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Mersin Üniversitesi Sağlık Bilimleri Dergisi
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ISSN (Online) 1308-0830
Published by Mersin Universitesi Homepage  [5 journals]
  • Species distribution and antibiotic susceptibility of bacteria isolated
           from a tertiary hospital in Niğde: a three-year evaluation

    • Authors: Taylan BOZOK; Ali ÖZTÜRK
      Abstract: Aim: Increasing bacterial infections and antimicrobial resistance (AMR) threatens public health. Surveillance studies are of great importance in the management of this problem. In this study, it was aimed to determine the species distribution and antibiotic susceptibility of bacteria isolated from various samples. Method: Identification and antibiotic susceptibility test (ADT) results of bacteria isolated from clinical specimens sent to …. Hospital Medical Microbiology Laboratory between March 2018 and March 2021 were analyzed retrospectively. The Vitek 2 automated device was used for bacteriological identification and ADTs. The antibiotic susceptibility of isolates was evaluated according to EUCAST standards. Results: A total of 6392 bacterial pathogens were isolated from different clinical specimens during the specified date range and ADT was applied to 6039 (94.5%) bacterial isolates. Among the sample types in which growth was detected, the most common urine sample (n=2982; 47.1%) was blood (n=1492; 23.6%), tracheal aspirate (n=871; 13.8%), wound (n=476; 7.5%), sputum (n=154; 2.4%) and other clinical specimens followed. The most frequently detected bacterial species was Esherichia coli (28.4%). Extended-spectrum beta-lactamase (ESBL) positivity was 22.6% for E. coli and 14.8% for Klebsiella spp. The rate of methicillin-resistant Staphylococcus aureus (MRSA) among S. aureus species was found to be 45.6%. Conclusion: In the fight against infectious diseases, the local bacterial agent and antimicrobial resistance profile should be well known and surveillance systems should be operated correctly. It would be useful to reconsider empirical treatments as a precaution against the increase in E. coli and Klebsiella spp. species. High MRSA and ESBL rates continue to be a threat to our region.
      PubDate: Sun, 30 Apr 2023 00:00:00 +030
  • Illness perception and asthma management levels of asthma patients

    • Authors: Deniz YILDIZ; Derya TÜLÜCE
      Abstract: Aim: This descriptive research was conducted to determine the illness perception and asthma management levels of asthma patients. Method: The study was performed to the 211 asthmatic individuals applied to the Chest Diseases Clinic at a training and research hospital in December 2020-April 2021. A patient information form, The Revised Illness Perception Questionnaire and an asthma management checklist prepared by the researchers. were used to collect the data. The data were analyzed via SPSS 20.0 program. An ethical approval from the related University Ethics Committee, a written permission from the related hospital administration, oral and written informed consent from the participants were gathered to conduct the research. Results: The mean age of the patients was 45.15±14.56, and the average year of asthma diagnosis was 7.73±7.56. According to the statements of the patients, asthma control levels were found to be low. A positive correlation was found between age and disease perception scale sub-dimensions, results, emotional representations and risk factors, and negative correlations were found between personal control and treatment control sub-dimensions. There was a negative difference between the age of the patients and limitation in daily activities due to asthma, and a positive difference between the use of rescue medication. Conclusion: the total and sub-dimension mean scores of the illness perception of the patients participated in the study were found to be high, and their asthma management levels were low. It is recommended to evaluate the illness perceptions of the asthma patients during the follow-up and treatment processes and to take anamnesis considering their sociocultural characteristics in order to increase the asthma management levels of the patients.
      PubDate: Sun, 30 Apr 2023 00:00:00 +030
  • Is routine histopathological examination necessary in functional
           endoscopic sinus surgery'

