Kocaeli Sağlık ve Teknoloji ÜniversitesiKocaeli Sağlık ve Teknoloji ÜniversitesiAçık Erişim Arşivi · RDL Open

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  • MakaleAçık Erişim2025Scopus SJRQ2
    Optimizing Miniscrew Stability: A Finite Element Study of Titanium Screw Insertion Angles

    Akbulut, Yasin; Ozdemir, Serhat

    This study aimed to evaluate how different insertion angles of titanium orthodontic miniscrews (30°, 45°, and 90°) influence stress distribution and displacement in surrounding alveolar bone using three-dimensional finite element analysis (FEA), with a focus on biomechanical outcomes at the titanium–bone interface. The 90° insertion angle generated the highest stress in cortical bone (58.2 MPa) but the lowest displacement (0.023 mm), while the 30° angle produced lower stress (36.4 MPa) but greater displacement (0.052 mm). The 45° angle represented a compromise, combining moderate stress (42.7 MPa) and displacement (0.035 mm). This simulation-based study was conducted between January and April 2025 at the Department of Orthodontics, Kocaeli Health and Technology University. A standardized 3D mandibular bone model (2 mm cortical and 13 mm cancellous layers) was constructed, and Ti-6Al-4V miniscrews (1.6 mm × 8 mm) were virtually inserted at 30°, 45°, and 90°. A horizontal orthodontic load of 2 N was applied, and von Mises stress and displacement values were calculated in ANSYS Workbench. Stress patterns were visualized using color-coded maps. The 90° insertion angle generated the highest von Mises stress in cortical bone (50.6 MPa), with a total maximum stress of 58.2 MPa, followed by 45° (42.7 MPa) and 30° (36.4 MPa) insertions (p < 0.001). Stress was predominantly concentrated at the cortical entry point, especially in the 90° model. In terms of displacement, the 90° group exhibited the lowest mean displacement (0.023 ± 0.002 mm), followed by 45° (0.035 ± 0.003 mm) and 30° (0.052 ± 0.004 mm), with statistically significant differences among all groups (p < 0.001). The 45° angle showed a balanced biomechanical profile, combining moderate stress and displacement values, as confirmed by post hoc analysis. From a biomimetics perspective, understanding how insertion angle affects bone response provides insights for designing bio-inspired anchorage systems. By simulating natural stress dissipation, this study demonstrates that insertion angle strongly modulates miniscrew performance. Vertical placement (90°) ensures rigidity but concentrates cortical stress, whereas oblique placement, particularly at 45°, offers a balanced compromise with adequate stability and reduced stress. These results emphasize that beyond material properties, surgical parameters such as insertion angle are critical for clinical success.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus4WoS4OpenAlex4
    ScopusWeb of SciencePubMedİncele
  • MakaleYalnız künye2025Scopus SJRQ1
    Use of ChatGPT in nursing education: A mixed method research on student perceptions and experiential practice recommendations

    Uysal Yalçın, Suna; Dikmen, Yurdanur

    Aim: This study aims to evaluate the effects of using ChatGPT, an artificial intelligence tool, in nursing education on the learning process in a multidimensional way Background: Integrating artificial intelligence technologies into nursing education can transform educational processes while helping students develop ethical decision-making and personalized care skills in patient care. In this context, the study examining the impact of artificial intelligence tools, such as ChatGPT, on the perceptions and experiences of nursing students is crucial in understanding the transformation in education and providing effective implementation suggestions for the future. Design: A mixed method Methods: Focus group interviews were conducted as part of the qualitative research. In the quantitative part, an ‘academic achievement test’ was applied. The study was conducted between December 2024 and October 2025 with third-year nursing students. In analyzing the quantitative data, independent samples t-tests were conducted using SPSS software, while NVivo 15 software was employed for the qualitative data analysis. Result: Our findings revealed three main themes: (1) ‘the importance of the physical environment in education,’ (2) ‘limitations of artificial intelligence -supported education,’ and (3) ‘the supporting role of artificial intelligence and the hybrid learning model.’ Conclusion: The use of artificial intelligence tools, such as ChatGPT, in nursing education had an impact.on students' perceptions and experiences of the learning process, highlighting the absence of elements such as social interaction, motivation and teacher support, which are typically provided through face-to-face education.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 4 · Nitelikli Eğitim
    AtıfScopus8WoS8OpenAlex8
    ScopusWeb of SciencePubMedİncele
  • MakaleYayıncıda açık erişim2025Scopus SJRQ1
    Prevalence of adolescent pregnancy and evaluation of pregnancy outcomes: a retrospective study

