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İstanbul Gelişim Üniversitesi Sağlık Bilimleri Yüksekokulu / Istanbul Gelisim University School of Health Sciences
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Öğe The Effectiveness of Bladder Filling Technique for Preventing Intraoperative Bladder Injury in Pregnant Women Undergoing Placenta Accreta Surgery: A Systematic Review(SAGE PUBLICATIONS INC, 2455 TELLER RD, THOUSAND OAKS, CA 91320, 2025) Fashafsheh, Nawras; Elhaty, İsmail A. M.Background: Placenta accreta spectrum (PAS) disorders have become more noticeable as a serious and potentially life-threatening obstetric concern due to a rise in prevalence from 0.12% to 0.31% in recent years. New preventive measures, such as the bladder filling technique, seek to identify the bladder’s borders, protect it, and displace it away from the lower uterine segment during placental removal. Aim: To determine whether the saline bladder filling technique prevents the incidence rate of intraoperative bladder injuries among pregnant women undergoing PAS surgery. Method: Systematic searches were conducted in PubMed, Embase, and the Cumulative Index to Nursing, Allied Health Literature and, Google Scholar from 2013 to 2023. The Cochrane Risk of Bias (ROB 2.0) and ROB in Nonrandomized Studies of Interventions tools were used to assess the quality of the selected studies Findings: A total of 2,094 articles were initially retrieved, and after screening, four articles met the eligibility criteria and were included in the final. The primary outcome of this systematic literature review (SLR) indicates that the utilization of the bladder filling technique was associated with a reduced occurrence of bladder injury, with an incidence range of 4.5% to 21.9% when the bladder filling technique utilized, in contrast to an incidence range of 13.1% to 32.4% when the bladder-filling technique was not utilized. Furthermore, the utilization of the bladder filling technique was found to be correlated with a reduced surgical procedure time and decreased blood loss. Conclusion: This SLR reveals that utilizing the bladder filling technique during PAS surgeries decreases the occurrence of intraoperative bladder injury, which, in turn, reduces the occurrence of other intraoperative complications, including intraoperative blood loss. Therefore, healthcare providers and policymakers should start developing surgical protocols for the use of this technique, as it has the potential to significantly impact the outcomes of pregnant women undergoing PAS surgeries.Öğe In vitro glycemic index, antioxidant capacity, and sensorial properties of breads enriched with broccoli sprouts(EMERALD GROUP PUBLISHING LTD, Floor 5, Northspring 21-23 Wellington Street, Leeds, W YORKSHIRE LS1 4DL, ENGLAND, 2025) Bayram, Hatice Merve; Özkan, Kübra; Yıldırım, Güldane; Yılmaz, Melike Yağmur; Öztürkcan, Arda Seyfettin; Sağdıç, OsmanPurpose – This study aims to investigate the glycemic index (GI), total phenolic content, total flavonoid content, antioxidant capacity and sensory properties of the breads enriched with fresh and freeze-dried (FD)- broccoli sprouts (BS). Design/methodology/approach – Broccoli was sprouted using a home germination system. The bread was made with organic wheat flour consisting of fresh and FD-BS. The moisture content of the breads was measured using a moisture meter. The texture properties of raisins were measured by a texture analyzer. Total phenolic contents (TPC), total flavonoid contents (TFC) and antioxidants assays (DPPH, ABTS, FRAP) and the in vitro GI of breads were determined. Additionally, the hedonic test was used to determine the degree of overall liking for the breads based on the degree of liking or disliking according to a five-point hedonic scale. Findings – Enriching organic bread with fresh and FD-BS significantly increased the total phenolic, flavonoid contents and antioxidant capacities, with the most pronounced effects observed in breads enriched with FD-BS (p< 0.05). The GI values of breads vary between 69.8 and 73.4. Increased green color, crust and crumb color intensity were observed in BS-enriched breads (p< 0.05). The general acceptance of breads was not affected by addition of BS. Originality/value – This study addresses the effects of FD-BS incorporation into organic wheat flour bread demonstrating that they reduce the in vitro GI and increase the TPC, TFC and antioxidant power. The findings could open up new opportunities for food processors and sustainable nutrition.