    • Authors: Harun GÜR; Yusuf VAYISOĞLU, Cengiz ÖZCAN, Onur İSMİ, Kemal Koray BAL, Rabia BOZDOĞAN ARPACI, Murat ÜNAL, Kemal GÖRÜR
      Abstract: Aim: Our aim in this study is to discuss the need for routine histopathological examinations of tissue samples obtained during functional endoscopic sinus surgery. Method: For this study, the data of 248 patients who underwent functional endoscopic sinus surgery at Mersin University Faculty of Medicine, Department of Otorhinolaryngology between 2019 and 2022 were retrospectively analyzed. Results: When the histopathological examination results were evaluated, benign diseases were detected in 183 (90.6%) patients, malignant diseases were detected in 10 (4.9%) patients, and malignant diseases were detected in 9 (4.5%) patients. Conclusion: Routine histopathological examination may not be necessary in patients with bilateral paranasal sinus polyps and allergy related diseases.
      PubDate: Sun, 30 Apr 2023 00:00:00 +030
  • Rare cause of childhood foot pain: Os trigonum syndrome

    • Authors: Esma ALTINEL AÇOĞLU; Zehra YÜCEL, Gizem ÇAĞLAR, Berna UCAN, Fatma Zehra ÖZTEK ÇELEBİ, Meltem AKÇABOY
      Abstract: Os trigonum is an accessory bone that is usually asymptomatic and placed at the posterior of talus. It occurs as an ossification center between seven-thirteen years and usually joins with talus within a year. However, this combination does not occur rarely and it is defined as ‘Os trigonum syndrome’ when it is symptomatic. Os trigonum syndrome is a rare clinical condition characterized by posterior foot pain in children. It is more common in athletes who perform strenuous activities with plantar flexion of the foot and in ballerinas. Here, we presented an adolescent patient who presented with the complaint of pain and swelling in the right foot ankle and was diagnosed with os trigonum syndrome.
      PubDate: Sun, 30 Apr 2023 00:00:00 +030
  • Attitudes towards family planning of women in the early postpartum period
           and effecting factors

    • Authors: Zeliha TURAN; Fatma KORUK
      Abstract: Objective: The postpartum period is a period when women have a high desire to use family planning methods, it is a good opportunity for fertility planning and providing services to individuals in this regard. It is very important for women to decide on the family planning method they will use before they are discharged from the hospital in terms of preventing unplanned or unwanted pregnancies. In this study, it was aimed to determine the attitudes of women in the early postpartum period towards family planning and the factors affecting them. Method: The sample of the cross-sectional study consisted of 243 women in the postpartum clinics of a public hospital. Data of study were collected between June and July 2022. Results: The average age of women was 28.17±5.42, and the average number of children was 3.51± .89. In addition, 46.5% of women were illiterate and 73.7% want children again. The mean score of women family planning attitude scale was 90.8±8.10. The family planning attitude scale mean score of women with higher education level, living in the city center, and having their pregnancy follow-up done in a private hospital were higher. It was determined that the mean score of the scale was lower for women with a higher age at their own age, spouse's age, age at marriage and first gestational age, and women who want to have children again (p<0.05). Conclusion: The research showed that women's attitudes towards family planning in the early postpartum period were positive, but not at the desired level.
      PubDate: Sun, 30 Apr 2023 00:00:00 +030
  • Determination of nurses' anti-vaccination levels

    • Authors: Hüseyin GÜNEŞ; Vahide SEMERCİ, Zila Özlem KIRBAŞ
      Abstract: Aim: This study was conducted to determine the nurses' anti-vaccination levels. Method: The study was carried out descriptively and cross-sectionally in a training and research hospital between September 15 and September 30,2022. We reached 282 nurses, who agreed to participate in the study and were not on leave during the study dates, without sampling. Data were collected through face-to-face interviews with nurses using Personal Information Form and Anti-vaccination Scale. In this study, scientific and universal principles were followed and necessary permissions were obtained. Data were analyzed in IBM SPSS v25 package program. Statistical significance level was accepted as p<0.05. Since the data were normally distributed, Independent Sample T test and One-Way ANOVA test were used to compare nurses' descriptive characteristics and scale scores. Results: The mean age of the nurses participating in the study was 39.60±7.43 (min=20, max=59). 90.8% of the nurses were women, 83.3% were married, 72.0% were undergraduate graduates and 62.1% were working as service nurses. The total score of the Nurses' Anti-Vaccination Scale was 46.82±12.43 (min=21, max=90). Statistically significant difference was found between total score of the Vaccine Opposition Scale and the nurses' hesitations about vaccination, their status of having children and their knowledge about vaccination (p<0.05). Conclusion: In our study, nurses' anti-vaccination was moderate. Nurses who were hesitant about vaccination and got information about the vaccine from their relatives/friends had a higher total score on the Anti-Vaccination Scale, and lower total score on the Anti-Vaccination Scale for nurses who had children.
      PubDate: Sun, 30 Apr 2023 00:00:00 +030
  • Evaluation of parental knowledge level about complications related to
           mouth, teeth and jaw area in sickle cell patients