    Eminov, Elmin; Eminov, Ayşe

    Introduction: According to the World Health Organization, adolescent pregnancy is defined as pregnancies of women aged 19 and below. The study aims to analyze the rates of adolescent pregnancies and maternal and fetal outcomes among births within the hospital and compare them with adult pregnancies. Methods: The study is conducted retrospectively in one of Turkey’s socio-economically underdeveloped provinces. The study comprises 16,985 women: 1719 adolescents and 15,266 adults who gave birth in the hospital between January 1, 2020, and December 31, 2023. All data were recorded in the SPSS 28.0 program, and the Kolmogorov–Smirnov test, Chi-Square test, ANOVA, and Independent Simple T-test were applied to analyze the data. Results: In the study, the adolescent pregnancy rate is found to be 10,1%. The mean maternal age (p = 0.000), gravida (p = 0.000), parity (p = 0.000), and number of abortions (p = 0.002) are significantly higher in the adult group. No difference is found between the groups in terms of gestational age (p = 0.067). Newborn birth weight was significantly higher in the adult group (p = 0.000). Cesarean section rates are higher in the adult group (p = 0.001). No difference is found in terms of stillbirth rates. No difference is found between the groups in terms of pre-eclampsia (p = 0.792). No difference is found between the groups in terms of preterm birth (p = 0.664). Conclusion: In conclusion, it came out that, according to the results of the study, the rates of premature birth, pre-eclampsia, and stillbirth in adolescents and the first and fifth-minute Apgar scores are similar to adults. However, newborn birth weights are lower in the babies of adolescent pregnant women. In addition, cesarean section rates are higher in the adult group.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus10WoS8OpenAlex11
    ScopusWeb of SciencePubMedİncele
  • MakaleAçık Erişim2025Scopus SJRQ1
    Exploring the potential of interdental brush in oral cytology: a pilot study on sampling efficiency

    Çelebi, Elif; Öçbe, Melisa; Sinanoğlu, Enver Alper; Tekkeşin, Merva Soluk

    Background: With the renewed interest in brush biopsies, particularly for screening oral potentially malignant disorders and cancers, understanding the efficacy of available brush types in oral cytology is crucial. This study aims to compare the effectiveness of interdental brush sampling with commonly used cytology brushes in oral cytology evaluation. Methods: The study design was an observational clinical study. Brush biopsies were collected from the buccal mucosa of 99 healthy volunteers using an Interdental Brush- TePe Original Interdental Brush (TePe, Malmö, Sweden) (Cell sampling-Interdental Brush (CSIB)), Cytobrush Plus GT (Medscand Medical AB, Sweden) (Cell sampling device 1 (CSD1)), and CervexBrush (Rovers, Oss, Netherlands) (Cell sampling device 2 (CSD2)). Samples were evaluated for cellularity, depth of the epithelial layer, and cellular integrity. Results were compared between brush types using the Friedman test, and multiple comparisons were examined using the Dunn test. The significance level was set at p < 0.05. Results: Of the 99 cases, 59.6% were female and 40.4% were male, with a prevalence of smoking and alcohol consumption at 43.4%. The mean age was 24.3 years (± 4.5). There were no significant differences in cellularity between the brush types (p = 0.205). Mild cellularity was observed at rates of 3%, 9.1%, and 9.1% for CSD1, CSIB, and CSD2, respectively. Parabasal/basal layer cells were detected in 1% of samples collected with CSD1 and 4% with CSD2, while CSIB samples contained only superficial/intermediate cells. CSIB produced an inadequate integrity rate of 30.3%, whereas neither CSD2 nor CSD1 yielded samples with inadequate integrity. Conclusions: Interdental brushes may have potential as accessible and practical tools for chairside cytological screening. The CSIB obtained high-cellularity samples; however, it demonstrated low scores in cellular integrity. Future oral cytological studies may explore the modifications in interdental brush design to improve its potential in sampling for cell preservation and integrity.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfOpenAlex1
    ScopusWeb of SciencePubMedİncele
  • MakaleAçık Erişim2025Scopus SJRQ2
    Cervical proprioception and dysphagia severity in multiple sclerosis: A cross-sectional clinical analysis

