restorations. However, there is still lack of information on staining and changes in translucency of recent CAD/CAM block materials. The goal of the current study was to evaluate the discoloration susceptibility, translucency change, water solubility, and water sorption of different CAD/CAM materials after one-month of immersion in coffee.Material and Methods: Four CAD/CAM block materials and one conventional composite resin were examined. The CIELab values of CAD/CAM materials were determined using a clinical spectrophotometer on black and white backgrounds. The color changes and translucency differences were calculated after immersion in coffee or distilled water for one month (n=6). Water solubility and sorption were also determined according to the ISO 4049:2009 (n=6). The data were calculated by 2-way ANOVA and Tukey’s pair-wise comparisons (α=0.05).Results: Color changes of the CAD/CAM materials tested ranged from 1.5 to 7.3, and translucency reduced. The highest color change was observed in nanocomposite resin (7.3), whereas the lowest color change was observed in feldspathic porcelain (1.5) after storing in coffee for a month. There was no significant difference among the polymer-based CAD/CAM materials. No correlation was determined between color changes and water sorption/solubility.Conclusion: All materials except feldspar ceramic showed a discoloration exceeding the clinically acceptable threshold level (2.7) after being stored in coffee for one month. The highest color change was observed in nanocomposite resin material.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Formulation, Optimization, and In-Vitro Evaluation of Hyaluronic Acid
           Buccal Films Containing Benzydamine Hydrochloride

    • Authors: Alptuğ KARAKÜÇÜK; Serdar TORT
      Abstract: Aim: Mucoadhesive buccal films provide drug delivery for both local and systemic circulation with increased patient compliance. The objective of this study was to develop a buccal film containing benzydamine hydrochloride (BNZ) by using hyaluronic acid (HA) as a film-forming agent and glycerin (Gly) as a plasticizer for the anti-inflammatory effect on the mucosal ulcer.Material and Methods: The effects of different concentrations of HA and Gly on responses were analyzed using 23 factorial design. The HA and Gly ratio were selected as independent factors, and work of mucoadhesion, tensile strength, elongation at break, and contact angle values were chosen as dependent factors. Nine different film formulations were prepared at constant BNZ concentration (0.15%) by solvent casting method. Mechanical and mucoadhesion properties of film formulations were evaluated, and also contact angles were calculated. The BNZ release profiles were evaluated in simulated saliva solution (pH 6.8).Results: All film formulations were successfully prepared by solvent casting method. Increasing HA concentration from 0.5 to 2 % raised the mechanical and mucoadhesion properties of film formulations. Although the addition of Gly decreased the tensile strength values, it increased the elongation at break values about ten times. All formulations released more than 60 % BNZ in 60 mins.Conclusion: It is concluded that HA oral mucoadhesive film formulations containing BNZ are promising for treating oral ulcers.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Knowledge About Hand Hygiene among Medical Students and Nursing Students
           in Masaka Regional Referral Hospital

    • Authors: Aisha NAZZİWA; Kamada LWERE, Seyit ANKARALI, Handan ANKARALI
      Abstract: Aim: The pathogenic bacterium on the hands of healthcare workers (HCWs) is considered as the main route of spread of hospital-acquired infections. This study determines the knowledge regarding hand hygiene among medical and nursing students in a Regional Referral Hospital.Material and Methods: 100 students participated in the study. Data was collected using the World Health Organization hand hygiene knowledge questionnaire (revised 2009). The questionnaire contains questions on the participant’s demographics, formal training in hand hygiene and questions to assess hand hygiene knowledge. Descriptive statistics of the variables were computed as Mean±SD and frequencies (n, %). The relationships between the categorical variables were investigated by using Pearson Chi-Square test. Also independent-samples t-test were used to investigate the difference between groups with regard to numerical variables. In all calculations, P< 0.05 is considered as the level of statistical significance. Statistical analysis was performed using SPSS 20 (IBM SPSS statistics, Somers, NY).Results: 90.8% of the students reported receiving formal training in hand hygiene. However only 2% of the students had good knowledge, 74% moderate knowledge and 24% low knowledge about hand hygiene. The study did not find any significant difference in the knowledge level between the students who had received formal training in hand hygiene and those who had not (p=0.392). Also, the mean knowledge score was not associated with gender (p=0.82), or profession (p=0.179). Conclusion: It is of importance to devise effective teaching methods that will help the students retain the knowledge on hand hygiene.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Examination of the Relationship between DMF-T and Dental Anxiety: The Case
           of Dicle University

    • Authors: Elif Pınar BAKIR; Simge GÜMÜŞ, Şeyhmus BAKIR
      Abstract: Aim: Dental anxiety is the reaction caused by the stresses in patient a specific condition that develops due to treatment. Individuals who have this anxiety delay their appointments or even avoid the dentist completely. It was purposed to examine relationship between dental health and anxiety grades of students studying at Dicle University Faculty of Dentistry.Material and Methods: 300 students from Dicle University Faculty of Dentistry were included in this study. It was calculated using the DMF-T index determined by the WHO to evaluate the dental health by performing examinations of the individuals. The Modified Dental Anxiety Scale (MDAS) questionnaire consisting of 5 questions was applied to the students to measure anxiety. MDAS scores ≥ 19 were considered to have high anxiety. The data including demographic characteristics were transferred to the statistics program and evaluated.Results: MDAS of men is significantly lower than women. There is a significant difference between age groups in terms of DMF-T values. The DMF-T value of those between the ages of 17-20 is significantly lower than between the ages of 26-30.Conclusion: DMF-T values increase as the upper classes are attended, regardless of the anxiety data. According to other data from our research; female students were found to have significantly higher anxiety than male students. As regardless of gender and class; we think that a training on "anxiety diagnosis and control methods" that can be added to the curriculum at early stage of dentistry education will help reduce anxiety levels.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • The Effect of Coronavirus Disease on Nutrition and Physical Activity
           Status of Adults; COVID-19 and Nutrition