    • Authors: Feryal KARAHAN; Melis YILMAZ
      Abstract: Aim: Sickle cell disease (SCD) is a multisystemic disease that affects the quality of life of patients from the early stages of their lives. The aim of our study was to evaluate the knowledge level of the primary caregiver parent (mother) of our SCD patients about the complications that develop in the mouth, teeth and jaw region. Method: Fifty children and young adults diagnosed with SCD and their primary caregiver parents were included in the study. A questionnaire was applied to the parents, and their level of knowledge on oral and dental health in SCD and the clinical symptoms their children experienced in the mouth, teeth and jaw area were questioned. Results: 28 (56%) of mothers stated that SCD had an effect on oral, dental and jaw health. It was determined that the frequency of vaso-occlusive crisis (VOC) was lower in those who brushed their teeth once a day compared to those who did not brush at all (5% vs. 58%), and the frequency of transfusion was lower in those who brushed ≥2 teeth than those who did not brush at all (6% vs. 32%). Conclusion: Our study; showed that 44% of parents were unaware of the complications of SCD in the mouth, teeth, and jaw area. We also determined that tooth brushing may have an effect on the frequency of VOC and blood transfusion. The awareness of patients and parents about the importance of oral and dental hygiene and the complications of SCD in this region should be increased.
      PubDate: Sun, 30 Apr 2023 00:00:00 +030
  • Technologies used in evaluation of diabetic foot ulcer risk

    • Authors: Merve GÜNBAŞ; Dilek BÜYÜKKAYA BESEN, Merve DERVİŞOĞLU
      Abstract: Diabetic foot ulcers are one of the most serious complications of diabetes. It has been reported that about half of people who develop diabetic foot ulcers develop ulcers again within the first year. Various health technologies have been developed to prevent diabetic foot ulcers, to detect them early and to speed up the healing process. In this review, the effect of developed technological systems on diabetic foot ulcers is explained. Early sensory loss can be detected by neuropathy tests with monofilaments. Peripheral arterial disease can be determined in the early period with the developed Laser Doppler Flowmeter system. Infections that may occur through the sensor that detects increases in foot temperature can be noticed at an early stage. Plantar insoles detect sudden pressure changes in the foot and send alerts to paired smart devices. With tele-health applications, remote glucose monitoring, foot care training, foot controls can be provided and patients can be followed closely. Tele-health applications have been reported to be a cost-effective and comfortable method for patients. These developed technologies will provide great support to the care and treatment process of health care professionals. In addition, with these developed systems, early diagnosis of patients will be ensured and worsening of the prognosis will be prevented.
      PubDate: Sun, 30 Apr 2023 00:00:00 +030
  • The process of becoming a mother from the eyes of primiparous women who
           had a cesarean section: Qualitative study

    • Authors: Elif KETEN EDİS
      Abstract: Aim: The aim of this study was to examine how primiparous women who had cesarean section experienced the transition to motherhood. Method: This research was carried out in the phenomenology pattern of qualitative research methods. Research data were collected through in-depth interviews using a semi-structured form. The study included 27 primiparous women who had a cesarean section. The research data were evaluated by content analysis. Results: As a result of the evaluation of the data, three themes and seven sub-themes were determined. The themes determined in the research; “Reasons for cesarean section” “Thoughts about giving birth by cesarean section” “Experiences of being a mother with cesarean section”. In the study, most of the women stated that they wanted to have a vaginal birth and felt sad because they had a cesarean section. However, all of the women described the post-cesarean section as a difficult period. It was determined that the most difficult issues for women in the role of motherhood after cesarean section were breastfeeding and taking care of their babies. Conclusion: The results of the research showed that primiparous women experienced a difficult period after cesarean section and needed support. In this respect, it is important that women and their families should be informed about birth patterns from the pregnancy process and supported in the postpartum period.
      PubDate: Sun, 30 Apr 2023 00:00:00 +030
  • The relationship between canlph score and saphenous vein graft disease