    Abakay, Hanife; Yetkin, M. Fatih; Ayşe, G.Ü.Ç.; Şekercan, Gizem

    This study aimed to investigate the relationship between dysphagia severity and neck proprioception, pain, and mood in individuals with multiple sclerosis (MS). The individuals were divided into two groups according to the severity of dysphagia: dysphagia group (n = 13) with a score of 3 and above on the Dysphagia Assessment Scale in Multiple Sclerosis (DYMUS) scale and mild dysphagia group (n = 13) with a score of 2 and below. Clinical swallowing function was evaluated with the Turkish version of the Eating Assessment Tool-10 (T-EAT-10) and DYMUS. Proprioception was assessed with a laser by noting the deviation from the center target in centimeters. Neck pain severity was assessed with the Visual Analogue Scale (VAS), and mood was assessed with the Beck Depression Inventory (BDI). Individuals with severe dysphagia demonstrated statistically significantly greater proprioceptive impairment in cervical extension and right rotation. A significant difference was also found between the two groups in terms of clinical swallowing evaluations, neck pain status, and mood measurements. The findings suggest that proprioceptive deficits, increased pain, and mood disturbances are closely associated with dysphagia severity in MS. A multidimensional approach addressing dysphagia, proprioception, and pain management may be beneficial in optimizing dysphagia rehabilitation in patients with MS.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfWoS1
    ScopusWeb of SciencePubMedİncele
  • MakaleAçık Erişim2025Scopus SJRQ1
    Effects of qigong for physical and psychological well-being in pregnancy: A multicenter randomized controlled trial

    Dundar Ahi, Emine; Kuculmez, Ozlem; Ikbali Afsar, Sevgi; Eyup Dogan, Rahsan

    Background Psychological stress and anxiety during pregnancy can adversely affect both maternal and fetal health. Qigong, a traditional Chinese mind–body exercise, is believed to promote physical and mental well-being during pregnancy. This study aimed to investigate the effects of qigong on anxiety, stress, and exercise self-efficacy in pregnant women. Methods This multicenter randomized controlled clinical trial included pregnant women in their second trimester attending prenatal education classes at Baskent University and Alaaddin Keykubat University. Women in the first or third trimester with uncontrolled systemic diseases, high-risk pregnancies, or irregular attendance were excluded. Participants were randomly assigned via Randomizer.org to either the Qigong group or the control group. The Qigong group performed Baduanjin qigong exercises for 30–45 min, three times a week, while the control group received standard prenatal counseling. Demographic data were recorded. All participants completed the Pregnancy-Related Anxiety Scale (PrAS), Pregnancy Stress Rating Scale (PSRS), and Pregnancy Exercise Self-Efficacy Scale (P-ESES). Results A total of 102 pregnant women were analyzed (qigong group: 52; control group: 50). The mean age was 27.95 ± 3.66 years, and the mean gestational week was 26.94 ± 2.12. The qigong group showed significantly lower systolic and diastolic blood pressure increases compared to the control group (p &lt; 0.05). Exercise self-efficacy scores increased significantly in the qigong group (p &lt; 0.05). Pregnancy-related anxiety and stress scores, including all subscales, showed significant improvement in the qigong group (p &lt; 0.05), with no significant changes in the control group (p &gt; 0.05). Conclusions Baduanjin qigong was effective in reducing anxiety and stress levels and improving exercise self-efficacy in pregnant women. This non-pharmacological intervention may offer a safe, supportive approach to mental well-being during pregnancy.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    ScopusWeb of SciencePubMedİncele
  • MakaleAçık Erişim2025Scopus SJRQ2
    Associations Between Pulmonary Function and Muscle Strength in Turkish National Karate Athletes

    Tokgoz, Gurkan; Cinarli, Sena; Akyol, Betül; Aygoren, Caner; Beykumul, Aysegul; Larsen, Malte Nejst; Krustrup, Peter; França, Cíntia; Gouveia, Élvio Rúbio; Cinarli, Fahri Safa

