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Mersin Üniversitesi Sağlık Bilimleri Dergisi
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ISSN (Online) 1308-0830
Published by Mersin Universitesi Homepage  [5 journals]
  • Intervention Study to Increase Knowledge and Awareness in Cutaneous
           Leishmaniasis Cases: The Case of Şanlıurfa

    • Authors: Burcu BEYAZGÜL; İbrahim KORUK, Rüstem KUZAN, Şule ALLAHVERDİ
      Abstract: Aim: In this study, it was aimed to determine whether there was a change in the level of knowledge about the disease without education during the treatment and the effect of health education on the level of knowledge of the patients about the disease in patients with cutaneous leishmaniasis. Method: The research was of intervention type and was carried out in Şanlıurfa Cutaneous Leishmanias Diagnosis and Treatment Center. The study was completed with a total of 102 people, 51 of whom were in the intervention group and 51 in the control group. Both groups were pretested at the time of the first application. The intervention group was then given training, and the level of knowledge and awareness was re-measured one month later. No training was given to the control group, and after one month of treatment, the level of knowledge and awareness was re-measured in order to determine whether the level of knowledge changed during the treatment. Results: The mean knowledge score of the control group was 3.88±1.78 before the treatment and 4.96±1.46 after the treatment. The mean knowledge score of the intervention group was 3.33±1.26 before the treatment and 6.25±1.29 after the treatment. Both the post-treatment knowledge level compared to the pre-treatment and the intervention group knowledge level were higher than the control group (p<0.05). Conclusion: Cutaneous leishmaniasis patients generally consist of less educated and low-income individuals. Along with the treatment, patients should be supported by providing qualified counseling.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • Determinants of job performance in 112 emergency ambulance services

    • Authors: Sabahattin TEKİNGÜNDÜZ; Ahmet Öner KURT, Mustafa Kemal BAŞARALI
      Abstract: Aim: The aim of the study was to determine the factors affecting the job performance of employees working in 112 Emergency Ambulance Services (pre-hospital emergency medical services). Method: In this cross-sectional study, data was collected in a province in Turkey between 01/01/2016 and 31/03/2016. 378 ambulance (112 Emergency Services) employees participated in the study. In the study, job performance scale, organizational commitment scale and emotional burnout scale were performed. Reliability test, percentage distribution, mean, standard deviation, correlation and regression analyzes were used in the evaluation of the data. Results: The mean age of the participants was 28.9±6.16, the total working year was 6.0±3.273, 68.3% were female, 63.0% were married, 91.0% were emergency and ambulance care technician/emergency medical technician, 43.9% were associate degree graduates. The job performance score was 4.1, the organizational commitment score was 3.5, and the emotional burnout score was 2.6. According to the correlation analysis, a positive relationship was found between job performance and organizational commitment, and a negative relationship was found between job performance and emotional burnout. According to the regression analysis, it was determined that only organizational commitment had a positive effect on job performance. Conclusion: In this study conducted with ambulance workers, significant relationships were found between job performance and emotional burnout and organizational commitment levels. In this respect, it is thought that it will be important to increase the level of commitment to the organization and reduce the level of burnout in order to increase the performance levels of the employees. It is necessary to measure the commitment and burnout levels of the employees from time to time. It is thought that the development of intervention programs for the measurement result is important in terms of job performance. 
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • The relationship between spousal support and pregnancy stress in high-risk
           pregnant women

    • Authors: Zeynep ÖZBEK; Kerime Derya BEYDAĞ
      Abstract: Aim: This research was conducted to reveal the relationship between spousal support and pregnancy stress in high-risk pregnant women. Method: The sample of the descriptive and relationship- seeking research consisted of 220 pregnant women who were hospitalized and received inpatient treatment between 01.12.2020 and 01.02.2021 in the perinatology service of the Obstetrics and Children's Hospital in the Anatolian side of Istanbul. The data were acquired by meta-data gathering form, Pregnancy Stress and Assessment Scale, and Spouse Support Scale. Number-percentage calculations, Anova test, Kruskal Wallis test, t test and spearman correlation analysis were used to evaluate the data. Results: The average score of the Pregnancy Stress Assessment Scale of the pregnant women participating in the research was found to be 50.24±27.10 and the average score of the Spouse Support Scale was found to be 57.69±9.21. No statistically significant relationship was found between the average score of the Pregnancy Stress Rating Scale of the pregnant women and the average score of the Spouse Support Scale (p>0.01). Conclusion: It is recommended that nurses and midwives working with risky pregnancies include planning to reduce pregnancy stress in their care processes.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • Opinions of nursing students on clinical practices

    • Authors: Hilal ALTUNDAL; Ladin YAĞTU, Nazlı Can DENİZHAN, Gamze GÜNEŞLİ, Mualla YILMAZ
      Abstract: Aim: The aim of this study was to determine the views of nursing students on clinical practices. Method: The population of the cross-sectional study consists of second, third and fourth year students (N=695) studying at a state university in the south of Turkey between 20 December 2019 and 15 January 2020, and the sample was consisted of 252 students. Data were collected by Personal Information Form and Nursing Students' Views of Clinical Practice Questionnaire. Analyzes were evaluated with percentage, frequency, mean, standard deviation and Pearson Chi-square test. Results: The mean age of the students was 21.04±1.32. It was determined that the first reason for choosing the nursing profession was the opportunity to find a job easily (64.7%). 58.7% of the students stated that they had problems with the instructor during clinical practices. The expectations of the students from the instructors in clinical practice were determined as explaining the cases with appropriate examples in the clinic (98.8%), not criticizing the student at the bedside (98%), and displaying a fair approach (98%). It was determined that there was a statistically significant weak correlation between gender and choosing the nursing profession due to easy job finding, good income and family desire (p<0.05). It was found that there was a statistically significant weak correlation between choosing the nursing profession due to the desire to find a job easily and helping people and their grade levels (p<0.05). There was a statistically significant weak correlation between the patient's willingness to perform treatment and care practices together with the instructor during clinical applications and their grade level (p<0.05). In addition, it was determined that there was a statistically significant weak correlation between the status of experiencing problems with the instructor during clinical applications and age and class levels (p<0.05). Conclusion: It is recommended that faculty members demonstrate an understanding- based approach to students in clinical education, engage in interactions that increase students' motivation, and make student evaluations according to objective criteria. Student nurses should be supported by learning models that include appropriate clinical learning opportunities and experiences
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • Evaluation of non-pharmacological nursing approaches in delirium
           management