Öğe Multidimensional Determinants of Life Expectancy in Developing Countries: Evidence From Preston Curve Hypothesis(WILEY, 111 RIVER ST, HOBOKEN 07030-5774, NJ, 2025) Alhassan, Gloria Nnadwa; Bekun, Festus Victor; Rashidi, Mahruk; Karalinç, TurgayThe determinant of quality health outcomes is multidimensional, with GDP per head as one aspect. Due to the significance of quality health outcomes like life expectancy in developing countries, exploring health outcome determinants becomes crucial. In this study, we explore the Preston curve hypothesis by analysing GDP per capita and life expectancy interdependence in 102 developing countries between 1991 and 2023. We also consider exogenous factors such as public health spending and environmental pollution influencing the GDP per capita–life expectancy nexus. Disaggregating the panel data into a full panel, low, middle, and high-income developing economies, we apply the two-step Sys-GMM, pooled-FMOLS, and Dumitrescu–Hurlin (DH) causality techniques for data analysis. The result reveals that GDP per capita enhances life expectancy across all income levels in developing economies. However, for low-income developing economies, public spending negatively impacts life expectancy but positively affects middle- and high-income developing economies. For all categories of panels, environmental pollution proxied with CO2 reduces life expectancy. Our study concludes by offering a practical policy for developing economies to drive investment in health-related human development crucial for quality-of-life improvement.Öğe Nutritional analysis of AI-generated diet plans based on popular online diet trends(ACADEMIC PRESS INC ELSEVIER SCIENCE, 525 B ST, STE 1900, SAN DIEGO, CA 92101-4495, 2025) Bayram, Hatice Merve; Arslan, SedatThis study aimed to evaluate the nutritional composition and consistency of 1500 kcal daily diet plans generated by four generative Artificial Intelligence (AI) tools (ChatGPT-4, ChatGPT-4o, Mistral, and Claude) based on five popular diet types identified via Google Trends (keto, paleo, Mediterranean, intermittent fasting, and raw). Each AI model was prompted with standardized requests, and the resulting menus were analyzed using Nutrition Information System (BeBIS) (version 9.0) to determine energy, macronutrient, and micronutrient content. Nutrient composition differences across AI tools were statistically assessed using SPSS 24.0 (ANOVA, p < 0.05). Results showed significant variations between AI outputs, with energy values ranging from 1357 kcal to 2273 kcal and protein intake varying by up to 65 g across models. Notable inconsistencies were also found in micronutrients such as calcium, iron, and vitamin D. AI models often failed to meet targeted caloric levels and showed inconsistent adherence to diet-specific nutrient profiles. These discrepancies suggest limitations not only in the AI tools’ capabilities but also in their interpretation of user prompts. The findings highlight the need for improved prompt design, database integration, and AI training for safe and reliable use in personalized nutrition.Öğe Could DTI Unlock the Mystery of Subjective Tinnitus: It’s Time for Parameters That Go A Little Out of the Routine(SPRINGER INDIA, 7TH FLOOR, VIJAYA BUILDING, 17, BARAKHAMBA ROAD, NEW DELHI 110 001, INDIA, 2024) Yılmaz, Eren; Yıldırım, Düzgün; Şanlı, Deniz Esin Tekcan; Elpen, Pınar; Gösterişli Tüzüner, Filiz; İnan, Neslihan Gökmen; Şirin, Ahmet; Yağımlı, Mustafa; Tozan, Hakan; Şanlı, Ahmet Necati; Kandemirli, Sedat GirayIn this study, it was aimed to assess the microstructural changes in the main central auditory pathway in cases with subjective tinnitus. In total, 101 subjects (52 cases with bilateral subjective non-pulsatile tinnitus and 49 healthy cases as the control group) were included in the study. Participants underwent pure tone audiogram and Diffusion Tensor ImagingMagnetic Resonance Imaging (DTI-MRI) examination with a 3 Tesla MRI device. The number of tracts, tract length, volume, and quantitative anisotropy (QA) and normalized quantitative anisotropy’ (nQA) values were calculated by plotting cochleocortical pathways from the cochlear nerve to ipsilateral and contralateral Heschl’s gyrus (HG). In pure tone audiometry, the control group had lower hearing thresholds than cases with tinnitus. Fibres and nQA values from the right cochlear nerve to the right HG were significantly lower in the tinnitus group than in the control group. Cochlear nuclei voxel counts were significantly decreased in the tinnitus group. Both cochlear nucleus volumes were higher in the tinnitus group than in the control group. nQA values in both cochlear nuclei were decreased in the tinnitus group. This study showed that the most commonly affected part in subjective non-pulsatile tinnitus cases is the cochlear nucleus. Therefore, the cochlear nucleus should be evaluated more carefully in cases presenting with subjective tinnitus.