    Background: Respiratory efficiency is considered important in karate due to its role in sustaining muscular performance during high-intensity actions. This study examined the association between pulmonary function and isometric muscle strength in national-level karate athletes. Methods: A total of 23 elite karate athletes (mean age: 23.0 ± 2.3 (mean ± SD) years) participated in the study. Pulmonary function was assessed using a digital spirometer, while isometric handgrip, lower back, and leg strength were measured using a dynamometer. The correlation between pulmonary function and isometric strength was analyzed, and linear regression was employed to examine the predictive capacity of pulmonary parameters for muscle strength. Results: The results revealed significant correlations, ranging from large to very large, between pulmonary function and isometric muscle strength, with correlation coefficients from 0.639 to 0.812 (p < 0.01). Pulmonary function was strongly associated with isometric strength, accounting for 27% to 67% of the variance (p < 0.05). Multiple regression analysis revealed that pulmonary function parameters accounted for 71% of the variance in handgrip strength, 47% in leg strength, and 71% in back strength (p < 0.05). Conclusions: These findings highlight the strong associations between pulmonary function and isometric muscle strength in elite karate athletes. The results emphasize the importance of pulmonary health and respiratory muscle function in athletic performance, particularly for sports requiring high-intensity, dynamic movements like karate. Future longitudinal studies are needed to explore the mechanisms underlying the association and potential implications, and for training and performance optimization.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    ScopusWeb of SciencePubMedİncele
  • MakaleAçık Erişim2025Scopus SJRQ4
    The Effect of Smartphone Addiction on Emotion Regulation and Problem Solving in University Students; [Üniversite Öğrencilerinde Akıllı Telefon Bağımlılık Riskinin Duygu Düzenleme ve Problem Çözme Üzerine Etkisi]

    Uysal Yalçin, Suna; Parlak, Meryem; Derin, Hilal Nur

    Aim: This study aims to investigate the impact of smartphone addiction risk on emotional dysregulation and problem-solving in university students. Methods: This descriptive-correlational study included 354 students at the university. Data were collected using the information form, Smartphone Addiction Scale-short form (SAS), Problem Solving Inventory (PSI), and Difficulties in Emotion Regulation Scale-brief form (DERS-16). Frequency, percentage, mean, Pearson correlation and linear regression, independent groups t-test, one-way analysis of variance (ANOVA), and Post Hoc (Tukey, LSD) were used in data analysis. Results: The mean scores of the students were 36.40±12.71, 99.52±24.12, and 25.69±14.14 for SAS, PSI, and DERS-16, respectively. In the linear regression analysis performed to determine the cause-and-effect relationship between SAS and PSI, and DERS-16, those at risk of smartphone addiction increased the level of decrease in problem-solving skills (ß=0.331) and difficulties in emotion regulation skills (ß=0.172). In our study, an increased risk of smartphone addiction was found to cause a decrease in emotion regulation difficulties and problem-solving skills. Conclusions: This result reveals the problems caused by the risk of smartphone addiction in action plans for combating addiction and provides important data for reducing this risk. It is recommended that courses related to smartphone addiction should be added to the course curricula.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    ScopusTR Dizinİncele
  • BildiriYalnız künye2025
    Brain Tissue Classification from Hyperspectral Images Using Convolutional Neural Networks

    Karaduman, Ismet; Pehlivanoglu, Meltem Kurt; Eker, Ayse Gul; Duru, Nevcihan; Dundar, Tolga Turan; Serdar Mutluer, Ahmet; Adali, E.

    Many of the decisions made and taken in the field of health are important for human life to be sufficient. In such an important area where human transactions are concerned, artificial intelligence-supported studies have a very important place, especially in recent years. This is the correct classification of four classes (Normal Tissue, Tumor Tissue, Hypervascularized Tissue and Background) separately with the 3D-CNN based deep learning model on the In-vivo Hyperspectral Human Brain Image dataset. For this purpose, firstly, three different data settings with 128 spectral bands were obtained from raw images, each containing 826 spectral bands, with dimension reduction methods. In this way, each data setting was made with the designs used in the 3D-CNN based deep learning model. As a result of the experimental studies, the highest F1 score of 99.69% was achieved with the 3D-CNN-based deep learning model.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus1
    Scopusİncele
  • BildiriYalnız künye2025
    A Review of Hyperspectral Imaging in Neurosurgery: Datasets and Computational Approaches