    • Authors: Serafettin demir SERAFETTİN DEMIR; Armağan ACELE, Arafat YILDIRIM, Ozge OZCAN ABACIOGLU
      Abstract: Objective: The frequency and clinical presentation of saphenous vein graft disease (SVGD) is increasing so it is important to reveal the predisposing factors and identify the patients in the risk group. In this study; We aimed to evaluate the relationship between CRP/albumin ratio +neutrophil/lymphocyte ratio+ platelet/hemoglobin ratio (CANLPH) score and SVGD, which enables the evaluation of three biomarkers such as platelet/hemoglobin ratio (PHR), CRP/albumin ratio (CAR) and neutrophil/lymphocyte ratio (NLR). Method: Total of 754 patients who had coronary angiography in our hospital between January 2018 and January 2020 and had history of coronary artery bypass graft were included retrospectively. Patients with stenosis of at least ≥50 in SVGs constituted the SVGH group and without stenosis in SVGs the controls. CAR, NLR and PHR values were calculated and cut-off values were determined using the Youden index and scores were obtained as 0 or 1. The sum of these 3 scores was recorded as the CANLPH score. A p value of <0.05 was considered statistically significant. Results: The mean age of all patients was 66.0±8.6 (73% male). The patients in SVGD group (n=372) were more diabetic and had lower ejection fraction than controls (p=0.041 and p<0.001). The groups were similar in terms of PHR (p=0.690) but mean CAR (p=0.001) and NLR (p=0.003) were higher in SVGD group. In multivariate logistic regression analysis CANLPH, CAR, NLR, lower EF and higher glucose were independent predictors of SVGD. CANLPH score was better with an Area under curve (AUC) 0.663 and p<0.001, 95% confidence Interval (CI) :0.620-0.705. Conclusion: CANLPH score can be a laboratory biomarker for predicting SVGD.
      PubDate: Sun, 30 Apr 2023 00:00:00 +030
  • The role of the psychiatric nurse in cognitive behavioral therapy applied
           to patients diagnosed with depression: Literature review

    • Authors: Hilal ALTUNDAL DURU; Mualla YILMAZ
      Abstract: Depression affects how an individual feels, thinks and acts; it is a common and serious medical condition that causes feelings of sadness or loss of interest in activities enjoyed. The psychotherapy method frequently used in depression is Cognitive Behavioral Therapy (CBT). First introduced by Aaron Temkin Beck in 1964, CBT is a widely researched model for the treatment of various emotional and behavioral problems, and is a psychotherapeutic approach that aims to solve problems related to dysfunctional emotions, behaviors, and cognitions through a targeted, systematic procedure. Certified psychiatric nurses can also take part in this psychotherapeutic approach. Psychiatric nurses due to their consultancy roles; It plays an important role in providing individuals with coping skills, minimizing disability, protecting and improving mental health. Certified psychiatric nurses can apply psychotherapy to individuals, families and groups by using the role of psychotherapist in protecting and improving mental health, preventing mental illness and disability, and bringing the functionality and dysfunction of the individual to their pre-illness state. Considering the increasing evidence of CBT in physical health settings, psychiatric nurses should respond to increasing expectations in the future; will be able to provide evidence-based treatment, quality improvement and increased productivity with CBT. Therefore, the aim of this review is to examine the reflections of the effectiveness of CBT applied to patients diagnosed with depression on psychiatric nursing by compiling it with current research results. With this review, it is thought that the use of CBT in patients with depression will contribute to the implementation of psychiatric nursing practices.
      PubDate: Sun, 30 Apr 2023 00:00:00 +030
  • Immunization at the goal of health for all