    • Authors: Sevde ASLANGÜL; Fatma AYHAN, Candan TERZİOĞLU
      Abstract: Aim: In this study, it was aimed to contribute to evidence-based nursing interventions by examining the non-pharmacological nursing approaches used in delirium management in postgraduate theses published in the field of national and international nursing. Method: The theses published between January 1, 2016 and July 11, 2021 were scanned from the national thesis center (YÖK thesis center) of the Higher Education Council in the national field, and from the Proquest (Dissertations & Theses Global‎) database in the international field. Keywords in Turkish were delirium, non-pharmacological interventions, prevention and nursing care, while they were delirium, non-pharmacological interventions, prevention and nursing care in English. The PRISMA 2020 Checklist was used to evaluate the reporting features. Keywords were found in the titles of 2801 graduate theses, 2456 in Proquest and 345 in YÖK thesis center. As a result, after the selections made according to the title, abstract and full text, 10 theses were decided. Results: 70% (n=7) of the postgraduate theses were doctoral theses and 30% (n=3) were master's theses. 85.7% (n=6) of doctoral theses belonged to international literature and 14.3% (n=1) to national literature. 66.7% (n=2) of the master's theses belonged to the national literature, and 33.3% (n=1) to the international literature. In a master's thesis, it was revealed that delirium can be prevented by environmental organisation. In an international master's thesis, there were findings that the use of a sleep hygiene checklist will reduce delirium. As a result of the training given to nurses about delirium identification tools in doctoral theses, data were obtained about the decrease in the incidence of patient delirium. Conclusion: It is predicted that national and international postgraduate theses will provide evidence-level information to non-pharmacological nursing interventions in delirium management and create a database for future research on this subject
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • Scheimpflug Corneal Densitometry analysis after accelerated cross-linking
           in pediatric and adult Keratoconus patients

    • Authors: Özer DURSUN; Mustafa VATANSEVER, Levent GÖBEL, Ömer ÖZER, Erdem DİNÇ, Gülhan TEMEL
      Abstract: Purpose: To compare the corneal densitometry in patients under and above 18 years of age who have had corneal collagen cross-linking (CXL) treatment for keratoconus. Method: Seventy-four eyes of 55 patients who have had corneal CXL with a diagnosis of keratoconus were included. Patients under 18 years were included in group 1, while patients over 18 years of age were in group 2. Corneal thickness and corneal densitometry were measured and recorded with Pentacam Scheimpflug imaging system, before and after corneal CXL. Corneal thicknesses of patients were also measured by ultrasonic pachymetry and compared with Scheimpflug system measurements, after CXL. Results: Corneal densitometry value before CXL was 19.84±2.67 GSU in group 1, while 21.54±3.32 GSU after the procedure and the difference was statistically significant (p=0.048). Similarly, corneal densitometry value in group 2 was 18.74±1.56 GSU before CXL, while 24.53±10.46 GSU after the procedure and the difference was significant (p<0.0001). Corneal thickness measured before CXL with the Scheimpflug imaging system was 473.04±24.23 µ in group 1 and 467.89±29.09 µ in group 2. Corneal thickness after CXL were 461.88±27.64 µ and 446.42±32.76 µ in group 1 and group 2, respectively, and the difference was statistically significant (p=0.003, p<0.0001, respectively). Conclusion: Corneal haze occures in children and adults after CXL in keratoconus. More haze occurs in adults than children. Corneal densitometry provides objective data in haze. Ultrasonic pachymetry can provide more accurate measurements than Scheimpflug camera in thickness measurements of corneas with haze.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • An interestıng rare case of ectopic liver

    • Authors: Recep ÇAĞLAR
      Abstract: Ectopic liver is a liver tissue that is not connected to the main liver, also known as a hepatic choristoma or hepar succenturiatum. It’s a rare developmental anomaly that is usually detected incidentally during autopsy and surgery. It’s incidence has been reported to range from 0.24%-0.47%. It’s most commonly seen in the gallbladder, but less frequently in other organs. Multiple cholelithiasis was detected in the ultrasonography of a 38-year-old female patient who applied to our outpatient clinic with the complaint of abdominal pain. We presented an interesting and rare case of ectopic liver incidentally detected on the gallbladder during elective laparoscopic cholecystectomy. Ectopic liver tissue is an abnormality that should be kept in mind in the differential diagnosis of masses occupying space in the gallbladder. It’s usually clinically silent and found by chance. If there is pathology in the gallbladder, surgical treatment is recommended due to the risk of resection with the gallbladder and increased risk of hepatocellular malignancy if it’s outside the gallbladder. 
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • Determination of depression, anxiety, hopelessness, and worry levels of
           medical faculty students