Öğe The Bidirectional Association between Internet Use, Sleep Quality and Eating Behavior: A Cross-Sectional Study in Northwestern Thrace Region in Türkiye(ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND, 2025) Gürbüz, Murat; Bayram, Hatice MerveObjective: This study aimed to examine the complex associations between Internet addiction, sleep disturbances, and disordered eating behaviors. Methods: This cross-sectional study included 646 students from 17 high schools in Edirne, Türkiye between December 2023 and May 2024. A face-to-face questionnaire was administered to assess demographic characteristics, Internet addiction (YIAT), sleep quality (PSQI), and eating behavior (TFEQ-R21). Results: In total, 644 students completed the study. The prevalence of Internet addiction among adolescents was 16.3%, with a similar prevalence among male and female adolescents. The prevalence of poor sleep quality among adolescents was 6.4%, and this trend was more pronounced in male adolescents, with an incidence of 13.0%. A weak positive correlation was observed between Internet addiction and disordered eating behavior. Additionally, a moderate positive correlation was observed between poor sleep quality and disordered eating behavior. Gender, maternal education level, Internet addiction, and poor sleep quality were significant predictors of eating disorders in adolescents. Conclusion: The findings of our study are of significant value in providing insights into the development of programs designed to prevent undesired eating behaviorsÖğe Determination of the relationship between obesity prejudice status and eating behaviors of faculty of health sciences students(BMC, CAMPUS, 4 CRINAN ST, LONDON N1 9XW, ENGLAND, 2024) Kıskaç, Neşe; Kaya Meral, Deniz; Rashidi, Mahruk; Soydan, Ayşe Mücella; Aslan, Meltem; Nart, Aydın; Akdoğan, Bahar Nur; Çakmak, Sultan; Cengizli, Dilara; Akgöz, Hasan FatihBackground People living with obesity receive treatment services from health professionals for their weight or other health needs. In order for the students of the Faculty of Health Sciences, who will be a member of the health team in the future, to raise awareness of the society, it is necessary to first determine their obesity prejudices and eating habits. Methods The study is a cross-sectional and descriptive research. The study data were collected from 406 students studying at the Faculty of Health Sciences by online questionnaire method using a personal characteristics identification form, GAMS 27-Obesity Bias Scale and University Students Eating Behavior Scale (USEBS). The data were analyzed with SPSS 26 statistical software. Results In this study, all students were found to be prone to prejudice according to the mean total score of the Obesity Bias Scale and Obesity Bias Scale was higher in female students studying in perfusion department. In the sub-dimensions of the University Students Eating Behavior Scale, the enjoyment of food score was found to have the highest mean score. Conclusion According to the results of the study, there is a need to develop educational planning that will both increase the awareness of university students about the relationship between eating behaviors and obesity and eliminate obesity prejudice tendencies due to the fact that they are educated to provide services in the field of health. Highlights • It was determined that students were prone to prejudice against individuals with obesity. • It was found that the satiety sensitivity sub-dimension score of the students studying in the nutrition department was high. • The mean Obesity Bias Scale score of the students studying in the perfusion department was found to be high. • There was a negative relationship between age and food sensitivity, eating pleasure, emotional overnutrition, hunger and obesity bias, and a positive relationship between satiety sensitivity.Öğe Evolution of machine learning applications in medical and healthcare analytics research: A bibliometric analysis(ELSEVIER, RADARWEG 29, 1043 NX AMSTERDAM, NETHERLANDS, 2024) Ajibade, Samuel-Soma M.; Alhassan, Gloria Nnadwa; Zaidi, Abdelhamid; Oki, Olukayode Ayodele; Awotunde, Joseph Bamidele; Ogbuju, Emeka; Akintoye, Kayode A.This bibliometric research explores the global evolution of machine learning applications in medical and healthcare research for 3 decades (1994 to 2023). The study applies data mining techniques to a comprehensive dataset of published articles related to machine learning applications in the medical and healthcare sectors. The data extraction process includes the retrieval of relevant information from the source sources such as journals, books, and conference proceedings. An analysis of the extracted data is then conducted to identify the trends in the machine learning applications in medical and healthcare research. The Results revealed the publications published and indexed in the Scopus and PubMed database over the last 30 years. Bibliometric Analysis revealed that funding played a more