    Ozturk, Candide; Eker, Ayse Gul; Pehlivanoglu, Meltem Kurt; Karaduman, Ismet; Olcer, Ercan; Duru, Nevcihan; Dundar, Tolga Turan; Mutluer, Ahmet Serdar; Dogan, Ihsan; Ericek, Omer Burak

    Hyperspectral imaging (HSI) is an imaging method that differs from traditional methods by recording the light reflection and absorption properties of each point across a wide color range. HSI enables the non-invasive determination of chemical and structural differences in tissues with high accuracy. In the domain of medicine, hyperspectral imaging represents a novel methodology that facilitates novel approaches in brain surgery, including the distinction of tumors and blood vessels, cancer diagnosis, and the monitoring of tissue oxygen levels and blood flow during surgical procedures. Additionally, hyperspectral imaging has a wide range of applications in various fields, including agriculture, food, environment, geology, and defense.This review comprehensively examines current datasets, application areas, and computational approaches related to the use of hyperspectral imaging technology in brain surgery. HSI enables the precise differentiation of different brain tissues such as tumors, vessels, functional areas, and the spine by collecting data across a wide spectral band range for each pixel. Recent studies in the literature demonstrate that machine learning and deep learning-based methods can achieve high accuracy rates in tissue segmentation and the detection of pathological structures in brain surgery. Additionally, datasets developed at different centers and involving various patient groups provide an important foundation for enhancing the clinical efficacy of HSI.While HSI boasts significant advantages in terms of its non-invasiveness and real-time analysis potential, which benefit surgeons during intraoperative decision-making processes, challenges such as data size, computational costs, and device integration pose barriers to its routine use. In the future, it is anticipated that these limitations will be overcome through the development of efficient algorithms, AI-supported systems, and multi-center validation studies. In conclusion, HSI technology exhibits considerable potential to become a standard intraoperative instrument in neurosurgery, driven by advancing computational methods and increasing clinical validation.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus1
    Scopusİncele
  • BildiriYalnız künye2025
    Calculating Brain Shift in Brain Tumor Surgeries: Integration of MR and Ultrasound Imaging Methods and Comparison of Feature Extraction Algorithms

    Eker, Ayse Gul; Kurt Pehlivanoglu, Meltem; Duru, Nevcihan; Dundar, Tolga Turan; Serdar Mutluer, Ahmet; Adali, E.

    Brain tumors are abnormal tissue masses formed as a result of uncontrolled cell proliferation in the brain, and surgery is the most common treatment method. During surgery, changes in the position of brain tissue are referred to as 'brain shift,' which prevents preoperative MR images from accurately reflecting the intraoperative situation and reduces surgical success. This study addresses the integration of MR and ultrasound (US) imaging methods to calculate brain shift and improve surgical accuracy in brain tumor surgeries. Different feature extraction algorithms such as SIFT, ORB, AKAZE, and BRISK were used to solve the alignment problem between MR and US images. Using an adaptive search strategy and 3D coordinate transformation, the amount of brain shift was calculated and real-time information was provided to surgeons. The use of the adaptive search strategy dynamically adjusted the search area according to the degree of brain shift, eliminating unnecessary regions and significantly increasing processing speed. Experimental results showed that the ORB algorithm performed best for small and moderate shifts (e.g., 3.78 ± 1.65 mm error for small shifts), while the SIFT algorithm was more successful for large shifts (9.91 ± 2.30 mm error). This method aims to enable surgeons to make more accurate decisions during surgery and to increase patient safety. In the future, it is planned to improve the accuracy of the method by using deep learning-based approaches and larger datasets.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    Scopusİncele
  • MakaleAçık Erişim2024
    Assessment of Pain Perception in Children During Local Anesthesia and Tooth Extraction Procedures: A Clinical Study