    • Authors: Serkan GÜRGÜL; Fatma Betül ŞEKER
      Abstract: Aim: To determine the depression, anxiety, hopelessness, and worry levels of medical school students. Method: The research was completed with 197 volunteer students in the 1st (n=104), 2nd (n=60) and 3rd (n=33) grades of a medical faculty in Gaziantep. An 86-question questionnaire including Beck Depression, Anxiety and Hopelessness Scales and Worry Severity Scale, along with sociodemographic information, was uploaded to Google Forms. The created link was shared with social networks and one-to-one communication, allowing students to fill in the questionnaires. Results: Of the participants, ~38% were men and ~62% were women. 97.5% of them were between the ages of 18-24. ~53% of the participants were term 1, 30.5% were term 2, ~17% were term 3 students. A significant difference was observed between the depression and hopelessness scale scores of the female and male participants, and the male scores were found to be higher than the females (p=0.040, p=0.011, respectively). There was no significant difference between men and women in terms of anxiety and worry scores (p=0.451, p=0.272, respectively). No significant difference was observed between the scores of the scales in terms of age and academic year (class). No significant difference was observed between the categorical levels of the scale scores in terms of class and age. While no significant relationship was observed between the categorical levels of Beck Depression and Anxiety Scale scores in terms of gender (p=0.067, p=0.065, respectively), Beck Hopelessness Scale scores were found to be significantly higher in males (p=0.032). Conclusion: Our findings showed that male students studying at medical school are in a risky position compared to female students in the same department in terms of depression, anxiety and hopelessness problems.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • Can immature granulocyte count be a practical marker for evaluating bone
           marrow activation in beta thalassemia patients'

    • Authors: Banu İNCE; Feryal KARAHAN, Aydan AKDENİZ, Selma ÜNAL
      Abstract: Aim: In our study, we aimed to investigate whether the immature granulocyte and immature granulocyte percentages of our pediatric and adult beta thalassemia major and intermedia patients could be used as a practical marker in evaluating bone marrow activation. Method: Between January 2017 and December 2021, 38 Beta thalassemia major and 12 Beta thalassemia intermedia patients who applied to Mersin University Faculty of Medicine Pediatric and Adult Hematology Department were included in the study, hemoglobin (gr/dl), hematocrit, white blood cell count (x103/µL), platelet count (x103/µL), immature granulocyte count (x103/µL), immature granulocyte percentage, ferritin (ng/mL), chelation status, transfusion frequency and order, mean hemoglobin level in the last year were recorded. Patients who received and did not receive regular transfusion were compared in terms of immature granulocyte and other parameters. Results: When the patients were grouped as children and adults; mean hemoglobin levels in the last year were higher in children but white blood cell, immature granulocyte and platelet counts were significantly higher in adults (p<0.05). It was seen that those who received regular transfusion were mostly pediatric patients. The mean hemoglobin level in the last year was significantly lower in those who received irregular transfusion, but immature granulocyte level, platelet and white blood cell count were higher (p<0.05). It was observed that as the mean hemoglobin levels in the last year increased, the mean immature granulocyte count and immature granulocyte percentage decreased. Conclusion: In our study, immature granulocyte count and percentage, white blood cell and platelet count were found to be statistically significantly higher in patients with irregular transfusion and the increase in immature granulocyte and percentage parameters of immature granulocyte as the mean hemoglobin level in the last year decreased, suggesting that hematopoiesis in the bone marrow is active in these patients. We think that immature granulocyte and immature granulocyte percentage parameters, which can be measured in almost every center, can be used to evaluate the degree of inflammatory activity and transfusion efficiency in patients with beta thalassemia.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • Factors influencing attitudes towards organ donation among undergraduate
           health sciences students

    • Authors: Hasan Hüseyin ÇAM; Hacı Yusuf GÜLEÇ, Ebru ÖZTÜRK, Fatma KARASU
      Abstract: Objective: The objective of this study was to analyze the attitude of undergraduate health sciences students toward organ donation and determine the factors that affect this attitude. Method: A cross-sectional study was conducted among 495 students in a Faculty of Health Sciences at the Southeastern Anatolia Region from January to February 2021. The participants completed a self-report questionnaire, including questions on socio-demographic factors and the Organ Donation Attitude Scale. The questionnaire completion rate was 70.0%. IBM SPSS software was used for statistical analyses, with P values < 0.05 considered to be statistically significant. Data were analyzed using descriptive statistics, Kolmogorov-Smirnov test, Independent-Samples T test and One-Way ANOVA test. Results: The mean age of the participants was 20.63±1.87 years. Of all respondents, 45.4% were willing to donate organs upon death, while the remaining 54.6% were unwilling to donate. Variables which were related to a positive attitude towards organ donation were: being of the female sex, nuclear family structure, living in urban, willingness to be organ donors, past experience of organ transplantation and donation by family, positive attitude of the family members toward organ donation and religious beliefs about organ donation. Conclusion: High level of positive attitude but low level of willingness was noticed among the study participants toward organ donation. Creating awareness should be promoted to maximize favorable attitudes and willingness to donate among these future health care professionals.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • Pediatric patients with Long QT Syndrome – contemporary follow-up
           results – a single-center experience