significant role in publication productivity compared to collaboration (co-authorships), particularly at the country level. Hotspots analysis revealed three core research themes on MLHC research hence demonstrating the importance of machine learning applications to medical and healthcare research. Further, the study showed that the MLHC research landscape has largely focused on ML applications to tackle various issues ranging from chronic medical challenges (e.g., cardiological diseases) to patient data security. The findings of this research may be useful to policy makers and practitioners in the medical and healthcare sectors and to global research endeavours in the field. Future studies could include addressing issues such as growing ethical considerations, integration, and practical applications in wearable technology, IoT, and smart healthcare systems.Öğe Alpha-1-Antitrypsin Treatment Of Steroid-Resistant Acute And Chronic Graft-Versus-Host Disease, Single Center Experience(SPRINGER, NATURECAMPUS, 4 CRINAN ST, LONDON N1 9XW, ENGLAND, 2024) İzmir Güner, Şebnem50th Annual Meeting of the European-Society-for-Blood-and-Marrow-Transplantation (EBMT)Öğe The relationship between health literacy and healthy lifestyle behaviors: A meta-analysis(LIPPINCOTT WILLIAMS & WILKINS, TWO COMMERCE SQ, 2001 MARKET ST, PHILADELPHIA, PA 19103, 2024) Elkin, NurtenBackground: Health literacy and healthy lifestyle behaviors are both pivotal elements for public health improvement. This metaanalysis aims to scrutinize studies investigating the nexus between health literacy and healthy lifestyle behaviors and to examine the correlation between health literacy and such behaviors. Methods: Studies conducted from 2013 to 2023 exploring the association between health literacy and healthy lifestyle behaviors, as well as the impact of gender and chronic disease status on health literacy, were included. The selection criteria for the meta-analysis involved a literature search utilizing databases such as PubMed, Google Academic, Web of Science, and the National Thesis Center. The keywords “health literacy” and “healthy lifestyle behaviors” were employed, identifying 206 studies. Subsequently, 53 studies meeting predetermined criteria were deemed suitable for inclusion in the meta-analysis. Results: The analysis of the relationship between health literacy and healthy lifestyle behaviors revealed no publication bias. Despite heterogeneity among the studies, the correlation effect size was determined to be 0.278 using the random effect model. In the meta-analysis examining the effect of gender on health literacy, no publication bias was detected. Since there was heterogeneity among the studies, the average effect size was calculated as 0.078 according to the random effect model. Regarding the meta-analysis on the effect of chronic disease status on health literacy, no publication bias was observed, and due to homogeneity between the studies, the average effect size was determined to be −0.098 using the fixed effect model. Conclusion: A positive yet weak relationship was identified between health literacy and healthy lifestyle behaviors. Notably, gender was a significant sociodemographic factor affecting health literacy, with higher levels observed in women. Moreover, individuals without chronic diseases exhibited higher mean health literacy scores than those with chronic diseases.Öğe Comparative Efficacy of Quadratus Lumborum Muscle Energy Technique with Gluteus Medius Strengthening Versus Gluteus Medius Strengthening Alone in Sacroiliac Joint Dysfunction: A Randomized Controlled Trial(MDPI, ST ALBAN-ANLAGE 66, CH-4052 BASEL, SWITZERLAND, 2024) Soomro, Rabail Rani; Karimi, Hossein; Gilani, Syed AmirBackground: Pain in the sacroiliac joint is the most prevalent and often overlooked. The sacroiliac joints are thought to be sources of pain in roughly 10% to 25% of patients with chronic lower back pain. Due to the biomechanical nature of the joint, muscle imbalance is the most important cause of sacroiliac joint dysfunction. The hamstring and gluteus medius are the primary muscles involved in postural dysfunction-related muscle imbalance; however, the quadratus lumborum’s role in the compensatory mechanism is becoming more apparent, and its potential for treatment in conjunction with gluteus medius strengthening has not yet been investigated. Gluteus medius exercises, along with conventional treatment, are routinely given to patients with sacroiliac joint dysfunction; however, the aim of this study is to explore the additional effects of the muscle energy technique (MET) on the quadratus lumborum along with strengthening of the gluteus medius on pain, disability and quality of life of patients with sacroiliac joint dysfunction. Methods: Using a computer-generated random number table, seventy patients