    Gul Aydin, Elif; Tatli, Esra Ceren; Yilmaz, Neslihan

    Objective: Evaluation and comparison of pain in pedi- atric patients following local anesthesia administration and primary tooth extraction using the Wong-Baker Faces Pain Rating Scale (WBS). Material and Methods: A total of 90 children (age between 4-11 years) whose teeth were indicated for extraction for various reasons were included in the study. Before dental treatments, behavioral man- agement was given to all children with the tell-show-do technique. Fol- lowing topical anesthesia, local anesthetics were applied to the relevant area, and tooth extractions were performed. Perceived pain after local anesthesia and tooth extraction was recorded separately by asking the patients using the WBS. Mean values and standard deviations were cal- culated and comparisons between groups were made with the Mann- Whitney U test. Results: The mean WBS value was 4.49, with the highest palatal infiltration anesthesia. Following this, 3.8 in the mandibular block, 3.42 in lingual, 2.3 in buccal infiltration anesthesia, and 1.2 in tooth extraction respectively. There was no statistically sig- nificant difference between the genders in the WBS values after tooth extraction, mandibular block anesthesia, buccal, palatal and lingual in- filtration anesthesia (p 0.05). Conclusion: As a result of this study, palatal infiltration and mandibular block anesthesia were identified as the most painful anesthesia techniques perceived by children.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    TR Dizinİncele
  • MakaleAçık Erişim2024
    Perioküler Bölgeye Kozmetik Amaçlı Botulinum Nörotoksin-A Uygulamasının Kuru Göz Hastalığı ve Oküler Yüzey Konforu Üzerine Etkisi: Olgu Kontrol Çalışması

    Güneş, İrfan Botan

    Amaç: Perioküler bölgeye botulinum nörotoksin-A (BoNT-A) uy- gulamasının oküler yüzey konforu ve fonksiyonel kuru göz test sonuçlar ı üzerine etkisini araştırmak. Gereç ve Yöntemler: Çalışmaya Ağustos 2023- Ocak 2024 tarihleri aras ında göz hastalıkları kliniğimizde kozmetik amaçlı BoNT-A enjeksiyonu yap ılan 38 kuru göz hastas ının 38 gözü ve kontrol grubu olarak kuru göz hastalığı olmayan 39 katılımcının 39 gözü dâhil edildi. Katılımcıların BoNT-A enjeksiyonu öncesi ve enjeksiyon sonrası birinci ayda Schirmer testi, gözya şı kırılma zamanı (GKZ), Oküler Yüzey Hastal ık İn- deksi [Ocular Surface Disease Index (OSDI ®)] skoru ve en iyi düzeltilmi ş görme keskinliği değerleri kaydedilerek grupların kendi içerisinde karşılaş- tırıldı. Bulgular: Ortalama Schirmer testi sonucu enjeksiyon öncesi ve en- jeksiyon sonrası birinci ayda kuru göz grubunda sırasıyla 6,89±1,66 mm ve 5,60±1,25 mm; kontrol grubunda ise sırasıyla 22,00±7,18 mm ve 20,77±6,15 mm olarak ölçüldü. Schirmer değerinin iki grupta da enjeksiyon sonrasında anlamlı düzeyde azaldığı saptandı (sırasıyla p<0,001, p=0,003). Ortalama GKZ değeri enjeksiyon öncesi ve enjeksiyon sonrasında kuru göz grubunda sırasıyla 8,46±2,51 sn ve 7,35±1,83 sn, kontrol grubunda ise s ırasıyla 14,55±3,57 sn ve 13,77±3,69 sn olarak saptandı. GKZ iki grupta da enjeksi- yon öncesine göre anlaml ı düzeyde dü şük saptand ı (sırasıyla p=0,001, p=0,014). Kuru göz grubunda ortalama OSDI® skoru enjeksiyon sonrasında anlamlı düzeyde artarken kontrol grubunda anlamlı farklılık saptanmadı (sı- rasıyla p=0,006 p=0,701). Sonuç: Perioküler bölgeye yapılan BoNT-A en- jeksiyonu özellikle kuru göz hastalarında oküler yüzey ile ilgili yakınmalarda artışa ve fonksiyonel kuru göz testlerinde kötüle şmeye neden olmaktad ır. Kuru göz hastaları BoNT-A enjeksiyonu öncesi bu konuda bilgilendirilmeli ve gerekli durumlarda kuru göz hastalığı tedavi planı gözden geçirilmelidir.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    TR Dizinİncele
  • MakaleAçık Erişim2024
    Isolated Percutaneous Endoscopic Gastrostomy Site Malignancy Due To Nasopharynx Cancer: A Case Report

    Boluk, Salih; Bilgic, Cagri; Bölük, Sümeyra Emine; Karatepe, Yahya Kaan; Genç, Mahmut Salih