    • Authors: Derya DUMAN; Derya KARPUZ
      Abstract: Aim: Long QT Syndrome (LQTS) is a genetically transmitted or acquired cardiac channelopathy that can lead to lethal arrhythmia and sudden cardiac death (SCD) in children. The clinical characteristics of LQTS are variable. We aimed to analyse the data of congenital and acquired LQTS patients that we follow and compare the results with the literature. Method: The data of LQTS patients were reviewed retrospectively via our recording system from January 2018 to August 2021. Results: There were 26 patients, of whom 21 (10 male) were congenital and five (four male) were acquired. The mean age in congenital patients was 9.83±4.24 years and it was 12.6±4.87 years in acquired ones. The most common presentation for congenital ones was asymptomatic patients (10/21). Others were seizures/epilepsy in four patients, stress induced syncope in two patients and cardiac arrest in two patients. The mean Schwartz score was 4.69±2.19 (1-8).Pathogenic mutations were detected in 11 cases. Patients with a QTC duration longer then 470 msn and symptoms had been given beta blocker therapy. One patient had been inserted implantable cardioverter-defibrillator.The most common symptom was bradycardia in acquired LQTS (5/5). The most common related causes were drugs and hypokalemia. Median follow-up time was 18.45±14.52 months (3-36). No patients died during the follow-up. Risk factors for major cardiac events were QTC value as >500 ms, T wave alternans, female gender, Jervell and Lange-Nielsen syndrome and hypokalemia. Conclusion: LQTS related SCD could be prevented by early evaluation if it’s come to mind in differential diagnosis. Treatment plan would be due to symptoms, risk factors and the type whether it was congenital or acquired.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • A comparison of the effects of ticagrelor and clopidogrel on development
           of no-reflow phenomenon after percutaneous coronary intervention in
           patients with acute myocardial infarction

    • Authors: Emrah YEŞİL; Hakan UYAR, Özcan ÖRSÇELİK, Buğra ÖZKAN, Ahmet ÇELİK, İsmail Türkay ÖZCAN, Mehmet Necdet AKKUŞ
      Abstract: Aim: No-reflow phenomenon (NRP) is one of the significant factors affecting reperfusion. This study aimed to compare effects of preloading ticagrelor versus clopidogrel on development of NRP in patients with acute myocardial infarction (AMI), who underwent percutaneous coronary intervention (PCI). Method: Our retrospective single-center study included 200 patients, who underwent PCI due to AMI. Patients were classified as the patients preloaded with clopidogrel and ticagrelor based on the antiplatelet regimen administered before PCI. NRP criteria were determined according to the TIMI grade flow or ST-segment resolution after the procedure. The effect of ticagrelor and clopidogrel on NRP and the significance of the difference in specified parameters between patients with no-reflow and normal flow were evaluated. Results: There was no difference between patients with no-reflow and normal flow in terms of baseline characteristics. Number of patients with ST-elevation myocardial infarction was higher in patients preloaded with ticagrelor (p= 0.013). Age, aspartate aminotransferase (AST) and C-reactive protein (CRP) levels, CK-MB peaks, diabetes mellitus (DM) rate, mean length of stent, number of implanted stents, and number of patients with low left ventricular ejection fraction were significantly higher in patients with no-reflow. NRP development rate was significantly lower in patients preloaded with ticagrelor (19%, p= 0.001). This was independent of other independent variables including age, DM, AST, and CRP levels, number of implanted stents, and type of myocardial infarction (Odds value= 0.228, 95% confidence interval= 0.102-0.512, p<0.001). Conclusion: Ticagrelor was found to be superior to clopidogrel in preventing no-reflow.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • Prevalence of COVID -19 prevalence in obstructive sleep apnea syndrome and
           clinical prognosis of disease

    • Authors: Sinem BERİK SAFÇİ; Pelin PINAR DENİZ
      Abstract: Objective: In this study, we aimed to investigate the demographic and polysomnographic characteristics of our obstructive sleep apnea (OSA) patients who diagnosed by polysomnography and who had a novel coronovirus disease (COVID-19) due to SARS-CoV-2. In addition we also aimed to evaluate whether sleep apnea syndrome is a risk factor for COVID-19. Method: The medical records of 287 patients diagnosed with obstructive sleep apnea syndrome (OSAS) by polysomnography between the years 2018-2019 were accessed by obtaining their permissions by telemedicine method. Demographic characteristics, polysomnographic parameters, comorbid diseases, obesity states and hospitalization rates due to COVID-19 were statistically evaluated. Results: Thirty-two patient’s (11.1%) COVID-19 polymerase chain reaction (PCR) were positive. The mean age of OSAS patients with COVID-19 was 50.4±10.9, 78% were male, 71.9% had a body mass index above 30. The most common comorbidity in OSAS patients with and without COVID-19 was hypertension. Eighteen of thirty-two patients who had COVID-19 had severe OSAS. Polysomnographic parameters evaluation revealed that there was no statisticaly difference between apnea hypopnea index, oxygen desaturation index, mean and minimum oxygen saturations between two groups who had COVID-19 and had not. Five of our cases with COVID-19 were hospitalized and one patient needed intensive care unit. Conclusion: Although OSAS has a strong association with major comorbidities for severe COVID-19, its effects on hypoxia, decreased sleep time, impaired immunity and cytokine storm suggest OSAS as an independent risk factor.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • Factors affecting smoking cessation rates and status in individuals
           presenting to the smoking cessation outpatient clinic