with unilateral sacroiliac joint pain were divided equally and randomly into two groups. Prior to initiating treatment, baseline measurements were taken using a hand-held dynamometer, visual analog scale (VAS), Oswestry Disability Index (ODI-U) and short form 36-item survey (SF-36v2) to assess strength, pain, functional disability and quality of life, respectively. Over the course of four weeks, all patients received twelve sessions, and both the preand post-intervention outcome measures were documented. Results: After 4 weeks of treatment, both groups showed statistically significant (p < 0.005) mean improvements in muscle strength, pain, disability and quality of life before and after intervention. However, the mean improvements in post-intervention on a dynamometer, VAS, ODI and SF-36 were better in the MET with exercise group (METGME) as compared to the conventional group with exercise (CTGME), with a larger effect size. Conclusions: The muscle energy technique, applied to the quadratus lumborum in combination with gluteus medius strengthening, is more effective clinically and significantly in improving pain, disability and quality of life in comparison to conventional treatment of sacroiliac joints with gluteus medius exercises.Öğe Effect of a psychoeducation program based on cognitive-behavioral psychodrama techniques on premenstrual syndrome symptoms: a randomized controlled trial(ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND, 2024) Sarıkaya, Nihan Altan; Meral, Deniz KayaPremenstrual syndrome is characterized by physical and psychological symptoms that negatively affect daily functioning. This study investigated the effect of a psychoeducation program based on cognitive-behavioral psychodrama techniques on premenstrual syndrome symptoms. This study utilized a 2 x 2 pretest-posttest, experimental-control group research design. The sample consisted of 32 participants randomized into experimental (n = 16) and control (n = 16) groups. The experimental group participated in a seven-session psychoeducation program based on cognitive-behavioral psychodrama techniques. Data were collected using a personal information questionnaire and the Premenstrual Syndrome Scale (PMSS). The experimental group demonstrated a significantly lower median posttest PMSS total and 'depressive affect', 'fatigue', 'irritability', 'depressive thoughts', 'changes in appetite' and 'changes in sleeping habits' subscale scores than the pretest score (p < .05). Moreover, the experimental group had a significantly lower median posttest 'anxiety' score than the control group (p = .021). A psychoeducational program based on cognitive-behavioral and psychodrama techniques can be used as an effective therapeutic intervention to relieve or managing premenstrual symptoms.Öğe New thiophene derivatives: chemoselective synthesis, antitumor effectiveness, structural characterization, DFT calculations, Hirshfeld surface, and Fukui function analysis(BMC, CAMPUS, 4 CRINAN ST, LONDON N1 9XW, ENGLAND, 2024) Bin Muhsinah, Abdullatif; Alharbi, Mohammed M.; Kheder, Nabila Abdelshafy; Soliman, Saied M.; Ghabbour, Hazem A.; Mahmoud, Naglaa S.; Elhaty, Ismail A. M.; Mabkhot, Yahia N.In this study, the chemoselective synthesis of two new thiophene derivatives is presented. The structure of newly synthesized thiophenes derivatives; ethyl 4-acetyl-3-phenyl-5-(phenylamino)thiophene-2-carboxylate (5) and ethyl (E)-4-(3-(dimethylamino)acryloyl)-3-phenyl-5-(phenylamino)thiophene-2-carboxylate (8) were established using different FTIR and NMR spectral analyses. Compound 8 was isolated as single crystal and its 3D structure was determined using X-ray crystallographic analysis. Possible intermolecular interactions that control the molecular packing of 8 were elucidated using Hirshfeld topology analysis. The O…H (13.7%), H…H (55.3%) and C…C (2.3%) intermolecular interactions are the most significant. Fukui functions showed that C4 in thiophene 5 and C3 in thiophene 8 are the most reactive atoms for nucleophilic attack, while N9 in thiophene 5 and C1 in thiophene 8 are the most reactive atoms for electrophilic attack. Antitumor activity of thiophene 5 was assessed and the results showed higher activity against HepG-2 (7.46 µg/mL) compared to the HCT 116 (12.60 µg/mL) cell line.