Sürdürülebilir Kalkınma Amaçları

Yazarlar

  • MakaleAçık Erişim2025Scopus SJRQ2
    Effect of the coronavirus disease 2019 pandemic on beliefs and practices regarding hand hygiene among intensive care nurses: A repeated cross-sectional study

    Karadas, Yasemin Ay; Sahin, Sibel Yilmaz; Dönmez, Elif; Temiz, Gamze

    Hand hygiene is an important factor in the prevention of healthcare-associated infections. Studies show healthcare professionals' hand hygiene practices vary and are not at sufficient levels. This study aimed to examine the effect of the COVID-19 pandemic on the beliefs and practices of nurses working in intensive care units (ICU) towards hand hygiene. This was longitudinal, repeated, and cross-sectional study. The study was conducted in 2 phases between January 2,2020 and March 10,2021 in the intensive care unit of a university hospital in northern Turkey. No sampling method was used. The objective was to reach the entire population. The first phase of this study was completed with 119 (76% of the population) ICU nurses and the second phase with 85 (70% of the population) ICU nurses. The data were collected with the personal information form, hand hygiene belief scale (HHBS), hand hygiene practices inventory (HHPI) and the views of the intensive care nurses related to COVID-19. Descriptive statistics such as mean and standard deviations, frequency, and percentages and analytical statistics such as t-test, Mann-Whitney U test, Kruskal-Wallis test were used for data analysis at the significance level of P < .05. The majority of the nurses who participated in the study were female (75.6%; 69.4%), with a mean age of 30.82 ± 5.51 and 30.58 ± 5.51 years, respectively. There was a significant difference (P < .05) between the median HHBS (P = .002) and HHPI (P = .001) scores before and after COVID-19. All nurses (100%) reported that the pandemic was effective in hand hygiene practices. In this study, it was determined that the hand hygiene beliefs and practices of nurses were high, and the scores of nurses' hand hygiene beliefs and practices after COVID-19 increased significantly. Healthcare professionals must always adhere to stringent standards of hand hygiene, rather than merely during periods of heightened challenges. To ensure the sustainability of optimal hand hygiene practices, it is recommended that motivational interventions that strengthen beliefs and practices related to hand hygiene should be implemented and that studies should be conducted to evaluate their effectiveness.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus3WoS3OpenAlex4
    ScopusWeb of SciencePubMedİncele
  • MakaleAçık Erişim2025Scopus SJRQ3
    Experiences of Nurse Managers in the 2023 Kahramanmaras, Turkey Earthquakes: A Qualitative Study

    Koroglu Kaba, Nagihan; Bal, Betul; Ozturk, Havva

    BACKGROUND: Nurse managers play a critical role in disaster response and management; yet research on their experiences in earthquakes remains limited. OBJECTIVE: This study aimed to explore the experiences of nurse managers in the Kahramanmaras, Turkey, earthquakes. METHODS: A phenomenological approach was used to guide this study, exploring the lived experiences of nurse managers who worked during the 2023 earthquakes in Kahramanmaras, Turkey. Purposive sampling identified participants, and data were collected 2-3 months postearthquake, from April to May 2023, via semi-structured interviews conducted via social media. Thematic analysis was applied to analyze the interview data. RESULTS: A total of 11 nurse managers were interviewed for the study. Fifty-five percent were between the ages of 35 and 44, 64% were female and had a bachelor's degree. Five themes emerged from the data: "being unprepared"(predisaster phase), "emotional difficulties,""communication and coordination issues,""resource shortages"(disaster event phase), and "evaluation and professional satisfaction"(postdisaster phase). CONCLUSION: The study found that most nurse managers reported feeling unprepared for the earthquake despite institutional disaster management practices. They struggled with managing their emotions, resource shortages, and communication-coordination issues. These experiences underscore the need for enhanced disaster training and preparedness for nurses. Collaboration among international health organizations, nongovernmental organizations, and governments is essential to develop disaster management plans to optimize nurses as early responders.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus1WoS1OpenAlex1
    ScopusWeb of SciencePubMedİncele
  • MakaleAçık Erişim2025Scopus SJRQ3
    Investigation of cytochrome B mutations, and UCP2 and STC1 gene expressions in patients with bipolar disorder

    Uzunçakmak, Sevgi Karabulut; Özcan, Halil; Dirican, Ebubekir

    Objective The aim herein was to investigate mitochondrial cytochrome B (MT-CYB) mutations in individuals with bipolar disorder. Stanniocalcin-1 (STC1) and uncoupling protein 2 (UCP2) mRNA expressions and their relationship with clinical data and each other were also investigated. Method The blood samples of 100 individuals were included in this study. Real-time PCR was used to evaluate mRNA expressions of STC1 and UCP2. Genetic alterations were investigated via Sanger DNA sequencing. An in silico analysis was performed to reveal the phenotypic effects of MT-CYB mutations. Results In the MT-CYB gene of the bipolar disorder patients, the most seen mutations were the T194A A>G mutation at position 1532, G deletion at position 15498, and C>A L236I mutation at position 15452. Most of the mutations appeared to be neutral or benign. The UCP2 and STC1 mRNA expression levels were significantly higher in the patients than in the healthy controls (P = 0.0124 and P < 0.0001, respectively). The area under the curve values of the receiver operating characteristic curve analysis for UCP2 and STC1 were 0.6631 (P = 0.0123) and 0.8059 (P < 0.0001), respectively. No significant relationship was observed between the gene expressions and the routine laboratory findings. There was a positive correlation between the UCP2 and STC1 mRNA expressions in the bipolar disorder patients (r = 0.03559, P = 0.0306). Conclusion Expression of UCP2 and STC1 may be important parameters in bipolar disorder. MT-CYB mutations may be related to gene expressions. Comprehensive studies on bipolar disorder will help better understand UCP2 and STC1 gene functions.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleYalnız künye2024Scopus SJRQ2
    Endoscopic Resection of Nasal Septal Chondroma