    • Authors: Bengü Nehir BUĞDAYCI YALÇIN; Muzaffer ESKİOCAK
      Abstract: Aim: Vaccination is one of the most important achievements of public health as an effective, cost-effective and accepted method in reducing the mortality and morbidity of various infectious diseases. The World Health Organization has reported that global immunization prevents 2-3 million deaths annually, which is an indication of how important vaccination is for public health. The low incidence of vaccine-preventable diseases as a result of the vaccine's own success may lead to the public forgetting the benefits of the vaccine. Maintaining the benefits of the vaccine is more important than achieving these goals. For a healthy life, vaccination is a tool that helps the individual to maintain his/her health not only in infancy and childhood, but throughout his/her whole life. Although the Extended Immunization Program has been implemented successfully for childhood in Türkiye, the targeted rates for adult immunization have not been reached. The increase in the average life expectancy and the elderly population has increased the importance of adult immunization. In this review; it was aimed to emphasize the importance of vaccination at all ages in the goal of health for all.
      PubDate: Sun, 30 Apr 2023 00:00:00 +030
  • Evaluation of emergency department usage: a cross-sectional study

    • Authors: Emine ÇETİN ASLAN
      Abstract: Objective: The aim of the study is to determine the purpose and intensity of usage of the emergency department. For this purpose, the demographic characteristics, diagnoses, triage groups, discharge status, and the transportation method of the patients were investigated. Method: The research is a retrospective, cross-sectional and descriptive registry study. The research was conducted in the secondary level emergency department of a B2 hospital affiliated with the Ministry of Health in İzmir. The data were provided from the hospital information system. Research data includes 206393 visits, which were in 2021. Descriptive statistics were employed in the analysis. Results: 51.952% of the patients are men. The average age is 32.22 years. The average number of visits is 565.46 patients per day. The numbers of visits are higher in the summer. The hospitalization rate was 1.34%, the referral rate was 1.27%, the mortality rate was 0.06%, and the leaving without treatment was 0.14%. 0.87% of the visits were in the red, 87.99% in the yellow, and 11.15% in the green triage groups. The highest number of visits and hospitalizations were due to respiratory diseases. The diagnosis of the patient varies according to age group. Approximately 94% of the patients came to the emergency department by their own vehicle. 2.23% of the patients were delivered by the 112 emergency services and 3.67% by the public security teams. Conclusion: It was concluded that the number of admissions to the emergency department was high, but the rates of hospitalization, referral, and death were low.
      PubDate: Sun, 30 Apr 2023 00:00:00 +030
  • Nutrition in children ınfected with Human Immunodeficiency Virus

    • Authors: Fatma Öznur AFACAN; Beyza ELİUZ TİPİCİ, Birsen DEMİREL
      Abstract: Acquired immunodeficiency syndrome is an infectious disease caused by the human immunodeficiency virus, which weakens the immune system. Today, human immunodeficiency virus and acquired immunodeficiency syndrome continue to be an important public health problem for children. According to the United Nations Joint Program on human immunodeficiency virus / acquired immunodeficiency syndrome 2020 reports, nearly half of children living with human immunodeficiency virus can receive antiretroviral therapy, and the treatment of pediatric human immunodeficiency virus infection remains challenging in resource-constrained countries. Complications such as abnormal body fat distribution, insulin resistance, decreased bone density, and lipodystrophy syndrome can be seen in children living with human immunodeficiency virus. Malnutrition is an accelerating factor in the progressive progression of the disease and causes an increase in the risk of premature death and a decrease in the quality of life. The World Health Organization reports that nutritional assessment and support are important in children living with human immunodeficiency virus. However, the Academy of Nutrition and Dietetics supports the integration of medical nutrition therapy into routine care for this population and recommends individualized medical nutrition therapy targeting children living with human immunodeficiency virus. In this review, clinical problems related to nutrition in children living with human immunodeficiency virus and acquired immunodeficiency syndrome, side effects of antiretroviral therapy, and current approaches to medical nutrition therapy were examined.
      PubDate: Sun, 30 Apr 2023 00:00:00 +030
  • The effect of workplace incivility on the organizational happiness of