Öğe The relationship between young adults' time use, occupational diversity, and occupational balance(IOS PRESS, NIEUWE HEMWEG 6B, 1013 BG AMSTERDAM, NETHERLANDS, 2024) Yaman, Hülya; Bilsel, Beyza AslıBackground Research has shown that work-life balance is not only about job satisfaction and performance. It is also related to a good occupational balance. In this way, a balanced working pattern can improve health. The impact of smartphones, which have become ubiquitous in contemporary society, on this balance is a topic of ongoing debate.Objective This study aims to investigate the relationship between time use, smartphone use, occupational balance, and occupational self-competence among working young people and university students. The findings of this study may contribute to the development of effective strategies to improve the work-life balance of young people who are either working or about to start their working life.Methods The study involved 158 healthy young adults. The research instruments used included a socio-demographic information form, the Modified Occupational Questionnaire, the Occupational Self-Assessment, and the Turkish Occupational Balance Questionnaire. The results were then analyzed using SPSS 24.0.Results A significant relationship was found between the time allocated to sleep and occupational balance (p = 0.009), as well as between the time allocated to work and productive activities and occupational self-competence (p = 0.010). Furthermore, a statistically significant relationship was found between the duration of smartphone usage and occupational balance (p = 0.04).Conclusion The study emphasizes occupational balance as an important concept for identifying and addressing time use problems among young workers and university students. The study suggests that achieving work-life balance requires consideration of the positive effects of time allocated sleep and the negative effects of smartphone use.Öğe Effects of health expenditure, death rate, and infant mortality rate on life expectancy: A case study of the United States(SAGE PUBLICATIONS LTD, 1 OLIVERS YARD, 55 CITY ROAD, LONDON EC1Y 1SP, ENGLAND, 2024) Adebayo, Tomiwa Sunday; Nwosu, Laurine Chikodiri; Alhassan, Gloria Nnadwa; Uzun, Berna; Özkan, Oktay; Awosusi, Abraham AyobamijiUnderstanding the factors that influence life expectancy (LEXP) is crucial for promoting economic development, as a nation's prosperity depends on the health of its population. Various socioeconomic, nutritional, lifestyle, genetic, and environmental factors can significantly impact a nation’s health and longevity. Our study investigates these drivers of LEXP, focusing on the United States as a case study. Using quarterly data from 2000 to 2022, we examined the relationship between LEXP and multiple determinants, including environmental degradation, income levels, inflation dynamics, educational attainment, birth and death rates, health expenditure patterns, urbanization trends, and infant mortality rates. Employing advanced analytical methodologies, we accounted for the nonlinear nature of the time series data by utilizing approaches such as quantile-on-quantile Kernel Regression Least Squares and quantile-on-quantile Granger causality. The study revealed that factors such as inflation rate, rapid urbanization, high birth rates, CO2 emissions, death rates, and infant mortality negatively affect LEXP. On the other hand, higher income levels, educational attainment, food production, and health expenditure positively influence LEXP. Based on these findings, we have proposed significant policy recommendations.Öğe Comparing The Number Of Cribriform Plate Foramina in Patients With Acquired and Congenital Anosmia(OXFORD UNIV PRESS, GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND, 2024) Juratli, Jerry Hadi; High, Brigit; Joshi, Akshita; Yılmaz, Eren; Yıldırım, Düzgün; Altundağ, Aytuğ; Hummel, Thomas46th Annual Meeting of the Association-for-Chemoreception-Sciences (AChemS)Öğe Determination of the relationship between frailty level and quality of life in elderly individuals with type 2 diabetes(NATURE PORTFOLIO, HEIDELBERGER PLATZ 3, BERLIN 14197, GERMANY, 2024) Rashidi, Mahruk; Yıldırım, Gülay; Karaman, Funda; Çakmak, Sultan; Durusoy, Ebru; Akgöz, Hasan Fatih; Saygın Şahin, Buse; Genç, AslıThe aim of the study was to examine the relationship between frailty level and quality of life in elderly individuals with Type 2 diabetes. This descriptive and correlational study was conducted with 211 patients who applied to the diabetes outpatient clinic of a private and a public hospital in Istanbul between September and November 2022. The data were obtained by using the Personal Information Form, Edmonton Frail Scale and the Quality of Life in the Elderly Scale. The mean Edmonton Frail Scale score of the participants was 7.36±4.35. Their mean quality of life scale score was 19.32±7.12. A low degree of negative correlation was found between Elderly Quality of Life Scale total and subscale scores and the Edmonton Frail Scale score (p<0.05). Besides, there was a statistically significant difference between the Edmonton Frail Scale mean score and education level, history of falling in the last 1 year, using oral antidiabetic drugs, and the presence of diabetes complications (p<0.05). It is recommended that frailty and quality of life should be evaluated regularly in elderly patients with diabetes and necessary planning should be made in diabetes management and improving quality of life in the presence of frailty.