    • Authors: Gökhan PERİNCEK; İbrahim YAĞCI
      Abstract: Objective: Many systemic diseases, especially chronic obstructive pulmonary disease along with lung diseases such as asthma, are seen in smokers. While it is estimated that 8.4 million people will die of tobacco consumption every year after 2030, it is thought that 80% of these deaths will occur in developing countries. Our study aimed at determining the sociodemographic characteristics of patients presenting to the smoking cessation outpatient clinic and the factors that may affect smoking cessation. Method: The study included 517 individuals who presented to the smoking cessation outpatient clinic of Kars Harakani State Hospital between January 2019 and December 2021 to quit smoking. Participants were asked to fill out a form prepared by us, including questions about sociodemographic characteristics and smoking behaviors, and the Fagerström test for nicotine dependence. Result: The data of 517 people, including 118 who were able to quit smoking and 399 who were not, were analyzed in the study. There was no significant difference between the groups regarding the Fagerström test scores in terms of the number of cigarettes smoked per day and age at onset of smoking. In terms of individuals who smoked at home, there were significant differences between the groups. There was no statistically significant difference between the groups by the treatment regimens given. Conclusion: Since smoking cessation rates are low, it is important to invite individuals to interviews more frequently and increase their motivation. Moreover, we are of the opinion that the policies implemented to ensure not to start smoking, like any other addictive substance, should be further expanded.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • Investigation of the use tendon of the accessory head of flexor digitorum
           profundus muscle as an alternative graft

    • Authors: İsmail Yağmurhan GİLAN; Coşar UZUN, Vedia Bennu GİLAN, Alev BOBUS ÖRS, Nurten ERDAL
      Abstract: Aim: In recent years, tendon transfers have become one of the most frequently performed operations with increasing surgical reconstruction techniques. Tendon graft applications have become a necessity as a result of traffic accidents, sharp tool injuries or degenerative damage caused by some rheumatic diseases. The most commonly used tendon graft donors in the literature are palmaris longus muscle, plantaris muscle, extensor digitorum longus muscle, extensor indicis muscle and gracilis muscle. Although there are many tendon graft donors, alternative tendon graft donors are needed from time to time due to different areas of use and variability. Based on this, we aimed to investigate the usability of the accessory head of the flexor digitorum profundus muscle as a tendon graft. Method: In our study, we investigated whether the tendon of the accessory head of flexor digitorum profundus muscle could be a donor site for tendon grafting in two steps. Morphometric suitability in the first step and biomechanical suitability in the second step were tested and compared with currently used palmaris longus muscle and plantaris muscle tendons. For this purpose, palmaris longus muscle, plantaris muscle and the accessory head of flexor digitorum profundus muscle tendons were used. The lengths, thicknesses and widths of the muscles and tendons taken from 11 adult cadavers were measured. Obtained parameters were compared with each other. The length and width of the extremities from which they were taken were also measured and the correlations between them and the tendons were checked. By using tensile device; maximum rupture force, maximum deformation, stored energy, stiffness, maximum stress, maximum strain, flexibility coefficient and endurance parameters were measured and biomechanical properties of tendons were evaluated. Results: Similarities were obtained in both morphometric and biomechanical datas. Conclusion: As a result, it was determined that the considered accessory tendon was morphometrically suitable and partially sufficient biomechanically
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • Hedonic hunger, desire to eat, and risk of obesity in shift workers: A
           cross-sectional study

    • Authors: Özlem ÖZPAK AKKUŞ; Meltem MERMER
      Abstract: Aim: To determine the hedonic hunger and desire to eat levels of shift workers and to evaluate the relationship of these conditions with obesity markers in order to understand the possible effects of working in the shift system on obesity risk. Method: The study was carried out with 226 health care professionals, aged between 19-64 years and who had been under the same working conditions for at least 6 months. In face-to-face interviews, the participants’ descriptive features (age, gender, marital status, and educational status) were questioned, anthropometric measurements (body weight, height, waist circumference) were taken, and body mass index was calculated. In order to determine hedonic hunger conditions, the Power of Food Scale was administered, and to determine the desire to eat levels, the Food Cravings Questionnaire was used. Results: In the study, shift workers were found to have higher scores on subscales of possibility of lack of eating control and feelings that can be experienced before or during meals compared to those working during the day (p<0.05). In addition, there was a low, positive correlation between body mass index values, one of the obesity markers, and Power of Food Scale total score and food accessibility and food availability subscale score of individuals working in shifts and moderate positive correlations with Food Cravings Questionnaire sub-dimensions of intention and planning, possibility of lack of eating control and experimental guilt. Again, it was observed that there was a moderate positive correlation between waist-height ratios and food accessibility and experiential guilt scores of the individuals in this group (p<0.05). When the multiple regression analysis coefficient results of the individuals working in shifts were examined, it was observed that the waist-height ratio levels of the individuals significantly affected the Power of Food Scale scale scores (p<0.05). Conclusion: The shift work system may have an effect on obesity with developing hedonic hunger and increased desire to eat.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • The importance of the novel gastric cancer prognostic index in patients
           with locally advanced gastric cancer who underwent radical gastrectomy and
           chemoradiotherapy