    PEG (Percutaneous Endoscopic Gastrostomy) procedure is a method used in patients with head and neck cancers whose oral intake is impaired. Although very rare, metastasis may occur due to the possible implantation of tumor cells compatible with primary malignancy at the PEG site. In our case report, we aimed to present a patient who was treated for nasopharyngeal cancer and was found to have a lesion compatible with metastasis at the old PEG site 7 years later.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    TR Dizinİncele
  • MakaleAçık Erişim2024
    The effects of attitudes towards anatomy course on exam anxiety of university students in health fields

    Tekin, Ayla; Buket, Rende

    Objective: Aim of our study is to get students' opinions about anatomy education, to determine their attitudes towards course, and to investigate these attitudes’ effects on exam anxiety. Methods: Descriptive study population was conducted with 648 student participants studying at Faculty of Dentistry and Health Sciences and Vocational School in Kocaeli Health and Technology University, 2022-2023 academic year. 63 multiple-choice questions were asked to students within scope of 3 different evaluation elements, namely Personal Data Form, Attitude Scale Regarding Anatomy Course and Exam Anxiety Scale. It was aimed to determine students’ opinions and attitudes about anatomy course and their effect on exam anxiety. Results: In our study, it was observed that there was a significant difference between Attitude Scale Towards Anatomy Course and age, class and preferring to department willingly variables (p<0.05). No significant difference was found between gender and education level, and levels of attitude towards anatomy course and exam anxiety (p>0.05). There was a significant difference between anxiety levels in the Exam Anxiety Scale and preferring to class and department willingly variable (p<0.05). Conclusion: Our study shows that the factors affecting students' attitudes towards the anatomy course and exam anxiety levels are variables such as age range, class level and the status of coming to the department willingly. In this context, in order to develop a positive attitude towards the anatomy course and to reduce exam anxiety, it is recommended to organize the course content in accordance with the learning levels, to strengthen the teacher-student interaction and to use interactive learning methods. The results of this research may contribute to the effective design and implementation of the information given in anatomy education by supporting healthcare professionals to have higher academic success and to continue their professional practice in a more qualified manner.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 4 · Nitelikli Eğitim
    AtıfOpenAlex1
    TR Dizinİncele
  • Editöre MektupAçık Erişim2024
    Comment on: Psychiatric outcomes among survivors of COVID-19

    Kalemci, Serdar

    We read with interest the article titled “Six-month psychiatric outcomes among survivors of COVID-19” published in Cukurova Medical Journal by Poyraz et al.. This study showed that anxiety, depression and sleep disorders improved over time, but symptoms continued in severe disease. COVID-19 can affect all organs in the body. Therefore, these processes can be prevented with early diagnosis and treatment. Smoking can couse chronic diseases. Additionally, smoking is one of the most important triggers of anxiety and depression. No information about smoking was found in the study. Obesity can couse sleep disorders. Were the patients body mass indexes checked?

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    TR Dizinİncele
  • MakaleAçık Erişim2024
    Madde Kullanımı ve Bağımlılığı ile İlgili Bilimsel Yayınlarda Kullanılan Terminolojinin İncelenmesi

