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  Measurement of Anxiety, Depression and Insomnia Levels of Women Admitted to a Training and Research Hospital and Receiving Infertility Treatment and Medical Social Work Intervention

  (İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Sağlam, Özgür

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  Aim: The aim of this study is to determine the levels of insomnia, anxiety, and depression in women diagnosed with infertility undergoing in vitro fertilization (IVF) treatment and to examine the relationship between these psychological conditions and the socio-demographic characteristics of the women. Additionally, the study seeks to investigate how receiving psychosocial support from social service specialists after being referred to medical social service units can affect the anxiety, depression, and insomnia levels of these women. Method: The study was conducted with 156 female patients diagnosed with infertility who applied to the IVF Unit of an Education and Research Hospital in Istanbul between October and December 2022. Data were collected using the Insomnia Severity Index (ISI), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and Socio-Demographic Information Form through face-to-face interviews. The data were analyzed using the SPSS 25.00 program, employing frequency, percentage distributions, means, standard deviations, and Spearman’s Correlation tests for independent groups. The Kolmogorov-Smirnov test was used for the normality test. Results: The study found that women with higher education levels, those who were not employed in any income-generating work, and those who had prolonged unprotected sexual intercourse without achieving pregnancy had higher ISI, BAI, and BDI scores. Additionally, women who were referred to medical social service units received psychosocial and economic support, and this support was found to have a positive impact on their lives and treatment outcomes. Conclusion: The study determined that the levels of insomnia, anxiety, and depression were high in women undergoing infertility treatment and that socio-demographic factors were associated with these psychological conditions. It was also found that women who were referred to medical social service units and received psychosocial support had improved treatment outcomes. These findings highlight the importance of addressing not only the physical aspects of infertility treatment but also the psychological and social aspects. The psychosocial support provided by social service specialists can improve the effectiveness of the treatment process and alleviate the emotional burden of the women.

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  Öğe Türü: Öğe ,

  A Comparison of Physical Activity Level, Quality of Life, Sleep Quality and Depression Levels in Mothers of Disabled Children With and Without Musculoskeletal Pain

  (İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Yalçın, Gülay; Kayış, Rukiye

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  Aim: This study aims to compare physical activity levels, quality of life, sleep quality, and depression levels in mothers of children with disabilities, distinguishing between those with and without musculoskeletal pain. Method: A total of 61 mothers aged 20–45 years participated in the study, including 27 mothers with musculoskeletal pain, as determined by the Visual Analog Scale (VAS), and 34 mothers without musculoskeletal pain. The physical activity levels of the mothers were assessed using the International Physical Activity Questionnaire – Short Form (IPAQ), pain status with the VAS, depression levels with the Beck Depression Inventory (BDI), sleep quality with the Pittsburgh Sleep Quality Index (PSQI), and quality of life with the Nottingham Health Profile (NHP). Results: Body mass index, NHP, PSQI, VAS and number of pregnancies were statistically significantly different between the two groups (p<0.05). There was no statistically significant difference between the two groups in the results of IPAQ, BDI, number of children, number of miscarriages, smoking, presence of care assistants, educational status and economic status (p>0.05). Conclusion: Musculoskeletal pain negatively affects the sleep quality and quality of life of mothers of children with disabilities. Depression levels and physical activity levels were high in both groups. In addition, factors such as sociocultural and number of children are also associated with musculoskeletal pain.

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  Clinical and Histopathological Correlation in Cases Undergoing Embolectomy for Acute Extremity Ischemia

  (İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Buğra, Abdul Kerim; Buğra, Aytul; Ersoy, Burak; Güler, Salih; Apaydın, Zinar

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  Aim: Acute extremity ischemia (AEI) is a disease in which the arterial perfusion of the limb is suddenly reduced, mostly due to a thromboembolic condition. There is a need for an urgent evaluation and intervention, most commonly surgical embolectomy. Surgically removed thrombus materials can provide information about the disease and its process. Method: Patients who underwent embolectomy for acute extremity ischemia between November 2021 and March 2022 were retrospectively analyzed, and the obtained embolectomy materials were histopathologically evaluated. Results: We included 32 cases of patients who underwent embolectomy surgery for AEI. The histopathological evaluation of the materials taken from these cases determined that the thrombus age was compatible with the first 48 hours. Malignant epithelial tumor cells were detected in one case. In addition, we assessed and showed that re-intervention was significantly higher in cases with a high fibrin score with chronic peripheral artery disease. Conclusion: We believe that the histopathological evaluation of the materials removed from patients who underwent embolectomy surgery for acute extremity ischemia can aid in diagnosis, guide treatment, and provide valuable prognostic information.