    • Authors: Ahmet KÜÇÜK; Düriye ÖZTÜRK, Hüseyin PÜLAT, Recep ÇAĞLAR, Şükran ESKİCİ ÖZTEP, Eda Bengi YILMAZ, Erkan TOPKAN
      Abstract: Aim: The significance of the novel gastric cancer prognostic index, hich combines albumin and metastatic lymph node count, on the outcomes of patients with locally advanced gastric cancer who received radical gastrectomy and concurrent chemoradiotherapy, was investigated. Method: Patients who between January 2014 and December 2019 were included in this retrospective analysis. According to the literature, the ideal cutoff value for albumin was determined to be 3.5 g/dL. While, the optimal cutoff for metastatic lymph node count was determined using receiver operating characteristic curve analysis. Results: This retrospective study comprised a total of 137 locally advanced gastric cancer patients. The ideal albumin cutoff was chosen to be the classically referred 3.5 g/dL (<3.5 versus ≥3.5 g/dL), while the results of the receiver operating characteristic curve analysis revealed the ideal metastatic lymph node count cutoff as 5 (<5 versus ≥5). Hence, the study population was divided into four possible groups: Group-1: albumin ≥3.5 g/dL and metastatic lymph node count <5, Grup-2: albumin ≥3.5 g/dL and metastatic lymph node count ≥5, Grup- 3: albumin <3.5 g/dL and metastatic lymph node count <5, and Grup-4: albumin <3.5 g/dL and metastatic lymph node count ≥5. Since of groups 2 and 3 were statistically indistinguishable, we merged them into a single group to create gastric cancer prognostic index-2. The Kaplan-Meier curves revealed that the gastric cancer prognostic index-1 and gastric cancer prognostic index-3 represented progression-free (66.0 versus 16.4 months; p<0.001) and overall survival (66.0 versus 19.5 months, p<0.001) respectively. The results of the multivariate analysis confirmed the gastric cancer prognostic index grouping's independent prognostic significance for overall (p<0.001) and progression-free survival (p=0.05) outcomes. Conclusion: The findings of this study gastric cancer prognostic index may be utilized as an independent and precise prognostic indicator.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • The effect of nurses’ perception of self efficacy and creative
           personality traits on ınnovative behaviors

    • Authors: Diğdem LAFÇI; Gülşen TAŞ
      Abstract: Objective: This study was carried out in a descriptive and cross-sectional and relationship-seeking design to determine the effect of nurses’ self-efficacy perceptions and creative personality traits on their innovative behaviors. Method: The population of the study consisted of 800 nurses working at Mersin University Medical Faculty Hospital and the sample consisted of 296 nurses. The data were collected via “Descriptive Information Form", "Self-Efficacy Expectation Scale", "Creative Personality Traits Scale" and "Individual Innovative Scale”. Descriptive statistics and correlation analysis were used in data analysis. Result: As a result of the research, it was determined that the female nurses had a higher individual innovative point average than male nurses (p<0.05). It was determined that the mean creativity score of nurses working in medical and surgical units was higher than nurses working in other units (p<0.05). It was determined that the mean self-authority score of the nurses in charge was higher than the nurses working in the service, operating room, intensive care and polyclinic (p<0.05). It was determined that the mean score of self-authority of the nurses working in the daytime shift was higher than the nurses working in the continuous night and day-night shifts (p<0.05). Nurses' self-authority expectation scale mean score was 28.76±6.77, creativity personality trait scale mean score 47.49±10.73, and individual innovative scale mean score 43.75±10.27. There was a positive and significant relationship between self-authority expectation scale and age and creativity personality traits (p<0.05). There is a positive and significant relationship between the creativity personality trait scale and the individual innovative scale (p<0.05). It was determined that 94.3% of the nurses had a traditional approach perspective. Conclusion: It was determined that the individual innovative levels of female nurses were high. It was observed that the creativity levels of nurses working in medical and surgical units, the level of self-authority of nurses in charge and nurses working in the day shift were high. Nurses' creativity and self-efficacy scores were above the average. It was determined that the majority of the nurses had a traditional approach point of view.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • The effect of prophylactic ephedrine administration on maternal and fetal
           Doppler parameters during spinal anesthesia for cesarean section

    • Authors: Hayri GÜRBOSTAN; Uğur ATEŞ, Burak YÜCEL, Ali Özgür KARADUĞAN, Zehra ONAR, Ayhan ÇELİK, Gökhan BAYANMELEK, Bilhan SIDAL, Erdal KAYA, Ateş KARATEKE
      Abstract: Aim: The aim of this study is to evaluate the effects of ephedrin on maternal and fetal blood flow in elective cesarean section (CS) undergoing spinal anesthesia with Doppler ultrasonography measurements. Method: This prospective, double-blind randomized study was conducted on 40 pregnant women who underwent CS and had no contraindications for spinal anesthesia. The subjects included in the study were divided into 2 groups as the group that received ephedrine (n=20) and the control group (n=20) that did not receive ephedrine. Doppler measurements such as peak systolic velocity (S), end-diacytolic velocity (D), S/D ratio, resistivity index (RI) and pulsatility index (PI) of the uterine artery from the mother and the umbial artery from the fetus before and after spinal anesthesia of the pregnant women in both groups was recorded. Results: The groups were matched for age, body mass index, gestational age, and indication for cesarean section. There was a statistically significant decrease in diastolic blood pressure in the ephedrine group (p<0.001). There was a significant increase in the S/D ratio in the control group (p=0.029). APGAR scores were similar between the groups (p>0.05). Conclusion: Prophylactic administration of ephedrine under spinal anesthesia in pregnant women can prevent the decrease in uteroplacental perfusion and protect the fetus from possible fetal hypoxia and acidosis.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • Clinical, biochemical and radiological retrospective analysis in patients
           with adrenal incidentaloma