    Kirli, Umut; Akgür, Serap Annette; Balica, Kemal; Yılmaz, Lerzan; Demir, Selin

    Amaç: Bu çalışmada madde kullanımı ve bağımlılığı alanında son on yıl içerisinde TÜBİTAK ULAKBİM TR dizininde yer alan çalışmalarda kullanılan terimlerin uygunluğunun değerlendirilmesi amaçlanmıştır. Yöntem: Araştırmada “madde, uyuşturucu, kötüye kullanım, yanlış kullanım, yasadışı madde, bağımlılık yapıcı madde, esrar, kannabis, afyon, morfin, eroin, opiyat, opioid, opium, ekstazi, metamfetamin, amfetamin, bağımlılık, kullanıcı, narkotik, madde testi, uyuşturucu, uyarıcı ve keyif verici, bonzai, ekstazi, captagon” terimlerini anahtar kelimelerinde kullanan, 2013-2022 yılları arasında Türkiye’de yapılmış, Türkçe dilinde, TÜBİTAK ULAKBİM TR dizininde yer alan dergilerde yayınlanmış çalışmalar dahil edilmiştir. Makaleler, Türkçe-İngilizce anahtar kelimelerin uyumu; kullanıcı ve bağımlı terimlerinin güncel tanı ölçütlerine uygun biçimde kullanımı; madde isimlerinin güncel ve amacına uygun kullanımı ve özel olarak kannabinoidler ile ilgili terimlerin uygun kullanımı açılarından incelenmiştir. Bulgular: Ölçütlere göre çalışmaya dahil edilen 156 makalenin %39,1’inde madde isimlerinin uygun olmayan kullanımı saptandı. Sosyal bilimler alanında dizinlenen dergilerde yayınlanan makalelerde, maddelerin anlamlı olarak daha fazla uygun olmayan terimlerle ifade edildiği görüldü [χ2 (2)=21,64; Cramer’s V=0,37, p=0,001]. Araştırmaların birinci yazarlarının sağlık bilimlerinde görev yapıyor olması durumunda anlamlı olarak daha yüksek oranda madde isimleri için uygun terimlerin kullanıldığı saptandı [χ2 (2)=7,78; Cramer’s V=0,22; p=0,02]. Sonuç: Madde kullanımı ile ilgili akademik çalışmalarda Türkçe-İngilizce anahtar kelimelerin uyumu; kullanıcı ve bağımlı terimlerinin güncel tanı ölçütlerine uygun biçimde kullanımı; madde isimlerinin güncel ve amacına uygun kullanımı ve özel olarak kannabinoidler ile ilgili terimlerin uygun kullanımı açılarından terminolojik sorunlar dikkat çekmektedir. Madde isimlerinin uygun kullanılmaması sorunu sağlık bilimleri dışındaki disiplinlerde daha yaygındı. Bağımlılık alanında akademik dilin uygun kullanımına yönelik çalışmalar, bu alandaki disiplinler arası iş birliğini güçlendirebilir.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    TR Dizinİncele
  • MakaleAçık Erişim2024
    Assessment of the impact of anemia on the treatment of acute bronchiolitis cases

    Dönmez, Tuğrul; Dundaroz, Mehmet Rusen

    Aim: Acute bronchiolitis is a clinical condition characterized by inflammation of the bronchioles, primarily caused by viral agents in children under two years of age. The cornerstone of treatment includes hydration and oxygenation, while patients should be closely monitored for potential complications. Our objective is to evaluate the impact of anemia on treatment outcomes in children diagnosed with acute bronchiolitis. Materials and Methods: Children aged 1-24 months diagnosed with mild or moderate acute bronchiolitis in a tertiary pediatric health and disease clinic were retrospectively included in the study. Demographic characteristics and bronchiolitis severity (mild/moderate) were recorded. Pre- and post-treatment clinical severity, respiratory rate, heart rate, oxygen saturation levels, and bronchiolitis clinical scores were analyzed. The clinical findings and treatment responses of anemic and non-anemic patients were compared. A p-value of <0.05 was considered statistically significant in all analyses. Results: A total of 85 patients with a median age of 5.4 months (52.9% male) were included in the study. Anemia was present in 25.9% of the patients. At admission, the respiratory rate (RR) was significantly lower in anemic patients compared to nonanemic patients (median 37 vs 41, p=0.003). No significant differences were observed between anemic and non-anemic groups for clinical respiratory scores (CRS) (median 4.7 vs 4.7, p=0.721), heart rate (HR) (median 135.6 vs 134.3, p=0.798), or oxygen saturation (SaO2) (median 93.1 vs 93.0, p=0.304) at admission. Post-treatment, both groups demonstrated significant improvements in CRS, HR, and SaO2 (p<0.05 for all). However, RR remained lower in the anemic group compared to the non-anemic group (median 32.1 vs 36, p=0.003). The overall change in CRS and other parameters between the anemic and non-anemic groups was not statistically significant (p>0.05). Conclusion: Mild anemia does not affect the response to treatment for hypoxia in children with mild to moderate acute bronchiolitis.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    TR Dizinİncele
  • Editöre MektupAçık Erişim2024
    Kronik Obstrüktif Akciğer Hastalığı Tanısı Olan Hastalarda Uyku Kalitesinin Değerlendirilmesi

    Kalemci, Serdar; Zeybek, Arife; Bozdağ, Gülistan Huriye

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    TR Dizinİncele
  • Editöre MektupAçık Erişim2024
    Cerrahi Yoğun Bakım Hastalarında Uyku Kalitesi

    Kalemci, Serdar; Zeybek, Arife; Bozdağ, Gülistan Huriye

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfOpenAlex1
    TR Dizinİncele