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  Öğe Türü: Öğe ,

  Investigation of the Relationship between Lower Urinary Tract Symptoms, Body Awareness, and Kinesiophobia in Patients with Chronic Low Back Pain and Mild to Moderate Disability

  (İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Kaplan, Ümran; Uslu, İlknur; Berber, Zeynep; Kiloatar, Hümeyra

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  Aim: The purpose of this study was to assess the relationship between lower urinary tract symptoms, body awareness, and kinesiophobia in patients with chronic low back pain and mild to moderate disability. Method: 94 patients with chronic low back pain and mild to moderate disability were included in the study. The disability level of the patients was assessed using the Oswestry Disability Index (ODI). Lower urinary tract dysfunctions were evaluated with the Core Lower Urinary Tract Symptom Score (CLSS), while body awareness was assessed using the Body Awareness Questionnaire (BAQ). The Tampa Kinesiophobia Scale was used to assess the participants' kinesiophobia. Results: This study included a total of 94 patients with chronic low back pain, of whom 34 had mild disability and 60 had moderate disability. Statistically significant differences were found between the two disability groups (mild and moderate) in terms of the Tampa Kinesiophobia Scale, CLSS total score, and CLSS quality of life subscore (p<0.05). A strong positive correlation was observed between the ODI and CLSS (r=0.358, p=0.000), a significant positive correlation with the CLSS quality of life subscore (r=0.317, p=0.002), and a non-significant negative correlation with the BAQ (r=-0.149, p=0.153). Additionally, there was a significant positive correlation between the Tampa Kinesiophobia Scale and CLSS total score (r=0.432, p=0.000). A strong positive correlation was found between the CLSS total score and the CLSS quality of life score (r=0.387, p=0.000), while a significant negative correlation was observed with the BAQ (r=-0.240, p=0.020). Conclusion: In individuals with chronic low back pain and mild to moderate disability, relationships have been observed between lower urinary tract symptoms, kinesiophobia, and body awareness levels. These findings point to the potential importance of considering not only physical but also psychological and pelvic health-related factors in the management of chronic low back pain. However, due to the cross-sectional design of the study, the causality of the relationship between these variables cannot be demonstrated; therefore, further research is needed.

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  Cytological Features of Undifferentiated Nasopharyngeal Carcinomas (12 Cases Diagnosed Cytologically From Lymph Node Metastases)

  (İstanbul Gelişim Üniversitesi Yayınları / Istanbul Gelisim University Press, 2025) Özcan, Burcu; Cin, Merve

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  Aim: Nasopharyngeal carcinomas (NPCs) are often diagnosed through fine-needle aspiration biopsy (FNAB) samples from metastatic lymph nodes. The differential diagnosis of cervical mass lesions includes a broad spectrum of lesions, which can complicate the diagnostic process. This study aims to analyze the clinical and cytological features of 12 cases of undifferentiated nonkeratinizing NPC diagnosed from metastases and identify key morphological findings that may aid diagnosis. Method: This retrospective study included 12 cases of nasopharyngeal carcinoma diagnosed via fine-needle aspiration (FNA) in our department between 2021 and 2024. All cases were histologically classified as undifferentiated-type nasopharyngeal carcinoma. Clinical data of the cases were retrieved from the hospital information management system. Cytology smears were retrieved from the archives and re-evaluated in terms of cytomorphological characteristics. Results: Eight of the cases were male, and four were female. Their ages ranged from 23 to 80 years. All smears were cellular. In half of the cases (6 cases), the tumor cells formed cohesive clusters, whereas in 5 cases, the cells displayed loose cohesion. In 7 cases, the tumor cells exhibited large nuclei, with pleomorphism in 10 cases. In half of the cases, the nuclei were oval-shaped, followed by oval-to-round nuclei in four cases. Naked nuclei were observed in most cases (9/12). Nucleoli were prominent in 8 cases. In 10 cases, the cytoplasm was scant with indistinct borders. Conclusions: The cytologic diagnosis of NPC is complex and requires a multifaceted approach. FNA of cervical lymph nodes is a valuable diagnostic tool, but careful interpretation is crucial. The presence of cells exhibiting a mixed pattern—forming clusters as well as appearing isolated cells—characterized by large pleomorphic nuclei, prominent nucleoli, and scant cytoplasm, particularly in samples obtained from cervical lymph nodes, constitutes a significant clue in cytological diagnosis.

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