    • Authors: Zeynep Ebru ESER; Ramazan GEN, Kadir ESER, Kerem SEZER, Esen AKBAY
      Abstract: Introduction: The aim of this study was to evaluate the epidemiological, demographic, clinical features, treatment approaches and survival of patients followed up for adrenal incidentaloma. Methods: The data of 46 patients who underwent treatment and follow-up for adrenal incidentaloma in Mersin University Health Research and Practice Hospital, Endocrinology Department between 2010 and 2014 were retrospectively analyzed. Results: The study group consisted of 13 male and 33 female patients. The mean age was 54.09 ± 10.7 years. The most common reason for admission was abdominal pain in 34.78% of patients, the most commonly diagnosed radiological method was 60.87% dynamic surrenal CT, and the most common localization was right surrenal gland. The mean diameter of the mass was 26.8±16.5 mm. The prevalence of hypertension was 50%, obesity was 47.8%, type 2 diabetes was 21.7%, osteoporosis was 42.8% and metabolic syndrome was 41.3%. According to the results of hormonal evaluation, 82.61% of the patients had dysfunctional adrenal adenoma (FAA), 15.21% of them had subclinical Cushing syndrome (SCS) and 2.1% of them had aldesteronoma. Myelolipoma, benign pheochromocytoma and adrenocortical adenoma were diagnosed in 8 patients who underwent adrenalectomy. One patient died due to liver failure. No hormonal activation and lesion size growth was detected in the follow-up of the patients. Conclusion: Because of the different pathological and radiological features of AI, it is important to evaluate demographic, etiological, clinical, laboratory and radiological data as a whole in treatment and follow-up.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • Effect of antenatal class on maternal postnatal comfort

    • Authors: Funda ÇINAR SAY; Ayden ÇOBAN
      Abstract: Objective: This research was conducted to determine the effect of participation to the antenatal class on postpartum comfort. Methods: The case-control study was conducted between 01.09.2017 and 28.12.2018, with primiparous mothers who gave birth in the Obstetrics Service of Aydın Gynecology and Childhood Diseases Hospital. The study was conducted with 75 mothers who participated to the antenatal class and 183 mothers who did not. The data of the research were collected by the researcher by face-to-face interview method between 6-24 hours after birth. Personal Information Form and Postpartum Comfort Scale were used to collect data. Descriptive statistics, Chi- square test, t-test and Mann Whitney U test were used to evaluate the data. Results: The mean age of the mothers in the control group was 22.97±3.74, and the mothers in the case group was 24.01±3.70. 37.3% of the mothers in the case group were high school students and 76.0% were housewives, while 40.4% of the mothers in the control group were secondary school graduates and 85.8% were housewives. Case and control group mothers were found to be statistically similar in terms of age group, but statistically different in terms of educational status, husbands educational status and working status. When the mean scores of the mothers in the case and control groups obtained from the Postpartum Comfort Scale total and physical, psychospiritual and sociocultural comfort subscales were compared, it was determined that there was no statistically significant difference. Conclusion: As a result of the research, the postpartum comfort levels of the mothers who participated in the pregnancy information class were found to be similar to the mothers who did not. In the pregnancy information class, it may be recommended to take initiatives to increase the comfort of the woman in the early postpartum period.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • Evaluation of the relationship between MASP-2 Gene Asp105Gly polymorphism
           and rheumatic heart disease in children living in Mersin province

    • Authors: Nazan ERAS; Etem AKBAŞ, Olgu HALİLOĞLU, Oznur BUCAK, Derya KARPUZ, Sibel BALCI, Badel ARSLAN
      Abstract: Aim: MBL-associated serine protease (MASP) is a protease that plays a role in complement activation via the lectin pathway. Functional activation of MASP-2 is thought to contribute to the development process of infectious diseases. Substitution of adenine to guanine in exon 3 of the MASP2 gene causes the exchange of aspartic acid with glycine amino acid at position 105 (Asp105Gly). This amino acid change can cause abrogate the activation of the lectin pathway, and the resulting MASP-2 deficiency could increase susceptibility to infections and autoimmune diseases. In our study, we aimed to investigate the incidence of the MASP2 Asp105Gly mutation and its relationship with rheumatic heart disease. Method: Our study included 82 patients with rheumatic heart disease (mean age 12.48±2.59 years) and 108 healthy children (mean age 11.99±2.66 years). Genotypes of individuals were determined by the polymerase chain reaction-restriction fragment length polymorphism method. The data were evaluated with the Kruskal Wallis test. Results: The frequency of the G allele was 15.9% and 20.4% in patients with rheumatic heart disease and control groups, respectively (p=0.35). The frequencies of genotypes AA, AG, and GG in the cases were 70.7%, 26.8%, and 2.5%, respectively, while in the control group they were 62%, 35.2%, and 2.8%, respectively. The frequency of the GG genotype was 5.3% in patients with mitral regurgitation, 0% in patients with aortic regurgitation, and 2.1% in patients with multiple valve involvement (p=0.506; OR:2.636; %95CI:0.151–45.914). Conclusion: In this study, genotype frequencies of MASP2 Asp105Gly mutation were determined in Mersin Province. In addition, no relation was found between MASP2 Asp105Gly mutation and RHD.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • Evaluation of environmental noise in Edirne city center

    • Authors: Serol DEVECİ; Faruk YORULMAZ
      Abstract: Aim: To determine the noise levels in Edirne Provincial Center, to reveal the possible causes of the noise, to make possible improvement suggestions in order to take measures to reduce the noise. Method: The research was a cross-sectional study. Measurements were made in the summer of 2002 and the winter of 2002-2003, at 50 focal points, which were determined to represent Edirne City Center, during day and night; It was made by keeping the distance of the residential areas from the traffic flow and using the CEL-480 sound level meter. Results: The loudest street in Edirne City Center was Atatürk Boulevard. Summer daytime measurement of urban edge residential areas in Edirne at focus number 45; in the urban residential areas 100 m away from the traffic flow, in the focus no. 16 during the summer day; In residential areas 60 m away from the traffic flow, all measurements at focus 48, daytime measurements at focus 13 and 44, winter daytime measurements at focus 19 and summer daytime measurements at focus 24; In residential areas 20 m away from the traffic flow, all Leq values were above the allowable limits according to the Noise Control Regulation, except for the daytime measurements at focus 21 and summer day measurements at focus 23 and 50. Conclusion: As a result, noise has become an important public health problem in Edirne. For noise control, legislation should be developed and implemented, and measures should be taken to reduce noise in public education and urban planning.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • Loneliness in patients with late-onset rheumatoid arthritis: Relationship
           with disease activity and psychosocial factors