    • Authors: Meltem AYDIN BEŞEN; Mine YURDAKUL
      Abstract: Objective: Midwives are significantly affected by the current workplace culture as well as the increasing workload. Decreased emotional well-being as a result of rudeness and workplace violence in healthcare businesses can negatively affect the quality of midwifery care. In this study, it was aimed to evaluate the level of incivility perceived by midwives in the workplace, the level of organizational happiness and the relationship between them. Method: The research was carried out with 271 midwives who work in official institutions with the title of midwife and who can use Wep 2 technologies (WhatsApp, Twitter, Facebook, Instagram) to fill the data collection form. The data of the study were collected with the "Descriptive Characteristics Form", "Workplace Incivility Scale" (WIS) and "Organizational Happiness Scale" (OHS). Student's t test and One Way ANOVA test were used for the differences in descriptive features in terms of scale scores. Simple Regression Analysis test was used to determine the relationship between variables. Results: In the study, the mean OHS score of the midwives was found to be 2.86±0.796, and the mean WIS score was found to be 2.14±0.918. There was a negative, linear relationship between the midwives' mean WIS score and the OHS score average (R: -0.494, p: <0.001). Conclusion: Our findings presented that midwives were exposed to incivility in the working environment and this situation negatively affected the organizational happiness of midwives. It can be recommended that managers should be aware of workplace incivility, take precautions before it becomes permanent in the institution, and develop healthy communication ways in the workplace.
      PubDate: Sun, 30 Apr 2023 00:00:00 +030
  • Evaluation of Hepatitis C virus genotype and viral loads in patients with
           chronic Hepatitis C infection: A five-year, single-center retrospective

    • Authors: Tuğçe ŞİMŞEK BOZOK; Ali Kutta ÇELİK
      Abstract: Aim: HCV genotypes differ in the prognosis and treatment of chronic hepatitis caused by hepatitis C virüs. In this study; It was aimed to evaluate the HCV genotype and HCV-RNA values of the patients followed up with the diagnosis of chronic HCV infection in Mersin City Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology. Method: Age, gender, HCV-RNA and genotype data of 202 adult patients who were followed up with the diagnosis of chronic HCV infection in the Infectious Diseases and Clinical Microbiology Clinic of Mersin City Training and Research Hospital between February 2017 and February 2022 were evaluated retrospectively through patient files and hospital information system. HCV-RNA values were determined with Bosphore Ultra HCV Quantification Detection Kit and HCV genotypes were determined with Bosphore HCV Genotyping Kit v3. Results: Of the 202 patients followed up with chronic HCV infection in a five-year period, 60 (29.7%) were female and 142 (70.3%) were male. The mean age was 44.6±18.3 years. Of the patients, 65 (32.1%) were genotype 1b, 53 (26.2%) genotype 1a, 41 (20.3%) genotype 3, 24 (11.9%) genotype 4, 11 (5.4%) genotype 2, 2 (1%) genotype 5, 2 (1%) genotype 3-4, 2 (1%) genotype 1b-4, 1 (0.5%) genotype 2-3, 1 (0.5%) genotype 3-4 association was detected. Genotype 4 was significantly higher in 25 (12.4%) foreign nationals (p<0.001). The median HCV-RNA was 167,650 IU/ml (range: 105-19,526,197 IU/ml). There was no significant relationship between genotypes in terms of HCV-RNA levels. Genotype 1b was significantly higher in females (p<0.05). The mean age of patients with genotype 1 was significantly higher than the other genotypes (48.5 years/39.4 years, p=0.003). Conclusion: Due to the increase in the foreign national patient population in our region in recent years, it is noteworthy that the genotypes and mixed type HCV infections that are less common in our region are increasing. Determination of HCV genotypes is thought to be important in terms of guiding the course and treatment of chronic HCV infections and showing the changes in HCV epidemiology in the region.
      PubDate: Sun, 30 Apr 2023 00:00:00 +030
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