    Demir, Murat; Bahadır, Osman; Çobanoğlu, Hatice Bengü

    Chondromas are benign cartilaginous tumors and rarely develop in the nasal septum. Although it causes different symptoms depending on the location and size of the tumor, the most common complaints are nasal obstruction and epistaxis. A submucosal mass narrowing the nasal passage can be seen in the septum by an endoscope. Computed tomography gives information about the localization and size of the mass. A definitive diagnosis is made by histopathologic examination. Treatment is surgical excision. Endoscopic surgery provides a less invasive and successful treatment. This case series aims to share that 2 cases with a diagnosis of nasal septal chondroma were successfully treated with endoscopic surgery.

  • MakaleAçık Erişim2024Scopus SJRQ3
    Unveiling the significance of Gremlin-1 as a novel biomarker for enhanced severity prediction in COVID-19 patients

    Celik, Muhammet; Tekin, Erdal; Koçak, Mehmet Nuri; Uzunçakmak, Sevgi Karabulut; Bayraktar, Mustafa

    Gremlin-1 is associated with lung disease and plays a role in the initiation and progression of pulmonary fibrosis. This suggests that Gremlin-1 may be associated with lung involvement in COVID-19 and poor clinical outcomes and warrants further investigation. This prospective, cross-sectional, single-blind study was the first to investigate Gremlin-1 levels in COVID-19 patients and whether Gremlin-1 levels could be used to predict and guide clinical follow-up in outpatients and inpatients. In this context, serum Gremlin-1 levels were measured and compared in 2 groups of patients who were diagnosed as positive for COVID-19 by RT-PCR and were followed up as outpatients (n = 28) or required hospitalization (n = 30). The median Gremlin-1 values were statistically significantly different between outpatients and intensive care unit patients (0.367 ng/mL [IQR = 0.377], 1.858 ng/mL [IQR = 2.245], respectively) (P < .0001). The area under the ROC curve value to determine the discriminative power of Gremlin-1 was found to be 0.772 (95% CI: 0.672-0.871; P < .0001), and the cutoff value of Gremlin-1 to discriminate between outpatients and hospitalized patients was found to be 1.242 ng/mL with 66.7% sensitivity and 67.2% specificity. Serum Gremlin-1 level is an important biomarker that can be used as a clinical decision-making tool for COVID-19 positive patients.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus2WoS2OpenAlex3
    ScopusWeb of SciencePubMedİncele
  • MakaleYalnız künye2018Scopus SJRQ2
    Determining the Patient-Specific Optimum Osteotomy Line for Severe Mandibular Retrognathia Patients

    Şensoy, Abdullah Tahir; Kaymaz, Irfan; Ertaş, Ümit; Kiki, Ali

    Purpose: The purpose of this study is to suggest a patient-specific osteotomy line to optimize the distractor position and thus to minimize the disadvantages of conventional mandibular distraction osteogenesis (MDO) protocols. In addition, this study also aims to compare the conventional MDO protocols with the new MDO protocol proposed in this study in terms of both orthodontic outcomes and mechanical effects of osteotomy level on callus stabilization by means of the finite element method. Methods: A preoperative patient-specific 3-dimensional bone model was created and segmented by using computed tomography images of an individual patient. Virtual orthodontic set-up was applied to the segmented model prior to the virtual surgery. In order to compare the proposed osteotomy line with the conventional lines used in clinical applications, virtual surgery simulations were performed and callus tissues were modelled for each scenario. The comparison of the success of each osteotomy line was carried out based on the occlusion of the teeth. Results: The osteotomy line determined using the method proposed in this study has resulted in far less malocclusion than the conventional method. Namely, any angular deviation from the optimum osteotomy line determined in this study might result in deep-bite or open-bite. On the other hand, the finite element analysis results have indicated that this deviation also negatively affects the callus stability. Conclusion: In order to achieve a better MDO treatment in terms of occlusion of the teeth and the callus stability, the location of the osteotomy line and the distractor position can be computationally determined. The results suggest that MDO protocol developed in this study might be used in clinic to achieve a better outcome from the MDO treatment.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus7WoS4OpenAlex8
    ScopusWeb of SciencePubMedİncele
  • Dergi
    Journal of Trauma Nursing
  • Dergi
    Psychiatric Genetics
  • Dergi
    Journal of Craniofacial Surgery
  • Dergi
    Medicine (United States)