    • Authors: Mustafa Erkut ÖNDER; Adem YILDIRIM
      Abstract: Objective: Loneliness is a very common condition that intensifies with chronic diseases and pain. The aim of this study was to investigate the loneliness in patients with late-onset rheumatoid arthritis (RA) and to analyze its relationship with disease activity and psychosocial status. Method: Forty-four patients with RA whose disease onset age was over 60 years and 44 control were included in the study. Sociodemographic characteristics, Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI), Multidimensional Scale of Perceived Social Support, and UCLA Loneliness Scale short form (ULS-8) scores were recorded for all participants. In addition, erythrocyte sedimentation rate and C-reactive protein values, Visual Analog Scale-pain, Disease Activity Score, and Health Assessment Questionnaire (HAQ) scores of patients with RA were recorded. Results: Patients with RA had higher depression scores, ULS-8 scores, and lower perceived social support scores compared to controls, but there was no difference found between the two groups in terms of anxiety. Both loneliness and perceived social support were correlated with BDI, BAI, and HAQ scores in patients with RA. It was determined that the anxiety and depression scores were higher, perceived social support was lower, and loneliness was higher in the active disease group compared to the patients in remission. Conclusion: Loneliness is related with depression, perceived social support, functional status and disease activity in late-onset RA patients. Loneliness, a factor that increases morbidity in elderly individuals, is more severe in patients with late-onset RA.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • Tear and tensile bond strength and hardness of carvacrol added
           antimicrobial soft denture liner

    • Authors: Ayşe Seda ATAOL; Gulfem ERGUN, Aysel UĞUR, Nurdan SARAÇ, Tuba BAYGAR
      Abstract: Objective: The purpose of this study was to evaluate bonding strength to denture base material, tear strength and hardness of soft denture liner that gained antimicrobial properties with carvacrol (thyme oil) that is a phenolic compounds. Method: Silicone based soft denture liner added 0.5 mL of carvacrol per mm3 was compared to the control group (silicone based soft denture liner without carvacrol addition) (n=10/per subgroup). While half of the samples were kept in distilled water (37ºC) in all test groups, thermocycling (10000 thermal cycle-1 week) was applied to the other half. Tear strength of soft denture liner with and without carvacrol addition in a universal tester (Lloyd Universal Tester; AMETEK, Inc., Hampshire, UK) at a crosshead speed of 50 mm/min, tensile bond strength at 10 mm/min cross-section head speed with the same device and hardness were tested with a digital Vikers hardness tester (HMV, Shimadzu, Tokyo, Japan). Unless otherwise stated, results for p<0.05 were considered statistically significant. Bonferroni Correction was performed to control for Type I error in all possible multiple comparisons. Results: Within the findings obtained from our study, the addition of carvacrol to the soft denture liner did not show statistically significant effects on the tested tear and tensile bond strength (p>0.05). In addition, in all test groups, it caused a statistically significant increase in hardness compared to the control group (p<0.001). Thermal aging generally did not show a significant effect on mechanical properties (p>0.05). Conclusion: This in vitro study revealed that the addition of carvacrol, which has antimicrobial activity, to the soft denture liner did not affect the tear and tensile bond strength of the material, but increased its hardness.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
  • The relationship between body perception and self-esteem of women with
           total abdominal hysterectomy bilateral salfingoopherectomy surgery

    • Authors: Ahu AKSOY CAN; Aysu BULDUM, Filiz DEĞİRMENCİ, Duygu VEFİKULUÇAY YILMAZ
      Abstract: Aim: The aim of the study was to determine the relationship between body image and self-esteem of women who underwent total abdominal hysterectomy bilateral salpingo-oophorectomy (TAH-BSO). Method: The sample of the descriptive study consisted of 118 women who underwent TAH-BSO in the obstetrics and gynecology service of a university hospital in Mersin. The data of the study were collected with a questionnaire created by the researchers, Body Perception Scale (BAS), and Rosenberg Self-Esteem Scale (RBSS). Descriptive statistics of data; median, mean, standard deviation, number, and percentage values were given. In the evaluation of the data; Mann Whitney U test and t-test were used to compare means of two groups, Kruskal Wallis test and one-way ANOVA were used to compare means of more than two groups, and Spearman correlation coefficient was used to determine the relationship between two continuous variables. Results: It was determined that the mean age of the women was 50.13±9.57, and the mean duration of marriage was 26.53±11.97 years. It was found that 86.4% of the women were married, 40.7% were primary school graduates, and 55.1% had at least three children. It was found that 47.5% of the women applied to the hospital with the complaint of bleeding and according to 39% of them, the uterus meant nothing to them. It was determined that the mean score of the women in BAI was 151.05±26.64, and the mean score from RBSS was 5.02±1.08. In the study, it was found that there was no statistically significant relationship between BAI and RBRS (r= -0.113; p=0.224). Conclusion: In this study, it was determined that TAH-BSO surgery did not have a negative effect on women's body perceptions and self-esteem. This result shows that women's perspectives on a frequently performed gynecological surgery such as TAH-BSO have changed.
      PubDate: Wed, 31 Aug 2022 00:00:00 +030
       
 
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