Öğe Immediate effects of soft tissue mobilization and percussive massage on balance in young adults with pes planus: A single blind, randomized controlled pilot study(ELSEVIER, RADARWEG 29, 1043 NX AMSTERDAM, NETHERLANDS, 2024) Kethüdaoğlu, Mustafa Oğuz; Özdemir, Ayşem Ecem; Kaya Sağlam, Öznür; Çağlar, Engin; Meran Çağlar, Meltem; Demir, Gökhan; Duymaz, TomrisBackground: Presence of pes planus is known to effect balance. In this study, it was aimed to examine the immediate effects of IASTM and PMT on static and dynamic balance in young adults with pes planus. Method: The navicular drop test was used to diagnose pes planus. 51 individuals were included in the study and divided into three groups [IASTM (n:15), percussive massage (n:18) and control (n:18) groups] by simple randomization. Flamingo and Y Balance test was assessed before and immediately after intervention. Repeated Measures ANOVA test was used for the intergroup comparison, and the One-Way ANOVA test was used for the intragroup comparison, also post-hoc test with Tukey correction was performed. Results: There was no significant difference in static balance between the three groups (p > 0.05). There was a significant difference in dynamic balance between groups (p < 0.05). Only IASTM group had significant differences at before and after intervention of all directions except for posterolateral direction of Y Balance Test (p < 0.05). Conclusion: IASTM applied to the plantar fascia of individuals with pes planus have immediate effects on dynamic balance when compared to no intervention and percussive massage even within a small sample size.Öğe Functional connectivity patterns in parosmia(BMC, CAMPUS, 4 CRINAN ST, LONDON N1 9XW, ENGLAND, 2023) Thaploo, Divesh; Joshi, Akshita; Yılmaz, Eren; Yıldırım, Düzgün; Altundağ, Aytuğ; Hummel, ThomasObjective Parosmia is a qualitative olfactory dysfunction presenting as“distorted odor perception” in presence of an odor source. Aim of this study was to use resting state functional connectivity to gain more information on the alteration of olfactory processing at the level of the central nervous system level. Methods A cross sectional study was performed in 145 patients with parosmia (age range 20–76 years; 90 women). Presence and degree of parosmia was diagnosed on the basis of standardized questionnaires. Participants also received olfactory testing using the “Snifn’ Sticks”. Then they underwent resting state scans using a 3 T magnetic resonance imaging scanner while fxating on a cross. Results Whole brain analyses revealed reduced functional connectivity in salience as well as executive control networks. Region of interest-based analyses also supported reduced functional connectivity measures between primary and secondary olfactory eloquent areas (temporal pole, supramarginal gyrus and right orbitofrontal cortex; dorsolateral pre-frontal cortex and the right piriform cortex). Conclusions Participants with parosmia exhibited a reduced information fow between memory, decision making centers, and primary and secondary olfactory areas.Öğe “It was the first time someone had died before my eyes…”: A qualitative study on the first death experiences of nursing students(CHURCHILL LIVINGSTONE, JOURNAL PRODUCTION DEPT, ROBERT STEVENSON HOUSE, 1-3 BAXTERS PLACE, LEITH WALK, EDINBURGH EH1 3AF, MIDLOTHIAN, SCOTLAND, 2024) Çekiç, Yasemin; Çalışkan, Behice Belkıs; Küçük Öztürk, Gülhan; Deniz Kaya, Meral; Bağ, BeyhanBackground: Accompanying a person at their death is a common experience in nurse education. In addition to all death experiences that are a meaningful part of the nursing profession, the first death experience is very important. However, there is limited understanding of nursing students’ first death experiences. Objectives: This study aimed to explore nursing students’ experiences of the death of a person for the first time during clinical practice. Design: This study was conducted as a qualitative study using a phenomenological design. Participants: A total of 17 nursing students participated in this study. Methods: Data were collected through online individual in-depth interviews and were analyzed using content analysis. Results: Four main themes and eleven sub-themes emerged. The themes were meaning of death (first death, a part of life), process management (death information, physical environment, bad news), after death (empty bed, questioning, death with dignity) and education (curriculum, support, professional perception). Conclusions: While the first experience of death provides an opportunity for students to learn, this experience reveals various negative emotions and the need for support.