    • Authors: Sevtap KÜÇÜKCANKURTARAN; Yahya ÖZDOĞAN
      Abstract: Aim: This research was planned to evaluate the nutritional and physical activity status of adult individuals before and during the coronavirus disease (COVID-19).Material and Methods: 579 adult individuals aged 20-65 years participated in this descriptive and comparative study. The novel coronavirus is transmitted through respiration and droplet. For this reason, the questionnaire was not made face-to-face in order to protect against the virus and was sent to volunteers in electronic environment. In the study, McNemar test, McNemar-Bowker test and Paired sample t test were used to compare the nutritional habits and physical activity status before the COVID-19 pandemic and during the pandemic period.Results: It was determined that the individuals with the average age of 30.8 ± 8.9 years were the most preferred vitamin D (44.3%) and the most preferred mineral was zinc (21.4%) for protection from COVID-19. It was found that individuals skipped lunch more than during the pandemic period (p
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Violence against Healthcare Professionals in Düzce Province in the
           Light of White Code Data

    • Authors: Ebru ÖZEN BEKAR; Esra ÇEVİK
      Abstract: Aim: Code white alarm system is implemented to prevent violence against healthcare professionals and manage an incidence of violence immediately in health institutions in Turkey. In this study, it was aimed to evaluate violence incidents between 2017 and 2019 in Duzce province.Material and Methods: In this descriptive study, code white notifications reported between 2017 and 2019 in Duzce province were investigated retrospectively. Descriptive data regarding victims, assailants, the cause of violence, the type of violence and legal processes by health institutions and years were shown in numbers and percentages. Results: As a result of the examination of a total of 122 code white incidents, it was seen that 49.2% of the code white incidents took place in Public Hospitals. 80.3% of violence incidents were verbal violence and 31.1% of them were experienced in Emergency Services. In 122 code white cases, 133 hospital personnel were exposed to violence, and 36.1% of the victims were physicians. Considering the distribution of employees faced with violence by institutions, it was figured out that the occupational group most frequently exposed to violence was physicians in Public Hospitals (61.9%) and Oral and Dental Health Center (83.3%), whereas it was administrative service personnel (42.2%) in the University Hospital. It was found out that 72% of assailants were male, most of them (41.9%) were between the ages of 33-52 and 52.2% were relatives of the patients. The attitudes of patient/patient's relative and behavioral mistakes (43.1%) were revealed as the most common causes of violence. Conclusions: It is thought that the study data obtained in the present study conducted in Duzce province will provide the literature with its important results and will increase the awareness of this important issue among healthcare professionals.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Investigation of SARS-COV-2 IgG Seropositivity in Health Care Workers

    • Authors: Cihadiye ÖZTÜRK; Ezgi KÖSE, Pelin DURAN, Gözde KAHRAMAN, Nagihan MEMİŞ, Eda KAYABAŞI, Şükrü ÖKSÜZ, İdris ŞAHİN, Emel ÇALIŞKAN
      Abstract: Aim: The continuing outbreak of coronavirus disease (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) poses enormous challenges for health care workers. Health care workers are a high-risk population for transmission of SARS-CoV-2 infection from patients or other healthcare workers. In this research, it was aimed to determine the rate of IgG antibody formation against SARS-CoV-2 by taking into account the gender, age group, occupational group, unit of work, reported symptoms and family contact history of healthcare workers in Düzce.Material and Methods: The study group was randomly formed from healthcare professionals working actively in the pandemic units in Düzce. A questionnaire questioning sociodemographic information was applied to the participants and blood samples were taken.Antibody levels were studied with the microELISA method using the SARS-CoV-2 IgG (Euroimmun, Germany) kit in microbiology laboratory.Results: SARS-CoV-2 IgG positivity was found in 25 (27%) of the 93 healthcare workers included in the study. 18 (72%) of those who were positive for SARS CoV-2 IgG antibody had passed COVID-19 asymptomatically. 17 (68%) of those who were positive for SARS CoV-2 IgG antibody did not have a family history of contact with a person positive for COVID-19.While the median value of antibody levels was 2.90 in symptomatic patients, this value was found as 1.31 in asymptomatic patients.Conclusion: As a result, it was observed that the majority of those who were included in the study and had antibody positivity had the infection asymptomatically and the antibody levels in these individuals were lower than those who were symptomatic.
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
  • Investigation of The Relationship Between Variables and Ergonomic Risk
           Related to Musculoskeletal Pains of Intensive Care Nurses

    • Authors: Ebru ARSLAN ÖZDEMİR; Özlem ÖRSAL
      Abstract: Aim: The aim of our study is to examine the variables affecting musculoskeletal pain seen in nurses working in intensive care units and the relationship of these variables with ergonomic risks. Material and Methods: The research was conducted with 98 nurses working in the intensive care units of a state hospital. While collecting the data, “Descriptive Information Form” and “Extended Nordic Musculoskeletal System Inquiry” questionnaire were collected and “REBA (Rapid Entire Body Assessment-Fast Whole Body Evaluation) Employee Evaluation Form” was collected through observation. With the extended Nordic musculoskeletal pain question, nurses' pain in all body parts and ergonomic risk level were determined by REBA method. Analyzes were evaluated by chi - square and Mann Whitney-U test. Statistical significance value was taken as p
      PubDate: Mon, 20 Sep 2021 00:00:00 +030
       
 
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